Greenwich Hospital Price Master - CT.gov

Greenwich Hospital Price Master
as of 4/1/2013
Item Number Item Description Item Price Revised Item Price Effective Date
32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING 0.00 4/1/2013
93010 PR ELECTROCARDIOGRAM REPORT 56.10 4/1/2013
99291 PR CRITICAL CARE, E/M 30-74 MINUTES 1,593.75 4/1/2013
100323 HC ED PROFESSIONAL FEE - NO CHARGE 0.00 4/1/2013
12100002 HC GH MD/SRG/GYN S/PR DLY 2,751.00 4/1/2013
12200001 HC GH OB SEMI PRIV DAILY 2,751.00 4/1/2013
12300002 HC GH PEDIATRIC DAILY 2,571.00 4/1/2013
12600001 HC GH DETOXIFICATION DLY 2,704.00 4/1/2013
12600002 HC BH DETOXIFICATION DLY 2,750.97 4/1/2013
17000002 HC GH NURSERY 2,490.00 4/1/2013
17100001 HC GH NEWBORN LEVEL I 2,327.00 4/1/2013
17200001 HC GH NEWBORN LEVEL II 4,424.00 4/1/2013
17300001 HC GH NEWBORN LEVEL III 4,424.00 4/1/2013
17400002 HC GH NEWBORN LEVEL IV 4,424.00 4/1/2013
20000002 HC GH INTENSIVE CARE UNIT 4,696.00 4/1/2013
20600002 HC GH TELEMETRY - ICU 4,403.00 4/1/2013
23200001 HC MAT SPECIAL NURSING PER DAY 1,559.00 4/1/2013
25000004 HC RX 250 WO HCPCS (DEFAULT REV CODE 250) 52.45 4/1/2013
25000005 HC RX 250 W HCPCS (DEFAULT REV CODE 250) 273.54 4/1/2013
25000008 HC IV SOLUTIONS W HCPCS 6.35 4/1/2013
25500001 HC DRUGS/INCIDENT RAD 23.33 4/1/2013
26000001 HC IV INF THPY HYD FLUIDS INIT 31 MIN-1HR 582.00 4/1/2013
26000002 HC IV INF THPY HYDRATION FLUIDS ADDL HR 315.17 4/1/2013
26000003 HC IV INF FOR THER/PROPH/DIAG INIT

27000097 HC FULL MASK POS AIRWAY DEVICE 156.27 4/1/2013
27000100 HC RESUSITATOR, ADULT DISPOSABLE 46.33 4/1/2013
27000101 HC SUCTION CLOSED TRACH 14FR 41.57 4/1/2013
27000107 HC BAG WASTE W/SALINE SPIKE 39.86 4/1/2013
27000109 HC OXYMETER 282.48 4/1/2013
27000111 HC AEROCHAMBER W/O FACE MASK 25.25 4/1/2013
27000112 HC CARDIAC MONITOR 162.64 4/1/2013
27000116 HC INTERN FETAL MONITOR LEAD 143.06 4/1/2013
27000117 HC ISOLETTE 142.31 4/1/2013
27000119 HC RETRACTOR C-SECTON XLGE11-17CM 288.91 4/1/2013
27000120 HC KATZ EXTRACTOR 188.01 4/1/2013
27000122 HC CAST LOWER EXTREMITY ADULT 46.76 4/1/2013
27000123 HC CAST UPPER EXTREMITY ADULT 37.24 4/1/2013
27000124 HC CAST LOWER EXTREMITY CHILD 21.56 4/1/2013
27000125 HC CAST UPPER EXTREMITY CHILD 14.87 4/1/2013
27000132 HC SUPPORT KNEE 84.05 4/1/2013
27000139 HC ACE BANDAGE 1.77 4/1/2013
27000187 HC CENTRAL LINE DRESSING KIT 19.10 4/1/2013
27000197 HC CRUTCHES 39.22 4/1/2013
27000199 HC DETECTOR CO2 EASY CAP 2 35.10 4/1/2013
27000232 HC INCENTIVE SPIROMETER 0.00 4/1/2013
27000238 HC IV START 0.00 4/1/2013
27000255 HC MDI SPACER 0.00 4/1/2013
27000257 HC METAL FINGER SPLINT 0.00 4/1/2013
27000353 HC STAPLE REMOVAL 0.00 4/1/2013
27000355 HC STERI STRIP .25 X 4 0.00 4/1/2013
27000363 HC ARM SLINGS 0.00 4/1/2013
27000377 HC SUTURE SET 0.00 4/1/2013
27000434 HC BRACE ANKLE STIRUP 0.00 4/1/2013
27000480 HC DRESSING CHANGE 0.00 4/1/2013
27000501 HC SKIN STAPLER 0.00 4/1/2013
27000876 HC ACE BANDAGE 0.00 4/1/2013
27000892 HC PLASTIC SUTURE TRAY 0.00 4/1/2013
27001011 HC EXT TUBING FOR FEEDING 6.22 4/1/2013
27001204 HC KIT REMOVAL SUTURE 0.00 4/1/2013
27001437 HC KIT, SUTURE REMOVAL 0.00 4/1/2013
27001476 HC CRUTCHES - LARGE 39.16 4/1/2013
27001477 HC CRUTCHES 39.16 4/1/2013
27001488 HC BILIRUBIN LIGHT PER DAY 467.59 4/1/2013
27001490 HC OXYGEN HOURS 35.31 4/1/2013
27001499 HC CATHETER PICC XCELA PASV 5FR 757.85 4/1/2013
27001537 HC GUIDWIRE 6FX16CM 80CM STRAIGHT 814.99 4/1/2013
27001548 HC BAND TR REGULAR 24CM W/INFLATR 150.92 4/1/2013
27001549 HC CATHETER GUIDE 6F 100CM TIG4.0HEARTRAIL III 301.85 4/1/2013
27001550 HC CATHETER JACKY 6F 100CM RADIAL 754.62 4/1/2013
27001553 HC 6 FR X 10CM GLIDESHEATH INTRODUCER W/45CM STRAIGHT SPRING GU 162.99 4/1/2013
27001555 HC TRAY UNIVERSAL BLOCK BALLARD 47.08 4/1/2013
27001557 HC STOCKING XLG REG 43.12 4/1/2013
27001558 HC KIT, LEFT HEART CATH REV TO PT 62.47 4/1/2013
27001559 HC BOARD VIDATAK EZ PICTURE BOARD 64.68 4/1/2013
27001562 HC WIRE SUPER STIFF .035 180CM 344.97 4/1/2013
27001568 HC STOCKING XXLG REG 43.12 4/1/2013
27001580 HC INTRODUCER PINNACLE 5FR 10CM 80.42 4/1/2013
27001581 HC INTRODUCER PINNACLE 6FR 10CM 80.42 4/1/2013
27001586 HC KIT, RIGHT HEART CATH REV TO P 138.85 4/1/2013
27001587 HC WIRE, NITINOL .018 X 80CM 181.11 4/1/2013
27001593 HC DISPOSABLE PLASTIC SURGERY TRAY 0.00 4/1/2013
27001603 HC PAD CHAIR ALARM 26201 81.75 4/1/2013
27001604 HC DRAPE SPINE 32573-00 1,055.41 4/1/2013
27001613 HC IRRIGATION TRAY 0.00 4/1/2013
27001625 HC SPLINT - ALUMINUM FINGER 34.24 4/1/2013
27001710 HC COLLAR, CERVICAL - FIRM 0.00 4/1/2013
27001808 HC PHILADELPH COLLAR, MED. 0.00 4/1/2013
27001843 HC SLING ARM LARGE 0.00 4/1/2013
27001844 HC SLING ARM SMALL 0.00 4/1/2013
27001845 HC SLING, ARM MEDIUM 0.00 4/1/2013
27001851 HC SPLINT - ALUMINUM FINGER 240.00 4/1/2013
27001933 HC AIR CAST 0.00 4/1/2013
27002036 HC INDERMIL TISSUE ADHESIVE 0.00 4/1/2013
27002172 HC TUBE ANCHORFAST ORAL ENDOTRACH 32.39 4/1/2013
27002177 HC SENSOR INSPECTRA ST02 SPOTCHEK 718.16 4/1/2013
27002191 HC STRIP PACKNG .25 IODOFORM 0.00 4/1/2013
27002270 HC AMBU BAG 72.76 4/1/2013
27050001 HC SUP SUPPLY, NOS 182.60 4/1/2013
27100001 HC BAIRHUGGER SLEEVE 117.81 4/1/2013
27100002 HC TRACTION BUCKS ADJUSTABLE 102.99 4/1/2013
27100004 HC BINDER ABDOMINAL 9 INCH 3-PANE 43.66 4/1/2013
27100005 HC TRANSDUCER A-LINE 41.68 4/1/2013
27100006 HC STOCKING TED THIGH W/BELT LG-L 35.36 4/1/2013
27100009 HC BLANKET LOWER BODY VHA PLUS 30.50 4/1/2013
27100010 HC CANE ADULT ALUMINUM ADJ 28.36 4/1/2013
27100011 HC STOCKING THIGH MED REG 26.38 4/1/2013
27100012 HC STOCKING TED THIGH MED-LONG LF 26.38 4/1/2013
27100013 HC STOCKING THIGH LG LONG 26.38 4/1/2013
27100014 HC STOCKING THIGH LG REG 26.38 4/1/2013
27100015 HC BRUSH BRONCHOSCOPY CYTOLOGY 46.33 4/1/2013
27100021 HC STRAP TENNIS ELBOW LARGE 42.91 4/1/2013
27150002 HC SUP CAST SUPPLIES SPLINT MISCELLANEOUS Q4051 157.58 4/1/2013
27200003 HC CATHETER BALLOON 8F 40CC 2,439.44 4/1/2013
27200005 HC CATH .065X.014 PRONTO V3 EXTRA 1,963.45 4/1/2013

27200017 HC ELECTRODE TRANSVENOUS PACING 1,098.52 4/1/2013
27200019 HC BALLOON QUANTUM MAV 3.5X15MM 1,094.77 4/1/2013
27200032 HC KIT STOOL MGMT DIGNICARE 1,064.01 4/1/2013
27200036 HC BALLOON MAV 2 MONO 15MMX2.5MM 1,033.89 4/1/2013
27200038 HC BALLOON MAV 2MONO 12MM X 2.5MM 1,029.61 4/1/2013
27200039 HC AMPLATZ RENAL DILTR SET ARD100 952.03 4/1/2013
27200043 HC GUIDEWIRE AMPLATZ STIFF35X6X75 674.21 4/1/2013
27200044 HC CATHETER PICC TRIPLE LUMEN 667.73 4/1/2013
27200046 HC D-STAT FLOWABLE HEMOSTAT 539.01 4/1/2013
27200047 HC BIOPSY NEEDLE CA-1102 415.75 4/1/2013
27200049 HC INTRODUCER SKATER SYSTEM 362.22 4/1/2013
27200051 HC PACK CATH LAB 313.83 4/1/2013
27200052 HC GUIDEWIRE BMW 190CM J 301.58 4/1/2013
27200057 HC WIRE ATW J .014 195 301.58 4/1/2013
27200061 HC BANDAGE HEMOSTATIC D-STAT DRY 254.41 4/1/2013
27200062 HC CATHETER COBRA 2 4FR 238.82 4/1/2013
27200063 HC CATHETER GLIDE 65CM 4FR ANGLED 238.82 4/1/2013
27200064 HC CATHETER 6FR XB3 236.95 4/1/2013
27200071 HC GUIDEWIRE .38INX15CM SS 205.90 4/1/2013
27200072 HC GLIDEWIRE.035 150CM STIFF ANGL 205.71 4/1/2013
27200075 HC DEVICE TORK .009-018 198.32 4/1/2013
27200076 HC 18GX10CM B-PINCE NDL 360-1080 189.55 4/1/2013
27200077 HC WIRE GUIDE LONG TAPER 176.66 4/1/2013
27200083 HC TRAY PROCEDURE A 0.00 4/1/2013
27200087 HC GLIDE WIRE ST TIP .38 105CM 159.43 4/1/2013
27200088 HC GLIDE WIRE ANG.TIP 159.43 4/1/2013
27200090 HC INDEFLATOR 20/20 PRIORITY PACK 150.82 4/1/2013
27200095 HC WIRE GUIDE SUPER STIFF 134.87 4/1/2013
27200096 HC GUIDEWIRE NITINOL .018INX40CM 133.68 4/1/2013
27200098 HC GUIDEWIRE VERSACOR 175CM J TIP 116.43 4/1/2013
27200100 HC BREASTPUMP PUMPING DUET SYSTEM 109.35 4/1/2013
27200106 HC CATHETER AMPLATZ 7528-13 81.86 4/1/2013
27200108 HC BOTTLE REPLACEMENT THORA-DRAIN 78.11 4/1/2013
27200109 HC YUEH CENTESIS CATHETER G09492 75.85 4/1/2013
27200112 HC SET CADD ADMIN PCA PUMP TUBING 69.87 4/1/2013
27200114 HC WIRE STRAIGHT BENTSON035 145CM 66.61 4/1/2013
27200115 HC NEEDLE YUETT DISP CENTESIS 65.81 4/1/2013
27200118 HC 5F .035 90CM ROBERTS UTERINEC 63.24 4/1/2013
27200121 HC PACK ARTHROGRAM 57.10 4/1/2013
27200122 HC DRAPE SURGICAL STERI ANGIO FEM 56.76 4/1/2013
27200124 HC 1000ML REP PRESSURE INFUSOR 56.06 4/1/2013
27200125 HC SPLINT WRIST BLACK 8 INCH WITH 56.01 4/1/2013
27200126 HC SPLINT WRIST BLACK 8 INCH WITH 56.01 4/1/2013
27200127 HC N RX TRAY LUMBAR SAFETY PEDI 52.48 4/1/2013
27200129 HC CATHETER 5F/40CM/.38 10722105 52.16 4/1/2013
27200132 HC CATHETER BERENSTEIN 4F/40/.35 52.16 4/1/2013
27200134 HC ANGIOPLASTY PACK 51.73 4/1/2013
27200136 HC SUCTION TRACH CARE CLOSED 14FR 50.93 4/1/2013
27200139 HC SHELLS BREAST 1 PR 47.78 4/1/2013
27200140 HC CATHETER SOS OMNI2 5F/80CM/.35 47.62 4/1/2013
27200141 HC PROBE OXISENSOR INFANT 47.30 4/1/2013
27200146 HC SPLINT WRIST BLACK 8 INCH WITH 45.31 4/1/2013
27200147 HC GUIDEWIRE EMERALD J .035/150 S 44.41 4/1/2013
27200149 HC CATH BRAIDED PIGTAIL 145 43.66 4/1/2013
27200151 HC DRESSING SOFT SILICONE 4X7 42.27 4/1/2013
27200152 HC CATHETER PIGTAIL 7602-23 40.93 4/1/2013
27200153 HC CATHETER JUDKINS 7601-21 40.93 4/1/2013
27200154 HC ARTERY INTER MAMMO 40.93 4/1/2013
27200155 HC CATHETER JUDKINS 7523-13 40.93 4/1/2013
27200157 HC CATHETER JUDKINS 7521-33 40.93 4/1/2013
27200159 HC CATH JUDKINS 4.0CM 7523-21 40.93 4/1/2013
27200162 HC TUBE CONNECTING VINYL W/ STPCK 36.97 4/1/2013
27200163 HC CATH 5F SRC .047 ID .038/100 36.92 4/1/2013
27200166 HC INTRODUCER HEMAQUET PLUS 5FR 36.06 4/1/2013
27200167 HC ABSCESS DRAINAGE SYSTEM 36.06 4/1/2013
27200168 HC INTRODUCER AVANTI 6F-11 36.06 4/1/2013
27200169 HC GUIDEWIRE EMERALD EXJ.035/260S 34.94 4/1/2013
27200170 HC COVER ULTRASOUND PROBE 34.03 4/1/2013
27200173 HC CHLORAPREP 26 ML WITH TINT 30.31 4/1/2013
27200174 HC GEL SOLOSITE WOUND 3OZ 29.37 4/1/2013
27200176 HC PAD AMEDA COMFORT GEL 28.09 4/1/2013
27200178 HC DILATOR VESSEL 6FR 28.03 4/1/2013
27200179 HC DILATOR VESSEL 7FR 28.03 4/1/2013
27200180 HC DILATOR VESSEL 8FR 28.03 4/1/2013
27200181 HC NEEDLE MAX CORE 20G X 10CM 26.27 4/1/2013
27200185 HC SWITCH FLO HP 44-200 22.63 4/1/2013
27200189 HC KIT 800CC CONSRVATON 1/8IN PVC 343.58 4/1/2013
27200190 HC COVER VASOPRESS FOOT REGULAR 315.12 4/1/2013
27200191 HC FOOT GARMENT LARGE VASO PRESS 315.12 4/1/2013
27200192 HC CATHETER TRIPLE LUMEN 7FRX20CM 285.07 4/1/2013
27200194 HC GLIDECATH 5FR 100CM ANGLE TAPE 233.72 4/1/2013
27200195 HC GLIDEWIRE ANGLED .035 X 260CM 191.46 4/1/2013
27200199 HC THORA-SEAL III 147.39 4/1/2013
27200200 HC ELECTRODE QUICK COMBO LLW 3.5 135.52 4/1/2013
27200201 HC GUIDE WIRE C-MANDRIL 018 60C 126.37 4/1/2013
27200203 HC NEEDLE MICROPUNCTURE MPIS4 109.41 4/1/2013
27200206 HC SPONGE SURGIFOAM ABSORBABLE GE 93.52 4/1/2013
27200207 HC POSEY FINGER MITT OPEN END 80.85 4/1/2013
27200212 HC SOFTVU NBBERENSTEIN 5FX65X.038 64.63 4/1/2013
27200214 HC CATHETER OMNI FLUSH 5FR 65CM 56.66 4/1/2013

27200215 HC TRAY FOLEY W/URINE METER 16FR 56.07 4/1/2013
27200216 HC SPLINT WRIST LG RT 56.01 4/1/2013
27200217 HC SPLINT WRIST BLACK 8 INCH WITH 56.01 4/1/2013
27200218 HC NEEDLE POWERLOC SAFE SET 20GA 51.40 4/1/2013
27200219 HC POWERLOC SAFE INF. SET 20GA X 51.40 4/1/2013
27200220 HC TRAY LUMBAR PUNCTURE ADULT 51.09 4/1/2013
27200221 HC OXISENSOR MDL NEONATAL 47.30 4/1/2013
27200222 HC SHOE POST OP MALE SM 42.91 4/1/2013
27200224 HC KIT PX SINGLE LINE DPT 60 INCH 41.68 4/1/2013
27200226 HC CATHETER COUDE 16FR 5CC 40.39 4/1/2013
27200227 HC CATHETER COUDE 18FR 5CC 40.39 4/1/2013
27200228 HC CATHETER FOLEY IRRG 3WAY 39.70 4/1/2013
27200229 HC SHOE POST OP MALE LG 39.11 4/1/2013
27200230 HC SHOE POST OP WOMENS LG 39.11 4/1/2013
27200231 HC SHOE POST OP WOMANS SM 39.11 4/1/2013
27200232 HC CATHETER FOLEY BARDEX 5CC 14FR 36.59 4/1/2013
27200233 HC OXISENSOR MDL PEDIATRIC 36.39 4/1/2013
27200234 HC TRAY FOLEY 16FR 5CC 32.21 4/1/2013
27200235 HC TRAY FOLEY 18FR 5CC 32.21 4/1/2013
27200237 HC CHLORAPREP 26ML APPLICATOR W O 30.40 4/1/2013
27200238 HC CATHETER SET RADIAL ARTERY 29.96 4/1/2013
27200239 HC BAG DRAIN METER URINE 350CC 29.32 4/1/2013
27200241 HC CATHETER PEDIATRIC 3CC 8FR 28.73 4/1/2013
27200242 HC CAUTERY HIGH-TEMP LOOP TIP 25.31 4/1/2013
27200244 HC TRAY FOLEY W/O CATHETER 22.58 4/1/2013
27200247 HC DEVICE BIOPSY 9GX10CM 12MM 1,142.71 4/1/2013
27200248 HC DEVICE BIOPSY 9GX13CM 20MM 1,142.71 4/1/2013
27200249 HC KYPHX LATITUDE CURETTE 8.0MM 840.06 4/1/2013
27200254 HC BIOPSY SITE ID EVIVA 13CM 282.10 4/1/2013
27200260 HC KIT MULTICARE DRAPING 78.59 4/1/2013
27200262 HC GUIDE NEEDLE 9G EVIVA LORAD 40.30 4/1/2013
27200266 HC BARRIER INTERCEED ABSORB TC-7 945.61 4/1/2013
27200277 HC CATH EP NON 3D

27800067 HC STAPLER SKIN ROYAL 35 25.89 4/1/2013
27800139 HC 8.5FR 22CM NEPHROUT SET 240735 539.60 4/1/2013
27800158 HC CATHETER FEMORAL LEFT 254.34 4/1/2013
27800163 HC CATH FLEXXICON 12X24 TMP DLSYS 215.39 4/1/2013
27800204 HC BARE METAL STENT 2,483.00 4/1/2013
27800211 HC DRUG ELUTING STENT SGL VS 5,309.80 4/1/2013
27850001 HC SUP OTHER IMPLANT 68.42 4/1/2013
27850004 HC SUP CATH DRAINAGE C1729 80.22 4/1/2013
27850015 HC SUP PACEMAKER DUAL CHAMBER RATE-RESPONSIVE C1785 17,572.00 4/1/2013
27850025 HC SUP CATH SUPRAPUBIC/CYSTOSCOPIC C2627 46.18 4/1/2013
27850035 HC SUP LEAD PACEMAKER UNIPASS C1779 3,476.20 4/1/2013
27850039 HC SUP LEAD ICD ENDOCARDIAL DUAL C1895 15,241.80 4/1/2013
29000002 HC WALKER, WHEELED, ADULT 635.85 4/1/2013
29000004 HC WALKER, SINGLE RELEASE ADULT 414.46 4/1/2013
29000006 HC CRUTCHES,ADULT 32.80 4/1/2013
29000007 HC CRUTCHES,MEDIUM 32.80 4/1/2013
29000008 HC CRUTCHES,CHILD 32.80 4/1/2013
29000011 HC CRUTCH ADLT MED 5'2-5'10 39.22 4/1/2013
29000012 HC CRUTCH ADULT LG 39.16 4/1/2013
30000001 HC COLLECTION OF VENOUS BLOOD BY VENIPUN 34.51 4/1/2013
30000002 HC COLL BL CENTRAL/PERIPHERAL CATH VENOUS 142.00 4/1/2013
30000003 HC BASIC METABOLIC PANEL 62.06 4/1/2013
30000005 HC ELECTROLYTE PANEL 50.99 4/1/2013
30000006 HC CMPRH METABOLIC PANEL 76.45 4/1/2013
30000009 HC RENAL FUNCTION PANEL 80.00 4/1/2013
30000010 HC ACUTE HEP PANEL 422.22 4/1/2013
30000016 HC DRUG SCRN QL MULTI CLASS NON EA PROC 174.96 4/1/2013
30000020 HC CARBAMAZEPINE (TEGRETOL) TOTAL 112.00 4/1/2013
30000022 HC CYCLOSPORINE 202.96 4/1/2013
30000023 HC DESIPRAMINE (NORPRAMIN) 31.00 4/1/2013
30000024 HC DIGOXIN (LANOXIN) 96.35 4/1/2013
30000025 HC DIPROPYLACETIC ACID (VALPROIC) 99.00 4/1/2013
30000028 HC GENTAMICIN 223.00 4/1/2013
30000031 HC IMIPRAMINE 31.00 4/1/2013
30000033 HC LITHIUM 52.00 4/1/2013
30000034 HC NORTRIPTYLINE 180.00 4/1/2013
30000035 HC PHENOBARBITAL 146.00 4/1/2013
30000036 HC PHENYTOIN (DILANTIN) TOTAL 139.00 4/1/2013
30000037 HC PHENYTOIN (DILANTIN) FREE 120.00 4/1/2013
30000041 HC ASSAY OF SIROLIMUS 209.00 4/1/2013
30000043 HC TACROLIMUS (FK-506) 278.00 4/1/2013
30000044 HC THEOPHYLLINE 145.00 4/1/2013
30000047 HC VANCOMYCIN 189.00 4/1/2013
30000051 HC URINALYSIS AUTO W/MICRO 65.00 4/1/2013
30000052 HC URINALYSIS NONAUTO W/O MICRO 25.37 4/1/2013
30000053 HC URINALYSIS AUTO W/O MICRO 29.91 4/1/2013
30000056 HC URINE PREGNANCY VISUAL 126.00 4/1/2013
30000057 HC URINE VOLUME MEASURE 15.00 4/1/2013
30000058 HC ACETAMINOPHEN (TYLENOL) 258.00 4/1/2013
30000060 HC BETA HYDROXYBUTYRATE QN SERUM 194.00 4/1/2013
30000067 HC MICROALBUMIN QN URINE 101.92 4/1/2013
30000068 HC ALCOHOL (ETHANOL) SERUM/PLASMA 161.00 4/1/2013
30000069 HC ALCOHOL (ETHANOL) BREATH 234.33 4/1/2013
30000073 HC ALPHA-1 ANTITRYPSIN PHENOTYPE 353.90 4/1/2013
30000080 HC AMINOLEVULINIC ACID (ALA) 147.00 4/1/2013
30000082 HC AMINO ACID SCREEN, PLASMA 741.00 4/1/2013
30000083 HC AMMONIA 135.00 4/1/2013
30000086 HC AMYLASE BODY FLUID 97.00 4/1/2013
30000087 HC ANDROSTANEDIOL GLUCURONIDE 332.56 4/1/2013
30000093 HC VITAMIN C (ASCORBIC ACID) 174.00 4/1/2013
30000098 HC BILE ACIDS,FRACTIONATED/TOTAL 321.00 4/1/2013
30000099 HC BILIRUBIN; TOTAL 51.00 4/1/2013
30000102 HC OCCU BL FECES COLORECTAL CANCER SCRN 81.37 4/1/2013
30000103 HC OCCULT BL PEROXIDASE ACT QL OTHER SRCS 42.00 4/1/2013
30000104 HC OCCULT BL FECES PEROXIDASE ACT QL SNGL 38.01 4/1/2013
30000106 HC CADMIUM 197.04 4/1/2013
30000111 HC CALCIUM IONIZED 169.49 4/1/2013
30000112 HC CALCIUM QN TIMED URINE 102.38 4/1/2013
30000117 HC CARCINOEMBRYONIC ANTIGEN (CEA) 152.49 4/1/2013
30000118 HC CARNITINE TOTAL AND FREE QN 304.95 4/1/2013
30000126 HC CHLORIDE URINE 97.00 4/1/2013
30000127 HC CHLORIDE OTHER SRCE 46.00 4/1/2013
30000139 HC COCAINE QN 217.00 4/1/2013
30000140 HC N-TELOPEPTIDE, URINE, 24 HOUR 254.00 4/1/2013
30000142 HC COICOSTERONE 135.00 4/1/2013
30000144 HC CORTISOL; TOTAL 119.00 4/1/2013
30000150 HC CREATINE KINASE (CPK) TOTAL 56.50 4/1/2013
30000152 HC CREATINE KINASE (CPK) MB ONLY 166.33 4/1/2013
30000155 HC CREATININE CLEARANCE 65.00 4/1/2013
30000159 HC VITAMIN B-12 (CYANCOBALAMIN) 166.12 4/1/2013
30000170 HC DIHYDROTESTOSTERONE 233.00 4/1/2013
30000172 HC ELASTASE PANCREATIC EL-1 FECAL 495.68 4/1/2013
30000180 HC ESTRIOL (SO) 208.00 4/1/2013
30000184 HC FECAL FAT,QUAL 120.00 4/1/2013
30000189 HC FETAL FIBRONECTIN CERVICOVAG SECRETIONS 482.00 4/1/2013
30000191 HC FOLIC ACID SERUM 157.29 4/1/2013
30000198 HC GAMMAGLOBULIN (IMMNUOGLOBULIN) IGE 112.00 4/1/2013
30000201 HC BL GAS PH PO2 &/OR PCO2 467.00 4/1/2013
30000202 HC BL GAS W/O2 SAT 626.38 4/1/2013
30000203 HC BL GAS O2 SAT ONLY 467.00 4/1/2013

30000207 HC GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT 39.91 4/1/2013
30000209 HC GLUCOSE 1 HR PP 33.00 4/1/2013
30000213 HC GLUCOSE BY DEVICE 40.29 4/1/2013
30000216 HC GGT/GGTP 65.38 4/1/2013
30000219 HC GLYCATED PROTEIN (FRUCTOSAMINE) 73.00 4/1/2013
30000220 HC FOLLICLE STIMULATING HORMONE (FSH) 199.34 4/1/2013
30000221 HC LUTEINIZING HORMONE (LH) 149.53 4/1/2013
30000227 HC HEMOGLOBIN FRACTIONATION AND QUANTITA 174.46 4/1/2013
30000230 HC HEMOGLOBIN GLYCOSYLATED (A1C) 84.21 4/1/2013
30000248 HC PARAN - PQCC 321.00 4/1/2013
30000250 HC INSULIN TOTAL 79.98 4/1/2013
30000253 HC IRON BINDING CAPACITY 136.26 4/1/2013
30000256 HC LACTATE/LACTIC ACID 128.51 4/1/2013
30000259 HC LACTOFERRIN FECAL QL 257.00 4/1/2013
30000262 HC FETAL LUNG MATURITY L/S 447.00 4/1/2013
30000265 HC LIPASE 53.00 4/1/2013
30000266 HC ASSAY OF LIPOPROTEIN A 207.00 4/1/2013
30000268 HC LIPOPROTEIN BL HI RES FRACTIONATION QN 131.00 4/1/2013
30000269 HC LIPOPROTEIN BL BY NMR 116.31 4/1/2013
30000270 HC CHOLESTEROL HDL 74.00 4/1/2013
30000271 HC CHOLESTEROL LDL 67.21 4/1/2013
30000273 HC MAGNESIUM 24 HOUR URINE 123.00 4/1/2013
30000278 HC METANEPHRINES,FRAC,RANDOM,UR 276.00 4/1/2013
30000279 HC METHADONE SERUM 285.00 4/1/2013
30000284 HC MYELIN BASIC PROTEIN (CSF) 157.00 4/1/2013
30000286 HC MYELOPEROXIDASE AB (MPO) 224.00 4/1/2013
30000287 HC NATRIURETIC PEPTIDE 237.78 4/1/2013
30000313 HC OLIGOCLONAL BANDS 151.00 4/1/2013
30000318 HC OSMOLALITY BL 67.00 4/1/2013
30000319 HC OSMOLALITY, FLUID 88.53 4/1/2013
30000323 HC PARATHYROID HORMONE INTAC 288.92 4/1/2013
30000324 HC PH BODY FLUID NOT OTHERWISE SPECIFIED 309.00 4/1/2013
30000326 HC CALPROTECTIN,STOOL 257.00 4/1/2013
30000333 HC PHOSPHATIDYLGLYCEROL 398.00 4/1/2013
30000336 HC PHOSPHORUS INORGANIC URINE 95.94 4/1/2013
30000337 HC PORPHOBILINOGEN QL URINE 73.00 4/1/2013
30000339 HC PORPHYRINS QN & FRACTION URINE 166.00 4/1/2013
30000342 HC POTASSIUM URINE 62.93 4/1/2013
30000343 HC PREALBUMIN 116.00 4/1/2013
30000345 HC PREGNENOLONE 194.00 4/1/2013
30000346 HC 17-HYDROXYPREGNENOLONE 176.00 4/1/2013
30000347 HC PROGESTERONE - CLINICAL 151.73 4/1/2013
30000348 HC PROLACTIN - CHEMISTRY 197.25 4/1/2013
30000349 HC PROSTAGLANDIN, EACH 611.00 4/1/2013
30000351 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE 169.11 4/1/2013
30000359 HC PROTIEN WESTERN BLOT 280.00 4/1/2013
30000361 HC PROINSULIN 295.00 4/1/2013
30000362 HC VITAMIN B-6 (PYRIDOXAL PHOSPHATE) 466.00 4/1/2013
30000369 HC VITAMIN B-2 (RIBOFLAVIN) 289.00 4/1/2013
30000370 HC SELENIUM 171.00 4/1/2013
30000371 HC SEROTONIN 337.00 4/1/2013
30000372 HC SEX HORMONE BINDING GLOBULIN (SHBG) 152.49 4/1/2013
30000375 HC SODIUM URINE 62.93 4/1/2013
30000376 HC SODIUM BODY FLUID 45.00 4/1/2013
30000377 HC SOMATOMEDIN 375.00 4/1/2013
30000384 HC SUGARS SNGL QN 101.00 4/1/2013
30000386 HC TESTOSTERONE; FREE 346.00 4/1/2013
30000388 HC VITAMIN B1 (THIAMINE) 199.31 4/1/2013
30000391 HC THYROGLOBULIN 185.00 4/1/2013
30000392 HC THYROXINE (T-4) TOTAL 57.62 4/1/2013
30000396 HC THYROID STIMULAT IMMUNE GLOBULINS (TSI) 508.25 4/1/2013
30000397 HC TOCOPHEROL ALPHA (VITAMIN E) 160.00 4/1/2013
30000398 HC TRANSCOIN 140.00 4/1/2013
30000401 HC TRANSFERRIN - IMMUNOLOGY 111.14 4/1/2013
30000402 HC TRIGLYCERIDES 46.00 4/1/2013
30000403 HC THYROID HORMONE (T3 OR T4) UPTAKE OR 72.00 4/1/2013
30000406 HC TRIIODOTHYRONINE (T-3) REV 324.00 4/1/2013
30000407 HC TROPONIN, QUANTITATIVE 135.00 4/1/2013
30000409 HC UREA NITROGEN URINE 44.00 4/1/2013
30000411 HC URIC ACID OTHER SRCE 61.03 4/1/2013
30000415 HC VASOPRESSIN (ADH) 432.00 4/1/2013
30000416 HC VITAMIN A 167.94 4/1/2013
30000418 HC VITAMIN K 482.00 4/1/2013
30000422 HC C-PEPTIDE 163.92 4/1/2013
30000423 HC GONADOTROPIN, CHORIONIC (HCG); QUANTI 96.00 4/1/2013
30000424 HC PARTICLE AGGLUTINATION SCRN CRYPTOCOCCUS 82.00 4/1/2013
30000427 HC BL SMEAR W/MANUAL DIFF WBC 32.15 4/1/2013
30000430 HC BL COUNT HEMATOCRIT (HCT) 35.47 4/1/2013
30000431 HC BL COUNT HEMOGLOBIN (HGB) 35.47 4/1/2013
30000432 HC BL COUNT CBC AUTO W/AUTO DIFF 56.50 4/1/2013
30000433 HC BLOOD COUNT, CBC WITHOUT DIFF 56.50 4/1/2013
30000437 HC BL COUNT RETICULOCYTE AUTO 35.23 4/1/2013
30000439 HC BL COUNT LEUKOCYTE (WBC) AUTO 44.00 4/1/2013
30000440 HC BL COUNT PLATELET AUTO 28.84 4/1/2013
30000449 HC CLOTTING; FACTOR VIII, VW FACTOR, RIS 246.00 4/1/2013
30000450 HC VON WILLEBRAND ANTIGEN 337.00 4/1/2013
30000453 HC FACTOR X (STUA-PROWER) 207.00 4/1/2013
30000456 HC FACTOR XIII (FIBRIN STABLIZING) 207.00 4/1/2013
30000460 HC PROTEIN C ANTIGEN 317.00 4/1/2013
30000461 HC PROTEIN C ACT 273.00 4/1/2013

30000464 HC ACTIVATED PROTEIN C RESISTANCE ASSAY 165.00 4/1/2013
30000466 HC COAG TIME ACTIVATED (ACT) 209.00 4/1/2013
30000471 HC FIBRIN DEGRADATION D-DIMER QN 174.00 4/1/2013
30000472 HC FIBRINOGEN ACT 79.00 4/1/2013
30000480 HC HEMOGLOBIN FETAL KLEIHAUER-BETKE 162.00 4/1/2013
30000481 HC HEMOGLOBIN FETAL ROSETTE 110.00 4/1/2013
30000492 HC PROTHROMBIN TIME (PT) 40.98 4/1/2013
30000494 HC RUSSELL VIPER VENOM DILUTED 210.00 4/1/2013
30000497 HC SED RATE RBC AUTO 35.47 4/1/2013
30000501 HC PTT 77.20 4/1/2013
30000505 HC ALLERGEN FOOD IGG 86.00 4/1/2013
30000511 HC ANTINUCLEAR ANTIBODIES (ANA) TITER 43.72 4/1/2013
30000512 HC ANTISTREPTOLYSIN O TITER 60.00 4/1/2013
30000513 HC C-REACTIVE PROTEIN 74.20 4/1/2013
30000514 HC C-REACTIVE PROTEIN HIGH SENSITIVITY 94.16 4/1/2013
30000516 HC ANTI-CARDIOLIPIN AB PANEL 209.60 4/1/2013
30000517 HC PHOSPHATIDYLSERINE IGA AB 150.00 4/1/2013
30000525 HC DEOXYRIBONUCLEASE (DNA) ANTIBODY 228.00 4/1/2013
30000527 HC DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; 197.00 4/1/2013
30000533 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 145.02 4/1/2013
30000534 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 181.23 4/1/2013
30000545 HC SO C3D IMMUN COMPLEX 295.00 4/1/2013
30000552 HC LEUKOCYTE HISTAMINE RELEASE TEST (LHR) 192.00 4/1/2013
30000566 HC RHEUMATOID FACTOR,FLD,QL 77.00 4/1/2013
30000567 HC RHEUMATOID FACTOR QN 57.62 4/1/2013
30000568 HC TB TEST CELL IMM AG MEASURE GAMMA INTERF 172.00 4/1/2013
30000571 HC SKIN TEST TB INTRADERM 26.00 4/1/2013
30000573 HC SYPHILIS VDRL/RPR QN 77.00 4/1/2013
30000575 HC ADENOVIRUS ANTIBODY 127.00 4/1/2013
30000586 HC SO CANDIDA ALBICANS AB 48.30 4/1/2013
30000588 HC ANTIBODY; CHLAMYDIA, IGM 28.99 4/1/2013
30000592 HC ANTIBODY; CYTOMEGALOVIRUS (CMV) 77.63 4/1/2013
30000593 HC CYTOMEGALOVIRUS (CMV) ANTIBODY IGM 122.94 4/1/2013
30000600 HC EPSTEIN-BARR EARLY ANTIGEN ANTIBODY (EA) 135.14 4/1/2013
30000601 HC EPSTEIN-BARR NUCLEAR ANTIGEN ANTIBODY 128.51 4/1/2013
30000605 HC S.CEREVISIAE (ASCA) IGA 111.00 4/1/2013
30000606 HC GIARDIA LAMBLIA ANTIBODY 427.00 4/1/2013
30000609 HC HAEMOPHILUS INFLUENZA ANTIBODY 172.00 4/1/2013
30000612 HC HIV-1 WESTERN BLOT 367.00 4/1/2013
30000617 HC HISTOPLASMA ANTIBODY 125.00 4/1/2013
30000618 HC HIV-1/HIV-2 SNGL ASSAY ANTIBODY 126.00 4/1/2013
30000619 HC HEP B CORE ANTIBODY (HBCAB) TOTAL 111.00 4/1/2013
30000620 HC HEP B CORE ANTIBODY (HBCAB) IGM 125.00 4/1/2013
30000621 HC HEP B SURFACE ANTIBODY (HBSAB) 118.00 4/1/2013
30000622 HC HEP BE ANTIBODY (HBEAB) 103.00 4/1/2013
30000623 HC HEP A ANTIBODY (HAAB) TOTAL 126.00 4/1/2013
30000624 HC HEP A ANTIBODY (HAAB) IGM 161.00 4/1/2013
30000625 HC ANTIBODY; INFLUENZA VIRUS 203.00 4/1/2013
30000626 HC ANTIBODY; LEGIONELLA 134.00 4/1/2013
30000629 HC LISTERIA MONOCYTOGENES ANTIBODY 251.00 4/1/2013
30000631 HC ANTIBODY; MUMPS 119.63 4/1/2013
30000638 HC RESP SYNCYTIAL VIRUS (RSV) ANTIBODY 155.00 4/1/2013
30000641 HC MEASLES AB TITER,IGM 132.89 4/1/2013
30000643 HC TETANUS ANTIBODY 291.00 4/1/2013
30000645 HC TOXOPLASMA ANTIBODY IGM 155.43 4/1/2013
30000650 HC WEST NILE VIRUS ANTIBODY 97.00 4/1/2013
30000653 HC THYROGLOBULIN ANTIBODY 147.00 4/1/2013
30000654 HC HEP C ANTIBODY 181.00 4/1/2013
30000666 HC RBC SCRN ANTIBODY 49.00 4/1/2013
30000667 HC RBC ELUTION ANTIBODY 246.00 4/1/2013
30000668 HC RBC IDEN ANTIBODY EA PANEL 119.00 4/1/2013
30000669 HC COOMBS DIRECT 49.00 4/1/2013
30000673 HC BLOOD GROUPING ABO 56.00 4/1/2013
30000674 HC BL TYPING RH (D) 40.00 4/1/2013
30000675 HC BL TYPING ANTIGEN TEST REAGENT SERUM 55.00 4/1/2013
30000677 HC XMATCH IMMED SPIN 110.00 4/1/2013
30000678 HC XMATCH ANTIGLOBULIN (AHG) 123.00 4/1/2013
30000680 HC FRESH FROZ PLASMA THAW 80.00 4/1/2013
30000690 HC CONCENTRATION (ANY TYPE), FOR INFECTI 65.00 4/1/2013
30000691 HC CULT BL 166.12 4/1/2013
30000692 HC CULT STOOL AEROBIC SALMONELLA & SHIGELLA 183.00 4/1/2013
30000698 HC CULT ANAEROBIC ID 138.00 4/1/2013
30000703 HC CULT URINE ID EA ISO 75.00 4/1/2013
30000706 HC CULT FUNGUS BL 43.00 4/1/2013
30000710 HC CULT CHLAMYDIA 113.00 4/1/2013
30000713 HC CULTURE TYPING IFA EA ANTISERM 191.00 4/1/2013
30000715 HC CULTURE TYPING, SALMONELLA WELLCOLEX 42.00 4/1/2013
30000719 HC MACROSCOPIC EXAM PARASITE 23.00 4/1/2013
30000720 HC PINWORM EXAM 73.00 4/1/2013
30000721 HC HOMOGENIZATION TISS 69.00 4/1/2013
30000722 HC OVA AND PARASITES, DIRECT SMEARS, CON 176.00 4/1/2013
30000724 HC SUSCEPTIBILITY DISK PER PLATE

30000753 HC IMMUNOFLUOR VARICELLA ZOSTER ANTIGEN 58.00 4/1/2013
30000760 HC EIA QL GIARDIA ANTIGEN 141.00 4/1/2013
30000762 HC EIA QL H PYLORI ANTIGEN STOOL 285.00 4/1/2013
30000763 HC EIA QL HEP B SURFACE ANTIGEN (HBSAG) 105.00 4/1/2013
30000772 HC EIA QL MULTI SHIGELLA-LIKE TOXIN ANTIGEN 140.00 4/1/2013
30000773 HC EIA QL MULTI STREP GRP A ANTIGEN 86.00 4/1/2013
30000777 HC INFECTIOUS AGENT BY NUCLEI - 10109146 404.00 4/1/2013
30000778 HC NUCLEIC ACID PROBE DIR CANDIDA 125.19 4/1/2013
30000779 HC NUCLEIC ACID PROBE DIR CHLAMYDIA TRACH 137.00 4/1/2013
30000781 HC CLOSTRIDIUM DIFFICLE TOXIN B 145.00 4/1/2013
30000783 HC NUCLEIC ACID PROBE QNCMV) 658.80 4/1/2013
30000786 HC NUCLEIC ACID PROBE DIR GARDNERELLA 125.19 4/1/2013
30000788 HC NUCLEIC ACID PROBE QN HEP B 657.00 4/1/2013
30000789 HC NUCLEIC ACID PROBE AMPL HEP C 422.00 4/1/2013
30000792 HC NUCLEIC ACID PROBE AMPL HERPES SMPLX 616.00 4/1/2013
30000795 HC NUCLEIC ACID PROBE QN HERPES 6 466.00 4/1/2013
30000797 HC NUCLEIC ACID PROBE QN HIV-1 520.00 4/1/2013
30000801 HC AFB PROBE M TB 397.00 4/1/2013
30000804 HC NUCLEIC ACID PROBE DIR NEISSERIA GONORR 185.00 4/1/2013
30000809 HC NUCLEIC ACID PROBE QN TRICHOMONAS VAGIS 125.19 4/1/2013
30000820 HC IMMUNOASSAY OPTICAL ORGANISM 69.00 4/1/2013
30000822 HC NUCLEIC ACID GENOTYPE HEP C 1,045.00 4/1/2013
30000842 HC SEMEN ANLYS PRESENCE/MOTILITY 61.00 4/1/2013
30000848 HC LAB TRAVEL ONE WAY PER TRIP CHARGE 15.00 4/1/2013
30000850 HC VENIPUNCTURE 33.22 4/1/2013
30000851 HC CARDIAC RISK LIPIDS 162.80 4/1/2013
30000853 HC HEPATIC FUNCTION PANEL - LIVER 76.00 4/1/2013
30000882 HC LAMOTRIGINE - LAMOTRIGINE 207.00 4/1/2013
30000886 HC QUETIAPINE - QUETIAPINE 170.00 4/1/2013
30000914 HC ALDOSTERONE 327.00 4/1/2013
30000917 HC ALPHA-FETOPROTEIN (AFP); SERUMALPHA-F 136.00 4/1/2013
30000924 HC ARSENIC 262.00 4/1/2013
30000928 HC BETA-2 MICROGLOBULIN,SRM 257.00 4/1/2013
30000933 HC CATECHOLAMINE,URINE (SO) 305.00 4/1/2013
30000946 HC AMIODARONE - AMIODARONE 228.00 4/1/2013
30000947 HC CLOZAPONE & METABOLITS 151.00 4/1/2013
30000957 HC COPPER 24 HOUR URINE 140.00 4/1/2013
30000958 HC COPPER 181.00 4/1/2013
30000960 HC CORTISOL; FREE 203.00 4/1/2013
30000977 HC IMMUNOGLOBULIN A - IMMUNOGLOBULIN A 79.98 4/1/2013
30000978 HC IMMUNOGLOBULIN G - IMMUNOGLOBULIN G 79.98 4/1/2013
30000989 HC GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6 98.00 4/1/2013
30000992 HC HISTAMINE 409.00 4/1/2013
30000993 HC HISTAMINE, TIMED URINE 314.00 4/1/2013
30000994 HC HOMOCYSTEINE 210.00 4/1/2013
30000997 HC TISSUE TRANSGLUTAMINASE IGA ($103) 213.00 4/1/2013
30000998 HC TISSUE TRANSGLUTAMINASE IGA ($55) 213.00 4/1/2013
30001012 HC 21-HYDROXYLASE ANTIBODY - 21-HYDROXYL 165.00 4/1/2013
30001014 HC PTH PROTEIN SERUM 168.00 4/1/2013
30001015 HC IGF BINDING PROTEIN-3 231.00 4/1/2013
30001018 HC ACETYLCHOLINE REC BLOC AB 331.00 4/1/2013
30001019 HC GLUTAMIC ACID DECARBOXYLASE 285.00 4/1/2013
30001020 HC IGF-2 (INSULIN-LIKE GROWTH FACTOR 2) 375.00 4/1/2013
30001023 HC TBII (THYROTROPIN BINDING INHIBITORY 554.35 4/1/2013
30001032 HC TRYPTASE - TRYPTASE 147.00 4/1/2013
30001033 HC TUMOR NECROSIS FACTOR-ALPHA - TUMOR 290.00 4/1/2013
30001038 HC INTERLEUKIN 6 BY MAFD - INTERLEUKIN 6 426.00 4/1/2013
30001050 HC GROWTH HORMONE BINDING PROTEIN - GROW 103.00 4/1/2013
30001071 HC LEAD 120.00 4/1/2013
30001081 HC METANEPHRINES 24 HOUR URINE 276.00 4/1/2013
30001668 HC ORGANIC ACID, SINGLE, QUANTITATIVE 280.00 4/1/2013
30001673 HC OXALATE 151.00 4/1/2013
30001678 HC PKU TEST - INPT NEWBORN 121.90 4/1/2013
30001680 HC BODY FLUID TESTS 39.00 4/1/2013
30001693 HC T4,FREE,DIRECT DIALYSIS 153.00 4/1/2013
30001701 HC TRIIODOTHYRONINE T3; FREE 222.61 4/1/2013
30001703 HC ZINC 187.00 4/1/2013
30001709 HC VON WILLEBRAND MULTIMERIC ANALYSIS 444.00 4/1/2013
30001712 HC HYPERCOAGULABLE PANEL 570.00 4/1/2013
30001715 HC FIBRINOLYTIC FACTORS AND INHIBITORS; 317.00 4/1/2013
30001734 HC ANTIBODY IDENTIFICATION; PLATELET ANT 309.00 4/1/2013
30001740 HC BETA 2 GLYCO AB EA A 245.00 4/1/2013
30001741 HC BETA 2 BLYCO AB EA M 245.00 4/1/2013
30001742 HC BETA 2 GLYCO AB EA G 245.00 4/1/2013
30001743 HC ANTI CARDIOLIPIN AB IGA 197.00 4/1/2013
30001746 HC SO PHOSPHATIDYSERINE IGG 150.00 4/1/2013
30001747 HC SO PHOSPHATIDYSERINE IGM 150.00 4/1/2013
30001748 HC C1Q COMPLEMENT COMPONENT 159.00 4/1/2013
30001753 HC C1 INHIBITOR, FUNCTIONAL 182.00 4/1/2013
30001757 HC COMPLEMENT; TOTAL HEMOLYTIC (CH50) 205.00 4/1/2013
30001759 HC ANTI SM ANTIBODY 122.00 4/1/2013
30001760 HC ANTI JO 1 ANTIBODY 122.00 4/1/2013
30001761 HC ANTI RO (SS-A) ANTIBODY 122.00 4/1/2013
30001762 HC ANTI LA (SS-B) ANTIBODY 122.00 4/1/2013
30001763 HC ANTI SCL-70 ANTIBODY 122.00 4/1/2013
30001764 HC ANTI SM/RNP ANTIBODY 122.00 4/1/2013
30001766 HC RETICULIN ANTIBODIES 90.00 4/1/2013
30001767 HC NEUROMYELITIS OPTICA AUTOAB, IGG 699.00 4/1/2013
30001768 HC ADRENAL ANTIBODY SCREEN, RFLX TO TIT 105.00 4/1/2013
30001769 HC ANTI ENDOMYSIAL ANTIBODY 400.00 4/1/2013

