Code Type|Rev Code|NDC|Code|Description|Price|Self Pay|PHCS|Multiplan|National Provider Network|Health Payors Org|Healthsouth|Medica|America's PPO|America's PPO|Medica|UBH|Medica|PreferredOne|Medica|PreferredOne|Medica|Medica|PreferredOne|BCBS|First Health/Coventry|PreferredOne|Ucare|Humana|Ucare|Healthpartners|Healthpartners|Healthpartners|Healthpartners|Healthpartners|Healthpartners|BCBS|BCBS|BCBS|Hennepin Health|Hennepin Health|Ucare|Medica|UHC|UHC|BCBS|UHC|Ucare|BCBS|UHC|Minimum|Maximum
MSDRG|||2|Heart transplant or implant of heart assist system|105362.82|55842.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|55842.29|55842.29
MSDRG|||3|ECMO or trach w MV >96 hrs or PDX exc face mouth & neck w maj O.R.|330490.19|175159.8|288217.19|307431.67|307431.68|345860.63|326646.15|No Volume|249788.24|234800.97|329488.51|No Volume|276170.03|398177.74|158929|553795.21|262363.43|255450.63|385660.68|No Volume|442623.45|No Volume|54520.51|145223.87|55008.84|32089.23|32089.23|32089.23|17891.51|32089.23|32089.23|No Volume|No Volume|No Volume|117288.26|117288.26|6424.25|131777.22|87715.21|79440.19|No Volume|84405.2|97074.43|No Volume|66670.09|6424.25|553795.21
MSDRG|||4|Trach w MV >96 hrs or PDX exc face mouth & neck w/o maj O.R.|378442.01|200574.27|220588.94|235294.87|235294.87|264706.74|250000.81|No Volume|191177.08|179706.45|435653.83|No Volume|172497.2|No Volume|99267.86|No Volume|163873.53|159555.76|No Volume|No Volume|264909.41|No Volume|83606.03|No Volume|83606.03|489070.57|489070.57|489070.57|248353.13|489070.57|489070.57|No Volume|No Volume|No Volume|176297.93|171617.46|83606.03|111663.95|No Volume|No Volume|No Volume|No Volume|83606.03|No Volume|No Volume|83606.03|489070.57
MSDRG|||11|Tracheostomy for facemouth & neck diagnoses|126477.49|67033.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|68466.69|69699.08|30282.75|35348.58|30705.05|69699.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30282.75|69699.08
MSDRG|||12|Tracheostomy for facemouth & neck diagnoses|126056.22|66809.8|94425.92|100720.98|100720.98|113311.1|107016.03|No Volume|81835.79|76925.68|119289.92|No Volume|55723.49|89771.14|32067.49|124855.87|52937.7|51542.89|86949.11|No Volume|No Volume|No Volume|27241.83|29155.77|27536|52266.13|53206.91|23117.26|27050.07|23439.63|53206.91|No Volume|No Volume|No Volume|23365.78|23365.78|6424.25|26456.16|No Volume|No Volume|No Volume|No Volume|48592.94|No Volume|No Volume|6424.25|124855.87
MSDRG|||13|Tracheostomy for facemouth & neck diagnoses|195192.03|103451.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|102450.09|102450.09|102450.09|33857.87|102450.09|102450.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33857.87|103451.78
MSDRG|||20|Intracranial vascular procedures w PDX hemorrhage|203940.39|108088.41|227661.72|242839.17|242839.17|273194.06|258016.62|No Volume|197306.83|185468.41|203940.39|No Volume|168713.89|No Volume|100996.67|No Volume|160275.18|155483.67|No Volume|No Volume|245873.75|No Volume|37782.16|83038.36|37782.16|122562.03|122562.03|66282.95|77041.14|67207.28|122562.03|No Volume|No Volume|No Volume|83038.36|83038.36|37782.16|75349.62|No Volume|No Volume|No Volume|No Volume|37782.16|No Volume|No Volume|37782.16|273194.06
MSDRG|||21|Intracranial vascular procedures w PDX hemorrhage|262862.4|139317.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|261806.4|No Volume|144731.53|No Volume|90667.42|No Volume|137488.05|132791.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|60894.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|60894.53|261806.4
MSDRG|||22|Intracranial vascular procedures w PDX hemorrhage|194700.88|103191.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12502.99|No Volume|12502.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12502.99|No Volume|No Volume|No Volume|No Volume|No Volume|12502.99|No Volume|No Volume|12502.99|103191.47
MSDRG|||23|Cranio w major dev impl/acute complex CNS PDX|123655.24|65537.28|62603.15|66776.7|66776.7|75123.78|70950.24|No Volume|54256.06|51000.72|136856.5|No Volume|82341.17|72771.11|47385.3|101211.81|78224.67|76163.6|70483.49|No Volume|No Volume|No Volume|31648.52|43248.42|31648.52|37508.67|37508.67|34406.98|40124.92|34886.8|37508.67|No Volume|No Volume|No Volume|20689.08|20139.81|6424.25|39243.93|84000.22|73921.33|No Volume|80767.05|31648.52|No Volume|41246.17|6424.25|136856.5
MSDRG|||24|Cranio w major dev impl/acute complex CNS PDX|63676.85|33748.73|125862.77|134253.62|134253.62|151035.31|142644.47|No Volume|109081.06|102536.23|72739.97|No Volume|55792|No Volume|32108|No Volume|53004|51604|No Volume|No Volume|No Volume|No Volume|28291.26|No Volume|28596.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27592.42|26859.88|6424.25|27475.44|No Volume|No Volume|No Volume|No Volume|49246.9|No Volume|No Volume|6424.25|151035.31
MSDRG|||25|Craniotomy & endovascular intracranial procedures|88497.76|46903.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|73256.69|No Volume|65318.3|52618.8|37589.06|61526.41|62052.84|60417.86|51303.33|No Volume|No Volume|No Volume|31674.34|33900.22|32016.87|60859.43|61954.89|26918.07|31451.87|27293.45|61954.89|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|30761.31|No Volume|No Volume|No Volume|No Volume|56500.36|No Volume|No Volume|6424.25|73256.69
MSDRG|||26|Craniotomy & endovascular intracranial procedures|66773.14|35389.76|56607.73|60381.58|60381.59|67929.27|64155.43|No Volume|49060.03|46116.45|113102.86|No Volume|44469.44|39720.44|25591.06|46444.55|42246.27|41133.16|38727.43|No Volume|No Volume|No Volume|22039.98|23587.82|22277.38|42181.28|42940.54|18656.74|21884.25|18916.92|42940.54|No Volume|No Volume|No Volume|23587.82|23587.82|6424.25|21403.76|45365.43|39922.19|No Volume|43619.31|39313.03|No Volume|22495.79|6424.25|113102.86
MSDRG|||27|Craniotomy & endovascular intracranial procedures|52612.35|27884.55|43845.95|46769.01|46769.02|52615.14|49692.06|No Volume|37999.82|35719.86|47458.46|No Volume|36526.6|No Volume|21020.15|No Volume|34700.52|33786.22|No Volume|No Volume|No Volume|No Volume|17403.17|18624.7|17589.99|33191.9|33789.35|14680.75|17279.58|14885.47|33789.35|No Volume|No Volume|No Volume|18624.7|18624.7|6424.25|16900.19|35931.34|32791.55|No Volume|35828.32|31041.16|No Volume|17762.44|6424.25|52615.14
MSDRG|||28|Spinal procedures|154210.14|81731.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|77421.45|78815.02|34243.44|39935.52|34720.97|78815.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34243.44|81731.37
MSDRG|||29|Spinal procedures|58207.84|30850.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38649.13|38649.13|19644.16|23027.81|19918.1|38649.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48881.33|43016.23|No Volume|46999.88|No Volume|No Volume|23671.31|19644.16|48881.33
MSDRG|||30|Spinal procedures|63975.77|33907.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31466.31|32032.7|13917.52|16395.67|14111.6|32032.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13917.52|33907.16
MSDRG|||31|Ventricular shunt procedures|57676.4|30568.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17403.82|No Volume|17590.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|31042.31|No Volume|No Volume|6424.25|31042.31
MSDRG|||32|Ventricular shunt procedures|42609.02|22582.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30358.39|30904.84|13427.49|15828.15|13614.74|30904.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13427.49|30904.84
MSDRG|||33|Ventricular shunt procedures|35861.94|19006.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31847.4|No Volume|25022.42|No Volume|14399.78|No Volume|23771.47|23145.14|No Volume|No Volume|No Volume|No Volume|12432.78|No Volume|12565.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|12072.59|No Volume|No Volume|No Volume|No Volume|22174.15|No Volume|No Volume|6424.25|31847.4
MSDRG|||34|Carotid artery stent procedure|89168.35|47259.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|51684.7|No Volume|72984.29|No Volume|No Volume|50389.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47259.23|72984.29
MSDRG|||35|Carotid artery stent procedure|41585.59|22040.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22040.36|22040.36
MSDRG|||36|Carotid artery stent procedure|57136.49|30282.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12790.65|No Volume|12927.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|22812.59|No Volume|No Volume|6424.25|30282.34
MSDRG|||37|Extracranial procedures|34544.07|18308.36|112431.77|119927.22|119927.23|134918.11|127422.67|No Volume|97440.86|91594.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25097.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20689.08|20139.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18308.36|134918.11
MSDRG|||38|Extracranial procedures|47310.91|25074.78|21768.58|23219.82|23219.81|26122.3|24671.06|No Volume|18866.11|17734.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47645.26|No Volume|12249.19|13107.99|12379.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13107.99|13107.99|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21846.65|No Volume|No Volume|6424.25|47645.26
MSDRG|||39|Extracranial procedures|27682.91|14671.94|15923.84|16985.43|16985.43|19108.61|18047.02|No Volume|13800.66|12972.63|24475.74|No Volume|16563.34|No Volume|9531.79|No Volume|15735.29|15320.69|No Volume|No Volume|No Volume|No Volume|8363.88|8949.24|8452.06|15667.37|15949.38|6929.67|8302.9|7026.3|15949.38|No Volume|No Volume|No Volume|8066.58|8066.58|6424.25|8120.6|No Volume|No Volume|No Volume|No Volume|14915.39|No Volume|No Volume|6424.25|24475.74
MSDRG|||40|Periph/cranial nerve & other nerv syst proc|100398.58|53211.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|173415.2|No Volume|57554.33|No Volume|33121.09|No Volume|54677.01|53236.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30240.02|82692.9|74891.68|No Volume|79572.41|No Volume|No Volume|29019.37|29019.37|173415.2
MSDRG|||41|Periph/cranial nerve & other nerv syst proc|33166.01|17577.99|15514.45|16548.74|16548.74|18617.34|17583.04|No Volume|13445.86|12639.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17223.15|No Volume|17408|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11382.22|11080.04|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|29182.86|No Volume|No Volume|6424.25|29182.86
MSDRG|||42|Periph/cranial nerve & other nerv syst proc|27215.94|14424.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43282.26|No Volume|27410.22|7401.84|15773.9|10097.34|26039.89|25353.79|7401.84|No Volume|20058.08|No Volume|13485.72|No Volume|13629.79|25597.11|26057.85|11321.58|13389.27|11479.46|26057.85|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|13095.29|No Volume|No Volume|No Volume|No Volume|24052.57|No Volume|No Volume|6424.25|43282.26
MSDRG|||52|Spinal disorders & injuries|44558.45|23615.98|41067.95|43805.81|43805.81|49281.53|46543.67|No Volume|35592.22|33456.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38591.2|12753.97|38591.2|22558.64|22964.69|9977.66|11832.85|10116.8|22964.69|No Volume|No Volume|No Volume|8383.04|8160.48|10926.22|No Volume|27372.06|24087.78|No Volume|26318.51|10926.22|No Volume|12163.51|8160.48|49281.53
MSDRG|||53|Spinal disorders & injuries|9729.81|5156.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5156.8|5156.8
MSDRG|||54|Nervous system neoplasms|18480.65|9794.74|6590.23|7029.58|7029.57|7908.28|7468.93|No Volume|5711.53|5368.86|19534.43|No Volume|19534.43|13369.43|11429.78|15632.69|18868.53|18371.38|13035.2|No Volume|8710.85|No Volume|9855.41|8786.97|9959.87|13523.09|13523.09|8208.65|9784.11|8323.12|13523.09|No Volume|No Volume|No Volume|8786.97|8786.97|6424.25|9569.29|No Volume|No Volume|No Volume|No Volume|17576.24|No Volume|No Volume|5368.86|19534.43
MSDRG|||55|Nervous system neoplasms|25014.49|13257.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3787.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15478.84|13621.59|No Volume|14883.06|No Volume|No Volume|7475.35|3787.43|15478.84
MSDRG|||56|Degenerative nervous system disorders|44780.84|23733.85|30880.03|32938.7|32938.69|37056.04|34997.36|No Volume|26762.69|25156.94|17871.71|No Volume|17871.71|1988|17871.71|1778.01|17871.71|17871.71|1938|No Volume|No Volume|No Volume|15943.77|No Volume|15943.77|30362.55|30909.07|13429.33|15830.28|13616.6|30909.07|No Volume|No Volume|No Volume|8422.76|8199.15|19307.64|15482.71|40260|36212|No Volume|38720|15943.77|No Volume|35561.45|1778.01|40260
MSDRG|||57|Degenerative nervous system disorders|44703.09|23692.64|34111.29|36385.38|36385.38|40933.55|38659.46|No Volume|29563.12|27789.34|39831.78|No Volume|19330|19880|10459.5|26080.19|18370|17880|19380|No Volume|38513.31|41106.65|19723.65|11871.03|19723.65|16768.37|17070.2|7416.63|8866.86|7520.06|17070.2|No Volume|No Volume|No Volume|6417.38|6247.01|6424.25|8672.18|20130|18106|No Volume|19360|6733.05|No Volume|19917.02|6247.01|41106.65
MSDRG|||58|Multiple sclerosis & cerebellar ataxia|51043.21|27052.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14245.79|No Volume|14398.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|25408.48|No Volume|No Volume|6424.25|27052.9
MSDRG|||59|Multiple sclerosis & cerebellar ataxia|28572.17|15143.25|31917.3|34045.12|34045.12|38300.77|36172.94|No Volume|27661.66|26001.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31917.31|No Volume|8072.42|No Volume|8072.42|5564.12|5678.96|2222.51|2610.43|2249.28|5678.96|No Volume|No Volume|No Volume|31917.31|31917.31|9322.29|No Volume|No Volume|No Volume|No Volume|No Volume|8072.42|No Volume|No Volume|2222.51|38300.77
MSDRG|||60|Multiple sclerosis & cerebellar ataxia|25441.3|13483.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|75767.82|No Volume|40593|No Volume|21964.95|No Volume|38577|37548|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6388.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6388.83|75767.82
MSDRG|||61|Acute ischemic stroke w use of thrombolytic agent|48877.82|25905.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|86293.74|No Volume|44690.2|No Volume|25832.81|No Volume|42456.48|41255.18|No Volume|No Volume|No Volume|No Volume|20237.7|No Volume|20455.44|38687.18|39383.55|17111.3|20094.46|17349.93|39383.55|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|19653.26|No Volume|No Volume|No Volume|No Volume|36097.83|No Volume|No Volume|6424.25|86293.74
MSDRG|||62|Acute ischemic stroke w use of thrombolytic agent|52094.17|27609.91|31831.17|33953.25|33953.25|38197.41|36075.32|No Volume|27587.01|25931.83|50580.71|No Volume|28897.86|No Volume|16630|No Volume|27453.17|26729.83|No Volume|No Volume|38429.32|No Volume|14649.37|15677.1|14806.15|27853.11|28354.46|12319.4|14544.86|12491.2|28354.46|No Volume|No Volume|No Volume|14334.5|14334.5|6424.25|14225.51|29480.11|25942.9|No Volume|28345.42|26128.49|No Volume|14951.3|6424.25|50580.71
MSDRG|||63|Acute ischemic stroke w use of thrombolytic agent|44020.38|23330.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|40781.35|No Volume|24865.37|No Volume|14309.4|No Volume|23622.27|22999.86|No Volume|No Volume|No Volume|No Volume|12289.18|No Volume|12420.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11933.14|No Volume|No Volume|No Volume|No Volume|21918.01|No Volume|No Volume|6424.25|40781.35
MSDRG|||64|Intracranial hemorrhage or cerebral infarction|40489.9|21459.65|22932.47|24461.3|24461.3|27518.97|25990.14|No Volume|19874.81|18682.35|55034.71|No Volume|27818.85|25814.12|16009.06|39126.39|26428.1|25731.76|25167.32|No Volume|10435.7|9677.33|13675.02|13633.59|13821.15|25964.11|26431.46|11483.9|13577.25|11644.05|26431.46|No Volume|No Volume|No Volume|16533.79|16533.79|6424.25|13279.15|25663.75|24974.22|No Volume|25663.75|24390.27|No Volume|13956.65|6424.25|55034.71
MSDRG|||65|Intracranial hemorrhage or cerebral infarction|21442.95|11364.76|18304.9|19525.22|19525.22|21965.88|20745.55|No Volume|15864.24|14912.41|21003.26|No Volume|14806.66|10112.93|8520.87|13795.73|14066.43|13695.81|10112.93|No Volume|13683|20497.36|7623.8|8157.09|7703.92|14232.62|14488.8|6295.07|7567.97|6382.86|14488.8|No Volume|No Volume|No Volume|6645.03|6645.03|6424.25|7401.8|15105|13292.6|No Volume|14523.6|13595.15|No Volume|7779.45|6295.07|21965.88
MSDRG|||66|Intracranial hemorrhage or cerebral infarction|15841.6|8396.05|14450.22|15413.57|15413.57|17340.26|16376.92|15701.18|12523.53|11772.13|19106.79|19651.04|10337.91|5368.13|5949.21|7323.03|9821.08|9562.32|5368.13|No Volume|8864.66|No Volume|5404.34|5781.4|5460.21|9929.73|10108.47|4391.91|5363.86|4453.16|10108.47|No Volume|No Volume|No Volume|7282.66|7089.31|6424.25|5246.09|10546.2|9280.8|No Volume|10140.28|9635.67|No Volume|5513.74|4391.91|19651.04
MSDRG|||67|Nonspecific CVA & precerebral occlusion w/o infarct|4331.23|2295.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2295.55|2295.55
MSDRG|||68|Nonspecific CVA & precerebral occlusion w/o infarct|12768.28|6767.19|7692.14|8204.94|8204.94|9230.56|8717.76|No Volume|6666.52|6266.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6735.89|No Volume|6806.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6912.37|6912.37|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|12011.11|No Volume|No Volume|6266.55|12011.11
MSDRG|||69|Transient ischemia|16654.03|8826.64|8890.57|9483.23|9483.23|10668.62|10075.94|No Volume|8081.41|7596.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5856.52|5977.74|5917.34|10806.37|11000.89|4779.65|5812.91|4846.3|11000.89|No Volume|No Volume|No Volume|4830.49|4830.49|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|10442.36|No Volume|No Volume|4779.65|11000.89
MSDRG|||70|Nonspecific cerebrovascular disorders|32351.61|17146.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|57592.91|No Volume|24378.21|No Volume|14029.05|No Volume|23159.47|22549.26|No Volume|No Volume|39702.41|No Volume|12232.76|13090.4|12363.15|22727.67|22727.67|10247.18|12144.98|10390.08|22727.67|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11878.33|No Volume|No Volume|No Volume|No Volume|21817.33|No Volume|No Volume|6424.25|57592.91
MSDRG|||71|Nonspecific cerebrovascular disorders|19804.81|10496.55|12521.32|13356.07|13356.07|15025.58|14190.83|No Volume|10851.81|10200.71|36198.88|No Volume|14699.05|13696.02|8458.94|18187.09|13964.2|13596.27|13352.85|No Volume|No Volume|No Volume|7388.07|7904.76|7465.6|1155.91|2324.41|1079.51|1507.17|1096.45|2324.41|No Volume|No Volume|No Volume|6733.45|6733.45|6424.25|7172.84|817.65|727.85|No Volume|784.57|13174.6|No Volume|954.16|727.85|36198.88
MSDRG|||72|Nonspecific cerebrovascular disorders|18223.15|9658.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4529.39|No Volume|No Volume|5945.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4529.39|9658.27
MSDRG|||73|Cranial & peripheral nerve disorders|12668.54|6714.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6714.33|6714.33
MSDRG|||74|Cranial & peripheral nerve disorders|14492.88|7681.23|16231.89|17314.02|17314.01|19478.27|18396.14|No Volume|14067.65|13223.6|13349.26|No Volume|13349.26|No Volume|8522.54|No Volume|13349.26|13349.26|No Volume|No Volume|No Volume|No Volume|6742.92|5877.52|6742.92|13684.2|13930.51|6052.51|7287.05|6136.91|13930.51|No Volume|No Volume|No Volume|7854.3|7854.3|4201.2|7127.05|No Volume|No Volume|No Volume|No Volume|6742.92|No Volume|No Volume|4201.2|19478.27
MSDRG|||76|Viral meningitis|13699.99|7260.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5013.07|No Volume|No Volume|No Volume|No Volume|10042.49|10042.49|5528.17|6679.79|5605.27|10042.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5013.07|10042.49
MSDRG|||77|Hypertensive encephalopathy|27637.14|14647.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14647.68|14647.68
MSDRG|||78|Hypertensive encephalopathy|19434.61|10300.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22748.88|No Volume|13800.36|No Volume|7941.76|No Volume|13110.44|12765|No Volume|No Volume|No Volume|No Volume|7154.48|No Volume|7229.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6945.97|No Volume|No Volume|No Volume|No Volume|9552.67|No Volume|No Volume|6424.25|22748.88
MSDRG|||79|Hypertensive encephalopathy|12552.17|6652.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6652.65|6652.65
MSDRG|||80|Nontraumatic stupor & coma|33277.98|17637.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24958.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17637.33|24958.49
MSDRG|||81|Nontraumatic stupor & coma|41066.71|21765.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21765.36|21765.36
MSDRG|||82|Traumatic stupor & coma coma >1 hr|47486.26|25167.72|29910.88|31904.94|31904.94|35893.05|33899|No Volume|25922.77|24367.39|42498.76|No Volume|32837.29|No Volume|18897.05|No Volume|31195.65|30373.7|No Volume|No Volume|No Volume|No Volume|16368.09|49317.84|16543.61|31185.18|31746.51|13793.18|16251.67|13985.52|31746.51|No Volume|No Volume|No Volume|16010.83|15585.77|6424.25|15894.85|No Volume|No Volume|No Volume|No Volume|29194.61|No Volume|No Volume|6424.25|49317.84
MSDRG|||83|Traumatic stupor & coma coma >1 hr|27641.39|14649.94|13462.06|14359.53|14359.53|16154.47|15257|No Volume|11667.13|10967.1|19066.99|No Volume|19066.99|3026.65|11228.1|4128.88|18535.59|18047.21|3026.65|No Volume|20862.14|11316.45|9645.4|10320.94|9747.56|10108.19|10108.19|8028.56|9575.54|8140.52|10108.19|No Volume|No Volume|No Volume|9917.84|9917.84|6424.25|9365.3|19904.12|17515.89|No Volume|19138.01|17201.57|No Volume|9843.12|3026.65|20862.14
MSDRG|||84|Traumatic stupor & coma coma >1 hr|22344.91|11842.8|32572.38|34743.87|34743.87|39086.86|36915.36|No Volume|28229.4|26535.64|15315.84|No Volume|13148.88|No Volume|7566.85|No Volume|12491.52|12162.39|No Volume|No Volume|No Volume|7488.39|6692.3|7160.01|6762.23|7711.28|7711.28|5496.32|6642.9|5572.97|7711.28|No Volume|No Volume|No Volume|7160.01|7160.01|6424.25|6497.05|80873.77|73244.16|No Volume|77821.93|11933.35|No Volume|20679.46|5496.32|80873.77
MSDRG|||85|Traumatic stupor & coma coma <1 hr|63632.77|33725.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|63632.77|No Volume|33539.67|No Volume|19301.25|No Volume|31862.92|31023.39|No Volume|No Volume|No Volume|No Volume|16325.24|17470.9|16500.3|31102.08|31661.92|13756.42|16209.11|13948.26|31661.92|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|15853.22|34215.44|30110.05|No Volume|32898.49|29118.17|No Volume|16662.06|6424.25|63632.77
MSDRG|||86|Traumatic stupor & coma coma <1 hr|27533.32|14592.66|10990.92|11723.65|11723.65|13189.11|12456.38|No Volume|9525.47|8953.95|No Volume|No Volume|No Volume|9651.1|No Volume|13165.7|No Volume|No Volume|9651.1|No Volume|26811.95|No Volume|9124.64|9457.84|9221.14|17142.29|17450.85|7582.02|8774.77|7687.75|17450.85|No Volume|No Volume|No Volume|9457.84|9457.84|6424.25|No Volume|18882|16617|No Volume|18156|16272.59|No Volume|9019.98|6424.25|26811.95
MSDRG|||87|Traumatic stupor & coma coma <1 hr|14515.32|7693.12|9555.86|10192.91|10192.91|11467.03|10829.97|No Volume|8281.74|7784.84|No Volume|No Volume|No Volume|7159.6|No Volume|9766.88|No Volume|No Volume|7159.6|No Volume|28370.85|No Volume|6277.26|6715.79|6342.69|11622.08|11831.28|5140.44|6230.76|5212.12|11831.28|No Volume|No Volume|No Volume|6715.79|6715.79|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11192.98|No Volume|No Volume|5140.44|28370.85
MSDRG|||88|Concussion|13931.04|7383.45|44632.7|47608.22|47608.22|53559.24|50583.73|No Volume|38681.67|36360.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|60253.92|60253.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7383.45|60253.92
MSDRG|||89|Concussion|20136.97|10672.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19786.97|No Volume|15431.97|No Volume|8880.72|No Volume|14660.48|14274.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13659.27|13905.13|6041.48|7274.27|6125.73|13905.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7114.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6041.48|19786.97
MSDRG|||90|Concussion|16147.76|8558.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8558.31|8558.31
MSDRG|||91|Other disorders of nervous system|29738.64|15761.48|7834.49|8356.78|8356.78|9401.38|8879.09|No Volume|6789.89|6382.52|18797.34|No Volume|18797.34|No Volume|13140|No Volume|18797.34|18797.34|No Volume|No Volume|No Volume|No Volume|11462.7|6282.64|11584.69|21675.07|22065.22|9586.86|11380.26|9720.55|22065.22|No Volume|No Volume|No Volume|6282.64|6282.64|6424.25|11130.39|10980|9876|No Volume|10560|20443.57|No Volume|23222.31|6282.64|23222.31
MSDRG|||92|Other disorders of nervous system|21983.6|11651.31|23577.48|25149.31|25149.31|28292.98|26721.15|No Volume|20433.82|19207.8|15406.85|No Volume|9560|13302.23|5502|23327.17|9082|8842|12968.93|No Volume|9689.88|No Volume|6492.27|7686.09|6492.27|13379.52|13620.35|5917.75|7130.98|6000.27|13620.35|No Volume|No Volume|No Volume|7686.09|7686.09|6293.47|4740.3|No Volume|No Volume|No Volume|No Volume|6492.27|No Volume|No Volume|4740.3|28292.98
MSDRG|||93|Other disorders of nervous system|10711.65|5677.17|2069.29|2207.23|2207.23|2483.13|2345.19|No Volume|1986.5|1867.3|8364.94|No Volume|8364.94|No Volume|6538.36|No Volume|8364.94|8364.94|No Volume|No Volume|5607.19|No Volume|5720.11|No Volume|5779.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5812.6|5812.6|6424.25|5552.79|No Volume|No Volume|No Volume|No Volume|10199|No Volume|No Volume|1867.3|10199
MSDRG|||94|Bacterial & tuberculous infections of nervous system|66928.3|35472|50196.23|53542.64|53542.64|60235.47|56889.05|No Volume|43503.39|40893.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49645.9|50539.51|21958.33|25707.91|22264.55|50539.51|No Volume|No Volume|No Volume|28926.89|28158.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21958.33|60235.47
MSDRG|||95|Bacterial & tuberculous infections of nervous system|41500.11|21995.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41500.11|No Volume|25129|No Volume|13597.35|No Volume|23881|23244|No Volume|No Volume|No Volume|No Volume|17477.49|No Volume|17665.1|33335.93|33935.97|14744.45|17353.37|14950.06|33935.97|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|16972.36|No Volume|No Volume|No Volume|No Volume|27392.44|No Volume|No Volume|6424.25|41500.11
MSDRG|||96|Bacterial & tuberculous infections of nervous system|62633.21|33195.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16441.68|No Volume|16617.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|29325.87|No Volume|No Volume|6424.25|33195.6
MSDRG|||97|Non-bacterial infect of nervous sys exc viral meningitis|27743.21|14703.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29771.22|No Volume|36731.6|No Volume|No Volume|27127.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14703.9|36731.6
MSDRG|||98|Non-bacterial infect of nervous sys exc viral meningitis|56389.82|29886.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12653.99|44040.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12653.99|44040.45
MSDRG|||99|Non-bacterial infect of nervous sys exc viral meningitis|83405.3|44204.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|58210.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44204.81|58210.2
MSDRG|||100|Seizures|36023.49|19092.45|29578.88|31550.81|31550.81|35494.65|33522.73|No Volume|25635.03|24096.96|18576.24|No Volume|18576.24|No Volume|10938|No Volume|18057|17583|No Volume|No Volume|14782.92|No Volume|12377.39|No Volume|12377.39|12373.08|12373.08|11149.45|13189.92|11304.93|12373.08|No Volume|No Volume|No Volume|14273.75|13894.8|8198.68|9082.61|65559.69|59374.81|No Volume|63085.74|12377.39|No Volume|14265.11|8198.68|65559.69
MSDRG|||101|Seizures|15706.79|8324.6|7350.05|7840.05|7840.05|8820.06|8330.05|No Volume|6370.05|5987.86|26287.64|No Volume|12898.75|12156.65|7422.91|28459.7|12253.91|11931.04|13560.51|No Volume|No Volume|No Volume|6589.46|No Volume|6589.46|12227.28|12447.37|5408.12|6540.77|5483.53|12447.37|No Volume|No Volume|No Volume|4669.49|4669.49|5038.98|6397.16|2947.09|2623.42|No Volume|2827.85|6589.46|No Volume|3097.54|2623.42|28459.7
MSDRG|||102|Headaches|25858.24|13704.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7362.76|No Volume|7362.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7362.76|No Volume|No Volume|No Volume|No Volume|No Volume|7362.76|No Volume|No Volume|7362.76|13704.87
MSDRG|||103|Headaches|13443.58|7125.1|7029.39|7498.02|7498.02|8435.27|7966.64|No Volume|6092.14|5726.62|No Volume|No Volume|No Volume|11008.32|No Volume|34530.5|No Volume|No Volume|16453.14|No Volume|No Volume|No Volume|5911.94|No Volume|5911.94|11000.24|11000.24|4897.26|5949.11|4965.55|11000.24|No Volume|No Volume|No Volume|7498.02|7498.02|5911.94|No Volume|No Volume|No Volume|No Volume|No Volume|5911.94|No Volume|No Volume|4897.26|34530.5
MSDRG|||113|Orbital procedures|70418.03|37321.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37321.56|37321.56
MSDRG|||114|Orbital procedures|24104.3|12775.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12775.28|12775.28
MSDRG|||115|Extraocular procedures except orbit|19381.46|10272.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19381.46|19381.46|9102.34|10819.11|9229.28|19381.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9102.34|19381.46
MSDRG|||116|Intraocular procedures|27352.84|14497.01|20407.63|21768.11|21768.11|24489.17|23128.64|No Volume|19223.91|18070.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8689.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8689.54|8689.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8689.54|24489.17
MSDRG|||117|Intraocular procedures|19610.73|10393.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8116.7|No Volume|8202.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14474.43|No Volume|No Volume|6424.25|14474.43
MSDRG|||122|Acute major eye infections|25066.44|13285.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25066.44|No Volume|9362.14|No Volume|5387.68|No Volume|8894.1|8659.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5631.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5387.68|25066.44
MSDRG|||123|Neurological eye disorders|17990.82|9535.13|4460.53|4757.89|4757.89|5352.63|5055.26|No Volume|3865.8|3633.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13493.12|No Volume|No Volume|4525.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4525.59|4525.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3633.84|13493.12
MSDRG|||124|Other disorders of the eye|18560.71|9837.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9837.18|9837.18
MSDRG|||125|Other disorders of the eye|16508.84|8749.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6485.5|No Volume|10932.4|11129.18|4835.39|5877.48|4902.82|11129.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4835.39|11129.18
MSDRG|||136|Sinus & mastoid procedures|45604.46|24170.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24170.36|24170.36
MSDRG|||137|Mouth procedures|25510.22|13520.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41724.68|No Volume|21356.38|No Volume|12290.07|No Volume|20288.71|19754.14|No Volume|No Volume|No Volume|No Volume|11691.76|No Volume|11691.76|18464.87|18797.24|8167|9735.87|8280.89|18797.24|No Volume|No Volume|No Volume|No Volume|No Volume|11691.76|9522.11|No Volume|No Volume|No Volume|No Volume|11691.76|No Volume|No Volume|8167|41724.68
MSDRG|||138|Mouth procedures|22439.8|11893.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7868.59|No Volume|4595.71|No Volume|4595.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4595.71|No Volume|12507.39|11006.67|No Volume|12025.98|4595.71|No Volume|6566.77|4595.71|12507.39
MSDRG|||139|Salivary gland procedures|66818.04|35413.56|50113.53|53454.43|53454.44|60136.24|56795.33|No Volume|43431.73|40825.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9736.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9736.8|9736.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9736.8|60136.24
MSDRG|||146|Ear nose mouth & throat malignancy|15955.39|8456.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15955.39|No Volume|15955.39|No Volume|15955.39|No Volume|15955.39|15955.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13652.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8456.36|15955.39
MSDRG|||147|Ear nose mouth & throat malignancy|10919.18|5787.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8497.49|No Volume|8497.49|3743.68|3820.08|1243.33|1674.28|1263.18|3820.08|No Volume|No Volume|No Volume|No Volume|No Volume|8497.49|No Volume|No Volume|No Volume|No Volume|No Volume|8497.49|No Volume|No Volume|1243.33|8497.49
MSDRG|||148|Ear nose mouth & throat malignancy|28892.95|15313.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15313.26|15313.26
MSDRG|||149|Dysequilibrium|10459.42|5543.49|4851.14|5174.54|5174.54|5821.34|5497.93|No Volume|4357.21|4095.8|10459.42|No Volume|10459.42|10058.25|6155.08|14203.35|10160.93|9893.21|9806.23|No Volume|2599.25|No Volume|5500.78|4658.66|5557.7|10116.69|10298.79|4474.6|5459.63|4537|10298.79|No Volume|No Volume|No Volume|4658.66|4658.66|6424.25|5339.76|No Volume|No Volume|No Volume|No Volume|9807.71|No Volume|No Volume|2599.25|14203.35
MSDRG|||150|Epistaxis|27484.68|14566.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14566.88|14566.88
MSDRG|||151|Epistaxis|14460.35|7663.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5276.48|No Volume|5330.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9407.57|No Volume|No Volume|5276.48|9407.57
MSDRG|||152|Otitis media & URI|7907.86|4191.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4191.17|4191.17
MSDRG|||153|Otitis media & URI|12316.37|6527.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7976.61|No Volume|7976.61|3704.72|5946.7|5053.86|7976.61|7976.61|3704.72|No Volume|No Volume|6255.84|713.83|5700.38|4553.72|6673.38|6673.38|4326.98|5288.69|4387.32|6673.38|No Volume|No Volume|No Volume|No Volume|No Volume|1429.7|5172.57|No Volume|No Volume|No Volume|No Volume|1143.4|No Volume|No Volume|713.83|7976.61
MSDRG|||154|Other ear nose mouth & throat diagnoses|26744.64|14174.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20058.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14174.66|20058.48
MSDRG|||155|Other ear nose mouth & throat diagnoses|21045.39|11154.06|12163.8|12974.72|12974.72|14596.56|13785.64|No Volume|10541.96|9909.47|No Volume|No Volume|No Volume|12407.25|No Volume|43895.8|No Volume|No Volume|20915.53|No Volume|No Volume|No Volume|6719.44|7189.07|6789.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7189.07|7189.07|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11981.79|No Volume|No Volume|6424.25|43895.8
MSDRG|||156|Other ear nose mouth & throat diagnoses|9265.6|4910.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3120.25|No Volume|4957.88|No Volume|5008.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8839.24|No Volume|No Volume|3120.25|8839.24
MSDRG|||157|Dental & oral diseases|23318.34|12358.72|13695.94|14609|14609|16435.12|15522.06|No Volume|11869.81|11157.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36700.72|No Volume|11446.99|12249.33|11568.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9403.68|9403.68|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|20415.55|No Volume|No Volume|6424.25|36700.72
MSDRG|||158|Dental & oral diseases|20831.09|11040.48|15623.32|16664.87|16664.87|18747.98|17706.43|No Volume|13540.21|12727.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20287.77|No Volume|6473|No Volume|6540.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4525.91|4405.75|6424.25|No Volume|1261.84|1123.26|No Volume|1210.79|11542.16|No Volume|1363.2|1123.26|20287.77
MSDRG|||159|Dental & oral diseases|22832.13|12101.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24853.66|No Volume|9536.64|No Volume|5488.1|No Volume|9059.88|8821.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9318.99|9486.73|4121.78|5051.02|4179.26|9486.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4940.12|9728.79|8561.47|No Volume|9354.33|No Volume|No Volume|5192.17|4121.78|24853.66
MSDRG|||163|Major chest procedures|91591.46|48543.47|69219.65|73834.3|73834.29|83063.59|78448.95|No Volume|59990.38|56390.95|120783.63|No Volume|84548.5|64114.02|51259.57|74967.61|80318.87|77823.58|62511.17|No Volume|No Volume|No Volume|35097.46|36360.6|35477.34|67495.87|68710.79|29853.36|34851.27|30269.67|68710.79|No Volume|No Volume|No Volume|35604.54|35604.54|6424.25|34086.08|73575.67|64747.58|No Volume|70743.73|62607.08|No Volume|35825.16|6424.25|120783.63
MSDRG|||164|Major chest procedures|66454.32|35220.79|36222.54|38637.38|38637.37|43467.05|41052.22|No Volume|31392.87|29509.32|138634.14|No Volume|38329.8|No Volume|22057.85|No Volume|36413.58|35454.15|No Volume|No Volume|44464.47|48075.13|18366.82|19656.16|18564.15|35060.13|35691.21|15507.06|18236.55|15723.31|35691.21|No Volume|No Volume|No Volume|19656.16|19656.16|6424.25|18714.91|No Volume|No Volume|No Volume|No Volume|32760.27|No Volume|No Volume|6424.25|138634.14
MSDRG|||165|Major chest procedures|51406.6|27245.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25461.63|No Volume|46655.98|No Volume|No Volume|24823.66|No Volume|42666.1|No Volume|No Volume|No Volume|No Volume|25609.57|26070.54|11327.09|13395.65|11485.05|26070.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11327.09|46655.98
MSDRG|||166|Other resp system O.R. procedures|76630.93|40614.39|85883.75|91609.33|91609.33|103060.5|97334.92|No Volume|74432.58|69966.64|99801.24|No Volume|55109.82|19787.03|31712|23136.69|52352|50975.25|19292.35|No Volume|No Volume|No Volume|9564.3|18352.95|9564.3|229876.25|229876.25|229876.25|102131.27|229876.25|229876.25|No Volume|No Volume|No Volume|21135.7|21135.7|9564.3|26155.73|No Volume|No Volume|No Volume|No Volume|9564.3|No Volume|No Volume|9564.3|229876.25
MSDRG|||167|Other resp system O.R. procedures|50418.81|26721.97|39699.53|42346.17|42346.17|47639.44|44992.8|No Volume|34406.27|32341.88|36705.74|No Volume|27062.66|No Volume|15573.89|No Volume|25709.72|25032.31|No Volume|No Volume|No Volume|No Volume|12357.29|14936.94|12357.29|19877.38|19877.38|11726.47|13858.16|11889.99|19877.38|No Volume|No Volume|No Volume|18740.13|18242.61|12357.29|13553.89|No Volume|No Volume|No Volume|No Volume|12357.29|No Volume|No Volume|11726.47|47639.44
MSDRG|||168|Other resp system O.R. procedures|42489.97|22519.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18267.33|No Volume|32663.85|No Volume|No Volume|17809.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17809.62|32663.85
MSDRG|||175|Pulmonary embolism|27567.41|14610.73|45833.72|48889.3|48889.3|55000.46|51944.88|No Volume|39722.56|37339.19|20332.41|No Volume|20332.41|10081.55|12608|10081.55|20332.41|20264|10081.55|No Volume|36754.95|No Volume|10458.57|11343.25|10458.57|20003.5|20363.56|8847.53|10524.02|8970.91|20363.56|No Volume|No Volume|No Volume|8593.1|8364.96|7123.22|10048.43|20511.03|20159.53|No Volume|20511.03|10458.57|No Volume|10818.1|7123.22|55000.46
MSDRG|||176|Pulmonary embolism|19685.85|10433.5|33510.01|35744.01|35744.01|40212.01|37978.02|No Volume|29042.01|27299.5|16648.48|No Volume|12894.39|6800.11|7420.4|9276.48|12249.76|11927|6800.11|No Volume|54100.2|No Volume|6342.99|6786.14|6342.99|11749.49|11960.98|5196.79|6296.03|5269.26|11960.98|No Volume|No Volume|No Volume|13000.94|13000.94|7123.22|6157.79|9294.68|9294.68|No Volume|9294.68|6342.99|No Volume|6471.96|5196.79|54100.2
MSDRG|||177|Respiratory infections & inflammations|27480.86|14564.86|19675.94|20987.66|20987.67|23611.12|22299.4|No Volume|17052.48|16029.37|27480.86|No Volume|24845|19473.77|14300|22770.4|23605|22985|18986.92|No Volume|No Volume|No Volume|13792.16|14759.55|13939.58|25342.33|25342.33|11584.36|13693.58|11745.9|25342.33|No Volume|No Volume|No Volume|12751.18|12412.65|6424.25|12200.19|27375.03|24090.39|No Volume|26321.36|24599.25|No Volume|16655.82|6424.25|27480.86
MSDRG|||178|Respiratory infections & inflammations|20561.93|10897.82|12116.81|12924.59|12924.59|14540.17|13732.38|No Volume|10501.24|9871.17|12184.47|No Volume|12184.47|No Volume|10091.65|No Volume|12184.47|12184.47|No Volume|No Volume|No Volume|No Volume|9163.94|7089.61|9260.86|13409.87|13409.87|7615.71|9097.43|7721.91|13409.87|No Volume|No Volume|No Volume|8458.3|8233.74|6424.25|8897.68|17889.53|15743.02|No Volume|17200.96|16342.69|No Volume|11047.48|6424.25|17889.53
MSDRG|||179|Respiratory infections & inflammations|22576.85|11965.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|74009.74|No Volume|24772.54|No Volume|14772.18|No Volume|23536.25|22544.17|No Volume|No Volume|54921.03|No Volume|6469.42|No Volume|6536.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6280.58|No Volume|No Volume|No Volume|No Volume|11535.77|No Volume|No Volume|6280.58|74009.74
MSDRG|||180|Respiratory neoplasms|28238.64|14966.48|5326.2|5681.21|5681.21|6391.4|6036.3|No Volume|5113.09|4806.32|28176.01|No Volume|25271.09|No Volume|14542.88|No Volume|24007.71|23375.15|No Volume|No Volume|No Volume|No Volume|12604.22|13488.01|12738.68|23888.14|24318.12|10565.7|12513.88|10713.04|24318.12|No Volume|No Volume|No Volume|1878.4|1878.4|6424.25|12239.12|15783|13890|No Volume|15177|22480.02|No Volume|12863.57|1878.4|28176.01
MSDRG|||181|Respiratory neoplasms|30004.37|15902.32|6346.4|6769.5|6769.5|7615.68|7192.59|No Volume|5500.22|5170.21|20460.71|No Volume|16300.13|No Volume|9380.32|No Volume|15485.23|15077.23|No Volume|No Volume|No Volume|No Volume|8511.74|No Volume|8601.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3329.67|3329.67|6424.25|8264.22|No Volume|No Volume|No Volume|No Volume|15179.18|No Volume|No Volume|3329.67|20460.71
MSDRG|||182|Respiratory neoplasms|9503.17|5036.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5036.68|5036.68
MSDRG|||183|Major chest trauma|51957.18|27537.31|53107.61|56648.12|56648.12|63729.13|60188.63|No Volume|46026.6|43265.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11063.38|13997.16|11181.02|20900.91|21277.12|9244.45|10983.7|9373.37|21277.12|No Volume|No Volume|No Volume|11297.92|11297.92|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19731.2|No Volume|No Volume|6424.25|63729.13
MSDRG|||184|Major chest trauma|20451.06|10839.06|6346.98|6770.11|6770.11|7616.38|7193.24|No Volume|5500.72|5170.69|24106.6|No Volume|15114.95|No Volume|8698.28|No Volume|14359.31|13980.97|No Volume|No Volume|13889.56|27301.96|7555.94|2518.97|7635.3|8947.18|8947.18|6236.88|7500.56|6323.86|8947.18|No Volume|No Volume|No Volume|15140.34|14738.38|6424.25|7335.88|No Volume|No Volume|No Volume|No Volume|13474.06|No Volume|No Volume|2518.97|27301.96
MSDRG|||185|Major chest trauma|13857.72|7344.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5525.78|No Volume|5583|10165.17|10348.14|4496.04|5484.48|4558.74|10348.14|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9852.35|No Volume|No Volume|4496.04|10348.14
MSDRG|||186|Pleural effusion|34437.64|18251.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31510.9|No Volume|22441.21|No Volume|12914.36|No Volume|21319.31|20757.58|No Volume|No Volume|No Volume|No Volume|11304.1|No Volume|11424.37|15581.59|15581.59|9450.88|11222.76|9582.67|15581.59|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10976.35|No Volume|No Volume|No Volume|No Volume|20160.65|No Volume|No Volume|6424.25|31510.9
MSDRG|||187|Pleural effusion|21368.32|11325.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14235.39|14491.62|6296.3|7569.39|6384.1|14491.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6296.3|14491.62
MSDRG|||188|Pleural effusion|9504.99|5037.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5037.64|5037.64
MSDRG|||189|Pulmonary edema & respiratory failure|19104.9|10125.6|15938.59|17001.16|17001.16|19126.3|18063.73|No Volume|13813.44|12984.64|19637.66|No Volume|17811.04|11388.6|10249.81|15535.95|16920.61|16474.78|11388.6|No Volume|4909.24|14721.94|8966.77|9594.56|9061.53|14288.73|14288.73|7446.65|8901.62|7550.49|14288.73|No Volume|No Volume|No Volume|5389.35|5389.35|15537.98|8706.17|16519.89|15989.76|No Volume|16519.89|8966.77|No Volume|9150.37|4909.24|19637.66
MSDRG|||190|Chronic obstructive pulmonary disease|14555.89|7714.62|9444.92|10074.58|10074.58|11333.91|10704.25|No Volume|8185.61|7694.49|16989.68|No Volume|13620|No Volume|7839|No Volume|12939|12597|No Volume|No Volume|No Volume|No Volume|8454.59|7588.18|8543.75|10882.94|10882.94|7007.46|8392.98|7105.18|10882.94|No Volume|No Volume|No Volume|7588.18|7588.18|6424.25|6885.57|16673.06|14672.51|No Volume|16031.31|15077.21|No Volume|8627.52|6424.25|16989.68
MSDRG|||191|Chronic obstructive pulmonary disease|13498.36|7154.13|17302.04|18455.5|18455.5|20762.44|19608.97|No Volume|14995.1|14095.41|15107.86|No Volume|12842.04|No Volume|7390.28|No Volume|12200.03|11878.58|No Volume|No Volume|11930.42|No Volume|5887.24|7125.62|5887.24|1067.2|2050.49|684.78|1143.34|720.62|2050.49|No Volume|No Volume|No Volume|5222.94|5084.28|5887.24|6465.84|No Volume|No Volume|No Volume|No Volume|5887.24|No Volume|No Volume|684.78|20762.44
MSDRG|||192|Chronic obstructive pulmonary disease|9613.35|5095.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5348.61|No Volume|5403.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9536.29|No Volume|No Volume|5095.08|9536.29
MSDRG|||193|Simple pneumonia & pleurisy|20506.82|10868.61|20359.29|21716.58|21716.57|24431.15|23073.86|No Volume|17644.72|16586.04|17542.85|No Volume|17542.85|8278.9|17542.85|9680.4|17542.85|17542.85|8071.93|No Volume|3808.75|6057.2|9808.28|10495.29|9912.22|18015.39|18015.39|8168.22|9737.3|8282.13|18015.39|No Volume|No Volume|No Volume|7281.39|7281.39|6424.25|17542.85|19444.23|17111.19|No Volume|18695.82|17492.15|No Volume|10009.4|3808.75|24431.15
MSDRG|||194|Simple pneumonia & pleurisy|16150.88|8559.97|10166.74|10844.52|10844.52|12200.09|11522.3|No Volume|8811.17|8282.52|13401.38|No Volume|12549.75|9351.66|7222.07|10934.77|11922.35|11608.21|9117.87|No Volume|11979.47|No Volume|6233.42|7093.5|6298.37|12306.22|12527.73|5443.03|6581.2|5518.93|12527.73|No Volume|No Volume|No Volume|6179.96|6179.96|6424.25|6436.7|12390|10902|No Volume|11913|11114.77|No Volume|6360.12|5443.03|13401.38
MSDRG|||195|Simple pneumonia & pleurisy|10666.1|5653.03|5630.85|6006.24|6006.23|6757.03|6381.63|No Volume|4880.08|4587.27|11006.27|No Volume|9670.43|9391.83|5565.09|13119.04|9186.98|8944.92|9156.51|No Volume|12783.17|No Volume|5155.04|No Volume|5208.2|9446.4|9594.56|4178.14|5116.29|4236.4|9594.56|No Volume|No Volume|No Volume|5630.85|5630.85|6424.25|5003.96|No Volume|No Volume|No Volume|No Volume|9190.94|No Volume|No Volume|4178.14|13119.04
MSDRG|||196|Interstitial lung disease|46669.93|24735.06|10770.84|11488.9|11488.9|12925.01|12206.95|No Volume|9334.73|8774.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33295.88|12250.62|No Volume|12381.2|14749.84|14749.84|10262.5|12162.71|10405.61|14749.84|No Volume|No Volume|No Volume|12180.14|12180.14|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21849.17|No Volume|No Volume|6424.25|33295.88
MSDRG|||197|Interstitial lung disease|21791.88|11549.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11549.7|11549.7
MSDRG|||198|Interstitial lung disease|18261.34|9678.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9678.51|9678.51
MSDRG|||199|Pneumothorax|24708.81|13095.67|16237.26|17319.74|17319.74|19484.72|18402.23|No Volume|14072.3|13227.95|60839.44|No Volume|25995.28|No Volume|14959.64|No Volume|24695.69|24045.01|No Volume|No Volume|68072.69|No Volume|No Volume|No Volume|No Volume|21252.83|21252.83|10989.58|13004.77|11142.83|21252.83|No Volume|No Volume|No Volume|11045.73|10752.48|No Volume|12719.23|26519.05|23337.12|No Volume|25498.33|No Volume|No Volume|13368.17|10752.48|68072.69
MSDRG|||200|Pneumothorax|21453.56|11370.39|34319.66|36607.64|36607.64|41183.6|38895.61|No Volume|29743.71|27959.11|5515.23|No Volume|5515.23|2998.65|5515.23|4090.66|5515.23|5515.23|2998.65|No Volume|4397.65|15187.94|8012.42|8573.05|8096.77|9267.48|9267.48|6628.3|7953.89|6720.73|9267.48|No Volume|No Volume|No Volume|8573.05|8573.05|6424.25|7779.25|15382.81|14034.13|No Volume|15333.8|14288.42|No Volume|8176.15|2998.65|41183.6
MSDRG|||201|Pneumothorax|19674.26|10427.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5633.43|No Volume|5633.43|No Volume|5633.43|No Volume|5633.43|5633.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5253.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5253.04|10427.36
MSDRG|||202|Bronchitis & asthma|14295.77|7576.76|7256.7|7740.45|7740.45|8707.99|8224.21|No Volume|6477.79|6089.11|16631.11|No Volume|14041.76|No Volume|8080.68|No Volume|13339.76|12988.29|No Volume|No Volume|No Volume|No Volume|5137.76|5816.71|5137.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4844.98|4844.98|5137.76|6848.83|14324.68|12605.91|No Volume|13773.32|5137.76|No Volume|7198.26|4844.98|16631.11
MSDRG|||203|Bronchitis & asthma|10186.85|5399.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4941.51|No Volume|3840.97|No Volume|3840.97|6369.72|6369.72|4249.8|5199.29|4309.07|6369.72|No Volume|No Volume|No Volume|No Volume|No Volume|3752.38|No Volume|No Volume|No Volume|No Volume|No Volume|3840.97|No Volume|No Volume|3752.38|6369.72
MSDRG|||204|Respiratory signs & symptoms|11302.71|5990.44|8477.07|9042.19|9042.19|10172.46|9607.31|No Volume|7530.04|7078.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6843.42|5900.29|12310.27|11252.31|11454.85|4976.89|6041.34|5046.29|11454.85|No Volume|No Volume|No Volume|5900.29|5900.29|7199.07|No Volume|1291.37|1291.37|No Volume|1291.37|5255.87|No Volume|682.64|682.64|12310.27
MSDRG|||205|Other respiratory system diagnoses|23952.16|12694.64|13193.51|14073.07|14073.08|15832.21|14952.64|No Volume|11434.37|10748.32|3951.79|No Volume|3951.79|No Volume|3951.79|No Volume|3951.79|3951.79|No Volume|No Volume|41528.52|No Volume|11956.3|12794.49|12083.69|13833.21|13833.21|10010.13|5932.55|10149.72|13833.21|No Volume|No Volume|No Volume|12794.49|12794.49|6424.25|11609.82|10044.26|10044.26|No Volume|10044.26|21324.15|No Volume|12202.15|3951.79|41528.52
MSDRG|||206|Other respiratory system diagnoses|16959.23|8988.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20905.45|No Volume|12858.04|No Volume|7399.48|No Volume|12215.22|11893.37|No Volume|No Volume|No Volume|No Volume|6515.15|No Volume|6583.15|11101.05|11101.05|5344.41|6466.98|5418.94|11101.05|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6324.99|No Volume|No Volume|No Volume|No Volume|11617.33|No Volume|No Volume|5344.41|20905.45
MSDRG|||207|Respiratory system diagnosis w ventilator support >96 hours|159593.14|84584.36|118141.75|126017.86|126017.87|141770.09|133893.98|No Volume|102389.51|96246.16|171944.71|No Volume|92688.31|73941.6|53741.31|86458.86|88056.22|85446.81|72093.06|No Volume|111694.9|96133.85|41254.4|44154.5|41254.4|85637.16|85637.16|85637.16|40965.57|85637.16|85637.16|No Volume|No Volume|No Volume|26612.19|25905.67|32889.66|40066.12|92678.4|83935.15|No Volume|89181.1|41254.4|No Volume|42110.31|25905.67|171944.71
MSDRG|||208|Respiratory system diagnosis w ventilator support <=96 hours|50808.39|26928.45|53004.5|56538.14|56538.14|63605.4|60071.77|No Volume|45937.24|43181|48324.51|No Volume|36970.13|34203.57|21275.39|41958.72|35121.87|34196.48|33346.56|No Volume|23493.46|19092.18|18027.53|19292.98|18221.15|34402.3|35021.54|15216.11|17899.6|15428.3|35021.54|No Volume|No Volume|No Volume|17706.31|17706.31|6424.25|17506.59|36525.56|33189.73|No Volume|36263.37|32154.97|No Volume|18399.79|6424.25|63605.4
MSDRG|||215|Other heart assist system implant|136023.14|72092.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|72092.26|72092.26
MSDRG|||216|Cardiac valve & oth maj cardiothoracic proc w card cath|166945.93|88481.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|160533.58|No Volume|160533.58|No Volume|160533.58|No Volume|160533.58|160533.58|No Volume|No Volume|116862.15|No Volume|72019.76|No Volume|72802.53|139077.2|141580.57|61513.72|64500.62|62371.54|141580.57|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|160533.58|173941.53|157531.95|No Volume|167377.7|128475.05|No Volume|85367.97|6424.25|173941.53
MSDRG|||217|Cardiac valve & oth maj cardiothoracic proc w card cath|128537.82|68125.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47797.78|No Volume|48316.26|142757.32|142757.32|142757.32|61785.6|142757.32|142757.32|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|85263.98|No Volume|No Volume|6424.25|142757.32
MSDRG|||218|Cardiac valve & oth maj cardiothoracic proc w card cath|132589.11|70272.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|74803.99|76150.45|33085.74|38594.77|33547.12|76150.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33085.74|76150.45
MSDRG|||219|Cardiac valve & oth maj cardiothoracic proc w/o card cath|153196.35|81194.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|94052.87|No Volume|84890.63|65320.39|48852.79|76378.2|80648.6|78522.58|63687.38|No Volume|No Volume|No Volume|56287.77|No Volume|56898.87|75594.86|75594.86|48023.75|55894.78|48693.45|75594.86|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|45599.71|145475.18|131751.11|No Volume|139985.55|100409.78|No Volume|66611.44|6424.25|145475.18
MSDRG|||220|Cardiac valve & oth maj cardiothoracic proc w/o card cath|126418.03|67001.56|No Volume|No Volume|No Volume|No Volume|No Volume|154803.36|No Volume|No Volume|No Volume|193746.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38184.85|No Volume|38184.85|73481.41|74804.06|32500.76|37917.28|32953.99|74804.06|No Volume|No Volume|No Volume|No Volume|No Volume|38438.72|No Volume|77386.38|70495.69|No Volume|77024.17|38184.85|No Volume|38976.85|32500.76|193746.38
MSDRG|||221|Cardiac valve & oth maj cardiothoracic proc w/o card cath|107953.03|57215.11|94075.87|100347.59|100347.6|112891.04|106619.32|No Volume|81532.41|76640.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35442.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35442.45|35442.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35442.45|112891.04
MSDRG|||222|Cardiac defib implant w cardiac cath w AMI/HF/shock|258613.83|137065.33|193938.62|206867.86|206867.87|232726.35|219797.1|No Volume|168080.15|157995.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|61612.06|61612.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|61612.06|232726.35
MSDRG|||223|Cardiac defib implant w cardiac cath w AMI/HF/shock|90738.49|48091.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48091.4|48091.4
MSDRG|||224|Cardiac defib implant w cardiac cath w/o AMI/HF/shock|165982.23|87970.58|210585.27|224624.29|224624.29|252702.33|238663.3|No Volume|182507.22|171556.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|129632.12|No Volume|70748.7|No Volume|213350.82|213350.82|213350.82|98740.79|213350.82|213350.82|No Volume|No Volume|No Volume|70748.7|70748.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|70748.7|252702.33
MSDRG|||225|Cardiac defib implant w cardiac cath w/o AMI/HF/shock|94602.78|50139.47|71031.7|75767.14|75767.14|85238.04|80502.59|No Volume|61560.81|57867.16|120249.17|No Volume|81824.93|54835.43|47088.21|74804.66|77734.24|75686.09|54835.43|No Volume|No Volume|No Volume|40634.35|43490.81|41074.66|78230.23|79638.36|34601.16|40349.81|35083.68|79638.36|No Volume|No Volume|No Volume|43490.81|43490.81|6424.25|39463.88|No Volume|No Volume|No Volume|No Volume|72484.69|No Volume|No Volume|6424.25|120249.17
MSDRG|||226|Cardiac defibrillator implant w/o cardiac cath|131925.12|69920.31|No Volume|No Volume|No Volume|No Volume|No Volume|98995.09|No Volume|No Volume|No Volume|98995.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|69920.31|98995.09
MSDRG|||227|Cardiac defibrillator implant w/o cardiac cath|101668.05|53884.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37636.96|No Volume|38044.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|67137.46|No Volume|No Volume|6424.25|67137.46
MSDRG|||228|Other cardiothoracic procedures|110242.68|58428.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|87058.97|88626.02|38506.1|44872.2|39043.08|88626.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33196.92|33196.92|No Volume|33196.92|No Volume|No Volume|46126.11|33196.92|88626.02
MSDRG|||229|Other cardiothoracic procedures|84819.7|44954.44|69241.14|73857.22|73857.21|83089.37|78473.29|No Volume|60008.98|56408.46|84819.7|No Volume|57993.5|No Volume|33373.82|No Volume|55094.22|53642.59|No Volume|No Volume|58045.73|No Volume|29605.61|31685.89|29925.57|56848.76|57872.03|25144.15|29397.47|25494.8|57872.03|No Volume|No Volume|No Volume|31685.89|31685.89|6424.25|28752.01|No Volume|No Volume|No Volume|No Volume|52809.82|No Volume|No Volume|6424.25|84819.7
MSDRG|||231|Coronary bypass w PTCA|158523.9|84017.67|128746.59|137329.7|137329.7|154495.91|145912.81|No Volume|111580.38|104885.57|126887.23|No Volume|123464.49|No Volume|71050.75|No Volume|117292.11|114201.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|106098.08|106098.08|106098.08|58529.48|106098.08|106098.08|No Volume|No Volume|No Volume|90726.09|90726.09|No Volume|57244.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|57244.4|154495.91
MSDRG|||232|Coronary bypass w PTCA|106405.87|56395.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|56395.11|56395.11
MSDRG|||233|Coronary bypass w cardiac cath|154351.2|81806.14|91599.65|97706.29|97706.3|109919.57|103812.94|No Volume|79386.37|74623.2|154351.2|No Volume|113321.44|No Volume|65213.68|No Volume|107656.15|104819.61|No Volume|No Volume|74915.03|No Volume|55779.16|86407.88|56384.72|107591.5|109528.13|47587.62|55389.7|48251.24|109528.13|No Volume|No Volume|No Volume|86407.88|86407.88|6424.25|54173.56|No Volume|No Volume|No Volume|No Volume|99502.45|No Volume|No Volume|6424.25|154351.2
MSDRG|||234|Coronary bypass w cardiac cath|107903.31|57188.75|87443.84|93273.43|93273.43|104932.62|99103.02|No Volume|75784.65|71237.61|90723.07|No Volume|77325.63|67636.63|44498.98|79086.54|73459.88|71524.35|65945.71|No Volume|71292.27|65278.64|38278.2|No Volume|38278.2|72102.05|73399.88|31890.67|37210.72|32335.39|73399.88|No Volume|No Volume|No Volume|96539.67|96539.67|38278.2|36393.72|No Volume|No Volume|No Volume|No Volume|38278.2|No Volume|No Volume|31890.67|104932.62
MSDRG|||235|Coronary bypass w/o cardiac cath|90133.19|47770.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|57553.93|No Volume|67296.99|No Volume|No Volume|56115.08|No Volume|94714.57|No Volume|42318.78|No Volume|42777.46|81495.83|81547.95|36045.53|42022.57|36548.19|81547.95|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|75489.64|No Volume|No Volume|6424.25|94714.57
MSDRG|||236|Coronary bypass w/o cardiac cath|83764.87|44395.38|71696.35|76476.1|76476.11|86035.62|81255.86|No Volume|62136.83|58408.64|88662.5|No Volume|59342.99|44749.8|34150.42|52325.3|56376.25|54890.84|43631.05|No Volume|No Volume|No Volume|29064.11|31106.3|29378.17|55799.01|56803.38|24679.85|28859.73|25024.01|56803.38|No Volume|No Volume|No Volume|36274.3|36274.3|6424.25|28226.09|No Volume|No Volume|No Volume|No Volume|51843.83|No Volume|No Volume|6424.25|88662.5
MSDRG|||239|Amputation for circ sys disorders exc upper limb & toe|67990.06|36034.73|42059.31|44863.26|44863.26|50471.17|47667.22|No Volume|36451.4|34264.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26705.14|32116.12|26993.45|64670.68|65834.74|28603.78|33404.12|29002.67|65834.74|No Volume|No Volume|No Volume|32116.12|32116.12|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|47635.51|No Volume|No Volume|6424.25|65834.74
MSDRG|||240|Amputation for circ sys disorders exc upper limb & toe|58602.67|31059.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14568.62|No Volume|14724.51|38223.24|38911.25|16906.1|14464.66|17141.86|38911.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|25984.42|No Volume|No Volume|6424.25|38911.25
MSDRG|||241|Amputation for circ sys disorders exc upper limb & toe|33255.73|17625.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33255.73|No Volume|23142.14|No Volume|13317.73|No Volume|21985.19|21405.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10791.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10791.82|33255.73
MSDRG|||242|Permanent cardiac pacemaker implant|59085.69|31315.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20289.62|16359.76|20507.93|51395.02|52320.13|22731.97|26603.87|23048.97|52320.13|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|36190.46|No Volume|No Volume|6424.25|52320.13
MSDRG|||243|Permanent cardiac pacemaker implant|64403.39|34133.8|46501.4|49601.49|49601.49|55801.67|52701.58|No Volume|40301.21|37883.15|69904.96|No Volume|36829.07|No Volume|21194.22|No Volume|34987.87|34066|No Volume|No Volume|55399.02|No Volume|17221.83|19639.35|17406.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18065.06|17585.46|6424.25|17820.89|37571.12|33063.09|No Volume|36125.01|30717.65|No Volume|18730.12|6424.25|69904.96
MSDRG|||244|Permanent cardiac pacemaker implant|49050.24|25996.63|28511.29|30412.03|30412.03|34213.56|32312.78|No Volume|24709.77|23227.18|81523.84|No Volume|30039.41|No Volume|17286.93|No Volume|28537.65|27785.73|No Volume|No Volume|50647.01|No Volume|15108|15426.61|15269.76|28742.21|29259.57|12712.66|15000.29|12889.94|29259.57|No Volume|No Volume|No Volume|15426.61|15426.61|6424.25|14670.94|30644.66|26967.71|No Volume|29465.14|26946.63|No Volume|15419.46|6424.25|81523.84
MSDRG|||245|AICD generator procedures|120827.72|64038.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|64038.69|64038.69
MSDRG|||246|Perc cardiovasc proc w drug-eluting stent|78857.98|41794.73|77054.93|82191.93|82191.93|92465.92|87328.92|No Volume|66780.94|62774.1|69766.59|No Volume|45453.93|43686.28|26157.61|53356.03|43181.55|42043.79|42591.67|No Volume|47471.28|No Volume|22947.21|33781.87|23194.5|43940.11|44731.02|19434.67|22785.19|19705.69|44731.02|No Volume|No Volume|No Volume|38247.71|38247.71|6424.25|22284.92|46369.76|40806.01|No Volume|44584.98|40931.48|No Volume|23421.9|6424.25|92465.92
MSDRG|||247|Perc cardiovasc proc w drug-eluting stent|67766.5|35916.24|44899.27|47878.89|47837.89|53817.62|50827.76|No Volume|38868.29|36536.21|70233.75|No Volume|28912.4|28015.78|16638.37|63752.69|27466.98|26743.28|27313.81|No Volume|45888.49|44045.56|14817.26|16061.8|14975.86|28178.56|28685.77|12463.35|14711.58|12637.16|28685.77|No Volume|No Volume|No Volume|15856.8|15856.8|6424.25|14388.58|29494.95|25955.95|No Volume|28359.68|26428|No Volume|15122.69|6424.25|70233.75
MSDRG|||248|Perc cardiovasc proc w non-drug-eluting stent|72539.46|38445.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|67263.11|No Volume|46154.85|No Volume|26560.97|No Volume|43847.43|42692.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|42883.43|43655.32|18967.3|22243.94|19231.8|43655.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21755.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18967.3|67263.11
MSDRG|||249|Perc cardiovasc proc w non-drug-eluting stent|51268.93|27172.53|35857.34|38247.83|38247.83|43028.81|40638.32|No Volume|31076.36|29211.8|77230.53|No Volume|27328.78|25132.77|15727.03|34285.29|25962.53|25278.46|25132.77|No Volume|No Volume|No Volume|No Volume|14953.77|No Volume|26542.99|27020.76|11739.94|13873.77|11903.66|27020.76|No Volume|No Volume|No Volume|18211.36|17727.88|No Volume|13569.16|27879.42|24534.26|No Volume|26806.34|No Volume|No Volume|14261.46|11739.94|77230.53
MSDRG|||250|Perc cardiovasc proc w/o coronary artery stent|53344.44|28272.55|35440.41|37803.1|37803.11|42528.5|40165.8|No Volume|30715.03|28872.13|No Volume|No Volume|No Volume|35112.33|No Volume|67295.33|No Volume|No Volume|34232.54|No Volume|No Volume|No Volume|18498.98|19797.62|18697.75|26575.5|33518.01|25321.64|26721.8|25384.79|33518.01|No Volume|No Volume|No Volume|19797.62|19797.62|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|32996.03|No Volume|No Volume|6424.25|67295.33
MSDRG|||251|Perc cardiovasc proc w/o coronary artery stent|43255.8|22925.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43255.8|No Volume|24136.81|16071.04|13890.14|21923.57|22930.14|22325.97|16071.04|No Volume|No Volume|No Volume|12304.9|No Volume|12436.08|23307.87|23727.41|10309.05|12216.62|10452.81|23727.41|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11948.4|No Volume|No Volume|No Volume|No Volume|21946.03|No Volume|No Volume|6424.25|43255.8
MSDRG|||252|Other vascular procedures|66566.29|35280.13|63268.43|67486.32|67486.32|75922.11|71704.22|No Volume|54832.64|51542.7|94026.1|No Volume|56573.62|No Volume|34292.72|No Volume|53743.47|52074.74|No Volume|No Volume|33847.66|No Volume|23715.84|25381.62|23971.53|45430.26|46248|20093.76|23548.5|20373.97|46248|No Volume|No Volume|No Volume|25381.62|25381.62|6424.25|23031.47|No Volume|No Volume|No Volume|No Volume|42302.7|No Volume|No Volume|6424.25|94026.1
MSDRG|||253|Other vascular procedures|71495.71|37892.73|53621.78|57196.57|57196.57|64346.14|60771.35|No Volume|46472.21|43683.9|44112.6|No Volume|38590.11|30125.91|22207.65|35225.8|36660.87|35694.92|29372.77|No Volume|54947.63|43966.02|18902.58|20229.63|19105.76|36098.8|36748.58|15966.47|18768.6|16189.12|36748.58|No Volume|No Volume|No Volume|20229.63|20229.63|6424.25|18356.52|39367.64|34644.05|No Volume|37852.38|33716.05|No Volume|19293.07|6424.25|64346.14
MSDRG|||254|Other vascular procedures|49527.59|26249.62|14168.93|15113.53|15113.53|17002.72|16058.12|No Volume|12279.75|11542.97|39726.36|No Volume|26313.75|No Volume|15142.91|No Volume|24998.24|24339.58|No Volume|No Volume|45185.19|No Volume|13284.28|14215.92|13284.28|25206.56|25614.69|11148.84|13189.22|11304.31|25614.69|No Volume|No Volume|No Volume|14215.92|14215.92|17818.55|12899.63|No Volume|No Volume|No Volume|No Volume|13284.28|No Volume|No Volume|11148.84|45185.19
MSDRG|||255|Upper limb & toe amputation for circ system disorders|34624.31|18350.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28259.59|No Volume|22756|No Volume|13096|No Volume|21620|21048|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34624.31|34624.31|16229.86|14735.49|16456.19|34624.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11584.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11584.59|34624.31
MSDRG|||256|Upper limb & toe amputation for circ system disorders|33281.73|17639.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17639.32|17639.32
MSDRG|||258|Cardiac pacemaker device replacement|87023.04|46122.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46122.21|46122.21
MSDRG|||259|Cardiac pacemaker device replacement|35032.5|18567.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35032.5|No Volume|30831.95|No Volume|17743.02|No Volume|29290.56|28518.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14720.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14720.89|35032.5
MSDRG|||260|Cardiac pacemaker revision except device replacement|145919.81|77337.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26710.36|No Volume|26998.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|47644.81|No Volume|No Volume|6424.25|77337.5
MSDRG|||261|Cardiac pacemaker revision except device replacement|38798.67|20563.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20563.3|20563.3
MSDRG|||262|Cardiac pacemaker revision except device replacement|56782.82|30094.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39747.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30094.89|39747.97
MSDRG|||263|Vein ligation & stripping|330808.32|175328.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|175328.41|175328.41
MSDRG|||264|Other circulatory system O.R. procedures|71675.98|37988.27|74823.92|79812.18|79812.18|89788.7|84800.43|No Volume|64847.4|60956.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25057.43|No Volume|44843.06|45650.23|19834.05|23247.72|20110.64|45650.23|No Volume|No Volume|No Volume|90395.26|90395.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19834.05|90395.26
MSDRG|||280|Acute myocardial infarction discharged alive|26844.42|14227.54|46840.05|49962.72|49962.72|56208.07|53085.38|No Volume|40594.72|38159.04|21178.39|No Volume|21178.39|No Volume|13276|No Volume|21178.39|21178.39|No Volume|No Volume|No Volume|2835.15|11932.74|12769.26|12059.86|16966.71|16966.71|9989.91|5786.92|10129.23|16966.71|No Volume|No Volume|No Volume|20579.36|20033|6424.25|11048.29|24124.68|21230.04|No Volume|23196.12|21282.1|No Volume|12178.09|2835.15|56208.07
MSDRG|||281|Acute myocardial infarction discharged alive|19487.07|10328.15|3403.55|3630.45|3630.45|4084.25|3857.35|No Volume|2949.74|2772.76|21519.25|No Volume|13554.6|13338.03|7800.33|17710.13|12876.96|12537.68|13003.83|No Volume|16117.94|No Volume|7202.35|7705.97|7277.86|13415.53|13657|5933.67|7149.43|6016.42|13657|No Volume|No Volume|No Volume|6354.69|6185.98|6424.25|6992.46|13827.7|12168.57|No Volume|13295.47|12843.29|No Volume|7349.21|2772.76|21519.25
MSDRG|||282|Acute myocardial infarction discharged alive|20454.98|10841.14|21938.34|23400.9|23400.89|26326.01|24863.46|No Volume|19013.24|17872.44|17147.64|No Volume|10550.22|10160.15|6071.39|16322.85|10022.78|9758.7|9905.57|No Volume|No Volume|No Volume|5553.66|5941.24|5611.17|10219.18|10403.12|4519.93|5512.15|4582.96|10403.12|No Volume|No Volume|No Volume|5941.24|5941.24|6424.25|5391.13|10762.79|9471.4|No Volume|10348.53|9902.07|No Volume|5666.18|4519.93|26326.01
MSDRG|||283|Acute myocardial infarction expired|34610.95|18343.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18343.8|18343.8
MSDRG|||284|Acute myocardial infarction expired|10550.96|5592.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5463.63|No Volume|5520.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|9741.46|No Volume|No Volume|5463.63|9741.46
MSDRG|||286|Circulatory disorders except AMI w card cath|37022.29|19621.81|34167.68|36445.52|36445.52|41001.21|38723.37|No Volume|29611.99|27835.27|45857.44|No Volume|32197.44|23796.79|18528.83|27825.25|30587.79|29781.86|23201.87|No Volume|36051.35|No Volume|15979.48|No Volume|16150.76|24608.49|24608.49|13459.95|15865.75|13647.66|24608.49|No Volume|No Volume|No Volume|20758.25|20758.25|6424.25|15517.4|32846.17|28905.08|No Volume|31581.92|28501.34|No Volume|16309.1|6424.25|45857.44
MSDRG|||287|Circulatory disorders except AMI w card cath|20406.47|10815.43|13256.88|14140.67|14140.67|15908.26|15024.47|No Volume|11489.3|10799.94|19379.96|No Volume|16723.3|11176.62|9623.84|15246.77|15887.25|15468.65|11176.62|No Volume|No Volume|18411.11|8513.18|9109.03|8602.98|2446.62|7172.46|2293.79|3268.82|2327.41|7172.46|No Volume|No Volume|No Volume|8572.96|8572.96|6424.25|8265.6|6110.38|5440.16|No Volume|5863.46|15181.72|No Volume|6532.93|2293.79|19379.96
MSDRG|||288|Acute & subacute endocarditis|41103.06|21784.62|30827.3|32882.45|32882.45|36992.76|34937.59|No Volume|26716.99|25113.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9669.26|No Volume|9669.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18140.31|17658.71|9669.26|No Volume|No Volume|No Volume|No Volume|No Volume|9669.26|No Volume|No Volume|9669.26|36992.76
MSDRG|||289|Acute & subacute endocarditis|6762.08|3583.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3583.9|3583.9
MSDRG|||290|Acute & subacute endocarditis|37119.65|19673.41|27839.74|29695.72|29695.72|33407.69|31551.71|No Volume|24127.78|22680.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8116.58|7901.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7901.09|33407.69
MSDRG|||291|Heart failure & shock|25385.14|13454.12|17704.64|18884.95|18884.95|21245.58|20065.26|No Volume|15344.02|14423.4|25415.86|No Volume|19499.37|18530.32|11221.4|44600.7|18524.53|18036.45|21251.4|No Volume|15342.37|10456.88|9896.15|7828.48|10001.06|18637.98|18973.47|8243.56|9824.57|8358.52|18973.47|No Volume|No Volume|No Volume|7434.09|7434.09|8120.89|9608.86|19892|17504|No Volume|19126.6|9896.15|No Volume|9859.63|7434.09|44600.7
MSDRG|||292|Heart failure & shock|18622.76|9870.06|13357.13|14247.46|14247.46|16028.47|15137.94|No Volume|12202.04|11469.95|16979.4|No Volume|13016.54|7920.67|7490.7|10805.11|12365.81|12039.99|7920.67|No Volume|5493.37|No Volume|6750.87|10476.42|6821.45|12540.27|12765.99|5546.55|6701.08|5623.9|12765.99|No Volume|No Volume|No Volume|6907.78|6907.78|6424.25|6553.95|No Volume|No Volume|No Volume|No Volume|12037.86|No Volume|No Volume|5493.37|16979.4
MSDRG|||293|Heart failure & shock|16938.28|8977.29|31165.04|33242.71|33242.71|37398.04|35320.39|No Volume|27009.7|25389.13|41700.77|No Volume|9490.11|No Volume|5461.32|No Volume|9015.67|8778.12|No Volume|No Volume|5306.75|No Volume|4963.6|5309.66|5014.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5309.66|5309.66|6424.25|4818.02|No Volume|No Volume|No Volume|No Volume|8849.43|No Volume|No Volume|4818.02|41700.77
MSDRG|||296|Cardiac arrest unexplained|11553.78|6123.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11500.55|No Volume|11622.95|21748.47|22139.94|9619.33|11417.84|9753.47|22139.94|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11553.78|No Volume|No Volume|6123.5|22139.94
MSDRG|||297|Cardiac arrest unexplained|29640.71|15709.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15709.58|15709.58
MSDRG|||299|Peripheral vascular disorders|28565.75|15139.85|12521.63|13356.4|13356.4|15025.95|14191.18|No Volume|10852.08|10200.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5732.78|No Volume|5792.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7017.22|6830.92|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|3948.66|No Volume|No Volume|3948.66|15139.85
MSDRG|||300|Peripheral vascular disorders|19338.14|10249.21|11086.54|11825.64|11825.64|13303.85|12564.74|No Volume|9608.33|9031.84|29554.63|No Volume|15155.67|No Volume|8721.71|No Volume|14397.99|14018.63|No Volume|No Volume|19860.63|No Volume|7623.08|No Volume|7703.19|9255.83|9255.83|6294.46|7567.25|6382.24|9255.83|No Volume|No Volume|No Volume|5053.64|4919.48|6424.25|7401.11|15461.04|13605.92|No Volume|14865.94|13593.87|No Volume|7778.71|4919.48|29554.63
MSDRG|||301|Peripheral vascular disorders|15220.07|8066.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11415.05|No Volume|No Volume|No Volume|No Volume|9527.14|9527.14|4445.82|5426.3|4507.81|9527.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4445.82|11415.05
MSDRG|||302|Atherosclerosis|15197.78|8054.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8054.82|8054.82
MSDRG|||303|Atherosclerosis|13918.54|7376.83|7569.77|8074.39|8074.39|9083.69|8579.06|No Volume|7266.96|6830.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9661.56|6229.81|9763.91|9357.77|9526.21|4138.93|5070.9|4196.65|9526.21|No Volume|No Volume|No Volume|6229.81|6229.81|6424.25|No Volume|10034.39|8830.4|No Volume|9648.17|17230.43|No Volume|5212.6|4138.93|17230.43
MSDRG|||304|Hypertension|21722.99|11513.18|16438.22|17534.1|17534.1|19725.86|18629.97|No Volume|14246.45|13391.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8079.56|8644.91|8164.64|15116.18|15388.27|6685.87|8020.56|6779.11|15388.27|No Volume|No Volume|No Volume|10625.64|10343.54|6424.25|No Volume|16253.23|14303.06|No Volume|15627.64|13535.19|No Volume|8244.69|6424.25|19725.86
MSDRG|||305|Hypertension|13458|7132.74|5870.45|6261.81|6261.81|7044.53|6653.17|No Volume|5087.72|4782.46|14254.57|No Volume|10739.27|9420.6|6180.18|11015.37|10202.38|9933.56|9185.09|No Volume|17639|No Volume|5507.93|4690.66|5564.94|10130.54|10312.89|4480.73|5466.73|4543.21|10312.89|No Volume|No Volume|No Volume|4034.76|3927.64|6424.25|5346.7|No Volume|No Volume|No Volume|No Volume|9820.48|No Volume|No Volume|3927.64|17639
MSDRG|||306|Cardiac congenital & valvular disorders|15811.68|8380.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8380.19|8380.19
MSDRG|||307|Cardiac congenital & valvular disorders|5025.19|2663.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5025.19|5025.19|5025.19|6535.8|5025.19|5025.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2663.35|6535.8
MSDRG|||308|Cardiac arrhythmia & conduction disorders|20769.22|11007.69|14045.73|14982.11|14982.11|16854.88|15918.5|No Volume|12172.98|11442.6|18042.82|No Volume|17440.22|No Volume|10036.41|No Volume|16568.33|16131.78|No Volume|No Volume|52755.78|No Volume|8766.76|9380.47|8859.33|16448.46|16744.53|7275.14|8702.99|7376.59|16744.53|No Volume|No Volume|No Volume|9380.47|9380.47|6424.25|8511.91|17791.62|15656.86|No Volume|17106.82|15634.12|No Volume|8946.19|6424.25|52755.78
MSDRG|||309|Cardiac arrhythmia & conduction disorders|15275.84|8096.2|6093.16|6499.35|6499.35|7311.8|6905.56|No Volume|5849.41|5498.46|12674.58|No Volume|10897.77|6753.15|6271.4|7896.36|10352.96|10080.18|6584.32|No Volume|11846.75|15590.31|5685.07|6081.92|5744.04|10474|10662.53|4632.64|5642.67|4697.24|10662.53|No Volume|No Volume|No Volume|4157.7|4157.7|6424.25|5518.78|11117.35|9783.42|No Volume|10689.44|10136.54|No Volume|5800.35|4157.7|15590.31
MSDRG|||310|Cardiac arrhythmia & conduction disorders|14368.57|7615.34|15274.74|16292.94|16292.94|18329.64|17311.3|No Volume|14415.22|13550.35|8133.34|No Volume|1155|4111.8|608.8|5609.18|1098|1069|4111.8|No Volume|No Volume|No Volume|4277.83|6252.82|4321.42|7745.75|7885.17|3425.94|4245.16|3473.71|7885.17|No Volume|No Volume|No Volume|1904.35|1904.35|6424.25|719.84|No Volume|No Volume|No Volume|No Volume|7626.04|No Volume|No Volume|608.8|18329.64
MSDRG|||311|Angina pectoris|9128.71|4838.22|4215.59|4496.58|4496.58|5058.71|4777.61|No Volume|4046.95|3804.12|10133.28|No Volume|10133.28|No Volume|5832.89|No Volume|9629.06|9375.35|No Volume|No Volume|3139.77|No Volume|1170.36|4514.15|1216.34|9486.57|9657.32|4195.9|5136.87|4254.41|9657.32|No Volume|No Volume|No Volume|3942.35|3942.35|1216.34|5024.09|No Volume|No Volume|No Volume|No Volume|1747.63|No Volume|No Volume|1170.36|10133.28
MSDRG|||312|Syncope & collapse|13467.52|7137.79|6979.65|7444.96|7444.96|8375.58|7910.27|No Volume|6049.03|5686.1|5937.14|No Volume|7082.37|4063.69|6723.37|5543.56|7039.37|7017.37|4063.69|No Volume|6021.45|No Volume|6115.83|5249.65|6179.48|11309.09|11512.66|5002|6070.43|5071.76|11512.66|No Volume|No Volume|No Volume|6086.79|6086.79|6424.25|5937.14|10621.54|10621.54|No Volume|10621.54|10904.96|No Volume|6240.06|4063.69|11512.66
MSDRG|||313|Chest pain|9759.87|5172.73|14091.47|15030.9|15030.9|16909.76|15970.33|No Volume|12212.6|11479.85|15987.82|No Volume|10481.87|No Volume|6032.06|No Volume|9957.85|9695.48|No Volume|No Volume|4983.95|No Volume|1251.55|1056.98|5459.47|2735.28|2791.92|979.33|1308.47|1003.63|2791.92|No Volume|No Volume|No Volume|5561.34|5561.34|1340.57|5234.31|No Volume|No Volume|No Volume|No Volume|2143.17|No Volume|No Volume|979.33|16909.76
MSDRG|||314|Other circulatory system diagnoses|33958.98|17998.26|16096.57|17169.67|17169.67|19315.88|18242.78|No Volume|13950.36|13113.34|36389.13|No Volume|30296.8|10972.06|17435.06|12829.47|28782.17|28023.81|10697.76|No Volume|23011.78|No Volume|11491.73|15817.03|11491.73|28106.55|28612.46|12431.5|14674.69|12604.86|28612.46|No Volume|No Volume|No Volume|7027.66|6841.09|21617.84|14352.49|15084.76|15084.76|No Volume|15084.76|11491.73|No Volume|15084.76|6841.09|36389.13
MSDRG|||315|Other circulatory system diagnoses|17891.3|9482.39|8156.48|8700.23|8700.23|9787.8|9244.01|No Volume|7830.24|7360.37|8328.5|No Volume|8328.5|10335.05|8161.02|14098.73|8328.5|8328.5|10335.05|No Volume|No Volume|No Volume|7214.49|3455.24|7214.49|13439.07|13680.97|5944.09|7161.48|6026.98|13680.97|No Volume|No Volume|No Volume|7351.93|7351.93|7555.38|7004.25|No Volume|No Volume|No Volume|No Volume|7214.49|No Volume|No Volume|3455.24|14098.73
MSDRG|||316|Other circulatory system diagnoses|8989.74|4764.56|39658.37|42302.26|42302.25|47590.04|44946.15|No Volume|34370.59|32308.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7510.98|No Volume|6364.34|5974.11|16945.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5974.11|5974.11|6364.34|No Volume|No Volume|No Volume|No Volume|No Volume|5061.6|No Volume|No Volume|4764.56|47590.04
MSDRG|||326|Stomach esophageal & duodenal proc|71015.08|37637.99|83624.53|89199.5|89199.49|100349.43|94774.47|No Volume|72474.59|68126.12|71015.08|No Volume|71015.08|24172.37|45003.61|28264.4|71015.08|71015.08|23568.06|No Volume|No Volume|No Volume|6746.62|40598.25|6746.62|72991.15|74304.98|32283.92|37666.15|32734.13|74304.98|No Volume|No Volume|No Volume|40598.25|40598.25|6746.62|36839.15|66196.33|66196.33|No Volume|66196.33|6746.62|No Volume|38718.7|6746.62|100349.43
MSDRG|||327|Stomach esophageal & duodenal proc|45332.66|24026.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18661.85|19971.94|18661.85|35632.09|36273.46|15760.04|18529.53|15979.82|36273.46|No Volume|No Volume|No Volume|No Volume|No Volume|28712.66|No Volume|No Volume|No Volume|No Volume|No Volume|18661.85|No Volume|No Volume|15760.04|36273.46
MSDRG|||328|Stomach esophageal & duodenal proc|39326.6|20843.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21812.18|22204.79|9647.51|11450.48|9782.04|22204.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9647.51|22204.79
MSDRG|||329|Major small & large bowel procedures|87459.42|46353.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|89372.73|No Volume|48405|No Volume|27853|No Volume|45983|44772|No Volume|No Volume|31406.91|No Volume|35336.79|37820.41|35719.28|66191.62|66191.62|30058.56|35088.94|30477.74|66191.62|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|23188.52|71954.2|63320.67|No Volume|69184.68|63034.02|No Volume|36069.47|6424.25|89372.73
MSDRG|||330|Major small & large bowel procedures|61662.6|32681.18|50061.85|53399.3|53399.3|60074.22|56736.77|No Volume|43386.94|40783.74|87734.59|No Volume|36922.14|34791.51|21247.77|56947.47|35076.29|34152.09|33919.76|No Volume|31015.51|No Volume|18332.53|19619.46|18332.53|34993.65|35623.53|15477.66|18202.5|15693.5|35623.53|No Volume|No Volume|No Volume|13080|13080|15710.84|17802.85|37666.07|33146.65|No Volume|36216.3|18332.53|No Volume|18711.16|13080|87734.59
MSDRG|||331|Major small & large bowel procedures|44243.42|23449.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|52261|No Volume|24868.27|23258.59|14311.07|36678.47|23625.03|23002.56|22675.82|No Volume|No Volume|34220.29|12349.2|No Volume|12480.86|23393.73|23814.81|10347.03|12260.61|10491.32|23814.81|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11991.42|No Volume|No Volume|No Volume|No Volume|22025.05|No Volume|No Volume|6424.25|52261
MSDRG|||333|Rectal resection|44371.2|23516.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44245.11|No Volume|31134.42|No Volume|17917.09|No Volume|29577.92|28798.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15973.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15973.94|44245.11
MSDRG|||334|Rectal resection|49110.67|26028.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26028.66|26028.66
MSDRG|||335|Peritoneal adhesiolysis|138984.35|73661.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|102018.71|No Volume|No Volume|29295.55|No Volume|102686.07|102686.07|102686.07|36863.6|102686.07|102686.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29295.55|102686.07
MSDRG|||336|Peritoneal adhesiolysis|52256.32|27695.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44010.37|No Volume|33197.93|No Volume|19104.59|No Volume|31538.26|30707.29|No Volume|No Volume|No Volume|No Volume|16470.97|17626.86|16647.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|15994.75|33866.82|29803.26|No Volume|32563.29|21134.61|No Volume|16810.81|6424.25|44010.37
MSDRG|||337|Peritoneal adhesiolysis|48784.03|25855.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9629.74|No Volume|9629.74|22708.21|23116.95|10043.82|11909.46|10183.88|23116.95|No Volume|No Volume|No Volume|No Volume|No Volume|9629.74|No Volume|24219.62|21313.59|No Volume|23287.41|9629.74|No Volume|12242.26|9629.74|25855.54
MSDRG|||338|Appendectomy w complicated principal diag|103251.43|54723.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54723.26|54723.26
MSDRG|||339|Appendectomy w complicated principal diag|27436.9|14541.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12541.35|No Volume|12675.12|23766.27|24194.06|10511.8|12451.44|10658.39|24194.06|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|22367.86|No Volume|No Volume|6424.25|24194.06
MSDRG|||340|Appendectomy w complicated principal diag|24556.03|13014.7|22517.14|24018.28|24018.28|27020.57|25519.43|No Volume|19514.86|18343.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11390.85|No Volume|11390.85|17138.14|17446.62|7580.18|9056.29|7685.89|17446.62|No Volume|No Volume|No Volume|9147.99|8905.13|11390.85|No Volume|No Volume|No Volume|No Volume|No Volume|11390.85|No Volume|No Volume|7580.18|27020.57
MSDRG|||342|Appendectomy w/o complicated principal diag|33911.36|17973.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17973.02|17973.02
MSDRG|||343|Appendectomy w/o complicated principal diag|20991.27|11125.37|15863.31|16920.82|16920.82|19035.92|17978.39|No Volume|15228.75|14314.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8508.89|No Volume|8598.65|11806.82|12043.95|3858.93|5257.49|3920.55|12043.95|No Volume|No Volume|No Volume|9402.7|9402.7|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15174.09|No Volume|No Volume|3858.93|19035.92
MSDRG|||344|Minor small & large bowel procedures|84012.5|44526.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44526.62|44526.62
MSDRG|||345|Minor small & large bowel procedures|44877.72|23785.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22488.91|No Volume|36732.41|No Volume|No Volume|21925.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21925.42|36732.41
MSDRG|||346|Minor small & large bowel procedures|12272.32|6504.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17764.11|18083.86|7857.05|9376.93|7966.62|18083.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2250.3|2014.14|No Volume|2163.3|No Volume|No Volume|2400.73|2014.14|18083.86
MSDRG|||347|Anal & stomal procedures|98312.7|52105.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19115.45|No Volume|19320.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|34095.8|No Volume|No Volume|6424.25|52105.73
MSDRG|||348|Anal & stomal procedures|22169.25|11749.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10349.76|No Volume|10459.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|18451.25|No Volume|No Volume|6424.25|18451.25
MSDRG|||349|Anal & stomal procedures|32541.87|17247.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17247.19|17247.19
MSDRG|||350|Inguinal & femoral hernia procedures|62151.71|32940.41|46598.78|49705.37|49705.36|55918.54|52811.96|No Volume|40385.62|37962.5|217638.51|No Volume|56372.8|No Volume|36781.16|No Volume|53549.91|51507.23|No Volume|No Volume|No Volume|No Volume|No Volume|18950.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18950.43|18950.43|No Volume|39265.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18950.43|217638.51
MSDRG|||351|Inguinal & femoral hernia procedures|30002.54|15901.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|10575.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|No Volume|10575.56|15901.35
MSDRG|||352|Inguinal & femoral hernia procedures|24018.95|12730.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24018.95|No Volume|16039.83|No Volume|9230.52|No Volume|15237.95|14836.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14912.6|15181.03|6595.83|7916.27|6687.81|15181.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7742.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6595.83|24018.95
MSDRG|||353|Hernia procedures except inguinal & femoral|46420.44|24602.83|46749.23|49865.84|49865.84|56099.07|52982.45|No Volume|40515.99|38085.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21304.06|21304.06|No Volume|No Volume|24860.66|24860.66|No Volume|24860.66|No Volume|No Volume|21920.44|21304.06|56099.07
MSDRG|||354|Hernia procedures except inguinal & femoral|38971.81|20655.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|10575.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10228.59|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|No Volume|10228.59|20655.06
MSDRG|||355|Hernia procedures except inguinal & femoral|32714.33|17338.59|34853.77|37177.35|37177.35|41824.52|39500.94|No Volume|30206.6|28394.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|10792.72|10575.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10792.72|10792.72|10575.56|No Volume|No Volume|No Volume|No Volume|No Volume|10575.56|No Volume|No Volume|10575.56|41824.52
MSDRG|||356|Other digestive system O.R. procedures|88592.14|46953.83|112149.39|119626.02|119626.02|134579.26|127102.64|No Volume|97196.13|91364.42|127374.09|No Volume|62405.54|132559.6|35912.84|184367.09|59285.69|57723.62|128392.48|No Volume|No Volume|No Volume|29407.72|No Volume|29725.53|56465.14|57481.51|24974.48|19306.26|25322.76|57481.51|No Volume|No Volume|No Volume|35435.01|35435.01|6424.25|28559.83|No Volume|No Volume|No Volume|No Volume|52456.82|No Volume|No Volume|6424.25|184367.09
MSDRG|||357|Other digestive system O.R. procedures|86762.9|45984.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17506.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17506.05|45984.34
MSDRG|||358|Other digestive system O.R. procedures|24994.95|13247.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17496.47|No Volume|20458.37|No Volume|No Volume|17059.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13247.32|20458.37
MSDRG|||368|Major esophageal disorders|42149.9|22339.45|9857.61|10514.78|10514.78|11829.14|11171.96|No Volume|8543.27|8030.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13880.75|No Volume|14029.12|26362.96|26837.49|11660.31|13781.55|11822.92|26837.49|No Volume|No Volume|No Volume|8047.6|7833.95|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|24757.27|No Volume|No Volume|6424.25|26837.49
MSDRG|||369|Major esophageal disorders|29278.94|15517.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37198.07|No Volume|15658.83|No Volume|9011.27|No Volume|14875.99|14484.04|No Volume|No Volume|No Volume|No Volume|6749.09|No Volume|6749.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6749.09|7647.42|15974.33|14057.62|No Volume|15359.48|6749.09|No Volume|8037.59|6749.09|37198.07
MSDRG|||370|Major esophageal disorders|10370.66|5496.45|6686.04|7131.78|7131.78|8023.25|7577.51|No Volume|5794.57|5446.91|10370.66|No Volume|10370.66|No Volume|6256.34|No Volume|10328.09|10055.97|No Volume|No Volume|No Volume|No Volume|5268.64|No Volume|5268.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4523.83|4403.73|5268.64|5456.35|No Volume|No Volume|No Volume|No Volume|5268.64|No Volume|No Volume|4403.73|10370.66
MSDRG|||371|Major gastrointestinal disorders & peritoneal infections|28504.84|15107.57|11552.25|12322.4|12322.4|13862.7|13092.55|No Volume|10011.95|9411.24|18837.93|No Volume|18837.93|No Volume|14463.38|No Volume|18837.93|18837.93|No Volume|No Volume|No Volume|No Volume|9584.93|13492.59|9686.44|23523.02|23523.02|10569.38|12518.13|10716.77|23523.02|No Volume|No Volume|No Volume|13492.59|13492.59|6424.25|12243.28|25639.33|22562.96|No Volume|24652.47|17093.72|No Volume|12867.93|6424.25|25639.33
MSDRG|||372|Major gastrointestinal disorders & peritoneal infections|24251.44|12853.26|39689|42334.93|42334.93|47626.8|44980.86|No Volume|34397.14|32333.32|No Volume|No Volume|No Volume|12551.36|No Volume|14676.13|No Volume|No Volume|12237.58|No Volume|No Volume|No Volume|6675.01|8117.32|6675.01|10468.54|10468.54|6263.22|7531.07|6350.56|10468.54|No Volume|No Volume|No Volume|7451.94|7254.1|6675.01|No Volume|15244.45|13415.32|No Volume|14657.69|6675.01|No Volume|7741.52|6263.22|47626.8
MSDRG|||373|Major gastrointestinal disorders & peritoneal infections|17775.99|9421.27|3228.73|3443.95|3443.95|3874.43|3659.2|No Volume|3099.52|2913.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13614.3|1189.88|13759.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1189.88|1189.88|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|24281.95|No Volume|No Volume|1189.88|24281.95
MSDRG|||374|Digestive malignancy|26875.1|14243.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28510.22|No Volume|28510.22|8057.24|17305.35|9421.21|28510.22|27815.32|7855.81|No Volume|No Volume|No Volume|8210.38|No Volume|8296.88|26875.1|26875.1|12235.49|10773.34|12406.11|26875.1|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|14130.46|No Volume|No Volume|No Volume|No Volume|14641.56|No Volume|No Volume|6424.25|28510.22
MSDRG|||375|Digestive malignancy|19835.53|10512.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35200.43|No Volume|17521.66|No Volume|10083.28|No Volume|16645.69|16207.11|No Volume|No Volume|12860.54|No Volume|8906.77|No Volume|9000.87|10088.21|10088.21|7395.2|8842.03|7498.32|10088.21|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|8647.89|No Volume|No Volume|No Volume|No Volume|15883.88|No Volume|No Volume|6424.25|35200.43
MSDRG|||376|Digestive malignancy|15163.53|8036.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8036.67|8036.67
MSDRG|||377|G.I. hemorrhage|36805.28|19506.8|40973.42|43704.98|43704.98|49168.1|46436.54|No Volume|35510.29|33379.7|42783.98|No Volume|26159.6|No Volume|15054.2|No Volume|24851.8|24197|No Volume|No Volume|31699.49|29410.86|12925.67|13832.08|13063.63|24511.35|24952.55|10841.35|12833.09|10992.53|24952.55|No Volume|No Volume|No Volume|13832.08|13832.08|6424.25|12551.33|20085.47|20085.47|No Volume|20085.47|23053.46|No Volume|13191.7|6424.25|49168.1
MSDRG|||378|G.I. hemorrhage|20670.53|10955.38|17313.95|18468.22|18468.21|20776.75|19622.48|No Volume|15005.43|14105.12|21202.66|No Volume|14443.11|9000.18|8311.65|10523.78|13721.06|13359.53|8775.18|No Volume|14682.42|13907.76|7340.94|7854.3|7417.95|13684.2|13930.51|6052.51|7287.05|6136.91|13930.51|No Volume|No Volume|No Volume|7854.3|7854.3|6424.25|7127.05|14734.12|12966.23|No Volume|14167|13090.5|No Volume|7490.68|6052.51|21202.66
MSDRG|||379|G.I. hemorrhage|14843.49|7867.05|12698.66|13545.24|13545.24|15238.39|14391.82|No Volume|11005.51|10345.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4895.02|No Volume|4945.35|8942.3|9103.26|3955.17|4858.08|4010.33|9103.26|No Volume|No Volume|No Volume|5095.85|5095.85|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8487.67|No Volume|No Volume|3955.17|15238.39
MSDRG|||380|Complicated peptic ulcer|36568.99|19381.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13766.45|No Volume|13913.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|24553.39|No Volume|No Volume|6424.25|24553.39
MSDRG|||381|Complicated peptic ulcer|25163.76|13336.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|57845.19|No Volume|15410.16|No Volume|8868.16|No Volume|14639.76|14254.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7741.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7741.77|57845.19
MSDRG|||382|Complicated peptic ulcer|15723.95|8333.69|12947.78|13810.96|13810.96|15537.33|14674.14|No Volume|11221.41|10548.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6350.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6350.3|6350.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6350.3|15537.33
MSDRG|||383|Uncomplicated peptic ulcer|33211.45|17602.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33211.45|No Volume|19063.11|No Volume|10970.35|No Volume|18110.08|17632.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9473.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9473.54|33211.45
MSDRG|||384|Uncomplicated peptic ulcer|20023.66|10612.54|13127.34|14002.5|14002.5|15752.81|14877.66|No Volume|11377.03|10694.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6498.72|No Volume|6566.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8526.21|8299.85|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11588.02|No Volume|No Volume|6424.25|15752.81
MSDRG|||385|Inflammatory bowel disease|24921.19|13208.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24921.19|No Volume|23544.95|No Volume|13549.54|No Volume|22367.87|21778.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15973.87|15973.87|9863.73|11700.9|10001.28|15973.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11443.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9863.73|24921.19
MSDRG|||386|Inflammatory bowel disease|29801.42|15794.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24490.49|No Volume|14447.48|No Volume|8314.16|No Volume|13725.2|13363.57|No Volume|No Volume|No Volume|No Volume|7220.76|No Volume|7220.76|13644.03|13889.63|6034.74|7266.45|6118.9|13889.63|No Volume|No Volume|No Volume|No Volume|No Volume|7220.76|7106.91|No Volume|No Volume|No Volume|No Volume|7220.76|No Volume|No Volume|6034.74|24490.49
MSDRG|||387|Inflammatory bowel disease|12947.88|6862.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12947.88|No Volume|10375.72|No Volume|5970.97|No Volume|9857|9597.29|No Volume|No Volume|No Volume|No Volume|5781.06|No Volume|5781.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5781.06|5133.01|No Volume|No Volume|No Volume|No Volume|5781.06|No Volume|No Volume|5133.01|12947.88
MSDRG|||388|G.I. obstruction|23299.6|12348.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|52152.26|No Volume|21984.6|20999.1|12651.59|39482.72|20885.52|20335.22|20472.94|No Volume|No Volume|No Volume|11176.97|No Volume|11295.84|21121.11|21501.29|9341.85|11096.5|9472.12|21501.29|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10852.86|No Volume|No Volume|No Volume|No Volume|19933.83|No Volume|No Volume|6424.25|52152.26
MSDRG|||389|G.I. obstruction|14873.84|7883.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17462.37|No Volume|11950.62|No Volume|6877.28|No Volume|11353.17|11054.03|No Volume|No Volume|17239.71|No Volume|6280.84|5324.03|6346.3|11629.01|11838.33|5143.5|6234.3|5215.23|11838.33|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6097.42|No Volume|No Volume|No Volume|No Volume|11199.35|No Volume|No Volume|5143.5|17462.37
MSDRG|||390|G.I. obstruction|14435.3|7650.71|9117.11|9724.91|9724.91|10940.53|10332.72|No Volume|7901.49|7427.44|8179.37|No Volume|8179.37|6756.36|4875.52|9216.8|8048.62|7836.55|6756.36|No Volume|No Volume|No Volume|4422.83|4730.84|4468.02|8026.88|8171.36|3550.28|4389.17|3599.79|8171.36|No Volume|No Volume|No Volume|4730.84|4730.84|6424.25|4292.8|8642.87|7605.84|No Volume|8310.21|7884.74|No Volume|4511.82|3550.28|10940.53
MSDRG|||391|Esophagitis gastroent & misc digest disorders|21005.55|11132.94|10754.03|11470.97|11470.97|12904.84|12187.9|No Volume|9320.17|8760.96|26326.08|No Volume|18096.06|17004.72|10413.84|25144.53|17191.39|16738.42|16578.64|No Volume|16029.76|No Volume|9104.64|9742.13|9200.9|17103.52|17411.38|7564.87|9038.53|7670.36|17411.38|No Volume|No Volume|No Volume|9087.6|9087.6|6424.25|8840.08|13639.91|13639.91|No Volume|13639.91|16236.88|No Volume|9291.1|6424.25|26326.08
MSDRG|||392|Esophagitis gastroent & misc digest disorders|14904.51|7899.39|11285.15|12037.5|12037.49|13542.18|12789.84|No Volume|9780.46|9193.64|13998.44|No Volume|11115.9|5725.04|6396.93|7809.91|10560.19|10281.94|5725.04|No Volume|10038.83|7115.43|5722.23|8986.23|5722.23|10546.01|10735.84|4664.49|5679.57|4729.54|10735.84|No Volume|No Volume|No Volume|4167.77|4167.77|8685.17|5554.87|8621.28|8621.28|No Volume|8621.28|5722.23|No Volume|5838.28|4167.77|13998.44
MSDRG|||393|Other digestive system diagnoses|19792.87|10490.22|8269.3|8820.58|8820.59|9923.15|9371.87|No Volume|7166.72|6736.73|12186.65|No Volume|12186.65|No Volume|12186.65|No Volume|12186.65|12186.65|No Volume|No Volume|No Volume|No Volume|11887.01|11025.73|12013.63|22497.7|22902.66|9950.71|11801.63|10089.48|22902.66|No Volume|No Volume|No Volume|11025.73|11025.73|6424.25|11542.51|16859.44|16859.44|No Volume|16859.44|19792.87|No Volume|12131.41|6424.25|22902.66
MSDRG|||394|Other digestive system diagnoses|19303.75|10230.99|18400.04|19626.71|19626.71|22080.05|20853.39|No Volume|15946.71|14989.92|20855.87|No Volume|13649.12|10379.71|7854.73|12136.85|12966.76|12625.11|10120.22|No Volume|3327.23|No Volume|6983.75|7471.99|7056.88|12991.75|13225.6|5746.24|6932.35|5826.37|13225.6|No Volume|No Volume|No Volume|4855.3|4855.3|6424.25|6780.14|13924.13|12253.42|No Volume|13388.19|12453.32|No Volume|7126.07|3327.23|22080.05
MSDRG|||395|Other digestive system diagnoses|17417.52|9231.29|3990.56|4256.56|4256.56|4788.63|4522.6|No Volume|3830.91|3601.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4861.17|No Volume|4861.17|6269.28|6269.28|4008.46|4919.8|4064.36|6269.28|No Volume|No Volume|No Volume|3583.34|3583.34|4861.17|No Volume|No Volume|No Volume|No Volume|No Volume|4861.17|No Volume|No Volume|3583.34|9231.29
MSDRG|||405|Pancreas liver & shunt procedures|181084.2|95974.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39051.37|No Volume|39474.4|96845.75|96845.75|96845.75|38777.79|96845.75|96845.75|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|69660.7|No Volume|No Volume|6424.25|96845.75
MSDRG|||406|Pancreas liver & shunt procedures|58954.2|31245.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13745.14|No Volume|13745.14|38651.17|39346.89|17095.38|20076.01|17333.78|39346.89|No Volume|No Volume|No Volume|No Volume|No Volume|13745.14|No Volume|25375.85|25375.85|No Volume|25375.85|13745.14|No Volume|20637.02|13745.14|39346.89
MSDRG|||407|Pancreas liver & shunt procedures|25377.99|13450.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13450.33|13450.33
MSDRG|||408|Biliary tract proc except only cholecyst w or w/o c.d.e.|39617.49|20997.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25738.86|No Volume|26016.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|39617.49|No Volume|No Volume|6424.25|39617.49
MSDRG|||409|Biliary tract proc except only cholecyst w or w/o c.d.e.|38560.66|20437.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20437.15|20437.15
MSDRG|||410|Biliary tract proc except only cholecyst w or w/o c.d.e.|38806.67|20567.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20567.54|20567.54
MSDRG|||411|Cholecystectomy w c.d.e.|43378.45|22990.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43259.45|43259.45|23462.73|27450.17|23789.92|43259.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22990.58|43259.45
MSDRG|||412|Cholecystectomy w c.d.e.|39859.76|21125.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21125.67|21125.67
MSDRG|||414|Cholecystectomy except by laparoscope w/o c.d.e.|52777.54|27972.1|39583.16|42222.03|42222.04|47499.79|44860.91|No Volume|34305.4|32247.12|54840.45|No Volume|52722.02|No Volume|30340.21|No Volume|50086.28|48766.6|No Volume|No Volume|60139.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26028.67|26028.67|No Volume|23975.06|48009.96|47330.9|No Volume|48009.96|No Volume|No Volume|25198.28|23975.06|60139.55
MSDRG|||415|Cholecystectomy except by laparoscope w/o c.d.e.|34280.59|18168.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18168.71|18168.71
MSDRG|||416|Cholecystectomy except by laparoscope w/o c.d.e.|32211.75|17072.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17072.23|17072.23
MSDRG|||417|Laparoscopic cholecystectomy w/o c.d.e.|43569.67|23091.93|31305.01|33392.01|33392|37566.01|35479.01|No Volume|27131|25503.17|61473.09|No Volume|35242.54|33192.93|20281.21|39410.8|33480.65|32598.5|32361.24|No Volume|27292.68|No Volume|17503.18|No Volume|17691.09|32810.04|32810.04|14766.5|17378.9|14972.42|32810.04|No Volume|No Volume|No Volume|14559.06|14172.53|6424.25|16997.33|35952.62|31638.79|No Volume|34568.8|31219.58|No Volume|17864.54|6424.25|61473.09
MSDRG|||418|Laparoscopic cholecystectomy w/o c.d.e.|38854.4|20592.83|18481.2|19713.28|19713.28|22177.44|20945.36|No Volume|16017.04|15056.03|28178.23|No Volume|24548.35|20686.67|14126.97|28220.07|23321.1|22706.63|20686.67|No Volume|21924.06|27156.67|12204.19|13059.81|12334.27|23112.6|23528.62|10222.68|12116.6|10365.24|23528.62|No Volume|No Volume|No Volume|11313.25|11012.9|6424.25|11850.57|No Volume|No Volume|No Volume|No Volume|21766.36|No Volume|No Volume|6424.25|28220.07
MSDRG|||419|Laparoscopic cholecystectomy w/o c.d.e.|30798.18|16323.04|26546.61|28316.38|28316.38|31855.93|30086.16|No Volume|23007.07|21626.65|34778.31|No Volume|19125.64|17993.33|11006.33|28234.69|18169.49|17690.76|17542.48|No Volume|26040.02|No Volume|9579.12|10291.14|9579.12|18097.87|18423.63|8004.67|9547.89|8116.3|18423.63|No Volume|No Volume|No Volume|9174.13|8930.57|9579.12|9338.25|19510.99|17169.94|No Volume|18760.01|9579.12|No Volume|9814.69|8004.67|34778.31
MSDRG|||420|Hepatobiliary diagnostic procedures|50753.8|26899.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26899.51|26899.51
MSDRG|||421|Hepatobiliary diagnostic procedures|40691.7|21566.6|30518.78|32553.36|32553.36|36622.53|34587.95|No Volume|26449.61|24862.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11509.72|11204.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11204.15|36622.53
MSDRG|||423|Other hepatobiliary or pancreas O.R. procedures|40079.63|21242.2|28589.74|30495.72|30495.72|34307.69|32401.71|No Volume|24777.78|23291.12|No Volume|No Volume|No Volume|28055.74|No Volume|32805.18|No Volume|No Volume|27354.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|58694.83|59751.33|25960.67|30343.09|26322.7|59751.33|No Volume|No Volume|No Volume|16819.42|16372.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16372.88|59751.33
MSDRG|||424|Other hepatobiliary or pancreas O.R. procedures|54813.12|29050.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30999.53|No Volume|44864.54|No Volume|No Volume|30222.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29050.95|44864.54
MSDRG|||432|Cirrhosis & alcoholic hepatitis|37786.17|20026.67|35757.57|38141.41|38141.41|42909.08|40525.25|No Volume|30989.89|29130.53|31179.63|No Volume|27369.5|24924.52|15750.47|29143.88|26001.21|25316.13|24301.4|No Volume|125348.47|67564.17|8622.2|14241.15|8622.2|25252.27|25706.8|11169.05|13212.62|11324.81|25706.8|No Volume|No Volume|No Volume|7820.1|7820.1|8622.2|12922.53|3780|3364.85|No Volume|3627.04|8622.2|No Volume|3893.41|3364.85|125348.47
MSDRG|||433|Cirrhosis & alcoholic hepatitis|17508.16|9279.32|6327.51|6749.34|6749.34|7593.02|7171.18|No Volume|5483.84|5154.83|8612.19|No Volume|8612.19|No Volume|8607.06|No Volume|8612.19|8612.19|No Volume|No Volume|19589.32|No Volume|7654.54|5759.06|7734.99|10623.97|10623.97|6321.41|7598.49|6409.57|10623.97|No Volume|No Volume|No Volume|7548.08|7347.69|6424.25|7431.65|No Volume|No Volume|No Volume|No Volume|13649.98|No Volume|No Volume|5154.83|19589.32
MSDRG|||434|Cirrhosis & alcoholic hepatitis|10236.71|5425.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1778.63|1593.81|No Volume|1710.54|No Volume|No Volume|2197.36|1593.81|5425.46
MSDRG|||435|Malignancy of hepatobiliary system or pancreas|32932.26|17454.1|22097.98|23571.18|23571.18|26517.57|25044.37|No Volume|19151.58|18002.5|87250.3|No Volume|33559.22|No Volume|19656.63|No Volume|31882.93|30794.91|No Volume|No Volume|No Volume|No Volume|12405.63|13275.42|12537.9|23503.14|23926.19|10395.42|12316.64|10540.38|23926.19|No Volume|No Volume|No Volume|13275.42|13275.42|6424.25|12046.22|25116.72|22882.8|No Volume|25001.94|22125.71|No Volume|12660.82|6424.25|87250.3
MSDRG|||436|Malignancy of hepatobiliary system or pancreas|18503.73|9806.98|6968.81|7433.39|7433.39|8362.57|7897.98|No Volume|6039.63|5677.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8323.86|No Volume|8411.61|11364.56|11364.56|6895.36|8263.17|6991.52|11364.56|No Volume|No Volume|No Volume|8538.92|8538.92|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14844.02|No Volume|No Volume|5677.26|14844.02
MSDRG|||437|Malignancy of hepatobiliary system or pancreas|8475.19|4491.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6553.72|No Volume|6622.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|8475.19|No Volume|No Volume|4491.85|8475.19
MSDRG|||438|Disorders of pancreas except malignancy|33433.93|17719.98|14770.6|15755.3|15755.3|17724.72|16740.01|No Volume|12801.18|12033.13|4171.42|No Volume|4171.42|No Volume|4171.42|No Volume|4171.42|4171.42|No Volume|No Volume|No Volume|No Volume|11985.57|12825.83|11985.57|22688.82|23097.21|10035.24|11899.52|10175.19|23097.21|No Volume|No Volume|No Volume|7530.33|7330.41|23241.53|11638.25|22654.09|20839.7|No Volume|22654.09|11985.57|No Volume|12232.04|4171.42|23241.53
MSDRG|||439|Disorders of pancreas except malignancy|16015.42|8488.17|12159.05|12969.66|12969.66|14590.86|13780.26|No Volume|10537.85|9905.59|11893.88|No Volume|11893.88|11665.1|7066.41|20447.05|11665.39|11358.02|11372.81|No Volume|5204.11|16267.84|5827.98|6776.95|5827.98|11732.87|11944.06|5189.44|6287.5|5261.81|11944.06|No Volume|No Volume|No Volume|5357.75|5215.51|5827.98|6149.45|4609.09|4609.09|No Volume|4609.09|5827.98|No Volume|6463.2|4609.09|20447.05
MSDRG|||440|Disorders of pancreas except malignancy|11500.55|6095.29|9053.68|9657.26|9657.26|10864.42|10260.83|No Volume|7846.52|7375.74|10704.65|No Volume|8811|No Volume|5070.51|No Volume|8370.51|8149.96|No Volume|No Volume|No Volume|No Volume|4577.18|5006.1|4577.18|8525.44|8678.9|3770.8|4644.55|3823.38|8678.9|No Volume|No Volume|No Volume|4387.98|4271.49|5827.98|4542.57|8988.53|7910.02|No Volume|8642.56|4577.18|No Volume|4774.34|3770.8|10864.42
MSDRG|||441|Disorders of liver except maligcirralc hepa|28961.24|15349.46|21105.97|22513.03|22513.04|25327.16|23920.09|No Volume|18291.84|17194.36|39844.35|No Volume|27392.77|No Volume|15763.86|No Volume|26023.32|25337.65|No Volume|No Volume|9054.05|No Volume|9081.52|14448.36|9081.52|13835.27|13835.27|11335.05|13404.87|11493.12|13835.27|No Volume|No Volume|No Volume|13392.83|13037.27|20988.12|13110.55|No Volume|No Volume|No Volume|No Volume|9081.52|No Volume|No Volume|9054.05|39844.35
MSDRG|||442|Disorders of liver except maligcirralc hepa|20827.3|11038.47|38573.72|41145.3|41145.3|46288.46|43716.88|No Volume|33430.56|31424.75|16946.05|No Volume|12702|No Volume|7308|No Volume|12066|11748|No Volume|No Volume|9894.15|No Volume|8745.67|7436.06|8745.67|12926.66|13159.33|5717.45|6899.01|5797.18|13159.33|No Volume|No Volume|No Volume|7436.06|7436.06|9081.52|6342.78|No Volume|No Volume|No Volume|No Volume|8745.67|No Volume|No Volume|5717.45|46288.46
MSDRG|||443|Disorders of liver except maligcirralc hepa|13629.27|7223.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5057.5|No Volume|5057.5|9421.47|9591.06|4167.11|5103.53|4225.22|9591.06|No Volume|No Volume|No Volume|No Volume|No Volume|5057.5|No Volume|No Volume|No Volume|No Volume|No Volume|5057.5|No Volume|No Volume|4167.11|9591.06
MSDRG|||444|Disorders of the biliary tract|21918.45|11616.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9710.44|No Volume|11354.28|No Volume|No Volume|9467.68|No Volume|No Volume|973.31|7709.72|15058.2|7709.72|22519.86|22925.21|9960.51|11812.99|10099.41|22925.21|No Volume|No Volume|No Volume|No Volume|No Volume|7709.72|No Volume|18142.88|18142.88|No Volume|18142.88|7709.72|No Volume|12143.09|973.31|22925.21
MSDRG|||445|Disorders of the biliary tract|26490.43|14039.93|25360.77|27051.49|27051.49|30432.93|28742.2|No Volume|21979.34|20660.59|16047.47|No Volume|15658.83|14794.79|9011.27|21682.42|14875.99|14484.04|14424.09|No Volume|14708.88|No Volume|7958.14|8514.94|8041.88|14880.75|15148.6|6581.74|7899.97|6673.53|15148.6|No Volume|No Volume|No Volume|8514.94|8514.94|6424.25|7726.52|No Volume|No Volume|No Volume|No Volume|14191.56|No Volume|No Volume|6424.25|30432.93
MSDRG|||446|Disorders of the biliary tract|17493.63|9271.62|13067.96|13939.15|13939.15|15681.55|14810.35|No Volume|11325.56|10646.02|17493.63|No Volume|11869.18|No Volume|6830.42|No Volume|11275.8|10978.71|No Volume|No Volume|4752.79|No Volume|6087.97|No Volume|6151.31|185.21|190.04|106.82|120.62|94.51|190.04|No Volume|No Volume|No Volume|6111|6111|6424.25|5910.09|No Volume|No Volume|No Volume|No Volume|10855.26|No Volume|No Volume|94.51|17493.63
MSDRG|||453|Combined anterior/posterior spinal fusion|93281.81|49439.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|139026.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49439.36|139026.42
MSDRG|||454|Combined anterior/posterior spinal fusion|88704.4|47013.33|76478.61|81577.18|81577.18|91774.34|86675.76|No Volume|66281.47|62304.58|No Volume|No Volume|No Volume|50420.36|No Volume|58955.81|No Volume|No Volume|49159.85|No Volume|80904.94|No Volume|28939.86|No Volume|28939.86|84825.13|86351.97|37518.08|43727.94|38041.27|86351.97|No Volume|No Volume|No Volume|45784.55|45784.55|25397.38|No Volume|No Volume|No Volume|No Volume|No Volume|28939.86|No Volume|No Volume|25397.38|91774.34
MSDRG|||455|Combined anterior/posterior spinal fusion|75042.02|39772.27|84776.72|90428.5|90428.5|101732.06|96080.28|No Volume|73473.16|69064.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34666.01|37102.44|35041.19|66659.39|67859.25|29483.39|34422.82|29894.54|67859.25|No Volume|No Volume|No Volume|37102.44|37102.44|6424.25|No Volume|62985.4|62546.51|No Volume|62985.4|61837.4|No Volume|35384.73|6424.25|101732.06
MSDRG|||456|Spinal fus exc cerv w spinal curv/malig/infec or ext fus|74191.59|39321.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39321.54|39321.54
MSDRG|||457|Spinal fus exc cerv w spinal curv/malig/infec or ext fus|112045.33|59384.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49077.24|No Volume|49077.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49077.24|No Volume|No Volume|No Volume|No Volume|No Volume|49077.24|No Volume|No Volume|49077.24|59384.02
MSDRG|||458|Spinal fus exc cerv w spinal curv/malig/infec or ext fus|72432.63|38389.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50702.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38389.29|50702.84
MSDRG|||459|Spinal fusion except cervical|127778.2|67722.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|131021.44|No Volume|28656.98|No Volume|28966.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|67722.45|61333.54|No Volume|65166.88|51117.52|No Volume|50251.3|6424.25|131021.44
MSDRG|||460|Spinal fusion except cervical|80650.32|42744.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49376.72|No Volume|49376.72|42052.3|32911.04|49171.16|49376.72|49376.72|41001|No Volume|No Volume|No Volume|28573.38|30581.02|28882.08|54847.58|55834.83|24259.03|28372.39|24597.33|55834.83|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|27749.44|58341.6|51341.4|No Volume|56096.03|50968.37|No Volume|29165.23|6424.25|58341.6
MSDRG|||461|Bilateral or multiple major joint procs of lower extremity|139999.03|74199.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|74199.49|74199.49
MSDRG|||463|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|60478.55|32053.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37626.95|29143.39|37626.95|38334.63|38334.63|32022.37|27038.59|32468.92|38334.63|No Volume|No Volume|No Volume|No Volume|No Volume|39073.37|No Volume|No Volume|No Volume|No Volume|No Volume|37626.95|No Volume|No Volume|27038.59|39073.37
MSDRG|||464|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|54104.35|28675.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47769.78|No Volume|39325|86454.35|22630|120242.79|37355|36375|83736.58|No Volume|31661.78|No Volume|13003.06|No Volume|13003.06|40891.94|41627.99|18086.47|21223.82|18338.69|41627.99|No Volume|No Volume|No Volume|No Volume|No Volume|13003.06|19598.29|No Volume|No Volume|No Volume|No Volume|13003.06|No Volume|No Volume|13003.06|120242.79
MSDRG|||465|Wnd debrid & skn grft exc hand for musculo-conn tiss dis|38886.06|20609.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26370.39|No Volume|39783.76|No Volume|No Volume|25709.64|No Volume|No Volume|No Volume|14482.28|No Volume|14482.28|26523.6|27001.03|11731.37|13863.84|11894.96|27001.03|No Volume|No Volume|No Volume|No Volume|No Volume|14482.28|No Volume|No Volume|No Volume|No Volume|No Volume|14482.28|No Volume|No Volume|11731.37|39783.76
MSDRG|||466|Revision of hip or knee replacement|106684.17|56542.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39287.71|No Volume|70617.44|71888.54|31234.03|28539.28|31669.59|71888.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28539.28|71888.54
MSDRG|||467|Revision of hip or knee replacement|81538.23|43215.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|81538.23|No Volume|52005.1|No Volume|29927.64|No Volume|49405.2|48103.47|No Volume|No Volume|No Volume|No Volume|25370.96|27153.23|25644.72|47425.17|47425.17|21513.02|25192.16|21813.02|47425.17|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|24639.04|41671.89|41671.89|No Volume|41671.89|45255.38|No Volume|25896.14|6424.25|81538.23
MSDRG|||468|Revision of hip or knee replacement|63750.83|33787.94|31756.27|33873.35|33873.36|38107.52|35990.44|No Volume|27522.11|25870.79|No Volume|No Volume|No Volume|16046.16|No Volume|21889.64|No Volume|No Volume|16046.16|No Volume|No Volume|No Volume|20370.55|21800.92|20589.76|38944.77|39645.77|17225.24|20226.41|17465.45|39645.77|No Volume|No Volume|No Volume|21254.07|21254.07|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|36334.87|No Volume|No Volume|6424.25|39645.77
MSDRG|||469|Major joint replacement or reattachment of lower extremity|57007.68|30214.07|44442.03|47404.83|47404.84|53330.43|50367.64|No Volume|38516.43|36205.45|60941.81|No Volume|44853.34|28889.18|25811.99|33779.71|42610.99|41488.26|28166.95|No Volume|No Volume|No Volume|22712.2|20732.51|22956.94|43484.48|44267.19|19233.14|22551.81|19501.35|44267.19|No Volume|No Volume|No Volume|22555.27|22555.27|6424.25|22056.66|45757.07|40266.84|No Volume|43995.88|40512.24|No Volume|23182|6424.25|60941.81
MSDRG|||470|Major joint replacement or reattachment of lower extremity|40255.16|21335.23|34062.25|36333.06|36333.07|40874.7|38603.88|No Volume|29520.62|27749.4|38943.14|No Volume|27628.35|27102.9|15899.43|31882.89|26247.12|25555.55|26423.8|No Volume|34630.24|28804.62|14343.65|15349.85|14497.08|27260.37|27751.05|12057.24|14241.25|12225.38|27751.05|No Volume|No Volume|No Volume|15349.85|15349.85|6424.25|13928.56|28185.02|24803.19|No Volume|27100.17|25583.08|No Volume|14639.2|6424.25|40874.7
MSDRG|||471|Cervical spinal fusion|74688.73|39585.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35959.67|38487.15|36348.98|69167.45|70412.45|30592.7|35707.52|31019.32|70412.45|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|64145.25|No Volume|No Volume|6424.25|70412.45
MSDRG|||472|Cervical spinal fusion|72620.81|38489.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|56265.7|No Volume|44399.63|No Volume|25550.89|No Volume|42179.96|41068.59|No Volume|No Volume|45770.27|No Volume|22009.25|No Volume|22246.32|42121.73|42879.92|18630.4|21853.74|18890.21|42879.92|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|21373.92|No Volume|No Volume|No Volume|No Volume|39258.22|No Volume|No Volume|6424.25|56265.7
MSDRG|||473|Cervical spinal fusion|57853.16|30662.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23881.81|No Volume|32578.76|No Volume|No Volume|23881.81|No Volume|No Volume|No Volume|15691.09|No Volume|15691.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15691.09|No Volume|No Volume|No Volume|No Volume|No Volume|15691.09|No Volume|No Volume|15691.09|32578.76
MSDRG|||474|Amputation for musculoskeletal sys & conn tissue dis|69000.68|36570.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27962.6|No Volume|28264.65|53663.49|54629.43|23735.31|27765.86|24066.31|54629.43|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|33847.48|No Volume|No Volume|6424.25|54629.43
MSDRG|||475|Amputation for musculoskeletal sys & conn tissue dis|33642.22|17830.38|25068.64|26739.88|26739.88|30082.36|28411.13|No Volume|21726.15|20422.61|33642.22|No Volume|27500|No Volume|15825|No Volume|26125|25435|No Volume|No Volume|No Volume|No Volume|13683.47|No Volume|13829.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12606.92|12606.92|6424.25|13287.35|No Volume|No Volume|No Volume|No Volume|24405.34|No Volume|No Volume|6424.25|33642.22
MSDRG|||476|Amputation for musculoskeletal sys & conn tissue dis|55292.54|29305.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8602.47|No Volume|8693.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15341.02|No Volume|No Volume|6424.25|29305.05
MSDRG|||477|Biopsies of musculoskeletal system & connective tissue|59854.96|31723.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32308.62|No Volume|32308.62|No Volume|19248.21|No Volume|31775.29|30939.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18450.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18450.81|32308.62
MSDRG|||478|Biopsies of musculoskeletal system & connective tissue|40458.87|21443.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16834.57|No Volume|17015.18|32089.52|32667.12|14193.16|16714.91|14391.09|32667.12|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11948.74|No Volume|No Volume|6424.25|32667.12
MSDRG|||479|Biopsies of musculoskeletal system & connective tissue|44665.61|23672.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10249.58|No Volume|10249.58|24681.69|25125.95|10916.69|12920.35|11068.92|25125.95|No Volume|No Volume|No Volume|No Volume|No Volume|10249.58|No Volume|No Volume|No Volume|No Volume|No Volume|10249.58|No Volume|No Volume|10249.58|25125.95
MSDRG|||480|Hip & femur procedures except major joint|52908.25|28041.37|30838.33|32894.22|32894.21|37006|34950.11|No Volume|26726.56|25122.98|60642.54|No Volume|43982.28|No Volume|25310.71|No Volume|41783.47|40682.55|No Volume|No Volume|No Volume|No Volume|19757.72|25044.1|19970.22|41803.21|42555.66|18489.52|21690.6|18747.36|42555.66|No Volume|No Volume|No Volume|20326.35|20326.35|6424.25|21214.36|44868.46|39484.85|No Volume|43141.47|35241.57|No Volume|22296.73|6424.25|60642.54
MSDRG|||481|Hip & femur procedures except major joint|46554.73|24674.01|32520.59|34688.63|34688.63|39024.71|36856.67|No Volume|28184.51|26493.46|42916.94|No Volume|25866.88|28528.06|14885.16|33357.45|24572.67|23925.79|27814.86|No Volume|31286.63|No Volume|15196.58|16262.79|15359.3|28913.94|29434.39|12788.61|15088.26|12966.95|29434.39|No Volume|No Volume|No Volume|16262.79|16262.79|6424.25|14756.98|31086.74|27356.75|No Volume|29890.21|27104.65|No Volume|15509.88|6424.25|42916.94
MSDRG|||482|Hip & femur procedures except major joint|35675.11|18907.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12035.6|No Volume|12163.85|22785.76|23195.9|10078.12|11949.19|10218.66|23195.9|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21465.61|No Volume|No Volume|6424.25|23195.9
MSDRG|||483|Major joint/limb reattachment procedure of upper extremities|44104.76|23375.52|32182.7|34328.22|34328.21|38619.25|36473.73|No Volume|27891.69|26218.17|39300.63|No Volume|34701.57|No Volume|19969.89|No Volume|32966.73|32098.12|No Volume|No Volume|No Volume|No Volume|17370.32|18589.51|17556.76|33128.19|33724.5|14652.57|17246.94|14856.9|33724.5|No Volume|No Volume|No Volume|18589.51|18589.51|6424.25|16868.26|35400.76|31153.15|No Volume|34038.18|30982.52|No Volume|17728.89|6424.25|39300.63
MSDRG|||485|Knee procedures w pdx of infection|65348.57|34634.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50551.75|44486.22|No Volume|48606.01|No Volume|No Volume|24196.33|24196.33|50551.75
MSDRG|||486|Knee procedures w pdx of infection|30483.18|16156.09|22725.23|24240.24|24240.24|27270.27|25755.26|No Volume|19695.2|18513.5|30358.18|No Volume|30358.18|No Volume|17979.01|No Volume|29680.15|28898.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13270.56|12918.25|No Volume|15192.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12918.25|30358.18
MSDRG|||487|Knee procedures w pdx of infection|18580.62|9847.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9847.73|9847.73
MSDRG|||488|Knee procedures w/o pdx of infection|38532.84|20422.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27113.91|No Volume|36203.97|No Volume|No Volume|26434.54|No Volume|28899.64|No Volume|No Volume|No Volume|No Volume|23930.96|23930.96|12062.14|14246.92|12230.35|23930.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12062.14|36203.97
MSDRG|||489|Knee procedures w/o pdx of infection|32719.91|17341.55|18735.68|19984.73|19984.73|22482.82|21233.77|No Volume|16237.6|15263.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17435.89|17749.73|7711.88|9208.8|7819.42|17749.73|No Volume|No Volume|No Volume|11757.38|11445.24|No Volume|No Volume|19258.8|16948|No Volume|18517.52|No Volume|No Volume|9466.13|7711.88|22482.82
MSDRG|||492|Lower extrem & humer proc except hipfootfemur|67229.59|35631.68|50422.19|53783.67|53783.66|60506.63|57145.16|No Volume|43699.23|41077.29|53344.23|No Volume|41487.28|47438.34|23873.92|81850.7|39412.59|38373.38|46249.71|No Volume|No Volume|No Volume|14482.28|26218.35|14482.28|47713.96|48572.8|21103.84|22352.43|21398.14|48572.8|No Volume|No Volume|No Volume|24692.11|24692.11|14482.28|23790.73|51450.75|45277.35|No Volume|49470.4|14482.28|No Volume|30108.36|14482.28|81850.7
MSDRG|||493|Lower extrem & humer proc except hipfootfemur|44352.97|23507.07|22278.62|23763.86|23763.86|26734.35|25249.11|No Volume|19308.14|18149.66|39980.65|No Volume|33813.06|19871.48|19458.58|27108.02|32122.64|31276.27|19871.48|No Volume|31941.9|No Volume|14671.17|17900.6|14828.18|31880.4|32454.24|14100.67|14566.5|14297.31|32454.24|No Volume|No Volume|No Volume|10388.42|10112.62|6424.25|16243.14|No Volume|No Volume|No Volume|No Volume|26167.37|No Volume|No Volume|6424.25|39980.65
MSDRG|||494|Lower extrem & humer proc except hipfootfemur|34582.69|18328.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13433.48|No Volume|18325.51|No Volume|No Volume|13433.48|No Volume|25526.22|No Volume|10979.32|14149.4|10979.32|25086.08|25537.62|11095.55|13127.5|11250.28|25537.62|No Volume|No Volume|No Volume|No Volume|No Volume|14482.28|No Volume|22237.61|22237.61|No Volume|22237.61|10979.32|No Volume|2891.97|2891.97|25537.62
MSDRG|||496|Local excision & removal int fix devices exc hip & femur|42224.7|22379.09|40802.82|43523.01|43523.01|48963.38|46243.2|No Volume|35362.44|33240.71|55703.73|No Volume|28874.6|No Volume|16616.61|No Volume|27431.06|26708.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15308.65|15308.65|No Volume|14428.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14428.8|55703.73
MSDRG|||497|Local excision & removal int fix devices exc hip & femur|88572.3|46943.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46943.32|46943.32
MSDRG|||498|Local excision & removal int fix devices of hip & femur|48667.74|25793.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25793.9|25793.9
MSDRG|||499|Local excision & removal int fix devices of hip & femur|21138.83|11203.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11203.58|11203.58
MSDRG|||500|Soft tissue procedures|56900.98|30157.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21821.4|No Volume|22056.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|38923.09|No Volume|No Volume|6424.25|38923.09
MSDRG|||501|Soft tissue procedures|37118.86|19673|23399.23|24959.18|24959.18|28079.07|26519.12|No Volume|20279.33|19062.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29933.16|No Volume|13129.39|No Volume|21820.98|21820.98|10278.42|12035.93|10421.76|21820.98|No Volume|No Volume|No Volume|6966.02|6781.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6781.08|29933.16
MSDRG|||502|Soft tissue procedures|25093.9|13299.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9716.84|No Volume|9819.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15177.16|No Volume|No Volume|6424.25|15177.16
MSDRG|||503|Foot procedures|90771.24|48108.76|68023.68|72558.59|72558.6|81628.42|77093.5|No Volume|58953.86|55416.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12303.93|11977.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11977.27|81628.42
MSDRG|||504|Foot procedures|25913.55|13734.18|37396.16|39889.23|39889.23|44875.39|42382.3|No Volume|32410|30465.42|No Volume|No Volume|No Volume|18139.49|No Volume|21210.24|No Volume|No Volume|17686|No Volume|No Volume|No Volume|6430.6|13576.7|6430.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13576.7|13576.7|10708.91|No Volume|No Volume|No Volume|No Volume|No Volume|6430.6|No Volume|No Volume|6430.6|44875.39
MSDRG|||505|Foot procedures|29264.16|15510|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10708.91|13156.16|10708.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10708.91|No Volume|No Volume|No Volume|No Volume|No Volume|10708.91|No Volume|No Volume|10708.91|15510
MSDRG|||506|Major thumb or joint procedures|18449.54|9778.26|20577.33|21949.15|21949.16|24692.8|23320.98|No Volume|17833.69|16763.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10534.29|No Volume|18449.54|18449.54|8199.46|9773.48|8313.8|18449.54|No Volume|No Volume|No Volume|10534.29|10534.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8199.46|24692.8
MSDRG|||507|Major shoulder or elbow joint procedures|42180.63|22355.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13392|No Volume|13392|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13392|No Volume|No Volume|No Volume|No Volume|No Volume|13392|No Volume|No Volume|13392|22355.73
MSDRG|||508|Major shoulder or elbow joint procedures|27209.53|14421.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21582.28|21970.76|9545.82|11332.74|9678.94|21970.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9545.82|21970.76
MSDRG|||509|Arthroscopy|38172.21|20231.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38172.21|No Volume|24340.4|No Volume|14007.3|No Volume|23123.55|22514.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9927.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9927.29|38172.21
MSDRG|||510|Shoulderelbow or forearm procexc major joint proc|40082.7|21243.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38611.01|39306|17077.62|20055.44|17315.77|39306|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17077.62|39306
MSDRG|||511|Shoulderelbow or forearm procexc major joint proc|47257.33|25046.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12845.91|No Volume|57576.04|16634.98|57576.04|22692.89|57576.04|57576.04|16634.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29939.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12845.91|57576.04
MSDRG|||512|Shoulderelbow or forearm procexc major joint proc|31251.72|16563.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25456.55|No Volume|22630.26|No Volume|13023.15|No Volume|21498.9|20932.45|No Volume|No Volume|No Volume|No Volume|11096.23|No Volume|11214.23|20964.62|21341.98|9272.63|11016.33|9401.94|21341.98|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10774.45|23086.23|20316.19|No Volume|22197.64|19789.81|No Volume|11324.17|6424.25|25456.55
MSDRG|||513|Hand or wrist proc except major thumb or joint proc|40971.06|21714.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|56216.57|No Volume|22670.98|No Volume|13046.59|No Volume|21537.59|20970.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21841.26|22234.4|9660.37|11465.39|9795.08|22234.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11213.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9660.37|56216.57
MSDRG|||514|Hand or wrist proc except major thumb or joint proc|22299.98|11818.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7183.12|7183.12|No Volume|7183.12|No Volume|No Volume|8064.58|7183.12|11818.99
MSDRG|||515|Other musculoskelet sys & conn tiss O.R. proc|64341.05|34100.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|55102.01|No Volume|18480.3|No Volume|18678.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|31711.18|No Volume|No Volume|6424.25|55102.01
MSDRG|||516|Other musculoskelet sys & conn tiss O.R. proc|41886.73|22199.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41886.73|No Volume|28518.32|No Volume|16411.58|No Volume|27092.6|26378.76|No Volume|No Volume|22833.48|No Volume|No Volume|15125.81|No Volume|26854.6|27337.97|11877.76|14033.39|12043.4|27337.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13725.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11877.76|41886.73
MSDRG|||517|Other musculoskelet sys & conn tiss O.R. proc|25654.68|13596.98|18772.5|20024|20024|22527|21275.5|No Volume|16269.51|15293.34|No Volume|No Volume|No Volume|14245.08|No Volume|19432.66|No Volume|No Volume|14245.08|No Volume|No Volume|No Volume|10066.84|No Volume|10066.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10036.26|9769.82|10066.84|No Volume|No Volume|No Volume|No Volume|No Volume|10066.84|No Volume|No Volume|9769.82|22527
MSDRG|||533|Fractures of femur|29133.34|15440.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15440.67|15440.67
MSDRG|||534|Fractures of femur|43179.76|22885.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4925.38|No Volume|4925.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4925.38|No Volume|No Volume|No Volume|No Volume|No Volume|4925.38|No Volume|No Volume|4925.38|22885.27
MSDRG|||535|Fractures of hip & pelvis|36049.63|19106.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16994.11|17300|7516.48|8982.51|7621.3|17300|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7516.48|19106.3
MSDRG|||536|Fractures of hip & pelvis|17496.84|9273.33|5662.72|6040.21|6040.21|6795.27|6417.76|No Volume|5436.19|5109.98|No Volume|No Volume|No Volume|10443.79|No Volume|16312.97|No Volume|No Volume|10182.1|No Volume|No Volume|No Volume|4019.49|15349.85|4060.27|10504.47|10693.55|4646.12|5658.28|4710.91|10693.55|No Volume|No Volume|No Volume|5662.72|5662.72|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|7165.19|No Volume|No Volume|4019.49|16312.97
MSDRG|||537|Sprains strains & dislocations of hip pelvis & thigh|28981.35|15360.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15360.12|15360.12
MSDRG|||538|Sprains strains & dislocations of hip pelvis & thigh|17799.78|9433.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9433.88|9433.88
MSDRG|||539|Osteomyelitis|11412|6048.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11412|11412|11412|13651.02|11412|11412|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6048.36|13651.02
MSDRG|||540|Osteomyelitis|26180.3|13875.56|19635.23|20944.24|20944.24|23562.27|22253.26|No Volume|17017.2|15996.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24058.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26104.21|26104.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13875.56|26104.21
MSDRG|||541|Osteomyelitis|42607.75|22582.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12556.89|12782.91|5553.9|6709.58|5631.35|12782.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5553.9|22582.11
MSDRG|||542|Pathological fractures & musculoskelet & conn tiss malig|27380.35|14511.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18894.58|No Volume|18894.58|No Volume|15107.76|No Volume|18894.58|18894.58|No Volume|No Volume|No Volume|No Volume|13317.85|14251.85|13460.08|23151.54|23151.54|11177.63|12968.83|11333.5|23151.54|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|12932.24|No Volume|No Volume|No Volume|No Volume|23753.09|No Volume|No Volume|6424.25|23753.09
MSDRG|||543|Pathological fractures & musculoskelet & conn tiss malig|23286.39|12341.79|32456.84|34620.63|34620.63|38948.21|36784.42|No Volume|28129.26|26441.53|20290.01|No Volume|15171.67|No Volume|8730.92|No Volume|14413.19|14033.43|No Volume|No Volume|16378.75|No Volume|6570.27|8375.77|6638.87|14628.7|14892.01|6470.26|7770.85|6560.49|14892.01|No Volume|No Volume|No Volume|8375.77|8375.77|6424.25|7600.23|No Volume|No Volume|No Volume|No Volume|11715.66|No Volume|No Volume|6424.25|38948.21
MSDRG|||544|Pathological fractures & musculoskelet & conn tiss malig|18938.11|10037.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10037.2|10037.2
MSDRG|||545|Connective tissue disorders|47335.8|25087.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|58871.04|No Volume|33045|26658.77|19015|31171.72|31390|30565|25992.3|No Volume|No Volume|No Volume|18341.12|No Volume|18538.17|35010.27|35640.45|15485.01|18211.03|15700.95|35640.45|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|15657.29|No Volume|No Volume|No Volume|No Volume|32714.42|No Volume|No Volume|6424.25|58871.04
MSDRG|||546|Connective tissue disorders|26515.18|14053.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13788.21|No Volume|No Volume|No Volume|No Volume|16665.89|16965.87|7371.31|8814.37|7474.1|16965.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7371.31|16965.87
MSDRG|||547|Connective tissue disorders|17464.96|9256.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11154.27|No Volume|51944.46|No Volume|No Volume|24750.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9256.43|51944.46
MSDRG|||549|Septic arthritis|33819.72|17924.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17924.45|17924.45
MSDRG|||550|Septic arthritis|12023.53|6372.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6372.47|6372.47
MSDRG|||551|Medical back problems|25948.81|13752.87|5687.47|6066.63|6066.63|6824.96|6445.8|No Volume|4929.14|4633.39|77618.6|No Volume|23603.12|17442.45|13583.01|20395.21|22423.13|21832.32|17006.39|No Volume|No Volume|No Volume|8023.5|No Volume|8107.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5771.58|5618.35|6424.25|11298.98|No Volume|No Volume|No Volume|No Volume|14308.2|No Volume|No Volume|4633.39|77618.6
MSDRG|||552|Medical back problems|22673.79|12017.11|15192.78|16205.63|16205.64|18231.34|17218.48|No Volume|13167.08|12377.06|4810.61|No Volume|4810.61|12555.95|4810.61|27377.01|4810.61|4810.61|13044.63|No Volume|12800.33|No Volume|6796.59|5345.54|6867.67|12628.9|12856.22|5585.75|6746.48|5663.65|12856.22|No Volume|No Volume|No Volume|5411.05|5411.05|6424.25|4810.61|2778.14|2498.86|No Volume|2675.25|12119.42|No Volume|2874.94|2498.86|27377.01
MSDRG|||553|Bone diseases & arthropathies|20648.82|10943.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10943.87|10943.87
MSDRG|||554|Bone diseases & arthropathies|14724.05|7803.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5699.56|No Volume|5699.56|10901.93|11058.58|4821.91|5861.87|4889.16|11058.58|No Volume|No Volume|No Volume|No Volume|No Volume|5699.56|No Volume|No Volume|No Volume|No Volume|No Volume|5699.56|No Volume|No Volume|4821.91|11058.58
MSDRG|||555|Signs & symptoms of musculoskeletal system & conn tissue|16412.95|8698.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10356.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8698.86|10356.12
MSDRG|||556|Signs & symptoms of musculoskeletal system & conn tissue|13374.9|7088.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|608.8|No Volume|1155|No Volume|608.8|No Volume|1098|1069|No Volume|No Volume|No Volume|No Volume|5035.27|No Volume|5035.27|10965.64|11163.02|4850.09|5894.5|4917.73|11163.02|No Volume|No Volume|No Volume|No Volume|No Volume|5035.27|719.84|No Volume|No Volume|No Volume|No Volume|5035.27|No Volume|No Volume|608.8|11163.02
MSDRG|||557|Tendonitis myositis & bursitis|27826.79|14748.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35809.12|No Volume|20270.09|No Volume|11664.94|No Volume|19256.73|18749.35|No Volume|No Volume|No Volume|No Volume|10699.07|No Volume|10812.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10388.69|No Volume|No Volume|No Volume|No Volume|19081.26|No Volume|No Volume|6424.25|35809.12
MSDRG|||558|Tendonitis myositis & bursitis|14515.04|7692.97|7938.79|8468.04|8468.04|9526.54|8997.3|No Volume|6880.29|6467.48|23182.02|No Volume|12481.4|No Volume|7182.74|No Volume|11857.41|11544.99|No Volume|No Volume|No Volume|No Volume|5699.56|No Volume|5699.56|10052.65|10052.65|5276.42|6388.25|5350|10052.65|No Volume|No Volume|No Volume|4328.22|4328.22|5699.56|6247.99|12732.88|11205.11|No Volume|12242.79|5699.56|No Volume|6566.77|4328.22|23182.02
MSDRG|||559|Aftercare musculoskeletal system & connective tissue|43333.24|22966.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19880|No Volume|35468.26|No Volume|No Volume|19380|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24953.13|25402.28|11036.75|13059.4|11190.66|25402.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11036.75|35468.26
MSDRG|||560|Aftercare musculoskeletal system & connective tissue|42133.25|22330.62|8606.06|9179.79|9179.79|10327.27|9753.53|No Volume|7458.59|7011.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31599.94|No Volume|No Volume|26910.97|No Volume|14451.43|14711.56|6391.85|7680.05|6480.99|14711.56|No Volume|No Volume|No Volume|4839.79|4839.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4839.79|31599.94
MSDRG|||561|Aftercare musculoskeletal system & connective tissue|28391.15|15047.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15047.31|15047.31
MSDRG|||562|Fx sprn strn & disl except femur hip pelvis & thigh|39388.1|20875.69|26660.84|28438.22|28438.22|31993|30215.61|No Volume|23106.06|21719.71|34132.42|No Volume|20475.14|No Volume|11782.93|No Volume|19451.52|18939.01|No Volume|No Volume|No Volume|No Volume|15634.29|10599.27|15634.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10209.47|10209.47|15634.29|9617.86|No Volume|No Volume|No Volume|No Volume|15634.29|No Volume|No Volume|9617.86|34132.42
MSDRG|||563|Fx sprn strn & disl except femur hip pelvis & thigh|17807.46|9437.95|12906.83|13767.27|13767.27|15488.17|14627.7|No Volume|11701.79|10999.67|8592.16|No Volume|7445.51|5971.98|6347.12|8146.78|7330.51|7272.51|5971.98|No Volume|16082.73|No Volume|6383|8740.33|6449.56|11827.05|12039.93|5231.09|6335.75|5304.04|12039.93|No Volume|No Volume|No Volume|6361.26|6361.26|6424.25|8592.16|12918.32|11368.29|No Volume|12421.09|11381.58|No Volume|6512.79|5231.09|16082.73
MSDRG|||564|Other musculoskeletal sys & connective tissue diagnoses|35491.61|18810.55|25284.66|26970.3|26970.3|30341.59|28655.95|No Volume|21913.37|20598.59|24359.87|No Volume|27254.74|No Volume|23521.5|No Volume|26862.21|26665.44|No Volume|No Volume|No Volume|No Volume|11083.38|No Volume|11201.23|655534.05|655534.05|655534.05|320819.8|655534.05|655534.05|No Volume|No Volume|No Volume|11491.91|11491.91|6424.25|24359.87|No Volume|No Volume|No Volume|No Volume|12772.59|No Volume|No Volume|6424.25|655534.05
MSDRG|||565|Other musculoskeletal sys & connective tissue diagnoses|23150.86|12269.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7286.64|No Volume|7363.06|13578.94|13823.36|6005.95|7233.13|6089.71|13823.36|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|12993.64|No Volume|No Volume|6005.95|13823.36
MSDRG|||566|Other musculoskeletal sys & connective tissue diagnoses|13838.57|7334.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5695.07|No Volume|5754.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|5608.63|4992.65|No Volume|5381.69|10154.36|No Volume|6251.04|4992.65|10154.36
MSDRG|||573|Skin graft for skin ulcer or cellulitis|213242.22|113018.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|113018.38|102356.27|No Volume|108753.53|No Volume|No Volume|45199.35|45199.35|113018.38
MSDRG|||574|Skin graft for skin ulcer or cellulitis|108795.84|57661.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|57661.8|57661.8
MSDRG|||576|Skin graft exc for skin ulcer or cellulitis|136762.87|72484.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37376.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37376.94|72484.32
MSDRG|||577|Skin graft exc for skin ulcer or cellulitis|30565.08|16199.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|40598.41|No Volume|37137.36|No Volume|21371.63|No Volume|35280.75|34351.16|No Volume|No Volume|9736.75|No Volume|No Volume|No Volume|No Volume|33453.64|34055.81|14796.52|17413.66|15002.86|34055.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17031.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9736.75|40598.41
MSDRG|||578|Skin graft exc for skin ulcer or cellulitis|20984.89|11121.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20984.89|20984.89|9968.48|11822.21|10107.49|20984.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9968.48|20984.89
MSDRG|||579|Other skin subcut tiss & breast proc|46890.49|24851.96|16275.7|17360.74|17360.75|19530.83|18445.79|No Volume|14105.6|13259.3|46665.49|No Volume|36492|No Volume|21000|No Volume|34668|33756|No Volume|No Volume|97953.67|No Volume|No Volume|No Volume|No Volume|41354.5|42098.87|18291.06|21460.77|18546.13|42098.87|No Volume|No Volume|No Volume|22657.89|22056.35|No Volume|18287.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13259.3|97953.67
MSDRG|||580|Other skin subcut tiss & breast proc|23630.3|12524.06|16524.89|17626.54|17626.54|19829.86|18728.21|No Volume|14321.57|13462.27|No Volume|No Volume|No Volume|6155.57|No Volume|7197.62|No Volume|No Volume|6001.68|No Volume|No Volume|No Volume|9726.05|12599.51|9726.05|22278.89|22679.9|9853.93|11689.54|9991.35|22679.9|No Volume|No Volume|No Volume|8478.94|8478.94|6802.19|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|No Volume|6001.68|22679.9
MSDRG|||581|Other skin subcut tiss & breast proc|24266.33|12861.15|14948.36|15944.91|15944.91|17938.03|16941.47|No Volume|12955.25|12177.94|19590.41|No Volume|21174.61|No Volume|10869.35|No Volume|20092.71|19590.41|No Volume|No Volume|No Volume|No Volume|9246.1|No Volume|9246.1|17377.73|17690.52|7686.15|9179.01|7793.34|17690.52|No Volume|No Volume|No Volume|8186.59|7969.25|6802.19|12357.02|No Volume|No Volume|No Volume|No Volume|9246.1|No Volume|No Volume|6802.19|21174.61
MSDRG|||582|Mastectomy for malignancy|21821.43|11565.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16366.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11565.36|16366.07
MSDRG|||583|Mastectomy for malignancy|69593.91|36884.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36884.77|36884.77
MSDRG|||584|Breast biopsy local excision & other breast procedures|39585.32|20980.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14720.58|No Volume|14720.58|25321.51|25777.3|11199.68|13248.08|11355.86|25777.3|No Volume|No Volume|No Volume|No Volume|No Volume|14720.58|No Volume|27063.49|23816.24|No Volume|26021.82|14720.58|No Volume|13618.29|11199.68|27063.49
MSDRG|||585|Breast biopsy local excision & other breast procedures|58807.02|31167.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35803.72|No Volume|No Volume|No Volume|No Volume|23505.91|23929.01|10396.64|12318.06|10541.62|23929.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10396.64|35803.72
MSDRG|||592|Skin ulcers|17548.84|9300.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9300.89|9300.89
MSDRG|||593|Skin ulcers|23648.49|12533.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8481.74|No Volume|8571.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15125.67|No Volume|No Volume|6424.25|15125.67
MSDRG|||595|Major skin disorders|12225.21|6479.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14802.25|No Volume|14960.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|12225.21|No Volume|No Volume|6424.25|14960.69
MSDRG|||596|Major skin disorders|26991.03|14305.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14305.25|14305.25
MSDRG|||597|Malignant breast disorders|28726.55|15225.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15225.07|15225.07
MSDRG|||598|Malignant breast disorders|19774.21|10480.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10480.33|10480.33
MSDRG|||600|Non-malignant breast disorders|7269.33|3852.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7269.33|No Volume|7269.33|No Volume|7269.33|No Volume|7269.33|7269.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6926.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3852.74|7269.33
MSDRG|||601|Non-malignant breast disorders|4111.31|2178.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4069.71|No Volume|4069.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4069.71|No Volume|No Volume|No Volume|No Volume|No Volume|4069.71|No Volume|No Volume|2178.99|4069.71
MSDRG|||602|Cellulitis|24891.66|13192.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29582.32|No Volume|20891.04|No Volume|12022.27|No Volume|19846.63|19323.71|No Volume|No Volume|No Volume|No Volume|9261.22|11231.62|9261.22|19801.3|20157.72|8758.1|10420.45|8880.23|20157.72|No Volume|No Volume|No Volume|No Volume|No Volume|15897.29|10191.66|21311.96|18754.81|No Volume|20491.66|9261.22|No Volume|10711.64|8758.1|29582.32
MSDRG|||603|Cellulitis|15472.11|8200.22|12281.12|13099.86|13099.86|14737.35|13918.61|No Volume|10643.64|10005.04|14607.11|No Volume|12285.08|4229.39|7069.76|5769.6|11670.91|11363.4|4229.39|No Volume|No Volume|No Volume|6307.99|6748.67|5364.95|11681.63|11891.9|5166.77|6261.27|5238.83|11891.9|No Volume|No Volume|No Volume|4674.31|4550.22|5364.95|6123.79|11748|10341|No Volume|11298|5364.95|No Volume|6051.8|4229.39|14737.35
MSDRG|||604|Trauma to the skin subcut tiss & breast|35993|19076.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20281.86|20646.93|8970.65|10666.59|9095.75|20646.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8970.65|20646.93
MSDRG|||605|Trauma to the skin subcut tiss & breast|19576.83|10375.72|13408.42|14302.31|14302.31|16090.1|15196.21|No Volume|11620.63|10923.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6765.91|No Volume|6538.01|6994.87|6606.26|3143.46|3207.97|1178.95|1652.4|1196.78|3207.97|No Volume|No Volume|No Volume|3329.67|3329.67|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|11658.11|No Volume|No Volume|1178.95|16090.1
MSDRG|||606|Minor skin disorders|28729.82|15226.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28729.82|No Volume|21972.96|No Volume|12644.89|No Volume|20874.47|20324.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10647.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10647.47|28729.82
MSDRG|||607|Minor skin disorders|12504.73|6627.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6233.58|No Volume|6233.58|No Volume|6233.58|No Volume|6233.58|6233.58|No Volume|No Volume|No Volume|No Volume|No Volume|6615.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6003.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6003.06|6627.51
MSDRG|||614|Adrenal & pituitary procedures|27708.64|14685.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27708.64|No Volume|27708.64|No Volume|19974.08|No Volume|27708.64|27708.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17154.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14685.58|27708.64
MSDRG|||615|Adrenal & pituitary procedures|30972.51|16415.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12743.76|No Volume|12743.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12743.76|No Volume|No Volume|No Volume|No Volume|No Volume|12743.76|No Volume|No Volume|12743.76|16415.43
MSDRG|||616|Amputat of lower limb for endocrinenutrit& metabol dis|44465.88|23566.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17778.84|No Volume|17969.77|44465.88|44465.88|24506.5|17652.65|24848.25|44465.88|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|31711.36|No Volume|No Volume|6424.25|44465.88
MSDRG|||617|Amputat of lower limb for endocrinenutrit& metabol dis|37456.55|19851.97|40925.66|43654.04|43654.04|49110.79|46382.43|No Volume|35468.91|33340.8|20554.87|No Volume|20554.87|No Volume|17022.49|No Volume|20554.87|20554.87|No Volume|No Volume|18122.66|No Volume|14935.83|15983.71|14935.83|18323.8|18323.8|12565.03|14829.33|12740.26|18323.8|No Volume|No Volume|No Volume|23421.78|22799.96|12338.77|14503.74|26835.31|26555.18|No Volume|26835.31|14935.83|No Volume|15243.72|12338.77|49110.79
MSDRG|||620|O.R. procedures for obesity|29238.11|15496.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15489.64|No Volume|21130.45|No Volume|No Volume|15489.64|No Volume|No Volume|No Volume|13102.11|No Volume|13242|24853.42|25300.77|10992.64|13008.31|11145.94|25300.77|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|26125.92|22991.16|No Volume|25120.33|23368.23|No Volume|13371.82|6424.25|26125.92
MSDRG|||621|O.R. procedures for obesity|30160.43|15985.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30889.27|No Volume|23214.85|19518.73|13359.57|22822.97|22054.27|21473.18|19030.76|No Volume|No Volume|No Volume|11511.98|No Volume|11634.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11178.25|19748.16|19748.16|No Volume|19748.16|20531.48|No Volume|11748.57|6424.25|30889.27
MSDRG|||623|Skin grafts & wound debrid for endoc nutrit & metab dis|42162.42|22346.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|9726.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|No Volume|9726.05|22346.08
MSDRG|||624|Skin grafts & wound debrid for endoc nutrit & metab dis|7098.2|3762.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1519.63|1358.37|No Volume|1460.22|No Volume|No Volume|1633.85|1358.37|3762.05
MSDRG|||625|Thyroid parathyroid & thyroglossal procedures|100937.95|53497.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|40509.71|41238.88|17917.41|21028.02|18167.27|41238.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17917.41|53497.11
MSDRG|||626|Thyroid parathyroid & thyroglossal procedures|27705.51|14683.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|42374.71|No Volume|24027.75|No Volume|13827.37|No Volume|22826.52|22225.09|No Volume|No Volume|No Volume|No Volume|8790.12|No Volume|8790.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8790.12|11947.02|No Volume|No Volume|No Volume|No Volume|8790.12|No Volume|No Volume|8790.12|42374.71
MSDRG|||627|Thyroid parathyroid & thyroglossal procedures|24129.06|12788.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10350.3|9213.56|No Volume|9931.5|No Volume|No Volume|10869.72|9213.56|12788.4
MSDRG|||628|Other endocrine nutrit & metab O.R. proc|63696.12|33758.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15312.97|No Volume|15312.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15312.97|No Volume|No Volume|No Volume|No Volume|No Volume|15312.97|No Volume|No Volume|15312.97|33758.94
MSDRG|||629|Other endocrine nutrit & metab O.R. proc|44763.26|23724.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12861.2|No Volume|12861.2|32168.46|32747.48|14228.08|16755.34|14426.49|32747.48|No Volume|No Volume|No Volume|No Volume|No Volume|12861.2|No Volume|No Volume|No Volume|No Volume|No Volume|12861.2|No Volume|No Volume|12861.2|32747.48
MSDRG|||630|Other endocrine nutrit & metab O.R. proc|30025.67|15913.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|9726.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|No Volume|No Volume|No Volume|No Volume|9726.05|No Volume|No Volume|9726.05|15913.61
MSDRG|||637|Diabetes|26741.93|14173.22|23234.6|24783.58|24783.58|27881.52|26332.55|No Volume|20136.65|18928.49|23439.15|No Volume|19990.89|No Volume|11504.26|No Volume|18991.48|18491.09|No Volume|No Volume|15766.28|No Volume|10181.15|10894.4|10181.15|19190.56|19535.99|8487.97|10107.58|8606.33|19535.99|No Volume|No Volume|No Volume|6115.63|6115.63|11120.95|9885.66|17562.64|17562.64|No Volume|17562.64|10181.15|No Volume|10390.03|6115.63|27881.52
MSDRG|||638|Diabetes|18187.75|9639.51|14672.67|15650.85|15650.86|17607.2|16629.02|No Volume|12716.32|11953.35|7398.64|No Volume|2842|5378.78|1580.89|7337.55|2700|2629|5378.78|No Volume|23481.57|13310.79|5062.44|7059.09|5062.44|12243.9|12464.29|5415.47|6549.26|5490.99|12464.29|No Volume|No Volume|No Volume|4602.21|4480.03|7020.74|1533.57|8998|7918|No Volume|8650|5062.44|No Volume|6732.28|1533.57|23481.57
MSDRG|||639|Diabetes|15665.64|8302.79|7491.3|7990.72|7990.72|8989.56|8490.15|No Volume|6492.47|6102.92|11191.08|No Volume|8860.44|No Volume|5098.96|No Volume|8417.48|8195.69|No Volume|No Volume|No Volume|No Volume|5062.44|No Volume|5062.44|8492.21|8645.07|3756.1|4627.53|3808.47|8645.07|No Volume|No Volume|No Volume|4602.21|4480.03|5062.44|4525.92|9038.97|7954.41|No Volume|8691.06|5062.44|No Volume|4756.84|3756.1|11191.08
MSDRG|||640|Misc disorders of nutritionmetabolismfluids/electrolytes|22263.29|11799.54|11388.03|12147.23|12147.23|13665.63|12906.44|No Volume|9869.62|9277.47|23523.98|No Volume|17854.67|5231.78|10274.92|7137.03|16962.06|16515.14|5231.78|No Volume|No Volume|No Volume|8956.07|9583.1|9050.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6107.84|6107.84|6424.25|8695.78|13062.02|13062.02|No Volume|13062.02|15971.83|No Volume|8334.6|5231.78|23523.98
MSDRG|||641|Misc disorders of nutritionmetabolismfluids/electrolytes|13576.89|7195.75|6460.66|6891.34|6891.34|7752.78|7322.05|No Volume|5832.85|5482.87|14977.44|No Volume|10950.13|684.69|6301.53|934.04|10402.7|10128.6|684.69|No Volume|12899.12|No Volume|5687.22|6084.21|5746.2|10478.15|10666.76|4634.48|5644.8|4699.11|10666.76|No Volume|No Volume|No Volume|6069.89|6069.89|6424.25|5520.86|11170.76|9830.42|No Volume|10740.79|10140.35|No Volume|5802.54|684.69|14977.44
MSDRG|||642|Inborn and other disorders of metabolism|28128.81|14908.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14908.27|14908.27
MSDRG|||643|Endocrine disorders|23309.08|12353.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20591.77|No Volume|24077.67|No Volume|No Volume|20076.98|No Volume|No Volume|No Volume|11894.15|No Volume|12020.86|15834.3|15834.3|9956.84|11808.73|10095.69|15834.3|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21213.29|No Volume|No Volume|6424.25|24077.67
MSDRG|||644|Endocrine disorders|14920.87|7908.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3175.34|No Volume|7626.66|No Volume|7706.79|14238.16|14494.44|6297.52|7570.79|6385.34|14494.44|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|13600.22|No Volume|No Volume|3175.34|14494.44
MSDRG|||645|Endocrine disorders|18948.48|10042.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15734.74|No Volume|11165.35|No Volume|6425.38|No Volume|10607.16|10327.68|No Volume|No Volume|No Volume|No Volume|5748.66|No Volume|5808.31|10597.25|10788|4687.16|5705.81|4752.52|10788|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|5580.53|No Volume|No Volume|No Volume|No Volume|10249.96|No Volume|No Volume|4687.16|15734.74
MSDRG|||653|Major bladder procedures|137750.42|73007.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27610.04|No Volume|27610.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27610.04|No Volume|No Volume|No Volume|No Volume|No Volume|27610.04|No Volume|No Volume|27610.04|73007.72
MSDRG|||654|Major bladder procedures|38501.26|20405.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38501.26|No Volume|38501.26|No Volume|24270.5|No Volume|38501.26|38501.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19783.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19783.01|38501.26
MSDRG|||655|Major bladder procedures|32890.34|17431.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17431.88|17431.88
MSDRG|||656|Kidney & ureter procedures for neoplasm|33483.69|17746.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23574.4|No Volume|23828.55|45156.05|45968.85|19972.48|23408.04|20251|45968.85|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21049.97|No Volume|No Volume|6424.25|45968.85
MSDRG|||657|Kidney & ureter procedures for neoplasm|39115.6|20731.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39115.6|No Volume|28125.68|No Volume|16185.63|No Volume|26719.59|26015.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13691.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13691.28|39115.6
MSDRG|||658|Kidney & ureter procedures for neoplasm|33519.23|17765.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21615.95|No Volume|27435.49|No Volume|No Volume|21074.34|No Volume|No Volume|No Volume|11496.99|No Volume|11619.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|20504.74|No Volume|No Volume|6424.25|27435.49
MSDRG|||659|Kidney & ureter procedures for non-neoplasm|36506.79|19348.6|20592.75|21965.6|21965.6|24711.3|23338.46|No Volume|17847.06|16776.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29915.24|29915.24|16414.85|12951.73|16643.76|29915.24|No Volume|No Volume|No Volume|6997.37|6811.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6811.6|29915.24
MSDRG|||660|Kidney & ureter procedures for non-neoplasm|24839.59|13164.98|19639.33|20948.62|20948.62|23567.2|22257.9|No Volume|17020.75|15999.51|26374.53|No Volume|13542|No Volume|7794|No Volume|12864|12526|No Volume|No Volume|No Volume|22041.19|10431.17|11162.03|10541.91|19675.27|20029.43|8702.36|10355.88|8823.71|20029.43|No Volume|No Volume|No Volume|8729.96|8729.96|6424.25|6631.21|No Volume|No Volume|No Volume|No Volume|18603.38|No Volume|No Volume|6424.25|26374.53
MSDRG|||661|Kidney & ureter procedures for non-neoplasm|18960.23|10048.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17190.66|No Volume|15478.5|No Volume|8907.5|No Volume|14704.69|14317.24|No Volume|No Volume|10423.25|No Volume|8069.57|No Volume|8069.57|15096.79|15368.54|6677.3|8010.62|6770.41|15368.54|No Volume|No Volume|No Volume|No Volume|No Volume|9469.23|7834.74|No Volume|No Volume|No Volume|No Volume|8069.57|No Volume|No Volume|6677.3|17190.66
MSDRG|||662|Minor bladder procedures|19607.53|10391.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10391.99|10391.99
MSDRG|||663|Minor bladder procedures|27060.68|14342.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11164.81|No Volume|11283.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|19912.16|No Volume|No Volume|6424.25|19912.16
MSDRG|||666|Prostatectomy|53083.99|28134.51|60448.46|64478.35|64478.36|72538.15|68508.25|No Volume|52388.66|49245.33|52883.99|No Volume|25220.19|No Volume|14513.59|No Volume|23959.35|23328.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11424.02|11120.73|No Volume|12545.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11120.73|72538.15
MSDRG|||667|Prostatectomy|28225.33|14959.42|21168.25|22579.46|22579.45|25401.91|23990.69|No Volume|18345.81|17245.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7476.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7492.05|7492.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7476.58|25401.91
MSDRG|||668|Transurethral procedures|39398.96|20881.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20200.54|No Volume|20417.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|36031.55|No Volume|No Volume|6424.25|36031.55
MSDRG|||669|Transurethral procedures|34382.45|18222.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11027.38|No Volume|11027.38|No Volume|11027.38|No Volume|11027.38|11027.38|No Volume|No Volume|No Volume|No Volume|11324.12|No Volume|11444.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|11027.38|No Volume|No Volume|No Volume|No Volume|20196.36|No Volume|No Volume|6424.25|20196.36
MSDRG|||670|Transurethral procedures|17708.1|9385.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9385.29|9385.29
MSDRG|||671|Urethral procedures|67725.06|35894.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35894.28|35894.28
MSDRG|||673|Other kidney & urinary tract procedures|80017.08|42409.05|33471.73|35703.18|35703.18|40166.07|37934.63|No Volume|29008.83|27268.33|40708.32|No Volume|40708.32|No Volume|28981.16|No Volume|40708.32|40708.32|No Volume|No Volume|70976.78|No Volume|25817.44|No Volume|26096.07|49504.64|50395.71|21895.85|25635.55|22201.2|50395.71|No Volume|No Volume|No Volume|26957.01|26957.01|6424.25|25072.69|51375.09|45210.77|No Volume|49397.66|46051.88|No Volume|26351.91|6424.25|70976.78
MSDRG|||674|Other kidney & urinary tract procedures|63265.27|33530.59|55760.47|59477.83|59477.84|66912.56|63195.19|No Volume|48325.74|45426.2|95010.47|No Volume|44970.78|No Volume|28049.57|No Volume|42720.23|41278.76|No Volume|No Volume|No Volume|No Volume|5671.16|18987.9|5671.16|33849.73|34459.02|14971.7|17616.55|15180.49|34459.02|No Volume|No Volume|No Volume|18987.9|18987.9|5671.16|17229.76|No Volume|No Volume|No Volume|No Volume|5671.16|No Volume|No Volume|5671.16|95010.47
MSDRG|||675|Other kidney & urinary tract procedures|16636.91|8817.56|43491.57|46391.01|46391.01|52189.89|49290.45|No Volume|37692.68|35431.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12777.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12777.66|12777.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8817.56|52189.89
MSDRG|||682|Renal failure|24908.09|13201.29|21093.27|22499.49|22499.49|25311.92|23905.71|No Volume|18280.83|17183.99|25840.57|No Volume|21379.65|11755.71|12303.46|13745.78|20310.81|19775.66|11461.82|No Volume|No Volume|40951.81|10840.51|11600.16|10840.51|16754.32|16754.32|9053.34|10762.37|9179.59|16754.32|No Volume|No Volume|No Volume|11600.16|11600.16|8482.67|10526.07|21810.42|19193.46|No Volume|20970.93|10840.51|No Volume|11063.12|8482.67|40951.81
MSDRG|||683|Renal failure|15739.87|8342.13|14546.98|15516.78|15516.77|17456.38|16486.57|No Volume|12607.38|11850.97|14654.44|No Volume|12769.33|9649.19|7348.43|13163.1|12130.95|11811.32|9649.19|No Volume|11067.63|No Volume|6485.26|7160.01|6552.95|12426.71|12650.39|5496.32|6642.9|5572.97|12650.39|No Volume|No Volume|No Volume|6988.71|6988.71|6424.25|6497.05|8176.18|8176.18|No Volume|8176.18|11564.03|No Volume|6828.53|5496.32|17456.38
MSDRG|||684|Renal failure|11986.89|6353.05|10082.68|10754.86|10754.86|12099.21|11427.04|No Volume|8738.33|8214.03|4569.68|No Volume|4569.68|No Volume|4569.68|No Volume|4569.68|4569.68|No Volume|No Volume|No Volume|8966.82|5300.77|5003.8|5300.77|6187.85|6187.85|3768.96|4642.42|3821.52|6187.85|No Volume|No Volume|No Volume|6378.39|6378.39|5671.16|4569.68|7145.21|7145.21|No Volume|7145.21|5300.77|No Volume|4772.14|3768.96|12099.21
MSDRG|||686|Kidney & urinary tract neoplasms|27326.05|14482.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13086.44|No Volume|13086.44|No Volume|13086.44|No Volume|13086.44|13086.44|No Volume|No Volume|No Volume|No Volume|No Volume|9967.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12455.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9967.92|14482.81
MSDRG|||687|Kidney & urinary tract neoplasms|14741.93|7813.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14493.25|No Volume|18902.33|No Volume|No Volume|14130.1|No Volume|No Volume|8555.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7813.22|18902.33
MSDRG|||689|Kidney & urinary tract infections|20671.82|10956.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17403.49|No Volume|16160.52|No Volume|9299.98|No Volume|15352.61|14948.1|No Volume|No Volume|No Volume|No Volume|8273.14|No Volume|8273.14|15491.49|15770.34|6851.87|8212.79|6947.42|15770.34|No Volume|No Volume|No Volume|No Volume|No Volume|6981.22|8032.47|13014|11454|No Volume|12513|8273.14|No Volume|6725.25|6725.25|17403.49
MSDRG|||690|Kidney & urinary tract infections|18329.77|9714.78|8928.42|9523.65|9523.65|10714.1|10118.88|No Volume|7737.96|7273.69|15984.51|No Volume|11520.17|No Volume|6629.57|No Volume|10944.24|10655.88|No Volume|No Volume|No Volume|No Volume|5931.51|6345.7|5993.16|10951.79|11148.92|4843.97|5887.4|4911.52|11148.92|No Volume|No Volume|No Volume|3764.1|3664.17|6424.25|5758.14|16779.62|15961.89|No Volume|16779.62|10576.17|No Volume|7322.75|3664.17|16779.62
MSDRG|||693|Urinary stones w/o esw lithotripsy|8693.45|4607.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4607.53|4607.53
MSDRG|||694|Urinary stones w/o esw lithotripsy|9723.9|5153.67|9099.36|9705.98|9705.98|10919.23|10312.61|No Volume|7886.12|7412.96|36794.01|No Volume|10605.48|No Volume|6103.19|No Volume|10075.28|9809.81|No Volume|No Volume|No Volume|No Volume|1422.29|No Volume|5655.86|8030.22|8030.22|4535.25|5529.88|4598.49|8030.22|No Volume|No Volume|No Volume|5179.04|5041.54|1280.69|5408.46|No Volume|No Volume|No Volume|No Volume|2347.05|No Volume|No Volume|1280.69|36794.01
MSDRG|||695|Kidney & urinary tract signs & symptoms|7623.21|4040.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8656.75|No Volume|8748.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15437.88|No Volume|No Volume|4040.3|15437.88
MSDRG|||696|Kidney & urinary tract signs & symptoms|13077.5|6931.07|9808.13|10462|10462|11769.75|11115.88|No Volume|8500.38|7990.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6060.35|5493.92|15578.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5493.92|5493.92|7361.43|No Volume|No Volume|No Volume|No Volume|No Volume|5205.33|No Volume|No Volume|5205.33|15578.34
MSDRG|||697|Urethral stricture|18359.45|9730.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7239.5|No Volume|7315.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|12909.55|No Volume|No Volume|6424.25|12909.55
MSDRG|||698|Other kidney & urinary tract diagnoses|27006.24|14313.31|10139.25|10815.2|10815.2|12167.1|11491.15|No Volume|8787.35|8260.13|38443.64|No Volume|23364.63|No Volume|13445.77|No Volume|22196.56|21611.72|No Volume|No Volume|No Volume|No Volume|11844.85|12675.21|11971.04|11845.24|11845.24|9914.57|7453.93|10052.83|11845.24|No Volume|No Volume|No Volume|8034.17|8034.17|6424.25|11501.58|23835.39|20975.47|No Volume|22917.97|21125.36|No Volume|12088.4|6424.25|38443.64
MSDRG|||699|Other kidney & urinary tract diagnoses|17327.38|9183.51|19762.65|21080.16|21080.16|23715.18|22397.67|No Volume|17127.63|16100|16448.19|No Volume|14908.46|No Volume|8579.45|No Volume|14163.14|13789.97|No Volume|No Volume|No Volume|No Volume|6988.94|8195.33|7062.12|14301.86|14559.29|6325.7|7603.45|6413.91|14559.29|No Volume|No Volume|No Volume|8195.33|8195.33|6424.25|7436.5|13172.19|12168|No Volume|13172.19|12462.57|No Volume|7131.36|6325.7|23715.18
MSDRG|||700|Other kidney & urinary tract diagnoses|8447.47|4477.16|3688.86|3934.77|3934.77|4426.62|4180.7|No Volume|3541.29|3328.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10271.8|10456.69|4543.21|5539.09|4606.57|10456.69|No Volume|No Volume|No Volume|4564.68|4564.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3328.83|10456.69
MSDRG|||707|Major male pelvic procedures|43052.14|22817.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32215.15|No Volume|13640.01|14596.7|13785.77|25896.25|26362.37|11453.89|13542.49|11613.61|26362.37|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|24327.83|No Volume|No Volume|6424.25|32215.15
MSDRG|||708|Major male pelvic procedures|39936.64|21166.42|32586.25|34758.66|34758.66|39103.5|36931.08|No Volume|28241.41|26546.94|35745.36|No Volume|21687.94|19992.59|12480.87|32551.09|20603.69|20060.82|19491.65|No Volume|No Volume|33371.22|10654.78|11401.35|10767.95|20108.75|20470.7|8894.08|10577.92|9018.11|20470.7|No Volume|No Volume|No Volume|11401.35|11401.35|6424.25|10345.67|22124.92|19470.23|No Volume|21273.33|19002.26|No Volume|10873.51|6424.25|39103.5
MSDRG|||710|Penis procedures|17782.92|9424.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10266.87|No Volume|10266.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10266.87|No Volume|No Volume|No Volume|No Volume|No Volume|10266.87|No Volume|No Volume|9424.95|10266.87
MSDRG|||711|Testes procedures|33827.56|17928.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17928.61|17928.61
MSDRG|||712|Testes procedures|29028.15|15384.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29028.15|No Volume|15378.17|No Volume|8849.75|No Volume|14609.36|14224.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7349.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7349.76|29028.15
MSDRG|||713|Transurethral prostatectomy|20954.62|11105.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8870.39|No Volume|9928.32|No Volume|7625.44|No Volume|9663.32|9530.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8870.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7625.44|11105.95
MSDRG|||714|Transurethral prostatectomy|28689.62|15205.5|24998.96|26665.56|26665.56|29998.76|28332.16|No Volume|21665.77|20365.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7298.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7313.49|7313.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7298.41|29998.76
MSDRG|||715|Other male reproductive system O.R. proc for malignancy|77666.7|41163.35|58250.03|62133.36|62133.35|69900.03|66016.7|No Volume|50483.36|47454.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13094.99|12747.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12747.34|69900.03
MSDRG|||717|Other male reproductive system O.R. proc exc malignancy|34327.25|18193.44|25745.44|27461.8|27461.8|30894.53|29178.16|No Volume|22312.71|20973.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13451.15|13451.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13451.15|30894.53
MSDRG|||718|Other male reproductive system O.R. proc exc malignancy|26505.25|14047.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16789.92|No Volume|21694.55|No Volume|No Volume|16369.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14047.78|21694.55
MSDRG|||722|Malignancy male reproductive system|50439.7|26733.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8011.06|No Volume|8011.06|No Volume|8011.06|No Volume|8011.06|8011.06|No Volume|No Volume|No Volume|No Volume|13175.7|14099.69|13316.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|12794.16|No Volume|No Volume|No Volume|No Volume|23499.49|No Volume|No Volume|6424.25|26733.04
MSDRG|||723|Malignancy male reproductive system|38193.61|20242.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8193.14|No Volume|8279.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14610.78|No Volume|No Volume|6424.25|20242.61
MSDRG|||725|Benign prostatic hypertrophy|27146.41|14387.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9250.38|No Volume|9250.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9250.38|No Volume|No Volume|No Volume|No Volume|No Volume|9250.38|No Volume|No Volume|9250.38|14387.6
MSDRG|||726|Benign prostatic hypertrophy|16901.12|8957.59|12675.84|13520.9|13520.89|15211.01|14365.95|No Volume|10985.73|10326.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10590.33|10780.95|4684.09|5702.26|4749.41|10780.95|No Volume|No Volume|No Volume|3836.46|3836.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3836.46|15211.01
MSDRG|||727|Inflammation of the male reproductive system|29181.68|15466.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29181.68|No Volume|20622.01|19652.49|11867.45|60286.71|19591.05|19074.86|28725.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10174.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10174.32|60286.71
MSDRG|||728|Inflammation of the male reproductive system|17375.69|9209.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17375.69|No Volume|11684.5|No Volume|6724.14|No Volume|11100.35|10807.88|No Volume|No Volume|4150.93|No Volume|5555.1|No Volume|5555.1|11113.82|11313.87|4915.63|5970.4|4984.18|11313.87|No Volume|No Volume|No Volume|No Volume|No Volume|5555.1|5839.31|No Volume|No Volume|No Volume|No Volume|5555.1|No Volume|No Volume|4150.93|17375.69
MSDRG|||729|Other male reproductive system diagnoses|34139.65|18094.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18094.01|18094.01
MSDRG|||730|Other male reproductive system diagnoses|21603.04|11449.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11449.61|11449.61
MSDRG|||737|Uterine & adnexa proc for ovarian or adnexal malignancy|38203.52|20247.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14477.23|No Volume|14632.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|25821.38|No Volume|No Volume|6424.25|25821.38
MSDRG|||742|Uterine & adnexa proc for non-malignancy|37541.75|19897.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5874.9|No Volume|5874.9|23397.89|23819.04|10348.86|12262.75|10493.18|23819.04|No Volume|No Volume|No Volume|No Volume|No Volume|5874.9|No Volume|No Volume|No Volume|No Volume|No Volume|5874.9|No Volume|No Volume|5874.9|23819.04
MSDRG|||743|Uterine & adnexa proc for non-malignancy|24428.23|12946.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17933.2|No Volume|16465.91|No Volume|9475.72|No Volume|15642.72|15230.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15905.58|16191.87|7035.02|8424.92|7133.13|16191.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8239.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7035.02|17933.2
MSDRG|||744|D&C conization laparoscopy & tubal interruption|18760.04|9942.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12715.66|No Volume|12851.33|24104.18|24538.06|10661.26|12624.54|10809.93|24538.06|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|18760.04|No Volume|No Volume|6424.25|24538.06
MSDRG|||746|Vagina cervix & vulva procedures|28391.03|15047.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11933.43|No Volume|12060.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21283.36|No Volume|No Volume|6424.25|21283.36
MSDRG|||749|Other female reproductive system O.R. procedures|18671.24|9895.76|53823.09|57411.3|57411.3|64587.71|60999.5|No Volume|46646.68|43847.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28907.04|28139.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9895.76|64587.71
MSDRG|||750|Other female reproductive system O.R. procedures|40886.7|21669.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18329.29|No Volume|33465.76|No Volume|No Volume|17870.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17870.03|33465.76
MSDRG|||754|Malignancy female reproductive system|14321.25|7590.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7590.26|7590.26
MSDRG|||755|Malignancy female reproductive system|7355.58|3898.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4413.35|No Volume|6020.54|No Volume|No Volume|4413.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3898.46|6020.54
MSDRG|||756|Malignancy female reproductive system|15108.29|8007.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8007.39|8007.39
MSDRG|||757|Infections female reproductive system|24523.07|12997.23|18392.3|19618.46|19618.45|22070.77|20844.61|No Volume|15940|14983.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7463.45|7265.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7265.3|22070.77
MSDRG|||758|Infections female reproductive system|19534.72|10353.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6253.47|No Volume|6253.47|13369.82|13610.48|5913.46|7126.01|5995.93|13610.48|No Volume|No Volume|No Volume|No Volume|No Volume|6253.47|No Volume|No Volume|No Volume|No Volume|No Volume|6253.47|No Volume|No Volume|5913.46|13610.48
MSDRG|||759|Infections female reproductive system|12486.89|6618.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9144.49|9309.09|4044.6|4961.66|4101|9309.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4044.6|9309.09
MSDRG|||760|Menstrual & other female reproductive system disorders|10950.59|5803.81|6204.31|6617.93|6617.93|7445.17|7031.55|No Volume|5377.07|5054.45|No Volume|No Volume|No Volume|3447.8|No Volume|4703.37|No Volume|No Volume|3447.8|No Volume|No Volume|No Volume|1017.98|No Volume|1253.19|10460.51|10460.51|5528.17|6679.79|5605.27|10460.51|No Volume|No Volume|No Volume|3422.95|3422.95|1253.19|No Volume|13686.77|12044.54|No Volume|13159.97|1472.13|No Volume|6866.45|1017.98|13686.77
MSDRG|||768|Vaginal delivery w O.R. proc except steril &/or D&C|16729.59|8866.68|6356.51|6780.27|6780.27|7627.81|7204.04|No Volume|5508.97|5178.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4194.54|No Volume|4194.54|8551|8704.92|4097.32|7431.73|4154.46|8704.92|No Volume|No Volume|No Volume|3294.74|3294.74|4194.54|No Volume|No Volume|No Volume|No Volume|No Volume|4194.54|No Volume|No Volume|3294.74|8866.68
MSDRG|||769|Postpartum & post abortion diagnoses w O.R. procedure|31483.17|16686.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21398.74|No Volume|21398.74|14343.07|13560.41|19566.33|21398.74|21398.74|14343.07|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|19984.11|20343.82|8838.95|10514.08|8962.21|20343.82|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|10283.23|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|6424.25|21398.74
MSDRG|||770|Abortion w D&C aspiration curettage or hysterotomy|25763.66|13654.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|6424.25|13654.74
MSDRG|||776|Postpartum & post abortion diagnoses w/o O.R. procedure|10608.34|5622.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19217.95|No Volume|11179.89|No Volume|6433.75|No Volume|10620.97|10341.13|No Volume|No Volume|No Volume|No Volume|3801.21|No Volume|3801.21|7258.05|7258.05|4348.42|5313.51|4409.06|7258.05|No Volume|No Volume|No Volume|No Volume|No Volume|2643.95|5196.84|No Volume|No Volume|No Volume|No Volume|3801.21|No Volume|No Volume|2643.95|19217.95
MSDRG|||779|Abortion w/o D&C|22388.39|11865.85|28791.59|30711.03|30711.03|34549.91|32630.47|No Volume|24952.71|23455.58|10173.72|No Volume|10173.72|No Volume|8706.65|No Volume|10173.72|10173.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4776.72|4649.91|No Volume|8193.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4649.91|34549.91
MSDRG|||789|Neonates died or transferred to another acute care facility|40585.05|21510.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|109728.45|No Volume|109728.45|31487|32053.77|15541.94|12286.57|15758.63|32053.77|No Volume|No Volume|No Volume|No Volume|No Volume|180768.33|No Volume|No Volume|No Volume|No Volume|No Volume|109728.45|No Volume|No Volume|12286.57|180768.33
MSDRG|||790|Extreme immaturity or respiratory distress syndrome neonate|411621.46|218159.37|884318.75|943273.34|943273.34|1061182.51|1002227.91|No Volume|766409.59|720425.03|No Volume|No Volume|No Volume|164000|No Volume|324436.89|No Volume|No Volume|159900|No Volume|No Volume|No Volume|60773.59|No Volume|60773.59|216512.89|216512.89|216512.89|97874.76|216512.89|216512.89|No Volume|No Volume|No Volume|249324.78|242705.54|66124.02|No Volume|No Volume|No Volume|No Volume|No Volume|60773.59|No Volume|No Volume|60773.59|1061182.51
MSDRG|||791|Prematurity w major problems|89217.77|47285.42|170557.07|181927.54|181927.55|204668.49|193298.02|No Volume|147816.13|138947.15|No Volume|No Volume|No Volume|29000|No Volume|50124.33|No Volume|No Volume|28275|No Volume|52261.68|No Volume|15766.41|No Volume|15766.41|16715|17015.85|8252.9|27301.35|8367.95|17015.85|No Volume|No Volume|No Volume|42155.68|41036.5|5178.19|No Volume|No Volume|No Volume|No Volume|No Volume|15766.41|No Volume|No Volume|5178.19|204668.49
MSDRG|||792|Prematurity w/o major problems|62192.44|32961.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16591.21|No Volume|16591.21|41166|41906.98|20321|16582.57|20604.3|41906.98|No Volume|No Volume|No Volume|No Volume|No Volume|7662.8|No Volume|No Volume|No Volume|No Volume|No Volume|16591.21|No Volume|No Volume|7662.8|41906.98
MSDRG|||793|Full term neonate w major problems|25425.77|13475.66|26573.75|28345.33|28345.32|31888.49|30116.92|No Volume|23030.58|21648.74|30459.64|No Volume|15679|No Volume|8515.28|No Volume|14898|14505|No Volume|No Volume|16453.85|No Volume|8293.75|No Volume|8293.75|11963|12178.33|5905.54|28032.27|5987.87|12178.33|No Volume|No Volume|No Volume|12830.62|12489.98|5178.19|27421.13|10350|9315|No Volume|9951|8293.75|No Volume|28795.51|5178.19|31888.49
MSDRG|||794|Neonate w other significant problems|5371.93|2847.12|8673.44|9251.67|9251.67|10408.13|9829.9|No Volume|7516.98|7065.96|4163.58|No Volume|2145|1884|1150.74|2912.22|2038|1984|1884|No Volume|3709.5|No Volume|2092.89|No Volume|2092.89|2594|2640.69|1280.1|10099.64|1297.95|2640.69|No Volume|No Volume|No Volume|2117.87|2061.64|1327.35|9875.25|4390|3908|No Volume|4222|2092.89|No Volume|10376.19|1150.74|10408.13
MSDRG|||795|Normal newborn|4946|2621.38|2481.18|2646.59|2646.59|2977.42|2812|No Volume|2150.36|2021.33|4237|No Volume|4237|2047.3|4237|4189.28|4237|4237|1996.11|No Volume|2464.68|1804.56|1327.35|No Volume|1327.35|2594|2640.69|1280.1|1606.8|1297.95|2640.69|No Volume|No Volume|No Volume|1558.28|1516.91|1327.35|1571.34|1323|1191|No Volume|1272|1327.35|No Volume|1651.11|1191|4237
MSDRG|||799|Splenectomy|81669.25|43284.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43284.7|43284.7
MSDRG|||800|Splenectomy|46483.39|24636.2|34862.54|37186.71|37186.72|41835.05|39510.88|No Volume|30214.21|28401.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39358.86|39804.56|17408.39|20438.52|17651.15|39804.56|No Volume|No Volume|No Volume|21826.05|21246.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17408.39|41835.05
MSDRG|||802|Other O.R. proc of the blood & blood forming organs|28010.47|14845.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14845.55|14845.55
MSDRG|||803|Other O.R. proc of the blood & blood forming organs|46841.39|24825.94|54948.86|58612.11|58612.12|65938.63|62275.36|No Volume|47622.35|44765.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24673.38|25117.5|10913.01|12916.08|11065.2|25117.5|No Volume|No Volume|No Volume|11808.59|11495.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10913.01|65938.63
MSDRG|||804|Other O.R. proc of the blood & blood forming organs|49073.48|26008.94|36805.11|39258.78|39258.79|44166.13|41712.45|No Volume|31897.77|29983.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11808.59|11495.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11495.09|44166.13
MSDRG|||808|Major hematol/immun diag exc sickle cell crisis & coagul|26609.78|14103.18|10101.11|10774.52|10774.52|12121.34|11447.92|No Volume|8754.31|8229.05|26609.78|No Volume|26609.78|No Volume|18225.89|No Volume|26609.78|26609.78|No Volume|No Volume|No Volume|No Volume|No Volume|13468.15|No Volume|29492.83|30023.7|13044.65|15384.79|13226.56|30023.7|No Volume|No Volume|No Volume|13468.15|13468.15|No Volume|15047|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8229.05|30023.7
MSDRG|||809|Major hematol/immun diag exc sickle cell crisis & coagul|19341.75|10251.13|13585.8|14491.52|14491.52|16302.96|15397.25|No Volume|11774.36|11067.9|23722.94|No Volume|17765.96|No Volume|10223.87|No Volume|16877.79|16433.09|No Volume|No Volume|30004.37|No Volume|8968.23|9596.1|8968.23|16839|17142.1|7447.87|8903.05|7551.74|17142.1|No Volume|No Volume|No Volume|9596.1|9596.1|7970.25|8707.57|15489.74|15489.74|No Volume|15489.74|8968.23|No Volume|9151.84|7447.87|30004.37
MSDRG|||810|Major hematol/immun diag exc sickle cell crisis & coagul|12190.95|6461.2|11996.35|12796.1|12796.1|14395.62|13595.86|No Volume|10396.83|9773.03|No Volume|No Volume|No Volume|12879.52|No Volume|24105.46|No Volume|No Volume|12556.81|No Volume|No Volume|No Volume|6966.41|No Volume|6966.41|11834.98|11834.98|5729.7|6913.2|5809.6|11834.98|No Volume|No Volume|No Volume|6130.01|5967.27|6966.41|No Volume|No Volume|No Volume|No Volume|No Volume|6966.41|No Volume|No Volume|5729.7|24105.46
MSDRG|||811|Red blood cell disorders|22327.04|11833.33|36798.5|39251.73|39251.73|44158.2|41704.97|No Volume|31892.03|29978.51|45083.21|No Volume|20033.06|No Volume|11528.53|No Volume|19031.54|18530.1|No Volume|No Volume|15773.4|No Volume|9856.86|10547.29|9856.86|18561.81|18895.92|8209.87|9785.54|8324.36|18895.92|No Volume|No Volume|No Volume|9600.31|9600.31|8162.87|9570.69|No Volume|No Volume|No Volume|No Volume|9856.86|No Volume|No Volume|8162.87|45083.21
MSDRG|||812|Red blood cell disorders|17271.32|9153.8|5852.16|6242.3|6242.3|7022.59|6632.45|No Volume|5071.88|4767.57|8060.98|No Volume|8060.98|11988.67|7361.82|14531.2|8060.98|8060.98|11688.28|No Volume|9108.19|No Volume|6502.3|6051.01|6570.17|12058.32|12275.37|5333.39|6454.22|5407.76|12275.37|No Volume|No Volume|No Volume|4184.2|4073.11|6424.25|6312.51|13050.35|11484.48|No Volume|12548.04|11594.41|No Volume|6634.58|4073.11|14531.2
MSDRG|||813|Coagulation disorders|24977.65|13238.15|74413.66|79374.57|79374.58|89296.39|84335.48|No Volume|64491.84|60622.35|16789.34|No Volume|16789.34|6538.47|12926.91|8919.56|16789.34|16789.34|6538.47|No Volume|No Volume|No Volume|11606.27|12419.83|11729.84|17046.93|17046.93|9709.98|11522.84|9845.39|17046.93|No Volume|No Volume|No Volume|12419.83|12419.83|6424.25|11269.84|No Volume|No Volume|No Volume|No Volume|20699.71|No Volume|No Volume|6424.25|89296.39
MSDRG|||814|Reticuloendothelial & immunity disorders|36801.14|19504.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22739.59|No Volume|22739.59|No Volume|15823.27|No Volume|22739.59|22739.59|No Volume|No Volume|No Volume|No Volume|12777.1|No Volume|12913.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|12407.04|No Volume|No Volume|No Volume|No Volume|22788.43|No Volume|No Volume|6424.25|22788.43
MSDRG|||815|Reticuloendothelial & immunity disorders|23367.94|12385.01|26145.2|27888.21|27888.21|31374.23|29631.22|No Volume|22659.17|21299.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|345.72|No Volume|4178.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27888.21|27888.21|4178.87|No Volume|No Volume|No Volume|No Volume|No Volume|432.33|No Volume|No Volume|345.72|31374.23
MSDRG|||816|Reticuloendothelial & immunity disorders|12484.72|6616.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8739.3|No Volume|10218.74|No Volume|No Volume|8520.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6616.9|10218.74
MSDRG|||820|Lymphoma & leukemia w major O.R. procedure|65530.93|34731.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44009.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34731.39|44009.98
MSDRG|||821|Lymphoma & leukemia w major O.R. procedure|36482.46|19335.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36482.46|No Volume|31339.46|No Volume|18035.08|No Volume|29772.71|28988.25|No Volume|No Volume|No Volume|No Volume|No Volume|17367.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15759.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15759.56|36482.46
MSDRG|||822|Lymphoma & leukemia w major O.R. procedure|38074.99|20179.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20179.74|20179.74
MSDRG|||823|Lymphoma & non-acute leukemia w other O.R. proc|105138.51|55723.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|230091.92|No Volume|79893.83|No Volume|49014.92|No Volume|75896.44|73454.49|No Volume|No Volume|No Volume|No Volume|30500.67|No Volume|30830.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|45384.33|66714.48|58709.64|No Volume|64146.63|54406.58|No Volume|31132.66|6424.25|230091.92
MSDRG|||824|Lymphoma & non-acute leukemia w other O.R. proc|46166.8|24468.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34896.1|No Volume|34358.38|No Volume|19772.4|No Volume|32640.7|31780.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16403.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16403.43|34896.1
MSDRG|||825|Lymphoma & non-acute leukemia w other O.R. proc|20093.93|10649.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18758.47|19096.12|8296.85|9886.27|8412.56|19096.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8296.85|19096.12
MSDRG|||826|Myeloprolif disord or poorly diff neopl w maj O.R. proc|107503.92|56977.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|124585.06|No Volume|85671.15|No Volume|51905.62|No Volume|81385.39|78862|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35066.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35066.47|124585.06
MSDRG|||827|Myeloprolif disord or poorly diff neopl w maj O.R. proc|56966.34|30192.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31891.76|No Volume|45585.01|No Volume|No Volume|31092.67|No Volume|No Volume|No Volume|No Volume|18009.18|No Volume|32077.05|32654.44|14187.65|16708.52|14385.5|32654.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14187.65|45585.01
MSDRG|||829|Myeloprolif disord or poorly diff neopl w other O.R. proc|80597.03|42716.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47556.56|41850.41|No Volume|45726.1|No Volume|No Volume|23182|23182|47556.56
MSDRG|||834|Acute leukemia w/o major O.R. procedure|70050.14|37126.57|27203.21|29016.76|29016.76|32643.86|30830.31|No Volume|23576.12|22161.57|70050.14|No Volume|70050.14|No Volume|53956.1|No Volume|70050.14|70050.14|No Volume|No Volume|No Volume|No Volume|42018.03|36270.95|42473.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36270.95|36270.95|6424.25|40807.83|No Volume|No Volume|No Volume|No Volume|32798.49|No Volume|No Volume|6424.25|70050.14
MSDRG|||835|Acute leukemia w/o major O.R. procedure|41898.4|22206.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27834.25|No Volume|34341.78|No Volume|No Volume|25362.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22206.15|34341.78
MSDRG|||836|Acute leukemia w/o major O.R. procedure|3950.39|2093.71|2962.79|3160.31|3160.31|3555.35|3357.83|No Volume|2567.75|2413.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1109.89|1109.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1109.89|3555.35
MSDRG|||837|Chemo w acute leukemia as sdx|21605.58|11450.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11450.96|11450.96
MSDRG|||838|Chemo w acute leukemia as sdx|21242.3|11258.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21242.3|21242.3|13401.76|15798.36|13588.65|21242.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11258.42|21242.3
MSDRG|||839|Chemo w acute leukemia as sdx|18421.64|9763.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9763.47|9763.47
MSDRG|||840|Lymphoma & non-acute leukemia|62108.5|32917.5|203349.26|216905.88|216905.88|244019.11|230462.51|No Volume|176236.01|165661.89|44249.34|No Volume|27920|No Volume|16068|No Volume|26524|25824|No Volume|No Volume|135737.86|No Volume|23107.2|60239.39|23356.28|44250.32|45046.82|19571.88|22944.11|19844.81|45046.82|No Volume|No Volume|No Volume|60239.39|60239.39|6424.25|22440.34|No Volume|No Volume|No Volume|No Volume|41216.96|No Volume|No Volume|6424.25|244019.11
MSDRG|||841|Lymphoma & non-acute leukemia|21764.15|11535|11400.83|12160.89|12160.89|13681|12920.94|No Volume|9880.72|9287.89|No Volume|No Volume|No Volume|22191.5|No Volume|40944.54|No Volume|No Volume|21635.46|No Volume|No Volume|No Volume|11795.59|12321.76|11795.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8220.03|8001.8|16033.36|No Volume|No Volume|No Volume|No Volume|No Volume|11795.59|No Volume|No Volume|8001.8|40944.54
MSDRG|||842|Lymphoma & non-acute leukemia|17660.76|9360.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9360.2|9360.2
MSDRG|||843|Other myeloprolif dis or poorly diff neopl diag|14720.55|7801.89|20116|21457.06|21457.06|24139.2|22798.13|No Volume|17433.87|16387.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13910.76|No Volume|14059.47|26421.12|26896.7|11686.04|13811.36|11849|26896.7|No Volume|No Volume|No Volume|13906.4|13906.4|6424.25|No Volume|13922.04|13922.04|No Volume|13922.04|14720.55|No Volume|14197.3|6424.25|26896.7
MSDRG|||844|Other myeloprolif dis or poorly diff neopl diag|10534.45|5583.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11954.72|No Volume|16308.24|No Volume|No Volume|11954.72|No Volume|No Volume|No Volume|10906.47|No Volume|10906.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10906.47|No Volume|No Volume|No Volume|No Volume|No Volume|10906.47|No Volume|No Volume|5583.26|16308.24
MSDRG|||845|Other myeloprolif dis or poorly diff neopl diag|14611.85|7744.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7744.28|7744.28
MSDRG|||846|Chemotherapy w/o acute leukemia as secondary diagnosis|131763.11|69834.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36375.78|37030.54|16088.98|20452.43|16313.34|37030.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29914.31|29914.31|No Volume|29914.31|No Volume|No Volume|19438.91|16088.98|69834.45
MSDRG|||847|Chemotherapy w/o acute leukemia as secondary diagnosis|29269.43|15512.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29796.27|No Volume|19416.48|No Volume|11173.7|No Volume|18445.79|17959.78|No Volume|No Volume|No Volume|No Volume|9682.55|No Volume|9785.12|18223.9|18551.93|8060.41|9612.44|8172.82|18551.93|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|9401.39|6309.38|6309.38|No Volume|6309.38|17267.85|No Volume|9881.05|6309.38|29796.27
MSDRG|||853|Infectious & parasitic diseases w O.R. procedure|97960.44|51919.03|104251.64|111201.75|111201.75|125101.97|118151.86|No Volume|90351.42|84930.35|70586.45|No Volume|59920|80091.21|34480|111392.79|56928|55424|77573.48|No Volume|108910.38|No Volume|36704.04|39283.89|37101.45|70610.51|71881.49|31230.96|36446.72|31666.49|71881.49|No Volume|No Volume|No Volume|39126.26|39126.26|6424.25|29148.08|54224.73|54224.73|No Volume|54224.73|65473.15|No Volume|37465.19|6424.25|125101.97
MSDRG|||854|Infectious & parasitic diseases w O.R. procedure|33774.8|17900.64|29093.86|31033.45|31033.44|34912.63|32973.04|No Volume|25214.67|23701.83|22266.93|No Volume|22266.93|29757.56|17527.11|41862.12|22266.93|22266.93|29011.95|No Volume|No Volume|33460.45|15720.9|16824.02|15889.36|29930.46|30469.2|13238.21|15608.96|13422.82|30469.2|No Volume|No Volume|No Volume|20027.32|20027.32|6424.25|15266.24|31070.42|27342.39|No Volume|29874.52|28040.04|No Volume|16045.13|6424.25|41862.12
MSDRG|||855|Infectious & parasitic diseases w O.R. procedure|58800.04|31164.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22204.1|22603.77|9820.85|11651.24|9957.81|22603.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9820.85|31164.02
MSDRG|||856|Postoperative or post-traumatic infections w O.R. proc|57621.83|30539.57|72367.75|77192.26|77192.26|86841.3|82016.79|No Volume|62718.72|58955.62|No Volume|No Volume|No Volume|40335.28|No Volume|47163.47|No Volume|No Volume|39326.9|No Volume|No Volume|No Volume|17847.63|No Volume|18039.29|39162.95|39162.95|27109.18|17720.95|27487.23|39162.95|No Volume|No Volume|No Volume|34252.25|33342.9|6424.25|No Volume|67435.46|59344.11|No Volume|64839.86|31834.04|No Volume|32558.28|6424.25|86841.3
MSDRG|||857|Postoperative or post-traumatic infections w O.R. proc|38790.53|20558.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31808.16|No Volume|29588.61|No Volume|17027.51|No Volume|28109.38|27368.75|No Volume|No Volume|18646.74|No Volume|14807.26|No Volume|14965.75|28159.17|28666.03|12454.78|14701.64|12628.46|28666.03|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|14378.85|30184.77|26563.01|No Volume|29022.96|26410.14|No Volume|15112.47|6424.25|31808.16
MSDRG|||858|Postoperative or post-traumatic infections w O.R. proc|44118.59|23382.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5422.98|No Volume|5422.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5422.98|No Volume|No Volume|No Volume|No Volume|No Volume|5422.98|No Volume|No Volume|5422.98|23382.85
MSDRG|||862|Postoperative & post-traumatic infections|22175.42|11752.97|6693.48|7139.71|7139.71|8032.18|7585.95|No Volume|5801.02|5452.96|292503.18|No Volume|39426.51|25480.91|23205.18|40211.85|37457.62|36098.74|24842.45|No Volume|No Volume|No Volume|8203.06|No Volume|8203.06|25628.96|26090.28|11335.67|13405.57|11493.74|26090.28|No Volume|No Volume|No Volume|9048.72|8808.49|10037.21|58518.1|No Volume|No Volume|No Volume|No Volume|8203.06|No Volume|No Volume|5452.96|292503.18
MSDRG|||863|Postoperative & post-traumatic infections|13881.67|7357.29|10411.25|11105.34|11105.34|12493.5|11799.42|No Volume|9023.09|8481.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13089.22|No Volume|13089.22|1028.79|1048.8|462.48|656.85|469.86|1048.8|No Volume|No Volume|No Volume|5881.29|5725.15|13242.6|No Volume|14499.73|12759.96|No Volume|13941.63|13089.22|No Volume|7489.94|462.48|14499.73
MSDRG|||864|Fever|27687.73|14674.5|37296.12|39782.53|39782.53|44755.34|42268.94|No Volume|32323.31|30383.9|13050.48|No Volume|12724.25|11667.85|7322.49|32040.79|12088.13|11769.63|15266.84|No Volume|No Volume|No Volume|5427.92|6778.48|5427.92|11735.64|11946.88|5190.66|6288.92|5263.05|11946.88|No Volume|No Volume|No Volume|5081.13|5081.13|5427.92|6150.84|No Volume|No Volume|No Volume|No Volume|5427.92|No Volume|No Volume|5081.13|44755.34
MSDRG|||865|Viral illness|20657.53|10948.49|9366.41|9990.84|9990.84|11239.7|10615.27|No Volume|8117.56|7630.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10235.46|No Volume|10344.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6050.59|5889.95|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|18254.21|No Volume|No Volume|5889.95|18254.21
MSDRG|||866|Viral illness|12814.48|6791.67|9610.86|10251.58|10251.58|11533.03|10892.31|No Volume|8329.41|7829.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1186.11|4537.22|1495.57|11338.18|11542.26|5014.86|6085.32|5084.8|11542.26|No Volume|No Volume|No Volume|12732.39|12394.36|1495.57|No Volume|No Volume|No Volume|No Volume|No Volume|1648.92|No Volume|No Volume|1186.11|12732.39
MSDRG|||867|Other infectious & parasitic diseases diagnoses|68251.95|36173.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30088.02|No Volume|55864.22|No Volume|No Volume|29334.12|No Volume|No Volume|No Volume|10820.03|No Volume|10820.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10820.03|No Volume|16346.84|16346.84|No Volume|16346.84|10820.03|No Volume|16220.13|10820.03|55864.22
MSDRG|||868|Other infectious & parasitic diseases diagnoses|46079.81|24422.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8118.84|No Volume|8204.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|14478.26|No Volume|No Volume|6424.25|24422.3
MSDRG|||869|Other infectious & parasitic diseases diagnoses|6663.53|3531.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3531.67|3531.67
MSDRG|||870|Septicemia or severe sepsis w MV >96 hours|183374.04|97188.24|103215.5|110096.54|110096.53|123858.6|116977.56|No Volume|89453.44|84086.27|183374.04|No Volume|93429.44|102964.24|53766.32|143205.14|88758.61|86419.98|99727.47|No Volume|69390.86|288039.16|45459.76|48655.81|45459.76|100060.55|100060.55|100060.55|45141.78|100060.55|100060.55|No Volume|No Volume|No Volume|48655.81|48655.81|19965.76|44150.65|69165.04|62640.04|No Volume|66555.04|45459.76|No Volume|55029.47|19965.76|288039.16
MSDRG|||871|Septicemia or severe sepsis w/o MV >96 hours|37879.45|20076.11|21814.19|23268.46|23268.48|26177.02|24722.74|No Volume|18905.62|17771.31|42991.37|No Volume|27167.36|17771.24|15634.14|20779.66|25809.18|25129.16|17326.96|No Volume|26364.07|31549.92|13614.3|17238.34|13759.77|25846.39|26311.62|11431.83|13516.95|11591.25|26311.62|No Volume|No Volume|No Volume|9495.11|9495.11|6424.25|13220.17|27714.75|24389.35|No Volume|26648|24281.95|No Volume|13894.67|6424.25|42991.37
MSDRG|||872|Septicemia or severe sepsis w/o MV >96 hours|19299.13|10228.54|14149.66|15092.97|15092.97|16979.59|16036.28|No Volume|12263.04|11527.27|28344.15|No Volume|14856.11|9673.04|8549.32|11310.55|14113.4|13741.54|9431.21|No Volume|14484.3|No Volume|7706.67|8245.78|7787.68|14393.27|14652.34|6366.13|7650.25|6454.91|14652.34|No Volume|No Volume|No Volume|8352.73|8130.98|6424.25|7482.28|15155.44|13336.99|No Volume|14572.1|13742.96|No Volume|7864.03|6366.13|28344.15
MSDRG|||876|O.R. procedure w principal diagnoses of mental illness|175848.7|93199.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|93199.81|93199.81
MSDRG|||880|Acute adjustment reaction & psychosocial dysfunction|15696.59|8319.19|4618.24|4926.12|4926.12|5541.89|5234|No Volume|4002.47|3762.33|No Volume|No Volume|No Volume|9214.55|No Volume|12570.19|No Volume|No Volume|9214.55|No Volume|12303.37|No Volume|No Volume|No Volume|No Volume|7371.28|7371.28|5248.86|1239.68|5322.05|7371.28|No Volume|No Volume|No Volume|4081.68|4081.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1239.68|12570.19
MSDRG|||881|Depressive neuroses|14217.82|7535.44|12549.06|13385.66|13385.66|15058.88|14222.26|No Volume|10875.86|10223.31|4185|No Volume|11653.96|No Volume|6706.56|No Volume|11071.34|10779.63|No Volume|No Volume|2511.23|No Volume|6231.49|No Volume|6231.49|11346.49|11550.72|5018.54|6089.59|5088.52|11550.72|No Volume|No Volume|No Volume|6752.29|6573.03|3115.75|4784.05|11888.77|10462.28|No Volume|11431.17|6231.49|No Volume|5124.67|2511.23|15058.88
MSDRG|||882|Neuroses except depressive|13107.86|6947.17|15851.75|16908.54|16908.54|19022.1|17965.32|No Volume|13738.19|12913.92|No Volume|No Volume|No Volume|9175.5|No Volume|10728.78|No Volume|No Volume|8946.11|No Volume|20729.2|No Volume|6266.8|No Volume|6266.8|4665|4764.37|1689.25|2205.89|1709.71|4764.37|No Volume|No Volume|No Volume|8731.41|8499.6|6266.8|No Volume|No Volume|No Volume|No Volume|No Volume|6266.8|No Volume|No Volume|1689.25|20729.2
MSDRG|||883|Disorders of personality & impulse control|24845.3|13168.01|39016.13|41617.21|41617.21|46819.36|44218.28|No Volume|33813.98|31785.15|1674|No Volume|20254|13197.46|13208.1|15431.61|20254|20254|12867.53|No Volume|No Volume|13234.9|8792.9|No Volume|8792.9|9367.06|9367.06|8187.21|2233.85|8301.38|9367.06|No Volume|No Volume|No Volume|7902.61|7692.81|8792.9|4388.63|No Volume|No Volume|No Volume|No Volume|8792.9|No Volume|No Volume|1674|46819.36
MSDRG|||884|Organic disturbances & intellectual disability|25367.64|13444.85|19083.83|20356.08|20356.08|22900.59|21628.34|No Volume|16539.32|15546.98|62775|No Volume|20995.74|No Volume|12082.53|No Volume|19946.1|19420.55|No Volume|No Volume|No Volume|No Volume|4847.5|10072.75|4897.32|19914.86|20273.33|8808.33|11410.47|8931.16|20273.33|No Volume|No Volume|No Volume|6659.34|6659.34|6424.25|75095.24|No Volume|No Volume|No Volume|No Volume|8642.32|No Volume|No Volume|4847.5|75095.24
MSDRG|||885|Psychoses|39995.51|21197.62|31714.67|33828.98|33828.98|38057.61|35943.3|No Volume|27486.05|25836.9|8370|No Volume|17989.91|13908.78|10352.75|16263.33|17090.54|16640.23|13561.06|No Volume|20492.29|40375.63|12266.08|13617.56|9356.87|16832.07|17135.05|7444.81|8055.1|7548.63|17135.05|No Volume|No Volume|No Volume|8782.78|8782.78|9131.83|9276.75|18352.38|16150.34|No Volume|17645.99|9356.87|No Volume|6821.14|6821.14|40375.63
MSDRG|||886|Behavioral & developmental disorders|20764.87|11005.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9512.94|No Volume|9512.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9512.94|No Volume|No Volume|No Volume|No Volume|No Volume|9512.94|No Volume|No Volume|9512.94|11005.38
MSDRG|||887|Other mental disorder diagnoses|12079.06|6401.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6401.9|6401.9
MSDRG|||894|Alcohol/drug abuse or dependence left AMA|10939.47|5797.92|6144.33|6553.95|6553.95|7373.2|6963.57|No Volume|5325.09|5005.6|66198.38|No Volume|7961.75|No Volume|4581.79|No Volume|7563.71|7364.42|No Volume|No Volume|No Volume|No Volume|4428.55|422.73|4473.78|8037.96|8182.64|3555.18|4394.83|3604.76|8182.64|No Volume|No Volume|No Volume|1784.86|1737.47|6424.25|4298.34|No Volume|No Volume|No Volume|No Volume|7894.91|No Volume|No Volume|422.73|66198.38
MSDRG|||896|Alcohol/drug abuse or dependence w/o rehabilitation therapy|21636.88|11467.55|21222.59|22637.43|22637.44|25467.11|24052.27|No Volume|18392.92|17289.35|21283.78|No Volume|21283.78|No Volume|14870.93|No Volume|21283.78|21283.78|No Volume|No Volume|16227.66|No Volume|6461.4|No Volume|6461.4|23816.13|24244.81|10533.85|12476.97|10680.75|24244.81|No Volume|No Volume|No Volume|6808.58|6808.58|7409.68|12203.03|No Volume|No Volume|No Volume|No Volume|6461.4|No Volume|No Volume|6461.4|25467.11
MSDRG|||897|Alcohol/drug abuse or dependence w/o rehabilitation therapy|14626.37|7751.98|11177.15|11922.29|11922.29|13412.57|12667.43|No Volume|9686.86|9105.66|9285.62|No Volume|9285.62|8106.49|6908.25|11058.6|9285.62|9285.62|8106.49|No Volume|11750.48|12101.66|4538.91|6582.73|4538.91|11381.11|11585.97|5033.85|6107.31|5104.05|11585.97|No Volume|No Volume|No Volume|4403.64|4286.73|4538.91|5973.22|10649.42|10442.43|No Volume|10573.16|4538.91|No Volume|7571.76|4286.73|13412.57
MSDRG|||901|Wound debridements for injuries|55562.48|29448.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|86290.58|86290.58|86290.58|30974.44|86290.58|86290.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29448.11|86290.58
MSDRG|||902|Wound debridements for injuries|31549.48|16721.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|60914.5|No Volume|6593.52|No Volume|6593.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6593.52|No Volume|No Volume|No Volume|No Volume|No Volume|6593.52|No Volume|No Volume|6593.52|60914.5
MSDRG|||903|Wound debridements for injuries|39712.89|21047.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15843.26|16128.43|7007.46|8392.98|7105.18|16128.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7007.46|21047.83
MSDRG|||904|Skin grafts for injuries|30609.13|16222.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48989.45|49871.26|21667.99|26561.41|21970.15|49871.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16222.84|49871.26
MSDRG|||905|Skin grafts for injuries|19451.71|10309.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|82880.16|No Volume|115271.73|No Volume|No Volume|80274.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10309.41|115271.73
MSDRG|||906|Hand procedures for injuries|34002.6|18021.38|63949.5|68212.8|68212.8|76739.4|72476.1|No Volume|55422.9|52097.53|30570.29|No Volume|26085.44|No Volume|15011.52|No Volume|24781.35|24128.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24109.72|24543.7|10663.71|12627.36|10812.42|24543.7|No Volume|No Volume|No Volume|13065.58|13065.58|No Volume|12350.12|26611.02|23418.06|No Volume|25586.76|No Volume|No Volume|12980.22|10663.71|76739.4
MSDRG|||907|Other O.R. procedures for injuries|92837.48|49203.86|67401.36|71894.78|71894.79|80881.63|76388.2|No Volume|58414.51|54909.65|180438.12|No Volume|67899.15|54932.8|41244.28|81775.91|64502.34|62486.95|53556.39|No Volume|41038.54|No Volume|34481.84|30804.29|34481.84|51802.79|51802.79|24437.9|28579.53|24778.69|51802.79|No Volume|No Volume|No Volume|30804.29|30804.29|6424.25|32140.68|No Volume|No Volume|No Volume|No Volume|60850.31|No Volume|No Volume|6424.25|180438.12
MSDRG|||908|Other O.R. procedures for injuries|43390.12|22996.76|35667.05|38044.85|38044.86|42800.46|40422.64|No Volume|30911.44|29056.76|137080.45|No Volume|29671.5|16689.26|17075.21|19514.51|28188.13|27445.42|16272.03|No Volume|No Volume|No Volume|15020.11|16073.92|15180.93|28571.87|29086.16|12637.31|14913.03|12813.54|29086.16|No Volume|No Volume|No Volume|15754.42|15754.42|6424.25|17464.87|No Volume|No Volume|No Volume|No Volume|26789.87|No Volume|No Volume|6424.25|137080.45
MSDRG|||909|Other O.R. procedures for injuries|25229.08|13371.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3075|No Volume|3237|13574.11|1821.42|18517.34|3075|2994|13574.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4958.53|5057.63|1748.52|2355.41|1775.43|5057.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2542.9|20396.64|17949.32|No Volume|19611.57|No Volume|No Volume|9901.46|1748.52|20396.64
MSDRG|||913|Traumatic injury|53748.65|28486.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28486.78|28486.78
MSDRG|||914|Traumatic injury|26961.95|14289.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6484.86|No Volume|6484.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6484.86|No Volume|13182.38|11600.67|No Volume|12674.99|6484.86|No Volume|6568.95|6484.86|14289.83
MSDRG|||915|Allergic reactions|49618.77|26297.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35767.54|No Volume|24686.5|No Volume|14206.47|No Volume|23452.34|22834.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23530.84|23954.39|10407.67|12330.83|10552.8|23954.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12060.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10407.67|35767.54
MSDRG|||916|Allergic reactions|14399.77|7631.88|4510.24|4810.92|4810.92|5412.27|5111.59|No Volume|4329.83|4070.03|11104.03|No Volume|9558.46|No Volume|5500.65|No Volume|9080.6|8841.34|No Volume|No Volume|No Volume|No Volume|No Volume|5140.67|No Volume|8769.19|8927.03|3878.6|4769.4|3932.69|8927.03|No Volume|No Volume|No Volume|9701.86|9701.86|No Volume|4664.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3878.6|11104.03
MSDRG|||917|Poisoning & toxic effects of drugs|22076.37|11700.48|12814.16|13668.44|13668.44|15376.99|14522.72|No Volume|11105.6|10439.29|22076.37|No Volume|21485.81|12231.65|12364.55|16686.01|20411.66|19873.85|12231.65|No Volume|17462.37|8469.95|6903.44|10101.66|6903.44|20263.86|20628.6|8962.69|10657.37|9087.67|20628.6|No Volume|No Volume|No Volume|6356.69|6356.69|6586.11|10423.38|21918.71|19288.76|No Volume|21075.06|6903.44|No Volume|10955.18|6356.69|22076.37
MSDRG|||918|Poisoning & toxic effects of drugs|14467.98|7668.03|8923.09|9517.96|9517.96|10707.71|10112.84|No Volume|7733.35|7269.36|14993.13|No Volume|11504.18|6833.8|6620.37|9322.44|10929.05|10641.09|6833.8|No Volume|4604.77|No Volume|4594.47|No Volume|4594.47|10857.62|11053.05|4802.31|5839.18|4869.28|11053.05|No Volume|No Volume|No Volume|4480.98|4362.02|4594.47|5710.97|11735.97|10327.81|No Volume|11284.25|4594.47|No Volume|6002.35|4362.02|14993.13
MSDRG|||919|Complications of treatment|29343.49|15552.05|26176.29|27921.38|27921.38|31411.55|29666.46|No Volume|22686.12|21324.97|34017.63|No Volume|26675.84|1027.61|15351.29|2818.71|25342.24|24674.51|1071.19|No Volume|No Volume|No Volume|13321.41|14255.68|13463.69|25278.58|25733.59|11180.69|13226.1|11336.61|25733.59|No Volume|No Volume|No Volume|13479.72|13479.72|6424.25|12935.71|No Volume|No Volume|No Volume|No Volume|23759.46|No Volume|No Volume|1027.61|34017.63
MSDRG|||920|Complications of treatment|18930.15|10032.98|27375.06|29200.06|29200.06|32850.07|31025.07|No Volume|23725.05|22301.56|No Volume|No Volume|No Volume|13363.21|No Volume|15625.41|No Volume|No Volume|13029.13|No Volume|11001.21|No Volume|7479.51|8002.63|7558.04|13377.17|13377.17|6171.34|7424.66|6257.4|13377.17|No Volume|No Volume|No Volume|8002.63|8002.63|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|12484.13|No Volume|No Volume|6171.34|32850.07
MSDRG|||921|Complications of treatment|15516.82|8223.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18956.03|No Volume|10054.34|9508.87|5786.02|19967.26|9551.69|9300.02|9514.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9345.3|9345.3|4230.2|5176.59|4289.19|9345.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5062.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4230.2|19967.26
MSDRG|||922|Other injury poisoning & toxic effect diag|33625.33|17821.42|13351.51|14241.61|14241.61|16021.8|15131.71|No Volume|11571.31|10877.05|35529.97|No Volume|23086.88|No Volume|13285.93|No Volume|21932.69|21354.81|No Volume|No Volume|No Volume|No Volume|11737.71|No Volume|11737.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8912.89|8912.89|9306.24|11397.51|23552.05|20726.12|No Volume|22645.53|11737.71|No Volume|11979.01|8912.89|35529.97
MSDRG|||923|Other injury poisoning & toxic effect diag|19953.51|10575.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20958.91|No Volume|13529.88|No Volume|7786.11|No Volume|12853.48|12514.81|No Volume|No Volume|No Volume|No Volume|3663.48|No Volume|3663.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3663.48|6276.44|No Volume|No Volume|No Volume|No Volume|3663.48|No Volume|No Volume|3663.48|20958.91
MSDRG|||929|Full thickness burn w skin graft or inhal inj|35382.66|18752.81|No Volume|No Volume|No Volume|No Volume|No Volume|28270.75|No Volume|No Volume|No Volume|35382.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18752.81|35382.66
MSDRG|||939|O.R. proc w diagnoses of other contact w health services|70923.92|37589.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37589.68|37589.68
MSDRG|||940|O.R. proc w diagnoses of other contact w health services|21028.17|11144.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33961.66|No Volume|32248.34|No Volume|18558.12|No Volume|30636.14|29828.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31462.16|32028.47|13915.68|16393.54|14109.74|32028.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16033.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11144.93|33961.66
MSDRG|||941|O.R. proc w diagnoses of other contact w health services|26844.95|14227.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16106.97|No Volume|21972.59|No Volume|No Volume|16106.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28552.92|25126.96|No Volume|27453.92|No Volume|No Volume|14364.29|14227.82|28552.92
MSDRG|||947|Signs & symptoms|39791.25|21089.36|35361.26|37718.68|37718.68|42433.51|40076.1|No Volume|30749.68|28904.72|48864.16|No Volume|27062|No Volume|14643.3|No Volume|25718|25032|No Volume|No Volume|No Volume|No Volume|8835.33|No Volume|8928.65|9830.91|9830.91|7333.94|8771.09|7436.21|9830.91|No Volume|No Volume|No Volume|9417.57|9417.57|6424.25|8578.51|17655.13|15536.76|No Volume|16975.59|15756.44|No Volume|9016.19|6424.25|48864.16
MSDRG|||948|Signs & symptoms|20392.32|10807.93|2977.11|3175.58|3175.58|3572.54|3374.05|No Volume|2858.03|2686.54|23177.71|No Volume|11424.2|No Volume|6574.34|No Volume|10853.06|10567.11|No Volume|No Volume|27972.94|No Volume|5851.52|1428.96|5912.29|10796.68|10991.02|4775.36|5807.95|4841.96|10991.02|No Volume|No Volume|No Volume|1428.96|1428.96|6424.25|5680.43|No Volume|No Volume|No Volume|No Volume|10433.45|No Volume|No Volume|1428.96|27972.94
MSDRG|||949|Aftercare|41575.12|22034.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33314.74|No Volume|17397|No Volume|9413.55|No Volume|16533|16092|No Volume|No Volume|34640.54|No Volume|9555.68|26910.97|9555.68|15080.18|15351.62|6669.95|8002.1|6762.96|15351.62|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|7826.41|40260|36212|No Volume|38720|1709.72|No Volume|45580.13|1709.72|45580.13
MSDRG|||950|Aftercare|29173.01|15461.7|6968.81|7433.39|7433.39|8362.57|7897.98|No Volume|6039.63|5677.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15692.52|No Volume|15692.52|10260.72|10445.42|4538.31|5533.41|4601.6|10445.42|No Volume|No Volume|No Volume|7599.19|7599.19|6307.06|No Volume|18300|16460|No Volume|17600|6307.06|No Volume|21053.15|4538.31|21053.15
MSDRG|||951|Other factors influencing health status|8248|4371.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4371.44|4371.44
MSDRG|||955|Craniotomy for multiple significant trauma|479947.59|254372.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|254372.22|254372.22
MSDRG|||956|Limb reattachment hip & femur proc for multiple significant trauma|65752.35|34848.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|148567.56|No Volume|33913.52|No Volume|33913.52|44793.18|44793.18|24031.78|23091.14|24366.91|44793.18|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|59847.39|No Volume|No Volume|6424.25|148567.56
MSDRG|||957|Other O.R. procedures for multiple significant trauma|152550.21|80851.61|54058.67|57662.58|57662.58|64870.39|61266.48|No Volume|46850.84|44039.81|96518.89|No Volume|96518.89|132682.26|62101.41|184537.69|96518.89|96518.89|128511.28|No Volume|No Volume|No Volume|54099.02|57903.07|54686.23|168194.91|168194.91|168194.91|76174.45|168194.91|168194.91|No Volume|No Volume|No Volume|29543.44|28759.1|6424.25|52541.67|No Volume|No Volume|No Volume|No Volume|68274.06|No Volume|No Volume|6424.25|184537.69
MSDRG|||958|Other O.R. procedures for multiple significant trauma|84188.27|44619.78|60085.52|64091.22|64091.21|72102.62|68096.93|No Volume|52074.12|48949.68|110147.67|No Volume|61154.93|No Volume|35193.14|No Volume|58097.6|56566.84|No Volume|No Volume|No Volume|No Volume|30306.71|32343.46|30306.71|58039.77|59084.48|25670.94|30007.55|26028.93|59084.48|No Volume|No Volume|No Volume|32343.46|32343.46|30306.71|29348.7|62387.11|54901.5|No Volume|59985.83|30306.71|No Volume|30846.08|25670.94|110147.67
MSDRG|||959|Other O.R. procedures for multiple significant trauma|42324.5|22431.98|30338.1|32360.64|32360.64|36405.72|34383.18|No Volume|26293.02|24715.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|73372.85|No Volume|No Volume|No Volume|38784.12|39482.23|17154.18|20144.13|17393.4|39482.23|No Volume|No Volume|No Volume|11391.64|11089.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11089.21|73372.85
MSDRG|||963|Other multiple significant trauma|78863.5|41797.65|52184.97|55663.97|55663.97|62621.96|59142.97|No Volume|45226.97|42513.35|No Volume|No Volume|No Volume|33909.3|No Volume|39649.66|No Volume|No Volume|33061.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37739.91|38419.22|16692.33|19609.23|16925.11|38419.22|No Volume|No Volume|No Volume|20418.66|20418.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16692.33|62621.96
MSDRG|||964|Other multiple significant trauma|21796.59|11552.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32494.78|No Volume|21644.31|No Volume|12455.76|No Volume|20562.25|20020.47|No Volume|No Volume|No Volume|18177.8|No Volume|11718.68|No Volume|20683.48|21055.78|9148.28|10872.33|9275.86|21055.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10633.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9148.28|32494.78
MSDRG|||965|Other multiple significant trauma|32644.2|17301.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13542.87|11917.91|No Volume|13021.61|No Volume|No Volume|6972.92|6972.92|17301.43
MSDRG|||969|HIV w extensive O.R. procedure|64584|34229.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34229.52|34229.52
MSDRG|||974|HIV w major related condition|59332.86|31446.42|153180.59|163392.63|163392.63|183816.72|173604.67|No Volume|132756.51|124791.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25138.09|No Volume|25138.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18311.68|17825.53|25138.09|No Volume|No Volume|No Volume|No Volume|No Volume|25138.09|No Volume|No Volume|17825.53|183816.72
MSDRG|||975|HIV w major related condition|12186.86|6459.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8398.71|No Volume|8398.71|7951.51|7951.51|7951.51|9797.6|7951.51|7951.51|No Volume|No Volume|No Volume|No Volume|No Volume|8398.71|No Volume|No Volume|No Volume|No Volume|No Volume|8398.71|No Volume|No Volume|6459.04|9797.6
MSDRG|||976|HIV w major related condition|20498.8|10864.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10864.36|10864.36
MSDRG|||977|HIV w or w/o other related condition|13475.25|7141.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7141.88|7141.88
MSDRG|||981|Extensive O.R. procedure unrelated to principal diagnosis|90176.91|47793.76|16429.62|17524.93|17524.93|19715.55|18620.23|No Volume|14239.01|13384.65|32121.45|No Volume|32121.45|No Volume|32121.45|No Volume|32121.45|32121.45|No Volume|No Volume|72228.48|79833.48|19375.96|34635.77|19584.3|62191.7|63311.15|27507.33|32134.3|27890.93|63311.15|No Volume|No Volume|No Volume|16727.45|16283.36|6424.25|31428.76|No Volume|No Volume|No Volume|No Volume|34560.52|No Volume|No Volume|6424.25|79833.48
MSDRG|||982|Extensive O.R. procedure unrelated to principal diagnosis|40076.95|21240.78|24127.58|25736.08|25736.08|28953.09|27344.59|No Volume|20910.57|19655.95|No Volume|No Volume|No Volume|33570.2|No Volume|61711.18|No Volume|No Volume|32729.05|No Volume|41164.17|No Volume|17698.92|18941.25|17888.95|33765.25|34373.02|14934.34|11557.81|15142.6|34373.02|No Volume|No Volume|No Volume|8186.59|7969.25|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|26179.07|No Volume|No Volume|6424.25|61711.18
MSDRG|||983|Extensive O.R. procedure unrelated to principal diagnosis|43034.3|22808.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22541.23|No Volume|46469.54|No Volume|No Volume|22141.87|No Volume|34715.25|No Volume|11977.02|No Volume|12104.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|21361.12|No Volume|No Volume|6424.25|46469.54
MSDRG|||987|Non-extensive O.R. proc unrelated to principal diagnosis|57678.04|30569.36|118821.26|126742.67|126742.68|142585.5|134664.09|No Volume|102978.41|96799.73|40490.66|No Volume|40490.66|No Volume|27299.08|No Volume|40490.66|40490.66|No Volume|No Volume|No Volume|No Volume|24096.57|27853.6|24356.43|43854.1|43854.1|20420.25|23926.61|20705.01|43854.1|No Volume|No Volume|No Volume|27853.6|27853.6|6424.25|23401.27|35171.62|33186|No Volume|35171.62|35379.04|No Volume|22482.12|6424.25|142585.5
MSDRG|||988|Non-extensive O.R. proc unrelated to principal diagnosis|33460.85|17734.25|43345.42|46235.11|46235.12|52014.5|49124.81|No Volume|37566.04|35312.07|45106.05|No Volume|24440.74|23659.27|14065.04|42714.21|23218.87|22607.1|23066.46|No Volume|No Volume|No Volume|10604.19|13437.53|10716.81|23796.74|24225.07|10525.27|12467.04|10672.05|24225.07|No Volume|No Volume|No Volume|13437.53|13437.53|6424.25|12193.32|No Volume|No Volume|No Volume|No Volume|15428.14|No Volume|No Volume|6424.25|52014.5
MSDRG|||989|Non-extensive O.R. proc unrelated to principal diagnosis|25955.68|13756.51|10803.31|11523.53|11523.54|12963.97|12243.74|No Volume|9362.87|8801.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19466.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8875.71|8875.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8801.09|19466.76
MSDRG|||265|AICD lead procedures|112039.46|59380.91|54979.03|58644.3|58644.3|65974.83|62309.57|No Volume|47648.5|44789.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22579.31|No Volume|22822.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22731.98|22731.98|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|40275.18|No Volume|No Volume|6424.25|65974.83
MSDRG|||266|Endovascular cardiac valve replacement|158253.18|83874.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|111698.96|No Volume|103207.48|No Volume|59393.34|No Volume|98047.82|95464.44|No Volume|No Volume|No Volume|119261.16|51153.79|No Volume|51708.87|98624.27|100399.49|43621.42|50814.62|44229.73|100399.49|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|49681.07|No Volume|No Volume|No Volume|No Volume|91250.95|No Volume|No Volume|6424.25|119261.16
MSDRG|||267|Endovascular cardiac valve replacement|110842.58|58746.57|90374.89|96399.88|96399.88|108449.87|102424.87|No Volume|78324.91|73625.44|115008.85|No Volume|81448.29|62631.57|46871.47|85439.9|77376.43|75337.71|62631.57|No Volume|118262.33|69856.77|40825.8|43695.72|41268.18|78601.38|80016.2|34765.32|40539.92|35250.13|80016.2|No Volume|No Volume|No Volume|43695.72|43695.72|6424.25|39649.82|No Volume|No Volume|No Volume|No Volume|72826.2|No Volume|No Volume|6424.25|118262.33
MSDRG|||268|Aortic and heart assist procedures except pulsation balloon|109942.51|58269.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48733.58|No Volume|49262.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|86933.39|No Volume|No Volume|6424.25|86933.39
