TAX ID|RAX_TRM|RAX_GLOB|RAX_PROF|RAX_TECH|RAX_ANES|RAX_STAT|RAX_DESC|RAX_ASC|RAX_FILL 581409990||0.00|0.00|0.00| | |MRS HOME HEALTH FEES| | 581409990||80.00|0.00|0.00| |%| | | 581409990||0.00|0.00|0.00| | |APPLIC BILAMIN SKIN SUBST; 25| | 581409990||0.00|0.00|0.00| | |APPLIC BILAMIN SKIN SUBST;EA A| | 581409990||0.00|0.00|0.00| | |ESCHAROTOMY; ADD'L INCISION| | 581409990||0.00|0.00|0.00| | |BX BREAST PERCUT W/IMAGE| | 581409990||0.00|0.00|0.00| | |BX BREAST PERCUT W/DEVICE| | 581409990||0.00|0.00|0.00| | |PLACE BREAST CLIP- PERCUT| | 581409990||0.00|0.00|0.00| | |RECONSTR LWR JAW W/ADVANCE| | 581409990||0.00|0.00|0.00| | |PERCUT VERTEBROPLASTY THOR| | 581409990||0.00|0.00|0.00| | |PERCUT VERTEBROPLASTY LUMB| | 581409990||0.00|0.00|0.00| | |PERCUT VERTEBROPLASTY ADD'L| | 581409990||0.00|0.00|0.00| | |REPAIR NASAL STENOSIS| | 581409990||0.00|0.00|0.00| | |HEART TMR W/OTHER PROCEDURE| | 581409990||0.00|0.00|0.00| | |ENDOVAS AAA REPR W/SM TUBE| | 581409990||0.00|0.00|0.00| | |ENDOVAS AAA REPR W/2-P PART| | 581409990||0.00|0.00|0.00| | |ENDOVAS AAA REPR W/1-P PART| | 581409990||0.00|0.00|0.00| | |ENDOVAS ILIAC A DEVICE ADDON| | 581409990||0.00|0.00|0.00| | |XPOSE FOR ENDOPROSTH- FEMORL| | 581409990||0.00|0.00|0.00| | |FEMORAL ENDOVAS GRAFT ADD-ON| | 581409990||0.00|0.00|0.00| | |XPOSE FOR ENDOPROSTH- ILIAC| | 581409990||0.00|0.00|0.00| | |ENDOVASC EXTEND PROSTH- INIT| | 581409990||0.00|0.00|0.00| | |ENDOVASC EXTEN PROSTH- ADD'L| | 581409990||0.00|0.00|0.00| | |OPEN AORTIC TUBE PROSTH REPR| | 581409990||0.00|0.00|0.00| | |OPEN AORTOILIAC PROSTH REPR| | 581409990||0.00|0.00|0.00| | |OPEN AORTOFEMOR PROSTH REPR| | 581409990||0.00|0.00|0.00| | |HARVEST ARTERY FOR CABG| | 581409990||0.00|0.00|0.00| | |COLLECT BLOOD VENOUS DEVICE| | 581409990||0.00|0.00|0.00| | |PERCUT THROMBECT AV FISTULA| | 581409990||0.00|0.00|0.00| | |ESOPH ENDOSCOPY W/US EXAM| | 581409990||0.00|0.00|0.00| | |ESOPH ENDOSCOPY W/US FN BX| | 581409990||0.00|0.00|0.00| | |ESOPH ENDOSCOPE W/DRAIN CYST| | 581409990||0.00|0.00|0.00| | |UPPR GI ENDOSCOPY W/US FN BX| | 581409990||0.00|0.00|0.00| | |UPPR GI ENDOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |NASAL/OROGASTRIC W/STENT| | 581409990||0.00|0.00|0.00| | |ENTERECTOMY- CADAVER DONOR| | 581409990||0.00|0.00|0.00| | |ENTERECTOMY- LIVE DONOR| | 581409990||0.00|0.00|0.00| | |INTESTINE TRANSPLNT- CADAVER| | 581409990||0.00|0.00|0.00| | |INTESTINE TRANSPLANT- LIVE| | 581409990||0.00|0.00|0.00| | |SMALL BOWEL ENDOSCOPY/STENT| | 581409990||0.00|0.00|0.00| | |S BOWEL ENDOSCOPE W/STENT| | 581409990||0.00|0.00|0.00| | |ILEOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |COLONOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |PROCTOSIGMOIDOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |SIGMOIDOSCOPY W/ULTRASOUND| | 581409990||0.00|0.00|0.00| | |SIGMOIDOSCOPY W/US GUIDE BX| | 581409990||0.00|0.00|0.00| | |SIGMOIDOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |COLONOSCOPY W/STENT| | 581409990||0.00|0.00|0.00| | |LAPAROSCOPE PROCEDURE- LIVER| | 581409990||0.00|0.00|0.00| | |LAPARO RADICAL NEPHRECTOMY| | 581409990||0.00|0.00|0.00| | |LAPARO NEW URETER/BLADDER| | 581409990||0.00|0.00|0.00| | |LAPARO NEW URETER/BLADDER| | 581409990||0.00|0.00|0.00| | |LAPAROSCOPE PROC- URETER| | 581409990||0.00|0.00|0.00| | |CYSTO W/URETER STRICTURE TX| | 581409990||0.00|0.00|0.00| | |CYSTO W/UP STRICTURE TX| | 581409990||0.00|0.00|0.00| | |CYSTO W/RENAL STRICTURE TX| | 581409990||0.00|0.00|0.00| | |CYSTO/URETERO- STRICTURE TX| | 581409990||0.00|0.00|0.00| | |CYSTO/URETERO W/UP STRICTURE| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/RENAL STRICT| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO & OR PYELOSCOPE| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/STONE REMOVE| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/LITHOTRIPSY| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/BIOPSY| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/EXCISE TUMOR| | 581409990||0.00|0.00|0.00| | |CYSTOURETERO W/CONGEN REPR| | 581409990||0.00|0.00|0.00| | |EXCISE LESION TESTIS| | 581409990||0.00|0.00|0.00| | |ORCHIECTOMY- PARTIAL| | 581409990||0.00|0.00|0.00| | |CRYOABLATE PROSTATE| | 581409990||0.00|0.00|0.00| | |I & D VAGINAL HEMATOMA- PP| | 581409990||0.00|0.00|0.00| | |I & D VAG HEMATOMA- NON-OB| | 581409990||0.00|0.00|0.00| | |REVISE/REMOVE SLING REPAIR| | 581409990||0.00|0.00|0.00| | |ENDOMETR ABLATE- THERMAL| | 581409990||0.00|0.00|0.00| | |BRAIN ANEURYSM REPR- COMPLX| | 581409990||0.00|0.00|0.00| | |BRAIN ANEURYSM REPR- COMPLX| | 581409990||0.00|0.00|0.00| | |CSF SHUNT REPROGRAM| | 581409990||0.00|0.00|0.00| | |LAMINOTOMY- ADD'L CERVICAL| | 581409990||0.00|0.00|0.00| | |LAMINOTOMY- ADD'L LUMBAR| | 581409990||0.00|0.00|0.00| | |DESTROY NERVE- EXTREM MUSC| | 581409990||0.00|0.00|0.00| | |CATARACT SURGERY- COMPLEX| | 581409990||0.00|0.00|0.00| | |OCULAR PHOTODYNAMIC THER| | 581409990||0.00|0.00|0.00| | |IMPLANT TEMPLE BONE W/STIMUL| | 581409990||0.00|0.00|0.00| | |TEMPLE BNE IMPLNT W/STIMULAT| | 581409990||0.00|0.00|0.00| | |TEMPLE BONE IMPLANT REVISION| | 581409990||0.00|0.00|0.00| | |REVISE TEMPLE BONE IMPLANT| | 581409990||0.00|0.00|0.00| | |CT ANGIOGRAPHY- HEAD| | 581409990||0.00|0.00|0.00| | |CT ANGIOGRAPHY- NECK| | 581409990||0.00|0.00|0.00| | |MRI ORBIT/FACE/NECK W/DYE| | 581409990||0.00|0.00|0.00| | |MRI ORBT/FAC/NCK W/O & W/DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPHY HEAD W/O DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPHY HEAD W/DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPH HEAD W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPHY NECK W/O DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPHY NECK W/DYE| | 581409990||0.00|0.00|0.00| | |MR ANGIOGRAPH NECK W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIOGRAPHY- CHEST| | 581409990||0.00|0.00|0.00| | |MRI CHEST W/DYE| | 581409990||0.00|0.00|0.00| | |MRI CHEST W/O & W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIOGRAPH PELV W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |MRI PELVIS W/O DYE| | 581409990||0.00|0.00|0.00| | |MRI PELVIS W/O & W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIO UPR EXTRM W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |MRI UPPER EXTREMITY W/O DYE| | 581409990||0.00|0.00|0.00| | |MRI UPPER EXTREMITY W/DYE| | 581409990||0.00|0.00|0.00| | |MRI JOINT UPR EXTREM W/DYE| | 581409990||0.00|0.00|0.00| | |MRI JOINT UPR EXTR W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIO LWR EXTR W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |MRI LOWER EXTREMITY W/O DYE| | 581409990||0.00|0.00|0.00| | |MRI LOWER EXTREMITY W/DYE| | 581409990||0.00|0.00|0.00| | |MRI JOINT OF LWR EXTR W/DYE| | 581409990||0.00|0.00|0.00| | |MRI JOINT LWR EXTR W/O&W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIO ABDOM W/O & W/DYE| | 581409990||0.00|0.00|0.00| | |MRI ABDOMEN W/DYE| | 581409990||0.00|0.00|0.00| | |MRI ABDOMEN W/O & W/DYE| | 581409990||0.00|0.00|0.00| | |CT ANGIO ABDOMINAL ARTERIES| | 581409990||0.00|0.00|0.00| | |ENDOVASC REPAIR ABDOM AORTA| | 581409990||0.00|0.00|0.00| | |ABDOM ANEURYSM ENDOVAS RPR| | 581409990||0.00|0.00|0.00| | |PERCUT VERTEBROPLASTY FLUOR| | 581409990||0.00|0.00|0.00| | |PERCUT VERTEBROPLASTY- CT| | 581409990||0.00|0.00|0.00| | |MR GUIDANCE FOR NEEDLE PLACE| | 581409990||0.00|0.00|0.00| | |FETAL BIOPHYS PROFIL W/O NST| | 581409990||0.00|0.00|0.00| | |PROTON TRMT- SIMPLE W/COMP| | 581409990||0.00|0.00|0.00| | |PROTON TREATMENT- COMPLEX| | 581409990||0.00|0.00|0.00| | |ASSAY- CARBAMAZEPINE- FREE| | 581409990||0.00|0.00|0.00| | |ASSAY OF HALOPERIDOL| | 581409990||0.00|0.00|0.00| | |ASSAY- C-D TRANSFER MEASURE| | 581409990||0.00|0.00|0.00| | |GLUCOSE OTHER FLUID| | 581409990||0.00|0.00|0.00| | |ASSAY OF HOMOCYSTINE| | 581409990||0.00|0.00|0.00| | |FLUORO POLARIZE- FETAL LUNG| | 581409990||0.00|0.00|0.00| | |LAMELLAR BDY- FETAL LUNG| | 581409990||0.00|0.00|0.00| | |ORGANIC ACID- SINGLE- QUANT| | 581409990||0.00|0.00|0.00| | |ASSAY OF PSA- COMPLEXED| | 581409990||0.00|0.00|0.00| | |ASSAY OF NOS VITAMIN| | 581409990||0.00|0.00|0.00| | |ASSAY ACTIVATED PROTEIN C| | 581409990||0.00|0.00|0.00| | |IRON STAIN PERIPHERAL BLOOD| | 581409990||0.00|0.00|0.00| | |ALLERGEN SPECIFIC IGG| | 581409990||0.00|0.00|0.00| | |GLYCOPROTEIN ANTIBODY| | 581409990||0.00|0.00|0.00| | |IMMUNOASSAY- TUMOR- QUAL| | 581409990||0.00|0.00|0.00| | |IMMUNOASSAY- TUMOR- CA 15-3| | 581409990||0.00|0.00|0.00| | |IMMUNOASSAY- TUMOR- CA 19-9| | 581409990||0.00|0.00|0.00| | |IMMUNOASSAY- TUMOR- CA 125| | 581409990||0.00|0.00|0.00| | |BARTONELLA ANTIBODY| | 581409990||0.00|0.00|0.00| | |EHRLICHIA ANTIBODY| | 581409990||0.00|0.00|0.00| | |ANTIBODY HEMOGLOBIN- FECAL| | 581409990||0.00|0.00|0.00| | |HERPES SIMPLEX TYPE 2| | 581409990||0.00|0.00|0.00| | |RICKETTSIA ANTIBODY| | 581409990||0.00|0.00|0.00| | |STOOL CULTR- BACTERIA- EACH| | 581409990||0.00|0.00|0.00| | |CULTURE BACTERI AEROBIC OTHR| | 581409990||0.00|0.00|0.00| | |CULTURE BACTERIA ANAEROBIC| | 581409990||0.00|0.00|0.00| | |CULTURE AEROBIC IDENTIFY| | 581409990||0.00|0.00|0.00| | |FUNGI IDENTIFICATION- MOLD| | 581409990||0.00|0.00|0.00| | |CULTURE TYPE- NUCLEIC ACID| | 581409990||0.00|0.00|0.00| | |CULTURE TYPE PULSE FIELD GEL| | 581409990||0.00|0.00|0.00| | |MACROSCOPIC EXAM ARTHROPOD| | 581409990||0.00|0.00|0.00| | |MACROSCOPIC EXAM PARASITE| | 581409990||0.00|0.00|0.00| | |PINWORM EXAM| | 581409990||0.00|0.00|0.00| | |MICROBE SUSCEPTIBLE- ENZYME| | 581409990||0.00|0.00|0.00| | |VIRUS INOCULATION- SHELL VIA| | 581409990||0.00|0.00|0.00| | |HERPES SIMPLEX 