30001771 HC CYSTIC FIBROSIS NEWBORN SCREEN 62.10 4/1/2013
30001786 HC CANCER ANTIGEN 27.29 186.58 4/1/2013
30001787 HC CHROMOGRANIN A 192.00 4/1/2013
30001798 HC ISLET CELL ANTIBODY (YH) 285.00 4/1/2013
30001804 HC MICROSOMAL ANTIBODIES 104.00 4/1/2013
30001812 HC SYPHILIS TEST, NON-TREPONEMAL ANTIBOD 37.00 4/1/2013
30001815 HC ASPERGILLUS FUMIGATUS AB 40.00 4/1/2013
30001823 HC LYMES TITER SPINAL FLUID 150.00 4/1/2013
30001827 HC ANTIBODY; CHLAMYDIA 34.16 4/1/2013
30001828 HC CHLAMYDIA PNEUMONIAE IGG 68.00 4/1/2013
30001829 HC CHLAMYDIA PNEUMONTAE IGA 68.00 4/1/2013
30001830 HC CHLAMYDIA PNEUMONIAE IGM 68.00 4/1/2013
30001832 HC ANTIBODY; COXIELLA BURNETII (Q FEVER) 39.00 4/1/2013
30001833 HC Q FEVER IGG PHASE II AB 39.00 4/1/2013
30001834 HC Q FEVER IGM PHASE I AB 39.00 4/1/2013
30001835 HC Q FEVER IGM PHASE II AB 39.00 4/1/2013
30001837 HC ECHOVIRUS ANITBODY 49.68 4/1/2013
30001838 HC COXSACKIE B VIRUS ANTIBODY 49.65 4/1/2013
30001840 HC EPSTEIN BARR VCA IGG 141.78 4/1/2013
30001845 HC H PYLORI IGA ANTIBODY 145.00 4/1/2013
30001846 HC H PYLORI AB IGM 145.00 4/1/2013
30001858 HC ANTI M. PNEUMONIA AB 88.00 4/1/2013
30001859 HC ANTIBODY; MYCOPLASMA 131.00 4/1/2013
30001860 HC ANTIBODY; PARVOVIRUS 259.00 4/1/2013
30001861 HC BABESIA ANTIBODY(IGG,IGM) 72.45 4/1/2013
30001865 HC RMSF AB SCREEN IGM (AR ONLY) 251.00 4/1/2013
30001871 HC RUBELLA ANTIBODY, IGG 40.29 4/1/2013
30001874 HC ANTIBODY; RUBEOLA 126.00 4/1/2013
30001877 HC ANTIBODY; TREPONEMA PALLIDUM 83.00 4/1/2013
30001878 HC ANTIBODY; VARICELLA-ZOSTER 126.00 4/1/2013
30001879 HC VARICELLA ANTIBODY IGM 142.00 4/1/2013
30001882 HC HTLV 1 & 2 AB 275.00 4/1/2013
30001915 HC HLA TYPING; A, B, OR C (EG, A10, B7, 202.00 4/1/2013
30001977 HC AG TYPING-ANTIGLOBULIN 20.90 4/1/2013
30002043 HC CULTURE, PRESUMPTIVE, PATHOGENIC ORGA 145.00 4/1/2013
30002056 HC CULTURE SCREEN ONLY 76.00 4/1/2013
30002081 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 82.00 4/1/2013
30002097 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 134.00 4/1/2013
30002129 HC ACID FAST BACILLUS STAIN 93.83 4/1/2013
30002140 HC VIRUS ISOLATION; TISSUE CULTURE INOCU 428.00 4/1/2013
30002149 HC INFECTIOUS AGENT ANTIGEN DETECTION BY 96.78 4/1/2013
30002150 HC INFECT AG ANTIGEN DETECT BY ENZ IMMUN 174.00 4/1/2013
30002159 HC PARVOVIRUS B19 PCR, AMNIOTIC FLUID - 363.00 4/1/2013
30002160 HC NOROVIRUS GENOGROUP 1 & 2 BY RT-PCR - 406.00 4/1/2013
30002163 HC BABESIA MICROTI PCR - BABESIA MICROTI 559.00 4/1/2013
30002166 HC JC VIRUS BY PCR, CSF - JC VIRUS BY PC 596.00 4/1/2013
30002182 HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY 915.00 4/1/2013
30002191 HC CELL COUNT, MISCELLANEOUS BODY FLUIDS 93.00 4/1/2013
30002193 HC BODY FLUID CEL. CT. 93.00 4/1/2013
30002313 HC TAY-SACHS DNA MUTATION 0.01 4/1/2013
30002319 HC NEUTRALIZING AB 120.00 4/1/2013
30002320 HC VIRUS ISOLATION 220.00 4/1/2013
30002322 HC HEMOCHROMATOSIS PANEL 532.60 4/1/2013
30002324 HC FACTOR V LEIDEN MUT ANALYSIS 672.18 4/1/2013
30002325 HC SPINAL MUSCULAR ATROPHY CARRIER 1,026.27 4/1/2013
30002327 HC PROTHROMBIN GENE ANALYSIS 369.13 4/1/2013
30002329 HC CAH 21 HYDROXYLASE DEFICIENCY 602.80 4/1/2013
30002334 HC ALPHA GLOBIN COMMON MUT ANALYSIS 997.63 4/1/2013
30002335 HC MICROSATELLITE INSTABILITY (MSI) 573.70 4/1/2013
30002336 HC C-KIT MUT ANALYSIS CELL BASED 1,050.00 4/1/2013
30002337 HC KRAS CODON 12-13 434.64 4/1/2013
30002338 HC NRAS A 457.05 4/1/2013
30002339 HC C-KIT MUT ANALYSIS PLASMA BASED 1,173.00 4/1/2013
30002340 HC BRAF V600 508.52 4/1/2013
30002341 HC BCR/ABL GENE REARRANGE FISH 598.20 4/1/2013
30002342 HC JAK 2 MUT(V617F) QUANT PLASMA BASED 624.75 4/1/2013
30002343 HC FAM MEDITERRANEAN FEVER MUT ANALYSIS 705.00 4/1/2013
30002344 HC CYSTIC FIBROSIS SCREEN 684.25 4/1/2013
30002345 HC EPIDERMAL GROWTH FACT RECEPTOR 653.50 4/1/2013
30002347 HC HLA TYPING FOR CELIAC DISEASE 202.12 4/1/2013
30002351 HC HLA-B27 DNA TYPING 266.45 4/1/2013
30002355 HC CYTOCHROME P450 2C19 GENOTYPE 564.85 4/1/2013
30002357 HC CYTOCHROME P450 2D6 GENOTYPE 500.45 4/1/2013
30002360 HC FRAGILE X DNA, BLOOD 355.31 4/1/2013
30002366 HC 5,10 METHYLENETETRAHYDROFOLATE REDUCTASE 369.13 4/1/2013
30002385 HC HLA-B*5701 TYPING 497.81 4/1/2013
30002387 HC PLASMINOGEN ACTIVATOR INHIBITOR-1 4G/5G 307.98 4/1/2013
30002388 HC JAK-2 EXONS 12&13 QUAL, LEUMETA 631.70 4/1/2013
30002389 HC JAK2 V617F MUTATION QL RFL TO EXONS 12&13 600.00 4/1/2013
30099999 HC MISCELLANEOUS TEST 0.00 4/1/2013
30100001 HC MDVIP PHLEBOTOMY CHARGE 23.00 4/1/2013
30100004 HC SULFONYLUREA HYPOGLYCEMIC SCR (80101) 277.17 4/1/2013
30100009 HC UR.BENZODIAZEPINES CONF 285.00 4/1/2013
30100010 HC CLOBAZAM 170.00 4/1/2013
30100018 HC SALICYLATE, SERUM 100.00 4/1/2013
30100020 HC LEVETIRACETAM - LEVETIRACETAM 94.00 4/1/2013
30100021 HC MYCOPHENOLIC ACID - MYCOPHENOLIC ACI 271.00 4/1/2013
30100022 HC PREGABALIN - PREGABALIN 161.00 4/1/2013
30100033 HC FLUVOXAMINE, SER/PLASMA(LUVOX) 183.00 4/1/2013
30100043 HC RISPERIDONE 178.00 4/1/2013

30100049 HC ACCUTANE (ISOTRETINOIN) 213.00 4/1/2013
30100050 HC FELBATOL 151.00 4/1/2013
30100052 HC ZONEGRAN (ZONISAMIDE) 216.00 4/1/2013
30100053 HC DEXAMETHASONE 233.00 4/1/2013
30100063 HC ADRENOCORTICOTROPIC HORMONE 504.00 4/1/2013
30100064 HC ALBUMIN 38.42 4/1/2013
30100065 HC ALDOLASE (GH) 91.88 4/1/2013
30100067 HC ALPHA-1-ANTITRYPSIN 157.00 4/1/2013
30100068 HC ALPHA-1-ANTITRYPSIN,FECES 172.00 4/1/2013
30100069 HC AFP,MATERNAL SCREENAFP,MATERNAL SCREE 218.00 4/1/2013
30100073 HC ANDROSTENEDIONE (GH) 298.00 4/1/2013
30100074 HC ANGIO CONV ENZ 162.00 4/1/2013
30100076 HC APOLIPOPROTEIN B 108.77 4/1/2013
30100077 HC APOLIPOPROTEIN A-1 106.00 4/1/2013
30100078 HC ARSENIC, TIMED URINE 185.00 4/1/2013
30100083 HC BILIRUBIN, DIRECT $36 39.91 4/1/2013
30100087 HC VITAMIN D, 25-HYDROXY 256.00 4/1/2013
30100088 HC VITAMIN D25 OH TOTAL 273.55 4/1/2013
30100089 HC CALCITONIN 254.00 4/1/2013
30100090 HC CALCIUM, TOTAL 51.00 4/1/2013
30100092 HC STONE ANALYSIS,KIDNEY 203.00 4/1/2013
30100093 HC STONE ANALYSIS NON-KIDNEY 163.00 4/1/2013
30100097 HC CAROTENE 148.00 4/1/2013
30100099 HC CERULOPLASMIN 187.00 4/1/2013
30100103 HC CHOLESTEROL 34.00 4/1/2013
30100112 HC COENZYME Q10 363.00 4/1/2013
30100115 HC CHROMAT,SGL ANAL NOT 31.00 4/1/2013
30100123 HC CITRATE,UR 398.00 4/1/2013
30100124 HC COLLAGEN CROSS LINKS, ANY METHOD 271.08 4/1/2013
30100125 HC COLLAGEN TYPE 1 C-TELOPEPTIDE 300.00 4/1/2013
30100128 HC CORTISOL FREE 24HR UR 203.00 4/1/2013
30100132 HC UR.CANNABINOIDES CONF 269.00 4/1/2013
30100135 HC CREATININE 59.81 4/1/2013
30100137 HC CREATININE,OTHER SOURCE 52.06 4/1/2013
30100138 HC CRYOGLOBULIN CRYOGLOBULIN 71.00 4/1/2013
30100140 HC DHEA, UNCONGUGATED 324.00 4/1/2013
30100141 HC DHEA, SULFATE 281.45 4/1/2013
30100143 HC VITAMIN D 1,25 DIHYDROXY 509.00 4/1/2013
30100148 HC ESTRADIOL, SERUM ESTRADIOL,ULTRA SENS 232.56 4/1/2013
30100149 HC ESTRADIOL,FREE (LC/MS/MS) ESTRADIOL,F 336.00 4/1/2013
30100151 HC ESTROGEN SERUM TOTAL (GH) 244.00 4/1/2013
30100152 HC ESTRIOL 185.00 4/1/2013
30100153 HC ESTRONE, LC/MS/MS 224.00 4/1/2013
30100154 HC ESTRONE SULFATE 453.00 4/1/2013
30100156 HC FERRITIN - 1680001707 117.43 4/1/2013
30100158 HC RBC FOLATE 171.00 4/1/2013
30100159 HC IMMUNOGLOBULINS QUANTITATIVE GAM - IM 79.98 4/1/2013
30100160 HC IMMUNOGLOBULIN G, CSF - IMMUNOGLOBULI 90.00 4/1/2013
30100162 HC IGA SUBCLASS 1 49.00 4/1/2013
30100163 HC IGA SUBCLASS 2 49.00 4/1/2013
30100164 HC IGG SUBCLASS 1 70.00 4/1/2013
30100165 HC IGG SUBCLASS 2 70.00 4/1/2013
30100166 HC IGG SUBCLASS 3 70.00 4/1/2013
30100167 HC IGG SUBCLASS 4 70.00 4/1/2013
30100169 HC GASTRIN 137.76 4/1/2013
30100170 HC GLUCOSE,BODY FLUID 40.32 4/1/2013
30100174 HC GLUCOSE; TOLERANCE TEST (GTT), 3 SPEC 104.00 4/1/2013
30100177 HC GLUCOSE 3 HOUR GLUCOSE 4 HOUR GLUCOSE 85.00 4/1/2013
30100178 HC HUMAN GROWTH HORMONE 154.00 4/1/2013
30100179 HC HAPTOGLOBIN,QNT 104.00 4/1/2013
30100188 HC COBALT,SERUM/PLASMA 147.00 4/1/2013
30100195 HC 5-HIAA,RANDOM URINE 192.00 4/1/2013
30100196 HC 5-HIAA,24 HOUR URINE 199.00 4/1/2013
30100197 HC 17 - HYDROXYPROGESTERONE (GH) 244.00 4/1/2013
30100198 HC GASTRIC PARIETAL CELL ANTIBODY 244.00 4/1/2013
30100200 HC GLIADIN ANTIBODY PANEL IGA,IGG 287.55 4/1/2013
30100201 HC SMOOTH MUSCLE AB (ACTIN) 212.00 4/1/2013
30100202 HC ANTI-MULLERIAN HORMONE (AMH) 231.00 4/1/2013
30100204 HC GLIADIN (DEAMIDATE PEPT)AB IGG 140.00 4/1/2013
30100205 HC GLIADIN (DEAMIDATE PEPT)AB IGA 140.00 4/1/2013
30100212 HC ALPHA-SUBUNIT PANEL 295.00 4/1/2013
30100214 HC LEPTIN 116.00 4/1/2013
30100227 HC MITOCHONDRIAL AB 125.00 4/1/2013
30100228 HC GANGLIOSIDE (GM-1) AB PANEL 126.68 4/1/2013
30100240 HC LP-PLA2 249.00 4/1/2013
30100245 HC IRON AND TIBC 60.94 4/1/2013
30100246 HC LD TOTAL 66.45 4/1/2013
30100248 HC LEAD,URINE 137.00 4/1/2013
30100250 HC CA/MG/PHOS - MAGNESIUM 49.86 4/1/2013
30100256 HC OXCARBAZEPINE (TRILEPTAL) 200.00 4/1/2013
30100258 HC FLUOXETINE, SERUM (PROZAC) 202.00 4/1/2013
30100261 HC THIOPURINE METHYLTRANSFERASE 440.00 4/1/2013
30100262 HC IODINE, SERUM 315.00 4/1/2013
30100269 HC METANEPHRINES 286.00 4/1/2013
30100271 HC MYELOPEROXIDASE IGG AB 224.00 4/1/2013
30100274 HC FREE KAPPA LIGHT CHAINS - $297 308.00 4/1/2013
30100275 HC FREE LAMBDA LIGHT CHAINS - $297 308.00 4/1/2013
30100278 HC FREE KAPPA LIGHT CHAINS - $171 121.00 4/1/2013
30100279 HC FREE LAMBDA LIGHT CHAINS - $171 121.00 4/1/2013
30100281 HC NICOTINE,QUANT,PLASMA/SERUM 0.00 4/1/2013

30100318 HC MOL DIA;SEP BY GEL E4,EACH-16818943A2 39.25 4/1/2013
30100319 HC MOL DIA;SEP BY GEL E4,EACH-16818943G2 45.78 4/1/2013
30100443 HC MOL DIAG;INTERP & REPORT 48.63 4/1/2013
30100444 HC MOL DIAG;INTERP & REPORT 42.05 4/1/2013
30100446 HC MOL DIAG;INTERP & REPORT 21.25 4/1/2013
30100447 HC MOL DIAG;INTERP & REPORT 49.01 4/1/2013
30100508 HC UR.OPIATES CONF 317.00 4/1/2013
30100511 HC PHOSPHATASE, ALK. 38.63 4/1/2013
30100512 HC ALK PHOSPHATASE, BONE SPECIFIC 143.94 4/1/2013
30100515 HC ALKALINE PHOSPHATASE ISOENZYME 166.00 4/1/2013
30100516 HC PHOSPHORUS $36 39.91 4/1/2013
30100518 HC POTASSIUM,FLUID POTASSIUM POTASSIUM,P 38.00 4/1/2013
30100525 HC PSA, TOTAL 152.85 4/1/2013
30100526 HC PSA,SCREENING 152.85 4/1/2013
30100527 HC PROTEIN, TOTAL 39.91 4/1/2013
30100530 HC TOTAL PROTEIN,URINE 118.00 4/1/2013
30100531 HC PROTEIN TOTAL CSF 40.71 4/1/2013
30100532 HC PROTEIN ELECTROPHORESIS,SERUM 149.37 4/1/2013
30100533 HC PROT ELECT CSF 298.00 4/1/2013
30100534 HC PROT ELECT URINE - ORATORY 298.00 4/1/2013
30100536 HC PROT ELECT URINE 159.00 4/1/2013
30100540 HC ACETYLCHOLINE RECEPTOR ASSAY 373.00 4/1/2013
30100542 HC PLASMA RENIN ACTIVITY 198.00 4/1/2013
30100545 HC SODIUM 40.00 4/1/2013
30100550 HC POTASSIUM,FECES 51.52 4/1/2013
30100552 HC PHOSPHOLIPIDS, TOTAL 132.89 4/1/2013
30100554 HC CHYMOTRYPSIN,STOOL 149.53 4/1/2013
30100558 HC TESTOSTERONE; TOTAL 217.10 4/1/2013
30100559 HC TESTOSTERONE,TOT.,LC/MS 334.00 4/1/2013
30100561 HC THYROXINE, FREE 153.97 4/1/2013
30100562 HC THYROXINE BINDING GLOBULIN (TBG) (GH) 218.33 4/1/2013
30100563 HC THYROID STIMULATING HORMONE (TSH) 158.27 4/1/2013
30100564 HC AST/GOT 43.23 4/1/2013
30100566 HC ALT/GPT 38.79 4/1/2013
30100574 HC TRIIODOTHYRONINE T3; TOTAL (TT-3) 127.38 4/1/2013
30100577 HC UREA NITROGEN 80.89 4/1/2013
30100579 HC URIC ACID 48.31 4/1/2013
30100581 HC VMA, URINE 248.00 4/1/2013
30100584 HC NIACIN(B3) 68.00 4/1/2013
30100585 HC BIOTIN (B7) 223.00 4/1/2013
30100586 HC PANTOTHENIC ACID(B5) 346.89 4/1/2013
30100587 HC HCG/ PREG QUANT 178.00 4/1/2013
30100589 HC HCG TUMOR MARKER 135.00 4/1/2013
30100593 HC C1 ESTERASE INHIBITOR 184.47 4/1/2013
30100595 HC HETEROPHILE AB 37.66 4/1/2013
30100597 HC IMMUNOFIXATION,UR - 1681002188 262.00 4/1/2013
30100601 HC DIPTHERIA 131.98 4/1/2013
30100607 HC MOL CYT;DNA PROBE,EACH-16812712Z2 307.48 4/1/2013
30100609 HC MOL CYT;DNA PROBE,EACH-1681E712Z2 140.40 4/1/2013
30100613 HC MOL CYT;IN SITU HYBRID 100-399 152.26 4/1/2013
30100616 HC CYTO&MOLEC CYTO INTERP- - 16812912Z1 37.45 4/1/2013
30100619 HC CRYSTAL EXAM,FLUID 99.00 4/1/2013
30100621 HC LIPID PANEL (NMR LIPID PROFILE) 55.37 4/1/2013
30100625 HC IMMUNOASSAY FOR ANALYTE OTHER THAN IN 292.70 4/1/2013
30100628 HC NORTRIPTYLINE DRUG ASSAY 32.15 4/1/2013
30100629 HC APHETAMINES QN ASSAY 276.86 4/1/2013
30100632 HC CHROMIUM SERUM 213.00 4/1/2013
30100635 HC MERCURY BLOOD 175.00 4/1/2013
30100648 HC MOL CYT_IN SITU HYBRID,100-399 333.41 4/1/2013
30100654 HC AMITRIPTYLINE DRUG ASSAY 32.15 4/1/2013
30100657 HC DOXEPIN ASSAY 32.15 4/1/2013
30100662 HC ALBUMIN OTHER SOURCE 42.00 4/1/2013
30100766 HC MOLD DX;AMP,EA SEQ (FACTOR V (LEIDEN) 164.13 4/1/2013
30100768 HC MOLD DX;AMP,EA SEQ (PT MUT PTMU) 191.50 4/1/2013
30100918 HC ERYTHROPOIETIN (EPO) 259.00 4/1/2013
30100937 HC DRUG SCREEN 9,SERUM 590.49 4/1/2013
30100951 HC ARIPIPRAZOLE QNT(AMBLIFY) 256.80 4/1/2013
30100952 HC CREATININE,OTHER SOURCE (N-METHYL HIST) 62.10 4/1/2013
30100953 HC HISTAMINE URINE 207.90 4/1/2013
30101092 HC ETHYL GLUCURONIDE 130.00 4/1/2013
30101101 HC FACTOR V HR2 ALLELE DNA MUTATION ANALYSIS 316.44 4/1/2013
30101106 HC ASSAY IGA/IGD/IGG/IGM EACH 78.00 4/1/2013
30101107 HC ASSAY IGA/IGD/IGG/IGM EACH 78.00 4/1/2013
30101108 HC ASSAY IGA/IGD/IGG/IGM EACH 78.00 4/1/2013
30200006 HC RETICULIN AB (IGA) 94.00 4/1/2013
30200009 HC VOLTAGE-GATED CALCIUM CHANNEL 475.00 4/1/2013
30200030 HC ALLERGEN SPECIFIC - AMOXICILLIN (C6) 48.00 4/1/2013
30200031 HC ALLERGEN SPECIFIC IGE, EACH 49.86 4/1/2013
30200034 HC PROTEINASE 3 IGG AB 250.00 4/1/2013
30200039 HC ANCA SCREEN WITH RFLX TITER 197.00 4/1/2013
30200040 HC ANTINUCLEAR ANTIBODY 87.53 4/1/2013
30200042 HC COMPLEMENT C3 88.00 4/1/2013
30200043 HC COMPLEMENT C4 88.00 4/1/2013
30200044 HC CYCLIC CITRULINE PEPTIDE IGG 127.38 4/1/2013
30200047 HC SO CHROMATIN ANTIBODY 122.00 4/1/2013
30200048 HC RNP AB 122.00 4/1/2013
30200049 HC DNA(DS) AB 122.00 4/1/2013
30200050 HC CENTROMERE AB 122.00 4/1/2013
30200051 HC ANA PROFILE 23.52 4/1/2013
30200055 HC DSDNA BY CRITHIDIA 161.00 4/1/2013

30200057 HC STRIATED MUSCLE ANTIBODY 130.00 4/1/2013
30200058 HC OVARIAN AB SCREEN 264.83 4/1/2013
30200059 HC NEURONAL NUCLEAR (HU) AB 359.95 4/1/2013
30200068 HC ENDOMYSIAL IGA AB TITER 223.74 4/1/2013
30200072 HC CANCER ANTIGEN-BREAST (CA 15-3) 179.06 4/1/2013
30200073 HC HETEROPHILE AB(MONO) 37.66 4/1/2013
30200078 HC IMMUNODIFF;OUCHTERLONY 162.69 4/1/2013
30200082 HC IMMUNOFIXATION ELECTRO; SERUM INTER 210.42 4/1/2013
30200084 HC IMMUNOFIXATION, URINE 24HR/RAN 406.55 4/1/2013
30200085 HC INSULIN AUTOAB 235.00 4/1/2013
30200086 HC INTRINSIC FACTOR AB 147.00 4/1/2013
30200090 HC LYMPHOCYTE SUBSET PANEL 4 710.00 4/1/2013
30200091 HC THYROID PEROXIDASE (TPO) ANTIBODY 109.68 4/1/2013
30200095 HC STREPTOZYME SCREEN (GH) 82.87 4/1/2013
30200098 HC VDRL STATE 76.00 4/1/2013
30200099 HC ASPERGILLUS FLAVUS AB 42.10 4/1/2013
30200100 HC ASPERGILLUS NIGER AB 42.10 4/1/2013
30200105 HC BACTERIAL AB UNSPEC 20.96 4/1/2013
30200106 HC BACTERIAL AB S.PNEUMO 14 52.84 4/1/2013
30200112 HC ANTIBODY; BARTONELLA 56.93 4/1/2013
30200113 HC BORDATELLA AB,IGG,PT 74.00 4/1/2013
30200114 HC BORDATELLA AB,IGA,PT 74.00 4/1/2013
30200115 HC BORDATELLA AB,IGM,PT 74.00 4/1/2013
30200116 HC BORDATELLA AB,IGG,FHA 74.00 4/1/2013
30200117 HC BORDATELLA AB,IGA,FHA 74.00 4/1/2013
30200118 HC BORDATELLA AB,IGM,FHA 74.00 4/1/2013
30200121 HC LYME DISEASE AB, WESTERN BLOT 455.40 4/1/2013
30200122 HC LYMES TITER SERUM 178.32 4/1/2013
30200123 HC LYME C6 PEPTIDE 248.00 4/1/2013
30200133 HC CYTOMEGALOVIRUS IGG 264.72 4/1/2013
30200140 HC COXSACKI A AB, TYPE 02 54.30 4/1/2013
30200141 HC COXSACKI A AB, TYPE 04 54.30 4/1/2013
30200142 HC COXSACKI A AB, TYPE 07 54.30 4/1/2013
30200143 HC COXSACKI A AB, TYPE 09 54.30 4/1/2013
30200144 HC COXSACKI A AB, TYPE 10 54.30 4/1/2013
30200145 HC COXSACKI A AB, TYPE 16 54.30 4/1/2013
30200146 HC EPSTEIN BARR VCA IGM 141.78 4/1/2013
30200147 HC EHRLICHIA CHAFFEENSIS ANTIBODY, IGG 177.00 4/1/2013
30200148 HC SO A PHAGOCYTOPHILUM IGG 115.00 4/1/2013
30200149 HC S.CEREVISAE (ASCA) IGG 111.00 4/1/2013
30200150 HC ANTIBODY; HELICOBACTER PYLORI 150.66 4/1/2013
30200151 HC STRONGYLOIDES ANTIBODY, IGG 256.00 4/1/2013
30200155 HC HSVG1 - HC HERPES SIMPLEX,TYPE 1,IGG 62.43 4/1/2013
30200156 HC HERPES SIMPLEX,TYPE 1 74.79 4/1/2013
30200158 HC HSVG2 - HC HERPES SIMPLEX,TYPE 2,IGG 62.43 4/1/2013
30200159 HC HERPES SIMPLEX,TYPE 2 74.79 4/1/2013
30200160 HC LEGIONELLA,IGM 180.00 4/1/2013
30200162 HC PARVOVIRUS B19 IGM AB 92.00 4/1/2013
30200170 HC ANTIBODY; RICKETTSIA 251.00 4/1/2013
30200172 HC ANTIBODY; TOXOPLASMA, IGG 151.94 4/1/2013
30200173 HC TPPA(FTA) 39.00 4/1/2013
30200174 HC TREPONEMA PALLIDUM IGG AB 169.49 4/1/2013
30200185 HC ISOHEMAGGLUTININ TITER 74.53 4/1/2013
30200186 HC HEPATITIS BE AG 171.00 4/1/2013
30200189 HC VZV, SDF, PCR 616.00 4/1/2013
30200191 HC ANTIBODY; EHRLICHIA 90.90 4/1/2013
30200196 HC ANTIBODY, INFLUENZA TYPE B 203.00 4/1/2013
30200198 HC CLOSTRIDIA DIFFICILE 203.84 4/1/2013
30200210 HC WEST NILE VIRUS ANTIBODY IGM, CSF 91.00 4/1/2013
30200215 HC PARVOVIRUS B19 IGG AB 92.00 4/1/2013
30200220 HC INHIBIN A (AFP,QUAD MATERNAL SCREEN) 168.00 4/1/2013
30200221 HC HISTAMINE REL 115.00 4/1/2013
30200222 HC MICROSOMAL AB 115.00 4/1/2013
30200237 HC FRANCISELLA TULAREMIA AB 160.50 4/1/2013
30200243 HC MOL DIAG;MOL ISO & EXTRACT,EA 68.00 4/1/2013
30200246 HC COCCIDOIDES, TOTAL AB 149.50 4/1/2013
30200248 HC CRYPTOSPORIDIUM AG, EIA 119.05 4/1/2013
30200249 HC GIARDIA AG, EIA 119.05 4/1/2013
30200250 HC IMMUNOFIXATION ELECTROPHORESIS SERUM 197.00 4/1/2013
30500001 HC FACTOR 8 (VIII) 267.00 4/1/2013
30500003 HC VW FACTOR ACT 219.30 4/1/2013
30500006 HC ANTI-THROMBIN III 337.00 4/1/2013
30500015 HC PLATELET, AGGREGATION (IN VITRO), EAC 160.00 4/1/2013
30500018 HC THROMBIN TIME 203.30 4/1/2013
30500027 HC INTERN NORMAL RATIO (INR) 50.00 4/1/2013
30600003 HC SPEC CONC INFECTIOUS AGENT TB 25.15 4/1/2013
30600004 HC CONC,INFECTIOUS AGENT - $30 32.00 4/1/2013
30600007 HC STOOL CUL,ADD PATH,3 PLATES 44.25 4/1/2013
30600008 HC CULTURE, BACT, OTHER SOURCE 78.00 4/1/2013
30600009 HC DEFINITIVE ID AEROBIC 42.00 4/1/2013
30600011 HC CLOTEST FOR H PYLORI 42.00 4/1/2013
30600012 HC CULTURE,PRESUMP,PATHOGEN SCRN 64.00 4/1/2013
30600013 HC CULTURE,FUNGI 164.03 4/1/2013
30600014 HC CULTURE,FUNGI,DERMATO 114.12 4/1/2013
30600017 HC CULTURE,AFB 289.06 4/1/2013
30600023 HC SUSCEPTIBILITY STUDIES, ANTIMICROBIAL - 1680002367 38.36 4/1/2013
30600025 HC SMEAR, STAIN & INTERPRET 93.00 4/1/2013
30600031 HC ROTAVIRUS AG,STOOL 216.00 4/1/2013
30600034 HC ENTEROVIRUS RNA,QUAL PCR 553.73 4/1/2013
30600037 HC PAPILLOMAVIRUS, HUMAN:AMP PROBE,LR 112.56 4/1/2013

30600038 HC PAPILLOMAVIRUS, HUMAN:AMP PROBE,HR 112.56 4/1/2013
30600039 HC PAPILLOMAVIRUS, HUMAN:AMP PROBE 128.03 4/1/2013
30600040 HC PAPILLOMAVIRUS, HUMAN:AMP PROBE,16/18 99.67 4/1/2013
30600044 HC EHRLICHIA BY PCR 620.17 4/1/2013
30600045 HC B.PERT/PARAPERT DNA, PCR 258.75 4/1/2013
30600051 HC EBV BY PCR 464.00 4/1/2013
30600053 HC ADENOVIRUS DNA,QUAL PCR 564.80 4/1/2013
30600056 HC TOXIN/ANTITOXIN,TISSUE CULTURE - TC ONLY 127.54 4/1/2013
30600057 HC CULTURE, BACTERIAL; ANY OTHER SOURCE 78.00 4/1/2013
30600058 HC CULTURE, BACTERIAL; ANY SOURCE, EXCEP 124.17 4/1/2013
30600059 HC CULTURE, BACTERIAL; QUANTITATIVE COLO 58.74 4/1/2013
30600060 HC MIC 153.97 4/1/2013
30600061 HC YEAST SUSCEPTIBILITY,MIC 110.75 4/1/2013
30600068 HC HEPATITIS C RNA BY PCR 438.00 4/1/2013
30600070 HC PNEUMONIAE ANTIGEN URINE 143.94 4/1/2013
30600073 HC CULTURE, BACTERIAL; (ADDITIONAL) 124.17 4/1/2013
30600086 HC HIV-1 CORECEPTOR TROPISM 903.00 4/1/2013
30600087 HC INFLUENZA VIRUS, FIRST 2 TYPES 301.30 4/1/2013
30600088 HC INFLUENZA VIRUS, EACH ADD 73.55 4/1/2013
30600089 HC AMPLIFICATION EACH ORG 124.28 4/1/2013
30600090 HC HIV-1 INTEGRASE GENOTYPE 555.00 4/1/2013
30700001 HC URINALYSIS MICROSCOPIC ONLY 62.88 4/1/2013
31000020 HC NEEDLE ASPIR INT & REPT. 249.00 4/1/2013
31000028 HC FLOW INTERP 9-15 MARKERS 110.25 4/1/2013
31000055 HC LEVEL I - SURGICAL PATHOLOGY, GROSS E 121.00 4/1/2013
31000074 HC IMMUNOHISTOCHEMISTRY (INCLUDING TISSU 502.00 4/1/2013
31000092 HC BILIRUBIN TOTAL TRANSCUTANEOUS 44.00 4/1/2013
31000127 HC FLOW CYTOMETRY, MARKER 1 110.25 4/1/2013
31000168 HC FLOW CYTOMETRY, MARKER 2 118.00 4/1/2013
31000169 HC FLOW CYTOMETRY, MARKER 3 118.00 4/1/2013
31000170 HC FLOW CYTOMETRY, MARKER 4 118.00 4/1/2013
31000171 HC FLOW CYTOMETRY, MARKER 5 118.00 4/1/2013
31000172 HC FLOW CYTOMETRY, MARKER 6 118.00 4/1/2013
31000173 HC FLOW CYTOMETRY, MARKER 7 118.00 4/1/2013
31000174 HC FLOW CYTOMETRY, MARKER 8 118.00 4/1/2013
31000175 HC FLOW CYTOMETRY, MARKER 9 118.00 4/1/2013
31000176 HC FLOW CYTOMETRY, MARKER 10 118.00 4/1/2013
31000177 HC FLOW CYTOMETRY, MARKER 11 118.00 4/1/2013
31000178 HC FLOW CYTOMETRY, MARKER 12 118.00 4/1/2013
31000198 HC FLOW INTERP 2-8 MARKERS 118.00 4/1/2013
31000204 HC TISSUE CUL;NON-NEOPLASTIC 775.00 4/1/2013
31000216 HC CHROM ANAL;15-20 CELL,2KARO16812629U1 829.00 4/1/2013
31000217 HC CHROM ANAL;15-20 CELL,2KARO16812629Y1 754.00 4/1/2013
31000247 HC CYTO&MOLEC CYTO INTERP-16812912B1 37.45 4/1/2013
31000250 HC CYTO&MOLEC CYTO INTERP- - 16812919U1 35.00 4/1/2013
31000254 HC CYTO&MOLEC CYTO INTERP- - 16812919Y1 35.00 4/1/2013
31000260 HC BONE MARROW STAIN 106.00 4/1/2013
31000268 HC FISH,BLADDER CANCER 205.18 4/1/2013
31000283 HC ADEQUACY FNA, ADD'L - TECHNICAL 125.62 4/1/2013
31000284 HC FLOW CYTOMETRY 1ST MARKER - TECHNICAL 223.00 4/1/2013
31000286 HC FLOW CYTOMETRY EA ADD'L MARKER - TC ONLY 97.00 4/1/2013
31000291 HC PATHOLOGY I COMPLETE - TECHNICAL 132.00 4/1/2013
31000292 HC PATHOLOGY I COMPLETE, ADD'L - TECHNICAL 104.11 4/1/2013
31000294 HC PATHOLOGY 1 COMPLETE ADD'L - GLOBAL 121.00 4/1/2013
31000295 HC PATHOLOGY II COMPLETE - TECHNICAL 166.33 4/1/2013
31000296 HC PATHOLOGY II COMPLETE, ADD'L - TECHNICAL 166.33 4/1/2013
31000297 HC PATHOLOGY II COMPLETE - GLOBAL 254.00 4/1/2013
31000298 HC PATHOLOGY II COMPLETE ADD'L - GLOBAL 254.00 4/1/2013
31000299 HC PATHOLOGY III COMPLETE - TECHNICAL 254.00 4/1/2013
31000300 HC PATHOLOGY III COMPLETE, ADD'L - TECHNICA 271.57 4/1/2013
31000301 HC PATHOLOGY III COMPLETE - GLOBAL 321.00 4/1/2013
31000302 HC PATHOLOGY III COMPLETE ADD'L - GLOBAL 321.00 4/1/2013
31000303 HC PATHOLOGY IV COMPLETE - TECHNICAL 438.00 4/1/2013
31000304 HC PATHOLOGY IV COMPLETE, ADD'L - TECHNICAL 419.87 4/1/2013
31000305 HC PATHOLOGY IV COMPLETE - GLOBAL 571.38 4/1/2013
31000306 HC PATHOLOGY IV COMPLETE ADD'L - GLOBAL 571.38 4/1/2013
31000307 HC PATHOLOGY V COMPLETE - TECHNICAL 601.00 4/1/2013
31000308 HC PATHOLOGY V COMPLETE, ADD'L - TECHNICAL 476.04 4/1/2013
31000309 HC PATHOLOGY V COMPLETE - GLOBAL 1,066.00 4/1/2013
31000310 HC PATHOLOGY V COMPLETE ADD'L - GLOBAL 1,066.00 4/1/2013
31000311 HC PATHOLOGY VI COMPLETE - TECHNICAL 724.00 4/1/2013
31000312 HC PATHOLOGY VI COMPLETE,ADD'L - TECHNICAL 720.11 4/1/2013
31000315 HC DECALCIFICATION - TECHNICAL 94.00 4/1/2013
31000316 HC DECALCIFICATION, ADD'L - TECHNICAL 74.20 4/1/2013
31000317 HC DECALCIFICATION - GLOBAL 90.00 4/1/2013
31000319 HC SPECIAL STAINS I - TECHNICAL 213.00 4/1/2013
31000320 HC SPECIAL STAINS I, ADD'L - TECHNICAL 168.69 4/1/2013
31000321 HC SPECIAL STAINS I ADD'L - GLOBAL 508.00 4/1/2013
31000322 HC SPECIAL STAINS I - GLOBAL 508.00 4/1/2013
31000323 HC SPECIAL STAINS II - TECHNICAL 141.00 4/1/2013
31000324 HC SPECIAL STAINS II, ADD'L - TECHNICAL 111.28 4/1/2013
31000325 HC SPECIAL STAINS II - GLOBAL 375.00 4/1/2013
31000326 HC SPECIAL STAINS II ADD'L - GLOBAL 375.00 4/1/2013
31000329 HC HISTOCHEM TO ID ENZYMES,ADDL - TC ONLY 403.12 4/1/2013
31000330 HC PATHOLOGY CONSULTATION - GLOBAL 379.00 4/1/2013
31000334 HC PATH CONSULT INTRAOP, 1 BLOCK - TECHNICA 411.00 4/1/2013
31000335 HC PATHOLOGY FROZEN SECTION,ADD'L - TECHNIC 325.39 4/1/2013
31000336 HC PATH CONSULT INTRAOP, 1 BLOCK - GLOBAL 443.00 4/1/2013
31000342 HC CYTOLOGIC EXAM INITIAL SITE - TECHNICAL 207.00 4/1/2013
31000343 HC CYTOLOGIC EXAM EA ADD SITE - TECHNICAL 221.28 4/1/2013

31000344 HC IMMUNOCYTOCHEMISTRY, EA AB - TECHNICAL 198.00 4/1/2013
31000345 HC IMMUNOCYTOCHEMISTRY, ADD'L - TECHNICAL 198.00 4/1/2013
31000347 HC IHC ADDITIONAL - GLOBAL 502.00 4/1/2013
31000353 HC MORPHOMET ANAL QUANT EA AB MAN - TECHNIC 397.00 4/1/2013
31000354 HC QUANT IMMUNOHISTOCHEMISTRY ADD - TECHNIC 314.58 4/1/2013
31000355 HC MORPHOMET ANAL QUANT EA AB MAN - GLOBAL 604.00 4/1/2013
31000356 HC QUANTITATIVE IHC ADD'L - GLOBAL 604.00 4/1/2013
31000358 HC ISH - TECHNICAL 221.00 4/1/2013
31000359 HC ISH ADDITIONAL - TECHNICAL 174.68 4/1/2013
31000360 HC ISH - GLOBAL 793.00 4/1/2013
31000361 HC ISH ADDITIONAL - GLOBAL 793.00 4/1/2013
31000395 HC TISSUE CULTURE NEOPLASTIC (CLL/LPD) 764.00 4/1/2013
31000396 HC FLOW CYTOMETRY, MARKER 1 (ZAP-70) 151.41 4/1/2013
31000397 HC FLOW CYTOMETRY EA ADD'L (ZAP-70) 151.41 4/1/2013
31000398 HC FLOW INTERP 2-8 MARKERS (ZAP-70) 92.39 4/1/2013
31000399 HC FLOW CYTOMETRY EA ADD'L (PNH W FLAER) 75.57 4/1/2013
31000406 HC FLOW CYTO, MARKER 1 (CD57,CD3,CD8) 273.00 4/1/2013
31000407 HC FLOW CYTO EA ADD'L (CD57,CD3,CD8) 161.48 4/1/2013
31100013 HC CYTOPATHOLOGY FLUIDS, ADD'L - TECHNICAL 194.00 4/1/2013
31100015 HC CYTOPATHOLOGY FLUIDS - TECHNICAL 194.00 4/1/2013
31100016 HC CYTO FLUID FILTER METHOD - TECHNICAL 194.00 4/1/2013
31100019 HC CYTOPATH FLUIDS - GLOBAL 508.00 4/1/2013
31100020 HC CYTOPATH URINE - GLOBAL 508.00 4/1/2013
31100021 HC MD INTERPRETATION - PAP SMEAR - GLOBAL 134.00 4/1/2013
31100022 HC C/V CYTOLOGY THIN PREP - GLOBAL 134.00 4/1/2013
31100027 HC ADEQUACY FINE NEEDLE ASPIRATE - TECHNICA 159.00 4/1/2013
31100029 HC FNA ADEQUACY - GLOBAL 262.00 4/1/2013
31100031 HC FINE NEEDLE ASPIRATE - TECHNICAL 249.00 4/1/2013
31100033 HC FNA - GLOBAL 667.00 4/1/2013
31100035 HC CYTOPATH C/V AUTO FLUID REDO - TC ONLY 147.13 4/1/2013
31100036 HC CYTOPATH C/V AUTO IN FLUID RED - GLOBAL 186.24 4/1/2013
31100039 HC SCREENING THIN-LAYER PAP 69.39 4/1/2013
31100040 HC SCR C/V CYTO, F/P + MAN RESCR 138.00 4/1/2013
31200001 HC FISH,HER-2/NEU 258.75 4/1/2013
32000008 HC XR NASAL BONES COMPL 3+ VIEWS 506.00 4/1/2013
32000013 HC XR SINUSES COMPL 3+ VIEWS 598.00 4/1/2013
32000015 HC XR SKULL < 4 VIEWS 565.00 4/1/2013
32000016 HC XR SKULL COMPL 4+ VIEWS 698.00 4/1/2013
32000020 HC XR ORTHOPANTOGRAM 253.00 4/1/2013
32000021 HC XR NECK SOFT TISS 393.39 4/1/2013
32000026 HC XR CHEST 1 VIEW 358.88 4/1/2013
32000027 HC XR CHEST 2 VIEWS 455.00 4/1/2013
32000028 HC XR CHEST 2 VIEWS W/APICAL LORDOTIC 509.00 4/1/2013
32000029 HC XR CHEST W/OBLIQUES 669.45 4/1/2013
32000030 HC XR CHEST 2 VIEWS W/FLUORO 1,006.50 4/1/2013
32000031 HC XR CHEST COMPL 4+ VIEWS 607.33 4/1/2013
32000033 HC XR CHEST SPECL VIEWS 386.00 4/1/2013
32000035 HC XR RIBS UNI 2 VIEWS 546.00 4/1/2013
32000036 HC XR RIBS UNI W/CHEST 3+ VIEWS 583.20 4/1/2013
32000039 HC XR STERNUM 2+ VIEWS 541.00 4/1/2013
32000041 HC XR SPINE ENTIRE AP & LATERAL 340.50 4/1/2013
32000042 HC XR C-SPINE 1 VIEW 319.00 4/1/2013
32000043 HC XR C-SPINE 2 OR 3 VIEWS 578.60 4/1/2013
32000044 HC XR C-SPINE 4+ VIEWS 849.00 4/1/2013
32000045 HC XR C-SPINE COMPL W/OBLIQUE/FLEX/EXT 914.00 4/1/2013
32000047 HC XR THOR SPINE 2 VIEWS 510.00 4/1/2013
32000049 HC XR THOR SPINE 4+ VIEWS 771.00 4/1/2013
32000051 HC XR SPINE SCOLIOSIS STDY SUPINE/ERECT 488.88 4/1/2013
32000052 HC XR LUMBAR SPINE 2 OR 3 VIEWS 510.71 4/1/2013
32000053 HC XR LUMBAR SPINE 4+ VIEWS 833.00 4/1/2013
32000054 HC XR LUMBAR SPINE COMPL W/BENDING VIEWS 940.90 4/1/2013
32000056 HC XR PELVIS 1 OR 2 VIEWS 479.00 4/1/2013
32000059 HC XR SACROILIAC JTS 3+ VIEWS 338.00 4/1/2013
32000060 HC XR SACRUM/COCCYX 2+ VIEWS 466.00 4/1/2013
32000061 HC XR MYELOGRAM C-SPINE S&I 1,239.97 4/1/2013
32000066 HC XR FLUORO VEEBROP PERC OR SAC AUG 1,249.00 4/1/2013
32000069 HC XR CLAVICLE COMPL 432.00 4/1/2013
32000070 HC XR SCAPULA COMPL 436.00 4/1/2013
32000071 HC XR SHOULDER 1 VIEW 388.00 4/1/2013
32000072 HC XR SHOULDER COMPL 2+ VIEWS 462.40 4/1/2013
32000075 HC XR HUMERUS 2+ VIEWS 420.00 4/1/2013
32000076 HC XR ELBOW 2 VIEWS 418.00 4/1/2013
32000077 HC XR ELBOW COMPL 3+ VIEWS 447.47 4/1/2013
32000079 HC XR FOREARM 2 VIEWS 437.00 4/1/2013
32000081 HC XR WRIST 2 VIEWS 369.00 4/1/2013
32000082 HC XR WRIST COMPL 3+ VIEWS 474.00 4/1/2013
32000084 HC XR HAND LTD 2 VIEWS 367.00 4/1/2013
32000085 HC XR HAND COMPL 3+ VIEWS 474.00 4/1/2013
32000086 HC XR FINGER(S) 2+ VIEWS 320.00 4/1/2013
32000087 HC XR HIP UNI 1 VIEW 355.00 4/1/2013
32000088 HC XR HIP UNI COMPL 2+ VIEWS 523.39 4/1/2013
32000089 HC XR HIPS W/PELVIS 4+ VIEWS 879.00 4/1/2013
32000090 HC XR AHROGRAM HIP S&I 1,328.57 4/1/2013
32000091 HC XR HIP INTRAOPERATIVE 379.58 4/1/2013
32000093 HC XR FEMUR 2 VIEWS 514.00 4/1/2013
32000094 HC XR KNEE 1 OR 2 VIEWS 366.96 4/1/2013
32000095 HC XR KNEE 3 VIEWS 498.00 4/1/2013
32000096 HC XR KNEE COMPL 4+ VIEWS 550.00 4/1/2013
32000099 HC XR TIB/FIB 2 VIEWS 419.00 4/1/2013
32000100 HC XR LWR EXTREM INFANT 2+ VIEWS 256.53 4/1/2013