MSDRG|||269|Aortic and heart assist procedures except pulsation balloon|75630.74|40084.29|78312.63|83533.47|83533.47|93975.16|88754.31|No Volume|67870.95|63798.72|85481.47|No Volume|62742.91|39584.78|36106.99|54000.23|59606.2|58035.68|39584.78|No Volume|No Volume|No Volume|30759.26|32920.74|31091.81|59085.37|60148.9|26133.41|30543.13|26497.84|60148.9|No Volume|No Volume|No Volume|32920.74|32920.74|6424.25|29872.53|78689.95|71266.37|No Volume|75720.52|54867.91|No Volume|31396.64|6424.25|93975.16
MSDRG|||270|Other major cardiovascular procedures|99593.14|52784.36|77405.75|82566.13|82566.14|92886.88|87726.52|93933.91|67084.98|63059.89|84097.6|117564.34|75350.83|No Volume|43362.53|No Volume|71583.8|69697.7|No Volume|No Volume|No Volume|35716.93|36786.9|39372.59|37185.22|70771.16|72045.03|31302.02|36529.01|31738.53|72045.03|No Volume|No Volume|No Volume|61383.99|61383.99|6424.25|16385.97|76869.04|112432.07|No Volume|119459.07|65620.98|No Volume|50499.23|6424.25|119459.07
MSDRG|||271|Other major cardiovascular procedures|76384.22|40483.64|49087.76|52360.27|52360.26|58905.31|55632.8|61198.57|42542.72|39990.18|29405.28|76593.95|29405.28|39425.11|29405.28|46099.21|29405.28|29405.28|38439.48|No Volume|No Volume|No Volume|25627.43|27427.73|25903.97|49136.25|50020.7|21732.92|25446.84|22035.99|50020.7|No Volume|No Volume|No Volume|27427.73|27427.73|6424.25|24888.13|52880.84|46535.85|No Volume|50845.45|45712.89|No Volume|26157.93|6424.25|76593.95
MSDRG|||272|Other major cardiovascular procedures|46428.42|24607.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16974.59|20189.1|16974.59|36025.4|36673.86|15934|18731|16156.21|36673.86|No Volume|No Volume|No Volume|No Volume|No Volume|11806.59|No Volume|No Volume|No Volume|No Volume|No Volume|16974.59|No Volume|No Volume|11806.59|36673.86
MSDRG|||273|Percutaneous intracardiac procedures|102023.78|54072.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|145665.56|No Volume|55800.56|No Volume|32111.84|No Volume|53010.92|51614.18|No Volume|No Volume|No Volume|No Volume|46746.05|No Volume|46746.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46746.05|26014.19|No Volume|No Volume|No Volume|No Volume|46746.05|No Volume|No Volume|26014.19|145665.56
MSDRG|||274|Percutaneous intracardiac procedures|75289.95|39903.67|60592.49|64631.99|64631.99|72710.99|68671.48|No Volume|52513.5|49362.7|73375.43|No Volume|47776.29|No Volume|27494.07|No Volume|45387.8|44191.92|No Volume|No Volume|No Volume|No Volume|22854.33|24459.49|23100.63|43760.07|44547.75|19355.04|22692.98|19624.95|44547.75|No Volume|No Volume|No Volume|30037.49|30037.49|6424.25|22194.73|48738.91|42890.9|No Volume|46862.95|40765.82|No Volume|23327.11|6424.25|73375.43
MSDRG|||518|Back & neck proc exc spinal fusion|34670.63|18375.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24631.63|No Volume|24897.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|28148.1|No Volume|No Volume|6424.25|28148.1
MSDRG|||519|Back & neck proc exc spinal fusion|41649.09|22074.02|26619.87|28394.53|28394.53|31943.84|30169.19|No Volume|23070.56|21686.34|20919.95|No Volume|20919.95|No Volume|16383.13|No Volume|20919.95|20919.95|No Volume|No Volume|No Volume|No Volume|13917.18|14893.37|14065.96|26433.59|26909.39|11691.55|13599.75|11854.59|26909.39|No Volume|No Volume|No Volume|14893.37|14893.37|6424.25|13514.36|No Volume|No Volume|No Volume|No Volume|24822.29|No Volume|No Volume|6424.25|31943.84
MSDRG|||520|Back & neck proc exc spinal fusion|39714.04|21048.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9840.42|No Volume|9944.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|15267.56|No Volume|No Volume|6424.25|21048.44
MSDRG|||570|Skin debridement|39215.79|20784.37|144985.67|154651.38|154651.38|173982.8|164317.09|No Volume|125654.24|118115.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|852.62|36850.16|998.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36850.16|36850.16|998.64|No Volume|No Volume|No Volume|No Volume|No Volume|1310.45|No Volume|No Volume|852.62|173982.8
MSDRG|||571|Skin debridement|27478.57|14563.64|18380.94|19606.34|19606.32|22057.14|20831.75|No Volume|15930.15|14974.33|19015.79|No Volume|9894|No Volume|5694|No Volume|9398|9152|No Volume|No Volume|68824.01|No Volume|3956.11|7971.12|3956.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8149.12|8149.12|3956.11|4912.52|No Volume|No Volume|No Volume|No Volume|3956.11|No Volume|No Volume|3956.11|68824.01
MSDRG|||572|Skin debridement|24974.65|13236.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15534.42|15814.04|6870.86|8234.8|6966.68|15814.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6870.86|15814.04
MSDRG|||783|Cesarean section|20127.43|10667.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28268.46|No Volume|55457.81|No Volume|No Volume|27560.68|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|6424.25|55457.81
MSDRG|||784|Cesarean section|27873.33|14772.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|11306|11509.51|5430.64|7692.11|5506.36|11509.51|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|5430.64|14772.86
MSDRG|||785|Cesarean section|22829.38|12099.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25467.34|No Volume|9249|No Volume|4884.4|No Volume|8786|8555|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|6227.16|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|4884.4|25467.34
MSDRG|||786|Cesarean section|29411.96|15588.34|20657.55|22034.72|22034.72|24789.06|23411.9|No Volume|17903.22|16829.03|24575.82|No Volume|9249|22597.11|4884.4|34852.39|8786|8555|22031.33|No Volume|27192.74|No Volume|8850.56|No Volume|8850.56|11306|11509.51|5430.64|12440.09|5506.36|11509.51|No Volume|No Volume|No Volume|8737.3|8505.33|18223.66|12166.95|No Volume|No Volume|No Volume|No Volume|8850.56|No Volume|No Volume|4884.4|34852.39
MSDRG|||787|Cesarean section|29039.62|15391|23520.77|25088.82|25088.82|28224.92|26656.87|No Volume|20384.67|19161.61|38011.38|No Volume|9249|13779.69|4884.4|26138.56|8786|8555|13434.68|No Volume|No Volume|No Volume|6219.39|No Volume|6219.39|11306|11509.51|5430.64|7694.24|5506.36|11509.51|No Volume|No Volume|No Volume|7022.45|6836.02|6219.39|7525.3|No Volume|No Volume|No Volume|No Volume|6219.39|No Volume|No Volume|4884.4|38011.38
MSDRG|||788|Cesarean section|25153.59|13331.4|14060.27|14997.62|14997.62|16872.32|15934.97|No Volume|12185.57|11454.44|21763.05|No Volume|9249|11943.72|4884.4|15727.92|8786|8555|11644.67|No Volume|No Volume|No Volume|5330.5|No Volume|5330.5|11306|11509.51|5430.64|6706.05|5506.36|11509.51|No Volume|No Volume|No Volume|5936.68|5779.07|5330.5|6558.81|No Volume|No Volume|No Volume|No Volume|5330.5|No Volume|No Volume|4884.4|21763.05
MSDRG|||797|Vaginal delivery w sterilization &/or D&C|24708.61|13095.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8551|8704.92|4097.32|6398.18|4154.46|8704.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4097.32|13095.56
MSDRG|||798|Vaginal delivery w sterilization &/or D&C|23655.96|12537.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25823.56|No Volume|7000|11371.7|3684.76|16376.43|6650|6475|11086.98|No Volume|No Volume|No Volume|5735.19|No Volume|5735.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5735.19|6257.7|No Volume|No Volume|No Volume|No Volume|5735.19|No Volume|No Volume|3684.76|25823.56
MSDRG|||805|Vaginal delivery w/o sterilization/D&C|13715.2|7269.06|7782.34|8301.16|8301.16|9338.81|8819.98|No Volume|6744.69|6340.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16348.67|No Volume|4996.81|No Volume|4996.81|8551|8704.92|4097.32|7660.19|4154.46|8704.92|No Volume|No Volume|No Volume|4419.33|4302|4996.81|No Volume|No Volume|No Volume|No Volume|No Volume|4996.81|No Volume|No Volume|4097.32|16348.67
MSDRG|||806|Vaginal delivery w/o sterilization/D&C|13065.35|6924.64|9219.6|9834.24|9834.24|11063.52|10448.89|No Volume|7990.33|7510.92|26318.01|No Volume|7000|9314.26|3684.76|10891.03|6650|6475|9081.4|No Volume|No Volume|No Volume|3547.04|No Volume|3547.04|8551|8704.92|4097.32|5308.54|4154.46|8704.92|No Volume|No Volume|No Volume|7449.86|7252.08|3290.03|5191.98|6691|5955|No Volume|6434|3547.04|No Volume|5456.88|3290.03|26318.01
MSDRG|||807|Vaginal delivery w/o sterilization/D&C|12637.67|6697.97|7363.71|7854.62|7854.62|8836.45|8345.54|No Volume|6381.88|5998.97|13017.38|No Volume|7000|8261.22|3684.76|10483.82|6650|6475|8054.38|No Volume|7164.7|No Volume|3290.03|No Volume|3290.03|8551|8704.92|4097.32|4723.99|4154.46|8704.92|No Volume|No Volume|No Volume|3880.1|3777.09|3290.03|4620.27|6691|5955|No Volume|6434|3290.03|No Volume|4856|3290.03|13017.38
MSDRG|||817|Other antepartum diagnoses w O.R. procedure|30696.2|16268.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30943.99|No Volume|30943.99|No Volume|19262.75|No Volume|30943.99|30943.99|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|30362|30362|15412.73|18127.31|15627.67|30362|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|17729.31|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|6424.25|30943.99
MSDRG|||818|Other antepartum diagnoses w O.R. procedure|29025.24|15383.38|27206.89|29020.68|29020.68|32648.26|30834.48|No Volume|23579.31|22164.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|6424.25|17642.24|17959.8|7803.15|9314.49|7911.96|17959.8|No Volume|No Volume|No Volume|11391.64|11089.21|6424.25|No Volume|No Volume|No Volume|No Volume|No Volume|6424.25|No Volume|No Volume|6424.25|32648.26
MSDRG|||831|Other antepartum diagnoses w/o O.R. procedure|15641.53|8290.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5872.92|No Volume|5872.92|14936.15|15204.99|6606.24|7928.34|6698.37|15204.99|No Volume|No Volume|No Volume|No Volume|No Volume|5872.92|No Volume|No Volume|No Volume|No Volume|No Volume|5872.92|No Volume|No Volume|5872.92|15204.99
MSDRG|||832|Other antepartum diagnoses w/o O.R. procedure|11154.08|5911.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8320.19|No Volume|8320.19|No Volume|6525.8|No Volume|8320.19|8320.19|No Volume|No Volume|No Volume|No Volume|4075.26|No Volume|4075.26|9525.05|9525.05|4382.72|5353.23|4443.84|9525.05|No Volume|No Volume|No Volume|No Volume|No Volume|5613.96|5235.69|No Volume|No Volume|No Volume|No Volume|4075.26|No Volume|No Volume|4075.26|9525.05
MSDRG|||833|Other antepartum diagnoses w/o O.R. procedure|8321.67|4410.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5818.81|No Volume|6803.85|No Volume|No Volume|5673.34|No Volume|3789.3|No Volume|3126.73|No Volume|3126.73|7369.05|7501.69|3259.33|4052.2|3304.78|7501.69|No Volume|No Volume|No Volume|No Volume|No Volume|4075.26|No Volume|4981.25|4981.25|No Volume|4981.25|3126.73|No Volume|4165.43|3126.73|7501.69
APRDRG|||4|TRACHEOSTOMY W LONG TERM MECHANICAL VENTILATION W EXTENSIVE PROCEDURE|464890.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|262407.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|262407.98|262407.98
APRDRG|||5|TRACHEOSTOMY W LONG TERM MECHANICAL VENTILATION W/O EXTENSIVE PROCEDURE|378145.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|209707.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|209707.39|209707.39
APRDRG|||20|CRANIOTOMY FOR TRAUMA|222912.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|185451.02|No Volume|87611.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|87611.23|185451.02
APRDRG|||21|CRANIOTOMY EXCEPT FOR TRAUMA|95595.41714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|35488.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|58476.73875|No Volume|17648.035|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33176.615|No Volume|No Volume|33051.95|No Volume|17648.035|58476.73875
APRDRG|||22|VENTRICULAR SHUNT PROCEDURES|45902.18667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16444.43|No Volume|13920.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16823.08|No Volume|No Volume|No Volume|No Volume|13920.84|16823.08
APRDRG|||23|SPINAL PROCEDURES|105226.105|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46542.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46542.96|46542.96
APRDRG|||24|EXTRACRANIAL VASCULAR PROCEDURES|31390.57667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30145.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8718.51|No Volume|No Volume|No Volume|No Volume|8718.51|30145.01
APRDRG|||26|OTHER NERVOUS SYSTEM & RELATED PROCEDURES|29226.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1408.14|No Volume|8018.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1408.14|8018.57
APRDRG|||27|OTHER OPEN CRANIOTOMY|178742.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|108155.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|108155.82|108155.82
APRDRG|||29|OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES|250301.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50252.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50252.3|50252.3
APRDRG|||30|PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES|150296.0067|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|97782.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29394.44|No Volume|No Volume|No Volume|No Volume|29394.44|97782.36
APRDRG|||40|SPINAL DISORDERS & INJURIES|49990.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38431.7|No Volume|16119.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12183.55|No Volume|12183.55|38431.7
APRDRG|||41|NERVOUS SYSTEM MALIGNANCY|28689.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16050.48|No Volume|8258.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8258.2|16050.48
APRDRG|||42|DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS|31588.176|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16590.65|No Volume|3479.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7412.496667|No Volume|No Volume|No Volume|No Volume|3479.31|16590.65
APRDRG|||43|MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES|27945.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21190.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21190.76|21190.76
APRDRG|||44|INTRACRANIAL HEMORRHAGE|72098.885|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32520.35|No Volume|13393.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13393.4|32520.35
APRDRG|||45|CVA & PRECEREBRAL OCCLUSION  W INFARCT|29834.71286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13748.7175|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17366.5952|19210.61|9502.6325|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8339.646667|No Volume|No Volume|No Volume|No Volume|8339.646667|19210.61
APRDRG|||46|NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT|12768.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2589.45|No Volume|No Volume|No Volume|No Volume|2589.45|2589.45
APRDRG|||47|TRANSIENT ISCHEMIA|18691.52667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9687.825|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6153.11|No Volume|No Volume|No Volume|No Volume|6153.11|9687.825
APRDRG|||50|NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS|30897.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10725.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10725.83|10725.83
APRDRG|||52|NONTRAUMATIC STUPOR & COMA|20097.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14820.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13557.73|No Volume|6343.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12032.67|No Volume|No Volume|No Volume|No Volume|6343.14|14820.77
APRDRG|||53|SEIZURE|36383.8445|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9119.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18558.52909|No Volume|6535.623333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13613.95|No Volume|No Volume|No Volume|No Volume|6535.623333|18558.52909
APRDRG|||55|HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE|47163.70167|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39253.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15307.00786|12451.11|14339.53333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7965.115|No Volume|No Volume|No Volume|No Volume|7965.115|39253.89
APRDRG|||56|BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX COMA < 1 HR OR NO COMA|19954.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12085.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12085.17|12085.17
APRDRG|||57|CONCUSSION CLOSED SKULL FX NOSUNCOMPLICATED INTRACRANIAL INJURY COMA < 1|17195.6925|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8272.105|No Volume|-343.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|-343.41|8272.105
APRDRG|||58|OTHER DISORDERS OF NERVOUS SYSTEM|49089.24367|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12587.925|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19846.51714|No Volume|10284.6225|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20614.095|No Volume|No Volume|5958.72|No Volume|5958.72|20614.095
APRDRG|||82|EYE DISORDERS EXCEPT MAJOR INFECTIONS|16913.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8933.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5206.72|No Volume|-2213.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|-2213.59|8933.56
APRDRG|||89|MAJOR CRANIAL/FACIAL BONE PROCEDURES|171361.0567|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|73017.176|No Volume|23348.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23348.76|73017.176
APRDRG|||91|OTHER MAJOR HEAD & NECK PROCEDURES|170352.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|113471.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|113471.98|113471.98
APRDRG|||92|FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES|64518.08222|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30131.86|No Volume|13980.97667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20341.57|No Volume|No Volume|No Volume|No Volume|13980.97667|30131.86
APRDRG|||98|OTHER EAR NOSE MOUTH & THROAT PROCEDURES|32456.288|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20911.50333|No Volume|6107.195|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6107.195|20911.50333
APRDRG|||110|EAR NOSE MOUTH THROAT CRANIAL/FACIAL MALIGNANCIES|23989.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16207.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16207.03|16207.03
APRDRG|||113|INFECTIONS OF UPPER RESPIRATORY TRACT|13622.46091|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8612.55|No Volume|3063.296667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3063.296667|8612.55
APRDRG|||114|DENTAL & ORAL DISEASES & INJURIES|27909.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10103.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10103.13|10103.13
APRDRG|||115|OTHER EAR NOSE MOUTHTHROAT & CRANIAL/FACIAL DIAGNOSES|26146.41333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7631.62|No Volume|4874.472|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11822.555|No Volume|No Volume|7250.2|No Volume|4874.472|11822.555
APRDRG|||120|MAJOR RESPIRATORY & CHEST PROCEDURES|64802.498|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|40265.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13934.89|No Volume|No Volume|No Volume|No Volume|13934.89|40265.55
APRDRG|||121|OTHER RESPIRATORY & CHEST PROCEDURES|67231.43167|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30560.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20725.49|No Volume|No Volume|No Volume|No Volume|20725.49|30560.46
APRDRG|||130|RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS|197922.0967|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|89786.47|No Volume|38150.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|42752.03|No Volume|No Volume|No Volume|No Volume|38150.48|89786.47
APRDRG|||133|PULMONARY EDEMA & RESPIRATORY FAILURE|28720.65273|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14897.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18371.31833|4410.29|5762.773333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11177.81333|No Volume|No Volume|18806.24|No Volume|4410.29|18806.24
APRDRG|||134|PULMONARY EMBOLISM|20324.31083|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14232.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13773.48|No Volume|4409.813333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6481.41|No Volume|No Volume|6608.95|No Volume|4409.813333|14232.76
APRDRG|||135|MAJOR CHEST & RESPIRATORY TRAUMA|28651.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12909.29625|No Volume|5095.303333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8351.62|No Volume|No Volume|No Volume|No Volume|5095.303333|12909.29625
APRDRG|||136|RESPIRATORY MALIGNANCY|29928.70667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20570.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18415.226|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21640.305|No Volume|No Volume|No Volume|No Volume|18415.226|21640.305
APRDRG|||137|MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS|42302.78607|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23995.44667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23108.64704|42537.62|40293.05778|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14033.45|No Volume|No Volume|19044.945|No Volume|14033.45|42537.62
APRDRG|||138|BRONCHIOLITIS & RSV PNEUMONIA|18457.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9560.3|No Volume|9560.3|9560.3
APRDRG|||139|OTHER PNEUMONIA|24350.60182|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13652.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11278.03667|No Volume|5531.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10151.25|No Volume|No Volume|21130.93|No Volume|5531.94|21130.93
APRDRG|||140|CHRONIC OBSTRUCTIVE PULMONARY DISEASE|15536.1575|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9739.86|No Volume|5681.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4925.97|No Volume|No Volume|No Volume|No Volume|4925.97|9739.86
APRDRG|||141|ASTHMA|12544.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4117.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4117.88|4117.88
APRDRG|||142|INTERSTITIAL LUNG DISEASE|22595.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10826.91|No Volume|No Volume|No Volume|No Volume|10826.91|10826.91
APRDRG|||143|OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS SYMPTOMS & MINOR DIAGNOSES|34057.9025|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12313.515|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7373.35|No Volume|18393.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13374.16667|No Volume|No Volume|No Volume|No Volume|7373.35|18393.01
APRDRG|||144|RESPIRATORY SIGNS SYMPTOMS & MINOR DIAGNOSES|27838.964|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9038.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6763.79|No Volume|No Volume|No Volume|No Volume|6763.79|9038.07
APRDRG|||145|ACUTE BRONCHITIS AND RELATED SYMPTOMS|12855.96667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6132.775|No Volume|5835.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5835.58|6132.775
APRDRG|||162|CARDIAC VALVE PROCEDURES W CARDIAC CATHETERIZATION|171512.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|73938.84|No Volume|No Volume|No Volume|No Volume|73938.84|73938.84
APRDRG|||163|CARDIAC VALVE PROCEDURES W/O CARDIAC CATHETERIZATION|113570.5586|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|76717.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|51133.59|No Volume|No Volume|No Volume|No Volume|51133.59|76717.75
APRDRG|||165|CORONARY BYPASS W CARDIAC CATH OR PERCUTANEOUS CARDIAC PROCEDURE|126187.334|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|72369.96|71090.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|43958.87333|No Volume|No Volume|No Volume|No Volume|43958.87333|72369.96
APRDRG|||166|CORONARY BYPASS W/O CARDIAC CATH OR PERCUTANEOUS CARDIAC PROCEDURE|87832.66444|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54958.7125|No Volume|26542.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33367.95|No Volume|No Volume|No Volume|No Volume|26542.91|54958.7125
APRDRG|||167|OTHER CARDIOTHORACIC PROCEDURES|94790.574|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|68609.90667|No Volume|17631.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15677.91|No Volume|No Volume|No Volume|No Volume|15677.91|68609.90667
APRDRG|||169|MAJOR THORACIC & ABDOMINAL VASCULAR PROCEDURES|82061.935|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49292.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26257.56667|No Volume|No Volume|No Volume|No Volume|26257.56667|49292.67
APRDRG|||171|PERM CARDIAC PACEMAKER IMPLANT W/O AMI HEART FAILURE OR SHOCK|70408.08625|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34945.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48590.13|No Volume|31227.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21374.57667|No Volume|No Volume|No Volume|No Volume|21374.57667|48590.13
APRDRG|||174|PERCUTANEOUS CARDIOVASCULAR PROCEDURES W AMI|74140.92333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36498.945|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36921.56929|34953.7|15527.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21261.02667|No Volume|No Volume|No Volume|No Volume|15527.04|36921.56929
APRDRG|||175|PERCUTANEOUS CARDIOVASCULAR PROCEDURES W/O AMI|85637.992|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41786.03333|No Volume|27287.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27287.95|41786.03333
APRDRG|||179|VEIN LIGATION & STRIPPING|139567.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|79781.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|79781.05|79781.05
APRDRG|||180|OTHER CIRCULATORY SYSTEM PROCEDURES|114379.3975|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|52857.47333|No Volume|36827.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|36827.15|52857.47333
APRDRG|||181|LOWER EXTREMITY ARTERIAL PROCEDURES|139512.3667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33466.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|63668.685|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33466.85|63668.685
APRDRG|||182|OTHER PERIPHERAL VASCULAR PROCEDURES|90265.61368|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|47970.38083|No Volume|28009.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30454.286|No Volume|No Volume|No Volume|No Volume|28009.83|47970.38083
APRDRG|||183|PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES|104295.0457|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|86330.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44059.822|No Volume|No Volume|No Volume|No Volume|44059.822|86330.27
APRDRG|||190|ACUTE MYOCARDIAL INFARCTION|27093.18333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7676.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15397.796|13770.92|16884.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11222.76|No Volume|No Volume|No Volume|No Volume|7676.94|16884.98
APRDRG|||191|CARDIAC CATHETERIZATION W CIRC DISORD EXC ISCHEMIC HEART DISEASE|20913.265|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12445.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8703.09|No Volume|No Volume|No Volume|No Volume|8703.09|12445.86
APRDRG|||192|CARDIAC CATHETERIZATION FOR ISCHEMIC HEART DISEASE|26756.96615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19862.931|No Volume|5080.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16342.16|No Volume|No Volume|No Volume|No Volume|5080.43|19862.931
APRDRG|||193|ACUTE & SUBACUTE ENDOCARDITIS|35546.47333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6762.43|No Volume|15545.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6762.43|15545.96
APRDRG|||194|HEART FAILURE|35446.28586|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20351.5375|8831.37|8038.551429|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9420.317692|No Volume|No Volume|No Volume|No Volume|8038.551429|20351.5375
APRDRG|||197|PERIPHERAL & OTHER VASCULAR DISORDERS|15721.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5202.283333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10877.74|No Volume|No Volume|No Volume|No Volume|5202.283333|10877.74
APRDRG|||198|ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS|6796.395|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1019.395|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1019.395|1019.395
APRDRG|||199|HYPERTENSION|21679.675|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11005.76667|No Volume|5554.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5474.71|No Volume|No Volume|No Volume|No Volume|5474.71|11005.76667
APRDRG|||201|CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS|18253.9552|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9252.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8155.839091|6717.1|5166.2375|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7095.354|No Volume|No Volume|No Volume|No Volume|5166.2375|9252.23
APRDRG|||203|CHEST PAIN|12091.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8181.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6593.94|No Volume|1559.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1559.36|8181.68
APRDRG|||204|SYNCOPE & COLLAPSE|14518.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9805.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6371.82|No Volume|No Volume|No Volume|No Volume|6371.82|9805.7
APRDRG|||206|MALFUNCTIONREACTIONCOMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE|16122.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7609.04|No Volume|No Volume|No Volume|No Volume|7609.04|7609.04
APRDRG|||207|OTHER CIRCULATORY SYSTEM DIAGNOSES|25817.7075|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13124.1725|No Volume|3132.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6660.87|No Volume|No Volume|No Volume|No Volume|3132.97|13124.1725
APRDRG|||220|MAJOR STOMACH ESOPHAGEAL & DUODENAL PROCEDURES|104829.9683|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37557.695|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|101527.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|52258.98667|No Volume|No Volume|No Volume|No Volume|37557.695|101527.47
APRDRG|||222|OTHER STOMACH ESOPHAGEAL & DUODENAL PROCEDURES|102336.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27695.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27695.94|27695.94
APRDRG|||223|OTHER SMALL & LARGE BOWEL PROCEDURES|95610.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27455.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30832.33|No Volume|No Volume|No Volume|No Volume|27455.67|30832.33
APRDRG|||224|PERITONEAL ADHESIOLYSIS|72821.16333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46322.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30529.49|No Volume|No Volume|No Volume|No Volume|30529.49|46322.76
APRDRG|||227|HERNIA PROCEDURES EXCEPT INGUINAL FEMORAL & UMBILICAL|41010.90833|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21882.89667|No Volume|8005.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13127.37|No Volume|No Volume|No Volume|No Volume|8005.95|21882.89667
APRDRG|||228|INGUINAL FEMORAL & UMBILICAL HERNIA PROCEDURES|22373.605|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12624.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15330.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12624.03|15330.19
APRDRG|||229|OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES|70867.38333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24808.655|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31074.01|No Volume|No Volume|No Volume|No Volume|24808.655|31074.01
APRDRG|||230|MAJOR SMALL BOWEL PROCEDURES|88563.46625|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32797.1975|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48590.54625|No Volume|18706.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19119.005|No Volume|No Volume|12624.33|No Volume|12624.33|48590.54625
APRDRG|||231|MAJOR LARGE BOWEL PROCEDURES|60041.3755|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23737.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29903.07|No Volume|11821.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25999.4|No Volume|No Volume|No Volume|No Volume|11821.14|29903.07
APRDRG|||233|APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS|29119.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15091.99667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15091.99667|15091.99667
APRDRG|||234|APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS|20112.115|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9992.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15548.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9992.72|15548.15
APRDRG|||240|DIGESTIVE MALIGNANCY|56071.652|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22317.975|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33179.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22518.2|No Volume|No Volume|No Volume|No Volume|22317.975|33179.59
APRDRG|||241|PEPTIC ULCER & GASTRITIS|34841.484|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11391.92875|No Volume|9674.732|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10825.15857|No Volume|No Volume|No Volume|No Volume|9674.732|11391.92875
APRDRG|||242|MAJOR ESOPHAGEAL DISORDERS|35244.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16912.425|No Volume|4076.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4076.03|16912.425
APRDRG|||243|OTHER ESOPHAGEAL DISORDERS|22667.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15646.2|No Volume|4096.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4096.96|15646.2
APRDRG|||244|DIVERTICULITIS & DIVERTICULOSIS|22642.955|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13138.785|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10055.814|No Volume|4655.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9589.635|No Volume|No Volume|No Volume|No Volume|4655.44|13138.785
APRDRG|||245|INFLAMMATORY BOWEL DISEASE|23016.67727|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14205.68333|No Volume|4671.7225|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7724.51|No Volume|No Volume|No Volume|No Volume|4671.7225|14205.68333
APRDRG|||246|GASTROINTESTINAL VASCULAR INSUFFICIENCY|17424.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8543.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8543.05|8543.05
APRDRG|||247|INTESTINAL OBSTRUCTION|22702.06714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11254.7575|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11200.075|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4525.61|No Volume|No Volume|No Volume|No Volume|4525.61|11254.7575
APRDRG|||248|MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS|29632.478|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13984.36|No Volume|10217.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10217.33|13984.36
APRDRG|||249|NON-BACTERIAL GASTROENTERITIS NAUSEA & VOMITING|17299.834|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11993.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10309.805|No Volume|3540.424286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3540.424286|11993.51
APRDRG|||252|MALFUNCTION REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE|39200.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16582.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7368.08|No Volume|No Volume|No Volume|No Volume|7368.08|16582.04
APRDRG|||253|OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE|22646.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4487.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14078.74|No Volume|No Volume|No Volume|No Volume|4487.31|14078.74
APRDRG|||254|OTHER DIGESTIVE SYSTEM DIAGNOSES|26162.93643|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12756.08111|15437.15|4917.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9950.095|No Volume|No Volume|13480.5|No Volume|4917.89|15437.15
APRDRG|||260|MAJOR PANCREAS LIVER & SHUNT PROCEDURES|44967.455|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31846.355|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31846.355|31846.355
APRDRG|||263|LAPAROSCOPIC CHOLECYSTECTOMY|36119.81316|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14232.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19666.033|14612.68|7926.248|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13850.98|No Volume|No Volume|No Volume|No Volume|7926.248|19666.033
APRDRG|||279|HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS|63661.18667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27279.056|No Volume|829.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|829.34|27279.056
APRDRG|||280|ALCOHOLIC LIVER DISEASE|42374.88857|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29682.63667|No Volume|15219.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15219.64|29682.63667
APRDRG|||281|MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS|33997.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18894.625|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17590.95667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15313.525|No Volume|No Volume|8505.33|No Volume|8505.33|18894.625
APRDRG|||282|DISORDERS OF PANCREAS EXCEPT MALIGNANCY|32361.45185|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18376.26417|No Volume|8108.836923|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12577.54|No Volume|No Volume|No Volume|No Volume|8108.836923|18376.26417
APRDRG|||283|OTHER DISORDERS OF THE LIVER|18868.065|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15577.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5982.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5982.78|15577.73
APRDRG|||284|DISORDERS OF GALLBLADDER & BILIARY TRACT|29715.1025|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13519.13222|No Volume|6818.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10273.23|No Volume|No Volume|No Volume|No Volume|6818.64|13519.13222
APRDRG|||301|HIP JOINT REPLACEMENT|54309.90067|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31597.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26838.055|No Volume|10247.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17019.79556|No Volume|No Volume|No Volume|No Volume|10247.35|31597.18
APRDRG|||302|KNEE JOINT REPLACEMENT|44972.22429|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22909.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24240.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20084.4525|No Volume|No Volume|No Volume|No Volume|20084.4525|24240.19
APRDRG|||304|DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK|80887.76067|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44656.856|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|45327.87833|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46230.865|No Volume|No Volume|No Volume|No Volume|44656.856|46230.865
APRDRG|||305|AMPUTATION OF LOWER LIMB EXCEPT TOES|68866.005|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11030.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15389.145|No Volume|No Volume|36622.74|No Volume|11030.2|36622.74
APRDRG|||308|HIP & FEMUR PROCEDURES FOR TRAUMA EXCEPT JOINT REPLACEMENT|45385.993|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24937.21222|17424.46|8895.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17162.548|No Volume|No Volume|No Volume|No Volume|8895.89|24937.21222
APRDRG|||309|HIP & FEMUR PROCEDURES FOR NON-TRAUMA EXCEPT JOINT REPLACEMENT|49152.50857|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34711.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32639.474|No Volume|11393.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11393.26|34711.04
APRDRG|||313|KNEE & LOWER LEG PROCEDURES EXCEPT FOOT|47870.13304|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19313.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23437.01364|No Volume|11032.63333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14456.85|No Volume|No Volume|No Volume|No Volume|11032.63333|23437.01364
APRDRG|||314|FOOT & TOE PROCEDURES|58617.5275|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24488.59|No Volume|19410.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15554.76|No Volume|No Volume|No Volume|No Volume|15554.76|24488.59
APRDRG|||315|SHOULDER UPPER ARM  & FOREARM PROCEDURES|42992.14818|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24420.04714|No Volume|10276.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17022.62|No Volume|No Volume|No Volume|No Volume|10276.3|24420.04714
APRDRG|||316|HAND & WRIST PROCEDURES|50219.80667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13900.1075|No Volume|15147.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13900.1075|15147.74
APRDRG|||317|TENDON MUSCLE & OTHER SOFT TISSUE PROCEDURES|31322.3725|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12923.55667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16569.77|No Volume|No Volume|No Volume|No Volume|12923.55667|16569.77
APRDRG|||320|OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES|49305.065|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17624.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29411.48|No Volume|26635.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10971.85|No Volume|No Volume|No Volume|No Volume|10971.85|29411.48
APRDRG|||321|CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP|68943.1475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44113.88|No Volume|12152.245|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24616.15|No Volume|No Volume|No Volume|No Volume|12152.245|44113.88
APRDRG|||340|FRACTURE OF FEMUR|9406.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9468.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9617.18|No Volume|No Volume|No Volume|No Volume|9468.42|9617.18
APRDRG|||341|FRACTURE OF PELVIS OR DISLOCATION OF HIP|34749.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13174.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13174.98|13174.98
APRDRG|||342|FRACTURES &  DISLOCATIONS EXCEPT FEMUR PELVIS & BACK|13324.445|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2081.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5987.1|No Volume|1054.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2934.9|No Volume|No Volume|No Volume|No Volume|1054.11|5987.1
APRDRG|||343|MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG|37661.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16086.61|25116.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|16086.61|25116.84
APRDRG|||344|OSTEOMYELITIS SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS|15377.3475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6859.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6859.4|6859.4
APRDRG|||346|CONNECTIVE TISSUE DISORDERS|53788.165|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37572.475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37572.475|37572.475
APRDRG|||347|OTHER BACK & NECK DISORDERS FRACTURES & INJURIES|18379.32857|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10767.1|No Volume|4310.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7497.732|No Volume|No Volume|No Volume|No Volume|4310.55|10767.1
APRDRG|||349|MALFUNCTION REACTION COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE|55843.01667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26716.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14054.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6464.4|No Volume|No Volume|No Volume|No Volume|6464.4|26716.26
APRDRG|||351|OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES|16456.28286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10794.93333|305.88|7144.956667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|305.88|10794.93333
APRDRG|||361|SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES|52148.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10977.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10977.65|10977.65
APRDRG|||362|MASTECTOMY PROCEDURES|27526.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14770.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14770.35|14770.35
APRDRG|||363|BREAST PROCEDURES EXCEPT MASTECTOMY|50733.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34024.27|No Volume|13197.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13197.86|34024.27
APRDRG|||364|OTHER SKIN SUBCUTANEOUS TISSUE & RELATED PROCEDURES|30998.839|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17836.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14549.746|No Volume|6841.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6841.73|17836.85
APRDRG|||380|SKIN ULCERS|27030.308|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30158.65|No Volume|5092.213333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5092.213333|30158.65
APRDRG|||381|MAJOR SKIN DISORDERS|27092.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12424.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12424.07|12424.07
APRDRG|||383|CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS|18178.12071|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6178.842|No Volume|5385.567143|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7999.84|No Volume|No Volume|No Volume|No Volume|5385.567143|7999.84
APRDRG|||384|CONTUSION OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE|23222.87667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8778.49|No Volume|5794.405|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5794.405|8778.49
APRDRG|||401|PITUITARY & ADRENAL PROCEDURES|30963.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18092.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18092.49|18092.49
APRDRG|||403|PROCEDURES FOR OBESITY|29569.525|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19138.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19528.95|19183.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19138.36|19528.95
APRDRG|||404|THYROID PARATHYROID & THYROGLOSSAL PROCEDURES|27253.285|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12939.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12939.8|12939.8
APRDRG|||420|DIABETES|19511.52357|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11014.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8636.868|5500.84|1917.913333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4844.166667|No Volume|No Volume|No Volume|No Volume|1917.913333|11014.84
APRDRG|||421|MALNUTRITION FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS|50633.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44363.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|44363.01|44363.01
APRDRG|||422|HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS|14418.7925|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10057.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7490.58|No Volume|No Volume|No Volume|No Volume|7490.58|10057.78
APRDRG|||423|INBORN ERRORS OF METABOLISM|18482.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13643.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13643.77|13643.77
APRDRG|||424|OTHER ENDOCRINE DISORDERS|10002.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9664.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9664.69|9664.69
APRDRG|||425|ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED|34137.305|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13013.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5674.87|No Volume|No Volume|No Volume|No Volume|5674.87|13013.85
APRDRG|||426|NON-HYPOVOLEMIC SODIUM DISORDERS|34728.47786|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17497.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15500.99|5984.96|2808.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8555.314|No Volume|No Volume|No Volume|No Volume|2808.26|17497.31
APRDRG|||442|KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY|39686.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25864.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29129.22667|No Volume|No Volume|No Volume|No Volume|25864.85|29129.22667
APRDRG|||443|KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY|32571.0825|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20382.21|No Volume|8548.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10876.54|No Volume|No Volume|No Volume|No Volume|8548.92|20382.21
APRDRG|||446|URETHRAL & TRANSURETHRAL PROCEDURES|22029.19667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13138.25|No Volume|5430.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8816.25|No Volume|No Volume|No Volume|No Volume|5430.38|13138.25
APRDRG|||447|OTHER KIDNEY URINARY TRACT & RELATED PROCEDURES|53783.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23934.66|No Volume|7577.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7577.71|23934.66
APRDRG|||461|KIDNEY & URINARY TRACT MALIGNANCY|52390.54667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23865.845|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7975.08|No Volume|No Volume|No Volume|No Volume|7975.08|23865.845
APRDRG|||462|NEPHRITIS & NEPHROSIS|33736.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13956.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13956.86|13956.86
APRDRG|||463|KIDNEY & URINARY TRACT INFECTIONS|18924.728|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9171.3525|No Volume|4835.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4835.1|9171.3525
APRDRG|||465|URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION|19242.51714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8626.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6777.296|No Volume|3692.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3692.16|8626.76
APRDRG|||466|MALFUNCTION REACTION COMPLIC OF GENITOURINARY DEVICE OR PROC|30335.335|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9513.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9421.45|No Volume|No Volume|No Volume|No Volume|9421.45|9513.3
APRDRG|||468|OTHER KIDNEY & URINARY TRACT DIAGNOSES SIGNS & SYMPTOMS|19889.00333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6091.703333|No Volume|No Volume|No Volume|No Volume|6091.703333|6091.703333
APRDRG|||469|ACUTE KIDNEY INJURY|22999.91867|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17117.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11078.505|6943.6|4572.095|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9820.116667|No Volume|No Volume|No Volume|No Volume|4572.095|17117.07
APRDRG|||480|MAJOR MALE PELVIC PROCEDURES|39609.375|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21982.485|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15891.194|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12177.47|No Volume|No Volume|No Volume|No Volume|12177.47|21982.485
APRDRG|||483|TESTES & SCROTAL PROCEDURES|30077.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15627.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15627.28|15627.28
APRDRG|||484|OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES|38198.655|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19891.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19957.49571|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19891.96|19957.49571
APRDRG|||501|MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY|15205.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7845.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7845.84|7845.84
APRDRG|||513|UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA|22101.985|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17004.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8619.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8619.54|17004.01
APRDRG|||532|MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS|3756.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|227.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|227.83|227.83
APRDRG|||539|CESAREAN SECTION WITH STERILIZATION|24933.755|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13225.73|No Volume|7325.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7325.17|13225.73
APRDRG|||540|CESAREAN DELIVERY|32998.732|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12961.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17425.93|17155.77|7500.804615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7500.804615|17425.93
APRDRG|||541|VAGINAL DELIVERY W STERILIZATION &/OR D&C|29390.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5282.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5282.29|5282.29
APRDRG|||542|VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C|20302.964|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26248.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9617.993333|No Volume|4829.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4829.33|26248.68
APRDRG|||547|ANTEPARTUM WITH O.R. PROCEDURE|21991.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17856.385|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17856.385|17856.385
APRDRG|||548|POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE|38933.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|68312.53|No Volume|3692.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3692.16|68312.53
APRDRG|||560|VAGINAL DELIVERY|12758.09338|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9074.075|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8902.660357|No Volume|4199.739231|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4199.739231|9074.075
APRDRG|||561|POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE|37627.56615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26842.87167|No Volume|3459.477143|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3459.477143|26842.87167
APRDRG|||564|ABORTION W/O D&C ASPIRATION CURETTAGE OR HYSTEROTOMY|10636.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1549.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1549.6|1549.6
APRDRG|||566|OTHER ANTEPARTUM DIAGNOSES|9809.729|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3542.01|No Volume|2981.672857|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2981.672857|3542.01
APRDRG|||591|NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE|944099.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|358718.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|358718.29|358718.29
APRDRG|||602|NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM|199743.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|72188.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|72188.11|72188.11
APRDRG|||603|NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION|332591.865|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50755.575|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|50755.575|50755.575
APRDRG|||611|NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY|319199.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|100696.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|100696.56|100696.56
APRDRG|||614|NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION|100993.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29802.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|29802.63|29802.63
APRDRG|||625|NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION|102909.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21399.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21399.58|21399.58
APRDRG|||626|NEONATE BWT 2000-2499G NORMAL NEWBORN OR NEONATE W OTHER PROBLEM|40820.844|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|8212.75|27192.41|7592.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7592.82|27192.41
APRDRG|||633|NEONATE BIRTHWT >2499G W MAJOR ANOMALY|94995.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25135.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25135.68|25135.68
APRDRG|||634|NEONATE BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND|181712.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27256.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27256.93|27256.93
APRDRG|||639|NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION|76087.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11584.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11584.34|11584.34
APRDRG|||640|NEONATE BIRTHWT >2499G NORMAL NEWBORN OR NEONATE W OTHER PROBLEM|7020.000299|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3035.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3082.317778|No Volume|1734.813947|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1734.813947|3082.317778
APRDRG|||660|MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL|31858.294|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17711.245|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15742.35333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15742.35333|17711.245
APRDRG|||661|COAGULATION & PLATELET DISORDERS|27524.16667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25950|No Volume|535.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12179.41|No Volume|No Volume|11751.45|No Volume|535.04|25950
APRDRG|||662|SICKLE CELL ANEMIA CRISIS|79068.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12749.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12749.74|12749.74
APRDRG|||663|OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS|16739.83545|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9323.866|9049.36|6101.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5900.145|No Volume|No Volume|No Volume|No Volume|5900.145|9323.866
APRDRG|||680|MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS|40935.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|28288.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|53958.76|No Volume|No Volume|No Volume|No Volume|28288.31|53958.76
APRDRG|||681|OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS|48975.90333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20223.945|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31826.76|No Volume|No Volume|No Volume|No Volume|20223.945|31826.76
APRDRG|||690|ACUTE LEUKEMIA|325684.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54084.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|54084.45|54084.45
APRDRG|||691|LYMPHOMA MYELOMA & NON-ACUTE LEUKEMIA|37965.48444|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|33565.185|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|31844.85|No Volume|15620.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|20101.848|No Volume|No Volume|No Volume|No Volume|15620.1|33565.185
APRDRG|||694|LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR|27510.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14698.91|No Volume|No Volume|No Volume|No Volume|14698.91|14698.91
APRDRG|||695|CHEMOTHERAPY FOR ACUTE LEUKEMIA|19741.65333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13971.35667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|13971.35667|13971.35667
APRDRG|||696|OTHER CHEMOTHERAPY|71253.2975|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30273.67333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25947.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25947.42|30273.67333
APRDRG|||710|INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE|110011.6667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|48861.51|No Volume|34245.70286|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32593.32|No Volume|No Volume|No Volume|No Volume|32593.32|48861.51
APRDRG|||711|POST-OP POST-TRAUMA OTHER DEVICE INFECTIONS W O.R. PROCEDURE|83338.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15009.69|No Volume|18459.6125|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15009.69|18459.6125
APRDRG|||720|SEPTICEMIA & DISSEMINATED INFECTIONS|75635.67986|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|49659.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|37959.15919|No Volume|18817.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18699.03435|No Volume|No Volume|11644.74|No Volume|11644.74|49659.79
APRDRG|||721|POST-OPERATIVE POST-TRAUMATIC OTHER DEVICE INFECTIONS|42263.61444|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|34532.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|26606.83|No Volume|6387.493333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6387.493333|34532.34
APRDRG|||722|FEVER|10036.905|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7925.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7925.25|7925.25
APRDRG|||723|VIRAL ILLNESS|12432.495|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3642.925|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3642.925|3642.925
APRDRG|||724|OTHER INFECTIOUS & PARASITIC DISEASES|11265.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2764.695|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2764.695|2764.695
APRDRG|||750|SCHIZOPHRENIA|59472.81125|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27309.94|No Volume|13008.554|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10851.945|No Volume|No Volume|No Volume|No Volume|10851.945|27309.94
APRDRG|||751|MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES|36857.35667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9407.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14162.501|No Volume|6417.56625|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14286.58|No Volume|No Volume|No Volume|No Volume|6417.56625|14286.58
APRDRG|||752|DISORDERS OF PERSONALITY & IMPULSE CONTROL|29889.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5252.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5252.88|5252.88
APRDRG|||753|BIPOLAR DISORDERS|32489.40267|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15954.93333|No Volume|7480.235556|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7480.235556|15954.93333
APRDRG|||754|DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER|14725.0325|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|12853.32|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11674.01333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11674.01333|12853.32
APRDRG|||756|ACUTE ANXIETY & DELIRIUM STATES|15423.065|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7026.36|No Volume|4500.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4500.3|7026.36
APRDRG|||757|ORGANIC MENTAL HEALTH DISTURBANCES|88736.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23858.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|23858.68|23858.68
APRDRG|||760|OTHER MENTAL HEALTH DISORDERS|99244.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15556.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15556.53|15556.53
APRDRG|||770|DRUG & ALCOHOL ABUSE OR DEPENDENCE LEFT AGAINST MEDICAL ADVICE|20585.7475|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7676.02|No Volume|4372.103333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4372.103333|7676.02
APRDRG|||773|OPIOID ABUSE & DEPENDENCE|33598.365|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5148.635|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5148.635|5148.635
APRDRG|||774|COCAINE ABUSE & DEPENDENCE|64156.83333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11075.38333|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11075.38333|11075.38333
APRDRG|||775|ALCOHOL ABUSE & DEPENDENCE|21681.60615|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3897.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10062.3355|No Volume|6023.755882|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1751.2|No Volume|No Volume|No Volume|No Volume|1751.2|10062.3355
APRDRG|||776|OTHER DRUG ABUSE & DEPENDENCE|11532.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6408.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6408.8|6408.8
APRDRG|||793|MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT|40767.19714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|38057.385|No Volume|10386.66667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|10386.66667|38057.385
APRDRG|||794|NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT|144886.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39119.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|39119.38|39119.38
APRDRG|||810|INJ TO UNSPEC OR MULT SITES|26515.155|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|6896.605|No Volume|No Volume|No Volume|No Volume|6896.605|6896.605
APRDRG|||811|ALLERGIC REACTIONS|29209.655|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|17165.24|No Volume|3671.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3671.97|17165.24
APRDRG|||812|POISONING OF MEDICINAL AGENTS|23941.92556|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7184.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|15064.31|6337.81|4176.296|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11334.29|No Volume|No Volume|No Volume|No Volume|4176.296|15064.31
APRDRG|||813|OTHER COMPLICATIONS OF TREATMENT|13888.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11988.715|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11988.715|11988.715
APRDRG|||815|OTHER INJURY POISONING & TOXIC EFFECT DIAGNOSES|11543.53|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5281.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5281.17|5281.17
APRDRG|||816|TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES|35030.02667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27212.995|No Volume|7528.927143|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7528.927143|27212.995
APRDRG|||817|OVERDOSE|19894.786|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4605.465|No Volume|8406.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4605.465|8406.13
APRDRG|||850|PROCEDURE W DIAG OF REHAB AFTERCARE OR OTH CONTACT W HEALTH SERVICE|21027.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21027.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|21027.59|21027.59
APRDRG|||861|SIGNS SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS|29661.72222|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24946.865|9983.87|5368.92|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4622.53|No Volume|No Volume|No Volume|No Volume|4622.53|24946.865
APRDRG|||862|OTHER AFTERCARE & CONVALESCENCE|57543.18714|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|27598.2575|No Volume|9590.456667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|9590.456667|27598.2575
APRDRG|||892|HIV W MAJOR HIV RELATED CONDITION|33152.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22056.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|22056.08|22056.08
APRDRG|||911|EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA|118368.415|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|86634.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|86634.76|86634.76
APRDRG|||912|MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA|135429.121|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|58506.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|74250.74125|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|55505.06|No Volume|No Volume|No Volume|No Volume|55505.06|74250.74125
APRDRG|||930|MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE|30828.86125|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|14055.74333|21537.66|8022.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|11419.42|No Volume|No Volume|No Volume|No Volume|8022.18|21537.66
APRDRG|||950|EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS|60888.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|41201.8975|No Volume|23621.60667|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|18146.18|No Volume|No Volume|No Volume|No Volume|18146.18|41201.8975
APRDRG|||951|MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS|46818.25875|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|32603.92333|No Volume|8888.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|30415.07|No Volume|No Volume|No Volume|No Volume|8888.77|32603.92333
APRDRG|||952|NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS|52284.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|19058.556|No Volume|19653.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|24648.12|No Volume|No Volume|No Volume|No Volume|19058.556|24648.12
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 1|1235|654.55|0|988|0|1111.5|0|997.88|889.2|835.85|0|1235|805.22|0|452.26|1010.85|764.47|744.71|0|0|0|964.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|547.23|0|0|0|0|0|0|0|0|1235
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 2|1346|713.38|0|1076.8|0|1211.4|0|1087.57|969.12|910.97|0|1346|877.59|0|492.91|1101.7|833.17|811.64|0|0|0|1051.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|596.41|0|0|0|0|0|0|0|0|1346
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 3|1512|801.36|0|1209.6|0|1360.8|0|1221.7|1088.64|1023.32|0|1512|985.82|0|553.69|1237.57|935.93|911.74|0|0|0|1180.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|669.97|0|0|0|0|0|0|0|0|1512
HOSP OP|0710 - RECOVERY ROOM|||Hb Recovery Care Level 4|1696|898.88|0|1356.8|0|1526.4|0|1370.37|1221.12|1147.85|0|1696|1105.79|0|621.08|1388.18|1049.82|1022.69|0|0|0|1324.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|751.5|0|0|0|0|0|0|0|0|1696
HOSP OP|0761 - TREATMENT ROOM||62273|PA BLOOD PATCH|1035|548.55|776.25|828|879.75|931.5|879.75|836.28|745.2|700.49|0|1035|674.82|1035|379.02|847.15|640.67|624.11|1035|1587.700352|776.25|808.34|690.73|751.09|690.73|1035|1035|499|671.96|506.97|1035|1616.278958|1587.700352|1030.181908|0|0|670.7|458.61|1035|1035|690.73|1035|1035|670.62|690.65|0|1616.278958
HOSP OP|0480 - CARDIOLOGY||92960|PA Cardioversion|1329|704.37|996.75|1063.2|1129.65|1196.1|1129.65|1073.83|956.88|899.47|0|1329|866.51|1029.94|486.68|1087.79|822.65|801.39|1004.17|1690.690774|996.75|1037.95|592.83|644.64|592.83|1289.54|1315.86|428.27|576.72|435.11|1315.86|1721.123208|1690.690774|1097.007408|0|0|589.7|588.88|1148.7|1022.54|592.83|1102.22|1036.02|575.57|592.77|0|1721.123208
HOSP OP|0901 - ELECTRO SHOCK||90870|PA Electroconvulsive Thpy|1136|602.08|852|908.8|965.6|1022.4|965.6|917.89|817.92|768.84|0|1136|0|284.03|0|929.82|0|0|276.92|860.0583045|852|887.22|113.69|123.63|113.69|477.53|487.28|240.95|110.6|244.28|487.28|875.539354|860.0583045|558.050204|0|0|509.93|0|110.38|110.38|113.69|110.38|198.68|110.38|113.69|0|1136
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9965|OMNIPAQUE 100-199 MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|1.32|0|0.96|2.64|1.25|1.22|0|0.884086444|2.42|2.52|0|0|0|0|0|0|0|0|0|0.9|0.884086444|0.9|0|0|0|0.7|0|0|0|0|0|0|0|0|3.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||A9579|PARAMAG CONTRAST A9579/ ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|2.26|0|1.64|2.64|2.15|2.09|0|1.552062868|2.42|2.52|0|0|0|0|0|0|0|0|0|1.58|1.552062868|1.58|0|0|0|1.2|0|0|0|0|0|0|0|0|3.23
HOSP OP|0410 - RESPIRATORY THERAPY||94660|CPAP TREATMENT|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1087.696564|299.25|311.62|203.29|221.06|203.29|399|399|146.86|197.77|149.21|399|1107.275102|1087.696564|705.753652|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1107.275102
HOSP OP|0410 - RESPIRATORY THERAPY||94660|CPAP DAILY|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1087.696564|299.25|311.62|203.29|221.06|203.29|399|399|146.86|197.77|149.21|399|1107.275102|1087.696564|705.753652|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1107.275102
HOSP OP|0410 - RESPIRATORY THERAPY||94660|BIPAP|399|211.47|299.25|319.2|339.15|359.1|339.15|322.39|287.28|270.04|0|399|260.15|374.82|146.11|326.58|246.98|240.6|365.44|1087.696564|299.25|311.62|203.29|221.06|203.29|399|399|146.86|197.77|149.21|399|1107.275102|1087.696564|705.753652|0|0|214.61|217.73|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1107.275102
HOSP OP|0302 - LAB/IMMUNOLOGY||86060|ASO Titer (DNASE B ATBY)|20.38|10.8|15.29|16.3|17.32|18.34|17.32|16.47|14.67|13.79|0|20.38|10.46|10.95|7.61|16.68|9.94|9.68|10.68|8.025540275|15.29|15.92|7.52|8.18|7.52|16.46|16.8|10.26|7.31|8.42|16.8|8.17|8.025540275|8.17|0|0|0|5.58|7.3|7.3|7.52|7.3|13.14|7.3|7.52|0|20.38
HOSP OP|0450 - EMERGENCY ROOM||40654|ED LIP RP FUL -> 1/2 VERT HT|1619|858.07|1214.25|1295.2|1376.15|1457.1|1376.15|1308.15|1165.68|1095.74|0|1619|0|1325.05|0|1325.15|0|0|1291.91|3034.804064|1214.25|1264.44|435.76|473.84|435.76|1552.72|1584.41|779.55|423.92|794.29|1584.41|3089.430537|3034.804064|1969.137462|0|0|0|0|423.07|423.07|435.76|423.07|761.53|423.07|435.76|0|3089.430537
HOSP OP|0272 - STERILE SUPPLY||C1732|Biosense Cooltip|10920|5787.6|8190|8736|9282|9828|0|8823.36|7862.4|7390.66|0|10920|7119.84|0|3998.9|8938.02|6759.48|6584.76|0|0|8190|8528.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4838.65|0|0|0|0|0|0|0|0|10920
HOSP OP|0361 - OR/MINOR||36299|DYE STUDY INTRATHECAL CATH|542|287.26|406.5|433.6|460.7|487.8|0|437.94|390.24|366.83|0|542|542|0|399.22|443.63|542|542|0|2946.467707|406.5|423.3|0|0|0|0|0|0|0|0|0|2999.504126|2946.467707|1911.820276|0|0|0|489.02|0|0|0|0|0|0|0|0|2999.504126
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Pulmonary Assess|257|136.21|192.75|205.6|218.45|231.3|218.45|207.66|185.04|173.94|0|257|167.56|226.63|94.11|210.35|159.08|154.97|220.96|17.08251473|192.75|200.72|128.11|139.31|128.11|257|257|92.55|124.63|94.03|257|17.39|17.08251473|17.39|0|0|129.76|113.88|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|257
HOSP OP|0410 - RESPIRATORY THERAPY|||VENT TRANSPORT|304|161.12|0|243.2|0|273.6|0|245.63|218.88|205.75|0|304|198.21|0|111.32|248.82|188.18|183.31|0|0|0|237.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|165.89|0|0|0|0|0|0|0|0|304
HOSP OP|0410 - RESPIRATORY THERAPY|||WEANING PARAMETER|118|62.54|0|94.4|0|106.2|0|95.34|84.96|79.86|0|118|76.94|0|43.21|96.58|73.04|71.15|0|0|0|92.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.39|0|0|0|0|0|0|0|0|118
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9572|Hb 111 Pentetreot Dx Pdut 6mci|4028|2134.84|3021|3222.4|3423.8|3625.2|0|3254.62|2900.16|2726.15|0|4028|1459|0|747.53|3296.92|1386|1349|0|1775.039293|3021|3145.87|0|0|0|0|0|0|0|0|0|1806.99|1775.039293|1806.99|0|0|0|1222.55|0|0|0|0|0|0|0|0|4028
HOSP OP|0361 - OR/MINOR||36002|INJ PERC TX PSEUDOANEURYSM|904|479.12|678|723.2|768.4|813.6|768.4|730.43|650.88|611.83|0|904|904|904|598.82|739.92|904|904|904|0|678|706.02|696.77|757.65|696.77|904|904|503.36|677.83|511.4|904|0|0|0|0|0|694.45|733.53|904|904|696.77|904|904|676.47|696.69|0|904
HOSP OP|0361 - OR/MINOR||36005|INJ EXTREMINITY VENOGRAM|751|398.03|563.25|600.8|638.35|675.9|0|606.81|540.72|508.28|0|751|744|0|399.22|614.69|707|688|0|798.4994578|563.25|586.53|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|489.02|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0361 - OR/MINOR||36010|INJECTION SVC/IVC|1389|736.17|1041.75|1111.2|1180.65|1250.1|0|1122.31|1000.08|940.08|0|1389|744|0|399.22|1136.9|707|688|0|8807.328962|1041.75|1084.81|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36011|VENOUS-1ST ORDER|1097|581.41|822.75|877.6|932.45|987.3|0|886.38|789.84|742.45|0|1097|715.24|0|401.72|897.89|679.04|661.49|0|8807.328962|822.75|856.76|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|486.08|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36012|VENOUS-2ND ORDER OR >|1092|578.76|819|873.6|928.2|982.8|0|882.34|786.24|739.07|0|1092|711.98|0|399.89|893.8|675.95|658.48|0|8807.328962|819|852.85|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|483.87|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36014|PULMONARY SEL CATH RT/LT|969|513.57|726.75|775.2|823.65|872.1|0|782.95|697.68|655.82|0|969|631.79|0|354.85|793.13|599.81|584.31|0|8807.328962|726.75|756.79|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|429.36|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36015|PULMONARY SEL SEG/SUBMENTAL|1102|584.06|826.5|881.6|936.7|991.8|0|890.42|793.44|745.83|0|1102|718.5|0|403.55|901.99|682.14|664.51|0|8807.328962|826.5|860.66|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|488.3|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36140|EXTREMITY ART NEEDLE|949|502.97|711.75|759.2|806.65|854.1|0|766.79|683.28|642.28|0|949|744|0|399.22|776.76|707|688|0|8807.328962|711.75|741.17|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36200|INTRODUCTION CATHETER AORTA|1727|915.31|1295.25|1381.6|1467.95|1554.3|0|1395.42|1243.44|1168.83|0|1727|744|0|399.22|1413.55|707|688|0|8807.328962|1295.25|1348.79|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36215|CATH PLACE THORACIC 1ST ORD|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|744|0|399.22|2033.15|707|688|0|8807.328962|1863|1940|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36216|CATH PLACE THORACIC 2ND ORD|2639|1398.67|1979.25|2111.2|2243.15|2375.1|0|2132.31|1900.08|1786.08|0|2639|0|0|0|2160.02|0|0|0|8807.328962|1979.25|2061.06|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|0|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36217|CATH PLACE THORACIC 3RD ORD|2939|1557.67|2204.25|2351.2|2498.15|2645.1|0|2374.71|2116.08|1989.12|0|2939|1916.23|0|1076.26|2405.57|1819.24|1772.22|0|8807.328962|2204.25|2295.36|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|1302.27|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36218|CATH PLACE 2ND/3RD ORD ADDL|493|261.29|369.75|394.4|419.05|443.7|0|398.34|354.96|333.66|0|493|321.44|0|180.54|403.52|305.17|297.28|0|8807.328962|369.75|385.03|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|218.45|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36245|CATH PLACE ABD 1ST ORD|2089|1107.17|1566.75|1671.2|1775.65|1880.1|0|1687.91|1504.08|1413.84|0|2089|744|0|399.22|1709.85|707|688|0|8807.328962|1566.75|1631.51|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36246|CATH PLACE ABD 2ND ORD|2691|1426.23|2018.25|2152.8|2287.35|2421.9|0|2174.33|1937.52|1821.27|0|2691|744|0|399.22|2202.58|707|688|0|8807.328962|2018.25|2101.67|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36247|CATH PLACE ABD 3RD ORD|3202|1697.06|2401.5|2561.6|2721.7|2881.8|0|2587.22|2305.44|2167.11|0|3202|744|0|399.22|2620.84|707|688|0|8807.328962|2401.5|2500.76|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36248|CATH PLACE ABD 2/3RD ORD|1430|757.9|1072.5|1144|1215.5|1287|0|1155.44|1029.6|967.82|0|1430|744|0|399.22|1170.46|707|688|0|8807.328962|1072.5|1116.83|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36481|PORTAL VEIN CATH PERC|2005|1062.65|1503.75|1604|1704.25|1804.5|0|1620.04|1443.6|1356.98|0|2005|744|0|399.22|1641.09|707|688|0|8807.328962|1503.75|1565.91|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|489.02|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||36558|INSERT TUN CVAD 5 YRS OR >|4356|2308.68|3267|3484.8|3702.6|3920.4|3702.6|3519.65|3136.32|2948.14|0|4356|3532|4356|1996.08|3565.39|3356|3268|4356|3999.147528|3267|3402.04|3062.51|3330.1|3062.51|4356|4356|2212.41|2979.25|2247.74|4356|4071.132183|3999.147528|2594.853258|0|0|2958.71|2445.1|4356|4356|3062.51|4356|4356|2973.31|3062.17|0|4356
HOSP OP|0361 - OR/MINOR||36561|INS TUNN CVAD 5YRS/> W PORT|5504|2917.12|4128|4403.2|4678.4|4953.6|4678.4|4447.23|3962.88|3725.11|0|5504|3532|5167.4|1996.08|4505.02|3356|3268|5038.14|3999.147528|4128|4298.62|3062.51|3330.1|3062.51|5504|5504|2212.41|2979.25|2247.74|5504|4071.132183|3999.147528|2594.853258|0|0|2958.71|2445.1|5504|5282.35|3062.51|5504|5351.95|2973.31|3062.17|0|5504
HOSP OP|0361 - OR/MINOR||36575|REPAIR C-CATH|1288|682.64|966|1030.4|1094.8|1159.2|1094.8|1040.7|927.36|871.72|0|1288|1288|1212.88|598.82|1054.23|1288|1288|1182.54|1423.916154|966|1005.93|696.77|757.65|696.77|1288|1288|503.36|677.83|511.4|1288|1449.546645|1423.916154|923.91027|0|0|694.45|733.53|1288|1201.82|696.77|1288|1217.65|676.47|696.69|0|1449.546645
HOSP OP|0361 - OR/MINOR||36580|REPLACE CVAD CATH SVAS|1627|862.31|1220.25|1301.6|1382.95|1464.3|1382.95|1314.62|1171.44|1101.15|0|1627|0|580.09|0|1331.7|0|0|565.58|1423.916154|1220.25|1270.69|67.62|73.53|67.62|588.93|600.95|295.2|65.78|301.26|600.95|1449.546645|1423.916154|923.91027|0|0|0|0|65.65|65.65|67.62|65.65|118.17|65.65|67.62|0|1627
HOSP OP|0361 - OR/MINOR||36581|REPL TUNNEL CVAD CATH SVAS|4743|2513.79|3557.25|3794.4|4031.55|4268.7|4031.55|3832.34|3414.96|3210.06|0|4743|3532|4743|1996.08|3882.15|3356|3268|4743|3999.147528|3557.25|3704.28|3062.51|3330.1|3062.51|4743|4743|2212.41|2979.25|2247.74|4743|4071.132183|3999.147528|2594.853258|0|0|2958.71|2445.1|4743|4743|3062.51|4743|4743|2973.31|3062.17|0|4743
HOSP OP|0361 - OR/MINOR||36582|REPL TUNN CVAD SVAS W PORT|7371|3906.63|5528.25|5896.8|6265.35|6633.9|6265.35|5955.77|5307.12|4988.69|0|7371|0|2811.38|0|6033.16|0|0|2741.06|3999.147528|5528.25|5756.75|293.81|319.48|293.81|2719.92|2775.43|1380.22|285.82|1391.36|2775.43|4071.132183|3999.147528|2594.853258|0|0|0|0|285.25|285.25|293.81|285.25|513.45|285.25|293.81|0|7371
HOSP OP|0361 - OR/MINOR||36584|REPLACE PICC SVAS|1627|862.31|1220.25|1301.6|1382.95|1464.3|1382.95|1314.62|1171.44|1101.15|0|1627|1627|1627|598.82|1331.7|1627|1627|1627|388.0679116|1220.25|1270.69|1627|1960.04|1627|1627|1627|1302.19|1627|1322.99|1627|395.053134|388.0679116|251.798484|0|0|1224.95|733.53|1627|1627|1802.54|1627|1627|1750.04|1627|0|1960.04
HOSP OP|0361 - OR/MINOR||36589|REMOVE TUNNEL CVAD|2095|1110.35|1571.25|1676|1780.75|1885.5|1780.75|1692.76|1508.4|1417.9|0|2095|2095|1212.88|598.82|1714.76|2095|2095|1182.54|388.0679116|1571.25|1636.2|696.77|757.65|696.77|1515.62|1546.55|503.36|677.83|511.4|1546.55|395.053134|388.0679116|251.798484|0|0|694.45|733.53|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|2095
HOSP OP|0361 - OR/MINOR||36590|REMOVE TUN CVAD W PORT/PUMP|2513|1331.89|1884.75|2010.4|2136.05|2261.7|2136.05|2030.5|1809.36|1700.8|0|2513|2513|1212.88|598.82|2056.89|2513|2513|1182.54|4081.951827|1884.75|1962.65|696.77|757.65|696.77|1515.62|1546.55|503.36|677.83|511.4|1546.55|4155.42696|4081.951827|2648.58096|0|0|694.45|733.53|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|4155.42696
HOSP OP|0361 - OR/MINOR||36595|MECHANICAL REML FIBRIN SHE|4516|2393.48|3387|3612.8|3838.6|4064.4|3838.6|3648.93|3251.52|3056.43|0|4516|3532|4516|1996.08|3696.35|3356|3268|4516|4081.951827|3387|3527|3062.51|3330.1|3062.51|4516|4516|2212.41|2979.25|2247.74|4516|4155.42696|4081.951827|2648.58096|0|0|2958.71|2445.1|4516|4516|3062.51|4516|4516|2973.31|3062.17|0|4516
HOSP OP|0361 - OR/MINOR||36596|MECHANICAL REMOVAL INTRACA|1606|851.18|1204.5|1284.8|1365.1|1445.4|1365.1|1297.65|1156.32|1086.94|0|1606|0|339.39|0|1314.51|0|0|330.9|388.0679116|1204.5|1254.29|44.88|48.8|44.88|342.89|349.89|180.84|43.66|175.41|349.89|395.053134|388.0679116|251.798484|0|0|0|0|43.57|43.57|44.88|43.57|78.43|43.57|44.88|0|1606
HOSP OP|0361 - OR/MINOR||36597|REPOSITION CVAD W FLUORO|1606|851.18|1204.5|1284.8|1365.1|1445.4|1365.1|1297.65|1156.32|1086.94|0|1606|1606|1606|598.82|1314.51|1606|1606|1606|3999.147528|1204.5|1254.29|1606|1960.04|1606|1606|1606|1302.19|1606|1322.99|1606|4071.132183|3999.147528|2594.853258|0|0|1224.95|733.53|1606|1606|1802.54|1606|1606|1750.04|1606|0|4071.132183
HOSP OP|0361 - OR/MINOR||36598|INJ(S) W FLUORO EVAL CVAD|1136|602.08|852|908.8|965.6|1022.4|965.6|917.89|817.92|768.84|0|1136|744|366.16|399.22|929.82|707|688|357|3999.147528|852|887.22|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|4071.132183|3999.147528|2594.853258|0|0|209.65|489.02|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|4071.132183
HOSP OP|0361 - OR/MINOR||37182|T.I.P.S INITIAL PROCEDURE|17081|9052.93|12810.75|13664.8|14518.85|15372.9|14518.85|13801.45|12298.32|11560.42|0|17081|0|0|0|13980.8|0|0|9326.23|16446.51113|12810.75|13340.26|849.95|924.21|849.95|2220.1|2265.41|1125.1|826.84|1135.69|2265.41|16742.54833|16446.51113|10671.345|0|0|0|0|825.19|825.19|849.95|825.19|1485.34|825.19|849.95|0|17081
HOSP OP|0361 - OR/MINOR||37183|Revision Of Transvenous Intrahepatic Portosystemic Shunt(s) (tips)|13287|7042.11|9965.25|10629.6|11293.95|11958.3|11293.95|10735.9|9566.64|8992.64|0|13287|0|13287|0|10875.41|0|0|13287|16446.51113|9965.25|10377.15|387.37|421.22|387.37|13287|13287|8119.56|376.84|8508.23|13287|16742.54833|16446.51113|10671.345|0|0|0|0|376.09|376.09|387.37|376.09|676.96|376.09|387.37|0|16742.54833
HOSP OP|0361 - OR/MINOR||37184|MECH ART THROMBECT INTIAL|6958|3687.74|5218.5|5566.4|5914.3|6262.2|5914.3|5622.06|5009.76|4709.17|0|6958|6710|6958|3543.04|5695.12|6374|6206|6958|6974.805663|5218.5|5434.2|6958|11906.51|6958|6958|6958|6958|6958|6958|6958|7100.352165|6974.805663|4525.61379|0|0|5240.3|5281.42|6958|6958|10949.73|6958|6958|10630.81|6958|0|11906.51
HOSP OP|0361 - OR/MINOR||37185|MECH ART THROMBECT SUBQ|3003|1591.59|2252.25|2402.4|2552.55|2702.7|0|2426.42|2162.16|2032.43|0|3003|0|0|0|2457.96|0|0|0|6974.805663|2252.25|2345.34|0|0|0|0|0|0|0|0|0|7100.352165|6974.805663|4525.61379|0|0|0|0|0|0|0|0|0|0|0|0|7100.352165
HOSP OP|0361 - OR/MINOR||37186|SEC ART MECH THROMB ADD-ON|3153|1671.09|2364.75|2522.4|2680.05|2837.7|0|2547.62|2270.16|2133.95|0|3153|744|0|399.22|2580.73|707|688|0|6974.805663|2364.75|2462.49|0|0|0|0|0|0|0|0|0|7100.352165|6974.805663|4525.61379|0|0|0|489.02|0|0|0|0|0|0|0|0|7100.352165
HOSP OP|0361 - OR/MINOR||37187|MECH THROMBECT VEIN(S)|9866|5228.98|7399.5|7892.8|8386.1|8879.4|8386.1|7971.73|7103.52|6677.31|0|9866|6710|9152.23|3543.04|8075.32|6374|6206|8923.28|6974.805663|7399.5|7705.35|5474.5|5952.86|5474.5|9866|9866|3954.89|5325.68|4018.04|9866|7100.352165|6974.805663|4525.61379|0|0|5240.3|5281.42|9866|9442.68|5474.5|9866|9567.09|5315.05|5473.89|0|9866
HOSP OP|0360 - OR SERVICES||37188|(IA) HB REP VEN MECH THROM W/FLU R*|8603|4559.59|6452.25|6882.4|7312.55|7742.7|7312.55|6951.22|6194.16|5822.51|0|8603|0|4966.84|0|7041.56|0|0|4842.62|6974.805663|6452.25|6718.94|281.33|305.92|281.33|4520.6|4612.86|2315.2|273.69|2312.5|4612.86|7100.352165|6974.805663|4525.61379|0|0|0|0|273.14|273.14|281.33|273.14|491.65|273.14|281.33|0|8603
HOSP OP|0361 - OR/MINOR||37200|Hb Transcatheter Bx|6509|3449.77|4881.75|5207.2|5532.65|5858.1|5532.65|5259.27|4686.48|4405.29|0|6509|0|210.61|0|5327.62|0|0|205.35|1232.41282|4881.75|5083.53|224.98|244.64|224.98|586.02|597.98|297.16|218.87|299.78|597.98|1254.596251|1232.41282|799.653026|0|0|0|0|218.43|218.43|224.98|218.43|393.17|218.43|224.98|0|6509
HOSP OP|0361 - OR/MINOR||37215|Hb Stentcarotid Art Open Or Perc W Emb Dev|9814|5201.42|7360.5|7851.2|8341.9|8832.6|8341.9|7929.71|7066.08|6642.12|0|9814|4640|4907|965.1|8032.76|4408|4292|4907|9886.02122|7360.5|7664.73|983.23|1069.14|983.23|2573.66|2626.18|1300.07|956.5|1316.54|2626.18|10063.9696|9886.02122|6414.560652|0|0|761.87|1181.47|954.59|954.59|983.23|954.59|1718.26|954.59|983.23|0|10063.9696
HOSP OP|0360 - OR SERVICES||37216|Hb Stent Carotid Art Open Or Perc W/o Emb Protection|10338|5479.14|7753.5|8270.4|8787.3|9304.2|8787.3|8353.1|7443.36|6996.76|0|10338|0|1361.16|0|8461.65|0|0|1327.12|9886.02122|7753.5|8073.98|4135.2|0|4135.2|2695.71|2750.72|1362.14|4135.2|1378.98|2750.72|10063.9696|9886.02122|6414.560652|0|0|0|0|0|0|4135.2|0|5169|4135.2|4135.2|0|10338
HOSP OP|0361 - OR/MINOR||37799|VASCULAR SURGICAL PROCEDURE|1470|779.1|1102.5|1176|1249.5|1323|1249.5|1187.76|1058.4|994.9|0|1470|1470|1212.88|598.82|1203.2|1470|1470|1182.54|388.0679116|1102.5|1148.07|696.77|757.65|696.77|1470|1470|503.36|677.83|511.4|1470|395.053134|388.0679116|251.798484|0|0|694.45|733.53|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|1470
HOSP OP|0361 - OR/MINOR||38505|BX LYMPH NODE(S) SUPERFICAL|1329|704.37|996.75|1063.2|1129.65|1196.1|1129.65|1073.83|956.88|899.47|0|1329|1329|1329|965.1|1087.79|1329|1329|1329|2479.95052|996.75|1037.95|1329|1649.38|1329|1329|1329|1095.8|1329|1113.3|1329|2524.589629|2479.95052|1609.119854|0|0|1329|1302.42|1329|1329|1516.84|1329|1329|1472.66|1329|0|2524.589629
HOSP OP|0341 - NUC MED/DX||38792|INJ SENTINEL NODE RP TRACER|526|278.78|394.5|420.8|447.1|473.4|447.1|425.01|378.72|356|0|526|526|526|526|430.53|526|526|526|0|394.5|410.81|406.82|442.36|406.82|526|526|293.89|395.76|298.58|526|0|0|0|0|0|395.93|515.48|526|526|406.82|526|526|394.97|406.77|0|526
HOSP OP|0361 - OR/MINOR||43761|Hb Reposition Gastrostomy Tube|1721|912.13|1290.75|1376.8|1462.85|1548.9|1462.85|1390.57|1239.12|1164.77|0|1721|0|170.9|0|1408.64|0|0|166.62|311.6195923|1290.75|1344.1|105.76|115|105.76|317.72|324.2|157.87|102.89|162.52|324.2|317.228745|311.6195923|202.19487|0|0|0|0|102.68|102.68|105.76|102.68|184.82|102.68|105.76|0|1721
HOSP OP|0361 - OR/MINOR||44500|INTRODUCTION LONG GI TUBE|929|492.37|696.75|743.2|789.65|836.1|789.65|750.63|668.88|628.75|0|929|929|929|929|760.39|929|929|929|1451.399884|696.75|725.55|868.51|944.4|868.51|929|929|627.43|844.9|637.45|929|1477.525082|1451.399884|941.743132|0|0|853|910.42|929|929|868.51|929|929|843.21|868.42|0|1477.525082
HOSP OP|0361 - OR/MINOR||47000|BIOPSY LIVER PERC|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|2046|2046|965.1|1674.65|2046|2046|2046|970.169779|1534.5|1597.93|1516.84|1649.38|1516.84|2046|2046|1095.8|1475.61|1113.3|2046|987.632835|970.169779|629.49621|0|0|1540.67|1515.96|2046|2046|1516.84|2046|2046|1472.66|1516.67|0|2046
HOSP OP|0361 - OR/MINOR||47001|BX LIVER PERC W/OTHER PRO|791|419.23|593.25|632.8|672.35|711.9|0|639.13|569.52|535.35|0|791|0|0|0|647.43|0|0|0|970.169779|593.25|617.77|0|0|0|0|0|0|0|0|0|987.632835|970.169779|629.49621|0|0|0|0|0|0|0|0|0|0|0|0|987.632835
HOSP OP|0361 - OR/MINOR||47382|RF LIVER TUMOR(S)|8836|4683.08|6627|7068.8|7510.6|7952.4|7510.6|7139.49|6361.92|5980.2|0|8836|6710|8836|3543.04|7232.27|6374|6206|8765.59|7466.33481|6627|6900.92|5341.67|5808.42|5341.67|8836|8836|3858.93|5196.46|3920.55|8836|7600.728837|7466.33481|4844.543262|0|0|5147.7|5281.42|8836|8836|5341.67|8836|8836|5186.09|5341.07|0|8836
HOSP OP|0361 - OR/MINOR||47490|CHOLECYSTOSTOMY PERC|4384|2323.52|3288|3507.2|3726.4|3945.6|3726.4|3542.27|3156.48|2967.09|0|4384|3532|4384|1996.08|3588.3|3356|3268|4384|5985.567943|3288|3423.9|3436.09|3736.33|3436.09|4384|4384|2482.3|3342.68|2521.94|4384|6093.308166|5985.567943|3883.745316|0|0|3301.22|2445.1|4384|4384|3436.09|4384|4384|3336.01|3435.71|0|6093.308166
HOSP OP|0361 - OR/MINOR||49400|INJ PERITONEAL CAVITY|308|163.24|231|246.4|261.8|277.2|0|248.86|221.76|208.45|0|308|308|0|308|252.1|308|308|0|0|231|240.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.84|0|0|0|0|0|0|0|0|308
HOSP OP|0361 - OR/MINOR||49423|EXCHANGE ABSCESS DRAIN CATH|3384|1793.52|2538|2707.2|2876.4|3045.6|2876.4|2734.27|2436.48|2290.29|0|3384|2594|2901.75|965.1|2769.8|2464|2399|2829.16|970.169779|2538|2642.9|1721.06|1871.45|1721.06|3384|3384|1243.33|1674.28|1263.18|3384|987.632835|970.169779|629.49621|0|0|1661.46|1515.96|3334.82|2968.57|1721.06|3199.88|3007.68|1670.93|1720.87|0|3384
HOSP OP|0361 - OR/MINOR||49424|INJ ABSCESS/CYST FROM CATH|334|177.02|250.5|267.2|283.9|300.6|0|269.87|240.48|226.05|0|334|334|0|334|273.38|334|334|0|798.4994578|250.5|260.85|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|327.32|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0361 - OR/MINOR||50200|BX RENAL PERC|2097|1111.41|1572.75|1677.6|1782.45|1887.3|1782.45|1694.38|1509.84|1419.25|0|2097|2097|2097|965.1|1716.39|2097|2097|2097|1232.41282|1572.75|1637.76|1516.84|1649.38|1516.84|2097|2097|1095.8|1475.61|1113.3|2097|1254.596251|1232.41282|799.653026|0|0|1540.67|1515.96|2097|2097|1516.84|2097|2097|1472.66|1516.67|0|2097
HOSP OP|0361 - OR/MINOR||50382|RML/REPL URETERAL STENT|3766|1995.98|2824.5|3012.8|3201.1|3389.4|3201.1|3042.93|2711.52|2548.83|0|3766|0|3141.14|0|3082.47|0|0|3062.57|5876.515799|2824.5|2941.25|265.47|288.67|265.47|3034.73|3096.66|1544.44|258.26|1552.4|3096.66|5982.293083|5876.515799|3812.986658|0|0|0|0|257.74|257.74|265.47|257.74|463.93|257.74|265.47|0|5982.293083
HOSP OP|0361 - OR/MINOR||50384|RML URETERAL STENT|4415|2339.95|3311.25|3532|3752.75|3973.5|3752.75|3567.32|3178.8|2988.07|0|4415|3237|3403.34|1821.42|3613.68|3075|2994|3318.2|2879.082545|3311.25|3448.12|1957.72|2128.78|1957.72|4258.46|4345.36|1414.29|1904.5|1436.88|4345.36|2930.906031|2879.082545|1868.097306|0|0|1948.64|2542.9|3793.37|3376.76|1957.72|3639.88|3421.25|1900.7|1957.5|0|4415
HOSP OP|0361 - OR/MINOR||50387|RML/RPL TRAN NEP URET STENT|2929|1552.37|2196.75|2343.2|2489.65|2636.1|2489.65|2366.63|2108.88|1982.35|0|2929|2594|2929|965.1|2397.39|2464|2399|2929|2879.082545|2196.75|2287.55|1957.72|2128.78|1957.72|2929|2929|1414.29|1904.5|1436.88|2929|2930.906031|2879.082545|1868.097306|0|0|1948.64|1515.96|2929|2929|1957.72|2929|2929|1900.7|1957.5|0|2930.906031
HOSP OP|0361 - OR/MINOR||50389|RML NEPHRO TUBE W/IMG|746|395.38|559.5|596.8|634.1|671.4|634.1|602.77|537.12|504.89|0|746|746|746|598.82|610.6|746|746|746|2879.082545|559.5|582.63|615.01|668.75|615.01|746|746|444.3|598.3|451.4|746|2930.906031|2879.082545|1868.097306|0|0|629.76|731.08|746|746|615.01|746|746|597.1|614.95|0|2930.906031
HOSP OP|0361 - OR/MINOR||50390|ASP/INJ RENAL CYST/PEL PERC|1669|884.57|1251.75|1335.2|1418.65|1502.1|1418.65|1348.55|1201.68|1129.58|0|1669|1669|1133.32|598.82|1366.08|1669|1669|1104.96|1232.41282|1251.75|1303.49|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|1254.596251|1232.41282|799.653026|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1669
HOSP OP|0360 - OR SERVICES||50592|PERC ABLATION RENAL TUMORS*|10603|5619.59|7952.25|8482.4|9012.55|9542.7|9012.55|8567.22|7634.16|7176.11|0|10603|6710|8990.5|3543.04|8678.56|6374|6206|8765.59|5876.515799|7952.25|8280.94|5341.67|5808.42|5341.67|10603|10603|3858.93|5196.46|3920.55|10603|5982.293083|5876.515799|3812.986658|0|0|5147.7|5281.42|10350.3|9213.56|5341.67|9931.5|9334.96|5186.09|5341.07|0|10603
HOSP OP|0361 - OR/MINOR||50690|INJ FOR ILEAL-URETERAL CON|491|260.23|368.25|392.8|417.35|441.9|0|396.73|353.52|332.31|0|491|0|0|0|401.88|0|0|0|798.4994578|368.25|383.47|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|0|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0361 - OR/MINOR||51600|INJECTION FOR CYSTOGRAPHY|502|266.06|376.5|401.6|426.7|451.8|0|405.62|361.44|339.75|0|502|502|0|399.22|410.89|502|502|0|798.4994578|376.5|392.06|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|489.02|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0361 - OR/MINOR||51610|INJ RETRO URETHROCYSTOGRAM|369|195.57|276.75|295.2|313.65|332.1|0|298.15|265.68|249.74|0|369|369|0|369|302.03|369|369|0|798.4994578|276.75|288.19|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|361.62|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0760 - TREATMENT OR OBSERVATION ROOM||52310|(IA) HB CYSTOURETHROSCOPY W/REMOVAL|4620|2448.6|3465|3696|3927|4158|3927|3732.96|3326.4|3126.82|0|4620|0|586.1|0|3781.47|0|0|571.45|2879.082545|3465|3608.22|154.59|168.1|154.59|729.38|744.27|335.77|150.39|373.11|744.27|2930.906031|2879.082545|1868.097306|0|0|0|0|150.09|150.09|154.59|150.09|270.16|150.09|154.59|0|4620
HOSP OP|0761 - TREATMENT ROOM||59000|AMNIOCENTESIS DIAGNOSTIC|1712.33|907.53|1284.25|1369.86|1455.48|1541.1|1455.48|1383.56|1232.88|1158.9|0|1712.33|1116.44|268.38|627.06|1401.54|1059.93|1032.53|261.67|474.109053|1284.25|1337.33|78.55|85.41|78.55|322.56|329.14|167.64|76.41|165|329.14|482.643016|474.109053|307.626416|0|0|0|758.73|76.26|76.26|78.55|76.26|137.27|76.26|78.55|0|1712.33
HOSP OP|0361 - OR/MINOR||61624|OCCL/EMBOL IC/SPINE|8558|4535.74|6418.5|6846.4|7274.3|7702.2|7274.3|6914.86|6161.76|5792.05|0|8558|0|0|0|7004.72|0|0|4672.67|11538.98807|6418.5|6683.8|1119.59|1217.42|1119.59|2926.24|2985.96|1474.55|1089.15|1496.91|2985.96|11746.68986|11538.98807|7487.090834|0|0|0|0|1086.98|1086.98|1119.59|1086.98|1956.56|1086.98|1119.59|0|11746.68986
HOSP OP|0361 - OR/MINOR||61626|OCCL/EMBOL EC/BRACH BRANCH|12219|6476.07|9164.25|9775.2|10386.15|10997.1|10386.15|9872.95|8797.68|8269.82|0|12219|0|1079.54|0|10001.25|0|0|1052.54|11538.98807|9164.25|9543.04|883.44|960.64|883.44|2296.63|2343.5|1147.58|859.43|1174.83|2343.5|11746.68986|11538.98807|7487.090834|0|0|0|0|857.71|857.71|883.44|857.71|1543.88|857.71|883.44|0|12219
HOSP OP|0361 - OR/MINOR||61635|INTRAVAS STENT(S) INTRACRAN|9129|4838.37|6846.75|7303.2|7759.65|8216.1|7759.65|7376.23|6572.88|6178.51|0|9129|0|0|0|7472.09|0|0|4984.43|17693.81342|6846.75|7129.75|1429.03|1553.9|1429.03|3741.83|3818.19|1883.63|1390.18|1914.12|3818.19|18012.30206|17693.81342|11480.65909|0|0|0|0|1387.41|1387.41|1429.03|1387.41|2497.34|1387.41|1429.03|0|18012.30206
HOSP OP|0761 - TREATMENT ROOM||62290|INJ LUMBAR DISKOGRAPHY EACH|616|326.48|462|492.8|523.6|554.4|0|497.73|443.52|416.91|0|616|401.63|0|225.58|504.2|381.3|371.45|0|1111.766897|462|481.1|0|0|0|0|0|0|0|0|0|1131.778701|1111.766897|721.371726|0|0|0|272.95|0|0|0|0|0|0|0|0|1131.778701
HOSP OP|0361 - OR/MINOR||64479|INJ EPIDURAL C/T SNG LEVEL|2325|1232.25|1743.75|1860|1976.25|2092.5|1976.25|1878.6|1674|1573.56|0|2325|2325|1496.19|598.82|1903.01|2325|2325|1458.76|1587.700352|1743.75|1815.83|897.39|975.8|897.39|1952.01|1991.85|648.29|872.99|658.64|1991.85|1616.278958|1587.700352|1030.181908|0|0|856.68|733.53|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|2325
HOSP OP|0761 - TREATMENT ROOM||64480|Hb Inj Epidural C/t Ea Addl|783|414.99|587.25|626.4|665.55|704.7|0|632.66|563.76|529.93|0|783|510.52|0|286.73|640.89|484.68|472.15|0|1587.700352|587.25|611.52|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|346.95|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0361 - OR/MINOR||64483|INJ EPIDURAL L/S SNG LEVEL|1282|679.46|961.5|1025.6|1089.7|1153.8|1089.7|1035.86|923.04|867.66|0|1282|1282|1282|598.82|1049.32|1282|1282|1282|1587.700352|961.5|1001.24|897.39|975.8|897.39|1282|1282|648.29|872.99|658.64|1282|1616.278958|1587.700352|1030.181908|0|0|856.68|733.53|1282|1282|897.39|1282|1282|871.25|897.29|0|1616.278958
HOSP OP|0361 - OR/MINOR||64484|INJ EPIDURAL L/S EA ADDL|489|259.17|366.75|391.2|415.65|440.1|0|395.11|352.08|330.96|0|489|489|0|399.22|400.25|489|489|0|1587.700352|366.75|381.91|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|479.22|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0361 - OR/MINOR||57720|Hb Trachelorrhapy Plastic Repair Of Uter Cervix Vag Approach|6701|3551.53|5025.75|5360.8|5695.85|6030.9|5695.85|5414.41|4824.72|4535.24|0|6701|0|515.1|0|5484.77|0|0|502.22|3828.30113|5025.75|5233.48|331.39|360.35|331.39|832.06|849.04|408.1|322.38|425.63|849.04|3897.21055|3828.30113|2483.9993|0|0|0|0|321.74|321.74|331.39|321.74|579.13|321.74|331.39|0|6701
HOSP OP|0480 - CARDIOLOGY||93799|Continuous Monitor Other|306|162.18|229.5|244.8|260.1|275.4|260.1|247.25|220.32|207.1|0|306|199.51|171.36|112.06|250.46|189.41|184.52|167.08|105.5210442|229.5|238.99|122.4|0|122.4|264.38|274.75|131.79|122.4|133.94|274.75|107.420423|105.5210442|68.467498|0|0|152.27|135.59|0|0|122.4|0|153|122.4|122.4|0|306
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 5 Base 30  Minutes|8869|4700.57|0|7095.2|0|7982.1|0|7166.15|6385.68|6002.54|0|8869|0|0|0|7259.28|0|0|0|0|0|6926.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8869
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 5 15 MINUTES|1092|578.76|0|873.6|0|982.8|0|882.34|786.24|739.07|0|1092|0|0|0|893.8|0|0|0|0|0|852.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1092
HOSP OP|0610 - MRI||70543|MRI ORBIT/FACE/NECK W&WO|2310|1224.3|1732.5|1848|1963.5|2079|1963.5|1866.48|1663.2|1563.41|0|2310|1868|754.87|979.08|1890.74|1775|1728|735.99|974.7013576|1732.5|1804.11|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2310
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9539|TC99 DTPA DX PSD UT 25 MCI|155|82.15|116.25|124|131.75|139.5|0|125.24|111.6|104.9|0|155|155|0|155|126.87|155|155|0|20.18664047|116.25|121.06|0|0|0|0|0|0|0|0|0|20.55|20.18664047|20.55|0|0|0|151.9|0|0|0|0|0|0|0|0|155
HOSP OP|0344 - THERAPEUTIC RADIOPHARMACEUTICL||A9503|Hb Tc99m Mdp Dx Psd Up To 30 Mci|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|135|0|135|110.5|135|135|0|0.47151277|101.25|105.44|0|0|0|0|0|0|0|0|0|0.48|0.47151277|0.48|0|0|0|132.3|0|0|0|0|0|0|0|0|135
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9540|TC99 MAA DX PSD UT 10 MCI|461|244.33|345.75|368.8|391.85|414.9|0|372.49|331.92|312|0|461|461|0|461|377.33|461|461|0|17.99607073|345.75|360.04|0|0|0|0|0|0|0|0|0|18.32|17.99607073|18.32|0|0|0|451.78|0|0|0|0|0|0|0|0|461
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9560|TC99 RBC DX PSD UT 30 MCI|442|234.26|331.5|353.6|375.7|397.8|0|357.14|318.24|299.15|0|442|442|0|442|361.78|442|442|0|100|331.5|345.2|0|0|0|0|0|0|0|0|0|101.8|100|101.8|0|0|0|433.16|0|0|0|0|0|0|0|0|442
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9541|SULFUR COLOID DX PDUT 20MCI|352|186.56|264|281.6|299.2|316.8|0|284.42|253.44|238.23|0|352|352|0|352|288.11|352|352|0|50|264|274.91|0|0|0|0|0|0|0|0|0|50.9|50|50.9|0|0|0|344.96|0|0|0|0|0|0|0|0|352
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9548|IN-111 DTPA DX PER 0.5 MCI|2213|1172.89|1659.75|1770.4|1881.05|1991.7|0|1788.1|1593.36|1497.76|0|2213|1459|0|747.53|1811.34|1386|1349|0|326.1787819|1659.75|1728.35|0|0|0|0|0|0|0|0|0|332.05|326.1787819|332.05|0|0|0|1222.55|0|0|0|0|0|0|0|0|2213
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9541|NF SULFUR COL DX PDUT 20MCI|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|224|0|224|183.34|224|224|0|50|168|174.94|0|0|0|0|0|0|0|0|0|50.9|50|50.9|0|0|0|219.52|0|0|0|0|0|0|0|0|224
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9552|PET FDG DX PSD UT 45MCI|347|183.91|260.25|277.6|294.95|312.3|0|280.38|249.84|234.85|0|347|347|0|347|284.02|347|347|0|248.7819253|260.25|271.01|0|0|0|0|0|0|0|0|0|253.26|248.7819253|253.26|0|0|0|340.06|0|0|0|0|0|0|0|0|347
HOSP OP|0300 - LABORATORY||81219|Hb Calr Gene Mutation Exon 9|622.13|329.73|466.6|497.7|528.81|559.92|528.81|502.68|447.93|421.06|0|622.13|174.33|182.44|126.76|509.21|165.68|161.22|177.88|133.7917485|466.6|485.88|125.28|136.23|125.28|300.27|306.4|168.62|121.87|153.61|306.4|136.2|133.7917485|136.2|0|0|151.37|93.13|121.63|121.63|125.28|121.63|218.93|121.63|125.28|0|622.13
HOSP OP|0301 - LAB/CHEMISTRY||82310|CALCIUM URINE RANDOM|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.39|7.74|5.37|16.37|7.02|6.84|7.55|5.157170923|15|15.62|5.31|5.78|5.31|11.62|11.86|7.33|5.17|5.95|11.86|5.25|5.157170923|5.25|0|0|0|3.95|5.16|5.16|5.31|5.16|9.29|5.16|5.31|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82810|GASES MIXED VENOUS PO2|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|12.6|13.19|9.16|56.48|11.98|11.66|12.86|10.74656189|51.75|53.89|10.06|10.94|10.06|20.34|20.76|12.22|9.79|10.41|20.76|10.94|10.74656189|10.94|0|0|0|6.73|9.77|9.77|10.06|9.77|17.59|9.77|10.06|0|69
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|Mbc Red Cell Panel|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|58.75|165|42.72|135.05|55.83|54.33|165|37.24950884|123.75|128.87|165|340.56|165|165|165|165|165|165|165|37.92|37.24950884|37.92|0|0|41.71|31.38|165|165|313.19|165|165|304.07|165|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Mbc Platelet Crossmatch|337|535.83|758.25|808.8|859.35|909.9|859.35|816.89|727.92|684.24|0|1011|26.33|27.55|19.14|827.5|25.02|24.35|26.86|20.20628684|758.25|789.59|18.92|20.57|18.92|42.62|43.49|25.41|18.41|21.8|43.49|20.57|20.20628684|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|1011
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Mbc Platelet Compatibility Panel|213|338.67|479.25|511.2|543.15|575.1|543.15|516.31|460.08|432.48|0|639|26.33|27.55|19.14|523.02|25.02|24.35|26.86|20.20628684|479.25|499.06|18.92|20.57|18.92|42.62|43.49|25.41|18.41|21.8|43.49|20.57|20.20628684|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|639
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 3|408|216.24|306|326.4|346.8|367.2|346.8|329.66|293.76|276.13|0|408|266.02|226.63|149.41|333.95|252.55|246.02|220.96|17.08251473|306|318.65|128.11|139.31|128.11|278.67|284.36|92.55|124.63|94.03|284.36|17.39|17.08251473|17.39|0|0|129.76|180.78|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|408
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 4|499|264.47|374.25|399.2|424.15|449.1|424.15|403.19|359.28|337.72|0|499|325.35|226.63|182.73|408.43|308.88|300.9|220.96|17.08251473|374.25|389.72|128.11|139.31|128.11|278.67|284.36|92.55|124.63|94.03|284.36|17.39|17.08251473|17.39|0|0|129.76|221.11|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|499
HOSP OP|0761 - TREATMENT ROOM||G0463|Hb Ldr Op Visit Charge 5|604|320.12|453|483.2|513.4|543.6|513.4|488.03|434.88|408.79|0|604|393.81|226.63|221.18|494.37|373.88|364.21|220.96|17.08251473|453|471.72|128.11|139.31|128.11|278.67|284.36|92.55|124.63|94.03|284.36|17.39|17.08251473|17.39|0|0|129.76|267.63|248.24|220.97|128.11|238.19|223.89|124.38|128.1|0|604
HOSP OP|0360 - OR SERVICES||59514|Hb C-section Addl|1325|702.25|993.75|1060|1126.25|1192.5|1126.25|1070.6|954|896.76|0|1325|0|0|0|1084.51|0|0|723.45|0|993.75|1034.83|888.39|966.01|888.39|1325|1325|1170.55|864.24|1181.77|1325|0|0|0|0|0|0|0|862.51|862.51|888.39|862.51|1325|862.51|888.39|0|1325
HOSP OP|0360 - OR SERVICES||59514|C-SECTION FIRST 30|5467|2897.51|4100.25|4373.6|4646.95|4920.3|4646.95|4417.34|3936.24|3700.07|0|5467|0|0|0|4474.74|0|0|2984.98|0|4100.25|4269.73|888.39|966.01|888.39|2310.18|2357.33|1170.55|864.24|1181.77|2357.33|0|0|0|0|0|0|0|862.51|862.51|888.39|862.51|1552.52|862.51|888.39|0|5467
HOSP OP|0360 - OR SERVICES||59160|D&C POST DELIVERY First 30|3090|1637.7|2317.5|2472|2626.5|2781|2626.5|2496.72|2224.8|2091.31|0|3090|0|415.21|0|2529.17|0|0|404.82|3863.023615|2317.5|2413.29|179.76|195.46|179.76|560.83|572.28|266.37|174.87|286.89|572.28|3932.55804|3863.023615|2506.52904|0|0|0|0|174.52|174.52|179.76|174.52|314.14|174.52|179.76|0|3932.55804
HOSP OP|0360 - OR SERVICES||59160|D&C POST DELIVERY ADDL|1865|988.45|1398.75|1492|1585.25|1678.5|1585.25|1506.92|1342.8|1262.23|0|1865|0|415.21|0|1526.5|0|0|404.82|3863.023615|1398.75|1456.57|179.76|195.46|179.76|560.83|572.28|266.37|174.87|286.89|572.28|3932.55804|3863.023615|2506.52904|0|0|0|0|174.52|174.52|179.76|174.52|314.14|174.52|179.76|0|3932.55804
HOSP OP|0430 - OCCUPATIONAL THERAPY||97110|OT THERAPEUTIC EXERCISE|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|93.87|106.79|106.41|130|130|85.54|180.9688851|97.5|101.53|32.04|34.84|32.04|125|127.5|42.03|31.73|42.61|127.5|184.226325|180.9688851|117.42195|0|0|24.65|127.4|34.22|34.22|32.04|34.22|56|31.11|32.04|0|184.226325
HOSP OP|0430 - OCCUPATIONAL THERAPY||97530|OT FUNCTIONAL|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|122.76|106.79|106.41|130|130|114.06|180.9688851|97.5|101.53|41.45|45.07|41.45|125|127.5|56.21|41.04|55.99|127.5|184.226325|180.9688851|117.42195|0|0|32.11|127.4|44.26|44.26|41.45|44.26|72.43|40.24|41.45|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97530|Hb Pt Therapeutic Activity|166|87.98|124.5|132.8|141.1|149.4|141.1|134.13|119.52|112.35|0|166|166|122.76|106.79|135.87|166|166|114.06|180.9688851|124.5|129.65|41.45|45.07|41.45|125|127.5|56.21|41.04|55.99|127.5|184.226325|180.9688851|117.42195|0|0|32.11|162.68|44.26|44.26|41.45|44.26|72.43|40.24|41.45|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97110|PT THERAPEUTIC EXERCISE|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|93.87|106.79|106.41|130|130|85.54|180.9688851|97.5|101.53|32.04|34.84|32.04|125|127.5|42.03|31.73|42.61|127.5|184.226325|180.9688851|117.42195|0|0|24.65|127.4|34.22|34.22|32.04|34.22|56|31.11|32.04|0|184.226325
HOSP OP|0710 - RECOVERY ROOM|||Hb Ldr Post Anesthesia Care|1382|732.46|0|1105.6|0|1243.8|0|1116.66|995.04|935.34|0|1382|901.06|0|506.09|1131.17|855.46|833.35|0|0|0|1079.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|612.36|0|0|0|0|0|0|0|0|1382
HOSP OP|0623 - SURGICAL DRESSINGS||A6403|SILVER DRESSING 4X5|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|18.26|0|10.25|22.92|17.33|16.88|0|0.442043222|21|21.87|0|0|0|0|0|0|0|0|0|0.45|0.442043222|0.45|0|0|0|12.41|0|0|0|0|0|0|0|0|28
HOSP OP|0230 - NURSING INCREM|||NURSE TRANSPORT|1352|716.56|0|1081.6|0|1216.8|0|1092.42|973.44|915.03|0|1352|0|0|0|1106.61|0|0|0|0|0|1055.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1352
HOSP OP|0410 - RESPIRATORY THERAPY||94772|PEDIATRIC APNEA|2306|1222.18|1729.5|1844.8|1960.1|2075.4|1960.1|1863.25|1660.32|1560.7|0|2306|1503.51|1291.36|844.46|1887.46|1427.41|1390.52|1259.08|201.935167|1729.5|1800.99|922.4|0|922.4|318.68|325.18|160.8|922.4|163.02|325.18|205.57|201.935167|205.57|0|0|509.93|1258.38|0|0|922.4|0|1153|922.4|922.4|0|2306
HOSP OP|0305 - LAB/HEMATOLOGY||85018|HEMOGLOBIN|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.367387033|14.25|14.84|2.44|2.65|2.44|5.81|5.93|3.42|2.37|2.97|5.93|2.41|2.367387033|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0301 - LAB/CHEMISTRY||84157|BF PROTEIN|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|3.998035363|21.75|22.65|4.12|4.48|4.12|8.72|8.9|4.89|4.01|4.46|8.9|4.07|3.998035363|4.07|0|0|0|2.8|4|4|4.12|4|7.2|4|4.12|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84520|BUN (UREA NITROGEN)|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|5.66|5.93|4.12|14.73|5.38|5.24|5.78|3.94891945|13.5|14.06|4.07|4.42|4.07|8.72|8.9|5.38|3.96|4.46|8.9|4.02|3.94891945|4.02|0|0|0|3.02|3.95|3.95|4.07|3.95|7.11|3.95|4.07|0|18
HOSP OP|0301 - LAB/CHEMISTRY||82435|CHLORIDE SERUM|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|6.59|6.9|4.79|14.73|6.26|6.1|6.73|4.597249509|13.5|14.06|4.74|5.15|4.74|10.65|10.87|6.35|4.61|5.45|10.87|4.68|4.597249509|4.68|0|0|0|3.51|4.6|4.6|4.74|4.6|8.28|4.6|4.74|0|18
HOSP OP|0301 - LAB/CHEMISTRY||84132|POCT POTASSIUM|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|6.59|6.9|4.79|22.92|6.26|6.1|6.73|4.764243615|21|21.87|4.9|5.33|4.9|10.65|10.87|6.35|4.77|5.45|10.87|4.85|4.764243615|4.85|0|0|0|3.51|4.76|4.76|4.9|4.76|8.57|4.76|4.9|0|28
HOSP OP|0301 - LAB/CHEMISTRY||82374|CARBON DIOXIDE|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7|7.33|5.09|31.92|6.66|6.48|7.15|4.882121807|29.25|30.46|5.03|5.47|5.03|11.62|11.86|6.84|4.89|5.95|11.86|4.97|4.882121807|4.97|0|0|0|3.74|4.88|4.88|5.03|4.88|8.78|4.88|5.03|0|39
HOSP OP|0301 - LAB/CHEMISTRY||84295|POCT SODIUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.9|7.22|5.02|22.1|6.56|6.38|7.04|4.813359528|20.25|21.09|4.95|5.39|4.95|10.65|10.87|6.84|4.82|5.45|10.87|4.9|4.813359528|4.9|0|0|0|3.68|4.81|4.81|4.95|4.81|8.66|4.81|4.95|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82947|GLUCOSE SERUM|24|12.72|18|19.2|20.4|21.6|20.4|19.39|17.28|16.24|0|24|5.64|5.9|4.1|19.64|5.36|5.21|5.75|3.929273084|18|18.74|4.05|4.4|4.05|8.72|8.9|5.38|3.94|4.46|8.9|4|3.929273084|4|0|0|4.9|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|24
HOSP OP|0301 - LAB/CHEMISTRY||84484|TROPONIN-I|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|16.09|16.83|11.7|61.39|15.29|14.88|16.41|13.72298625|56.25|58.58|12.84|13.97|12.84|26.16|26.69|14.17|12.49|13.38|26.69|13.97|13.72298625|13.97|0|0|0|8.59|12.47|12.47|12.84|12.47|22.45|12.47|12.84|0|75
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES ARTERIAL|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|33.63|35.19|24.45|133.42|31.96|31.1|34.31|28.68369352|122.25|127.3|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|163
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES CAPILLARY|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68369352|123.75|128.87|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||82330|CALCIUM IONIZED|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|19.61|20.52|14.26|60.57|18.64|18.13|20.01|13.68369352|55.5|57.79|14.09|15.32|14.09|31.97|32.62|19.06|13.71|16.35|32.62|13.93|13.68369352|13.93|0|0|0|10.48|13.68|13.68|14.09|13.68|24.62|13.68|14.09|0|74
HOSP OP|0301 - LAB/CHEMISTRY||82374|BICARBONATE (HCO3)|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7|7.33|5.09|31.92|6.66|6.48|7.15|4.882121807|29.25|30.46|5.03|5.47|5.03|11.62|11.86|6.84|4.89|5.95|11.86|4.97|4.882121807|4.97|0|0|0|3.74|4.88|4.88|5.03|4.88|8.78|4.88|5.03|0|39
HOSP OP|0301 - LAB/CHEMISTRY||82803|GASES VENOUS|152|80.56|114|121.6|129.2|136.8|129.2|122.82|109.44|102.87|0|152|33.63|35.19|24.45|124.41|31.96|31.1|34.31|28.68369352|114|118.71|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|152
HOSP OP|0302 - LAB/IMMUNOLOGY||86860|MBC ABY ELUTION|222|117.66|166.5|177.6|188.7|199.8|188.7|179.38|159.84|150.25|0|222|42.78|222|31.1|181.71|40.65|39.56|222|22.86836935|166.5|173.38|158.58|172.44|158.58|222|222|114.56|154.27|116.39|222|23.28|22.86836935|23.28|0|0|88.8|22.85|222|222|158.58|222|222|153.96|158.56|0|222
HOSP OP|0390 - BLOOD/STOR-PROC||86920|COMP CROSSMATCH COMPAT|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|58.68|90|32.96|73.67|55.71|54.27|90|18.9194499|67.5|70.29|90|172.44|90|90|90|90|90|90|90|19.26|18.9194499|19.26|0|0|21.19|39.88|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||P9040|Mbc Rbc Leuko Red Irrad|721|382.13|540.75|576.8|612.85|648.9|612.85|582.57|519.12|487.97|0|721|470.09|499.98|264.03|590.14|446.3|434.76|487.47|215.8251473|540.75|563.1|270.64|294.29|270.64|631.63|644.52|209.77|263.29|213.12|644.52|219.71|215.8251473|219.71|0|0|241.74|319.48|562.65|500.85|270.64|539.88|472.97|262.76|270.62|0|721
HOSP OP|0302 - LAB/IMMUNOLOGY||86886|MBC ABY TITER|312|165.36|234|249.6|265.2|280.8|265.2|252.1|224.64|211.16|0|312|7.42|7.76|5.39|255.37|7.05|6.86|7.57|5.697445972|234|243.67|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.8|5.697445972|5.8|0|0|6.43|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|312
HOSP OP|0302 - LAB/IMMUNOLOGY||86880|MBC DIRECT COOMBS|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|7.73|62.84|5.62|73.67|7.34|7.15|61.27|5.933202358|67.5|70.29|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|6.04|5.933202358|6.04|0|0|6.71|4.12|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|90
HOSP OP|0302 - LAB/IMMUNOLOGY||86922|IAT CROSSMATCH|166|87.98|124.5|132.8|141.1|149.4|141.1|134.13|119.52|112.35|0|166|50.76|166|36.91|135.87|48.24|46.94|166|18.44793713|124.5|129.65|158.58|172.44|158.58|166|166|114.56|154.27|116.39|166|18.78|18.44793713|18.78|0|0|20.66|27.11|166|166|158.58|166|166|153.96|158.56|0|172.44
HOSP OP|0361 - OR/MINOR||50688|CHG URETEROS TUBE/EXT STENT|2986|1582.58|2239.5|2388.8|2538.1|2687.4|2538.1|2412.69|2149.92|2020.92|0|2986|2594|2986|965.1|2444.04|2464|2399|2986|851.8190707|2239.5|2332.07|1957.72|2128.78|1957.72|2986|2986|1414.29|1904.5|1436.88|2986|867.151814|851.8190707|552.704164|0|0|1948.64|1515.96|2986|2986|1957.72|2986|2986|1900.7|1957.5|0|2986
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90715|DIPHTHPERTTET (ADACEL)|92.54|49.05|69.41|74.03|78.66|83.29|0|74.77|66.63|62.63|0|92.54|41.72|0|30.33|75.74|39.65|38.58|0|33.64440079|69.41|72.27|0|0|0|0|0|0|0|0|0|34.25|33.64440079|34.25|0|0|0|22.29|0|0|0|0|0|0|0|0|92.54
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Sedative Hypnotic Panel Urine|333.78|176.9|250.34|267.02|283.71|300.4|283.71|269.69|240.32|225.9|0|333.78|83.4|87.28|60.64|273.2|79.26|77.13|85.1|68.3497053|250.34|260.68|64|69.6|64|133.67|136.4|80.64|62.26|68.38|136.4|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|333.78
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88377|HER-2 / NEU FISH (HCMC)|314.2|166.53|235.65|251.36|267.07|282.78|267.07|253.87|226.22|212.65|0|314.2|314.2|283.12|314.2|257.17|314.2|314.2|276.04|130.2975972|235.65|245.39|158.58|172.44|158.58|314.2|314.2|114.56|154.27|116.39|314.2|132.642954|130.2975972|84.543804|0|0|314.2|294.71|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|314.2
HOSP OP|0450 - EMERGENCY ROOM||23650|CLSD TX SHLDER DISLC W/O ANES|559|296.27|419.25|447.2|475.15|503.1|475.15|451.67|402.48|378.33|0|559|0|440.33|0|457.54|0|0|429.31|1149.431966|419.25|436.58|238.3|259.12|238.3|493.04|501.91|172.16|231.82|174.91|501.91|1170.121741|1149.431966|745.810766|0|0|252.11|0|461.75|411.04|238.3|443.07|416.45|231.36|238.28|0|1170.121741
HOSP OP|0361 - OR/MINOR||31624|BRONCHOSCOPY W/ LAVAGE|2634|1396.02|1975.5|2107.2|2238.9|2370.6|2238.9|2128.27|1896.48|1782.69|0|2634|2594|2634|965.1|2155.93|2464|2399|2611.63|5076.780456|1975.5|2057.15|1580.95|1719.09|1580.95|2634|2634|1142.11|1537.97|1160.35|2634|5168.162504|5076.780456|3294.077104|0|0|1533.71|1515.96|2634|2634|1580.95|2634|2634|1534.9|1580.77|0|5168.162504
HOSP OP|0740 - EEG||95819|EEG AWAKE & ASLEEP|677|358.81|507.75|541.6|575.45|609.3|575.45|547.02|487.44|458.19|0|677|441.4|493.57|247.92|554.12|419.06|408.23|481.23|563.7401464|507.75|528.74|279.7|304.14|279.7|608.4|620.82|202.06|272.09|205.29|620.82|573.887469|563.7401464|365.783694|0|0|282.6|299.98|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|677
HOSP OP|0301 - LAB/CHEMISTRY||83519|ACHR GANGLIONIC ABY|60.53|32.08|45.4|48.42|51.45|54.48|51.45|48.91|43.58|40.97|0|60.53|23.74|24.84|17.26|49.54|22.56|21.95|24.22|20.23575639|45.4|47.27|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|60.53
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9512|TC99 PERTECHNETA DX PER MCI|5|2.65|3.75|4|4.25|4.5|0|4.04|3.6|3.38|0|5|5|0|5|4.09|5|5|0|0.451866405|3.75|3.91|0|0|0|0|0|0|0|0|0|0.46|0.451866405|0.46|0|0|0|4.9|0|0|0|0|0|0|0|0|5
HOSP OP|0482 - CARDIOLOGY STRESS TEST||93017|STRESS TEST TRACING|1038|550.14|778.5|830.4|882.3|934.2|882.3|838.7|747.36|702.52|0|1038|676.78|493.57|380.12|849.6|642.52|625.91|481.23|382.0650413|778.5|810.68|279.7|304.14|279.7|608.4|620.82|202.06|272.09|205.29|620.82|388.942212|382.0650413|247.903512|0|0|282.6|459.94|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|1038
HOSP OP|0272 - STERILE SUPPLY||C1730|Decapolar-StJude 120cm|902|478.06|676.5|721.6|766.7|811.8|0|728.82|649.44|610.47|0|902|588.1|0|330.31|738.29|558.34|543.91|0|0|676.5|704.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.68|0|0|0|0|0|0|0|0|902
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD BLOOD SINGLE|13.08|6.93|9.81|10.46|11.12|11.77|11.12|10.57|9.42|8.85|0|13.08|13.08|13.08|12.62|10.71|13.08|13.08|13.08|12.11198428|9.81|10.22|12.47|13.08|12.47|13.08|13.08|13.08|12.13|13.08|13.08|12.33|12.11198428|12.33|0|0|0|9.27|12.11|12.11|12.47|12.11|13.08|12.11|12.47|0|13.08
HOSP OP|0483 - ECHOCARDIOLOGY||93308|ECHOCARDIOGRAM LTD ADULT|716|379.48|537|572.8|608.6|644.4|608.6|578.53|515.52|484.59|0|716|716|451.03|629.6|586.05|716|716|439.74|1016.839153|537|559.2|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|1035.142258|1016.839153|659.777708|0|0|258.25|701.68|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1035.142258
HOSP OP|0483 - ECHOCARDIOLOGY||93308|ECHO PED F/U OR LTD|716|379.48|537|572.8|608.6|644.4|608.6|578.53|515.52|484.59|0|716|716|451.03|629.6|586.05|716|716|439.74|1016.839153|537|559.2|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|1035.142258|1016.839153|659.777708|0|0|258.25|701.68|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1035.142258
HOSP OP|0762 - OBSERVATION ROOM||G0379|Hb Direct Admit|782|414.46|586.5|625.6|664.7|703.8|664.7|631.86|563.04|529.26|0|703.8|501.26|782|263.69|640.07|476.24|463.73|782|187.9469548|586.5|610.74|557.53|606.24|557.53|782|782|402.77|542.37|409.2|782|191.33|187.9469548|191.33|0|0|588.37|318.2|782|782|557.53|782|782|541.29|557.47|0|782
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT GROUP TREATMENT LEVEL 1|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|37|37|37|30.28|37|37|37|563.975553|27.75|28.9|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|36.26|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT GROUP TREATMENT LEVEL 2|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|51|51|51|41.74|51|51|51|563.975553|38.25|39.83|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|49.98|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0430 - OCCUPATIONAL THERAPY||97032|OT ELEC STIM ONE TO ONE|98|51.94|73.5|78.4|83.3|88.2|83.3|79.18|70.56|66.33|0|98|98|45.73|98|80.21|98|98|43.87|180.9688851|73.5|76.54|15.44|16.79|15.44|125|127.5|21.02|15.29|20.32|127.5|184.226325|180.9688851|117.42195|0|0|11.75|96.04|16.49|16.49|15.44|16.49|26.98|14.99|15.44|0|184.226325
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER SETUP|298|157.94|223.5|238.4|253.3|268.2|253.3|240.78|214.56|201.69|0|298|190.83|166.88|138.76|243.91|181.36|176.48|162.71|140.4027505|223.5|232.74|119.2|0|119.2|279.94|285.65|141.25|119.2|143.2|285.65|142.93|140.4027505|142.93|0|0|119.2|101.95|0|0|119.2|0|149|119.2|119.2|0|298
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER PARTIAL|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|190.83|409.92|138.76|599.14|181.36|176.48|399.67|140.4027505|549|571.69|292.8|0|292.8|279.94|285.65|141.25|292.8|143.2|285.65|142.93|140.4027505|142.93|0|0|292.8|101.95|0|0|292.8|0|366|292.8|292.8|0|732
HOSP OP|0305 - LAB/HEMATOLOGY||86891|CELL SAVER FULL|1224|648.72|918|979.2|1040.4|1101.6|1040.4|988.99|881.28|828.4|0|1224|190.83|685.44|138.76|1001.84|181.36|176.48|668.3|140.4027505|918|955.94|489.6|0|489.6|279.94|285.65|141.25|489.6|143.2|285.65|142.93|140.4027505|142.93|0|0|489.6|101.95|0|0|489.6|0|612|489.6|489.6|0|1224
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB ADDL|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|261.7722279|88.5|92.16|118|221.06|118|118|118|118|118|118|118|266.484128|261.7722279|169.851328|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|266.484128
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB INIT|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|261.7722279|88.5|92.16|118|221.06|118|118|118|118|118|118|118|266.484128|261.7722279|169.851328|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|266.484128
HOSP OP|0410 - RESPIRATORY THERAPY||94640|SPUTUM INDUCTION|136|72.08|102|108.8|115.6|122.4|115.6|109.89|97.92|92.04|0|136|88.67|136|49.8|111.32|84.18|82.01|136|261.7722279|102|106.22|136|221.06|136|136|136|136|136|136|136|266.484128|261.7722279|169.851328|0|0|136|74.22|136|136|203.29|136|136|197.37|136|0|266.484128
HOSP OP|0480 - CARDIOLOGY||93770|IABP MONITORING INITIAL|438|232.14|328.5|350.4|372.3|394.2|0|353.9|315.36|296.44|0|438|285.58|0|160.4|358.5|271.12|264.11|0|0|328.5|342.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|194.08|0|0|0|0|0|0|0|0|438
HOSP OP|0480 - CARDIOLOGY||93770|IABP MONITORING ADDL|430|227.9|322.5|344|365.5|387|0|347.44|309.6|291.02|0|430|280.36|0|157.47|351.96|266.17|259.29|0|0|322.5|335.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|190.53|0|0|0|0|0|0|0|0|430
HOSP OP|0450 - EMERGENCY ROOM||27502|CLSD TX FEMUR FX W/MANI|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|1042|0|852.88|0|0|1042|1230.882677|781.5|813.8|765.98|832.91|765.98|1042|1042|1006.33|745.16|1020.23|1042|1253.038565|1230.882677|798.66019|0|0|0|0|743.67|743.67|765.98|743.67|1042|743.67|765.98|0|1253.038565
HOSP OP|0483 - ECHOCARDIOLOGY||93321|DOPPLER ECHO F/U OR LTD|275|145.75|206.25|220|233.75|247.5|0|222.2|198|186.12|0|275|275|0|275|225.09|275|275|0|1016.839153|206.25|214.78|0|0|0|0|0|0|0|0|0|1035.142258|1016.839153|659.777708|0|0|0|269.5|0|0|0|0|0|0|0|0|1035.142258
HOSP OP|0450 - EMERGENCY ROOM||11043|Exc Skin Tissue Muscle w/mod|944|500.32|708|755.2|802.4|849.6|802.4|762.75|679.68|638.9|0|944|0|465.75|0|772.66|0|0|454.11|3097.834202|708|737.26|156.72|170.42|156.72|616.05|628.62|309.38|152.46|315.14|628.62|3153.595218|3097.834202|2010.034668|0|0|0|0|152.16|152.16|156.72|152.16|273.89|152.16|156.72|0|3153.595218
HOSP OP|0301 - LAB/CHEMISTRY||82103|ALPHA-1-ANTITRYPSIN|38.03|20.16|28.52|30.42|32.33|34.23|32.33|30.73|27.38|25.74|0|38.03|19.26|20.16|14|31.13|18.3|17.81|19.66|14.78388998|28.52|29.7|13.84|15.05|13.84|31|31.63|18.57|13.47|15.86|31.63|15.05|14.78388998|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|38.03
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9966|Hb Optiray Per Ml|1.87|0.99|1.4|1.5|1.59|1.68|0|1.51|1.35|1.27|0|1.87|0.43|0|0.31|1.53|0.4|0.39|0|0.324165029|1.4|1.46|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|0.22|0|0|0|0|0|0|0|0|1.87
HOSP OP|0310 - PATHOLOGY LAB||88342|SPECIAL STAIN GROUP III|216|114.48|162|172.8|183.6|194.4|183.6|174.53|155.52|146.19|0|216|130.21|216|94.68|176.8|123.75|120.42|216|89.8665|162|168.7|158.58|172.44|158.58|216|216|114.56|154.27|116.39|216|91.484097|89.8665|58.310022|0|0|80.54|69.56|216|216|158.58|216|216|153.96|158.56|0|216
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|CYTOLOGY BODY FLUID|171|90.63|128.25|136.8|145.35|153.9|145.35|138.17|123.12|115.73|0|171|64.38|99.74|46.81|139.96|61.19|59.54|97.24|130.2975972|128.25|133.55|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|132.642954|130.2975972|84.543804|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|171
HOSP OP|0305 - LAB/HEMATOLOGY||85025|Hb Cbc / Diff|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|11.13|11.65|8.09|49.93|10.58|10.3|11.36|7.770137525|45.75|47.64|8|8.7|8|17.43|17.79|10.75|7.79|8.92|17.79|7.91|7.770137525|7.91|0|0|0|5.95|7.77|7.77|8|7.77|13.99|7.77|8|0|61
HOSP OP|0450 - EMERGENCY ROOM||41899|TOOTH EXTRACTION|1248|661.44|936|998.4|1060.8|1123.2|1060.8|1008.38|898.56|844.65|0|1248|0|403.26|0|1021.49|0|0|393.17|3034.804064|936|974.69|225.04|244.7|225.04|499.5|499.5|162.57|218.92|165.17|499.5|3089.430537|3034.804064|1969.137462|0|0|230.89|0|436.05|388.16|225.04|418.4|393.27|218.49|225.01|0|3089.430537
HOSP OP|0272 - STERILE SUPPLY||C1887|DUAL LUMEN PIGTAIL|227|120.31|170.25|181.6|192.95|204.3|0|183.42|163.44|153.63|0|227|148|0|83.13|185.8|140.51|136.88|0|0|170.25|177.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.58|0|0|0|0|0|0|0|0|227
HOSP OP|0307 - LAB-UROLOGY||81003|URINE MACROSCOPIC|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|3.21|3.36|2.34|14.73|3.05|2.97|3.28|2.249508841|13.5|14.06|2.32|2.52|2.32|4.84|4.94|2.93|2.25|2.48|4.94|2.29|2.249508841|2.29|0|0|0|1.71|2.25|2.25|2.32|2.25|4.05|2.25|2.32|0|18
HOSP OP|0307 - LAB-UROLOGY||81001|URINALYSIS W/ MICROSCOPIC|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|4.54|4.75|3.3|20.46|4.32|4.2|4.63|3.487229862|18.75|19.53|3.27|3.55|3.27|7.75|7.91|4.4|3.18|3.96|7.91|3.55|3.487229862|3.55|0|0|0|2.42|3.17|3.17|3.27|3.17|5.71|3.17|3.27|0|25
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 5|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|104|56.56|104|85.12|104|104|51.54|563.975553|78|81.22|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|101.92|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 6|110|58.3|82.5|88|93.5|99|93.5|88.88|79.2|74.45|0|110|110|56.56|106.79|90.04|110|110|51.54|563.975553|82.5|85.91|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|107.8|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 7|123|65.19|92.25|98.4|104.55|110.7|104.55|99.38|88.56|83.25|0|123|123|56.56|106.79|100.68|123|123|51.54|563.975553|92.25|96.06|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|120.54|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 8|138|73.14|103.5|110.4|117.3|124.2|117.3|111.5|99.36|93.4|0|138|138|56.56|106.79|112.95|138|138|51.54|563.975553|103.5|107.78|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|135.24|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 9|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|56.56|106.79|135.05|165|165|51.54|563.975553|123.75|128.87|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|161.7|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|LEGUMES:SOYBEAN|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:A.ALTERNATA|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|ANIMAL:CAT DANDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:C.HERBARUM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|DUST:D.FARINAE|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|DUST:D.PTERONYSSINUS|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:S. ROSTRATA|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0450 - EMERGENCY ROOM||30000|Hb Drainage Of Nose Lesion|547.45|290.15|410.59|437.96|465.33|492.71|465.33|442.34|394.16|370.51|0|547.45|0|547.45|0|448.09|0|0|547.45|805.2673998|410.59|427.56|121.14|131.72|121.14|547.45|547.45|310.84|117.85|334.46|547.45|819.762213|805.2673998|522.499038|0|0|0|0|117.61|117.61|121.14|117.61|211.7|117.61|121.14|0|819.762213
HOSP OP|0301 - LAB/CHEMISTRY||80342|ARIPIPRAZOLE (ABILIFY)|73.44|38.92|55.08|58.75|62.42|66.1|62.42|59.34|52.88|49.7|0|73.44|31.49|0|22.9|60.11|29.93|29.12|0|26.56188605|55.08|57.36|73.44|0|73.44|63.45|65.94|73.44|29.38|32.14|65.94|27.04|26.56188605|27.04|0|0|0|71.97|73.44|73.44|73.44|73.44|73.44|73.44|73.44|0|73.44
HOSP OP|0301 - LAB/CHEMISTRY||83516|21-HYDROXYLASE ABY|114.25|60.55|85.69|91.4|97.11|102.83|97.11|92.31|82.26|77.32|0|114.25|16.52|17.29|12.02|93.51|15.71|15.28|16.86|11.5324165|85.69|89.23|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|114.25
HOSP OP|0272 - STERILE SUPPLY||C1725|PTCA BALLOON|390|206.7|292.5|312|331.5|351|0|315.12|280.8|263.95|0|390|254.28|0|142.82|319.22|241.41|235.17|0|0|292.5|304.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.81|0|0|0|0|0|0|0|0|390
HOSP OP|0272 - STERILE SUPPLY||C1769|PTCA WIRES|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1887|PTCA GUIDES|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0301 - LAB/CHEMISTRY||83519|IMMUNOASSAY QT RIA|347|183.91|260.25|277.6|294.95|312.3|294.95|280.38|249.84|234.85|0|347|23.74|24.84|17.26|284.02|22.56|21.95|24.22|20.23575639|260.25|271.01|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|347
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|VIRUS ANTIBODY NOT SPECIFIED|54.56|28.92|40.92|43.65|46.38|49.1|46.38|44.08|39.28|36.93|0|54.56|18.46|19.32|13.42|44.66|17.54|17.07|18.84|14.17485265|40.92|42.61|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|54.56
HOSP OP|0335 - CHEMOTHERAPY/IV||96413|CHEMOTHERAPY INFUSION 1 HR|762|403.86|571.5|609.6|647.7|685.8|647.7|615.7|548.64|515.72|0|762|496.82|564.14|279.04|623.7|471.68|459.49|550.03|397.3664754|571.5|595.12|342.13|372.03|342.13|320.54|320.54|247.16|332.83|251.11|320.54|404.519072|397.3664754|257.831872|0|0|323|337.64|662.94|590.13|342.13|636.11|597.91|332.17|342.1|0|762
HOSP OP|0335 - CHEMOTHERAPY/IV||96415|CHEMO INFUSION ADDTL HOURS|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|116.89|144.28|322.49|243.89|237.58|113.97|476.1688615|295.5|307.71|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|484.739901|476.1688615|308.962926|0|0|66.92|174.58|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|484.739901
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|EGG:EGG WHITE|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|EGG:EGG YOLK|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|ANA CASCADE|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|17.32|18.13|12.6|49.11|16.47|16.02|17.68|13.30058939|45|46.86|12.45|13.54|12.45|28.09|28.66|16.62|12.11|14.37|28.66|13.54|13.30058939|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|21.76|12.09|12.45|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87799|BK VIRUS PCR URINE|151.17|80.12|113.38|120.94|128.49|136.05|128.49|122.15|108.84|102.31|0|151.17|61.4|64.26|44.65|123.73|58.36|56.79|62.65|47.12180747|113.38|118.06|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|151.17
HOSP OP|0306 - LAB/BACT-MICRO||87799|BK VIRUS PCR PLASMA|93.1|49.34|69.83|74.48|79.14|83.79|79.14|75.22|67.03|63.01|0|93.1|61.4|64.26|44.65|76.2|58.36|56.79|62.65|47.12180747|69.83|72.71|44.13|47.98|44.13|93.1|93.1|59.14|42.93|50.54|93.1|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|93.1
HOSP OP|0450 - EMERGENCY ROOM||31505|LARYNGOSCOPY DIAGNOSTIC|266|140.98|199.5|212.8|226.1|239.4|226.1|214.93|191.52|180.03|0|266|0|215.43|0|217.72|0|0|210.04|311.6195923|199.5|207.75|49.82|54.17|49.82|229.57|234.25|112.41|48.47|117.43|234.25|317.228745|311.6195923|202.19487|0|0|0|0|48.37|48.37|49.82|48.37|87.07|48.37|49.82|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||11719|Hb Trimming Nondystrophic Nail|148|78.44|111|118.4|125.8|133.2|125.8|119.58|106.56|100.17|0|148|0|28.88|0|121.14|0|0|28.16|245.0583536|111|115.59|7.95|8.65|7.95|38.75|39.54|19.55|7.74|19.82|39.54|249.469404|245.0583536|159.006504|0|0|0|0|7.72|7.72|7.95|7.72|13.9|7.72|7.95|0|249.469404
HOSP OP|0302 - LAB/IMMUNOLOGY||86317|IMMUNOASSAY INFECTIOUS QUANT|37.13|19.68|27.85|29.7|31.56|33.42|31.56|30|26.73|25.13|0|37.13|21.48|22.48|15.62|30.39|20.41|19.86|21.92|16.49312377|27.85|29|15.44|16.79|15.44|34.87|35.58|20.53|15.02|17.84|35.58|16.79|16.49312377|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|37.13
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GR. A STREP VAGINAL|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|9.49|9.94|6.9|57.3|9.02|8.78|9.69|7.288801572|52.5|54.67|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|70
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:OAK|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|WEED:RAGWEEDCOMMON|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PEANUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:ALMOND|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:CASHEW|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PISTACHIO|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:A.FUMIGATUS|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:PECAN|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:WALNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|MOLD:P.CHRYSOGENUM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:BIRCHCOMMON SILVER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:MAPLEBOX ELDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|TREE:ELM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|GRASS:TIMOTHY|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0361 - OR/MINOR||60100|Hb Needle Biopsy Thyroid|1566|829.98|1174.5|1252.8|1331.1|1409.4|1331.1|1265.33|1127.52|1059.87|0|1566|1566|1133.32|598.82|1281.77|1566|1566|1104.96|1232.41282|1174.5|1223.05|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|1254.596251|1232.41282|799.653026|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1566
HOSP OP|0323 - DX X-RAY/ARTER||75705|ANGIO SPINAL SELECT|5582|2958.46|4186.5|4465.6|4744.7|5023.8|4744.7|4510.26|4019.04|3777.9|0|5582|694|458.53|313.38|4568.87|660|642|447.07|624.4750697|4186.5|4359.54|141.71|154.09|141.71|671.26|684.96|342.12|137.86|343.38|684.96|635.715621|624.4750697|405.191646|0|0|4902.04|583.1|137.58|137.58|141.71|137.58|247.64|137.58|141.71|0|5582
HOSP OP|0302 - LAB/IMMUNOLOGY||86777|TOXOPLASMA ABY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.82514735|0|0|0|0|0|0|0|0|0|0|0|16.11|15.82514735|16.11|0|0|0|0|0|0|0|0|0|0|0|0|16.11
HOSP OP|0301 - LAB/CHEMISTRY||82397|Hb Chemiluminescent Assay|118.08|62.58|88.56|94.46|100.37|106.27|100.37|95.41|85.02|79.92|0|118.08|20.24|21.18|14.72|96.65|19.24|18.72|20.65|15.53045187|88.56|92.22|14.54|15.81|14.54|32.94|33.61|19.55|14.15|16.85|33.61|15.81|15.53045187|15.81|0|0|0|10.81|14.12|14.12|14.54|14.12|25.42|14.12|14.54|0|118.08
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|SYPHILIS TEST QUAL|30.48|16.15|22.86|24.38|25.91|27.43|25.91|24.63|21.95|20.63|0|30.48|6.13|6.41|4.46|24.95|5.82|5.67|6.25|4.695481336|22.86|23.8|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|30.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|FLUOR NONINFECT ABY SCREEN|131|69.43|98.25|104.8|111.35|117.9|111.35|105.85|94.32|88.66|0|131|37.49|18.08|27.26|107.22|35.63|34.67|17.63|51.31865619|98.25|102.31|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|131
HOSP OP|0310 - PATHOLOGY LAB||88235|Hb Tissue Culture Amniotic Fluid Or Cvs|670.3|355.26|502.73|536.24|569.76|603.27|569.76|541.6|482.62|453.66|0|670.3|211.08|220.9|153.48|548.64|200.61|195.21|215.38|165.3339882|502.73|523.5|154.81|168.34|154.81|339.02|345.94|203.81|150.6|173.43|345.94|168.31|165.3339882|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|270.54|150.3|154.81|0|670.3
HOSP OP|0310 - PATHOLOGY LAB||88240|Hb Cryopreservation Freezing Storage|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|16.86|17.64|12.26|53.2|16.02|15.59|17.2|14.38113949|48.75|50.77|13.46|14.64|13.46|27.13|27.68|14.66|13.1|13.87|27.68|14.64|14.38113949|14.64|0|0|0|9|13.07|13.07|13.46|13.07|23.53|13.07|13.46|0|65
HOSP OP|0301 - LAB/CHEMISTRY||84403|TESTOSTERONE TOTAL|30.11|15.96|22.58|24.09|25.59|27.1|25.59|24.33|21.68|20.38|0|30.11|30.11|30.11|26.9|24.65|30.11|30.11|30.11|28.38899804|22.58|23.52|26.58|28.91|26.58|30.11|30.11|30.11|25.86|30.11|30.11|28.9|28.38899804|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|30.11|25.81|26.58|0|30.11
HOSP OP|0301 - LAB/CHEMISTRY||84402|TESTOSTERONE FREE|29.72|15.75|22.29|23.78|25.26|26.75|25.26|24.01|21.4|20.11|0|29.72|29.72|29.72|26.55|24.33|29.72|29.72|29.72|28.01571709|22.29|23.21|26.23|28.53|26.23|29.72|29.72|29.72|25.52|29.72|29.72|28.52|28.01571709|28.52|0|0|0|19.5|25.47|25.47|26.23|25.47|29.72|25.47|26.23|0|29.72
HOSP OP|0301 - LAB/CHEMISTRY||83883|KAPPA FREE CHAIN|21.91|11.61|16.43|17.53|18.62|19.72|18.62|17.7|15.78|14.83|0|21.91|19.49|20.4|14.17|17.93|18.52|18.03|19.89|14.96070727|16.43|17.11|14.01|15.23|14.01|21.91|21.91|19.06|13.63|15.86|21.91|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|21.91|13.6|14.01|0|21.91
HOSP OP|0301 - LAB/CHEMISTRY||83883|LAMBDA FREE CHAIN|21.92|11.62|16.44|17.54|18.63|19.73|18.63|17.71|15.78|14.84|0|21.92|19.49|20.4|14.17|17.94|18.52|18.03|19.89|14.96070727|16.44|17.12|14.01|15.23|14.01|21.92|21.92|19.06|13.63|15.86|21.92|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|21.92|13.6|14.01|0|21.92
HOSP OP|0450 - EMERGENCY ROOM||25260|ED PRIM REP FOREARM MUSC EA|3638|1928.14|2728.5|2910.4|3092.3|3274.2|3092.3|2939.5|2619.36|2462.2|0|3638|0|1210.72|0|2977.7|0|0|1180.44|7893.480231|2728.5|2841.28|645.25|701.64|645.25|1671.86|1705.98|843.09|627.71|855.23|1705.98|8035.562875|7893.480231|5121.69725|0|0|0|0|626.46|626.46|645.25|626.46|1127.63|626.46|645.25|0|8035.562875
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|CYTOLOGY BRUSHINGS|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|64.38|99.74|46.81|129.32|61.19|59.54|97.24|130.2975972|118.5|123.4|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|132.642954|130.2975972|84.543804|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|158
HOSP OP|0320 - DX X-RAY||77001|FLUORO FOR CVAD|705|373.65|528.75|564|599.25|634.5|0|569.64|507.6|477.14|0|705|694|0|313.38|577.04|660|642|0|624.4750697|528.75|550.61|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|705
HOSP OP|0320 - DX X-RAY||77002|FLUORO FOR NEEDLE PLACEMENT|400|212|300|320|340|360|0|323.2|288|270.72|0|400|400|0|313.38|327.4|400|400|0|624.4750697|300|312.4|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|392|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||77003|Hb Fluoro For Spine Injection|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|462|0|313.38|378.15|462|462|0|624.4750697|346.5|360.82|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|452.76|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||77072|BONE AGE STUDIES|230|121.9|172.5|184|195.5|207|195.5|185.84|165.6|155.66|0|230|230|49.34|230|188.26|230|230|48.11|142.5387446|172.5|179.63|16.3|17.73|16.3|63.93|65.23|30.79|15.86|32.7|65.23|145.104442|142.5387446|92.486492|0|0|126.02|225.4|15.83|15.83|16.3|15.83|28.49|15.83|16.3|0|230
HOSP OP|0320 - DX X-RAY||77073|BONE LENGTH STUDIES|378|200.34|283.5|302.4|321.3|340.2|321.3|305.42|272.16|255.83|0|378|378|220.09|313.38|309.39|378|378|214.59|142.5387446|283.5|295.22|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|370.44|240|213.64|123.86|230.29|216.45|120.25|123.85|0|378
HOSP OP|0320 - DX X-RAY||77075|OSSEOUS SURVEY COMPLETE|475|251.75|356.25|380|403.75|427.5|403.75|383.8|342|321.48|0|475|475|220.09|313.38|388.79|475|475|214.59|142.5387446|356.25|370.98|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|465.5|240|213.64|123.86|230.29|216.45|120.25|123.85|0|475
HOSP OP|0320 - DX X-RAY||77076|OSSEOUS SURVEY INFANT|286|151.58|214.5|228.8|243.1|257.4|243.1|231.09|205.92|193.56|0|286|286|222.65|286|234.09|286|286|217.08|142.5387446|214.5|223.37|71.61|77.86|71.61|274.13|279.72|131.47|69.66|140.23|279.72|145.104442|142.5387446|92.486492|0|0|126.02|280.28|69.52|69.52|71.61|69.52|125.14|69.52|71.61|0|286
HOSP OP|0350 - CT SCAN||77011|CT GUIDANCE STEREO LOC|1023|542.19|767.25|818.4|869.55|920.7|0|826.58|736.56|692.37|0|1023|1023|0|605.81|837.33|1023|1023|0|224.4602692|767.25|798.96|0|0|0|0|0|0|0|0|0|228.500554|224.4602692|145.641404|0|0|0|730.1|0|0|0|0|0|0|0|0|1023
HOSP OP|0350 - CT SCAN||77012|CT GUIDANCE FOR NEEDLE PLACEMENT|1532|811.96|1149|1225.6|1302.2|1378.8|0|1237.86|1103.04|1036.86|0|1532|1158|0|605.81|1253.94|1101|1072|0|224.4602692|1149|1196.49|0|0|0|0|0|0|0|0|0|228.500554|224.4602692|145.641404|0|0|0|730.1|0|0|0|0|0|0|0|0|1532
HOSP OP|0350 - CT SCAN||77013|CT GUIDANCE FOR TISSUE ABLATION|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|1158|0|605.81|962.56|1101|1072|0|224.4602692|882|918.46|0|0|0|0|0|0|0|0|0|228.500554|224.4602692|145.641404|0|0|0|730.1|0|0|0|0|0|0|0|0|1176
HOSP OP|0350 - CT SCAN||77014|CT GUIDANCE FOR THERAPY FIELDS|291|154.23|218.25|232.8|247.35|261.9|0|235.13|209.52|196.95|0|291|291|0|291|238.18|291|291|0|224.4602692|218.25|227.27|0|0|0|0|0|0|0|0|0|228.500554|224.4602692|145.641404|0|0|0|285.18|0|0|0|0|0|0|0|0|291
HOSP OP|0610 - MRI||77021|MRI GUIDANCE FOR NEEDLE PLACEMENT|1501|795.53|1125.75|1200.8|1275.85|1350.9|0|1212.81|1080.72|1015.88|0|1501|1501|0|979.08|1228.57|1501|1501|0|842.1085452|1125.75|1172.28|0|0|0|0|0|0|0|0|0|857.266499|842.1085452|546.403474|0|0|0|1178.54|0|0|0|0|0|0|0|0|1501
HOSP OP|0402 - ULTRASOUND||76998|ULTRASOUND GUIDANCE INTRAOPERATIVE|582|308.46|436.5|465.6|494.7|523.8|0|470.26|419.04|393.9|0|582|379.46|0|213.13|476.37|360.26|350.95|0|1051.9736|436.5|454.54|0|0|0|0|0|0|0|0|0|1070.909125|1051.9736|682.57475|0|0|0|257.88|0|0|0|0|0|0|0|0|1070.909125
HOSP OP|0402 - ULTRASOUND||76776|ULTRASOUND KIDNEY TRANSPLANT|661|350.33|495.75|528.8|561.85|594.9|561.85|534.09|475.92|447.36|0|661|430.97|397.16|242.06|541.03|409.16|398.58|387.22|262.0664862|495.75|516.24|124.4|135.27|124.4|424.26|432.92|218.47|121.02|217.03|432.92|266.783683|262.0664862|170.042258|0|0|126.02|292.89|120.78|120.78|124.4|120.78|217.4|120.78|124.4|0|661
HOSP OP|0402 - ULTRASOUND||76813|US FETAL NUCHAL 1ST GEST|385|204.05|288.75|308|327.25|346.5|327.25|311.08|277.2|260.57|0|385|251.02|220.09|140.99|315.12|238.32|232.16|214.59|297.6717466|288.75|300.69|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|170.59|240|213.64|123.86|230.29|216.45|120.25|123.85|0|385
HOSP OP|0402 - ULTRASOUND||76814|US FETAL NUCHAL EA ADD GEST|281|148.93|210.75|224.8|238.85|252.9|0|227.05|202.32|190.18|0|281|183.21|0|102.9|230|173.94|169.44|0|297.6717466|210.75|219.46|0|0|0|0|0|0|0|0|0|303.029838|297.6717466|193.144788|0|0|0|124.51|0|0|0|0|0|0|0|0|303.029838
HOSP OP|0301 - LAB/CHEMISTRY||82272|HEMOCCULT SCREEN|30|15.9|22.5|24|25.5|27|25.5|24.24|21.6|20.3|0|30|5.46|5.71|3.97|24.56|5.19|5.05|5.57|4.646365422|22.5|23.43|4.36|4.74|4.36|8.72|8.9|4.89|4.24|4.46|8.9|4.73|4.646365422|4.73|0|0|0|2.91|4.23|4.23|4.36|4.23|7.61|4.23|4.36|0|30
HOSP OP|0306 - LAB/BACT-MICRO||87498|Hb Enterovirus Pcr|93.73|49.68|70.3|74.98|79.67|84.36|79.67|75.73|67.49|63.44|0|93.73|50.3|52.64|36.57|76.72|47.8|46.52|51.32|38.59528487|70.3|73.2|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|93.73
HOSP OP|0302 - LAB/IMMUNOLOGY||86789|WEST NILE VIRUS IGG|29.95|15.87|22.46|23.96|25.46|26.96|25.46|24.2|21.56|20.27|0|29.95|20.63|21.59|15|24.51|19.6|19.08|21.05|15.82514735|22.46|23.39|14.82|16.12|14.82|29.95|29.95|20.04|14.42|16.85|29.95|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|29.95
HOSP OP|0302 - LAB/IMMUNOLOGY||86788|WEST NILE VIRUS IGM|32.99|17.48|24.74|26.39|28.04|29.69|28.04|26.66|23.75|22.33|0|32.99|24.15|25.27|17.56|27|22.95|22.33|24.64|18.53634578|24.74|25.77|17.36|18.87|17.36|32.99|32.99|23.46|16.88|19.82|32.99|18.87|18.53634578|18.87|0|0|0|12.9|16.85|16.85|17.36|16.85|30.33|16.85|17.36|0|32.99
HOSP OP|0301 - LAB/CHEMISTRY||83690|BF LIPASE|54|28.62|40.5|43.2|45.9|48.6|45.9|43.63|38.88|36.55|0|54|9.87|10.33|7.18|44.2|9.38|9.13|10.07|7.583497053|40.5|42.17|7.1|7.72|7.1|15.49|15.81|9.77|6.9|7.93|15.81|7.72|7.583497053|7.72|0|0|0|5.27|6.89|6.89|7.1|6.89|12.4|6.89|7.1|0|54
HOSP OP|0306 - LAB/BACT-MICRO||87799|EBV PCR QUANT BLOOD|113.97|60.4|85.48|91.18|96.87|102.57|96.87|92.09|82.06|77.13|0|113.97|61.4|64.26|44.65|93.28|58.36|56.79|62.65|47.12180747|85.48|89.01|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|113.97
HOSP OP|0301 - LAB/CHEMISTRY||82530|CORTISOL FREE URINE|56.17|29.77|42.13|44.94|47.74|50.55|47.74|45.39|40.44|38.02|0|56.17|23.96|25.07|17.42|45.98|22.77|22.15|24.44|18.37917485|42.13|43.87|17.21|18.72|17.21|38.75|39.54|22.97|16.74|19.82|39.54|18.71|18.37917485|18.71|0|0|0|12.79|16.71|16.71|17.21|16.71|30.08|16.71|17.21|0|56.17
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9521|TC99 CERETEC DX PD UT25 MCI|4245|2249.85|3183.75|3396|3608.25|3820.5|0|3429.96|3056.4|2873.02|0|4245|1459|0|747.53|3474.53|1386|1349|0|231.4440079|3183.75|3315.35|0|0|0|0|0|0|0|0|0|235.61|231.4440079|235.61|0|0|0|1222.55|0|0|0|0|0|0|0|0|4245
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:HAZELNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0272 - STERILE SUPPLY||L8501|PASSEY-MUIR SPEAKING VALVE|195|103.35|146.25|156|165.75|175.5|165.75|157.56|140.4|131.98|0|195|127.14|109.2|71.41|159.61|120.71|117.59|106.47|108.497053|146.25|152.3|124.18|135.03|124.18|195|195|152|120.8|158.06|195|110.45|108.497053|110.45|0|0|133.82|86.4|120.56|120.56|124.18|120.56|120.56|120.56|124.18|0|195
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 1|2142|1135.26|0|1713.6|0|1927.8|0|1730.74|1542.24|1449.71|0|2142|0|0|0|1753.23|0|0|0|0|0|1672.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2142
HOSP OP|0360 - OR SERVICES|||Hb Cancel Case Type 2|2800|1484|0|2240|0|2520|0|2262.4|2016|1895.04|0|2800|0|0|0|2291.8|0|0|0|0|0|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2800
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 3|3668|1944.04|0|2934.4|0|3301.2|0|2963.74|2640.96|2482.5|0|3668|0|0|0|3002.26|0|0|0|0|0|2864.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3668
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 4|5541|2936.73|0|4432.8|0|4986.9|0|4477.13|3989.52|3750.15|0|5541|0|0|0|4535.31|0|0|0|0|0|4327.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5541
HOSP OP|0450 - EMERGENCY ROOM||28600|CLSD TX T-MT JOINT DISL|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1230.882677|251.25|261.64|191.9|208.67|191.9|335|335|299.6|186.68|303.74|335|1253.038565|1230.882677|798.66019|0|0|0|0|186.31|186.31|191.9|186.31|335|186.31|191.9|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||49999|Hb Inguinal Hernia Reduction|2022.45|1071.9|1516.84|1617.96|1719.08|1820.21|1719.08|1634.14|1456.16|1368.79|0|2022.45|0|1489.77|0|1655.38|0|0|1452.5|5985.567943|1516.84|1579.53|868.51|944.4|868.51|1889.2|1927.76|627.43|844.9|637.45|1927.76|6093.308166|5985.567943|3883.745316|0|0|853|0|1682.87|1498.05|868.51|1614.78|1517.78|843.21|868.42|0|6093.308166
HOSP OP|0450 - EMERGENCY ROOM||55100|IND OF SCROTAL ABCESS|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|0|460.94|0|1674.65|0|0|449.41|805.2673998|1534.5|1597.93|170.95|185.89|170.95|592.8|604.9|297.16|166.3|303.25|604.9|819.762213|805.2673998|522.499038|0|0|0|0|165.97|165.97|170.95|165.97|298.75|165.97|170.95|0|2046
HOSP OP|0450 - EMERGENCY ROOM||27266|TRMNT HIP DISLOCATION|2294|1215.82|1720.5|1835.2|1949.9|2064.6|1949.9|1853.55|1651.68|1552.58|0|2294|0|1079.54|0|1877.64|0|0|1052.54|2696.760072|1720.5|1791.61|591.76|643.46|591.76|1533.35|1564.64|772.22|575.67|784.38|1564.64|2745.301753|2696.760072|1749.797078|0|0|0|0|574.52|574.52|591.76|574.52|1034.14|574.52|591.76|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||24505|CLSD TX HUM SHAFT FX W/MAN|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|1230.882677|549|571.69|732|1628.7|732|732|732|732|732|732|732|1253.038565|1230.882677|798.66019|0|0|732|0|732|732|1497.82|732|732|1454.2|732|0|1628.7
HOSP OP|0450 - EMERGENCY ROOM||28435|TALUS FX W/MANIPULATION|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|829.21|0|1599.35|0|0|808.47|1230.882677|1465.5|1526.07|332.09|361.11|332.09|973.47|993.34|489.72|323.06|497.98|993.34|1253.038565|1230.882677|798.66019|0|0|0|0|322.42|322.42|332.09|322.42|580.36|322.42|332.09|0|1954
HOSP OP|0450 - EMERGENCY ROOM||11200|REMOVAL OF SKIN TAGS|383|202.99|287.25|306.4|325.55|344.7|325.55|309.46|275.76|259.21|0|383|0|203.39|0|313.49|0|0|198.3|530.2535462|287.25|299.12|76.45|83.13|76.45|239.25|244.13|122.19|74.37|122.39|244.13|539.79811|530.2535462|344.05586|0|0|0|0|74.22|74.22|76.45|74.22|133.6|74.22|76.45|0|539.79811
HOSP OP|0450 - EMERGENCY ROOM||11010|DEBRID ASSOCIATED W/OPEN FX|1272|674.16|954|1017.6|1081.2|1144.8|1081.2|1027.78|915.84|860.89|0|1272|0|1158.97|0|1041.13|0|0|1129.98|4081.951827|954|993.43|280.05|304.52|280.05|1272|1272|684.73|272.43|666.45|1272|4155.42696|4081.951827|2648.58096|0|0|0|0|271.89|271.89|280.05|271.89|489.4|271.89|280.05|0|4155.42696
HOSP OP|0450 - EMERGENCY ROOM||26756|TRMT DISTAL PHAL FX SEC W/WIRE|3628|1922.84|2721|2902.4|3083.8|3265.2|3083.8|2931.42|2612.16|2455.43|0|3628|0|890.59|0|2969.52|0|0|868.32|8287.904123|2721|2833.47|433.93|471.84|433.93|1116.84|1139.63|561.08|422.13|571.31|1139.63|8437.086397|8287.904123|5377.619822|0|0|0|0|421.29|421.29|433.93|421.29|758.32|421.29|433.93|0|8437.086397
HOSP OP|0450 - EMERGENCY ROOM||14060|DEBRID & RECONSTRUCTION OF EAR|3654|1936.62|2740.5|2923.2|3105.9|3288.6|3105.9|2952.43|2630.88|2473.03|0|3654|0|1550.11|0|2990.8|0|0|1511.34|6696.790374|2740.5|2853.77|685.31|745.19|685.31|2071.91|2114.19|1045.92|666.68|1059.87|2114.19|6817.332601|6696.790374|4345.223126|0|0|0|0|665.35|665.35|685.31|665.35|1197.63|665.35|685.31|0|6817.332601
HOSP OP|0450 - EMERGENCY ROOM||26591|REPAIR MUSCLES OF HAND|3902|2068.06|2926.5|3121.6|3316.7|3511.8|3316.7|3152.82|2809.44|2640.87|0|3902|0|1080.74|0|3193.79|0|0|1053.71|7110.458762|2926.5|3047.46|474.43|515.88|474.43|1170.11|1193.99|590.9|461.53|598.56|1193.99|7238.44702|7110.458762|4613.63252|0|0|0|0|460.61|460.61|474.43|460.61|829.1|460.61|474.43|0|7238.44702
HOSP OP|0450 - EMERGENCY ROOM||26735|OPEN TRMT FINGER FX|4499|2384.47|3374.25|3599.2|3824.15|4049.1|3824.15|3635.19|3239.28|3044.92|0|4499|0|1164.99|0|3682.43|0|0|1135.85|8287.904123|3374.25|3513.72|607.71|660.81|607.71|1580.81|1613.07|798.61|591.19|808.66|1613.07|8437.086397|8287.904123|5377.619822|0|0|0|0|590.01|590.01|607.71|590.01|1062.02|590.01|607.71|0|8437.086397
HOSP OP|0450 - EMERGENCY ROOM||27252|CLSD TRMNT HIP DISLOC W/ANES|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1296.17|0|1599.35|0|0|1263.75|2696.760072|1465.5|1526.07|763.08|829.75|763.08|1954|1954|1002.42|742.33|1016.77|1954|2745.301753|2696.760072|1749.797078|0|0|0|0|740.85|740.85|763.08|740.85|1333.53|740.85|763.08|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||26746|OPEN REDUX FINGER FX/DISLOC|4638|2458.14|3478.5|3710.4|3942.3|4174.2|3942.3|3747.5|3339.36|3139|0|4638|0|1388.84|0|3796.2|0|0|1354.1|8287.904123|3478.5|3622.28|757.06|823.21|757.06|1967.29|2007.44|992.65|736.48|1006.36|2007.44|8437.086397|8287.904123|5377.619822|0|0|0|0|735.01|735.01|757.06|735.01|1323.02|735.01|757.06|0|8437.086397
HOSP OP|0450 - EMERGENCY ROOM||26516|CAPSUL MP JOINT SINGLE DIGIT|3505|1857.65|2628.75|2804|2979.25|3154.5|2979.25|2832.04|2523.6|2372.18|0|3505|0|1495.95|0|2868.84|0|0|1458.54|3657.219325|2628.75|2737.41|739.64|804.27|739.64|1849.12|1886.86|936.93|719.54|945.91|1886.86|3723.049273|3657.219325|2372.992598|0|0|0|0|718.1|718.1|739.64|718.1|1292.58|718.1|739.64|0|3723.049273
HOSP OP|0450 - EMERGENCY ROOM||51710|CHG BLADDER TUBE COMPLEX|774|410.22|580.5|619.2|657.9|696.6|657.9|625.39|557.28|523.84|0|774|0|281.62|0|633.52|0|0|274.58|851.8190707|580.5|604.49|81.51|88.64|81.51|349.67|356.81|176.93|79.3|178.88|356.81|867.151814|851.8190707|552.704164|0|0|0|0|79.14|79.14|81.51|79.14|142.45|79.14|81.51|0|867.151814
HOSP OP|0301 - LAB/CHEMISTRY||84597|VITAMIN K1|107.45|56.95|80.59|85.96|91.33|96.71|91.33|86.82|77.36|72.72|0|107.45|19.66|20.57|14.3|87.95|18.68|18.18|20.06|15.08840864|80.59|83.92|14.13|15.37|14.13|31.97|32.62|19.06|13.75|16.35|32.62|15.36|15.08840864|15.36|0|0|0|10.5|13.72|13.72|14.13|13.72|24.7|13.72|14.13|0|107.45
HOSP OP|0301 - LAB/CHEMISTRY||83520|COLLAGEN TYPE II ABY|145.2|76.96|108.9|116.16|123.42|130.68|123.42|117.32|104.54|98.27|0|145.2|22.28|23.31|16.2|118.85|21.17|20.6|22.73|17.26915521|108.9|113.4|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|145.2
HOSP OP|0410 - RESPIRATORY THERAPY||94002|VENT MANGMT INITIAL DAY|1452|769.56|1089|1161.6|1234.2|1306.8|1234.2|1173.22|1045.44|982.71|0|1452|946.7|997.61|531.72|1188.46|898.79|875.56|972.65|1087.696564|1089|1134.01|513.35|558.2|513.35|1116.63|1139.42|370.85|499.39|376.77|1139.42|1107.275102|1087.696564|705.753652|0|0|571.21|792.36|994.68|885.44|513.35|954.43|897.11|498.39|513.29|0|1452
HOSP OP|0410 - RESPIRATORY THERAPY||94003|VENT MANGMT SUBSEQUENT|1317|698.01|987.75|1053.6|1119.45|1185.3|1119.45|1064.14|948.24|891.35|0|1317|858.68|997.61|482.29|1077.96|815.22|794.15|972.65|1087.696564|987.75|1028.58|513.35|558.2|513.35|1116.63|1139.42|370.85|499.39|376.77|1139.42|1107.275102|1087.696564|705.753652|0|0|571.21|718.69|994.68|885.44|513.35|954.43|897.11|498.39|513.29|0|1317
HOSP OP|0272 - STERILE SUPPLY||C1730|STEERABLE DECAPOLAR|952|504.56|714|761.6|809.2|856.8|0|769.22|685.44|644.31|0|952|620.7|0|348.62|779.21|589.29|574.06|0|0|714|743.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|421.83|0|0|0|0|0|0|0|0|952
HOSP OP|0272 - STERILE SUPPLY||C1730|DECAPOLAR WITH LUMEN|902|478.06|676.5|721.6|766.7|811.8|0|728.82|649.44|610.47|0|902|588.1|0|330.31|738.29|558.34|543.91|0|0|676.5|704.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.68|0|0|0|0|0|0|0|0|902
HOSP OP|0360 - OR SERVICES|||CANCEL CASE TYPE 5|6198|3284.94|0|4958.4|0|5578.2|0|5007.98|4462.56|4194.81|0|6198|0|0|0|5073.06|0|0|0|0|0|4840.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6198
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|SPICE:GARLIC|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83519|ACHR GANGLIONIC NEURONAL ABY|54.02|28.63|40.52|43.22|45.92|48.62|45.92|43.65|38.89|36.56|0|54.02|23.74|24.84|17.26|44.22|22.56|21.95|24.22|20.23575639|40.52|42.19|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|54.02
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Alpha-1-antitrypsin Proteotype|49.75|26.37|37.31|39.8|42.29|44.78|42.29|40.2|35.82|33.67|0|49.75|31.08|32.52|22.6|40.72|29.53|28.74|31.71|26.50294695|37.31|38.85|24.81|26.98|24.81|49.75|49.75|26.88|24.14|25.77|49.75|26.98|26.50294695|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|49.75
HOSP OP|0320 - DX X-RAY||74450|XR URETHROGRAM RETROGRADE|522|276.66|391.5|417.6|443.7|469.8|443.7|421.78|375.84|353.29|0|522|522|451.03|313.38|427.26|522|522|439.74|624.4750697|391.5|407.68|257.53|280.03|257.53|522|522|186.04|250.53|189.01|522|635.715621|624.4750697|405.191646|0|0|258.25|511.56|499|444.2|257.53|478.81|450.05|250.03|257.5|0|635.715621
HOSP OP|0302 - LAB/IMMUNOLOGY||86901|Mbc Rh|14|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|#N/A|14|3.11|#N/A|#N/A|#N/A|#N/A|3.290766208|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|14|#N/A|#N/A|3.35|3.290766208|3.35|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A
HOSP OP|0360 - OR SERVICES||59899|VAGINAL LAC REPAIR ADD 15 MIN|574|304.22|430.5|459.2|487.9|516.6|487.9|463.79|413.28|388.48|0|574|0|321.44|0|469.82|0|0|313.4|3828.30113|430.5|448.29|229.6|0|229.6|495.94|515.38|247.22|229.6|251.24|515.38|3897.21055|3828.30113|2483.9993|0|0|0|0|0|0|229.6|0|287|229.6|229.6|0|3897.21055
HOSP OP|0310 - PATHOLOGY LAB||88184|PI LINKED AG 1ST MARKER|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|42.87|42.87|42.87|35.09|42.87|42.87|42.87|130.2975972|32.15|33.48|42.87|340.56|42.87|42.87|42.87|42.87|42.87|42.87|42.87|132.642954|130.2975972|84.543804|0|0|42.87|42.01|42.87|42.87|313.19|42.87|42.87|304.07|42.87|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNOSTAIN MISC|164.2|87.03|123.15|131.36|139.57|147.78|139.57|132.67|118.22|111.13|0|164.2|130.21|164.2|94.68|134.4|123.75|120.42|164.2|89.8665|123.15|128.24|158.58|172.44|158.58|164.2|164.2|114.56|154.27|116.39|164.2|91.484097|89.8665|58.310022|0|0|80.54|69.56|164.2|164.2|158.58|164.2|164.2|153.96|158.56|0|172.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|DENGUE FEVER IGG|101.2|53.64|75.9|80.96|86.02|91.08|86.02|81.77|72.86|68.49|0|101.2|18.46|19.32|13.42|82.83|17.54|17.07|18.84|14.17485265|75.9|79.04|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|101.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|DENGUE FEVER IGM|101.2|53.64|75.9|80.96|86.02|91.08|86.02|81.77|72.86|68.49|0|101.2|18.46|19.32|13.42|82.83|17.54|17.07|18.84|14.17485265|75.9|79.04|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|101.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86335|BETA-2 TRANSFERRIN|112.84|59.81|84.63|90.27|95.91|101.56|95.91|91.17|81.24|76.37|0|112.84|37.49|44.02|27.26|92.36|35.63|34.67|42.92|51.31865619|84.63|88.13|30.23|32.87|30.23|67.81|69.19|40.57|29.41|34.69|69.19|52.242392|51.31865619|33.298192|0|0|0|20.02|29.35|29.35|30.23|29.35|52.83|29.35|30.23|0|112.84
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:COCONUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0260 - IV THERAPY||96366|Infusion Therapy ea addtl hr|238|126.14|178.5|190.4|202.3|214.2|202.3|192.3|171.36|161.08|0|238|155.18|74.11|87.16|194.8|147.32|143.51|72.26|476.1688615|178.5|185.88|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|484.739901|476.1688615|308.962926|0|0|42.43|105.46|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|484.739901
HOSP OP|0260 - IV THERAPY||96361|Hydration therapy ea addtl hr|190|100.7|142.5|152|161.5|171|161.5|153.52|136.8|128.59|0|190|123.88|74.11|69.58|155.52|117.61|114.57|72.26|476.1688615|142.5|148.39|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|93.48|484.739901|476.1688615|308.962926|0|0|42.43|84.19|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|484.739901
HOSP OP|0301 - LAB/CHEMISTRY||83516|GANGLIOSIDE ANTIBODY|17.45|9.25|13.09|13.96|14.83|15.71|14.83|14.1|12.56|11.81|0|17.45|16.52|17.29|12.02|14.28|15.71|15.28|16.86|11.5324165|13.09|13.63|11.88|12.91|11.88|17.45|17.45|16.13|11.55|13.38|17.45|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|17.45|11.53|11.88|0|17.45
HOSP OP|0301 - LAB/CHEMISTRY||84311|Hb Adenosine Deaminase Varied Sources|69.2|36.68|51.9|55.36|58.82|62.28|58.82|55.91|49.82|46.83|0|69.2|10.45|10.94|7.6|56.64|9.93|9.66|10.67|8.909626719|51.9|54.05|8.34|9.07|8.34|16.46|16.8|9.77|8.12|8.42|16.8|9.07|8.909626719|9.07|0|0|0|5.57|8.1|8.1|8.34|8.1|14.58|8.1|8.34|0|69.2
HOSP OP|0301 - LAB/CHEMISTRY||84999|Hb Chromatography Thin Layer|147|77.91|110.25|117.6|124.95|132.3|124.95|118.78|105.84|99.49|0|147|97.17|82.32|70.85|120.32|92.32|89.82|80.26|36.48803536|110.25|114.81|58.8|0|58.8|147|147|147|58.8|147|147|37.14482|36.48803536|23.67532|0|0|0|70.16|0|0|58.8|0|73.5|58.8|58.8|0|147
HOSP OP|0272 - STERILE SUPPLY||C1732|CATHETER; EP HALO XP|2410|1277.3|1807.5|1928|2048.5|2169|0|1947.28|1735.2|1631.09|0|2410|1571.32|0|882.54|1972.59|1491.79|1453.23|0|0|1807.5|1882.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1067.87|0|0|0|0|0|0|0|0|2410
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Poprhyrin Fract Plasma|140.85|74.65|105.64|112.68|119.72|126.77|119.72|113.81|101.41|95.33|0|140.85|31.08|32.52|22.6|115.29|29.53|28.74|31.71|26.50294695|105.64|110|24.81|26.98|24.81|50.37|51.4|26.88|24.14|25.77|51.4|26.98|26.50294695|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|140.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:BRAZIL NUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:CHERRY|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT:CHESTNUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FRUIT:GRAPE|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Transglutaminase Igg|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|16.52|17.29|12.02|58.93|15.71|15.28|16.86|11.5324165|54|56.23|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|72
HOSP OP|0172 - NURSERY/LEVEL II|||Nursery/ Level Ii|4911|2602.83|0|3928.8|0|4419.9|0|3968.09|3535.92|3323.76|0|4911|0|0|0|4019.65|0|0|0|0|0|3835.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4911
HOSP OP|0173 - NURSERY/LEVEL III|||Nicu/level Iii|7775|4120.75|0|6220|0|6997.5|0|6282.2|5598|5262.12|0|7775|0|0|0|6363.84|0|0|0|0|0|6072.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7775
HOSP OP|0174 - NURSERY/LEVEL IV|||Nicu/level Iv|9975|5286.75|0|7980|0|8977.5|0|8059.8|7182|6751.08|0|9975|0|0|0|8164.54|0|0|0|0|0|7790.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9975
HOSP OP|0305 - LAB/HEMATOLOGY||85610|PT MIXING STUDY|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.292730845|23.25|24.21|4.42|4.8|4.42|8.72|8.9|5.38|4.3|4.46|8.9|4.37|4.292730845|4.37|0|0|0|3|4.29|4.29|4.42|4.29|7.72|4.29|4.42|0|31
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33207|INSERT/REPLACE PPM VENT|14693|7787.29|11019.75|11754.4|12489.05|13223.7|12489.05|11871.94|10578.96|9944.22|0|14693|10335|14693|6686.86|12026.22|9818|9560|14693|18190.69807|11019.75|11475.23|11329.29|12319.22|11329.29|14693|14693|8184.5|11021.31|8315.19|14693|18518.13063|18190.69807|11803.06348|0|0|11065.61|8191.09|14693|14693|11329.29|14693|14693|10999.31|11328.02|0|18518.13063
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33224|INSERT PACE ELECTRODE LVP|9417|4991.01|7062.75|7533.6|8004.45|8475.3|8004.45|7608.94|6780.24|6373.43|0|9417|0|719.69|0|7707.81|0|0|701.69|16446.51113|7062.75|7354.68|511.28|555.96|511.28|1329.93|1357.07|670.56|497.38|680.32|1357.07|16742.54833|16446.51113|10671.345|0|0|0|0|496.39|496.39|511.28|496.39|893.5|496.39|511.28|0|16742.54833
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33225|Insert CS/LV lead|17783|9424.99|13337.25|14226.4|15115.55|16004.7|0|14368.66|12803.76|12035.53|0|17783|15502|0|10412.54|14555.39|14727|14339|0|0|13337.25|13888.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12755.6|0|0|0|0|0|0|0|0|17783
HOSP OP|0761 - TREATMENT ROOM||64415|NERVE BLOCK/BRACHIAL PLEXUS|1357|719.21|1017.75|1085.6|1153.45|1221.3|1153.45|1096.46|977.04|918.42|0|1357|884.76|228.67|496.93|1110.7|839.98|818.27|222.95|1317.512335|1017.75|1059.82|65.56|71.29|65.56|321.59|328.15|161.78|63.78|164.51|328.15|1341.227557|1317.512335|854.869982|0|0|0|601.29|63.65|63.65|65.56|63.65|114.57|63.65|65.56|0|1357
HOSP OP|0402 - ULTRASOUND||76811|US DETAIL FETAL ANATOMIC|802|425.06|601.5|641.6|681.7|721.8|681.7|648.02|577.44|542.79|0|802|522.9|282.82|293.69|656.44|496.44|483.61|275.75|297.6717466|601.5|626.36|87.17|94.79|87.17|423.29|431.93|217.49|84.8|216.53|431.93|303.029838|297.6717466|193.144788|0|0|258.25|355.37|84.63|84.63|87.17|84.63|152.33|84.63|87.17|0|802
HOSP OP|0402 - ULTRASOUND||76812|US OB DETAILED EA ADDL GEST|80|42.4|60|64|68|72|0|64.64|57.6|54.14|0|80|52.16|0|29.3|65.48|49.52|48.24|0|297.6717466|60|62.48|0|0|0|0|0|0|0|0|0|303.029838|297.6717466|193.144788|0|0|0|35.45|0|0|0|0|0|0|0|0|303.029838
HOSP OP|0402 - ULTRASOUND||76816|US FOLLOW UP|265|140.45|198.75|212|225.25|238.5|225.25|214.12|190.8|179.35|0|265|172.78|239.5|97.04|216.9|164.04|159.8|233.51|297.6717466|198.75|206.97|74.61|81.13|74.61|253.78|258.96|130.98|72.58|129.82|258.96|303.029838|297.6717466|193.144788|0|0|126.02|117.42|72.44|72.44|74.61|72.44|130.39|72.44|74.61|0|303.029838
HOSP OP|0402 - ULTRASOUND||76819|BIOPHYSICAL PROF W/O NON-STRESS|452|239.56|339|361.6|384.2|406.8|384.2|365.22|325.44|305.91|0|452|294.7|168.49|165.52|369.96|279.79|272.56|164.28|297.6717466|339|353.01|50.91|55.36|50.91|201.48|205.59|103.61|49.53|103.06|205.59|303.029838|297.6717466|193.144788|0|0|126.02|200.28|49.43|49.43|50.91|49.43|88.97|49.43|50.91|0|452
HOSP OP|0402 - ULTRASOUND||76820|DOPPLER VELOCIMETRY FETAL|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|197.56|220.09|110.96|248.01|187.56|182.71|214.59|297.6717466|227.25|236.64|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|134.26|240|213.64|123.86|230.29|216.45|120.25|123.85|0|303.029838
HOSP OP|0402 - ULTRASOUND||76821|DOPPLER VELOCI MID CEREB ARTERY|426|225.78|319.5|340.8|362.1|383.4|362.1|344.21|306.72|288.32|0|426|277.75|190.15|156|348.68|263.69|256.88|185.4|297.6717466|319.5|332.71|58.81|63.95|58.81|205.35|209.54|105.57|57.21|105.05|209.54|303.029838|297.6717466|193.144788|0|0|126.02|188.76|57.1|57.1|58.81|57.1|102.78|57.1|58.81|0|426
HOSP OP|0402 - ULTRASOUND||76827|Hb Doppler Flow Echo; Fetal Complete|300.06|159.03|225.05|240.05|255.05|270.05|255.05|242.45|216.04|203.08|0|300.06|195.64|155.25|109.88|245.6|185.74|180.94|151.37|297.6717466|225.05|234.35|47.15|51.27|47.15|166.6|170|85.53|45.87|85.23|170|303.029838|297.6717466|193.144788|0|0|126.02|132.96|45.78|45.78|47.15|45.78|82.4|45.78|47.15|0|303.029838
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|GROUP TREATMENT LEVEL 3|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|52|52|52|42.56|52|52|51.54|563.975553|39|40.61|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|50.96|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|GROUP TREATMENT LEVEL 4|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|65|56.56|65|53.2|65|65|51.54|563.975553|48.75|50.77|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|63.7|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0306 - LAB/BACT-MICRO||87497|CMV DNA PCR QUANT PLASMA|104.3|55.28|78.23|83.44|88.66|93.87|88.66|84.27|75.1|70.59|0|104.3|61.4|64.26|44.65|85.37|58.36|56.79|62.65|47.12180747|78.23|81.46|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|104.3
HOSP OP|0320 - DX X-RAY||73100|X-RAY WRIST 2 VW|327|173.31|245.25|261.6|277.95|294.3|277.95|264.22|235.44|221.31|0|327|327|121.88|313.38|267.65|327|327|118.83|142.5387446|245.25|255.39|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|320.46|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|327
HOSP OP|0320 - DX X-RAY||73070|XR ELBOW 2 VIEWS|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|295|121.88|295|241.46|295|295|118.83|142.5387446|221.25|230.4|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|289.1|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|295
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB INIT|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|261.7722279|88.5|92.16|118|221.06|118|118|118|118|118|118|118|266.484128|261.7722279|169.851328|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|266.484128
HOSP OP|0460 - PULMONARY FUNCTION||94640|INHALATION TREAT NEB ADDL|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|76.94|118|43.21|96.58|73.04|71.15|118|261.7722279|88.5|92.16|118|221.06|118|118|118|118|118|118|118|266.484128|261.7722279|169.851328|0|0|118|52.29|118|118|203.29|118|118|197.37|118|0|266.484128
HOSP OP|0761 - TREATMENT ROOM||96523|Hb Irrig Drug Delivery Device|242|128.26|181.5|193.6|205.7|217.8|205.7|195.54|174.24|163.79|0|242|157.78|109.35|88.62|198.08|149.8|145.93|106.61|311.6195923|181.5|189|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|317.228745|311.6195923|202.19487|0|0|62.6|107.23|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|317.228745
HOSP OP|0305 - LAB/HEMATOLOGY||85306|PROTEIN S ACTIVITY|111|58.83|83.25|88.8|94.35|99.9|94.35|89.69|79.92|75.12|0|111|21.97|22.99|15.97|90.85|20.88|20.32|22.42|16.84675835|83.25|86.69|15.78|17.16|15.78|34.87|35.58|21.02|15.35|17.84|35.58|17.15|16.84675835|17.15|0|0|0|11.73|15.32|15.32|15.78|15.32|27.58|15.32|15.78|0|111
HOSP OP|0306 - LAB/BACT-MICRO||87305|ASPERGILLUS ANTIGEN|81.05|42.96|60.79|64.84|68.89|72.95|68.89|65.49|58.36|54.85|0|81.05|17.18|17.98|12.49|66.34|16.33|15.89|17.53|13.1827112|60.79|63.3|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|81.05
HOSP OP|0301 - LAB/CHEMISTRY||83516|PARIETAL CELL ANTIBODY|50.38|26.7|37.79|40.3|42.82|45.34|42.82|40.71|36.27|34.1|0|50.38|16.52|17.29|12.02|41.24|15.71|15.28|16.86|11.5324165|37.79|39.35|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|50.38
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|TRYPANOSOMA CRUZI AB|71.82|38.06|53.87|57.46|61.05|64.64|61.05|58.03|51.71|48.61|0|71.82|17.75|18.58|12.91|58.78|16.87|16.42|18.12|13.6345776|53.87|56.09|12.76|13.88|12.76|28.09|28.66|17.11|12.41|14.37|28.66|13.88|13.6345776|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|71.82
HOSP OP|0301 - LAB/CHEMISTRY||82656|PANCREATIC ELASTASE|114.2|60.53|85.65|91.36|97.07|102.78|97.07|92.27|82.22|77.29|0|114.2|16.52|17.29|12.02|93.47|15.71|15.28|16.86|12.68172888|85.65|89.19|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|12.91|12.68172888|12.91|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|114.2
HOSP OP|0250 - PHARMACY||J7120|LACTATED RINGER'S INFUSION|49|25.97|36.75|39.2|41.65|44.1|0|39.59|35.28|33.16|0|49|3.16|0|2.3|40.11|3|2.92|0|2.357563851|36.75|38.27|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|49
HOSP OP|0430 - OCCUPATIONAL THERAPY||97760|Hb Orthotics Management And Training Per 15 Min|326|172.78|244.5|260.8|277.1|293.4|277.1|263.41|234.72|220.64|0|326|207|146.83|106.79|266.83|196|191|131.6|180.9688851|244.5|254.61|51.95|56.49|51.95|130.76|133.43|65|51.45|66.89|133.43|184.226325|180.9688851|117.42195|0|0|38.42|173.11|55.48|55.48|51.95|55.48|90.79|50.44|51.95|0|326
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Mdtr Atrial PPM Lead|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Mdtr Vent.l PPM Lead|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|SJM Vent PPM. Lead|6398|3390.94|4798.5|5118.4|5438.3|5758.2|0|5169.58|4606.56|4330.17|0|6398|4171.5|0|2342.95|5236.76|3960.36|3857.99|0|0|4798.5|4996.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2834.95|0|0|0|0|0|0|0|0|6398
HOSP OP|0278 - SUPPLY IMPLANTS||C1895|Mdtr ICD Lead-Endo|11760|6232.8|8820|9408|9996|10584|0|9502.08|8467.2|7959.17|0|11760|7667.52|0|4306.51|9625.56|7279.44|7091.28|0|0|8820|9184.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5210.86|0|0|0|0|0|0|0|0|11760
HOSP OP|0278 - SUPPLY IMPLANTS||C1900|Mdtr CS Lead|5407|2865.71|4055.25|4325.6|4595.95|4866.3|0|4368.86|3893.04|3659.46|0|5407|3525.36|0|1980.04|4425.63|3346.93|3260.42|0|0|4055.25|4222.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2395.84|0|0|0|0|0|0|0|0|5407
HOSP OP|0275 - PACEMAKER||C1786|Mdtr Sngl PPM-RR|8672|4596.16|6504|6937.6|7371.2|7804.8|0|7006.98|6243.84|5869.21|0|8672|5654.14|0|3175.69|7098.03|5367.97|5229.22|0|0|6504|6772.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3842.56|0|0|0|0|0|0|0|0|8672
HOSP OP|0275 - PACEMAKER||C1785|Mdtr Dual  PPM-RR|11760|6232.8|8820|9408|9996|10584|0|9502.08|8467.2|7959.17|0|11760|7667.52|0|4306.51|9625.56|7279.44|7091.28|0|0|8820|9184.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5210.86|0|0|0|0|0|0|0|0|11760
HOSP OP|0275 - PACEMAKER||C1785|SJM Dual PPM-RR|15056|7979.68|11292|12044.8|12797.6|13550.4|0|12165.25|10840.32|10189.9|0|15056|9816.51|0|5513.51|12323.34|9319.66|9078.77|0|0|11292|11758.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6671.31|0|0|0|0|0|0|0|0|15056
HOSP OP|0275 - PACEMAKER||C1785|BSCI Dual PPM-RR|22537|11944.61|16902.75|18029.6|19156.45|20283.3|0|18209.9|16226.64|15253.04|0|22537|14694.12|0|8253.05|18446.53|13950.4|13589.81|0|0|16902.75|17601.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9986.14|0|0|0|0|0|0|0|0|22537
HOSP OP|0275 - PACEMAKER||C1882|Mdtr  CRT-D|53172|28181.16|39879|42537.6|45196.2|47854.8|0|42962.98|38283.84|35986.81|0|53172|34668.14|0|19471.59|43521.28|32913.47|32062.72|0|0|39879|41527.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23560.51|0|0|0|0|0|0|0|0|53172
HOSP OP|0278 - SUPPLY IMPLANTS||C1882|SJM CRT-D|77560|41106.8|58170|62048|65926|69804|0|62668.48|55843.2|52492.61|0|77560|50569.12|0|28402.47|63482.86|48009.64|46768.68|0|0|58170|60574.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34366.84|0|0|0|0|0|0|0|0|77560
HOSP OP|0278 - SUPPLY IMPLANTS||C1882|BSCI CRT-D|75023|39762.19|56267.25|60018.4|63769.55|67520.7|0|60618.58|54016.56|50775.57|0|75023|48915|0|27473.42|61406.33|46439.24|45238.87|0|0|56267.25|58592.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33242.69|0|0|0|0|0|0|0|0|75023
HOSP OP|0275 - PACEMAKER||C2621|Mdtr  CRT-P|19205|10178.65|14403.75|15364|16324.25|17284.5|0|15517.64|13827.6|12997.94|0|19205|12521.66|0|7032.87|15719.29|11887.9|11580.62|0|0|14403.75|14999.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8509.74|0|0|0|0|0|0|0|0|19205
HOSP OP|0278 - SUPPLY IMPLANTS||C1722|Mdtr  Sngl  ICD|35199|18655.47|26399.25|28159.2|29919.15|31679.1|0|28440.79|25343.28|23822.68|0|35199|22949.75|0|12889.87|28810.38|21788.18|21225|0|0|26399.25|27490.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15596.68|0|0|0|0|0|0|0|0|35199
HOSP OP|0278 - SUPPLY IMPLANTS||C1721|Mdtr Dual ICD|42815|22691.95|32111.25|34252|36392.75|38533.5|0|34594.52|30826.8|28977.19|0|42815|27915.38|0|15678.85|35044.08|26502.49|25817.45|0|0|32111.25|33438.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18971.33|0|0|0|0|0|0|0|0|42815
HOSP OP|0278 - SUPPLY IMPLANTS||C1721|BSCI Dual ICD|71576|37935.28|53682|57260.8|60839.6|64418.4|0|57833.41|51534.72|48442.64|0|71576|46667.55|0|26211.13|58584.96|44305.54|43160.33|0|0|53682|55900.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31715.33|0|0|0|0|0|0|0|0|71576
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcus Antigen Screen Serum|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|20.73|21.69|15.07|54.54|19.7|19.17|21.15|16.07072692|49.97|52.04|16.55|18|16.55|32.94|33.61|18.08|16.1|16.85|33.61|16.36|16.07072692|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|66.63
HOSP OP|0306 - LAB/BACT-MICRO||86403|Hb Cryptococcal Antigen Titer Csf|154.68|81.98|116.01|123.74|131.48|139.21|131.48|124.98|111.37|104.69|0|154.68|14.89|15.58|10.82|126.61|14.15|13.77|15.19|12.69155206|116.01|120.81|11.89|12.92|11.89|24.22|24.71|14.17|11.56|12.39|24.71|12.92|12.69155206|12.92|0|0|0|7.95|11.54|11.54|11.89|11.54|20.77|11.54|11.89|0|154.68
HOSP OP|0250 - PHARMACY|||PHARMACY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0258 - IV SOLUTIONS|||Rev Code 258 (iv Solutions)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY|||STERILE SUPPLY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|||DRUGS REQUIRE DETAIL CODING|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0637 - DRUGS/SELF ADMIN|||DRUGS/SELF ADMIN|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||82103|A-1-A STOOL|59.24|31.4|44.43|47.39|50.35|53.32|50.35|47.87|42.65|40.09|0|59.24|19.26|20.16|14|48.49|18.3|17.81|19.66|14.78388998|44.43|46.27|13.84|15.05|13.84|31|31.63|18.57|13.47|15.86|31.63|15.05|14.78388998|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|59.24
HOSP OP|0301 - LAB/CHEMISTRY||83519|MUSK ANTIBODY|674.2|357.33|505.65|539.36|573.07|606.78|573.07|544.75|485.42|456.3|0|674.2|23.74|24.84|17.26|551.83|22.56|21.95|24.22|20.23575639|505.65|526.55|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|674.2
HOSP OP|0483 - ECHOCARDIOLOGY||C8924|ECHO W/CONTRAST LIMITED OR|1036|549.08|777|828.8|880.6|932.4|880.6|837.09|745.92|701.16|0|1036|1036|754.87|629.6|847.97|1036|1036|735.99|1016.839153|777|809.12|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1035.142258|1016.839153|659.777708|0|0|432.22|1015.28|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1036
HOSP OP|0361 - OR/MINOR||32550|INSERT TUNNEL PLEURAL CATH|5043|2672.79|3782.25|4034.4|4286.55|4538.7|4286.55|4074.74|3630.96|3413.1|0|5043|3532|5043|1996.08|4127.7|3356|3268|5043|970.169779|3782.25|3938.58|3436.09|3736.33|3436.09|5043|5043|2482.3|3342.68|2521.94|5043|987.632835|970.169779|629.49621|0|0|3301.22|2445.1|5043|5043|3436.09|5043|5043|3336.01|3435.71|0|5043
HOSP OP|0361 - OR/MINOR||32551|CHEST TUBE INSERT|1289|683.17|966.75|1031.2|1095.65|1160.1|1095.65|1041.51|928.08|872.4|0|1289|0|179.32|0|1055.05|0|0|174.84|970.169779|966.75|1006.71|157.28|171.02|157.28|408.76|417.1|206.74|153.01|209.1|417.1|987.632835|970.169779|629.49621|0|0|0|0|152.7|152.7|157.28|152.7|274.86|152.7|157.28|0|1289
HOSP OP|0300 - LABORATORY||36591|PORT ACCESS/BLOOD DRAW|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|21.59856287|116.25|121.06|120.49|131.02|120.49|155|155|87.04|117.21|88.43|155|21.987337|21.59856287|14.014262|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0361 - OR/MINOR||36593|DECLOT OF IMPLANTED CATH|602|319.06|451.5|481.6|511.7|541.8|511.7|486.42|433.44|407.43|0|602|602|564.14|399.22|492.74|602|602|550.03|311.6195923|451.5|470.16|342.13|372.03|342.13|320.54|320.54|247.16|332.83|251.11|320.54|317.228745|311.6195923|202.19487|0|0|323|489.02|602|590.13|342.13|602|597.91|332.17|342.1|0|602
HOSP OP|0361 - OR/MINOR||51102|BLADDER DRAIN W/CATH INSERT|4274|2265.22|3205.5|3419.2|3632.9|3846.6|3632.9|3453.39|3077.28|2892.64|0|4274|3237|3403.34|1821.42|3498.27|3075|2994|3318.2|5876.515799|3205.5|3337.99|1957.72|2128.78|1957.72|4258.46|4274|1414.29|1904.5|1436.88|4274|5982.293083|5876.515799|3812.986658|0|0|1948.64|2542.9|3793.37|3376.76|1957.72|3639.88|3421.25|1900.7|1957.5|0|5982.293083
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE|144|76.32|108|115.2|122.4|129.6|0|116.35|103.68|97.46|0|144|93.89|0|52.73|117.86|89.14|86.83|0|0|108|112.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.81|0|0|0|0|0|0|0|0|144
HOSP OP|0352 - CT SCAN/BODY||76380|Hb Ct Scanlimited/localized F/u*|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|214|121.88|214|175.16|214|214|118.83|480.4061817|160.5|167.13|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|489.053493|480.4061817|311.712318|0|0|69.78|209.72|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|489.053493
HOSP OP|0610 - MRI||75557|MRI CARDIAC MORPH/FUNCTION|1617|857.01|1212.75|1293.6|1374.45|1455.3|1374.45|1306.54|1164.24|1094.39|0|1617|1617|451.03|979.08|1323.51|1617|1617|439.74|974.7013576|1212.75|1262.88|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1617
HOSP OP|0360 - OR SERVICES||15760|Hb Composite Skin Graft|4112.5|2179.62|3084.38|3290|3495.63|3701.25|3495.63|3322.9|2961|2783.34|0|4112.5|0|1733.04|0|3366.08|0|0|1689.7|6696.790374|3084.38|3211.86|719.32|782.17|719.32|2273.37|2319.77|1146.6|699.77|1162.94|2319.77|6817.332601|6696.790374|4345.223126|0|0|0|0|698.37|698.37|719.32|698.37|1257.07|698.37|719.32|0|6817.332601
HOSP OP|0361 - OR/MINOR||49440|INS GASTROSTOMY TUBE W/IMG|3148|1668.44|2361|2518.4|2675.8|2833.2|2675.8|2543.58|2266.56|2130.57|0|3148|2594|2901.75|965.1|2576.64|2464|2399|2829.16|2235.892644|2361|2458.59|1721.06|1871.45|1721.06|3148|3148|1243.33|1674.28|1263.18|3148|2276.138712|2235.892644|1450.762512|0|0|1661.46|1515.96|3148|2968.57|1721.06|3148|3007.68|1670.93|1720.87|0|3148
HOSP OP|0310 - PATHOLOGY LAB||88271|FISH NUCLEIC ACID PROBE EA|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|30.7|32.13|22.32|32.74|29.18|28.39|31.33|23.55599214|30|31.24|22.06|23.99|22.06|40|40|29.81|21.46|25.27|40|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|40
HOSP OP|0310 - PATHOLOGY LAB||88275|FISH ANALYSIS 100-300 CELLS|219.2|116.18|164.4|175.36|186.32|197.28|186.32|177.11|157.82|148.35|0|219.2|66.04|69.11|48.02|179.42|62.76|61.07|67.38|56.3064833|164.4|171.2|52.73|57.33|52.73|105.59|107.74|57.18|51.29|54.01|107.74|57.32|56.3064833|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|219.2
HOSP OP|0300 - LABORATORY||81341|Hb T Cell Reflex Sb|207.3|109.87|155.48|165.84|176.21|186.57|176.21|167.5|149.26|140.3|0|207.3|71.08|74.39|51.68|169.68|67.55|65.73|72.53|54.5481336|155.48|161.9|51.08|55.54|51.08|122.05|124.54|68.42|49.69|62.43|124.54|55.53|54.5481336|55.53|0|0|61.72|37.98|49.59|49.59|51.08|49.59|89.26|49.59|51.08|0|207.3
HOSP OP|0300 - LABORATORY||81341|Hb T Cell Reflex Sb|130.3|69.06|97.73|104.24|110.76|117.27|110.76|105.28|93.82|88.19|0|130.3|71.08|74.39|51.68|106.65|67.55|65.73|72.53|54.5481336|97.73|101.76|51.08|55.54|51.08|122.05|124.54|68.42|49.69|62.43|124.54|55.53|54.5481336|55.53|0|0|61.72|37.98|49.59|49.59|51.08|49.59|89.26|49.59|51.08|0|130.3
HOSP OP|0300 - LABORATORY||81340|Hb T Cell Beta Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|217.74|199.53|243.77|243.77|243.77|229.8133595|182.83|190.38|215.19|233.99|215.19|243.77|243.77|243.77|209.34|243.77|243.77|233.95|229.8133595|233.95|0|0|243.77|159.99|208.92|208.92|215.19|208.92|243.77|208.92|215.19|0|243.77
HOSP OP|0300 - LABORATORY||81261|Hb B Cell Pcr|322.2|170.77|241.65|257.76|273.87|289.98|273.87|260.34|231.98|218.06|0|322.2|283.79|296.99|206.35|263.72|269.71|262.45|289.57|217.7897839|241.65|251.64|203.93|221.75|203.93|322.2|322.2|274.19|198.39|250.23|322.2|221.71|217.7897839|221.71|0|0|246.41|151.61|197.99|197.99|203.93|197.99|322.2|197.99|203.93|0|322.2
HOSP OP|0300 - LABORATORY||81342|Hb T Cell Gamma Pcr|235.07|124.59|176.3|188.06|199.81|211.56|199.81|189.94|169.25|159.1|0|235.07|235.07|235.07|210|192.4|235.07|235.07|235.07|221.6502947|176.3|183.59|207.55|225.68|207.55|235.07|235.07|235.07|201.9|235.07|235.07|225.64|221.6502947|225.64|0|0|235.07|154.3|201.5|201.5|207.55|201.5|235.07|201.5|207.55|0|235.07
HOSP OP|0301 - LAB/CHEMISTRY||83721|LDL CHOLESTEROL|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|13.67|14.31|9.94|34.38|13|12.65|13.95|10.50098232|31.5|32.8|10.82|11.76|10.82|22.28|22.73|13.2|10.52|11.4|22.73|10.69|10.50098232|10.69|0|0|0|7.3|10.5|10.5|10.82|10.5|18.9|10.5|10.82|0|42
HOSP OP|0250 - PHARMACY||J3490|ONYX-A LIQUID EMBOLIC PER VIAL|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3609.06|0|2631.72|4469.01|3428.88|3336.06|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2606.06|0|0|0|0|0|0|0|0|5460
HOSP OP|0361 - OR/MINOR||49450|RPL GASTRO/CECO TUBE W GUID|1579|836.87|1184.25|1263.2|1342.15|1421.1|1342.15|1275.83|1136.88|1068.67|0|1579|1579|1489.77|965.1|1292.41|1579|1579|1452.5|1451.399884|1184.25|1233.2|868.51|944.4|868.51|1579|1579|627.43|844.9|637.45|1579|1477.525082|1451.399884|941.743132|0|0|853|1515.96|1579|1498.05|868.51|1579|1517.78|843.21|868.42|0|1579
HOSP OP|0361 - OR/MINOR||49446|GASTRO CHG TO GJ W/IMG|2027|1074.31|1520.25|1621.6|1722.95|1824.3|1722.95|1637.82|1459.44|1371.87|0|2027|2027|2027|965.1|1659.1|2027|2027|2027|2591.239028|1520.25|1583.09|1721.06|1871.45|1721.06|2027|2027|1243.33|1674.28|1263.18|2027|2637.88133|2591.239028|1681.32958|0|0|1661.46|1515.96|2027|2027|1721.06|2027|2027|1670.93|1720.87|0|2637.88133
HOSP OP|0361 - OR/MINOR||49451|RPL DUOD/JEJUN TUBE W/IMG|1628|862.84|1221|1302.4|1383.8|1465.2|1383.8|1315.42|1172.16|1101.83|0|1628|1628|1489.77|965.1|1332.52|1628|1628|1452.5|1451.399884|1221|1271.47|868.51|944.4|868.51|1628|1628|627.43|844.9|637.45|1628|1477.525082|1451.399884|941.743132|0|0|853|1515.96|1628|1498.05|868.51|1614.78|1517.78|843.21|868.42|0|1628
HOSP OP|0361 - OR/MINOR||49452|RPL G-J TUBE W/IMG|2235|1184.55|1676.25|1788|1899.75|2011.5|1899.75|1805.88|1609.2|1512.65|0|2235|2235|1489.77|965.1|1829.35|2235|2235|1452.5|1451.399884|1676.25|1745.54|868.51|944.4|868.51|1889.2|1927.76|627.43|844.9|637.45|1927.76|1477.525082|1451.399884|941.743132|0|0|853|1515.96|1682.87|1498.05|868.51|1614.78|1517.78|843.21|868.42|0|2235
HOSP OP|0361 - OR/MINOR||49460|REM OBSTR MAT STOMY W/IMG|1322|700.66|991.5|1057.6|1123.7|1189.8|1123.7|1068.18|951.84|894.73|0|1322|1322|1322|965.1|1082.06|1322|1322|1322|1451.399884|991.5|1032.48|868.51|944.4|868.51|1322|1322|627.43|844.9|637.45|1322|1477.525082|1451.399884|941.743132|0|0|853|1295.56|1322|1322|868.51|1322|1322|843.21|868.42|0|1477.525082
HOSP OP|0361 - OR/MINOR||49465|INJ(S EVAL EXIS STOMY W/IMG|343|181.79|257.25|274.4|291.55|308.7|291.55|277.14|246.96|232.14|0|343|343|343|343|280.75|343|343|343|798.4994578|257.25|267.88|257.53|280.03|257.53|343|343|186.04|250.53|189.01|343|812.872448|798.4994578|518.107648|0|0|258.25|336.14|343|343|257.53|343|343|250.03|257.5|0|812.872448
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Agna Type 1 Antibody|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0410 - RESPIRATORY THERAPY||94660|NPPV SETUP /1ST DAILY CHARGE|465|246.45|348.75|372|395.25|418.5|395.25|375.72|334.8|314.71|0|465|303.18|374.82|170.28|380.6|287.84|280.4|365.44|1087.696564|348.75|363.17|203.29|221.06|203.29|442.2|451.22|146.86|197.77|149.21|451.22|1107.275102|1087.696564|705.753652|0|0|214.61|253.75|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|1107.275102
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|Hb Aspergillus Antibodies|44.21|23.43|33.16|35.37|37.58|39.79|37.58|35.72|31.83|29.92|0|44.21|21.58|22.59|15.69|36.19|20.51|19.96|22.03|16.56188605|33.16|34.53|15.5|16.86|15.5|34.87|35.58|21.02|15.08|17.84|35.58|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|44.21
HOSP OP|0320 - DX X-RAY||75600|THORACIC AORTOGRAM|5326|2822.78|3994.5|4260.8|4527.1|4793.4|4527.1|4303.41|3834.72|3604.64|0|5326|694|594.53|313.38|4359.33|660|642|579.66|624.4750697|3994.5|4159.61|185.6|201.81|185.6|545.34|556.47|277.61|180.55|278.97|556.47|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|180.19|180.19|185.6|180.19|324.34|180.19|185.6|0|5326
HOSP OP|0301 - LAB/CHEMISTRY||84702|HCG TUMOR MARKER|42.51|22.53|31.88|34.01|36.13|38.26|36.13|34.35|30.61|28.77|0|42.51|21.58|22.59|15.69|34.79|20.51|19.96|22.03|16.56188605|31.88|33.2|15.5|16.86|15.5|34.87|35.58|21.02|15.08|17.84|35.58|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|42.51
HOSP OP|0410 - RESPIRATORY THERAPY||94664|DEMO/EVAL OF NEB/INHAL/EZPAP CONT|256|135.68|192|204.8|217.6|230.4|217.6|206.85|184.32|173.26|0|256|166.91|256|93.75|209.54|158.46|154.37|256|154.1913752|192|199.94|203.29|221.06|203.29|256|256|146.86|197.77|149.21|256|156.96682|154.1913752|100.04732|0|0|214.61|139.7|256|256|203.29|256|256|197.37|203.27|0|256
HOSP OP|0300 - LABORATORY||36416|COLLECTION CAPILLARY BLOOD|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|3.75|0|2.73|22.92|3.57|3.47|0|2.996070727|21|21.87|0|0|0|0|0|0|0|0|0|3.05|2.996070727|3.05|0|0|0|2|0|0|0|0|0|0|0|0|28
HOSP OP|0300 - LABORATORY|||NEWBORN SPEC COLL & BILIRUBIN|28|14.84|0|22.4|0|25.2|0|22.62|20.16|18.95|0|28|18.51|0|13.5|22.92|17.58|17.11|0|0|0|21.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.36|0|0|0|0|0|0|0|0|28
HOSP OP|0922 - EMG||95925|SOMATOSENSORY TESTING UL|579|306.87|434.25|463.2|492.15|521.1|492.15|467.83|416.88|391.87|0|579|377.51|353.83|212.03|473.91|358.4|349.14|344.98|694.5674086|434.25|452.2|118.01|128.32|118.01|361.3|368.67|183.77|114.8|184.82|368.67|707.069622|694.5674086|450.671172|0|0|282.6|256.55|114.57|114.57|118.01|114.57|206.23|114.57|118.01|0|707.069622
HOSP OP|0922 - EMG||95926|SOMATOSENSORY TESTING LL|503|266.59|377.25|402.4|427.55|452.7|427.55|406.42|362.16|340.43|0|503|327.96|340.59|184.2|411.71|311.36|303.31|332.07|694.5674086|377.25|392.84|111.61|121.36|111.61|349.67|356.81|180.35|108.58|178.88|356.81|707.069622|694.5674086|450.671172|0|0|282.6|222.88|108.36|108.36|111.61|108.36|195.05|108.36|111.61|0|707.069622
HOSP OP|0922 - EMG||95861|EMG-2EXTREMITIES|282|149.46|211.5|225.6|239.7|253.8|239.7|227.86|203.04|190.86|0|282|183.86|282|103.27|230.82|174.56|170.05|282|694.5674086|211.5|220.24|94.18|102.41|94.18|282|282|240.95|91.62|241.31|282|707.069622|694.5674086|450.671172|0|0|119.27|124.95|91.44|91.44|94.18|91.44|164.59|91.44|94.18|0|707.069622
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90846|Hb Family Therapy W/o Patient Present 50 Min|321|170.13|240.75|256.8|272.85|288.9|272.85|259.37|231.12|217.25|0|321|209.29|249.52|117.55|262.74|198.7|193.56|243.27|324.8612181|240.75|250.7|145.16|157.85|145.16|315.77|321|104.87|141.22|106.55|321|330.70872|324.8612181|210.78672|0|0|142.87|142.24|100.92|100.92|145.16|100.92|253.69|140.94|145.15|0|330.70872
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9967|VISIPAQUE 300-399 MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|0.15|0|0.11|2.64|0.15|0.14|0|0.117878193|2.42|2.52|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|3.23
HOSP OP|0301 - LAB/CHEMISTRY||83970|PTH INTRA-OPERATIVE|159|84.27|119.25|127.2|135.15|143.1|135.15|128.47|114.48|107.61|0|159|59.16|61.91|43.02|130.14|56.22|54.71|60.36|45.41257367|119.25|124.18|42.52|46.23|42.52|94.92|96.86|57.18|41.36|48.56|96.86|46.23|45.41257367|46.23|0|0|0|31.6|41.28|41.28|42.52|41.28|74.3|41.28|42.52|0|159
HOSP OP|0302 - LAB/IMMUNOLOGY||86615|Hb Bordetella Pertussis Antibody Igg|126.2|66.89|94.65|100.96|107.27|113.58|107.27|101.97|90.86|85.41|0|126.2|18.9|19.78|13.74|103.29|17.96|17.48|19.29|14.50884086|94.65|98.56|13.59|14.77|13.59|30.03|30.64|18.08|13.22|15.36|30.64|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|23.74|13.19|13.59|0|126.2
HOSP OP|0271 - NONSTER SUPPLY||L4398|FOOT DROP SPLINT|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|77.59|66.64|43.58|97.4|73.66|71.76|64.97|69.64636542|89.25|92.94|79.71|86.68|79.71|119|119|97.75|77.54|101.58|119|70.9|69.64636542|70.9|0|0|85.92|52.73|77.39|77.39|79.71|77.39|77.39|77.39|79.71|0|119
HOSP OP|0301 - LAB/CHEMISTRY||83519|VGKA AB SERUM|54.03|28.64|40.52|43.22|45.93|48.63|45.93|43.66|38.9|36.57|0|54.03|23.74|24.84|17.26|44.22|22.56|21.95|24.22|20.23575639|40.52|42.2|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|54.03
HOSP OP|0361 - OR/MINOR||36478|ENDOVENOUS LASER 1ST VEIN|6071|3217.63|4553.25|4856.8|5160.35|5463.9|5160.35|4905.37|4371.12|4108.85|0|6071|3532|5167.4|1996.08|4969.11|3356|3268|5038.14|3730.783913|4553.25|4741.45|3062.51|3330.1|3062.51|6071|6071|2212.41|2979.25|2247.74|6071|3797.938023|3730.783913|2420.725098|0|0|2958.71|2445.1|5934.07|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|6071
HOSP OP|0361 - OR/MINOR||36479|ENDOVENOUS LASER VEIN ADDON|5173|2741.69|3879.75|4138.4|4397.05|4655.7|0|4179.78|3724.56|3501.09|0|5173|744|0|399.22|4234.1|707|688|0|3730.783913|3879.75|4040.11|0|0|0|0|0|0|0|0|0|3797.938023|3730.783913|2420.725098|0|0|0|489.02|0|0|0|0|0|0|0|0|5173
HOSP OP|0761 - TREATMENT ROOM||37765|PHLEB VEINS EXTREM 10-20|6121|3244.13|4590.75|4896.8|5202.85|5508.9|5202.85|4945.77|4407.12|4142.69|0|6121|3990.89|5167.4|2241.51|5010.04|3788.9|3690.96|5038.14|2946.467707|4590.75|4780.5|3062.51|3330.1|3062.51|6121|6121|2212.41|2979.25|2247.74|6121|2999.504126|2946.467707|1911.820276|0|0|2958.71|2712.22|5934.07|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|6121
HOSP OP|0761 - TREATMENT ROOM||37766|Hb Phleb Veins - Extrem 20+|5600|2968|4200|4480|4760|5040|4760|4524.8|4032|3790.08|0|5600|3651.2|5167.4|2050.72|4583.6|3466.4|3376.8|5038.14|2946.467707|4200|4373.6|3062.51|3330.1|3062.51|5600|5600|2212.41|2979.25|2247.74|5600|2999.504126|2946.467707|1911.820276|0|0|2958.71|2481.36|5600|5282.35|3062.51|5600|5351.95|2973.31|3062.17|0|5600
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD BLOOD|11.95|6.33|8.96|9.56|10.16|10.76|10.16|9.66|8.6|8.09|0|11.95|11.95|11.95|11.95|9.78|11.95|11.95|11.95|12.11198428|8.96|9.33|11.95|11.95|11.95|11.95|11.95|11.95|11.95|11.95|11.95|12.33|12.11198428|12.33|0|0|0|9.27|11.95|11.95|11.95|11.95|11.95|11.95|11.95|0|12.33
HOSP OP|0450 - EMERGENCY ROOM||54700|INCIS/DRAIN SCROTUM/TESTISEPIDIDM|2788|1477.64|2091|2230.4|2369.8|2509.2|2369.8|2252.7|2007.36|1886.92|0|2788|0|323.74|0|2281.98|0|0|315.64|4505.330741|2091|2177.43|219.49|238.67|219.49|572.46|584.14|290.32|213.53|292.84|584.14|4586.426694|4505.330741|2923.291044|0|0|0|0|213.1|213.1|219.49|213.1|383.58|213.1|219.49|0|4586.426694
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Ena Atb To Any Method Each Atb|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.7151277|0|0|0|0|0|0|0|0|0|0|0|20.07|19.7151277|20.07|0|0|0|0|0|0|0|0|0|0|0|0|20.07
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Hypoglycemic Agent Scrn|128.35|68.03|96.26|102.68|109.1|115.52|109.1|103.71|92.41|86.87|0|128.35|83.4|87.28|60.64|105.05|79.26|77.13|85.1|68.3497053|96.26|100.24|64|69.6|64|128.35|128.35|80.64|62.26|68.38|128.35|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|128.35
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93799|IMPELLA INSERTION|1011|535.83|758.25|808.8|859.35|909.9|859.35|816.89|727.92|684.24|0|1011|0|566.16|0|827.5|0|0|552.01|105.5210442|758.25|789.59|404.4|0|404.4|873.5|907.76|435.44|404.4|442.51|907.76|107.420423|105.5210442|68.467498|0|0|152.27|0|0|0|404.4|0|505.5|404.4|404.4|0|1011
HOSP OP|0272 - STERILE SUPPLY|||Hb Impella Catheter|70000|37100|0|56000|0|63000|0|56560|50400|47376|0|70000|45640|0|25634|57295|43330|42210|0|0|0|54670|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31017|0|0|0|0|0|0|0|0|70000
HOSP OP|0301 - LAB/CHEMISTRY||82542|Hb Coenzyme Q10|160.88|85.27|120.66|128.7|136.75|144.79|136.75|129.99|115.83|108.88|0|160.88|31.08|32.52|22.6|131.68|29.53|28.74|31.71|26.50294695|120.66|125.65|24.81|26.98|24.81|50.37|51.4|26.88|24.14|25.77|51.4|26.98|26.50294695|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|160.88
HOSP OP|0301 - LAB/CHEMISTRY||83013|H. PYLORI BREATH TEST|54.2|28.73|40.65|43.36|46.07|48.78|46.07|43.79|39.02|36.68|0|54.2|54.2|54.2|54.2|44.36|54.2|54.2|54.2|74.09626719|40.65|42.33|54.2|54.2|54.2|54.2|54.2|54.2|54.2|54.2|54.2|75.43|74.09626719|75.43|0|0|0|51.57|54.2|54.2|54.2|54.2|54.2|54.2|54.2|0|75.43
HOSP OP|0320 - DX X-RAY||73120|XR HAND 2 VIEWS|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|278|220.09|278|227.54|278|278|214.59|142.5387446|208.5|217.12|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|272.44|240|213.64|123.86|230.29|216.45|120.25|123.85|0|278
HOSP OP|0761 - TREATMENT ROOM||49180|BIOPSY ABDOMINAL MASS|2065|1094.45|1548.75|1652|1755.25|1858.5|1755.25|1668.52|1486.8|1397.59|0|2065|1346.38|2065|756.2|1690.2|1278.24|1245.2|2065|1232.41282|1548.75|1612.77|1516.84|1649.38|1516.84|2065|2065|1095.8|1475.61|1113.3|2065|1254.596251|1232.41282|799.653026|0|0|1540.67|915|2065|2065|1516.84|2065|2065|1472.66|1516.67|0|2065
HOSP OP|0302 - LAB/IMMUNOLOGY||86481|T-SPOT TBTB GOLD|82.22|43.58|61.67|65.78|69.89|74|69.89|66.43|59.2|55.65|0|82.22|82.22|82.22|82.22|67.3|82.22|82.22|82.22|110|61.67|64.21|82.22|82.22|82.22|82.22|82.22|82.22|82.22|82.22|82.22|111.98|110|111.98|0|0|0|68.92|82.22|82.22|82.22|82.22|82.22|82.22|82.22|0|111.98
HOSP OP|0301 - LAB/CHEMISTRY||83020|HEMOGLOBIN QUANT BY ELP|29.04|15.39|21.78|23.23|24.68|26.14|24.68|23.46|20.91|19.65|0|29.04|29.04|19.31|27.26|23.77|29.04|29.04|18.83|36.48803536|21.78|22.68|13.26|14.41|13.26|29.04|29.04|24.93|12.9|25.27|29.04|37.14482|36.48803536|23.67532|0|0|0|20.02|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|37.14482
HOSP OP|0301 - LAB/CHEMISTRY||83021|HEMOGLOBIN QUANT BY HPLC|27.1|14.36|20.33|21.68|23.04|24.39|23.04|21.9|19.51|18.34|0|27.1|25.88|27.08|18.82|22.18|24.59|23.93|26.4|19.87229862|20.33|21.17|18.6|20.23|18.6|27.1|27.1|24.93|18.1|21.31|27.1|20.23|19.87229862|20.23|0|0|0|13.82|18.06|18.06|18.6|18.06|27.1|18.06|18.6|0|27.1
HOSP OP|0301 - LAB/CHEMISTRY||83068|Hb Unstable Hemoglobin|47.87|25.37|35.9|38.3|40.69|43.08|40.69|38.68|34.47|32.4|0|47.87|12.22|12.78|8.88|39.18|11.61|11.3|12.46|10.42239686|35.9|37.39|9.75|10.61|9.75|19.37|19.77|11.73|9.49|9.91|19.77|10.61|10.42239686|10.61|0|0|0|6.52|9.47|9.47|9.75|9.47|17.05|9.47|9.75|0|47.87
HOSP OP|0301 - LAB/CHEMISTRY||82664|IEF CONFIRM|55.8|29.57|41.85|44.64|47.43|50.22|47.43|45.09|40.18|37.77|0|55.8|55.8|55.8|55.8|45.67|55.8|55.8|55.8|67.65225933|41.85|43.58|55.8|55.8|55.8|55.8|55.8|55.8|55.8|55.8|55.8|68.87|67.65225933|68.87|0|0|0|42.38|55.8|55.8|55.8|55.8|55.8|55.8|55.8|0|68.87
HOSP OP|0301 - LAB/CHEMISTRY||83789|Hb Variant By Mass Spec|149.9|79.45|112.43|119.92|127.42|134.91|127.42|121.12|107.93|101.45|0|149.9|31.1|32.55|22.62|122.69|29.56|28.76|31.74|26.52259332|112.43|117.07|24.83|27|24.83|50.37|51.4|26.88|24.16|25.77|51.4|27|26.52259332|27|0|0|0|16.61|24.11|24.11|24.83|24.11|43.4|24.11|24.83|0|149.9
HOSP OP|0420 - PHYSICAL THERAPY||95992|PT CANALITH REPOSITIONING|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|150.44|106.79|135.05|165|165|146.68|180.9688851|123.75|128.87|39.08|42.49|39.08|119.14|121.57|58.65|38.02|60.95|121.57|184.226325|180.9688851|117.42195|0|0|34.98|161.7|41.73|41.73|39.08|41.73|68.29|37.94|39.08|0|184.226325
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93572|INTRAVAS PRESS MEAS ADDT'L|858|454.74|643.5|686.4|729.3|772.2|0|693.26|617.76|580.69|0|858|744|0|399.22|702.27|707|688|0|0|643.5|670.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|858
HOSP OP|0260 - IV THERAPY||96361|HYDRATION IV INF EA ADD HR|172|91.16|129|137.6|146.2|154.8|146.2|138.98|123.84|116.41|0|172|112.14|74.11|62.99|140.78|106.47|103.72|72.26|476.1688615|129|134.33|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|93.48|484.739901|476.1688615|308.962926|0|0|42.43|76.21|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|484.739901
HOSP OP|0260 - IV THERAPY||96366|IV INFUSION EA ADDLT HR|241|127.73|180.75|192.8|204.85|216.9|204.85|194.73|173.52|163.11|0|241|157.13|74.11|88.25|197.26|149.18|145.32|72.26|476.1688615|180.75|188.22|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|484.739901|476.1688615|308.962926|0|0|42.43|106.79|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|484.739901
HOSP OP|0260 - IV THERAPY||96372|INJECTION SQ OR IM|149|78.97|111.75|119.2|126.65|134.1|126.65|120.39|107.28|100.84|0|149|97.15|116.89|54.56|121.96|92.23|89.85|113.97|0|111.75|116.37|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|133.78|0|0|0|0|0|66.92|66.02|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|149
HOSP OP|0260 - IV THERAPY||96374|IV INJECTION / PUSH INITIAL|234|124.02|175.5|187.2|198.9|210.6|198.9|189.07|168.48|158.37|0|234|152.57|234|85.69|191.53|144.85|141.1|234|0|175.5|182.75|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|210.1|0|0|0|0|0|209.65|103.69|234|234|203.05|234|234|197.13|203.03|0|234
HOSP OP|0260 - IV THERAPY||96367|IV INFUSION SEQUENTIAL 1 HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|397.3664754|213.75|222.59|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|404.519072|397.3664754|257.831872|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|404.519072
HOSP OP|0260 - IV THERAPY||96375|IV INJ/PUSH EA SUBSEQUENT|176|93.28|132|140.8|149.6|158.4|149.6|142.21|126.72|119.12|0|176|114.75|74.11|64.45|144.06|108.94|106.13|72.26|0|132|137.46|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|0|0|0|0|0|42.43|77.99|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|176
HOSP OP|0260 - IV THERAPY||96360|HYDRATION IV INF 1ST HOUR|332|175.96|249|265.6|282.2|298.8|282.2|268.26|239.04|224.7|0|332|216.46|332|121.58|271.74|205.51|200.2|332|397.3664754|249|259.29|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|404.519072|397.3664754|257.831872|0|0|209.65|147.11|332|332|203.05|332|332|197.13|203.03|0|404.519072
HOSP OP|0260 - IV THERAPY||96365|IV INFUSION THERAPY 1ST HR|492|260.76|369|393.6|418.2|442.8|418.2|397.54|354.24|332.99|0|492|320.78|366.16|180.17|402.7|304.55|296.68|357|397.3664754|369|384.25|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|404.519072|397.3664754|257.831872|0|0|209.65|218.01|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|492
HOSP OP|0260 - IV THERAPY||96376|ADDTL IV PUSH SAME DRUG|194|102.82|145.5|155.2|164.9|174.6|0|156.75|139.68|131.3|0|194|126.49|0|71.04|158.79|120.09|116.98|0|6.915520629|145.5|151.51|0|0|0|0|0|0|0|0|0|7.04|6.915520629|7.04|0|0|0|85.96|0|0|0|0|0|0|0|0|194
HOSP OP|0483 - ECHOCARDIOLOGY||93306|Hb Echo W/doppler & Color Flow|1222|647.66|916.5|977.6|1038.7|1099.8|1038.7|987.38|879.84|827.05|0|1222|1122|973.2|629.6|1000.21|1161|1130|948.85|1016.839153|916.5|954.38|532.19|578.69|532.19|1157.63|1181.26|384.47|517.72|390.6|1181.26|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1222
HOSP OP|0410 - RESPIRATORY THERAPY||99465|NEWBORN RESUSCITATION|783|414.99|587.25|626.4|665.55|704.7|665.55|632.66|563.76|529.93|0|783|510.52|121.55|286.73|640.89|484.68|472.15|118.51|2116.423754|587.25|611.52|149.43|162.49|149.43|389.39|397.34|196.48|145.37|199.19|397.34|2154.519382|2116.423754|1373.244932|0|0|589.7|427.28|145.08|145.08|149.43|145.08|261.14|145.08|149.43|0|2154.519382
HOSP OP|0480 - CARDIOLOGY||93287|PERI-PROCEDURAL EVAL/PROG ICD|90|47.7|67.5|72|76.5|81|0|72.72|64.8|60.91|0|90|58.68|0|32.96|73.67|55.71|54.27|0|0|67.5|70.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.88|0|0|0|0|0|0|0|0|90
HOSP OP|0310 - PATHOLOGY LAB||88120|Hb Urovysion For Bladder Cancer|323.8|171.61|242.85|259.04|275.23|291.42|275.23|261.63|233.14|219.15|0|323.8|323.8|283.12|323.8|265.03|323.8|323.8|276.04|130.2975972|242.85|252.89|158.58|172.44|158.58|323.8|323.8|114.56|154.27|116.39|323.8|132.642954|130.2975972|84.543804|0|0|323.8|317.32|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|323.8
HOSP OP|0272 - STERILE SUPPLY||C1769|PREMIUM PCI GUIDEWIRE|1120|593.6|840|896|952|1008|0|904.96|806.4|758.02|0|1120|730.24|0|410.14|916.72|693.28|675.36|0|0|840|874.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|496.27|0|0|0|0|0|0|0|0|1120
HOSP OP|0341 - NUC MED/DX||78803|NM RP TUMOR LOC SPECT|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|891.09|747.53|2792.72|1386|1349|868.8|1728.473546|2559|2664.77|1405.88|1528.72|1405.88|3058.1|3120.51|1015.64|1367.66|1031.86|3120.51|1759.58607|1728.473546|1121.52282|0|0|510.22|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|3412
HOSP OP|0450 - EMERGENCY ROOM||40804|REMOVAL FOREIGN BODY/VESTIBULE MOUMOUTH|1133|600.49|849.75|906.4|963.05|1019.7|963.05|915.46|815.76|766.81|0|1133|0|501.86|0|927.36|0|0|489.31|311.6195923|849.75|884.87|122.56|133.27|122.56|523.07|533.74|253.66|119.23|267.57|533.74|317.228745|311.6195923|202.19487|0|0|0|0|118.99|118.99|122.56|118.99|214.18|118.99|122.56|0|1133
HOSP OP|0831 - PERTNL.COMPOSITE||90945|PERITONEAL DIALYSIS|1238|656.14|928.5|990.4|1052.3|1114.2|1052.3|1000.3|891.36|837.88|0|1238|807.18|704.96|453.36|1013.3|766.32|746.51|687.32|459.8669489|928.5|966.88|388.76|422.73|388.76|845.63|862.89|280.85|378.19|285.33|862.89|468.144554|459.8669489|298.385404|0|0|403.64|548.56|753.28|670.55|388.76|722.8|679.38|377.44|388.71|0|1238
HOSP OP|0483 - ECHOCARDIOLOGY||93306|PEDS ECHO W/DOPPLER & COLOR FL|1222|647.66|916.5|977.6|1038.7|1099.8|1038.7|987.38|879.84|827.05|0|1222|1122|973.2|629.6|1000.21|1161|1130|948.85|1016.839153|916.5|954.38|532.19|578.69|532.19|1157.63|1181.26|384.47|517.72|390.6|1181.26|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1222
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Drvvt Mix - Mayo|41.95|22.23|31.46|33.56|35.66|37.76|35.66|33.9|30.2|28.39|0|41.95|13.73|14.36|9.98|34.34|13.04|12.69|14|10.54027505|31.46|32.76|9.87|10.73|9.87|22.28|22.73|13.2|9.6|11.4|22.73|10.73|10.54027505|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|41.95
HOSP OP|0483 - ECHOCARDIOLOGY||C8925|TRANESOPHAGEAL W/CONTRAST|1730|916.9|1297.5|1384|1470.5|1557|1470.5|1397.84|1245.6|1170.86|0|1730|1122|1353.22|629.6|1416.01|1161|1130|1319.37|1016.839153|1297.5|1351.13|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|1035.142258|1016.839153|659.777708|0|0|774.82|1023.03|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|1730
HOSP OP|0483 - ECHOCARDIOLOGY||C8929|TTE W/CONTRAST DOPPLER & COLOR|1498|793.94|1123.5|1198.4|1273.3|1348.2|1273.3|1210.38|1078.56|1013.85|0|1498|1122|1353.22|629.6|1226.11|1161|1130|1319.37|0|1123.5|1169.94|752.37|818.11|752.37|1498|1498|543.52|731.91|552.2|1498|0|0|0|0|0|774.82|1023.03|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|1498
HOSP OP|0351 - CT SCAN/HEAD||0042T|CEREBRAL PERFUSION STUDY|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|423|236.88|423|346.23|423|423|230.96|264.3123772|317.25|330.36|169.2|0|169.2|423|423|301.07|169.2|305.23|423|269.07|264.3123772|269.07|0|0|0|414.54|0|0|169.2|0|211.5|169.2|169.2|0|423
HOSP OP|0710 - RECOVERY ROOM|||RECOVERY MINIMAL|222|117.66|0|177.6|0|199.8|0|179.38|159.84|150.25|0|222|144.74|0|81.3|181.71|137.42|133.87|0|0|0|173.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.37|0|0|0|0|0|0|0|0|222
HOSP OP|0301 - LAB/CHEMISTRY||82565|Hb Poct Creatinine|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|7.34|7.68|5.34|22.1|6.98|6.79|7.49|5.117878193|20.25|21.09|5.27|5.73|5.27|11.62|11.86|7.33|5.13|5.95|11.86|5.21|5.117878193|5.21|0|0|0|3.92|5.12|5.12|5.27|5.12|9.22|5.12|5.27|0|27
HOSP OP|0306 - LAB/BACT-MICRO||87015|CONCENTRATION FOR INFECTIOUS AGNT|22.1|11.71|16.58|17.68|18.79|19.89|18.79|17.86|15.91|14.96|0|22.1|9.57|10.02|6.96|18.09|9.1|8.85|9.77|7.347740668|16.58|17.26|6.88|7.48|6.88|15.49|15.81|9.29|6.69|7.93|15.81|7.48|7.347740668|7.48|0|0|0|5.11|6.68|6.68|6.88|6.68|12.02|6.68|6.88|0|22.1
HOSP OP|0480 - CARDIOLOGY||93279|PPM Programming Single|229|121.37|171.75|183.2|194.65|206.1|194.65|185.03|164.88|154.99|0|229|149.31|72.7|83.86|187.44|141.75|138.09|70.88|127.6492721|171.75|178.85|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|101.47|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|229
HOSP OP|0480 - CARDIOLOGY||93280|PPM Programming dual|270|143.1|202.5|216|229.5|243|229.5|218.16|194.4|182.74|0|270|176.04|72.7|98.87|221|167.13|162.81|70.88|127.6492721|202.5|210.87|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|119.64|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|270
HOSP OP|0480 - CARDIOLOGY||93282|ICD Programming single|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|72.7|101.44|226.72|171.46|167.03|70.88|127.6492721|207.75|216.34|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|122.74|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|277
HOSP OP|0480 - CARDIOLOGY||93283|ICD Programming Dual|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|72.7|101.44|226.72|171.46|167.03|70.88|127.6492721|207.75|216.34|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|122.74|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|277
HOSP OP|0480 - CARDIOLOGY||93281|PPM PROGRAMMING MULTI-LEAD|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|72.7|101.44|226.72|171.46|167.03|70.88|127.6492721|207.75|216.34|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|122.74|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|277
HOSP OP|0480 - CARDIOLOGY||93284|ICD PROGRAMMING MULTI-LEAD|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|180.6|72.7|101.44|226.72|171.46|167.03|70.88|127.6492721|207.75|216.34|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|122.74|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|277
HOSP OP|0480 - CARDIOLOGY||93286|Peri-Procedural Eval/Prog PM|70|37.1|52.5|56|59.5|63|0|56.56|50.4|47.38|0|70|45.64|0|25.63|57.3|43.33|42.21|0|0|52.5|54.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.02|0|0|0|0|0|0|0|0|70
HOSP OP|0480 - CARDIOLOGY||93288|Interrogation PPM|209|110.77|156.75|167.2|177.65|188.1|177.65|168.87|150.48|141.45|0|209|136.27|72.7|76.54|171.07|129.37|126.03|70.88|127.6492721|156.75|163.23|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|92.61|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|209
HOSP OP|0480 - CARDIOLOGY||93289|Interrogation ICD|198|104.94|148.5|158.4|168.3|178.2|168.3|159.98|142.56|134.01|0|198|129.1|72.7|72.51|162.06|122.56|119.39|70.88|127.6492721|148.5|154.64|40.06|43.56|40.06|87.14|88.92|28.94|38.97|29.4|88.92|129.946959|127.6492721|82.825434|0|0|41.62|87.73|77.63|69.1|40.06|74.48|70.01|38.89|40.06|0|198
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93978|DUPLEX AORTA/IVC/BYPAS COMP|572|303.16|429|457.6|486.2|514.8|486.2|462.18|411.84|387.13|0|572|372.94|451.03|209.47|468.18|354.07|344.92|439.74|262.0664862|429|446.73|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|266.783683|262.0664862|170.042258|0|0|258.25|253.45|499|444.2|257.53|478.81|450.05|250.03|257.5|0|572
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93979|DUPLE AORTA/IVC/BYPAS LIMIT|388|205.64|291|310.4|329.8|349.2|329.8|313.5|279.36|262.6|0|388|252.98|220.09|142.09|317.58|240.17|233.96|214.59|262.0664862|291|303.03|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|171.92|240|213.64|123.86|230.29|216.45|120.25|123.85|0|388
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90686|INFLUENZA VIRUS VACCINE 3 YRS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02750491|0|0|0|0|0|0|0|0|0|0|0|19.37|19.02750491|19.37|0|0|0|0|0|0|0|0|0|0|0|0|19.37
HOSP OP|0301 - LAB/CHEMISTRY||84481|T3 FREE|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|24.28|25.41|17.65|55.66|23.07|22.45|24.77|18.6345776|51|53.11|17.45|18.97|17.45|38.75|39.54|23.46|16.97|19.82|39.54|18.97|18.6345776|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|68
HOSP OP|0480 - CARDIOLOGY||93291|INTERROGATION LOOP RECORDER|128|67.84|96|102.4|108.8|115.2|108.8|103.42|92.16|86.63|0|128|83.46|33.59|46.87|104.77|79.23|77.18|32.75|127.6492721|96|99.97|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|129.946959|127.6492721|82.825434|0|0|19.22|56.72|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|129.946959
HOSP OP|0480 - CARDIOLOGY||93285|LOOP RECORDER PROGRAMMING ILR|109|57.77|81.75|87.2|92.65|98.1|92.65|88.07|78.48|73.77|0|109|71.07|74.62|39.92|89.22|67.47|65.73|72.75|127.6492721|81.75|85.13|28.73|31.24|28.73|109|109|58.16|27.95|67.39|109|129.946959|127.6492721|82.825434|0|0|41.62|48.3|27.89|27.89|28.73|27.89|50.2|27.89|28.73|0|129.946959
HOSP OP|0301 - LAB/CHEMISTRY||84425|VITAMINE B1 / THIAMINE|50.93|26.99|38.2|40.74|43.29|45.84|43.29|41.15|36.67|34.47|0|50.93|30.43|31.85|22.13|41.69|28.92|28.14|31.05|23.3497053|38.2|39.78|21.87|23.78|21.87|48.43|49.42|29.32|21.27|24.78|49.42|23.77|23.3497053|23.77|0|0|0|16.25|21.23|21.23|21.87|21.23|38.21|21.23|21.87|0|50.93
HOSP OP|0302 - LAB/IMMUNOLOGY||87581|MYCOPLASMA PNEUMONIAE AMP PROBE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.59528487|0|0|0|0|0|0|0|0|0|0|0|39.29|38.59528487|39.29|0|0|0|0|0|0|0|0|0|0|0|0|39.29
HOSP OP|0350 - CT SCAN||72127|CT CERVICAL SPINE WO & W|1188|629.64|891|950.4|1009.8|1069.2|1009.8|959.9|855.36|804.04|0|1188|1158|394.64|605.81|972.38|1101|1072|384.77|511.5387151|891|927.83|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|520.746412|511.5387151|331.912712|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1188
HOSP OP|0942 - EDUC/TRAINING||99406|Hb Tobacco Cessation 3-10 Min|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|33.25|51|18.68|41.74|31.57|30.75|51|35.31100196|38.25|39.83|30.19|32.83|30.19|51|51|21.81|29.37|22.16|51|35.9466|35.31100196|22.9116|0|0|37.39|22.6|51|51|30.19|51|51|29.31|30.19|0|51
HOSP OP|0942 - EDUC/TRAINING||99407|Hb Tobacco Cessation > 10 Min|86|45.58|64.5|68.8|73.1|77.4|73.1|69.49|61.92|58.2|0|86|56.07|31.29|31.49|70.39|53.23|51.86|30.51|35.31100196|64.5|67.17|26.4|28.71|26.4|74.59|76.11|37.14|25.68|38.15|76.11|35.9466|35.31100196|22.9116|0|0|37.39|38.11|25.63|25.63|26.4|25.63|46.13|25.63|26.4|0|86
HOSP OP|0260 - IV THERAPY||96368|CONCURRENT INFUSION|192|101.76|144|153.6|163.2|172.8|0|155.14|138.24|129.95|0|192|125.18|0|70.31|157.15|118.85|115.78|0|397.3664754|144|149.95|0|0|0|0|0|0|0|0|0|404.519072|397.3664754|257.831872|0|0|0|85.08|0|0|0|0|0|0|0|0|404.519072
HOSP OP|0361 - OR/MINOR||50593|Hb Cyroablation Renal Tumor U*|14619|7748.07|10964.25|11695.2|12426.15|13157.1|12426.15|11812.15|10525.68|9894.14|0|14619|6710|14619|3543.04|11965.65|6374|6206|14619|5876.515799|10964.25|11417.44|9297.22|10109.6|9297.22|14619|14619|6716.49|9044.48|6823.75|14619|5982.293083|5876.515799|3812.986658|0|0|8671.21|5281.42|14619|14619|9297.22|14619|14619|9026.43|9296.19|0|14619
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|ANIMAL COW DANDER|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.48|7.83|5.44|33.56|7.11|6.92|7.63|5.736738703|30.75|32.02|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|41
HOSP OP|0306 - LAB/BACT-MICRO||87801|LEGIONELLA PCR|74.2|39.33|55.65|59.36|63.07|66.78|63.07|59.95|53.42|50.22|0|74.2|74.2|74.2|73.15|60.73|74.2|74.2|74.2|70.19646365|55.65|57.95|72.31|74.2|72.31|74.2|74.2|74.2|70.34|74.2|74.2|71.46|70.19646365|71.46|0|0|0|53.75|70.2|70.2|72.31|70.2|74.2|70.2|72.31|0|74.2
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93976|DUPL ABD/PELV/SCROT LIMITED|544|288.32|408|435.2|462.4|489.6|462.4|439.55|391.68|368.18|0|544|354.69|220.09|199.21|445.26|336.74|328.03|214.59|262.0664862|408|424.86|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|241.05|240|213.64|123.86|230.29|216.45|120.25|123.85|0|544
HOSP OP|0301 - LAB/CHEMISTRY||81340|Hb T-cell Antigen Receptor Beta|249.7|132.34|187.28|199.76|212.25|224.73|212.25|201.76|179.78|169|0|249.7|249.7|249.7|217.74|204.38|249.7|249.7|249.7|229.8133595|187.28|195.02|215.19|233.99|215.19|249.7|249.7|249.7|209.34|249.7|249.7|233.95|229.8133595|233.95|0|0|249.7|159.99|208.92|208.92|215.19|208.92|249.7|208.92|215.19|0|249.7
HOSP OP|0301 - LAB/CHEMISTRY||82533|CORTISOL SALIVA|77.9|41.29|58.43|62.32|66.22|70.11|66.22|62.94|56.09|52.72|0|77.9|23.36|24.45|16.99|63.76|22.2|21.61|23.84|17.92730845|58.43|60.84|16.79|18.26|16.79|37.78|38.55|22.48|16.33|19.32|38.55|18.25|17.92730845|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|77.9
HOSP OP|0335 - CHEMOTHERAPY/IV||96415|CHEMO INFUSION ADDTL HOURS|388|205.64|291|310.4|329.8|349.2|329.8|313.5|279.36|262.6|0|388|252.98|116.89|142.09|317.58|240.17|233.96|113.97|476.1688615|291|303.03|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|484.739901|476.1688615|308.962926|0|0|66.92|171.92|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|484.739901
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||96375|IV INJ/PUSH EA SUBSEQUENT|177|93.81|132.75|141.6|150.45|159.3|150.45|143.02|127.44|119.79|0|177|115.4|74.11|64.82|144.87|109.56|106.73|72.26|0|132.75|138.24|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|0|0|0|0|0|42.43|78.43|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|177
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|NUT: PINE NUT|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|7.48|7.83|5.44|45.84|7.11|6.92|7.63|5.736738703|42|43.74|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|56
HOSP OP|0301 - LAB/CHEMISTRY||83520|INTERLEUKIN 6|119.2|63.18|89.4|95.36|101.32|107.28|101.32|96.31|85.82|80.67|0|119.2|22.28|23.31|16.2|97.57|21.17|20.6|22.73|17.26915521|89.4|93.1|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|119.2
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|ALLODERM PER SQ CENTIMETER|84|44.52|63|67.2|71.4|75.6|0|67.87|60.48|56.85|0|84|54.77|0|30.76|68.75|52|50.65|0|31.03143418|63|65.6|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|37.22|0|0|0|0|0|0|0|0|84
HOSP OP|0301 - LAB/CHEMISTRY||81342|Hb T-cell Antigen Receptor Gamma|241.25|127.86|180.94|193|205.06|217.13|205.06|194.93|173.7|163.28|0|241.25|241.25|241.25|210|197.46|241.25|241.25|241.25|221.6502947|180.94|188.42|207.55|225.68|207.55|241.25|241.25|241.25|201.9|241.25|241.25|225.64|221.6502947|225.64|0|0|241.25|154.3|201.5|201.5|207.55|201.5|241.25|201.5|207.55|0|241.25
HOSP OP|0260 - IV THERAPY||96367|TH/PRO/DIAG NEW SEQ 1 ST HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|397.3664754|213.75|222.59|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|404.519072|397.3664754|257.831872|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|404.519072
HOSP OP|0300 - LABORATORY||36591|BLOOD DRAW IMPLANTED PORT|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|21.59856287|116.25|121.06|120.49|131.02|120.49|155|155|87.04|117.21|88.43|155|21.987337|21.59856287|14.014262|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0300 - LABORATORY||36592|BLOOD DRAW CENTRAL/PICC LINE|185|98.05|138.75|148|157.25|166.5|157.25|149.48|133.2|125.21|0|185|55.52|185|40.37|151.42|52.77|51.35|185|21.59856287|138.75|144.49|120.49|131.02|120.49|185|185|87.04|117.21|88.43|185|21.987337|21.59856287|14.014262|0|0|119.27|29.66|185|185|120.49|185|185|116.98|120.47|0|185
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||96523|PORT FLUSH|238|126.14|178.5|190.4|202.3|214.2|202.3|192.3|171.36|161.08|0|238|155.18|109.35|87.16|194.8|147.32|143.51|106.61|311.6195923|178.5|185.88|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|317.228745|311.6195923|202.19487|0|0|62.6|105.46|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||27842|CLOSED TX ANKLE W/ANESTH|3150|1669.5|2362.5|2520|2677.5|2835|2677.5|2545.2|2268|2131.92|0|3150|0|915.86|0|2578.28|0|0|892.96|2696.760072|2362.5|2460.15|501.84|545.69|501.84|1297.97|1324.46|658.83|488.19|663.97|1324.46|2745.301753|2696.760072|1749.797078|0|0|0|0|487.22|487.22|501.84|487.22|877|487.22|501.84|0|3150
HOSP OP|0306 - LAB/BACT-MICRO||87906|Hb Hiv-1 Integrase Genotype|409.2|216.88|306.9|327.36|347.82|368.28|347.82|330.63|294.62|276.95|0|409.2|184.51|193.09|134.16|334.93|175.35|170.63|188.26|141.6011788|306.9|319.59|132.59|144.18|132.59|296.4|302.45|178.39|128.99|151.62|302.45|144.15|141.6011788|144.15|0|0|0|98.57|128.73|128.73|132.59|128.73|231.71|128.73|132.59|0|409.2
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcal Antigen Screen Csf|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|20.73|21.69|15.07|54.54|19.7|19.17|21.15|16.07072692|49.97|52.04|16.55|18|16.55|32.94|33.61|18.08|16.1|16.85|33.61|16.36|16.07072692|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|66.63
HOSP OP|0272 - STERILE SUPPLY||C1887|BSCI GUIDING CATHETERS|980|519.4|735|784|833|882|0|791.84|705.6|663.26|0|980|638.96|0|358.88|802.13|606.62|590.94|0|0|735|765.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|434.24|0|0|0|0|0|0|0|0|980
HOSP OP|0272 - STERILE SUPPLY||C1769|BSCI PTCA GUIDEWIRES|1120|593.6|840|896|952|1008|0|904.96|806.4|758.02|0|1120|730.24|0|410.14|916.72|693.28|675.36|0|0|840|874.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|496.27|0|0|0|0|0|0|0|0|1120
HOSP OP|0272 - STERILE SUPPLY||C1725|BSCI PTCA BALLOON|266|140.98|199.5|212.8|226.1|239.4|0|214.93|191.52|180.03|0|266|173.43|0|97.41|217.72|164.65|160.4|0|0|199.5|207.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.86|0|0|0|0|0|0|0|0|266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|BSCI DES STENTS|3136|1662.08|2352|2508.8|2665.6|2822.4|0|2533.89|2257.92|2122.44|0|3136|2044.67|0|1148.4|2566.82|1941.18|1891.01|0|0|2352|2449.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1389.56|0|0|0|0|0|0|0|0|3136
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|BSCI STENTS|1867|989.51|1400.25|1493.6|1586.95|1680.3|0|1508.54|1344.24|1263.59|0|1867|1217.28|0|683.7|1528.14|1155.67|1125.8|0|0|1400.25|1458.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|827.27|0|0|0|0|0|0|0|0|1867
HOSP OP|0272 - STERILE SUPPLY||C1884|BSCI FILTERWIRE|3640|1929.2|2730|2912|3094|3276|0|2941.12|2620.8|2463.55|0|3640|2373.28|0|1332.97|2979.34|2253.16|2194.92|0|0|2730|2842.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1612.88|0|0|0|0|0|0|0|0|3640
HOSP OP|0306 - LAB/BACT-MICRO||87210|CRYPTOCOCCUS SCREEN BY INDIA INK|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.51|7.86|5.46|25.37|7.14|6.94|7.66|5.815324165|23.25|24.21|5.99|6.52|5.99|11.62|11.86|6.35|5.83|5.95|11.86|5.92|5.815324165|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|31
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Urine|221|117.13|165.75|176.8|187.85|198.9|187.85|178.57|159.12|149.57|0|221|50.3|52.64|36.57|180.89|47.8|46.52|51.32|38.59528487|165.75|172.6|36.14|39.3|36.14|221|221|67.94|35.16|137.75|221|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|221
HOSP OP|0301 - LAB/CHEMISTRY||84112|Hb Amnisure; Eval Of Cervicovaginal Fluid|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|118|118|92.03|96.58|118|117.05|118|107.9174853|88.5|92.16|101.05|109.88|101.05|118|118|109.97|98.31|104.06|118|109.86|107.9174853|109.86|0|0|0|67.61|98.11|98.11|101.05|98.11|118|98.11|101.05|0|118
HOSP OP|0300 - LABORATORY||81229|Hb Chromosomal Microarray Congenital Blood|1424.2|754.83|1068.15|1139.36|1210.57|1281.78|1210.57|1150.75|1025.42|963.9|0|1424.2|1424.2|1424.2|1088.08|1165.71|1422.16|1383.88|1424.2|1276.001965|1068.15|1112.3|1194.8|1299.2|1194.8|1424.2|1424.2|422.77|1162.32|1319.02|1424.2|1298.97|1276.001965|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1424.2|1160|1194.8|0|1424.2
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Urine|222|117.66|166.5|177.6|188.7|199.8|188.7|179.38|159.84|150.25|0|222|50.3|52.64|36.57|181.71|47.8|46.52|51.32|38.59528487|166.5|173.38|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|222
HOSP OP|0301 - LAB/CHEMISTRY||82172|Hb Apolipoprotein|73.83|39.13|55.37|59.06|62.76|66.45|62.76|59.65|53.16|49.97|0|73.83|27.21|28.47|19.78|60.43|25.86|25.16|27.76|23.20235756|55.37|57.66|21.72|23.62|21.72|43.59|44.48|23.46|21.13|22.3|44.48|23.62|23.20235756|23.62|0|0|0|14.53|21.09|21.09|21.72|21.09|37.96|21.09|21.72|0|73.83
HOSP OP|0301 - LAB/CHEMISTRY||82247|Hb Bilirubin Total|26.57|14.08|19.93|21.26|22.58|23.91|22.58|21.47|19.13|17.98|0|26.57|7.19|7.52|5.22|21.75|6.83|6.65|7.33|5.019646365|19.93|20.75|5.17|5.62|5.17|11.62|11.86|6.84|5.03|5.95|11.86|5.11|5.019646365|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|26.57
HOSP OP|0301 - LAB/CHEMISTRY||82977|Hb Ggt|36.41|19.3|27.31|29.13|30.95|32.77|30.95|29.42|26.22|24.64|0|36.41|10.32|10.8|7.5|29.8|9.81|9.54|10.53|7.200392927|27.31|28.44|7.42|8.06|7.42|16.46|16.8|9.77|7.21|8.42|16.8|7.33|7.200392927|7.33|0|0|0|5.5|7.2|7.2|7.42|7.2|12.96|7.2|7.42|0|36.41
HOSP OP|0301 - LAB/CHEMISTRY||83010|Hb Haptoglobin; Quantitative|57.5|30.47|43.13|46|48.88|51.75|48.88|46.46|41.4|38.92|0|57.5|18.02|18.86|13.1|47.06|17.13|16.67|18.39|13.84086444|43.13|44.91|12.96|14.09|12.96|29.06|29.65|17.59|12.61|14.87|29.65|14.09|13.84086444|14.09|0|0|0|9.62|12.58|12.58|12.96|12.58|22.64|12.58|12.96|0|57.5
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Nephelometry Each Analyte Nes|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|19.49|20.4|14.17|50.75|18.52|18.03|19.89|14.96070727|46.5|48.42|14.01|15.23|14.01|31|31.63|19.06|13.63|15.86|31.63|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|62
HOSP OP|0301 - LAB/CHEMISTRY||84460|Hb Alt/sgpt|27.89|14.78|20.92|22.31|23.71|25.1|23.71|22.54|20.08|18.88|0|27.89|7.6|7.95|5.52|22.83|7.22|7.03|7.75|5.304518664|20.92|21.78|5.46|5.94|5.46|12.59|12.85|7.33|5.31|6.44|12.85|5.4|5.304518664|5.4|0|0|0|4.05|5.3|5.3|5.46|5.3|9.54|5.3|5.46|0|27.89
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Translum Angio Non Laser Choc Balloon 40 Or 80 Cm|2240|1187.2|1680|1792|1904|2016|0|1809.92|1612.8|1516.03|0|2240|1460.48|0|820.29|1833.44|1386.56|1350.72|0|0|1680|1749.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|992.54|0|0|0|0|0|0|0|0|2240
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Translum Angio Non Laser Choc Balloon 120 Cm|2240|1187.2|1680|1792|1904|2016|0|1809.92|1612.8|1516.03|0|2240|1460.48|0|820.29|1833.44|1386.56|1350.72|0|0|1680|1749.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|992.54|0|0|0|0|0|0|0|0|2240
HOSP OP|0272 - STERILE SUPPLY||C1876|Hb Stent Visipro Non Coated Non Cov W Del Syst|1515|802.95|1136.25|1212|1287.75|1363.5|0|1224.12|1090.8|1025.35|0|1515|987.78|0|554.79|1240.03|937.79|913.55|0|0|1136.25|1183.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.3|0|0|0|0|0|0|0|0|1515
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Cath Transluminal Angioplasty Non Laser Nanocross|238|126.14|178.5|190.4|202.3|214.2|0|192.3|171.36|161.08|0|238|155.18|0|87.16|194.8|147.32|143.51|0|0|178.5|185.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.46|0|0|0|0|0|0|0|0|238
HOSP OP|0272 - STERILE SUPPLY||C1887|Hb Catheter Guiding Viance|4357|2309.21|3267.75|3485.6|3703.45|3921.3|0|3520.46|3137.04|2948.82|0|4357|2840.76|0|1595.53|3566.2|2696.98|2627.27|0|0|3267.75|3402.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1930.59|0|0|0|0|0|0|0|0|4357
HOSP OP|0300 - LABORATORY||81340|Hb T Cell Beta Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|217.74|199.53|243.77|243.77|243.77|229.8133595|182.83|190.38|215.19|233.99|215.19|243.77|243.77|243.77|209.34|243.77|243.77|233.95|229.8133595|233.95|0|0|243.77|159.99|208.92|208.92|215.19|208.92|243.77|208.92|215.19|0|243.77
HOSP OP|0300 - LABORATORY||81342|Hb T Cell Gamma Pcr|243.77|129.2|182.83|195.02|207.2|219.39|207.2|196.97|175.51|164.98|0|243.77|243.77|243.77|210|199.53|243.77|243.77|243.77|221.6502947|182.83|190.38|207.55|225.68|207.55|243.77|243.77|243.77|201.9|243.77|243.77|225.64|221.6502947|225.64|0|0|243.77|154.3|201.5|201.5|207.55|201.5|243.77|201.5|207.55|0|243.77
HOSP OP|0302 - LAB/IMMUNOLOGY||86902|Hb Mbc Unit Antigen Test (donor)|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|8.19|186|5.96|152.24|7.79|7.58|186|6.99410609|139.5|145.27|186|340.56|186|186|186|186|186|186|186|7.12|6.99410609|7.12|0|0|7.1|4.37|186|186|313.19|186|186|304.07|186|0|340.56
HOSP OP|0301 - LAB/CHEMISTRY||81479|Hb Severe Combined Immune Deficiency|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|11.51|9.76|8.4|14.26|10.94|10.64|9.51|183.4406552|13.07|13.61|6.97|0|6.97|17.42|17.42|17.42|6.97|17.42|17.42|186.742587|183.4406552|119.025762|0|0|6.97|8.31|0|0|6.97|0|8.71|6.97|6.97|0|186.742587
HOSP OP|0301 - LAB/CHEMISTRY||82760|Hb Galactose|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|16.05|16.79|11.67|14.26|15.25|14.84|16.37|12.31827112|13.07|13.61|11.54|12.54|11.54|17.42|17.42|15.64|11.22|13.38|17.42|12.54|12.31827112|12.54|0|0|0|8.57|11.2|11.2|11.54|11.2|17.42|11.2|11.54|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||83021|Hb Hemoglobin Fract/quant; Elp|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|19.87229862|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|20.23|19.87229862|20.23|0|0|0|13.82|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|20.23
HOSP OP|0300 - LABORATORY||81228|Hb Cgh Genetic Hybridization|1822.49|965.92|1366.87|1457.99|1549.12|1640.24|1549.12|1472.57|1312.19|1233.46|0|1822.49|1161|1215|844.2|1491.71|1103.4|1073.7|1184.63|990|1366.87|1423.36|927|1008|927|1822.49|1822.49|242.91|901.8|1023.21|1822.49|1007.82|990|1007.82|0|0|1008.06|620.29|900|900|927|900|1620|900|927|0|1822.49
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl 1 Gene Major Bp|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|203|170.88|166.16|203|203|203|180.3634578|152.25|158.54|168.88|183.64|168.88|203|203|203|164.29|203|203|183.61|180.3634578|183.61|0|0|203|125.55|163.96|163.96|168.88|163.96|203|163.96|168.88|0|203
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl 1 Gene Minor Bp|115.99|61.47|86.99|92.79|98.59|104.39|98.59|93.72|83.51|78.5|0|115.99|115.99|115.99|115.99|94.94|115.99|115.99|115.99|159.3222004|86.99|90.59|115.99|115.99|115.99|115.99|115.99|115.99|115.99|115.99|115.99|162.19|159.3222004|162.19|0|0|115.99|110.91|115.99|115.99|115.99|115.99|115.99|115.99|115.99|0|162.19