2- AG- IF| | 581409990||0.00|0.00|0.00| | |INFLUENZA B- AG- IF| | 581409990||0.00|0.00|0.00| | |LEGIONELLA MICDADEI- AG- IF| | 581409990||0.00|0.00|0.00| | |PARAINFLUENZA- AG- IF| | 581409990||0.00|0.00|0.00| | |PNEUMOCYSTIS CARINII- AG- IF| | 581409990||0.00|0.00|0.00| | |RUBEOLA- AG- IF| | 581409990||0.00|0.00|0.00| | |AG DETECTION- POLYVAL- IF| | 581409990||0.00|0.00|0.00| | |CRYPTOCOCCUS NEOFORM AG- EIA| | 581409990||0.00|0.00|0.00| | |ENTAMOEB HIST DISPR- AG- EIA| | 581409990||0.00|0.00|0.00| | |ENTAMOEB HIST GROUP- AG- EIA| | 581409990||0.00|0.00|0.00| | |H PYLORI AG- EIA| | 581409990||0.00|0.00|0.00| | |HEPATITIS B SURFACE- AG- EIA| | 581409990||0.00|0.00|0.00| | |INFLUENZA A/B- AG- EIA| | 581409990||0.00|0.00|0.00| | |SHIGA-LIKE TOXIN AG- EIA| | 581409990||0.00|0.00|0.00| | |AG DETECT POLYVAL- EIA- MULT| | 581409990||0.00|0.00|0.00| | |DETECT AGNT MULT- DNA- DIREC| | 581409990||0.00|0.00|0.00| | |DETECT AGNT MULT- DNA- AMPLI| | 581409990||0.00|0.00|0.00| | |GENOTYPE- DNA- HIV REVERSE T| | 581409990||0.00|0.00|0.00| | |PHENOTYPE- DNA HIV W/CULTURE| | 581409990||0.00|0.00|0.00| | |PHENOTYPE- DNA HIV W/CLT ADD| | 581409990||0.00|0.00|0.00| | |BILIRUBIN TOTAL TRANSCUT| | 581409990||0.00|0.00|0.00| | |SEMEN ANALYSIS & MOTILITY| | 581409990||0.00|0.00|0.00| | |FLU VACCINE NO PRESERV 3 & >| | 581409990||0.00|0.00|0.00| | |DTAP-HEP B-IPV VACCINE- IM| | 581409990||0.00|0.00|0.00| | |HEPB VACC- ILL PAT 3 DOSE IM| | 581409990||0.00|0.00|0.00| | |HEP B VACC- ADOL- 2 DOSE- IM| | 581409990||0.00|0.00|0.00| | |HEMODIALYSIS ACCESS STUDY| | 581409990||0.00|0.00|0.00| | |ELECTROGASTROGRAPHY| | 581409990||0.00|0.00|0.00| | |ELECTROGASTROGRAPHY W/TEST| | 581409990||0.00|0.00|0.00| | |AUDITOR EVOKE POTENT- LIMIT| | 581409990||0.00|0.00|0.00| | |ECHO TRANSESOPHAGEAL INTRAOP| | 581409990||0.00|0.00|0.00| | |INTRACARDIAC ECG (ICE)| | 581409990||0.00|0.00|0.00| | |PERIPHERAL VASCULAR REHAB| | 581409990||0.00|0.00|0.00| | |COGNITIVE SKILLS DEVELOPMENT| | 581409990||0.00|0.00|0.00| | |SENSORY INTEGRATION| | 581409990||0.00|0.00|0.00| | |REMV DEVITL TISS WND; SELCTV D| | 581409990||0.00|0.00|0.00| | |WOUND(S) CARE NON-SELECTIVE| | 581409990||0.00|0.00|0.00| | |MEDICAL NUTRITION- INDIV- IN| | 581409990||0.00|0.00|0.00| | |MED NUTRITION- INDIV- SUBSEQ| | 581409990||0.00|0.00|0.00| | |MEDICAL NUTRITION- GROUP| | 581409990||0.00|0.00|0.00| | |OCULAR FUNCTION SCREEN| | 581409990||0.00|0.00|0.00| | |GROUND MILEAGE| | 581409990||0.00|0.00|0.00| | |ALS 1| | 581409990||0.00|0.00|0.00| | |ALS1-EMERGENCY| | 581409990||0.00|0.00|0.00| | |BLS| | 581409990||0.00|0.00|0.00| | |BLS-EMERGENCY| | 581409990||0.00|0.00|0.00| | |FIXED WING AIR TRANSPORT| | 581409990||0.00|0.00|0.00| | |ROTARY WING AIR TRANSPORT| | 581409990||0.00|0.00|0.00| | |PI VOLUNTEER AMBULANCE CO| | 581409990||0.00|0.00|0.00| | |ALS 2| | 581409990||0.00|0.00|0.00| | |SPECIALTY CARE TRANSPORT| | 581409990||0.00|0.00|0.00| | |FIXED WING AIR MILEAGE| | 581409990||0.00|0.00|0.00| | |ROTARY WING AIR MILEAGE| | 581409990||45.00|0.00|0.00| | |BLOOD GLUCOSE/REAGENT STRIPS| | 581409990||15.00|0.00|0.00| | |LANCETS PER BOX| | 581409990||0.00|0.00|0.00| | |SACRAL NERVE STIM TEST LEAD| | 581409990||0.00|0.00|0.00| | |INSERT TRAY W/O BAG/CATH| | 581409990||0.00|0.00|0.00| | |STERILE H2O IRRIGATION SOL 100| | 581409990||0.00|0.00|0.00| | |MALE EXTERNAL CATH W/ADHES COA| | 581409990||0.00|0.00|0.00| | |MALE EXTERNAL CATH W/ADHES STR| | 581409990||0.00|0.00|0.00| | |EXTENSION DRAINAGE TUBING| | 581409990||0.00|0.00|0.00| | |LUBE STERILE PACKET| | 581409990||0.00|0.00|0.00| | |URINARY CATH ANCHOR DEVICE| | 581409990||0.00|0.00|0.00| | |URINARY CATH LEG STRAP| | 581409990||0.00|0.00|0.00| | |INCONTINENCE SUPPLY| | 581409990||0.00|0.00|0.00| | |MALE EXT CATH W/WO ANTI-REFLX;| | 581409990||0.00|0.00|0.00| | |MALE EXT CATH EXTENDED WEAR| | 581409990||0.00|0.00|0.00| | |DISPOSABLE MALE EXTERNAL CAT| | 581409990||0.00|0.00|0.00| | |STRAIGHT TIP URINE CATHETER| | 581409990||0.00|0.00|0.00| | |BEDSIDE DRAINAGE BAG| | 581409990||0.00|0.00|0.00| | |URINARY LEG OR ABDOMEN BAG| | 581409990||0.00|0.00|0.00| | |SOLID SKIN BARRIER| | 581409990||0.00|0.00|0.00| | |ADHESIVE- LIQUID OR EQUAL| | 581409990||0.00|0.00|0.00| | |SKIN BARRIER LIQUID PER OZ| | 581409990||0.00|0.00|0.00| | |SKIN BARRIER POWDER PER OZ| | 581409990||0.00|0.00|0.00| | |SKIN BARRIER WITH FLANGE| | 581409990||0.00|0.00|0.00| | |PERISTOMAL HERNIA SUPPRT BLT| | 581409990||0.00|0.00|0.00| | |NONPECTIN BASED OSTOMY PASTE| | 581409990||0.00|0.00|0.00| | |PECTIN BASED OSTOMY PASTE| | 581409990||0.00|0.00|0.00| | |OST SKNBAR W/O CONV<=4 SQ IN| | 581409990||0.00|0.00|0.00| | |OSTOMY SUPPLY MISC| | 581409990||0.00|0.00|0.00| | |WATERPROOF TAPE| | 581409990||0.00|0.00|0.00| | |ADHESIVE REMOVER PER OUNCE| | 581409990||0.00|0.00|0.00| | |JNT SUPP DEVC/GARMNT ELAST/EQU| | 581409990||0.00|0.00|0.00| | |PESSARY RUBBER- ANY TYPE| | 581409990||0.00|0.00|0.00| | |PESSARY- NON RUBBER-ANY TYPE| | 581409990||0.00|0.00|0.00| | |TRANSTRACHEAL OXYGEN CATH| | 581409990||0.00|0.00|0.00| | |POUCH CLSD W BARR ATTACHED| | 581409990||0.00|0.00|0.00| | |CLSD OSTOMY POUCH W/FLANGE| | 581409990||0.00|0.00|0.00| | |POUCH DRAINABLE W BARRIER AT| | 581409990||0.00|0.00|0.00| | |DRNBLE OSTOMY POUCH W/O BARR| | 581409990||0.00|0.00|0.00| | |DRAIN OSTOMY POUCH W/FLANGE| | 581409990||0.00|0.00|0.00| | |SKIN BARRIER; WIPES BOX PER 50| | 581409990||0.00|0.00|0.00| | |COLLAGEN DRESSING <=16 SQ IN| | 581409990||0.00|0.00|0.00| | |COLLAGEN DRSG>6<=48 SQ IN| | 581409990||0.00|0.00|0.00| | |COLLAGEN DRESSING >48 SQ IN| | 581409990||0.00|0.00|0.00| | |COLLAGEN DSG WOUND FILLER| | 581409990||0.00|0.00|0.00| | |HYDROGEL DSG<=16 SQ IN| | 581409990||0.00|0.00|0.00| | |HYDROGEL DSG>16<=48 SQ IN| | 581409990||0.00|0.00|0.00| | |HYDROGEL DRESSING >48 SQ IN| | 581409990||0.00|0.00|0.00| | |DISPOSABLE CORRUGATED TUBING| | 581409990||0.00|0.00|0.00| | |WATER DISTILLED W/NEBULIZER| | 581409990||0.00|0.00|0.00| | |SAL SOL P/10ML MRT DISP F/INHA| | 581409990||0.00|0.00|0.00| | |STERL WATR/SALINE 1000 ML W/LG| | 581409990||0.00|0.00|0.00| | |CPAP FULL FACE MASK| | 581409990||0.00|0.00|0.00| | |CPAP FULL FACE MASK| | 581409990||0.00|0.00|0.00| | |REPLACEMENT NASAL CUSHION| | 581409990||0.00|0.00|0.00| | |NASAL APPLICATION DEVICE| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESS HEADGEAR| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESS HEADGEAR| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESS CHINSTRAP| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESSURE TUBING| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESSURE TUBING| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESSURE FILTER| | 581409990||0.00|0.00|0.00| | |POS AIRWAY PRESSURE FILTER| | 581409990||0.00|0.00|0.00| | |TRACHEOSTOMA VALVE W DIAPHRA| | 581409990||0.00|0.00|0.00| | |REPLACEMENT DIAPHRAGM/FPLATE| | 581409990||0.00|0.00|0.00| | |HMES FILTER HOLDER OR CAP| | 581409990||0.00|0.00|0.00| | |TRACHEOSTOMA HMES FILTER| | 581409990||0.00|0.00|0.00| | |HMES OR TRACH VALVE HOUSING| | 581409990||0.00|0.00|0.00| | |HMES/TRACHVALVE ADHESIVEDISK| | 581409990||0.00|0.00|0.00| | |INTEGRATED FILTER & HOLDER| | 581409990||0.00|0.00|0.00| | |HOUSING & INTEGRATED ADHESIV| | 581409990||0.00|0.00|0.00| | |HEAT & MOISTURE EXCHANGE SYS| | 581409990||0.00|0.00|0.00| | |I131 IODOBENGUATE- DX| | 581409990||0.00|0.00|0.00| | |TC99M DISOFENIN| | 581409990||0.00|0.00|0.00| | |ECHOCARDIOGRAPHY CONTRAST| | 581409990||0.00|0.00|0.00| | |ENTER FEED SUPKIT SYR BY DAY| | 581409990||12.75|0.00|0.00| | |ENTERAL FEED SUPP PUMP PER D| | 581409990||0.00|0.00|0.00| | |GASTROSTOMY/JEJUNOSTOMY TUBE| | 581409990||0.00|0.00|0.00| | |EF SPEC METABOLIC NONINHERIT| | 581409990||0.00|0.00|0.00| | |EF PED COMPLETE INTACT NUT| | 581409990||0.00|0.00|0.00| | |EF PED CALORIC DENSE>/=0.7KC| | 581409990||0.00|0.00|0.00| | |ENTERAL INFUSION PUMP W/ ALA| | 581409990||150.00|0.00|0.00| | |ENTERAL INFUSION PUMP W/ ALA| | 581409990||0.00|0.00|0.00| | |ENTERAL SUPP NOT OTHERWISE C| | 581409990||0.00|0.00|0.00| | |PERCLOSCLOSR PROSTARARTVAS| | 581409990||0.00|0.00|0.00| | |ACUNAV-DIAGNSTIC ULTRSND CA| | 581409990||0.00|0.00|0.00| | |CATH- ABLATION- LIVEWIRE TC| | 581409990||0.00|0.00|0.00| | |FAST-CATH-SWARTZ-SAFL-CSTA| | 581409990||0.00|0.00|0.00| | |ARRAY POST CHAMB IOL| | 581409990||0.00|0.00|0.00| | |AMS 700/AMBICOR PROSTHESIS| | 581409990||0.00|0.00|0.00| | |UROLUME-IMPLT URETHRAL STNT| | 581409990||0.00|0.00|0.00| | |PLASMA-CRYOPRECIPITATE-REDUC| | 581409990||0.00|0.00|0.00| | |WHOLE BLD/RBCS LEUKORDUC CMV N| | 581409990||0.00|0.00|0.00| | |PLATLT HLA-MATCHD LEUKORDUC AP| | 581409990||0.00|0.00|0.00| | |PLATLT CONC LEUKORDUC IRRADATD| | 581409990||0.00|0.00|0.00| | |PLATLT CONC LEUKORDUC EA UNIT| | 581409990||0.00|0.00|0.00| | |PLATLT LEUKORDUC APHERES/PHERS| | 581409990||0.00|0.00|0.00| | |WHOL BLD/RBCS LEUKORDUC FRZN W| | 581409990||0.00|0.00|0.00| | |PLATLT LEUKORDUC CMV-NEG APHER| | 581409990||0.00|0.00|0.00| | |WHOLE BLD LEUKORDUC IRRADATD E| | 581409990||0.00|0.00|0.00| | |PLT- APH/PHER- L/R- IRRAD| | 581409990||0.00|0.00|0.00| | |QUINOPRISTIN 10ML/DALFOPRIS| | 581409990||0.00|0.00|0.00| | |MARINR CS CATH| | 581409990||0.00|0.00|0.00| | |RF PERFRMR CATH 5F RF MARINR| | 581409990||0.00|0.00|0.00| | |MAGIC X/SHORT RADIUS 14MM| | 581409990||0.00|0.00|0.00| | |PRCIS TWST TRSNSVG ANCH SYS| | 581409990||0.00|0.00|0.00| | |CRE GUIDED BALLOON DIL CATH| | 581409990||0.00|0.00|0.00| | |CTHTR:MRSHAL-BLU MAX UTR DMD| | 581409990||0.00|0.00|0.00| | |MR COMP/MOD LEVEEN NED ELECT| | 581409990||0.00|0.00|0.00| | |SONICATH MDL 