32000101 HC XR ANKLE 2 VIEWS 406.00 4/1/2013
32000102 HC XR ANKLE COMPL 3+ VIEWS 474.00 4/1/2013
32000104 HC XR FT 2 VIEWS 484.00 4/1/2013
32000105 HC XR FT COMPL 3+ VIEWS 580.90 4/1/2013
32000106 HC XR CALCANEUS 2+ VIEWS 349.00 4/1/2013
32000107 HC XR TOE(S) 2+ VIEWS 400.29 4/1/2013
32000108 HC XR ABD 1 VIEW 450.00 4/1/2013
32000110 HC XR ABD AP/DECUB/ERECT 549.82 4/1/2013
32000113 HC XR ESOPHAGUS 811.00 4/1/2013
32000114 HC XR SWALLOWING FUNCTION CINE/VIDEO 753.00 4/1/2013
32000116 HC XR UGI W/O KUB 972.00 4/1/2013
32000118 HC XR UGI W/SMALL INTESTINE 1,409.08 4/1/2013
32000121 HC XR SMALL INTESTINE 953.00 4/1/2013
32000128 HC XR CHOLANGIO THRU CATH S&I 819.00 4/1/2013
32000133 HC XR CATH BILIARY & PANCREATIC (ERCP) S&I 1,316.00 4/1/2013
32000141 HC XR UROGRAM RETROGRADE 1,129.00 4/1/2013
32000142 HC XR UROGRAM ANTEGRADE S&I 887.00 4/1/2013
32000143 HC XR CYSTOGRAM 3+ VIEWS S&I 1,098.00 4/1/2013
32000144 HC XR CYSTOURETHROGRAM RETROGRADE S&I 1,202.00 4/1/2013
32000145 HC XR CYSTOURETHROGRAM VOIDING S&I 945.00 4/1/2013
32000147 HC XR INTRODUCTION CATH RENAL PELVIS S&I 2,508.72 4/1/2013
32000148 HC XR INTRODUCTION CATH/STENT URETERAL S&I 2,260.27 4/1/2013
32000150 HC XR HYSTEROSALPINGOGRAM S&I 905.00 4/1/2013
32000222 HC XR CHG TUBE/DRAIN CATH S&I 1,051.00 4/1/2013
32000223 HC XR FLUORO ABSC DRAIN/SPECIMEN COLL S&I 1,219.27 4/1/2013
32000224 HC XR FLUORO < 1 HR 0.00 4/1/2013
32000225 HC XR FLUORO > 1 HR 0.00 4/1/2013
32000227 HC XR ABSC FISTULA/SINUS TRACT STDY S&I 695.93 4/1/2013
32000228 HC XR SURGICAL SPECIMEN 355.00 4/1/2013
32000236 HC XR FLUORO CV ACCESS DEVICE PLACEMENT 783.35 4/1/2013
32000237 HC XR FLUORO NDL PLACEMENT 1,025.00 4/1/2013
32000238 HC XR FLUORO NDL LOACALIZ 842.00 4/1/2013
32000239 HC XR STEREOTACTIC LOACALIZ GUIDE EA S&I 2,090.03 4/1/2013
32000240 HC MAMMO GUIDE PL NDL BREAST EA S&I 1,038.00 4/1/2013
32000241 HC MAMMOGRAM COMPUTER AIDED DETECTION DIAG 95.23 4/1/2013
32000242 HC MAMMOGRAM COMPUTER AIDED DETECTION SCRN 100.58 4/1/2013
32000244 HC DIAG MAMMO,UNILATE 389.00 4/1/2013
32000245 HC MAMMOGRAM DIAG BILATERAL 549.00 4/1/2013
32000246 HC MAMMOGRAM SCRN BILATERAL 463.00 4/1/2013
32000247 HC XR BONE AGE STDY 414.00 4/1/2013
32000250 HC XR BONE SURVEY COMPL 1,011.00 4/1/2013
32000253 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL 602.00 4/1/2013
33000001 HC SIM SMPL 1,032.00 4/1/2013
33000003 HC SIM CMPLX 2,764.00 4/1/2013
33000004 HC SIM 3-D/CT GUIDED 7,062.54 4/1/2013
33000005 HC DOSIMETRY CALCULATION BASIC 841.00 4/1/2013
33000006 HC INTENSITY MODULATED TX PLAN 10,353.00 4/1/2013
33000009 HC ISODOSE TELETHPY CMPLX 3,306.00 4/1/2013
33000010 HC PO PLAN SPECL PAICLES/HEMI/TOTAL BODY 1,676.00 4/1/2013
33000017 HC TX DEVICE CMPLX 1,257.25 4/1/2013
33000018 HC MEDICAL PHYSICS CONTINUING 936.30 4/1/2013
33000019 HC MLC DEVICE(S) FOR IM 1,934.00 4/1/2013
33000020 HC MEDICAL PHYSICS SPECL 1,192.00 4/1/2013
33000022 HC MED PHYSICS DOSIMETRY UNLISTED PROC 410.00 4/1/2013
33000026 HC RAD THPY TREAT SMPL 11-19 MEV 801.75 4/1/2013
33000029 HC RAD THPY TREAT CMPLX 6-10 MEV 1,447.00 4/1/2013
33000030 HC RAD THPY TREAT CMPLX 11-19 MEV 1,457.00 4/1/2013
33000032 HC RAD THPY PO FILM(S) 378.00 4/1/2013
33000033 HC RAD THPY TREAT INTENSITY MOD SNGL/MULT 3,203.47 4/1/2013
33000034 HC STEREOTACTIC XR GUIDANCE 680.95 4/1/2013
33000035 HC RAD THPY TREAT SPECL HEMI/TOTAL BODY 3,051.00 4/1/2013
33000048 HC CHEMO SC/IM NONHORMONAL ANTI-NEOPLASTIC 382.00 4/1/2013
33000049 HC CHEMO SC/IM HORMONAL ANTI-NEOPLASTIC 308.00 4/1/2013
33000051 HC CHEMO IV PUSH SNGL/INIT DRUG 671.00 4/1/2013
33000052 HC CHEMO IV PUSH ADDL DRUG 662.00 4/1/2013
33000053 HC CHEMO IV INF SNGL/INIT DRUG < 1HR 873.00 4/1/2013
33000054 HC CHEMO IV INF ADDL HR 708.00 4/1/2013
33000055 HC CHEMO IV INF PROLONG W/PBLE/IMPL PUMP 996.00 4/1/2013
33000056 HC CHEMO IV INF EA ADD DRUG < 1HR 807.00 4/1/2013
33000058 HC PUMP POABLE REFILLING AND MAINTENANCE 519.00 4/1/2013
33300006 HC STEREOTACTIC FIRST SESSION TOTAL 16,149.51 4/1/2013
33300007 HC LINEAR ACCELERATOR SRS DEL/SESSION

34000075 HC NM INFLAM PROCESS LOCALIZE LTD 1,279.24 4/1/2013
34000079 HC NM RADIOPHARMACEUTICAL THPY ORAL 1,588.00 4/1/2013
34000118 HC NM HEPATOBILIARY SYSTEM IMG 1,874.00 4/1/2013
34000124 HC GADOLINIUM VL 1ML 22.95 4/1/2013
34000129 HC THYROID IMAGING W/BLOOD FLOW UPTAKE 1,468.45 4/1/2013
34300003 HC NUC MED/DX RADIOPHARM 363.00 4/1/2013
35000002 HC CT HEAD/BRAIN W/O CONTR 2,251.00 4/1/2013
35000003 HC CT HEAD/BRAIN W/CONTR 2,873.00 4/1/2013
35000004 HC CT HEAD/BRAIN W&W/O CONTR 3,200.00 4/1/2013
35000005 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTR 1,953.00 4/1/2013
35000006 HC CT ORBIT/SELLA/FOSSA/EAR W/CONTR 2,640.97 4/1/2013
35000008 HC CT MAXILLOFACIAL W/O CONTR 2,333.00 4/1/2013
35000011 HC CT NECK W/O CONTR 1,887.00 4/1/2013
35000012 HC CT NECK W/CONTR 2,570.84 4/1/2013
35000014 HC CTA HEAD W&W/O CONTR 3,337.00 4/1/2013
35000015 HC CTA NECK W&W/O CONTR 3,543.00 4/1/2013
35000016 HC CT THORAX W/O CONTR 1,901.39 4/1/2013
35000017 HC CT THORAX W/CONTR 3,030.00 4/1/2013
35000018 HC CT THORAX W&W/O CONTR 3,282.00 4/1/2013
35000019 HC CTA CHEST (NONCOR) W&W/O CONTR 3,578.00 4/1/2013
35000020 HC CT C-SPINE W/O CONTR 2,505.00 4/1/2013
35000023 HC CT THOR SPINE W/O CONTR 2,505.00 4/1/2013
35000026 HC CT LUMBAR SPINE W/O CONTR 2,505.00 4/1/2013
35000030 HC CT PELVIS W/O CONTR 1,910.00 4/1/2013
35000031 HC CT PELVIS W/CONTR 2,352.00 4/1/2013
35000033 HC CT UPR EXTREM W/O CONTR 1,851.00 4/1/2013
35000034 HC CT UPR EXTREM W/CONTR 2,032.00 4/1/2013
35000037 HC CT LWR EXTREM W/O CONTR 2,281.00 4/1/2013
35000040 HC CT ABD W/O CONTR 1,889.00 4/1/2013
35000041 HC CT ABD W/CONTR 2,361.00 4/1/2013
35000042 HC CT ABD W&W/O CONTR 2,730.00 4/1/2013
35000043 HC CTA ABD W&W/O CONTR 2,720.00 4/1/2013
35000044 HC CT ABD AND PELVIS W/O CONTR 4,527.00 4/1/2013
35000045 HC CT ABD AND PELVIS W/ CONTR 5,462.00 4/1/2013
35000046 HC CT ABD & PELVIS W&W/O CONTR 1+ REGIONS 6,160.74 4/1/2013
35000051 HC CT HEA W/O CONTR EVAL COR CALCIUM 213.95 4/1/2013
35000054 HC CTA H CORNRY A/BYPASS GRFTS CONTR 3D 886.87 4/1/2013
35000055 HC CTA ABD AOA W/&W/O RUNOFF 3,373.71 4/1/2013
35000058 HC CT GUIDED NDL PLACEMENT 2,325.00 4/1/2013
35000060 HC CT GUIDED THPY PLACEMENT 1,032.00 4/1/2013
35000061 HC CT ABD/PEL W/WO CONTRAST POST 3,199.00 4/1/2013
36000002 HC ASP FINE NDL W/IMAG GUIDANCE 2,178.00 4/1/2013
36000004 HC I&D ABSC SMPL 486.00 4/1/2013
36000005 HC I&D ABSC CMPLX 424.47 4/1/2013
36000006 HC I&D CYST PILONIDAL SMPL 291.00 4/1/2013
36000008 HC INCISION/REM FOREIGN BODY SC SMPL 358.00 4/1/2013
36000010 HC I&D HEMATOMA/SEROMA/FLUID 2,290.00 4/1/2013
36000011 HC ASP ABSC/HEMATOMA/BULLA/CYST 272.64 4/1/2013
36000018 HC DEBR/REM FB OPEN SKIN/SC/MSCL/BONE 1,049.00 4/1/2013
36000019 HC DEBR SKIN/SC TISS 1ST 20 SQCM 686.00 4/1/2013
36000020 HC DEBR SKIN/SC TISS/MSCL 1ST 20 SQCM 686.00 4/1/2013
36000021 HC DEBR SKIN/SC TISS/MSCL/BONE

36000178 HC BX BREAST NDL PERC W/GUIDANCE 2,627.00 4/1/2013
36000179 HC BX BREAST VAC/ROTAT DEVICE W/GUIDANCE 4,495.00 4/1/2013
36000181 HC PL NDL LOCAL WIRE BREAST PREOP 1,990.00 4/1/2013
36000182 HC PL NDL LOCAL WIRE BREAST PREOP EA ADDL 294.79 4/1/2013
36000183 HC PL LOACALIZ CLIP PERC IMAGE GUIDED 2,110.00 4/1/2013
36000191 HC BX MSCL NDL PERC 1,411.00 4/1/2013
36000199 HC INJ TRIGGER POINT SNGL/MULTI 1-2 MSCL(S) 546.45 4/1/2013
36000200 HC INJ TRIGGER POINT SNGL/MULTI 3+ MSCL GRP 482.00 4/1/2013
36000201 HC ARTHROCENT ASP/INJ JT/BURSA SMALL 154.35 4/1/2013
36000203 HC ARTHROCENT ASP/INJ JT/BURSA MAJOR 639.00 4/1/2013
36000238 HC KYPHOPLASTY PERC THOR ONE BODY/UNI/BI 16,931.00 4/1/2013
36000243 HC INJ AHROGRAM SHOULDER 777.00 4/1/2013
36000256 HC TX DISL SHOULDER W/MANIP CLSD 647.00 4/1/2013
36000257 HC TX DISL SHOULDER W/MANIP W/ANES CLSD 715.00 4/1/2013
36000277 HC TX ELBOW CHILD NURSEMAID W/MANIP CLSD 289.65 4/1/2013
36000294 HC TX FX RADIUS/ULNA SHAFT W/MANIP CLSD 825.00 4/1/2013
36000296 HC TX FX RADIUS/ULNA W/MANIP CLSD 1,406.00 4/1/2013
36000310 HC RPR TENDON DIGITAL FLEXOR ZONE 2 4,155.67 4/1/2013
36000320 HC TX FX METACARPAL W/MANIP CLSD EA 520.00 4/1/2013
36000324 HC TX DISL HAND W/O ANES W/MANIP CLSD 465.00 4/1/2013
36000327 HC TX FX PHALANX PROX/MIDDLE W/MANIP CLSD 587.00 4/1/2013
36000333 HC TX FX PHALANX DIST W/MANIP CLSD 524.35 4/1/2013
36000334 HC TX FX PHALANX DIST OPEN 3,233.11 4/1/2013
36000335 HC TX DISL (I-P) JT W/O ANES W/MANIP CLSD 498.00 4/1/2013
36000341 HC BX TISS PELVIS/HIP DEEP 1,451.99 4/1/2013
36000342 HC INJ AHROGRAM HIP W/O ANES 697.00 4/1/2013
36000353 HC TX DISL HIP POST W/O ANES CLSD 566.67 4/1/2013
36000354 HC TX DISL HIP POST ARTHRO W/ANES CLSD 2,266.15 4/1/2013
36000359 HC INJ AHROGRAM KNEE 652.00 4/1/2013
36000389 HC TX FX ANKLE TRIMALLEOLAR W/MANIP CLSD 767.19 4/1/2013
36000393 HC TX DISL ANKLE W/O ANES CLSD 651.74 4/1/2013
36000395 HC REM FB FT SC 621.83 4/1/2013
36000425 HC APPLICATION SPLINT ARM LONG 235.00 4/1/2013
36000426 HC APPLICATION SPLINT ARM SHO STATIC 212.00 4/1/2013
36000428 HC APPLICATION SPLINT FINGER STATIC 344.00 4/1/2013
36000433 HC STRAPPING HAND OR FINGER 158.73 4/1/2013
36000438 HC APPLICATION CAST LEG RIGID TOTAL CONTACT 421.22 4/1/2013
36000439 HC APPLICATION SPLINT LEG LONG 203.67 4/1/2013
36000440 HC APPLICATION SPLINT LEG SHORT 240.00 4/1/2013
36000444 HC STRAPPING TOES 150.00 4/1/2013
36000445 HC STRAPPING UNNA BOOT 259.00 4/1/2013
36000446 HC APPL MLT-LYR VENOUS COMPRESS BELOW KNEE 192.00 4/1/2013
36000454 HC REM FB INTRANASAL 291.00 4/1/2013
36000455 HC CONTROL NOSEBLEED ANTERIOR SMPL 715.00 4/1/2013
36000456 HC CONTROL NOSEBLEED ANTERIOR CMPLX 524.67 4/1/2013
36000458 HC CONTROL NOSEBLEED POSTERIOR SUBSEQ 261.94 4/1/2013
36000461 HC INTUBATION ENDOTRACHEAL EMERGENCY PROC 584.00 4/1/2013
36000468 HC LARYNGOSCOPY FLEX FIBEROPTIC 725.00 4/1/2013
36000476 HC BRONCH DIAG W/WASHINGS 1,521.10 4/1/2013
36000477 HC BRONCH INCLUDING BRUSHING 1,627.58 4/1/2013
36000478 HC BRONCH W/LAVAGE BRONCH ALVEOLAR 1,627.58 4/1/2013
36000479 HC BRONCH W/BX SNGL/MUI SITES 1,627.58 4/1/2013
36000490 HC ASP CATH NASOTRACHEAL 298.00 4/1/2013
36000501 HC BX LUNG/MEDIASTINUM NDL PERC 5,501.00 4/1/2013
36000504 HC INS CATH PLEURAL INDWELL TUNNELED W/CUFF 5,757.08 4/1/2013
36000505 HC THORACOSTOMY W/INS CHEST TUBE 966.21 4/1/2013
36000515 HC INS/RPL PACEMAKER PERM ATRIAL/VENTRIC 16,264.00 4/1/2013
36000516 HC INS/RPL LEAD TEMPORARY SNGL CHAMBER 7,678.00 4/1/2013
36000529 HC INS LEAD W/INS OF PCMKR/DEFIB 7,508.73 4/1/2013
36000531 HC REM PACEMAKER PULSE GENERATOR 2,785.15 4/1/2013
36000537 HC INSE/REPOSIT DEFIB LEAD/GENERATOR 40,600.54 4/1/2013
36000543 HC INS BALLOON INTRA-AOIC ASST DEVICE PERC 4,781.62 4/1/2013
36000594 HC VENIPUNCT < AGE 3 VEIN OTHER 0.00 4/1/2013
36000599 HC TRANSFUSE BL/BL COMPONENTS 1,893.00 4/1/2013
36000613 HC APHERESIS PROPH PLASMA PHERESIS 1,761.00 4/1/2013
36000616 HC INS CATH C/V NON-TUNNEL > 5 YRS 2,556.00 4/1/2013
36000618 HC INS CATH C/V TUNNEL W/O PO > 5 YRS 4,568.00 4/1/2013
36000620 HC INS DEVICE C/V W/PO > 5YRS 7,247.75 4/1/2013
36000625 HC INS CATH C/V PERIPH > 5 YRS 1,949.00 4/1/2013
36000637 HC REM CATH C/V TUNNELED W/O PO/PUMP 2,651.00 4/1/2013
36000638 HC REM DEVICE C/V TUNNELED W/PO/PUMP 1,972.00 4/1/2013
36000639 HC COLL BL FROM IMPL VENOUS DEVICE 305.00 4/1/2013
36000644 HC INJ CONTR W/FLUOROY EVAL CV DEVICE 1,865.71 4/1/2013
36000645 HC PUNCTURE ARTERIAL 150.71 4/1/2013
36000669 HC EMBOLIZ UTERINE FIBROID 20,669.00 4/1/2013
36000705 HC BX BONE MARROW NDL OR TROCAR 649.00 4/1/2013
36000708 HC BX/EXC LYMPH NODE(S) SUPERFICIAL NEEDLE 1,929.00 4/1/2013
36000733 HC REM FB PHARYNX 290.77 4/1/2013
36000746 HC INTUBATION GASTRIC TX 286.00 4/1/2013
36000767 HC INCISION HEMORRHOID EXTERNAL 598.00 4/1/2013
36000777 HC BX LIVER NDL PERC 2,922.00 4/1/2013
36000785 HC INJ CHOLANGIO THRU EXISTING CATH 1,064.00 4/1/2013
36000788 HC CHG CATH DRAIN BILIARY PERC 3,867.14 4/1/2013
36000800 HC DRAIN ABSC PERITONEAL PERC 2,912.43 4/1/2013
36000801 HC DRAIN ABSC SUBDIAPHRAGM PERC 2,642.40 4/1/2013
36000810 HC INJ CONTR ABSC/CYST 1,008.80 4/1/2013
36000822 HC BX RENAL NDL/TROCAR PERC 1,688.00 4/1/2013
36000829 HC INS CATH/STENT URETERAL DRAIN/INJ PERC 2,906.71 4/1/2013
36000830 HC INJ PYELOGRAM 928.00 4/1/2013
36000831 HC INTRO GUIDE NEPHROSTOMY TRACT PERC 1,294.43 4/1/2013

36000832 HC CHG TUBE NEPHROSTOMY/PYELOSTOMY 1,959.00 4/1/2013
36000842 HC INJ CYSTOGRAM/VOIDING URETHROCYSTOGRAM 1,880.00 4/1/2013
36000843 HC INJ URETHROCYSTOGRAM RETROGRADE 1,880.00 4/1/2013
36000845 HC CATH BLADDER NON-INDWELLING 404.00 4/1/2013
36000846 HC CATH BLADDER SMPL 143.00 4/1/2013
36000847 HC CATH BLADDER COMPLICATED 194.74 4/1/2013
36000857 HC MEASURE POST-VOID URINE BY US 121.00 4/1/2013
36000866 HC CIRCUM W/CLAMP/OTHER DEVICE/RING BLOCK 984.00 4/1/2013
36000896 HC COLPOSCOPY CERVIX/VAGINA 235.83 4/1/2013
36000897 HC COLPOSCOPY W/BX & CURETTAGE 391.00 4/1/2013
36000906 HC BX ENDOMETRIAL SAMP W/O DILATATION 232.00 4/1/2013
36000908 HC INS DEVICE INTRAUTERINE IUD 568.00 4/1/2013
36000910 HC CATH/INTRO SALINE/CONTR FOR SIS 508.00 4/1/2013
36000913 HC LIGATE/TRANSECT TUBE FALLOPIAN W/C-SECT 2,132.00 4/1/2013
36000920 HC CHORIONIC VILLUS SAMP 1,214.00 4/1/2013
36000922 HC TEST NON STRESS FETAL 1,071.00 4/1/2013
36000930 HC DEL VAG W/ANTEPARTUM/POSTPARTUM CARE 3,984.00 4/1/2013
36000932 HC VERSION CEPHALIC EXTERNAL 3,032.00 4/1/2013
36000935 HC DEL C-SECT W/HYSTERECTOMY TOTAL/SUBTOTAL 1,115.00 4/1/2013
36000942 HC REM SUTURE CERCLAGE UNDER ANESTHESIA 5,699.70 4/1/2013
36000959 HC LUMBAR PUNCT DIAG 1,719.00 4/1/2013
36000961 HC INJ EPIDURAL BL/CLOT PATCH 1,129.00 4/1/2013
36000998 HC DEST NRV NEUROLYTIC MSCL EXTREM/TRUNK 862.74 4/1/2013
36001000 HC SUTURE NRV DIGITAL HAND OR FT 1 NRV 3,114.66 4/1/2013
36001004 HC REM FB EYE EXT CONJUCTIVAL SUPERFICIAL 174.30 4/1/2013
36001006 HC REM FB CORNEAL W/O SLIT LAMP 374.02 4/1/2013
36001007 HC REM FB CORNEAL W/SLIT LAMP 153.00 4/1/2013
36001039 HC DRAIN ABSC/HEMATOMA EXT EAR SMPL 397.40 4/1/2013
36001042 HC REM FB CANAL AUD EXTERNAL W/O GEN ANES 164.00 4/1/2013
36001043 HC REM CERUMEN IMPACTED 1 OR BOTH EARS 260.00 4/1/2013
36001046 HC INTRO NDL/INTRACATH VEIN 775.27 4/1/2013
36001054 HC ASPIRAT BONE MARROW W/BX ON SAME DAY 107.00 4/1/2013
36001086 HC ADD C-SECTION DEL TWIN/TRIPLET 989.00 4/1/2013
36001105 HC OPERATING ROOM MINUTE LEVEL 1 54.00 4/1/2013
36001106 HC OPERATING ROOM MINUTE LEVEL 2 116.42 4/1/2013
36001109 HC PAIN MNGMNT PROC PER MINUTE 29.00 4/1/2013
36001111 HC POC 3,324.60 4/1/2013
36001124 HC C/SECTION 10,176.00 4/1/2013
36001149 HC STRAPPING UNNA BOOT BILAT 409.49 4/1/2013
36001151 HC GFT SKIN SUB T/A/L 14 WEEKS SNGL/FIRST GEST 1,267.00 4/1/2013
40000018 HC US PREGNANCY DETAILED SNGL/FIRST GEST 1,234.00 4/1/2013
40000019 HC US PREGNANCY DETAILED EA ADDL GEST 885.00 4/1/2013
40000020 HC US PREGNANCY 1 OR MORE FETUSES LTD 549.00 4/1/2013
40000021 HC US PREGNANCY FOLLOWUP PER FETUS 575.00 4/1/2013
40000022 HC US PREGNANCY TRANSVAG 611.00 4/1/2013
40000024 HC US FETAL BIOPHYSICAL PROFILE W/O NST 771.00 4/1/2013
40000025 HC US FETAL DOPLER VELOCIM UMBILICAL ART 465.00 4/1/2013
40000027 HC US FETAL HEA ECHO 2D W/ OR W/O M-MODE 1,217.00 4/1/2013
40000028 HC US FETAL ECHO 2D W/ OR W/O M-MODE F/U 628.90 4/1/2013
40000029 HC US DOPPLER ECHOCARDIOGRAPHY FETAL COMPL 559.00 4/1/2013
40000030 HC US FETAL HEA DOPPLER ECHO F/U 393.00 4/1/2013
40000031 HC US TRANSVAG 1,185.00 4/1/2013
40000032 HC US SALINE INF SONOHYSTERO COLOR FLOW 728.00 4/1/2013
40000033 HC US PELVIS NON OB 1,220.00 4/1/2013
40000034 HC US PELVIS NON OB LTD 462.00 4/1/2013
40000035 HC US SCROTUM 879.00 4/1/2013
40000038 HC US GUIDED NDL PL S&I 1,192.00 4/1/2013
40000039 HC US GUIDED CHORIONIC VILLUS SAMP S&I 1,100.00 4/1/2013
40000040 HC US GUIDED AMNIO S&I 599.00 4/1/2013

40000043 HC US GUIDANCE INTRAOPERATIVE 802.00 4/1/2013
40000050 HC PET W/CT TUMOR IMAG SKULL TO MID-THIGH 7,634.24 4/1/2013
40000051 HC PET W/CT TUMOR IMAG WHOLE BODY 8,827.00 4/1/2013
40000053 HC MAMMOGRAM SCRN W/DIGITAL IMAGES 463.00 4/1/2013
40000054 HC MAMMOGRAM DIAG W/DIGITAL IMAGES 549.00 4/1/2013
40000055 HC MAMMOGRAM DIAG UNI W/DIGITAL IMAGE 389.00 4/1/2013
40200002 HC US PREGNANCY NUCHAL MEAS SNGL OR 1ST GES 743.06 4/1/2013
40200003 HC US PREGNANCY NUCHAL MEAS EA ADDL GES 492.00 4/1/2013
40200005 HC US EXTREM NON VASCULAR COMPL 2,073.45 4/1/2013
40200006 HC US EXTREM NON VASCULAR LTD ANATOMIC SPEC 2,073.45 4/1/2013
40200008 HC US HIPS INFANT LTD STATIC 2,132.00 4/1/2013
41000001 HC VENT MANGMNT INPT/OBS INIT DAY 1,489.87 4/1/2013
41000004 HC CPAP INITIATION/MGMT 1,508.11 4/1/2013
41000005 HC CHEST PHYSIOTHPY INIT 214.00 4/1/2013
41000006 HC CHEST PHYSIOTHPY SUBSEQ 61.00 4/1/2013
41000007 HC PULSE OXIMETRY OVERNIGHT CONTINUOUS 890.00 4/1/2013
41000008 HC PULM UNLISTED SVC/PROC 459.00 4/1/2013
41000017 HC WEANING 185.00 4/1/2013
41000018 HC EXTUBATION 978.62 4/1/2013
41200001 HC VENTILATOR MGMT INPAT/OBS SUBSEQ DAY 1,393.00 4/1/2013
41300002 HC HYPERBARIC O2 1,130.72 4/1/2013
42000001 HC APPLICATION TENS 149.00 4/1/2013
42000002 HC EVALUATION SPEECH CMPLX 563.00 4/1/2013
42000003 HC PT TX SPEECH LTD 193.00 4/1/2013
42000004 HC EVALUATION SWALLOWING CMPLX 383.00 4/1/2013
42000005 HC FLURO EVAL SWALLOWING 703.74 4/1/2013
42000012 HC EVALUATION 45 MIN 644.73 4/1/2013
42000013 HC RE-EVALUATION 30 MIN 279.00 4/1/2013
42000015 HC TRACTION MECHANICAL 135.00 4/1/2013
42000016 HC ELECTRICAL STIMULATION UNATTENDED 118.00 4/1/2013
42000018 HC PARAFFIN BATH THPY 108.00 4/1/2013
42000019 HC WHIRLPOOL 109.00 4/1/2013
42000020 HC ELECTRICAL STIMULATION ATTENDED 15 MIN 173.00 4/1/2013
42000021 HC IONTOPHORESIS 15 MIN 158.00 4/1/2013
42000022 HC CONTR BATH 15 MIN 114.60 4/1/2013
42000023 HC ULTRASOUND 15 MIN 123.00 4/1/2013
42000025 HC EXERCISE PROPH 15 MIN 181.95 4/1/2013
42000026 HC NEUROMUSCULAR RE-ED 15 MIN 144.00 4/1/2013
42000027 HC AQUATIC THPY/EXERCISE 15 MIN 169.00 4/1/2013
42000028 HC GAIT TRN 15 MIN 153.38 4/1/2013
42000029 HC MASSAGE 15 MIN 129.00 4/1/2013
42000031 HC MANUAL THPY 15 MIN 181.95 4/1/2013
42000033 HC PROPH ACT 15 MIN 190.14 4/1/2013
42000035 HC SENSORY INTEGRATIVE TECHNIQUE 15 MIN 210.58 4/1/2013
42000036 HC HOME INSTRUCTION/PROGRAM 15 MIN 178.00 4/1/2013
42000039 HC DEBR OPEN WOUND PER SESSION

48000094 HC ANGIO ILIAC DURING CARDIAC CATH 3,761.32 4/1/2013
48000113 HC PERC CARDIAC REVASC MI 1 VSL 14,693.00 4/1/2013
48100004 HC INJ SUPRAVALVULAR AORTOGRAPHY 119.79 4/1/2013
51000002 HC IMMUN ADMIN EA ADDL VACC INTRANASAL/ORAL 0.00 4/1/2013
51000006 HC GENETIC COUNSELING 30 MIN 289.00 4/1/2013
51000008 HC VISIT CLINIC NEW LVL I 210.70 4/1/2013
51000013 HC VISIT CLINIC ESTAB LVL I 395.90 4/1/2013
51000014 HC VISIT CLINIC ESTAB LVL II 341.65 4/1/2013
51000015 HC VISIT CLINIC ESTAB LVL III 328.95 4/1/2013
51000016 HC VISIT CLINIC ESTAB LVL IV 385.36 4/1/2013
51000017 HC VISIT CLINIC ESTAB LVL V 824.55 4/1/2013
51000018 HC OBSER/ADMIT/DISCHARGE DETAL 2,888.00 4/1/2013
51000025 HC PREVENTIVE MED NEW < 1 YR 185.00 4/1/2013
51000029 HC PREVENTIVE MED NEW 18-39 YRS 184.90 4/1/2013
51000032 HC PREVENTIVE MED ESTAB < 1 YR 185.00 4/1/2013
51000033 HC PREVENTIVE MED ESTAB 1-4 YRS 185.00 4/1/2013
51000034 HC PREVENTIVE MED ESTAB 5-11 YRS 185.00 4/1/2013
51000035 HC PREVENTIVE MED ESTAB 12-17 YRS 185.00 4/1/2013
51000036 HC PREVENTIVE MED ESTAB 18-39 YRS 197.84 4/1/2013
51000037 HC PREVENTIVE MED ESTAB 40-64 YRS 197.84 4/1/2013
51000038 HC PREVENTIVE MED ESTAB > 65 YRS 177.14 4/1/2013
51000056 HC $20 TITER 20.00 4/1/2013
51000057 HC $35 TITER 35.00 4/1/2013
51000060 HC FIREFIGHTER OSHA EXAM 135.00 4/1/2013
51000061 HC FIREFIGHTER PRDC W/STRESS 600.00 4/1/2013
51000062 HC FIREFIGHTER PRE-PLACEMENT 600.00 4/1/2013
51000063 HC FIT-TESTING 35.00 4/1/2013
51000067 HC POLICE PERIODIC EXAM W/STRESS 600.00 4/1/2013
51000069 HC RESPIRATOR CLEARANCE EXAM 132.00 4/1/2013
51000070 HC URINE DRUG SCREEN AFTER HR CAL 265.00 4/1/2013
51000071 HC URINE DRUG SCREEN DOT 86.00 4/1/2013
51000072 HC UR DRUG SCREEN DOT COLL ONLY 25.00 4/1/2013
51000073 HC URINE DRUG SCREEN NON DOT 65.00 4/1/2013
51000074 HC URINE DRUG SCREEN RANDOM/FEE 50.00 4/1/2013
51000075 HC TOG BOE PRE PLACEMENT INS AIDE 200.00 4/1/2013
51000076 HC TOG BOE PRE PLACEMENT W POA 255.00 4/1/2013
51000077 HC TOG GENERIC PRE PLACEMENT 200.00 4/1/2013
51000078 HC TOG GENERIC PRE PLACEMT W POA 255.00 4/1/2013
51000079 HC TOG HEALTH CARE PREPLACE W CXR 461.00 4/1/2013
51000081 HC TOG DOT EXAM RENEWAL 83.00 4/1/2013
51000086 HC PATHWAYS PRE PLACEMENT 95.00 4/1/2013
51000088 HC ROUND HILL PRE PLACEMENT 150.00 4/1/2013
51000092 HC GEMS ANNUAL PHYSICAL 625.00 4/1/2013
51000097 HC GENERIC PRE PLACEMENT 200.00 4/1/2013
51000098 HC CANINE FENCE PRE PLACEMENT 220.00 4/1/2013
51000106 HC TRAVEL EXAM 165.00 4/1/2013
51000108 HC BRIEF MD EXAM 75.00 4/1/2013
51000109 HC ANDERSON/KELLY PHYSICAL 145.00 4/1/2013
51000110 HC SSC PRE PLACEMENT 155.00 4/1/2013
51000111 HC TOG HEALTHCARE WORKER PRE PLAC 400.00 4/1/2013
51000112 HC DOT PHYSICAL 95.00 4/1/2013
51000113 HC EXECUTIVE PHYSICAL 1,700.00 4/1/2013
51000116 HC ADDICTION FOLLOW UP 125.00 4/1/2013
51000117 HC DISCOUNTED ADDICTION 65.00 4/1/2013
51000118 HC BREATH ALCOHOL TEST 25.00 4/1/2013
51000123 HC AUDIOMETRY 35.00 4/1/2013
51000124 HC CHEST XRAY 0.00 4/1/2013
51000125 HC TOG BREATH ALCOHOL/DRUG SCREEN 25.00 4/1/2013
51000134 HC SYMPTOM SURVEY 25.00 4/1/2013
51000135 HC FFD 50.00 4/1/2013
51000140 HC NON DOT DRUG TEST 25.00 4/1/2013
51000144 HC RESPIRATOR FIT TEST QUALITATIV 25.00 4/1/2013
51000145 HC SPECIMEN COLL-BLOOD & URINE 10.00 4/1/2013
51000146 HC SPECIMEN COLLECTION-BLOOD DRAW 15.00 4/1/2013
51000147 HC SPECIMEN COLLECTION-URINE 3RD 15.00 4/1/2013
51000150 HC URINE DRUG SCREEN TEST & PROD 55.00 4/1/2013
51000151 HC VISION TEST/$$ 22.00 4/1/2013
51000152 HC VISION TEST 22.00 4/1/2013
51000155 HC GENETIC COUNSELING BRIEF 140.60 4/1/2013
51000171 HC RESPIRATOR CERT EXAM - OSHA 50.00 4/1/2013
51000180 HC CITY OF STAMFORD FIREFIGHTER EXAM 600.00 4/1/2013
61000001 HC MRI TMJ(S) UNI OR 2,371.00 4/1/2013
61000004 HC MRI ORBIT/FACE/NECK W&W/O CONTR LTD 4,751.00 4/1/2013
61000005 HC MRA HEAD W/O CONTR 3,756.00 4/1/2013
61000007 HC MRA HEAD W&W/O CONTR 4,629.78 4/1/2013
61000008 HC MRA NECK W/O CONTR 3,021.73 4/1/2013
61000010 HC MRA NECK W&W/O CONTR 5,039.00 4/1/2013
61000011 HC MRI BRAIN W/O CONTR LTD 3,111.45 4/1/2013
61000012 HC MRI BRAIN W/CONTR 4,408.00 4/1/2013
61000013 HC MRI BRAIN W&W/O CONTR 6,320.00 4/1/2013
61000022 HC MRI C-SPINE W/O CONTR LTD 4,017.00 4/1/2013
61000024 HC MRI THOR SPINE W/O CONTR LTD 4,008.00 4/1/2013
61000026 HC MRI LUMBAR SPINE W/O CONTR LTD 3,894.00 4/1/2013
61000028 HC MRI C-SPINE W&W/O CONTR 4,854.00 4/1/2013
61000029 HC MRI THOR SPINE W&W/O CONTR 5,042.00 4/1/2013
61000030 HC MRI LUMBAR SPINE W&W/O CONTR 6,148.00 4/1/2013
61000032 HC MRI PELVIS W/O LTD 3,655.00 4/1/2013
61000034 HC MRI PELVIS W&W/O CONTR LTD 4,550.00 4/1/2013
61000036 HC MRI UPR EXTREM W/O CONTR 3,505.00 4/1/2013
61000038 HC MRI UPR EXTREM W&W/O CONTR 4,488.28 4/1/2013

61000039 HC MRI UPR EXTREM JT W/O CONTR 3,839.00 4/1/2013
61000040 HC MRI UPR EXTREM JT W/CONTR 4,032.00 4/1/2013
61000041 HC MRI UPR EXTREM JT W&W/O CONTR 4,053.48 4/1/2013
61000043 HC MRI LWR EXTREM W/O CONTR 2,832.00 4/1/2013
61000045 HC MRI LWR EXTREM W&W/O CONTR 3,808.00 4/1/2013
61000046 HC MRI LWR EXTREM JT W/O CONTR 3,483.00 4/1/2013
61000047 HC MRI LWR EXTREM JT W/CONTR 3,654.00 4/1/2013
61000050 HC MRI ABD W/O CONTR 3,980.00 4/1/2013
61000052 HC MRI ABD W&W/O CONTR 6,148.00 4/1/2013
61000053 HC MRA ABD W&W/O CONTR 3,113.75 4/1/2013
61000058 HC MRI GUIDED NDL PLACEMENT 3,346.00 4/1/2013
61000060 HC MRI BREAST BIL W & OR W/O CONTRAST 5,098.75 4/1/2013
61000062 HC CAD BREAST MRI 602.00 4/1/2013
61000068 HC MRA W/O FOL W/CONT, PELVIS 3,635.91 4/1/2013
61000073 HC MRA ABDOMEN W&W/O CONTRAST 3,202.00 4/1/2013
61000075 HC MRI BREAST UNILATERAL W&W/O CONTRAST 4,738.00 4/1/2013
61000077 HC MRI BREAST BILATERAL W&W/O CONTRAST 5,609.00 4/1/2013
63600014 HC CONTRAST LOCM 200-299MG 1ML 2.14 4/1/2013
63600015 HC CONTRAST LOCM 300-399MG 1ML 2.14 4/1/2013
63600016 HC HEPATITIS A VACC ADULT IM DOSE 81.00 4/1/2013
63600018 HC HEPATITIS A VAC PED/ADOL D-2 0.00 4/1/2013
63600020 HC HAEMOPHILUS B VACC PRP-T IM 0.00 4/1/2013
63600021 HC HUM PAPILLOMA VIRUS VACC IM 0.00 4/1/2013
63600026 HC PNEUMOCOCCAL VACC 13 VAL IM 0.00 4/1/2013
63600027 HC DTAP-IPV VACC VL 4-6 IM 0.00 4/1/2013
63600028 HC DTAP-HIB-IPV VACC IM 0.00 4/1/2013
63600029 HC DTAP VACC 7 YR IM 145.85 4/1/2013
63600035 HC VARICELLA VIRUS VACC SQ 0.00 4/1/2013
63600037 HC DTAP-HEPB-IPV VACC IM 0.00 4/1/2013
63600038 HC PNEUMOC VACC 23 >5YR SQ/IM 130.01 4/1/2013
63600039 HC MENINGOCOCCAL POLY VACC SQ 630.34 4/1/2013
63600040 HC MENING CONJ DIP TOX VACC IM 0.00 4/1/2013
63600041 HC HEP B VACC PED/ADOL 3 DOSE IM DOSE 0.00 4/1/2013
63600042 HC HEPATITIS B VACC ADULT IM 75.60 4/1/2013
63600043 HC INFLU VIRUS VACC PF ANTIGEN 111.82 4/1/2013
63600044 HC RABIES VACC IM 556.76 4/1/2013
63600045 HC POLIOVIRUS VACC INACT SQ/IM 83.19 4/1/2013
63600047 HC RHO (D) IMMUNE GLOB IV/IM 5000IU 569.35 4/1/2013
63600050 HC DIP/TET PF VACC >7YR IM DOSE 100.10 4/1/2013
63600053 HC YELLOW FEVER VACCINE 140.00 4/1/2013
63600056 HC ROTAVIRUS ORAL VACC ATTEN 0.00 4/1/2013
63600059 HC INFLU VIRUS VACC SPLIT PF >3 YRS IM 39.16 4/1/2013
63600067 HC FLU VACC >= TO 18YO PRESERVATIVE FREE 0.00 4/1/2013
63600076 HC TYPHOID VACCINE ORAL 0.00 4/1/2013
63700001 HC SELF ADMINISTERED MEDS 19.43 4/1/2013
71000002 HC AMB NURSING CARE 1,568.00 4/1/2013
71000003 HC RECOVERY ROOM PER MINUTE 47.00 4/1/2013
71000005 HC AMB NURSING CARE-PAIN 1,568.00 4/1/2013
72000002 HC AMNIO DIAG 1,317.00 4/1/2013
72000004 HC FETAL MONITORING HOURLY, INPT 170.00 4/1/2013
72000005 HC DELIVERY ROOM 7,220.00 4/1/2013
72000006 ADD VAGINAL DEL TWINS/TRIPLETS 898.55 4/1/2013
73000001 HC EKG ROUTINE W/PF 600.27 4/1/2013
73000002 HC EKG ROUTINE TRACING ONLY 561.00 4/1/2013
73000005 HC ECG MONITOR/REPO UP TO 48 HRS RECORDING 310.00 4/1/2013
73000006 HC ECG MONITOR/REPO UP TO 48 HRS ANLYS 721.00 4/1/2013
74000004 HC EEG AWAKE/DROWSY 1,582.00 4/1/2013
74000005 HC EEG AWAKE/ASLEEP 2,807.79 4/1/2013
74000027 HC POLYSOM PARAMETERS 6,144.00 4/1/2013
75000003 HC EGD W/BX 2,944.00 4/1/2013
75000019 HC EGD W/DIRECTED SUBMUCOSAL INJECTION 3,766.00 4/1/2013
75000031 HC EGD W/ENDOSCOPIC URASOUND 4,380.00 4/1/2013
75000061 HC COLONOSCOPY FLEXIBLE 3,450.00 4/1/2013
75000064 HC COLONOSCOPY FLEXIBLE W/INJECT SUBMUCOSAL DIRECTED 1,890.00 4/1/2013
75000065 HC COLONOSCOPY FLEXIBLE W/CONTROL BLEEDING 3,766.00 4/1/2013
75000068 HC COLONOSCOPY FLEXIBLE REM TUMR/PLYP/LESN SNARE 3,496.00 4/1/2013
76000002 HC IRRIGATE IMPLED VENOUS ACCESS DEVICE 164.00 4/1/2013
76200001 HC OBSERVATION LOW SEVERITY PER HR 201.00 4/1/2013
77100001 HC IMMUN ADMIN 1ST VACC/TOX