HOSP OP|0300 - LABORATORY||81208|Hb Bcr/abl 1 Gene Other Bp|127.97|67.82|95.98|102.38|108.77|115.17|108.77|103.4|92.14|86.61|0|127.97|127.97|127.97|127.97|104.74|127.97|127.97|127.97|236.0805501|95.98|99.94|127.97|127.97|127.97|127.97|127.97|127.97|127.97|127.97|127.97|240.33|236.0805501|240.33|0|0|127.97|125.41|127.97|127.97|127.97|127.97|127.97|127.97|127.97|0|240.33
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37236|Hb Stent Excl Fem Il Pop Car Initial|22440|11893.2|16830|17952|19074|20196|19074|18131.52|16156.8|15187.39|0|22440|10335|18914.77|6686.86|18367.14|9818|9560|18441.6|17693.81342|16830|17525.64|10949.73|11906.51|10949.73|22440|22440|7910.3|10652.07|8036.62|22440|18012.30206|17693.81342|11480.65909|0|0|10830.06|7176.31|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|22440
HOSP OP|0361 - OR/MINOR||37237|Hb Stent Excl Fem Il Pop Car Add'l|2134|1131.02|1600.5|1707.2|1813.9|1920.6|0|1724.27|1536.48|1444.29|0|2134|2134|0|2134|1746.68|2134|2134|0|17693.81342|1600.5|1666.65|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|2091.32|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37238|Hb Transcath Stent Open/perc Initial Vein|20119|10663.07|15089.25|16095.2|17101.15|18107.1|17101.15|16256.15|14485.68|13616.54|0|20119|10335|18914.77|6686.86|16467.4|9818|9560|18441.6|9886.02122|15089.25|15712.94|10949.73|11906.51|10949.73|20119|20119|7910.3|10652.07|8036.62|20119|10063.9696|9886.02122|6414.560652|0|0|10830.06|6434.06|20119|18886.61|10949.73|20119|19135.45|10630.81|10948.51|0|20119
HOSP OP|0361 - OR/MINOR||37241|Hb Vascular Embo Venous Ot Than Hemorrhage|15872|8412.16|11904|12697.6|13491.2|14284.8|13491.2|12824.58|11427.84|10742.17|0|15872|10335|15872|6686.86|12991.23|9818|9560|15872|16446.51113|11904|12396.03|10949.73|11906.51|10949.73|15872|15872|7910.3|10652.07|8036.62|15872|16742.54833|16446.51113|10671.345|0|0|10830.06|8191.09|15872|15872|10949.73|15872|15872|10630.81|10948.51|0|16742.54833
HOSP OP|0361 - OR/MINOR||37242|Hb Vascular Embo Arterial Ot Than Hemorrhage|19644|10411.32|14733|15715.2|16697.4|17679.6|16697.4|15872.35|14143.68|13295.06|0|19644|10335|18914.77|6686.86|16078.61|9818|9560|18441.6|16446.51113|14733|15341.96|10949.73|11906.51|10949.73|19644|19644|7910.3|10652.07|8036.62|19644|16742.54833|16446.51113|10671.345|0|0|10830.06|8191.09|19644|18886.61|10949.73|19644|19135.45|10630.81|10948.51|0|19644
HOSP OP|0361 - OR/MINOR||37243|Hb Vascular Embo For Tumorischemia Infarction|26227|13900.31|19670.25|20981.6|22292.95|23604.3|22292.95|21191.42|18883.44|17750.43|0|26227|10335|18914.77|6686.86|21466.8|9818|9560|18441.6|16446.51113|19670.25|20483.29|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|16742.54833|16446.51113|10671.345|0|0|10830.06|8387.39|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|26227
HOSP OP|0361 - OR/MINOR||37244|Hb Vascular Embo For Arterial Or Venous Hemorra|26119|13843.07|19589.25|20895.2|22201.15|23507.1|22201.15|21104.15|18805.68|17677.34|0|26119|10335|18914.77|6686.86|21378.4|9818|9560|18441.6|16446.51113|19589.25|20398.94|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|16742.54833|16446.51113|10671.345|0|0|10830.06|8352.86|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|26119
HOSP OP|0361 - OR/MINOR||10030|Hb Image Guided Drainage By Cath Soft Tissue|2699|1430.47|2024.25|2159.2|2294.15|2429.1|2294.15|2180.79|1943.28|1826.68|0|2699|2699|1133.32|598.82|2209.13|2699|2699|1104.96|2821.054799|2024.25|2107.92|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|2871.833785|2821.054799|1830.44591|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|2871.833785
HOSP OP|0361 - OR/MINOR||49405|Hb Image Guided Drainage By Cath Visceral|3410|1807.3|2557.5|2728|2898.5|3069|2898.5|2755.28|2455.2|2307.89|0|3410|0|2398.58|0|2791.09|0|0|2338.59|970.169779|2557.5|2663.21|204.5|222.36|204.5|2317.94|2365.24|1121.19|198.94|1185.73|2365.24|987.632835|970.169779|629.49621|0|0|0|0|198.54|198.54|204.5|198.54|357.37|198.54|204.5|0|3410
HOSP OP|0310 - PATHOLOGY LAB||0058U|Hb Onc Merkel Cell Carc Detcj Ab Quan|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|355.2554028|0|0|0|0|0|0|0|0|0|0|0|361.65|355.2554028|361.65|0|0|0|0|0|0|0|0|0|0|0|0|361.65
HOSP OP|0361 - OR/MINOR||49406|Hb Ct Abd Drainage|4172|2211.16|3129|3337.6|3546.2|3754.8|3546.2|3370.98|3003.84|2823.61|0|4172|2594|2690.79|965.1|3414.78|2464|2399|2623.47|970.169779|3129|3258.33|1516.84|1649.38|1516.84|3299.46|3366.8|1095.8|1475.61|1113.3|3366.8|987.632835|970.169779|629.49621|0|0|1540.67|1515.96|2939.11|2616.32|1516.84|2820.19|2650.79|1472.66|1516.67|0|4172
HOSP OP|0761 - TREATMENT ROOM||19081|Hb Bx Breast With Marker If Done 1st Lesion|3468|1838.04|2601|2774.4|2947.8|3121.2|2947.8|2802.14|2496.96|2347.14|0|3468|2261.14|2690.79|1269.98|2838.56|2146.69|2091.2|2623.47|2371.016079|2601|2708.51|1516.84|1649.38|1516.84|3299.46|3366.8|1095.8|1475.61|1113.3|3366.8|2413.694368|2371.016079|1538.437568|0|0|1540.67|1536.67|2939.11|2616.32|1516.84|2820.19|2650.79|1472.66|1516.67|0|3468
HOSP OP|0761 - TREATMENT ROOM||19082|Hb Bx Breast With Marker If Done  Each Addl|2813|1490.89|2109.75|2250.4|2391.05|2531.7|0|2272.9|2025.36|1903.84|0|2813|1834.08|0|1030.12|2302.44|1741.25|1696.24|0|2371.016079|2109.75|2196.95|0|0|0|0|0|0|0|0|0|2413.694368|2371.016079|1538.437568|0|0|0|1246.44|0|0|0|0|0|0|0|0|2813
HOSP OP|0761 - TREATMENT ROOM||19083|Hb Bx Breast With Marker If Done 1st Lesion Us|2394|1268.82|1795.5|1915.2|2034.9|2154.6|2034.9|1934.35|1723.68|1620.26|0|2394|1560.89|2394|876.68|1959.49|1481.89|1443.58|2394|2371.016079|1795.5|1869.71|1516.84|1649.38|1516.84|2394|2394|1095.8|1475.61|1113.3|2394|2413.694368|2371.016079|1538.437568|0|0|1540.67|1060.78|2394|2394|1516.84|2394|2394|1472.66|1516.67|0|2413.694368
HOSP OP|0761 - TREATMENT ROOM||19084|Hb Bx Breast With Marker If Done Each Addl Us|2052|1087.56|1539|1641.6|1744.2|1846.8|0|1658.02|1477.44|1388.79|0|2052|1337.9|0|751.44|1679.56|1270.19|1237.36|0|2371.016079|1539|1602.61|0|0|0|0|0|0|0|0|0|2413.694368|2371.016079|1538.437568|0|0|0|909.24|0|0|0|0|0|0|0|0|2413.694368
HOSP OP|0761 - TREATMENT ROOM||19085|Hb Bx Breast With Marker If Done 1st With Mri|4107|2176.71|3080.25|3285.6|3490.95|3696.3|3490.95|3318.46|2957.04|2779.62|0|4107|2677.76|2690.79|1503.98|3361.58|2542.23|2476.52|2623.47|2371.016079|3080.25|3207.57|1516.84|1649.38|1516.84|3299.46|3366.8|1095.8|1475.61|1113.3|3366.8|2413.694368|2371.016079|1538.437568|0|0|1540.67|1819.81|2939.11|2616.32|1516.84|2820.19|2650.79|1472.66|1516.67|0|4107
HOSP OP|0761 - TREATMENT ROOM||19086|Hb Bx Breast W Marker If Done  Each Addl Mri|373|197.69|279.75|298.4|317.05|335.7|0|301.38|268.56|252.45|0|373|243.2|0|136.59|305.3|230.89|224.92|0|2371.016079|279.75|291.31|0|0|0|0|0|0|0|0|0|2413.694368|2371.016079|1538.437568|0|0|0|165.28|0|0|0|0|0|0|0|0|2413.694368
HOSP OP|0761 - TREATMENT ROOM||19281|Hb Place Breast Marker Perc; 1st Lesion With Mam Guidance|2464|1305.92|1848|1971.2|2094.4|2217.6|2094.4|1990.91|1774.08|1667.64|0|2464|1606.53|1133.32|902.32|2016.78|1525.22|1485.79|1104.96|311.6195923|1848|1924.38|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|317.228745|311.6195923|202.19487|0|0|648.9|1091.8|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|2464
HOSP OP|0761 - TREATMENT ROOM||19282|Hb Breast Marker Each Addl With Mam Guidance|2540|1346.2|1905|2032|2159|2286|0|2052.32|1828.8|1719.07|0|2540|1656.08|0|930.15|2078.99|1572.26|1531.62|0|311.6195923|1905|1983.74|0|0|0|0|0|0|0|0|0|317.228745|311.6195923|202.19487|0|0|0|1125.47|0|0|0|0|0|0|0|0|2540
HOSP OP|0302 - LAB/IMMUNOLOGY||86148|Hb Phosphatidylserine Ab Igg|41.35|21.92|31.01|33.08|35.15|37.22|35.15|33.41|29.77|27.99|0|41.35|23.03|24.1|16.74|33.84|21.88|21.3|23.5|17.68172888|31.01|32.29|16.55|18|16.55|36.81|37.56|22.48|16.1|18.83|37.56|18|17.68172888|18|0|0|0|12.3|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|41.35
HOSP OP|0761 - TREATMENT ROOM||19285|Hb Place Breast Marker Perc; 1st Lesion With Us Guidance|1120|593.6|840|896|952|1008|952|904.96|806.4|758.02|0|1120|730.24|1120|410.14|916.72|693.28|675.36|1104.96|311.6195923|840|874.72|674.11|733.02|674.11|1120|1120|486.99|655.79|494.77|1120|317.228745|311.6195923|202.19487|0|0|648.9|496.27|1120|1120|674.11|1120|1120|654.48|674.04|0|1120
HOSP OP|0761 - TREATMENT ROOM||19286|Hb Place Breast Marker Perc; Each Add'l With Us Guidance|845|447.85|633.75|676|718.25|760.5|0|682.76|608.4|571.9|0|845|550.94|0|309.44|691.63|523.06|509.54|0|311.6195923|633.75|659.95|0|0|0|0|0|0|0|0|0|317.228745|311.6195923|202.19487|0|0|0|374.42|0|0|0|0|0|0|0|0|845
HOSP OP|0302 - LAB/IMMUNOLOGY||86148|Hb Phosphatidylserine Ab Igm|41.35|21.92|31.01|33.08|35.15|37.22|35.15|33.41|29.77|27.99|0|41.35|23.03|24.1|16.74|33.84|21.88|21.3|23.5|17.68172888|31.01|32.29|16.55|18|16.55|36.81|37.56|22.48|16.1|18.83|37.56|18|17.68172888|18|0|0|0|12.3|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|41.35
HOSP OP|0301 - LAB/CHEMISTRY||80230|Hb Infliximab Activity|227.1|120.36|170.33|181.68|193.04|204.39|193.04|183.5|163.51|153.7|0|227.1|150.11|52.07|109.46|185.88|142.62|138.76|50.77|42.42632613|170.33|177.37|39.73|43.2|39.73|80.4|82.04|97.81|38.65|41.13|82.04|43.19|42.42632613|43.19|0|0|90.84|108.39|38.57|38.57|39.73|38.57|69.43|38.57|39.73|0|227.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|Hb Varicella Zoster Immune Status|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.17485265|0|0|0|0|0|0|0|0|0|0|0|14.43|14.17485265|14.43|0|0|0|0|0|0|0|0|0|0|0|0|14.43
HOSP OP|0310 - PATHOLOGY LAB||0059U|Hb Onc Merkel Cell Carc Detcj Ab Reprtd|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|355.2554028|0|0|0|0|0|0|0|0|0|0|0|361.65|355.2554028|361.65|0|0|0|0|0|0|0|0|0|0|0|0|361.65
HOSP OP|0301 - LAB/CHEMISTRY||80145|Hb Adalimumab Qn|293.6|155.61|220.2|234.88|249.56|264.24|249.56|237.23|211.39|198.71|0|293.6|194.07|52.07|141.52|240.31|184.38|179.39|50.77|42.42632613|220.2|229.3|39.73|43.2|39.73|80.4|82.04|126.45|38.65|41.13|82.04|43.19|42.42632613|43.19|0|0|117.44|140.14|38.57|38.57|39.73|38.57|69.43|38.57|39.73|0|293.6
HOSP OP|0301 - LAB/CHEMISTRY||83520|Hb Adalimumab Antibody|183.5|97.25|137.63|146.8|155.98|165.15|155.98|148.27|132.12|124.19|0|183.5|22.28|23.31|16.2|150.19|21.17|20.6|22.73|17.26915521|137.63|143.31|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|183.5
HOSP OP|0301 - LAB/CHEMISTRY||84220|Pyruvate Kinase Rbc|50.38|26.7|37.79|40.3|42.82|45.34|42.82|40.71|36.27|34.1|0|50.38|13.53|14.16|9.84|41.24|12.86|12.51|13.81|10.38310413|37.79|39.35|9.72|10.57|9.72|21.31|21.74|13.2|9.46|10.9|21.74|10.57|10.38310413|10.57|0|0|0|7.22|9.44|9.44|9.72|9.44|16.99|9.44|9.72|0|50.38
HOSP OP|0301 - LAB/CHEMISTRY||83020|Hemoglobin Electrophoresis|52.17|27.65|39.13|41.74|44.34|46.95|44.34|42.15|37.56|35.31|0|52.17|37.49|19.31|27.26|42.7|35.63|34.67|18.83|36.48803536|39.13|40.74|13.26|14.41|13.26|49.4|50.41|24.93|12.9|25.27|50.41|37.14482|36.48803536|23.67532|0|0|0|20.02|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|52.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1822|Generator Neurostimulator (implant) High Freq Battery Charging Sys|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||83021|Hemoglobin A2 And F|73.19|38.79|54.89|58.55|62.21|65.87|62.21|59.14|52.7|49.53|0|73.19|25.88|27.08|18.82|59.91|24.59|23.93|26.4|19.87229862|54.89|57.16|18.6|20.23|18.6|41.65|42.5|24.93|18.1|21.31|42.5|20.23|19.87229862|20.23|0|0|0|13.82|18.06|18.06|18.6|18.06|32.51|18.06|18.6|0|73.19
HOSP OP|0305 - LAB/HEMATOLOGY||85557|Osmotic Fragility|54.14|28.69|40.61|43.31|46.02|48.73|46.02|43.75|38.98|36.64|0|54.14|19.14|20.03|13.92|44.31|18.19|17.7|19.53|14.69548134|40.61|42.28|13.76|14.96|13.76|31|31.63|18.57|13.39|15.86|31.63|14.96|14.69548134|14.96|0|0|0|10.22|13.36|13.36|13.76|13.36|24.05|13.36|13.76|0|54.14
HOSP OP|0310 - PATHOLOGY LAB||88184|Band 3 Fluorescence Staining Rbc|78.34|41.52|58.76|62.67|66.59|70.51|66.59|63.3|56.4|53.02|0|78.34|78.34|78.34|78.34|64.12|78.34|78.34|78.34|130.2975972|58.76|61.18|78.34|340.56|78.34|78.34|78.34|78.34|78.34|78.34|78.34|132.642954|130.2975972|84.543804|0|0|76.2|72.41|78.34|78.34|313.19|78.34|78.34|304.07|78.34|0|340.56
HOSP OP|0301 - LAB/CHEMISTRY||83915|Reflexed Rbc Enzymes|663.3|351.55|497.48|530.64|563.81|596.97|563.81|535.95|477.58|448.92|0|663.3|15.98|16.73|11.62|542.91|15.19|14.78|16.31|12.26915521|497.48|518.04|11.48|12.49|11.48|26.16|26.69|15.64|11.17|13.38|26.69|12.49|12.26915521|12.49|0|0|0|8.53|11.15|11.15|11.48|11.15|20.07|11.15|11.48|0|663.3
HOSP OP|0905 - INTENSIVE OUTPATIENT SERVICES-PSYCHIATRIC||H2012|Hb Iop Group|183|96.99|137.25|146.4|155.55|164.7|155.55|147.86|131.76|123.85|183|183|0|35|0|149.79|0|0|34.13|21.43418468|137.25|142.92|86.79|0|86.79|149.17|152.21|62.7|73.2|76.31|152.21|21.82|21.43418468|21.82|0|0|24.94|0|0|0|86.79|0|91.5|84.27|86.78|0|183
HOSP OP|0761 - TREATMENT ROOM||36251|RENAL 1ST ORDER UNILAT|6594|3494.82|4945.5|5275.2|5604.9|5934.6|5604.9|5327.95|4747.68|4462.82|0|6594|4299.29|4106.34|2414.72|5397.19|4081.69|3976.18|4003.64|8807.328962|4945.5|5149.91|259.06|281.69|259.06|3779.61|3856.74|1908.07|252.01|1933.44|3856.74|8965.860883|8807.328962|5714.649458|0|0|0|2921.8|251.51|251.51|259.06|251.51|452.72|251.51|259.06|0|8965.860883
HOSP OP|0761 - TREATMENT ROOM||36252|RENAL 1ST ORDER BILAT|9912|5253.36|7434|7929.6|8425.2|8920.8|8425.2|8008.9|7136.64|6708.44|0|9912|6462.62|5167.4|3629.77|8112.97|6135.53|5976.94|5038.14|8807.328962|7434|7741.27|3062.51|3330.1|3062.51|6661.62|6797.57|2212.41|2979.25|2247.74|6797.57|8965.860883|8807.328962|5714.649458|0|0|2958.71|4392.01|5934.07|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|9912
HOSP OP|0761 - TREATMENT ROOM||36253|RENAL SUPER SEL UNILAT|7674|4067.22|5755.5|6139.2|6522.9|6906.6|6522.9|6200.59|5525.28|5193.76|0|7674|5003.45|6655.36|2810.22|6281.17|4750.21|4627.42|6488.9|8807.328962|5755.5|5993.39|366.86|398.91|366.86|6073.32|6197.27|3065.42|356.88|3106.79|6197.27|8965.860883|8807.328962|5714.649458|0|0|0|3400.35|356.17|356.17|366.86|356.17|641.11|356.17|366.86|0|8965.860883
HOSP OP|0361 - OR/MINOR||37191|INSERT IVC FILTER|11660|6179.8|8745|9328|9911|10494|9911|9421.28|8395.2|7891.49|0|11660|6710|8561.44|3543.04|9543.71|6374|6206|8347.27|11538.98807|8745|9106.46|5079.19|5523|5079.19|11048.35|11273.83|3669.31|4941.11|3727.9|11273.83|11746.68986|11538.98807|7487.090834|0|0|4902.04|5281.42|9841.71|8760.83|5079.19|9443.49|8876.25|4931.25|5078.63|0|11746.68986
HOSP OP|0361 - OR/MINOR||37193|REMOVE IVC FILTER|6814|3611.42|5110.5|5451.2|5791.9|6132.6|5791.9|5505.71|4906.08|4611.72|0|6814|3532|5167.4|1996.08|5577.26|3356|3268|5038.14|6974.805663|5110.5|5321.73|3062.51|3330.1|3062.51|6661.62|6797.57|2212.41|2979.25|2247.74|6797.57|7100.352165|6974.805663|4525.61379|0|0|2958.71|2445.1|5934.07|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|7100.352165
HOSP OP|0361 - OR/MINOR||49083|Abdominal paracentesis with imaging|1240|657.2|930|992|1054|1116|1054|1001.92|892.8|839.23|0|1240|1240|1240|965.1|1014.94|1240|1240|1240|970.169779|930|968.44|868.51|944.4|868.51|1240|1240|627.43|844.9|637.45|1240|987.632835|970.169779|629.49621|0|0|853|1215.2|1240|1240|868.51|1240|1240|843.21|868.42|0|1240
HOSP OP|0761 - TREATMENT ROOM||64633|DESTR PV FAC C/T 1ST W XR|3677|1948.81|2757.75|2941.6|3125.45|3309.3|3125.45|2971.02|2647.44|2488.59|0|3677|2397.4|3191.53|1346.52|3009.62|2276.06|2217.23|3111.69|1587.700352|2757.75|2871.74|1900.03|2066.05|1900.03|3677|3677|1372.62|1848.38|1394.54|3677|1616.278958|1587.700352|1030.181908|0|0|1827.38|1629.28|3677|3277.26|1900.03|3532.63|3320.44|1844.69|1899.82|0|3677
HOSP OP|0761 - TREATMENT ROOM||64634|DESTR PV FAC C/T EA AD W XR|1344|712.32|1008|1075.2|1142.4|1209.6|0|1085.95|967.68|909.62|0|1344|876.29|0|492.17|1100.06|831.94|810.43|0|1587.700352|1008|1049.66|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|595.53|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0761 - TREATMENT ROOM||64635|DESTR PV FAC L/S 1ST|4040|2141.2|3030|3232|3434|3636|3434|3264.32|2908.8|2734.27|0|4040|2634.08|3191.53|1479.45|3306.74|2500.76|2436.12|3111.69|1587.700352|3030|3155.24|1900.03|2066.05|1900.03|4040|4040|1372.62|1848.38|1394.54|4040|1616.278958|1587.700352|1030.181908|0|0|1827.38|1790.12|3681.6|3277.26|1900.03|3532.63|3320.44|1844.69|1899.82|0|4040
HOSP OP|0761 - TREATMENT ROOM||64636|DESTR PV FAC L/S EA AD W XR|1929|1022.37|1446.75|1543.2|1639.65|1736.1|0|1558.63|1388.88|1305.55|0|1929|1257.71|0|706.4|1578.89|1194.05|1163.19|0|1587.700352|1446.75|1506.55|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|854.74|0|0|0|0|0|0|0|0|1929
HOSP OP|0352 - CT SCAN/BODY||74174|CTA ABD & PELVIS|1752|928.56|1314|1401.6|1489.2|1576.8|1489.2|1415.62|1261.44|1185.75|0|1752|1158|754.87|605.81|1434.01|1101|1072|735.99|866.0023232|1314|1368.31|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|881.590365|866.0023232|561.90699|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1752
HOSP OP|0341 - NUC MED/DX||78226|HEPATOBILIARY|1279|677.87|959.25|1023.2|1087.15|1151.1|1087.15|1033.43|920.88|865.63|0|1279|1279|691.51|747.53|1046.86|1279|1279|674.21|848.2879705|959.25|998.9|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1279
HOSP OP|0341 - NUC MED/DX||78227|HEPATOBILIARY W PHARM|1535|813.55|1151.25|1228|1304.75|1381.5|1304.75|1240.28|1105.2|1038.89|0|1535|1459|891.09|747.53|1256.4|1386|1349|868.8|848.2879705|1151.25|1198.84|521.58|567.15|521.58|1134.56|1157.71|376.8|507.4|382.82|1157.71|863.557154|848.2879705|550.413004|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1535
HOSP OP|0341 - NUC MED/DX||78582|PULMONARY VENT &PERFUSION|1343|711.79|1007.25|1074.4|1141.55|1208.7|1141.55|1085.14|966.96|908.94|0|1343|1343|891.09|747.53|1099.25|1343|1343|868.8|848.2879705|1007.25|1048.88|521.58|567.15|521.58|1134.56|1157.71|376.8|507.4|382.82|1157.71|863.557154|848.2879705|550.413004|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1343
HOSP OP|0341 - NUC MED/DX||78597|QUANT PULMONARY PERFUSION|1035|548.55|776.25|828|879.75|931.5|879.75|836.28|745.2|700.49|0|1035|1035|691.51|747.53|847.15|1035|1035|674.21|848.2879705|776.25|808.34|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|1014.3|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1035
HOSP OP|0361 - OR/MINOR||G0260|INJECTION SI JOINT|1070|567.1|802.5|856|909.5|963|909.5|864.56|770.4|724.18|0|1070|1070|1070|598.82|875.8|1070|1070|1070|124.0275049|802.5|835.67|690.73|751.09|690.73|1070|1070|499|671.96|506.97|1070|126.26|124.0275049|126.26|0|0|670.7|733.53|1070|1070|690.73|1070|1070|670.62|690.65|0|1070
HOSP OP|0460 - PULMONARY FUNCTION||94726|Plethysmography|345|182.85|258.75|276|293.25|310.5|293.25|278.76|248.4|233.5|0|345|224.94|345|126.34|282.38|213.56|208.04|345|244.5875403|258.75|269.45|279.7|304.14|279.7|345|345|202.06|272.09|205.29|345|248.990116|244.5875403|158.701016|0|0|282.6|152.87|345|345|279.7|345|345|271.55|279.67|0|345
HOSP OP|0460 - PULMONARY FUNCTION||94729|Diffusing Capacity|274|145.22|205.5|219.2|232.9|246.6|0|221.39|197.28|185.44|0|274|178.65|0|100.34|224.27|169.61|165.22|0|244.5875403|205.5|213.99|0|0|0|0|0|0|0|0|0|248.990116|244.5875403|158.701016|0|0|0|121.41|0|0|0|0|0|0|0|0|274
HOSP OP|0361 - OR/MINOR||49082|Abdominal paracentesis w/o imaging|1188|629.64|891|950.4|1009.8|1069.2|1009.8|959.9|855.36|804.04|0|1188|0|533.15|0|972.38|0|0|519.82|970.169779|891|927.83|75.57|82.17|75.57|544.37|555.48|269.3|73.52|278.47|555.48|987.632835|970.169779|629.49621|0|0|0|0|73.37|73.37|75.57|73.37|132.07|73.37|75.57|0|1188
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33221|Hb Initial Ppm Gen With Existing Multiple Leads|42924|22749.72|32193|34339.2|36485.4|38631.6|36485.4|34682.59|30905.28|29050.96|0|42924|23522.35|34584.06|12074.52|35133.29|22320.48|21762.47|33718.9|18190.69807|32193|33523.64|20237.7|22006.04|20237.7|42924|42924|14620.11|19687.55|14853.58|42924|18518.13063|18190.69807|11803.06348|0|0|19801.84|13727.1|39213.63|34906.93|20237.7|37626.95|35366.86|19648.25|20235.45|0|42924
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33262|REMOVE/REPL ICD SINGLE|23961|12699.33|17970.75|19168.8|20366.85|21564.9|20366.85|19360.49|17251.92|16216.8|0|23961|23961|23961|20792.15|19612.08|23961|23961|23961|46875.76707|17970.75|18713.54|23961|27292.9|23961|23961|23961|18132.53|23961|18422.09|23961|47719.53088|46875.76707|30415.4163|0|0|23961|7662.73|23961|23961|25099.72|23961|23961|24368.66|23961|0|47719.53088
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33227|REMOVE/REPL GEN SINGLE|15156|8032.68|11367|12124.8|12882.6|13640.4|12882.6|12246.05|10912.32|10257.58|0|15156|10335|14484.08|6686.86|12405.19|9818|9560|14121.74|18190.69807|11367|11836.84|8444.91|9182.81|8444.91|15156|15156|6100.77|8215.34|6198.19|15156|18518.13063|18190.69807|11803.06348|0|0|8293.16|8191.09|15156|14566.18|8444.91|15156|14758.09|8198.94|8443.97|0|18518.13063
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33263|REMOVE/REPL ICD DUAL|23961|12699.33|17970.75|19168.8|20366.85|21564.9|20366.85|19360.49|17251.92|16216.8|0|23961|23961|23961|20792.15|19612.08|23961|23961|23961|46875.76707|17970.75|18713.54|23961|27292.9|23961|23961|23961|18132.53|23961|18422.09|23961|47719.53088|46875.76707|30415.4163|0|0|23961|7662.73|23961|23961|25099.72|23961|23961|24368.66|23961|0|47719.53088
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33228|REMOVE/REPL GEN DUAL|19036|10089.08|14277|15228.8|16180.6|17132.4|16180.6|15381.09|13705.92|12883.56|0|19036|10335|19036|6686.86|15580.97|9818|9560|18842.7|18190.69807|14277|14867.12|11329.29|12319.22|11329.29|19036|19036|8184.5|11021.31|8315.19|19036|18518.13063|18190.69807|11803.06348|0|0|11065.61|8191.09|19036|19036|11329.29|19036|19036|10999.31|11328.02|0|19036
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33264|REMOVE/REPL ICD MULTI|43958|23297.74|32968.5|35166.4|37364.3|39562.2|37364.3|35518.06|31649.76|29750.77|0|43958|24088.98|43958|12365.39|35979.62|22858.16|22286.71|43958|46875.76707|32968.5|34331.2|35675.13|38792.37|35675.13|43958|43958|25772.41|34705.32|26183.97|43958|47719.53088|46875.76707|30415.4163|0|0|34337.46|14057.77|43958|43958|35675.13|43958|43958|34636.04|35671.15|0|47719.53088
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33229|REMOVE/REPL GEN MULTI|26293|13935.29|19719.75|21034.4|22349.05|23663.7|22349.05|21244.74|18930.96|17795.1|0|26293|10335|26293|6686.86|21520.82|9818|9560|26293|18190.69807|19719.75|20534.83|20237.7|22006.04|20237.7|26293|26293|14620.11|19687.55|14853.58|26293|18518.13063|18190.69807|11803.06348|0|0|19801.84|8408.5|26293|26293|20237.7|26293|26293|19648.25|20235.45|0|26293
HOSP OP|0370 - ANESTHESIA|||Hb Anes Cardiac General Base 30 Min|1130|598.9|0|904|0|1017|0|913.04|813.6|764.78|0|1130|736.76|0|413.81|924.91|699.47|681.39|0|0|0|882.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|500.7|0|0|0|0|0|0|0|0|1130
HOSP OP|0301 - LAB/CHEMISTRY||83735|Hb Magnesium Random Urine|48.5|25.7|36.38|38.8|41.23|43.65|41.23|39.19|34.92|32.82|0|48.5|9.6|10.04|6.98|39.7|9.12|8.88|9.79|7.367387033|36.38|37.88|6.9|7.5|6.9|15.49|15.81|9.29|6.71|7.93|15.81|7.5|7.367387033|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|48.5
HOSP OP|0301 - LAB/CHEMISTRY||82725|FREE FATTY ACIDS|64.46|34.16|48.35|51.57|54.79|58.01|54.79|52.08|46.41|43.63|0|64.46|24.21|25.34|17.61|52.76|23.01|22.39|24.71|20.64833006|48.35|50.34|19.33|21.02|19.33|38.75|39.54|21.02|18.81|19.82|39.54|21.02|20.64833006|21.02|0|0|0|12.94|18.77|18.77|19.33|18.77|33.79|18.77|19.33|0|64.46
HOSP OP|0370 - ANESTHESIA|||Hb Anes General Base 30 Min|930|492.9|0|744|0|837|0|751.44|669.6|629.42|0|930|606.36|0|340.57|761.21|575.67|560.79|0|0|0|726.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|412.08|0|0|0|0|0|0|0|0|930
HOSP OP|0272 - STERILE SUPPLY|||ESI NAVX PATCH|2926|1550.78|0|2340.8|0|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|0|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0761 - TREATMENT ROOM||62369|ANALYZE PUMP/ FILL & REPROGRAM|1077|570.81|807.75|861.6|915.45|969.3|915.45|870.22|775.44|728.91|0|1077|702.2|548.54|394.4|881.52|666.66|649.43|534.82|878.4200255|807.75|841.14|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|477.22|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|1077
HOSP OP|0352 - CT SCAN/BODY||75571|CARDIAC SCORE SCREENING SELF PAY|380|201.4|285|304|323|342|323|307.04|273.6|257.18|0|380|380|121.88|380|311.03|380|380|118.83|798.4994578|285|296.78|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|812.872448|798.4994578|518.107648|0|0|69.78|372.4|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|812.872448
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95810|Hb Polysom;4 Or More Parameters <2 Hrs Sleep Time|3469|1838.57|2601.75|2775.2|2948.65|3122.1|2948.65|2802.95|2497.68|2347.82|0|3469|2261.79|1785.62|1270.35|2839.38|2147.31|2091.81|1740.95|2440.049087|2601.75|2709.29|1004.47|1092.24|1004.47|2184.93|2229.52|725.64|977.16|737.23|2229.52|2483.969971|2440.049087|1583.229746|0|0|1022.39|1537.11|1946.3|1732.55|1004.47|1867.55|1755.38|975.21|1004.35|0|3469
HOSP OP|0306 - LAB/BACT-MICRO||87153|D2 FUNGAL SEQUENCING ID|137.2|72.72|102.9|109.76|116.62|123.48|116.62|110.86|98.78|92.86|0|137.2|137.2|137.2|120.22|112.3|137.2|137.2|137.2|126.8958743|102.9|107.15|118.82|129.2|118.82|137.2|137.2|137.2|115.59|135.77|137.2|129.18|126.8958743|129.18|0|0|0|88.33|115.36|115.36|118.82|115.36|137.2|115.36|118.82|0|137.2
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive (tox Assure)|19.76|10.47|14.82|15.81|16.8|17.78|16.8|15.97|14.23|13.37|0|19.76|19.76|19.76|19.76|16.17|19.76|19.76|19.76|68.3497053|14.82|15.43|19.76|19.76|19.76|19.76|19.76|19.76|19.76|19.76|19.76|69.58|68.3497053|69.58|0|0|0|19.36|19.76|19.76|19.76|19.76|19.76|19.76|19.76|0|69.58
HOSP OP|0301 - LAB/CHEMISTRY||80324|Hb Amphetamine (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|11.76|0|11.76|9.63|11.76|11.76|0|26.50294695|8.82|9.18|11.76|0|11.76|10.16|10.56|11.76|4.7|5.15|10.56|26.98|26.50294695|26.98|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Benzodiazepines (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|11.76|0|11.76|9.63|11.76|11.76|0|33.7524558|8.82|9.18|11.76|0|11.76|10.16|10.56|11.76|4.7|5.15|10.56|34.36|33.7524558|34.36|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|34.36
HOSP OP|0370 - ANESTHESIA|||Hb Anes Epidural Base 30 Min|915|484.95|0|732|0|823.5|0|739.32|658.8|619.27|0|915|596.58|0|335.07|748.93|566.39|551.75|0|0|0|714.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|405.44|0|0|0|0|0|0|0|0|915
HOSP OP|0301 - LAB/CHEMISTRY||80348|Hb Buprenorphine (tox Assure)|11.76|6.23|8.82|9.41|10|10.58|10|9.5|8.47|7.96|0|11.76|7.77|0|5.67|9.63|7.39|7.19|0|23.3497053|8.82|9.18|11.76|0|11.76|10.16|10.56|11.76|4.7|5.15|10.56|23.77|23.3497053|23.77|0|0|0|11.52|11.76|11.76|11.76|11.76|11.76|11.76|11.76|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine And Metabolite (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|25.8546169|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|26.32|25.8546169|26.32|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|26.32
HOSP OP|0301 - LAB/CHEMISTRY||80354|Hb Fentanyl (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.3497053|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|23.77|23.3497053|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|27.84872299|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|28.35|27.84872299|28.35|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|28.35
HOSP OP|0301 - LAB/CHEMISTRY||80359|Hb Methylenedioxyamphetamines (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|26.50294695|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|26.98|26.50294695|26.98|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80361|Hb Opiates Drug And Metabolites (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|35.20628684|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|35.84|35.20628684|35.84|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|35.84
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodone (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|20.14734774|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|20.51|20.14734774|20.51|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|20.51
HOSP OP|0301 - LAB/CHEMISTRY||80372|Hb Tapentadol (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.3497053|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|23.77|23.3497053|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0301 - LAB/CHEMISTRY||80373|Hb Tramadol (tox Assure)|11.77|6.24|8.83|9.42|10|10.59|10|9.51|8.47|7.97|0|11.77|11.77|0|11.77|9.63|11.77|11.77|0|23.3497053|8.83|9.19|11.77|0|11.77|10.17|10.57|11.77|4.71|5.15|10.57|23.77|23.3497053|23.77|0|0|0|11.53|11.77|11.77|11.77|11.77|11.77|11.77|11.77|0|23.77
HOSP OP|0306 - LAB/BACT-MICRO||87106|YEAST IDENT PANEL A|56.5|29.94|42.38|45.2|48.03|50.85|48.03|45.65|40.68|38.24|0|56.5|14.8|15.48|10.76|46.25|14.06|13.68|15.09|11.34577603|42.38|44.13|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|56.5
HOSP OP|0370 - ANESTHESIA|||Hb Anes Regional Block Base 30 Min|900|477|0|720|0|810|0|727.2|648|609.12|0|900|586.8|0|329.58|736.65|557.1|542.7|0|0|0|702.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|398.79|0|0|0|0|0|0|0|0|900
HOSP OP|0272 - STERILE SUPPLY|||Hb Venaseal Supply|3588|1901.64|0|2870.4|0|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|0|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0370 - ANESTHESIA|||Hb Anes Axillary Block Base 30 Min|900|477|0|720|0|810|0|727.2|648|609.12|0|900|586.8|0|329.58|736.65|557.1|542.7|0|0|0|702.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|398.79|0|0|0|0|0|0|0|0|900
HOSP OP|0370 - ANESTHESIA|||Hb Anes Spinal Base 30 Min|890|471.7|0|712|0|801|0|719.12|640.8|602.35|0|890|580.28|0|325.92|728.47|550.91|536.67|0|0|0|695.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|394.36|0|0|0|0|0|0|0|0|890
HOSP OP|0320 - DX X-RAY||77086|Hb Chg Vertebral Fracture Assessment Via Dxa|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|214|90.26|214|175.16|214|214|88.01|226.990891|160.5|167.13|27.22|29.6|27.22|94.92|96.86|49.85|26.48|48.56|96.86|231.076727|226.990891|147.283402|0|0|69.78|209.72|26.43|26.43|27.22|26.43|47.57|26.43|27.22|0|231.076727
HOSP OP|0306 - LAB/BACT-MICRO||87529|Herpes Simplex Virus Pcr Csf|31.06|16.46|23.3|24.85|26.4|27.95|26.4|25.1|22.36|21.02|0|31.06|31.06|31.06|31.06|25.42|31.06|31.06|31.06|38.59528487|23.3|24.26|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|39.29|38.59528487|39.29|0|0|0|26.87|31.06|31.06|31.06|31.06|31.06|31.06|31.06|0|39.29
HOSP OP|0370 - ANESTHESIA|||Hb Anes Bier Block Base 30 Min|865|458.45|0|692|0|778.5|0|698.92|622.8|585.43|0|865|563.98|0|316.76|708|535.44|521.6|0|0|0|675.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|383.28|0|0|0|0|0|0|0|0|865
HOSP OP|0450 - EMERGENCY ROOM||69209|Hb Irrigation/lavage Impacted Cerumen|149|78.97|111.75|119.2|126.65|134.1|126.65|120.39|107.28|100.84|0|149|0|48.14|0|121.96|0|0|46.94|311.6195923|111.75|116.37|14.8|16.09|14.8|37.78|38.55|19.06|14.4|19.32|38.55|317.228745|311.6195923|202.19487|0|0|0|0|14.37|14.37|14.8|14.37|25.87|14.37|14.8|0|317.228745
HOSP OP|0275 - PACEMAKER||C1786|Hb Mdtr Leadless Ppm|24500|12985|18375|19600|20825|22050|0|19796|17640|16581.6|0|24500|15974|0|8971.9|20053.25|15165.5|14773.5|0|0|18375|19134.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10855.95|0|0|0|0|0|0|0|0|24500
HOSP OP|0370 - ANESTHESIA|||Hb Anes Mac Base 30 Min|825|437.25|0|660|0|742.5|0|666.6|594|558.36|0|825|537.9|0|302.12|675.26|510.68|497.48|0|0|0|644.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|365.56|0|0|0|0|0|0|0|0|825
HOSP OP|0370 - ANESTHESIA|||Hb Anes Cardiac General 15 Min|310|164.3|0|248|0|279|0|250.48|223.2|209.81|0|310|202.12|0|113.52|253.74|191.89|186.93|0|0|0|242.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|137.36|0|0|0|0|0|0|0|0|310
HOSP OP|0370 - ANESTHESIA|||Hb Anes General 15 Min|288|152.64|0|230.4|0|259.2|0|232.7|207.36|194.92|0|288|187.78|0|105.47|235.73|178.27|173.66|0|0|0|224.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|127.61|0|0|0|0|0|0|0|0|288
HOSP OP|0370 - ANESTHESIA|||Hb Anes Epidural 15 Min|285|151.05|0|228|0|256.5|0|230.28|205.2|192.89|0|285|185.82|0|104.37|233.27|176.42|171.86|0|0|0|222.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|126.28|0|0|0|0|0|0|0|0|285
HOSP OP|0274 - PROSTH/ORTH DEV||L8614|Hb Cochlear Device Includes Internal And External|4240|2247.2|3180|3392|3604|3816|0|3425.92|3052.8|2869.63|0|4240|2764.48|0|1552.69|3470.44|2624.56|2556.72|0|17688.40864|3180|3311.44|0|0|0|0|0|0|0|0|0|18006.8|17688.40864|18006.8|0|0|0|1878.74|0|0|0|0|0|0|0|0|18006.8
HOSP OP|0370 - ANESTHESIA|||Hb Anes Regional Block 15 Min|275|145.75|0|220|0|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|0|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|0|0|0|0|0|0|275
HOSP OP|0370 - ANESTHESIA|||Hb Anes Axillary Block 15 Min|275|145.75|0|220|0|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|0|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|0|0|0|0|0|0|275
HOSP OP|0300 - LABORATORY||81270|Hb Myeloproliferative Neoplasm Jak2|309.2|163.88|231.9|247.36|262.82|278.28|262.82|249.83|222.62|209.27|0|309.2|131.39|137.5|95.54|253.08|124.87|121.51|134.06|100.8251473|231.9|241.49|94.41|102.66|94.41|226.66|231.29|127.07|91.84|115.95|231.29|102.64|100.8251473|102.64|0|0|114.08|70.19|91.66|91.66|94.41|91.66|164.99|91.66|94.41|0|309.2
HOSP OP|0300 - LABORATORY||81403|Hb Mpl Exon 10 Mutation Detection|662|350.86|496.5|529.6|562.7|595.8|562.7|534.9|476.64|448.04|0|662|238.91|250.02|173.72|541.85|227.06|220.94|243.77|203.7229862|496.5|517.02|190.76|207.42|190.76|411.67|420.07|154.44|185.57|210.59|420.07|207.39|203.7229862|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|662
HOSP OP|0370 - ANESTHESIA|||Hb Anes Spinal 15 Min|270|143.1|0|216|0|243|0|218.16|194.4|182.74|0|270|176.04|0|98.87|221|167.13|162.81|0|0|0|210.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|119.64|0|0|0|0|0|0|0|0|270
HOSP OP|0370 - ANESTHESIA|||Hb Anes Bier Block 15 Min|250|132.5|0|200|0|225|0|202|180|169.2|0|250|163|0|91.55|204.63|154.75|150.75|0|0|0|195.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.78|0|0|0|0|0|0|0|0|250
HOSP OP|0360 - OR SERVICES||27532|Hb Closed Rx Tib Plat Fx W/manip|6435|3410.55|4826.25|5148|5469.75|5791.5|5469.75|5199.48|4633.2|4355.21|0|6435|0|1221.55|0|5267.05|0|0|1191|1230.882677|4826.25|5025.74|586.43|637.67|586.43|1631.18|1664.47|822.56|570.49|834.42|1664.47|1253.038565|1230.882677|798.66019|0|0|0|0|569.35|569.35|586.43|569.35|1024.83|569.35|586.43|0|6435
HOSP OP|0370 - ANESTHESIA|||Hb Anes Mac 15 Min|240|127.2|0|192|0|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|0|0|187.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|106.34|0|0|0|0|0|0|0|0|240
HOSP OP|0410 - RESPIRATORY THERAPY||94667|Hb Metaneb Treatment Initial|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|305.14|208.31|171.38|383.06|289.69|282.2|203.1|261.7722279|351|365.51|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|266.484128|261.7722279|169.851328|0|0|119.27|255.39|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|468
HOSP OP|0410 - RESPIRATORY THERAPY||94668|Hb Metaneb Treatment Subsequent|200|106|150|160|170|180|170|161.6|144|135.36|0|200|130.4|200|73.24|163.7|123.8|120.6|200|261.7722279|150|156.2|120.49|131.02|120.49|200|200|87.04|117.21|88.43|200|266.484128|261.7722279|169.851328|0|0|119.27|109.14|200|200|120.49|200|200|116.98|120.47|0|266.484128
HOSP OP|0761 - TREATMENT ROOM||64616|Hb Chemodenervation Neck Muscle|813|430.89|609.75|650.4|691.05|731.7|691.05|656.9|585.36|550.24|0|813|530.08|484.12|297.72|665.44|503.25|490.24|472.01|1317.512335|609.75|634.95|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|1341.227557|1317.512335|854.869982|0|0|277.19|360.24|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64642|Hb Chemodenervation 1 Extrem 1-4 Muscles|1351|716.03|1013.25|1080.8|1148.35|1215.9|1148.35|1091.61|972.72|914.36|0|1351|880.85|1171.41|494.74|1105.79|836.27|814.65|1142.11|1317.512335|1013.25|1055.13|690.73|751.09|690.73|1351|1351|499|671.96|506.97|1351|1341.227557|1317.512335|854.869982|0|0|670.7|598.63|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1351
HOSP OP|0761 - TREATMENT ROOM||64643|Hb Chemodenerv 1 Ext Ea Addl Ext 1-4 Muscles|1005|532.65|753.75|804|854.25|904.5|0|812.04|723.6|680.18|0|1005|655.26|0|368.03|822.59|622.1|606.02|0|1317.512335|753.75|784.91|0|0|0|0|0|0|0|0|0|1341.227557|1317.512335|854.869982|0|0|0|445.32|0|0|0|0|0|0|0|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64644|Hb Chemodenerv 1 Extrem 5 Or More Muscles|1892|1002.76|1419|1513.6|1608.2|1702.8|1608.2|1528.74|1362.24|1280.51|0|1892|1233.58|1171.41|692.85|1548.6|1171.15|1140.88|1142.11|1317.512335|1419|1477.65|690.73|751.09|690.73|1502.49|1533.15|499|671.96|506.97|1533.15|1341.227557|1317.512335|854.869982|0|0|670.7|838.35|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1892
HOSP OP|0361 - OR/MINOR||64645|Hb Chemodenerv 1 Ext Ea Addl Ext 5 Or More Mcs|1456|771.68|1092|1164.8|1237.6|1310.4|0|1176.45|1048.32|985.42|0|1456|744|0|399.22|1191.74|707|688|0|1317.512335|1092|1137.14|0|0|0|0|0|0|0|0|0|1341.227557|1317.512335|854.869982|0|0|0|489.02|0|0|0|0|0|0|0|0|1456
HOSP OP|0761 - TREATMENT ROOM||64646|Hb Chemodenervation Trunk Muscles 1-5|1051|557.03|788.25|840.8|893.35|945.9|893.35|849.21|756.72|711.32|0|1051|685.25|1051|384.88|860.24|650.57|633.75|1051|1317.512335|788.25|820.83|690.73|751.09|690.73|1051|1051|499|671.96|506.97|1051|1341.227557|1317.512335|854.869982|0|0|670.7|465.7|1051|1051|690.73|1051|1051|670.62|690.65|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64647|Hb Chemodenervation Trunk Muscles 6 Or More|1338|709.14|1003.5|1070.4|1137.3|1204.2|1137.3|1081.1|963.36|905.56|0|1338|872.38|1171.41|489.98|1095.15|828.22|806.81|1142.11|1317.512335|1003.5|1044.98|690.73|751.09|690.73|1338|1338|499|671.96|506.97|1338|1341.227557|1317.512335|854.869982|0|0|670.7|592.87|1338|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1341.227557
HOSP OP|0360 - OR SERVICES|||Hb Canceled Procedure - No Evaluation|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0360 - OR SERVICES||G0463|Hb Canceled Procedure - Evaluation Performed|240|127.2|180|192|204|216|204|193.92|172.8|162.43|0|240|0|226.63|0|196.44|0|0|220.96|17.08251473|180|187.44|128.11|139.31|128.11|240|240|92.55|124.63|94.03|240|17.39|17.08251473|17.39|0|0|129.76|0|240|220.97|128.11|238.19|223.89|124.38|128.1|0|240
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Lgi1-igg Cba S|250|132.5|187.5|200|212.5|225|212.5|202|180|169.2|0|250|37.49|18.08|27.26|204.63|35.63|34.67|17.63|51.31865619|187.5|195.25|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|250
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Caspr2-igg Cba S|250|132.5|187.5|200|212.5|225|212.5|202|180|169.2|0|250|37.49|18.08|27.26|204.63|35.63|34.67|17.63|51.31865619|187.5|195.25|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|250
HOSP OP|0761 - TREATMENT ROOM||62370|Hb Elec Anlys Implt Ithcl/edrl Pmp W/repr&ref Phys|798|422.94|598.5|638.4|678.3|718.2|678.3|644.78|574.56|540.09|0|798|520.3|548.54|292.23|653.16|493.96|481.19|534.82|878.4200255|598.5|623.24|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|353.59|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|894.231586
HOSP OP|0361 - OR/MINOR||49999|Reposition Of Peritoneal Dialysis Catheter W/guidewire Manipulation|1133|600.49|849.75|906.4|963.05|1019.7|963.05|915.46|815.76|766.81|0|1133|1133|1133|965.1|927.36|1133|1133|1133|5985.567943|849.75|884.87|868.51|944.4|868.51|1133|1133|627.43|844.9|637.45|1133|6093.308166|5985.567943|3883.745316|0|0|853|1110.34|1133|1133|868.51|1133|1133|843.21|868.42|0|6093.308166
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|50|50|50|40.93|50|50|50|68.3497053|37.5|39.05|50|50|50|50|50|50|50|50|50|69.58|68.3497053|69.58|0|0|0|44.55|50|50|50|50|50|50|50|0|69.58
HOSP OP|0272 - STERILE SUPPLY|||Hb Pipeline Stent|36400|19292|0|29120|0|32760|0|29411.2|26208|24635.52|0|36400|23732.8|0|13329.68|29793.4|22531.6|21949.2|0|0|0|28428.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16128.84|0|0|0|0|0|0|0|0|36400
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90744|Hb Hepatitis B Virus Vac Recom(pf) 5 Mcg/0.5 Ml Intramuscular Susp|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.89587426|0|0|0|0|0|0|0|0|0|0|0|27.38|26.89587426|27.38|0|0|0|0|0|0|0|0|0|0|0|0|27.38
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Dilute Russell Viper Venom Time W/ Reflex|44.93|23.81|33.7|35.94|38.19|40.44|38.19|36.3|32.35|30.41|0|44.93|13.73|14.36|9.98|36.78|13.04|12.69|14|10.54027505|33.7|35.09|9.87|10.73|9.87|22.28|22.73|13.2|9.6|11.4|22.73|10.73|10.54027505|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|44.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Ribosomal P Antibody|29.92|15.86|22.44|23.94|25.43|26.93|25.43|24.18|21.54|20.25|0|29.92|25.71|26.91|18.69|24.49|24.43|23.78|26.24|19.7151277|22.44|23.37|18.47|20.08|18.47|29.92|29.92|24.93|17.97|21.31|29.92|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|29.92|17.93|18.47|0|29.92
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Smrnp Antibody|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.7151277|45.75|47.64|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||Q4121|Hb Theraskin Per Square Centimeter|975|516.75|731.25|780|828.75|877.5|0|787.8|702|659.88|0|975|55.5|0|40.35|798.04|52.74|51.32|0|40.62868369|731.25|761.48|0|0|0|0|0|0|0|0|0|41.36|40.62868369|41.36|0|0|0|29.64|0|0|0|0|0|0|0|0|975
HOSP OP|0301 - LAB/CHEMISTRY||80347|Hb Benzodiazepines Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|23.14|0|16.87|28.65|21.98|21.39|0|6.925343811|26.25|27.34|35|0|35|35|35|35|14|34.69|35|7.05|6.925343811|7.05|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0301 - LAB/CHEMISTRY||80356|Hb Heroin Metabolites Ms Wb/sp|17.3|9.17|12.98|13.84|14.71|15.57|14.71|13.98|12.46|11.71|0|17.3|17.3|0|17.3|14.16|17.3|17.3|0|30.35363458|12.98|13.51|17.3|0|17.3|14.95|15.53|17.3|6.92|7.57|15.53|30.9|30.35363458|30.9|0|0|0|16.95|17.3|17.3|17.3|17.3|17.3|17.3|17.3|0|30.9
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodones Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|20.14734774|26.25|27.34|35|0|35|30.24|31.43|35|14|15.32|31.43|20.51|20.14734774|20.51|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0761 - TREATMENT ROOM||10021|Hb Fine Needle Asp; W/o Imaging Guid*|619|328.07|464.25|495.2|526.15|557.1|526.15|500.15|445.68|418.94|0|619|403.59|614.41|226.68|506.65|383.16|373.26|599.04|1232.41282|464.25|483.44|353.09|383.94|353.09|619|619|255.08|343.49|259.15|619|1254.596251|1232.41282|799.653026|0|0|351.79|274.28|619|609.02|353.09|619|617.04|342.8|353.05|0|1254.596251
HOSP OP|0302 - LAB/IMMUNOLOGY||86593|Rpr Syphilis Titer|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|6.31|6.6|4.59|26.19|6|5.83|6.44|4.842829077|24|24.99|4.53|4.93|4.53|9.68|9.88|5.86|4.41|4.96|9.88|4.93|4.842829077|4.93|0|0|5.47|3.37|4.4|4.4|4.53|4.4|7.92|4.4|4.53|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87449|Hb Blastomyces Quant Antigen|143.23|75.91|107.42|114.58|121.75|128.91|121.75|115.73|103.13|96.94|0|143.23|17.18|17.98|12.49|117.23|16.33|15.89|17.53|11.98428291|107.42|111.86|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|12.2|11.98428291|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|143.23
HOSP OP|0260 - IV THERAPY||96377|Hb Appl On-body Injector For Timed Subq Injection|142|75.26|106.5|113.6|120.7|127.8|120.7|114.74|102.24|96.11|0|142|92.58|74.11|52|116.23|87.9|85.63|72.26|0|106.5|110.9|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|0|0|0|0|0|0|62.92|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|142
HOSP OP|0310 - PATHOLOGY LAB||81269|Hb Alpha-globin Gene Analysis|412.54|218.65|309.41|330.03|350.66|371.29|350.66|333.33|297.03|279.21|0|412.54|261.1|273.24|189.85|337.66|248.14|241.46|266.41|222.6424361|309.41|322.19|208.47|226.69|208.47|412.54|412.54|226.78|202.8|229.91|412.54|226.65|222.6424361|226.65|0|0|226.7|139.5|202.4|202.4|208.47|202.4|364.32|202.4|208.47|0|412.54
HOSP OP|0302 - LAB/IMMUNOLOGY||86644|Hb Cmv Avidity|169.44|89.8|127.08|135.55|144.02|152.5|144.02|136.91|122|114.68|0|169.44|20.63|21.59|15|138.69|19.6|19.08|21.05|15.82514735|127.08|132.33|14.82|16.12|14.82|32.94|33.61|20.04|14.42|16.85|33.61|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|169.44
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Benzodiazepine Comp Quant Urine|157.64|83.55|118.23|126.11|133.99|141.88|133.99|127.37|113.5|106.69|0|157.64|31.49|0|22.9|129.03|29.93|29.12|0|33.7524558|118.23|123.12|117.86|0|117.86|136.2|141.54|149.07|63.06|69|141.54|34.36|33.7524558|34.36|0|0|0|78.86|114.43|114.43|117.86|114.43|157.64|114.43|117.86|0|157.64
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93657|Ablate L/r Fibril W/isolated Pulm Vein|13682|7251.46|10261.5|10945.6|11629.7|12313.8|0|11055.06|9851.04|9259.98|0|13682|744|0|399.22|11198.72|707|688|0|11923.34833|10261.5|10685.64|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|13682
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90834|Hb Psychotherapy 45 Minutes W Patient|356|188.68|267|284.8|302.6|320.4|302.6|287.65|256.32|240.94|0|356|0|249.52|0|291.39|0|0|243.27|282.7822741|267|278.04|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|287.872355|282.7822741|183.48373|0|0|142.87|0|83.44|83.44|145.16|83.44|253.69|140.94|145.15|0|356
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90837|Hb Psychotherapy 60 Minutes W Patient|413|218.89|309.75|330.4|351.05|371.7|351.05|333.7|297.36|279.52|0|413|0|249.52|0|338.04|0|0|243.27|282.7822741|309.75|322.55|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|287.872355|282.7822741|183.48373|0|0|142.87|0|125.03|125.03|145.16|125.03|253.69|140.94|145.15|0|413
HOSP OP|0915 - GROUP PSYCHIATRY||90853|Hb Group Psychotherapy|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|0|149.44|0|169.43|0|0|145.7|621.5324862|155.25|161.67|86.79|94.38|86.79|188.79|192.65|62.7|84.43|63.7|192.65|632.720071|621.5324862|403.282346|0|0|85.56|0|24.84|24.84|86.79|24.84|151.68|84.27|86.78|0|632.720071
HOSP OP|0918 - PSYCH - TESTING||96116|Hb Neurobehavioral Status Exam 1st Hr|296|156.88|222|236.8|251.6|266.4|251.6|239.17|213.12|200.33|0|296|192.99|296|108.4|242.28|183.22|178.49|296|752.3008969|222|231.18|263.74|286.79|263.74|296|296|190.53|256.57|193.58|296|765.842313|752.3008969|488.131638|0|0|282.6|131.16|84.72|84.72|263.74|84.72|296|256.06|263.71|0|765.842313
HOSP OP|0324 - DX X-RAY/CHEST||71045|Hb Xr Chest 1 View|248|131.44|186|198.4|210.8|223.2|210.8|200.38|178.56|167.85|0|248|248|121.88|248|202.99|248|248|118.83|142.5387446|186|193.69|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|243.04|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|248
HOSP OP|0324 - DX X-RAY/CHEST||71046|Hb Xr Chest 2 Views|262|138.86|196.5|209.6|222.7|235.8|222.7|211.7|188.64|177.32|0|262|262|121.88|262|214.45|262|262|118.83|142.5387446|196.5|204.62|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|256.76|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|262
HOSP OP|0320 - DX X-RAY||74018|Hb Xr Abdomen 1 View|242|128.26|181.5|193.6|205.7|217.8|205.7|195.54|174.24|163.79|0|242|242|121.88|242|198.08|242|242|118.83|142.5387446|181.5|189|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|237.16|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|242
HOSP OP|0320 - DX X-RAY||74019|Hb Xr Abdomen 2 Views|309|163.77|231.75|247.2|262.65|278.1|262.65|249.67|222.48|209.13|0|309|309|220.09|309|252.92|309|309|214.59|142.5387446|231.75|241.33|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|302.82|240|213.64|123.86|230.29|216.45|120.25|123.85|0|309
HOSP OP|0460 - PULMONARY FUNCTION||94618|Hb Pulmonary Stress Test (6min Walk)|462|244.86|346.5|369.6|392.7|415.8|392.7|373.3|332.64|312.68|0|462|301.22|208.31|169.18|378.15|285.98|278.59|203.1|597.3444499|346.5|360.82|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|608.09665|597.3444499|387.5879|0|0|119.27|204.71|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|608.09665
HOSP OP|0403 - SCRN MAMMOGRAPHY||77067|Hb Screening Mammo Unilateral Inc Cad|414|219.42|310.5|331.2|351.9|372.6|351.9|334.51|298.08|280.2|0|414|269.93|332.17|151.61|338.86|256.27|249.64|323.86|194.7990275|310.5|323.33|103.96|113.04|103.96|370.99|378.56|190.12|101.13|189.78|378.56|198.30541|194.7990275|126.39566|0|0|79.7|183.44|111.02|111.02|103.96|111.02|181.67|100.93|103.96|0|414
HOSP OP|0306 - LAB/BACT-MICRO||87799|Hb Jc Polyoma Virus Dna Quant Pcr|335.54|177.84|251.66|268.43|285.21|301.99|285.21|271.12|241.59|227.09|0|335.54|61.4|64.26|44.65|274.64|58.36|56.79|62.65|47.12180747|251.66|262.06|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|335.54
HOSP OP|0300 - LABORATORY||81450|Hb Targeted Genomic Seq; Hem Neoplasma|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|835.481336|0|0|0|0|0|0|0|0|0|0|0|850.52|835.481336|850.52|0|0|0|0|0|0|0|0|0|0|0|0|850.52
HOSP OP|0420 - PHYSICAL THERAPY||97161|Hb Pt Evaluation Low Complexity|196|103.88|147|156.8|166.6|176.4|166.6|158.37|141.12|132.65|0|196|196|196|106.79|160.43|196|191|196|180.9688851|147|153.08|89.66|97.5|89.66|125|127.5|115.34|88.79|117.93|127.5|184.226325|180.9688851|117.42195|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|196
HOSP OP|0420 - PHYSICAL THERAPY||97162|Hb Pt Evaluation Moderate Complexity|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|207|259.96|106.79|277.47|196|191|234.69|180.9688851|254.25|264.76|89.66|97.5|89.66|125|127.5|115.34|88.79|117.93|127.5|184.226325|180.9688851|117.42195|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|339
HOSP OP|0420 - PHYSICAL THERAPY||97163|Hb Pt Evaluation High Complexity|591|313.23|443.25|472.8|502.35|531.9|502.35|477.53|425.52|399.99|0|591|207|259.96|106.79|483.73|196|191|234.69|180.9688851|443.25|461.57|89.66|97.5|89.66|125|127.5|115.34|88.79|117.93|127.5|184.226325|180.9688851|117.42195|0|0|68.24|173.11|95.76|95.76|89.66|95.76|156.69|87.05|89.66|0|591
HOSP OP|0424 - PHYSICAL THERAPY EVALUATION||97164|Hb Pt Re-eval Est Plan Of Care|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|207|176.91|106.79|227.54|196|191|159.02|180.9688851|208.5|217.12|61.76|67.16|61.76|125|127.5|78.2|61.16|80.27|127.5|184.226325|180.9688851|117.42195|0|0|46.44|173.11|65.96|65.96|61.76|65.96|107.93|59.96|61.76|0|278
HOSP OP|0430 - OCCUPATIONAL THERAPY||97165|Hb Ot Evaluation Low Complexity|218|115.54|163.5|174.4|185.3|196.2|185.3|176.14|156.96|147.54|0|218|207|218|106.79|178.43|196|191|218|259.7124194|163.5|170.26|95.31|103.63|95.31|125|127.5|124.63|94.38|126.85|127.5|264.387243|259.7124194|168.514818|0|0|73.39|173.11|101.78|101.78|95.31|101.78|166.55|92.53|95.31|0|264.387243
HOSP OP|0430 - OCCUPATIONAL THERAPY||97166|Hb Ot Evaluation Moderate Complexity|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|207|279.21|106.79|277.47|196|191|253.34|259.7124194|254.25|264.76|94.92|103.22|94.92|125|127.5|124.63|94|126.85|127.5|264.387243|259.7124194|168.514818|0|0|73.39|173.11|101.38|101.38|94.92|101.38|165.89|92.16|94.92|0|339
HOSP OP|0430 - OCCUPATIONAL THERAPY||97167|Hb Ot Evaluation High Complexity|585|310.05|438.75|468|497.25|526.5|497.25|472.68|421.2|395.93|0|585|207|279.21|106.79|478.82|196|191|253.34|259.7124194|438.75|456.89|94.92|103.22|94.92|125|127.5|124.63|94|126.85|127.5|264.387243|259.7124194|168.514818|0|0|73.39|173.11|101.38|101.38|94.92|101.38|165.89|92.16|94.92|0|585
HOSP OP|0434 - OCCUPATIONAL THERAPY EVAL||97168|Hb Ot Re-eval Est Plan Of Care|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|165|165|106.79|135.05|165|165|165|259.7124194|123.75|128.87|65.9|71.66|65.9|125|127.5|85.04|65.26|87.21|127.5|264.387243|259.7124194|168.514818|0|0|50.46|161.7|70.38|70.38|65.9|70.38|115.16|63.98|65.9|0|264.387243
HOSP OP|0300 - LABORATORY||81170|Hb Bcr/abl1 Mutation Sequencing|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|330|0|0|0|0|0|0|0|0|0|0|0|335.94|330|335.94|0|0|0|0|0|0|0|0|0|0|0|0|335.94
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||77065|Hb Diagnostic Mammography Incl Cad Unilateral|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|314.11|144.28|322.49|243.89|237.58|306.26|194.7990275|295.5|307.71|98.31|106.9|98.31|364.21|371.64|186.7|95.64|186.31|371.64|198.30541|194.7990275|126.39566|0|0|75.41|174.58|105|105|98.31|105|171.81|95.45|98.31|0|394
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||77066|Hb Diagnostic Mammography Incl Cad Bilateral|476|252.28|357|380.8|404.6|428.4|404.6|384.61|342.72|322.16|0|476|310.35|401.97|174.31|389.61|294.64|287.03|391.92|194.7990275|357|371.76|125.4|136.36|125.4|461.07|470.48|236.06|121.99|235.86|470.48|198.30541|194.7990275|126.39566|0|0|96.62|210.92|133.93|133.93|125.4|133.93|219.15|121.75|125.4|0|476
HOSP OP|0403 - SCRN MAMMOGRAPHY||77067|Hb Screening Mammo Bilateral Inc Cad|402|213.06|301.5|321.6|341.7|361.8|341.7|324.82|289.44|272.07|0|402|262.1|332.17|147.21|329.04|248.84|242.41|323.86|194.7990275|301.5|313.96|103.96|113.04|103.96|370.99|378.56|190.12|101.13|189.78|378.56|198.30541|194.7990275|126.39566|0|0|79.7|178.13|111.02|111.02|103.96|111.02|181.67|100.93|103.96|0|402
HOSP OP|0361 - OR/MINOR||36901|Hb Ir Access Dial Chb Ircuit W/img|1879|995.87|1409.25|1503.2|1597.15|1691.1|1597.15|1518.23|1352.88|1271.71|0|1879|1879|1879|598.82|1537.96|1879|1879|1879|6974.805663|1409.25|1467.5|1802.54|1960.04|1802.54|1879|1879|1302.19|1753.54|1322.99|1879|7100.352165|6974.805663|4525.61379|0|0|1224.95|733.53|1879|1879|1802.54|1879|1879|1750.04|1802.34|0|7100.352165
HOSP OP|0361 - OR/MINOR||36902|Hb Ir Access Dial Chb Ircuit Img W/pta|13504|7157.12|10128|10803.2|11478.4|12153.6|11478.4|10911.23|9722.88|9139.51|0|13504|6710|9152.23|3543.04|11053.02|6374|6206|8923.28|9886.02122|10128|10546.62|5474.5|5952.86|5474.5|11908.24|12151.26|3954.89|5325.68|4018.04|12151.26|10063.9696|9886.02122|6414.560652|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|13504
HOSP OP|0361 - OR/MINOR||36903|Hb Ir Access Dial Chb Ircuit Img W/stent|28322|15010.66|21241.5|22657.6|24073.7|25489.8|24073.7|22884.18|20391.84|19168.33|0|28322|0|17549.44|0|23181.56|0|0|17110.52|17693.81342|21241.5|22119.48|320.6|348.61|320.6|14838.47|15141.3|7824.84|311.88|7590.56|15141.3|18012.30206|17693.81342|11480.65909|0|0|0|0|311.26|311.26|320.6|311.26|560.27|311.26|320.6|0|28322
HOSP OP|0361 - OR/MINOR||36904|Hb Ir Thrombectomy/lysis Dial Chb Ircuit W/img|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|6710|9152.23|3543.04|10114.2|6374|6206|8923.28|9886.02122|9267.75|9650.82|5474.5|5952.86|5474.5|11908.24|12151.26|3954.89|5325.68|4018.04|12151.26|10063.9696|9886.02122|6414.560652|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|12357
HOSP OP|0361 - OR/MINOR||36905|Hb Ir Thrombectomys Periph Dial Chb Irc W/img & Pta|24975|13236.75|18731.25|19980|21228.75|22477.5|21228.75|20179.8|17982|16903.08|0|24975|10335|18914.77|6686.86|20442.04|9818|9560|18441.6|17693.81342|18731.25|19505.48|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|18012.30206|17693.81342|11480.65909|0|0|10830.06|7987.01|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|24975
HOSP OP|0361 - OR/MINOR||36907|Hb Ir Central Dial Chb Irc W/ Pta|379|200.87|284.25|303.2|322.15|341.1|0|306.23|272.88|256.51|0|379|379|0|379|310.21|379|379|0|9886.02122|284.25|296|0|0|0|0|0|0|0|0|0|10063.9696|9886.02122|6414.560652|0|0|0|371.42|0|0|0|0|0|0|0|0|10063.9696
HOSP OP|0361 - OR/MINOR||36908|Hb Ir Central Dial Chb Irc W/ Stent|568|301.04|426|454.4|482.8|511.2|0|458.94|408.96|384.42|0|568|568|0|399.22|464.91|568|568|0|17693.81342|426|443.61|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|489.02|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37246|Hb Ir Pta Non Low Ext Pulm Car Or Dial Initial Art|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|6710|9152.23|3543.04|10114.2|6374|6206|8923.28|17693.81342|9267.75|9650.82|5474.5|5952.86|5474.5|11908.24|12151.26|3954.89|5325.68|4018.04|12151.26|18012.30206|17693.81342|11480.65909|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|18012.30206
HOSP OP|0761 - TREATMENT ROOM||37247|Hb Ir Pta Non Low Ext Pulm Car Or Dial Add'l|1235|654.55|926.25|988|1049.75|1111.5|0|997.88|889.2|835.85|0|1235|805.22|0|452.26|1010.85|764.47|744.71|0|17693.81342|926.25|964.54|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|547.23|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37248|Hb Ir Pta Non Dial Venous|12357|6549.21|9267.75|9885.6|10503.45|11121.3|10503.45|9984.46|8897.04|8363.22|0|12357|6710|9152.23|3543.04|10114.2|6374|6206|8923.28|17693.81342|9267.75|9650.82|5474.5|5952.86|5474.5|11908.24|12151.26|3954.89|5325.68|4018.04|12151.26|18012.30206|17693.81342|11480.65909|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|18012.30206
HOSP OP|0761 - TREATMENT ROOM||62320|Hb Inj Interlaminar/subarachnoid C/t W/o Img|1339|709.67|1004.25|1071.2|1138.15|1205.1|1138.15|1081.91|964.08|906.24|0|1339|873.03|1171.41|490.34|1095.97|828.84|807.42|1142.11|1317.512335|1004.25|1045.76|690.73|751.09|690.73|1339|1339|499|671.96|506.97|1339|1341.227557|1317.512335|854.869982|0|0|670.7|593.31|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1341.227557
HOSP OP|0361 - OR/MINOR||62321|Hb Inj Interlaminar/subarachnoid C/t W/img|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|1299|1171.41|598.82|1063.23|1299|1299|1142.11|1317.512335|974.25|1014.52|690.73|751.09|690.73|1299|1299|499|671.96|506.97|1299|1341.227557|1317.512335|854.869982|0|0|670.7|733.53|1299|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||62322|Hb Inj Interlaminar/subarachnoid L/s W/o Img|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|846.95|338.18|475.69|1063.23|804.08|783.3|329.73|1317.512335|974.25|1014.52|87.07|94.67|87.07|416.51|425.01|214.07|84.7|213.07|425.01|1341.227557|1317.512335|854.869982|0|0|0|575.59|84.53|84.53|87.07|84.53|152.15|84.53|87.07|0|1341.227557
HOSP OP|0361 - OR/MINOR||62323|Hb Inj Interlaminar/subarachnoid L/s W/img|1366|723.98|1024.5|1092.8|1161.1|1229.4|1161.1|1103.73|983.52|924.51|0|1366|1366|1171.41|598.82|1118.07|1366|1366|1142.11|1317.512335|1024.5|1066.85|690.73|751.09|690.73|1366|1366|499|671.96|506.97|1366|1341.227557|1317.512335|854.869982|0|0|670.7|733.53|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1366
HOSP OP|0361 - OR/MINOR||36906|Hb Ir Thrombectomy Periph Dial Chb Irc W/img & Stent|39806|21097.18|29854.5|31844.8|33835.1|35825.4|33835.1|32163.25|28660.32|26940.7|0|39806|0|21198.45|0|32581.21|0|0|20668.27|17693.81342|29854.5|31088.49|521.14|566.68|521.14|18168.63|18539.42|9485.61|506.97|9294.09|18539.42|18012.30206|17693.81342|11480.65909|0|0|0|0|505.96|505.96|521.14|505.96|910.73|505.96|521.14|0|39806
HOSP OP|0402 - ULTRASOUND||76706|Hb Us Abdl Aorta Real Time Aaa|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|189.08|220.09|106.2|237.37|179.51|174.87|214.59|262.0664862|217.5|226.49|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|128.5|240|213.64|123.86|230.29|216.45|120.25|123.85|0|290
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|Hb Complement C4a Level|156.57|82.98|117.43|125.26|133.08|140.91|133.08|126.51|112.73|105.97|0|156.57|17.2|18|12.5|128.15|16.34|15.9|17.55|13.20235756|117.43|122.28|12.36|13.44|12.36|28.09|28.66|16.62|12.02|14.37|28.66|13.44|13.20235756|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|156.57
HOSP OP|0305 - LAB/HEMATOLOGY||85576|Hb Platelet Function P2y12|240.5|127.46|180.38|192.4|204.43|216.45|204.43|194.32|173.16|162.77|0|240.5|37.49|33.63|27.26|196.85|35.63|34.67|32.79|51.84832122|180.38|187.83|25.66|27.9|25.66|51.34|52.39|29.81|24.96|26.26|52.39|52.781591|51.84832122|33.641866|0|0|0|20.02|24.91|24.91|25.66|24.91|44.84|24.91|25.66|0|240.5
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 1 Base 30 Minutes|2000|1060|0|1600|0|1800|0|1616|1440|1353.6|0|2000|0|0|0|1637|0|0|0|0|0|1562|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2000
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 2 Base 30 Minutes|2600|1378|0|2080|0|2340|0|2100.8|1872|1759.68|0|2600|0|0|0|2128.1|0|0|0|0|0|2030.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2600
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 3 Base 30 Minutes|3200|1696|0|2560|0|2880|0|2585.6|2304|2165.76|0|3200|0|0|0|2619.2|0|0|0|0|0|2499.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 4 Base 30 Minutes|4200|2226|0|3360|0|3780|0|3393.6|3024|2842.56|0|4200|0|0|0|3437.7|0|0|0|0|0|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 1 10 Minutes|200|106|0|160|0|180|0|161.6|144|135.36|0|200|0|0|0|163.7|0|0|0|0|0|156.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|200
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 2 10 Minutes|260|137.8|0|208|0|234|0|210.08|187.2|175.97|0|260|0|0|0|212.81|0|0|0|0|0|203.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|260
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Level 3 10 Minutes|320|169.6|0|256|0|288|0|258.56|230.4|216.58|0|320|0|0|0|261.92|0|0|0|0|0|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 1 Base 30 Minutes|3200|1696|0|2560|0|2880|0|2585.6|2304|2165.76|0|3200|0|0|0|2619.2|0|0|0|0|0|2499.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3200
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 2 Base 30 Minutes|4200|2226|0|3360|0|3780|0|3393.6|3024|2842.56|0|4200|0|0|0|3437.7|0|0|0|0|0|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4200
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 1 10 Minutes|320|169.6|0|256|0|288|0|258.56|230.4|216.58|0|320|0|0|0|261.92|0|0|0|0|0|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320
HOSP OP|0361 - OR/MINOR|||Hb Optime Bronch Level 2 10 Minutes|420|222.6|0|336|0|378|0|339.36|302.4|284.26|0|420|0|0|0|343.77|0|0|0|0|0|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|420
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|Hb Thyrotropin Receptor Ab|52.31|27.72|39.23|41.85|44.46|47.08|44.46|42.27|37.66|35.4|0|52.31|22.28|23.31|16.2|42.82|21.17|20.6|22.73|17.26915521|39.23|40.85|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|52.31
HOSP OP|0361 - OR/MINOR||11982|Removal Drug Implants Device|924.6|490.04|693.45|739.68|785.91|832.14|785.91|747.08|665.71|625.77|0|924.6|0|326.15|0|756.79|0|0|317.99|1423.916154|693.45|722.11|75.69|82.31|75.69|419.42|427.98|213.58|73.64|214.55|427.98|1449.546645|1423.916154|923.91027|0|0|0|0|73.49|73.49|75.69|73.49|132.28|73.49|75.69|0|1449.546645
HOSP OP|0361 - OR/MINOR||37785|Revise Secondary Varicositys|7015.08|3717.99|5261.31|5612.06|5962.82|6313.57|5962.82|5668.18|5050.86|4747.81|0|7015.08|0|738.95|0|5741.84|0|0|720.47|2588.472999|5261.31|5478.78|257.21|279.69|257.21|926.01|944.91|469.2|250.22|473.7|944.91|2635.065513|2588.472999|1679.534838|0|0|0|0|249.72|249.72|257.21|249.72|449.5|249.72|257.21|0|7015.08
HOSP OP|0761 - TREATMENT ROOM||36465|Hb Pr Njx Noncmpnd Sclerosant Single Incmptnt Vein|4113.58|2180.2|3085.19|3290.86|3496.54|3702.22|3496.54|3323.77|2961.78|2784.07|0|4113.58|2682.05|3030.1|1506.39|3366.97|2546.31|2480.49|2954.3|2946.467707|3085.19|3212.71|1793.27|1949.96|1793.27|3900.76|3980.37|1295.5|1744.52|1316.18|3980.37|2999.504126|2946.467707|1911.820276|0|0|1734.95|1822.73|3474.74|3093.12|1793.27|3334.14|3133.87|1741.04|1793.07|0|4113.58
HOSP OP|0300 - LABORATORY||81479|Hb Gamma Globin Full Gene Sequencing|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|235.98|199.92|172.07|292.2|224.2|218.13|194.92|183.4406552|267.75|278.82|142.8|0|142.8|236.35|241.17|119.25|142.8|120.9|241.17|186.742587|183.4406552|119.025762|0|0|142.8|170.4|0|0|142.8|0|178.5|142.8|142.8|0|357
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 1|834|442.02|0|667.2|0|750.6|0|673.87|600.48|564.45|0|834|0|0|0|682.63|0|0|0|0|0|651.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|834
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 2|1073|568.69|0|858.4|0|965.7|0|866.98|772.56|726.21|0|1073|0|0|0|878.25|0|0|0|0|0|838.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1073
HOSP OP|0750 - GASTRO-INTESTINAL SERVICES|||Hb Optime Endo Discontinued Proc Level 3|3090|1637.7|0|2472|0|2781|0|2496.72|2224.8|2091.31|0|3090|0|0|0|2529.17|0|0|0|0|0|2413.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3090
HOSP OP|0761 - TREATMENT ROOM||64461|Hb Paravertebral Block Thoracic Single Inj Site W/imaging Guidance|1590.25|842.83|1192.69|1272.2|1351.71|1431.23|1351.71|1284.92|1144.98|1076.28|0|1590.25|1036.84|1171.41|582.35|1301.62|984.36|958.92|1142.11|1317.512335|1192.69|1241.99|690.73|751.09|690.73|1502.49|1533.15|499|671.96|506.97|1533.15|1341.227557|1317.512335|854.869982|0|0|670.7|704.64|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1590.25
HOSP OP|0761 - TREATMENT ROOM||64462|Hb Paravertebral Block Thoracic Second & Addl Inj Sites W/imaging Guidance|159|84.27|119.25|127.2|135.15|143.1|0|128.47|114.48|107.61|0|159|103.67|0|58.23|130.14|98.42|95.88|0|1317.512335|119.25|124.18|0|0|0|0|0|0|0|0|0|1341.227557|1317.512335|854.869982|0|0|0|70.45|0|0|0|0|0|0|0|0|1341.227557
HOSP OP|0278 - SUPPLY IMPLANTS||Q4151|Hb Amnioband Guardian 1 Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.8840864|0|0|0|0|0|0|0|0|0|0|0|143.42|140.8840864|143.42|0|0|0|0|0|0|0|0|0|0|0|0|143.42
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Cycloserine Antimicrobial Level|142.4|75.47|106.8|113.92|121.04|128.16|121.04|115.06|102.53|96.38|0|142.4|24.05|25.16|17.48|116.55|22.85|22.24|24.53|20.50098232|106.8|111.21|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|142.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1884|Hb Bsc Sentinel Guidewire|11200|5936|8400|8960|9520|10080|0|9049.6|8064|7580.16|0|11200|7302.4|0|4101.44|9167.2|6932.8|6753.6|0|0|8400|8747.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4962.72|0|0|0|0|0|0|0|0|11200
HOSP OP|0272 - STERILE SUPPLY||C1893|Hb Intro/sheath Guiding Intra Ep Fix-crv Not Peel-away|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|HB Eval of HB Speech fluency level 1|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|386.32|106.79|792.31|196|191|354.23|277.1325138|726|756.01|118.03|128.34|118.03|308.99|315.3|156.89|116.88|158.06|315.3|282.120899|277.1325138|179.817874|0|0|91.18|173.11|126.05|126.05|118.03|126.05|206.26|114.59|118.03|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 2|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|386.32|106.79|792.31|196|191|354.23|277.1325138|726|756.01|118.03|128.34|118.03|308.99|315.3|156.89|116.88|158.06|315.3|282.120899|277.1325138|179.817874|0|0|91.18|173.11|126.05|126.05|118.03|126.05|206.26|114.59|118.03|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 3|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|386.32|106.79|792.31|196|191|354.23|277.1325138|726|756.01|118.03|128.34|118.03|308.99|315.3|156.89|116.88|158.06|315.3|282.120899|277.1325138|179.817874|0|0|91.18|173.11|126.05|126.05|118.03|126.05|206.26|114.59|118.03|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92521|Hb Eval Of Speech Fluency Level 4|968|513.04|726|774.4|822.8|871.2|822.8|782.14|696.96|655.14|0|968|207|386.32|106.79|792.31|196|191|354.23|277.1325138|726|756.01|118.03|128.34|118.03|308.99|315.3|156.89|116.88|158.06|315.3|282.120899|277.1325138|179.817874|0|0|91.18|173.11|126.05|126.05|118.03|126.05|206.26|114.59|118.03|0|968
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 1|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|312.91|106.79|302.03|196|191|285.14|277.1325138|276.75|288.19|95.94|104.33|95.94|247.97|253.03|125.12|95.01|126.85|253.03|282.120899|277.1325138|179.817874|0|0|73.39|173.11|102.47|102.47|95.94|102.47|167.67|93.15|95.94|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 2|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|312.91|106.79|302.03|196|191|285.14|277.1325138|276.75|288.19|95.94|104.33|95.94|247.97|253.03|125.12|95.01|126.85|253.03|282.120899|277.1325138|179.817874|0|0|73.39|173.11|102.47|102.47|95.94|102.47|167.67|93.15|95.94|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 3|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|312.91|106.79|302.03|196|191|285.14|277.1325138|276.75|288.19|95.94|104.33|95.94|247.97|253.03|125.12|95.01|126.85|253.03|282.120899|277.1325138|179.817874|0|0|73.39|173.11|102.47|102.47|95.94|102.47|167.67|93.15|95.94|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92522|Hb Eval Of Speech Prod Level 4|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|207|312.91|106.79|302.03|196|191|285.14|277.1325138|276.75|288.19|95.94|104.33|95.94|247.97|253.03|125.12|95.01|126.85|253.03|282.120899|277.1325138|179.817874|0|0|73.39|173.11|102.47|102.47|95.94|102.47|167.67|93.15|95.94|0|369
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 1|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|624|106.79|510.74|196|191|614.15|277.1325138|468|487.34|202.89|220.62|202.89|532.75|543.62|271.74|200.92|272.53|543.62|282.120899|277.1325138|179.817874|0|0|157.42|173.11|216.68|216.68|202.89|216.68|354.56|196.98|202.89|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 2|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|624|106.79|510.74|196|191|614.15|277.1325138|468|487.34|202.89|220.62|202.89|532.75|543.62|271.74|200.92|272.53|543.62|282.120899|277.1325138|179.817874|0|0|157.42|173.11|216.68|216.68|202.89|216.68|354.56|196.98|202.89|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 3|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|624|106.79|510.74|196|191|614.15|277.1325138|468|487.34|202.89|220.62|202.89|532.75|543.62|271.74|200.92|272.53|543.62|282.120899|277.1325138|179.817874|0|0|157.42|173.11|216.68|216.68|202.89|216.68|354.56|196.98|202.89|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92523|Hb Eval Of Speech W/ Lang Comp Level 4|624|330.72|468|499.2|530.4|561.6|530.4|504.19|449.28|422.32|0|624|207|624|106.79|510.74|196|191|614.15|277.1325138|468|487.34|202.89|220.62|202.89|532.75|543.62|271.74|200.92|272.53|543.62|282.120899|277.1325138|179.817874|0|0|157.42|173.11|216.68|216.68|202.89|216.68|354.56|196.98|202.89|0|624
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 1|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|302.08|106.79|401.07|196|191|273.08|277.1325138|367.5|382.69|93.69|101.88|93.69|240.22|245.12|120.23|92.78|122.88|245.12|282.120899|277.1325138|179.817874|0|0|70.82|173.11|100.06|100.06|93.69|100.06|163.73|90.96|93.69|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 2|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|302.08|106.79|401.07|196|191|273.08|277.1325138|367.5|382.69|93.69|101.88|93.69|240.22|245.12|120.23|92.78|122.88|245.12|282.120899|277.1325138|179.817874|0|0|70.82|173.11|100.06|100.06|93.69|100.06|163.73|90.96|93.69|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 3|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|302.08|106.79|401.07|196|191|273.08|277.1325138|367.5|382.69|93.69|101.88|93.69|240.22|245.12|120.23|92.78|122.88|245.12|282.120899|277.1325138|179.817874|0|0|70.82|173.11|100.06|100.06|93.69|100.06|163.73|90.96|93.69|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92524|Hb Beh/qual Analy Voice Level 4|490|259.7|367.5|392|416.5|441|416.5|395.92|352.8|331.63|0|490|207|302.08|106.79|401.07|196|191|273.08|277.1325138|367.5|382.69|93.69|101.88|93.69|240.22|245.12|120.23|92.78|122.88|245.12|282.120899|277.1325138|179.817874|0|0|70.82|173.11|100.06|100.06|93.69|100.06|163.73|90.96|93.69|0|490
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 1|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|293.65|106.79|279.11|196|191|266.5|277.1325138|255.75|266.32|91.47|99.47|91.47|234.41|239.19|117.79|90.59|119.91|239.19|282.120899|277.1325138|179.817874|0|0|69.1|173.11|97.69|97.69|91.47|97.69|159.86|88.81|91.47|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 2|334|177.02|250.5|267.2|283.9|300.6|283.9|269.87|240.48|226.05|0|334|207|293.65|106.79|273.38|196|191|266.5|277.1325138|250.5|260.85|91.47|99.47|91.47|234.41|239.19|117.79|90.59|119.91|239.19|282.120899|277.1325138|179.817874|0|0|69.1|173.11|97.69|97.69|91.47|97.69|159.86|88.81|91.47|0|334
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 3|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|293.65|106.79|279.11|196|191|266.5|277.1325138|255.75|266.32|91.47|99.47|91.47|234.41|239.19|117.79|90.59|119.91|239.19|282.120899|277.1325138|179.817874|0|0|69.1|173.11|97.69|97.69|91.47|97.69|159.86|88.81|91.47|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92526|Hb Feeding/swallow Treatment  Level 4|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|207|293.65|106.79|279.11|196|191|266.5|277.1325138|255.75|266.32|91.47|99.47|91.47|234.41|239.19|117.79|90.59|119.91|239.19|282.120899|277.1325138|179.817874|0|0|69.1|173.11|97.69|97.69|91.47|97.69|159.86|88.81|91.47|0|341
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92508|Hb Speech Therapy Group Level 4|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|82|0|82|67.12|82|82|0|132.475109|61.5|64.04|0|0|0|63.93|65.23|31.28|0|32.7|65.23|134.859661|132.475109|85.956686|0|0|18.92|80.36|24.46|24.46|0|24.46|0|0|0|0|134.859661
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92626|Hb Eval Of Aud Rehab Status 60 Mns|363|192.39|272.25|290.4|308.55|326.7|308.55|293.3|261.36|245.68|0|363|207|306.89|106.79|297.12|196|191|299.22|277.1325138|272.25|283.5|79.79|86.77|79.79|245.07|250.07|123.65|77.62|125.36|250.07|282.120899|277.1325138|179.817874|0|0|72.54|173.11|77.47|77.47|79.79|77.47|139.45|77.47|79.79|0|363
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 1|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|247.92|106.79|283.2|196|191|223.73|277.1325138|259.5|270.23|76.22|82.88|76.22|196.64|200.65|98.24|75.48|100.59|200.65|282.120899|277.1325138|179.817874|0|0|57.91|173.11|81.4|81.4|76.22|81.4|133.2|74|76.22|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 2|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|247.92|106.79|283.2|196|191|223.73|277.1325138|259.5|270.23|76.22|82.88|76.22|196.64|200.65|98.24|75.48|100.59|200.65|282.120899|277.1325138|179.817874|0|0|57.91|173.11|81.4|81.4|76.22|81.4|133.2|74|76.22|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 3|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|247.92|106.79|283.2|196|191|223.73|277.1325138|259.5|270.23|76.22|82.88|76.22|196.64|200.65|98.24|75.48|100.59|200.65|282.120899|277.1325138|179.817874|0|0|57.91|173.11|81.4|81.4|76.22|81.4|133.2|74|76.22|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92597|Hb Slp Eval Voice Pros Level 4|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|207|247.92|106.79|283.2|196|191|223.73|277.1325138|259.5|270.23|76.22|82.88|76.22|196.64|200.65|98.24|75.48|100.59|200.65|282.120899|277.1325138|179.817874|0|0|57.91|173.11|81.4|81.4|76.22|81.4|133.2|74|76.22|0|346
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 1|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|333|106.79|272.56|196|191|333|277.1325138|249.75|260.07|113.73|123.67|113.73|297.37|303.44|151.51|112.63|152.12|303.44|282.120899|277.1325138|179.817874|0|0|87.73|173.11|121.46|121.46|113.73|121.46|198.76|110.42|113.73|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 2|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|333|106.79|272.56|196|191|333|277.1325138|249.75|260.07|113.73|123.67|113.73|297.37|303.44|151.51|112.63|152.12|303.44|282.120899|277.1325138|179.817874|0|0|87.73|173.11|121.46|121.46|113.73|121.46|198.76|110.42|113.73|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 3|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|333|106.79|272.56|196|191|333|277.1325138|249.75|260.07|113.73|123.67|113.73|297.37|303.44|151.51|112.63|152.12|303.44|282.120899|277.1325138|179.817874|0|0|87.73|173.11|121.46|121.46|113.73|121.46|198.76|110.42|113.73|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92609|Hb Trng For Sp-gen Device Level 4|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|207|333|106.79|272.56|196|191|333|277.1325138|249.75|260.07|113.73|123.67|113.73|297.37|303.44|151.51|112.63|152.12|303.44|282.120899|277.1325138|179.817874|0|0|87.73|173.11|121.46|121.46|113.73|121.46|198.76|110.42|113.73|0|333
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||99366|Hb Sp Med Team Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|262.9492613|228|237.42|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|36.86|173.11|0|0|0|0|0|0|0|0|304
HOSP OP|0510 - CLINIC||99368|Hb Sp 30 Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|0|0|0|223.45|0|0|0|262.9492613|204.75|213.21|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|0|0|0|0|0|0|0|0|0|0|273
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||96105|Hb Assess Of Aphasia Per Hour|342|181.26|256.5|273.6|290.7|307.8|290.7|276.34|246.24|231.47|0|342|207|342|106.79|279.93|196|191|342|752.3008969|256.5|267.1|107.25|116.63|107.25|281.87|287.62|148.58|104.34|144.19|287.62|765.842313|752.3008969|488.131638|0|0|83.44|173.11|114.54|114.54|107.25|114.54|187.43|104.13|107.25|0|765.842313
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||96125|Hb Standardized Testing Per Hour|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|207|375.49|106.79|347.86|196|191|368.49|752.3008969|318.75|331.93|113.91|123.86|113.91|299.31|305.42|163.24|112.8|153.11|305.42|765.842313|752.3008969|488.131638|0|0|88.61|173.11|121.65|121.65|113.91|121.65|199.06|110.59|113.91|0|765.842313
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES|||Hb Polysom; W/cpap Wear Trial|2000|1060|0|1600|0|1800|0|1616|1440|1353.6|0|2000|1304|0|732.4|1637|1238|1206|0|0|0|1562|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|886.2|0|0|0|0|0|0|0|0|2000
HOSP OP|0278 - SUPPLY IMPLANTS||Q4152|Hb Dermapure; Per Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1269.018559|0|0|0|0|0|0|0|0|0|0|0|1291.860893|1269.018559|823.404718|0|0|0|0|0|0|0|0|0|0|0|0|1291.860893
HOSP OP|0460 - PULMONARY FUNCTION||94610|Hb Surfactant Admin Thru Et Tube|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|318.83|191.36|179.07|400.25|302.69|294.87|186.57|261.7722279|366.75|381.91|57.1|62.09|57.1|148.21|151.23|74.78|55.55|75.81|151.23|266.484128|261.7722279|169.851328|0|0|214.61|216.68|55.44|55.44|57.1|55.44|99.79|55.44|57.1|0|489
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33990|Hb Pr Insj Perq Vad W/imaging Artery Access Only|4279|2267.87|3209.25|3423.2|3637.15|3851.1|3637.15|3457.43|3080.88|2896.03|0|4279|0|0|0|3502.36|0|0|2336.33|0|3209.25|3341.9|417.81|454.32|417.81|1092.62|1114.92|550.82|406.45|558.92|1114.92|0|0|0|0|0|0|0|405.64|405.64|417.81|405.64|730.15|405.64|417.81|0|4279
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33991|Hb Pr Insj Perq Vad Trnsptal W/image Art&venous Access|4279|2267.87|3209.25|3423.2|3637.15|3851.1|3637.15|3457.43|3080.88|2896.03|0|4279|0|0|0|3502.36|0|0|2336.33|0|3209.25|3341.9|612.86|666.41|612.86|1603.08|1635.8|810.34|596.2|820.05|1635.8|0|0|0|0|0|0|0|595.01|595.01|612.86|595.01|1071.02|595.01|612.86|0|4279
HOSP OP|0410 - RESPIRATORY THERAPY||94642|Hb Aerosol Inhalation Treatment|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|318.83|374.82|179.07|400.25|302.69|294.87|365.44|31.29666012|366.75|381.91|203.29|221.06|203.29|442.2|451.22|146.86|197.77|149.21|451.22|31.86|31.29666012|31.86|0|0|214.61|266.85|393.9|350.64|203.29|377.97|355.27|197.37|203.27|0|489
HOSP OP|"0634 - DRUG/EPO<10|000 UNITS"||Q4081|EPOETIN ALFA 100 UNITS|2.15|1.14|1.61|1.72|1.83|1.94|0|1.74|1.55|1.46|0|2.15|1.55|0|1.13|1.76|1.47|1.43|0|1.060903733|1.61|1.68|0|0|0|0|0|0|0|0|0|1.08|1.060903733|1.08|0|0|0|0.82|0|0|0|0|0|0|0|0|2.15
HOSP OP|0310 - PATHOLOGY LAB||88305|Hb Renalpath Level Iv Wet Tissue|229.4|121.58|172.05|183.52|194.99|206.46|194.99|185.36|165.17|155.26|0|229.4|92.19|99.74|67.04|187.76|87.62|85.26|97.24|89.8665|172.05|179.16|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|91.484097|89.8665|58.310022|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|229.4
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92610|Hb Evaluate Swallowing Function|377|199.81|282.75|301.6|320.45|339.3|320.45|304.62|271.44|255.15|0|377|207|294.86|106.79|308.57|196|191|287.48|277.1325138|282.75|294.44|75.83|82.45|75.83|234.41|239.19|117.3|73.77|119.91|239.19|282.120899|277.1325138|179.817874|0|0|69.38|173.11|80.98|80.98|75.83|80.98|132.52|73.62|75.83|0|377
HOSP OP|0361 - OR/MINOR||31641|Hb Bronchoscopy Fluoro Guide W/destruction Of Tumor Laser Therapy|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|3532|5247|1996.08|4294.67|3356|3268|5227.22|5076.780456|3935.25|4097.91|3245.54|3529.13|3245.54|5247|5247|2344.64|3157.31|2382.08|5247|5168.162504|5076.780456|3294.077104|0|0|3069.74|2445.1|5247|5247|3245.54|5247|5247|3151.01|3245.18|0|5247
HOSP OP|0361 - OR/MINOR||31623|Hb Bronchoscopy Including Fluoro Guidance W/brushing|2987|1583.11|2240.25|2389.6|2538.95|2688.3|2538.95|2413.5|2150.64|2021.6|0|2987|2594|2678.64|965.1|2444.86|2464|2399|2611.63|5076.780456|2240.25|2332.85|1580.95|1719.09|1580.95|2987|2987|1142.11|1537.97|1160.35|2987|5168.162504|5076.780456|3294.077104|0|0|1533.71|1515.96|2987|2726.89|1580.95|2939.38|2762.82|1534.9|1580.77|0|5168.162504
HOSP OP|0361 - OR/MINOR||31654|Hb Bronchoscopy Including Fluoro Guidance W/ebus For Peripheral|1215|643.95|911.25|972|1032.75|1093.5|0|981.72|874.8|822.31|0|1215|744|0|399.22|994.48|707|688|0|5076.780456|911.25|948.92|0|0|0|0|0|0|0|0|0|5168.162504|5076.780456|3294.077104|0|0|0|489.02|0|0|0|0|0|0|0|0|5168.162504
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88344|Hb Stains Special Group Iii Ihc Cocktail|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|230.31|278|167.47|227.54|218.89|212.99|278|89.8665|208.5|217.12|278|340.56|278|278|278|226.25|278|229.87|278|91.484097|89.8665|58.310022|0|0|151.55|123.04|278|278|313.19|278|278|304.07|278|0|340.56
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88341|HB Special Stain III Immuno Add?l (Medicare Only)|55.61|29.47|41.71|44.49|47.27|50.05|0|44.93|40.04|37.64|0|55.61|55.61|0|55.61|45.52|55.61|55.61|0|89.8665|41.71|43.43|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|54.5|0|0|0|0|0|0|0|0|91.484097
HOSP OP|0301 - LAB/CHEMISTRY||83735|Hb Magnesium Rbc|37.88|20.08|28.41|30.3|32.2|34.09|32.2|30.61|27.27|25.64|0|37.88|9.6|10.04|6.98|31|9.12|8.88|9.79|7.367387033|28.41|29.58|6.9|7.5|6.9|15.49|15.81|9.29|6.71|7.93|15.81|7.5|7.367387033|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|37.88
HOSP OP|0761 - TREATMENT ROOM||64615|Hb Chemodervate Facial/trigem/cerv Musc Migraine|769|407.57|576.75|615.2|653.65|692.1|653.65|621.35|553.68|520.46|0|769|501.39|484.12|281.61|629.43|476.01|463.71|472.01|1317.512335|576.75|600.59|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|1341.227557|1317.512335|854.869982|0|0|277.19|340.74|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|1341.227557
HOSP OP|0361 - OR/MINOR||37239|Hb Open Or Perc Stent W Rsi Angio Each Addl Vein|16108|8537.24|12081|12886.4|13691.8|14497.2|0|13015.26|11597.76|10901.89|0|16108|0|0|0|13184.4|0|0|0|9886.02122|12081|12580.35|0|0|0|0|0|0|0|0|0|10063.9696|9886.02122|6414.560652|0|0|0|0|0|0|0|0|0|0|0|0|16108
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Buprenorphine And Metabolite Urine|50.01|26.51|37.51|40.01|42.51|45.01|42.51|40.41|36.01|33.85|0|50.01|50.01|50.01|50.01|40.93|50.01|50.01|50.01|68.3497053|37.51|39.06|50.01|50.01|50.01|50.01|50.01|50.01|50.01|50.01|50.01|69.58|68.3497053|69.58|0|0|0|44.55|50.01|50.01|50.01|50.01|50.01|50.01|50.01|0|69.58
HOSP OP|0310 - PATHOLOGY LAB||88368|Hb Allina Quant Ish; First Stain (tech Only)|305.87|162.11|229.4|244.7|259.99|275.28|259.99|247.14|220.23|207.01|0|305.87|152.71|305.87|111.04|250.35|145.14|141.23|305.87|130.2975972|229.4|238.88|305.87|340.56|305.87|305.87|305.87|226.25|304.68|229.87|305.87|132.642954|130.2975972|84.543804|0|0|96.86|81.58|305.87|305.87|313.19|305.87|305.87|304.07|305.87|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88369|HB Allina Immunostain ? Add?l ? Medicare|63.9|33.87|47.93|51.12|54.32|57.51|0|51.63|46.01|43.25|0|63.9|63.9|0|63.9|52.3|63.9|63.9|0|130.2975972|47.93|49.91|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|62.62|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0310 - PATHOLOGY LAB||88365|Hb Allina Qual Ish First Stain (tech Only)|161.43|85.56|121.07|129.14|137.22|145.29|137.22|130.44|116.23|109.26|0|161.43|161.43|161.43|128.18|132.13|161.43|161.43|161.43|89.8665|121.07|126.08|158.58|172.44|158.58|161.43|161.43|114.56|154.27|116.39|161.43|91.484097|89.8665|58.310022|0|0|151.55|94.18|161.43|161.43|158.58|161.43|161.43|153.96|158.56|0|172.44
HOSP OP|0272 - STERILE SUPPLY||C1724|Hb Cath Trans Atherectomy Rotational|10267|5441.51|7700.25|8213.6|8726.95|9240.3|0|8295.74|7392.24|6948.71|0|10267|6694.08|0|3759.78|8403.54|6355.27|6191|0|0|7700.25|8018.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4549.31|0|0|0|0|0|0|0|0|10267
HOSP OP|0450 - EMERGENCY ROOM||67715|Hb Canthotomy|4350|2305.5|3262.5|3480|3697.5|3915|3697.5|3514.8|3132|2944.08|0|4350|0|698.03|0|3560.48|0|0|680.57|2990.135646|3262.5|3397.35|110.25|119.88|110.25|681.91|695.83|334.79|107.25|348.83|695.83|3043.958088|2990.135646|1940.154288|0|0|0|0|107.04|107.04|110.25|107.04|192.67|107.04|110.25|0|4350
HOSP OP|0761 - TREATMENT ROOM||20551|Hb Injection Single Tendon Origin/insertion|703|372.59|527.25|562.4|597.55|632.7|597.55|568.02|506.16|475.79|0|703|458.36|93.87|257.44|575.41|435.16|423.91|91.53|736.8229077|527.25|549.04|40.74|44.3|40.74|144.32|147.27|82.6|39.63|73.83|147.27|750.08572|736.8229077|478.08872|0|0|0|311.5|39.55|39.55|40.74|39.55|71.19|39.55|40.74|0|750.08572
HOSP OP|0761 - TREATMENT ROOM||37799|Hb Microphlebectomy Less Than 10 Stab Incisions|3190|1690.7|2392.5|2552|2711.5|2871|2711.5|2577.52|2296.8|2158.99|0|3190|2079.88|1212.88|1168.18|2611.02|1974.61|1923.57|1182.54|388.0679116|2392.5|2491.39|696.77|757.65|696.77|1515.62|1546.55|503.36|677.83|511.4|1546.55|395.053134|388.0679116|251.798484|0|0|694.45|1413.49|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|3190
HOSP OP|0301 - LAB/CHEMISTRY||80326|Hb Amphetamines; 5 Or More|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|4.64|0|3.38|5.75|4.41|4.29|0|6.895874263|5.27|5.48|7.02|0|7.02|6.07|6.3|7.02|2.81|3.07|6.3|7.02|6.895874263|7.02|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|7.02
HOSP OP|0301 - LAB/CHEMISTRY||83018|Hb Cobalt Serum|85.48|45.3|64.11|68.38|72.66|76.93|72.66|69.07|61.55|57.85|0|85.48|31.49|32.95|22.9|69.97|29.93|29.12|32.13|24.15520629|64.11|66.76|22.62|24.6|22.62|50.37|51.4|30.3|22|25.77|51.4|24.59|24.15520629|24.59|0|0|0|16.82|21.96|21.96|22.62|21.96|39.53|21.96|22.62|0|85.48
HOSP OP|0306 - LAB/BACT-MICRO||87299|Hb Human Metapneumovirus|120.98|64.12|90.74|96.78|102.83|108.88|102.83|97.75|87.11|81.88|0|120.98|20.77|21.74|15.1|99.02|19.74|19.21|21.2|17.71119843|90.74|94.49|16.58|18.03|16.58|32.94|33.61|18.08|16.13|16.85|33.61|18.03|17.71119843|18.03|0|0|0|11.09|16.1|16.1|16.58|16.1|28.98|16.1|16.58|0|120.98
HOSP OP|0301 - LAB/CHEMISTRY||80346|HB BENZODIAZEPINES|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|7.02|0|7.02|5.75|7.02|7.02|0|33.7524558|5.27|5.48|7.02|0|7.02|6.07|6.3|7.02|2.81|3.07|6.3|34.36|33.7524558|34.36|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|34.36
HOSP OP|0301 - LAB/CHEMISTRY||80353|HB COCAINE OR METABOLITE|7.02|3.72|5.27|5.62|5.97|6.32|5.97|5.67|5.05|4.75|0|7.02|7.02|0|7.02|5.75|7.02|7.02|0|25.8546169|5.27|5.48|7.02|0|7.02|6.07|6.3|7.02|2.81|3.07|6.3|26.32|25.8546169|26.32|0|0|0|6.88|7.02|7.02|7.02|7.02|7.02|7.02|7.02|0|26.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|Hb Nmo/aqp4 Facs Titer|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|37.49|18.08|27.26|61.39|35.63|34.67|17.63|51.31865619|56.25|58.58|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|75
HOSP OP|0275 - PACEMAKER||C1764|Hb Event Recorder Implantable Reveal Linq|14540|7706.2|10905|11632|12359|13086|0|11748.32|10468.8|9840.67|0|14540|9480.08|0|5324.55|11900.99|9000.26|8767.62|0|0|10905|11355.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6442.67|0|0|0|0|0|0|0|0|14540
HOSP OP|0301 - LAB/CHEMISTRY||84145|PROCALCITONIN|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|38.4|40.19|27.92|133.42|36.5|35.52|39.19|29.9410609|122.25|127.3|28.04|30.49|28.04|61.99|63.26|37.14|27.27|31.71|63.26|30.48|29.9410609|30.48|0|0|0|20.51|27.22|27.22|28.04|27.22|49|27.22|28.04|0|163
HOSP OP|0361 - OR/MINOR||36482|Hb Endoven Ablti Ther Chem Adhesive 1st Vein|11017|5839.01|8262.75|8813.6|9364.45|9915.3|9364.45|8901.74|7932.24|7456.31|0|11017|6710|8561.44|3543.04|9017.41|6374|6206|8347.27|3730.783913|8262.75|8604.28|5079.19|5523|5079.19|11017|11017|3669.31|4941.11|3727.9|11017|3797.938023|3730.783913|2420.725098|0|0|0|5281.42|9841.71|8760.83|5079.19|9443.49|8876.25|4931.25|5078.63|0|11017
HOSP OP|0361 - OR/MINOR||36483|Hb Endoven Ablti Ther Chem Adhesive Sbsq Vein|2755|1460.15|2066.25|2204|2341.75|2479.5|0|2226.04|1983.6|1864.58|0|2755|744|0|399.22|2254.97|707|688|0|3730.783913|2066.25|2151.66|0|0|0|0|0|0|0|0|0|3797.938023|3730.783913|2420.725098|0|0|0|489.02|0|0|0|0|0|0|0|0|3797.938023
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90747|Hb Hepb Vaccine Dialysis/immunsup Pat 4 Dose Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|134.1159136|0|0|0|0|0|0|0|0|0|0|0|136.53|134.1159136|136.53|0|0|0|0|0|0|0|0|0|0|0|0|136.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90620|Hb Menb Recombinant Prot W/out Membr Vesic Vacc Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|182.7111984|0|0|0|0|0|0|0|0|0|0|0|186|182.7111984|186|0|0|0|0|0|0|0|0|0|0|0|0|186
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|||Rev Code 255 (radiology)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0410 - RESPIRATORY THERAPY||94644|Hb Continuous Inhalation Tx 1st Hr|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|181.26|168.49|101.8|227.54|172.08|167.63|164.28|244.5875403|208.5|217.12|56.56|61.5|56.56|136.57|139.36|62.56|55.02|69.87|139.36|248.990116|244.5875403|158.701016|0|0|119.27|151.7|54.91|54.91|56.56|54.91|98.84|54.91|56.56|0|278
HOSP OP|0410 - RESPIRATORY THERAPY||94645|Hb Continuous Inhalation Tx Each Add Hr|136|72.08|102|108.8|115.6|122.4|0|109.89|97.92|92.04|0|136|88.67|0|49.8|111.32|84.18|82.01|0|244.5875403|102|106.22|0|0|0|0|0|0|0|0|0|248.990116|244.5875403|158.701016|0|0|0|74.22|0|0|0|0|0|0|0|0|248.990116
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Itraconazole Serum|67.78|35.92|50.84|54.22|57.61|61|57.61|54.77|48.8|45.87|0|67.78|24.05|25.16|17.48|55.48|22.85|22.24|24.53|20.50098232|50.84|52.94|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|67.78
HOSP OP|0301 - LAB/CHEMISTRY||80187|Hb Posaconazole Serum|83.43|44.22|62.57|66.74|70.92|75.09|70.92|67.41|60.07|56.47|0|83.43|55.15|36.6|40.21|68.29|52.39|50.98|35.69|29.82318271|62.57|65.16|27.92|30.36|27.92|56.18|57.33|35.93|27.16|28.74|57.33|30.36|29.82318271|30.36|0|0|33.37|39.82|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|83.43
HOSP OP|0301 - LAB/CHEMISTRY||80285|Hb Voriconazole Serum|88.25|46.77|66.19|70.6|75.01|79.43|75.01|71.31|63.54|59.73|0|88.25|58.33|36.6|42.54|72.23|55.42|53.92|35.69|29.82318271|66.19|68.92|27.92|30.36|27.92|56.18|57.33|38.01|27.16|28.74|57.33|30.36|29.82318271|30.36|0|0|35.3|42.12|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|88.25
HOSP OP|0306 - LAB/BACT-MICRO||87449|Hb Fungitell Serum|154.2|81.73|115.65|123.36|131.07|138.78|131.07|124.59|111.02|104.36|0|154.2|17.18|17.98|12.49|126.21|16.33|15.89|17.53|11.98428291|115.65|120.43|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|12.2|11.98428291|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|154.2
HOSP OP|0300 - LABORATORY||81263|Hb Igh Somatic Hypermutation In B-cll|654.2|346.73|490.65|523.36|556.07|588.78|556.07|528.59|471.02|442.76|0|654.2|422.14|441.77|306.95|535.46|401.2|390.4|430.73|323.9685658|490.65|510.93|303.36|329.86|303.36|654.2|654.2|407.62|295.11|372.12|654.2|329.8|323.9685658|329.8|0|0|366.53|225.53|294.52|294.52|303.36|294.52|530.14|294.52|303.36|0|654.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86431|Hb Rheumatoid Factor; Quantitative|45|23.85|33.75|36|38.25|40.5|38.25|36.36|32.4|30.46|0|45|8.13|8.51|5.91|36.83|7.72|7.52|8.3|6.237721022|33.75|35.15|5.84|6.35|5.84|12.59|12.85|7.82|5.68|6.44|12.85|6.35|6.237721022|6.35|0|0|0|4.34|5.67|5.67|5.84|5.67|10.21|5.67|5.84|0|45
HOSP OP|0302 - LAB/IMMUNOLOGY||86701|Hb Hiv-1 Antibody|63.36|33.58|47.52|50.69|53.86|57.02|53.86|51.19|45.62|42.88|0|63.36|12.73|13.32|9.26|51.86|12.1|11.77|12.99|8.889980354|47.52|49.48|9.16|9.96|9.16|20.34|20.76|12.22|8.91|10.41|20.76|9.05|8.889980354|9.05|0|0|0|6.8|8.89|8.89|9.16|8.89|16|8.89|9.16|0|63.36
HOSP OP|0302 - LAB/IMMUNOLOGY||87506|Hb Enteric Pathogen Panel By Pcr|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|339.26|355.04|246.68|555.76|322.43|313.75|346.16|289.2927308|509.25|530.3|270.88|294.55|270.88|545.34|556.47|295.69|263.52|278.97|556.47|294.5|289.2927308|294.5|0|0|0|181.25|262.99|262.99|270.88|262.99|473.38|262.99|270.88|0|679
HOSP OP|0302 - LAB/IMMUNOLOGY||86702|Hb Hiv-2 Antibody|63.36|33.58|47.52|50.69|53.86|57.02|53.86|51.19|45.62|42.88|0|63.36|19.38|20.28|14.09|51.86|18.41|17.92|19.77|14.87229862|47.52|49.48|13.93|15.14|13.93|31|31.63|18.57|13.55|15.86|31.63|15.14|14.87229862|15.14|0|0|0|10.35|13.52|13.52|13.93|13.52|24.34|13.52|13.93|0|63.36
HOSP OP|0306 - LAB/BACT-MICRO||87046|Hb Culture-stool Aerobic Add'l Pathogen|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|13.53|14.16|9.84|23.74|12.86|12.51|13.81|10.38310413|21.75|22.65|9.72|10.57|9.72|21.31|21.74|13.2|9.46|10.9|21.74|10.57|10.38310413|10.57|0|0|0|7.22|9.44|9.44|9.72|9.44|16.99|9.44|9.72|0|29
HOSP OP|0301 - LAB/CHEMISTRY||82985|Hb Fructosamine Serum|46.37|24.58|34.78|37.1|39.41|41.73|39.41|37.47|33.39|31.38|0|46.37|21.62|22.63|15.72|37.95|20.55|19.99|22.06|16.75834971|34.78|36.21|17.26|18.77|17.26|34.87|35.58|21.02|16.79|17.84|35.58|17.06|16.75834971|17.06|0|0|0|11.54|16.76|16.76|17.26|16.76|30.17|16.76|17.26|0|46.37
HOSP OP|0301 - LAB/CHEMISTRY||80349|Hb Thc Ms Wb/sp Reflex|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|23.3497053|26.25|27.34|35|0|35|30.24|31.43|35|14|15.32|31.43|23.77|23.3497053|23.77|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0300 - LABORATORY||81232|Hb Dihydropyrimidine Dehydrogenase Gene|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|192.2888016|0|0|0|0|0|0|0|0|0|0|0|195.75|192.2888016|195.75|0|0|0|0|0|0|0|0|0|0|0|0|195.75
HOSP OP|0300 - LABORATORY||0027U|Hb Jak2 Exon12 Mutation Detection Bm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|149.0078585|0|0|0|0|0|0|0|0|0|0|0|151.69|149.0078585|151.69|0|0|0|0|0|0|0|0|0|0|0|0|151.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90632|Hb Hepa Vaccine Adult Dose For Intramuscular Use|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|59.91159136|0|0|0|0|0|0|0|0|0|0|0|60.99|59.91159136|60.99|0|0|0|0|0|0|0|0|0|0|0|0|60.99
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Cns Igg Ab Index|158.24|83.87|118.68|126.59|134.5|142.42|134.5|127.86|113.93|107.1|0|158.24|24.41|25.54|17.75|129.52|23.2|22.57|24.9|17.03339882|118.68|123.59|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|158.24
HOSP OP|0301 - LAB/CHEMISTRY||86618|Hb Gammaglobulin|86.42|45.8|64.82|69.14|73.46|77.78|73.46|69.83|62.22|58.49|0|86.42|24.41|25.54|17.75|70.73|23.2|22.57|24.9|17.03339882|64.82|67.49|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|86.42
HOSP OP|0301 - LAB/CHEMISTRY||82040|HB ALBUMIN; SERUM|46|24.38|34.5|36.8|39.1|41.4|39.1|37.17|33.12|31.13|0|46|7.1|7.43|5.16|37.65|6.74|6.56|7.24|4.950884086|34.5|35.93|5.1|5.54|5.1|11.62|11.86|6.84|4.96|5.95|11.86|5.04|4.950884086|5.04|0|0|0|3.79|4.95|4.95|5.1|4.95|8.91|4.95|5.1|0|46
HOSP OP|0301 - LAB/CHEMISTRY||82042|Hb Albumin; Other Source|58.57|31.04|43.93|46.86|49.78|52.71|49.78|47.32|42.17|39.64|0|58.57|10.04|10.5|7.3|47.94|9.54|9.28|10.24|7.779960707|43.93|45.74|8.01|8.71|8.01|16.46|16.8|8.8|7.8|8.42|16.8|7.92|7.779960707|7.92|0|0|0|5.36|7.78|7.78|8.01|7.78|14|7.78|8.01|0|58.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Nuclear Antigen Antibody|27.72|14.69|20.79|22.18|23.56|24.95|23.56|22.4|19.96|18.76|0|27.72|25.71|26.91|18.69|22.69|24.43|23.78|26.24|19.7151277|20.79|21.65|18.47|20.08|18.47|27.72|27.72|24.93|17.97|21.31|27.72|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|27.72|17.93|18.47|0|27.72
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Immunoassay Nonantibody|18.35|9.73|13.76|14.68|15.6|16.52|15.6|14.83|13.21|12.42|0|18.35|16.52|17.29|12.02|15.02|15.71|15.28|16.86|11.5324165|13.76|14.33|11.88|12.91|11.88|18.35|18.35|16.13|11.55|13.38|18.35|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|18.35|11.53|11.88|0|18.35
HOSP OP|0361 - OR/MINOR||26236|Hb Part Remv Bone Distal Phalanx|3612|1914.36|2709|2889.6|3070.2|3250.8|3070.2|2918.5|2600.64|2444.6|0|3612|0|867.72|0|2956.42|0|0|846.02|3657.219325|2709|2820.97|451.21|490.64|451.21|1172.04|1195.96|591.87|438.95|599.56|1195.96|3723.049273|3657.219325|2372.992598|0|0|0|0|438.07|438.07|451.21|438.07|788.53|438.07|451.21|0|3723.049273
HOSP OP|0761 - TREATMENT ROOM||38222|Hb Pcc Bone Marrow Biopsy & Aspiration|3449|1827.97|2586.75|2759.2|2931.65|3104.1|2931.65|2786.79|2483.28|2334.28|0|3449|2248.75|2690.79|1263.02|2823.01|2134.93|2079.75|2623.47|1232.41282|2586.75|2693.67|2562.58|2786.49|2562.58|3449|3449|1851.25|2492.91|1880.82|3449|1254.596251|1232.41282|799.653026|0|0|1540.67|1528.25|3449|3449|2562.58|3449|3449|2487.94|2562.29|0|3449
HOSP OP|0361 - OR/MINOR||38222|Hb Diagnostic Bone Marrow Biopsies & Aspirations|3483|1845.99|2612.25|2786.4|2960.55|3134.7|2960.55|2814.26|2507.76|2357.29|0|3483|2594|2690.79|965.1|2850.84|2464|2399|2623.47|1232.41282|2612.25|2720.22|2562.58|2786.49|2562.58|3483|3483|1851.25|2492.91|1880.82|3483|1254.596251|1232.41282|799.653026|0|0|1540.67|1515.96|3483|3483|2562.58|3483|3483|2487.94|2562.29|0|3483
HOSP OP|0300 - LABORATORY||81272|Hb Kit Mutation Hematologic Neoplasm|999.2|529.58|749.4|799.36|849.32|899.28|849.32|807.35|719.42|676.26|0|999.2|425.07|444.84|309.08|817.85|403.98|393.11|433.72|362.4557957|749.4|780.38|339.4|369.05|339.4|732.29|747.23|369.49|330.17|374.6|747.23|368.98|362.4557957|368.98|0|0|369.08|227.1|329.51|329.51|339.4|329.51|593.12|329.51|339.4|0|999.2
HOSP OP|0300 - LABORATORY||81450|Hb Oncoheme Ngs For Hematologic Cancer|2676.5|1418.54|2007.38|2141.2|2275.03|2408.85|2275.03|2162.61|1927.08|1811.46|0|2676.5|979.79|1025.37|712.44|2190.72|931.18|906.12|999.74|835.481336|2007.38|2090.35|782.32|850.67|782.32|1688.32|1722.78|851.89|761.05|863.66|1722.78|850.52|835.481336|850.52|0|0|850.74|523.48|759.53|759.53|782.32|759.53|1367.15|759.53|782.32|0|2676.5
HOSP OP|0300 - LABORATORY||81450|Hb Next Gen Sequencing Aml|1824.2|966.83|1368.15|1459.36|1550.57|1641.78|1550.57|1473.95|1313.42|1234.62|0|1824.2|979.79|1025.37|712.44|1493.11|931.18|906.12|999.74|835.481336|1368.15|1424.7|782.32|850.67|782.32|1688.32|1722.78|851.89|761.05|863.66|1722.78|850.52|835.481336|850.52|0|0|850.74|523.48|759.53|759.53|782.32|759.53|1367.15|759.53|782.32|0|1824.2
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl1 Gene Major Bp|126.97|67.29|95.23|101.58|107.92|114.27|107.92|102.59|91.42|85.93|0|126.97|126.97|126.97|126.97|103.92|126.97|126.97|126.97|180.3634578|95.23|99.16|126.97|126.97|126.97|126.97|126.97|126.97|126.97|126.97|126.97|183.61|180.3634578|183.61|0|0|126.97|124.43|126.97|126.97|126.97|126.97|126.97|126.97|126.97|0|183.61
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl1 Gene Minor Bp|113.1|59.94|84.83|90.48|96.14|101.79|96.14|91.38|81.43|76.55|0|113.1|113.1|113.1|113.1|92.57|113.1|113.1|113.1|159.3222004|84.83|88.33|113.1|113.1|113.1|113.1|113.1|113.1|113.1|113.1|113.1|162.19|159.3222004|162.19|0|0|113.1|110.84|113.1|113.1|113.1|113.1|113.1|113.1|113.1|0|162.19
HOSP OP|0300 - LABORATORY||81208|Hb Bcr/abl1 Gene Other Bp|134.13|71.09|100.6|107.3|114.01|120.72|114.01|108.38|96.57|90.78|0|134.13|134.13|134.13|134.13|109.79|134.13|134.13|134.13|236.0805501|100.6|104.76|134.13|134.13|134.13|134.13|134.13|134.13|134.13|134.13|134.13|240.33|236.0805501|240.33|0|0|134.13|131.45|134.13|134.13|134.13|134.13|134.13|134.13|134.13|0|240.33
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl1 P210 Quant Reflex|350|185.5|262.5|280|297.5|315|297.5|282.8|252|236.88|0|350|235.01|245.94|170.88|286.48|223.35|217.34|239.79|180.3634578|262.5|273.35|168.88|183.64|168.88|350|350|226.78|164.29|207.12|350|183.61|180.3634578|183.61|0|0|204.06|125.55|163.96|163.96|168.88|163.96|295.13|163.96|168.88|0|350
HOSP OP|0300 - LABORATORY||81219|Hb Mpn Calr Gene Mutation Exon 9|646.3|342.54|484.73|517.04|549.36|581.67|549.36|522.21|465.34|437.42|0|646.3|174.33|182.44|126.76|529|165.68|161.22|177.88|133.7917485|484.73|504.76|125.28|136.23|125.28|300.27|306.4|168.62|121.87|153.61|306.4|136.2|133.7917485|136.2|0|0|151.37|93.13|121.63|121.63|125.28|121.63|218.93|121.63|125.28|0|646.3
HOSP OP|0300 - LABORATORY||81207|Hb Bcr/abl P190 Quant Monitor|347.26|184.05|260.45|277.81|295.17|312.53|295.17|280.59|250.03|235.03|0|347.26|207.6|217.26|150.95|284.23|197.3|191.99|211.83|159.3222004|260.45|271.21|149.19|162.22|149.19|347.26|347.26|200.39|145.13|182.84|347.26|162.19|159.3222004|162.19|0|0|180.26|110.91|144.84|144.84|149.19|144.84|260.71|144.84|149.19|0|347.26
HOSP OP|0301 - LAB/CHEMISTRY||84484|Hb Troponin T S|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.72298625|0|0|0|0|0|0|0|0|0|0|0|13.97|13.72298625|13.97|0|0|0|0|0|0|0|0|0|0|0|0|13.97
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9588|Hb Pet Fluciclovine F-18 Dx 1 Mci|1132|599.96|849|905.6|962.2|1018.8|0|914.66|815.04|766.14|0|1132|1132|0|747.53|926.54|1132|1132|0|408.5068762|849|884.09|0|0|0|0|0|0|0|0|0|415.86|408.5068762|415.86|0|0|0|1109.36|0|0|0|0|0|0|0|0|1132
HOSP OP|0361 - OR/MINOR||32994|Hb Ablation Therapy 1+ Pulm Tumors Perq Cryoablation|12965|6871.45|9723.75|10372|11020.25|11668.5|11020.25|10475.72|9334.8|8774.71|0|12965|6710|8990.5|3543.04|10611.85|6374|6206|8765.59|11538.98807|9723.75|10125.67|5341.67|5808.42|5341.67|11619.29|11856.42|3858.93|5196.46|3920.55|11856.42|11746.68986|11538.98807|7487.090834|0|0|5147.7|5281.42|10350.3|9213.56|5341.67|9931.5|9334.96|5186.09|5341.07|0|12965
HOSP OP|0361 - OR/MINOR||62328|Hb Diagnostic Lumbar Spinal Puncture W/fluor Or Ct|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|0|1171.41|0|1371.81|0|0|1142.11|2089.175431|1257|1308.96|690.73|751.09|690.73|1502.49|1533.15|499|671.96|506.97|1533.15|2126.780589|2089.175431|1355.564814|0|0|670.4|0|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|2126.780589
HOSP OP|0361 - OR/MINOR||62329|Hb Therapeutic Spinal Pnxr Drainage Csf W/fluor/ct|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|0|861.71|0|1371.81|0|0|840.15|2089.175431|1257|1308.96|111.26|120.98|111.26|870.8|888.57|721.85|108.24|445.45|888.57|2126.780589|2089.175431|1355.564814|0|0|670.4|0|108.02|108.02|111.26|108.02|194.44|108.02|111.26|0|2126.780589
HOSP OP|0761 - TREATMENT ROOM||64451|Hb Injection Nerves Innervating Si Joint W/img|1677|888.81|1257.75|1341.6|1425.45|1509.3|1425.45|1355.02|1207.44|1134.99|0|1677|1093.4|537.96|614.12|1372.62|1038.06|1011.23|524.51|1317.512335|1257.75|1309.74|81.81|88.96|81.81|575.37|587.11|722.28|79.59|294.33|587.11|1341.227557|1317.512335|854.869982|0|0|670.8|743.08|79.43|79.43|81.81|79.43|142.97|79.43|81.81|0|1677
HOSP OP|0761 - TREATMENT ROOM||64454|Hb Injection Aa&/strd Genicular Nrv Branches W/img|1676|888.28|1257|1340.8|1424.6|1508.4|1424.6|1354.21|1206.72|1134.32|0|1676|1092.75|1171.41|613.75|1371.81|1037.44|1010.63|1142.11|1317.512335|1257|1308.96|690.73|751.09|690.73|1502.49|1533.15|499|671.96|506.97|1533.15|1341.227557|1317.512335|854.869982|0|0|670.4|742.64|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1676
HOSP OP|0761 - TREATMENT ROOM||64624|Hb Destruction Neurolytic Agt Genicular Nerve W/img|4611|2443.83|3458.25|3688.8|3919.35|4149.9|3919.35|3725.69|3319.92|3120.72|0|4611|3006.37|3191.53|1688.55|3774.1|2854.21|2780.43|3111.69|1587.700352|3458.25|3601.19|1900.03|2066.05|1900.03|4132.98|4217.32|1372.62|1848.38|1394.54|4217.32|1616.278958|1587.700352|1030.181908|0|0|1844.4|2043.13|3681.6|3277.26|1900.03|3532.63|3320.44|1844.69|1899.82|0|4611
HOSP OP|0333 - RADIATION RX||77402|Hb Rad Tx Delivery 1 Mev Simple|225|119.25|168.75|180|191.25|202.5|191.25|181.8|162|152.28|0|225|146.7|126|82.4|184.16|139.28|135.68|122.85|260.4125737|168.75|175.73|90|0|90|225|225|193.54|90|196.22|225|265.1|260.4125737|265.1|0|0|131.04|99.7|0|0|90|0|112.5|90|90|0|265.1
HOSP OP|0761 - TREATMENT ROOM||64625|Hb Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn|4611|2443.83|3458.25|3688.8|3919.35|4149.9|3919.35|3725.69|3319.92|3120.72|0|4611|3006.37|1293.76|1688.55|3774.1|2854.21|2780.43|1261.41|3652.687747|3458.25|3601.19|200.98|218.55|200.98|1361.9|1389.69|1985.96|195.52|696.67|1389.69|3718.436126|3652.687747|2370.052276|0|0|1844.4|2043.13|195.13|195.13|200.98|195.13|351.23|195.13|200.98|0|4611
HOSP OP|0333 - RADIATION RX||77412|Hb Rad Tx Delivery 1 Mev Complex|334|177.02|250.5|267.2|283.9|300.6|283.9|269.87|240.48|226.05|0|334|217.77|187.04|122.31|273.38|206.75|201.4|182.36|448.8801572|250.5|260.85|133.6|0|133.6|334|334|334|133.6|334|334|456.96|448.8801572|456.96|0|0|251.41|148|0|0|133.6|0|167|133.6|133.6|0|456.96
HOSP OP|0420 - PHYSICAL THERAPY||90912|Hb Bfb Traing W/emg &/manometry 1st 15 Min Cntct|365|193.45|273.75|292|310.25|328.5|310.25|294.92|262.8|247.03|0|365|207|273.19|106.79|298.75|196|191|266.36|99.40047053|273.75|285.07|45.78|49.78|45.78|218.91|223.38|157.21|44.54|111.98|223.38|101.189679|99.40047053|64.496154|0|0|146|173.11|44.45|44.45|45.78|44.45|80.01|44.45|45.78|0|365
HOSP OP|0361 - OR/MINOR||32999|Hb Chest Tube Repositioning|1068|566.04|801|854.4|907.8|961.2|907.8|862.94|768.96|722.82|0|1068|1068|1068|598.82|874.16|1068|1068|1068|970.169779|801|834.11|696.77|757.65|696.77|1068|1068|503.36|677.83|511.4|1068|987.632835|970.169779|629.49621|0|0|694.45|733.53|1068|1068|696.77|1068|1068|676.47|696.69|0|1068
HOSP OP|0420 - PHYSICAL THERAPY||90913|Hb Bfb Traing W/emg&/manometry Ea Addl 15 Min Cntct|365|193.45|273.75|292|310.25|328.5|310.25|294.92|262.8|247.03|0|365|207|110.72|106.79|298.75|196|191|107.95|99.40047053|273.75|285.07|25.38|27.6|25.38|87.18|88.96|157.21|24.69|44.6|88.96|101.189679|99.40047053|64.496154|0|0|146|173.11|24.64|24.64|25.38|24.64|44.35|24.64|25.38|0|365
HOSP OP|0480 - CARDIOLOGY||93356|Hb Myocrd Strain Img Speckle Trck Assmt Myocrd Mech|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|1016.839153|83.25|86.69|0|0|0|0|0|0|0|0|0|1035.142258|1016.839153|659.777708|0|0|44.4|49.18|0|0|0|0|0|0|0|0|1035.142258
HOSP OP|0918 - PSYCH - TESTING||96156|Hb Health Behavior Assessment/re-assessment|211|111.83|158.25|168.8|179.35|189.9|179.35|170.49|151.92|142.8|0|211|137.57|211|77.27|172.7|130.61|127.23|211|522.3674224|158.25|164.79|91.29|99.27|91.29|211|211|90.88|88.81|134.78|211|531.770036|522.3674224|338.938936|0|0|84.4|93.49|88.63|88.63|91.29|88.63|159.53|88.63|91.29|0|531.770036
HOSP OP|0918 - PSYCH - TESTING||96158|Hb Health Behavior Ivntj Indiv F2f 1st 30 Min|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|69.11|106|38.82|86.76|65.61|63.92|106|0|79.5|82.79|62.46|67.92|62.46|106|106|45.65|60.76|92.16|106|0|0|0|0|0|42.4|46.97|60.64|60.64|62.46|60.64|106|60.64|62.46|0|106
HOSP OP|0918 - PSYCH - TESTING||96164|Hb Health Behavior Ivntj Group F2f 1st 30 Min|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|47.6|33.7|26.73|59.75|45.19|44.02|32.86|0|54.75|57.01|9.06|9.86|9.06|26.16|26.69|31.44|8.82|13.38|26.69|0|0|0|0|0|29.2|32.35|8.8|8.8|9.06|8.8|15.84|8.8|9.06|0|73
HOSP OP|0916 - FAMILY THERAPY||96167|Hb Health Behavior Ivntj Fam W/pt F2f 1st 30 Min|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|0|73|0|59.75|0|0|73|0|54.75|57.01|66.69|72.52|66.69|73|73|31.44|64.88|73|73|0|0|0|0|0|29.2|0|64.75|64.75|66.69|64.75|73|64.75|66.69|0|73
HOSP OP|0430 - OCCUPATIONAL THERAPY||97129|Hb Ot Cognitive Skills 1st 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|97.63492043|30|31.24|24.49|26.63|24.49|125|127.5|17.23|23.83|33.2|127.5|99.392349|97.63492043|63.350574|0|0|16|39.2|26.16|26.16|24.49|26.16|40|23.78|24.49|0|127.5
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||97129|Hb Sp Cognitive Skills 1st 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|97.63492043|30|31.24|24.49|26.63|24.49|125|127.5|17.23|23.83|33.2|127.5|99.392349|97.63492043|63.350574|0|0|16|39.2|26.16|26.16|24.49|26.16|40|23.78|24.49|0|127.5
HOSP OP|0430 - OCCUPATIONAL THERAPY||97130|Hb Ot Cognitive Skills Ea Addl 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|97.63492043|30|31.24|23.75|25.83|23.75|125|127.5|17.23|23.11|31.71|127.5|99.392349|97.63492043|63.350574|0|0|16|39.2|25.37|25.37|23.75|25.37|40|23.06|23.75|0|127.5
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||97130|Hb Sp Cognitive Skills Ea Addl 15 Min|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|97.63492043|30|31.24|23.75|25.83|23.75|125|127.5|17.23|23.11|31.71|127.5|99.392349|97.63492043|63.350574|0|0|16|39.2|25.37|25.37|23.75|25.37|40|23.06|23.75|0|127.5
HOSP OP|0306 - LAB/BACT-MICRO||87081|Hb Culture Presumptive Pathogenic Organisms|105.68|56.01|79.26|84.54|89.83|95.11|89.83|85.39|76.09|71.52|0|105.68|9.49|9.94|6.9|86.5|9.02|8.78|9.69|7.288801572|79.26|82.54|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|105.68
HOSP OP|0300 - LABORATORY||81218|Hb Cebpa Mutation Sequencing|369.81|196|277.36|295.85|314.34|332.83|314.34|298.81|266.26|250.29|0|369.81|346.71|362.84|252.11|302.69|329.51|320.64|353.77|266.0903733|277.36|288.82|249.16|270.93|249.16|369.81|369.81|334.79|242.38|305.72|369.81|270.88|266.0903733|270.88|0|0|301.04|185.24|241.9|241.9|249.16|241.9|369.81|241.9|249.16|0|369.81
HOSP OP|0404 - PET SCAN||78430|Hb Myocrd Img Pet Rst/strs W/ct|3873|2052.69|2904.75|3098.4|3292.05|3485.7|3292.05|3129.38|2788.56|2621.25|0|3873|2925|2168.88|1530.99|3170.05|2778|2705|2114.66|3525.391584|2904.75|3024.81|1549.2|0|1549.2|180.16|183.84|1668.1|1549.2|92.16|183.84|3588.848633|3525.391584|2287.455958|0|0|1549.2|2449.99|0|0|1549.2|0|1936.5|1549.2|1549.2|0|3873
HOSP OP|0306 - LAB/BACT-MICRO||87631|Hb Respiratory Virus By Pcr|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|183.99|192.55|133.79|293.84|174.86|170.16|187.74|142.632613|269.25|280.38|146.91|159.75|146.91|295.43|301.46|177.42|142.92|151.13|301.46|145.2|142.632613|145.2|0|0|0|98.3|142.63|142.63|146.91|142.63|256.73|142.63|146.91|0|359
HOSP OP|0404 - PET SCAN||78431|Hb Myocrd Img Pet Rst&strs Ct|6036|3199.08|4527|4828.8|5130.6|5432.4|5130.6|4877.09|4345.92|4085.16|0|6036|2925|3380.16|1530.99|4940.47|2778|2705|3295.66|3525.391584|4527|4714.12|2414.4|0|2414.4|4534.17|4626.7|2599.71|2414.4|2319.44|4626.7|3588.848633|3525.391584|2287.455958|0|0|2414.4|2449.99|0|0|2414.4|0|3018|2414.4|2414.4|0|6036
HOSP OP|0404 - PET SCAN||78432|Hb Myocrd Img Pet 2rtracer|7378|3910.34|5533.5|5902.4|6271.3|6640.2|6271.3|5961.42|5312.16|4993.43|0|7378|2925|4131.68|1530.99|6038.89|2778|2705|4028.39|3525.391584|5533.5|5762.22|2951.2|0|2951.2|5513.45|5625.97|3177.7|2951.2|2820.39|5625.97|3588.848633|3525.391584|2287.455958|0|0|2951.2|2449.99|0|0|2951.2|0|3689|2951.2|2951.2|0|7378
HOSP OP|0404 - PET SCAN||78433|Hb Myocrd Img Pet 2rtracer Ct|7378|3910.34|5533.5|5902.4|6271.3|6640.2|6271.3|5961.42|5312.16|4993.43|0|7378|2925|4131.68|1530.99|6038.89|2778|2705|4028.39|3525.391584|5533.5|5762.22|2951.2|0|2951.2|5530.88|5643.76|3177.7|2951.2|2829.31|5643.76|3588.848633|3525.391584|2287.455958|0|0|2951.2|2449.99|0|0|2951.2|0|3689|2951.2|2951.2|0|7378
HOSP OP|0404 - PET SCAN||78434|Hb Aqmbf Pet Rest & Rx Stress|604|320.12|453|483.2|513.4|543.6|0|488.03|434.88|408.79|0|604|604|0|604|494.37|604|604|0|3525.391584|453|471.72|0|0|0|0|0|0|0|0|0|3588.848633|3525.391584|2287.455958|0|0|241.6|591.92|0|0|0|0|0|0|0|0|3588.848633
HOSP OP|0341 - NUC MED/DX||78831|Hb Rp Loclzj Tum Spect 2 Areas|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|2149.45|747.53|2792.72|1386|1349|2095.69|1728.473546|2559|2664.77|669.68|728.19|669.68|1981.82|2022.27|1469.55|651.47|1013.79|2022.27|1759.58607|1728.473546|1121.52282|0|0|1364.8|1222.55|650.17|650.17|669.68|650.17|1170.31|650.17|669.68|0|3412
HOSP OP|0341 - NUC MED/DX||78832|Hb Rp Loclzj Tum Spect W/ct 2|3873|2052.69|2904.75|3098.4|3292.05|3485.7|3292.05|3129.38|2788.56|2621.25|0|3873|1459|2837.85|747.53|3170.05|1386|1349|2766.88|1728.473546|2904.75|3024.81|884.85|962.17|884.85|2581.41|2634.09|1668.1|860.8|1320.51|2634.09|1759.58607|1728.473546|1121.52282|0|0|1549.2|1222.55|859.08|859.08|884.85|859.08|1546.34|859.08|884.85|0|3873
HOSP OP|0341 - NUC MED/DX||78835|Hb Rp Quan Meas Single Area|341|180.73|255.75|272.8|289.85|306.9|0|275.53|245.52|230.79|0|341|341|0|341|279.11|341|341|0|848.2879705|255.75|266.32|0|0|0|0|0|0|0|0|0|863.557154|848.2879705|550.413004|0|0|136.4|334.18|0|0|0|0|0|0|0|0|863.557154
HOSP OP|0740 - EEG||95705|Hb Eeg W/o Vid 2-12 Hr Unmntr|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|380.24|248.65|555.76|420.3|409.44|370.73|253.0746562|509.25|530.3|271.6|0|271.6|586.66|609.66|292.45|271.6|297.2|609.66|257.63|253.0746562|257.63|0|0|271.6|300.86|0|0|271.6|0|339.5|271.6|271.6|0|679
HOSP OP|0740 - EEG||95708|Hb Eeg Wo Vid Ea 12-26hr Unmntr|1302|690.06|976.5|1041.6|1106.7|1171.8|1106.7|1052.02|937.44|881.19|0|1302|848.9|729.12|476.79|1065.69|805.94|785.11|710.89|485.5500982|976.5|1016.86|520.8|0|520.8|1124.93|1169.04|560.77|520.8|569.89|1169.04|494.29|485.5500982|494.29|0|0|520.8|576.92|0|0|520.8|0|651|520.8|520.8|0|1302
HOSP OP|0740 - EEG||95711|Hb Veeg 2-12 Hr Unmonitored|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|380.24|248.65|555.76|420.3|409.44|370.73|506.1394892|509.25|530.3|271.6|0|271.6|586.66|609.66|292.45|271.6|297.2|609.66|515.25|506.1394892|515.25|0|0|271.6|300.86|0|0|271.6|0|339.5|271.6|271.6|0|679
HOSP OP|0740 - EEG||95714|Hb Veeg Ea 12-26 Hr Unmntr|1302|690.06|976.5|1041.6|1106.7|1171.8|1106.7|1052.02|937.44|881.19|0|1302|848.9|729.12|476.79|1065.69|805.94|785.11|710.89|971.1001965|976.5|1016.86|520.8|0|520.8|1124.93|1169.04|560.77|520.8|569.89|1169.04|988.58|971.1001965|988.58|0|0|520.8|576.92|0|0|520.8|0|651|520.8|520.8|0|1302
HOSP OP|0341 - NUC MED/DX||78830|Hb Rp Loclzj Tum Spect W/ct 1|3412|1808.36|2559|2729.6|2900.2|3070.8|2900.2|2756.9|2456.64|2309.24|0|3412|1459|1447.81|747.53|2792.72|1386|1349|1411.6|1728.473546|2559|2664.77|451.34|490.77|451.34|1370.62|1398.59|1469.55|439.07|701.13|1398.59|1759.58607|1728.473546|1121.52282|0|0|1364.8|1222.55|438.19|438.19|451.34|438.19|788.74|438.19|451.34|0|3412
HOSP OP|0200 - INTENSIVE CARE ROOM & BED|||Icu Room Mgh|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0206 - POST ICU|||Icu Intermediate Room|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0305 - LAB/HEMATOLOGY||85445|Hb Heinz Bodies; Induced|107.4|56.92|80.55|85.92|91.29|96.66|91.29|86.78|77.33|72.69|0|107.4|9.77|10.22|7.1|87.91|9.28|9.03|9.96|7.504911591|80.55|83.88|7.02|7.64|7.02|15.49|15.81|9.29|6.83|7.93|15.81|7.64|7.504911591|7.64|0|0|0|5.21|6.82|6.82|7.02|6.82|12.28|6.82|7.02|0|107.4
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 10 Urine|123.2|65.3|92.4|98.56|104.72|110.88|104.72|99.55|88.7|83.38|0|123.2|83.4|87.28|60.64|100.84|79.26|77.13|85.1|68.3497053|92.4|96.22|64|69.6|64|123.2|123.2|80.64|62.26|68.38|123.2|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|123.2
HOSP OP|0250 - PHARMACY|||Hb Desflurane Per Ml|15.06|7.98|0|12.05|0|13.55|0|12.17|10.84|10.19|0|15.06|9.95|0|7.26|12.33|9.46|9.2|0|0|0|11.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.19|0|0|0|0|0|0|0|0|15.06
HOSP OP|0250 - PHARMACY|||Hb Sevoflurane Per Ml|3.23|1.71|0|2.58|0|2.91|0|2.61|2.33|2.19|0|3.23|2.14|0|1.56|2.64|2.03|1.97|0|0|0|2.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.54|0|0|0|0|0|0|0|0|3.23
HOSP OP|0250 - PHARMACY|||Hb Isoflurane Per Ml|1.08|0.57|0|0.86|0|0.97|0|0.87|0.78|0.73|0|1.08|0.71|0|0.52|0.88|0.68|0.66|0|0|0|0.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.52|0|0|0|0|0|0|0|0|1.08
HOSP OP|0610 - MRI||75561|Hb Card Mri W & W/o Contrast & Further Seq|2138|1133.14|1603.5|1710.4|1817.3|1924.2|1817.3|1727.5|1539.36|1447|0|2138|1868|754.87|979.08|1749.95|1775|1728|735.99|974.7013576|1603.5|1669.78|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2138
HOSP OP|0610 - MRI||75563|Hb Card Mri W & W/o Contrast With Stress|2629|1393.37|1971.75|2103.2|2234.65|2366.1|2234.65|2124.23|1892.88|1779.31|0|2629|1868|1353.22|979.08|2151.84|1775|1728|1319.37|974.7013576|1971.75|2053.25|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|992.245982|974.7013576|632.436532|0|0|774.82|1178.54|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2629
HOSP OP|0300 - LABORATORY||81263|Hb Somatic Hypermutation|613.4|325.1|460.05|490.72|521.39|552.06|521.39|495.63|441.65|415.15|0|613.4|422.14|441.77|306.95|502.07|401.2|390.4|430.73|323.9685658|460.05|479.07|303.36|329.86|303.36|613.4|613.4|407.62|295.11|372.12|613.4|329.8|323.9685658|329.8|0|0|366.53|225.53|294.52|294.52|303.36|294.52|530.14|294.52|303.36|0|613.4
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Hb Chromatin Nucleosomal Antibody|29.92|15.86|22.44|23.94|25.43|26.93|25.43|24.18|21.54|20.25|0|29.92|25.71|26.91|18.69|24.49|24.43|23.78|26.24|19.7151277|22.44|23.37|18.47|20.08|18.47|29.92|29.92|24.93|17.97|21.31|29.92|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|29.92|17.93|18.47|0|29.92
HOSP OP|0302 - LAB/IMMUNOLOGY||86305|Hb Human Epididymis Protein|170.47|90.35|127.85|136.38|144.9|153.42|144.9|137.74|122.74|115.37|0|170.47|29.84|31.23|21.7|139.53|28.36|27.59|30.45|22.88801572|127.85|133.14|21.43|23.31|21.43|47.46|48.43|28.84|20.85|24.28|48.43|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|170.47
HOSP OP|0272 - STERILE SUPPLY|||Hb Retrieval Snare Device|743|393.79|557.25|594.4|631.55|668.7|0|600.34|534.96|502.86|0|743|484.44|0|272.09|608.15|459.92|448.03|0|0|557.25|580.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|329.22|0|0|0|0|0|0|0|0|743
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||G0399|Hb In Home Sleep Test With Type 3 Portable Monitor|586|310.58|439.5|468.8|498.1|527.4|498.1|473.49|421.92|396.6|0|586|382.07|265.95|214.59|479.64|362.73|353.36|259.3|185.8644401|439.5|457.67|152.89|166.25|152.89|332.57|339.35|110.45|148.73|112.21|339.35|189.21|185.8644401|189.21|0|0|0|259.66|296.25|263.71|152.89|284.26|267.18|148.44|152.87|0|586
HOSP OP|0300 - LABORATORY||36591|Hb Collection Of Blood Via Access Device|155|82.15|116.25|124|131.75|139.5|131.75|125.24|111.6|104.9|0|155|49.74|155|36.17|126.87|47.27|46|155|21.59856287|116.25|121.06|120.49|131.02|120.49|155|155|87.04|117.21|88.43|155|21.987337|21.59856287|14.014262|0|0|119.27|26.57|155|155|120.49|155|155|116.98|120.47|0|155
HOSP OP|0310 - PATHOLOGY LAB||88235|Hb Chromosome Analysis Cvs|323.73|171.58|242.8|258.98|275.17|291.36|275.17|261.57|233.09|219.1|0|323.73|211.08|220.9|153.48|264.97|200.61|195.21|215.38|165.3339882|242.8|252.83|154.81|168.34|154.81|323.73|323.73|203.81|150.6|173.43|323.73|168.31|165.3339882|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|270.54|150.3|154.81|0|323.73
HOSP OP|0301 - LAB/CHEMISTRY||82664|Hb Chylomicron Screen Body Fluid|60.2|31.91|45.15|48.16|51.17|54.18|51.17|48.64|43.34|40.74|0|60.2|60.2|60.2|57.69|49.27|60.2|60.2|60.2|67.65225933|45.15|47.02|60.2|60.2|60.2|60.2|60.2|60.2|60.2|60.2|60.2|68.87|67.65225933|68.87|0|0|0|42.38|60.2|60.2|60.2|60.2|60.2|60.2|60.2|0|68.87
HOSP OP|0361 - OR/MINOR||36470|Hb Injection Therapy Vein One View|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|489|489|399.22|400.25|489|489|489|2946.467707|366.75|381.91|353.09|383.94|353.09|489|489|255.08|343.49|259.15|489|2999.504126|2946.467707|1911.820276|0|0|351.79|479.22|489|489|353.09|489|489|342.8|353.05|0|2999.504126
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Nephelometry Each Analyte|128.06|67.87|96.05|102.45|108.85|115.25|108.85|103.47|92.2|86.67|0|128.06|19.49|20.4|14.17|104.82|18.52|18.03|19.89|14.96070727|96.05|100.01|14.01|15.23|14.01|31|31.63|19.06|13.63|15.86|31.63|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|128.06
HOSP OP|0272 - STERILE SUPPLY||C1885|Hb Pv Catheter Laser|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0278 - SUPPLY IMPLANTS||C2623|Hb Pv Drug Eluting Balloon|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|0|0|0|0|0|0|3360
HOSP OP|0272 - STERILE SUPPLY||C1724|Hb Diamondback|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1769|Hb Csi Specialty Wire|420|222.6|315|336|357|378|0|339.36|302.4|284.26|0|420|273.84|0|153.8|343.77|259.98|253.26|0|0|315|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|186.1|0|0|0|0|0|0|0|0|420
HOSP OP|0272 - STERILE SUPPLY||A4649|Surgical Supply; Miscellaneous|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.99410609|0|0|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|0|0|0|0|0|0|0|0|0|12.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1716|Hb Brachytherapy Source Non-stranded Gold-198 Per Source|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|852.1721807|0|0|0|0|0|0|0|0|0|0|0|867.51128|852.1721807|552.93328|0|0|0|0|0|0|0|0|0|0|0|0|867.51128
HOSP OP|0272 - STERILE SUPPLY||C1725|Cath Translum Angioplasty Non-laser (may Include Guidance Infusion/perfusion Capability)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1726|Catheter Balloon Dilatation Non-vascular|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1727|Catheter Balloon Tissue Dissector Non-vascular (insertable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1729|Catheter Drainage|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|Catheter Hemodialysis/peritoneal Long-term|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1751|Catheter Infusion Inserted Peripherally Centrally Or Midline (other Than Hemodialysis)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1755|Catheter Intraspinal|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1757|Catheter Thrombectomy/embolectomy|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1758|Catheter Ureteral|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|Closure Device Vascular (implantable/insertable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|Connective Tissue Human (includes Fascia Lata)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|Connective Tissue Non-human (includes Synthetic)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1765|Adhesion Barrier|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1767|Generator Neurostimulator (implantable) Non-rechargeable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|Graft Vascular|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1769|Guide Wire|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|Repair Device Urinary Incontinence With Sling Graft|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1772|Infusion Pump Programmable (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|Joint Device (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|Lead Neurostimulator (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|Mesh (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1782|Morcellator|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1787|Patient Programmer Neurostimulator|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|Port Indwelling (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|Prosthesis Breast (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1813|Prosthesis Penile Inflatable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1815|Prosthesis Urinary Sphincter (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1820|Generator Neurostimulator (implantable) With Rechargeable Battery And Charging System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|Interspinous Process Distraction Device (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|Stent Coated/covered With Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|Stent Non-coated/non-covered With Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1877|Stent Non-coated/non-covered Without Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1883|Adaptor/extension Pacing Lead Or Neurostimulator Lead (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1887|Catheter Guiding (may Include Infusion/perfusion Capability)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1894|Intro/sheath Other Than Guiding Or Intracardiac Electrophysiological Non-laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1898|Lead Pacemaker Other Than Transvenous Vdd Single Pass|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1785|Hb Pacemaker Dual Chamber Rate-responsive|16100|8533|12075|12880|13685|14490|0|13008.8|11592|10896.48|0|16100|10497.2|0|5895.82|13177.85|9965.9|9708.3|0|0|12075|12574.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7133.91|0|0|0|0|0|0|0|0|16100
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|Stent Non-coronary Temporary Without Delivery System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C2622|Hb Prosthesis Penile Non-inflatable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1898|Hb Lead Pacemaker Other Than Transvenous Vdd Single Pass|1932|1023.96|1449|1545.6|1642.2|1738.8|0|1561.06|1391.04|1307.58|0|1932|1259.66|0|707.5|1581.34|1195.91|1165|0|0|1449|1508.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|856.07|0|0|0|0|0|0|0|0|1932
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|Stent non-coronary temporary with delivery system|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2627|Hb Catheter Suprapubic/cystoscopic|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2628|Catheter Occlusion|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C2631|Repair Device Urinary Incontinence Without Sling Graft|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C9363|Skin Substitute Integra Meshed Bilayer Wound Matrix Per Square Centimeter|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0274 - PROSTH/ORTH DEV||L4386|Hb Walking Boot Non-pneumatic With Or Without Joints With Or Without Interface Material Prefab Item That Has Been Customized|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.956778|0|0|163.61|177.9|163.61|0|0|0|0|0|0|145.53|142.956778|145.53|0|0|0|0|0|0|163.61|0|0|0|163.61|0|177.9
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|Implantable Breast Prosthesis Silicone Or Equal|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|747.8192534|0|0|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|0|0|0|0|0|0|0|0|0|761.28
HOSP OP|0278 - SUPPLY IMPLANTS||L8606|Inject Bulk Agent Synthetic Implant Ut 1 Ml Syr Incl Ship|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|185.5304519|0|0|0|0|0|0|0|0|0|0|0|188.87|185.5304519|188.87|0|0|0|0|0|0|0|0|0|0|0|0|188.87
HOSP OP|0278 - SUPPLY IMPLANTS||L8630|Hb Metacarpophalangeal Joint Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.4675835|0|0|0|0|0|0|0|0|0|0|0|410.73|403.4675835|410.73|0|0|0|0|0|0|0|0|0|0|0|0|410.73
HOSP OP|0278 - SUPPLY IMPLANTS||L8659|HB Interphalangeal finger joint replacement 2 or more pieces metal (e. g.  stainless steel or cobalt chrome) ceramic-like material (e. g.  pyrocarbon) for surgical implantation any size|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1743.280943|0|0|0|0|0|0|0|0|0|0|0|1774.66|1743.280943|1774.66|0|0|0|0|0|0|0|0|0|0|0|0|1774.66
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|Prosthetic Implant Not Otherwise Specified|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||59300|Hb Episio Or Vag Rep Non Attnd|4650|2464.5|3487.5|3720|3952.5|4185|3952.5|3757.2|3348|3147.12|0|4650|3237|4619.16|1821.42|3806.03|3075|2994|4503.61|3828.30113|3487.5|3631.65|2760.62|3001.84|2760.62|4650|4650|1994.33|2685.57|2026.17|4650|3897.21055|3828.30113|2483.9993|0|0|2644.8|2542.9|4650|4650|2760.62|4650|4650|2680.21|2760.31|0|4650
HOSP OP|0278 - SUPPLY IMPLANTS||C2616|Hb Bracytherapy Src Yttrium-90|46200|24486|34650|36960|39270|41580|39270|37329.6|33264|31268.16|0|46200|30122.4|32523.9|16918.44|37814.7|28597.8|27858.6|31710.28|16798.73837|34650|36082.2|17604.32|19142.56|17604.32|41084.78|41923.25|13644.82|17125.75|13862.71|41923.25|17101.11566|16798.73837|10899.88821|0|0|17453.78|20471.22|36597.73|32578.33|17604.32|35116.9|30764.83|17091.57|17602.35|0|46200
HOSP OP|0272 - STERILE SUPPLY||C2618|Hb Probe/needle Cryoablation|13916|7375.48|10437|11132.8|11828.6|12524.4|0|11244.13|10019.52|9418.35|0|13916|9073.23|0|5096.04|11390.25|8614|8391.35|0|0|10437|10868.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6166.18|0|0|0|0|0|0|0|0|13916
HOSP OP|0272 - STERILE SUPPLY|||Gastrostomy/jejunostomy Tube Standard Any Material Any Type Each|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2156.856582|0|0|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|0|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|Microporous Collagen Implantable Tube (neuragen Nerve Guide) Per Centimeter Length|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||L8610|Ocular Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.0962672|0|0|0|0|0|0|0|0|0|0|0|625.15|614.0962672|625.15|0|0|0|0|0|0|0|0|0|0|0|0|625.15
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|Ossicula Implant|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|307.0137525|0|0|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|0|0|0|0|0|0|0|0|0|312.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||Q9961|Hb High Osmolar Contrast Material 250-299 Mg/ml Iodine Concentration|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.235756385|0|0|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0|0|0|0|0|0|0|0|0|0.24
HOSP OP|0272 - STERILE SUPPLY||C9358|Hb Derm Sub Native Non-denat Coll Fetal Bovine Origin|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0300 - LABORATORY||81364|Hb Beta Globin Gene Sequencing|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|357|357|304.46|292.2|357|357|357|357.043222|267.75|278.82|334.32|357|334.32|357|357|357|325.23|357|357|363.47|357.043222|363.47|0|0|357|223.7|324.58|324.58|334.32|324.58|357|324.58|334.32|0|363.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|Hb Stent Coated/cov W/del Sys|6706|3554.18|5029.5|5364.8|5700.1|6035.4|0|5418.45|4828.32|4538.62|0|6706|4372.31|0|2455.74|5488.86|4151.01|4043.72|0|0|5029.5|5237.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2971.43|0|0|0|0|0|0|0|0|6706
HOSP OP|0331 - CHEMOTHERAPY/INJ||96542|Hb Chemother Injectsubarach/intravent Via Subcutaneous Reservoir|509|269.77|381.75|407.2|432.65|458.1|432.65|411.27|366.48|344.49|0|509|331.87|366.16|186.4|416.62|315.07|306.93|357|0|381.75|397.53|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|0|0|0|0|0|209.65|225.54|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|509
HOSP OP|0361 - OR/MINOR||37799|REMOVAL OF PICC WITH WIRE FLUOROSCOPY|3011|1595.83|2258.25|2408.8|2559.35|2709.9|2559.35|2432.89|2167.92|2037.84|0|3011|3011|1212.88|598.82|2464.5|3011|3011|1182.54|388.0679116|2258.25|2351.59|696.77|757.65|696.77|1515.62|1546.55|503.36|677.83|511.4|1546.55|395.053134|388.0679116|251.798484|0|0|694.45|733.53|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|3011
HOSP OP|0361 - OR/MINOR||36299|Hb Vascular Injection|3011|1595.83|2258.25|2408.8|2559.35|2709.9|0|2432.89|2167.92|2037.84|0|3011|744|0|399.22|2464.5|707|688|0|2946.467707|2258.25|2351.59|0|0|0|0|0|0|0|0|0|2999.504126|2946.467707|1911.820276|0|0|0|489.02|0|0|0|0|0|0|0|0|3011
HOSP OP|0300 - LABORATORY||81229|Hb Cytogenomic Snp Microarray Fetal|1974.2|1046.33|1480.65|1579.36|1678.07|1776.78|1678.07|1595.15|1421.42|1336.14|0|1974.2|1496.4|1566|1088.08|1615.88|1422.16|1383.88|1526.85|1276.001965|1480.65|1541.85|1194.8|1299.2|1194.8|1974.2|1974.2|422.77|1162.32|1319.02|1974.2|1298.97|1276.001965|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1974.2|1160|1194.8|0|1974.2
HOSP OP|0306 - LAB/BACT-MICRO||87801|Hb 16s Rdna Sequencing|197.2|104.52|147.9|157.76|167.62|177.48|167.62|159.34|141.98|133.46|0|197.2|100.61|105.29|73.15|161.41|95.62|93.04|102.66|70.19646365|147.9|154.01|72.31|78.62|72.31|161.76|165.06|97.26|70.34|82.75|165.06|71.46|70.19646365|71.46|0|0|0|53.75|70.2|70.2|72.31|70.2|126.36|70.2|72.31|0|197.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86329|Hb C4 Binding Protein Serum|159.51|84.54|119.63|127.61|135.58|143.56|135.58|128.88|114.85|107.96|0|159.51|20.14|21.07|14.64|130.56|19.14|18.62|20.54|15.46168959|119.63|124.58|14.47|15.74|14.47|31.97|32.62|19.55|14.08|16.35|32.62|15.74|15.46168959|15.74|0|0|0|10.75|14.05|14.05|14.47|14.05|25.29|14.05|14.47|0|159.51
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 10 Whole Blood|154.23|81.74|115.67|123.38|131.1|138.81|131.1|124.62|111.05|104.38|0|154.23|83.4|87.28|60.64|126.24|79.26|77.13|85.1|68.3497053|115.67|120.45|64|69.6|64|133.67|136.4|80.64|62.26|68.38|136.4|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|154.23
HOSP OP|0361 - OR/MINOR||27517|Hb Closed Rx Dist Fem Epiphysis+manip|3595|1905.35|2696.25|2876|3055.75|3235.5|3055.75|2904.76|2588.4|2433.1|0|3595|0|1261.27|0|2942.51|0|0|1229.72|1230.882677|2696.25|2807.7|697.7|758.67|697.7|1804.56|1841.39|912|678.73|923.12|1841.39|1253.038565|1230.882677|798.66019|0|0|0|0|677.38|677.38|697.7|677.38|1219.28|677.38|697.7|0|3595
HOSP OP|0390 - BLOOD/STOR-PROC||86940|Hb Hemolysins And Agglutinins; Each|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.646365422|0|0|0|0|0|0|0|0|0|0|0|9.82|9.646365422|9.82|0|0|0|0|0|0|0|0|0|0|0|0|9.82
HOSP OP|0390 - BLOOD/STOR-PROC||86941|Hb Hemolysins And Agglutinins; Incubated|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.32023576|0|0|0|0|0|0|0|0|0|0|0|13.56|13.32023576|13.56|0|0|0|0|0|0|0|0|0|0|0|0|13.56
HOSP OP|0306 - LAB/BACT-MICRO||87337|Hb Entamoeba Histolytica Group|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.1827112|0|0|0|0|0|0|0|0|0|0|0|13.42|13.1827112|13.42|0|0|0|0|0|0|0|0|0|0|0|0|13.42
HOSP OP|0335 - CHEMOTHERAPY/IV||96446|Chemotherapy Administration|792|419.76|594|633.6|673.2|712.8|673.2|639.94|570.24|536.03|0|792|516.38|564.14|290.03|648.25|490.25|477.58|550.03|397.3664754|594|618.55|342.13|372.03|342.13|320.54|320.54|247.16|332.83|251.11|320.54|404.519072|397.3664754|257.831872|0|0|323|350.94|662.94|590.13|342.13|636.11|597.91|332.17|342.1|0|792
HOSP OP|0272 - STERILE SUPPLY||c2618|Hb Probe/needle Cryoablations|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0306 - LAB/BACT-MICRO||87641|Hb Admit Mrsa By Pcr|161.37|85.53|121.03|129.1|137.16|145.23|137.16|130.39|116.19|109.22|0|161.37|50.3|52.64|36.57|132.08|47.8|46.52|51.32|38.59528487|121.03|126.03|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|161.37
HOSP OP|0361 - OR/MINOR||46900|Hb Destruct Anal Lesn(s) Simple Chem|828|438.84|621|662.4|703.8|745.2|703.8|669.02|596.16|560.39|0|828|0|583.7|0|677.72|0|0|569.1|530.2535462|621|646.67|140.04|152.28|140.04|643.17|656.3|333.81|136.23|329.01|656.3|539.79811|530.2535462|344.05586|0|0|0|0|135.96|135.96|140.04|135.96|244.73|135.96|140.04|0|828
HOSP OP|0301 - LAB/CHEMISTRY||80324|Hb Amphetamines Ms Rfx|17.5|9.27|13.13|14|14.88|15.75|14.88|14.14|12.6|11.84|0|17.5|17.5|0|17.5|14.32|17.5|17.5|0|26.50294695|13.13|13.67|17.5|0|17.5|15.12|15.71|17.5|7|7.66|15.71|26.98|26.50294695|26.98|0|0|0|17.15|17.5|17.5|17.5|17.5|17.5|17.5|17.5|0|26.98
HOSP OP|0301 - LAB/CHEMISTRY||80359|Hb Mda Mdea Mdma|17.5|9.27|13.13|14|14.88|15.75|14.88|14.14|12.6|11.84|0|17.5|17.5|0|17.5|14.32|17.5|17.5|0|26.50294695|13.13|13.67|17.5|0|17.5|15.12|15.71|17.5|7|7.66|15.71|26.98|26.50294695|26.98|0|0|0|17.15|17.5|17.5|17.5|17.5|17.5|17.5|17.5|0|26.98
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Phospholipase A2 Screen|204.5|108.38|153.38|163.6|173.83|184.05|173.83|165.24|147.24|138.41|0|204.5|37.49|18.08|27.26|167.38|35.63|34.67|17.63|51.31865619|153.38|159.71|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|204.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|Hb Phospholipase A2 Titer|204.5|108.38|153.38|163.6|173.83|184.05|173.83|165.24|147.24|138.41|0|204.5|37.49|18.08|27.26|167.38|35.63|34.67|17.63|51.31865619|153.38|159.71|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|204.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|Hb Serotonin Release Assay|360.2|190.91|270.15|288.16|306.17|324.18|306.17|291.04|259.34|243.78|0|360.2|26.33|27.55|19.14|294.82|25.02|24.35|26.86|20.20628684|270.15|281.32|18.92|20.57|18.92|42.62|43.49|25.41|18.41|21.8|43.49|20.57|20.20628684|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|360.2
HOSP OP|0361 - OR/MINOR||27768|Hb Closed Treatment Of Posterior Malleolus Fracture; With Manipulation|3488|1848.64|2616|2790.4|2964.8|3139.2|2964.8|2818.3|2511.36|2360.68|0|3488|0|906.24|0|2854.93|0|0|883.57|1230.882677|2616|2724.13|452.88|492.45|452.88|1171.08|1194.98|589.43|440.57|599.06|1194.98|1253.038565|1230.882677|798.66019|0|0|0|0|439.69|439.69|452.88|439.69|791.44|439.69|452.88|0|3488
HOSP OP|0480 - CARDIOLOGY||93668|Hb Peripheral Art Disease Rehab|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|103.02|109.35|57.86|129.32|97.8|95.27|106.61|382.0650413|118.5|123.4|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|388.942212|382.0650413|247.903512|0|0|62.6|70.01|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|388.942212
HOSP OP|0306 - LAB/BACT-MICRO||87305|Hb Aspergillus Antigen Bronch Lavage|81.05|42.96|60.79|64.84|68.89|72.95|68.89|65.49|58.36|54.85|0|81.05|17.18|17.98|12.49|66.34|16.33|15.89|17.53|13.1827112|60.79|63.3|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|81.05
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 11 Whole Blood|169.2|89.68|126.9|135.36|143.82|152.28|143.82|136.71|121.82|114.51|0|169.2|83.4|87.28|60.64|138.49|79.26|77.13|85.1|68.3497053|126.9|132.15|64|69.6|64|133.67|136.4|80.64|62.26|68.38|136.4|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|169.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Infectious Agent Detection By Amp Probe|20.53|10.88|15.4|16.42|17.45|18.48|17.45|16.59|14.78|13.89|0|20.53|20.53|20.53|20.53|16.8|20.53|20.53|20.53|38.59528487|15.4|16.03|20.53|20.53|20.53|20.53|20.53|20.53|20.53|20.53|20.53|39.29|38.59528487|39.29|0|0|0|20.12|20.53|20.53|20.53|20.53|20.53|20.53|20.53|0|39.29
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90682|Hb Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.01178782|0|0|0|0|0|0|0|0|0|0|0|57.02|56.01178782|57.02|0|0|0|0|0|0|0|0|0|0|0|0|57.02
HOSP OP|0272 - STERILE SUPPLY|||Hb Gastrostomy/jejunostomy Tube Standard|381|201.93|0|304.8|0|342.9|0|307.85|274.32|257.86|0|381|248.41|0|139.52|311.85|235.84|229.74|0|0|0|297.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|168.82|0|0|0|0|0|0|0|0|381
HOSP OP|0272 - STERILE SUPPLY|||Hb Gastrostomy/jejunostomy Tube Low-profile|590|312.7|0|472|0|531|0|476.72|424.8|399.31|0|590|384.68|0|216.06|482.92|365.21|355.77|0|0|0|460.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|261.43|0|0|0|0|0|0|0|0|590
HOSP OP|0272 - STERILE SUPPLY||C1757|Hb Fogarty Thrombectomy Cath|250|132.5|187.5|200|212.5|225|0|202|180|169.2|0|250|163|0|91.55|204.63|154.75|150.75|0|0|187.5|195.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.78|0|0|0|0|0|0|0|0|250
HOSP OP|0361 - OR/MINOR||46500|Hb Inject Scleros Soln  Hemorrhoids|1835|972.55|1376.25|1468|1559.75|1651.5|1559.75|1482.68|1321.2|1241.93|0|1835|0|781.07|0|1501.95|0|0|761.54|530.2535462|1376.25|1433.14|188.26|204.71|188.26|786.53|802.58|259.04|183.15|402.35|802.58|539.79811|530.2535462|344.05586|0|0|0|0|182.78|182.78|188.26|182.78|329|182.78|188.26|0|1835
HOSP OP|0361 - OR/MINOR||53060|Hb Drainage Skenes Gland Abscess/cyst|4380|2321.4|3285|3504|3723|3942|3723|3539.04|3153.6|2964.38|0|4380|0|308.1|0|3585.03|0|0|300.39|4014.74322|3285|3420.78|168.9|183.66|168.9|490.13|500.13|247.31|164.31|250.72|500.13|4087.008598|4014.74322|2604.972548|0|0|0|0|163.98|163.98|168.9|163.98|295.16|163.98|168.9|0|4380
HOSP OP|0278 - SUPPLY IMPLANTS||Q4130|Strattice Tm Per Sq Cm|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.088408644|0|0|0|0|0|0|0|0|0|0|0|5.18|5.088408644|5.18|0|0|0|0|0|0|0|0|0|0|0|0|5.18
HOSP OP|0306 - LAB/BACT-MICRO||87045|Hb Culture Stool Aerobic W/ Isolations|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.38310413|0|0|0|0|0|0|0|0|0|0|0|10.57|10.38310413|10.57|0|0|0|0|0|0|0|0|0|0|0|0|10.57
HOSP OP|0301 - LAB/CHEMISTRY||82671|Hb Estrogens E1+e2 Fractionateds|43.3|22.95|32.48|34.64|36.81|38.97|36.81|34.99|31.18|29.31|0|43.3|43.3|43.3|33.66|35.44|43.3|42.82|43.3|35.53045187|32.48|33.82|33.27|36.18|33.27|43.3|43.3|43.3|32.36|38.15|43.3|36.17|35.53045187|36.17|0|0|0|24.73|32.3|32.3|33.27|32.3|43.3|32.3|33.27|0|43.3
HOSP OP|0272 - STERILE SUPPLY||C1886|Hb Catheter Ablation Extravascular Tissue|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0301 - LAB/CHEMISTRY||84146|Hb Prolactin Pituitary Macroadenoma|75.36|39.94|56.52|60.29|64.06|67.82|64.06|60.89|54.26|51|0|75.36|27.77|29.07|20.2|61.68|26.4|25.69|28.34|21.31630648|56.52|58.86|19.96|21.71|19.96|44.56|45.47|26.88|19.42|22.79|45.47|21.7|21.31630648|21.7|0|0|0|14.84|19.38|19.38|19.96|19.38|34.88|19.38|19.96|0|75.36
HOSP OP|0450 - EMERGENCY ROOM||20999|Hb Displaced Traction Procedure|658|348.74|493.5|526.4|559.3|592.2|559.3|531.66|473.76|445.33|0|658|0|368.48|0|538.57|0|0|359.27|5340.023975|493.5|513.9|263.2|0|263.2|568.51|590.81|283.4|263.2|288.01|590.81|5436.144407|5340.023975|3464.883082|0|0|0|0|0|0|263.2|0|329|263.2|263.2|0|5436.144407
HOSP OP|0306 - LAB/BACT-MICRO||87150|Hb Group B Strep By Pcr|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|50.3|52.64|36.57|88.4|47.8|46.52|51.32|38.59528487|81|84.35|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|108
HOSP OP|0302 - LAB/IMMUNOLOGY||86717|Hb Leishman (visceral) Ab|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.47740668|0|0|0|0|0|0|0|0|0|0|0|13.72|13.47740668|13.72|0|0|0|0|0|0|0|0|0|0|0|0|13.72
HOSP OP|0272 - STERILE SUPPLY||c1753|Catheter Intravascular Ultrasound|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0350 - CT SCAN||G0297|Hb Ldct For Lung Ca Screen|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|175|121.88|175|143.24|175|175|118.83|480.4061817|131.25|136.68|88.2|95.9|88.2|175|175|63.71|85.8|64.73|175|489.053493|480.4061817|311.712318|0|0|69.78|171.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|489.053493
HOSP OP|0761 - TREATMENT ROOM||36466|Hb Njx Noncmpnd Sclerosant Multiple Incmptnt Veins|4052|2147.56|3039|3241.6|3444.2|3646.8|3444.2|3274.02|2917.44|2742.39|0|4052|2641.9|3030.1|1483.84|3316.56|2508.19|2443.36|2954.3|2946.467707|3039|3164.61|1793.27|1949.96|1793.27|3900.76|3980.37|1295.5|1744.52|1316.18|3980.37|2999.504126|2946.467707|1911.820276|0|0|1734.95|1795.44|3474.74|3093.12|1793.27|3334.14|3133.87|1741.04|1793.07|0|4052
HOSP OP|0361 - OR/MINOR||45999|Hb Foreign Body Removal Rectum|1835|972.55|1376.25|1468|1559.75|1651.5|1559.75|1482.68|1321.2|1241.93|0|1835|0|1027.6|0|1501.95|0|0|1001.91|4360.261374|1376.25|1433.14|734|0|734|1585.44|1647.61|790.33|734|803.18|1647.61|4438.746079|4360.261374|2829.162554|0|0|0|0|0|0|734|0|917.5|734|734|0|4438.746079
HOSP OP|0272 - STERILE SUPPLY||C1757|MEDTRONIC EXPORT CATHETER|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|0|1039.5|1082.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.14|0|0|0|0|0|0|0|0|1386
HOSP OP|0483 - ECHOCARDIOLOGY||C8930|Stress Echo w/EKG & Contrast|2485|1317.05|1863.75|1988|2112.25|2236.5|2112.25|2007.88|1789.2|1681.85|0|2485|1122|1353.22|629.6|2033.97|1161|1130|1319.37|1016.839153|1863.75|1940.79|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|1035.142258|1016.839153|659.777708|0|0|774.82|1023.03|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2485
HOSP OP|0948 - PULMONARY REHAB||G0424|Comprehensive Pulmonary Rehab|253|134.09|189.75|202.4|215.05|227.7|215.05|204.42|182.16|171.23|0|253|164.96|109.35|92.65|207.08|156.61|152.56|106.61|173.7301297|189.75|197.59|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|176.857272|173.7301297|112.725072|0|0|62.6|112.1|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|253
HOSP OP|0361 - OR/MINOR||31627|Hb Navigational Bronchoscopy|684|362.52|513|547.2|581.4|615.6|0|552.67|492.48|462.93|0|684|684|0|399.22|559.85|684|684|0|0|513|534.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|684
HOSP OP|0361 - OR/MINOR||32552|REMOVE TUNNEL PLEURAL CATH|459|243.27|344.25|367.2|390.15|413.1|390.15|370.87|330.48|310.65|0|459|459|459|459|375.69|459|459|459|970.169779|344.25|358.48|459|757.65|459|459|459|459|459|459|459|987.632835|970.169779|629.49621|0|0|459|449.82|459|459|696.77|459|459|676.47|459|0|987.632835
HOSP OP|0610 - MRI||75565|Card MRI w/Flow Map|719|381.07|539.25|575.2|611.15|647.1|0|580.95|517.68|486.62|0|719|719|0|719|588.5|719|719|0|974.7013576|539.25|561.54|0|0|0|0|0|0|0|0|0|992.245982|974.7013576|632.436532|0|0|0|704.62|0|0|0|0|0|0|0|0|992.245982
HOSP OP|0352 - CT SCAN/BODY||75571|CT HEART WO Dye w/CALCIUM|464|245.92|348|371.2|394.4|417.6|394.4|374.91|334.08|314.04|0|464|464|121.88|464|379.78|464|464|118.83|798.4994578|348|362.38|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|812.872448|798.4994578|518.107648|0|0|69.78|454.72|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|812.872448
HOSP OP|0352 - CT SCAN/BODY||75572|CT HEART W/Dye VENOUS STRUC|1425|755.25|1068.75|1140|1211.25|1282.5|1211.25|1151.4|1026|964.44|0|1425|1158|394.64|605.81|1166.36|1101|1072|384.77|798.4994578|1068.75|1112.93|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|812.872448|798.4994578|518.107648|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1425
HOSP OP|0352 - CT SCAN/BODY||75574|CTA HEART W/DYE & 3D|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|798.4994578|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|812.872448|798.4994578|518.107648|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0341 - NUC MED/DX||78452|NM HEART SPECT REST/STRESS|3053|1618.09|2289.75|2442.4|2595.05|2747.7|2595.05|2466.82|2198.16|2066.27|0|3053|1459|2404.95|747.53|2498.88|1386|1349|2344.79|1728.473546|2289.75|2384.39|1405.88|1528.72|1405.88|3053|3053|1015.64|1367.66|1031.86|3053|1759.58607|1728.473546|1121.52282|0|0|1377|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|3053
HOSP OP|0341 - NUC MED/DX||78451|HB Heart Viability SPECT R or S|2757|1461.21|2067.75|2205.6|2343.45|2481.3|2343.45|2227.66|1985.04|1865.94|0|2757|1459|2404.95|747.53|2256.6|1386|1349|2344.79|848.2879705|2067.75|2153.22|1405.88|1528.72|1405.88|2757|2757|1015.64|1367.66|1031.86|2757|863.557154|848.2879705|550.413004|0|0|1377|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|2757
HOSP OP|0361 - OR/MINOR||64490|Hb Inj Paravert Facet Joint C/t 1 Level|1904|1009.12|1428|1523.2|1618.4|1713.6|1618.4|1538.43|1370.88|1288.63|0|1904|1904|1496.19|598.82|1558.42|1904|1904|1458.76|1587.700352|1428|1487.02|897.39|975.8|897.39|1904|1904|648.29|872.99|658.64|1904|1616.278958|1587.700352|1030.181908|0|0|856.68|733.53|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|1904
HOSP OP|0761 - TREATMENT ROOM||64491|Hb Inj Paravert Facet Joint C/t 2 Levels|985|522.05|738.75|788|837.25|886.5|0|795.88|709.2|666.65|0|985|642.22|0|360.71|806.22|609.72|593.96|0|1587.700352|738.75|769.29|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|436.45|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0761 - TREATMENT ROOM||64492|Hb Inj Paravert Facet Joint C/t 3 Levels|891|472.23|668.25|712.8|757.35|801.9|0|719.93|641.52|603.03|0|891|580.93|0|326.28|729.28|551.53|537.27|0|1587.700352|668.25|695.87|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|394.8|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0361 - OR/MINOR||64493|INJ(S) PV FACET L/S W/IMG|1758|931.74|1318.5|1406.4|1494.3|1582.2|1494.3|1420.46|1265.76|1189.81|0|1758|1758|1496.19|598.82|1438.92|1758|1758|1458.76|1587.700352|1318.5|1373|897.39|975.8|897.39|1758|1758|648.29|872.99|658.64|1758|1616.278958|1587.700352|1030.181908|0|0|856.68|733.53|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|1758
HOSP OP|0361 - OR/MINOR||64494|Hb Inj Paravert Facet Joint Lumbar 2 Levels|989|524.17|741.75|791.2|840.65|890.1|0|799.11|712.08|669.36|0|989|744|0|399.22|809.5|707|688|0|1587.700352|741.75|772.41|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|489.02|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0761 - TREATMENT ROOM||64495|Hb Inj Paravert Facet Joint Lumbar 3 Levels|1128|597.84|846|902.4|958.8|1015.2|0|911.42|812.16|763.43|0|1128|735.46|0|413.07|923.27|698.23|680.18|0|1587.700352|846|880.97|0|0|0|0|0|0|0|0|0|1616.278958|1587.700352|1030.181908|0|0|0|499.82|0|0|0|0|0|0|0|0|1616.278958
HOSP OP|0483 - ECHOCARDIOLOGY||93351|Stress Echo w/ EKG|2841|1505.73|2130.75|2272.8|2414.85|2556.9|2414.85|2295.53|2045.52|1922.79|0|2841|1122|973.2|629.6|2325.36|1161|1130|948.85|1016.839153|2130.75|2218.82|532.19|578.69|532.19|1157.63|1181.26|384.47|517.72|390.6|1181.26|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|2841
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9582|Hb Iodine I-123 Iobenguane 15 Mci|10325|5472.25|7743.75|8260|8776.25|9292.5|0|8342.6|7434|6987.96|0|10325|1459|0|747.53|8451.01|1386|1349|0|5394.744597|7743.75|8063.83|0|0|0|0|0|0|0|0|0|5491.85|5394.744597|5491.85|0|0|0|1222.55|0|0|0|0|0|0|0|0|10325
HOSP OP|0450 - EMERGENCY ROOM||45915|REMOVAL FECAL IMPACTION/FORIEGN BODY|2308|1223.24|1731|1846.4|1961.8|2077.2|1961.8|1864.86|1661.76|1562.05|0|2308|0|783.48|0|1889.1|0|0|763.88|4360.261374|1731|1802.55|235.59|256.18|235.59|914.39|933.05|456.98|229.19|467.75|933.05|4438.746079|4360.261374|2829.162554|0|0|0|0|228.73|228.73|235.59|228.73|411.71|228.73|235.59|0|4438.746079
HOSP OP|0271 - NONSTER SUPPLY||A4618|HFO CIRCUIT|217|115.01|162.75|173.6|184.45|195.3|0|175.34|156.24|146.87|0|217|141.48|0|79.47|177.61|134.32|130.85|0|8.035363458|162.75|169.48|0|0|0|0|0|0|0|0|0|8.18|8.035363458|8.18|0|0|0|96.15|0|0|0|0|0|0|0|0|217
HOSP OP|0410 - RESPIRATORY THERAPY|||CO2 MONITORING ONLY|324|171.72|0|259.2|0|291.6|0|261.79|233.28|219.28|0|324|211.25|0|118.65|265.19|200.56|195.37|0|0|0|253.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.81|0|0|0|0|0|0|0|0|324
HOSP OP|0761 - TREATMENT ROOM||36471|Hb Injection Therapy Vein Multi View|929|492.37|696.75|743.2|789.65|836.1|789.65|750.63|668.88|628.75|0|929|605.71|614.41|340.2|760.39|575.05|560.19|599.04|2946.467707|696.75|725.55|353.09|383.94|353.09|768.04|783.72|255.08|343.49|259.15|783.72|2999.504126|2946.467707|1911.820276|0|0|351.79|411.64|684.16|609.02|353.09|656.48|617.04|342.8|353.05|0|2999.504126
HOSP OP|0300 - LABORATORY||86905|MBC RBC PHENOTYPE|84|44.52|63|67.2|71.4|75.6|71.4|67.87|60.48|56.85|0|84|5.48|84|3.99|68.75|5.21|5.07|84|4.214145383|63|65.6|84|340.56|84|84|84|84|84|84|84|4.29|4.214145383|4.29|0|0|4.76|2.93|84|84|313.19|84|84|304.07|84|0|340.56
HOSP OP|0305 - LAB/HEMATOLOGY||85397|ADAMTS13 ACTIVITY|184.2|97.63|138.15|147.36|156.57|165.78|156.57|148.83|132.62|124.67|0|184.2|39.81|41.66|28.95|150.77|37.83|36.82|40.62|33.94891945|138.15|143.86|31.79|34.56|31.79|63.93|65.23|34.7|30.92|32.7|65.23|34.56|33.94891945|34.56|0|0|0|21.26|30.86|30.86|31.79|30.86|55.55|30.86|31.79|0|184.2
HOSP OP|0305 - LAB/HEMATOLOGY||85335|ADAMTS13 INHIBITOR|283.5|150.25|212.63|226.8|240.98|255.15|240.98|229.07|204.12|191.87|0|283.5|18.45|19.31|13.41|232.04|17.53|17.06|18.83|14.15520629|212.63|221.41|13.26|14.41|13.26|30.03|30.64|17.59|12.9|15.36|30.64|14.41|14.15520629|14.41|0|0|0|9.85|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|283.5
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A4648|LOW DOSE RP SEED FOR LOC|236|125.08|177|188.8|200.6|212.4|0|190.69|169.92|159.72|0|236|153.87|0|236|193.17|146.08|142.31|0|135.3634578|177|184.32|0|0|0|0|0|0|0|0|0|137.8|135.3634578|137.8|0|0|0|104.57|0|0|0|0|0|0|0|0|236
HOSP OP|0301 - LAB/CHEMISTRY||82106|UMP AFP Amniotic Fluid|142.2|75.37|106.65|113.76|120.87|127.98|120.87|114.9|102.38|96.24|0|142.2|24.05|25.16|17.48|116.39|22.85|22.24|24.53|18.70333988|106.65|111.06|17.51|19.04|17.51|38.75|39.54|23.46|17.03|19.82|39.54|19.04|18.70333988|19.04|0|0|0|12.84|17|17|17.51|17|30.6|17|17.51|0|142.2
HOSP OP|0310 - PATHOLOGY LAB||88235|Tissue Culture Amniotic Fluid|228.32|121.01|171.24|182.66|194.07|205.49|194.07|184.48|164.39|154.53|0|228.32|211.08|220.9|153.48|186.88|200.61|195.21|215.38|165.3339882|171.24|178.32|154.81|168.34|154.81|228.32|228.32|203.81|150.6|173.43|228.32|168.31|165.3339882|168.31|0|0|0|112.77|150.3|150.3|154.81|150.3|228.32|150.3|154.81|0|228.32
HOSP OP|0310 - PATHOLOGY LAB||88269|Chromosome Analysis in situ Amnio|451.58|239.34|338.69|361.26|383.84|406.42|383.84|364.88|325.14|305.63|0|451.58|238.4|249.49|173.35|369.62|226.58|220.48|243.25|191.0314342|338.69|352.68|178.87|194.5|178.87|382.61|390.42|230.2|174.01|195.72|390.42|194.47|191.0314342|194.47|0|0|0|127.37|173.66|173.66|178.87|173.66|312.59|173.66|178.87|0|451.58
HOSP OP|0310 - PATHOLOGY LAB||88280|Chromosome Analysis add'l karyotype|86.39|45.79|64.79|69.11|73.43|77.75|73.43|69.8|62.2|58.47|0|86.39|43.18|45.18|31.39|70.71|41.03|39.93|44.05|36.8172888|64.79|67.47|34.47|37.49|34.47|69.74|71.16|37.63|33.54|35.68|71.16|37.48|36.8172888|37.48|0|0|0|23.06|33.47|33.47|34.47|33.47|60.25|33.47|34.47|0|86.39
HOSP OP|0310 - PATHOLOGY LAB||88285|Chromosome Analysis add'l cells counted|86.39|45.79|64.79|69.11|73.43|77.75|73.43|69.8|62.2|58.47|0|86.39|34.71|36.33|25.24|70.71|32.99|32.1|35.42|29.59724951|64.79|67.47|27.72|30.14|27.72|56.18|57.33|30.3|26.96|28.74|57.33|30.13|29.59724951|30.13|0|0|0|18.54|26.91|26.91|27.72|26.91|48.44|26.91|27.72|0|86.39
HOSP OP|0310 - PATHOLOGY LAB||88230|Tissue Culture|267.62|141.84|200.72|214.1|227.48|240.86|227.48|216.24|192.69|181.13|0|267.62|166.98|174.74|121.41|219.05|158.69|154.42|170.37|128.1434185|200.72|209.01|119.98|130.47|119.98|267.62|267.62|161.29|116.72|137.25|267.62|130.45|128.1434185|130.45|0|0|0|89.21|116.49|116.49|119.98|116.49|209.68|116.49|119.98|0|267.62
HOSP OP|0310 - PATHOLOGY LAB||88264|Chromosome Analysis 20-25 cells|548|290.44|411|438.4|465.8|493.2|465.8|442.78|394.56|370.89|0|548|186.55|195.22|135.64|448.54|177.29|172.52|190.34|159.0667976|411|427.99|148.95|161.96|148.95|299.31|305.42|172.53|144.9|153.11|305.42|161.93|159.0667976|161.93|0|0|0|99.66|144.61|144.61|148.95|144.61|260.3|144.61|148.95|0|548
HOSP OP|0301 - LAB/CHEMISTRY||88233|HB UMP POC TISSUE CX; SKIN OR TISSUE BX|255.08|135.19|191.31|204.06|216.82|229.57|216.82|206.1|183.66|172.64|0|255.08|201.7|211.09|146.67|208.78|191.7|186.54|205.81|154.8035363|191.31|199.22|144.95|157.62|144.95|255.08|255.08|195.01|141.01|165.5|255.08|157.59|154.8035363|157.59|0|0|0|107.76|140.73|140.73|144.95|140.73|253.31|140.73|144.95|0|255.08
HOSP OP|0301 - LAB/CHEMISTRY||88262|Hb Ump Poc Chrom Analysis; 15-20 Cells|569.33|301.74|427|455.46|483.93|512.4|483.93|460.02|409.92|385.32|0|569.33|178.65|186.96|129.9|466|169.79|165.22|182.29|138.0353635|427|444.65|129.25|140.55|129.25|286.72|292.57|172.53|125.74|146.67|292.57|140.52|138.0353635|140.52|0|0|0|95.45|125.49|125.49|129.25|125.49|225.88|125.49|129.25|0|569.33
HOSP OP|0310 - PATHOLOGY LAB||88273|Molecular Cytogenetics; analyze 10-30 cells|108.92|57.73|81.69|87.14|92.58|98.03|92.58|88.01|78.42|73.72|0|108.92|46.05|48.2|33.49|89.15|43.77|42.59|47|38.29076621|81.69|85.07|35.85|38.99|35.85|73.62|75.12|44.48|34.88|37.66|75.12|38.98|38.29076621|38.98|0|0|0|24.6|34.81|34.81|35.85|34.81|62.66|34.81|35.85|0|108.92
HOSP OP|0310 - PATHOLOGY LAB||88271|Molecular Cytogenetics; DNA probe each|198.12|105|148.59|158.5|168.4|178.31|168.4|160.08|142.65|134.09|0|198.12|30.7|32.13|22.32|162.16|29.18|28.39|31.33|23.55599214|148.59|154.73|22.06|23.99|22.06|49.4|50.41|29.81|21.46|25.27|50.41|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|198.12
HOSP OP|0310 - PATHOLOGY LAB||88275|Molecular Cytogenetics; analyze 100-300 cells|178.96|94.85|134.22|143.17|152.12|161.06|152.12|144.6|128.85|121.12|0|178.96|66.04|69.11|48.02|146.48|62.76|61.07|67.38|56.3064833|134.22|139.77|52.73|57.33|52.73|105.59|107.74|57.18|51.29|54.01|107.74|57.32|56.3064833|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|178.96
HOSP OP|0310 - PATHOLOGY LAB||88275|Molecular Cytogenetics; analyze 100-300 cells|127.72|67.69|95.79|102.18|108.56|114.95|108.56|103.2|91.96|86.44|0|127.72|66.04|69.11|48.02|104.54|62.76|61.07|67.38|56.3064833|95.79|99.75|52.73|57.33|52.73|105.59|107.74|57.18|51.29|54.01|107.74|57.32|56.3064833|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|127.72
HOSP OP|0310 - PATHOLOGY LAB||88271|Molecular Cytogenetics; DNA probe each|85.49|45.31|64.12|68.39|72.67|76.94|72.67|69.08|61.55|57.86|0|85.49|30.7|32.13|22.32|69.97|29.18|28.39|31.33|23.55599214|64.12|66.77|22.06|23.99|22.06|49.4|50.41|29.81|21.46|25.27|50.41|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|85.49
HOSP OP|0310 - PATHOLOGY LAB||86738|M. PNEUMOIAE IGM BY IFA|54.97|29.13|41.23|43.98|46.72|49.47|46.72|44.42|39.58|37.2|0|54.97|18.98|19.86|13.8|44.99|18.03|17.55|19.36|14.55795678|41.23|42.93|13.64|14.83|13.64|30.03|30.64|18.08|13.27|15.36|30.64|14.82|14.55795678|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|54.97
HOSP OP|0302 - LAB/IMMUNOLOGY||85549|LYSOZYME (MURAMIDASE)|62.66|33.21|47|50.13|53.26|56.39|53.26|50.63|45.12|42.41|0|62.66|26.87|28.12|19.54|51.29|25.54|24.85|27.42|20.62868369|47|48.94|19.31|21|19.31|43.59|44.48|25.9|18.79|22.3|44.48|21|20.62868369|21|0|0|0|14.35|18.75|18.75|19.31|18.75|33.75|18.75|19.31|0|62.66
HOSP OP|0272 - STERILE SUPPLY||C1887|SPECTRANETICS Q-CROSS CATH|406|215.18|304.5|324.8|345.1|365.4|0|328.05|292.32|274.78|0|406|264.71|0|148.68|332.31|251.31|244.82|0|0|304.5|317.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|179.9|0|0|0|0|0|0|0|0|406
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9966|VISIPAQUE 200-249MG PER ML|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|0.43|0|0.31|2.64|0.4|0.39|0|0.324165029|2.42|2.52|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|0.22|0|0|0|0|0|0|0|0|3.23
HOSP OP|0250 - PHARMACY||J3490|THROMBIN|322.8|171.08|242.1|258.24|274.38|290.52|0|260.82|232.42|218.47|0|322.8|213.37|0|155.59|264.21|202.72|197.23|0|0|242.1|252.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|154.07|0|0|0|0|0|0|0|0|322.8
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELLS; TOTAL COUNT|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|47|47|39.32|38.47|47|47|47|41.50294695|35.25|36.71|38.86|42.26|38.86|47|47|47|37.81|44.6|47|42.25|41.50294695|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|47|37.73|38.86|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|ABSOLUTE CD4/CD8 COUNT INC. RATIO|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|59|59|48.96|48.29|59|59|59|51.67976424|44.25|46.08|48.39|52.62|48.39|59|59|59|47.07|55.5|59|52.61|51.67976424|52.61|0|0|0|35.98|46.98|46.98|48.39|46.98|59|46.98|48.39|0|59
HOSP OP|0450 - EMERGENCY ROOM||26675|Hb Dislocation Finger W/anesth|1645|871.85|1233.75|1316|1398.25|1480.5|1398.25|1329.16|1184.4|1113.34|0|1645|0|996.5|0|1346.43|0|0|971.58|2696.760072|1233.75|1284.75|428.9|466.38|428.9|1216.6|1241.43|610.93|417.24|622.35|1241.43|2745.301753|2696.760072|1749.797078|0|0|0|0|416.41|416.41|428.9|416.41|749.54|416.41|428.9|0|2745.301753
HOSP OP|0320 - DX X-RAY||77074|OSSEOUS SURVEY LIMITED|524|277.72|393|419.2|445.4|471.6|445.4|423.39|377.28|354.64|0|524|524|151.64|313.38|428.89|524|524|147.85|142.5387446|393|409.24|43.01|46.77|43.01|183.07|186.81|87.97|41.84|93.65|186.81|145.104442|142.5387446|92.486492|0|0|126.02|513.52|41.76|41.76|43.01|41.76|75.17|41.76|43.01|0|524
HOSP OP|0301 - LAB/CHEMISTRY||82232|HEPARIN ASSAY/Xa|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|23.18|24.26|16.86|40.68|22.03|21.44|23.65|17.79960707|37.28|38.82|16.67|18.12|16.67|36.81|37.56|22.48|16.21|18.83|37.56|18.12|17.79960707|18.12|0|0|0|12.38|16.18|16.18|16.67|16.18|29.12|16.18|16.67|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||86376|BETA-2 MICROGLOBULIN CSF|83|43.99|62.25|66.4|70.55|74.7|70.55|67.06|59.76|56.17|0|83|20.86|21.83|15.17|67.94|19.82|19.29|21.28|16.01178782|62.25|64.82|14.99|16.3|14.99|33.9|34.59|20.04|14.58|17.34|34.59|16.3|16.01178782|16.3|0|0|0|11.14|14.55|14.55|14.99|14.55|26.19|14.55|14.99|0|83
HOSP OP|0301 - LAB/CHEMISTRY||82306|VITAMIN D TOTAL (25-HYDROXY)|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|42.43|44.4|30.85|86.76|40.32|39.24|43.29|32.56385069|79.5|82.79|30.49|33.15|30.49|45.52|46.45|41.05|29.66|23.29|46.45|33.15|32.56385069|33.15|0|0|0|22.66|29.6|29.6|30.49|29.6|53.28|29.6|30.49|0|106
HOSP OP|0302 - LAB/IMMUNOLOGY||86800|THYROGLOBULIN ANTIBODY SCREEN|37.7|19.98|28.28|30.16|32.05|33.93|32.05|30.46|27.14|25.52|0|37.7|22.79|23.85|16.57|30.86|21.66|21.08|23.25|17.50491159|28.28|29.44|16.39|17.82|16.39|36.81|37.56|21.99|15.94|18.83|37.56|17.82|17.50491159|17.82|0|0|0|12.17|15.91|15.91|16.39|15.91|28.64|15.91|16.39|0|37.7
HOSP OP|0305 - LAB/HEMATOLOGY||85520|Hb Enoxaparin Assay (lmwh)|102|54.06|76.5|81.6|86.7|91.8|86.7|82.42|73.44|69.03|0|102|18.77|19.64|13.65|83.49|17.84|17.36|19.15|14.40078585|76.5|79.66|13.48|14.66|13.48|30.03|30.64|18.08|13.12|15.36|30.64|14.66|14.40078585|14.66|0|0|0|10.02|13.09|13.09|13.48|13.09|23.56|13.09|13.48|0|102
HOSP OP|0278 - SUPPLY IMPLANTS||A4648|IMPLANTABLE TISSUE MARKER|249|131.97|186.75|199.2|211.65|224.1|0|201.19|179.28|168.52|0|249|162.35|0|91.18|203.81|154.13|150.15|0|135.3634578|186.75|194.47|0|0|0|0|0|0|0|0|0|137.8|135.3634578|137.8|0|0|0|110.33|0|0|0|0|0|0|0|0|249
HOSP OP|0335 - CHEMOTHERAPY/IV||96409|Hb Chemo Iv Push Single Or Initial Drug|567|300.51|425.25|453.6|481.95|510.3|481.95|458.14|408.24|383.75|0|567|369.68|366.16|207.64|464.09|350.97|341.9|357|0|425.25|442.83|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|0|0|0|0|0|209.65|251.24|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|567
HOSP OP|0335 - CHEMOTHERAPY/IV||96411|Hb Chemo Iv Push Each Addtl Drug|307|162.71|230.25|245.6|260.95|276.3|260.95|248.06|221.04|207.78|0|307|200.16|116.89|112.42|251.28|190.03|185.12|113.97|0|230.25|239.77|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|0|0|0|0|0|66.92|136.03|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|307
HOSP OP|0331 - CHEMOTHERAPY/INJ||96401|Hb Chemothernon-hormone Anti-ne*|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|192.34|116.89|108.03|241.46|182.61|177.89|113.97|0|221.25|230.4|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|0|0|0|0|0|66.92|130.71|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|295
HOSP OP|0335 - CHEMOTHERAPY/IV||96417|CHEMO INFUSION SEQUENTIAL|441|233.73|330.75|352.8|374.85|396.9|374.85|356.33|317.52|298.47|0|441|287.53|116.89|161.49|360.96|272.98|265.92|113.97|397.3664754|330.75|344.42|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|404.519072|397.3664754|257.831872|0|0|66.92|195.41|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|441
HOSP OP|0450 - EMERGENCY ROOM||11056|HB TRIM HYPERKERATOTIC SKIN LES 2-4|189|100.17|141.75|151.2|160.65|170.1|160.65|152.71|136.08|127.92|0|189|0|168.49|0|154.7|0|0|164.28|530.2535462|141.75|147.61|23.76|25.84|23.76|184.04|187.8|81.13|23.12|94.15|187.8|539.79811|530.2535462|344.05586|0|0|0|0|23.07|23.07|23.76|23.07|41.53|23.07|23.76|0|539.79811
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90670|PNEUMOCOCCAL-13 VALENT|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|214.6168959|0|0|0|0|0|0|0|0|0|0|0|218.48|214.6168959|218.48|0|0|0|0|0|0|0|0|0|0|0|0|218.48
HOSP OP|0761 - TREATMENT ROOM||20553|Hb Inj Trigger Points Greater Than 3|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|573.76|484.12|322.26|720.28|544.72|530.64|472.01|736.8229077|660|687.28|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|750.08572|736.8229077|478.08872|0|0|277.19|389.93|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|880
HOSP OP|0306 - LAB/BACT-MICRO||87798|PLASMODIUM SPP CONFIRM & ID|24.2|12.83|18.15|19.36|20.57|21.78|20.57|19.55|17.42|16.38|0|24.2|24.2|24.2|24.2|19.81|24.2|24.2|24.2|38.59528487|18.15|18.9|24.2|24.2|24.2|24.2|24.2|24.2|24.2|24.2|24.2|39.29|38.59528487|39.29|0|0|0|23.72|24.2|24.2|24.2|24.2|24.2|24.2|24.2|0|39.29
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9537|TC99 MEBROFEN DX PDUT 15MCI|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|116|0|116|94.95|116|116|0|53.10412574|87|90.6|0|0|0|0|0|0|0|0|0|54.06|53.10412574|54.06|0|0|0|113.68|0|0|0|0|0|0|0|0|116
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9562|MERTIATIDE DX PSD UT 15MCI|766|405.98|574.5|612.8|651.1|689.4|0|618.93|551.52|518.43|0|766|766|0|747.53|626.97|766|766|0|575.5599214|574.5|598.25|0|0|0|0|0|0|0|0|0|585.92|575.5599214|585.92|0|0|0|750.68|0|0|0|0|0|0|0|0|766
HOSP OP|0300 - LABORATORY||89051|CSF CELL COUNT W/ DIFFERENTIAL|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.15913556|32.25|33.58|5.77|6.27|5.77|12.59|12.85|7.82|5.61|6.44|12.85|6.27|6.15913556|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0916 - FAMILY THERAPY||90847|Hb Family Psychotherapy 50 Min|432|228.96|324|345.6|367.2|388.8|367.2|349.06|311.04|292.38|0|432|0|249.52|0|353.59|0|0|243.27|324.8612181|324|337.39|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|330.70872|324.8612181|210.78672|0|0|142.87|0|104.9|104.9|145.16|104.9|253.69|140.94|145.15|0|432
HOSP OP|0320 - DX X-RAY||77080|BONE DENSITY AXIAL SKELETON|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|301|102.3|301|246.37|301|301|99.74|226.990891|225.75|235.08|30.98|33.69|30.98|108.49|110.7|57.67|30.14|55.5|110.7|231.076727|226.990891|147.283402|0|0|126.02|294.98|30.08|30.08|30.98|30.08|54.14|30.08|30.98|0|301
HOSP OP|0761 - TREATMENT ROOM||10005|Hb Fine Needle Aspiration Bx W/us Gdn 1st Lesion|1545|818.85|1158.75|1236|1313.25|1390.5|1313.25|1248.36|1112.4|1045.66|0|1545|1007.34|1133.32|565.78|1264.58|956.36|931.64|1104.96|1232.41282|1158.75|1206.65|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|1254.596251|1232.41282|799.653026|0|0|648.9|684.59|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1545
HOSP OP|0761 - TREATMENT ROOM||10006|Hb Fine Needle Aspiration Bx W/us Gdn Ea Addl|154|81.62|115.5|123.2|130.9|138.6|0|124.43|110.88|104.23|0|154|100.41|0|56.39|126.05|95.33|92.86|0|1232.41282|115.5|120.27|0|0|0|0|0|0|0|0|0|1254.596251|1232.41282|799.653026|0|0|0|68.24|0|0|0|0|0|0|0|0|1254.596251
HOSP OP|0320 - DX X-RAY||10009|Hb Fine Needle Aspiration Bx W/ct Gdn 1st Lesion|1636|867.08|1227|1308.8|1390.6|1472.4|1390.6|1321.89|1177.92|1107.24|0|1636|694|1321.44|313.38|1339.07|660|642|1288.39|1232.41282|1227|1277.72|117.03|127.25|117.03|1280.53|1306.66|646.12|113.85|655.05|1306.66|1254.596251|1232.41282|799.653026|0|0|0|583.1|113.62|113.62|117.03|113.62|204.52|113.62|117.03|0|1636
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33274|Hb Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img|39012|20676.36|29259|31209.6|33160.2|35110.8|33160.2|31521.7|28088.64|26403.32|0|39012|21378.58|30036.78|10974.08|31931.32|20286.24|19779.08|29285.38|18190.69807|29259|30468.37|17615.05|19154.23|17615.05|38316.58|39012|12725.46|17136.2|12928.68|39012|18518.13063|18190.69807|11803.06348|0|0|17198.21|12476.04|34131.86|30383.28|17615.05|32750.8|30783.59|17101.99|17613.1|0|39012
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33285|Hb Insertion Subq Cardiac Rhythm Monitor W/prgrmg|8285|4391.05|6213.75|6628|7042.25|7456.5|7042.25|6694.28|5965.2|5607.29|0|8285|8285|8285|965.1|6781.27|8285|8285|8285|11538.98807|6213.75|6470.59|8285|9182.81|8285|8285|8285|6100.77|8215.34|6198.19|8285|11746.68986|11538.98807|7487.090834|0|0|8285|1181.47|8285|8285|8444.91|8285|8285|8198.94|8285|0|11746.68986
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33286|Hb Removal Subcutaneous Cardiac Rhythm Monitor|1669|884.57|1251.75|1335.2|1418.65|1502.1|1418.65|1348.55|1201.68|1129.58|0|1669|1669|1133.32|0|1366.08|1669|1669|1104.96|2479.95052|1251.75|1303.49|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|2524.589629|2479.95052|1609.119854|0|0|648.9|0|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|2524.589629
HOSP OP|0361 - OR/MINOR||36573|Hb Insertion Picc W/rs&i 5 Yr/>|2904|1539.12|2178|2323.2|2468.4|2613.6|2468.4|2346.43|2090.88|1965.43|0|2904|2594|2139.38|0|2376.92|2464|2399|2085.87|1423.916154|2178|2268.02|1802.54|1960.04|1802.54|2904|2904|1302.19|1753.54|1322.99|2904|1449.546645|1423.916154|923.91027|0|0|1224.95|0|2904|2904|1802.54|2904|2904|1750.04|1802.34|0|2904
HOSP OP|0361 - OR/MINOR||43762|Hb Perq Replacement Gtube Not Req Revj Gstrst Trc|615|325.95|461.25|492|522.75|553.5|522.75|496.92|442.8|416.23|0|615|615|452.71|0|503.38|615|615|441.38|851.8190707|461.25|480.32|259.58|282.27|259.58|564.65|576.17|187.53|252.53|190.52|576.17|867.151814|851.8190707|552.704164|0|0|259.21|0|502.98|447.74|259.58|482.63|453.64|252.02|259.55|0|867.151814
HOSP OP|0361 - OR/MINOR||50436|Hb Perq Dilation Xst Trc Endourologic Px W/img|4596|2435.88|3447|3676.8|3906.6|4136.4|3906.6|3713.57|3309.12|3110.57|0|4596|3237|3403.34|0|3761.83|3075|2994|3318.2|2879.082545|3447|3589.48|1957.72|2128.78|1957.72|4258.46|4345.36|1414.29|1904.5|1436.88|4345.36|2930.906031|2879.082545|1868.097306|0|0|1948.64|0|3793.37|3376.76|1957.72|3639.88|3421.25|1900.7|1957.5|0|4596
HOSP OP|0361 - OR/MINOR||50437|Hb Perq Dilation Xst Trc New Access Renal Coltj Sys|7314|3876.42|5485.5|5851.2|6216.9|6582.6|6216.9|5909.71|5266.08|4950.12|0|7314|0|293.65|0|5986.51|0|0|286.31|5876.515799|5485.5|5712.23|260.63|283.4|260.63|679.98|693.86|343.1|253.55|347.84|693.86|5982.293083|5876.515799|3812.986658|0|0|0|0|253.04|253.04|260.63|253.04|455.47|253.04|260.63|0|7314
HOSP OP|0918 - PSYCH - TESTING||96130|Hb Psychological Tst Eval Svs Phys/qhp First Hour|246|130.38|184.5|196.8|209.1|221.4|209.1|198.77|177.12|166.49|0|246|160.39|246|90.09|201.35|152.27|148.34|246|752.3008969|184.5|192.13|152.89|166.25|152.89|246|246|110.45|148.73|112.21|246|765.842313|752.3008969|488.131638|0|0|152.27|109|109.25|109.25|152.89|109.25|246|148.44|152.87|0|765.842313
HOSP OP|0610 - MRI||77047|Hb Mri Breast W/out Contrast Bilateral|1445|765.85|1083.75|1156|1228.25|1300.5|1228.25|1167.56|1040.4|977.98|0|1445|1445|451.03|979.08|1182.73|1445|1445|439.74|974.7013576|1083.75|1128.55|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1445
HOSP OP|0335 - CHEMOTHERAPY/IV||96416|CHEMO INF PROLONGED W/PUMP|785|416.05|588.75|628|667.25|706.5|667.25|634.28|565.2|531.29|0|785|511.82|564.14|287.47|642.52|485.92|473.36|550.03|476.1688615|588.75|613.09|342.13|372.03|342.13|320.54|320.54|247.16|332.83|251.11|320.54|484.739901|476.1688615|308.962926|0|0|323|347.83|662.94|590.13|342.13|636.11|597.91|332.17|342.1|0|785
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; 1st|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|28.74|30.08|20.9|26.19|27.32|26.58|29.33|22.06286837|24|24.99|20.65|22.46|20.65|32|32|27.86|20.09|23.78|32|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|32|20.05|20.65|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; Gp|33|17.49|24.75|26.4|28.05|29.7|28.05|26.66|23.76|22.33|0|33|28.74|30.08|20.9|27.01|27.32|26.58|29.33|22.06286837|24.75|25.77|20.65|22.46|20.65|33|33|27.86|20.09|23.78|33|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|33|20.05|20.65|0|33
HOSP OP|0306 - LAB/BACT-MICRO||87149|Hb Nanosphere Cult Id By Na Probe; Gn|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|28.74|30.08|20.9|26.19|27.32|26.58|29.33|22.06286837|24|24.99|20.65|22.46|20.65|32|32|27.86|20.09|23.78|32|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|32|20.05|20.65|0|32
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88104|Hb Cytology Fluids Washings / Brushings|58.84|31.19|44.13|47.07|50.01|52.96|50.01|47.54|42.36|39.82|0|58.84|58.84|58.84|45.67|48.16|58.84|58.09|58.84|89.8665|44.13|45.95|36.94|40.17|36.94|58.84|58.84|26.69|35.94|27.12|58.84|91.484097|89.8665|58.310022|0|0|47.08|33.55|58.84|58.84|36.94|58.84|58.84|35.87|36.94|0|91.484097
HOSP OP|0420 - PHYSICAL THERAPY||99366|Hb Pt Med Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|262.9492613|228|237.42|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|36.86|173.11|0|0|0|0|0|0|0|0|304
HOSP OP|0420 - PHYSICAL THERAPY||99368|Hb Pt Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|207|0|106.79|223.45|196|191|0|262.9492613|204.75|213.21|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|0|173.11|0|0|0|0|0|0|0|0|273
HOSP OP|0430 - OCCUPATIONAL THERAPY||99366|Hb Ot Med Conf W/ Patient|304|161.12|228|243.2|258.4|273.6|0|245.63|218.88|205.75|0|304|207|0|106.79|248.82|196|191|0|262.9492613|228|237.42|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|36.86|173.11|0|0|0|0|0|0|0|0|304
HOSP OP|0430 - OCCUPATIONAL THERAPY||99368|Hb Ot Med Conf W/o Patient|273|144.69|204.75|218.4|232.05|245.7|0|220.58|196.56|184.77|0|273|207|0|106.79|223.45|196|191|0|262.9492613|204.75|213.21|0|0|0|0|0|0|0|0|0|267.682348|262.9492613|170.615048|0|0|0|173.11|0|0|0|0|0|0|0|0|273
HOSP OP|0306 - LAB/BACT-MICRO||87385|Hb Histoplasma Antigen Urine (mvista)|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|17.18|17.98|12.49|97.4|16.33|15.89|17.53|14.57760314|89.25|92.94|13.65|14.84|13.65|27.13|27.68|16.62|13.28|13.87|27.68|14.84|14.57760314|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|119
HOSP OP|0306 - LAB/BACT-MICRO||87661|Hb Trichomonas Vaginalis Amp Rna|85.5|45.31|64.13|68.4|72.68|76.95|72.68|69.08|61.56|57.87|0|85.5|50.3|52.64|36.57|69.98|47.8|46.52|51.32|38.59528487|64.13|66.78|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|85.5
HOSP OP|0301 - LAB/CHEMISTRY||83789|Hb Bile Acids Fractionated And Total|229.2|121.48|171.9|183.36|194.82|206.28|194.82|185.19|165.02|155.12|0|229.2|31.1|32.55|22.62|187.6|29.56|28.76|31.74|26.52259332|171.9|179.01|24.83|27|24.83|50.37|51.4|26.88|24.16|25.77|51.4|27|26.52259332|27|0|0|0|16.61|24.11|24.11|24.83|24.11|43.4|24.11|24.83|0|229.2
HOSP OP|0306 - LAB/BACT-MICRO||87480|Hb Candida Species; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06286837|27.75|28.9|20.65|22.46|20.65|37|37|27.86|20.09|23.78|37|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87660|Hb Trichomonas Vaginalis; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06286837|27.75|28.9|20.65|22.46|20.65|37|37|27.86|20.09|23.78|37|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87510|Hb Garnerella Vaginalis; Direct Probe|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|28.74|30.08|20.9|30.28|27.32|26.58|29.33|22.06286837|27.75|28.9|20.65|22.46|20.65|37|37|27.86|20.09|23.78|37|22.46|22.06286837|22.46|0|0|0|15.35|20.05|20.05|20.65|20.05|36.09|20.05|20.65|0|37
HOSP OP|0761 - TREATMENT ROOM||64418|Hb Nerve Block Suprascapular|1339|709.67|1004.25|1071.2|1138.15|1205.1|1138.15|1081.91|964.08|906.24|0|1339|873.03|1171.41|490.34|1095.97|828.84|807.42|1142.11|1317.512335|1004.25|1045.76|690.73|751.09|690.73|1339|1339|499|671.96|506.97|1339|1341.227557|1317.512335|854.869982|0|0|670.7|593.31|1338.4|1191.41|690.73|1284.24|1207.11|670.62|690.65|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64505|Hb Nerve Block Spenopalatine Gang|702|372.06|526.5|561.6|596.7|631.8|596.7|567.22|505.44|475.11|0|702|457.7|240.7|257.07|574.59|434.54|423.31|234.68|1317.512335|526.5|548.26|97.53|106.05|97.53|311.89|318.26|146.62|94.88|159.55|318.26|1341.227557|1317.512335|854.869982|0|0|0|311.06|94.69|94.69|97.53|94.69|170.44|94.69|97.53|0|1341.227557
HOSP OP|0300 - LABORATORY||81229|Hb Chromosomal Microarray|1790.43|948.93|1342.82|1432.34|1521.87|1611.39|1521.87|1446.67|1289.11|1211.76|0|1790.43|1496.4|1566|1088.08|1465.47|1422.16|1383.88|1526.85|1276.001965|1342.82|1398.33|1194.8|1299.2|1194.8|1790.43|1790.43|422.77|1162.32|1319.02|1790.43|1298.97|1276.001965|1298.97|0|0|1299.29|799.49|1160|1160|1194.8|1160|1790.43|1160|1194.8|0|1790.43
HOSP OP|0300 - LABORATORY||81376|Hb Celiac Associated Hla-dq Typing|120.04|63.62|90.03|96.03|102.03|108.04|102.03|96.99|86.43|81.24|0|120.04|120.04|120.04|120.04|98.25|120.04|120.04|120.04|134.4400786|90.03|93.75|120.04|120.04|120.04|120.04|120.04|120.04|120.04|120.04|120.04|136.86|134.4400786|136.86|0|0|120.04|93.59|120.04|120.04|120.04|120.04|120.04|120.04|120.04|0|136.86
HOSP OP|0301 - LAB/CHEMISTRY||84080|Hb Bone Alkaline Phosphatase|59.07|31.31|44.3|47.26|50.21|53.16|50.21|47.73|42.53|39.98|0|59.07|21.19|22.18|15.41|48.35|20.14|19.6|21.63|16.25736739|44.3|46.13|15.22|16.55|15.22|33.9|34.59|20.53|14.81|17.34|34.59|16.55|16.25736739|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|59.07
HOSP OP|0271 - NONSTER SUPPLY|||Nim Trivantage Et Tube 8.0|983|520.99|0|786.4|0|884.7|0|794.26|707.76|665.29|0|983|640.92|0|359.97|804.59|608.48|592.75|0|0|0|767.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|435.57|0|0|0|0|0|0|0|0|983
HOSP OP|0450 - EMERGENCY ROOM||28665|Hb Treatment Dislocation Of Toe Closed W Anesth|354|187.62|265.5|283.2|300.9|318.6|300.9|286.03|254.88|239.59|0|354|0|298.47|0|289.75|0|0|291|2696.760072|265.5|276.47|133.95|145.66|133.95|354|354|214.07|130.31|215.54|354|2745.301753|2696.760072|1749.797078|0|0|0|0|130.05|130.05|133.95|130.05|234.09|130.05|133.95|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||26705|Hb Treatment Dislocation Of Knuckle Closed W Anesth|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|2696.760072|549|571.69|393.37|427.74|393.37|732|732|557.66|382.67|573.29|732|2745.301753|2696.760072|1749.797078|0|0|0|0|381.91|381.91|393.37|381.91|687.44|381.91|393.37|0|2745.301753
HOSP OP|0300 - LABORATORY||81403|Hb Mbc Rbc Genotype Common Panel|556|294.68|417|444.8|472.6|500.4|472.6|449.25|400.32|376.3|0|556|238.91|250.02|173.72|455.09|227.06|220.94|243.77|203.7229862|417|434.24|190.76|207.42|190.76|411.67|420.07|154.44|185.57|210.59|420.07|207.39|203.7229862|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|556
HOSP OP|0300 - LABORATORY||81403|Hb Mbc Genotyping For Rhd|556|294.68|417|444.8|472.6|500.4|472.6|449.25|400.32|376.3|0|556|238.91|250.02|173.72|455.09|227.06|220.94|243.77|203.7229862|417|434.24|190.76|207.42|190.76|411.67|420.07|154.44|185.57|210.59|420.07|207.39|203.7229862|207.39|0|0|207.44|127.64|185.2|185.2|190.76|185.2|333.36|185.2|190.76|0|556
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33270|Hb Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd|81414|43149.42|61060.5|65131.2|69201.9|73272.6|69201.9|65782.51|58618.08|55101|0|81414|0|886.98|0|66637.36|0|0|864.8|46875.76707|61060.5|63584.33|565.56|614.98|565.56|1471.35|1501.38|744.85|550.19|752.66|1501.38|47719.53088|46875.76707|30415.4163|0|0|0|0|549.09|549.09|565.56|549.09|988.36|549.09|565.56|0|81414
HOSP OP|0278 - SUPPLY IMPLANTS||C1722|Hb Bsci Mri S-icd|92400|48972|69300|73920|78540|83160|0|74659.2|66528|62536.32|0|92400|60244.8|0|33836.88|75629.4|57195.6|55717.2|0|0|69300|72164.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40942.44|0|0|0|0|0|0|0|0|92400
HOSP OP|0278 - SUPPLY IMPLANTS||C1896|Hb Bsci S-icd Electrode|16800|8904|12600|13440|14280|15120|0|13574.4|12096|11370.24|0|16800|10953.6|0|6152.16|13750.8|10399.2|10130.4|0|0|12600|13120.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7444.08|0|0|0|0|0|0|0|0|16800
HOSP OP|0918 - PSYCH - TESTING||96136|Hb Psyl/nrpsycl Tst Phys/qhp 2+ Tst 1st 30 Min|246|130.38|184.5|196.8|209.1|221.4|209.1|198.77|177.12|166.49|0|246|160.39|33.59|90.09|201.35|152.27|148.34|32.75|752.3008969|184.5|192.13|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|765.842313|752.3008969|488.131638|0|0|19.22|109|24.62|24.62|25.41|24.62|44.4|24.67|25.4|0|765.842313
HOSP OP|0301 - LAB/CHEMISTRY||80348|Hb Buprenorphine Ms Wb/sp|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|23.14|0|16.87|28.65|21.98|21.39|0|23.3497053|26.25|27.34|35|0|35|30.24|31.43|35|14|15.32|31.43|23.77|23.3497053|23.77|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0300 - LABORATORY||81161|Hb Dmd/bmd Deletion/duplication|979.7|519.24|734.78|783.76|832.75|881.73|832.75|791.6|705.38|663.06|0|979.7|359.91|376.65|261.7|801.88|342.05|332.85|367.23|306.8958743|734.78|765.15|287.37|312.48|287.37|619.93|632.58|312.8|279.56|317.12|632.58|312.42|306.8958743|312.42|0|0|312.49|192.29|279|279|287.37|279|502.2|279|287.37|0|979.7
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Jc Virus Pcr Csf|104.96|55.63|78.72|83.97|89.22|94.46|89.22|84.81|75.57|71.04|0|104.96|50.3|52.64|36.57|85.91|47.8|46.52|51.32|38.59528487|78.72|81.97|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|104.96
HOSP OP|0301 - LAB/CHEMISTRY||84585|Hb Vanillylmandelic Acid (vma) Random Urine|38.62|20.47|28.97|30.9|32.83|34.76|32.83|31.2|27.81|26.14|0|38.62|22.21|23.25|16.15|31.61|21.11|20.54|22.67|17.05304519|28.97|30.16|15.97|17.36|15.97|35.84|36.57|21.5|15.53|18.33|36.57|17.36|17.05304519|17.36|0|0|0|11.87|15.5|15.5|15.97|15.5|27.9|15.5|15.97|0|38.62
HOSP OP|0301 - LAB/CHEMISTRY||83150|Hb Homovanillic Acid (hva) Random Urine|46.61|24.7|34.96|37.29|39.62|41.95|39.62|37.66|33.56|31.55|0|46.61|28.91|30.25|21.02|38.15|27.47|26.74|29.49|24.64636542|34.96|36.4|23.08|25.1|23.08|46.49|46.61|26.88|22.45|23.78|46.61|25.09|24.64636542|25.09|0|0|0|15.44|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|46.61
HOSP OP|0305 - LAB/HEMATOLOGY||85046|Hb Reticulocyte Panel (retic Irf Retic-he)|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|7.99|8.36|5.81|31.92|7.59|7.38|8.15|6.129666012|29.25|30.46|5.74|6.24|5.74|12.59|12.85|7.82|5.58|6.44|12.85|6.24|6.129666012|6.24|0|0|0|4.26|5.57|5.57|5.74|5.57|10.03|5.57|5.74|0|39
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohols|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.20825147|0|0|0|0|0|0|0|0|0|0|0|16.5|16.20825147|16.5|0|0|0|0|0|0|0|0|0|0|0|0|16.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|Catheter Hemodialysis/peritoneal Short-term|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1773|Retrieval Device Insertable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|Septal Defect Implant System Intracardiac|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C2623|Catheter Transluminal Angioplasty Drug-coated Non-laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1714|Hb Catheter Transluminal Atherectomy Directional|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1884|Embolization Protective System|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0272 - STERILE SUPPLY||C1885|Hb Catheter Transluminal Angioplasty Laser|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|VENA CAVA FILTER|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||49999|Hb Perc Tpa Inj Abd Drainage Tube|2022|1071.66|1516.5|1617.6|1718.7|1819.8|1718.7|1633.78|1455.84|1368.49|0|2022|2022|1489.77|965.1|1655.01|2022|2022|1452.5|5985.567943|1516.5|1579.18|868.51|944.4|868.51|1889.2|1927.76|627.43|844.9|637.45|1927.76|6093.308166|5985.567943|3883.745316|0|0|853|1515.96|1682.87|1498.05|868.51|1614.78|1517.78|843.21|868.42|0|6093.308166
HOSP OP|0361 - OR/MINOR||21550|Hb Biopsy Soft Tissue Neck/chest|3653|1936.09|2739.75|2922.4|3105.05|3287.7|3105.05|2951.62|2630.16|2472.35|0|3653|0|643.87|0|2989.98|0|0|627.77|2479.95052|2739.75|2852.99|160.39|174.41|160.39|709.04|723.51|358.25|156.03|362.71|723.51|2524.589629|2479.95052|1609.119854|0|0|0|0|155.72|155.72|160.39|155.72|280.3|155.72|160.39|0|3653
HOSP OP|0306 - LAB/BACT-MICRO||87483|Hb Central Nervous System Pathogen|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|458.4577603|0|0|0|0|0|0|0|0|0|0|0|466.71|458.4577603|466.71|0|0|0|0|0|0|0|0|0|0|0|0|466.71
HOSP OP|0272 - STERILE SUPPLY||c1887|Hb Guiding Catheter|112|59.36|84|89.6|95.2|100.8|0|90.5|80.64|75.8|0|112|73.02|0|41.01|91.67|69.33|67.54|0|0|84|87.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.8|49.63|0|0|0|0|0|0|0|0|112
HOSP OP|0761 - TREATMENT ROOM||11104|Hb Punch Biopsy Skin Single Lesion|468.6|248.36|351.45|374.88|398.31|421.74|398.31|378.63|337.39|317.15|0|468.6|305.53|345.18|171.6|383.55|290.06|282.57|336.54|2479.95052|351.45|365.98|193.09|209.96|193.09|420.02|428.59|139.49|187.84|141.72|428.59|2524.589629|2479.95052|1609.119854|0|0|197.64|207.64|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|2524.589629
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||J7298|Mirena 52 Mg|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|972.5834971|0|0|0|0|0|0|0|0|0|0|0|990.09|972.5834971|990.09|0|0|0|0|0|0|0|0|0|0|0|0|990.09
HOSP OP|0361 - OR/MINOR||64999|Hb Sphenopalatine Ganglion Block Given Via Nose|657|348.21|492.75|525.6|558.45|591.3|558.45|530.86|473.04|444.66|0|657|657|484.12|399.22|537.75|657|657|472.01|1317.512335|492.75|513.12|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|1341.227557|1317.512335|854.869982|0|0|277.19|489.02|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|1341.227557
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Cocaine Screen/quant Serum|81.2|43.04|60.9|64.96|69.02|73.08|69.02|65.61|58.46|54.96|0|81.2|81.2|81.2|60.64|66.46|79.26|77.13|81.2|68.3497053|60.9|63.42|64|69.6|64|81.2|81.2|80.64|62.26|68.38|81.2|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|81.2|62.14|64|0|81.2
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Diazepam (valium)|68.06|36.07|51.05|54.45|57.85|61.25|57.85|54.99|49|46.06|0|68.06|31.49|0|22.9|55.71|29.93|29.12|0|33.7524558|51.05|53.15|68.06|0|68.06|58.8|61.11|68.06|27.22|29.79|61.11|34.36|33.7524558|34.36|0|0|0|66.7|68.06|68.06|68.06|68.06|68.06|68.06|68.06|0|68.06
HOSP OP|0302 - LAB/IMMUNOLOGY||86481|Hb Tb Test Enumeration Of Gamma Interferon|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110|0|0|0|0|0|0|0|0|0|0|0|111.98|110|111.98|0|0|0|0|0|0|0|0|0|0|0|0|111.98
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Mog Facs|549.2|291.08|411.9|439.36|466.82|494.28|466.82|443.75|395.42|371.7|0|549.2|37.49|18.08|27.26|449.52|35.63|34.67|17.63|51.31865619|411.9|428.93|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|549.2
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Quantitation Of Therapeutic Drug Nes|162.04|85.88|121.53|129.63|137.73|145.84|137.73|130.93|116.67|109.67|0|162.04|24.05|25.16|17.48|132.63|22.85|22.24|24.53|20.50098232|121.53|126.55|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|162.04
HOSP OP|0272 - STERILE SUPPLY||B4088|Hb Gastro/jejuno Tube Low-pro|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.94695481|0|0|0|0|0|0|0|0|0|0|0|33.54|32.94695481|33.54|0|0|0|0|0|0|0|0|0|0|0|0|33.54
HOSP OP|0761 - TREATMENT ROOM||10004|Hb Fine Needle Aspiration Bx W/o Img Gdn Ea Addl|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|39.12|0|21.97|49.11|37.14|36.18|0|1232.41282|45|46.86|0|0|0|0|0|0|0|0|0|1254.596251|1232.41282|799.653026|0|0|0|26.59|0|0|0|0|0|0|0|0|1254.596251
HOSP OP|0300 - LABORATORY||84182|Hb Western Blot Interp And Report|46.74|24.77|35.06|37.39|39.73|42.07|39.73|37.77|33.65|31.63|0|46.74|37.49|39.43|27.26|38.26|35.63|34.67|38.44|51.31865619|35.06|36.5|30.09|32.72|30.09|46.74|46.74|32.75|29.27|30.72|46.74|52.242392|51.31865619|33.298192|0|0|0|20.02|29.21|29.21|30.09|29.21|46.74|29.21|30.09|0|52.242392
HOSP OP|0300 - LABORATORY||0035U|Hb Creutzfeldt Jakob Neurology|549.06|291|411.8|439.25|466.7|494.15|466.7|443.64|395.32|371.6|0|549.06|362.93|307.47|264.65|449.41|344.81|335.48|299.79|595.0884086|411.8|428.82|549.06|549.06|549.06|549.06|549.06|236.48|542.07|549.06|549.06|605.8|595.0884086|605.8|0|0|0|262.07|540.99|540.99|549.06|540.99|549.06|540.99|549.06|0|605.8
HOSP OP|0300 - LABORATORY||81305|Hb Myd88 Gene Analysis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|192.9371316|0|0|0|0|0|0|0|0|0|0|0|196.41|192.9371316|196.41|0|0|0|0|0|0|0|0|0|0|0|0|196.41
HOSP OP|0761 - TREATMENT ROOM||64488|Tap Block Bilateral By Injection(s)|247|130.91|185.25|197.6|209.95|222.3|0|199.58|177.84|167.17|0|247|161.04|0|90.45|202.17|152.89|148.94|0|1317.512335|185.25|192.91|0|0|0|0|0|0|0|0|0|1341.227557|1317.512335|854.869982|0|0|0|109.45|0|0|0|0|0|0|0|0|1341.227557
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS|||Rev Code 343 (diag Radio Pharmaceuticals)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0024 - REHAB PPS||27086|Remove Pelv/hip F.b.subcutan*|3653|1936.09|2739.75|2922.4|3105.05|3287.7|3105.05|2951.62|2630.16|2472.35|0|3653|0|805.14|0|2989.98|0|0|785|4081.951827|2739.75|2852.99|170.97|0|0|817.53|834.21|407.13|166.32|418.2|834.21|4155.42696|4081.951827|2648.58096|0|0|0|0|165.99|165.99|170.97|165.99|298.78|165.99|170.97|0|4155.42696
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|Hb Vascular Imaging Coil|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|Hb Introducer_sheath Guiding Fixed Curve Peel-away|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0310 - PATHOLOGY LAB||81268|Hb Chimerism Analysis W/ Cell Selection|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|286.8664047|0|0|0|0|0|0|0|0|0|0|0|292.03|286.8664047|292.03|0|0|0|0|0|0|0|0|0|0|0|0|292.03
HOSP OP|0450 - EMERGENCY ROOM||27087|Hb Remove Pelv/hip F.b.deep|6967|3692.51|5225.25|5573.6|5921.95|6270.3|5921.95|5629.34|5016.24|4715.27|0|6967|0|1066.3|0|5702.49|0|0|1039.63|5340.023975|5225.25|5441.23|621.22|675.51|621.22|1615.68|1648.65|811.81|604.34|826.49|1648.65|5436.144407|5340.023975|3464.883082|0|0|0|0|603.13|603.13|621.22|603.13|1085.63|603.13|621.22|0|6967
HOSP OP|0306 - LAB/BACT-MICRO||87324|Hb C. Difficile Toxin(s)|33.33|17.66|25|26.66|28.33|30|28.33|26.93|24|22.56|0|33.33|17.18|17.98|12.49|27.28|16.33|15.89|17.53|13.1827112|25|26.03|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|33.33
HOSP OP|0341 - NUC MED/DX||78800|Tumor Imaging Limited Areas|939|497.67|704.25|751.2|798.15|845.1|798.15|758.71|676.08|635.52|0|939|939|691.51|747.53|768.57|939|939|674.21|848.2879705|704.25|733.36|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|920.22|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|939
HOSP OP|0306 - LAB/BACT-MICRO||87483|Hb Meningitis Encephalitis Panel Pcr|499|264.47|374.25|399.2|424.15|449.1|424.15|403.19|359.28|337.72|0|499|499|499|434.38|408.43|499|499|499|458.4577603|374.25|389.72|429.28|466.79|429.28|499|499|499|417.61|491.04|499|466.71|458.4577603|466.71|0|0|0|319.16|416.78|416.78|429.28|416.78|499|416.78|429.28|0|499
HOSP OP|0306 - LAB/BACT-MICRO||87207|Hb Special Stain For Inclusion Bodies|22.16|11.74|16.62|17.73|18.84|19.94|18.84|17.91|15.96|15|0|22.16|22.16|8.99|22.16|18.14|22.16|22.16|8.77|27.48372986|16.62|17.31|6.17|6.71|6.17|22.16|22.16|22.16|6|22.16|22.16|27.978437|27.48372986|17.832862|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|27.978437
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|Hb Anaplasma Antibody|33.22|17.61|24.92|26.58|28.24|29.9|28.24|26.84|23.92|22.48|0|33.22|14.59|15.27|10.61|27.19|13.87|13.49|14.89|11.19842829|24.92|25.94|10.49|11.4|10.49|23.25|23.72|14.17|10.2|11.89|23.72|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|33.22
HOSP OP|0301 - LAB/CHEMISTRY||86317|Hb Immunoassay For Infectious Agent Ab|40.27|21.34|30.2|32.22|34.23|36.24|34.23|32.54|28.99|27.25|0|40.27|21.48|22.48|15.62|32.96|20.41|19.86|21.92|16.49312377|30.2|31.45|15.44|16.79|15.44|34.87|35.58|20.53|15.02|17.84|35.58|16.79|16.49312377|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|40.27
HOSP OP|0306 - LAB/BACT-MICRO||0099U|Hb Respiratory Pathogen Panel|524.2|277.83|393.15|419.36|445.57|471.78|445.57|423.55|377.42|354.78|0|524.2|346.5|293.55|252.66|429.06|329.2|320.29|286.21|42.37320236|393.15|409.4|0|0|0|452.91|470.67|225.77|0|229.44|470.67|43.13592|42.37320236|27.49392|0|0|209.68|250.2|0|0|0|0|0|0|0|0|524.2
HOSP OP|0306 - LAB/BACT-MICRO||87015|Hb Concentration For Infectious Agents Cyclospora|24.69|13.09|18.52|19.75|20.99|22.22|20.99|19.95|17.78|16.71|0|24.69|9.57|10.02|6.96|20.21|9.1|8.85|9.77|7.347740668|18.52|19.28|6.88|7.48|6.88|15.49|15.81|9.29|6.69|7.93|15.81|7.48|7.347740668|7.48|0|0|0|5.11|6.68|6.68|6.88|6.68|12.02|6.68|6.88|0|24.69
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|Hb Ehrlichia Antibody Igg|33.21|17.6|24.91|26.57|28.23|29.89|28.23|26.83|23.91|22.48|0|33.21|14.59|15.27|10.61|27.18|13.87|13.49|14.89|11.19842829|24.91|25.94|10.49|11.4|10.49|23.25|23.72|14.17|10.2|11.89|23.72|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|33.21
HOSP OP|0401 - OTHER IMAG - MAMMAGRAM DIAG||G0279|Hb Diagnostic Digital Breast Tomosynthesis Unilateral Or Bilateral|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|41.73|64|23.44|52.38|39.62|38.59|64|194.7990275|48|49.98|26.34|28.64|26.34|64|64|64|25.62|64|64|198.30541|194.7990275|126.39566|0|0|20.08|28.36|28.13|28.13|26.34|28.13|46.03|25.57|26.34|0|198.30541
HOSP OP|0403 - SCRN MAMMOGRAPHY||77063|Hb Chg Screening Digital Breast Tomosynthesis Bi|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|41.73|64|23.44|52.38|39.62|38.59|64|194.7990275|48|49.98|26.34|28.64|26.34|64|64|64|25.62|64|64|198.30541|194.7990275|126.39566|0|0|20.08|28.36|28.13|28.13|26.34|28.13|46.03|25.57|26.34|0|198.30541
HOSP OP|0430 - OCCUPATIONAL THERAPY||97763|Hb Orthotics/prosth Mgmt &/trainj Sbsq Enctr 15 Mins|30|15.9|22.5|24|25.5|27|25.5|24.24|21.6|20.3|0|30|30|0|30|24.56|30|30|0|180.9688851|22.5|23.43|0|0|0|125|127.5|30|0|30|127.5|184.226325|180.9688851|117.42195|0|0|12|29.4|30|30|0|30|0|0|0|0|184.226325
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Separator Penumbra|8344|4422.32|6258|6675.2|7092.4|7509.6|0|6741.95|6007.68|5647.22|0|8344|5440.29|0|3055.57|6829.56|5164.94|5031.43|0|0|6258|6516.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3337.6|3697.23|0|0|0|0|0|0|0|0|8344
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Catheter Reperfusion Penumbra|6276|3326.28|4707|5020.8|5334.6|5648.4|0|5071.01|4518.72|4247.6|0|6276|4091.95|0|2298.27|5136.91|3884.84|3784.43|0|0|4707|4901.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2510.4|2780.9|0|0|0|0|0|0|0|0|6276
HOSP OP|0272 - STERILE SUPPLY|||Hb Coil Ruby Penumbra|4079|2161.87|0|3263.2|0|3671.1|0|3295.83|2936.88|2760.67|0|4079|2659.51|0|1493.73|3338.66|2524.9|2459.64|0|0|0|3185.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1807.4|0|0|0|0|0|0|0|0|4079
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Catheter Reperfusion Indigo|6412|3398.36|4809|5129.6|5450.2|5770.8|0|5180.9|4616.64|4339.64|0|6412|4180.62|0|2348.07|5248.22|3969.03|3866.44|0|0|4809|5007.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2564.8|2841.16|0|0|0|0|0|0|0|0|6412
HOSP OP|0272 - STERILE SUPPLY||c1757|Hb Separator Indigo|2226|1179.78|1669.5|1780.8|1892.1|2003.4|0|1798.61|1602.72|1506.56|0|2226|1451.35|0|815.16|1821.98|1377.89|1342.28|0|0|1669.5|1738.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|890.4|986.34|0|0|0|0|0|0|0|0|2226
HOSP OP|0306 - LAB/BACT-MICRO||87476|Hb Lyme Dna Pcr Blood|26.58|14.09|19.94|21.26|22.59|23.92|22.59|21.48|19.14|17.99|0|26.58|26.58|26.58|26.58|21.76|26.58|26.58|26.58|38.59528487|19.94|20.76|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|39.29|38.59528487|39.29|0|0|0|26.05|26.58|26.58|26.58|26.58|26.58|26.58|26.58|0|39.29
HOSP OP|0272 - STERILE SUPPLY||c1781|Hb Mesh Antibacterial Pouch Tyrx|2456|1301.68|1842|1964.8|2087.6|2210.4|0|1984.45|1768.32|1662.22|0|2456|1601.31|0|899.39|2010.24|1520.26|1480.97|0|0|1842|1918.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|982.4|1088.25|0|0|0|0|0|0|0|0|2456
HOSP OP|0460 - PULMONARY FUNCTION||294060.1|Hb Biogen Study Bronchospasm Evaluation|90|47.7|0|72|0|81|76.5|72.72|64.8|60.91|0|90|58.68|0|32.96|73.67|55.71|54.27|0|0|0|70.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.88|0|0|0|0|0|0|0|0|90
HOSP OP|0460 - PULMONARY FUNCTION||294729.1|Hb Biogen Study Diffusing Capacity|75|39.75|0|60|0|67.5|63.75|60.6|54|50.76|0|75|48.9|0|27.47|61.39|46.43|45.23|0|0|0|58.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.23|0|0|0|0|0|0|0|0|75
HOSP OP|0761 - TREATMENT ROOM||20604|Hb Joint Injection Small With Ultrasound|594|314.82|445.5|475.2|504.9|534.6|504.9|479.95|427.68|402.02|0|594|387.29|145.62|217.52|486.19|367.69|358.18|141.98|736.8229077|445.5|463.91|47.07|51.18|47.07|198.57|202.62|97.75|45.79|101.58|202.62|750.08572|736.8229077|478.08872|0|0|0|263.2|45.7|45.7|47.07|45.7|82.26|45.7|47.07|0|750.08572
HOSP OP|0761 - TREATMENT ROOM||20606|Hb Joint Injection Intermediate With Ultrasound|759|402.27|569.25|607.2|645.15|683.1|645.15|613.27|546.48|513.69|0|759|494.87|158.86|277.95|621.24|469.82|457.68|154.89|736.8229077|569.25|592.78|54.05|58.78|54.05|217.94|222.39|108.01|52.58|111.49|222.39|750.08572|736.8229077|478.08872|0|0|0|336.31|52.48|52.48|54.05|52.48|94.46|52.48|54.05|0|759
HOSP OP|0761 - TREATMENT ROOM||20611|Hb Joint Injection Major With Ultrasound|739|391.67|554.25|591.2|628.15|665.1|628.15|597.11|532.08|500.16|0|739|481.83|484.12|270.62|604.87|457.44|445.62|472.01|736.8229077|554.25|577.16|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|750.08572|736.8229077|478.08872|0|0|277.19|327.45|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|750.08572
HOSP OP|0333 - RADIATION RX||77307|Hb Telethx Isodose Pln Cplx W/basic Dosimetry|530|280.9|397.5|424|450.5|477|450.5|428.24|381.6|358.7|0|530|345.56|469.37|194.09|433.81|328.07|319.59|457.63|1833.759184|397.5|413.93|143.24|155.76|143.24|530|530|403.71|139.35|404.82|530|1866.766849|1833.759184|1189.837574|0|0|360.46|234.84|139.07|139.07|143.24|139.07|250.33|139.07|143.24|0|1866.766849
HOSP OP|0333 - RADIATION RX||77386|Hb Intensity Modulated Radiation Tx Dlvr Complex|1593|844.29|1194.75|1274.4|1354.05|1433.7|1354.05|1287.14|1146.96|1078.14|0|1593|1038.64|1016.94|583.36|1303.87|986.07|960.58|991.5|734.5972495|1194.75|1244.13|595.45|647.48|595.45|1295.25|1321.68|430.17|579.27|437.04|1321.68|747.82|734.5972495|747.82|0|0|582.28|705.86|1153.79|1027.07|595.45|1107.1|1040.6|578.11|595.39|0|1593
HOSP OP|0333 - RADIATION RX||77387|Hb Guidance For Loc Of Target Vol Rad Tx Dlvr|282|149.46|211.5|225.6|239.7|253.8|0|227.86|203.04|190.86|0|282|183.86|0|103.27|230.82|174.56|170.05|0|70.04911591|211.5|220.24|0|0|0|0|0|0|0|0|0|71.31|70.04911591|71.31|0|0|0|124.95|0|0|0|0|0|0|0|0|282
HOSP OP|0306 - LAB/BACT-MICRO||87040|Hb Culture Blood (mgh)|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|14.8|15.48|10.76|65.48|14.06|13.68|15.09|11.34577603|60|62.48|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|80
HOSP OP|0306 - LAB/BACT-MICRO||87040|Hb Culture Blood One Bottle (mgh)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.34577603|60.75|63.26|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87632|Hb Respiratory Virus Panel By Pcr|856.7|454.05|642.53|685.36|728.2|771.03|728.2|692.21|616.82|579.81|0|856.7|305.91|320.14|222.44|701.21|290.73|282.91|312.14|239.8722986|642.53|669.08|224.6|244.23|224.6|491.1|501.12|295.69|218.5|251.22|501.12|244.19|239.8722986|244.19|0|0|0|163.44|218.06|218.06|224.6|218.06|392.51|218.06|224.6|0|856.7
HOSP OP|0300 - LABORATORY||81273|HB KIT ASP816VAL MUTATION ANALYSIS BM|550.49|291.76|412.87|440.39|467.92|495.44|467.92|444.8|396.35|372.57|0|550.49|161.08|168.57|117.13|450.58|153.09|148.97|164.36|137.3575639|412.87|429.93|128.62|139.85|128.62|278|283.67|140.27|125.12|142.21|283.67|139.83|137.3575639|139.83|0|0|139.86|86.05|124.87|124.87|128.62|124.87|224.77|124.87|128.62|0|550.49
HOSP OP|0302 - LAB/IMMUNOLOGY||86780|Hb Syphilis Antibody Screen Serum|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|18.98|19.86|13.8|41.74|18.03|17.55|19.36|13.24165029|38.25|39.83|13.64|14.83|13.64|30.03|30.64|18.08|13.27|15.36|30.64|13.48|13.24165029|13.48|0|0|16.48|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87798|BABESIA MICROTI BY RAPID PCR|115.66|61.3|86.75|92.53|98.31|104.09|98.31|93.45|83.28|78.28|0|115.66|50.3|52.64|36.57|94.67|47.8|46.52|51.32|38.59528487|86.75|90.33|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|115.66
HOSP OP|0306 - LAB/BACT-MICRO||87207|BLOOD PARASITES (TICK BORNE)|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|27.48372986|35.25|36.71|6.17|6.71|6.17|47|47|24.93|6|25.27|47|27.978437|27.48372986|17.832862|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0306 - LAB/BACT-MICRO||87207|MALARIA LOAD TEST|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|27.48372986|35.25|36.71|6.17|6.71|6.17|47|47|24.93|6|25.27|47|27.978437|27.48372986|17.832862|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0310 - PATHOLOGY LAB||88360|QUANT IMMUNOHISTOCHEMICAL STAIN|244|129.32|183|195.2|207.4|219.6|207.4|197.15|175.68|165.14|0|244|114.2|244|83.04|199.71|108.54|105.61|244|130.2975972|183|190.56|158.58|172.44|158.58|244|244|114.56|154.27|116.39|244|132.642954|130.2975972|84.543804|0|0|96.46|61.01|244|244|158.58|244|244|153.96|158.56|0|244
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|RESPIRATORY ALLERGEN PANEL|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.48|7.83|5.44|25.37|7.11|6.92|7.63|5.736738703|23.25|24.21|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|31
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|FOOD ALLERGEN PANEL|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|7.48|7.83|5.44|13.1|7.11|6.92|7.63|5.736738703|12|12.5|5.38|5.85|5.38|11.62|11.86|7.33|5.23|5.95|11.86|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|16
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1876|Hb Bms Stent; Peripheral|2380|1261.4|1785|1904|2023|2142|0|1923.04|1713.6|1610.78|0|2380|0|0|0|1948.03|0|0|0|0|1785|1858.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2380
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1725|Hb Crostella Balloon; Non-coated|728|385.84|546|582.4|618.8|655.2|0|588.22|524.16|492.71|0|728|0|0|0|595.87|0|0|0|0|546|568.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|728
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C1894|Hb Sheath; Lender Destination|895|474.35|671.25|716|760.75|805.5|0|723.16|644.4|605.74|0|895|0|0|0|732.56|0|0|0|0|671.25|699|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|895
HOSP OP|0761 - TREATMENT ROOM||42999|Hb Unlisted Procedure Pharynx Adenoids Or Tonsils|3672.78|1946.57|2754.59|2938.22|3121.86|3305.5|3121.86|2967.61|2644.4|2485.74|0|3672.78|2394.65|2056.76|1344.97|3006.17|2273.45|2214.69|2005.34|3034.804064|2754.59|2868.44|1469.11|0|1469.11|3173.28|3297.72|1581.87|1469.11|1607.58|3297.72|3089.430537|3034.804064|1969.137462|0|0|0|1627.41|0|0|1469.11|0|1836.39|1469.11|1469.11|0|3672.78
HOSP OP|0761 - TREATMENT ROOM||59001|Hb Amniocentesistherap Amniotic F*|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|258.75|265.88|594.27|449.42|437.81|252.28|899.4300717|544.54|567.05|173.56|188.72|173.56|453.32|462.57|230.2|168.84|231.89|462.57|915.619813|899.4300717|583.596638|0|0|0|321.71|168.5|168.5|173.56|168.5|303.3|168.5|173.56|0|915.619813
HOSP OP|0761 - TREATMENT ROOM||59070|Hb Transabdom Amnioinfus W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|726.05|899.4300717|544.54|567.05|300.79|327.07|300.79|726.05|726.05|530.29|292.61|531.67|726.05|915.619813|899.4300717|583.596638|0|0|0|321.71|292.03|292.03|300.79|292.03|525.65|292.03|300.79|0|915.619813
HOSP OP|0761 - TREATMENT ROOM||59076|Hb Fetal Shunt Placement W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|712.25|899.4300717|544.54|567.05|507.41|551.75|507.41|726.05|726.05|669.09|493.62|675.37|726.05|915.619813|899.4300717|583.596638|0|0|0|321.71|492.63|492.63|507.41|492.63|726.05|492.63|507.41|0|915.619813
HOSP OP|0761 - TREATMENT ROOM||59072|Hb Umbilical Cord Occlud W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|726.05|265.88|594.27|449.42|437.81|712.25|899.4300717|544.54|567.05|507.41|551.75|507.41|726.05|726.05|669.09|493.62|675.37|726.05|915.619813|899.4300717|583.596638|0|0|0|321.71|492.63|492.63|507.41|492.63|726.05|492.63|507.41|0|915.619813
HOSP OP|0761 - TREATMENT ROOM||11443|Hb Exc Skin Benig 2.1-3cm Facef*|3681.25|1951.06|2760.94|2945|3129.06|3313.13|3129.06|2974.45|2650.5|2491.47|0|3681.25|2400.18|2690.79|1348.07|3013.1|2278.69|2219.79|2623.47|4081.951827|2760.94|2875.06|1516.84|1649.38|1516.84|3299.46|3366.8|1095.8|1475.61|1113.3|3366.8|4155.42696|4081.951827|2648.58096|0|0|1540.67|1631.16|2939.11|2616.32|1516.84|2820.19|2650.79|1472.66|1516.67|0|4155.42696
HOSP OP|0310 - PATHOLOGY LAB||81105|Hb Human Platelet Antigen 1 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81106|Hb Human Platelet Antigen 2 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81107|Hb Human Platelet Antigen 3 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81108|Hb Human Platelet Antigen 4 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81109|Hb Human Platelet Antigen 5 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81110|Hb Human Platelet Antigen 6 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81111|Hb Human Platelet Antigen 9 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0310 - PATHOLOGY LAB||81112|Hb Human Platelet Antigen 15 Genotyping|62.01|32.87|46.51|49.61|52.71|55.81|52.71|50.1|44.65|41.97|0|62.01|62.01|62.01|62.01|50.76|62.01|62.01|62.01|134.4400786|46.51|48.43|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|62.01|136.86|134.4400786|136.86|0|0|62.01|60.77|62.01|62.01|62.01|62.01|62.01|62.01|62.01|0|136.86
HOSP OP|0302 - LAB/IMMUNOLOGY||86668|Hb Francisella Tularensis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.57956778|0|0|0|0|0|0|0|0|0|0|0|15.86|15.57956778|15.86|0|0|0|0|0|0|0|0|0|0|0|0|15.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1900|Hb Lead Lt Ventricular Coronary Venous Sys|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1777|Hb Lead Cardioverter-defib Endocardial Sngl Coil; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1895|Hb Lead Cardioverter-defib Endocardial Dual Coil; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0278 - SUPPLY IMPLANTS||C1731|Hb Cath Electrophys Diag Other Than 3d Map; >20 Electrodes|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1721|Hb Cardioverter-defib; Dual Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1785|Hb Pacemaker Dual Chamber Rate-responsive; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1722|Hb Cardioverter-defibrillator Single Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C1764|Hb Event Recorder Cardiac; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0275 - PACEMAKER||C2621|Hb Pacemaker Other Than Sgl Or Dual Chamber; Implantable|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0430 - OCCUPATIONAL THERAPY||97112|Hb Ot Neuromuscular Reeducation|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|129|107.11|106.79|105.59|129|129|97.61|180.9688851|96.75|100.75|36.9|40.13|36.9|125|127.5|48.39|36.55|49.05|127.5|184.226325|180.9688851|117.42195|0|0|28.09|126.42|39.41|39.41|36.9|39.41|64.49|35.83|36.9|0|184.226325
HOSP OP|0360 - OR SERVICES||20650|Hb Insert And Remove Bone Pin With Traction|7343|3891.79|5507.25|5874.4|6241.55|6608.7|6241.55|5933.14|5286.96|4969.74|0|7343|0|456.13|0|6010.25|0|0|444.72|5340.023975|5507.25|5734.88|161.98|176.13|161.98|571.5|583.16|287.87|157.57|292.35|583.16|5436.144407|5340.023975|3464.883082|0|0|0|0|157.26|157.26|161.98|157.26|283.07|157.26|161.98|0|7343
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33017|Hb Percut Pericardial Drainage 6yr+ Wo Congenital Anomaly|4760|2522.8|3570|3808|4046|4284|4046|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|2598.96|6974.805663|3570|3717.56|243.12|264.36|243.12|633.48|646.41|2050.13|236.51|324.06|646.41|7100.352165|6974.805663|4525.61379|0|0|1904|0|236.04|236.04|243.12|236.04|424.87|236.04|243.12|0|7100.352165
HOSP OP|0274 - PROSTH/ORTH DEV||L2755|Hb Carbon Graphite Lamination Per Segment Custom Fabricated Orthosis|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.8094303|0|0|134.83|146.61|134.83|0|0|0|0|0|0|119.93|117.8094303|119.93|0|0|0|0|0|0|134.83|0|0|0|134.83|0|146.61
HOSP OP|0300 - LABORATORY||81460|Hb Whole Mitochondrial Gen Seq|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1415.697446|0|0|0|0|0|0|0|0|0|0|0|1441.18|1415.697446|1441.18|0|0|0|0|0|0|0|0|0|0|0|0|1441.18
HOSP OP|0300 - LABORATORY||81465|Hb Whole Mitochondrial Gen Large Del|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1029.59725|0|0|0|0|0|0|0|0|0|0|0|1048.13|1029.59725|1048.13|0|0|0|0|0|0|0|0|0|0|0|0|1048.13
HOSP OP|0301 - LAB/CHEMISTRY||82136|Hb Amino Acids 2-5 Amino Acids Quant Ea|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.57170923|0|0|0|0|0|0|0|0|0|0|0|21.96|21.57170923|21.96|0|0|0|0|0|0|0|0|0|0|0|0|21.96
HOSP OP|0771 - VACCINE ADMIN||G0010|Hb Hepatitis B Vaccine Admin|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.16|57|20.87|46.65|35.28|34.37|57|10.86444008|42.75|44.52|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|11.06|10.86444008|11.06|0|0|14.36|25.26|57|57|42.11|57|57|40.89|42.11|0|57
HOSP OP|0361 - OR/MINOR||27599|Hb Patellar Button Implant Removal|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|0|323.68|0|473.09|0|0|315.59|5340.023975|433.5|451.42|231.2|0|231.2|499.39|518.97|248.94|231.2|252.99|518.97|5436.144407|5340.023975|3464.883082|0|0|0|0|0|0|231.2|0|289|231.2|231.2|0|5436.144407
HOSP OP|0306 - LAB/BACT-MICRO||U0003|Hb Sars-cov-2 Rna Detection|206|109.18|154.5|164.8|175.1|185.4|175.1|166.45|148.32|139.42|0|206|100|115.36|100|168.61|100|100|112.48|100|154.5|160.89|103|112|103|99.77|101.81|88.72|100.2|101.81|101.81|101.8|100|101.8|0|0|82.4|100|100|100|103|100|180|100|103|0|206
HOSP OP|0361 - OR/MINOR||31652|Hb Bronchoscopy W Ebus 1 Or 2 Nodes|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|3237|5247|1821.42|4294.67|3075|2994|5227.22|5076.780456|3935.25|4097.91|3245.54|3529.13|3245.54|5247|5247|2344.64|3157.31|2382.08|5247|5168.162504|5076.780456|3294.077104|0|0|3069.74|2542.9|5247|5247|3245.54|5247|5247|3151.01|3245.18|0|5247
HOSP OP|0361 - OR/MINOR||31653|Hb Bronchoscopy W Ebus>2 Nodes|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|3237|5247|1821.42|4294.67|3075|2994|5227.22|5076.780456|3935.25|4097.91|3245.54|3529.13|3245.54|5247|5247|2344.64|3157.31|2382.08|5247|5168.162504|5076.780456|3294.077104|0|0|3069.74|2542.9|5247|5247|3245.54|5247|5247|3151.01|3245.18|0|5247
HOSP OP|0302 - LAB/IMMUNOLOGY||86480|Hb Quantiferon Tb-gold|87.2|46.22|65.4|69.76|74.12|78.48|74.12|70.46|62.78|59.02|0|87.2|87.2|87.2|64.6|71.37|84.43|82.16|87.2|68.1827112|65.4|68.1|63.84|69.42|63.84|87.2|87.2|86.02|62.1|72.84|87.2|69.41|68.1827112|69.41|0|0|0|47.47|61.98|61.98|63.84|61.98|87.2|61.98|63.84|0|87.2
HOSP OP|0320 - DX X-RAY||72081|Xr Spine Entire Thoracic & Lumbar 1 View|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|121.88|203|166.16|203|203|118.83|142.5387446|152.25|158.54|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|198.94|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|203
HOSP OP|0320 - DX X-RAY||72082|Xr Spine Entire Thoracic & Lumbar 2-3 View|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|301|164.88|301|246.37|301|301|160.76|142.5387446|225.75|235.08|53.93|58.64|53.93|176.29|179.89|85.53|52.46|90.18|179.89|145.104442|142.5387446|92.486492|0|0|126.02|294.98|52.36|52.36|53.93|52.36|94.25|52.36|53.93|0|301
HOSP OP|0320 - DX X-RAY||73501|Xr Hip Uni  W/pelv If Performed 1 View|178|94.34|133.5|142.4|151.3|160.2|151.3|143.82|128.16|120.47|0|178|178|121.88|178|145.69|178|178|118.83|142.5387446|133.5|139.02|88.2|95.9|88.2|178|178|63.71|85.8|64.73|178|145.104442|142.5387446|92.486492|0|0|69.78|174.44|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|178
HOSP OP|0320 - DX X-RAY||73502|Xr Hip Uni W/pelv If Performed 2-3 View|188|99.64|141|150.4|159.8|169.2|159.8|151.9|135.36|127.24|0|188|188|121.88|188|153.88|188|188|118.83|142.5387446|141|146.83|88.2|95.9|88.2|188|188|63.71|85.8|64.73|188|145.104442|142.5387446|92.486492|0|0|69.78|184.24|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|188
HOSP OP|0320 - DX X-RAY||73503|Xr Hip Uni W/pelv If Performed 4 View|273|144.69|204.75|218.4|232.05|245.7|232.05|220.58|196.56|184.77|0|273|273|220.09|273|223.45|273|273|214.59|142.5387446|204.75|213.21|123.86|134.68|123.86|269.43|273|89.48|120.49|90.91|273|145.104442|142.5387446|92.486492|0|0|126.02|267.54|240|213.64|123.86|230.29|216.45|120.25|123.85|0|273
HOSP OP|0320 - DX X-RAY||73521|Xr Hip Bilat W/pelv If Performed 2 View|282|149.46|211.5|225.6|239.7|253.8|239.7|227.86|203.04|190.86|0|282|282|91.47|282|230.82|282|282|89.18|142.5387446|211.5|220.24|29.85|32.46|29.85|103.64|105.76|51.32|29.04|53.02|105.76|145.104442|142.5387446|92.486492|0|0|126.02|276.36|28.98|28.98|29.85|28.98|52.16|28.98|29.85|0|282
HOSP OP|0320 - DX X-RAY||73522|Xr Hip Bilat W/pelv If Performed 3-4 View|305|161.65|228.75|244|259.25|274.5|259.25|246.44|219.6|206.42|0|305|305|220.09|305|249.64|305|305|214.59|142.5387446|228.75|238.21|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|298.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|305
HOSP OP|0320 - DX X-RAY||73551|Xr Femur; 1 View|203|107.59|152.25|162.4|172.55|182.7|172.55|164.02|146.16|137.39|0|203|203|67.4|203|166.16|203|203|65.71|142.5387446|152.25|158.54|21.58|23.46|21.58|76.52|78.08|38.12|20.99|39.14|78.08|145.104442|142.5387446|92.486492|0|0|69.78|198.94|20.95|20.95|21.58|20.95|37.71|20.95|21.58|0|203
HOSP OP|0320 - DX X-RAY||73552|Xr Femur; Min 2 Views|197|104.41|147.75|157.6|167.45|177.3|167.45|159.18|141.84|133.33|0|197|197|121.88|197|161.24|197|197|118.83|142.5387446|147.75|153.86|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|193.06|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|197
HOSP OP|0361 - OR/MINOR||47531|Ir Cholangiogram T Tube W/imaging & Rs&i|1113|589.89|834.75|890.4|946.05|1001.7|946.05|899.3|801.36|753.28|0|1113|1113|1113|1113|910.99|1113|1113|1113|433.0305874|834.75|869.25|1113|3736.33|1113|1113|1113|1113|1113|1113|1113|440.825138|433.0305874|280.972588|0|0|1113|1090.74|1113|1113|3436.09|1113|1113|3336.01|1113|0|3736.33
HOSP OP|0361 - OR/MINOR||47533|Ir Biliary Drain Ext W/imaging|6595|3495.35|4946.25|5276|5605.75|5935.5|5605.75|5328.76|4748.4|4463.5|0|6595|0|3593.65|0|5398.01|0|0|3503.77|5985.567943|4946.25|5150.7|276.33|300.47|276.33|3414.43|3484.11|1711.59|268.82|1746.64|3484.11|6093.308166|5985.567943|3883.745316|0|0|0|0|268.28|268.28|276.33|268.28|482.9|268.28|276.33|0|6595
HOSP OP|0361 - OR/MINOR||47534|Ir Biliary Drain Int/ext W/imaging|5615|2975.95|4211.25|4492|4772.75|5053.5|4772.75|4536.92|4042.8|3800.23|0|5615|0|4026.91|0|4595.88|0|0|3926.2|5985.567943|4211.25|4385.32|386.18|419.92|386.18|3971.39|4052.44|2041.5|375.68|2031.55|4052.44|6093.308166|5985.567943|3883.745316|0|0|0|0|374.93|374.93|386.18|374.93|674.87|374.93|386.18|0|6093.308166
HOSP OP|0361 - OR/MINOR||47535|Ir Conv Ext Biliary Drain To Int/ext W/imaging|6446|3416.38|4834.5|5156.8|5479.1|5801.4|5479.1|5208.37|4641.12|4362.65|0|6446|3532|5765.61|1996.08|5276.05|3356|3268|5621.38|5985.567943|4834.5|5034.33|3436.09|3736.33|3436.09|6446|6446|2482.3|3342.68|2521.94|6446|6093.308166|5985.567943|3883.745316|0|0|3301.22|2445.1|6446|5926.74|3436.09|6388.56|6004.82|3336.01|3435.71|0|6446
HOSP OP|0361 - OR/MINOR||47536|Ir Exchange Biliary Drain W/imaging|6266|3320.98|4699.5|5012.8|5326.1|5639.4|5326.1|5062.93|4511.52|4240.83|0|6266|3532|5765.61|1996.08|5128.72|3356|3268|5621.38|5985.567943|4699.5|4893.75|3436.09|3736.33|3436.09|6266|6266|2482.3|3342.68|2521.94|6266|6093.308166|5985.567943|3883.745316|0|0|3301.22|2445.1|6266|5926.74|3436.09|6266|6004.82|3336.01|3435.71|0|6266
HOSP OP|0361 - OR/MINOR||47537|Ir Removal Of Biliary Drain W/imaging|1273|674.69|954.75|1018.4|1082.05|1145.7|1082.05|1028.58|916.56|861.57|0|1273|1273|1273|965.1|1041.95|1273|1273|1273|851.8190707|954.75|994.21|868.51|944.4|868.51|1273|1273|627.43|844.9|637.45|1273|867.151814|851.8190707|552.704164|0|0|853|1247.54|1273|1273|868.51|1273|1273|843.21|868.42|0|1273
HOSP OP|0361 - OR/MINOR||47538|Ir Biliary Stent Thru Existing Access|10296|5456.88|7722|8236.8|8751.6|9266.4|8751.6|8319.17|7413.12|6968.33|0|10296|6710|8990.5|3543.04|8427.28|6374|6206|8765.59|7466.33481|7722|8041.18|5341.67|5808.42|5341.67|10296|10296|3858.93|5196.46|3920.55|10296|7600.728837|7466.33481|4844.543262|0|0|5147.7|5281.42|10296|9213.56|5341.67|9931.5|9334.96|5186.09|5341.07|0|10296
HOSP OP|0320 - DX X-RAY||47540|Ir Biliary Stent W/catheter; New Access|10296|5456.88|7722|8236.8|8751.6|9266.4|8751.6|8319.17|7413.12|6968.33|0|10296|694|10296|313.38|8427.28|660|642|10296|7466.33481|7722|8041.18|458.26|498.3|458.26|10296|10296|6841.48|445.8|6852.27|10296|7600.728837|7466.33481|4844.543262|0|0|0|583.1|444.91|444.91|458.26|444.91|800.84|444.91|458.26|0|10296
HOSP OP|0361 - OR/MINOR||50430|Ir Nephrostogram W/rs&i; New Access|1553|823.09|1164.75|1242.4|1320.05|1397.7|1320.05|1254.82|1118.16|1051.07|0|1553|1553|1099.88|598.82|1271.13|1553|1553|1072.37|798.4994578|1164.75|1212.89|615.01|668.75|615.01|1337.8|1365.1|444.3|598.3|451.4|1365.1|812.872448|798.4994578|518.107648|0|0|629.76|733.53|1191.69|1060.81|615.01|1143.47|1074.78|597.1|614.95|0|1553
HOSP OP|0361 - OR/MINOR||50431|Ir Nephrostogram W/rs&i; Existing Access|1382|732.46|1036.5|1105.6|1174.7|1243.8|1174.7|1116.66|995.04|935.34|0|1382|1382|1099.88|598.82|1131.17|1382|1382|1072.37|798.4994578|1036.5|1079.34|615.01|668.75|615.01|1337.8|1365.1|444.3|598.3|451.4|1365.1|812.872448|798.4994578|518.107648|0|0|629.76|733.53|1191.69|1060.81|615.01|1143.47|1074.78|597.1|614.95|0|1382
HOSP OP|0361 - OR/MINOR||50432|Ir Perc Nephrostomy W/imaging|3968|2103.04|2976|3174.4|3372.8|3571.2|3372.8|3206.14|2856.96|2685.54|0|3968|3237|3403.34|1821.42|3247.81|3075|2994|3318.2|2879.082545|2976|3099.01|1957.72|2128.78|1957.72|3968|3968|1414.29|1904.5|1436.88|3968|2930.906031|2879.082545|1868.097306|0|0|1948.64|2542.9|3793.37|3376.76|1957.72|3639.88|3421.25|1900.7|1957.5|0|3968
HOSP OP|0320 - DX X-RAY||50433|Ir Perc Nephroureteral Cath W/img|3852|2041.56|2889|3081.6|3274.2|3466.8|3274.2|3112.42|2773.44|2607.03|0|3852|694|3153.17|313.38|3152.86|660|642|3074.31|2879.082545|2889|3008.41|265.41|288.6|265.41|3026.98|3088.75|1466.73|258.2|1548.44|3088.75|2930.906031|2879.082545|1868.097306|0|0|0|583.1|257.68|257.68|265.41|257.68|463.82|257.68|265.41|0|3852
HOSP OP|0361 - OR/MINOR||50434|Ir Convrt Nephro Cath To Nephroureteral|1864|987.92|1398|1491.2|1584.4|1677.6|1584.4|1506.11|1342.08|1261.56|0|1864|1864|1864|598.82|1525.68|1864|1864|1864|2879.082545|1398|1455.78|1864|2128.78|1864|1864|1864|1414.29|1864|1436.88|1864|2930.906031|2879.082545|1868.097306|0|0|1864|733.53|1864|1864|1957.72|1864|1864|1900.7|1864|0|2930.906031
HOSP OP|0361 - OR/MINOR||50435|Ir Exchange Nephrostomy Cath W/img|1966|1041.98|1474.5|1572.8|1671.1|1769.4|1671.1|1588.53|1415.52|1330.59|0|1966|1966|1966|598.82|1609.17|1966|1966|1966|2879.082545|1474.5|1535.45|1957.72|2128.78|1957.72|1966|1966|1414.29|1904.5|1436.88|1966|2930.906031|2879.082545|1868.097306|0|0|1948.64|733.53|1966|1966|1957.72|1966|1966|1900.7|1957.5|0|2930.906031
HOSP OP|0361 - OR/MINOR||50693|Ir Perc Ureteral Stent W/img Existing Access|5909|3131.77|4431.75|4727.2|5022.65|5318.1|5022.65|4774.47|4254.48|3999.21|0|5909|3532|3403.34|1996.08|4836.52|3356|3268|3318.2|5876.515799|4431.75|4614.93|3335.75|3627.22|3335.75|5909|5909|2409.81|3245.07|2448.29|5909|5982.293083|5876.515799|3812.986658|0|0|1948.64|2445.1|5909|5753.66|3335.75|5909|5829.46|3238.59|3335.38|0|5982.293083
HOSP OP|0361 - OR/MINOR||50694|Ir Perc Ureteral Stent W/o Cath New Access|6349|3364.97|4761.75|5079.2|5396.65|5714.1|5396.65|5129.99|4571.28|4297|0|6349|0|3183.26|0|5196.66|0|0|3103.64|5876.515799|4761.75|4958.57|279.13|303.52|279.13|3070.57|3133.23|1506.32|271.54|1570.74|3133.23|5982.293083|5876.515799|3812.986658|0|0|0|0|271|271|279.13|271|487.8|271|279.13|0|6349
HOSP OP|0361 - OR/MINOR||50695|Ir Perc Ureteral Stent W/ Cath New Access|6795|3601.35|5096.25|5436|5775.75|6115.5|5775.75|5490.36|4892.4|4598.86|0|6795|0|3840.37|0|5561.71|0|0|3744.32|5876.515799|5096.25|5306.9|357.9|389.18|357.9|3745.7|3822.14|1848.44|348.17|1916.1|3822.14|5982.293083|5876.515799|3812.986658|0|0|0|0|347.48|347.48|357.9|347.48|625.46|347.48|357.9|0|6795
HOSP OP|0361 - OR/MINOR||49185|Sclerotherapy Of Fluid Collection|2557|1355.21|1917.75|2045.6|2173.45|2301.3|2173.45|2066.06|1841.04|1730.58|0|2557|2557|1133.32|598.82|2092.9|2557|2557|1104.96|970.169779|1917.75|1997.02|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|987.632835|970.169779|629.49621|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|2557
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37252|Hb Ivus Primary Vessel W/ Rs&i|590|312.7|442.5|472|501.5|531|0|476.72|424.8|399.31|0|590|590|0|399.22|482.92|590|590|0|262.0664862|442.5|460.79|0|0|0|0|0|0|0|0|0|266.783683|262.0664862|170.042258|0|0|0|489.02|0|0|0|0|0|0|0|0|590
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||37253|Hb Ivus Each Add'l W/rs&i|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|60|0|60|49.11|60|60|0|262.0664862|45|46.86|0|0|0|0|0|0|0|0|0|266.783683|262.0664862|170.042258|0|0|0|58.8|0|0|0|0|0|0|0|0|266.783683
HOSP OP|0361 - OR/MINOR||47542|Ir Biliary Dilation/ Sphincteroplasty|1374|728.22|1030.5|1099.2|1167.9|1236.6|0|1110.19|989.28|929.92|0|1374|744|0|399.22|1124.62|707|688|0|0|1030.5|1073.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|1374
HOSP OP|0361 - OR/MINOR||47543|Ir Perc Endoluminal Biliary Biopsy|608|322.24|456|486.4|516.8|547.2|0|491.26|437.76|411.49|0|608|0|0|0|497.65|0|0|0|0|456|474.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|608
HOSP OP|0361 - OR/MINOR||50706|Ir Perc Ureteral Dilation W/ Img|1699|900.47|1274.25|1359.2|1444.15|1529.1|0|1372.79|1223.28|1149.88|0|1699|0|0|0|1390.63|0|0|0|0|1274.25|1326.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1699
HOSP OP|0361 - OR/MINOR||61645|Ir Intracranial Mech Thrombectomy|7355|3898.15|5516.25|5884|6251.75|6619.5|6251.75|5942.84|5295.6|4977.86|0|7355|0|0|0|6020.07|0|0|4015.83|11538.98807|5516.25|5744.26|821.25|893.01|821.25|2137.77|2181.4|1069.87|798.92|1093.57|2181.4|11746.68986|11538.98807|7487.090834|0|0|0|0|797.33|797.33|821.25|797.33|1435.19|797.33|821.25|0|11746.68986
HOSP OP|0360 - OR SERVICES||61650|Ir Cerebral Prolonged Admin Nonthrombolytic|5367|2844.51|4025.25|4293.6|4561.95|4830.3|4561.95|4336.54|3864.24|3632.39|0|5367|0|0|0|4392.89|0|0|2930.38|0|4025.25|4191.63|553.55|601.92|553.55|1409.36|1438.12|694.51|538.5|720.95|1438.12|0|0|0|0|0|0|0|537.43|537.43|553.55|537.43|967.37|537.43|553.55|0|5367
HOSP OP|0361 - OR/MINOR||61651|Ir Cerebral Prolonged Admin Nonthrombolytic Add'l|537|284.61|402.75|429.6|456.45|483.3|456.45|433.9|386.64|363.44|0|537|0|0|0|439.53|0|0|293.2|0|402.75|419.4|237.04|257.76|237.04|537|537|294.23|230.6|311.67|537|0|0|0|0|0|0|0|230.14|230.14|237.04|230.14|414.25|230.14|237.04|0|537
HOSP OP|0342 - NUC MED/RX||79445|Nuclear Therapy Intra-arterial|1063|563.39|797.25|850.4|903.55|956.7|903.55|858.9|765.36|719.44|0|1063|1063|451.67|747.53|870.07|1063|1063|440.37|370.6478173|797.25|830.2|262.35|285.27|262.35|570.67|582.31|189.53|255.22|192.55|582.31|377.319478|370.6478173|240.495428|0|0|258.61|1041.74|508.34|452.51|262.35|487.77|458.47|254.71|262.32|0|1063
HOSP OP|0410 - RESPIRATORY THERAPY|||Hb Negative Pressure Ventilation Cnp|1246|660.38|934.5|996.8|1059.1|1121.4|0|1006.77|897.12|843.29|0|1246|812.39|0|456.29|1019.85|771.27|751.34|0|0|934.5|973.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|571.21|679.94|0|0|0|0|0|0|0|0|1246
HOSP OP|0410 - RESPIRATORY THERAPY||94669|Hb Mechanical Chest Wall Oscillation To Facilitate Lung Function|493|261.29|369.75|394.4|419.05|443.7|419.05|398.34|354.96|333.66|0|493|321.44|108.32|180.54|403.52|305.17|297.28|105.61|84.56984971|369.75|385.03|30.74|33.42|30.74|86.21|87.97|44.96|29.9|44.1|87.97|86.092107|84.56984971|54.873282|0|0|214.61|269.03|29.84|29.84|30.74|29.84|53.71|29.84|30.74|0|493
HOSP OP|0460 - PULMONARY FUNCTION||94680|Hb Exhaled Air Analysis: O2|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|145.62|135.86|303.66|229.65|223.71|141.98|244.5875403|278.25|289.75|43.01|46.77|43.01|151.11|154.19|80.64|41.84|77.3|154.19|248.990116|244.5875403|158.701016|0|0|152.27|164.39|41.76|41.76|43.01|41.76|75.17|41.76|43.01|0|371
HOSP OP|0460 - PULMONARY FUNCTION||94681|Hb Exhaled Air Analysis: O2 Co2|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|151.64|248.65|555.76|420.3|409.44|147.85|244.5875403|509.25|530.3|44.9|48.82|44.9|149.17|152.21|78.69|43.68|76.31|152.21|248.990116|244.5875403|158.701016|0|0|282.6|300.86|43.59|43.59|44.9|43.59|78.46|43.59|44.9|0|679
HOSP OP|0201 - ICU SURGICAL|||ICU SURGICAL|8705|4613.65|0|6964|0|7834.5|0|7033.64|6267.6|5891.54|0|8705|0|0|0|7125.04|0|0|0|0|0|6798.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8705
HOSP OP|0208 - ICU TRAUMA|||ICU TRAUMA|9952|5274.56|0|7961.6|0|8956.8|0|8041.22|7165.44|6735.51|0|9952|0|0|0|8145.71|0|0|0|0|0|7772.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9952
HOSP OP|0460 - PULMONARY FUNCTION||94727|Hb Determination Of Lung Volumes Using Gas Dilution Or Washout|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|105.91|135.86|303.66|229.65|223.71|103.26|244.5875403|278.25|289.75|32.86|35.73|32.86|118.17|120.58|60.6|31.96|60.45|120.58|248.990116|244.5875403|158.701016|0|0|152.27|164.39|31.9|31.9|32.86|31.9|57.42|31.9|32.86|0|371
HOSP OP|0460 - PULMONARY FUNCTION||94728|Hb Airway Reistance By Oscillometry|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|95.08|248.65|555.76|420.3|409.44|92.7|244.5875403|509.25|530.3|29.48|32.05|29.48|110.43|112.68|56.69|28.68|56.49|112.68|248.990116|244.5875403|158.701016|0|0|282.6|300.86|28.62|28.62|29.48|28.62|51.52|28.62|29.48|0|679
HOSP OP|0460 - PULMONARY FUNCTION||94750|Hb Pulmonary Compliance Study|371|196.63|278.25|296.8|315.35|333.9|315.35|299.77|267.12|251.09|0|371|241.89|251.53|135.86|303.66|229.65|223.71|245.24|244.5875403|278.25|289.75|81.39|88.5|81.39|232.48|237.22|114.37|79.18|118.92|237.22|248.990116|244.5875403|158.701016|0|0|152.27|164.39|79.02|79.02|81.39|79.02|142.24|79.02|81.39|0|371
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Valv Balloon For Tavr|2156|1142.68|1617|1724.8|1832.6|1940.4|0|1742.05|1552.32|1459.18|0|2156|1405.71|0|789.53|1764.69|1334.56|1300.07|0|0|1617|1683.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|955.32|0|0|0|0|0|0|0|0|2156
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33361|Hb Tavr; Perq Femoral Artry Approach|11435|6060.55|8576.25|9148|9719.75|10291.5|9719.75|9239.48|8233.2|7739.21|0|11435|0|0|0|9359.55|0|0|6243.51|0|8576.25|8930.74|1190.66|1294.7|1190.66|3471.58|3542.43|1752.65|1158.29|1775.87|3542.43|0|0|0|0|0|0|0|1155.98|1155.98|1190.66|1155.98|2080.76|1155.98|1190.66|0|11435
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33362|Hb Tavr; Open Femoral Artery Approach|9653|5116.09|7239.75|7722.4|8205.05|8687.7|8205.05|7799.62|6950.16|6533.15|0|9653|0|0|0|7900.98|0|0|5270.54|0|7239.75|7538.99|1295.81|1409.04|1295.81|3788.32|3865.63|1912.47|1260.59|1937.9|3865.63|0|0|0|0|0|0|0|1258.07|1258.07|1295.81|1258.07|2264.53|1258.07|1295.81|0|9653
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33363|Hb Tavr; Open Axillry Artry Approach|9653|5116.09|7239.75|7722.4|8205.05|8687.7|8205.05|7799.62|6950.16|6533.15|0|9653|0|0|0|7900.98|0|0|5270.54|0|7239.75|7538.99|1344.06|1461.5|1344.06|3921.02|4001.04|1981.38|1307.52|2005.78|4001.04|0|0|0|0|0|0|0|1304.91|1304.91|1344.06|1304.91|2348.84|1304.91|1344.06|0|9653