37-410| | 581409990||0.00|0.00|0.00| | |SURPASS- LONG30 SURPASS-CATH| | 581409990||0.00|0.00|0.00| | |CATH- ULTRA ICE| | 581409990||0.00|0.00|0.00| | |R PORT/RESERVOIR IMPL DEV| | 581409990||0.00|0.00|0.00| | |VAXCELCHRONIC DIALYSIS CATH| | 581409990||0.00|0.00|0.00| | |ULTRACROSS IMAGING CATH| | 581409990||0.00|0.00|0.00| | |WALLSTENT- RP/TRACH| | 581409990||0.00|0.00|0.00| | |WALLSTENT- TIPS| | 581409990||0.00|0.00|0.00| | |WALLSTENT- BILIARY| | 581409990||0.00|0.00|0.00| | |ATHERECTOMY SYS- CORONARY| | 581409990||0.00|0.00|0.00| | |SUP RDIA I-131 MIBG P/0.5 MCI| | 581409990||0.00|0.00|0.00| | |NOGA/NAVI-STAR CATH| | 581409990||0.00|0.00|0.00| | |NEUROCYBERNETICPROS:GEN| | 581409990||0.00|0.00|0.00| | |PROSORBA COLUMN| | 581409990||0.00|0.00|0.00| | |OASIS THROMBECTOMY CATH| | 581409990||0.00|0.00|0.00| | |ENSITE 3000 CATHETER| | 581409990||0.00|0.00|0.00| | |HYDROLYSER THROMB CATH 6/7F| | 581409990||0.00|0.00|0.00| | |TRANSESOPH 210- 210-S CATH| | 581409990||0.00|0.00|0.00| | |THERMACHOICE II CATH| | 581409990||0.00|0.00|0.00| | |MICROMARK TISSUE MARKER| | 581409990||0.00|0.00|0.00| | |CARTICEL-AUTO CULT-CHNDR CYT| | 581409990||0.00|0.00|0.00| | |ACS MULTI-LINK TRISTAR STENT| | 581409990||0.00|0.00|0.00| | |ACS VIKING GUIDING CATH| | 581409990||0.00|0.00|0.00| | |ENDOTAK ENDURANCE EZ-RX LEAD| | 581409990||0.00|0.00|0.00| | |MEGALINK BILIARY STENT| | 581409990||0.00|0.00|0.00| | |PULSAR DDD PMKR| | 581409990||0.00|0.00|0.00| | |DISCOVERY DR- PMKR| | 581409990||0.00|0.00|0.00| | |PULSAR MAX- PULSAR SR PMKR| | 581409990||0.00|0.00|0.00| | |GUIDANT:BLLN DIL CATH| | 581409990||0.00|0.00|0.00| | |MORCELLATOR| | 581409990||0.00|0.00|0.00| | |RX/OTW VIATRAC-PERI DIL CATH| | 581409990||0.00|0.00|0.00| | |GUIDANT:LEAD-PMKR| | 581409990||0.00|0.00|0.00| | |VENTAK MINI SC DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK VR-PRIZM VR- SC DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK:PRIZM-AV III DR DEFIB| | 581409990||0.00|0.00|0.00| | |RADOPHRM CYANCOBALMIN 57/58 0.| | 581409990||0.00|0.00|0.00| | |DENILEUKIN DIFTITOX- 300 MCG| | 581409990||0.00|0.00|0.00| | |TEMOZOLOMIDE- 5 MG| | 581409990||0.00|0.00|0.00| | |RADOPHRM SODIM IODIDE 1-123-10| | 581409990||0.00|0.00|0.00| | |LASR OPTIC TX SYS INDIGO LASRO| | 581409990||0.00|0.00|0.00| | |SUP RDIAT CYNCBLMN CO 57 .5 MC| | 581409990||0.00|0.00|0.00| | |INN I-111 CHLORIDE- PER MCI| | 581409990||0.00|0.00|0.00| | |OXYQUINOLINE PER 0.5 MILLICURI| | 581409990||0.00|0.00|0.00| | |RADOPHRM INDIUM 111 PENTET-0.5| | 581409990||0.00|0.00|0.00| | |ALBUMIN AGGREGATED PER 10 MCI| | 581409990||0.00|0.00|0.00| | |TC 99M DEPREOTIDE- PER VIAL| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHNETIUM TC 99M EXE| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTIUM TC 99M MEBRO| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTIUM TC 99M PENTE| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTIUM TC 99M PYROP| | 581409990||0.00|0.00|0.00| | |MEDTRONIC AVE GT1 GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |MEDTRONIC AVE ZUMA GUIDECATH| | 581409990||0.00|0.00|0.00| | |SYNERGY NEUROSTIM GENRTR| | 581409990||0.00|0.00|0.00| | |MICRO JEWEL DEFIBRILLATOR| | 581409990||0.00|0.00|0.00| | |RF CONDUCTR ABLATION CATH| | 581409990||0.00|0.00|0.00| | |SIGMA 300VDD PMKR| | 581409990||0.00|0.00|0.00| | |SYNERGYEX PT PROGRMR| | 581409990||0.00|0.00|0.00| | |TORQR-SOLOIST CATH| | 581409990||0.00|0.00|0.00| | |IMPLANTABLE ANCHOR:ETHICON| | 581409990||0.00|0.00|0.00| | |STABLE MAPPER-CATH ELECTR| | 581409990||0.00|0.00|0.00| | |ANEURXAORT-UNI-ILIAC STNT| | 581409990||0.00|0.00|0.00| | |ANEURX STENT GRAFT/DEL CATH| | 581409990||0.00|0.00|0.00| | |TLNT ENDO SPRNG STNT GRFT SY| | 581409990||0.00|0.00|0.00| | |TALNTSPRGSTNT+GRAF ENDO PROS| | 581409990||0.00|0.00|0.00| | |5038S- 5038 5038L PACE LEAD| | 581409990||0.00|0.00|0.00| | |CAPSURESP PACING LEAD| | 581409990||0.00|0.00|0.00| | |ANCURE ENDOGRAFT DEL SYS| | 581409990||0.00|0.00|0.00| | |SIGMA300DR LEGIIDR- PMKR| | 581409990||0.00|0.00|0.00| | |SPRINT6932-6943 DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |SPRINT6942-6945 DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |GEM DEFIBRILLATOR| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTUM TC 99M ARCITU| | 581409990||0.00|0.00|0.00| | |GEM II VR DEFIBRILLATOR| | 581409990||0.00|0.00|0.00| | |INTERSTIM TEST STIM KIT| | 581409990||0.00|0.00|0.00| | |KAPPA 400SR-TOPAZ II SR PMKR| | 581409990||0.00|0.00|0.00| | |KAPPA 700 DR- PMKR| | 581409990||0.00|0.00|0.00| | |KAPPA 700SR- SC PMKR| | 581409990||0.00|0.00|0.00| | |KAPPA 700D- RUBY IID PMKR| | 581409990||0.00|0.00|0.00| | |KAPPA 700VDD- PMKR| | 581409990||0.00|0.00|0.00| | |SIGMA200D- LGCY IID DC PMKR| | 581409990||0.00|0.00|0.00| | |SIGMA 200DR- PMKR| | 581409990||0.00|0.00|0.00| | |SIGMA 200 SR LEG II:SC PA| | 581409990||0.00|0.00|0.00| | |SIGMA SR- VITA SR- PMKR| | 581409990||0.00|0.00|0.00| | |SIGMA 300D PMKR| | 581409990||0.00|0.00|0.00| | |ENTITY DR 5326L/R- DC- PMKR| | 581409990||0.00|0.00|0.00| | |AFFINITY DR 5330L/R- DC- PMK| | 581409990||0.00|0.00|0.00| | |CARDIOSEAL IMPLANT SYS| | 581409990||0.00|0.00|0.00| | |ADDVENT MOD 2060BL- VDD| | 581409990||0.00|0.00|0.00| | |AFNTY SP 5130-INTEGRITY SR| | 581409990||0.00|0.00|0.00| | |ANGIO-SEAL 6FR-8FR| | 581409990||0.00|0.00|0.00| | |ENDOTRACHEAL TUBE| | 581409990||0.00|0.00|0.00| | |AV PLUS DX 1368:LEAD| | 581409990||0.00|0.00|0.00| | |CONTOUR MD SC DEFIB| | 581409990||0.00|0.00|0.00| | |ENTITY DC 5226R-PMKR| | 581409990||0.00|0.00|0.00| | |PASSIVEPLUS DX LEAD- 10MDLS| | 581409990||0.00|0.00|0.00| | |LIFESITE ACCESS SYSTEM| | 581409990||0.00|0.00|0.00| | |REGENCY SC+2402L PMKR| | 581409990||0.00|0.00|0.00| | |SPL:SPO1-02-04-DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |REPLIFORM 8 SQ CM| | 581409990||0.00|0.00|0.00| | |TR1102TRSR+2260L-2264L-5131| | 581409990||0.00|0.00|0.00| | |TRILOGY DCT 23/8L PMKR| | 581409990||0.00|0.00|0.00| | |TVL LEAD SV01-SV02-SV04| | 581409990||0.00|0.00|0.00| | |TVL RV02- RV06-RV07:LEAD| | 581409990||0.00|0.00|0.00| | |TVL-ADX 1559:LEAD| | 581409990||0.00|0.00|0.00| | |TENDRIL DX- 1388 PACING LEAD| | 581409990||0.00|0.00|0.00| | |TEMPODR TRILOGYDR+DC PMKR| | 581409990||0.00|0.00|0.00| | |TENDRIL SDX- 1488T LEAD| | 581409990||0.00|0.00|0.00| | |IODINE-125 BRACHYTX SEED| | 581409990||0.00|0.00|0.00| | |INJECTION CYTRABIN LIPOSOME-10| | 581409990||0.00|0.00|0.00| | |INJ EPIRUBICIN HYDROCHLORID 2| | 581409990||0.00|0.00|0.00| | |ABBI DISP BIOPSY DEVICE| | 581409990||0.00|0.00|0.00| | |AUTOSUTURE SITE MARKER STPLE| | 581409990||0.00|0.00|0.00| | |SPACEMAKER DISSECT BALLOON| | 581409990||0.00|0.00|0.00| | |COR STNTS540-S670-O-WIRE STN| | 581409990||0.00|0.00|0.00| | |BARD BRACHYTX NEEDLE| | 581409990||0.00|0.00|0.00| | |MIBB DISP BIOPSY DEVICE| | 581409990||0.00|0.00|0.00| | |MAMMOTOME HH PROBE W/VAC SYS| | 581409990||0.00|0.00|0.00| | |11-G MAMMOTOME PROBE| | 581409990||0.00|0.00|0.00| | |BUSULFAN IV- 6 MG| | 581409990||0.00|0.00|0.00| | |14-G MAMMOTOME PROBE| | 581409990||0.00|0.00|0.00| | |VIGOR SR- SC- PMKR| | 581409990||0.00|0.00|0.00| | |MERIDIAN SSI- SC- PMKR| | 581409990||0.00|0.00|0.00| | |PULSAR SSI- SC- PMKR| | 581409990||0.00|0.00|0.00| | |JADE IIS- SIGMA 300S- SC- PM| | 581409990||0.00|0.00|0.00| | |SIGMA 200S- SC- PMKR| | 581409990||0.00|0.00|0.00| | |RADOPHRM SODIM IODIDE I-131 1-| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTUM TC 99M SODIM| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHNETIUM TC 99M SUC| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHTUM TC 99M SULFUR| | 581409990||0.00|0.00|0.00| | |VERTEPORFIN FOR INJ| | 581409990||0.00|0.00|0.00| | |TC 99M DISOFENIN- PER VIAL| | 581409990||0.00|0.00|0.00| | |OCTREOTIDE ACETATE 1 MG| | 581409990||0.00|0.00|0.00| | |HYPERBARIC OXYGEN| | 581409990||0.00|0.00|0.00| | |SQ01: LEAD| | 581409990||0.00|0.00|0.00| | |CAPSURE FIX 6940/4068-110| | 581409990||0.00|0.00|0.00| | |SONCATH MDL 37-416--418| | 581409990||0.00|0.00|0.00| | |APLIGRAF PER 44 SQ CM| | 581409990||0.00|0.00|0.00| | |NEUROCYBERNETICPROS:LEAD| | 581409990||0.00|0.00|0.00| | |TRILOGY DR+/DAO PMKR| | 581409990||0.00|0.00|0.00| | |MAGIC WALLSTENT--MINI| | 581409990||0.00|0.00|0.00| | |MAGIC MEDIUM-RADIUS 31MM| | 581409990||0.00|0.00|0.00| | |MAGIC WALLSTENT--LONG| | 581409990||0.00|0.00|0.00| | |VIGOR DR- MERIDIAN DR PMKR| | 581409990||0.00|0.00|0.00| | |MERIDIAN DDD PMKR| | 581409990||0.00|0.00|0.00| | |DISCOVERY SR- PMKR| | 581409990||0.00|0.00|0.00| | |MERIDIAN SR PMKR| | 581409990||0.00|0.00|0.00| | |WALLSTENT: ENTERAL--60MM| | 581409990||0.00|0.00|0.00| | |WALLSTENT: ILIAC| | 581409990||0.00|0.00|0.00| | |PALATE/BASE OF TONGUE ELECTR| | 581409990||0.00|0.00|0.00| | |TURBINATE SOMNOPLASTY ELECTR| | 581409990||0.00|0.00|0.00| | |VAPR/T DISP ELECTRODE| | 581409990||0.00|0.00|0.00| | |LIGASURE DISPOSABLE ELECTROD| | 581409990||0.00|0.00|0.00| | |PALLADIUM-103 SEED| | 581409990||0.00|0.00|0.00| | |ANGIO-JET RHEOLYTIC THROMB| | 581409990||0.00|0.00|0.00| | |ANS RENEW NS TRNSMTR| | 581409990||0.00|0.00|0.00| | |VERSAPOINT DISP ELECTRODE| | 581409990||0.00|0.00|0.00| | |PALMAZ CORINTHIAN BIL STENT| | 581409990||0.00|0.00|0.00| | |CROWN-MINI-CROWN-CROSSLC| | 581409990||0.00|0.00|0.00| | |MESH- PROLENE| | 581409990||0.00|0.00|0.00| | |CONSTANT FLOW IMP PUMP| | 581409990||0.00|0.00|0.00| | |ISOMED 8472-20/35/60| | 581409990||0.00|0.00|0.00| | |SOLUTION- PER INITIAL 1-6 MCI| | 581409990||0.00|0.00|0.00| | |PROSTASEED I-125- PER SOURCE| | 581409990||0.00|0.00|0.00| | |CAPSURE FIX LEAD| | 581409990||0.00|0.00|0.00| | |GEM II DR| | 