90000047 HC PSYCH THRPY PT AND/OR FAM W/E&M 45MIN 416.50 4/1/2013
90000049 HC PSYCH THERAPY GROUP - IOP 600.00 4/1/2013
91400001 HC PHARMACOLOGIC MNGT ONLY LEVEL 1 230.00 4/1/2013
91400002 HCPR PHARMACOLOGIC MNGT ONLY LEVEL 1 50.00 4/1/2013
91400004 HCPR PHARMACOLOGIC MNGT ONLY LEVEL 2 75.00 4/1/2013
91400006 HCPR PHARMACOLOGIC MNGT ONLY LEVEL 3 100.00 4/1/2013
91400008 HCPR PHARMACOLOGIC MNGT ONLY LEVEL 4 125.00 4/1/2013
91400011 HC PHARMACOLOGIC MNGT LEVEL 1 + TX 230.00 4/1/2013
91400012 HCPR PHARMACOLOGIC MNGT LEVEL 1 + TX 250.00 4/1/2013
91400014 HCPR PHARMACOLOGIC MNGT LEVEL 2 + TX 75.00 4/1/2013
91400016 HCPR PHARMACOLOGIC MNGT LEVEL 3 + TX 100.00 4/1/2013
91400018 HCPR PHARMACOLOGIC MNGT LEVEL 4 + TX 125.00 4/1/2013
92000003 HC GLAUCOMA PROVOCATIVE TEST W/O TONOGRAPHY 38.90 4/1/2013
92000013 HC DUPLEX EXTRACRANIAL/CAROTID 1,726.00 4/1/2013
92000019 HC DOPPLER AERIAL EXTREM COMPL 1,138.00 4/1/2013
92000020 HC DUPLEX AERIAL LWR EXTREM 1,631.00 4/1/2013
92000021 HC DUPLEX AERIAL LWR EXTREM UNILAT/LTD 1,237.00 4/1/2013
92000023 HC DUPLEX AERIAL UPR EXTREM UNILAT/LTD 1,181.33 4/1/2013
92000024 HC DUPLEX VENOUS EXTREM 1,785.00 4/1/2013
92000025 HC DUPLEX VENOUS EXTREM UNI/LTD 1,323.43 4/1/2013
92000026 HC DUPLEX ABD/PELVIS/RETRO COMPL 1,631.00 4/1/2013
92000035 HC MULT SLEEP LATENCY 3,506.28 4/1/2013
92000036 HC SLEEP STDY UNATTENDED 2,706.00 4/1/2013
92000038 HC PSG (SLEEP STAGING) 4+ PARAMETERS 6,144.00 4/1/2013
92000039 HC PSG (SLEEP STAGING) 4+ PARAMETERS W/CPAP 7,801.00 4/1/2013
92000040 HC EMG 1 EXTREM 363.16 4/1/2013
92000051 HC NRV CONDUCTION MOTOR W/F-WAVE 439.00 4/1/2013
92000052 HC NRV CONDUCTION SENSORY 380.00 4/1/2013
92000058 HC PLETHYSMOGRAPHY LUNG VOL 483.00 4/1/2013
92400004 HC IMMUNOTHPY ALLERGEN 1 INJ W/O EXTRACT 35.00 4/1/2013
92400005 HC IMMUNOTHPY ALLERGEN INJ 2+ W/O EXTRACT 36.00 4/1/2013
92400008 HC IMMUNOTHPY ALLERGEN 3 INSECT VENOM 95.00 4/1/2013
94000002 HC IMMUN ADM EA ADDL VACC PERC/IM/SUB-Q/ID 29.91 4/1/2013
94000003 HC PROPH/PROPH/DIAG INJ SQ/IM 166.81 4/1/2013
94000005 HC TX/PROPH/DIAG INJ IV PUSH INIT 330.15 4/1/2013
94000006 HC PROPH/PROPH/DIAG INJ IV PUSH ADDL SEQ 327.85 4/1/2013
94000007 HC PROPH/PROPH/DIAG INJ IV PUSH SAME 290.00 4/1/2013
94000010 HC NUTRITIONAL THPY INDIV EVAL 15 MIN 64.00 4/1/2013
94000011 HC NUTRITIONAL THPY INDIV RE-EVAL 15 MIN 55.00 4/1/2013
94000012 HC PHLEBOTOMY PROPH 438.00 4/1/2013
94000013 HC DIABETES SELF-MGT TRN INDIV O/P 30 MIN 172.00 4/1/2013
94000014 HC DIABETES SELF-MGT TRN GRP O/P 30 MIN 28.00 4/1/2013
94300002 HC CARDIAC REHAB W/MONITOR PER SESSION 209.19 4/1/2013
94800001 HC PULM REHAB W/EXERCISE PER HR PER SESSION 150.00 4/1/2013
94900005 HC CARDIAC SUPERVISED SINGLE VT 18.73 4/1/2013
94900006 HC MED FITNESS SINGLE SUPERVISED 20.00 4/1/2013
96000008 HCPR AHROCENTESIS ASP/INJ JOINT/BURSA MAJOR 134.18 4/1/2013
96000014 HCPR VISIT CLINIC NEW LEVEL I 59.90 4/1/2013
96000015 HCPR VISIT CLINIC NEW LEVEL II 144.45 4/1/2013
96000016 HCPR VISIT CLINIC NEW LEVEL III 202.23 4/1/2013
96000017 HCPR VISIT CLINIC NEW LEVEL IV 238.29 4/1/2013
96000018 HCPR VISIT CLINIC NEW LEVEL V 583.00 4/1/2013
96000019 HCPR VISIT CLINIC ESTAB LEVEL I 122.55 4/1/2013
96000020 HCPR VISIT CLINIC ESTAB LEVEL II 714.39 4/1/2013
96000021 HCPR VISIT CLINIC ESTAB LEVEL III 384.77 4/1/2013
96000022 HCPR VISIT CLINIC ESTAB LEVEL IV 569.78 4/1/2013
96000023 HCPR VISIT CLINIC ESTAB LEVEL V 882.27 4/1/2013
96000024 HCPR SUBSEQUENT HOSPITAL CARE PROB FOC 228.66 4/1/2013
96000025 HCPR SUBSEQUENT HOSPITAL CARE EXPANDED 376.53 4/1/2013
96000026 HCPR PF SUBSEQUENT HOSP CARE DETAILED 483.32 4/1/2013
96000038 HCPR PF INITIAL HOSPITAL CARE DETAIL 223.63 4/1/2013
96000039 HCPR PF INITIAL HOSPITAL CARE COMPREHENSIVE 301.74 4/1/2013
96000040 HCPR PF INITIAL HOSPITAL CARE COMPLEX 442.98 4/1/2013
96000041 HCPR PF HOSPITAL D/C DAY MGMT 30 MIN OR LESS 158.36 4/1/2013
96000043 HCPR PF PROLONGED SERVICE 1ST HR I/P OR OBS 200.09 4/1/2013
96100002 HCPR PSYCH THERAPY O/P 20-30 MIN 165.85 4/1/2013
96100004 HCPR PSYCH THERAPY O/P 45-50 MIN 266.60 4/1/2013
96100005 HCPR PSYCH THERAPY W/EVAL O/P 45-50 MIN 283.55 4/1/2013
96100012 HCPR PSYCH THERAPY FAMILY W/O PATIENT 255.52 4/1/2013
96100016 HCPR PSYCH PHARMACOLOGIC MANAGEMENT 147.55 4/1/2013
96100023 HCPR PSYCH THERAPY FAMILY W/PATIENT - LSW 324.26 4/1/2013
96100024 HCPR PSYCH THERAPY GROUP - LCSW 0.00 4/1/2013
96100025 HCPR PSYCH DIAGNOSTIC EVALUATION 637.85 4/1/2013
96100026 HCPR PSYCH DIAG EVAL W/MED SERVICES 674.40 4/1/2013
96100027 HCPR PSYCH THERPY PT AND/OR FAMILY 30MIN 165.85 4/1/2013
96100028 HCPR PSYCH THERPY PT AND/OR FAMILY 45MIN 266.60 4/1/2013
96100029 HCPR PSYCH THERPY PT AND/OR FAMILY 60MIN 416.15 4/1/2013
96100030 HCPR PSYCH TX PT AND/OR FAM W/E&M 30MIN 165.85 4/1/2013
96100031 HCPR PSYCH TX PT AND/OR FAM W/E&M 45MIN 266.60 4/1/2013
96100033 HCPR PSYCH THPY GRP FAMILY MULTI 0.00 4/1/2013
96100034 HCPR PSYCH THERAPY GROUP - IOP 0.00 4/1/2013
97700001 HCPR ACUPUNCTURE W/O E-STIM INITIAL 15 MIN 143.81 4/1/2013
98100001 HCPR I&D ABSCESS SIMPLE 226.25 4/1/2013
98100003 HCPR I&D CYST PILONIDAL SIMPLE 241.50 4/1/2013
98100004 HCPR INC/REMV FOREIGN BODY SUBQ SIMPLE 218.49 4/1/2013
98100006 HCPR I&D HEMATOMA/SEROMA/FLUID 249.52 4/1/2013
98100007 HCPR ASPIRATION ABSCESS/HEMATOMA/BULLA/CYST 301.53 4/1/2013
98100012 HCPR EVAC HEMATOMA SUBUNGAL 98.87 4/1/2013
98100013 HCPR EXCISION NAIL & MATRIX 376.53 4/1/2013
98100015 HCPR EXCISION WEDGE SKIN NAIL FOLD 140.54 4/1/2013

98100016 HCPR REPAIR LAC SIMPLE SCALP/HAND/FT/GEN

25000004101 ACETAMINOPHEN 325 MG TABLET 1.50 4/1/2013
25000004102 ACETAMINOPHEN 500 MG TABLET 3.00 4/1/2013
25000004105 ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY 3.00 4/1/2013
25000004134 ACIDOPHILUS-PECTIN, CITRUS 25 MILLION CELL-100 MG TABLET 3.00 4/1/2013
25000004324 ALPRAZOLAM 0.25 MG TABLET 3.00 4/1/2013
25000004325 ALPRAZOLAM 0.5 MG TABLET 3.00 4/1/2013
25000004664 ASCORBIC ACID 500 MG TABLET 1.50 4/1/2013
25000004679 ASPIRIN 81 MG CHEWABLE TABLET 3.00 4/1/2013
25000004681 ASPIRIN 325 MG TABLET 3.00 4/1/2013
25000004688 ASPIRIN 81 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
25000004717 ATENOLOL 25 MG TABLET 5.08 4/1/2013
25000004851 BACITRACIN 50,000 UNIT IM 39.69 4/1/2013
25000004860 BACLOFEN 10 MG TABLET 3.00 4/1/2013
25000005123 ACETYLCYSTEINE 200 MG/ML (20 %) SOLN 12.45 4/1/2013
25000005250 ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) NEB SOLUTION 1.00 4/1/2013
25000005388 AMIKACIN 250 MG/ML INJECTION 30.99 4/1/2013
25000005407 AMINOPHYLLINE 250 MG/10 ML IV 4.26 4/1/2013
25000005469 AMPICILLIN 1 GRAM SOLUTION FOR INJECTION 17.03 4/1/2013
25000005472 AMPICILLIN 2 GRAM SOLUTION FOR INJECTION 6.83 4/1/2013
25000005474 AMPICILLIN 500 MG SOLUTION FOR INJECTION 8.29 4/1/2013
25000005730 ATROPINE 0.1 MG/ML SYRINGE 0.22 4/1/2013
25000005731 ATROPINE 0.4 MG/ML INJECTION 0.11 4/1/2013
27000061587 PACK C-SECTION 372.83 4/1/2013
27050001190 CUFF TOURNIQUET STRL 34X4 BRN 113.00 4/1/2013
27050001218 SUTURE CV-6 TT-13 30 IN 85.63 4/1/2013
27050001227 CUFF TOURNIQUET STERILE 24 GRN 90.92 4/1/2013
27050001262 BIT DRL 2.7X160MM CANN QC 1,457.10 4/1/2013
27050001263 BIT DRILL CANN 3.5 310-68 1,457.10 4/1/2013
27050001299 NEEDLE MICRO DISSECTION N103A 169.65 4/1/2013
27050001315 TUBING ULTRASOFT 6FT LENGTH 149.62 4/1/2013
27050001419 DRILL BIT 4.0MM 3FLT 195/170MM 458.17 4/1/2013
27050001500 SUTURE VICRYL 5-0 P-2 14.87 4/1/2013
27050001570 COAGULATOR SUCTION FOOT 10F 22.68 4/1/2013
27050001571 ELECTRODE CAUTERY EXT BLADE 19.19 4/1/2013
27050001587 PACK C-SECTION 373.44 4/1/2013
27050001598 IMMOBILIZER KNEE 24 60.81 4/1/2013
27050001605 SUTURE SKIN STAPLER 19.22 4/1/2013
27050001608 IMMOBILIZER SHOULDER MED 27.85 4/1/2013
27050001686 BRA SUPPORT XLG 134.73 4/1/2013
27050001687 BRA SUPPORT LG 193.56 4/1/2013
27050001753 IMMOBILIZER ENCLOSED SM MD 20.44 4/1/2013
27050001755 IMMOBILIZER KNEE 13 UNIVERSAL 63.34 4/1/2013
27050001756 IMMOBILIZER KNEE 20 UNIVERSAL 66.51 4/1/2013
27050001758 STOCKINETTE 6 IN 20.94 4/1/2013
27050001784 PACK EENT 55.73 4/1/2013
27050001785 PACK EXTREMITY OR 36.37 4/1/2013
27050001791 PACK KNEE CUSTOM 1,490.56 4/1/2013
27050001792 MODULE TOTAL HIP PBDS 911.87 4/1/2013
27050001794 DRAPE LAPAROTOMY 29.22 4/1/2013
27050001799 DRAPE THYROID W/ARM BOARD 21.12 4/1/2013
27050001802 TUBING SMOKE EVACUATOR STER 46.79 4/1/2013
27050001941 BOWL VACUUM SMARTMIX CTS 561.54 4/1/2013
27050001943 SUTURE SILK PRECUT 2-0 A305H 8.11 4/1/2013
27050001947 SUTURE SILK GI CR/5 2-0 C-0125 21.25 4/1/2013
27050001961 SUTURE PROLENE GC 1 8425H 8.34 4/1/2013
27050001963 SUTURE PLAIN GC 3-0 852H 30.87 4/1/2013
27050001964 SUTURE CHROMIC 3-0 27 G122H 8.42 4/1/2013
27050001965 SUTURE CHROMIC GI 2-0 G-123H 30.86 4/1/2013
27050001969 SUTURE PLAIN CUT 3-0 H822H 25.84 4/1/2013
27150001546 BINDER ABD M/F UNIVERSAL ADJ 25.94 4/1/2013
27150001588 BLANKET WARMING LOWER BODY 23.30 4/1/2013
27150001762 STOCKING THIGH MED REG 23.57 4/1/2013
27250001114 BLADE MICROSAG SH 9.5X25.5X4X6 240.66 4/1/2013
27250001174 BIT DRILL QUICK 2.5MM X 110MM 241.88 4/1/2013
27250001176 BIT DRL 2.7X100MM QC 266.25 4/1/2013
27250001199 LOOP TUR CUTTING 24 FR 225.38 4/1/2013
27250001202 BIT DRL 5X300MM LG CANN 1,440.03 4/1/2013
27250001216 PROTECTOR CORNEAL CROUCH 25.64 4/1/2013
27250001257 BIT DRL 3.2X145MM QC 233.36 4/1/2013
27250001258 BIT DRL 3.5X110MM QC 256.13 4/1/2013
27250001298 SHEATH ENDO SCRUB OD 165.02 4/1/2013
27250001309 LOOP CUTTING ANGLED 27FR 354.31 4/1/2013
27250001376 SEPRAFILM 1,027.58 4/1/2013
27250001382 SHEATH ENDOSRUD 4.0MM STORZ/WO 168.08 4/1/2013
27250001384 CLIP APPLIER SURGICLIP 13 189.26 4/1/2013
27250001425 BIT DRL 3.2X170MM CANN QC 1,575.60 4/1/2013
27250001431 SUTURE ETHILON 10-0 9000G 54.37 4/1/2013
27250001433 SUTURE PLAIN 6-0 PC-1 18.28 4/1/2013
27250001458 KNIFE CRESCENT ANGLED 57.30 4/1/2013
27250001460 BLADE RAD 40 CURVED 584.80 4/1/2013
27250001471 PATTIES SURGICAL .5 X 3 4.46 4/1/2013
27250001478 ELECTRODE NEEDLE DISP 1,462.60 4/1/2013
27250001480 RESERVOIR OMMAYA NL850-1212 1,501.26 4/1/2013
27250001498 SUTURE VICRYL 7-0 TG1408 45.48 4/1/2013
27250001502 TIP CAUTERY EYE FINE 34.00 4/1/2013
27250001524 HEMOVAC MEDIUM 1/8 30.68 4/1/2013
27250001561 SUTURE PLAIN GUT 6-0 HE1 G1770 44.09 4/1/2013
27250001562 SUTURE BONE WAX 50.32 4/1/2013
27250001618 SPEARS CEL 152.80 4/1/2013
27250001622 DRAIN BLAKE 10MM FLAT 3/16 TRO 223.58 4/1/2013

27250001628 SUTURE SILK 6-0 S1769K 32.78 4/1/2013
27250001643 BLANKET WARMING UPPER BODY 23.30 4/1/2013
27250001661 SUTURE GORE CV-0 THX-26 36 IN 966.46 4/1/2013
27250001676 BLADE ELECTRODE EXT STERILE 60.94 4/1/2013
27250001690 BLADE OSCILLATING SAW 5071-572 129.88 4/1/2013
27250001695 BARRIER INTERCEED ABSORB TC-7 1,151.11 4/1/2013
27250001742 CORD BIPOLAR DISPOSABLE 44.24 4/1/2013
27250001746 SPONGE GELFOAM GEL SZ100 1974 80.05 4/1/2013
27250001775 TRAY FOLEY 16FR 5CC 27.50 4/1/2013
27250001778 TRAY FOLEY W/URINE METER 16FR 47.90 4/1/2013
27250001789 PACK ARTHOSCOPY SHOULDER 248.87 4/1/2013
27250001795 DRAPE MINOR PROCEDURE 22.16 4/1/2013
27250001797 PACK GENERAL ORTHOPEDIC 71.63 4/1/2013
27250001798 PACK UNIVERSAL SPLIT 47.10 4/1/2013
27250001800 PACK TRANSVERSE LAP SHEET 22.46 4/1/2013
27250001804 CAUTERY VASECTOR 30.87 4/1/2013
27250001936 TRAY PARACERVICAL BLOCK 29.91 4/1/2013
27250001946 SUTURE SILK GI CR/5 3-0 C-0135 55.03 4/1/2013
27250001953 SUTURE NYLON RETENTION 2 490T 12.74 4/1/2013
27250001988 TRAY URINE METER 24.98 4/1/2013
27850001155 SCREW CANC 4X30MM PT 68.76 4/1/2013
27850001156 SCREW CANC 4X35MM PT 53.33 4/1/2013
27850001157 SCREW CANC 4X40MM PT 53.33 4/1/2013
27850001303 WIRE GUIDE 038X150CM ZEBRA STR 221.41 4/1/2013
27850001306 CATHETER DBL LUMEN URET 10FX50 272.75 4/1/2013
27850001340 SCREW CANN 7.3X90MM 16MM THRD 850.91 4/1/2013
27850001341 SCREW CANN 7.3X100MM 16MM THRD 936.59 4/1/2013
27850001357 GUIDEWIRE 2.8X300MM THRD TROC PNT 147.99 4/1/2013
27850001396 SCREW 12.7MM THRD 85MM LAG DHS 1,061.50 4/1/2013
27850001417 PLATE 135 DEG 4HL STD BRL DHS 1,792.34 4/1/2013
27850001463 SCREW HARRIS GALANTE 6.5X30 SELF-TAP 263.58 4/1/2013
27850001560 SURGICEL HEMOSTAT 2 X 14 211.75 4/1/2013
27850001645 STEM TIB PRECOAT SZ4 59803702 4,079.76 4/1/2013
27850001656 BALLOON UROMAX PLUS 18FR 4CM 861.41 4/1/2013
27850001665 SCREW HARRIS GALANTE 6.5X25MM 263.58 4/1/2013
27850008532 CATHETER EMBOLECTOMY 4FR 133.51 4/1/2013
27850025304 CATHETER OPEN URET 5FRX70CM 46.19 4/1/2013
63700001101 ACETAMINOPHEN 325 MG TABLET 3.00 4/1/2013
63700001103 ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY 3.00 4/1/2013
63700001104 ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY 3.21 4/1/2013
63700001105 ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY 3.00 4/1/2013
63700001134 ACIDOPHILUS-PECTIN, CITRUS 25 MILLION CELL-100 MG TABLET 3.00 4/1/2013
63700001250 ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) NEB SOLUTION 1.00 4/1/2013
63700001310 ALLOPURINOL 100 MG TABLET 3.00 4/1/2013
63700001311 ALLOPURINOL 300 MG TABLET 3.00 4/1/2013
63700001324 ALPRAZOLAM 0.25 MG TABLET 4.04 4/1/2013
63700001325 ALPRAZOLAM 0.5 MG TABLET 4.83 4/1/2013
63700001364 AMANTADINE 100 MG CAPSULE 9.81 4/1/2013
63700001365 AMANTADINE 50 MG/5 ML SYRUP 9.09 4/1/2013
63700001432 AMITRIPTYLINE 10 MG TABLET 3.00 4/1/2013
63700001435 AMITRIPTYLINE 25 MG TABLET 3.00 4/1/2013
63700001436 AMITRIPTYLINE 50 MG TABLET 3.00 4/1/2013
63700001450 AMOXICILLIN 250 MG CAPSULE 1.50 4/1/2013
63700001567 ANTIPYRINE-BENZOCAINE 5.4 %-1.4 % EAR DROPS 41.44 4/1/2013
63700001663 ASCORBIC ACID 250 MG TABLET 3.00 4/1/2013
63700001664 ASCORBIC ACID 500 MG TABLET 3.00 4/1/2013
63700001679 ASPIRIN 81 MG CHEWABLE TABLET 3.00 4/1/2013
63700001681 ASPIRIN 325 MG TABLET 3.00 4/1/2013
63700001685 ASPIRIN 325 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
63700001688 ASPIRIN 81 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
63700001693 ASPIRIN 300 MG RECTAL SUPPOSITORY 9.26 4/1/2013
63700001717 ATENOLOL 25 MG TABLET 5.08 4/1/2013
63700001718 ATENOLOL 50 MG TABLET 5.67 4/1/2013
63700001807 B-COMPLEX WITH VITAMIN C TABLET 3.00 4/1/2013
63700001852 BACITRACIN 500 UNIT/G EYE OINTMENT 290.64 4/1/2013
63700001860 BACLOFEN 10 MG TABLET 3.00 4/1/2013
63700001998 BENZTROPINE 0.5 MG TABLET 3.00 4/1/2013
63700001999 BENZTROPINE 1 MG TABLET 3.00 4/1/2013
250000041079 BISACODYL 5 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
250000041222 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION 7.82 4/1/2013
250000041223 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION 7.43 4/1/2013
250000041224 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION 14.10 4/1/2013
250000041306 CALCIUM CHLORIDE 100 MG/ML (10 %) IV SYRINGE 27.94 4/1/2013
250000041622 CHLORDIAZEPOXIDE 10 MG CAPSULE 3.00 4/1/2013
250000041623 CHLORDIAZEPOXIDE 25 MG CAPSULE 3.00 4/1/2013
250000041661 CHLORTHALIDONE 25 MG TABLET 3.00 4/1/2013
250000041740 CLINDAMYCIN 150 MG CAPSULE 4.40 4/1/2013
250000041755 CLONIDINE 0.1 MG TABLET 3.00 4/1/2013
250000041792 COCAINE 4 % TOPICAL SOLN 267.16 4/1/2013
250000042025 CYCLOPENTOLATE 1 % EYE DROPS 52.45 4/1/2013
250000042110 SODIUM HYPOCHLORITE 0.5 % SOLN 66.08 4/1/2013
250000042405 DIAZEPAM 5 MG TABLET 3.00 4/1/2013
250000042418 DICYCLOMINE 10 MG CAPSULE 3.00 4/1/2013
250000042444 DIGOXIN 125 MCG TABLET 3.00 4/1/2013
250000042445 DIGOXIN 250 MCG TABLET 3.00 4/1/2013
250000042566 DOCUSATE SODIUM 100 MG CAPSULE 3.00 4/1/2013
250000042622 DOXYCYCLINE HYCLATE 100 MG IV SOLUTION 84.45 4/1/2013
250000042623 DOXYCYCLINE HYCLATE 100 MG CAPSULE 3.00 4/1/2013
250000042833 EPHEDRINE SULFATE 50 MG/ML INJECTION 3.87 4/1/2013
250000042888 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 44.31 4/1/2013

250000043074 FERROUS SULFATE 325 MG (65 MG IRON) TABLET 3.00 4/1/2013
250000043232 FOLIC ACID 5 MG/ML INJECTION 107.89 4/1/2013
250000043233 FOLIC ACID 1 MG TABLET 3.00 4/1/2013
250000043294 FUROSEMIDE 20 MG TABLET 3.00 4/1/2013
250000043295 FUROSEMIDE 40 MG TABLET 1.50 4/1/2013
250000043489 GLYBURIDE 5 MG TABLET 3.00 4/1/2013
250000043497 GLYCOPYRROLATE 0.2 MG/ML INJECTION 8.49 4/1/2013
250000043583 HALOPERIDOL 5 MG TABLET 3.00 4/1/2013
250000043700 HYDRALAZINE 25 MG TABLET 3.00 4/1/2013
250000043720 HYDROCHLOROTHIAZIDE 25 MG TABLET 3.00 4/1/2013
250000043725 HYDROCORTISONE 0.5 % TOPICAL CREAM 9.32 4/1/2013
250000043774 HYDROXYZINE 25 MG TABLET 3.00 4/1/2013
250000043841 IBUPROFEN 200 MG TABLET 3.00 4/1/2013
250000043843 IBUPROFEN 400 MG TABLET 3.00 4/1/2013
250000043844 IBUPROFEN 600 MG TABLET 3.00 4/1/2013
250000044065 ISOSORBIDE DINITRATE 20 MG TABLET 3.00 4/1/2013
250000044236 KETAMINE 10 MG/ML INJECTION 43.86 4/1/2013
250000044238 KETAMINE 50 MG/ML INJECTION 17.53 4/1/2013
250000044294 CYSTEINE (L-CYSTEINE) 50 MG/ML IV 43.12 4/1/2013
250000044420 LEVOTHYROXINE 25 MCG TABLET 3.00 4/1/2013
250000044423 LEVOTHYROXINE 100 MCG TABLET 3.00 4/1/2013
250000044448 LIDOCAINE 2 % MUCOSAL GEL 35.63 4/1/2013
250000044450 LIDOCAINE 4 % MUCOSAL SOLN 16.51 4/1/2013
250000044572 LORAZEPAM 0.5 MG TABLET 3.00 4/1/2013
250000044573 LORAZEPAM 1 MG TABLET 3.00 4/1/2013
250000044749 MANNITOL 20 % IV 57.15 4/1/2013
250000044953 METHADONE 10 MG TABLET 3.00 4/1/2013
250000044954 METHADONE 5 MG TABLET 3.00 4/1/2013
250000044985 METHYLENE BLUE (ANTIDOTE) 1 % INJECTION 42.49 4/1/2013
250000045007 METOPROLOL 5 MG/5 ML IV 4.32 4/1/2013
250000045009 METOPROLOL TARTRATE 50 MG TABLET 3.64 4/1/2013
250000045330 NADOLOL 20 MG TABLET 3.56 4/1/2013
250000045558 NIFEDIPINE 10 MG CAPSULE 3.00 4/1/2013
250000045593 NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE 4.63 4/1/2013
250000045599 NITROGLYCERIN 50 MG/10 ML (5 MG/ML) IV 21.85 4/1/2013
250000045604 NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 29.42 4/1/2013
250000045606 NITROGLYCERIN 2 % TRANSDERMAL OINTMENT 7.80 4/1/2013
250000045940 OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 3.00 4/1/2013
250000046087 PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION 234.23 4/1/2013
250000046246 PHENYLEPHRINE 2.5 % EYE DROPS 14.35 4/1/2013
250000046257 PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE 3.00 4/1/2013
250000046432 POTASSIUM CHLORIDE 10 % ORAL LIQUID 3.00 4/1/2013
250000046436 POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 2.32 4/1/2013
250000046451 POTASSIUM PHOSPHATE DIBASIC 3 MILLIMOLE/ML IV 13.97 4/1/2013
250000046487 PREDNISOLONE ACETATE 1 % EYE DROPS, SUSP 24.45 4/1/2013
250000047108 SCOPOLAMINE 0.4 MG/ML INJECTION 29.15 4/1/2013
250000047224 SILVER SULFADIAZINE 1 % TOPICAL CREAM 8.22 4/1/2013
250000047227 SIMETHICONE 80 MG CHEWABLE TABLET 3.00 4/1/2013
250000047301 SODIUM ACETATE 2 MEQ/ML IV 3.00 4/1/2013
250000047309 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) IV SYRINGE 96.84 4/1/2013
250000047319 SODIUM CHLORIDE 0.9 % SYRINGE 40.71 4/1/2013
250000047322 SODIUM CHLORIDE 4 MEQ/ML IV 13.34 4/1/2013
250000047351 SODIUM PHOSPHATE 3 MILLIMOLE/ML IV 3.81 4/1/2013
250000047437 SPIRONOLACTONE 25 MG TABLET 3.00 4/1/2013
250000047485 WATER FOR IRRIGATION, STERILE SOLUTION 6.35 4/1/2013
250000047795 TETRACAINE 0.5 % EYE DROPS 40.68 4/1/2013
250000047857 THERAPEUTIC MULTIVITAMIN TABLET 3.00 4/1/2013
250000047877 THIAMINE 100 MG TABLET 3.00 4/1/2013
250000048085 TRAZODONE 50 MG TABLET 3.00 4/1/2013
250000048250 TROPICAMIDE 1 % EYE DROPS 136.68 4/1/2013
250000048259 TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL 7.84 4/1/2013
250000048478 VASOPRESSIN 20 UNIT/ML INJECTION 6.38 4/1/2013
250000048527 VERAPAMIL 2.5 MG/ML IV 6.25 4/1/2013
250000048748 WARFARIN 10 MG TABLET 3.00 4/1/2013
250000048751 WARFARIN 5 MG TABLET 3.00 4/1/2013
250000049066 AMIODARONE 200 MG TABLET 1.50 4/1/2013
250000049071 AMLODIPINE 5 MG TABLET 3.00 4/1/2013
250000049185 AZTREONAM 1 GRAM SOLUTION FOR INJECTION 176.05 4/1/2013
250000049324 BUSPIRONE 5 MG TABLET 3.00 4/1/2013
250000049385 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET 3.00 4/1/2013
250000049413 CARBOPROST TROMETHAMINE 250 MCG/ML IM 589.35 4/1/2013
250000049458 CEFOTETAN 1 GRAM SOLUTION FOR INJECTION 52.93 4/1/2013
250000049500 CEPHALEXIN 500 MG CAPSULE 3.00 4/1/2013
250000049626 CLINDAMYCIN 600 MG/50 ML IN DEXTROSE 5% IV PIGGY BACK 45.84 4/1/2013
250000049627 CLINDAMYCIN 900 MG/50 ML IN DEXTROSE 5% IV PIGGY BACK 15.66 4/1/2013
250000049637 CLONAZEPAM 0.5 MG TABLET 3.00 4/1/2013
250000049638 CLONAZEPAM 1 MG TABLET 5.75 4/1/2013
250000049701 CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS 94.53 4/1/2013
250000049774 DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML SYRUP 3.00 4/1/2013
250000049799 POTASSIUM CHLORIDE 10 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013
250000049801 POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013
250000049807 POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.45 % SODIUM CHLORIDE IV 12.70 4/1/2013
250000049929 ENALAPRILAT 1.25 MG/ML IV 21.47 4/1/2013
250000049957 ESMOLOL 100 MG/10 ML (10 MG/ML) IV 64.39 4/1/2013
250000051223 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION 4.47 4/1/2013
250000051224 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION 8.49 4/1/2013
250000051312 CALCIUM GLUCONATE 100 MG/ML (10 %) IV 12.32 4/1/2013
250000051445 CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION 1.99 4/1/2013
250000051448 CEFAZOLIN 500 MG SOLUTION FOR INJECTION 5.19 4/1/2013
250000051463 CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR INJECTION 42.68 4/1/2013

250000051465 CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION 29.11 4/1/2013
250000051649 CHLORPROMAZINE 25 MG/ML INJECTION 39.86 4/1/2013
250000051653 CHLORPROMAZINE 10 MG TABLET 3.03 4/1/2013
250000051656 CHLORPROMAZINE 25 MG TABLET 4.33 4/1/2013
250000052007 CYANOCOBALAMIN (VITAMIN B-12) 1,000 MCG/ML INJECTION 3.22 4/1/2013
250000052327 DEXAMETHASONE 4 MG TABLET 0.04 4/1/2013
250000052331 DEXAMETHASONE 10 MG/ML INJECTION 0.33 4/1/2013
250000052332 DEXAMETHASONE 4 MG/ML INJECTION 1.66 4/1/2013
250000052357 DEXTROSE 10 % IN WATER (D10W) IV SOLN 12.70 4/1/2013
250000052361 DEXTROSE 25 % IN WATER (D25W) IV SYRINGE 55.25 4/1/2013
250000052365 DEXTROSE 50 % IN WATER (D50W) IV 15.24 4/1/2013
250000052367 DEXTROSE 70 % IN WATER (D70W) IV 28.58 4/1/2013
250000052508 DIPHENHYDRAMINE 50 MG/ML INJECTION 21.83 4/1/2013
250000052509 DIPHENHYDRAMINE 25 MG CAPSULE 3.00 4/1/2013
250000052510 DIPHENHYDRAMINE 50 MG CAPSULE 3.00 4/1/2013
250000052511 DIPHENHYDRAMINE 12.5 MG/5 ML ELIXIR 3.00 4/1/2013
250000052616 DOXORUBICIN 2 MG/ML IV 20.09 4/1/2013
250000052654 DROPERIDOL 2.5 MG/ML INJECTION 19.44 4/1/2013
250000052848 EPINEPHRINE 0.1 MG/ML (1:10,000) SYRINGE 7.92 4/1/2013
250000052850 EPINEPHRINE 1 MG/ML (1:1,000) INJECTION 3.00 4/1/2013
250000052903 ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLUTION 74.73 4/1/2013
250000053037 FENTANYL (PF) 50 MCG/ML INJECTION 5.40 4/1/2013
250000053211 FLUOROURACIL 50 MG/ML IV 10.66 4/1/2013
250000053215 FLUPHENAZINE DECANOATE 25 MG/ML INJECTION 104.71 4/1/2013
250000053291 FUROSEMIDE 10 MG/ML INJECTION 1.50 4/1/2013
250000053426 GENTAMICIN 40 MG/ML INJECTION 11.54 4/1/2013
250000053584 HALOPERIDOL 5 MG/ML INJECTION 7.67 4/1/2013
250000053697 HYDRALAZINE 20 MG/ML INJECTION 26.34 4/1/2013
250000053743 HYDROCORTISONE 100 MG/2 ML SOLUTION FOR INJECTION 105.20 4/1/2013
250000053757 HYDROMORPHONE (PF) 1 MG/ML SYRINGE 15.18 4/1/2013
250000053769 HYDROXYZINE 25 MG/ML IM 15.18 4/1/2013
250000053770 HYDROXYZINE 50 MG/ML IM 8.35 4/1/2013
250000053865 IMMUNE GLOBULIN (HUMAN) (IGG) 3 GRAM IV SOLUTION 201.88 4/1/2013
250000053990 IRON DEXTRAN 50 MG/ML INJECTION 64.35 4/1/2013
250000054318 LACTATED RINGERS IV 3.82 4/1/2013
250000054454 LIDOCAINE 20 MG/ML (2 %) INJECTION 0.24 4/1/2013
250000054719 MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IV PIGGY BACK 1.83 4/1/2013
250000054720 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION 1.68 4/1/2013
250000054750 MANNITOL 25 % IV 6.67 4/1/2013
250000054904 MEPERIDINE (PF) 50 MG/ML INJECTION 4.91 4/1/2013
250000054974 METHOTREXATE SODIUM 25 MG/ML INJECTION 1.39 4/1/2013
250000054995 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP FOR INJECTION 17.21 4/1/2013
250000055002 METOCLOPRAMIDE 5 MG/ML INJECTION 3.00 4/1/2013
250000055018 METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 0.18 4/1/2013
250000055168 MORPHINE 10 MG/ML INJECTION 4.42 4/1/2013
250000055170 MORPHINE 2 MG/ML SYRINGE 28.91 4/1/2013
250000055172 MORPHINE 4 MG/ML SYRINGE 13.86 4/1/2013
250000055339 NALBUPHINE 10 MG/ML INJECTION 3.70 4/1/2013
250000055373 NALOXONE 0.4 MG/ML INJECTION 97.59 4/1/2013
250000055374 NALOXONE 1 MG/ML SYRINGE 36.43 4/1/2013
250000055490 NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTION 3.00 4/1/2013
250000055926 OXACILLIN 2 GRAM SOLUTION FOR INJECTION 14.46 4/1/2013
250000055944 OXYTOCIN 10 UNIT/ML INJECTION 6.44 4/1/2013
250000056030 PAPAVERINE 30 MG/ML INJECTION 15.18 4/1/2013
250000056086 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION 3.43 4/1/2013
250000056242 PHENYLEPHRINE 10 MG/ML INJECTION 3.66 4/1/2013
250000056271 PHYTONADIONE 1 MG/0.5 ML SYRINGE 22.76 4/1/2013
250000056420 POTASSIUM ACETATE 2 MEQ/ML IV 0.15 4/1/2013
250000056427 POTASSIUM CHLORIDE 10 MEQ/100 ML IV PIGGY BACK 2.79 4/1/2013
250000056429 POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN 3.00 4/1/2013
250000056493 PREDNISONE 1 MG TABLET 3.00 4/1/2013
250000056494 PREDNISONE 10 MG TABLET 1.50 4/1/2013
250000056496 PREDNISONE 20 MG TABLET 0.75 4/1/2013
250000056497 PREDNISONE 5 MG TABLET 3.00 4/1/2013
250000057319 SODIUM CHLORIDE 0.9 % SYRINGE 40.71 4/1/2013
250000057536 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION 0.99 4/1/2013
250000057876 THIAMINE HCL 100 MG/ML INJECTION 20.79 4/1/2013
250000058442 VANCOMYCIN 1,000 MG IV SOLUTION 13.36 4/1/2013
250000058443 VANCOMYCIN 500 MG IV SOLUTION 13.66 4/1/2013
250000058595 VINBLASTINE 10 MG IV POWDER FOR SOLUTION 6.59 4/1/2013
250000058597 VINCRISTINE 1 MG/ML IV 24.77 4/1/2013
250000058975 ADENOSINE 3 MG/ML IV 27.93 4/1/2013
250000058981 ALBUMIN, HUMAN 25 % IV 277.50 4/1/2013
250000058982 ALBUMIN, HUMAN 5 % IV 55.56 4/1/2013
250000059002 ALTEPLASE 100 MG IV SOLUTION 296.63 4/1/2013
250000059065 AMIODARONE 50 MG/ML IV 0.96 4/1/2013
250000059266 BETAMETHASONE ACET & SOD PHOS 6 MG/ML SUSP FOR INJECTION 20.36 4/1/2013
250000059412 CARBOPLATIN 50 MG IV POWDER FOR SOLUTION 254.48 4/1/2013
250000059461 CEFOXITIN 1 GRAM IV SOLUTION 22.30 4/1/2013
250000059463 CEFOXITIN 2 GRAM IV SOLUTION 20.85 4/1/2013
250000059474 CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION 9.57 4/1/2013
250000059476 CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION 12.98 4/1/2013
250000059487 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION 1.92 4/1/2013
250000059488 CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION 2.30 4/1/2013
250000059489 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION 6.09 4/1/2013
250000059490 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION 3.08 4/1/2013
250000059603 IMIPENEM-CILASTATIN 500 MG IV SOLUTION 40.05 4/1/2013
250000059611 CIPROFLOXACIN 400 MG/200 ML IN DEXTROSE 5 % IV PIGGY BACK 6.35 4/1/2013
250000059612 CISPLATIN 1 MG/ML IV 15.22 4/1/2013
250000059686 COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION 486.66 4/1/2013

250000059722 DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION 37.52 4/1/2013
250000059748 DESMOPRESSIN 4 MCG/ML INJECTION 29.32 4/1/2013
250000059869 DILTIAZEM 5 MG/ML IV 7.36 4/1/2013
250000059891 DIPYRIDAMOLE 5 MG/ML IV 37.42 4/1/2013
250000059931 ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE 10.45 4/1/2013
250000059938 EPOETIN ALFA 10,000 UNIT/ML INJECTION 93.38 4/1/2013
250000059939 EPOETIN ALFA 2,000 UNIT/ML INJECTION 93.38 4/1/2013
250000059941 EPOETIN ALFA 4,000 UNIT/ML INJECTION 93.40 4/1/2013
250000068259 TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL 13.04 4/1/2013
250000082364 DEXTROSE 5 % IN WATER (D5W) IV 58.76 4/1/2013
250000084318 LACTATED RINGERS IV 6.35 4/1/2013
250000087318 SODIUM CHLORIDE 0.45 % IV 3.18 4/1/2013
250000089808 DEXTROSE 10 % AND 0.2 % SODIUM CHLORIDE IV 33.34 4/1/2013
250000089812 DEXTROSE 5 % AND 0.225 % SODIUM CHLORIDE IV 12.70 4/1/2013
250000089814 DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE IV 9.53 4/1/2013
250000089815 DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE IV 3.18 4/1/2013
270500011044 SUTURE CHR0MIC 4-0 U203H 8.86 4/1/2013
270500011059 PAD LAMBS WOOL DERMACARE 57.15 4/1/2013
270500011067 SUTURE PROLENE 2-0 8833H 26.47 4/1/2013
270500011084 SUTURE VICRYL 3-0 J423H 8.74 4/1/2013
270500011085 SUTURE VICRYL CUT 4-0 J422H 21.59 4/1/2013
270500011113 CATHETER FOLEY 3WAY 24FR 30CC 46.38 4/1/2013
270500011148 SUTURE VICRYL 5-0 J493H 14.57 4/1/2013
270500011154 NEEDLE BIOPSY 16G 160.25 4/1/2013
270500011201 GARMENT VASSOPRESS THIGH MED 79.38 4/1/2013
270500011220 GARMENT VASOPRESS THIGH LG 91.30 4/1/2013
270500011226 TUBE TRACH DISP 8DCT 167.51 4/1/2013
270500011294 NEEDLE SURGINEEDLE 120MM 36.37 4/1/2013
270500011387 SOLUTION ANTI-FOG DEXIDE FRED 72.84 4/1/2013
270500011493 SUTURE VICRYL 0 J603H 7.67 4/1/2013
270500011496 CATHETER FOLEY 16FR 5CC RIBBED 45.73 4/1/2013
270500011530 DRAIN WOUND WITH TROCAR 1/8 98.38 4/1/2013
270500011552 TUBE W/WIRE COLLAR BUTTON 1.2 26.37 4/1/2013
270500011573 PAD KNEE THERMAL U SHAPED 140.43 4/1/2013
270500011584 RESERVOIR CEREBRAL CATH 5CM 794.56 4/1/2013
270500011613 CATHETER FOLEY 3WAY 22FR 30CC 31.21 4/1/2013
270500011621 TUBE GROMMET BEVELED 59.02 4/1/2013
270500011629 BLANKET KNEE FULL 187.94 4/1/2013
270500011702 BUR 5093-236 210.10 4/1/2013
270500011765 NEEDLE MICRO DISSECTION N110A 216.40 4/1/2013
270500011777 COVER VASOPRESS FOOT REGULAR 95.50 4/1/2013
270500011782 TUBING PSI-TEC ASPIRATION 47.75 4/1/2013
270500011803 TUBING 12FT X .25IN STERILE 74.34 4/1/2013
270500011806 CAUTERY PENCIL SMOKE 41.26 4/1/2013
270500011831 GELFOAM COMPRESSED ABS SZ100 80.05 4/1/2013
270500011835 PACK ENDO SINIS/SEPTO 190.43 4/1/2013
270500011836 BLADE SURGICAL CLIPPER SINGLE 42.97 4/1/2013
270500011842 DRAPE LAPAROTOMY 21.65 4/1/2013
270500011886 BINDER ABDOMINAL MED-LG 25.94 4/1/2013
270500011910 BIT DRL 1.5X65MM QC 266.25 4/1/2013
270500011914 DRAPE PROBE 5 X 96 72.71 4/1/2013
270500011916 PIN DISTRACTION CASPAR 14MM 305.60 4/1/2013
270500011929 AUGMENTATION COMBO 96-0888 1,457.71 4/1/2013
270500011982 ELECTRODE ANGLED BLADE INSUL 5.44 4/1/2013
270500011984 BLADE CVD HARMONIC SCALPEL 561.54 4/1/2013
270500012003 LOOP C-MAX CUTTING 24FR 246.12 4/1/2013
270500012016 PREP EZ PREP 4491 173.16 4/1/2013
270500012039 PACK CRANIOTOMY CUSTOM 458.17 4/1/2013
270500012052 SUTURE ORTHOCORD 2 OS-6 30.72 4/1/2013
270500012126 SUTURE POLYSORB 0 BTP-Y 42.05 4/1/2013
270500012137 SUTURE MONO 3-0 SH-48 16.34 4/1/2013
270500012206 SUTURE MONOCRYL 3-0 PS-2 50.30 4/1/2013
270500012253 BLANKET HYPOTHERMIA ADLT 25X64 39.73 4/1/2013
270500012301 IMMOBILIZER KNEE 24 UNIVERSAL 79.84 4/1/2013
270500012387 PAD HIP BOOT INSERT 637.94 4/1/2013
270500012411 COVER CIV FLEX TRANSDUCER 23.88 4/1/2013
270500012516 WIRE KIRSCHNER 2.5MM W/TROCAR 394.68 4/1/2013
270500012517 GUIDEWIRE 1.1X150MM THRD 103.06 4/1/2013
270500012586 SUTURE POLYSORB 2-0 L13 19.93 4/1/2013
270500012593 PACK MINOR GEN CUSTOM 156.35 4/1/2013
270500012594 PACK FOOT CUSTOM 186.92 4/1/2013
270500012665 SURGIBRA SMALL 210.86 4/1/2013
270500012667 SURGIBRA 2XL 207.27 4/1/2013
270500012739 BUR CARBIDE ZB-136NS 34.38 4/1/2013
270500012787 HELICAL STONE BASKET 665.64 4/1/2013
270500012802 CABLE 1.7X750MM W CRMP 1,562.38 4/1/2013
270500012811 CUFF DOUBLE TOURNIQUET ST 24 162.69 4/1/2013
270500012838 PACK ANGIOGRAPHY 531.09 4/1/2013
270500012839 PACK HEAD AND NECK CUSTOM 195.55 4/1/2013
270500012840 PACK GYN LAPAROSCOPY CUSTOM 283.52 4/1/2013
270500012841 PACK MAJOR BREAST CUSTOM 312.67 4/1/2013
270500012926 LEGEND 14CM 3MM MATCH 348.04 4/1/2013
270500012929 LEGEND 8CM 2.3MM TAPERED 283.64 4/1/2013
270500012931 LEGEND 8CM 1.1MM TAPERED 254.56 4/1/2013
270500012939 LEGEND 7.6CM 3MM METAL CUTTER 515.62 4/1/2013
270500012940 LEGEND 9CM 3MM MATCH 338.41 4/1/2013
270500013013 CATHETER THORACIC SZ 28 22.32 4/1/2013
270500013038 BLADE OSCILLATOR 19.5X71X.8MM 129.88 4/1/2013
270500013148 LEGEND 12CM 2.5MM MATCH TAC 335.13 4/1/2013
270500013263 NEEDLE ACCESS LONG 59.40 4/1/2013