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33365|Hb Tavr; Open Transaortic Approach|14524|7697.72|10893|11619.2|12345.4|13071.6|12345.4|11735.39|10457.28|9829.84|0|14524|0|0|0|11887.89|0|0|7930.1|0|10893|11343.24|1422.73|1547.04|1422.73|4552.57|4645.48|2297.6|1384.05|2328.85|4645.48|0|0|0|0|0|0|0|1381.29|1381.29|1422.73|1381.29|2486.32|1381.29|1422.73|0|14524
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Evaluation W Prenotification|2424|1284.72|1818|1939.2|2060.4|2181.6|2060.4|1958.59|1745.28|1640.56|0|2424|1580.45|1849.31|887.67|1984.04|1500.46|1461.67|1803.05|366.1198428|1818|1893.14|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|1074.07|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|2424
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Evaluation W Prenotification|2469|1308.57|1851.75|1975.2|2098.65|2222.1|2098.65|1994.95|1777.68|1671.02|0|2469|1609.79|1849.31|904.15|2020.88|1528.31|1488.81|1803.05|366.1198428|1851.75|1928.29|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|1094.01|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|2469
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93355|Hb Echo Tee Guid Tcat Icar/vessel Structural Intvn|1715|908.95|1286.25|1372|1457.75|1543.5|0|1385.72|1234.8|1160.71|0|1715|0|0|0|1403.73|0|0|0|1016.839153|1286.25|1339.42|0|0|0|0|0|0|0|0|0|1035.142258|1016.839153|659.777708|0|0|0|0|0|0|0|0|0|0|0|0|1715
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine Ms Wb/sp Reflex|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|31.49|0|22.9|28.65|29.93|29.12|0|25.8546169|26.25|27.34|35|0|35|30.24|31.43|35|14|15.32|31.43|26.32|25.8546169|26.32|0|0|0|34.3|35|35|35|35|35|35|35|0|35
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|Hb Mdt Transcath Ao Valve|84000|44520|63000|67200|71400|75600|0|67872|60480|56851.2|0|84000|54768|0|30760.8|68754|51996|50652|0|0|63000|65604|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|37220.4|0|0|0|0|0|0|0|0|84000
HOSP OP|0272 - STERILE SUPPLY|||Hb Mdt Tavr Del Syst|7308|3873.24|0|5846.4|0|6577.2|0|5904.86|5261.76|4946.05|0|7308|4764.82|0|2676.19|5981.6|4523.65|4406.72|0|0|0|5707.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3238.17|0|0|0|0|0|0|0|0|7308
HOSP OP|0272 - STERILE SUPPLY|||Hb Mdt Tavr Loading Syst|1106|586.18|0|884.8|0|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|0|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0306 - LAB/BACT-MICRO||87635|Hb Sars-cov-2 By Rapid Pcr|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|70.07|102|51.09|86.76|66.57|64.77|102|51.3064833|79.5|82.79|52.85|57.47|52.85|50.28|51.31|45.65|51.41|51.31|51.31|52.23|51.3064833|52.23|0|0|42.4|50.59|51.31|51.31|52.85|51.31|92.36|51.31|52.85|0|106
HOSP OP|0761 - TREATMENT ROOM||11045|Hb Debridement Subcutaneous Tissue Ea Add'l 20 Sq Cm|80|42.4|60|64|68|72|0|64.64|57.6|54.14|0|80|52.16|0|29.3|65.48|49.52|48.24|0|3097.834202|60|62.48|0|0|0|0|0|0|0|0|0|3153.595218|3097.834202|2010.034668|0|0|0|35.45|0|0|0|0|0|0|0|0|3153.595218
HOSP OP|0361 - OR/MINOR||37220|ILIAC REVAS UNI INTL W PTA|12004|6362.12|9003|9603.2|10203.4|10803.6|10203.4|9699.23|8642.88|8124.31|0|12004|6710|9152.23|3543.04|9825.27|6374|6206|8923.28|9886.02122|9003|9375.12|5474.5|5952.86|5474.5|11908.24|12004|3954.89|5325.68|4018.04|12004|10063.9696|9886.02122|6414.560652|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|12004
HOSP OP|0361 - OR/MINOR||37221|ILIAC REVAS UNI INTL STENT|29404|15584.12|22053|23523.2|24993.4|26463.6|24993.4|23758.43|21170.88|19900.63|0|29404|10335|18914.77|6686.86|24067.17|9818|9560|18441.6|17693.81342|22053|22964.52|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|18012.30206|17693.81342|11480.65909|0|0|10830.06|9403.4|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|29404
HOSP OP|0361 - OR/MINOR||37222|ILIAC REVAS EA ADDL W PTA|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|6710|0|3543.04|8118.7|6374|6206|0|17693.81342|7439.25|7746.74|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|5281.42|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37223|ILIAC REVAS EA ADDL W STENT|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|6710|0|3543.04|8118.7|6374|6206|0|9886.02122|7439.25|7746.74|0|0|0|0|0|0|0|0|0|10063.9696|9886.02122|6414.560652|0|0|0|5281.42|0|0|0|0|0|0|0|0|10063.9696
HOSP OP|0361 - OR/MINOR||37224|FEM/POP REVAS W PTA|19266|10210.98|14449.5|15412.8|16376.1|17339.4|16376.1|15566.93|13871.52|13039.23|0|19266|6710|9152.23|3543.04|15769.22|6374|6206|8923.28|9886.02122|14449.5|15046.75|5474.5|5952.86|5474.5|11908.24|12151.26|3954.89|5325.68|4018.04|12151.26|10063.9696|9886.02122|6414.560652|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|19266
HOSP OP|0361 - OR/MINOR||37225|FEM/POPL REVAS W/ATHER|33950|17993.5|25462.5|27160|28857.5|30555|28857.5|27431.6|24444|22977.36|0|33950|18604.6|18914.77|9550.14|27788.08|17654|17212.65|18441.6|9886.02122|25462.5|26514.95|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|10063.9696|9886.02122|6414.560652|0|0|10830.06|10857.21|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|33950
HOSP OP|0361 - OR/MINOR||37226|FEM/POP REVAS W STENT|29142|15445.26|21856.5|23313.6|24770.7|26227.8|24770.7|23546.74|20982.24|19723.31|0|29142|10335|18914.77|6686.86|23852.73|9818|9560|18441.6|17693.81342|21856.5|22759.9|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|18012.30206|17693.81342|11480.65909|0|0|10830.06|9319.61|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|29142
HOSP OP|0361 - OR/MINOR||37227|FEM/POPL REVASC STNT & ATH*|38148|20218.44|28611|30518.4|32425.8|34333.2|32425.8|30823.58|27466.56|25818.57|0|38148|20905.1|30036.78|10731.03|31224.14|19836.96|19341.04|29285.38|17693.81342|28611|29793.59|17615.05|19154.23|17615.05|38148|38148|12725.46|17136.2|12928.68|38148|18012.30206|17693.81342|11480.65909|0|0|17198.21|12199.73|34131.86|30383.28|17615.05|32750.8|30783.59|17101.99|17613.1|0|38148
HOSP OP|0361 - OR/MINOR||37228|TIB/PERONEAL INTL W PTA|18322|9710.66|13741.5|14657.6|15573.7|16489.8|15573.7|14804.18|13191.84|12400.33|0|18322|6710|18322|3543.04|14996.56|6374|6206|18322|9886.02122|13741.5|14309.48|10949.73|11906.51|10949.73|18322|18322|7910.3|10652.07|8036.62|18322|10063.9696|9886.02122|6414.560652|0|0|10830.06|5281.42|18322|18322|10949.73|18322|18322|10630.81|10948.51|0|18322
HOSP OP|0361 - OR/MINOR||37229|TIB/PER REVASC W/ATHER|29295|15526.35|21971.25|23436|24900.75|26365.5|24900.75|23670.36|21092.4|19826.86|0|29295|10335|29295|6686.86|23977.96|9818|9560|29285.38|9886.02122|21971.25|22879.4|17615.05|19154.23|17615.05|29295|29295|12725.46|17136.2|12928.68|29295|10063.9696|9886.02122|6414.560652|0|0|17198.21|9368.54|29295|29295|17615.05|29295|29295|17101.99|17613.1|0|29295
HOSP OP|0361 - OR/MINOR||37230|TIB/PERONEAL INTL W STENT|29433|15599.49|22074.75|23546.4|25018.05|26489.7|25018.05|23781.86|21191.76|19920.25|0|29433|10335|29433|6686.86|24090.91|9818|9560|29285.38|17693.81342|22074.75|22987.17|17615.05|19154.23|17615.05|29433|29433|12725.46|17136.2|12928.68|29433|18012.30206|17693.81342|11480.65909|0|0|17198.21|9412.67|29433|29433|17615.05|29433|29433|17101.99|17613.1|0|29433
HOSP OP|0272 - STERILE SUPPLY|||Hb Disposable Bronchoscope - Ascope 3.0/2.2|896|474.88|0|716.8|0|806.4|0|723.97|645.12|606.41|0|896|584.19|0|328.12|733.38|554.62|540.29|0|0|0|699.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|397.02|0|0|0|0|0|0|0|0|896
HOSP OP|0361 - OR/MINOR||37231|Hb Tib/per Revasc Stent & Ath*|37400|19822|28050|29920|31790|33660|31790|30219.2|26928|25312.32|0|37400|20495.2|30036.78|10520.62|30611.9|19448|18961.8|29285.38|17693.81342|28050|29209.4|17615.05|19154.23|17615.05|37400|37400|12725.46|17136.2|12928.68|37400|18012.30206|17693.81342|11480.65909|0|0|17198.21|11960.52|34131.86|30383.28|17615.05|32750.8|30783.59|17101.99|17613.1|0|37400
HOSP OP|0361 - OR/MINOR||37232|TIB/PERONEAL EA ADDL PTA|9919|5257.07|7439.25|7935.2|8431.15|8927.1|0|8014.55|7141.68|6713.18|0|9919|6710|0|3543.04|8118.7|6374|6206|0|17693.81342|7439.25|7746.74|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|5281.42|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37233|TIB/PER REVASC W/ATHER ADD*|21700|11501|16275|17360|18445|19530|0|17533.6|15624|14686.56|0|21700|0|0|0|17761.45|0|0|0|17693.81342|16275|16947.7|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|0|0|0|0|0|0|0|0|0|21700
HOSP OP|0361 - OR/MINOR||37234|REVSC OPN/PRQ TIB/PERO STE*|7669|4064.57|5751.75|6135.2|6518.65|6902.1|0|6196.55|5521.68|5190.38|0|7669|6710|0|3543.04|6277.08|6374|6206|0|17693.81342|5751.75|5989.49|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|5281.42|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||37235|Hb Tib/per Revasc Stnt & Ather|4078|2161.34|3058.5|3262.4|3466.3|3670.2|0|3295.02|2936.16|2759.99|0|4078|4078|0|3543.04|3337.84|4078|4078|0|17693.81342|3058.5|3184.92|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|3996.44|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||49418|INSRT TUN INTRAPERITON CATH|5723|3033.19|4292.25|4578.4|4864.55|5150.7|4864.55|4624.18|4120.56|3873.33|0|5723|3532|5723|1996.08|4684.28|3356|3268|5621.38|1451.399884|4292.25|4469.66|3436.09|3736.33|3436.09|5723|5723|2482.3|3342.68|2521.94|5723|1477.525082|1451.399884|941.743132|0|0|3301.22|2445.1|5723|5723|3436.09|5723|5723|3336.01|3435.71|0|5723
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93451|Right heart cath|6341|3360.73|4755.75|5072.8|5389.85|5706.9|5389.85|5123.53|4565.52|4291.59|0|6341|5297|5497.78|2994.12|5190.11|5032|4899|5360.25|4996.624481|4755.75|4952.32|3149.44|3424.64|3149.44|6341|6341|2275.22|3063.83|2311.55|6341|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|6341
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93452|Left hrt cath w/ventrclgrphy|7492|3970.76|5619|5993.6|6368.2|6742.8|6368.2|6053.54|5394.24|5070.59|0|7492|5297|5497.78|2994.12|6132.2|5032|4899|5360.25|4996.624481|5619|5851.25|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|7492
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93454|Coronary artery angio s&i|6990|3704.7|5242.5|5592|5941.5|6291|5941.5|5647.92|5032.8|4730.83|0|6990|5297|5497.78|2994.12|5721.32|5032|4899|5360.25|4996.624481|5242.5|5459.19|3149.44|3424.64|3149.44|6850.72|6990|2275.22|3063.83|2311.55|6990|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|6990
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93455|Coronary art/grft angio s&i|7004|3712.12|5253|5603.2|5953.4|6303.6|5953.4|5659.23|5042.88|4740.31|0|7004|5297|5497.78|2994.12|5732.77|5032|4899|5360.25|4996.624481|5253|5470.12|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|7004
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93456|R hrt coronary artery angio|9175|4862.75|6881.25|7340|7798.75|8257.5|7798.75|7413.4|6606|6209.64|0|9175|5297|5497.78|2994.12|7509.74|5032|4899|5360.25|4996.624481|6881.25|7165.68|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|9175
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93457|R hrt art/grft angio|9689|5135.17|7266.75|7751.2|8235.65|8720.1|8235.65|7828.71|6976.08|6557.52|0|9689|5297|5497.78|2994.12|7930.45|5032|4899|5360.25|4996.624481|7266.75|7567.11|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|9689
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93458|L hrt artery/ventricle angio|8916|4725.48|6687|7132.8|7578.6|8024.4|7578.6|7204.13|6419.52|6034.35|0|8916|5297|5497.78|2994.12|7297.75|5032|4899|5360.25|4996.624481|6687|6963.4|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|8916
HOSP OP|0360 - OR SERVICES||49999|Hb Abdomen Surgery Procedure Unlisted|2108|1117.24|1581|1686.4|1791.8|1897.2|1791.8|1703.26|1517.76|1426.69|0|2108|2108|1489.77|965.1|1725.4|2108|2108|1452.5|5985.567943|1581|1646.35|868.51|944.4|868.51|1889.2|1927.76|627.43|844.9|637.45|1927.76|6093.308166|5985.567943|3883.745316|0|0|853|1515.96|1682.87|1498.05|868.51|1614.78|1517.78|843.21|868.42|0|6093.308166
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93459|L hrt art/grft angio|9752|5168.56|7314|7801.6|8289.2|8776.8|8289.2|7879.62|7021.44|6600.15|0|9752|5297|5497.78|2994.12|7982.01|5032|4899|5360.25|4996.624481|7314|7616.31|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|9752
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93460|R&l hrt art/ventricle angio|9529|5050.37|7146.75|7623.2|8099.65|8576.1|8099.65|7699.43|6860.88|6449.23|0|9529|5297|5497.78|2994.12|7799.49|5032|4899|5360.25|4996.624481|7146.75|7442.15|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|9529
HOSP OP|0320 - DX X-RAY||76496|Rs & I|895|474.35|671.25|716|760.75|805.5|760.75|723.16|644.4|605.74|0|895|694|121.88|313.38|732.56|660|642|118.83|142.5387446|671.25|699|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|583.1|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|895
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93461|R&l hrt art/ventricle angio|9333|4946.49|6999.75|7466.4|7933.05|8399.7|7933.05|7541.06|6719.76|6316.57|0|9333|5297|5497.78|2994.12|7639.06|5032|4899|5360.25|4996.624481|6999.75|7289.07|3149.44|3424.64|3149.44|6850.72|6990.53|2275.22|3063.83|2311.55|6990.53|5086.563722|4996.624481|3242.067772|0|0|3147.86|3667.65|6102.52|5432.3|3149.44|5855.6|5503.88|3057.71|3149.09|0|9333
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93462|L hrt cath trnsptl puncture|5792|3069.76|4344|4633.6|4923.2|5212.8|0|4679.94|4170.24|3920.03|0|5792|744|0|399.22|4740.75|707|688|0|4996.624481|4344|4523.55|0|0|0|0|0|0|0|0|0|5086.563722|4996.624481|3242.067772|0|0|0|489.02|0|0|0|0|0|0|0|0|5792
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93464|Exercise w/hemodynamic meas|300|159|225|240|255|270|0|242.4|216|203.04|0|300|300|0|300|245.55|300|300|0|0|225|234.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|294|0|0|0|0|0|0|0|0|300
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93654|ABLATION VT CRYO|40960|21708.8|30720|32768|34816|36864|34816|33095.68|29491.2|27721.73|0|40960|22446.08|37586.32|11522.05|33525.76|21299.2|20766.72|36646.06|11923.34833|30720|31989.76|22582.75|24556|22582.75|40960|40960|16314.22|21968.85|16574.75|40960|12137.9686|11923.34833|7736.4836|0|0|21520.84|13099.01|40960|38951.79|22582.75|40960|39465|21925|22580.24|0|40960
HOSP OP|0272 - STERILE SUPPLY||C1876|Hb Pv Stent Woven|4340|2300.2|3255|3472|3689|3906|0|3506.72|3124.8|2937.31|0|4340|2829.68|0|1589.31|3552.29|2686.46|2617.02|0|0|3255|3389.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1923.05|0|0|0|0|0|0|0|0|4340
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93567|Inject suprvlv aortography|418|221.54|313.5|334.4|355.3|376.2|0|337.74|300.96|282.9|0|418|418|0|399.22|342.13|418|418|0|0|313.5|326.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|409.64|0|0|0|0|0|0|0|0|418
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||97810|Hb Acupunct W/o Elec Stimul|127|67.31|95.25|101.6|107.95|114.3|107.95|102.62|91.44|85.95|0|127|82.8|111.93|46.51|103.95|78.61|76.58|109.13|97.63492043|95.25|99.19|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|99.392349|97.63492043|63.350574|0|0|0|56.27|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|127
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||97813|Hb Acupunct With Elec Stimul|133|70.49|99.75|106.4|113.05|119.7|113.05|107.46|95.76|90.01|0|133|86.72|122.76|48.7|108.86|82.33|80.2|119.69|97.63492043|99.75|103.87|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|99.392349|97.63492043|63.350574|0|0|0|58.93|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|133
HOSP OP|0352 - CT SCAN/BODY||74176|CT ABD/PELVIS W/O CONTRAST|1028|544.84|771|822.4|873.8|925.2|873.8|830.62|740.16|695.75|0|1028|1028|451.03|605.81|841.42|1028|1028|439.74|866.0023232|771|802.87|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|881.590365|866.0023232|561.90699|0|0|258.25|730.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1028
HOSP OP|0352 - CT SCAN/BODY||74177|CT ABD/PELVIS W CONTRAST|1358|719.74|1018.5|1086.4|1154.3|1222.2|1154.3|1097.26|977.76|919.09|0|1358|1158|754.87|605.81|1111.52|1101|1072|735.99|866.0023232|1018.5|1060.6|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|881.590365|866.0023232|561.90699|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1358
HOSP OP|0352 - CT SCAN/BODY||74178|CT ABD/PELVIS W&W/O|1305|691.65|978.75|1044|1109.25|1174.5|1109.25|1054.44|939.6|883.22|0|1305|1158|754.87|605.81|1068.14|1101|1072|735.99|866.0023232|978.75|1019.21|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|881.590365|866.0023232|561.90699|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1305
HOSP OP|0402 - ULTRASOUND||76882|Us extr non-vasc lmtd|487|258.11|365.25|389.6|413.95|438.3|413.95|393.5|350.64|329.6|0|487|317.52|220.09|178.34|398.61|301.45|293.66|214.59|262.0664862|365.25|380.35|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|215.79|240|213.64|123.86|230.29|216.45|120.25|123.85|0|487
HOSP OP|0310 - PATHOLOGY LAB||87635|Hb Covid-19 (hcmc)|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|70.07|102|51.09|86.76|66.57|64.77|102|51.3064833|79.5|82.79|52.85|57.47|52.85|50.28|51.31|45.65|51.41|51.31|51.31|52.23|51.3064833|52.23|0|0|42.4|50.59|51.31|51.31|52.85|51.31|92.36|51.31|52.85|0|106
HOSP OP|0761 - TREATMENT ROOM||27299|Hb Gluteal Muscle Cryoablation|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|376.86|323.68|211.66|473.09|357.78|348.53|315.59|5340.023975|433.5|451.42|231.2|0|231.2|499.39|518.97|248.94|231.2|252.99|518.97|5436.144407|5340.023975|3464.883082|0|0|0|256.11|0|0|231.2|0|289|231.2|231.2|0|5436.144407
HOSP OP|0331 - CHEMOTHERAPY/INJ||96420|Hb Chemotherapy Intra Arterial Push Technique|830|439.9|622.5|664|705.5|747|705.5|670.64|597.6|561.74|0|830|541.16|355.03|303.95|679.36|513.77|500.49|346.15|0|622.5|648.23|107.95|117.39|107.95|320.54|320.54|145.65|105.02|145.18|320.54|0|0|0|0|0|323|367.77|104.81|104.81|107.95|104.81|188.66|104.81|107.95|0|830
HOSP OP|0300 - LABORATORY||C9803|Hb Outpatient Specimen Collection For Coronavirus 2 (sars-cov-2) Coronavirus Disease Covid-19|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|23|32.48|23|47.47|23|23|31.67|22.97642436|43.5|45.3|25.41|27.63|25.41|22.93|23.4|24.98|23.03|23.4|23.4|23.39|22.97642436|23.39|0|0|23.2|23|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|58
HOSP OP|0306 - LAB/BACT-MICRO||U0003|Hb Sars-cov-2 By Rapid Pcr (high Throughput)|206|109.18|154.5|164.8|175.1|185.4|175.1|166.45|148.32|139.42|0|206|100|115.36|100|168.61|100|100|112.48|100|154.5|160.89|103|112|103|99.77|101.81|88.72|100.2|101.81|101.81|101.8|100|101.8|0|0|82.4|100|100|100|103|100|180|100|103|0|206
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen 11 Meconium|157.9|83.69|118.43|126.32|134.22|142.11|134.22|127.58|113.69|106.87|0|157.9|83.4|87.28|60.64|129.24|79.26|77.13|85.1|68.3497053|118.43|123.32|64|69.6|64|133.67|136.4|80.64|62.26|68.38|136.4|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|157.9
HOSP OP|0301 - LAB/CHEMISTRY||84182|Hb Agna-1 Immunoblot|105|55.65|78.75|84|89.25|94.5|89.25|84.84|75.6|71.06|0|105|37.49|39.43|27.26|85.94|35.63|34.67|38.44|51.31865619|78.75|82.01|30.09|32.72|30.09|60.05|61.28|32.75|29.27|30.72|61.28|52.242392|51.31865619|33.298192|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|105
HOSP OP|0302 - LAB/IMMUNOLOGY||86769|Hb Sars-cov-2 Total Antibody|87|46.11|65.25|69.6|73.95|78.3|73.95|70.3|62.64|58.88|0|87|57.51|48.72|41.93|71.21|54.64|53.16|47.5|37.42966208|65.25|67.95|43.39|47.19|43.39|75.17|78.12|37.47|42.21|38.08|78.12|38.103396|37.42966208|24.286296|0|0|34.8|41.53|42.13|42.13|43.39|42.13|75.83|42.13|43.39|0|87
HOSP OP|0360 - OR SERVICES||24999|Elbow Fracture Dislocation Reduction|3636|1927.08|2727|2908.8|3090.6|3272.4|3090.6|2937.89|2617.92|2460.84|0|3636|0|2036.16|0|2976.07|0|0|1985.26|1230.882677|2727|2839.72|1454.4|0|1454.4|3141.5|3264.69|1566.03|1454.4|1591.48|3264.69|1253.038565|1230.882677|798.66019|0|0|0|0|0|0|1454.4|0|1818|1454.4|1454.4|0|3636
HOSP OP|0761 - TREATMENT ROOM||20560|Hb Needle Insertion W/o Injection 1 Or 2 Muscles|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|40.42|50.55|22.7|50.75|38.38|37.39|49.28|97.63492043|46.5|48.42|24.8|0|24.8|62|62|26.7|24.8|35.68|62|99.392349|97.63492043|63.350574|0|0|24.8|27.47|0|0|24.8|0|31|24.8|24.8|0|99.392349
HOSP OP|0761 - TREATMENT ROOM||20561|Hb Needle Insertion W/o Injection 3 Or More Muscles|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|40.42|62|22.7|50.75|38.38|37.39|62|97.63492043|46.5|48.42|24.8|0|24.8|62|62|26.7|24.8|53.51|62|99.392349|97.63492043|63.350574|0|0|24.8|27.47|0|0|24.8|0|31|24.8|24.8|0|99.392349
HOSP OP|0278 - SUPPLY IMPLANTS||C1734|Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (implantable)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0361 - OR/MINOR||31600|Hb Tracheostomy Planned|7026|3723.78|5269.5|5620.8|5972.1|6323.4|5972.1|5677.01|5058.72|4755.2|0|7026|0|403.17|0|5750.78|0|0|393.09|4088.072401|5269.5|5487.31|307.35|334.21|307.35|802.03|818.4|422.77|299|410.27|818.4|4161.657704|4088.072401|2652.552304|0|0|0|0|298.4|298.4|307.35|298.4|537.12|298.4|307.35|0|7026
HOSP OP|0320 - DX X-RAY||33016|Hb Pericardiocentesis W/img Guidance When Performed|4375|2318.75|3281.25|3500|3718.75|3937.5|3718.75|3535|3150|2961|0|4375|694|294.86|313.38|3580.94|660|642|287.48|6974.805663|3281.25|3416.88|233.33|253.71|233.33|608.31|620.72|1884.31|226.98|311.17|620.72|7100.352165|6974.805663|4525.61379|0|0|1750|583.1|226.53|226.53|233.33|226.53|407.75|226.53|233.33|0|7100.352165
HOSP OP|0301 - LAB/CHEMISTRY||83883|Hb Multiple Sclerosis Profile|92.13|48.83|69.1|73.7|78.31|82.92|78.31|74.44|66.33|62.35|0|92.13|19.49|20.4|14.17|75.41|18.52|18.03|19.89|14.96070727|69.1|71.95|14.01|15.23|14.01|31|31.63|19.06|13.63|15.86|31.63|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|92.13
HOSP OP|0275 - PACEMAKER||C1722|Mmt Leadless Ppm-av|31500|16695|23625|25200|26775|28350|0|25452|22680|21319.2|0|31500|20538|0|11535.3|25782.75|19498.5|18994.5|0|0|23625|24601.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13957.65|0|0|0|0|0|0|0|0|31500
HOSP OP|0762 - OBSERVATION ROOM||G0378|Hb Pcc Endo|147|77.91|110.25|117.6|124.95|132.3|0|118.78|105.84|99.49|0|132.3|94.23|0|49.57|120.32|89.52|87.17|0|57.8978389|110.25|114.81|0|0|0|0|0|0|0|0|0|58.94|57.8978389|58.94|0|0|0|59.81|0|0|0|0|0|0|0|0|132.3
HOSP OP|0301 - LAB/CHEMISTRY||80352|Hb Synthetic Cannabinoids 7 Or More|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.3497053|0|0|0|0|0|0|0|0|0|0|0|23.77|23.3497053|23.77|0|0|0|0|0|0|0|0|0|0|0|0|23.77
HOSP OP|0310 - PATHOLOGY LAB||81301|Hb Microsatellite Instability Tumor|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|383.4184676|0|0|0|0|0|0|0|0|0|0|0|390.32|383.4184676|390.32|0|0|0|0|0|0|0|0|0|0|0|0|390.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86711|HB STRATIFY JCV ANTIBODY|59.21|31.38|44.41|47.37|50.33|53.29|50.33|47.84|42.63|40.07|0|59.21|21.79|22.8|15.84|48.46|20.71|20.15|22.23|18.57563851|44.41|46.24|17.4|18.92|17.4|34.87|35.58|20.04|16.92|17.84|35.58|18.91|18.57563851|18.91|0|0|0|11.63|16.89|16.89|17.4|16.89|30.4|16.89|17.4|0|59.21
HOSP OP|0450 - EMERGENCY ROOM||32100|Hb Thoracotomy With Exploration|4760|2522.8|3570|3808|4046|4284|4046|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|2598.96|0|3570|3717.56|798.28|868.03|798.28|2075.78|2118.14|1047.87|776.58|1061.86|2118.14|0|0|0|0|0|0|0|775.03|775.03|798.28|775.03|1395.05|775.03|798.28|0|4760
HOSP OP|0361 - OR/MINOR||11422|Hb Exc Skin Benign 1.1-2cm Remainder Body|3682|1951.46|2761.5|2945.6|3129.7|3313.8|3129.7|2975.06|2651.04|2491.98|0|3682|0|406.78|0|3013.72|0|0|396.61|2479.95052|2761.5|2875.64|139.61|151.8|139.61|477.53|487.28|239.49|135.81|244.28|487.28|2524.589629|2479.95052|1609.119854|0|0|0|0|135.54|135.54|139.61|135.54|243.97|135.54|139.61|0|3682
HOSP OP|0361 - OR/MINOR||41599|TONGUE CAUTERIZATION FOR BLEEDING CONTROL|546|289.38|409.5|436.8|464.1|491.4|464.1|441.17|393.12|369.53|0|546|0|305.76|0|446.9|0|0|298.12|770.6876228|409.5|426.43|218.4|0|218.4|471.74|490.24|235.16|218.4|238.98|490.24|784.56|770.6876228|784.56|0|0|0|0|0|0|218.4|0|273|218.4|218.4|0|784.56
HOSP OP|0306 - LAB/BACT-MICRO||87539|HIV-2 RNA QUANTITATION|348.7|184.81|261.53|278.96|296.4|313.83|296.4|281.75|251.06|236|0|348.7|75.62|79.14|54.99|285.41|71.87|69.93|77.16|64.47937132|261.53|272.33|60.38|65.65|60.38|121.08|123.55|65.98|58.74|61.94|123.55|65.64|64.47937132|65.64|0|0|0|40.4|58.62|58.62|60.38|58.62|105.52|58.62|60.38|0|348.7
HOSP OP|0302 - LAB/IMMUNOLOGY||86355|B CELLS; TOTAL COUNT|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.50294695|62.74|65.33|38.86|42.26|38.86|83.65|83.65|52.3|37.81|44.6|83.65|42.25|41.50294695|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|Hb Natural Killer (nk) Cells Total Count|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.50294695|62.74|65.33|38.86|42.26|38.86|83.65|83.65|52.3|37.81|44.6|83.65|42.25|41.50294695|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELLS; TOTAL COUNT|83.65|44.33|62.74|66.92|71.1|75.29|71.1|67.59|60.23|56.61|0|83.65|54.08|56.59|39.32|68.47|51.39|50.01|55.18|41.50294695|62.74|65.33|38.86|42.26|38.86|83.65|83.65|52.3|37.81|44.6|83.65|42.25|41.50294695|42.25|0|0|0|28.89|37.73|37.73|38.86|37.73|67.91|37.73|38.86|0|83.65
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|T CELLS; ABSOLUTE CD4 AND CD8 COUNT|102.75|54.46|77.06|82.2|87.34|92.48|87.34|83.02|73.98|69.54|0|102.75|67.34|70.47|48.96|84.1|64|62.27|68.71|51.67976424|77.06|80.25|48.39|52.62|48.39|102.75|102.75|65|47.07|55.5|102.75|52.61|51.67976424|52.61|0|0|0|35.98|46.98|46.98|48.39|46.98|84.56|46.98|48.39|0|102.75
HOSP OP|0275 - PACEMAKER||C1722|Hb Cardio-defibrillator Generator Only; Single Chamber (implantable)|55440|29383.2|41580|44352|47124|49896|0|44795.52|39916.8|37521.79|0|55440|36146.88|0|20302.13|45377.64|34317.36|33430.32|0|0|41580|43298.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24565.46|0|0|0|0|0|0|0|0|55440
HOSP OP|0761 - TREATMENT ROOM||32998|RF ABLATE PULM TUMOR(S) UNI|9125|4836.25|6843.75|7300|7756.25|8212.5|7756.25|7373|6570|6175.8|0|9125|5949.5|8990.5|3341.58|7468.81|5648.38|5502.38|8765.59|11538.98807|6843.75|7126.63|5341.67|5808.42|5341.67|9125|9125|3858.93|5196.46|3920.55|9125|11746.68986|11538.98807|7487.090834|0|0|5147.7|4043.29|9125|9125|5341.67|9125|9125|5186.09|5341.07|0|11746.68986
HOSP OP|0301 - LAB/CHEMISTRY||84112|Hb Amnisure; Eval Of Cervicovaginal Fluid Nmr Only|214|113.42|160.5|171.2|181.9|192.6|181.9|172.91|154.08|144.84|0|214|126.56|132.45|92.03|175.16|120.28|117.05|129.14|107.9174853|160.5|167.13|101.05|109.88|101.05|203.41|207.56|109.97|98.31|104.06|207.56|109.86|107.9174853|109.86|0|0|0|67.61|98.11|98.11|101.05|98.11|176.6|98.11|101.05|0|214
HOSP OP|0306 - LAB/BACT-MICRO||87900|HIV GENOTYPE / PHENOTYPE|180|95.4|135|144|153|162|153|145.44|129.6|121.82|0|180|180|180|135.85|147.33|177.56|172.78|180|143.388998|135|140.58|134.26|145.99|134.26|180|180|180|130.61|153.61|180|145.97|143.388998|145.97|0|0|0|99.82|130.35|130.35|134.26|130.35|180|130.35|134.26|0|180
HOSP OP|0305 - LAB/HEMATOLOGY||85397|VON WILLEBRAND FACTOR ACTIVITY|102.16|54.14|76.62|81.73|86.84|91.94|86.84|82.55|73.56|69.14|0|102.16|39.81|41.66|28.95|83.62|37.83|36.82|40.62|33.94891945|76.62|79.79|31.79|34.56|31.79|63.93|65.23|34.7|30.92|32.7|65.23|34.56|33.94891945|34.56|0|0|0|21.26|30.86|30.86|31.79|30.86|55.55|30.86|31.79|0|102.16
HOSP OP|0361 - OR/MINOR||36410|Hb Venipunc Need Phys Skill 3 Yo Or >|22|11.66|16.5|17.6|18.7|19.8|0|17.78|15.84|14.89|0|22|0|0|0|18.01|0|0|0|21.59856287|16.5|17.18|0|0|0|0|0|0|0|0|0|21.987337|21.59856287|14.014262|0|0|0|0|0|0|0|0|0|0|0|0|22
HOSP OP|0352 - CT SCAN/BODY||75573|Hb Ct Heart W/3d Image Congenital|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|489|394.64|489|400.25|489|489|384.77|798.4994578|366.75|381.91|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|812.872448|798.4994578|518.107648|0|0|225.96|479.22|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|812.872448
HOSP OP|0302 - LAB/IMMUNOLOGY||86593|Hb Syphilis Titer Csf|16.6|8.8|12.45|13.28|14.11|14.94|14.11|13.41|11.95|11.23|0|16.6|6.31|6.6|4.59|13.59|6|5.83|6.44|4.842829077|12.45|12.96|4.53|4.93|4.53|9.68|9.88|5.86|4.41|4.96|9.88|4.93|4.842829077|4.93|0|0|5.47|3.37|4.4|4.4|4.53|4.4|7.92|4.4|4.53|0|16.6
HOSP OP|0720 - LABOR ROOM/DELIVERY|||Hb Vaginal Delivery Multiple|6685|3543.05|0|5348|0|6016.5|0|5401.48|4813.2|4524.41|0|6685|4358.62|0|2448.05|5471.67|4138.02|4031.06|0|0|0|5220.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2962.12|0|0|0|0|0|0|0|0|6685
HOSP OP|0360 - OR SERVICES|||Hb C-section Delivery Multiple|14968|7933.04|0|11974.4|0|13471.2|0|12094.14|10776.96|10130.34|0|14968|0|0|0|12251.31|0|0|0|0|0|11690.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14968
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Masson's Trichrome Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|89.8665|78.31|81.54|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Jones' Methenamine Silver Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|89.8665|78.31|81.54|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88346|Hb If Initial Single Antibody|115|60.95|86.25|92|97.75|103.5|97.75|92.92|82.8|77.83|0|115|112.11|115|81.52|94.13|106.55|103.68|115|89.8665|86.25|89.82|115|340.56|115|115|115|115|115|115|115|91.484097|89.8665|58.310022|0|0|83.8|59.9|115|115|313.19|115|115|304.07|115|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88350|Hb If Study Each Add'l Antibody Stain|115|60.95|86.25|92|97.75|103.5|0|92.92|82.8|77.83|0|115|95.88|0|69.71|94.13|91.12|88.67|0|89.8665|86.25|89.82|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|51.22|0|0|0|0|0|0|0|0|115
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33218|Hb Pr Rpr 1 Transvns Eltrd Prm Pm/pacing Inplntble Dfb|6755|3580.15|5066.25|5404|5741.75|6079.5|5741.75|5458.04|4863.6|4571.78|0|6755|3532|6124.01|1996.08|5528.97|3356|3268|5970.81|6483.688477|5066.25|5275.66|3297.59|3585.73|3297.59|6755|6755|2382.24|3207.95|2420.29|6755|6600.39487|6483.688477|4206.95162|0|0|3506.44|2445.1|6389.58|5687.84|3297.59|6131.04|5762.78|3201.54|3297.22|0|6755
HOSP OP|0450 - EMERGENCY ROOM||37195|Hb Thrombolytic Therapy Stroke|785|416.05|588.75|628|667.25|706.5|667.25|634.28|565.2|531.29|0|785|0|439.6|0|642.52|0|0|428.61|665.8251473|588.75|613.09|314|0|314|320.54|320.54|531.76|314|540.1|320.54|677.81|665.8251473|677.81|0|0|0|0|0|0|314|0|392.5|314|314|0|785
HOSP OP|0450 - EMERGENCY ROOM||51798|Hb Meas Post-void Res Usnon-ima*|180|95.4|135|144|153|162|153|145.44|129.6|121.82|0|180|0|43.33|0|147.33|0|0|42.24|311.6195923|135|140.58|10.67|11.6|10.67|33.9|34.59|21.5|10.38|17.34|34.59|317.228745|311.6195923|202.19487|0|0|0|0|10.36|10.36|10.67|10.36|18.65|10.36|10.67|0|317.228745
HOSP OP|0360 - OR SERVICES|||Hb Vaginal & C-section Delivery Multiple|11377|6029.81|0|9101.6|0|10239.3|0|9192.62|8191.44|7699.95|0|11377|0|0|0|9312.07|0|0|0|0|0|8885.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11377
HOSP OP|0278 - SUPPLY IMPLANTS|||Hb Left Atr App Closure Device|47600|25228|35700|38080|40460|42840|0|38460.8|34272|32215.68|0|47600|31035.2|0|17431.12|38960.6|29464.4|28702.8|0|0|35700|37175.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21091.56|0|0|0|0|0|0|0|0|47600
HOSP OP|0278 - SUPPLY IMPLANTS|||Hb Left Atr App Closure Device Delivery System|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|Hb Pfo Closure Device|27986|14832.58|20989.5|22388.8|23788.1|25187.4|0|22612.69|20149.92|18940.92|0|27986|18246.87|0|10248.47|22906.54|17323.33|16875.56|0|0|20989.5|21857.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12400.6|0|0|0|0|0|0|0|0|27986
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33992|Hb Remove Perc Vad Sep From Insertion|1806|957.18|1354.5|1444.8|1535.1|1625.4|1535.1|1459.25|1300.32|1222.3|0|1806|0|0|0|1478.21|0|0|986.08|0|1354.5|1410.49|195.79|212.9|195.79|510.47|520.89|258.55|190.47|261.13|520.89|0|0|0|0|0|0|0|190.09|190.09|195.79|190.09|342.16|190.09|195.79|0|1806
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33993|Hb Repos Perc Vad W/imag Guidance|1806|957.18|1354.5|1444.8|1535.1|1625.4|1535.1|1459.25|1300.32|1222.3|0|1806|0|0|0|1478.21|0|0|986.08|0|1354.5|1410.49|172.07|187.11|172.07|450.42|459.61|226.29|167.39|230.41|459.61|0|0|0|0|0|0|0|167.06|167.06|172.07|167.06|300.71|167.06|172.07|0|1806
HOSP OP|0761 - TREATMENT ROOM||64417|Hb Injection Nerve Block Axillary|2178|1154.34|1633.5|1742.4|1851.3|1960.2|1851.3|1759.82|1568.16|1474.07|0|2178|1420.06|1496.19|797.58|1782.69|1348.18|1313.33|1458.76|1317.512335|1633.5|1701.02|897.39|975.8|897.39|1952.01|1991.85|648.29|872.99|658.64|1991.85|1341.227557|1317.512335|854.869982|0|0|856.68|965.07|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|2178
HOSP OP|0761 - TREATMENT ROOM||64445|Hb Inject Nerv Blck Sciatic Nerv|1299|688.47|974.25|1039.2|1104.15|1169.1|1104.15|1049.59|935.28|879.16|0|1299|846.95|290.04|475.69|1063.23|804.08|783.3|282.79|1317.512335|974.25|1014.52|55.67|60.54|55.67|369.05|376.58|187.68|54.16|188.79|376.58|1341.227557|1317.512335|854.869982|0|0|0|575.59|54.05|54.05|55.67|54.05|97.29|54.05|55.67|0|1341.227557
HOSP OP|0361 - OR/MINOR||37249|Hb Ir Pta Non Dial Venous Addl|495|262.35|371.25|396|420.75|445.5|0|399.96|356.4|335.02|0|495|495|0|399.22|405.16|495|495|0|17693.81342|371.25|386.6|0|0|0|0|0|0|0|0|0|18012.30206|17693.81342|11480.65909|0|0|0|485.1|0|0|0|0|0|0|0|0|18012.30206
HOSP OP|0361 - OR/MINOR||32999|Hb Pleural Catheter Check|659|349.27|494.25|527.2|560.15|593.1|560.15|532.47|474.48|446.01|0|659|659|659|598.82|539.39|659|659|659|970.169779|494.25|514.68|659|757.65|659|659|659|503.36|659|511.4|659|987.632835|970.169779|629.49621|0|0|659|645.82|659|659|696.77|659|659|676.47|659|0|987.632835
HOSP OP|0761 - TREATMENT ROOM||62267|Hb Asp Intervertebral Disc Pe*|1371|726.63|1028.25|1096.8|1165.35|1233.9|1165.35|1107.77|987.12|927.89|0|1371|893.89|522.32|502.06|1122.16|848.65|826.71|509.26|1587.700352|1028.25|1070.75|162.87|177.11|162.87|698.39|712.64|339.19|158.45|357.26|712.64|1616.278958|1587.700352|1030.181908|0|0|0|607.49|158.13|158.13|162.87|158.13|284.63|158.13|162.87|0|1616.278958
HOSP OP|0361 - OR/MINOR||48102|Hb Needle Biopsy Pancreas|3362|1781.86|2521.5|2689.6|2857.7|3025.8|2857.7|2716.5|2420.64|2275.4|0|3362|2594|2690.79|965.1|2751.8|2464|2399|2623.47|970.169779|2521.5|2625.72|1516.84|1649.38|1516.84|3299.46|3362|1095.8|1475.61|1113.3|3362|987.632835|970.169779|629.49621|0|0|1540.67|1515.96|2939.11|2616.32|1516.84|2820.19|2650.79|1472.66|1516.67|0|3362
HOSP OP|0361 - OR/MINOR||10035|Hb Perc Sft Tiss Loc Device Plmt W/gdnce|1423|754.19|1067.25|1138.4|1209.55|1280.7|1209.55|1149.78|1024.56|963.09|0|1423|1423|1133.32|598.82|1164.73|1423|1423|1104.96|805.2673998|1067.25|1111.36|674.11|733.02|674.11|1423|1423|486.99|655.79|494.77|1423|819.762213|805.2673998|522.499038|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1423
HOSP OP|0361 - OR/MINOR||42400|Hb Needle Biopsy Salivary Gland|1584|839.52|1188|1267.2|1346.4|1425.6|1346.4|1279.87|1140.48|1072.05|0|1584|1584|1133.32|598.82|1296.5|1584|1584|1104.96|1232.41282|1188|1237.1|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|1254.596251|1232.41282|799.653026|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1584
HOSP OP|0361 - OR/MINOR||60300|Hb Asp/inj Thyroid Cyst|1466|776.98|1099.5|1172.8|1246.1|1319.4|1246.1|1184.53|1055.52|992.19|0|1466|1466|1133.32|598.82|1199.92|1466|1466|1104.96|1232.41282|1099.5|1144.95|674.11|733.02|674.11|1466|1466|486.99|655.79|494.77|1466|1254.596251|1232.41282|799.653026|0|0|648.9|733.53|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1466
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33340|Hb Clsr Tcat L Atr Apndge W/endocardial Implnt|8148|4318.44|6111|6518.4|6925.8|7333.2|6925.8|6583.58|5866.56|5514.57|0|8148|0|0|0|6669.14|0|0|4448.81|0|6111|6363.59|781.35|849.62|781.35|2036.07|2077.62|1035.17|760.11|1041.54|2077.62|0|0|0|0|0|0|0|758.59|758.59|781.35|758.59|1365.46|758.59|781.35|0|8148
HOSP OP|0450 - EMERGENCY ROOM||11976|REMOVAL IMPLNTABLE CONTRACEPTIVE CAPSULES|492|260.76|369|393.6|418.2|442.8|418.2|397.54|354.24|332.99|0|492|0|280.42|0|402.7|0|0|273.4|2479.95052|369|384.25|95.09|103.4|95.09|387.45|395.36|195.01|92.5|198.2|395.36|2524.589629|2479.95052|1609.119854|0|0|0|0|92.32|92.32|95.09|92.32|166.18|92.32|95.09|0|2524.589629
HOSP OP|0301 - LAB/CHEMISTRY||82610|CYSTATIN-C|65.66|34.8|49.25|52.53|55.81|59.09|55.81|53.05|47.28|44.44|0|65.66|23.89|25|17.37|53.74|22.71|22.09|24.38|20.37328094|49.25|51.28|19.08|20.74|19.08|38.75|39.54|20.53|18.56|19.82|39.54|20.74|20.37328094|20.74|0|0|0|12.76|18.52|18.52|19.08|18.52|33.34|18.52|19.08|0|65.66
HOSP OP|0340 - NUCLEAR MEDICINE||78601|NM BRAIN <4 VIEWS W VF|1175|622.75|881.25|940|998.75|1057.5|998.75|949.4|846|795.24|0|1175|1175|665.54|747.53|961.74|1175|1175|648.89|757.1267338|881.25|917.68|205.31|223.25|205.31|607.34|619.73|308.4|199.73|310.68|619.73|770.755015|757.1267338|491.26289|0|0|395.93|1151.5|199.33|199.33|205.31|199.33|358.79|199.33|205.31|0|1175
HOSP OP|0340 - NUCLEAR MEDICINE||78700|NM KIDNEY IMAG MORPHOLOGY|987|523.11|740.25|789.6|838.95|888.3|838.95|797.5|710.64|668|0|987|987|517.51|747.53|807.86|987|987|504.56|757.1267338|740.25|770.85|159.9|173.87|159.9|478.5|488.27|247.79|155.55|244.78|488.27|770.755015|757.1267338|491.26289|0|0|395.93|967.26|155.24|155.24|159.9|155.24|279.43|155.24|159.9|0|987
HOSP OP|0340 - NUCLEAR MEDICINE||78701|NM KIDNEY W/ VASC FLOW|832|440.96|624|665.6|707.2|748.8|707.2|672.26|599.04|563.1|0|832|832|670.35|747.53|680.99|832|832|653.58|757.1267338|624|649.79|208.32|226.52|208.32|608.31|620.72|308.89|202.65|311.17|620.72|770.755015|757.1267338|491.26289|0|0|395.93|815.36|202.25|202.25|208.32|202.25|364.05|202.25|208.32|0|832
HOSP OP|0340 - NUCLEAR MEDICINE||78709|NM KIDNEY W VF MULT STUDIES|1142|605.26|856.5|913.6|970.7|1027.8|970.7|922.74|822.24|772.91|0|1142|1142|1042.23|747.53|934.73|1142|1142|1016.16|757.1267338|856.5|891.9|321.17|349.24|321.17|1029.66|1050.67|526.38|312.44|526.72|1050.67|770.755015|757.1267338|491.26289|0|0|510.22|1119.16|311.82|311.82|321.17|311.82|561.28|311.82|321.17|0|1142
HOSP OP|0740 - EEG||95812|EEG 41-60 MINS|636|337.08|477|508.8|540.6|572.4|540.6|513.89|457.92|430.44|0|636|414.67|493.57|232.9|520.57|393.68|383.51|481.23|1014.543938|477|496.72|279.7|304.14|279.7|608.4|620.82|202.06|272.09|205.29|620.82|1032.805729|1014.543938|658.288454|0|0|282.6|281.81|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|1032.805729
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9503|MEDRONATE DX PSD UT 30 MCI|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|135|0|135|110.5|135|135|0|0.47151277|101.25|105.44|0|0|0|0|0|0|0|0|0|0.48|0.47151277|0.48|0|0|0|132.3|0|0|0|0|0|0|0|0|135
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9567|PENTETAT DX AER PSDUT 75MCI|518|274.54|388.5|414.4|440.3|466.2|0|418.54|372.96|350.58|0|518|518|0|518|423.98|518|518|0|38.94891945|388.5|404.56|0|0|0|0|0|0|0|0|0|39.65|38.94891945|39.65|0|0|0|507.64|0|0|0|0|0|0|0|0|518
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9569|EXAMETAZIME LABEL WB DX PSD|5325|2822.25|3993.75|4260|4526.25|4792.5|0|4302.6|3834|3603.96|0|5325|1459|0|747.53|4358.51|1386|1349|0|1137.996071|3993.75|4158.83|0|0|0|0|0|0|0|0|0|1158.48|1137.996071|1158.48|0|0|0|1222.55|0|0|0|0|0|0|0|0|5325
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9570|IN-111 WB DX PERS|8632|4574.96|6474|6905.6|7337.2|7768.8|0|6974.66|6215.04|5842.14|0|8632|1459|0|747.53|7065.29|1386|1349|0|1612.1611|6474|6741.59|0|0|0|0|0|0|0|0|0|1641.18|1612.1611|1641.18|0|0|0|1222.55|0|0|0|0|0|0|0|0|8632
HOSP OP|0320 - DX X-RAY||74230|XR VIDEO SWALLOW & ESOPHAG|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|220.09|313.38|347.86|425|425|214.59|433.0305874|318.75|331.93|201.37|218.96|201.37|425|425|145.47|195.89|147.8|425|440.825138|433.0305874|280.972588|0|0|126.02|416.5|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|440.825138
HOSP OP|0618 - MRA/OTHER||73225|MRA UPPER EXT W&WO|1939|1027.67|1454.25|1551.2|1648.15|1745.1|1648.15|1566.71|1396.08|1312.32|0|1939|1868|0|979.08|1587.07|1775|1728|0|989.1788684|1454.25|1514.36|325.05|353.45|325.05|1062.58|1084.27|566.46|316.21|543.56|1084.27|1006.984088|989.1788684|641.830288|0|0|0|1178.54|315.58|315.58|325.05|315.58|568.04|315.58|325.05|0|1939
HOSP OP|0309 - LAB/OTHER||36416|Hb Capillary Collection|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|3.75|0|2.73|22.92|3.57|3.47|0|2.996070727|21|21.87|0|0|0|0|0|0|0|0|0|3.05|2.996070727|3.05|0|0|0|2|0|0|0|0|0|0|0|0|28
HOSP OP|0360 - OR SERVICES||26080|Hb Arthrotomy With Exploration Drainage Or Removal Of Foreign Body Of Hand Joint|3636|1927.08|2727|2908.8|3090.6|3272.4|3090.6|2937.89|2617.92|2460.84|0|3636|0|815.97|0|2976.07|0|0|795.57|3657.219325|2727|2839.72|404.23|439.56|404.23|1046.12|1067.47|525.89|393.24|535.14|1067.47|3723.049273|3657.219325|2372.992598|0|0|0|0|392.46|392.46|404.23|392.46|706.43|392.46|404.23|0|3723.049273
HOSP OP|0450 - EMERGENCY ROOM||45900|Hb Anorectal Exam Surgical Requiring Anesthesia|1108|587.24|831|886.4|941.8|997.2|941.8|895.26|797.76|749.89|0|1108|0|341.79|0|906.9|0|0|333.25|4360.261374|831|865.35|211.87|230.38|211.87|532.75|543.62|277.12|206.11|272.53|543.62|4438.746079|4360.261374|2829.162554|0|0|0|0|205.7|205.7|211.87|205.7|370.26|205.7|211.87|0|4438.746079
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH THROMBECTOMY|14056|7449.68|10542|11244.8|11947.6|12650.4|0|11357.25|10120.32|9513.1|0|14056|9164.51|0|5147.31|11504.84|8700.66|8475.77|0|0|10542|10977.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6228.21|0|0|0|0|0|0|0|0|14056
HOSP OP|0305 - LAB/HEMATOLOGY||85520|HEPARIN ASSAY/Xa (UNFRACTIONATED)|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|18.77|19.64|13.65|78.58|17.84|17.36|19.15|14.40078585|72|74.98|13.48|14.66|13.48|30.03|30.64|18.08|13.12|15.36|30.64|14.66|14.40078585|14.66|0|0|0|10.02|13.09|13.09|13.48|13.09|23.56|13.09|13.48|0|96
HOSP OP|0302 - LAB/IMMUNOLOGY||86152|Hb Cell Enumeration & Id|634.2|336.13|475.65|507.36|539.07|570.78|539.07|512.43|456.62|429.23|0|634.2|352.17|368.55|256.07|519.09|334.7|325.69|359.34|275.8644401|475.65|495.31|258.3|280.87|258.3|565.69|577.23|340.17|251.28|289.37|577.23|280.83|275.8644401|280.83|0|0|0|188.15|250.78|250.78|258.3|250.78|451.4|250.78|258.3|0|634.2
HOSP OP|0301 - LAB/CHEMISTRY||83605|POCT Lactic Acid|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|15.31|16.02|11.13|67.12|14.55|14.16|15.62|11.57170923|61.5|64.04|11.92|12.96|11.92|24.22|24.71|14.66|11.59|12.39|24.71|11.78|11.57170923|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|82
HOSP OP|0305 - LAB/HEMATOLOGY||85014|POCT Hematocrit|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.367387033|14.25|14.84|2.44|2.65|2.44|5.81|5.93|3.42|2.37|2.97|5.93|2.41|2.367387033|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0310 - PATHOLOGY LAB||88313|Hb Periodic Acid-schiff (pas) Stain|104.41|55.34|78.31|83.53|88.75|93.97|88.75|84.36|75.18|70.66|0|104.41|104.41|62.84|82.75|85.46|104.41|104.41|61.27|89.8665|78.31|81.54|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|104.41
HOSP OP|0310 - PATHOLOGY LAB||88348|Hb Renal Bx Electron Microscopy|559.84|296.72|419.88|447.87|475.86|503.86|475.86|452.35|403.08|378.9|0|559.84|559.84|559.84|425.69|458.23|556.4|541.42|559.84|130.2975972|419.88|437.24|559.84|754.88|559.84|559.84|559.84|501.51|559.84|509.52|559.84|132.642954|130.2975972|84.543804|0|0|83.8|312.78|559.84|559.84|694.22|559.84|559.84|674|559.84|0|754.88
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Activity|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|210|210|0|117.6|0|171.89|0|0|114.66|69.5481336|157.5|164.01|84|0|84|181.44|188.55|90.45|84|91.92|188.55|70.8|69.5481336|70.8|0|0|210|0|0|0|84|0|105|84|84|0|210
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Group Psychotherapy|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|210|210|0|117.6|0|171.89|0|0|114.66|69.5481336|157.5|164.01|84|0|84|181.44|188.55|90.45|84|91.92|188.55|70.8|69.5481336|70.8|0|0|210|0|0|0|84|0|105|84|84|0|210
HOSP OP|0912 - PSYCH/PARTIAL HOSP||H0035|Hb Php Therapy|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|210|210|0|117.6|0|171.89|0|0|114.66|69.5481336|157.5|164.01|84|0|84|181.44|188.55|90.45|84|91.92|188.55|70.8|69.5481336|70.8|0|0|210|93.05|0|0|84|0|105|84|84|0|210
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|IMMUNOFIXATION CRYOGLOBULIN|55.34|29.33|41.51|44.27|47.04|49.81|47.04|44.71|39.84|37.45|0|55.34|37.49|33.52|27.26|45.3|35.63|34.67|32.68|51.31865619|41.51|43.22|23.01|25.02|23.01|51.34|52.39|30.79|22.38|26.26|52.39|52.242392|51.31865619|33.298192|0|0|0|20.02|22.34|22.34|23.01|22.34|40.21|22.34|23.01|0|55.34
HOSP OP|0390 - BLOOD/STOR-PROC||86920|MBC IMMEDIATE SPIN COMPATIBILITY|99|52.47|74.25|79.2|84.15|89.1|84.15|79.99|71.28|67|0|99|64.55|99|36.25|81.03|61.28|59.7|99|18.9194499|74.25|77.32|99|172.44|99|99|99|99|99|99|99|19.26|18.9194499|19.26|0|0|21.19|43.87|99|99|158.58|99|99|153.96|99|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||86921|MBC INCUBATION TECHNIQUE|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|58.68|90|32.96|73.67|55.71|54.27|90|11.06090373|67.5|70.29|90|172.44|90|90|90|90|90|90|90|11.26|11.06090373|11.26|0|0|12.38|39.88|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||86922|MBC ANTIGLOBULIN TECHNIQUE|99|52.47|74.25|79.2|84.15|89.1|84.15|79.99|71.28|67|0|99|64.55|99|36.25|81.03|61.28|59.7|99|18.44793713|74.25|77.32|99|172.44|99|99|99|99|99|99|99|18.78|18.44793713|18.78|0|0|20.66|43.87|99|99|158.58|99|99|153.96|99|0|172.44
HOSP OP|0300 - LABORATORY||81479|Hb Unlisted Molecular Pathology|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|183.4406552|0|0|0|0|0|0|0|0|0|0|0|186.742587|183.4406552|119.025762|0|0|0|0|0|0|0|0|0|0|0|0|186.742587
HOSP OP|0361 - OR/MINOR||32554|THOROCENTESIS W/O IMAGE GUIDE|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|1042|1042|598.82|852.88|1042|1042|1042|970.169779|781.5|813.8|696.77|757.65|696.77|1042|1042|503.36|677.83|511.4|1042|987.632835|970.169779|629.49621|0|0|694.45|733.53|1042|1042|696.77|1042|1042|676.47|696.69|0|1042
HOSP OP|0361 - OR/MINOR||32555|Hb Thorocentesis W Image Guide|1124|595.72|843|899.2|955.4|1011.6|955.4|908.19|809.28|760.72|0|1124|1124|1124|598.82|919.99|1124|1124|1124|970.169779|843|877.84|696.77|757.65|696.77|1124|1124|503.36|677.83|511.4|1124|987.632835|970.169779|629.49621|0|0|694.45|733.53|1124|1124|696.77|1124|1124|676.47|696.69|0|1124
HOSP OP|0361 - OR/MINOR||36227|Hb Selective Cath Uni External Carotid Inc Angio Of Ips External Circ|6084|3224.52|4563|4867.2|5171.4|5475.6|0|4915.87|4380.48|4117.65|0|6084|0|0|0|4979.75|0|0|0|8807.328962|4563|4751.6|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|0|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0361 - OR/MINOR||37197|RETRIEVAL INTRAVASC FB W IMAGE GUIDE|5403|2863.59|4052.25|4322.4|4592.55|4862.7|4592.55|4365.62|3890.16|3656.75|0|5403|0|4496.28|0|4422.36|0|0|4383.82|9886.02122|4052.25|4219.74|304.18|330.76|304.18|4185.46|4270.88|2000.44|295.91|2141.06|4270.88|10063.9696|9886.02122|6414.560652|0|0|0|0|295.32|295.32|304.18|295.32|531.58|295.32|304.18|0|10063.9696
HOSP OP|0360 - OR SERVICES||95940|INTRA-OPERATIVE NEURO TEST PER 15 MIN*|96|50.88|72|76.8|81.6|86.4|0|77.57|69.12|64.97|0|96|0|0|0|78.58|0|0|0|0|72|74.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|96
HOSP OP|0922 - EMG||95913|NCV 13 or more studies|518|274.54|388.5|414.4|440.3|466.2|440.3|418.54|372.96|350.58|0|518|337.74|383.92|189.69|423.98|320.64|312.35|374.31|694.5674086|388.5|404.56|120.27|130.78|120.27|518|518|418.37|117|422.17|518|707.069622|694.5674086|450.671172|0|0|509.93|229.53|116.77|116.77|120.27|116.77|210.19|116.77|120.27|0|707.069622
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90791|Hb Psychiatric Diagnostic Evaluation Brief|381|201.93|285.75|304.8|323.85|342.9|323.85|307.85|274.32|257.86|0|381|248.41|249.52|139.52|311.85|235.84|229.74|243.27|522.3674224|285.75|297.56|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|531.770036|522.3674224|338.938936|0|0|142.87|168.82|125.39|125.39|145.16|125.39|253.69|140.94|145.15|0|531.770036
HOSP OP|0918 - PSYCH - TESTING||90792|Psychiatric diagnostic evaluation with medical services|301|159.53|225.75|240.8|255.85|270.9|255.85|243.21|216.72|203.72|0|301|196.25|249.52|110.23|246.37|186.32|181.5|243.27|522.3674224|225.75|235.08|145.16|157.85|145.16|301|301|104.87|141.22|106.55|301|531.770036|522.3674224|338.938936|0|0|142.87|133.37|140.62|140.62|145.16|140.62|253.69|140.94|145.15|0|531.770036
HOSP OP|0918 - PSYCH - TESTING||90839|Psychotherapy for crisis first 60 minutes|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|275.8|249.52|154.9|346.23|261.84|255.07|243.27|282.7822741|317.25|330.36|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|287.872355|282.7822741|183.48373|0|0|142.87|187.43|130.81|130.81|145.16|130.81|253.69|140.94|145.15|0|423
HOSP OP|0361 - OR/MINOR||32557|Hb Pleural Drainage Percutaneousindwelling Cath W Imaging|1248|661.44|936|998.4|1060.8|1123.2|1060.8|1008.38|898.56|844.65|0|1248|1248|1248|598.82|1021.49|1248|1248|1248|970.169779|936|974.69|1248|1960.04|1248|1248|1248|1248|1248|1248|1248|987.632835|970.169779|629.49621|0|0|1224.95|733.53|1248|1248|1802.54|1248|1248|1750.04|1248|0|1960.04
HOSP OP|0361 - OR/MINOR||36221|Hb Non Selective Cath Thoracic|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|3532|5167.4|1996.08|4406.8|3356|3268|5038.14|8807.328962|4038|4204.9|3062.51|3330.1|3062.51|5384|5384|2212.41|2979.25|2247.74|5384|8965.860883|8807.328962|5714.649458|0|0|2958.71|2445.1|5384|5282.35|3062.51|5384|5351.95|2973.31|3062.17|0|8965.860883
HOSP OP|0361 - OR/MINOR||36222|Hb Selective Cath Uni Com Or Innom Artery Inc Angio Ips Extracranial|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|3532|5167.4|1996.08|4406.8|3356|3268|5038.14|8807.328962|4038|4204.9|3062.51|3330.1|3062.51|5384|5384|2212.41|2979.25|2247.74|5384|8965.860883|8807.328962|5714.649458|0|0|2958.71|2445.1|5384|5282.35|3062.51|5384|5351.95|2973.31|3062.17|0|8965.860883
HOSP OP|0361 - OR/MINOR||36223|Hb Selective Cath Uni Com Or Innom Artery Inc Angio Ips Intracranial|11285|5981.05|8463.75|9028|9592.25|10156.5|9592.25|9118.28|8125.2|7637.69|0|11285|0|4597.37|0|9236.77|0|0|4482.39|8807.328962|8463.75|8813.59|311.12|338.31|311.12|4214.52|4300.53|2077.18|302.66|2155.92|4300.53|8965.860883|8807.328962|5714.649458|0|0|0|0|302.06|302.06|311.12|302.06|543.71|302.06|311.12|0|11285
HOSP OP|0361 - OR/MINOR||36224|Hb Selective Cath Uni Internal Carotid Inc Angio Ips Intra /extracranial|15075|7989.75|11306.25|12060|12813.75|13567.5|12813.75|12180.6|10854|10202.76|0|15075|6710|8561.44|3543.04|12338.89|6374|6206|8347.27|8807.328962|11306.25|11773.58|5079.19|5523|5079.19|11048.35|11273.83|3669.31|4941.11|3727.9|11273.83|8965.860883|8807.328962|5714.649458|0|0|4902.04|5281.42|9841.71|8760.83|5079.19|9443.49|8876.25|4931.25|5078.63|0|15075
HOSP OP|0361 - OR/MINOR||36225|Hb Selective Cath Uni Subclavian Or Innom Inc Ips Vertebral Angio|5384|2853.52|4038|4307.2|4576.4|4845.6|4576.4|4350.27|3876.48|3643.89|0|5384|0|4403.61|0|4406.8|0|0|4293.47|8807.328962|4038|4204.9|309.26|336.28|309.26|4054.69|4137.44|1996.53|300.85|2074.16|4137.44|8965.860883|8807.328962|5714.649458|0|0|0|0|300.25|300.25|309.26|300.25|540.45|300.25|309.26|0|8965.860883
HOSP OP|0361 - OR/MINOR||36226|Hb Selective Cath Uni Vertebral Inc Angio Of Ips Vertebral Circ|9289|4923.17|6966.75|7431.2|7895.65|8360.1|7895.65|7505.51|6688.08|6286.8|0|9289|6710|8561.44|3543.04|7603.05|6374|6206|8347.27|8807.328962|6966.75|7254.71|5079.19|5523|5079.19|9289|9289|3669.31|4941.11|3727.9|9289|8965.860883|8807.328962|5714.649458|0|0|4902.04|5281.42|9289|8760.83|5079.19|9289|8876.25|4931.25|5078.63|0|9289
HOSP OP|0361 - OR/MINOR||37211|Hb Transcath Arterial Infusion Thrombolysis Any Method Initial Tx Day|3606|1911.18|2704.5|2884.8|3065.1|3245.4|3065.1|2913.65|2596.32|2440.54|0|3606|3606|3606|3543.04|2951.51|3606|3606|3606|6974.805663|2704.5|2816.29|3606|5523|3606|3606|3606|3606|3606|3606|3606|7100.352165|6974.805663|4525.61379|0|0|3606|3533.88|3606|3606|5079.19|3606|3606|4931.25|3606|0|7100.352165
HOSP OP|0361 - OR/MINOR||37212|Hb Transcath Venous Infusion Thrombolysis Any Method Initial Tx Day|2358|1249.74|1768.5|1886.4|2004.3|2122.2|2004.3|1905.26|1697.76|1595.89|0|2358|0|361.05|0|1930.02|0|0|352.02|6974.805663|1768.5|1841.6|339.94|369.64|339.94|886.3|904.39|447.69|330.7|453.38|904.39|7100.352165|6974.805663|4525.61379|0|0|0|0|330.04|330.04|339.94|330.04|594.07|330.04|339.94|0|7100.352165
HOSP OP|0361 - OR/MINOR||37213|Hb Transcath Arterial Or Venous Subs Day Inc Contrast/reposition/exchange|4268|2262.04|3201|3414.4|3627.8|3841.2|3627.8|3448.54|3072.96|2888.58|0|4268|0|241.9|0|3493.36|0|0|235.85|6974.805663|3201|3333.31|234.65|255.16|234.65|613.15|625.66|311.33|228.28|313.65|625.66|7100.352165|6974.805663|4525.61379|0|0|0|0|227.82|227.82|234.65|227.82|410.08|227.82|234.65|0|7100.352165
HOSP OP|0361 - OR/MINOR||37214|Hb Transcath Arterial Or Venous Subs Day Inc C/rep/exc Cessation Of Tx|4268|2262.04|3201|3414.4|3627.8|3841.2|3627.8|3448.54|3072.96|2888.58|0|4268|0|129.98|0|3493.36|0|0|126.73|6974.805663|3201|3333.31|123.45|134.23|123.45|322.56|329.14|162.75|120.09|165|329.14|7100.352165|6974.805663|4525.61379|0|0|0|0|119.85|119.85|123.45|119.85|215.73|119.85|123.45|0|7100.352165
HOSP OP|0341 - NUC MED/DX||78014|Thyroid Imaging IncVascular Flow  Single or mult uptakes/quant measurements|980|519.4|735|784|833|882|833|791.84|705.6|663.26|0|980|980|691.51|747.53|802.13|980|980|674.21|848.2879705|735|765.38|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|960.4|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|980
HOSP OP|0361 - OR/MINOR||G0269|Placement Occulsive Device Venous or Arterial Access Site Post Tx|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|488|0|399.22|399.43|488|488|0|38.9194499|366|381.13|0|0|0|0|0|0|0|0|0|39.62|38.9194499|39.62|0|0|0|478.24|0|0|0|0|0|0|0|0|488
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92920|PTCA  INITIAL|11349|6014.97|8511.75|9079.2|9646.65|10214.1|9646.65|9169.99|8171.28|7681|0|11349|6710|9152.23|3543.04|9289.16|6374|6206|8923.28|13526.70323|8511.75|8863.57|5474.5|5952.86|5474.5|11349|11349|3954.89|5325.68|4018.04|11349|13770.18388|13526.70323|8776.822984|0|0|5240.3|5281.42|10607.69|9442.68|5474.5|10178.47|9567.09|5315.05|5473.89|0|13770.18388
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92921|PTCA  EACH ADDITIONAL|9844|5217.32|7383|7875.2|8367.4|8859.6|0|7953.95|7087.68|6662.42|0|9844|0|0|0|8057.31|0|0|0|161.5618861|7383|7688.16|0|0|0|0|0|0|0|0|0|164.47|161.5618861|164.47|0|0|0|0|0|0|0|0|0|0|0|0|9844
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92924|ATHERECTOMY INITIAL|20079|10641.87|15059.25|16063.2|17067.15|18071.1|17067.15|16223.83|14456.88|13589.47|0|20079|0|2224.07|0|16434.66|0|0|2168.44|13526.70323|15059.25|15681.7|622.75|677.16|622.75|1625.37|1658.54|819.63|605.82|831.45|1658.54|13770.18388|13526.70323|8776.822984|0|0|10830.06|0|604.61|604.61|622.75|604.61|1088.3|604.61|622.75|0|20079
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92928|Hb Ptca Stent Bms Initial|17021|9021.13|12765.75|13616.8|14467.85|15318.9|14467.85|13752.97|12255.12|11519.81|0|17021|6710|17021|3543.04|13931.69|6374|6206|17021|13526.70323|12765.75|13293.4|10949.73|11906.51|10949.73|17021|17021|7910.3|10652.07|8036.62|17021|13770.18388|13526.70323|8776.822984|0|0|10830.06|5281.42|17021|17021|10949.73|17021|17021|10630.81|10948.51|0|17021
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92929|Hb Ptca Stent Bms Each Addl|8181|4335.93|6135.75|6544.8|6953.85|7362.9|0|6610.25|5890.32|5536.9|0|8181|6710|0|3543.04|6696.15|6374|6206|0|383.4872299|6135.75|6389.36|0|0|0|0|0|0|0|0|0|390.39|383.4872299|390.39|0|0|0|5281.42|0|0|0|0|0|0|0|0|8181
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9600|Hb Ptca Stent Des Initial|26126|13846.78|19594.5|20900.8|22207.1|23513.4|22207.1|21109.81|18810.72|17682.08|0|26126|10335|18914.77|6686.86|21384.13|9818|9560|18441.6|13526.70323|19594.5|20404.41|10949.73|11906.51|10949.73|23818.04|24304.13|7910.3|10652.07|8036.62|24304.13|13770.18388|13526.70323|8776.822984|0|0|10830.06|8355.09|21216.77|18886.61|10949.73|20358.29|19135.45|10630.81|10948.51|0|26126
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9601|Hb Ptca Stent Des Each Addl|12551|6652.03|9413.25|10040.8|10668.35|11295.9|0|10141.21|9036.72|8494.52|0|12551|744|0|399.22|10272.99|707|688|0|13526.70323|9413.25|9802.33|0|0|0|0|0|0|0|0|0|13770.18388|13526.70323|8776.822984|0|0|0|489.02|0|0|0|0|0|0|0|0|13770.18388
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92933|Hb Athr W/bms W/ptca Init|18000|9540|13500|14400|15300|16200|15300|14544|12960|12182.4|0|18000|0|2327.57|0|14733|0|0|2269.36|13526.70323|13500|14058|651.83|708.78|651.83|1702.86|1737.61|858.24|634.11|871.09|1737.61|13770.18388|13526.70323|8776.822984|0|0|17198.21|0|632.84|632.84|651.83|632.84|1139.11|632.84|651.83|0|18000
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9602|Hb Athr W/des W/ptca Init|32605|17280.65|24453.75|26084|27714.25|29344.5|27714.25|26344.84|23475.6|22067.06|0|32605|17867.54|30036.78|9171.79|26687.19|16954.6|16530.74|29285.38|13526.70323|24453.75|25464.51|17615.05|19154.23|17615.05|32605|32605|12725.46|17136.2|12928.68|32605|13770.18388|13526.70323|8776.822984|0|0|17198.21|10427.08|32605|30383.28|17615.05|32605|30783.59|17101.99|17613.1|0|32605
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92937|Hb Athr Bms Ptca Of Ima/svg|16733|8868.49|12549.75|13386.4|14223.05|15059.7|14223.05|13520.26|12047.76|11324.89|0|16733|6710|16733|3543.04|13695.96|6374|6206|16733|13526.70323|12549.75|13068.47|10949.73|11906.51|10949.73|16733|16733|7910.3|10652.07|8036.62|16733|13770.18388|13526.70323|8776.822984|0|0|10830.06|5281.42|16733|16733|10949.73|16733|16733|10630.81|10948.51|0|16733
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9604|Hb Athr Des Ptca Of Ima/svg|17250|9142.5|12937.5|13800|14662.5|15525|14662.5|13938|12420|11674.8|0|17250|0|9660|0|14119.13|0|0|9418.5|13526.70323|12937.5|13472.25|6900|0|6900|14904|15488.43|7429.58|6900|7550.33|15488.43|13770.18388|13526.70323|8776.822984|0|0|10830.06|0|0|0|6900|0|8625|6900|6900|0|17250
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92941|Hb Revasc W/ami Single Vessl|15000|7950|11250|12000|12750|13500|12750|12120|10800|10152|0|15000|0|0|0|12277.5|0|0|8190|13526.70323|11250|11715|653.18|710.26|653.18|1706.73|1741.56|859.71|635.43|873.07|1741.56|13770.18388|13526.70323|8776.822984|0|0|10830.06|0|634.16|634.16|653.18|634.16|1141.49|634.16|653.18|0|15000
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||C9606|Hb Revasc Des W/ami|19000|10070|14250|15200|16150|17100|16150|15352|13680|12859.2|0|19000|0|0|0|15551.5|0|0|10374|13526.70323|14250|14839|7600|0|7600|16416|17059.72|8183.3|7600|8316.3|17059.72|13770.18388|13526.70323|8776.822984|0|0|17198.21|0|0|0|7600|0|9500|7600|7600|0|19000
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93653|ABLATION SVT|30125|15966.25|22593.75|24100|25606.25|27112.5|25606.25|24341|21690|20388.6|0|30125|16508.5|30125|8474.16|24657.31|15665|15273.38|30125|11923.34833|22593.75|23527.63|22582.75|24556|22582.75|30125|30125|16314.22|21968.85|16574.75|30125|12137.9686|11923.34833|7736.4836|0|0|21520.84|9633.98|30125|30125|22582.75|30125|30125|21925|22580.24|0|30125
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93655|ABL SEP FROM PRIM ABL CRYO|12190|6460.7|9142.5|9752|10361.5|10971|0|9849.52|8776.8|8250.19|0|12190|744|0|399.22|9977.52|707|688|0|11923.34833|9142.5|9520.39|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|12190
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93656|SVT W/PVI CRYO|49374|26168.22|37030.5|39499.2|41967.9|44436.6|41967.9|39894.19|35549.28|33416.32|0|49374|27056.95|37586.32|13888.91|40412.62|25674.48|25032.62|36646.06|11923.34833|37030.5|38561.09|22582.75|24556|22582.75|49122.4|49374|16314.22|21968.85|16574.75|49374|12137.9686|11923.34833|7736.4836|0|0|21520.84|15789.81|43757.53|38951.79|22582.75|41986.99|39465|21925|22580.24|0|49374
HOSP OP|0300 - LABORATORY||81206|Hb Bcr/abl P210 Quant Monitor|374.2|198.33|280.65|299.36|318.07|336.78|318.07|302.35|269.42|253.26|0|374.2|235.01|245.94|170.88|306.28|223.35|217.34|239.79|180.3634578|280.65|292.25|168.88|183.64|168.88|374.2|374.2|226.78|164.29|207.12|374.2|183.61|180.3634578|183.61|0|0|204.06|125.55|163.96|163.96|168.88|163.96|295.13|163.96|168.88|0|374.2
HOSP OP|0300 - LABORATORY||81270|Hb Jak2 V617f Mutation Detection Blood|309.2|163.88|231.9|247.36|262.82|278.28|262.82|249.83|222.62|209.27|0|309.2|131.39|137.5|95.54|253.08|124.87|121.51|134.06|100.8251473|231.9|241.49|94.41|102.66|94.41|226.66|231.29|127.07|91.84|115.95|231.29|102.64|100.8251473|102.64|0|0|114.08|70.19|91.66|91.66|94.41|91.66|164.99|91.66|94.41|0|309.2
HOSP OP|0300 - LABORATORY||81291|Hb Mthfr C677t Mutation Analysis Blood|135.75|71.95|101.81|108.6|115.39|122.18|115.39|109.69|97.74|91.88|0|135.75|84.29|88.21|61.29|111.11|80.11|77.95|86|71.86640472|101.81|106.02|67.3|73.18|67.3|135.75|135.75|73.31|65.47|74.33|135.75|73.16|71.86640472|73.16|0|0|0|45.02|65.34|65.34|67.3|65.34|117.61|65.34|67.3|0|135.75
HOSP OP|0300 - LABORATORY||81315|Hb Pml/rara Quantitative Pcr|408.85|216.69|306.64|327.08|347.52|367.97|347.52|330.35|294.37|276.71|0|408.85|297.15|310.97|216.07|334.64|282.41|274.81|303.2|228.0353635|306.64|319.31|213.53|232.19|213.53|408.85|408.85|286.89|207.72|262.12|408.85|232.14|228.0353635|232.14|0|0|258.01|158.76|207.31|207.31|213.53|207.31|373.16|207.31|213.53|0|408.85
HOSP OP|0300 - LABORATORY||0034U|Hb Tpmt And Nudt 15 Genotype|404.7|214.49|303.53|323.76|344|364.23|344|327|291.38|273.9|0|404.7|404.7|404.7|404.7|331.25|404.7|404.7|404.7|512.7897839|303.53|316.07|404.7|404.7|404.7|404.7|404.7|404.7|404.7|404.7|404.7|522.02|512.7897839|522.02|0|0|0|321.29|404.7|404.7|404.7|404.7|404.7|404.7|404.7|0|522.02
HOSP OP|0300 - LABORATORY||81511|Hb Alpha-feto Protein Quad Screen|56.12|29.74|42.09|44.9|47.7|50.51|47.7|45.34|40.41|37.98|0|56.12|56.12|56.12|56.12|45.93|56.12|56.12|56.12|168.8506876|42.09|43.83|56.12|56.12|56.12|56.12|56.12|56.12|56.12|56.12|56.12|171.89|168.8506876|171.89|0|0|56.12|55|56.12|56.12|56.12|56.12|56.12|56.12|56.12|0|171.89
HOSP OP|0300 - LABORATORY||81240|Hb Factor Ii (g20210a) Mutation|191|101.23|143.25|152.8|162.35|171.9|162.35|154.33|137.52|129.27|0|191|84.74|88.68|61.62|156.33|80.54|78.37|86.46|72.25933202|143.25|149.17|67.66|73.57|67.66|146.27|149.25|73.8|65.82|74.82|149.25|73.56|72.25933202|73.56|0|0|73.57|45.27|65.69|65.69|67.66|65.69|118.24|65.69|67.66|0|191
HOSP OP|0300 - LABORATORY||81241|Hb Factor V (g1691a) Mutation|215|113.95|161.25|172|182.75|193.5|182.75|173.72|154.8|145.51|0|215|94.65|99.05|68.82|175.98|89.95|87.53|96.57|80.70726916|161.25|167.92|75.57|82.17|75.57|162.73|166.05|84.55|73.52|83.24|166.05|82.16|80.70726916|82.16|0|0|82.18|50.56|73.37|73.37|75.57|73.37|132.07|73.37|75.57|0|215
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb N Gonorrhoea By Namisc|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|49.7|49.7|36.57|40.68|47.8|46.52|49.7|38.59528487|37.28|38.82|36.14|39.3|36.14|49.7|49.7|48.39|35.16|41.13|49.7|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|49.7|35.09|36.14|0|49.7
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb C Trachomatis By Namisc|45.84|24.3|34.38|36.67|38.96|41.26|38.96|37.04|33|31.02|0|45.84|45.84|45.84|36.57|37.52|45.84|45.84|45.84|38.59528487|34.38|35.8|36.14|39.3|36.14|45.84|45.84|45.84|35.16|45.84|45.84|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|45.84|35.09|36.14|0|45.84
HOSP OP|0301 - LAB/CHEMISTRY||83993|Hb Calprotectin Fecal|174.2|92.33|130.65|139.36|148.07|156.78|148.07|140.75|125.42|117.9|0|174.2|28.13|29.44|20.46|142.58|26.74|26.02|28.7|21.5913556|130.65|136.05|20.22|21.99|20.22|45.52|46.45|27.37|19.67|23.29|46.45|21.98|21.5913556|21.98|0|0|0|15.02|19.63|19.63|20.22|19.63|35.33|19.63|20.22|0|174.2
HOSP OP|0300 - LABORATORY||81375|HB HLA-ABC DR TYPING|565.96|299.96|424.47|452.77|481.07|509.36|481.07|457.3|407.49|383.04|0|565.96|316.4|331.11|230.06|463.24|300.7|292.61|322.83|242.8094303|424.47|442.01|227.36|247.23|227.36|545.34|556.47|305.47|221.18|278.97|556.47|247.18|242.8094303|247.18|0|0|274.73|169.03|220.74|220.74|227.36|220.74|397.33|220.74|227.36|0|565.96
HOSP OP|0300 - LABORATORY||81220|Hb Ump Cystic Fibrosis|351.2|186.14|263.4|280.96|298.52|316.08|298.52|283.77|252.86|237.69|0|351.2|351.2|351.2|351.2|287.46|351.2|351.2|351.2|612.259332|263.4|274.29|351.2|351.2|351.2|351.2|351.2|335.28|351.2|351.2|351.2|623.28|612.259332|623.28|0|0|351.2|344.18|351.2|351.2|351.2|351.2|351.2|351.2|351.2|0|623.28
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone|6.87|3.64|5.15|5.5|5.84|6.18|5.84|5.55|4.95|4.65|0|6.87|6.87|0|6.87|5.62|6.87|6.87|0|27.84872299|5.15|5.37|6.87|0|6.87|5.94|6.17|6.87|2.75|3.01|6.17|28.35|27.84872299|28.35|0|0|0|6.73|6.87|6.87|6.87|6.87|6.87|6.87|6.87|0|28.35
HOSP OP|0301 - LAB/CHEMISTRY||80361|HB OPIATESDRUG & METAB|6.87|3.64|5.15|5.5|5.84|6.18|5.84|5.55|4.95|4.65|0|6.87|6.87|0|6.87|5.62|6.87|6.87|0|35.20628684|5.15|5.37|6.87|0|6.87|5.94|6.17|6.87|2.75|3.01|6.17|35.84|35.20628684|35.84|0|0|0|6.73|6.87|6.87|6.87|6.87|6.87|6.87|6.87|0|35.84
HOSP OP|0922 - EMG||95885|Hb Emg: Each Ext Limited With Ncv Study|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|694.5674086|180|187.44|0|0|0|0|0|0|0|0|0|707.069622|694.5674086|450.671172|0|0|0|106.34|0|0|0|0|0|0|0|0|707.069622
HOSP OP|0922 - EMG||95886|Hb Emg: Each Ext 5 Or More Muscles With Ncv Study|279|147.87|209.25|223.2|237.15|251.1|0|225.43|200.88|188.83|0|279|181.91|0|102.17|228.36|172.7|168.24|0|694.5674086|209.25|217.9|0|0|0|0|0|0|0|0|0|707.069622|694.5674086|450.671172|0|0|0|123.62|0|0|0|0|0|0|0|0|707.069622
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|Hb Antinuclear Antibody|17.87|9.47|13.4|14.3|15.19|16.08|15.19|14.44|12.87|12.09|0|17.87|17.32|17.87|12.6|14.63|16.47|16.02|17.68|13.30058939|13.4|13.96|12.45|13.54|12.45|17.87|17.87|16.62|12.11|14.37|17.87|13.54|13.30058939|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|17.87|12.09|12.45|0|17.87
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88368|HB PRENATAL ANEUPLOIDY PARAFIN 1ST PROBE|274.2|145.33|205.65|219.36|233.07|246.78|233.07|221.55|197.42|185.58|0|274.2|152.71|274.2|111.04|224.43|145.14|141.23|274.2|130.2975972|205.65|214.15|274.2|340.56|274.2|274.2|274.2|226.25|274.2|229.87|274.2|132.642954|130.2975972|84.543804|0|0|96.86|81.58|274.2|274.2|313.19|274.2|274.2|304.07|274.2|0|340.56
HOSP OP|0300 - LABORATORY||81245|Hb Flt3 Gene Analysis Internal Tandem Dup|228.59|121.15|171.44|182.87|194.3|205.73|194.3|184.7|164.58|154.71|0|228.59|213.51|223.44|155.25|187.1|202.92|197.45|217.85|182.0628684|171.44|178.53|170.48|185.37|170.48|228.59|228.59|185.72|165.84|188.29|228.59|185.34|182.0628684|185.34|0|0|185.38|114.06|165.51|165.51|170.48|165.51|228.59|165.51|170.48|0|228.59
HOSP OP|0300 - LABORATORY||81479|Hb Flt3 Gene Analysis Unlisted Path Procedure|120.61|63.92|90.46|96.49|102.52|108.55|102.52|97.45|86.84|81.63|0|120.61|79.72|67.54|58.13|98.72|75.74|73.69|65.85|183.4406552|90.46|94.2|48.24|0|48.24|120.61|120.61|119.25|48.24|120.61|120.61|186.742587|183.4406552|119.025762|0|0|48.24|57.57|0|0|48.24|0|60.31|48.24|48.24|0|186.742587
HOSP OP|0300 - LABORATORY||81310|Hb Nmp1 Molecular Pathology Procedure|374.26|198.36|280.7|299.41|318.12|336.83|318.12|302.4|269.47|253.3|0|374.26|318.01|332.8|231.24|306.33|302.23|294.1|324.48|271.1689587|280.7|292.3|253.92|276.1|253.92|374.26|374.26|276.63|247.01|280.45|374.26|276.05|271.1689587|276.05|0|0|276.12|169.9|246.52|246.52|253.92|246.52|374.26|246.52|253.92|0|374.26
HOSP OP|0761 - TREATMENT ROOM||55700|Hb Bx Prostate Needle|3238|1716.14|2428.5|2590.4|2752.3|2914.2|2752.3|2616.3|2331.36|2191.48|0|3238|2111.18|556.02|1185.76|2650.3|2004.32|1952.51|542.11|3532.159527|2428.5|2528.88|133.89|145.59|133.89|678.04|691.88|343.1|130.25|346.85|691.88|3595.738398|3532.159527|2291.847348|0|0|0|1434.76|129.99|129.99|133.89|129.99|233.98|129.99|133.89|0|3595.738398
HOSP OP|0914 - INDIVIDUAL PSYCHIATRY||90832|Hb Psychotherapy 30 Minutes With Patient|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|0|207|0|169.43|0|0|207|436.7382426|155.25|161.67|145.16|157.85|145.16|207|207|104.87|141.22|106.55|207|444.599531|436.7382426|283.378306|0|0|142.87|0|62.58|62.58|145.16|62.58|207|140.94|145.15|0|444.599531
HOSP OP|0900 - PSYCHIATRIC TREATMENT||90791|Hb Psychiatric Diagnostic Evaluation|374|198.22|280.5|299.2|317.9|336.6|317.9|302.19|269.28|253.12|0|374|243.85|249.52|136.96|306.12|231.51|225.52|243.27|522.3674224|280.5|292.09|145.16|157.85|145.16|315.77|322.21|104.87|141.22|106.55|322.21|531.770036|522.3674224|338.938936|0|0|142.87|165.72|125.39|125.39|145.16|125.39|253.69|140.94|145.15|0|531.770036
HOSP OP|0272 - STERILE SUPPLY||C1732|Hb Ep Mapping Catheter Penta Ray|5695|3018.35|4271.25|4556|4840.75|5125.5|0|4601.56|4100.4|3854.38|0|5695|3713.14|0|2085.51|4661.36|3525.21|3434.09|0|0|4271.25|4447.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2523.45|0|0|0|0|0|0|0|0|5695
HOSP OP|0390 - BLOOD/STOR-PROC||P9012|Hb Mbc Cryoprecipitate Pooled X 5|905|479.65|678.75|724|769.25|814.5|769.25|731.24|651.6|612.5|0|905|590.06|506.8|331.41|740.74|560.2|545.72|494.13|34.69548134|678.75|706.81|362|0|362|781.92|812.58|389.78|362|396.12|812.58|35.32|34.69548134|35.32|0|0|38.87|401.01|0|0|362|0|452.5|362|362|0|905
HOSP OP|0361 - OR/MINOR||22510|Hb Percut Verte Inc Bone Bx Uni Or Bilat Cervthoracic W Img|5852|3101.56|4389|4681.6|4974.2|5266.8|4974.2|4728.42|4213.44|3960.63|0|5852|3532|5131.84|1996.08|4789.86|3356|3268|5003.46|11746.0871|4389|4570.41|3025.12|3289.45|3025.12|5852|5852|2185.41|2942.88|2220.31|5852|11957.51667|11746.0871|7621.467368|0|0|2938.34|2445.1|5852|5217.87|3025.12|5624.46|5286.62|2937.01|3024.79|0|11957.51667
HOSP OP|0361 - OR/MINOR||22511|Hb Percut Verte Inc Bone Bx Uni Or Bilat Thor W Img|6438|3412.14|4828.5|5150.4|5472.3|5794.2|5472.3|5201.9|4635.36|4357.24|0|6438|0|5054.7|0|5269.5|0|0|4928.28|11746.0871|4828.5|5028.08|416.92|453.35|416.92|4766.64|4863.92|2309.33|405.59|2438.36|4863.92|11957.51667|11746.0871|7621.467368|0|0|0|0|404.78|404.78|416.92|404.78|728.6|404.78|416.92|0|11957.51667
HOSP OP|0361 - OR/MINOR||22512|Hb Percut Verte Inc Bone Bx Uni Or Bilat Each Addl Level|644|341.32|483|515.2|547.4|579.6|0|520.35|463.68|435.86|0|644|0|0|0|527.11|0|0|0|11746.0871|483|502.96|0|0|0|0|0|0|0|0|0|11957.51667|11746.0871|7621.467368|0|0|0|0|0|0|0|0|0|0|0|0|11957.51667
HOSP OP|0361 - OR/MINOR||22513|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Thoracic|13795|7311.35|10346.25|11036|11725.75|12415.5|11725.75|11146.36|9932.4|9336.46|0|13795|6710|11149.66|3543.04|11291.21|6374|6206|10870.74|29616.63208|10346.25|10773.9|6610.58|7188.2|6610.58|13795|13795|4775.61|6430.87|4851.87|13795|30149.73146|29616.63208|19216.79901|0|0|6383.98|5281.42|12808.99|11402.22|6610.58|12290.71|11552.46|6418.03|6609.83|0|30149.73146
HOSP OP|0361 - OR/MINOR||22514|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Lumbar|13795|7311.35|10346.25|11036|11725.75|12415.5|11725.75|11146.36|9932.4|9336.46|0|13795|6710|11149.66|3543.04|11291.21|6374|6206|10870.74|29616.63208|10346.25|10773.9|6610.58|7188.2|6610.58|13795|13795|4775.61|6430.87|4851.87|13795|30149.73146|29616.63208|19216.79901|0|0|6383.98|5281.42|12808.99|11402.22|6610.58|12290.71|11552.46|6418.03|6609.83|0|30149.73146
HOSP OP|0361 - OR/MINOR||22515|Hb Percut Kypho Inc Bone Bx Uni Or Bilat Each Add Level|7663|4061.39|5747.25|6130.4|6513.55|6896.7|0|6191.7|5517.36|5186.32|0|7663|744|0|399.22|6272.17|707|688|0|29616.63208|5747.25|5984.8|0|0|0|0|0|0|0|0|0|30149.73146|29616.63208|19216.79901|0|0|0|489.02|0|0|0|0|0|0|0|0|30149.73146
HOSP OP|0361 - OR/MINOR||37218|Hb Stent Intrathoracic Carotid/innom Open/perc W Angio|10117|5362.01|7587.75|8093.6|8599.45|9105.3|8599.45|8174.54|7284.24|6847.19|0|10117|0|0|0|8280.76|0|0|5523.88|0|7587.75|7901.38|808.83|879.5|808.83|2104.83|2147.79|1058.14|786.84|1076.72|2147.79|0|0|0|0|0|0|0|785.27|785.27|808.83|785.27|1413.49|785.27|808.83|0|10117
HOSP OP|0761 - TREATMENT ROOM||62302|Hb Myelography Via Lumbar Inj Cervical|1382|732.46|1036.5|1105.6|1174.7|1243.8|1174.7|1116.66|995.04|935.34|0|1382|901.06|582.49|506.09|1131.17|855.46|833.35|567.93|1111.766897|1036.5|1079.34|126.02|137.03|126.02|682.88|696.82|333.81|122.59|349.33|696.82|1131.778701|1111.766897|721.371726|0|0|0|612.36|122.35|122.35|126.02|122.35|220.23|122.35|126.02|0|1382
HOSP OP|0761 - TREATMENT ROOM||62304|Hb Myelography Via Lumbar Inj Lumbar|1673|886.69|1254.75|1338.4|1422.05|1505.7|1422.05|1351.78|1204.56|1132.29|0|1673|1090.8|1353.22|612.65|1369.35|1035.59|1008.82|1319.37|1111.766897|1254.75|1306.61|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|1131.778701|1111.766897|721.371726|0|0|774.82|741.31|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|1673
HOSP OP|0761 - TREATMENT ROOM||62305|Hb Myelography Via Lumbar Inj 2 Or More Regions|1341|710.73|1005.75|1072.8|1139.85|1206.9|1139.85|1083.53|965.52|907.59|0|1341|874.33|637.86|491.07|1097.61|830.08|808.62|621.9|1111.766897|1005.75|1047.32|129.38|140.68|129.38|734.23|749.21|358.74|125.86|375.59|749.21|1131.778701|1111.766897|721.371726|0|0|0|594.2|125.61|125.61|129.38|125.61|226.1|125.61|129.38|0|1341
HOSP OP|0402 - ULTRASOUND||76641|Hb Us Breast Uni Including Axilla If Done Complete|423|224.19|317.25|338.4|359.55|380.7|359.55|341.78|304.56|286.29|0|423|275.8|220.09|154.9|346.23|261.84|255.07|214.59|262.0664862|317.25|330.36|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|187.43|240|213.64|123.86|230.29|216.45|120.25|123.85|0|423
HOSP OP|0402 - ULTRASOUND||76642|Hb Us Breast Uni Including Axilla If Done Limited|394|208.82|295.5|315.2|334.9|354.6|334.9|318.35|283.68|266.66|0|394|256.89|121.88|144.28|322.49|243.89|237.58|118.83|262.0664862|295.5|307.71|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|266.783683|262.0664862|170.042258|0|0|69.78|174.58|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|394
HOSP OP|0301 - LAB/CHEMISTRY||83630|STOOL LEUKOCYTES (LACTOFERRIN)|137|72.61|102.75|109.6|116.45|123.3|116.45|110.7|98.64|92.72|0|137|28.13|29.44|20.46|112.13|26.74|26.02|28.7|21.66994106|102.75|107|20.29|22.06|20.29|45.52|46.45|27.37|19.74|23.29|46.45|22.06|21.66994106|22.06|0|0|0|15.02|19.7|19.7|20.29|19.7|35.46|19.7|20.29|0|137
HOSP OP|0305 - LAB/HEMATOLOGY||85660|Hemglobin S|46.01|24.39|34.51|36.81|39.11|41.41|39.11|37.18|33.13|31.14|0|46.01|7.89|8.26|5.74|37.66|7.5|7.3|8.05|6.060903733|34.51|35.93|5.68|6.17|5.68|12.59|12.85|7.82|5.52|6.44|12.85|6.17|6.060903733|6.17|0|0|0|4.21|5.51|5.51|5.68|5.51|9.92|5.51|5.68|0|46.01
HOSP OP|0761 - TREATMENT ROOM||19100|CORE BX BREAST NO IMAGING|1490|789.7|1117.5|1192|1266.5|1341|1266.5|1203.92|1072.8|1008.43|0|1490|971.48|367.07|545.64|1219.57|922.31|898.47|357.89|970.169779|1117.5|1163.69|68.87|74.88|68.87|402.95|411.17|201.85|66.99|206.13|411.17|987.632835|970.169779|629.49621|0|0|0|660.22|66.86|66.86|68.87|66.86|120.35|66.86|68.87|0|1490
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88177|FINE NEEDLE ASPIRATE ADD'L EVAL EA|62|32.86|46.5|49.6|52.7|55.8|0|50.1|44.64|41.96|0|62|14.54|0|10.57|50.75|13.81|13.44|0|89.8665|46.5|48.42|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|7.76|0|0|0|0|0|0|0|0|91.484097
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Test(s) Presumptive Any Number|200|106|150|160|170|180|170|161.6|144|135.36|0|200|83.4|87.28|60.64|163.7|79.26|77.13|85.1|68.3497053|150|156.2|64|69.6|64|133.67|136.4|80.64|62.26|68.38|136.4|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|111.85|62.14|64|0|200
HOSP OP|0301 - LAB/CHEMISTRY||81259|ISOLATION/EXTRACTION OF NA|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|357|357|357|292.2|357|357|357|660|267.75|278.82|357|357|357|357|357|357|357|357|357|671.88|660|671.88|0|0|357|349.86|357|357|357|357|357|357|357|0|671.88
HOSP OP|0361 - OR/MINOR||49422|REMOVE TUNNELED PERIT'L CATH|4400|2332|3300|3520|3740|3960|3740|3555.2|3168|2977.92|0|4400|0|296.06|0|3601.4|0|0|288.66|970.169779|3300|3436.4|219.57|238.75|219.57|572.46|584.14|495.59|213.6|292.84|584.14|987.632835|970.169779|629.49621|0|0|0|0|213.17|213.17|219.57|213.17|383.71|213.17|219.57|0|4400
HOSP OP|0301 - LAB/CHEMISTRY||83605|LACTATE PLASMA|88.31|46.8|66.23|70.65|75.06|79.48|75.06|71.35|63.58|59.77|0|88.31|15.31|16.02|11.13|72.28|14.55|14.16|15.62|11.57170923|66.23|68.97|11.92|12.96|11.92|24.22|24.71|14.66|11.59|12.39|24.71|11.78|11.57170923|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|88.31
HOSP OP|0301 - LAB/CHEMISTRY||84999|CHEMISTRY MISCELLANEOUS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|36.48803536|0|0|0|0|0|0|0|0|0|0|0|37.14482|36.48803536|23.67532|0|0|0|0|0|0|0|0|0|0|0|0|37.14482
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88175|PAP SMEAR SCREEN AUTOMATED|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|35.85|39|26.07|82.67|34.07|33.15|38.03|29.27308448|75.75|78.88|27.41|29.8|27.41|61.02|62.27|36.66|26.66|31.22|62.27|29.8|29.27308448|29.8|0|0|0|19.15|26.61|26.61|27.41|26.61|47.9|26.61|27.41|0|101
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95807|ABBREVIATED PAP-NAP STUDY|2571|1362.63|1928.25|2056.8|2185.35|2313.9|2185.35|2077.37|1851.12|1740.05|0|2571|1676.29|890.61|941.5|2104.36|1591.45|1550.31|868.33|2440.049087|1928.25|2007.95|536.64|583.53|536.64|1167.3|1191.13|387.68|522.05|393.87|1191.13|2483.969971|2440.049087|1583.229746|0|0|509.93|1139.21|1039.82|925.62|536.64|997.74|937.82|521.01|536.58|0|2571
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 5|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|91|56.56|91|74.48|91|91|51.54|563.975553|68.25|71.07|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|89.18|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 6|97|51.41|72.75|77.6|82.45|87.3|82.45|78.38|69.84|65.65|0|97|97|56.56|97|79.39|97|97|51.54|563.975553|72.75|75.76|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|95.06|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0423 - PHYSICAL THERAPY GROUP||97150|PT Group Treatment Level 7|107|56.71|80.25|85.6|90.95|96.3|90.95|86.46|77.04|72.42|0|107|107|56.56|106.79|87.58|107|107|51.54|563.975553|80.25|83.57|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|104.86|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0260 - IV THERAPY||96365|INFUSION THERAPY 1ST HR|497|263.41|372.75|397.6|422.45|447.3|422.45|401.58|357.84|336.37|0|497|324.04|366.16|182|406.79|307.64|299.69|357|397.3664754|372.75|388.16|203.05|220.79|203.05|113.07|113.07|146.69|197.53|149.03|113.07|404.519072|397.3664754|257.831872|0|0|209.65|220.22|393.44|350.23|203.05|377.52|354.84|197.13|203.03|0|497
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Nmo / Aquaporin-4-igg Cell-binding|342.44|181.49|256.83|273.95|291.07|308.2|291.07|276.69|246.56|231.76|0|342.44|37.49|18.08|27.26|280.29|35.63|34.67|17.63|51.31865619|256.83|267.45|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|342.44
HOSP OP|0306 - LAB/BACT-MICRO||87999|MEASLES PCR|24.2|12.83|18.15|19.36|20.57|21.78|0|19.55|17.42|16.38|0|24.2|16|0|11.66|19.81|15.2|14.79|0|27.48372986|18.15|18.9|0|0|0|0|0|0|0|0|0|27.978437|27.48372986|17.832862|0|0|0|11.55|0|0|0|0|0|0|0|0|27.978437
HOSP OP|0306 - LAB/BACT-MICRO||87529|HERPES SIMPLEX VIRUS PCR|33.24|17.62|24.93|26.59|28.25|29.92|28.25|26.86|23.93|22.5|0|33.24|33.24|33.24|33.24|27.21|33.24|33.24|33.24|38.59528487|24.93|25.96|33.24|33.24|33.24|33.24|33.24|33.24|33.24|33.24|33.24|39.29|38.59528487|39.29|0|0|0|26.87|33.24|33.24|33.24|33.24|33.24|33.24|33.24|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87498|ENTEROVIRUS PCR PLASMA|93.73|49.68|70.3|74.98|79.67|84.36|79.67|75.73|67.49|63.44|0|93.73|50.3|52.64|36.57|76.72|47.8|46.52|51.32|38.59528487|70.3|73.2|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|93.73
HOSP OP|0761 - TREATMENT ROOM||43753|GASTRIC INTUBATION|679|359.87|509.25|543.2|577.15|611.1|577.15|548.63|488.88|459.55|0|679|442.71|21.66|248.65|555.76|420.3|409.44|21.12|1451.399884|509.25|530.3|22.06|23.99|22.06|57.15|58.32|28.84|21.46|29.23|58.32|1477.525082|1451.399884|941.743132|0|0|0|300.86|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|1477.525082
HOSP OP|0250 - PHARMACY|||Hb Nitric Oxide Per Hour|328|173.84|0|262.4|0|295.2|0|265.02|236.16|221.99|0|328|216.81|0|158.1|268.47|205.98|200.41|0|0|0|256.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|156.55|0|0|0|0|0|0|0|0|328
HOSP OP|0305 - LAB/HEMATOLOGY||85300|ANTITHROMBIN III ACTIVITY|93|49.29|69.75|74.4|79.05|83.7|79.05|75.14|66.96|62.94|0|93|16.99|17.78|12.35|76.12|16.15|15.71|17.34|13.03536346|69.75|72.63|12.21|13.27|12.21|27.13|27.68|16.62|11.87|13.87|27.68|13.27|13.03536346|13.27|0|0|0|9.07|11.85|11.85|12.21|11.85|21.33|11.85|12.21|0|93
HOSP OP|0305 - LAB/HEMATOLOGY||85306|PROTEIN S ACTIVITY|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|21.97|22.99|15.97|96.58|20.88|20.32|22.42|16.84675835|88.5|92.16|15.78|17.16|15.78|34.87|35.58|21.02|15.35|17.84|35.58|17.15|16.84675835|17.15|0|0|0|11.73|15.32|15.32|15.78|15.32|27.58|15.32|15.78|0|118
HOSP OP|0302 - LAB/IMMUNOLOGY||85613|LAC / DRVVT (CARDIOLIPIN ANTIBODY)|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|13.73|14.36|9.98|58.11|13.04|12.69|14|10.54027505|53.25|55.45|9.87|10.73|9.87|22.28|22.73|13.2|9.6|11.4|22.73|10.73|10.54027505|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|71
HOSP OP|0305 - LAB/HEMATOLOGY||85303|PROTEIN C CHROMOGENIC|107|56.71|80.25|85.6|90.95|96.3|90.95|86.46|77.04|72.42|0|107|19.83|20.75|14.42|87.58|18.84|18.34|20.23|15.21611002|80.25|83.57|14.26|15.5|14.26|31.97|32.62|19.06|13.87|16.35|32.62|15.49|15.21611002|15.49|0|0|0|10.59|13.84|13.84|14.26|13.84|24.91|13.84|14.26|0|107
HOSP OP|0305 - LAB/HEMATOLOGY||85730|SILICA CLOTTING TIME|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|8.6|9|6.26|16.37|8.18|7.96|8.78|6.611001965|15|15.62|6.19|6.73|6.19|13.56|13.84|8.31|6.02|6.94|13.84|6.73|6.611001965|6.73|0|0|0|4.59|6.01|6.01|6.19|6.01|10.82|6.01|6.19|0|20
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Full Activation W Prenotification|8396|4449.88|6297|6716.8|7136.6|7556.4|7136.6|6783.97|6045.12|5682.41|0|8396|5474.19|1849.31|3074.62|6872.13|5197.12|5062.79|1803.05|366.1198428|6297|6557.28|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|3720.27|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|8396
HOSP OP|0681 - TRAUMA LEVEL I||G0390|Hb Trauma Adult Partial Activation W Prenotification|4950|2623.5|3712.5|3960|4207.5|4455|4207.5|3999.6|3564|3350.16|0|4950|3227.4|1849.31|1812.69|4051.58|3064.05|2984.85|1803.05|366.1198428|3712.5|3865.95|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|2193.35|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|4950
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Full Activation W Prenotification|8396|4449.88|6297|6716.8|7136.6|7556.4|7136.6|6783.97|6045.12|5682.41|0|8396|5474.19|1849.31|3074.62|6872.13|5197.12|5062.79|1803.05|366.1198428|6297|6557.28|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|3720.27|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|8396
HOSP OP|0682 - TRAUMA LEVEL II||G0390|Hb Trauma Peds Partial Activation W Prenotification|4860|2575.8|3645|3888|4131|4374|4131|3926.88|3499.2|3289.25|0|4860|3168.72|1849.31|1779.73|3977.91|3008.34|2930.58|1803.05|366.1198428|3645|3795.66|984.8|1070.85|984.8|2142.16|2185.88|711.44|958.03|722.8|2185.88|372.71|366.1198428|372.71|0|0|1058.86|2153.47|1908.21|1698.64|984.8|1831|1721.01|956.11|984.69|0|4860
HOSP OP|0450 - EMERGENCY ROOM||30020|Hb Drain Abscess Nasal Septum|650|344.5|487.5|520|552.5|585|552.5|525.2|468|439.92|0|650|0|650|0|532.03|0|0|635.98|805.2673998|487.5|507.65|121.89|132.54|121.89|650|650|314.26|118.58|338.43|650|819.762213|805.2673998|522.499038|0|0|0|0|118.34|118.34|121.89|118.34|213.01|118.34|121.89|0|819.762213
HOSP OP|0922 - EMG||95874|EMG FOR CHEMODENERVATION|166|87.98|124.5|132.8|141.1|149.4|0|134.13|119.52|112.35|0|166|108.23|0|60.79|135.87|102.75|100.1|0|0|124.5|129.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.55|0|0|0|0|0|0|0|0|166
HOSP OP|0301 - LAB/CHEMISTRY||82017|C5-OH ACYLCARNITINE QN URINE|110.93|58.79|83.2|88.74|94.29|99.84|94.29|89.63|79.87|75.08|0|110.93|24.17|25.3|17.58|90.8|22.98|22.36|24.67|18.55599214|83.2|86.64|17.38|18.89|17.38|38.75|39.54|23.46|16.9|19.82|39.54|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|110.93
HOSP OP|0301 - LAB/CHEMISTRY||82378|CEA PANCREATIC CYST|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|27.18|28.44|19.76|73.67|25.83|25.14|27.73|20.86444008|67.5|70.29|19.53|21.24|19.53|43.59|44.48|26.39|19|22.3|44.48|21.24|20.86444008|21.24|0|0|0|14.51|18.96|18.96|19.53|18.96|34.13|18.96|19.53|0|90
HOSP OP|0301 - LAB/CHEMISTRY||80235|LACOSAMIDE & METABOLITE|128.24|67.97|96.18|102.59|109|115.42|109|103.62|92.33|86.79|0|128.24|84.77|36.6|61.81|104.96|80.53|78.35|35.69|29.82318271|96.18|100.16|27.92|30.36|27.92|56.18|57.33|55.23|27.16|28.74|57.33|30.36|29.82318271|30.36|0|0|51.3|61.21|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|128.24
HOSP OP|0306 - LAB/BACT-MICRO||87624|Hb Hpv Dna Low & High Risk Anal-rectal|130.4|69.11|97.8|104.32|110.84|117.36|110.84|105.36|93.89|88.25|0|130.4|50.3|52.64|36.57|106.73|47.8|46.52|51.32|38.59528487|97.8|101.84|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130.4
HOSP OP|0306 - LAB/BACT-MICRO||87502|INFLUENZA VIRUS RT/AMP PROBE1ST TWO|275|145.75|206.25|220|233.75|247.5|233.75|222.2|198|186.12|0|275|123.58|129.33|89.86|225.09|117.45|114.29|126.1|95.7956778|206.25|214.78|98.67|107.3|98.67|198.57|202.62|117.79|95.99|101.58|202.62|97.52|95.7956778|97.52|0|0|0|66.02|95.8|95.8|98.67|95.8|172.44|95.8|98.67|0|275
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|NATURAL KILLER (NK) CELLS|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.50294695|0|0|0|0|0|0|0|0|0|0|0|42.25|41.50294695|42.25|0|0|0|0|0|0|0|0|0|0|0|0|42.25
HOSP OP|0272 - STERILE SUPPLY||C1733|ARCTIC FRONT CATHETER|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||C1733|FREEZOR MAX CATHETER|3857|2044.21|2892.75|3085.6|3278.45|3471.3|0|3116.46|2777.04|2610.42|0|3857|2514.76|0|1412.43|3156.95|2387.48|2325.77|0|0|2892.75|3012.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1709.04|0|0|0|0|0|0|0|0|3857
HOSP OP|0306 - LAB/BACT-MICRO||87253|ADD'L TESTING VIRUS ID|48.43|25.67|36.32|38.74|41.17|43.59|41.17|39.13|34.87|32.78|0|48.43|28.96|30.31|21.06|39.64|27.52|26.78|29.55|22.22003929|36.32|37.82|20.81|22.62|20.81|46.49|47.44|27.86|20.24|23.78|47.44|22.62|22.22003929|22.62|0|0|0|15.47|20.2|20.2|20.81|20.2|36.36|20.2|20.81|0|48.43
HOSP OP|0306 - LAB/BACT-MICRO||87077|ADD'L ID PROCEDURE|43.9|23.27|32.93|35.12|37.32|39.51|37.32|35.47|31.61|29.71|0|43.9|11.57|12.11|8.41|35.93|11|10.7|11.81|8.084479371|32.93|34.29|8.32|9.05|8.32|18.4|18.78|11.24|8.1|9.41|18.78|8.23|8.084479371|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|43.9
HOSP OP|0306 - LAB/BACT-MICRO||87176|TISSUE PROCESSING|14|7.42|10.5|11.2|11.9|12.6|11.9|11.31|10.08|9.48|0|14|8.44|8.83|6.13|11.46|8.02|7.8|8.61|6.473477407|10.5|10.93|6.06|6.59|6.06|13.56|13.84|8.31|5.89|6.94|13.84|6.59|6.473477407|6.59|0|0|0|4.5|5.88|5.88|6.06|5.88|10.58|5.88|6.06|0|14
HOSP OP|0272 - STERILE SUPPLY||C1725|Hb Drug Eluting Balloon Lutonix|4480|2374.4|3360|3584|3808|4032|0|3619.84|3225.6|3032.06|0|4480|2920.96|0|1640.58|3666.88|2773.12|2701.44|0|0|3360|3498.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1985.09|0|0|0|0|0|0|0|0|4480
HOSP OP|0310 - PATHOLOGY LAB||88341|Hb Immunohistochemistry Ea Add'l Atby|92.2|48.87|69.15|73.76|78.37|82.98|0|74.5|66.38|62.4|0|92.2|92.2|0|92.2|75.47|92.2|92.2|0|89.8665|69.15|72.01|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|68.62|0|0|0|0|0|0|0|0|92.2
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88369|Hb Prenatal Aneuploidy Parafin Ea Add'l|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|60|0|60|49.11|60|60|0|130.2975972|45|46.86|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|58.8|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0310 - PATHOLOGY LAB||88377|Hb Fish Onc Parafin Emb Tissue Ea Multiplx|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|283.12|290|237.37|290|290|276.04|130.2975972|217.5|226.49|158.58|172.44|158.58|290|290|114.56|154.27|116.39|290|132.642954|130.2975972|84.543804|0|0|290|284.2|290|273.52|158.58|290|277.13|153.96|158.56|0|290
HOSP OP|0310 - PATHOLOGY LAB||88368|Hb Fish Onc Smears/touch Prep 1st Probe|184.2|97.63|138.15|147.36|156.57|165.78|156.57|148.83|132.62|124.67|0|184.2|152.71|184.2|111.04|150.77|145.14|141.23|184.2|130.2975972|138.15|143.86|184.2|340.56|184.2|184.2|184.2|184.2|184.2|184.2|184.2|132.642954|130.2975972|84.543804|0|0|96.86|81.58|184.2|184.2|313.19|184.2|184.2|304.07|184.2|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88369|Hb Fish Onc Smears/touch Prep Ea Add'l|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|60|0|60|49.11|60|60|0|130.2975972|45|46.86|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|58.8|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0306 - LAB/BACT-MICRO||87801|Hb Infectious Agent Multiple Organisms Amp|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|70.19646365|0|0|0|0|0|0|0|0|0|0|0|71.46|70.19646365|71.46|0|0|0|0|0|0|0|0|0|0|0|0|71.46
HOSP OP|0301 - LAB/CHEMISTRY||80356|Hb Heroin Metabolite|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|16|0|16|13.1|16|16|0|30.35363458|12|12.5|16|0|16|13.82|14.37|16|6.4|7|14.37|30.9|30.35363458|30.9|0|0|0|15.68|16|16|16|16|16|16|16|0|30.9
HOSP OP|0301 - LAB/CHEMISTRY||80365|Hb Oxycodone Confirmation|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|16|0|16|13.1|16|16|0|20.14734774|12|12.5|16|0|16|13.82|14.37|16|6.4|7|14.37|20.51|20.14734774|20.51|0|0|0|15.68|16|16|16|16|16|16|16|0|20.51
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92607|Hb Eval Speech Gen Communication Device 1st Hr|450|238.5|337.5|360|382.5|405|382.5|363.6|324|304.56|0|450|207|444.09|106.79|368.33|196|191|406.88|277.1325138|337.5|351.45|134.91|146.7|134.91|355.49|362.74|180.35|133.6|181.85|362.74|282.120899|277.1325138|179.817874|0|0|104.94|173.11|144.08|144.08|134.91|144.08|235.76|130.98|134.91|0|450
HOSP OP|0360 - OR SERVICES||41000|Hb I&d Mouth/tong Intralingual|1168|619.04|876|934.4|992.8|1051.2|992.8|943.74|840.96|790.5|0|1168|744|952.94|399.22|956.01|707|688|929.1|3034.804064|876|912.21|488.14|530.79|488.14|1061.81|1083.48|352.64|474.87|358.27|1083.48|3089.430537|3034.804064|1969.137462|0|0|545.63|489.02|945.84|841.96|488.14|907.57|853.06|473.92|488.08|0|3089.430537
HOSP OP|0260 - IV THERAPY||96366|Infusion Therapy ea addtl hr|243|128.79|182.25|194.4|206.55|218.7|206.55|196.34|174.96|164.46|0|243|158.44|74.11|88.99|198.9|150.42|146.53|72.26|476.1688615|182.25|189.78|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|484.739901|476.1688615|308.962926|0|0|42.43|107.67|81.6|72.64|42.11|78.3|73.6|40.89|42.11|0|484.739901
HOSP OP|0260 - IV THERAPY||96367|IV INFUSION SEQUENTIAL 1 HR|285|151.05|213.75|228|242.25|256.5|242.25|230.28|205.2|192.89|0|285|185.82|116.89|104.37|233.27|176.42|171.86|113.97|397.3664754|213.75|222.59|66.82|72.66|66.82|83.14|83.14|48.27|65.01|49.04|83.14|404.519072|397.3664754|257.831872|0|0|66.92|126.28|129.47|115.25|66.82|124.23|116.78|64.88|66.81|0|404.519072
HOSP OP|0120 - SEMI-PRIVATE ROOM & BOARD|||Semi Private|3529|1870.37|0|2823.2|0|3176.1|0|2851.43|2540.88|2388.43|0|3529|0|0|0|2888.49|0|0|0|0|0|2756.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3529
HOSP OP|0171 - NEWBORN LEVEL I|||Nursery Level I|1884|998.52|0|1507.2|0|1695.6|0|1522.27|1356.48|1275.09|0|1884|0|0|0|1542.05|0|0|0|0|0|1471.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1884
HOSP OP|0210 - CORONARY CARE ROOM & BED|||Coronary Care Room|4654|2466.62|0|3723.2|0|4188.6|0|3760.43|3350.88|3149.83|0|4654|0|0|0|3809.3|0|0|0|0|0|3634.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4654
HOSP OP|0204 - ICU/PSYCH|||Psych Lrc Room|4251|2253.03|0|3400.8|0|3825.9|0|3434.81|3060.72|2877.08|0|4251|0|0|0|3479.44|0|0|0|0|0|3320.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4251
HOSP OP|0124 - SEMI-PRIVATE ROOM & BOARD|||Psych Semi Private Room|3038|1610.14|0|2430.4|0|2734.2|0|2454.7|2187.36|2056.12|0|3038|0|0|0|2486.6|0|0|0|0|0|2372.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3038
HOSP OP|0128 - REHAB/2BED|||Rehab Semi Private Room|1852|981.56|0|1481.6|0|1666.8|0|1496.42|1333.44|1253.43|0|1852|0|0|0|1515.86|0|0|0|0|0|1446.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1852
HOSP OP|0200 - INTENSIVE CARE ROOM & BED|||Icu Room|8248|4371.44|0|6598.4|0|7423.2|0|6664.38|5938.56|5582.25|0|8248|0|0|0|6750.99|0|0|0|0|0|6441.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8248
HOSP OP|0351 - CT SCAN/HEAD||70481|CT ORBITS/SELLA/EAR W|1432|758.96|1074|1145.6|1217.2|1288.8|1217.2|1157.06|1031.04|969.18|0|1432|1158|394.64|605.81|1172.09|1101|1072|384.77|480.4061817|1074|1118.39|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1432
HOSP OP|0320 - DX X-RAY||72110|XR LUMBAR MIN 4-VIEWS|383|202.99|287.25|306.4|325.55|344.7|325.55|309.46|275.76|259.21|0|383|383|220.09|313.38|313.49|383|383|214.59|142.5387446|287.25|299.12|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|375.34|240|213.64|123.86|230.29|216.45|120.25|123.85|0|383
HOSP OP|0612 - MRI - SPINAL CORD||72158|MRI SPINE LUMBAR W/O & W CONT|2070|1097.1|1552.5|1656|1759.5|1863|1759.5|1672.56|1490.4|1400.98|0|2070|1868|754.87|979.08|1694.3|1775|1728|735.99|856.056391|1552.5|1616.67|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|871.465406|856.056391|555.453556|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2070
HOSP OP|0320 - DX X-RAY||73600|XR ANKLE 2 VIEW|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|121.88|303|248.01|303|303|118.83|142.5387446|227.25|236.64|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|296.94|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|303
HOSP OP|0618 - MRA/OTHER||74185|MR ANGIO ABDOMEN|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|0|979.08|1429.1|1746|1728|0|1063.802786|1309.5|1363.63|314.51|341.99|314.51|1508.54|1567.7|752|305.96|764.22|1567.7|1082.951236|1063.802786|690.250136|0|0|0|1178.54|305.35|305.35|314.51|305.35|549.63|305.35|314.51|0|1746
HOSP OP|0352 - CT SCAN/BODY||75635|CTA ABD RUN-OFF|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|724.110947|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|737.144944|724.110947|469.840544|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0320 - DX X-RAY||76010|XR FB NOSE/RECTUM CHILD 1V|224|118.72|168|179.2|190.4|201.6|190.4|180.99|161.28|151.6|0|224|224|61.38|224|183.34|224|224|59.84|142.5387446|168|174.94|20.45|22.23|20.45|73.62|75.12|35.68|19.89|37.66|75.12|145.104442|142.5387446|92.486492|0|0|69.78|219.52|19.85|19.85|20.45|19.85|35.73|19.85|20.45|0|224
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9505|TL-201 CHLORIDE|50|26.5|37.5|40|42.5|45|0|40.4|36|33.84|0|50|50|0|50|40.93|50|50|0|30|37.5|39.05|0|0|0|0|0|0|0|0|0|30.54|30|30.54|0|0|0|49|0|0|0|0|0|0|0|0|50
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9516|I-123 CAPSULE DX PER 100UCI|101|53.53|75.75|80.8|85.85|90.9|0|81.61|72.72|68.36|0|101|101|0|101|82.67|101|101|0|180.8546169|75.75|78.88|0|0|0|0|0|0|0|0|0|184.11|180.8546169|184.11|0|0|0|98.98|0|0|0|0|0|0|0|0|184.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1751|PICC/CENTRAL/MIDLINE CATH|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1757|THROMB/EMBOLECTOMY CATHETER|1951|1034.03|1463.25|1560.8|1658.35|1755.9|0|1576.41|1404.72|1320.44|0|1951|1272.05|0|714.46|1596.89|1207.67|1176.45|0|0|1463.25|1523.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|864.49|0|0|0|0|0|0|0|0|1951
HOSP OP|0272 - STERILE SUPPLY||C1760|CLOSURE DEVICE VASCULAR|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|0|486|506.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|287.13|0|0|0|0|0|0|0|0|648
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE SPECIALTY|1729|916.37|1296.75|1383.2|1469.65|1556.1|0|1397.03|1244.88|1170.19|0|1729|1127.31|0|633.16|1415.19|1070.25|1042.59|0|0|1296.75|1350.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|766.12|0|0|0|0|0|0|0|0|1729
HOSP OP|0272 - STERILE SUPPLY||C1773|RETRIEVAL DEVICE|756|400.68|567|604.8|642.6|680.4|0|610.85|544.32|511.66|0|756|492.91|0|276.85|618.79|467.96|455.87|0|0|567|590.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|334.98|0|0|0|0|0|0|0|0|756
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT INDWELLING IMPLANT|1236|655.08|927|988.8|1050.6|1112.4|0|998.69|889.92|836.52|0|1236|805.87|0|452.62|1011.67|765.08|745.31|0|0|927|965.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|547.67|0|0|0|0|0|0|0|0|1236
HOSP OP|0272 - STERILE SUPPLY||C1887|CATHETER GUIDING|253|134.09|189.75|202.4|215.05|227.7|0|204.42|182.16|171.23|0|253|164.96|0|92.65|207.08|156.61|152.56|0|0|189.75|197.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|112.1|0|0|0|0|0|0|0|0|253
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER NON-GUIDING|275|145.75|206.25|220|233.75|247.5|0|222.2|198|186.12|0|275|179.3|0|100.71|225.09|170.23|165.83|0|0|206.25|214.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.85|0|0|0|0|0|0|0|0|275
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90734|Hb Menacwy-d Or Menacwy-crm Conj Vacc Grps Acyw Im Use|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|125.5009823|0|0|0|0|0|0|0|0|0|0|0|127.76|125.5009823|127.76|0|0|0|0|0|0|0|0|0|0|0|0|127.76
HOSP OP|0943 - CARDIAC REHAB||93797|CARDIAC REHAB W/O ECG|259|137.27|194.25|207.2|220.15|233.1|220.15|209.27|186.48|175.29|0|259|168.87|231.12|94.85|211.99|160.32|156.18|225.34|213.8669686|194.25|202.28|121.59|132.22|121.59|259|259|87.84|118.29|89.25|259|217.716574|213.8669686|138.767924|0|0|132.34|114.76|235.61|209.73|121.59|226.08|212.49|118.05|121.58|0|259
HOSP OP|0360 - OR SERVICES||53600|Hb Dilate Urethra Stricture Male Initial|563|298.39|422.25|450.4|478.55|506.7|478.55|454.9|405.36|381.04|0|563|0|315.28|0|460.82|0|0|307.4|1620.245325|422.25|439.7|65.14|70.83|65.14|224.72|229.31|242.48|63.37|114.96|229.31|1649.409741|1620.245325|1051.298766|0|0|225.2|0|63.24|63.24|65.14|63.24|113.83|63.24|65.14|0|1649.409741
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90700|DIPHTHPERTUSS TET(ACE11) PED|81.78|43.34|61.34|65.42|69.51|73.6|0|66.08|58.88|55.35|0|81.78|31.02|0|22.56|66.94|29.49|28.69|0|25.5108055|61.34|63.87|0|0|0|0|0|0|0|0|0|25.97|25.5108055|25.97|0|0|0|16.57|0|0|0|0|0|0|0|0|81.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90647|HAEMOPHILUS B CONJ.VACCINE 0.5|83.93|44.48|62.95|67.14|71.34|75.54|0|67.82|60.43|56.8|0|83.93|33.84|0|24.6|68.7|32.16|31.29|0|26.56188605|62.95|65.55|0|0|0|0|0|0|0|0|0|27.04|26.56188605|27.04|0|0|0|18.07|0|0|0|0|0|0|0|0|83.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90723|HEP B VACCINE/DP(A) T-POLIO|114.06|60.45|85.55|91.25|96.95|102.65|96.95|92.16|82.12|77.2|0|114.06|99.27|0|72.18|93.36|94.34|91.8|0|83.93909627|85.55|89.08|45.62|0|45.62|114.06|114.06|100.68|45.62|102.07|114.06|85.45|83.93909627|85.45|0|0|45.62|53.03|0|0|45.62|0|57.03|45.62|45.62|0|114.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90371|HEPATITIS 1MM GLOB 1ML SYR|267.92|142|200.94|214.34|227.73|241.13|227.73|216.48|192.9|181.33|0|267.92|154.21|128.71|112.13|219.29|146.56|142.61|125.49|115.9430255|200.94|209.25|107.17|0|107.17|267.92|267.92|168.13|107.17|156.08|267.92|118.03|115.9430255|118.03|0|0|133.88|82.39|0|0|107.17|0|133.96|107.17|107.17|0|267.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90371|HEPATITIS 1MM GLOB 5ML VIAL|267.92|142|200.94|214.34|227.73|241.13|227.73|216.48|192.9|181.33|0|267.92|154.21|128.71|112.13|219.29|146.56|142.61|125.49|115.9430255|200.94|209.25|107.17|0|107.17|267.92|267.92|168.13|107.17|156.08|267.92|118.03|115.9430255|118.03|0|0|133.88|82.39|0|0|107.17|0|133.96|107.17|107.17|0|267.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90746|Hb Hepatitis B Vac 2.5mcg/0.5*|126.97|67.29|95.23|101.58|107.92|114.27|107.92|102.59|91.42|85.93|0|126.97|84|67.06|61.08|103.92|79.84|77.69|65.38|67.06286837|95.23|99.16|50.79|0|50.79|126.97|126.97|75.27|50.79|90.18|126.97|68.27|67.06286837|68.27|0|0|75.12|44.88|69.57|69.57|50.79|69.57|63.49|50.79|50.79|0|126.97
HOSP OP|0637 - DRUGS/SELF ADMIN||J8499|HYDROCODONE/APAP TAB 325MG|1.28|0.68|0.96|1.02|1.09|1.15|1.09|1.03|0.92|0.87|0|1.28|0.85|0|0.62|1.05|0.8|0.78|0.7|0|0.96|1|1.28|1.28|0|1.11|1.15|0.55|1.28|0.56|1.15|0|0|0|0|0|0|0.61|0|0|1.28|0|1.47|1.28|1.28|0|1.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90732|PNEUMOCOCCAL VAC 23-VALENT|110.83|58.74|83.12|88.66|94.21|99.75|94.21|89.55|79.8|75.01|0|110.83|110.83|110.83|101.07|90.71|110.83|110.83|110.83|114.2141454|83.12|86.56|44.33|0|44.33|110.83|110.83|110.83|44.33|110.83|110.83|116.27|114.2141454|116.27|0|0|110.83|74.26|110.83|110.83|44.33|110.83|55.42|44.33|44.33|0|116.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90713|POLIOVIRUS VACCINE INACT SYRNG|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.10609037|0|0|0|0|0|0|0|0|0|0|0|34.72|34.10609037|34.72|0|0|0|0|0|0|0|0|0|0|0|0|34.72
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90375|RABIES IMMUNE GLOBULIN 10ML|563.82|298.82|422.87|451.06|479.25|507.44|479.25|455.57|405.95|381.59|0|563.82|396.06|312.46|287.98|461.49|376.41|366.27|304.65|277.3379175|422.87|440.34|225.53|0|225.53|563.82|563.82|423.26|225.53|373.61|563.82|282.33|277.3379175|282.33|0|0|343.88|211.6|0|0|225.53|0|281.91|225.53|225.53|0|563.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90675|RABIES VACCINE(HDCV) 2.5 I*|491.73|260.62|368.8|393.38|417.97|442.56|417.97|397.32|354.05|332.8|0|491.73|374.07|323.52|272|402.48|355.52|345.95|315.43|277.8192534|368.8|384.04|196.69|0|196.69|491.73|491.73|439.87|196.69|374.1|491.73|282.82|277.8192534|282.82|0|0|329.89|199.86|0|0|196.69|0|245.87|196.69|196.69|0|491.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90714|TETANUS-DIPHTHERIA INJ ADU*|82.85|43.91|62.14|66.28|70.42|74.57|0|66.94|59.65|56.07|0|82.85|29.84|0|21.7|67.81|28.36|27.59|0|25.10805501|62.14|64.71|0|0|0|0|0|0|0|0|0|25.56|25.10805501|25.56|0|0|0|15.94|0|0|0|0|0|0|0|0|82.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||90716|VARICELLA VIRUS VACCINE|128.04|67.86|96.03|102.43|108.83|115.24|108.83|103.46|92.19|86.66|0|128.04|128.04|0|114.45|104.8|128.04|128.04|0|138.3104126|96.03|100|51.22|0|51.22|128.04|128.04|128.04|51.22|128.04|128.04|140.8|138.3104126|140.8|0|0|128.04|84.09|0|0|51.22|0|64.02|51.22|51.22|0|140.8
HOSP OP|0762 - OBSERVATION ROOM||G0378|Hb Observation Status Per Hour|147|77.91|110.25|117.6|124.95|132.3|0|118.78|105.84|99.49|0|132.3|94.23|0|49.57|120.32|89.52|87.17|0|57.8978389|110.25|114.81|0|0|0|0|0|0|0|0|0|58.94|57.8978389|58.94|0|0|0|59.81|0|0|0|0|0|0|0|0|132.3
HOSP OP|0180 - LEAVE OF ABSENCE|||Leave Of Absense|0.01|0.01|0|0.01|0|0.01|0|0.01|0.01|0.01|0|0.01|0|0|0|0.01|0|0|0|0|0|0.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.01
HOSP OP|0730 - EKG/ECG|||EKG PANEL|219|116.07|0|175.2|0|197.1|0|176.95|157.68|148.22|0|219|142.79|0|80.2|179.25|135.56|132.06|0|0|0|171.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.04|0|0|0|0|0|0|0|0|219
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 1|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|268.38|106.79|293.84|196|191|243.47|277.1325138|269.25|280.38|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 2|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|268.38|106.79|293.84|196|191|243.47|277.1325138|269.25|280.38|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 3|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|268.38|106.79|293.84|196|191|243.47|277.1325138|269.25|280.38|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|SPEECH THERAPY INDIV 4|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|268.38|106.79|293.84|196|191|243.47|277.1325138|269.25|280.38|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|Hb Speech Therapy Indiv 5|359|190.27|269.25|287.2|305.15|323.1|305.15|290.07|258.48|242.97|0|359|207|268.38|106.79|293.84|196|191|243.47|277.1325138|269.25|280.38|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|359
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92611|SP VIDEOFLUOR LEVEL 1|547|289.91|410.25|437.6|464.95|492.3|464.95|441.98|393.84|370.21|0|547|207|306.89|106.79|447.72|196|191|299.22|142.5387446|410.25|427.21|95.77|104.14|95.77|243.13|248.09|119.25|93.17|124.37|248.09|145.104442|142.5387446|92.486492|0|0|71.96|173.11|102.28|102.28|95.77|102.28|167.36|92.98|95.77|0|547
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92611|SP VIDEOFLUOR LEVEL 2|547|289.91|410.25|437.6|464.95|492.3|464.95|441.98|393.84|370.21|0|547|207|306.89|106.79|447.72|196|191|299.22|142.5387446|410.25|427.21|95.77|104.14|95.77|243.13|248.09|119.25|93.17|124.37|248.09|145.104442|142.5387446|92.486492|0|0|71.96|173.11|102.28|102.28|95.77|102.28|167.36|92.98|95.77|0|547
HOSP OP|0320 - DX X-RAY||70030|Hb Xray Eye For Foreign Body|212.5|112.62|159.38|170|180.63|191.25|180.63|171.7|153|143.82|0|212.5|212.5|71.01|212.5|173.93|212.5|212.5|69.23|142.5387446|159.38|165.96|23.45|25.5|23.45|79.43|81.05|38.12|22.82|40.63|81.05|145.104442|142.5387446|92.486492|0|0|69.78|208.25|22.77|22.77|23.45|22.77|40.99|22.77|23.45|0|212.5
HOSP OP|0320 - DX X-RAY||70110|XR MANDIBLE MIN 4 VIEWS|364|192.92|273|291.2|309.4|327.6|309.4|294.11|262.08|246.36|0|364|364|220.09|313.38|297.93|364|364|214.59|142.5387446|273|284.28|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|356.72|240|213.64|123.86|230.29|216.45|120.25|123.85|0|364
HOSP OP|0320 - DX X-RAY||70140|XR FACIAL BONES <3 VIEWS|232|122.96|174|185.6|197.2|208.8|197.2|187.46|167.04|157.02|0|232|232|68.6|232|189.89|232|232|66.88|142.5387446|174|181.19|21.95|23.87|21.95|82.33|84.01|40.57|21.35|42.12|84.01|145.104442|142.5387446|92.486492|0|0|69.78|227.36|21.31|21.31|21.95|21.31|38.36|21.31|21.95|0|232
HOSP OP|0320 - DX X-RAY||70150|XR FACIAL BONES MIN 3 VIEWS|340|180.2|255|272|289|306|289|274.72|244.8|230.11|0|340|340|220.09|313.38|278.29|340|340|214.59|142.5387446|255|265.54|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|333.2|240|213.64|123.86|230.29|216.45|120.25|123.85|0|340
HOSP OP|0320 - DX X-RAY||70160|XR NASAL BONES MIN 3 VIEWS|375|198.75|281.25|300|318.75|337.5|318.75|303|270|253.8|0|375|375|121.88|313.38|306.94|375|375|118.83|142.5387446|281.25|292.88|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|367.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|375
HOSP OP|0320 - DX X-RAY||70200|XR ORBITS MIN 4 VIEWS|351|186.03|263.25|280.8|298.35|315.9|298.35|283.61|252.72|237.56|0|351|351|220.09|313.38|287.29|351|351|214.59|142.5387446|263.25|274.13|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|343.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|351
HOSP OP|0320 - DX X-RAY||70210|XR SINUSES <3 VIEWS|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|263|121.88|263|215.27|263|263|118.83|142.5387446|197.25|205.4|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|257.74|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|263
HOSP OP|0320 - DX X-RAY||70220|XR SINUS MIN 3 VIEWS|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|121.88|303|248.01|303|303|118.83|142.5387446|227.25|236.64|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|296.94|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|303
HOSP OP|0320 - DX X-RAY||70250|XR SKULL <4 VIEWS|305|161.65|228.75|244|259.25|274.5|259.25|246.44|219.6|206.42|0|305|305|220.09|305|249.64|305|305|214.59|142.5387446|228.75|238.21|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|298.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|305
HOSP OP|0320 - DX X-RAY||70260|XR SKULL MIN 4 VIEWS|351|186.03|263.25|280.8|298.35|315.9|298.35|283.61|252.72|237.56|0|351|351|220.09|313.38|287.29|351|351|214.59|142.5387446|263.25|274.13|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|343.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|351
HOSP OP|0610 - MRI||70336|MRI TMJ(S)|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|867.3559116|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|882.968318|867.3559116|562.785268|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0320 - DX X-RAY||70360|XR NECK SOFT TISSUE|280|148.4|210|224|238|252|238|226.24|201.6|189.5|0|280|280|121.88|280|229.18|280|280|118.83|142.5387446|210|218.68|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|274.4|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|280
HOSP OP|0320 - DX X-RAY||70390|SIALOGRAPHY RAD|536|284.08|402|428.8|455.6|482.4|455.6|433.09|385.92|362.76|0|536|536|451.03|313.38|438.72|536|536|439.74|624.4750697|402|418.62|257.53|280.03|257.53|536|536|186.04|250.53|189.01|536|635.715621|624.4750697|405.191646|0|0|258.25|525.28|499|444.2|257.53|478.81|450.05|250.03|257.5|0|635.715621
HOSP OP|0351 - CT SCAN/HEAD||70450|CT HEAD/BRAIN W/O CONTRAST|766|405.98|574.5|612.8|651.1|689.4|651.1|618.93|551.52|518.43|0|766|766|220.09|605.81|626.97|766|766|214.59|448.802835|574.5|598.25|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|456.881286|448.802835|291.206436|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|766
HOSP OP|0351 - CT SCAN/HEAD||70460|CT HEAD WITH CONTRAST|1200|636|900|960|1020|1080|1020|969.6|864|812.16|0|1200|1158|394.64|605.81|982.2|1101|1072|384.77|448.802835|900|937.2|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|456.881286|448.802835|291.206436|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1200
HOSP OP|0351 - CT SCAN/HEAD||70470|CT HEAD/BRAIN W&W/O CONT|1203|637.59|902.25|962.4|1022.55|1082.7|1022.55|972.02|866.16|814.19|0|1203|1158|394.64|605.81|984.66|1101|1072|384.77|448.802835|902.25|939.54|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|456.881286|448.802835|291.206436|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1203
HOSP OP|0351 - CT SCAN/HEAD||70480|CT ORBITS/SELLA/EAR W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|480.4061817|627.75|653.7|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0351 - CT SCAN/HEAD||70482|CT ORBITS/SELLA/EAR W&W/O|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|480.4061817|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0351 - CT SCAN/HEAD||70486|CT MAXILLOFACIAL W/O CONTRAST|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|829|220.09|605.81|678.54|829|829|214.59|480.4061817|621.75|647.45|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|829
HOSP OP|0351 - CT SCAN/HEAD||70487|CT MAXILLOFACIAL W/ CONTRAST|1160|614.8|870|928|986|1044|986|937.28|835.2|785.09|0|1160|1158|394.64|605.81|949.46|1101|1072|384.77|480.4061817|870|905.96|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1160
HOSP OP|0350 - CT SCAN||70488|CT MAXILLOFACIAL W&W/O CONT|1784|945.52|1338|1427.2|1516.4|1605.6|1516.4|1441.47|1284.48|1207.41|0|1784|1158|394.64|605.81|1460.2|1101|1072|384.77|480.4061817|1338|1393.3|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1784
HOSP OP|0351 - CT SCAN/HEAD||70490|CT NECK SOFT TISSUE W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|480.4061817|627.75|653.7|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0351 - CT SCAN/HEAD||70491|CT NECK SOFT TISSUE WITH CONTR|1053|558.09|789.75|842.4|895.05|947.7|895.05|850.82|758.16|712.67|0|1053|1053|394.64|605.81|861.88|1053|1053|384.77|480.4061817|789.75|822.39|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1053
HOSP OP|0351 - CT SCAN/HEAD||70492|CT NECK SOFT TISSUE W/WO CONT|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|480.4061817|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0351 - CT SCAN/HEAD||70496|CT ANGIO HEAD|1486|787.58|1114.5|1188.8|1263.1|1337.4|1263.1|1200.69|1069.92|1005.72|0|1486|1158|394.64|605.81|1216.29|1101|1072|384.77|577.2760305|1114.5|1160.57|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|587.666999|577.2760305|374.566474|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1486
HOSP OP|0351 - CT SCAN/HEAD||70498|CT ANGIO NECK|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|480.4061817|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0610 - MRI||70540|MRI ORBIT/FACE/NECK W/O CONT|1706|904.18|1279.5|1364.8|1450.1|1535.4|1450.1|1378.45|1228.32|1154.62|0|1706|1706|669.15|979.08|1396.36|1706|1706|652.41|974.7013576|1279.5|1332.39|204.16|222|204.16|725.5|740.31|375.85|198.61|371.13|740.31|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|198.21|198.21|204.16|198.21|356.78|198.21|204.16|0|1706
HOSP OP|0615 - MRA||70544|MRA HEAD W/O CONTRAST|1435|760.55|1076.25|1148|1219.75|1291.5|1219.75|1159.48|1033.2|971.21|0|1435|1435|451.03|979.08|1174.55|1435|1435|439.74|781.7855835|1076.25|1120.74|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|795.857724|781.7855835|507.262824|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1435
HOSP OP|0610 - MRI||70545|MRA HEAD W/ CONTRAST|2133|1130.49|1599.75|1706.4|1813.05|1919.7|1813.05|1723.46|1535.76|1443.61|0|2133|1868|754.87|979.08|1745.86|1775|1728|735.99|781.7855835|1599.75|1665.87|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|795.857724|781.7855835|507.262824|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2133
HOSP OP|0615 - MRA||70546|MRA HEAD W&W/O CONTRAST|2531|1341.43|1898.25|2024.8|2151.35|2277.9|2151.35|2045.05|1822.32|1712.98|0|2531|1868|754.87|979.08|2071.62|1775|1728|735.99|781.7855835|1898.25|1976.71|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|795.857724|781.7855835|507.262824|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2531
HOSP OP|0615 - MRA||70547|MRA NECK W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|781.7855835|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|795.857724|781.7855835|507.262824|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||70548|MRA NECK W/ CONTRAST|2404|1274.12|1803|1923.2|2043.4|2163.6|2043.4|1942.43|1730.88|1627.03|0|2404|1868|784.68|979.08|1967.67|1775|1728|765.06|781.7855835|1803|1877.52|210.55|228.95|210.55|839.8|856.94|499.01|204.83|429.6|856.94|795.857724|781.7855835|507.262824|0|0|432.22|1178.54|204.42|204.42|210.55|204.42|367.96|204.42|210.55|0|2404
HOSP OP|0615 - MRA||70549|MRA NECK W&W/O CONTRAST|1756|930.68|1317|1404.8|1492.6|1580.4|1492.6|1418.85|1264.32|1188.46|0|1756|1756|754.87|979.08|1437.29|1756|1728|735.99|781.7855835|1317|1371.44|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|795.857724|781.7855835|507.262824|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1756
HOSP OP|0611 - MRI - BRAIN||70551|MRI BRAIN W/O CONTRAST|1125|596.25|843.75|900|956.25|1012.5|956.25|909|810|761.4|0|1125|1125|451.03|979.08|920.81|1125|1125|439.74|992.8276719|843.75|878.63|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|1010.69857|992.8276719|644.19782|0|0|258.25|1102.5|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1125
HOSP OP|0611 - MRI - BRAIN||70552|MRI BRAIN W/ CONTRAST|1805|956.65|1353.75|1444|1534.25|1624.5|1534.25|1458.44|1299.6|1221.62|0|1805|1805|754.87|979.08|1477.39|1775|1728|735.99|992.8276719|1353.75|1409.71|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1010.69857|992.8276719|644.19782|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1805
HOSP OP|0611 - MRI - BRAIN||70553|MRI BRAIN W&W/O CONTRAST|1575|834.75|1181.25|1260|1338.75|1417.5|1338.75|1272.6|1134|1065.96|0|1575|1575|754.87|979.08|1289.14|1575|1575|735.99|992.8276719|1181.25|1230.08|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1010.69857|992.8276719|644.19782|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1575
HOSP OP|0320 - DX X-RAY||71100|XR RIBS UNI 2V|352|186.56|264|281.6|299.2|316.8|299.2|284.42|253.44|238.23|0|352|352|121.88|313.38|288.11|352|352|118.83|142.5387446|264|274.91|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|344.96|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|352
HOSP OP|0320 - DX X-RAY||71101|XR RIBS UNI W PA CXR MIN 3V|387|205.11|290.25|309.6|328.95|348.3|328.95|312.7|278.64|261.92|0|387|387|220.09|313.38|316.76|387|387|214.59|142.5387446|290.25|302.25|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|379.26|240|213.64|123.86|230.29|216.45|120.25|123.85|0|387
HOSP OP|0320 - DX X-RAY||71111|XR RIBS BIL W PA CXR MIN 4V|472|250.16|354|377.6|401.2|424.8|401.2|381.38|339.84|319.45|0|472|472|220.09|313.38|386.33|472|472|214.59|142.5387446|354|368.63|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|462.56|240|213.64|123.86|230.29|216.45|120.25|123.85|0|472
HOSP OP|0320 - DX X-RAY||71120|XR STERNUM MIN 2 VIEWS|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|71.01|303|248.01|303|303|69.23|142.5387446|227.25|236.64|23.45|25.5|23.45|84.27|85.99|40.57|22.82|43.11|85.99|145.104442|142.5387446|92.486492|0|0|69.78|296.94|22.77|22.77|23.45|22.77|40.99|22.77|23.45|0|303
HOSP OP|0320 - DX X-RAY||71130|Hb Xr Sternoclavicular Joint(s); Minimum 3 Views|215|113.95|161.25|172|182.75|193.5|182.75|173.72|154.8|145.51|0|215|215|89.06|215|175.98|215|215|86.83|142.5387446|161.25|167.92|29.85|32.46|29.85|100.73|102.79|49.36|29.04|51.53|102.79|145.104442|142.5387446|92.486492|0|0|69.78|210.7|28.98|28.98|29.85|28.98|52.16|28.98|29.85|0|215
HOSP OP|0352 - CT SCAN/BODY||71250|CT THORAX W/O CONTRAST|728|385.84|546|582.4|618.8|655.2|618.8|588.22|524.16|492.71|0|728|728|220.09|605.81|595.87|728|728|214.59|480.4061817|546|568.57|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|713.44|240|213.64|123.86|230.29|216.45|120.25|123.85|0|728
HOSP OP|0352 - CT SCAN/BODY||71260|CT THORAX W/ CONTRAST|762|403.86|571.5|609.6|647.7|685.8|647.7|615.7|548.64|515.72|0|762|762|394.64|605.81|623.7|762|762|384.77|480.4061817|571.5|595.12|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|762
HOSP OP|0350 - CT SCAN||71270|CT THORAX W&W/O CONTRAST|1176|623.28|882|940.8|999.6|1058.4|999.6|950.21|846.72|795.92|0|1176|1158|394.64|605.81|962.56|1101|1072|384.77|480.4061817|882|918.46|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1176
HOSP OP|0352 - CT SCAN/BODY||71275|CT ANGIO CHEST|1125|596.25|843.75|900|956.25|1012.5|956.25|909|810|761.4|0|1125|1125|394.64|605.81|920.81|1101|1072|384.77|724.110947|843.75|878.63|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|737.144944|724.110947|469.840544|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1125
HOSP OP|0610 - MRI||71550|MRI CHEST W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|864.8841415|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|880.452056|864.8841415|561.181456|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||71551|MRI CHEST W/ CONTRAST|1826|967.78|1369.5|1460.8|1552.1|1643.4|1552.1|1475.41|1314.72|1235.84|0|1826|1826|1223.96|979.08|1494.58|1775|1728|1193.35|864.8841415|1369.5|1426.11|370.43|402.8|370.43|1227.25|1252.3|634.88|360.36|627.8|1252.3|880.452056|864.8841415|561.181456|0|0|774.82|1178.54|359.64|359.64|370.43|359.64|647.35|359.64|370.43|0|1826
HOSP OP|0610 - MRI||71552|MRI CHEST W&W/O CONTRAST|2870|1521.1|2152.5|2296|2439.5|2583|2439.5|2318.96|2066.4|1942.42|0|2870|1868|754.87|979.08|2349.1|1775|1728|735.99|864.8841415|2152.5|2241.47|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|880.452056|864.8841415|561.181456|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2870
HOSP OP|0320 - DX X-RAY||72020|SPINE 1 VIEW|363|192.39|272.25|290.4|308.55|326.7|308.55|293.3|261.36|245.68|0|363|363|121.88|313.38|297.12|363|363|118.83|142.5387446|272.25|283.5|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|355.74|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|363
HOSP OP|0320 - DX X-RAY||72040|XR C-SPINE 2 OR 3 VIEWS|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|121.88|313.38|347.86|425|425|118.83|142.5387446|318.75|331.93|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|416.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|425
HOSP OP|0320 - DX X-RAY||72050|XR C-SPINE MIN 4 VIEWS|444|235.32|333|355.2|377.4|399.6|377.4|358.75|319.68|300.5|0|444|444|220.09|313.38|363.41|444|444|214.59|142.5387446|333|346.76|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|435.12|240|213.64|123.86|230.29|216.45|120.25|123.85|0|444
HOSP OP|0320 - DX X-RAY||72052|XR C-SPINE OBL FLEX&/OR EXT|796|421.88|597|636.8|676.6|716.4|676.6|643.17|573.12|538.73|0|796|694|220.09|313.38|651.53|660|642|214.59|142.5387446|597|621.68|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|583.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|796
HOSP OP|0320 - DX X-RAY||72070|XR THORACIC 2 VIEWS|355|188.15|266.25|284|301.75|319.5|301.75|286.84|255.6|240.26|0|355|355|220.09|313.38|290.57|355|355|214.59|142.5387446|266.25|277.26|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|347.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|355
HOSP OP|0320 - DX X-RAY||72072|XR THORACIC 3 VIEW|451|239.03|338.25|360.8|383.35|405.9|383.35|364.41|324.72|305.24|0|451|451|220.09|313.38|369.14|451|451|214.59|142.5387446|338.25|352.23|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|441.98|240|213.64|123.86|230.29|216.45|120.25|123.85|0|451
HOSP OP|0320 - DX X-RAY||72080|XR THORACOLUMBAR 2 VIEWS|347|183.91|260.25|277.6|294.95|312.3|294.95|280.38|249.84|234.85|0|347|347|121.88|313.38|284.02|347|347|118.83|142.5387446|260.25|271.01|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|340.06|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|347
HOSP OP|0320 - DX X-RAY||72100|XR LUMBOSACRAL 2 OR 3 VIEWS|368|195.04|276|294.4|312.8|331.2|312.8|297.34|264.96|249.06|0|368|368|220.09|313.38|301.21|368|368|214.59|142.5387446|276|287.41|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|360.64|240|213.64|123.86|230.29|216.45|120.25|123.85|0|368
HOSP OP|0350 - CT SCAN||72125|CT CERVICAL SPINE W/O CONTRAST|722|382.66|541.5|577.6|613.7|649.8|613.7|583.38|519.84|488.65|0|722|722|220.09|605.81|590.96|722|722|214.59|511.5387151|541.5|563.88|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|520.746412|511.5387151|331.912712|0|0|126.02|707.56|240|213.64|123.86|230.29|216.45|120.25|123.85|0|722
HOSP OP|0350 - CT SCAN||72126|CT CERVICAL SPINE W/ CONTRAST|1447|766.91|1085.25|1157.6|1229.95|1302.3|1229.95|1169.18|1041.84|979.33|0|1447|1158|754.87|605.81|1184.37|1101|1072|735.99|511.5387151|1085.25|1130.11|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|520.746412|511.5387151|331.912712|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1447
HOSP OP|0352 - CT SCAN/BODY||72128|CT THORACIC SPINE W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|511.5387151|532.5|554.51|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|520.746412|511.5387151|331.912712|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|710
HOSP OP|0351 - CT SCAN/HEAD||72129|CT THORACIC SPINE W/ CONTRAST|1229|651.37|921.75|983.2|1044.65|1106.1|1044.65|993.03|884.88|831.79|0|1229|1158|565.65|605.81|1005.94|1101|1072|551.5|511.5387151|921.75|959.85|143.09|155.59|143.09|623.8|636.53|316.71|139.2|319.1|636.53|520.746412|511.5387151|331.912712|0|0|225.96|730.1|138.92|138.92|143.09|138.92|250.06|138.92|143.09|0|1229
HOSP OP|0350 - CT SCAN||72131|CT LUMBAR SPINE W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|511.5387151|532.5|554.51|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|520.746412|511.5387151|331.912712|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|710
HOSP OP|0351 - CT SCAN/HEAD||72132|CT LUMBAR SPINE W/ CONTRAST|1742|923.26|1306.5|1393.6|1480.7|1567.8|1480.7|1407.54|1254.24|1178.99|0|1742|1158|754.87|605.81|1425.83|1101|1072|735.99|511.5387151|1306.5|1360.5|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|520.746412|511.5387151|331.912712|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1742
HOSP OP|0351 - CT SCAN/HEAD||72133|CT LUMBAR SPINE W&W/O CONTRAST|489|259.17|366.75|391.2|415.65|440.1|415.65|395.11|352.08|330.96|0|489|489|394.64|489|400.25|489|489|384.77|511.5387151|366.75|381.91|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|520.746412|511.5387151|331.912712|0|0|225.96|479.22|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|520.746412
HOSP OP|0612 - MRI - SPINAL CORD||72141|MRI CERVICAL SPINE W/O CONT|1275|675.75|956.25|1020|1083.75|1147.5|1083.75|1030.2|918|862.92|0|1275|1275|451.03|979.08|1043.59|1275|1275|439.74|856.056391|956.25|995.78|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|871.465406|856.056391|555.453556|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1275
HOSP OP|0612 - MRI - SPINAL CORD||72146|MRI THORACIC SPINE W/O CONT|1698|899.94|1273.5|1358.4|1443.3|1528.2|1443.3|1371.98|1222.56|1149.21|0|1698|1698|451.03|979.08|1389.81|1698|1698|439.74|856.056391|1273.5|1326.14|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|871.465406|856.056391|555.453556|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1698
HOSP OP|0612 - MRI - SPINAL CORD||72147|MRI THORACIC SPINE W/ CONT|1834|972.02|1375.5|1467.2|1558.9|1650.6|1558.9|1481.87|1320.48|1241.25|0|1834|1834|775.05|979.08|1501.13|1775|1728|755.67|856.056391|1375.5|1432.35|236.13|256.76|236.13|869.83|887.58|448.67|229.71|444.96|887.58|871.465406|856.056391|555.453556|0|0|432.22|1178.54|229.25|229.25|236.13|229.25|412.65|229.25|236.13|0|1834
HOSP OP|0612 - MRI - SPINAL CORD||72148|MRI LUMBAR SPINE W/O CONT|1280|678.4|960|1024|1088|1152|1088|1034.24|921.6|866.3|0|1280|1280|451.03|979.08|1047.68|1280|1280|439.74|856.056391|960|999.68|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|871.465406|856.056391|555.453556|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1280
HOSP OP|0612 - MRI - SPINAL CORD||72149|MRI LUMBAR SPINE W/ CONT|1795|951.35|1346.25|1436|1525.75|1615.5|1525.75|1450.36|1292.4|1214.86|0|1795|1795|754.87|979.08|1469.21|1775|1728|735.99|856.056391|1346.25|1401.9|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|871.465406|856.056391|555.453556|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1795
HOSP OP|0612 - MRI - SPINAL CORD||72156|MRI CERVICAL SPINE W&W/O CONT|2094|1109.82|1570.5|1675.2|1779.9|1884.6|1779.9|1691.95|1507.68|1417.22|0|2094|1868|754.87|979.08|1713.94|1775|1728|735.99|856.056391|1570.5|1635.41|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|871.465406|856.056391|555.453556|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2094
HOSP OP|0612 - MRI - SPINAL CORD||72157|MRI THORACIC SPINE W&W/O CONT|2209|1170.77|1656.75|1767.2|1877.65|1988.1|1877.65|1784.87|1590.48|1495.05|0|2209|1868|754.87|979.08|1808.07|1775|1728|735.99|856.056391|1656.75|1725.23|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|871.465406|856.056391|555.453556|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2209
HOSP OP|0320 - DX X-RAY||72170|XR PELVIS 1 OR 2 VIEWS|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|277|220.09|277|226.72|277|277|214.59|142.5387446|207.75|216.34|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|271.46|240|213.64|123.86|230.29|216.45|120.25|123.85|0|277
HOSP OP|0320 - DX X-RAY||72190|XR PELVIS MIN 3 VIEWS|473|250.69|354.75|378.4|402.05|425.7|402.05|382.18|340.56|320.13|0|473|473|220.09|313.38|387.15|473|473|214.59|142.5387446|354.75|369.41|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|463.54|240|213.64|123.86|230.29|216.45|120.25|123.85|0|473
HOSP OP|0352 - CT SCAN/BODY||72191|CT ANGIO PELVIS|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|757|605.81|1228.57|1101|1072|738.07|724.110947|1125.75|1172.28|245.54|267|245.54|857.24|874.73|422.28|238.87|438.52|874.73|737.144944|724.110947|469.840544|0|0|225.96|730.1|238.39|238.39|245.54|238.39|429.1|238.39|245.54|0|1501
HOSP OP|0352 - CT SCAN/BODY||72192|CT PELVIS W/O CONTRAST|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|710|220.09|605.81|581.14|710|710|214.59|866.0023232|532.5|554.51|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|881.590365|866.0023232|561.90699|0|0|126.02|695.8|240|213.64|123.86|230.29|216.45|120.25|123.85|0|881.590365
HOSP OP|0352 - CT SCAN/BODY||72193|CT PELVIS W/ CONTRAST|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|866.0023232|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|881.590365|866.0023232|561.90699|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0352 - CT SCAN/BODY||72194|CT PELVIS W&W/O CONTRAST|1712|907.36|1284|1369.6|1455.2|1540.8|1455.2|1383.3|1232.64|1158.68|0|1712|1158|692.01|605.81|1401.27|1101|1072|674.71|866.0023232|1284|1337.07|222.59|242.04|222.59|725.5|740.31|360.21|216.54|371.13|740.31|881.590365|866.0023232|561.90699|0|0|225.96|730.1|216.11|216.11|222.59|216.11|389|216.11|222.59|0|1712
HOSP OP|0610 - MRI||72195|MRI PELVIS W/O CONTRAST|1699|900.47|1274.25|1359.2|1444.15|1529.1|1444.15|1372.79|1223.28|1149.88|0|1699|1699|451.03|979.08|1390.63|1699|1699|439.74|974.7013576|1274.25|1326.92|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1699
HOSP OP|0610 - MRI||72196|MRI PELVIS W/ CONTRAST|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|1024|754.87|979.08|838.14|1024|1024|735.99|974.7013576|768|799.74|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1003.52|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1024
HOSP OP|0610 - MRI||72197|MRI PELVIS W&W/O CONTRAST|2401|1272.53|1800.75|1920.8|2040.85|2160.9|2040.85|1940.01|1728.72|1625|0|2401|1868|754.87|979.08|1965.22|1775|1728|735.99|974.7013576|1800.75|1875.18|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2401
HOSP OP|0612 - MRI - SPINAL CORD||72198|MR ANGIO PELVIS|2394|1268.82|1795.5|1915.2|2034.9|2154.6|2034.9|1934.35|1723.68|1620.26|0|2394|1868|0|979.08|1959.49|1775|1728|0|989.1788684|1795.5|1869.71|313.01|340.36|313.01|1076.15|1098.11|555.71|304.5|550.5|1098.11|1006.984088|989.1788684|641.830288|0|0|0|1178.54|303.89|303.89|313.01|303.89|547|303.89|313.01|0|2394
HOSP OP|0320 - DX X-RAY||72200|XR SI JNTS < 3 VIEWS|326|172.78|244.5|260.8|277.1|293.4|277.1|263.41|234.72|220.64|0|326|326|220.09|313.38|266.83|326|326|214.59|142.5387446|244.5|254.61|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|319.48|240|213.64|123.86|230.29|216.45|120.25|123.85|0|326
HOSP OP|0320 - DX X-RAY||72270|MYELOGRAM >2 REGIONS RAD|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|694|228.67|313.38|838.14|660|642|222.95|624.4750697|768|799.74|78.38|85.23|78.38|367.11|374.6|174.97|76.25|187.79|374.6|635.715621|624.4750697|405.191646|0|0|774.82|583.1|76.1|76.1|78.38|76.1|136.98|76.1|78.38|0|1024
HOSP OP|0320 - DX X-RAY||72295|DISKOGRAPHY LUMBAR RS&I|2751|1458.03|2063.25|2200.8|2338.35|2475.9|2338.35|2222.81|1980.72|1861.88|0|2751|694|200.98|313.38|2251.69|660|642|195.96|624.4750697|2063.25|2148.53|67.85|73.77|67.85|278|283.67|132.94|66|142.21|283.67|635.715621|624.4750697|405.191646|0|0|1827.38|583.1|65.87|65.87|67.85|65.87|118.57|65.87|67.85|0|2751
HOSP OP|0320 - DX X-RAY||73000|XR CLAVICAL COMPLETE|366|193.98|274.5|292.8|311.1|329.4|311.1|295.73|263.52|247.71|0|366|366|121.88|313.38|299.57|366|366|118.83|142.5387446|274.5|285.85|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|358.68|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|366
HOSP OP|0320 - DX X-RAY||73010|XR SCAPULA COMPLETE|288|152.64|216|230.4|244.8|259.2|244.8|232.7|207.36|194.92|0|288|288|220.09|288|235.73|288|288|214.59|142.5387446|216|224.93|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|145.104442|142.5387446|92.486492|0|0|126.02|282.24|240|213.64|123.86|230.29|216.45|120.25|123.85|0|288
HOSP OP|0320 - DX X-RAY||73020|XR SHOULDER 1 VIEW|292|154.76|219|233.6|248.2|262.8|248.2|235.94|210.24|197.63|0|292|292|121.88|292|239|292|292|118.83|142.5387446|219|228.05|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|286.16|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|292
HOSP OP|0320 - DX X-RAY||73030|XR SHOULDER MIN 2 VIEW|352|186.56|264|281.6|299.2|316.8|299.2|284.42|253.44|238.23|0|352|352|121.88|313.38|288.11|352|352|118.83|142.5387446|264|274.91|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|344.96|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|352
HOSP OP|0329 - DX X-RAY/OTHER||73040|XR ARTHROGRAM SHOULDER|854|452.62|640.5|683.2|725.9|768.6|725.9|690.03|614.88|577.99|0|854|694|754.87|313.38|699|660|642|735.99|624.4750697|640.5|666.97|421.98|458.85|421.98|854|854|304.85|410.51|309.71|854|635.715621|624.4750697|405.191646|0|0|432.22|583.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|854
HOSP OP|0320 - DX X-RAY||73050|XR AC JNTS BIL|280|148.4|210|224|238|252|238|226.24|201.6|189.5|0|280|280|121.88|280|229.18|280|280|118.83|142.5387446|210|218.68|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|274.4|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|280
HOSP OP|0320 - DX X-RAY||73060|XR HUMERUS MIN 2 VIEWS|318|168.54|238.5|254.4|270.3|286.2|270.3|256.94|228.96|215.22|0|318|318|121.88|313.38|260.28|318|318|118.83|142.5387446|238.5|248.36|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|311.64|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|318
HOSP OP|0320 - DX X-RAY||73080|XR ELBOW MIN 3 VIEWS|343|181.79|257.25|274.4|291.55|308.7|291.55|277.14|246.96|232.14|0|343|343|121.88|313.38|280.75|343|343|118.83|142.5387446|257.25|267.88|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|336.14|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|343
HOSP OP|0320 - DX X-RAY||73090|XR FOREARM 2 VIEWS|304|161.12|228|243.2|258.4|273.6|258.4|245.63|218.88|205.75|0|304|304|121.88|304|248.82|304|304|118.83|142.5387446|228|237.42|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|297.92|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|304
HOSP OP|0320 - DX X-RAY||73092|XR UPPER EXT INFANT MIN 2 V|232|122.96|174|185.6|197.2|208.8|197.2|187.46|167.04|157.02|0|232|232|69.8|232|189.89|232|232|68.06|142.5387446|174|181.19|23.08|25.1|23.08|77.49|79.07|37.14|22.45|39.64|79.07|145.104442|142.5387446|92.486492|0|0|126.02|227.36|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|232
HOSP OP|0320 - DX X-RAY||73110|XR WRIST MIN 3 VIEWS|325|172.25|243.75|260|276.25|292.5|276.25|262.6|234|219.96|0|325|325|121.88|313.38|266.01|325|325|118.83|142.5387446|243.75|253.83|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|318.5|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|325
HOSP OP|0322 - DX X-RAY/ARTH||73115|XR ARTHROGRAM WRIST|480|254.4|360|384|408|432|408|387.84|345.6|324.86|0|480|480|303.28|313.38|392.88|480|480|295.7|624.4750697|360|374.88|103.59|112.64|103.59|321.59|328.15|146.62|100.77|164.51|328.15|635.715621|624.4750697|405.191646|0|0|432.22|470.4|100.57|100.57|103.59|100.57|181.03|100.57|103.59|0|635.715621
HOSP OP|0320 - DX X-RAY||73130|XR HAND MIN 3 VIEWS|318|168.54|238.5|254.4|270.3|286.2|270.3|256.94|228.96|215.22|0|318|318|121.88|313.38|260.28|318|318|118.83|142.5387446|238.5|248.36|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|311.64|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|318
HOSP OP|0320 - DX X-RAY||73140|XR FINGER(S) MIN 2 VIEWS|291|154.23|218.25|232.8|247.35|261.9|247.35|235.13|209.52|196.95|0|291|291|121.88|291|238.18|291|291|118.83|142.5387446|218.25|227.27|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|285.18|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|291
HOSP OP|0350 - CT SCAN||73200|CT UPPER EXTREMITY W/O CONT|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|480.4061817|627.75|653.7|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0350 - CT SCAN||73201|CT UPPER EXT W CONTRAST|1230|651.9|922.5|984|1045.5|1107|1045.5|993.84|885.6|832.46|0|1230|1158|754.87|605.81|1006.76|1101|1072|735.99|480.4061817|922.5|960.63|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|489.053493|480.4061817|311.712318|0|0|432.22|730.1|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1230
HOSP OP|0350 - CT SCAN||73206|CT ANGIO UPPER EXTREMITY|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|724.110947|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|737.144944|724.110947|469.840544|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0610 - MRI||73218|MRI UP EXT W/O|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|974.7013576|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||73220|MRI UP EXT W&WO|2870|1521.1|2152.5|2296|2439.5|2583|2439.5|2318.96|2066.4|1942.42|0|2870|1868|754.87|979.08|2349.1|1775|1728|735.99|974.7013576|2152.5|2241.47|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2870
HOSP OP|0610 - MRI||73221|MRI UP EXT JNT W/O|1698|899.94|1273.5|1358.4|1443.3|1528.2|1443.3|1371.98|1222.56|1149.21|0|1698|1698|451.03|979.08|1389.81|1698|1698|439.74|867.3559116|1273.5|1326.14|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|882.968318|867.3559116|562.785268|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1698
HOSP OP|0610 - MRI||73222|UP EXT JNT WITH|2026|1073.78|1519.5|1620.8|1722.1|1823.4|1722.1|1637.01|1458.72|1371.2|0|2026|1868|1353.22|979.08|1658.28|1775|1728|1319.37|867.3559116|1519.5|1582.31|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|882.968318|867.3559116|562.785268|0|0|774.82|1178.54|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2026
HOSP OP|0322 - DX X-RAY/ARTH||73525|XR ARTHROGRAM HIP|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|694|282.82|313.38|720.28|660|642|275.75|624.4750697|660|687.28|98.69|107.32|98.69|307.05|313.32|141.74|96.01|157.07|313.32|635.715621|624.4750697|405.191646|0|0|432.22|583.1|95.82|95.82|98.69|95.82|172.48|95.82|98.69|0|880
HOSP OP|0320 - DX X-RAY||73560|XR KNEE 1 OR 2 VIEWS|321|170.13|240.75|256.8|272.85|288.9|272.85|259.37|231.12|217.25|0|321|321|121.88|313.38|262.74|321|321|118.83|142.5387446|240.75|250.7|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|314.58|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|321
HOSP OP|0320 - DX X-RAY||73562|XR KNEE  3 VIEWS|374|198.22|280.5|299.2|317.9|336.6|317.9|302.19|269.28|253.12|0|374|374|121.88|313.38|306.12|374|374|118.83|142.5387446|280.5|292.09|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|366.52|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|374
HOSP OP|0320 - DX X-RAY||73590|XR TIB/FIB 2 VIEWS|336|178.08|252|268.8|285.6|302.4|285.6|271.49|241.92|227.4|0|336|336|121.88|313.38|275.02|336|336|118.83|142.5387446|252|262.42|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|329.28|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|336
HOSP OP|0320 - DX X-RAY||73592|XR LOW EXT INFANT MIN 2 VWS|239|126.67|179.25|191.2|203.15|215.1|203.15|193.11|172.08|161.76|0|239|239|69.8|239|195.62|239|239|68.06|142.5387446|179.25|186.66|23.08|25.1|23.08|77.49|79.07|37.14|22.45|39.64|79.07|145.104442|142.5387446|92.486492|0|0|69.78|234.22|22.41|22.41|23.08|22.41|40.34|22.41|23.08|0|239
HOSP OP|0320 - DX X-RAY||73610|XR ANKLE MIN 3 VIEWS|333|176.49|249.75|266.4|283.05|299.7|283.05|269.06|239.76|225.37|0|333|333|121.88|313.38|272.56|333|333|118.83|142.5387446|249.75|260.07|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|326.34|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|333
HOSP OP|0320 - DX X-RAY||73620|XR FOOT 2 VIEW|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|121.88|290|237.37|290|290|118.83|142.5387446|217.5|226.49|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|284.2|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|290
HOSP OP|0320 - DX X-RAY||73630|XR FOOT MIN 3 VIEWS|319|169.07|239.25|255.2|271.15|287.1|271.15|257.75|229.68|215.9|0|319|319|121.88|313.38|261.1|319|319|118.83|142.5387446|239.25|249.14|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|312.62|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|319
HOSP OP|0320 - DX X-RAY||73650|XR CALCANEOUS MIN 2 VIEWS|290|153.7|217.5|232|246.5|261|246.5|234.32|208.8|196.27|0|290|290|63.79|290|237.37|290|290|62.19|142.5387446|217.5|226.49|20.83|22.65|20.83|72.65|74.13|37.14|20.26|37.16|74.13|145.104442|142.5387446|92.486492|0|0|69.78|284.2|20.22|20.22|20.83|20.22|36.4|20.22|20.83|0|290
HOSP OP|0320 - DX X-RAY||73660|XR TOES MIN 2 VIEWS|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|263|121.88|263|215.27|263|263|118.83|142.5387446|197.25|205.4|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|257.74|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|263
HOSP OP|0350 - CT SCAN||73700|CT LOWER EXTREM W/O CONT|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|829|220.09|605.81|678.54|829|829|214.59|480.4061817|621.75|647.45|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|489.053493|480.4061817|311.712318|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|829
HOSP OP|0350 - CT SCAN||73701|CT LOWER EXTREM W/ CONT|1181|625.93|885.75|944.8|1003.85|1062.9|1003.85|954.25|850.32|799.3|0|1181|1158|394.64|605.81|966.65|1101|1072|384.77|480.4061817|885.75|922.36|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|489.053493|480.4061817|311.712318|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1181
HOSP OP|0350 - CT SCAN||73702|CT LOWER EXTREM W&W/O CONT|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|718.49|605.81|1228.57|1101|1072|700.52|480.4061817|1125.75|1172.28|181.83|197.71|181.83|747.78|763.04|380.25|176.88|382.53|763.04|489.053493|480.4061817|311.712318|0|0|225.96|730.1|176.53|176.53|181.83|176.53|317.75|176.53|181.83|0|1501
HOSP OP|0350 - CT SCAN||73706|CT ANGIO LOWER EXTREMITY|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|724.110947|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|737.144944|724.110947|469.840544|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0610 - MRI||73718|MRI LOW EXT W/O|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|974.7013576|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|992.245982|974.7013576|632.436532|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||73720|MRI LOW EXT W&WO|2674|1417.22|2005.5|2139.2|2272.9|2406.6|2272.9|2160.59|1925.28|1809.76|0|2674|1868|754.87|979.08|2188.67|1775|1728|735.99|974.7013576|2005.5|2088.39|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2674
HOSP OP|0610 - MRI||73721|LOW EXT JNT W/O|1310|694.3|982.5|1048|1113.5|1179|1113.5|1058.48|943.2|886.61|0|1310|1310|451.03|979.08|1072.24|1310|1310|439.74|867.3559116|982.5|1023.11|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|882.968318|867.3559116|562.785268|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1310
HOSP OP|0610 - MRI||73722|LOW EXT JNT WITH|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|1868|1353.22|979.08|1674.65|1775|1728|1319.37|867.3559116|1534.5|1597.93|752.37|818.11|752.37|1636.55|1669.95|543.52|731.91|552.2|1669.95|882.968318|867.3559116|562.785268|0|0|774.82|1178.54|1457.82|1297.71|752.37|1398.83|1314.81|730.45|752.28|0|2046
HOSP OP|0610 - MRI||73723|LOW EXT JNT W&WO|2459|1303.27|1844.25|1967.2|2090.15|2213.1|2090.15|1986.87|1770.48|1664.25|0|2459|1868|754.87|979.08|2012.69|1775|1728|735.99|867.3559116|1844.25|1920.48|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|882.968318|867.3559116|562.785268|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2459
HOSP OP|0618 - MRA/OTHER||73725|MR ANGIO LOWER EXTREMITY|1600|848|1200|1280|1360|1440|1360|1292.8|1152|1082.88|0|1600|1600|0|979.08|1309.6|1600|1600|0|989.1788684|1200|1249.6|312.63|339.94|312.63|1077.12|1099.1|556.19|304.13|551|1099.1|1006.984088|989.1788684|641.830288|0|0|0|1178.54|303.52|303.52|312.63|303.52|546.34|303.52|312.63|0|1600
HOSP OP|0320 - DX X-RAY||74022|XR ABDOMEN 2 VIEW W/ CHEST|303|160.59|227.25|242.4|257.55|272.7|257.55|244.82|218.16|205.07|0|303|303|102.3|303|248.01|303|303|99.74|142.5387446|227.25|236.64|33.99|36.96|33.99|125.92|128.49|61.09|33.07|64.42|128.49|145.104442|142.5387446|92.486492|0|0|126.02|296.94|33|33|33.99|33|59.4|33|33.99|0|303
HOSP OP|0352 - CT SCAN/BODY||74150|CT ABDOMEN W/O CONTRAST|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|837|220.09|605.81|685.08|837|837|214.59|866.0023232|627.75|653.7|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|881.590365|866.0023232|561.90699|0|0|126.02|730.1|240|213.64|123.86|230.29|216.45|120.25|123.85|0|881.590365
HOSP OP|0352 - CT SCAN/BODY||74160|CT ABDOMEN W/ CONTRAST|1372|727.16|1029|1097.6|1166.2|1234.8|1166.2|1108.58|987.84|928.57|0|1372|1158|394.64|605.81|1122.98|1101|1072|384.77|866.0023232|1029|1071.53|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|881.590365|866.0023232|561.90699|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1372
HOSP OP|0352 - CT SCAN/BODY||74170|CT ABDOMEN W&W/O CONTRAST|1355|718.15|1016.25|1084|1151.75|1219.5|1151.75|1094.84|975.6|917.06|0|1355|1158|394.64|605.81|1109.07|1101|1072|384.77|866.0023232|1016.25|1058.26|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|881.590365|866.0023232|561.90699|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1355
HOSP OP|0352 - CT SCAN/BODY||74175|CT ANGIO ABDOMEN|1459|773.27|1094.25|1167.2|1240.15|1313.1|1240.15|1178.87|1050.48|987.45|0|1459|1158|394.64|605.81|1194.19|1101|1072|384.77|724.110947|1094.25|1139.48|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|737.144944|724.110947|469.840544|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1459
HOSP OP|0610 - MRI||74181|MRI ABDOMEN W/O CONTRAST|1715|908.95|1286.25|1372|1457.75|1543.5|1457.75|1385.72|1234.8|1160.71|0|1715|1715|451.03|979.08|1403.73|1715|1715|439.74|1063.802786|1286.25|1339.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|1082.951236|1063.802786|690.250136|0|0|258.25|1178.54|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1715
HOSP OP|0610 - MRI||74182|MRI ABDOMEN W CONTRAST|1024|542.72|768|819.2|870.4|921.6|870.4|827.39|737.28|693.04|0|1024|1024|919.47|979.08|838.14|1024|1024|896.48|1063.802786|768|799.74|279.4|303.81|279.4|980.25|1000.26|531.27|271.8|501.45|1000.26|1082.951236|1063.802786|690.250136|0|0|432.22|1003.52|271.26|271.26|279.4|271.26|488.27|271.26|279.4|0|1082.951236
HOSP OP|0610 - MRI||74183|MRI ABDOMEN W&W/O CONT|2262|1198.86|1696.5|1809.6|1922.7|2035.8|1922.7|1827.7|1628.64|1530.92|0|2262|1868|754.87|979.08|1851.45|1775|1728|735.99|1063.802786|1696.5|1766.62|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1082.951236|1063.802786|690.250136|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2262
HOSP OP|0320 - DX X-RAY||74190|PERITONEOGRAM RAD|880|466.4|660|704|748|792|748|711.04|633.6|595.58|0|880|694|880|313.38|720.28|660|642|880|624.4750697|660|687.28|532.19|578.69|532.19|880|880|384.47|517.72|390.6|880|635.715621|624.4750697|405.191646|0|0|557.22|583.1|880|880|532.19|880|880|516.69|532.13|0|880
HOSP OP|0320 - DX X-RAY||74220|XR ESOPHAGUS|453|240.09|339.75|362.4|385.05|407.7|385.05|366.02|326.16|306.59|0|453|453|394.64|313.38|370.78|453|453|384.77|142.5387446|339.75|353.79|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|145.104442|142.5387446|92.486492|0|0|225.96|443.94|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|453
HOSP OP|0320 - DX X-RAY||74230|XR VIDEO SWALLOW FUNCTION|425|225.25|318.75|340|361.25|382.5|361.25|343.4|306|287.64|0|425|425|220.09|313.38|347.86|425|425|214.59|433.0305874|318.75|331.93|201.37|218.96|201.37|425|425|145.47|195.89|147.8|425|440.825138|433.0305874|280.972588|0|0|126.02|416.5|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|440.825138
HOSP OP|0320 - DX X-RAY||74240|XR UPPER GI TRACT W/O KUB|431|228.43|323.25|344.8|366.35|387.9|366.35|348.25|310.32|291.7|0|431|431|394.64|313.38|352.77|431|431|384.77|433.0305874|323.25|336.61|201.37|218.96|201.37|431|431|145.47|195.89|147.8|431|440.825138|433.0305874|280.972588|0|0|225.96|422.38|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|440.825138
HOSP OP|0320 - DX X-RAY||74246|XR UPPER GI W/ AIR CONTRAST|550|291.5|412.5|440|467.5|495|467.5|444.4|396|372.24|0|550|550|394.64|313.38|450.18|550|550|384.77|433.0305874|412.5|429.55|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|440.825138|433.0305874|280.972588|0|0|225.96|539|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|550
HOSP OP|0320 - DX X-RAY||74250|XR SM INTESTINE|386|204.58|289.5|308.8|328.1|347.4|328.1|311.89|277.92|261.24|0|386|386|220.09|313.38|315.94|386|386|214.59|433.0305874|289.5|301.47|201.37|218.96|201.37|386|386|145.47|195.89|147.8|386|440.825138|433.0305874|280.972588|0|0|126.02|378.28|386|347.33|201.37|374.4|351.91|195.5|201.35|0|440.825138
HOSP OP|0320 - DX X-RAY||74270|XR COLON|474|251.22|355.5|379.2|402.9|426.6|402.9|382.99|341.28|320.8|0|474|474|394.64|313.38|387.97|474|474|384.77|433.0305874|355.5|370.19|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|440.825138|433.0305874|280.972588|0|0|225.96|464.52|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|474
HOSP OP|0320 - DX X-RAY||74280|XR COLON WITH AIR CONTRAST|846|448.38|634.5|676.8|719.1|761.4|719.1|683.57|609.12|572.57|0|846|694|601.75|313.38|692.45|660|642|586.7|433.0305874|634.5|660.73|167.53|182.17|167.53|620.89|633.56|294.23|162.98|317.62|633.56|440.825138|433.0305874|280.972588|0|0|225.96|583.1|162.65|162.65|167.53|162.65|292.77|162.65|167.53|0|846
HOSP OP|0320 - DX X-RAY||74300|CHOLANGIOGRAM IN OR|626|331.78|469.5|500.8|532.1|563.4|0|505.81|450.72|423.68|0|626|626|0|313.38|512.38|626|626|0|624.4750697|469.5|488.91|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||74328|ENDO CATH OF BILIARY DUCT|1161|615.33|870.75|928.8|986.85|1044.9|0|938.09|835.92|785.76|0|1161|694|0|313.38|950.28|660|642|0|624.4750697|870.75|906.74|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|1161
HOSP OP|0320 - DX X-RAY||74329|XR ENDO PANCREAS DUCTAL|1584|839.52|1188|1267.2|1346.4|1425.6|0|1279.87|1140.48|1072.05|0|1584|694|0|313.38|1296.5|660|642|0|624.4750697|1188|1237.1|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|1584
HOSP OP|0320 - DX X-RAY||74340|INTRO LONG GI TUBE W/ FILMS|555|294.15|416.25|444|471.75|499.5|0|448.44|399.6|375.62|0|555|555|0|313.38|454.27|555|555|0|624.4750697|416.25|433.46|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|543.9|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||74360|Hb Intraluminal Dilation Of Strictures And Obstructions Radiogocial Supervision And Interp|612|324.36|459|489.6|520.2|550.8|0|494.5|440.64|414.2|0|612|612|0|313.38|500.92|612|612|0|624.4750697|459|477.97|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||74420|UROGRAM RETROGRADE|626|331.78|469.5|500.8|532.1|563.4|532.1|505.81|450.72|423.68|0|626|626|626|313.38|512.38|626|626|626|798.4994578|469.5|488.91|421.98|458.85|421.98|626|626|304.85|410.51|309.71|626|812.872448|798.4994578|518.107648|0|0|432.22|583.1|626|626|421.98|626|626|409.69|421.93|0|812.872448
HOSP OP|0320 - DX X-RAY||74425|UROGRAM ANTEGRADE|789|418.17|591.75|631.2|670.65|710.1|670.65|637.51|568.08|534|0|789|694|441.84|313.38|645.8|660|642|430.79|624.4750697|591.75|616.21|110.74|120.41|110.74|193.73|197.68|97.75|107.73|99.1|197.68|635.715621|624.4750697|405.191646|0|0|432.22|583.1|107.51|107.51|110.74|107.51|193.52|107.51|110.74|0|789
HOSP OP|0320 - DX X-RAY||74430|CYSTOGRAM MIN 3 VIEWS|668|354.04|501|534.4|567.8|601.2|567.8|539.74|480.96|452.1|0|668|668|668|313.38|546.76|660|642|668|624.4750697|501|521.71|421.98|458.85|421.98|668|668|304.85|410.51|309.71|668|635.715621|624.4750697|405.191646|0|0|432.22|583.1|668|668|421.98|668|668|409.69|421.93|0|668
HOSP OP|0320 - DX X-RAY||74455|URETHROCYSTOGRAM VOIDING|645|341.85|483.75|516|548.25|580.5|548.25|521.16|464.4|436.54|0|645|645|451.03|313.38|527.93|645|642|439.74|624.4750697|483.75|503.75|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|635.715621|624.4750697|405.191646|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|645
HOSP OP|0320 - DX X-RAY||74485|DILATION URINARY|2639|1398.67|1979.25|2111.2|2243.15|2375.1|2243.15|2132.31|1900.08|1786.08|0|2639|694|226.26|313.38|2160.02|660|642|220.6|624.4750697|1979.25|2061.06|76.88|83.6|76.88|291.56|297.51|128.05|74.79|149.15|297.51|635.715621|624.4750697|405.191646|0|0|1948.64|583.1|74.64|74.64|76.88|74.64|134.35|74.64|76.88|0|2639
HOSP OP|0320 - DX X-RAY||74740|HYSTEROSALPINGOGRAM|1150|609.5|862.5|920|977.5|1035|977.5|929.2|828|778.32|0|1150|694|451.03|313.38|941.28|660|642|439.74|624.4750697|862.5|898.15|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|635.715621|624.4750697|405.191646|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1150
HOSP OP|0323 - DX X-RAY/ARTER||75605|AORTOGRAM THORACIC|6272|3324.16|4704|5017.6|5331.2|5644.8|5331.2|5067.78|4515.84|4244.89|0|6272|694|264.77|313.38|5133.63|660|642|258.15|624.4750697|4704|4898.43|79.13|86.05|79.13|361.3|368.67|188.66|76.98|184.82|368.67|635.715621|624.4750697|405.191646|0|0|4902.04|583.1|76.83|76.83|79.13|76.83|138.29|76.83|79.13|0|6272
HOSP OP|0323 - DX X-RAY/ARTER||75625|AORTOGRAM ABD BY SERIALGRAM|4940|2618.2|3705|3952|4199|4446|4199|3991.52|3556.8|3343.39|0|4940|694|4940|313.38|4043.39|660|642|4940|624.4750697|3705|3858.14|3062.51|3330.1|3062.51|4940|4940|2212.41|2979.25|2247.74|4940|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|4940|4940|3062.51|4940|4940|2973.31|3062.17|0|4940
HOSP OP|0323 - DX X-RAY/ARTER||75630|RAD AORTOGRAM ABD & BI EXTR|5531|2931.43|4148.25|4424.8|4701.35|4977.9|4701.35|4469.05|3982.32|3743.38|0|5531|694|5167.4|313.38|4527.12|660|642|5038.14|624.4750697|4148.25|4319.71|3062.51|3330.1|3062.51|5531|5531|2212.41|2979.25|2247.74|5531|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|5531|5282.35|3062.51|5531|5351.95|2973.31|3062.17|0|5531
HOSP OP|0323 - DX X-RAY/ARTER||75710|ANGIO EXTREMITY UNILAT|3863|2047.39|2897.25|3090.4|3283.55|3476.7|3283.55|3121.3|2781.36|2614.48|0|3863|694|3863|313.38|3161.87|660|642|3863|624.4750697|2897.25|3017|3062.51|3330.1|3062.51|3863|3863|2212.41|2979.25|2247.74|3863|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|3863|3863|3062.51|3863|3863|2973.31|3062.17|0|3863
HOSP OP|0323 - DX X-RAY/ARTER||75716|ANGIO EXTREMITY BILAT|4697|2489.41|3522.75|3757.6|3992.45|4227.3|3992.45|3795.18|3381.84|3178.93|0|4697|694|4697|313.38|3844.49|660|642|4697|624.4750697|3522.75|3668.36|3062.51|3330.1|3062.51|4697|4697|2212.41|2979.25|2247.74|4697|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|4697|4697|3062.51|4697|4697|2973.31|3062.17|0|4697
HOSP OP|0323 - DX X-RAY/ARTER||75726|HB ANG VISCERAL SEL W/WO FLUSH|5704|3023.12|4278|4563.2|4848.4|5133.6|4848.4|4608.83|4106.88|3860.47|0|5704|694|5704|313.38|4668.72|660|642|5704|624.4750697|4278|4454.82|5079.19|5523|5079.19|5704|5704|3669.31|4941.11|3727.9|5704|635.715621|624.4750697|405.191646|0|0|4902.04|583.1|5704|5704|5079.19|5704|5704|4931.25|5078.63|0|5704
HOSP OP|0320 - DX X-RAY||75736|ANGIO PELVIC SEL|5561|2947.33|4170.75|4448.8|4726.85|5004.9|4726.85|4493.29|4003.92|3763.68|0|5561|694|5561|313.38|4551.68|660|642|5561|624.4750697|4170.75|4343.14|5079.19|5523|5079.19|5561|5561|3669.31|4941.11|3727.9|5561|635.715621|624.4750697|405.191646|0|0|4902.04|583.1|5561|5561|5079.19|5561|5561|4931.25|5078.63|0|5561
HOSP OP|0323 - DX X-RAY/ARTER||75741|ANG PULMONARY UNI SEL|3956|2096.68|2967|3164.8|3362.6|3560.4|3362.6|3196.45|2848.32|2677.42|0|3956|694|280.42|313.38|3237.99|660|642|273.4|624.4750697|2967|3089.64|84.02|91.36|84.02|396.17|404.26|205.76|81.73|202.66|404.26|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|81.57|81.57|84.02|81.57|146.83|81.57|84.02|0|3956
HOSP OP|0323 - DX X-RAY/ARTER||75743|ANG PULMONARY BIL SEL|6272|3324.16|4704|5017.6|5331.2|5644.8|5331.2|5067.78|4515.84|4244.89|0|6272|694|284.03|313.38|5133.63|660|642|276.92|624.4750697|4704|4898.43|85.15|92.59|85.15|444.61|453.68|230.69|82.84|227.43|453.68|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|82.67|82.67|85.15|82.67|148.81|82.67|85.15|0|6272
HOSP OP|0323 - DX X-RAY/ARTER||75774|ANG EA ADDL VESSEL SEL|1665|882.45|1248.75|1332|1415.25|1498.5|0|1345.32|1198.8|1126.87|0|1665|694|0|313.38|1362.8|660|642|0|624.4750697|1248.75|1300.37|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|1665
HOSP OP|0320 - DX X-RAY||75820|VENOGRAM EXTREMITY UNILAT|1340|710.2|1005|1072|1139|1206|1139|1082.72|964.8|906.91|0|1340|694|1212.88|313.38|1096.79|660|642|1182.54|624.4750697|1005|1046.54|696.77|757.65|696.77|1340|1340|503.36|677.83|511.4|1340|635.715621|624.4750697|405.191646|0|0|694.45|583.1|1340|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|1340
HOSP OP|0320 - DX X-RAY||75822|VENOGRAM EXTREMITY BIL|2214|1173.42|1660.5|1771.2|1881.9|1992.6|1881.9|1788.91|1594.08|1498.44|0|2214|694|2139.38|313.38|1812.16|660|642|2085.87|624.4750697|1660.5|1729.13|1802.54|1960.04|1802.54|2214|2214|1302.19|1753.54|1322.99|2214|635.715621|624.4750697|405.191646|0|0|1224.95|583.1|2214|2214|1802.54|2214|2214|1750.04|1802.34|0|2214
HOSP OP|0320 - DX X-RAY||75825|IVC W/ SERIALOGRAM|5807|3077.71|4355.25|4645.6|4935.95|5226.3|4935.95|4692.06|4181.04|3930.18|0|5807|694|5167.4|313.38|4753.03|660|642|5038.14|624.4750697|4355.25|4535.27|3062.51|3330.1|3062.51|5807|5807|2212.41|2979.25|2247.74|5807|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|5807|5282.35|3062.51|5693.97|5351.95|2973.31|3062.17|0|5807
HOSP OP|0320 - DX X-RAY||75827|SVC W/ SERIALOGRAM|2133|1130.49|1599.75|1706.4|1813.05|1919.7|1813.05|1723.46|1535.76|1443.61|0|2133|694|1212.88|313.38|1745.86|660|642|1182.54|624.4750697|1599.75|1665.87|696.77|757.65|696.77|1515.62|1546.55|503.36|677.83|511.4|1546.55|635.715621|624.4750697|405.191646|0|0|694.45|583.1|1350.09|1201.82|696.77|1295.46|1217.65|676.47|696.69|0|2133
HOSP OP|0320 - DX X-RAY||75831|VENOGRAM RENAL UNI SEL|2584|1369.52|1938|2067.2|2196.4|2325.6|2196.4|2087.87|1860.48|1748.85|0|2584|694|2584|313.38|2115|660|642|2584|624.4750697|1938|2018.1|2584|3330.1|2584|2584|2584|2212.41|2584|2247.74|2584|635.715621|624.4750697|405.191646|0|0|2584|583.1|2584|2584|3062.51|2584|2584|2973.31|2584|0|3330.1
HOSP OP|0320 - DX X-RAY||75833|VENOGRAM RENAL BIL SEL|2630|1393.9|1972.5|2104|2235.5|2367|2235.5|2125.04|1893.6|1779.98|0|2630|694|2630|313.38|2152.66|660|642|2630|624.4750697|1972.5|2054.03|2630|3330.1|2630|2630|2630|2212.41|2630|2247.74|2630|635.715621|624.4750697|405.191646|0|0|2630|583.1|2630|2630|3062.51|2630|2630|2973.31|2630|0|3330.1
HOSP OP|0320 - DX X-RAY||75885|PORTOGRAPHY W HEM EVAL|5269|2792.57|3951.75|4215.2|4478.65|4742.1|4478.65|4257.35|3793.68|3566.06|0|5269|694|5167.4|313.38|4312.68|660|642|5038.14|624.4750697|3951.75|4115.09|3062.51|3330.1|3062.51|5269|5269|2212.41|2979.25|2247.74|5269|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|5269|5269|3062.51|5269|5269|2973.31|3062.17|0|5269
HOSP OP|0320 - DX X-RAY||75887|PORTOGRAPHY WO/HEMO|1790|948.7|1342.5|1432|1521.5|1611|1521.5|1446.32|1288.8|1211.47|0|1790|694|286.43|313.38|1465.12|660|642|279.27|624.4750697|1342.5|1397.99|85.9|93.41|85.9|414.58|423.04|215.54|83.57|212.07|423.04|635.715621|624.4750697|405.191646|0|0|1224.95|583.1|83.4|83.4|85.9|83.4|150.12|83.4|85.9|0|1790
HOSP OP|0320 - DX X-RAY||75889|VENOGRAM HEPATIC W/HEMO|5974|3166.22|4480.5|4779.2|5077.9|5376.6|5077.9|4826.99|4301.28|4043.2|0|5974|694|286.43|313.38|4889.72|660|642|279.27|624.4750697|4480.5|4665.69|85.53|93|85.53|378.73|386.46|197.45|83.21|193.74|386.46|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|83.04|83.04|85.53|83.04|149.47|83.04|85.53|0|5974
HOSP OP|0320 - DX X-RAY||75891|VENOGRAM HEPATIC W/O HEMO|4078|2161.34|3058.5|3262.4|3466.3|3670.2|3466.3|3295.02|2936.16|2759.99|0|4078|694|4078|313.38|3337.84|660|642|4078|624.4750697|3058.5|3184.92|3062.51|3330.1|3062.51|4078|4078|2212.41|2979.25|2247.74|4078|635.715621|624.4750697|405.191646|0|0|2958.71|583.1|4078|4078|3062.51|4078|4078|2973.31|3062.17|0|4078
HOSP OP|0320 - DX X-RAY||75894|EMBOLIZATION RS&I|3836|2033.08|2877|3068.8|3260.6|3452.4|0|3099.49|2761.92|2596.2|0|3836|694|0|313.38|3139.77|660|642|0|624.4750697|2877|2995.92|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|3836
HOSP OP|0323 - DX X-RAY/ARTER||75898|ANGIO EXIST CATH FOLLOW-UP|1509|799.77|1131.75|1207.2|1282.65|1358.1|1282.65|1219.27|1086.48|1021.29|0|1509|694|845.04|313.38|1235.12|660|642|823.91|798.4994578|1131.75|1178.53|603.6|0|603.6|348.7|355.82|175.46|603.6|178.38|355.82|812.872448|798.4994578|518.107648|0|0|1224.95|583.1|0|0|603.6|0|754.5|603.6|603.6|0|1509
HOSP OP|0320 - DX X-RAY||75901|MECH REM OBSTRUCT FROM CVAD|471|249.63|353.25|376.8|400.35|423.9|0|380.57|339.12|318.77|0|471|471|0|313.38|385.51|471|471|0|624.4750697|353.25|367.85|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|461.58|0|0|0|0|0|0|0|0|635.715621
HOSP OP|0320 - DX X-RAY||75970|TRANSCATH BIOPSY|1662|880.86|1246.5|1329.6|1412.7|1495.8|0|1342.9|1196.64|1124.84|0|1662|694|0|313.38|1360.35|660|642|0|624.4750697|1246.5|1298.02|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|1662
HOSP OP|0320 - DX X-RAY||75984|PERC TUBE/CATH DRAIN CHG|939|497.67|704.25|751.2|798.15|845.1|0|758.71|676.08|635.52|0|939|694|0|313.38|768.57|660|642|0|624.4750697|704.25|733.36|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|583.1|0|0|0|0|0|0|0|0|939
HOSP OP|0350 - CT SCAN||75989|CT PERC DRAIN GUIDANCE|994|526.82|745.5|795.2|844.9|894.6|0|803.15|715.68|672.74|0|994|994|0|605.81|813.59|994|994|0|624.4750697|745.5|776.31|0|0|0|0|0|0|0|0|0|635.715621|624.4750697|405.191646|0|0|0|730.1|0|0|0|0|0|0|0|0|994
HOSP OP|0320 - DX X-RAY||76000|FLUOROSCOPY <ONE HOUR|612|324.36|459|489.6|520.2|550.8|520.2|494.5|440.64|414.2|0|612|612|451.03|313.38|500.92|612|612|439.74|142.5387446|459|477.97|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|145.104442|142.5387446|92.486492|0|0|258.25|583.1|499|444.2|257.53|478.81|450.05|250.03|257.5|0|612
HOSP OP|0320 - DX X-RAY||76098|RAD EXAM SURGICAL SPECIMEN|512|271.36|384|409.6|435.2|460.8|435.2|413.7|368.64|346.52|0|512|512|28.88|313.38|419.07|512|512|28.16|142.5387446|384|399.87|28.35|30.82|28.35|43.59|44.48|22.48|27.58|22.3|44.48|145.104442|142.5387446|92.486492|0|0|512|501.76|27.52|27.52|28.35|27.52|49.54|27.52|28.35|0|512
HOSP OP|0610 - MRI||76390|MR SPECTROSCOPY|2666|1412.98|1999.5|2132.8|2266.1|2399.4|2266.1|2154.13|1919.52|1804.35|0|2666|1868|1243.22|979.08|2182.12|1775|1728|1212.12|974.7013576|1999.5|2082.15|1066.4|0|1066.4|1200.14|1224.63|626.09|1066.4|613.92|1224.63|992.245982|974.7013576|632.436532|0|0|0|1178.54|0|0|1066.4|0|1333|1066.4|1066.4|0|2666
HOSP OP|0402 - ULTRASOUND||76506|ECHOENCEPHALOGRAPHY|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|282.82|198.48|443.63|335.5|326.83|275.75|262.0664862|406.5|423.3|87.79|95.46|87.79|314.81|321.23|162.75|85.4|161.04|321.23|266.783683|262.0664862|170.042258|0|0|126.02|240.16|85.23|85.23|87.79|85.23|153.41|85.23|87.79|0|542
HOSP OP|0402 - ULTRASOUND||76536|US SOFT TISSUE HEAD/NECK|625|331.25|468.75|500|531.25|562.5|531.25|505|450|423|0|625|407.5|220.09|228.88|511.56|386.88|376.88|214.59|262.0664862|468.75|488.13|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|276.94|240|213.64|123.86|230.29|216.45|120.25|123.85|0|625
HOSP OP|0402 - ULTRASOUND||76604|US CHEST|485|257.05|363.75|388|412.25|436.5|412.25|391.88|349.2|328.25|0|485|316.22|220.09|177.61|396.97|300.22|292.46|214.59|262.0664862|363.75|378.79|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|214.9|240|213.64|123.86|230.29|216.45|120.25|123.85|0|485
HOSP OP|0402 - ULTRASOUND||76700|US ABDOMINAL COMPLETE|681|360.93|510.75|544.8|578.85|612.9|578.85|550.25|490.32|460.9|0|681|444.01|220.09|249.38|557.4|421.54|410.64|214.59|262.0664862|510.75|531.86|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|301.75|240|213.64|123.86|230.29|216.45|120.25|123.85|0|681
HOSP OP|0402 - ULTRASOUND||76705|US ABD LIMITED|437|231.61|327.75|349.6|371.45|393.3|371.45|353.1|314.64|295.76|0|437|284.92|220.09|160.03|357.68|270.5|263.51|214.59|262.0664862|327.75|341.3|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|193.63|240|213.64|123.86|230.29|216.45|120.25|123.85|0|437
HOSP OP|0402 - ULTRASOUND||76770|US RETROPERITONEAL COMPLETE|501|265.53|375.75|400.8|425.85|450.9|425.85|404.81|360.72|339.08|0|501|326.65|220.09|183.47|410.07|310.12|302.1|214.59|262.0664862|375.75|391.28|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|221.99|240|213.64|123.86|230.29|216.45|120.25|123.85|0|501
HOSP OP|0402 - ULTRASOUND||76800|US SPINAL CANAL CONTENTS|527|279.31|395.25|421.6|447.95|474.3|447.95|425.82|379.44|356.67|0|527|343.6|220.09|192.99|431.35|326.21|317.78|214.59|262.0664862|395.25|411.59|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|233.51|240|213.64|123.86|230.29|216.45|120.25|123.85|0|527
HOSP OP|0402 - ULTRASOUND||76801|US OB <14 WEEKS|577|305.81|432.75|461.6|490.45|519.3|490.45|466.22|415.44|390.51|0|577|376.2|220.09|211.3|472.27|357.16|347.93|214.59|297.6717466|432.75|450.64|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|255.67|240|213.64|123.86|230.29|216.45|120.25|123.85|0|577
HOSP OP|0402 - ULTRASOUND||76802|US OB<14 WKS EA ADDL GEST|349|184.97|261.75|279.2|296.65|314.1|0|281.99|251.28|236.2|0|349|227.55|0|127.8|285.66|216.03|210.45|0|297.6717466|261.75|272.57|0|0|0|0|0|0|0|0|0|303.029838|297.6717466|193.144788|0|0|0|154.64|0|0|0|0|0|0|0|0|349
HOSP OP|0402 - ULTRASOUND||76805|US OB>14 WEEKS|676|358.28|507|540.8|574.6|608.4|574.6|546.21|486.72|457.52|0|676|440.75|220.09|247.55|553.31|418.44|407.63|214.59|297.6717466|507|527.96|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|299.54|240|213.64|123.86|230.29|216.45|120.25|123.85|0|676
HOSP OP|0402 - ULTRASOUND||76810|US OB>14 WKS EA ADDL GEST|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|297.6717466|327|340.52|0|0|0|0|0|0|0|0|0|303.029838|297.6717466|193.144788|0|0|0|193.19|0|0|0|0|0|0|0|0|436
HOSP OP|0402 - ULTRASOUND||76817|US OB TRANSVAGINAL|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|220.09|198.48|443.63|335.5|326.83|214.59|297.6717466|406.5|423.3|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|240.16|240|213.64|123.86|230.29|216.45|120.25|123.85|0|542
HOSP OP|0402 - ULTRASOUND||76818|FETAL BIOPHYSICAL PROFILE|837|443.61|627.75|669.6|711.45|753.3|711.45|676.3|602.64|566.48|0|837|545.72|220.09|306.51|685.08|518.1|504.71|214.59|297.6717466|627.75|653.7|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|370.87|240|213.64|123.86|230.29|216.45|120.25|123.85|0|837
HOSP OP|0402 - ULTRASOUND||76825|US ECHOCARIDOGRAM FETAL|1291.58|684.54|968.69|1033.26|1097.84|1162.42|1097.84|1043.6|929.94|874.14|0|1291.58|842.11|651.09|472.98|1057.16|799.49|778.82|634.81|297.6717466|968.69|1008.72|201.9|219.54|201.9|602.48|614.78|309.38|196.41|308.2|614.78|303.029838|297.6717466|193.144788|0|0|557.22|572.3|196.02|196.02|201.9|196.02|352.84|196.02|201.9|0|1291.58
HOSP OP|0402 - ULTRASOUND||76830|US TRANSVAGINAL NON-OB|433|229.49|324.75|346.4|368.05|389.7|368.05|349.86|311.76|293.05|0|433|282.32|220.09|158.56|354.41|268.03|261.1|214.59|262.0664862|324.75|338.17|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|191.86|240|213.64|123.86|230.29|216.45|120.25|123.85|0|433
HOSP OP|0402 - ULTRASOUND||76856|US PELVIC NON-OB|576|305.28|432|460.8|489.6|518.4|489.6|465.41|414.72|389.84|0|576|375.55|220.09|210.93|471.46|356.54|347.33|214.59|262.0664862|432|449.86|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|255.23|240|213.64|123.86|230.29|216.45|120.25|123.85|0|576
HOSP OP|0402 - ULTRASOUND||76857|US PELVIC LIMITED|500|265|375|400|425|450|425|404|360|338.4|0|500|326|220.09|183.1|409.25|309.5|301.5|214.59|262.0664862|375|390.5|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|221.55|240|213.64|123.86|230.29|216.45|120.25|123.85|0|500
HOSP OP|0402 - ULTRASOUND||76870|US SCROTUM AND CONTENTS|560|296.8|420|448|476|504|476|452.48|403.2|379.01|0|560|365.12|220.09|205.07|458.36|346.64|337.68|214.59|262.0664862|420|437.36|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|248.14|240|213.64|123.86|230.29|216.45|120.25|123.85|0|560
HOSP OP|0402 - ULTRASOUND||76872|ULTRASOUND TRANSRECTAL|396|209.88|297|316.8|336.6|356.4|336.6|319.97|285.12|268.01|0|396|258.19|220.09|145.02|324.13|245.12|238.79|214.59|262.0664862|297|309.28|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|175.47|240|213.64|123.86|230.29|216.45|120.25|123.85|0|396
HOSP OP|0402 - ULTRASOUND||76885|US INFANT HIP DYNAMIC|464|245.92|348|371.2|394.4|417.6|394.4|374.91|334.08|314.04|0|464|302.53|121.88|169.92|379.78|287.22|279.79|118.83|262.0664862|348|362.38|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|266.783683|262.0664862|170.042258|0|0|69.78|205.6|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|464
HOSP OP|0402 - ULTRASOUND||76936|US PSEUDOANEURYSM GUIDE|583|308.99|437.25|466.4|495.55|524.7|495.55|471.06|419.76|394.57|0|583|380.12|581.29|213.49|477.19|360.88|351.55|566.75|1051.9736|437.25|455.32|181.96|197.86|181.96|583|583|372.91|177.01|372.12|583|1070.909125|1051.9736|682.57475|0|0|282.6|258.33|176.66|176.66|181.96|176.66|317.99|176.66|181.96|0|1070.909125
HOSP OP|0402 - ULTRASOUND||76937|US GUIDE VASCULAR ACCESS|459|243.27|344.25|367.2|390.15|413.1|0|370.87|330.48|310.65|0|459|299.27|0|168.09|375.69|284.12|276.78|0|1051.9736|344.25|358.48|0|0|0|0|0|0|0|0|0|1070.909125|1051.9736|682.57475|0|0|0|203.38|0|0|0|0|0|0|0|0|1070.909125
HOSP OP|0402 - ULTRASOUND||76942|US GUIDE NEEDLE PLACEMENT|623|330.19|467.25|498.4|529.55|560.7|0|503.38|448.56|421.65|0|623|406.2|0|228.14|509.93|385.64|375.67|0|1051.9736|467.25|486.56|0|0|0|0|0|0|0|0|0|1070.909125|1051.9736|682.57475|0|0|0|276.05|0|0|0|0|0|0|0|0|1070.909125
HOSP OP|0402 - ULTRASOUND||76946|US GUIDE AMNIOCENTESIS|68|36.04|51|54.4|57.8|61.2|0|54.94|48.96|46.02|0|68|44.34|0|24.9|55.66|42.09|41|0|1051.9736|51|53.11|0|0|0|0|0|0|0|0|0|1070.909125|1051.9736|682.57475|0|0|0|30.13|0|0|0|0|0|0|0|0|1070.909125
HOSP OP|0402 - ULTRASOUND||76999|US UNLISTED PROCEDURE|385|204.05|288.75|308|327.25|346.5|327.25|311.08|277.2|260.57|0|385|251.02|121.88|140.99|315.12|238.32|232.16|118.83|262.0664862|288.75|300.69|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|266.783683|262.0664862|170.042258|0|0|69.78|170.59|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|385
HOSP OP|0333 - RADIATION RX||77280|TX SIMULATION SIMPLE|599|317.47|449.25|479.2|509.15|539.1|509.15|483.99|431.28|405.4|0|599|390.55|599|219.35|490.28|370.78|361.2|599|1833.759184|449.25|467.82|254.81|277.08|254.81|599|599|392.46|247.88|390.45|599|1866.766849|1833.759184|1189.837574|0|0|138.62|265.42|247.39|247.39|254.81|247.39|445.3|247.39|254.81|0|1866.766849
HOSP OP|0333 - RADIATION RX||77290|TX SIMULATION COMPLEX|1396|739.88|1047|1116.8|1186.6|1256.4|1186.6|1127.97|1005.12|944.81|0|1396|910.19|1396|511.22|1142.63|864.12|841.79|1396|1081.105177|1047|1090.28|440.4|478.88|440.4|1396|1396|735.56|428.43|719.47|1396|1100.56507|1081.105177|701.47682|0|0|360.46|618.57|427.57|427.57|440.4|427.57|769.63|427.57|440.4|0|1396
HOSP OP|0333 - RADIATION RX||77300|RADIATION DOSIMETRY CALC|392|207.76|294|313.6|333.2|352.8|333.2|316.74|282.24|265.31|0|392|255.58|115.54|143.55|320.85|242.65|236.38|112.65|803.3841464|294|306.15|35.49|38.6|35.49|181.13|184.83|92.37|34.53|92.66|184.83|817.845061|803.3841464|521.277086|0|0|138.62|173.7|34.46|34.46|35.49|34.46|62.03|34.46|35.49|0|817.845061
HOSP OP|0333 - RADIATION RX||77334|TREATMENT DEVICE COMPLEX|786|416.58|589.5|628.8|668.1|707.4|668.1|635.09|565.92|531.96|0|786|512.47|231.07|287.83|643.34|486.53|473.96|225.29|242.0569185|589.5|613.87|70.1|76.23|70.1|351.61|358.79|179.86|68.2|179.87|358.79|246.413943|242.0569185|157.059018|0|0|360.46|348.28|68.06|68.06|70.1|68.06|122.51|68.06|70.1|0|786
HOSP OP|0333 - RADIATION RX||77336|CONTIN PHYSICS CONSULT|583|308.99|437.25|466.4|495.55|524.7|495.55|471.06|419.76|394.57|0|583|380.12|271.99|213.49|477.19|360.88|351.55|265.19|332.3942318|437.25|455.32|83.18|90.45|83.18|216.97|221.4|111.43|80.92|110.99|221.4|338.377328|332.3942318|215.674528|0|0|138.62|258.33|80.76|80.76|83.18|80.76|145.37|80.76|83.18|0|583
HOSP OP|0333 - RADIATION RX||77370|SPECIAL PHYSICS CONSULT|871|461.63|653.25|696.8|740.35|783.9|740.35|703.77|627.12|589.49|0|871|567.89|423.63|318.96|712.91|539.15|525.21|413.04|332.3942318|653.25|680.25|129.36|140.66|129.36|337.08|343.96|171.06|125.84|172.43|343.96|338.377328|332.3942318|215.674528|0|0|138.62|385.94|125.59|125.59|129.36|125.59|226.06|125.59|129.36|0|871
HOSP OP|0333 - RADIATION RX||77417|TX PORT FILMS|229|121.37|171.75|183.2|194.65|206.1|0|185.03|164.88|154.99|0|229|149.31|0|83.86|187.44|141.75|138.09|0|142.5387446|171.75|178.85|0|0|0|0|0|0|0|0|0|145.104442|142.5387446|92.486492|0|0|0|101.47|0|0|0|0|0|0|0|0|229
HOSP OP|0341 - NUC MED/DX||78018|Hb Nuclear Med Whole Body Study For Thyroid Cancer|1266|670.98|949.5|1012.8|1076.1|1139.4|1076.1|1022.93|911.52|856.83|0|1266|1266|945.95|747.53|1036.22|1266|1266|922.29|848.2879705|949.5|988.75|291.83|317.33|291.83|877.58|895.49|449.65|283.9|448.92|895.49|863.557154|848.2879705|550.413004|0|0|510.22|1222.55|283.33|283.33|291.83|283.33|509.99|283.33|291.83|0|1266
HOSP OP|0341 - NUC MED/DX||78070|PARATHYROID SCAN|931|493.43|698.25|744.8|791.35|837.9|791.35|752.25|670.32|630.1|0|931|931|691.51|747.53|762.02|931|931|674.21|757.1267338|698.25|727.11|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|770.755015|757.1267338|491.26289|0|0|395.93|912.38|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|931
HOSP OP|0341 - NUC MED/DX||78195|NM LYMPHATICS/NODE IMAGING|1327|703.31|995.25|1061.6|1127.95|1194.3|1127.95|1072.22|955.44|898.11|0|1327|1327|891.09|747.53|1086.15|1327|1327|868.8|848.2879705|995.25|1036.39|521.58|567.15|521.58|1134.56|1157.71|376.8|507.4|382.82|1157.71|863.557154|848.2879705|550.413004|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1327
HOSP OP|0341 - NUC MED/DX||78215|NM LIVER/SPLEEN STATIC ONLY|1156|612.68|867|924.8|982.6|1040.4|982.6|934.05|832.32|782.38|0|1156|1156|691.51|747.53|946.19|1156|1156|674.21|757.1267338|867|902.84|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|770.755015|757.1267338|491.26289|0|0|395.93|1132.88|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1156
HOSP OP|0341 - NUC MED/DX||78262|NM GASTROESOPHAGEAL REFLUX|1202|637.06|901.5|961.6|1021.7|1081.8|1021.7|971.22|865.44|813.51|0|1202|1202|691.51|747.53|983.84|1202|1202|674.21|848.2879705|901.5|938.76|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|1177.96|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1202
HOSP OP|0341 - NUC MED/DX||78264|NM GASTRIC EMPTYING STUDY|1326|702.78|994.5|1060.8|1127.1|1193.4|1127.1|1071.41|954.72|897.44|0|1326|1326|691.51|747.53|1085.33|1326|1326|674.21|848.2879705|994.5|1035.61|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1326
HOSP OP|0341 - NUC MED/DX||78278|NM GI BLOOD LOSS IMAGING|1383|732.99|1037.25|1106.4|1175.55|1244.7|1175.55|1117.46|995.76|936.01|0|1383|1383|691.51|747.53|1131.99|1383|1349|674.21|848.2879705|1037.25|1080.12|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|863.557154|848.2879705|550.413004|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1383
HOSP OP|0341 - NUC MED/DX||78290|NM INTESTINE SCAN|1383|732.99|1037.25|1106.4|1175.55|1244.7|1175.55|1117.46|995.76|936.01|0|1383|1383|1032.6|747.53|1131.99|1383|1349|1006.78|757.1267338|1037.25|1080.12|318.54|346.37|318.54|926.01|944.91|476.53|309.88|473.7|944.91|770.755015|757.1267338|491.26289|0|0|395.93|1222.55|309.26|309.26|318.54|309.26|556.67|309.26|318.54|0|1383
HOSP OP|0341 - NUC MED/DX||78306|NM BONE/JNT SCAN WHOLE BODY|1163|616.39|872.25|930.4|988.55|1046.7|988.55|939.7|837.36|787.12|0|1163|1163|691.51|747.53|951.92|1163|1163|674.21|757.1267338|872.25|908.3|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|770.755015|757.1267338|491.26289|0|0|395.93|1139.74|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1163
HOSP OP|0341 - NUC MED/DX||78315|NM BONE/JNT SCAN 3 PHASE|1489|789.17|1116.75|1191.2|1265.65|1340.1|1265.65|1203.11|1072.08|1007.76|0|1489|1459|691.51|747.53|1218.75|1386|1349|674.21|757.1267338|1116.75|1162.91|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|770.755015|757.1267338|491.26289|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1489
HOSP OP|0341 - NUC MED/DX||78472|NM CARDIAC BLOOD POOL SING|1520|805.6|1140|1216|1292|1368|1292|1228.16|1094.4|1028.74|0|1520|1459|691.51|747.53|1244.12|1386|1349|674.21|757.1267338|1140|1187.12|406.82|442.36|406.82|884.9|902.96|293.89|395.76|298.58|902.96|770.755015|757.1267338|491.26289|0|0|395.93|1222.55|788.26|701.69|406.82|756.36|710.94|394.97|406.77|0|1520
HOSP OP|0341 - NUC MED/DX||78630|NM CISTERNOGRAM|1418|751.54|1063.5|1134.4|1205.3|1276.2|1205.3|1145.74|1020.96|959.7|0|1418|1418|891.09|747.53|1160.63|1386|1349|868.8|848.2879705|1063.5|1107.46|521.58|567.15|521.58|1134.56|1157.71|376.8|507.4|382.82|1157.71|863.557154|848.2879705|550.413004|0|0|510.22|1222.55|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1418
HOSP OP|0341 - NUC MED/DX||78645|NM SHUT EVAL|953|505.09|714.75|762.4|810.05|857.7|810.05|770.02|686.16|644.99|0|953|953|891.09|747.53|780.03|953|953|868.8|757.1267338|714.75|744.29|521.58|567.15|521.58|953|953|376.8|507.4|382.82|953|770.755015|757.1267338|491.26289|0|0|510.22|933.94|953|899.65|521.58|953|911.5|506.39|521.53|0|953
HOSP OP|0342 - NUC MED/RX||78708|NM KIDNEY W/FLOW AND MEDS|1184|627.52|888|947.2|1006.4|1065.6|1006.4|956.67|852.48|801.33|0|1184|1184|891.09|747.53|969.1|1184|1184|868.8|757.1267338|888|924.7|521.58|567.15|521.58|1134.56|1157.71|376.8|507.4|382.82|1157.71|770.755015|757.1267338|491.26289|0|0|510.22|1160.32|1010.65|899.65|521.58|969.76|911.5|506.39|521.53|0|1184
HOSP OP|0342 - NUC MED/RX||78802|NM RP TUMOR LOC WB|1829|969.37|1371.75|1463.2|1554.65|1646.1|1554.65|1477.83|1316.88|1237.87|0|1829|1459|1829|747.53|1497.04|1386|1349|1829|1728.473546|1371.75|1428.45|1405.88|1528.72|1405.88|1829|1829|1015.64|1367.66|1031.86|1829|1759.58607|1728.473546|1121.52282|0|0|1377|1222.55|1829|1829|1405.88|1829|1829|1364.93|1405.72|0|1829
HOSP OP|0342 - NUC MED/RX||78804|NM RP TUMOR LOC 2 OR > DAYS|3440|1823.2|2580|2752|2924|3096|2924|2779.52|2476.8|2328.19|0|3440|1459|2404.95|747.53|2815.64|1386|1349|2344.79|1728.473546|2580|2686.64|1405.88|1528.72|1405.88|3058.1|3120.51|1015.64|1367.66|1031.86|3120.51|1759.58607|1728.473546|1121.52282|0|0|1377|1222.55|2724.11|2424.93|1405.88|2613.89|2456.88|1364.93|1405.72|0|3440
HOSP OP|0404 - PET SCAN||78815|PET/CT SCAN SKULL TO MID-THIGH|4166|2207.98|3124.5|3332.8|3541.1|3749.4|3541.1|3366.13|2999.52|2819.55|0|4166|2925|2690.87|1530.99|3409.87|2778|2705|2623.55|3525.391584|3124.5|3253.65|1594.74|1734.09|1594.74|3468.91|3539.71|1152.07|1551.39|1170.47|3539.71|3588.848633|3525.391584|2287.455958|0|0|1540.7|2449.99|3090.06|2750.69|1594.74|2965.03|2786.92|1548.29|1594.56|0|4166
HOSP OP|0404 - PET SCAN||78816|PET/CT SCAN WHOLE BODY|4714|2498.42|3535.5|3771.2|4006.9|4242.6|4006.9|3808.91|3394.08|3190.44|0|4714|2925|2690.87|1530.99|3858.41|2778|2705|2623.55|3525.391584|3535.5|3681.63|1594.74|1734.09|1594.74|3468.91|3539.71|1152.07|1551.39|1170.47|3539.71|3588.848633|3525.391584|2287.455958|0|0|1540.7|2449.99|3090.06|2750.69|1594.74|2965.03|2786.92|1548.29|1594.56|0|4714
HOSP OP|0342 - NUC MED/RX||79005|NM RP ORAL ADMINISTRATION|1029|545.37|771.75|823.2|874.65|926.1|874.65|831.43|740.88|696.43|0|1029|1029|451.67|747.53|842.24|1029|1029|440.37|370.6478173|771.75|803.65|262.35|285.27|262.35|570.67|582.31|189.53|255.22|192.55|582.31|377.319478|370.6478173|240.495428|0|0|258.61|1008.42|508.34|452.51|262.35|487.77|458.47|254.71|262.32|0|1029
HOSP OP|0342 - NUC MED/RX||79101|NM RP IV ADMIN THERAPY|952|504.56|714|761.6|809.2|856.8|809.2|769.22|685.44|644.31|0|952|952|451.67|747.53|779.21|952|952|440.37|370.6478173|714|743.51|262.35|285.27|262.35|570.67|582.31|189.53|255.22|192.55|582.31|377.319478|370.6478173|240.495428|0|0|258.61|932.96|508.34|452.51|262.35|487.77|458.47|254.71|262.32|0|952
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93880|DUPLEX SCAN EXTRACRANIAL BIL|683|361.99|512.25|546.4|580.55|614.7|580.55|551.86|491.76|462.25|0|683|445.32|451.03|250.11|559.04|422.78|411.85|439.74|262.0664862|512.25|533.42|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|266.783683|262.0664862|170.042258|0|0|258.25|302.64|499|444.2|257.53|478.81|450.05|250.03|257.5|0|683
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93886|TRANSCRANIAL COMPLETE|814|431.42|610.5|651.2|691.9|732.6|691.9|657.71|586.08|550.92|0|814|530.73|761.82|298.09|666.26|503.87|490.84|742.76|262.0664862|610.5|635.73|238.39|259.22|238.39|744.88|760.08|381.22|231.91|381.04|760.08|266.783683|262.0664862|170.042258|0|0|258.25|360.68|231.45|231.45|238.39|231.45|416.61|231.45|238.39|0|814
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93922|UPPER/LOW EXTRM ART 2LVLS|560|296.8|420|448|476|504|476|452.48|403.2|379.01|0|560|365.12|208.31|205.07|458.36|346.64|337.68|203.1|388.0679116|420|437.36|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|395.053134|388.0679116|251.798484|0|0|119.27|248.14|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|560
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93923|PHYS STUDY UP/LOW EXTREM BIL|604|320.12|453|483.2|513.4|543.6|513.4|488.03|434.88|408.79|0|604|393.81|265.95|221.18|494.37|373.88|364.21|259.3|388.0679116|453|471.72|152.89|166.25|152.89|332.57|339.35|110.45|148.73|112.21|339.35|395.053134|388.0679116|251.798484|0|0|152.27|267.63|296.25|263.71|152.89|284.26|267.18|148.44|152.87|0|604
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93924|LOW EXTRM VASC STUDY BILAT|655|347.15|491.25|524|556.75|589.5|556.75|529.24|471.6|443.3|0|655|427.06|265.95|239.86|536.12|405.45|394.97|259.3|388.0679116|491.25|511.56|152.89|166.25|152.89|332.57|339.35|110.45|148.73|112.21|339.35|395.053134|388.0679116|251.798484|0|0|152.27|290.23|296.25|263.71|152.89|284.26|267.18|148.44|152.87|0|655
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93925|DUPLX SCAN LOW EXT ART  BIL|771|408.63|578.25|616.8|655.35|693.9|655.35|622.97|555.12|521.81|0|771|502.69|451.03|282.34|631.06|477.25|464.91|439.74|352.9923163|578.25|602.15|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|359.346178|352.9923163|229.039628|0|0|258.25|341.63|499|444.2|257.53|478.81|450.05|250.03|257.5|0|771
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93926|DUPLX SCAN L-E ART UNI/LMT|482|255.46|361.5|385.6|409.7|433.8|409.7|389.46|347.04|326.22|0|482|314.26|220.09|176.51|394.52|298.36|290.65|214.59|352.9923163|361.5|376.44|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|359.346178|352.9923163|229.039628|0|0|126.02|213.57|240|213.64|123.86|230.29|216.45|120.25|123.85|0|482
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93930|DUPLEX ART ARMS OR BGRAFT|857|454.21|642.75|685.6|728.45|771.3|728.45|692.46|617.04|580.02|0|857|558.76|451.03|313.83|701.45|530.48|516.77|439.74|262.0664862|642.75|669.32|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|266.783683|262.0664862|170.042258|0|0|258.25|379.74|499|444.2|257.53|478.81|450.05|250.03|257.5|0|857
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93931|DUPLEX ART ARM LIMITED|493|261.29|369.75|394.4|419.05|443.7|419.05|398.34|354.96|333.66|0|493|321.44|220.09|180.54|403.52|305.17|297.28|214.59|262.0664862|369.75|385.03|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|218.45|240|213.64|123.86|230.29|216.45|120.25|123.85|0|493
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93970|EXT VEINS/RESPONSES BILAT|1003|531.59|752.25|802.4|852.55|902.7|852.55|810.42|722.16|678.83|0|1003|653.96|451.03|367.3|820.96|620.86|604.81|439.74|352.9923163|752.25|783.34|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|359.346178|352.9923163|229.039628|0|0|258.25|444.43|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1003
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93971|EXT VEINS/RESPONSES BILAT|542|287.26|406.5|433.6|460.7|487.8|460.7|437.94|390.24|366.83|0|542|353.38|220.09|198.48|443.63|335.5|326.83|214.59|352.9923163|406.5|423.3|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|359.346178|352.9923163|229.039628|0|0|126.02|240.16|240|213.64|123.86|230.29|216.45|120.25|123.85|0|542
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93975|DUPLEX ABD/PELVIC/SCROTAL|1084|574.52|813|867.2|921.4|975.6|921.4|875.87|780.48|733.65|0|1084|706.77|451.03|396.96|887.25|671|653.65|439.74|262.0664862|813|846.6|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|266.783683|262.0664862|170.042258|0|0|258.25|480.32|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1084
HOSP OP|0921 - PERIPHERAL VASCULAR LAB||93990|DUPLEX HEMODIALYSIS ACCESS|580|307.4|435|464|493|522|493|468.64|417.6|392.54|0|580|378.16|220.09|212.4|474.73|359.02|349.74|214.59|262.0664862|435|452.98|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|266.783683|262.0664862|170.042258|0|0|126.02|257|240|213.64|123.86|230.29|216.45|120.25|123.85|0|580
HOSP OP|0740 - EEG||95816|EEG RECORD AWAKE & DROWSY|810|429.3|607.5|648|688.5|729|688.5|654.48|583.2|548.21|0|810|528.12|493.57|296.62|662.99|501.39|488.43|481.23|563.7401464|607.5|632.61|279.7|304.14|279.7|608.4|620.82|202.06|272.09|205.29|620.82|573.887469|563.7401464|365.783694|0|0|282.6|358.91|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|810
HOSP OP|0740 - EEG||95822|EEG RECORD COMA PORTABLE|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|540.51|829|303.58|678.54|513.15|499.89|829|563.7401464|621.75|647.45|353.9|384.82|353.9|829|829|531.27|344.28|542.57|829|573.887469|563.7401464|365.783694|0|0|282.6|367.33|343.59|343.59|353.9|343.59|618.46|343.59|353.9|0|829
HOSP OP|0740 - EEG||95955|EEG NONINTRACRANIAL SURGERY|832|440.96|624|665.6|707.2|748.8|0|672.26|599.04|563.1|0|832|542.46|0|304.68|680.99|515.01|501.7|0|563.7401464|624|649.79|0|0|0|0|0|0|0|0|0|573.887469|563.7401464|365.783694|0|0|0|368.66|0|0|0|0|0|0|0|0|832
HOSP OP|0331 - CHEMOTHERAPY/INJ||96450|ADMIN CHEMO CNS W/SPINAL P|531|281.43|398.25|424.8|451.35|477.9|451.35|429.05|382.32|359.38|0|531|346.21|531|194.45|434.62|328.69|320.19|531|476.1688615|398.25|414.71|342.13|372.03|342.13|320.54|320.54|247.16|332.83|251.11|320.54|484.739901|476.1688615|308.962926|0|0|323|235.29|531|531|342.13|531|531|332.17|342.1|0|531
HOSP OP|0618 - MRA/OTHER||C8900|MRA ABD WITH|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|977.76|979.08|1429.1|1746|1728|953.32|989.1788684|1309.5|1363.63|698.4|0|698.4|1508.54|1567.7|752|698.4|764.22|1567.7|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|0|0|698.4|0|873|698.4|698.4|0|1746
HOSP OP|0618 - MRA/OTHER||C8901|MRA ABD W/O|1746|925.38|1309.5|1396.8|1484.1|1571.4|1484.1|1410.77|1257.12|1181.69|0|1746|1746|977.76|979.08|1429.1|1746|1728|953.32|989.1788684|1309.5|1363.63|698.4|0|698.4|1508.54|1567.7|752|698.4|764.22|1567.7|1006.984088|989.1788684|641.830288|0|0|258.25|1178.54|0|0|698.4|0|873|698.4|698.4|0|1746
HOSP OP|0618 - MRA/OTHER||C8902|MRA ABD W&W/O|1950|1033.5|1462.5|1560|1657.5|1755|1657.5|1575.6|1404|1319.76|0|1950|1868|754.87|979.08|1596.08|1775|1728|735.99|989.1788684|1462.5|1522.95|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1950
HOSP OP|0610 - MRI||C8903|MRI BREAST UNILATERAL W CONT|2321|1230.13|1740.75|1856.8|1972.85|2088.9|1972.85|1875.37|1671.12|1570.85|0|2321|1868|1299.76|979.08|1899.74|1775|1728|1267.27|974.7013576|1740.75|1812.7|928.4|0|928.4|2005.34|2083.98|999.65|928.4|1015.9|2083.98|992.245982|974.7013576|632.436532|0|0|225.96|1178.54|0|0|928.4|0|1160.5|928.4|928.4|0|2321
HOSP OP|0610 - MRI||C8905|MRI BREAST UNI W&W/O|2764|1464.92|2073|2211.2|2349.4|2487.6|2349.4|2233.31|1990.08|1870.68|0|2764|1868|754.87|979.08|2262.33|1775|1728|735.99|974.7013576|2073|2158.68|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2764
HOSP OP|0610 - MRI||C8906|MRI BREAST BILAT W/CONTRAST|2764|1464.92|2073|2211.2|2349.4|2487.6|2349.4|2233.31|1990.08|1870.68|0|2764|1868|1547.84|979.08|2262.33|1775|1728|1509.14|974.7013576|2073|2158.68|1105.6|0|1105.6|2388.1|2481.74|1190.45|1105.6|1209.8|2481.74|992.245982|974.7013576|632.436532|0|0|432.22|1178.54|0|0|1105.6|0|1382|1105.6|1105.6|0|2764
HOSP OP|0618 - MRA/OTHER||C8909|MRA CHEST WITH CONTRAST|2559|1356.27|1919.25|2047.2|2175.15|2303.1|2175.15|2067.67|1842.48|1731.93|0|2559|1868|1433.04|979.08|2094.54|1775|1728|1397.21|922.735333|1919.25|1998.58|1023.6|0|1023.6|2210.98|2297.67|1102.16|1023.6|1120.07|2297.67|939.344569|922.735333|598.718294|0|0|432.22|1178.54|0|0|1023.6|0|1279.5|1023.6|1023.6|0|2559
HOSP OP|0618 - MRA/OTHER||C8910|MRA CHEST W/O CONTRAST|2483|1315.99|1862.25|1986.4|2110.55|2234.7|2110.55|2006.26|1787.76|1680.49|0|2483|1868|1390.48|979.08|2032.34|1775|1728|1355.72|922.735333|1862.25|1939.22|993.2|0|993.2|2145.31|2229.44|1069.43|993.2|1086.81|2229.44|939.344569|922.735333|598.718294|0|0|258.25|1178.54|0|0|993.2|0|1241.5|993.2|993.2|0|2483
HOSP OP|0618 - MRA/OTHER||C8911|MRA CHEST W&W/O|2745|1454.85|2058.75|2196|2333.25|2470.5|2333.25|2217.96|1976.4|1857.82|0|2745|1868|1537.2|979.08|2246.78|1775|1728|1498.77|922.735333|2058.75|2143.85|1098|0|1098|2371.68|2464.68|1182.27|1098|1201.49|2464.68|939.344569|922.735333|598.718294|0|0|432.22|1178.54|0|0|1098|0|1372.5|1098|1098|0|2745
HOSP OP|0618 - MRA/OTHER||C8912|MRA LOWER EXTREM W/CONT LT|2128|1127.84|1596|1702.4|1808.8|1915.2|1808.8|1719.42|1532.16|1440.23|0|2128|1868|1191.68|979.08|1741.77|1775|1728|1161.89|989.1788684|1596|1661.97|851.2|0|851.2|1838.59|1910.69|916.53|851.2|931.43|1910.69|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|0|0|851.2|0|1064|851.2|851.2|0|2128
HOSP OP|0618 - MRA/OTHER||C8914|MRA LOWER EXT W&W/O|1844|977.32|1383|1475.2|1567.4|1659.6|1567.4|1489.95|1327.68|1248.02|0|1844|1844|754.87|979.08|1509.31|1775|1728|735.99|989.1788684|1383|1440.16|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|1844
HOSP OP|0618 - MRA/OTHER||C8918|MRA PELVIS W/ CONTRAST|2183|1156.99|1637.25|1746.4|1855.55|1964.7|1855.55|1763.86|1571.76|1477.45|0|2183|1868|754.87|979.08|1786.79|1775|1728|735.99|989.1788684|1637.25|1704.92|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2183
HOSP OP|0618 - MRA/OTHER||C8920|MRA PELVIS W&W/O CONTRAST|2467|1307.51|1850.25|1973.6|2096.95|2220.3|2096.95|1993.34|1776.24|1669.67|0|2467|1868|1381.52|979.08|2019.24|1775|1728|1346.98|989.1788684|1850.25|1926.73|986.8|0|986.8|2131.49|2215.07|1062.54|986.8|1079.81|2215.07|1006.984088|989.1788684|641.830288|0|0|432.22|1178.54|0|0|986.8|0|1233.5|986.8|986.8|0|2467
HOSP OP|0310 - PATHOLOGY LAB||81381|Hb Hla-b 5701 Genotype Abacavir|226.2|119.89|169.65|180.96|192.27|203.58|192.27|182.77|162.86|153.09|0|226.2|219.17|226.2|159.37|185.14|208.3|202.69|223.64|186.8860511|169.65|176.66|175|190.29|175|226.2|226.2|190.61|170.24|193.25|226.2|190.25|186.8860511|190.25|0|0|190.3|117.09|169.9|169.9|175|169.9|226.2|169.9|175|0|226.2
HOSP OP|0301 - LAB/CHEMISTRY||82657|Hexokinase|73.19|38.79|54.89|58.55|62.21|65.87|62.21|59.14|52.7|49.53|0|73.19|28.6|29.93|20.8|59.91|27.18|26.45|29.18|24.39096267|54.89|57.16|22.84|24.83|22.84|45.52|46.45|24.93|22.21|23.29|46.45|24.83|24.39096267|24.83|0|0|0|15.28|22.17|22.17|22.84|22.17|39.91|22.17|22.84|0|73.19
HOSP OP|0306 - LAB/BACT-MICRO||87798|CPT CODE 87798|153.65|81.43|115.24|122.92|130.6|138.29|130.6|124.15|110.63|103.99|0|153.65|50.3|52.64|36.57|125.76|47.8|46.52|51.32|38.59528487|115.24|120|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|153.65
HOSP OP|0301 - LAB/CHEMISTRY||80299|CPT CODE 80299|62.55|33.15|46.91|50.04|53.17|56.3|53.17|50.54|45.04|42.33|0|62.55|24.05|25.16|17.48|51.2|22.85|22.24|24.53|20.50098232|46.91|48.85|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|62.55
HOSP OP|0301 - LAB/CHEMISTRY||82438|CPT CODE 82438|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.500982318|0|0|0|0|0|0|0|0|0|0|0|5.6|5.500982318|5.6|0|0|0|0|0|0|0|0|0|0|0|0|5.6
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|CPT CODE 83516|32.71|17.34|24.53|26.17|27.8|29.44|27.8|26.43|23.55|22.14|0|32.71|16.52|17.29|12.02|26.77|15.71|15.28|16.86|11.5324165|24.53|25.55|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|32.71
HOSP OP|0310 - PATHOLOGY LAB||88271|CPT CODE 88271|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|27|27|22.32|22.1|27|27|27|23.55599214|20.25|21.09|22.06|23.99|22.06|27|27|27|21.46|25.27|27|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|27|21.42|22.06|0|27
HOSP OP|0310 - PATHOLOGY LAB||88273|CPT CODE 88273|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.29076621|0|0|0|0|0|0|0|0|0|0|0|38.98|38.29076621|38.98|0|0|0|0|0|0|0|0|0|0|0|0|38.98
HOSP OP|0301 - LAB/CHEMISTRY||84311|CPT CODE 84311|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.909626719|0|0|0|0|0|0|0|0|0|0|0|9.07|8.909626719|9.07|0|0|0|0|0|0|0|0|0|0|0|0|9.07
HOSP OP|0301 - LAB/CHEMISTRY||84999|CPT CODE 84999|3|1.59|2.25|2.4|2.55|2.7|2.55|2.42|2.16|2.03|0|3|1.98|1.68|1.45|2.46|1.88|1.83|1.64|36.48803536|2.25|2.34|1.2|0|1.2|3|3|3|1.2|3|3|37.14482|36.48803536|23.67532|0|0|0|1.43|0|0|1.2|0|1.5|1.2|1.2|0|37.14482
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|CPT CODE 86334|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.31865619|0|0|0|0|0|0|0|0|0|0|0|52.242392|51.31865619|33.298192|0|0|0|0|0|0|0|0|0|0|0|0|52.242392
HOSP OP|0300 - LABORATORY||88289|Hb Maternal Cell Contamination|297.6|157.73|223.2|238.08|252.96|267.84|252.96|240.46|214.27|201.42|0|297.6|49.36|51.65|35.89|243.59|46.91|45.64|50.36|37.86836935|223.2|232.43|35.46|38.56|35.46|79.43|81.05|47.9|34.5|40.63|81.05|38.55|37.86836935|38.55|0|0|0|26.37|34.43|34.43|35.46|34.43|61.97|34.43|35.46|0|297.6
HOSP OP|0301 - LAB/CHEMISTRY||84302|CPT CODE 84302|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.353634578|0|0|0|0|0|0|0|0|0|0|0|5.45|5.353634578|5.45|0|0|0|0|0|0|0|0|0|0|0|0|5.45
HOSP OP|0301 - LAB/CHEMISTRY||80321|Hb Phosphatidylethanol|94.2|49.93|70.65|75.36|80.07|84.78|80.07|76.11|67.82|63.75|0|94.2|62.27|0|45.4|77.1|59.16|57.56|0|16.20825147|70.65|73.57|94.2|0|94.2|31|31.63|94.2|37.68|15.86|31.63|16.5|16.20825147|16.5|0|0|0|78.86|94.2|94.2|94.2|94.2|94.2|94.2|94.2|0|94.2
HOSP OP|0306 - LAB/BACT-MICRO||87556|CPT CODE 87556|0|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|53.77|0|0|51.57|51.1|49.72|54.86|45.8546169|47.25|49.2|42.93|46.68|42.93|63|63|48.39|0|44.1|63|46.68|45.8546169|46.68|0|0|0|28.72|41.68|41.68|42.93|41.68|63|41.68|42.93|0|63
HOSP OP|0301 - LAB/CHEMISTRY||84410|Hb Bioavailable Testosterone|59.83|31.71|44.87|47.86|50.86|53.85|50.86|48.34|43.08|40.49|0|59.83|59.83|59.83|53.45|48.97|59.83|59.83|59.83|56.41453831|44.87|46.73|52.82|57.43|52.82|59.83|59.83|59.83|51.38|59.83|59.83|57.43|56.41453831|57.43|0|0|0|39.27|51.28|51.28|52.82|51.28|59.83|51.28|52.82|0|59.83
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|IMMUNOASSAY NOT SPECIFIED|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|22.28|23.31|16.2|54.02|21.17|20.6|22.73|17.26915521|49.5|51.55|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|66
HOSP OP|0302 - LAB/IMMUNOLOGY||86682|HELMINTH NOT ELSE. SPEC.|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.31237721|0|0|0|0|0|0|0|0|0|0|0|14.57|14.31237721|14.57|0|0|0|0|0|0|0|0|0|0|0|0|14.57
HOSP OP|0301 - LAB/CHEMISTRY||84087|PHOSPHOHEXOSE ISOMERASE|41.83|22.17|31.37|33.46|35.56|37.65|35.56|33.8|30.12|28.31|0|41.83|14.8|15.48|10.76|34.24|14.06|13.68|15.09|11.79764244|31.37|32.67|11.05|12.02|11.05|24.22|24.71|14.17|10.75|12.39|24.71|12.01|11.79764244|12.01|0|0|0|7.9|10.73|10.73|11.05|10.73|19.31|10.73|11.05|0|41.83
HOSP OP|0301 - LAB/CHEMISTRY||85060|Morphology Review|82.6|43.78|61.95|66.08|70.21|74.34|70.21|66.74|59.47|55.9|0|82.6|50.46|0|36.69|67.61|47.96|46.67|0|0|61.95|64.51|25.4|27.62|25.4|66.84|68.2|34.21|24.71|34.19|68.2|0|0|0|0|0|27.84|26.96|24.66|24.66|25.4|24.66|44.39|24.66|25.4|0|82.6
HOSP OP|0306 - LAB/BACT-MICRO||87077|ID Aerobic (MAYO)|134.1|71.07|100.58|107.28|113.99|120.69|113.99|108.35|96.55|90.76|0|134.1|11.57|12.11|8.41|109.76|11|10.7|11.81|8.084479371|100.58|104.73|8.32|9.05|8.32|18.4|18.78|11.24|8.1|9.41|18.78|8.23|8.084479371|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|134.1
HOSP OP|0306 - LAB/BACT-MICRO||87107|ID Fungus/Mold|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.34577603|60.75|63.26|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87106|ID Yeast|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|14.8|15.48|10.76|51.57|14.06|13.68|15.09|11.34577603|47.25|49.2|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|63
HOSP OP|0306 - LAB/BACT-MICRO||87106|ID Yeast (MAYO)|99.24|52.6|74.43|79.39|84.35|89.32|84.35|80.19|71.45|67.17|0|99.24|14.8|15.48|10.76|81.23|14.06|13.68|15.09|11.34577603|74.43|77.51|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|99.24
HOSP OP|0306 - LAB/BACT-MICRO||87076|ID Anaerobic|62|32.86|46.5|49.6|52.7|55.8|52.7|50.1|44.64|41.96|0|62|11.57|12.11|8.41|50.75|11|10.7|11.81|8.889980354|46.5|48.42|8.32|9.05|8.32|18.4|18.78|11.24|8.1|9.41|18.78|9.05|8.889980354|9.05|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|62
HOSP OP|0306 - LAB/BACT-MICRO||87076|ID Anaer. (MAYO)|177.05|93.84|132.79|141.64|150.49|159.35|150.49|143.06|127.48|119.83|0|177.05|11.57|12.11|8.41|144.92|11|10.7|11.81|8.889980354|132.79|138.28|8.32|9.05|8.32|18.4|18.78|11.24|8.1|9.41|18.78|9.05|8.889980354|9.05|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|177.05
HOSP OP|0306 - LAB/BACT-MICRO||87206|HCMC SMEAR-AFB|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|7.73|8.09|5.62|20.46|7.34|7.15|7.89|5.933202358|18.75|19.53|5.55|6.04|5.55|12.59|12.85|7.33|5.4|6.44|12.85|6.04|5.933202358|6.04|0|0|0|4.12|5.39|5.39|5.55|5.39|9.7|5.39|5.55|0|25
HOSP OP|0306 - LAB/BACT-MICRO||87116|HCMC CULT-TB|69.2|36.68|51.9|55.36|58.82|62.28|58.82|55.91|49.82|46.83|0|69.2|15.48|16.2|11.26|56.64|14.71|14.32|15.8|11.8762279|51.9|54.05|11.12|12.1|11.12|25.19|25.7|15.15|10.82|12.88|25.7|12.09|11.8762279|12.09|0|0|0|8.27|10.8|10.8|11.12|10.8|19.44|10.8|11.12|0|69.2
HOSP OP|0306 - LAB/BACT-MICRO||87498|Hb Enterovirus Pcr Csf|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|50.3|52.64|36.57|74.48|47.8|46.52|51.32|38.59528487|68.25|71.07|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|91
HOSP OP|0306 - LAB/BACT-MICRO||87040|CULT-BLOOD AEROBIC (1 BOTTLE)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|14.8|15.48|10.76|66.3|14.06|13.68|15.09|11.34577603|60.75|63.26|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|81
HOSP OP|0306 - LAB/BACT-MICRO||87281|Hb Pneumocystis Dfa|47.1|24.96|35.33|37.68|40.04|42.39|40.04|38.06|33.91|31.88|0|47.1|17.18|17.98|12.49|38.55|16.33|15.89|17.53|13.1827112|35.33|36.79|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|47.1
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-SPUTUM|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.479371316|50.25|52.33|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GC|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|9.49|9.94|6.9|17.19|9.02|8.78|9.69|7.288801572|15.75|16.4|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|21
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-NASAL|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|9.49|9.94|6.9|18.83|9.02|8.78|9.69|7.288801572|17.25|17.96|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|23
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-AEROBIC|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.479371316|45.75|47.64|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87209|Hb Smear Complex Special Stain For O & P|29.77|15.78|22.33|23.82|25.3|26.79|25.3|24.05|21.43|20.15|0|29.77|25.76|26.96|18.73|24.37|24.48|23.82|26.29|19.78388998|22.33|23.25|18.52|20.14|18.52|29.77|29.77|24.93|18.02|21.31|29.77|20.14|19.78388998|20.14|0|0|0|13.76|17.98|17.98|18.52|17.98|29.77|17.98|18.52|0|29.77
HOSP OP|0306 - LAB/BACT-MICRO||87177|Hb Ova & Parasites Direct Smears Conc & Id|20.85|11.05|15.64|16.68|17.72|18.77|17.72|16.85|15.01|14.11|0|20.85|12.76|13.35|9.28|17.07|12.13|11.8|13.02|9.793713163|15.64|16.28|9.17|9.97|9.17|20.34|20.76|12.22|8.92|10.41|20.76|9.97|9.793713163|9.97|0|0|0|6.81|8.9|8.9|9.17|8.9|16.02|8.9|9.17|0|20.85
HOSP OP|0306 - LAB/BACT-MICRO||87328|Hb Cryptosporidium|48.74|25.83|36.56|38.99|41.43|43.87|41.43|39.38|35.09|32.99|0|48.74|17.83|18.66|12.96|39.89|16.94|16.49|18.19|15.19646365|36.56|38.07|14.23|15.48|14.23|29.06|29.65|16.62|13.85|14.87|29.65|15.47|15.19646365|15.47|0|0|0|9.52|13.82|13.82|14.23|13.82|24.88|13.82|14.23|0|48.74
HOSP OP|0306 - LAB/BACT-MICRO||87102|CULT-YEAST|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.05|12.61|8.76|54.02|11.45|11.14|12.29|9.253438114|49.5|51.55|8.66|9.42|8.66|19.37|19.77|11.73|8.43|9.91|19.77|9.42|9.253438114|9.42|0|0|0|6.44|8.41|8.41|8.66|8.41|15.14|8.41|8.66|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87168|Hb Arthropod (ectoparasite) Id|87.55|46.4|65.66|70.04|74.42|78.8|74.42|70.74|63.04|59.25|0|87.55|6.13|6.41|4.46|71.66|5.82|5.67|6.25|4.695481336|65.66|68.38|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|87.55
HOSP OP|0306 - LAB/BACT-MICRO||87169|WORM IDENTIFICATION|106|56.18|79.5|84.8|90.1|95.4|90.1|85.65|76.32|71.74|0|106|6.13|6.41|4.46|86.76|5.82|5.67|6.25|4.74459725|79.5|82.79|4.44|4.83|4.44|9.68|9.88|5.86|4.32|4.96|9.88|4.83|4.74459725|4.83|0|0|0|3.27|4.31|4.31|4.44|4.31|7.76|4.31|4.44|0|106
HOSP OP|0306 - LAB/BACT-MICRO||87329|Hb Giardia|36.5|19.34|27.38|29.2|31.03|32.85|31.03|29.49|26.28|24.7|0|36.5|17.18|17.98|12.49|29.88|16.33|15.89|17.53|13.1827112|27.38|28.51|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|36.5
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-EYE|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|12.35|12.92|8.98|49.11|11.73|11.42|12.6|9.479371316|45|46.86|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-ROUTINE|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.35|12.92|8.98|54.02|11.73|11.42|12.6|9.479371316|49.5|51.55|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-LOWER RESP. (RT USE ONLY)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.479371316|50.25|52.33|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87205|SMEAR-GRAM STAIN|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|6.13|6.41|4.46|28.65|5.82|5.67|6.25|4.695481336|26.25|27.34|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|35
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-WOUND|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|12.35|12.92|8.98|52.38|11.73|11.42|12.6|9.479371316|48|49.98|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|64
HOSP OP|0306 - LAB/BACT-MICRO||87103|CULT-FUNGUS BLOOD|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|26.39|27.62|19.19|52.38|25.08|24.41|26.93|22.51473477|48|49.98|21.07|22.92|21.07|42.62|43.49|22.97|20.5|21.8|43.49|22.92|22.51473477|22.92|0|0|0|14.09|20.46|20.46|21.07|20.46|36.83|20.46|21.07|0|64
HOSP OP|0306 - LAB/BACT-MICRO||87086|CULT-URINE|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|11.57|12.11|8.41|43.38|11|10.7|11.81|8.880157171|39.75|41.39|8.31|9.04|8.31|18.4|18.78|11.24|8.09|9.41|18.78|9.04|8.880157171|9.04|0|0|0|6.18|8.07|8.07|8.31|8.07|14.53|8.07|8.31|0|53
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-CATH TIP|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|12.35|12.92|8.98|53.2|11.73|11.42|12.6|9.479371316|48.75|50.77|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|65
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-THROAT|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|9.49|9.94|6.9|17.19|9.02|8.78|9.69|7.288801572|15.75|16.4|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|21
HOSP OP|0306 - LAB/BACT-MICRO||87187|Hb Mic Drug Each|50.03|26.52|37.52|40.02|42.53|45.03|42.53|40.42|36.02|33.86|0|50.03|50.03|50.03|37.68|40.95|49.25|47.92|50.03|44.19449902|37.52|39.07|41.38|44.99|41.38|50.03|50.03|44.96|40.25|42.61|50.03|44.99|44.19449902|44.99|0|0|0|27.68|40.17|40.17|41.38|40.17|50.03|40.17|41.38|0|50.03
HOSP OP|0306 - LAB/BACT-MICRO||87186|MIC Aerobic (MAYO)|89.64|47.51|67.23|71.71|76.19|80.68|76.19|72.43|64.54|60.67|0|89.64|12.4|12.97|9.01|73.37|11.78|11.46|12.65|9.518664047|67.23|70.01|8.91|9.69|8.91|20.34|20.76|11.73|8.67|10.41|20.76|9.69|9.518664047|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|89.64
HOSP OP|0306 - LAB/BACT-MICRO||87181|MIC ANAEROBIC (MAYO)|25.98|13.77|19.49|20.78|22.08|23.38|22.08|20.99|18.71|17.58|0|25.98|6.8|7.11|4.94|21.26|6.46|6.29|6.93|5.225933202|19.49|20.29|4.89|5.32|4.89|10.65|10.87|6.35|4.76|5.45|10.87|5.32|5.225933202|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|25.98
HOSP OP|0306 - LAB/BACT-MICRO||87186|MIC YEAST (MAYO)|195.88|103.82|146.91|156.7|166.5|176.29|166.5|158.27|141.03|132.57|0|195.88|12.4|12.97|9.01|160.33|11.78|11.46|12.65|9.518664047|146.91|152.98|8.91|9.69|8.91|20.34|20.76|11.73|8.67|10.41|20.76|9.69|9.518664047|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|195.88
HOSP OP|0306 - LAB/BACT-MICRO||87186|SUSCEPTIBILITY|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|12.4|12.97|9.01|41.74|11.78|11.46|12.65|9.518664047|38.25|39.83|8.91|9.69|8.91|20.34|20.76|11.73|8.67|10.41|20.76|9.69|9.518664047|9.69|0|0|0|6.62|8.65|8.65|8.91|8.65|15.57|8.65|8.91|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87185|BETA LACTAMASE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.8|7.11|4.94|27.83|6.46|6.29|6.93|5.225933202|25.5|26.55|4.89|5.32|4.89|10.65|10.87|6.35|4.76|5.45|10.87|5.32|5.225933202|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|34
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-TISSUE|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.479371316|50.25|52.33|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-MRSA|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|9.49|9.94|6.9|26.19|9.02|8.78|9.69|7.288801572|24|24.99|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|32
HOSP OP|0306 - LAB/BACT-MICRO||87206|SMEAR AFB (MDH)|27.1|14.36|20.33|21.68|23.04|24.39|23.04|21.9|19.51|18.34|0|27.1|7.73|8.09|5.62|22.18|7.34|7.15|7.89|5.933202358|20.33|21.17|5.55|6.04|5.55|12.59|12.85|7.33|5.4|6.44|12.85|6.04|5.933202358|6.04|0|0|0|4.12|5.39|5.39|5.55|5.39|9.7|5.39|5.55|0|27.1
HOSP OP|0306 - LAB/BACT-MICRO||87210|KOH PREP|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.51|7.86|5.46|33.56|7.14|6.94|7.66|5.815324165|30.75|32.02|5.99|6.52|5.99|11.62|11.86|6.35|5.83|5.95|11.86|5.92|5.815324165|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|41
HOSP OP|0306 - LAB/BACT-MICRO||87040|CULT-BLOOD|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|14.8|15.48|10.76|65.48|14.06|13.68|15.09|11.34577603|60|62.48|10.63|11.56|10.63|24.22|24.71|14.17|10.34|12.39|24.71|11.55|11.34577603|11.55|0|0|0|7.9|10.32|10.32|10.63|10.32|18.58|10.32|10.63|0|80
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-VAG/CERVIX|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.479371316|45.75|47.64|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GROUP B STREP|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|9.49|9.94|6.9|29.47|9.02|8.78|9.69|7.288801572|27|28.12|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|36
HOSP OP|0306 - LAB/BACT-MICRO||87252|Hb Culture Viral; Respiratory|56.44|29.91|42.33|45.15|47.97|50.8|47.97|45.6|40.64|38.2|0|56.44|37.37|39.11|27.17|46.2|35.52|34.56|38.13|28.68369352|42.33|44.08|26.85|29.2|26.85|56.44|56.44|36.17|26.12|30.72|56.44|29.2|28.68369352|29.2|0|0|0|19.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|56.44
HOSP OP|0306 - LAB/BACT-MICRO||87633|Hb Viral Respiratory Panel|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|416.7779961|0|0|0|0|0|0|0|0|0|0|0|424.28|416.7779961|424.28|0|0|0|0|0|0|0|0|0|0|0|0|424.28
HOSP OP|0306 - LAB/BACT-MICRO||87252|CULT-VIRAL NON-RESP|57.91|30.69|43.43|46.33|49.22|52.12|49.22|46.79|41.7|39.19|0|57.91|37.37|39.11|27.17|47.4|35.52|34.56|38.13|28.68369352|43.43|45.23|26.85|29.2|26.85|57.91|57.91|36.17|26.12|30.72|57.91|29.2|28.68369352|29.2|0|0|0|19.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|57.91
HOSP OP|0306 - LAB/BACT-MICRO||87798|BORDETELLA PERTUSSIS PCR|44.9|23.8|33.68|35.92|38.17|40.41|38.17|36.28|32.33|30.39|0|44.9|44.9|44.9|36.57|36.75|44.9|44.9|44.9|38.59528487|33.68|35.07|36.14|39.3|36.14|44.9|44.9|44.9|35.16|41.13|44.9|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|44.9|35.09|36.14|0|44.9
HOSP OP|0306 - LAB/BACT-MICRO||87624|Hb Hpv High Risk With 16/18 Genotyping|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|50.3|52.64|36.57|133.42|47.8|46.52|51.32|38.59528487|122.25|127.3|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|163
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-EAR|108.92|57.73|81.69|87.14|92.58|98.03|92.58|88.01|78.42|73.72|0|108.92|12.35|12.92|8.98|89.15|11.73|11.42|12.6|9.479371316|81.69|85.07|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|108.92
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Swab|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|50.3|52.64|36.57|105.59|47.8|46.52|51.32|38.59528487|96.75|100.75|36.14|39.3|36.14|129|129|67.94|35.16|129|129|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|129
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Swab|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|50.3|52.64|36.57|105.59|47.8|46.52|51.32|38.59528487|96.75|100.75|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|129
HOSP OP|0306 - LAB/BACT-MICRO||87491|Hb Chlamydia Trachomatis Pcr Urine|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|50.3|52.64|36.57|106.41|47.8|46.52|51.32|38.59528487|97.5|101.53|36.14|39.3|36.14|130|130|67.94|35.16|130|130|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130
HOSP OP|0306 - LAB/BACT-MICRO||87591|Hb Neisseria Gonorrhoeae Pcr Urine|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|50.3|52.64|36.57|106.41|47.8|46.52|51.32|38.59528487|97.5|101.53|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|43.67|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|130
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-BODY FLUID (>10 ML)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.35|12.92|8.98|54.84|11.73|11.42|12.6|9.479371316|50.25|52.33|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|67
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-BODY FLUID (<10 ML)|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|12.35|12.92|8.98|49.93|11.73|11.42|12.6|9.479371316|45.75|47.64|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|61
HOSP OP|0306 - LAB/BACT-MICRO||87102|CULT-FUNGUS OTHER|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.05|12.61|8.76|54.02|11.45|11.14|12.29|9.253438114|49.5|51.55|8.66|9.42|8.66|19.37|19.77|11.73|8.43|9.91|19.77|9.42|9.253438114|9.42|0|0|0|6.44|8.41|8.41|8.66|8.41|15.14|8.41|8.66|0|66
HOSP OP|0306 - LAB/BACT-MICRO||87075|CULT-ANAEROBE|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.57|14.2|9.87|59.75|12.9|12.55|13.85|10.42239686|54.75|57.01|9.75|10.61|9.75|22.28|22.73|13.2|9.49|11.4|22.73|10.61|10.42239686|10.61|0|0|0|7.25|9.47|9.47|9.75|9.47|17.05|9.47|9.75|0|73
HOSP OP|0306 - LAB/BACT-MICRO||87070|CULT-SPINAL FLUID|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|12.35|12.92|8.98|49.11|11.73|11.42|12.6|9.479371316|45|46.86|8.88|9.65|8.88|19.37|19.77|11.73|8.64|9.91|19.77|9.65|9.479371316|9.65|0|0|0|6.59|8.62|8.62|8.88|8.62|15.52|8.62|8.88|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87116|CULT-TB includes AFB SMEAR|47.1|24.96|35.33|37.68|40.04|42.39|40.04|38.06|33.91|31.88|0|47.1|15.48|16.2|11.26|38.55|14.71|14.32|15.8|11.8762279|35.33|36.79|11.12|12.1|11.12|25.19|25.7|15.15|10.82|12.88|25.7|12.09|11.8762279|12.09|0|0|0|8.27|10.8|10.8|11.12|10.8|19.44|10.8|11.12|0|47.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86359|T CELL TOTAL|21.63|11.46|16.22|17.3|18.39|19.47|18.39|17.48|15.57|14.64|0|21.63|21.63|21.63|21.63|17.7|21.63|21.63|21.63|41.50294695|16.22|16.89|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|42.25|41.50294695|42.25|0|0|0|21.2|21.63|21.63|21.63|21.63|21.63|21.63|21.63|0|42.25
HOSP OP|0302 - LAB/IMMUNOLOGY||86355|Hb B Cell Total|21.63|11.46|16.22|17.3|18.39|19.47|18.39|17.48|15.57|14.64|0|21.63|21.63|21.63|21.63|17.7|21.63|21.63|21.63|41.50294695|16.22|16.89|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|21.63|42.25|41.50294695|42.25|0|0|0|21.2|21.63|21.63|21.63|21.63|21.63|21.63|21.63|0|42.25
HOSP OP|0302 - LAB/IMMUNOLOGY||86357|NK CELLS TOTAL|21.62|11.46|16.22|17.3|18.38|19.46|18.38|17.47|15.57|14.63|0|21.62|21.62|21.62|21.62|17.7|21.62|21.62|21.62|41.50294695|16.22|16.89|21.62|21.62|21.62|21.62|21.62|21.62|21.62|21.62|21.62|42.25|41.50294695|42.25|0|0|0|21.19|21.62|21.62|21.62|21.62|21.62|21.62|21.62|0|42.25
HOSP OP|0300 - LABORATORY||89051|BF CELL COUNT|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.15913556|32.25|33.58|5.77|6.27|5.77|12.59|12.85|7.82|5.61|6.44|12.85|6.27|6.15913556|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0302 - LAB/IMMUNOLOGY||86360|ABSOLUTE CD4/CD8 (H/S RATIO)|25.45|13.49|19.09|20.36|21.63|22.91|21.63|20.56|18.32|17.22|0|25.45|25.45|25.45|25.45|20.83|25.45|25.45|25.45|51.67976424|19.09|19.88|25.45|25.45|25.45|25.45|25.45|25.45|25.45|25.45|25.45|52.61|51.67976424|52.61|0|0|0|24.94|25.45|25.45|25.45|25.45|25.45|25.45|25.45|0|52.61
HOSP OP|0305 - LAB/HEMATOLOGY||85210|FACTOR  2 ASSAY|92.09|48.81|69.07|73.67|78.28|82.88|78.28|74.41|66.3|62.33|0|92.09|18.61|19.48|13.54|75.38|17.69|17.21|18.99|14.28290766|69.07|71.92|13.37|14.54|13.37|30.03|30.64|18.08|13.01|15.36|30.64|14.54|14.28290766|14.54|0|0|0|9.94|12.98|12.98|13.37|12.98|23.36|12.98|13.37|0|92.09
HOSP OP|0305 - LAB/HEMATOLOGY||85220|FACTOR  5 ASSAY|93.15|49.37|69.86|74.52|79.18|83.84|79.18|75.27|67.07|63.04|0|93.15|25.3|26.47|18.39|76.24|24.04|23.39|25.81|19.42043222|69.86|72.75|18.18|19.77|18.18|40.68|41.51|24.44|17.69|20.81|41.51|19.77|19.42043222|19.77|0|0|0|13.51|17.65|17.65|18.18|17.65|31.77|17.65|18.18|0|93.15
HOSP OP|0305 - LAB/HEMATOLOGY||85230|FACTOR  7 ASSAY|96.33|51.05|72.25|77.06|81.88|86.7|81.88|77.83|69.36|65.2|0|96.33|25.66|26.85|18.66|78.85|24.39|23.73|26.18|19.68565815|72.25|75.23|18.44|20.05|18.44|41.65|42.5|24.93|17.94|21.31|42.5|20.04|19.68565815|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|96.33
HOSP OP|0305 - LAB/HEMATOLOGY||85250|FACTOR  9 ASSAY|110.56|58.6|82.92|88.45|93.98|99.5|93.98|89.33|79.6|74.83|0|110.56|27.3|28.57|19.85|90.49|25.94|25.24|27.86|20.94302554|82.92|86.35|19.61|21.32|19.61|43.59|44.48|26.39|19.08|22.3|44.48|21.32|20.94302554|21.32|0|0|0|14.58|19.04|19.04|19.61|19.04|34.27|19.04|19.61|0|110.56
HOSP OP|0305 - LAB/HEMATOLOGY||85260|FACTOR 10 ASSAY|106.94|56.68|80.21|85.55|90.9|96.25|90.9|86.41|77|72.38|0|106.94|25.66|26.85|18.66|87.53|24.39|23.73|26.18|19.68565815|80.21|83.52|18.44|20.05|18.44|41.65|42.5|24.93|17.94|21.31|42.5|20.04|19.68565815|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|106.94
HOSP OP|0302 - LAB/IMMUNOLOGY||85290|Hb Factor 13 Activity|209.2|110.88|156.9|167.36|177.82|188.28|177.82|169.03|150.62|141.59|0|209.2|23.41|24.5|17.02|171.23|22.25|21.65|23.89|17.96660118|156.9|163.39|16.83|18.3|16.83|37.78|38.55|22.48|16.37|19.32|38.55|18.29|17.96660118|18.29|0|0|0|12.5|16.34|16.34|16.83|16.34|29.41|16.34|16.83|0|209.2
HOSP OP|0305 - LAB/HEMATOLOGY||85025|CBC / DIFF|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|11.13|11.65|8.09|49.11|10.58|10.3|11.36|7.770137525|45|46.86|8|8.7|8|17.43|17.79|10.75|7.79|8.92|17.79|7.91|7.770137525|7.91|0|0|0|5.95|7.77|7.77|8|7.77|13.99|7.77|8|0|60
HOSP OP|0305 - LAB/HEMATOLOGY||85240|FACTOR  8 ASSAY|98.46|52.18|73.85|78.77|83.69|88.61|83.69|79.56|70.89|66.64|0|98.46|25.66|26.85|18.66|80.59|24.39|23.73|26.18|19.68565815|73.85|76.9|18.44|20.05|18.44|41.65|42.5|24.93|17.94|21.31|42.5|20.04|19.68565815|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|98.46
HOSP OP|0305 - LAB/HEMATOLOGY||85670|THROMBIN TIME|45|23.85|33.75|36|38.25|40.5|38.25|36.36|32.4|30.46|0|45|8.27|8.65|6.01|36.83|7.86|7.65|8.43|6.345776031|33.75|35.15|5.94|6.46|5.94|13.56|13.84|7.82|5.78|6.94|13.84|6.46|6.345776031|6.46|0|0|0|4.42|5.77|5.77|5.94|5.77|10.39|5.77|5.94|0|45
HOSP OP|0310 - PATHOLOGY LAB||88280|A'DDL KARYOTYPE NEOPLASTIC|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|32|32|31.39|26.19|32|32|32|36.8172888|24|24.99|32|32|32|32|32|32|32|32|32|37.48|36.8172888|37.48|0|0|0|23.06|32|32|32|32|32|32|32|0|37.48
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|CIQ BINDING ASSAY|136.3|72.24|102.23|109.04|115.86|122.67|115.86|110.13|98.14|92.25|0|136.3|34.93|36.56|25.4|111.56|33.2|32.31|35.65|26.80746562|102.23|106.45|25.1|27.29|25.1|56.18|57.33|33.72|24.42|28.74|57.33|27.29|26.80746562|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|136.3
HOSP OP|0305 - LAB/HEMATOLOGY||85004|DIFFERENTIAL|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|9.26|9.69|6.73|22.92|8.8|8.57|9.45|7.121807466|21|21.87|6.66|7.25|6.66|14.53|14.83|8.8|6.48|7.43|14.83|7.25|7.121807466|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|28
HOSP OP|0310 - PATHOLOGY LAB||88185|PI LINKED A'DDL MARKER|13.94|7.39|10.46|11.15|11.85|12.55|0|11.26|10.04|9.43|0|13.94|13.94|0|13.94|11.41|13.94|13.94|0|130.2975972|10.46|10.89|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|13.66|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0310 - PATHOLOGY LAB||89190|Hb Eosinophil Smear Nasal|83.37|44.19|62.53|66.7|70.86|75.03|70.86|67.36|60.03|56.42|0|83.37|7.47|7.82|5.43|68.24|7.1|6.91|7.62|6.365422397|62.53|65.11|5.96|6.48|5.96|11.62|11.86|6.35|5.8|5.95|11.86|6.48|6.365422397|6.48|0|0|0|3.99|5.79|5.79|5.96|5.79|10.42|5.79|5.96|0|83.37
HOSP OP|0310 - PATHOLOGY LAB||88271|Hb Dna Probe First Set|110.75|58.7|83.06|88.6|94.14|99.68|94.14|89.49|79.74|74.96|0|110.75|30.7|32.13|22.32|90.65|29.18|28.39|31.33|23.55599214|83.06|86.5|22.06|23.99|22.06|49.4|50.41|29.81|21.46|25.27|50.41|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|110.75
HOSP OP|0300 - LABORATORY||89051|SF ROUTINE EXAM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.15913556|32.25|33.58|5.77|6.27|5.77|12.59|12.85|7.82|5.61|6.44|12.85|6.27|6.15913556|6.27|0|0|0|4.21|5.6|5.6|5.77|5.6|10.08|5.6|5.77|0|43
HOSP OP|0305 - LAB/HEMATOLOGY||85014|HEMATOCRIT|19|10.07|14.25|15.2|16.15|17.1|16.15|15.35|13.68|12.86|0|19|3.39|3.55|2.47|15.55|3.22|3.14|3.46|2.367387033|14.25|14.84|2.44|2.65|2.44|5.81|5.93|3.42|2.37|2.97|5.93|2.41|2.367387033|2.41|0|0|0|1.81|2.37|2.37|2.44|2.37|4.27|2.37|2.44|0|19
HOSP OP|0300 - LABORATORY||89060|SF CRYSTAL EXAM|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|37.49|10.73|27.26|45.84|35.63|34.67|10.46|89.8665|42|43.74|7.55|8.21|7.55|49.4|50.41|24.93|7.34|25.27|50.41|91.484097|89.8665|58.310022|0|0|0|20.02|7.33|7.33|7.55|7.33|13.19|7.33|7.55|0|91.484097
HOSP OP|0300 - LABORATORY||89050|CSF CELL COUNT|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|6.77|7.09|4.92|30.28|6.44|6.26|6.91|5.186640472|27.75|28.9|4.86|5.29|4.86|10.65|10.87|6.35|4.73|5.45|10.87|5.28|5.186640472|5.28|0|0|0|3.61|4.72|4.72|4.86|4.72|8.5|4.72|4.86|0|37
HOSP OP|0306 - LAB/BACT-MICRO||87207|MALARIA SMEAR|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|27.48372986|35.25|36.71|6.17|6.71|6.17|47|47|24.93|6|25.27|47|27.978437|27.48372986|17.832862|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0306 - LAB/BACT-MICRO||87207|FILARIA SMEAR|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|37.49|8.99|27.26|38.47|35.63|34.67|8.77|27.48372986|35.25|36.71|6.17|6.71|6.17|47|47|24.93|6|25.27|47|27.978437|27.48372986|17.832862|0|0|0|20.02|5.99|5.99|6.17|5.99|10.78|5.99|6.17|0|47
HOSP OP|0310 - PATHOLOGY LAB||88185|FLOW CYTOMETRY EA ADD'L MARKER|54.18|28.72|40.64|43.34|46.05|48.76|0|43.78|39.01|36.67|0|54.18|49.74|0|36.17|44.35|47.27|46|0|130.2975972|40.64|42.31|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|26.57|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|IGFBP-3|46.2|24.49|34.65|36.96|39.27|41.58|39.27|37.33|33.26|31.27|0|46.2|22.28|23.31|16.2|37.81|21.17|20.6|22.73|17.26915521|34.65|36.08|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|46.2
HOSP OP|0305 - LAB/HEMATOLOGY||85557|OSMOTIC FRAG-RBC|128.04|67.86|96.03|102.43|108.83|115.24|108.83|103.46|92.19|86.66|0|128.04|19.14|20.03|13.92|104.8|18.19|17.7|19.53|14.69548134|96.03|100|13.76|14.96|13.76|31|31.63|18.57|13.39|15.86|31.63|14.96|14.69548134|14.96|0|0|0|10.22|13.36|13.36|13.76|13.36|24.05|13.36|13.76|0|128.04
HOSP OP|0305 - LAB/HEMATOLOGY||85730|PTT|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|8.6|9|6.26|38.47|8.18|7.96|8.78|6.611001965|35.25|36.71|6.19|6.73|6.19|13.56|13.84|8.31|6.02|6.94|13.84|6.73|6.611001965|6.73|0|0|0|4.59|6.01|6.01|6.19|6.01|10.82|6.01|6.19|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||86671|S. CEREVISIAE IgA|48.57|25.74|36.43|38.86|41.28|43.71|41.28|39.24|34.97|32.87|0|48.57|17.57|18.39|12.78|39.75|16.7|16.25|17.93|13.47740668|36.43|37.93|12.62|13.72|12.62|28.09|28.66|17.11|12.27|14.37|28.66|13.72|13.47740668|13.72|0|0|0|9.38|12.25|12.25|12.62|12.25|22.05|12.25|12.62|0|48.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86671|Hb S. Cerevisiae Igg|48.57|25.74|36.43|38.86|41.28|43.71|41.28|39.24|34.97|32.87|0|48.57|17.57|18.39|12.78|39.75|16.7|16.25|17.93|13.47740668|36.43|37.93|12.62|13.72|12.62|28.09|28.66|17.11|12.27|14.37|28.66|13.72|13.47740668|13.72|0|0|0|9.38|12.25|12.25|12.62|12.25|22.05|12.25|12.62|0|48.57
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|NSA|48.56|25.74|36.42|38.85|41.28|43.7|41.28|39.24|34.96|32.87|0|48.56|37.49|18.08|27.26|39.75|35.63|34.67|17.63|51.31865619|36.42|37.93|12.41|13.5|12.41|48.56|48.56|24.93|12.07|25.27|48.56|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0305 - LAB/HEMATOLOGY||85130|FACTOR 10 CHROMOGENIC|93|49.29|69.75|74.4|79.05|83.7|79.05|75.14|66.96|62.94|0|93|17.04|17.83|12.39|76.12|16.2|15.76|17.38|13.08447937|69.75|72.63|12.25|13.32|12.25|27.13|27.68|16.62|11.91|13.87|27.68|13.32|13.08447937|13.32|0|0|0|9.1|11.89|11.89|12.25|11.89|21.4|11.89|12.25|0|93
HOSP OP|0310 - PATHOLOGY LAB||88237|TISSUE CULTURE NEOPLASTIC|314.1|166.47|235.58|251.28|266.99|282.69|266.99|253.79|226.15|212.58|0|314.1|185.44|194.06|134.84|257.09|176.24|171.49|189.21|158.1335953|235.58|245.31|148.06|161|148.06|297.37|303.44|174.97|144.04|152.12|303.44|160.98|158.1335953|160.98|0|0|0|99.07|143.75|143.75|148.06|143.75|258.75|143.75|148.06|0|314.1
HOSP OP|0310 - PATHOLOGY LAB||88264|CHROMOSOMES HEME DISORDERS|308.1|163.29|231.08|246.48|261.89|277.29|261.89|248.94|221.83|208.52|0|308.1|186.55|195.22|135.64|252.18|177.29|172.52|190.34|159.0667976|231.08|240.63|148.95|161.96|148.95|299.31|305.42|172.53|144.9|153.11|305.42|161.93|159.0667976|161.93|0|0|0|99.66|144.61|144.61|148.95|144.61|260.3|144.61|148.95|0|308.1
HOSP OP|0305 - LAB/HEMATOLOGY||85379|D DIMER QUANT|79|41.87|59.25|63.2|67.15|71.1|67.15|63.83|56.88|53.47|0|79|14.59|15.27|10.61|64.66|13.87|13.49|14.89|11.19842829|59.25|61.7|10.49|11.4|10.49|23.25|23.72|14.17|10.2|11.89|23.72|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|79
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|ANCA (p & c)|48.22|25.56|36.17|38.58|40.99|43.4|40.99|38.96|34.72|32.64|0|48.22|37.49|18.08|27.26|39.47|35.63|34.67|17.63|51.31865619|36.17|37.66|12.41|13.5|12.41|48.22|48.22|24.93|12.07|25.27|48.22|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|Hb Proteinase 3 (pr3) Antibody|40.92|21.69|30.69|32.74|34.78|36.83|34.78|33.06|29.46|27.69|0|40.92|16.52|17.29|12.02|33.49|15.71|15.28|16.86|11.5324165|30.69|31.96|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|40.92
HOSP OP|0301 - LAB/CHEMISTRY||82955|Hb Glucose-6-phosphate Dehydrogenase Rbc|55.07|29.19|41.3|44.06|46.81|49.56|46.81|44.5|39.65|37.27|0|55.07|13.89|14.54|10.1|45.07|13.2|12.85|14.18|10.66797642|41.3|43.01|9.99|10.86|9.99|22.28|22.73|13.2|9.72|11.4|22.73|10.86|10.66797642|10.86|0|0|0|7.42|9.7|9.7|9.99|9.7|17.46|9.7|9.99|0|55.07
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|PLATELET ANTIBODY|100.93|53.49|75.7|80.74|85.79|90.84|85.79|81.55|72.67|68.31|0|100.93|26.33|27.55|19.14|82.61|25.02|24.35|26.86|20.20628684|75.7|78.83|18.92|20.57|18.92|42.62|43.49|25.41|18.41|21.8|43.49|20.57|20.20628684|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|100.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86022|HEPARIN-PF4 (HIT) AB|69.23|36.69|51.92|55.38|58.85|62.31|58.85|55.94|49.85|46.85|0|69.23|26.33|27.55|19.14|56.66|25.02|24.35|26.86|20.20628684|51.92|54.07|18.92|20.57|18.92|42.62|43.49|25.41|18.41|21.8|43.49|20.57|20.20628684|20.57|0|0|0|14.06|18.37|18.37|18.92|18.37|33.07|18.37|18.92|0|69.23
HOSP OP|0302 - LAB/IMMUNOLOGY||82747|FOLATE RBC|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.42043222|0|0|0|0|0|0|0|0|0|0|0|19.77|19.42043222|19.77|0|0|0|0|0|0|0|0|0|0|0|0|19.77
HOSP OP|0305 - LAB/HEMATOLOGY||85049|PLATELET COUNT|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|6.41|6.71|4.66|29.47|6.09|5.93|6.54|4.931237721|27|28.12|4.61|5.02|4.61|10.65|10.87|6.35|4.49|5.45|10.87|5.02|4.931237721|5.02|0|0|0|3.42|4.48|4.48|4.61|4.48|8.06|4.48|4.61|0|36
HOSP OP|0305 - LAB/HEMATOLOGY||85384|FIBRINOGEN|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|12.54|13.12|9.12|56.48|11.92|11.6|12.79|10.68762279|51.75|53.89|10.01|10.89|10.01|20.34|20.76|11.73|9.74|10.41|20.76|10.88|10.68762279|10.88|0|0|0|6.69|9.72|9.72|10.01|9.72|17.5|9.72|10.01|0|69
HOSP OP|0305 - LAB/HEMATOLOGY||85460|KLEIHAUER BETKE|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|11.08|11.6|8.06|49.93|10.53|10.25|11.31|8.497053045|45.75|47.64|7.96|8.66|7.96|17.43|17.79|10.75|7.75|8.92|17.79|8.65|8.497053045|8.65|0|0|0|5.92|7.73|7.73|7.96|7.73|13.91|7.73|7.96|0|61
HOSP OP|0305 - LAB/HEMATOLOGY||85610|PROTIME & INR|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.292730845|23.25|24.21|4.42|4.8|4.42|8.72|8.9|5.38|4.3|4.46|8.9|4.37|4.292730845|4.37|0|0|0|3|4.29|4.29|4.42|4.29|7.72|4.29|4.42|0|31
HOSP OP|0310 - PATHOLOGY LAB||88262|Hb Chromosome Analysis; 15-20 Cells Blood|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|175|175|129.9|143.24|169.79|165.22|175|138.0353635|131.25|136.68|129.25|140.55|129.25|175|175|172.53|125.74|146.67|175|140.52|138.0353635|140.52|0|0|0|95.45|125.49|125.49|129.25|125.49|175|125.49|129.25|0|175
HOSP OP|0305 - LAB/HEMATOLOGY||85045|RETICULOCYTE COUNT|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|5.73|5.99|4.16|26.19|5.44|5.3|5.84|4.390962672|24|24.99|4.11|4.47|4.11|8.72|8.9|5.38|4|4.46|8.9|4.47|4.390962672|4.47|0|0|0|3.05|3.99|3.99|4.11|3.99|7.18|3.99|4.11|0|32
HOSP OP|0310 - PATHOLOGY LAB||88230|Hb Chromosome Tissue Culture; Blood|224.2|118.83|168.15|179.36|190.57|201.78|190.57|181.15|161.42|151.74|0|224.2|166.98|174.74|121.41|183.51|158.69|154.42|170.37|128.1434185|168.15|175.1|119.98|130.47|119.98|224.2|224.2|161.29|116.72|137.25|224.2|130.45|128.1434185|130.45|0|0|0|89.21|116.49|116.49|119.98|116.49|209.68|116.49|119.98|0|224.2
HOSP OP|0305 - LAB/HEMATOLOGY||85652|SED RATE|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|3.87|4.05|2.81|17.19|3.68|3.58|3.95|2.966601179|15.75|16.4|2.78|3.02|2.78|5.81|5.93|3.91|2.71|2.97|5.93|3.02|2.966601179|3.02|0|0|0|2.06|2.7|2.7|2.78|2.7|4.86|2.7|2.78|0|21
HOSP OP|0305 - LAB/HEMATOLOGY||85048|WBC (WHITE BLOOD COUNT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|3.64|3.81|2.65|16.37|3.46|3.36|3.71|2.78978389|15|15.62|2.62|2.84|2.62|5.81|5.93|3.42|2.55|2.97|5.93|2.84|2.78978389|2.84|0|0|0|1.94|2.54|2.54|2.62|2.54|4.57|2.54|2.62|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86200|CCP ANTIBODY|40.32|21.37|30.24|32.26|34.27|36.29|34.27|32.58|29.03|27.29|0|40.32|18.56|19.43|13.5|33|17.64|17.17|18.94|14.25343811|30.24|31.49|13.34|14.5|13.34|30.03|30.64|18.08|12.98|15.36|30.64|14.51|14.25343811|14.51|0|0|0|9.92|12.95|12.95|13.34|12.95|23.31|12.95|13.34|0|40.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86021|GRANULOCYTE (NEUTROPHIL) ATBY|101.48|53.78|76.11|81.18|86.26|91.33|86.26|82|73.07|68.68|0|101.48|21.58|22.59|15.69|83.06|20.51|19.96|22.03|16.56188605|76.11|79.26|15.5|16.86|15.5|34.87|35.58|21.02|15.08|17.84|35.58|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|101.48