581409990||0.00|0.00|0.00| | |ITREL INTERSTM NEUROSTIM+EXT| | 581409990||0.00|0.00|0.00| | |KAPPA 400DR-DIAMOND II 820DR| | 581409990||0.00|0.00|0.00| | |KAPPA 600DR- VITA DR| | 581409990||0.00|0.00|0.00| | |PROFILE MD V-186HV3 SC DEFIB| | 581409990||0.00|0.00|0.00| | |ANGSTROM MD V-190HV3 SC DEF| | 581409990||0.00|0.00|0.00| | |AFFINITY DC 5230R- PMKR| | 581409990||0.00|0.00|0.00| | |PULSAR-PULSAR MAX DR- PMKR| | 581409990||0.00|0.00|0.00| | |OCULAR PHOTODYNAMIC TX| | 581409990||0.00|0.00|0.00| | |REVEAL CARDIAC RECORDER| | 581409990||0.00|0.00|0.00| | |HERCULINK-OTW-SDS BIL STNT| | 581409990||0.00|0.00|0.00| | |GEM DR- DC- DEFIB| | 581409990||0.00|0.00|0.00| | |PHOTON DR V-230HV3 DC DEFIB| | 581409990||0.00|0.00|0.00| | |GUIDEWIRE- HI-TORQUE14/18/35| | 581409990||0.00|0.00|0.00| | |GUIDEWIRE-PTCA-HI-TORQUE| | 581409990||0.00|0.00|0.00| | |GUIDE WIRE- HI-TORQUECROSSIT| | 581409990||0.00|0.00|0.00| | |ON-Q PAIN MGT SYS| | 581409990||0.00|0.00|0.00| | |ANS RENEW STIM SYS RECVR| | 581409990||0.00|0.00|0.00| | |TENSION-FREE VAGINAL TAPE| | 581409990||0.00|0.00|0.00| | |SYMP NITINOL TRANSHEP BIL SY| | 581409990||0.00|0.00|0.00| | |CORDIS NITINOL BIL STENT| | 581409990||0.00|0.00|0.00| | |STENT- CORONARY- NIR| | 581409990||0.00|0.00|0.00| | |ANS RENEW STIM SYS LEAD| | 581409990||0.00|0.00|0.00| | |SPECIFY 3988 NEURO LEAD| | 581409990||0.00|0.00|0.00| | |INTERSTIM TX 3080/3886 LEAD| | 581409990||0.00|0.00|0.00| | |PISCES-QUAD 3887 LEAD| | 581409990||0.00|0.00|0.00| | |STAPLETAC2 BONEW/DERMIS| | 581409990||0.00|0.00|0.00| | |STAPLETAC2 BONE WO DERMIS| | 581409990||0.00|0.00|0.00| | |ORTHOSPHERE ARTHROPLASTY| | 581409990||0.00|0.00|0.00| | |ORTHOSPHERE ARTHROPLASTY KIT| | 581409990||0.00|0.00|0.00| | |ATHERECTOMY SYS- PERIPHERAL| | 581409990||0.00|0.00|0.00| | |AUTHEN MICK TP BRACHY NEEDLE| | 581409990||0.00|0.00|0.00| | |MEDTEC MT-BT-5201-25 NEEDLE| | 581409990||0.00|0.00|0.00| | |WWMT BRACHY NEEDLE| | 581409990||0.00|0.00|0.00| | |MENTOR PROSTATE BRACHY| | 581409990||0.00|0.00|0.00| | |MT-BT-5001-25/5051-25| | 581409990||0.00|0.00|0.00| | |BEST FLEXI BRACHY NEEDLE| | 581409990||0.00|0.00|0.00| | |INDIGO PROSTATE SEEDING NDL| | 581409990||0.00|0.00|0.00| | |VARISOURCE IMPLT NDL| | 581409990||0.00|0.00|0.00| | |UROMED PROSTATE SEED NDL| | 581409990||0.00|0.00|0.00| | |REMINGTON BRACHYTX NEEDLE| | 581409990||0.00|0.00|0.00| | |US BIOPSY PROSTATE NEEDLE| | 581409990||0.00|0.00|0.00| | |MD TECH BRACHYTX NEEDLE| | 581409990||0.00|0.00|0.00| | |IMAGYN BRACHYTX NEEDLE| | 581409990||0.00|0.00|0.00| | |IRIDIUM 192 HDR| | 581409990||0.00|0.00|0.00| | |ONCOSEED- RAPID STRAND I-125| | 581409990||0.00|0.00|0.00| | |UROMED I-125 BRACHY SEED| | 581409990||0.00|0.00|0.00| | |BARD INTERSOURCE P-103 SEED| | 581409990||0.00|0.00|0.00| | |BARD ISOSEED P-103 SEED| | 581409990||0.00|0.00|0.00| | |BARD BRACHYSOURCE I-125| | 581409990||0.00|0.00|0.00| | |SOURCETECH MED I-125| | 581409990||0.00|0.00|0.00| | |DRAXIMAGE I-125 SEED| | 581409990||0.00|0.00|0.00| | |SYNCOR I-125 PHARMASEED| | 581409990||0.00|0.00|0.00| | |I-PLANT I-125 BRACHYTX SEED| | 581409990||0.00|0.00|0.00| | |PD-103 BRACHYTX SEED| | 581409990||0.00|0.00|0.00| | |IOGOLD I-125 BRACHYTX SEED| | 581409990||0.00|0.00|0.00| | |IRIDIUM 192 BRACHYTX SEEDS| | 581409990||0.00|0.00|0.00| | |BEST IODINE 125 BRACHYTX SDS| | 581409990||0.00|0.00|0.00| | |BEST PALLADIUM 103 SEEDS| | 581409990||0.00|0.00|0.00| | |ISOSTAR IODINE-125 SEEDS| | 581409990||0.00|0.00|0.00| | |BEST GOLD 198 BRACHYTX SEED| | 581409990||0.00|0.00|0.00| | |D114S DILATATION CATH| | 581409990||0.00|0.00|0.00| | |SUGICAL DYNAMICS ANCHORS| | 581409990||0.00|0.00|0.00| | |OBL ANCHORS| | 581409990||0.00|0.00|0.00| | |REPLIFORM 14/21 SQ CM| | 581409990||0.00|0.00|0.00| | |REPLIFORM 24/28 SQ CM| | 581409990||0.00|0.00|0.00| | |TRANSCYTE- PER 247 SQ CM| | 581409990||0.00|0.00|0.00| | |SUSPEND- PER 8/14 SQ CM| | 581409990||0.00|0.00|0.00| | |SUSPEND- PER 24/28 SQ CM| | 581409990||0.00|0.00|0.00| | |SUSPEND- PER 36 SQ CM| | 581409990||0.00|0.00|0.00| | |SUSPEND- PER 48 SQ CM| | 581409990||0.00|0.00|0.00| | |SUSPEND- PER 84 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 8/14 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 21/24/28 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 48 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 36 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 72 SQ CM| | 581409990||0.00|0.00|0.00| | |DURADERM- PER 84 SQ CM| | 581409990||0.00|0.00|0.00| | |SPERMATEX- PER 13.44 SQ CM| | 581409990||0.00|0.00|0.00| | |FASLATA- PER 8/14 SQ CM| | 581409990||0.00|0.00|0.00| | |FASLATA- PER 24/28 SQ CM| | 581409990||0.00|0.00|0.00| | |FASLATA- PER 36/48 SQ CM| | 581409990||0.00|0.00|0.00| | |FASLATA- PER 96 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE THYROPLASTY DEVICE| | 581409990||0.00|0.00|0.00| | |DERMMATRIX- PER 16 SQ CM| | 581409990||0.00|0.00|0.00| | |DERMMATRIX- 32 OR 64 SQ CM| | 581409990||0.00|0.00|0.00| | |DERMAGRAFT- PER 37.5 SQ CM| | 581409990||0.00|0.00|0.00| | |BARD 3DMAX MESH| | 581409990||0.00|0.00|0.00| | |MAVERICK PTCA CATH| | 581409990||0.00|0.00|0.00| | |COYOTE DIL CATH- 20/30/40MM| | 581409990||0.00|0.00|0.00| | |TALON DIL CATH| | 581409990||0.00|0.00|0.00| | |SCIMED REMEDY DIL CATH| | 581409990||0.00|0.00|0.00| | |OPTI-PLAST XL/CENTURION CATH| | 581409990||0.00|0.00|0.00| | |ULTRAVERSE 3.5F BAL DIL CATH| | 581409990||0.00|0.00|0.00| | |WORKHORSE PTA BAL CATH| | 581409990||0.00|0.00|0.00| | |UROMAX ULTRA BAL DIL CATH| | 581409990||0.00|0.00|0.00| | |SYNERGY/EXPLORER CATH| | 581409990||0.00|0.00|0.00| | |UROFORCE BAL DIL CATH| | 581409990||0.00|0.00|0.00| | |RAPTUR- NINJA PTCA DIL CATH| | 581409990||0.00|0.00|0.00| | |POWERFLEX-OPTA 5/LP BAL CATH| | 581409990||0.00|0.00|0.00| | |JUPITER PTA DIL CATH| | 581409990||0.00|0.00|0.00| | |CORDIS MAXI LD PTA BAL CATH| | 581409990||0.00|0.00|0.00| | |RXCROSSSAIL OTW OPENSAIL| | 581409990||0.00|0.00|0.00| | |RAPID EXCHANGE BIL DIL CATH| | 581409990||0.00|0.00|0.00| | |SAVVY PTA DIL CATH| | 581409990||0.00|0.00|0.00| | |R1S RAPID DIL CATH| | 581409990||0.00|0.00|0.00| | |GAZELLE BAL DIL CATH| | 581409990||0.00|0.00|0.00| | |ORACLE MEGASONICS CATH| | 581409990||0.00|0.00|0.00| | |ORACLE MEGASONICS CATH| | 581409990||0.00|0.00|0.00| | |VISIONS PV/AVANAR US CATH| | 581409990||0.00|0.00|0.00| | |ATLANTIS SR CORONARY CATH| | 581409990||0.00|0.00|0.00| | |PTCA CATHETERS| | 581409990||0.00|0.00|0.00| | |ORBITER ST STEERABLE CATH| | 581409990||0.00|0.00|0.00| | |CONSTELLATION DIAG CATH| | 581409990||0.00|0.00|0.00| | |IRVINE 5F INQUIRY EP CATH| | 581409990||0.00|0.00|0.00| | |IRVINE 6F INQUIRY EP CATH| | 581409990||0.00|0.00|0.00| | |EP CATH--OCTAPOLAR| | 581409990||0.00|0.00|0.00| | |EP TIP CATH--HEXAPOLAR| | 581409990||0.00|0.00|0.00| | |EP CATH--DECAPOLAR| | 581409990||0.00|0.00|0.00| | |IRVINE 6F LUMA-CATH EP CATH| | 581409990||0.00|0.00|0.00| | |LUMA-CATH EP CATH 81910-15| | 581409990||0.00|0.00|0.00| | |IRVINE 7F LUMA-CATH EP CATH| | 581409990||0.00|0.00|0.00| | |FIXED CURVE EP CATH| | 581409990||0.00|0.00|0.00| | |DEFLECTABLE TIP CATH--QUAD| | 581409990||0.00|0.00|0.00| | |CELSIUS ABLN CATH| | 581409990||0.00|0.00|0.00| | |CELSIUS LARGE ABLN CATH| | 581409990||0.00|0.00|0.00| | |CELSIUS II ASYM ABLN CATH| | 581409990||0.00|0.00|0.00| | |CELSIUS II SYM ABLN CATH| | 581409990||0.00|0.00|0.00| | |NAVI-STAR DS- NAVI-STAR THER| | 581409990||0.00|0.00|0.00| | |NAVI-STAR ABLN CATH| | 581409990||0.00|0.00|0.00| | |POLARIS T ABLATION CATH| | 581409990||0.00|0.00|0.00| | |EP DEFLECTABLE CATH| | 581409990||0.00|0.00|0.00| | |BLAZER II XP ABLN CATH| | 581409990||0.00|0.00|0.00| | |SILVERFLEX EP CATH| | 581409990||0.00|0.00|0.00| | |CP CHILLI COOLED ABLN CATH| | 581409990||0.00|0.00|0.00| | |CHILLI CLD ABLNCATH-STD-LG| | 581409990||0.00|0.00|0.00| | |CP CS REFERENCE CATH| | 581409990||0.00|0.00|0.00| | |CP RV REFERENCE CATH| | 581409990||0.00|0.00|0.00| | |CP RADII 7F EP CATH| | 581409990||0.00|0.00|0.00| | |CP RADII 7F EP CATH W/TRACK| | 581409990||0.00|0.00|0.00| | |LASSO DEFLECTABLE CATH| | 581409990||0.00|0.00|0.00| | |VERIPATH GUIDING CATH| | 581409990||0.00|0.00|0.00| | |CORDIS VISTA BRITE TIP CATH| | 581409990||0.00|0.00|0.00| | |BARD VIKING CATH| | 581409990||0.00|0.00|0.00| | |ARROW-TREROTOLA PTD CATH| | 581409990||0.00|0.00|0.00| | |VARISOURCE STND CATH| | 581409990||0.00|0.00|0.00| | |CLINICATH 16/18 SGL/DBL| | 581409990||0.00|0.00|0.00| | |CLINICATH 18/20/24G--SINGLE| | 581409990||0.00|0.00|0.00| | |CLINICATH 16/18 DOUBLE| | 581409990||0.00|0.00|0.00| | |GOLD PROBE CATHETER| | 581409990||0.00|0.00|0.00| | |BARD DL URETERAL CATH| | 581409990||0.00|0.00|0.00| | |VITESSE LASER CATH 1.4/1.7MM| | 581409990||0.00|0.00|0.00| | |VITESSE LASER CATH 2.0MM| | 581409990||0.00|0.00|0.00| | |VITESSE E LASER CATH 2.0MM| | 581409990||0.00|0.00|0.00| | |EXTREME LASER CATH| | 581409990||0.00|0.00|0.00| | |SPINECATH XL CATHETER| | 581409990||0.00|0.00|0.00| | |SPINECATH INTRADISCAL CATH| | 581409990||0.00|0.00|0.00| | |SCIMED 6F WISEGUIDE CATHETER| | 581409990||0.00|0.00|0.00| | |FLEXIMA BIL DRAINAGE CATH| | 581409990||0.00|0.00|0.00| | |FLEXTIPPLUS INTRASPINAL CATH| | 581409990||0.00|0.00|0.00| | |ALGOLINE INTRASPINAL CATH| | 581409990||0.00|0.00|0.00| | |INDURA CATHETER| | 581409990||0.00|0.00|0.00| | |RSPONSE CV CATHETER| | 581409990||0.00|0.00|0.00| | |MYCROPHYLAX PLUS SC DEFIB| | 581409990||0.00|0.00|0.00| | |PHYLAX XM SC DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK PRIZM 2 VR DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK PRIZM VR HE DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK MINI IV+ DEFIB| | 581409990||0.00|0.00|0.00| | |DEFENDER IV DR 612 DC DEFIB| | 581409990||0.00|0.00|0.00| | |PHYLAX AV| | 581409990||0.00|0.00|0.00| | |VENTAK PRIZM DR HE DEFIB| | 581409990||0.00|0.00|0.00| | |VENTAK PRIZM 2 DR DEFIB| | 581409990||0.00|0.00|0.00| | |JEWEL AF 7250 DEFIB| | 581409990||0.00|0.00|0.00| | |GEM VR 7227 DEFIB| | 581409990||0.00|0.00|0.00| | |CONTAK CD 1823| | 581409990||0.00|0.00|0.00| | |CONTAK TR 1241| | 581409990||0.00|0.00|0.00| | |KAINOX SL/RV DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |EASYTRAK DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |ENDOTAK SQ ARAY XP LEAD| | 581409990||0.00|0.00|0.00| | |INTERVENE DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |SILTEX SPECTRUM-CONTOUR PROF| | 581409990||0.00|0.00|0.00| | |SALINE-FILLED SPECTRUM| | 581409990||0.00|0.00|0.00| | |ALPHA I INF PRO| | 581409990||0.00|0.00|0.00| | |AMS 800 URINARY PROS| | 581409990||0.00|0.00|0.00| | |CHOICE/PT GRAPHIX/LUGE/TROOP| | 581409990||0.00|0.00|0.00| | |HI-TORQUE WHISPER| | 581409990||0.00|0.00|0.00| | |CORDIS GUIDEWIRES| | 581409990||0.00|0.00|0.00| | |JINDO GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |WHOLEY HI-TORQUE PLUS GW| | 581409990||0.00|0.00|0.00| | |WAVE/FLOWWIRE GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |HYTEK GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |SYNCHROMED EL INFUSION PUMP| | 581409990||0.00|0.00|0.00| | |ARROW/MICROJECT PCA SYS| | 581409990||0.00|0.00|0.00| | |ELASTIC UV IOLAA-4203T/TF/TL| | 581409990||0.00|0.00|0.00| | |OPUS G 4621- 4624 SC PMKR| | 581409990||0.00|0.00|0.00| | |OPUS S 4121/4124 SC PMKR| | 581409990||0.00|0.00|0.00| | |TALENT 113 SC PMKR| | 581409990||0.00|0.00|0.00| | |KAIROS SR SC PMKR| | 581409990||0.00|0.00|0.00| | |ACTROS SR- ACTROSSR-B SC PMK| | 581409990||0.00|0.00|0.00| | |PHILOS SR/SR-B SC PMKR| | 581409990||0.00|0.00|0.00| | |PULSAR MAX II SR PMKR| | 581409990||0.00|0.00|0.00| | |MARATHON SR PMKR| | 581409990||0.00|0.00|0.00| | |DISCOVERY II SSI PMKR| | 581409990||0.00|0.00|0.00| | |DISCOVERY II SR PMKR| | 581409990||0.00|0.00|0.00| | |INTEGRITY AFX DR 5342 PMKR| | 581409990||0.00|0.00|0.00| | |INTEGRITY AFX DR 5346 PMKR| | 581409990||0.00|0.00|0.00| | |AFFINITY VDR 5430 PMKR| | 581409990||0.00|0.00|0.00| | |BRIO 112 DC PMKR| | 581409990||0.00|0.00|0.00| | |BRIO212-TALENT213/223DCPMKR| | 581409990||0.00|0.00|0.00| | |BRIO 222 DC PMKR| | 581409990||0.00|0.00|0.00| | |BRIO 220 DC PMKR| | 581409990||0.00|0.00|0.00| | |KAIROS DR DC PMKR| | 581409990||0.00|0.00|0.00| | |INOS2- INOS2+ DC PMKR| | 581409990||0.00|0.00|0.00| | |ACTROS DR-D-DR-A-SLR DC PMKR| | 581409990||0.00|0.00|0.00| | |ACTROS DR-B DC PMKR| | 581409990||0.00|0.00|0.00| | |PHILOS DR/DR-B/SLR DC PMKR| | 581409990||0.00|0.00|0.00| | |PULSAR MAX II DR PMKR| | 581409990||0.00|0.00|0.00| | |MARATHON DR PMKR| | 581409990||0.00|0.00|0.00| | |MOMENTUM DR PMKR| | 581409990||0.00|0.00|0.00| | |SELECTION AFM PMKR| | 581409990||0.00|0.00|0.00| | |DISCOVERY II DR| | 581409990||0.00|0.00|0.00| | |DISCOVERY II DDD| | 581409990||0.00|0.00|0.00| | |SYNOX-POLYROX-ELOX-RETROX| | 581409990||0.00|0.00|0.00| | |AESCULA LV PMKR LEAD| | 581409990||0.00|0.00|0.00| | |TENDRIL SDX- 1488K PMKR LEAD| | 581409990||0.00|0.00|0.00| | |OSCOR/FLEXION PMKR LEAD| | 581409990||0.00|0.00|0.00| | |CRYSTALLINEACTFIX-CAPSUREFIX| | 581409990||0.00|0.00|0.00| | |CAPSURE EPI PMKR LEAD| | 581409990||0.00|0.00|0.00| | |FLEXTEND PMKR LEAD| | 581409990||0.00|0.00|0.00| | |FINELINEII/EZ- THINLINEII/EZ| | 581409990||0.00|0.00|0.00| | |BX VELOCITY W/HEPACOAT| | 581409990||0.00|0.00|0.00| | |MEMOTHERM BIL STENT- SM- MED| | 581409990||0.00|0.00|0.00| | |MEMOTHERM BIL STENT- LARGE| | 581409990||0.00|0.00|0.00| | |MEMOTHERM BIL STENT- X-LARGE| | 581409990||0.00|0.00|0.00| | |PALMAZCORINTHIAN IQ BIL STNT| | 581409990||0.00|0.00|0.00| | |PALMAZCORINTHIAN IQ TRANS/BI| | 581409990||0.00|0.00|0.00| | |PALMAZTRANS BIL STENTSYS-MED| | 581409990||0.00|0.00|0.00| | |PALMAZTRANS XL BIL ST-40MM| | 581409990||0.00|0.00|0.00| | |PALMAZTRANS XL BIL ST-50MM| | 581409990||0.00|0.00|0.00| | |VISTAFLEX BILIARY STENT| | 581409990||0.00|0.00|0.00| | |RAPID EXCHANGE BIL STENT SYS| | 581409990||0.00|0.00|0.00| | |INTRASTENT- INTRASTENT LP| | 581409990||0.00|0.00|0.00| | |INTRASTENT DOUBLESTRUT LD| | 581409990||0.00|0.00|0.00| | |INTRASTENT DOUBLESTRUT- XS| | 581409990||0.00|0.00|0.00| | |AVE BRIDGE STENTSYS10/17/28| | 581409990||0.00|0.00|0.00| | |AVE/X3 BRIDGE SYS- 40-100| | 581409990||0.00|0.00|0.00| | |BILIARY STENT SINGLE USE COV| | 581409990||0.00|0.00|0.00| | |WALLSTENTRP-BIL-20/40/60/68| | 581409990||0.00|0.00|0.00| | |WALLSTENTRP BIL--80/94MM| | 581409990||0.00|0.00|0.00| | |FLEXIMA BIL STENT SYS| | 581409990||0.00|0.00|0.00| | |SMART NITINOL STENT--20MM| | 581409990||0.00|0.00|0.00| | |SMART NITINOL STENT--40/60MM| | 581409990||0.00|0.00|0.00| | |SMART NITINOL STENT--80MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY STENT--8/13MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY STENT| | 581409990||0.00|0.00|0.00| | |BX VELOCITY STENT--23MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY STENT--28/33MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY W/HEP--8/13MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY W/HEP--18MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY W/HEP--23MM| | 581409990||0.00|0.00|0.00| | |STENT- CORONARY- S660 9/12MM| | 581409990||0.00|0.00|0.00| | |STENT- CORONARY- S660 15/18| | 581409990||0.00|0.00|0.00| | |STENT-CORONARY- S660 24/30| | 581409990||0.00|0.00|0.00| | |NIROYAL STNT SYS- 9MM| | 581409990||0.00|0.00|0.00| | |NIROYAL STENT SYS- 12/15MM| | 581409990||0.00|0.00|0.00| | |NIROYAL STENT SYS- 18MM| | 581409990||0.00|0.00|0.00| | |NIROYAL STENT SYS- 25MM| | 581409990||0.00|0.00|0.00| | |NIROYAL STENT SYS- 31MM| | 581409990||0.00|0.00|0.00| | |BX VELOCITY STNT W/RAPTOR| | 581409990||0.00|0.00|0.00| | |INTRACOIL PERIP STENT--40MM| | 581409990||0.00|0.00|0.00| | |INTRACOIL PERIPH STENT--60MM| | 581409990||0.00|0.00|0.00| | |BESTENT OVER-THE-WIRE24/30MM| | 581409990||0.00|0.00|0.00| | |BESTENT OVER-THE-WIRE 18MM| | 581409990||0.00|0.00|0.00| | |BESTENT OVER-THE-WIRE 15MM| | 581409990||0.00|0.00|0.00| | |BESTENT OVER-THE-WIRE 9/12MM| | 581409990||0.00|0.00|0.00| | |MULTILINK TETRA COR STENT SY| | 581409990||0.00|0.00|0.00| | |RADIUS 20MM COR STENT| | 581409990||0.00|0.00|0.00| | |NIROYAL ELITE COR STENT SYS| | 581409990||0.00|0.00|0.00| | |GR II CORONARY STENT| | 581409990||0.00|0.00|0.00| | |WILSON-COOK Z-STENT| | 581409990||0.00|0.00|0.00| | |BARD COLORECTAL STENT--60MM| | 581409990||0.00|0.00|0.00| | |BARD COLORECTAL STENT--80MM| | 581409990||0.00|0.00|0.00| | |BARD COLORECTAL STENT-100MM| | 581409990||0.00|0.00|0.00| | |ENTERAL WALLSTENT--90MM| | 581409990||0.00|0.00|0.00| | |CONTOUR/PERCUFLEX STENT| | 581409990||0.00|0.00|0.00| | |INLAY DBL URETERAL STENT| | 581409990||0.00|0.00|0.00| | |WALLGRAFT TRACH SYS 70MM| | 581409990||0.00|0.00|0.00| | |WALLGRAFT TRACH SYS 20/30/50| | 581409990||0.00|0.00|0.00| | |WALLSTENT/RP TIPS--80MM| | 581409990||0.00|0.00|0.00| | |WALLSTENT TRACHULTRAFLEX| | 581409990||0.00|0.00|0.00| | |CLOSURE DEV- VASOSEAL ES| | 581409990||0.00|0.00|0.00| | |VASOSEAL 1000| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 8/18 IN| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 32 IN| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 48 IN| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 80 IN| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 140 IN| | 581409990||0.00|0.00|0.00| | |COMPOSIX MESH 144 IN| | 581409990||0.00|0.00|0.00| | |PELVICOL COLLAGEN 8/14 SQ CM| | 581409990||0.00|0.00|0.00| | |PELVICOL COLLAGEN 21/24/28| | 581409990||0.00|0.00|0.00| | |PELVICOL COLLAGEN 40 SQ CM| | 581409990||0.00|0.00|0.00| | |PELVICOL COLLAGEN 48 SQ CM| | 581409990||0.00|0.00|0.00| | |PELVICOL COLLAGEN 96 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 75/96 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 150SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 285 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 432SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 600 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEX DUALMESH 884 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM-75/96 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM- 150 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM- 285 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM- 432 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM- 600 SQCM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 1MM-884 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 2MM- 150 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 2MM- 285 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 2MM- 432 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 2MM- 600 SQ CM| | 581409990||0.00|0.00|0.00| | |GORE-TEXPLUS 2MM-884 SQ CM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 150 SQ CM-2MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE150SQCM-1MM-75-2MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 50/75SQCM-1-2MM| | 581409990||0.00|0.00|0.00| | |BARD EPFTE: 300SQ CM-1MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 600SQ CM-1MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 884 CM--1MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 600SQ CM-2MM| | 581409990||0.00|0.00|0.00| | |BARD EPTFE: 884SQ CM-2MM| | 581409990||0.00|0.00|0.00| | |FEMALE SLING SYS W/WO MATRL| | 581409990||0.00|0.00|0.00| | |STRATASIS SLING- 20/40CM| | 