270500013282 INDERMIL TISSUE ADHESIVE 119.18 4/1/2013
270500013426 PIN COVE POINT 105.43 4/1/2013
270500013482 PIN 0.125X3IN TROC 21.36 4/1/2013
270500013633 CLIP LIGATION NON ABSORB POLY 122.79 4/1/2013
270500013832 DISTAL AUG 4MM 96-0881 1,690.01 4/1/2013
270500013889 DRAPE DAVINCI CAMERA ARM 112.69 4/1/2013
270500013897 DRAPE FOR LEICA OH3/OS/MS3 112.69 4/1/2013
270500013987 SUTURE MONOCRYL 4-0 PS-2 16.34 4/1/2013
270500013994 SHIELD EYE TOURGUARD III 76.17 4/1/2013
270500014628 BETADINE 5% 35.34 4/1/2013
270500014655 NEEDLE ULTRA FAST FIX CURVED 1,161.28 4/1/2013
270500014864 CABLE BIPOLAR FTSWITCH 12FT 44.22 4/1/2013
270500014931 PIN 3.2X89MM FLUTED STERILE 1,400.03 4/1/2013
270500014963 GARMENT ABD PLAST FEMALE MED 210.10 4/1/2013
270500014977 PIN PINBALL TM PRELOADED 81.69 4/1/2013
270500015066 DRILL BIT 3.5 1,348.46 4/1/2013
270500015076 WIRE SUPERSTIFF .035 180CM STR 305.60 4/1/2013
270500015095 BIPOLAR CUTTING LOOP .35MM 1,207.76 4/1/2013
270500015103 SUPERTRAX ASPIRATING NDL 21G 1,528.00 4/1/2013
270500015131 BLADE CONCAVE 4.5 LONG CVD FUL RADIUS SHAVER 306.85 4/1/2013
270500015150 NEEDLE JAMSHISI T-HANDLE 8GX6 129.46 4/1/2013
270500015152 KIT GI LAB CUSTOM ENDOKIT 31.48 4/1/2013
270500015165 PACK CLAIN SUPPLEMENTAL 56.84 4/1/2013
270500016252 BURR ABRADER 5.5 DYONICS 453.31 4/1/2013
270500016354 PACK TOTAL SHOULDER 687.07 4/1/2013
270500016375 NEEDLE EUS FNA ASPIRATION 25GA 802.20 4/1/2013
270500016417 MICRO GRID SILIC METRIC RULER 36.67 4/1/2013
270500016424 APPLIER ENDO CLIP 5MM 567.80 4/1/2013
270500016426 HANDLE ENDO GIA UNIVERSAL 12MM 282.76 4/1/2013
270500016443 KIT 800CC CONSRVATON 1/8IN PVC 649.48 4/1/2013
270500016459 VERSAPORT PLUS RPF 5-11MM 178.16 4/1/2013
270500016460 VERSAPORT V2 5MM TROCAR 69.91 4/1/2013
270500016476 RETRACTOR IRIS 611.75 268.78 4/1/2013
270500016479 ADHESIVE TISSUE TOPICAL ST 63.11 4/1/2013
270500016481 VERSAPORT V2 5MM-11MM 179095P 178.17 4/1/2013
270500016487 STAPLER SKIN ROYAL 35 38.44 4/1/2013
270500016529 CAP GELPOINT SEAL 2,005.50 4/1/2013
270500016540 DEVICE FINESS MULTI SINUS DILA 5,871.34 4/1/2013
270500016549 TROCAR BLUNT TIP OMS T10BT 171.99 4/1/2013
270500016551 SET DISPOSABLE COLLECTION 54.25 4/1/2013
270500016569 SCISSOR ENDO LAP CVD 5MM 21CM 291.77 4/1/2013
270500016581 SET INTUBATION BICANALICULAR 290.32 4/1/2013
270500016588 LASSO SUTURE 90 DEGREE 496.60 4/1/2013
270500016592 TOURNIQUET CUFF STERILE 18 RED 87.93 4/1/2013
270500016601 VERSASTEP 12MM LONG 194.67 4/1/2013
270500016605 CANNULA TWIST IN 7X7 95.50 4/1/2013
270500016658 LACRIMAL TREPHINE SISTER .80MM 594.85 4/1/2013
270500016659 LIGHT PROBE LACRIMAL FIBEROPTI 283.64 4/1/2013
270500016660 PROCEDURE KIT LOCATABLE GUIDE OLYMPUS 3,800.90 4/1/2013
270500016661 SENSOR PATIENT PATCH 687.60 4/1/2013
270500016674 SEALER BIPOLAR IRR FRCP 6.0 23-112-1 1,868.94 4/1/2013
270500016686 BRUSH INTRAMEDULLARY 14MM O.D 175.03 4/1/2013
270500016712 STAPLER DLU END GIA ROT 30 2.5 479.62 4/1/2013
270500016713 STAPLER DLU END GIA ROT 45 2.5 548.17 4/1/2013
270500016743 SUTURE SOFSILK 4-0 CV-23 GS46M 333.26 4/1/2013
270500016747 BRUSH BIPOLAR 18G W/CORD 43.82 4/1/2013
270500016771 KIT PREP STERILE 24.37 4/1/2013
270500016850 BRUSH BRONCHOSCOPY CYTOLOGY 38.96 4/1/2013
270500016880 STAPLER PREMIUM 31MM EEA31 890.75 4/1/2013
270500016881 STAPLER PREMIUM 28MM EEA28 890.75 4/1/2013
270500017040 PROBE LAP 5MM ABC 741.13 4/1/2013
270500017222 BOLT LOCKING 4.9MM TI 40MM ST 527.85 4/1/2013
270500017223 BOLT LOCKING 4.9MM TI 42MM ST 527.85 4/1/2013
270500017291 FORCEP RADIAL JAW3 LG W/NEEDLE 59.69 4/1/2013
270500017313 SUCTION PUDDLE GUPPY 28.69 4/1/2013
270500017317 PILLOW HEADREST 7IN 30.40 4/1/2013
270500017352 MONOKA MINI S1.1500U 112.50 4/1/2013
270500017374 MARKER SPERZ-PASSIVE 5-DISP 334.25 4/1/2013
270500017382 VERSASTEP 5MM LONG 163.60 4/1/2013
270500017431 COMPONENT TIB SZ3 RT NPOR 4,270.76 4/1/2013
270500017559 CANCELLOUS 30CC .1-4MM CRUSH 1,564.29 4/1/2013
270500017613 WIRE SNARE CUT SIZE 7 4IN 4.61 4/1/2013
270500017920 CALIBER INFATION DEVICE 30CC 210.10 4/1/2013
270500017923 TOURNIQUET CUFF DBL 18 STR 139.43 4/1/2013
270500017930 TAP FOR 3.5 SCREW 1,348.46 4/1/2013
270500017951 STAPLER ENTACT SEPTAL 3/PK ABS 630.30 4/1/2013
270500017953 PROBE EFLEX LIGAMENT CHISEL W/ CABLE 2,064.29 4/1/2013
270500017954 SUPERTRAX BIOPSY FORCEP FNSTRD 1,308.35 4/1/2013
270500017955 SUPERTRAX CYTOLOGY BRUSH 840.40 4/1/2013
270500018157 REMOVABLE PILOT FOR CANN REAMR 393.46 4/1/2013
270500018158 SCREWDRIVER TIP 3.5MM REVIL 639.09 4/1/2013
270500019047 ADHESIVE SKIN DERMAFLEX 48.71 4/1/2013
270500019253 DRAPE PROSTATECTOMY ROBOTIC PT 245.12 4/1/2013
270500019254 POWDER NEXTSTAT ENT 458.40 4/1/2013
270500019257 WAND AMBIENT SUPER TURBO VAC90 592.10 4/1/2013
270500019372 LIGASURE CURVED SMALL JAW 1,750.55 4/1/2013
270500019641 PIN DRILL TROCAR HANDLE S 2,177.40 4/1/2013
270500019653 LAPAROSCOPIC ADV CARE KT DHELP 21-345 152.61 4/1/2013
270500019726 WAND AMBIENT SUPER MULTI VAC50 592.10 4/1/2013
270500019752 CANNULA FLOWPORTII W/OBTURATOR 1,508.90 4/1/2013

270500019753 TRANSPORT CANNULA 08MM 7 8 9 343.80 4/1/2013
270500019758 DRILL BIT NANOTACK 721.98 4/1/2013
271500011009 STOCKING THIGH LG LONG 23.57 4/1/2013
271500011010 STOCKING THIGH LG REG 23.57 4/1/2013
271500011625 WRAP SHOULDER LG/XLG BREG 128.35 4/1/2013
271500011871 PAD POLAR KNEE/SHLDR UNSTERILE 184.85 4/1/2013
271500025256 COTTON ROLL 9866-00 42.90 4/1/2013
271500026418 SPLINT NASAL SEPTAL DOYLE II 157.58 4/1/2013
271500026939 SPLINT PADDED 4X15 242.38 4/1/2013
271500028163 SPLINT NEIMAN SEPTTAL SILICONE 89.60 4/1/2013
272000011277 PATTIES SURGICAL .25 X 3 2,570.86 4/1/2013
272500011021 SUTURE CHROMIC 4-0 GG121 8.85 4/1/2013
272500011036 DRAIN ROUND 7 FR 2.3MM 77.93 4/1/2013
272500011038 DRAPE ARTHROSCOPY CAMERA 32.66 4/1/2013
272500011039 DRAIN ROUND 1/8 10FR 80.22 4/1/2013
272500011040 DRAIN ROUND 1/4 19FR 33.71 4/1/2013
272500011041 DRAIN ROUND 3/16 15 FR 33.71 4/1/2013
272500011042 DRAIN FLAT PERF 3/4 7MM 120.33 4/1/2013
272500011046 SUTURE PROLENE 5-0 8934H 61.10 4/1/2013
272500011050 DRAPE ISOBAN PATIENT M6617 67.11 4/1/2013
272500011061 SUTURE POLY 5-0 SS14 40.28 4/1/2013
272500011070 SUTURE PROLENE 4-0 8925H 21.74 4/1/2013
272500011095 TAPE COVER RL 12 X 10YD 103.56 4/1/2013
272500011096 DRAIN ROUND FLUTED 19FR 179.07 4/1/2013
272500011106 DRAIN ROUND FLUTED 15FR 151.29 4/1/2013
272500011107 SUTURE PLAIN 2-0 L103G LIGAPAC 34.36 4/1/2013
272500011114 SUTURE PROLENE 6-0 8805H 135.96 4/1/2013
272500011166 SUTURE PROLENE 6-0 32.95 4/1/2013
272500011169 BLADE WHISKER NAVY BLUE 4.5 238.59 4/1/2013
272500011170 BLADE RAZOR PURPLE 3.5MM 238.59 4/1/2013
272500011212 BLADE SCLEROTOME ANG 45 111.42 4/1/2013
272500011213 VALVE HYDROCEPHALUS 4,056.84 4/1/2013
272500011222 WIRE KIRSCHNR TROCAR PT 2.0MM 287.42 4/1/2013
272500011237 BUR ROUND MED 3MM 38.20 4/1/2013
272500011240 SUTURE CHROMIC 6-0 796G 21.82 4/1/2013
272500011247 BIT DRILL WIREPASS 1.5 X 19MM 49.66 4/1/2013
272500011255 CATHETER FOLEY 22FR 5CC 12.61 4/1/2013
272500011259 CATHETER FOLEY 3WAY 20FR 30CC 31.21 4/1/2013
272500011276 SUTURE SURGIPRO 6-0 SP1617G 30.59 4/1/2013
272500011281 TUBE ARMSTRONG BEVELED 58.82 4/1/2013
272500011291 SUTURE ENDOLOP CHROMIC 0 EL10G 128.99 4/1/2013
272500011304 BLADE SAW MICRO RECIP 7.5X25.5 19.10 4/1/2013
272500011332 BLADE SAW RECIPROCATING 38MM 22.92 4/1/2013
272500011333 BLADE SAGITTAL SAW 26.74 4/1/2013
272500011347 SUTURE PROLENE 3-0 8976H 61.14 4/1/2013
272500011356 MODULE LAMINECTOMY PBDS 504.09 4/1/2013
272500011358 LIGACLIP TITANIUM LG LT400 25.43 4/1/2013
272500011359 RESERVOIR CEREBERAL CATHETER 878.60 4/1/2013
272500011365 BLADE OSCILLATING 5MM 19.10 4/1/2013
272500011370 VALVE HYDROCPHOLUS 4,263.12 4/1/2013
272500011378 BLADE OSCILLATING 11.4 X 5.8MM 19.10 4/1/2013
272500011388 SUTURE MERSILENE 4-0 R691G 14.28 4/1/2013
272500011396 BLADE RECIPR LG 26.74 4/1/2013
272500011399 SUTURE ETHIBOND 5 MB-66G 53.71 4/1/2013
272500011420 DRAPE ISOBAN STERI 37.50 4/1/2013
272500011424 BIT DRILL WIREPASS 1.0 X 19MM 42.02 4/1/2013
272500011445 THERMOGARD PLUS ABC ADULT DUAL PAD 7-382 970.28 4/1/2013
272500011454 SUTURE LOOP POLYSORB O EL21L 68.55 4/1/2013
272500011471 CANNISTER SAFETOUCH 39.98 4/1/2013
272500011481 SHEET OPHTHALMIC W/ APERTURE 40.52 4/1/2013
272500011494 TUBING COMBO PACK 5 63.54 4/1/2013
272500011510 BUR CARBIDE CUT RD 4.0MMZB128 45.84 4/1/2013
272500011525 BLADE SJ INCISON TURQ 3.5 222.63 4/1/2013
272500011527 BLADE SJ RAZOR CUT LT PINK 3.5 231.59 4/1/2013
272500011537 NEEDLE SURGINEEDLE 150MM 55.62 4/1/2013
272500011624 SUTURE TICRON 1-0 3261-72 21.61 4/1/2013
272500011667 SUTURE POLYSORB 6-0 L1756 38.89 4/1/2013
272500011706 BLADE RADENOID PEDIATRIC 4MM 574.83 4/1/2013
272500011743 HEAD FEMORAL 1,524.18 4/1/2013
272500011766 SUTURE PROLENE 5-0 HSBV-1 176.11 4/1/2013
272500011794 SUTURE NYLON 4-0 P3 32.43 4/1/2013
272500011799 DRAIN FLAT 10MM FULLY PERF 120.33 4/1/2013
272500011828 BANDAGE ELASTIC LATEX FREE 6 20.20 4/1/2013
272500011832 SUTURE VICRYL 8 0 TG140 8 46.13 4/1/2013
272500011841 PAD POLAR KNEE/SHLDR STERILE 133.51 4/1/2013
272500011847 MODULE EXPLORATORY LAP PBDS 304.11 4/1/2013
272500011875 SUTURE VICRYL RAPIDE 4-0 VR845 58.11 4/1/2013
272500011895 SUTURE MERSILENE 4-0 S-2 118.43 4/1/2013
272500011901 MODULE LAP CHOLE PBDS 296.43 4/1/2013
272500011911 SUTURE MERSILENE FIBER 5MM 339.84 4/1/2013
272500011930 CORD MONOPOLAR PEDS 39.92 4/1/2013
272500011953 BALLOON CRE 36-45FR 5848 955.00 4/1/2013
272500011954 BALLOON CRE 45-54FR 5849 955.00 4/1/2013
272500012001 BLADE FULL RADIUS 3.5 227.25 4/1/2013
272500012044 BALLOON CRE 54-60FR 5850 955.00 4/1/2013
272500012046 SUTURE CHROMIC 5-0 P-3 18IN 16.87 4/1/2013
272500012048 SUTURE NYLON 5-0 P3 18 IN 32.89 4/1/2013
272500012050 SEAL SELF SEALING 91.07 4/1/2013
272500012055 TUBING Y SET FOR SUCTION 43.45 4/1/2013
272500012056 TUBING ENDOMAT HYSTEROSCPY SET W/2 PUN NDLS 262.05 4/1/2013

272500012059 BLANKET WARMER BAIR HUG LITHO 68.46 4/1/2013
272500012064 TUBE GOODE T-TUBE MODIFIED 172.66 4/1/2013
272500012068 SUTURE MONOCRYL 2-0 27 IN 7.16 4/1/2013
272500012069 SUTURE MONOCRYL 2-0 SH UD 21.86 4/1/2013
272500012074 PACK DAVINCI LATEX FREE 755.52 4/1/2013
272500012090 BINDER BREAST XLG 72.58 4/1/2013
272500012091 PACK ACL LATEX FREE 328.63 4/1/2013
272500012093 CLIP MICRO TIT HEMOSTATIC 39.48 4/1/2013
272500012094 PACK FLAP 542.55 4/1/2013
272500012118 DRAPE MINI C-ARM 37.25 4/1/2013
272500012120 BLADE INCISOR 4.5MM TURBOCUTTR 859.16 4/1/2013
272500012121 PACK HIP 1,134.54 4/1/2013
272500012127 SUTURE POLYSORB 2-0 BTP-1 DTAC 39.19 4/1/2013
272500012131 DRAPE C-ARM 42.59 4/1/2013
272500012135 SUTURE ETHILON 9-0 2829G 66.23 4/1/2013
272500012136 SUTURE MONOCRYL UNDYED 4-0 48.76 4/1/2013
272500012143 SWAB CHLORAPREP APLICATOR 26ML 24.62 4/1/2013
272500012144 ELITE FULL RADIUS 4.5MM 222.68 4/1/2013
272500012147 ELITE CURVED INCISOR PLUS 4.5M 355.29 4/1/2013
272500012148 ELITE INCISOR PLUS 3.5M 324.97 4/1/2013
272500012149 INCISOR 4.5M 180MM LONG 373.62 4/1/2013
272500012150 NOTCHBLASTER 4.0MM 322.12 4/1/2013
272500012151 NOTCHBLASTER 5.5MM 322.12 4/1/2013
272500012152 ACROMIOBLASTER ELITE 4.0MM 322.12 4/1/2013
272500012175 SUTURE MONOCRYL 4-0 P-3 16.34 4/1/2013
272500012181 KNIFE MYRINGOTOMY SPEAR 54.63 4/1/2013
272500012184 TIGERLOOP 2 W/STRAIGHT NEEDLE 246.39 4/1/2013
272500012191 COTTON ROLL 1LB 42.89 4/1/2013
272500012196 APPLICATOR DURASEAL MIST 477.50 4/1/2013
272500012200 SEALANT EVICEL FIBRIN 5ML 1,846.97 4/1/2013
272500012207 SUTURE PROLENE 0 CT-2 23.77 4/1/2013
272500012210 PACK TONSIL 230.19 4/1/2013
272500012211 PACK DILATION 127.21 4/1/2013
272500012212 PACK THORACOTOMY 231.30 4/1/2013
272500012213 PACK HYSTEROSCOPY 216.10 4/1/2013
272500012221 SUTURE ETHIBOND 1-0 CTXB NDL 341.92 4/1/2013
272500012222 BLADE INSULATED 4IN 22.69 4/1/2013
272500012223 BLADE INSULATED COATED 20.61 4/1/2013
272500012226 DRESSING NASOPORE STANDARD 8CM 758.08 4/1/2013
272500012237 STONECUTTER ELITE 5.5MM 290.48 4/1/2013
272500012238 ELITE FULL RADIUS 3.5MM 222.68 4/1/2013
272500012240 CATH PAIN PUMP 400MLX4D 5IN 1,071.89 4/1/2013
272500012245 BLADE SAW RECIPROCAL 12.5X76 278.86 4/1/2013
272500012257 CLIP ENDO APPLIER III 653.00 4/1/2013 34300003 40840060
272500012259 CORD MONOPOLAR HI FREQ 8MMPLUG 89.58 4/1/2013 34300003 40840061
272500012260 CORD BIPOLAR HI FREQ 10FT 74.87 4/1/2013 34300003 40840063
272500012270 PACK STANDARD KNEE ARTHROSCOPY 205.69 4/1/2013 34300003 40840064
272500012283 CAUTERY BLADE TEFLON 6IN 19.61 4/1/2013 34300003 40840068
272500012287 SHELL MULTIPOLAR 48MM 1,719.00 4/1/2013
272500012335 BRA SUPPORT XXXLG 115.61 4/1/2013
272500012346 TACKER LAP SYS 15 SORBAFIX 1,406.63 4/1/2013
272500012347 ANCHORPORT ULT LOW CANNULA 5MM 229.20 4/1/2013
272500012373 INTRODUCER CATHETER ENDO 40CM 82.77 4/1/2013
272500012377 SUTURE FIBERTAPE 2MMX54IN BLUE 362.90 4/1/2013
272500012378 SUTURE TIGER TAPE AR-7237-7T 171.90 4/1/2013
272500012382 BURR ABRADER DYONICS 5.5X180MM 343.80 4/1/2013
272500012383 BLADE MORCELLATOR 12MM 1,435.17 4/1/2013
272500012384 BLADE MORCELLATOR 15MM 1,435.17 4/1/2013
272500012385 LOOP UNIPOLAR BRUCKER SUPRA 31.45 4/1/2013
272500012386 PAD SUPINE PERINEAL POST 351.44 4/1/2013
272500012388 BATTERY INSTRUMENT STRYKER 87.21 4/1/2013
272500012398 BLADE STRAIGHT FULL RAD 4.5MM 158.79 4/1/2013
272500012412 SHEET LAP INCISE 37.82 4/1/2013
272500012424 COVER C-ARM DISP 12IN 63.03 4/1/2013
272500012431 SUTURE ETHILON 10-0 BV754 28 228.33 4/1/2013
272500012435 TUBE GASTROSTOMY 24 FR 128.35 4/1/2013
272500012521 BIT DRL 4.5X195MM 3 FLUT 449.65 4/1/2013
272500012574 SUTURE PDS1 Z881G 18.34 4/1/2013
272500012586 SUTURE POLYSORB 2-0 L13 19.93 4/1/2013
272500012664 TUBING INSUFFLATION THERMAL 72.01 4/1/2013
272500012666 SURGIBRA MEDIUM 193.55 4/1/2013
272500012668 BLADE ACROMIOBLASTER 5.5 238.59 4/1/2013
272500012707 BASKET RETRIEVAL STONE 390-101 721.98 4/1/2013
272500012708 ELECTRODE BOVIE 11770T 1,296.89 4/1/2013
272500012710 MODULE PULSE LAVAGE 7100-474 4,966.00 4/1/2013
272500012732 CATHETER OMNI FLUSH 5FR 65CM 68.76 4/1/2013
272500012734 BUR CARBIDE ZB-120 23.23 4/1/2013
272500012736 BUR CARBIDE ZB-124NS 29.03 4/1/2013
272500012747 BLADE SAW RECIP ZR-058NS 22.92 4/1/2013
272500012748 GARMENT VASOPRESS CALF MED 47.56 4/1/2013
272500012816 PTFE GUIDEWIRE .038 46.18 4/1/2013
272500012899 SUTURE POLYSORB 0 DT CL87MG 25.23 4/1/2013
272500012902 GLOVE X-RAY RADIATION SZ8.5 179.54 4/1/2013
272500012955 ELECTRODE LOOP 100P EXTENDED 51.32 4/1/2013
272500012956 ELECTRODE BALL 5MM 51.32 4/1/2013
272500012958 ELECTRODE LOOP 15 X 12 51.32 4/1/2013
272500012969 VERSAPOINT ELECTRODE 1,532.33 4/1/2013
272500012970 ELECTRODE FISHER CONE SMALL 25.40 4/1/2013
272500012982 ELECTRODE HOOK JWIRE 11IN STRL 151.20 4/1/2013
272500013010 SUTURE VICRYL 3-0 CR/8 J864D 109.00 4/1/2013

272500013042 BASIN DISP SINGLE 14.86 4/1/2013
272500013071 BINDER BREAST SM 84.04 4/1/2013
272500013072 BINDER BREAST MED 84.04 4/1/2013
272500013073 BINDER BREAST LG 84.04 4/1/2013
272500013105 CAUTERY BLADE TEFLON 4IN 19.61 4/1/2013
272500013106 BURR ROUND DIAMOND .6MM 216.90 4/1/2013
272500013175 LUBRICANT DIFFUSER MIDAS 378.18 4/1/2013
272500013177 GUIDEWIRE.035 STRAIGHT 170.06 4/1/2013
272500013178 WIRE SENSOR .035 ANGLE 171.35 4/1/2013
272500013199 SUTURE FIBERSTICK 2 175.72 4/1/2013
272500013211 ELECTRODE BALL 20X12 E1561 49.28 4/1/2013
272500013212 ELECTRODE QUICK COMBO REDIPAK 68.76 4/1/2013
272500013255 SLEEVE VASOPRESS CALF TO 24IN 55.50 4/1/2013
272500013266 SUTURE GUT PLAIN 5-0 PC-1 18L 18.28 4/1/2013
272500013270 ELECTRODE LOOP 49.28 4/1/2013
272500013334 SUTURE FIBERWIRE 2 T-5 70.67 4/1/2013
272500013346 FLOSEAL HEMOSTATIC MATRIX 718.48 4/1/2013
272500013348 TUBING X-STREAM SET LAP IRRIGA 106.96 4/1/2013
272500013356 ICEMAN SHOULDER 778.63 4/1/2013
272500013357 ICEMAN KNEE 391.89 4/1/2013
272500013358 PACK BASIC UNIVERSAL 67.57 4/1/2013
272500013375 SUTURE VICRYL 6-0 S-29 37.23 4/1/2013
272500013380 SUTURE CHROMIC 5-0 HE3 G1792 43.52 4/1/2013
272500013381 SUTURE CHROMIC 6-0 HE6 G1794 47.62 4/1/2013
272500013389 PACK CYSTO CUSTOM 100.43 4/1/2013
272500013390 PACK HAND STERILE 136.95 4/1/2013
272500013392 BLANKET PEDI UNDERBODY 36X33 MODEL555 49.17 4/1/2013
272500013394 LEGEND BONE MILL DISPOSABLE 739.25 4/1/2013
272500013402 SHOULDER STABILIZATION KIT 282.05 4/1/2013
272500013425 BLADE SAW 210.86 4/1/2013
272500013444 BLADE 803.12 4/1/2013
272500013459 DRAPE LAVH LAPAROSCOPY 51.53 4/1/2013
272500013466 SHEATH ENDO SCRUB 2 1912000 925.97 4/1/2013
272500013492 BLADE SAW STRYK 210.86 4/1/2013
272500013504 GUIDEPIN 3.2MM TIP THRD 172.05 4/1/2013
272500013506 DRILL BIT 3.5MM BRAD PNT 385.25 4/1/2013
272500013630 GLIDEWIRE.035 260CM STIFF ANGL 190.43 4/1/2013
272500013715 ROLLERBALL ELECTRODE 3MM 27FR 354.31 4/1/2013
272500013716 GLIDEWIRE ANGLED .035 X 260CM 39.92 4/1/2013
272500013724 GLIDECATH 5FR 65CM ANGLE TAPER 185.46 4/1/2013
272500013725 GLIDECATH 5FR 100CM ANGLE TAPE 185.46 4/1/2013
272500013746 SUTURE CHROMIC GUT 3-0 FS-2 8.79 4/1/2013
272500013791 SUTURE UMBILICAL 1/8 X 24IN 27.45 4/1/2013
272500013793 CATH PRUITT IRRIGATION OCCLUSN 174.96 4/1/2013
272500013797 BLAD RAD 60MM CURVED 4MM ROTAT 626.40 4/1/2013
272500013799 BLADE TRICUT 4MM ROTATABLE 658.03 4/1/2013
272500013800 DRESSING NASOPORE FIRM 4CM 568.56 4/1/2013
272500013802 SUTURE TICRON 1 T20 8886326172 487.74 4/1/2013
272500013805 DRESSING NASOPORE STANDARD 4CM 454.85 4/1/2013
272500013887 DRAPE ORTHOPEDIC SPLIT 35.77 4/1/2013
272500013962 DRAPE INSTRUMENT ARM DAVINCI 171.90 4/1/2013
272500013963 DRAPE CAMERA ARM DAVINCI 95.50 4/1/2013
272500013964 DRAPE MONITOR DAVINCI 420017 95.50 4/1/2013
272500013965 DRAPE CAMERA DAVINCI 400027 95.50 4/1/2013
272500013966 INFERIOR TURBINATE 2MM H-SPEED 650.47 4/1/2013
272500014213 BALLOON BLUNT TIP TROCAR W/SYR INGE 12MM 171.99 4/1/2013
272500014239 GUIDEWIRE 2.5X200MM DRL TIP 217.70 4/1/2013
272500014503 GUIDEWIRE 1.1X150MM NON THRD 91.07 4/1/2013
272500014524 BIT DRL 2.8X165MM QC 298.80 4/1/2013
272500014540 GUIDEWIRE 3.2X400MM 307.36 4/1/2013
272500014542 BIT DRL 4X260MM 65MM CLBRT 626.10 4/1/2013
272500014621 TUBING HYDROFLEX HYSTEROSCOPIC 0025360 521.43 4/1/2013
272500014636 PACK CATARACT CUSTOM GH 1,346.21 4/1/2013
272500014653 BLADE SHAVER 4.5 INCISOR PLUS LONG 397.09 4/1/2013
272500014707 BLADE SAW 25.4X90X0.99MM LINVA 439.30 4/1/2013
272500014714 DRILL BIT TWIST 2.0MM FH10003 382.00 4/1/2013
272500014742 BLADE DIEGO AGGRESIVE STR 4MM 375.89 4/1/2013
272500014743 TUBE DIEGO SUCTION IRRIGATION 72.10 4/1/2013
272500014756 TUBE IRRIGATION FMS SET 205.80 4/1/2013
272500014757 TUBE INTERMEDIARY FMS SET 123.04 4/1/2013
272500014803 TUBING UNIVERSAL SET W/FILTER 37.13 4/1/2013
272500014876 K-WIRE BLUNT 500MM 685.005 240.66 4/1/2013
272500014893 CATHETER EVICEL 45CM FLEX TIP 88.45 4/1/2013
272500014921 BIT DRILL 3.5 252.12 4/1/2013
272500014930 SURGIFLO 6CC KIT W/THROMBIN 561.54 4/1/2013
272500014939 SUTURE FIBER TAPE 2MM 171.90 4/1/2013
272500014946 K WIRE 1.6 MTPP062 45.84 4/1/2013
272500015009 FIBER WIRE 2-0 W/TAPER NEEDLE 74.49 4/1/2013
272500015016 WIRE GUIDE FIXED 035IN X 180CM 64.60 4/1/2013
272500015038 DRILL 2.2MM NCS-DR22 324.70 4/1/2013
272500015047 ACETABULAR DOME HOLE PLUG 382.00 4/1/2013
272500015051 SUTURE SHUTTLE 70 DEG ACCUPASS 491.67 4/1/2013
272500015053 CAP ELLIPSE LOCKING 182.500 317.06 4/1/2013
272500015080 HOOD PEEL AWAY FACE T5 140.27 4/1/2013
272500015088 SEAL ENDOSCOPIC 1.2MM HOLE F/5 401.10 4/1/2013
272500015094 SUTURE V-LOC 180 V20 6IN GREEN 77.81 4/1/2013
272500015100 SUTURE ULTRABRAID 2 NDL ASSEM 71.64 4/1/2013
272500015110 DRILL BIT 10MM 828.94 4/1/2013
272500015124 SUTURE MAXON 2-0 GS-11 CUTTING 36.65 4/1/2013
272500015137 BLADE DIEGO AGGRESSIVE 3MM 621.56 4/1/2013

272500015138 BLADE DIEGO SERRATED 4.8MM 606.58 4/1/2013
272500015147 KYPAHX 15/3 XP2 FIRST FX KIT 14,130.75 4/1/2013
272500015149 KYPAHX EXPEDE CEMENT 1,151.73 4/1/2013
272500015153 KNIFE GRAFT ACL 10MM 504.24 4/1/2013
272500015177 SUTURE VICRYL 3-0 J497H 14.09 4/1/2013
272500015193 DRILL BIT 2.5MM X 83MM 364.85 4/1/2013
272500015194 DRILL BIT FAST 2.0MM X 76MM 364.85 4/1/2013
272500015199 BLADES SAW 5071-178 259.76 4/1/2013
272500015287 SUTURE FIBERLOOP 2 W NDL 40 IN 171.90 4/1/2013
272500015290 PATTIES SURGICAL 1/4X1/4 108.87 4/1/2013
272500015301 TUBING FLUID STRYK 502200000 362.90 4/1/2013
272500015385 BLADE PLASMA 4MM PEAK 863.97 4/1/2013
272500015548 BIT DRILL 2.0MM W DMRK QC 140 498.01 4/1/2013
272500015549 BIT DRL 4.3X300MM 300MM CLBRT PERC 614.71 4/1/2013
272500016246 DRILL BIT CANNULATED 4.6 DRILL 420.20 4/1/2013
272500016251 BLADE ARTHO LOK BANANA SH 4MM 38.67 4/1/2013
272500016301 DRILL BIT SCREW FOR 4.0MM 1,348.46 4/1/2013
272500016419 KIT FILL TISSUE EXPANDER 38.20 4/1/2013
272500016425 EVACUATOR BLADDER UROVAC 96.26 4/1/2013
272500016433 STAYS 5MM RETRACTOR LONE STAR 25.60 4/1/2013
272500016434 CURETTE VACUUM STER CURVE 9MM 23.10 4/1/2013
272500016435 CURETTE VACUUM STERILE 7MM 23.11 4/1/2013
272500016439 ADAPTER URALOCK 57.76 4/1/2013
272500016444 THORA-SEAL III 219.42 4/1/2013
272500016446 STAPLER SKIN FIXED 35W 19.22 4/1/2013
272500016448 HANDLE SUCTION COAGULATOR 10FR 59.67 4/1/2013
272500016452 ADAPTER TRACU SWIVEL 625191 53.52 4/1/2013
272500016461 KIT SUSPENSION SHOULDER 292.68 4/1/2013
272500016462 DISSECTOR KITTNER BLUNT 77.71 4/1/2013
272500016463 SHEARS ENDO UNIPOLAR 5MM 241.34 4/1/2013
272500016464 DISSECTOR ENDO UNIPOLAR 5MM 100.43 4/1/2013
272500016465 BABCOCK ENDO 10MM 273.74 4/1/2013
272500016466 BLUNTPORT PLUS 5/12MM 44.58 4/1/2013
272500016468 GRASPER ENDO CLINCH 5MM 278.26 4/1/2013
272500016469 BAG ENDOCATCH SPECIMEN 352.34 4/1/2013
272500016470 VERSAPORT V2 5-12MM 181.74 4/1/2013
272500016471 SPLINT NASAL THERMOPLAS 32.09 4/1/2013
272500016472 SET COLLECTION DISP 36.87 4/1/2013
272500016473 HOOK DISSECTING BLADE 5MM 787.72 4/1/2013
272500016475 DEVICE SUTURING DISP ENDOCLOSE 83.51 4/1/2013
272500016477 VISIPORT 5-11MM 127.32 4/1/2013
272500016480 SUCTION PROBE CORSON 005200903 339.03 4/1/2013
272500016485 PROBE INJECTION GOLD 7FR 1,222.40 4/1/2013
272500016489 CANNULA CRYSTAL 5.75MM 95.50 4/1/2013
272500016490 FORCEP DISECTING W/9 PIN 993.20 4/1/2013
272500016495 CLAMP MICROVASCULAR SINGLE 133.70 4/1/2013
272500016496 CLAMP MICROVASCULAR DOUBLE 248.30 4/1/2013
272500016498 FIBERSTICK 2 50IN 175.72 4/1/2013
272500016501 STAPLER SKIN REGULAR 35 81.48 4/1/2013
272500016502 STAPLER SKIN ROT HEAD WIDE 35 81.48 4/1/2013
272500016505 RETRACTOR RING LONE STAR 3715 278.59 4/1/2013
272500016506 STAYS ELASTIC 12MM 225.27 4/1/2013
272500016509 BONECUTTER 3.5MM 420.45 4/1/2013
272500016511 SET KLEIN INFILTRATION 75.76 4/1/2013
272500016512 TIP SEALANT EVICEL FIBRIN 35CM 136.52 4/1/2013
272500016514 TROCAR ENDO FLEXIBLE 15MM 45.52 4/1/2013
272500016521 SET PULSAVAC PLUS HIP 192.91 4/1/2013
272500016528 CANNULA 1ST ENTRY OBTU 5X100MM 178.76 4/1/2013
272500016532 BLADED SHIELDED KII SYS 5X100 152.80 4/1/2013
272500016533 TROCAR KII BALLOON 12X100MM 274.25 4/1/2013
272500016534 ELEVATOR VAGINAL VCARE STANDRD CERVICAL CUP 313.85 4/1/2013
272500016535 ELEVATOR VAGINAL VCARE SM 313.85 4/1/2013
272500016550 PULSAVAC PLUS FAN KIT 151.26 4/1/2013
272500016552 RASP TEAR CROSS CUT 1400-011 152.80 4/1/2013
272500016554 RETRIERAL NET DISP FOREIGN BOD 339.98 4/1/2013
272500016557 ZERO TIP BASKET 2.4 FR 721.98 4/1/2013
272500016568 KIT LUMBAR SPINAL FUSION 126.14 4/1/2013
272500016570 PILLOW HIP ABDUCTION FLAT MED 92.44 4/1/2013
272500016571 CEMENT KIT PREP W/RESTRICTORS 5,252.50 4/1/2013
272500016573 ULTRASLING III BLK 11-0449-3 190.24 4/1/2013
272500016575 STAPLER LOADER GIA 80-3.8MM 257.61 4/1/2013
272500016580 RETRACTOR 31.8 X 18.3 CM 225.27 4/1/2013
272500016582 CUTTER BONE 5.5 378.63 4/1/2013
272500016583 CUTTER BONE 4.5 405.66 4/1/2013
272500016589 KRPHX BONE BIOPSY DEVICE 496.60 4/1/2013
272500016595 HANDPIECE LIGASURE 14.5IN 1,637.56 4/1/2013
272500016598 SHEARS CVD PISTOL GRIP ACE36E 2,345.79 4/1/2013
272500016607 STRAP SHOLDER HOLDER 43.90 4/1/2013
272500016608 DISPOSABLE GROUNDING PLATE 105.28 4/1/2013
272500016609 KIT ACL DISPOSABLE W/ SAW 859.50 4/1/2013
272500016611 KYPHX BONE BIOPSY KIT 4,775.00 4/1/2013
272500016614 REFLEX ULTRA 45 W/ INTEG CABLE 859.50 4/1/2013
272500016615 LIGASURE ATLAS HANDDEVICE 37CM 1,531.74 4/1/2013
272500016616 HANDPIECE LIGASURE AXS 6.5IN 1,472.08 4/1/2013
272500016619 HANDPIECE NOVASURE KIT NS2000 4,431.20 4/1/2013
272500016620 FORCEP ISOCOOL .5 1,562.38 4/1/2013
272500016622 SPHERES REFLECTIVE PASSIVE 42.02 4/1/2013
272500016623 MANIFOLD 4 PORT 88.42 4/1/2013
272500016624 RETRIEVER HEWSON SUTURE 193.79 4/1/2013
272500016626 LASSO SUTURE 90 DEGREE 534.80 4/1/2013

272500016627 PLASMA WAND EVAC 70XTRA W/CABL 897.70 4/1/2013
272500016629 STAPLER GIA RELOADABLE 80 3.8 494.02 4/1/2013
272500016634 TROCAR PAK 2 NEEDLES 8670015 646.34 4/1/2013
272500016636 PROBE STRAIGHTFIRE 2.3MM 6.9FR 809.27 4/1/2013
272500016637 ALUMI HAND 760 339.98 4/1/2013
272500016638 SIX SHOOTER MULTIBAND LIGATOR 882.42 4/1/2013
272500016642 CANNULA SEALS DAVINCI 400077 57.30 4/1/2013
272500016643 ENDOWRIST TIP COVER DAVINCI 76.40 4/1/2013
272500016645 OBTERATOR BLADELESS 8MM 80.22 4/1/2013
272500016655 EGIA 60 ARTICULATING MED THICK RELOAD 990.26 4/1/2013
272500016672 KIT BIO-TENODESIS DISP 668.50 4/1/2013
272500016675 GELPORT APPLIED C8XX2NONCE 1,719.00 4/1/2013
272500016680 SUCKER MINI SUPER SS2 56.35 4/1/2013
272500016681 FORCEPS CUTTING 5MMX33CM 9-PIN 1,776.30 4/1/2013
272500016700 SYSTEM PUMP SINGLE ACTION 179.69 4/1/2013
272500016756 STIMULATOR NERVE DISP 153.28 4/1/2013
272500016758 FORCEP RADIAL JAW 3 DISP 1,046.68 4/1/2013
272500016785 STAPLE LOADING MULTI TA603.5 154.17 4/1/2013
272500016799 SET DRILL 205.82 4/1/2013
272500016803 INFLATOR ENCORE 26 BX/5 152.80 4/1/2013
272500016808 TROCAR VERSAPORT 5MM 152.66 4/1/2013
272500016810 TROCAR VERSAPORT 5MM-11MM 86.18 4/1/2013
272500016811 TROCAR VERSAPORT 5MM-12MM 86.18 4/1/2013
272500016825 CANNULA W/TROCAR 76MM 88.64 4/1/2013
272500016874 FORCEP BIPOLAR 78.73 4/1/2013
272500016913 MANIPULATOR UTERINE 4.5MM 109.42 4/1/2013
272500016925 RASP TEAR CROSSCUT 183.36 4/1/2013
272500016942 FORCEP ADSON FINE TOOTH BD512R 23.15 4/1/2013
272500016960 ENDO CLIP LG 340.67 4/1/2013
272500016988 STRAP FOOT ANKLE DISTRACTOR 131.36 4/1/2013
272500017068 SPLINT HIP ABDUCTION 614.14 4/1/2013
272500017096 TIP YANKAUER CONTROL 259.76 4/1/2013
272500017139 CANNULA DISP KIT 5MM 82.73 4/1/2013
272500017195 DEVICE VLOC 180 WOUND 0 GS-21 107.61 4/1/2013
272500017208 FORCEP BIOPSY HOT SHARK HDBF 152.80 4/1/2013
272500017209 TIP FAN SPRAY PULSAVAC WND HD 34.80 4/1/2013
272500017232 SET PAL TUBING STERILE 229.20 4/1/2013
272500017244 KIT PATIENT WILSON FRAME 90.38 4/1/2013
272500017270 PROBE COVER ULTRASOUND 6X9IN 27.01 4/1/2013
272500017331 SET IRRIG CYSTOSCOPY 4 LEAD 61.80 4/1/2013
272500017392 KYPHON MIXER A07A 305.60 4/1/2013
272500017410 MARKERS PASSIVE REFLECTIVE 5 PER PACK 66.85 4/1/2013
272500017444 STAPLER GIA RELOADABLE 60 3.8 326.46 4/1/2013
272500017445 ENDO RELOAD GIA60 3.8 GIA6038L 176.48 4/1/2013
272500017453 RX LOCKING DEVICE 4526 43.93 4/1/2013
272500017455 EXTRACTOR RX 12MM/15MM 4691 607.38 4/1/2013
272500017493 PROBE ERBE CIRCUMFERENT2.3X6.9 814.42 4/1/2013
272500017521 CABLE CONTROL 1739-28-000 1,819.39 4/1/2013
272500017553 TROCAR VERSA BLADLESS OPTICAL W/FIXATION CANNULA 84.58 4/1/2013
272500017578 CLAMP ALLIS TISS FCPS 5X6 10IN 228.05 4/1/2013
272500017775 BLADE HLCL 11.0MM 95MM TI 1,952.29 4/1/2013
272500017778 BLADE HLCL 11.0MM 110MM TI 2,148.83 4/1/2013
272500017803 KIT FOR DISP 2.9MM PUSH-LOCK 668.50 4/1/2013
272500017895 CANNULA CLEARTRACH HIP 7.0X110 669.26 4/1/2013
272500017898 SPINCTEROTOME DREAMTOME RX44 20MM 260CM 1,657.88 4/1/2013
272500017931 GUN MENISCAL DEPLOYMENT 790.74 4/1/2013
272500017932 ENDO GIA ULTRA UNIVERSAL 12MM HANDLE SHORT 323.77 4/1/2013
272500017935 EGIA 60 ARTIC X-THICK RELOAD 1,118.77 4/1/2013
272500017973 PROBE STIMULATOR PEDICLE XL DP 500.04 4/1/2013
272500017977 PURE GRAFT 250ML BAG ASSY 1,508.90 4/1/2013
272500017981 KYPAHX XP2 INTRODUCER SYSTEM 4,813.20 4/1/2013
272500017987 SNARE SENSATION JUMBO OVAL 30M 68.76 4/1/2013
272500018004 SUTURE HEWSON RETRIEVAL 382.00 4/1/2013
272500018026 KIT GASTRO PULLPEG 20FR 259.76 4/1/2013
272500018161 INFLATION DEVICE ANALOG BIG60 133.70 4/1/2013
272500018177 FORCEP RAT TOOTH DISP 7224 114.60 4/1/2013
272500018596 GIA RELOAD 60-3.8 830.00 4/1/2013
272500018597 INSULATED COATED BLADE 6" 42.28 4/1/2013
272500018599 FLAT 10MM JP 196.00 4/1/2013
272500018887 ANCHORPORT 330.00 4/1/2013
272500018932 SURGICEL FIBRILLAR 1 X 2 INCH 2,204.06 4/1/2013
272500018962 MYOSURE FIBROID REMOVAL DEVICE 4,946.90 4/1/2013
272500021893 NEEDLE MICRO DISSECTION N112A 171.44 4/1/2013
272500023463 NEEDLE EXPRESSEW 427.08 4/1/2013
272500026363 NEEDLE SCLEROTHERAPY 2040LC 103.14 4/1/2013
272500026396 NEEDLE EUS FNA ASPIRATION 22GA 802.20 4/1/2013
272500031997 BALLOON CRE WIREGUIDED 18-20MM DILATOR 955.00 4/1/2013
272500035033 CATHETER TRAILBLAZR.014 150 5F 611.20 4/1/2013
272500042917 JAGWIRE .035/450 STR 5658 1,088.70 4/1/2013
272500045666 GUIDEWIRE 1.25X150MM 900.722 THRD 96.76 4/1/2013
272500049644 GLIDEWIRE ADVANTAGE .035 260CM SPIRAL 687.60 4/1/2013
272500049655 GUIDEWIRE 1.2MM X 12IN 30CM 28.14 4/1/2013
272500061401 FILTER SHUNT IN LINE 3.9 MICRO 1,531.82 4/1/2013
272500062134 SUTURE CUT NEEDLE DRIVER DAVINCI 9,168.00 4/1/2013
272500067299 FAST T-FIX KNOT PUSHER/CUTTER 400.11 4/1/2013
276500022445 LENS SA60AT 20.5 511.88 4/1/2013
276500023562 SN60WF .120 LENSE 6.0 BC 13.0 569.18 4/1/2013
276500023568 LENS 6.0 BC 13.0 SN60WF.150 569.18 4/1/2013
276500023572 LENSE 6.0 BC 13.0 SN60WF.170 569.18 4/1/2013
276500023574 SN60WF .180 LENSE 6.0 BC 13.0 569.18 4/1/2013