HOSP OP|0310 - PATHOLOGY LAB||88271|Hb Dna Probe Each (cll)|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|30.7|32.13|22.32|30.28|29.18|28.39|31.33|23.55599214|27.75|28.9|22.06|23.99|22.06|37|37|29.81|21.46|25.27|37|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|37|21.42|22.06|0|37
HOSP OP|0300 - LABORATORY||36415|VENIPUNCTURE|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|3.87|7|2.81|17.19|3.68|3.58|6.83|2.996070727|15.75|16.4|3.09|3.36|3.09|3.87|3.95|1.95|3.01|1.98|3.95|3.05|2.996070727|3.05|0|0|0|2.06|3|3|3.09|3|5.4|3|3.09|0|21
HOSP OP|0301 - LAB/CHEMISTRY||83986|BF PH|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|5.13|5.37|3.73|13.1|4.88|4.75|5.24|3.575638507|12|12.5|3.69|4.01|3.69|8.72|8.9|4.89|3.59|4.46|8.9|3.64|3.575638507|3.64|0|0|0|2.74|3.58|3.58|3.69|3.58|6.44|3.58|3.69|0|16
HOSP OP|0305 - LAB/HEMATOLOGY||85660|SICKLE CELL SCREEN|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|7.89|8.26|5.74|35.2|7.5|7.3|8.05|6.060903733|32.25|33.58|5.68|6.17|5.68|12.59|12.85|7.82|5.52|6.44|12.85|6.17|6.060903733|6.17|0|0|0|4.21|5.51|5.51|5.68|5.51|9.92|5.51|5.68|0|43
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|Hb Prussian Blue St|114|60.42|85.5|91.2|96.9|102.6|96.9|92.11|82.08|77.16|0|114|113.8|62.84|82.75|93.31|108.16|105.25|61.27|89.8665|85.5|89.03|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|114
HOSP OP|0305 - LAB/HEMATOLOGY||85303|PROTEIN C CHROMOGENIC|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|19.83|20.75|14.42|88.4|18.84|18.34|20.23|15.21611002|81|84.35|14.26|15.5|14.26|31.97|32.62|19.06|13.87|16.35|32.62|15.49|15.21611002|15.49|0|0|0|10.59|13.84|13.84|14.26|13.84|24.91|13.84|14.26|0|108
HOSP OP|0305 - LAB/HEMATOLOGY||85300|ANTITHROMBIN III ACTIVITY|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|16.99|17.78|12.35|74.48|16.15|15.71|17.34|13.03536346|68.25|71.07|12.21|13.27|12.21|27.13|27.68|16.62|11.87|13.87|27.68|13.27|13.03536346|13.27|0|0|0|9.07|11.85|11.85|12.21|11.85|21.33|11.85|12.21|0|91
HOSP OP|0305 - LAB/HEMATOLOGY||85613|Hb Drvvt - Mayo|20.73|10.99|15.55|16.58|17.62|18.66|17.62|16.75|14.93|14.03|0|20.73|13.73|14.36|9.98|16.97|13.04|12.69|14|10.54027505|15.55|16.19|9.87|10.73|9.87|20.73|20.73|13.2|9.6|11.4|20.73|10.73|10.54027505|10.73|0|0|0|7.33|9.58|9.58|9.87|9.58|17.24|9.58|9.87|0|20.73
HOSP OP|0305 - LAB/HEMATOLOGY||85240|VW FACTOR 8 ACTIVITY|68.7|36.41|51.53|54.96|58.4|61.83|58.4|55.51|49.46|46.5|0|68.7|25.66|26.85|18.66|56.23|24.39|23.73|26.18|19.68565815|51.53|53.65|18.44|20.05|18.44|41.65|42.5|24.93|17.94|21.31|42.5|20.04|19.68565815|20.04|0|0|0|13.7|17.9|17.9|18.44|17.9|32.22|17.9|18.44|0|68.7
HOSP OP|0305 - LAB/HEMATOLOGY||85245|RISTOCETIN COFACTOR|65.75|34.85|49.31|52.6|55.89|59.18|55.89|53.13|47.34|44.5|0|65.75|32.88|34.41|23.91|53.82|31.25|30.41|33.55|25.2259332|49.31|51.35|23.63|25.69|23.63|53.27|54.36|31.77|22.99|27.25|54.36|25.68|25.2259332|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|65.75
HOSP OP|0305 - LAB/HEMATOLOGY||85246|VON WILLEBRAND FACTOR ATGN|58.79|31.16|44.09|47.03|49.97|52.91|49.97|47.5|42.33|39.79|0|58.79|32.88|34.41|23.91|48.12|31.25|30.41|33.55|25.2259332|44.09|45.91|23.63|25.69|23.63|53.27|54.36|31.77|22.99|27.25|54.36|25.68|25.2259332|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|58.79
HOSP OP|0305 - LAB/HEMATOLOGY||85246|VON WILLEBRAND ANTIGEN|63.23|33.51|47.42|50.58|53.75|56.91|53.75|51.09|45.53|42.79|0|63.23|32.88|34.41|23.91|51.75|31.25|30.41|33.55|25.2259332|47.42|49.38|23.63|25.69|23.63|53.27|54.36|31.77|22.99|27.25|54.36|25.68|25.2259332|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|63.23
HOSP OP|0310 - PATHOLOGY LAB||88275|FISH-CLL PANEL|136.73|72.47|102.55|109.38|116.22|123.06|116.22|110.48|98.45|92.54|0|136.73|66.04|69.11|48.02|111.91|62.76|61.07|67.38|56.3064833|102.55|106.79|52.73|57.33|52.73|105.59|107.74|57.18|51.29|54.01|107.74|57.32|56.3064833|57.32|0|0|0|35.28|51.19|51.19|52.73|51.19|92.14|51.19|52.73|0|136.73
HOSP OP|0310 - PATHOLOGY LAB||88271|FISH DNA PROBES NAD|117.61|62.33|88.21|94.09|99.97|105.85|99.97|95.03|84.68|79.6|0|117.61|30.7|32.13|22.32|96.26|29.18|28.39|31.33|23.55599214|88.21|91.85|22.06|23.99|22.06|49.4|50.41|29.81|21.46|25.27|50.41|23.98|23.55599214|23.98|0|0|0|16.4|21.42|21.42|22.06|21.42|38.56|21.42|22.06|0|117.61
HOSP OP|0301 - LAB/CHEMISTRY||82595|CRYOGLOBULINSERUM|21.14|11.2|15.86|16.91|17.97|19.03|17.97|17.08|15.22|14.31|0|21.14|9.26|9.69|6.73|17.3|8.8|8.57|9.45|7.121807466|15.86|16.51|6.66|7.25|6.66|14.53|14.83|8.8|6.48|7.43|14.83|7.25|7.121807466|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|21.14
HOSP OP|0301 - LAB/CHEMISTRY||82585|CRYOFIBRINOGENPLASMA|28.13|14.91|21.1|22.5|23.91|25.32|23.91|22.73|20.25|19.04|0|28.13|18.24|19.09|13.26|23.02|17.34|16.87|18.61|15.55009823|21.1|21.97|14.56|15.84|14.56|28.13|28.13|15.64|14.17|14.87|28.13|15.83|15.55009823|15.83|0|0|0|9.74|14.14|14.14|14.56|14.14|25.45|14.14|14.56|0|28.13
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|Hb Myeloperoxidase (mpo) Antibody|40.93|21.69|30.7|32.74|34.79|36.84|34.79|33.07|29.47|27.7|0|40.93|16.52|17.29|12.02|33.5|15.71|15.28|16.86|11.5324165|30.7|31.97|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|40.93
HOSP OP|0301 - LAB/CHEMISTRY||82731|FETAL FIBRONECTIN|304|161.12|228|243.2|258.4|273.6|258.4|245.63|218.88|205.75|0|304|92.33|96.62|67.13|248.82|87.74|85.38|94.2|70.8546169|228|237.42|66.34|72.14|66.34|148.21|151.23|88.95|64.54|75.81|151.23|72.13|70.8546169|72.13|0|0|0|49.32|64.41|64.41|66.34|64.41|115.94|64.41|66.34|0|304
HOSP OP|0305 - LAB/HEMATOLOGY||85347|ACTIVE CLOT TIME|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.1|6.39|4.44|27.83|5.8|5.64|6.23|4.705304519|25.5|26.55|4.41|4.79|4.41|9.68|9.88|5.86|4.29|4.96|9.88|4.79|4.705304519|4.79|0|0|0|3.26|4.28|4.28|4.41|4.28|7.7|4.28|4.41|0|34
HOSP OP|0305 - LAB/HEMATOLOGY||85027|CBC (HGBHCTWBCRBCPLATE*|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|9.26|9.69|6.73|40.93|8.8|8.57|9.45|7.121807466|37.5|39.05|6.66|7.25|6.66|14.53|14.83|8.8|6.48|7.43|14.83|7.25|7.121807466|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|50
HOSP OP|0301 - LAB/CHEMISTRY||84315|BF SPECIFIC GRAVITY|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|4.23|4.43|3.08|18.83|4.02|3.91|4.32|3.605108055|17.25|17.96|3.38|3.67|3.38|6.78|6.92|3.91|3.29|3.47|6.92|3.67|3.605108055|3.67|0|0|0|2.26|3.28|3.28|3.38|3.28|5.9|3.28|3.38|0|23
HOSP OP|0301 - LAB/CHEMISTRY||84166|ELECTROPHORESIS URINE|121|64.13|90.75|96.8|102.85|108.9|102.85|97.77|87.12|81.89|0|121|37.49|26.74|27.26|99.04|35.63|34.67|26.07|36.48803536|90.75|94.5|18.36|19.97|18.36|49.4|50.41|24.93|17.87|25.27|50.41|37.14482|36.48803536|23.67532|0|0|0|20.02|17.83|17.83|18.36|17.83|32.09|17.83|18.36|0|121
HOSP OP|0301 - LAB/CHEMISTRY||82705|FAT QUAL FECAL|35.9|19.03|26.93|28.72|30.52|32.31|30.52|29.01|25.85|24.3|0|35.9|7.3|7.64|5.31|29.38|6.94|6.75|7.45|5.609037328|26.93|28.04|5.25|5.71|5.25|11.62|11.86|6.84|5.11|5.95|11.86|5.71|5.609037328|5.71|0|0|0|3.9|5.1|5.1|5.25|5.1|9.18|5.1|5.25|0|35.9
HOSP OP|0301 - LAB/CHEMISTRY||82340|CALCIUM URINE 24 HR|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|8.64|9.05|6.28|32.74|8.21|7.99|8.82|6.63064833|30|31.24|6.21|6.75|6.21|13.56|13.84|8.31|6.04|6.94|13.84|6.75|6.63064833|6.75|0|0|0|4.61|6.03|6.03|6.21|6.03|10.85|6.03|6.21|0|40
HOSP OP|0301 - LAB/CHEMISTRY||82384|CATECHOLAMINES URINE 24 HR|47.03|24.93|35.27|37.62|39.98|42.33|39.98|38|33.86|31.83|0|47.03|36.2|37.88|26.32|38.49|34.4|33.48|36.93|27.77996071|35.27|36.73|26.01|28.28|26.01|47.03|47.03|35.19|25.3|29.73|47.03|28.28|27.77996071|28.28|0|0|0|19.34|25.25|25.25|26.01|25.25|45.45|25.25|26.01|0|47.03
HOSP OP|0301 - LAB/CHEMISTRY||84540|UREA NITROGEN URINE 24 HR|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|7.17|7.51|5.22|82.67|6.82|6.63|7.32|6.119842829|75.75|78.88|5.73|6.23|5.73|11.62|11.86|6.35|5.57|5.95|11.86|6.23|6.119842829|6.23|0|0|0|3.83|5.56|5.56|5.73|5.56|10.01|5.56|5.73|0|101
HOSP OP|0301 - LAB/CHEMISTRY||82525|COPPER URINE 24 HR|63.01|33.4|47.26|50.41|53.56|56.71|53.56|50.91|45.37|42.65|0|63.01|17.79|18.62|12.94|51.57|16.91|16.45|18.15|13.65422397|47.26|49.21|12.78|13.9|12.78|28.09|28.66|17.11|12.43|14.37|28.66|13.9|13.65422397|13.9|0|0|0|9.5|12.41|12.41|12.78|12.41|22.34|12.41|12.78|0|63.01
HOSP OP|0301 - LAB/CHEMISTRY||82570|CREATININE URINE RANDOM|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|7.42|7.76|5.39|28.65|7.05|6.86|7.57|5.176817289|26.25|27.34|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|35
HOSP OP|0301 - LAB/CHEMISTRY||83497|HIAA-5|50.72|26.88|38.04|40.58|43.11|45.65|43.11|40.98|36.52|34.33|0|50.72|18.49|19.35|13.44|41.51|17.57|17.1|18.87|14.19449902|38.04|39.61|13.29|14.45|13.29|30.03|30.64|18.08|12.93|15.36|30.64|14.45|14.19449902|14.45|0|0|0|9.87|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|50.72
HOSP OP|0301 - LAB/CHEMISTRY||83070|HEMOSIDERIN UA|60.87|32.26|45.65|48.7|51.74|54.78|51.74|49.18|43.83|41.2|0|60.87|6.8|7.11|4.94|49.82|6.46|6.29|6.93|5.225933202|45.65|47.54|4.89|5.32|4.89|10.65|10.87|6.35|4.76|5.45|10.87|5.32|5.225933202|5.32|0|0|0|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|60.87
HOSP OP|0307 - LAB-UROLOGY||81015|MICROSCOPIC UA|22|11.66|16.5|17.6|18.7|19.8|18.7|17.78|15.84|14.89|0|22|4.37|4.58|3.18|18.01|4.16|4.04|4.47|3.359528487|16.5|17.18|3.14|3.42|3.14|6.78|6.92|4.4|3.06|3.47|6.92|3.42|3.359528487|3.42|0|0|0|2.33|3.05|3.05|3.14|3.05|5.49|3.05|3.14|0|22
HOSP OP|0301 - LAB/CHEMISTRY||83935|OSMOLALITYURINE|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|9.77|10.22|7.1|43.38|9.28|9.03|9.96|7.504911591|39.75|41.39|7.02|7.64|7.02|15.49|15.81|9.29|6.83|7.93|15.81|7.64|7.504911591|7.64|0|0|0|5.21|6.82|6.82|7.02|6.82|12.28|6.82|7.02|0|53
HOSP OP|0301 - LAB/CHEMISTRY||82436|CHLORIDE URINE RANDOM|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|7.42|7.76|5.39|28.65|7.05|6.86|7.57|6.326129666|26.25|27.34|5.92|6.44|5.92|11.62|11.86|6.84|5.76|5.95|11.86|6.44|6.326129666|6.44|0|0|0|3.96|5.75|5.75|5.92|5.75|10.35|5.75|5.92|0|35
HOSP OP|0301 - LAB/CHEMISTRY||84133|POTASSIUM URINE RANDOM|33|17.49|24.75|26.4|28.05|29.7|28.05|26.66|23.76|22.33|0|33|6.18|6.47|4.49|27.01|5.87|5.71|6.31|5.196463654|24.75|25.77|4.87|5.3|4.87|9.68|9.88|5.86|4.74|4.96|9.88|5.29|5.196463654|5.29|0|0|0|3.3|4.73|4.73|4.87|4.73|8.51|4.73|4.87|0|33
HOSP OP|0307 - LAB-UROLOGY||81025|HCG URINE|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|11.11|11.62|8.08|51.57|10.56|10.27|11.33|9.469548134|47.25|49.2|8.87|9.64|8.87|17.43|17.79|9.77|8.63|8.92|17.79|9.64|9.469548134|9.64|0|0|0|5.93|8.61|8.61|8.87|8.61|15.5|8.61|8.87|0|63
HOSP OP|0301 - LAB/CHEMISTRY||84300|SODIUM URINE RANDOM|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|6.97|7.29|5.07|30.28|6.62|6.44|7.11|5.569744597|27.75|28.9|5.21|5.67|5.21|11.62|11.86|6.84|5.07|5.95|11.86|5.67|5.569744597|5.67|0|0|0|3.72|5.06|5.06|5.21|5.06|9.11|5.06|5.21|0|37
HOSP OP|0301 - LAB/CHEMISTRY||83874|MYOGLOBIN URINE QUALITATIVE|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|18.51|19.37|13.46|82.67|17.59|17.12|18.89|14.21414538|75.75|78.88|13.31|14.47|13.31|30.03|30.64|18.08|12.95|15.36|30.64|14.47|14.21414538|14.47|0|0|0|9.89|12.92|12.92|13.31|12.92|23.26|12.92|13.31|0|101
HOSP OP|0301 - LAB/CHEMISTRY||83945|OXALATE URINE 24 HR|45.21|23.96|33.91|36.17|38.43|40.69|38.43|36.53|32.55|30.6|0|45.21|18.64|19.51|13.55|37|17.72|17.24|19.02|15.90373281|33.91|35.31|14.88|16.18|14.88|30.03|30.64|17.59|14.48|15.36|30.64|16.19|15.90373281|16.19|0|0|0|9.96|14.45|14.45|14.88|14.45|26.01|14.45|14.88|0|45.21
HOSP OP|0301 - LAB/CHEMISTRY||83874|MYOGLOBIN URINE QUANT|45.03|23.87|33.77|36.02|38.28|40.53|38.28|36.38|32.42|30.48|0|45.03|18.51|19.37|13.46|36.86|17.59|17.12|18.89|14.21414538|33.77|35.17|13.31|14.47|13.31|30.03|30.64|18.08|12.95|15.36|30.64|14.47|14.21414538|14.47|0|0|0|9.89|12.92|12.92|13.31|12.92|23.26|12.92|13.31|0|45.03
HOSP OP|0307 - LAB-UROLOGY||81002|Hb Specific Gravity Urine|11|5.83|8.25|8.8|9.35|9.9|9.35|8.89|7.92|7.44|0|11|4.49|4.7|3.26|9|4.27|4.15|4.58|3.831041257|8.25|8.59|3.58|3.9|3.58|6.78|6.92|3.91|3.49|3.47|6.92|3.9|3.831041257|3.9|0|0|0|2.4|3.48|3.48|3.58|3.48|6.26|3.48|3.58|0|11
HOSP OP|0301 - LAB/CHEMISTRY||82135|AMINOLEVULINIC ACID (ALA) URINE|94.47|50.07|70.85|75.58|80.3|85.02|80.3|76.33|68.02|63.94|0|94.47|23.58|24.68|17.15|77.32|22.41|21.81|24.06|18.10412574|70.85|73.78|16.94|18.42|16.94|37.78|38.55|22.97|16.48|19.32|38.55|18.43|18.10412574|18.43|0|0|0|12.59|16.45|16.45|16.94|16.45|29.61|16.45|16.94|0|94.47
HOSP OP|0301 - LAB/CHEMISTRY||84377|REDUCING SUBSTANCES|76.63|40.61|57.47|61.3|65.14|68.97|65.14|61.92|55.17|51.86|0|76.63|7.88|8.25|5.73|62.72|7.49|7.29|8.04|6.05108055|57.47|59.85|5.67|6.16|5.67|12.59|12.85|7.82|5.51|6.44|12.85|6.16|6.05108055|6.16|0|0|0|4.21|5.5|5.5|5.67|5.5|9.9|5.5|5.67|0|76.63
HOSP OP|0301 - LAB/CHEMISTRY||84120|PORPHYRIN URINE 24 HR|36.16|19.16|27.12|28.93|30.74|32.54|30.74|29.22|26.04|24.47|0|36.16|21.09|22.07|15.34|29.6|20.05|19.51|21.52|16.17878193|27.12|28.24|15.15|16.48|15.15|33.9|34.59|20.53|14.74|17.34|34.59|16.47|16.17878193|16.47|0|0|0|11.26|14.71|14.71|15.15|14.71|26.48|14.71|15.15|0|36.16
HOSP OP|0306 - LAB/BACT-MICRO||87210|WET PREP EXAM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.51|7.86|5.46|33.56|7.14|6.94|7.66|5.815324165|30.75|32.02|5.99|6.52|5.99|11.62|11.86|6.35|5.83|5.95|11.86|5.92|5.815324165|5.92|0|0|0|4|5.82|5.82|5.99|5.82|10.48|5.82|5.99|0|41
HOSP OP|0301 - LAB/CHEMISTRY||83835|METANEPHRINES URINE 24 HR|43.69|23.16|32.77|34.95|37.14|39.32|37.14|35.3|31.46|29.57|0|43.69|24.28|25.41|17.65|35.76|23.07|22.45|24.77|18.6345776|32.77|34.12|17.45|18.97|17.45|38.75|39.54|23.46|16.97|19.82|39.54|18.97|18.6345776|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|43.69
HOSP OP|0301 - LAB/CHEMISTRY||82271|GASTROCCULT|38|20.14|28.5|30.4|32.3|34.2|32.3|30.7|27.36|25.72|0|38|6.86|7.18|4.99|31.1|6.52|6.35|7|5.324165029|28.5|29.68|5.48|5.96|5.48|10.65|10.87|5.86|5.33|5.45|10.87|5.42|5.324165029|5.42|0|0|0|3.66|5.32|5.32|5.48|5.32|9.58|5.32|5.48|0|38
HOSP OP|0301 - LAB/CHEMISTRY||82043|MICROALBUMIN URINE RANDOM|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|8.28|8.67|6.02|33.56|7.87|7.66|8.45|5.776031434|30.75|32.02|5.95|6.47|5.95|13.56|13.84|7.82|5.79|6.94|13.84|5.88|5.776031434|5.88|0|0|0|4.42|5.78|5.78|5.95|5.78|10.4|5.78|5.95|0|41
HOSP OP|0301 - LAB/CHEMISTRY||84110|PORPHOBILINOGEN URINE QUANT|25.9|13.73|19.43|20.72|22.02|23.31|22.02|20.93|18.65|17.53|0|25.9|12.1|12.66|8.8|21.2|11.5|11.19|12.34|9.282907662|19.43|20.23|8.69|9.45|8.69|19.37|19.77|11.73|8.46|9.91|19.77|9.45|9.282907662|9.45|0|0|0|6.46|8.44|8.44|8.69|8.44|15.19|8.44|8.69|0|25.9
HOSP OP|0301 - LAB/CHEMISTRY||83986|PH STOOL|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|5.13|5.37|3.73|18.83|4.88|4.75|5.24|3.575638507|17.25|17.96|3.69|4.01|3.69|8.72|8.9|4.89|3.59|4.46|8.9|3.64|3.575638507|3.64|0|0|0|2.74|3.58|3.58|3.69|3.58|6.44|3.58|3.69|0|23
HOSP OP|0301 - LAB/CHEMISTRY||83919|ORGANIC ACID URINE|76.74|40.67|57.56|61.39|65.23|69.07|65.23|62.01|55.25|51.94|0|76.74|23.58|24.68|17.15|62.81|22.41|21.81|24.06|18.10412574|57.56|59.93|16.94|18.42|16.94|37.78|38.55|22.97|16.48|19.32|38.55|18.43|18.10412574|18.43|0|0|0|12.59|16.45|16.45|16.94|16.45|29.61|16.45|16.94|0|76.74
HOSP OP|0301 - LAB/CHEMISTRY||83825|MERCURY URINE|16.93|8.97|12.7|13.54|14.39|15.24|14.39|13.68|12.19|11.46|0|16.93|16.93|16.93|16.93|13.86|16.93|16.93|16.93|17.88801572|12.7|13.22|16.75|16.93|16.75|16.93|16.93|16.93|16.29|16.93|16.93|18.21|17.88801572|18.21|0|0|0|12.45|16.26|16.26|16.75|16.26|16.93|16.26|16.75|0|18.21
HOSP OP|0306 - LAB/BACT-MICRO||87205|EOSINOPHIL SMEAR URINE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.13|6.41|4.46|27.83|5.82|5.67|6.25|4.695481336|25.5|26.55|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|0|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|34
HOSP OP|0301 - LAB/CHEMISTRY||82175|ARSENIC  URINE|18.74|9.93|14.06|14.99|15.93|16.87|15.93|15.14|13.49|12.68|0|18.74|18.74|18.74|18.74|15.34|18.74|18.74|18.74|20.87426326|14.06|14.64|18.74|18.74|18.74|18.74|18.74|18.74|18.74|18.74|18.74|21.25|20.87426326|21.25|0|0|0|14.52|18.74|18.74|18.74|18.74|18.74|18.74|18.74|0|21.25
HOSP OP|0301 - LAB/CHEMISTRY||83655|LEAD  URINE|14.15|7.5|10.61|11.32|12.03|12.74|12.03|11.43|10.19|9.58|0|14.15|14.15|14.15|12.62|11.58|14.15|14.15|14.15|12.11198428|10.61|11.05|12.47|13.56|12.47|14.15|14.15|14.15|12.13|14.15|14.15|12.33|12.11198428|12.33|0|0|0|9.27|12.11|12.11|12.47|12.11|14.15|12.11|12.47|0|14.15
HOSP OP|0301 - LAB/CHEMISTRY||82300|CADMIUM URINE|21.54|11.42|16.16|17.23|18.31|19.39|18.31|17.4|15.51|14.58|0|21.54|21.54|21.54|21.54|17.63|21.54|21.54|21.54|26.00196464|16.16|16.82|21.54|21.54|21.54|21.54|21.54|21.54|21.54|21.54|21.54|26.47|26.00196464|26.47|0|0|0|17.72|21.54|21.54|21.54|21.54|21.54|21.54|21.54|0|26.47
HOSP OP|0301 - LAB/CHEMISTRY||84585|VMA 24 HR URINE|46.54|24.67|34.91|37.23|39.56|41.89|39.56|37.6|33.51|31.5|0|46.54|22.21|23.25|16.15|38.09|21.11|20.54|22.67|17.05304519|34.91|36.35|15.97|17.36|15.97|35.84|36.57|21.5|15.53|18.33|36.57|17.36|17.05304519|17.36|0|0|0|11.87|15.5|15.5|15.97|15.5|27.9|15.5|15.97|0|46.54
HOSP OP|0310 - PATHOLOGY LAB||88312|SPECIAL STAIN I|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|128.54|99.74|93.47|169.43|122.17|118.88|97.24|89.8665|155.25|161.67|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|91.484097|89.8665|58.310022|0|0|83.8|68.67|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|207
HOSP OP|0302 - LAB/IMMUNOLOGY||86140|C REACTIVE PROTEIN|37|19.61|27.75|29.6|31.45|33.3|31.45|29.9|26.64|25.04|0|37|7.42|7.76|5.39|30.28|7.05|6.86|7.57|5.697445972|27.75|28.9|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.8|5.697445972|5.8|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|37
HOSP OP|0302 - LAB/IMMUNOLOGY||86141|C REACTIVE PROTEIN-HIGH SENS.|85|45.05|63.75|68|72.25|76.5|72.25|68.68|61.2|57.53|0|85|18.56|19.43|13.5|69.57|17.64|17.17|18.94|14.25343811|63.75|66.39|13.34|14.5|13.34|30.03|30.64|18.08|12.98|15.36|30.64|14.51|14.25343811|14.51|0|0|0|9.92|12.95|12.95|13.34|12.95|23.31|12.95|13.34|0|85
HOSP OP|0302 - LAB/IMMUNOLOGY||86308|Hb Infectious Mononucleosis|41|21.73|30.75|32.8|34.85|36.9|34.85|33.13|29.52|27.75|0|41|7.42|7.76|5.39|33.56|7.05|6.86|7.57|5.176817289|30.75|32.02|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|41
HOSP OP|0302 - LAB/IMMUNOLOGY||86038|ANA SCREEN|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|17.32|18.13|12.6|49.11|16.47|16.02|17.68|13.30058939|45|46.86|12.45|13.54|12.45|28.09|28.66|16.62|12.11|14.37|28.66|13.54|13.30058939|13.54|0|0|0|9.25|12.09|12.09|12.45|12.09|21.76|12.09|12.45|0|60
HOSP OP|0302 - LAB/IMMUNOLOGY||86812|HLA B27|62.93|33.35|47.2|50.34|53.49|56.64|53.49|50.85|45.31|42.59|0|62.93|36.98|38.7|26.89|51.51|35.15|34.2|37.73|28.38899804|47.2|49.15|26.58|28.91|26.58|59.08|60.29|35.68|25.86|30.23|60.29|28.9|28.38899804|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|46.46|25.81|26.58|0|62.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|Hb Rpr Syphilis Activity Test|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|6.13|6.41|4.46|26.19|5.82|5.67|6.25|4.695481336|24|24.99|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|32
HOSP OP|0302 - LAB/IMMUNOLOGY||86780|Hb Syphilis Tppa Confirmation|61.71|32.71|46.28|49.37|52.45|55.54|52.45|49.86|44.43|41.77|0|61.71|18.98|19.86|13.8|50.51|18.03|17.55|19.36|13.24165029|46.28|48.2|13.64|14.83|13.64|30.03|30.64|18.08|13.27|15.36|30.64|13.48|13.24165029|13.48|0|0|16.48|10.13|13.24|13.24|13.64|13.24|23.83|13.24|13.64|0|61.71
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA PNEUMO IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|12.99607073|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|12.99607073|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA TRACHOMATIS IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|12.99607073|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|12.99607073|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||87389|Hiv 1 & 2 Antigen And Antibody Screen|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|34.51|36.11|25.09|78.58|32.8|31.91|35.21|24.07662083|72|74.98|24.8|26.97|24.8|55.21|56.34|33.23|24.13|28.24|56.34|24.51|24.07662083|24.51|0|0|0|18.44|24.08|24.08|24.8|24.08|43.34|24.08|24.8|0|96
HOSP OP|0306 - LAB/BACT-MICRO||87536|HIV-1 RNA PCR QUANT|121|64.13|90.75|96.8|102.85|108.9|102.85|97.77|87.12|81.89|0|121|121|121|88.69|99.04|115.92|112.8|121|93.60510806|90.75|94.5|87.65|95.31|87.65|121|121|117.79|85.27|100.09|121|95.29|93.60510806|95.29|0|0|0|65.16|85.1|85.1|87.65|85.1|121|85.1|87.65|0|121
HOSP OP|0306 - LAB/BACT-MICRO||87517|HEP B DNA QUANT|143.2|75.9|107.4|114.56|121.72|128.88|121.72|115.71|103.1|96.92|0|143.2|61.4|64.26|44.65|117.21|58.36|56.79|62.65|47.12180747|107.4|111.84|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|143.2
HOSP OP|0306 - LAB/BACT-MICRO||87522|Hb Hepatitis C Virus Rna Detect/quant|124.77|66.13|93.58|99.82|106.05|112.29|106.05|100.81|89.83|84.44|0|124.77|61.4|64.26|44.65|102.12|58.36|56.79|62.65|47.12180747|93.58|97.45|44.13|47.98|44.13|98.8|100.82|59.14|42.93|50.54|100.82|47.97|47.12180747|47.97|0|0|0|32.8|42.84|42.84|44.13|42.84|77.11|42.84|44.13|0|124.77
HOSP OP|0302 - LAB/IMMUNOLOGY||86317|TETANUS IMMUNE STATUS|55.58|29.46|41.69|44.46|47.24|50.02|47.24|44.91|40.02|37.62|0|55.58|21.48|22.48|15.62|45.49|20.41|19.86|21.92|16.49312377|41.69|43.41|15.44|16.79|15.44|34.87|35.58|20.53|15.02|17.84|35.58|16.79|16.49312377|16.79|0|0|0|11.47|14.99|14.99|15.44|14.99|26.98|14.99|15.44|0|55.58
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA PNEUMO IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.94891945|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.94891945|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA PSITTACI IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.94891945|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.94891945|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86632|CHLAMYDIA TRACHOMATIS IgM|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|13.94891945|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|14.2|13.94891945|14.2|0|0|10.06|9.71|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|14.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|COMPLEMENT C'3|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|17.2|18|12.5|46.65|16.34|15.9|17.55|13.20235756|42.75|44.52|12.36|13.44|12.36|28.09|28.66|16.62|12.02|14.37|28.66|13.44|13.20235756|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|57
HOSP OP|0300 - LABORATORY||87904|HIV1 PHENOTYPING NUCLEIC ACID|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.68369352|0|0|0|0|0|0|0|0|0|0|0|29.2|28.68369352|29.2|0|0|0|0|0|0|0|0|0|0|0|0|29.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|E. HISTOLYTICA AB|59.6|31.59|44.7|47.68|50.66|53.64|50.66|48.16|42.91|40.34|0|59.6|17.75|18.58|12.91|48.78|16.87|16.42|18.12|13.6345776|44.7|46.55|12.76|13.88|12.76|28.09|28.66|17.11|12.41|14.37|28.66|13.88|13.6345776|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|59.6
HOSP OP|0302 - LAB/IMMUNOLOGY||86753|BABESIA MICROTI IgG|39.1|20.72|29.33|31.28|33.24|35.19|33.24|31.59|28.15|26.46|0|39.1|17.75|18.58|12.91|32|16.87|16.42|18.12|13.6345776|29.33|30.54|12.76|13.88|12.76|28.09|28.66|17.11|12.41|14.37|28.66|13.88|13.6345776|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|39.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86682|TOXOCARA ABY ELISA|154.2|81.73|115.65|123.36|131.07|138.78|131.07|124.59|111.02|104.36|0|154.2|18.64|19.51|13.55|126.21|17.72|17.24|19.02|14.31237721|115.65|120.43|13.4|14.57|13.4|30.03|30.64|18.08|13.04|15.36|30.64|14.57|14.31237721|14.57|0|0|0|9.96|13.01|13.01|13.4|13.01|23.42|13.01|13.4|0|154.2
HOSP OP|0306 - LAB/BACT-MICRO||87901|HIV1 GENOTYPING|364.3|193.08|273.23|291.44|309.66|327.87|309.66|294.35|262.3|246.56|0|364.3|364.3|364.3|268.31|298.18|350.7|341.26|364.3|283.2023576|273.23|284.52|265.17|288.34|265.17|364.3|364.3|356.3|257.96|303.25|364.3|288.3|283.2023576|288.3|0|0|0|197.14|257.45|257.45|265.17|257.45|364.3|257.45|265.17|0|364.3
HOSP OP|0302 - LAB/IMMUNOLOGY||86692|Hb Hepatitis Delta Virus Antibody|142.63|75.59|106.97|114.1|121.24|128.37|121.24|115.25|102.69|96.53|0|142.63|24.6|25.74|17.89|116.74|23.38|22.75|25.1|18.88015717|106.97|111.39|17.67|19.22|17.67|39.71|40.52|23.95|17.19|20.32|40.52|19.22|18.88015717|19.22|0|0|0|13.14|17.16|17.16|17.67|17.16|30.89|17.16|17.67|0|142.63
HOSP OP|0302 - LAB/IMMUNOLOGY||86706|HEP Bs ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|15.39|16.11|11.19|49.93|14.63|14.23|15.71|11.80746562|45.75|47.64|11.06|12.03|11.06|25.19|25.7|14.66|10.76|12.88|25.7|12.02|11.80746562|12.02|0|0|0|8.22|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86704|HEP Bc TOTAL ABY|36.56|19.38|27.42|29.25|31.08|32.9|31.08|29.54|26.32|24.74|0|36.56|17.27|18.08|12.56|29.92|16.42|15.97|17.63|13.26129666|27.42|28.55|12.41|13.5|12.41|28.09|28.66|16.62|12.07|14.37|28.66|13.5|13.26129666|13.5|0|0|0|9.22|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|36.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86705|HEP Bc IGM ABY|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|16.87|17.66|12.27|54.84|16.04|15.6|17.22|12.94695481|50.25|52.33|12.12|13.18|12.12|27.13|27.68|16.13|11.79|13.87|27.68|13.18|12.94695481|13.18|0|0|0|9.01|11.77|11.77|12.12|11.77|21.19|11.77|12.12|0|67
HOSP OP|0302 - LAB/IMMUNOLOGY||86709|HEP A IGM ABY|60|31.8|45|48|51|54|51|48.48|43.2|40.61|0|60|16.14|16.89|11.73|49.11|15.34|14.92|16.47|12.3870334|45|46.86|11.6|12.61|11.6|26.16|26.69|15.64|11.28|13.38|26.69|12.61|12.3870334|12.61|0|0|0|8.61|11.26|11.26|11.6|11.26|20.27|11.26|11.6|0|60
HOSP OP|0306 - LAB/BACT-MICRO||87350|HEP Be ANTIGEN|42.26|22.4|31.7|33.81|35.92|38.03|35.92|34.15|30.43|28.6|0|42.26|16.52|17.29|12.02|34.59|15.71|15.28|16.86|12.68172888|31.7|33.01|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|12.91|12.68172888|12.91|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|42.26
HOSP OP|0306 - LAB/BACT-MICRO||87389|HIV 1/2 RAPID SCREEN|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|34.51|36.11|25.09|41.74|32.8|31.91|35.21|24.07662083|38.25|39.83|24.8|26.97|24.8|51|51|33.23|24.13|28.24|51|24.51|24.07662083|24.51|0|0|0|18.44|24.08|24.08|24.8|24.08|43.34|24.08|24.8|0|51
HOSP OP|0306 - LAB/BACT-MICRO||87385|HISTOPLASMA AGN URINE|103.76|54.99|77.82|83.01|88.2|93.38|88.2|83.84|74.71|70.22|0|103.76|17.18|17.98|12.49|84.93|16.33|15.89|17.53|14.57760314|77.82|81.04|13.65|14.84|13.65|27.13|27.68|16.62|13.28|13.87|27.68|14.84|14.57760314|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|103.76
HOSP OP|0306 - LAB/BACT-MICRO||87385|HISTOPLASMA AGN SERUM|143.2|75.9|107.4|114.56|121.72|128.88|121.72|115.71|103.1|96.92|0|143.2|17.18|17.98|12.49|117.21|16.33|15.89|17.53|14.57760314|107.4|111.84|13.65|14.84|13.65|27.13|27.68|16.62|13.28|13.87|27.68|14.84|14.57760314|14.84|0|0|0|9.17|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|143.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86215|DNASE B ANTIBODY|27.13|14.38|20.35|21.7|23.06|24.42|23.06|21.92|19.53|18.36|0|27.13|18.99|19.87|13.81|22.21|18.05|17.56|19.37|14.57760314|20.35|21.19|13.65|14.84|13.65|27.13|27.13|18.57|13.28|15.36|27.13|14.84|14.57760314|14.84|0|0|0|10.14|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|27.13
HOSP OP|0302 - LAB/IMMUNOLOGY||86631|CHLAMYDIA PSITTACI IgG|10.06|5.33|7.55|8.05|8.55|9.05|8.55|8.13|7.24|6.81|0|10.06|10.06|10.06|10.06|8.23|10.06|10.06|10.06|12.99607073|7.55|7.86|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|10.06|13.23|12.99607073|13.23|0|0|10.06|9.05|10.06|10.06|10.06|10.06|10.06|10.06|10.06|0|13.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86708|HEP A TOTAL ABY|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.75|18.58|12.91|55.66|16.87|16.42|18.12|13.6345776|51|53.11|12.76|13.88|12.76|28.09|28.66|17.11|12.41|14.37|28.66|13.88|13.6345776|13.88|0|0|0|9.48|12.39|12.39|12.76|12.39|22.3|12.39|12.76|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HTLV-I/II ANTIBODY|44.23|23.44|33.17|35.38|37.6|39.81|37.6|35.74|31.85|29.93|0|44.23|18.46|19.32|13.42|36.2|17.54|17.07|18.84|14.17485265|33.17|34.54|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|44.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86707|HEP Be ANTIBODY|40.15|21.28|30.11|32.12|34.13|36.14|34.13|32.44|28.91|27.17|0|40.15|16.58|17.35|12.05|32.86|15.75|15.33|16.92|12.73084479|30.11|31.36|11.92|12.96|11.92|26.16|26.69|16.13|11.59|13.38|26.69|12.96|12.73084479|12.96|0|0|0|8.85|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|40.15
HOSP OP|0302 - LAB/IMMUNOLOGY||80074|HEP A/B/C PANEL|174|92.22|130.5|139.2|147.9|156.6|147.9|140.59|125.28|117.76|0|174|68.28|71.46|49.65|142.42|64.89|63.15|69.67|52.3870334|130.5|135.89|49.06|53.35|49.06|109.46|111.69|65.98|47.73|55.99|111.69|53.33|52.3870334|53.33|0|0|0|36.48|47.63|47.63|49.06|47.63|85.73|47.63|49.06|0|174
HOSP OP|0302 - LAB/IMMUNOLOGY||86735|Hb Mumps Ab Igm|48.26|25.58|36.2|38.61|41.02|43.43|41.02|38.99|34.75|32.66|0|48.26|18.71|19.58|13.6|39.5|17.78|17.3|19.09|14.36149312|36.2|37.69|13.44|14.62|13.44|30.03|30.64|18.08|13.08|15.36|30.64|14.62|14.36149312|14.62|0|0|0|9.99|13.05|13.05|13.44|13.05|23.49|13.05|13.44|0|48.26
HOSP OP|0302 - LAB/IMMUNOLOGY||86735|Hb Mumps Igg Immune|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|18.71|19.58|13.6|55.66|17.78|17.3|19.09|14.36149312|51|53.11|13.44|14.62|13.44|30.03|30.64|18.08|13.08|15.36|30.64|14.62|14.36149312|14.62|0|0|0|9.99|13.05|13.05|13.44|13.05|23.49|13.05|13.44|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86720|Hb Leptospira Ab Igm By Dot Blot|87.2|46.22|65.4|69.76|74.12|78.48|74.12|70.46|62.78|59.02|0|87.2|20.9|21.87|15.2|71.37|19.86|19.33|21.32|17.81925344|65.4|68.1|16.69|18.14|16.69|33.9|34.59|18.08|16.23|17.34|34.59|18.14|17.81925344|18.14|0|0|0|11.16|16.2|16.2|16.69|16.2|29.16|16.2|16.69|0|87.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86160|COMPLEMENT C'4|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.2|18|12.5|55.66|16.34|15.9|17.55|13.20235756|51|53.11|12.36|13.44|12.36|28.09|28.66|16.62|12.02|14.37|28.66|13.44|13.20235756|13.44|0|0|0|9.18|12|12|12.36|12|21.6|12|12.36|0|68
HOSP OP|0302 - LAB/IMMUNOLOGY||86060|ASO TITER|43.73|23.18|32.8|34.98|37.17|39.36|37.17|35.33|31.49|29.6|0|43.73|10.46|10.95|7.61|35.79|9.94|9.68|10.68|8.025540275|32.8|34.15|7.52|8.18|7.52|16.46|16.8|10.26|7.31|8.42|16.8|8.17|8.025540275|8.17|0|0|0|5.58|7.3|7.3|7.52|7.3|13.14|7.3|7.52|0|43.73
HOSP OP|0306 - LAB/BACT-MICRO||87340|HEP Bs ANTIGEN|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|14.81|15.5|10.77|49.93|14.07|13.7|15.11|11.35559921|45.75|47.64|10.64|11.57|10.64|24.22|24.71|14.17|10.35|12.39|24.71|11.56|11.35559921|11.56|0|0|0|7.91|10.33|10.33|10.64|10.33|18.59|10.33|10.64|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86803|HEP C ANTIBODY|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|20.45|21.4|14.87|61.39|19.43|18.91|20.87|14.27308448|56.25|58.58|14.7|15.98|14.7|32.94|33.61|19.55|14.3|16.85|33.61|14.53|14.27308448|14.53|0|0|0|10.92|14.27|14.27|14.7|14.27|25.69|14.27|14.7|0|75
HOSP OP|0301 - LAB/CHEMISTRY||83516|MITOCHONDRIAL M2 ANTIBODY|34.02|18.03|25.52|27.22|28.92|30.62|28.92|27.49|24.49|23.02|0|34.02|16.52|17.29|12.02|27.85|15.71|15.28|16.86|11.5324165|25.52|26.57|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|34.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|SMOOTH MUSCLE ANTIBODY|36.85|19.53|27.64|29.48|31.32|33.17|31.32|29.77|26.53|24.94|0|36.85|36.85|18.08|27.26|30.16|35.63|34.67|17.63|51.31865619|27.64|28.78|12.41|13.5|12.41|36.85|36.85|24.93|12.07|25.27|36.85|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|ASPERGILLUS FUMIGATUS IGG|44.47|23.57|33.35|35.58|37.8|40.02|37.8|35.93|32.02|30.1|0|44.47|21.58|22.59|15.69|36.4|20.51|19.96|22.03|16.56188605|33.35|34.73|15.5|16.86|15.5|34.87|35.58|21.02|15.08|17.84|35.58|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|44.47
HOSP OP|0301 - LAB/CHEMISTRY||83520|C1 ESTERASE INHIBITOR FUNCTION|70.82|37.53|53.12|56.66|60.2|63.74|60.2|57.22|50.99|47.93|0|70.82|22.28|23.31|16.2|57.97|21.17|20.6|22.73|17.26915521|53.12|55.31|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|70.82
HOSP OP|0302 - LAB/IMMUNOLOGY||86162|COMPLEMENT (CH50) TOTAL|39.35|20.86|29.51|31.48|33.45|35.42|33.45|31.79|28.33|26.63|0|39.35|29.13|30.48|21.18|32.21|27.68|26.94|29.72|22.34774067|29.51|30.73|20.93|22.76|20.93|39.35|39.35|28.35|20.36|23.78|39.35|22.75|22.34774067|22.75|0|0|0|15.55|20.32|20.32|20.93|20.32|36.58|20.32|20.93|0|39.35
HOSP OP|0302 - LAB/IMMUNOLOGY||83883|C1 ESTERASE INHIBITOR ANTIGEN|46.8|24.8|35.1|37.44|39.78|42.12|39.78|37.81|33.7|31.67|0|46.8|19.49|20.4|14.17|38.31|18.52|18.03|19.89|14.96070727|35.1|36.55|14.01|15.23|14.01|31|31.63|19.06|13.63|15.86|31.63|15.23|14.96070727|15.23|0|0|0|10.41|13.6|13.6|14.01|13.6|24.48|13.6|14.01|0|46.8
HOSP OP|0302 - LAB/IMMUNOLOGY||86738|MYCOPLASMA PNEUMO IgG|23.69|12.56|17.77|18.95|20.14|21.32|20.14|19.14|17.06|16.03|0|23.69|18.98|19.86|13.8|19.39|18.03|17.55|19.36|14.55795678|17.77|18.5|13.64|14.83|13.64|23.69|23.69|18.08|13.27|15.36|23.69|14.82|14.55795678|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.69|13.24|13.64|0|23.69
HOSP OP|0302 - LAB/IMMUNOLOGY||86003|RAST-MISC SINGLE|10.64|5.64|7.98|8.51|9.04|9.58|9.04|8.6|7.66|7.2|0|10.64|7.48|7.83|5.44|8.71|7.11|6.92|7.63|5.736738703|7.98|8.31|5.38|5.85|5.38|10.64|10.64|7.33|5.23|5.95|10.64|5.84|5.736738703|5.84|0|0|0|4|5.22|5.22|5.38|5.22|9.4|5.22|5.38|0|10.64
HOSP OP|0302 - LAB/IMMUNOLOGY||86762|RUBELLA IMMUNE STATUS|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|20.63|21.59|15|59.75|19.6|19.08|21.05|15.82514735|54.75|57.01|14.82|16.12|14.82|32.94|33.61|20.04|14.42|16.85|33.61|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86592|Hb Syphilis Csf|43.04|22.81|32.28|34.43|36.58|38.74|36.58|34.78|30.99|29.13|0|43.04|6.13|6.41|4.46|35.23|5.82|5.67|6.25|4.695481336|32.28|33.61|4.4|4.78|4.4|9.68|9.88|5.86|4.28|4.96|9.88|4.78|4.695481336|4.78|0|0|5.33|3.27|4.27|4.27|4.4|4.27|7.69|4.27|4.4|0|43.04
HOSP OP|0302 - LAB/IMMUNOLOGY||86778|TOXOPLASMA IgM|49|25.97|36.75|39.2|41.65|44.1|41.65|39.59|35.28|33.16|0|49|20.65|21.61|15.02|40.11|19.63|19.1|21.07|15.8546169|36.75|38.27|14.84|16.14|14.84|32.94|33.61|20.04|14.44|16.85|33.61|16.14|15.8546169|16.14|0|0|0|11.03|14.41|14.41|14.84|14.41|25.94|14.41|14.84|0|49
HOSP OP|0302 - LAB/IMMUNOLOGY||86777|Hb Toxoplasma Igg|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|20.63|21.59|15|42.56|19.6|19.08|21.05|15.82514735|39|40.61|14.82|16.12|14.82|32.94|33.61|20.04|14.42|16.85|33.61|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|52
HOSP OP|0301 - LAB/CHEMISTRY||83873|CSF MYELIN PROTEIN|53.45|28.33|40.09|42.76|45.43|48.11|45.43|43.19|38.48|36.17|0|53.45|24.66|25.81|17.93|43.75|23.44|22.81|25.16|18.9194499|40.09|41.74|17.72|19.26|17.72|39.71|40.52|23.95|17.23|20.32|40.52|19.26|18.9194499|19.26|0|0|0|13.17|17.2|17.2|17.72|17.2|30.96|17.2|17.72|0|53.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86738|MYCOPLASMA PNEUMO IgM|23.69|12.56|17.77|18.95|20.14|21.32|20.14|19.14|17.06|16.03|0|23.69|18.98|19.86|13.8|19.39|18.03|17.55|19.36|14.55795678|17.77|18.5|13.64|14.83|13.64|23.69|23.69|18.08|13.27|15.36|23.69|14.82|14.55795678|14.82|0|0|0|10.13|13.24|13.24|13.64|13.24|23.69|13.24|13.64|0|23.69
HOSP OP|0306 - LAB/BACT-MICRO||87338|H. PYLORI STOOL ANTIGEN|65.31|34.61|48.98|52.25|55.51|58.78|55.51|52.77|47.02|44.2|0|65.31|20.61|21.57|14.99|53.46|19.59|19.06|21.03|14.38113949|48.98|51.01|14.81|16.11|14.81|32.94|33.61|20.04|14.41|16.85|33.61|14.64|14.38113949|14.64|0|0|0|11|14.38|14.38|14.81|14.38|25.88|14.38|14.81|0|65.31
HOSP OP|0306 - LAB/BACT-MICRO||87493|C. DIFFICILE TOXIN BY PCR|157|83.21|117.75|125.6|133.45|141.3|133.45|126.86|113.04|106.26|0|157|50.3|52.64|36.57|128.5|47.8|46.52|51.32|41.00196464|117.75|122.62|38.39|41.74|38.39|80.4|82.04|48.39|37.34|41.13|82.04|41.74|41.00196464|41.74|0|0|0|26.87|37.27|37.27|38.39|37.27|67.09|37.27|38.39|0|157
HOSP OP|0302 - LAB/IMMUNOLOGY||86713|LEGIONELLA PNEUMOPHILIA ABY|47.61|25.23|35.71|38.09|40.47|42.85|40.47|38.47|34.28|32.22|0|47.61|21.93|22.95|15.95|38.97|20.84|20.28|22.38|16.82711198|35.71|37.18|15.76|17.14|15.76|34.87|35.58|21.02|15.33|17.84|35.58|17.13|16.82711198|17.13|0|0|0|11.71|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|47.61
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|SMOOTH MUSCLE ANTIBODY|20.72|10.98|15.54|16.58|17.61|18.65|17.61|16.74|14.92|14.02|0|20.72|20.72|18.08|20.72|16.96|20.72|20.72|17.63|51.31865619|15.54|16.18|12.41|13.5|12.41|20.72|20.72|20.72|12.07|20.72|20.72|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|20.72|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|MITOCHONDRIAL ANTIBODY|17.88|9.48|13.41|14.3|15.2|16.09|15.2|14.45|12.87|12.1|0|17.88|16.52|17.29|12.02|14.63|15.71|15.28|16.86|11.5324165|13.41|13.96|11.88|12.91|11.88|17.88|17.88|16.13|11.55|13.38|17.88|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|17.88|11.53|11.88|0|17.88
HOSP OP|0302 - LAB/IMMUNOLOGY||86757|SPOTTED FEVER GROUP IgM|34.89|18.49|26.17|27.91|29.66|31.4|29.66|28.19|25.12|23.61|0|34.89|27.75|29.04|20.18|28.56|26.37|25.66|28.31|21.28683694|26.17|27.25|19.93|21.67|19.93|34.89|34.89|26.88|19.39|22.79|34.89|21.67|21.28683694|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|34.89
HOSP OP|0302 - LAB/IMMUNOLOGY||86757|SPOTTED FEVER GROUP IgG|34.88|18.49|26.16|27.9|29.65|31.39|29.65|28.18|25.11|23.61|0|34.88|27.75|29.04|20.18|28.55|26.37|25.66|28.31|21.28683694|26.16|27.24|19.93|21.67|19.93|34.88|34.88|26.88|19.39|22.79|34.88|21.67|21.28683694|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|34.88
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|V. ZOSTER IgM STATUS|39.2|20.78|29.4|31.36|33.32|35.28|33.32|31.67|28.22|26.53|0|39.2|18.46|19.32|13.42|32.09|17.54|17.07|18.84|14.17485265|29.4|30.62|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|39.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86787|Hb V. Zoster Igg Immune|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|18.46|19.32|13.42|59.75|17.54|17.07|18.84|14.17485265|54.75|57.01|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86645|Hb Cmv Igm Antibodies|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|24.15|25.27|17.56|38.47|22.95|22.33|24.64|18.53634578|35.25|36.71|17.36|18.87|17.36|38.75|39.54|23.46|16.88|19.82|39.54|18.87|18.53634578|18.87|0|0|0|12.9|16.85|16.85|17.36|16.85|30.33|16.85|17.36|0|47
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|Hb Gbm Igg Atby|41.27|21.87|30.95|33.02|35.08|37.14|35.08|33.35|29.71|27.93|0|41.27|22.28|23.31|16.2|33.78|21.17|20.6|22.73|17.26915521|30.95|32.23|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|41.27
HOSP OP|0302 - LAB/IMMUNOLOGY||86644|Hb Cmv Igg Antibodies|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|20.63|21.59|15|40.93|19.6|19.08|21.05|15.82514735|37.5|39.05|14.82|16.12|14.82|32.94|33.61|20.04|14.42|16.85|33.61|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|50
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HANTAVIRUS IgG|96.94|51.38|72.71|77.55|82.4|87.25|82.4|78.33|69.8|65.61|0|96.94|18.46|19.32|13.42|79.35|17.54|17.07|18.84|14.17485265|72.71|75.71|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|96.94
HOSP OP|0302 - LAB/IMMUNOLOGY||86790|HANTAVIRUS IgM|96.95|51.38|72.71|77.56|82.41|87.26|82.41|78.34|69.8|65.62|0|96.95|18.46|19.32|13.42|79.35|17.54|17.07|18.84|14.17485265|72.71|75.72|13.27|14.43|13.27|30.03|30.64|17.59|12.91|15.36|30.64|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|96.95
HOSP OP|0302 - LAB/IMMUNOLOGY||86695|Hb Hsv-1 Igg|50|26.5|37.5|40|42.5|45|42.5|40.4|36|33.84|0|50|18.9|19.78|13.74|40.93|17.96|17.48|19.29|14.50884086|37.5|39.05|13.59|14.77|13.59|30.03|30.64|18.08|13.22|15.36|30.64|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|23.74|13.19|13.59|0|50
HOSP OP|0302 - LAB/IMMUNOLOGY||86696|Hb Hsv-2 Igg|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|27.75|29.04|20.18|59.75|26.37|25.66|28.31|21.28683694|54.75|57.01|19.93|21.67|19.93|44.56|45.47|26.88|19.39|22.79|45.47|21.67|21.28683694|21.67|0|0|0|14.82|19.35|19.35|19.93|19.35|34.83|19.35|19.93|0|73
HOSP OP|0302 - LAB/IMMUNOLOGY||86622|BRUCELLA AB IgG|35.2|18.66|26.4|28.16|29.92|31.68|29.92|28.44|25.34|23.82|0|35.2|12.8|13.39|9.3|28.81|12.16|11.83|13.06|9.823182711|26.4|27.49|9.2|10|9.2|20.34|20.76|12.22|8.95|10.41|20.76|10|9.823182711|10|0|0|0|6.83|8.93|8.93|9.2|8.93|16.07|8.93|9.2|0|35.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86622|BRUCELLA AB IgM|35.2|18.66|26.4|28.16|29.92|31.68|29.92|28.44|25.34|23.82|0|35.2|12.8|13.39|9.3|28.81|12.16|11.83|13.06|9.823182711|26.4|27.49|9.2|10|9.2|20.34|20.76|12.22|8.95|10.41|20.76|10|9.823182711|10|0|0|0|6.83|8.93|8.93|9.2|8.93|16.07|8.93|9.2|0|35.2
HOSP OP|0306 - LAB/BACT-MICRO||87430|STREP THROAT SCREEN|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|21.68|22.69|15.77|53.2|20.61|20.05|22.12|18.48722986|48.75|50.77|17.31|18.83|17.31|34.87|35.58|19.06|16.84|17.84|35.58|18.82|18.48722986|18.82|0|0|0|11.58|16.81|16.81|17.31|16.81|30.26|16.81|17.31|0|65
HOSP OP|0302 - LAB/IMMUNOLOGY||86663|EBV EARLY ATGN|39.32|20.84|29.49|31.46|33.42|35.39|33.42|31.77|28.31|26.61|0|39.32|18.81|19.68|13.68|32.18|17.88|17.39|19.19|14.4302554|29.49|30.71|13.51|14.69|13.51|30.03|30.64|18.08|13.15|15.36|30.64|14.69|14.4302554|14.69|0|0|0|10.04|13.12|13.12|13.51|13.12|23.62|13.12|13.51|0|39.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Disease Antibody Screen Igg|94|49.82|70.5|75.2|79.9|84.6|79.9|75.95|67.68|63.62|0|94|24.41|25.54|17.75|76.94|23.2|22.57|24.9|17.03339882|70.5|73.41|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|94
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|Hb Lyme Disease Antibody Screen Igm|94|49.82|70.5|75.2|79.9|84.6|79.9|75.95|67.68|63.62|0|94|24.41|25.54|17.75|76.94|23.2|22.57|24.9|17.03339882|70.5|73.41|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|94
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|LYME TOTAL ANTIBODY|51.49|27.29|38.62|41.19|43.77|46.34|43.77|41.6|37.07|34.85|0|51.49|24.41|25.54|17.75|42.14|23.2|22.57|24.9|17.03339882|38.62|40.21|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|51.49
HOSP OP|0302 - LAB/IMMUNOLOGY||86617|LYME IgG WESTERN BLOT|22.58|11.97|16.94|18.06|19.19|20.32|19.19|18.24|16.26|15.28|0|22.58|22.2|22.58|16.14|18.48|21.1|20.53|22.58|17.043222|16.94|17.63|15.95|17.35|15.95|22.58|22.58|21.5|15.52|18.33|22.58|17.35|17.043222|17.35|0|0|0|11.86|15.49|15.49|15.95|15.49|22.58|15.49|15.95|0|22.58
HOSP OP|0302 - LAB/IMMUNOLOGY||86617|LYME IgM WESTERN BLOT|22.58|11.97|16.94|18.06|19.19|20.32|19.19|18.24|16.26|15.28|0|22.58|22.2|22.58|16.14|18.48|21.1|20.53|22.58|17.043222|16.94|17.63|15.95|17.35|15.95|22.58|22.58|21.5|15.52|18.33|22.58|17.35|17.043222|17.35|0|0|0|11.86|15.49|15.49|15.95|15.49|22.58|15.49|15.95|0|22.58
HOSP OP|0306 - LAB/BACT-MICRO||87449|STREP PNEUMO URINE ATGN DET|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|17.18|17.98|12.49|34.38|16.33|15.89|17.53|11.98428291|31.5|32.8|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|12.2|11.98428291|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|42
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA A IgG|28.12|14.9|21.09|22.5|23.9|25.31|23.9|22.72|20.25|19.03|0|28.12|19.43|20.33|14.13|23.02|18.46|17.97|19.82|14.91159136|21.09|21.96|13.96|15.18|13.96|28.12|28.12|18.57|13.58|15.86|28.12|15.18|14.91159136|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|28.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA B IgG|26.45|14.02|19.84|21.16|22.48|23.81|22.48|21.37|19.04|17.9|0|26.45|19.43|20.33|14.13|21.65|18.46|17.97|19.82|14.91159136|19.84|20.66|13.96|15.18|13.96|26.45|26.45|18.57|13.58|15.86|26.45|15.18|14.91159136|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|26.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA A IgM|28.12|14.9|21.09|22.5|23.9|25.31|23.9|22.72|20.25|19.03|0|28.12|19.43|20.33|14.13|23.02|18.46|17.97|19.82|14.91159136|21.09|21.96|13.96|15.18|13.96|28.12|28.12|18.57|13.58|15.86|28.12|15.18|14.91159136|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|28.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86710|INFLUENZA B IgM|26.44|14.01|19.83|21.15|22.47|23.8|22.47|21.36|19.04|17.89|0|26.44|19.43|20.33|14.13|21.64|18.46|17.97|19.82|14.91159136|19.83|20.65|13.96|15.18|13.96|26.44|26.44|18.57|13.58|15.86|26.44|15.18|14.91159136|15.18|0|0|0|10.38|13.55|13.55|13.96|13.55|24.39|13.55|13.96|0|26.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86147|Hb Cardiolipin Antibody Igg|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|36.48|38.18|26.53|58.93|34.67|33.74|37.23|27.99607073|54|56.23|26.21|28.5|26.21|58.11|59.3|35.19|25.5|29.73|59.3|28.5|27.99607073|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|72
HOSP OP|0302 - LAB/IMMUNOLOGY||86147|Hb Cardiolipin Antibody Igm|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|36.48|38.18|26.53|58.93|34.67|33.74|37.23|27.99607073|54|56.23|26.21|28.5|26.21|58.11|59.3|35.19|25.5|29.73|59.3|28.5|27.99607073|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|72
HOSP OP|0302 - LAB/IMMUNOLOGY||86665|EBV VIRAL CAPSID  IgG|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|19.95088409|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|20.31|19.95088409|20.31|0|0|0|13.89|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|20.31
HOSP OP|0302 - LAB/IMMUNOLOGY||86664|Hb Ebv Nuclear Agn Igg|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|16.8172888|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|17.12|16.8172888|17.12|0|0|0|11.7|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|17.12
HOSP OP|0302 - LAB/IMMUNOLOGY||86665|EBV VIRAL CAPSID IgM|14.64|7.76|10.98|11.71|12.44|13.18|12.44|11.83|10.54|9.91|0|14.64|14.64|14.64|14.64|11.98|14.64|14.64|14.64|19.95088409|10.98|11.43|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|14.64|20.31|19.95088409|20.31|0|0|0|13.89|14.64|14.64|14.64|14.64|14.64|14.64|14.64|0|20.31
HOSP OP|0302 - LAB/IMMUNOLOGY||86747|PARVOVIRUS B19 IgG|21.52|11.41|16.14|17.22|18.29|19.37|18.29|17.39|15.49|14.56|0|21.52|21.52|21.52|15.66|17.61|20.47|19.92|21.52|16.5324165|16.14|16.81|15.48|16.83|15.48|21.52|21.52|21.02|15.06|17.84|21.52|16.83|16.5324165|16.83|0|0|0|11.5|15.03|15.03|15.48|15.03|21.52|15.03|15.48|0|21.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86747|PARVOVIRUS B19 IgM|21.53|11.41|16.15|17.22|18.3|19.38|18.3|17.4|15.5|14.57|0|21.53|21.53|21.53|15.66|17.62|20.47|19.92|21.53|16.5324165|16.15|16.81|15.48|16.83|15.48|21.53|21.53|21.02|15.06|17.84|21.53|16.83|16.5324165|16.83|0|0|0|11.5|15.03|15.03|15.48|15.03|21.53|15.03|15.48|0|21.53
HOSP OP|0302 - LAB/IMMUNOLOGY||86654|WESTERN EQUINE IgG/IgM|20.78|11.01|15.59|16.62|17.66|18.7|17.66|16.79|14.96|14.06|0|20.78|18.9|19.78|13.74|17.01|17.96|17.48|19.29|14.50884086|15.59|16.23|13.59|14.77|13.59|20.78|20.78|18.08|13.22|15.36|20.78|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.78|13.19|13.59|0|20.78
HOSP OP|0302 - LAB/IMMUNOLOGY||86651|LA CROSSE IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.50884086|15.59|16.24|13.59|14.77|13.59|20.79|20.79|18.08|13.22|15.36|20.79|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86652|EASTERN EQUINE IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.50884086|15.59|16.24|13.59|14.77|13.59|20.79|20.79|18.08|13.22|15.36|20.79|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86653|ST. LOUIS ENCEPH IgG/IgM|20.79|11.02|15.59|16.63|17.67|18.71|17.67|16.8|14.97|14.07|0|20.79|18.9|19.78|13.74|17.02|17.96|17.48|19.29|14.50884086|15.59|16.24|13.59|14.77|13.59|20.79|20.79|18.08|13.22|15.36|20.79|14.77|14.50884086|14.77|0|0|0|10.09|13.19|13.19|13.59|13.19|20.79|13.19|13.59|0|20.79
HOSP OP|0302 - LAB/IMMUNOLOGY||86609|MICROPOLYS. FAENI|25.52|13.53|19.14|20.42|21.69|22.97|21.69|20.62|18.37|17.27|0|25.52|18.46|19.32|13.42|20.89|17.54|17.07|18.84|14.17485265|19.14|19.93|13.27|14.43|13.27|25.52|25.52|17.59|12.91|15.36|25.52|14.43|14.17485265|14.43|0|0|0|9.86|12.88|12.88|13.27|12.88|23.18|12.88|13.27|0|25.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86331|THERMO. VULGARIS|25.52|13.53|19.14|20.42|21.69|22.97|21.69|20.62|18.37|17.27|0|25.52|17.17|17.97|12.48|20.89|16.32|15.88|17.52|13.1827112|19.14|19.93|12.34|13.42|12.34|25.52|25.52|16.62|12|13.87|25.52|13.42|13.1827112|13.42|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|25.52
HOSP OP|0302 - LAB/IMMUNOLOGY||86606|ASPER. FUMIGATUS|28.47|15.09|21.35|22.78|24.2|25.62|24.2|23|20.5|19.27|0|28.47|21.58|22.59|15.69|23.3|20.51|19.96|22.03|16.56188605|21.35|22.24|15.5|16.86|15.5|28.47|28.47|21.02|15.08|17.84|28.47|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|28.47
HOSP OP|0350 - CT SCAN||76377|CT 3D RECON INDEPNT WRKSTN|767|406.51|575.25|613.6|651.95|690.3|0|619.74|552.24|519.11|0|767|767|0|605.81|627.79|767|767|0|0|575.25|599.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|730.1|0|0|0|0|0|0|0|0|767
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIA-CF|18.5|9.8|13.88|14.8|15.73|16.65|15.73|14.95|13.32|12.52|0|18.5|17.91|18.5|13.02|15.14|17.02|16.56|18.27|15.16699411|13.88|14.45|14.2|15.44|14.2|18.5|18.5|17.11|13.82|14.87|18.5|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.5|13.79|14.2|0|18.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIA-ID|18.51|9.81|13.88|14.81|15.73|16.66|15.73|14.96|13.33|12.53|0|18.51|17.91|18.51|13.02|15.15|17.02|16.56|18.27|15.16699411|13.88|14.46|14.2|15.44|14.2|18.51|18.51|17.11|13.82|14.87|18.51|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.51|13.79|14.2|0|18.51
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Ab Immunodiffusion Serum|47.93|25.4|35.95|38.34|40.74|43.14|40.74|38.73|34.51|32.44|0|47.93|18.5|19.36|13.45|39.23|17.58|17.11|18.88|14.19449902|35.95|37.43|13.29|14.45|13.29|30.03|30.64|18.08|12.93|15.36|30.64|14.45|14.19449902|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|47.93
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO YEAST-CF|18.51|9.81|13.88|14.81|15.73|16.66|15.73|14.96|13.33|12.53|0|18.51|17.91|18.51|13.02|15.15|17.02|16.56|18.27|15.16699411|13.88|14.46|14.2|15.44|14.2|18.51|18.51|17.11|13.82|14.87|18.51|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|18.51|13.79|14.2|0|18.51
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES-CF IgG|12.55|6.65|9.41|10.04|10.67|11.3|10.67|10.14|9.04|8.49|0|12.55|12.55|12.55|11.96|10.27|12.55|12.55|12.55|12.62278978|9.41|9.8|11.81|12.55|11.81|12.55|12.55|12.55|11.49|12.55|12.55|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.55|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES-ID IgG|12.54|6.65|9.41|10.03|10.66|11.29|10.66|10.13|9.03|8.49|0|12.54|12.54|12.54|11.96|10.26|12.54|12.54|12.54|12.62278978|9.41|9.79|11.81|12.54|11.81|12.54|12.54|12.54|11.49|12.54|12.54|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.54|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Antibody By Eia Serum|69.5|36.83|52.13|55.6|59.08|62.55|59.08|56.16|50.04|47.04|0|69.5|18.5|19.36|13.45|56.89|17.58|17.11|18.88|14.19449902|52.13|54.28|13.29|14.45|13.29|30.03|30.64|18.08|12.93|15.36|30.64|14.45|14.19449902|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|69.5
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|Hb Coccidioides Antibody Screen Serum|51.84|27.48|38.88|41.47|44.06|46.66|44.06|41.89|37.32|35.09|0|51.84|16.45|17.21|11.96|42.43|15.63|15.21|16.78|12.62278978|38.88|40.49|11.81|12.85|11.81|26.16|26.69|16.13|11.49|13.38|26.69|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|51.84
HOSP OP|0306 - LAB/BACT-MICRO||87899|Hb Cryptococcus Antigen Titer Lfa|69.24|36.7|51.93|55.39|58.85|62.32|58.85|55.95|49.85|46.86|0|69.24|20.73|21.69|15.07|56.67|19.7|19.17|21.15|16.07072692|51.93|54.08|16.55|18|16.55|32.94|33.61|18.08|16.1|16.85|33.61|16.36|16.07072692|16.36|0|0|0|11.07|16.07|16.07|16.55|16.07|28.93|16.07|16.55|0|69.24
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIOIDES-ID IgM|12.55|6.65|9.41|10.04|10.67|11.3|10.67|10.14|9.04|8.49|0|12.55|12.55|12.55|11.96|10.27|12.55|12.55|12.55|12.62278978|9.41|9.8|11.81|12.55|11.81|12.55|12.55|12.55|11.49|12.55|12.55|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|12.55|11.47|11.81|0|12.85
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES CF - CSF|26.37|13.98|19.78|21.1|22.41|23.73|22.41|21.31|18.99|17.85|0|26.37|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62278978|19.78|20.59|11.81|12.85|11.81|26.16|26.37|16.13|11.49|13.38|26.37|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.37
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES ID IgG - CSF|26.36|13.97|19.77|21.09|22.41|23.72|22.41|21.3|18.98|17.84|0|26.36|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62278978|19.77|20.59|11.81|12.85|11.81|26.16|26.36|16.13|11.49|13.38|26.36|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.36
HOSP OP|0302 - LAB/IMMUNOLOGY||86635|COCCIDIODES ID IgM - CSF|26.37|13.98|19.78|21.1|22.41|23.73|22.41|21.31|18.99|17.85|0|26.37|16.45|17.21|11.96|21.58|15.63|15.21|16.78|12.62278978|19.78|20.59|11.81|12.85|11.81|26.16|26.37|16.13|11.49|13.38|26.37|12.85|12.62278978|12.85|0|0|0|8.78|11.47|11.47|11.81|11.47|20.65|11.47|11.81|0|26.37
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIAL CF - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.16699411|17.9|18.64|14.2|15.44|14.2|23.87|23.87|17.11|13.82|14.87|23.87|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO MYCELIAL ID - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.16699411|17.9|18.64|14.2|15.44|14.2|23.87|23.87|17.11|13.82|14.87|23.87|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86698|HISTO YEAST CF - CSF|23.87|12.65|17.9|19.1|20.29|21.48|20.29|19.29|17.19|16.16|0|23.87|17.91|18.74|13.02|19.54|17.02|16.56|18.27|15.16699411|17.9|18.64|14.2|15.44|14.2|23.87|23.87|17.11|13.82|14.87|23.87|15.44|15.16699411|15.44|0|0|0|9.56|13.79|13.79|14.2|13.79|23.87|13.79|14.2|0|23.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86612|Hb Blastomyces Ab Immunodiffusion Csf|84.47|44.77|63.35|67.58|71.8|76.02|71.8|68.25|60.82|57.17|0|84.47|18.5|19.36|13.45|69.14|17.58|17.11|18.88|14.19449902|63.35|65.97|13.29|14.45|13.29|30.03|30.64|18.08|12.93|15.36|30.64|14.45|14.19449902|14.45|0|0|0|9.88|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|84.47
HOSP OP|0301 - LAB/CHEMISTRY||84157|CSF PROTEIN|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|3.998035363|21.75|22.65|4.12|4.48|4.12|8.72|8.9|4.89|4.01|4.46|8.9|4.07|3.998035363|4.07|0|0|0|2.8|4|4|4.12|4|7.2|4|4.12|0|29
HOSP OP|0301 - LAB/CHEMISTRY||82108|ALUMINUM|46.47|24.63|34.85|37.18|39.5|41.82|39.5|37.55|33.46|31.45|0|46.47|36.52|38.22|26.55|38.04|34.71|33.77|37.26|28.02554028|34.85|36.29|26.24|28.54|26.24|46.47|46.47|35.19|25.53|30.23|46.47|28.53|28.02554028|28.53|0|0|0|19.5|25.48|25.48|26.24|25.48|45.86|25.48|26.24|0|46.47
HOSP OP|0301 - LAB/CHEMISTRY||82105|AFP TUMOR MARKER|108|57.24|81|86.4|91.8|97.2|91.8|87.26|77.76|73.09|0|108|24.05|25.16|17.48|88.4|22.85|22.24|24.53|18.44793713|81|84.35|17.27|18.78|17.27|38.75|39.54|23.46|16.8|19.82|39.54|18.78|18.44793713|18.78|0|0|0|12.84|16.77|16.77|17.27|16.77|30.19|16.77|17.27|0|108
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|RAJI CELL IMMUNE COMPLEX ASSAY|136.3|72.24|102.23|109.04|115.86|122.67|115.86|110.13|98.14|92.25|0|136.3|34.93|36.56|25.4|111.56|33.2|32.31|35.65|26.80746562|102.23|106.45|25.1|27.29|25.1|56.18|57.33|33.72|24.42|28.74|57.33|27.29|26.80746562|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|136.3
HOSP OP|0302 - LAB/IMMUNOLOGY||86332|C1Q BINDING|51.2|27.14|38.4|40.96|43.52|46.08|43.52|41.37|36.86|34.65|0|51.2|34.93|36.56|25.4|41.91|33.2|32.31|35.65|26.80746562|38.4|39.99|25.1|27.29|25.1|51.2|51.2|33.72|24.42|28.74|51.2|27.29|26.80746562|27.29|0|0|0|18.66|24.37|24.37|25.1|24.37|43.87|24.37|25.1|0|51.2
HOSP OP|0301 - LAB/CHEMISTRY||82542|FELBAMATE (FELBATOL)|59.35|31.46|44.51|47.48|50.45|53.42|50.45|47.95|42.73|40.17|0|59.35|31.08|32.52|22.6|48.58|29.53|28.74|31.71|26.50294695|44.51|46.35|24.81|26.98|24.81|50.37|51.4|26.88|24.14|25.77|51.4|26.98|26.50294695|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|59.35
HOSP OP|0301 - LAB/CHEMISTRY||80171|GABAPENTIN (NEURONTIN)|45.9|24.33|34.43|36.72|39.02|41.31|39.02|37.09|33.05|31.07|0|45.9|27.95|29.25|20.33|37.57|26.57|25.85|28.52|23.84086444|34.43|35.85|22.32|24.27|22.32|44.56|45.47|24.44|21.71|22.79|45.47|24.27|23.84086444|24.27|0|0|0|14.93|21.67|21.67|22.32|21.67|39.01|21.67|22.32|0|45.9
HOSP OP|0301 - LAB/CHEMISTRY||84586|V I PEPTIDE|79.57|42.17|59.68|63.66|67.63|71.61|67.63|64.29|57.29|53.85|0|79.57|50.65|53|36.83|65.13|48.13|46.84|51.68|38.86051081|59.68|62.14|36.39|39.57|36.39|79.57|79.57|48.87|35.4|41.62|79.57|39.56|38.86051081|39.56|0|0|0|27.05|35.33|35.33|36.39|35.33|63.59|35.33|36.39|0|79.57
HOSP OP|0301 - LAB/CHEMISTRY||84182|Hb 68 Kd (hsp-70) Antibodies|224.2|118.83|168.15|179.36|190.57|201.78|190.57|181.15|161.42|151.74|0|224.2|37.49|39.43|27.26|183.51|35.63|34.67|38.44|51.31865619|168.15|175.1|30.09|32.72|30.09|60.05|61.28|32.75|29.27|30.72|61.28|52.242392|51.31865619|33.298192|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|224.2
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|NEURON SPECIFIC ENOLASE CSF|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|22.28|23.31|16.2|54.54|21.17|20.6|22.73|17.26915521|49.97|52.04|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|66.63
HOSP OP|0301 - LAB/CHEMISTRY||83516|HB TISSUE TRANSGLUTAMINASE IGA|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|16.52|17.29|12.02|48.29|15.71|15.28|16.86|11.5324165|44.25|46.08|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|59
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Neuronal Nuclear Antibody Type 1|57.02|30.22|42.77|45.62|48.47|51.32|48.47|46.07|41.05|38.59|0|57.02|37.49|18.08|27.26|46.67|35.63|34.67|17.63|51.31865619|42.77|44.53|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86256|HB NEURONAL NUCLEAR ANTIBODY TYPE 2|57.02|30.22|42.77|45.62|48.47|51.32|48.47|46.07|41.05|38.59|0|57.02|37.49|18.08|27.26|46.67|35.63|34.67|17.63|51.31865619|42.77|44.53|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Type 1|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Amphiphysin|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Crmp-5 Igg|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0301 - LAB/CHEMISTRY||80180|MYCOPHENOLIC ACID|52.55|27.85|39.41|42.04|44.67|47.3|44.67|42.46|37.84|35.57|0|52.55|25.88|27.08|18.82|43.01|24.59|23.93|26.4|19.86247544|39.41|41.04|18.59|20.22|18.59|41.65|42.5|24.93|18.09|21.31|42.5|20.22|19.86247544|20.22|0|0|0|13.82|18.05|18.05|18.59|18.05|32.49|18.05|18.59|0|52.55
HOSP OP|0302 - LAB/IMMUNOLOGY||86341|GAD65 / ISLET CELL AB|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|30.41|31.82|22.11|54.54|28.9|28.12|31.02|25.93320236|49.97|52.04|24.28|26.4|24.28|48.43|49.42|27.37|23.62|24.78|49.42|26.4|25.93320236|26.4|0|0|0|16.24|23.57|23.57|24.28|23.57|42.43|23.57|24.28|0|66.63
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Tr|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Neuronal Nuclear Antibody Type 3|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.49|18.08|27.26|46.65|35.63|34.67|17.63|51.31865619|42.75|44.52|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|57
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Purkinje Cell Cytoplasmic Atby Type 2|48.95|25.94|36.71|39.16|41.61|44.06|41.61|39.55|35.24|33.13|0|48.95|37.49|18.08|27.26|40.07|35.63|34.67|17.63|51.31865619|36.71|38.23|12.41|13.5|12.41|48.95|48.95|24.93|12.07|25.27|48.95|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0301 - LAB/CHEMISTRY||83835|METANEPHRINES PLASMA|43.47|23.04|32.6|34.78|36.95|39.12|36.95|35.12|31.3|29.42|0|43.47|24.28|25.41|17.65|35.58|23.07|22.45|24.77|18.6345776|32.6|33.95|17.45|18.97|17.45|38.75|39.54|23.46|16.97|19.82|39.54|18.97|18.6345776|18.97|0|0|0|12.97|16.94|16.94|17.45|16.94|30.49|16.94|17.45|0|43.47
HOSP OP|0301 - LAB/CHEMISTRY||82945|CSF GLUCOSE|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.322200393|23.25|24.21|4.05|4.4|4.05|8.72|8.9|5.38|3.94|4.46|8.9|4.4|4.322200393|4.4|0|0|0|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|31
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|PARANEOPLASTIC EVAL CSF|81.07|42.97|60.8|64.86|68.91|72.96|68.91|65.5|58.37|54.87|0|81.07|37.49|18.08|27.26|66.36|35.63|34.67|17.63|51.31865619|60.8|63.32|12.41|13.5|12.41|49.4|50.41|24.93|12.07|25.27|50.41|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|81.07
HOSP OP|0301 - LAB/CHEMISTRY||84270|SEX HORMONE BINDING GLOBULIN|38.07|20.18|28.55|30.46|32.36|34.26|32.36|30.76|27.41|25.77|0|38.07|31.15|32.6|22.65|31.16|29.61|28.81|31.79|23.89980354|28.55|29.73|22.38|24.34|22.38|38.07|38.07|30.3|21.77|25.77|38.07|24.33|23.89980354|24.33|0|0|0|16.64|21.73|21.73|22.38|21.73|38.07|21.73|22.38|0|38.07
HOSP OP|0301 - LAB/CHEMISTRY||84182|CRMP-5 WESTERN BLOT|132.6|70.28|99.45|106.08|112.71|119.34|112.71|107.14|95.47|89.74|0|132.6|37.49|39.43|27.26|108.53|35.63|34.67|38.44|51.31865619|99.45|103.56|30.09|32.72|30.09|60.05|61.28|32.75|29.27|30.72|61.28|52.242392|51.31865619|33.298192|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|132.6
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|STRIATIONAL ABY|56.81|30.11|42.61|45.45|48.29|51.13|48.29|45.9|40.9|38.45|0|56.81|22.28|23.31|16.2|46.5|21.17|20.6|22.73|17.26915521|42.61|44.37|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|56.81
HOSP OP|0301 - LAB/CHEMISTRY||80053|COMP METAB PROFILE|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|15.14|15.85|11.01|67.12|14.39|14.01|15.45|10.55992141|61.5|64.04|10.88|11.83|10.88|24.22|24.71|14.66|10.58|12.39|24.71|10.75|10.55992141|10.75|0|0|0|8.08|10.56|10.56|10.88|10.56|19.01|10.56|10.88|0|82
HOSP OP|0301 - LAB/CHEMISTRY||82820|Hb Oxygen Dissociation P50 Rbc|195.56|103.65|146.67|156.45|166.23|176|166.23|158.01|140.8|132.36|0|195.56|17.21|18.01|12.51|160.07|16.35|15.91|17.56|14.66601179|146.67|152.73|13.74|14.94|13.74|28.09|28.66|15.15|13.37|14.37|28.66|14.93|14.66601179|14.93|0|0|0|9.19|13.34|13.34|13.74|13.34|24.01|13.34|13.74|0|195.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86340|INTRINSIC FACTOR BLOCKING AB|46.68|24.74|35.01|37.34|39.68|42.01|39.68|37.72|33.61|31.59|0|46.68|21.61|22.61|15.71|38.21|20.54|19.98|22.04|16.5913556|35.01|36.46|15.53|16.89|15.53|34.87|35.58|21.02|15.11|17.84|35.58|16.89|16.5913556|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|46.68
HOSP OP|0301 - LAB/CHEMISTRY||82150|BF AMYLASE|49|25.97|36.75|39.2|41.65|44.1|41.65|39.59|35.28|33.16|0|49|9.29|9.72|6.75|40.11|8.83|8.59|9.48|6.483300589|36.75|38.27|6.67|7.26|6.67|14.53|14.83|8.8|6.49|7.43|14.83|6.6|6.483300589|6.6|0|0|0|4.96|6.48|6.48|6.67|6.48|11.66|6.48|6.67|0|49
HOSP OP|0301 - LAB/CHEMISTRY||82945|BF GLUCOSE|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.64|5.9|4.1|25.37|5.36|5.21|5.75|4.322200393|23.25|24.21|4.05|4.4|4.05|8.72|8.9|5.38|3.94|4.46|8.9|4.4|4.322200393|4.4|0|0|0|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|31
HOSP OP|0301 - LAB/CHEMISTRY||83615|BF LDH|38|20.14|28.5|30.4|32.3|34.2|32.3|30.7|27.36|25.72|0|38|8.66|9.06|6.29|31.1|8.23|8.01|8.83|6.640471513|28.5|29.68|6.22|6.76|6.22|13.56|13.84|8.31|6.05|6.94|13.84|6.76|6.640471513|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|38
HOSP OP|0301 - LAB/CHEMISTRY||82570|BF CREATININE|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|7.42|7.76|5.39|27.83|7.05|6.86|7.57|5.176817289|25.5|26.55|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|34
HOSP OP|0301 - LAB/CHEMISTRY||84520|BF UREA NITROGEN (BUN)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|5.66|5.93|4.12|16.37|5.38|5.24|5.78|3.94891945|15|15.62|4.07|4.42|4.07|8.72|8.9|5.38|3.96|4.46|8.9|4.02|3.94891945|4.02|0|0|0|3.02|3.95|3.95|4.07|3.95|7.11|3.95|4.07|0|20
HOSP OP|0301 - LAB/CHEMISTRY||84478|BF TRIGLYCERIDE|28|14.84|21|22.4|23.8|25.2|23.8|22.62|20.16|18.95|0|28|8.23|8.61|5.98|22.92|7.82|7.61|8.39|5.736738703|21|21.87|5.91|6.43|5.91|13.56|13.84|7.82|5.75|6.94|13.84|5.84|5.736738703|5.84|0|0|7.15|4.4|5.74|5.74|5.91|5.74|10.33|5.74|5.91|0|28
HOSP OP|0301 - LAB/CHEMISTRY||82042|BF ALBUMIN|39|20.67|29.25|31.2|33.15|35.1|33.15|31.51|28.08|26.4|0|39|10.04|10.5|7.3|31.92|9.54|9.28|10.24|7.779960707|29.25|30.46|8.01|8.71|8.01|16.46|16.8|8.8|7.8|8.42|16.8|7.92|7.779960707|7.92|0|0|0|5.36|7.78|7.78|8.01|7.78|14|7.78|8.01|0|39
HOSP OP|0301 - LAB/CHEMISTRY||82247|BF BILIRUBIN|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.19|7.52|5.22|16.37|6.83|6.65|7.33|5.019646365|15|15.62|5.17|5.62|5.17|11.62|11.86|6.84|5.03|5.95|11.86|5.11|5.019646365|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86146|Hb Beta-2-glycoprotein 1 Igm|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|36.48|38.18|26.53|47.47|34.67|33.74|37.23|27.99607073|43.5|45.3|26.21|28.5|26.21|58|58|35.19|25.5|29.73|58|28.5|27.99607073|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|58
HOSP OP|0306 - LAB/BACT-MICRO||87476|LYME DNA by PCR|26.58|14.09|19.94|21.26|22.59|23.92|22.59|21.48|19.14|17.99|0|26.58|26.58|26.58|26.58|21.76|26.58|26.58|26.58|38.59528487|19.94|20.76|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|26.58|39.29|38.59528487|39.29|0|0|0|26.05|26.58|26.58|26.58|26.58|26.58|26.58|26.58|0|39.29
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohol Urine|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|31.49|0|22.9|29.63|29.93|29.12|0|16.20825147|27.15|28.27|36.2|0|36.2|31.28|32.5|36.2|14.48|15.84|32.5|16.5|16.20825147|16.5|0|0|0|35.48|36.2|36.2|36.2|36.2|36.2|36.2|36.2|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||80199|GABITRIL/TIAGABINE|72.14|38.23|54.11|57.71|61.32|64.93|61.32|58.29|51.94|48.82|0|72.14|34.97|36.6|25.43|59.05|33.24|32.34|35.69|29.82318271|54.11|56.34|27.92|30.36|27.92|56.18|57.33|30.3|27.16|28.74|57.33|30.36|29.82318271|30.36|0|0|0|18.68|27.11|27.11|27.92|27.11|48.8|27.11|27.92|0|72.14
HOSP OP|0301 - LAB/CHEMISTRY||83520|TUMOR NECROSIS FACTOR-ALPHA|119.2|63.18|89.4|95.36|101.32|107.28|101.32|96.31|85.82|80.67|0|119.2|22.28|23.31|16.2|97.57|21.17|20.6|22.73|17.26915521|89.4|93.1|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|119.2
HOSP OP|0302 - LAB/IMMUNOLOGY||80184|PHENOBARBITAL UNBOUND|55.82|29.58|41.87|44.66|47.45|50.24|47.45|45.1|40.19|37.78|0|55.82|19.74|20.66|14.35|45.69|18.76|18.25|20.14|16.82711198|41.87|43.6|15.76|17.14|15.76|31.97|32.62|17.11|15.33|16.35|32.62|17.13|16.82711198|17.13|0|0|0|10.54|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|55.82
HOSP OP|0301 - LAB/CHEMISTRY||80342|OLANZAPINE (ZYPREXA)|85.4|45.26|64.05|68.32|72.59|76.86|72.59|69|61.49|57.8|0|85.4|31.49|0|22.9|69.9|29.93|29.12|0|26.56188605|64.05|66.7|85.4|0|85.4|73.79|76.68|85.4|34.16|37.38|76.68|27.04|26.56188605|27.04|0|0|0|78.86|85.4|85.4|85.4|85.4|85.4|85.4|85.4|0|85.4
HOSP OP|0301 - LAB/CHEMISTRY||80360|METHYLPHENIDATE (RITALIN)|75.09|39.8|56.32|60.07|63.83|67.58|63.83|60.67|54.06|50.82|0|75.09|31.49|0|22.9|61.46|29.93|29.12|0|26.50294695|56.32|58.65|75.09|0|75.09|64.88|67.42|75.09|30.04|32.87|67.42|26.98|26.50294695|26.98|0|0|0|73.59|75.09|75.09|75.09|75.09|75.09|75.09|75.09|0|75.09
HOSP OP|0301 - LAB/CHEMISTRY||80320|ETHYLENE GLYCOL|98.2|52.05|73.65|78.56|83.47|88.38|83.47|79.35|70.7|66.46|0|98.2|31.49|0|22.9|80.38|29.93|29.12|0|16.20825147|73.65|76.69|98.2|0|98.2|84.84|88.17|98.2|39.28|42.98|88.17|16.5|16.20825147|16.5|0|0|0|78.86|0|0|98.2|0|49.1|98.2|98.2|0|98.2
HOSP OP|0301 - LAB/CHEMISTRY||80320|ISOPROPYL ALCOHOL|92.2|48.87|69.15|73.76|78.37|82.98|78.37|74.5|66.38|62.4|0|92.2|31.49|0|22.9|75.47|29.93|29.12|0|16.20825147|69.15|72.01|92.2|0|92.2|79.66|82.78|92.2|36.88|40.36|82.78|16.5|16.20825147|16.5|0|0|0|78.86|92.2|92.2|92.2|92.2|92.2|92.2|92.2|0|92.2
HOSP OP|0301 - LAB/CHEMISTRY||80320|METHYL ALCOHOL|92.2|48.87|69.15|73.76|78.37|82.98|78.37|74.5|66.38|62.4|0|92.2|31.49|0|22.9|75.47|29.93|29.12|0|16.20825147|69.15|72.01|92.2|0|92.2|79.66|82.78|92.2|36.88|40.36|82.78|16.5|16.20825147|16.5|0|0|0|78.86|0|0|92.2|0|92.2|92.2|92.2|0|92.2
HOSP OP|0301 - LAB/CHEMISTRY||80299|FLECAINIDE (TAMBOCOR)|67.14|35.58|50.36|53.71|57.07|60.43|57.07|54.25|48.34|45.44|0|67.14|24.05|25.16|17.48|54.95|22.85|22.24|24.53|20.50098232|50.36|52.44|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|67.14
HOSP OP|0301 - LAB/CHEMISTRY||80342|QUETIAPINE (SEROQUEL)|74.18|39.32|55.64|59.34|63.05|66.76|63.05|59.94|53.41|50.21|0|74.18|31.49|0|22.9|60.72|29.93|29.12|0|26.56188605|55.64|57.93|74.18|0|74.18|64.09|66.6|74.18|29.67|32.47|66.6|27.04|26.56188605|27.04|0|0|0|72.7|74.18|74.18|74.18|74.18|74.18|74.18|74.18|0|74.18
HOSP OP|0302 - LAB/IMMUNOLOGY||86300|CA 27.29|136|72.08|102|108.8|115.6|122.4|115.6|109.89|97.92|92.04|0|136|29.84|31.23|21.7|111.32|28.36|27.59|30.45|22.88801572|102|106.22|21.43|23.31|21.43|47.46|48.43|28.84|20.85|24.28|48.43|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|136
HOSP OP|0301 - LAB/CHEMISTRY||80175|LAMOTRIGINE (LAMICTAL)|35.1|18.6|26.33|28.08|29.84|31.59|29.84|28.36|25.27|23.76|0|35.1|19|19.89|13.82|28.73|18.06|17.57|19.39|14.57760314|26.33|27.41|13.65|14.84|13.65|31|31.63|18.57|13.28|15.86|31.63|14.84|14.57760314|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|35.1
HOSP OP|0302 - LAB/IMMUNOLOGY||80165|VALPROIC ACID UNBOUND|55.82|29.58|41.87|44.66|47.45|50.24|47.45|45.1|40.19|37.78|0|55.82|19.41|20.32|14.12|45.69|18.45|17.95|19.81|14.89194499|41.87|43.6|13.95|15.16|13.95|31|31.63|18.57|13.57|15.86|31.63|15.16|14.89194499|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|55.82
HOSP OP|0301 - LAB/CHEMISTRY||80299|CITALOPRAM (CELEXA)|80.34|42.58|60.26|64.27|68.29|72.31|68.29|64.91|57.84|54.37|0|80.34|24.05|25.16|17.48|65.76|22.85|22.24|24.53|20.50098232|60.26|62.75|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|80.34
HOSP OP|0305 - LAB/HEMATOLOGY||85810|VISCOSITY SERUM|78.68|41.7|59.01|62.94|66.88|70.81|66.88|63.57|56.65|53.25|0|78.68|16.73|17.51|12.17|64.4|15.9|15.47|17.07|12.8388998|59.01|61.45|12.02|13.07|12.02|27.13|27.68|16.13|11.69|13.87|27.68|13.07|12.8388998|13.07|0|0|0|8.94|11.67|11.67|12.02|11.67|21.01|11.67|12.02|0|78.68
HOSP OP|0301 - LAB/CHEMISTRY||83090|HOMOCYSTEINE PLASMA|103|54.59|77.25|82.4|87.55|92.7|87.55|83.22|74.16|69.71|0|103|24.17|25.3|17.58|84.31|22.98|22.36|24.67|19.70530452|77.25|80.44|18.46|20.07|18.46|38.75|39.54|23.46|17.96|19.82|39.54|20.06|19.70530452|20.06|0|0|0|12.91|17.92|17.92|18.46|17.92|32.26|17.92|18.46|0|103
HOSP OP|0301 - LAB/CHEMISTRY||80342|RISPERIDONE (RISPERDAL)|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|31.49|0|22.9|69.07|29.93|29.12|0|26.56188605|63.29|65.9|84.38|0|84.38|72.9|75.76|84.38|33.75|36.93|75.76|27.04|26.56188605|27.04|0|0|0|78.86|84.38|84.38|84.38|84.38|84.38|84.38|84.38|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80299|VENLAFAXINE (EFFEXOR)|80.34|42.58|60.26|64.27|68.29|72.31|68.29|64.91|57.84|54.37|0|80.34|24.05|25.16|17.48|65.76|22.85|22.24|24.53|20.50098232|60.26|62.75|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|80.34
HOSP OP|0306 - LAB/BACT-MICRO||87449|LEGIONELLA URINE ATGN DET|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|17.18|17.98|12.49|59.75|16.33|15.89|17.53|11.98428291|54.75|57.01|12.34|13.42|12.34|27.13|27.68|16.62|12|13.87|27.68|12.2|11.98428291|12.2|0|0|0|9.17|11.98|11.98|12.34|11.98|21.56|11.98|12.34|0|73
HOSP OP|0301 - LAB/CHEMISTRY||83615|LDH TOTAL|19.29|10.22|14.47|15.43|16.4|17.36|16.4|15.59|13.89|13.06|0|19.29|8.66|9.06|6.29|15.79|8.23|8.01|8.83|6.640471513|14.47|15.07|6.22|6.76|6.22|13.56|13.84|8.31|6.05|6.94|13.84|6.76|6.640471513|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|19.29
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|MODULATING AChR|79.56|42.17|59.67|63.65|67.63|71.6|67.63|64.28|57.28|53.85|0|79.56|23.74|24.84|17.26|65.12|22.56|21.95|24.22|20.23575639|59.67|62.14|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|79.56
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|ACHR BINDING ATBY|49.56|26.27|37.17|39.65|42.13|44.6|42.13|40.04|35.68|33.54|0|49.56|23.74|24.84|17.26|40.56|22.56|21.95|24.22|20.23575639|37.17|38.71|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|49.56
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|ACHR MODULATING ATBY|62.1|32.91|46.58|49.68|52.79|55.89|52.79|50.18|44.71|42.03|0|62.1|23.74|24.84|17.26|50.83|22.56|21.95|24.22|20.23575639|46.58|48.5|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|62.1
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|STRIATIONAL ATBY|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|22.28|23.31|16.2|38.47|21.17|20.6|22.73|17.26915521|35.25|36.71|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|47
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Gliadin (deamidated) Peptide Atby Igg|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|16.52|17.29|12.02|55.66|15.71|15.28|16.86|11.5324165|51|53.11|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|68
HOSP OP|0301 - LAB/CHEMISTRY||83516|Hb Gliadin (deamidated) Peptide Atby Iga|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|16.52|17.29|12.02|54.84|15.71|15.28|16.86|11.5324165|50.25|52.33|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|67
HOSP OP|0301 - LAB/CHEMISTRY||80197|FK506-TACROLIMUS|41.45|21.97|31.09|33.16|35.23|37.31|35.23|33.49|29.84|28.05|0|41.45|19.69|20.6|14.31|33.93|18.71|18.21|20.09|15.09823183|31.09|32.37|14.14|15.38|14.14|31.97|32.62|19.06|13.76|16.35|32.62|15.37|15.09823183|15.37|0|0|0|10.51|13.73|13.73|14.14|13.73|24.71|13.73|14.14|0|41.45
HOSP OP|0301 - LAB/CHEMISTRY||83516|MAG ANTIBODY IGM (MAG / SGPG)|54.85|29.07|41.14|43.88|46.62|49.37|46.62|44.32|39.49|37.12|0|54.85|16.52|17.29|12.02|44.89|15.71|15.28|16.86|11.5324165|41.14|42.84|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|54.85
HOSP OP|0306 - LAB/BACT-MICRO||87496|CMV DNA by PCR|74.2|39.33|55.65|59.36|63.07|66.78|63.07|59.95|53.42|50.22|0|74.2|50.3|52.64|36.57|60.73|47.8|46.52|51.32|38.59528487|55.65|57.95|36.14|39.3|36.14|74.2|74.2|48.39|35.16|41.13|74.2|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|74.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|PARVOVIRUS PCR|151.3|80.19|113.48|121.04|128.61|136.17|128.61|122.25|108.94|102.4|0|151.3|50.3|52.64|36.57|123.84|47.8|46.52|51.32|38.59528487|113.48|118.17|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|151.3
HOSP OP|0301 - LAB/CHEMISTRY||80201|TOPIRAMATE (TOPAMAX)|56.84|30.13|42.63|45.47|48.31|51.16|48.31|45.93|40.92|38.47|0|56.84|17.08|17.87|12.42|46.52|16.23|15.8|17.42|13.11394892|42.63|44.39|12.28|13.35|12.28|27.13|27.68|16.62|11.94|13.87|27.68|13.35|13.11394892|13.35|0|0|0|9.12|11.92|11.92|12.28|11.92|21.46|11.92|12.28|0|56.84
HOSP OP|0301 - LAB/CHEMISTRY||80183|OXCARBAZEPINE (TRILEPTAL)|61.94|32.83|46.46|49.55|52.65|55.75|52.65|50.05|44.6|41.92|0|61.94|19|19.89|13.82|50.7|18.06|17.57|19.39|14.57760314|46.46|48.38|13.65|14.84|13.65|31|31.63|18.57|13.28|15.86|31.63|14.84|14.57760314|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|61.94
HOSP OP|0301 - LAB/CHEMISTRY||80203|ZONISAMIDE (ZONEGRAN)|62.96|33.37|47.22|50.37|53.52|56.66|53.52|50.87|45.33|42.61|0|62.96|19|19.89|13.82|51.53|18.06|17.57|19.39|14.57760314|47.22|49.17|13.65|14.84|13.65|31|31.63|18.57|13.28|15.86|31.63|14.84|14.57760314|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|62.96
HOSP OP|0301 - LAB/CHEMISTRY||80177|LEVETIRACETAM (KEPPRA)|90.3|47.86|67.73|72.24|76.76|81.27|76.76|72.96|65.02|61.12|0|90.3|19|19.89|13.82|73.91|18.06|17.57|19.39|14.57760314|67.73|70.52|13.65|14.84|13.65|31|31.63|18.57|13.28|15.86|31.63|14.84|14.57760314|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|90.3
HOSP OP|0301 - LAB/CHEMISTRY||80335|MIRTAZAPINE (REMERON)|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|31.49|0|22.9|69.07|29.93|29.12|0|30.53045187|63.29|65.9|84.38|0|84.38|72.9|75.76|84.38|33.75|36.93|75.76|31.08|30.53045187|31.08|0|0|0|78.86|84.38|84.38|84.38|84.38|84.38|84.38|84.38|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80368|ZOLPIDEM (AMBIEN)|108.86|57.7|81.65|87.09|92.53|97.97|92.53|87.96|78.38|73.68|0|108.86|31.49|0|22.9|89.1|29.93|29.12|0|23.3497053|81.65|85.02|108.86|0|108.86|94.06|97.74|108.86|43.54|47.65|97.74|23.77|23.3497053|23.77|0|0|0|78.86|108.86|108.86|108.86|108.86|108.86|108.86|108.86|0|108.86
HOSP OP|0301 - LAB/CHEMISTRY||82495|CHROMIUM SERUM|51.12|27.09|38.34|40.9|43.45|46.01|43.45|41.3|36.81|34.6|0|51.12|29.06|30.42|21.13|41.84|27.62|26.88|29.66|22.30844794|38.34|39.92|20.89|22.71|20.89|46.49|47.44|27.86|20.32|23.78|47.44|22.71|22.30844794|22.71|0|0|0|15.52|20.28|20.28|20.89|20.28|36.5|20.28|20.89|0|51.12
HOSP OP|0301 - LAB/CHEMISTRY||84255|SELENIUM SERUM|52.89|28.03|39.67|42.31|44.96|47.6|44.96|42.74|38.08|35.8|0|52.89|36.6|38.3|26.61|43.29|34.78|33.85|37.34|28.08447937|39.67|41.31|26.3|28.59|26.3|52.89|52.89|35.19|25.58|30.23|52.89|28.59|28.08447937|28.59|0|0|0|19.54|25.53|25.53|26.3|25.53|45.95|25.53|26.3|0|52.89
HOSP OP|0302 - LAB/IMMUNOLOGY||86316|CHROMOGRANIN A|40.17|21.29|30.13|32.14|34.14|36.15|34.14|32.46|28.92|27.19|0|40.17|29.84|31.23|21.7|32.88|28.36|27.59|30.45|22.88801572|30.13|31.37|21.43|23.31|21.43|40.17|40.17|28.84|20.85|24.28|40.17|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|40.17
HOSP OP|0301 - LAB/CHEMISTRY||82397|PTH RELATED PEP|56.11|29.74|42.08|44.89|47.69|50.5|47.69|45.34|40.4|37.98|0|56.11|20.24|21.18|14.72|45.93|19.24|18.72|20.65|15.53045187|42.08|43.82|14.54|15.81|14.54|32.94|33.61|19.55|14.15|16.85|33.61|15.81|15.53045187|15.81|0|0|0|10.81|14.12|14.12|14.54|14.12|25.42|14.12|14.54|0|56.11
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|EHRLICHIA  CHAFFEENSIS  IgG|45.44|24.08|34.08|36.35|38.62|40.9|38.62|36.72|32.72|30.75|0|45.44|14.59|15.27|10.61|37.19|13.87|13.49|14.89|11.19842829|34.08|35.49|10.49|11.4|10.49|23.25|23.72|14.17|10.2|11.89|23.72|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|45.44
HOSP OP|0302 - LAB/IMMUNOLOGY||86666|ANAPLASMA PHAGOCYTO IgG|45.44|24.08|34.08|36.35|38.62|40.9|38.62|36.72|32.72|30.75|0|45.44|14.59|15.27|10.61|37.19|13.87|13.49|14.89|11.19842829|34.08|35.49|10.49|11.4|10.49|23.25|23.72|14.17|10.2|11.89|23.72|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|18.32|10.18|10.49|0|45.44
HOSP OP|0301 - LAB/CHEMISTRY||83880|BNP-BTYPE NA PEPTIDE|175|92.75|131.25|140|148.75|157.5|148.75|141.4|126|118.44|0|175|50.65|53|36.83|143.24|48.13|46.84|51.68|39.2632613|131.25|136.68|40.44|43.97|40.44|81.37|83.03|46.92|39.34|41.62|83.03|39.97|39.2632613|39.97|0|0|0|27.05|39.26|39.26|40.44|39.26|70.67|39.26|40.44|0|175
HOSP OP|0302 - LAB/IMMUNOLOGY||86638|Q FEVER PHASE 1 IgG|28.87|15.3|21.65|23.1|24.54|25.98|24.54|23.33|20.79|19.54|0|28.87|17.38|18.18|12.63|23.63|16.51|16.07|17.73|13.33005894|21.65|22.55|12.48|13.57|12.48|28.09|28.66|16.62|12.14|14.37|28.66|13.57|13.33005894|13.57|0|0|0|9.28|12.12|12.12|12.48|12.12|21.82|12.12|12.48|0|28.87
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SCL 70 ANTIBODY|41.07|21.77|30.8|32.86|34.91|36.96|34.91|33.18|29.57|27.8|0|41.07|25.71|26.91|18.69|33.62|24.43|23.78|26.24|19.7151277|30.8|32.08|18.47|20.08|18.47|41.07|41.07|24.93|17.97|21.31|41.07|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|41.07
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|U1RNP ANTIBODY|43.32|22.96|32.49|34.66|36.82|38.99|36.82|35|31.19|29.32|0|43.32|25.71|26.91|18.69|35.46|24.43|23.78|26.24|19.7151277|32.49|33.83|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|43.32
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|Sm ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.7151277|45.75|47.64|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SS-A/Ro ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.7151277|45.75|47.64|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|SS-B/La ANTIBODY|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|25.71|26.91|18.69|49.93|24.43|23.78|26.24|19.7151277|45.75|47.64|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|JO1 ANTIBODY|41.07|21.77|30.8|32.86|34.91|36.96|34.91|33.18|29.57|27.8|0|41.07|25.71|26.91|18.69|33.62|24.43|23.78|26.24|19.7151277|30.8|32.08|18.47|20.08|18.47|41.07|41.07|24.93|17.97|21.31|41.07|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|41.07
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone Quant Serum|67.04|35.53|50.28|53.63|56.98|60.34|56.98|54.17|48.27|45.37|0|67.04|31.49|0|22.9|54.87|29.93|29.12|0|27.84872299|50.28|52.36|67.04|0|67.04|57.92|60.19|67.04|26.82|29.34|60.19|28.35|27.84872299|28.35|0|0|0|65.7|67.04|67.04|67.04|67.04|67.04|67.04|67.04|0|67.04
HOSP OP|0301 - LAB/CHEMISTRY||83921|METHYLMALONIC ACID (MMA)|68.66|36.39|51.5|54.93|58.36|61.79|58.36|55.48|49.44|46.47|0|68.66|27.36|28.63|19.89|56.2|26|25.3|27.91|23.33005894|51.5|53.62|21.85|23.76|21.85|43.59|44.48|23.95|21.25|22.3|44.48|23.75|23.33005894|23.75|0|0|0|14.61|21.21|21.21|21.85|21.21|38.18|21.21|21.85|0|68.66
HOSP OP|0302 - LAB/IMMUNOLOGY||83516|HISTONE AUTOANTIBODY|42.2|22.37|31.65|33.76|35.87|37.98|35.87|34.1|30.38|28.56|0|42.2|16.52|17.29|12.02|34.54|15.71|15.28|16.86|11.5324165|31.65|32.96|11.88|12.91|11.88|26.16|26.69|16.13|11.55|13.38|26.69|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|20.75|11.53|11.88|0|42.2
HOSP OP|0301 - LAB/CHEMISTRY||84238|SOLUBLE TRANSFERRIN RECEPTOR|57.51|30.48|43.13|46.01|48.88|51.76|48.88|46.47|41.41|38.92|0|57.51|52.41|54.85|38.11|47.07|49.81|48.47|53.48|40.2259332|43.13|44.92|37.67|40.96|37.67|57.51|57.51|50.83|36.64|43.11|57.51|40.95|40.2259332|40.95|0|0|0|28|36.57|36.57|37.67|36.57|57.51|36.57|37.67|0|57.51
HOSP OP|0301 - LAB/CHEMISTRY||82010|BETA-HYDROXYBUTYRATE|52|27.56|39|41.6|44.2|46.8|44.2|42.02|37.44|35.19|0|52|11.71|12.26|8.52|42.56|11.13|10.83|11.95|8.172888016|39|40.61|8.42|9.15|8.42|18.4|18.78|11.24|8.19|9.41|18.78|8.32|8.172888016|8.32|0|0|0|6.25|8.17|8.17|8.42|8.17|14.71|8.17|8.42|0|52
HOSP OP|0302 - LAB/IMMUNOLOGY||86376|LIVER/ KIDNEY MICROSOME TYPE 1|48.48|25.69|36.36|38.78|41.21|43.63|41.21|39.17|34.91|32.81|0|48.48|20.86|21.83|15.17|39.68|19.82|19.29|21.28|16.01178782|36.36|37.86|14.99|16.3|14.99|33.9|34.59|20.04|14.58|17.34|34.59|16.3|16.01178782|16.3|0|0|0|11.14|14.55|14.55|14.99|14.55|26.19|14.55|14.99|0|48.48
HOSP OP|0301 - LAB/CHEMISTRY||80358|Hb Methadone Confirmation|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|27.84872299|37.28|38.82|49.7|0|49.7|42.94|44.62|49.7|19.88|21.75|44.62|28.35|27.84872299|28.35|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80324|AMPHETAMINE CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|26.50294695|37.28|38.82|49.7|0|49.7|42.94|44.62|49.7|19.88|21.75|44.62|26.98|26.50294695|26.98|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80345|Hb Barbiturate Confirmation|59.2|31.38|44.4|47.36|50.32|53.28|50.32|47.83|42.62|40.07|0|59.2|31.49|0|22.9|48.46|29.93|29.12|0|19.52848723|44.4|46.24|59.2|0|59.2|51.15|53.15|59.2|23.68|25.91|53.15|19.88|19.52848723|19.88|0|0|0|58.02|59.2|59.2|59.2|59.2|59.2|59.2|59.2|0|59.2
HOSP OP|0301 - LAB/CHEMISTRY||80361|OPIATES CONFIRMATION|17.7|9.38|13.28|14.16|15.05|15.93|15.05|14.3|12.74|11.98|0|17.7|17.7|0|17.7|14.49|17.7|17.7|0|35.20628684|13.28|13.82|17.7|0|17.7|15.29|15.89|17.7|7.08|7.75|15.89|35.84|35.20628684|35.84|0|0|0|17.35|17.7|17.7|17.7|17.7|17.7|17.7|17.7|0|35.84
HOSP OP|0301 - LAB/CHEMISTRY||83992|PCP CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|49.7|27.83|41.01|40.68|49.7|49.7|27.14|16.79764244|37.28|38.82|49.7|0|49.7|42.94|44.62|49.7|19.88|21.75|44.62|17.1|16.79764244|17.1|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Rohypnol (flunitrazepam) U*|86.42|45.8|64.82|69.14|73.46|77.78|73.46|69.83|62.22|58.49|0|86.42|83.4|86.42|60.64|70.73|79.26|77.13|85.1|68.3497053|64.82|67.49|64|69.6|64|86.42|86.42|80.64|62.26|68.38|86.42|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|86.42|62.14|64|0|86.42
HOSP OP|0301 - LAB/CHEMISTRY||80353|Hb Cocaine Confirmation|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|25.8546169|37.28|38.82|49.7|0|49.7|42.94|44.62|49.7|19.88|21.75|44.62|26.32|25.8546169|26.32|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Ghb (gamma-hydroxybut) Ur*|105.8|56.07|79.35|84.64|89.93|95.22|89.93|85.49|76.18|71.61|0|105.8|83.4|87.28|60.64|86.6|79.26|77.13|85.1|68.3497053|79.35|82.63|64|69.6|64|105.8|105.8|80.64|62.26|68.38|105.8|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|105.8|62.14|64|0|105.8
HOSP OP|0301 - LAB/CHEMISTRY||80365|OXYCODONE URINE|49.2|26.08|36.9|39.36|41.82|44.28|41.82|39.75|35.42|33.3|0|49.2|31.49|0|22.9|40.27|29.93|29.12|0|20.14734774|36.9|38.43|49.2|0|49.2|42.51|44.18|49.2|19.68|21.53|44.18|20.51|20.14734774|20.51|0|0|0|48.22|49.2|49.2|49.2|49.2|49.2|49.2|49.2|0|49.2
HOSP OP|0301 - LAB/CHEMISTRY||82261|BIOTINIDASE|71.25|37.76|53.44|57|60.56|64.13|60.56|57.57|51.3|48.22|0|71.25|24.17|25.3|17.58|58.32|22.98|22.36|24.67|18.55599214|53.44|55.65|17.38|18.89|17.38|38.75|39.54|23.46|16.9|19.82|39.54|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|71.25
HOSP OP|0301 - LAB/CHEMISTRY||82017|ACYLCARNITINE QUANT|77.23|40.93|57.92|61.78|65.65|69.51|65.65|62.4|55.61|52.27|0|77.23|24.17|25.3|17.58|63.21|22.98|22.36|24.67|18.55599214|57.92|60.32|17.38|18.89|17.38|38.75|39.54|23.46|16.9|19.82|39.54|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|77.23
HOSP OP|0301 - LAB/CHEMISTRY||84560|Hb Uric Acid Other Source|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|6.8|7.11|4.94|27.83|6.46|6.29|6.93|5.589390963|25.5|26.55|5.23|5.69|5.23|10.65|10.87|6.35|5.09|5.45|10.87|5.69|5.589390963|5.69|0|0|0|3.62|5.08|5.08|5.23|5.08|9.14|5.08|5.23|0|34
HOSP OP|0301 - LAB/CHEMISTRY||82379|CARNITINE|54.87|29.08|41.15|43.9|46.64|49.38|46.64|44.33|39.51|37.14|0|54.87|24.17|25.3|17.58|44.91|22.98|22.36|24.67|18.55599214|41.15|42.85|17.38|18.89|17.38|38.75|39.54|23.46|16.9|19.82|39.54|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|54.87
HOSP OP|0301 - LAB/CHEMISTRY||80158|CYCLOSPORINE|62.03|32.88|46.52|49.62|52.73|55.83|52.73|50.12|44.66|41.98|0|62.03|25.88|27.08|18.82|50.77|24.59|23.93|26.4|19.86247544|46.52|48.45|18.59|20.22|18.59|41.65|42.5|24.93|18.09|21.31|42.5|20.22|19.86247544|20.22|0|0|0|13.82|18.05|18.05|18.59|18.05|32.49|18.05|18.59|0|62.03
HOSP OP|0301 - LAB/CHEMISTRY||84630|ZINC SERUM|48.02|25.45|36.02|38.42|40.82|43.22|40.82|38.8|34.57|32.5|0|48.02|16.32|17.08|11.87|39.3|15.51|15.09|16.65|12.53438114|36.02|37.5|11.73|12.76|11.73|26.16|26.69|15.64|11.41|13.38|26.69|12.76|12.53438114|12.76|0|0|0|8.71|11.39|11.39|11.73|11.39|20.5|11.39|11.73|0|48.02
HOSP OP|0301 - LAB/CHEMISTRY||84482|T3 REVERSE|63.8|33.81|47.85|51.04|54.23|57.42|54.23|51.55|45.94|43.18|0|63.8|22.59|23.64|16.42|52.22|21.47|20.89|23.05|17.33791749|47.85|49.83|16.23|17.65|16.23|35.84|36.57|21.99|15.79|18.33|36.57|17.65|17.33791749|17.65|0|0|0|12.06|15.76|15.76|16.23|15.76|28.37|15.76|16.23|0|63.8
HOSP OP|0301 - LAB/CHEMISTRY||82150|AMYLASE SERUM|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|9.29|9.72|6.75|38.47|8.83|8.59|9.48|6.483300589|35.25|36.71|6.67|7.26|6.67|14.53|14.83|8.8|6.49|7.43|14.83|6.6|6.483300589|6.6|0|0|0|4.96|6.48|6.48|6.67|6.48|11.66|6.48|6.67|0|47
HOSP OP|0301 - LAB/CHEMISTRY||82634|DEOXYCORTISOL-11|59.1|31.32|44.33|47.28|50.24|53.19|50.24|47.75|42.55|40|0|59.1|41.96|43.92|30.51|48.37|39.88|38.81|42.82|32.21021611|44.33|46.16|30.16|32.79|30.16|59.1|59.1|40.57|29.34|34.69|59.1|32.79|32.21021611|32.79|0|0|0|22.42|29.28|29.28|30.16|29.28|52.7|29.28|30.16|0|59.1
HOSP OP|0301 - LAB/CHEMISTRY||84146|PROLACTIN SERUM|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|27.77|29.07|20.2|78.58|26.4|25.69|28.34|21.31630648|72|74.98|19.96|21.71|19.96|44.56|45.47|26.88|19.42|22.79|45.47|21.7|21.31630648|21.7|0|0|0|14.84|19.38|19.38|19.96|19.38|34.88|19.38|19.96|0|96
HOSP OP|0302 - LAB/IMMUNOLOGY||86335|IMMUNOFIX ELP URINE|163|86.39|122.25|130.4|138.55|146.7|138.55|131.7|117.36|110.32|0|163|37.49|44.02|27.26|133.42|35.63|34.67|42.92|51.31865619|122.25|127.3|30.23|32.87|30.23|67.81|69.19|40.57|29.41|34.69|69.19|52.242392|51.31865619|33.298192|0|0|0|20.02|29.35|29.35|30.23|29.35|52.83|29.35|30.23|0|163
HOSP OP|0301 - LAB/CHEMISTRY||84460|ALT (SGPT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.6|7.95|5.52|16.37|7.22|7.03|7.75|5.304518664|15|15.62|5.46|5.94|5.46|12.59|12.85|7.33|5.31|6.44|12.85|5.4|5.304518664|5.4|0|0|0|4.05|5.3|5.3|5.46|5.3|9.54|5.3|5.46|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82310|CALCIUM SERUM|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|7.39|7.74|5.37|17.19|7.02|6.84|7.55|5.157170923|15.75|16.4|5.31|5.78|5.31|11.62|11.86|7.33|5.17|5.95|11.86|5.25|5.157170923|5.25|0|0|0|3.95|5.16|5.16|5.31|5.16|9.29|5.16|5.31|0|21
HOSP OP|0301 - LAB/CHEMISTRY||83695|LIPOPROTEIN a|40.52|21.48|30.39|32.42|34.44|36.47|34.44|32.74|29.17|27.42|0|40.52|18.56|19.43|13.5|33.17|17.64|17.17|18.94|15.74656189|30.39|31.65|14.75|16.04|14.75|30.03|30.64|18.08|14.35|15.36|30.64|16.03|15.74656189|16.03|0|0|0|9.92|14.32|14.32|14.75|14.32|25.78|14.32|14.75|0|40.52
HOSP OP|0301 - LAB/CHEMISTRY||82435|POCT CHLORIDE|36|19.08|27|28.8|30.6|32.4|30.6|29.09|25.92|24.36|0|36|6.59|6.9|4.79|29.47|6.26|6.1|6.73|4.597249509|27|28.12|4.74|5.15|4.74|10.65|10.87|6.35|4.61|5.45|10.87|4.68|4.597249509|4.68|0|0|0|3.51|4.6|4.6|4.74|4.6|8.28|4.6|4.74|0|36
HOSP OP|0301 - LAB/CHEMISTRY||80051|ELECTROLYTES|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|10.05|10.52|7.31|26.19|9.55|9.29|10.26|7.013752456|24|24.99|7.22|7.85|7.22|16.46|16.8|9.77|7.02|8.42|16.8|7.14|7.013752456|7.14|0|0|0|5.37|7.01|7.01|7.22|7.01|12.62|7.01|7.22|0|32
HOSP OP|0301 - LAB/CHEMISTRY||82550|CK TOTAL|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|9.33|9.76|6.78|28.65|8.86|8.63|9.52|6.512770138|26.25|27.34|6.71|7.29|6.71|14.53|14.83|8.8|6.52|7.43|14.83|6.63|6.512770138|6.63|0|0|0|4.98|6.51|6.51|6.71|6.51|11.72|6.51|6.71|0|35
HOSP OP|0301 - LAB/CHEMISTRY||80048|BASIC METAB PROFILE|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|12.13|12.69|8.82|53.2|11.52|11.21|12.37|8.457760314|48.75|50.77|8.71|9.48|8.71|19.37|19.77|11.73|8.48|9.91|19.77|8.61|8.457760314|8.61|0|0|0|6.48|8.46|8.46|8.71|8.46|15.23|8.46|8.71|0|65
HOSP OP|0301 - LAB/CHEMISTRY||84479|T3 UPTAKE|34.1|18.07|25.58|27.28|28.99|30.69|28.99|27.55|24.55|23.08|0|34.1|9.26|9.69|6.73|27.91|8.8|8.57|9.45|7.121807466|25.58|26.63|6.66|7.25|6.66|14.53|14.83|8.8|6.48|7.43|14.83|7.25|7.121807466|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|34.1
HOSP OP|0301 - LAB/CHEMISTRY||82380|CAROTENE|146.95|77.88|110.21|117.56|124.91|132.26|124.91|118.74|105.8|99.46|0|146.95|13.22|13.84|9.61|120.28|12.57|12.23|13.49|10.13752456|110.21|114.77|9.5|10.33|9.5|21.31|21.74|12.71|9.24|10.9|21.74|10.32|10.13752456|10.32|0|0|0|7.06|9.22|9.22|9.5|9.22|16.6|9.22|9.5|0|146.95
HOSP OP|0301 - LAB/CHEMISTRY||84445|THYROID STIMULATING IMMUNO-TSI|84.65|44.86|63.49|67.72|71.95|76.19|71.95|68.4|60.95|57.29|0|84.65|72.9|76.29|53.01|69.29|69.28|67.42|74.38|55.95284872|63.49|66.11|52.39|56.96|52.39|84.65|84.65|70.38|50.96|59.96|84.65|56.96|55.95284872|56.96|0|0|0|38.95|50.86|50.86|52.39|50.86|84.65|50.86|52.39|0|84.65
HOSP OP|0301 - LAB/CHEMISTRY||84439|T4 FREE|47|24.91|35.25|37.6|39.95|42.3|39.95|37.98|33.84|31.81|0|47|12.93|13.53|9.4|38.47|12.28|11.95|13.19|9.921414538|35.25|36.71|9.29|10.1|9.29|20.34|20.76|12.71|9.04|10.41|20.76|10.1|9.921414538|10.1|0|0|0|6.9|9.02|9.02|9.29|9.02|16.24|9.02|9.29|0|47
HOSP OP|0301 - LAB/CHEMISTRY||84588|ARGININE VASOPRESSIN|134.2|71.13|100.65|107.36|114.07|120.78|114.07|108.43|96.62|90.83|0|134.2|48.65|50.91|35.37|109.84|46.23|44.99|49.64|37.3280943|100.65|104.81|34.96|38.01|34.96|78.46|80.06|46.92|34.01|40.14|80.06|38|37.3280943|38|0|0|0|25.99|33.94|33.94|34.96|33.94|61.09|33.94|34.96|0|134.2
HOSP OP|0301 - LAB/CHEMISTRY||84681|C-PEPTIDE|39.05|20.7|29.29|31.24|33.19|35.15|33.19|31.55|28.12|26.43|0|39.05|29.84|31.23|21.7|31.96|28.36|27.59|30.45|22.88801572|29.29|30.5|21.43|23.31|21.43|39.05|39.05|28.84|20.85|24.28|39.05|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|39.05
HOSP OP|0301 - LAB/CHEMISTRY||82465|CHOLESTEROL|22|11.66|16.5|17.6|18.7|19.8|18.7|17.78|15.84|14.89|0|22|6.24|6.53|4.54|18.01|5.93|5.77|6.37|4.351669941|16.5|17.18|4.48|4.87|4.48|9.68|9.88|5.86|4.36|4.96|9.88|4.43|4.351669941|4.43|0|0|5.42|3.33|4.35|4.35|4.48|4.35|7.83|4.35|4.48|0|22
HOSP OP|0301 - LAB/CHEMISTRY||80076|LIVER PROFILE|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|11.71|12.26|8.52|51.57|11.13|10.83|11.95|8.988212181|47.25|49.2|8.42|9.15|8.42|18.4|18.78|11.24|8.19|9.41|18.78|9.15|8.988212181|9.15|0|0|0|6.25|8.17|8.17|8.42|8.17|14.71|8.17|8.42|0|63
HOSP OP|0301 - LAB/CHEMISTRY||83930|OSMOLALITY BLOOD|51|27.03|38.25|40.8|43.35|45.9|43.35|41.21|36.72|34.52|0|51|9.48|9.92|6.89|41.74|9.01|8.77|9.67|7.269155206|38.25|39.83|6.81|7.4|6.81|15.49|15.81|9.29|6.62|7.93|15.81|7.4|7.269155206|7.4|0|0|0|5.06|6.61|6.61|6.81|6.61|11.9|6.61|6.81|0|51
HOSP OP|0301 - LAB/CHEMISTRY||82482|ACETYLCHOLINESTERASE RBC|66.23|35.1|49.67|52.98|56.3|59.61|56.3|53.51|47.69|44.82|0|66.23|12.65|13.24|9.2|54.21|12.03|11.7|12.91|10.78585462|49.67|51.73|10.1|10.99|10.1|20.34|20.76|11.24|9.83|10.41|20.76|10.98|10.78585462|10.98|0|0|0|6.76|9.81|9.81|10.1|9.81|17.66|9.81|10.1|0|66.23
HOSP OP|0301 - LAB/CHEMISTRY||82977|GGTP (GAMMA-GTP)|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|10.32|10.8|7.5|25.37|9.81|9.54|10.53|7.200392927|23.25|24.21|7.42|8.06|7.42|16.46|16.8|9.77|7.21|8.42|16.8|7.33|7.200392927|7.33|0|0|0|5.5|7.2|7.2|7.42|7.2|12.96|7.2|7.42|0|31
HOSP OP|0301 - LAB/CHEMISTRY||80342|CLOZAPINE (CLOZARIL)|74.18|39.32|55.64|59.34|63.05|66.76|63.05|59.94|53.41|50.21|0|74.18|31.49|0|22.9|60.72|29.93|29.12|0|26.56188605|55.64|57.93|74.18|0|74.18|64.09|66.6|74.18|29.67|32.47|66.6|27.04|26.56188605|27.04|0|0|0|72.7|0|0|74.18|0|37.09|74.18|74.18|0|74.18
HOSP OP|0302 - LAB/IMMUNOLOGY||86255|Hb Celiac Sprue (endomysial) Antibody|44.04|23.34|33.03|35.23|37.43|39.64|37.43|35.58|31.71|29.81|0|44.04|37.49|18.08|27.26|36.05|35.63|34.67|17.63|51.31865619|33.03|34.4|12.41|13.5|12.41|44.04|44.04|24.93|12.07|25.27|44.04|52.242392|51.31865619|33.298192|0|0|0|20.02|12.05|12.05|12.41|12.05|21.69|12.05|12.41|0|52.242392
HOSP OP|0302 - LAB/IMMUNOLOGY||86334|IMMUNOFIX ELP SERUM|127|67.31|95.25|101.6|107.95|114.3|107.95|102.62|91.44|85.95|0|127|37.49|33.52|27.26|103.95|35.63|34.67|32.68|51.31865619|95.25|99.19|23.01|25.02|23.01|51.34|52.39|30.79|22.38|26.26|52.39|52.242392|51.31865619|33.298192|0|0|0|20.02|22.34|22.34|23.01|22.34|40.21|22.34|23.01|0|127
HOSP OP|0301 - LAB/CHEMISTRY||84132|POTASSIUM SERUM|20.24|10.73|15.18|16.19|17.2|18.22|17.2|16.35|14.57|13.7|0|20.24|6.59|6.9|4.79|16.57|6.26|6.1|6.73|4.764243615|15.18|15.81|4.9|5.33|4.9|10.65|10.87|6.35|4.77|5.45|10.87|4.85|4.764243615|4.85|0|0|0|3.51|4.76|4.76|4.9|4.76|8.57|4.76|4.9|0|20.24
HOSP OP|0301 - LAB/CHEMISTRY||84436|Hb T4 (thyroxine) Total|44.2|23.43|33.15|35.36|37.57|39.78|37.57|35.71|31.82|29.91|0|44.2|9.84|10.3|7.16|36.18|9.35|9.1|10.04|7.563850688|33.15|34.52|7.08|7.69|7.08|15.49|15.81|9.29|6.88|7.93|15.81|7.7|7.563850688|7.7|0|0|0|5.25|6.87|6.87|7.08|6.87|12.37|6.87|7.08|0|44.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86235|CENTROMERE ATBY|73.52|38.97|55.14|58.82|62.49|66.17|62.49|59.4|52.93|49.76|0|73.52|25.71|26.91|18.69|60.18|24.43|23.78|26.24|19.7151277|55.14|57.42|18.47|20.08|18.47|41.65|42.5|24.93|17.97|21.31|42.5|20.07|19.7151277|20.07|0|0|0|13.73|17.93|17.93|18.47|17.93|32.27|17.93|18.47|0|73.52
HOSP OP|0301 - LAB/CHEMISTRY||82533|CORTISOL SERUM|91|48.23|68.25|72.8|77.35|81.9|77.35|73.53|65.52|61.59|0|91|23.36|24.45|16.99|74.48|22.2|21.61|23.84|17.92730845|68.25|71.07|16.79|18.26|16.79|37.78|38.55|22.48|16.33|19.32|38.55|18.25|17.92730845|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|91
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-30 MIN POST DOSE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.92730845|56.25|58.58|16.79|18.26|16.79|37.78|38.55|22.48|16.33|19.32|38.55|18.25|17.92730845|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||82565|CREATININE SERUM|26|13.78|19.5|20.8|22.1|23.4|22.1|21.01|18.72|17.6|0|26|7.34|7.68|5.34|21.28|6.98|6.79|7.49|5.117878193|19.5|20.31|5.27|5.73|5.27|11.62|11.86|7.33|5.13|5.95|11.86|5.21|5.117878193|5.21|0|0|0|3.92|5.12|5.12|5.27|5.12|9.22|5.12|5.27|0|26
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-60 MIN POST DOSE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.92730845|56.25|58.58|16.79|18.26|16.79|37.78|38.55|22.48|16.33|19.32|38.55|18.25|17.92730845|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||84295|SODIUM SERUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.9|7.22|5.02|22.1|6.56|6.38|7.04|4.813359528|20.25|21.09|4.95|5.39|4.95|10.65|10.87|6.84|4.82|5.45|10.87|4.9|4.813359528|4.9|0|0|0|3.68|4.81|4.81|4.95|4.81|8.66|4.81|4.95|0|27
HOSP OP|0301 - LAB/CHEMISTRY||83690|LIPASE|48|25.44|36|38.4|40.8|43.2|40.8|38.78|34.56|32.49|0|48|9.87|10.33|7.18|39.29|9.38|9.13|10.07|7.583497053|36|37.49|7.1|7.72|7.1|15.49|15.81|9.77|6.9|7.93|15.81|7.72|7.583497053|7.72|0|0|0|5.27|6.89|6.89|7.1|6.89|12.4|6.89|7.1|0|48
HOSP OP|0301 - LAB/CHEMISTRY||84442|THYROXINE BINDING GLOBULIN|56.73|30.07|42.55|45.38|48.22|51.06|48.22|45.84|40.85|38.39|0|56.73|21.19|22.18|15.41|46.43|20.14|19.6|21.63|16.25736739|42.55|44.31|15.22|16.55|15.22|33.9|34.59|20.53|14.81|17.34|34.59|16.55|16.25736739|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|56.73
HOSP OP|0301 - LAB/CHEMISTRY||84443|TSH (THYROID STIM HORMONE)|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|24.08|25.2|17.51|85.12|22.89|22.27|24.57|16.79764244|78|81.22|17.3|18.82|17.3|38.75|39.54|23.46|16.83|19.82|39.54|17.1|16.79764244|17.1|0|0|0|12.87|16.8|16.8|17.3|16.8|30.24|16.8|17.3|0|104
HOSP OP|0301 - LAB/CHEMISTRY||82088|ALDOSTERONE SERUM|41.23|21.85|30.92|32.98|35.05|37.11|35.05|33.31|29.69|27.9|0|41.23|41.23|41.23|41.23|33.75|41.23|41.23|41.23|44.83300589|30.92|32.2|41.23|41.23|41.23|41.23|41.23|41.23|40.83|41.23|41.23|45.64|44.83300589|45.64|0|0|0|31.2|40.75|40.75|41.23|40.75|41.23|40.75|41.23|0|45.64
HOSP OP|0301 - LAB/CHEMISTRY||84165|ELECTROPHORESIS SERUM (SELP)|82|43.46|61.5|65.6|69.7|73.8|69.7|66.26|59.04|55.5|0|82|37.49|16.11|27.26|67.12|35.63|34.67|15.71|36.48803536|61.5|64.04|11.06|12.03|11.06|49.4|50.41|24.93|10.76|25.27|50.41|37.14482|36.48803536|23.67532|0|0|0|20.02|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|82
HOSP OP|0301 - LAB/CHEMISTRY||84480|T3 TOTAL|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|20.32|21.26|14.77|58.11|19.31|18.79|20.73|15.59921415|53.25|55.45|14.61|15.88|14.61|32.94|33.61|19.55|14.21|16.85|33.61|15.88|15.59921415|15.88|0|0|0|10.85|14.18|14.18|14.61|14.18|25.52|14.18|14.61|0|71
HOSP OP|0301 - LAB/CHEMISTRY||83625|LDH ISOENZYMES|27.36|14.5|20.52|21.89|23.26|24.62|23.26|22.11|19.7|18.52|0|27.36|18.34|19.2|13.34|22.39|17.43|16.96|18.72|14.06679764|20.52|21.37|13.17|14.32|13.17|27.36|27.36|17.59|12.82|14.87|27.36|14.32|14.06679764|14.32|0|0|0|9.8|12.79|12.79|13.17|12.79|23.02|12.79|13.17|0|27.36
HOSP OP|0301 - LAB/CHEMISTRY||82941|GASTRIN SERUM|42.16|22.34|31.62|33.73|35.84|37.94|35.84|34.07|30.36|28.53|0|42.16|25.27|26.45|18.38|34.51|24.02|23.37|25.79|19.39096267|31.62|32.93|18.16|19.75|18.16|40.68|41.51|24.44|17.67|20.81|41.51|19.74|19.39096267|19.74|0|0|0|13.5|17.63|17.63|18.16|17.63|31.73|17.63|18.16|0|42.16
HOSP OP|0301 - LAB/CHEMISTRY||84134|PREALBUMIN|72|38.16|54|57.6|61.2|64.8|61.2|58.18|51.84|48.73|0|72|20.91|21.88|15.2|58.93|19.87|19.34|21.33|16.05108055|54|56.23|15.03|16.34|15.03|33.9|34.59|20.04|14.62|17.34|34.59|16.34|16.05108055|16.34|0|0|0|11.17|14.59|14.59|15.03|14.59|26.26|14.59|15.03|0|72
HOSP OP|0301 - LAB/CHEMISTRY||82947|POCT GLUCOSE|25|13.25|18.75|20|21.25|22.5|21.25|20.2|18|16.92|0|25|5.64|5.9|4.1|20.46|5.36|5.21|5.75|3.929273084|18.75|19.53|4.05|4.4|4.05|8.72|8.9|5.38|3.94|4.46|8.9|4|3.929273084|4|0|0|4.9|3|3.93|3.93|4.05|3.93|7.07|3.93|4.05|0|25
HOSP OP|0301 - LAB/CHEMISTRY||82261|BIOTINIDASE DEFICIENCY|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|18.55599214|13.07|13.61|17.38|17.42|17.38|17.42|17.42|17.42|16.9|17.42|17.42|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|17.42|16.87|17.38|0|18.89
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES ARTERIAL|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68369352|123.75|128.87|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||83525|INSULIN SERUM|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|16.38|17.15|11.91|49.93|15.57|15.15|16.72|12.57367387|45.75|47.64|11.77|12.8|11.77|26.16|26.69|15.64|11.45|13.38|26.69|12.8|12.57367387|12.8|0|0|0|8.75|11.43|11.43|11.77|11.43|20.57|11.43|11.77|0|61
HOSP OP|0301 - LAB/CHEMISTRY||84466|TRANSFERRIN SERUM|53|28.09|39.75|42.4|45.05|47.7|45.05|42.82|38.16|35.87|0|53|18.29|19.14|13.3|43.38|17.38|16.92|18.66|14.03732809|39.75|41.39|13.14|14.29|13.14|29.06|29.65|17.59|12.79|14.87|29.65|14.29|14.03732809|14.29|0|0|0|9.77|12.76|12.76|13.14|12.76|22.97|12.76|13.14|0|53
HOSP OP|0301 - LAB/CHEMISTRY||82950|GLUCOSE GEST. SCREEN|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.8|7.11|4.94|22.1|6.46|6.29|6.93|4.754420432|20.25|21.09|4.89|5.32|4.89|10.65|10.87|6.35|4.76|5.45|10.87|4.84|4.754420432|4.84|0|0|5.9|3.62|4.75|4.75|4.89|4.75|8.55|4.75|4.89|0|27
HOSP OP|0301 - LAB/CHEMISTRY||83970|PTH INTACT|159|84.27|119.25|127.2|135.15|143.1|135.15|128.47|114.48|107.61|0|159|59.16|61.91|43.02|130.14|56.22|54.71|60.36|45.41257367|119.25|124.18|42.52|46.23|42.52|94.92|96.86|57.18|41.36|48.56|96.86|46.23|45.41257367|46.23|0|0|0|31.6|41.28|41.28|42.52|41.28|74.3|41.28|42.52|0|159
HOSP OP|0301 - LAB/CHEMISTRY||80069|RENAL FUNCTION|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|12.45|13.03|9.05|54.84|11.83|11.51|12.7|8.683693517|50.25|52.33|8.94|9.72|8.94|20.34|20.76|12.22|8.7|10.41|20.76|8.84|8.683693517|8.84|0|0|0|6.64|8.68|8.68|8.94|8.68|15.62|8.68|8.94|0|67
HOSP OP|0301 - LAB/CHEMISTRY||82800|PH BLOOD|77|40.81|57.75|61.6|65.45|69.3|65.45|62.22|55.44|52.11|0|77|14.19|14.85|10.32|63.02|13.49|13.12|14.48|12.1021611|57.75|60.14|11.33|12.32|11.33|23.25|23.72|12.22|11.02|11.89|23.72|12.32|12.1021611|12.32|0|0|0|7.57|11|11|11.33|11|19.8|11|11.33|0|77
HOSP OP|0301 - LAB/CHEMISTRY||82308|CALCITONIN|66.63|35.31|49.97|53.3|56.64|59.97|56.64|53.84|47.97|45.1|0|66.63|38.4|40.19|27.92|54.54|36.5|35.52|39.19|29.46954813|49.97|52.04|27.59|30|27.59|61.99|63.26|37.14|26.84|31.71|63.26|30|29.46954813|30|0|0|0|20.51|26.79|26.79|27.59|26.79|48.22|26.79|27.59|0|66.63
HOSP OP|0301 - LAB/CHEMISTRY||82232|BETA-2 MICROGLOBULIN|34.3|18.18|25.73|27.44|29.16|30.87|29.16|27.71|24.7|23.21|0|34.3|23.18|24.26|16.86|28.07|22.03|21.44|23.65|17.79960707|25.73|26.79|16.67|18.12|16.67|34.3|34.3|22.48|16.21|18.83|34.3|18.12|17.79960707|18.12|0|0|0|12.38|16.18|16.18|16.67|16.18|29.12|16.18|16.67|0|34.3
HOSP OP|0301 - LAB/CHEMISTRY||82652|VITAMIN D125 DIHYDROXY|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|40|40|32.74|40|40|40|42.34774067|30|31.24|39.66|40|39.66|40|40|40|38.58|40|40|43.11|42.34774067|43.11|0|0|0|29.48|38.5|38.5|39.66|38.5|40|38.5|39.66|0|43.11
HOSP OP|0301 - LAB/CHEMISTRY||82306|Hb 25-hydroxyvitamin D2 And D3|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|36.2|36.2|30.85|29.63|36.2|36.2|36.2|32.56385069|27.15|28.27|30.49|33.15|30.49|36.2|36.2|36.2|29.66|23.29|36.2|33.15|32.56385069|33.15|0|0|0|22.66|29.6|29.6|30.49|29.6|36.2|29.6|30.49|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||82104|A-1-A PHENOTYPE|36.2|19.19|27.15|28.96|30.77|32.58|30.77|29.25|26.06|24.5|0|36.2|20.73|21.69|15.07|29.63|19.7|19.17|21.15|15.91355599|27.15|28.27|14.89|16.2|14.89|32.94|33.61|20.04|14.49|16.85|33.61|16.2|15.91355599|16.2|0|0|0|11.07|14.46|14.46|14.89|14.46|26.03|14.46|14.89|0|36.2
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES CAPILLARY|161|85.33|120.75|128.8|136.85|144.9|136.85|130.09|115.92|108.96|0|161|33.63|35.19|24.45|131.78|31.96|31.1|34.31|28.68369352|120.75|125.74|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|161
HOSP OP|0301 - LAB/CHEMISTRY||82239|BILE ACIDSTOTAL|44.45|23.56|33.34|35.56|37.78|40.01|37.78|35.92|32|30.08|0|44.45|24.55|25.69|17.85|36.38|23.33|22.7|25.05|18.83104126|33.34|34.72|17.63|19.17|17.63|39.71|40.52|23.95|17.15|20.32|40.52|19.17|18.83104126|19.17|0|0|0|13.11|17.12|17.12|17.63|17.12|30.82|17.12|17.63|0|44.45
HOSP OP|0301 - LAB/CHEMISTRY||83735|MAGNESIUM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|9.6|10.04|6.98|35.2|9.12|8.88|9.79|7.367387033|32.25|33.58|6.9|7.5|6.9|15.49|15.81|9.29|6.71|7.93|15.81|7.5|7.367387033|7.5|0|0|0|5.12|6.7|6.7|6.9|6.7|12.06|6.7|6.9|0|43
HOSP OP|0301 - LAB/CHEMISTRY||82330|POCT CALCIUM IONIZED|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.61|20.52|14.26|62.21|18.64|18.13|20.01|13.68369352|57|59.36|14.09|15.32|14.09|31.97|32.62|19.06|13.71|16.35|32.62|13.93|13.68369352|13.93|0|0|0|10.48|13.68|13.68|14.09|13.68|24.62|13.68|14.09|0|76
HOSP OP|0301 - LAB/CHEMISTRY||84702|HCG TOTAL SERUM|92|48.76|69|73.6|78.2|82.8|78.2|74.34|66.24|62.27|0|92|21.58|22.59|15.69|75.3|20.51|19.96|22.03|16.56188605|69|71.85|15.5|16.86|15.5|34.87|35.58|21.02|15.08|17.84|35.58|16.86|16.56188605|16.86|0|0|0|11.52|15.05|15.05|15.5|15.05|27.09|15.05|15.5|0|92
HOSP OP|0301 - LAB/CHEMISTRY||84075|ALKALINE PHOSPHATASE|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.42|7.76|5.39|16.37|7.05|6.86|7.57|5.176817289|15|15.62|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|20
HOSP OP|0301 - LAB/CHEMISTRY||83001|FSH SERUM|97|51.41|72.75|77.6|82.45|87.3|82.45|78.38|69.84|65.65|0|97|26.64|27.88|19.37|79.39|25.32|24.64|27.18|18.57563851|72.75|75.76|19.14|20.81|19.14|42.62|43.49|25.9|18.62|21.8|43.49|18.91|18.57563851|18.91|0|0|0|14.23|18.58|18.58|19.14|18.58|33.44|18.58|19.14|0|97
HOSP OP|0301 - LAB/CHEMISTRY||84100|PHOSPHORUS SERUM|27|14.31|20.25|21.6|22.95|24.3|22.95|21.82|19.44|18.27|0|27|6.8|7.11|4.94|22.1|6.46|6.29|6.93|5.206286837|20.25|21.09|4.88|5.31|4.88|10.65|10.87|6.35|4.75|5.45|10.87|5.3|5.206286837|5.3|0|0|0|3.62|4.74|4.74|4.88|4.74|8.53|4.74|4.88|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82103|ALPHA 1 ANTITRYPSIN|33.5|17.75|25.13|26.8|28.48|30.15|28.48|27.07|24.12|22.67|0|33.5|19.26|20.16|14|27.42|18.3|17.81|19.66|14.78388998|25.13|26.16|13.84|15.05|13.84|31|31.63|18.57|13.47|15.86|31.63|15.05|14.78388998|15.05|0|0|0|10.29|13.44|13.44|13.84|13.44|24.19|13.44|13.84|0|33.5
HOSP OP|0301 - LAB/CHEMISTRY||82164|ANGIOTENSION CONV ENZYME|38.71|20.52|29.03|30.97|32.9|34.84|32.9|31.28|27.87|26.2|0|38.71|20.92|21.9|15.21|31.68|19.89|19.35|21.35|16.06090373|29.03|30.23|15.04|16.35|15.04|33.9|34.59|20.04|14.63|17.34|34.59|16.35|16.06090373|16.35|0|0|0|11.17|14.6|14.6|15.04|14.6|26.28|14.6|15.04|0|38.71
HOSP OP|0301 - LAB/CHEMISTRY||82627|DHEA-S|33.2|17.6|24.9|26.56|28.22|29.88|28.22|26.83|23.9|22.47|0|33.2|31.88|33.2|23.18|27.17|30.29|29.48|32.53|24.44990177|24.9|25.93|22.9|24.9|22.9|33.2|33.2|30.79|22.27|26.26|33.2|24.89|24.44990177|24.89|0|0|0|17.02|22.23|22.23|22.9|22.23|33.2|22.23|22.9|0|33.2
HOSP OP|0301 - LAB/CHEMISTRY||84403|TESTOSTERONE TOTAL|112|59.36|84|89.6|95.2|100.8|95.2|90.5|80.64|75.8|0|112|37|38.72|26.9|91.67|35.16|34.22|37.75|28.38899804|84|87.47|26.58|28.91|26.58|59.08|60.29|35.68|25.86|30.23|60.29|28.9|28.38899804|28.9|0|0|0|19.76|25.81|25.81|26.58|25.81|46.46|25.81|26.58|0|112
HOSP OP|0301 - LAB/CHEMISTRY||82384|CATECHOLAMINES BLOOD|50.47|26.75|37.85|40.38|42.9|45.42|42.9|40.78|36.34|34.16|0|50.47|36.2|37.88|26.32|41.31|34.4|33.48|36.93|27.77996071|37.85|39.42|26.01|28.28|26.01|50.47|50.47|35.19|25.3|29.73|50.47|28.28|27.77996071|28.28|0|0|0|19.34|25.25|25.25|26.01|25.25|45.45|25.25|26.01|0|50.47
HOSP OP|0301 - LAB/CHEMISTRY||84080|ALKALINE PHOSPHATASE ISOENZYME|27.75|14.71|20.81|22.2|23.59|24.98|23.59|22.42|19.98|18.78|0|27.75|21.19|22.18|15.41|22.71|20.14|19.6|21.63|16.25736739|20.81|21.67|15.22|16.55|15.22|27.75|27.75|20.53|14.81|17.34|27.75|16.55|16.25736739|16.55|0|0|0|11.32|14.78|14.78|15.22|14.78|26.6|14.78|15.22|0|27.75
HOSP OP|0301 - LAB/CHEMISTRY||82157|ANDROSTENEDIONE|56.86|30.14|42.65|45.49|48.33|51.17|48.33|45.94|40.94|38.48|0|56.86|41.96|43.92|30.51|46.54|39.88|38.81|42.82|32.21021611|42.65|44.41|30.16|32.79|30.16|56.86|56.86|40.57|29.34|34.69|56.86|32.79|32.21021611|32.79|0|0|0|22.42|29.28|29.28|30.16|29.28|52.7|29.28|30.16|0|56.86
HOSP OP|0301 - LAB/CHEMISTRY||82378|CEA|105|55.65|78.75|84|89.25|94.5|89.25|84.84|75.6|71.06|0|105|27.18|28.44|19.76|85.94|25.83|25.14|27.73|20.86444008|78.75|82.01|19.53|21.24|19.53|43.59|44.48|26.39|19|22.3|44.48|21.24|20.86444008|21.24|0|0|0|14.51|18.96|18.96|19.53|18.96|34.13|18.96|19.53|0|105
HOSP OP|0301 - LAB/CHEMISTRY||83540|IRON SERUM|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|9.28|9.71|6.74|25.37|8.81|8.58|9.47|7.121807466|23.25|24.21|6.66|7.25|6.66|14.53|14.83|8.8|6.48|7.43|14.83|7.25|7.121807466|7.25|0|0|0|4.95|6.47|6.47|6.66|6.47|11.65|6.47|6.66|0|31
HOSP OP|0301 - LAB/CHEMISTRY||80178|LITHIUM|43|22.79|32.25|34.4|36.55|38.7|36.55|34.74|30.96|29.1|0|43|9.48|9.92|6.89|35.2|9.01|8.77|9.67|6.611001965|32.25|33.58|6.81|7.4|6.81|15.49|15.81|9.29|6.62|7.93|15.81|6.73|6.611001965|6.73|0|0|0|5.06|6.61|6.61|6.81|6.61|11.9|6.61|6.81|0|43
HOSP OP|0301 - LAB/CHEMISTRY||84450|AST (SGOT)|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.42|7.76|5.39|16.37|7.05|6.86|7.57|5.176817289|15|15.62|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|20
HOSP OP|0301 - LAB/CHEMISTRY||83036|HGB A1C / EAG (A1C)|48|25.44|36|38.4|40.8|43.2|40.8|38.78|34.56|32.49|0|48|13.92|14.57|10.12|39.29|13.23|12.87|14.21|9.705304519|36|37.49|10|10.88|10|22.28|22.73|13.68|9.73|11.4|22.73|9.88|9.705304519|9.88|0|0|0|7.44|9.71|9.71|10|9.71|17.48|9.71|10|0|48
HOSP OP|0301 - LAB/CHEMISTRY||82962|GLUCOSEWHOLE BLOOD POINT OF CARE|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|4.23|4.43|3.08|18.83|4.02|3.91|4.32|3.605108055|17.25|17.96|3.38|3.67|3.38|6.78|6.92|3.91|3.29|3.47|6.92|3.67|3.605108055|3.67|0|0|0|2.26|3.28|3.28|3.38|3.28|5.9|3.28|3.38|0|23
HOSP OP|0301 - LAB/CHEMISTRY||80170|GENTAMICIN TROUGH|122|64.66|91.5|97.6|103.7|109.8|103.7|98.58|87.84|82.57|0|122|23.48|24.57|17.07|99.86|22.31|21.71|23.96|18.01571709|91.5|95.28|16.87|18.35|16.87|37.78|38.55|22.48|16.41|19.32|38.55|18.34|18.01571709|18.34|0|0|0|12.53|16.38|16.38|16.87|16.38|29.48|16.38|16.87|0|122
HOSP OP|0301 - LAB/CHEMISTRY||80170|GENTAMICIN PEAK|124|65.72|93|99.2|105.4|111.6|105.4|100.19|89.28|83.92|0|124|23.48|24.57|17.07|101.49|22.31|21.71|23.96|18.01571709|93|96.84|16.87|18.35|16.87|37.78|38.55|22.48|16.41|19.32|38.55|18.34|18.01571709|18.34|0|0|0|12.53|16.38|16.38|16.87|16.38|29.48|16.38|16.87|0|124
HOSP OP|0301 - LAB/CHEMISTRY||82803|POCT GASES VENOUS|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|33.63|35.19|24.45|135.05|31.96|31.1|34.31|28.68369352|123.75|128.87|26.85|29.2|26.85|54.24|55.35|29.32|26.12|27.75|55.35|29.2|28.68369352|29.2|0|0|0|17.97|26.07|26.07|26.85|26.07|46.93|26.07|26.85|0|165
HOSP OP|0301 - LAB/CHEMISTRY||84432|THYROGLOBULIN|26.1|13.83|19.58|20.88|22.19|23.49|22.19|21.09|18.79|17.66|0|26.1|23.01|24.08|16.73|21.36|21.87|21.28|23.48|17.6719057|19.58|20.38|16.54|17.99|16.54|26.1|26.1|22.48|16.09|18.83|26.1|17.99|17.6719057|17.99|0|0|0|12.29|16.06|16.06|16.54|16.06|26.1|16.06|16.54|0|26.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86800|THYROGLOBULIN ANTIBODY|37.7|19.98|28.28|30.16|32.05|33.93|32.05|30.46|27.14|25.52|0|37.7|22.79|23.85|16.57|30.86|21.66|21.08|23.25|17.50491159|28.28|29.44|16.39|17.82|16.39|36.81|37.56|21.99|15.94|18.83|37.56|17.82|17.50491159|17.82|0|0|0|12.17|15.91|15.91|16.39|15.91|28.64|15.91|16.39|0|37.7
HOSP OP|0301 - LAB/CHEMISTRY||84478|TRIGLYCERIDES SERUM|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|8.23|8.61|5.98|23.74|7.82|7.61|8.39|5.736738703|21.75|22.65|5.91|6.43|5.91|13.56|13.84|7.82|5.75|6.94|13.84|5.84|5.736738703|5.84|0|0|7.15|4.4|5.74|5.74|5.91|5.74|10.33|5.74|5.91|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84144|PROGESTERONE SERUM|96|50.88|72|76.8|81.6|86.4|81.6|77.57|69.12|64.97|0|96|29.9|31.29|21.74|78.58|28.42|27.65|30.51|22.94695481|72|74.98|21.49|23.36|21.49|48.43|49.42|28.84|20.9|24.78|49.42|23.36|22.94695481|23.36|0|0|0|15.98|20.86|20.86|21.49|20.86|37.55|20.86|21.49|0|96
HOSP OP|0301 - LAB/CHEMISTRY||84550|URIC ACID SERUM|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|6.48|6.78|4.71|17.19|6.15|5.99|6.61|4.518664047|15.75|16.4|4.66|5.06|4.66|10.65|10.87|6.35|4.53|5.45|10.87|4.6|4.518664047|4.6|0|0|0|3.46|4.52|4.52|4.66|4.52|8.14|4.52|4.66|0|21
HOSP OP|0301 - LAB/CHEMISTRY||82670|ESTRADIOL SERUM|122|64.66|91.5|97.6|103.7|109.8|103.7|98.58|87.84|82.57|0|122|40.04|41.9|29.12|99.86|38.06|37.03|40.85|30.72691552|91.5|95.28|28.78|31.29|28.78|63.93|65.23|38.61|28|32.7|65.23|31.28|30.72691552|31.28|0|0|0|21.39|27.94|27.94|28.78|27.94|50.29|27.94|28.78|0|122
HOSP OP|0301 - LAB/CHEMISTRY||83615|LDH TOTAL|35|18.55|26.25|28|29.75|31.5|29.75|28.28|25.2|23.69|0|35|8.66|9.06|6.29|28.65|8.23|8.01|8.83|6.640471513|26.25|27.34|6.22|6.76|6.22|13.56|13.84|8.31|6.05|6.94|13.84|6.76|6.640471513|6.76|0|0|0|4.62|6.04|6.04|6.22|6.04|10.87|6.04|6.22|0|35
HOSP OP|0301 - LAB/CHEMISTRY||84252|VITAMIN B2 / RIBOFLAVIN|63.89|33.86|47.92|51.11|54.31|57.5|54.31|51.62|46|43.24|0|63.89|29.01|30.36|21.1|52.29|27.57|26.83|29.6|22.25933202|47.92|49.9|20.85|22.67|20.85|46.49|47.44|27.86|20.28|23.78|47.44|22.66|22.25933202|22.66|0|0|0|15.5|20.24|20.24|20.85|20.24|36.43|20.24|20.85|0|63.89
HOSP OP|0301 - LAB/CHEMISTRY||84207|VITAMIN B6|56.91|30.16|42.68|45.53|48.37|51.22|48.37|45.98|40.98|38.52|0|56.91|40.27|42.15|29.28|46.58|38.28|37.25|41.1|30.91355599|42.68|44.45|28.94|31.47|28.94|56.91|56.91|39.1|28.16|33.2|56.91|31.47|30.91355599|31.47|0|0|0|21.51|28.1|28.1|28.94|28.1|50.58|28.1|28.94|0|56.91
HOSP OP|0301 - LAB/CHEMISTRY||82180|VITAMIN C (ASCORBIC ACID)|58.1|30.79|43.58|46.48|49.39|52.29|49.39|46.94|41.83|39.32|0|58.1|14.16|14.82|10.3|47.55|13.46|13.1|14.45|10.88408644|43.58|45.38|10.19|11.08|10.19|22.28|22.73|13.68|9.91|11.4|22.73|11.08|10.88408644|11.08|0|0|0|7.56|9.89|9.89|10.19|9.89|17.8|9.89|10.19|0|58.1
HOSP OP|0301 - LAB/CHEMISTRY||82390|CERULOPLASMIN|33.7|17.86|25.28|26.96|28.65|30.33|28.65|27.23|24.26|22.81|0|33.7|15.39|16.11|11.19|27.58|14.63|14.23|15.71|11.80746562|25.28|26.32|11.06|12.03|11.06|25.19|25.7|14.66|10.76|12.88|25.7|12.02|11.80746562|12.02|0|0|0|8.22|10.74|10.74|11.06|10.74|19.33|10.74|11.06|0|33.7
HOSP OP|0301 - LAB/CHEMISTRY||83010|HAPTOGLOBIN SERUM|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|18.02|18.86|13.1|54.84|17.13|16.67|18.39|13.84086444|50.25|52.33|12.96|14.09|12.96|29.06|29.65|17.59|12.61|14.87|29.65|14.09|13.84086444|14.09|0|0|0|9.62|12.58|12.58|12.96|12.58|22.64|12.58|12.96|0|67
HOSP OP|0301 - LAB/CHEMISTRY||83718|HDL CHOLESTEROL|34|18.02|25.5|27.2|28.9|30.6|28.9|27.47|24.48|23.01|0|34|11.74|12.29|8.54|27.83|11.16|10.86|11.98|8.192534381|25.5|26.55|8.44|9.17|8.44|18.4|18.78|11.24|8.21|9.41|18.78|8.34|8.192534381|8.34|0|0|0|6.27|8.19|8.19|8.44|8.19|14.74|8.19|8.44|0|34
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|AChR BINDING AB|57.45|30.45|43.09|45.96|48.83|51.71|48.83|46.42|41.36|38.88|0|57.45|23.74|24.84|17.26|47.02|22.56|21.95|24.22|20.23575639|43.09|44.87|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|57.45
HOSP OP|0301 - LAB/CHEMISTRY||83003|GROWTH HORMONE|43.7|23.16|32.78|34.96|37.15|39.33|37.15|35.31|31.46|29.58|0|43.7|23.89|25|17.37|35.77|22.71|22.09|24.38|18.33988212|32.78|34.13|17.17|18.67|17.17|38.75|39.54|22.97|16.7|19.82|39.54|18.67|18.33988212|18.67|0|0|0|12.76|16.67|16.67|17.17|16.67|30.01|16.67|17.17|0|43.7
HOSP OP|0301 - LAB/CHEMISTRY||82785|IGE|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|23.59|24.69|17.16|65.48|22.42|21.82|24.07|18.11394892|60|62.48|16.95|18.44|16.95|37.78|38.55|22.97|16.49|19.32|38.55|18.44|18.11394892|18.44|0|0|0|12.6|16.46|16.46|16.95|16.46|29.63|16.46|16.95|0|80
HOSP OP|0302 - LAB/IMMUNOLOGY||86337|INSULIN ANTIBODY|67.27|35.65|50.45|53.82|57.18|60.54|57.18|54.35|48.43|45.53|0|67.27|30.69|32.12|22.32|55.06|29.17|28.38|31.32|23.54616896|50.45|52.54|22.05|23.98|22.05|49.4|50.41|29.81|21.45|25.27|50.41|23.97|23.54616896|23.97|0|0|0|16.39|21.41|21.41|22.05|21.41|38.54|21.41|22.05|0|67.27
HOSP OP|0301 - LAB/CHEMISTRY||83051|PLASMA HEMOGLOBIN|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|10.47|10.96|7.62|35.09|9.96|9.69|10.69|8.035363458|32.15|33.48|15.57|8.19|15.57|16.46|16.8|10.26|7.32|8.42|16.8|8.18|8.035363458|8.18|0|0|0|5.59|7.31|7.31|7.53|7.31|27.22|7.31|7.53|0|42.87
HOSP OP|0301 - LAB/CHEMISTRY||84305|INSULIN-LIKE GROWTH FACTOR I|42.5|22.52|31.88|34|36.13|38.25|36.13|34.34|30.6|28.76|0|42.5|30.48|31.9|22.16|34.79|28.97|28.19|31.1|23.38899804|31.88|33.19|21.9|23.81|21.9|42.5|42.5|29.32|21.3|25.27|42.5|23.81|23.38899804|23.81|0|0|0|16.28|21.26|21.26|21.9|21.26|38.27|21.26|21.9|0|42.5
HOSP OP|0301 - LAB/CHEMISTRY||84590|VITAMIN A|46.24|24.51|34.68|36.99|39.3|41.62|39.3|37.36|33.29|31.3|0|46.24|16.64|17.42|12.1|37.85|15.82|15.39|16.98|12.77013752|34.68|36.11|11.96|13|11.96|27.13|27.68|16.13|11.63|13.87|27.68|13|12.77013752|13|0|0|0|8.89|11.61|11.61|11.96|11.61|20.9|11.61|11.96|0|46.24
HOSP OP|0301 - LAB/CHEMISTRY||83002|LUTENIZING HORMONE (LH)|85|45.05|63.75|68|72.25|76.5|72.25|68.68|61.2|57.53|0|85|26.54|27.77|19.29|69.57|25.22|24.54|27.08|18.51669941|63.75|66.39|19.08|20.74|19.08|42.62|43.49|25.41|18.56|21.8|43.49|18.85|18.51669941|18.85|0|0|0|14.17|18.52|18.52|19.08|18.52|33.34|18.52|19.08|0|85
HOSP OP|0301 - LAB/CHEMISTRY||82024|ACTH|42.47|22.51|31.85|33.98|36.1|38.22|36.1|34.32|30.58|28.74|0|42.47|42.47|42.47|40.25|34.76|42.47|42.47|42.47|42.47544204|31.85|33.17|39.78|42.47|39.78|42.47|42.47|42.47|38.7|42.47|42.47|43.24|42.47544204|43.24|0|0|0|29.57|38.62|38.62|39.78|38.62|42.47|38.62|39.78|0|43.24
HOSP OP|0302 - LAB/IMMUNOLOGY||86225|DNA AB DOUBLE-STRANDED|79|41.87|59.25|63.2|67.15|71.1|67.15|63.83|56.88|53.47|0|79|19.7|20.61|14.32|64.66|18.72|18.22|20.09|15.10805501|59.25|61.7|14.15|15.39|14.15|31.97|32.62|19.06|13.77|16.35|32.62|15.38|15.10805501|15.38|0|0|0|10.51|13.74|13.74|14.15|13.74|24.73|13.74|14.15|0|79
HOSP OP|0301 - LAB/CHEMISTRY||84244|RENIN LEVEL|39.49|20.93|29.62|31.59|33.57|35.54|33.57|31.91|28.43|26.73|0|39.49|31.53|32.99|22.92|32.32|29.96|29.16|32.17|24.19449902|29.62|30.84|22.65|24.63|22.65|39.49|39.49|30.3|22.03|25.77|39.49|24.63|24.19449902|24.63|0|0|0|16.84|21.99|21.99|22.65|21.99|39.49|21.99|22.65|0|39.49
HOSP OP|0301 - LAB/CHEMISTRY||82085|ALDOLASE|42.87|22.72|32.15|34.3|36.44|38.58|36.44|34.64|30.87|29.01|0|42.87|13.92|14.57|10.12|35.09|13.23|12.87|14.21|10.67779961|32.15|33.48|10|10.88|10|22.28|22.73|13.68|9.73|11.4|22.73|10.87|10.67779961|10.87|0|0|0|7.44|9.71|9.71|10|9.71|17.48|9.71|10|0|42.87
HOSP OP|0302 - LAB/IMMUNOLOGY||83520|TRYPTASE SERUM|65.85|34.9|49.39|52.68|55.97|59.27|55.97|53.21|47.41|44.57|0|65.85|22.28|23.31|16.2|53.9|21.17|20.6|22.73|17.26915521|49.39|51.43|17.79|19.34|17.79|35.84|36.57|19.55|17.3|18.33|36.57|17.58|17.26915521|17.58|0|0|0|11.9|17.27|17.27|17.79|17.27|31.09|17.27|17.79|0|65.85
HOSP OP|0301 - LAB/CHEMISTRY||84206|PROINSULIN|77.24|40.94|57.93|61.79|65.65|69.52|65.65|62.41|55.61|52.28|0|77.24|34.43|36.03|25.04|63.22|32.72|31.84|35.13|29.36149312|57.93|60.32|27.49|29.89|27.49|55.21|56.34|29.81|26.74|28.24|56.34|29.89|29.36149312|29.89|0|0|0|18.39|26.69|26.69|27.49|26.69|48.04|26.69|27.49|0|77.24
HOSP OP|0301 - LAB/CHEMISTRY||82607|VITAMIN B12 SERUM|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|21.61|22.61|15.71|57.3|20.54|19.98|22.04|16.5913556|52.5|54.67|15.53|16.89|15.53|34.87|35.58|21.02|15.11|17.84|35.58|16.89|16.5913556|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|70
HOSP OP|0301 - LAB/CHEMISTRY||84260|SEROTONIN BLOOD|67.64|35.85|50.73|54.11|57.49|60.88|57.49|54.65|48.7|45.78|0|67.64|44.41|46.48|32.3|55.36|42.21|41.07|45.32|34.07662083|50.73|52.83|31.91|34.7|31.91|67.64|67.64|43.01|31.04|36.67|67.64|34.69|34.07662083|34.69|0|0|0|23.72|30.98|30.98|31.91|30.98|55.76|30.98|31.91|0|67.64
HOSP OP|0301 - LAB/CHEMISTRY||84446|VITAMIN E|46|24.38|34.5|36.8|39.1|41.4|39.1|37.17|33.12|31.13|0|46|20.32|21.26|14.77|37.65|19.31|18.79|20.73|15.59921415|34.5|35.93|14.61|15.88|14.61|32.94|33.61|19.55|14.21|16.85|33.61|15.88|15.59921415|15.88|0|0|0|10.85|14.18|14.18|14.61|14.18|25.52|14.18|14.61|0|46
HOSP OP|0301 - LAB/CHEMISTRY||83050|METHEMOGLOBIN|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|10.58|11.07|7.69|47.47|10.05|9.78|10.79|9.017681729|43.5|45.3|8.45|9.18|8.45|17.43|17.79|10.26|8.22|8.92|17.79|9.18|9.017681729|9.18|0|0|0|5.64|8.2|8.2|8.45|8.2|14.76|8.2|8.45|0|58
HOSP OP|0302 - LAB/IMMUNOLOGY||86300|CA 15-3 (BREAST)|40.4|21.41|30.3|32.32|34.34|36.36|34.34|32.64|29.09|27.34|0|40.4|29.84|31.23|21.7|33.07|28.36|27.59|30.45|22.88801572|30.3|31.55|21.43|23.31|21.43|40.4|40.4|28.84|20.85|24.28|40.4|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|40.4
HOSP OP|0301 - LAB/CHEMISTRY||82140|AMMONIA PLASMA|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|20.89|21.86|15.19|73.67|19.85|19.31|21.31|16.03143418|67.5|70.29|15.01|16.32|15.01|33.9|34.59|20.04|14.6|17.34|34.59|16.32|16.03143418|16.32|0|0|0|11.15|14.57|14.57|15.01|14.57|26.23|14.57|15.01|0|90
HOSP OP|0302 - LAB/IMMUNOLOGY||86638|Q FEVER PHASE 1 IgM|28.66|15.19|21.5|22.93|24.36|25.79|24.36|23.16|20.64|19.4|0|28.66|17.38|18.18|12.63|23.46|16.51|16.07|17.73|13.33005894|21.5|22.38|12.48|13.57|12.48|28.09|28.66|16.62|12.14|14.37|28.66|13.57|13.33005894|13.57|0|0|0|9.28|12.12|12.12|12.48|12.12|21.82|12.12|12.48|0|28.66
HOSP OP|0301 - LAB/CHEMISTRY||83605|LACTIC ACID SERUM|83|43.99|62.25|66.4|70.55|74.7|70.55|67.06|59.76|56.17|0|83|15.31|16.02|11.13|67.94|14.55|14.16|15.62|11.57170923|62.25|64.82|11.92|12.96|11.92|24.22|24.71|14.66|11.59|12.39|24.71|11.78|11.57170923|11.78|0|0|0|8.17|11.57|11.57|11.92|11.57|20.83|11.57|11.92|0|83
HOSP OP|0302 - LAB/IMMUNOLOGY||86304|CA 125|109|57.77|81.75|87.2|92.65|98.1|92.65|88.07|78.48|73.77|0|109|29.84|31.23|21.7|89.22|28.36|27.59|30.45|22.88801572|81.75|85.13|21.43|23.31|21.43|47.46|48.43|28.84|20.85|24.28|48.43|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|109
HOSP OP|0301 - LAB/CHEMISTRY||82575|CREATININE CLEARANCE URINE|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|13.56|14.19|9.86|49.93|12.89|12.54|13.84|10.41257367|45.75|47.64|9.74|10.6|9.74|21.31|21.74|13.2|9.48|10.9|21.74|10.6|10.41257367|10.6|0|0|0|7.24|9.46|9.46|9.74|9.46|17.03|9.46|9.74|0|61
HOSP OP|0301 - LAB/CHEMISTRY||84155|PROTEIN TOTAL|18|9.54|13.5|14.4|15.3|16.2|15.3|14.54|12.96|12.18|0|18|5.25|5.49|3.82|14.73|4.99|4.86|5.35|3.673870334|13.5|14.06|3.78|4.11|3.78|8.72|8.9|4.89|3.68|4.46|8.9|3.74|3.673870334|3.74|0|0|0|2.8|3.67|3.67|3.78|3.67|6.61|3.67|3.78|0|18
HOSP OP|0301 - LAB/CHEMISTRY||82951|GLUCOSE GEST. 3 HOUR|258|136.74|193.5|206.4|219.3|232.2|219.3|208.46|185.76|174.61|0|258|18.45|19.31|13.41|211.17|17.53|17.06|18.83|12.86836935|193.5|201.5|13.26|14.41|13.26|30.03|30.64|17.59|12.9|15.36|30.64|13.1|12.86836935|13.1|0|0|16.02|9.85|12.87|12.87|13.26|12.87|23.17|12.87|13.26|0|258
HOSP OP|0301 - LAB/CHEMISTRY||82040|ALBUMIN|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.1|7.43|5.16|16.37|6.74|6.56|7.24|4.950884086|15|15.62|5.1|5.54|5.1|11.62|11.86|6.84|4.96|5.95|11.86|5.04|4.950884086|5.04|0|0|0|3.79|4.95|4.95|5.1|4.95|8.91|4.95|5.1|0|20
HOSP OP|0301 - LAB/CHEMISTRY||82525|COPPER SERUM|50.55|26.79|37.91|40.44|42.97|45.5|42.97|40.84|36.4|34.21|0|50.55|17.79|18.62|12.94|41.38|16.91|16.45|18.15|13.65422397|37.91|39.48|12.78|13.9|12.78|28.09|28.66|17.11|12.43|14.37|28.66|13.9|13.65422397|13.9|0|0|0|9.5|12.41|12.41|12.78|12.41|22.34|12.41|12.78|0|50.55
HOSP OP|0301 - LAB/CHEMISTRY||82139|AMINO ACID QT BLOOD|124.3|65.88|93.23|99.44|105.66|111.87|105.66|100.43|89.5|84.13|0|124.3|24.17|25.3|17.58|101.74|22.98|22.36|24.67|18.55599214|93.23|97.08|17.38|18.89|17.38|38.75|39.54|23.46|16.9|19.82|39.54|18.89|18.55599214|18.89|0|0|0|12.91|16.87|16.87|17.38|16.87|30.37|16.87|17.38|0|124.3
HOSP OP|0301 - LAB/CHEMISTRY||84210|PYRUVIC ACID (PYRUVATE)|48.07|25.48|36.05|38.46|40.86|43.26|40.86|38.84|34.61|32.53|0|48.07|18.68|19.55|13.58|39.35|17.75|17.27|19.06|15.93320236|36.05|37.54|14.91|16.22|14.91|30.03|30.64|16.13|14.51|15.36|30.64|16.22|15.93320236|16.22|0|0|0|9.98|14.48|14.48|14.91|14.48|26.06|14.48|14.91|0|48.07
HOSP OP|0301 - LAB/CHEMISTRY||84154|FREE PSA|25.38|13.45|19.04|20.3|21.57|22.84|21.57|20.51|18.27|17.18|0|25.38|25.38|25.38|19.17|20.77|25.06|24.38|25.38|20.2259332|19.04|19.82|18.94|20.6|18.94|25.38|25.38|25.38|18.43|21.8|25.38|20.59|20.2259332|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|25.38|18.39|18.94|0|25.38
HOSP OP|0301 - LAB/CHEMISTRY||G0103|PSA SCREEN|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|26.37|27.59|19.17|60.57|25.06|24.38|26.9|21.23772102|55.5|57.79|19.89|21.63|19.89|53.27|54.36|29.81|19.35|27.25|54.36|21.62|21.23772102|21.62|0|0|25.43|14.08|19.31|19.31|19.89|19.31|34.76|19.31|19.89|0|74
HOSP OP|0301 - LAB/CHEMISTRY||84153|PSA-PERCENT FREE|25.38|13.45|19.04|20.3|21.57|22.84|21.57|20.51|18.27|17.18|0|25.38|25.38|25.38|19.17|20.77|25.06|24.38|25.38|20.2259332|19.04|19.82|18.94|20.6|18.94|25.38|25.38|25.38|18.43|21.8|25.38|20.59|20.2259332|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|25.38|18.39|18.94|0|25.38
HOSP OP|0301 - LAB/CHEMISTRY||84153|PSA DIAGNOSTIC|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|26.37|27.59|19.17|65.48|25.06|24.38|26.9|20.2259332|60|62.48|18.94|20.6|18.94|42.62|43.49|25.41|18.43|21.8|43.49|20.59|20.2259332|20.59|0|0|0|14.08|18.39|18.39|18.94|18.39|33.1|18.39|18.94|0|80
HOSP OP|0301 - LAB/CHEMISTRY||83498|17-0H-PROGESTERONE|47.04|24.93|35.28|37.63|39.98|42.34|39.98|38.01|33.87|31.84|0|47.04|38.95|40.76|28.32|38.5|37.01|36.02|39.74|29.89194499|35.28|36.74|27.99|30.43|27.99|47.04|47.04|37.63|27.22|32.21|47.04|30.43|29.89194499|30.43|0|0|0|20.8|27.17|27.17|27.99|27.17|47.04|27.17|27.99|0|47.04
HOSP OP|0301 - LAB/CHEMISTRY||82175|ARSENIC BLOOD|17.06|9.04|12.8|13.65|14.5|15.35|14.5|13.78|12.28|11.55|0|17.06|17.06|17.06|17.06|13.96|17.06|17.06|17.06|20.87426326|12.8|13.32|17.06|17.06|17.06|17.06|17.06|17.06|17.06|17.06|17.06|21.25|20.87426326|21.25|0|0|0|14.52|17.06|17.06|17.06|17.06|17.06|17.06|17.06|0|21.25
HOSP OP|0301 - LAB/CHEMISTRY||82300|CADMIUM BLOOD|19.48|10.32|14.61|15.58|16.56|17.53|16.56|15.74|14.03|13.18|0|19.48|19.48|19.48|19.48|15.94|19.48|19.48|19.48|26.00196464|14.61|15.21|19.48|19.48|19.48|19.48|19.48|19.48|19.48|19.48|19.48|26.47|26.00196464|26.47|0|0|0|17.72|19.48|19.48|19.48|19.48|19.48|19.48|19.48|0|26.47
HOSP OP|0301 - LAB/CHEMISTRY||80061|LIPID PROFILE|55|29.15|41.25|44|46.75|49.5|46.75|44.44|39.6|37.22|0|55|19.2|20.09|13.96|45.02|18.24|17.75|19.59|13.38899804|41.25|42.96|13.79|15|13.79|31|31.63|18.57|13.42|15.86|31.63|13.63|13.38899804|13.63|0|0|16.67|10.25|13.39|13.39|13.79|13.39|24.1|13.39|13.79|0|55
HOSP OP|0301 - LAB/CHEMISTRY||80375|Hb Hydroxyzine (vistaril) (atarax)|96.03|50.9|72.02|76.82|81.63|86.43|81.63|77.59|69.14|64.99|0|96.03|31.49|0|22.9|78.6|29.93|29.12|0|23.3497053|72.02|75|96.03|0|96.03|82.97|86.22|96.03|38.41|42.03|86.22|23.77|23.3497053|23.77|0|0|0|78.86|96.03|96.03|96.03|96.03|96.03|96.03|96.03|0|96.03
HOSP OP|0301 - LAB/CHEMISTRY||80320|Hb Alcohol (etoh) Blood|71|37.63|53.25|56.8|60.35|63.9|60.35|57.37|51.12|48.05|0|71|31.49|0|22.9|58.11|29.93|29.12|0|16.20825147|53.25|55.45|71|0|71|61.34|63.75|71|28.4|31.08|63.75|16.5|16.20825147|16.5|0|0|0|69.58|71|71|71|71|71|71|71|0|71
HOSP OP|0301 - LAB/CHEMISTRY||80185|DILANTIN (PHENYTOIN)|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|19|19.89|13.82|52.38|18.06|17.57|19.39|14.57760314|48|49.98|13.65|14.84|13.65|31|31.63|18.57|13.28|15.86|31.63|14.84|14.57760314|14.84|0|0|0|10.15|13.25|13.25|13.65|13.25|23.85|13.25|13.65|0|64
HOSP OP|0301 - LAB/CHEMISTRY||82728|FERRITIN SERUM|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.54|20.45|14.21|62.21|18.57|18.07|19.94|14.99017682|57|59.36|14.04|15.27|14.04|31|31.63|19.06|13.66|15.86|31.63|15.26|14.99017682|15.26|0|0|0|10.44|13.63|13.63|14.04|13.63|24.53|13.63|14.04|0|76
HOSP OP|0301 - LAB/CHEMISTRY||80375|DIPHENHYDRAMINE (BENADRYL)|70.17|37.19|52.63|56.14|59.64|63.15|59.64|56.7|50.52|47.49|0|70.17|31.49|0|22.9|57.43|29.93|29.12|0|23.3497053|52.63|54.8|70.17|0|70.17|60.63|63|70.17|28.07|30.71|63|23.77|23.3497053|23.77|0|0|0|68.77|70.17|70.17|70.17|70.17|70.17|70.17|70.17|0|70.17
HOSP OP|0301 - LAB/CHEMISTRY||80150|AMIKACIN|53.23|28.21|39.92|42.58|45.25|47.91|45.25|43.01|38.33|36.03|0|53.23|21.61|22.61|15.71|43.57|20.54|19.98|22.04|16.5913556|39.92|41.57|15.53|16.89|15.53|34.87|35.58|21.02|15.11|17.84|35.58|16.89|16.5913556|16.89|0|0|0|11.54|15.08|15.08|15.53|15.08|27.14|15.08|15.53|0|53.23
HOSP OP|0301 - LAB/CHEMISTRY||80198|THEOPHYLLINE (AMINOPHYLLINE)|54.9|29.1|41.18|43.92|46.67|49.41|46.67|44.36|39.53|37.16|0|54.9|20.27|21.21|14.74|44.94|19.26|18.74|20.68|15.55009823|41.18|42.88|14.56|15.84|14.56|32.94|33.61|19.55|14.17|16.85|33.61|15.83|15.55009823|15.83|0|0|0|10.82|14.14|14.14|14.56|14.14|25.45|14.14|14.56|0|54.9
HOSP OP|0301 - LAB/CHEMISTRY||80188|PRIMIDONE (MYSOLINE)|44.6|23.64|33.45|35.68|37.91|40.14|37.91|36.04|32.11|30.19|0|44.6|23.79|24.89|17.3|36.51|22.61|22|24.27|18.25147348|33.45|34.83|17.09|18.58|17.09|37.78|38.55|22.97|16.62|19.32|38.55|18.58|18.25147348|18.58|0|0|0|12.7|16.59|16.59|17.09|16.59|29.86|16.59|17.09|0|44.6
HOSP OP|0301 - LAB/CHEMISTRY||80184|Hb Phenobarbital|42|22.26|31.5|33.6|35.7|37.8|35.7|33.94|30.24|28.43|0|42|19.74|20.66|14.35|34.38|18.76|18.25|20.14|16.82711198|31.5|32.8|15.76|17.14|15.76|31.97|32.62|17.11|15.33|16.35|32.62|17.13|16.82711198|17.13|0|0|0|10.54|15.3|15.3|15.76|15.3|27.54|15.3|15.76|0|42
HOSP OP|0301 - LAB/CHEMISTRY||80156|CARBAMAZEPINE (TEGRETOL)|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|20.87|21.84|15.18|54.84|19.84|19.3|21.29|16.03143418|50.25|52.33|15.01|16.32|15.01|33.9|34.59|20.04|14.6|17.34|34.59|16.32|16.03143418|16.32|0|0|0|11.14|14.57|14.57|15.01|14.57|26.23|14.57|15.01|0|67
HOSP OP|0301 - LAB/CHEMISTRY||80375|BUSPIRONE/BUSPAR|96.03|50.9|72.02|76.82|81.63|86.43|81.63|77.59|69.14|64.99|0|96.03|31.49|0|22.9|78.6|29.93|29.12|0|23.3497053|72.02|75|96.03|0|96.03|82.97|86.22|96.03|38.41|42.03|86.22|23.77|23.3497053|23.77|0|0|0|78.86|96.03|96.03|96.03|96.03|96.03|96.03|96.03|0|96.03
HOSP OP|0301 - LAB/CHEMISTRY||80349|THC CONFIRMATION|49.7|26.34|37.28|39.76|42.25|44.73|42.25|40.16|35.78|33.64|0|49.7|31.49|0|22.9|40.68|29.93|29.12|0|23.3497053|37.28|38.82|49.7|0|49.7|42.94|44.62|49.7|19.88|21.75|44.62|23.77|23.3497053|23.77|0|0|0|48.71|49.7|49.7|49.7|49.7|49.7|49.7|49.7|0|49.7
HOSP OP|0301 - LAB/CHEMISTRY||80332|Hb Sertraline (zoloft)|95.04|50.37|71.28|76.03|80.78|85.54|80.78|76.79|68.43|64.32|0|95.04|31.49|0|22.9|77.79|29.93|29.12|0|23.11394892|71.28|74.23|95.04|0|95.04|47.46|48.43|95.04|38.02|24.28|48.43|23.53|23.11394892|23.53|0|0|0|78.86|95.04|95.04|95.04|95.04|95.04|95.04|95.04|0|95.04
HOSP OP|0301 - LAB/CHEMISTRY||80162|DIGOXIN (LANOXIN)|69|36.57|51.75|55.2|58.65|62.1|58.65|55.75|49.68|46.7|0|69|19.03|19.91|13.84|56.48|18.08|17.6|19.41|14.60707269|51.75|53.89|13.68|14.87|13.68|31|31.63|18.57|13.31|15.86|31.63|14.87|14.60707269|14.87|0|0|0|10.16|13.28|13.28|13.68|13.28|23.9|13.28|13.68|0|69
HOSP OP|0301 - LAB/CHEMISTRY||80329|Hb Salicylate|70|37.1|52.5|56|59.5|63|59.5|56.56|50.4|47.38|0|70|31.49|0|22.9|57.3|29.93|29.12|0|34.50884086|52.5|54.67|70|0|70|60.48|62.85|70|28|30.64|62.85|35.13|34.50884086|35.13|0|0|0|68.6|70|70|70|70|70|70|70|0|70
HOSP OP|0302 - LAB/IMMUNOLOGY||80299|METHOTREXATE (MEXATE)|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|24.05|25.16|17.48|25.37|22.85|22.24|24.53|20.50098232|23.25|24.21|19.2|20.88|19.2|31|31|21.02|18.68|19.82|31|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|31|18.64|19.2|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82375|CARBON MONOXIDE(CARBOXY-HGB)|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|17.66|18.48|12.84|55.66|16.78|16.33|18.02|13.54616896|51|53.11|12.69|13.8|12.69|28.09|28.66|17.11|12.34|14.37|28.66|13.79|13.54616896|13.79|0|0|0|9.43|12.32|12.32|12.69|12.32|22.18|12.32|12.69|0|68
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Presumptive|21.9|11.61|16.43|17.52|18.62|19.71|18.62|17.7|15.77|14.82|0|21.9|21.9|21.9|21.9|17.93|21.9|21.9|21.9|68.3497053|16.43|17.1|21.9|21.9|21.9|21.9|21.9|21.9|21.9|21.9|21.9|69.58|68.3497053|69.58|0|0|0|21.46|21.9|21.9|21.9|21.9|21.9|21.9|21.9|0|69.58
HOSP OP|0301 - LAB/CHEMISTRY||80202|VANCOMYCIN PEAK|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|19.41|20.32|14.12|59.75|18.45|17.95|19.81|14.89194499|54.75|57.01|13.95|15.16|13.95|31|31.63|18.57|13.57|15.86|31.63|15.16|14.89194499|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|73
HOSP OP|0301 - LAB/CHEMISTRY||80202|VANCOMYCIN TROUGH|80|42.4|60|64|68|72|68|64.64|57.6|54.14|0|80|19.41|20.32|14.12|65.48|18.45|17.95|19.81|14.89194499|60|62.48|13.95|15.16|13.95|31|31.63|18.57|13.57|15.86|31.63|15.16|14.89194499|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|80
HOSP OP|0301 - LAB/CHEMISTRY||80338|TRAZODONE (DESYREL)|57.62|30.54|43.22|46.1|48.98|51.86|48.98|46.56|41.49|39|0|57.62|38.09|0|27.77|47.16|36.19|35.21|0|9.626719057|43.22|45|57.62|0|57.62|49.78|51.74|57.62|23.05|25.22|51.74|9.8|9.626719057|9.8|0|0|0|56.47|57.62|57.62|57.62|57.62|57.62|57.62|57.62|0|57.62
HOSP OP|0301 - LAB/CHEMISTRY||80299|AMIODARONE & METABOLITE|46.1|24.43|34.58|36.88|39.19|41.49|39.19|37.25|33.19|31.2|0|46.1|24.05|25.16|17.48|37.73|22.85|22.24|24.53|20.50098232|34.58|36|19.2|20.88|19.2|38.75|39.54|21.02|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|12.84|18.64|18.64|19.2|18.64|33.55|18.64|19.2|0|46.1
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Alprazolam/xanax|50.72|26.88|38.04|40.58|43.11|45.65|43.11|40.98|36.52|34.33|0|50.72|31.49|0|22.9|41.51|29.93|29.12|0|33.7524558|38.04|39.61|50.72|0|50.72|43.82|45.54|50.72|20.29|22.2|45.54|34.36|33.7524558|34.36|0|0|0|49.71|50.72|50.72|50.72|50.72|50.72|50.72|50.72|0|50.72
HOSP OP|0301 - LAB/CHEMISTRY||80329|Hb Acetaminophen (tylenol)|81|42.93|60.75|64.8|68.85|72.9|68.85|65.45|58.32|54.82|0|81|31.49|0|22.9|66.3|29.93|29.12|0|34.50884086|60.75|63.26|81|0|81|69.98|72.73|81|32.4|35.45|72.73|35.13|34.50884086|35.13|0|0|0|78.86|81|81|81|81|81|81|81|0|81
HOSP OP|0301 - LAB/CHEMISTRY||80342|HALDOL (HALOPERIDOL)|81.67|43.29|61.25|65.34|69.42|73.5|69.42|65.99|58.8|55.27|0|81.67|31.49|0|22.9|66.85|29.93|29.12|0|26.56188605|61.25|63.78|81.67|0|81.67|70.56|73.33|81.67|32.67|35.75|73.33|27.04|26.56188605|27.04|0|0|0|78.86|81.67|81.67|81.67|81.67|81.67|81.67|81.67|0|81.67
HOSP OP|0301 - LAB/CHEMISTRY||80299|Hb Pentobarbital (nembutal)|75.08|39.79|56.31|60.06|63.82|67.57|63.82|60.66|54.06|50.81|0|75.08|24.05|25.16|17.48|61.45|22.85|22.24|24.53|20.50098232|56.31|58.64|75.08|20.88|75.08|38.75|39.54|75.08|18.68|19.82|39.54|20.87|20.50098232|20.87|0|0|0|73.58|75.08|75.08|75.08|75.08|75.08|75.08|75.08|0|75.08
HOSP OP|0301 - LAB/CHEMISTRY||80332|FLUOXETINE (PROZAC)|67.04|35.53|50.28|53.63|56.98|60.34|56.98|54.17|48.27|45.37|0|67.04|31.49|0|22.9|54.87|29.93|29.12|0|23.11394892|50.28|52.36|67.04|0|67.04|47.46|48.43|67.04|26.82|24.28|48.43|23.53|23.11394892|23.53|0|0|0|65.7|67.04|67.04|67.04|67.04|67.04|67.04|67.04|0|67.04
HOSP OP|0301 - LAB/CHEMISTRY||80338|BUPROPION|110.48|58.55|82.86|88.38|93.91|99.43|93.91|89.27|79.55|74.77|0|110.48|73.03|0|53.25|90.43|69.38|67.5|0|9.626719057|82.86|86.28|110.48|0|110.48|95.45|99.2|110.48|44.19|48.36|99.2|9.8|9.626719057|9.8|0|0|0|78.86|110.48|110.48|110.48|110.48|110.48|110.48|110.48|0|110.48
HOSP OP|0301 - LAB/CHEMISTRY||80186|DILANTIN UNBOUND|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|19.72|20.64|14.34|53.2|18.75|18.24|20.12|15.13752456|48.75|50.77|14.17|15.41|14.17|31.97|32.62|19.06|13.79|16.35|32.62|15.41|15.13752456|15.41|0|0|0|10.53|13.76|13.76|14.17|13.76|24.77|13.76|14.17|0|65
HOSP OP|0301 - LAB/CHEMISTRY||80335|CLOMIPRAMINE (ANAFRANIL)|54.8|29.04|41.1|43.84|46.58|49.32|46.58|44.28|39.46|37.09|0|54.8|31.49|0|22.9|44.85|29.93|29.12|0|30.53045187|41.1|42.8|54.8|0|54.8|47.35|49.2|54.8|21.92|23.99|49.2|31.08|30.53045187|31.08|0|0|0|53.7|54.8|54.8|54.8|54.8|54.8|54.8|54.8|0|54.8
HOSP OP|0301 - LAB/CHEMISTRY||80307|Hb Drug Screen Meconium|84.38|44.72|63.29|67.5|71.72|75.94|71.72|68.18|60.75|57.11|0|84.38|83.4|84.38|60.64|69.07|79.26|77.13|84.38|68.3497053|63.29|65.9|64|69.6|64|84.38|84.38|80.64|62.26|68.38|84.38|69.58|68.3497053|69.58|0|0|0|44.55|62.14|62.14|64|62.14|84.38|62.14|64|0|84.38
HOSP OP|0301 - LAB/CHEMISTRY||80176|LIDOCAINE (XYLOCAINE)|58.44|30.97|43.83|46.75|49.67|52.6|49.67|47.22|42.08|39.55|0|58.44|21.05|22.03|15.31|47.83|20.01|19.47|21.48|16.15913556|43.83|45.64|15.13|16.45|15.13|33.9|34.59|20.53|14.72|17.34|34.59|16.45|16.15913556|16.45|0|0|0|11.24|14.69|14.69|15.13|14.69|26.44|14.69|15.13|0|58.44
HOSP OP|0301 - LAB/CHEMISTRY||82542|CARBAMAZAPINE 1011 EPOXIDE|54.8|29.04|41.1|43.84|46.58|49.32|46.58|44.28|39.46|37.09|0|54.8|31.08|32.52|22.6|44.85|29.53|28.74|31.71|26.50294695|41.1|42.8|24.81|26.98|24.81|50.37|51.4|26.88|24.14|25.77|51.4|26.98|26.50294695|26.98|0|0|0|16.6|24.09|24.09|24.81|24.09|43.36|24.09|24.81|0|54.8
HOSP OP|0301 - LAB/CHEMISTRY||82553|CKMB|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|16.55|17.32|12.03|73.67|15.73|15.31|16.89|12.71119843|67.5|70.29|11.9|12.94|11.9|26.16|26.69|16.13|11.57|13.38|26.69|12.94|12.71119843|12.94|0|0|0|8.84|11.55|11.55|11.9|11.55|20.79|11.55|11.9|0|90
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGA|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.2259332|54.75|57.01|9.58|10.42|9.58|21.31|21.74|12.71|9.32|10.9|21.74|10.41|10.2259332|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGM|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.2259332|54.75|57.01|9.58|10.42|9.58|21.31|21.74|12.71|9.32|10.9|21.74|10.41|10.2259332|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82784|IGG|73|38.69|54.75|58.4|62.05|65.7|62.05|58.98|52.56|49.41|0|73|13.34|13.96|9.7|59.75|12.68|12.34|13.61|10.2259332|54.75|57.01|9.58|10.42|9.58|21.31|21.74|12.71|9.32|10.9|21.74|10.41|10.2259332|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|16.74|9.3|9.58|0|73
HOSP OP|0301 - LAB/CHEMISTRY||82746|FOLATE SERUM|64|33.92|48|51.2|54.4|57.6|54.4|51.71|46.08|43.32|0|64|21.08|22.06|15.33|52.38|20.03|19.49|21.51|16.16895874|48|49.98|15.14|16.46|15.14|33.9|34.59|20.53|14.73|17.34|34.59|16.46|16.16895874|16.46|0|0|0|11.26|14.7|14.7|15.14|14.7|26.46|14.7|15.14|0|64
HOSP OP|0301 - LAB/CHEMISTRY||83020|HEMOGLOBINOPATHY|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|36.48803536|13.07|13.61|13.26|14.41|13.26|17.42|17.42|17.42|12.9|17.42|17.42|37.14482|36.48803536|23.67532|0|0|0|17.07|12.87|12.87|13.26|12.87|17.42|12.87|13.26|0|37.14482
HOSP OP|0301 - LAB/CHEMISTRY||83498|ADRENAL HYPERPLASIA|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|29.89194499|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|30.43|29.89194499|30.43|0|0|0|17.07|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|30.43
HOSP OP|0301 - LAB/CHEMISTRY||83789|AMINO ACIDEMIAS|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|26.52259332|13.07|13.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|17.42|27|26.52259332|27|0|0|0|16.61|17.42|17.42|17.42|17.42|17.42|17.42|17.42|0|27
HOSP OP|0301 - LAB/CHEMISTRY||82776|GALACTOSEMIA|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|15.14|15.85|11.01|14.26|14.39|14.01|15.45|12.90766208|13.07|13.61|12.09|13.15|12.09|17.42|17.42|13.2|11.76|12.39|17.42|13.14|12.90766208|13.14|0|0|0|8.08|11.74|11.74|12.09|11.74|17.42|11.74|12.09|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||84443|HYPOTHYROIDISM|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|17.42|17.42|17.42|14.26|17.42|17.42|17.42|16.79764244|13.07|13.61|17.3|17.42|17.3|17.42|17.42|17.42|16.83|17.42|17.42|17.1|16.79764244|17.1|0|0|0|12.87|16.8|16.8|17.3|16.8|17.42|16.8|17.3|0|17.42
HOSP OP|0301 - LAB/CHEMISTRY||82248|BILIRUBIN DIRECT NEONATAL|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|7.19|7.52|5.22|25.37|6.83|6.65|7.33|5.520628684|23.25|24.21|5.17|5.62|5.17|11.62|11.86|6.84|5.03|5.95|11.86|5.62|5.520628684|5.62|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82247|BILIRUBIN TOTAL|20|10.6|15|16|17|18|17|16.16|14.4|13.54|0|20|7.19|7.52|5.22|16.37|6.83|6.65|7.33|5.019646365|15|15.62|5.17|5.62|5.17|11.62|11.86|6.84|5.03|5.95|11.86|5.11|5.019646365|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|20
HOSP OP|0302 - LAB/IMMUNOLOGY||86336|Hb Inhibin A Tumor Marker|53.17|28.18|39.88|42.54|45.19|47.85|45.19|42.96|38.28|35.99|0|53.17|22.34|23.38|16.25|43.52|21.23|20.66|22.8|17.15127701|39.88|41.53|16.06|17.46|16.06|35.84|36.57|21.5|15.62|18.33|36.57|17.46|17.15127701|17.46|0|0|0|11.94|15.59|15.59|16.06|15.59|28.06|15.59|16.06|0|53.17
HOSP OP|0301 - LAB/CHEMISTRY||84075|ALKALINE PHOSPHATASE TOTAL|22.1|11.71|16.58|17.68|18.79|19.89|18.79|17.86|15.91|14.96|0|22.1|7.42|7.76|5.39|18.09|7.05|6.86|7.57|5.176817289|16.58|17.26|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.27|5.176817289|5.27|0|0|0|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|22.1
HOSP OP|0301 - LAB/CHEMISTRY||83825|MERCURY  BLOOD|15.48|8.2|11.61|12.38|13.16|13.93|13.16|12.51|11.15|10.48|0|15.48|15.48|15.48|15.48|12.67|15.48|15.48|15.48|17.88801572|11.61|12.09|15.48|15.48|15.48|15.48|15.48|15.48|15.48|15.48|15.48|18.21|17.88801572|18.21|0|0|0|12.45|15.48|15.48|15.48|15.48|15.48|15.48|15.48|0|18.21
HOSP OP|0301 - LAB/CHEMISTRY||84105|PHOSPHORUS URINE|17|9.01|12.75|13.6|14.45|15.3|14.45|13.74|12.24|11.51|0|17|7.46|7.8|5.42|13.91|7.09|6.9|7.61|6.355599214|12.75|13.28|5.95|6.47|5.95|11.62|11.86|7.33|5.79|5.95|11.86|6.47|6.355599214|6.47|0|0|0|3.98|5.78|5.78|5.95|5.78|10.4|5.78|5.95|0|17
HOSP OP|0301 - LAB/CHEMISTRY||80335|Hb Amitriptyline|48.72|25.82|36.54|38.98|41.41|43.85|41.41|39.37|35.08|32.97|0|48.72|31.49|0|22.9|39.88|29.93|29.12|0|30.53045187|36.54|38.05|48.72|0|48.72|42.09|43.74|48.72|19.49|21.32|43.74|31.08|30.53045187|31.08|0|0|0|47.75|48.72|48.72|48.72|48.72|48.72|48.72|48.72|0|48.72
HOSP OP|0301 - LAB/CHEMISTRY||82784|IgG TOTAL|10.71|5.68|8.03|8.57|9.1|9.64|9.1|8.65|7.71|7.25|0|10.71|10.71|10.71|9.7|8.77|10.71|10.71|10.71|10.2259332|8.03|8.36|9.58|10.42|9.58|10.71|10.71|10.71|9.32|10.71|10.71|10.41|10.2259332|10.41|0|0|0|7.12|9.3|9.3|9.58|9.3|10.71|9.3|9.58|0|10.71
HOSP OP|0301 - LAB/CHEMISTRY||82247|BILIRUBIN TOTAL NEONATAL|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|7.19|7.52|5.22|17.19|6.83|6.65|7.33|5.019646365|15.75|16.4|5.17|5.62|5.17|11.62|11.86|6.84|5.03|5.95|11.86|5.11|5.019646365|5.11|0|0|0|3.84|5.02|5.02|5.17|5.02|9.04|5.02|5.17|0|21
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 1|9.91|5.25|7.43|7.93|8.42|8.92|8.42|8.01|7.14|6.71|0|9.91|9.91|9.91|8.36|8.11|9.91|9.91|9.91|8.821218075|7.43|7.74|8.26|8.98|8.26|9.91|9.91|9.91|8.04|9.41|9.91|8.98|8.821218075|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.91|8.02|8.26|0|9.91
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 2|9.91|5.25|7.43|7.93|8.42|8.92|8.42|8.01|7.14|6.71|0|9.91|9.91|9.91|8.36|8.11|9.91|9.91|9.91|8.821218075|7.43|7.74|8.26|8.98|8.26|9.91|9.91|9.91|8.04|9.41|9.91|8.98|8.821218075|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.91|8.02|8.26|0|9.91
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 3|9.9|5.25|7.43|7.92|8.42|8.91|8.42|8|7.13|6.7|0|9.9|9.9|9.9|8.36|8.1|9.9|9.9|9.9|8.821218075|7.43|7.73|8.26|8.98|8.26|9.9|9.9|9.9|8.04|9.41|9.9|8.98|8.821218075|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.9|8.02|8.26|0|9.9
HOSP OP|0301 - LAB/CHEMISTRY||82787|IgG SUBCLASS 4|9.9|5.25|7.43|7.92|8.42|8.91|8.42|8|7.13|6.7|0|9.9|9.9|9.9|8.36|8.1|9.9|9.9|9.9|8.821218075|7.43|7.73|8.26|8.98|8.26|9.9|9.9|9.9|8.04|9.41|9.9|8.98|8.821218075|8.98|0|0|0|6.13|8.02|8.02|8.26|8.02|9.9|8.02|8.26|0|9.9
HOSP OP|0302 - LAB/IMMUNOLOGY||86860|ELUTION STUDIES|479|253.87|359.25|383.2|407.15|431.1|407.15|387.03|344.88|324.19|0|479|42.78|283.12|31.1|392.06|40.65|39.56|276.04|22.86836935|359.25|374.1|158.58|172.44|158.58|344.94|351.98|114.56|154.27|116.39|351.98|23.28|22.86836935|23.28|0|0|191.6|22.85|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|479
HOSP OP|0300 - LABORATORY||86905|Hb Patient Antigen Test|322|170.66|241.5|257.6|273.7|289.8|273.7|260.18|231.84|217.93|0|322|5.48|322|3.99|263.56|5.21|5.07|322|4.214145383|241.5|251.48|313.19|340.56|313.19|322|322|226.25|304.68|229.87|322|4.29|4.214145383|4.29|0|0|4.76|2.93|322|322|313.19|322|322|304.07|313.15|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|ANTIBODY IDENT|462|244.86|346.5|369.6|392.7|415.8|392.7|373.3|332.64|312.68|0|462|58.75|462|42.72|378.15|55.83|54.33|462|37.24950884|346.5|360.82|313.19|340.56|313.19|462|462|226.25|304.68|229.87|462|37.92|37.24950884|37.92|0|0|41.71|31.38|462|462|313.19|462|462|304.07|313.15|0|462
HOSP OP|0390 - BLOOD/STOR-PROC||P9012|Mbc Ahg (cryoprecipitate)|151|80.03|113.25|120.8|128.35|135.9|128.35|122.01|108.72|102.2|0|151|98.45|84.56|55.3|123.59|93.47|91.05|82.45|34.69548134|113.25|117.93|60.4|0|60.4|130.46|135.58|65.04|60.4|66.09|135.58|35.32|34.69548134|35.32|0|0|38.87|66.91|0|0|60.4|0|75.5|60.4|60.4|0|151
HOSP OP|0302 - LAB/IMMUNOLOGY||86920|CROSSMATCH-1 UNIT IMMED SPIN|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|47.47|90|34.52|73.67|45.12|43.9|90|18.9194499|67.5|70.29|90|172.44|90|90|90|90|90|90|90|19.26|18.9194499|19.26|0|0|21.19|25.36|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||P9017|Mbc Fresh Frozen Plasma - 1 Unit|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|136.92|139.92|76.9|171.89|129.99|126.63|136.42|111.8467583|157.5|164.01|86.26|93.8|86.26|201.32|205.43|66.86|83.92|67.93|205.43|113.86|111.8467583|113.86|0|0|125.28|93.05|179.33|159.64|86.26|172.08|150.75|83.75|86.25|0|210
HOSP OP|0390 - BLOOD/STOR-PROC||P9044|Mbc Cryo Poor Plasma Single|229|121.37|171.75|183.2|194.65|206.1|194.65|185.03|164.88|154.99|0|229|149.31|128.24|83.86|187.44|141.75|138.09|125.03|42.76031434|171.75|178.85|91.6|0|91.6|197.86|205.61|98.63|91.6|100.23|205.61|43.53|42.76031434|43.53|0|0|47.9|101.47|0|0|91.6|0|114.5|91.6|91.6|0|229
HOSP OP|0390 - BLOOD/STOR-PROC||P9016|Mbc Rbc Leukopoor|620|328.6|465|496|527|558|527|500.96|446.4|419.62|0|620|404.24|361.48|227.04|507.47|383.78|373.86|352.43|140.3536346|465|484.22|194|210.95|194|452.76|462|150.37|188.73|152.77|462|142.88|140.3536346|142.88|0|0|157.21|274.72|403.31|359.02|194|387|339.03|188.35|193.98|0|620
HOSP OP|0302 - LAB/IMMUNOLOGY||86886|ANTIBODY TITER|209.06|110.8|156.8|167.25|177.7|188.15|177.7|168.92|150.52|141.49|0|209.06|7.42|7.76|5.39|171.12|7.05|6.86|7.57|5.697445972|156.8|163.28|5.34|5.8|5.34|11.62|11.86|7.33|5.19|5.95|11.86|5.8|5.697445972|5.8|0|0|6.43|3.96|5.18|5.18|5.34|5.18|9.32|5.18|5.34|0|209.06
HOSP OP|0390 - BLOOD/STOR-PROC||P9037|Mbc Pheresis Platelet Leukoreduced Irradiated|1728|915.84|1296|1382.4|1468.8|1555.2|1468.8|1396.22|1244.16|1169.51|0|1728|1126.66|1222.51|632.79|1414.37|1069.63|1041.98|1191.93|480.7465619|1296|1349.57|653.73|710.85|653.73|1525.68|1556.82|506.7|635.96|514.79|1556.82|489.4|480.7465619|489.4|0|0|538.48|765.68|1359.05|1209.79|653.73|1304.06|1142.44|634.69|653.66|0|1728
HOSP OP|0390 - BLOOD/STOR-PROC||P9035|Mbc Pheresis Platelet Leukoreduced|1626|861.78|1219.5|1300.8|1382.1|1463.4|1382.1|1313.81|1170.72|1100.48|0|1626|1060.15|951.3|595.44|1330.88|1006.49|980.48|927.5|480.7465619|1219.5|1269.91|514.6|559.56|514.6|1200.96|1225.47|398.86|500.61|405.22|1225.47|489.4|480.7465619|489.4|0|0|538.48|720.48|1069.8|952.31|514.6|1026.51|899.3|499.61|514.54|0|1626
HOSP OP|0305 - LAB/HEMATOLOGY||85461|FMH SCREEN ROSETTE|66|34.98|49.5|52.8|56.1|59.4|56.1|53.33|47.52|44.67|0|66|12.07|12.64|8.78|54.02|11.48|11.17|12.32|10.30451866|49.5|51.55|9.64|10.48|9.64|19.37|19.77|10.26|9.38|9.91|19.77|10.49|10.30451866|10.49|0|0|0|6.45|9.36|9.36|9.64|9.36|16.85|9.36|9.64|0|66
HOSP OP|0302 - LAB/IMMUNOLOGY||86870|MBC RBC PANEL|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|58.75|186|42.72|152.24|55.83|54.33|186|37.24950884|139.5|145.27|186|340.56|186|186|186|186|186|186|186|37.92|37.24950884|37.92|0|0|41.71|31.38|186|186|313.19|186|186|304.07|186|0|340.56
HOSP OP|0302 - LAB/IMMUNOLOGY||86900|ABO|68|36.04|51|54.4|57.8|61.2|57.8|54.94|48.96|46.02|0|68|4.28|68|3.11|55.66|4.07|3.96|68|3.290766208|51|53.11|68|131.02|68|68|68|68|68|68|68|3.35|3.290766208|3.35|0|0|3.71|2.28|68|68|120.49|68|68|116.98|68|0|131.02
HOSP OP|0302 - LAB/IMMUNOLOGY||86901|RH|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|4.28|61|3.11|49.93|4.07|3.96|61|3.290766208|45.75|47.64|36.94|40.17|36.94|61|61|26.69|35.94|27.12|61|3.35|3.290766208|3.35|0|0|3.71|2.28|61|61|36.94|61|61|35.87|36.94|0|61
HOSP OP|0302 - LAB/IMMUNOLOGY||86850|ANTIBODY SCREEN|101|53.53|75.75|80.8|85.85|90.9|85.85|81.61|72.72|68.36|0|101|12.6|99.74|9.16|82.67|11.98|11.66|97.24|10.74656189|75.75|78.88|54.67|59.45|54.67|101|101|39.49|53.18|40.12|101|10.94|10.74656189|10.94|0|0|10.94|6.73|101|94.29|54.67|101|95.54|53.08|54.66|0|101
HOSP OP|0302 - LAB/IMMUNOLOGY||86880|DAT|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|7.73|62.84|5.62|60.57|7.34|7.15|61.27|5.933202358|55.5|57.79|36.94|40.17|36.94|74|74|26.69|35.94|27.12|74|6.04|5.933202358|6.04|0|0|6.71|4.12|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|74
HOSP OP|0302 - LAB/IMMUNOLOGY||86694|Hb Hsv Ab Screen Igm By Eia|42.2|22.37|31.65|33.76|35.87|37.98|35.87|34.1|30.38|28.56|0|42.2|20.63|21.59|15|34.54|19.6|19.08|21.05|15.82514735|31.65|32.96|14.82|16.12|14.82|32.94|33.61|20.04|14.42|16.85|33.61|16.11|15.82514735|16.11|0|0|0|11.01|14.39|14.39|14.82|14.39|25.9|14.39|14.82|0|42.2
HOSP OP|0302 - LAB/IMMUNOLOGY||86146|Hb Beta-2-glycoprotein 1 Igg|58|30.74|43.5|46.4|49.3|52.2|49.3|46.86|41.76|39.25|0|58|36.48|38.18|26.53|47.47|34.67|33.74|37.23|27.99607073|43.5|45.3|26.21|28.5|26.21|58|58|35.19|25.5|29.73|58|28.5|27.99607073|28.5|0|0|0|19.49|25.45|25.45|26.21|25.45|45.81|25.45|26.21|0|58
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 1 Base 30  Minutes|2725|1444.25|0|2180|0|2452.5|0|2201.8|1962|1844.28|0|2725|0|0|0|2230.41|0|0|0|0|0|2128.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2725
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 2 Base 30  Minutes|3634|1926.02|0|2907.2|0|3270.6|0|2936.27|2616.48|2459.49|0|3634|0|0|0|2974.43|0|0|0|0|0|2838.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3634
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 3 Base 30  Minutes|4760|2522.8|0|3808|0|4284|0|3846.08|3427.2|3221.57|0|4760|0|0|0|3896.06|0|0|0|0|0|3717.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4760
HOSP OP|0360 - OR SERVICES|||Hb Optime Level 4 Base 30  Minutes|6688|3544.64|0|5350.4|0|6019.2|0|5403.9|4815.36|4526.44|0|6688|0|0|0|5474.13|0|0|0|0|0|5223.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6688
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 1 15 MINUTES|672|356.16|0|537.6|0|604.8|0|542.98|483.84|454.81|0|672|0|0|0|550.03|0|0|0|0|0|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|672
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 2 15 MINUTES|699|370.47|0|559.2|0|629.1|0|564.79|503.28|473.08|0|699|0|0|0|572.13|0|0|0|0|0|545.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|699
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 3 15 MINUTES|785|416.05|0|628|0|706.5|0|634.28|565.2|531.29|0|785|0|0|0|642.52|0|0|0|0|0|613.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|785
HOSP OP|0360 - OR SERVICES|||SURGERY LEVEL 4 15 MINUTES|928|491.84|0|742.4|0|835.2|0|749.82|668.16|628.07|0|928|0|0|0|759.57|0|0|0|0|0|724.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|928
HOSP OP|0761 - TREATMENT ROOM||62367|Hb Analyze Pump W/o Program|922|488.66|691.5|737.6|783.7|829.8|783.7|744.98|663.84|624.01|0|922|601.14|548.54|337.64|754.66|570.72|555.97|534.82|878.4200255|691.5|720.08|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|408.54|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|922
HOSP OP|0761 - TREATMENT ROOM||62368|Hb Analyze Pump With Program|702|372.06|526.5|561.6|596.7|631.8|596.7|567.22|505.44|475.11|0|702|457.7|548.54|257.07|574.59|434.54|423.31|534.82|878.4200255|526.5|548.26|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|311.06|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|894.231586
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS||A9500|TC99 SESTAMIBI DX PSD|90|47.7|67.5|72|76.5|81|0|72.72|64.8|60.91|0|90|90|0|90|73.67|90|90|0|121.6994106|67.5|70.29|0|0|0|0|0|0|0|0|0|123.89|121.6994106|123.89|0|0|0|88.2|0|0|0|0|0|0|0|0|123.89
HOSP OP|0352 - CT SCAN/BODY||72130|CT Thoracic Spine w&w/o Contr|1501|795.53|1125.75|1200.8|1275.85|1350.9|1275.85|1212.81|1080.72|1015.88|0|1501|1158|394.64|605.81|1228.57|1101|1072|384.77|511.5387151|1125.75|1172.28|201.37|218.96|201.37|438.02|446.96|145.47|195.89|147.8|446.96|520.746412|511.5387151|331.912712|0|0|225.96|730.1|390.18|347.33|201.37|374.4|351.91|195.5|201.35|0|1501
HOSP OP|0344 - THERAPEUTIC RADIOPHARMACEUTICL||A9517|Hb I-131 Therapy Per Mci|40|21.2|30|32|34|36|34|32.32|28.8|27.07|0|40|40|34.27|40|32.74|40|40|33.41|35.69744597|30|31.24|20.69|20.69|20.69|40|39.28|16.19|20.69|16.48|39.28|36.34|35.69744597|36.34|0|0|39.98|39.2|20.69|20.69|20.69|20.69|20.69|20.69|21.31|0|40
HOSP OP|0610 - MRI||73223|UP EXT JNT W&WO|2251|1193.03|1688.25|1800.8|1913.35|2025.9|1913.35|1818.81|1620.72|1523.48|0|2251|1868|754.87|979.08|1842.44|1775|1728|735.99|867.3559116|1688.25|1758.03|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|882.968318|867.3559116|562.785268|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2251
HOSP OP|0350 - CT SCAN||76376|CT 3D RECONSTRUCTION|600|318|450|480|510|540|0|484.8|432|406.08|0|600|600|0|600|491.1|600|600|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|588|0|0|0|0|0|0|0|0|600
HOSP OP|0402 - ULTRASOUND||76815|US OB LIMITED 1 OR > FETUS|445|235.85|333.75|356|378.25|400.5|378.25|359.56|320.4|301.18|0|445|290.14|220.09|162.96|364.23|275.46|268.34|214.59|297.6717466|333.75|347.55|123.86|134.68|123.86|269.43|274.93|89.48|120.49|90.91|274.93|303.029838|297.6717466|193.144788|0|0|126.02|197.18|240|213.64|123.86|230.29|216.45|120.25|123.85|0|445
HOSP OP|0320 - DX X-RAY||72220|XR SACRUM/COCCYX MIN 2 VWS|277|146.81|207.75|221.6|235.45|249.3|235.45|223.82|199.44|187.47|0|277|277|121.88|277|226.72|277|277|118.83|142.5387446|207.75|216.34|88.2|95.9|88.2|191.84|195.76|63.71|85.8|64.73|195.76|145.104442|142.5387446|92.486492|0|0|69.78|271.46|170.89|152.12|88.2|163.97|154.13|85.63|88.18|0|277
HOSP OP|0320 - DX X-RAY||76080|ABSCESS/FIST/SIN TRACT RSI|740|392.2|555|592|629|666|629|597.92|532.8|500.83|0|740|694|740|313.38|605.69|660|642|740|624.4750697|555|577.94|532.19|578.69|532.19|740|740|384.47|517.72|390.6|740|635.715621|624.4750697|405.191646|0|0|557.22|583.1|740|740|532.19|740|740|516.69|532.13|0|740
HOSP OP|0440 - SPEECH-LANGUAGE PATHOLOGY||92507|IAP SPEECH TREATMENT|868|460.04|651|694.4|737.8|781.2|737.8|701.34|624.96|587.46|0|868|207|268.38|106.79|710.46|196|191|243.47|277.1325138|651|677.91|82.84|90.08|82.84|214.07|218.44|107.52|82.04|109.51|218.44|282.120899|277.1325138|179.817874|0|0|63.08|173.11|88.47|88.47|82.84|88.47|144.77|80.43|82.84|0|868
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 1|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|57|56.56|57|46.65|57|57|51.54|563.975553|42.75|44.52|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|55.86|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 2|59|31.27|44.25|47.2|50.15|53.1|50.15|47.67|42.48|39.93|0|59|59|56.56|59|48.29|59|59|51.54|563.975553|44.25|46.08|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|57.82|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 3|61|32.33|45.75|48.8|51.85|54.9|51.85|49.29|43.92|41.28|0|61|61|56.56|61|49.93|61|61|51.54|563.975553|45.75|47.64|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|59.78|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0433 - OCCUPATIONAL THERAPY GROUP||97150|OT GROUP TREATMENT LEVEL 4|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|75|56.56|75|61.39|75|75|51.54|563.975553|56.25|58.58|19.19|20.87|19.19|125|127.5|24.93|19|25.27|127.5|574.127113|563.975553|365.936438|0|0|14.63|73.5|20.49|20.49|19.19|20.49|33.53|18.63|19.19|0|574.127113
HOSP OP|0306 - LAB/BACT-MICRO||87449|INFECTIOUS AGENT BY EIA|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98428291|0|0|0|0|0|0|0|0|0|0|0|12.2|11.98428291|12.2|0|0|0|0|0|0|0|0|0|0|0|0|12.2
HOSP OP|0306 - LAB/BACT-MICRO||87798|Hb Epstein Barr Virus Pcr|95|50.35|71.25|76|80.75|85.5|80.75|76.76|68.4|64.3|0|95|50.3|52.64|36.57|77.76|47.8|46.52|51.32|38.59528487|71.25|74.2|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|95
HOSP OP|0306 - LAB/BACT-MICRO||87077|AEROBIC ID|56|29.68|42|44.8|47.6|50.4|47.6|45.25|40.32|37.9|0|56|11.57|12.11|8.41|45.84|11|10.7|11.81|8.084479371|42|43.74|8.32|9.05|8.32|18.4|18.78|11.24|8.1|9.41|18.78|8.23|8.084479371|8.23|0|0|0|6.18|8.08|8.08|8.32|8.08|14.54|8.08|8.32|0|56
HOSP OP|0306 - LAB/BACT-MICRO||87081|CULT-GROUP A STREP|23|12.19|17.25|18.4|19.55|20.7|19.55|18.58|16.56|15.57|0|23|9.49|9.94|6.9|18.83|9.02|8.78|9.69|7.288801572|17.25|17.96|6.83|7.43|6.83|15.49|15.81|9.29|6.64|7.93|15.81|7.42|7.288801572|7.42|0|0|0|5.06|6.63|6.63|6.83|6.63|11.93|6.63|6.83|0|23
HOSP OP|0306 - LAB/BACT-MICRO||87798|MYCOPLASMA HOMINIS PCR|139.45|73.91|104.59|111.56|118.53|125.51|118.53|112.68|100.4|94.38|0|139.45|50.3|52.64|36.57|114.14|47.8|46.52|51.32|38.59528487|104.59|108.91|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|139.45
HOSP OP|0306 - LAB/BACT-MICRO||87798|UREAPLASMA PCR|69.72|36.95|52.29|55.78|59.26|62.75|59.26|56.33|50.2|47.19|0|69.72|50.3|52.64|36.57|57.07|47.8|46.52|51.32|38.59528487|52.29|54.45|36.14|39.3|36.14|69.72|69.72|48.39|35.16|41.13|69.72|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|69.72
HOSP OP|0310 - PATHOLOGY LAB||88184|FLOW CYTOMEETRY FIRST MARKER|305.87|162.11|229.4|244.7|259.99|275.28|259.99|247.14|220.23|207.01|0|305.87|135.54|305.87|98.56|250.35|128.82|125.35|305.87|130.2975972|229.4|238.88|305.87|340.56|305.87|305.87|305.87|226.25|304.68|229.87|305.87|132.642954|130.2975972|84.543804|0|0|76.2|72.41|305.87|305.87|313.19|305.87|305.87|304.07|305.87|0|340.56
HOSP OP|0305 - LAB/HEMATOLOGY||85420|PLASMINOGEN ACTIVITY|59.37|31.47|44.53|47.5|50.46|53.43|50.46|47.97|42.75|40.18|0|59.37|9.37|9.8|6.81|48.59|8.9|8.66|9.56|7.180746562|44.53|46.37|6.73|7.31|6.73|15.49|15.81|8.8|6.54|7.93|15.81|7.31|7.180746562|7.31|0|0|0|5|6.53|6.53|6.73|6.53|11.75|6.53|6.73|0|59.37
HOSP OP|0301 - LAB/CHEMISTRY||82365|STONE ANALYSIS|39.19|20.77|29.39|31.35|33.31|35.27|33.31|31.67|28.22|26.52|0|39.19|18.49|19.35|13.44|32.08|17.57|17.1|18.87|14.19449902|29.39|30.61|13.29|14.45|13.29|30.03|30.64|18.08|12.93|15.36|30.64|14.45|14.19449902|14.45|0|0|0|9.87|12.9|12.9|13.29|12.9|23.22|12.9|13.29|0|39.19
HOSP OP|0301 - LAB/CHEMISTRY||84156|PROTEIN URINE 24 HR|29|15.37|21.75|23.2|24.65|26.1|24.65|23.43|20.88|19.63|0|29|5.25|5.49|3.82|23.74|4.99|4.86|5.35|4.037328094|21.75|22.65|3.78|4.11|3.78|8.72|8.9|4.89|3.68|4.46|8.9|4.11|4.037328094|4.11|0|0|0|2.8|3.67|3.67|3.78|3.67|6.61|3.67|3.78|0|29
HOSP OP|0301 - LAB/CHEMISTRY||84182|PROTEIN 0 ABY|166.7|88.35|125.03|133.36|141.7|150.03|141.7|134.69|120.02|112.82|0|166.7|37.49|39.43|27.26|136.44|35.63|34.67|38.44|51.31865619|125.03|130.19|30.09|32.72|30.09|60.05|61.28|32.75|29.27|30.72|61.28|52.242392|51.31865619|33.298192|0|0|0|20.02|29.21|29.21|30.09|29.21|52.58|29.21|30.09|0|166.7
HOSP OP|0301 - LAB/CHEMISTRY||82164|Hb Angiotensin Converting Enzyme Csf|48.5|25.7|36.38|38.8|41.23|43.65|41.23|39.19|34.92|32.82|0|48.5|20.92|21.9|15.21|39.7|19.89|19.35|21.35|16.06090373|36.38|37.88|15.04|16.35|15.04|33.9|34.59|20.04|14.63|17.34|34.59|16.35|16.06090373|16.35|0|0|0|11.17|14.6|14.6|15.04|14.6|26.28|14.6|15.04|0|48.5
HOSP OP|0301 - LAB/CHEMISTRY||80164|Hb Valproic Acid (depakote)|76|40.28|57|60.8|64.6|68.4|64.6|61.41|54.72|51.44|0|76|19.41|20.32|14.12|62.21|18.45|17.95|19.81|14.89194499|57|59.36|13.95|15.16|13.95|31|31.63|18.57|13.57|15.86|31.63|15.16|14.89194499|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|76
HOSP OP|0301 - LAB/CHEMISTRY||82952|TOLERANCE-ADD'L SPEC|31|16.43|23.25|24.8|26.35|27.9|26.35|25.05|22.32|20.98|0|31|5.62|5.89|4.09|25.37|5.35|5.2|5.74|3.919449902|23.25|24.21|4.04|4.39|4.04|8.72|8.9|5.38|3.93|4.46|8.9|3.99|3.919449902|3.99|0|0|0|3|3.92|3.92|4.04|3.92|7.06|3.92|4.04|0|31
HOSP OP|0301 - LAB/CHEMISTRY||82978|Glutathione|228.8|121.26|171.6|183.04|194.48|205.92|194.48|184.87|164.74|154.85|0|228.8|20.43|21.38|14.86|187.27|19.42|18.9|20.85|17.00392927|171.6|178.69|15.91|17.3|15.91|32.94|33.61|19.55|15.48|16.85|33.61|17.31|17.00392927|17.31|0|0|0|10.92|15.45|15.45|15.91|15.45|27.81|15.45|15.91|0|228.8
HOSP OP|0301 - LAB/CHEMISTRY||84402|TESTOSTERONE FREE ADULT MALE|44.45|23.56|33.34|35.56|37.78|40.01|37.78|35.92|32|30.08|0|44.45|36.51|38.21|26.55|36.38|34.7|33.76|37.25|28.01571709|33.34|34.72|26.23|28.53|26.23|44.45|44.45|35.19|25.52|30.23|44.45|28.52|28.01571709|28.52|0|0|0|19.5|25.47|25.47|26.23|25.47|44.45|25.47|26.23|0|44.45
HOSP OP|0301 - LAB/CHEMISTRY||82533|ACTH STIM-PREINFUSION BASELINE|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|23.36|24.45|16.99|61.39|22.2|21.61|23.84|17.92730845|56.25|58.58|16.79|18.26|16.79|37.78|38.55|22.48|16.33|19.32|38.55|18.25|17.92730845|18.25|0|0|0|12.48|16.3|16.3|16.79|16.3|29.34|16.3|16.79|0|75
HOSP OP|0301 - LAB/CHEMISTRY||84311|Porphyrin Profile Plasma|88.8|47.06|66.6|71.04|75.48|79.92|75.48|71.75|63.94|60.1|0|88.8|10.45|10.94|7.6|72.68|9.93|9.66|10.67|8.909626719|66.6|69.35|8.34|9.07|8.34|16.46|16.8|9.77|8.12|8.42|16.8|9.07|8.909626719|9.07|0|0|0|5.57|8.1|8.1|8.34|8.1|14.58|8.1|8.34|0|88.8
HOSP OP|0301 - LAB/CHEMISTRY||82668|ERYTHROPOIETIN|39.7|21.04|29.78|31.76|33.75|35.73|33.75|32.08|28.58|26.87|0|39.7|26.94|28.19|19.59|32.49|25.6|24.91|27.49|20.66797642|29.78|31.01|19.35|21.04|19.35|39.7|39.7|25.9|18.83|22.3|39.7|21.04|20.66797642|21.04|0|0|0|14.39|18.79|18.79|19.35|18.79|33.82|18.79|19.35|0|39.7
HOSP OP|0310 - PATHOLOGY LAB||88365|HB HPV Epstein Barr Virus in situ Hybridization|390.13|206.77|292.6|312.1|331.61|351.12|331.61|315.23|280.89|264.04|0|390.13|176.29|283.12|128.18|319.32|167.54|163.03|276.04|89.8665|292.6|304.69|158.58|172.44|158.58|344.94|351.98|114.56|154.27|116.39|351.98|91.484097|89.8665|58.310022|0|0|151.55|94.18|307.27|273.52|158.58|294.83|277.13|153.96|158.56|0|390.13
HOSP OP|0310 - PATHOLOGY LAB||88348|EM COMPLETE HCMC|550|291.5|412.5|440|467.5|495|467.5|444.4|396|372.24|0|550|550|550|425.69|450.18|550|541.42|550|130.2975972|412.5|429.55|550|754.88|550|550|550|501.51|550|509.52|550|132.642954|130.2975972|84.543804|0|0|83.8|312.78|550|550|694.22|550|550|674|550|0|754.88
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88332|FROZEN SECTION ADDITIONAL|135|71.55|101.25|108|114.75|121.5|0|109.08|97.2|91.37|0|135|23.95|0|17.41|110.5|22.76|22.15|0|89.8665|101.25|105.44|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|12.79|0|0|0|0|0|0|0|0|135
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88333|INTRAOP CYTOLOGIC EXAM INITIA|650|344.5|487.5|520|552.5|585|552.5|525.2|468|439.92|0|650|45.6|650|33.16|532.03|43.34|42.17|650|89.8665|487.5|507.65|650|754.88|650|650|650|501.51|650|509.52|650|91.484097|89.8665|58.310022|0|0|28.72|24.36|650|650|694.22|650|650|674|650|0|754.88
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88334|INTRAOP CYTOLOGIC EXAM ADD'L|134|71.02|100.5|107.2|113.9|120.6|0|108.27|96.48|90.69|0|134|33.04|0|24.02|109.68|31.4|30.55|0|89.8665|100.5|104.65|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|17.64|0|0|0|0|0|0|0|0|134
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNO STAIN MAYO|205.4|108.86|154.05|164.32|174.59|184.86|174.59|165.96|147.89|139.01|0|205.4|130.21|205.4|94.68|168.12|123.75|120.42|205.4|89.8665|154.05|160.42|158.58|172.44|158.58|205.4|205.4|114.56|154.27|116.39|205.4|91.484097|89.8665|58.310022|0|0|80.54|69.56|205.4|205.4|158.58|205.4|205.4|153.96|158.56|0|205.4
HOSP OP|0310 - PATHOLOGY LAB||88342|IMMUNO STAIN ALLINA|161.43|85.56|121.07|129.14|137.22|145.29|137.22|130.44|116.23|109.26|0|161.43|130.21|161.43|94.68|132.13|123.75|120.42|161.43|89.8665|121.07|126.08|158.58|172.44|158.58|161.43|161.43|114.56|154.27|116.39|161.43|91.484097|89.8665|58.310022|0|0|80.54|69.56|161.43|161.43|158.58|161.43|161.43|153.96|158.56|0|172.44
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88331|FROZEN SECTION|208|110.24|156|166.4|176.8|187.2|176.8|168.06|149.76|140.77|0|208|53.53|208|38.93|170.25|50.88|49.51|208|89.8665|156|162.45|158.58|172.44|158.58|208|208|114.56|154.27|116.39|208|91.484097|89.8665|58.310022|0|0|37.69|28.59|208|208|158.58|208|208|153.96|158.56|0|208
HOSP OP|0310 - PATHOLOGY LAB||88319|HISTOCHEMICAL STAIN HCMC|36.5|19.34|27.38|29.2|31.03|32.85|31.03|29.49|26.28|24.7|0|36.5|36.5|36.5|36.5|29.88|36.5|36.5|36.5|130.2975972|27.38|28.51|88.91|96.68|88.91|36.5|36.5|36.5|36.5|36.5|36.5|132.642954|130.2975972|84.543804|0|0|36.5|35.77|36.5|36.5|88.91|36.5|36.5|36.5|88.91|0|132.642954
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88307|SURGICAL TISSUE V|475|251.75|356.25|380|403.75|427.5|403.75|383.8|342|321.48|0|475|316.96|475|230.47|388.79|301.24|293.13|475|130.2975972|356.25|370.98|313.19|340.56|313.19|475|475|226.25|304.68|229.87|475|132.642954|130.2975972|84.543804|0|0|210.88|169.34|475|475|313.19|475|475|304.07|313.15|0|475
HOSP OP|0310 - PATHOLOGY LAB||88280|CHROM ANALYSIS ADDL KARYOTYPE|32|16.96|24|25.6|27.2|28.8|27.2|25.86|23.04|21.66|0|32|32|32|31.39|26.19|32|32|32|36.8172888|24|24.99|32|32|32|32|32|32|32|32|32|37.48|36.8172888|37.48|0|0|0|23.06|32|32|32|32|32|32|32|0|37.48
HOSP OP|0310 - PATHOLOGY LAB||88239|TISSUE CULTURE SOLID TUMOR|308.1|163.29|231.08|246.48|261.89|277.29|261.89|248.94|221.83|208.52|0|308.1|211.44|221.28|153.75|252.18|200.95|195.54|215.75|162.2691552|231.08|240.63|151.95|165.22|151.95|308.1|308.1|204.3|147.82|173.92|308.1|165.19|162.2691552|165.19|0|0|0|112.97|147.52|147.52|151.95|147.52|265.54|147.52|151.95|0|308.1
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88172|FINE NEEDLE ASPIRATE1ST EVALSITE|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|41.53|90|30.2|73.67|39.47|38.4|90|89.8665|67.5|70.29|90|172.44|90|90|90|90|90|90|90|91.484097|89.8665|58.310022|0|0|22.19|22.18|90|90|158.58|90|90|153.96|90|0|172.44
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88173|FNA INTERP|270|143.1|202.5|216|229.5|243|229.5|218.16|194.4|182.74|0|270|137.05|99.74|99.65|221|130.25|126.74|97.24|89.8665|202.5|210.87|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|91.484097|89.8665|58.310022|0|0|92.12|73.22|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|270
HOSP OP|0310 - PATHOLOGY LAB||88161|Hb Cytologic Touch/crush Tissue Prep Scn & Interp|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|68.76|62.84|50|85.12|65.35|63.59|61.27|89.8665|78|81.22|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|91.484097|89.8665|58.310022|0|0|46.26|36.73|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|104
HOSP OP|0306 - LAB/BACT-MICRO||87341|HEP BsAG CONFIRM|75|39.75|56.25|60|63.75|67.5|63.75|60.6|54|50.76|0|75|14.81|15.5|10.77|61.39|14.07|13.7|15.11|11.35559921|56.25|58.58|10.64|11.57|10.64|24.22|24.71|14.17|10.35|12.39|24.71|11.56|11.35559921|11.56|0|0|12.86|7.91|10.33|10.33|10.64|10.33|18.59|10.33|10.64|0|75
HOSP OP|0302 - LAB/IMMUNOLOGY||86157|Hb Cold Agglutinin Titer|68.23|36.16|51.17|54.58|58|61.41|58|55.13|49.13|46.18|0|68.23|11.56|12.1|8.4|55.85|10.98|10.69|11.8|8.870333988|51.17|53.29|8.3|9.03|8.3|18.4|18.78|11.24|8.08|9.41|18.78|9.03|8.870333988|9.03|0|0|0|6.17|8.06|8.06|8.3|8.06|14.51|8.06|8.3|0|68.23
HOSP OP|0302 - LAB/IMMUNOLOGY||86618|LYME ANTIBODY SCREEN CSF|59.6|31.59|44.7|47.68|50.66|53.64|50.66|48.16|42.91|40.34|0|59.6|24.41|25.54|17.75|48.78|23.2|22.57|24.9|17.03339882|44.7|46.55|17.54|19.07|17.54|38.75|39.54|23.46|17.06|19.82|39.54|17.34|17.03339882|17.34|0|0|0|13.03|17.03|17.03|17.54|17.03|30.65|17.03|17.54|0|59.6
HOSP OP|0306 - LAB/BACT-MICRO||87529|HERPES 1&2 PCR|31.06|16.46|23.3|24.85|26.4|27.95|26.4|25.1|22.36|21.02|0|31.06|31.06|31.06|31.06|25.42|31.06|31.06|31.06|38.59528487|23.3|24.26|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|31.06|39.29|38.59528487|39.29|0|0|0|26.87|31.06|31.06|31.06|31.06|31.06|31.06|31.06|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87798|WEST NILE PCR  (BLOOD/CSF)|105.79|56.07|79.34|84.63|89.92|95.21|89.92|85.48|76.17|71.6|0|105.79|50.3|52.64|36.57|86.59|47.8|46.52|51.32|38.59528487|79.34|82.62|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|105.79
HOSP OP|0306 - LAB/BACT-MICRO||87798|EHRLICHIA/ANAPLASMA PCR|21.3|11.29|15.98|17.04|18.11|19.17|18.11|17.21|15.34|14.42|0|21.3|21.3|21.3|21.3|17.43|21.3|21.3|21.3|38.59528487|15.98|16.64|21.3|21.3|21.3|21.3|21.3|21.3|21.3|21.3|21.3|39.29|38.59528487|39.29|0|0|0|20.87|21.3|21.3|21.3|21.3|21.3|21.3|21.3|0|39.29
HOSP OP|0306 - LAB/BACT-MICRO||87798|TOXOPLASMOSIS PCR CSF|128.6|68.16|96.45|102.88|109.31|115.74|109.31|103.91|92.59|87.04|0|128.6|50.3|52.64|36.57|105.26|47.8|46.52|51.32|38.59528487|96.45|100.44|36.14|39.3|36.14|80.4|82.04|48.39|35.16|41.13|82.04|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|128.6
HOSP OP|0310 - PATHOLOGY LAB||88184|FLOW CYTO FIRST MARKER|216|114.48|162|172.8|183.6|194.4|183.6|174.53|155.52|146.19|0|216|135.54|216|98.56|176.8|128.82|125.35|216|130.2975972|162|168.7|216|340.56|216|216|216|216|216|216|216|132.642954|130.2975972|84.543804|0|0|76.2|72.41|216|216|313.19|216|216|304.07|216|0|340.56
HOSP OP|0310 - PATHOLOGY LAB||88185|FLOW CYTO EA ADD'L MARKER|27.9|14.79|20.93|22.32|23.72|25.11|0|22.54|20.09|18.88|0|27.9|27.9|0|27.9|22.84|27.9|27.9|0|130.2975972|20.93|21.79|0|0|0|0|0|0|0|0|0|132.642954|130.2975972|84.543804|0|0|0|26.57|0|0|0|0|0|0|0|0|132.642954
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88300|GROSS TISSUE I|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|28.02|33.59|20.37|46.65|26.63|25.91|32.75|89.8665|42.75|44.52|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|91.484097|89.8665|58.310022|0|0|12.8|14.97|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|91.484097
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88302|SURG TISSUE  G&M II|88|46.64|66|70.4|74.8|79.2|74.8|71.1|63.36|59.56|0|88|57.58|62.84|41.87|72.03|54.73|53.25|61.27|89.8665|66|68.73|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|91.484097|89.8665|58.310022|0|0|27.08|30.76|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|91.484097
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88304|SURGICAL TISSUE III|119|63.07|89.25|95.2|101.15|107.1|101.15|96.15|85.68|80.54|0|119|71.86|99.74|52.25|97.4|68.29|66.45|97.24|89.8665|89.25|92.94|54.67|59.45|54.67|118.92|119|39.49|53.18|40.12|119|91.484097|89.8665|58.310022|0|0|32.8|38.39|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|119
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88309|SURGICAL TISSUE VI|801|424.53|600.75|640.8|680.85|720.9|680.85|647.21|576.72|542.12|0|801|472.41|801|343.5|655.62|448.97|436.89|801|130.2975972|600.75|625.58|694.22|754.88|694.22|801|801|501.51|675.34|509.52|801|132.642954|130.2975972|84.543804|0|0|295.9|252.4|801|801|694.22|801|801|674|694.14|0|801
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88311|DECALCIFICATION|73|38.69|54.75|58.4|62.05|65.7|0|58.98|52.56|49.41|0|73|12.75|0|9.27|59.75|12.12|11.79|0|89.8665|54.75|57.01|0|0|0|0|0|0|0|0|0|91.484097|89.8665|58.310022|0|0|0|6.81|0|0|0|0|0|0|0|0|91.484097
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|SPECIAL STAIN II|218|115.54|163.5|174.4|185.3|196.2|185.3|176.14|156.96|147.54|0|218|113.8|62.84|82.75|178.43|108.16|105.25|61.27|89.8665|163.5|170.26|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|218
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88313|Hb Special Stains - Group Ii (hcmc)|54.2|28.73|40.65|43.36|46.07|48.78|46.07|43.79|39.02|36.68|0|54.2|54.2|54.2|54.2|44.36|54.2|54.2|54.2|89.8665|40.65|42.33|36.94|40.17|36.94|54.2|54.2|26.69|35.94|27.12|54.2|91.484097|89.8665|58.310022|0|0|54.2|53.12|54.2|54.2|36.94|54.2|54.2|35.87|36.94|0|91.484097
HOSP OP|0310 - PATHOLOGY LAB||88313|SPECIAL STAINS II MAYO|117.93|62.5|88.45|94.34|100.24|106.14|100.24|95.29|84.91|79.82|0|117.93|113.8|62.84|82.75|96.53|108.16|105.25|61.27|89.8665|88.45|92.1|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|91.484097|89.8665|58.310022|0|0|69.12|60.8|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|117.93
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88305|SURGICAL TISSUE IV|192|101.76|144|153.6|163.2|172.8|163.2|155.14|138.24|129.95|0|192|92.19|99.74|67.04|157.15|87.62|85.26|97.24|89.8665|144|149.95|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|91.484097|89.8665|58.310022|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|192
HOSP OP|0312 - PATHOLOGY HISTOLOGY||88305|BX TECH FEE|295|156.35|221.25|236|250.75|265.5|250.75|238.36|212.4|199.66|0|295|92.19|99.74|67.04|241.46|87.62|85.26|97.24|89.8665|221.25|230.4|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|91.484097|89.8665|58.310022|0|0|34.44|49.25|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|295
HOSP OP|0310 - PATHOLOGY LAB||88305|Hb Renal Biopsy G&m Iv (hcmc)|88|46.64|66|70.4|74.8|79.2|74.8|71.1|63.36|59.56|0|88|88|88|67.04|72.03|87.62|85.26|88|89.8665|66|68.73|54.67|59.45|54.67|88|88|39.49|53.18|40.12|88|91.484097|89.8665|58.310022|0|0|34.44|49.25|88|88|54.67|88|88|53.08|54.66|0|91.484097
HOSP OP|0390 - BLOOD/STOR-PROC||86977|MBC ABY NEUTRALIZATION|186|98.58|139.5|148.8|158.1|167.4|158.1|150.29|133.92|125.88|0|186|121.27|104.16|68.11|152.24|115.13|112.16|101.56|29.41060904|139.5|145.27|74.4|0|74.4|69.74|71.16|35.19|74.4|35.68|71.16|29.94|29.41060904|29.94|0|0|74.4|82.42|0|0|74.4|0|93|74.4|74.4|0|186
HOSP OP|0302 - LAB/IMMUNOLOGY||86970|MBC TREATED CELL|141|74.73|105.75|112.8|119.85|126.9|119.85|113.93|101.52|95.43|0|141|39.95|62.84|29.05|115.41|37.97|36.95|61.27|22.5540275|105.75|110.12|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|22.96|22.5540275|22.96|0|0|56.4|21.34|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|141
HOSP OP|0302 - LAB/IMMUNOLOGY||86978|MBC ABY ABSORPTION|156|82.68|117|124.8|132.6|140.4|132.6|126.05|112.32|105.58|0|156|47.47|62.84|34.52|127.69|45.12|43.9|61.27|30.0589391|117|121.84|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|30.6|30.0589391|30.6|0|0|62.4|25.36|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|156
HOSP OP|0302 - LAB/IMMUNOLOGY||86301|CA 19-9|104|55.12|78|83.2|88.4|93.6|88.4|84.03|74.88|70.39|0|104|29.84|31.23|21.7|85.12|28.36|27.59|30.45|22.88801572|78|81.22|21.43|23.31|21.43|47.46|48.43|28.84|20.85|24.28|48.43|23.3|22.88801572|23.3|0|0|0|15.94|20.81|20.81|21.43|20.81|37.46|20.81|21.43|0|104
HOSP OP|0311 - PATHOLOGY CYTOLOGY||88112|URINE CYTOLOGY|158|83.74|118.5|126.4|134.3|142.2|134.3|127.66|113.76|106.93|0|158|64.38|99.74|46.81|129.32|61.19|59.54|97.24|130.2975972|118.5|123.4|54.67|59.45|54.67|118.92|121.34|39.49|53.18|40.12|121.34|132.642954|130.2975972|84.543804|0|0|44.22|34.4|105.93|94.29|54.67|101.64|95.54|53.08|54.66|0|158
HOSP OP|0390 - BLOOD/STOR-PROC||86922|COMP CROSSMATCH IAT|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|10.43|16|5.86|13.1|9.9|9.65|16|18.44793713|12|12.5|16|172.44|16|16|16|16|16|16|16|18.78|18.44793713|18.78|0|0|16|7.09|16|16|158.58|16|16|153.96|16|0|172.44
HOSP OP|0390 - BLOOD/STOR-PROC||86921|COMP CROSSMATCH INCUBATE|16|8.48|12|12.8|13.6|14.4|13.6|12.93|11.52|10.83|0|16|10.43|16|5.86|13.1|9.9|9.65|16|11.06090373|12|12.5|16|172.44|16|16|16|16|16|16|16|11.26|11.06090373|11.26|0|0|12.38|7.09|16|16|158.58|16|16|153.96|16|0|172.44
HOSP OP|0740 - EEG||95813|EEG EXTENDED OVER 1 HOUR|1091|578.23|818.25|872.8|927.35|981.9|927.35|881.53|785.52|738.39|0|1091|711.33|1075.93|399.52|892.98|675.33|657.87|1049.02|1014.543938|818.25|852.07|339.6|369.28|339.6|1091|1091|564.01|330.37|567.35|1091|1032.805729|1014.543938|658.288454|0|0|282.6|483.42|329.71|329.71|339.6|329.71|593.48|329.71|339.6|0|1091
HOSP OP|0301 - LAB/CHEMISTRY||83516|CF MUTATION SCREEN|17.42|9.23|13.07|13.94|14.81|15.68|14.81|14.08|12.54|11.79|0|17.42|16.52|17.29|12.02|14.26|15.71|15.28|16.86|11.5324165|13.07|13.61|11.88|12.91|11.88|17.42|17.42|16.13|11.55|13.38|17.42|11.74|11.5324165|11.74|0|0|0|8.83|11.53|11.53|11.88|11.53|17.42|11.53|11.88|0|17.42
HOSP OP|0610 - MRI||C8908|MRI BREAST BILATERAL W&W/O|2735|1449.55|2051.25|2188|2324.75|2461.5|2324.75|2209.88|1969.2|1851.05|0|2735|1868|754.87|979.08|2238.6|1775|1728|735.99|237.7308448|2051.25|2136.04|421.98|458.85|421.98|917.9|936.63|304.85|410.51|309.71|936.63|242.01|237.7308448|242.01|0|0|432.22|1178.54|817.65|727.85|421.98|784.57|737.44|409.69|421.93|0|2735
HOSP OP|0740 - EEG||95824|EEG - BRAIN DEATH|829|439.37|621.75|663.2|704.65|746.1|704.65|669.83|596.88|561.07|0|829|540.51|464.24|303.58|678.54|513.15|499.89|452.63|563.7401464|621.75|647.45|331.6|0|331.6|276.06|281.69|139.29|331.6|141.22|281.69|573.887469|563.7401464|365.783694|0|0|509.93|367.33|0|0|331.6|0|414.5|331.6|331.6|0|829
HOSP OP|0302 - LAB/IMMUNOLOGY||86611|B. HENSELAE IgG|17.45|9.25|13.09|13.96|14.83|15.71|14.83|14.1|12.56|11.81|0|17.45|14.59|15.27|10.61|14.28|13.87|13.49|14.89|11.19842829|13.09|13.63|10.49|11.4|10.49|17.45|17.45|14.17|10.2|11.89|17.45|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|17.45|10.18|10.49|0|17.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86611|B. HENSELAE IgM|17.45|9.25|13.09|13.96|14.83|15.71|14.83|14.1|12.56|11.81|0|17.45|14.59|15.27|10.61|14.28|13.87|13.49|14.89|11.19842829|13.09|13.63|10.49|11.4|10.49|17.45|17.45|14.17|10.2|11.89|17.45|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|17.45|10.18|10.49|0|17.45
HOSP OP|0302 - LAB/IMMUNOLOGY||86611|B. QUINTANA IgM|17.47|9.26|13.1|13.98|14.85|15.72|14.85|14.12|12.58|11.82|0|17.47|14.59|15.27|10.61|14.3|13.87|13.49|14.89|11.19842829|13.1|13.64|10.49|11.4|10.49|17.47|17.47|14.17|10.2|11.89|17.47|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|17.47|10.18|10.49|0|17.47
HOSP OP|0302 - LAB/IMMUNOLOGY||86611|B. QUINTNA IgG|17.45|9.25|13.09|13.96|14.83|15.71|14.83|14.1|12.56|11.81|0|17.45|14.59|15.27|10.61|14.28|13.87|13.49|14.89|11.19842829|13.09|13.63|10.49|11.4|10.49|17.45|17.45|14.17|10.2|11.89|17.45|11.4|11.19842829|11.4|0|0|0|7.79|10.18|10.18|10.49|10.18|17.45|10.18|10.49|0|17.45
HOSP OP|0301 - LAB/CHEMISTRY||83519|CA CHANNEL-N TYPE|60.53|32.08|45.4|48.42|51.45|54.48|51.45|48.91|43.58|40.97|0|60.53|23.74|24.84|17.26|49.54|22.56|21.95|24.22|20.23575639|45.4|47.27|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|60.53
HOSP OP|0301 - LAB/CHEMISTRY||83519|CA CHANNEL-P/Q TYPE|60.53|32.08|45.4|48.42|51.45|54.48|51.45|48.91|43.58|40.97|0|60.53|23.74|24.84|17.26|49.54|22.56|21.95|24.22|20.23575639|45.4|47.27|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|60.53
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|CALCIUM CHANNEL N TYPE|41.38|21.93|31.04|33.1|35.17|37.24|35.17|33.44|29.79|28.01|0|41.38|23.74|24.84|17.26|33.87|22.56|21.95|24.22|20.23575639|31.04|32.32|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|41.38
HOSP OP|0302 - LAB/IMMUNOLOGY||83519|CALCIUM CHANNEL P/Q TYPE|41.38|21.93|31.04|33.1|35.17|37.24|35.17|33.44|29.79|28.01|0|41.38|23.74|24.84|17.26|33.87|22.56|21.95|24.22|20.23575639|31.04|32.32|18.95|20.61|18.95|37.78|38.55|20.53|18.44|19.32|38.55|20.6|20.23575639|20.6|0|0|0|12.68|18.4|18.4|18.95|18.4|33.12|18.4|18.95|0|41.38
HOSP OP|0310 - PATHOLOGY LAB||88264|Hb Chromosome Analysis 20-25 Cells|308.1|163.29|231.08|246.48|261.89|277.29|261.89|248.94|221.83|208.52|0|308.1|186.55|195.22|135.64|252.18|177.29|172.52|190.34|159.0667976|231.08|240.63|148.95|161.96|148.95|299.31|305.42|172.53|144.9|153.11|305.42|161.93|159.0667976|161.93|0|0|0|99.66|144.61|144.61|148.95|144.61|260.3|144.61|148.95|0|308.1
HOSP OP|0302 - LAB/IMMUNOLOGY||86923|ELECTRONIC CROSSMATCH|100|53|75|80|85|90|85|80.8|72|67.68|0|100|38.07|100|27.68|81.85|36.18|35.21|100|14.50884086|75|78.1|100|172.44|100|100|100|100|100|100|100|14.77|14.50884086|14.77|0|0|40|20.34|100|100|158.58|100|100|153.96|100|0|172.44
HOSP OP|0306 - LAB/BACT-MICRO||87902|HEPATITIS C VIRUS GENOTYPING|160.82|85.23|120.62|128.66|136.7|144.74|136.7|129.94|115.79|108.84|0|160.82|160.82|160.82|160.82|131.63|160.82|160.82|160.82|283.2023576|120.62|125.6|160.82|160.82|160.82|160.82|160.82|160.82|160.82|160.82|160.82|288.3|283.2023576|288.3|0|0|0|157.6|160.82|160.82|160.82|160.82|160.82|160.82|160.82|0|288.3
HOSP OP|0301 - LAB/CHEMISTRY||0027U|Hb Jak2 Exon 12 Mutation Detection Blood|315.92|167.44|236.94|252.74|268.53|284.33|268.53|255.26|227.46|213.81|0|315.92|194.17|203.2|141.19|258.58|184.54|179.57|198.12|149.0078585|236.94|246.73|125.57|136.54|125.57|311.89|315.92|195.99|122.15|159.55|315.92|151.69|149.0078585|151.69|0|0|0|103.74|121.91|121.91|125.57|121.91|219.44|121.91|125.57|0|315.92
HOSP OP|0390 - BLOOD/STOR-PROC||86985|SPLITTING BLOOD UNIT|278|147.34|208.5|222.4|236.3|250.2|236.3|224.62|200.16|188.15|0|278|181.26|155.68|101.8|227.54|172.08|167.63|151.79|26.3654224|208.5|217.12|111.2|0|111.2|51.34|52.39|25.9|111.2|26.26|52.39|26.84|26.3654224|26.84|0|0|111.2|123.18|0|0|111.2|0|139|111.2|111.2|0|278
HOSP OP|0305 - LAB/HEMATOLOGY||85576|PLATELET FUNCTION COL/EPI|105.7|56.02|79.28|84.56|89.85|95.13|89.85|85.41|76.1|71.54|0|105.7|37.49|33.63|27.26|86.52|35.63|34.67|32.79|51.84832122|79.28|82.55|25.66|27.9|25.66|51.34|52.39|29.81|24.96|26.26|52.39|52.781591|51.84832122|33.641866|0|0|0|20.02|24.91|24.91|25.66|24.91|44.84|24.91|25.66|0|105.7
HOSP OP|0360 - OR SERVICES||43239|UPPER GI ENDO W/BX|2319|1229.07|1739.25|1855.2|1971.15|2087.1|1971.15|1873.75|1669.68|1569.5|0|2319|0|938.73|0|1898.1|0|0|915.25|2235.892644|1739.25|1811.14|142.21|154.64|142.21|975.41|995.32|472.13|138.35|498.97|995.32|2276.138712|2235.892644|1450.762512|0|0|0|0|138.07|138.07|142.21|138.07|248.53|138.07|142.21|0|2319
HOSP OP|0450 - EMERGENCY ROOM||20822|Reattachment Fingertip|3595|1905.35|2696.25|2876|3055.75|3235.5|3055.75|2904.76|2588.4|2433.1|0|3595|0|2963.02|0|2942.51|0|0|2888.91|7110.458762|2696.25|2807.7|1786.87|1943.01|1786.87|3595|3595|2346.96|1738.3|2378.4|3595|7238.44702|7110.458762|4613.63252|0|0|0|0|1734.83|1734.83|1786.87|1734.83|3122.69|1734.83|1786.87|0|7238.44702
HOSP OP|0942 - EDUC/TRAINING||97802|1:1 MED NUTRITION TX-15|74|39.22|55.5|59.2|62.9|66.6|62.9|59.79|53.28|50.08|0|74|48.25|74|27.1|60.57|45.81|44.62|74|126.8253487|55.5|57.79|35.39|38.48|35.39|74|74|47.41|34.43|52.03|74|129.108205|126.8253487|82.29083|0|0|29.82|32.79|37.8|37.8|35.39|37.8|61.85|34.36|35.39|0|129.108205
HOSP OP|0942 - EDUC/TRAINING||97803|REASSESS & INTERVEN|65|34.45|48.75|52|55.25|58.5|55.25|52.52|46.8|43.99|0|65|42.38|65|23.8|53.2|40.24|39.2|65|126.8253487|48.75|50.77|29.79|32.39|29.79|65|65|41.05|28.98|44.6|65|129.108205|126.8253487|82.29083|0|0|25.81|28.8|31.81|31.81|29.79|31.81|52.06|28.92|29.79|0|129.108205
HOSP OP|0305 - LAB/HEMATOLOGY||85247|VWF MULTIMER|69.58|36.88|52.19|55.66|59.14|62.62|59.14|56.22|50.1|47.09|0|69.58|32.88|34.41|23.91|56.95|31.25|30.41|33.55|25.2259332|52.19|54.34|23.63|25.69|23.63|53.27|54.36|31.77|22.99|27.25|54.36|25.68|25.2259332|25.68|0|0|0|17.56|22.94|22.94|23.63|22.94|41.29|22.94|23.63|0|69.58
HOSP OP|0301 - LAB/CHEMISTRY||83916|OLIGOCLONAL BANDS|29.68|15.73|22.26|23.74|25.23|26.71|25.23|23.98|21.37|20.09|0|29.68|29.68|29.68|25.69|24.29|29.68|29.68|29.68|30.12770138|22.26|23.18|28.21|29.68|28.21|29.68|29.68|29.68|27.44|29.23|29.68|30.67|30.12770138|30.67|0|0|0|18.88|27.39|27.39|28.21|27.39|29.68|27.39|28.21|0|30.67
HOSP OP|0301 - LAB/CHEMISTRY||83785|MANGANESESERUM|56.51|29.95|42.38|45.21|48.03|50.86|48.03|45.66|40.69|38.25|0|56.51|35.26|36.9|25.64|46.25|33.51|32.6|35.98|29.32220039|42.38|44.13|27.45|29.85|27.45|56.18|56.51|34.21|26.7|28.74|56.51|29.85|29.32220039|29.85|0|0|0|18.83|26.65|26.65|27.45|26.65|47.97|26.65|27.45|0|56.51
HOSP OP|0301 - LAB/CHEMISTRY||80346|Hb Clonazepam (klonopin)|62.96|33.37|47.22|50.37|53.52|56.66|53.52|50.87|45.33|42.61|0|62.96|31.49|0|22.9|51.53|29.93|29.12|0|33.7524558|47.22|49.17|62.96|0|62.96|54.4|56.53|62.96|25.18|27.56|56.53|34.36|33.7524558|34.36|0|0|0|61.7|62.96|62.96|62.96|62.96|62.96|62.96|62.96|0|62.96
HOSP OP|0450 - EMERGENCY ROOM||10060|I & D ABSCESS SIMPLE/SINGLE|393|208.29|294.75|314.4|334.05|353.7|334.05|317.54|282.96|265.98|0|393|0|345.18|0|321.67|0|0|336.54|805.2673998|294.75|306.93|193.09|209.96|193.09|393|393|139.49|187.84|141.72|393|819.762213|805.2673998|522.499038|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||10061|I & D ABSCESS COMPLICATED OR MU*|735|389.55|551.25|588|624.75|661.5|624.75|593.88|529.2|497.45|0|735|0|614.41|0|601.6|0|0|599.04|805.2673998|551.25|574.04|353.09|383.94|353.09|735|735|255.08|343.49|259.15|735|819.762213|805.2673998|522.499038|0|0|351.79|0|684.16|609.02|353.09|656.48|617.04|342.8|353.05|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||10080|I & D PILONIDAL CYST|356|188.68|267|284.8|302.6|320.4|302.6|287.65|256.32|240.94|0|356|0|356|0|291.39|0|0|356|805.2673998|267|278.04|105.8|115.05|105.8|356|356|246.82|102.93|255.68|356|819.762213|805.2673998|522.499038|0|0|0|0|102.72|102.72|105.8|102.72|184.9|102.72|105.8|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||10081|I & D PILONIDAL CYST - COMPLICA*|2376|1259.28|1782|1900.8|2019.6|2138.4|2019.6|1919.81|1710.72|1608.08|0|2376|0|642.67|0|1944.76|0|0|626.6|2821.054799|1782|1855.66|174.85|190.13|174.85|743.91|759.09|367.05|170.1|380.54|759.09|2871.833785|2821.054799|1830.44591|0|0|0|0|169.76|169.76|174.85|169.76|305.57|169.76|174.85|0|2871.833785
HOSP OP|0450 - EMERGENCY ROOM||10120|I & REM F. B. SIMPLE|532|281.96|399|425.6|452.2|478.8|452.2|429.86|383.04|360.06|0|532|0|532|0|435.44|0|0|532|805.2673998|399|415.49|353.09|383.94|353.09|532|532|255.08|343.49|259.15|532|819.762213|805.2673998|522.499038|0|0|351.79|0|532|532|353.09|532|532|342.8|353.05|0|819.762213
HOSP OP|0761 - TREATMENT ROOM||10121|INCIS & REM FB-COMPLICATED|2064|1093.92|1548|1651.2|1754.4|1857.6|1754.4|1667.71|1486.08|1396.92|0|2064|1345.73|605.36|755.84|1689.38|1277.62|1244.59|590.22|2479.95052|1548|1611.98|189.3|205.84|189.3|732.29|747.23|372.91|184.16|374.6|747.23|2524.589629|2479.95052|1609.119854|0|0|0|914.56|183.79|183.79|189.3|183.79|330.82|183.79|189.3|0|2524.589629
HOSP OP|0761 - TREATMENT ROOM||10140|I&D HEMATOMA/ SEROMA/ FLUID|2532|1341.96|1899|2025.6|2152.2|2278.8|2152.2|2045.86|1823.04|1713.66|0|2532|1650.86|2532|927.22|2072.44|1567.31|1526.8|2532|2821.054799|1899|1977.49|1516.84|1649.38|1516.84|2532|2532|1095.8|1475.61|1113.3|2532|2871.833785|2821.054799|1830.44591|0|0|1540.67|1121.93|2532|2532|1516.84|2532|2532|1472.66|1516.67|0|2871.833785
HOSP OP|0361 - OR/MINOR||10160|PUNCT ASP ABSCESS/HEMA/CYST|477|252.81|357.75|381.6|405.45|429.3|405.45|385.42|343.44|322.83|0|477|477|477|399.22|390.42|477|477|477|805.2673998|357.75|372.54|353.09|383.94|353.09|477|477|255.08|343.49|259.15|477|819.762213|805.2673998|522.499038|0|0|351.79|467.46|477|477|353.09|477|477|342.8|353.05|0|819.762213
HOSP OP|0361 - OR/MINOR||10180|INCISION AND DRAINAGE COMPLEX POSTOP WOUND INFECTION|6220|3296.6|4665|4976|5287|5598|5287|5025.76|4478.4|4209.7|0|6220|0|580.09|0|5091.07|0|0|565.58|2821.054799|4665|4857.82|179.27|194.94|179.27|664.48|678.04|331.86|174.4|339.91|678.04|2871.833785|2821.054799|1830.44591|0|0|0|0|174.05|174.05|179.27|174.05|313.29|174.05|179.27|0|6220
HOSP OP|0450 - EMERGENCY ROOM||11012|DEBRIDEMENT NAIL MUSCLE BONE|1574|834.22|1180.5|1259.2|1337.9|1416.6|1337.9|1271.79|1133.28|1065.28|0|1574|0|1554.92|0|1288.32|0|0|1516.03|4081.951827|1180.5|1229.29|421.06|457.86|421.06|1574|1574|954.52|409.62|944.92|1574|4155.42696|4081.951827|2648.58096|0|0|0|0|408.8|408.8|421.06|408.8|735.84|408.8|421.06|0|4155.42696
HOSP OP|0761 - TREATMENT ROOM||11042|Hb Debridement Subcutaneous Tissue First 20 Sq Cm Or Less|798|422.94|598.5|638.4|678.3|718.2|678.3|644.78|574.56|540.09|0|798|520.3|294.86|292.23|653.16|493.96|481.19|287.48|530.2535462|598.5|623.24|62.46|67.92|62.46|330.3|337.04|160.8|60.76|168.97|337.04|539.79811|530.2535462|344.05586|0|0|0|353.59|60.64|60.64|62.46|60.64|109.15|60.64|62.46|0|798
HOSP OP|0450 - EMERGENCY ROOM||11044|DEBRIDE TISSUE/MUSCLE/BONE|1639|868.67|1229.25|1311.2|1393.15|1475.1|1393.15|1324.31|1180.08|1109.28|0|1639|0|581.29|0|1341.52|0|0|566.75|3171.987306|1229.25|1280.06|229.36|249.4|229.36|831.09|848.05|419.35|223.13|425.14|848.05|3229.083078|3171.987306|2058.149028|0|0|0|0|222.68|222.68|229.36|222.68|400.82|222.68|229.36|0|3229.083078
HOSP OP|0450 - EMERGENCY ROOM||11720|DEBRIDEMENT OF NAIL ANY METHOD*|88|46.64|66|70.4|74.8|79.2|74.8|71.1|63.36|59.56|0|88|0|74.62|0|72.03|0|0|72.75|245.0583536|66|68.73|14.92|16.23|14.92|88|88|45.94|14.52|46.58|88|249.469404|245.0583536|159.006504|0|0|0|0|14.49|14.49|14.92|14.49|26.08|14.49|14.92|0|249.469404
HOSP OP|0450 - EMERGENCY ROOM||11730|AVULSION NAIL PLATE|274|145.22|205.5|219.2|232.9|246.6|232.9|221.39|197.28|185.44|0|274|0|245.51|0|224.27|0|0|239.37|520.660724|205.5|213.99|56.4|61.33|56.4|274|274|145.65|54.87|151.62|274|530.032617|520.660724|337.831542|0|0|0|0|54.76|54.76|56.4|54.76|98.57|54.76|56.4|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||11732|EACH ADDITIONAL NAIL PLATE|98|51.94|73.5|78.4|83.3|88.2|0|79.18|70.56|66.33|0|98|0|0|0|80.21|0|0|0|520.660724|73.5|76.54|0|0|0|0|0|0|0|0|0|530.032617|520.660724|337.831542|0|0|0|0|0|0|0|0|0|0|0|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||11750|REMOVAL OF NAIL BED - PERMANENT|982|520.46|736.5|785.6|834.7|883.8|834.7|793.46|707.04|664.62|0|982|0|340.59|0|803.77|0|0|332.07|2479.95052|736.5|766.94|105.84|115.09|105.84|422.32|430.94|211.14|102.97|216.04|430.94|2524.589629|2479.95052|1609.119854|0|0|0|0|102.76|102.76|105.84|102.76|184.97|102.76|105.84|0|2524.589629
HOSP OP|0450 - EMERGENCY ROOM||11760|REPAIR OF NAIL BED SIMPLE|522|276.66|391.5|417.6|443.7|469.8|443.7|421.78|375.84|353.29|0|522|0|522|0|427.26|0|0|522|520.660724|391.5|407.68|522|597.24|522|522|522|396.79|522|403.13|522|530.032617|520.660724|337.831542|0|0|522|0|522|522|549.25|522|522|533.25|522|0|597.24
HOSP OP|0450 - EMERGENCY ROOM||11765|WEDGE EXCISION-INGROWN NAIL|321|170.13|240.75|256.8|272.85|288.9|272.85|259.37|231.12|217.25|0|321|0|321|0|262.74|0|0|321|530.2535462|240.75|250.7|96.57|105.01|96.57|321|321|232.15|93.95|236.85|321|539.79811|530.2535462|344.05586|0|0|0|0|93.76|93.76|96.57|93.76|168.77|93.76|96.57|0|539.79811
HOSP OP|0450 - EMERGENCY ROOM||12001|SIM LAC <2.6 CM BODYSCALP HA|309|163.77|231.75|247.2|262.65|278.1|262.65|249.67|222.48|209.13|0|309|0|309|0|252.92|0|0|309|520.660724|231.75|241.33|193.09|209.96|193.09|272.54|277.44|133.12|187.84|141.72|277.44|530.032617|520.660724|337.831542|0|0|197.64|0|309|309|193.09|309|309|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12002|SIM LAC 2.6 - 7.5 CM|338|179.14|253.5|270.4|287.3|304.2|287.3|273.1|243.36|228.76|0|338|0|338|0|276.65|0|0|336.54|520.660724|253.5|263.98|193.09|209.96|193.09|298.12|338|139.49|187.84|141.72|303.48|530.032617|520.660724|337.831542|0|0|197.64|0|338|333.06|193.09|338|337.44|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12004|SIM LAC 7.6 - 12.5 CM|398|210.94|298.5|318.4|338.3|358.2|338.3|321.58|286.56|269.37|0|398|0|345.18|0|325.76|0|0|336.54|520.660724|298.5|310.84|193.09|209.96|193.09|398|398|139.49|187.84|141.72|398|530.032617|520.660724|337.831542|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12005|SIMPLE LAC 12.6-20 CM|565|299.45|423.75|452|480.25|508.5|480.25|456.52|406.8|382.39|0|565|0|565|0|462.45|0|0|565|520.660724|423.75|441.27|353.09|383.94|353.09|565|565|255.08|343.49|259.15|565|530.032617|520.660724|337.831542|0|0|351.79|0|565|565|353.09|565|565|342.8|353.05|0|565
HOSP OP|0450 - EMERGENCY ROOM||12006|SIM LAC BDYSCLP 20.1-30.0 CM|605|320.65|453.75|484|514.25|544.5|514.25|488.84|435.6|409.46|0|605|0|379.1|0|495.19|0|0|369.62|1423.916154|453.75|472.51|116.76|126.96|116.76|518.21|528.79|259.52|113.59|265.09|528.79|1449.546645|1423.916154|923.91027|0|0|0|0|113.36|113.36|116.76|113.36|204.05|113.36|116.76|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12007|SIM LAC RPR >30CM BODY SCALP|734|389.02|550.5|587.2|623.9|660.6|623.9|593.07|528.48|496.77|0|734|0|345.18|0|600.78|0|0|336.54|4385.567592|550.5|573.25|193.09|209.96|193.09|420.02|428.59|139.49|187.84|141.72|428.59|4464.507809|4385.567592|2845.582534|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|4464.507809
HOSP OP|0450 - EMERGENCY ROOM||12011|SIM LAC <2.6 CM FACECHIN EARS|341|180.73|255.75|272.8|289.85|306.9|289.85|275.53|245.52|230.79|0|341|0|341|0|279.11|0|0|336.54|520.660724|255.75|266.32|193.09|209.96|193.09|300.76|306.18|139.49|187.84|141.72|306.18|530.032617|520.660724|337.831542|0|0|197.64|0|341|333.06|193.09|341|337.44|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12013|SIM LAC 2.6 - 5.0 CM|352|186.56|264|281.6|299.2|316.8|299.2|284.42|253.44|238.23|0|352|0|345.18|0|288.11|0|0|336.54|520.660724|264|274.91|193.09|209.96|193.09|352|352|139.49|187.84|141.72|352|530.032617|520.660724|337.831542|0|0|197.64|0|352|333.06|193.09|352|337.44|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12014|SIM LAC 5.1 - 7.5 CM|486|257.58|364.5|388.8|413.1|437.4|413.1|392.69|349.92|328.92|0|486|0|345.18|0|397.79|0|0|336.54|520.660724|364.5|379.57|193.09|209.96|193.09|420.02|428.59|139.49|187.84|141.72|428.59|530.032617|520.660724|337.831542|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12015|SIM LAC 7.6 - 12.5 CM|619|328.07|464.25|495.2|526.15|557.1|526.15|500.15|445.68|418.94|0|619|0|345.18|0|506.65|0|0|336.54|520.660724|464.25|483.44|193.09|209.96|193.09|420.02|428.59|139.49|187.84|141.72|428.59|530.032617|520.660724|337.831542|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|619
HOSP OP|0450 - EMERGENCY ROOM||12016|SIM LAC 12.6-20.0 CM|759|402.27|569.25|607.2|645.15|683.1|645.15|613.27|546.48|513.69|0|759|0|389.93|0|621.24|0|0|380.18|520.660724|569.25|592.78|127.97|139.15|127.97|553.09|564.38|276.14|124.49|282.93|564.38|530.032617|520.660724|337.831542|0|0|0|0|124.24|124.24|127.97|124.24|223.63|124.24|127.97|0|759
HOSP OP|0450 - EMERGENCY ROOM||12017|SIM LAC 20.1-30 CM FACH|928|491.84|696|742.4|788.8|835.2|788.8|749.82|668.16|628.07|0|928|0|139.61|0|759.57|0|0|136.11|1423.916154|696|724.77|151.77|165.03|151.77|393.26|401.29|199.41|147.64|201.17|401.29|1449.546645|1423.916154|923.91027|0|0|0|0|147.35|147.35|151.77|147.35|265.23|147.35|151.77|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12020|TX SUPERFICIAL WOUND DEHISCIENC*|719|381.07|539.25|575.2|611.15|647.1|611.15|580.95|517.68|486.62|0|719|0|661.93|0|588.5|0|0|645.37|1423.916154|539.25|561.54|192.61|209.44|192.61|719|719|380.73|187.37|394.91|719|1449.546645|1423.916154|923.91027|0|0|0|0|187|187|192.61|187|336.6|187|192.61|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12021|TX SUPERFICIAL WOUND DEHISCIENC*|419|222.07|314.25|335.2|356.15|377.1|356.15|338.55|301.68|283.58|0|419|0|419|0|342.95|0|0|419|520.660724|314.25|327.24|353.09|383.94|353.09|419|419|255.08|343.49|259.15|419|530.032617|520.660724|337.831542|0|0|351.79|0|419|419|353.09|419|419|342.8|353.05|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12031|INT LAC <2.6 CM BODYSCALP|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|0|468|0|383.06|0|0|468|520.660724|351|365.51|156.8|170.5|156.8|468|468|324.53|152.53|338.43|468|530.032617|520.660724|337.831542|0|0|0|0|152.23|152.23|156.8|152.23|274.01|152.23|156.8|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12032|INT LAC 2.6 - 7.5 CM BD SC|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|0|468|0|383.06|0|0|468|520.660724|351|365.51|353.09|383.94|353.09|468|468|255.08|343.49|259.15|468|530.032617|520.660724|337.831542|0|0|351.79|0|468|468|353.09|468|468|342.8|353.05|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12034|INT LAC 7.6 - 12.5 CM BD SC|523|277.19|392.25|418.4|444.55|470.7|444.55|422.58|376.56|353.97|0|523|0|523|0|428.08|0|0|523|1423.916154|392.25|408.46|353.09|383.94|353.09|523|523|255.08|343.49|259.15|523|1449.546645|1423.916154|923.91027|0|0|351.79|0|523|523|353.09|523|523|342.8|353.05|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12035|INT LAC 12.6-20.0 CM BD SC|667|353.51|500.25|533.6|566.95|600.3|566.95|538.94|480.24|451.43|0|667|0|667|0|545.94|0|0|667|1423.916154|500.25|520.93|244.42|265.78|244.42|667|667|515.14|237.77|526.72|667|1449.546645|1423.916154|923.91027|0|0|0|0|237.3|237.3|244.42|237.3|427.14|237.3|244.42|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12036|INT LAC 20.1-30 CM BD SC|780|413.4|585|624|663|702|663|630.24|561.6|527.9|0|780|0|780|0|638.43|0|0|780|1423.916154|585|609.18|284.25|309.09|284.25|780|780|568.9|276.52|579.24|780|1449.546645|1423.916154|923.91027|0|0|0|0|275.97|275.97|284.25|275.97|496.75|275.97|284.25|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12037|INT LAC >30 CM BODY SC|2304|1221.12|1728|1843.2|1958.4|2073.6|1958.4|1861.63|1658.88|1559.35|0|2304|0|1047.05|0|1885.82|0|0|1020.86|4385.567592|1728|1799.42|331.43|360.39|331.43|1275.69|1301.72|645.15|322.42|652.57|1301.72|4464.507809|4385.567592|2845.582534|0|0|0|0|321.78|321.78|331.43|321.78|579.2|321.78|331.43|0|4464.507809
HOSP OP|0450 - EMERGENCY ROOM||12041|INT LAC <2.6 CM NECKHANDFEET|419|222.07|314.25|335.2|356.15|377.1|356.15|338.55|301.68|283.58|0|419|0|419|0|342.95|0|0|419|520.660724|314.25|327.24|151.23|164.45|151.23|419|419|324.04|147.12|338.43|419|530.032617|520.660724|337.831542|0|0|0|0|146.83|146.83|151.23|146.83|264.29|146.83|151.23|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12042|INT LAC 2.6 - 7.5 CM|494|261.82|370.5|395.2|419.9|444.6|419.9|399.15|355.68|334.34|0|494|0|494|0|404.34|0|0|494|520.660724|370.5|385.81|203.37|221.14|203.37|494|494|392.95|197.84|406.81|494|530.032617|520.660724|337.831542|0|0|0|0|197.45|197.45|203.37|197.45|355.41|197.45|203.37|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12044|INT LAC 7.6 - 12.5 CM|699|370.47|524.25|559.2|594.15|629.1|594.15|564.79|503.28|473.08|0|699|0|699|0|572.13|0|0|699|520.660724|524.25|545.92|219.1|238.25|219.1|699|699|489.72|213.15|504.42|699|530.032617|520.660724|337.831542|0|0|0|0|212.72|212.72|219.1|212.72|382.9|212.72|219.1|0|699
HOSP OP|0450 - EMERGENCY ROOM||12045|INT LAC 12.5 - 20.0 CM|753|399.09|564.75|602.4|640.05|677.7|640.05|608.42|542.16|509.63|0|753|0|753|0|616.33|0|0|753|1423.916154|564.75|588.09|274.66|298.66|274.66|753|753|542.51|267.19|553.97|753|1449.546645|1423.916154|923.91027|0|0|0|0|266.66|266.66|274.66|266.66|479.99|266.66|274.66|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||12051|INT LAC <2.6 CM FACEEARSEYES|522|276.66|391.5|417.6|443.7|469.8|443.7|421.78|375.84|353.29|0|522|0|522|0|427.26|0|0|522|520.660724|391.5|407.68|353.09|383.94|353.09|522|522|255.08|343.49|259.15|522|530.032617|520.660724|337.831542|0|0|351.79|0|522|522|353.09|522|522|342.8|353.05|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||12052|INT LAC 2.6 - 5.0 CM|540|286.2|405|432|459|486|459|436.32|388.8|365.47|0|540|0|540|0|441.99|0|0|540|520.660724|405|421.74|353.09|383.94|353.09|540|540|255.08|343.49|259.15|540|530.032617|520.660724|337.831542|0|0|351.79|0|540|540|353.09|540|540|342.8|353.05|0|540
HOSP OP|0450 - EMERGENCY ROOM||12053|INT LAC 5.1 - 7.5 CM|598|316.94|448.5|478.4|508.3|538.2|508.3|483.18|430.56|404.73|0|598|0|598|0|489.46|0|0|598|520.660724|448.5|467.04|221.84|241.23|221.84|598|598|469.69|215.81|484.1|598|530.032617|520.660724|337.831542|0|0|0|0|215.38|215.38|221.84|215.38|387.68|215.38|221.84|0|598
HOSP OP|0450 - EMERGENCY ROOM||12054|INT LAC 7.6 - 12.5 CM|744|394.32|558|595.2|632.4|669.6|632.4|601.15|535.68|503.54|0|744|0|614.41|0|608.96|0|0|599.04|520.660724|558|581.06|353.09|383.94|353.09|744|744|255.08|343.49|259.15|744|530.032617|520.660724|337.831542|0|0|351.79|0|684.16|609.02|353.09|656.48|617.04|342.8|353.05|0|744
HOSP OP|0450 - EMERGENCY ROOM||12055|INT LAC 12.6 - 20.0 CM|1313|695.89|984.75|1050.4|1116.05|1181.7|1116.05|1060.9|945.36|888.64|0|1313|0|614.41|0|1074.69|0|0|599.04|1423.916154|984.75|1025.45|353.09|383.94|353.09|768.04|783.72|255.08|343.49|259.15|783.72|1449.546645|1423.916154|923.91027|0|0|351.79|0|684.16|609.02|353.09|656.48|617.04|342.8|353.05|0|1449.546645
HOSP OP|0361 - OR/MINOR||13100|HB HB Repair Complex Trunk 1:1 cm to 2.5 cmCMPLX LAC 1.1 - 2.5 CM TRUNK|1333|706.49|999.75|1066.4|1133.05|1199.7|1133.05|1077.06|959.76|902.17|0|1333|0|801.53|0|1091.06|0|0|781.48|1423.916154|999.75|1041.07|208.7|226.93|208.7|915.36|934.04|455.51|203.03|468.25|934.04|1449.546645|1423.916154|923.91027|0|0|0|0|202.62|202.62|208.7|202.62|364.72|202.62|208.7|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13101|CMPLX LAC 2.6-7.5 CM TRK|1195|633.35|896.25|956|1015.75|1075.5|1015.75|965.56|860.4|808.78|0|1195|0|949.56|0|978.11|0|0|925.81|1423.916154|896.25|933.3|257.54|280.04|257.54|1079.06|1101.08|538.6|250.54|551.99|1101.08|1449.546645|1423.916154|923.91027|0|0|0|0|250.04|250.04|257.54|250.04|450.07|250.04|257.54|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13120|CMPLX LAC 1.1 - 2.5 CM SCALP A*|761|403.33|570.75|608.8|646.85|684.9|646.85|614.89|547.92|515.04|0|761|0|761|0|622.88|0|0|761|520.660724|570.75|594.34|240.6|261.62|240.6|761|761|476.04|234.06|488.07|761|530.032617|520.660724|337.831542|0|0|0|0|233.59|233.59|240.6|233.59|420.46|233.59|240.6|0|761
HOSP OP|0450 - EMERGENCY ROOM||13121|Cmplx Lac 2.6-7.5cm S/A/L w/59|1243|658.79|932.25|994.4|1056.55|1118.7|1056.55|1004.34|894.96|841.26|0|1243|0|944.65|0|1017.4|0|0|921.02|520.660724|932.25|970.78|549.25|597.24|549.25|1194.74|1219.13|396.79|534.32|403.13|1219.13|530.032617|520.660724|337.831542|0|0|540.88|0|1064.26|947.38|549.25|1021.2|959.85|533.25|549.19|0|1243
HOSP OP|0450 - EMERGENCY ROOM||13122|CMPLX LAC CM SCLP ARMS LEGS; *|662|350.86|496.5|529.6|562.7|595.8|0|534.9|476.64|448.04|0|662|0|0|0|541.85|0|0|0|520.660724|496.5|517.02|0|0|0|0|0|0|0|0|0|530.032617|520.660724|337.831542|0|0|0|0|0|0|0|0|0|0|0|0|662
HOSP OP|0450 - EMERGENCY ROOM||13131|CMPLX LAC 1.1 - 2.5 CM FACE/NEC*|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|0|468|0|383.06|0|0|468|520.660724|351|365.51|252.7|274.78|252.7|468|468|468|245.83|468|468|530.032617|520.660724|337.831542|0|0|0|0|245.34|245.34|252.7|245.34|441.61|245.34|252.7|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||13132|CMPLX LAC 2.6-7.5 CM FACEH F|1240|657.2|930|992|1054|1116|1054|1001.92|892.8|839.23|0|1240|0|944.65|0|1014.94|0|0|921.02|1423.916154|930|968.44|549.25|597.24|549.25|1194.74|1219.13|396.79|534.32|403.13|1219.13|1449.546645|1423.916154|923.91027|0|0|540.88|0|1064.26|947.38|549.25|1021.2|959.85|533.25|549.19|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13133|CMPLX LAC FACEH F; EACH ADDIT*|632|334.96|474|505.6|537.2|568.8|0|510.66|455.04|427.74|0|632|0|0|0|517.29|0|0|0|1423.916154|474|493.59|0|0|0|0|0|0|0|0|0|1449.546645|1423.916154|923.91027|0|0|0|0|0|0|0|0|0|0|0|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13151|CMPLX LAC 1.1-2.5 CM N E E L|719|381.07|539.25|575.2|611.15|647.1|611.15|580.95|517.68|486.62|0|719|0|719|0|588.5|0|0|719|1423.916154|539.25|561.54|289.98|315.31|289.98|719|719|570.86|282.09|584.69|719|1449.546645|1423.916154|923.91027|0|0|0|0|281.53|281.53|289.98|281.53|506.75|281.53|289.98|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13152|CMPLX LAC 2.6-7.5 CM N E E L|933|494.49|699.75|746.4|793.05|839.7|793.05|753.86|671.76|631.45|0|933|0|933|0|763.66|0|0|921.02|1423.916154|699.75|728.67|549.25|597.24|549.25|933|933|396.79|534.32|403.13|933|1449.546645|1423.916154|923.91027|0|0|540.88|0|933|933|549.25|933|933|533.25|549.19|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||13153|Hb Repair Complex Eyelid/nose/ear/lip Ea Add'l 5 Cm Or Less|93|49.29|69.75|74.4|79.05|83.7|0|75.14|66.96|62.94|0|93|0|0|0|76.12|0|0|0|1423.916154|69.75|72.63|0|0|0|0|0|0|0|0|0|1449.546645|1423.916154|923.91027|0|0|0|0|0|0|0|0|0|0|0|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||15050|PINCH GRAFT UP TO 2 CM DIAMETER|1141|604.73|855.75|912.8|969.85|1026.9|969.85|921.93|821.52|772.23|0|1141|0|1141|0|933.91|0|0|1141|520.660724|855.75|891.12|466.81|507.6|466.81|1141|1141|757.56|454.12|775.95|1141|530.032617|520.660724|337.831542|0|0|0|0|453.21|453.21|466.81|453.21|815.78|453.21|466.81|0|1141
HOSP OP|0450 - EMERGENCY ROOM||15240|FULL THICKNESS GRAFT FREE|2704|1433.12|2028|2163.2|2298.4|2433.6|2298.4|2184.83|1946.88|1830.07|0|2704|0|1958.09|0|2213.22|0|0|1909.12|4385.567592|2028|2111.82|818.17|889.66|818.17|2498.1|2549.08|1256.57|795.93|1277.89|2549.08|4464.507809|4385.567592|2845.582534|0|0|0|0|794.34|794.34|818.17|794.34|1429.81|794.34|818.17|0|4464.507809
HOSP OP|0361 - OR/MINOR||15750|(IA) HB NEUROVASCULAR PEDICLE GRAFT|7346|3893.38|5509.5|5876.8|6244.1|6611.4|6244.1|5935.57|5289.12|4971.77|0|7346|0|1616.3|0|6012.7|0|0|1575.88|6696.790374|5509.5|5737.23|933.43|1014.99|933.43|2428.36|2477.92|1221.38|908.05|1242.22|2477.92|6817.332601|6696.790374|4345.223126|0|0|0|0|906.24|906.24|933.43|906.24|1631.23|906.24|933.43|0|7346
HOSP OP|0450 - EMERGENCY ROOM||16000|INITIAL TX BURN 1ST DEGREE LO*|227|120.31|170.25|181.6|192.95|204.3|192.95|183.42|163.44|153.63|0|227|0|133.59|0|185.8|0|0|130.25|0|170.25|177.29|46.71|50.79|46.71|187.92|191.75|92.86|45.44|96.13|191.75|0|0|0|0|0|0|0|45.35|45.35|46.71|45.35|81.63|45.35|46.71|0|227
HOSP OP|0450 - EMERGENCY ROOM||16020|DRESS OR DEBRIDE BURN SMALL 1-2*|284|150.52|213|227.2|241.4|255.6|241.4|229.47|204.48|192.21|0|284|0|284|0|232.45|0|0|284|462.3387191|213|221.8|193.09|209.96|193.09|284|284|139.49|187.84|141.72|284|470.660816|462.3387191|299.989216|0|0|197.64|0|284|284|193.09|284|284|187.47|193.07|0|470.660816
HOSP OP|0450 - EMERGENCY ROOM||16025|DRESS OR DEBRIDE BURN MEDIUM 1-*|460|243.8|345|368|391|414|391|371.68|331.2|311.33|0|460|0|345.18|0|376.51|0|0|336.54|462.3387191|345|359.26|193.09|209.96|193.09|420.02|428.59|139.49|187.84|141.72|428.59|470.660816|462.3387191|299.989216|0|0|197.64|0|374.15|333.06|193.09|359.01|337.44|187.47|193.07|0|470.660816
HOSP OP|0450 - EMERGENCY ROOM||16030|DRESS OR DEBRIDE BURN LARGE 9%|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|0|399.56|0|383.06|0|0|389.57|462.3387191|351|365.51|134.52|146.27|134.52|468|468|251.7|130.86|258.16|468|470.660816|462.3387191|299.989216|0|0|0|0|130.6|130.6|134.52|130.6|235.08|130.6|134.52|0|470.660816
HOSP OP|0450 - EMERGENCY ROOM||17250|CHEMICAL CAUTERY TISSUE|369|195.57|276.75|295.2|313.65|332.1|313.65|298.15|265.68|249.74|0|369|0|217.83|0|302.03|0|0|212.39|530.2535462|276.75|288.19|37.84|41.15|37.84|221.81|226.34|110.95|36.81|113.47|226.34|539.79811|530.2535462|344.05586|0|0|0|0|36.74|36.74|37.84|36.74|66.13|36.74|37.84|0|539.79811
HOSP OP|0361 - OR/MINOR||17999|Hb Unlisted Proc- Skin/mm/subq|393|208.29|294.75|314.4|334.05|353.7|334.05|317.54|282.96|265.98|0|393|0|220.08|0|321.67|0|0|214.58|530.2535462|294.75|306.93|157.2|0|157.2|339.55|352.87|169.27|157.2|172.02|352.87|539.79811|530.2535462|344.05586|0|0|0|0|0|0|157.2|0|196.5|157.2|157.2|0|539.79811
HOSP OP|0761 - TREATMENT ROOM||19000|PUNCT ASP BREAST CYST|1394|738.82|1045.5|1115.2|1184.9|1254.6|1184.9|1126.35|1003.68|943.46|0|1394|908.89|1133.32|510.48|1140.99|862.89|840.58|1104.96|1232.41282|1045.5|1088.71|674.11|733.02|674.11|1394|1394|486.99|655.79|494.77|1394|1254.596251|1232.41282|799.653026|0|0|648.9|617.68|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1394
HOSP OP|0761 - TREATMENT ROOM||19001|Hb Punct Asp Breast Cyst; Each Add'l Cyst|638|338.14|478.5|510.4|542.3|574.2|0|515.5|459.36|431.8|0|638|415.98|0|233.64|522.2|394.92|384.71|0|1232.41282|478.5|498.28|0|0|0|0|0|0|0|0|0|1254.596251|1232.41282|799.653026|0|0|0|282.7|0|0|0|0|0|0|0|0|1254.596251
HOSP OP|0450 - EMERGENCY ROOM||20103|Hb Exploration Of Penetrating Wound|1538.55|815.43|1153.91|1230.84|1307.77|1384.7|1307.77|1243.15|1107.76|1041.29|0|1538.55|0|1133.32|0|1259.3|0|0|1104.96|1423.916154|1153.91|1201.61|674.11|733.02|674.11|1466.35|1496.27|486.99|655.79|494.77|1496.27|1449.546645|1423.916154|923.91027|0|0|648.9|0|1306.2|1162.75|674.11|1253.35|1178.06|654.48|674.04|0|1538.55
HOSP OP|0361 - OR/MINOR||20206|Hb Needle Biopsy Muscle|1856|983.68|1392|1484.8|1577.6|1670.4|1577.6|1499.65|1336.32|1256.14|0|1856|1856|1856|965.1|1519.14|1856|1856|1856|1232.41282|1392|1449.54|1516.84|1649.38|1516.84|1856|1856|1095.8|1475.61|1113.3|1856|1254.596251|1232.41282|799.653026|0|0|1540.67|1515.96|1856|1856|1516.84|1856|1856|1472.66|1516.67|0|1856
HOSP OP|0761 - TREATMENT ROOM||20220|BX BONE SUPER PERC|2622|1389.66|1966.5|2097.6|2228.7|2359.8|2228.7|2118.58|1887.84|1774.57|0|2622|1709.54|2622|960.18|2146.11|1623.02|1581.07|2622|2479.95052|1966.5|2047.78|1516.84|1649.38|1516.84|2622|2622|1095.8|1475.61|1113.3|2622|2524.589629|2479.95052|1609.119854|0|0|1540.67|1161.81|2622|2616.32|1516.84|2622|2622|1472.66|1516.67|0|2622
HOSP OP|0361 - OR/MINOR||20225|BX BONE DEEP PERC|2622|1389.66|1966.5|2097.6|2228.7|2359.8|2228.7|2118.58|1887.84|1774.57|0|2622|2594|2622|965.1|2146.11|2464|2399|2622|2479.95052|1966.5|2047.78|1516.84|1649.38|1516.84|2622|2622|1095.8|1475.61|1113.3|2622|2524.589629|2479.95052|1609.119854|0|0|1540.67|1515.96|2622|2616.32|1516.84|2622|2622|1472.66|1516.67|0|2622
HOSP OP|0361 - OR/MINOR||20501|DX INJ SINUS TRACT|269|142.57|201.75|215.2|228.65|242.1|0|217.35|193.68|182.06|0|269|269|0|269|220.18|269|269|0|798.4994578|201.75|210.09|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|263.62|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0450 - EMERGENCY ROOM||20520|FB REM MUSCLE SIMPLE|896|474.88|672|716.8|761.6|806.4|761.6|723.97|645.12|606.41|0|896|0|477.79|0|733.38|0|0|465.84|2479.95052|672|699.78|151.08|164.28|151.08|555.99|567.34|279.56|146.97|284.42|567.34|2524.589629|2479.95052|1609.119854|0|0|0|0|146.68|146.68|151.08|146.68|264.02|146.68|151.08|0|2524.589629
HOSP OP|0360 - OR SERVICES||20525|Hb Fb Rem Muscle Complex|6289|3333.17|4716.75|5031.2|5345.65|5660.1|5345.65|5081.51|4528.08|4256.4|0|6289|0|1214.33|0|5147.55|0|0|1183.96|2479.95052|4716.75|4911.71|250.79|272.71|250.79|1291.19|1317.54|654.43|243.98|660.5|1317.54|2524.589629|2479.95052|1609.119854|0|0|0|0|243.49|243.49|250.79|243.49|438.28|243.49|250.79|0|6289
HOSP OP|0761 - TREATMENT ROOM||20550|INJ TENDON LIGAMENT|643|340.79|482.25|514.4|546.55|578.7|546.55|519.54|462.96|435.18|0|643|419.24|91.47|235.47|526.3|398.02|387.73|89.18|736.8229077|482.25|502.18|39.98|43.48|39.98|141.42|144.31|71.36|38.9|72.34|144.31|750.08572|736.8229077|478.08872|0|0|0|284.91|38.82|38.82|39.98|38.82|69.88|38.82|39.98|0|750.08572
HOSP OP|0761 - TREATMENT ROOM||20552|INJ TRIGGER POINT(S) 1-2 M|791|419.23|593.25|632.8|672.35|711.9|672.35|639.13|569.52|535.35|0|791|515.73|484.12|289.66|647.43|489.63|476.97|472.01|736.8229077|593.25|617.77|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|750.08572|736.8229077|478.08872|0|0|277.19|350.49|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|791
HOSP OP|0361 - OR/MINOR||20600|Hb Joint Injection Small Without Ultrasound|584|309.52|438|467.2|496.4|525.6|496.4|471.87|420.48|395.25|0|584|0|86.65|0|478|0|0|84.48|736.8229077|438|456.1|36.64|39.84|36.64|129.8|132.45|65.49|35.64|66.4|132.45|750.08572|736.8229077|478.08872|0|0|0|0|35.57|35.57|36.64|35.57|64.03|35.57|36.64|0|750.08572
HOSP OP|0361 - OR/MINOR||20605|Hb Joint Injection Med Without Ultrasound|675|357.75|506.25|540|573.75|607.5|573.75|545.4|486|456.84|0|675|675|484.12|399.22|552.49|675|675|472.01|736.8229077|506.25|527.18|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|750.08572|736.8229077|478.08872|0|0|277.19|489.02|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|750.08572
HOSP OP|0361 - OR/MINOR||20610|Hb Joint Injection Large Without Ultrasound|662|350.86|496.5|529.6|562.7|595.8|562.7|534.9|476.64|448.04|0|662|662|484.12|399.22|541.85|662|662|472.01|736.8229077|496.5|517.02|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|750.08572|736.8229077|478.08872|0|0|277.19|489.02|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|750.08572
HOSP OP|0761 - TREATMENT ROOM||20612|ASPIRATION/INJECTION GANGL*|643|340.79|482.25|514.4|546.55|578.7|546.55|519.54|462.96|435.18|0|643|419.24|121.55|235.47|526.3|398.02|387.73|118.51|736.8229077|482.25|502.18|42.26|45.95|42.26|160.79|164.07|81.62|41.11|82.25|164.07|750.08572|736.8229077|478.08872|0|0|0|284.91|41.03|41.03|42.26|41.03|73.85|41.03|42.26|0|750.08572
HOSP OP|0450 - EMERGENCY ROOM||20950|MONITORING FLUID PRESSURE FOR C*|862|456.86|646.5|689.6|732.7|775.8|732.7|696.5|620.64|583.4|0|862|0|862|0|705.55|0|0|862|805.2673998|646.5|673.22|674.11|733.02|674.11|862|862|486.99|655.79|494.77|862|819.762213|805.2673998|522.499038|0|0|648.9|0|862|862|674.11|862|862|654.48|674.04|0|862
HOSP OP|0450 - EMERGENCY ROOM||21110|INTERDENTAL FIXATION|1903|1008.59|1427.25|1522.4|1617.55|1712.7|1617.55|1537.62|1370.16|1287.95|0|1903|0|1903|0|1557.61|0|0|1903|11294.22398|1427.25|1486.24|724.38|787.67|724.38|1903|1903|1093.33|704.69|1135.69|1903|11497.52001|11294.22398|7328.27526|0|0|0|0|703.28|703.28|724.38|703.28|1265.9|703.28|724.38|0|11497.52001
HOSP OP|0450 - EMERGENCY ROOM||21315|CLSD TX NASAL FX W/O STABILIZAT*|1402|743.06|1051.5|1121.6|1191.7|1261.8|1191.7|1132.82|1009.44|948.87|0|1402|0|723.3|0|1147.54|0|0|705.21|3034.804064|1051.5|1094.96|154.5|168|154.5|748.75|764.03|374.87|150.3|383.02|764.03|3089.430537|3034.804064|1969.137462|0|0|0|0|150|150|154.5|150|270|150|154.5|0|3089.430537
HOSP OP|0361 - OR/MINOR||21421|Hb Closed Treatment Of Palatal Or Maxillary Fracture (lefort I Type) With Interdental Wire Fixation Or Fixation Of Denture Or Splint|7026|3723.78|5269.5|5620.8|5972.1|6323.4|5972.1|5677.01|5058.72|4755.2|0|7026|0|1722.21|0|5750.78|0|0|1679.14|11294.22398|5269.5|5487.31|593.19|645.02|593.19|1920.8|1960|1010.24|577.06|982.58|1960|11497.52001|11294.22398|7328.27526|0|0|0|0|575.91|575.91|593.19|575.91|1036.64|575.91|593.19|0|11497.52001
HOSP OP|0450 - EMERGENCY ROOM||21440|Hb Closed Treatment Of Mandibular Or Maxillary Alveolar Ridge Fracture|7026|3723.78|5269.5|5620.8|5972.1|6323.4|5972.1|5677.01|5058.72|4755.2|0|7026|0|1671.66|0|5750.78|0|0|1629.85|3034.804064|5269.5|5487.31|533.53|580.15|533.53|1658.3|1692.14|800.57|519.03|848.3|1692.14|3089.430537|3034.804064|1969.137462|0|0|0|0|517.99|517.99|533.53|517.99|932.38|517.99|533.53|0|7026
HOSP OP|0450 - EMERGENCY ROOM||21480|CLSD TX TEMPOROMANDIBULAR DISLOC|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|3034.804064|251.25|261.64|238.3|259.12|238.3|335|335|172.16|231.82|174.91|335|3089.430537|3034.804064|1969.137462|0|0|252.11|0|335|335|238.3|335|335|231.36|238.28|0|3089.430537
HOSP OP|0761 - TREATMENT ROOM||23350|INJ PROC FOR SHOULDER ARTH|249|131.97|186.75|199.2|211.65|224.1|0|201.19|179.28|168.52|0|249|162.35|0|91.18|203.81|154.13|150.15|0|0|186.75|194.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.33|0|0|0|0|0|0|0|0|249
HOSP OP|0450 - EMERGENCY ROOM||23500|Hb Closed Rx Clavicle Fracture|512|271.36|384|409.6|435.2|460.8|435.2|413.7|368.64|346.52|0|512|0|485.01|0|419.07|0|0|472.88|1149.431966|384|399.87|231.18|251.38|231.18|512|512|296.67|224.9|299.28|512|1170.121741|1149.431966|745.810766|0|0|0|0|224.45|224.45|231.18|224.45|404.01|224.45|231.18|0|1170.121741
HOSP OP|0361 - OR/MINOR||23505|Hb Closed Tx Clavicle Fracture W/ Manipulation|3636|1927.08|2727|2908.8|3090.6|3272.4|3090.6|2937.89|2617.92|2460.84|0|3636|0|760.61|0|2976.07|0|0|741.59|1149.431966|2727|2839.72|341.3|371.12|341.3|945.39|964.68|474.08|332.02|483.61|964.68|1170.121741|1149.431966|745.810766|0|0|0|0|331.36|331.36|341.3|331.36|596.45|331.36|341.3|0|3636
HOSP OP|0450 - EMERGENCY ROOM||23545|CLSD TX AC DISLOC. W/ MANIP|308|163.24|231|246.4|261.8|277.2|261.8|248.86|221.76|208.45|0|308|0|308|0|252.1|0|0|308|1149.431966|231|240.55|317.47|345.21|317.47|308|308|308|308|308|308|1170.121741|1149.431966|745.810766|0|0|0|0|308|308|317.47|308|308|308|317.47|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||23575|CLOSED RX SCP FX W/ MAN|3488|1848.64|2616|2790.4|2964.8|3139.2|2964.8|2818.3|2511.36|2360.68|0|3488|0|879.76|0|2854.93|0|0|857.76|1149.431966|2616|2724.13|385.45|419.13|385.45|1074.22|1096.14|539.58|374.97|549.51|1096.14|1170.121741|1149.431966|745.810766|0|0|0|0|374.22|374.22|385.45|374.22|673.6|374.22|385.45|0|3488
HOSP OP|0450 - EMERGENCY ROOM||23605|CLOSED TX HUMER FRACTURE W/MANIP|1590|842.7|1192.5|1272|1351.5|1431|1351.5|1284.72|1144.8|1076.11|0|1590|0|995.29|0|1301.42|0|0|970.4|1230.882677|1192.5|1241.79|434.6|472.57|434.6|1239.85|1265.15|623.15|422.78|634.24|1265.15|1253.038565|1230.882677|798.66019|0|0|0|0|421.94|421.94|434.6|421.94|759.49|421.94|434.6|0|1590
HOSP OP|0450 - EMERGENCY ROOM||23655|CLSD TX SHLDER DISLC MANI ANES|2029|1075.37|1521.75|1623.2|1724.65|1826.1|1724.65|1639.43|1460.88|1373.23|0|2029|0|2029|0|1660.74|0|0|2029|2696.760072|1521.75|1584.65|1497.82|1628.7|1497.82|2029|2029|1082.06|1457.11|1099.34|2029|2745.301753|2696.760072|1749.797078|0|0|1471.04|0|2029|2029|1497.82|2029|2029|1454.2|1497.66|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||23665|TX SHOULDER DISLOC W/HUMERAL FX*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|913.46|0|1599.35|0|0|890.61|1230.882677|1465.5|1526.07|405.23|440.64|405.23|1139.11|1162.36|571.35|394.22|582.71|1162.36|1253.038565|1230.882677|798.66019|0|0|0|0|393.43|393.43|405.23|393.43|708.17|393.43|405.23|0|1954
HOSP OP|0450 - EMERGENCY ROOM||23675|Hb Clsd Tx Shoulder Disloc W/surg|636|337.08|477|508.8|540.6|572.4|540.6|513.89|457.92|430.44|0|636|0|636|0|520.57|0|0|636|1230.882677|477|496.72|510.97|555.62|510.97|636|636|636|497.08|636|636|1253.038565|1230.882677|798.66019|0|0|0|0|496.09|496.09|510.97|496.09|636|496.09|510.97|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||24530|Hb Clsd Tx Distal Humeral Fx W/o M*|527|279.31|395.25|421.6|447.95|474.3|447.95|425.82|379.44|356.67|0|527|0|527|0|431.35|0|0|527|1230.882677|395.25|411.59|355.99|387.09|355.99|527|527|515.14|346.31|519.78|527|1253.038565|1230.882677|798.66019|0|0|0|0|345.62|345.62|355.99|345.62|527|345.62|355.99|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||24535|CLSD TX SUPRA OR TRANSCONDYLAR *|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1272.1|0|1599.35|0|0|1240.28|1230.882677|1465.5|1526.07|577.91|628.41|577.91|1638.92|1672.37|826.96|562.2|838.39|1672.37|1253.038565|1230.882677|798.66019|0|0|0|0|561.08|561.08|577.91|561.08|1009.94|561.08|577.91|0|1954
HOSP OP|0450 - EMERGENCY ROOM||24565|CLSD TX HUMERAL EPICONDYLAR FX*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1149.34|0|1599.35|0|0|1120.6|1230.882677|1465.5|1526.07|501.72|545.56|501.72|1422.92|1451.96|716.5|488.08|727.89|1451.96|1253.038565|1230.882677|798.66019|0|0|0|0|487.11|487.11|501.72|487.11|876.8|487.11|501.72|0|1954
HOSP OP|0450 - EMERGENCY ROOM||24577|Hb Clsd Tx Humeral Condylar F*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1178.23|0|1599.35|0|0|1148.76|1230.882677|1465.5|1526.07|515.32|560.35|515.32|1464.57|1494.46|738.01|501.31|749.2|1494.46|1253.038565|1230.882677|798.66019|0|0|0|0|500.31|500.31|515.32|500.31|900.56|500.31|515.32|0|1954
HOSP OP|0450 - EMERGENCY ROOM||24600|TX CLSD ELBOW DISLOC W/O ANEST|429|227.37|321.75|343.2|364.65|386.1|364.65|346.63|308.88|290.35|0|429|0|429|0|351.14|0|0|429|1230.882677|321.75|335.05|342.63|372.57|342.63|429|429|429|333.32|429|429|1253.038565|1230.882677|798.66019|0|0|0|0|332.65|332.65|342.63|332.65|429|332.65|342.63|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||24605|TX CLSD ELBOW DISLOC W/ANES|1825|967.25|1368.75|1460|1551.25|1642.5|1551.25|1474.6|1314|1235.16|0|1825|0|956.78|0|1493.76|0|0|932.85|2696.760072|1368.75|1425.33|484.06|526.36|484.06|1255.35|1280.97|629.02|470.9|642.17|1280.97|2745.301753|2696.760072|1749.797078|0|0|0|0|469.96|469.96|484.06|469.96|845.93|469.96|484.06|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||24620|CLSD TX MONTEGGIA TYPE ELBOW FX*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1954|0|1599.35|0|0|1954|1230.882677|1465.5|1526.07|1497.82|1628.7|1497.82|1954|1954|1082.06|1457.11|1099.34|1954|1253.038565|1230.882677|798.66019|0|0|1471.04|0|1954|1954|1497.82|1954|1954|1454.2|1497.66|0|1954
HOSP OP|0450 - EMERGENCY ROOM||24640|CLSD TX NURSEMAID ELBOW W/ MANIP|367|194.51|275.25|293.6|311.95|330.3|311.95|296.54|264.24|248.39|0|367|0|193.76|0|300.39|0|0|188.92|1230.882677|275.25|286.63|82.27|89.45|82.27|274.13|279.72|137.34|80.03|140.23|279.72|1253.038565|1230.882677|798.66019|0|0|0|0|79.87|79.87|82.27|79.87|143.77|79.87|82.27|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||24655|CLSD TX FX RADIAL HD W/MANIP|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|1230.882677|549|571.69|408.13|443.79|408.13|732|732|591.87|397.03|605.5|732|1253.038565|1230.882677|798.66019|0|0|0|0|396.24|396.24|408.13|396.24|713.23|396.24|408.13|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||24675|CLSD TX ULNA FX PROXIMAL END W/*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|988.07|0|1599.35|0|0|963.36|1230.882677|1465.5|1526.07|425.48|462.66|425.48|1221.44|1246.37|611.91|413.92|624.83|1246.37|1253.038565|1230.882677|798.66019|0|0|0|0|413.09|413.09|425.48|413.09|743.56|413.09|425.48|0|1954
HOSP OP|0761 - TREATMENT ROOM||25246|INJ PROC FOR WRIST ARTHROG|547|289.91|410.25|437.6|464.95|492.3|0|441.98|393.84|370.21|0|547|356.64|0|200.31|447.72|338.59|329.84|0|798.4994578|410.25|427.21|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|242.38|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0450 - EMERGENCY ROOM||25270|REPAIR FOREARM TENDON/MUSCLE|4127|2187.31|3095.25|3301.6|3507.95|3714.3|3507.95|3334.62|2971.44|2793.15|0|4127|0|949.56|0|3377.95|0|0|925.81|7893.480231|3095.25|3223.19|503.54|547.53|503.54|1300.87|1327.42|657.36|489.85|665.46|1327.42|8035.562875|7893.480231|5121.69725|0|0|0|0|488.87|488.87|503.54|488.87|879.97|488.87|503.54|0|8035.562875
HOSP OP|0450 - EMERGENCY ROOM||25500|CLSD TX RADIAL SHAFT FX W/O MANI|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1230.882677|251.25|261.64|259.89|282.6|259.89|335|335|335|252.82|335|335|1253.038565|1230.882677|798.66019|0|0|0|0|252.32|252.32|259.89|252.32|335|252.32|259.89|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25505|CLSD TX RADIAL SHAFT FX W/ MANI|1198|634.94|898.5|958.4|1018.3|1078.2|1018.3|967.98|862.56|810.81|0|1198|0|1063.89|0|980.56|0|0|1037.29|1230.882677|898.5|935.64|468.94|509.91|468.94|1198|1198|671.54|456.19|683.79|1198|1253.038565|1230.882677|798.66019|0|0|0|0|455.28|455.28|468.94|455.28|819.5|455.28|468.94|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25520|CLSD TX RADIAL SHAFT FX W/ DISL*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|1177.02|0|1599.35|0|0|1147.59|1230.882677|1465.5|1526.07|551.66|599.86|551.66|1511.06|1541.9|760.49|536.66|772.98|1541.9|1253.038565|1230.882677|798.66019|0|0|0|0|535.59|535.59|551.66|535.59|964.06|535.59|551.66|0|1954
HOSP OP|0450 - EMERGENCY ROOM||25535|CLSD TX ULNAR SHAFT FX W/MANI|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1230.882677|251.25|261.64|463.56|504.07|463.56|335|335|335|335|335|335|1253.038565|1230.882677|798.66019|0|0|0|0|335|335|463.56|335|335|335|463.56|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25565|CLSD TX FX RADIUS & ULNA W/ MAN|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|1230.882677|549|571.69|473.21|514.56|473.21|732|732|695.98|460.35|702.12|732|1253.038565|1230.882677|798.66019|0|0|0|0|459.43|459.43|473.21|459.43|732|459.43|473.21|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25600|CLSD TX DISTAL RADIAL FX W/O MAN|358|189.74|268.5|286.4|304.3|322.2|304.3|289.26|257.76|242.29|0|358|0|358|0|293.02|0|0|358|1230.882677|268.5|279.6|326.92|355.49|326.92|358|358|358|318.03|358|358|1253.038565|1230.882677|798.66019|0|0|0|0|317.4|317.4|326.92|317.4|358|317.4|326.92|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25605|CLSD TX DISTAL RADIAL FX W/ MAN|1198|634.94|898.5|958.4|1018.3|1078.2|1018.3|967.98|862.56|810.81|0|1198|0|1198|0|980.56|0|0|1198|1230.882677|898.5|935.64|1198|1628.7|1198|1198|1198|1082.06|1198|1099.34|1198|1253.038565|1230.882677|798.66019|0|0|1198|0|1198|1198|1497.82|1198|1198|1454.2|1198|0|1628.7
HOSP OP|0761 - TREATMENT ROOM||25624|Hb Closed Rx Navicular Fxmanipulation|3213|1702.89|2409.75|2570.4|2731.05|2891.7|2731.05|2596.1|2313.36|2174.56|0|3213|2094.88|1084.35|1176.6|2629.84|1988.85|1937.44|1057.23|1230.882677|2409.75|2509.35|450.35|489.7|450.35|1285.38|1311.61|645.64|438.1|657.53|1311.61|1253.038565|1230.882677|798.66019|0|0|0|1423.68|437.23|437.23|450.35|437.23|787.01|437.23|450.35|0|3213
HOSP OP|0450 - EMERGENCY ROOM||25650|Hb Clsd Tx Ulnar Styloid Fx|580|307.4|435|464|493|522|493|468.64|417.6|392.54|0|580|0|580|0|474.73|0|0|580|1230.882677|435|452.98|311.24|338.43|311.24|580|580|434.01|302.77|442.48|580|1253.038565|1230.882677|798.66019|0|0|0|0|302.17|302.17|311.24|302.17|543.91|302.17|311.24|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25660|CLSD TX RADIOCARP DISLONE OR M*|424|224.72|318|339.2|360.4|381.6|360.4|342.59|305.28|286.96|0|424|0|424|0|347.04|0|0|424|1230.882677|318|331.14|423.81|460.85|423.81|424|424|424|412.29|424|424|1253.038565|1230.882677|798.66019|0|0|0|0|411.47|411.47|423.81|411.47|424|411.47|423.81|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25675|CLSD TX DISTAL RADIOULNAR DISLO*|488|258.64|366|390.4|414.8|439.2|414.8|394.3|351.36|330.28|0|488|0|488|0|399.43|0|0|488|1230.882677|366|381.13|408.81|444.53|408.81|488|488|488|397.69|488|488|1253.038565|1230.882677|798.66019|0|0|0|0|396.9|396.9|408.81|396.9|488|396.9|408.81|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||25690|CLSD TX LUNATE DISLOC W/ MANIP|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|980.85|0|1599.35|0|0|956.32|1230.882677|1465.5|1526.07|496.35|539.72|496.35|1280.53|1306.66|642.21|482.85|655.05|1306.66|1253.038565|1230.882677|798.66019|0|0|0|0|481.89|481.89|496.35|481.89|867.4|481.89|496.35|0|1954
HOSP OP|0450 - EMERGENCY ROOM||26010|I & D FINGER ABSCESS SIMPLE|308|163.24|231|246.4|261.8|277.2|261.8|248.86|221.76|208.45|0|308|0|308|0|252.1|0|0|308|805.2673998|231|240.55|142.06|154.47|142.06|308|308|308|138.2|308|308|819.762213|805.2673998|522.499038|0|0|0|0|137.92|137.92|142.06|137.92|248.26|137.92|142.06|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||26011|I & D FINGER ABSCESS COM.|1972|1045.16|1479|1577.6|1676.2|1774.8|1676.2|1593.38|1419.84|1334.65|0|1972|0|1113.24|0|1614.08|0|0|1085.4|805.2673998|1479|1540.13|189.15|205.68|189.15|1098.43|1120.85|539.09|184.01|561.9|1120.85|819.762213|805.2673998|522.499038|0|0|0|0|183.64|183.64|189.15|183.64|330.55|183.64|189.15|0|1972