581409990||0.00|0.00|0.00| | |STRATASIS SLING- 60CM| | 581409990||0.00|0.00|0.00| | |SURGISIS SOFT GRAFT| | 581409990||0.00|0.00|0.00| | |SURGISIS ENCHANCED GRAFT| | 581409990||0.00|0.00|0.00| | |SURGISIS ENHANCED TISSUE| | 581409990||0.00|0.00|0.00| | |SURGISIS SOFT TISSUE GRAFT| | 581409990||0.00|0.00|0.00| | |SURGISIS HERNIA GRAFT| | 581409990||0.00|0.00|0.00| | |SURGIPRO HERNIA PLUG-MED/LG| | 581409990||0.00|0.00|0.00| | |MALE SLING SYS W/WO MATRL| | 581409990||0.00|0.00|0.00| | |EXXCEL SFT EPTFE VAS GRAFT| | 581409990||0.00|0.00|0.00| | |IMPRA VENAFLO-10/20CM| | 581409990||0.00|0.00|0.00| | |IMPRA VENAFLO-30/40CM| | 581409990||0.00|0.00|0.00| | |IMPRA VENAFLO-50CM/VT45| | 581409990||0.00|0.00|0.00| | |IMPRA VENAFLO-STEPPED| | 581409990||0.00|0.00|0.00| | |IMPRA CARBOFLO-10CM| | 581409990||0.00|0.00|0.00| | |IMPRA CARBOFLO-20CM| | 581409990||0.00|0.00|0.00| | |IMPRA CARBOFLO-30/34/40CM| | 581409990||0.00|0.00|0.00| | |IMPRA CARBOFLO-40/50CM| | 581409990||0.00|0.00|0.00| | |IMPRA CARBOFLO-CTRFLEX| | 581409990||0.00|0.00|0.00| | |EXXCEL EPTFE VAS GRAFT| | 581409990||0.00|0.00|0.00| | |VANGUARD III ENDOVAS GRAFT| | 581409990||0.00|0.00|0.00| | |PREFACE GUIDING SHEATH| | 581409990||0.00|0.00|0.00| | |SOFT TIP SHEATHS| | 581409990||0.00|0.00|0.00| | |SPECTRANETICS LASER SHEATH| | 581409990||0.00|0.00|0.00| | |MICRO LITHO FLEX PROBES| | 581409990||0.00|0.00|0.00| | |FAST-CATH GUIDING INTRODUCER| | 581409990||0.00|0.00|0.00| | |SEAL-AWAYGUIDING INTRODUCER| | 581409990||0.00|0.00|0.00| | |BARD EXCALIBUR INTRODUCER| | 581409990||0.00|0.00|0.00| | |FOCAL SEAL-L| | 581409990||0.00|0.00|0.00| | |SPECTRANETICS LEAD LOCK DEV| | 581409990||0.00|0.00|0.00| | |ADHESION BARRIER- ADCON-L| | 581409990||0.00|0.00|0.00| | |SURGIVISION ESOPH COIL| | 581409990||0.00|0.00|0.00| | |CAPIO CAPTURING DEV| | 581409990||0.00|0.00|0.00| | |ATHEROCATH-GTO| | 581409990||0.00|0.00|0.00| | |VIGOR SSI- SC- PMKR| | 581409990||0.00|0.00|0.00| | |LIVEWIRE STEERABLE EP CATH| | 581409990||0.00|0.00|0.00| | |SYNCHROMED VAS CATH| | 581409990||0.00|0.00|0.00| | |VASOSEAL HEMOSTASIS DEV| | 581409990||0.00|0.00|0.00| | |SYNCHROMED INFUSION PUMP| | 581409990||0.00|0.00|0.00| | |PMKR LEADS 4057M-4058M| | 581409990||0.00|0.00|0.00| | |6721L/M/S-6939 LEAD| | 581409990||0.00|0.00|0.00| | |CAPSURE 4965 DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |TRANSVENE 6933/6937 LEAD| | 581409990||0.00|0.00|0.00| | |DP-3238 DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |ENDOTAK DSP DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |ON-POINT-PISCES-QUAD LEAD| | 581409990||0.00|0.00|0.00| | |PISCES-RESUME II LEAD| | 581409990||0.00|0.00|0.00| | |DURA II PENILE PROSTHESIS| | 581409990||0.00|0.00|0.00| | |MENTOR ACU-FORM/MAL PROS| | 581409990||0.00|0.00|0.00| | |VIGOR DDD DC PMKR| | 581409990||0.00|0.00|0.00| | |VISTA DDD C PMKR| | 581409990||0.00|0.00|0.00| | |LEGACY II S- SC- PMKR| | 581409990||0.00|0.00|0.00| | |MEDTRONIC MATTRIX RCVR/TRMR| | 581409990||0.00|0.00|0.00| | |PALMAZ BAL STENT| | 581409990||0.00|0.00|0.00| | |WALLSTENT TRANS BIL| | 581409990||0.00|0.00|0.00| | |WALLSTENT ESOP| | 581409990||0.00|0.00|0.00| | |WALLSTENT ESOPH--DOUBLE| | 581409990||0.00|0.00|0.00| | |OPTIPLAST XT PTA CATH| | 581409990||0.00|0.00|0.00| | |MS CLASSIQUE BL DIL CATH| | 581409990||0.00|0.00|0.00| | |CRISTA CATH II DEF 20-POLE| | 581409990||0.00|0.00|0.00| | |GEL-FILLED/SMOOTH MAMMARY PR| | 581409990||0.00|0.00|0.00| | |WILSON-COOK ESOPH Z-STENT| | 581409990||0.00|0.00|0.00| | |ULTRAFLEX ESOPHAGEAL PROS| | 581409990||0.00|0.00|0.00| | |SYNCHROMED VAS CATH 8700A/V| | 581409990||0.00|0.00|0.00| | |AMS 650 PENILE PROSTHESIS| | 581409990||0.00|0.00|0.00| | |ZA/SPIRAL Z BIL STENT| | 581409990||0.00|0.00|0.00| | |ESOPH Z METAL STENT| | 581409990||0.00|0.00|0.00| | |QUANTUM DIL BALLOON| | 581409990||0.00|0.00|0.00| | |FLEX-EZ BAL DILATOR| | 581409990||0.00|0.00|0.00| | |CARSON/PASSPRT DIL CATH| | 581409990||0.00|0.00|0.00| | |URETHRAMAX DIL CATH| | 581409990||0.00|0.00|0.00| | |AMPLATZ RENAL DIL| | 581409990||0.00|0.00|0.00| | |LIVEWIRE 5F- 7F EP CATH| | 581409990||0.00|0.00|0.00| | |LIVEWIRE 7F DUO-DECAPOLAR| | 581409990||0.00|0.00|0.00| | |SANTURO FIXED CURVE CATH| | 581409990||0.00|0.00|0.00| | |WISDOM ST GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |SV GUIDEWIRE-5/8/14CM| | 581409990||0.00|0.00|0.00| | |STABILIZER XS GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |SHINOBI PLUS GUIDEWIRE| | 581409990||0.00|0.00|0.00| | |XL CHECK-FLO INTRODUCER| | 581409990||0.00|0.00|0.00| | |OCTAD NEURO LEAD| | 581409990||0.00|0.00|0.00| | |SYMMIX NEURO LEAD| | 581409990||0.00|0.00|0.00| | |ENDOTAK SQ PATCH DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |ENDOTAK SQ ARRAY DEFIB LEAD| | 581409990||0.00|0.00|0.00| | |UNITY VDDR DC PMKR| | 581409990||0.00|0.00|0.00| | |2188 COR PMKR LEAD| | 581409990||0.00|0.00|0.00| | |INNOMEDICA PMKR LEAD| | 581409990||0.00|0.00|0.00| | |UNIPASS PMKR LEAD| | 581409990||0.00|0.00|0.00| | |LG PALMAZ BIL STENT| | 581409990||0.00|0.00|0.00| | |GIANTURCO BIL Z STENT| | 581409990||0.00|0.00|0.00| | |OASIS STENT INTRO SYS| | 581409990||0.00|0.00|0.00| | |GIANTURCO-ROUBIN COR SNT| | 581409990||0.00|0.00|0.00| | |PERFLUORON- 2ML| | 581409990||0.00|0.00|0.00| | |PERFLUORON- 5/7ML| | 581409990||0.00|0.00|0.00| | |INJ SODIUM CHROMATE CR51-0.25| | 581409990||0.00|0.00|0.00| | |LINEZOLID INJ- 200MG| | 581409990||0.00|0.00|0.00| | |TENECTEPLASE- 50MG/VIAL| | 581409990||0.00|0.00|0.00| | |PALIVIZUMAB- PER 50 MG| | 581409990||0.00|0.00|0.00| | |GEMTUZUMAB OZOGAMICIN INJ-5M| | 581409990||0.00|0.00|0.00| | |RETEPLASE INJ- HALF-KIT-18.8| | 581409990||0.00|0.00|0.00| | |TACROLIMUS INJ- PER 5 MG| | 581409990||0.00|0.00|0.00| | |BACLOFEN INTRATHECAL SCREENING| | 581409990||0.00|0.00|0.00| | |BACLOFEN INTRATHEC REFLL KIT-5| | 581409990||0.00|0.00|0.00| | |BACLOFEN INTRATHEC REFILL 2000| | 581409990||0.00|0.00|0.00| | |BACLOFEN INTRTHEC REFLL KIT-40| | 581409990||0.00|0.00|0.00| | |CAFFEINE CITRATE- INJ- 1ML| | 581409990||0.00|0.00|0.00| | |RADOPHRM IODINATD I-131 ALBUMI| | 581409990||0.00|0.00|0.00| | |RADPHRM DX 51 SODUM CHROMATE 5| | 581409990||0.00|0.00|0.00| | |RADOPHRM SODIM IOTHALMATE I-12| | 581409990||0.00|0.00|0.00| | |ANTI-THYMOCYTE GLOBULIN-25MG| | 581409990||0.00|0.00|0.00| | |INJECTION HEP B IMMUNE GLOB-1| | 581409990||0.00|0.00|0.00| | |SIROLIMUS 1MG/ML| | 581409990||0.00|0.00|0.00| | |TINZAPARIN SODIUM- 2ML VIAL| | 581409990||0.00|0.00|0.00| | |PLATELETS- IRRAD- EA UNIT| | 581409990||0.00|0.00|0.00| | |PLATELETS- PHERESIS- EA UNIT| | 581409990||0.00|0.00|0.00| | |PLATELETS- PHER/IRRAD- EA UN| | 581409990||0.00|0.00|0.00| | |FRESH FRZN PLSMA DONR RETESTED| | 581409990||0.00|0.00|0.00| | |RBC- DEGLYCEROLIZED- EA UNIT| | 581409990||0.00|0.00|0.00| | |RBC- IRRADIATED- EACH UNIT| | 581409990||0.00|0.00|0.00| | |WATER INDUCED THERMO| | 581409990||0.00|0.00|0.00| | |STRETTA SYSTEM| | 581409990||0.00|0.00|0.00| | |CHKMATE INTRA BRACHYTX SYS| | 581409990||25.00|0.00|0.00| | |CANE ADJUST/FIXED WITH TIP| | 581409990||45.00|0.00|0.00| | |CANE ADJUST/FIXED QUAD/3 PRO| | 581409990||75.00|0.00|0.00| | |CRUTCH FOREARM EACH| | 581409990||40.00|0.00|0.00| | |CRUTCH UNDERARM PAIR NO WOOD| | 581409990||80.00|0.00|0.00| | |WALKER FOLDING ADJUST/FIXED| | 581409990||0.00|0.00|0.00| | |WALKER FOLDING ADJUST/FIXED| | 581409990||175.00|0.00|0.00| | |WALKER FOLDING WHEELED W/O S| | 581409990||0.00|0.00|0.00| | |HEAVYDUTY WALKER NO WHEELS| | 581409990||0.00|0.00|0.00| | |HEAVY DUTY WHEELED WALKER| | 581409990||0.00|0.00|0.00| | |WALKER PLATFORM ATTACHMENT| | 581409990||0.00|0.00|0.00| | |WALKER SEAT ATTACHMENT| | 581409990||80.00|0.00|0.00| | |COMMODE CHAIR STATIONRY FXD| | 581409990||0.00|0.00|0.00| | |COMMODE CHAIR STATIONRY FXD| | 581409990||150.00|0.00|0.00| | |COMMODE CHAIR STATIONRY DET| | 581409990||0.00|0.00|0.00| | |HEAVYDUTY/WIDE COMMODE CHAIR| | 581409990||275.00|0.00|0.00| | |PRESS PAD ALTERNATING W PUMP| | 581409990||35.00|0.00|0.00| | |PRESS PAD ALTERNATING W PUMP| | 581409990||0.00|0.00|0.00| | |PRESS PAD ALTERNATING W/ PUM| | 581409990||0.00|0.00|0.00| | |LW PRESS&PSTN =IZATION PAD WHL| | 581409990||60.00|0.00|0.00| | |TOILET SEAT RAISED| | 581409990||65.00|0.00|0.00| | |TUB STOOL OR BENCH| | 581409990||0.00|0.00|0.00| | |TRANSFER TUB RAIL ATTACHMENT| | 581409990||0.00|0.00|0.00| | |TRANS BENCH W/WO COMM OPEN| | 581409990||750.00|0.00|0.00| | |HOSPITAL BED VAR HT W/ MATTR| | 581409990||85.00|0.00|0.00| | |HOSPITAL BED VAR HT W/ MATTR| | 581409990||1450.00|0.00|0.00| | |HOSP BED SEMI-ELECTR W/ MATT| | 581409990||150.00|0.00|0.00| | |HOSP BED SEMI-ELECTR W/ MATT| | 581409990||1750.00|0.00|0.00| | |HOSP BED TOTAL ELECTR W/ MAT| | 581409990||175.00|0.00|0.00| | |HOSP BED TOTAL ELECTR W/ MAT| | 581409990||150.00|0.00|0.00| | |OVER-BED TABLE| | 581409990||0.00|0.00|0.00| | |HEAVYDUTY/XTRA WIDE HOSP BED| | 581409990||0.00|0.00|0.00| | |PORTABLE GASEOUS 02| | 581409990||40.00|0.00|0.00| | |PORTABLE GASEOUS 02| | 581409990||0.00|0.00|0.00| | |PORTABLE LIQUID 02| | 581409990||0.00|0.00|0.00| | |STATIONARY LIQUID 02| | 581409990||0.00|0.00|0.00| | |PORTABLE 02 CONTENTS- GAS| | 581409990||2700.00|0.00|0.00| | |INTERMITTENT ASSIST W/CONT POS| | 581409990||300.00|0.00|0.00| | |INTERMITTENT ASSIST W/CONT POS| | 581409990||5400.00|0.00|0.00| | |THERAPUETIC VENTILATOR USE TO| | 581409990||600.00|0.00|0.00| | |THERAPUETIC VENTILATOR USE TO| | 581409990||0.00|0.00|0.00| | |RAD W/O BACKUP NON-INV INTFC| | 581409990||0.00|0.00|0.00| | |RAD W/O BACKUP NON-INV INTFC| | 581409990||0.00|0.00|0.00| | |HUMIDIFIER HEATED USED W PAP| | 