276500023575 LENSE SN60WF18.5 569.18 4/1/2013
276500023576 LENSE SN60WF 19.0 569.18 4/1/2013
276500023577 LENSE SN60WF 19.5 569.18 4/1/2013
276500023578 LENSE SN60WF 20.0 569.18 4/1/2013
276500023579 LENSE SN60WF 20.5 569.18 4/1/2013
276500023580 LENS SN60WF 21.0 569.18 4/1/2013
276500023581 LENSE SN60WF 21.5 569.18 4/1/2013
276500023582 LENS SN60WF 22.0 6.0 BC 13.0 569.18 4/1/2013
276500023583 LENSE SN60WF 22.5 569.18 4/1/2013
276500023584 LENSE SN60WF 23.0 569.18 4/1/2013
276500023585 LENSE SN60WF 23.5 569.18 4/1/2013
276500023586 LENS SN60WF 24.0 6.0 BC 13.0 569.18 4/1/2013
276500023589 LENS SN60WF 25.5 6.0 BC 13.0 569.18 4/1/2013
276500023591 SN60WF .265 LENSE 6.0 BC 13.0 569.18 4/1/2013
276500023592 SN60WF .270 LENSE 6.0 BC 13.0 569.18 4/1/2013
276500023595 SN60WF .285 LENSE 6.0 BC 13.0 569.18 4/1/2013
276500023597 SN60WF .295 LENSE 6.0 BC 13.0 569.18 4/1/2013
276500024852 LENS TORIC SN6AT3 20.5 1,488.90 4/1/2013
276500024855 LENS CRYSTALENS HD520 12.50 4,182.90 4/1/2013
276500026366 LENS CRYSTALENS AT-50AO 15.00 3,629.00 4/1/2013
276500029390 LENS TORIC SN6AT3 13.0D 1,890.90 4/1/2013
276500029410 LENS TORIC SN6AT6 17.0D 1,488.90 4/1/2013
276500084852 LENS TORIC SN6AT3 20.5 1,890.90 4/1/2013
276500085012 LENS TORIC SN6AT5 16.5 1,488.90 4/1/2013
276500086399 LENS TORIC SN6AT3 20.0D 1,890.90 4/1/2013
276500086400 LENS TORIC SN6AT3 21.0D 1,890.90 4/1/2013
276500086401 LENS TORIC SN6AT4 19.5D 1,890.90 4/1/2013
276500086402 LENS TORIC SN6AT4 20.0D 1,890.90 4/1/2013
276500086406 LENS TORIC SN6AT5 20.0D 1,890.90 4/1/2013
278500011025 SURGICEL HEMOSTAT 4 X 8 230.19 4/1/2013
278500011026 SURGICEL HEMOSTAT 2 X 3 119.03 4/1/2013
278500011090 PIN STEINMANN X-LG 5/32 STERIL 55.41 4/1/2013
278500011108 PLUG TONSIL 2 STRING LG 1IN 53.32 4/1/2013
278500011185 WIRE GUIDE .038 638423 56.50 4/1/2013
278500011390 SURGICLIP PREMIUM 9.0 189.24 4/1/2013
278500011425 PIN ABSORB 40X1.3MM 84-1052 940.99 4/1/2013
278500011437 CATHETER CARSON 22FR 5CC 31.55 4/1/2013
278500011467 PATELLA OVAL NON POROUS SM 35M 4,675.68 4/1/2013
278500011468 PATELLA OVAL NON POROUS MD 38M 4,675.68 4/1/2013
278500011469 PATELLA OVAL NON POROUS LG 41M 4,675.68 4/1/2013
278500011542 SCREW CORT 4.5X34MM SLF TAP 69.72 4/1/2013
278500011543 SCREW CORT 4.5X36MM SLF TAP 69.72 4/1/2013
278500011544 SCREW CORT 4.5X38MM SLF TAP 69.72 4/1/2013
278500011673 SLEEVE FEM 16D LG HA OVSZ ZT SROM 3,984.26 4/1/2013
278500011701 FEMORAL 3 RIGHT 96-0013 6,535.14 4/1/2013
278500011712 FEMORAL RET 3 LEFTT 96-0003 6,535.14 4/1/2013
278500011715 FEMORAL 4 RIGHT 96-0014 6,535.14 4/1/2013
278500011718 FEMORAL 5 RIGHT 96-0015 5,997.40 4/1/2013
278500011721 FEMORAL 4 LT 96-0004 6,731.18 4/1/2013
278500011734 HEAD FEMORAL 28MM +0 NECK 1,524.18 4/1/2013
278500011735 FEMORAL 5 LT 96-0005 5,997.40 4/1/2013
278500011756 SLEEVE PROX FEMORAL ZT 20D-LRG 4,376.69 4/1/2013
278500011802 SLEEVE S-ROM 55-0149 13,404.38 4/1/2013
278500011812 PLATE ST 08MM 111.74 4/1/2013
278500011816 PLATE ST 106.96 4/1/2013
278500011822 STEM FEMORAL 36+8 STAN 52-3418 9,741.00 4/1/2013
278500011856 STEM FEMORAL 56-3516 8,017.26 4/1/2013
278500011944 SCREW CORT 2X12MM SLF TAP 150.36 4/1/2013
278500011945 SCREW CORT 2X10MM SLF TAP 150.36 4/1/2013
278500011955 SCREW CANN 4X36MM LT 646.00 4/1/2013
278500011956 SCREW CANN 4X38MM LT 646.00 4/1/2013
278500011968 HOLE ELIM POSITIVE STOP APEX 440.48 4/1/2013
278500012018 SCREW 4MM 015-040 163.62 4/1/2013
278500012088 FEMORAL HEAD SROM 52-2033 1,803.42 4/1/2013
278500012117 FEMUR POROUS SIGMA SZ 4N 7,301.09 4/1/2013
278500012195 SYSTEM DURASEAL 2,082.66 4/1/2013
278500012216 ANCHOR MINILOCK QUICK PLUS 1,463.06 4/1/2013
278500012228 PLATE 33MM RT BLP FH01033 4,584.00 4/1/2013
278500012263 SHELL MULTIPOLAR 50MM 1,719.00 4/1/2013
278500012289 SIGMA CEM FEM PS SZ2.5 L 6,207.50 4/1/2013
278500012291 SIGMA CEM FEM PS SZ4 L 6,207.50 4/1/2013
278500012296 SIGMA CEM FEM PS SZ4 R 6,207.50 4/1/2013
278500012298 SIGMA CEM FEM PS SZ5 R 6,207.50 4/1/2013
278500012319 STENT POLARIS 6FR X 22CM 561.54 4/1/2013
278500012320 STENT POLARIS 6FR X 24CM 561.54 4/1/2013
278500012321 STENT POLARIS 6FR X 26CM 561.54 4/1/2013
278500012323 STENT POLARIS 7FR X 22CM 561.54 4/1/2013
278500012324 STENT POLARIS 7FR X 24CM 561.54 4/1/2013
278500012343 TUBE VENTILATION REUTER BOBBIN 55.77 4/1/2013
278500012357 STENT BILIARY SOLUS 10-7-RB 415.43 4/1/2013
278500012362 SLEEVE UNIV FEM DIST PORO 31MM 12,453.20 4/1/2013
278500012370 STRIP INTEGRA MOZAIK 10CC 3,963.25 4/1/2013
278500012395 EXPANDER TISSUE 133MX-12 400CC 4,870.50 4/1/2013
278500012416 BLADE PEAK PLASMA PS300-001 4,530.52 4/1/2013
278500012466 SCREW CORT 3.5X12MM SLF TAP 69.72 4/1/2013
278500012467 SCREW CORT 3.5X14MM SLF TAP 69.72 4/1/2013
278500012468 SCREW CORT 3.5X16MM SLF TAP 69.72 4/1/2013
278500012470 SCREW CORT 3.5X20MM SLF TAP 69.72 4/1/2013
278500012473 SCREW CORT 3.5X26MM SLF TAP 69.72 4/1/2013
278500012566 ELECTRODE LIGASURE XTD LS3112 855.37 4/1/2013

278500012670 K-WIRE .035X9 1600-935 53.48 4/1/2013
278500012671 K-WIRE .045X9 1600-945 57.30 4/1/2013
278500012991 SCREW BONE 6.5MM X 25MM 317.02 4/1/2013
278500012992 SCREW BONE 6.5MM X 30MM 307.82 4/1/2013
278500012993 SCREW BONE 6.5MM X 35MM 307.82 4/1/2013
278500012994 SCREW BONE PINN CANN 6.5MX15MM 307.82 4/1/2013
278500012995 SCREW BONE PIN CANN 6.5X20MM 307.82 4/1/2013
278500012996 SHELL ACETABULAR CUP 48MM 4,221.60 4/1/2013
278500012998 CUP PIN SECTOR 52MM 1217-22-052 4,227.44 4/1/2013
278500013070 SUTURE FIBERWIRE 5 330.05 4/1/2013
278500013092 LINER PINNACLE ACETABULAR 48MM 2,811.10 4/1/2013
278500013093 LINER PINNACLE ACETABULAR 50MM 2,961.26 4/1/2013
278500013094 LINER PINNACLE ACETABULAR 52MM 2,814.96 4/1/2013
278500013095 LINER PINNACLE ACETABULAR 54MM 2,811.52 4/1/2013
278500013103 ROTATING PLATFORM CVD 5X12.5 4,244.02 4/1/2013
278500013119 SLEEVE PROXIMAL 16D/SMALL 4,370.58 4/1/2013
278500013122 ROTATING PLATFORM CVD 4X12.5 4,244.02 4/1/2013
278500013127 HEAD FEMORAL ARTCULEZE 28X1.5 1,820.23 4/1/2013
278500013185 OPTIUM GEL 5CC DBM OPTG005 2,364.58 4/1/2013
278500013191 NEEDLE SCORPION AR-13990N 534.80 4/1/2013
278500013208 HEAD FEMORAL 32MM 8018-32-02 1,524.18 4/1/2013
278500013209 LINER ELEVATED RIM 10DEG 32MM 3,243.18 4/1/2013
278500013217 LINER MULTIPOLAR 47/48/49 488.96 4/1/2013
278500013233 DVRA STANDARD RIGHT 3,066.66 4/1/2013
278500013235 K-WIRE .062 1.6MM SS 75.71 4/1/2013
278500013248 SCREW CORTICAL 3.5 X 14MM 330.43 4/1/2013
278500013249 SCREW CORTICAL 3.5 X 16MM 330.43 4/1/2013
278500013374 STEM FEMORAL 36MM STD 56-3517 8,006.15 4/1/2013
278500013393 DUREPAIR REGENERATION MATRIX 1,036.94 4/1/2013
278500013438 STENT CFLEX MULTILENGTH URETER 438.35 4/1/2013
278500013469 TIBIAL INSERT SIZE 3 4,244.02 4/1/2013
278500013475 SCREW LAG CHS 95MM 3.74 830.81 4/1/2013
278500013509 NAIL 130DEG 10MMX19.5CM LT IMHS 2,993.66 4/1/2013
278500013514 SCREW HIP SLEEVE IM HN1200 742.61 4/1/2013
278500013612 MAMMARY IMPLANT 350-3001BC 3,056.00 4/1/2013
278500013636 HEMOST CLIPPING DEVICE 235CM 10 EA PER BX 668.50 4/1/2013
278500013664 SCREW LOK 2.7X14MM SLF TPNG W/ STRDR 387.04 4/1/2013
278500013665 SCREW LOK 2.7X16MM SLF TPNG W/ STRDR 387.04 4/1/2013
278500013732 DURAGEN PLUS 3X3 DP1033 2,243.72 4/1/2013
278500013826 FEMORAL HEAD 52-2032 1,857.51 4/1/2013
278500013830 SLEEVE PROXIMAL ZTT 16 55-0514 3,983.23 4/1/2013
278500013831 HEAD FEMORAL SROM PLUS 32X3 4,370.08 4/1/2013
278500013837 CORD HI FREQ 8MM 300CM 26006M 601.65 4/1/2013
278500013878 FEMORAL STEM SZ13.5 7711-13 9,954.92 4/1/2013
278500013886 FEMORAL HEAD S ROM METAL 5,199.02 4/1/2013
278500013945 PEG FULLY THRD 2.5MM X 20MM 330.43 4/1/2013
278500013946 PEG FULLY THRD 2.5MM X 22MM 330.43 4/1/2013
278500013947 PEG FULLY THRD 2.5MM X 24MM 330.43 4/1/2013
278500014005 DEMIN CANCELLOUS CHIPS 40CC 2,492.55 4/1/2013
278500014124 SCREW 1.6X3.5 SELF DRILL SCREW (6PK) 1,260.60 4/1/2013
278500014351 SCREW LOK 3.5X12MM SLF TAP STRDR 406.95 4/1/2013
278500014352 SCREW LOK 3.5X14MM SLF TAP STRDR 406.94 4/1/2013
278500014353 SCREW LOK 3.5X16MM SLF TAP STRDR 406.94 4/1/2013
278500014354 SCREW LOK 3.5X18MM SLF TAP STRDR 406.94 4/1/2013
278500014358 SCREW LOK 3.5X26MM SLF TAP STRDR 406.94 4/1/2013
278500014359 SCREW LOK 3.5X28MM SLF TAP STRDR 406.94 4/1/2013
278500014449 PLATE 8HL 93MM TBLR 606.16 4/1/2013
278500014454 PLATE PROX HUM 3.5MM 3HL SHFT 90MM 5,020.17 4/1/2013
278500014536 ROD 2.5X950MM RMNG W BALL TIP 372.79 4/1/2013
278500014578 PLATE STR 2.0MM 12HL 927.19 4/1/2013
278500014593 NAIL 12X170MM 130 DEG CANN TROC 4,408.28 4/1/2013
278500014626 AMBIO DRY 4X4CM AD-5440 2,769.50 4/1/2013
278500014652 IMPLANT BREAST STYLE350 175CC GEL 3,056.00 4/1/2013
278500014775 FEMORAL HEAD 12/14 COCR 36-3.5 3,571.70 4/1/2013
278500014805 TIBIAL INSERT PLATFORM 4 12.5 ROTATING 6,925.66 4/1/2013
278500014806 FEMORAL ADAPTER NEUTRAL BOLT 1,630.07 4/1/2013
278500014807 FEMORAL ADAPTER 5DEG BOLT 11,645.80 4/1/2013
278500014841 TIBIAL BASEPLATE SZ 3 5521B300 8,268.39 4/1/2013
278500014842 TIBIAL BASEPLATE SZ 5 5521B500 8,268.39 4/1/2013
278500014848 PLATE PROVIDENCE ANT LEVEL3 51 3,438.00 4/1/2013
278500014867 EXPANDER TISSUE 133MX-13 500CC 4,870.50 4/1/2013
278500015037 KWIRE 1.1MM NCS-GP11 45.84 4/1/2013
278500015049 PLATE GLENOID BASE 25MM STD 15 6,019.94 4/1/2013
278500015052 SCREW ELLIPSE 3.0X14MM 2,620.52 4/1/2013
278500015053 CAP ELLIPSE LOCKING 182.500 317.06 4/1/2013
278500015059 ROD MARS AUX 45MM 1,799.22 4/1/2013
278500015060 ROD MARS AUX 50MM 1,799.22 4/1/2013
278500015105 TIBIAL BASEPLATE CEMENTED 3,300.48 4/1/2013
278500015119 ANCHOR TWINFIX ULTRA HA 4.5 W/ SUTURES BLUE 1,451.60 4/1/2013 63700001 40840063
278500015123 PIN SKULL ADULT DISP A1083 33.85 4/1/2013 63700001 40840054
278500015133 PUTTY ACELL EVO3 DBM 2.5CC 2,475.36 4/1/2013
278500015134 PUTTY ACELL EVO3C DBM 5CC 4,331.88 4/1/2013
278500015135 PUTTY ACELL EV03C 10CC GRAFTP 8,044.92 4/1/2013
278500015142 SPACER CALIBER 12X26MM 10-15MM 22,087.24 4/1/2013
278500015146 ALLOGRAFT MAINTAIN 10M PARALLE 3,438.00 4/1/2013
278500015183 LINER ACETABULAR 52MMX32MM 2,811.10 4/1/2013
278500015197 GEL OPTIMUM 1CC 852.24 4/1/2013
278500015209 INSERT ARTICULAR OSRT SZ5-6 3,797.08 4/1/2013
278500015210 INSERT ARTICULAR S3-4 9M RT 3,797.08 4/1/2013
278500015215 SCREW 18 COMPRESSION VDV218 245.63 4/1/2013

278500015237 CUP BIPOLAR 5001-53-28 488.96 4/1/2013
278500015245 SCREW LOCKING 3.0X18MM FH30018 706.70 4/1/2013
278500015246 SCREW LOCKING 3.0X20MM FH30020 706.70 4/1/2013
278500015247 SCREW LOCKING 3.0X22MM FH30022 706.70 4/1/2013
278500015265 FEMORAL HEAD 12/14 COCR 36 +0 3,571.70 4/1/2013
278500015270 FEMORAL HEAD 28MM +3 11/13 1365-17-500 5,199.02 4/1/2013
278500015273 SCREW 3.0X24MM METAFIX FH30024 706.70 4/1/2013
278500015357 GRAFT AMBIO 5 AMNIOTIC 4X4CM 3,036.90 4/1/2013
278500015358 MESH ELEVATE ANTERIOR INTEPRO LITE 6,226.60 4/1/2013
278500015564 HEAD FEM 32MM MINUS2.5 BIOLOX DELTA 4,410.69 4/1/2013
278500015584 SHELL ACTB 52MM POR CH TRDNT PSL 3,785.62 4/1/2013
278500015592 INSERT TIB SZ3 11MM PS TRTHLN X3 4,736.80 4/1/2013
278500015596 INSERT TIB SZ5 9MM PS TRTHLN X3 4,736.80 4/1/2013
278500015598 INSERT TIB SZ6 9MM PS TRTHLN X3 4,736.80 4/1/2013
278500015605 STEM FEM NUM9 127DEG SECUR FIT MAX 11,307.20 4/1/2013
278500015611 LINER ACTB 32MM 10DEG SZE TRDNT X3 4,584.00 4/1/2013
278500015690 SHELL ACTB 46MM PNCL BANTAM 3,785.62 4/1/2013
278500015693 SHELL ACTB 50MM PNCL SCTR II 3,785.62 4/1/2013
278500015707 SHL ACTB 50MM 121732050 W GRPTN PNCL SCTR 3,974.90 4/1/2013
278500015708 SHL ACTB 52MM 121732052 W GRPTN PNCL SCTR 3,785.62 4/1/2013
278500015709 SHL ACTB 54MM 121732054 W GRPTN PNCL SCTR 3,785.62 4/1/2013
278500015712 SHL ACTB 60MM 121732060 W GRPTN PNCL SCTR 3,785.62 4/1/2013
278500015718 LINER ACTB 28IDX48OD 121928048 NEUT XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015719 LINER ACTB 28IDX50OD 121928050 NEUT XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015720 LNR ACTB 28IDX46OD 121928146 P4 10DEG XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015729 LINER ACTB 28IDX50OD 121928250 LIPPED XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015731 LINER ACTB 28IDX54OD 121928254 LIPPED XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015734 LINER ACTB 28IDX60OD LIPPED XLINK PNCL MRTHN 2,903.20 4/1/2013
278500015764 SLEEVE TIB 37MM POR MBT 10,746.27 4/1/2013
278500015770 HEAD FEM 28MM P0 M SPEC COCR SROM 1,905.23 4/1/2013
278500015772 HEAD FEM 28MM P6 M SPEC COCR SROM 1,814.50 4/1/2013
278500015810 SLEEVE FEM 16B SM ZTT SROM 3,984.26 4/1/2013
278500015820 STEM FEM 36MM 16X11X150 STD SROM 9,550.00 4/1/2013
278500015825 STEM FEM 36 P8L NK 18X13X160 STD SROM 9,550.00 4/1/2013
278500015846 SLEEVE FEM 18D SM HA OVSZ ZT SROM 3,984.26 4/1/2013
278500015847 SLEEVE FEM 18D LG HA OVSZ ZT SROM 13,404.38 4/1/2013
278500015850 SLEEVE FEM 18F XXLG HA OVSZ ZT SROM 3,984.26 4/1/2013
278500015851 SLEEVE FEM 16D SM POR ZTT SROM 4,183.47 4/1/2013
278500015880 STEM FEM 36 P6LAT NK 11X16X150 STD SROM 10,027.50 4/1/2013
278500015882 STEM FEM 36 P12LAT NK 13X18 STD SROM 9,550.00 4/1/2013
278500015883 STEM FEM 36 P12LAT NK 15X20 STD SROM 9,550.00 4/1/2013
278500015900 WEDGE FEM 8MM SZ4 POST PFC SGMA 4,166.28 4/1/2013
278500015903 WEDGE FEM 4MM SZ5 POST PFC SGMA 4,166.28 4/1/2013
278500015912 INSERT TIB SZ3 10.0 RP CRV PFC SGMA 4,244.02 4/1/2013
278500015913 INSERT TIB SZ3 12.5 RP CRV PFC SGMA 9,412.48 4/1/2013
278500015914 INSERT TIB SZ4 10.0 RP CRV PFC SGMA 4,244.02 4/1/2013
278500015917 INSERT TIB SZ5 10.0 RP CRV PFC SGMA 4,244.02 4/1/2013
278500015933 INSERT TIB SZ5 12.5 RP STAB PFC SGMA 5,114.03 4/1/2013
278500015939 PLUG TPR NXGN 1,711.36 4/1/2013
278500015944 STEM FEM CC ML TPR KINECTIVE 3,984.26 4/1/2013
278500015994 SCREW VAR ANGLE 4.2 SLFTAP 16 748.72 4/1/2013
278500016058 T-CONNECTOR ELLIPSE TOP-LOADIN G FOR 3.5MM ROD 26-46 STRAIGHT 2,674.00 4/1/2013
278500016099 SPACER SUSTAIN 10X26X10 RADIOL OBLGQUE 9,550.00 4/1/2013
278500016101 SPACER 12X26X12 SUSTN RADIOLU OBLIQUE 9,359.00 4/1/2013
278500016103 SPACER SUSTAIN RADIOLUCENT OBL IQUE 12X26 14MM 9,359.00 4/1/2013
278500016119 SPACER COALITION 14X16 7 DEG 8 14,038.50 4/1/2013
278500016148 IMPLANT SMOOTH ROUND 350-200CC PLUS PROFILE 3,056.00 4/1/2013
278500016161 IMPLANT CONTOUR PROFILE EXPAND ER MEDIUM 275CC 5,118.80 4/1/2013
278500016163 IMPLANT RESTERILIZABLE GEL SI ZER MODERATE PLUS 175CC 859.50 4/1/2013
278500016164 IMPLANT RESTERILIZABLE GEL SI ZER MODERATE PLUS 200CC 859.50 4/1/2013
278500016170 IMPLANT RESTERILIZABLE GEL SI ZER MODERATE PLUS 325CC 859.50 4/1/2013
278500016179 IMPLANT RESTERILIZABLE GEL SI ZER MODERATE 375CC 859.50 4/1/2013
278500016196 GLENOID SPHERE 25MM 36MM CENTR 10,638.70 4/1/2013
278500016227 NEXFIX CANNULATED COMPRESSION SCREW 3.0 X 30 MM 1,012.30 4/1/2013
278500016229 NEXFIX CANNULATED COMPRESSION SCREW 3.0 X 34 MM 1,061.96 4/1/2013
278500016239 NEXFIX CANNULATED COMPRESSION SCREW 6.5 X 65 X 20 1,405.76 4/1/2013
278500016262 GII CR DEEP FLEX ISRT S1-2 9M 3,797.08 4/1/2013
278500016273 TIBIAL BASEPLATE UNIVER SIZE 6 8,268.39 4/1/2013
278500016298 ROD ELLIPSE 3.5MM 120MM 1,310.26 4/1/2013
278500016322 LEGION CR NP FEM SZ 3 RT 9,206.20 4/1/2013
278500016422 CEMENT BONE SMARTSET HV 40G 286.50 4/1/2013
278500016427 STAPLER DLU END GIA ROT 30 3.5 479.61 4/1/2013
278500016428 STAPLER DLU END GIA ROT 45 2.0 645.88 4/1/2013
278500016429 STAPLER DLU END GIA ROT 45 3.5 548.16 4/1/2013
278500016442 ENDO CLIP APPLIER MED LG 402.90 4/1/2013
278500016445 STAPLER FASCIA DISP 136.27 4/1/2013
278500016447 STAPLER SURGCLIP PREM 2 M-11.5 189.26 4/1/2013
278500016450 STAPLER LONG TA-90 3.5 325.50 4/1/2013
278500016458 STAPLER ENDOCLIP II 10MM 340.67 4/1/2013
278500016488 TISSUE MORCELLATOR MX0100 2,997.38 4/1/2013
278500016499 APPLIER MCA MULTICLIP 11.5 253.96 4/1/2013
278500016500 APPLIER LIGACLIP MULT CLIP SM 252.83 4/1/2013
278500016522 SYSTEM DISTAL BICEP REPAIR 3,247.00 4/1/2013
278500016525 GELPORT BAL TROCAR 10/12X150MM 329.10 4/1/2013
278500016562 STAPLER DLU END GIA ROT 60 3.5 949.52 4/1/2013
278500016579 STAPLER DLU END GIA ROT 30 2.0 616.68 4/1/2013
278500016591 ENDO GIA XL 934.87 4/1/2013
278500016594 STAPLER TA RELOADABLE 60-3.5S 308.35 4/1/2013
278500016628 CEMENT BONE SMARTSET MV 40G EO 286.50 4/1/2013
278500016646 VISIPORT 5-12MM OPTICAL TROCAR 127.31 4/1/2013

278500016648 BIOCOMPOSITE 3.0 W2 FIBERWIRE 1,165.10 4/1/2013
278500016679 DEVICE ESSURE ESS305 6,532.20 4/1/2013
278500016696 DEVICE MICROVASCULAR ANAS 1.5 764.00 4/1/2013
278500016697 DEVICE MICROVASCULAR ANAS 2.0 986.83 4/1/2013
278500016698 DEVICE MICROVASCULAR ANAS 2.5 951.82 4/1/2013
278500016708 BOLT TITANIUM 4.9MM X 46MM 635.88 4/1/2013
278500016710 DEVICE MICROVASCULAR ANAS 3.0 986.83 4/1/2013
278500016723 BOLT TIT LOCK GREEN 4.9 X36MM 577.70 4/1/2013
278500016726 BOLT TIT LOCK GREEN 4.9 X44MM 657.80 4/1/2013
278500016760 CEMENT BONE 174.11 4/1/2013
278500017181 COMPONENT FEMORAL SZ7 RT 9,206.20 4/1/2013
278500017189 PATELLAR GENESIS II 38MM 1,207.12 4/1/2013
278500017278 BIPOLAR HEAD OUTER SHELL 46MM 2,143.90 4/1/2013
278500017339 COMP TIB SZ5 KEEL 129433150 NPOR MBT 5,970.66 4/1/2013
278500017360 COMP TIB SZ4 KEEL 129433140 NPOR MBT 5,970.66 4/1/2013
278500017422 COMP TIB SZ3 KEEL 129433130 NPOR MBT 6,269.19 4/1/2013
278500017427 COMPONENT TIB SZ6 LT NPOR 4,270.76 4/1/2013
278500017430 COMPONENT TIB SZ2 RT NPOR 6,238.90 4/1/2013
278500017432 COMPONENT TIB SZ4 RT NPOR 4,270.76 4/1/2013
278500017434 COMPONENT TIB SZ6 RT NPOR 4,270.76 4/1/2013
278500017438 COMPONENT PTLR 29MM BCNVX 1,207.12 4/1/2013
278500017439 COMPONENT PATELLA 29MM RESRF 1,207.12 4/1/2013
278500017440 COMPONENT PATELLA 32MM RESRF 1,207.12 4/1/2013
278500017454 EXTRACTOR RX 9MM/12MM 4690 607.38 4/1/2013
278500017466 DEVICE MICROVASCULAR ANAS 3.5 951.82 4/1/2013
278500017539 BONE CANCELLOUS 15CC 0.1-2MM 1,091.57 4/1/2013
278500017719 BREAST TISSUE EXPANDER 133MV13 4,870.50 4/1/2013
278500017801 COMPONENT FEM OXINIUM SZ7 LT 10,433.15 4/1/2013
278500017831 BREAST IMP STYL10 360CC RD SIL 3,170.60 4/1/2013
278500017921 BONE CEMENT KYPHON ACTIV OS 10 W/HA 1,165.10 4/1/2013
278500018005 COMPONENT FEMORAL 71423214 9,206.20 4/1/2013
278500018067 COMP FEM SZ5 LT PS NPOR TRTHLN 6,207.50 4/1/2013
278500018078 TIBIAL PTLR 32X10MM 5551G320 ASYM TRTHLN X3 2,330.20 4/1/2013
278500018097 CONNECTOR ILC 5.5X40MM OPN TI 2,674.00 4/1/2013
278500018106 COMPONENT TIB SZ4 REV NPOR MBT 3,991.90 4/1/2013
278500018122 COMPONENT FEM LT SZ3 CR 960003 NPOR PFC SGMA 5,997.40 4/1/2013
278500018133 COMPONENT PTLR 3PEG 35 960101 OVL DM PFC SGMA 4,675.68 4/1/2013
278500018143 CAP LOCKING REVOLVE 676.14 4/1/2013
278500018149 BREAST IMPLANT MEDIUM 350CC CONTOUR PROFILE 5,118.80 4/1/2013
278500018152 BIOLOX CERAMIC HEAD 36 MM 3,533.50 4/1/2013
278500018796 PELVILACE BIOURETHRL SLING SYS 4,621.02 4/1/2013
278500018935 PATCH XENOSURE BIOLOGIC 8X8CM 458.40 4/1/2013
278500018973 MACROPLASTIQUE IMPLANTS 2.5ML 1,890.90 4/1/2013
278500019124 PERIETEX PROGRIP 15X9CM 1,082.17 4/1/2013
278500019196 TUBE TRIUNE PC SILICONE 1.35 108.49 4/1/2013
278500019252 TUBE VENT BAXTER BEVELED BUTTN FIRM SILICONE 171.90 4/1/2013
278500019410 LENS TORIC SN6AT6 17.0D 1,890.90 4/1/2013
278500019494 GRAFT ALYTE Y-MESH Y100 3,438.00 4/1/2013
278500019601 SPACER COALITION 14X16MM 7D 9M 14,038.50 4/1/2013
278500019773 SCREW CANN LOK 3.7MM 30MM 626.10 4/1/2013
278500019776 SCREW CANN LOK 3.7MM 36MM 626.10 4/1/2013
278500019777 SCREW CANN LOK 3.7MM 38MM 626.10 4/1/2013
278500019778 SCREW CANN LOK 3.7MM 40MM 626.10 4/1/2013
278500019976 SCREW BIOSURE HA 9MM X 25MM 1,123.08 4/1/2013
278500022326 ANCHOR SUTURE SWIVEL 4.75X19.1 7,258.00 4/1/2013
278500023663 SCREW LOK 2.7X12MM SLF TPNG W/ STRDR 387.04 4/1/2013
278500023904 SCREW SELF LOCKING 29 DWD029 510.35 4/1/2013
278500023906 SCREW LOCKING 35MM DWD035 510.35 4/1/2013
278500024875 SCREW REVOLVE 6.5X45 5,149.36 4/1/2013
278500024984 SCREW METAFIX LOCKG 3.5X24MM 706.70 4/1/2013
278500025667 SCREW ST SGL INR MIS 735.35 4/1/2013
278500025701 SCREW ACTB 6.5X25MM CANC PNCL 292.80 4/1/2013
278500025705 SCREW ACTB 6.5X30MM CANC PNCL 292.80 4/1/2013
278500025714 SCREW ACTB 6.5X35MM CANC PNCL 278.86 4/1/2013
278500025998 SCREW VAR ANGLE 4.6 SLFTAP 14 748.72 4/1/2013
278500026029 SCREW PROVIDENCE 4.2MM FIXED A NGLE SELF-TAPPING 16MM 748.72 4/1/2013
278500026063 SCREW 3.6MM BONE VARIABLE SELF -DRILLING 14MM 1,405.76 4/1/2013
278500026066 SCREW 5.5MM REVOLVE POLYAXIAL PEDICLE 45MM 5,149.36 4/1/2013
278500026067 SCREW 5.5MM REVOLVE POLYAXIAL PEDICLE 50MM 5,149.36 4/1/2013
278500026069 SCREW 6.5MM REVOLVE POLYAXIAL PEDICLE 40MM 5,149.36 4/1/2013
278500026070 SCREW 6.5MM REVOLVE POLYAXIAL PEDICLE 50MM 5,149.36 4/1/2013
278500026180 NK GSF FEMUR NON-POROUS 9,206.20 4/1/2013
278500026285 SCREW POLYAXIAL ELLIPSE 3.5MM 16MM 2,620.52 4/1/2013
278500026286 SCREW POLYAXIAL ELLIPSE 3.5MM 18MM 2,620.52 4/1/2013
278500026290 SCREW POLYAXIAL ELLIPSE 4.0MM 24MM 2,674.00 4/1/2013
278500026291 SCREW POLYAXIAL ELLIPSE 4.0MM 26MM 2,620.52 4/1/2013
278500026302 SCREW TAP FOR 4.0MM 1,348.46 4/1/2013
278500026647 CORKSCREW BIOCOMPOSITE 5.5MM 1,241.50 4/1/2013
278500029757 SUTURE ANCHOR NANOTACK 1,485.98 4/1/2013
278500133344 MONARC SUBFACIAL HAMMOCK SLING 3,346.32 4/1/2013
278500141641 PLUG MESH MARLEX MED 586.81 4/1/2013
278500141642 PLUG MESH MARLEX LG 598.86 4/1/2013
278500141890 MESH BARD 6 X 6 0112720 699.37 4/1/2013
278500143136 MESH COMPOSIX EX 6X8 3,014.21 4/1/2013
278500163449 POWERPORT TITANIUM W/8FR CATH 1,623.50 4/1/2013
278500179345 STENT WALLFLEX PC18/23MMX103MM ESOPH 9,072.50 4/1/2013
278500193922 STENT WALLFLEX DUO 22X60 6501 10,027.50 4/1/2013
278500199388 SEAL MYOSURE SINGLE USE 40-902 38.20 4/1/2013
278500231488 STENT ZAONTZ URETHRAL 111.74 4/1/2013
278500232827 POLARIS STENT KIT 6FR X 24CM 689.89 4/1/2013

278500232831 POLARIS STENT KIT 7FR X 26CM 597.56 4/1/2013
278500242358 STENT BILIARY SOLUS 10-10-RB 415.43 4/1/2013
278500265276 STRIP INTEGRA MOZIAK 15CM 4,755.90 4/1/2013
278500305158 GRAFT ALDRM 8X16CM .79-2.03MM THICK 14,325.00 4/1/2013
278500312125 AMNIOGRAFT 2.0X1.5CM SIZE B 2,425.70 4/1/2013
278500315146 ALLOGRAFT MAINTAIN 10M PARALLE 3,438.00 4/1/2013
278500383737 GLIDECATH 4FR 120CM CG417 185.46 4/1/2013
637000011027 BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM 138.78 4/1/2013
637000011031 BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM 66.49 4/1/2013
637000011079 BISACODYL 5 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
637000011080 BISACODYL 10 MG RECTAL SUPPOSITORY 3.00 4/1/2013
637000011355 CARBAMAZEPINE 100 MG CHEWABLE TABLET 3.00 4/1/2013
637000011357 CARBAMAZEPINE 200 MG TABLET 3.00 4/1/2013
637000011359 CARBAMIDE PEROXIDE 6.5 % EAR DROPS 9.34 4/1/2013
637000011395 CARISOPRODOL 350 MG TABLET 3.00 4/1/2013
637000011622 CHLORDIAZEPOXIDE 10 MG CAPSULE 3.00 4/1/2013
637000011623 CHLORDIAZEPOXIDE 25 MG CAPSULE 3.00 4/1/2013
637000011624 CHLORDIAZEPOXIDE 5 MG CAPSULE 3.00 4/1/2013
637000011661 CHLORTHALIDONE 25 MG TABLET 3.00 4/1/2013
637000011740 CLINDAMYCIN 150 MG CAPSULE 7.31 4/1/2013
637000011755 CLONIDINE 0.1 MG TABLET 3.00 4/1/2013
637000011756 CLONIDINE 0.2 MG TABLET 3.00 4/1/2013
637000011767 CLOTRIMAZOLE 1 % TOPICAL CREAM 10.01 4/1/2013
637000011801 CODEINE SULFATE 15 MG TABLET 3.00 4/1/2013
637000011802 CODEINE SULFATE 30 MG TABLET 3.00 4/1/2013
637000011821 COLCHICINE 0.6 MG TABLET 29.45 4/1/2013
637000012017 CYCLOBENZAPRINE 10 MG TABLET 6.16 4/1/2013
637000012033 CYPROHEPTADINE 4 MG TABLET 3.00 4/1/2013
637000012322 DEXAMETHASONE 0.5 MG TABLET 0.75 4/1/2013
637000012326 DEXAMETHASONE 2 MG TABLET 0.38 4/1/2013
637000012327 DEXAMETHASONE 4 MG TABLET 0.19 4/1/2013
637000012404 DIAZEPAM 2 MG TABLET 3.00 4/1/2013
637000012405 DIAZEPAM 5 MG TABLET 3.00 4/1/2013
637000012414 DICLOXACILLIN 250 MG CAPSULE 1.50 4/1/2013
637000012418 DICYCLOMINE 10 MG CAPSULE 3.00 4/1/2013
637000012444 DIGOXIN 125 MCG TABLET 3.00 4/1/2013
637000012445 DIGOXIN 250 MCG TABLET 3.00 4/1/2013
637000012475 DILTIAZEM 30 MG TABLET 3.00 4/1/2013
637000012476 DILTIAZEM 60 MG TABLET 4.47 4/1/2013
637000012505 DIPHENHYDRAMINE 25 MG TABLET 3.00 4/1/2013
637000012509 DIPHENHYDRAMINE 25 MG CAPSULE 3.00 4/1/2013
637000012510 DIPHENHYDRAMINE 50 MG CAPSULE 3.00 4/1/2013
637000012511 DIPHENHYDRAMINE 12.5 MG/5 ML ELIXIR 3.00 4/1/2013
637000012516 DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET 3.00 4/1/2013
637000012540 DISULFIRAM 250 MG TABLET 26.03 4/1/2013
637000012551 DIVALPROEX 125 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
637000012552 DIVALPROEX 250 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
637000012566 DOCUSATE SODIUM 100 MG CAPSULE 3.00 4/1/2013
637000012608 DOXEPIN 10 MG CAPSULE 3.00 4/1/2013
637000012611 DOXEPIN 25 MG CAPSULE 3.00 4/1/2013
637000012623 DOXYCYCLINE HYCLATE 100 MG CAPSULE 3.00 4/1/2013
637000012625 DOXYCYCLINE HYCLATE 100 MG TABLET 3.00 4/1/2013
637000012851 RACEPINEPHRINE 2.25 % NEB SOLUTION 7.09 4/1/2013
637000012863 ERGOCALCIFEROL (VITAMIN D2) 50,000 UNIT CAPSULE 3.00 4/1/2013
637000012888 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT 34.92 4/1/2013
637000012889 ERYTHROMYCIN 250 MG TABLET 4.08 4/1/2013
637000012938 CONJUGATED ESTROGENS 1.25 MG TABLET 13.23 4/1/2013
637000012951 ETHYL CHLORIDE 100 % TOPICAL SPRAY 184.03 4/1/2013
637000013066 FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET 3.00 4/1/2013
637000013069 FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL SOLN 3.00 4/1/2013
637000013074 FERROUS SULFATE 325 MG (65 MG IRON) TABLET 3.00 4/1/2013
637000013184 FLUOCINOLONE 0.025 % TOPICAL CREAM 170.79 4/1/2013
637000013218 FLUPHENAZINE 1 MG TABLET 3.97 4/1/2013
637000013233 FOLIC ACID 1 MG TABLET 3.00 4/1/2013
637000013294 FUROSEMIDE 20 MG TABLET 3.00 4/1/2013
637000013295 FUROSEMIDE 40 MG TABLET 3.00 4/1/2013
637000013378 GEMFIBROZIL 600 MG TABLET 3.00 4/1/2013
637000013427 GENTAMICIN 0.3 % (3 MG/G) EYE OINTMENT 45.66 4/1/2013
637000013489 GLYBURIDE 5 MG TABLET 3.37 4/1/2013
637000013542 GUAIFENESIN 100 MG/5 ML ORAL LIQUID 3.00 4/1/2013
637000013578 HALOPERIDOL 0.5 MG TABLET 3.00 4/1/2013
637000013579 HALOPERIDOL 1 MG TABLET 3.00 4/1/2013
637000013583 HALOPERIDOL 5 MG TABLET 3.00 4/1/2013
637000013698 HYDRALAZINE 10 MG TABLET 3.00 4/1/2013
637000013700 HYDRALAZINE 25 MG TABLET 3.00 4/1/2013
637000013720 HYDROCHLOROTHIAZIDE 25 MG TABLET 3.00 4/1/2013
637000013721 HYDROCHLOROTHIAZIDE 50 MG TABLET 3.00 4/1/2013
637000013724 HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP 16.61 4/1/2013
637000013725 HYDROCORTISONE 0.5 % TOPICAL CREAM 15.49 4/1/2013
637000013726 HYDROCORTISONE 1 % TOPICAL CREAM 25.21 4/1/2013
637000013728 HYDROCORTISONE 1 % LOTION 31.48 4/1/2013
637000013733 HYDROCORTISONE 10 MG TABLET 2.64 4/1/2013
637000013752 HYDROGEN PEROXIDE 3 % SOLN 3.75 4/1/2013
637000013760 HYDROMORPHONE 2 MG TABLET 3.00 4/1/2013
637000013761 HYDROMORPHONE 4 MG TABLET 3.00 4/1/2013
637000013774 HYDROXYZINE 25 MG TABLET 3.00 4/1/2013
637000013841 IBUPROFEN 200 MG TABLET 3.00 4/1/2013
637000013843 IBUPROFEN 400 MG TABLET 3.00 4/1/2013
637000013844 IBUPROFEN 600 MG TABLET 3.00 4/1/2013
637000013897 INDOMETHACIN 25 MG CAPSULE 3.00 4/1/2013

637000014027 ISONIAZID 300 MG TABLET 3.00 4/1/2013
637000014064 ISOSORBIDE DINITRATE 10 MG TABLET 3.00 4/1/2013
637000014065 ISOSORBIDE DINITRATE 20 MG TABLET 3.00 4/1/2013
637000014398 LEUCOVORIN CALCIUM 5 MG TABLET 7.29 4/1/2013
637000014420 LEVOTHYROXINE 25 MCG TABLET 3.00 4/1/2013
637000014421 LEVOTHYROXINE 50 MCG TABLET 3.00 4/1/2013
637000014423 LEVOTHYROXINE 100 MCG TABLET 3.00 4/1/2013
637000014425 LEVOTHYROXINE 150 MCG TABLET 3.00 4/1/2013
637000014504 LIOTHYRONINE 25 MCG TABLET 4.51 4/1/2013
637000014526 LISINOPRIL 20 MG TABLET 3.00 4/1/2013
637000014528 LITHIUM CARBONATE 150 MG CAPSULE 3.00 4/1/2013
637000014529 LITHIUM CARBONATE 300 MG CAPSULE 3.00 4/1/2013
637000014560 LOPERAMIDE 2 MG CAPSULE 3.00 4/1/2013
637000014572 LORAZEPAM 0.5 MG TABLET 3.00 4/1/2013
637000014573 LORAZEPAM 1 MG TABLET 3.00 4/1/2013
637000014712 MAGNESIUM CITRATE ORAL SOLN 7.52 4/1/2013
637000014953 METHADONE 10 MG TABLET 3.00 4/1/2013
637000014954 METHADONE 5 MG TABLET 3.00 4/1/2013
637000014973 METHOTREXATE SODIUM 2.5 MG TABLET 0.85 4/1/2013
637000014982 METHYLDOPA 250 MG TABLET 3.00 4/1/2013
637000014988 METHYLPHENIDATE 5 MG TABLET 3.00 4/1/2013
637000015005 METOCLOPRAMIDE 10 MG TABLET 3.00 4/1/2013
637000015006 METOCLOPRAMIDE 5 MG TABLET 3.00 4/1/2013
637000015009 METOPROLOL TARTRATE 50 MG TABLET 3.64 4/1/2013
637000015015 METRONIDAZOLE 250 MG TABLET 3.53 4/1/2013
637000015039 MICONAZOLE NITRATE 2 % TOPICAL CREAM 26.10 4/1/2013
637000015040 MICONAZOLE NITRATE 2 % VAGINAL CREAM 18.01 4/1/2013
637000015087 MINERAL OIL ENEMA 12.67 4/1/2013
637000015110 MINOCYCLINE 100 MG CAPSULE 3.00 4/1/2013
637000015176 MORPHINE 10 MG/5 ML ORAL SOLN 3.53 4/1/2013
637000015178 MORPHINE 15 MG TABLET 3.00 4/1/2013
637000015179 MORPHINE 30 MG TABLET 3.00 4/1/2013
637000015245 MULTIVITAMIN TABLET 3.00 4/1/2013
637000015331 NADOLOL 40 MG TABLET 6.86 4/1/2013
637000015384 NAPHAZOLINE-PHENIRAMINE 0.025 %-0.3 % EYE DROPS 34.20 4/1/2013
637000015391 NAPROXEN 250 MG TABLET 3.00 4/1/2013
637000015392 NAPROXEN 375 MG TABLET 6.96 4/1/2013
637000015472 NEOMYCIN 500 MG TABLET 12.55 4/1/2013
637000015558 NIFEDIPINE 10 MG CAPSULE 3.12 4/1/2013
637000015593 NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE 7.70 4/1/2013
637000015603 NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET 0.90 4/1/2013
637000015604 NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET 48.90 4/1/2013
637000015606 NITROGLYCERIN 2 % TRANSDERMAL OINTMENT 7.80 4/1/2013
637000015674 NORTRIPTYLINE 10 MG CAPSULE 3.00 4/1/2013
637000015675 NORTRIPTYLINE 25 MG CAPSULE 3.00 4/1/2013
637000015749 NYSTATIN 100,000 UNIT/G TOPICAL CREAM 85.25 4/1/2013
637000015751 NYSTATIN 100,000 UNIT/ML ORAL SUSP 69.73 4/1/2013
637000015754 NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM 149.25 4/1/2013
637000015938 OXYBUTYNIN CHLORIDE 5 MG TABLET 3.00 4/1/2013
637000015940 OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET 3.00 4/1/2013
637000015943 OXYMETAZOLINE 0.05 % NASAL SPRAY AEROSOL 20.96 4/1/2013
637000016092 PENICILLIN V POTASSIUM 250 MG TABLET 1.50 4/1/2013
637000016157 PERPHENAZINE 2 MG TABLET 4.00 4/1/2013
637000016158 PERPHENAZINE 4 MG TABLET 4.47 4/1/2013
637000016193 PHENAZOPYRIDINE 100 MG TABLET 3.00 4/1/2013
637000016225 PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037MG-0.0194MG/5ML ELIXIR 6.96 4/1/2013
637000016245 PHENYLEPHRINE 1 % NASAL DROPS 10.10 4/1/2013
637000016257 PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE 3.00 4/1/2013
637000016279 PILOCARPINE 1 % EYE DROPS 209.46 4/1/2013
637000016432 POTASSIUM CHLORIDE 10 % ORAL LIQUID 3.00 4/1/2013
637000016436 POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE 3.00 4/1/2013
637000016458 POVIDONE-IODINE 10 % TOPICAL SOLN 4.50 4/1/2013
637000016487 PREDNISOLONE ACETATE 1 % EYE DROPS, SUSP 40.64 4/1/2013
637000016493 PREDNISONE 1 MG TABLET 3.33 4/1/2013
637000016494 PREDNISONE 10 MG TABLET 1.50 4/1/2013
637000016495 PREDNISONE 2.5 MG TABLET 3.00 4/1/2013
637000016496 PREDNISONE 20 MG TABLET 0.75 4/1/2013
637000016497 PREDNISONE 5 MG TABLET 3.00 4/1/2013
637000016498 PREDNISONE 50 MG TABLET 0.30 4/1/2013
637000016582 PROCHLORPERAZINE MALEATE 10 MG TABLET 5.85 4/1/2013
637000016583 PROCHLORPERAZINE MALEATE 5 MG TABLET 3.90 4/1/2013
637000016654 PROPRANOLOL 20 MG/5 ML ORAL SOLN 190.50 4/1/2013
637000016656 PROPRANOLOL 10 MG TABLET 3.00 4/1/2013
637000016657 PROPRANOLOL 20 MG TABLET 3.00 4/1/2013
637000016658 PROPRANOLOL 40 MG TABLET 3.00 4/1/2013
637000016714 PSEUDOEPHEDRINE 30 MG TABLET 3.00 4/1/2013
637000016738 PYRAZINAMIDE 500 MG TABLET 4.40 4/1/2013
637000016746 PYRIDOXINE 25 MG TABLET 3.00 4/1/2013
637000016748 PYRIDOXINE 50 MG TABLET 3.00 4/1/2013
637000016802 RANITIDINE 15 MG/ML SYRUP 22.36 4/1/2013
637000017224 SILVER SULFADIAZINE 1 % TOPICAL CREAM 62.55 4/1/2013
637000017227 SIMETHICONE 80 MG CHEWABLE TABLET 3.00 4/1/2013
637000017228 SIMETHICONE 40 MG/0.6 ML ORAL DROPS, SUSP 15.82 4/1/2013
637000017311 SODIUM BICARBONATE 325 MG TABLET 3.00 4/1/2013
637000017312 SODIUM BICARBONATE 650 MG TABLET 3.00 4/1/2013
637000017325 SODIUM CHLORIDE 0.9 % FOR NEBULIZATION 3.00 4/1/2013
637000017437 SPIRONOLACTONE 25 MG TABLET 3.00 4/1/2013
637000017485 WATER FOR IRRIGATION, STERILE SOLUTION 1.59 4/1/2013
637000017555 SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET 3.00 4/1/2013
637000017711 TAMOXIFEN 10 MG TABLET 1.50 4/1/2013