HOSP OP|0450 - EMERGENCY ROOM||26350|REPAIR FINGER FLEXOR TENDON NO*|3902|2068.06|2926.5|3121.6|3316.7|3511.8|3316.7|3152.82|2809.44|2640.87|0|3902|0|1665.64|0|3193.79|0|0|1623.99|3657.219325|2926.5|3047.46|752.31|818.05|752.31|1884.96|1923.43|957.46|731.86|964.24|1923.43|3723.049273|3657.219325|2372.992598|0|0|0|0|730.4|730.4|752.31|730.4|1314.72|730.4|752.31|0|3902
HOSP OP|0450 - EMERGENCY ROOM||26356|REPAIR FINGER FLEXOR TENDON IN|4381|2321.93|3285.75|3504.8|3723.85|3942.9|3723.85|3539.85|3154.32|2965.06|0|4381|0|1594.64|0|3585.85|0|0|1554.76|7110.458762|3285.75|3421.56|814.3|885.45|814.3|2115.5|2158.67|1066.94|792.16|1082.17|2158.67|7238.44702|7110.458762|4613.63252|0|0|0|0|790.58|790.58|814.3|790.58|1423.04|790.58|814.3|0|7238.44702
HOSP OP|0450 - EMERGENCY ROOM||26410|REPAIR EXT TENDON HAND|1994|1056.82|1495.5|1595.2|1694.9|1794.6|1694.9|1611.15|1435.68|1349.54|0|1994|0|1337.09|0|1632.09|0|0|1303.65|3657.219325|1495.5|1557.31|599.89|652.31|599.89|1494.6|1525.1|760.49|583.58|764.56|1525.1|3723.049273|3657.219325|2372.992598|0|0|0|0|582.42|582.42|599.89|582.42|1048.36|582.42|599.89|0|3723.049273
HOSP OP|0450 - EMERGENCY ROOM||26418|REPAIR EX TEND FINGER|2600|1378|1950|2080|2210|2340|2210|2100.8|1872|1759.68|0|2600|0|1417.72|0|2128.1|0|0|1382.27|3657.219325|1950|2030.6|618.93|673.01|618.93|1535.28|1566.61|779.06|602.1|785.37|1566.61|3723.049273|3657.219325|2372.992598|0|0|0|0|600.9|600.9|618.93|600.9|1081.62|600.9|618.93|0|3723.049273
HOSP OP|0450 - EMERGENCY ROOM||26433|REPAIR OF EXTENSOR TENDON DIST*|2922|1548.66|2191.5|2337.6|2483.7|2629.8|2483.7|2360.98|2103.84|1977.61|0|2922|0|1225.16|0|2391.66|0|0|1194.52|3657.219325|2191.5|2282.08|564.81|614.16|564.81|1398.71|1427.25|711.62|549.46|715.5|1427.25|3723.049273|3657.219325|2372.992598|0|0|0|0|548.36|548.36|564.81|548.36|987.05|548.36|564.81|0|3723.049273
HOSP OP|0450 - EMERGENCY ROOM||26540|REPAIR HAND JOINT|3902|2068.06|2926.5|3121.6|3316.7|3511.8|3316.7|3152.82|2809.44|2640.87|0|3902|0|1434.57|0|3193.79|0|0|1398.69|3657.219325|2926.5|3047.46|694.87|755.59|694.87|1732.89|1768.25|879.26|675.98|886.45|1768.25|3723.049273|3657.219325|2372.992598|0|0|0|0|674.63|674.63|694.87|674.63|1214.33|674.63|694.87|0|3902
HOSP OP|0450 - EMERGENCY ROOM||26600|CLSD TX METACARPAL FX W/O MANIP*|379|200.87|284.25|303.2|322.15|341.1|322.15|306.23|272.88|256.51|0|379|0|379|0|310.21|0|0|379|1230.882677|284.25|296|290.36|315.73|290.36|379|379|379|282.46|379|379|1253.038565|1230.882677|798.66019|0|0|0|0|281.9|281.9|290.36|281.9|379|281.9|290.36|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26605|CLSD TX METACARPAL FX W/ MANIP*|379|200.87|284.25|303.2|322.15|341.1|322.15|306.23|272.88|256.51|0|379|0|379|0|310.21|0|0|379|1230.882677|284.25|296|302.89|329.36|302.89|379|379|379|294.66|379|379|1253.038565|1230.882677|798.66019|0|0|0|0|294.07|294.07|302.89|294.07|379|294.07|302.89|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26641|CLSD TX CARPO-M DISLOC. THUMB W*|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|0|339|0|277.47|0|0|339|1230.882677|254.25|264.76|353.98|384.91|353.98|339|339|339|339|339|339|1253.038565|1230.882677|798.66019|0|0|0|0|339|339|353.98|339|339|339|353.98|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26645|CLSD TX CARPO-MC FX DISLOC (THU*|732|387.96|549|585.6|622.2|658.8|622.2|591.46|527.04|495.42|0|732|0|732|0|599.14|0|0|732|1230.882677|549|571.69|401.89|437|401.89|732|732|574.77|390.96|584.19|732|1253.038565|1230.882677|798.66019|0|0|0|0|390.18|390.18|401.89|390.18|702.32|390.18|401.89|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26670|CLSD TX CARPO-MC DISLOC ( NOT T*|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1230.882677|251.25|261.64|314.92|342.44|314.92|335|335|335|306.36|335|335|1253.038565|1230.882677|798.66019|0|0|0|0|305.75|305.75|314.92|305.75|335|305.75|314.92|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26700|CLSD TX MCP DISLOCATION W/ MANI*|411|217.83|308.25|328.8|349.35|369.9|349.35|332.09|295.92|278.16|0|411|0|411|0|336.4|0|0|411|1149.431966|308.25|320.99|313.82|341.24|313.82|411|411|411|305.29|411|411|1170.121741|1149.431966|745.810766|0|0|0|0|304.68|304.68|313.82|304.68|411|304.68|313.82|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26720|CLSD TX FINGER FRACTURE W/O MAN*|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1149.431966|251.25|261.64|191.55|208.29|191.55|335|335|271.25|186.34|272.03|335|1170.121741|1149.431966|745.810766|0|0|0|0|185.97|185.97|191.55|185.97|334.75|185.97|191.55|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26725|CLSD TX FINGER FRACTURE W/MANIPULATION|416|220.48|312|332.8|353.6|374.4|353.6|336.13|299.52|281.55|0|416|0|416|0|340.5|0|0|416|1149.431966|312|324.9|238.3|259.12|238.3|416|416|172.16|231.82|174.91|416|1170.121741|1149.431966|745.810766|0|0|252.11|0|416|411.04|238.3|416|416|231.36|238.28|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26742|CLSD TX ARTICULAR FX W/ MAN|636|337.08|477|508.8|540.6|572.4|540.6|513.89|457.92|430.44|0|636|0|636|0|520.57|0|0|636|1230.882677|477|496.72|343.08|373.06|343.08|636|636|499.5|333.76|507.89|636|1253.038565|1230.882677|798.66019|0|0|0|0|333.09|333.09|343.08|333.09|599.56|333.09|343.08|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||26750|CLSD TX DISTAL TUFT FX W/O MANIP|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1149.431966|251.25|261.64|192.18|208.97|192.18|335|335|251.7|186.95|253.2|335|1170.121741|1149.431966|745.810766|0|0|0|0|186.58|186.58|192.18|186.58|335|186.58|192.18|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26755|CLSD TX DISTAL TUFT FX W/ MANIP|362|191.86|271.5|289.6|307.7|325.8|307.7|292.5|260.64|245|0|362|0|362|0|296.3|0|0|362|1149.431966|271.5|282.72|280.01|304.47|280.01|362|362|362|272.39|362|362|1170.121741|1149.431966|745.810766|0|0|0|0|271.85|271.85|280.01|271.85|362|271.85|280.01|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26765|ORIF DISTAL FINGER FRACTURE|3991|2115.23|2993.25|3192.8|3392.35|3591.9|3392.35|3224.73|2873.52|2701.11|0|3991|0|1025.38|0|3266.63|0|0|999.74|8287.904123|2993.25|3116.97|514.28|559.22|514.28|1334.78|1362.02|673|500.3|682.8|1362.02|8437.086397|8287.904123|5377.619822|0|0|0|0|499.3|499.3|514.28|499.3|898.74|499.3|514.28|0|8437.086397
HOSP OP|0450 - EMERGENCY ROOM||26770|CLSD TX FINGER DISLOC W/ MANIP|385|204.05|288.75|308|327.25|346.5|327.25|311.08|277.2|260.57|0|385|0|385|0|315.12|0|0|385|1149.431966|288.75|300.69|262.74|285.7|262.74|385|385|374.87|255.6|382.53|385|1170.121741|1149.431966|745.810766|0|0|0|0|255.09|255.09|262.74|255.09|385|255.09|262.74|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||26951|FINGER/THUMB AMP-DIR CLOS|3902|2068.06|2926.5|3121.6|3316.7|3511.8|3316.7|3152.82|2809.44|2640.87|0|3902|0|1489.93|0|3193.79|0|0|1452.67|3657.219325|2926.5|3047.46|689.95|750.23|689.95|1725.13|1760.34|873.39|671.19|882.49|1760.34|3723.049273|3657.219325|2372.992598|0|0|0|0|669.85|669.85|689.95|669.85|1205.73|669.85|689.95|0|3902
HOSP OP|0450 - EMERGENCY ROOM||26952|FINGER/THUM AMP-LOC ADV FLAP|3083|1633.99|2312.25|2466.4|2620.55|2774.7|2620.55|2491.06|2219.76|2086.57|0|3083|0|3083|0|2523.44|0|0|3083|7110.458762|2312.25|2407.82|3025.12|3289.45|3025.12|3083|3083|2185.41|2942.88|2220.31|3083|7238.44702|7110.458762|4613.63252|0|0|2938.34|0|3083|3083|3025.12|3083|3083|2937.01|3024.79|0|7238.44702
HOSP OP|0761 - TREATMENT ROOM||27093|INJ HIP ARTHROGRA W/O ANEST|584|309.52|438|467.2|496.4|525.6|0|471.87|420.48|395.25|0|584|380.77|0|213.86|478|361.5|352.15|0|798.4994578|438|456.1|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|258.77|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0361 - OR/MINOR||27096|SI JNT ARTHROGRAM W IMAGING|769|407.57|576.75|615.2|653.65|692.1|653.65|621.35|553.68|520.46|0|769|744|0|399.22|629.43|707|688|0|736.8229077|576.75|600.59|86.09|93.61|86.09|664.42|690.47|331.21|83.75|336.59|690.47|750.08572|736.8229077|478.08872|0|0|0|489.02|83.58|83.58|86.09|83.58|150.44|83.58|86.09|0|769
HOSP OP|0450 - EMERGENCY ROOM||27250|CLSD TX HIP DISLOCATION W/O ANE*|429|227.37|321.75|343.2|364.65|386.1|364.65|346.63|308.88|290.35|0|429|0|429|0|351.14|0|0|429|1230.882677|321.75|335.05|238.3|259.12|238.3|429|429|172.16|231.82|174.91|429|1253.038565|1230.882677|798.66019|0|0|252.11|0|429|411.04|238.3|429|416.45|231.36|238.28|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27256|Hb Tx Hip Dislocation By Abduction*|555|294.15|416.25|444|471.75|499.5|471.75|448.44|399.6|375.62|0|555|0|531.95|0|454.27|0|0|518.64|1230.882677|416.25|433.46|236.48|257.14|236.48|555|555|406.15|230.05|412.75|555|1253.038565|1230.882677|798.66019|0|0|0|0|229.59|229.59|236.48|229.59|413.26|229.59|236.48|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27257|TX SPONT HIP DISLOCATION W/O T*|1954|1035.62|1465.5|1563.2|1660.9|1758.6|1660.9|1578.83|1406.88|1322.47|0|1954|0|611.38|0|1599.35|0|0|596.09|2696.760072|1465.5|1526.07|364.77|396.65|364.77|950.23|969.62|480.93|354.86|486.09|969.62|2745.301753|2696.760072|1749.797078|0|0|0|0|354.15|354.15|364.77|354.15|637.47|354.15|364.77|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||27265|CLSD TX POST HIP DISLOC|436|231.08|327|348.8|370.6|392.4|370.6|352.29|313.92|295.08|0|436|0|436|0|356.87|0|0|429.31|1230.882677|327|340.52|238.3|259.12|238.3|436|436|172.16|231.82|174.91|436|1253.038565|1230.882677|798.66019|0|0|252.11|0|436|411.04|238.3|436|416.45|231.36|238.28|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27510|CLSD TX FEMORAL FXDISTAL-W/MANIPULATION|636|337.08|477|508.8|540.6|572.4|540.6|513.89|457.92|430.44|0|636|0|636|0|520.57|0|0|636|1230.882677|477|496.72|687.95|748.06|687.95|636|636|636|636|636|636|1253.038565|1230.882677|798.66019|0|0|0|0|636|636|687.95|636|636|636|687.95|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27550|CLSD TX KNEE DISLOC|488|258.64|366|390.4|414.8|439.2|414.8|394.3|351.36|330.28|0|488|0|440.33|0|399.43|0|0|429.31|1230.882677|366|381.13|238.3|259.12|238.3|488|488|172.16|231.82|174.91|488|1253.038565|1230.882677|798.66019|0|0|252.11|0|461.75|411.04|238.3|443.07|416.45|231.36|238.28|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27560|CLSD TX PATELLAR DISLOC W/O ANE*|339|179.67|254.25|271.2|288.15|305.1|288.15|273.91|244.08|229.44|0|339|0|339|0|277.47|0|0|339|1230.882677|254.25|264.76|350.65|381.29|350.65|339|339|339|339|339|339|1253.038565|1230.882677|798.66019|0|0|0|0|339|339|350.65|339|339|339|350.65|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27562|CLSD RRX PATELLA DISLOC W ANES|1789|948.17|1341.75|1431.2|1520.65|1610.1|1520.65|1445.51|1288.08|1210.8|0|1789|0|951.97|0|1464.3|0|0|928.16|2696.760072|1341.75|1397.21|495.64|538.94|495.64|1280.53|1306.66|645.15|482.16|655.05|1306.66|2745.301753|2696.760072|1749.797078|0|0|0|0|481.2|481.2|495.64|481.2|866.16|481.2|495.64|0|2745.301753
HOSP OP|0450 - EMERGENCY ROOM||27752|CLSD TX TIBIAL FX W/ MANIP|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|1042|0|852.88|0|0|1042|1230.882677|781.5|813.8|500.82|544.58|500.82|1042|1042|717.48|487.2|727.39|1042|1253.038565|1230.882677|798.66019|0|0|0|0|486.23|486.23|500.82|486.23|875.21|486.23|500.82|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27762|CLSD TX FX MED. MALLEOLUS W/ MA*|843|446.79|632.25|674.4|716.55|758.7|716.55|681.14|606.96|570.54|0|843|0|843|0|690|0|0|843|1230.882677|632.25|658.38|442.1|480.73|442.1|843|843|634.39|430.08|650.59|843|1253.038565|1230.882677|798.66019|0|0|0|0|429.22|429.22|442.1|429.22|772.6|429.22|442.1|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27786|Hb Clsd Tx Dis Fibula W/o Man*|390|206.7|292.5|312|331.5|351|331.5|315.12|280.8|263.95|0|390|0|390|0|319.22|0|0|390|1230.882677|292.5|304.59|295.86|321.71|295.86|390|390|390|287.81|390|390|1253.038565|1230.882677|798.66019|0|0|0|0|287.24|287.24|295.86|287.24|390|287.24|295.86|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27788|CLSD TX DIS FIBULA W/ MANIP|570|302.1|427.5|456|484.5|513|484.5|460.56|410.4|385.78|0|570|0|440.33|0|466.55|0|0|429.31|1230.882677|427.5|445.17|238.3|259.12|238.3|518.37|528.95|172.16|231.82|174.91|528.95|1253.038565|1230.882677|798.66019|0|0|252.11|0|461.75|411.04|238.3|443.07|416.45|231.36|238.28|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27808|CLSD TX BIMALLEOLAR ANKLE FX W/*|412|218.36|309|329.6|350.2|370.8|350.2|332.9|296.64|278.84|0|412|0|412|0|337.22|0|0|412|1230.882677|309|321.77|312.3|339.58|312.3|412|412|412|303.81|412|412|1253.038565|1230.882677|798.66019|0|0|0|0|303.2|303.2|312.3|303.2|412|303.2|312.3|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27810|CLSD TX BIMALLEOLAR ANKLE-W/MANIPULATION|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|1042|0|852.88|0|0|1042|1230.882677|781.5|813.8|1042|1628.7|1042|1042|1042|1042|1042|1042|1042|1253.038565|1230.882677|798.66019|0|0|1042|0|1042|1042|1497.82|1042|1042|1454.2|1042|0|1628.7
HOSP OP|0450 - EMERGENCY ROOM||27818|CLSD TX TRIMALLEOLAR ANKLE FX W*|1198|634.94|898.5|958.4|1018.3|1078.2|1018.3|967.98|862.56|810.81|0|1198|0|1198|0|980.56|0|0|1198|1230.882677|898.5|935.64|1198|1628.7|1198|1198|1198|1082.06|1198|1099.34|1198|1253.038565|1230.882677|798.66019|0|0|1198|0|1198|1198|1497.82|1198|1198|1454.2|1198|0|1628.7
HOSP OP|0450 - EMERGENCY ROOM||27825|CLOSED TX DISTAL TIBIA FX W MAN*|1042|552.26|781.5|833.6|885.7|937.8|885.7|841.94|750.24|705.23|0|1042|0|1042|0|852.88|0|0|1042|1230.882677|781.5|813.8|502.16|546.03|502.16|1042|1042|733.12|488.51|742.75|1042|1253.038565|1230.882677|798.66019|0|0|0|0|487.53|487.53|502.16|487.53|877.55|487.53|502.16|0|1253.038565
HOSP OP|0361 - OR/MINOR||27830|TREAT LOWER LEG DISLOCATION|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|0|578|0|473.09|0|0|578|1230.882677|433.5|451.42|365.71|397.67|365.71|578|578|515.14|355.77|523.25|578|1253.038565|1230.882677|798.66019|0|0|0|0|355.06|355.06|365.71|355.06|578|355.06|365.71|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||27840|CLSD TX ANKLE DISLOC W/O ANEST|418|221.54|313.5|334.4|355.3|376.2|355.3|337.74|300.96|282.9|0|418|0|418|0|342.13|0|0|418|1230.882677|313.5|326.46|383.5|417.01|383.5|418|418|418|373.07|418|418|1253.038565|1230.882677|798.66019|0|0|0|0|372.33|372.33|383.5|372.33|418|372.33|383.5|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||28190|REMOVAL OF F.B. FOOT SUB|1093|579.29|819.75|874.4|929.05|983.7|929.05|883.14|786.96|739.74|0|1093|0|642.67|0|894.62|0|0|626.6|2479.95052|819.75|853.63|138.82|150.95|138.82|707.1|721.53|362.65|135.05|361.72|721.53|2524.589629|2479.95052|1609.119854|0|0|0|0|134.78|134.78|138.82|134.78|242.6|134.78|138.82|0|2524.589629
HOSP OP|0450 - EMERGENCY ROOM||28470|Hb Closed Rx Metatarsal Fx|379|200.87|284.25|303.2|322.15|341.1|322.15|306.23|272.88|256.51|0|379|0|379|0|310.21|0|0|379|1230.882677|284.25|296|211.86|230.37|211.86|379|379|300.58|206.1|303.25|379|1253.038565|1230.882677|798.66019|0|0|0|0|205.69|205.69|211.86|205.69|370.24|205.69|211.86|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||28475|CLSD TX METATARSAL FX W/ MANIP*|580|307.4|435|464|493|522|493|468.64|417.6|392.54|0|580|0|522.32|0|474.73|0|0|509.26|1230.882677|435|452.98|234.92|255.45|234.92|580|580|348.97|228.54|355.27|580|1253.038565|1230.882677|798.66019|0|0|0|0|228.08|228.08|234.92|228.08|410.54|228.08|234.92|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||28495|Clsd Tx Big Toe FX w/manip 52|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1149.431966|251.25|261.64|154.5|168|154.5|335|335|246.82|150.3|250.72|335|1170.121741|1149.431966|745.810766|0|0|0|0|150|150|154.5|150|270|150|154.5|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||28510|CLSD TX TOE FX W/O MANIP|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|281.62|0|274.2|0|0|274.58|1149.431966|251.25|261.64|124.59|135.48|124.59|334.18|335|171.55|121.2|170.95|335|1170.121741|1149.431966|745.810766|0|0|0|0|120.96|120.96|124.59|120.96|217.73|120.96|124.59|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||28515|CLSD TX TOE FX W/ MANIP|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|335|0|274.2|0|0|335|1149.431966|251.25|261.64|148.4|161.37|148.4|335|335|224.33|144.37|227.93|335|1170.121741|1149.431966|745.810766|0|0|0|0|144.08|144.08|148.4|144.08|259.34|144.08|148.4|0|1170.121741
HOSP OP|0360 - OR SERVICES||28570|Hb Closed Tx Tarsal Joint Dislocation|578|306.34|433.5|462.4|491.3|520.2|491.3|467.02|416.16|391.19|0|578|0|575.27|0|473.09|0|0|560.89|1230.882677|433.5|451.42|198.35|215.68|198.35|578|578|309.87|192.96|315.14|578|1253.038565|1230.882677|798.66019|0|0|0|0|192.57|192.57|198.35|192.57|346.63|192.57|198.35|0|1253.038565
HOSP OP|0450 - EMERGENCY ROOM||28630|CLSD TX METATARSOPHAL JT DISLOC|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|0|329.76|0|292.2|0|0|321.51|1149.431966|267.75|278.82|113.02|122.9|113.02|357|357|216.03|109.95|217.52|357|1170.121741|1149.431966|745.810766|0|0|0|0|109.73|109.73|113.02|109.73|197.51|109.73|113.02|0|1170.121741
HOSP OP|0450 - EMERGENCY ROOM||28660|CLSD TX TOE DISLOC|335|177.55|251.25|268|284.75|301.5|284.75|270.68|241.2|226.73|0|335|0|252.74|0|274.2|0|0|246.41|1149.431966|251.25|261.64|92.39|100.46|92.39|319.65|326.17|158.84|89.88|163.52|326.17|1170.121741|1149.431966|745.810766|0|0|0|0|89.7|89.7|92.39|89.7|161.46|89.7|92.39|0|1170.121741
HOSP OP|0761 - TREATMENT ROOM||29075|ORTH SHORT ARM CAST FIBERG|696|368.88|522|556.8|591.6|626.4|591.6|562.37|501.12|471.05|0|696|453.79|203.39|254.88|569.68|430.82|419.69|198.3|600.3458851|522|543.58|62.7|68.17|62.7|232.48|237.22|118.77|60.99|118.92|237.22|611.152111|600.3458851|389.535386|0|0|0|308.4|60.87|60.87|62.7|60.87|109.57|60.87|62.7|0|696
HOSP OP|0450 - EMERGENCY ROOM||29105|APPLY LONG ARM SPLINT|337|178.61|252.75|269.6|286.45|303.3|286.45|272.3|242.64|228.08|0|337|0|263.35|0|275.83|0|0|256.77|450.1564234|252.75|263.2|147.79|160.71|147.79|321.48|328.04|106.77|143.78|108.47|328.04|458.259239|450.1564234|292.084714|0|0|150.78|0|286.37|254.92|147.79|274.78|258.28|143.49|147.77|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||29125|APPLY SHORT ARM SPLINT|288|152.64|216|230.4|244.8|259.2|244.8|232.7|207.36|194.92|0|288|0|208.31|0|235.73|0|0|203.1|450.1564234|216|224.93|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|458.259239|450.1564234|292.084714|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||29130|APPLICATION OF FINGER SPLINT; S*|207|109.71|155.25|165.6|175.95|186.3|175.95|167.26|149.04|140.1|0|207|0|80.63|0|169.43|0|0|78.62|450.1564234|155.25|161.67|29.56|32.14|29.56|110.43|112.68|56.69|28.76|56.49|112.68|458.259239|450.1564234|292.084714|0|0|0|0|28.7|28.7|29.56|28.7|51.66|28.7|29.56|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||29240|STRAPPING; SHOULDER (EG VELPEA*|328|173.84|246|262.4|278.8|295.2|278.8|265.02|236.16|221.99|0|328|0|57.77|0|268.47|0|0|56.32|450.1564234|246|256.17|19.65|21.37|19.65|84.27|85.99|41.54|19.12|43.11|85.99|458.259239|450.1564234|292.084714|0|0|0|0|19.08|19.08|19.65|19.08|34.34|19.08|19.65|0|458.259239
HOSP OP|0360 - OR SERVICES||29345|ORTH LONG LEG CAST FIBERGL|616|326.48|462|492.8|523.6|554.4|523.6|497.73|443.52|416.91|0|616|0|294.86|0|504.2|0|0|287.48|600.3458851|462|481.1|100.76|109.57|100.76|359.37|366.7|183.77|98.03|183.83|366.7|611.152111|600.3458851|389.535386|0|0|0|0|97.83|97.83|100.76|97.83|176.09|97.83|100.76|0|616
HOSP OP|0450 - EMERGENCY ROOM||29425|Hb Apply Short Leg Walking Cast|430|227.9|322.5|344|365.5|387|365.5|347.44|309.6|291.02|0|430|0|168.49|0|351.96|0|0|164.28|600.3458851|322.5|335.83|56.77|61.73|56.77|208.26|212.51|107.04|55.23|106.53|212.51|611.152111|600.3458851|389.535386|0|0|0|0|55.12|55.12|56.77|55.12|99.22|55.12|56.77|0|611.152111
HOSP OP|0450 - EMERGENCY ROOM||29505|APPLY LONG LEG SPLINT (THIGH TO*|357|189.21|267.75|285.6|303.45|321.3|303.45|288.46|257.04|241.62|0|357|0|263.35|0|292.2|0|0|256.77|450.1564234|267.75|278.82|147.79|160.71|147.79|321.48|328.04|106.77|143.78|108.47|328.04|458.259239|450.1564234|292.084714|0|0|150.78|0|286.37|254.92|147.79|274.78|258.28|143.49|147.77|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||29515|APPLY SHORT LEG SPLINT (CALF TO*|292|154.76|219|233.6|248.2|262.8|248.2|235.94|210.24|197.63|0|292|0|263.35|0|239|0|0|256.77|450.1564234|219|228.05|147.79|160.71|147.79|292|292|106.77|143.78|108.47|292|458.259239|450.1564234|292.084714|0|0|150.78|0|286.37|254.92|147.79|274.78|258.28|143.49|147.77|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||29700|REMOVAL OR BIVALVING CAST|312|165.36|234|249.6|265.2|280.8|265.2|252.1|224.64|211.16|0|312|0|150.44|0|255.37|0|0|146.68|450.1564234|234|243.67|33.67|36.61|33.67|172.42|175.94|88.95|32.76|88.2|175.94|458.259239|450.1564234|292.084714|0|0|0|0|32.69|32.69|33.67|32.69|58.84|32.69|33.67|0|458.259239
HOSP OP|0450 - EMERGENCY ROOM||30300|INTRANASAL-REMOVE F B|233|123.49|174.75|186.4|198.05|209.7|198.05|188.26|167.76|157.69|0|233|0|233|0|190.71|0|0|233|311.6195923|174.75|181.97|117.85|128.15|117.85|233|233|233|114.65|233|233|317.228745|311.6195923|202.19487|0|0|0|0|114.42|114.42|117.85|114.42|205.96|114.42|117.85|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||30901|CONTRL ANT/NASL HEMORR|386|204.58|289.5|308.8|328.1|347.4|328.1|311.89|277.92|261.24|0|386|0|208.31|0|315.94|0|0|203.1|311.6195923|289.5|301.47|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|317.228745|311.6195923|202.19487|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|386
HOSP OP|0450 - EMERGENCY ROOM||30903|CONTRL ANT/NASL HEM COMPLEX|470|249.1|352.5|376|399.5|423|399.5|379.76|338.4|318.1|0|470|0|470|0|384.7|0|0|470|311.6195923|352.5|367.07|78.51|85.37|78.51|470|470|286.41|76.37|300.77|470|317.228745|311.6195923|202.19487|0|0|0|0|76.22|76.22|78.51|76.22|137.2|76.22|78.51|0|470
HOSP OP|0450 - EMERGENCY ROOM||30905|CONTRL POST/NASL HEMORR - INITIAL|259|137.27|194.25|207.2|220.15|233.1|220.15|209.27|186.48|175.29|0|259|0|208.31|0|211.99|0|0|203.1|520.660724|194.25|202.28|120.49|131.02|120.49|259|259|87.04|117.21|88.43|259|530.032617|520.660724|337.831542|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||30906|CONTRL POST/NASL HEM-SUBSEQUENT|237|125.61|177.75|189.6|201.45|213.3|201.45|191.5|170.64|160.4|0|237|0|237|0|193.98|0|0|237|520.660724|177.75|185.1|137.36|149.36|137.36|237|237|237|133.63|237|237|530.032617|520.660724|337.831542|0|0|0|0|133.36|133.36|137.36|133.36|237|133.36|137.36|0|530.032617
HOSP OP|0361 - OR/MINOR||31500|ENDOTRACH INTUBATION|753|399.09|564.75|602.4|640.05|677.7|640.05|608.42|542.16|509.63|0|753|744|403.26|399.22|616.33|707|688|393.17|2116.423754|564.75|588.09|225.04|244.7|225.04|499.5|499.5|162.57|218.92|165.17|499.5|2154.519382|2116.423754|1373.244932|0|0|230.89|489.02|436.05|388.16|225.04|418.4|393.27|218.49|225.01|0|2154.519382
HOSP OP|0450 - EMERGENCY ROOM||31502|TRACHEOTOMY TUBE CHANGE|453|240.09|339.75|362.4|385.05|407.7|385.05|366.02|326.16|306.59|0|453|0|43.33|0|370.78|0|0|42.24|851.8190707|339.75|353.79|35.51|38.62|35.51|92.99|94.89|46.43|34.55|47.57|94.89|867.151814|851.8190707|552.704164|0|0|0|0|34.48|34.48|35.51|34.48|62.06|34.48|35.51|0|867.151814
HOSP OP|0450 - EMERGENCY ROOM||31525|Hb Laryngoscopy|2517|1334.01|1887.75|2013.6|2139.45|2265.3|2139.45|2033.74|1812.24|1703.51|0|2517|0|540.37|0|2060.16|0|0|526.86|2638.90888|1887.75|1965.78|161.36|175.46|161.36|672.23|685.95|338.21|156.97|343.88|685.95|2686.40924|2638.90888|1712.26024|0|0|0|0|156.66|156.66|161.36|156.66|281.99|156.66|161.36|0|2686.40924
HOSP OP|0450 - EMERGENCY ROOM||31577|Hb Laparoscopy Flex Remv Fb|613|324.89|459.75|490.4|521.05|551.7|521.05|495.3|441.36|414.88|0|613|0|613|0|501.74|0|0|613|2638.90888|459.75|478.75|134.93|146.72|134.93|613|613|373.4|131.26|384.01|613|2686.40924|2638.90888|1712.26024|0|0|0|0|131|131|134.93|131|235.8|131|134.93|0|2686.40924
HOSP OP|0450 - EMERGENCY ROOM||31603|Hb Transtrach Tracheostomy|3397|1800.41|2547.75|2717.6|2887.45|3057.3|2887.45|2744.78|2445.84|2299.09|0|3397|0|398.36|0|2780.44|0|0|388.4|4088.072401|2547.75|2653.06|322.59|350.77|322.59|839.8|856.94|422.28|313.82|429.6|856.94|4161.657704|4088.072401|2652.552304|0|0|0|0|313.19|313.19|322.59|313.19|563.74|313.19|322.59|0|4161.657704
HOSP OP|0450 - EMERGENCY ROOM||31605|CRICOTHYROIDOTOMY|1479|783.87|1109.25|1183.2|1257.15|1331.1|1257.15|1195.03|1064.88|1000.99|0|1479|0|380.31|0|1210.56|0|0|370.79|4088.072401|1109.25|1155.1|331.82|360.82|331.82|862.09|879.68|434.99|322.8|441|879.68|4161.657704|4088.072401|2652.552304|0|0|0|0|322.16|322.16|331.82|322.16|579.89|322.16|331.82|0|4161.657704
HOSP OP|0450 - EMERGENCY ROOM||31615|VISUALIZATION OF WINDPIPE|1153|611.09|864.75|922.4|980.05|1037.7|980.05|931.62|830.16|780.35|0|1153|0|359.85|0|943.73|0|0|350.85|5076.780456|864.75|900.49|116.48|126.66|116.48|455.26|464.55|226.29|113.32|232.89|464.55|5168.162504|5076.780456|3294.077104|0|0|0|0|113.09|113.09|116.48|113.09|203.56|113.09|116.48|0|5168.162504
HOSP OP|0361 - OR/MINOR||31622|BRONCHOSCOPYDIAGNOSTIC|3129|1658.37|2346.75|2503.2|2659.65|2816.1|2659.65|2528.23|2252.88|2117.71|0|3129|2594|2678.64|965.1|2561.09|2464|2399|2611.63|5076.780456|2346.75|2443.75|1580.95|1719.09|1580.95|3129|3129|1142.11|1537.97|1160.35|3129|5168.162504|5076.780456|3294.077104|0|0|1533.71|1515.96|3063.33|2726.89|1580.95|2939.38|2762.82|1534.9|1580.77|0|5168.162504
HOSP OP|0361 - OR/MINOR||31635|BRONCHOSCOPY W FB REMOVAL|2008|1064.24|1506|1606.4|1706.8|1807.2|1706.8|1622.46|1445.76|1359.01|0|2008|0|554.81|0|1643.55|0|0|540.94|5076.780456|1506|1568.25|180.55|196.32|180.55|761.34|776.88|382.69|175.64|389.46|776.88|5168.162504|5076.780456|3294.077104|0|0|0|0|175.29|175.29|180.55|175.29|315.52|175.29|180.55|0|5168.162504
HOSP OP|0361 - OR/MINOR||31638|REVISION OF TRACH/BRONCH S|5919|3137.07|4439.25|4735.2|5031.15|5327.1|5031.15|4782.55|4261.68|4005.98|0|5919|3532|5919|1996.08|4844.7|3356|3268|5919|5076.780456|4439.25|4622.74|5919|6537.4|5919|5919|5919|4343.24|5848.64|4412.59|5919|5168.162504|5076.780456|3294.077104|0|0|5765.68|2445.1|5919|5919|6012.07|5919|5919|5836.96|5919|0|6537.4
HOSP OP|0361 - OR/MINOR||32160|OPEN CHEST HEART MASSAGE|1711|906.83|1283.25|1368.8|1454.35|1539.9|1454.35|1382.49|1231.92|1158|0|1711|0|0|0|1400.45|0|0|934.21|0|1283.25|1336.29|786.91|855.67|786.91|1711|1711|1030.28|765.52|1047.98|1711|0|0|0|0|0|0|0|763.99|763.99|786.91|763.99|1375.18|763.99|786.91|0|1711
HOSP OP|0761 - TREATMENT ROOM||32400|BIOPSY PLEURA PERC NEEDLE|1669|884.57|1251.75|1335.2|1418.65|1502.1|1418.65|1348.55|1201.68|1129.58|0|1669|1088.19|1669|611.19|1366.08|1033.11|1006.41|1669|970.169779|1251.75|1303.49|1516.84|1649.38|1516.84|1669|1669|1095.8|1475.61|1113.3|1669|987.632835|970.169779|629.49621|0|0|1540.67|739.53|1669|1669|1516.84|1669|1669|1472.66|1516.67|0|1669
HOSP OP|0361 - OR/MINOR||32405|Hb Needle Biopsy Lung Or Mediastinum|2497|1323.41|1872.75|1997.6|2122.45|2247.3|2122.45|2017.58|1797.84|1689.97|0|2497|2497|2497|965.1|2043.79|2464|2399|2497|970.169779|1872.75|1950.16|1516.84|1649.38|1516.84|2497|2497|1095.8|1475.61|1113.3|2497|987.632835|970.169779|629.49621|0|0|1540.67|1515.96|2497|2497|1516.84|2497|2497|1472.66|1516.67|0|2497
HOSP OP|0361 - OR/MINOR||32999|LUNG/PLEURA PROCEDURE|938|497.14|703.5|750.4|797.3|844.2|797.3|757.9|675.36|634.84|0|938|938|938|598.82|767.75|938|938|938|970.169779|703.5|732.58|696.77|757.65|696.77|938|938|503.36|677.83|511.4|938|987.632835|970.169779|629.49621|0|0|694.45|733.53|938|938|696.77|938|938|676.47|696.69|0|987.632835
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33206|INSERT/REPLACE PPM ATRIAL|14693|7787.29|11019.75|11754.4|12489.05|13223.7|12489.05|11871.94|10578.96|9944.22|0|14693|0|723.3|0|12026.22|0|0|705.21|18190.69807|11019.75|11475.23|454.16|493.84|454.16|1176.89|1200.91|593.34|441.81|602.03|1200.91|18518.13063|18190.69807|11803.06348|0|0|0|0|440.93|440.93|454.16|440.93|793.67|440.93|454.16|0|18518.13063
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33208|INSERT/REPLACE PPM A & V|17009|9014.77|12756.75|13607.2|14457.65|15308.1|14457.65|13743.27|12246.48|11511.69|0|17009|15502|17009|10412.54|13921.87|14727|14339|17009|18190.69807|12756.75|13284.03|11329.29|12319.22|11329.29|17009|17009|8184.5|11021.31|8315.19|17009|18518.13063|18190.69807|11803.06348|0|0|11065.61|12755.6|17009|17009|11329.29|17009|17009|10999.31|11328.02|0|18518.13063
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33222|PACEMAKER REVISION|2702|1432.06|2026.5|2161.6|2296.7|2431.8|2296.7|2183.22|1945.44|1828.71|0|2702|0|596.94|0|2211.59|0|0|582.01|6696.790374|2026.5|2110.26|341.95|371.83|341.95|885.33|903.4|445.74|332.65|452.89|903.4|6817.332601|6696.790374|4345.223126|0|0|0|0|331.99|331.99|341.95|331.99|597.58|331.99|341.95|0|6817.332601
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33233|REMOVE PPM GENERATOR ONLY|6363|3372.39|4772.25|5090.4|5408.55|5726.7|5408.55|5141.3|4581.36|4306.48|0|6363|3532|6363|1996.08|5208.12|3356|3268|6363|6483.688477|4772.25|4969.5|6363|9182.81|6363|6363|6363|6100.77|6363|6198.19|6363|6600.39487|6483.688477|4206.95162|0|0|6363|2445.1|6363|6363|8444.91|6363|6363|8198.94|6363|0|9182.81
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33234|Removal PPM lead - dual|4656|2467.68|3492|3724.8|3957.6|4190.4|3957.6|3762.05|3352.32|3151.18|0|4656|3532|4656|1996.08|3810.94|3356|3268|4656|6483.688477|3492|3636.34|3297.59|3585.73|3297.59|4656|4656|2382.24|3207.95|2420.29|4656|6600.39487|6483.688477|4206.95162|0|0|3506.44|2445.1|4656|4656|3297.59|4656|4656|3201.54|3297.22|0|6600.39487
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33235|PACER LEAD REMOVAL; DUAL|4756|2520.68|3567|3804.8|4042.6|4280.4|4042.6|3842.85|3424.32|3218.86|0|4756|3532|4756|1996.08|3892.79|3356|3268|4756|6483.688477|3567|3714.44|3297.59|3585.73|3297.59|4756|4756|2382.24|3207.95|2420.29|4756|6600.39487|6483.688477|4206.95162|0|0|3506.44|2445.1|4756|4756|3297.59|4756|4756|3201.54|3297.22|0|6600.39487
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33249|INSERT/REPL PP DEFIB|20314|10766.42|15235.5|16251.2|17266.9|18282.6|17266.9|16413.71|14626.08|13748.52|0|20314|20314|20314|20314|16627.01|20314|20314|20314|46875.76707|15235.5|15865.23|20314|38792.37|20314|20314|20314|20314|20314|20314|20314|47719.53088|46875.76707|30415.4163|0|0|20314|6496.42|20314|20314|35675.13|20314|20314|34636.04|20314|0|47719.53088
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33967|INSERT INTRA-AORTIC BALLOON|1288|682.64|966|1030.4|1094.8|1159.2|1094.8|1040.7|927.36|871.72|0|1288|0|0|0|1054.23|0|0|703.25|0|966|1005.93|254.79|277.05|254.79|666.42|680.02|335.77|247.86|340.9|680.02|0|0|0|0|0|0|0|1288|1288|254.79|1288|445.27|247.37|254.79|0|1288
HOSP OP|0450 - EMERGENCY ROOM||35207|Hb Direct Blood Vess Rx-hand|5108|2707.24|3831|4086.4|4341.8|4597.2|4341.8|4127.26|3677.76|3457.09|0|5108|0|5108|0|4180.9|0|0|5038.14|1423.916154|3831|3989.35|3062.51|3330.1|3062.51|5108|5108|2212.41|2979.25|2247.74|5108|1449.546645|1423.916154|923.91027|0|0|2958.71|0|5108|5108|3062.51|5108|5108|2973.31|3062.17|0|5108
HOSP OP|0450 - EMERGENCY ROOM||35226|Hb Repr Bl Ves Direct Low Extrem|1267|671.51|950.25|1013.6|1076.95|1140.3|1076.95|1023.74|912.24|857.51|0|1267|0|1065.1|0|1037.04|0|0|1038.46|1423.916154|950.25|989.53|815.73|887.01|815.73|1267|1267|1080.62|793.55|1089.11|1267|1449.546645|1423.916154|923.91027|0|0|0|0|791.97|791.97|815.73|791.97|1267|791.97|815.73|0|1449.546645
HOSP OP|0450 - EMERGENCY ROOM||36000|Hb Needle/intracath In Vein|76|40.28|57|60.8|64.6|68.4|0|61.41|54.72|51.44|0|76|0|0|0|62.21|0|0|0|829.2788811|57|59.36|0|0|0|0|0|0|0|0|0|844.205901|829.2788811|538.078926|0|0|0|0|0|0|0|0|0|0|0|0|844.205901
HOSP OP|0300 - LABORATORY||36415|VENIPUNCTURE|21|11.13|15.75|16.8|17.85|18.9|17.85|16.97|15.12|14.21|0|21|3.87|7|2.81|17.19|3.68|3.58|6.83|2.996070727|15.75|16.4|3.09|3.36|3.09|3.87|3.95|1.95|3.01|1.98|3.95|3.05|2.996070727|3.05|0|0|0|2.06|3|3|3.09|3|5.4|3|3.09|0|21
HOSP OP|0391 - BLOOD/ADMIN||36430|BLOOD TRANSFUSION|997|528.41|747.75|797.6|847.45|897.3|847.45|805.58|717.84|674.77|0|997|650.04|749.03|365.1|816.04|617.14|601.19|730.29|682.8559263|747.75|778.66|428.82|466.29|428.82|932.77|951.81|309.79|417.16|314.73|951.81|695.147333|682.8559263|443.072158|0|0|428.88|441.77|830.9|739.65|428.82|797.28|749.39|416.33|428.77|0|997
HOSP OP|0949 - ADDITIONAL RX SVS||36514|APHERESIS|2638|1398.14|1978.5|2110.4|2242.3|2374.2|2242.3|2131.5|1899.36|1785.4|0|2638|1719.98|2439.41|966.04|2159.2|1632.92|1590.71|2378.38|5597.44118|1978.5|2060.28|1462.72|1590.53|1462.72|2638|2638|1056.69|1422.95|1073.56|2638|5698.195121|5597.44118|3631.908646|0|0|1396.73|1168.9|2638|2522.95|1462.72|2638|2556.2|1420.11|1462.55|0|5698.195121
HOSP OP|0361 - OR/MINOR||36556|INSERT CVAD 5 YRS OR >|2355|1248.15|1766.25|1884|2001.75|2119.5|2001.75|1902.84|1695.6|1593.86|0|2355|2355|2139.38|598.82|1927.57|2355|2355|2085.87|3999.147528|1766.25|1839.26|1802.54|1960.04|1802.54|2355|2355|1302.19|1753.54|1322.99|2355|4071.132183|3999.147528|2594.853258|0|0|1224.95|733.53|2355|2355|1802.54|2355|2355|1750.04|1802.34|0|4071.132183
HOSP OP|0761 - TREATMENT ROOM||36569|INS PICC 5 YRS OR >|2606|1381.18|1954.5|2084.8|2215.1|2345.4|2215.1|2105.65|1876.32|1763.74|0|2606|1699.11|2139.38|954.32|2133.01|1613.11|1571.42|2085.87|1423.916154|1954.5|2035.29|1802.54|1960.04|1802.54|2606|2606|1302.19|1753.54|1322.99|2606|1449.546645|1423.916154|923.91027|0|0|1224.95|1154.72|2606|2606|1802.54|2606|2606|1750.04|1802.34|0|2606
HOSP OP|0361 - OR/MINOR||36620|ARTERIAL CATH INSERTION|966|511.98|724.5|772.8|821.1|869.4|0|780.53|695.52|653.79|0|966|0|0|0|790.67|0|0|0|8807.328962|724.5|754.45|0|0|0|0|0|0|0|0|0|8965.860883|8807.328962|5714.649458|0|0|0|0|0|0|0|0|0|0|0|0|8965.860883
HOSP OP|0450 - EMERGENCY ROOM||36680|INTRAOSSEOUS IV|353|187.09|264.75|282.4|300.05|317.7|300.05|285.22|254.16|238.91|0|353|0|58.97|0|288.93|0|0|57.5|829.2788811|264.75|275.69|59.32|64.5|59.32|153.05|156.17|77.22|57.71|78.29|156.17|844.205901|829.2788811|538.078926|0|0|0|0|57.59|57.59|59.32|57.59|103.66|57.59|59.32|0|844.205901
HOSP OP|0450 - EMERGENCY ROOM||40652|LIP REPAIR UP TO HALF VERT HEI*|1298|687.94|973.5|1038.4|1103.3|1168.2|1103.3|1048.78|934.56|878.49|0|1298|0|1184.24|0|1062.41|0|0|1154.63|3034.804064|973.5|1013.74|364.71|396.58|364.71|1298|1298|673|354.8|689.74|1298|3089.430537|3034.804064|1969.137462|0|0|0|0|354.09|354.09|364.71|354.09|637.36|354.09|364.71|0|3089.430537
HOSP OP|0450 - EMERGENCY ROOM||40800|I & D ABSCESS CYST VESTIBULE*|351|186.03|263.25|280.8|298.35|315.9|298.35|283.61|252.72|237.56|0|351|0|351|0|287.29|0|0|351|2479.95052|263.25|274.13|130.45|141.85|130.45|351|351|295.2|126.9|297.3|351|2524.589629|2479.95052|1609.119854|0|0|0|0|126.65|126.65|130.45|126.65|227.97|126.65|130.45|0|2524.589629
HOSP OP|0450 - EMERGENCY ROOM||40830|CLSURE LAC VEST <2.5 CM|512|271.36|384|409.6|435.2|460.8|435.2|413.7|368.64|346.52|0|512|0|512|0|419.07|0|0|512|520.660724|384|399.87|173.47|188.63|173.47|512|512|373.89|168.76|380.05|512|530.032617|520.660724|337.831542|0|0|0|0|168.42|168.42|173.47|168.42|303.16|168.42|173.47|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||40831|CLSURE LAC VEST >2.5 CM|1246|660.38|934.5|996.8|1059.1|1121.4|1059.1|1006.77|897.12|843.29|0|1246|0|888.18|0|1019.85|0|0|865.97|3034.804064|934.5|973.13|238.17|258.98|238.17|947.33|966.66|470.66|231.69|484.6|966.66|3089.430537|3034.804064|1969.137462|0|0|0|0|231.23|231.23|238.17|231.23|416.21|231.23|238.17|0|3089.430537
HOSP OP|0450 - EMERGENCY ROOM||41250|MOUTH LAC <2.6 CM|256|135.68|192|204.8|217.6|230.4|217.6|206.85|184.32|173.26|0|256|0|256|0|209.54|0|0|256|3034.804064|192|199.94|157.25|170.99|157.25|256|256|256|152.98|256|256|3089.430537|3034.804064|1969.137462|0|0|0|0|152.67|152.67|157.25|152.67|256|152.67|157.25|0|3089.430537
HOSP OP|0450 - EMERGENCY ROOM||41252|TONGUE LAC >2.6 CM|1240|657.2|930|992|1054|1116|1054|1001.92|892.8|839.23|0|1240|0|403.26|0|1014.94|0|0|393.17|3034.804064|930|968.44|225.04|244.7|225.04|489.51|499.5|162.57|218.92|165.17|499.5|3089.430537|3034.804064|1969.137462|0|0|230.89|0|436.05|388.16|225.04|418.4|393.27|218.49|225.01|0|3089.430537
HOSP OP|0450 - EMERGENCY ROOM||41800|I & D ABSCESS DENTOALVEOLAR|523|277.19|392.25|418.4|444.55|470.7|444.55|422.58|376.56|353.97|0|523|0|208.31|0|428.08|0|0|203.1|805.2673998|392.25|408.46|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|819.762213|805.2673998|522.499038|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||42000|DRAINAGE MOUTH ROOF LESION|436|231.08|327|348.8|370.6|392.4|370.6|352.29|313.92|295.08|0|436|0|380.31|0|356.87|0|0|370.79|805.2673998|327|340.52|107.15|116.51|107.15|422.32|430.94|209.18|104.24|216.04|430.94|819.762213|805.2673998|522.499038|0|0|0|0|104.03|104.03|107.15|104.03|187.25|104.03|107.15|0|819.762213
HOSP OP|0761 - TREATMENT ROOM||42550|INJ FOR SIALOGRAPHY|439|232.67|329.25|351.2|373.15|395.1|0|354.71|316.08|297.12|0|439|286.23|0|160.76|359.32|271.74|264.72|0|798.4994578|329.25|342.86|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|194.52|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0450 - EMERGENCY ROOM||42700|I & D PERITONSILLAR ABSCESS|601|318.53|450.75|480.8|510.85|540.9|510.85|485.61|432.72|406.76|0|601|0|403.26|0|491.92|0|0|393.17|805.2673998|450.75|469.38|225.04|244.7|225.04|489.51|499.5|162.57|218.92|165.17|499.5|819.762213|805.2673998|522.499038|0|0|230.89|0|436.05|388.16|225.04|418.4|393.27|218.49|225.01|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||42809|REM PHARYNGEAL FOREIGN BODY|281|148.93|210.75|224.8|238.85|252.9|238.85|227.05|202.32|190.18|0|281|0|281|0|230|0|0|281|311.6195923|210.75|219.46|126.28|137.31|126.28|281|281|275.16|122.85|278.47|281|317.228745|311.6195923|202.19487|0|0|0|0|122.6|122.6|126.28|122.6|220.68|122.6|126.28|0|317.228745
HOSP OP|0361 - OR/MINOR||42960|Hb Control Oropharyngeal Hemorrhage Primary Or Secondary; Simple|1225|649.25|918.75|980|1041.25|1102.5|1041.25|989.8|882|829.08|0|1225|0|294.86|0|1002.66|0|0|287.48|2479.95052|918.75|956.73|169.08|183.86|169.08|447.51|456.64|226.78|164.49|228.92|456.64|2524.589629|2479.95052|1609.119854|0|0|0|0|164.16|164.16|169.08|164.16|295.49|164.16|169.08|0|2524.589629
HOSP OP|0450 - EMERGENCY ROOM||43247|OPERATIVE UPPER GI ENDOSCOPY|2098|1111.94|1573.5|1678.4|1783.3|1888.2|1783.3|1695.18|1510.56|1419.93|0|2098|0|858.1|0|1717.21|0|0|836.63|2591.239028|1573.5|1638.54|181.59|197.46|181.59|972.5|992.35|477.51|176.65|497.48|992.35|2637.88133|2591.239028|1681.32958|0|0|0|0|176.3|176.3|181.59|176.3|317.34|176.3|181.59|0|2637.88133
HOSP OP|0450 - EMERGENCY ROOM||46040|I&D ISCHIORECTAL AND/OR PERIREC*|2916|1545.48|2187|2332.8|2478.6|2624.4|2478.6|2356.13|2099.52|1973.55|0|2916|0|1219.15|0|2386.75|0|0|1188.65|4956.546494|2187|2277.4|427.53|464.89|427.53|1442.3|1471.73|725.3|415.91|737.8|1471.73|5045.764331|4956.546494|3216.063106|0|0|0|0|415.08|415.08|427.53|415.08|747.14|415.08|427.53|0|5045.764331
HOSP OP|0450 - EMERGENCY ROOM||46050|I & D PERIANAL ABSCESS|969|513.57|726.75|775.2|823.65|872.1|823.65|782.95|697.68|655.82|0|969|0|570.46|0|793.13|0|0|556.19|4360.261374|726.75|756.79|100.57|109.36|100.57|569.56|581.18|280.05|97.84|291.35|581.18|4438.746079|4360.261374|2829.162554|0|0|0|0|97.64|97.64|100.57|97.64|175.75|97.64|100.57|0|4438.746079
HOSP OP|0450 - EMERGENCY ROOM||46083|INCISION-THROMBOSED HEMORRHOID*|618|327.54|463.5|494.4|525.3|556.2|525.3|499.34|444.96|418.26|0|618|0|456.13|0|505.83|0|0|444.72|805.2673998|463.5|482.66|110.53|120.19|110.53|496.91|507.05|244.86|107.52|254.19|507.05|819.762213|805.2673998|522.499038|0|0|0|0|107.31|107.31|110.53|107.31|193.16|107.31|110.53|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||46320|ENUC/EXC THROMB.HEMORR|2420|1282.6|1815|1936|2057|2178|2057|1955.36|1742.4|1637.86|0|2420|0|456.13|0|1980.77|0|0|444.72|4360.261374|1815|1890.02|113.58|123.5|113.58|511.44|521.88|252.19|110.49|261.62|521.88|4438.746079|4360.261374|2829.162554|0|0|0|0|110.27|110.27|113.58|110.27|198.49|110.27|113.58|0|4438.746079
HOSP OP|0761 - TREATMENT ROOM||51700|IRRIGATION OF BLADDER|412|218.36|309|329.6|350.2|370.8|350.2|332.9|296.64|278.84|0|412|268.62|412|150.87|337.22|255.03|248.44|412|680.5607112|309|321.77|259.58|282.27|259.58|412|412|187.53|252.53|190.52|412|692.810804|680.5607112|441.582904|0|0|259.21|182.56|412|412|259.58|412|412|252.02|259.55|0|692.810804
HOSP OP|0761 - TREATMENT ROOM||51701|STRAIGHT CATHETERIZATION|159|84.27|119.25|127.2|135.15|143.1|135.15|128.47|114.48|107.61|0|159|103.67|159|58.23|130.14|98.42|95.88|159|311.6195923|119.25|124.18|120.49|131.02|120.49|159|159|87.04|117.21|72.98|159|317.228745|311.6195923|202.19487|0|0|119.27|70.45|159|159|120.49|159|159|116.98|120.47|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||51702|CATHETERIZATION  FOLEY|225|119.25|168.75|180|191.25|202.5|191.25|181.8|162|152.28|0|225|0|208.31|0|184.16|0|0|203.1|311.6195923|168.75|175.73|120.49|131.02|120.49|225|225|87.04|117.21|88.43|225|317.228745|311.6195923|202.19487|0|0|119.27|0|225|207.82|120.49|224.02|210.56|116.98|120.47|0|317.228745
HOSP OP|0761 - TREATMENT ROOM||51703|INSERT BLADDER CATH COMP|370|196.1|277.5|296|314.5|333|314.5|298.96|266.4|250.42|0|370|241.24|278.01|135.49|302.85|229.03|223.11|271.06|311.6195923|277.5|288.97|78.85|85.74|78.85|358.4|365.71|173.02|76.7|183.34|365.71|317.228745|311.6195923|202.19487|0|0|0|163.95|76.55|76.55|78.85|76.55|137.79|76.55|78.85|0|370
HOSP OP|0361 - OR/MINOR||51705|CHG CYSTOSTOMY TUBE SIMPLE|628|332.84|471|502.4|533.8|565.2|533.8|507.42|452.16|425.03|0|628|628|452.71|399.22|514.02|628|628|441.38|851.8190707|471|490.47|259.58|282.27|259.58|564.65|576.17|187.53|252.53|190.52|576.17|867.151814|851.8190707|552.704164|0|0|259.21|489.02|502.98|447.74|259.58|482.63|453.64|252.02|259.55|0|867.151814
HOSP OP|0450 - EMERGENCY ROOM||52000|CYSTOSCOPY|1508.01|799.25|1131.01|1206.41|1281.81|1357.21|1281.81|1218.47|1085.77|1020.62|0|1508.01|0|1099.88|0|1234.31|0|0|1072.37|2879.082545|1131.01|1177.76|615.01|668.75|615.01|1337.8|1365.1|444.3|598.3|451.4|1365.1|2930.906031|2879.082545|1868.097306|0|0|629.76|0|1191.69|1060.81|615.01|1143.47|1074.78|597.1|614.95|0|2930.906031
HOSP OP|0450 - EMERGENCY ROOM||52281|URETHRAL STRICTURE DILATION|2588|1371.64|1941|2070.4|2199.8|2329.2|2199.8|2091.1|1863.36|1751.56|0|2588|0|695.62|0|2118.28|0|0|678.23|2879.082545|1941|2021.23|155.38|168.95|155.38|812.68|829.27|377.31|151.15|415.72|829.27|2930.906031|2879.082545|1868.097306|0|0|0|0|150.85|150.85|155.38|150.85|271.53|150.85|155.38|0|2930.906031
HOSP OP|0761 - TREATMENT ROOM||53620|Hb Dilation Urethral Stricture|570|302.1|427.5|456|484.5|513|484.5|460.56|410.4|385.78|0|570|371.64|261.16|208.73|466.55|352.83|343.71|254.63|1620.245325|427.5|445.17|89.32|97.13|89.32|358.4|365.71|159.33|86.89|183.34|365.71|1649.409741|1620.245325|1051.298766|0|0|0|252.57|86.72|86.72|89.32|86.72|156.1|86.72|89.32|0|1649.409741
HOSP OP|0450 - EMERGENCY ROOM||54001|SLITTING OF FORESKIN|2583|1368.99|1937.25|2066.4|2195.55|2324.7|2195.55|2087.06|1859.76|1748.17|0|2583|0|385.12|0|2114.19|0|0|375.49|4097.076706|1937.25|2017.32|143.65|156.21|143.65|514.34|524.84|254.64|139.75|263.11|524.84|4170.824087|4097.076706|2658.394762|0|0|0|0|139.47|139.47|143.65|139.47|251.05|139.47|143.65|0|4170.824087
HOSP OP|0450 - EMERGENCY ROOM||54220|TX CORPORA CAVERNOSA/PRIAPISM|362|191.86|271.5|289.6|307.7|325.8|307.7|292.5|260.64|245|0|362|0|362|0|296.3|0|0|362|520.660724|271.5|282.72|135.61|147.46|135.61|362|362|282.5|131.92|287.89|362|530.032617|520.660724|337.831542|0|0|0|0|131.66|131.66|135.61|131.66|236.99|131.66|135.61|0|530.032617
HOSP OP|0450 - EMERGENCY ROOM||54450|TX UNCIRCUMCISED FORESKIN|356|188.68|267|284.8|302.6|320.4|302.6|287.65|256.32|240.94|0|356|0|104.7|0|291.39|0|0|102.09|6674.838701|267|278.04|58.78|63.92|58.78|185.97|189.77|96.28|57.18|95.14|189.77|6794.985798|6674.838701|4330.979748|0|0|0|0|57.07|57.07|58.78|57.07|102.73|57.07|58.78|0|6794.985798
HOSP OP|0450 - EMERGENCY ROOM||56405|I & D OF VULVA OR PERINEAL ABSC*|567|300.51|425.25|453.6|481.95|510.3|481.95|458.14|408.24|383.75|0|567|0|211.82|0|464.09|0|0|206.52|805.2673998|425.25|442.83|122.03|132.7|122.03|305.12|311.35|146.62|118.72|156.08|311.35|819.762213|805.2673998|522.499038|0|0|0|0|118.48|118.48|122.03|118.48|213.26|118.48|122.03|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||56420|I & D BARTHOLIN ABSCESS|272|144.16|204|217.6|231.2|244.8|231.2|219.78|195.84|184.09|0|272|0|272|0|222.63|0|0|272|805.2673998|204|212.43|183.5|199.53|183.5|272|272|132.56|178.51|134.68|272|819.762213|805.2673998|522.499038|0|0|185.86|0|272|272|183.5|272|272|178.16|183.47|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||57180|PACK VAGINAL BLEEDING|259|137.27|194.25|207.2|220.15|233.1|220.15|209.27|186.48|175.29|0|259|0|259|0|211.99|0|0|259|346.5186326|194.25|202.28|117.83|128.13|117.83|259|259|189.15|114.63|212.07|259|352.755968|346.5186326|224.839168|0|0|0|0|114.4|114.4|117.83|114.4|205.92|114.4|117.83|0|352.755968
HOSP OP|0360 - OR SERVICES||57200|Repair Of Vagina|6517|3454.01|4887.75|5213.6|5539.45|5865.3|5539.45|5265.74|4692.24|4410.71|0|6517|0|535.56|0|5334.16|0|0|522.16|3828.30113|4887.75|5089.78|326.43|354.95|326.43|823.34|840.14|401.75|317.55|421.18|840.14|3897.21055|3828.30113|2483.9993|0|0|0|0|316.92|316.92|326.43|316.92|570.46|316.92|326.43|0|6517
HOSP OP|0450 - EMERGENCY ROOM||58301|REMOVAL I U D|311|164.83|233.25|248.8|264.35|279.9|264.35|251.29|223.92|210.48|0|311|0|172.1|0|254.55|0|0|167.8|346.5186326|233.25|242.89|68.17|74.12|68.17|252.81|257.97|127.56|66.31|129.33|257.97|352.755968|346.5186326|224.839168|0|0|0|0|66.18|66.18|68.17|66.18|119.12|66.18|68.17|0|352.755968
HOSP OP|0761 - TREATMENT ROOM||58340|CATH FOR HYSTEROSALPINOGRA|663|351.39|497.25|530.4|563.55|596.7|0|535.7|477.36|448.72|0|663|432.28|0|242.79|542.67|410.4|399.79|0|798.4994578|497.25|517.8|0|0|0|0|0|0|0|0|0|812.872448|798.4994578|518.107648|0|0|0|293.78|0|0|0|0|0|0|0|0|812.872448
HOSP OP|0720 - LABOR ROOM/DELIVERY||59025|NON STRESS TEST|539|285.67|404.25|431.2|458.15|485.1|458.15|435.51|388.08|364.8|0|539|351.43|324.59|197.38|441.17|333.64|325.02|316.47|474.109053|404.25|420.96|183.5|199.53|183.5|399.14|407.29|132.56|178.51|134.68|407.29|482.643016|474.109053|307.626416|0|0|185.86|238.83|355.55|316.5|183.5|341.16|320.68|178.16|183.47|0|539
HOSP OP|0720 - LABOR ROOM/DELIVERY||59074|Hb Fetal Fluid Drainage W/ Us|726.05|384.81|544.54|580.84|617.14|653.45|617.14|586.65|522.76|491.39|0|726.05|473.38|706.45|265.88|594.27|449.42|437.81|688.79|899.4300717|544.54|567.05|300.79|327.07|300.79|726.05|726.05|509.76|292.61|510.86|726.05|915.619813|899.4300717|583.596638|0|0|0|321.71|292.03|292.03|300.79|292.03|525.65|292.03|300.79|0|915.619813
HOSP OP|0761 - TREATMENT ROOM||59200|CERVICAL DILATOR PROC|642|340.26|481.5|513.6|545.7|577.8|545.7|518.74|462.24|434.51|0|642|418.58|173.3|235.1|525.48|397.4|387.13|168.97|474.109053|481.5|501.4|43.44|47.23|43.44|204.38|208.55|95.79|42.25|104.55|208.55|482.643016|474.109053|307.626416|0|0|0|284.47|42.17|42.17|43.44|42.17|75.91|42.17|43.44|0|642
HOSP OP|0720 - LABOR ROOM/DELIVERY||59409|Hb Vaginal Delivery Single|4368|2315.04|3276|3494.4|3712.8|3931.2|3712.8|3529.34|3144.96|2956.26|0|4368|2847.94|4368|1599.56|3575.21|2703.79|2633.9|4368|3290.16146|3276|3411.41|2760.62|3001.84|2760.62|4368|4368|1994.33|2685.57|2026.17|4368|3349.384366|3290.16146|2134.826516|0|0|2644.8|1935.46|4368|4368|2760.62|4368|4368|2680.21|2760.31|0|4368
HOSP OP|0761 - TREATMENT ROOM||59412|CEPHALIC VERSION EXT|3512|1861.36|2634|2809.6|2985.2|3160.8|2985.2|2837.7|2528.64|2376.92|0|3512|2289.82|3512|1286.09|2874.57|2173.93|2117.74|3512|84.56984971|2634|2742.87|2760.62|3001.84|2760.62|3512|3512|1994.33|2685.57|2026.17|3512|86.092107|84.56984971|54.873282|0|0|2644.8|1556.17|3512|3512|2760.62|3512|3512|2680.21|2760.31|0|3512
HOSP OP|0450 - EMERGENCY ROOM||59812|TX OF INCOMPLETE ABORTION SURG*|3512|1861.36|2634|2809.6|2985.2|3160.8|2985.2|2837.7|2528.64|2376.92|0|3512|0|593.33|0|2874.57|0|0|578.49|3416.751402|2634|2742.87|298.98|325.1|298.98|841.74|858.92|412.5|290.85|430.59|858.92|3478.252927|3416.751402|2216.964602|0|0|0|0|290.27|290.27|298.98|290.27|522.49|290.27|298.98|0|3512
HOSP OP|0450 - EMERGENCY ROOM||61070|PUNCTURE OF SHUNT TUBING OR RES*|774|410.22|580.5|619.2|657.9|696.6|657.9|625.39|557.28|523.84|0|774|0|774|0|633.52|0|0|774|798.4994578|580.5|604.49|690.73|751.09|690.73|774|774|499|671.96|506.97|774|812.872448|798.4994578|518.107648|0|0|670.7|0|774|774|690.73|774|774|670.62|690.65|0|812.872448
HOSP OP|0361 - OR/MINOR||62270|SPINAL PUNCTURE LUMBAR DX|914|484.42|685.5|731.2|776.9|822.6|776.9|738.51|658.08|618.6|0|914|914|914|598.82|748.11|914|914|914|2089.175431|685.5|713.83|690.73|751.09|690.73|914|914|499|671.96|506.97|914|2126.780589|2089.175431|1355.564814|0|0|670.7|733.53|914|914|690.73|914|914|670.62|690.65|0|2126.780589
HOSP OP|0361 - OR/MINOR||62272|SPINAL PUNCTURE TX DRAINAGE|1314|696.42|985.5|1051.2|1116.9|1182.6|1116.9|1061.71|946.08|889.32|0|1314|0|507.88|0|1075.51|0|0|495.17|2089.175431|985.5|1026.23|87.06|94.66|87.06|525|535.71|275.65|84.69|268.56|535.71|2126.780589|2089.175431|1355.564814|0|0|0|0|84.52|84.52|87.06|84.52|152.14|84.52|87.06|0|2126.780589
HOSP OP|0761 - TREATMENT ROOM||62273|EPIDURAL BLOOD/CLOT PATCH|1035|548.55|776.25|828|879.75|931.5|879.75|836.28|745.2|700.49|0|1035|674.82|1035|379.02|847.15|640.67|624.11|1035|1587.700352|776.25|808.34|690.73|751.09|690.73|1035|1035|499|671.96|506.97|1035|1616.278958|1587.700352|1030.181908|0|0|670.7|458.61|1035|1035|690.73|1035|1035|670.62|690.65|0|1616.278958
HOSP OP|0361 - OR/MINOR||62284|INJECTION FOR MYELOGRAPHY|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|372|0|372|304.48|372|372|0|1111.766897|279|290.53|0|0|0|0|0|0|0|0|0|1131.778701|1111.766897|721.371726|0|0|0|364.56|0|0|0|0|0|0|0|0|1131.778701
HOSP OP|0761 - TREATMENT ROOM||62367|ANALYZE SPINE INFUSE PUMP|922|488.66|691.5|737.6|783.7|829.8|783.7|744.98|663.84|624.01|0|922|601.14|548.54|337.64|754.66|570.72|555.97|534.82|878.4200255|691.5|720.08|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|408.54|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|922
HOSP OP|0761 - TREATMENT ROOM||62368|ANALYZE PUMP WITH PROGRAM|702|372.06|526.5|561.6|596.7|631.8|596.7|567.22|505.44|475.11|0|702|457.7|548.54|257.07|574.59|434.54|423.31|534.82|878.4200255|526.5|548.26|299.38|325.54|299.38|651.21|664.5|216.27|291.24|219.73|664.5|894.231586|878.4200255|569.964236|0|0|314.09|311.06|580.09|516.38|299.38|556.61|523.19|290.66|299.34|0|894.231586
HOSP OP|0761 - TREATMENT ROOM||63650|Hb Spinal Cord Stim Trial|8266|4380.98|6199.5|6612.8|7026.1|7439.4|7026.1|6678.93|5951.52|5594.43|0|8266|5389.43|8266|3027.01|6765.72|5116.65|4984.4|8266|11746.0871|6199.5|6455.75|6837.32|7434.75|6837.32|8266|8266|4939.41|6651.45|5018.29|8266|11957.51667|11746.0871|7621.467368|0|0|6697.54|3662.66|8266|8266|6837.32|8266|8266|6638.17|6836.55|0|11957.51667
HOSP OP|0761 - TREATMENT ROOM||64400|NERVE BLOCK TRIGEMINAL|584|309.52|438|467.2|496.4|525.6|496.4|471.87|420.48|395.25|0|584|380.77|484.12|213.86|478|361.5|352.15|472.01|1317.512335|438|456.1|289.28|314.56|289.28|584|584|208.98|281.41|212.32|584|1341.227557|1317.512335|854.869982|0|0|277.19|258.77|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64405|NERVE BLOCK OCCIPTAL|1237|655.61|927.75|989.6|1051.45|1113.3|1051.45|999.5|890.64|837.2|0|1237|806.52|484.12|452.99|1012.48|765.7|745.91|472.01|1317.512335|927.75|966.1|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|1341.227557|1317.512335|854.869982|0|0|277.19|548.11|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64420|Hb Intercostal Nerve Block Single|750|397.5|562.5|600|637.5|675|637.5|606|540|507.6|0|750|489|750|274.65|613.88|464.25|452.25|750|1317.512335|562.5|585.75|690.73|751.09|690.73|750|750|499|671.96|506.97|750|1341.227557|1317.512335|854.869982|0|0|670.7|332.33|750|750|690.73|750|750|670.62|690.65|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64421|Hb Intercostal Nerve Block Multiple|1295|686.35|971.25|1036|1100.75|1165.5|1100.75|1046.36|932.4|876.46|0|1295|844.34|1295|474.23|1059.96|801.61|780.89|1295|1317.512335|971.25|1011.4|897.39|975.8|897.39|1295|1295|648.29|872.99|658.64|1295|1341.227557|1317.512335|854.869982|0|0|856.68|573.81|1295|1295|897.39|1295|1295|871.25|897.29|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64425|NERVE BLOCK ILLIOINGUINAL|1068|566.04|801|854.4|907.8|961.2|907.8|862.94|768.96|722.82|0|1068|696.34|1068|391.1|874.16|661.09|644|1068|1317.512335|801|834.11|690.73|751.09|690.73|1068|1068|499|671.96|506.97|1068|1341.227557|1317.512335|854.869982|0|0|670.7|473.23|1068|1068|690.73|1068|1068|670.62|690.65|0|1341.227557
HOSP OP|0450 - EMERGENCY ROOM||64430|N BLOCK INJ PUDENDAL|1138|603.14|853.5|910.4|967.3|1024.2|967.3|919.5|819.36|770.2|0|1138|0|1138|0|931.45|0|0|1138|1317.512335|853.5|888.78|897.39|975.8|897.39|1138|1138|648.29|872.99|658.64|1138|1341.227557|1317.512335|854.869982|0|0|856.68|0|1138|1138|897.39|1138|1138|871.25|897.29|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64447|NERVE BLOCK FEMORAL|710|376.3|532.5|568|603.5|639|603.5|573.68|511.2|480.53|0|710|462.92|235.89|260|581.14|439.49|428.13|229.99|1317.512335|532.5|554.51|54.88|59.67|54.88|329.34|336.06|166.17|53.39|168.47|336.06|1341.227557|1317.512335|854.869982|0|0|0|314.6|53.28|53.28|54.88|53.28|95.9|53.28|54.88|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64450|Hb Inj Other Peripheral Nerve Or Branch|1138|603.14|853.5|910.4|967.3|1024.2|967.3|919.5|819.36|770.2|0|1138|741.98|1138|416.74|931.45|704.42|686.21|1138|1317.512335|853.5|888.78|690.73|751.09|690.73|1138|1138|499|671.96|506.97|1138|1341.227557|1317.512335|854.869982|0|0|670.7|504.25|1138|1138|690.73|1138|1138|670.62|690.65|0|1341.227557
HOSP OP|0761 - TREATMENT ROOM||64510|NERVE BLOCK STELLATE GANGL|1172|621.16|879|937.6|996.2|1054.8|996.2|946.98|843.84|793.21|0|1172|764.14|1172|429.19|959.28|725.47|706.72|1172|1587.700352|879|915.33|897.39|975.8|897.39|1172|1172|648.29|872.99|658.64|1172|1616.278958|1587.700352|1030.181908|0|0|856.68|519.31|1172|1172|897.39|1172|1172|871.25|897.29|0|1616.278958
HOSP OP|0761 - TREATMENT ROOM||64520|NERVE BLK SYMP THOR/LUMBAR|1845|977.85|1383.75|1476|1568.25|1660.5|1568.25|1490.76|1328.4|1248.7|0|1845|1202.94|1496.19|675.64|1510.13|1142.06|1112.54|1458.76|1587.700352|1383.75|1440.95|897.39|975.8|897.39|1845|1845|648.29|872.99|658.64|1845|1616.278958|1587.700352|1030.181908|0|0|856.68|817.52|1738.82|1547.85|897.39|1668.47|1568.25|871.25|897.29|0|1845
HOSP OP|0761 - TREATMENT ROOM||64640|Hb Destr Other Periph Nerve Or Branch|1517|804.01|1137.75|1213.6|1289.45|1365.3|1289.45|1225.74|1092.24|1026.71|0|1517|989.08|1496.19|555.53|1241.66|939.02|914.75|1458.76|1587.700352|1137.75|1184.78|897.39|975.8|897.39|1517|1517|648.29|872.99|658.64|1517|1616.278958|1587.700352|1030.181908|0|0|856.68|672.18|1517|1517|897.39|1517|1517|871.25|897.29|0|1616.278958
HOSP OP|0761 - TREATMENT ROOM||64999|Nervous System Surgery Unlist*|2031.18|1076.53|1523.39|1624.94|1726.5|1828.06|1726.5|1641.19|1462.45|1374.7|0|2031.18|1324.33|484.12|743.82|1662.52|1257.3|1224.8|472.01|1317.512335|1523.39|1586.35|289.28|314.56|289.28|629.24|642.08|208.98|281.41|212.32|642.08|1341.227557|1317.512335|854.869982|0|0|277.19|900.02|560.52|498.96|289.28|537.84|505.54|280.85|289.25|0|2031.18
HOSP OP|0450 - EMERGENCY ROOM||65205|SPRFICL CONJUNT FB REM|280|148.4|210|224|238|252|238|226.24|201.6|189.5|0|280|0|208.31|0|229.18|0|0|203.1|311.6195923|210|218.68|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|317.228745|311.6195923|202.19487|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||65210|EMBED.CONJUNCT. FB REM|518|274.54|388.5|414.4|440.3|466.2|440.3|418.54|372.96|350.58|0|518|0|119.15|0|423.98|0|0|116.17|240.6444784|388.5|404.56|38.12|41.45|38.12|153.05|156.17|95.31|37.08|78.29|156.17|244.976079|240.6444784|156.142554|0|0|0|0|37.01|37.01|38.12|37.01|66.62|37.01|38.12|0|518
HOSP OP|0450 - EMERGENCY ROOM||65220|CORNEAL F.B. REMOVAL|346|183.38|259.5|276.8|294.1|311.4|294.1|279.57|249.12|234.17|0|346|0|116.74|0|283.2|0|0|113.82|311.6195923|259.5|270.23|42.26|45.95|42.26|159.83|163.09|80.64|41.11|81.76|163.09|317.228745|311.6195923|202.19487|0|0|0|0|41.03|41.03|42.26|41.03|73.85|41.03|42.26|0|346
HOSP OP|0450 - EMERGENCY ROOM||65222|CORNEAL FB REM W/ SL/LP|361|191.33|270.75|288.8|306.85|324.9|306.85|291.69|259.92|244.32|0|361|0|208.31|0|295.48|0|0|203.1|240.6444784|270.75|281.94|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|244.976079|240.6444784|156.142554|0|0|119.27|0|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|361
HOSP OP|0450 - EMERGENCY ROOM||67700|I & D ABSCESS EYELID|459|243.27|344.25|367.2|390.15|413.1|390.15|370.87|330.48|310.65|0|459|0|459|0|375.69|0|0|459|2990.135646|344.25|358.48|120.09|130.58|120.09|459|459|375.36|116.82|387.48|459|3043.958088|2990.135646|1940.154288|0|0|0|0|116.59|116.59|120.09|116.59|209.86|116.59|120.09|0|3043.958088
HOSP OP|0450 - EMERGENCY ROOM||67938|EMBEDDED FB REMOVAL-LID|459|243.27|344.25|367.2|390.15|413.1|390.15|370.87|330.48|310.65|0|459|0|459|0|375.69|0|0|459|2990.135646|344.25|358.48|120.58|131.12|120.58|459|459|341.15|117.3|356.26|459|3043.958088|2990.135646|1940.154288|0|0|0|0|117.07|117.07|120.58|117.07|210.73|117.07|120.58|0|3043.958088
HOSP OP|0450 - EMERGENCY ROOM||69000|I & D EXT EAR|309|163.77|231.75|247.2|262.65|278.1|262.65|249.67|222.48|209.13|0|309|0|309|0|252.92|0|0|309|805.2673998|231.75|241.33|124.27|135.13|124.27|309|309|255.13|120.89|258.16|309|819.762213|805.2673998|522.499038|0|0|0|0|120.65|120.65|124.27|120.65|217.17|120.65|124.27|0|819.762213
HOSP OP|0361 - OR/MINOR||69005|DRAIN EXTERNAL ABSCESS/HEMATOMA*|2631|1394.43|1973.25|2104.8|2236.35|2367.9|2236.35|2125.85|1894.32|1780.66|0|2631|0|477.79|0|2153.47|0|0|465.84|805.2673998|1973.25|2054.81|160.77|174.82|160.77|578.27|590.07|286.89|156.4|295.81|590.07|819.762213|805.2673998|522.499038|0|0|0|0|156.09|156.09|160.77|156.09|280.96|156.09|160.77|0|2631
HOSP OP|0450 - EMERGENCY ROOM||69020|Hb I & D Ext Auditory Canal|356|188.68|267|284.8|302.6|320.4|302.6|287.65|256.32|240.94|0|356|0|356|0|291.39|0|0|356|805.2673998|267|278.04|144.81|157.46|144.81|356|356|313.78|140.87|321.08|356|819.762213|805.2673998|522.499038|0|0|0|0|140.59|140.59|144.81|140.59|253.06|140.59|144.81|0|819.762213
HOSP OP|0450 - EMERGENCY ROOM||69200|REMOVAL FB - EAR|247|130.91|185.25|197.6|209.95|222.3|209.95|199.58|177.84|167.17|0|247|0|186.54|0|202.17|0|0|181.88|311.6195923|185.25|192.91|47.76|51.93|47.76|220.85|225.36|111.92|46.46|112.97|225.36|317.228745|311.6195923|202.19487|0|0|0|0|46.37|46.37|47.76|46.37|83.47|46.37|47.76|0|317.228745
HOSP OP|0450 - EMERGENCY ROOM||69210|REM IMPACTED CERUMEN W/INSTRUMENTATION|165|87.45|123.75|132|140.25|148.5|140.25|133.32|118.8|111.67|0|165|0|87.86|0|135.05|0|0|85.66|311.6195923|123.75|128.87|33.65|36.59|33.65|126.89|129.48|65.98|32.74|64.91|129.48|317.228745|311.6195923|202.19487|0|0|0|0|32.67|32.67|33.65|32.67|58.81|32.67|33.65|0|317.228745
HOSP OP|0402 - ULTRASOUND||76775|ULTRASOUND RETROPERITONEUM|449|237.97|336.75|359.2|381.65|404.1|381.65|362.79|323.28|303.88|0|449|292.75|99.89|164.42|367.51|277.93|270.75|97.39|262.0664862|336.75|350.67|31.35|34.09|31.35|157.89|161.11|79.67|30.5|80.77|161.11|266.783683|262.0664862|170.042258|0|0|126.02|198.95|30.44|30.44|31.35|30.44|54.79|30.44|31.35|0|449
HOSP OP|0307 - LAB-UROLOGY||81025|HCG URINE|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|11.11|11.62|8.08|51.57|10.56|10.27|11.33|9.469548134|47.25|49.2|8.87|9.64|8.87|17.43|17.79|9.77|8.63|8.92|17.79|9.64|9.469548134|9.64|0|0|0|5.93|8.61|8.61|8.87|8.61|15.5|8.61|8.87|0|63
HOSP OP|0301 - LAB/CHEMISTRY||82272|HEMOCCULT|30|15.9|22.5|24|25.5|27|25.5|24.24|21.6|20.3|0|30|5.46|5.71|3.97|24.56|5.19|5.05|5.57|4.646365422|22.5|23.43|4.36|4.74|4.36|8.72|8.9|4.89|4.24|4.46|8.9|4.73|4.646365422|4.73|0|0|0|2.91|4.23|4.23|4.36|4.23|7.61|4.23|4.36|0|30
HOSP OP|0306 - LAB/BACT-MICRO||87430|STREP THROAT SCREEN|63|33.39|47.25|50.4|53.55|56.7|53.55|50.9|45.36|42.64|0|63|21.68|22.69|15.77|51.57|20.61|20.05|22.12|18.48722986|47.25|49.2|17.31|18.83|17.31|34.87|35.58|19.06|16.84|17.84|35.58|18.82|18.48722986|18.82|0|0|0|11.58|16.81|16.81|17.31|16.81|30.26|16.81|17.31|0|63
HOSP OP|0771 - VACCINE ADMIN||90471|IMMUNIZATION ADMIN|78|41.34|58.5|62.4|66.3|70.2|66.3|63.02|56.16|52.79|0|78|50.86|78|28.56|63.84|48.28|47.03|78|73.79999411|58.5|60.92|66.82|72.66|66.82|78|78|48.27|65.01|49.04|78|75.128394|73.79999411|47.885244|0|0|14.36|34.56|78|78|66.82|78|78|64.88|66.81|0|78
HOSP OP|0771 - VACCINE ADMIN||90472|IMMUNIZATION EA ADDTL.|39|20.67|29.25|31.2|33.15|35.1|0|31.51|28.08|26.4|0|39|25.43|0|14.28|31.92|24.14|23.52|0|73.79999411|29.25|30.46|0|0|0|0|0|0|0|0|0|75.128394|73.79999411|47.885244|0|0|0|17.28|0|0|0|0|0|0|0|0|75.128394
HOSP OP|0829 - HEMO/HOME/OTHER||90935|HEMODIALYSIS|2206|1169.18|1654.5|1764.8|1875.1|1985.4|1875.1|1782.45|1588.32|1493.02|0|2206|1438.31|1196.68|807.84|1805.61|1365.51|1330.22|1166.75|1183.507083|1654.5|1722.89|707.29|769.09|707.29|1538.52|1569.92|510.96|688.06|519.12|1569.92|1204.81021|1183.507083|767.92046|0|0|685.19|977.48|1370.49|1219.97|707.29|1315.04|1236.04|686.69|707.21|0|2206
HOSP OP|0450 - EMERGENCY ROOM||92511|NASOPHARYNGOSCOPY W/ ENDO|393|208.29|294.75|314.4|334.05|353.7|334.05|317.54|282.96|265.98|0|393|0|379.1|0|321.67|0|0|369.62|2638.90888|294.75|306.93|39.14|42.56|39.14|305.12|311.35|151.02|38.08|156.08|311.35|2686.40924|2638.90888|1712.26024|0|0|183.66|0|38|38|39.14|38|68.4|38|39.14|0|2686.40924
HOSP OP|0471 - AUDIOLOGY/DX||92585|COMPR AUDITORY EVOKED RESP|789|418.17|591.75|631.2|670.65|710.1|670.65|637.51|568.08|534|0|789|514.43|367.07|288.93|645.8|488.39|475.77|357.89|694.5674086|591.75|616.21|114.63|124.64|114.63|370.02|377.57|188.17|111.51|189.28|377.57|707.069622|694.5674086|450.671172|0|0|282.6|349.61|111.29|111.29|114.63|111.29|200.32|111.29|114.63|0|789
HOSP OP|0480 - CARDIOLOGY||92950|CPR|615|325.95|461.25|492|522.75|553.5|522.75|496.92|442.8|416.23|0|615|400.98|615|225.21|503.38|380.69|370.85|615|2116.423754|461.25|480.32|190.35|206.99|190.35|615|615|413.97|185.18|433.07|615|2154.519382|2116.423754|1373.244932|0|0|282.6|272.51|184.81|184.81|190.35|184.81|332.66|184.81|190.35|0|2154.519382
HOSP OP|0480 - CARDIOLOGY||92953|TRANSCUTANEOUS PACING|783|414.99|587.25|626.4|665.55|704.7|665.55|632.66|563.76|529.93|0|783|510.52|3.61|286.73|640.89|484.68|472.15|3.52|1690.690774|587.25|611.52|0.88|0.95|0.88|1.94|1.98|0.98|0.85|0.99|1.98|1721.123208|1690.690774|1097.007408|0|0|589.7|346.95|0.85|0.85|0.88|0.85|1.53|0.85|0.88|0|1721.123208
HOSP OP|0480 - CARDIOLOGY||92960|CARDIOVERSION/DEFIBRILLATION|1329|704.37|996.75|1063.2|1129.65|1196.1|1129.65|1073.83|956.88|899.47|0|1329|866.51|1029.94|486.68|1087.79|822.65|801.39|1004.17|1690.690774|996.75|1037.95|592.83|644.64|592.83|1289.54|1315.86|428.27|576.72|435.11|1315.86|1721.123208|1690.690774|1097.007408|0|0|589.7|588.88|1148.7|1022.54|592.83|1102.22|1036.02|575.57|592.77|0|1721.123208
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92961|CARDIOVERSION INTERNAL|783|414.99|587.25|626.4|665.55|704.7|665.55|632.66|563.76|529.93|0|783|0|783|0|640.89|0|0|783|1690.690774|587.25|611.52|245.14|266.56|245.14|641.23|654.32|325.51|238.48|328.02|654.32|1721.123208|1690.690774|1097.007408|0|0|589.7|0|238|238|245.14|238|428.4|238|245.14|0|1721.123208
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92973|THROMBUS EXTRACTION|7275|3855.75|5456.25|5820|6183.75|6547.5|0|5878.2|5238|4923.72|0|7275|0|0|0|5954.59|0|0|0|0|5456.25|5681.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7275
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92978|INTRAVASCULAR ULTRASOUND|2322|1230.66|1741.5|1857.6|1973.7|2089.8|0|1876.18|1671.84|1571.53|0|2322|744|0|399.22|1900.56|707|688|0|0|1741.5|1813.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|2322
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||92986|VALVULOPLASTY AORTIC VALVE|5018|2659.54|3763.5|4014.4|4265.3|4516.2|4265.3|4054.54|3612.96|3396.18|0|5018|0|4619.03|0|4107.23|0|0|4503.51|13526.70323|3763.5|3919.06|1304.94|1418.96|1304.94|3407.65|3477.19|1718.44|1269.46|1743.17|3477.19|13770.18388|13526.70323|8776.822984|0|0|5018|0|1266.93|1266.93|1304.94|1266.93|2280.47|1266.93|1304.94|0|13770.18388
HOSP OP|0483 - ECHOCARDIOLOGY||93303|ECHO CONGENITAL ANOM COMP|1553|823.09|1164.75|1242.4|1320.05|1397.7|1320.05|1254.82|1118.16|1051.07|0|1553|1122|973.2|629.6|1271.13|1161|1130|948.85|1016.839153|1164.75|1212.89|532.19|578.69|532.19|1157.63|1181.26|384.47|517.72|390.6|1181.26|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1553
HOSP OP|0483 - ECHOCARDIOLOGY||93304|ECHO CONGENITAL ANOM LTD|1163|616.39|872.25|930.4|988.55|1046.7|988.55|939.7|837.36|787.12|0|1163|1122|420.02|629.6|951.92|1161|1130|409.52|1016.839153|872.25|908.3|130.43|141.83|130.43|439.76|448.73|223.36|126.88|224.96|448.73|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|126.63|126.63|130.43|126.63|227.93|126.63|130.43|0|1163
HOSP OP|0483 - ECHOCARDIOLOGY||93308|ECHOCARDIOGRAM LTD|716|379.48|537|572.8|608.6|644.4|608.6|578.53|515.52|484.59|0|716|716|451.03|629.6|586.05|716|716|439.74|1016.839153|537|559.2|257.53|280.03|257.53|560.18|571.61|186.04|250.53|189.01|571.61|1035.142258|1016.839153|659.777708|0|0|258.25|701.68|499|444.2|257.53|478.81|450.05|250.03|257.5|0|1035.142258
HOSP OP|0483 - ECHOCARDIOLOGY||93312|TRANSESOPHAGEAL ECHO|1768|937.04|1326|1414.4|1502.8|1591.2|1502.8|1428.54|1272.96|1196.58|0|1768|1122|973.2|629.6|1447.11|1161|1130|948.85|1016.839153|1326|1380.81|532.19|578.69|532.19|1157.63|1181.26|384.47|517.72|390.6|1181.26|1035.142258|1016.839153|659.777708|0|0|557.22|1023.03|1031.2|917.95|532.19|989.48|930.04|516.69|532.13|0|1768
HOSP OP|0483 - ECHOCARDIOLOGY||93320|DOPPLER ECHO|297|157.41|222.75|237.6|252.45|267.3|0|239.98|213.84|201.01|0|297|297|0|297|243.09|297|297|0|1016.839153|222.75|231.96|0|0|0|0|0|0|0|0|0|1035.142258|1016.839153|659.777708|0|0|0|291.06|0|0|0|0|0|0|0|0|1035.142258
HOSP OP|0483 - ECHOCARDIOLOGY||93325|ECHO WITH COLOR FLOW|352|186.56|264|281.6|299.2|316.8|0|284.42|253.44|238.23|0|352|352|0|352|288.11|352|352|0|1016.839153|264|274.91|0|0|0|0|0|0|0|0|0|1035.142258|1016.839153|659.777708|0|0|0|344.96|0|0|0|0|0|0|0|0|1035.142258
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93503|SWAN-GANZ INSERTION|2092|1108.76|1569|1673.6|1778.2|1882.8|1778.2|1690.34|1506.24|1415.87|0|2092|0|306.89|0|1712.3|0|0|299.22|3999.147528|1569|1633.85|90.65|98.57|90.65|236.35|241.17|141.25|88.19|120.9|241.17|4071.132183|3999.147528|2594.853258|0|0|1224.95|0|88.01|88.01|90.65|88.01|158.42|88.01|90.65|0|4071.132183
HOSP OP|0480 - CARDIOLOGY||93562|CARDIAC OUTPUT MEASURE SUBQ|393|208.29|294.75|314.4|334.05|353.7|0|317.54|282.96|265.98|0|393|256.24|0|143.92|321.67|243.27|236.98|0|311.6195923|294.75|306.93|0|0|0|0|0|0|0|0|0|317.228745|311.6195923|202.19487|0|0|0|174.14|0|0|0|0|0|0|0|0|393
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93571|INTRAVAS PRESSURE MEASUREM*|3287|1742.11|2465.25|2629.6|2793.95|2958.3|0|2655.9|2366.64|2224.64|0|3287|744|0|399.22|2690.41|707|688|0|0|2465.25|2567.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|3287
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93580|PFO CLOSURE|35435|18780.55|26576.25|28348|30119.75|31891.5|30119.75|28631.48|25513.2|23982.41|0|35435|19418.38|30036.78|9967.87|29003.55|18426.2|17965.55|29285.38|16446.51113|26576.25|27674.74|17615.05|19154.23|17615.05|35435|35435|12725.46|17136.2|12928.68|35435|16742.54833|16446.51113|10671.345|0|0|17198.21|11332.11|34131.86|30383.28|17615.05|32750.8|30783.59|17101.99|17613.1|0|35435
HOSP OP|0480 - CARDIOLOGY||93609|EP MAPPING OF TACHYCARDIA|8094|4289.82|6070.5|6475.2|6879.9|7284.6|0|6539.95|5827.68|5478.02|0|8094|5277.29|0|2964.02|6624.94|5010.19|4880.68|0|11923.34833|6070.5|6321.41|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|3586.45|0|0|0|0|0|0|0|0|12137.9686
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93613|EP 3D MAPPING - TACHYCARDIA|3428|1816.84|2571|2742.4|2913.8|3085.2|0|2769.82|2468.16|2320.07|0|3428|744|0|399.22|2805.82|707|688|0|11923.34833|2571|2677.27|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|12137.9686
HOSP OP|0480 - CARDIOLOGY||93620|EP W/RA & RV PACING &RECORD|11074|5869.22|8305.5|8859.2|9412.9|9966.6|9412.9|8947.79|7973.28|7494.88|0|11074|7220.25|9971.62|4055.3|9064.07|6854.81|6677.62|9722.17|11923.34833|8305.5|8648.79|6504.22|7072.55|6504.22|11074|11074|4698.78|6327.41|4773.81|11074|12137.9686|11923.34833|7736.4836|0|0|5709.47|4906.89|11074|11074|6504.22|11074|11074|6314.78|6503.5|0|12137.9686
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93621|EP W/LA PACING-COR SINUS/LA|4058|2150.74|3043.5|3246.4|3449.3|3652.2|0|3278.86|2921.76|2746.45|0|4058|744|0|399.22|3321.47|707|688|0|11923.34833|3043.5|3169.3|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|12137.9686
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93622|Hb Ep With Left Ventricular Pacing|4934|2615.02|3700.5|3947.2|4193.9|4440.6|0|3986.67|3552.48|3339.33|0|4934|744|0|399.22|4038.48|707|688|0|11923.34833|3700.5|3853.45|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|12137.9686
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93623|EP PACE TESTING AFTER MEDS|1915|1014.95|1436.25|1532|1627.75|1723.5|0|1547.32|1378.8|1296.07|0|1915|744|0|399.22|1567.43|707|688|0|11923.34833|1436.25|1495.62|0|0|0|0|0|0|0|0|0|12137.9686|11923.34833|7736.4836|0|0|0|489.02|0|0|0|0|0|0|0|0|12137.9686
HOSP OP|0480 - CARDIOLOGY||93641|EP EVAL W/TESTING OF ICD|752|398.56|564|601.6|639.2|676.8|0|607.62|541.44|508.95|0|752|490.3|0|275.38|615.51|465.49|453.46|0|878.4200255|564|587.31|0|0|0|0|0|0|0|0|0|894.231586|878.4200255|569.964236|0|0|0|333.21|0|0|0|0|0|0|0|0|894.231586
HOSP OP|0480 - CARDIOLOGY||93642|EP TEST OF ICD W/PROGRAM|2067|1095.51|1550.25|1653.6|1756.95|1860.3|1756.95|1670.14|1488.24|1398.95|0|2067|1347.68|279.21|756.94|1691.84|1279.47|1246.4|272.23|878.4200255|1550.25|1614.33|86.41|93.96|86.41|893.07|911.3|452.58|84.06|456.85|911.3|894.231586|878.4200255|569.964236|0|0|1029.72|915.89|83.89|83.89|86.41|83.89|151|83.89|86.41|0|2067
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93650|EP ABLATION OF AV NODE|9123|4835.19|6842.25|7298.4|7754.55|8210.7|7754.55|7371.38|6568.56|6174.45|0|9123|6710|9123|3543.04|7467.18|6374|6206|9123|11923.34833|6842.25|7125.06|6504.22|7072.55|6504.22|9123|9123|4698.78|6327.41|4773.81|9123|12137.9686|11923.34833|7736.4836|0|0|5709.47|5281.42|9123|9123|6504.22|9123|9123|6314.78|6503.5|0|12137.9686
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93660|EP TILT TABLE TEST|978|518.34|733.5|782.4|831.3|880.2|831.3|790.22|704.16|661.91|0|978|744|890.61|399.22|800.49|707|688|868.33|388.0679116|733.5|763.82|536.64|583.53|536.64|978|978|387.68|522.05|393.87|978|395.053134|388.0679116|251.798484|0|0|509.93|489.02|978|925.62|536.64|978|937.82|521.01|536.58|0|978
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||93662|EP INTRACARDIAC ECHO ADD-ON|3893|2063.29|2919.75|3114.4|3309.05|3503.7|0|3145.54|2802.96|2634.78|0|3893|744|0|399.22|3186.42|707|688|0|0|2919.75|3040.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|489.02|0|0|0|0|0|0|0|0|3893
HOSP OP|0943 - CARDIAC REHAB||93798|CARDIAC REHAB W/ECG|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|171.48|231.12|96.31|215.27|162.8|158.59|225.34|213.8669686|197.25|205.4|121.59|132.22|121.59|263|263|87.84|118.29|89.25|263|217.716574|213.8669686|138.767924|0|0|132.34|116.54|235.61|209.73|121.59|226.08|212.49|118.05|121.58|0|263
HOSP OP|0460 - PULMONARY FUNCTION||94010|SPIROMETRY|262|138.86|196.5|209.6|222.7|235.8|222.7|211.7|188.64|177.32|0|262|170.82|262|95.94|214.45|162.18|157.99|259.3|244.5875403|196.5|204.62|152.89|166.25|152.89|262|262|110.45|148.73|112.21|262|248.990116|244.5875403|158.701016|0|0|152.27|116.09|262|262|152.89|262|262|148.44|152.87|0|262
HOSP OP|0460 - PULMONARY FUNCTION||94060|BRONCHOSPASM EVALUATION|444|235.32|333|355.2|377.4|399.6|377.4|358.75|319.68|300.5|0|444|289.49|444|162.59|363.41|274.84|267.73|444|244.5875403|333|346.76|279.7|304.14|279.7|444|444|202.06|272.09|205.29|444|248.990116|244.5875403|158.701016|0|0|282.6|196.74|444|444|279.7|444|444|271.55|279.67|0|444
HOSP OP|0410 - RESPIRATORY THERAPY||94400|BREATHING RESPONSE CO2|235|124.55|176.25|188|199.75|211.5|199.75|189.88|169.2|159.05|0|235|153.22|126.37|86.06|192.35|145.47|141.71|123.21|244.5875403|176.25|183.54|38.64|42.01|38.64|154.98|158.14|79.67|37.59|79.28|158.14|248.990116|244.5875403|158.701016|0|0|152.27|128.24|37.51|37.51|38.64|37.51|67.52|37.51|38.64|0|248.990116
HOSP OP|0410 - RESPIRATORY THERAPY||94664|DEMO/EVAL OF NEB/INHAL/EZPAP|256|135.68|192|204.8|217.6|230.4|217.6|206.85|184.32|173.26|0|256|166.91|256|93.75|209.54|158.46|154.37|256|154.1913752|192|199.94|203.29|221.06|203.29|256|256|146.86|197.77|149.21|256|156.96682|154.1913752|100.04732|0|0|214.61|139.7|256|256|203.29|256|256|197.37|203.27|0|256
HOSP OP|0410 - RESPIRATORY THERAPY||94667|MANIPULATE CHEST WALL|468|248.04|351|374.4|397.8|421.2|397.8|378.14|336.96|316.74|0|468|305.14|208.31|171.38|383.06|289.69|282.2|203.1|261.7722279|351|365.51|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|266.484128|261.7722279|169.851328|0|0|119.27|255.39|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|468
HOSP OP|0410 - RESPIRATORY THERAPY||94668|POSTRL DRN SUBSQ|200|106|150|160|170|180|170|161.6|144|135.36|0|200|130.4|200|73.24|163.7|123.8|120.6|200|261.7722279|150|156.2|120.49|131.02|120.49|200|200|87.04|117.21|88.43|200|266.484128|261.7722279|169.851328|0|0|119.27|109.14|200|200|120.49|200|200|116.98|120.47|0|266.484128
HOSP OP|0460 - PULMONARY FUNCTION||94690|METABOLIC CART STUDY|90|47.7|67.5|72|76.5|81|76.5|72.72|64.8|60.91|0|90|58.68|90|32.96|73.67|55.71|54.27|90|244.5875403|67.5|70.29|49.41|53.73|49.41|90|90|77.22|48.07|73.83|90|248.990116|244.5875403|158.701016|0|0|35.98|39.88|47.97|47.97|49.41|47.97|86.35|47.97|49.41|0|248.990116
HOSP OP|0460 - PULMONARY FUNCTION||94761|PULSE OXIMETRY CONTIN.|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0460 - PULMONARY FUNCTION||94762|NOC OXIMETRY|309|163.77|231.75|247.2|262.65|278.1|262.65|249.67|222.48|209.13|0|309|201.47|265.95|113.16|252.92|191.27|186.33|259.3|244.5875403|231.75|241.33|152.89|166.25|152.89|309|309|110.45|148.73|112.21|309|248.990116|244.5875403|158.701016|0|0|152.27|136.92|296.25|263.71|152.89|284.26|267.18|148.44|152.87|0|309
HOSP OP|0410 - RESPIRATORY THERAPY||94770|CARBON DIOXIDE ANALYZER|338|179.14|253.5|270.4|287.3|304.2|287.3|273.1|243.36|228.76|0|338|220.38|25.27|123.78|276.65|209.22|203.81|24.64|597.3444499|253.5|263.98|7.59|8.25|7.59|19.37|19.77|9.77|7.38|9.91|19.77|608.09665|597.3444499|387.5879|0|0|152.27|184.45|7.37|7.37|7.59|7.37|13.27|7.37|7.59|0|608.09665
HOSP OP|0410 - RESPIRATORY THERAPY||94772|4 CHANNEL RECORDING|3386|1794.58|2539.5|2708.8|2878.1|3047.4|2878.1|2735.89|2437.92|2291.64|0|3386|2207.67|1896.16|1239.95|2771.44|2095.93|2041.76|1848.76|201.935167|2539.5|2644.47|1354.4|0|1354.4|318.68|325.18|160.8|1354.4|163.02|325.18|205.57|201.935167|205.57|0|0|509.93|1847.74|0|0|1354.4|0|1693|1354.4|1354.4|0|3386
HOSP OP|0410 - RESPIRATORY THERAPY||94799|MONITOR/MMU/OXI|3104|1645.12|2328|2483.2|2638.4|2793.6|2638.4|2508.03|2234.88|2100.79|0|3104|2023.81|265.95|1136.68|2540.62|1921.38|1871.71|259.3|244.5875403|2328|2424.22|152.89|166.25|152.89|332.57|339.35|110.45|148.73|112.21|339.35|248.990116|244.5875403|158.701016|0|0|152.27|1693.85|296.25|263.71|152.89|284.26|267.18|148.44|152.87|0|3104
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95805|MULT SLEEP LATENCY/MWT|2127|1127.31|1595.25|1701.6|1807.95|1914.3|1807.95|1718.62|1531.44|1439.55|0|2127|1386.8|890.61|778.91|1740.95|1316.61|1282.58|868.33|2440.049087|1595.25|1661.19|536.64|583.53|536.64|1167.3|1191.13|387.68|522.05|393.87|1191.13|2483.969971|2440.049087|1583.229746|0|0|509.93|942.47|1039.82|925.62|536.64|997.74|937.82|521.01|536.58|0|2483.969971
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95810|POLYSOM;4 OR MORE PARAMETERS|3643|1930.79|2732.25|2914.4|3096.55|3278.7|3096.55|2943.54|2622.96|2465.58|0|3643|2375.24|1785.62|1334.07|2981.8|2255.02|2196.73|1740.95|2440.049087|2732.25|2845.18|1004.47|1092.24|1004.47|2184.93|2229.52|725.64|977.16|737.23|2229.52|2483.969971|2440.049087|1583.229746|0|0|1022.39|1614.21|1946.3|1732.55|1004.47|1867.55|1755.38|975.21|1004.35|0|3643
HOSP OP|0920 - OTHER DIAGNOSTIC SERVICES||95811|POLYSOM;W/CONT AND/OR BI-LVL|3853|2042.09|2889.75|3082.4|3275.05|3467.7|3275.05|3113.22|2774.16|2607.71|0|3853|2512.16|1785.62|1410.97|3153.68|2385.01|2323.36|1740.95|2440.049087|2889.75|3009.19|1004.47|1092.24|1004.47|2184.93|2229.52|725.64|977.16|737.23|2229.52|2483.969971|2440.049087|1583.229746|0|0|1022.39|1707.26|1946.3|1732.55|1004.47|1867.55|1755.38|975.21|1004.35|0|3853
HOSP OP|0922 - EMG||95803|ACTIGRAPHY TESTING|243|128.79|182.25|194.4|206.55|218.7|206.55|196.34|174.96|164.46|0|243|158.44|109.35|88.99|198.9|150.42|146.53|106.61|311.6195923|182.25|189.78|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|317.228745|311.6195923|202.19487|0|0|0|107.67|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|317.228745
HOSP OP|0420 - PHYSICAL THERAPY||97032|ELECTRICAL STIMULATION 1:1|98|51.94|73.5|78.4|83.3|88.2|83.3|79.18|70.56|66.33|0|98|98|45.73|98|80.21|98|98|43.87|180.9688851|73.5|76.54|15.44|16.79|15.44|125|127.5|21.02|15.29|20.32|127.5|184.226325|180.9688851|117.42195|0|0|11.75|96.04|16.49|16.49|15.44|16.49|26.98|14.99|15.44|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97035|ULTRASOUND THERAPY|78|41.34|58.5|62.4|66.3|70.2|66.3|63.02|56.16|52.79|0|78|78|0|78|63.84|78|78|0|180.9688851|58.5|60.92|0|0|0|125|127.5|18.08|0|18.83|127.5|184.226325|180.9688851|117.42195|0|0|10.88|76.44|14.65|14.65|0|14.65|0|0|0|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97112|NEUROMUSCULAR REEDUCATION|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|129|107.11|106.79|105.59|129|129|97.61|180.9688851|96.75|100.75|36.9|40.13|36.9|125|127.5|48.39|36.55|49.05|127.5|184.226325|180.9688851|117.42195|0|0|28.09|126.42|39.41|39.41|36.9|39.41|64.49|35.83|36.9|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97116|PT EXERCISE GAIT TRNG|118|62.54|88.5|94.4|100.3|106.2|100.3|95.34|84.96|79.86|0|118|118|92.67|106.79|96.58|118|118|84.45|180.9688851|88.5|92.16|31.66|34.43|31.66|125|127.5|41.54|31.35|42.12|127.5|184.226325|180.9688851|117.42195|0|0|24.37|115.64|33.81|33.81|31.66|33.81|55.33|30.74|31.66|0|184.226325
HOSP OP|0420 - PHYSICAL THERAPY||97140|MANUAL THERAPY|113|59.89|84.75|90.4|96.05|101.7|96.05|91.3|81.36|76.48|0|113|113|85.45|106.79|92.49|113|113|77.87|180.9688851|84.75|88.25|29.42|31.99|29.42|125|127.5|38.12|29.13|38.65|127.5|184.226325|180.9688851|117.42195|0|0|22.36|110.74|31.42|31.42|29.42|31.42|51.41|28.56|29.42|0|184.226325
HOSP OP|0430 - OCCUPATIONAL THERAPY||97533|COGNITIVE/SENSORY INTEGRAT|102|54.06|76.5|81.6|86.7|91.8|86.7|82.42|73.44|69.03|0|102|102|102|102|83.49|102|102|95.41|259.7124194|76.5|79.66|54.6|59.37|54.6|125|127.5|47.41|54.07|59.96|127.5|264.387243|259.7124194|168.514818|0|0|34.42|99.96|58.31|58.31|54.6|58.31|95.42|53.01|54.6|0|264.387243
HOSP OP|0430 - OCCUPATIONAL THERAPY||97535|OT ADL|130|68.9|97.5|104|110.5|117|110.5|105.04|93.6|87.98|0|130|130|104.7|106.79|106.41|130|130|96.51|259.7124194|97.5|101.53|35.8|38.93|35.8|125|127.5|47.9|35.46|48.06|127.5|264.387243|259.7124194|168.514818|0|0|27.53|127.4|38.24|38.24|35.8|38.24|62.57|34.76|35.8|0|264.387243
HOSP OP|0420 - PHYSICAL THERAPY||97542|WHEELCHAIR SKILLS|129|68.37|96.75|103.2|109.65|116.1|109.65|104.23|92.88|87.31|0|129|129|102.3|106.79|105.59|129|129|94.32|259.7124194|96.75|100.75|34.66|37.69|34.66|125|127.5|45.94|34.32|46.08|127.5|264.387243|259.7124194|168.514818|0|0|26.65|126.42|37.02|37.02|34.66|37.02|60.57|33.65|34.66|0|264.387243
HOSP OP|0761 - TREATMENT ROOM||97597|DEBRIDEMENT WOUND-BURN|263|139.39|197.25|210.4|223.55|236.7|223.55|212.5|189.36|178|0|263|171.48|263|96.31|215.27|162.8|158.59|263|311.6195923|197.25|205.4|37.7|40.99|37.7|245.07|250.07|116.32|36.67|125.36|250.07|317.228745|311.6195923|202.19487|0|0|197.64|116.54|36.6|36.6|37.7|36.6|65.88|36.6|37.7|0|317.228745
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||99195|PHLEBOTOMY|291|154.23|218.25|232.8|247.35|261.9|247.35|235.13|209.52|196.95|0|291|189.73|208.31|106.56|238.18|180.13|175.47|203.1|384.0071464|218.25|227.27|120.49|131.02|120.49|262.09|267.44|87.04|117.21|88.43|267.44|390.919275|384.0071464|249.16365|0|0|119.27|128.94|233.46|207.82|120.49|224.02|210.56|116.98|120.47|0|390.919275
HOSP OP|0450 - EMERGENCY ROOM||99281|ED VISIT LEVEL I|228|120.84|171|182.4|193.8|205.2|193.8|184.22|164.16|154.31|0|228|228|136.4|129.75|186.62|228|228|132.99|0|171|178.07|76.94|83.66|76.94|167.35|170.77|55.58|74.84|56.47|170.77|0|0|0|0|0|78.1|194.63|149.07|132.7|76.94|143.04|134.45|74.7|76.93|0|228
HOSP OP|0450 - EMERGENCY ROOM||99282|ED VISIT LEVEL II|350|185.5|262.5|280|297.5|315|297.5|282.8|252|236.88|0|350|350|250.32|233.54|286.48|350|350|244.06|0|262.5|273.35|141.41|153.76|141.41|307.59|313.87|102.16|137.56|103.79|313.87|0|0|0|0|0|143.33|334.49|274|243.91|141.41|262.91|247.12|137.29|141.39|0|350
HOSP OP|0450 - EMERGENCY ROOM||99283|ED VISIT LEVEL III|604|320.12|453|483.2|513.4|543.6|513.4|488.03|434.88|408.79|0|604|604|436.22|353.31|494.37|604|604|425.31|0|453|471.72|246.81|268.38|246.81|536.86|542.32|178.3|240.1|181.14|542.32|0|0|0|0|0|249.77|438.16|478.22|425.7|246.81|458.87|431.32|239.62|246.78|0|604
HOSP OP|0450 - EMERGENCY ROOM||99284|ED VISIT LEVEL IV|996|527.88|747|796.8|846.6|896.4|846.6|804.77|717.12|674.09|0|996|870|704.96|511|815.23|827|805|687.32|0|747|777.88|388.76|422.73|388.76|845.63|862.89|280.85|378.19|285.33|862.89|0|0|0|0|0|403.64|540.86|753.28|670.55|388.76|722.8|679.38|377.44|388.71|0|996
HOSP OP|0450 - EMERGENCY ROOM||99285|ED VISIT LEVEL V|1475|781.75|1106.25|1180|1253.75|1327.5|1253.75|1191.8|1062|998.28|0|1475|1155|1027.61|608.8|1207.29|1098|1069|1001.9|0|1106.25|1151.98|557.53|606.24|557.53|1212.75|1237.5|402.77|542.37|409.2|1237.5|0|0|0|0|0|588.37|719.84|1080.3|961.65|557.53|1036.59|974.32|541.29|557.47|0|1475
HOSP OP|0450 - EMERGENCY ROOM||99291|ED CRITICAL CARE 1ST HR|3591|1903.23|2693.25|2872.8|3052.35|3231.9|3052.35|2901.53|2585.52|2430.39|0|3591|1684|1447.64|975.08|2939.23|1600|1557|1411.43|0|2693.25|2804.57|736.72|801.09|736.72|1602.51|1635.21|532.22|716.69|540.71|1635.21|0|0|0|0|0|828.88|804.93|1427.49|1270.72|736.72|1369.73|1287.47|715.26|736.63|0|3591
HOSP OP|0450 - EMERGENCY ROOM||99292|Hb Ed Critical Care Addtl 30 Min|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|392|0|392|320.85|392|392|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|104.38|804.93|0|0|0|0|0|0|0|0|804.93
HOSP OP|0771 - VACCINE ADMIN||G0008|FLU VACCINE ADMIN|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.16|57|20.87|46.65|35.28|34.37|57|10.86444008|42.75|44.52|42.11|45.79|42.11|37.23|37.23|30.42|40.97|26.16|37.23|11.06|10.86444008|11.06|0|0|14.36|25.26|57|57|42.11|57|57|40.89|42.11|0|57
HOSP OP|0771 - VACCINE ADMIN||G0009|PNEUMOCOCCAL VACCINE ADMIN|57|30.21|42.75|45.6|48.45|51.3|48.45|46.06|41.04|38.58|0|57|37.16|57|20.87|46.65|35.28|34.37|57|10.86444008|42.75|44.52|42.11|45.79|42.11|37.23|37.23|30.42|40.97|30.91|37.23|11.06|10.86444008|11.06|0|0|14.36|25.26|57|57|42.11|57|57|40.89|42.11|0|57
HOSP OP|0410 - RESPIRATORY THERAPY||G0237|NW; STRENGTH/ENDURANCE|114|60.42|85.5|91.2|96.9|102.6|96.9|92.11|82.08|77.16|0|114|74.33|62.84|41.75|93.31|70.57|68.74|61.27|261.7722279|85.5|89.03|25.41|27.63|25.41|55.25|56.38|18.35|24.72|18.64|56.38|266.484128|261.7722279|169.851328|0|0|35.98|62.21|49.22|43.81|25.41|47.23|44.4|24.67|25.4|0|266.484128
HOSP OP|0410 - RESPIRATORY THERAPY||G0239|NW; RESP TRNG/GROUP|115|60.95|86.25|92|97.75|103.5|97.75|92.92|82.8|77.83|0|115|74.98|62.84|42.11|94.13|71.19|69.35|61.27|84.56984971|86.25|89.82|36.94|40.17|36.94|80.36|82|26.69|35.94|27.12|82|86.092107|84.56984971|54.873282|0|0|35.98|62.76|71.59|63.73|36.94|68.69|64.56|35.87|36.94|0|115
HOSP OP|0450 - EMERGENCY ROOM||31530|Hb Laryngoscopy W/fb Removal|2594|1374.82|1945.5|2075.2|2204.9|2334.6|2204.9|2095.95|1867.68|1755.62|0|2594|0|280.42|0|2123.19|0|0|273.4|2638.90888|1945.5|2025.91|201.23|218.81|201.23|525|535.71|263.92|195.76|268.56|535.71|2686.40924|2638.90888|1712.26024|0|0|0|0|195.37|195.37|201.23|195.37|351.67|195.37|201.23|0|2686.40924
HOSP OP|0301 - LAB/CHEMISTRY||82657|Hb Thiopurine Methyltransferase Rbc|296.6|157.2|222.45|237.28|252.11|266.94|252.11|239.65|213.55|200.74|0|296.6|28.6|29.93|20.8|242.77|27.18|26.45|29.18|24.39096267|222.45|231.64|22.84|24.83|22.84|45.52|46.45|24.93|22.21|23.29|46.45|24.83|24.39096267|24.83|0|0|0|15.28|22.17|22.17|22.84|22.17|39.91|22.17|22.84|0|296.6
HOSP OP|0306 - LAB/BACT-MICRO||87798|V. ZOSTER PCR|69.3|36.73|51.98|55.44|58.91|62.37|58.91|55.99|49.9|46.9|0|69.3|50.3|52.64|36.57|56.72|47.8|46.52|51.32|38.59528487|51.98|54.12|36.14|39.3|36.14|69.3|69.3|48.39|35.16|41.13|69.3|39.29|38.59528487|39.29|0|0|0|26.87|35.09|35.09|36.14|35.09|63.16|35.09|36.14|0|69.3
HOSP OP|0301 - LAB/CHEMISTRY||80202|VANCOMYCIN RANDOM|79|41.87|59.25|63.2|67.15|71.1|67.15|63.83|56.88|53.47|0|79|19.41|20.32|14.12|64.66|18.45|17.95|19.81|14.89194499|59.25|61.7|13.95|15.16|13.95|31|31.63|18.57|13.57|15.86|31.63|15.16|14.89194499|15.16|0|0|0|10.37|13.54|13.54|13.95|13.54|24.37|13.54|13.95|0|79
HOSP OP|0301 - LAB/CHEMISTRY||80200|TOBRAMYCIN RANDOM|102|54.06|76.5|81.6|86.7|91.8|86.7|82.42|73.44|69.03|0|102|23.12|24.19|16.81|83.49|21.97|21.38|23.59|17.74066798|76.5|79.66|16.61|18.07|16.61|36.81|37.56|22.48|16.16|18.83|37.56|18.06|17.74066798|18.06|0|0|0|12.35|16.13|16.13|16.61|16.13|29.03|16.13|16.61|0|102
HOSP OP|0301 - LAB/CHEMISTRY||80170|GENTAMICIN RANDOM|122|64.66|91.5|97.6|103.7|109.8|103.7|98.58|87.84|82.57|0|122|23.48|24.57|17.07|99.86|22.31|21.71|23.96|18.01571709|91.5|95.28|16.87|18.35|16.87|37.78|38.55|22.48|16.41|19.32|38.55|18.34|18.01571709|18.34|0|0|0|12.53|16.38|16.38|16.87|16.38|29.48|16.38|16.87|0|122
HOSP OP|0274 - PROSTH/ORTH DEV||A4400|OST: COLOSTOMY IRRIGATION *|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|51.10019646|175.5|182.75|0|0|0|0|0|0|0|0|0|52.02|51.10019646|52.02|0|0|0|103.69|0|0|0|0|0|0|0|0|234
HOSP OP|0272 - STERILE SUPPLY||C1769|IV GUIDEWIRES|548|290.44|411|438.4|465.8|493.2|0|442.78|394.56|370.89|0|548|357.3|0|200.68|448.54|339.21|330.44|0|0|411|427.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|242.82|0|0|0|0|0|0|0|0|548
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT COATED/COVER/DELIVERY|9273|4914.69|6954.75|7418.4|7882.05|8345.7|0|7492.58|6676.56|6275.97|0|9273|6046|0|3395.77|7589.95|5739.99|5591.62|0|0|6954.75|7242.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4108.87|0|0|0|0|0|0|0|0|9273
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENTNON-COATED/NON-COVERED|1617|857.01|1212.75|1293.6|1374.45|1455.3|0|1306.54|1164.24|1094.39|0|1617|1054.28|0|592.15|1323.51|1000.92|975.05|0|0|1212.75|1262.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|716.49|0|0|0|0|0|0|0|0|1617
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|LEAD DELIVERY SYSTEM|445|235.85|333.75|356|378.25|400.5|0|359.56|320.4|301.18|0|445|290.14|0|162.96|364.23|275.46|268.34|0|0|333.75|347.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|197.18|0|0|0|0|0|0|0|0|445
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRES ANGIOGRAPHY|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||A4649|TRANSSEPTAL NEEDLE|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|301.22|0|169.18|378.15|285.98|278.59|0|11.99410609|346.5|360.82|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|204.71|0|0|0|0|0|0|0|0|462
HOSP OP|0272 - STERILE SUPPLY||C1760|D-Stat Flowable|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1893|INTRODUCER SWARTZ|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|301.22|0|169.18|378.15|285.98|278.59|0|0|346.5|360.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|204.71|0|0|0|0|0|0|0|0|462
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER ANGIOGRAPHY|115|60.95|86.25|92|97.75|103.5|0|92.92|82.8|77.83|0|115|74.98|0|42.11|94.13|71.19|69.35|0|0|86.25|89.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.96|0|0|0|0|0|0|0|0|115
HOSP OP|0272 - STERILE SUPPLY||C1751|PACING LEAD TEMPORARY|235|124.55|176.25|188|199.75|211.5|0|189.88|169.2|159.05|0|235|153.22|0|86.06|192.35|145.47|141.71|0|0|176.25|183.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|104.13|0|0|0|0|0|0|0|0|235
HOSP OP|0272 - STERILE SUPPLY||A4301|7FR THERMAL DILUTION SWAN-GANZ|106|56.18|79.5|84.8|90.1|95.4|0|85.65|76.32|71.74|0|106|69.11|0|38.82|86.76|65.61|63.92|0|0|79.5|82.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.97|0|0|0|0|0|0|0|0|106
HOSP OP|0272 - STERILE SUPPLY||C1725|BOSTON SCIENTIF-CUTG BALLOON|2562|1357.86|1921.5|2049.6|2177.7|2305.8|0|2070.1|1844.64|1733.96|0|2562|1670.42|0|938.2|2097|1585.88|1544.89|0|0|1921.5|2000.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1135.22|0|0|0|0|0|0|0|0|2562
HOSP OP|0272 - STERILE SUPPLY||C1769|PRESSURE WIRE|1820|964.6|1365|1456|1547|1638|0|1470.56|1310.4|1231.78|0|1820|1186.64|0|666.48|1489.67|1126.58|1097.46|0|0|1365|1421.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|806.44|0|0|0|0|0|0|0|0|1820
HOSP OP|0272 - STERILE SUPPLY||C1730|QUAD EP CATH|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0272 - STERILE SUPPLY||C1724|ROTABLATOR BURR|3279|1737.87|2459.25|2623.2|2787.15|2951.1|0|2649.43|2360.88|2219.23|0|3279|2137.91|0|1200.77|2683.86|2029.7|1977.24|0|0|2459.25|2560.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1452.92|0|0|0|0|0|0|0|0|3279
HOSP OP|0272 - STERILE SUPPLY||C1894|ROTABLATOR ADVANCER|546|289.38|409.5|436.8|464.1|491.4|0|441.17|393.12|369.53|0|546|355.99|0|199.95|446.9|337.97|329.24|0|0|409.5|426.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|241.93|0|0|0|0|0|0|0|0|546
HOSP OP|0272 - STERILE SUPPLY||C1724|ROTOBLADER GUIDE WIRE-SCIMED|2195|1163.35|1646.25|1756|1865.75|1975.5|0|1773.56|1580.4|1485.58|0|2195|1431.14|0|803.81|1796.61|1358.71|1323.59|0|0|1646.25|1714.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|972.6|0|0|0|0|0|0|0|0|2195
HOSP OP|0272 - STERILE SUPPLY||A4649|IABP CATHETER|2927|1551.31|2195.25|2341.6|2487.95|2634.3|0|2365.02|2107.44|1980.99|0|2927|1908.4|0|1071.87|2395.75|1811.81|1764.98|0|11.99410609|2195.25|2285.99|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1296.95|0|0|0|0|0|0|0|0|2927
HOSP OP|0272 - STERILE SUPPLY||C1733|CATHETER; EP THERMAL|7140|3784.2|5355|5712|6069|6426|0|5769.12|5140.8|4832.35|0|7140|4655.28|0|2614.67|5844.09|4419.66|4305.42|0|0|5355|5576.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3163.73|0|0|0|0|0|0|0|0|7140
HOSP OP|0272 - STERILE SUPPLY||C1733|CATHETER; EP BIOSENSE|3835|2032.55|2876.25|3068|3259.75|3451.5|0|3098.68|2761.2|2595.53|0|3835|2500.42|0|1404.38|3138.95|2373.87|2312.51|0|0|2876.25|2995.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1699.29|0|0|0|0|0|0|0|0|3835
HOSP OP|0272 - STERILE SUPPLY||A4649|EP BIOSENSE REFERENCE PATCH|1198|634.94|898.5|958.4|1018.3|1078.2|0|967.98|862.56|810.81|0|1198|781.1|0|438.71|980.56|741.56|722.39|0|11.99410609|898.5|935.64|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.83|0|0|0|0|0|0|0|0|1198
HOSP OP|0272 - STERILE SUPPLY||C1732|CATHETER; EP LASSO|3077|1630.81|2307.75|2461.6|2615.45|2769.3|0|2486.22|2215.44|2082.51|0|3077|2006.2|0|1126.8|2518.52|1904.66|1855.43|0|0|2307.75|2403.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1363.42|0|0|0|0|0|0|0|0|3077
HOSP OP|0272 - STERILE SUPPLY||C1733|CATHETER; EP BIOSENSE 8mm|5367|2844.51|4025.25|4293.6|4561.95|4830.3|0|4336.54|3864.24|3632.39|0|5367|3499.28|0|1965.4|4392.89|3322.17|3236.3|0|0|4025.25|4191.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2378.12|0|0|0|0|0|0|0|0|5367
HOSP OP|0272 - STERILE SUPPLY||C1759|CATHETER; ACUNAV|6991|3705.23|5243.25|5592.8|5942.35|6291.9|0|5648.73|5033.52|4731.51|0|6991|4558.13|0|2560.1|5722.13|4327.43|4215.57|0|0|5243.25|5459.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3097.71|0|0|0|0|0|0|0|0|6991
HOSP OP|0272 - STERILE SUPPLY||C1733|Catheter: EPT 8mm|9520|5045.6|7140|7616|8092|8568|0|7692.16|6854.4|6443.14|0|9520|6207.04|0|3486.22|7792.12|5892.88|5740.56|0|0|7140|7435.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4218.31|0|0|0|0|0|0|0|0|9520
HOSP OP|0272 - STERILE SUPPLY||C1887|PERIPHERAL COUIDE:ACS/COUIDANT|858|454.74|643.5|686.4|729.3|772.2|0|693.26|617.76|580.69|0|858|559.42|0|314.2|702.27|531.1|517.37|0|0|643.5|670.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|380.18|0|0|0|0|0|0|0|0|858
HOSP OP|0272 - STERILE SUPPLY||C1769|PERIPHERAL WIRE: ACS/COUIDANT|214|113.42|160.5|171.2|181.9|192.6|0|172.91|154.08|144.84|0|214|139.53|0|78.37|175.16|132.47|129.04|0|0|160.5|167.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|94.82|0|0|0|0|0|0|0|0|214
HOSP OP|0272 - STERILE SUPPLY||C1725|PERI BALLOON: ACS/COUIDANT|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|PERIPHERAL STENT-SELF EXPAND|1829|969.37|1371.75|1463.2|1554.65|1646.1|0|1477.83|1316.88|1237.87|0|1829|1192.51|0|669.78|1497.04|1132.15|1102.89|0|0|1371.75|1428.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|810.43|0|0|0|0|0|0|0|0|1829
HOSP OP|0272 - STERILE SUPPLY||C1753|IVUS CATHETER|1988|1053.64|1491|1590.4|1689.8|1789.2|0|1606.3|1431.36|1345.48|0|1988|1296.18|0|728.01|1627.18|1230.57|1198.76|0|0|1491|1552.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|880.88|0|0|0|0|0|0|0|0|1988
HOSP OP|0272 - STERILE SUPPLY||C1757|ANGIOJET; CATHETER|5166|2737.98|3874.5|4132.8|4391.1|4649.4|0|4174.13|3719.52|3496.35|0|5166|3368.23|0|1891.79|4228.37|3197.75|3115.1|0|0|3874.5|4034.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2289.05|0|0|0|0|0|0|0|0|5166
HOSP OP|0272 - STERILE SUPPLY||A4550|PERICARDIOCENTESIS KIT|560|296.8|420|448|476|504|476|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|10|420|437.36|224|0|224|58.11|59.3|29.32|224|29.73|59.3|10.18|10|10.18|0|0|0|248.14|0|0|224|0|280|224|224|0|560
HOSP OP|0272 - STERILE SUPPLY||C1757|PRONTO CATHETER -VASC SOLTNS|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|0|1039.5|1082.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.14|0|0|0|0|0|0|0|0|1386
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|Hb Asd Occluder|19592|10383.76|14694|15673.6|16653.2|17632.8|0|15830.34|14106.24|13259.87|0|19592|12773.98|0|7174.59|16036.05|12127.45|11813.98|0|0|14694|15301.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8681.22|0|0|0|0|0|0|0|0|19592
HOSP OP|0272 - STERILE SUPPLY||C1817|PFO DELIVERY SYSTEM|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|0|1039.5|1082.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.14|0|0|0|0|0|0|0|0|1386
HOSP OP|0272 - STERILE SUPPLY||C1769|PFO AMPLATZER GUIDEWIRE|165|87.45|123.75|132|140.25|148.5|0|133.32|118.8|111.67|0|165|107.58|0|60.42|135.05|102.14|99.5|0|0|123.75|128.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.11|0|0|0|0|0|0|0|0|165
HOSP OP|0274 - PROSTH/ORTH DEV||L0172|PTE COLLAR PHILADELPHIA|112|59.36|84|89.6|95.2|100.8|95.2|90.5|80.64|75.8|0|112|73.02|62.72|41.01|91.67|69.33|67.54|61.15|127.7013752|84|87.47|146.15|158.92|146.15|112|112|112|112|112|112|130|127.7013752|130|0|0|112|49.63|112|112|146.15|112|112|112|146.15|0|158.92
HOSP OP|0922 - EMG||95937|EMG NEUROMUSC JUNCT TEST|361|191.33|270.75|288.8|306.85|324.9|306.85|291.69|259.92|244.32|0|361|235.37|180.53|132.2|295.48|223.46|217.68|176.01|694.5674086|270.75|281.94|62.58|68.05|62.58|239.25|244.13|112.9|60.88|122.39|244.13|707.069622|694.5674086|450.671172|0|0|152.27|159.96|60.76|60.76|62.58|60.76|109.37|60.76|62.58|0|707.069622
HOSP OP|0272 - STERILE SUPPLY|||TORNADO COIL|193|102.29|0|154.4|0|173.7|0|155.94|138.96|130.62|0|193|125.84|0|70.68|157.97|119.47|116.38|0|0|0|150.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|85.52|0|0|0|0|0|0|0|0|193
HOSP OP|0272 - STERILE SUPPLY||A4649|KYPHOPAK KIT|3214|1703.42|2410.5|2571.2|2731.9|2892.6|0|2596.91|2314.08|2175.24|0|3214|2095.53|0|1176.97|2630.66|1989.47|1938.04|0|11.99410609|2410.5|2510.13|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1424.12|0|0|0|0|0|0|0|0|3214
HOSP OP|0272 - STERILE SUPPLY||A4649|VERTEPLEX CEMENT|1085|575.05|813.75|868|922.25|976.5|0|876.68|781.2|734.33|0|1085|707.42|0|397.33|888.07|671.62|654.26|0|11.99410609|813.75|847.39|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|480.76|0|0|0|0|0|0|0|0|1085
HOSP OP|0390 - BLOOD/STOR-PROC||P9017|Mbc Thawed Plasma|210|111.3|157.5|168|178.5|189|178.5|169.68|151.2|142.13|0|210|136.92|139.92|76.9|171.89|129.99|126.63|136.42|111.8467583|157.5|164.01|86.26|93.8|86.26|201.32|205.43|66.86|83.92|67.93|205.43|113.86|111.8467583|113.86|0|0|125.28|93.05|179.33|159.64|86.26|172.08|150.75|83.75|86.25|0|210
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|SHORT TERM DIALYSIS CATH|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0272 - STERILE SUPPLY||C1725|PTA NON-LASER|425|225.25|318.75|340|361.25|382.5|0|343.4|306|287.64|0|425|277.1|0|155.64|347.86|263.08|256.28|0|0|318.75|331.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|188.32|0|0|0|0|0|0|0|0|425
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE|812|430.36|609|649.6|690.2|730.8|0|656.1|584.64|549.56|0|812|529.42|0|297.35|664.62|502.63|489.64|0|0|609|634.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|359.8|0|0|0|0|0|0|0|0|812
HOSP OP|0272 - STERILE SUPPLY||A4300|INSERTION CATHETER -ARTER|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|4.931237721|210|218.68|0|0|0|0|0|0|0|0|0|5.02|4.931237721|5.02|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY|||DETACHABLE COIL|1782|944.46|0|1425.6|0|1603.8|0|1439.86|1283.04|1206.06|0|1782|1161.86|0|652.57|1458.57|1103.06|1074.55|0|0|0|1391.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|789.6|0|0|0|0|0|0|0|0|1782
HOSP OP|0272 - STERILE SUPPLY|||EMBOLIC PARTICLES|2923|1549.19|0|2338.4|0|2630.7|0|2361.78|2104.56|1978.29|0|2923|1905.8|0|1070.4|2392.48|1809.34|1762.57|0|0|0|2282.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1295.18|0|0|0|0|0|0|0|0|2923
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX||Q9966|OMNIPAQUE 240MG|3.23|1.71|2.42|2.58|2.75|2.91|0|2.61|2.33|2.19|0|3.23|0.43|0|0.31|2.64|0.4|0.39|0|0.324165029|2.42|2.52|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|0.22|0|0|0|0|0|0|0|0|3.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|SPINAL STIM LEADS & ELECTRODES|3920|2077.6|2940|3136|3332|3528|0|3167.36|2822.4|2653.06|0|3920|2555.84|0|1435.5|3208.52|2426.48|2363.76|0|0|2940|3061.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1736.95|0|0|0|0|0|0|0|0|3920
HOSP OP|0450 - EMERGENCY ROOM||11740|EVAC. SUBUNGUAL HEM.|111|58.83|83.25|88.8|94.35|99.9|94.35|89.69|79.92|75.12|0|111|0|111|0|90.85|0|0|111|245.0583536|83.25|86.69|32.96|35.84|32.96|111|111|69.4|32.06|71.85|111|249.469404|245.0583536|159.006504|0|0|0|0|32|32|32.96|32|57.6|32|32.96|0|249.469404
HOSP OP|0761 - TREATMENT ROOM||31579|STROBOSCOPY|1482|785.46|1111.5|1185.6|1259.7|1333.8|1259.7|1197.46|1067.04|1003.02|0|1482|966.26|756.09|542.71|1213.02|917.36|893.65|737.17|2638.90888|1111.5|1157.44|417.6|454.09|417.6|908.38|926.92|301.69|406.25|306.5|926.92|2686.40924|2638.90888|1712.26024|0|0|432.91|656.67|809.17|720.3|417.6|776.43|729.79|405.44|417.56|0|2686.40924
HOSP OP|0761 - TREATMENT ROOM||31575|FLEX LARYNGOSCOPY|599|317.47|449.25|479.2|509.15|539.1|509.15|483.99|431.28|405.4|0|599|390.55|320.77|219.35|490.28|370.78|361.2|312.74|2638.90888|449.25|467.82|173|188.12|173|376.32|384|124.98|168.3|126.98|384|2686.40924|2638.90888|1712.26024|0|0|183.66|265.42|335.22|298.41|173|321.66|302.33|167.96|172.98|0|2686.40924
HOSP OP|0361 - OR/MINOR||31625|BRONCH WITH BIOPSY|3016|1598.48|2262|2412.8|2563.6|2714.4|2563.6|2436.93|2171.52|2041.23|0|3016|2594|2678.64|965.1|2468.6|2464|2399|2611.63|5076.780456|2262|2355.5|1580.95|1719.09|1580.95|3016|3016|1142.11|1537.97|1160.35|3016|5168.162504|5076.780456|3294.077104|0|0|1533.71|1515.96|3016|2726.89|1580.95|2939.38|2762.82|1534.9|1580.77|0|5168.162504
HOSP OP|0361 - OR/MINOR||31628|BRONCH/TRANSBIOPSY|2825|1497.25|2118.75|2260|2401.25|2542.5|2401.25|2282.6|2034|1911.96|0|2825|2594|2825|965.1|2312.26|2464|2399|2825|5076.780456|2118.75|2206.33|2825|3529.13|2825|2825|2825|2344.64|2825|2382.08|2825|5168.162504|5076.780456|3294.077104|0|0|2825|1515.96|2825|2825|3245.54|2825|2825|3151.01|2825|0|5168.162504
HOSP OP|0361 - OR/MINOR||31629|BRONCH/NEEDLE BIOPSY|3221|1707.13|2415.75|2576.8|2737.85|2898.9|2737.85|2602.57|2319.12|2179.97|0|3221|3221|3221|1996.08|2636.39|3221|3221|3221|5076.780456|2415.75|2515.6|3221|3529.13|3221|3221|3221|2344.64|3157.31|2382.08|3221|5168.162504|5076.780456|3294.077104|0|0|3069.74|2445.1|3221|3221|3245.54|3221|3221|3151.01|3221|0|5168.162504
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33244|Removal ICD lead - dual|4656|2467.68|3492|3724.8|3957.6|4190.4|3957.6|3762.05|3352.32|3151.18|0|4656|3532|4656|1996.08|3810.94|3356|3268|4656|6483.688477|3492|3636.34|3297.59|3585.73|3297.59|4656|4656|2382.24|3207.95|2420.29|4656|6600.39487|6483.688477|4206.95162|0|0|3506.44|2445.1|4656|4656|3297.59|4656|4656|3201.54|3297.22|0|6600.39487
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33215|REPOSITION PM OR DEFIB|4707|2494.71|3530.25|3765.6|4000.95|4236.3|4000.95|3803.26|3389.04|3185.7|0|4707|3532|4707|1996.08|3852.68|3356|3268|4707|6483.688477|3530.25|3676.17|3062.51|3330.1|3062.51|4707|4707|2212.41|2979.25|2247.74|4707|6600.39487|6483.688477|4206.95162|0|0|2958.71|2445.1|4707|4707|3062.51|4707|4707|2973.31|3062.17|0|6600.39487
HOSP OP|0460 - PULMONARY FUNCTION||36600|ARTERIAL PUNCTURE|222|117.66|166.5|177.6|188.7|199.8|188.7|179.38|159.84|150.25|0|222|144.74|208.31|81.3|181.71|137.42|133.87|203.1|21.59856287|166.5|173.38|120.49|131.02|120.49|222|222|87.04|117.21|88.43|222|21.987337|21.59856287|14.014262|0|0|119.27|98.37|222|207.82|120.49|222|210.56|116.98|120.47|0|222
HOSP OP|0450 - EMERGENCY ROOM||40650|LIP RP FUL THICK - VERMIL|1302|690.06|976.5|1041.6|1106.7|1171.8|1106.7|1052.02|937.44|881.19|0|1302|0|1112.03|0|1065.69|0|0|1084.22|3034.804064|976.5|1016.86|312.42|339.72|312.42|1235.98|1261.2|603.11|303.93|632.26|1261.2|3089.430537|3034.804064|1969.137462|0|0|0|0|303.32|303.32|312.42|303.32|545.98|303.32|312.42|0|3089.430537
HOSP OP|0450 - EMERGENCY ROOM||46600|DIAGNOSTIC SERV ANOS|270|143.1|202.5|216|229.5|243|229.5|218.16|194.4|182.74|0|270|0|261.16|0|221|0|0|254.63|0|202.5|210.87|41.58|45.21|41.58|259.59|264.89|122.68|40.45|132.79|264.89|0|0|0|0|0|0|0|40.37|40.37|41.58|40.37|72.67|40.37|41.58|0|270
HOSP OP|0729 - OTHER/DELIV-LABOR||59430|HB POSTPARTUM CARE ONLY|1164|616.92|873|931.2|989.4|1047.6|989.4|940.51|838.08|787.8|0|1164|758.93|0|426.26|952.73|720.52|701.89|0|0|873|909.08|136.16|148.05|136.16|1005.7|1045.13|501.33|132.45|509.48|1045.13|0|0|0|0|0|0|515.77|132.19|132.19|136.16|132.19|237.94|132.19|136.16|0|1164
HOSP OP|0831 - PERTNL.COMPOSITE||90945|CRRT|1238|656.14|928.5|990.4|1052.3|1114.2|1052.3|1000.3|891.36|837.88|0|1238|807.18|704.96|453.36|1013.3|766.32|746.51|687.32|459.8669489|928.5|966.88|388.76|422.73|388.76|845.63|862.89|280.85|378.19|285.33|862.89|468.144554|459.8669489|298.385404|0|0|403.64|548.56|753.28|670.55|388.76|722.8|679.38|377.44|388.71|0|1238
HOSP OP|0361 - OR/MINOR||43752|NASO-OROGASTR TUBE W/FLUORO|358|189.74|268.5|286.4|304.3|322.2|304.3|289.26|257.76|242.29|0|358|358|358|358|293.02|358|358|358|1451.399884|268.5|279.6|358|436.91|358|358|358|290.27|358|294.9|358|1477.525082|1451.399884|941.743132|0|0|358|350.84|358|358|401.8|358|358|390.1|358|0|1477.525082
HOSP OP|0460 - PULMONARY FUNCTION||94070|METHACHOLINE CHALLENGE|1249|661.97|936.75|999.2|1061.65|1124.1|1061.65|1009.19|899.28|845.32|0|1249|814.35|493.57|457.38|1022.31|773.13|753.15|481.23|597.3444499|936.75|975.47|279.7|304.14|279.7|608.4|620.82|202.06|272.09|205.29|620.82|608.09665|597.3444499|387.5879|0|0|282.6|553.43|541.96|482.44|279.7|520.03|488.79|271.55|279.67|0|1249
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33210|INSERT/RPL TEMP SCE/PM CATH|7317|3878.01|5487.75|5853.6|6219.45|6585.3|6219.45|5912.14|5268.24|4952.15|0|7317|0|205.8|0|5988.96|0|0|200.65|6974.805663|5487.75|5714.58|161.85|176|161.85|422.32|430.94|213.58|157.45|216.04|430.94|7100.352165|6974.805663|4525.61379|0|0|0|0|157.14|157.14|161.85|157.14|282.85|157.14|161.85|0|7317
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33223|ICD POCKET REVISION|2440|1293.2|1830|1952|2074|2196|2074|1971.52|1756.8|1651.39|0|2440|2440|2440|965.1|1997.14|2440|2399|2440|6696.790374|1830|1905.64|1793.27|1949.96|1793.27|2440|2440|1295.5|1744.52|1316.18|2440|6817.332601|6696.790374|4345.223126|0|0|1734.95|1515.96|2440|2440|1793.27|2440|2440|1741.04|1793.07|0|6817.332601
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33241|REMOVAL ICD GEN ONLY|4656|2467.68|3492|3724.8|3957.6|4190.4|3957.6|3762.05|3352.32|3151.18|0|4656|3532|4656|1996.08|3810.94|3356|3268|4656|6483.688477|3492|3636.34|3297.59|3585.73|3297.59|4656|4656|2382.24|3207.95|2420.29|4656|6600.39487|6483.688477|4206.95162|0|0|3506.44|2445.1|4656|4656|3297.59|4656|4656|3201.54|3297.22|0|6600.39487
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33216|INSERT SNG ELECT PPM/DEFIB|6370|3376.1|4777.5|5096|5414.5|5733|5414.5|5146.96|4586.4|4311.22|0|6370|6370|6370|3543.04|5213.85|6370|6206|6370|6974.805663|4777.5|4974.97|6370|9182.81|6370|6370|6370|6100.77|6370|6198.19|6370|7100.352165|6974.805663|4525.61379|0|0|6370|5281.42|6370|6370|8444.91|6370|6370|8198.94|6370|0|9182.81
HOSP OP|0481 - CARDIOLOGY CARDIAC CATH||33214|Hb Upgrade Pm Sng To Dual|24845|13167.85|18633.75|19876|21118.25|22360.5|21118.25|20074.76|17888.4|16815.1|0|24845|15502|19326.16|10412.54|20335.63|14727|14339|18842.7|18190.69807|18633.75|19403.95|11329.29|12319.22|11329.29|24643.65|24845|8184.5|11021.31|8315.19|24845|18518.13063|18190.69807|11803.06348|0|0|11065.61|7945.43|21952.21|19541.28|11329.29|21063.97|19798.75|10999.31|11328.02|0|24845
HOSP OP|0730 - EKG/ECG||93005|ELECTROCARDIOGRAM TRACING|205|108.65|153.75|164|174.25|184.5|174.25|165.64|147.6|138.74|0|205|133.66|109.35|75.07|167.79|126.9|123.62|106.61|105.5210442|153.75|160.11|60.79|66.1|60.79|132.24|134.94|43.92|59.14|44.62|134.94|107.420423|105.5210442|68.467498|0|0|62.6|90.84|117.8|104.86|60.79|113.03|106.24|59.02|60.79|0|205
HOSP OP|0361 - OR/MINOR||43202|Hb Esophagoscopy Biopsy|2207|1169.71|1655.25|1765.6|1875.95|1986.3|1875.95|1783.26|1589.04|1493.7|0|2207|0|895.4|0|1806.43|0|0|873.01|2235.892644|1655.25|1723.67|105.36|114.56|105.36|879.52|897.47|422.77|102.49|449.91|897.47|2276.138712|2235.892644|1450.762512|0|0|0|0|102.29|102.29|105.36|102.29|184.12|102.29|105.36|0|2276.138712
HOSP OP|0391 - BLOOD/ADMIN||36430|Hb Blood Transfusion Pcc|1006|533.18|754.5|804.8|855.1|905.4|855.1|812.85|724.32|680.86|0|1006|655.91|749.03|368.4|823.41|622.71|606.62|730.29|682.8559263|754.5|785.69|428.82|466.29|428.82|932.77|951.81|309.79|417.16|314.73|951.81|695.147333|682.8559263|443.072158|0|0|428.88|445.76|830.9|739.65|428.82|797.28|749.39|416.33|428.77|0|1006
HOSP OP|0761 - TREATMENT ROOM||38220|PCC BONE MARROW ASPIRATION|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|1333.99|422.43|749.25|1674.65|1266.47|1233.74|411.86|1232.41282|1534.5|1597.93|70.7|76.88|70.7|450.42|459.61|233.13|68.78|230.41|459.61|1254.596251|1232.41282|799.653026|0|0|0|906.58|68.64|68.64|70.7|68.64|123.55|68.64|70.7|0|2046
HOSP OP|0761 - TREATMENT ROOM||38221|PCC BONE MARROW BIOPSY|2046|1084.38|1534.5|1636.8|1739.1|1841.4|1739.1|1653.17|1473.12|1384.73|0|2046|1333.99|374.29|749.25|1674.65|1266.47|1233.74|364.93|1232.41282|1534.5|1597.93|72.47|78.8|72.47|422.32|430.94|211.63|70.5|216.04|430.94|1254.596251|1232.41282|799.653026|0|0|0|906.58|70.36|70.36|72.47|70.36|126.65|70.36|72.47|0|2046
HOSP OP|0710 - RECOVERY ROOM|||Hb Pcc Care Ii 1to3 Hours|395|209.35|0|316|0|355.5|0|319.16|284.4|267.34|0|395|257.54|0|144.65|323.31|244.51|238.19|0|0|0|308.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|175.02|0|0|0|0|0|0|0|0|395
HOSP OP|0710 - RECOVERY ROOM|||Hb Pcc Care Ii 3to6 Hours|798|422.94|0|638.4|0|718.2|0|644.78|574.56|540.09|0|798|520.3|0|292.23|653.16|493.96|481.19|0|0|0|623.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|353.59|0|0|0|0|0|0|0|0|798
HOSP OP|0710 - RECOVERY ROOM|||Hb Pcc Care Ii 6to9 Hours|1173|621.69|0|938.4|0|1055.7|0|947.78|844.56|793.89|0|1173|764.8|0|429.55|960.1|726.09|707.32|0|0|0|916.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|519.76|0|0|0|0|0|0|0|0|1173
HOSP OP|0949 - ADDITIONAL RX SVS||36512|Hb Apheresis Red Blood Cells|3550|1881.5|2662.5|2840|3017.5|3195|3017.5|2868.4|2556|2402.64|0|3550|2314.6|2439.41|1300.01|2905.68|2197.45|2140.65|2378.38|5597.44118|2662.5|2772.55|1462.72|1590.53|1462.72|3181.71|3246.65|1056.69|1422.95|1073.56|3246.65|5698.195121|5597.44118|3631.908646|0|0|1396.73|1573.01|2834.22|2522.95|1462.72|2719.54|2556.2|1420.11|1462.55|0|5698.195121
HOSP OP|0637 - DRUGS/SELF ADMIN|00527-1231-01||PRIMIDONE 250 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0687-11||PRIMIDONE 250 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0687-15||PRIMIDONE 250 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0250 - PHARMACY|61314-0637-05||PREDNISOLONE ACETATE 1 % EYE DROPSSUSPENSION|108.07|57.28|0|86.46|0|97.26|0|87.32|77.81|73.14|0|108.07|71.43|0|52.09|88.46|67.87|66.03|0|0|0|84.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.58|0|0|0|0|0|0|0|0|108.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0376-21|J1200|DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION|41.6|22.05|31.2|33.28|35.36|37.44|0|33.61|29.95|28.15|0|41.6|0.7|0|0.51|34.05|0.66|0.64|0|0.903732809|31.2|32.49|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|0.37|0|0|0|0|0|0|0|0|41.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0664-01|J1200|DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION|41.6|22.05|31.2|33.28|35.36|37.44|0|33.61|29.95|28.15|0|41.6|0.7|0|0.51|34.05|0.66|0.64|0|0.903732809|31.2|32.49|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|0.37|0|0|0|0|0|0|0|0|41.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0376-25|J1200|DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION|46.37|22.05|31.2|33.28|35.36|37.44|0|33.61|29.95|28.15|0|41.6|0.7|0|0.51|34.05|0.66|0.64|0|0.903732809|31.2|32.49|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|0.37|0|0|0|0|0|0|0|0|41.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0239-01|J2354|OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE|44.3|23.48|33.23|35.44|37.66|39.87|0|35.79|31.9|29.98|0|44.3|1.17|0|0.85|36.26|1.12|1.09|0|0.94302554|33.23|34.6|0|0|0|0|0|0|0|0|0|0.96|0.94302554|0.96|0|0|0|0.62|0|0|0|0|0|0|0|0|44.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0245-00|J2354|OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE|52.17|27.65|39.13|41.74|44.34|46.95|0|42.15|37.56|35.31|0|52.17|4.68|0|3.4|42.7|4.48|4.36|0|0.94302554|39.13|40.74|0|0|0|0|0|0|0|0|0|0.96|0.94302554|0.96|0|0|0|2.48|0|0|0|0|0|0|0|0|52.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50419-0325-01|A9585|GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION|8.33|4.41|6.25|6.66|7.08|7.5|0|6.73|6|5.64|0|8.33|5|0|3.7|6.82|4.8|4.7|0|0.36345776|6.25|6.51|0|0|0|0|0|0|0|0|0|0.37|0.36345776|0.37|0|0|0|2.6|0|0|0|0|0|0|0|0|8.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50419-0325-02|A9585|GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION|8.34|4.42|6.26|6.67|7.09|7.51|0|6.74|6|5.64|0|8.34|5|0|3.7|6.83|4.8|4.7|0|0.36345776|6.26|6.51|0|0|0|0|0|0|0|0|0|0.37|0.36345776|0.37|0|0|0|2.6|0|0|0|0|0|0|0|0|8.34
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0320-04|J0885|EPOETIN ALFA 20000 UNIT/ML INJECTION SOLUTION|743.54|394.08|557.66|594.83|632.01|669.19|632.01|600.78|535.35|503.23|0|743.54|308.4|318.4|224.2|608.59|293|285.2|310.4|10.55992141|557.66|580.7|193.92|193.92|193.92|507.67|508.7|165.3|193.92|168.21|508.7|10.75|10.55992141|10.75|0|0|256.8|164.6|193.92|193.92|193.92|193.92|193.92|193.92|199.74|0|743.54
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0354-10||MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET|20.23|10.72|15.17|16.18|17.2|18.21|0|16.35|14.57|13.69|0|20.23|13.37|0|9.75|16.56|12.7|12.36|0|0|15.17|15.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.23
HOSP OP|0250 - PHARMACY|00574-7112-12||MORPHINE 10 MG RECTAL SUPPOSITORY|33|17.49|0|26.4|0|29.7|0|26.66|23.76|22.33|0|33|21.81|0|15.91|27.01|20.72|20.16|0|0|0|25.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.75|0|0|0|0|0|0|0|0|33
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5450-21||PROPAFENONE 300 MG TABLET|23.08|12.23|17.31|18.46|19.62|20.77|0|18.65|16.62|15.62|0|23.08|15.26|0|11.12|18.89|14.49|14.1|0|0|17.31|18.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.02|0|0|0|0|0|0|0|0|23.08
HOSP OP|0250 - PHARMACY|00409-3382-22||SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION|40.93|21.69|0|32.74|0|36.84|0|33.07|29.47|27.7|0|40.93|27.05|0|19.73|33.5|25.7|25.01|0|0|0|31.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.54|0|0|0|0|0|0|0|0|40.93
HOSP OP|0250 - PHARMACY|00409-3382-21||SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION|44.63|21.69|0|32.74|0|36.84|0|33.07|29.47|27.7|0|40.93|27.05|0|19.73|33.5|25.7|25.01|0|0|0|31.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.54|0|0|0|0|0|0|0|0|40.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0085-27|J2997|ALTEPLASE 100 MG INTRAVENOUS SOLUTION|20474.43|10851.45|15355.82|16379.54|17403.27|18426.99|17403.27|16543.34|14741.59|13857.09|0|20474.43|11320|8768|8231|16758.32|10758|10469|8549|87.84872299|15355.82|15990.53|8788.5|8788.5|8788.5|20474.43|20105.89|6875.57|8788.5|6996.83|20105.89|89.43|87.84872299|89.43|0|0|7590|6048|8788.5|8788.5|8788.5|8788.5|8788.5|8788.5|9052.16|0|20474.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00074-3642-03|J9217|LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT|4162.06|2205.89|3121.55|3329.65|3537.75|3745.85|3537.75|3362.94|2996.68|2816.88|0|4162.06|609.26|867.24|443.02|3406.65|579.04|563.46|845.56|241.5815324|3121.55|3250.57|411.77|411.77|411.77|1106.07|1108.33|360.14|411.77|366.49|1108.33|245.93|241.5815324|245.93|0|0|514.16|325.5|411.77|411.77|411.77|411.77|411.77|411.77|424.13|0|4162.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|42023-0159-25|J0171|EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION|49.76|26.37|37.32|39.81|42.3|44.78|0|40.21|35.83|33.68|0|49.76|2.85|0|2.07|40.73|2.73|2.64|0|0.815324165|37.32|38.86|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1.5|0|0|0|0|0|0|0|0|49.76
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0555-25||OMEPRAZOLE 10 MG CAPSULEDELAYED RELEASE|22.81|12.09|17.11|18.25|19.39|20.53|0|18.43|16.42|15.44|0|22.81|15.08|0|10.99|18.67|14.32|13.94|0|0|17.11|17.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.89|0|0|0|0|0|0|0|0|22.81
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0555-95||OMEPRAZOLE 10 MG CAPSULEDELAYED RELEASE|22.81|12.09|17.11|18.25|19.39|20.53|0|18.43|16.42|15.44|0|22.81|15.08|0|10.99|18.67|14.32|13.94|0|0|17.11|17.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.89|0|0|0|0|0|0|0|0|22.81
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|43066-0360-20|J0282|AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE ISO-OSMOTIC IV|147|77.91|110.25|117.6|124.95|132.3|0|118.78|105.84|99.49|0|147|6.24|0|4.56|120.32|5.88|5.76|0|0.294695481|110.25|114.81|0|0|0|0|0|0|0|0|0|0.3|0.294695481|0.3|0|0|0|3.24|0|0|0|0|0|0|0|0|147
HOSP OP|0250 - PHARMACY|17478-0937-10|J3490|DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION|46.58|24.69|34.94|37.26|39.59|41.92|0|37.64|33.54|31.53|0|46.58|30.79|0|22.45|38.13|29.25|28.46|0|0|34.94|36.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.23|0|0|0|0|0|0|0|0|46.58
HOSP OP|0250 - PHARMACY|00641-6015-01|J3490|DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION|65.38|24.69|34.94|37.26|39.59|41.92|0|37.64|33.54|31.53|0|46.58|30.79|0|22.45|38.13|29.25|28.46|0|0|34.94|36.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.23|0|0|0|0|0|0|0|0|46.58
HOSP OP|0250 - PHARMACY|17478-0937-25|J3490|DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION|65.38|24.69|34.94|37.26|39.59|41.92|0|37.64|33.54|31.53|0|46.58|30.79|0|22.45|38.13|29.25|28.46|0|0|34.94|36.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.23|0|0|0|0|0|0|0|0|46.58
HOSP OP|0250 - PHARMACY|00409-1171-01|J3490|DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION|44.79|24.69|34.94|37.26|39.59|41.92|0|37.64|33.54|31.53|0|46.58|30.79|0|22.45|38.13|29.25|28.46|0|0|34.94|36.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.23|0|0|0|0|0|0|0|0|46.58
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0691-79||ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION|50.19|26.6|37.64|40.15|42.66|45.17|0|40.55|36.14|33.97|0|50.19|33.18|0|24.19|41.08|31.52|30.67|0|0|37.64|39.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.96|0|0|0|0|0|0|0|0|50.19
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0101-19||ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION|50.19|26.6|37.64|40.15|42.66|45.17|0|40.55|36.14|33.97|0|50.19|33.18|0|24.19|41.08|31.52|30.67|0|0|37.64|39.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.96|0|0|0|0|0|0|0|0|50.19
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0580-30||RIVAROXABAN 10 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0637 - DRUGS/SELF ADMIN|00004-0820-09|J8499|OSELTAMIVIR 6 MG/ML ORAL SUSPENSION|25.23|13.37|18.92|20.18|21.45|22.71|21.45|20.39|18.17|17.08|0|25.23|16.68|0|12.16|20.65|15.84|15.42|13.78|0|18.92|19.7|25.23|25.23|0|21.8|22.65|10.87|25.23|11.04|22.65|0|0|0|0|0|0|12.04|0|0|25.23|0|29.01|25.23|25.23|0|29.01
HOSP OP|0250 - PHARMACY|66215-0402-01||EPOPROSTENOL (ARGININE) 1.5 MG INTRAVENOUS SOLUTION|137.8|73.03|0|110.24|0|124.02|0|111.34|99.22|93.26|0|137.8|91.09|0|66.42|112.79|86.54|84.2|0|0|0|107.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|65.77|0|0|0|0|0|0|0|0|137.8
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0417-01||LORAZEPAM 0.5 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.14|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0417-20||LORAZEPAM 0.5 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.14|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0250 - PHARMACY|00186-0777-39||TICAGRELOR 90 MG TABLET|37.81|20.04|28.36|30.25|32.14|34.03|0|30.55|27.22|25.59|0|37.81|24.99|0|18.22|30.95|23.74|23.1|0|0|28.36|29.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.12|18.05|0|0|0|0|0|0|0|0|37.81
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0103-10||METOCLOPRAMIDE 5 MG TABLET|20.28|10.75|15.21|16.22|17.24|18.25|0|16.39|14.6|13.73|0|20.28|13.41|0|9.77|16.6|12.74|12.39|0|0|15.21|15.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.28
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0167-10||METHOCARBAMOL 750 MG TABLET|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0250 - PHARMACY|63323-0286-23||ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION|48.55|25.73|0|38.84|0|43.7|0|39.23|34.96|32.86|0|48.55|32.09|0|23.4|39.74|30.49|29.66|0|0|0|37.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.17|0|0|0|0|0|0|0|0|48.55
HOSP OP|0250 - PHARMACY|00904-1102-31||POVIDONE-IODINE 10 % TOPICAL OINTMENT|24.27|12.86|0|19.42|0|21.84|0|19.61|17.47|16.43|0|24.27|16.04|0|11.7|19.86|15.24|14.83|0|0|0|18.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.58|0|0|0|0|0|0|0|0|24.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|10019-0957-01|J9070|CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS SOLUTION|1956.54|1036.97|1467.41|1565.23|1663.06|1760.89|1663.06|1580.88|1408.71|1324.19|0|1956.54|975.8|1318.6|709.6|1601.43|927.4|902.4|1285.6|34.90176817|1467.41|1528.06|691.32|691.32|691.32|1597.96|1601.23|520.3|691.32|529.48|1601.23|35.53|34.90176817|35.53|0|0|777.6|521.2|691.32|691.32|691.32|691.32|691.32|691.32|712.06|0|1956.54
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0487-01||ESTRADIOL 1 MG TABLET|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0500-01||PRAVASTATIN 10 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0500-11||PRAVASTATIN 10 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0250 - PHARMACY|00713-0118-12||ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY|21.39|11.34|16.04|17.11|18.18|19.25|0|17.28|15.4|14.48|0|21.39|14.14|0|10.31|17.51|13.43|13.07|0|0|16.04|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.56|10.21|0|0|0|0|0|0|0|0|21.39
HOSP OP|0250 - PHARMACY|62327-0444-44||TALC (BULK) 100 % POWDER|49|25.97|0|39.2|0|44.1|0|39.59|35.28|33.16|0|49|32.39|0|23.62|40.11|30.77|29.94|0|0|0|38.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.39|0|0|0|0|0|0|0|0|49
HOSP OP|0250 - PHARMACY|51552-0219-05||TALC (BULK) 100 % POWDER|49|25.97|0|39.2|0|44.1|0|39.59|35.28|33.16|0|49|32.39|0|23.62|40.11|30.77|29.94|0|0|0|38.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.39|0|0|0|0|0|0|0|0|49
HOSP OP|0250 - PHARMACY|00517-2710-25||CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION|47.65|25.25|0|38.12|0|42.89|0|38.5|34.31|32.25|0|47.65|31.5|0|22.97|39|29.92|29.11|0|0|0|37.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.74|0|0|0|0|0|0|0|0|47.65
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0578-30|J8499|RIVAROXABAN 15 MG TABLET|67|35.51|50.25|53.6|56.95|60.3|56.95|54.14|48.24|45.35|0|67|44.29|0|32.29|54.84|42.08|40.94|36.58|0|50.25|52.33|67|67|0|57.89|60.16|28.86|67|29.33|60.16|0|0|0|0|0|0|31.98|0|0|67|0|77.05|67|67|0|77.05
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0579-30|J8499|RIVAROXABAN 20 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|17.03|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|10.94|0|15.02|15.64|20.03|20.03|0|17.31|17.98|8.63|20.03|8.77|17.98|0|0|0|0|0|0|9.56|0|0|20.03|0|23.03|20.03|20.03|0|23.03
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0418-01||TEMAZEPAM 15 MG CAPSULE|20.26|10.74|15.2|16.21|17.22|18.23|0|16.37|14.59|13.71|0|20.26|13.39|0|9.77|16.58|12.72|12.38|0|0|15.2|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.26
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0418-20||TEMAZEPAM 15 MG CAPSULE|20.26|10.74|15.2|16.21|17.22|18.23|0|16.37|14.59|13.71|0|20.26|13.39|0|9.77|16.58|12.72|12.38|0|0|15.2|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.26
HOSP OP|0250 - PHARMACY|63323-0690-30||ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION|42.82|22.69|32.12|34.26|36.4|38.54|0|34.6|30.83|28.98|0|42.82|28.3|0|20.64|35.05|26.89|26.16|0|0|32.12|33.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.13|20.44|0|0|0|0|0|0|0|0|42.82
HOSP OP|0250 - PHARMACY|NMRRX-2141-69||ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION|42.82|22.69|32.12|34.26|36.4|38.54|0|34.6|30.83|28.98|0|42.82|28.3|0|20.64|35.05|26.89|26.16|0|0|32.12|33.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.13|20.44|0|0|0|0|0|0|0|0|42.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00069-0075-01|J9351|TOPOTECAN 4 MG INTRAVENOUS SOLUTION|664.59|352.23|498.44|531.67|564.9|598.13|0|536.99|478.5|449.79|0|664.59|50.4|0|36.8|543.97|48|46.8|0|1.031434185|498.44|519.04|0|0|0|0|0|0|0|0|0|1.05|1.031434185|1.05|0|0|0|26.8|0|0|0|0|0|0|0|0|664.59
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0824-06|J9351|TOPOTECAN 4 MG INTRAVENOUS SOLUTION|664.59|352.23|498.44|531.67|564.9|598.13|0|536.99|478.5|449.79|0|664.59|50.4|0|36.8|543.97|48|46.8|0|1.031434185|498.44|519.04|0|0|0|0|0|0|0|0|0|1.05|1.031434185|1.05|0|0|0|26.8|0|0|0|0|0|0|0|0|664.59
HOSP OP|0250 - PHARMACY|51672-1267-05||TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE|202.93|107.55|0|162.34|0|182.64|0|163.97|146.11|137.34|0|202.93|134.14|0|97.81|166.1|127.44|123.99|0|0|0|158.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|96.86|0|0|0|0|0|0|0|0|202.93
HOSP OP|0637 - DRUGS/SELF ADMIN|31722-0532-01||TORSEMIDE 100 MG TABLET|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6695-02|J3590|ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION|54.8|29.04|41.1|43.84|46.58|49.32|0|44.28|39.46|37.09|0|54.8|36.22|0|26.41|44.85|34.41|33.48|0|0|41.1|42.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.16|0|0|0|0|0|0|0|0|54.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55390-0763-20|J3590|ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION|54.8|29.04|41.1|43.84|46.58|49.32|0|44.28|39.46|37.09|0|54.8|36.22|0|26.41|44.85|34.41|33.48|0|0|41.1|42.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.16|0|0|0|0|0|0|0|0|54.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0431-30||MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|nmrrx-0102-72||MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-3207-13||CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0347-01||LOSARTAN 50 MG TABLET|21.03|11.15|15.77|16.82|17.88|18.93|0|16.99|15.14|14.23|0|21.03|13.9|0|10.14|17.21|13.21|12.85|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0347-11||LOSARTAN 50 MG TABLET|21.03|11.15|15.77|16.82|17.88|18.93|0|16.99|15.14|14.23|0|21.03|13.9|0|10.14|17.21|13.21|12.85|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.03
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-1817-01||LEVOTHYROXINE 175 MCG TABLET|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0523-61||ASCORBIC ACID (VITAMIN C) 500 MG TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89122-0724-12|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SOLUTION|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0250 - PHARMACY|00591-3214-72||FENTANYL 100 MCG/HR TRANSDERMAL PATCH|102.68|54.42|0|82.14|0|92.41|0|82.97|73.93|69.49|0|102.68|67.87|0|49.49|84.04|64.48|62.74|0|0|0|80.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.01|0|0|0|0|0|0|0|0|102.68
HOSP OP|0250 - PHARMACY|00713-0536-12||PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY|33.81|17.92|0|27.05|0|30.43|0|27.32|24.34|22.88|0|33.81|22.35|0|16.3|27.67|21.23|20.66|0|0|0|26.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.14|0|0|0|0|0|0|0|0|33.81
HOSP OP|0250 - PHARMACY|63323-0201-02|J2001|LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION|42.84|22.71|32.13|34.27|36.41|38.56|0|34.61|30.84|28.99|0|42.84|0.06|0|0.05|35.06|0.06|0.06|0|0.029469548|32.13|33.46|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|42.84
HOSP OP|0250 - PHARMACY|63323-0201-10|J2001|LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION|42.84|22.71|32.13|34.27|36.41|38.56|0|34.61|30.84|28.99|0|42.84|0.06|0|0.05|35.06|0.06|0.06|0|0.029469548|32.13|33.46|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|42.84
HOSP OP|0250 - PHARMACY|63323-0485-27|J2001|LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION|42.84|22.71|32.13|34.27|36.41|38.56|0|34.61|30.84|28.99|0|42.84|0.06|0|0.05|35.06|0.06|0.06|0|0.029469548|32.13|33.46|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|42.84
HOSP OP|0250 - PHARMACY|00409-4276-02|J2001|LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION|46.5|22.71|32.13|34.27|36.41|38.56|0|34.61|30.84|28.99|0|42.84|0.06|0|0.05|35.06|0.06|0.06|0|0.029469548|32.13|33.46|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|42.84
HOSP OP|0637 - DRUGS/SELF ADMIN|47781-0108-30||EXEMESTANE 25 MG TABLET|29.29|15.52|21.97|23.43|24.9|26.36|0|23.67|21.09|19.82|0|29.29|19.36|0|14.12|23.97|18.39|17.9|0|0|21.97|22.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.98|0|0|0|0|0|0|0|0|29.29
HOSP OP|0250 - PHARMACY|NMRRX-0104-01||PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION|26.35|13.97|0|21.08|0|23.72|0|21.29|18.97|17.83|0|26.35|17.42|0|12.7|21.57|16.55|16.1|0|0|0|20.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.58|0|0|0|0|0|0|0|0|26.35
HOSP OP|0637 - DRUGS/SELF ADMIN|33342-0026-07||FAMCICLOVIR 500 MG TABLET|21.81|11.56|16.36|17.45|18.54|19.63|0|17.62|15.7|14.76|0|21.81|14.42|0|10.51|17.85|13.7|13.33|0|0|16.36|17.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.41|0|0|0|0|0|0|0|0|21.81
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0221-01|J8499|TIMOLOL 10 MG TABLET|23.8|12.61|17.85|19.04|20.23|21.42|20.23|19.23|17.14|16.11|0|23.8|15.73|0|11.47|19.48|14.95|14.54|12.99|0|17.85|18.59|23.8|23.8|0|20.56|21.37|10.25|23.8|10.42|21.37|0|0|0|0|0|0|11.36|0|0|23.8|0|27.37|23.8|23.8|0|27.37
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0311-19|J0610|CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION|50.1|26.55|37.58|40.08|42.59|45.09|0|40.48|36.07|33.91|0|50.1|5.62|0|4.09|41.01|5.35|5.2|0|3.438113949|37.58|39.13|0|0|0|0|0|0|0|0|0|3.5|3.438113949|3.5|0|0|0|3|0|0|0|0|0|0|0|0|50.1
HOSP OP|0250 - PHARMACY|00641-6127-01||MORPHINE 10 MG/ML INTRAVENOUS SOLUTION|42.56|22.56|0|34.05|0|38.3|0|34.39|30.64|28.8|0|42.56|28.13|0|20.51|34.84|26.73|26|0|0|0|33.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.31|0|0|0|0|0|0|0|0|42.56
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68084-0915-25|J7520|SIROLIMUS 1 MG TABLET|76.22|40.4|57.17|60.98|64.79|68.6|0|61.59|54.88|51.59|0|76.22|18.66|0|13.56|62.39|17.72|17.26|0|6.001964637|57.17|59.53|0|0|0|0|0|0|0|0|0|6.11|6.001964637|6.11|0|0|0|9.96|0|0|0|0|0|0|0|0|76.22
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0863-20||CAPTOPRIL 12.5 MG TABLET|23.64|12.53|17.73|18.91|20.09|21.28|0|19.1|17.02|16|0|23.64|15.63|0|11.39|19.35|14.85|14.44|0|0|17.73|18.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.28|0|0|0|0|0|0|0|0|23.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0141-01||CHLORDIAZEPOXIDE 25 MG CAPSULE|21.37|11.33|16.03|17.1|18.16|19.23|0|17.27|15.39|14.46|0|21.37|14.13|0|10.3|17.49|13.42|13.06|0|0|16.03|16.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.2|0|0|0|0|0|0|0|0|21.37
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0141-20||CHLORDIAZEPOXIDE 25 MG CAPSULE|21.37|11.33|16.03|17.1|18.16|19.23|0|17.27|15.39|14.46|0|21.37|14.13|0|10.3|17.49|13.42|13.06|0|0|16.03|16.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.2|0|0|0|0|0|0|0|0|21.37
HOSP OP|0250 - PHARMACY|00562-7806-05||RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE|124.9|66.2|0|99.92|0|112.41|0|100.92|89.93|84.53|0|124.9|82.56|0|60.2|102.23|78.44|76.31|0|0|0|97.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|59.61|0|0|0|0|0|0|0|0|124.9
HOSP OP|0250 - PHARMACY|45802-0423-35||DESONIDE 0.05 % TOPICAL OINTMENT|157.71|83.59|0|126.17|0|141.94|0|127.43|113.55|106.74|0|157.71|104.25|0|76.02|129.09|99.04|96.36|0|0|0|123.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.27|0|0|0|0|0|0|0|0|157.71
HOSP OP|0250 - PHARMACY|42023-0104-01||TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION|58.85|31.19|0|47.08|0|52.97|0|47.55|42.37|39.83|0|58.85|38.9|0|28.37|48.17|36.96|35.96|0|0|0|45.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.09|0|0|0|0|0|0|0|0|58.85
HOSP OP|0250 - PHARMACY|00378-9112-93||NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH|21.98|11.65|0|17.58|0|19.78|0|17.76|15.83|14.88|0|21.98|14.53|0|10.59|17.99|13.8|13.43|0|0|0|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.49|0|0|0|0|0|0|0|0|21.98
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0670-01|J8610|METHOTREXATE SODIUM 2.5 MG TABLET|39.69|21.04|29.77|31.75|33.74|35.72|0|32.07|28.58|26.86|0|39.69|1.47|0|1.08|32.49|1.41|1.35|0|0.225933202|29.77|31|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.78|0|0|0|0|0|0|0|0|39.69
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0670-05|J8610|METHOTREXATE SODIUM 2.5 MG TABLET|39.69|21.04|29.77|31.75|33.74|35.72|0|32.07|28.58|26.86|0|39.69|1.47|0|1.08|32.49|1.41|1.35|0|0.225933202|29.77|31|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.78|0|0|0|0|0|0|0|0|39.69
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-3505-47||LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION|46.45|24.62|34.84|37.16|39.48|41.81|0|37.53|33.44|31.44|0|46.45|30.7|0|22.39|38.02|29.17|28.38|0|0|34.84|36.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.17|0|0|0|0|0|0|0|0|46.45
HOSP OP|0637 - DRUGS/SELF ADMIN|60432-0465-50||LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION|46.45|24.62|34.84|37.16|39.48|41.81|0|37.53|33.44|31.44|0|46.45|30.7|0|22.39|38.02|29.17|28.38|0|0|34.84|36.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.17|0|0|0|0|0|0|0|0|46.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00004-0038-22||VALGANCICLOVIR 450 MG TABLET|199.82|105.9|149.87|159.86|169.85|179.84|0|161.45|143.87|135.24|0|199.82|132.08|0|96.31|163.55|125.49|122.09|0|0|149.87|156.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|95.37|0|0|0|0|0|0|0|0|199.82
HOSP OP|0637 - DRUGS/SELF ADMIN|45963-0343-02||DESIPRAMINE 50 MG TABLET|25.96|13.76|19.47|20.77|22.07|23.36|0|20.98|18.69|17.57|0|25.96|17.16|0|12.51|21.25|16.3|15.86|0|0|19.47|20.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.39|0|0|0|0|0|0|0|0|25.96
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0112-11||ANASTROZOLE 1 MG TABLET|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0112-21||ANASTROZOLE 1 MG TABLET|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0250 - PHARMACY|59390-0192-05||HOMATROPINE 5 % EYE DROPS|76.54|40.57|57.41|61.23|65.06|68.89|0|61.84|55.11|51.8|0|76.54|50.59|0|36.89|62.65|48.07|46.77|0|0|57.41|59.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.62|36.53|0|0|0|0|0|0|0|0|76.54
HOSP OP|0250 - PHARMACY|43199-0014-01||HYOSCYAMINE ER 0.375 MG TABLETEXTENDED RELEASE12 HR|23.54|12.48|0|18.83|0|21.19|0|19.02|16.95|15.93|0|23.54|15.56|0|11.35|19.27|14.78|14.38|0|0|0|18.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.24|0|0|0|0|0|0|0|0|23.54
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-1026-06||NEFAZODONE 250 MG TABLET|23.71|12.57|17.78|18.97|20.15|21.34|0|19.16|17.07|16.05|0|23.71|15.67|0|11.43|19.41|14.89|14.49|0|0|17.78|18.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.32|0|0|0|0|0|0|0|0|23.71
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0189-81||MESALAMINE CR 250 MG CAPSULECONTROLLED RELEASE|28.46|15.08|21.35|22.77|24.19|25.61|0|23|20.49|19.26|0|28.46|18.81|0|13.72|23.29|17.87|17.39|0|0|21.35|22.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.58|0|0|0|0|0|0|0|0|28.46
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0523-01||ASPIRIN 325 MG TABLETDELAYED RELEASE|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0202-01||PRIMIDONE 50 MG TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0202-11||PRIMIDONE 50 MG TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0250 - PHARMACY|00378-3351-99||ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH|72.92|38.65|0|58.34|0|65.63|0|58.92|52.5|49.35|0|72.92|48.2|0|35.15|59.69|45.79|44.55|0|0|0|56.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.8|0|0|0|0|0|0|0|0|72.92
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6127-61||TERAZOSIN 2 MG CAPSULE|20.32|10.77|15.24|16.26|17.27|18.29|0|16.42|14.63|13.75|0|20.32|13.43|0|9.79|16.63|12.76|12.42|0|0|15.24|15.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|0|0|0|0|0|0|0|0|20.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6401-61||TAMSULOSIN SR 0.4 MG 24 HR CAP|20.7|10.97|15.53|16.56|17.6|18.63|0|16.73|14.9|14.01|0|20.7|13.68|0|9.98|16.94|13|12.65|0|0|15.53|16.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.28|9.88|0|0|0|0|0|0|0|0|20.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6553-04||LINEZOLID 600 MG TABLET|26.5|14.04|19.88|21.2|22.53|23.85|0|21.41|19.08|17.94|0|26.5|17.52|0|12.77|21.69|16.64|16.19|0|0|19.88|20.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.65|0|0|0|0|0|0|0|0|26.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0392-01||BUPROPION HCL SR 150 MG TABLET12 HR SUSTAINED-RELEASE|22.4|11.87|16.8|17.92|19.04|20.16|0|18.1|16.13|15.16|0|22.4|14.81|0|10.8|18.33|14.07|13.69|0|0|16.8|17.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.69|0|0|0|0|0|0|0|0|22.4
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0392-20||BUPROPION HCL SR 150 MG TABLET12 HR SUSTAINED-RELEASE|22.4|11.87|16.8|17.92|19.04|20.16|0|18.1|16.13|15.16|0|22.4|14.81|0|10.8|18.33|14.07|13.69|0|0|16.8|17.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.69|0|0|0|0|0|0|0|0|22.4
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0859-01||LEVETIRACETAM 250 MG TABLET|20.89|11.07|15.67|16.71|17.76|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|15.67|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0387-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULEEXTEND RELEASE|39.85|21.12|29.89|31.88|33.87|35.87|0|32.2|28.69|26.97|0|39.85|26.34|0|19.21|32.62|25.03|24.35|0|0|29.89|31.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02|0|0|0|0|0|0|0|0|39.85
HOSP OP|0250 - PHARMACY|55390-0881-10||LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION|1065.7|564.82|0|852.56|0|959.13|0|861.09|767.3|721.27|0|1065.7|704.43|0|513.67|872.28|669.26|651.14|0|0|0|832.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|508.66|0|0|0|0|0|0|0|0|1065.7
HOSP OP|0250 - PHARMACY|00574-7036-12||ASPIRIN 600 MG RECTAL SUPPOSITORY|24.07|12.76|0|19.26|0|21.66|0|19.45|17.33|16.29|0|24.07|15.91|0|11.6|19.7|15.12|14.71|0|0|0|18.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.49|0|0|0|0|0|0|0|0|24.07
HOSP OP|0250 - PHARMACY|51672-3007-01||HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS|415.12|220.01|0|332.1|0|373.61|0|335.42|298.89|280.95|0|415.12|274.39|0|200.09|339.78|260.7|253.64|0|0|0|324.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|198.14|0|0|0|0|0|0|0|0|415.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0583-01||PROPAFENONE 225 MG TABLET|20.73|10.99|15.55|16.58|17.62|18.66|0|16.75|14.93|14.03|0|20.73|13.7|0|9.99|16.97|13.02|12.67|0|0|15.55|16.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.73
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0286-02||DIPYRIDAMOLE 75 MG TABLET|22.3|11.82|16.73|17.84|18.96|20.07|0|18.02|16.06|15.09|0|22.3|14.74|0|10.75|18.25|14|13.63|0|0|16.73|17.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.64|0|0|0|0|0|0|0|0|22.3
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5798-61||FUROSEMIDE 80 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6555-61||TRAZODONE 100 MG TABLET|20.21|10.71|15.16|16.17|17.18|18.19|0|16.33|14.55|13.68|0|20.21|13.36|0|9.74|16.54|12.69|12.35|0|0|15.16|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.21
HOSP OP|0250 - PHARMACY|63323-0452-00|J2770|MORPHINE 2 MG/ML INJECTION SOLUTION|46.64|24.72|34.98|37.31|39.64|41.98|39.64|37.69|33.58|31.57|0|46.64|3.57|46.64|46.64|38.17|3.4|3.3|2.51|417.7701375|34.98|36.43|18.66|0|18.66|4.84|4.94|2.93|46.64|2.48|4.94|425.29|417.7701375|425.29|0|0|0|1.91|0|0|18.66|0|23.32|18.66|18.66|0|425.29
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0536-60||PEDIATRIC MULTIVITAMIN-IRON CHEWABLE TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0195-01||ROPINIROLE 0.25 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0195-11||ROPINIROLE 0.25 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-3030-23||NICOTINE (POLACRILEX) 4 MG GUM|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0130-11|J3490|DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION|86.82|46.01|65.12|69.46|73.8|78.14|0|70.15|62.51|58.76|0|86.82|57.39|0|41.85|71.06|54.52|53.05|0|0|65.12|67.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.44|0|0|0|0|0|0|0|0|86.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0117-20|J0295|AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION|45.61|24.17|34.21|36.49|38.77|41.05|0|36.85|32.84|30.87|0|45.61|6.76|0|4.92|37.33|6.42|6.26|0|2.583497053|34.21|35.62|0|0|0|0|0|0|0|0|0|2.63|2.583497053|2.63|0|0|0|3.6|0|0|0|0|0|0|0|0|45.61
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0119-20||DICYCLOMINE 20 MG TABLET|21.39|11.34|16.04|17.11|18.18|19.25|0|17.28|15.4|14.48|0|21.39|14.14|0|10.31|17.51|13.43|13.07|0|0|16.04|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.21|0|0|0|0|0|0|0|0|21.39
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0125-10||TEMAZEPAM 30 MG CAPSULE|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0272-05|J2680|FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION|75.99|40.27|56.99|60.79|64.59|68.39|0|61.4|54.71|51.43|0|75.99|19.93|0|14.49|62.2|18.94|18.43|0|9.980353635|56.99|59.35|0|0|0|0|0|0|0|0|0|10.16|9.980353635|10.16|0|0|0|10.64|0|0|0|0|0|0|0|0|75.99
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8390-62||MORPHINE ER 100 MG TABLETEXTENDED RELEASE|32.02|16.97|24.02|25.62|27.22|28.82|0|25.87|23.05|21.67|0|32.02|21.17|0|15.43|26.21|20.11|19.56|0|0|24.02|25.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.28|0|0|0|0|0|0|0|0|32.02
HOSP OP|0250 - PHARMACY|00395-1949-88||CLOVE OIL (BULK)|31.13|16.5|0|24.9|0|28.02|0|25.15|22.41|21.07|0|31.13|20.58|0|15|25.48|19.55|19.02|0|0|0|24.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.86|0|0|0|0|0|0|0|0|31.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8739-25|J7512|PREDNISONE 1 MG TABLET|21.55|11.42|16.16|17.24|18.32|19.4|0|17.41|15.52|14.59|0|21.55|0.09|0|0.06|17.64|0.06|0.06|0|0.009823183|16.16|16.83|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|21.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-5656-01|J9181|ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION|96.75|51.28|72.56|77.4|82.24|87.08|0|78.17|69.66|65.48|0|96.75|45|0|33|79.19|43|42|0|0.648330059|72.56|75.56|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|24|0|0|0|0|0|0|0|0|96.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|16729-0114-31|J9181|ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION|14.67|51.28|72.56|77.4|82.24|87.08|0|78.17|69.66|65.48|0|96.75|45|0|33|79.19|43|42|0|0.648330059|72.56|75.56|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|24|0|0|0|0|0|0|0|0|96.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-5657-01|J9181|ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION|193.35|51.28|72.56|77.4|82.24|87.08|0|78.17|69.66|65.48|0|96.75|45|0|33|79.19|43|42|0|0.648330059|72.56|75.56|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|24|0|0|0|0|0|0|0|0|96.75
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0724-01||HYDROXYUREA 500 MG CAPSULE|20.8|11.02|15.6|16.64|17.68|18.72|0|16.81|14.98|14.08|0|20.8|13.75|0|10.03|17.02|13.06|12.71|0|0|15.6|16.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.8
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0673-84||RISPERIDONE 1 MG/ML ORAL SOLUTION|28.25|14.97|21.19|22.6|24.01|25.43|0|22.83|20.34|19.12|0|28.25|18.67|0|13.62|23.12|17.74|17.26|0|0|21.19|22.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.48|0|0|0|0|0|0|0|0|28.25
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0110-33||RISPERIDONE 1 MG/ML ORAL SOLUTION|28.25|14.97|21.19|22.6|24.01|25.43|0|22.83|20.34|19.12|0|28.25|18.67|0|13.62|23.12|17.74|17.26|0|0|21.19|22.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.48|0|0|0|0|0|0|0|0|28.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0595-30||SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION|28.6|15.16|21.45|22.88|24.31|25.74|0|23.11|20.59|19.36|0|28.6|18.9|0|13.79|23.41|17.96|17.47|0|0|21.45|22.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.65|0|0|0|0|0|0|0|0|28.6
HOSP OP|0250 - PHARMACY|24208-0631-10||NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10000 UNIT/ML-1 % EAR SOLUTION|175.69|93.12|0|140.55|0|158.12|0|141.96|126.5|118.91|0|175.69|116.13|0|84.68|143.8|110.33|107.35|0|0|0|137.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.86|0|0|0|0|0|0|0|0|175.69
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0022-01||NIFEDIPINE 10 MG CAPSULE|22.16|11.74|16.62|17.73|18.84|19.94|0|17.91|15.96|15|0|22.16|14.65|0|10.68|18.14|13.92|13.54|0|0|16.62|17.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.58|0|0|0|0|0|0|0|0|22.16
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0022-11||NIFEDIPINE 10 MG CAPSULE|22.16|11.74|16.62|17.73|18.84|19.94|0|17.91|15.96|15|0|22.16|14.65|0|10.68|18.14|13.92|13.54|0|0|16.62|17.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.58|0|0|0|0|0|0|0|0|22.16
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0103-65|J9060|CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION|46.8|24.8|35.1|37.44|39.78|42.12|0|37.81|33.7|31.67|0|46.8|23.9|0|17.4|38.31|22.7|22.1|0|2.033398821|35.1|36.55|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|12.7|0|0|0|0|0|0|0|0|46.8
HOSP OP|0250 - PHARMACY|61314-0656-05||CIPROFLOXACIN 0.3 % EYE DROPS|95.29|50.5|0|76.23|0|85.76|0|76.99|68.61|64.49|0|95.29|62.99|0|45.93|77.99|59.84|58.22|0|0|0|74.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.48|0|0|0|0|0|0|0|0|95.29
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0161-11|J0630|CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY|81.56|43.23|61.17|65.25|69.33|73.4|69.33|65.9|58.72|55.2|0|81.56|81.56|81.56|81.56|66.76|81.56|81.56|81.56|2656.483301|61.17|63.7|81.56|81.56|0|81.56|80.09|79.96|81.56|80.09|80.09|2704.3|2656.483301|2704.3|0|0|81.56|79.93|0|0|81.56|0|93.79|81.56|81.56|0|2704.3
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0269-10||TAMOXIFEN 10 MG TABLET|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|00527-1311-01||TERBUTALINE 5 MG TABLET|35.16|18.63|26.37|28.13|29.89|31.64|0|28.41|25.32|23.8|0|35.16|23.24|0|16.95|28.78|22.08|21.48|0|0|26.37|27.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.78|0|0|0|0|0|0|0|0|35.16
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0111-49||FLUCONAZOLE 10 MG/ML ORAL SUSPENSION|34.84|18.47|26.13|27.87|29.61|31.36|0|28.15|25.08|23.58|0|34.84|23.03|0|16.79|28.52|21.88|21.29|0|0|26.13|27.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.63|0|0|0|0|0|0|0|0|34.84
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-5029-01||FLUCONAZOLE 10 MG/ML ORAL SUSPENSION|86.53|18.47|26.13|27.87|29.61|31.36|0|28.15|25.08|23.58|0|34.84|23.03|0|16.79|28.52|21.88|21.29|0|0|26.13|27.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.63|0|0|0|0|0|0|0|0|34.84
HOSP OP|0250 - PHARMACY|29336-0610-24||IMIQUIMOD 5 % TOPICAL CREAM PACKET|25.74|13.64|0|20.59|0|23.17|0|20.8|18.53|17.42|0|25.74|17.01|0|12.41|21.07|16.16|15.73|0|0|0|20.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.29|0|0|0|0|0|0|0|0|25.74
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8174-25|J8540|DEXAMETHASONE 1 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|0.32|0|0.24|17.08|0.28|0.28|0|0.019646365|15.65|16.3|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.12|0|0|0|0|0|0|0|0|20.87
HOSP OP|0250 - PHARMACY|11701-0067-14||MICONAZOLE NITRATE 2 % TOPICAL OINTMENT|70.27|37.24|0|56.22|0|63.24|0|56.78|50.59|47.56|0|70.27|46.45|0|33.87|57.52|44.13|42.93|0|0|0|54.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.54|0|0|0|0|0|0|0|0|70.27
HOSP OP|0250 - PHARMACY|11701-0067-23||MICONAZOLE NITRATE 2 % TOPICAL OINTMENT|40.18|37.24|0|56.22|0|63.24|0|56.78|50.59|47.56|0|70.27|46.45|0|33.87|57.52|44.13|42.93|0|0|0|54.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.54|0|0|0|0|0|0|0|0|70.27
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0131-01||AMITRIPTYLINE 10 MG TABLET|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0131-20||AMITRIPTYLINE 10 MG TABLET|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0258 - IV SOLUTIONS|00409-7109-09|J7042|POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS|57.5|30.47|43.13|46|48.88|51.75|0|46.46|41.4|38.92|0|57.5|2.58|0|1.88|47.06|2.46|2.38|0|0.933202358|43.13|44.91|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|57.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3113-90|J2543|PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION|48.75|25.84|36.56|39|41.44|43.88|0|39.39|35.1|32.99|0|48.75|7.5|0|5.46|39.9|7.14|6.93|0|1.84675835|36.56|38.07|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|3.99|0|0|0|0|0|0|0|0|48.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3350-95|J2543|PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION|48.75|25.84|36.56|39|41.44|43.88|0|39.39|35.1|32.99|0|48.75|7.5|0|5.46|39.9|7.14|6.93|0|1.84675835|36.56|38.07|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|3.99|0|0|0|0|0|0|0|0|48.75
HOSP OP|0250 - PHARMACY|67457-0163-00||SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION|221.41|117.35|0|177.13|0|199.27|0|178.9|159.42|149.85|0|221.41|146.35|0|106.72|181.22|139.05|135.28|0|0|0|172.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.68|0|0|0|0|0|0|0|0|221.41
HOSP OP|0637 - DRUGS/SELF ADMIN|66553-0008-01||SODIUM BICARBONATE 650 MG TABLET|20.23|10.72|15.17|16.18|17.2|18.21|0|16.35|14.57|13.69|0|20.23|13.37|0|9.75|16.56|12.7|12.36|0|0|15.17|15.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.23
HOSP OP|0250 - PHARMACY|67457-0211-02||FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION|2329.5|1234.63|0|1863.6|0|2096.55|0|1882.24|1677.24|1576.61|0|2329.5|1539.8|0|1122.82|1906.7|1462.93|1423.32|0|0|0|1819.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1111.87|0|0|0|0|0|0|0|0|2329.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6009-61||LORAZEPAM 2 MG TABLET|20.21|10.71|15.16|16.17|17.18|18.19|0|16.33|14.55|13.68|0|20.21|13.36|0|9.74|16.54|12.69|12.35|0|0|15.16|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-2582-21||CARISOPRODOL 350 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0511-01||MECLIZINE 25 MG TABLET|21.55|11.42|16.16|17.24|18.32|19.4|0|17.41|15.52|14.59|0|21.55|14.24|0|10.39|17.64|13.53|13.17|0|0|16.16|16.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.62|10.29|0|0|0|0|0|0|0|0|21.55
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0511-20||MECLIZINE 25 MG TABLET|21.55|11.42|16.16|17.24|18.32|19.4|0|17.41|15.52|14.59|0|21.55|14.24|0|10.39|17.64|13.53|13.17|0|0|16.16|16.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.62|10.29|0|0|0|0|0|0|0|0|21.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8380-23||MORPHINE ER 60 MG TABLETEXTENDED RELEASE|28.12|14.9|21.09|22.5|23.9|25.31|0|22.72|20.25|19.03|0|28.12|18.59|0|13.55|23.02|17.66|17.18|0|0|21.09|21.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.42|0|0|0|0|0|0|0|0|28.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8380-62||MORPHINE ER 60 MG TABLETEXTENDED RELEASE|28.12|14.9|21.09|22.5|23.9|25.31|0|22.72|20.25|19.03|0|28.12|18.59|0|13.55|23.02|17.66|17.18|0|0|21.09|21.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.42|0|0|0|0|0|0|0|0|28.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0284-20||DIAZEPAM 2 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-0220-56||BICALUTAMIDE 50 MG TABLET|20.71|10.98|15.53|16.57|17.6|18.64|0|16.73|14.91|14.02|0|20.71|13.69|0|9.98|16.95|13.01|12.65|0|0|15.53|16.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.88|0|0|0|0|0|0|0|0|20.71
HOSP OP|0250 - PHARMACY|00009-0297-03||GELATIN ABSORBABLE EYE FILM|648.43|343.67|0|518.74|0|583.59|0|523.93|466.87|438.86|0|648.43|428.61|0|312.54|530.74|407.21|396.19|0|0|0|506.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|309.5|0|0|0|0|0|0|0|0|648.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0493-21|J1165|PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION|42.58|22.57|31.94|34.06|36.19|38.32|0|34.4|30.66|28.82|0|42.58|2.68|0|1.96|34.85|2.56|2.48|0|0.982318271|31.94|33.25|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|1.42|0|0|0|0|0|0|0|0|42.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-2555-41|J1165|PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION|42.58|22.57|31.94|34.06|36.19|38.32|0|34.4|30.66|28.82|0|42.58|2.68|0|1.96|34.85|2.56|2.48|0|0.982318271|31.94|33.25|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|1.42|0|0|0|0|0|0|0|0|42.58
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1103-81||CONJUGATED ESTROGENS 0.9 MG TABLET|36.46|19.32|27.35|29.17|30.99|32.81|0|29.46|26.25|24.68|0|36.46|24.1|0|17.57|29.84|22.9|22.28|0|0|27.35|28.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.4|0|0|0|0|0|0|0|0|36.46
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0055-11||DILTIAZEM CD 300 MG CAPSULEEXTENDED RELEASE 24 HR|23.51|12.46|17.63|18.81|19.98|21.16|0|19|16.93|15.91|0|23.51|15.54|0|11.33|19.24|14.76|14.36|0|0|17.63|18.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.22|0|0|0|0|0|0|0|0|23.51
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0522-60||ASCORBIC ACID (VITAMIN C) 250 MG TABLET|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0561-11||CARBAMAZEPINE ER 200 MG TABLETEXTENDED RELEASE12 HR|27.29|14.46|20.47|21.83|23.2|24.56|0|22.05|19.65|18.47|0|27.29|18.04|0|13.15|22.34|17.14|16.67|0|0|20.47|21.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.03|0|0|0|0|0|0|0|0|27.29
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0561-21||CARBAMAZEPINE ER 200 MG TABLETEXTENDED RELEASE12 HR|27.29|14.46|20.47|21.83|23.2|24.56|0|22.05|19.65|18.47|0|27.29|18.04|0|13.15|22.34|17.14|16.67|0|0|20.47|21.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.03|0|0|0|0|0|0|0|0|27.29
HOSP OP|0637 - DRUGS/SELF ADMIN|75826-0114-10||PHENAZOPYRIDINE 100 MG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0637 - DRUGS/SELF ADMIN|65597-0701-18||COLESEVELAM 625 MG TABLET|51.1|27.08|38.33|40.88|43.44|45.99|0|41.29|36.79|34.58|0|51.1|33.78|0|24.63|41.83|32.09|31.22|0|0|38.33|39.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.39|0|0|0|0|0|0|0|0|51.1
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0522-10||PROMETHAZINE 50 MG TABLET|20.21|10.71|15.16|16.17|17.18|18.19|0|16.33|14.55|13.68|0|20.21|13.36|0|9.74|16.54|12.69|12.35|0|0|15.16|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.21
HOSP OP|0250 - PHARMACY|00713-0135-06||PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY|36.66|19.43|0|29.33|0|32.99|0|29.62|26.4|24.81|0|36.66|24.23|0|17.67|30.01|23.02|22.4|0|0|0|28.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.5|0|0|0|0|0|0|0|0|36.66
HOSP OP|0250 - PHARMACY|00713-0135-12||PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY|36.66|19.43|0|29.33|0|32.99|0|29.62|26.4|24.81|0|36.66|24.23|0|17.67|30.01|23.02|22.4|0|0|0|28.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.5|0|0|0|0|0|0|0|0|36.66
HOSP OP|0637 - DRUGS/SELF ADMIN|54879-0002-00||ETHAMBUTOL 400 MG TABLET|22.41|11.88|16.81|17.93|19.05|20.17|0|18.11|16.14|15.17|0|22.41|14.81|0|10.8|18.34|14.07|13.69|0|0|16.81|17.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.7|0|0|0|0|0|0|0|0|22.41
HOSP OP|0637 - DRUGS/SELF ADMIN|68850-0012-01||ETHAMBUTOL 400 MG TABLET|22.41|11.88|16.81|17.93|19.05|20.17|0|18.11|16.14|15.17|0|22.41|14.81|0|10.8|18.34|14.07|13.69|0|0|16.81|17.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.7|0|0|0|0|0|0|0|0|22.41
HOSP OP|0637 - DRUGS/SELF ADMIN|68850-0012-02||ETHAMBUTOL 400 MG TABLET|22.41|11.88|16.81|17.93|19.05|20.17|0|18.11|16.14|15.17|0|22.41|14.81|0|10.8|18.34|14.07|13.69|0|0|16.81|17.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.7|0|0|0|0|0|0|0|0|22.41
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6475-61||BACLOFEN 10 MG TABLET|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6371-61||AMLODIPINE 10 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0452-01||AMLODIPINE 10 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0452-20||AMLODIPINE 10 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0250 - PHARMACY|08065-1830-85||SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE|197.91|104.89|0|158.33|0|178.12|0|159.91|142.5|133.95|0|197.91|130.82|0|95.39|161.99|124.29|120.92|0|0|0|154.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|94.46|0|0|0|0|0|0|0|0|197.91
HOSP OP|0637 - DRUGS/SELF ADMIN|00245-0071-11||POTASSIUM CITRATE 10 MEQ (1080 MG) TAB|23.95|12.69|17.96|19.16|20.36|21.56|0|19.35|17.24|16.21|0|23.95|15.83|0|11.54|19.6|15.04|14.63|0|0|17.96|18.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.43|0|0|0|0|0|0|0|0|23.95
HOSP OP|0637 - DRUGS/SELF ADMIN|67877-0105-01||BENZONATATE 100 MG CAPSULE|20.75|11|15.56|16.6|17.64|18.68|0|16.77|14.94|14.04|0|20.75|13.72|0|10|16.98|13.03|12.68|0|0|15.56|16.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.9|0|0|0|0|0|0|0|0|20.75
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0570-10||SIMVASTATIN 5 MG TABLET|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3158-95|J0583|BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION|277.8|147.23|208.35|222.24|236.13|250.02|0|224.46|200.02|188.02|0|277.8|257.5|0|187.5|227.38|245|237.5|0|0.569744597|208.35|216.96|0|0|0|0|0|0|0|0|0|0.58|0.569744597|0.58|0|0|0|135|0|0|0|0|0|0|0|0|277.8
HOSP OP|0250 - PHARMACY|61314-0226-05||TIMOLOL MALEATE 0.25 % EYE DROPS|39.4|20.88|0|31.52|0|35.46|0|31.84|28.37|26.67|0|39.4|26.04|0|18.99|32.25|24.74|24.07|0|0|0|30.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.81|0|0|0|0|0|0|0|0|39.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0236-24||MORPHINE 30 MG IMMEDIATE RELEASE TABLET|23.59|12.5|17.69|18.87|20.05|21.23|0|19.06|16.98|15.97|0|23.59|15.59|0|11.37|19.31|14.81|14.41|0|0|17.69|18.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.26|0|0|0|0|0|0|0|0|23.59
HOSP OP|0637 - DRUGS/SELF ADMIN|31722-0529-01||TORSEMIDE 5 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|00869-0810-43||ISOPROPYL ALCOHOL 70 % SOLUTION|24.26|12.86|18.2|19.41|20.62|21.83|0|19.6|17.47|16.42|0|24.26|16.04|0|11.69|19.86|15.24|14.82|0|0|18.2|18.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|11.58|0|0|0|0|0|0|0|0|24.26
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1766-13||IMIPRAMINE 50 MG TABLET|21.05|11.16|15.79|16.84|17.89|18.95|0|17.01|15.16|14.25|0|21.05|13.91|0|10.15|17.23|13.22|12.86|0|0|15.79|16.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.05|0|0|0|0|0|0|0|0|21.05
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0993-20||FLUVOXAMINE 100 MG TABLET|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0224-01||GEMFIBROZIL 600 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0224-11||GEMFIBROZIL 600 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|62856-0705-10||PILOCARPINE 5 MG TABLET|24.74|13.11|18.56|19.79|21.03|22.27|0|19.99|17.81|16.74|0|24.74|16.35|0|11.92|20.25|15.54|15.12|0|0|18.56|19.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.81|0|0|0|0|0|0|0|0|24.74
HOSP OP|0250 - PHARMACY|00574-7045-12||BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY|74.44|39.45|0|59.55|0|67|0|60.15|53.6|50.38|0|74.44|49.2|0|35.88|60.93|46.75|45.48|0|0|0|58.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.53|0|0|0|0|0|0|0|0|74.44
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0116-25||OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP|25.59|13.56|19.19|20.47|21.75|23.03|0|20.68|18.42|17.32|0|25.59|16.91|0|12.33|20.95|16.07|15.64|0|0|19.19|19.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.21|0|0|0|0|0|0|0|0|25.59
HOSP OP|0250 - PHARMACY|00395-2662-16||CHERRY FLAVOR (BULK) ORAL SYRUP|52.64|27.9|0|42.11|0|47.38|0|42.53|37.9|35.63|0|52.64|34.8|0|25.37|43.09|33.06|32.16|0|0|0|41.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.13|0|0|0|0|0|0|0|0|52.64
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0295-21||GLIPIZIDE ER 2.5 MG TABLET EXTENDED RELEASE 24 HR|23|12.19|17.25|18.4|19.55|20.7|0|18.58|16.56|15.57|0|23|15.2|0|11.09|18.83|14.44|14.05|0|0|17.25|17.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.98|0|0|0|0|0|0|0|0|23
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8176-25|J8540|DEXAMETHASONE 2 MG TABLET|21.67|11.49|16.25|17.34|18.42|19.5|0|17.51|15.6|14.67|0|21.67|0.64|0|0.48|17.74|0.56|0.56|0|0.019646365|16.25|16.92|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.24|0|0|0|0|0|0|0|0|21.67
HOSP OP|0637 - DRUGS/SELF ADMIN|00597-0001-60||DIPYRIDAMOLE SR-ASPIRIN 200 MG-25 MG MULTIPHASE 12 HR CAP|46.19|24.48|34.64|36.95|39.26|41.57|0|37.32|33.26|31.26|0|46.19|30.53|0|22.26|37.81|29.01|28.22|0|0|34.64|36.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.05|0|0|0|0|0|0|0|0|46.19
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00003-0293-05|J3301|TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION|50.87|26.96|38.15|40.7|43.24|45.78|0|41.1|36.63|34.43|0|50.87|4.38|0|3.18|41.64|4.16|4.06|0|1.561886051|38.15|39.73|0|0|0|0|0|0|0|0|0|1.59|1.561886051|1.59|0|0|0|2.34|0|0|0|0|0|0|0|0|50.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6049-01|J2060|LORAZEPAM 4 MG/ML INJECTION SOLUTION|41.55|22.02|31.16|33.24|35.32|37.4|0|33.57|29.92|28.12|0|41.55|1.88|0|1.36|34.01|1.78|1.74|0|0.697445972|31.16|32.45|0|0|0|0|0|0|0|0|0|0.71|0.697445972|0.71|0|0|0|1|0|0|0|0|0|0|0|0|41.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-7501-11|J1815|INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION|140.7|74.57|105.53|112.56|119.6|126.63|0|113.69|101.3|95.23|0|140.7|140.7|0|140.7|115.16|140.7|140.7|0|0.903732809|105.53|109.89|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|122|0|0|0|0|0|0|0|0|140.7
HOSP OP|0250 - PHARMACY|50242-0100-40||DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION|306.85|162.63|0|245.48|0|276.17|0|247.93|220.93|207.68|0|306.85|202.83|0|147.9|251.16|192.7|187.49|0|0|0|239.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.46|0|0|0|0|0|0|0|0|306.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-8739-01||MEXILETINE 150 MG CAPSULE|21.52|11.41|16.14|17.22|18.29|19.37|0|17.39|15.49|14.56|0|21.52|14.22|0|10.37|17.61|13.51|13.15|0|0|16.14|16.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.52
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0117-57||INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION|54.09|28.67|40.57|43.27|45.98|48.68|0|43.7|38.94|36.61|0|54.09|35.75|0|26.07|44.27|33.97|33.05|0|0|40.57|42.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.82|0|0|0|0|0|0|0|0|54.09
HOSP OP|0250 - PHARMACY|24208-0344-25||FLUNISOLIDE 25 MCG (0.025 %) NASAL SPRAY|139|73.67|0|111.2|0|125.1|0|112.31|100.08|94.08|0|139|91.88|0|67|113.77|87.29|84.93|0|0|0|108.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.34|0|0|0|0|0|0|0|0|139
HOSP OP|0637 - DRUGS/SELF ADMIN|00074-4552-11||LEVOTHYROXINE 50 MCG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0440-01||LEVOTHYROXINE 50 MCG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0440-20||LEVOTHYROXINE 50 MCG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0250 - PHARMACY|00713-0109-01||BISACODYL 10 MG RECTAL SUPPOSITORY|20.18|10.7|0|16.14|0|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|0|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1412-20|Q9966|IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION|2.41|1.28|1.81|1.93|2.05|2.17|0|1.95|1.74|1.63|0|2.41|0.43|0|0.31|1.97|0.4|0.39|0|0.324165029|1.81|1.88|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|0.22|0|0|0|0|0|0|0|0|2.41
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1412-26|Q9966|IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION|2.41|1.28|1.81|1.93|2.05|2.17|0|1.95|1.74|1.63|0|2.41|0.43|0|0.31|1.97|0.4|0.39|0|0.324165029|1.81|1.88|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|0.22|0|0|0|0|0|0|0|0|2.41
HOSP OP|0250 - PHARMACY|24208-0342-05||DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY|586.48|310.83|0|469.18|0|527.83|0|473.88|422.27|396.93|0|586.48|387.66|0|282.68|480.03|368.31|358.34|0|0|0|458.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|279.93|0|0|0|0|0|0|0|0|586.48
HOSP OP|0637 - DRUGS/SELF ADMIN|43547-0271-10||ROPINIROLE 2 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8740-25|J7512|PREDNISONE 2.5 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|0.09|0|0.06|16.57|0.06|0.06|0|0.009823183|15.19|15.82|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.25
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0163-01||CEPHALEXIN 500 MG CAPSULE|20.72|10.98|15.54|16.58|17.61|18.65|0|16.74|14.92|14.02|0|20.72|13.7|0|9.99|16.96|13.01|12.66|0|0|15.54|16.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.29|9.89|0|0|0|0|0|0|0|0|20.72
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0163-11||CEPHALEXIN 500 MG CAPSULE|20.72|10.98|15.54|16.58|17.61|18.65|0|16.74|14.92|14.02|0|20.72|13.7|0|9.99|16.96|13.01|12.66|0|0|15.54|16.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.29|9.89|0|0|0|0|0|0|0|0|20.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0046-01||PAROXETINE 30 MG TABLET|22.65|12|16.99|18.12|19.25|20.39|0|18.3|16.31|15.33|0|22.65|14.97|0|10.92|18.54|14.22|13.84|0|0|16.99|17.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.81|0|0|0|0|0|0|0|0|22.65
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0046-11||PAROXETINE 30 MG TABLET|22.65|12|16.99|18.12|19.25|20.39|0|18.3|16.31|15.33|0|22.65|14.97|0|10.92|18.54|14.22|13.84|0|0|16.99|17.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.81|0|0|0|0|0|0|0|0|22.65
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5677-61||PAROXETINE 20 MG TABLET|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0774-01||PAROXETINE 20 MG TABLET|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0774-20||PAROXETINE 20 MG TABLET|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0045-11||PAROXETINE 20 MG TABLET|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0258 - IV SOLUTIONS|00409-7941-09|J7042|DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|2.58|0|1.88|42.97|2.46|2.38|0|0.933202358|39.38|41|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-9367-94|J2543|PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION|52.19|27.66|39.14|41.75|44.36|46.97|0|42.17|37.58|35.32|0|52.19|10|0|7.28|42.72|9.52|9.24|0|1.84675835|39.14|40.76|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|5.32|0|0|0|0|0|0|0|0|52.19
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-9367-95|J2543|PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION|52.19|27.66|39.14|41.75|44.36|46.97|0|42.17|37.58|35.32|0|52.19|10|0|7.28|42.72|9.52|9.24|0|1.84675835|39.14|40.76|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|5.32|0|0|0|0|0|0|0|0|52.19
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0651-01||DOXEPIN 100 MG CAPSULE|24.64|13.06|18.48|19.71|20.94|22.18|0|19.91|17.74|16.68|0|24.64|16.29|0|11.88|20.17|15.47|15.06|0|0|18.48|19.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.76|0|0|0|0|0|0|0|0|24.64
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6293-04||ATORVASTATIN 80 MG TABLET|20.81|11.03|15.61|16.65|17.69|18.73|0|16.81|14.98|14.08|0|20.81|13.76|0|10.03|17.03|13.07|12.71|0|0|15.61|16.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.81
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0723-03|J3490|REMIFENTANIL 1 MG INTRAVENOUS SOLUTION|155.31|82.31|116.48|124.25|132.01|139.78|0|125.49|111.82|105.11|0|155.31|102.66|0|74.86|127.12|97.53|94.89|0|0|116.48|121.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|74.13|0|0|0|0|0|0|0|0|155.31
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6443-61||HYDRALAZINE 100 MG TABLET|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0813-09||PANTOPRAZOLE 40 MG TABLETDELAYED RELEASE|20.5|10.86|15.38|16.4|17.43|18.45|0|16.56|14.76|13.87|0|20.5|13.55|0|9.88|16.78|12.87|12.53|0|0|15.38|16.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.2|9.78|0|0|0|0|0|0|0|0|20.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0813-11||PANTOPRAZOLE 40 MG TABLETDELAYED RELEASE|20.5|10.86|15.38|16.4|17.43|18.45|0|16.56|14.76|13.87|0|20.5|13.55|0|9.88|16.78|12.87|12.53|0|0|15.38|16.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.2|9.78|0|0|0|0|0|0|0|0|20.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0698-01|J2930|METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG INTRAVENOUS SOLUTION|137.15|72.69|102.86|109.72|116.58|123.44|0|110.82|98.75|92.82|0|137.15|71.52|0|52|112.26|68|66.16|0|6.316306483|102.86|107.11|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|38.16|0|0|0|0|0|0|0|0|137.15
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0512-01||SIMVASTATIN 20 MG TABLET|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0512-11||SIMVASTATIN 20 MG TABLET|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0637 - DRUGS/SELF ADMIN|24208-0910-19||ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT|50.74|26.89|38.06|40.59|43.13|45.67|0|41|36.53|34.34|0|50.74|33.54|0|24.46|41.53|31.86|31|0|0|38.06|39.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.3|24.22|0|0|0|0|0|0|0|0|50.74
HOSP OP|0637 - DRUGS/SELF ADMIN|57664-0393-88||VENLAFAXINE 37.5 MG TABLET|20.93|11.09|15.7|16.74|17.79|18.84|0|16.91|15.07|14.17|0|20.93|13.83|0|10.09|17.13|13.14|12.79|0|0|15.7|16.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.99|0|0|0|0|0|0|0|0|20.93
HOSP OP|0250 - PHARMACY|00065-8531-10||CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPSSUSPENSION|900.73|477.39|0|720.58|0|810.66|0|727.79|648.53|609.61|0|900.73|595.38|0|434.15|737.25|565.66|550.35|0|0|0|703.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|429.92|0|0|0|0|0|0|0|0|900.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|42023-0116-25|J2590|OXYTOCIN 10 UNIT/ML INJECTION SOLUTION|41.53|22.01|31.15|33.22|35.3|37.38|0|33.56|29.9|28.11|0|41.53|1.12|0|0.82|33.99|1.07|1.04|0|1.434184676|31.15|32.43|0|0|0|0|0|0|0|0|0|1.46|1.434184676|1.46|0|0|0|0.59|0|0|0|0|0|0|0|0|41.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0012-01|J2590|OXYTOCIN 10 UNIT/ML INJECTION SOLUTION|41.53|22.01|31.15|33.22|35.3|37.38|0|33.56|29.9|28.11|0|41.53|1.12|0|0.82|33.99|1.07|1.04|0|1.434184676|31.15|32.43|0|0|0|0|0|0|0|0|0|1.46|1.434184676|1.46|0|0|0|0.59|0|0|0|0|0|0|0|0|41.53
HOSP OP|0258 - IV SOLUTIONS|00409-7670-09|J7060|ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|6.4|0|4.66|42.97|6.08|5.92|0|1.817288802|39.38|41|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|3.4|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|39822-0190-01|J1120|ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION|57.88|30.68|43.41|46.3|49.2|52.09|0|46.77|41.67|39.17|0|57.88|18.29|0|13.3|47.37|17.38|16.92|0|14.13555992|43.41|45.2|0|0|0|0|0|0|0|0|0|14.39|14.13555992|14.39|0|0|0|9.77|0|0|0|0|0|0|0|0|57.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|39822-0190-07|J1120|ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION|57.88|30.68|43.41|46.3|49.2|52.09|0|46.77|41.67|39.17|0|57.88|18.29|0|13.3|47.37|17.38|16.92|0|14.13555992|43.41|45.2|0|0|0|0|0|0|0|0|0|14.39|14.13555992|14.39|0|0|0|9.77|0|0|0|0|0|0|0|0|57.88
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4001-01||NORTRIPTYLINE 10 MG CAPSULE|20.28|10.75|15.21|16.22|17.24|18.25|0|16.39|14.6|13.73|0|20.28|13.41|0|9.77|16.6|12.74|12.39|0|0|15.21|15.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.28
HOSP OP|0250 - PHARMACY|00009-3073-01||METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION|56.08|29.72|0|44.86|0|50.47|0|45.31|40.38|37.95|0|56.08|37.07|0|27.03|45.9|35.22|34.26|0|0|0|43.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.77|0|0|0|0|0|0|0|0|56.08
HOSP OP|0250 - PHARMACY|00009-3073-03||METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION|56.08|29.72|0|44.86|0|50.47|0|45.31|40.38|37.95|0|56.08|37.07|0|27.03|45.9|35.22|34.26|0|0|0|43.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.77|0|0|0|0|0|0|0|0|56.08
HOSP OP|0250 - PHARMACY|00904-5306-61||DIPHENHYDRAMINE 25 MG CAPSULE|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.04|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0835-94||ACYCLOVIR 5 % TOPICAL OINTMENT|122.34|64.84|91.76|97.87|103.99|110.11|0|98.85|88.08|82.8|0|122.34|80.87|0|58.97|100.14|76.83|74.75|0|0|91.76|95.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.39|0|0|0|0|0|0|0|0|122.34
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0550-67||ACYCLOVIR 5 % TOPICAL OINTMENT|122.34|64.84|91.76|97.87|103.99|110.11|0|98.85|88.08|82.8|0|122.34|80.87|0|58.97|100.14|76.83|74.75|0|0|91.76|95.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.39|0|0|0|0|0|0|0|0|122.34
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0044-01|J3420|CYANOCOBALAMIN (VIT B-12) 1000 MCG/ML INJECTION SOLUTION|40.54|21.49|30.41|32.43|34.46|36.49|0|32.76|29.19|27.44|0|40.54|2.24|0|1.63|33.18|2.13|2.08|0|2.21021611|30.41|31.66|0|0|0|0|0|0|0|0|0|2.25|2.21021611|2.25|0|0|0|1.19|0|0|0|0|0|0|0|0|40.54
HOSP OP|0258 - IV SOLUTIONS|00409-7924-09|J7042|DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|2.58|0|1.88|42.97|2.46|2.38|0|0.933202358|39.38|41|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0087-01||MIRTAZAPINE 30 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0087-20||MIRTAZAPINE 30 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0637 - DRUGS/SELF ADMIN|49938-0101-30||DAPSONE 100 MG TABLET|27.81|14.74|20.86|22.25|23.64|25.03|0|22.47|20.02|18.82|0|27.81|18.38|0|13.4|22.76|17.46|16.99|0|0|20.86|21.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.27|0|0|0|0|0|0|0|0|27.81
HOSP OP|0637 - DRUGS/SELF ADMIN|47781-0470-13||OSELTAMIVIR 75 MG CAPSULE|48.43|25.67|36.32|38.74|41.17|43.59|0|39.13|34.87|32.78|0|48.43|32.01|0|23.34|39.64|30.41|29.59|0|0|36.32|37.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.37|23.12|0|0|0|0|0|0|0|0|48.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0180-01|J3415|PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION|53.61|28.41|40.21|42.89|45.57|48.25|0|43.32|38.6|36.28|0|53.61|13.11|0|9.53|43.88|12.46|12.12|0|6.601178782|40.21|41.87|0|0|0|0|0|0|0|0|0|6.72|6.601178782|6.72|0|0|0|7|0|0|0|0|0|0|0|0|53.61
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0097-20||OXCARBAZEPINE 150 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1695-13||ISOSORBIDE DINITRATE 20 MG TABLET|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0637 - DRUGS/SELF ADMIN|65862-0048-24||ZIDOVUDINE 10 MG/ML ORAL SYRUP|97|51.41|72.75|77.6|82.45|87.3|0|78.38|69.84|65.65|0|97|64.12|0|46.75|79.39|60.92|59.27|0|0|72.75|75.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.3|0|0|0|0|0|0|0|0|97
HOSP OP|0637 - DRUGS/SELF ADMIN|||ZIDOVUDINE 10 MG/ML ORAL SYRUP|26.5|51.41|72.75|77.6|82.45|87.3|0|78.38|69.84|65.65|0|97|64.12|0|46.75|79.39|60.92|59.27|0|0|72.75|75.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.3|0|0|0|0|0|0|0|0|97
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-7591-61||FERROUS SULFATE 325 MG (65 MG IRON) TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0280-01||ETHAMBUTOL 100 MG TABLET|28.75|15.24|21.56|23|24.44|25.88|0|23.23|20.7|19.46|0|28.75|19|0|13.86|23.53|18.06|17.57|0|0|21.56|22.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.72|0|0|0|0|0|0|0|0|28.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-4177-73||CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION|88.6|46.96|66.45|70.88|75.31|79.74|0|71.59|63.79|59.96|0|88.6|58.56|0|42.71|72.52|55.64|54.13|0|0|66.45|69.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.44|42.29|0|0|0|0|0|0|0|0|88.6
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0124-01||CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION|88.6|46.96|66.45|70.88|75.31|79.74|0|71.59|63.79|59.96|0|88.6|58.56|0|42.71|72.52|55.64|54.13|0|0|66.45|69.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.44|42.29|0|0|0|0|0|0|0|0|88.6
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0121-69||CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION|28.18|46.96|66.45|70.88|75.31|79.74|0|71.59|63.79|59.96|0|88.6|58.56|0|42.71|72.52|55.64|54.13|0|0|66.45|69.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.44|42.29|0|0|0|0|0|0|0|0|88.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|17478-0045-32|J0120|TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION|48.82|25.87|36.62|39.06|41.5|43.94|0|39.45|35.15|33.04|0|48.82|10.59|0|7.7|39.96|10.07|9.79|0|0.206286837|36.62|38.13|0|0|0|0|0|0|0|0|0|0.21|0.206286837|0.21|0|0|0|5.65|0|0|0|0|0|0|0|0|48.82
HOSP OP|0637 - DRUGS/SELF ADMIN|00832-0301-00|Q0161|CHLORPROMAZINE 25 MG TABLET|27.53|14.59|20.65|22.02|23.4|24.78|0|22.24|19.82|18.63|0|27.53|11.1|0|8.05|22.53|10.55|10.25|0|2.190569745|20.65|21.5|0|0|0|0|0|0|0|0|0|2.23|2.190569745|2.23|0|0|0|5.9|0|0|0|0|0|0|0|0|27.53
HOSP OP|0250 - PHARMACY|00046-0872-21||CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM|97.87|51.87|0|78.3|0|88.08|0|79.08|70.47|66.24|0|97.87|64.69|0|47.17|80.11|61.46|59.8|0|0|0|76.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.71|0|0|0|0|0|0|0|0|97.87
HOSP OP|0250 - PHARMACY|17478-0892-25||DICLOFENAC 0.1 % EYE DROPS|35.44|18.78|0|28.35|0|31.9|0|28.64|25.52|23.99|0|35.44|23.43|0|17.08|29.01|22.26|21.65|0|0|0|27.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.92|0|0|0|0|0|0|0|0|35.44
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0123-48||BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION|26.08|13.82|19.56|20.86|22.17|23.47|0|21.07|18.78|17.65|0|26.08|17.24|0|12.57|21.35|16.38|15.93|0|0|19.56|20.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.45|0|0|0|0|0|0|0|0|26.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0443-01||LEVOTHYROXINE 125 MCG TABLET|21.76|11.53|16.32|17.41|18.5|19.58|0|17.58|15.67|14.73|0|21.76|14.38|0|10.49|17.81|13.67|13.3|0|0|16.32|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.39|0|0|0|0|0|0|0|0|21.76
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0443-20||LEVOTHYROXINE 125 MCG TABLET|21.76|11.53|16.32|17.41|18.5|19.58|0|17.58|15.67|14.73|0|21.76|14.38|0|10.49|17.81|13.67|13.3|0|0|16.32|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.39|0|0|0|0|0|0|0|0|21.76
HOSP OP|0250 - PHARMACY|24208-0830-60||NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10000 UNIT/ML-0.1% EYE DROPS|52.12|27.62|0|41.7|0|46.91|0|42.11|37.53|35.27|0|52.12|34.45|0|25.12|42.66|32.73|31.85|0|0|0|40.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.88|0|0|0|0|0|0|0|0|52.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0507-20|J2185|MEROPENEM 500 MG INTRAVENOUS SOLUTION|48.69|25.81|36.52|38.95|41.39|43.82|0|39.34|35.06|32.95|0|48.69|6.65|0|4.85|39.85|6.3|6.15|0|0.7956778|36.52|38.03|0|0|0|0|0|0|0|0|0|0.81|0.7956778|0.81|0|0|0|3.5|0|0|0|0|0|0|0|0|48.69
HOSP OP|0637 - DRUGS/SELF ADMIN|00185-0128-01||BUMETANIDE 0.5 MG TABLET|22.47|11.91|16.85|17.98|19.1|20.22|0|18.16|16.18|15.21|0|22.47|14.85|0|10.83|18.39|14.11|13.73|0|0|16.85|17.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.47
HOSP OP|0250 - PHARMACY|63323-0402-20||AZTREONAM 2 GRAM SOLUTION FOR INJECTION|165.55|87.74|0|132.44|0|149|0|133.76|119.2|112.04|0|165.55|109.43|0|79.8|135.5|103.97|101.15|0|0|0|129.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|79.02|0|0|0|0|0|0|0|0|165.55
HOSP OP|0250 - PHARMACY|17478-0290-10||TOBRAMYCIN 0.3 % EYE DROPS|57.46|30.45|0|45.97|0|51.71|0|46.43|41.37|38.89|0|57.46|37.98|0|27.7|47.03|36.08|35.11|0|0|0|44.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.43|0|0|0|0|0|0|0|0|57.46
HOSP OP|0250 - PHARMACY|00168-0006-15||TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT|37.56|19.91|0|30.05|0|33.8|0|30.35|27.04|25.42|0|37.56|24.83|0|18.1|30.74|23.59|22.95|0|0|0|29.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.93|0|0|0|0|0|0|0|0|37.56
HOSP OP|0250 - PHARMACY|45802-0055-35||TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT|37.56|19.91|0|30.05|0|33.8|0|30.35|27.04|25.42|0|37.56|24.83|0|18.1|30.74|23.59|22.95|0|0|0|29.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.93|0|0|0|0|0|0|0|0|37.56
HOSP OP|0250 - PHARMACY|00074-4380-10||CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION|57.4|30.42|0|45.92|0|51.66|0|46.38|41.33|38.85|0|57.4|37.94|0|27.67|46.98|36.05|35.07|0|0|0|44.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.4|0|0|0|0|0|0|0|0|57.4
HOSP OP|0250 - PHARMACY|00781-3150-75||CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION|52.29|30.42|0|45.92|0|51.66|0|46.38|41.33|38.85|0|57.4|37.94|0|27.67|46.98|36.05|35.07|0|0|0|44.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.4|0|0|0|0|0|0|0|0|57.4
HOSP OP|0637 - DRUGS/SELF ADMIN|43547-0269-10||ROPINIROLE 0.5 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0124-44|J7517|MYCOPHENOLATE MOFETIL 200 MG/ML ORAL SUSPENSION|118.78|62.95|89.09|95.02|100.96|106.9|0|95.97|85.52|80.39|0|118.78|5.32|0|3.88|97.22|5.04|4.92|0|0.717092338|89.09|92.77|0|0|0|0|0|0|0|0|0|0.73|0.717092338|0.73|0|0|0|2.8|0|0|0|0|0|0|0|0|118.78
HOSP OP|0250 - PHARMACY|00409-1775-10|J7070|DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE|59.95|31.77|44.96|47.96|50.96|53.96|0|48.44|43.16|40.57|0|59.95|5.88|0|4.28|49.07|5.59|5.44|0|3.605108055|44.96|46.82|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|59.95
HOSP OP|0250 - PHARMACY|00603-7818-74||NYSTATIN 100000 UNIT/GRAM TOPICAL CREAM|64.11|33.98|0|51.29|0|57.7|0|51.8|46.16|43.39|0|64.11|42.38|0|30.9|52.47|40.26|39.17|0|0|0|50.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.6|0|0|0|0|0|0|0|0|64.11
HOSP OP|0250 - PHARMACY|00781-7117-35||CALCIPOTRIENE 0.005 % TOPICAL CREAM|1009.96|535.28|0|807.97|0|908.96|0|816.05|727.17|683.54|0|1009.96|667.58|0|486.8|826.65|634.25|617.09|0|0|0|788.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|482.05|0|0|0|0|0|0|0|0|1009.96
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65250-0266-20|C9290|BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION||0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|0|#N/A|#N/A|0|0.412573674|0|0|0|0|0|0|0|0|0|0|0|0.42|0.412573674|0.42|#N/A|#N/A|#N/A|#N/A|0|0|0|0|0|0|0|#N/A|#N/A
HOSP OP|0250 - PHARMACY|23155-0294-42|J0780|PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION|46.13|24.45|34.6|36.9|39.21|41.52|0|37.27|33.21|31.22|0|46.13|46.13|0|46.13|37.76|46.13|46.13|0|8.644400786|34.6|36.03|0|0|0|0|0|0|0|0|0|8.8|8.644400786|8.8|0|0|0|34.65|0|0|0|0|0|0|0|0|46.13
HOSP OP|0250 - PHARMACY|69374-0946-04||LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE|48.06|25.47|0|38.45|0|43.25|0|38.83|34.6|32.53|0|48.06|31.77|0|23.16|39.34|30.18|29.36|0|0|0|37.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.94|0|0|0|0|0|0|0|0|48.06
HOSP OP|0250 - PHARMACY|17433-9876-03||DOCUSATE SODIUM 283 MG/5 ML ENEMA|24.94|13.22|0|19.95|0|22.45|0|20.15|17.96|16.88|0|24.94|16.49|0|12.02|20.41|15.66|15.24|0|0|0|19.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.9|0|0|0|0|0|0|0|0|24.94
HOSP OP|0250 - PHARMACY|39822-1000-01||TRANEXAMIC ACID 1000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION|53.68|28.45|0|42.94|0|48.31|0|43.37|38.65|36.33|0|53.68|35.48|0|25.87|43.94|33.71|32.8|0|0|0|41.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.62|0|0|0|0|0|0|0|0|53.68
HOSP OP|0250 - PHARMACY|17433-9877-03||DOCUSATE SODIUM 283 MG-BENZOCAINE 20 MG/5 ML ENEMA|24.94|13.22|0|19.95|0|22.45|0|20.15|17.96|16.88|0|24.94|16.49|0|12.02|20.41|15.66|15.24|0|0|0|19.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.9|0|0|0|0|0|0|0|0|24.94
HOSP OP|0250 - PHARMACY|42023-0201-01||LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION|89.14|47.24|0|71.31|0|80.23|0|72.03|64.18|60.33|0|89.14|58.92|0|42.97|72.96|55.98|54.46|0|0|0|69.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.55|0|0|0|0|0|0|0|0|89.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8175-25|J8540|DEXAMETHASONE 4 MG TABLET|22.44|11.89|16.83|17.95|19.07|20.2|0|18.13|16.16|15.19|0|22.44|1.28|0|0.96|18.37|1.12|1.12|0|0.019646365|16.83|17.53|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.48|0|0|0|0|0|0|0|0|22.44
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0986-01||BUSPIRONE 10 MG TABLET|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0986-20||BUSPIRONE 10 MG TABLET|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1154-30||LACTULOSE 20 GRAM/30 ML ORAL SOLUTION|26.08|13.82|19.56|20.86|22.17|23.47|0|21.07|18.78|17.65|0|26.08|17.24|0|12.57|21.35|16.38|15.93|0|0|19.56|20.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.45|0|0|0|0|0|0|0|0|26.08
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1154-40||LACTULOSE 20 GRAM/30 ML ORAL SOLUTION|26.08|13.82|19.56|20.86|22.17|23.47|0|21.07|18.78|17.65|0|26.08|17.24|0|12.57|21.35|16.38|15.93|0|0|19.56|20.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.45|0|0|0|0|0|0|0|0|26.08
HOSP OP|0250 - PHARMACY|00121-4675-05||VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION|26.02|13.79|0|20.82|0|23.42|0|21.02|18.73|17.61|0|26.02|17.2|0|12.54|21.3|16.34|15.9|0|0|0|20.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.42|0|0|0|0|0|0|0|0|26.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-4577-15||LACTULOSE 10 GRAM/15 ML (15 ML) ORAL SOLUTION|26.17|13.87|19.63|20.94|22.24|23.55|0|21.15|18.84|17.71|0|26.17|17.3|0|12.61|21.42|16.43|15.99|0|0|19.63|20.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.49|0|0|0|0|0|0|0|0|26.17
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-1254-64||LACTULOSE 10 GRAM/15 ML (15 ML) ORAL SOLUTION|26.17|13.87|19.63|20.94|22.24|23.55|0|21.15|18.84|17.71|0|26.17|17.3|0|12.61|21.42|16.43|15.99|0|0|19.63|20.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.49|0|0|0|0|0|0|0|0|26.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|16729-0115-05|J9280|MITOMYCIN 5 MG INTRAVENOUS SOLUTION|358.3|189.9|268.73|286.64|304.56|322.47|304.56|289.51|257.98|242.5|0|358.3|161.34|217.97|117.32|293.27|153.34|149.21|212.52|83.88015717|268.73|279.83|57.21|57.21|57.21|192.04|192.43|62.53|57.21|63.63|192.43|85.39|83.88015717|85.39|0|0|112.43|86.19|57.21|57.21|57.21|57.21|57.21|57.21|58.93|0|358.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55390-0251-01|J9280|MITOMYCIN 5 MG INTRAVENOUS SOLUTION|358.3|189.9|268.73|286.64|304.56|322.47|304.56|289.51|257.98|242.5|0|358.3|161.34|217.97|117.32|293.27|153.34|149.21|212.52|83.88015717|268.73|279.83|57.21|57.21|57.21|192.04|192.43|62.53|57.21|63.63|192.43|85.39|83.88015717|85.39|0|0|112.43|86.19|57.21|57.21|57.21|57.21|57.21|57.21|58.93|0|358.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0246-47|J1953|LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK|67|35.51|50.25|53.6|56.95|60.3|0|54.14|48.24|45.35|0|67|9|0|6.5|54.84|8.5|8.5|0|0.098231827|50.25|52.33|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|4.5|0|0|0|0|0|0|0|0|67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0255-00|J1953|LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK|67|35.51|50.25|53.6|56.95|60.3|0|54.14|48.24|45.35|0|67|9|0|6.5|54.84|8.5|8.5|0|0.098231827|50.25|52.33|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|4.5|0|0|0|0|0|0|0|0|67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0255-10|J1953|LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK|67|35.51|50.25|53.6|56.95|60.3|0|54.14|48.24|45.35|0|67|9|0|6.5|54.84|8.5|8.5|0|0.098231827|50.25|52.33|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|4.5|0|0|0|0|0|0|0|0|67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0265-10|J1953|LEVETIRACETAM 1000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK|82.5|43.72|61.88|66|70.13|74.25|0|66.66|59.4|55.84|0|82.5|18|0|13|67.53|17|17|0|0.098231827|61.88|64.43|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|9|0|0|0|0|0|0|0|0|82.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0132-10|J9293|MITOXANTRONE 2 MG/ML CONCENTRATEINTRAVENOUS|285.21|151.16|213.91|228.17|242.43|256.69|242.43|230.45|205.35|193.03|0|285.21|142.32|218.36|103.48|233.44|135.24|131.6|212.92|29.2043222|213.91|222.75|114.08|0|114.08|285.21|285.21|144.68|114.08|150.64|285.21|29.73|29.2043222|29.73|0|0|122.12|76|0|0|114.08|0|142.61|114.08|114.08|0|285.21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0132-12|J9293|MITOXANTRONE 2 MG/ML CONCENTRATEINTRAVENOUS|306.19|151.16|213.91|228.17|242.43|256.69|242.43|230.45|205.35|193.03|0|285.21|142.32|218.36|103.48|233.44|135.24|131.6|212.92|29.2043222|213.91|222.75|114.08|0|114.08|285.21|285.21|144.68|114.08|150.64|285.21|29.73|29.2043222|29.73|0|0|122.12|76|0|0|114.08|0|142.61|114.08|114.08|0|285.21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0132-15|J9293|MITOXANTRONE 2 MG/ML CONCENTRATEINTRAVENOUS|380.39|151.16|213.91|228.17|242.43|256.69|242.43|230.45|205.35|193.03|0|285.21|142.32|218.36|103.48|233.44|135.24|131.6|212.92|29.2043222|213.91|222.75|114.08|0|114.08|285.21|285.21|144.68|114.08|150.64|285.21|29.73|29.2043222|29.73|0|0|122.12|76|0|0|114.08|0|142.61|114.08|114.08|0|285.21
HOSP OP|0250 - PHARMACY|66993-0898-15||CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM|94.8|50.24|0|75.84|0|85.32|0|76.6|68.26|64.16|0|94.8|62.66|0|45.69|77.59|59.53|57.92|0|0|0|74.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.25|0|0|0|0|0|0|0|0|94.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5551-59||DIPHENHYDRAMINE 25 MG TABLET|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0637 - DRUGS/SELF ADMIN|65649-0551-07|J2212|METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE|347.35|184.1|260.51|277.88|295.25|312.62|0|280.66|250.09|235.09|0|347.35|145.2|0|105.6|284.31|138|134.4|0|1.060903733|260.51|271.28|0|0|0|0|0|0|0|0|0|1.08|1.060903733|1.08|0|0|0|76.8|0|0|0|0|0|0|0|0|347.35
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0301-02|J0153|ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION|42.97|22.77|32.23|34.38|36.52|38.67|0|34.72|30.94|29.08|0|42.97|2.82|0|2.04|35.17|2.67|2.61|0|0.618860511|32.23|33.56|0|0|0|0|0|0|0|0|0|0.63|0.618860511|0.63|0|0|0|1.5|0|0|0|0|0|0|0|0|42.97
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|71019-0175-13|J3490|LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (10 ML) INJ SYRINGE|51.13|27.1|38.35|40.9|43.46|46.02|0|41.31|36.81|34.6|0|51.13|33.8|0|24.64|41.85|32.11|31.24|0|0|38.35|39.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.4|0|0|0|0|0|0|0|0|51.13
HOSP OP|0250 - PHARMACY|17478-0604-01||DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE|32.69|17.33|0|26.15|0|29.42|0|26.41|23.54|22.12|0|32.69|21.61|0|15.76|26.76|20.53|19.97|0|0|0|25.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.6|0|0|0|0|0|0|0|0|32.69
HOSP OP|0250 - PHARMACY|17478-0604-30||DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE|32.69|17.33|0|26.15|0|29.42|0|26.41|23.54|22.12|0|32.69|21.61|0|15.76|26.76|20.53|19.97|0|0|0|25.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.6|0|0|0|0|0|0|0|0|32.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00264-3105-11|J0690|CEFAZOLIN 2 G IN ISO-OSMOTIC DEXTROSE 50 ML IV PIGGYBACK (PREMIX)|61.32|32.5|45.99|49.06|52.12|55.19|0|49.55|44.15|41.5|0|61.32|4.28|0|3.12|50.19|4.08|3.96|0|0.815324165|45.99|47.89|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|2.24|0|0|0|0|0|0|0|0|61.32
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0750-59||DIAZEPAM 5 MG/5 ML (1 MG/ML 5 ML) ORAL SOLUTION|25.03|13.27|18.77|20.02|21.28|22.53|0|20.22|18.02|16.94|0|25.03|16.54|0|12.06|20.49|15.72|15.29|0|0|18.77|19.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.95|0|0|0|0|0|0|0|0|25.03
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8207-16||DIAZEPAM 5 MG/5 ML (1 MG/ML 5 ML) ORAL SOLUTION|25.06|13.27|18.77|20.02|21.28|22.53|0|20.22|18.02|16.94|0|25.03|16.54|0|12.06|20.49|15.72|15.29|0|0|18.77|19.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.95|0|0|0|0|0|0|0|0|25.03
HOSP OP|0250 - PHARMACY|61314-0271-05||OLOPATADINE 0.1 % EYE DROPS|43.84|23.24|0|35.07|0|39.46|0|35.42|31.56|29.67|0|43.84|28.98|0|21.13|35.88|27.53|26.79|0|0|0|34.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.92|0|0|0|0|0|0|0|0|43.84
HOSP OP|0250 - PHARMACY|63833-0825-02|j0597|C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT|6389.7|3386.54|4792.28|5111.76|5431.25|5750.73|5431.25|5162.88|4600.58|4324.55|0|6389.7|4223.59|3578.23|3079.84|5229.97|4012.73|3904.11|3488.78|51.31630648|4792.28|4990.36|2555.88|0|2555.88|5520.7|5737.18|2752.04|2555.88|2796.77|5737.18|52.24|51.31630648|52.24|0|0|2555.88|3049.8|0|0|2555.88|0|3194.85|2555.88|2555.88|0|6389.7
HOSP OP|0250 - PHARMACY|52565-0008-14||LIDOCAINE 5 % TOPICAL OINTMENT|45.84|24.3|0|36.67|0|41.26|0|37.04|33|31.02|0|45.84|30.3|0|22.09|37.52|28.79|28.01|0|0|0|35.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.88|0|0|0|0|0|0|0|0|45.84
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0272-60||VITAMIN E (DL ACETATE) 200 UNIT CAPSULE|20.07|10.64|15.05|16.06|17.06|18.06|0|16.22|14.45|13.58|0|20.07|13.27|0|9.67|16.43|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5791-46||ACETAMINOPHEN 80 MG CHEWABLE TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0250 - PHARMACY|51224-0162-12||CALCIUM ACETATE-ALUMINUM 952 MG-1347 MG TOPICAL POWDER IN PACKET|21.58|11.44|0|17.26|0|19.42|0|17.44|15.54|14.61|0|21.58|14.26|0|10.4|17.66|13.55|13.19|0|0|0|16.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.58
HOSP OP|0250 - PHARMACY|49730-0113-30||NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH|21.81|11.56|0|17.45|0|19.63|0|17.62|15.7|14.76|0|21.81|14.42|0|10.51|17.85|13.7|13.33|0|0|0|17.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.41|0|0|0|0|0|0|0|0|21.81
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0494-01||PYRIDOSTIGMINE BROMIDE 60 MG TABLET|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0250 - PHARMACY|24208-0367-05||CARTEOLOL 1 % EYE DROPS|41.62|22.06|0|33.3|0|37.46|0|33.63|29.97|28.17|0|41.62|27.51|0|20.06|34.07|26.14|25.43|0|0|0|32.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.87|0|0|0|0|0|0|0|0|41.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6522-61||SENNOSIDES 8.6 MG TABLET|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-3339-01|J0461|ATROPINE 0.1 MG/ML INJECTION SYRINGE|47.99|25.43|35.99|38.39|40.79|43.19|0|38.78|34.55|32.48|0|47.99|3.6|0|2.8|39.28|3.6|3.2|0|0.078585462|35.99|37.48|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|1.6|0|0|0|0|0|0|0|0|47.99
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0037-01||NYSTATIN 100000 UNIT/ML ORAL SUSPENSION|25.94|13.75|19.46|20.75|22.05|23.35|0|20.96|18.68|17.56|0|25.94|17.15|0|12.5|21.23|16.29|15.85|0|0|19.46|20.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.38|0|0|0|0|0|0|0|0|25.94
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0037-99||NYSTATIN 100000 UNIT/ML ORAL SUSPENSION|25.94|13.75|19.46|20.75|22.05|23.35|0|20.96|18.68|17.56|0|25.94|17.15|0|12.5|21.23|16.29|15.85|0|0|19.46|20.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.38|0|0|0|0|0|0|0|0|25.94
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0349-10||LISINOPRIL 10 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2300-17||PENICILLIN V POTASSIUM 125 MG/5 ML NICU ORAL SYRINGE|25.51|13.52|19.13|20.41|21.68|22.96|0|20.61|18.37|17.27|0|25.51|16.86|0|12.3|20.88|16.02|15.59|0|0|19.13|19.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0508-30|J2185|MEROPENEM 1 GRAM INTRAVENOUS SOLUTION|54.19|28.72|40.64|43.35|46.06|48.77|0|43.79|39.02|36.68|0|54.19|13.3|0|9.7|44.35|12.6|12.3|0|0.7956778|40.64|42.32|0|0|0|0|0|0|0|0|0|0.81|0.7956778|0.81|0|0|0|7|0|0|0|0|0|0|0|0|54.19
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00002-8215-01|J1815|INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION|61.67|32.69|46.25|49.34|52.42|55.5|0|49.83|44.4|41.74|0|61.67|61.67|0|61.67|50.48|61.67|61.67|0|0.903732809|46.25|48.16|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|60.44|0|0|0|0|0|0|0|0|61.67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00002-8215-17|J1815|INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION|33.48|32.69|46.25|49.34|52.42|55.5|0|49.83|44.4|41.74|0|61.67|61.67|0|61.67|50.48|61.67|61.67|0|0.903732809|46.25|48.16|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|60.44|0|0|0|0|0|0|0|0|61.67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|45945-0156-02|J0475|BACLOFEN 20000 MCG/20 ML (1000 MCG/ML) INTRATHECAL SOLUTION|856|453.68|642|684.8|727.6|770.4|727.6|691.65|616.32|579.34|0|856|437.96|371.1|318.46|700.64|416.22|405.02|361.82|173.5952849|642|668.54|350.32|350.32|350.32|834.6|836.3|271.75|350.32|276.54|836.3|176.72|173.5952849|176.72|0|0|388.4|233.98|350.32|350.32|350.32|350.32|350.32|350.32|360.83|0|856
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|66794-0156-02|J0475|BACLOFEN 20000 MCG/20 ML (1000 MCG/ML) INTRATHECAL SOLUTION|856|453.68|642|684.8|727.6|770.4|727.6|691.65|616.32|579.34|0|856|437.96|371.1|318.46|700.64|416.22|405.02|361.82|173.5952849|642|668.54|350.32|350.32|350.32|834.6|836.3|271.75|350.32|276.54|836.3|176.72|173.5952849|176.72|0|0|388.4|233.98|350.32|350.32|350.32|350.32|350.32|350.32|360.83|0|856
HOSP OP|0250 - PHARMACY|52054-0550-22||ALBENDAZOLE 200 MG TABLET|696.17|368.97|0|556.94|0|626.55|0|562.51|501.24|471.17|0|696.17|460.17|0|335.55|569.82|437.19|425.36|0|0|0|543.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|332.28|0|0|0|0|0|0|0|0|696.17
HOSP OP|0250 - PHARMACY|60793-0205-05||THROMBIN (BOVINE) 5000 UNIT NASAL SPRAY SYRINGE|187.07|99.15|0|149.66|0|168.36|0|151.15|134.69|126.61|0|187.07|123.65|0|90.17|153.12|117.48|114.3|0|0|0|146.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|89.29|0|0|0|0|0|0|0|0|187.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|16729-0267-65|J9171|DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION|330.34|175.08|247.76|264.27|280.79|297.31|280.79|266.91|237.84|223.57|0|330.34|278.4|330.34|203.2|270.38|265.6|257.6|330.34|1.011787819|247.76|258|138.88|138.88|138.88|330.34|324.39|121.41|138.88|123.55|324.39|1.03|1.011787819|1.03|0|0|208|148.8|138.88|138.88|138.88|138.88|138.88|138.88|143.05|0|330.34
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|57894-0030-01|J1745|INFLIXIMAB 100 MG INTRAVENOUS SOLUTION|3454.18|1830.72|2590.64|2763.34|2936.05|3108.76|2936.05|2790.98|2487.01|2337.79|0|3454.18|988.8|1028.6|719|2827.25|939.7|914.4|1002.9|57.34774067|2590.64|2697.71|512|512|512|652.6|652.6|448.84|512|456.76|652.6|58.38|57.34774067|58.38|0|0|830.9|528.2|512|512|512|512|512|512|527.36|0|3454.18
HOSP OP|0250 - PHARMACY|08080-4332-00||WHITE PETROLATUM TOPICAL OINTMENT IN PACKET|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0225-10|90702|TETANUSDIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP|173.2|91.8|129.9|138.56|147.22|155.88|0|139.95|124.7|117.22|0|173.2|67.17|0|48.84|141.76|63.84|62.12|0|34.82318271|129.9|135.27|0|0|0|0|0|0|0|0|0|35.45|34.82318271|35.45|0|0|0|35.89|0|0|0|0|0|0|0|0|173.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0530-05||FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID|28.28|14.99|21.21|22.62|24.04|25.45|0|22.85|20.36|19.14|0|28.28|18.69|0|13.63|23.15|17.76|17.28|0|0|21.21|22.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.5|0|0|0|0|0|0|0|0|28.28
HOSP OP|0250 - PHARMACY|63323-0738-09||FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION|40.93|21.69|0|32.74|0|36.84|0|33.07|29.47|27.7|0|40.93|27.05|0|19.73|33.5|25.7|25.01|0|0|0|31.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.54|0|0|0|0|0|0|0|0|40.93
HOSP OP|0250 - PHARMACY|NMRRX-0128-79||FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION|41.86|21.69|0|32.74|0|36.84|0|33.07|29.47|27.7|0|40.93|27.05|0|19.73|33.5|25.7|25.01|0|0|0|31.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.54|0|0|0|0|0|0|0|0|40.93
HOSP OP|0637 - DRUGS/SELF ADMIN|00025-1461-34||MISOPROSTOL 200 MCG TABLET|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0489-10||DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR|23.09|12.24|17.32|18.47|19.63|20.78|0|18.66|16.62|15.63|0|23.09|15.26|0|11.13|18.9|14.5|14.11|0|0|17.32|18.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.24|11.02|0|0|0|0|0|0|0|0|23.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0170-01||WARFARIN 2 MG TABLET|26|13.78|19.5|20.8|22.1|23.4|0|21.01|18.72|17.6|0|26|17.19|0|12.53|21.28|16.33|15.89|0|0|19.5|20.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.41|0|0|0|0|0|0|0|0|26
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0170-75||WARFARIN 2 MG TABLET|26|13.78|19.5|20.8|22.1|23.4|0|21.01|18.72|17.6|0|26|17.19|0|12.53|21.28|16.33|15.89|0|0|19.5|20.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.41|0|0|0|0|0|0|0|0|26
HOSP OP|0250 - PHARMACY|60758-0880-05||FLUOROMETHOLONE 0.1 % EYE DROPSSUSPENSION|222.97|118.17|0|178.38|0|200.67|0|180.16|160.54|150.91|0|222.97|147.38|0|107.47|182.5|140.03|136.23|0|0|0|174.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|106.42|0|0|0|0|0|0|0|0|222.97
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|66860-0001-03|J0690|CEFAZOLIN 500 MG SOLUTION FOR INJECTION|40.25|21.33|30.19|32.2|34.21|36.23|0|32.52|28.98|27.24|0|40.25|1.07|0|0.78|32.94|1.02|0.99|0|0.815324165|30.19|31.44|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|0.56|0|0|0|0|0|0|0|0|40.25
HOSP OP|0637 - DRUGS/SELF ADMIN|76439-0309-10||HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET|21.14|11.2|15.86|16.91|17.97|19.03|0|17.08|15.22|14.31|0|21.14|13.97|0|10.19|17.3|13.28|12.92|0|0|15.86|16.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0928-25|J2550|PROMETHAZINE 25 MG/ML INJECTION SOLUTION|41.77|22.14|31.33|33.42|35.5|37.59|0|33.75|30.07|28.27|0|41.77|2.64|0|1.92|34.19|2.51|2.45|0|2.062868369|31.33|32.62|0|0|0|0|0|0|0|0|0|2.1|2.062868369|2.1|0|0|0|1.41|0|0|0|0|0|0|0|0|41.77
HOSP OP|0250 - PHARMACY|00517-6202-25||TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS|62.16|32.94|0|49.73|0|55.94|0|50.23|44.76|42.07|0|62.16|41.09|0|29.96|50.88|39.04|37.98|0|0|0|48.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.67|0|0|0|0|0|0|0|0|62.16
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0415-01||DIVALPROEX ER 500 MG TABLETEXTENDED RELEASE 24 HR|23.98|12.71|17.99|19.18|20.38|21.58|0|19.38|17.27|16.23|0|23.98|15.85|0|11.56|19.63|15.06|14.65|0|0|17.99|18.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.45|0|0|0|0|0|0|0|0|23.98
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0415-11||DIVALPROEX ER 500 MG TABLETEXTENDED RELEASE 24 HR|23.98|12.71|17.99|19.18|20.38|21.58|0|19.38|17.27|16.23|0|23.98|15.85|0|11.56|19.63|15.06|14.65|0|0|17.99|18.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.45|0|0|0|0|0|0|0|0|23.98
HOSP OP|0250 - PHARMACY|00409-1891-01|J2274|MORPHINE 4 MG/ML INTRAVENOUS CARTRIDGE|42|22.26|31.5|33.6|35.7|37.8|0|33.94|30.24|28.43|0|42|21.18|0|15.4|34.38|20.13|19.59|0|11.79764244|31.5|32.8|0|0|0|0|0|0|0|0|0|12.01|11.79764244|12.01|0|0|0|11.31|0|0|0|0|0|0|0|0|42
HOSP OP|0250 - PHARMACY|10361-0793-01||SOD BICARB-CITRIC AC-SIMETH 2.21 GRAM-1.53 GRAM/4 GRAM GRANULES EFFERV|25.93|13.74|0|20.74|0|23.34|0|20.95|18.67|17.55|0|25.93|17.14|0|12.5|21.22|16.28|15.84|0|0|0|20.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.38|0|0|0|0|0|0|0|0|25.93
HOSP OP|0250 - PHARMACY|00591-3525-11||LIDOCAINE 5 % TOPICAL PATCH|25.95|13.75|0|20.76|0|23.36|0|20.97|18.68|17.56|0|25.95|17.15|0|12.51|21.24|16.3|15.86|0|0|0|20.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.39|0|0|0|0|0|0|0|0|25.95
HOSP OP|0250 - PHARMACY|00591-3525-30||LIDOCAINE 5 % TOPICAL PATCH|25.95|13.75|0|20.76|0|23.36|0|20.97|18.68|17.56|0|25.95|17.15|0|12.51|21.24|16.3|15.86|0|0|0|20.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.39|0|0|0|0|0|0|0|0|25.95
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6103-61||CLONAZEPAM 2 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0883-01||CLONAZEPAM 2 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0883-20||CLONAZEPAM 2 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-3854-61||CARBAMAZEPINE 100 MG CHEWABLE TABLET|20.81|11.03|15.61|16.65|17.69|18.73|0|16.81|14.98|14.08|0|20.81|13.76|0|10.03|17.03|13.07|12.71|0|0|15.61|16.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.81
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4041-01||CARBAMAZEPINE 100 MG CHEWABLE TABLET|20.81|11.03|15.61|16.65|17.69|18.73|0|16.81|14.98|14.08|0|20.81|13.76|0|10.03|17.03|13.07|12.71|0|0|15.61|16.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.81
HOSP OP|0250 - PHARMACY|54643-5649-01||MVIADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION|56.25|29.81|0|45|0|50.63|0|45.45|40.5|38.07|0|56.25|37.18|0|27.11|46.04|35.33|34.37|0|0|0|43.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.85|0|0|0|0|0|0|0|0|56.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|52544-0931-02|J1750|IRON DEXTRAN 100 MG/2 ML (50 MG/ML) INJECTION SOLUTION|59.65|31.61|44.74|47.72|50.7|53.69|50.7|48.2|42.95|40.37|0|59.65|17.57|13.64|12.78|48.82|16.7|16.25|13.3|14.38113949|44.74|46.59|15.02|15.02|15.02|34.57|34.64|11.26|15.02|11.45|34.64|14.64|14.38113949|14.64|0|0|16.13|9.38|15.02|15.02|15.02|15.02|15.02|15.02|15.47|0|59.65
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|52544-0931-07|J1750|IRON DEXTRAN 100 MG/2 ML (50 MG/ML) INJECTION SOLUTION|59.65|31.61|44.74|47.72|50.7|53.69|50.7|48.2|42.95|40.37|0|59.65|17.57|13.64|12.78|48.82|16.7|16.25|13.3|14.38113949|44.74|46.59|15.02|15.02|15.02|34.57|34.64|11.26|15.02|11.45|34.64|14.64|14.38113949|14.64|0|0|16.13|9.38|15.02|15.02|15.02|15.02|15.02|15.02|15.47|0|59.65
HOSP OP|0250 - PHARMACY|24208-0503-07||LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS|588.31|311.8|0|470.65|0|529.48|0|475.35|423.58|398.17|0|588.31|388.87|0|283.57|481.53|369.46|359.46|0|0|0|459.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|280.8|0|0|0|0|0|0|0|0|588.31
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0504-01||PROPRANOLOL ER 80 MG CAPSULE24 HREXTENDED RELEASE|24.72|13.1|18.54|19.78|21.01|22.25|0|19.97|17.8|16.73|0|24.72|16.34|0|11.92|20.23|15.52|15.1|0|0|18.54|19.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.8|0|0|0|0|0|0|0|0|24.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0504-11||PROPRANOLOL ER 80 MG CAPSULE24 HREXTENDED RELEASE|24.72|13.1|18.54|19.78|21.01|22.25|0|19.97|17.8|16.73|0|24.72|16.34|0|11.92|20.23|15.52|15.1|0|0|18.54|19.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.8|0|0|0|0|0|0|0|0|24.72
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-8450-80||PEDIATRIC MULTIVITAMIN NO.20 1500 UNIT-35 MG-400 UNIT/ML ORAL DROPS|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55390-0404-20|J2400|CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION|88.85|47.09|66.64|71.08|75.52|79.97|0|71.79|63.97|60.13|0|88.85|37.13|0|27|72.72|35.28|34.33|0|24.41060904|66.64|69.39|0|0|0|0|0|0|0|0|0|24.85|24.41060904|24.85|0|0|0|19.83|0|0|0|0|0|0|0|0|88.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0478-27|J2400|CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION|88.85|47.09|66.64|71.08|75.52|79.97|0|71.79|63.97|60.13|0|88.85|37.13|0|27|72.72|35.28|34.33|0|24.41060904|66.64|69.39|0|0|0|0|0|0|0|0|0|24.85|24.41060904|24.85|0|0|0|19.83|0|0|0|0|0|0|0|0|88.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-7113-06||NEFAZODONE 150 MG TABLET|23.39|12.4|17.54|18.71|19.88|21.05|0|18.9|16.84|15.83|0|23.39|15.46|0|11.27|19.14|14.69|14.29|0|0|17.54|18.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.16|0|0|0|0|0|0|0|0|23.39
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0895-20||PROMETHAZINE 25 MG TABLET|20.6|10.92|15.45|16.48|17.51|18.54|0|16.64|14.83|13.94|0|20.6|13.62|0|9.93|16.86|12.94|12.59|0|0|15.45|16.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.6
HOSP OP|0250 - PHARMACY|00065-0411-30||POVIDONE-IODINE 5 % EYE SOLUTION|50.74|26.89|0|40.59|0|45.67|0|41|36.53|34.34|0|50.74|33.54|0|24.46|41.53|31.86|31|0|0|0|39.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.22|0|0|0|0|0|0|0|0|50.74
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0008-23||MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION|28.21|14.95|21.16|22.57|23.98|25.39|0|22.79|20.31|19.09|0|28.21|18.65|0|13.6|23.09|17.72|17.24|0|0|21.16|22.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.46|0|0|0|0|0|0|0|0|28.21
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0757-62||LITHIUM CITRATE 8 MEQ/5 ML (5 ML) ORAL SOLUTION|28.35|15.03|21.26|22.68|24.1|25.52|0|22.91|20.41|19.19|0|28.35|18.74|0|13.66|23.2|17.8|17.32|0|0|21.26|22.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.53|0|0|0|0|0|0|0|0|28.35
HOSP OP|0250 - PHARMACY|67457-0220-05||ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION|318.93|169.03|0|255.14|0|287.04|0|257.7|229.63|215.85|0|318.93|210.81|0|153.72|261.04|200.29|194.87|0|0|0|249.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|152.23|0|0|0|0|0|0|0|0|318.93
HOSP OP|0250 - PHARMACY|NMRRX-0130-51||ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION|318.93|169.03|0|255.14|0|287.04|0|257.7|229.63|215.85|0|318.93|210.81|0|153.72|261.04|200.29|194.87|0|0|0|249.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|152.23|0|0|0|0|0|0|0|0|318.93
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-1173-01||CAPTOPRIL 50 MG TABLET|23.5|12.45|17.63|18.8|19.98|21.15|0|18.99|16.92|15.9|0|23.5|15.53|0|11.33|19.23|14.76|14.36|0|0|17.63|18.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.22|0|0|0|0|0|0|0|0|23.5
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0796-15||URSODIOL 300 MG CAPSULE|29.68|15.73|22.26|23.74|25.23|26.71|0|23.98|21.37|20.09|0|29.68|19.62|0|14.31|24.29|18.64|18.13|0|0|22.26|23.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.17|0|0|0|0|0|0|0|0|29.68
HOSP OP|0250 - PHARMACY|00003-0893-31||APIXABAN 2.5 MG TABLET|24.18|12.82|0|19.34|0|21.76|0|19.54|17.41|16.37|0|24.18|15.98|0|11.65|19.79|15.19|14.77|0|0|0|18.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.54|0|0|0|0|0|0|0|0|24.18
HOSP OP|0250 - PHARMACY|24208-0315-10||POLYMYXIN B SULFATE 10000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS|54.94|29.12|0|43.95|0|49.45|0|44.39|39.56|37.18|0|54.94|36.32|0|26.48|44.97|34.5|33.57|0|0|0|42.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.22|0|0|0|0|0|0|0|0|54.94
HOSP OP|0250 - PHARMACY|00003-0894-31||APIXABAN 5 MG TABLET|24.18|12.82|0|19.34|0|21.76|0|19.54|17.41|16.37|0|24.18|15.98|0|11.65|19.79|15.19|14.77|0|0|0|18.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.54|0|0|0|0|0|0|0|0|24.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00008-0837-03||VENLAFAXINE ER 37.5 MG CAPSULEEXTENDED RELEASE 24 HR|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0637 - DRUGS/SELF ADMIN|65862-0527-30||VENLAFAXINE ER 37.5 MG CAPSULEEXTENDED RELEASE 24 HR|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0172-75||WARFARIN 5 MG TABLET|26.45|14.02|19.84|21.16|22.48|23.81|0|21.37|19.04|17.9|0|26.45|17.48|0|12.75|21.65|16.61|16.16|0|0|19.84|20.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.62|0|0|0|0|0|0|0|0|26.45
HOSP OP|0250 - PHARMACY|00406-1473-01||METHYLPHENIDATE ER 20 MG TABLETEXTENDED RELEASE|37.67|19.97|0|30.14|0|33.9|0|30.44|27.12|25.5|0|37.67|24.9|0|18.16|30.83|23.66|23.02|0|0|0|29.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.98|0|0|0|0|0|0|0|0|37.67
HOSP OP|0250 - PHARMACY|00517-8510-25||TRACE ELEMENTS CR-CU-MN-SE-ZN 4-400-100-20 MCG-1000 MCG/ML IV SOLUTION|69.88|37.04|0|55.9|0|62.89|0|56.46|50.31|47.29|0|69.88|46.19|0|33.68|57.2|43.88|42.7|0|0|0|54.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.35|0|0|0|0|0|0|0|0|69.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0388-10|J0290|AMPICILLIN 500 MG SOLUTION FOR INJECTION|45.76|24.25|34.32|36.61|38.9|41.18|0|36.97|32.95|30.97|0|45.76|1.29|0|0.94|37.45|1.23|1.19|0|0.982318271|34.32|35.74|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|0.68|0|0|0|0|0|0|0|0|45.76
HOSP OP|0250 - PHARMACY|63323-0147-10||TRACE ELEMENTS PEDI ZN-CU-MN-SE-F-I 521 MCG-53.7 MCG-3.6 MCG/ML IV|68.2|36.15|0|54.56|0|61.38|0|55.11|49.1|46.16|0|68.2|45.08|0|32.87|55.82|42.83|41.67|0|0|0|53.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.55|0|0|0|0|0|0|0|0|68.2
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|87541-0300-91|J7326|HYALURONATE SODIUM CROSS-LINKED 30 MG/3 ML INTRA-ARTICULAR SYRINGE|2790.01|1478.71|2092.51|2232.01|2371.51|2511.01|2371.51|2254.33|2008.81|1888.28|0|2790.01|693.19|586.04|504.04|2283.62|658.8|641.07|571.39|1122.003929|2092.51|2179|1166|1166|1166|2790.01|2739.79|912.61|1166|928.7|2739.79|1142.2|1122.003929|1142.2|0|0|601.88|370.35|1166|1166|1166|1166|1166|1166|1200.98|0|2790.01
HOSP OP|0250 - PHARMACY|67457-0251-00||DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION|66.94|35.48|0|53.55|0|60.25|0|54.09|48.2|45.3|0|66.94|44.25|0|32.27|54.79|42.04|40.9|0|0|0|52.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.95|0|0|0|0|0|0|0|0|66.94
HOSP OP|0250 - PHARMACY|67457-0251-02||DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION|66.94|35.48|0|53.55|0|60.25|0|54.09|48.2|45.3|0|66.94|44.25|0|32.27|54.79|42.04|40.9|0|0|0|52.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.95|0|0|0|0|0|0|0|0|66.94
HOSP OP|0250 - PHARMACY|00469-5201-30||TACROLIMUS 0.03 % TOPICAL OINTMENT|678.4|359.55|0|542.72|0|610.56|0|548.15|488.45|459.14|0|678.4|448.42|0|326.99|555.27|426.04|414.5|0|0|0|529.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|323.8|0|0|0|0|0|0|0|0|678.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0201-10|J9209|MESNA 100 MG/ML INTRAVENOUS SOLUTION|159.93|84.76|119.95|127.94|135.94|143.94|0|129.22|115.15|108.24|0|159.93|13.55|0|9.85|130.9|12.85|12.55|0|2.328094303|119.95|124.91|0|0|0|0|0|0|0|0|0|2.37|2.328094303|2.37|0|0|0|7.25|0|0|0|0|0|0|0|0|159.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0733-11|J9209|MESNA 100 MG/ML INTRAVENOUS SOLUTION|159.93|84.76|119.95|127.94|135.94|143.94|0|129.22|115.15|108.24|0|159.93|13.55|0|9.85|130.9|12.85|12.55|0|2.328094303|119.95|124.91|0|0|0|0|0|0|0|0|0|2.37|2.328094303|2.37|0|0|0|7.25|0|0|0|0|0|0|0|0|159.93
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0445-01||LEVOTHYROXINE 150 MCG TABLET|21.81|11.56|16.36|17.45|18.54|19.63|0|17.62|15.7|14.76|0|21.81|14.42|0|10.51|17.85|13.7|13.33|0|0|16.36|17.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.41|0|0|0|0|0|0|0|0|21.81
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0445-20||LEVOTHYROXINE 150 MCG TABLET|21.81|11.56|16.36|17.45|18.54|19.63|0|17.62|15.7|14.76|0|21.81|14.42|0|10.51|17.85|13.7|13.33|0|0|16.36|17.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.41|0|0|0|0|0|0|0|0|21.81
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-2340-10|J1756|IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION|116.63|61.81|87.47|93.3|99.14|104.97|0|94.24|83.97|78.94|0|116.63|31|0|23|95.46|29|29|0|0.206286837|87.47|91.09|0|0|0|0|0|0|0|0|0|0.21|0.206286837|0.21|0|0|0|16|0|0|0|0|0|0|0|0|116.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0010-25||FLECAINIDE 50 MG TABLET|21.59|11.44|16.19|17.27|18.35|19.43|0|17.44|15.54|14.61|0|21.59|14.27|0|10.41|17.67|13.56|13.19|0|0|16.19|16.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.59
HOSP OP|0250 - PHARMACY|00173-0859-14||FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER|182.84|96.91|0|146.27|0|164.56|0|147.73|131.64|123.75|0|182.84|120.86|0|88.13|149.65|114.82|111.72|0|0|0|142.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|87.27|0|0|0|0|0|0|0|0|182.84
HOSP OP|0637 - DRUGS/SELF ADMIN|66553-0004-01||CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET|20.22|10.72|15.17|16.18|17.19|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|15.17|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0003-10|J2710|NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION|51.83|27.47|38.87|41.46|44.06|46.65|0|41.88|37.32|35.08|0|51.83|44.6|0|32.4|42.42|42.4|41.2|0|0.098231827|38.87|40.48|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|23.8|0|0|0|0|0|0|0|0|51.83
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0003-33|J2710|NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION|51.83|27.47|38.87|41.46|44.06|46.65|0|41.88|37.32|35.08|0|51.83|44.6|0|32.4|42.42|42.4|41.2|0|0.098231827|38.87|40.48|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|23.8|0|0|0|0|0|0|0|0|51.83
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0530-01||QUETIAPINE 25 MG TABLET|20.8|11.02|15.6|16.64|17.68|18.72|0|16.81|14.98|14.08|0|20.8|13.75|0|10.03|17.02|13.06|12.71|0|0|15.6|16.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.8
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0530-11||QUETIAPINE 25 MG TABLET|20.8|11.02|15.6|16.64|17.68|18.72|0|16.81|14.98|14.08|0|20.8|13.75|0|10.03|17.02|13.06|12.71|0|0|15.6|16.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.8
HOSP OP|0250 - PHARMACY|00299-3836-45||METRONIDAZOLE 0.75 % TOPICAL CREAM|1787.83|947.55|0|1430.26|0|1609.05|0|1444.57|1287.24|1210|0|1787.83|1181.76|0|861.73|1463.34|1122.76|1092.36|0|0|0|1396.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|853.33|0|0|0|0|0|0|0|0|1787.83
HOSP OP|0250 - PHARMACY|00173-0718-20||FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER|509.83|270.21|0|407.86|0|458.85|0|411.94|367.08|345.05|0|509.83|337|0|245.74|417.3|320.17|311.51|0|0|0|398.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|243.34|0|0|0|0|0|0|0|0|509.83
HOSP OP|0250 - PHARMACY|00068-0597-01||RIFAMPIN 600 MG INTRAVENOUS SOLUTION|211.83|112.27|0|169.46|0|190.65|0|171.16|152.52|143.37|0|211.83|140.02|0|102.1|173.38|133.03|129.43|0|0|0|165.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.11|0|0|0|0|0|0|0|0|211.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00224-1801-00||PSYLLIUM HUSK 6 GRAM ORAL POWDER PACKET|20.98|11.12|15.74|16.78|17.83|18.88|0|16.95|15.11|14.2|0|20.98|13.87|0|10.11|17.17|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1397-13||HALOPERIDOL 10 MG TABLET|23.91|12.67|17.93|19.13|20.32|21.52|0|19.32|17.22|16.18|0|23.91|15.8|0|11.52|19.57|15.02|14.61|0|0|17.93|18.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.41|0|0|0|0|0|0|0|0|23.91
HOSP OP|0250 - PHARMACY|42023-0103-01||EPINEPHRINE 1 MG/ML NASAL SOLUTION|720.52|381.88|0|576.42|0|648.47|0|582.18|518.77|487.65|0|720.52|476.26|0|347.29|589.75|452.49|440.24|0|0|0|562.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|343.9|0|0|0|0|0|0|0|0|720.52
HOSP OP|0250 - PHARMACY|62559-0111-11||HYDROCORTISONE 100 MG/60 ML ENEMA|91.42|48.45|0|73.14|0|82.28|0|73.87|65.82|61.87|0|91.42|60.43|0|44.06|74.83|57.41|55.86|0|0|0|71.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|43.63|0|0|0|0|0|0|0|0|91.42
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1102-81||CONJUGATED ESTROGENS 0.625 MG TABLET|36.46|19.32|27.35|29.17|30.99|32.81|0|29.46|26.25|24.68|0|36.46|24.1|0|17.57|29.84|22.9|22.28|0|0|27.35|28.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.4|0|0|0|0|0|0|0|0|36.46
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0346-01||LOSARTAN 25 MG TABLET|21.12|11.19|15.84|16.9|17.95|19.01|0|17.06|15.21|14.29|0|21.12|13.96|0|10.18|17.29|13.26|12.9|0|0|15.84|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.12
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0346-11||LOSARTAN 25 MG TABLET|21.12|11.19|15.84|16.9|17.95|19.01|0|17.06|15.21|14.29|0|21.12|13.96|0|10.18|17.29|13.26|12.9|0|0|15.84|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.12
HOSP OP|0250 - PHARMACY|61314-0143-05||BRIMONIDINE 0.2 % EYE DROPS|41.44|21.96|0|33.15|0|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|0|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0250 - PHARMACY|45802-0188-16||PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT|25.31|13.41|0|20.25|0|22.78|0|20.45|18.22|17.13|0|25.31|16.73|0|12.2|20.72|15.89|15.46|0|0|0|19.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.08|0|0|0|0|0|0|0|0|25.31
HOSP OP|0250 - PHARMACY|49781-0077-02||PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT|25.31|13.41|0|20.25|0|22.78|0|20.45|18.22|17.13|0|25.31|16.73|0|12.2|20.72|15.89|15.46|0|0|0|19.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.08|0|0|0|0|0|0|0|0|25.31
HOSP OP|0637 - DRUGS/SELF ADMIN|49702-0228-13|J8499|DOLUTEGRAVIR 50 MG TABLET|198.08|104.98|148.56|158.46|168.37|178.27|168.37|160.05|142.62|134.06|0|198.08|130.93|0|95.47|162.13|124.39|121.03|108.15|0|148.56|154.7|198.08|198.08|0|171.14|177.85|85.31|198.08|86.7|177.85|0|0|0|0|0|0|94.54|0|0|198.08|0|227.79|198.08|198.08|0|227.79
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50633-0120-11|J1162|DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION|8912.35|4723.55|6684.26|7129.88|7575.5|8021.12|7575.5|7201.18|6416.89|6031.88|0|8912.35|4757.18|3779.99|3459.1|7294.76|4521.17|4399.47|3685.49|3780.18664|6684.26|6960.55|3564.94|0|3564.94|8912.35|8912.35|4897.74|3564.94|5089.28|8912.35|3848.23|3780.18664|3848.23|0|0|4234.16|2541.64|0|0|3564.94|0|4456.18|3564.94|3564.94|0|8912.35
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0190-20||INDOMETHACIN 25 MG CAPSULE|20.58|10.91|15.44|16.46|17.49|18.52|0|16.63|14.82|13.93|0|20.58|13.6|0|9.92|16.84|12.92|12.57|0|0|15.44|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.58
HOSP OP|0637 - DRUGS/SELF ADMIN|49938-0102-30||DAPSONE 25 MG TABLET|32.72|17.34|24.54|26.18|27.81|29.45|0|26.44|23.56|22.14|0|32.72|21.63|0|15.77|26.78|20.55|19.99|0|0|24.54|25.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.62|0|0|0|0|0|0|0|0|32.72
HOSP OP|0250 - PHARMACY|67618-0151-16||POVIDONE-IODINE 7.5 % TOPICAL SOLUTION|36.36|19.27|0|29.09|0|32.72|0|29.38|26.18|24.61|0|36.36|24.03|0|17.53|29.76|22.83|22.22|0|0|0|28.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.35|0|0|0|0|0|0|0|0|36.36
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0134-83|J0171|EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE|41.74|22.12|31.31|33.39|35.48|37.57|0|33.73|30.05|28.25|0|41.74|0.95|0|0.69|34.16|0.91|0.88|0|0.815324165|31.31|32.6|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|0.5|0|0|0|0|0|0|0|0|41.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4921-20|J0171|EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE|57.38|22.12|31.31|33.39|35.48|37.57|0|33.73|30.05|28.25|0|41.74|0.95|0|0.69|34.16|0.91|0.88|0|0.815324165|31.31|32.6|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|0.5|0|0|0|0|0|0|0|0|41.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-3316-01|J0171|EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE|57.38|22.12|31.31|33.39|35.48|37.57|0|33.73|30.05|28.25|0|41.74|0.95|0|0.69|34.16|0.91|0.88|0|0.815324165|31.31|32.6|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|0.5|0|0|0|0|0|0|0|0|41.74
HOSP OP|0250 - PHARMACY|64764-0720-30||VORTIOXETINE 5 MG TABLET|57.05|30.24|0|45.64|0|51.35|0|46.1|41.08|38.61|0|57.05|37.71|0|27.5|46.7|35.83|34.86|0|0|0|44.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.23|0|0|0|0|0|0|0|0|57.05
HOSP OP|0250 - PHARMACY|00143-9785-01||VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION|45.47|24.1|0|36.38|0|40.92|0|36.74|32.74|30.77|0|45.47|30.06|0|21.92|37.22|28.56|27.78|0|0|0|35.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.7|0|0|0|0|0|0|0|0|45.47
HOSP OP|0250 - PHARMACY|00143-9785-10||VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION|45.47|24.1|0|36.38|0|40.92|0|36.74|32.74|30.77|0|45.47|30.06|0|21.92|37.22|28.56|27.78|0|0|0|35.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.7|0|0|0|0|0|0|0|0|45.47
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0046-10||CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0250 - PHARMACY|NMRRX-2160-01||WHITE PETROLATUM 42 % TOPICAL OINTMENT|20.96|11.11|0|16.77|0|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|0|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0250 - PHARMACY|54162-0500-01||WHITE PETROLATUM 42 % TOPICAL OINTMENT|64.16|11.11|0|16.77|0|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|0|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0258 - IV SOLUTIONS|00409-7111-09|J7042|POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|2.58|0|1.88|49.11|2.46|2.38|0|0.933202358|45|46.86|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|60
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2308-01|J2250|MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION|41.86|22.19|31.4|33.49|35.58|37.67|0|33.82|30.14|28.33|0|41.86|1.36|0|0.96|34.26|1.28|1.28|0|0.117878193|31.4|32.69|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.64|0|0|0|0|0|0|0|0|41.86
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2308-02|J2250|MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION|41.86|22.19|31.4|33.49|35.58|37.67|0|33.82|30.14|28.33|0|41.86|1.36|0|0.96|34.26|1.28|1.28|0|0.117878193|31.4|32.69|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.64|0|0|0|0|0|0|0|0|41.86
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2305-05|J2250|MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION|40.75|21.6|30.56|32.6|34.64|36.68|0|32.93|29.34|27.58|0|40.75|0.17|0|0.12|33.35|0.16|0.16|0|0.117878193|30.56|31.83|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2305-17|J2250|MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION|40.75|21.6|30.56|32.6|34.64|36.68|0|32.93|29.34|27.58|0|40.75|0.17|0|0.12|33.35|0.16|0.16|0|0.117878193|30.56|31.83|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-4306-11||CALCIUM POLYCARBOPHIL 625 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0672-01||IBUPROFEN 400 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0672-10||IBUPROFEN 400 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5656-61||CLONIDINE HCL 0.1 MG TABLET|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.04|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5046-61||CAPTOPRIL 25 MG TABLET|23.9|12.67|17.93|19.12|20.32|21.51|0|19.31|17.21|16.18|0|23.9|15.8|0|11.52|19.56|15.01|14.6|0|0|17.93|18.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.41|0|0|0|0|0|0|0|0|23.9
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0864-20||CAPTOPRIL 25 MG TABLET|23.9|12.67|17.93|19.12|20.32|21.51|0|19.31|17.21|16.18|0|23.9|15.8|0|11.52|19.56|15.01|14.6|0|0|17.93|18.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.41|0|0|0|0|0|0|0|0|23.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1890-01|J2770|MORPHINE 2 MG/ML INTRAVENOUS SYRINGE|42.18|22.36|31.64|33.74|35.85|37.96|35.85|34.08|30.37|28.55|0|42.18|3.57|42.18|42.18|34.52|3.4|3.3|2.51|417.7701375|31.64|32.94|16.87|0|16.87|4.84|4.94|2.93|42.18|2.48|4.94|425.29|417.7701375|425.29|0|0|0|1.91|0|0|16.87|0|21.09|16.87|16.87|0|425.29
HOSP OP|0250 - PHARMACY|00409-1891-01|J2274|MORPHINE 4 MG/ML INTRAVENOUS SYRINGE|42|22.26|31.5|33.6|35.7|37.8|0|33.94|30.24|28.43|0|42|21.18|0|15.4|34.38|20.13|19.59|0|11.79764244|31.5|32.8|0|0|0|0|0|0|0|0|0|12.01|11.79764244|12.01|0|0|0|11.31|0|0|0|0|0|0|0|0|42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|39822-0412-06|J3260|TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION|248.75|131.84|186.56|199|211.44|223.88|0|200.99|179.1|168.35|0|248.75|56.55|0|41.1|203.6|53.7|52.2|0|3.693516699|186.56|194.27|0|0|0|0|0|0|0|0|0|3.76|3.693516699|3.76|0|0|0|30|0|0|0|0|0|0|0|0|248.75
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0572-01||GUAIFENESIN ER 600 MG TABLET EXTENDED RELEASE 12 HR|22.33|11.83|16.75|17.86|18.98|20.1|0|18.04|16.08|15.11|0|22.33|14.76|0|10.76|18.28|14.02|13.64|0|0|16.75|17.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.66|0|0|0|0|0|0|0|0|22.33
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0572-11||GUAIFENESIN ER 600 MG TABLET EXTENDED RELEASE 12 HR|22.33|11.83|16.75|17.86|18.98|20.1|0|18.04|16.08|15.11|0|22.33|14.76|0|10.76|18.28|14.02|13.64|0|0|16.75|17.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.66|0|0|0|0|0|0|0|0|22.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0820-01|J7327|HYALURONATE SODIUM STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE|3523|1867.19|2642.25|2818.4|2994.55|3170.7|2994.55|2846.58|2536.56|2384.37|0|3523|1020.7|910.76|742.18|2883.58|970.06|943.95|887.99|781.2671906|2642.25|2751.46|766.34|766.34|766.34|1878.02|1881.85|611.49|766.34|622.27|1881.85|795.33|781.2671906|795.33|0|0|886.25|545.33|766.34|766.34|766.34|766.34|766.34|766.34|789.33|0|3523