581409990||0.00|0.00|0.00| | |HUMIDIFIER HEATED USED W PAP| | 581409990||1250.00|0.00|0.00| | |NEBULIZER WITH COMPRESSION| | 581409990||35.00|0.00|0.00| | |NEBULIZER WITH COMPRESSION| | 581409990||0.00|0.00|0.00| | |AEROSOL COMPRESSOR FOR SVNEB| | 581409990||0.00|0.00|0.00| | |AEROSOL COMPRESSOR ADJUST PR| | 581409990||0.00|0.00|0.00| | |ULTRASONIC GENERATOR W SVNEB| | 581409990||425.00|0.00|0.00| | |SUCTION PUMP PORTAB HOM MODL| | 581409990||50.00|0.00|0.00| | |SUCTION PUMP PORTAB HOM MODL| | 581409990||1050.00|0.00|0.00| | |CONT AIRWAY PRESSURE DEVICE| | 581409990||0.00|0.00|0.00| | |CONT AIRWAY PRESSURE DEVICE| | 581409990||125.00|0.00|0.00| | |CONT AIRWAY PRESSURE DEVICE| | 581409990||85.00|0.00|0.00| | |BLOOD GLUCOSE MONITOR HOME| | 581409990||275.00|0.00|0.00| | |APNEA MONITOR| | 581409990||0.00|0.00|0.00| | |AUTOMATIC EXT DEFIBRILLATOR| | 581409990||625.00|0.00|0.00| | |SEAT LIFT INCORP LIFT-CHAIR| | 581409990||1200.00|0.00|0.00| | |PATIENT LIFT HYDRAULIC| | 581409990||110.00|0.00|0.00| | |PATIENT LIFT HYDRAULIC| | 581409990||850.00|0.00|0.00| | |PNEUMA COMPRESOR NON-SEGMENT| | 581409990||85.00|0.00|0.00| | |PNEUMA COMPRESOR NON-SEGMENT| | 581409990||0.00|0.00|0.00| | |TRANSFER BOARD OR DEVICE| | 581409990||0.00|0.00|0.00| | |TENS TWO LEAD| | 581409990||0.00|0.00|0.00| | |TENS FOUR LEAD| | 581409990||0.00|0.00|0.00| | |TENS FOUR LEAD| | 581409990||0.00|0.00|0.00| | |IMPL NEUROSTIMULATOR PULSE GEN| | 581409990||0.00|0.00|0.00| | |IMPL NEUROSTIMULATOR RADIOFREQ| | 581409990||0.00|0.00|0.00| | |RADIOFRQ TRNSMT W/IMPL NEURSTM| | 581409990||0.00|0.00|0.00| | |NERVE STIMULATOR FOR TX N&V| | 581409990||25.00|0.00|0.00| | |IV POLE| | 581409990||0.00|0.00|0.00| | |IMPLANTABLE PUMP REPLACEMENT| | 581409990||0.00|0.00|0.00| | |AMBULATORY TRACTION DEVICE| | 581409990||0.00|0.00|0.00| | |TRACT EQUIP CERVICAL TRACT| | 581409990||250.00|0.00|0.00| | |TRAPEZE BAR ATTACHED TO BED| | 581409990||30.00|0.00|0.00| | |TRAPEZE BAR ATTACHED TO BED| | 581409990||0.00|0.00|0.00| | |CONT PAS MOTION EXERCISE DEV| | 581409990||0.00|0.00|0.00| | |CONT PAS MOTION EXERCISE DEV| | 581409990||350.00|0.00|0.00| | |TRAPEZE BAR FREE STANDING| | 581409990||35.00|0.00|0.00| | |TRAPEZE BAR FREE STANDING| | 581409990||0.00|0.00|0.00| | |LOOP HEEL| | 581409990||0.00|0.00|0.00| | |PNEUMATIC TIRE EACH| | 581409990||0.00|0.00|0.00| | |WHLCHR ATT- CONV 1 ARM DRIVE| | 581409990||0.00|0.00|0.00| | |WHEELCHAIR BRAKE EXTENSION| | 581409990||0.00|0.00|0.00| | |TWO-INCH CUSHION FOR WHEELCHAI| | 581409990||0.00|0.00|0.00| | |WHEELCHAIR ANTI-TIPPING DEVI| | 581409990||0.00|0.00|0.00| | |W/CH ACCESS DET ADJ ARMREST| | 581409990||0.00|0.00|0.00| | |W/C ACC-SAF BELT PELV STRAP| | 581409990||0.00|0.00|0.00| | |WHELLCHAIR ELEVATING LEG RES| | 581409990||0.00|0.00|0.00| | |PATIENT TRANSFER SYSTEM| | 581409990||1200.00|0.00|0.00| | |WHEELCHAIR DETACHABLE ARMS| | 581409990||120.00|0.00|0.00| | |WHEELCHAIR DETACHABLE ARMS| | 581409990||750.00|0.00|0.00| | |HEMI-WHEELCHAIR DETACHABLE A| | 581409990||75.00|0.00|0.00| | |HEMI-WHEELCHAIR DETACHABLE A| | 581409990||700.00|0.00|0.00| | |HEMI-WHEELCHAIR DETACHABLE A| | 581409990||70.00|0.00|0.00| | |HEMI-WHEELCHAIR DETACHABLE A| | 581409990||1350.00|0.00|0.00| | |WHEELCHAIR LIGHTWEIGHT DET A| | 581409990||135.00|0.00|0.00| | |WHEELCHAIR LIGHTWEIGHT DET A| | 581409990||1200.00|0.00|0.00| | |WHEELCHAIR LIGHTWEIGHT DET A| | 581409990||120.00|0.00|0.00| | |WHEELCHAIR LIGHTWEIGHT DET A| | 581409990||600.00|0.00|0.00| | |WHEELCHAIR STANDARD DETACH A| | 581409990||60.00|0.00|0.00| | |WHEELCHAIR STANDARD DETACH A| | 581409990||650.00|0.00|0.00| | |WHEELCHAIR STANDARD W/ LEG R| | 581409990||65.00|0.00|0.00| | |WHEELCHAIR STANDARD W/ LEG R| | 581409990||4495.00|0.00|0.00| | |MOTR WHLCHAIR;FIX ARM DTACH FO| | 581409990||0.00|0.00|0.00| | |WHLCHR SPECIAL SIZE/CONSTRC| | 581409990||2450.00|0.00|0.00| | |POWER OPERATED VEHICLE| | 581409990||1050.00|0.00|0.00| | |WHCHR LITWT DET ARM LEG REST| | 581409990||105.00|0.00|0.00| | |WHCHR LITWT DET ARM LEG REST| | 581409990||900.00|0.00|0.00| | |WHEELCHAIR LIGHTWT FOOT REST| | 581409990||90.00|0.00|0.00| | |WHEELCHAIR LIGHTWT FOOT REST| | 581409990||1250.00|0.00|0.00| | |WHCHR H-DUTY DET ARM LEG RES| | 581409990||125.00|0.00|0.00| | |WHCHR H-DUTY DET ARM LEG RES| | 581409990||1050.00|0.00|0.00| | |WHEELCHAIR HVY DUTY DETACH A| | 581409990||105.00|0.00|0.00| | |WHEELCHAIR HVY DUTY DETACH A| | 581409990||0.00|0.00|0.00| | |REPAIR FOR DME- PER 15 MIN| | 581409990||0.00|0.00|0.00| | |OXYGEN CONCENTRATOR| | 581409990||0.00|0.00|0.00| | |OXYGEN CONCENTRATOR| | 581409990||0.00|0.00|0.00| | |DURABLE MEDICAL EQUIPMENT MI| | 581409990||0.00|0.00|0.00| | |OXYGEN CONCENTRATOR 2-3 LITE| | 581409990||260.00|0.00|0.00| | |OXYGEN CONCENTRATOR 2-3 LITE| | 581409990||0.00|0.00|0.00| | |"MAN W/CH ACC SEAT W>=20""<24"""| | 581409990||0.00|0.00|0.00| | |MANUAL WC ACCESSORY- HANDRIM| | 581409990||0.00|0.00|0.00| | |COMPLETE WHEEL LOCK ASSEMBLY| | 581409990||0.00|0.00|0.00| | |GR24 SEALED LEADACID BATTERY| | 581409990||0.00|0.00|0.00| | |U1 SEALED LEADACID BATTERY| | 581409990||0.00|0.00|0.00| | |REPLACE COVER W/C SEAT CUSH| | 581409990||0.00|0.00|0.00| | |LINEAR ACC STEREO RADSUR COM| | 581409990||0.00|0.00|0.00| | |INTENSITYMODULATEDRADIATION| | 581409990||0.00|0.00|0.00| | |OPPS SERVICE-SCHED TEAM CONF| | 581409990||0.00|0.00|0.00| | |OPPS/PHP;ACTIVITY THERAPY| | 581409990||0.00|0.00|0.00| | |OPPS/PHP; TRAIN & EDUC SERV| | 581409990||0.00|0.00|0.00| | |INTENSITYMODULATEDRADIATION| | 581409990||0.00|0.00|0.00| | |MD RECERTIFICATION HHA PT| | 581409990||0.00|0.00|0.00| | |MD CERTIFICATION HHA PATIENT| | 581409990||0.00|0.00|0.00| | |HOME HEALTH CARE SUPERVISION| | 581409990||0.00|0.00|0.00| | |HOSPICE CARE SUPERVISION| | 581409990||0.00|0.00|0.00| | |OCULAR PHOTOCOAGULATION| | 581409990||0.00|0.00|0.00| | |DESTRUC LES CHOROID; TRNSPUP T| | 581409990||0.00|0.00|0.00| | |DSTRY EYE LESN-FDR VSSL TECH| | 581409990||0.00|0.00|0.00| | |DESTRUC MACULAR DRUSEN PHOTOCO| | 581409990||0.00|0.00|0.00| | |XRAY LWR EXTRMTY-FULL LNGTH| | 581409990||0.00|0.00|0.00| | |IMMUNIZATION ADMINISTRATION| | 581409990||0.00|0.00|0.00| | |IMMUNIZATION ADMIN-EACH ADD| | 581409990||0.00|0.00|0.00| | |INTRANASAL/ORAL ADMIN; 1 VACCI| | 581409990||0.00|0.00|0.00| | |ENDO STUDY SWALLOWING FUNCTION| | 581409990||0.00|0.00|0.00| | |SENSY TST DUR ENDO STDY SWALLW| | 581409990||0.00|0.00|0.00| | |CLIN EVALUATION SWALLOWING FUN| | 581409990||0.00|0.00|0.00| | |EVAL SWALLWING INVLV RADIO-OPQ| | 581409990||0.00|0.00|0.00| | |EVALUATION PT PRSC SPCH GEN DE| | 581409990||0.00|0.00|0.00| | |PT ADPT&TRAINING USE SPCH GEN| | 581409990||0.00|0.00|0.00| | |RE-EVAL PT USING SPCH GEN DEVC| | 581409990||0.00|0.00|0.00| | |EVALUATION PT PRSC VOICE PROST| | 581409990||0.00|0.00|0.00| | |MOD/TRN USE VOICE PROSTHETIC| | 581409990||0.00|0.00|0.00| | |MCCD- INITIAL RATE| | 581409990||0.00|0.00|0.00| | |MCCD-MAINTENANCE RATE| | 581409990||0.00|0.00|0.00| | |MCCD- RISK ADJ HI- INITIAL| | 581409990||0.00|0.00|0.00| | |MCCD- RISK ADJ LO- INITIAL| | 581409990||0.00|0.00|0.00| | |MCCD- RISK ADJ- MAINTENANCE| | 581409990||0.00|0.00|0.00| | |MCCD- HOME MONITORING| | 581409990||0.00|0.00|0.00| | |MCCD- SCH TEAM CONF| | 581409990||0.00|0.00|0.00| | |MCCD-PHYS COOR-CARE OVRSGHT| | 581409990||0.00|0.00|0.00| | |DEMO-SMOKING CESSATION COUN| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG ASSESS| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SCREENIN| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SCREENIN| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG SERVICES| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG TRAINING| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG INTERVEN| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG OUTREACH| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG PREVENTI| | 581409990||0.00|0.00|0.00| | |ALCOHOL AND/OR DRUG HOTLINE| | 581409990||0.00|0.00|0.00| | |AMIODARONE HCL| | 581409990||0.00|0.00|0.00| | |INTRAOCULAR FOMIVIRSEN NA| | 581409990||0.00|0.00|0.00| | |INJECTION IMMUNE GLOB IV 1 G| | 581409990||0.00|0.00|0.00| | |QUINUPRISTIN/DALFOPRISTIN| | 581409990||0.00|0.00|0.00| | |ROPIVACAINE HCL INJECTION| | 581409990||0.00|0.00|0.00| | |INJ SODIM FERRC GLUCO CMPLX 62| | 581409990||0.00|0.00|0.00| | |RETEPLASE INJECTION| | 581409990||0.00|0.00|0.00| | |ALTEPLASE RECOMBINANT| | 581409990||0.00|0.00|0.00| | |ZIDOVUDINE| | 581409990||0.00|0.00|0.00| | |CULTURED CHONDROCYTES IMPLNT| | 581409990||0.00|0.00|0.00| | |SIROLIMUS- ORAL| | 581409990||0.00|0.00|0.00| | |TACROLIMUS INJECTION| | 581409990||0.00|0.00|0.00| | |TEMOZOLOMIDE| | 581409990||0.00|0.00|0.00| | |DENILEUKIN DIFTITOX- 300 MCG| | 581409990||0.00|0.00|0.00| | |EPIRUBICIN HYDROCHLORIDE 50 MG| | 581409990||0.00|0.00|0.00| | |LEUPROLIDE ACETATE IMPLANT| | 581409990||0.00|0.00|0.00| | |STANDARD WHEELCHAIR| | 581409990||0.00|0.00|0.00| | |STANDARD WHEELCHAIR| | 581409990||0.00|0.00|0.00| | |LIGHTWEIGHT WHEELCHAIR| | 581409990||0.00|0.00|0.00| | |HIGH STRENGTH LTWT WHLCHR| | 581409990||0.00|0.00|0.00| | |OTHER MANUAL WHEELCHAIR/BASE| | 581409990||0.00|0.00|0.00| | |STND WT PWR WHLCHR W CONTROL| | 581409990||0.00|0.00|0.00| | |DTACHBL ADJUSTBL ARMREST-ASSEM| | 581409990||0.00|0.00|0.00| | |SAFETY BELT/PELVIC STRAP EACH| | 581409990||0.00|0.00|0.00| | |HEEL LOOP EACH| | 581409990||0.00|0.00|0.00| | |SEAT DEPTH 17/18 IN MOTRIZD/PW| | 581409990||0.00|0.00|0.00| | |ZERO PRESSURE TUBE ANY SIZE EA| | 581409990||0.00|0.00|0.00| | |FRONT CASTER ASSEM COMPLETE| | 581409990||0.00|0.00|0.00| | |GROUP 24 SEALED LEAD ACID BATT| | 