637000017753 TEMAZEPAM 15 MG CAPSULE 3.00 4/1/2013
637000017754 TEMAZEPAM 30 MG CAPSULE 5.29 4/1/2013
637000017821 THEOPHYLLINE 80 MG/15 ML ORAL SOLN 56.20 4/1/2013
637000017857 THERAPEUTIC MULTIVITAMIN TABLET 3.00 4/1/2013
637000017877 THIAMINE 100 MG TABLET 3.00 4/1/2013
637000017879 THIAMINE 50 MG TABLET 3.00 4/1/2013
637000017995 TOBRAMYCIN 0.3 % EYE DROPS 94.11 4/1/2013
637000018020 TOLNAFTATE 1 % TOPICAL CREAM 8.27 4/1/2013
637000018085 TRAZODONE 50 MG TABLET 3.00 4/1/2013
637000018113 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM 14.96 4/1/2013
637000018116 TRIAMCINOLONE ACETONIDE 0.1 % LOTION 218.70 4/1/2013
637000018119 TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT 47.25 4/1/2013
637000018429 VALPROIC ACID 250 MG CAPSULE 1.14 4/1/2013
637000018528 VERAPAMIL 120 MG TABLET 3.00 4/1/2013
637000018529 VERAPAMIL 40 MG TABLET 3.00 4/1/2013
637000018530 VERAPAMIL 80 MG TABLET 3.00 4/1/2013
637000018639 VITAMIN A 10,000 UNIT CAPSULE 3.00 4/1/2013
637000018700 VITAMIN E 200 UNIT CAPSULE 3.00 4/1/2013
637000018723 VITAMIN A & D TOPICAL OINTMENT 3.00 4/1/2013
637000018748 WARFARIN 10 MG TABLET 3.00 4/1/2013
637000018749 WARFARIN 2 MG TABLET 7.65 4/1/2013
637000018750 WARFARIN 2.5 MG TABLET 3.00 4/1/2013
637000018751 WARFARIN 5 MG TABLET 3.00 4/1/2013
637000018752 WARFARIN 7.5 MG TABLET 3.00 4/1/2013
637000018880 ZINC SULFATE 220 MG (50 MG) CAPSULE 3.00 4/1/2013
637000018946 ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY 5.08 4/1/2013
637000018958 BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET 3.00 4/1/2013
637000018962 ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE 32.78 4/1/2013
637000018969 ACYCLOVIR 200 MG CAPSULE 3.00 4/1/2013
637000018970 ACYCLOVIR 200 MG/5 ML ORAL SUSP 3.69 4/1/2013
637000018971 ACYCLOVIR 400 MG TABLET 3.00 4/1/2013
637000018972 ACYCLOVIR 800 MG TABLET 3.00 4/1/2013
637000019066 AMIODARONE 200 MG TABLET 3.00 4/1/2013
637000019070 AMLODIPINE 2.5 MG TABLET 3.00 4/1/2013
637000019071 AMLODIPINE 5 MG TABLET 3.00 4/1/2013
637000019297 BROMOCRIPTINE 2.5 MG TABLET 4.24 4/1/2013
637000019321 BUPROPION HCL 100 MG TABLET 6.16 4/1/2013
637000019322 BUPROPION HCL 75 MG TABLET 4.64 4/1/2013
637000019324 BUSPIRONE 5 MG TABLET 3.00 4/1/2013
637000019385 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET 3.00 4/1/2013
637000019402 CAPTOPRIL 25 MG TABLET 4.96 4/1/2013
637000019403 CAPTOPRIL 50 MG TABLET 3.00 4/1/2013
637000019406 CARBIDOPA-LEVODOPA 10 MG-100 MG TABLET 3.00 4/1/2013
637000019407 CARBIDOPA-LEVODOPA 25 MG-100 MG TABLET 3.00 4/1/2013
637000019408 CARBIDOPA-LEVODOPA 25 MG-250 MG TABLET 3.00 4/1/2013
637000019495 CEFUROXIME AXETIL 250 MG TABLET 3.00 4/1/2013
637000019499 CEPHALEXIN 250 MG CAPSULE 3.00 4/1/2013
637000019500 CEPHALEXIN 500 MG CAPSULE 3.00 4/1/2013
637000019502 CEPHALEXIN 250 MG/5 ML ORAL SUSP 29.21 4/1/2013
637000019506 CETIRIZINE 10 MG TABLET 3.00 4/1/2013
637000019516 CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 12.02 4/1/2013
637000019525 CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSP 160.02 4/1/2013
637000019588 CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET 3.81 4/1/2013
637000019610 CIPROFLOXACIN 0.3 % EYE DROPS 76.46 4/1/2013
637000019616 CLARITHROMYCIN 250 MG TABLET 20.39 4/1/2013
637000019617 CLARITHROMYCIN 500 MG TABLET 21.91 4/1/2013
637000019637 CLONAZEPAM 0.5 MG TABLET 5.07 4/1/2013
637000019638 CLONAZEPAM 1 MG TABLET 5.75 4/1/2013
637000019644 CLOTRIMAZOLE 10 MG TROCHE 4.73 4/1/2013
637000019647 CLOZAPINE 100 MG TABLET 45.41 4/1/2013
637000019648 CLOZAPINE 25 MG TABLET 3.01 4/1/2013
637000019774 DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML SYRUP 3.31 4/1/2013
637000019894 DOXAZOSIN 1 MG TABLET 3.00 4/1/2013
637000019896 DOXAZOSIN 4 MG TABLET 6.16 4/1/2013
637000019904 DRONABINOL 2.5 MG CAPSULE 23.07 4/1/2013
637000019921 MINERAL OIL TOPICAL 11.75 4/1/2013
637000019924 ENALAPRIL MALEATE 10 MG TABLET 3.00 4/1/2013
637000019927 ENALAPRIL MALEATE 5 MG TABLET 3.00 4/1/2013
637000019931 ENOXAPARIN 80 MG/0.8 ML SUB-Q SYRINGE 17.36 4/1/2013
637000019967 ESTRADIOL 1 MG TABLET 3.00 4/1/2013
637000019973 CONJUGATED ESTROGENS 0.3 MG TABLET 13.23 4/1/2013
637000019974 CONJUGATED ESTROGENS 0.625 MG TABLET 13.23 4/1/2013
637000019977 CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM 957.27 4/1/2013
637000019980 ETHACRYNIC ACID 25 MG TABLET 20.83 4/1/2013
637000019983 ETHAMBUTOL 400 MG TABLET 7.08 4/1/2013
2500000410011 FAMOTIDINE 20 MG TABLET 3.00 4/1/2013
2500000410014 FAT EMULSION 20 % IV 49.22 4/1/2013
2500000410044 FLUCONAZOLE 100 MG TABLET 3.00 4/1/2013
2500000410069 FLUOXETINE 10 MG CAPSULE 3.00 4/1/2013
2500000410070 FLUOXETINE 20 MG CAPSULE 9.99 4/1/2013
2500000410126 GLYBURIDE 2.5 MG TABLET 3.00 4/1/2013
2500000410188 HEXACHLOROPHENE 3 % TOPICAL LIQUID 19.43 4/1/2013
2500000410246 IBUPROFEN 100 MG/5 ML ORAL SUSP 1.80 4/1/2013
2500000410251 IMIPRAMINE PAMOATE 100 MG CAPSULE 32.04 4/1/2013
2500000410371 KETOROLAC 10 MG TABLET 3.00 4/1/2013
2500000410372 LABETALOL 5 MG/ML IV 17.53 4/1/2013
2500000410373 LABETALOL 100 MG TABLET 3.00 4/1/2013
2500000410374 LABETALOL 200 MG TABLET 3.00 4/1/2013
2500000410404 LEVOTHYROXINE 112 MCG TABLET 3.00 4/1/2013
2500000410427 LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJECTION 16.77 4/1/2013

2500000410430 LIDOCAINE-EPINEPHRINE 2 %-1:100,000 INJECTION 3.00 4/1/2013
2500000410431 LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION 35.44 4/1/2013
2500000410434 LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM 291.85 4/1/2013
2500000410451 LISINOPRIL 5 MG TABLET 1.50 4/1/2013
2500000410491 MAGNESIUM OXIDE 400 MG TABLET 3.00 4/1/2013
2500000410544 METFORMIN 500 MG TABLET 3.00 4/1/2013
2500000410588 METOLAZONE 5 MG TABLET 3.58 4/1/2013
2500000410660 MVI, ADULT NO.1 WITH VIT K 3,300 UNIT-150 MCG/10 ML IV 24.45 4/1/2013
2500000410685 NALTREXONE 50 MG TABLET 8.31 4/1/2013
2500000410734 NOREPINEPHRINE BITARTRATE 1 MG/ML IV 10.44 4/1/2013
2500000410753 NORGESTREL-ETHINYL ESTRADIOL 0.5 MG-50 MCG TABLET 3.60 4/1/2013
2500000410781 BALANCED SALT IRRIG SOLN COMB2 INTRAOCULAR 15.15 4/1/2013
2500000410814 OXYCODONE 5 MG TABLET 3.00 4/1/2013
2500000411024 PHYTONADIONE 5 MG TABLET 28.09 4/1/2013
2500000411110 PRAVASTATIN 10 MG TABLET 3.00 4/1/2013
2500000411111 PRAVASTATIN 20 MG TABLET 3.00 4/1/2013
2500000411112 PRAVASTATIN 40 MG TABLET 3.00 4/1/2013
2500000411150 PROPOFOL 10 MG/ML IV 43.18 4/1/2013
2500000411218 PSYLLIUM ORAL PACKET 3.00 4/1/2013
2500000411349 SENNOSIDES 8.6 MG TABLET 1.50 4/1/2013
2500000411395 SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA 4.07 4/1/2013
2500000411555 TICARCILLIN-CLAVULANATE 3.1 G IV SOLUTION 38.46 4/1/2013
2500000411634 VECURONIUM BROMIDE 10 MG IV SOLUTION 11.96 4/1/2013
2500000411671 WATER FOR INJECTION, STERILE INJECTION 3.00 4/1/2013
2500000411701 ZOLPIDEM 5 MG TABLET 3.00 4/1/2013
2500000412734 ROCURONIUM 10 MG/ML IV 27.31 4/1/2013
2500000413818 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT 8.31 4/1/2013
2500000413981 LAMOTRIGINE 25 MG TABLET 1.00 4/1/2013
2500000413982 LAMOTRIGINE 100 MG TABLET 3.00 4/1/2013
2500000414041 IPRATROPIUM-ALBUTEROL 18 MCG-103 MCG/ACTUATION AEROSOL INHALER 731.47 4/1/2013
2500000414087 ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET 3.00 4/1/2013
2500000414123 BALANCED SALT IRRIG SOLN COMB1 INTRAOCULAR 323.85 4/1/2013
2500000414824 LOSARTAN 50 MG TABLET 3.00 4/1/2013
2500000414870 LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION 14.61 4/1/2013
2500000414895 NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE IV 23.82 4/1/2013
2500000414966 HYDROCODONE 5 MG-ACETAMINOPHEN 500 MG TABLET 3.00 4/1/2013
2500000414983 BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION 34.10 4/1/2013
2500000414984 BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION 11.63 4/1/2013
2500000415747 CARVEDILOL 6.25 MG TABLET 1.50 4/1/2013
2500000415748 CARVEDILOL 25 MG TABLET 3.00 4/1/2013
2500000415956 LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION 10.93 4/1/2013
2500000416168 CISATRACURIUM 2 MG/ML IV 88.14 4/1/2013
2500000416356 GLIMEPIRIDE 2 MG TABLET 1.50 4/1/2013
2500000417837 ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 56.33 4/1/2013
2500000418259 TRACE ELEMENTS CR-CU-MN-SE-ZN 0.01MG-1MG-0.5MG-60MCG-5MG/ML IV SOLN 18.22 4/1/2013
2500000418262 TRACE ELEMENTS CR-CU-MN-ZN 0.01 MG-1 MG-0.5 MG-5 MG/ML IV 15.79 4/1/2013
2500000418308 GABAPENTIN 300 MG CAPSULE 3.00 4/1/2013
2500000418398 REMIFENTANIL 1 MG IV SOLUTION 228.06 4/1/2013
2500000418400 REMIFENTANIL 2 MG IV SOLUTION 429.33 4/1/2013
2500000418742 PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET 3.00 4/1/2013
2500000418908 NITROPRUSSIDE 25 MG/ML IV 150.44 4/1/2013
2500000418922 TOPIRAMATE 100 MG TABLET 3.00 4/1/2013
2500000419720 FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY 142.30 4/1/2013
2500000420472 ETOMIDATE 2 MG/ML IV 29.91 4/1/2013
2500000420887 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) IV 104.94 4/1/2013
2500000420921 MORPHINE ER 30 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
2500000420943 AZITHROMYCIN 250 MG TABLET 4.55 4/1/2013
2500000422142 CLOPIDOGREL 75 MG TABLET 3.00 4/1/2013
2500000422509 MONTELUKAST 10 MG TABLET 19.14 4/1/2013
2500000424216 SENNOSIDES-DOCUSATE SODIUM 8.6 MG-50 MG TABLET 3.00 4/1/2013
2500000424984 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER 15.46 4/1/2013
2500000425174 HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE IV 73.03 4/1/2013
2500000425424 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET 4.80 4/1/2013
2500000425531 HETASTARCH IN LACT ELECTROLYTE 6 % IV 177.80 4/1/2013
2500000425855 GABAPENTIN 600 MG TABLET 3.00 4/1/2013
2500000426225 PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
2500000426226 PANTOPRAZOLE 40 MG IV SOLUTION 24.35 4/1/2013
2500000426854 MOXIFLOXACIN 400 MG TABLET 46.96 4/1/2013
2500000427312 CLINDAMYCIN 300 MG/2 ML IV 16.63 4/1/2013
2500000427617 ASCORBATE SODIUM 500 MG/ML INJECTION 6.80 4/1/2013
2500000427663 FLUORESCEIN 1 MG EYE STRIPS 0.51 4/1/2013
2500000427696 SCOPOLAMINE 1.5 MG 72 HR TRANSDERM PATCH 33.05 4/1/2013
2500000427697 ONDANSETRON 4 MG DISINTEGRATING TABLET 3.00 4/1/2013
2500000427856 TAMSULOSIN ER 0.4 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
2500000427857 VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
2500000427920 OXYCODONE ER 10 MG TABLET,EXTENDED RELEASE,12 HR 6.31 4/1/2013
2500000427921 OXYCODONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR 12.05 4/1/2013
2500000427949 AMINO ACIDS 4.25 % WITH LYTES & CALCIUM IN D25W IV 120.65 4/1/2013
2500000427993 POLYVINYL ALCOHOL 1 % EYE DROPS 33.75 4/1/2013
2500000427994 POLYVINYL ALCOHOL 1.4 % EYE DROPS 5.91 4/1/2013
2500000428188 CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 17.99 4/1/2013
2500000428400 WATER FOR INJECTION, STERILE IV 12.70 4/1/2013
2500000428836 MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSP 3.00 4/1/2013
2500000428913 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE 261.05 4/1/2013
2500000428917 CHONDROITIN-SOD HYALURON 3 %-4 % (0.5 ML) 1 %(0.55 ML) INTRAOCULAR KIT 575.63 4/1/2013
2500000429271 DILTIAZEM ER 180 MG CAPSULE,EXTENDED RELEASE 3.00 4/1/2013
2500000430863 FENTANYL-BUPIVACAINE-NACL (PF) 2 MCG/ML-0.1 % EPIDURAL 184.15 4/1/2013
2500000432559 ACETYLCHOLINE CHLORIDE 1:100 (20 MG/2 ML) INTRAOCULAR KIT 319.41 4/1/2013
2500000432569 STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER 777.88 4/1/2013
2500000433228 AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 3.00 4/1/2013

2500000433512 ESCITALOPRAM 10 MG TABLET 13.70 4/1/2013
2500000435134 ROSUVASTATIN 10 MG TABLET 13.24 4/1/2013
2500000435699 MOXIFLOXACIN 0.5 % EYE DROPS 309.20 4/1/2013
2500000435943 POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) 3.00 4/1/2013
2500000436386 SODIUM CITRATE ORAL SOLN 4.36 4/1/2013
2500000436962 DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 3.00 4/1/2013
2500000437068 LANOLIN TOPICAL CREAM 11.45 4/1/2013
2500000437605 ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSP 3.00 4/1/2013
2500000437637 METOPROLOL TARTRATE 25 MG TABLET 3.00 4/1/2013
2500000438285 ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 3.00 4/1/2013
2500000438315 TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE 49.32 4/1/2013
2500000439136 NYSTATIN 100,000 UNIT/G TOPICAL POWDER 16.86 4/1/2013
2500000439277 DULOXETINE 60 MG CAPSULE,DELAYED RELEASE 20.24 4/1/2013
2500000440009 FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET 6.46 4/1/2013
2500000440697 FLUTICASONE 44 MCG/ACTUATION AEROSOL INHALER 404.16 4/1/2013
2500000441136 DONEPEZIL 10 MG DISINTEGRATING TABLET 3.44 4/1/2013
2500000470536 FLUTICASONE 50 MCG/ACTUATION NASAL SPRAY, SUSP 65.65 4/1/2013
2500000477790 PREDNISOLONE 10 MG DISINTEGRATING TABLET 22.65 4/1/2013
2500000481428 ACTIVATED CHARCOAL-SORBITOL 50 GRAM/240 ML ORAL SUSP 146.31 4/1/2013
2500000481453 BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 371.73 4/1/2013
2500000481454 BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 371.72 4/1/2013
2500000482639 CHOLECALCIFEROL (VITAMIN D3) 1,000 UNIT TABLET 1.50 4/1/2013
2500000488317 TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE 685.80 4/1/2013
2500000489570 THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION 365.45 4/1/2013
2500000491651 METHYLNALTREXONE 12 MG/0.6 ML SUB-Q 279.21 4/1/2013
2500000494220 LIDOCAINE (PF) 3.5 % EYE GEL 115.19 4/1/2013
2500000494576 NICARDIPINE 40 MG/200 ML IN SODIUM CHLORIDE(ISO-OSMOTIC) IV PIGGY BACK 1,022.35 4/1/2013
2500000510000 ETOPOSIDE 20 MG/ML IV 3.61 4/1/2013
2500000510036 FILGRASTIM 300 MCG/ML INJECTION 1,541.47 4/1/2013
2500000510050 FLUCONAZOLE 400 MG/200 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 17.15 4/1/2013
2500000510137 GOSERELIN 3.6 MG SUBQ IMPLANT 1,027.18 4/1/2013
2500000510176 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION 9.23 4/1/2013
2500000510177 HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION 1.68 4/1/2013
2500000510181 HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION 1.70 4/1/2013
2500000510224 HYDROMORPHONE (PF) 10 MG/ML INJECTION 3.04 4/1/2013
2500000510286 INSULIN NPH & REGULAR HUMAN INSULIN 100 UNIT/ML (70-30) SUSP,SUB-Q INJ 1.50 4/1/2013
2500000510289 INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION 3.00 4/1/2013
2500000510299 INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) SOLUTION FOR INJECTION 102.84 4/1/2013
2500000510467 LORAZEPAM 2 MG/ML INJECTION 4.56 4/1/2013
2500000510546 METHADONE 10 MG/ML INJECTION 43.50 4/1/2013
2500000510571 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION 48.26 4/1/2013
2500000510577 METHYLPREDNISOLONE SODIUM SUCC 1,000 MG IV SOLUTION 10.36 4/1/2013
2500000510580 METHYLPREDNISOLONE SODIUM SUCC 40 MG SOLUTION FOR INJECTION 10.63 4/1/2013
2500000510581 METHYLPREDNISOLONE SODIUM SUCC 500 MG IV SOLUTION 11.11 4/1/2013
2500000510607 MIDAZOLAM 1 MG/ML INJECTION 1.63 4/1/2013
2500000510608 MIDAZOLAM 5 MG/ML INJECTION 0.39 4/1/2013
2500000510630 MITOMYCIN 20 MG IV SOLUTION 219.05 4/1/2013
2500000510777 ONDANSETRON HCL 2 MG/ML IV 0.38 4/1/2013
2500000510843 PACLITAXEL 6 MG/ML CONCENTRATE, IV 62.14 4/1/2013
2500000511023 PHYTONADIONE 10 MG/ML INJECTION 4.61 4/1/2013
2500000511076 POTASSIUM CHLORIDE 20 MEQ/100 ML IV PIGGY BACK 1.40 4/1/2013
2500000511077 POTASSIUM CHLORIDE 20 MEQ/50 ML IV PIGGY BACK 0.89 4/1/2013
2500000511081 POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE IV 1.27 4/1/2013
2500000511262 RANITIDINE 25 MG/ML INJECTION 7.03 4/1/2013
2500000511368 SINCALIDE 5 MCG SOLUTION FOR INJECTION 459.34 4/1/2013
2500000511403 SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 3.82 4/1/2013
2500000512520 IMMUNE GLOBULIN (HUMAN) (IGG) 12 G IV SOLUTION 201.88 4/1/2013
2500000512580 IPRATROPIUM BROMIDE 0.02 % SOLN FOR INHALATION 3.00 4/1/2013
2500000514122 PAMIDRONATE 90 MG IV POWDER FOR SOLUTION 115.34 4/1/2013
2500000514203 VINORELBINE 10 MG/ML IV 124.28 4/1/2013
2500000514643 EPOETIN ALFA 20,000 UNIT/ML INJECTION 79.68 4/1/2013
2500000514845 DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE IV 3.33 4/1/2013
2500000515370 LEUCOVORIN CALCIUM 10 MG/ML INJECTION 13.37 4/1/2013
2500000515786 DOCETAXEL 20 MG/2 ML (FINAL CONC.) IV 127.07 4/1/2013
2500000515846 HEPARIN (PORCINE) IN D5W 25,000 UNIT/250 ML IV 1.78 4/1/2013
2500000515849 HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV 1.46 4/1/2013
2500000515852 MORPHINE (PF) 1 MG/ML INJECTION 29.09 4/1/2013
2500000515909 GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE (ISO-OSMOTIC) IV PIGGY BACK 7.94 4/1/2013
2500000515911 GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE (ISO-OSMOTIC) IV PIGGY BACK 7.94 4/1/2013
2500000516162 MAGNESIUM SULFATE IN D5W 1 GRAM/100 ML IV PIGGY BACK 10.48 4/1/2013
2500000516254 GOSERELIN 10.8 MG SUBQ IMPLANT 1,051.40 4/1/2013
2500000516369 CEFEPIME 1 GRAM SOLUTION FOR INJECTION 12.39 4/1/2013
2500000516371 CEFEPIME 2 GRAM SOLUTION FOR INJECTION 10.91 4/1/2013
2500000517121 GEMCITABINE 200 MG IV SOLUTION 145.41 4/1/2013
2500000517380 MEROPENEM 1 GRAM IV SOLUTION 9.05 4/1/2013
2500000517405 INSULIN LISPRO 100 UNIT/ML SUB-Q 3.00 4/1/2013
2500000517450 IRINOTECAN 100 MG/5 ML IV 26.10 4/1/2013
2500000518192 ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION 0.44 4/1/2013
2500000518302 PIPERACILLIN-TAZOBACTAM 4.5 GRAM IV SOLUTION 14.89 4/1/2013
2500000518303 PIPERACILLIN-TAZOBACTAM 3.375 GRAM IV SOLUTION 18.30 4/1/2013
2500000518304 PIPERACILLIN-TAZOBACTAM 2.25 GRAM IV SOLUTION 22.91 4/1/2013
2500000518920 TOPIRAMATE 25 MG TABLET 1.50 4/1/2013
2500000519333 CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL 117.80 4/1/2013
2500000519548 HEPARIN, PORCINE (PF) 10 UNIT/ML IV SYRINGE 0.60 4/1/2013
2500000520954 LEVOCARNITINE 200 MG/ML IV 33.09 4/1/2013
2500000521063 AZITHROMYCIN 500 MG IV SOLUTION 28.05 4/1/2013
2500000522149 RITUXIMAB 10 MG/ML CONCENTRATE, IV 3,930.16 4/1/2013
2500000522473 KETOROLAC 30 MG/ML (1 ML) INJECTION 1.68 4/1/2013
2500000523123 EPTIFIBATIDE 0.75 MG/ML IV 134.45 4/1/2013
2500000523124 EPTIFIBATIDE 2 MG/ML IV 161.10 4/1/2013

2500000523128 ACYCLOVIR SODIUM 50 MG/ML IV 0.23 4/1/2013
2500000523796 INFLIXIMAB 100 MG IV SOLUTION 452.21 4/1/2013
2500000523928 OXALIPLATIN 50 MG IV SOLUTION 38.21 4/1/2013
2500000524053 TRASTUZUMAB 440 MG IV SOLUTION 454.89 4/1/2013
2500000524435 OCTREOTIDE ACETATE 20 MG IM KIT 741.04 4/1/2013
2500000524513 EPOETIN ALFA 40,000 UNIT/ML INJECTION 58.27 4/1/2013
2500000524932 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML IV 38.61 4/1/2013
2500000525518 CHLORAMPHENICOL SOD SUCCINATE 1 GRAM IV SOLUTION 118.38 4/1/2013
2500000527282 AMPICILLIN-SULBACTAM 1.5 GRAM IV SOLUTION 11.59 4/1/2013
2500000527431 DOXORUBICIN HCL PEGYLATED LIPOSOMAL 2 MG/ML IV 3,503.18 4/1/2013
2500000527838 SODIUM CHLORIDE 0.9 % IV 36.95 4/1/2013
2500000528149 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV SYRINGE 1.05 4/1/2013
2500000528282 INSULIN GLARGINE 100 UNIT/ML SUB-Q 3.00 4/1/2013
2500000528775 BUDESONIDE 0.5 MG/2 ML NEB SUSPENSION 33.37 4/1/2013
2500000529132 IRON SUCROSE 100 MG/5 ML IRON IV 2.00 4/1/2013
2500000529302 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML ORAL SOLN 1.29 4/1/2013
2500000529396 BIVALIRUDIN 250 MG SOLUTION 28.32 4/1/2013
2500000529464 MORPHINE (PF) 0.5 MG/ML INJECTION 39.08 4/1/2013
2500000529898 IMMUNE GLOBULIN (HUMAN) (IGG) 6 GRAM IV SOLUTION 201.88 4/1/2013
2500000530510 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEB SOLUTION 3.00 4/1/2013
2500000530792 HYDROMORPHONE 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE IV 15.88 4/1/2013
2500000531310 ALTEPLASE 2 MG SOLUTION FOR INJECTION 287.28 4/1/2013
2500000531688 PARICALCITOL 2 MCG/ML IV SOLUTION 18.22 4/1/2013
2500000531906 MOXIFLOXACIN 400 MG/250 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGY BACK 13.10 4/1/2013
2500000531922 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION 162.76 4/1/2013
2500000532267 PEGFILGRASTIM 6 MG/0.6 ML SUB-Q SYRINGE 18,092.86 4/1/2013
2500000532470 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION 17.44 4/1/2013
2500000532471 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION 10.48 4/1/2013
2500000532700 ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION 33.34 4/1/2013
2500000532767 FULVESTRANT 250 MG/5 ML IM SYRINGE 529.33 4/1/2013
2500000535640 ZOLEDRONIC ACID 4 MG/5 ML IV 1,359.22 4/1/2013
2500000535839 BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION 273.19 4/1/2013
2500000536591 PALONOSETRON 0.25 MG/5 ML IV 106.35 4/1/2013
2500000536989 DAPTOMYCIN 500 MG IV SOLUTION 3.43 4/1/2013
2500000537894 PEMETREXED 500 MG IV SOLUTION 341.40 4/1/2013
2500000537989 CETUXIMAB 100 MG/50 ML IV 321.43 4/1/2013
2500000538022 BEVACIZUMAB 25 MG/ML IV 370.84 4/1/2013
2500000538072 RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE 0.30 4/1/2013
2500000538270 CYCLOPHOSPHAMIDE 1 GRAM IV SOLUTION 146.47 4/1/2013
2500000538271 CYCLOPHOSPHAMIDE 500 MG IV SOLUTION 146.46 4/1/2013
2500000539477 ADENOSINE 3 MG/ML IV SYRINGE 218.74 4/1/2013
2500000540120 NATALIZUMAB 300 MG/15 ML IV 77.80 4/1/2013
2500000540475 PACLITAXEL-PROTEIN BOUND 100 MG IV SOLUTION 59.14 4/1/2013
2500000541569 GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLUTION FOR INJECTION 540.29 4/1/2013
2500000541652 TIGECYCLINE 50 MG IV SOLUTION 8.83 4/1/2013
2500000570287 ABATACEPT (WITH MALTOSE) 250 MG IV SOLUTION 140.45 4/1/2013
2500000576364 DECITABINE 50 MG IV SOLUTION 212.93 4/1/2013
2500000576963 DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION 20.01 4/1/2013
2500000577034 DARBEPOETIN ALFA 300 MCG/ML IN POLYSORBATE INJECTION 19.80 4/1/2013
2500000577195 LEVETIRACETAM 500 MG/5 ML IV 1.58 4/1/2013
2500000577412 CAFFEINE CITRATED 60 MG/3 ML (20 MG/ML) IV 5.97 4/1/2013
2500000581434 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL AND WATER IV 1,315.85 4/1/2013
2500000581696 ECULIZUMAB 300 MG/30 ML IV 1,251.76 4/1/2013
2500000582200 FLUOROURACIL 500 MG/10 ML IV 10.60 4/1/2013
2500000582204 FLUOROURACIL 1 GRAM/20 ML IV 10.66 4/1/2013
2500000588615 DORIPENEM 500 MG IV SUSP 4.70 4/1/2013
2500000588652 IXABEPILONE 15 MG IV SOLUTION 399.38 4/1/2013
2500000588654 HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION 415.83 4/1/2013
2500000589350 PEMETREXED 100 MG IV SOLUTION 341.40 4/1/2013
2500000591055 IRINOTECAN 40 MG/2 ML IV 31.07 4/1/2013
2500000591237 CIPROFLOXACIN 200 MG/100 ML IN DEXTROSE 5 % IV PIGGY BACK 10.16 4/1/2013
2500000591278 OCTREOTIDE ACETATE 50 MCG/ML INJECTION 4.86 4/1/2013
2500000591349 KETOROLAC 60 MG/2 ML IM 0.88 4/1/2013
2500000592838 LEVOLEUCOVORIN CALCIUM 50 MG IV SOLUTION 12.43 4/1/2013
2500000593566 ROMIPLOSTIM 250 MCG SUB-Q SOLN 318.89 4/1/2013
2500000594096 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION 1.43 4/1/2013
2500000596986 DEGARELIX 80 MG SUB-Q SOLN 30.69 4/1/2013
2500000596987 DEGARELIX 120 MG SUB-Q SOLN 61.38 4/1/2013
2500000597342 SUMATRIPTAN 6 MG/0.5 ML SUB-Q 142.69 4/1/2013
2500000599452 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) IV 20.96 4/1/2013
2500000610153 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML IM 138.09 4/1/2013
2500000610512 MEASLES,MUMPS&RUBELLA VACCIN(PF) 1,000-12,500 TCID50/0.5 ML SUB-Q SOLN 315.82 4/1/2013
2500000611037 PNEUMOCOCCAL 23-VALPS VACCINE 25 MCG/0.5 ML INJECTION 364.76 4/1/2013
2500000611257 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT IM 1,185.49 4/1/2013
2500000811403 SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 6.35 4/1/2013
2500000827838 SODIUM CHLORIDE 0.9 % IV 179.55 4/1/2013
2500000841463 SODIUM CHLORIDE 0.9 % INJECTION 260.35 4/1/2013
2550000110319 IOHEXOL 180 MG IODINE/ML INTRATHECAL 8.16 4/1/2013
2550000110321 IOHEXOL 240 MG IODINE/ML IV 3.00 4/1/2013
2550000110322 IOHEXOL 300 MG IODINE/ML IV 14.65 4/1/2013
2550000110330 IOTHALAMATE MEGLUMINE 17.2 % URETHRAL 1.02 4/1/2013
2550000117594 IODIXANOL 270 MG/ML IV 3.60 4/1/2013
2550000117595 IODIXANOL 320 MG/ML IV 4.49 4/1/2013
2550000191408 REGADENOSON 0.4 MG/5 ML IV SYRINGE 497.30 4/1/2013
2705000110356 OSTEORAPTOR 2.3MM CVD BLUE SA COBRAID 1,589.12 4/1/2013
2705000110484 WAND AMBIENT HIPVAC50 1,719.00 4/1/2013
2705000116239 BLADE SAW OSCILLATNG 1.27 WIDE 210.86 4/1/2013
2705000122264 GRASPER DIRECT DRIVE 5MMX35CM 309.85 4/1/2013
2705000122481 CANNULA LOW PROFILE W/OBTR 5MM 95.50 4/1/2013
2705000122509 TWIST DRILL FLEX CVD FOR 2.3SA 702.88 4/1/2013

2705000126822 TUBE VACUUM AQUILEX HIGH/LOW 477.50 4/1/2013
2705000126830 TRANSPORT CANNULA 8MM 4.5.6 MED LENGTH 343.80 4/1/2013
2705000126831 INJECTOR CARTRIDGE II CAT01857 1,126.90 4/1/2013
2705000126832 CANNULA CLEARTRAC THRD 7.0X72 COMPLETE LF 131.03 4/1/2013
2705000128359 PIN FLIPCUTTER 10MM 1,776.30 4/1/2013
2705000128371 NANOPASS CRESENT CAT01358 1,103.98 4/1/2013
2705000128383 BLADE OSCIL SAW 105MMX19X1.27 187.18 4/1/2013
2725000131191 HALO 60 ABLATION CATHETER 5,214.30 4/1/2013
2725000131213 0.62 GUIDEWIRE W TROCAR TIP 38.20 4/1/2013
2725000131214 CANNULATED DRILL BIT 3.0MM 382.00 4/1/2013
2725000131250 2.0 DRILL BIT 213.92 4/1/2013
2725000131251 2.5 DRILL BIT 213.92 4/1/2013
2725000131252 0.35 K-WIRE 95.50 4/1/2013
2725000131465 DISTRACTION PINS 14MM 508.06 4/1/2013
2725000131656 PIN 95.50 4/1/2013
2725000131696 SUTURE GRASPER 1,058.14 4/1/2013
2725000132104 NATURA COLOSTOMY 26.74 4/1/2013
2725000132226 .062 GUIDEWIRE W TROCAR TIP 38.20 4/1/2013
2725000132227 CANNULATED DRILL BIT 3.0MM 382.00 4/1/2013
2725000132292 UNIVERSAL DRAPE SYSTEM 99.32 4/1/2013
2725000133084 VSP ORTHOGNATHICS BUNDLE 3,724.50 4/1/2013
2725000133085 TWIST DRILL1.5MM X 50MM 561.54 4/1/2013
2725000133086 TWIST DRILL 1.5MM X 115MM 561.54 4/1/2013
2725000133218 MINI BIO-SUTURETAK DISPOSABLE INSTRUMENT KIT 955.00 4/1/2013
2725000133469 REGALIA XS 1.0 611.20 4/1/2013
2725000133471 PTA BALLOON 1,069.60 4/1/2013
2725000133474 STEALTH PILOT 12,968.90 4/1/2013
2725000133476 VIPER WIRE 573.00 4/1/2013
2725000133477 STABILIZER 660.86 4/1/2013
2725000133479 PTA SLEEK BALLOON 1,069.60 4/1/2013
2725000133482 PTA BALLOON 874.78 4/1/2013
2725000133522 VIPERSLIDE LUBRICANT 343.80 4/1/2013
2725000133556 HEADLESS TROCAR DRILL PIN 725.80 4/1/2013
2750000110235 SUTURE ANCHOR HEALICOIL PK 5.5 1,476.05 4/1/2013
2765000210077 LENS CRYSTALENS AT-50AO 21.25 3,629.00 4/1/2013
2765000210078 LENS CRYSTALENS AT-52AO 14.00 3,629.00 4/1/2013
2765000216516 LENS TORIC SN6AT3 15.5D 1,890.90 4/1/2013
2765000216644 LENS TORIC SN6AT4 25.5D 1,890.90 4/1/2013
2765000216848 LENS TORIC SN6AT8 13.0D 1,890.90 4/1/2013
2765000816951 LENS TORIC SN6AT7 19.0D 1,488.90 4/1/2013
2785000110036 COMPONENT TIB SZ5 POR STMD NXGN 3,219.46 4/1/2013
2785000110041 COMPONENT FEM SZ F LT GSF LPS FLEX 9,395.56 4/1/2013
2785000110043 STENT WALLFLEX DUODENAL 22X90 10,027.50 4/1/2013
2785000110047 NAIL 11X400MM 130 DEG LT CANN TROC 5,802.77 4/1/2013
2785000110066 SPACER CALIBER 10X26 8-12MM 22,087.24 4/1/2013
2785000110073 COMPONENT FEM LPS FLEX SZ F RT GSF OPTION 9,395.56 4/1/2013
2785000110107 PLATE CONDYLAR 4.5 LCP 12H LT 5,544.08 4/1/2013
2785000110112 TIBIAL ARTICULAR INSERT 9MM LT 8,900.60 4/1/2013
2785000110126 STEM FEM 10.0 STD OFST ML TPR 10,199.93 4/1/2013
2785000110146 SHELL POROUS 50MM CLUSTER 5,137.90 4/1/2013
2785000110157 HUMERAL STEM SIZE 7A 18,336.00 4/1/2013
2785000110185 SHELL ACETABULAR 48MM 12173248 W GRPTN PNCL SCTR 8,034.19 4/1/2013
2785000110186 LINER ACTB 32MMX48OD 121932448 NEUT XLINK PNCL MRTHN 4,228.82 4/1/2013
2785000110187 SHELL ACETABULAR 54MM 12173254 W GRPTN PNCL SCTR 8,096.49 4/1/2013
2785000110235 SUTURE ANCHOR HEALICOIL PK 5.5 1,405.76 4/1/2013
2785000110241 PUSH-LOCK BIOCOMP 2.9MM X 15.5 1,451.60 4/1/2013
2785000110257 SUTURE ANCHOR ROCXS 3.5X10MM 1,936.74 4/1/2013
2785000110295 SUTURE WIRE STAINLES STEEL 18G 213.69 4/1/2013
2785000110297 ACL TIGHTROPE AR-1588T 1,050.50 4/1/2013
2785000110326 STEM EXTENSION NEXG SCREW 573.00 4/1/2013
2785000116951 LENS TORIC SN6AT7 19.0D 1,890.90 4/1/2013
2785000117464 LPS FLEX ART SURF SZ EF 10MM 3,797.08 4/1/2013
2785000119302 SCREW 3X22MM CMPR SH TH HDLS 822.45 4/1/2013
2785000119676 ROD 300MM 179762300 0 2,674.00 4/1/2013
2785000120533 FEMORAL STABILIZER COMP 3 RT 6,207.50 4/1/2013
2785000120534 COMP FEM SZ6 LT PS NPOR TRTHLN 6,207.50 4/1/2013
2785000121047 CONCORDE BUL PAR 9X7X27 9,550.00 4/1/2013
2785000121471 BIOLOX CERAMIC HEAD 36 MM 3,533.50 4/1/2013
2785000121685 SCREW POLYAXIAL ELLIPSE 4.0MM 28MM 2,620.52 4/1/2013
2785000121970 TI CORT FIX MIS 5.56X40MM 5,615.40 4/1/2013
2785000121971 TI CORT FIX MIS 5.56X45MM 5,615.40 4/1/2013
2785000122055 STEM TIB PRECOAT SZ3 4,079.76 4/1/2013
2785000122056 COMPONENT FEM SZ E LT GSF LPS FLEX 9,206.20 4/1/2013
2785000122057 PATELLA NEXG PROLONG POLY 32MM 6,035.60 4/1/2013
2785000122227 NAIL SCREW TROCH 11MM/95MM - S TER 1,992.21 4/1/2013
2785000122236 PLATE LCP LAT DIST FIB 4H R 86 2.7MM/3.5MM 2,046.18 4/1/2013
2785000122251 ALLOGRAFT MAINTAIN 8M LORDOTIC 3,438.00 4/1/2013
2785000122252 ALLOGRAFT MAINTAIN 9M LORDOTIC 3,438.00 4/1/2013
2785000122274 STEM FEM 15.0 XTD OFST ML TPR 9,954.92 4/1/2013
2785000122299 CONTINUUM SHELL UNI 54 5,137.90 4/1/2013
2785000122300 LINER CONT LE ELE LNR JJ 36X54 5,065.32 4/1/2013
2785000122340 M/L TAPER HA SIZE 13.5 EXTENDE D OFFSET 31,133.00 4/1/2013
2785000122393 HUMERAL HEAD ASCEND 46MM 14,516.00 4/1/2013
2785000122394 GLENOID PEGGED SZ 44MM 7,153.71 4/1/2013
2785000122477 CATHETER SUPPORT 035 135CM ANG 653.22 4/1/2013
2785000122605 ALLOGRAFT MAINTAIN 7M LORDOTIC 3,438.00 4/1/2013
2785000125212 PLATE METAFIX 30MM RT FH01030 2,578.50 4/1/2013
2785000126067 PRE-LORDOSED ROD W/LINE 40MM 764.00 4/1/2013
2785000126068 PRE-LORDOSED ROD W/LINE 45MM 764.00 4/1/2013
2785000126087 COMP TIB SZ2.5 KEEL 129433125 NPOR MBT 5,970.66 4/1/2013

2785000126157 TI CORT FIX MIS 5.57X40MM 5,615.40 4/1/2013
2785000128323 ACL TIGHTROPE ABS BUTTON 8X12 AR-1588TB 783.10 4/1/2013
2785000128373 SCREW VA LCKG 5.0 SELFTAP 65MM 818.17 4/1/2013
2785000128374 SCREW VA LCKG 5.0 SELFTAP 70MM 818.17 4/1/2013
2785000128375 SCREW VA LCKG 5.0 SELFTAP 75MM 818.17 4/1/2013
2785000128380 SCREW VA LOCKING 5.0MM 80MM 818.17 4/1/2013
2785000128969 CONTINUUM SHELL CLUSTER 5 5,137.90 4/1/2013
2785000129013 LINER CONT LE ELE LNR LL 36X 5 8 5,065.32 4/1/2013
2785000130986 INSERT TIB EF 5 6 GRN 12MM LCCK NXGN 5,034.34 4/1/2013
2785000131088 PINN MAR +4 10D 32IDX50OD 2,903.20 4/1/2013
2785000131937 TUBE SHAPARD GROMENT VENT 1.14 LUMEN 57.30 4/1/2013
2785000132109 STEM TAPER ML NECK STD 12/14 9,954.92 4/1/2013
2785000132675 WEDGE FEM 8MM SZ4 RT DIST PFC SGMA 2,205.94 4/1/2013
2785000132676 INSERT TIB SZ4 17.5 RP STAB PFC SGMA 5,114.03 4/1/2013
2785000132677 UNIVERSAL STEM 75X20MM FLUTED 6,146.38 4/1/2013
2785000132678 UNIVERSAL STEM 115X18MM FLUTED 6,146.38 4/1/2013
2785000133621 INSERT TIB SZ2.5 10.0 RP STAB PFC SGMA 5,114.03 4/1/2013
2785000133622 SCREW EXP TI POLY 8MMX65MM 2,674.00 4/1/2013
2785000133748 STENT WALLFLEX UNCOV RX 8X80 6,876.00 4/1/2013
2785000134058 FEMORAL STEM SZ3 1570-05-090 3,544.04 4/1/2013
2785000134059 NK GSF FEMUR NON-POROUS 9,206.20 4/1/2013
2785000222474 SCREW VA LCKG 5.0 SLFTAP 40MM STRDR 602.42 4/1/2013
2785000222486 SUTURE ANCHOR HEALICOIL PK 4.5 1,535.64 4/1/2013
2785000222487 SCREW VA LCKG 5.0 SLFTAP 22MM STRDR 602.42 4/1/2013
2785000222488 SCREW VA LCKG 5.0 SLFTAP 38MM STRDR 602.41 4/1/2013
2785000228361 ACL TIGHTROPE RT W/TI 1,501.26 4/1/2013
2785001431436 PATCH PARIETEX VENTRAL SM 4CM 1,442.13 4/1/2013
2785002232519 STENT WALLFLEX PARTUNCOV 10X60 BILIARY 10,466.80 4/1/2013
2785003726833 SHEATH GUIDING PINNCLE 5FR STR 343.80 4/1/2013
2785005725254 PEGGED GLENOID AFFINITI 48 7,153.71 4/1/2013
3430000313545 INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG IV KIT 3,492.65 4/1/2013
6370000110011 FAMOTIDINE 20 MG TABLET 3.00 4/1/2013
6370000110037 FINASTERIDE 5 MG TABLET 5.73 4/1/2013
6370000110041 FLECAINIDE 100 MG TABLET 3.00 4/1/2013
6370000110044 FLUCONAZOLE 100 MG TABLET 3.00 4/1/2013
6370000110045 FLUCONAZOLE 200 MG TABLET 3.00 4/1/2013
6370000110046 FLUCONAZOLE 50 MG TABLET 3.00 4/1/2013
6370000110054 FLUDROCORTISONE 0.1 MG TABLET 3.00 4/1/2013
6370000110069 FLUOXETINE 10 MG CAPSULE 3.00 4/1/2013
6370000110070 FLUOXETINE 20 MG CAPSULE 3.00 4/1/2013
6370000110080 FLURBIPROFEN 0.03 % EYE DROPS 16.64 4/1/2013
6370000110117 GLIPIZIDE 5 MG TABLET 3.00 4/1/2013
6370000110125 GLYBURIDE 1.25 MG TABLET 3.00 4/1/2013
6370000110126 GLYBURIDE 2.5 MG TABLET 3.00 4/1/2013
6370000110188 HEXACHLOROPHENE 3 % TOPICAL LIQUID 19.43 4/1/2013
6370000110235 HYDROXYCHLOROQUINE 200 MG TABLET 3.00 4/1/2013
6370000110236 HYDROXYUREA 500 MG CAPSULE 5.29 4/1/2013
6370000110246 IBUPROFEN 100 MG/5 ML ORAL SUSP 3.00 4/1/2013
6370000110284 NPH INSULIN HUMAN RECOMB 100 UNIT/ML SUSP, SUB-Q INJ 0.75 4/1/2013
6370000110368 KETOCONAZOLE 2 % TOPICAL CREAM 17.82 4/1/2013
6370000110371 KETOROLAC 10 MG TABLET 3.00 4/1/2013
6370000110373 LABETALOL 100 MG TABLET 3.00 4/1/2013
6370000110374 LABETALOL 200 MG TABLET 3.00 4/1/2013
6370000110403 LEVOTHYROXINE 88 MCG TABLET 3.00 4/1/2013
6370000110404 LEVOTHYROXINE 112 MCG TABLET 3.00 4/1/2013
6370000110443 LIOTHYRONINE 5 MCG TABLET 3.00 4/1/2013
6370000110451 LISINOPRIL 5 MG TABLET 3.00 4/1/2013
6370000110454 LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
6370000110466 LORATADINE 10 MG TABLET 3.00 4/1/2013
6370000110491 MAGNESIUM OXIDE 400 MG TABLET 3.00 4/1/2013
6370000110521 MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSP 15.12 4/1/2013
6370000110533 MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE 8.23 4/1/2013
6370000110534 MESALAMINE 400 MG TABLET,DELAYED RELEASE 11.14 4/1/2013
6370000110544 METFORMIN 500 MG TABLET 3.00 4/1/2013
6370000110553 METHIMAZOLE 5 MG TABLET 3.00 4/1/2013
6370000110572 METHYLERGONOVINE 0.2 MG TABLET 8.67 4/1/2013
6370000110587 METOLAZONE 2.5 MG TABLET 3.00 4/1/2013
6370000110588 METOLAZONE 5 MG TABLET 3.58 4/1/2013
6370000110592 METRONIDAZOLE 0.75 % VAGINAL GEL 131.13 4/1/2013
6370000110595 MEXILETINE 150 MG CAPSULE 3.00 4/1/2013
6370000110606 MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER 923.87 4/1/2013
6370000110609 MIDODRINE 2.5 MG TABLET 3.00 4/1/2013
6370000110628 MISOPROSTOL 100 MCG TABLET 9.93 4/1/2013
6370000110674 MUPIROCIN 2 % TOPICAL OINTMENT 34.51 4/1/2013
6370000110685 NALTREXONE 50 MG TABLET 13.80 4/1/2013
6370000110778 ONDANSETRON HCL 4 MG TABLET 0.75 4/1/2013
6370000110810 OXYBUTYNIN CHLORIDE 5 MG/5 ML SYRUP 9.12 4/1/2013
6370000110813 OXYCODONE 5 MG/5 ML ORAL SOLN 6.61 4/1/2013
6370000110814 OXYCODONE 5 MG TABLET 3.00 4/1/2013
6370000110839 PEG 3350-ELECTROLYTES 236 G-22.74 G-6.74 G-5.86 G ORAL SOLUTION 25.40 4/1/2013
6370000110855 PAROXETINE 20 MG TABLET 3.00 4/1/2013
6370000110865 MULTIVITAMIN ORAL LIQUID 3.00 4/1/2013
6370000111024 PHYTONADIONE 5 MG TABLET 46.70 4/1/2013
6370000111067 SODIUM DI- AND MONOPHOSPHATE-K PHOSPHATE MONO 250 MG TABLET 3.00 4/1/2013
6370000111105 HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM 191.71 4/1/2013
6370000111110 PRAVASTATIN 10 MG TABLET 3.00 4/1/2013
6370000111111 PRAVASTATIN 20 MG TABLET 3.00 4/1/2013
6370000111112 PRAVASTATIN 40 MG TABLET 3.00 4/1/2013
6370000111129 PRIMIDONE 50 MG TABLET 3.00 4/1/2013
6370000111138 PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY 12.81 4/1/2013