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-1254-01||HYDROCORTISONE 20 MG TABLET|22|11.66|16.5|17.6|18.7|19.8|0|17.78|15.84|14.89|0|22|14.54|0|10.6|18.01|13.82|13.44|0|0|16.5|17.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63833-0386-02|C9132|HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION|2201.5|1166.79|1651.13|1761.2|1871.28|1981.35|1871.28|1778.81|1585.08|1489.98|0|2201.5|1455.19|1160|1061.12|1801.93|1382.54|1345.12|1130|1.836935167|1651.13|1719.37|880.6|0|880.6|1902.1|1976.68|948.19|880.6|963.6|1976.68|1.87|1.836935167|1.87|0|0|1010|1050.78|0|0|880.6|0|1100.75|880.6|880.6|0|2201.5
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0136-81|J1815|INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION|74.25|39.35|55.69|59.4|63.11|66.83|0|59.99|53.46|50.25|0|74.25|23|0|16.6|60.77|21.8|21.2|0|0.903732809|55.69|57.99|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|74.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-8315-01|J1815|INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION|74.73|39.35|55.69|59.4|63.11|66.83|0|59.99|53.46|50.25|0|74.25|23|0|16.6|60.77|21.8|21.2|0|0.903732809|55.69|57.99|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|74.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|57970-0100-01|J0875|DALBAVANCIN 500 MG INTRAVENOUS SOLUTION|2362|1251.86|1771.5|1889.6|2007.7|2125.8|2007.7|1908.5|1700.64|1598.6|0|2362|1748|1474|1271|1933.3|1661|1617|1437|15.0589391|1771.5|1844.72|1534.5|1534.5|1534.5|2362|2319.48|1178.71|1534.5|1199.49|2319.48|15.33|15.0589391|15.33|0|0|1637|934|1534.5|1534.5|1534.5|1534.5|1534.5|1534.5|1580.54|0|2362
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0925-01||DILTIAZEM ER 90 MG CAPSULEEXTENDED RELEASE 12 HR|30.31|16.06|22.73|24.25|25.76|27.28|0|24.49|21.82|20.51|0|30.31|20.03|0|14.61|24.81|19.03|18.52|0|0|22.73|23.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.47|0|0|0|0|0|0|0|0|30.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0925-20||DILTIAZEM ER 90 MG CAPSULEEXTENDED RELEASE 12 HR|30.31|16.06|22.73|24.25|25.76|27.28|0|24.49|21.82|20.51|0|30.31|20.03|0|14.61|24.81|19.03|18.52|0|0|22.73|23.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.47|0|0|0|0|0|0|0|0|30.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0943-01||BUPROPION HCL 75 MG TABLET|22.85|12.11|17.14|18.28|19.42|20.57|0|18.46|16.45|15.46|0|22.85|15.1|0|11.01|18.7|14.35|13.96|0|0|17.14|17.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.91|0|0|0|0|0|0|0|0|22.85
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0943-20||BUPROPION HCL 75 MG TABLET|22.85|12.11|17.14|18.28|19.42|20.57|0|18.46|16.45|15.46|0|22.85|15.1|0|11.01|18.7|14.35|13.96|0|0|17.14|17.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.91|0|0|0|0|0|0|0|0|22.85
HOSP OP|0250 - PHARMACY|68084-0388-01||BENZTROPINE 1 MG TABLET|20.87|11.06|0|16.7|0|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|0|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0250 - PHARMACY|68084-0388-11||BENZTROPINE 1 MG TABLET|20.87|11.06|0|16.7|0|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|0|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0250 - PHARMACY|51672-1260-03||CLOTRIMAZOLE 1 % TOPICAL SOLUTION|191.59|101.54|0|153.27|0|172.43|0|154.8|137.94|129.67|0|191.59|126.64|0|92.35|156.82|120.32|117.06|0|0|0|149.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|91.45|0|0|0|0|0|0|0|0|191.59
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0382-25||CYCLOPHOSPHAMIDE 25 MG CAPSULE|34.7|18.39|26.03|27.76|29.5|31.23|0|28.04|24.98|23.48|0|34.7|22.94|0|16.73|28.4|21.79|21.2|0|0|26.03|27.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.56|0|0|0|0|0|0|0|0|34.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0011-21||FLECAINIDE 100 MG TABLET|21.35|11.32|16.01|17.08|18.15|19.22|0|17.25|15.37|14.45|0|21.35|14.11|0|10.29|17.47|13.41|13.04|0|0|16.01|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.35
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63833-0387-02|C9132|HUM PROTHROMBIN CPLX(PCC)4FACT 1000 UNIT (800-1240 UNIT) IV SOLUTION|4501.08|2385.57|3375.81|3600.86|3825.92|4050.97|3825.92|3636.87|3240.78|3046.33|0|4501.08|2975.21|2320|2169.52|3684.13|2826.68|2750.16|2260|1.836935167|3375.81|3515.34|1800.43|0|1800.43|3888.93|4041.43|1938.62|1800.43|1970.12|4041.43|1.87|1.836935167|1.87|0|0|2020|2148.37|0|0|1800.43|0|2250.54|1800.43|1800.43|0|4501.08
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-8020-93||FLUVASTATIN 20 MG CAPSULE|31.16|16.51|23.37|24.93|26.49|28.04|0|25.18|22.44|21.09|0|31.16|20.6|0|15.02|25.5|19.57|19.04|0|0|23.37|24.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.87|0|0|0|0|0|0|0|0|31.16
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00085-1136-01|J1327|EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION|1303.25|690.72|977.44|1042.6|1107.76|1172.93|1107.76|1053.03|938.34|882.04|0|1303.25|565.95|524.85|411.6|1066.71|537.9|523.5|511.8|39.90176817|977.44|1017.84|58.85|58.85|58.85|121.19|121.43|39.46|58.85|40.15|121.43|40.62|39.90176817|40.62|0|0|463.35|302.25|58.85|58.85|58.85|58.85|58.85|58.85|60.61|0|1303.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1047-01||PERPHENAZINE 4 MG TABLET|25.33|13.42|19|20.26|21.53|22.8|0|20.47|18.24|17.14|0|25.33|16.74|0|12.21|20.73|15.91|15.48|0|0|19|19.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.09|0|0|0|0|0|0|0|0|25.33
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6341-61||METOPROLOL TARTRATE 50 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-1398-31|J3230|CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION|71.04|37.65|53.28|56.83|60.38|63.94|0|57.4|51.15|48.08|0|71.04|39.14|0|28.46|58.15|37.2|36.2|0|31.56188605|53.28|55.48|0|0|0|0|0|0|0|0|0|32.13|31.56188605|32.13|0|0|0|20.91|0|0|0|0|0|0|0|0|71.04
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-1398-35|J3230|CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION|71.04|37.65|53.28|56.83|60.38|63.94|0|57.4|51.15|48.08|0|71.04|39.14|0|28.46|58.15|37.2|36.2|0|31.56188605|53.28|55.48|0|0|0|0|0|0|0|0|0|32.13|31.56188605|32.13|0|0|0|20.91|0|0|0|0|0|0|0|0|71.04
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0191-01||INDOMETHACIN 50 MG CAPSULE|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.25|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0191-20||INDOMETHACIN 50 MG CAPSULE|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.25|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0250 - PHARMACY|00536-1108-88||NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH|25.78|13.66|0|20.62|0|23.2|0|20.83|18.56|17.45|0|25.78|17.04|0|12.43|21.1|16.19|15.75|0|0|0|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.78
HOSP OP|0250 - PHARMACY|63323-0712-20||AMINO ACIDS 3.31 %-DEXTROSE 9.8 %-FATS 3.9 %-E-LYTES NO.10 IV EMULSION|158.05|83.77|0|126.44|0|142.25|0|127.7|113.8|106.97|0|158.05|104.47|0|76.18|129.36|99.26|96.57|0|0|0|123.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.44|0|0|0|0|0|0|0|0|158.05
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-3571-61||MEGESTROL 40 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|68546-0317-30||GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE|618.02|327.55|463.52|494.42|525.32|556.22|0|499.36|444.97|418.28|0|618.02|408.51|0|297.89|505.85|388.12|377.61|0|0|463.52|482.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|294.98|0|0|0|0|0|0|0|0|618.02
HOSP OP|0250 - PHARMACY|00173-0520-00||SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION|675|357.75|0|540|0|607.5|0|545.4|486|456.84|0|675|446.18|0|325.35|552.49|423.9|412.43|0|0|0|527.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|322.18|0|0|0|0|0|0|0|0|675
HOSP OP|0250 - PHARMACY|00409-1893-01||MORPHINE 10 MG/ML INTRAVENOUS SYRINGE|42|22.26|31.5|33.6|35.7|37.8|0|33.94|30.24|28.43|0|42|3.57|0|20.24|34.38|3.4|3.3|0|0|31.5|32.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.91|0|0|0|0|0|0|0|0|42
HOSP OP|0250 - PHARMACY|00409-1893-03||MORPHINE 10 MG/ML INTRAVENOUS SYRINGE|42|22.26|31.5|33.6|35.7|37.8|0|33.94|30.24|28.43|0|42|3.57|0|20.24|34.38|3.4|3.3|0|0|31.5|32.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.91|0|0|0|0|0|0|0|0|42
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-7735-18||VIT A 5000 UNIT-VIT C 60 MG-VIT E 30 UNIT-ZINC-SELENATE-COPPER TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0800-40|J1561|IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|9185|4868.05|6888.75|7348|7807.25|8266.5|7807.25|7421.48|6613.2|6216.41|0|9185|4139.2|4465.6|3009.6|7517.92|3933.6|3828|4353.6|40.35363458|6888.75|7173.49|3674|0|3674|3217.6|3217.6|4184|3674|4360.8|3217.6|41.08|40.35363458|41.08|0|0|3462.4|2211.2|0|0|3674|0|4592.5|3674|3674|0|9185
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0138-89||DOXEPIN 10 MG/ML ORAL CONCENTRATE|27.18|14.41|20.39|21.74|23.1|24.46|0|21.96|19.57|18.4|0|27.18|17.97|0|13.1|22.25|17.07|16.61|0|0|20.39|21.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.97|0|0|0|0|0|0|0|0|27.18
HOSP OP|0637 - DRUGS/SELF ADMIN|60432-0651-04||DOXEPIN 10 MG/ML ORAL CONCENTRATE|29.35|14.41|20.39|21.74|23.1|24.46|0|21.96|19.57|18.4|0|27.18|17.97|0|13.1|22.25|17.07|16.61|0|0|20.39|21.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.97|0|0|0|0|0|0|0|0|27.18
HOSP OP|0250 - PHARMACY|42023-0164-01||VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION|154.36|81.81|0|123.49|0|138.92|0|124.72|111.14|104.47|0|154.36|102.03|0|74.4|126.34|96.94|94.31|0|0|0|120.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.68|0|0|0|0|0|0|0|0|154.36
HOSP OP|0250 - PHARMACY|42023-0164-25||VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION|154.36|81.81|0|123.49|0|138.92|0|124.72|111.14|104.47|0|154.36|102.03|0|74.4|126.34|96.94|94.31|0|0|0|120.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.68|0|0|0|0|0|0|0|0|154.36
HOSP OP|0250 - PHARMACY|00005-0100-05||N.MENINGITIDIS GROUP BLIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE|350.09|185.55|0|280.07|0|315.08|0|282.87|252.06|236.94|0|350.09|231.41|0|168.74|286.55|219.86|213.9|0|0|0|273.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|167.1|0|0|0|0|0|0|0|0|350.09
HOSP OP|0250 - PHARMACY|00005-0100-10||N.MENINGITIDIS GROUP BLIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE|350.09|185.55|0|280.07|0|315.08|0|282.87|252.06|236.94|0|350.09|231.41|0|168.74|286.55|219.86|213.9|0|0|0|273.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|167.1|0|0|0|0|0|0|0|0|350.09
HOSP OP|0258 - IV SOLUTIONS|00338-0691-04|J7042|POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS|45|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|2.58|0|1.88|36.83|2.46|2.38|0|0.933202358|33.75|35.15|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|45
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-5511-93||OLANZAPINE 10 MG DISINTEGRATING TABLET|23.59|12.5|17.69|18.87|20.05|21.23|0|19.06|16.98|15.97|0|23.59|15.59|0|11.37|19.31|14.81|14.41|0|0|17.69|18.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.44|11.26|0|0|0|0|0|0|0|0|23.59
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|46028-0114-02|90620|MENINGOCOCCAL B VAC 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE|418.2|221.65|313.65|334.56|355.47|376.38|355.47|337.91|301.1|283.04|0|418.2|220.23|0|160.14|342.3|209.3|203.67|0|182.7111984|313.65|326.61|167.28|0|167.28|418.2|418.2|216.03|167.28|219.01|418.2|186|182.7111984|186|0|0|191.26|117.66|0|0|167.28|0|209.1|167.28|167.28|0|418.2
HOSP OP|0250 - PHARMACY|00173-0873-06||UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION|115.33|61.12|0|92.26|0|103.8|0|93.19|83.04|78.06|0|115.33|76.23|0|55.59|94.4|72.43|70.47|0|0|0|90.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|55.05|0|0|0|0|0|0|0|0|115.33
HOSP OP|0250 - PHARMACY|00173-0874-14||FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION|190.95|101.2|0|152.76|0|171.86|0|154.29|137.48|129.23|0|190.95|126.22|0|92.04|156.29|119.92|116.67|0|0|0|149.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|91.14|0|0|0|0|0|0|0|0|190.95
HOSP OP|0637 - DRUGS/SELF ADMIN|59011-0410-20||OXYCODONE ER 10 MG TABLETCRUSH RESISTANTEXTENDED RELEASE 12 HR|29.92|15.86|22.44|23.94|25.43|26.93|0|24.18|21.54|20.25|0|29.92|19.78|0|14.42|24.49|18.79|18.28|0|0|22.44|23.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.28|0|0|0|0|0|0|0|0|29.92
HOSP OP|0637 - DRUGS/SELF ADMIN|59011-0415-20||OXYCODONE ER 15 MG TABLETCRUSH RESISTANTEXTENDED RELEASE 12 HR|34.59|18.33|25.94|27.67|29.4|31.13|0|27.95|24.9|23.41|0|34.59|22.86|0|16.67|28.31|21.72|21.13|0|0|25.94|27.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.51|0|0|0|0|0|0|0|0|34.59
HOSP OP|0637 - DRUGS/SELF ADMIN|59011-0420-20||OXYCODONE ER 20 MG TABLETCRUSH RESISTANTEXTENDED RELEASE 12 HR|38.47|20.39|28.85|30.78|32.7|34.62|0|31.08|27.7|26.04|0|38.47|25.43|0|18.54|31.49|24.16|23.51|0|0|28.85|30.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.36|0|0|0|0|0|0|0|0|38.47
HOSP OP|0637 - DRUGS/SELF ADMIN|59011-0440-20||OXYCODONE ER 40 MG TABLETCRUSH RESISTANTEXTENDED RELEASE 12 HR|51.62|27.36|38.72|41.3|43.88|46.46|0|41.71|37.17|34.94|0|51.62|34.12|0|24.88|42.25|32.42|31.54|0|0|38.72|40.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.64|0|0|0|0|0|0|0|0|51.62
HOSP OP|0637 - DRUGS/SELF ADMIN|59011-0480-20||OXYCODONE ER 80 MG TABLETCRUSH RESISTANTEXTENDED RELEASE 12 HR|75.2|39.86|56.4|60.16|63.92|67.68|0|60.76|54.14|50.9|0|75.2|49.71|0|36.25|61.55|47.23|45.95|0|0|56.4|58.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.89|0|0|0|0|0|0|0|0|75.2
HOSP OP|0250 - PHARMACY|55566-2800-00||DINOPROSTONE ER 10 MG VAGINAL INSERTCONTROLLED RELEASE|1232.72|653.34|0|986.18|0|1109.45|0|996.04|887.56|834.3|0|1232.72|814.83|0|594.17|1008.98|774.15|753.19|0|0|0|962.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|588.38|0|0|0|0|0|0|0|0|1232.72
HOSP OP|0250 - PHARMACY|55566-2800-01||DINOPROSTONE ER 10 MG VAGINAL INSERTCONTROLLED RELEASE|1232.72|653.34|0|986.18|0|1109.45|0|996.04|887.56|834.3|0|1232.72|814.83|0|594.17|1008.98|774.15|753.19|0|0|0|962.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|588.38|0|0|0|0|0|0|0|0|1232.72
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55513-0192-01|J2505|PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR|11008.75|5834.64|8256.56|8807|9357.44|9907.88|9357.44|8895.07|7926.3|7450.72|0|11008.75|6039.53|5981.82|4391.54|9010.66|5739.9|5585.4|5832.27|4257.102161|8256.56|8597.83|3807.3|3807.3|3807.3|4569.42|4569.42|3331.96|3807.3|3390.72|4569.42|4333.73|4257.102161|4333.73|0|0|5072.05|3226.77|3807.3|3807.3|3807.3|3807.3|3807.3|3807.3|3921.52|0|11008.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-1086-61||DIPYRIDAMOLE 25 MG TABLET|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0250 - PHARMACY|51672-1263-01||NYSTATIN-TRIAMCINOLONE 100000 UNIT/G-0.1 % TOPICAL CREAM|216.39|114.69|0|173.11|0|194.75|0|174.84|155.8|146.45|0|216.39|143.03|0|104.3|177.12|135.89|132.21|0|0|0|169|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.28|0|0|0|0|0|0|0|0|216.39
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60977-0141-01|J2730|PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION|241.32|127.9|180.99|193.06|205.12|217.19|0|194.99|173.75|163.33|0|241.32|111.84|0|81.32|197.52|106.29|103.43|0|87.66208251|180.99|188.47|0|0|0|0|0|0|0|0|0|89.24|87.66208251|89.24|0|0|0|59.75|0|0|0|0|0|0|0|0|241.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|62756-0512-44|J0456|AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION|57.23|30.33|42.92|45.78|48.65|51.51|0|46.24|41.21|38.73|0|57.23|3.56|0|2.59|46.84|3.38|3.29|0|2.603143418|42.92|44.7|0|0|0|0|0|0|0|0|0|2.65|2.603143418|2.65|0|0|0|1.9|0|0|0|0|0|0|0|0|57.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0398-10|J0456|AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION|57.23|30.33|42.92|45.78|48.65|51.51|0|46.24|41.21|38.73|0|57.23|3.56|0|2.59|46.84|3.38|3.29|0|2.603143418|42.92|44.7|0|0|0|0|0|0|0|0|0|2.65|2.603143418|2.65|0|0|0|1.9|0|0|0|0|0|0|0|0|57.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2272-60||NIACIN 500 MG TABLET|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00078-0818-81|J2353|OCTREOTIDEMICROSPHERES ER 20 MG INTRAMUSCULAR SUSP EXTENDED RELEASE|11053.7|5858.46|8290.28|8842.96|9395.65|9948.33|9395.65|8931.39|7958.66|7481.14|0|11053.7|5105.4|4094|3712.2|9047.45|4852|4721.4|3991.6|206.0903733|8290.28|8632.94|4144.36|4144.36|4144.36|9907.85|9928.07|3226.01|4144.36|3282.9|9928.07|209.8|206.0903733|209.8|0|0|2723.8|2727.6|4144.36|4144.36|4144.36|4144.36|4144.36|4144.36|4268.69|0|11053.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00078-0825-81|J2353|OCTREOTIDEMICROSPHERES ER 30 MG INTRAMUSCULAR SUSP EXTENDED RELEASE|15930.33|8443.07|11947.75|12744.26|13540.78|14337.3|13540.78|12871.71|11469.84|10781.65|0|15930.33|7658.1|6141|5568.3|13038.98|7278|7082.1|5987.4|206.0903733|11947.75|12441.59|6216.54|6216.54|6216.54|14861.77|14892.1|4839.02|6216.54|4924.35|14892.1|209.8|206.0903733|209.8|0|0|4085.7|4091.4|6216.54|6216.54|6216.54|6216.54|6216.54|6216.54|6403.04|0|15930.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00456-2700-01|J0714|CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION|936.58|496.39|702.44|749.26|796.09|842.92|796.09|756.76|674.34|633.88|0|936.58|544.25|430.55|395.75|766.59|517.25|503.35|419.8|92.03339882|702.44|731.47|374.63|0|374.63|936.58|936.58|483.85|374.63|619.4|936.58|93.69|92.03339882|93.69|0|0|399.05|290.75|0|0|374.63|0|468.29|374.63|374.63|0|936.58
HOSP OP|0250 - PHARMACY|58160-0958-01||MENINGOCOCCAL A CONJ VACC 1 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION|214.88|113.89|0|171.9|0|193.39|0|173.62|154.71|145.43|0|214.88|142.04|0|103.57|175.88|134.94|131.29|0|0|0|167.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|102.56|0|0|0|0|0|0|0|0|214.88
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0462-21||ZIDOVUDINE 300 MG TABLET|23.56|12.49|17.67|18.85|20.03|21.2|0|19.04|16.96|15.95|0|23.56|15.57|0|11.36|19.28|14.8|14.4|0|0|17.67|18.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.25|0|0|0|0|0|0|0|0|23.56
HOSP OP|0250 - PHARMACY|67618-0149-04||POVIDONE-IODINE 7.5 % TOPICAL CLEANSER|48.32|25.61|0|38.66|0|43.49|0|39.04|34.79|32.7|0|48.32|31.94|0|23.29|39.55|30.34|29.52|0|0|0|37.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.06|0|0|0|0|0|0|0|0|48.32
HOSP OP|0250 - PHARMACY|70003-0300-65||NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL|327.71|173.69|0|262.17|0|294.94|0|264.79|235.95|221.79|0|327.71|216.62|0|157.96|268.23|205.8|200.23|0|0|0|255.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|156.42|0|0|0|0|0|0|0|0|327.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0116-20|J0295|AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION|43.27|22.93|32.45|34.62|36.78|38.94|0|34.96|31.15|29.29|0|43.27|3.38|0|2.46|35.42|3.21|3.13|0|2.583497053|32.45|33.79|0|0|0|0|0|0|0|0|0|2.63|2.583497053|2.63|0|0|0|1.8|0|0|0|0|0|0|0|0|43.27
HOSP OP|0250 - PHARMACY|00173-0882-14||FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER|182.84|96.91|0|146.27|0|164.56|0|147.73|131.64|123.75|0|182.84|120.86|0|88.13|149.65|114.82|111.72|0|0|0|142.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|87.27|0|0|0|0|0|0|0|0|182.84
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0437-10|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INTRAVENOUS SOLUTION|2056.9|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0438-20|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INTRAVENOUS SOLUTION|4073.8|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0439-40|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INTRAVENOUS SOLUTION|8107.6|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0436-05|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % INTRAVENOUS SOLUTION|1048.45|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0593-03|J1610|GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION|305.23|161.77|228.92|244.18|259.45|274.71|259.45|246.63|219.77|206.58|0|305.23|283.7|207.13|206.28|249.83|269.62|262.36|201.95|217.5638507|228.92|238.38|199.13|199.13|199.13|305.23|299.74|170.28|199.13|173.28|299.74|221.48|217.5638507|221.48|0|0|224.32|151.56|199.13|199.13|199.13|199.13|199.13|199.13|205.11|0|305.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0596-03|J1610|GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION|305.23|161.77|228.92|244.18|259.45|274.71|259.45|246.63|219.77|206.58|0|305.23|283.7|207.13|206.28|249.83|269.62|262.36|201.95|217.5638507|228.92|238.38|199.13|199.13|199.13|305.23|299.74|170.28|199.13|173.28|299.74|221.48|217.5638507|221.48|0|0|224.32|151.56|199.13|199.13|199.13|199.13|199.13|199.13|205.11|0|305.23
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0163-65||DEMECLOCYCLINE 300 MG TABLET|54|28.62|40.5|43.2|45.9|48.6|0|43.63|38.88|36.55|0|54|35.69|0|26.03|44.2|33.91|32.99|0|0|40.5|42.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.77|0|0|0|0|0|0|0|0|54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-9093-37|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-9094-28|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6027-01|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6027-25|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6028-01|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6028-25|J3010|FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION|40.45|21.44|30.34|32.36|34.38|36.41|0|32.68|29.12|27.38|0|40.45|1.07|0|0.78|33.11|1.02|0.99|0|0.992141454|30.34|31.59|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5167-21||PHENOBARBITAL 64.8 MG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55566-5030-00|J2597|DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION|62.77|33.27|47.08|50.22|53.35|56.49|53.35|50.72|45.19|42.48|0|62.77|32.14|28.22|23.38|51.38|30.56|29.72|27.52|11.52259332|47.08|49.02|22.11|22.11|22.11|55.39|55.5|18.03|22.11|18.35|55.5|11.73|11.52259332|11.73|0|0|26.8|17.16|22.11|22.11|22.11|22.11|22.11|22.11|22.78|0|62.77
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55566-5040-01|J2597|DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION|62.77|33.27|47.08|50.22|53.35|56.49|53.35|50.72|45.19|42.48|0|62.77|32.14|28.22|23.38|51.38|30.56|29.72|27.52|11.52259332|47.08|49.02|22.11|22.11|22.11|55.39|55.5|18.03|22.11|18.35|55.5|11.73|11.52259332|11.73|0|0|26.8|17.16|22.11|22.11|22.11|22.11|22.11|22.11|22.78|0|62.77
HOSP OP|0637 - DRUGS/SELF ADMIN|50580-0501-10||ACETAMINOPHEN 325 MG TABLET|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.02|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0440-01||ACETAMINOPHEN 325 MG TABLET|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.02|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0250 - PHARMACY|00536-7415-51||SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA|22|11.66|16.5|17.6|18.7|19.8|0|17.78|15.84|14.89|0|22|14.54|0|10.6|18.01|13.82|13.44|0|0|16.5|17.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.8|10.5|0|0|0|0|0|0|0|0|22
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-5007-01||MISOPROSTOL 100 MCG TABLET|21.49|11.39|16.12|17.19|18.27|19.34|0|17.36|15.47|14.54|0|21.49|14.2|0|10.36|17.59|13.5|13.13|0|0|16.12|16.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.49
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|61314-0312-01|Q5101|FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE|659.43|349.5|494.57|527.54|560.52|593.49|560.52|532.82|474.79|446.3|0|659.43|398.4|422.4|288|539.74|374.4|364.8|412.8|0.550098232|494.57|515.01|231.36|231.36|231.36|633.9|635.2|206.4|231.36|210.04|635.2|0.56|0.550098232|0.56|0|0|340.8|211.2|231.36|231.36|231.36|231.36|231.36|231.36|238.3|0|659.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|61314-0304-01|Q5101|FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE|428.98|227.36|321.74|343.18|364.63|386.08|364.63|346.62|308.87|290.33|0|428.98|249|264|180|351.12|234|228|258|0.550098232|321.74|335.03|144.6|144.6|144.6|396.19|397|129|144.6|131.27|397|0.56|0.550098232|0.56|0|0|213|132|144.6|144.6|144.6|144.6|144.6|144.6|148.94|0|428.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6301-61||CARVEDILOL 6.25 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5784-61||FLUOXETINE 10 MG CAPSULE|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0250 - PHARMACY|13668-0091-90||PRAMIPEXOLE 0.125 MG TABLET|20.28|10.75|0|16.22|0|18.25|0|16.39|14.6|13.73|0|20.28|13.41|0|9.77|16.6|12.74|12.39|0|0|0|15.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.28
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0800-11||VENLAFAXINE 50 MG TABLET|21.98|11.65|16.49|17.58|18.68|19.78|0|17.76|15.83|14.88|0|21.98|14.53|0|10.59|17.99|13.8|13.43|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.49|0|0|0|0|0|0|0|0|21.98
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0800-15||VENLAFAXINE 50 MG TABLET|21.98|11.65|16.49|17.58|18.68|19.78|0|17.76|15.83|14.88|0|21.98|14.53|0|10.59|17.99|13.8|13.43|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.49|0|0|0|0|0|0|0|0|21.98
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0205-01||MINOXIDIL 10 MG TABLET|21.52|11.41|16.14|17.22|18.29|19.37|0|17.39|15.49|14.56|0|21.52|14.22|0|10.37|17.61|13.51|13.15|0|0|16.14|16.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.52
HOSP OP|0250 - PHARMACY|55299-0601-04||ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP|52.76|27.96|0|42.21|0|47.48|0|42.63|37.99|35.71|0|52.76|34.87|0|25.43|43.18|33.13|32.24|0|0|0|41.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.18|0|0|0|0|0|0|0|0|52.76
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65757-0402-03|J1942|ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION EXT.REL. IM SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65757-0401-03|J1942|ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION EXT.REL. IM SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65757-0403-03|J1942|ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION EXT.REL. IM SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|00597-0197-05||IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION|5023.5|2662.45|0|4018.8|0|4521.15|0|4058.99|3616.92|3399.9|0|5023.5|3320.53|0|2421.33|4111.73|3154.76|3069.36|0|0|0|3923.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2397.72|0|0|0|0|0|0|0|0|5023.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-3219-01||BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE|22.8|12.08|17.1|18.24|19.38|20.52|0|18.42|16.42|15.43|0|22.8|15.07|0|10.99|18.66|14.32|13.93|0|0|17.1|17.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.88|0|0|0|0|0|0|0|0|22.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00310-0402-60||ZAFIRLUKAST 20 MG TABLET|25.37|13.45|19.03|20.3|21.56|22.83|0|20.5|18.27|17.17|0|25.37|16.77|0|12.23|20.77|15.93|15.5|0|0|19.03|19.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.11|0|0|0|0|0|0|0|0|25.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0017-20|J7512|PREDNISONE 10 MG TABLET|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|0.3|0|0.2|16.68|0.2|0.2|0|0.009823183|15.29|15.92|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.38
HOSP OP|0250 - PHARMACY|00574-0303-16||COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.20 ORAL|67.57|35.81|0|54.06|0|60.81|0|54.6|48.65|45.73|0|67.57|44.66|0|32.57|55.31|42.43|41.29|0|0|0|52.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.25|0|0|0|0|0|0|0|0|67.57
HOSP OP|0250 - PHARMACY|00781-6077-61||CEFDINIR 125 MG/5 ML ORAL SUSPENSION|39.69|21.04|29.77|31.75|33.74|35.72|0|32.07|28.58|26.86|0|39.69|26.24|0|19.13|32.49|24.93|24.25|0|0|29.77|31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.88|18.94|0|0|0|0|0|0|0|0|39.69
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-4076-01||NIACIN 100 MG TABLET|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0250 - PHARMACY|00404-6730-05||MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE|40.87|21.66|0|32.7|0|36.78|0|33.02|29.43|27.66|0|40.87|27.02|0|19.7|33.45|25.67|24.97|0|0|0|31.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.87
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-7914-61||IBUPROFEN 200 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.05|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0250 - PHARMACY|00006-5423-02||SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION|283.15|150.07|0|226.52|0|254.84|0|228.79|203.87|191.64|0|283.15|187.16|0|136.48|231.76|177.82|173|0|0|0|221.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.15|0|0|0|0|0|0|0|0|283.15
HOSP OP|0250 - PHARMACY|00006-5423-12||SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION|283.15|150.07|0|226.52|0|254.84|0|228.79|203.87|191.64|0|283.15|187.16|0|136.48|231.76|177.82|173|0|0|0|221.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.15|0|0|0|0|0|0|0|0|283.15
HOSP OP|0250 - PHARMACY|00006-5423-05||SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION|449.19|150.07|0|226.52|0|254.84|0|228.79|203.87|191.64|0|283.15|187.16|0|136.48|231.76|177.82|173|0|0|0|221.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.15|0|0|0|0|0|0|0|0|283.15
HOSP OP|0250 - PHARMACY|00006-5423-15||SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION|449.19|150.07|0|226.52|0|254.84|0|228.79|203.87|191.64|0|283.15|187.16|0|136.48|231.76|177.82|173|0|0|0|221.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.15|0|0|0|0|0|0|0|0|283.15
HOSP OP|0637 - DRUGS/SELF ADMIN|16252-0540-01||ISRADIPINE 5 MG CAPSULE|23.65|12.53|17.74|18.92|20.1|21.29|0|19.11|17.03|16.01|0|23.65|15.63|0|11.4|19.36|14.85|14.45|0|0|17.74|18.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.29|0|0|0|0|0|0|0|0|23.65
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0389-01||BENZTROPINE 2 MG TABLET|21.04|11.15|15.78|16.83|17.88|18.94|0|17|15.15|14.24|0|21.04|13.91|0|10.14|17.22|13.21|12.86|0|0|15.78|16.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.04
HOSP OP|0637 - DRUGS/SELF ADMIN|43598-0436-11||NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET|60.3|31.96|45.23|48.24|51.26|54.27|0|48.72|43.42|40.81|0|60.3|39.86|0|29.06|49.36|37.87|36.84|0|0|45.23|47.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.12|28.78|0|0|0|0|0|0|0|0|60.3
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0709-01||VENLAFAXINE ER 75 MG CAPSULEEXTENDED RELEASE 24 HR|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0709-11||VENLAFAXINE ER 75 MG CAPSULEEXTENDED RELEASE 24 HR|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00045-0080-02||LACTASE 3000 UNIT TABLET|20.6|10.92|15.45|16.48|17.51|18.54|0|16.64|14.83|13.94|0|20.6|13.62|0|9.93|16.86|12.94|12.59|0|0|15.45|16.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00450-0080-02||LACTASE 3000 UNIT TABLET|20.6|10.92|15.45|16.48|17.51|18.54|0|16.64|14.83|13.94|0|20.6|13.62|0|9.93|16.86|12.94|12.59|0|0|15.45|16.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5224-52||LACTASE 3000 UNIT TABLET|20.6|10.92|15.45|16.48|17.51|18.54|0|16.64|14.83|13.94|0|20.6|13.62|0|9.93|16.86|12.94|12.59|0|0|15.45|16.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.6
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0640-01||METHIMAZOLE 5 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3408-80|J0290|AMPICILLIN 2 GRAM SOLUTION FOR INJECTION|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|5.16|0|3.76|37.65|4.92|4.76|0|0.982318271|34.5|35.93|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|2.72|0|0|0|0|0|0|0|0|46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3408-95|J0290|AMPICILLIN 2 GRAM SOLUTION FOR INJECTION|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|5.16|0|3.76|37.65|4.92|4.76|0|0.982318271|34.5|35.93|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|2.72|0|0|0|0|0|0|0|0|46
HOSP OP|0250 - PHARMACY|00781-3269-71||EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION|65.55|34.74|0|52.44|0|59|0|52.96|47.2|44.36|0|65.55|43.33|0|31.6|53.65|41.17|40.05|0|0|0|51.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.29|0|0|0|0|0|0|0|0|65.55
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-91|Q9967|IOHEXOL 350 MG/ML ORAL|27.6|14.63|20.7|22.08|23.46|24.84|0|22.3|19.87|18.68|0|27.6|15|0|11|22.59|15|14|0|0.117878193|20.7|21.56|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|27.6
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-89|Q9967|IOHEXOL 350 MG/ML ORAL|14.25|14.63|20.7|22.08|23.46|24.84|0|22.3|19.87|18.68|0|27.6|15|0|11|22.59|15|14|0|0.117878193|20.7|21.56|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|27.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9709-01|J2260|MILRINONE 1 MG/ML INTRAVENOUS SOLUTION|52.95|28.06|39.71|42.36|45.01|47.66|0|42.78|38.12|35.84|0|52.95|7.24|0|5.24|43.34|6.88|6.68|0|1.532416503|39.71|41.35|0|0|0|0|0|0|0|0|0|1.56|1.532416503|1.56|0|0|0|3.84|0|0|0|0|0|0|0|0|52.95
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0191-06||RILUZOLE 50 MG TABLET|48.18|25.54|36.14|38.54|40.95|43.36|0|38.93|34.69|32.61|0|48.18|31.85|0|23.22|39.44|30.26|29.44|0|0|36.14|37.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23|0|0|0|0|0|0|0|0|48.18
HOSP OP|0250 - PHARMACY|50383-0824-20||SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION|35.71|18.93|26.78|28.57|30.35|32.14|0|28.85|25.71|24.17|0|35.71|23.6|0|17.21|29.23|22.43|21.82|0|0|26.78|27.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.28|17.04|0|0|0|0|0|0|0|0|35.71
HOSP OP|0250 - PHARMACY|50383-0824-21||SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION|35.71|18.93|26.78|28.57|30.35|32.14|0|28.85|25.71|24.17|0|35.71|23.6|0|17.21|29.23|22.43|21.82|0|0|26.78|27.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.28|17.04|0|0|0|0|0|0|0|0|35.71
HOSP OP|0250 - PHARMACY|NMRRX-0144-95||SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION|35.71|18.93|26.78|28.57|30.35|32.14|0|28.85|25.71|24.17|0|35.71|23.6|0|17.21|29.23|22.43|21.82|0|0|26.78|27.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.28|17.04|0|0|0|0|0|0|0|0|35.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|17478-0931-01|J0636|CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION|48.71|25.82|36.53|38.97|41.4|43.84|0|39.36|35.07|32.97|0|48.71|2.9|0|2.1|39.87|2.75|2.7|0|0.736738703|36.53|38.04|0|0|0|0|0|0|0|0|0|0.75|0.736738703|0.75|0|0|0|1.55|0|0|0|0|0|0|0|0|48.71
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0887-11||TRIHEXYPHENIDYL 5 MG TABLET|21.61|11.45|16.21|17.29|18.37|19.45|0|17.46|15.56|14.63|0|21.61|14.28|0|10.42|17.69|13.57|13.2|0|0|16.21|16.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.31|0|0|0|0|0|0|0|0|21.61
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0887-21||TRIHEXYPHENIDYL 5 MG TABLET|21.61|11.45|16.21|17.29|18.37|19.45|0|17.46|15.56|14.63|0|21.61|14.28|0|10.42|17.69|13.57|13.2|0|0|16.21|16.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.31|0|0|0|0|0|0|0|0|21.61
HOSP OP|0250 - PHARMACY|00023-5853-18||MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE)|30.81|16.33|0|24.65|0|27.73|0|24.89|22.18|20.85|0|30.81|20.37|0|14.85|25.22|19.35|18.82|0|0|0|24.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.71|0|0|0|0|0|0|0|0|30.81
HOSP OP|0250 - PHARMACY|00409-6143-09||ACETIC ACID 0.25 % IRRIGATION SOLUTION|52.5|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0237-63||MORPHINE 10 MG/5 ML ORAL SOLUTION|25.09|13.3|18.82|20.07|21.33|22.58|0|20.27|18.06|16.98|0|25.09|16.58|0|12.09|20.54|15.76|15.33|0|0|18.82|19.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|25.09
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0001-62||MORPHINE 10 MG/5 ML ORAL SOLUTION|25.09|13.3|18.82|20.07|21.33|22.58|0|20.27|18.06|16.98|0|25.09|16.58|0|12.09|20.54|15.76|15.33|0|0|18.82|19.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|25.09
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-1453-50||MORPHINE 10 MG/5 ML ORAL SOLUTION|25.09|13.3|18.82|20.07|21.33|22.58|0|20.27|18.06|16.98|0|25.09|16.58|0|12.09|20.54|15.76|15.33|0|0|18.82|19.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|25.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89130-3111-01|J7328|SODIUM HYALURONATE 16.8 MG/2 ML INTRA-ARTICULAR SYRINGE|841.1|445.78|630.83|672.88|714.94|756.99|714.94|679.61|605.59|569.26|0|841.1|841.1|841.1|841.1|688.44|841.1|841.1|841.1|2.092337917|630.83|656.9|336.44|0|336.44|726.71|755.21|362.26|336.44|368.15|755.21|2.13|2.092337917|2.13|0|0|841.1|824.28|0|0|336.44|0|420.55|336.44|336.44|0|841.1
HOSP OP|0250 - PHARMACY|42023-0113-10||KETAMINE 10 MG/ML INJECTION SOLUTION|85.95|45.55|0|68.76|0|77.36|0|69.45|61.88|58.17|0|85.95|56.81|0|41.43|70.35|53.98|52.52|0|0|0|67.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.02|0|0|0|0|0|0|0|0|85.95
HOSP OP|0250 - PHARMACY|67457-0181-20||KETAMINE 10 MG/ML INJECTION SOLUTION|85.95|45.55|0|68.76|0|77.36|0|69.45|61.88|58.17|0|85.95|56.81|0|41.43|70.35|53.98|52.52|0|0|0|67.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.02|0|0|0|0|0|0|0|0|85.95
HOSP OP|0250 - PHARMACY|00409-2552-11||HYDROMORPHONE 1 MG/ML INJECTION SOLUTION|43.18|22.89|0|34.54|0|38.86|0|34.89|31.09|29.22|0|43.18|28.54|0|20.81|35.34|27.12|26.38|0|0|0|33.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.61|0|0|0|0|0|0|0|0|43.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00069-0809-01|Q5103|INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION|1502.5|796.32|1126.88|1202|1277.13|1352.25|1277.13|1214.02|1081.8|1016.89|0|1502.5|738.9|908.4|537.3|1229.8|702.3|683.4|885.7|47.77013752|1126.88|1173.45|601|0|601|508.4|508.4|816.2|601|644.2|508.4|48.63|47.77013752|48.63|0|0|608.6|394.8|0|0|601|0|751.25|601|601|0|1502.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-0374-01|Q9968|METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION|519.73|275.46|389.8|415.78|441.77|467.76|441.77|419.94|374.21|351.75|0|519.73|519.73|519.73|519.73|425.4|519.73|519.73|519.73|0|389.8|405.91|363.3|363.3|363.3|519.73|510.37|239.03|363.3|243.24|510.37|0|0|0|0|0|230|509.34|363.3|363.3|363.3|363.3|363.3|363.3|374.2|0|519.73
HOSP OP|0250 - PHARMACY|00009-3359-02||DINOPROSTONE 0.5 MG VAGINAL GEL|1603.6|849.91|0|1282.88|0|1443.24|0|1295.71|1154.59|1085.32|0|1603.6|1059.98|0|772.94|1312.55|1007.06|979.8|0|0|0|1252.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|765.4|0|0|0|0|0|0|0|0|1603.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55566-4100-00|J7323|SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE|348.83|184.88|261.62|279.06|296.51|313.95|296.51|281.85|251.16|236.09|0|348.83|181.93|159.95|132.29|285.52|172.9|168.25|155.95|144.6856582|261.62|272.44|149.23|149.23|149.23|347.81|342.55|113.25|149.23|115.25|342.55|147.29|144.6856582|147.29|0|0|160.49|97.19|149.23|149.23|149.23|149.23|149.23|149.23|153.71|0|348.83
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55566-4100-01|J7323|SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE|348.83|184.88|261.62|279.06|296.51|313.95|296.51|281.85|251.16|236.09|0|348.83|181.93|159.95|132.29|285.52|172.9|168.25|155.95|144.6856582|261.62|272.44|149.23|149.23|149.23|347.81|342.55|113.25|149.23|115.25|342.55|147.29|144.6856582|147.29|0|0|160.49|97.19|149.23|149.23|149.23|149.23|149.23|149.23|153.71|0|348.83
HOSP OP|0637 - DRUGS/SELF ADMIN|46287-0006-01||SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP|73.96|39.2|55.47|59.17|62.87|66.56|0|59.76|53.25|50.06|0|73.96|48.89|0|35.65|60.54|46.45|45.19|0|0|55.47|57.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.3|0|0|0|0|0|0|0|0|73.96
HOSP OP|0637 - DRUGS/SELF ADMIN|46287-0006-60||SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP|73.96|39.2|55.47|59.17|62.87|66.56|0|59.76|53.25|50.06|0|73.96|48.89|0|35.65|60.54|46.45|45.19|0|0|55.47|57.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.3|0|0|0|0|0|0|0|0|73.96
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0175-48||SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP|73.96|39.2|55.47|59.17|62.87|66.56|0|59.76|53.25|50.06|0|73.96|48.89|0|35.65|60.54|46.45|45.19|0|0|55.47|57.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.3|0|0|0|0|0|0|0|0|73.96
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3181-01|J3490|LIDOCAINE 1.5 %-EPINEPHRINE 1:200000 INJECTION SOLUTION|52.53|27.84|39.4|42.02|44.65|47.28|0|42.44|37.82|35.55|0|52.53|34.72|0|25.32|43|32.99|32.1|0|0|39.4|41.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.07|0|0|0|0|0|0|0|0|52.53
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0478-10||DOCUSATE SODIUM 100 MG CAPSULE|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0722-01||OXYBUTYNIN CHLORIDE ER 5 MG TABLETEXTENDED RELEASE 24 HR|24.86|13.18|18.65|19.89|21.13|22.37|0|20.09|17.9|16.83|0|24.86|16.43|0|11.98|20.35|15.61|15.19|0|0|18.65|19.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.87|0|0|0|0|0|0|0|0|24.86
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0722-20||OXYBUTYNIN CHLORIDE ER 5 MG TABLETEXTENDED RELEASE 24 HR|24.86|13.18|18.65|19.89|21.13|22.37|0|20.09|17.9|16.83|0|24.86|16.43|0|11.98|20.35|15.61|15.19|0|0|18.65|19.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.87|0|0|0|0|0|0|0|0|24.86
HOSP OP|0250 - PHARMACY|00065-0246-05||BETAXOLOL 0.25 % EYE DROPSSUSPENSION|408.36|216.43|0|326.69|0|367.52|0|329.95|294.02|276.38|0|408.36|269.93|0|196.83|334.24|256.45|249.51|0|0|0|318.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|194.91|0|0|0|0|0|0|0|0|408.36
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0440-01||PRAMIPEXOLE 0.25 MG TABLET|20.57|10.9|15.43|16.46|17.48|18.51|0|16.62|14.81|13.92|0|20.57|13.6|0|9.91|16.84|12.92|12.57|0|0|15.43|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.57
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0440-11||PRAMIPEXOLE 0.25 MG TABLET|20.57|10.9|15.43|16.46|17.48|18.51|0|16.62|14.81|13.92|0|20.57|13.6|0|9.91|16.84|12.92|12.57|0|0|15.43|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.57
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0520-60||PYRIDOXINE (VITAMIN B6) 50 MG TABLET|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0325-21||MERCAPTOPURINE 50 MG TABLET|24.31|12.88|18.23|19.45|20.66|21.88|0|19.64|17.5|16.45|0|24.31|16.07|0|11.72|19.9|15.27|14.85|0|0|18.23|18.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.6|0|0|0|0|0|0|0|0|24.31
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5632-61||GABAPENTIN 300 MG CAPSULE|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0370-01||LOXAPINE SUCCINATE 10 MG CAPSULE|22.05|11.69|16.54|17.64|18.74|19.85|0|17.82|15.88|14.92|0|22.05|14.58|0|10.63|18.05|13.85|13.47|0|0|16.54|17.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.52|0|0|0|0|0|0|0|0|22.05
HOSP OP|0250 - PHARMACY|76045-0009-05||HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE|48.32|25.61|0|38.66|0|43.49|0|39.04|34.79|32.7|0|48.32|31.94|0|23.29|39.55|30.34|29.52|0|0|0|37.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.06|0|0|0|0|0|0|0|0|48.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0658-20|J1205|CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION|89.34|47.35|67.01|71.47|75.94|80.41|0|72.19|64.32|60.47|0|89.34|89.34|0|68.66|73.12|89.34|87.33|0|50.13752456|67.01|69.77|0|0|0|0|0|0|0|0|0|51.04|50.13752456|51.04|0|0|0|50.45|0|0|0|0|0|0|0|0|89.34
HOSP OP|0250 - PHARMACY|00517-6510-25||SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION|72.43|38.39|0|57.94|0|65.19|0|58.52|52.15|49.02|0|72.43|47.88|0|34.91|59.28|45.49|44.25|0|0|0|56.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.57|0|0|0|0|0|0|0|0|72.43
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0231-01||SERTRALINE 25 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0231-11||SERTRALINE 25 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0250 - PHARMACY|00487-9601-01||BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION|58.78|31.15|0|47.02|0|52.9|0|47.49|42.32|39.78|0|58.78|38.85|0|28.33|48.11|36.91|35.91|0|0|0|45.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.06|0|0|0|0|0|0|0|0|58.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|51754-0500-01|J0706|CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION|54.08|28.66|40.56|43.26|45.97|48.67|0|43.7|38.94|36.6|0|54.08|27.12|0|19.68|44.26|25.8|25.08|0|2.229862475|40.56|42.24|0|0|0|0|0|0|0|0|0|2.27|2.229862475|2.27|0|0|0|14.4|0|0|0|0|0|0|0|0|54.08
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0775-15||LIDOCAINE HCL 2 % MUCOSAL SOLUTION|27.52|14.59|20.64|22.02|23.39|24.77|0|22.24|19.81|18.63|0|27.52|18.19|0|13.26|22.53|17.28|16.81|0|0|20.64|21.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.01|13.14|0|0|0|0|0|0|0|0|27.52
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0775-17||LIDOCAINE HCL 2 % MUCOSAL SOLUTION|27.52|14.59|20.64|22.02|23.39|24.77|0|22.24|19.81|18.63|0|27.52|18.19|0|13.26|22.53|17.28|16.81|0|0|20.64|21.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.01|13.14|0|0|0|0|0|0|0|0|27.52
HOSP OP|0250 - PHARMACY|00713-0165-50||ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY|21.59|11.44|0|17.27|0|19.43|0|17.44|15.54|14.61|0|21.59|14.27|0|10.41|17.67|13.56|13.19|0|0|0|16.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.59
HOSP OP|0250 - PHARMACY|00904-1315-46||BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET|20.32|10.77|0|16.26|0|18.29|0|16.42|14.63|13.75|0|20.32|13.43|0|9.79|16.63|12.76|12.42|0|0|0|15.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|0|0|0|0|0|0|0|0|20.32
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0750-25||TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET|21.85|11.58|16.39|17.48|18.57|19.67|0|17.65|15.73|14.79|0|21.85|14.44|0|10.53|17.88|13.72|13.35|0|0|16.39|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.85
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0750-95||TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET|21.85|11.58|16.39|17.48|18.57|19.67|0|17.65|15.73|14.79|0|21.85|14.44|0|10.53|17.88|13.72|13.35|0|0|16.39|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5684-61||OMEPRAZOLE 20 MG CAPSULEDELAYED RELEASE|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0358-10||OMEPRAZOLE 20 MG CAPSULEDELAYED RELEASE|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0250 - PHARMACY|00409-1966-06||SODIUM CHLORIDE 0.9 % BACTERIOSTATIC INJECTION SOLUTION|43.58|23.1|0|34.86|0|39.22|0|35.21|31.38|29.49|0|43.58|28.81|0|21.01|35.67|27.37|26.63|0|0|0|34.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.8|0|0|0|0|0|0|0|0|43.58
HOSP OP|0250 - PHARMACY|00409-1966-07||SODIUM CHLORIDE 0.9 % BACTERIOSTATIC INJECTION SOLUTION|41.73|23.1|0|34.86|0|39.22|0|35.21|31.38|29.49|0|43.58|28.81|0|21.01|35.67|27.37|26.63|0|0|0|34.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.8|0|0|0|0|0|0|0|0|43.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65757-0404-03|J1942|ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9 ML SUSPENSIONEXT.REL IM SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0148-78||CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION||0|0|0|0|0|0|40.46|36.06|33.89|0|50.08|33.1|0|24.14|0|31.45|30.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.9|0|0|0|0|0|0|0|0|50.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51754-0501-03||CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION|50.08|0|0|0|0|0|0|40.46|36.06|33.89|0|50.08|33.1|0|24.14|0|31.45|30.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.9|0|0|0|0|0|0|0|0|50.08
HOSP OP|0250 - PHARMACY|00487-9701-01||BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION|62.1|32.91|0|49.68|0|55.89|0|50.18|44.71|42.03|0|62.1|41.05|0|29.93|50.83|39|37.94|0|0|0|48.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.64|0|0|0|0|0|0|0|0|62.1
HOSP OP|0250 - PHARMACY|00487-9701-30||BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION|62.1|32.91|0|49.68|0|55.89|0|50.18|44.71|42.03|0|62.1|41.05|0|29.93|50.83|39|37.94|0|0|0|48.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.64|0|0|0|0|0|0|0|0|62.1
HOSP OP|0637 - DRUGS/SELF ADMIN|37205-0110-38||MAGNESIUM CITRATE ORAL SOLUTION|21.34|11.31|16.01|17.07|18.14|19.21|0|17.24|15.36|14.44|0|21.34|14.11|0|10.29|17.47|13.4|13.04|0|0|16.01|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.34
HOSP OP|0343 - DIAG RADIOPHARMACEUTICALS|69932-0001-01|A9588|FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION|11055|5859.15|8291.25|8844|9396.75|9949.5|0|8932.44|7959.6|7482.02|0|11055|1459|0|747.53|9048.52|1386|1349|0|408.5068762|8291.25|8633.96|0|0|0|0|0|0|0|0|0|415.86|408.5068762|415.86|0|0|0|1222.55|0|0|0|0|0|0|0|0|11055
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5894-30||SIMETHICONE 40 MG/0.6 ML ORAL DROPSSUSPENSION|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0250 - PHARMACY|70842-0120-01|J2186|MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION|236.55|125.37|177.41|189.24|201.07|212.9|201.07|191.13|170.32|160.1|0|236.55|236.55|132.47|236.55|193.62|236.55|236.55|83.5|1.748526523|177.41|184.75|94.62|0|94.62|204.38|212.39|101.88|94.62|103.54|212.39|1.78|1.748526523|1.78|0|0|92.5|231.82|0|0|94.62|0|118.28|94.62|94.62|0|236.55
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0959-01||DOXAZOSIN 4 MG TABLET|28.71|15.22|21.53|22.97|24.4|25.84|0|23.2|20.67|19.43|0|28.71|18.98|0|13.84|23.5|18.03|17.54|0|0|21.53|22.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.7|0|0|0|0|0|0|0|0|28.71
HOSP OP|0250 - PHARMACY|00065-0359-02||CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS|102.55|54.35|0|82.04|0|92.3|0|82.86|73.84|69.41|0|102.55|67.79|0|49.43|83.94|64.4|62.66|0|0|0|80.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|48.95|0|0|0|0|0|0|0|0|102.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89130-2020-01|J7318|HYALURONATE SODIUM STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE|2303.95|1221.09|1727.96|1843.16|1958.36|2073.56|1958.36|1861.59|1658.84|1559.31|0|2303.95|1522.91|936|1110.5|1885.78|1446.88|1407.71|912.6|16.58153242|1727.96|1799.38|1064.51|1157.52|1064.51|2303.95|2262.48|809.29|1035.57|823.56|2262.48|16.88|16.58153242|16.88|0|0|0|1099.68|1033.5|1033.5|1064.51|1033.5|1860.3|1033.5|1064.51|0|2303.95
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63459-0601-11|J9017|ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION|893.13|473.36|669.85|714.5|759.16|803.82|759.16|721.65|643.05|604.47|0|893.13|893.13|756.12|865.68|731.03|893.13|893.13|737.16|46.27701375|669.85|697.53|344.03|344.03|344.03|893.13|877.05|413.94|344.03|421.24|877.05|47.11|46.27701375|47.11|0|0|688.44|636|344.03|344.03|344.03|344.03|344.03|344.03|354.35|0|893.13
HOSP OP|0250 - PHARMACY|00409-1109-11||ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION|54.58|28.93|0|43.66|0|49.12|0|44.1|39.3|36.94|0|54.58|36.08|0|26.31|44.67|34.28|33.35|0|0|0|42.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.05|0|0|0|0|0|0|0|0|54.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|88888-7722-04|J7999|SUCCINYLCHOLINE(PF)140 MG/7 ML (20 MG/ML)-NACLISO INTRAVENOUS SYRINGE|77.5|41.07|58.13|62|65.88|69.75|0|62.62|55.8|52.45|0|77.5|51.23|0|37.36|63.43|48.67|47.35|0|0|58.13|60.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|36.99|0|0|0|0|0|0|0|0|77.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4332-01|J3370|VANCOMYCIN 500 MG INTRAVENOUS SOLUTION|45.65|24.19|34.24|36.52|38.8|41.09|0|36.89|32.87|30.9|0|45.65|5.47|0|3.98|37.36|5.2|5.06|0|3.388998035|34.24|35.65|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|2.92|0|0|0|0|0|0|0|0|45.65
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4332-49|J3370|VANCOMYCIN 500 MG INTRAVENOUS SOLUTION|45.65|24.19|34.24|36.52|38.8|41.09|0|36.89|32.87|30.9|0|45.65|5.47|0|3.98|37.36|5.2|5.06|0|3.388998035|34.24|35.65|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|2.92|0|0|0|0|0|0|0|0|45.65
HOSP OP|0250 - PHARMACY|68547-0501-02|J3490|ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION|3790|2008.7|2842.5|3032|3221.5|3411|0|3062.32|2728.8|2565.07|0|3790|2505.19|0|1826.78|3102.12|2380.12|2315.69|0|0|2842.5|2959.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1808.97|0|0|0|0|0|0|0|0|3790
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0306-02|J3260|TOBRAMYCIN 40 MG/ML INJECTION SOLUTION|43.23|22.91|32.42|34.58|36.75|38.91|0|34.93|31.13|29.26|0|43.23|3.77|0|2.74|35.38|3.58|3.48|0|3.693516699|32.42|33.76|0|0|0|0|0|0|0|0|0|3.76|3.693516699|3.76|0|0|0|2|0|0|0|0|0|0|0|0|43.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2621-60||PEDIATRIC MULTIVITAMIN NO.17 CHEWABLE TABLET|0.07|0.04|0.05|0.06|0.06|0.06|0|0.06|0.05|0.05|0|0.07|0.05|0|0.03|0.06|0.04|0.04|0|0|0.05|0.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.03|0|0|0|0|0|0|0|0|0.07
HOSP OP|0250 - PHARMACY|00023-6115-01||LIPASE-PROTEASE-AMYLASE 5000-17000-24000 UNIT CAPSULE DELAYED REL|24.71|13.1|0|19.77|0|22.24|0|19.97|17.79|16.72|0|24.71|16.33|0|11.91|20.23|15.52|15.1|0|0|0|19.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.79|0|0|0|0|0|0|0|0|24.71
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0434-01||ASPIRIN 81 MG CHEWABLE TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.03|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0250 - PHARMACY|00338-9560-01||THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 2 ML TOPICAL SYRINGE|383.29|203.14|0|306.63|0|344.96|0|309.7|275.97|259.41|0|383.29|253.35|0|184.75|313.72|240.71|234.19|0|0|0|299.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|182.94|0|0|0|0|0|0|0|0|383.29
HOSP OP|0250 - PHARMACY|00338-9564-01||THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE|625.57|331.55|0|500.46|0|563.01|0|505.46|450.41|423.39|0|625.57|413.5|0|301.52|512.03|392.86|382.22|0|0|0|488.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|298.58|0|0|0|0|0|0|0|0|625.57
HOSP OP|0250 - PHARMACY|00338-9568-01||THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE|1498.84|794.39|0|1199.07|0|1348.96|0|1211.06|1079.16|1014.41|0|1498.84|990.73|0|722.44|1226.8|941.27|915.79|0|0|0|1170.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|715.4|0|0|0|0|0|0|0|0|1498.84
HOSP OP|0250 - PHARMACY|62327-0222-02||STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION|215|113.95|0|172|0|193.5|0|173.72|154.8|145.51|0|215|142.12|0|103.63|175.98|135.02|131.37|0|0|0|167.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|102.62|0|0|0|0|0|0|0|0|215
HOSP OP|0250 - PHARMACY|62327-0222-42||STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION|215|113.95|0|172|0|193.5|0|173.72|154.8|145.51|0|215|142.12|0|103.63|175.98|135.02|131.37|0|0|0|167.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|102.62|0|0|0|0|0|0|0|0|215
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-4165-02||RALOXIFENE 60 MG TABLET|38.63|20.47|28.97|30.9|32.84|34.77|0|31.21|27.81|26.14|0|38.63|25.53|0|18.62|31.62|24.26|23.6|0|0|28.97|30.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.44|0|0|0|0|0|0|0|0|38.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0099-20||OXCARBAZEPINE 600 MG TABLET|22.11|11.72|16.58|17.69|18.79|19.9|0|17.86|15.92|14.96|0|22.11|14.61|0|10.66|18.1|13.89|13.51|0|0|16.58|17.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.55|0|0|0|0|0|0|0|0|22.11
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0488-01||ESTRADIOL 2 MG TABLET|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|52544-0931-07|J1750|IRON DEXTRAN 50 MG/ML INJECTION SOLUTION|59.65|31.61|44.74|47.72|50.7|53.69|50.7|48.2|42.95|40.37|0|59.65|17.57|13.64|12.78|48.82|16.7|16.25|13.3|14.38113949|44.74|46.59|15.02|15.02|15.02|34.57|34.64|11.26|15.02|11.45|34.64|14.64|14.38113949|14.64|0|0|16.13|9.38|15.02|15.02|15.02|15.02|15.02|15.02|15.47|0|59.65
HOSP OP|0250 - PHARMACY|39822-0615-01||COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION|105.85|56.1|0|84.68|0|95.27|0|85.53|76.21|71.64|0|105.85|69.97|0|51.02|86.64|66.47|64.67|0|0|0|82.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.52|0|0|0|0|0|0|0|0|105.85
HOSP OP|0250 - PHARMACY|51079-0375-01||CHLORDIAZEPOXIDE 10 MG CAPSULE|21.24|11.26|0|16.99|0|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|0|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0250 - PHARMACY|51079-0375-20||CHLORDIAZEPOXIDE 10 MG CAPSULE|21.24|11.26|0|16.99|0|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|0|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|65757-0500-03|J1943|ARIPIPRAZOLE LAUROXILSUBMIC. ER 675 MG/2.4 ML SUSPEXT.REL.IM SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2.770137525|0|0|0|0|0|0|0|0|0|0|0|2.82|2.770137525|2.82|0|0|0|0|0|0|0|0|0|0|0|0|2.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0970-02|J0515|BENZTROPINE 1 MG/ML INJECTION SOLUTION|57.41|30.43|43.06|45.93|48.8|51.67|0|46.39|41.34|38.86|0|57.41|24.08|0|17.51|46.99|22.89|22.27|0|17.73084479|43.06|44.84|0|0|0|0|0|0|0|0|0|18.05|17.73084479|18.05|0|0|0|12.87|0|0|0|0|0|0|0|0|57.41
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0469-01|J1631|HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION|77.55|41.1|58.16|62.04|65.92|69.8|0|62.66|55.84|52.49|0|77.55|22.38|0|16.27|63.47|21.27|20.7|0|16.27701375|58.16|60.57|0|0|0|0|0|0|0|0|0|16.57|16.27701375|16.57|0|0|0|11.96|0|0|0|0|0|0|0|0|77.55
HOSP OP|0250 - PHARMACY|00409-4092-01||CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION|82.45|43.7|0|65.96|0|74.21|0|66.62|59.36|55.8|0|82.45|54.5|0|39.74|67.49|51.78|50.38|0|0|0|64.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.35|0|0|0|0|0|0|0|0|82.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0214-01|J2357|OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE|745.3|395.01|558.98|596.24|633.51|670.77|633.51|602.2|536.62|504.42|0|745.3|716.85|555.3|521.25|610.03|681.3|663|541.35|37.35756385|558.98|582.08|565.4|565.4|565.4|745.3|731.88|438.6|565.4|446.33|731.88|38.03|37.35756385|38.03|0|0|385.2|382.95|565.4|565.4|565.4|565.4|565.4|565.4|582.36|0|745.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0215-01|J2357|OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE|2861.2|1516.44|2145.9|2288.96|2432.02|2575.08|2432.02|2311.85|2060.06|1936.46|0|2861.2|1433.7|1110.6|1042.5|2341.89|1362.6|1326|1082.7|37.35756385|2145.9|2234.6|1130.79|1130.79|1130.79|2694.09|2699.59|877.2|1130.79|892.67|2699.59|38.03|37.35756385|38.03|0|0|770.4|765.9|1130.79|1130.79|1130.79|1130.79|1130.79|1130.79|1164.71|0|2861.2
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0587-20||THIOTHIXENE 2 MG CAPSULE|25.28|13.4|18.96|20.22|21.49|22.75|0|20.43|18.2|17.11|0|25.28|16.71|0|12.18|20.69|15.88|15.45|0|0|18.96|19.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.07|0|0|0|0|0|0|0|0|25.28
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0577-60|J8499|RIVAROXABAN 2.5 MG TABLET|85.48|45.3|64.11|68.38|72.66|76.93|72.66|69.07|61.55|57.85|0|85.48|56.5|0|41.2|69.97|53.68|52.23|46.67|0|64.11|66.76|85.48|85.48|0|73.85|76.75|36.82|85.48|37.41|76.75|0|0|0|0|0|0|40.8|0|0|85.48|0|98.3|85.48|85.48|0|98.3
HOSP OP|0250 - PHARMACY|00310-1110-01||SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET|63.85|33.84|0|51.08|0|57.47|0|51.59|45.97|43.21|0|63.85|42.2|0|30.78|52.26|40.1|39.01|0|0|0|49.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.48|0|0|0|0|0|0|0|0|63.85
HOSP OP|0250 - PHARMACY|00185-1047-01||QUINIDINE SULFATE 300 MG TABLET|21.08|11.17|0|16.86|0|18.97|0|17.03|15.18|14.27|0|21.08|13.93|0|10.16|17.25|13.24|12.88|0|0|0|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.08
HOSP OP|0250 - PHARMACY|61570-0032-75||NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/G-10000 UNIT/G-0.5 %TOPICAL CREAM|348.82|184.87|0|279.06|0|313.94|0|281.85|251.15|236.08|0|348.82|230.57|0|168.13|285.51|219.06|213.13|0|0|0|272.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|166.49|0|0|0|0|0|0|0|0|348.82
HOSP OP|0250 - PHARMACY|00409-1144-02||VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION|75.13|39.82|0|60.1|0|67.62|0|60.71|54.09|50.85|0|75.13|49.66|0|36.21|61.49|47.18|45.9|0|0|0|58.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.86|0|0|0|0|0|0|0|0|75.13
HOSP OP|0250 - PHARMACY|51754-0203-01||VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION|75.13|39.82|0|60.1|0|67.62|0|60.71|54.09|50.85|0|75.13|49.66|0|36.21|61.49|47.18|45.9|0|0|0|58.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.86|0|0|0|0|0|0|0|0|75.13
HOSP OP|0250 - PHARMACY|51754-0203-02||VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION|75.13|39.82|0|60.1|0|67.62|0|60.71|54.09|50.85|0|75.13|49.66|0|36.21|61.49|47.18|45.9|0|0|0|58.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.86|0|0|0|0|0|0|0|0|75.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00228-2551-11||DICLOFENAC SODIUM 75 MG TABLETDELAYED RELEASE|21.08|11.17|15.81|16.86|17.92|18.97|0|17.03|15.18|14.27|0|21.08|13.93|0|10.16|17.25|13.24|12.88|0|0|15.81|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.08
HOSP OP|0258 - IV SOLUTIONS|00338-0013-04|A4217|WATER FOR INJECTION STERILE INTRAVENOUS SOLUTION|45|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|9.32|0|6.78|36.83|8.86|8.62|0|3.280943026|33.75|35.15|0|0|0|0|0|0|0|0|0|3.34|3.280943026|3.34|0|0|0|4.98|0|0|0|0|0|0|0|0|45
HOSP OP|0258 - IV SOLUTIONS|00409-7118-07|A4217|WATER FOR INJECTION STERILE INTRAVENOUS SOLUTION|50|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|9.32|0|6.78|36.83|8.86|8.62|0|3.280943026|33.75|35.15|0|0|0|0|0|0|0|0|0|3.34|3.280943026|3.34|0|0|0|4.98|0|0|0|0|0|0|0|0|45
HOSP OP|0258 - IV SOLUTIONS|00338-0013-08|A4217|WATER FOR INJECTION STERILE INTRAVENOUS SOLUTION|55|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|9.32|0|6.78|36.83|8.86|8.62|0|3.280943026|33.75|35.15|0|0|0|0|0|0|0|0|0|3.34|3.280943026|3.34|0|0|0|4.98|0|0|0|0|0|0|0|0|45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-1496-31|J2550|PROMETHAZINE 50 MG/ML INJECTION SOLUTION|40.46|21.44|30.35|32.37|34.39|36.41|0|32.69|29.13|27.38|0|40.46|2.64|0|1.92|33.12|2.51|2.45|0|2.062868369|30.35|31.6|0|0|0|0|0|0|0|0|0|2.1|2.062868369|2.1|0|0|0|1.41|0|0|0|0|0|0|0|0|40.46
HOSP OP|0250 - PHARMACY|08065-1839-05||CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE|192.03|101.78|0|153.62|0|172.83|0|155.16|138.26|129.97|0|192.03|126.93|0|92.56|157.18|120.59|117.33|0|0|0|149.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|91.66|0|0|0|0|0|0|0|0|192.03
HOSP OP|0250 - PHARMACY|08065-1839-75||CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE|204.78|101.78|0|153.62|0|172.83|0|155.16|138.26|129.97|0|192.03|126.93|0|92.56|157.18|120.59|117.33|0|0|0|149.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|91.66|0|0|0|0|0|0|0|0|192.03
HOSP OP|0637 - DRUGS/SELF ADMIN|13668-0134-01||FELODIPINE ER 10 MG TABLETEXTENDED RELEASE 24 HR|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0153-48||PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP|63.72|33.77|47.79|50.98|54.16|57.35|0|51.49|45.88|43.13|0|63.72|42.12|0|30.71|52.15|40.02|38.93|0|0|47.79|49.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.41|0|0|0|0|0|0|0|0|63.72
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0283-10||DILTIAZEM CD 120 MG CAPSULEEXTENDED RELEASE 24 HR|20.88|11.07|15.66|16.7|17.75|18.79|0|16.87|15.03|14.13|0|20.88|13.8|0|10.06|17.09|13.11|12.76|0|0|15.66|16.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.88
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-2410-01||TRIFLUOPERAZINE 10 MG TABLET|26.8|14.2|20.1|21.44|22.78|24.12|0|21.65|19.3|18.14|0|26.8|17.71|0|12.92|21.94|16.83|16.37|0|0|20.1|20.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.79|0|0|0|0|0|0|0|0|26.8
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0575-20||TRIFLUOPERAZINE 10 MG TABLET|26.8|14.2|20.1|21.44|22.78|24.12|0|21.65|19.3|18.14|0|26.8|17.71|0|12.92|21.94|16.83|16.37|0|0|20.1|20.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.79|0|0|0|0|0|0|0|0|26.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00185-0129-01||BUMETANIDE 1 MG TABLET|22.49|11.92|16.87|17.99|19.12|20.24|0|18.17|16.19|15.22|0|22.49|14.87|0|10.84|18.41|14.12|13.74|0|0|16.87|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.49
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0405-88|90682|FLU VACCINE TS2019-20(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE|156.81|83.11|117.61|125.45|133.29|141.13|133.29|126.7|112.9|106.13|0|156.81|68.85|53.37|50.06|128.35|65.43|63.67|52.04|56.01178782|117.61|122.47|62.72|0|62.72|147.24|150.24|59.63|62.72|75.32|150.24|57.02|56.01178782|57.02|0|0|59.77|36.78|56.18|56.18|62.72|56.18|78.41|62.72|62.72|0|156.81
HOSP OP|0250 - PHARMACY|00281-0326-08||NITROGLYCERIN 2 % TRANSDERMAL OINTMENT|30.59|16.21|0|24.47|0|27.53|0|24.72|22.02|20.7|0|30.59|20.22|0|14.74|25.04|19.21|18.69|0|0|0|23.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.6|0|0|0|0|0|0|0|0|30.59
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0104-01||SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET|20.68|10.96|15.51|16.54|17.58|18.61|0|16.71|14.89|14|0|20.68|13.67|0|9.97|16.93|12.99|12.64|0|0|15.51|16.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.68
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0813-01||NADOLOL 40 MG TABLET|29.67|15.73|22.25|23.74|25.22|26.7|0|23.97|21.36|20.08|0|29.67|19.61|0|14.3|24.28|18.63|18.13|0|0|22.25|23.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.16|0|0|0|0|0|0|0|0|29.67
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0813-20||NADOLOL 40 MG TABLET|29.67|15.73|22.25|23.74|25.22|26.7|0|23.97|21.36|20.08|0|29.67|19.61|0|14.3|24.28|18.63|18.13|0|0|22.25|23.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.16|0|0|0|0|0|0|0|0|29.67
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0869-01||VERAPAMIL ER (SR) 240 MG TABLETEXTENDED RELEASE|25.66|13.6|19.25|20.53|21.81|23.09|0|20.73|18.48|17.37|0|25.66|16.96|0|12.37|21|16.11|15.68|0|0|19.25|20.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.25|0|0|0|0|0|0|0|0|25.66
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0869-20||VERAPAMIL ER (SR) 240 MG TABLETEXTENDED RELEASE|25.66|13.6|19.25|20.53|21.81|23.09|0|20.73|18.48|17.37|0|25.66|16.96|0|12.37|21|16.11|15.68|0|0|19.25|20.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.25|0|0|0|0|0|0|0|0|25.66
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0581-01||LEUCOVORIN CALCIUM 5 MG TABLET|23.84|12.64|17.88|19.07|20.26|21.46|0|19.26|17.16|16.13|0|23.84|15.76|0|11.49|19.51|14.97|14.57|0|0|17.88|18.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.38|0|0|0|0|0|0|0|0|23.84
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0581-06||LEUCOVORIN CALCIUM 5 MG TABLET|23.84|12.64|17.88|19.07|20.26|21.46|0|19.26|17.16|16.13|0|23.84|15.76|0|11.49|19.51|14.97|14.57|0|0|17.88|18.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.38|0|0|0|0|0|0|0|0|23.84
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0897-11||FOLIC ACID 1 MG TABLET|20.41|10.82|15.31|16.33|17.35|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|15.31|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0897-01||FOLIC ACID 1 MG TABLET|20.41|10.82|15.31|16.33|17.35|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|15.31|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0250 - PHARMACY|00472-1738-03||MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY|52.86|28.02|0|42.29|0|47.57|0|42.71|38.06|35.78|0|52.86|34.94|0|25.48|43.27|33.2|32.3|0|0|0|41.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.23|0|0|0|0|0|0|0|0|52.86
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-1025-06||NEFAZODONE 200 MG TABLET|23.11|12.25|17.33|18.49|19.64|20.8|0|18.67|16.64|15.64|0|23.11|15.28|0|11.14|18.92|14.51|14.12|0|0|17.33|18.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.03|0|0|0|0|0|0|0|0|23.11
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0383-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULEEXTEND RELEASE|39.85|21.12|29.89|31.88|33.87|35.87|0|32.2|28.69|26.97|0|39.85|26.34|0|19.21|32.62|25.03|24.35|0|0|29.89|31.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02|0|0|0|0|0|0|0|0|39.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-2020-01||AMOXICILLIN 250 MG CAPSULE|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0569-84|J1650|ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE|72.23|38.28|54.17|57.78|61.4|65.01|0|58.36|52.01|48.89|0|72.23|14.85|0|10.8|59.12|14.1|13.8|0|0.667976424|54.17|56.41|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|7.8|0|0|0|0|0|0|0|0|72.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0303-01|J0885|EPOETIN ALFA 3000 UNIT/ML INJECTION SOLUTION|233.49|123.75|175.12|186.79|198.47|210.14|198.47|188.66|168.11|158.03|0|233.49|46.26|47.76|33.63|191.11|43.95|42.78|46.56|10.55992141|175.12|182.36|29.09|29.09|29.09|76.15|76.31|24.79|29.09|25.23|76.31|10.75|10.55992141|10.75|0|0|38.52|24.69|29.09|29.09|29.09|29.09|29.09|29.09|29.96|0|233.49
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-1087-61||DIPYRIDAMOLE 50 MG TABLET|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5053-59||PSEUDOEPHEDRINE 30 MG TABLET|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0637 - DRUGS/SELF ADMIN|24385-0463-62||CHLORPHENIRAMINE 4 MG TABLET|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0637 - DRUGS/SELF ADMIN|63323-0254-10||MINERAL OIL LIGHT STERILE|63.76|33.79|47.82|51.01|54.2|57.38|0|51.52|45.91|43.15|0|63.76|42.15|0|30.73|52.19|40.04|38.96|0|0|47.82|49.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.43|0|0|0|0|0|0|0|0|63.76
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6529-61||MONTELUKAST 10 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-8740-01||MEXILETINE 200 MG CAPSULE|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8315-23||MORPHINE SR 15 MG TAB|22.19|11.76|16.64|17.75|18.86|19.97|0|17.93|15.98|15.02|0|22.19|14.67|0|10.7|18.16|13.94|13.56|0|0|16.64|17.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.59|0|0|0|0|0|0|0|0|22.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8315-62||MORPHINE SR 15 MG TAB|22.19|11.76|16.64|17.75|18.86|19.97|0|17.93|15.98|15.02|0|22.19|14.67|0|10.7|18.16|13.94|13.56|0|0|16.64|17.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.59|0|0|0|0|0|0|0|0|22.19
HOSP OP|0637 - DRUGS/SELF ADMIN|45802-0513-77||AMMONIUM LACTATE 12 % TOPICAL CREAM|38.06|20.17|28.55|30.45|32.35|34.25|0|30.75|27.4|25.76|0|38.06|25.16|0|18.34|31.15|23.9|23.25|0|0|28.55|29.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.17|0|0|0|0|0|0|0|0|38.06
HOSP OP|0637 - DRUGS/SELF ADMIN|63044-0404-20||AMMONIUM LACTATE 12 % TOPICAL CREAM|38.06|20.17|28.55|30.45|32.35|34.25|0|30.75|27.4|25.76|0|38.06|25.16|0|18.34|31.15|23.9|23.25|0|0|28.55|29.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.17|0|0|0|0|0|0|0|0|38.06
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0775-04||CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1775-05||CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-1075-54||CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6479-16||CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0206-01||ALLOPURINOL 300 MG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0206-20||ALLOPURINOL 300 MG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0426-00|J1630|HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION|40.13|21.27|30.1|32.1|34.11|36.12|0|32.43|28.89|27.16|0|40.13|1.41|0|1.02|32.85|1.34|1.3|0|1.208251473|30.1|31.34|0|0|0|0|0|0|0|0|0|1.23|1.208251473|1.23|0|0|0|0.75|0|0|0|0|0|0|0|0|40.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0426-12|J1630|HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION|40.13|21.27|30.1|32.1|34.11|36.12|0|32.43|28.89|27.16|0|40.13|1.41|0|1.02|32.85|1.34|1.3|0|1.208251473|30.1|31.34|0|0|0|0|0|0|0|0|0|1.23|1.208251473|1.23|0|0|0|0.75|0|0|0|0|0|0|0|0|40.13
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0157-49||LAMIVUDINE 10 MG/ML ORAL SOLUTION|38.5|20.4|28.88|30.8|32.73|34.65|0|31.11|27.72|26.06|0|38.5|25.45|0|18.56|31.51|24.18|23.52|0|0|28.88|30.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.38|0|0|0|0|0|0|0|0|38.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0420-88|90686|FLU VACCINE QS 2020-21(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE|77.98|41.33|58.49|62.38|66.28|70.18|66.28|63.01|56.15|52.78|0|77.98|24.55|19.03|17.85|63.83|23.33|22.7|18.55|19.02750491|58.49|60.9|31.19|0|31.19|50.37|51.4|22.48|31.19|25.77|51.4|19.37|19.02750491|19.37|0|0|21.31|13.11|20.67|20.67|31.19|20.67|38.99|31.19|31.19|0|77.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58160-0885-41|90686|FLU VACCINE QS 2020-21(6MOS UP)(PF) 60 MCG(15 MCGX4)/0.5 ML IM SYRINGE|77.98|41.33|58.49|62.38|66.28|70.18|66.28|63.01|56.15|52.78|0|77.98|24.55|19.03|17.85|63.83|23.33|22.7|18.55|19.02750491|58.49|60.9|31.19|0|31.19|50.37|51.4|22.48|31.19|25.77|51.4|19.37|19.02750491|19.37|0|0|21.31|13.11|20.67|20.67|31.19|20.67|38.99|31.19|31.19|0|77.98
HOSP OP|0250 - PHARMACY|61958-2901-01||REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION (EUA)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|NMRRX-2004-80||REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION (EUA)|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0720-10|90682|FLU VACCINE 50+ YRS (PF) ( FLUBLOK QUAD) INJECTION|156.75|83.08|117.56|125.4|133.24|141.08|133.24|126.65|112.86|106.09|0|156.75|68.85|53.37|50.06|128.3|65.43|63.67|52.04|56.01178782|117.56|122.42|62.7|0|62.7|147.24|150.24|59.63|62.7|75.32|150.24|57.02|56.01178782|57.02|0|0|59.77|36.78|56.18|56.18|62.7|56.18|78.38|62.7|62.7|0|156.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0720-88|90682|FLU VACCINE 50+ YRS (PF) ( FLUBLOK QUAD) INJECTION|156.75|83.08|117.56|125.4|133.24|141.08|133.24|126.65|112.86|106.09|0|156.75|68.85|53.37|50.06|128.3|65.43|63.67|52.04|56.01178782|117.56|122.42|62.7|0|62.7|147.24|150.24|59.63|62.7|75.32|150.24|57.02|56.01178782|57.02|0|0|59.77|36.78|56.18|56.18|62.7|56.18|78.38|62.7|62.7|0|156.75
HOSP OP|0250 - PHARMACY|49281-0120-65||FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE|156.75|83.08|0|125.4|0|141.08|0|126.65|112.86|106.09|0|156.75|103.61|0|75.55|128.3|98.44|95.77|0|0|0|122.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|74.82|0|0|0|0|0|0|0|0|156.75
HOSP OP|0250 - PHARMACY|49281-0120-88||FLU VACCINE QS2020-21(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE|156.75|83.08|0|125.4|0|141.08|0|126.65|112.86|106.09|0|156.75|103.61|0|75.55|128.3|98.44|95.77|0|0|0|122.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|74.82|0|0|0|0|0|0|0|0|156.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00087-0405-01||PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS|25.25|13.38|18.94|20.2|21.46|22.73|0|20.4|18.18|17.09|0|25.25|16.69|0|12.17|20.67|15.86|15.43|0|0|18.94|19.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.25
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-1376-84||PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS|25.25|13.38|18.94|20.2|21.46|22.73|0|20.4|18.18|17.09|0|25.25|16.69|0|12.17|20.67|15.86|15.43|0|0|18.94|19.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6503-61||CELECOXIB 200 MG CAPSULE|24.11|12.78|18.08|19.29|20.49|21.7|0|19.48|17.36|16.32|0|24.11|15.94|0|11.62|19.73|15.14|14.73|0|0|18.08|18.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.51|0|0|0|0|0|0|0|0|24.11
HOSP OP|0250 - PHARMACY|66019-0307-01||FLU VACC QV LIVE 2020-21(2-49YRS)10E6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY|94.65|50.16|0|75.72|0|85.19|0|76.48|68.15|64.06|0|94.65|62.56|0|45.62|77.47|59.44|57.83|0|0|0|73.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.18|0|0|0|0|0|0|0|0|94.65
HOSP OP|0250 - PHARMACY|66019-0307-10||FLU VACC QV LIVE 2020-21(2-49YRS)10E6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY|94.65|50.16|0|75.72|0|85.19|0|76.48|68.15|64.06|0|94.65|62.56|0|45.62|77.47|59.44|57.83|0|0|0|73.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.18|0|0|0|0|0|0|0|0|94.65
HOSP OP|0637 - DRUGS/SELF ADMIN|00074-7148-11||LEVOTHYROXINE 200 MCG TABLET|23.62|12.52|17.72|18.9|20.08|21.26|0|19.08|17.01|15.99|0|23.62|15.61|0|11.38|19.33|14.83|14.43|0|0|17.72|18.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.27|0|0|0|0|0|0|0|0|23.62
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3404-85|J0290|AMPICILLIN 1 GRAM SOLUTION FOR INJECTION|43.58|23.1|32.69|34.86|37.04|39.22|0|35.21|31.38|29.49|0|43.58|2.58|0|1.88|35.67|2.46|2.38|0|0.982318271|32.69|34.04|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|1.36|0|0|0|0|0|0|0|0|43.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3404-95|J0290|AMPICILLIN 1 GRAM SOLUTION FOR INJECTION|43.58|23.1|32.69|34.86|37.04|39.22|0|35.21|31.38|29.49|0|43.58|2.58|0|1.88|35.67|2.46|2.38|0|0.982318271|32.69|34.04|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|1.36|0|0|0|0|0|0|0|0|43.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3207-95|J0696|CEFTRIAXONE 500 MG SOLUTION FOR INJECTION|42.11|22.32|31.58|33.69|35.79|37.9|0|34.02|30.32|28.5|0|42.11|1.68|0|1.22|34.47|1.6|1.56|0|0.599214145|31.58|32.89|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|0.9|0|0|0|0|0|0|0|0|42.11
HOSP OP|0250 - PHARMACY|67457-0001-00|J3490|KETAMINE 50 MG/ML INJECTION SOLUTION|56.3|29.84|42.23|45.04|47.86|50.67|0|45.49|40.54|38.1|0|56.3|37.21|0|27.14|46.08|35.36|34.4|0|0|42.23|43.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.87|0|0|0|0|0|0|0|0|56.3
HOSP OP|0250 - PHARMACY|67457-0001-10|J3490|KETAMINE 50 MG/ML INJECTION SOLUTION|56.3|29.84|42.23|45.04|47.86|50.67|0|45.49|40.54|38.1|0|56.3|37.21|0|27.14|46.08|35.36|34.4|0|0|42.23|43.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.87|0|0|0|0|0|0|0|0|56.3
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0158-70|J7510|PREDNISOLONE 15 MG/5 ML ORAL SOLUTION|25.86|13.71|19.4|20.69|21.98|23.27|0|20.89|18.62|17.5|0|25.86|0.24|0|0.18|21.17|0.21|0.21|0|0.088408644|19.4|20.2|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.09|0|0|0|0|0|0|0|0|25.86
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6407-61||BISACODYL 5 MG TABLETDELAYED RELEASE|20.07|10.64|15.05|16.06|17.06|18.06|0|16.22|14.45|13.58|0|20.07|13.27|0|9.67|16.43|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.07
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0734-01||HYDRALAZINE 50 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0734-11||HYDRALAZINE 50 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0250 - PHARMACY|00173-0720-20||FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER|1033.18|547.59|0|826.54|0|929.86|0|834.81|743.89|699.26|0|1033.18|682.93|0|497.99|845.66|648.84|631.27|0|0|0|806.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|493.14|0|0|0|0|0|0|0|0|1033.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0488-31|J3490|LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200000 INJECTION SOLUTION|59.73|31.66|44.8|47.78|50.77|53.76|0|48.26|43.01|40.43|0|59.73|39.48|0|28.79|48.89|37.51|36.5|0|0|44.8|46.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.51|0|0|0|0|0|0|0|0|59.73
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0501-01||PRAVASTATIN 20 MG TABLET|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0501-11||PRAVASTATIN 20 MG TABLET|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0250 - PHARMACY|66490-0650-20||DIAZEPAM 2.5 MG RECTAL KIT|843.89|447.26|0|675.11|0|759.5|0|681.86|607.6|571.14|0|843.89|557.81|0|406.75|690.72|529.96|515.62|0|0|0|659.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|402.79|0|0|0|0|0|0|0|0|843.89
HOSP OP|0250 - PHARMACY|00555-1011-16||CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH|194.87|103.28|0|155.9|0|175.38|0|157.45|140.31|131.89|0|194.87|128.81|0|93.93|159.5|122.38|119.07|0|0|0|152.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.01|0|0|0|0|0|0|0|0|194.87
HOSP OP|0637 - DRUGS/SELF ADMIN|61958-0401-01||TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET|142.22|75.38|106.67|113.78|120.89|128|0|114.91|102.4|96.25|0|142.22|94.01|0|68.55|116.41|89.31|86.9|0|0|106.67|111.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|67.88|0|0|0|0|0|0|0|0|142.22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-0401-25|J0461|ATROPINE 0.4 MG/ML INJECTION SOLUTION|45.19|23.95|33.89|36.15|38.41|40.67|0|36.51|32.54|30.58|0|45.19|1.8|0|1.4|36.99|1.8|1.6|0|0.078585462|33.89|35.29|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|0.8|0|0|0|0|0|0|0|0|45.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6053-61||LEVETIRACETAM 750 MG TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0250 - PHARMACY|00781-3040-95||PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION|72.12|38.22|0|57.7|0|64.91|0|58.27|51.93|48.81|0|72.12|47.67|0|34.76|59.03|45.29|44.07|0|0|0|56.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.42|0|0|0|0|0|0|0|0|72.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5811-61||LISINOPRIL 5 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-4161-73||AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION|30.1|15.95|22.58|24.08|25.59|27.09|0|24.32|21.67|20.37|0|30.1|19.9|0|14.51|24.64|18.9|18.39|0|0|22.58|23.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.37|0|0|0|0|0|0|0|0|30.1
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-9887-75||AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION|38.28|15.95|22.58|24.08|25.59|27.09|0|24.32|21.67|20.37|0|30.1|19.9|0|14.51|24.64|18.9|18.39|0|0|22.58|23.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.37|0|0|0|0|0|0|0|0|30.1
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5789-61||ACYCLOVIR 200 MG CAPSULE|20.37|10.8|15.28|16.3|17.31|18.33|0|16.46|14.67|13.79|0|20.37|13.46|0|9.82|16.67|12.79|12.45|0|0|15.28|15.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.37
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0128-10||HYDROCHLOROTHIAZIDE 25 MG TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0250 - PHARMACY|45802-0112-22||MUPIROCIN 2 % TOPICAL OINTMENT|37.68|19.97|0|30.14|0|33.91|0|30.45|27.13|25.5|0|37.68|24.91|0|18.16|30.84|23.66|23.02|0|0|0|29.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.98|0|0|0|0|0|0|0|0|37.68
HOSP OP|0250 - PHARMACY|51672-1312-00||MUPIROCIN 2 % TOPICAL OINTMENT|37.68|19.97|0|30.14|0|33.91|0|30.45|27.13|25.5|0|37.68|24.91|0|18.16|30.84|23.66|23.02|0|0|0|29.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.98|0|0|0|0|0|0|0|0|37.68
HOSP OP|0250 - PHARMACY|00187-4302-02||SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION|736.6|390.4|0|589.28|0|662.94|0|595.17|530.35|498.53|0|736.6|486.89|0|355.04|602.91|462.58|450.06|0|0|0|575.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|351.58|0|0|0|0|0|0|0|0|736.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60793-0700-10|J0561|PENICILLIN G BENZATHINE 600000 UNIT/ML INTRAMUSCULAR SYRINGE|155.38|82.35|116.54|124.3|132.07|139.84|132.07|125.55|111.87|105.16|0|155.38|53.61|41.61|38.97|127.18|50.94|49.56|40.56|13.76227898|116.54|121.35|45.1|45.1|45.1|99.22|99.42|32.31|45.1|32.88|99.42|14.01|13.76227898|14.01|0|0|46.5|28.62|45.1|45.1|45.1|45.1|45.1|45.1|46.45|0|155.38
HOSP OP|0637 - DRUGS/SELF ADMIN|24987-0242-56||DIGOXIN 125 MCG (0.125 MG) TABLET|22.45|11.9|16.84|17.96|19.08|20.21|0|18.14|16.16|15.19|0|22.45|14.84|0|10.82|18.38|14.1|13.72|0|0|16.84|17.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0366-01||DIGOXIN 125 MCG (0.125 MG) TABLET|22.45|11.9|16.84|17.96|19.08|20.21|0|18.14|16.16|15.19|0|22.45|14.84|0|10.82|18.38|14.1|13.72|0|0|16.84|17.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0366-11||DIGOXIN 125 MCG (0.125 MG) TABLET|22.45|11.9|16.84|17.96|19.08|20.21|0|18.14|16.16|15.19|0|22.45|14.84|0|10.82|18.38|14.1|13.72|0|0|16.84|17.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.45
HOSP OP|0250 - PHARMACY|00093-5269-01||ZALEPLON 10 MG CAPSULE|21.35|11.32|0|17.08|0|19.22|0|17.25|15.37|14.45|0|21.35|14.11|0|10.29|17.47|13.41|13.04|0|0|0|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.35
HOSP OP|0250 - PHARMACY|29300-0132-01||ZALEPLON 10 MG CAPSULE|21.35|11.32|0|17.08|0|19.22|0|17.25|15.37|14.45|0|21.35|14.11|0|10.29|17.47|13.41|13.04|0|0|0|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.35
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0240-01||MIDODRINE 2.5 MG TABLET|21.89|11.6|16.42|17.51|18.61|19.7|0|17.69|15.76|14.82|0|21.89|14.47|0|10.55|17.92|13.75|13.37|0|0|16.42|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.89
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0466-01||DICLOFENAC SODIUM 50 MG TABLETDELAYED RELEASE|21.02|11.14|15.77|16.82|17.87|18.92|0|16.98|15.13|14.23|0|21.02|13.89|0|10.13|17.2|13.2|12.84|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.03|0|0|0|0|0|0|0|0|21.02
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0466-20||DICLOFENAC SODIUM 50 MG TABLETDELAYED RELEASE|21.02|11.14|15.77|16.82|17.87|18.92|0|16.98|15.13|14.23|0|21.02|13.89|0|10.13|17.2|13.2|12.84|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.03|0|0|0|0|0|0|0|0|21.02
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-5093-11|J0713|CEFTAZIDIME 2 GRAM INTRAVENOUS SOLUTION|65.94|34.95|49.46|52.75|56.05|59.35|0|53.28|47.48|44.63|0|65.94|10.84|0|7.88|53.97|10.28|10.04|0|2.033398821|49.46|51.5|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|5.8|0|0|0|0|0|0|0|0|65.94
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0724-01||ZOLPIDEM 5 MG TABLET|20.24|10.73|15.18|16.19|17.2|18.22|0|16.35|14.57|13.7|0|20.24|13.38|0|9.76|16.57|12.71|12.37|0|0|15.18|15.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.24
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0724-20||ZOLPIDEM 5 MG TABLET|20.24|10.73|15.18|16.19|17.2|18.22|0|16.35|14.57|13.7|0|20.24|13.38|0|9.76|16.57|12.71|12.37|0|0|15.18|15.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.24
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0072-01|J8499|FUROSEMIDE 20 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|17.08|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|10.97|0|15.07|15.69|20.09|20.09|0|17.36|18.04|8.65|20.09|8.79|18.04|0|0|0|0|0|0|9.59|0|0|20.09|0|23.1|20.09|20.09|0|23.1
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0072-20|J8499|FUROSEMIDE 20 MG TABLET|20.18|10.65|15.07|16.07|17.08|18.08|17.08|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|10.97|0|15.07|15.69|20.09|20.09|0|17.36|18.04|8.65|20.09|8.79|18.04|0|0|0|0|0|0|9.59|0|0|20.09|0|23.1|20.09|20.09|0|23.1
HOSP OP|0250 - PHARMACY|00338-0703-41|J3480|POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK|44.75|23.72|33.56|35.8|38.04|40.28|0|36.16|32.22|30.29|0|44.75|1.8|0|1.3|36.63|1.7|1.7|0|0.137524558|33.56|34.95|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.9|0|0|0|0|0|0|0|0|44.75
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0992-20||FLUVOXAMINE 50 MG TABLET|21.19|11.23|15.89|16.95|18.01|19.07|0|17.12|15.26|14.34|0|21.19|14.01|0|10.21|17.34|13.31|12.95|0|0|15.89|16.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.11|0|0|0|0|0|0|0|0|21.19
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0924-01||DILTIAZEM ER 60 MG CAPSULEEXTENDED RELEASE 12 HR|27.22|14.43|20.42|21.78|23.14|24.5|0|21.99|19.6|18.42|0|27.22|17.99|0|13.12|22.28|17.09|16.63|0|0|20.42|21.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.99|0|0|0|0|0|0|0|0|27.22
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0924-20||DILTIAZEM ER 60 MG CAPSULEEXTENDED RELEASE 12 HR|27.22|14.43|20.42|21.78|23.14|24.5|0|21.99|19.6|18.42|0|27.22|17.99|0|13.12|22.28|17.09|16.63|0|0|20.42|21.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.99|0|0|0|0|0|0|0|0|27.22
HOSP OP|0250 - PHARMACY|63323-0486-17|J2001|LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION|46.55|24.67|34.91|37.24|39.57|41.9|0|37.61|33.52|31.51|0|46.55|0.06|0|0.05|38.1|0.06|0.06|0|0.029469548|34.91|36.36|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|46.55
HOSP OP|0250 - PHARMACY|63323-0486-27|J2001|LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION|45.75|24.67|34.91|37.24|39.57|41.9|0|37.61|33.52|31.51|0|46.55|0.06|0|0.05|38.1|0.06|0.06|0|0.029469548|34.91|36.36|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|46.55
HOSP OP|0250 - PHARMACY|63323-0486-57|J2001|LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION|50.63|24.67|34.91|37.24|39.57|41.9|0|37.61|33.52|31.51|0|46.55|0.06|0|0.05|38.1|0.06|0.06|0|0.029469548|34.91|36.36|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.03|0|0|0|0|0|0|0|0|46.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1412-04|S0171|BUMETANIDE 0.25 MG/ML INJECTION SOLUTION|42.43|22.49|31.82|33.94|36.07|38.19|36.07|34.28|30.55|28.72|0|42.43|1.08|0.81|0.79|34.73|1.03|1|0.79|0.864440079|31.82|33.14|16.97|0|16.97|2.91|2.97|1.47|16.97|1.49|2.97|0.88|0.864440079|0.88|0|0|1.13|0.57|0|0|16.97|0|21.22|16.97|16.97|0|42.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1412-10|S0171|BUMETANIDE 0.25 MG/ML INJECTION SOLUTION|42.43|22.49|31.82|33.94|36.07|38.19|36.07|34.28|30.55|28.72|0|42.43|1.08|0.81|0.79|34.73|1.03|1|0.79|0.864440079|31.82|33.14|16.97|0|16.97|2.91|2.97|1.47|16.97|1.49|2.97|0.88|0.864440079|0.88|0|0|1.13|0.57|0|0|16.97|0|21.22|16.97|16.97|0|42.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0758-01|J2930|METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION|92.33|48.93|69.25|73.86|78.48|83.1|0|74.6|66.48|62.49|0|92.33|35.76|0|26|75.57|34|33.08|0|6.316306483|69.25|72.11|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|19.08|0|0|0|0|0|0|0|0|92.33
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0104-09||ZIPRASIDONE 40 MG CAPSULE|27.68|14.67|20.76|22.14|23.53|24.91|0|22.37|19.93|18.73|0|27.68|18.3|0|13.34|22.66|17.38|16.91|0|0|20.76|21.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.21|0|0|0|0|0|0|0|0|27.68
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0004-25|J2370|PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION|40.09|21.25|30.07|32.07|34.08|36.08|0|32.39|28.86|27.13|0|40.09|4.73|0|3.44|32.81|4.5|4.38|0|3.339882122|30.07|31.31|0|0|0|0|0|0|0|0|0|3.4|3.339882122|3.4|0|0|0|2.52|0|0|0|0|0|0|0|0|40.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0004-30|J2370|PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION|40.09|21.25|30.07|32.07|34.08|36.08|0|32.39|28.86|27.13|0|40.09|4.73|0|3.44|32.81|4.5|4.38|0|3.339882122|30.07|31.31|0|0|0|0|0|0|0|0|0|3.4|3.339882122|3.4|0|0|0|2.52|0|0|0|0|0|0|0|0|40.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0004-32|J2370|PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION|40.09|21.25|30.07|32.07|34.08|36.08|0|32.39|28.86|27.13|0|40.09|4.73|0|3.44|32.81|4.5|4.38|0|3.339882122|30.07|31.31|0|0|0|0|0|0|0|0|0|3.4|3.339882122|3.4|0|0|0|2.52|0|0|0|0|0|0|0|0|40.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76014-0004-33|J2370|PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION|40.09|21.25|30.07|32.07|34.08|36.08|0|32.39|28.86|27.13|0|40.09|4.73|0|3.44|32.81|4.5|4.38|0|3.339882122|30.07|31.31|0|0|0|0|0|0|0|0|0|3.4|3.339882122|3.4|0|0|0|2.52|0|0|0|0|0|0|0|0|40.09
HOSP OP|0250 - PHARMACY|63736-0120-02||PERMETHRIN 1 % TOPICAL LIQUID|48.32|25.61|0|38.66|0|43.49|0|39.04|34.79|32.7|0|48.32|31.94|0|23.29|39.55|30.34|29.52|0|0|0|37.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.06|0|0|0|0|0|0|0|0|48.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0211-10||NORETHINDRONE ACETATE 5 MG TABLET|25.17|13.34|18.88|20.14|21.39|22.65|0|20.34|18.12|17.04|0|25.17|16.64|0|12.13|20.6|15.81|15.38|0|0|18.88|19.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.01|0|0|0|0|0|0|0|0|25.17
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0355-10||MIRTAZAPINE 15 MG TABLET|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0250 - PHARMACY|68084-0783-01||GABAPENTIN 100 MG CAPSULE|20.27|10.74|0|16.22|0|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|0|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0250 - PHARMACY|68084-0783-11||GABAPENTIN 100 MG CAPSULE|20.27|10.74|0|16.22|0|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|0|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0163-99||METHADONE 10 MG/ML ORAL CONCENTRATE|25.24|13.38|18.93|20.19|21.45|22.72|0|20.39|18.17|17.08|0|25.24|16.68|0|12.17|20.66|15.85|15.42|0|0|18.93|19.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.24
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0392-68||METHADONE 10 MG/ML ORAL CONCENTRATE|166|13.38|18.93|20.19|21.45|22.72|0|20.39|18.17|17.08|0|25.24|16.68|0|12.17|20.66|15.85|15.42|0|0|18.93|19.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.24
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0899-02||ESTRADIOL 0.5 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0258 - IV SOLUTIONS|00338-0049-04|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-09|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-37|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|44|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-61|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|51.63|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-9543-02|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|51.88|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-02|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|51.88|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-36|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|43.13|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-9543-04|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-03|J7050|SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0.648330059|39.38|41|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0433-01||TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET|21.52|11.41|16.14|17.22|18.29|19.37|0|17.39|15.49|14.56|0|21.52|14.22|0|10.37|17.61|13.51|13.15|0|0|16.14|16.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.52
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0433-20||TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET|21.52|11.41|16.14|17.22|18.29|19.37|0|17.39|15.49|14.56|0|21.52|14.22|0|10.37|17.61|13.51|13.15|0|0|16.14|16.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.52
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6322-61||METOPROLOL SUCCINATE ER 25 MG TABLETEXTENDED RELEASE 24 HR|20.97|11.11|15.73|16.78|17.82|18.87|0|16.94|15.1|14.19|0|20.97|13.86|0|10.11|17.16|13.17|12.81|0|0|15.73|16.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.97
HOSP OP|0637 - DRUGS/SELF ADMIN|50111-0990-01||ERGOCALCIFEROL (VITAMIN D2) 1250 MCG (50000 UNIT) CAPSULE|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0469-01||HYDROCORTISONE 10 MG TABLET|23.31|12.35|17.48|18.65|19.81|20.98|0|18.83|16.78|15.78|0|23.31|15.41|0|11.24|19.08|14.64|14.24|0|0|17.48|18.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.13|0|0|0|0|0|0|0|0|23.31
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0469-11||HYDROCORTISONE 10 MG TABLET|23.31|12.35|17.48|18.65|19.81|20.98|0|18.83|16.78|15.78|0|23.31|15.41|0|11.24|19.08|14.64|14.24|0|0|17.48|18.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.13|0|0|0|0|0|0|0|0|23.31
HOSP OP|0250 - PHARMACY|51672-1259-02||CLOBETASOL 0.05 % TOPICAL OINTMENT|57.13|30.28|0|45.7|0|51.42|0|46.16|41.13|38.67|0|57.13|37.76|0|27.54|46.76|35.88|34.91|0|0|0|44.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.27|0|0|0|0|0|0|0|0|57.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00527-1318-01||TERBUTALINE 2.5 MG TABLET|32.41|17.18|24.31|25.93|27.55|29.17|0|26.19|23.34|21.94|0|32.41|21.42|0|15.62|26.53|20.35|19.8|0|0|24.31|25.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.47|0|0|0|0|0|0|0|0|32.41
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1761-30||ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP|21.29|11.28|15.97|17.03|18.1|19.16|0|17.2|15.33|14.41|0|21.29|14.07|0|10.26|17.43|13.37|13.01|0|0|15.97|16.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.52|10.16|0|0|0|0|0|0|0|0|21.29
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0165-33||ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP|21.29|11.28|15.97|17.03|18.1|19.16|0|17.2|15.33|14.41|0|21.29|14.07|0|10.26|17.43|13.37|13.01|0|0|15.97|16.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.52|10.16|0|0|0|0|0|0|0|0|21.29
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0477-25|J2560|PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION|133.37|70.69|100.03|106.7|113.36|120.03|0|107.76|96.03|90.26|0|133.37|50.57|0|36.77|109.16|48.06|46.77|0|42.3870334|100.03|104.16|0|0|0|0|0|0|0|0|0|43.15|42.3870334|43.15|0|0|0|27.01|0|0|0|0|0|0|0|0|133.37
HOSP OP|0250 - PHARMACY|24208-0299-05||LOTEPREDNOL ETABONATE 0.5 % EYE DROPSSUSPENSION|727.09|385.36|0|581.67|0|654.38|0|587.49|523.5|492.09|0|727.09|480.61|0|350.46|595.12|456.61|444.25|0|0|0|567.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|347.04|0|0|0|0|0|0|0|0|727.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9977-22|J0697|CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION|49.28|26.12|36.96|39.42|41.89|44.35|0|39.82|35.48|33.35|0|49.28|5.4|0|3.92|40.34|5.12|4.98|0|2.220039293|36.96|38.49|0|0|0|0|0|0|0|0|0|2.26|2.220039293|2.26|0|0|0|2.88|0|0|0|0|0|0|0|0|49.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9977-90|J0697|CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION|49.28|26.12|36.96|39.42|41.89|44.35|0|39.82|35.48|33.35|0|49.28|5.4|0|3.92|40.34|5.12|4.98|0|2.220039293|36.96|38.49|0|0|0|0|0|0|0|0|0|2.26|2.220039293|2.26|0|0|0|2.88|0|0|0|0|0|0|0|0|49.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0119-20|J0697|CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION|49.28|26.12|36.96|39.42|41.89|44.35|0|39.82|35.48|33.35|0|49.28|5.4|0|3.92|40.34|5.12|4.98|0|2.220039293|36.96|38.49|0|0|0|0|0|0|0|0|0|2.26|2.220039293|2.26|0|0|0|2.88|0|0|0|0|0|0|0|0|49.28
HOSP OP|0250 - PHARMACY|61314-0245-01||BETAXOLOL 0.5 % EYE DROPS|163.72|86.77|0|130.98|0|147.35|0|132.29|117.88|110.81|0|163.72|108.22|0|78.91|134|102.82|100.03|0|0|0|127.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.14|0|0|0|0|0|0|0|0|163.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0150-01||FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION|25.52|13.53|19.14|20.42|21.69|22.97|0|20.62|18.37|17.27|0|25.52|16.87|0|12.3|20.89|16.03|15.59|0|0|19.14|19.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.52
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0166-22||FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION|25.52|13.53|19.14|20.42|21.69|22.97|0|20.62|18.37|17.27|0|25.52|16.87|0|12.3|20.89|16.03|15.59|0|0|19.14|19.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.52
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00093-5742-65|J7502|CYCLOSPORINE MODIFIED 100 MG CAPSULE|24.59|13.03|18.44|19.67|20.9|22.13|0|19.87|17.7|16.64|0|24.59|3.16|0|2.3|20.13|3|2.92|0|2.377210216|18.44|19.2|0|0|0|0|0|0|0|0|0|2.42|2.377210216|2.42|0|0|0|1.68|0|0|0|0|0|0|0|0|24.59
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00832-0465-15|J3490|NYSTATIN 100000 UNIT/GRAM TOPICAL POWDER|34.45|18.26|25.84|27.56|29.28|31.01|0|27.84|24.8|23.32|0|34.45|22.77|0|16.6|28.2|21.63|21.05|0|0|25.84|26.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.44|0|0|0|0|0|0|0|0|34.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-1024-06||NEFAZODONE 100 MG TABLET|22.33|11.83|16.75|17.86|18.98|20.1|0|18.04|16.08|15.11|0|22.33|14.76|0|10.76|18.28|14.02|13.64|0|0|16.75|17.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.66|0|0|0|0|0|0|0|0|22.33
HOSP OP|0250 - PHARMACY|50484-0010-30||COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT|672.28|356.31|0|537.82|0|605.05|0|543.2|484.04|455|0|672.28|444.38|0|324.04|550.26|422.19|410.76|0|0|0|525.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320.88|0|0|0|0|0|0|0|0|672.28
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-4359-19||CLOZAPINE 25 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-4359-93||CLOZAPINE 25 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0165-01|J1100|DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION|43.05|22.82|32.29|34.44|36.59|38.75|0|34.78|31|29.14|0|43.05|0.28|0|0.2|35.24|0.26|0.26|0|0.117878193|32.29|33.62|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.14|0|0|0|0|0|0|0|0|43.05
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0165-05|J1100|DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION|43.05|22.82|32.29|34.44|36.59|38.75|0|34.78|31|29.14|0|43.05|0.28|0|0.2|35.24|0.26|0.26|0|0.117878193|32.29|33.62|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.14|0|0|0|0|0|0|0|0|43.05
HOSP OP|0637 - DRUGS/SELF ADMIN|51991-0819-01||PROPRANOLOL ER 120 MG CAPSULE24 HREXTENDED RELEASE|22.31|11.82|16.73|17.85|18.96|20.08|0|18.03|16.06|15.1|0|22.31|14.75|0|10.75|18.26|14.01|13.63|0|0|16.73|17.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.65|0|0|0|0|0|0|0|0|22.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0386-20||LORAZEPAM 1 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0386-01||LORAZEPAM 1 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0250 - PHARMACY|63323-0401-20||AZTREONAM 1 GRAM SOLUTION FOR INJECTION|102.77|54.47|0|82.22|0|92.49|0|83.04|73.99|69.55|0|102.77|67.93|0|49.54|84.12|64.54|62.79|0|0|0|80.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.05|0|0|0|0|0|0|0|0|102.77
HOSP OP|0637 - DRUGS/SELF ADMIN|47335-0779-91||AZELASTINE 137 MCG (0.1 %) NASAL SPRAY AEROSOL|122.29|64.81|91.72|97.83|103.95|110.06|0|98.81|88.05|82.77|0|122.29|80.83|0|58.94|100.09|76.8|74.72|0|0|91.72|95.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.37|0|0|0|0|0|0|0|0|122.29
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0197-01||TOLTERODINE ER 2 MG CAPSULEEXTENDED RELEASE 24 HR|46.61|24.7|34.96|37.29|39.62|41.95|0|37.66|33.56|31.55|0|46.61|30.81|0|22.47|38.15|29.27|28.48|0|0|34.96|36.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.25|0|0|0|0|0|0|0|0|46.61
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0197-03||TOLTERODINE ER 2 MG CAPSULEEXTENDED RELEASE 24 HR|46.61|24.7|34.96|37.29|39.62|41.95|0|37.66|33.56|31.55|0|46.61|30.81|0|22.47|38.15|29.27|28.48|0|0|34.96|36.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.25|0|0|0|0|0|0|0|0|46.61
HOSP OP|0250 - PHARMACY|48433-0230-15||IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION|105.1|55.7|0|84.08|0|94.59|0|84.92|75.67|71.13|0|105.1|69.47|0|50.66|86.02|66|64.22|0|0|0|82.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.16|0|0|0|0|0|0|0|0|105.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60793-0602-10|J0558|PENICILLIN G BENZATHINEPROCAIN 900000 UNIT-300K UNIT/2 ML IM SYRINGE|358.6|190.06|268.95|286.88|304.81|322.74|304.81|289.75|258.19|242.7|0|358.6|169.68|132.12|123.36|293.51|161.28|156.96|128.76|10.87426326|268.95|280.07|143.44|0|143.44|348.68|355.8|175.92|143.44|178.44|355.8|11.07|10.87426326|11.07|0|0|147.84|90.48|0|0|143.44|0|179.3|143.44|143.44|0|358.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0169-01||WARFARIN 1 MG TABLET|25.75|13.65|19.31|20.6|21.89|23.18|0|20.81|18.54|17.43|0|25.75|17.02|0|12.41|21.08|16.17|15.73|0|0|19.31|20.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.29|0|0|0|0|0|0|0|0|25.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0169-75||WARFARIN 1 MG TABLET|25.75|13.65|19.31|20.6|21.89|23.18|0|20.81|18.54|17.43|0|25.75|17.02|0|12.41|21.08|16.17|15.73|0|0|19.31|20.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.29|0|0|0|0|0|0|0|0|25.75
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4012-05||CLOMIPRAMINE 50 MG CAPSULE|28.86|15.3|21.65|23.09|24.53|25.97|0|23.32|20.78|19.53|0|28.86|19.08|0|13.91|23.62|18.12|17.63|0|0|21.65|22.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.77|0|0|0|0|0|0|0|0|28.86
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4012-06||CLOMIPRAMINE 50 MG CAPSULE|28.86|15.3|21.65|23.09|24.53|25.97|0|23.32|20.78|19.53|0|28.86|19.08|0|13.91|23.62|18.12|17.63|0|0|21.65|22.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.77|0|0|0|0|0|0|0|0|28.86
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0501-01||BUDESONIDE DR - ER 3 MG CAPSULEDELAYEDEXTENDED RELEASE|59.4|31.48|44.55|47.52|50.49|53.46|0|48|42.77|40.2|0|59.4|39.26|0|28.63|48.62|37.3|36.29|0|0|44.55|46.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.35|0|0|0|0|0|0|0|0|59.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-0950-50||DOXYCYCLINE HYCLATE 100 MG CAPSULE|22.5|11.92|16.88|18|19.13|20.25|0|18.18|16.2|15.23|0|22.5|14.87|0|10.85|18.42|14.13|13.75|0|0|16.88|17.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.74|0|0|0|0|0|0|0|0|22.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0286-01||DIAZEPAM 10 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0286-20||DIAZEPAM 10 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0669-10||ACEBUTOLOL 200 MG CAPSULE|20.39|10.81|15.29|16.31|17.33|18.35|0|16.48|14.68|13.8|0|20.39|13.48|0|9.83|16.69|12.8|12.46|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-9919-01||GLYBURIDE MICRONIZED 3 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|42292-0011-01||HYDROXYCHLOROQUINE 200 MG TABLET|25.65|13.59|19.24|20.52|21.8|23.09|0|20.73|18.47|17.36|0|25.65|16.95|0|12.36|20.99|16.11|15.67|0|0|19.24|20.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.24|0|0|0|0|0|0|0|0|25.65
HOSP OP|0637 - DRUGS/SELF ADMIN|42292-0011-06||HYDROXYCHLOROQUINE 200 MG TABLET|25.65|13.59|19.24|20.52|21.8|23.09|0|20.73|18.47|17.36|0|25.65|16.95|0|12.36|20.99|16.11|15.67|0|0|19.24|20.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.24|0|0|0|0|0|0|0|0|25.65
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49502-0500-01|J0171|EPINEPHRINE 0.3 MG/0.3 ML INJECTION AUTO-INJECTOR|412.67|218.72|309.5|330.14|350.77|371.4|0|333.44|297.12|279.3|0|412.67|2.85|0|2.07|337.77|2.73|2.64|0|0.815324165|309.5|322.3|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1.5|0|0|0|0|0|0|0|0|412.67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|54505-0102-02|J0171|EPINEPHRINE 0.3 MG/0.3 ML INJECTION AUTO-INJECTOR|412.67|218.72|309.5|330.14|350.77|371.4|0|333.44|297.12|279.3|0|412.67|2.85|0|2.07|337.77|2.73|2.64|0|0.815324165|309.5|322.3|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1.5|0|0|0|0|0|0|0|0|412.67
HOSP OP|0250 - PHARMACY|17478-0201-02||PHENYLEPHRINE 2.5 % EYE DROPS|110.11|58.36|0|88.09|0|99.1|0|88.97|79.28|74.52|0|110.11|72.78|0|53.07|90.13|69.15|67.28|0|0|0|86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.56|0|0|0|0|0|0|0|0|110.11
HOSP OP|0637 - DRUGS/SELF ADMIN|60258-0162-01||VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE|21.35|11.32|16.01|17.08|18.15|19.22|0|17.25|15.37|14.45|0|21.35|14.11|0|10.29|17.47|13.41|13.04|0|0|16.01|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.35
HOSP OP|0637 - DRUGS/SELF ADMIN|23155-0114-01||PROPRANOLOL 80 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0417-01|J1071|TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL|45.94|24.35|34.46|36.75|39.05|41.35|0|37.12|33.08|31.09|0|45.94|2|0|1.5|37.6|2|2|0|0.029469548|34.46|35.88|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.5|0|0|0|0|0|0|0|0|45.94
HOSP OP|0250 - PHARMACY|00409-7715-02||MANNITOL 20 % INTRAVENOUS SOLUTION|58.5|31|0|46.8|0|52.65|0|47.27|42.12|39.59|0|58.5|38.67|0|28.2|47.88|36.74|35.74|0|0|0|45.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.92|0|0|0|0|0|0|0|0|58.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5854-61||IBUPROFEN 600 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0703-01||IBUPROFEN 600 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0703-11||IBUPROFEN 600 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-5082-16|J0713|CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION|47.53|25.19|35.65|38.02|40.4|42.78|0|38.4|34.22|32.17|0|47.53|5.42|0|3.94|38.9|5.14|5.02|0|2.033398821|35.65|37.12|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|2.9|0|0|0|0|0|0|0|0|47.53
HOSP OP|0250 - PHARMACY|00904-0734-31||NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5000 UNIT/GRAM TOP OINT||0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|0|#N/A|#N/A|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|0|0|0|0|0|0|0|#N/A|#N/A
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0106-01||BROMOCRIPTINE 2.5 MG TABLET|25.03|13.27|18.77|20.02|21.28|22.53|0|20.22|18.02|16.94|0|25.03|16.54|0|12.06|20.49|15.72|15.29|0|0|18.77|19.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.95|0|0|0|0|0|0|0|0|25.03
HOSP OP|0250 - PHARMACY|00781-8940-70||CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION|43.42|23.01|0|34.74|0|39.08|0|35.08|31.26|29.39|0|43.42|28.7|0|20.93|35.54|27.27|26.53|0|0|0|33.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.72|0|0|0|0|0|0|0|0|43.42
HOSP OP|0637 - DRUGS/SELF ADMIN|67253-0200-10||PENICILLIN V POTASSIUM 250 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0250 - PHARMACY|63323-0269-65|J2704|PROPOFOL 10 MG/ML INTRAVENOUS EMULSION|66|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0250 - PHARMACY|63323-0269-29|J2704|PROPOFOL 10 MG/ML INTRAVENOUS EMULSION|45.2|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0250 - PHARMACY|63323-0269-50|J2704|PROPOFOL 10 MG/ML INTRAVENOUS EMULSION|53|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0637 - DRUGS/SELF ADMIN|00009-3169-06|J0270|ALPROSTADIL 500 MCG/ML INJECTION SOLUTION|329.09|174.42|246.82|263.27|279.73|296.18|279.73|265.9|236.94|222.73|0|329.09|329.09|0|329.09|269.36|329.09|329.09|0|4.135559921|246.82|257.02|329.09|329.09|0|329.09|329.09|329.09|329.09|329.09|329.09|4.21|4.135559921|4.21|0|0|0|322.51|0|0|329.09|0|378.45|329.09|329.09|0|378.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-2026-31|Q0144|AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION|97.9|51.89|73.43|78.32|83.22|88.11|83.22|79.1|70.49|66.26|0|97.9|62.62|46.6|45.54|80.13|59.52|57.9|45.44|26.51277014|73.43|76.46|97.9|97.9|0|75.56|77.1|38.12|97.9|38.64|77.1|26.99|26.51277014|26.99|0|0|40.92|33.44|0|0|97.9|0|112.59|97.9|97.9|0|112.59
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0171-29|Q0144|AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION|37.15|51.89|73.43|78.32|83.22|88.11|83.22|79.1|70.49|66.26|0|97.9|62.62|46.6|45.54|80.13|59.52|57.9|45.44|26.51277014|73.43|76.46|97.9|97.9|0|75.56|77.1|38.12|97.9|38.64|77.1|26.99|26.51277014|26.99|0|0|40.92|33.44|0|0|97.9|0|112.59|97.9|97.9|0|112.59
HOSP OP|0637 - DRUGS/SELF ADMIN|00172-4366-60||LABETALOL 300 MG TABLET|22.11|11.72|16.58|17.69|18.79|19.9|0|17.86|15.92|14.96|0|22.11|14.61|0|10.66|18.1|13.89|13.51|0|0|16.58|17.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.55|0|0|0|0|0|0|0|0|22.11
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0303-60||CEFUROXIME AXETIL 500 MG TABLET|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.74|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0250 - PHARMACY|00591-3198-54||FENTANYL 25 MCG/HR TRANSDERMAL PATCH|41.39|21.94|0|33.11|0|37.25|0|33.44|29.8|28.01|0|41.39|27.36|0|19.95|33.88|25.99|25.29|0|0|0|32.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.76|0|0|0|0|0|0|0|0|41.39
HOSP OP|0250 - PHARMACY|00591-3198-72||FENTANYL 25 MCG/HR TRANSDERMAL PATCH|41.39|21.94|0|33.11|0|37.25|0|33.44|29.8|28.01|0|41.39|27.36|0|19.95|33.88|25.99|25.29|0|0|0|32.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.76|0|0|0|0|0|0|0|0|41.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6352-61||LEVOFLOXACIN 500 MG TABLET|20.65|10.94|15.49|16.52|17.55|18.59|0|16.69|14.87|13.98|0|20.65|13.65|0|9.95|16.9|12.97|12.62|0|0|15.49|16.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.26|9.86|0|0|0|0|0|0|0|0|20.65
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0044-01||PAROXETINE 10 MG TABLET|21.25|11.26|15.94|17|18.06|19.13|0|17.17|15.3|14.38|0|21.25|14.05|0|10.24|17.39|13.35|12.98|0|0|15.94|16.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.25
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0044-11||PAROXETINE 10 MG TABLET|21.25|11.26|15.94|17|18.06|19.13|0|17.17|15.3|14.38|0|21.25|14.05|0|10.24|17.39|13.35|12.98|0|0|15.94|16.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00049-0530-28|J2540|PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION|120.98|64.12|90.74|96.78|102.83|108.88|0|97.75|87.11|81.88|0|120.98|45.22|0|32.98|99.02|42.84|41.82|0|1.05108055|90.74|94.49|0|0|0|0|0|0|0|0|0|1.07|1.05108055|1.07|0|0|0|23.8|0|0|0|0|0|0|0|0|120.98
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0975-01||LOVASTATIN 20 MG TABLET|21.23|11.25|15.92|16.98|18.05|19.11|0|17.15|15.29|14.37|0|21.23|14.03|0|10.23|17.38|13.33|12.97|0|0|15.92|16.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.23
HOSP OP|0637 - DRUGS/SELF ADMIN|65862-0021-06||MIRTAZAPINE 15 MG DISINTEGRATING TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0311-01||IMIPRAMINE 10 MG TABLET|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0250 - PHARMACY|39822-0170-02||POLYMYXIN B SULFATE 500000 UNIT SOLUTION FOR INJECTION|66.72|35.36|0|53.38|0|60.05|0|53.91|48.04|45.16|0|66.72|44.1|0|32.16|54.61|41.9|40.77|0|0|0|52.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.85|0|0|0|0|0|0|0|0|66.72
HOSP OP|0250 - PHARMACY|61314-0206-15||PILOCARPINE 4 % EYE DROPS|217.29|115.16|0|173.83|0|195.56|0|175.57|156.45|147.06|0|217.29|143.63|0|104.73|177.85|136.46|132.76|0|0|0|169.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.71|0|0|0|0|0|0|0|0|217.29
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9875-01|J0282|AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION|42.07|22.3|31.55|33.66|35.76|37.86|0|33.99|30.29|28.47|0|42.07|2.6|0|1.9|34.43|2.45|2.4|0|0.294695481|31.55|32.86|0|0|0|0|0|0|0|0|0|0.3|0.294695481|0.3|0|0|0|1.35|0|0|0|0|0|0|0|0|42.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0616-03|J0282|AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION|42.07|22.3|31.55|33.66|35.76|37.86|0|33.99|30.29|28.47|0|42.07|2.6|0|1.9|34.43|2.45|2.4|0|0.294695481|31.55|32.86|0|0|0|0|0|0|0|0|0|0.3|0.294695481|0.3|0|0|0|1.35|0|0|0|0|0|0|0|0|42.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0153-09|J0282|AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION|42.07|22.3|31.55|33.66|35.76|37.86|0|33.99|30.29|28.47|0|42.07|2.6|0|1.9|34.43|2.45|2.4|0|0.294695481|31.55|32.86|0|0|0|0|0|0|0|0|0|0.3|0.294695481|0.3|0|0|0|1.35|0|0|0|0|0|0|0|0|42.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0343-01||VERAPAMIL 80 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1207-03|J1580|GENTAMICIN 40 MG/ML INJECTION SOLUTION|40.98|21.72|30.74|32.78|34.83|36.88|0|33.11|29.51|27.74|0|40.98|2.18|0|1.59|33.54|2.07|2.02|0|1.974459725|30.74|32.01|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|1.16|0|0|0|0|0|0|0|0|40.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0010-20|J1580|GENTAMICIN 40 MG/ML INJECTION SOLUTION|40.98|21.72|30.74|32.78|34.83|36.88|0|33.11|29.51|27.74|0|40.98|2.18|0|1.59|33.54|2.07|2.02|0|1.974459725|30.74|32.01|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|1.16|0|0|0|0|0|0|0|0|40.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00245-0087-11||PROPRANOLOL ER 160 MG CAPSULE24 HREXTENDED RELEASE|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6353-61||LEVOFLOXACIN 750 MG TABLET|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|15.72|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.38|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0483-01||LEVOFLOXACIN 750 MG TABLET|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|15.72|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.38|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0483-11||LEVOFLOXACIN 750 MG TABLET|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|15.72|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.38|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-7620-56||LETROZOLE 2.5 MG TABLET|21.03|11.15|15.77|16.82|17.88|18.93|0|16.99|15.14|14.23|0|21.03|13.9|0|10.14|17.21|13.21|12.85|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.03
HOSP OP|0250 - PHARMACY|00338-1147-03||AMINO ACIDS 5 %-DEXTROSE 15 %-ELECTROLYTES INTRAVENOUS SOLUTION|102.5|54.32|0|82|0|92.25|0|82.82|73.8|69.37|0|102.5|67.75|0|49.41|83.9|64.37|62.63|0|0|0|80.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|48.92|0|0|0|0|0|0|0|0|102.5
HOSP OP|0250 - PHARMACY|00338-1123-04||AMINO ACIDS 5 %-DEXTROSE 15 %-ELECTROLYTES INTRAVENOUS SOLUTION|160|54.32|0|82|0|92.25|0|82.82|73.8|69.37|0|102.5|67.75|0|49.41|83.9|64.37|62.63|0|0|0|80.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|48.92|0|0|0|0|0|0|0|0|102.5
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0526-10||ZOLPIDEM 10 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0250 - PHARMACY|45802-0580-01||SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH|66.6|35.3|0|53.28|0|59.94|0|53.81|47.95|45.07|0|66.6|44.02|0|32.1|54.51|41.82|40.69|0|0|0|52.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.79|0|0|0|0|0|0|0|0|66.6
HOSP OP|0250 - PHARMACY|00409-7391-72||SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION|73.83|39.13|0|59.06|0|66.45|0|59.65|53.16|49.97|0|73.83|48.8|0|35.59|60.43|46.37|45.11|0|0|0|57.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.24|0|0|0|0|0|0|0|0|73.83
HOSP OP|0250 - PHARMACY|63323-0170-05||SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION|77.48|39.13|0|59.06|0|66.45|0|59.65|53.16|49.97|0|73.83|48.8|0|35.59|60.43|46.37|45.11|0|0|0|57.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.24|0|0|0|0|0|0|0|0|73.83
HOSP OP|0637 - DRUGS/SELF ADMIN|66993-0840-21|J7509|METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK|23.22|12.31|17.42|18.58|19.74|20.9|0|18.76|16.72|15.72|0|23.22|10.08|0|7.35|19.01|9.45|9.24|0|0.353634578|17.42|18.13|0|0|0|0|0|0|0|0|0|0.36|0.353634578|0.36|0|0|0|5.25|0|0|0|0|0|0|0|0|23.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-4774-05||IBUPROFEN 100 MG/5 ML ORAL SUSPENSION|21.61|11.45|16.21|17.29|18.37|19.45|0|17.46|15.56|14.63|0|21.61|14.28|0|10.42|17.69|13.57|13.2|0|0|16.21|16.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.64|10.31|0|0|0|0|0|0|0|0|21.61
HOSP OP|0637 - DRUGS/SELF ADMIN|39822-0310-05||NEOMYCIN 500 MG TABLET|22.11|11.72|16.58|17.69|18.79|19.9|0|17.86|15.92|14.96|0|22.11|14.61|0|10.66|18.1|13.89|13.51|0|0|16.58|17.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.55|0|0|0|0|0|0|0|0|22.11
HOSP OP|0637 - DRUGS/SELF ADMIN|39822-0310-07||NEOMYCIN 500 MG TABLET|22.11|11.72|16.58|17.69|18.79|19.9|0|17.86|15.92|14.96|0|22.11|14.61|0|10.66|18.1|13.89|13.51|0|0|16.58|17.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.55|0|0|0|0|0|0|0|0|22.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00944-2843-10|J7192|ANTIHEMOPHILIC FACTOR (RECOMB) 1000 (+/-) UNIT INTRAVENOUS SOLUTION|3215|1703.95|2411.25|2572|2732.75|2893.5|2732.75|2597.72|2314.8|2175.91|0|3215|1680|1580|1220|2631.48|1590|1550|1540|1.286836935|2411.25|2510.92|1286|0|1286|3215|3215|1950|1286|1980|3215|1.31|1.286836935|1.31|0|0|1310|890|0|0|1286|0|1607.5|1286|1286|0|3215
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0115-01||FLAVOXATE 100 MG TABLET|21.04|11.15|15.78|16.83|17.88|18.94|0|17|15.15|14.24|0|21.04|13.91|0|10.14|17.22|13.21|12.86|0|0|15.78|16.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.04
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0928-01||LABETALOL 100 MG TABLET|20.91|11.08|15.68|16.73|17.77|18.82|0|16.9|15.06|14.15|0|20.91|13.82|0|10.08|17.11|13.13|12.78|0|0|15.68|16.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.91
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0928-20||LABETALOL 100 MG TABLET|20.91|11.08|15.68|16.73|17.77|18.82|0|16.9|15.06|14.15|0|20.91|13.82|0|10.08|17.11|13.13|12.78|0|0|15.68|16.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.91
HOSP OP|0250 - PHARMACY|17478-0284-35||GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT|104|55.12|0|83.2|0|93.6|0|84.03|74.88|70.39|0|104|68.74|0|50.13|85.12|65.31|63.54|0|0|0|81.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.64|0|0|0|0|0|0|0|0|104
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00173-0682-24|J3535|ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER|83.42|44.21|62.57|66.74|70.91|75.08|70.91|67.4|60.06|56.46|0|83.42|55.14|46.72|40.21|68.28|52.39|50.97|45.55|0|62.57|65.15|33.37|0|33.37|72.07|74.9|35.93|33.37|36.51|74.9|0|0|0|0|0|0|39.82|0|0|33.37|0|41.71|33.37|33.37|0|83.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59310-0579-22|J3535|ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER|141.84|44.21|62.57|66.74|70.91|75.08|70.91|67.4|60.06|56.46|0|83.42|55.14|46.72|40.21|68.28|52.39|50.97|45.55|0|62.57|65.15|33.37|0|33.37|72.07|74.9|35.93|33.37|36.51|74.9|0|0|0|0|0|0|39.82|0|0|33.37|0|41.71|33.37|33.37|0|83.42
HOSP OP|0250 - PHARMACY|00409-1465-01||NALBUPHINE 20 MG/ML INJECTION SOLUTION|52.4|27.77|0|41.92|0|47.16|0|42.34|37.73|35.46|0|52.4|34.64|0|25.26|42.89|32.91|32.02|0|0|0|40.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.01|0|0|0|0|0|0|0|0|52.4
HOSP OP|0637 - DRUGS/SELF ADMIN|23155-0071-01||METHIMAZOLE 10 MG TABLET|20.51|10.87|15.38|16.41|17.43|18.46|0|16.57|14.77|13.88|0|20.51|13.56|0|9.89|16.79|12.88|12.53|0|0|15.38|16.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.79|0|0|0|0|0|0|0|0|20.51
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0745-01||DILTIAZEM 30 MG TABLET|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0745-20||DILTIAZEM 30 MG TABLET|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0250 - PHARMACY|17478-0288-11||TIMOLOL MALEATE 0.5 % EYE DROPS|79.06|41.9|59.3|63.25|67.2|71.15|0|63.88|56.92|53.51|0|79.06|52.26|0|38.11|64.71|49.65|48.31|0|0|59.3|61.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.62|37.74|0|0|0|0|0|0|0|0|79.06
HOSP OP|0250 - PHARMACY|64980-0514-05||TIMOLOL MALEATE 0.5 % EYE DROPS|52.03|41.9|59.3|63.25|67.2|71.15|0|63.88|56.92|53.51|0|79.06|52.26|0|38.11|64.71|49.65|48.31|0|0|59.3|61.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.62|37.74|0|0|0|0|0|0|0|0|79.06
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0302-60||CEFUROXIME AXETIL 250 MG TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0250 - PHARMACY|61314-0204-15||PILOCARPINE 2 % EYE DROPS|215.13|114.02|0|172.1|0|193.62|0|173.83|154.89|145.6|0|215.13|142.2|0|103.69|176.08|135.1|131.44|0|0|0|168.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|102.68|0|0|0|0|0|0|0|0|215.13
HOSP OP|0637 - DRUGS/SELF ADMIN|66993-0165-02||COLCHICINE 0.6 MG TABLET|32.15|17.04|24.11|25.72|27.33|28.94|0|25.98|23.15|21.76|0|32.15|21.25|0|15.5|26.31|20.19|19.64|0|0|24.11|25.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.35|0|0|0|0|0|0|0|0|32.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3796-01|J1885|KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION|46.48|24.63|34.86|37.18|39.51|41.83|0|37.56|33.47|31.46|0|46.48|2.64|0|1.92|38.04|2.52|2.44|0|0.520628684|34.86|36.3|0|0|0|0|0|0|0|0|0|0.53|0.520628684|0.53|0|0|0|1.4|0|0|0|0|0|0|0|0|46.48
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8179-25|J8540|DEXAMETHASONE 0.5 MG TABLET|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|0.16|0|0.12|16.75|0.14|0.14|0|0.019646365|15.35|15.98|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.06|0|0|0|0|0|0|0|0|20.46
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-4182-25|J8540|DEXAMETHASONE 1.5 MG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|0.48|0|0.36|17.37|0.42|0.42|0|0.019646365|15.92|16.57|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.18|0|0|0|0|0|0|0|0|21.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8181-25|J8540|DEXAMETHASONE 1.5 MG TABLET|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|0.48|0|0.36|17.37|0.42|0.42|0|0.019646365|15.92|16.57|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.18|0|0|0|0|0|0|0|0|21.22
HOSP OP|0250 - PHARMACY|00206-8859-10||PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION|231.8|122.85|0|185.44|0|208.62|0|187.29|166.9|156.88|0|231.8|153.22|0|111.73|189.73|145.57|141.63|0|0|0|181.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.64|0|0|0|0|0|0|0|0|231.8
HOSP OP|0250 - PHARMACY|00004-0298-09||MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION|360.93|191.29|0|288.74|0|324.84|0|291.63|259.87|244.28|0|360.93|238.57|0|173.97|295.42|226.66|220.53|0|0|0|281.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.27|0|0|0|0|0|0|0|0|360.93
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0098-01||ATORVASTATIN 20 MG TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0098-11||ATORVASTATIN 20 MG TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-5335-01||TRIHEXYPHENIDYL 2 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-3794-01|J1742|IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION|210.38|111.5|157.79|168.3|178.82|189.34|178.82|169.99|151.47|142.39|0|210.38|210.38|210.38|210.38|172.2|210.38|210.38|210.38|258.2220039|157.79|164.31|84.15|0|84.15|210.38|210.38|210.38|84.15|210.38|210.38|262.87|258.2220039|262.87|0|0|171.2|162.29|0|0|84.15|0|105.19|84.15|84.15|0|262.87
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0514-20||PIOGLITAZONE 30 MG TABLET|26.64|14.12|19.98|21.31|22.64|23.98|0|21.53|19.18|18.03|0|26.64|17.61|0|12.84|21.8|16.73|16.28|0|0|19.98|20.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.72|0|0|0|0|0|0|0|0|26.64
HOSP OP|0250 - PHARMACY|00115-1333-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULEEXTEND RELEASE|33.85|17.94|0|27.08|0|30.47|0|27.35|24.37|22.91|0|33.85|22.37|0|16.32|27.71|21.26|20.68|0|0|0|26.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.16|0|0|0|0|0|0|0|0|33.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5483-21||PROPRANOLOL 20 MG TABLET|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|00025-1520-34||CELECOXIB 100 MG CAPSULE|42.56|22.56|31.92|34.05|36.18|38.3|0|34.39|30.64|28.8|0|42.56|28.13|0|20.51|34.84|26.73|26|0|0|31.92|33.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.31|0|0|0|0|0|0|0|0|42.56
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1048-13||PERPHENAZINE 8 MG TABLET|25.42|13.47|19.07|20.34|21.61|22.88|0|20.54|18.3|17.2|0|25.42|16.8|0|12.25|20.81|15.96|15.53|0|0|19.07|19.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.13|0|0|0|0|0|0|0|0|25.42
HOSP OP|0250 - PHARMACY|61314-0225-05||TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION|351.79|186.45|0|281.43|0|316.61|0|284.25|253.29|238.09|0|351.79|232.53|0|169.56|287.94|220.92|214.94|0|0|0|274.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|167.91|0|0|0|0|0|0|0|0|351.79
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6237-61||CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0381-01||BENZTROPINE 0.5 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0381-11||BENZTROPINE 0.5 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0250 - PHARMACY|51672-1298-01||KETOCONAZOLE 2 % TOPICAL CREAM|64.56|34.22|0|51.65|0|58.1|0|52.16|46.48|43.69|0|64.56|42.67|0|31.12|52.84|40.54|39.45|0|0|0|50.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.81|0|0|0|0|0|0|0|0|64.56
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0264-24||HYDROMORPHONE 4 MG TABLET|20.84|11.05|15.63|16.67|17.71|18.76|0|16.84|15|14.1|0|20.84|13.78|0|10.04|17.06|13.09|12.73|0|0|15.63|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.84
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0400-01||OXYBUTYNIN CHLORIDE 5 MG TABLET|20.99|11.12|15.74|16.79|17.84|18.89|0|16.96|15.11|14.21|0|20.99|13.87|0|10.12|17.18|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|20.99
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0400-11||OXYBUTYNIN CHLORIDE 5 MG TABLET|20.99|11.12|15.74|16.79|17.84|18.89|0|16.96|15.11|14.21|0|20.99|13.87|0|10.12|17.18|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|20.99
HOSP OP|0250 - PHARMACY|51672-1253-01||FLUOCINONIDE 0.05 % TOPICAL CREAM|103.03|54.61|0|82.42|0|92.73|0|83.25|74.18|69.73|0|103.03|68.1|0|49.66|84.33|64.7|62.95|0|0|0|80.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.18|0|0|0|0|0|0|0|0|103.03
HOSP OP|0250 - PHARMACY|00409-2267-20|J3490|LABETALOL 5 MG/ML INTRAVENOUS SOLUTION|44.6|23.64|33.45|35.68|37.91|40.14|0|36.04|32.11|30.19|0|44.6|29.48|0|21.5|36.51|28.01|27.25|0|0|33.45|34.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.29|0|0|0|0|0|0|0|0|44.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0235-24||MORPHINE 15 MG IMMEDIATE RELEASE TABLET|22.12|11.72|16.59|17.7|18.8|19.91|0|17.87|15.93|14.97|0|22.12|14.62|0|10.66|18.11|13.89|13.52|0|0|16.59|17.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.56|0|0|0|0|0|0|0|0|22.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0735-01||HALOPERIDOL 2 MG TABLET|21.57|11.43|16.18|17.26|18.33|19.41|0|17.43|15.53|14.6|0|21.57|14.26|0|10.4|17.66|13.55|13.18|0|0|16.18|16.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.57
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0735-20||HALOPERIDOL 2 MG TABLET|21.57|11.43|16.18|17.26|18.33|19.41|0|17.43|15.53|14.6|0|21.57|14.26|0|10.4|17.66|13.55|13.18|0|0|16.18|16.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.57
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0434-01||MEGESTROL 20 MG TABLET|21.76|11.53|16.32|17.41|18.5|19.58|0|17.58|15.67|14.73|0|21.76|14.38|0|10.49|17.81|13.67|13.3|0|0|16.32|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.39|0|0|0|0|0|0|0|0|21.76
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0434-20||MEGESTROL 20 MG TABLET|21.76|11.53|16.32|17.41|18.5|19.58|0|17.58|15.67|14.73|0|21.76|14.38|0|10.49|17.81|13.67|13.3|0|0|16.32|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.39|0|0|0|0|0|0|0|0|21.76
HOSP OP|0637 - DRUGS/SELF ADMIN|57844-0187-01||PIMOZIDE 2 MG TABLET|20.07|10.64|15.05|16.06|17.06|18.06|0|16.22|14.45|13.58|0|20.07|13.27|0|9.67|16.43|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3123-01||DICLOXACILLIN 250 MG CAPSULE|21.07|11.17|15.8|16.86|17.91|18.96|0|17.02|15.17|14.26|0|21.07|13.93|0|10.16|17.25|13.23|12.87|0|0|15.8|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0360-01||NIFEDIPINE ER 60 MG TABLETEXTENDED RELEASE|21.38|11.33|16.04|17.1|18.17|19.24|0|17.28|15.39|14.47|0|21.38|14.13|0|10.31|17.5|13.43|13.06|0|0|16.04|16.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.2|0|0|0|0|0|0|0|0|21.38
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0931-01||CARVEDILOL 12.5 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0931-17||CARVEDILOL 12.5 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0931-20||CARVEDILOL 12.5 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00206-8852-16|J2543|PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION|54.19|28.72|40.64|43.35|46.06|48.77|0|43.79|39.02|36.68|0|54.19|5|0|3.64|44.35|4.76|4.62|0|1.84675835|40.64|42.32|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|2.66|0|0|0|0|0|0|0|0|54.19
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3110-90|J2543|PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION|54.19|28.72|40.64|43.35|46.06|48.77|0|43.79|39.02|36.68|0|54.19|5|0|3.64|44.35|4.76|4.62|0|1.84675835|40.64|42.32|0|0|0|0|0|0|0|0|0|1.88|1.84675835|1.88|0|0|0|2.66|0|0|0|0|0|0|0|0|54.19
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0253-01||HYDROXYZINE HCL 10 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0253-11||HYDROXYZINE HCL 10 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00469-3051-30|J0289|AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION|279.88|148.34|209.91|223.9|237.9|251.89|237.9|226.14|201.51|189.42|0|279.88|143.15|237.25|104.05|229.08|136|132.35|231.3|26.72888016|209.91|218.59|132.7|132.7|132.7|279.88|274.84|104.59|132.7|106.44|274.84|27.21|26.72888016|27.21|0|0|102.6|76.45|132.7|132.7|132.7|132.7|132.7|132.7|136.68|0|279.88
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8553-24||METHADONE 5 MG TABLET|20.86|11.06|15.65|16.69|17.73|18.77|0|16.85|15.02|14.12|0|20.86|13.79|0|10.05|17.07|13.1|12.75|0|0|15.65|16.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.86
HOSP OP|0250 - PHARMACY|61314-0016-01|J3490|PROPARACAINE 0.5 % EYE DROPS|107.62|57.04|80.72|86.1|91.48|96.86|0|86.96|77.49|72.84|0|107.62|71.14|0|51.87|88.09|67.59|65.76|0|0|80.72|84.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.37|0|0|0|0|0|0|0|0|107.62
HOSP OP|0250 - PHARMACY|60505-7008-00||FENTANYL 75 MCG/HR TRANSDERMAL PATCH|38.62|20.47|0|30.9|0|34.76|0|31.2|27.81|26.14|0|38.62|25.53|0|18.61|31.61|24.25|23.6|0|0|0|30.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.43|0|0|0|0|0|0|0|0|38.62
HOSP OP|0250 - PHARMACY|60505-7008-02||FENTANYL 75 MCG/HR TRANSDERMAL PATCH|38.62|20.47|0|30.9|0|34.76|0|31.2|27.81|26.14|0|38.62|25.53|0|18.61|31.61|24.25|23.6|0|0|0|30.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.43|0|0|0|0|0|0|0|0|38.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00185-0720-01||INDOMETHACIN ER 75 MG CAPSULEEXTENDED RELEASE|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0572-20||TRIFLUOPERAZINE 1 MG TABLET|22.97|12.17|17.23|18.38|19.52|20.67|0|18.56|16.54|15.55|0|22.97|15.18|0|11.07|18.8|14.43|14.03|0|0|17.23|17.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.96|0|0|0|0|0|0|0|0|22.97
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0105-09||ZIPRASIDONE 60 MG CAPSULE|27.46|14.55|20.6|21.97|23.34|24.71|0|22.19|19.77|18.58|0|27.46|18.15|0|13.24|22.48|17.24|16.78|0|0|20.6|21.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.11|0|0|0|0|0|0|0|0|27.46
HOSP OP|0250 - PHARMACY|00409-3182-02||LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100000 INJECTION SOLUTION|49.23|26.09|0|39.38|0|44.31|0|39.78|35.45|33.32|0|49.23|32.54|0|23.73|40.29|30.92|30.08|0|0|0|38.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.5|0|0|0|0|0|0|0|0|49.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0087-01||MAPROTILINE 50 MG TABLET|23.81|12.62|17.86|19.05|20.24|21.43|0|19.24|17.14|16.11|0|23.81|15.74|0|11.48|19.49|14.95|14.55|0|0|17.86|18.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.36|0|0|0|0|0|0|0|0|23.81
HOSP OP|0637 - DRUGS/SELF ADMIN|59746-0003-14|J7509|METHYLPREDNISOLONE 16 MG TABLET|26.93|14.27|20.2|21.54|22.89|24.24|0|21.76|19.39|18.23|0|26.93|1.92|0|1.4|22.04|1.8|1.76|0|0.353634578|20.2|21.03|0|0|0|0|0|0|0|0|0|0.36|0.353634578|0.36|0|0|0|1|0|0|0|0|0|0|0|0|26.93
HOSP OP|0250 - PHARMACY|17478-0215-02||ATROPINE 1 % EYE DROPS|168.01|89.05|126.01|134.41|142.81|151.21|0|135.75|120.97|113.71|0|168.01|111.05|0|80.98|137.52|105.51|102.65|0|0|126.01|131.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|67.2|80.19|0|0|0|0|0|0|0|0|168.01
HOSP OP|0250 - PHARMACY|17478-0215-05||ATROPINE 1 % EYE DROPS|168.01|89.05|126.01|134.41|142.81|151.21|0|135.75|120.97|113.71|0|168.01|111.05|0|80.98|137.52|105.51|102.65|0|0|126.01|131.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|67.2|80.19|0|0|0|0|0|0|0|0|168.01
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0157-13||ONDANSETRON 4 MG DISINTEGRATING TABLET|20.49|10.86|15.37|16.39|17.42|18.44|0|16.56|14.75|13.87|0|20.49|13.54|0|9.88|16.77|12.87|12.52|0|0|15.37|16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.2|9.78|0|0|0|0|0|0|0|0|20.49
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0157-40||ONDANSETRON 4 MG DISINTEGRATING TABLET|20.49|10.86|15.37|16.39|17.42|18.44|0|16.56|14.75|13.87|0|20.49|13.54|0|9.88|16.77|12.87|12.52|0|0|15.37|16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.2|9.78|0|0|0|0|0|0|0|0|20.49
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00007-4407-01|C9121|ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION|3129.35|1658.56|2347.01|2503.48|2659.95|2816.42|2659.95|2528.51|2253.13|2117.94|0|3129.35|2068.5|1752.44|1508.35|2561.37|1965.23|1912.03|1708.63|0|2347.01|2444.02|1251.74|0|1251.74|2703.76|2809.78|1347.81|1251.74|1369.72|2809.78|0|0|0|0|0|1251.74|1493.64|0|0|1251.74|0|1564.68|1251.74|1251.74|0|3129.35
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-2176-60||CEFDINIR 300 MG CAPSULE|22.33|11.83|16.75|17.86|18.98|20.1|0|18.04|16.08|15.11|0|22.33|14.76|0|10.76|18.28|14.02|13.64|0|0|16.75|17.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.93|10.66|0|0|0|0|0|0|0|0|22.33
HOSP OP|0250 - PHARMACY|00713-0197-57||MICONAZOLE NITRATE 100 MG VAGINAL SUPPOSITORY|26.43|14.01|0|21.14|0|23.79|0|21.36|19.03|17.89|0|26.43|17.47|0|12.74|21.63|16.6|16.15|0|0|0|20.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.62|0|0|0|0|0|0|0|0|26.43
HOSP OP|0250 - PHARMACY|00487-9301-03||SODIUM CHLORIDE 0.9 % FOR NEBULIZATION|40.38|21.4|30.29|32.3|34.32|36.34|0|32.63|29.07|27.33|0|40.38|26.69|0|19.46|33.05|25.36|24.67|0|0|30.29|31.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.15|19.27|0|0|0|0|0|0|0|0|40.38
HOSP OP|0250 - PHARMACY|00487-9301-33||SODIUM CHLORIDE 0.9 % FOR NEBULIZATION|40.38|21.4|30.29|32.3|34.32|36.34|0|32.63|29.07|27.33|0|40.38|26.69|0|19.46|33.05|25.36|24.67|0|0|30.29|31.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.15|19.27|0|0|0|0|0|0|0|0|40.38
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0344-01||TOPIRAMATE 100 MG TABLET|21.11|11.19|15.83|16.89|17.94|19|0|17.06|15.2|14.29|0|21.11|13.95|0|10.18|17.28|13.26|12.9|0|0|15.83|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.11
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0344-11||TOPIRAMATE 100 MG TABLET|21.11|11.19|15.83|16.89|17.94|19|0|17.06|15.2|14.29|0|21.11|13.95|0|10.18|17.28|13.26|12.9|0|0|15.83|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|43386-0920-60|J3490|OXYCODONE 20 MG/ML ORAL CONCENTRATE|32.8|17.38|24.6|26.24|27.88|29.52|0|26.5|23.62|22.2|0|32.8|21.68|0|15.81|26.85|20.6|20.04|0|0|24.6|25.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.66|0|0|0|0|0|0|0|0|32.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0182-94|J3490|OXYCODONE 20 MG/ML ORAL CONCENTRATE|32.8|17.38|24.6|26.24|27.88|29.52|0|26.5|23.62|22.2|0|32.8|21.68|0|15.81|26.85|20.6|20.04|0|0|24.6|25.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.66|0|0|0|0|0|0|0|0|32.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0367-25|J1100|DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION|41.02|21.74|30.77|32.82|34.87|36.92|0|33.14|29.53|27.76|0|41.02|0.7|0|0.5|33.57|0.65|0.65|0|0.117878193|30.77|32.04|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.35|0|0|0|0|0|0|0|0|41.02
HOSP OP|0637 - DRUGS/SELF ADMIN|67253-0700-06||SELEGILINE 5 MG CAPSULE|24.58|13.03|18.44|19.66|20.89|22.12|0|19.86|17.7|16.64|0|24.58|16.25|0|11.85|20.12|15.44|15.02|0|0|18.44|19.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.73|0|0|0|0|0|0|0|0|24.58
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-8342-01||GLYBURIDE 1.25 MG TABLET|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|61748-0012-11||PYRAZINAMIDE 500 MG TABLET|30.87|16.36|23.15|24.7|26.24|27.78|0|24.94|22.23|20.89|0|30.87|20.41|0|14.88|25.27|19.39|18.86|0|0|23.15|24.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.73|0|0|0|0|0|0|0|0|30.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3414-01|J2765|METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION|42.42|22.48|31.82|33.94|36.06|38.18|0|34.28|30.54|28.71|0|42.42|2.48|0|1.8|34.72|2.35|2.29|0|1.198428291|31.82|33.13|0|0|0|0|0|0|0|0|0|1.22|1.198428291|1.22|0|0|0|1.32|0|0|0|0|0|0|0|0|42.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3414-18|J2765|METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION|42.42|22.48|31.82|33.94|36.06|38.18|0|34.28|30.54|28.71|0|42.42|2.48|0|1.8|34.72|2.35|2.29|0|1.198428291|31.82|33.13|0|0|0|0|0|0|0|0|0|1.22|1.198428291|1.22|0|0|0|1.32|0|0|0|0|0|0|0|0|42.42
HOSP OP|0250 - PHARMACY|00338-1137-03||AMINO ACID 5 % IN 15 % DEXTROSE INTRAVENOUS SOLUTION|100|53|0|80|0|90|0|80.8|72|67.68|0|100|66.1|0|48.2|81.85|62.8|61.1|0|0|0|78.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.73|0|0|0|0|0|0|0|0|100
HOSP OP|0250 - PHARMACY|00338-1099-04||AMINO ACID 5 % IN 15 % DEXTROSE INTRAVENOUS SOLUTION|155|53|0|80|0|90|0|80.8|72|67.68|0|100|66.1|0|48.2|81.85|62.8|61.1|0|0|0|78.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.73|0|0|0|0|0|0|0|0|100
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1046-13||PERPHENAZINE 2 MG TABLET|23.27|12.33|17.45|18.62|19.78|20.94|0|18.8|16.75|15.75|0|23.27|15.38|0|11.22|19.05|14.61|14.22|0|0|17.45|18.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.11|0|0|0|0|0|0|0|0|23.27
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0189-01||NAPROXEN 375 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0250 - PHARMACY|32909-0186-01||BARIUM SULFATE 60 % (W/V) ORAL SUSPENSION|0.03|0.02|0|0.02|0|0.03|0|0.02|0.02|0.02|0|0.03|0.02|0|0.01|0.02|0.02|0.02|0|0|0|0.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.01|0|0|0|0|0|0|0|0|0.03
HOSP OP|0250 - PHARMACY|11527-0062-47||BENZOCAINE 20 % MUCOSAL GEL|35.6|18.87|0|28.48|0|32.04|0|28.76|25.63|24.09|0|35.6|23.53|0|17.16|29.14|22.36|21.75|0|0|0|27.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.99|0|0|0|0|0|0|0|0|35.6
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0746-01||DILTIAZEM 60 MG TABLET|20.64|10.94|15.48|16.51|17.54|18.58|0|16.68|14.86|13.97|0|20.64|13.64|0|9.95|16.89|12.96|12.61|0|0|15.48|16.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.64
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5785-61||FLUOXETINE 20 MG CAPSULE|20.23|10.72|15.17|16.18|17.2|18.21|0|16.35|14.57|13.69|0|20.23|13.37|0|9.75|16.56|12.7|12.36|0|0|15.17|15.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.23
HOSP OP|0250 - PHARMACY|60505-0829-01||FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAYSUSPENSION|34.8|18.44|0|27.84|0|31.32|0|28.12|25.06|23.55|0|34.8|23|0|16.77|28.48|21.85|21.26|0|0|0|27.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.61|0|0|0|0|0|0|0|0|34.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0310-01|J0885|EPOETIN ALFA 10000 UNIT/ML INJECTION SOLUTION|391.77|207.64|293.83|313.42|333|352.59|333|316.55|282.07|265.15|0|391.77|154.2|159.2|112.1|320.66|146.5|142.6|155.2|10.55992141|293.83|305.97|96.96|96.96|96.96|253.83|254.35|82.65|96.96|84.11|254.35|10.75|10.55992141|10.75|0|0|128.4|82.3|96.96|96.96|96.96|96.96|96.96|96.96|99.87|0|391.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5125-59||PSEUDOEPHEDRINE 60 MG TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0250 - PHARMACY|00904-7822-36||CLOTRIMAZOLE 1 % TOPICAL CREAM|28.01|14.85|0|22.41|0|25.21|0|22.63|20.17|18.96|0|28.01|18.51|0|13.5|22.93|17.59|17.11|0|0|0|21.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.37|0|0|0|0|0|0|0|0|28.01
HOSP OP|0250 - PHARMACY|45802-0434-11||CLOTRIMAZOLE 1 % TOPICAL CREAM|31.87|14.85|0|22.41|0|25.21|0|22.63|20.17|18.96|0|28.01|18.51|0|13.5|22.93|17.59|17.11|0|0|0|21.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.37|0|0|0|0|0|0|0|0|28.01
HOSP OP|0637 - DRUGS/SELF ADMIN|46287-0500-30||SORBITOL 70 % SOLUTION|27.97|14.82|20.98|22.38|23.77|25.17|0|22.6|20.14|18.93|0|27.97|18.49|0|13.48|22.89|17.57|17.09|0|0|20.98|21.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.35|0|0|0|0|0|0|0|0|27.97
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-4900-03||SERTRALINE 50 MG TABLET|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0313-01||DIVALPROEX 125 MG CAPSULEDELAYED RELEASE SPRINKLE|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0313-11||DIVALPROEX 125 MG CAPSULEDELAYED RELEASE SPRINKLE|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1104-81||CONJUGATED ESTROGENS 1.25 MG TABLET|36.46|19.32|27.35|29.17|30.99|32.81|0|29.46|26.25|24.68|0|36.46|24.1|0|17.57|29.84|22.9|22.28|0|0|27.35|28.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.4|0|0|0|0|0|0|0|0|36.46
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0288-01||FLUDROCORTISONE 0.1 MG TABLET|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0288-11||FLUDROCORTISONE 0.1 MG TABLET|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2723-01|J1644|HEPARIN (PORCINE) 5000 UNIT/ML INJECTION SOLUTION|43.11|22.85|32.33|34.49|36.64|38.8|0|34.83|31.04|29.18|0|43.11|1.3|0|0.95|35.29|1.25|1.2|0|0.235756385|32.33|33.67|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0.65|0|0|0|0|0|0|0|0|43.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0047-10|J1644|HEPARIN (PORCINE) 5000 UNIT/ML INJECTION SOLUTION|43.11|22.85|32.33|34.49|36.64|38.8|0|34.83|31.04|29.18|0|43.11|1.3|0|0.95|35.29|1.25|1.2|0|0.235756385|32.33|33.67|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0.65|0|0|0|0|0|0|0|0|43.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0262-01|J1644|HEPARIN (PORCINE) 5000 UNIT/ML INJECTION SOLUTION|43.11|22.85|32.33|34.49|36.64|38.8|0|34.83|31.04|29.18|0|43.11|1.3|0|0.95|35.29|1.25|1.2|0|0.235756385|32.33|33.67|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0.65|0|0|0|0|0|0|0|0|43.11
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0578-21||LAMIVUDINE 150 MG TABLET|41.17|21.82|30.88|32.94|34.99|37.05|0|33.27|29.64|27.86|0|41.17|27.21|0|19.84|33.7|25.85|25.15|0|0|30.88|32.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.65|0|0|0|0|0|0|0|0|41.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0051-21|J9312|RITUXIMAB 10 MG/ML CONCENTRATEINTRAVENOUS|2818.56|1493.84|2113.92|2254.85|2395.78|2536.7|2395.78|2277.4|2029.36|1907.6|0|2818.56|1230.7|952|894.9|2306.99|1169.6|1138.1|928.2|99.12573674|2113.92|2201.3|933.66|933.66|933.66|2269.35|2273.98|738.9|933.66|751.94|2273.98|100.91|99.12573674|100.91|0|0|1063.8|657.5|933.66|933.66|933.66|933.66|933.66|933.66|961.67|0|2818.56
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0053-06|J9312|RITUXIMAB 10 MG/ML CONCENTRATEINTRAVENOUS|14092.8|1493.84|2113.92|2254.85|2395.78|2536.7|2395.78|2277.4|2029.36|1907.6|0|2818.56|1230.7|952|894.9|2306.99|1169.6|1138.1|928.2|99.12573674|2113.92|2201.3|933.66|933.66|933.66|2269.35|2273.98|738.9|933.66|751.94|2273.98|100.91|99.12573674|100.91|0|0|1063.8|657.5|933.66|933.66|933.66|933.66|933.66|933.66|961.67|0|2818.56
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0272-01||RISPERIDONE 1 MG TABLET|20.64|10.94|15.48|16.51|17.54|18.58|0|16.68|14.86|13.97|0|20.64|13.64|0|9.95|16.89|12.96|12.61|0|0|15.48|16.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.64
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0272-11||RISPERIDONE 1 MG TABLET|20.64|10.94|15.48|16.51|17.54|18.58|0|16.68|14.86|13.97|0|20.64|13.64|0|9.95|16.89|12.96|12.61|0|0|15.48|16.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0563-20||AMITRIPTYLINE 100 MG TABLET|22.3|11.82|16.73|17.84|18.96|20.07|0|18.02|16.06|15.09|0|22.3|14.74|0|10.75|18.25|14|13.63|0|0|16.73|17.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.64|0|0|0|0|0|0|0|0|22.3
HOSP OP|0250 - PHARMACY|17478-0701-25||INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION|304.55|161.41|0|243.64|0|274.1|0|246.08|219.28|206.12|0|304.55|201.31|0|146.79|249.27|191.26|186.08|0|0|0|237.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|145.36|0|0|0|0|0|0|0|0|304.55
HOSP OP|0258 - IV SOLUTIONS|00409-7926-09|J7042|DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|2.58|0|1.88|42.97|2.46|2.38|0|0.933202358|39.38|41|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0512-01||LISINOPRIL 2.5 MG TABLET|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0041-64|J2997|ALTEPLASE 2 MG INTRA-CATHETER SOLUTION|395.4|209.56|296.55|316.32|336.09|355.86|336.09|319.48|284.69|267.61|0|395.4|226.4|175.36|164.62|323.63|215.16|209.38|170.98|87.84872299|296.55|308.81|175.77|175.77|175.77|395.4|388.28|137.51|175.77|139.94|388.28|89.43|87.84872299|89.43|0|0|151.8|120.96|175.77|175.77|175.77|175.77|175.77|175.77|181.04|0|395.4
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-0450-01||COLESTIPOL 1 GRAM TABLET|26|13.78|19.5|20.8|22.1|23.4|0|21.01|18.72|17.6|0|26|17.19|0|12.53|21.28|16.33|15.89|0|0|19.5|20.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.41|0|0|0|0|0|0|0|0|26
HOSP OP|0637 - DRUGS/SELF ADMIN|10147-1700-03||ITRACONAZOLE 100 MG CAPSULE|40.69|21.57|30.52|32.55|34.59|36.62|0|32.88|29.3|27.54|0|40.69|26.9|0|19.61|33.3|25.55|24.86|0|0|30.52|31.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.42|0|0|0|0|0|0|0|0|40.69
HOSP OP|0637 - DRUGS/SELF ADMIN|10147-1700-07||ITRACONAZOLE 100 MG CAPSULE|40.69|21.57|30.52|32.55|34.59|36.62|0|32.88|29.3|27.54|0|40.69|26.9|0|19.61|33.3|25.55|24.86|0|0|30.52|31.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.42|0|0|0|0|0|0|0|0|40.69
HOSP OP|0250 - PHARMACY|41616-0932-44||VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION|80.38|42.6|0|64.3|0|72.34|0|64.95|57.87|54.4|0|80.38|53.13|0|38.74|65.79|50.48|49.11|0|0|0|62.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.37|0|0|0|0|0|0|0|0|80.38
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1107-11||CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET|40.19|21.3|30.14|32.15|34.16|36.17|0|32.47|28.94|27.2|0|40.19|26.57|0|19.37|32.9|25.24|24.56|0|0|30.14|31.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.18|0|0|0|0|0|0|0|0|40.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5823-60||CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|51079-0818-01|J7507|TACROLIMUS 1 MG CAPSULE|23.21|12.3|17.41|18.57|19.73|20.89|0|18.75|16.71|15.71|0|23.21|0.75|0|0.54|19|0.71|0.69|0|0.68762279|17.41|18.13|0|0|0|0|0|0|0|0|0|0.7|0.68762279|0.7|0|0|0|0.4|0|0|0|0|0|0|0|0|23.21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|51079-0818-20|J7507|TACROLIMUS 1 MG CAPSULE|23.21|12.3|17.41|18.57|19.73|20.89|0|18.75|16.71|15.71|0|23.21|0.75|0|0.54|19|0.71|0.69|0|0.68762279|17.41|18.13|0|0|0|0|0|0|0|0|0|0.7|0.68762279|0.7|0|0|0|0.4|0|0|0|0|0|0|0|0|23.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-5820-61||DOFETILIDE 500 MCG CAPSULE|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0187-33|J1815|INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP|53.08|28.13|39.81|42.46|45.12|47.77|0|42.89|38.22|35.92|0|53.08|23|0|16.6|43.45|21.8|21.2|0|0.903732809|39.81|41.46|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|53.08
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0055-01||IMIPRAMINE 25 MG TABLET|20.22|10.72|15.17|16.18|17.19|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|15.17|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-1769-01||ISOSORBIDE DINITRATE 5 MG TABLET|21.4|11.34|16.05|17.12|18.19|19.26|0|17.29|15.41|14.48|0|21.4|14.15|0|10.31|17.52|13.44|13.08|0|0|16.05|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.21|0|0|0|0|0|0|0|0|21.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0770-01||LORAZEPAM 2 MG/ML ORAL CONCENTRATE|25.37|13.45|19.03|20.3|21.56|22.83|0|20.5|18.27|17.17|0|25.37|16.77|0|12.23|20.77|15.93|15.5|0|0|19.03|19.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.11|0|0|0|0|0|0|0|0|25.37
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0187-88||LORAZEPAM 2 MG/ML ORAL CONCENTRATE|25.37|13.45|19.03|20.3|21.56|22.83|0|20.5|18.27|17.17|0|25.37|16.77|0|12.23|20.77|15.93|15.5|0|0|19.03|19.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.11|0|0|0|0|0|0|0|0|25.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-1251-61||SALSALATE 750 MG TABLET|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0637 - DRUGS/SELF ADMIN|59746-0386-06||TERAZOSIN 10 MG CAPSULE|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-5601-25|J3410|HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION|56.47|29.93|42.35|45.18|48|50.82|0|45.63|40.66|38.22|0|56.47|8.2|0|5.97|46.22|7.8|7.59|0|7.023575639|42.35|44.1|0|0|0|0|0|0|0|0|0|7.15|7.023575639|7.15|0|0|0|4.38|0|0|0|0|0|0|0|0|56.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-5602-25|J3410|HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION|56.47|29.93|42.35|45.18|48|50.82|0|45.63|40.66|38.22|0|56.47|8.2|0|5.97|46.22|7.8|7.59|0|7.023575639|42.35|44.1|0|0|0|0|0|0|0|0|0|7.15|7.023575639|7.15|0|0|0|4.38|0|0|0|0|0|0|0|0|56.47
HOSP OP|0637 - DRUGS/SELF ADMIN|00517-4002-25|J2440|PAPAVERINE 30 MG/ML INJECTION SOLUTION|74.89|39.69|56.17|59.91|63.66|67.4|0|60.51|53.92|50.69|0|74.89|44.3|0|32.21|61.3|42.1|40.97|0|38.45776031|56.17|58.49|0|0|0|0|0|0|0|0|0|39.15|38.45776031|39.15|0|0|0|23.66|0|0|0|0|0|0|0|0|74.89
HOSP OP|0637 - DRUGS/SELF ADMIN|24658-0312-50||DOXYCYCLINE HYCLATE 100 MG TABLET|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0118-01||DICYCLOMINE 10 MG CAPSULE|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0118-20||DICYCLOMINE 10 MG CAPSULE|21.22|11.25|15.92|16.98|18.04|19.1|0|17.15|15.28|14.36|0|21.22|14.03|0|10.23|17.37|13.33|12.97|0|0|15.92|16.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.13|0|0|0|0|0|0|0|0|21.22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|10019-0955-01|J9070|CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLUTION|513.48|272.14|385.11|410.78|436.46|462.13|436.46|414.89|369.71|347.52|0|513.48|243.95|329.65|177.4|420.28|231.85|225.6|321.4|34.90176817|385.11|401.03|172.83|172.83|172.83|399.49|400.31|130.07|172.83|132.37|400.31|35.53|34.90176817|35.53|0|0|194.4|130.3|172.83|172.83|172.83|172.83|172.83|172.83|178.01|0|513.48
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|10019-0955-50|J9070|CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLUTION|513.48|272.14|385.11|410.78|436.46|462.13|436.46|414.89|369.71|347.52|0|513.48|243.95|329.65|177.4|420.28|231.85|225.6|321.4|34.90176817|385.11|401.03|172.83|172.83|172.83|399.49|400.31|130.07|172.83|132.37|400.31|35.53|34.90176817|35.53|0|0|194.4|130.3|172.83|172.83|172.83|172.83|172.83|172.83|178.01|0|513.48
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0467-01||ATENOLOL 50 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0467-11||ATENOLOL 50 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0250 - PHARMACY|00536-1107-88||NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH|25.78|13.66|0|20.62|0|23.2|0|20.83|18.56|17.45|0|25.78|17.04|0|12.43|21.1|16.19|15.75|0|0|0|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.78
HOSP OP|0250 - PHARMACY|00574-7040-12||BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY|86.19|45.68|0|68.95|0|77.57|0|69.64|62.06|58.33|0|86.19|56.97|0|41.54|70.55|54.13|52.66|0|0|0|67.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.14|0|0|0|0|0|0|0|0|86.19
HOSP OP|0637 - DRUGS/SELF ADMIN|64380-0723-06||CALCITRIOL 0.25 MCG CAPSULE|21.09|11.18|15.82|16.87|17.93|18.98|0|17.04|15.18|14.27|0|21.09|13.94|0|10.17|17.26|13.24|12.89|0|0|15.82|16.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.07|0|0|0|0|0|0|0|0|21.09
HOSP OP|0250 - PHARMACY|32551-0938-35||CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID|32.75|17.36|0|26.2|0|29.48|0|26.46|23.58|22.17|0|32.75|21.65|0|15.79|26.81|20.57|20.01|0|0|0|25.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.63|0|0|0|0|0|0|0|0|32.75
HOSP OP|0250 - PHARMACY|52380-1272-08||CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID|44.18|17.36|0|26.2|0|29.48|0|26.46|23.58|22.17|0|32.75|21.65|0|15.79|26.81|20.57|20.01|0|0|0|25.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.63|0|0|0|0|0|0|0|0|32.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-3899-19||HYDROCORTISONE 5 MG TABLET|20.86|11.06|15.65|16.69|17.73|18.77|0|16.85|15.02|14.12|0|20.86|13.79|0|10.05|17.07|13.1|12.75|0|0|15.65|16.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.86
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-3740-66||PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE|23.27|12.33|17.45|18.62|19.78|20.94|0|18.8|16.75|15.75|0|23.27|15.38|0|11.22|19.05|14.61|14.22|0|0|17.45|18.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.11|0|0|0|0|0|0|0|0|23.27
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0319-01||LAMOTRIGINE 100 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0319-11||LAMOTRIGINE 100 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0250 - PHARMACY|00517-2305-25||POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION|46.39|24.59|0|37.11|0|41.75|0|37.48|33.4|31.4|0|46.39|30.66|0|22.36|37.97|29.13|28.34|0|0|0|36.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.14|0|0|0|0|0|0|0|0|46.39
HOSP OP|0250 - PHARMACY|63323-0086-05||POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION|46.39|24.59|0|37.11|0|41.75|0|37.48|33.4|31.4|0|46.39|30.66|0|22.36|37.97|29.13|28.34|0|0|0|36.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.14|0|0|0|0|0|0|0|0|46.39
HOSP OP|0250 - PHARMACY|24208-0398-30||IPRATROPIUM BROMIDE 0.03 % NASAL SPRAY|125.71|66.63|0|100.57|0|113.14|0|101.57|90.51|85.08|0|125.71|83.09|0|60.59|102.89|78.95|76.81|0|0|0|98.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60|0|0|0|0|0|0|0|0|125.71
HOSP OP|0250 - PHARMACY|47781-0209-04||ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH|66.2|35.09|0|52.96|0|59.58|0|53.49|47.66|44.8|0|66.2|43.76|0|31.91|54.18|41.57|40.45|0|0|0|51.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.6|0|0|0|0|0|0|0|0|66.2
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0321-01||FINASTERIDE 5 MG TABLET|22.4|11.87|16.8|17.92|19.04|20.16|0|18.1|16.13|15.16|0|22.4|14.81|0|10.8|18.33|14.07|13.69|0|0|16.8|17.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.69|0|0|0|0|0|0|0|0|22.4
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0321-20||FINASTERIDE 5 MG TABLET|22.4|11.87|16.8|17.92|19.04|20.16|0|18.1|16.13|15.16|0|22.4|14.81|0|10.8|18.33|14.07|13.69|0|0|16.8|17.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.69|0|0|0|0|0|0|0|0|22.4
HOSP OP|0250 - PHARMACY|08884-4301-00||WHITE PETROLATUM TOPICAL JELLY|20.1|10.65|0|16.08|0|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|0|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0250 - PHARMACY|08080-4301-01||WHITE PETROLATUM TOPICAL JELLY|20.1|10.65|0|16.08|0|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|0|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0250 - PHARMACY|36000-0162-01||NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION|56.7|30.05|0|45.36|0|51.03|0|45.81|40.82|38.37|0|56.7|37.48|0|27.33|46.41|35.61|34.64|0|0|0|44.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.06|0|0|0|0|0|0|0|0|56.7
HOSP OP|0250 - PHARMACY|36000-0162-10||NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION|56.7|30.05|0|45.36|0|51.03|0|45.81|40.82|38.37|0|56.7|37.48|0|27.33|46.41|35.61|34.64|0|0|0|44.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.06|0|0|0|0|0|0|0|0|56.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-1010-25|J0461|ATROPINE 1 MG/ML INJECTION SOLUTION|46.81|24.81|35.11|37.45|39.79|42.13|0|37.82|33.7|31.68|0|46.81|3.6|0|2.8|38.31|3.6|3.2|0|0.078585462|35.11|36.56|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|1.6|0|0|0|0|0|0|0|0|46.81
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0487-20||FLUPHENAZINE 5 MG TABLET|21.57|11.43|16.18|17.26|18.33|19.41|0|17.43|15.53|14.6|0|21.57|14.26|0|10.4|17.66|13.55|13.18|0|0|16.18|16.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.57
HOSP OP|0250 - PHARMACY|00378-9671-31||IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN|40.6|21.52|30.45|32.48|34.51|36.54|0|32.8|29.23|27.48|0|40.6|26.84|0|19.57|33.23|25.5|24.81|0|0|30.45|31.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.24|19.38|0|0|0|0|0|0|0|0|40.6
HOSP OP|0250 - PHARMACY|00487-0201-01||IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN|40.6|21.52|30.45|32.48|34.51|36.54|0|32.8|29.23|27.48|0|40.6|26.84|0|19.57|33.23|25.5|24.81|0|0|30.45|31.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.24|19.38|0|0|0|0|0|0|0|0|40.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00185-0084-01||DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4943-00|90732|PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION|276.94|146.78|207.71|221.55|235.4|249.25|235.4|223.77|199.4|187.43|0|276.94|139|114.21|101.07|226.68|132.1|128.55|111.35|114.2141454|207.71|216.29|110.78|0|110.78|276.94|276.94|124.14|110.78|153.61|276.94|116.27|114.2141454|116.27|0|0|127.92|74.26|121.38|121.38|110.78|121.38|138.47|110.78|110.78|0|276.94
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0248-01|J8499|LORATADINE 10 MG TABLET|20.77|11.01|15.58|16.62|17.65|18.69|17.65|16.78|14.95|14.06|0|20.77|13.73|0|10.01|17|13.04|12.69|11.34|0|15.58|16.22|20.77|20.77|0|17.95|18.65|8.95|20.77|9.09|18.65|0|0|0|0|0|0|9.91|0|0|20.77|0|23.89|20.77|20.77|0|23.89
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0248-11|J8499|LORATADINE 10 MG TABLET|20.77|11.01|15.58|16.62|17.65|18.69|17.65|16.78|14.95|14.06|0|20.77|13.73|0|10.01|17|13.04|12.69|11.34|0|15.58|16.22|20.77|20.77|0|17.95|18.65|8.95|20.77|9.09|18.65|0|0|0|0|0|0|9.91|0|0|20.77|0|23.89|20.77|20.77|0|23.89
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0853-01||GALANTAMINE 8 MG TABLET|29.46|15.61|22.1|23.57|25.04|26.51|0|23.8|21.21|19.94|0|29.46|19.47|0|14.2|24.11|18.5|18|0|0|22.1|23.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.06|0|0|0|0|0|0|0|0|29.46
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0853-03||GALANTAMINE 8 MG TABLET|29.46|15.61|22.1|23.57|25.04|26.51|0|23.8|21.21|19.94|0|29.46|19.47|0|14.2|24.11|18.5|18|0|0|22.1|23.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.06|0|0|0|0|0|0|0|0|29.46
HOSP OP|0637 - DRUGS/SELF ADMIN|00078-0354-05||FLUVASTATIN ER 80 MG TABLETEXTENDED RELEASE 24 HR|20.27|10.74|15.2|16.22|17.23|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|15.2|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1452-01||GLIPIZIDE 5 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6408-61||DONEPEZIL 5 MG TABLET|20.39|10.81|15.29|16.31|17.33|18.35|0|16.48|14.68|13.8|0|20.39|13.48|0|9.83|16.69|12.8|12.46|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.39
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0477-11||DONEPEZIL 5 MG TABLET|20.39|10.81|15.29|16.31|17.33|18.35|0|16.48|14.68|13.8|0|20.39|13.48|0|9.83|16.69|12.8|12.46|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.39
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0461-20||RISPERIDONE 0.5 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0271-01||RISPERIDONE 0.5 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0271-11||RISPERIDONE 0.5 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00487-9801-01|J7644|IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION|40.37|21.4|30.28|32.3|34.31|36.33|34.31|32.62|29.07|27.32|0|40.37|0.27|0|0.2|33.04|0.26|0.25|0|0.196463654|30.28|31.53|16.15|0|16.15|0.97|0.99|0.49|16.15|0.5|0.99|0.2|0.196463654|0.2|0|0|0.2|0.14|0|0|16.15|0|20.19|16.15|16.15|0|40.37
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00487-9801-30|J7644|IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION|40.37|21.4|30.28|32.3|34.31|36.33|34.31|32.62|29.07|27.32|0|40.37|0.27|0|0.2|33.04|0.26|0.25|0|0.196463654|30.28|31.53|16.15|0|16.15|0.97|0.99|0.49|16.15|0.5|0.99|0.2|0.196463654|0.2|0|0|0.2|0.14|0|0|16.15|0|20.19|16.15|16.15|0|40.37
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0929-01||LABETALOL 200 MG TABLET|21.24|11.26|15.93|16.99|18.05|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|15.93|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0929-20||LABETALOL 200 MG TABLET|21.24|11.26|15.93|16.99|18.05|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|15.93|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0631-01||PRAZOSIN 2 MG CAPSULE|24.7|13.09|18.53|19.76|21|22.23|0|19.96|17.78|16.72|0|24.7|16.33|0|11.91|20.22|15.51|15.09|0|0|18.53|19.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.79|0|0|0|0|0|0|0|0|24.7
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0631-20||PRAZOSIN 2 MG CAPSULE|24.7|13.09|18.53|19.76|21|22.23|0|19.96|17.78|16.72|0|24.7|16.33|0|11.91|20.22|15.51|15.09|0|0|18.53|19.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.79|0|0|0|0|0|0|0|0|24.7
HOSP OP|0250 - PHARMACY|45802-0046-35||GENTAMICIN 0.1 % TOPICAL OINTMENT|137.59|72.92|0|110.07|0|123.83|0|111.17|99.06|93.12|0|137.59|90.95|0|66.32|112.62|86.41|84.07|0|0|0|107.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|65.67|0|0|0|0|0|0|0|0|137.59
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00074-3641-03|J1950|LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT|3282.9|1739.94|2462.18|2626.32|2790.47|2954.61|2790.47|2652.58|2363.69|2221.87|0|3282.9|1533.8|1248.35|1115.27|2687.05|1457.7|1418.47|1217.14|1271.100196|2462.18|2563.94|1244.34|1244.34|1244.34|3055.48|3061.71|994.87|1244.34|1012.41|3061.71|1293.98|1271.100196|1293.98|0|0|813.83|819.47|1244.34|1244.34|1244.34|1244.34|1244.34|1244.34|1281.67|0|3282.9
HOSP OP|0250 - PHARMACY|00641-6020-10|J2274|MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION|103.88|55.06|77.91|83.1|88.3|93.49|0|83.94|74.79|70.31|0|103.88|21.18|0|15.4|85.03|20.13|19.59|0|11.79764244|77.91|81.13|0|0|0|0|0|0|0|0|0|12.01|11.79764244|12.01|0|0|0|11.31|0|0|0|0|0|0|0|0|103.88
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0127-01||NAPROXEN 500 MG TABLET|20.52|10.88|15.39|16.42|17.44|18.47|0|16.58|14.77|13.89|0|20.52|13.56|0|9.89|16.8|12.89|12.54|0|0|15.39|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.79|0|0|0|0|0|0|0|0|20.52
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0127-11||NAPROXEN 500 MG TABLET|20.52|10.88|15.39|16.42|17.44|18.47|0|16.58|14.77|13.89|0|20.52|13.56|0|9.89|16.8|12.89|12.54|0|0|15.39|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.79|0|0|0|0|0|0|0|0|20.52
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4003-01||NORTRIPTYLINE 50 MG CAPSULE|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0250 - PHARMACY|00517-9310-25||TRACE ELEMENTS PED CR-CU-MN-ZN 1 MCG-0.1 MG-30 MCG-0.5 MG/ML IV SOLN|56.25|29.81|0|45|0|50.63|0|45.45|40.5|38.07|0|56.25|37.18|0|27.11|46.04|35.33|34.37|0|0|0|43.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.85|0|0|0|0|0|0|0|0|56.25
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0222-01||DOXEPIN 150 MG CAPSULE|22.06|11.69|16.55|17.65|18.75|19.85|0|17.82|15.88|14.93|0|22.06|14.58|0|10.63|18.06|13.85|13.48|0|0|16.55|17.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.53|0|0|0|0|0|0|0|0|22.06
HOSP OP|0637 - DRUGS/SELF ADMIN|00173-0547-00||ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION|108.15|57.32|81.11|86.52|91.93|97.34|0|87.39|77.87|73.2|0|108.15|71.49|0|52.13|88.52|67.92|66.08|0|0|81.11|84.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.62|0|0|0|0|0|0|0|0|108.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-3194-46||DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID|34|18.02|25.5|27.2|28.9|30.6|0|27.47|24.48|23.01|0|34|22.47|0|16.39|27.83|21.35|20.77|0|0|25.5|26.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.23|0|0|0|0|0|0|0|0|34
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0194-87||DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID|34|18.02|25.5|27.2|28.9|30.6|0|27.47|24.48|23.01|0|34|22.47|0|16.39|27.83|21.35|20.77|0|0|25.5|26.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.23|0|0|0|0|0|0|0|0|34
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-2717-01||METHYLPHENIDATE ER 36 MG TABLETEXTENDED RELEASE 24 HR|42.94|22.76|32.21|34.35|36.5|38.65|0|34.7|30.92|29.06|0|42.94|28.38|0|20.7|35.15|26.97|26.24|0|0|32.21|33.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.5|0|0|0|0|0|0|0|0|42.94
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0461-11||ZIDOVUDINE 100 MG CAPSULE|26.85|14.23|20.14|21.48|22.82|24.17|0|21.69|19.33|18.17|0|26.85|17.75|0|12.94|21.98|16.86|16.41|0|0|20.14|20.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.82|0|0|0|0|0|0|0|0|26.85
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0461-21||ZIDOVUDINE 100 MG CAPSULE|26.85|14.23|20.14|21.48|22.82|24.17|0|21.69|19.33|18.17|0|26.85|17.75|0|12.94|21.98|16.86|16.41|0|0|20.14|20.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.82|0|0|0|0|0|0|0|0|26.85
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0207-01||SPIRONOLACTONE 50 MG TABLET|21.42|11.35|16.07|17.14|18.21|19.28|0|17.31|15.42|14.5|0|21.42|14.16|0|10.32|17.53|13.45|13.09|0|0|16.07|16.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.22|0|0|0|0|0|0|0|0|21.42
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0207-11||SPIRONOLACTONE 50 MG TABLET|21.42|11.35|16.07|17.14|18.21|19.28|0|17.31|15.42|14.5|0|21.42|14.16|0|10.32|17.53|13.45|13.09|0|0|16.07|16.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.22|0|0|0|0|0|0|0|0|21.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49702-0213-05|J3485|ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION|108.65|57.58|81.49|86.92|92.35|97.79|0|87.79|78.23|73.53|0|108.65|39|0|28.4|88.93|37|36|0|1.512770138|81.49|84.86|0|0|0|0|0|0|0|0|0|1.54|1.512770138|1.54|0|0|0|20.6|0|0|0|0|0|0|0|0|108.65
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00078-0241-15|J7502|CYCLOSPORINE 100 MG CAPSULE|63.03|33.41|47.27|50.42|53.58|56.73|0|50.93|45.38|42.66|0|63.03|3.16|0|2.3|51.59|3|2.92|0|2.377210216|47.27|49.23|0|0|0|0|0|0|0|0|0|2.42|2.377210216|2.42|0|0|0|1.68|0|0|0|0|0|0|0|0|63.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0161-01|J1885|KETOROLAC 15 MG/ML INJECTION SOLUTION|41.7|22.1|31.28|33.36|35.45|37.53|0|33.69|30.02|28.22|0|41.7|0.66|0|0.48|34.13|0.63|0.61|0|0.520628684|31.28|32.57|0|0|0|0|0|0|0|0|0|0.53|0.520628684|0.53|0|0|0|0.35|0|0|0|0|0|0|0|0|41.7
HOSP OP|0250 - PHARMACY|00054-0386-63||HYDROMORPHONE 1 MG/ML ORAL LIQUID|25.51|13.52|0|20.41|0|22.96|0|20.61|18.37|17.27|0|25.51|16.86|0|12.3|20.88|16.02|15.59|0|0|0|19.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.51
HOSP OP|0250 - PHARMACY|NMRRX-2141-95||HYDROMORPHONE 1 MG/ML ORAL LIQUID|25.51|13.52|0|20.41|0|22.96|0|20.61|18.37|17.27|0|25.51|16.86|0|12.3|20.88|16.02|15.59|0|0|0|19.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-1077-02|J1250|DOBUTAMINE 1000 MG/250 ML(4000 MCG/ML) IN 5 % DEXTROSE IV|70.63|37.43|52.97|56.5|60.04|63.57|0|57.07|50.85|47.8|0|70.63|37.76|0|27.48|57.81|35.88|34.92|0|6.080550098|52.97|55.16|0|0|0|0|0|0|0|0|0|6.19|6.080550098|6.19|0|0|0|20.16|0|0|0|0|0|0|0|0|70.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5880-61||DIAZEPAM 5 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.05|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0293-10||METOCLOPRAMIDE 10 MG TABLET|20.24|10.73|15.18|16.19|17.2|18.22|0|16.35|14.57|13.7|0|20.24|13.38|0|9.76|16.57|12.71|12.37|0|0|15.18|15.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.1|9.66|0|0|0|0|0|0|0|0|20.24
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0482-10||METOCLOPRAMIDE 10 MG TABLET|20.24|10.73|15.18|16.19|17.2|18.22|0|16.35|14.57|13.7|0|20.24|13.38|0|9.76|16.57|12.71|12.37|0|0|15.18|15.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.1|9.66|0|0|0|0|0|0|0|0|20.24
HOSP OP|0250 - PHARMACY|00338-0054-03||SODIUM CHLORIDE 3 % INTRAVENOUS INJECTION SOLUTION|43.75|23.19|0|35|0|39.38|0|35.35|31.5|29.61|0|43.75|28.92|0|21.09|35.81|27.48|26.73|0|0|0|34.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.88|0|0|0|0|0|0|0|0|43.75
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0958-01||DOXAZOSIN 2 MG TABLET|28.29|14.99|21.22|22.63|24.05|25.46|0|22.86|20.37|19.15|0|28.29|18.7|0|13.64|23.16|17.77|17.29|0|0|21.22|22.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.5|0|0|0|0|0|0|0|0|28.29
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0958-20||DOXAZOSIN 2 MG TABLET|28.29|14.99|21.22|22.63|24.05|25.46|0|22.86|20.37|19.15|0|28.29|18.7|0|13.64|23.16|17.77|17.29|0|0|21.22|22.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.5|0|0|0|0|0|0|0|0|28.29
HOSP OP|0637 - DRUGS/SELF ADMIN|00032-1708-01||PROGESTERONE MICRONIZED 100 MG CAPSULE|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-5185-92||LEVOTHYROXINE 112 MCG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0250 - PHARMACY|11917-0058-98||PHENOL 1.4 % MUCOSAL AEROSOL SPRAY|1129.79|598.79|0|903.83|0|1016.81|0|912.87|813.45|764.64|0|1129.79|746.79|0|544.56|924.73|709.51|690.3|0|0|0|882.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|539.25|0|0|0|0|0|0|0|0|1129.79
HOSP OP|0250 - PHARMACY|00536-2425-58||PHENOL 1.4 % MUCOSAL AEROSOL SPRAY|2239.58|598.79|0|903.83|0|1016.81|0|912.87|813.45|764.64|0|1129.79|746.79|0|544.56|924.73|709.51|690.3|0|0|0|882.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|539.25|0|0|0|0|0|0|0|0|1129.79
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0539-03||REPAGLINIDE 1 MG TABLET|28.8|15.26|21.6|23.04|24.48|25.92|0|23.27|20.74|19.49|0|28.8|19.04|0|13.88|23.57|18.09|17.6|0|0|21.6|22.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.75|0|0|0|0|0|0|0|0|28.8
HOSP OP|0637 - DRUGS/SELF ADMIN|66685-1001-00||AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET|24.71|13.1|18.53|19.77|21|22.24|0|19.97|17.79|16.72|0|24.71|16.33|0|11.91|20.23|15.52|15.1|0|0|18.53|19.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.88|11.79|0|0|0|0|0|0|0|0|24.71
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5166-21||PHENOBARBITAL 32.4 MG TABLET|21.51|11.4|16.13|17.21|18.28|19.36|0|17.38|15.49|14.56|0|21.51|14.22|0|10.37|17.61|13.51|13.14|0|0|16.13|16.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.51
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-3051-02|Q0144|AZITHROMYCIN 1 GRAM ORAL PACKET|71.93|38.12|53.95|57.54|61.14|64.74|61.14|58.12|51.79|48.68|0|71.93|31.31|23.3|22.77|58.87|29.76|28.95|22.72|26.51277014|53.95|56.18|71.93|71.93|0|37.78|38.55|19.06|71.93|19.32|38.55|26.99|26.51277014|26.99|0|0|20.46|16.72|0|0|71.93|0|82.72|71.93|71.93|0|82.72
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00046-0749-05|J1410|CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION|763.63|404.72|572.72|610.9|649.09|687.27|649.09|617.01|549.81|516.82|0|763.63|398.49|309.21|289.76|625.03|378.72|368.53|301.48|308.7033399|572.72|596.4|305.45|0|305.45|763.63|763.63|410.06|305.45|415.72|763.63|314.26|308.7033399|314.26|0|0|346.48|212.9|0|0|305.45|0|381.82|305.45|305.45|0|763.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63459-0600-10|J9017|ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION|1915.35|1015.14|1436.51|1532.28|1628.05|1723.82|1628.05|1547.6|1379.05|1296.31|0|1915.35|992.1|630.1|721.4|1567.71|942.9|917.5|614.3|46.27701375|1436.51|1495.89|286.69|286.69|286.69|1059.42|1061.58|344.95|286.69|351.03|1061.58|47.11|46.27701375|47.11|0|0|573.7|530|286.69|286.69|286.69|286.69|286.69|286.69|295.29|0|1915.35
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0198-50||METHADONE 5 MG/5 ML ORAL SOLUTION|25.75|13.65|19.31|20.6|21.89|23.18|0|20.81|18.54|17.43|0|25.75|17.02|0|12.41|21.08|16.17|15.73|0|0|19.31|20.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.29|0|0|0|0|0|0|0|0|25.75
HOSP OP|0250 - PHARMACY|61314-0019-10||DORZOLAMIDE 2 % EYE DROPS|82.09|43.51|0|65.67|0|73.88|0|66.33|59.1|55.56|0|82.09|54.26|0|39.57|67.19|51.55|50.16|0|0|0|64.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.18|0|0|0|0|0|0|0|0|82.09
HOSP OP|0250 - PHARMACY|10147-0750-04||KETOCONAZOLE 2 % SHAMPOO|48.04|25.46|0|38.43|0|43.24|0|38.82|34.59|32.51|0|48.04|31.75|0|23.16|39.32|30.17|29.35|0|0|0|37.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.93|0|0|0|0|0|0|0|0|48.04
HOSP OP|0250 - PHARMACY|63646-0010-04||KETOCONAZOLE 2 % SHAMPOO|48.04|25.46|0|38.43|0|43.24|0|38.82|34.59|32.51|0|48.04|31.75|0|23.16|39.32|30.17|29.35|0|0|0|37.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.93|0|0|0|0|0|0|0|0|48.04
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0051-01||NABUMETONE 500 MG TABLET|21.87|11.59|16.4|17.5|18.59|19.68|0|17.67|15.75|14.8|0|21.87|14.46|0|10.54|17.9|13.73|13.36|0|0|16.4|17.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.44|0|0|0|0|0|0|0|0|21.87
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0051-11||NABUMETONE 500 MG TABLET|21.87|11.59|16.4|17.5|18.59|19.68|0|17.67|15.75|14.8|0|21.87|14.46|0|10.54|17.9|13.73|13.36|0|0|16.4|17.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.44|0|0|0|0|0|0|0|0|21.87
HOSP OP|0250 - PHARMACY|00517-2930-25||SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION|44.2|23.43|0|35.36|0|39.78|0|35.71|31.82|29.91|0|44.2|29.22|0|21.3|36.18|27.76|27.01|0|0|0|34.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.1|0|0|0|0|0|0|0|0|44.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1100-81||CONJUGATED ESTROGENS 0.3 MG TABLET|36.46|19.32|27.35|29.17|30.99|32.81|0|29.46|26.25|24.68|0|36.46|24.1|0|17.57|29.84|22.9|22.28|0|0|27.35|28.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.4|0|0|0|0|0|0|0|0|36.46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3209-95|J0696|CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION|45.56|24.15|34.17|36.45|38.73|41|0|36.81|32.8|30.84|0|45.56|6.72|0|4.88|37.29|6.4|6.24|0|0.599214145|34.17|35.58|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|3.6|0|0|0|0|0|0|0|0|45.56
HOSP OP|0637 - DRUGS/SELF ADMIN|66685-1002-00||AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET|23.93|12.68|17.95|19.14|20.34|21.54|0|19.34|17.23|16.2|0|23.93|15.82|0|11.53|19.59|15.03|14.62|0|0|17.95|18.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|11.42|0|0|0|0|0|0|0|0|23.93
HOSP OP|0250 - PHARMACY|00536-1106-88||NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH|25.78|13.66|0|20.62|0|23.2|0|20.83|18.56|17.45|0|25.78|17.04|0|12.43|21.1|16.19|15.75|0|0|0|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.78
HOSP OP|0637 - DRUGS/SELF ADMIN|45963-0341-02||DESIPRAMINE 10 MG TABLET|22.64|12|16.98|18.11|19.24|20.38|0|18.29|16.3|15.32|0|22.64|14.97|0|10.91|18.53|14.22|13.83|0|0|16.98|17.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.81|0|0|0|0|0|0|0|0|22.64
HOSP OP|0250 - PHARMACY|17478-0238-35||BACITRACIN-POLYMYXIN B 500 UNIT-10000 UNIT/GRAM EYE OINTMENT|63.74|33.78|0|50.99|0|57.37|0|51.5|45.89|43.14|0|63.74|42.13|0|30.72|52.17|40.03|38.95|0|0|0|49.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.42|0|0|0|0|0|0|0|0|63.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55390-0003-10|J1800|PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION|40.47|21.45|30.35|32.38|34.4|36.42|0|32.7|29.14|27.39|0|40.47|4.72|0|3.43|33.12|4.49|4.37|0|1.876227898|30.35|31.61|0|0|0|0|0|0|0|0|0|1.91|1.876227898|1.91|0|0|0|2.51|0|0|0|0|0|0|0|0|40.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68084-0449-01|J7507|TACROLIMUS 0.5 MG CAPSULE|22.7|12.03|17.03|18.16|19.3|20.43|0|18.34|16.34|15.36|0|22.7|0.75|0|0.54|18.58|0.71|0.69|0|0.68762279|17.03|17.73|0|0|0|0|0|0|0|0|0|0.7|0.68762279|0.7|0|0|0|0.4|0|0|0|0|0|0|0|0|22.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68084-0449-11|J7507|TACROLIMUS 0.5 MG CAPSULE|22.7|12.03|17.03|18.16|19.3|20.43|0|18.34|16.34|15.36|0|22.7|0.75|0|0.54|18.58|0.71|0.69|0|0.68762279|17.03|17.73|0|0|0|0|0|0|0|0|0|0.7|0.68762279|0.7|0|0|0|0.4|0|0|0|0|0|0|0|0|22.7
HOSP OP|0250 - PHARMACY|00051-8450-30||TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET|84.48|44.77|0|67.58|0|76.03|0|68.26|60.83|57.18|0|84.48|55.84|0|40.72|69.15|53.05|51.62|0|0|0|65.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40.32|0|0|0|0|0|0|0|0|84.48
HOSP OP|0250 - PHARMACY|36000-0033-10|J3490|METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION|40.94|21.7|30.71|32.75|34.8|36.85|0|33.08|29.48|27.71|0|40.94|27.06|0|19.73|33.51|25.71|25.01|0|0|30.71|31.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.54|0|0|0|0|0|0|0|0|40.94
HOSP OP|0250 - PHARMACY|00009-0856-08||CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION|862.94|457.36|0|690.35|0|776.65|0|697.26|621.32|584.04|0|862.94|570.4|0|415.94|706.32|541.93|527.26|0|0|0|673.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|411.88|0|0|0|0|0|0|0|0|862.94
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|70004-0816-12|J7999|PHENYLEPHRINE 0.8 MG/10 ML IN 0.9% NACL IV SYRINGE|50|26.5|37.5|40|42.5|45|0|40.4|36|33.84|0|50|33.05|0|24.1|40.93|31.4|30.55|0|0|37.5|39.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.87|0|0|0|0|0|0|0|0|50
HOSP OP|0250 - PHARMACY|NMRRX-2000-06||BUPIVACAINE FOR EPIDURAL|47.35|25.1|0|37.88|0|42.62|0|38.26|34.09|32.05|0|47.35|31.3|0|22.82|38.76|29.74|28.93|0|0|0|36.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.6|0|0|0|0|0|0|0|0|47.35
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2000-53|J1644|HEPARIN 1000 UNITS/ML 20 ML SYRINGE (CARDIOKING)|40.25|21.33|30.19|32.2|34.21|36.23|0|32.52|28.98|27.24|0|40.25|5.2|0|3.8|32.94|5|4.8|0|0.235756385|30.19|31.44|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|2.6|0|0|0|0|0|0|0|0|40.25
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2000-66||MAGIC MOUTHWASH|25.96|13.76|19.47|20.77|22.07|23.36|0|20.98|18.69|17.57|0|25.96|17.16|0|12.51|21.25|16.3|15.86|0|0|19.47|20.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.39|0|0|0|0|0|0|0|0|25.96
HOSP OP|0250 - PHARMACY|NMRRX-2000-67||COCAINE/PHENYLEPHRINE TOPICAL SOLUTION|991.84|525.68|0|793.47|0|892.66|0|801.41|714.12|671.28|0|991.84|655.61|0|478.07|811.82|622.88|606.01|0|0|0|774.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|473.41|0|0|0|0|0|0|0|0|991.84
HOSP OP|0258 - IV SOLUTIONS|00409-7923-36|J7060|DEXTROSE 5% IN WATER (D5W) FLUSH 50 ML|43.38|22.99|32.54|34.7|36.87|39.04|0|35.05|31.23|29.36|0|43.38|3.2|0|2.33|35.51|3.04|2.96|0|1.817288802|32.54|33.88|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|43.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|70004-0411-25|J2250|MIDAZOLAM 3 MG/3 ML SYRINGE|41.09|21.78|30.82|32.87|34.93|36.98|0|33.2|29.58|27.81|0|41.09|0.51|0|0.36|33.63|0.48|0.48|0|0.117878193|30.82|32.09|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.24|0|0|0|0|0|0|0|0|41.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2000-73|J2250|MIDAZOLAM 3 MG/3 ML SYRINGE|41.09|21.78|30.82|32.87|34.93|36.98|0|33.2|29.58|27.81|0|41.09|0.51|0|0.36|33.63|0.48|0.48|0|0.117878193|30.82|32.09|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.24|0|0|0|0|0|0|0|0|41.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0041-64|J2997|ALTEPLASE SYRINGE (CONC: 1 MG/ML)|395.4|209.56|296.55|316.32|336.09|355.86|336.09|319.48|284.69|267.61|0|395.4|226.4|175.36|164.62|323.63|215.16|209.38|170.98|87.84872299|296.55|308.81|175.77|175.77|175.77|395.4|388.28|137.51|175.77|139.94|388.28|89.43|87.84872299|89.43|0|0|151.8|120.96|175.77|175.77|175.77|175.77|175.77|175.77|181.04|0|395.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|54482-0147-01|J1955|LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION|81.8|43.35|61.35|65.44|69.53|73.62|69.53|66.09|58.9|55.36|0|81.8|26.52|0|19.29|66.95|25.21|24.53|0|19.82318271|61.35|63.89|32.72|0|32.72|52.3|53.37|39.1|32.72|26.76|53.37|20.18|19.82318271|20.18|0|0|0|14.16|0|0|32.72|0|40.9|32.72|32.72|0|81.8
HOSP OP|0250 - PHARMACY|63323-0269-65|J2704|PROPOFOL 10 MG/ML BOLUS IV INJECTION|66|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0250 - PHARMACY|63323-0269-29|J2704|PROPOFOL 10 MG/ML BOLUS IV INJECTION|45.2|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0250 - PHARMACY|63323-0270-26|J2704|PROPOFOL 10 MG/ML BOLUS IV INJECTION|45.2|34.98|49.5|52.8|56.1|59.4|0|53.33|47.52|44.67|0|66|15|0|11|54.02|15|14|0|0.098231827|49.5|51.55|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|7|0|0|0|0|0|0|0|0|66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2000-86|J3010|FENTANYL (CONC: 50 MCG/ML) IV INFUSION 50 ML|76.25|40.41|57.19|61|64.81|68.63|0|61.61|54.9|51.61|0|76.25|26.75|0|19.5|62.41|25.5|24.75|0|0.992141454|57.19|59.55|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|14|0|0|0|0|0|0|0|0|76.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2000-87|J7190|ANTIHEMOPHILIC FACTOR-VIII 250 UNITWVF-500 UNIT KIT (DOSED ON VWF:RCO)|2521.88|1336.6|1891.41|2017.5|2143.6|2269.69|2143.6|2037.68|1815.75|1706.81|0|2521.88|695|520|505|2064.16|660|645|505|1.100196464|1891.41|1969.59|1008.75|0|1008.75|1455.3|1485|735|1008.75|745|1485|1.12|1.100196464|1.12|0|0|395|370|0|0|1008.75|0|1260.94|1008.75|1008.75|0|2521.88
HOSP OP|0250 - PHARMACY|00409-2051-05||KETAMINE 100 MG/ML INJECTION SOLUTION|56.09|29.73|0|44.87|0|50.48|0|45.32|40.38|37.96|0|56.09|37.08|0|27.04|45.91|35.22|34.27|0|0|0|43.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.77|0|0|0|0|0|0|0|0|56.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0085-25|J2997|ALTEPLASE (CONC: 1 MG/ML) BOLUS INJECTION (STROKE)|20474.43|10851.45|15355.82|16379.54|17403.27|18426.99|17403.27|16543.34|14741.59|13857.09|0|20474.43|11320|8768|8231|16758.32|10758|10469|8549|87.84872299|15355.82|15990.53|8788.5|8788.5|8788.5|20474.43|20105.89|6875.57|8788.5|6996.83|20105.89|89.43|87.84872299|89.43|0|0|7590|6048|8788.5|8788.5|8788.5|8788.5|8788.5|8788.5|9052.16|0|20474.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0085-27|J2997|ALTEPLASE (CONC: 1 MG/ML) BOLUS INJECTION (STROKE)|20474.43|10851.45|15355.82|16379.54|17403.27|18426.99|17403.27|16543.34|14741.59|13857.09|0|20474.43|11320|8768|8231|16758.32|10758|10469|8549|87.84872299|15355.82|15990.53|8788.5|8788.5|8788.5|20474.43|20105.89|6875.57|8788.5|6996.83|20105.89|89.43|87.84872299|89.43|0|0|7590|6048|8788.5|8788.5|8788.5|8788.5|8788.5|8788.5|9052.16|0|20474.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0044-06|J2997|ALTEPLASE (CONC: 1 MG/ML) IV INFUSION (STROKE)|10257.23|5436.33|7692.92|8205.78|8718.65|9231.51|8718.65|8287.84|7385.21|6942.09|0|10257.23|5660|4384|4115.5|8395.54|5379|5234.5|4274.5|87.84872299|7692.92|8010.9|4394.25|4394.25|4394.25|10257.23|10072.6|3437.79|4394.25|3498.41|10072.6|89.43|87.84872299|89.43|0|0|3795|3024|4394.25|4394.25|4394.25|4394.25|4394.25|4394.25|4526.08|0|10257.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0044-13|J2997|ALTEPLASE (CONC: 1 MG/ML) IV INFUSION (STROKE)|10257.23|5436.33|7692.92|8205.78|8718.65|9231.51|8718.65|8287.84|7385.21|6942.09|0|10257.23|5660|4384|4115.5|8395.54|5379|5234.5|4274.5|87.84872299|7692.92|8010.9|4394.25|4394.25|4394.25|10257.23|10072.6|3437.79|4394.25|3498.41|10072.6|89.43|87.84872299|89.43|0|0|3795|3024|4394.25|4394.25|4394.25|4394.25|4394.25|4394.25|4526.08|0|10257.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2000-94|J2997|ALTEPLASE (CONC: 1 MG/ML) BOLUS INJECTION (MI)|3105.17|1645.74|2328.88|2484.14|2639.39|2794.65|2639.39|2508.98|2235.72|2101.58|0|3105.17|1698|1315.2|1234.65|2541.58|1613.7|1570.35|1282.35|87.84872299|2328.88|2425.14|1318.28|1318.28|1318.28|3105.17|3049.28|1031.34|1318.28|1049.52|3049.28|89.43|87.84872299|89.43|0|0|1138.5|907.2|1318.28|1318.28|1318.28|1318.28|1318.28|1318.28|1357.82|0|3105.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0044-13|J2997|ALTEPLASE (CONC: 1 MG/ML) IV INFUSION (MI)|17409.29|9226.92|13056.97|13927.43|14797.9|15668.36|14797.9|14066.71|12534.69|11782.61|0|17409.29|9622|7452.8|6996.35|14249.5|9144.3|8898.65|7266.65|87.84872299|13056.97|13596.66|7470.23|7470.23|7470.23|17409.29|17095.92|5844.24|7470.23|5947.3|17095.92|89.43|87.84872299|89.43|0|0|6451.5|5140.8|7470.23|7470.23|7470.23|7470.23|7470.23|7470.23|7694.33|0|17409.29
HOSP OP|0258 - IV SOLUTIONS|NMRRX-2001-65||DEXTROSE 5 % (D5W) 5 ML FLUSH SYRINGE|40.1|21.25|0|32.08|0|36.09|0|32.4|28.87|27.14|0|40.1|26.51|0|19.33|32.82|25.18|24.5|0|0|0|31.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.14|0|0|0|0|0|0|0|0|40.1
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2001-80||VALGANCICLOVIR ORAL SOLUTION FOR NICU|53.26|28.23|39.95|42.61|45.27|47.93|0|43.03|38.35|36.05|0|53.26|35.2|0|25.67|43.59|33.45|32.54|0|0|39.95|41.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.42|0|0|0|0|0|0|0|0|53.26
HOSP OP|0250 - PHARMACY|70004-0966-86|J3490|TOPICAL ANESTHETIC (LET GEL)|36.25|19.21|27.19|29|30.81|32.63|0|29.29|26.1|24.53|0|36.25|23.96|0|17.47|29.67|22.77|22.15|0|0|27.19|28.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.3|0|0|0|0|0|0|0|0|36.25
HOSP OP|0250 - PHARMACY|NMRRX-2001-84|J3490|TOPICAL ANESTHETIC (LET GEL)|36.25|19.21|27.19|29|30.81|32.63|0|29.29|26.1|24.53|0|36.25|23.96|0|17.47|29.67|22.77|22.15|0|0|27.19|28.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.3|0|0|0|0|0|0|0|0|36.25
HOSP OP|0250 - PHARMACY|NMRRX-2002-00||ON-Q PUMP 0.25%|494|261.82|0|395.2|0|444.6|0|399.15|355.68|334.34|0|494|326.53|0|238.11|404.34|310.23|301.83|0|0|0|385.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|235.79|0|0|0|0|0|0|0|0|494
HOSP OP|0250 - PHARMACY|NMRRX-2002-01||ON-Q PUMP 0.5%|41|21.73|0|32.8|0|36.9|0|33.13|29.52|27.75|0|41|27.1|0|19.76|33.56|25.75|25.05|0|0|0|32.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.57|0|0|0|0|0|0|0|0|41
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-16|Q9967|IODIXANOL 320 MG/ML IV FOR RADIOLOGY TEST|1.1|0.58|0.83|0.88|0.94|0.99|0|0.89|0.79|0.74|0|1.1|0.15|0|0.11|0.9|0.15|0.14|0|0.117878193|0.83|0.86|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|1.1
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-17|Q9967|IODIXANOL 320 MG/ML IV FOR RADIOLOGY TEST|1.1|0.58|0.83|0.88|0.94|0.99|0|0.89|0.79|0.74|0|1.1|0.15|0|0.11|0.9|0.15|0.14|0|0.117878193|0.83|0.86|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|1.1
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-19|Q9967|IODIXANOL 320 MG/ML IV FOR RADIOLOGY TEST|1.1|0.58|0.83|0.88|0.94|0.99|0|0.89|0.79|0.74|0|1.1|0.15|0|0.11|0.9|0.15|0.14|0|0.117878193|0.83|0.86|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|1.1
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-89|Q9967|IOHEXOL 350 MGI/ML|0.29|0.15|0.22|0.23|0.25|0.26|0|0.23|0.21|0.2|0|0.29|0.15|0|0.11|0.24|0.15|0.14|0|0.117878193|0.22|0.23|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|0.29
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-91|Q9967|IOHEXOL 350 MGI/ML|0.29|0.15|0.22|0.23|0.25|0.26|0|0.23|0.21|0.2|0|0.29|0.15|0|0.11|0.24|0.15|0.14|0|0.117878193|0.22|0.23|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|0.29
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-94|Q9967|IOHEXOL 350 MGI/ML|0.29|0.15|0.22|0.23|0.25|0.26|0|0.23|0.21|0.2|0|0.29|0.15|0|0.11|0.24|0.15|0.14|0|0.117878193|0.22|0.23|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|0.29
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1414-98|Q9967|IOHEXOL 350 MGI/ML|0.29|0.15|0.22|0.23|0.25|0.26|0|0.23|0.21|0.2|0|0.29|0.15|0|0.11|0.24|0.15|0.14|0|0.117878193|0.22|0.23|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|0.29
HOSP OP|0258 - IV SOLUTIONS|00409-7983-09||SODIUM CHLORIDE 0.9 % IV FOR RADIOLOGY|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-03||SODIUM CHLORIDE 0.9 % IV FOR RADIOLOGY|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|00409-7984-36|A4216|SODIUM CHLORIDE 0.9% IV SYRINGE FOR TPA CHEST TUBE|43.13|22.86|32.35|34.5|36.66|38.82|0|34.85|31.05|29.19|0|43.13|0.81|0|0.59|35.3|0.77|0.75|0|0.461689587|32.35|0|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.43|0|0|0|0|0|0|0|0|43.13
HOSP OP|0250 - PHARMACY|00069-0058-02||HEPARIN (PORCINE) 1000 UNIT/ML INJ FOR STANDARD ORDER SET|47.25|25.04|0|37.8|0|42.53|0|38.18|34.02|31.98|0|47.25|31.23|0|22.77|38.67|29.67|28.87|0|0|0|36.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.55|0|0|0|0|0|0|0|0|47.25
HOSP OP|0250 - PHARMACY|00069-0058-02|J1644|HEPARIN (PORCINE) 1000 UNIT/ML INJ FOR HIGH DOSE ORDER SET|47.25|25.04|35.44|37.8|40.16|42.53|0|38.18|34.02|31.98|0|47.25|0.26|0|0.19|38.67|0.25|0.24|0|0.235756385|35.44|36.9|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0.13|0|0|0|0|0|0|0|0|47.25
HOSP OP|0250 - PHARMACY|00409-7984-36|A4216|SODIUM CHLORIDE 0.9% 20 ML SYRINGE FOR CRRT ORDER SET|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.461689587|32.81|0|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0044-13|J2997|ALTEPLASE (CONC: 1 MG/ML) IV INFUSION (PE)|20474.45|10851.46|15355.84|16379.56|17403.28|18427.01|17403.28|16543.36|14741.6|13857.11|0|20474.45|11320|8768|8231|16758.34|10758|10469|8549|87.84872299|15355.84|15990.55|8788.5|8788.5|8788.5|20474.45|20105.91|6875.57|8788.5|6996.83|20105.91|89.43|87.84872299|89.43|0|0|7590|6048|8788.5|8788.5|8788.5|8788.5|8788.5|8788.5|9052.16|0|20474.45
HOSP OP|0250 - PHARMACY|00517-0720-01|J0702|BETAMETHASONE ACET & SOD PHOS 6 MG/ML SUSP FOR INJECT-IR ONLY|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.072691552|0|0|0|0|0|0|0|0|0|0|0|7.2|7.072691552|7.2|0|0|0|0|0|0|0|0|0|0|0|0|7.2
HOSP OP|0250 - PHARMACY|00472-0987-91||CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION|62.08|32.9|0|49.66|0|55.87|0|50.16|44.7|42.02|0|62.08|41.03|0|29.92|50.81|38.99|37.93|0|0|0|48.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.63|0|0|0|0|0|0|0|0|62.08
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0581-05||HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE|28.36|15.03|21.27|22.69|24.11|25.52|0|22.91|20.42|19.19|0|28.36|18.75|0|13.67|23.21|17.81|17.33|0|0|21.27|22.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.54|0|0|0|0|0|0|0|0|28.36
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0200-37||HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE|28.36|15.03|21.27|22.69|24.11|25.52|0|22.91|20.42|19.19|0|28.36|18.75|0|13.67|23.21|17.81|17.33|0|0|21.27|22.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.54|0|0|0|0|0|0|0|0|28.36
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2004-04|J0696|CEFTRIAXONE 1 GRAM IM INJECTION|71.32|37.8|53.49|57.06|60.62|64.19|0|57.63|51.35|48.27|0|71.32|3.36|0|2.44|58.38|3.2|3.12|0|0.599214145|53.49|55.7|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|1.8|0|0|0|0|0|0|0|0|71.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2004-05|J0696|CEFTRIAXONE 500 MG IM INJECTION|61.9|32.81|46.43|49.52|52.62|55.71|0|50.02|44.57|41.89|0|61.9|2.52|0|1.83|50.67|2.4|2.34|0|0.599214145|46.43|48.34|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|1.35|0|0|0|0|0|0|0|0|61.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2004-06|J0696|CEFTRIAXONE 2 G IM INJECTION|40.08|21.24|30.06|32.06|34.07|36.07|0|32.38|28.86|27.13|0|40.08|6.72|0|4.88|32.81|6.4|6.24|0|0.599214145|30.06|31.3|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|3.6|0|0|0|0|0|0|0|0|40.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2004-07|J0696|CEFTRIAXONE 250 MG IM INJECTION|41.65|22.07|31.24|33.32|35.4|37.49|0|33.65|29.99|28.19|0|41.65|0.84|0|0.61|34.09|0.8|0.78|0|0.599214145|31.24|32.53|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|0.45|0|0|0|0|0|0|0|0|41.65
HOSP OP|0250 - PHARMACY|NMRRX-2004-26||LIDOCAINE-EPINEPHRINE 1%-1:100000/SODIUM BICARB 8.4% - BREAST CENTER|54.38|28.82|0|43.5|0|48.94|0|43.94|39.15|36.8|0|54.38|35.95|0|26.21|44.51|34.15|33.23|0|0|0|42.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.96|0|0|0|0|0|0|0|0|54.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6027-25|J3010|FENTANYL INTRA-NASAL 50 MCG/ML PEDIATRIC|43.57|23.09|32.68|34.86|37.03|39.21|0|35.2|31.37|29.49|0|43.57|1.07|0|0.78|35.66|1.02|0.99|0|0.992141454|32.68|34.03|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|43.57
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2308-50|J2250|MIDAZOLAM PEDIATRIC INTRA-NASAL 5 MG/ML|42.33|22.43|31.75|33.86|35.98|38.1|0|34.2|30.48|28.65|0|42.33|1.7|0|1.2|34.65|1.6|1.6|0|0.117878193|31.75|33.06|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.8|0|0|0|0|0|0|0|0|42.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-3369-01||NALOXONE INTRA-NASAL 1 MG/ML|74.49|39.48|0|59.59|0|67.04|0|60.19|53.63|50.41|0|74.49|49.24|0|35.9|60.97|46.78|45.51|0|0|0|58.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.55|0|0|0|0|0|0|0|0|74.49
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3382-21|J3490|SUFENTANIL INTRA-NASAL ( 50 MCG/1 ML )|44.74|23.71|33.56|35.79|38.03|40.27|0|36.15|32.21|30.28|0|44.74|29.57|0|21.56|36.62|28.1|27.34|0|0|33.56|34.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.35|0|0|0|0|0|0|0|0|44.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3382-22|J3490|SUFENTANIL INTRA-NASAL ( 50 MCG/1 ML )|49.47|23.71|33.56|35.79|38.03|40.27|0|36.15|32.21|30.28|0|44.74|29.57|0|21.56|36.62|28.1|27.34|0|0|33.56|34.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.35|0|0|0|0|0|0|0|0|44.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|17478-0050-02|J3490|SUFENTANIL INTRA-NASAL ( 50 MCG/1 ML )|49.47|23.71|33.56|35.79|38.03|40.27|0|36.15|32.21|30.28|0|44.74|29.57|0|21.56|36.62|28.1|27.34|0|0|33.56|34.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.35|0|0|0|0|0|0|0|0|44.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1176-30|J2175|MEPERIDINE (PF) 25 MG/ML INJECTION|52.96|28.07|39.72|42.37|45.02|47.66|0|42.79|38.13|35.84|0|52.96|5.22|0|3.8|43.35|4.97|4.83|0|4.715127701|39.72|41.36|0|0|0|0|0|0|0|0|0|4.8|4.715127701|4.8|0|0|0|2.79|0|0|0|0|0|0|0|0|52.96
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6053-01|J2175|MEPERIDINE (PF) 50 MG/ML INJECTION|42.44|22.49|31.83|33.95|36.07|38.2|0|34.29|30.56|28.72|0|42.44|5.22|0|3.8|34.74|4.97|4.83|0|4.715127701|31.83|33.15|0|0|0|0|0|0|0|0|0|4.8|4.715127701|4.8|0|0|0|2.79|0|0|0|0|0|0|0|0|42.44
HOSP OP|0250 - PHARMACY|00338-0054-03||SODIUM CHLORIDE 3% INTRAVENOUS SOLUTION -CVA ORDER SET ONLY|43.75|23.19|0|35|0|39.38|0|35.35|31.5|29.61|0|43.75|28.92|0|21.09|35.81|27.48|26.73|0|0|0|34.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.88|0|0|0|0|0|0|0|0|43.75
HOSP OP|0250 - PHARMACY|70004-0725-05||LIDOCAINE 1% BUFFERED SYRINGE 0.3 ML FOR IV STARTS|40.75|21.6|0|32.6|0|36.68|0|32.93|29.34|27.58|0|40.75|26.94|0|19.64|33.35|25.59|24.9|0|0|0|31.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.45|0|0|0|0|0|0|0|0|40.75
HOSP OP|0250 - PHARMACY|63323-0492-27||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION FOR PICC & MIDLINE |0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0746-30|J1050|MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR INJECTION|524.73|278.11|393.55|419.78|446.02|472.26|0|423.98|377.81|355.14|0|524.73|108|0|79.5|429.49|103.5|100.5|0|0.559921415|393.55|409.81|0|0|0|0|0|0|0|0|0|0.57|0.559921415|0.57|0|0|0|57|0|0|0|0|0|0|0|0|524.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63851-0501-02|90675|RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM WRAPPER|809.8|429.19|607.35|647.84|688.33|728.82|688.33|654.32|583.06|548.07|0|809.8|374.07|323.52|272|662.82|355.52|345.95|315.43|277.8192534|607.35|632.45|323.92|0|323.92|731.32|746.24|439.87|323.92|374.1|746.24|282.82|277.8192534|282.82|0|0|329.89|199.86|0|0|323.92|0|404.9|323.92|323.92|0|809.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-5347-01||PROBENECID 500 MG TABLET|21.43|11.36|16.07|17.14|18.22|19.29|0|17.32|15.43|14.5|0|21.43|14.17|0|10.33|17.54|13.46|13.09|0|0|16.07|16.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.23|0|0|0|0|0|0|0|0|21.43
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0225-10||SIMETHICONE 80 MG CHEWABLE TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.06|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0250 - PHARMACY|nmrrx-2009-99||ENOXAPARIN 20 MG/0.2 ML SYRINGE|73.83|39.13|0|59.06|0|66.45|0|59.65|53.16|49.97|0|73.83|48.8|0|35.59|60.43|46.37|45.11|0|0|0|57.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.24|0|0|0|0|0|0|0|0|73.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0057-46||DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION|38.7|20.51|29.03|30.96|32.9|34.83|0|31.27|27.86|26.19|0|38.7|25.58|0|18.65|31.68|24.3|23.65|0|0|29.03|30.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.47|0|0|0|0|0|0|0|0|38.7
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0002-01||DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION|38.7|20.51|29.03|30.96|32.9|34.83|0|31.27|27.86|26.19|0|38.7|25.58|0|18.65|31.68|24.3|23.65|0|0|29.03|30.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.47|0|0|0|0|0|0|0|0|38.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-1003-01||BUSPIRONE 15 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0250 - PHARMACY|63736-0363-01||TALC-ZINC OXIDE 81 %-15 % TOPICAL POWDER|25.4|13.46|0|20.32|0|22.86|0|20.52|18.29|17.19|0|25.4|16.79|0|12.24|20.79|15.95|15.52|0|0|0|19.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.12|0|0|0|0|0|0|0|0|25.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6444-61||OXYCODONE 5 MG TABLET|20.65|10.94|15.49|16.52|17.55|18.59|0|16.69|14.87|13.98|0|20.65|13.65|0|9.95|16.9|12.97|12.62|0|0|15.49|16.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.26|9.86|0|0|0|0|0|0|0|0|20.65
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0615-11||OLANZAPINE 5 MG DISINTEGRATING TABLET|25.19|13.35|18.89|20.15|21.41|22.67|0|20.35|18.14|17.05|0|25.19|16.65|0|12.14|20.62|15.82|15.39|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|12.02|0|0|0|0|0|0|0|0|25.19
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0615-13||OLANZAPINE 5 MG DISINTEGRATING TABLET|25.19|13.35|18.89|20.15|21.41|22.67|0|20.35|18.14|17.05|0|25.19|16.65|0|12.14|20.62|15.82|15.39|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|12.02|0|0|0|0|0|0|0|0|25.19
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0020-12|J1815|INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION|60.81|32.23|45.61|48.65|51.69|54.73|0|49.13|43.78|41.16|0|60.81|23|0|16.6|49.77|21.8|21.2|0|0.903732809|45.61|47.49|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|60.81
HOSP OP|0637 - DRUGS/SELF ADMIN|00088-2220-33|J1815|INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION|248.03|32.23|45.61|48.65|51.69|54.73|0|49.13|43.78|41.16|0|60.81|23|0|16.6|49.77|21.8|21.2|0|0.903732809|45.61|47.49|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|60.81
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6423-04||MODAFINIL 100 MG TABLET|34.5|18.28|25.88|27.6|29.33|31.05|0|27.88|24.84|23.35|0|34.5|22.8|0|16.63|28.24|21.67|21.08|0|0|25.88|26.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.47|0|0|0|0|0|0|0|0|34.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0847-01||HYDROXYZINE PAMOATE 25 MG CAPSULE|21.3|11.29|15.98|17.04|18.11|19.17|0|17.21|15.34|14.42|0|21.3|14.08|0|10.27|17.43|13.38|13.01|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.52|10.17|0|0|0|0|0|0|0|0|21.3
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0847-11||HYDROXYZINE PAMOATE 25 MG CAPSULE|21.3|11.29|15.98|17.04|18.11|19.17|0|17.21|15.34|14.42|0|21.3|14.08|0|10.27|17.43|13.38|13.01|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.52|10.17|0|0|0|0|0|0|0|0|21.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6056-01|J2250|MIDAZOLAM 1 MG/ML INJECTION SOLUTION|40.85|21.65|30.64|32.68|34.72|36.77|0|33.01|29.41|27.65|0|40.85|0.17|0|0.12|33.44|0.16|0.16|0|0.117878193|30.64|31.9|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6056-10|J2250|MIDAZOLAM 1 MG/ML INJECTION SOLUTION|40.85|21.65|30.64|32.68|34.72|36.77|0|33.01|29.41|27.65|0|40.85|0.17|0|0.12|33.44|0.16|0.16|0|0.117878193|30.64|31.9|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|72572-0430-01|J2250|MIDAZOLAM 1 MG/ML INJECTION SOLUTION|40.85|21.65|30.64|32.68|34.72|36.77|0|33.01|29.41|27.65|0|40.85|0.17|0|0.12|33.44|0.16|0.16|0|0.117878193|30.64|31.9|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|72572-0432-01|J2250|MIDAZOLAM 1 MG/ML INJECTION SOLUTION|40.85|21.65|30.64|32.68|34.72|36.77|0|33.01|29.41|27.65|0|40.85|0.17|0|0.12|33.44|0.16|0.16|0|0.117878193|30.64|31.9|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.85
HOSP OP|0258 - IV SOLUTIONS|00409-7983-09||SODIUM CHLORIDE 0.9 % IV|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00264-7800-20||SODIUM CHLORIDE 0.9 % IV|45|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-53||SODIUM CHLORIDE 0.9 % IV|45|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00264-1800-32||SODIUM CHLORIDE 0.9 % IV|52|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-37||SODIUM CHLORIDE 0.9 % IV|52|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00264-7800-10||SODIUM CHLORIDE 0.9 % IV|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-55||SODIUM CHLORIDE 0.9 % IV|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|00143-9783-01|J3490|FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION|42.5|22.52|31.88|34|36.13|38.25|0|34.34|30.6|28.76|0|42.5|28.09|0|20.49|34.79|26.69|25.97|0|0|31.88|33.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.29|0|0|0|0|0|0|0|0|42.5
HOSP OP|0250 - PHARMACY|00143-9784-10|J3490|FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION|42.5|22.52|31.88|34|36.13|38.25|0|34.34|30.6|28.76|0|42.5|28.09|0|20.49|34.79|26.69|25.97|0|0|31.88|33.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.29|0|0|0|0|0|0|0|0|42.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6523-06||ABACAVIR 300 MG TABLET|36.25|19.21|27.19|29|30.81|32.63|0|29.29|26.1|24.53|0|36.25|23.96|0|17.47|29.67|22.77|22.15|0|0|27.19|28.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.3|0|0|0|0|0|0|0|0|36.25
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0747-01||DILTIAZEM 90 MG TABLET|20.9|11.08|15.68|16.72|17.77|18.81|0|16.89|15.05|14.15|0|20.9|13.81|0|10.07|17.11|13.13|12.77|0|0|15.68|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.9
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0747-20||DILTIAZEM 90 MG TABLET|20.9|11.08|15.68|16.72|17.77|18.81|0|16.89|15.05|14.15|0|20.9|13.81|0|10.07|17.11|13.13|12.77|0|0|15.68|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9682-01|J3490|GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION|43.02|22.8|32.27|34.42|36.57|38.72|0|34.76|30.97|29.12|0|43.02|28.44|0|20.74|35.21|27.02|26.29|0|0|32.27|33.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.53|0|0|0|0|0|0|0|0|43.02
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9682-25|J3490|GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION|43.02|22.8|32.27|34.42|36.57|38.72|0|34.76|30.97|29.12|0|43.02|28.44|0|20.74|35.21|27.02|26.29|0|0|32.27|33.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.53|0|0|0|0|0|0|0|0|43.02
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0109-21||DESMOPRESSIN 0.1 MG TABLET|24.14|12.79|18.11|19.31|20.52|21.73|0|19.51|17.38|16.34|0|24.14|15.96|0|11.64|19.76|15.16|14.75|0|0|18.11|18.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.52|0|0|0|0|0|0|0|0|24.14
HOSP OP|0250 - PHARMACY|61314-0224-05||TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION|354.91|188.1|0|283.93|0|319.42|0|286.77|255.54|240.2|0|354.91|234.6|0|171.07|290.49|222.88|216.85|0|0|0|277.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|169.4|0|0|0|0|0|0|0|0|354.91
HOSP OP|0250 - PHARMACY|61314-0631-36||NEOMYCIN 3.5 MG/G-POLYMYXIN B 10000 UNIT/G-DEXAMETH 0.1 % EYE OINT|74.68|39.58|0|59.74|0|67.21|0|60.34|53.77|50.54|0|74.68|49.36|0|36|61.13|46.9|45.63|0|0|0|58.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.64|0|0|0|0|0|0|0|0|74.68
HOSP OP|0637 - DRUGS/SELF ADMIN|00078-0149-23|J0630|CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION|2378.64|1260.68|1783.98|1902.91|2021.84|2140.78|2021.84|1921.94|1712.62|1609.86|0|2378.64|2378.64|2378.64|2378.64|1946.92|2378.64|2378.64|2378.64|2656.483301|1783.98|1857.72|2378.64|2378.64|0|2378.64|2335.82|2079.18|2378.64|2115.85|2335.82|2704.3|2656.483301|2704.3|0|0|2378.64|1827.17|0|0|2378.64|0|2735.44|2378.64|2378.64|0|2735.44
HOSP OP|0250 - PHARMACY|24208-0635-62||NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10000 UNIT/ML-1 % EAR DROPSSUSP|174.28|92.37|0|139.42|0|156.85|0|140.82|125.48|117.95|0|174.28|115.2|0|84|142.65|109.45|106.49|0|0|0|136.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.18|0|0|0|0|0|0|0|0|174.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55513-0190-01|J2505|PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE|11008.75|5834.64|8256.56|8807|9357.44|9907.88|9357.44|8895.07|7926.3|7450.72|0|11008.75|6039.53|5981.82|4391.54|9010.66|5739.9|5585.4|5832.27|4257.102161|8256.56|8597.83|3807.3|3807.3|3807.3|4569.42|4569.42|3331.96|3807.3|3390.72|4569.42|4333.73|4257.102161|4333.73|0|0|5072.05|3226.77|3807.3|3807.3|3807.3|3807.3|3807.3|3807.3|3921.52|0|11008.75
HOSP OP|0637 - DRUGS/SELF ADMIN|52152-0185-02||TRIMETHOBENZAMIDE 300 MG CAPSULE|23.06|12.22|17.3|18.45|19.6|20.75|0|18.63|16.6|15.61|0|23.06|15.24|0|11.11|18.87|14.48|14.09|0|0|17.3|18.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.01|0|0|0|0|0|0|0|0|23.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9979-22|J0697|CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION|44.38|23.52|33.29|35.5|37.72|39.94|0|35.86|31.95|30.04|0|44.38|2.7|0|1.96|36.33|2.56|2.49|0|2.220039293|33.29|34.66|0|0|0|0|0|0|0|0|0|2.26|2.220039293|2.26|0|0|0|1.44|0|0|0|0|0|0|0|0|44.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4777-23|J0744|CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK|45.5|24.11|34.13|36.4|38.68|40.95|0|36.76|32.76|30.79|0|45.5|1.87|0|1.36|37.24|1.78|1.73|0|1.15913556|34.13|35.54|0|0|0|0|0|0|0|0|0|1.18|1.15913556|1.18|0|0|0|1|0|0|0|0|0|0|0|0|45.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-3843-71|J1335|ERTAPENEM 1 GRAM SOLUTION FOR INJECTION|338.75|179.54|254.06|271|287.94|304.88|0|273.71|243.9|229.27|0|338.75|138.32|0|100.58|277.27|131.46|127.92|0|38.70333988|254.06|264.56|0|0|0|0|0|0|0|0|0|39.4|38.70333988|39.4|0|0|0|73.9|0|0|0|0|0|0|0|0|338.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00052-0108-30||MIRTAZAPINE 30 MG DISINTEGRATING TABLET|33.74|17.88|25.31|26.99|28.68|30.37|0|27.26|24.29|22.84|0|33.74|22.3|0|16.26|27.62|21.19|20.62|0|0|25.31|26.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.1|0|0|0|0|0|0|0|0|33.74
HOSP OP|0250 - PHARMACY|17478-0223-12||PILOCARPINE 1 % EYE DROPS|212.88|112.83|0|170.3|0|191.59|0|172.01|153.27|144.08|0|212.88|140.71|0|102.61|174.24|133.69|130.07|0|0|0|166.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.61|0|0|0|0|0|0|0|0|212.88
HOSP OP|0250 - PHARMACY|61314-0203-15||PILOCARPINE 1 % EYE DROPS|212.88|112.83|0|170.3|0|191.59|0|172.01|153.27|144.08|0|212.88|140.71|0|102.61|174.24|133.69|130.07|0|0|0|166.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.61|0|0|0|0|0|0|0|0|212.88
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6234-20||LORATADINE 5 MG/5 ML ORAL SOLUTION|25.65|13.59|19.24|20.52|21.8|23.09|0|20.73|18.47|17.36|0|25.65|16.95|0|12.36|20.99|16.11|15.67|0|0|19.24|20.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.24|0|0|0|0|0|0|0|0|25.65
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0020-46||LORATADINE 5 MG/5 ML ORAL SOLUTION|25.65|13.59|19.24|20.52|21.8|23.09|0|20.73|18.47|17.36|0|25.65|16.95|0|12.36|20.99|16.11|15.67|0|0|19.24|20.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.24|0|0|0|0|0|0|0|0|25.65
HOSP OP|0250 - PHARMACY|00517-2930-25||SODIUM CHLORIDE 4 MEQ/ML FOR ICP|44.2|23.43|0|35.36|0|39.78|0|35.71|31.82|29.91|0|44.2|29.22|0|21.3|36.18|27.76|27.01|0|0|0|34.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.1|0|0|0|0|0|0|0|0|44.2
HOSP OP|0250 - PHARMACY|53329-0151-04||DIMETHICONE 5 % TOPICAL CREAM|32.75|17.36|0|26.2|0|29.48|0|26.46|23.58|22.17|0|32.75|21.65|0|15.79|26.81|20.57|20.01|0|0|0|25.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.63|0|0|0|0|0|0|0|0|32.75
HOSP OP|0272 - STERILE SUPPLY|08884-4236-00||WHITE PETROLATUM BANDAGE|20.44|10.83|0|16.35|0|18.4|0|16.52|14.72|13.83|0|20.44|13.33|0|7.49|16.73|12.65|12.33|0|0|0|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.06|0|0|0|0|0|0|0|0|20.44
HOSP OP|0258 - IV SOLUTIONS|00942-0641-04|J8499|ANTICOAGULANT CITRATE SOLUTION|60.83|32.24|45.62|48.66|51.71|54.75|51.71|49.15|43.8|41.17|0|60.83|40.21|0|29.32|49.79|38.2|37.17|33.21|0|45.62|47.51|24.33|0|24.33|52.56|54.62|26.2|24.33|26.63|54.62|0|0|0|0|0|0|29.03|0|0|24.33|0|30.42|24.33|24.33|0|60.83
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0540-05|J1644|HEPARIN (PORCINE) 1000 UNIT/ML INJECTION SOLUTION|45.58|24.16|34.19|36.46|38.74|41.02|0|36.83|32.82|30.85|0|45.58|2.6|0|1.9|37.31|2.5|2.4|0|0.235756385|34.19|35.6|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|1.3|0|0|0|0|0|0|0|0|45.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0540-11|J1644|HEPARIN (PORCINE) 1000 UNIT/ML INJECTION SOLUTION|45.58|24.16|34.19|36.46|38.74|41.02|0|36.83|32.82|30.85|0|45.58|2.6|0|1.9|37.31|2.5|2.4|0|0.235756385|34.19|35.6|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|1.3|0|0|0|0|0|0|0|0|45.58
HOSP OP|0250 - PHARMACY|00436-0936-16||SODIUM HYPOCHLORITE 0.25 % SOLUTION|58.32|30.91|0|46.66|0|52.49|0|47.12|41.99|39.47|0|58.32|38.55|0|28.11|47.73|36.62|35.63|0|0|0|45.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.84|0|0|0|0|0|0|0|0|58.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00436-0946-16||SODIUM HYPOCHLORITE 0.5 % SOLUTION|58.32|30.91|43.74|46.66|49.57|52.49|0|47.12|41.99|39.47|0|58.32|38.55|0|28.11|47.73|36.62|35.63|0|0|43.74|45.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.84|0|0|0|0|0|0|0|0|58.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2086-98|J2997|ALTEPLASE 10 MG / 10 ML BOLUS FOR RADIOLOGY|2049.55|1086.26|1537.16|1639.64|1742.12|1844.6|1742.12|1656.04|1475.68|1387.14|0|2049.55|1132|876.8|823.1|1677.56|1075.8|1046.9|854.9|87.84872299|1537.16|1600.7|878.85|878.85|878.85|2049.55|2012.66|687.56|878.85|699.68|2012.66|89.43|87.84872299|89.43|0|0|759|604.8|878.85|878.85|878.85|878.85|878.85|878.85|905.22|0|2049.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2086-99|J2997|ALTEPLASE 12 MG / 12 ML BOLUS FOR RADIOLOGY|2451.4|1299.24|1838.55|1961.12|2083.69|2206.26|2083.69|1980.73|1765.01|1659.11|0|2451.4|1358.4|1052.16|987.72|2006.47|1290.96|1256.28|1025.88|87.84872299|1838.55|1914.54|1054.62|1054.62|1054.62|2451.4|2407.27|825.07|1054.62|839.62|2407.27|89.43|87.84872299|89.43|0|0|910.8|725.76|1054.62|1054.62|1054.62|1054.62|1054.62|1054.62|1086.26|0|2451.4
HOSP OP|0250 - PHARMACY|NMRRX-2087-00||CEFTAZIDIME 2 MG/0.1 ML INTRAVITREAL SOLUTION FOR INJECTION|63.03|33.41|0|50.42|0|56.73|0|50.93|45.38|42.66|0|63.03|41.66|0|30.38|51.59|39.58|38.51|0|0|0|49.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.08|0|0|0|0|0|0|0|0|63.03
HOSP OP|0250 - PHARMACY|NMRRX-2087-01||AMIKACIN 400 MCG/0.1 ML INTRAVITREAL SOLUTION FOR INJECTION|43.19|22.89|0|34.55|0|38.87|0|34.9|31.1|29.23|0|43.19|28.55|0|20.82|35.35|27.12|26.39|0|0|0|33.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.61|0|0|0|0|0|0|0|0|43.19
HOSP OP|0250 - PHARMACY|NMRRX-2087-02||VANCOMYCIN 1 MG/0.1 ML INTRAVITREAL SOLUTION FOR INJECTION|54.65|28.96|0|43.72|0|49.19|0|44.16|39.35|36.99|0|54.65|36.12|0|26.34|44.73|34.32|33.39|0|0|0|42.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.08|0|0|0|0|0|0|0|0|54.65
HOSP OP|0250 - PHARMACY|NMRRX-2087-03||LIDOCAINE 0.9% BUFFERED WITH 8.4% SODIUM BICARBONATE (10 ML) SYRINGE|166|87.98|0|132.8|0|149.4|0|134.13|119.52|112.35|0|166|109.73|0|80.01|135.87|104.25|101.43|0|0|0|129.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|79.23|0|0|0|0|0|0|0|0|166
HOSP OP|0250 - PHARMACY|00409-4888-20||SODIUM CHLORIDE 0.9 % INJECTION SOLUTION 20 ML VIAL|42.65|22.6|0|34.12|0|38.39|0|34.46|30.71|28.87|0|42.65|28.19|0|20.56|34.91|26.78|26.06|0|0|0|33.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.36|0|0|0|0|0|0|0|0|42.65
HOSP OP|0250 - PHARMACY|63323-0186-20||SODIUM CHLORIDE 0.9 % INJECTION SOLUTION 20 ML VIAL|42.65|22.6|0|34.12|0|38.39|0|34.46|30.71|28.87|0|42.65|28.19|0|20.56|34.91|26.78|26.06|0|0|0|33.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.36|0|0|0|0|0|0|0|0|42.65
HOSP OP|0258 - IV SOLUTIONS|NMRRX-2087-24|J7060|DEXTROSE 50 % IN WATER INTRAVENOUS SOLUTION 50 ML SYRINGE|40.69|21.57|30.52|32.55|34.59|36.62|0|32.88|29.3|27.54|0|40.69|3.2|0|2.33|33.3|3.04|2.96|0|1.817288802|30.52|31.78|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|40.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0430-10|J2430|PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION|63.05|33.42|47.29|50.44|53.59|56.75|0|50.94|45.4|42.67|0|63.05|15.36|0|11.17|51.61|14.6|14.21|0|11.06090373|47.29|49.24|0|0|0|0|0|0|0|0|0|11.26|11.06090373|11.26|0|0|0|8.2|0|0|0|0|0|0|0|0|63.05
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|61703-0356-18|J2430|PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION|123.6|65.51|92.7|98.88|105.06|111.24|0|99.87|88.99|83.65|0|123.6|46.08|0|33.51|101.17|43.8|42.63|0|11.06090373|92.7|96.53|0|0|0|0|0|0|0|0|0|11.26|11.06090373|11.26|0|0|0|24.6|0|0|0|0|0|0|0|0|123.6
HOSP OP|0250 - PHARMACY|67457-0181-00||KETAMINE 10 MG/ML INJECTION SOLUTION INTERMITTENT|84.8|44.94|0|67.84|0|76.32|0|68.52|61.06|57.39|0|84.8|56.05|0|40.87|69.41|53.25|51.81|0|0|0|66.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40.48|0|0|0|0|0|0|0|0|84.8
HOSP OP|0250 - PHARMACY|||KETAMINE 1 MG/ML BOLUS FROM BAG|41.94|22.23|0|33.55|0|37.75|0|33.89|30.2|28.38|0|41.94|27.72|0|20.22|34.33|26.34|25.63|0|0|0|32.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.02|0|0|0|0|0|0|0|0|41.94
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76045-0009-05|J1170|HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE WRAPPER|48.32|25.61|36.24|38.66|41.07|43.49|0|39.04|34.79|32.7|0|48.32|3.5|0|2.54|39.55|3.32|3.23|0|3.104125737|36.24|37.74|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|1.87|0|0|0|0|0|0|0|0|48.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2090-05|J1170|HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE WRAPPER|48.32|25.61|36.24|38.66|41.07|43.49|0|39.04|34.79|32.7|0|48.32|3.5|0|2.54|39.55|3.32|3.23|0|3.104125737|36.24|37.74|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|1.87|0|0|0|0|0|0|0|0|48.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76045-0009-10|J1170|HYDROMORPHONE 1 MG/1 ML INJECTION SYRINGE WRAPPER|41.56|22.03|31.17|33.25|35.33|37.4|0|33.58|29.92|28.13|0|41.56|3.5|0|2.54|34.02|3.32|3.23|0|3.104125737|31.17|32.46|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|1.87|0|0|0|0|0|0|0|0|41.56
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50653-0006-01|J7321|SODIUM HYALURONATE ( GENVISC 850) 10 MG/ML INTRA-ARTICULAR SYRINGE|674.98|357.74|506.24|539.98|573.73|607.48|0|545.38|485.99|456.83|0|674.98|225.5|0|164|552.47|214.25|208.5|0|82.84872299|506.24|527.16|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|175|120.25|0|0|0|0|0|0|0|0|674.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|87541-0301-31|J7321|SODIUM HYALURONATE ( VISCO-3 ) 10 MG/ML INTRA-ARTICULAR SYRINGE|352.5|186.82|264.38|282|299.63|317.25|0|284.82|253.8|238.57|0|352.5|103.08|0|74.96|288.52|97.97|95.33|0|82.84872299|264.38|275.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|352.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89130-4444-01|J7321|SODIUM HYALURONATE ( SUPARTZ ) 10 MG/ML INTRA-ARTICULAR SYRINGE|574.75|304.62|431.06|459.8|488.54|517.28|0|464.4|413.82|388.99|0|574.75|103.08|0|74.96|470.43|97.97|95.33|0|82.84872299|431.06|448.88|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|574.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1312-30|J1170|HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE WRAPPER|44.06|23.35|33.05|35.25|37.45|39.65|0|35.6|31.72|29.82|0|44.06|3.5|0|2.54|36.06|3.32|3.23|0|3.104125737|33.05|34.41|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|1.87|0|0|0|0|0|0|0|0|44.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76045-0010-10|J1170|HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE WRAPPER|44.06|23.35|33.05|35.25|37.45|39.65|0|35.6|31.72|29.82|0|44.06|3.5|0|2.54|36.06|3.32|3.23|0|3.104125737|33.05|34.41|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|1.87|0|0|0|0|0|0|0|0|44.06
HOSP OP|0250 - PHARMACY|60793-0215-05||THROMBIN 5000 UNIT TOPICAL SOLUTION|175.97|93.26|0|140.78|0|158.37|0|142.18|126.7|119.1|0|175.97|116.32|0|84.82|144.03|110.51|107.52|0|0|0|137.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.99|0|0|0|0|0|0|0|0|175.97
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-3674-03||PAROXETINE ER 25 MG TABLETEXTENDED RELEASE 24 HR|25.85|13.7|19.39|20.68|21.97|23.27|0|20.89|18.61|17.5|0|25.85|17.09|0|12.46|21.16|16.23|15.79|0|0|19.39|20.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.34|0|0|0|0|0|0|0|0|25.85
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-3673-03||PAROXETINE ER 12.5 MG TABLETEXTENDED RELEASE 24 HR|25.7|13.62|19.28|20.56|21.85|23.13|0|20.77|18.5|17.39|0|25.7|16.99|0|12.39|21.04|16.14|15.7|0|0|19.28|20.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.27|0|0|0|0|0|0|0|0|25.7
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-3675-03||PAROXETINE ER 37.5 MG TABLETEXTENDED RELEASE 24 HR|26.13|13.85|19.6|20.9|22.21|23.52|0|21.11|18.81|17.68|0|26.13|17.27|0|12.59|21.39|16.41|15.97|0|0|19.6|20.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.47|0|0|0|0|0|0|0|0|26.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-2716-01||METHYLPHENIDATE ER 27 MG TABLETEXTENDED RELEASE 24 HR|42.75|22.66|32.06|34.2|36.34|38.48|0|34.54|30.78|28.93|0|42.75|28.26|0|20.61|34.99|26.85|26.12|0|0|32.06|33.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.4|0|0|0|0|0|0|0|0|42.75
HOSP OP|0250 - PHARMACY|NMRRX-2100-12||CIPROFLOXACIN 2 MG/ML BOLUS (NEONATE (PEDS)|40.04|21.22|0|32.03|0|36.04|0|32.35|28.83|27.1|0|40.04|26.47|0|19.3|32.77|25.15|24.46|0|0|0|31.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.11|0|0|0|0|0|0|0|0|40.04
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2100-15|J1450|FLUCONAZOLE (CONC: 2 MG/ML) IV SYRINGE FOR NICU||0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|0|#N/A|#N/A|0|4.675834971|0|0|0|0|0|0|0|0|0|0|0|4.76|4.675834971|4.76|#N/A|#N/A|#N/A|#N/A|0|0|0|0|0|0|0|#N/A|#N/A
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2100-17|J1580|GENTAMICIN 2 MG/ML IV BOLUS ( NEONATE ) ( PEDS )|42.08|22.3|31.56|33.66|35.77|37.87|0|34|30.3|28.48|0|42.08|2.18|0|1.59|34.44|2.07|2.02|0|1.974459725|31.56|32.86|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|1.16|0|0|0|0|0|0|0|0|42.08
HOSP OP|0250 - PHARMACY|NMRRX-2100-19||MEROPENEM 50 MG/ML BOLUS ( NEONATE ) ( PEDS )|54.19|28.72|0|43.35|0|48.77|0|43.79|39.02|36.68|0|54.19|35.82|0|26.12|44.35|34.03|33.11|0|0|0|42.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.86|0|0|0|0|0|0|0|0|54.19
HOSP OP|0250 - PHARMACY|NMRRX-2100-20||METRONIDAZOLE 5 MG/ML BOLUS ( NEONATE ) ( PEDS )|40.04|21.22|0|32.03|0|36.04|0|32.35|28.83|27.1|0|40.04|26.47|0|19.3|32.77|25.15|24.46|0|0|0|31.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.11|0|0|0|0|0|0|0|0|40.04
HOSP OP|0250 - PHARMACY|NMRRX-2100-21||NAFCILLIN 40 MG/ML BOLUS ( NEONATE ) ( PEDS )|93.3|328.07|464.25|495.2|526.15|557.1|0|500.15|445.68|418.94|0|619|403.59|0|226.68|506.65|383.16|373.26|0|0|464.25|483.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|351.79|274.28|0|0|0|0|0|0|0|0|619
HOSP OP|0250 - PHARMACY|MGHRX-2100-22||PIPERACILLIN-TAZOBACTAM 20 MG/ML BOLUS (NEONATE) (PEDS)|54.19|28.72|0|43.35|0|48.77|0|43.79|39.02|36.68|0|54.19|35.82|0|26.12|44.35|34.03|33.11|0|0|0|42.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.86|0|0|0|0|0|0|0|0|54.19
HOSP OP|0250 - PHARMACY|NMRRX-2100-24||TRIMETHOPRIM/SULFAMETHOXAZOLE 1 MG/ML BOLUS ( NEONATE )    ( PEDS )|41.82|22.16|0|33.46|0|37.64|0|33.79|30.11|28.3|0|41.82|27.64|0|20.16|34.23|26.26|25.55|0|0|0|32.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.96|0|0|0|0|0|0|0|0|41.82
HOSP OP|0250 - PHARMACY|NMRRX-2100-26||VANCOMYCIN 5 MG/ML BOLUS ( NEONATE ) ( PEDS )|42.88|22.73|0|34.3|0|38.59|0|34.65|30.87|29.02|0|42.88|28.34|0|20.67|35.1|26.93|26.2|0|0|0|33.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.47|0|0|0|0|0|0|0|0|42.88
HOSP OP|0250 - PHARMACY|NMRRX-2100-29||AMPICILLIN 30 MG/ML BOLUS ( PEDS )|46|24.38|0|36.8|0|41.4|0|37.17|33.12|31.13|0|46|30.41|0|22.17|37.65|28.89|28.11|0|0|0|35.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.96|0|0|0|0|0|0|0|0|46
HOSP OP|0250 - PHARMACY|NMRRX-2100-31||CEFAZOLIN 50 MG/ML BOLUS ( NEONATE ) ( PEDS )|40.1|21.25|0|32.08|0|36.09|0|32.4|28.87|27.14|0|40.1|26.51|0|19.33|32.82|25.18|24.5|0|0|0|31.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.14|0|0|0|0|0|0|0|0|40.1
HOSP OP|0250 - PHARMACY|NMRRX-2100-32||CEFOTAXIME 40 MG/ML BOLUS ( PEDS )|43.4|23|0|34.72|0|39.06|0|35.07|31.25|29.37|0|43.4|28.69|0|20.92|35.52|27.26|26.52|0|0|0|33.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.71|0|0|0|0|0|0|0|0|43.4
HOSP OP|0250 - PHARMACY|NMRRX-2100-46||LEVETIRACETAM 5 MG/ML BOLUS ( NEONATE ) ( PEDS )|40.85|21.65|0|32.68|0|36.77|0|33.01|29.41|27.65|0|40.85|27|0|19.69|33.44|25.65|24.96|0|0|0|31.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.5|0|0|0|0|0|0|0|0|40.85
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2100-52|J1815|INSULIN REGULAR 0.1 UNIT/ML BOLUS (NEONATE) (PEDS)|70.83|37.54|53.12|56.66|60.21|63.75|0|57.23|51|47.94|0|70.83|1.15|0|0.83|57.97|1.09|1.06|0|0.903732809|53.12|55.32|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|0.61|0|0|0|0|0|0|0|0|70.83
HOSP OP|0250 - PHARMACY|NMRRX-2100-55||ESMOLOL (CONC: 20 MG/ML) IV SYRINGE FOR NICU- 50 ML|233.63|123.82|0|186.9|0|210.27|0|188.77|168.21|158.12|0|233.63|154.43|0|112.61|191.23|146.72|142.75|0|0|0|182.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.51|0|0|0|0|0|0|0|0|233.63
HOSP OP|0250 - PHARMACY|NMRRX-2100-56||ERTAPENEM 20 MG/ML BOLUS (NEONATE) (PEDS)|46.05|24.41|0|36.84|0|41.45|0|37.21|33.16|31.17|0|46.05|30.44|0|22.2|37.69|28.92|28.14|0|0|0|35.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.98|0|0|0|0|0|0|0|0|46.05
HOSP OP|0250 - PHARMACY|NMRRX-2100-96||CEFOTAXIME 300 MG/ML IM ( NEONATE ) ( PEDS )|43.4|23|0|34.72|0|39.06|0|35.07|31.25|29.37|0|43.4|28.69|0|20.92|35.52|27.26|26.52|0|0|0|33.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.71|0|0|0|0|0|0|0|0|43.4
HOSP OP|0250 - PHARMACY|61553-0321-33||ROCURONIUM 10 MG/ML IV BOLUS (NEONATE)|59.44|31.5|0|47.55|0|53.5|0|48.03|42.8|40.23|0|59.44|39.29|0|28.65|48.65|37.33|36.32|0|0|0|46.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.37|0|0|0|0|0|0|0|0|59.44
HOSP OP|0250 - PHARMACY|NMRRX-2101-25||VECURONIUM 1 MG/ML IN SODIUM CHLORIDE 0.9% IV BOLUS (NEONATE)|46.18|24.48|0|36.94|0|41.56|0|37.31|33.25|31.25|0|46.18|30.52|0|22.26|37.8|29|28.22|0|0|0|36.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.04|0|0|0|0|0|0|0|0|46.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2101-32|J0834|COSYNTROPIN IV 1 MCG/ML (NEONATE)|54.42|28.84|40.82|43.54|46.26|48.98|0|43.97|39.18|36.83|0|54.42|54.42|0|40.34|44.54|52.73|51.31|0|37.91748527|40.82|42.5|0|0|0|0|0|0|0|0|0|38.6|37.91748527|38.6|0|0|0|29.64|0|0|0|0|0|0|0|0|54.42
HOSP OP|0250 - PHARMACY|nmrrx-2101-66||NEONATAL FAT EMULSION (SMOFLIPID) 20% IV INFUSION|40.42|21.42|0|32.34|0|36.38|0|32.66|29.1|27.36|0|40.42|26.72|0|19.48|33.08|25.38|24.7|0|0|0|31.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.29|0|0|0|0|0|0|0|0|40.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-00|P9045|ALBUMIN HUMAN 5 % BOLUS (NEONATE)|40.38|21.4|30.29|32.3|34.32|36.34|34.32|32.63|29.07|27.33|0|40.38|40.38|40.38|40.38|33.05|40.38|40.38|40.38|52.4459725|30.29|31.54|40.38|40.38|40.38|40.38|39.65|39.59|40.38|39.65|39.65|53.39|52.4459725|53.39|0|0|40.38|36.14|40.38|40.38|40.38|40.38|40.38|40.38|40.38|0|53.39
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-01|J0280|AMINOPHYLLINE (CONC: 2.5 MG/ML) IV INJECTION FOR NICU|42.51|22.53|31.88|34.01|36.13|38.26|0|34.35|30.61|28.77|0|42.51|9.06|0|6.58|34.79|8.61|8.37|0|10.53045187|31.88|33.2|0|0|0|0|0|0|0|0|0|10.72|10.53045187|10.72|0|0|0|4.84|0|0|0|0|0|0|0|0|42.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-02|P9047|ALBUMIN HUMAN 25 % BOLUS (NEONATE)|41.91|22.21|31.43|33.53|35.62|37.72|35.62|33.86|30.18|28.36|0|41.91|41.91|41.91|41.91|34.3|41.91|41.91|41.91|52.4459725|31.43|32.73|41.91|41.91|41.91|41.91|41.16|41.05|41.91|41.16|41.16|53.39|52.4459725|53.39|0|0|41.91|36.14|41.91|41.91|41.91|41.91|41.91|41.91|41.91|0|53.39
HOSP OP|0250 - PHARMACY|NMRRX-2102-03||BUMETANIDE (CONC: 0.025 MG/ML) IV INJECTION FOR NICU|41.22|21.85|0|32.98|0|37.1|0|33.31|29.68|27.9|0|41.22|27.25|0|19.87|33.74|25.89|25.19|0|0|0|32.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.67|0|0|0|0|0|0|0|0|41.22
HOSP OP|0250 - PHARMACY|NMRRX-2102-06||CALCIUM CHLORIDE (CONC: 10 MG/ML) IV INJECTION FOR NICU|40.77|21.61|0|32.62|0|36.69|0|32.94|29.35|27.59|0|40.77|26.95|0|19.65|33.37|25.6|24.91|0|0|0|31.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.46|0|0|0|0|0|0|0|0|40.77