581409990||0.00|0.00|0.00| | |U-1 NON-SEALED LEAD ACID BATTE| | 581409990||0.00|0.00|0.00| | |REAR ZERO PRESSURE TIRE TUBE| | 581409990||0.00|0.00|0.00| | |ONE-ARM DRIVE ATTACHMENT EACH| | 581409990||0.00|0.00|0.00| | |W/C COMPONENT-ACCESSORY NOS| | 581409990||95.00|0.00|0.00| | |NASL APPLIC DEVC W/POS ARWAY P| | 581409990||0.00|0.00|0.00| | |NASL 1 PECE INTERFCE REPL APPL| | 581409990||50.00|0.00|0.00| | |HEADGEAR USED W/POS ARWAY PRSS| | 581409990||55.00|0.00|0.00| | |TUBING USED W/POS ARWAY PRESS| | 581409990||1250.00|0.00|0.00| | |CONTIN POS AIRWAY PRESS (CPAP)| | 581409990||150.00|0.00|0.00| | |CONTIN POS AIRWAY PRESS (CPAP)| | 581409990||0.00|0.00|0.00| | |ELEVATING WHLCHAIR LEG RESTS| | 581409990||0.00|0.00|0.00| | |HUMDIFIR NOHEAT-POS ARWAY PRSS| | 581409990||0.00|0.00|0.00| | |NEG PRESS WOUND TX ELEC PUMP| | 581409990||0.00|0.00|0.00| | |DRSG SET NEG PRSS WND TX ELEC| | 581409990||0.00|0.00|0.00| | |CNNSTR SET NEG PRSS WND TX ELC| | 581409990||0.00|0.00|0.00| | |SPCH GEN DEVC DIGTIZD SPCH 8 MIN RE| | 581409990||0.00|0.00|0.00| | |SPCH GEN DEVC SYN RQR MSG-SPEL| | 581409990||0.00|0.00|0.00| | |SPCH GEN DEVC SYN MX METH MSG| | 581409990||0.00|0.00|0.00| | |SPEECH GENERATING SOFTWARE PRO| | 581409990||0.00|0.00|0.00| | |ACSS SPCH GEN DEVICE MOUNTING| | 581409990||0.00|0.00|0.00| | |ACCESS SPEECH GENERATING DEVIC| | 581409990||0.00|0.00|0.00| | |SEAT CUSHION| | 581409990||0.00|0.00|0.00| | |PWC GP 2 STD CAP CHAIR| | 581409990||0.00|0.00|0.00| | |KO ELAS W/ CONDYLE PADS & JO| | 581409990||0.00|0.00|0.00| | |EO WITHJOINT- PREFABRICATED| | 581409990||0.00|0.00|0.00| | |HFO W/O JOINTS PF| | 581409990||0.00|0.00|0.00| | |NASAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |MIDFACIAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |ORBITAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |UPPER FACIAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |HEMI-FACIAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |AURICULAR PROSTHESIS| | 581409990||0.00|0.00|0.00| | |PARTIAL FACIAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |NASAL SEPTAL PROSTHESIS| | 581409990||0.00|0.00|0.00| | |UNSPEC MAXILLOFACIAL PROSTH| | 581409990||0.00|0.00|0.00| | |REPAIR MAXILLOFACIAL PROSTH| | 581409990||0.00|0.00|0.00| | |SYNTHETIC IMPLNT URINARY 1ML| | 581409990||0.00|0.00|0.00| | |PLATELETS LEUKOCYTES REDUCED| | 581409990||0.00|0.00|0.00| | |PLATELETS- IRRADIATED| | 581409990||0.00|0.00|0.00| | |PLATELETS LEUKOREDUCED IRRAD| | 581409990||0.00|0.00|0.00| | |PLATELETS- PHERESIS| | 581409990||0.00|0.00|0.00| | |PLATELET PHERES LEUKOREDUCED| | 581409990||0.00|0.00|0.00| | |PLATELET PHERESIS IRRADIATED| | 581409990||0.00|0.00|0.00| | |PLATE PHERES LEUKOREDU IRRAD| | 581409990||0.00|0.00|0.00| | |RBC IRRADIATED| | 581409990||0.00|0.00|0.00| | |RBC DEGLYCEROLIZED| | 581409990||0.00|0.00|0.00| | |RBC LEUKOREDUCED IRRADIATED| | 581409990||0.00|0.00|0.00| | |ALBUMIN (HUMAN)-5%- 50ML| | 581409990||0.00|0.00|0.00| | |ALBUMIN (HUMAN)- 25%| | 581409990||0.00|0.00|0.00| | |PLASMA PROTEIN FRACT-5%-50ML| | 581409990||0.00|0.00|0.00| | |CRYOPRECIPITATEREDUCEDPLASMA| | 581409990||0.00|0.00|0.00| | |ORAL CABERGOLINE 0.5 MG| | 581409990||0.00|0.00|0.00| | |INJECTION ELLIOTTS B SOL PER M| | 581409990||0.00|0.00|0.00| | |INJECTION APROTININ 10000 KIU| | 581409990||0.00|0.00|0.00| | |BLADDER CALCULI IRRIG SOL| | 581409990||0.00|0.00|0.00| | |INJ CORTICORELIN OVINE TRIFLUT| | 581409990||0.00|0.00|0.00| | |INJECTION DIGOXIN IMMUNE FAB-V| | 581409990||0.00|0.00|0.00| | |INJECTION ETHOLAMINE OLEATE 10| | 581409990||0.00|0.00|0.00| | |INJECTION FOMEPIZOLE 15 MG| | 581409990||0.00|0.00|0.00| | |FOSPHENYTOIN- 50 MG| | 581409990||0.00|0.00|0.00| | |INJECTION GLATIRAMER ACTAT PER| | 581409990||0.00|0.00|0.00| | |INJECTION HEMIN PER 1 MG| | 581409990||0.00|0.00|0.00| | |INJECTION PEGADEMASE BOVINE 25| | 581409990||0.00|0.00|0.00| | |INJ PENTASTARCH 10% SOL-100 ML| | 581409990||0.00|0.00|0.00| | |INJECTION SERMORELIN ACETATE 0| | 581409990||0.00|0.00|0.00| | |SOMATREM- 5 MG| | 581409990||0.00|0.00|0.00| | |SOMATROPIN- 1 MG| | 581409990||0.00|0.00|0.00| | |TENIPOSIDE- 50 MG| | 581409990||0.00|0.00|0.00| | |INJECTION UROFOLLITROPIN 75 IU| | 581409990||0.00|0.00|0.00| | |INJECTION BASILIXIMAB 20 MG| | 581409990||0.00|0.00|0.00| | |INJECTION HISTRELIN ACETATE 10| | 581409990||0.00|0.00|0.00| | |INJECTION LEPIRUDIN 50 MG| | 581409990||0.00|0.00|0.00| | |VON WILLEBRAND FCT CMPLX HUMAN| | 581409990||0.00|0.00|0.00| | |BRACHYTHERAPY RADIOELEMENTS| | 581409990||0.00|0.00|0.00| | |SPL RADOPHRM DX GALLIUM GA 67| | 581409990||0.00|0.00|0.00| | |RADOPHRM TECHNETM TC 99M BICIS| | 581409990||0.00|0.00|0.00| | |RADPHARM DX XENON XE 133 10 MC| | 581409990||0.00|0.00|0.00| | |RADPHRM DX TC 99M MERTIATIDE M| | 581409990||0.00|0.00|0.00| | |RADPHRM DX TC 99M GLUCEPATATE| | 581409990||0.00|0.00|0.00| | |RADPHRM DX SODUM PHOSPHATE P32| | 581409990||0.00|0.00|0.00| | |RADPHRM DX INDM 111 IN PENTRTD| | 581409990||0.00|0.00|0.00| | |RADPHARM DX TC 99M OXIDRONATE| | 581409990||0.00|0.00|0.00| | |SPL RADPHRM DX TC 99M LABLD RB| | 581409990||0.00|0.00|0.00| | |RADPHRM DX CHROMC PHOS P32 SUS| | 581409990||0.00|0.00|0.00| | |ORL RADPHRM DX B12 CBLT CO57 .| | 581409990||0.00|0.00|0.00| | |INJ GATIFLOXACIN 200 MG| | 581409990||0.00|0.00|0.00| | |INJECTION- VERTEPORFIN- 15MG| | 581409990||0.00|0.00|0.00| | |EXEMESTANE- 25 MG| | 581409990||0.00|0.00|0.00| | |BECAPLERMIN GEL 1%- 0.5 GM| | 581409990||0.00|0.00|0.00| | |MEDICAL CONFERENCE BY PHYSIC| | 581409990||0.00|0.00|0.00| | |MEDICAL CONFERENCE- 60 MIN| | 581409990||0.00|0.00|0.00| | |REMOVAL OF SUTURES| | 581409990||0.00|0.00|0.00| | |COMPUTERIZED CORNEAL TOPOGRA| | 581409990||0.00|0.00|0.00| | |ULTRASOUND PACHYMETRY| | 581409990||0.00|0.00|0.00| | |IV TUBING EXTENSION SET| | 581409990||0.00|0.00|0.00| | |NON-PVC INTRAVENOUS ADMINIST| | 581409990||0.00|0.00|0.00| | |LOBAR LUNG TRANSPLANTATION| | 581409990||0.00|0.00|0.00| | |DONOR LOBECTOMY (LUNG)| | 581409990||0.00|0.00|0.00| | |ISLET CELL TISSUE TRANSPLANT| | 581409990||0.00|0.00|0.00| | |ADRENAL TISSUE TRANSPLANT| | 581409990||0.00|0.00|0.00| | |LOW DENSITY LIPOPROTEIN(LDL)| | 581409990||0.00|0.00|0.00| | |CORD BLOOD HARVESTING| | 581409990||0.00|0.00|0.00| | |CORD BLOOD-DERIVED STEM-CELL| | 581409990||0.00|0.00|0.00| | |DONOR LEUKOCYTE INFUS| | 581409990||0.00|0.00|0.00| | |ECHOSCLEROTHERAPY| | 581409990||0.00|0.00|0.00| | |THROMBECTOMY- CORONARY| | 581409990||0.00|0.00|0.00| | |CHEMODENERVATION OF ABDUCTOR| | 581409990||0.00|0.00|0.00| | |INTRADISCAL ELECTHMAL TX; 1 IN| | 581409990||0.00|0.00|0.00| | |EACH ADDITIONAL INTERSPACE| | 581409990||0.00|0.00|0.00| | |NEWBORN METABOLIC SCREENING| | 581409990||0.00|0.00|0.00| | |BLADDER TUMOR-ASSOCIATED| | 581409990||0.00|0.00|0.00| | |GASTROINTESTINAL FAT ABSORPT| | 581409990||0.00|0.00|0.00| | |BALLISTOCARDIOGRAM| | 581409990||0.00|0.00|0.00| | |MASTERS TWO STEP| | 581409990||0.00|0.00|0.00| | |TRANSFUSION- DIRECT- BLOOD| | 581409990||0.00|0.00|0.00| | |PRESCRIPTION DRUG- GENERIC| | 581409990||0.00|0.00|0.00| | |PRESCRIPTION DRUG-BRAND NAME| | 581409990||0.00|0.00|0.00| | |FAT EMULSION 10% IN 250 ML| | 581409990||0.00|0.00|0.00| | |FAT EMULSION 20% IN 250 ML| | 581409990||0.00|0.00|0.00| | |5% DEXTROSE AND 0.45% SALINE| | 581409990||0.00|0.00|0.00| | |5% DEXTROSE IN LACTATED RING| | 581409990||0.00|0.00|0.00| | |5% DEXTROSE WITH POTASSIUM| | 581409990||0.00|0.00|0.00| | |5%DEXTROSE/0.45%SALINE1000ML| | 581409990||0.00|0.00|0.00| | |D5W/0.45NS W KCL AND MGS04| | 581409990||0.00|0.00|0.00| | |ANTIBIOTIC ADMIN SUPPLIES W/| | 581409990||0.00|0.00|0.00| | |ANTIBIOTIC ADMINSUPPLIES W/O| | 581409990||0.00|0.00|0.00| | |PAIN THERAPY ADMIN SUPPLIES| | 581409990||0.00|0.00|0.00| | |CHEMOTHERAPY ADMIN SUPPLIES| | 581409990||0.00|0.00|0.00| | |CHEMOTHERAPY ADMIN SUPPLIES| | 581409990||0.00|0.00|0.00| | |HYDRATION THERAPY ADMIN SUPP| | 581409990||0.00|0.00|0.00| | |GROWTH HORMONE THERAPY| | 581409990||0.00|0.00|0.00| | |INFUSION PUMP RENTAL-PERDIEM| | 581409990||0.00|0.00|0.00| | |MAINTENANCE OF IMPLANTED VAS| | 581409990||0.00|0.00|0.00| | |RADIOFREQUENCY STIMULATION| | 581409990||0.00|0.00|0.00| | |SCINTIMAMMOGRAPHY| | 581409990||0.00|0.00|0.00| | |FLUORINE-18 FLUORODEOXYGLUCO| | 581409990||0.00|0.00|0.00| | |OXIMETER MEASUR BLD O2 LEVELS| | 581409990||0.00|0.00|0.00| | |MUCUS TRAP| | 581409990||0.00|0.00|0.00| | |INCONTINENCE PANTS- EACH| | 581409990||0.00|0.00|0.00| | |DIAPERS- EACH| | 581409990||0.00|0.00|0.00| | |DISPBL LINER/SHIELD INCONTINEN| | 581409990||0.00|0.00|0.00| | |RESUSCITATION BAG| | 581409990||0.00|0.00|0.00| | |ULTRAFILTRATION MONITOR| | 581409990||0.00|0.00|0.00| | |AUTOMATED EEG MONITORING| | 581409990||0.00|0.00|0.00| | |OMNICARDIOGRAM/CARDIOINTEGRA| | 581409990||0.00|0.00|0.00| | |MEDICAL EQUIPMENT OR SUPPLIE| | 581409990||0.00|0.00|0.00| | |MEDICAL SUPPLIES AND EQUIPME| | 581409990||0.00|0.00|0.00| | |SERVICES PROVIDED IN URGENT| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES- PATIENT AS| | 581409990||0.00|0.00|0.00| | |NURSING SERVICES AND ALL NEC| | 581409990||0.00|0.00|0.00| | |MEDICAL FOODS FOR INBORN ERR| | 581409990||0.00|0.00|0.00| | |SKILLED NURSING VISITS FOR| | 581409990||0.00|0.00|0.00| | |PAIN MANAGEMENT- INTRAVENOUS| | 581409990||0.00|0.00|0.00| | |ADMINISTRATION OF HEMATOPOIE| | 581409990||0.00|0.00|0.00| | |ADMINISTRATION OF ANTIBIOTIC| | 581409990||0.00|0.00|0.00| | |ADMINISTRATION OF IMMUNE GLO| | 581409990||0.00|0.00|0.00| | |HOME IV THERAPY- HYDRATION| | 581409990||0.00|0.00|0.00| | |ADDITIONAL HOME INFUSION| | 581409990||0.00|0.00|0.00| | |AMNIOTIC MEMBRANE| |