6370000111218 PSYLLIUM ORAL PACKET 3.00 4/1/2013
6370000111239 PYRIDOSTIGMINE BROMIDE 60 MG TABLET 3.36 4/1/2013
6370000111293 RIFAMPIN 300 MG CAPSULE 12.55 4/1/2013
6370000111340 SELEGILINE 5 MG TABLET 8.14 4/1/2013
6370000111349 SENNOSIDES 8.6 MG TABLET 3.00 4/1/2013
6370000111351 SERTRALINE 50 MG TABLET 3.00 4/1/2013
6370000111359 SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK 3.00 4/1/2013
6370000111395 SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA 6.76 4/1/2013
6370000111403 SODIUM CHLORIDE 0.9 % IRRIGATION SOLN 6.35 4/1/2013
6370000111421 SOTALOL 80 MG TABLET 3.00 4/1/2013
6370000111441 SUCRALFATE 100 MG/ML ORAL SUSP 14.74 4/1/2013
6370000111442 SUCRALFATE 1 GRAM TABLET 3.00 4/1/2013
6370000111507 TERBUTALINE 1 MG/ML SUB-Q 11.43 4/1/2013
6370000111561 TIMOLOL MALEATE 0.25 % EYE DROPS 15.18 4/1/2013
6370000111562 TIMOLOL MALEATE 0.5 % EYE DROPS 28.33 4/1/2013
6370000111566 TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT 861.38 4/1/2013
6370000111567 TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE DROPS, SUSP 134.49 4/1/2013
6370000111624 URSODIOL 300 MG CAPSULE 3.00 4/1/2013
6370000111630 VANCOMYCIN 250 MG/5 ML ORAL SOLUTION 88.40 4/1/2013
6370000111639 VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE 5.97 4/1/2013
6370000111664 WARFARIN 1 MG TABLET 3.00 4/1/2013
6370000111701 ZOLPIDEM 5 MG TABLET 3.00 4/1/2013
6370000112024 MECLIZINE 12.5 MG TABLET 3.00 4/1/2013
6370000112097 THEOPHYLLINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR 1.50 4/1/2013
6370000112098 THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR 1.85 4/1/2013
6370000112203 VENLAFAXINE 25 MG TABLET 3.00 4/1/2013
6370000112207 VENLAFAXINE 37.5 MG TABLET 4.86 4/1/2013
6370000112329 CARBIDOPA-LEVODOPA ER 25 MG-100 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
6370000112556 DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID 0.75 4/1/2013
6370000112580 IPRATROPIUM BROMIDE 0.02 % SOLN FOR INHALATION 3.00 4/1/2013
6370000112729 TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5 MG-25 MG CAPSULE 3.00 4/1/2013
6370000113089 LISINOPRIL 2.5 MG TABLET 3.00 4/1/2013
6370000113668 THEOPHYLLINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR 3.00 4/1/2013
6370000113818 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT 13.82 4/1/2013
6370000113981 LAMOTRIGINE 25 MG TABLET 1.50 4/1/2013
6370000113982 LAMOTRIGINE 100 MG TABLET 3.00 4/1/2013
6370000114041 IPRATROPIUM-ALBUTEROL 18 MCG-103 MCG/ACTUATION AEROSOL INHALER 1,215.92 4/1/2013
6370000114087 ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET 3.00 4/1/2013
6370000114468 ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ELIXIR 6.28 4/1/2013
6370000114471 DORZOLAMIDE 2 % EYE DROPS 288.36 4/1/2013
6370000114632 TRAMADOL 50 MG TABLET 3.00 4/1/2013
6370000114719 METFORMIN 850 MG TABLET 3.00 4/1/2013
6370000114793 TIZANIDINE 4 MG TABLET 3.00 4/1/2013
6370000114823 LOSARTAN 25 MG TABLET 3.00 4/1/2013
6370000114824 LOSARTAN 50 MG TABLET 3.00 4/1/2013
6370000114953 ATOVAQUONE 750 MG/5 ML ORAL SUSP 145.36 4/1/2013
6370000114966 HYDROCODONE 5 MG-ACETAMINOPHEN 500 MG TABLET 3.00 4/1/2013
6370000115327 SUMATRIPTAN 25 MG TABLET 10.87 4/1/2013
6370000115747 CARVEDILOL 6.25 MG TABLET 3.00 4/1/2013
6370000115748 CARVEDILOL 25 MG TABLET 3.00 4/1/2013
6370000115749 CARVEDILOL 12.5 MG TABLET 3.00 4/1/2013
6370000115797 AZITHROMYCIN 200 MG/5 ML ORAL SUSP 158.88 4/1/2013
6370000116053 DESMOPRESSIN 0.2 MG TABLET 6.89 4/1/2013
6370000116205 ANASTROZOLE 1 MG TABLET 3.00 4/1/2013
6370000116299 DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM 12.27 4/1/2013
6370000116355 GLIMEPIRIDE 1 MG TABLET 3.00 4/1/2013
6370000116356 GLIMEPIRIDE 2 MG TABLET 3.00 4/1/2013
6370000116439 RITONAVIR 100 MG CAPSULE 52.57 4/1/2013
6370000116632 PAROXETINE 10 MG TABLET 3.40 4/1/2013
6370000116958 MUPIROCIN 2 % NASAL OINTMENT 58.57 4/1/2013
6370000117023 HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET 3.00 4/1/2013
6370000117464 BUSPIRONE 15 MG TABLET 3.00 4/1/2013
6370000117466 MIRTAZAPINE 15 MG TABLET 3.00 4/1/2013
6370000117837 ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER 287.91 4/1/2013
6370000117936 OLANZAPINE 5 MG TABLET 40.22 4/1/2013
6370000118293 TORSEMIDE 20 MG TABLET 6.55 4/1/2013
6370000118307 GABAPENTIN 400 MG CAPSULE 1.50 4/1/2013
6370000118308 GABAPENTIN 300 MG CAPSULE 3.00 4/1/2013
6370000118309 GABAPENTIN 100 MG CAPSULE 3.00 4/1/2013
6370000118313 RISPERIDONE 1 MG TABLET 3.00 4/1/2013
6370000118386 BUPROPION HCL SR 150 MG TABLET,SUSTAINED-RELEASE 4.40 4/1/2013
6370000118551 CARVEDILOL 3.125 MG TABLET 3.00 4/1/2013
6370000118621 LATANOPROST 0.005 % EYE DROPS 579.57 4/1/2013
6370000118742 PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET 3.00 4/1/2013
6370000118920 TOPIRAMATE 25 MG TABLET 1.50 4/1/2013
6370000118922 TOPIRAMATE 100 MG TABLET 3.00 4/1/2013
6370000119713 DIAZOXIDE 50 MG/ML ORAL SUSP 1,162.25 4/1/2013
6370000119720 FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY 236.54 4/1/2013
6370000119733 KETOROLAC 0.5 % EYE DROPS 163.58 4/1/2013
6370000119769 TOBRAMYCIN 0.3 % EYE OINTMENT 492.89 4/1/2013
6370000120920 MORPHINE ER 15 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
6370000120921 MORPHINE ER 30 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
6370000120943 AZITHROMYCIN 250 MG TABLET 7.57 4/1/2013
6370000121057 OLANZAPINE 2.5 MG TABLET 34.08 4/1/2013
6370000121061 OXCARBAZEPINE 300 MG TABLET 3.00 4/1/2013
6370000121062 CITALOPRAM 20 MG TABLET 1.50 4/1/2013
6370000121290 PRAMIPEXOLE 0.25 MG TABLET 1.50 4/1/2013
6370000121374 MYCOPHENOLATE MOFETIL 500 MG TABLET 2.32 4/1/2013
6370000121396 CEFUROXIME AXETIL 250 MG/5 ML ORAL SUSP 760.10 4/1/2013
6370000121688 ROPINIROLE 0.25 MG TABLET 3.94 4/1/2013

6370000121800 ROPINIROLE 0.5 MG TABLET 3.92 4/1/2013
6370000121823 QUETIAPINE 25 MG TABLET 22.46 4/1/2013
6370000121824 QUETIAPINE 100 MG TABLET 38.55 4/1/2013
6370000122142 CLOPIDOGREL 75 MG TABLET 3.00 4/1/2013
6370000122251 MUPIROCIN 2 % TOPICAL CREAM 313.09 4/1/2013
6370000122257 OFLOXACIN 0.3 % EAR DROPS 50.36 4/1/2013
6370000122509 MONTELUKAST 10 MG TABLET 3.05 4/1/2013
6370000122510 MONTELUKAST 5 MG CHEWABLE TABLET 3.00 4/1/2013
6370000122560 SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSP 15.12 4/1/2013
6370000122584 REPAGLINIDE 0.5 MG TABLET 15.52 4/1/2013
6370000122783 TOLTERODINE 2 MG TABLET 19.29 4/1/2013
6370000122982 DORZOLAMIDE-TIMOLOL 2 %-0.5 % EYE DROPS 148.40 4/1/2013
6370000122992 AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET 22.75 4/1/2013
6370000123122 PROGESTERONE MICRONIZED 100 MG CAPSULE 12.81 4/1/2013
6370000124216 SENNOSIDES-DOCUSATE SODIUM 8.6 MG-50 MG TABLET 3.00 4/1/2013
6370000124268 ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000124385 HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS 822.33 4/1/2013
6370000124470 OXYBUTYNIN CHLORIDE ER 5 MG TABLET,24 HR EXTENDED RELEASE 13.52 4/1/2013
6370000124473 CILOSTAZOL 50 MG TABLET 3.00 4/1/2013
6370000124500 CELECOXIB 100 MG CAPSULE 16.24 4/1/2013
6370000124501 CELECOXIB 200 MG CAPSULE 23.44 4/1/2013
6370000124521 ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000124576 TIMOLOL 0.5 % EYE GEL FORMING SOLN 217.24 4/1/2013
6370000124984 POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER 25.70 4/1/2013
6370000125118 CIPROFLOXACIN 250 MG TABLET 3.00 4/1/2013
6370000125119 CIPROFLOXACIN 500 MG TABLET 3.00 4/1/2013
6370000125246 AMOXICILLIN 400 MG/5 ML ORAL SUSP 23.82 4/1/2013
6370000125424 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET 7.98 4/1/2013
6370000125519 RISPERIDONE 0.25 MG TABLET 3.00 4/1/2013
6370000125528 PIOGLITAZONE 15 MG TABLET 35.52 4/1/2013
6370000125530 PIOGLITAZONE 45 MG TABLET 58.87 4/1/2013
6370000125855 GABAPENTIN 600 MG TABLET 3.61 4/1/2013
6370000125892 TEMOZOLOMIDE 5 MG CAPSULE 62.27 4/1/2013
6370000126224 PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
6370000126225 PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE 3.00 4/1/2013
6370000126546 OSELTAMIVIR 75 MG CAPSULE 56.53 4/1/2013
6370000126755 LEVONORGESTREL 0.75 MG TABLET 88.78 4/1/2013
6370000126816 LEVETIRACETAM 250 MG TABLET 3.00 4/1/2013
6370000126817 LEVETIRACETAM 500 MG TABLET 3.38 4/1/2013
6370000126854 MOXIFLOXACIN 400 MG TABLET 78.07 4/1/2013
6370000127049 OXCARBAZEPINE 150 MG TABLET 3.00 4/1/2013
6370000127333 NIFEDIPINE ER 30 MG TABLET,24 HR EXTENDED RELEASE 6.56 4/1/2013
6370000127467 DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE 1,263.27 4/1/2013
6370000127471 NITROGLYCERIN 0.1 MG/HR TRANSDERM 24 HR PATCH 3.70 4/1/2013
6370000127472 NITROGLYCERIN 0.2 MG/HR TRANSDERM 24 HR PATCH 3.07 4/1/2013
6370000127473 NITROGLYCERIN 0.3 MG/HR TRANSDERM 24 HR PATCH 21.95 4/1/2013
6370000127474 NITROGLYCERIN 0.4 MG/HR TRANSDERM 24 HR PATCH 3.00 4/1/2013
6370000127480 DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000127505 CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERM PATCH 160.87 4/1/2013
6370000127506 CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERM PATCH 270.83 4/1/2013
6370000127630 RIZATRIPTAN 10 MG DISINTEGRATING TABLET 158.72 4/1/2013
6370000127644 DIPYRIDAMOLE-ASPIRIN ER 200 MG-25 MG MPHASE 12 HR CAPSULE,EXT.RELEASE 22.10 4/1/2013
6370000127696 SCOPOLAMINE 1.5 MG 72 HR TRANSDERM PATCH 54.93 4/1/2013
6370000127697 ONDANSETRON 4 MG DISINTEGRATING TABLET 3.00 4/1/2013
6370000127856 TAMSULOSIN ER 0.4 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000127857 VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR 1.71 4/1/2013
6370000127860 NICOTINE 7 MG/24 HR DAILY PATCH 16.25 4/1/2013
6370000127862 NICOTINE 14 MG/24 HR DAILY PATCH 13.78 4/1/2013
6370000127863 NICOTINE 21 MG/24 HR DAILY PATCH 13.78 4/1/2013
6370000127889 PHENOL 1.4 % MUCOSAL AEROSOL SPRAY 4.58 4/1/2013
6370000127905 FENTANYL 25 MCG/HR TRANSDERM PATCH 17.39 4/1/2013
6370000127906 FENTANYL 50 MCG/HR TRANSDERM PATCH 90.63 4/1/2013
6370000127907 FENTANYL 75 MCG/HR TRANSDERM PATCH 138.49 4/1/2013
6370000127908 FENTANYL 100 MCG/HR TRANSDERM PATCH 64.42 4/1/2013
6370000127920 OXYCODONE ER 10 MG TABLET,EXTENDED RELEASE,12 HR 10.48 4/1/2013
6370000127921 OXYCODONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR 20.03 4/1/2013
6370000127922 OXYCODONE ER 40 MG TABLET,EXTENDED RELEASE,12 HR 35.16 4/1/2013
6370000127993 POLYVINYL ALCOHOL 1 % EYE DROPS 56.11 4/1/2013
6370000127994 POLYVINYL ALCOHOL 1.4 % EYE DROPS 9.82 4/1/2013
6370000127999 SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSP 36.58 4/1/2013
6370000128159 OLANZAPINE 5 MG DISINTEGRATING TABLET 59.44 4/1/2013
6370000128188 CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID 17.99 4/1/2013
6370000128203 LIDOCAINE 5 % (700 MG/PATCH) ADHESIVE PATCH 42.75 4/1/2013
6370000128224 LINEZOLID 600 MG TABLET 544.17 4/1/2013
6370000128357 FERRIC SUBSULFATE 259 MG/G TOPICAL SOLN 71.53 4/1/2013
6370000128810 NEOMYCIN-POLYMYXIN-HC 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS, SUSP 50.23 4/1/2013
6370000128824 HYDROCORTISONE 2.5 % RECTAL CREAM 21.15 4/1/2013
6370000128827 ZINC OXIDE 16 % TOPICAL OINTMENT 13.16 4/1/2013
6370000128836 MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSP 3.00 4/1/2013
6370000128900 OXYCODONE 30 MG TABLET 2.09 4/1/2013
6370000128970 BECLOMETHASONE DIPROPIONATE 40 MCG/ACTUATION AEROSOL INHALER 621.12 4/1/2013
6370000129272 DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000129274 DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000129276 DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000129302 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML ORAL SOLN 5.20 4/1/2013
6370000129346 DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE,CONTROLLED 3.00 4/1/2013
6370000129424 CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM 105.54 4/1/2013
6370000129434 TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR 31.94 4/1/2013
6370000129676 SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL 3.64 4/1/2013
6370000129778 ZIPRASIDONE 20 MG CAPSULE 50.38 4/1/2013

6370000129858 METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR 5.86 4/1/2013
6370000130070 METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR 5.35 4/1/2013
6370000130510 IPRATROPIUM-ALBUTEROL 0.5 MG-3 MG(2.5 MG BASE)/3 ML NEB SOLUTION 3.00 4/1/2013
6370000130961 CALCIUM ACETATE 667 MG CAPSULE 3.00 4/1/2013
6370000131158 BRIMONIDINE 0.15 % EYE DROPS 350.59 4/1/2013
6370000131177 AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSP 60.96 4/1/2013
6370000131209 VALSARTAN 80 MG TABLET 18.79 4/1/2013
6370000131578 ALBUTEROL SULFATE 1.25 MG/3 ML NEB SOLUTION 3.75 4/1/2013
6370000131921 ENOXAPARIN 120 MG/0.8 ML SUB-Q SYRINGE 17.27 4/1/2013
6370000132215 FONDAPARINUX 2.5 MG/0.5 ML SUB-Q SYRINGE 23.13 4/1/2013
6370000132267 PEGFILGRASTIM 6 MG/0.6 ML SUB-Q SYRINGE 18,092.86 4/1/2013
6370000132893 LEUPROLIDE 7.5 MG SUB-Q SYRINGE 794.89 4/1/2013
6370000133227 AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET 4.88 4/1/2013
6370000133228 AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET 4.77 4/1/2013
6370000133512 ESCITALOPRAM 10 MG TABLET 22.78 4/1/2013
6370000133669 LEUPROLIDE 22.5 MG SUB-Q SYRINGE 794.91 4/1/2013
6370000134089 DUTASTERIDE 0.5 MG CAPSULE 22.88 4/1/2013
6370000134153 EZETIMIBE 10 MG TABLET 24.89 4/1/2013
6370000134370 ARIPIPRAZOLE 15 MG TABLET 110.71 4/1/2013
6370000134505 HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET 3.00 4/1/2013
6370000134594 LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET 40.12 4/1/2013
6370000134595 LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET 40.12 4/1/2013
6370000134711 BUPRENORPHINE 2 MG SUBLINGUAL TABLET 7.67 4/1/2013
6370000134713 BUPRENORPHINE-NALOXONE 2 MG-0.5 MG SUBLINGUAL TABLET 32.71 4/1/2013
6370000134714 BUPRENORPHINE-NALOXONE 8 MG-2 MG SUBLINGUAL TABLET 58.62 4/1/2013
6370000134769 NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE 3.00 4/1/2013
6370000134814 NEOMYCIN-POLYMYXIN-HC 3.5 MG-10,000 UNIT/ML-1 % EAR SOLN 63.95 4/1/2013
6370000135134 ROSUVASTATIN 10 MG TABLET 22.00 4/1/2013
6370000135236 LEUPROLIDE (4 MONTH) 30 MG SUB-Q SYRINGE 794.91 4/1/2013
6370000135699 MOXIFLOXACIN 0.5 % EYE DROPS 513.97 4/1/2013
6370000135943 POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) 3.00 4/1/2013
6370000136386 SODIUM CITRATE ORAL SOLN 7.24 4/1/2013
6370000136438 ARIPIPRAZOLE 5 MG TABLET 110.71 4/1/2013
6370000136590 LEVETIRACETAM 100 MG/ML ORAL SOLN 26.45 4/1/2013
6370000136612 ROSUVASTATIN 5 MG TABLET 22.00 4/1/2013
6370000136775 BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE 3.80 4/1/2013
6370000136959 AMIODARONE 100 MG TABLET 14.55 4/1/2013
6370000136962 DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID 3.00 4/1/2013
6370000136966 MEMANTINE 10 MG TABLET 20.95 4/1/2013
6370000137068 LANOLIN TOPICAL CREAM 19.03 4/1/2013
6370000137170 MEMANTINE 5 MG TABLET 24.52 4/1/2013
6370000137182 FOSAMPRENAVIR 700 MG TABLET 75.49 4/1/2013
6370000137371 GLYCERIN-SODIUM HYALURONATE TOPICAL GEL 20.19 4/1/2013
6370000137635 ESCITALOPRAM 5 MG TABLET 20.10 4/1/2013
6370000137637 METOPROLOL TARTRATE 25 MG TABLET 3.00 4/1/2013
6370000137649 GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR 3.00 4/1/2013
6370000137651 GUAIFENESIN ER 600 MG TABLET,EXTENDED RELEASE 3.00 4/1/2013
6370000138092 ARTIFICIAL TEAR (GONIOSCOPIC HYPROMELLOSE) 2.5 % EYE DROPS 38.30 4/1/2013
6370000138285 ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP 4.39 4/1/2013
6370000138315 TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE 82.00 4/1/2013
6370000138421 MIRTAZAPINE 7.5 MG TABLET 3.00 4/1/2013
6370000138701 NEOMYCIN-BACITRACIN-POLYMYXIN 3.5 MG-400 UNIT-10,000 UNIT/G EYE OINT 221.50 4/1/2013
6370000138978 B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE 3.43 4/1/2013
6370000139063 RIFAXIMIN 200 MG TABLET 48.58 4/1/2013
6370000139136 NYSTATIN 100,000 UNIT/G TOPICAL POWDER 16.86 4/1/2013
6370000139255 EMTRICITABINE-TENOFOVIR 200 MG-300 MG TABLET 234.64 4/1/2013
6370000139275 DULOXETINE 20 MG CAPSULE,DELAYED RELEASE 30.00 4/1/2013
6370000139276 DULOXETINE 30 MG CAPSULE,DELAYED RELEASE 33.63 4/1/2013
6370000139277 DULOXETINE 60 MG CAPSULE,DELAYED RELEASE 33.63 4/1/2013
6370000139803 FONDAPARINUX 7.5 MG/0.6 ML SUB-Q SYRINGE 22.53 4/1/2013
6370000140009 FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET 10.74 4/1/2013
6370000140369 MESALAMINE 1,000 MG RECTAL SUPPOSITORY 105.41 4/1/2013
6370000140697 FLUTICASONE 44 MCG/ACTUATION AEROSOL INHALER 671.83 4/1/2013
6370000140698 FLUTICASONE 110 MCG/ACTUATION AEROSOL INHALER 899.55 4/1/2013
6370000140699 FLUTICASONE 220 MCG/ACTUATION AEROSOL INHALER 1,397.28 4/1/2013
6370000141135 DONEPEZIL 5 MG DISINTEGRATING TABLET 6.64 4/1/2013
6370000141136 DONEPEZIL 10 MG DISINTEGRATING TABLET 5.71 4/1/2013
6370000141142 IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER 1,105.61 4/1/2013
6370000141382 FENTANYL 12 MCG/HR TRANSDERM PATCH 94.23 4/1/2013
6370000141497 PARICALCITOL 1 MCG CAPSULE 56.73 4/1/2013
6370000142163 PREGABALIN 50 MG CAPSULE 18.74 4/1/2013
6370000142164 PREGABALIN 75 MG CAPSULE 18.74 4/1/2013
6370000143391 LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET 36.74 4/1/2013
6370000143556 DIGOXIN 50 MCG/ML ORAL SOLN 3.00 4/1/2013
6370000170306 ARIPIPRAZOLE 2 MG TABLET 110.72 4/1/2013
6370000170434 RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR 22.90 4/1/2013
6370000170536 FLUTICASONE 50 MCG/ACTUATION NASAL SPRAY, SUSP 109.12 4/1/2013
6370000176988 HYDROCHLOROTHIAZIDE 12.5 MG TABLET 3.00 4/1/2013
6370000177411 CAFFEINE CITRATED 60 MG/3 ML (20 MG/ML) ORAL SOLN 5.97 4/1/2013
6370000177615 SITAGLIPTIN 25 MG TABLET 41.84 4/1/2013
6370000177616 SITAGLIPTIN 50 MG TABLET 41.84 4/1/2013
6370000177617 SITAGLIPTIN 100 MG TABLET 41.84 4/1/2013
6370000177664 CARVEDILOL PHOSPHATE ER 10 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE 26.33 4/1/2013
6370000177665 CARVEDILOL PHOSPHATE ER 20 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE 26.33 4/1/2013
6370000177667 CARVEDILOL PHOSPHATE ER 80 MG CAPSULE,EXT.RELEASE24HR MULTIPHASE 26.33 4/1/2013
6370000177725 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLN 4.89 4/1/2013
6370000177790 PREDNISOLONE 10 MG DISINTEGRATING TABLET 37.65 4/1/2013
6370000177822 BECLOMETHASONE DIPROPIONATE (AQUEOUS) 42 MCG (0.042 %) NASAL SPRAY 820.27 4/1/2013
6370000178653 ALISKIREN 150 MG TABLET 16.43 4/1/2013
6370000181453 BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 617.93 4/1/2013

6370000181454 BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER 617.91 4/1/2013
6370000182505 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERM 24 HR PATCH 51.97 4/1/2013
6370000182639 CHOLECALCIFEROL (VITAMIN D3) 1,000 UNIT TABLET 3.00 4/1/2013
6370000189201 SEVELAMER CARBONATE 800 MG TABLET 15.00 4/1/2013
6370000189346 CLOPIDOGREL 300 MG TABLET 133.53 4/1/2013
6370000192844 PEDIATRIC MULTIVITAMIN ORAL DROPS 14.93 4/1/2013
6370000195693 FERROUS SULFATE 15 MG/ML IRON (75 MG/ML) ORAL DROPS 17.15 4/1/2013
6370000196976 BUDESONIDE 90 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER 659.96 4/1/2013
6370000197803 FUROSEMIDE 40 MG/4 ML ORAL SOLN 9.58 4/1/2013
6370000198035 LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL 10.50 4/1/2013
6370000198329 DRONEDARONE 400 MG TABLET 25.96 4/1/2013
6370000198373 PRASUGREL 10 MG TABLET 35.83 4/1/2013
6370000199786 LIPASE-PROTEASE-AMYLASE 10,000-34,000-55,000 UNIT CAPSULE,DELAYED REL 10.12 4/1/2013
25000004103889 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION 7.89 4/1/2013
25000004105340 BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION 22.61 4/1/2013
25000004105463 AMINO ACID INFUSION 10 % IV 79.38 4/1/2013
25000004105553 BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION 10.46 4/1/2013
25000004105659 BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION 8.89 4/1/2013
25000004106016 INDIGOTINDISULFONATE SODIUM 8 MG/ML INJECTION 53.94 4/1/2013
25000004106132 SODIUM BICARBONATE 8.4 % IV 4.77 4/1/2013
25000004106776 LIDOCAINE 2 % MUCOSAL SOLN 2.86 4/1/2013
25000004109636 FAT EMULSION 20 % IV SYRINGE 24.77 4/1/2013
25000004110415 BISMUTH TRIBROM-PETROLATUM,WH 1" X 8" BANDAGE 4.10 4/1/2013
25000004110547 BACITRACIN ZINC 500 UNIT/G TOPICAL PACKET 3.00 4/1/2013
25000004110564 BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/G TOPICAL PACKET 3.00 4/1/2013
25000004111003 WHITE PETROLATUM 41 % TOPICAL OINTMENT 16.24 4/1/2013
25000004113658 CALCIUM CARBONATE-VITAMIN D3 250 MG-125 UNIT TABLET 1.50 4/1/2013
25000004113728 PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSP 3,866.83 4/1/2013
25000004115313 THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION 348.56 4/1/2013
25000004115377 FAMOTIDINE (PF) 20 MG/2 ML IV 4.92 4/1/2013
25000004115590 PARENTERAL AMINO ACID 10 % COMBINATION NO.6 IV 63.50 4/1/2013
25000004116305 CALCIUM GLUCONATE 1 GRAM/100 ML IN DEXTROSE 5 % IV 17.78 4/1/2013
25000004116692 CALCIUM GLUBIONATE 115 MG/5 ML (1.8 GRAM/5 ML) SYRUP 3.00 4/1/2013
25000004116967 ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLN 1.50 4/1/2013
25000004116968 ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLN 1.59 4/1/2013
25000004116969 ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLN 3.00 4/1/2013
25000004150019 CADD SET WITH SPIKE 48.58 4/1/2013
25000004150419 BSS 500ML + EPINEPHRINE 1:1000 0.5ML 39.21 4/1/2013
25000004150422 LIDO 2% W/EPI 4.5ML+MARCAINE 0.75% 4.5ML+VITRASE 200 212.22 4/1/2013
25000004150549 PROPOFOL 1,000 MG/100 ML IV INFUSION 43.18 4/1/2013
25000004150580 SURGIFLO HEMOSTATIC MATRIX 8 ML 1,104.90 4/1/2013
25000004152778 LIDO 1% 19.95ML, MARCAINE 0.5% 19.95ML, EPI 1:1000 0.1ML 63.25 4/1/2013
25000004153581 MORPHINE 50 MG/50 ML PCA IV SOLN 51.76 4/1/2013
25000004154868 THEOPHYLLINE 50 MG IVPB 3.18 4/1/2013
25000004160574 PHENOL-EUCALYPTUS OIL-MENTHOL 29 MG LOZENGES 3.00 4/1/2013
25000004160693 PRENATAL VITAMIN WITH CALCIUM NO.72-IRON-FA 27 MG-1 MG TABLET 3.00 4/1/2013
25000004161470 DABIGATRAN ETEXILATE 150 MG CAPSULE 11.98 4/1/2013
25000004161595 FOSAPREPITANT 150 MG IV SOLUTION 1,513.08 4/1/2013
25000004163015 RIVAROXABAN 10 MG TABLET 23.70 4/1/2013
25000004165725 OSELTAMIVIR 6 MG/ML ORAL SUSP 42.52 4/1/2013
25000004166511 COLLODION (BULK) LIQUID 11.93 4/1/2013
25000004167688 LEVOTHYROXINE 100 MCG IV SOLUTION 324.81 4/1/2013
25000004167731 CLOBAZAM 10 MG TABLET 40.96 4/1/2013
25000004168198 LACTULOSE 20 GRAM/30 ML ORAL SOLN 3.00 4/1/2013
25000004168211 POVIDONE-IODINE 10 % TOPICAL LIQUID PACKET 3.00 4/1/2013
25000004169038 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) IV PIGGY BACK 25.39 4/1/2013
25000004169473 LIDOCAINE 5 % TOPICAL OINTMENT 346.12 4/1/2013
25000004400654 DEXAMETHASONE 12MG IN NS 50ML IVPB PMX 11.75 4/1/2013
25000004401047 SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML 27.41 4/1/2013
25000004401735 METOPROLOL TARTRATE 12.5 MG TAB 3.00 4/1/2013
25000004401913 EPINEPHRINE 1:1000 PF, 1ML + NACL, 9ML 17.78 4/1/2013
25000004401938 LIDOCAINE 1%, 9ML + EPINEPHRINE 1:1000, 1ML 3.00 4/1/2013
25000004401943 LIDOCAINE 2% 4.5ML + MARCAINE 0.75% 4.5ML + VITRASE 200 UNITS 3.89 4/1/2013
25000004401944 LIDOCAINE 2% 5ML + MARCAINE 0.75% 5ML + VITRASE 200 UNITS 17.52 4/1/2013
25000004401957 LIDOCAINE 1% + MARCAINE 0.5% (1:1) 20.01 4/1/2013
25000004401960 LIDOCAINE 1% + MARCAINE 0.5% /EPI 1:200,000 (1:1) 15.56 4/1/2013
25000004401972 THROMBIN 5,000 UNITS / GELFOAM 313.25 4/1/2013
25000004401975 NACL 1000 ML + BACITRACIN 50,000 UNITS 31.75 4/1/2013
25000004402080 LABETALOL (NORMODYNE) 50MG TABLET 3.00 4/1/2013
25000004421000 ON-Q C-BLOCK 400 ML PUMP SET 2,222.50 4/1/2013
25000004421008 CADD PUMP MEDICATION CASSETTE 50 ML 26.70 4/1/2013
25000004430008 INV CLINICAL TRIAL H8A-MC-LZAO SOLANEZUMAB IVPB 3.00 4/1/2013
25000004451212 INSULIN, REGULAR HUMAN 1 UNITS/1 ML NS (PYXIS) 38.10 4/1/2013
25000005100581 BENDAMUSTINE 25 MG IV SOLUTION 128.70 4/1/2013
25000005103888 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION 1.56 4/1/2013
25000005105907 IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV 220.60 4/1/2013
25000005106033 DIGOXIN 250 MCG/ML INJECTION 8.35 4/1/2013
25000005106085 HYDROMORPHONE (PF) 1 MG/ML INJECTION 6.23 4/1/2013
25000005106156 RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML IM 1,088.17 4/1/2013
25000005106284 HYDROCORTISONE 100 MG SOLUTION FOR INJECTION 13.34 4/1/2013
25000005108303 ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE 10.43 4/1/2013
25000005108304 ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE 10.45 4/1/2013
25000005109375 DEXTROSE 50 % IN WATER (D50W) IV SYRINGE 74.93 4/1/2013
25000005109453 DIAZEPAM 5 MG/ML SYRINGE 7.75 4/1/2013
25000005109538 MORPHINE 10 MG/ML SYRINGE 6.88 4/1/2013
25000005109565 PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML IM SYRINGE 25.21 4/1/2013
25000005110126 FILGRASTIM 480 MCG/1.6 ML INJECTION 2,455.87 4/1/2013
25000005110310 HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML IV 0.55 4/1/2013
25000005113005 MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML IV 37.53 4/1/2013
25000005113134 CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE IV 5.73 4/1/2013

25000005113667 SODIUM CHLORIDE 0.9 % IV PIGGY BACK 5.73 4/1/2013
25000005113773 OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML IV 19.05 4/1/2013
25000005113826 HEPARIN, PORCINE (PF) 100 UNIT/ML IV SYRINGE 0.10 4/1/2013
25000005113831 HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION 36.17 4/1/2013
25000005113952 LIDOCAINE (PF) 20 MG/ML (2 %) IV 0.75 4/1/2013
25000005114142 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE SYRINGE 20.57 4/1/2013
25000005114168 DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION 20.01 4/1/2013
25000005114169 DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION 19.80 4/1/2013
25000005114299 EPINEPHRINE (PF) 1 MG/ML (1:1,000) (1 ML) INJECTION 0.74 4/1/2013
25000005114879 HYDROMORPHONE (PF) 4 MG/ML SYRINGE 7.67 4/1/2013
25000005114880 HYDROMORPHONE (PF) 2 MG/ML SYRINGE 13.66 4/1/2013
25000005115226 GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION 10.14 4/1/2013
25000005115452 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IV PIGGY BACK 9.21 4/1/2013
25000005115549 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IV 0.56 4/1/2013
25000005115808 TETANUS IMMUNE GLOBULIN (PF) 250 UNIT IM SYRINGE 1,563.69 4/1/2013
25000005115864 MORPHINE (PF) 30 MG/30 ML PCA IV SOLN 12.83 4/1/2013
25000005115966 HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV 12.70 4/1/2013
25000005116107 DOXORUBICIN 50 MG/25 ML IV 43.49 4/1/2013
25000005116108 DOXORUBICIN 10 MG/5 ML IV 52.81 4/1/2013
25000005116349 FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) IV SYRINGE 7.05 4/1/2013
25000005117121 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION 17.00 4/1/2013
25000005117370 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION 41.60 4/1/2013
25000005117423 SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV 194,588.88 4/1/2013
25000005150236 MITOMYCIN 0.4 MG/1ML EYE PREPARATION 11.72 4/1/2013
25000005151236 ACETYLCYSTEINE 200 MG/ML (20 %) NEB SOLN 3.72 4/1/2013
25000005151237 IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV 294.04 4/1/2013
25000005151694 CARFILZOMIB 60 MG IV SOLUTION 6,825.43 4/1/2013
25000005153251 MORPHINE (PF) 2 MG/ML IV CARTRIDGE 13.61 4/1/2013
25000005153252 MORPHINE (PF) 4 MG/ML IV CARTRIDGE 9.41 4/1/2013
25000005160796 CABAZITAXEL 10 MG/ML (FINAL CONC.) IV 870.43 4/1/2013
25000005161410 DOCETAXEL 20 MG/ML (1 ML) IV 99.51 4/1/2013
25000005161523 CEFTAROLINE FOSAMIL 600 MG IV SOLUTION 4.59 4/1/2013
25000005161599 ERIBULIN 1 MG/2 ML (0.5 MG/ML) IV 569.40 4/1/2013
25000005161640 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUB-Q 83.47 4/1/2013
25000005161730 IMMUNE GLOBULIN(HUM),CAPR(IGG) 5 GRAM/50 ML (10 %) INJECTION 229.97 4/1/2013
25000005161732 IMMUNE GLOBULIN(HUM),CAPR(IGG) 20 GRAM/200 ML (10 %) INJECTION 229.97 4/1/2013
25000005161735 ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IV 0.65 4/1/2013
25000005162408 IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV 780.00 4/1/2013
25000005165932 ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION 0.45 4/1/2013
25000005165974 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION 18.22 4/1/2013
25000005169038 CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) IV PIGGY BACK 25.39 4/1/2013
25000005400215 FLUCONAZOLE IN SODIUM CHLORIDE (ISO-OSM) 100MG/50ML IVPB 15.24 4/1/2013
25000005400613 CALCIUM GLUCONATE 1GM IN NS 50ML IVPB PMX 6.35 4/1/2013
25000005400614 CALCIUM GLUCONATE 1GM IN D5W 100ML IVPB PMX 13.97 4/1/2013
25000005400617 MAGNESIUM SULFATE 1GM IN D5W 50ML IVPB PMX 10.32 4/1/2013
25000005400724 PHENYLEPHRINE 0.5MG IN NS 10ML (0.05MG/ML) SYRINGE PMX 2.06 4/1/2013
25000005401047 SODIUM CHLORIDE 0.9% CADD PUMP CASSETTE 100 ML 45.57 4/1/2013
25000005401294 INSULIN REGULAR HUMAN (NOT SLIDING SCALE) 3.00 4/1/2013
25000005401332 INSULIN LISPRO 100 UNIT/ML (SLIDING SCALE) 3.00 4/1/2013
25000005401500 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) BOLUS DOSING ONLY 0.56 4/1/2013
25000005411023 PHYTONADIONE 10 MG/ML INJECTION (PO) 4.61 4/1/2013
25000005411180 ALTEPLASE INFUSION (ACUTE ISCHEMIC STROKE) 292.60 4/1/2013
25000005420320 PERTUZUMAB (PERJETA) 420 MG / 14 ML VIAL 662.29 4/1/2013
25000005425017 ACETAMINOPHEN 10 MG/ML UNDILUTED IV SYRINGE DOSES 600MG (PEDIATRIC) 0.65 4/1/2013
25000005425361 AMPICILLIN IV DOSES > 250MG - 500MG (NEWBORN/PEDIATRIC) 7.45 4/1/2013
25000005425382 AMPICILLIN IV DOSES

63700001106012 B COMPLEX-C-E-ZN TABLET 3.00 4/1/2013
63700001106592 TRIMETHOPRIM 0.1 %-POLYMYXIN B 10,000 UNIT/ML EYE DROPS 24.64 4/1/2013
63700001106861 ENOXAPARIN 150 MG/ML SUB-Q SYRINGE 17.28 4/1/2013
63700001106895 ZINC OXIDE-COD LIVER OIL 40 % TOPICAL OINTMENT 16.20 4/1/2013
63700001108088 SURGICAL LUBRICANT JELLY TOPICAL 3.00 4/1/2013
63700001108303 ENOXAPARIN 30 MG/0.3 ML SUB-Q SYRINGE 17.34 4/1/2013
63700001108304 ENOXAPARIN 60 MG/0.6 ML SUB-Q SYRINGE 17.36 4/1/2013
63700001108305 ENOXAPARIN 100 MG/ML SUB-Q SYRINGE 17.36 4/1/2013
63700001108306 ENOXAPARIN 40 MG/0.4 ML SUB-Q SYRINGE 17.34 4/1/2013
63700001108650 MULTIVITAMIN,TX WITH IRON,CALCIUM,FOLIC ACID & MIN 27 MG-0.4 MG TABLET 3.00 4/1/2013
63700001110415 BISMUTH TRIBROM-PETROLATUM,WH 1" X 8" BANDAGE 6.82 4/1/2013
63700001110547 BACITRACIN ZINC 500 UNIT/G TOPICAL PACKET 3.00 4/1/2013
63700001110564 BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/G TOPICAL PACKET 3.00 4/1/2013
63700001111003 WHITE PETROLATUM 41 % TOPICAL OINTMENT 26.99 4/1/2013
63700001111129 MULTIVITAMIN,TX-IRON-MINERALS 27 MG-0.33 MG TABLET 3.00 4/1/2013
63700001111416 EMPTY CONTAINER, PLASTIC BAG 150 ML 13.91 4/1/2013
63700001111624 HYDROCODONE 2.5 MG-ACETAMINOPHEN 167 MG/5 ML ORAL SOLN 15.75 4/1/2013
63700001112984 QUININE 324 MG CAPSULE 33.41 4/1/2013
63700001113658 CALCIUM CARBONATE-VITAMIN D3 250 MG-125 UNIT TABLET 3.00 4/1/2013
63700001113845 ARTIFICIAL TEAR WITH LANOLIN EYE OINTMENT 19.70 4/1/2013
63700001114504 SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA 9.23 4/1/2013
63700001116234 VITAMIN E (DL, ACETATE) 400 UNIT CAPSULE 3.00 4/1/2013
63700001116356 LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN 28.07 4/1/2013
63700001116967 ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SOLN 3.00 4/1/2013
63700001116968 ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLN 3.00 4/1/2013
63700001116969 ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLN 3.00 4/1/2013
63700001149976 PAROXETINE (PAXIL) 5 MG HALFTAB 3.47 4/1/2013
63700001149977 SPOT ENDOSCOPIC MARKER 158.12 4/1/2013
63700001150524 SILVERLON WOUND CONTACT ANTIMICROBIAL SILVER 80.30 4/1/2013
63700001150595 HYDROMORPHONE (DILAUDID) 1 MG HALFTAB 3.00 4/1/2013
63700001151137 MAGNESIUM SULFATE 25 % SOAK SOLUTION 24.39 4/1/2013
63700001151292 DILTIAZEM (CARDIZEM) 15 MG TABLET 3.00 4/1/2013
63700001152561 GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLN 10.13 4/1/2013
63700001154446 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSP 23.80 4/1/2013
63700001160693 PRENATAL VITAMIN WITH CALCIUM NO.72-IRON-FA 27 MG-1 MG TABLET 3.00 4/1/2013
63700001161415 MIDAZOLAM 10 MG/5 ML (2 MG/ML) SYRUP 18.99 4/1/2013
63700001161470 DABIGATRAN ETEXILATE 150 MG CAPSULE 19.92 4/1/2013
63700001161536 DABIGATRAN ETEXILATE 75 MG CAPSULE 21.11 4/1/2013
63700001161674 BISMUTH SUBSALICYLATE 524 MG/30 ML ORAL SUSP 4.39 4/1/2013
63700001163015 RIVAROXABAN 10 MG TABLET 39.39 4/1/2013
63700001165725 OSELTAMIVIR 6 MG/ML ORAL SUSP 18.85 4/1/2013
63700001165824 TICAGRELOR 90 MG TABLET 23.20 4/1/2013
63700001168192 NEO-LIDO NASAL DROPS 12.70 4/1/2013
63700001168198 LACTULOSE 20 GRAM/30 ML ORAL SOLN 3.24 4/1/2013
63700001168200 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLN 3.00 4/1/2013
63700001169925 LORAZEPAM 0.25 MG HALF TAB 3.00 4/1/2013
63700001169926 METOPROLOL SUCCINATE ER 12.5 MG 24 HR HALFTAB 3.00 4/1/2013
63700001400503 CLONIDINE 20 MCG/ML ORAL SUSPENSION 9.84 4/1/2013
63700001400721 LET TOPICAL SOLN 25.40 4/1/2013
63700001401287 LEVOTHYROXINE 12.5 MCG 3.00 4/1/2013
63700001401702 MISOPROSTOL 25 MCG TABLET 9.94 4/1/2013
63700001401715 ALLOPURINOL 150 MG TAB 3.00 4/1/2013
63700001401726 LOSARTAN 12.5 MG ORAL TAB 3.00 4/1/2013
63700001401728 QUETIAPINE 12.5 MG ORAL TAB 22.46 4/1/2013
63700001401733 TRAMADOL 25 MG HALFTAB 3.00 4/1/2013
63700001401735 METOPROLOL TARTRATE 12.5 MG TAB 3.00 4/1/2013
63700001401756 WARFARIN (COUMADIN) 1.25 MG HALFTAB 3.00 4/1/2013
63700001401818 ATENOLOL (TENORMIN) TABLET 12.5 MG 3.00 4/1/2013
63700001401836 BUPRENORPHINE (SUBUEX) SUBLINGUAL TABLET 4 MG 14.38 4/1/2013
63700001401837 BUPROPION (WELLBUTRIN) 50 MG HALFTAB 3.00 4/1/2013
63700001401838 BUSPIRONE (BUSPAR) TABLET 7.5 MG 3.00 4/1/2013
63700001401843 CARBIDOPA-LEVODOPA (SINEMET) TABLET 12.5-50 MG HALFTA 3.00 4/1/2013
63700001401849 CHLORTHALIDONE (HYGROTEN) 12.5 MG HALFTAB 3.00 4/1/2013
63700001401857 CYCLOBENZAPINE (FLEXERIL) TABLET 5 MG 3.00 4/1/2013
63700001401868 FLECAINIDE (TAMBOCOR) 50 MG HALFTAB 3.00 4/1/2013
63700001401869 FLUDROCORTISONE (FLORINEF) 0.05 MG HALFTAB 3.00 4/1/2013
63700001401872 GLIMEPIRIDE (AMARYL) 0.5 MG HALFTAB 3.00 4/1/2013
63700001401889 MAGNESIUM OXIDE (MAG-OX) 200 MG HALFTAB 3.00 4/1/2013
63700001401892 MEGESTROL (MEGACE) 20 MG HALFTAB 3.00 4/1/2013
63700001401895 METFORMIN (GLUCOPHAGE) 250 MG HALFTAB 3.00 4/1/2013
63700001401990 PHYTONADIONE (MEPHYTON) 2.5 MG HALFTAB 46.70 4/1/2013
63700001401992 PROPRANOLOL (INDERAL) 5 MG HALFTAB 3.00 4/1/2013
63700001401993 PYRIDOSTIGMINE (MESTINON) TABLET 30 MG 3.00 4/1/2013
63700001402023 SERTRALINE (ZOLOFT) 25 MG HALFTAB 3.00 4/1/2013
63700001402025 SPIRONOLACTONE (ALDACTONE) 12.5 MG HALFTAB 3.00 4/1/2013
63700001402028 THEOPHYLLINE TABLET ER 50 MG HALFTAB 3.00 4/1/2013
63700001402032 TRAZODONE (DESRYL) TABLET 25 MG 3.00 4/1/2013
63700001402080 LABETALOL (NORMODYNE) 50MG TABLET 3.00 4/1/2013
63700001421267 CLONAZEPAM 0.25 MG ORAL TAB 3.00 4/1/2013
3430000340840050 TECHNETIUM TC-99M SESTAMIBI INJECTION 450.00 4/1/2013
3430000340840060 GALLIUM CITRATE GA 67 INJECTION 43.25 4/1/2013
3430000340840061 TECHNETIUM TC-99M SULFUR COLLOID UNFILTERED 501.50 4/1/2013
3430000340840063 TECHNETIUM TC-99M MEBROFENIN INJECTION 436.30 4/1/2013
3430000340840064 TECHNETIUM TC-99M ALBUMIN AGGREGATED 131.30 4/1/2013
3430000340840068 TECHNETIUM TC-99M MERTIATIDE INJECTION 59.65 4/1/2013
6370000140840054 LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION 17.15 4/1/2013
6370000140840052 CAPTOPRIL 1 MG/ML SUSP 3.00 4/1/2013
G9999999 HC GH CONVERSION EAP 2,571.00 4/1/2013