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-07|J0610|CALCIUM GLUCONATE 100 MG/ML BOLUS CENTRAL (NEONATE)|40.03|21.22|30.02|32.02|34.03|36.03|0|32.34|28.82|27.09|0|40.03|5.62|0|4.09|32.76|5.35|5.2|0|3.438113949|30.02|31.26|0|0|0|0|0|0|0|0|0|3.5|3.438113949|3.5|0|0|0|3|0|0|0|0|0|0|0|0|40.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-08|J1100|DEXAMETHASONE (CONC: 0.2 MG/ML) IV INJECTION FOR NICU|46.09|24.43|34.57|36.87|39.18|41.48|0|37.24|33.18|31.19|0|46.09|0.14|0|0.1|37.72|0.13|0.13|0|0.117878193|34.57|36|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|46.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-14|Q2009|FOSPHENYTOIN 5 MG PE/ML MAINTENANCE (NEONATE) (PEDS)|40.09|21.25|30.07|32.07|34.08|36.08|34.08|32.39|28.86|27.13|0|40.09|6.13|4.61|4.46|32.81|5.82|5.67|4.49|7.652259332|30.07|31.31|16.04|0|16.04|3.87|3.95|1.95|16.04|1.98|3.95|7.79|7.652259332|7.79|0|0|0|3.27|0|0|16.04|0|20.05|16.04|16.04|0|40.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-15|Q2009|FOSPHENYTOIN 25 MG/ML BOLUS LOAD (NEONATE) (PEDS)|40.09|21.25|30.07|32.07|34.08|36.08|34.08|32.39|28.86|27.13|0|40.09|6.13|4.61|4.46|32.81|5.82|5.67|4.49|7.652259332|30.07|31.31|16.04|0|16.04|3.87|3.95|1.95|16.04|1.98|3.95|7.79|7.652259332|7.79|0|0|0|3.27|0|0|16.04|0|20.05|16.04|16.04|0|40.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-16|J1940|FUROSEMIDE BOLUS 2 MG/ML INJECTION (NEONATE)|40.79|21.62|30.59|32.63|34.67|36.71|0|32.96|29.37|27.61|0|40.79|1.07|0|0.78|33.39|1.02|0.99|0|0.589390963|30.59|31.86|0|0|0|0|0|0|0|0|0|0.6|0.589390963|0.6|0|0|0|0.56|0|0|0|0|0|0|0|0|40.79
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-18|J1720|HYDROCORTISONE 1 MG/ML BOLUS (NEONATE) (PEDS)|59.6|31.59|44.7|47.68|50.66|53.64|0|48.16|42.91|40.34|0|59.6|16.76|0|12.18|48.78|15.93|15.5|0|13.04518664|44.7|46.55|0|0|0|0|0|0|0|0|0|13.28|13.04518664|13.28|0|0|0|8.95|0|0|0|0|0|0|0|0|59.6
HOSP OP|0250 - PHARMACY|NMRRX-2102-20||INDOMETHACIN (CONC: 0.1 MG/ML) IV INJECTION FOR NICU|127.61|67.63|0|102.09|0|114.85|0|103.11|91.88|86.37|0|127.61|84.35|0|61.51|104.45|80.14|77.97|0|0|0|99.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.91|0|0|0|0|0|0|0|0|127.61
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-23|J2930|METHYLPREDNISOLONE 2.5 MG/ML BOLUS (NEONATE)|55.21|29.26|41.41|44.17|46.93|49.69|0|44.61|39.75|37.37|0|55.21|8.94|0|6.5|45.19|8.5|8.27|0|6.316306483|41.41|43.12|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|4.77|0|0|0|0|0|0|0|0|55.21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-25|J2250|MIDAZOLAM (CONC: 1 MG/ML) IV INJECTION FOR NICU|40.39|21.41|30.29|32.31|34.33|36.35|0|32.64|29.08|27.34|0|40.39|0.17|0|0.12|33.06|0.16|0.16|0|0.117878193|30.29|31.54|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.39
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2305-21|J2250|MIDAZOLAM (CONC: 1 MG/ML) IV INJECTION FOR NICU|40.78|21.41|30.29|32.31|34.33|36.35|0|32.64|29.08|27.34|0|40.39|0.17|0|0.12|33.06|0.16|0.16|0|0.117878193|30.29|31.54|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.08|0|0|0|0|0|0|0|0|40.39
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-29|J2560|PHENOBARBITAL 10 MG/ML BOLUS ( NEONATE ) ( PEDS )|84.98|45.04|63.74|67.98|72.23|76.48|0|68.66|61.19|57.51|0|84.98|50.57|0|36.77|69.56|48.06|46.77|0|42.3870334|63.74|66.37|0|0|0|0|0|0|0|0|0|43.15|42.3870334|43.15|0|0|0|27.01|0|0|0|0|0|0|0|0|84.98
HOSP OP|0250 - PHARMACY|NMRRX-2102-32||POTASSIUM PHOSPHATE 0.12 MMOL/ML IV CENTRAL (NEONATE)|41.28|21.88|0|33.02|0|37.15|0|33.35|29.72|27.94|0|41.28|27.29|0|19.9|33.79|25.92|25.22|0|0|0|32.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.7|0|0|0|0|0|0|0|0|41.28
HOSP OP|0250 - PHARMACY|NMRRX-2102-35||SODIUM BICARBONATE BOLUS (CONC: 0.5 MEQ/ML) INJECTION FOR NICU|42.24|22.39|0|33.79|0|38.02|0|34.13|30.41|28.59|0|42.24|27.92|0|20.36|34.57|26.53|25.81|0|0|0|32.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.16|0|0|0|0|0|0|0|0|42.24
HOSP OP|0250 - PHARMACY|NMRRX-2102-37||VALPROIC ACID (CONC: 10 MG/ML) IV INJECTION FOR NICU|43.11|22.85|0|34.49|0|38.8|0|34.83|31.04|29.18|0|43.11|28.5|0|20.78|35.29|27.07|26.34|0|0|0|33.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.58|0|0|0|0|0|0|0|0|43.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-43|J1561|IMMUNE GLOBULIN  0.1 G/ML IV INFUSION ( NEONATE )|56.81|30.11|42.61|45.45|48.29|51.13|48.29|45.9|40.9|38.45|0|56.81|51.74|55.82|37.62|46.5|49.17|47.85|54.42|40.35363458|42.61|44.37|22.72|0|22.72|40.22|40.22|52.3|22.72|54.51|40.22|41.08|40.35363458|41.08|0|0|43.28|27.64|0|0|22.72|0|28.41|22.72|22.72|0|56.81
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-44||CHLOROTHIAZIDE 28 MG/ML BOLUS (NEONATE) (PEDS)|724|383.72|0|579.2|0|651.6|0|584.99|521.28|490|0|724|478.56|0|348.97|592.59|454.67|442.36|0|0|0|565.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|345.57|0|0|0|0|0|0|0|0|724
HOSP OP|0250 - PHARMACY|NMRRX-2102-45|J0610|CALCIUM GLUCONATE IV BOLUS 50 MG/ML ( NEONATE ) ( PEDS )|41.01|21.74|30.76|32.81|34.86|36.91|0|33.14|29.53|27.76|0|41.01|5.62|0|4.09|33.57|5.35|5.2|0|3.438113949|30.76|32.03|0|0|0|0|0|0|0|0|0|3.5|3.438113949|3.5|0|0|0|3|0|0|0|0|0|0|0|0|41.01
HOSP OP|0258 - IV SOLUTIONS|00409-7983-09|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-37|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|44|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-61|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|51.63|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-02|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|51.88|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-36|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|43.13|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-03|J7030|BOLUS NORMAL SALINE 0.9% IV SOLN FOR NICU|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|NMRRX-2102-50||PENICILLIN G POTASSIUM 100000 UNITS/ML ( NEONATE ) ( PEDS )|54.55|28.91|0|43.64|0|49.1|0|44.08|39.28|36.92|0|54.55|36.06|0|26.29|44.65|34.26|33.33|0|0|0|42.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.04|0|0|0|0|0|0|0|0|54.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2300-18|J3430|PHYTONADIONE NICU DILUTION 1MG/ML IV (NEONATE) (PEDS)|40.35|21.39|30.26|32.28|34.3|36.32|0|32.6|29.05|27.31|0|40.35|5.46|0|3.97|33.03|5.19|5.05|0|4.233791749|30.26|31.51|0|0|0|0|0|0|0|0|0|4.31|4.233791749|4.31|0|0|0|2.91|0|0|0|0|0|0|0|0|40.35
HOSP OP|0250 - PHARMACY|00409-4921-34||EPINEPHRINE HCL 0.1 MG/ML SYRINGE FOR NICU|50.85|26.95|0|40.68|0|45.77|0|41.09|36.61|34.42|0|50.85|33.61|0|24.51|41.62|31.93|31.07|0|0|0|39.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.27|0|0|0|0|0|0|0|0|50.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6027-25|J3010|FENTANYL (CONC: 50 MCG/ML) IV INJECTION FOR NICU|43.57|23.09|32.68|34.86|37.03|39.21|0|35.2|31.37|29.49|0|43.57|1.07|0|0.78|35.66|1.02|0.99|0|0.992141454|32.68|34.03|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|43.57
HOSP OP|0250 - PHARMACY|NMRRX-2102-63||POTASSIUM CHLORIDE 0.06 MEQ/ML BOLUS PERIPHERAL ( NEONATE ) ( PEDS )|40.24|21.33|0|32.19|0|36.22|0|32.51|28.97|27.23|0|40.24|26.6|0|19.4|32.94|25.27|24.59|0|0|0|31.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.21|0|0|0|0|0|0|0|0|40.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-68||MORPHINE IV BOLUS (CONC: 0.1 MG/ML) FOR NICU|41.46|21.97|0|33.17|0|37.31|0|33.5|29.85|28.06|0|41.46|27.41|0|19.98|33.94|26.04|25.33|0|0|0|32.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.79|0|0|0|0|0|0|0|0|41.46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|43825-0102-01|J0131|ACETAMINOPHEN 10 MG/ML BOLUS (NEONATE) (PEDS)|117|62.01|87.75|93.6|99.45|105.3|0|94.54|84.24|79.19|0|117|53|0|38|95.76|50|49|0|0.481335953|87.75|91.38|0|0|0|0|0|0|0|0|0|0.49|0.481335953|0.49|0|0|0|28|0|0|0|0|0|0|0|0|117
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-70|J1650|ENOXAPARIN 100MG/ML SUBQ SYRINGE (NEONATE)|232.02|122.97|174.02|185.62|197.22|208.82|0|187.47|167.05|157.03|0|232.02|9.9|0|7.2|189.91|9.4|9.2|0|0.667976424|174.02|181.21|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|5.2|0|0|0|0|0|0|0|0|232.02
HOSP OP|0250 - PHARMACY|NMRRX-2102-72||POTASSIUM CHLORIDE 0.2 MEQ/ML BOLUS CENTRAL ( NEONATE ) ( PEDS )|40.24|21.33|0|32.19|0|36.22|0|32.51|28.97|27.23|0|40.24|26.6|0|19.4|32.94|25.27|24.59|0|0|0|31.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.21|0|0|0|0|0|0|0|0|40.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-75||FILGRASTIM-SNDZ 15 MCG/ML BOLUS (NEONATE) (PEDS)|817.95|433.51|0|654.36|0|736.16|0|660.9|588.92|553.59|0|817.95|540.66|0|394.25|669.49|513.67|499.77|0|0|0|638.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|390.41|0|0|0|0|0|0|0|0|817.95
HOSP OP|0258 - IV SOLUTIONS|NMRRX-2102-76|J7060|DEXTROSE 5% IN WATER (D5W) FLUSH (NEONATE) (PEDS)|46.92|24.87|35.19|37.54|39.88|42.23|0|37.91|33.78|31.76|0|46.92|3.2|0|2.33|38.4|3.04|2.96|0|1.817288802|35.19|36.64|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|46.92
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2102-77|Q0144|AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION ( NEONATE ) ( PEDS )|27.43|14.54|20.57|21.94|23.32|24.69|23.32|22.16|19.75|18.56|0|27.43|27.43|23.3|22.77|22.45|27.43|27.43|22.72|26.51277014|20.57|21.42|27.43|27.43|0|27.43|27.43|19.06|27.43|19.32|27.43|26.99|26.51277014|26.99|0|0|20.46|16.72|0|0|27.43|0|31.54|27.43|27.43|0|31.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-81||DOPAMINE 3.2 MG/ML INFUSION IN D5W 3 ML SYRINGE (NEONATE)|40.25|21.33|0|32.2|0|36.23|0|32.52|28.98|27.24|0|40.25|26.61|0|19.4|32.94|25.28|24.59|0|0|0|31.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.21|0|0|0|0|0|0|0|0|40.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-84||DOPAMINE 3.2 MG/ML INFUSION IN D5W 5 ML SYRINGE (NEONATE)|40.4|21.41|0|32.32|0|36.36|0|32.64|29.09|27.34|0|40.4|26.7|0|19.47|33.07|25.37|24.68|0|0|0|31.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.28|0|0|0|0|0|0|0|0|40.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-86||DOPAMINE 3.2 MG/ML INFUSION IN D5W 10 ML SYRINGE (NEONATE)|40.8|21.62|0|32.64|0|36.72|0|32.97|29.38|27.61|0|40.8|26.97|0|19.67|33.39|25.62|24.93|0|0|0|31.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.47|0|0|0|0|0|0|0|0|40.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-88||DOPAMINE 3.2 MG/ML INFUSION IN D5W 20 ML SYRINGE (NEONATE)|41.6|22.05|0|33.28|0|37.44|0|33.61|29.95|28.15|0|41.6|27.5|0|20.05|34.05|26.12|25.42|0|0|0|32.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.86|0|0|0|0|0|0|0|0|41.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2102-98||NOREPINEPHRINE 0.016 MG/ML IN NS 2.5 ML (NEONATE)|50.44|26.73|0|40.35|0|45.4|0|40.76|36.32|34.14|0|50.44|33.34|0|24.31|41.29|31.68|30.82|0|0|0|39.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.08|0|0|0|0|0|0|0|0|50.44
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-00||INSULIN REGULAR (0.5 UNITS/ML) IV INFUSION 2.5 ML (NEONATE)|48.69|25.81|0|38.95|0|43.82|0|39.34|35.06|32.95|0|48.69|32.18|0|23.47|39.85|30.58|29.75|0|0|0|38.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.24|0|0|0|0|0|0|0|0|48.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-01||NOREPINEPHRINE 0.016 MG/ML IN NS 4 ML (NEONATE)|56.7|30.05|0|45.36|0|51.03|0|45.81|40.82|38.37|0|56.7|37.48|0|27.33|46.41|35.61|34.64|0|0|0|44.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.06|0|0|0|0|0|0|0|0|56.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-02||NOREPINEPHRINE 0.016 MG/ML IN NS 8 ML (NEONATE)|73.4|38.9|0|58.72|0|66.06|0|59.31|52.85|49.68|0|73.4|48.52|0|35.38|60.08|46.1|44.85|0|0|0|57.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.03|0|0|0|0|0|0|0|0|73.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-03||NOREPINEPHRINE 0.016 MG/ML IN NS 16 ML (NEONATE)|106.8|56.6|0|85.44|0|96.12|0|86.29|76.9|72.28|0|106.8|70.59|0|51.48|87.42|67.07|65.25|0|0|0|83.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.98|0|0|0|0|0|0|0|0|106.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-14||DOBUTAMINE 4 MG/ML IN D5W 2.5 ML (NEONATE)|40.31|21.36|0|32.25|0|36.28|0|32.57|29.02|27.28|0|40.31|26.64|0|19.43|32.99|25.31|24.63|0|0|0|31.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.24|0|0|0|0|0|0|0|0|40.31
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-15||DOBUTAMINE 4 MG/ML IN D5W 4 ML (NEONATE)|40.49|21.46|0|32.39|0|36.44|0|32.72|29.15|27.4|0|40.49|26.76|0|19.52|33.14|25.43|24.74|0|0|0|31.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.33|0|0|0|0|0|0|0|0|40.49
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-16||DOBUTAMINE 4 MG/ML IN D5W 8 ML (NEONATE)|40.98|21.72|0|32.78|0|36.88|0|33.11|29.51|27.74|0|40.98|27.09|0|19.75|33.54|25.74|25.04|0|0|0|32.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.56|0|0|0|0|0|0|0|0|40.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-20||MILRINONE 200 MCG/ML IN D5W 2.5 ML (NEONATE)|40.92|21.69|0|32.74|0|36.83|0|33.06|29.46|27.69|0|40.92|27.05|0|19.72|33.49|25.7|25|0|0|0|31.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.53|0|0|0|0|0|0|0|0|40.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-21||MILRINONE 200 MCG/ML IN D5W 4 ML (NEONATE)|41.46|21.97|0|33.17|0|37.31|0|33.5|29.85|28.06|0|41.46|27.41|0|19.98|33.94|26.04|25.33|0|0|0|32.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.79|0|0|0|0|0|0|0|0|41.46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-22||MILRINONE 200 MCG/ML IN D5W 8 ML (NEONATE)|42.92|22.75|0|34.34|0|38.63|0|34.68|30.9|29.05|0|42.92|28.37|0|20.69|35.13|26.95|26.22|0|0|0|33.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.49|0|0|0|0|0|0|0|0|42.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-23||MILRINONE 200 MCG/ML IN D5W 16 ML (NEONATE)|45.84|24.3|0|36.67|0|41.26|0|37.04|33|31.02|0|45.84|30.3|0|22.09|37.52|28.79|28.01|0|0|0|35.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.88|0|0|0|0|0|0|0|0|45.84
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-24||MILRINONE 200 MCG/ML IN D5W 25 ML (NEONATE)|49.13|26.04|0|39.3|0|44.22|0|39.7|35.37|33.25|0|49.13|32.47|0|23.68|40.21|30.85|30.02|0|0|0|38.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.45|0|0|0|0|0|0|0|0|49.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-26||VASOPRESSIN 0.2 UNITS/ML IN D5W 2.5 ML (NEONATE)|441.82|234.16|0|353.46|0|397.64|0|356.99|318.11|299.02|0|441.82|292.04|0|212.96|361.63|277.46|269.95|0|0|0|345.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.88|0|0|0|0|0|0|0|0|441.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-27||VASOPRESSIN 0.2 UNITS/ML IN D5W 4 ML (NEONATE)|441.82|234.16|0|353.46|0|397.64|0|356.99|318.11|299.02|0|441.82|292.04|0|212.96|361.63|277.46|269.95|0|0|0|345.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.88|0|0|0|0|0|0|0|0|441.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-29||VASOPRESSIN 0.2 UNITS/ML IN D5W 8 ML (NEONATE)|441.82|234.16|0|353.46|0|397.64|0|356.99|318.11|299.02|0|441.82|292.04|0|212.96|361.63|277.46|269.95|0|0|0|345.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.88|0|0|0|0|0|0|0|0|441.82
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-31||VASOPRESSIN 0.2 UNITS/ML IN D5W 16 ML (NEONATE)|441.82|234.16|0|353.46|0|397.64|0|356.99|318.11|299.02|0|441.82|292.04|0|212.96|361.63|277.46|269.95|0|0|0|345.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.88|0|0|0|0|0|0|0|0|441.82
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2103-34||CHOLECALCIFEROL (VITAMIN D3) 400 UNIT/ML ORAL DROPS FOR NICU|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-36||INSULIN REGULAR (0.5 UNITS/ML) IV INFUSION 4 ML (NEONATE)|53.89|28.56|0|43.11|0|48.5|0|43.54|38.8|36.47|0|53.89|35.62|0|25.97|44.11|33.84|32.93|0|0|0|42.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.72|0|0|0|0|0|0|0|0|53.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-37||INSULIN REGULAR (0.5 UNITS/ML) IV INFUSION 8 ML (NEONATE)|67.78|35.92|0|54.22|0|61|0|54.77|48.8|45.87|0|67.78|44.8|0|32.67|55.48|42.57|41.41|0|0|0|52.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.35|0|0|0|0|0|0|0|0|67.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-38||INSULIN REGULAR (0.5 UNITS/ML) IV INFUSION 16 ML (NEONATE)|95.56|50.65|0|76.45|0|86|0|77.21|68.8|64.68|0|95.56|63.17|0|46.06|78.22|60.01|58.39|0|0|0|74.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.61|0|0|0|0|0|0|0|0|95.56
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-40||EPINEPHRINE 20 MCG/ML IN NS 2.5 ML (NEONATE)|121.27|64.27|0|97.02|0|109.14|0|97.99|87.31|82.08|0|121.27|80.16|0|58.45|99.26|76.16|74.1|0|0|0|94.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.88|0|0|0|0|0|0|0|0|121.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-41||EPINEPHRINE 20 MCG/ML IN NS 4 ML (NEONATE)|170.03|90.12|0|136.02|0|153.03|0|137.38|122.42|115.08|0|170.03|112.39|0|81.95|139.17|106.78|103.89|0|0|0|132.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.16|0|0|0|0|0|0|0|0|170.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-42||EPINEPHRINE 40 MCG/ML IN NS 2.5 ML (NEONATE)|121.27|64.27|0|97.02|0|109.14|0|97.99|87.31|82.08|0|121.27|80.16|0|58.45|99.26|76.16|74.1|0|0|0|94.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.88|0|0|0|0|0|0|0|0|121.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-43||EPINEPHRINE 40 MCG/ML IN NS 4 ML (NEONATE)|170.03|90.12|0|136.02|0|153.03|0|137.38|122.42|115.08|0|170.03|112.39|0|81.95|139.17|106.78|103.89|0|0|0|132.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.16|0|0|0|0|0|0|0|0|170.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-44||EPINEPHRINE 40 MCG/ML IN NS 8 ML (NEONATE)|300.06|159.03|0|240.05|0|270.05|0|242.45|216.04|203.08|0|300.06|198.34|0|144.63|245.6|188.44|183.34|0|0|0|234.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|143.22|0|0|0|0|0|0|0|0|300.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2103-45||EPINEPHRINE 40 MCG/ML IN NS 16 ML (NEONATE)|560.12|296.86|0|448.1|0|504.11|0|452.58|403.29|379.09|0|560.12|370.24|0|269.98|458.46|351.76|342.23|0|0|0|437.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|267.35|0|0|0|0|0|0|0|0|560.12
HOSP OP|0250 - PHARMACY|08212-4271-81||WHITE PETROLATUM-ZINC TOPICAL PASTE|26.98|14.3|0|21.58|0|24.28|0|21.8|19.43|18.26|0|26.98|17.83|0|13|22.08|16.94|16.48|0|0|0|21.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.88|0|0|0|0|0|0|0|0|26.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2110-92|J9206|CHEMOEMBOLIZATION: IRINOTECAN (CONC: 100 MG/2 ML) SYRINGE|22.66|12.01|17|18.13|19.26|20.39|0|18.31|16.32|15.34|0|22.66|18.45|0|13.4|18.55|17.55|17.05|0|2.603143418|17|17.7|0|0|0|0|0|0|0|0|0|2.65|2.603143418|2.65|0|0|0|9.85|0|0|0|0|0|0|0|0|22.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2110-95|J9000|CHEMOEMBOLIZATION: DOXORUBICIN (CONC: 75 MG/2 ML) SYRINGE|1465.8|776.87|1099.35|1172.64|1245.93|1319.22|0|1184.37|1055.38|992.05|0|1465.8|31.6|0|22.96|1199.76|30|29.2|0|3.00589391|1099.35|1144.79|0|0|0|0|0|0|0|0|0|3.06|3.00589391|3.06|0|0|0|16.8|0|0|0|0|0|0|0|0|1465.8
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0736-01||HALOPERIDOL 5 MG TABLET|21.85|11.58|16.39|17.48|18.57|19.67|0|17.65|15.73|14.79|0|21.85|14.44|0|10.53|17.88|13.72|13.35|0|0|16.39|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.85
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0736-20||HALOPERIDOL 5 MG TABLET|21.85|11.58|16.39|17.48|18.57|19.67|0|17.65|15.73|14.79|0|21.85|14.44|0|10.53|17.88|13.72|13.35|0|0|16.39|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.85
HOSP OP|0637 - DRUGS/SELF ADMIN|MGHRX-2191-80||HALOPERIDOL 5 MG TABLET|21.85|11.58|16.39|17.48|18.57|19.67|0|17.65|15.73|14.79|0|21.85|14.44|0|10.53|17.88|13.72|13.35|0|0|16.39|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-9102-93||NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH|21.45|11.37|16.09|17.16|18.23|19.31|0|17.33|15.44|14.52|0|21.45|14.18|0|10.34|17.56|13.47|13.11|0|0|16.09|16.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.45
HOSP OP|0250 - PHARMACY|00904-7623-31||HYDROCORTISONE 1 % TOPICAL CREAM|23.87|12.65|0|19.1|0|21.48|0|19.29|17.19|16.16|0|23.87|15.78|0|11.51|19.54|14.99|14.58|0|0|0|18.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.39|0|0|0|0|0|0|0|0|23.87
HOSP OP|0250 - PHARMACY|00168-0015-16||HYDROCORTISONE 1 % TOPICAL CREAM|85.69|12.65|0|19.1|0|21.48|0|19.29|17.19|16.16|0|23.87|15.78|0|11.51|19.54|14.99|14.58|0|0|0|18.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.39|0|0|0|0|0|0|0|0|23.87
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2120-14||FINASTERIDE 2.5 MG TAB (1/2 TAB OF 5 MG TAB)|21.2|257.58|364.5|388.8|413.1|437.4|0|392.69|349.92|328.92|0|486|0|0|0|397.79|0|0|0|0|364.5|379.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|197.64|0|0|0|0|0|0|0|0|0|486
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2120-16|J7500|AZATHIOPRINE 25 MG TAB|20.01|402.27|569.25|607.2|645.15|683.1|0|613.27|546.48|513.69|0|759|0|0|0|621.24|0|0|0|0.658153242|569.25|592.78|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|0|0|0|0|0|0|0|0|0|759
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0539-01||TORSEMIDE 20 MG TABLET|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0539-11||TORSEMIDE 20 MG TABLET|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3124-95|J3490|NAFCILLIN 1 GRAM SOLUTION FOR INJECTION|67.12|35.57|50.34|53.7|57.05|60.41|0|54.23|48.33|45.43|0|67.12|44.37|0|32.35|54.94|42.15|41.01|0|0|50.34|52.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.04|0|0|0|0|0|0|0|0|67.12
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-00||POTASSIUM CHLORIDE 10% (20 MEQ/15 ML) ORAL SOLUTION FOR NICU|26|13.78|19.5|20.8|22.1|23.4|0|21.01|18.72|17.6|0|26|17.19|0|12.53|21.28|16.33|15.89|0|0|19.5|20.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.41|0|0|0|0|0|0|0|0|26
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-03||HYDROCORTISONE 2 MG/ML ORAL SUSPENSION UNIT DOSE|26.83|14.22|20.12|21.46|22.81|24.15|0|21.68|19.32|18.16|0|26.83|17.73|0|12.93|21.96|16.85|16.39|0|0|20.12|20.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.81|0|0|0|0|0|0|0|0|26.83
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-05||METOPROLOL 12.5 MG/2.5 ML ORAL SUSPENSION UNIT DOSE|25.05|13.28|18.79|20.04|21.29|22.55|0|20.24|18.04|16.95|0|25.05|16.56|0|12.07|20.5|15.73|15.31|0|0|18.79|19.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.96|0|0|0|0|0|0|0|0|25.05
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-07||RIFAMPIN 300 MG/6 ML ORAL SUSPENSION UNIT DOSE|26.86|14.24|20.15|21.49|22.83|24.17|0|21.7|19.34|18.18|0|26.86|17.75|0|12.95|21.98|16.87|16.41|0|0|20.15|20.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.82|0|0|0|0|0|0|0|0|26.86
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-09||VANCOMYCIN 125 MG/5 ML ORAL SOLUTION|27.6|14.63|20.7|22.08|23.46|24.84|0|22.3|19.87|18.68|0|27.6|18.24|0|13.3|22.59|17.33|16.86|0|0|20.7|21.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.17|0|0|0|0|0|0|0|0|27.6
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-10||LEVOTHYROXINE 25 MCG/ML ORAL SUSPENSION FOR NICU|25.63|13.58|19.22|20.5|21.79|23.07|0|20.71|18.45|17.35|0|25.63|16.94|0|12.35|20.98|16.1|15.66|0|0|19.22|20.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.23|0|0|0|0|0|0|0|0|25.63
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-13||FUROSEMIDE 10 MG/ML ORAL SOLUTION FOR NICU|25.34|13.43|19.01|20.27|21.54|22.81|0|20.47|18.24|17.15|0|25.34|16.75|0|12.21|20.74|15.91|15.48|0|0|19.01|19.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.09|0|0|0|0|0|0|0|0|25.34
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-14||DEXAMETHASONE (CONC: 0.5 MG/5 ML) ORAL SOLUTION FOR NICU|47.14|24.98|35.36|37.71|40.07|42.43|0|38.09|33.94|31.9|0|47.14|31.16|0|22.72|38.58|29.6|28.8|0|0|35.36|36.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.5|0|0|0|0|0|0|0|0|47.14
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-15||SODIUM CHLORIDE (CONC: 2.5 MEQ/ML) ORAL SOLUTION FOR NICU|26.2|13.89|19.65|20.96|22.27|23.58|0|21.17|18.86|17.73|0|26.2|17.32|0|12.63|21.44|16.45|16.01|0|0|19.65|20.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.51|0|0|0|0|0|0|0|0|26.2
HOSP OP|0637 - DRUGS/SELF ADMIN|70000-0423-01||SIMETHICONE (CONC: 40 MG/0.6 ML) ORAL DROPS FOR NICU|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-16||SIMETHICONE (CONC: 40 MG/0.6 ML) ORAL DROPS FOR NICU|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0250 - PHARMACY|NMRRX-2140-21||LORAZEPAM (CONC: 2 MG/ML) ORAL SOLUTION FOR NICU|25.73|13.64|0|20.58|0|23.16|0|20.79|18.53|17.41|0|25.73|17.01|0|12.4|21.06|16.16|15.72|0|0|0|20.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.28|0|0|0|0|0|0|0|0|25.73
HOSP OP|0250 - PHARMACY|NMRRX-2140-24||CHLOROTHIAZIDE 50 MG/ML ORAL SOLUTION (NEONATE)|25.69|13.62|0|20.55|0|23.12|0|20.76|18.5|17.39|0|25.69|16.98|0|12.38|21.03|16.13|15.7|0|0|0|20.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.26|0|0|0|0|0|0|0|0|25.69
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-25|J0280|AMINOPHYLLINE 5 MG/ML ORAL SOLUTION FOR NICU|28.26|14.98|21.2|22.61|24.02|25.43|0|22.83|20.35|19.13|0|28.26|9.06|0|6.58|23.13|8.61|8.37|0|10.53045187|21.2|22.07|0|0|0|0|0|0|0|0|0|10.72|10.53045187|10.72|0|0|0|4.84|0|0|0|0|0|0|0|0|28.26
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-29||LANSOPRAZOLE 30 MG/10 ML ORAL SUSPENSION FOR NICU|25.81|13.68|19.36|20.65|21.94|23.23|0|20.85|18.58|17.47|0|25.81|17.06|0|12.44|21.13|16.21|15.77|0|0|19.36|20.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.32|0|0|0|0|0|0|0|0|25.81
HOSP OP|0637 - DRUGS/SELF ADMIN|63304-0975-05||FLUCONAZOLE 10 MG/ML ORAL SUSPENSION FOR NICU|59.44|31.5|44.58|47.55|50.52|53.5|0|48.03|42.8|40.23|0|59.44|39.29|0|28.65|48.65|37.33|36.32|0|0|44.58|46.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.37|0|0|0|0|0|0|0|0|59.44
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-34||RIFAMPIN 50 MG/ML ORAL SUSPENSION FOR NICU|27.28|14.46|20.46|21.82|23.19|24.55|0|22.04|19.64|18.46|0|27.28|18.03|0|13.15|22.33|17.13|16.67|0|0|20.46|21.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.02|0|0|0|0|0|0|0|0|27.28
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-36||ENALAPRIL 1 MG/ML ORAL SUSPENSION FOR NICU|26.3|13.94|19.73|21.04|22.36|23.67|0|21.25|18.94|17.8|0|26.3|17.38|0|12.68|21.53|16.52|16.07|0|0|19.73|20.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.55|0|0|0|0|0|0|0|0|26.3
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-39||METRONIDAZOLE 250 MG/5 ML ORAL SUSPENSION UD CUP|25.21|13.36|18.91|20.17|21.43|22.69|0|20.37|18.15|17.06|0|25.21|16.66|0|12.15|20.63|15.83|15.4|0|0|18.91|19.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.03|0|0|0|0|0|0|0|0|25.21
HOSP OP|0250 - PHARMACY|||METHADONE 1 MG/ML ORAL SYRINGE ( NEONATE )|25.15|13.33|0|20.12|0|22.64|0|20.32|18.11|17.02|0|25.15|16.62|0|12.12|20.59|15.79|15.37|0|0|0|19.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12|0|0|0|0|0|0|0|0|25.15
HOSP OP|0250 - PHARMACY|nmrrx-0071-32||AMLODIPINE 1 MG/ML ORAL SUSPENSION FOR NICU|25.58|13.56|0|20.46|0|23.02|0|20.67|18.42|17.31|0|25.58|16.91|0|12.33|20.94|16.06|15.63|0|0|0|19.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.21|0|0|0|0|0|0|0|0|25.58
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-47|J7510|PREDNISOLONE 5 MG/5 ML ORAL SOLUTION FOR NICU|25.18|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|0.08|0|0.06|20.61|0.07|0.07|0|0.088408644|18.89|19.67|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.03|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-48||PHYTONADIONE (VITAMIN K) 1 MG/0.5 ML NICU ORAL SYRINGE|25.21|13.36|18.91|20.17|21.43|22.69|0|20.37|18.15|17.06|0|25.21|16.66|0|12.15|20.63|15.83|15.4|0|0|18.91|19.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.03|0|0|0|0|0|0|0|0|25.21
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-52||METRONIDAZOLE 50 MG/ML ORAL SUSPENSION FOR NICU|22.32|11.83|16.74|17.86|18.97|20.09|0|18.03|16.07|15.11|0|22.32|14.75|0|10.76|18.27|14.02|13.64|0|0|16.74|17.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.65|0|0|0|0|0|0|0|0|22.32
HOSP OP|0250 - PHARMACY|00487-9501-25||ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) NEB SOLUTION FOR NICU|40.3|21.36|0|32.24|0|36.27|0|32.56|29.02|27.28|0|40.3|26.64|0|19.42|32.99|25.31|24.62|0|0|0|31.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.24|0|0|0|0|0|0|0|0|40.3
HOSP OP|0250 - PHARMACY|NMRRX-2140-58||MIDAZOLAM 1 MG / 0.5 ML ORAL SOLUTION FOR NICU|26.66|14.13|0|21.33|0|23.99|0|21.54|19.2|18.04|0|26.66|17.62|0|12.85|21.82|16.74|16.29|0|0|0|20.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.72|0|0|0|0|0|0|0|0|26.66
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-59||NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION FOR NICU|25.81|13.68|19.36|20.65|21.94|23.23|0|20.85|18.58|17.47|0|25.81|17.06|0|12.44|21.13|16.21|15.77|0|0|19.36|20.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.32|0|0|0|0|0|0|0|0|25.81
HOSP OP|0250 - PHARMACY|66689-0036-50||PHENYTOIN 100MG/4ML ORAL SUSP - NICU ORAL SYRINGE|38.47|1936.62|2740.5|2923.2|3105.9|3288.6|0|2952.43|2630.88|2473.03|0|3654|0|0|0|2990.8|0|0|0|0|2740.5|2853.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3654
HOSP OP|0250 - PHARMACY|00574-0069-15||DEXTROSE 40 % ORAL GEL NEONATAL|30.7|16.27|0|24.56|0|27.63|0|24.81|22.1|20.78|0|30.7|20.29|0|14.8|25.13|19.28|18.76|0|0|0|23.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.65|0|0|0|0|0|0|0|0|30.7
HOSP OP|0250 - PHARMACY|NMRRX-2140-63||PHYTONADIONE 1 MG/ML ORAL LIQUID|44.98|23.84|0|35.98|0|40.48|0|36.34|32.39|30.44|0|44.98|29.73|0|21.68|36.82|28.25|27.48|0|0|0|35.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.47|0|0|0|0|0|0|0|0|44.98
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-64||CLONIDINE 10 MCG/ML ORAL SUSPENSION FOR NICU|25.17|13.34|18.88|20.14|21.39|22.65|0|20.34|18.12|17.04|0|25.17|16.64|0|12.13|20.6|15.81|15.38|0|0|18.88|19.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.01|0|0|0|0|0|0|0|0|25.17
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0757-62||LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION WRAPPER|27.75|14.71|20.81|22.2|23.59|24.98|0|22.42|19.98|18.78|0|27.75|18.34|0|13.38|22.71|17.43|16.96|0|0|20.81|21.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.25|0|0|0|0|0|0|0|0|27.75
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0066-00||LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION WRAPPER|27.75|14.71|20.81|22.2|23.59|24.98|0|22.42|19.98|18.78|0|27.75|18.34|0|13.38|22.71|17.43|16.96|0|0|20.81|21.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.25|0|0|0|0|0|0|0|0|27.75
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2141-01||SILDENAFIL 2.5 MG/ML ORAL SUSPENSION|25.18|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0250 - PHARMACY|NMRRX-2141-58||PHOSPHATE SALTS ORAL SOLUTION (NEONATE)|28.89|15.31|0|23.11|0|26|0|23.34|20.8|19.55|0|28.89|19.1|0|13.92|23.65|18.14|17.65|0|0|0|22.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.79|0|0|0|0|0|0|0|0|28.89
HOSP OP|0637 - DRUGS/SELF ADMIN|00517-7604-25||ACETYLCYSTEINE ORAL (NEPHROPATHY PREVENTION)|48.45|25.68|36.34|38.76|41.18|43.61|0|39.15|34.88|32.79|0|48.45|32.03|0|23.35|39.66|30.43|29.6|0|0|36.34|37.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.13|0|0|0|0|0|0|0|0|48.45
HOSP OP|0250 - PHARMACY|45802-0868-02||POLYETHYLENE GLYCOL 3350 100 % ORAL POWDER JAR|35.71|18.93|0|28.57|0|32.14|0|28.85|25.71|24.17|0|35.71|23.6|0|17.21|29.23|22.43|21.82|0|0|0|27.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.04|0|0|0|0|0|0|0|0|35.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2141-74|J1100|DEXAMETHASONE ( 10 MG/ML ) ORAL SOLUTION FROM INJECTABLE PRODUCT|27.43|14.54|20.57|21.94|23.32|24.69|0|22.16|19.75|18.56|0|27.43|1.4|0|1|22.45|1.3|1.3|0|0.117878193|20.57|21.42|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.7|0|0|0|0|0|0|0|0|27.43
HOSP OP|0250 - PHARMACY|00407-1401-52|Q9965|IOHEXOL 140 MGI/ML FOR RADIOLOGY TEST|40.2|21.31|30.15|32.16|34.17|36.18|0|32.48|28.94|27.21|0|40.2|1.32|0|0.96|32.9|1.25|1.22|0|0.884086444|30.15|31.4|0|0|0|0|0|0|0|0|0|0.9|0.884086444|0.9|0|0|0|0.7|0|0|0|0|0|0|0|0|40.2
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2141-76||ELEMENTAL IRON (FERROUS SULFATE) CONC: 15 MG/ML ORAL SOLUTION|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0250 - PHARMACY|NMRRX-2141-77||MORPHINE 0.4 MG/ML ORAL SYRINGE ( NEONATE )|25.18|13.35|0|20.14|0|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|0|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0250 - PHARMACY|NMRRX-2141-78||GLYCOPYRROLATE 200 MCG/ML ORAL SYRINGE FOR NICU|27.25|14.44|0|21.8|0|24.53|0|22.02|19.62|18.44|0|27.25|18.01|0|13.13|22.3|17.11|16.65|0|0|0|21.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.01|0|0|0|0|0|0|0|0|27.25
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2141-80||NIMODIPINE ORAL LIQUID 30 MG/ML|43.71|23.17|32.78|34.97|37.15|39.34|0|35.32|31.47|29.58|0|43.71|28.89|0|21.07|35.78|27.45|26.71|0|0|32.78|34.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.86|0|0|0|0|0|0|0|0|43.71
HOSP OP|0250 - PHARMACY|NMRRX-2141-95||HYDROMORPHONE 1 MG / 1 ML ORAL SYRINGE|25.51|13.52|0|20.41|0|22.96|0|20.61|18.37|17.27|0|25.51|16.86|0|12.3|20.88|16.02|15.59|0|0|0|19.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.18|0|0|0|0|0|0|0|0|25.51
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2141-96||URSODIOL 20 MG/ML ORAL SUSPENSION FOR NICU|28.41|15.06|21.31|22.73|24.15|25.57|0|22.96|20.46|19.23|0|28.41|18.78|0|13.69|23.25|17.84|17.36|0|0|21.31|22.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.56|0|0|0|0|0|0|0|0|28.41
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-51||LEVETIRACETAM (KEPPRA) 100 MG/ML ORAL SOLUTION||0|0|0|0|0|0|28.12|25.06|23.55|0|34.8|23|0|16.77|0|21.85|21.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.61|0|0|0|0|0|0|0|0|34.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-4799-05||LEVETIRACETAM (KEPPRA) 100 MG/ML ORAL SOLUTION|34.8|0|0|0|0|0|0|28.12|25.06|23.55|0|34.8|23|0|16.77|0|21.85|21.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.61|0|0|0|0|0|0|0|0|34.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0544-10||DOCUSATE SODIUM 50 MG/5 ML OTIC LIQUID|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2145-74||PHENOBARBITAL 10 MG/ML ORAL SUSPENSION ALCOHOL-FREE (NEONATE)(PEDS)|40.35|21.39|30.26|32.28|34.3|36.32|0|32.6|29.05|27.31|0|40.35|26.67|0|19.45|33.03|25.34|24.65|0|0|30.26|31.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.26|0|0|0|0|0|0|0|0|40.35
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2150-88|J1885|KETOROLAC 30 MG IN SODIUM CHLORIDE 10 ML SYRINGE|40.78|21.61|30.59|32.62|34.66|36.7|0|32.95|29.36|27.6|0|40.78|1.32|0|0.96|33.38|1.26|1.22|0|0.520628684|30.59|31.85|0|0|0|0|0|0|0|0|0|0.53|0.520628684|0.53|0|0|0|0.7|0|0|0|0|0|0|0|0|40.78
HOSP OP|0250 - PHARMACY|00409-1482-02||NITROGLYCERIN IN D5W 200 MCG/ML IV (CARDIOKING)|40.63|21.53|0|32.5|0|36.57|0|32.83|29.25|27.5|0|40.63|26.86|0|19.58|33.26|25.52|24.82|0|0|0|31.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.39|0|0|0|0|0|0|0|0|40.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2151-53|J1644|HEPARIN (PORCINE) 1000 UNIT/ML INJECTION (CARDIOKING)|40.13|21.27|30.1|32.1|34.11|36.12|0|32.43|28.89|27.16|0|40.13|2.6|0|1.9|32.85|2.5|2.4|0|0.235756385|30.1|31.34|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|1.3|0|0|0|0|0|0|0|0|40.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00264-9587-20|J1644|HEPARIN (PORCINE) IN D5W 25000 UNIT/250 ML IV FOR HIGH DOSE ORDER SET|60.63|32.13|45.47|48.5|51.54|54.57|0|48.99|43.65|41.03|0|60.63|6.5|0|4.75|49.63|6.25|6|0|0.235756385|45.47|47.35|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|3.25|0|0|0|0|0|0|0|0|60.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00264-9587-20|J1644|HEPARIN (PORCINE) IN D5W 25000 UNIT/250 ML IV FOR STANDARD DOSE ORD|60.63|32.13|45.47|48.5|51.54|54.57|0|48.99|43.65|41.03|0|60.63|6.5|0|4.75|49.63|6.25|6|0|0.235756385|45.47|47.35|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|3.25|0|0|0|0|0|0|0|0|60.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-8215-17|J1815|INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION FOR HIGH DOSE INL|33.48|17.74|25.11|26.78|28.46|30.13|0|27.05|24.11|22.66|0|33.48|33.48|0|33.48|27.4|33.48|33.48|0|0.903732809|25.11|26.15|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|32.81|0|0|0|0|0|0|0|0|33.48
HOSP OP|0250 - PHARMACY|NMRRX-2153-01||SODIUM BICARBONATE 50 MEQ/50 ML IV INFUSION|60.25|31.93|0|48.2|0|54.23|0|48.68|43.38|40.78|0|60.25|39.83|0|29.04|49.31|37.84|36.81|0|0|0|47.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.76|0|0|0|0|0|0|0|0|60.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING||J0690|CEFAZOLIN 1 GRAM SYRINGE|53.08|28.13|39.81|42.46|45.12|47.77|0|42.89|38.22|35.92|0|53.08|2.14|0|1.56|43.45|2.04|1.98|0|0.815324165|39.81|41.46|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1.12|0|0|0|0|0|0|0|0|53.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2153-56|J0690|CEFAZOLIN 2 GRAM SYRINGE|41.31|21.89|30.98|33.05|35.11|37.18|0|33.38|29.74|27.96|0|41.31|4.28|0|3.12|33.81|4.08|3.96|0|0.815324165|30.98|32.26|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|2.24|0|0|0|0|0|0|0|0|41.31
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2153-58|J7999|CEFAZOLIN 3 GRAM SYRINGE|60.15|31.88|45.11|48.12|51.13|54.14|0|48.6|43.31|40.71|0|60.15|39.76|0|28.99|49.23|37.77|36.75|0|0|45.11|46.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.71|0|0|0|0|0|0|0|0|60.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44567-0240-10|J0692|CEFEPIME 1 GRAM SOLUTION FOR INJECTION|50.87|26.96|38.15|40.7|43.24|45.78|0|41.1|36.63|34.43|0|50.87|6.38|0|4.64|41.64|6.06|5.9|0|1.777996071|38.15|39.73|0|0|0|0|0|0|0|0|0|1.81|1.777996071|1.81|0|0|0|3.4|0|0|0|0|0|0|0|0|50.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0437-10|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 G IN 100 ML|2056.9|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0438-20|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 G IN 100 ML|4073.8|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0439-40|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 G IN 100 ML|8107.6|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0436-05|J1459|IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 G IN 100 ML|1048.45|1090.16|1542.68|1645.52|1748.37|1851.21|1748.37|1661.98|1480.97|1392.11|0|2056.9|1040.2|1334.4|756.4|1683.57|988.6|962|1301|40.84479371|1542.68|1606.44|825.52|825.52|825.52|827.2|827.2|639.31|825.52|650.58|827.2|41.58|40.84479371|41.58|0|0|909.6|555.6|825.52|825.52|825.52|825.52|825.52|825.52|850.29|0|2056.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-5214-01|P9045|ALBUMIN HUMAN 5 % IV|135|71.55|101.25|108|114.75|121.5|114.75|109.08|97.2|91.37|0|135|67.66|52.45|49.2|110.5|64.3|62.57|51.14|52.4459725|101.25|105.44|52.45|52.45|52.45|126.08|126.34|41.05|52.45|41.78|126.34|53.39|52.4459725|53.39|0|0|58.75|36.14|52.45|52.45|52.45|52.45|52.45|52.45|54.02|0|135
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-5214-02|P9045|ALBUMIN HUMAN 5 % IV|135|71.55|101.25|108|114.75|121.5|114.75|109.08|97.2|91.37|0|135|67.66|52.45|49.2|110.5|64.3|62.57|51.14|52.4459725|101.25|105.44|52.45|52.45|52.45|126.08|126.34|41.05|52.45|41.78|126.34|53.39|52.4459725|53.39|0|0|58.75|36.14|52.45|52.45|52.45|52.45|52.45|52.45|54.02|0|135
HOSP OP|0250 - PHARMACY|NMRRX-2156-45||FENTANYL 2500 MCG/50 ML PCA INTRAVENOUS SOLUTION (MIXTURE)|41.88|22.2|0|33.5|0|37.69|0|33.84|30.15|28.34|0|41.88|27.68|0|20.19|34.28|26.3|25.59|0|0|0|32.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.99|0|0|0|0|0|0|0|0|41.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|71139-0018-01|J1170|HYDROMORPHONE 20 MG/100 ML PCA IV INFUSION (PREMIX)|108.75|57.64|81.56|87|92.44|97.88|0|87.87|78.3|73.6|0|108.75|17.5|0|12.7|89.01|16.6|16.15|0|3.104125737|81.56|84.93|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|9.35|0|0|0|0|0|0|0|0|108.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2159-08|j1450|FLUCONAZOLE ( DIFLUCAN ) 100 MG IV PIGGYBACK|41.5|21.99|31.13|33.2|35.28|37.35|0|33.53|29.88|28.09|0|41.5|27.43|0|20|33.97|26.06|25.36|0|4.675834971|31.13|32.41|0|0|0|0|0|0|0|0|0|4.76|4.675834971|4.76|0|0|16.6|19.81|0|0|0|0|0|0|0|0|41.5
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0730-11||SULFASALAZINE 500 MG TABLET|21.11|11.19|15.83|16.89|17.94|19|0|17.06|15.2|14.29|0|21.11|13.95|0|10.18|17.28|13.26|12.9|0|0|15.83|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.11
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0730-15||SULFASALAZINE 500 MG TABLET|21.11|11.19|15.83|16.89|17.94|19|0|17.06|15.2|14.29|0|21.11|13.95|0|10.18|17.28|13.26|12.9|0|0|15.83|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.08|0|0|0|0|0|0|0|0|21.11
HOSP OP|0250 - PHARMACY|39822-1000-01||TRANEXAMIC ACID 1000 MG/10 ML SOLUTION FOR TOPICAL USE ONLY|46.84|24.83|0|37.47|0|42.16|0|37.85|33.72|31.7|0|46.84|30.96|0|22.58|38.34|29.42|28.62|0|0|0|36.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.36|0|0|0|0|0|0|0|0|46.84
HOSP OP|0250 - PHARMACY|54162-0017-15||BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT|25.63|13.58|0|20.5|0|23.07|0|20.71|18.45|17.35|0|25.63|16.94|0|12.35|20.98|16.1|15.66|0|0|0|20.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.23|0|0|0|0|0|0|0|0|25.63
HOSP OP|0250 - PHARMACY|54162-0017-28||BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT|31.25|13.58|0|20.5|0|23.07|0|20.71|18.45|17.35|0|25.63|16.94|0|12.35|20.98|16.1|15.66|0|0|0|20.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.23|0|0|0|0|0|0|0|0|25.63
HOSP OP|0250 - PHARMACY|00904-6488-38||WHITE PETROLATUM-MINERAL OIL EYE OINTMENT|31.49|16.69|0|25.19|0|28.34|0|25.44|22.67|21.31|0|31.49|20.81|0|15.18|25.77|19.78|19.24|0|0|0|24.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.03|0|0|0|0|0|0|0|0|31.49
HOSP OP|0250 - PHARMACY|00527-1728-74||COCAINE 4 % TOPICAL SOLUTION|508.42|269.46|0|406.74|0|457.58|0|410.8|366.06|344.1|0|508.42|336.07|0|245.06|416.14|319.29|310.64|0|0|0|397.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|242.67|0|0|0|0|0|0|0|0|508.42
HOSP OP|0250 - PHARMACY|NMRRX-2170-08||LEECHES|68.5|36.3|0|54.8|0|61.65|0|55.35|49.32|46.36|0|68.5|45.28|0|33.02|56.07|43.02|41.85|0|0|0|53.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.7|0|0|0|0|0|0|0|0|68.5
HOSP OP|0250 - PHARMACY|||SUCROSE ( SWEET-EASE;SWEETUMS;TOOT SWEET ) 24 % ORAL SOLUTION|23.15|12.27|0|18.52|0|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|0|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0250 - PHARMACY|NMRRX-2170-34||SUCROSE ( SWEET-EASE;SWEETUMS;TOOT SWEET ) 24 % ORAL SOLUTION|23.15|12.27|0|18.52|0|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|0|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0250 - PHARMACY|NMRRX-5190-28||SUCROSE ( SWEET-EASE;SWEETUMS;TOOT SWEET ) 24 % ORAL SOLUTION|23.15|12.27|0|18.52|0|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|0|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0250 - PHARMACY|NMRRX-2170-37||CELLULOSE OXIDIZED 1 X 2 PADS|100.95|53.5|0|80.76|0|90.86|0|81.57|72.68|68.32|0|100.95|66.73|0|48.66|82.63|63.4|61.68|0|0|0|78.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|48.18|0|0|0|0|0|0|0|0|100.95
HOSP OP|0272 - STERILE SUPPLY|NMRRX-2170-40||THROMBIN GELATIN SEALANT KIT 5 ML|186.37|98.78|0|149.1|0|167.73|0|150.59|134.19|126.14|0|186.37|121.51|0|68.25|152.54|115.36|112.38|0|0|0|145.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.58|0|0|0|0|0|0|0|0|186.37
HOSP OP|0250 - PHARMACY|NMRRX-2170-41||FIBRILLAR COLLAGEN HEMOSTAT 1 GRAM FOAM|121.12|64.19|0|96.9|0|109.01|0|97.86|87.21|81.97|0|121.12|80.06|0|58.38|99.14|76.06|74|0|0|0|94.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.81|0|0|0|0|0|0|0|0|121.12
HOSP OP|0250 - PHARMACY|NMRRX-2170-70||DURASEAL SEALANT SYSTEM|2478.4|1313.55|0|1982.72|0|2230.56|0|2002.55|1784.45|1677.38|0|2478.4|1638.22|0|1194.59|2028.57|1556.44|1514.3|0|0|0|1935.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1182.94|0|0|0|0|0|0|0|0|2478.4
HOSP OP|0272 - STERILE SUPPLY|NMRRX-2170-73||THROMBIN GELATIN SEALANT KIT 10 ML|9690.1|5135.75|0|7752.08|0|8721.09|0|7829.6|6976.87|6558.26|0|9690.1|6317.95|0|3548.51|7931.35|5998.17|5843.13|0|0|0|7567.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4293.68|0|0|0|0|0|0|0|0|9690.1
HOSP OP|0250 - PHARMACY|00555-1009-16||CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH|94.87|50.28|0|75.9|0|85.38|0|76.65|68.31|64.21|0|94.87|62.71|0|45.73|77.65|59.58|57.97|0|0|0|74.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.28|0|0|0|0|0|0|0|0|94.87
HOSP OP|0272 - STERILE SUPPLY|NMRRX-2171-69||SURGIFLO HEMOSTATIC MATRIX KIT 8 ML|186.37|98.78|0|149.1|0|167.73|0|150.59|134.19|126.14|0|186.37|121.51|0|68.25|152.54|115.36|112.38|0|0|0|145.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.58|0|0|0|0|0|0|0|0|186.37
HOSP OP|0250 - PHARMACY|00023-3416-60||ARTIFICIAL TEARS EYE DROPPERETTE|67.16|35.59|0|53.73|0|60.44|0|54.27|48.36|45.45|0|67.16|44.39|0|32.37|54.97|42.18|41.03|0|0|0|52.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.06|0|0|0|0|0|0|0|0|67.16
HOSP OP|0250 - PHARMACY|00065-0416-36||ARTIFICIAL TEARS EYE DROPPERETTE|67.16|35.59|0|53.73|0|60.44|0|54.27|48.36|45.45|0|67.16|44.39|0|32.37|54.97|42.18|41.03|0|0|0|52.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.06|0|0|0|0|0|0|0|0|67.16
HOSP OP|0250 - PHARMACY|76045-0005-10|J2274|MORPHINE 4 MG/ML INJECTION WRAPPER|42.14|22.33|31.61|33.71|35.82|37.93|0|34.05|30.34|28.52|0|42.14|21.18|0|15.4|34.49|20.13|19.59|0|11.79764244|31.61|32.91|0|0|0|0|0|0|0|0|0|12.01|11.79764244|12.01|0|0|0|11.31|0|0|0|0|0|0|0|0|42.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0544-60||THIAMINE (VITAMIN B1) 100 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|10006-0700-21||THIAMINE (VITAMIN B1) 100 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0250 - PHARMACY|NMRRX-2172-06||TPN NEONATAL STARTER 10% DEXTROSE 5% AA WITH CALCIUM|503.49|266.85|0|402.79|0|453.14|0|406.82|362.51|340.76|0|503.49|332.81|0|242.68|412.11|316.19|307.63|0|0|0|393.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|240.32|0|0|0|0|0|0|0|0|503.49
HOSP OP|0250 - PHARMACY|00409-4283-01||LIDOCAINE 4 % SOLUTION FOR NEBULIZER|46.55|24.67|0|37.24|0|41.9|0|37.61|33.52|31.51|0|46.55|30.77|0|22.44|38.1|29.23|28.44|0|0|0|36.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.22|0|0|0|0|0|0|0|0|46.55
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0306-02|J3260|TOBRAMYCIN 40 MG/ML SOLUTION FOR INHALATION|52.12|27.62|39.09|41.7|44.3|46.91|0|42.11|37.53|35.27|0|52.12|15.08|0|10.96|42.66|14.32|13.92|0|3.693516699|39.09|40.71|0|0|0|0|0|0|0|0|0|3.76|3.693516699|3.76|0|0|0|8|0|0|0|0|0|0|0|0|52.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-6339-10|J1815|INSULIN ASPART 100 UNIT/ML SUBQ PEN - PRANDIAL UNIT/CARB - DOSED|76.36|40.47|57.27|61.09|64.91|68.72|0|61.7|54.98|51.68|0|76.36|69|0|49.8|62.5|65.4|63.6|0|0.903732809|57.27|59.64|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|36.6|0|0|0|0|0|0|0|0|76.36
HOSP OP|0250 - PHARMACY|NMRRX-2172-72||TPN NEONATAL STARTER 12.5% DEXTROSE 3.33% AA WITH CALCIUM|503.58|266.9|0|402.86|0|453.22|0|406.89|362.58|340.82|0|503.58|332.87|0|242.73|412.18|316.25|307.69|0|0|0|393.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|240.36|0|0|0|0|0|0|0|0|503.58
HOSP OP|0250 - PHARMACY|00904-6255-49||BENZOCAINE-MENTHOL LOZENGES|22.7|12.03|0|18.16|0|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|0|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0250 - PHARMACY|63824-0732-16||BENZOCAINE-MENTHOL LOZENGES|22.7|12.03|0|18.16|0|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|0|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0250 - PHARMACY|63824-0768-16||BENZOCAINE-MENTHOL LOZENGES|22.7|12.03|0|18.16|0|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|0|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0250 - PHARMACY|63824-0770-16||BENZOCAINE-MENTHOL LOZENGES|22.7|12.03|0|18.16|0|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|0|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0250 - PHARMACY|NMRRX-1015-38||BENZOCAINE-MENTHOL LOZENGES|22.7|12.03|0|18.16|0|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|0|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0452-00|J2270|MORPHINE 2 MG/ML INJECTION WRAPPER|43.32|22.96|32.49|34.66|36.82|38.99|0|35|31.19|29.32|0|43.32|3.57|0|2.6|35.46|3.4|3.3|0|2.033398821|32.49|33.83|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|1.91|0|0|0|0|0|0|0|0|43.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1890-03|J2270|MORPHINE 2 MG/ML INJECTION WRAPPER|46.64|22.96|32.49|34.66|36.82|38.99|0|35|31.19|29.32|0|43.32|3.57|0|2.6|35.46|3.4|3.3|0|2.033398821|32.49|33.83|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|1.91|0|0|0|0|0|0|0|0|43.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7983-09|J7030|SODIUM CHLORIDE 0.9% FOR PRIMING|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7983-02|J7030|SODIUM CHLORIDE 0.9% FOR PRIMING|51.88|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7984-36|J7030|SODIUM CHLORIDE 0.9% FOR PRIMING|43.13|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7983-03|J7030|SODIUM CHLORIDE 0.9% FOR PRIMING|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-09|J7030|SODIUM CHLORIDE 0.9% IV BOLUS|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-36|J7030|SODIUM CHLORIDE 0.9% IV BOLUS|63.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7983-61|J7030|SODIUM CHLORIDE 0.9% IV BOLUS|63.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7984-37|J7030|SODIUM CHLORIDE 0.9% IV BOLUS|63.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7953-09|J7120|LACTATED RINGERS IV BOLUS|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7953-03|J7120|LACTATED RINGERS IV BOLUS|45.63|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7929-09|J7120|DEXTROSE 5 % AND LACTATED RINGERS IV BOLUS|43.13|22.86|32.35|34.5|36.66|38.82|0|34.85|31.05|29.19|0|43.13|3.16|0|2.3|35.3|3|2.92|0|2.357563851|32.35|33.68|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|43.13
HOSP OP|0258 - IV SOLUTIONS|00409-7926-02|J7042|DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE IV BOLUS|40.63|21.53|30.47|32.5|34.54|36.57|0|32.83|29.25|27.5|0|40.63|1.29|0|0.94|33.26|1.23|1.19|0|0.933202358|30.47|31.73|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|0.68|0|0|0|0|0|0|0|0|40.63
HOSP OP|0258 - IV SOLUTIONS|00409-7926-03|J7042|DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE IV BOLUS|40.63|21.53|30.47|32.5|34.54|36.57|0|32.83|29.25|27.5|0|40.63|1.29|0|0.94|33.26|1.23|1.19|0|0.933202358|30.47|31.73|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|0.68|0|0|0|0|0|0|0|0|40.63
HOSP OP|0258 - IV SOLUTIONS|00409-7926-09|J7042|DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE IV BOLUS|40.63|21.53|30.47|32.5|34.54|36.57|0|32.83|29.25|27.5|0|40.63|1.29|0|0.94|33.26|1.23|1.19|0|0.933202358|30.47|31.73|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|0.68|0|0|0|0|0|0|0|0|40.63
HOSP OP|0258 - IV SOLUTIONS|00409-7941-09|J7042|DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE IV FLUID BOLUS|43.13|22.86|32.35|34.5|36.66|38.82|0|34.85|31.05|29.19|0|43.13|1.29|0|0.94|35.3|1.23|1.19|0|0.933202358|32.35|33.68|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|0.68|0|0|0|0|0|0|0|0|43.13
HOSP OP|0258 - IV SOLUTIONS|00409-7930-02||DEXTROSE 10 % ( D10W ) IV BOLUS|51.88|27.5|0|41.5|0|46.69|0|41.92|37.35|35.11|0|51.88|34.29|0|25.01|42.46|32.58|31.7|0|0|0|40.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.76|0|0|0|0|0|0|0|0|51.88
HOSP OP|0258 - IV SOLUTIONS|00409-7930-03||DEXTROSE 10 % ( D10W ) IV BOLUS|51.25|27.5|0|41.5|0|46.69|0|41.92|37.35|35.11|0|51.88|34.29|0|25.01|42.46|32.58|31.7|0|0|0|40.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.76|0|0|0|0|0|0|0|0|51.88
HOSP OP|0258 - IV SOLUTIONS|00409-7922-09||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-0017-03||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-6346-02||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7922-02||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7922-61||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7923-36||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7923-37||DEXTROSE 5 % IN WATER (D5W) IV BOLUS|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|0|39.38|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|00338-0054-03||SODIUM CHLORIDE 3 % INTRAVENOUS SOLUTION - ORDER SET ONLY|43.75|23.19|0|35|0|39.38|0|35.35|31.5|29.61|0|43.75|28.92|0|21.09|35.81|27.48|26.73|0|0|0|34.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.88|0|0|0|0|0|0|0|0|43.75
HOSP OP|0258 - IV SOLUTIONS|00409-7984-13|J7030|SODIUM CHLORIDE 0.9% IV FLUSH BAG|65.63|34.78|49.22|52.5|55.79|59.07|0|53.03|47.25|44.42|0|65.63|0.81|0|0.59|53.72|0.77|0.75|0|2.593320236|49.22|0|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|0.43|0|0|0|0|0|0|0|0|65.63
HOSP OP|0250 - PHARMACY|62584-0990-01||DIGOXIN ORAL LOADING DOSE|27.23|338.14|478.5|510.4|542.3|574.2|0|515.5|459.36|431.8|0|638|415.98|0|233.64|522.2|394.92|384.71|0|0|478.5|498.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|282.7|0|0|0|0|0|0|0|0|638
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2190-02||MISOPROSTOL 25 MCG TAB|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2190-58||MAGNESIUM OXIDE 200 MG (1/2 OF 400 MG TAB)|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0072-01||METFORMIN ER 500 MG TABLET EXTENDED RELEASE WRAPPER|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0072-11||METFORMIN ER 500 MG TABLET EXTENDED RELEASE WRAPPER|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0250 - PHARMACY|67919-0020-10||ALVIMOPAN ( ENTEREG ) CAPSULE PRE-OPERATIVE|539.54|285.96|0|431.63|0|485.59|0|435.95|388.47|365.16|0|539.54|356.64|0|260.06|441.61|338.83|329.66|0|0|0|421.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257.52|0|0|0|0|0|0|0|0|539.54
HOSP OP|0250 - PHARMACY|67919-0020-10||ALVIMOPAN ( ENTEREG ) CAPSULE POST-OPERATIVE|539.54|285.96|0|431.63|0|485.59|0|435.95|388.47|365.16|0|539.54|356.64|0|260.06|441.61|338.83|329.66|0|0|0|421.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257.52|0|0|0|0|0|0|0|0|539.54
HOSP OP|0250 - PHARMACY|00517-8571-10||ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION|63.22|33.51|0|50.58|0|56.9|0|51.08|45.52|42.79|0|63.22|41.79|0|30.47|51.75|39.7|38.63|0|0|0|49.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.17|0|0|0|0|0|0|0|0|63.22
HOSP OP|0250 - PHARMACY|00517-8575-10||ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLUTION|304.48|33.51|0|50.58|0|56.9|0|51.08|45.52|42.79|0|63.22|41.79|0|30.47|51.75|39.7|38.63|0|0|0|49.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.17|0|0|0|0|0|0|0|0|63.22
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0534-01||QUETIAPINE 300 MG TABLET|21.9|11.61|16.43|17.52|18.62|19.71|0|17.7|15.77|14.82|0|21.9|14.48|0|10.56|17.93|13.75|13.38|0|0|16.43|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.9
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0534-11||QUETIAPINE 300 MG TABLET|21.9|11.61|16.43|17.52|18.62|19.71|0|17.7|15.77|14.82|0|21.9|14.48|0|10.56|17.93|13.75|13.38|0|0|16.43|17.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.45|0|0|0|0|0|0|0|0|21.9
HOSP OP|0250 - PHARMACY|63323-0489-17||LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 INJECTION SOLUTION|59.48|31.52|0|47.58|0|53.53|0|48.06|42.83|40.26|0|59.48|39.32|0|28.67|48.68|37.35|36.34|0|0|0|46.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.39|0|0|0|0|0|0|0|0|59.48
HOSP OP|0250 - PHARMACY|63323-0489-27||LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 INJECTION SOLUTION|67.1|31.52|0|47.58|0|53.53|0|48.06|42.83|40.26|0|59.48|39.32|0|28.67|48.68|37.35|36.34|0|0|0|46.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.39|0|0|0|0|0|0|0|0|59.48
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-3542-01||CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0250 - PHARMACY|00338-0519-09||FAT EMULSION 20 % INTRAVENOUS|67.5|35.77|0|54|0|60.75|0|54.54|48.6|45.68|0|67.5|44.62|0|32.54|55.25|42.39|41.24|0|0|0|52.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.22|0|0|0|0|0|0|0|0|67.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00185-0146-01||NABUMETONE 750 MG TABLET|21.43|11.36|16.07|17.14|18.22|19.29|0|17.32|15.43|14.5|0|21.43|14.17|0|10.33|17.54|13.46|13.09|0|0|16.07|16.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.23|0|0|0|0|0|0|0|0|21.43
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0127-01||PINDOLOL 10 MG TABLET|24.06|12.75|18.05|19.25|20.45|21.65|0|19.44|17.32|16.28|0|24.06|15.9|0|11.6|19.69|15.11|14.7|0|0|18.05|18.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.48|0|0|0|0|0|0|0|0|24.06
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0499-01||GLYCOPYRROLATE 1 MG TABLET|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0637 - DRUGS/SELF ADMIN|57664-0502-89||TIZANIDINE 2 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0250 - PHARMACY|00574-7110-12||MORPHINE 5 MG RECTAL SUPPOSITORY|31.15|16.51|0|24.92|0|28.04|0|25.17|22.43|21.08|0|31.15|20.59|0|15.01|25.5|19.56|19.03|0|0|0|24.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.87|0|0|0|0|0|0|0|0|31.15
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0582-01||LEUCOVORIN CALCIUM 25 MG TABLET|42.5|22.52|31.88|34|36.13|38.25|0|34.34|30.6|28.76|0|42.5|28.09|0|20.49|34.79|26.69|25.97|0|0|31.88|33.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.29|0|0|0|0|0|0|0|0|42.5
HOSP OP|0250 - PHARMACY|00574-0122-25||ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION|57.38|30.41|43.04|45.9|48.77|51.64|0|46.36|41.31|38.83|0|57.38|37.93|0|27.66|46.97|36.03|35.06|0|0|43.04|44.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.95|27.39|0|0|0|0|0|0|0|0|57.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00310-0720-10|J9395|FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE|2835.86|1503.01|2126.9|2268.69|2410.48|2552.27|2410.48|2291.37|2041.82|1919.31|0|2835.86|1257.6|975.4|914.5|2321.15|1195.2|1163.1|951|89.2043222|2126.9|2214.81|494.81|494.81|494.81|2042.32|2046.49|664.98|494.81|676.71|2046.49|90.81|89.2043222|90.81|0|0|1106.3|671.9|494.81|494.81|494.81|494.81|494.81|494.81|509.65|0|2835.86
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5610-61||ENALAPRIL MALEATE 10 MG TABLET|20.78|11.01|15.59|16.62|17.66|18.7|0|16.79|14.96|14.06|0|20.78|13.74|0|10.02|17.01|13.05|12.7|0|0|15.59|16.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.92|0|0|0|0|0|0|0|0|20.78
HOSP OP|0637 - DRUGS/SELF ADMIN|00430-0472-03||RISEDRONATE 35 MG TABLET|34.43|18.25|25.82|27.54|29.27|30.99|0|27.82|24.79|23.3|0|34.43|22.76|0|16.6|28.18|21.62|21.04|0|0|25.82|26.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.43|0|0|0|0|0|0|0|0|34.43
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-3165-00||RISEDRONATE 35 MG TABLET|34.43|18.25|25.82|27.54|29.27|30.99|0|27.82|24.79|23.3|0|34.43|22.76|0|16.6|28.18|21.62|21.04|0|0|25.82|26.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.43|0|0|0|0|0|0|0|0|34.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00075-0624-30|J1650|ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE|46.37|24.58|34.78|37.1|39.41|41.73|0|37.47|33.39|31.38|0|46.37|2.97|0|2.16|37.95|2.82|2.76|0|0.667976424|34.78|36.21|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|1.56|0|0|0|0|0|0|0|0|46.37
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0568-83|J1650|ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE|46.37|24.58|34.78|37.1|39.41|41.73|0|37.47|33.39|31.38|0|46.37|2.97|0|2.16|37.95|2.82|2.76|0|0.667976424|34.78|36.21|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|1.56|0|0|0|0|0|0|0|0|46.37
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0568-88|J1650|ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE|52.22|27.68|39.17|41.78|44.39|47|0|42.19|37.6|35.34|0|52.22|5.94|0|4.32|42.74|5.64|5.52|0|0.667976424|39.17|40.78|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|3.12|0|0|0|0|0|0|0|0|52.22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0568-90|J1650|ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE|57.15|30.29|42.86|45.72|48.58|51.44|0|46.18|41.15|38.68|0|57.15|7.92|0|5.76|46.78|7.52|7.36|0|0.667976424|42.86|44.63|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|4.16|0|0|0|0|0|0|0|0|57.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0568-84|J1650|ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE|61.45|32.57|46.09|49.16|52.23|55.31|0|49.65|44.24|41.59|0|61.45|9.9|0|7.2|50.3|9.4|9.2|0|0.667976424|46.09|47.99|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|5.2|0|0|0|0|0|0|0|0|61.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0568-87|J1650|ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE|48.57|25.74|36.43|38.86|41.28|43.71|0|39.24|34.97|32.87|0|48.57|3.96|0|2.88|39.75|3.76|3.68|0|0.667976424|36.43|37.93|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|2.08|0|0|0|0|0|0|0|0|48.57
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0381-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULEEXTEND RELEASE|39.85|21.12|29.89|31.88|33.87|35.87|0|32.2|28.69|26.97|0|39.85|26.34|0|19.21|32.62|25.03|24.35|0|0|29.89|31.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02|0|0|0|0|0|0|0|0|39.85
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0385-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULEEXTEND RELEASE|39.85|21.12|29.89|31.88|33.87|35.87|0|32.2|28.69|26.97|0|39.85|26.34|0|19.21|32.62|25.03|24.35|0|0|29.89|31.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02|0|0|0|0|0|0|0|0|39.85
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0389-01||DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULEEXTEND RELEASE|39.85|21.12|29.89|31.88|33.87|35.87|0|32.2|28.69|26.97|0|39.85|26.34|0|19.21|32.62|25.03|24.35|0|0|29.89|31.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.02|0|0|0|0|0|0|0|0|39.85
HOSP OP|0250 - PHARMACY|00487-9501-01||ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION|40.37|21.4|0|32.3|0|36.33|0|32.62|29.07|27.32|0|40.37|26.68|0|19.46|33.04|25.35|24.67|0|0|0|31.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.27|0|0|0|0|0|0|0|0|40.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0404-01||VERAPAMIL 40 MG TABLET|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0250 - PHARMACY|51079-0164-03||VORICONAZOLE 50 MG TABLET|42.11|22.32|0|33.69|0|37.9|0|34.02|30.32|28.5|0|42.11|27.83|0|20.3|34.47|26.45|25.73|0|0|0|32.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.1|0|0|0|0|0|0|0|0|42.11
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6471-04||VORICONAZOLE 200 MG TABLET|57.1|30.26|42.83|45.68|48.54|51.39|0|46.14|41.11|38.65|0|57.1|37.74|0|27.52|46.74|35.86|34.89|0|0|42.83|44.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.25|0|0|0|0|0|0|0|0|57.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3416-94|J3465|VORICONAZOLE 200 MG INTRAVENOUS SOLUTION|118.8|62.96|89.1|95.04|100.98|106.92|0|95.99|85.54|80.4|0|118.8|46|0|33.4|97.24|43.6|42.4|0|2.111984283|89.1|92.78|0|0|0|0|0|0|0|0|0|2.15|2.111984283|2.15|0|0|0|24.4|0|0|0|0|0|0|0|0|118.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5062-60||CALCIUM CITRATE 200 MG (950 MG) TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0229-05|J2720|PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION|49.87|26.43|37.4|39.9|42.39|44.88|0|40.29|35.91|33.75|0|49.87|3.9|0|2.85|40.82|3.72|3.6|0|1.090373281|37.4|38.95|0|0|0|0|0|0|0|0|0|1.11|1.090373281|1.11|0|0|0|2.07|0|0|0|0|0|0|0|0|49.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0229-30|J2720|PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION|49.87|26.43|37.4|39.9|42.39|44.88|0|40.29|35.91|33.75|0|49.87|3.9|0|2.85|40.82|3.72|3.6|0|1.090373281|37.4|38.95|0|0|0|0|0|0|0|0|0|1.11|1.090373281|1.11|0|0|0|2.07|0|0|0|0|0|0|0|0|49.87
HOSP OP|0250 - PHARMACY|10122-0510-01||PORACTANT ALFA 120 MG/1.5 ML ENDOTRACHEAL SUSPENSION|1099.75|582.87|0|879.8|0|989.78|0|888.6|791.82|744.31|0|1099.75|726.93|0|530.08|900.15|690.64|671.95|0|0|0|858.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|524.91|0|0|0|0|0|0|0|0|1099.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4981-00|90744|HEPATITIS B VIRUS VACCINE CUSTOM|70.19|37.2|52.64|56.15|59.66|63.17|59.66|56.71|50.54|47.5|0|70.19|33.72|26.9|24.52|57.45|32.05|31.19|26.23|26.89587426|52.64|54.82|28.08|0|28.08|70.19|70.19|30.3|28.08|36.17|70.19|27.38|26.89587426|27.38|0|0|28.08|18.01|27.51|27.51|28.08|27.51|35.1|28.08|28.08|0|70.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2056-61||DIPHENHYDRAMINE 50 MG CAPSULE|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58468-0090-01|J7325|HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE|388.3|205.8|291.23|310.64|330.06|349.47|330.06|313.75|279.58|262.8|0|388.3|244.8|213.12|177.92|317.82|232.64|226.4|207.84|11.03143418|291.23|303.26|178.98|178.98|178.98|388.3|381.31|138.11|178.98|140.54|381.31|11.23|11.03143418|11.23|0|0|203.84|130.72|178.98|178.98|178.98|178.98|178.98|178.98|184.35|0|388.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58468-0090-02|J7325|HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE|388.3|205.8|291.23|310.64|330.06|349.47|330.06|313.75|279.58|262.8|0|388.3|244.8|213.12|177.92|317.82|232.64|226.4|207.84|11.03143418|291.23|303.26|178.98|178.98|178.98|388.3|381.31|138.11|178.98|140.54|381.31|11.23|11.03143418|11.23|0|0|203.84|130.72|178.98|178.98|178.98|178.98|178.98|178.98|184.35|0|388.3
HOSP OP|0250 - PHARMACY|64253-0900-30|J3490|CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE|59.75|31.67|44.81|47.8|50.79|53.78|0|48.28|43.02|40.44|0|59.75|39.49|0|28.8|48.91|37.52|36.51|0|0|44.81|46.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.52|0|0|0|0|0|0|0|0|59.75
HOSP OP|0250 - PHARMACY|76329-3304-01|J3490|CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE|59.75|31.67|44.81|47.8|50.79|53.78|0|48.28|43.02|40.44|0|59.75|39.49|0|28.8|48.91|37.52|36.51|0|0|44.81|46.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.52|0|0|0|0|0|0|0|0|59.75
HOSP OP|0272 - STERILE SUPPLY|56091-0019-53|A6242|"CELLULOSE OXIDIZED 2"" X 3"" MISC"|28.77|15.25|21.58|23.02|24.45|25.89|0|23.25|20.71|19.47|0|28.77|18.76|0|10.54|23.55|17.81|17.35|0|6.335952849|21.58|22.47|0|0|0|0|0|0|0|0|0|6.45|6.335952849|6.45|0|0|0|12.75|0|0|0|0|0|0|0|0|28.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-2748-65||FAMOTIDINE 10 MG TABLET|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0250 - PHARMACY|00517-9203-25||TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS|63.25|33.52|0|50.6|0|56.93|0|51.11|45.54|42.81|0|63.25|41.81|0|30.49|51.77|39.72|38.65|0|0|0|49.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.19|0|0|0|0|0|0|0|0|63.25
HOSP OP|0250 - PHARMACY|63713-0019-51||"CELLULOSE OXIDIZED 2"" X 14"" PADS"|426.03|225.8|0|340.82|0|383.43|0|344.23|306.74|288.34|0|426.03|281.61|0|205.35|348.71|267.55|260.3|0|0|0|332.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.34|0|0|0|0|0|0|0|0|426.03
HOSP OP|0250 - PHARMACY|NMRRX-0247-92||"CELLULOSE OXIDIZED 3"" X 4"" PADS"|32.74|17.35|0|26.19|0|29.47|0|26.45|23.57|22.16|0|32.74|21.64|0|15.78|26.8|20.56|20|0|0|0|25.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.63|0|0|0|0|0|0|0|0|32.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4837-01|90732|PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE|276.94|146.78|207.71|221.55|235.4|249.25|235.4|223.77|199.4|187.43|0|276.94|139|114.21|101.07|226.68|132.1|128.55|111.35|114.2141454|207.71|216.29|110.78|0|110.78|276.94|276.94|124.14|110.78|153.61|276.94|116.27|114.2141454|116.27|0|0|127.92|74.26|121.38|121.38|110.78|121.38|138.47|110.78|110.78|0|276.94
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4837-03|90732|PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE|276.94|146.78|207.71|221.55|235.4|249.25|235.4|223.77|199.4|187.43|0|276.94|139|114.21|101.07|226.68|132.1|128.55|111.35|114.2141454|207.71|216.29|110.78|0|110.78|276.94|276.94|124.14|110.78|153.61|276.94|116.27|114.2141454|116.27|0|0|127.92|74.26|121.38|121.38|110.78|121.38|138.47|110.78|110.78|0|276.94
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00049-3920-20|J3486|ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION|70.24|37.23|52.68|56.19|59.7|63.22|0|56.75|50.57|47.54|0|70.24|23.35|0|16.98|57.49|22.19|21.59|0|17.956778|52.68|54.86|0|0|0|0|0|0|0|0|0|18.28|17.956778|18.28|0|0|0|12.47|0|0|0|0|0|0|0|0|70.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00049-3920-83|J3486|ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION|70.24|37.23|52.68|56.19|59.7|63.22|0|56.75|50.57|47.54|0|70.24|23.35|0|16.98|57.49|22.19|21.59|0|17.956778|52.68|54.86|0|0|0|0|0|0|0|0|0|18.28|17.956778|18.28|0|0|0|12.47|0|0|0|0|0|0|0|0|70.24
HOSP OP|0258 - IV SOLUTIONS|00409-4902-34|J7060|DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE|59.5|31.53|44.63|47.6|50.58|53.55|0|48.08|42.84|40.27|0|59.5|3.2|0|2.33|48.7|3.04|2.96|0|1.817288802|44.63|46.47|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|59.5
HOSP OP|0258 - IV SOLUTIONS|00409-6648-02|J7060|DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION|43.19|22.89|32.39|34.55|36.71|38.87|0|34.9|31.1|29.23|0|43.19|3.2|0|2.33|35.35|3.04|2.96|0|1.817288802|32.39|33.73|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|43.19
HOSP OP|0258 - IV SOLUTIONS|00409-7922-09|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-0017-38|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|43.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7923-37|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|43.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7922-61|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|51.63|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-0017-02|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-6346-02|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7922-02|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|48.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7923-36|J7070|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION|43.38|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|5.88|0|4.28|42.97|5.59|5.44|0|3.605108055|39.38|41|0|0|0|0|0|0|0|0|0|3.67|3.605108055|3.67|0|0|0|3.14|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7930-09||DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION|52.5|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7930-02||DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION|51.88|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00409-7930-03||DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION|51.25|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0258 - IV SOLUTIONS|00338-0719-06|J7060|DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION|60|31.8|45|48|51|54|0|48.48|43.2|40.61|0|60|12.8|0|9.32|49.11|12.16|11.84|0|1.817288802|45|46.86|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|6.8|0|0|0|0|0|0|0|0|60
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-5140-01|J2020|LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK|91|48.23|68.25|72.8|77.35|81.9|0|73.53|65.52|61.59|0|91|32.94|0|23.94|74.48|31.29|30.45|0|5.559921415|68.25|71.07|0|0|0|0|0|0|0|0|0|5.66|5.559921415|5.66|0|0|0|17.58|0|0|0|0|0|0|0|0|91
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-5140-04|J2020|LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK|91|48.23|68.25|72.8|77.35|81.9|0|73.53|65.52|61.59|0|91|32.94|0|23.94|74.48|31.29|30.45|0|5.559921415|68.25|71.07|0|0|0|0|0|0|0|0|0|5.66|5.559921415|5.66|0|0|0|17.58|0|0|0|0|0|0|0|0|91
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|69339-0136-32|J3360|DIAZEPAM 5 MG/ML INJECTION SYRINGE|50.21|26.61|37.66|40.17|42.68|45.19|0|40.57|36.15|33.98|0|50.21|8.88|0|6.45|41.1|8.43|8.21|0|9.42043222|37.66|39.21|0|0|0|0|0|0|0|0|0|9.59|9.42043222|9.59|0|0|0|4.74|0|0|0|0|0|0|0|0|50.21
HOSP OP|0637 - DRUGS/SELF ADMIN|65580-0251-01||PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN|25.18|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0711-05||PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN|25.86|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0250-44||PREDNISOLONE SODIUM PHOSPHATE 5 MG BASE/5 ML (6.7 MG/5 ML) ORAL SOLN|25.86|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6086-61||CITALOPRAM 40 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0250 - PHARMACY|00409-5534-34|J3490|SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE|62.35|33.05|46.76|49.88|53|56.12|0|50.38|44.89|42.2|0|62.35|41.21|0|30.05|51.03|39.16|38.1|0|0|46.76|48.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.76|0|0|0|0|0|0|0|0|62.35
HOSP OP|0250 - PHARMACY|76329-3352-01|J3490|SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE|67|35.51|50.25|53.6|56.95|60.3|0|54.14|48.24|45.35|0|67|44.29|0|32.29|54.84|42.08|40.94|0|0|50.25|52.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.98|0|0|0|0|0|0|0|0|67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-1240-01|J3430|PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE|136.41|72.3|102.31|109.13|115.95|122.77|0|110.22|98.22|92.32|0|136.41|10.92|0|7.94|111.65|10.38|10.1|0|4.233791749|102.31|106.54|0|0|0|0|0|0|0|0|0|4.31|4.233791749|4.31|0|0|0|5.82|0|0|0|0|0|0|0|0|136.41
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00562-7805-05|J2790|RHO(D) IMMUNE GLOBULIN 1500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE|206.51|109.45|154.88|165.21|175.53|185.86|0|166.86|148.69|139.77|0|206.51|106.04|0|77.1|169.03|100.78|98.06|0|74.64636542|154.88|161.28|0|0|0|0|0|0|0|0|0|75.99|74.64636542|75.99|0|0|0|56.65|0|0|0|0|0|0|0|0|206.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0569-90|J1650|ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE|65.69|34.82|49.27|52.55|55.84|59.12|0|53.08|47.3|44.46|0|65.69|11.88|0|8.64|53.77|11.28|11.04|0|0.667976424|49.27|51.3|0|0|0|0|0|0|0|0|0|0.68|0.667976424|0.68|0|0|0|6.24|0|0|0|0|0|0|0|0|65.69
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60793-0701-10|J0561|PENICILLIN G BENZATHINE 1200000 UNIT/2 ML INTRAMUSCULAR SYRINGE|439.7|233.04|329.78|351.76|373.75|395.73|373.75|355.28|316.58|297.59|0|439.7|214.44|166.44|155.88|359.89|203.76|198.24|162.24|13.76227898|329.78|343.41|180.4|180.4|180.4|396.89|397.7|129.23|180.4|131.51|397.7|14.01|13.76227898|14.01|0|0|186|114.48|180.4|180.4|180.4|180.4|180.4|180.4|185.81|0|439.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60793-0601-10|J0558|PENICILLIN G BENZATHINE AND PROCAINE 1200000 UNIT/2 ML IM SYRINGE|358.6|190.06|268.95|286.88|304.81|322.74|304.81|289.75|258.19|242.7|0|358.6|169.68|132.12|123.36|293.51|161.28|156.96|128.76|10.87426326|268.95|280.07|143.44|0|143.44|348.68|355.8|175.92|143.44|178.44|355.8|11.07|10.87426326|11.07|0|0|147.84|90.48|0|0|143.44|0|179.3|143.44|143.44|0|358.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50653-0006-01|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50653-0006-04|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|87541-0301-31|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89122-0724-20|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|89130-4444-01|J7321|SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE|195|103.35|146.25|156|165.75|175.5|0|157.56|140.4|131.98|0|195|103.08|0|74.96|159.61|97.97|95.33|0|82.84872299|146.25|152.3|0|0|0|0|0|0|0|0|0|84.34|82.84872299|84.34|0|0|83.84|55.07|0|0|0|0|0|0|0|0|195
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1782-69|J2310|NALOXONE 0.4 MG/ML INJECTION SYRINGE|73.63|39.02|55.22|58.9|62.59|66.27|0|59.49|53.01|49.83|0|73.63|22.86|0|16.62|60.27|21.72|21.14|0|13.28094303|55.22|57.51|0|0|0|0|0|0|0|0|0|13.52|13.28094303|13.52|0|0|0|12.21|0|0|0|0|0|0|0|0|73.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-3369-01|J2310|NALOXONE 1 MG/ML INJECTION SYRINGE|53.8|28.51|40.35|43.04|45.73|48.42|0|43.47|38.74|36.41|0|53.8|22.86|0|16.62|44.04|21.72|21.14|0|13.28094303|40.35|42.02|0|0|0|0|0|0|0|0|0|13.52|13.28094303|13.52|0|0|0|12.21|0|0|0|0|0|0|0|0|53.8
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0543-01||ESCITALOPRAM 10 MG TABLET|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0543-20||ESCITALOPRAM 10 MG TABLET|20.62|10.93|15.47|16.5|17.53|18.56|0|16.66|14.85|13.96|0|20.62|13.63|0|9.94|16.88|12.95|12.6|0|0|15.47|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.62
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0544-01||ESCITALOPRAM 20 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0544-20||ESCITALOPRAM 20 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1972-01||DESIPRAMINE 25 MG TABLET|24.12|12.78|18.09|19.3|20.5|21.71|0|19.49|17.37|16.32|0|24.12|15.94|0|11.63|19.74|15.15|14.74|0|0|18.09|18.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.51|0|0|0|0|0|0|0|0|24.12
HOSP OP|0637 - DRUGS/SELF ADMIN|43547-0367-03||VALSARTAN 40 MG TABLET|20.76|11|15.57|16.61|17.65|18.68|0|16.77|14.95|14.05|0|20.76|13.72|0|10.01|16.99|13.04|12.68|0|0|15.57|16.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.91|0|0|0|0|0|0|0|0|20.76
HOSP OP|0250 - PHARMACY|63323-0463-57||BUPIVACAINE-EPINEPHRINE 0.5 %-1:200000 INJECTION SOLUTION|62.75|33.26|0|50.2|0|56.48|0|50.7|45.18|42.47|0|62.75|41.48|0|30.25|51.36|39.41|38.34|0|0|0|49.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.95|0|0|0|0|0|0|0|0|62.75
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0255-98|J1815|INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN|52.12|27.62|39.09|41.7|44.3|46.91|0|42.11|37.53|35.27|0|52.12|23|0|16.6|42.66|21.8|21.2|0|0.903732809|39.09|40.71|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|52.12
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-3696-19|J1815|INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN|68.64|27.62|39.09|41.7|44.3|46.91|0|42.11|37.53|35.27|0|52.12|23|0|16.6|42.66|21.8|21.2|0|0.903732809|39.09|40.71|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|52.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|62935-0223-05|J9217|LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE|785.76|416.45|589.32|628.61|667.9|707.18|667.9|634.89|565.75|531.8|0|785.76|785.76|785.76|664.53|643.14|785.76|785.76|785.76|241.5815324|589.32|613.68|617.66|617.66|617.66|785.76|771.62|540.21|617.66|549.73|771.62|245.93|241.5815324|245.93|0|0|771.24|488.25|617.66|617.66|617.66|617.66|617.66|617.66|636.19|0|785.76
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0776-01||DIVALPROEX 250 MG TABLETDELAYED RELEASE|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0776-11||DIVALPROEX 250 MG TABLETDELAYED RELEASE|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0637 - DRUGS/SELF ADMIN|00025-1710-03||EPLERENONE 25 MG TABLET|20.21|10.71|15.16|16.17|17.18|18.19|0|16.33|14.55|13.68|0|20.21|13.36|0|9.74|16.54|12.69|12.35|0|0|15.16|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.21
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-1720-01||EPLERENONE 50 MG TABLET|29.68|15.73|22.26|23.74|25.23|26.71|0|23.98|21.37|20.09|0|29.68|19.62|0|14.31|24.29|18.64|18.13|0|0|22.26|23.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.17|0|0|0|0|0|0|0|0|29.68
HOSP OP|0250 - PHARMACY|45334-0300-04||EMOLLIENT TOPICAL CREAM|34.24|18.15|0|27.39|0|30.82|0|27.67|24.65|23.17|0|34.24|22.63|0|16.5|28.03|21.5|20.92|0|0|0|26.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.34|0|0|0|0|0|0|0|0|34.24
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0414-28||EZETIMIBE 10 MG TABLET|46.87|24.84|35.15|37.5|39.84|42.18|0|37.87|33.75|31.72|0|46.87|30.98|0|22.59|38.36|29.43|28.64|0|0|35.15|36.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.37|0|0|0|0|0|0|0|0|46.87
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0414-29||EZETIMIBE 10 MG TABLET|46.87|24.84|35.15|37.5|39.84|42.18|0|37.87|33.75|31.72|0|46.87|30.98|0|22.59|38.36|29.43|28.64|0|0|35.15|36.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.37|0|0|0|0|0|0|0|0|46.87
HOSP OP|0250 - PHARMACY|11673-0450-15||NAPHAZOLINE-HYPROMELLOSE 0.03 %-0.5 % EYE DROPS|34.18|18.12|0|27.34|0|30.76|0|27.62|24.61|23.13|0|34.18|22.59|0|16.47|27.98|21.47|20.88|0|0|0|26.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.31|0|0|0|0|0|0|0|0|34.18
HOSP OP|0250 - PHARMACY|00283-0679-02||BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY|184.82|97.95|0|147.86|0|166.34|0|149.33|133.07|125.09|0|184.82|122.17|0|89.08|151.28|116.07|112.93|0|0|0|144.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.21|0|0|0|0|0|0|0|0|184.82
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0898-03||ARIPIPRAZOLE 10 MG TABLET|20.22|10.72|15.17|16.18|17.19|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|15.17|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0899-03||ARIPIPRAZOLE 15 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|15.32|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0899-09||ARIPIPRAZOLE 15 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|15.32|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|00074-3826-13||DIVALPROEX ER 250 MG TABLETEXTENDED RELEASE 24 HR|28.84|15.29|21.63|23.07|24.51|25.96|0|23.3|20.76|19.52|0|28.84|19.06|0|13.9|23.61|18.11|17.62|0|0|21.63|22.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.77|0|0|0|0|0|0|0|0|28.84
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0261-88|J1815|INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN|50.36|26.69|37.77|40.29|42.81|45.32|0|40.69|36.26|34.08|0|50.36|23|0|16.6|41.22|21.8|21.2|0|0.903732809|37.77|39.33|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|50.36
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-8805-59|J1815|INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN|71.08|26.69|37.77|40.29|42.81|45.32|0|40.69|36.26|34.08|0|50.36|23|0|16.6|41.22|21.8|21.2|0|0.903732809|37.77|39.33|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|50.36
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3542-56||ATOMOXETINE 10 MG CAPSULE|30.32|16.07|22.74|24.26|25.77|27.29|0|24.5|21.83|20.52|0|30.32|20.04|0|14.61|24.82|19.04|18.53|0|0|22.74|23.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.47|0|0|0|0|0|0|0|0|30.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3544-56||ATOMOXETINE 25 MG CAPSULE|30.55|16.19|22.91|24.44|25.97|27.5|0|24.68|22|20.68|0|30.55|20.19|0|14.73|25.01|19.19|18.67|0|0|22.91|23.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.58|0|0|0|0|0|0|0|0|30.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3545-56||ATOMOXETINE 40 MG CAPSULE|31.21|16.54|23.41|24.97|26.53|28.09|0|25.22|22.47|21.12|0|31.21|20.63|0|15.04|25.55|19.6|19.07|0|0|23.41|24.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.9|0|0|0|0|0|0|0|0|31.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8859-25||TRIAZOLAM 0.25 MG TABLET|23.27|12.33|17.45|18.62|19.78|20.94|0|18.8|16.75|15.75|0|23.27|15.38|0|11.22|19.05|14.61|14.22|0|0|17.45|18.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.11|0|0|0|0|0|0|0|0|23.27
HOSP OP|0250 - PHARMACY|17478-0716-10||APRACLONIDINE 0.5 % EYE DROPS|217.13|115.08|0|173.7|0|195.42|0|175.44|156.33|146.95|0|217.13|143.52|0|104.66|177.72|136.36|132.67|0|0|0|169.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.64|0|0|0|0|0|0|0|0|217.13
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0978-20||CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLETEXTENDED RELEASE|21.99|11.65|16.49|17.59|18.69|19.79|0|17.77|15.83|14.88|0|21.99|14.54|0|10.6|18|13.81|13.44|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|21.99
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0281-01||CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLETEXTENDED RELEASE|21.99|11.65|16.49|17.59|18.69|19.79|0|17.77|15.83|14.88|0|21.99|14.54|0|10.6|18|13.81|13.44|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|21.99
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0281-11||CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLETEXTENDED RELEASE|21.99|11.65|16.49|17.59|18.69|19.79|0|17.77|15.83|14.88|0|21.99|14.54|0|10.6|18|13.81|13.44|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|21.99
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0690-01||LOPERAMIDE 2 MG CAPSULE|21.93|11.62|16.45|17.54|18.64|19.74|0|17.72|15.79|14.84|0|21.93|14.5|0|10.57|17.95|13.77|13.4|0|0|16.45|17.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.77|10.47|0|0|0|0|0|0|0|0|21.93
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0690-20||LOPERAMIDE 2 MG CAPSULE|21.93|11.62|16.45|17.54|18.64|19.74|0|17.72|15.79|14.84|0|21.93|14.5|0|10.57|17.95|13.77|13.4|0|0|16.45|17.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.77|10.47|0|0|0|0|0|0|0|0|21.93
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8958-01||DEXTROAMPHETAMINE 5 MG TABLET|23.85|12.64|17.89|19.08|20.27|21.47|0|19.27|17.17|16.14|0|23.85|15.76|0|11.5|19.52|14.98|14.57|0|0|17.89|18.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.38|0|0|0|0|0|0|0|0|23.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-9158-01|J3430|PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION|57.25|30.34|42.94|45.8|48.66|51.53|0|46.26|41.22|38.75|0|57.25|10.92|0|7.94|46.86|10.38|10.1|0|4.233791749|42.94|44.71|0|0|0|0|0|0|0|0|0|4.31|4.233791749|4.31|0|0|0|5.82|0|0|0|0|0|0|0|0|57.25
HOSP OP|0637 - DRUGS/SELF ADMIN|29033-0001-01||THEOPHYLLINE ER 400 MG TABLETEXTENDED RELEASE|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3213-10|J3360|DIAZEPAM 5 MG/ML INJECTION SOLUTION|44.18|23.42|33.14|35.34|37.55|39.76|0|35.7|31.81|29.9|0|44.18|8.88|0|6.45|36.16|8.43|8.21|0|9.42043222|33.14|34.5|0|0|0|0|0|0|0|0|0|9.59|9.42043222|9.59|0|0|0|4.74|0|0|0|0|0|0|0|0|44.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-3213-12|J3360|DIAZEPAM 5 MG/ML INJECTION SOLUTION|44.18|23.42|33.14|35.34|37.55|39.76|0|35.7|31.81|29.9|0|44.18|8.88|0|6.45|36.16|8.43|8.21|0|9.42043222|33.14|34.5|0|0|0|0|0|0|0|0|0|9.59|9.42043222|9.59|0|0|0|4.74|0|0|0|0|0|0|0|0|44.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6554-61||TRAZODONE 50 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-2653-00||TRAZODONE 50 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0188-13|J0572|BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET|24.69|13.09|18.52|19.75|20.99|22.22|20.99|19.95|17.78|16.71|0|24.69|10.19|13.83|7.41|20.21|9.69|9.42|13.48|0|18.52|19.28|24.69|24.69|0|21.33|22.17|10.63|24.69|10.81|22.17|0|0|0|0|0|9.88|5.44|0|0|24.69|0|28.39|24.69|24.69|0|28.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0189-13|J0574|BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET|28.54|15.13|21.41|22.83|24.26|25.69|24.26|23.06|20.55|19.32|0|28.54|17.11|15.98|12.44|23.36|16.26|15.82|15.58|0|21.41|22.29|28.54|28.54|0|24.66|25.63|12.29|28.54|12.49|25.63|0|0|0|0|0|11.42|9.13|0|0|28.54|0|32.82|28.54|28.54|0|32.82
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0145-11|J0574|BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET|28.54|15.13|21.41|22.83|24.26|25.69|24.26|23.06|20.55|19.32|0|28.54|17.11|15.98|12.44|23.36|16.26|15.82|15.58|0|21.41|22.29|28.54|28.54|0|24.66|25.63|12.29|28.54|12.49|25.63|0|0|0|0|0|11.42|9.13|0|0|28.54|0|32.82|28.54|28.54|0|32.82
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0145-15|J0574|BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET|28.54|15.13|21.41|22.83|24.26|25.69|24.26|23.06|20.55|19.32|0|28.54|17.11|15.98|12.44|23.36|16.26|15.82|15.58|0|21.41|22.29|28.54|28.54|0|24.66|25.63|12.29|28.54|12.49|25.63|0|0|0|0|0|11.42|9.13|0|0|28.54|0|32.82|28.54|28.54|0|32.82
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0176-13|J0571|BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET|21.22|11.25|15.92|16.98|18.04|19.1|18.04|17.15|15.28|14.36|0|21.22|1.94|3.6|1.4|17.37|1.84|1.78|3.52|0|15.92|16.57|21.22|21.22|0|18.33|19.05|9.14|21.22|9.29|19.05|0|0|0|0|0|8.49|1.02|0|0|21.22|0|24.4|21.22|21.22|0|24.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0924-93|J0571|BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET|24.71|13.1|18.53|19.77|21|22.24|21|19.97|17.79|16.72|0|24.71|7.76|14.4|5.6|20.23|7.36|7.12|14.08|0|18.53|19.3|24.71|24.71|0|21.35|22.19|10.64|24.71|10.82|22.19|0|0|0|0|0|9.88|4.08|0|0|24.71|0|28.42|24.71|24.71|0|28.42
HOSP OP|0637 - DRUGS/SELF ADMIN|00113-0873-03||NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE|21.62|11.46|16.22|17.3|18.38|19.46|0|17.47|15.57|14.63|0|21.62|14.29|0|10.42|17.7|13.58|13.21|0|0|16.22|16.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.32|0|0|0|0|0|0|0|0|21.62
HOSP OP|0637 - DRUGS/SELF ADMIN|96295-0114-93||NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE|21.62|11.46|16.22|17.3|18.38|19.46|0|17.47|15.57|14.63|0|21.62|14.29|0|10.42|17.7|13.58|13.21|0|0|16.22|16.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.32|0|0|0|0|0|0|0|0|21.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00113-0344-03||NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|96295-0114-92||NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6422-81||POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET|23.21|12.3|17.41|18.57|19.73|20.89|0|18.75|16.71|15.71|0|23.21|15.34|0|11.19|19|14.58|14.18|0|0|17.41|18.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.08|0|0|0|0|0|0|0|0|23.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6422-86||POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET|23.21|12.3|17.41|18.57|19.73|20.89|0|18.75|16.71|15.71|0|23.21|15.34|0|11.19|19|14.58|14.18|0|0|17.41|18.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.08|0|0|0|0|0|0|0|0|23.21
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0027-02||POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET|23.21|12.3|17.41|18.57|19.73|20.89|0|18.75|16.71|15.71|0|23.21|15.34|0|11.19|19|14.58|14.18|0|0|17.41|18.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.08|0|0|0|0|0|0|0|0|23.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-3685-12|J1815|INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN|140.7|74.57|105.53|112.56|119.6|126.63|0|113.69|101.3|95.23|0|140.7|140.7|0|140.7|115.16|140.7|140.7|0|0.903732809|105.53|109.89|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|122|0|0|0|0|0|0|0|0|140.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-6339-10|J1815|INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN|68.64|36.38|51.48|54.91|58.34|61.78|0|55.46|49.42|46.46|0|68.64|68.64|0|49.8|56.18|65.4|63.6|0|0.903732809|51.48|53.61|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|36.6|0|0|0|0|0|0|0|0|68.64
HOSP OP|0637 - DRUGS/SELF ADMIN|13668-0132-01||FELODIPINE ER 2.5 MG TABLETEXTENDED RELEASE 24 HR|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-3675-91|J9250|METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION|0.62|0.33|0.47|0.5|0.53|0.56|0|0.5|0.45|0.42|0|0.62|0.62|0|0.46|0.51|0.62|0.6|0|0.25540275|0.47|0.48|0|0|0|0|0|0|0|0|0|0.26|0.25540275|0.26|0|0|0|0.34|0|0|0|0|0|0|0|0|0.62
HOSP OP|0637 - DRUGS/SELF ADMIN|59746-0211-06||CYCLOBENZAPRINE 5 MG TABLET|20.47|10.85|15.35|16.38|17.4|18.42|0|16.54|14.74|13.85|0|20.47|13.53|0|9.87|16.75|12.86|12.51|0|0|15.35|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|62935-0303-30|J9217|LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE|1047.69|555.28|785.77|838.15|890.54|942.92|890.54|846.53|754.34|709.08|0|1047.69|1047.69|1047.69|886.04|857.53|1047.69|1047.69|1047.69|241.5815324|785.77|818.25|823.54|823.54|823.54|1047.69|1028.83|720.28|823.54|732.98|1028.83|245.93|241.5815324|245.93|0|0|1028.32|651|823.54|823.54|823.54|823.54|823.54|823.54|848.25|0|1047.69
HOSP OP|0637 - DRUGS/SELF ADMIN|00143-1480-01||PROPYLTHIOURACIL 50 MG TABLET|21.72|11.51|16.29|17.38|18.46|19.55|0|17.55|15.64|14.7|0|21.72|14.36|0|10.47|17.78|13.64|13.27|0|0|16.29|16.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.37|0|0|0|0|0|0|0|0|21.72
HOSP OP|0637 - DRUGS/SELF ADMIN|00228-2348-10||PROPYLTHIOURACIL 50 MG TABLET|21.72|11.51|16.29|17.38|18.46|19.55|0|17.55|15.64|14.7|0|21.72|14.36|0|10.47|17.78|13.64|13.27|0|0|16.29|16.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.37|0|0|0|0|0|0|0|0|21.72
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5502-61||ENALAPRIL MALEATE 5 MG TABLET|21.02|11.14|15.77|16.82|17.87|18.92|0|16.98|15.13|14.23|0|21.02|13.89|0|10.13|17.2|13.2|12.84|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.03|0|0|0|0|0|0|0|0|21.02
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0307-02||CLONAZEPAM 0.25 MG DISINTEGRATING TABLET|21.58|11.44|16.19|17.26|18.34|19.42|0|17.44|15.54|14.61|0|21.58|14.26|0|10.4|17.66|13.55|13.19|0|0|16.19|16.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0390-54|J3489|ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION|66.53|35.26|49.9|53.22|56.55|59.88|0|53.76|47.9|45.03|0|66.53|65.8|0|47.84|54.45|62.52|60.84|0|10.88408644|49.9|51.96|0|0|0|0|0|0|0|0|0|11.08|10.88408644|11.08|0|0|0|35.12|0|0|0|0|0|0|0|0|66.53
HOSP OP|0250 - PHARMACY|10019-0075-87|J3490|ESMOLOL 2000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV|427.25|226.44|320.44|341.8|363.16|384.53|0|345.22|307.62|289.16|0|427.25|282.41|0|205.93|349.7|268.31|261.05|0|0|320.44|333.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.93|0|0|0|0|0|0|0|0|427.25
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0311-55||RISPERIDONE 0.5 MG DISINTEGRATING TABLET|29.75|15.77|22.31|23.8|25.29|26.78|0|24.04|21.42|20.13|0|29.75|19.66|0|14.34|24.35|18.68|18.18|0|0|22.31|23.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.2|0|0|0|0|0|0|0|0|29.75
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0602-28||RISPERIDONE 1 MG DISINTEGRATING TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63020-0049-01|J9041|BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION|4809|2548.77|3606.75|3847.2|4087.65|4328.1|4087.65|3885.67|3462.48|3254.73|0|4809|2059.4|1556.1|1497.3|3936.17|1957.2|1904.35|1517.25|47.1021611|3606.75|3755.83|1574.55|1574.55|1574.55|3773.9|3781.6|1228.79|1574.55|1250.46|3781.6|47.95|47.1021611|47.95|0|0|1640.8|1100.05|1574.55|1574.55|1574.55|1574.55|1574.55|1574.55|1621.78|0|4809
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0995-25||PHENOBARBITAL 97.2 MG TABLET|25.72|13.63|19.29|20.58|21.86|23.15|0|20.78|18.52|17.41|0|25.72|17|0|12.4|21.05|16.15|15.71|0|0|19.29|20.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.28|0|0|0|0|0|0|0|0|25.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0995-95||PHENOBARBITAL 97.2 MG TABLET|25.72|13.63|19.29|20.58|21.86|23.15|0|20.78|18.52|17.41|0|25.72|17|0|12.4|21.05|16.15|15.71|0|0|19.29|20.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.28|0|0|0|0|0|0|0|0|25.72
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0047-24|J1956|LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK|45|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|3.8|0|2.76|36.83|3.6|3.5|0|0.658153242|33.75|35.15|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|2|0|0|0|0|0|0|0|0|45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0048-24|J1956|LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK|45.63|24.18|34.22|36.5|38.79|41.07|0|36.87|32.85|30.88|0|45.63|5.7|0|4.14|37.35|5.4|5.25|0|0.658153242|34.22|35.64|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|3|0|0|0|0|0|0|0|0|45.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0046-24|J1956|LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK|43.88|23.26|32.91|35.1|37.3|39.49|0|35.46|31.59|29.7|0|43.88|1.9|0|1.38|35.92|1.8|1.75|0|0.658153242|32.91|34.27|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|1|0|0|0|0|0|0|0|0|43.88
HOSP OP|0250 - PHARMACY|00409-9045-01|J3490|BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200000 INJECTION SOLUTION|44.8|23.74|33.6|35.84|38.08|40.32|0|36.2|32.26|30.32|0|44.8|29.61|0|21.59|36.67|28.13|27.37|0|0|33.6|34.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.38|0|0|0|0|0|0|0|0|44.8
HOSP OP|0250 - PHARMACY|00409-1746-30|J3490|BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200000 INJECTION SOLUTION|48.68|25.8|36.51|38.94|41.38|43.81|0|39.33|35.05|32.95|0|48.68|32.18|0|23.46|39.84|30.57|29.74|0|0|36.51|38.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.23|0|0|0|0|0|0|0|0|48.68
HOSP OP|0250 - PHARMACY|00409-9042-01|J3490|BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200000 INJECTION SOLUTION|48.68|25.8|36.51|38.94|41.38|43.81|0|39.33|35.05|32.95|0|48.68|32.18|0|23.46|39.84|30.57|29.74|0|0|36.51|38.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.23|0|0|0|0|0|0|0|0|48.68
HOSP OP|0250 - PHARMACY|00409-9042-17|J3490|BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200000 INJECTION SOLUTION|48.68|25.8|36.51|38.94|41.38|43.81|0|39.33|35.05|32.95|0|48.68|32.18|0|23.46|39.84|30.57|29.74|0|0|36.51|38.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.23|0|0|0|0|0|0|0|0|48.68
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1159-01|J3490|BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION|43|22.79|32.25|34.4|36.55|38.7|0|34.74|30.96|29.1|0|43|28.42|0|20.73|35.2|27|26.27|0|0|32.25|33.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.52|0|0|0|0|0|0|0|0|43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1159-02|J3490|BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION|43|22.79|32.25|34.4|36.55|38.7|0|34.74|30.96|29.1|0|43|28.42|0|20.73|35.2|27|26.27|0|0|32.25|33.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.52|0|0|0|0|0|0|0|0|43
HOSP OP|0250 - PHARMACY|00409-1162-01|J3490|BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION|42.85|22.71|32.14|34.28|36.42|38.57|0|34.62|30.85|29|0|42.85|28.32|0|20.65|35.07|26.91|26.18|0|0|32.14|33.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.45|0|0|0|0|0|0|0|0|42.85
HOSP OP|0250 - PHARMACY|00409-1162-02|J3490|BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION|42.85|22.71|32.14|34.28|36.42|38.57|0|34.62|30.85|29|0|42.85|28.32|0|20.65|35.07|26.91|26.18|0|0|32.14|33.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.45|0|0|0|0|0|0|0|0|42.85
HOSP OP|0250 - PHARMACY|00409-1165-02||BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION|46.98|24.9|0|37.58|0|42.28|0|37.96|33.83|31.8|0|46.98|31.05|0|22.64|38.45|29.5|28.7|0|0|0|36.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.42|0|0|0|0|0|0|0|0|46.98
HOSP OP|0250 - PHARMACY|55150-0171-10||BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION|46.98|24.9|0|37.58|0|42.28|0|37.96|33.83|31.8|0|46.98|31.05|0|22.64|38.45|29.5|28.7|0|0|0|36.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.42|0|0|0|0|0|0|0|0|46.98
HOSP OP|0250 - PHARMACY|00409-1761-02||BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION|49.52|26.25|0|39.62|0|44.57|0|40.01|35.65|33.52|0|49.52|32.73|0|23.87|40.53|31.1|30.26|0|0|0|38.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.64|0|0|0|0|0|0|0|0|49.52
HOSP OP|0250 - PHARMACY|36000-0092-10||BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION|49.52|26.25|0|39.62|0|44.57|0|40.01|35.65|33.52|0|49.52|32.73|0|23.87|40.53|31.1|30.26|0|0|0|38.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.64|0|0|0|0|0|0|0|0|49.52
HOSP OP|0250 - PHARMACY|70004-0230-32||FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION|72.25|38.29|0|57.8|0|65.03|0|58.38|52.02|48.9|0|72.25|47.76|0|34.82|59.14|45.37|44.14|0|0|0|56.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.48|0|0|0|0|0|0|0|0|72.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-3294-50||FUROSEMIDE 10 MG/ML ORAL SOLUTION|26.05|13.81|19.54|20.84|22.14|23.45|0|21.05|18.76|17.63|0|26.05|17.22|0|12.56|21.32|16.36|15.92|0|0|19.54|20.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.43|0|0|0|0|0|0|0|0|26.05
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0027-91||FUROSEMIDE 10 MG/ML ORAL SOLUTION|26.05|13.81|19.54|20.84|22.14|23.45|0|21.05|18.76|17.63|0|26.05|17.22|0|12.56|21.32|16.36|15.92|0|0|19.54|20.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.43|0|0|0|0|0|0|0|0|26.05
HOSP OP|0258 - IV SOLUTIONS|00338-0704-34|J7042|POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN|45|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|2.58|0|1.88|36.83|2.46|2.38|0|0.933202358|33.75|35.15|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|45
HOSP OP|0250 - PHARMACY|52380-1905-04||POVIDONE-IODINE 10 % TOPICAL SOLUTION|23.24|12.32|17.43|18.59|19.75|20.92|0|18.78|16.73|15.73|0|23.24|15.36|0|11.2|19.02|14.59|14.2|0|0|17.43|18.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.3|11.09|0|0|0|0|0|0|0|0|23.24
HOSP OP|0250 - PHARMACY|67618-0150-05||POVIDONE-IODINE 10 % TOPICAL SOLUTION|23.24|12.32|17.43|18.59|19.75|20.92|0|18.78|16.73|15.73|0|23.24|15.36|0|11.2|19.02|14.59|14.2|0|0|17.43|18.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.3|11.09|0|0|0|0|0|0|0|0|23.24
HOSP OP|0250 - PHARMACY|52380-1905-08||POVIDONE-IODINE 10 % TOPICAL SOLUTION|28.54|12.32|17.43|18.59|19.75|20.92|0|18.78|16.73|15.73|0|23.24|15.36|0|11.2|19.02|14.59|14.2|0|0|17.43|18.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.3|11.09|0|0|0|0|0|0|0|0|23.24
HOSP OP|0250 - PHARMACY|00363-0309-01||OXYMETAZOLINE 0.05 % NASAL SPRAY|35.98|19.07|0|28.78|0|32.38|0|29.07|25.91|24.35|0|35.98|23.78|0|17.34|29.45|22.6|21.98|0|0|0|28.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.17|0|0|0|0|0|0|0|0|35.98
HOSP OP|0250 - PHARMACY|00904-6761-30||OXYMETAZOLINE 0.05 % NASAL SPRAY|51.95|19.07|0|28.78|0|32.38|0|29.07|25.91|24.35|0|35.98|23.78|0|17.34|29.45|22.6|21.98|0|0|0|28.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.17|0|0|0|0|0|0|0|0|35.98
HOSP OP|0250 - PHARMACY|00024-1353-01||PHENYLEPHRINE 0.5 % NASAL SPRAY|31.57|16.73|0|25.26|0|28.41|0|25.51|22.73|21.37|0|31.57|20.87|0|15.22|25.84|19.83|19.29|0|0|0|24.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.07|0|0|0|0|0|0|0|0|31.57
HOSP OP|0250 - PHARMACY|00904-3865-75||SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL|22.12|11.72|0|17.7|0|19.91|0|17.87|15.93|14.97|0|22.12|14.62|0|10.66|18.11|13.89|13.52|0|0|0|17.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.56|0|0|0|0|0|0|0|0|22.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0644-01||CYCLOBENZAPRINE 10 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0644-20||CYCLOBENZAPRINE 10 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.07|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6290-61||ATORVASTATIN 10 MG TABLET|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1101-81||CONJUGATED ESTROGENS 0.45 MG TABLET|36.46|19.32|27.35|29.17|30.99|32.81|0|29.46|26.25|24.68|0|36.46|24.1|0|17.57|29.84|22.9|22.28|0|0|27.35|28.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.4|0|0|0|0|0|0|0|0|36.46
HOSP OP|0637 - DRUGS/SELF ADMIN|64764-0544-11||LANSOPRAZOLE 30 MG DELAYED RELEASEDISINTEGRATING TABLET|58.56|31.04|43.92|46.85|49.78|52.7|0|47.32|42.16|39.63|0|58.56|38.71|0|28.23|47.93|36.78|35.78|0|0|43.92|45.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.95|0|0|0|0|0|0|0|0|58.56
HOSP OP|0637 - DRUGS/SELF ADMIN|64764-0543-11||LANSOPRAZOLE 15 MG DELAYED RELEASEDISINTEGRATING TABLET|58.56|31.04|43.92|46.85|49.78|52.7|0|47.32|42.16|39.63|0|58.56|38.71|0|28.23|47.93|36.78|35.78|0|0|43.92|45.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.95|0|0|0|0|0|0|0|0|58.56
HOSP OP|0250 - PHARMACY|00168-0111-09||BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET|20.41|10.82|0|16.33|0|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|0|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0250 - PHARMACY|45802-0060-70||BACITRACIN 500 UNIT/GRAM TOPICAL PACKET|20.31|10.76|15.23|16.25|17.26|18.28|0|16.41|14.62|13.75|0|20.31|13.42|0|9.79|16.62|12.75|12.41|0|0|15.23|15.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.12|9.69|0|0|0|0|0|0|0|0|20.31
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0261-01||KETOCONAZOLE 200 MG TABLET|22.97|12.17|17.23|18.38|19.52|20.67|0|18.56|16.54|15.55|0|22.97|15.18|0|11.07|18.8|14.43|14.03|0|0|17.23|17.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.96|0|0|0|0|0|0|0|0|22.97
HOSP OP|0250 - PHARMACY|47781-0207-04||ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH|66.2|35.09|0|52.96|0|59.58|0|53.49|47.66|44.8|0|66.2|43.76|0|31.91|54.18|41.57|40.45|0|0|0|51.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.6|0|0|0|0|0|0|0|0|66.2
HOSP OP|0250 - PHARMACY|50419-0459-04||ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH|66.2|35.09|0|52.96|0|59.58|0|53.49|47.66|44.8|0|66.2|43.76|0|31.91|54.18|41.57|40.45|0|0|0|51.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.6|0|0|0|0|0|0|0|0|66.2
HOSP OP|0250 - PHARMACY|00378-3360-99||ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH|72.92|38.65|0|58.34|0|65.63|0|58.92|52.5|49.35|0|72.92|48.2|0|35.15|59.69|45.79|44.55|0|0|0|56.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.8|0|0|0|0|0|0|0|0|72.92
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0957-01||DOXAZOSIN 1 MG TABLET|28.31|15|21.23|22.65|24.06|25.48|0|22.87|20.38|19.16|0|28.31|18.71|0|13.65|23.17|17.78|17.3|0|0|21.23|22.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.51|0|0|0|0|0|0|0|0|28.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0957-20||DOXAZOSIN 1 MG TABLET|28.31|15|21.23|22.65|24.06|25.48|0|22.87|20.38|19.16|0|28.31|18.71|0|13.65|23.17|17.78|17.3|0|0|21.23|22.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.51|0|0|0|0|0|0|0|0|28.31
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6653-05|J3480|POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION|41.17|21.82|30.88|32.94|34.99|37.05|0|33.27|29.64|27.86|0|41.17|0.9|0|0.65|33.7|0.85|0.85|0|0.137524558|30.88|32.15|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.45|0|0|0|0|0|0|0|0|41.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0965-20|J3480|POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION|41.17|21.82|30.88|32.94|34.99|37.05|0|33.27|29.64|27.86|0|41.17|0.9|0|0.65|33.7|0.85|0.85|0|0.137524558|30.88|32.15|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.45|0|0|0|0|0|0|0|0|41.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0967-30|J3480|POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION|41.17|21.82|30.88|32.94|34.99|37.05|0|33.27|29.64|27.86|0|41.17|0.9|0|0.65|33.7|0.85|0.85|0|0.137524558|30.88|32.15|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.45|0|0|0|0|0|0|0|0|41.17
HOSP OP|0250 - PHARMACY|65162-0897-03||ARIPIPRAZOLE 5 MG TABLET|20.43|10.83|0|16.34|0|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|0|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00310-0950-36|J9202|GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT|1815|961.95|1361.25|1452|1542.75|1633.5|1542.75|1466.52|1306.8|1228.39|0|1815|646.56|609.84|470.13|1485.58|614.48|597.94|594.59|529.1846758|1361.25|1417.52|504.3|504.3|504.3|1211.47|1213.94|394.46|504.3|401.41|1213.94|538.71|529.1846758|538.71|0|0|560.32|345.44|504.3|504.3|504.3|504.3|504.3|504.3|519.42|0|1815
HOSP OP|0250 - PHARMACY|00065-8533-02||CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPSSUSPENSION|715.57|379.25|0|572.46|0|644.01|0|578.18|515.21|484.3|0|715.57|472.99|0|344.9|585.69|449.38|437.21|0|0|0|558.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|341.54|0|0|0|0|0|0|0|0|715.57
HOSP OP|0250 - PHARMACY|42211-0102-43||INDOMETHACIN 50 MG RECTAL SUPPOSITORY|499.2|264.58|0|399.36|0|449.28|0|403.35|359.42|337.86|0|499.2|329.97|0|240.61|408.6|313.5|305.01|0|0|0|389.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|238.27|0|0|0|0|0|0|0|0|499.2
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0146-12||LACTOBACILLUS ACIDOPHILUS BULGARICUS 100 MILLION CELL GRANULES PACKET|24.07|12.76|18.05|19.26|20.46|21.66|0|19.45|17.33|16.29|0|24.07|15.91|0|11.6|19.7|15.12|14.71|0|0|18.05|18.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.49|0|0|0|0|0|0|0|0|24.07
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0146-98||LACTOBACILLUS ACIDOPHILUS BULGARICUS 100 MILLION CELL GRANULES PACKET|24.07|12.76|18.05|19.26|20.46|21.66|0|19.45|17.33|16.29|0|24.07|15.91|0|11.6|19.7|15.12|14.71|0|0|18.05|18.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.49|0|0|0|0|0|0|0|0|24.07
HOSP OP|0250 - PHARMACY|00409-6657-73|J7131|SODIUM CHLORIDE 2.5 MEQ/ML INTRAVENOUS SOLUTION|42.85|22.71|32.14|34.28|36.42|38.57|0|34.62|30.85|29|0|42.85|0.8|0|0.6|35.07|0.8|0.8|0|0.029469548|32.14|33.47|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.2|0|0|0|0|0|0|0|0|42.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00245-0036-60||CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET|25.85|13.7|19.39|20.68|21.97|23.27|0|20.89|18.61|17.5|0|25.85|17.09|0|12.46|21.16|16.23|15.79|0|0|19.39|20.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.34|0|0|0|0|0|0|0|0|25.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|16729-0108-11|J9280|MITOMYCIN 20 MG INTRAVENOUS SOLUTION|387.54|205.4|290.66|310.03|329.41|348.79|329.41|313.13|279.03|262.29|0|387.54|387.54|387.54|387.54|317.2|387.54|387.54|387.54|83.88015717|290.66|302.67|228.85|228.85|228.85|387.54|380.56|250.11|228.85|254.52|380.56|85.39|83.88015717|85.39|0|0|387.54|344.76|228.85|228.85|228.85|228.85|228.85|228.85|235.71|0|387.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|62856-0797-01|J2469|PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION|563.76|298.79|422.82|451.01|479.2|507.38|0|455.52|405.91|381.55|0|563.76|192.9|0|140.2|461.44|183.3|178.4|0|6.208251473|422.82|440.3|0|0|0|0|0|0|0|0|0|6.32|6.208251473|6.32|0|0|100|103|0|0|0|0|0|0|0|0|563.76
HOSP OP|0637 - DRUGS/SELF ADMIN|00310-0755-90||ROSUVASTATIN 5 MG TABLET|44.23|23.44|33.17|35.38|37.6|39.81|0|35.74|31.85|29.93|0|44.23|29.24|0|21.32|36.2|27.78|27.02|0|0|33.17|34.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.11|0|0|0|0|0|0|0|0|44.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00310-0751-39||ROSUVASTATIN 10 MG TABLET|44.54|23.61|33.41|35.63|37.86|40.09|0|35.99|32.07|30.14|0|44.54|29.44|0|21.47|36.46|27.97|27.21|0|0|33.41|34.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.26|0|0|0|0|0|0|0|0|44.54
HOSP OP|0637 - DRUGS/SELF ADMIN|00310-0752-39||ROSUVASTATIN 20 MG TABLET|44.54|23.61|33.41|35.63|37.86|40.09|0|35.99|32.07|30.14|0|44.54|29.44|0|21.47|36.46|27.97|27.21|0|0|33.41|34.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.26|0|0|0|0|0|0|0|0|44.54
HOSP OP|0637 - DRUGS/SELF ADMIN|16252-0618-30||ROSUVASTATIN 40 MG TABLET|21.27|11.27|15.95|17.02|18.08|19.14|0|17.19|15.31|14.4|0|21.27|14.06|0|10.25|17.41|13.36|13|0|0|15.95|16.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.15|0|0|0|0|0|0|0|0|21.27
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1491-01||AMITRIPTYLINE 150 MG TABLET|24.74|13.11|18.56|19.79|21.03|22.27|0|19.99|17.81|16.74|0|24.74|16.35|0|11.92|20.25|15.54|15.12|0|0|18.56|19.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.81|0|0|0|0|0|0|0|0|24.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-2140-25|J0280|AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION|42.71|22.64|32.03|34.17|36.3|38.44|0|34.51|30.75|28.91|0|42.71|9.06|0|6.58|34.96|8.61|8.37|0|10.53045187|32.03|33.36|0|0|0|0|0|0|0|0|0|10.72|10.53045187|10.72|0|0|0|4.84|0|0|0|0|0|0|0|0|42.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-5921-01|J0280|AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION|67.1|22.64|32.03|34.17|36.3|38.44|0|34.51|30.75|28.91|0|42.71|9.06|0|6.58|34.96|8.61|8.37|0|10.53045187|32.03|33.36|0|0|0|0|0|0|0|0|0|10.72|10.53045187|10.72|0|0|0|4.84|0|0|0|0|0|0|0|0|42.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76329-9061-00|J0171|EPINEPHRINE 1 MG/ML INJECTION SOLUTION|178.75|94.74|134.06|143|151.94|160.88|0|144.43|128.7|120.98|0|178.75|178.75|0|178.75|146.31|178.75|178.75|0|0.815324165|134.06|139.6|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|150|0|0|0|0|0|0|0|0|178.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-4248-01|J9045|CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION|87.89|46.58|65.92|70.31|74.71|79.1|0|71.02|63.28|59.48|0|87.89|37.71|0|27.45|71.94|35.82|34.92|0|2.819253438|65.92|68.64|0|0|0|0|0|0|0|0|0|2.87|2.819253438|2.87|0|0|0|20.07|0|0|0|0|0|0|0|0|87.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|61703-0339-18|J9045|CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION|35.67|46.58|65.92|70.31|74.71|79.1|0|71.02|63.28|59.48|0|87.89|37.71|0|27.45|71.94|35.82|34.92|0|2.819253438|65.92|68.64|0|0|0|0|0|0|0|0|0|2.87|2.819253438|2.87|0|0|0|20.07|0|0|0|0|0|0|0|0|87.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|61703-0339-56|J9045|CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION|112.32|46.58|65.92|70.31|74.71|79.1|0|71.02|63.28|59.48|0|87.89|37.71|0|27.45|71.94|35.82|34.92|0|2.819253438|65.92|68.64|0|0|0|0|0|0|0|0|0|2.87|2.819253438|2.87|0|0|0|20.07|0|0|0|0|0|0|0|0|87.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0172-60|J9045|CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION|112.32|46.58|65.92|70.31|74.71|79.1|0|71.02|63.28|59.48|0|87.89|37.71|0|27.45|71.94|35.82|34.92|0|2.819253438|65.92|68.64|0|0|0|0|0|0|0|0|0|2.87|2.819253438|2.87|0|0|0|20.07|0|0|0|0|0|0|0|0|87.89
HOSP OP|0637 - DRUGS/SELF ADMIN|00245-0057-89||POTASSIUM CHLORIDE ER 10 MEQ TABLETEXTENDED RELEASE(PART/CRYST)|20.92|11.09|15.69|16.74|17.78|18.83|0|16.9|15.06|14.16|0|20.92|13.83|0|10.08|17.12|13.14|12.78|0|0|15.69|16.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.99|0|0|0|0|0|0|0|0|20.92
HOSP OP|0637 - DRUGS/SELF ADMIN|66758-0170-13||POTASSIUM CHLORIDE ER 10 MEQ TABLETEXTENDED RELEASE(PART/CRYST)|20.92|11.09|15.69|16.74|17.78|18.83|0|16.9|15.06|14.16|0|20.92|13.83|0|10.08|17.12|13.14|12.78|0|0|15.69|16.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.99|0|0|0|0|0|0|0|0|20.92
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0109-01||BUPROPION XL 300 MG 24 HR TAB|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0109-03||BUPROPION XL 300 MG 24 HR TAB|25.77|13.66|19.33|20.62|21.9|23.19|0|20.82|18.55|17.44|0|25.77|17.03|0|12.42|21.09|16.18|15.75|0|0|19.33|20.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.77
HOSP OP|0637 - DRUGS/SELF ADMIN|69097-0875-02||BUPROPION XL 150 MG 24 HR TAB|23.17|12.28|17.38|18.54|19.69|20.85|0|18.72|16.68|15.68|0|23.17|15.32|0|11.17|18.96|14.55|14.16|0|0|17.38|18.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.06|0|0|0|0|0|0|0|0|23.17
HOSP OP|0250 - PHARMACY|10158-0053-06||DENTURE CLEANSER EFFERVESCENT TABLET|20.24|10.73|0|16.19|0|18.22|0|16.35|14.57|13.7|0|20.24|13.38|0|9.76|16.57|12.71|12.37|0|0|0|15.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.24
HOSP OP|0637 - DRUGS/SELF ADMIN|35046-0003-91||MELATONIN 1 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0272 - STERILE SUPPLY|08884-4146-00||"WHITE PETROLATUM 3"" X 18"" BANDAGE"|21.15|11.21|0|16.92|0|19.04|0|17.09|15.23|14.31|0|21.15|13.79|0|7.75|17.31|13.09|12.75|0|0|0|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.37|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|47335-0956-88||ALFUZOSIN ER 10 MG TABLETEXTENDED RELEASE 24 HR|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|69097-0844-07||ALFUZOSIN ER 10 MG TABLETEXTENDED RELEASE 24 HR|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0029-79||PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR|31.26|16.57|23.45|25.01|26.57|28.13|0|25.26|22.51|21.16|0|31.26|20.66|0|15.07|25.59|19.63|19.1|0|0|23.45|24.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.92|0|0|0|0|0|0|0|0|31.26
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-22||PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR|31.26|16.57|23.45|25.01|26.57|28.13|0|25.26|22.51|21.16|0|31.26|20.66|0|15.07|25.59|19.63|19.1|0|0|23.45|24.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.92|0|0|0|0|0|0|0|0|31.26
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0517-44||MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION|25.24|13.38|18.93|20.19|21.45|22.72|0|20.39|18.17|17.08|0|25.24|16.68|0|12.17|20.66|15.85|15.42|0|0|18.93|19.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.24
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0153-30||MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION|25.24|13.38|18.93|20.19|21.45|22.72|0|20.39|18.17|17.08|0|25.24|16.68|0|12.17|20.66|15.85|15.42|0|0|18.93|19.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.24
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0029-83||MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION|25.24|13.38|18.93|20.19|21.45|22.72|0|20.39|18.17|17.08|0|25.24|16.68|0|12.17|20.66|15.85|15.42|0|0|18.93|19.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.05|0|0|0|0|0|0|0|0|25.24
HOSP OP|0250 - PHARMACY|00093-5296-01||METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULEEXTENDED RELEASE|27.92|14.8|0|22.34|0|25.13|0|22.56|20.1|18.9|0|27.92|18.46|0|13.46|22.85|17.53|17.06|0|0|0|21.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.33|0|0|0|0|0|0|0|0|27.92
HOSP OP|0250 - PHARMACY|00093-5297-01||METHYLPHENIDATE CD 30 MG BIPHASIC 30-70 CAPSULEEXTENDED RELEASE|27.92|14.8|0|22.34|0|25.13|0|22.56|20.1|18.9|0|27.92|18.46|0|13.46|22.85|17.53|17.06|0|0|0|21.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.33|0|0|0|0|0|0|0|0|27.92
HOSP OP|0250 - PHARMACY|00409-1752-50||BUPIVACAINE-EPI 0.25%-1:200000 IN NACL 0.9% FOR INJECT (OR)|61.5|32.59|0|49.2|0|55.35|0|49.69|44.28|41.62|0|61.5|40.65|0|29.64|50.34|38.62|37.58|0|0|0|48.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.35|0|0|0|0|0|0|0|0|61.5
HOSP OP|0250 - PHARMACY|17478-0504-10||METHYLENE BLUE IN NACL 0.9% FOR IRRIGATION (OR)|455.6|241.47|0|364.48|0|410.04|0|368.12|328.03|308.35|0|455.6|301.15|0|219.6|372.91|286.12|278.37|0|0|0|355.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.46|0|0|0|0|0|0|0|0|455.6
HOSP OP|0250 - PHARMACY|10019-0163-12||PHENYLEPHRINE IN NACL 0.9% FOR INJECTION (OR)|50.15|26.58|0|40.12|0|45.14|0|40.52|36.11|33.94|0|50.15|33.15|0|24.17|41.05|31.49|30.64|0|0|0|39.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.94|0|0|0|0|0|0|0|0|50.15
HOSP OP|0250 - PHARMACY|42023-0117-25||VASOPRESSIN IN NACL 0.9% FOR INJECTION (OR)|48.39|25.65|0|38.71|0|43.55|0|39.1|34.84|32.75|0|48.39|31.99|0|23.32|39.61|30.39|29.57|0|0|0|37.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.1|0|0|0|0|0|0|0|0|48.39
HOSP OP|0250 - PHARMACY|00409-3178-01||LIDOCAINE-EPINEPHRINE 1%-1:100000 IN NACL 0.9% INJECTION (OR)|42.8|22.68|0|34.24|0|38.52|0|34.58|30.82|28.97|0|42.8|28.29|0|20.63|35.03|26.88|26.15|0|0|0|33.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.43|0|0|0|0|0|0|0|0|42.8
HOSP OP|0250 - PHARMACY|63323-0010-20||GENTAMICIN IN NACL 0.9% FOR IRRIGATION (OR)|90.15|47.78|0|72.12|0|81.14|0|72.84|64.91|61.01|0|90.15|59.59|0|43.45|73.79|56.61|55.08|0|0|0|70.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|43.03|0|0|0|0|0|0|0|0|90.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0542-01|J1644|HEPARIN 10000 UNIT/ML IN NACL 0.9% FOR INJECTION (OR)|46.6|24.7|34.95|37.28|39.61|41.94|0|37.65|33.55|31.54|0|46.6|2.6|0|1.9|38.14|2.5|2.4|0|0.235756385|34.95|36.39|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|1.3|0|0|0|0|0|0|0|0|46.6
HOSP OP|0250 - PHARMACY|76329-9061-00||EPINEPHRINE 1:1000 IN NACL 0.9% FOR IRRIGATION (OR)|178.75|94.74|0|143|0|160.88|0|144.43|128.7|120.98|0|178.75|118.15|0|86.16|146.31|112.26|109.22|0|0|0|139.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|85.32|0|0|0|0|0|0|0|0|178.75
HOSP OP|0250 - PHARMACY|63323-0540-57||HEPARIN 1000 UNITS/ML IN NACL 0.9% FOR INJECTION (OR)|45.6|24.17|0|36.48|0|41.04|0|36.84|32.83|30.86|0|45.6|30.14|0|21.98|37.32|28.64|27.86|0|0|0|35.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.76|0|0|0|0|0|0|0|0|45.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00517-4002-25|J2440|PAPAVERINE IN NACL 0.9% FOR IRRIGATION (OR)|109.78|58.18|82.34|87.82|93.31|98.8|0|88.7|79.04|74.3|0|109.78|44.3|0|32.21|89.85|42.1|40.97|0|38.45776031|82.34|85.74|0|0|0|0|0|0|0|0|0|39.15|38.45776031|39.15|0|0|0|23.66|0|0|0|0|0|0|0|0|109.78
HOSP OP|0250 - PHARMACY|63323-0540-57||HEPARIN 1000 UNITS/ML IN NACL 0.9% FOR IRRIGATION (OR)|45.6|24.17|0|36.48|0|41.04|0|36.84|32.83|30.86|0|45.6|30.14|0|21.98|37.32|28.64|27.86|0|0|0|35.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.76|0|0|0|0|0|0|0|0|45.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|16729-0116-38|J9280|MITOMYCIN 1 MG/ML IN STERILE WATER - 40 ML SYRINGE|685.75|363.45|514.31|548.6|582.89|617.18|582.89|554.09|493.74|464.12|0|685.75|685.75|685.75|685.75|561.29|685.75|685.75|685.75|83.88015717|514.31|535.57|457.7|457.7|457.7|685.75|673.41|500.22|457.7|509.04|673.41|85.39|83.88015717|85.39|0|0|685.75|672.04|457.7|457.7|457.7|457.7|457.7|457.7|471.43|0|685.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6533-01|J3370|VANCOMYCIN POWDER (OR)|47.18|25.01|35.39|37.74|40.1|42.46|0|38.12|33.97|31.93|0|47.18|10.94|0|7.96|38.62|10.4|10.12|0|3.388998035|35.39|36.85|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|5.84|0|0|0|0|0|0|0|0|47.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|39822-0412-01|J3260|TOBRAMYCIN POWDER (OR)|266.98|141.5|200.24|213.58|226.93|240.28|0|215.72|192.23|180.69|0|266.98|56.55|0|41.1|218.52|53.7|52.2|0|3.693516699|200.24|208.51|0|0|0|0|0|0|0|0|0|3.76|3.693516699|3.76|0|0|0|30|0|0|0|0|0|0|0|0|266.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-5214-01|P9045|ALBUMIN HUMAN 5 % INTRAVENOUS - FOR ANESTHESIA|135|370.47|0|559.2|0|629.1|594.15|564.79|503.28|473.08|0|699|0|0|0|572.13|0|0|0|52.4459725|0|545.92|0|0|0|0|0|0|0|0|0|53.39|52.4459725|53.39|0|0|0|0|0|0|0|0|0|0|0|0|699
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-5214-02|P9045|ALBUMIN HUMAN 5 % INTRAVENOUS - FOR ANESTHESIA|135|370.47|0|559.2|0|629.1|594.15|564.79|503.28|473.08|0|699|0|0|0|572.13|0|0|0|52.4459725|0|545.92|0|0|0|0|0|0|0|0|0|53.39|52.4459725|53.39|0|0|0|0|0|0|0|0|0|0|0|0|699
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-5214-04|P9045|ALBUMIN HUMAN 5 % INTRAVENOUS - FOR ANESTHESIA|135|370.47|0|559.2|0|629.1|594.15|564.79|503.28|473.08|0|699|0|0|0|572.13|0|0|0|52.4459725|0|545.92|0|0|0|0|0|0|0|0|0|53.39|52.4459725|53.39|0|0|0|0|0|0|0|0|0|0|0|0|699
HOSP OP|0250 - PHARMACY|27505-0001-66||DANTROLENE 20 MG INTRAVENOUS SOLUTION|194.17|102.91|0|155.34|0|174.75|0|156.89|139.8|131.41|0|194.17|128.35|0|93.59|158.93|121.94|118.64|0|0|0|151.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.68|0|0|0|0|0|0|0|0|194.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0871-15|J0878|DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION|1074.43|569.45|805.82|859.54|913.27|966.99|913.27|868.14|773.59|727.17|0|1074.43|265|430|190|879.42|250|245|420|0.294695481|805.82|839.13|68|68|68|349.58|350.29|113.82|68|115.83|350.29|0.3|0.294695481|0.3|0|0|200|140|68|68|68|68|68|68|70.04|0|1074.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67919-0011-01|J0878|DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION|1074.43|569.45|805.82|859.54|913.27|966.99|913.27|868.14|773.59|727.17|0|1074.43|265|430|190|879.42|250|245|420|0.294695481|805.82|839.13|68|68|68|349.58|350.29|113.82|68|115.83|350.29|0.3|0.294695481|0.3|0|0|200|140|68|68|68|68|68|68|70.04|0|1074.43
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0723-01||OXYBUTYNIN CHLORIDE ER 10 MG TABLETEXTENDED RELEASE 24 HR|27.71|14.69|20.78|22.17|23.55|24.94|0|22.39|19.95|18.75|0|27.71|18.32|0|13.36|22.68|17.4|16.93|0|0|20.78|21.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.23|0|0|0|0|0|0|0|0|27.71
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0723-20||OXYBUTYNIN CHLORIDE ER 10 MG TABLETEXTENDED RELEASE 24 HR|27.71|14.69|20.78|22.17|23.55|24.94|0|22.39|19.95|18.75|0|27.71|18.32|0|13.36|22.68|17.4|16.93|0|0|20.78|21.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.23|0|0|0|0|0|0|0|0|27.71
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6405-06|J0456|AZITHROMYCIN 250 MG TABLET|22.85|12.11|17.14|18.28|19.42|20.57|0|18.46|16.45|15.46|0|22.85|3.56|0|2.59|18.7|3.38|3.29|0|2.603143418|17.14|17.85|0|0|0|0|0|0|0|0|0|2.65|2.603143418|2.65|0|0|0|1.9|0|0|0|0|0|0|0|0|22.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1105-11||CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET|40.19|21.3|30.14|32.15|34.16|36.17|0|32.47|28.94|27.2|0|40.19|26.57|0|19.37|32.9|25.24|24.56|0|0|30.14|31.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.18|0|0|0|0|0|0|0|0|40.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6505-61||MEMANTINE 5 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0250 - PHARMACY|51862-0454-01||CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH|147.29|78.06|0|117.83|0|132.56|0|119.01|106.05|99.69|0|147.29|97.36|0|70.99|120.56|92.5|89.99|0|0|0|115.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|70.3|0|0|0|0|0|0|0|0|147.29
HOSP OP|0250 - PHARMACY|51862-0454-04||CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH|147.29|78.06|0|117.83|0|132.56|0|119.01|106.05|99.69|0|147.29|97.36|0|70.99|120.56|92.5|89.99|0|0|0|115.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|70.3|0|0|0|0|0|0|0|0|147.29
HOSP OP|0250 - PHARMACY|00065-0800-50||BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION|202|107.06|0|161.6|0|181.8|0|163.22|145.44|136.71|0|202|133.52|0|97.36|165.34|126.86|123.42|0|0|0|157.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|96.41|0|0|0|0|0|0|0|0|202
HOSP OP|0637 - DRUGS/SELF ADMIN|00456-4300-08||FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET|274.31|145.38|205.73|219.45|233.16|246.88|0|221.64|197.5|185.65|0|274.31|181.32|0|132.22|224.52|172.27|167.6|0|0|205.73|214.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.93|0|0|0|0|0|0|0|0|274.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0868-20||INDAPAMIDE 2.5 MG TABLET|21.64|11.47|16.23|17.31|18.39|19.48|0|17.49|15.58|14.65|0|21.64|14.3|0|10.43|17.71|13.59|13.22|0|0|16.23|16.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.33|0|0|0|0|0|0|0|0|21.64
HOSP OP|0250 - PHARMACY|00093-5850-01||ESCITALOPRAM 5 MG TABLET|20.58|10.91|0|16.46|0|18.52|0|16.63|14.82|13.93|0|20.58|13.6|0|9.92|16.84|12.92|12.57|0|0|0|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.58
HOSP OP|0250 - PHARMACY|75137-0850-45||BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL|39.55|20.96|0|31.64|0|35.6|0|31.96|28.48|26.77|0|39.55|26.14|0|19.06|32.37|24.84|24.17|0|0|0|30.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.88|0|0|0|0|0|0|0|0|39.55
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0255-01||METOPROLOL TARTRATE 25 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0255-20||METOPROLOL TARTRATE 25 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0250 - PHARMACY|00093-4146-64||LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION|42.3|22.42|0|33.84|0|38.07|0|34.18|30.46|28.63|0|42.3|27.96|0|20.39|34.62|26.56|25.85|0|0|0|33.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.19|0|0|0|0|0|0|0|0|42.3
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0023-01||HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION|34.68|18.38|26.01|27.74|29.48|31.21|0|28.02|24.97|23.47|0|34.68|22.92|0|16.72|28.39|21.78|21.19|0|0|26.01|27.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.55|0|0|0|0|0|0|0|0|34.68
HOSP OP|0250 - PHARMACY|00168-0021-35||BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10000 UNIT/GRAM TOPICAL OINTMENT|41.97|22.24|0|33.58|0|37.77|0|33.91|30.22|28.41|0|41.97|27.74|0|20.23|34.35|26.36|25.64|0|0|0|32.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.03|0|0|0|0|0|0|0|0|41.97
HOSP OP|0250 - PHARMACY|00536-1174-28||BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10000 UNIT/GRAM TOPICAL OINTMENT|41.97|22.24|0|33.58|0|37.77|0|33.91|30.22|28.41|0|41.97|27.74|0|20.23|34.35|26.36|25.64|0|0|0|32.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.03|0|0|0|0|0|0|0|0|41.97
HOSP OP|0250 - PHARMACY|00168-0021-31||BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10000 UNIT/GRAM TOPICAL OINTMENT|58.94|22.24|0|33.58|0|37.77|0|33.91|30.22|28.41|0|41.97|27.74|0|20.23|34.35|26.36|25.64|0|0|0|32.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.03|0|0|0|0|0|0|0|0|41.97
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2009-40||ASPIRIN 325 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0637 - DRUGS/SELF ADMIN|66553-0001-01||ASPIRIN 325 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0751-11||TOPIRAMATE 50 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0751-15||TOPIRAMATE 50 MG TABLET|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0360-01|J7324|SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE|1149.93|609.46|862.45|919.94|977.44|1034.94|977.44|929.14|827.95|778.27|0|1149.93|189.51|149.85|137.8|941.22|180.11|175.26|146.1|140.4223969|862.45|898.1|459.97|0|459.97|370.02|377.57|196.48|459.97|189.28|377.57|142.95|140.4223969|142.95|0|0|164.54|101.25|0|0|459.97|0|574.97|459.97|459.97|0|1149.93
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0873-01||GLYBURIDE 5 MG TABLET|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0873-20||GLYBURIDE 5 MG TABLET|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0782-20||PRAVASTATIN 40 MG TABLET|20.86|11.06|15.65|16.69|17.73|18.77|0|16.85|15.02|14.12|0|20.86|13.79|0|10.05|17.07|13.1|12.75|0|0|15.65|16.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.86
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-0170-09||PRAVASTATIN 40 MG TABLET|21.72|11.06|15.65|16.69|17.73|18.77|0|16.85|15.02|14.12|0|20.86|13.79|0|10.05|17.07|13.1|12.75|0|0|15.65|16.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.86
HOSP OP|0250 - PHARMACY|00472-0735-14||MICONAZOLE NITRATE 2 % TOPICAL CREAM|26.81|14.21|0|21.45|0|24.13|0|21.66|19.3|18.15|0|26.81|17.72|0|12.92|21.94|16.84|16.38|0|0|0|20.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.8|0|0|0|0|0|0|0|0|26.81
HOSP OP|0250 - PHARMACY|00472-0735-56||MICONAZOLE NITRATE 2 % TOPICAL CREAM|26.81|14.21|0|21.45|0|24.13|0|21.66|19.3|18.15|0|26.81|17.72|0|12.92|21.94|16.84|16.38|0|0|0|20.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.8|0|0|0|0|0|0|0|0|26.81
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0691-10|J8499|IBUPROFEN 800 MG TABLET|20.2|10.71|15.15|16.16|17.17|18.18|17.17|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|11.03|0|15.15|15.78|20.2|20.2|0|17.45|18.14|8.7|20.2|8.84|18.14|0|0|0|0|0|0|9.64|0|0|20.2|0|23.23|20.2|20.2|0|23.23
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0284-10||DILTIAZEM CD 180 MG CAPSULEEXTENDED RELEASE 24 HR|20.68|10.96|15.51|16.54|17.58|18.61|0|16.71|14.89|14|0|20.68|13.67|0|9.97|16.93|12.99|12.64|0|0|15.51|16.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.68
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5860-61||ALPRAZOLAM 1 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-2065-06||CILOSTAZOL 50 MG TABLET|20.89|11.07|15.67|16.71|17.76|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|15.67|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0513-02||ACETAZOLAMIDE ER 500 MG CAPSULEEXTENDED RELEASE|28.73|15.23|21.55|22.98|24.42|25.86|0|23.21|20.69|19.44|0|28.73|18.99|0|13.85|23.52|18.04|17.55|0|0|21.55|22.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.71|0|0|0|0|0|0|0|0|28.73
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5736-11||NICOTINE (POLACRILEX) 2 MG GUM|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRX0-0033-07||NICOTINE (POLACRILEX) 2 MG GUM|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0679-01||NIFEDIPINE ER 90 MG TABLETEXTENDED RELEASE|23.99|12.71|17.99|19.19|20.39|21.59|0|19.38|17.27|16.24|0|23.99|15.86|0|11.56|19.64|15.07|14.66|0|0|17.99|18.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.45|0|0|0|0|0|0|0|0|23.99
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0147-20||AMITRIPTYLINE 75 MG TABLET|21.73|11.52|16.3|17.38|18.47|19.56|0|17.56|15.65|14.71|0|21.73|14.36|0|10.47|17.79|13.65|13.28|0|0|16.3|16.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.37|0|0|0|0|0|0|0|0|21.73
HOSP OP|0250 - PHARMACY|64980-0515-05||OFLOXACIN 0.3 % EYE DROPS|50.47|26.75|0|40.38|0|45.42|0|40.78|36.34|34.16|0|50.47|33.36|0|24.33|41.31|31.7|30.84|0|0|0|39.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.09|0|0|0|0|0|0|0|0|50.47
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-7772-19||CLOZAPINE 100 MG TABLET|22.62|11.99|16.97|18.1|19.23|20.36|0|18.28|16.29|15.31|0|22.62|14.95|0|10.9|18.51|14.21|13.82|0|0|16.97|17.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.8|0|0|0|0|0|0|0|0|22.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-7772-93||CLOZAPINE 100 MG TABLET|22.62|11.99|16.97|18.1|19.23|20.36|0|18.28|16.29|15.31|0|22.62|14.95|0|10.9|18.51|14.21|13.82|0|0|16.97|17.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.8|0|0|0|0|0|0|0|0|22.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00049-3990-41||ZIPRASIDONE 80 MG CAPSULE|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6342-61||METOPROLOL TARTRATE 100 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0802-20||METOPROLOL TARTRATE 100 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0166-01||BETHANECHOL CHLORIDE 10 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0166-11||BETHANECHOL CHLORIDE 10 MG TABLET|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00228-2620-11||ISOSORBIDE MONONITRATE 20 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0637 - DRUGS/SELF ADMIN|62175-0107-01||ISOSORBIDE MONONITRATE 20 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0376-01|J2354|OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION|45.81|24.28|34.36|36.65|38.94|41.23|0|37.01|32.98|31|0|45.81|4.68|0|3.4|37.5|4.48|4.36|0|0.94302554|34.36|35.78|0|0|0|0|0|0|0|0|0|0.96|0.94302554|0.96|0|0|0|2.48|0|0|0|0|0|0|0|0|45.81
HOSP OP|0637 - DRUGS/SELF ADMIN|55513-0073-30||CINACALCET 30 MG TABLET|94.93|50.31|71.2|75.94|80.69|85.44|0|76.7|68.35|64.25|0|94.93|62.75|0|45.76|77.7|59.62|58|0|0|71.2|74.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.31|0|0|0|0|0|0|0|0|94.93
HOSP OP|0250 - PHARMACY|00472-0166-15||NYSTATIN 100000 UNIT/GRAM TOPICAL OINTMENT|63.66|33.74|0|50.93|0|57.29|0|51.44|45.84|43.09|0|63.66|42.08|0|30.68|52.11|39.98|38.9|0|0|0|49.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.38|0|0|0|0|0|0|0|0|63.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3159-72|J2358|OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION|52.66|27.91|39.5|42.13|44.76|47.39|0|42.55|37.92|35.64|0|52.66|11.31|0|8.22|43.1|10.74|10.44|0|2.917485265|39.5|41.13|0|0|0|0|0|0|0|0|0|2.97|2.917485265|2.97|0|0|0|6|0|0|0|0|0|0|0|0|52.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00074-3108-32|J7515|CYCLOSPORINE MODIFIED 25 MG CAPSULE|22.49|11.92|16.87|17.99|19.12|20.24|0|18.17|16.19|15.22|0|22.49|0.93|0|0.68|18.41|0.88|0.86|0|0.648330059|16.87|17.56|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.5|0|0|0|0|0|0|0|0|22.49
HOSP OP|0250 - PHARMACY|00065-0795-15||BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION|40.35|21.39|0|32.28|0|36.32|0|32.6|29.05|27.31|0|40.35|26.67|0|19.45|33.03|25.34|24.65|0|0|0|31.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.26|0|0|0|0|0|0|0|0|40.35
HOSP OP|0250 - PHARMACY|00065-0795-50||BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION|55|21.39|0|32.28|0|36.32|0|32.6|29.05|27.31|0|40.35|26.67|0|19.45|33.03|25.34|24.65|0|0|0|31.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.26|0|0|0|0|0|0|0|0|40.35
HOSP OP|0250 - PHARMACY|00713-0101-09||GLYCERIN (ADULT) RECTAL SUPPOSITORY|20.68|10.96|0|16.54|0|18.61|0|16.71|14.89|14|0|20.68|13.67|0|9.97|16.93|12.99|12.64|0|0|0|16.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.68
HOSP OP|0250 - PHARMACY|58980-0410-12||GLYCERIN (ADULT) RECTAL SUPPOSITORY|20.68|10.96|0|16.54|0|18.61|0|16.71|14.89|14|0|20.68|13.67|0|9.97|16.93|12.99|12.64|0|0|0|16.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.68
HOSP OP|0250 - PHARMACY|00713-0101-25||GLYCERIN (ADULT) RECTAL SUPPOSITORY|20.68|10.96|0|16.54|0|18.61|0|16.71|14.89|14|0|20.68|13.67|0|9.97|16.93|12.99|12.64|0|0|0|16.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.68
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-5419-19||CLOZAPINE 100 MG DISINTEGRATING TABLET|35.57|18.85|26.68|28.46|30.23|32.01|0|28.74|25.61|24.07|0|35.57|23.51|0|17.14|29.11|22.34|21.73|0|0|26.68|27.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.98|0|0|0|0|0|0|0|0|35.57
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3012-19||CLOZAPINE 25 MG DISINTEGRATING TABLET|26.77|14.19|20.08|21.42|22.75|24.09|0|21.63|19.27|18.12|0|26.77|17.69|0|12.9|21.91|16.81|16.36|0|0|20.08|20.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.78|0|0|0|0|0|0|0|0|26.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3012-84||CLOZAPINE 25 MG DISINTEGRATING TABLET|26.77|14.19|20.08|21.42|22.75|24.09|0|21.63|19.27|18.12|0|26.77|17.69|0|12.9|21.91|16.81|16.36|0|0|20.08|20.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.78|0|0|0|0|0|0|0|0|26.77
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0665-01|J3105|TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION|40.92|21.69|30.69|32.74|34.78|36.83|0|33.06|29.46|27.69|0|40.92|3.46|0|2.51|33.49|3.29|3.2|0|2.121807466|30.69|31.96|0|0|0|0|0|0|0|0|0|2.16|2.121807466|2.16|0|0|0|1.84|0|0|0|0|0|0|0|0|40.92
HOSP OP|0637 - DRUGS/SELF ADMIN|57664-0510-83||MIRTAZAPINE 7.5 MG TABLET|22.87|12.12|17.15|18.3|19.44|20.58|0|18.48|16.47|15.48|0|22.87|15.12|0|11.02|18.72|14.36|13.97|0|0|17.15|17.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.92|0|0|0|0|0|0|0|0|22.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00574-0805-30|J0132|ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION|435.78|230.96|326.84|348.62|370.41|392.2|0|352.11|313.76|294.94|0|435.78|112.2|0|81.6|356.69|106.8|103.8|0|0.913555992|326.84|340.34|0|0|0|0|0|0|0|0|0|0.93|0.913555992|0.93|0|0|0|60|0|0|0|0|0|0|0|0|435.78
HOSP OP|0250 - PHARMACY|00869-4704-10||HYDROGEN PEROXIDE 3 % SOLUTION|22.14|11.73|0|17.71|0|19.93|0|17.89|15.94|14.98|0|22.14|14.63|0|10.67|18.12|13.9|13.53|0|0|0|17.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.57|0|0|0|0|0|0|0|0|22.14
HOSP OP|0250 - PHARMACY|37205-0871-34||HYDROGEN PEROXIDE 3 % SOLUTION|22.14|11.73|0|17.71|0|19.93|0|17.89|15.94|14.98|0|22.14|14.63|0|10.67|18.12|13.9|13.53|0|0|0|17.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.57|0|0|0|0|0|0|0|0|22.14
HOSP OP|0250 - PHARMACY|37205-0871-43||HYDROGEN PEROXIDE 3 % SOLUTION|21.43|11.73|0|17.71|0|19.93|0|17.89|15.94|14.98|0|22.14|14.63|0|10.67|18.12|13.9|13.53|0|0|0|17.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.57|0|0|0|0|0|0|0|0|22.14
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0998-01||TIZANIDINE 4 MG TABLET|21.64|11.47|16.23|17.31|18.39|19.48|0|17.49|15.58|14.65|0|21.64|14.3|0|10.43|17.71|13.59|13.22|0|0|16.23|16.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.33|0|0|0|0|0|0|0|0|21.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0998-20||TIZANIDINE 4 MG TABLET|21.64|11.47|16.23|17.31|18.39|19.48|0|17.49|15.58|14.65|0|21.64|14.3|0|10.43|17.71|13.59|13.22|0|0|16.23|16.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.33|0|0|0|0|0|0|0|0|21.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4022-01||ACETAZOLAMIDE 125 MG TABLET|29.95|15.87|22.46|23.96|25.46|26.96|0|24.2|21.56|20.27|0|29.95|19.8|0|14.44|24.51|18.81|18.3|0|0|22.46|23.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.3|0|0|0|0|0|0|0|0|29.95
HOSP OP|0250 - PHARMACY|42858-0701-01||THEOPHYLLINE ER 400 MG TABLETEXTENDED RELEASE 24 HR|22.9|12.14|0|18.32|0|20.61|0|18.5|16.49|15.5|0|22.9|15.14|0|11.04|18.74|14.38|13.99|0|0|0|17.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.93|0|0|0|0|0|0|0|0|22.9
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0103-40||FLUCONAZOLE 150 MG TABLET|25.86|13.71|19.4|20.69|21.98|23.27|0|20.89|18.62|17.5|0|25.86|17.09|0|12.46|21.17|16.24|15.8|0|0|19.4|20.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.34|0|0|0|0|0|0|0|0|25.86
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|66479-0530-02|J1230|METHADONE 10 MG/ML INJECTION SOLUTION|47.59|25.22|35.69|38.07|40.45|42.83|0|38.45|34.26|32.21|0|47.59|23.59|0|17.16|38.95|22.42|21.82|0|16.97445972|35.69|37.17|0|0|0|0|0|0|0|0|0|17.28|16.97445972|17.28|0|0|0|12.6|0|0|0|0|0|0|0|0|47.59
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0635-02||DANAZOL 200 MG CAPSULE|37.68|19.97|28.26|30.14|32.03|33.91|0|30.45|27.13|25.5|0|37.68|24.91|0|18.16|30.84|23.66|23.02|0|0|28.26|29.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.98|0|0|0|0|0|0|0|0|37.68
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0371-01||AMIODARONE 200 MG TABLET|21.03|11.15|15.77|16.82|17.88|18.93|0|16.99|15.14|14.23|0|21.03|13.9|0|10.14|17.21|13.21|12.85|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0371-11||AMIODARONE 200 MG TABLET|21.03|11.15|15.77|16.82|17.88|18.93|0|16.99|15.14|14.23|0|21.03|13.9|0|10.14|17.21|13.21|12.85|0|0|15.77|16.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.03
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0872-01||GLYBURIDE 2.5 MG TABLET|20.64|10.94|15.48|16.51|17.54|18.58|0|16.68|14.86|13.97|0|20.64|13.64|0|9.95|16.89|12.96|12.61|0|0|15.48|16.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0872-20||GLYBURIDE 2.5 MG TABLET|20.64|10.94|15.48|16.51|17.54|18.58|0|16.68|14.86|13.97|0|20.64|13.64|0|9.95|16.89|12.96|12.61|0|0|15.48|16.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.64
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6323-61||METOPROLOL SUCCINATE ER 50 MG TABLETEXTENDED RELEASE 24 HR|21.04|11.15|15.78|16.83|17.88|18.94|0|17|15.15|14.24|0|21.04|13.91|0|10.14|17.22|13.21|12.86|0|0|15.78|16.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.04|0|0|0|0|0|0|0|0|21.04
HOSP OP|0637 - DRUGS/SELF ADMIN|53746-0271-01||SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0250 - PHARMACY|00487-5901-99||RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION|44.22|23.44|33.17|35.38|37.59|39.8|0|35.73|31.84|29.93|0|44.22|29.23|0|21.31|36.19|27.77|27.02|0|0|33.17|34.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.69|21.11|0|0|0|0|0|0|0|0|44.22
HOSP OP|0250 - PHARMACY|00487-9901-30||ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION|40.87|21.66|0|32.7|0|36.78|0|33.02|29.43|27.66|0|40.87|27.02|0|19.7|33.45|25.67|24.97|0|0|0|31.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.87
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0685-01||ATENOLOL 100 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0685-20||ATENOLOL 100 MG TABLET|20.57|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|42794-0019-02||LIOTHYRONINE 25 MCG TABLET|21.99|11.65|16.49|17.59|18.69|19.79|0|17.77|15.83|14.88|0|21.99|14.54|0|10.6|18|13.81|13.44|0|0|16.49|17.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|21.99
HOSP OP|0637 - DRUGS/SELF ADMIN|00172-2089-60||HYDROCHLOROTHIAZIDE 50 MG TABLET|20.23|10.72|15.17|16.18|17.2|18.21|0|16.35|14.57|13.69|0|20.23|13.37|0|9.75|16.56|12.7|12.36|0|0|15.17|15.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.23
HOSP OP|0250 - PHARMACY|00574-0121-04||ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION|55.28|29.3|0|44.22|0|49.75|0|44.67|39.8|37.41|0|55.28|36.54|0|26.64|45.25|34.72|33.78|0|0|0|43.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.39|0|0|0|0|0|0|0|0|55.28
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0437-01||DOXEPIN 25 MG CAPSULE|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0437-20||DOXEPIN 25 MG CAPSULE|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0348-01||NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE|29.06|15.4|21.8|23.25|24.7|26.15|0|23.48|20.92|19.67|0|29.06|19.21|0|14.01|23.79|18.25|17.76|0|0|21.8|22.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.62|13.87|0|0|0|0|0|0|0|0|29.06
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0348-20||NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE|29.06|15.4|21.8|23.25|24.7|26.15|0|23.48|20.92|19.67|0|29.06|19.21|0|14.01|23.79|18.25|17.76|0|0|21.8|22.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.62|13.87|0|0|0|0|0|0|0|0|29.06
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0821-01||LEVETIRACETAM 500 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0821-20||LEVETIRACETAM 500 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0479-01||CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE|21.79|11.55|16.34|17.43|18.52|19.61|0|17.61|15.69|14.75|0|21.79|14.4|0|10.5|17.84|13.68|13.31|0|0|16.34|17.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.4|0|0|0|0|0|0|0|0|21.79
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0479-11||CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE|21.79|11.55|16.34|17.43|18.52|19.61|0|17.61|15.69|14.75|0|21.79|14.4|0|10.5|17.84|13.68|13.31|0|0|16.34|17.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.4|0|0|0|0|0|0|0|0|21.79
HOSP OP|0250 - PHARMACY|00019-4816-04||DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION|31.03|16.45|0|24.82|0|27.93|0|25.07|22.34|21|0|31.03|20.51|0|14.96|25.4|19.49|18.96|0|0|0|24.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.81|0|0|0|0|0|0|0|0|31.03
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6084-61||CITALOPRAM 10 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0311-31||EZETIMIBE 10 MG-SIMVASTATIN 10 MG TABLET|51.74|27.42|38.81|41.39|43.98|46.57|0|41.81|37.25|35.02|0|51.74|34.2|0|24.94|42.35|32.49|31.61|0|0|38.81|40.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.7|0|0|0|0|0|0|0|0|51.74
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0312-31||EZETIMIBE 10 MG-SIMVASTATIN 20 MG TABLET|51.74|27.42|38.81|41.39|43.98|46.57|0|41.81|37.25|35.02|0|51.74|34.2|0|24.94|42.35|32.49|31.61|0|0|38.81|40.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.7|0|0|0|0|0|0|0|0|51.74
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0313-31||EZETIMIBE 10 MG-SIMVASTATIN 40 MG TABLET|51.74|27.42|38.81|41.39|43.98|46.57|0|41.81|37.25|35.02|0|51.74|34.2|0|24.94|42.35|32.49|31.61|0|0|38.81|40.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.7|0|0|0|0|0|0|0|0|51.74
HOSP OP|0637 - DRUGS/SELF ADMIN|66582-0315-31||EZETIMIBE 10 MG-SIMVASTATIN 80 MG TABLET|51.74|27.42|38.81|41.39|43.98|46.57|0|41.81|37.25|35.02|0|51.74|34.2|0|24.94|42.35|32.49|31.61|0|0|38.81|40.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.7|0|0|0|0|0|0|0|0|51.74
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-5749-01||METHYLPHENIDATE 10 MG TABLET|22.53|11.94|16.9|18.02|19.15|20.28|0|18.2|16.22|15.25|0|22.53|14.89|0|10.86|18.44|14.15|13.77|0|0|16.9|17.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.75|0|0|0|0|0|0|0|0|22.53
HOSP OP|0250 - PHARMACY|17478-0171-01||LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION|46.29|24.53|34.72|37.03|39.35|41.66|0|37.4|33.33|31.33|0|46.29|30.6|0|22.31|37.89|29.07|28.28|0|0|34.72|36.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.52|22.09|0|0|0|0|0|0|0|0|46.29
HOSP OP|0250 - PHARMACY|17478-0171-30||LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION|46.29|24.53|34.72|37.03|39.35|41.66|0|37.4|33.33|31.33|0|46.29|30.6|0|22.31|37.89|29.07|28.28|0|0|34.72|36.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.52|22.09|0|0|0|0|0|0|0|0|46.29
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0048-10||CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0094-01||CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0094-11||CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET|20.67|10.96|15.5|16.54|17.57|18.6|0|16.7|14.88|13.99|0|20.67|13.66|0|9.96|16.92|12.98|12.63|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.87|0|0|0|0|0|0|0|0|20.67
HOSP OP|0637 - DRUGS/SELF ADMIN|61958-0701-01|J8499|EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET|199.63|105.8|149.72|159.7|169.69|179.67|169.69|161.3|143.73|135.11|0|199.63|131.96|0|96.22|163.4|125.37|121.97|109|0|149.72|155.91|199.63|199.63|0|172.48|179.24|85.98|199.63|87.38|179.24|0|0|0|0|0|0|95.28|0|0|199.63|0|229.57|199.63|199.63|0|229.57
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0241-01||ACAMPROSATE 333 MG TABLETDELAYED RELEASE|24.58|13.03|18.44|19.66|20.89|22.12|0|19.86|17.7|16.64|0|24.58|16.25|0|11.85|20.12|15.44|15.02|0|0|18.44|19.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.73|0|0|0|0|0|0|0|0|24.58
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0241-06||ACAMPROSATE 333 MG TABLETDELAYED RELEASE|24.58|13.03|18.44|19.66|20.89|22.12|0|19.86|17.7|16.64|0|24.58|16.25|0|11.85|20.12|15.44|15.02|0|0|18.44|19.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.73|0|0|0|0|0|0|0|0|24.58
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-3235-60||DULOXETINE 20 MG CAPSULEDELAYED RELEASE|41.27|21.87|30.95|33.02|35.08|37.14|0|33.35|29.71|27.93|0|41.27|27.28|0|19.89|33.78|25.92|25.22|0|0|30.95|32.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.7|0|0|0|0|0|0|0|0|41.27
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6453-61||DULOXETINE 30 MG CAPSULEDELAYED RELEASE|22.35|11.85|16.76|17.88|19|20.12|0|18.06|16.09|15.13|0|22.35|14.77|0|10.77|18.29|14.04|13.66|0|0|16.76|17.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.67|0|0|0|0|0|0|0|0|22.35
HOSP OP|0250 - PHARMACY|00781-6078-61||CEFDINIR 250 MG/5 ML ORAL SUSPENSION|39.73|21.06|29.8|31.78|33.77|35.76|0|32.1|28.61|26.89|0|39.73|26.26|0|19.15|32.52|24.95|24.28|0|0|29.8|31.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.89|18.96|0|0|0|0|0|0|0|0|39.73
HOSP OP|0250 - PHARMACY|68180-0723-20||CEFDINIR 250 MG/5 ML ORAL SUSPENSION|39.73|21.06|29.8|31.78|33.77|35.76|0|32.1|28.61|26.89|0|39.73|26.26|0|19.15|32.52|24.95|24.28|0|0|29.8|31.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.89|18.96|0|0|0|0|0|0|0|0|39.73
HOSP OP|0637 - DRUGS/SELF ADMIN|50111-0901-01||ETHOSUXIMIDE 250 MG CAPSULE|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0250 - PHARMACY|41167-0751-42||CAPSAICIN 0.1 % TOPICAL CREAM|49.33|26.14|0|39.46|0|44.4|0|39.86|35.52|33.39|0|49.33|32.61|0|23.78|40.38|30.98|30.14|0|0|0|38.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.55|0|0|0|0|0|0|0|0|49.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0238-02|J9185|FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION|249.24|132.1|186.93|199.39|211.85|224.32|0|201.39|179.45|168.69|0|249.24|102.57|0|74.58|204|97.48|94.86|0|50.2848723|186.93|194.66|0|0|0|0|0|0|0|0|0|51.19|50.2848723|51.19|0|0|0|54.8|0|0|0|0|0|0|0|0|249.24
HOSP OP|0250 - PHARMACY|00409-3294-15||POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION|61.63|32.66|0|49.3|0|55.47|0|49.8|44.37|41.71|0|61.63|40.74|0|29.71|50.44|38.7|37.66|0|0|0|48.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.42|0|0|0|0|0|0|0|0|61.63
HOSP OP|0250 - PHARMACY|00409-3294-25||POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION|61.63|32.66|0|49.3|0|55.47|0|49.8|44.37|41.71|0|61.63|40.74|0|29.71|50.44|38.7|37.66|0|0|0|48.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.42|0|0|0|0|0|0|0|0|61.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-2520-01||CHLORZOXAZONE 500 MG TABLET|20.74|10.99|15.56|16.59|17.63|18.67|0|16.76|14.93|14.04|0|20.74|13.71|0|10|16.98|13.02|12.67|0|0|15.56|16.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.9|0|0|0|0|0|0|0|0|20.74
HOSP OP|0250 - PHARMACY|54643-5646-01||MVI PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN|69.98|37.09|0|55.98|0|62.98|0|56.54|50.39|47.36|0|69.98|46.26|0|33.73|57.28|43.95|42.76|0|0|0|54.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.4|0|0|0|0|0|0|0|0|69.98
HOSP OP|0250 - PHARMACY|00409-3299-06||SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION|54|28.62|0|43.2|0|48.6|0|43.63|38.88|36.55|0|54|35.69|0|26.03|44.2|33.91|32.99|0|0|0|42.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.77|0|0|0|0|0|0|0|0|54
HOSP OP|0250 - PHARMACY|00409-3299-05||SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION|50.13|28.62|0|43.2|0|48.6|0|43.63|38.88|36.55|0|54|35.69|0|26.03|44.2|33.91|32.99|0|0|0|42.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.77|0|0|0|0|0|0|0|0|54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00007-3232-11|J1652|FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE|123.88|65.66|92.91|99.1|105.3|111.49|0|100.1|89.19|83.84|0|123.88|26.7|0|19.4|101.4|25.4|24.7|0|1.52259332|92.91|96.75|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|14.3|0|0|0|0|0|0|0|0|123.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-6079-00|J1652|FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE|123.88|65.66|92.91|99.1|105.3|111.49|0|100.1|89.19|83.84|0|123.88|26.7|0|19.4|101.4|25.4|24.7|0|1.52259332|92.91|96.75|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|14.3|0|0|0|0|0|0|0|0|123.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-6079-04|J1652|FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE|123.88|65.66|92.91|99.1|105.3|111.49|0|100.1|89.19|83.84|0|123.88|26.7|0|19.4|101.4|25.4|24.7|0|1.52259332|92.91|96.75|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|14.3|0|0|0|0|0|0|0|0|123.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0585-00|J1652|FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE|120.06|63.63|90.05|96.05|102.05|108.05|0|97.01|86.44|81.26|0|120.06|53.4|0|38.8|98.27|50.8|49.4|0|1.52259332|90.05|93.77|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|28.6|0|0|0|0|0|0|0|0|120.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0584-00|J1652|FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE|120.06|63.63|90.05|96.05|102.05|108.05|0|97.01|86.44|81.26|0|120.06|40.05|0|29.1|98.27|38.1|37.05|0|1.52259332|90.05|93.77|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|21.45|0|0|0|0|0|0|0|0|120.06
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0584-06|J1652|FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE|120.06|63.63|90.05|96.05|102.05|108.05|0|97.01|86.44|81.26|0|120.06|40.05|0|29.1|98.27|38.1|37.05|0|1.52259332|90.05|93.77|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|21.45|0|0|0|0|0|0|0|0|120.06
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0779-32||LACTULOSE 10 GRAM/15 ML ORAL SOLUTION|25.36|13.44|19.02|20.29|21.56|22.82|0|20.49|18.26|17.16|0|25.36|16.76|0|12.22|20.76|15.93|15.49|0|0|19.02|19.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.1|0|0|0|0|0|0|0|0|25.36
HOSP OP|0637 - DRUGS/SELF ADMIN|54092-0252-90||LANTHANUM 500 MG CHEWABLE TABLET|53.46|28.33|40.1|42.77|45.44|48.11|0|43.2|38.49|36.18|0|53.46|35.34|0|25.77|43.76|33.57|32.66|0|0|40.1|41.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.52|0|0|0|0|0|0|0|0|53.46
HOSP OP|0637 - DRUGS/SELF ADMIN|51248-0150-52||SOLIFENACIN 5 MG TABLET|47.17|25|35.38|37.74|40.09|42.45|0|38.11|33.96|31.92|0|47.17|31.18|0|22.74|38.61|29.62|28.82|0|0|35.38|36.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.51|0|0|0|0|0|0|0|0|47.17
HOSP OP|0637 - DRUGS/SELF ADMIN|51248-0151-52||SOLIFENACIN 10 MG TABLET|47.17|25|35.38|37.74|40.09|42.45|0|38.11|33.96|31.92|0|47.17|31.18|0|22.74|38.61|29.62|28.82|0|0|35.38|36.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.51|0|0|0|0|0|0|0|0|47.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00173-0783-02||OMEGA-3 ACID ETHYL ESTERS 1 GRAM CAPSULE|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0250 - PHARMACY|71139-0012-01||OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS|67.5|35.77|0|54|0|60.75|0|54.54|48.6|45.68|0|67.5|44.62|0|32.54|55.25|42.39|41.24|0|0|0|52.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.22|0|0|0|0|0|0|0|0|67.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00023-1145-01|J0585|ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION|1542.5|817.52|1156.88|1234|1311.13|1388.25|1311.13|1246.34|1110.6|1043.96|0|1542.5|792|612|576|1262.54|753|733|597|6.119842829|1156.88|1204.69|609.5|609.5|609.5|1470.17|1473.17|478.69|609.5|487.13|1473.17|6.23|6.119842829|6.23|0|0|673|423|609.5|609.5|609.5|609.5|609.5|609.5|627.79|0|1542.5
HOSP OP|0250 - PHARMACY|58914-0501-56||MESALAMINE 1000 MG RECTAL SUPPOSITORY|127.91|67.79|0|102.33|0|115.12|0|103.35|92.1|86.57|0|127.91|84.55|0|61.65|104.69|80.33|78.15|0|0|0|99.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|61.05|0|0|0|0|0|0|0|0|127.91
HOSP OP|0250 - PHARMACY|00225-0525-47||SODIUM CHLORIDE-ALOE VERA NASAL GEL|28.68|15.2|0|22.94|0|25.81|0|23.17|20.65|19.41|0|28.68|18.96|0|13.82|23.47|18.01|17.52|0|0|0|22.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.69|0|0|0|0|0|0|0|0|28.68
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0651-25||CLARITHROMYCIN 500 MG TABLET|30.01|15.91|22.51|24.01|25.51|27.01|0|24.25|21.61|20.31|0|30.01|19.84|0|14.46|24.56|18.85|18.34|0|0|22.51|23.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.32|0|0|0|0|0|0|0|0|30.01
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0651-95||CLARITHROMYCIN 500 MG TABLET|30.01|15.91|22.51|24.01|25.51|27.01|0|24.25|21.61|20.31|0|30.01|19.84|0|14.46|24.56|18.85|18.34|0|0|22.51|23.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.32|0|0|0|0|0|0|0|0|30.01
HOSP OP|0250 - PHARMACY|61703-0418-18||VITAMIN A PALMITATE 50000 UNIT/ML INTRAMUSCULAR SOLUTION|1316.77|697.89|0|1053.42|0|1185.09|0|1063.95|948.07|891.19|0|1316.77|870.38|0|634.68|1077.78|826.93|804.55|0|0|0|1028.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|628.49|0|0|0|0|0|0|0|0|1316.77
HOSP OP|0250 - PHARMACY|61703-0418-07||VITAMIN A PALMITATE 50000 UNIT/ML INTRAMUSCULAR SOLUTION|1316.77|697.89|0|1053.42|0|1185.09|0|1063.95|948.07|891.19|0|1316.77|870.38|0|634.68|1077.78|826.93|804.55|0|0|0|1028.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|628.49|0|0|0|0|0|0|0|0|1316.77
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0277-01||RISPERIDONE 4 MG TABLET|21.31|11.29|15.98|17.05|18.11|19.18|0|17.22|15.34|14.42|0|21.31|14.09|0|10.27|17.44|13.38|13.02|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.31
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0277-11||RISPERIDONE 4 MG TABLET|21.31|11.29|15.98|17.05|18.11|19.18|0|17.22|15.34|14.42|0|21.31|14.09|0|10.27|17.44|13.38|13.02|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.31
HOSP OP|0250 - PHARMACY|63402-0510-01||LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER|144.79|76.74|0|115.83|0|130.31|0|116.99|104.25|97.99|0|144.79|95.71|0|69.79|118.51|90.93|88.47|0|0|0|113.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|69.11|0|0|0|0|0|0|0|0|144.79
HOSP OP|0250 - PHARMACY|00469-3250-10|J2248|MICAFUNGIN 50 MG INTRAVENOUS SOLUTION|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|67|0|49|94.95|64|62|0|1.060903733|87|90.6|0|0|0|0|0|0|0|0|0|1.08|1.060903733|1.08|0|0|0|35.5|0|0|0|0|0|0|0|0|116
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0375-19|J1815|INSULIN NPH-REGULAR 70-30 U-100 INSULIN 100 UNIT/ML SUBCUTANEOUS PEN|50.36|26.69|37.77|40.29|42.81|45.32|0|40.69|36.26|34.08|0|50.36|23|0|16.6|41.22|21.8|21.2|0|0.903732809|37.77|39.33|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|50.36
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0037-55||AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION|28.27|14.98|21.2|22.62|24.03|25.44|0|22.84|20.35|19.13|0|28.27|18.69|0|13.63|23.14|17.75|17.27|0|0|21.2|22.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.49|0|0|0|0|0|0|0|0|28.27
HOSP OP|0250 - PHARMACY|25010-0210-27|J3490|ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION|10860.63|5756.13|8145.47|8688.5|9231.54|9774.57|0|8775.39|7819.65|7350.47|0|10860.63|7178.88|0|5234.82|8889.43|6820.48|6635.84|0|0|8145.47|8482.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5183.78|0|0|0|0|0|0|0|0|10860.63
HOSP OP|0250 - PHARMACY|53276-1010-02||MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER|800.71|424.38|0|640.57|0|720.64|0|646.97|576.51|541.92|0|800.71|529.27|0|385.94|655.38|502.85|489.23|0|0|0|625.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|382.18|0|0|0|0|0|0|0|0|800.71
HOSP OP|0250 - PHARMACY|53276-1010-34||MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER|800.71|424.38|0|640.57|0|720.64|0|646.97|576.51|541.92|0|800.71|529.27|0|385.94|655.38|502.85|489.23|0|0|0|625.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|382.18|0|0|0|0|0|0|0|0|800.71
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58160-0842-43|90715|DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE|120.99|64.12|90.74|96.79|102.84|108.89|0|97.76|87.11|81.89|0|120.99|41.72|0|30.33|99.03|39.65|38.58|0|33.64440079|90.74|94.49|0|0|0|0|0|0|0|0|0|34.25|33.64440079|34.25|0|0|0|22.29|0|0|0|0|0|0|0|0|120.99
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58160-0842-11|90700|DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP|120.99|64.12|90.74|96.79|102.84|108.89|0|97.76|87.11|81.89|0|120.99|31.02|0|22.56|99.03|29.49|28.69|0|25.5108055|90.74|94.49|0|0|0|0|0|0|0|0|0|25.97|25.5108055|25.97|0|0|0|16.57|0|0|0|0|0|0|0|0|120.99
HOSP OP|0637 - DRUGS/SELF ADMIN|65862-0148-36||SUMATRIPTAN 100 MG TABLET|20.95|11.1|15.71|16.76|17.81|18.86|0|16.93|15.08|14.18|0|20.95|13.85|0|10.1|17.15|13.16|12.8|0|0|15.71|16.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10|0|0|0|0|0|0|0|0|20.95
HOSP OP|0250 - PHARMACY|00781-7240-55||FENTANYL 12 MCG/HR TRANSDERMAL PATCH|68.72|36.42|0|54.98|0|61.85|0|55.53|49.48|46.51|0|68.72|45.42|0|33.12|56.25|43.16|41.99|0|0|0|53.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.8|0|0|0|0|0|0|0|0|68.72
HOSP OP|0250 - PHARMACY|00591-5714-01||AMOXAPINE 50 MG TABLET|22.32|11.83|0|17.86|0|20.09|0|18.03|16.07|15.11|0|22.32|14.75|0|10.76|18.27|14.02|13.64|0|0|0|17.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.65|0|0|0|0|0|0|0|0|22.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5460-61||CALCIUM CARBONATE 500 MG (1250 MG)-VITAMIN D3 200 UNIT TABLET|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0291-01||CALCIUM CARBONATE 500 MG (1250 MG)-VITAMIN D3 200 UNIT TABLET|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0250 - PHARMACY|63323-0465-57||BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION|57.38|30.41|0|45.9|0|51.64|0|46.36|41.31|38.83|0|57.38|37.93|0|27.66|46.97|36.03|35.06|0|0|0|44.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.39|0|0|0|0|0|0|0|0|57.38
HOSP OP|0637 - DRUGS/SELF ADMIN|00009-5191-04||TOLTERODINE ER 4 MG CAPSULEEXTENDED RELEASE 24 HR|54.65|28.96|40.99|43.72|46.45|49.19|0|44.16|39.35|36.99|0|54.65|36.12|0|26.34|44.73|34.32|33.39|0|0|40.99|42.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.08|0|0|0|0|0|0|0|0|54.65
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-3740-01||MEDROXYPROGESTERONE 2.5 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|15.32|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0717-15||SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET|21.43|11.36|16.07|17.14|18.22|19.29|0|17.32|15.43|14.5|0|21.43|14.17|0|10.33|17.54|13.46|13.09|0|0|16.07|16.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.23|0|0|0|0|0|0|0|0|21.43
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0152-01||CEPHALEXIN 250 MG CAPSULE|20.9|11.08|15.68|16.72|17.77|18.81|0|16.89|15.05|14.15|0|20.9|13.81|0|10.07|17.11|13.13|12.77|0|0|15.68|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.9
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0152-11||CEPHALEXIN 250 MG CAPSULE|20.9|11.08|15.68|16.72|17.77|18.81|0|16.89|15.05|14.15|0|20.9|13.81|0|10.07|17.11|13.13|12.77|0|0|15.68|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0379-60|90378|PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION|3693.03|1957.31|2769.77|2954.42|3139.08|3323.73|3139.08|2983.97|2658.98|2499.44|0|3693.03|1990.79|1418.42|1447.57|3022.75|1892.02|1841.1|1418.42|1604.675835|2769.77|2884.26|1477.21|0|1477.21|3693.03|3693.03|1953.03|1477.21|1980.02|3693.03|1633.56|1604.675835|1633.56|0|0|1509.91|1063.62|0|0|1477.21|0|1846.52|1477.21|1477.21|0|3693.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00008-4990-02|J3243|TIGECYCLINE 50 MG INTRAVENOUS SOLUTION|388.28|205.79|291.21|310.62|330.04|349.45|330.04|313.73|279.56|262.79|0|388.28|120.5|113|87.5|317.81|114.5|111.5|110|1.640471513|291.21|303.25|155.31|0|155.31|193.55|197.5|146.5|155.31|99|197.5|1.67|1.640471513|1.67|0|0|94|64|0|0|155.31|0|194.14|155.31|155.31|0|388.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00008-4990-19|J3243|TIGECYCLINE 50 MG INTRAVENOUS SOLUTION|388.28|205.79|291.21|310.62|330.04|349.45|330.04|313.73|279.56|262.79|0|388.28|120.5|113|87.5|317.81|114.5|111.5|110|1.640471513|291.21|303.25|155.31|0|155.31|193.55|197.5|146.5|155.31|99|197.5|1.67|1.640471513|1.67|0|0|94|64|0|0|155.31|0|194.14|155.31|155.31|0|388.28
HOSP OP|0250 - PHARMACY|00085-1341-06||MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER|230.95|122.4|0|184.76|0|207.86|0|186.61|166.28|156.31|0|230.95|152.66|0|111.32|189.03|145.04|141.11|0|0|0|180.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.23|0|0|0|0|0|0|0|0|230.95
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-2613-01||AMOXICILLIN 500 MG CAPSULE|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.1|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-5003-41|J0696|CEFTRIAXONE-DEXTROSE (ISO-OSMOTIC) 2 GRAM/50 ML IV PIGGYBACK|66.38|35.18|49.79|53.1|56.42|59.74|0|53.64|47.79|44.93|0|66.38|6.72|0|4.88|54.33|6.4|6.24|0|0.599214145|49.79|51.84|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|3.6|0|0|0|0|0|0|0|0|66.38
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-0123-23||HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET|21.17|11.22|15.88|16.94|17.99|19.05|0|17.11|15.24|14.33|0|21.17|13.99|0|10.2|17.33|13.29|12.93|0|0|15.88|16.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.47|10.1|0|0|0|0|0|0|0|0|21.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-0123-62||HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET|21.17|11.22|15.88|16.94|17.99|19.05|0|17.11|15.24|14.33|0|21.17|13.99|0|10.2|17.33|13.29|12.93|0|0|15.88|16.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.47|10.1|0|0|0|0|0|0|0|0|21.17
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0381-91||LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID|29.73|15.76|22.3|23.78|25.27|26.76|0|24.02|21.41|20.12|0|29.73|19.65|0|14.33|24.33|18.67|18.17|0|0|22.3|23.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.19|0|0|0|0|0|0|0|0|29.73
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-1012-68||PREGABALIN 25 MG CAPSULE|42.81|22.69|32.11|34.25|36.39|38.53|0|34.59|30.82|28.97|0|42.81|28.3|0|20.63|35.04|26.88|26.16|0|0|32.11|33.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.43|0|0|0|0|0|0|0|0|42.81
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-1013-41||PREGABALIN 50 MG CAPSULE|45.09|23.9|33.82|36.07|38.33|40.58|0|36.43|32.46|30.52|0|45.09|29.8|0|21.73|36.91|28.32|27.55|0|0|33.82|35.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.52|0|0|0|0|0|0|0|0|45.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-1014-41||PREGABALIN 75 MG CAPSULE|45.09|23.9|33.82|36.07|38.33|40.58|0|36.43|32.46|30.52|0|45.09|29.8|0|21.73|36.91|28.32|27.55|0|0|33.82|35.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.52|0|0|0|0|0|0|0|0|45.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-1015-41||PREGABALIN 100 MG CAPSULE|45.09|23.9|33.82|36.07|38.33|40.58|0|36.43|32.46|30.52|0|45.09|29.8|0|21.73|36.91|28.32|27.55|0|0|33.82|35.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.52|0|0|0|0|0|0|0|0|45.09
HOSP OP|0637 - DRUGS/SELF ADMIN|62559-0153-04||OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL|32.26|17.1|24.2|25.81|27.42|29.03|0|26.07|23.23|21.83|0|32.26|21.32|0|15.55|26.4|20.26|19.71|0|0|24.2|25.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.4|0|0|0|0|0|0|0|0|32.26
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0383-35||OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL|32.26|17.1|24.2|25.81|27.42|29.03|0|26.07|23.23|21.83|0|32.26|21.32|0|15.55|26.4|20.26|19.71|0|0|24.2|25.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.4|0|0|0|0|0|0|0|0|32.26
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0384-04|J1815|INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION|61.93|32.82|46.45|49.54|52.64|55.74|0|50.04|44.59|41.91|0|61.93|23|0|16.6|50.69|21.8|21.2|0|0.903732809|46.45|48.37|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|61.93
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-3687-12|J1815|INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION|259.28|32.82|46.45|49.54|52.64|55.74|0|50.04|44.59|41.91|0|61.93|23|0|16.6|50.69|21.8|21.2|0|0.903732809|46.45|48.37|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|12.2|0|0|0|0|0|0|0|0|61.93
HOSP OP|0250 - PHARMACY|50289-3250-01||GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS|26.84|14.23|0|21.47|0|24.16|0|21.69|19.32|18.17|0|26.84|17.74|0|12.94|21.97|16.86|16.4|0|0|0|20.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.81|0|0|0|0|0|0|0|0|26.84
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0516-20|Q0161|CHLORPROMAZINE 100 MG TABLET|53.86|28.55|40.4|43.09|45.78|48.47|0|43.52|38.78|36.45|0|53.86|44.4|0|32.2|44.08|42.2|41|0|2.190569745|40.4|42.06|0|0|0|0|0|0|0|0|0|2.23|2.190569745|2.23|0|0|0|23.6|0|0|0|0|0|0|0|0|53.86
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-0080-00||SOTALOL 80 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0250 - PHARMACY|32909-0115-00||BARIUM SULFATE 40 % (W/V) 30 % (W/W) ORAL SUSPENSION|38.88|20.61|0|31.1|0|34.99|0|31.42|27.99|26.31|0|38.88|25.7|0|18.74|31.82|24.42|23.76|0|0|0|30.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.56|0|0|0|0|0|0|0|0|38.88
HOSP OP|0250 - PHARMACY|32909-0814-53||BARIUM SULFATE 40 % (W/V) 30 % (W/W) ORAL SUSPENSION|59.22|20.61|0|31.1|0|34.99|0|31.42|27.99|26.31|0|38.88|25.7|0|18.74|31.82|24.42|23.76|0|0|0|30.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.56|0|0|0|0|0|0|0|0|38.88
HOSP OP|0250 - PHARMACY|47781-0297-03||NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH|22|11.66|0|17.6|0|19.8|0|17.78|15.84|14.89|0|22|14.54|0|10.6|18.01|13.82|13.44|0|0|0|17.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.5|0|0|0|0|0|0|0|0|22
HOSP OP|0250 - PHARMACY|00187-0658-20||DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT|997.34|528.59|0|797.87|0|897.61|0|805.85|718.08|675|0|997.34|659.24|0|480.72|816.32|626.33|609.37|0|0|0|778.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|476.03|0|0|0|0|0|0|0|0|997.34
HOSP OP|0637 - DRUGS/SELF ADMIN|53329-0301-24|J8499|CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH|25.18|13.35|18.89|20.14|21.4|22.66|21.4|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|13.75|0|18.89|19.67|25.18|25.18|0|21.76|22.61|10.85|25.18|11.02|22.61|0|0|0|0|0|0|12.02|0|0|25.18|0|28.96|25.18|25.18|0|28.96
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0387-30|J8499|CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH|25.18|13.35|18.89|20.14|21.4|22.66|21.4|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|13.75|0|18.89|19.67|25.18|25.18|0|21.76|22.61|10.85|25.18|11.02|22.61|0|0|0|0|0|0|12.02|0|0|25.18|0|28.96|25.18|25.18|0|28.96
HOSP OP|0637 - DRUGS/SELF ADMIN|00116-2001-16|J8499|CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH|30.68|13.35|18.89|20.14|21.4|22.66|21.4|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|13.75|0|18.89|19.67|25.18|25.18|0|21.76|22.61|10.85|25.18|11.02|22.61|0|0|0|0|0|0|12.02|0|0|25.18|0|28.96|25.18|25.18|0|28.96
HOSP OP|0250 - PHARMACY|00409-2689-01||AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION|46.92|24.87|0|37.54|0|42.23|0|37.91|33.78|31.76|0|46.92|31.01|0|22.62|38.4|29.47|28.67|0|0|0|36.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.39|0|0|0|0|0|0|0|0|46.92
HOSP OP|0258 - IV SOLUTIONS|00409-7132-69|J7040|SODIUM CHLORIDE 0.45 % INTRAVENOUS PIGGYBACK|43.25|22.92|32.44|34.6|36.76|38.93|0|34.95|31.14|29.27|0|43.25|1.63|0|1.18|35.4|1.54|1.5|0|1.286836935|32.44|33.78|0|0|0|0|0|0|0|0|0|1.31|1.286836935|1.31|0|0|0|0.87|0|0|0|0|0|0|0|0|43.25
HOSP OP|0258 - IV SOLUTIONS|00338-0553-18|J7040|SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|1.63|0|1.18|37.65|1.54|1.5|0|1.286836935|34.5|35.93|0|0|0|0|0|0|0|0|0|1.31|1.286836935|1.31|0|0|0|0.87|0|0|0|0|0|0|0|0|46
HOSP OP|0258 - IV SOLUTIONS|00338-9159-30|J7040|SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|1.63|0|1.18|37.65|1.54|1.5|0|1.286836935|34.5|35.93|0|0|0|0|0|0|0|0|0|1.31|1.286836935|1.31|0|0|0|0.87|0|0|0|0|0|0|0|0|46
HOSP OP|0258 - IV SOLUTIONS|00409-7101-67|J7040|SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|1.63|0|1.18|37.65|1.54|1.5|0|1.286836935|34.5|35.93|0|0|0|0|0|0|0|0|0|1.31|1.286836935|1.31|0|0|0|0.87|0|0|0|0|0|0|0|0|46
HOSP OP|0258 - IV SOLUTIONS|00409-7101-69|J7040|SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|1.63|0|1.18|37.65|1.54|1.5|0|1.286836935|34.5|35.93|0|0|0|0|0|0|0|0|0|1.31|1.286836935|1.31|0|0|0|0.87|0|0|0|0|0|0|0|0|46
HOSP OP|0250 - PHARMACY|00338-0551-18|J7060|DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK|46|24.38|34.5|36.8|39.1|41.4|0|37.17|33.12|31.13|0|46|3.2|0|2.33|37.65|3.04|2.96|0|1.817288802|34.5|35.93|0|0|0|0|0|0|0|0|0|1.85|1.817288802|1.85|0|0|0|1.7|0|0|0|0|0|0|0|0|46
HOSP OP|0637 - DRUGS/SELF ADMIN|13668-0094-90||PRAMIPEXOLE 1 MG TABLET|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0250 - PHARMACY|00409-4053-03||CLINDAMYCIN 300 MG/2 ML INTRAVENOUS SOLUTION|40.4|21.41|0|32.32|0|36.36|0|32.64|29.09|27.34|0|40.4|26.7|0|19.47|33.07|25.37|24.68|0|0|0|31.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.28|0|0|0|0|0|0|0|0|40.4
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0860-11||METHYLPHENIDATE 20 MG TABLET|23.99|12.71|17.99|19.19|20.39|21.59|0|19.38|17.27|16.24|0|23.99|15.86|0|11.56|19.64|15.07|14.66|0|0|17.99|18.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.45|0|0|0|0|0|0|0|0|23.99
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0860-21||METHYLPHENIDATE 20 MG TABLET|23.99|12.71|17.99|19.19|20.39|21.59|0|19.38|17.27|16.24|0|23.99|15.86|0|11.56|19.64|15.07|14.66|0|0|17.99|18.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.45|0|0|0|0|0|0|0|0|23.99
HOSP OP|0250 - PHARMACY|10122-0510-03||PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION|2102.43|1114.29|0|1681.94|0|1892.19|0|1698.76|1513.75|1422.92|0|2102.43|1389.71|0|1013.37|1720.84|1320.33|1284.58|0|0|0|1642|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1003.49|0|0|0|0|0|0|0|0|2102.43
HOSP OP|0250 - PHARMACY|10122-0510-01||PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION|1099.75|582.87|0|879.8|0|989.78|0|888.6|791.82|744.31|0|1099.75|726.93|0|530.08|900.15|690.64|671.95|0|0|0|858.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|524.91|0|0|0|0|0|0|0|0|1099.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|51079-0721-01|J7517|MYCOPHENOLATE MOFETIL 250 MG CAPSULE|21.13|11.2|15.85|16.9|17.96|19.02|0|17.07|15.21|14.3|0|21.13|1.33|0|0.97|17.29|1.26|1.23|0|0.717092338|15.85|16.5|0|0|0|0|0|0|0|0|0|0.73|0.717092338|0.73|0|0|0|0.7|0|0|0|0|0|0|0|0|21.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|51079-0721-20|J7517|MYCOPHENOLATE MOFETIL 250 MG CAPSULE|21.13|11.2|15.85|16.9|17.96|19.02|0|17.07|15.21|14.3|0|21.13|1.33|0|0.97|17.29|1.26|1.23|0|0.717092338|15.85|16.5|0|0|0|0|0|0|0|0|0|0.73|0.717092338|0.73|0|0|0|0.7|0|0|0|0|0|0|0|0|21.13
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0174-75||WARFARIN 10 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0637 - DRUGS/SELF ADMIN|59148-0006-13||ARIPIPRAZOLE 2 MG TABLET|102.85|54.51|77.14|82.28|87.42|92.57|0|83.1|74.05|69.61|0|102.85|67.98|0|49.57|84.18|64.59|62.84|0|0|77.14|80.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.09|0|0|0|0|0|0|0|0|102.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00083-3801-04|J0895|DEFEROXAMINE 500 MG SOLUTION FOR INJECTION|61.2|32.44|45.9|48.96|52.02|55.08|0|49.45|44.06|41.42|0|61.2|12.41|0|9.02|50.09|11.79|11.48|0|7.907662083|45.9|47.8|0|0|0|0|0|0|0|0|0|8.05|7.907662083|8.05|0|0|0|6.62|0|0|0|0|0|0|0|0|61.2
HOSP OP|0250 - PHARMACY|17478-0623-12||SODIUM CHLORIDE 5 % EYE DROPS|46.87|24.84|0|37.5|0|42.18|0|37.87|33.75|31.72|0|46.87|30.98|0|22.59|38.36|29.43|28.64|0|0|0|36.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.37|0|0|0|0|0|0|0|0|46.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0003-06|J1450|FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK|49.5|26.23|37.13|39.6|42.08|44.55|0|40|35.64|33.5|0|49.5|14.38|0|10.44|40.52|13.66|13.3|0|4.675834971|37.13|38.66|0|0|0|0|0|0|0|0|0|4.76|4.675834971|4.76|0|0|0|7.68|0|0|0|0|0|0|0|0|49.5
HOSP OP|0250 - PHARMACY|00574-4022-35||BACITRACIN 500 UNIT/GRAM EYE OINTMENT|514.18|272.52|0|411.34|0|462.76|0|415.46|370.21|348|0|514.18|339.87|0|247.83|420.86|322.91|314.16|0|0|0|401.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|245.42|0|0|0|0|0|0|0|0|514.18
HOSP OP|0250 - PHARMACY|00472-0345-56||HYDROCORTISONE 1 % TOPICAL OINTMENT|24.46|12.96|0|19.57|0|22.01|0|19.76|17.61|16.55|0|24.46|16.17|0|11.79|20.02|15.36|14.95|0|0|0|19.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.67|0|0|0|0|0|0|0|0|24.46
HOSP OP|0637 - DRUGS/SELF ADMIN|43292-0556-06||CALCIUM CITRATE 250 MG TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2585-01|J0690|CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION|44.28|23.47|33.21|35.42|37.64|39.85|0|35.78|31.88|29.97|0|44.28|2.14|0|1.56|36.24|2.04|1.98|0|0.815324165|33.21|34.58|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1.12|0|0|0|0|0|0|0|0|44.28
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6281-61||QUETIAPINE 400 MG TABLET|23.63|12.52|17.72|18.9|20.09|21.27|0|19.09|17.01|15.99|0|23.63|15.62|0|11.39|19.34|14.84|14.44|0|0|17.72|18.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.28|0|0|0|0|0|0|0|0|23.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63833-0617-02|J7187|ANTIHEMOPHILIC FACTOR-VWF 1000 UNIT-2400 UNIT INTRAVENOUS SOLUTION|4368.18|2315.14|3276.14|3494.54|3712.95|3931.36|3712.95|3529.49|3145.09|2956.38|0|4368.18|3504|3024|2544|3575.36|3336|3240|2952|1.168958743|3276.14|3411.55|1747.27|0|1747.27|4368.18|4368.18|3528|1747.27|3576|4368.18|1.19|1.168958743|1.19|0|0|2016|1848|0|0|1747.27|0|2184.09|1747.27|1747.27|0|4368.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63833-0616-02|J7187|ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1200 UNIT INTRAVENOUS SOLUTION|2521.88|1336.6|1891.41|2017.5|2143.6|2269.69|2143.6|2037.68|1815.75|1706.81|0|2521.88|1.46|1.26|1.06|2064.16|1.39|1.35|1.23|1.168958743|1891.41|1969.59|1008.75|0|1008.75|2.91|2.97|1.47|1008.75|1.49|2.97|1.19|1.168958743|1.19|0|0|0.84|0.77|0|0|1008.75|0|1260.94|1008.75|1008.75|0|2521.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|08290-3064-24|J1642|HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE|40.89|21.67|30.67|32.71|34.76|36.8|0|33.04|29.44|27.67|0|40.89|11.5|0|8.5|33.47|11|10.5|0|0.324165029|30.67|31.94|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|6|0|0|0|0|0|0|0|0|40.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|08881-5901-25|J1642|HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE|40.89|21.67|30.67|32.71|34.76|36.8|0|33.04|29.44|27.67|0|40.89|11.5|0|8.5|33.47|11|10.5|0|0.324165029|30.67|31.94|0|0|0|0|0|0|0|0|0|0.33|0.324165029|0.33|0|0|0|6|0|0|0|0|0|0|0|0|40.89
HOSP OP|0250 - PHARMACY|00409-1316-32|J1644|HEPARIN PORCINE (PF) 5000 UNIT/0.5 ML INJECTION SYRINGE|43.76|23.19|32.82|35.01|37.2|39.38|0|35.36|31.51|29.62|0|43.76|1.3|0|0.95|35.82|1.25|1.2|0|0.235756385|32.82|34.18|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|0.65|0|0|0|0|0|0|0|0|43.76
HOSP OP|0637 - DRUGS/SELF ADMIN|61958-1003-01||RANOLAZINE ER 500 MG TABLETEXTENDED RELEASE12 HR|38.22|20.26|28.67|30.58|32.49|34.4|0|30.88|27.52|25.87|0|38.22|25.26|0|18.42|31.28|24|23.35|0|0|28.67|29.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.24|0|0|0|0|0|0|0|0|38.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5611-61||ENALAPRIL MALEATE 20 MG TABLET|21.3|11.29|15.98|17.04|18.11|19.17|0|17.21|15.34|14.42|0|21.3|14.08|0|10.27|17.43|13.38|13.01|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.3
HOSP OP|0637 - DRUGS/SELF ADMIN|64764-0240-60||LUBIPROSTONE 24 MCG CAPSULE|37.07|19.65|27.8|29.66|31.51|33.36|0|29.95|26.69|25.09|0|37.07|24.5|0|17.87|30.34|23.28|22.65|0|0|27.8|28.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.69|0|0|0|0|0|0|0|0|37.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7650-52|J1644|HEPARIN (PORCINE) 25000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN|53.75|28.49|40.31|43|45.69|48.38|0|43.43|38.7|36.38|0|53.75|6.5|0|4.75|43.99|6.25|6|0|0.235756385|40.31|41.98|0|0|0|0|0|0|0|0|0|0.24|0.235756385|0.24|0|0|0|3.25|0|0|0|0|0|0|0|0|53.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0173-75||WARFARIN 7.5 MG TABLET|28.6|15.16|21.45|22.88|24.31|25.74|0|23.11|20.59|19.36|0|28.6|18.9|0|13.79|23.41|17.96|17.47|0|0|21.45|22.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.65|0|0|0|0|0|0|0|0|28.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|18657-0117-01|J3473|HYALURONIDASE HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION|132.74|70.35|99.56|106.19|112.83|119.47|0|107.25|95.57|89.84|0|132.74|69|0|51|108.65|66|64.5|0|0.36345776|99.56|103.67|0|0|0|0|0|0|0|0|0|0.37|0.36345776|0.37|0|0|0|36|0|0|0|0|0|0|0|0|132.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|53270-0051-01|J1571|HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN|831.58|440.74|623.69|665.26|706.84|748.42|706.84|671.92|598.74|562.81|0|831.58|498|488.64|362.1|680.65|473.28|460.56|476.4|58.95874263|623.69|649.46|332.63|0|332.63|831.58|831.58|510.24|332.63|475.68|831.58|60.02|58.95874263|60.02|0|0|405.6|266.04|0|0|332.63|0|415.79|332.63|332.63|0|831.58
HOSP OP|0250 - PHARMACY|24208-0505-05||LEVOBUNOLOL 0.5 % EYE DROPS|30.25|16.03|0|24.2|0|27.23|0|24.44|21.78|20.47|0|30.25|20|0|14.58|24.76|19|18.48|0|0|0|23.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.44|0|0|0|0|0|0|0|0|30.25
HOSP OP|0250 - PHARMACY|00409-4283-01||LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION|46.55|24.67|0|37.24|0|41.9|0|37.61|33.52|31.51|0|46.55|30.77|0|22.44|38.1|29.23|28.44|0|0|0|36.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.22|0|0|0|0|0|0|0|0|46.55
HOSP OP|0250 - PHARMACY|00409-4056-01|J2001|LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION|43.05|22.82|32.29|34.44|36.59|38.75|0|34.78|31|29.14|0|43.05|1.8|0|1.5|35.24|1.8|1.8|0|0.029469548|32.29|33.62|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.9|0|0|0|0|0|0|0|0|43.05
HOSP OP|0250 - PHARMACY|00409-4279-02||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|00409-4713-02||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|00409-4713-32||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|63323-0492-27||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|63323-0492-37||LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|00409-4282-01|J2001|LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION|44.9|23.8|33.68|35.92|38.17|40.41|0|36.28|32.33|30.39|0|44.9|0.6|0|0.5|36.75|0.6|0.6|0|0.029469548|33.68|35.07|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.3|0|0|0|0|0|0|0|0|44.9
HOSP OP|0250 - PHARMACY|00409-4282-02|J2001|LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION|44.9|23.8|33.68|35.92|38.17|40.41|0|36.28|32.33|30.39|0|44.9|0.6|0|0.5|36.75|0.6|0.6|0|0.029469548|33.68|35.07|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.3|0|0|0|0|0|0|0|0|44.9
HOSP OP|0250 - PHARMACY|63323-0495-07|J2001|LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION|44.9|23.8|33.68|35.92|38.17|40.41|0|36.28|32.33|30.39|0|44.9|0.6|0|0.5|36.75|0.6|0.6|0|0.029469548|33.68|35.07|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.3|0|0|0|0|0|0|0|0|44.9
HOSP OP|0250 - PHARMACY|00409-4278-01||LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION|61.63|32.66|0|49.3|0|55.47|0|49.8|44.37|41.71|0|61.63|40.74|0|29.71|50.44|38.7|37.66|0|0|0|48.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.42|0|0|0|0|0|0|0|0|61.63
HOSP OP|0250 - PHARMACY|63323-0491-57||LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION|61.63|32.66|0|49.3|0|55.47|0|49.8|44.37|41.71|0|61.63|40.74|0|29.71|50.44|38.7|37.66|0|0|0|48.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.42|0|0|0|0|0|0|0|0|61.63
HOSP OP|0250 - PHARMACY|00409-1323-05|J2001|LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE|51.03|27.05|38.27|40.82|43.38|45.93|0|41.23|36.74|34.54|0|51.03|0.6|0|0.5|41.77|0.6|0.6|0|0.029469548|38.27|39.85|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.3|0|0|0|0|0|0|0|0|51.03
HOSP OP|0250 - PHARMACY|76329-3390-01|J2001|LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE|51.03|27.05|38.27|40.82|43.38|45.93|0|41.23|36.74|34.54|0|51.03|0.6|0|0.5|41.77|0.6|0.6|0|0.029469548|38.27|39.85|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|0.3|0|0|0|0|0|0|0|0|51.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00264-9598-20|J2001|LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION|48.13|25.51|36.1|38.5|40.91|43.32|0|38.89|34.65|32.57|0|48.13|12|0|10|39.39|12|12|0|0.029469548|36.1|37.59|0|0|0|0|0|0|0|0|0|0.03|0.029469548|0.03|0|0|0|6|0|0|0|0|0|0|0|0|48.13
HOSP OP|0250 - PHARMACY|65757-0300-01|J2315|NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSIONEXTENDED RELEASE|3261.88|1728.8|2446.41|2609.5|2772.6|2935.69|2772.6|2635.6|2348.55|2207.64|0|3261.88|1592.2|1254|1159|2669.85|1512.4|1474.4|1223.6|3.241650295|2446.41|2547.53|1304.75|0|1304.75|3261.88|3261.88|1672|1304.75|1694.8|3261.88|3.3|3.241650295|3.3|0|0|1371.8|847.4|0|0|1304.75|0|1630.94|1304.75|1304.75|0|3261.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4827-00|90716|VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP|362.44|192.09|271.83|289.95|308.07|326.2|308.07|292.85|260.96|245.3|0|362.44|157.41|0|114.45|296.66|149.6|145.57|0|138.3104126|271.83|283.07|144.98|0|144.98|315.78|322.22|159.33|144.98|161.53|322.22|140.8|138.3104126|140.8|0|0|144.82|84.09|0|0|144.98|0|181.22|144.98|144.98|0|362.44
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0630-20||PRAZOSIN 1 MG CAPSULE|23.37|12.39|17.53|18.7|19.86|21.03|0|18.88|16.83|15.82|0|23.37|15.45|0|11.26|19.13|14.68|14.28|0|0|17.53|18.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.15|0|0|0|0|0|0|0|0|23.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-0469-56||VARENICLINE 1 MG TABLET|42.02|22.27|31.52|33.62|35.72|37.82|0|33.95|30.25|28.44|0|42.02|27.78|0|20.25|34.39|26.39|25.67|0|0|31.52|32.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.06|0|0|0|0|0|0|0|0|42.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-0468-56||VARENICLINE 0.5 MG TABLET|42.02|22.27|31.52|33.62|35.72|37.82|0|33.95|30.25|28.44|0|42.02|27.78|0|20.25|34.39|26.39|25.67|0|0|31.52|32.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.06|0|0|0|0|0|0|0|0|42.02
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6132-01|J2310|NALOXONE 0.4 MG/ML INJECTION SOLUTION|43.21|22.9|32.41|34.57|36.73|38.89|0|34.91|31.11|29.24|0|43.21|22.86|0|16.62|35.37|21.72|21.14|0|13.28094303|32.41|33.75|0|0|0|0|0|0|0|0|0|13.52|13.28094303|13.52|0|0|0|12.21|0|0|0|0|0|0|0|0|43.21
HOSP OP|0250 - PHARMACY|00009-0233-01||BACITRACIN 50000 UNIT INTRAMUSCULAR SOLUTION|65.18|34.55|0|52.14|0|58.66|0|52.67|46.93|44.11|0|65.18|43.08|0|31.42|53.35|40.93|39.82|0|0|0|50.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.11|0|0|0|0|0|0|0|0|65.18
HOSP OP|0250 - PHARMACY|00009-0233-03||BACITRACIN 50000 UNIT INTRAMUSCULAR SOLUTION|65.18|34.55|0|52.14|0|58.66|0|52.67|46.93|44.11|0|65.18|43.08|0|31.42|53.35|40.93|39.82|0|0|0|50.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.11|0|0|0|0|0|0|0|0|65.18
HOSP OP|0250 - PHARMACY|00409-9043-01||BUPIVACAINE-EPINEPHRINE 0.25 %-1:200000 INJECTION SOLUTION|51.63|27.36|0|41.3|0|46.47|0|41.72|37.17|34.94|0|51.63|34.13|0|24.89|42.26|32.42|31.55|0|0|0|40.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.64|0|0|0|0|0|0|0|0|51.63
HOSP OP|0250 - PHARMACY|60267-0705-50||SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION|262.5|139.12|0|210|0|236.25|0|212.1|189|177.66|0|262.5|173.51|0|126.53|214.86|164.85|160.39|0|0|0|205.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|125.29|0|0|0|0|0|0|0|0|262.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0073-20||FUROSEMIDE 40 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8595-11||MEPERIDINE 50 MG TABLET|22.27|11.8|16.7|17.82|18.93|20.04|0|17.99|16.03|15.07|0|22.27|14.72|0|10.73|18.23|13.99|13.61|0|0|16.7|17.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.63|0|0|0|0|0|0|0|0|22.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9673-25|J1953|LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION|42.64|22.6|31.98|34.11|36.24|38.38|0|34.45|30.7|28.86|0|42.64|9|0|6.5|34.9|8.5|8.5|0|0.098231827|31.98|33.3|0|0|0|0|0|0|0|0|0|0.1|0.098231827|0.1|0|0|0|4.5|0|0|0|0|0|0|0|0|42.64
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5332-60||ZINC SULFATE 220 MG (50 MG) CAPSULE|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0635-11||FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET|22.03|11.68|16.52|17.62|18.73|19.83|0|17.8|15.86|14.91|0|22.03|14.56|0|10.62|18.03|13.83|13.46|0|0|16.52|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.51|0|0|0|0|0|0|0|0|22.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0635-21||FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET|22.03|11.68|16.52|17.62|18.73|19.83|0|17.8|15.86|14.91|0|22.03|14.56|0|10.62|18.03|13.83|13.46|0|0|16.52|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.51|0|0|0|0|0|0|0|0|22.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0636-25||FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET|24.97|13.23|18.73|19.98|21.22|22.47|0|20.18|17.98|16.9|0|24.97|16.51|0|12.04|20.44|15.68|15.26|0|0|18.73|19.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.92|0|0|0|0|0|0|0|0|24.97
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0636-95||FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET|24.97|13.23|18.73|19.98|21.22|22.47|0|20.18|17.98|16.9|0|24.97|16.51|0|12.04|20.44|15.68|15.26|0|0|18.73|19.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.92|0|0|0|0|0|0|0|0|24.97
HOSP OP|0637 - DRUGS/SELF ADMIN|00168-0012-09||NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5000 UNIT TOP OINT PKT|20.41|10.82|15.31|16.33|17.35|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|15.31|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0637 - DRUGS/SELF ADMIN|45802-0061-70||NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5000 UNIT TOP OINT PKT|20.41|10.82|15.31|16.33|17.35|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|15.31|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0790-50||SUCRALFATE 100 MG/ML ORAL SUSPENSION|51.04|27.05|38.28|40.83|43.38|45.94|0|41.24|36.75|34.54|0|51.04|33.74|0|24.6|41.78|32.05|31.19|0|0|38.28|39.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.36|0|0|0|0|0|0|0|0|51.04
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0790-01||SUCRALFATE 100 MG/ML ORAL SUSPENSION|38.02|27.05|38.28|40.83|43.38|45.94|0|41.24|36.75|34.54|0|51.04|33.74|0|24.6|41.78|32.05|31.19|0|0|38.28|39.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.36|0|0|0|0|0|0|0|0|51.04
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5824-61||CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1000 UNIT) TABLET|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49502-0501-02|J0171|EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTIONAUTO-INJECTOR|739.53|391.95|554.65|591.62|628.6|665.58|0|597.54|532.46|500.51|0|739.53|1.9|0|1.38|605.31|1.82|1.76|0|0.815324165|554.65|577.57|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|1|0|0|0|0|0|0|0|0|739.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0154-10|J0133|ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION|47.45|25.15|35.59|37.96|40.33|42.71|0|38.34|34.16|32.11|0|47.45|6|0|5|38.84|6|6|0|0.049115914|35.59|37.06|0|0|0|0|0|0|0|0|0|0.05|0.049115914|0.05|0|0|0|3|0|0|0|0|0|0|0|0|47.45
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0155-20|J0133|ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION|54.85|25.15|35.59|37.96|40.33|42.71|0|38.34|34.16|32.11|0|47.45|6|0|5|38.84|6|6|0|0.049115914|35.59|37.06|0|0|0|0|0|0|0|0|0|0.05|0.049115914|0.05|0|0|0|3|0|0|0|0|0|0|0|0|47.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-4315-60||BETA CAROTENE 25000 UNIT CAPSULE|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|64253-0444-22||HEPARIN PORCINE (PF) 1 UNIT/ML INTRAVENOUS SYRINGE|40.44|21.43|0|32.35|0|36.4|0|32.68|29.12|27.37|0|40.44|26.73|0|19.49|33.1|25.4|24.71|0|0|0|31.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.3|0|0|0|0|0|0|0|0|40.44
HOSP OP|0250 - PHARMACY|49230-0212-50||PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|49230-0212-92||PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|49230-0209-50||PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|49230-0209-92||PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|49230-0206-92||PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|49230-0206-50||PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0250 - PHARMACY|74300-0005-30||METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM|31.63|16.76|0|25.3|0|28.47|0|25.56|22.77|21.41|0|31.63|20.91|0|15.25|25.89|19.86|19.33|0|0|0|24.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.1|0|0|0|0|0|0|0|0|31.63
HOSP OP|0250 - PHARMACY|45802-0174-53||METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM|43.26|16.76|0|25.3|0|28.47|0|25.56|22.77|21.41|0|31.63|20.91|0|15.25|25.89|19.86|19.33|0|0|0|24.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.1|0|0|0|0|0|0|0|0|31.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4755-03|J2405|ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION|40.52|21.48|30.39|32.42|34.44|36.47|0|32.74|29.17|27.42|0|40.52|0.44|0|0.32|33.17|0.42|0.4|0|0.088408644|30.39|31.65|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.22|0|0|0|0|0|0|0|0|40.52
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6078-01|J2405|ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION|40.52|21.48|30.39|32.42|34.44|36.47|0|32.74|29.17|27.42|0|40.52|0.44|0|0.32|33.17|0.42|0.4|0|0.088408644|30.39|31.65|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.22|0|0|0|0|0|0|0|0|40.52
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6078-25|J2405|ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION|40.52|21.48|30.39|32.42|34.44|36.47|0|32.74|29.17|27.42|0|40.52|0.44|0|0.32|33.17|0.42|0.4|0|0.088408644|30.39|31.65|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.22|0|0|0|0|0|0|0|0|40.52
HOSP OP|0250 - PHARMACY|00832-0226-00||MORPHINE ER 20 MG CAPSULEEXTENDED RELEASE PELLETS|29.06|15.4|0|23.25|0|26.15|0|23.48|20.92|19.67|0|29.06|19.21|0|14.01|23.79|18.25|17.76|0|0|0|22.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.87|0|0|0|0|0|0|0|0|29.06
HOSP OP|0250 - PHARMACY|00713-0526-06||PROMETHAZINE 25 MG RECTAL SUPPOSITORY|32.07|17|0|25.66|0|28.86|0|25.91|23.09|21.7|0|32.07|21.2|0|15.46|26.25|20.14|19.59|0|0|0|25.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.31|0|0|0|0|0|0|0|0|32.07
HOSP OP|0250 - PHARMACY|00713-0526-12||PROMETHAZINE 25 MG RECTAL SUPPOSITORY|32.07|17|0|25.66|0|28.86|0|25.91|23.09|21.7|0|32.07|21.2|0|15.46|26.25|20.14|19.59|0|0|0|25.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.31|0|0|0|0|0|0|0|0|32.07
HOSP OP|0637 - DRUGS/SELF ADMIN|10147-0952-03||PALIPERIDONE ER 3 MG TABLETEXTENDED RELEASE 24 HR|92.51|49.03|69.38|74.01|78.63|83.26|0|74.75|66.61|62.61|0|92.51|61.15|0|44.59|75.72|58.1|56.52|0|0|69.38|72.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.16|0|0|0|0|0|0|0|0|92.51
HOSP OP|0637 - DRUGS/SELF ADMIN|10147-0953-03||PALIPERIDONE ER 6 MG TABLETEXTENDED RELEASE 24 HR|131.66|69.78|98.75|105.33|111.91|118.49|0|106.38|94.8|89.11|0|131.66|87.03|0|63.46|107.76|82.68|80.44|0|0|98.75|102.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.84|0|0|0|0|0|0|0|0|131.66
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0551-01||PALIPERIDONE ER 6 MG TABLETEXTENDED RELEASE 24 HR|131.66|69.78|98.75|105.33|111.91|118.49|0|106.38|94.8|89.11|0|131.66|87.03|0|63.46|107.76|82.68|80.44|0|0|98.75|102.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.84|0|0|0|0|0|0|0|0|131.66
HOSP OP|0637 - DRUGS/SELF ADMIN|10147-0954-03||PALIPERIDONE ER 9 MG TABLETEXTENDED RELEASE 24 HR|128.76|68.24|96.57|103.01|109.45|115.88|0|104.04|92.71|87.14|0|128.76|85.11|0|62.06|105.39|80.86|78.67|0|0|96.57|100.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|61.46|0|0|0|0|0|0|0|0|128.76
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0416-27||PEDIATRIC MULTIVITAMIN NO.40-PHYTONADIONE 400 MCG/ML ORAL DROPS|26.18|13.88|19.64|20.94|22.25|23.56|0|21.15|18.85|17.72|0|26.18|17.3|0|12.62|21.43|16.44|16|0|0|19.64|20.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.5|0|0|0|0|0|0|0|0|26.18
HOSP OP|0250 - PHARMACY|12870-0001-01||SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK|34.28|18.17|25.71|27.42|29.14|30.85|0|27.7|24.68|23.2|0|34.28|22.66|0|16.52|28.06|21.53|20.95|0|0|25.71|26.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.71|16.36|0|0|0|0|0|0|0|0|34.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-0503-48|J1580|GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK|44.5|23.58|33.38|35.6|37.83|40.05|0|35.96|32.04|30.12|0|44.5|2.18|0|1.59|36.42|2.07|2.02|0|1.974459725|33.38|34.75|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|1.16|0|0|0|0|0|0|0|0|44.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-0505-48|J1580|GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK|44.75|23.72|33.56|35.8|38.04|40.28|0|36.16|32.22|30.29|0|44.75|4.36|0|3.18|36.63|4.14|4.04|0|1.974459725|33.56|34.95|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|2.32|0|0|0|0|0|0|0|0|44.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-2602-25|J3475|MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION|42.54|22.55|31.91|34.03|36.16|38.29|0|34.37|30.63|28.79|0|42.54|1.44|0|1.06|34.82|1.38|1.34|0|0.628683694|31.91|33.22|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|0.76|0|0|0|0|0|0|0|0|42.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0064-02|J3475|MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION|42.54|22.55|31.91|34.03|36.16|38.29|0|34.37|30.63|28.79|0|42.54|1.44|0|1.06|34.82|1.38|1.34|0|0.628683694|31.91|33.22|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|0.76|0|0|0|0|0|0|0|0|42.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0064-04|J3475|MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION|42.54|22.55|31.91|34.03|36.16|38.29|0|34.37|30.63|28.79|0|42.54|1.44|0|1.06|34.82|1.38|1.34|0|0.628683694|31.91|33.22|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|0.76|0|0|0|0|0|0|0|0|42.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0642-20|J3475|MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION|42.54|22.55|31.91|34.03|36.16|38.29|0|34.37|30.63|28.79|0|42.54|1.44|0|1.06|34.82|1.38|1.34|0|0.628683694|31.91|33.22|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|0.76|0|0|0|0|0|0|0|0|42.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0506-01|J1100|DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION|47.26|25.05|35.45|37.81|40.17|42.53|0|38.19|34.03|31.99|0|47.26|0.7|0|0.5|38.68|0.65|0.65|0|0.117878193|35.45|36.91|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.35|0|0|0|0|0|0|0|0|47.26
HOSP OP|0250 - PHARMACY|24208-0314-25||FLURBIPROFEN 0.03 % EYE DROPS|32.65|17.3|0|26.12|0|29.39|0|26.38|23.51|22.1|0|32.65|21.58|0|15.74|26.72|20.5|19.95|0|0|0|25.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.58|0|0|0|0|0|0|0|0|32.65
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0541-01|Q0164|PROCHLORPERAZINE MALEATE 5 MG TABLET|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|0.05|0|0.04|17.16|0.05|0.05|0|0.225933202|15.72|16.37|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.02|0|0|0|0|0|0|0|0|20.96
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0541-20|Q0164|PROCHLORPERAZINE MALEATE 5 MG TABLET|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|0.05|0|0.04|17.16|0.05|0.05|0|0.225933202|15.72|16.37|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.02|0|0|0|0|0|0|0|0|20.96
HOSP OP|0250 - PHARMACY|00186-0916-12||BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER|677.08|358.85|0|541.66|0|609.37|0|547.08|487.5|458.25|0|677.08|447.55|0|326.35|554.19|425.21|413.7|0|0|0|528.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|323.17|0|0|0|0|0|0|0|0|677.08
HOSP OP|0637 - DRUGS/SELF ADMIN|00228-2820-11||HYDROCHLOROTHIAZIDE 12.5 MG TABLET|20.8|11.02|15.6|16.64|17.68|18.72|0|16.81|14.98|14.08|0|20.8|13.75|0|10.03|17.02|13.06|12.71|0|0|15.6|16.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0636-03|90371|HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE|228.2|120.95|171.15|182.56|193.97|205.38|193.97|184.39|164.3|154.45|0|228.2|154.21|128.71|112.13|186.78|146.56|142.61|125.49|115.9430255|171.15|178.22|91.28|0|91.28|228.2|228.2|168.13|91.28|156.08|228.2|118.03|115.9430255|118.03|0|0|133.88|82.39|0|0|91.28|0|114.1|91.28|91.28|0|228.2
HOSP OP|0637 - DRUGS/SELF ADMIN|43386-0360-21||PHENELZINE 15 MG TABLET|21.45|11.37|16.09|17.16|18.23|19.31|0|17.33|15.44|14.52|0|21.45|14.18|0|10.34|17.56|13.47|13.11|0|0|16.09|16.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.45
HOSP OP|0250 - PHARMACY|00132-0202-20||SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA|28.4|15.05|21.3|22.72|24.14|25.56|0|22.95|20.45|19.22|0|28.4|18.77|0|13.69|23.25|17.84|17.35|0|0|21.3|22.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.36|13.56|0|0|0|0|0|0|0|0|28.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4759-01|J2405|ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION|40.77|21.61|30.58|32.62|34.65|36.69|0|32.94|29.35|27.59|0|40.77|0.44|0|0.32|33.37|0.42|0.4|0|0.088408644|30.58|31.84|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.22|0|0|0|0|0|0|0|0|40.77
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0013-01|J2405|ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION|40.77|21.61|30.58|32.62|34.65|36.69|0|32.94|29.35|27.59|0|40.77|0.44|0|0.32|33.37|0.42|0.4|0|0.088408644|30.58|31.84|0|0|0|0|0|0|0|0|0|0.09|0.088408644|0.09|0|0|0|0.22|0|0|0|0|0|0|0|0|40.77
HOSP OP|0250 - PHARMACY|32909-0764-01||BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION|0.53|0.28|0|0.42|0|0.48|0|0.43|0.38|0.36|0|0.53|0.35|0|0.26|0.43|0.33|0.32|0|0|0|0.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.25|0|0|0|0|0|0|0|0|0.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0830-82|J3489|ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK|503.5|266.85|377.63|402.8|427.98|453.15|0|406.83|362.52|340.77|0|503.5|82.25|0|59.8|412.11|78.15|76.05|0|10.88408644|377.63|393.23|0|0|0|0|0|0|0|0|0|11.08|10.88408644|11.08|0|0|0|43.9|0|0|0|0|0|0|0|0|503.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|42023-0163-01|J3489|ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK|503.5|266.85|377.63|402.8|427.98|453.15|0|406.83|362.52|340.77|0|503.5|82.25|0|59.8|412.11|78.15|76.05|0|10.88408644|377.63|393.23|0|0|0|0|0|0|0|0|0|11.08|10.88408644|11.08|0|0|0|43.9|0|0|0|0|0|0|0|0|503.5
HOSP OP|0250 - PHARMACY|59417-0103-10||LISDEXAMFETAMINE 30 MG CAPSULE|49.64|26.31|0|39.71|0|44.68|0|40.11|35.74|33.6|0|49.64|32.81|0|23.93|40.63|31.17|30.33|0|0|0|38.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.69|0|0|0|0|0|0|0|0|49.64
HOSP OP|0250 - PHARMACY|59417-0105-10||LISDEXAMFETAMINE 50 MG CAPSULE|49.64|26.31|0|39.71|0|44.68|0|40.11|35.74|33.6|0|49.64|32.81|0|23.93|40.63|31.17|30.33|0|0|0|38.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.69|0|0|0|0|0|0|0|0|49.64
HOSP OP|0250 - PHARMACY|59417-0107-10||LISDEXAMFETAMINE 70 MG CAPSULE|49.64|26.31|0|39.71|0|44.68|0|40.11|35.74|33.6|0|49.64|32.81|0|23.93|40.63|31.17|30.33|0|0|0|38.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.69|0|0|0|0|0|0|0|0|49.64
HOSP OP|0250 - PHARMACY|00386-0001-02|J3490|ETHYL CHLORIDE 100 % TOPICAL SPRAY|26.53|14.06|19.9|21.22|22.55|23.88|0|21.44|19.1|17.96|0|26.53|17.54|0|12.79|21.71|16.66|16.21|0|0|19.9|20.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.66|0|0|0|0|0|0|0|0|26.53
HOSP OP|0250 - PHARMACY|00386-0001-11|J3490|ETHYL CHLORIDE 100 % TOPICAL SPRAY|26.53|14.06|19.9|21.22|22.55|23.88|0|21.44|19.1|17.96|0|26.53|17.54|0|12.79|21.71|16.66|16.21|0|0|19.9|20.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.66|0|0|0|0|0|0|0|0|26.53
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8554-24||METHADONE 10 MG TABLET|20.98|11.12|15.74|16.78|17.83|18.88|0|16.95|15.11|14.2|0|20.98|13.87|0|10.11|17.17|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6530-61||METHADONE 10 MG TABLET|20.98|11.12|15.74|16.78|17.83|18.88|0|16.95|15.11|14.2|0|20.98|13.87|0|10.11|17.17|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58160-0811-52|90723|HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE|181.8|96.35|136.35|145.44|154.53|163.62|154.53|146.89|130.9|123.04|0|181.8|99.27|0|72.18|148.8|94.34|91.8|0|83.93909627|136.35|141.99|72.72|0|72.72|181.8|181.8|100.68|72.72|102.07|181.8|85.45|83.93909627|85.45|0|0|72.72|53.03|0|0|72.72|0|90.9|72.72|72.72|0|181.8
HOSP OP|0250 - PHARMACY|54162-0100-02||BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE|29|15.37|0|23.2|0|26.1|0|23.43|20.88|19.63|0|29|19.17|0|13.98|23.74|18.21|17.72|0|0|0|22.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.84|0|0|0|0|0|0|0|0|29
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0371-01||LOXAPINE SUCCINATE 25 MG CAPSULE|21.46|11.37|16.1|17.17|18.24|19.31|0|17.34|15.45|14.52|0|21.46|14.19|0|10.34|17.57|13.48|13.11|0|0|16.1|16.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.46
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0428-28||LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION|32.71|17.34|24.53|26.17|27.8|29.44|0|26.43|23.55|22.14|0|32.71|21.62|0|15.77|26.77|20.54|19.99|0|0|24.53|25.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.61|0|0|0|0|0|0|0|0|32.71
HOSP OP|0250 - PHARMACY|00065-0275-10||BRINZOLAMIDE 1 % EYE DROPSSUSPENSION|926.98|491.3|0|741.58|0|834.28|0|749|667.43|627.38|0|926.98|612.73|0|446.8|758.73|582.14|566.38|0|0|0|723.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|442.45|0|0|0|0|0|0|0|0|926.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6001-25|J2060|LORAZEPAM 2 MG/ML INJECTION SOLUTION|40.28|21.35|30.21|32.22|34.24|36.25|0|32.55|29|27.26|0|40.28|0.94|0|0.68|32.97|0.89|0.87|0|0.697445972|30.21|31.46|0|0|0|0|0|0|0|0|0|0.71|0.697445972|0.71|0|0|0|0.5|0|0|0|0|0|0|0|0|40.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6044-01|J2060|LORAZEPAM 2 MG/ML INJECTION SOLUTION|40.28|21.35|30.21|32.22|34.24|36.25|0|32.55|29|27.26|0|40.28|0.94|0|0.68|32.97|0.89|0.87|0|0.697445972|30.21|31.46|0|0|0|0|0|0|0|0|0|0.71|0.697445972|0.71|0|0|0|0.5|0|0|0|0|0|0|0|0|40.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6044-25|J2060|LORAZEPAM 2 MG/ML INJECTION SOLUTION|40.28|21.35|30.21|32.22|34.24|36.25|0|32.55|29|27.26|0|40.28|0.94|0|0.68|32.97|0.89|0.87|0|0.697445972|30.21|31.46|0|0|0|0|0|0|0|0|0|0.71|0.697445972|0.71|0|0|0|0.5|0|0|0|0|0|0|0|0|40.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6046-01|J2060|LORAZEPAM 2 MG/ML INJECTION SOLUTION|40.28|21.35|30.21|32.22|34.24|36.25|0|32.55|29|27.26|0|40.28|0.94|0|0.68|32.97|0.89|0.87|0|0.697445972|30.21|31.46|0|0|0|0|0|0|0|0|0|0.71|0.697445972|0.71|0|0|0|0.5|0|0|0|0|0|0|0|0|40.28
HOSP OP|0250 - PHARMACY|58790-0002-28||CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE|26.02|13.79|0|20.82|0|23.42|0|21.02|18.73|17.61|0|26.02|17.2|0|12.54|21.3|16.34|15.9|0|0|0|20.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.42|0|0|0|0|0|0|0|0|26.02
HOSP OP|0250 - PHARMACY|00378-6997-89|A4218|SODIUM CHLORIDE 3 % FOR NEBULIZATION|42.36|22.45|31.77|33.89|36.01|38.12|0|34.23|30.5|28.67|0|42.36|28|0|20.42|34.67|26.6|25.88|0|0.147347741|31.77|33.08|0|0|0|0|0|0|0|0|0|0.15|0.147347741|0.15|0|0|0|20.22|0|0|0|0|0|0|0|0|42.36
HOSP OP|0250 - PHARMACY|00487-9003-60|A4218|SODIUM CHLORIDE 3 % FOR NEBULIZATION|40.59|22.45|31.77|33.89|36.01|38.12|0|34.23|30.5|28.67|0|42.36|28|0|20.42|34.67|26.6|25.88|0|0.147347741|31.77|33.08|0|0|0|0|0|0|0|0|0|0.15|0.147347741|0.15|0|0|0|20.22|0|0|0|0|0|0|0|0|42.36
HOSP OP|0250 - PHARMACY|00310-0282-60||QUETIAPINE ER 200 MG TABLETEXTENDED RELEASE 24 HR|62.51|33.13|0|50.01|0|56.26|0|50.51|45.01|42.31|0|62.51|41.32|0|30.13|51.16|39.26|38.19|0|0|0|48.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.84|0|0|0|0|0|0|0|0|62.51
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0043-14||CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION|3.06|1.62|2.3|2.45|2.6|2.75|0|2.47|2.2|2.07|0|3.06|2.02|0|1.47|2.5|1.92|1.87|0|0|2.3|2.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1.46|0|0|0|0|0|0|0|0|3.06
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0054-01||DILTIAZEM CD 240 MG CAPSULEEXTENDED RELEASE 24 HR|20.99|11.12|15.74|16.79|17.84|18.89|0|16.96|15.11|14.21|0|20.99|13.87|0|10.12|17.18|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|20.99
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0054-11||DILTIAZEM CD 240 MG CAPSULEEXTENDED RELEASE 24 HR|20.99|11.12|15.74|16.79|17.84|18.89|0|16.96|15.11|14.21|0|20.99|13.87|0|10.12|17.18|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|20.99
HOSP OP|0637 - DRUGS/SELF ADMIN|00172-5413-60||FLUCONAZOLE 200 MG TABLET|28.14|14.91|21.11|22.51|23.92|25.33|0|22.74|20.26|19.05|0|28.14|18.6|0|13.56|23.03|17.67|17.19|0|0|21.11|21.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.43|0|0|0|0|0|0|0|0|28.14
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0112-01||GLIPIZIDE ER 10 MG TABLET EXTENDED RELEASE 24 HR|22.25|11.79|16.69|17.8|18.91|20.03|0|17.98|16.02|15.06|0|22.25|14.71|0|10.72|18.21|13.97|13.59|0|0|16.69|17.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.62|0|0|0|0|0|0|0|0|22.25
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0112-11||GLIPIZIDE ER 10 MG TABLET EXTENDED RELEASE 24 HR|22.25|11.79|16.69|17.8|18.91|20.03|0|17.98|16.02|15.06|0|22.25|14.71|0|10.72|18.21|13.97|13.59|0|0|16.69|17.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.62|0|0|0|0|0|0|0|0|22.25
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0733-01||HALOPERIDOL 0.5 MG TABLET|20.72|10.98|15.54|16.58|17.61|18.65|0|16.74|14.92|14.02|0|20.72|13.7|0|9.99|16.96|13.01|12.66|0|0|15.54|16.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.72
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0733-20||HALOPERIDOL 0.5 MG TABLET|20.72|10.98|15.54|16.58|17.61|18.65|0|16.74|14.92|14.02|0|20.72|13.7|0|9.99|16.96|13.01|12.66|0|0|15.54|16.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0502-01||MELOXICAM 15 MG TABLET|20.32|10.77|15.24|16.26|17.27|18.29|0|16.42|14.63|13.75|0|20.32|13.43|0|9.79|16.63|12.76|12.42|0|0|15.24|15.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|0|0|0|0|0|0|0|0|20.32
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0753-01||SUCRALFATE 1 GRAM TABLET|20.89|11.07|15.67|16.71|17.76|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|15.67|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0753-20||SUCRALFATE 1 GRAM TABLET|20.89|11.07|15.67|16.71|17.76|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|15.67|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67871-4790-06|J1430|ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION|1032.68|547.32|774.51|826.14|877.78|929.41|877.78|834.41|743.53|698.92|0|1032.68|572.89|444.1|416.57|845.25|544.47|529.81|433|444.0962672|774.51|806.52|413.07|0|413.07|1032.68|1032.68|589.92|413.07|598.07|1032.68|452.09|444.0962672|452.09|0|0|497.41|306.07|0|0|413.07|0|516.34|413.07|413.07|0|1032.68
HOSP OP|0637 - DRUGS/SELF ADMIN|00078-0510-05||CARBAMAZEPINE ER 100 MG TABLETEXTENDED RELEASE12 HR|23.78|12.6|17.84|19.02|20.21|21.4|0|19.21|17.12|16.09|0|23.78|15.72|0|11.46|19.46|14.93|14.53|0|0|17.84|18.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.35|0|0|0|0|0|0|0|0|23.78
HOSP OP|0637 - DRUGS/SELF ADMIN|62037-0833-01||METOPROLOL SUCCINATE ER 200 MG TABLETEXTENDED RELEASE 24 HR|21.62|11.46|16.22|17.3|18.38|19.46|0|17.47|15.57|14.63|0|21.62|14.29|0|10.42|17.7|13.58|13.21|0|0|16.22|16.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.32|0|0|0|0|0|0|0|0|21.62
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9924-90|J0690|CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION|40.83|21.64|30.62|32.66|34.71|36.75|0|32.99|29.4|27.63|0|40.83|1.07|0|0.78|33.42|1.02|0.99|0|0.815324165|30.62|31.89|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|0.56|0|0|0|0|0|0|0|0|40.83
HOSP OP|0637 - DRUGS/SELF ADMIN|51293-0811-01||PHENAZOPYRIDINE 200 MG TABLET|27.8|14.73|20.85|22.24|23.63|25.02|0|22.46|20.02|18.82|0|27.8|18.38|0|13.4|22.75|17.46|16.99|0|0|20.85|21.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.12|13.27|0|0|0|0|0|0|0|0|27.8
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0293-01||PHENAZOPYRIDINE 200 MG TABLET|27.8|14.73|20.85|22.24|23.63|25.02|0|22.46|20.02|18.82|0|27.8|18.38|0|13.4|22.75|17.46|16.99|0|0|20.85|21.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.12|13.27|0|0|0|0|0|0|0|0|27.8
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0293-11||PHENAZOPYRIDINE 200 MG TABLET|27.8|14.73|20.85|22.24|23.63|25.02|0|22.46|20.02|18.82|0|27.8|18.38|0|13.4|22.75|17.46|16.99|0|0|20.85|21.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.12|13.27|0|0|0|0|0|0|0|0|27.8
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-0681-01|J0692|CEFEPIME 2 GRAM SOLUTION FOR INJECTION|51.13|27.1|38.35|40.9|43.46|46.02|0|41.31|36.81|34.6|0|51.13|12.76|0|9.28|41.85|12.12|11.8|0|1.777996071|38.35|39.93|0|0|0|0|0|0|0|0|0|1.81|1.777996071|1.81|0|0|0|6.8|0|0|0|0|0|0|0|0|51.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-0681-04|J0692|CEFEPIME 2 GRAM SOLUTION FOR INJECTION|51.13|27.1|38.35|40.9|43.46|46.02|0|41.31|36.81|34.6|0|51.13|12.76|0|9.28|41.85|12.12|11.8|0|1.777996071|38.35|39.93|0|0|0|0|0|0|0|0|0|1.81|1.777996071|1.81|0|0|0|6.8|0|0|0|0|0|0|0|0|51.13
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0798-11||VENLAFAXINE 25 MG TABLET|22.47|11.91|16.85|17.98|19.1|20.22|0|18.16|16.18|15.21|0|22.47|14.85|0|10.83|18.39|14.11|13.73|0|0|16.85|17.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.47
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-17|Q9967|IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION|131|69.43|98.25|104.8|111.35|117.9|0|105.85|94.32|88.66|0|131|15|0|11|107.22|15|14|0|0.117878193|98.25|102.31|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|131
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-19|Q9967|IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION|150.75|69.43|98.25|104.8|111.35|117.9|0|105.85|94.32|88.66|0|131|15|0|11|107.22|15|14|0|0.117878193|98.25|102.31|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|131
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-21|Q9967|IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION|197.4|69.43|98.25|104.8|111.35|117.9|0|105.85|94.32|88.66|0|131|15|0|11|107.22|15|14|0|0.117878193|98.25|102.31|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|131
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-2223-16|Q9967|IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION|54.75|69.43|98.25|104.8|111.35|117.9|0|105.85|94.32|88.66|0|131|15|0|11|107.22|15|14|0|0.117878193|98.25|102.31|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|7|0|0|0|0|0|0|0|0|131
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5395-61||POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0637 - DRUGS/SELF ADMIN|00173-0735-00||SUMATRIPTAN 25 MG TABLET|105.14|55.72|78.86|84.11|89.37|94.63|0|84.95|75.7|71.16|0|105.14|69.5|0|50.68|86.06|66.03|64.24|0|0|78.86|82.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.18|0|0|0|0|0|0|0|0|105.14
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0588-01||THIOTHIXENE 5 MG CAPSULE|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|18.51|0|13.5|22.92|17.58|17.11|0|0|21|21.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.36|0|0|0|0|0|0|0|0|28
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0588-20||THIOTHIXENE 5 MG CAPSULE|28|14.84|21|22.4|23.8|25.2|0|22.62|20.16|18.95|0|28|18.51|0|13.5|22.92|17.58|17.11|0|0|21|21.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.36|0|0|0|0|0|0|0|0|28
HOSP OP|0250 - PHARMACY|NMRRX-4500-13||VASOPRESSIN 0.2 UNITS/ML IN D5W 50 ML SYRINGE - CNR|20130.88|10669.37|0|16104.7|0|18117.79|0|16265.75|14494.23|13624.58|0|20130.88|13306.51|0|9703.08|16477.13|12642.19|12299.97|0|0|0|15722.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9608.47|0|0|0|0|0|0|0|0|20130.88
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-3742-02||MEDROXYPROGESTERONE 10 MG TABLET|20.66|10.95|15.5|16.53|17.56|18.59|0|16.69|14.88|13.98|0|20.66|13.66|0|9.96|16.91|12.97|12.62|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0471-01|J1631|HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION|108.28|57.39|81.21|86.62|92.04|97.45|0|87.49|77.96|73.28|0|108.28|22.38|0|16.27|88.63|21.27|20.7|0|16.27701375|81.21|84.57|0|0|0|0|0|0|0|0|0|16.57|16.27701375|16.57|0|0|0|11.96|0|0|0|0|0|0|0|0|108.28
HOSP OP|0250 - PHARMACY|00245-0860-70||METRONIDAZOLE 0.75 % VAGINAL GEL|219.46|116.31|0|175.57|0|197.51|0|177.32|158.01|148.53|0|219.46|145.06|0|105.78|179.63|137.82|134.09|0|0|0|171.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|104.75|0|0|0|0|0|0|0|0|219.46
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0377-01|J2354|OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION|50.91|26.98|38.18|40.73|43.27|45.82|0|41.14|36.66|34.46|0|50.91|9.36|0|6.8|41.67|8.96|8.72|0|0.94302554|38.18|39.76|0|0|0|0|0|0|0|0|0|0.96|0.94302554|0.96|0|0|0|4.96|0|0|0|0|0|0|0|0|50.91
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0350-10||LISINOPRIL 20 MG TABLET|20.21|10.71|15.16|16.17|17.18|18.19|0|16.33|14.55|13.68|0|20.21|13.36|0|9.74|16.54|12.69|12.35|0|0|15.16|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.21
HOSP OP|0637 - DRUGS/SELF ADMIN|49884-0032-01||TRANYLCYPROMINE 10 MG TABLET|23.71|12.57|17.78|18.97|20.15|21.34|0|19.16|17.07|16.05|0|23.71|15.67|0|11.43|19.41|14.89|14.49|0|0|17.78|18.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.32|0|0|0|0|0|0|0|0|23.71
HOSP OP|0250 - PHARMACY|63323-0481-57||LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 INJECTION SOLUTION|50.5|26.76|0|40.4|0|45.45|0|40.8|36.36|34.18|0|50.5|33.38|0|24.34|41.33|31.71|30.86|0|0|0|39.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.1|0|0|0|0|0|0|0|0|50.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0811-20||GLIPIZIDE 10 MG TABLET|21.47|11.38|16.1|17.18|18.25|19.32|0|17.35|15.46|14.53|0|21.47|14.19|0|10.35|17.57|13.48|13.12|0|0|16.1|16.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.25|0|0|0|0|0|0|0|0|21.47
HOSP OP|0637 - DRUGS/SELF ADMIN|00172-5729-60||FAMOTIDINE 40 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0250 - PHARMACY|24208-0920-64||TETRACAINE 0.5 % EYE DROPS|43.86|23.25|0|35.09|0|39.47|0|35.44|31.58|29.68|0|43.86|28.99|0|21.14|35.9|27.54|26.8|0|0|0|34.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.93|0|0|0|0|0|0|0|0|43.86
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0554-10||DEMECLOCYCLINE 150 MG TABLET|38.05|20.17|28.54|30.44|32.34|34.25|0|30.74|27.4|25.75|0|38.05|25.15|0|18.34|31.14|23.9|23.25|0|0|28.54|29.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.16|0|0|0|0|0|0|0|0|38.05
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-1142-01||METHYLPHENIDATE 5 MG TABLET|21.26|11.27|15.95|17.01|18.07|19.13|0|17.18|15.31|14.39|0|21.26|14.05|0|10.25|17.4|13.35|12.99|0|0|15.95|16.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.15|0|0|0|0|0|0|0|0|21.26
HOSP OP|0250 - PHARMACY|63323-0467-57||BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION|59.25|31.4|0|47.4|0|53.33|0|47.87|42.66|40.1|0|59.25|39.16|0|28.56|48.5|37.21|36.2|0|0|0|46.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.28|0|0|0|0|0|0|0|0|59.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0018-20|J7512|PREDNISONE 20 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|0.12|0|0.08|16.72|0.08|0.08|0|0.009823183|15.32|15.96|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0145-01|J7512|PREDNISONE 20 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|0.12|0|0.08|16.72|0.08|0.08|0|0.009823183|15.32|15.96|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0145-11|J7512|PREDNISONE 20 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|0.12|0|0.08|16.72|0.08|0.08|0|0.009823183|15.32|15.96|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.43
HOSP OP|0250 - PHARMACY|69918-0501-05||DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED)|586.45|310.82|0|469.16|0|527.81|0|473.85|422.24|396.91|0|586.45|387.64|0|282.67|480.01|368.29|358.32|0|0|0|458.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|279.91|0|0|0|0|0|0|0|0|586.45
HOSP OP|0250 - PHARMACY|00019-0862-07||IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0
HOSP OP|0637 - DRUGS/SELF ADMIN|64720-0132-10||DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET|22.09|11.71|16.57|17.67|18.78|19.88|0|17.85|15.9|14.95|0|22.09|14.6|0|10.65|18.08|13.87|13.5|0|0|16.57|17.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.54|0|0|0|0|0|0|0|0|22.09
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0883-25||FELODIPINE ER 5 MG TABLETEXTENDED RELEASE 24 HR|22.88|12.13|17.16|18.3|19.45|20.59|0|18.49|16.47|15.49|0|22.88|15.12|0|11.03|18.73|14.37|13.98|0|0|17.16|17.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.92|0|0|0|0|0|0|0|0|22.88
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0883-95||FELODIPINE ER 5 MG TABLETEXTENDED RELEASE 24 HR|22.88|12.13|17.16|18.3|19.45|20.59|0|18.49|16.47|15.49|0|22.88|15.12|0|11.03|18.73|14.37|13.98|0|0|17.16|17.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.92|0|0|0|0|0|0|0|0|22.88
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6449-61||ISOSORBIDE MONONITRATE ER 30 MG TABLETEXTENDED RELEASE 24 HR|20.74|10.99|15.56|16.59|17.63|18.67|0|16.76|14.93|14.04|0|20.74|13.71|0|10|16.98|13.02|12.67|0|0|15.56|16.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.9|0|0|0|0|0|0|0|0|20.74
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0942-05||ALENDRONATE 70 MG TABLET|22.82|12.09|17.12|18.26|19.4|20.54|0|18.44|16.43|15.44|0|22.82|15.08|0|11|18.68|14.33|13.94|0|0|17.12|17.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.89|0|0|0|0|0|0|0|0|22.82
HOSP OP|0250 - PHARMACY|42023-0105-01||METHOHEXITAL 500 MG SOLUTION FOR INJECTION|195.98|103.87|0|156.78|0|176.38|0|158.35|141.11|132.64|0|195.98|129.54|0|94.46|160.41|123.08|119.74|0|0|0|153.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.54|0|0|0|0|0|0|0|0|195.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6101-61||CLONAZEPAM 0.5 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7337-01|J0696|CEFTRIAXONE 250 MG SOLUTION FOR INJECTION|40.82|21.63|30.62|32.66|34.7|36.74|0|32.98|29.39|27.63|0|40.82|0.84|0|0.61|33.41|0.8|0.78|0|0.599214145|30.62|31.88|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|0.45|0|0|0|0|0|0|0|0|40.82
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0512-11||LOVASTATIN 40 MG TABLET|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0512-15||LOVASTATIN 40 MG TABLET|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0250 - PHARMACY|00378-3350-16||ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH|72.92|38.65|0|58.34|0|65.63|0|58.92|52.5|49.35|0|72.92|48.2|0|35.15|59.69|45.79|44.55|0|0|0|56.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.8|0|0|0|0|0|0|0|0|72.92
HOSP OP|0637 - DRUGS/SELF ADMIN|49411-0050-30||AMINOCAPROIC ACID 500 MG TABLET|79.85|42.32|59.89|63.88|67.87|71.87|0|64.52|57.49|54.04|0|79.85|52.78|0|38.49|65.36|50.15|48.79|0|0|59.89|62.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.11|0|0|0|0|0|0|0|0|79.85
HOSP OP|0250 - PHARMACY|25021-0128-50||CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION|63.57|33.69|0|50.86|0|57.21|0|51.36|45.77|43.02|0|63.57|42.02|0|30.64|52.03|39.92|38.84|0|0|0|49.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.34|0|0|0|0|0|0|0|0|63.57
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0208-01||SPIRONOLACTONE 100 MG TABLET|22.02|11.67|16.52|17.62|18.72|19.82|0|17.79|15.85|14.9|0|22.02|14.56|0|10.61|18.02|13.83|13.45|0|0|16.52|17.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.51|0|0|0|0|0|0|0|0|22.02
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0208-11||SPIRONOLACTONE 100 MG TABLET|22.02|11.67|16.52|17.62|18.72|19.82|0|17.79|15.85|14.9|0|22.02|14.56|0|10.61|18.02|13.83|13.45|0|0|16.52|17.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.51|0|0|0|0|0|0|0|0|22.02
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0000-48||AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION|25.2|13.36|18.9|20.16|21.42|22.68|0|20.36|18.14|17.06|0|25.2|16.66|0|12.15|20.63|15.83|15.4|0|0|18.9|19.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.03|0|0|0|0|0|0|0|0|25.2
HOSP OP|0250 - PHARMACY|00085-3315-30||NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH|34.82|18.45|0|27.86|0|31.34|0|28.13|25.07|23.57|0|34.82|23.02|0|16.78|28.5|21.87|21.28|0|0|0|27.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.62|0|0|0|0|0|0|0|0|34.82
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0257-01||ROPINIROLE 3 MG TABLET|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0503-01||PROPRANOLOL ER 60 MG CAPSULE24 HREXTENDED RELEASE|25.76|13.65|19.32|20.61|21.9|23.18|0|20.81|18.55|17.43|0|25.76|17.03|0|12.42|21.08|16.18|15.74|0|0|19.32|20.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.76
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0503-11||PROPRANOLOL ER 60 MG CAPSULE24 HREXTENDED RELEASE|25.76|13.65|19.32|20.61|21.9|23.18|0|20.81|18.55|17.43|0|25.76|17.03|0|12.42|21.08|16.18|15.74|0|0|19.32|20.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.3|0|0|0|0|0|0|0|0|25.76
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-2614-13||RIVASTIGMINE 1.5 MG CAPSULE|26.86|14.24|20.15|21.49|22.83|24.17|0|21.7|19.34|18.18|0|26.86|17.75|0|12.95|21.98|16.87|16.41|0|0|20.15|20.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.82|0|0|0|0|0|0|0|0|26.86
HOSP OP|0258 - IV SOLUTIONS|00409-7993-09|J7042|POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV|55|29.15|41.25|44|46.75|49.5|0|44.44|39.6|37.22|0|55|2.58|0|1.88|45.02|2.46|2.38|0|0.933202358|41.25|42.96|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|55
HOSP OP|0250 - PHARMACY|61314-0547-01||LATANOPROST 0.005 % EYE DROPS|46.45|24.62|0|37.16|0|41.81|0|37.53|33.44|31.44|0|46.45|30.7|0|22.39|38.02|29.17|28.38|0|0|0|36.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.17|0|0|0|0|0|0|0|0|46.45
HOSP OP|0250 - PHARMACY|61314-0547-03||LATANOPROST 0.005 % EYE DROPS|46.45|24.62|0|37.16|0|41.81|0|37.53|33.44|31.44|0|46.45|30.7|0|22.39|38.02|29.17|28.38|0|0|0|36.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.17|0|0|0|0|0|0|0|0|46.45
HOSP OP|0637 - DRUGS/SELF ADMIN|57664-0600-88||ISOSORBIDE DINITRATE ER 40 MG TABLETEXTENDED RELEASE|23.11|12.25|17.33|18.49|19.64|20.8|0|18.67|16.64|15.64|0|23.11|15.28|0|11.14|18.92|14.51|14.12|0|0|17.33|18.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.03|0|0|0|0|0|0|0|0|23.11
HOSP OP|0258 - IV SOLUTIONS|00338-0803-04|J7042|POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS|45|23.85|33.75|36|38.25|40.5|0|36.36|32.4|30.46|0|45|2.58|0|1.88|36.83|2.46|2.38|0|0.933202358|33.75|35.15|0|0|0|0|0|0|0|0|0|0.95|0.933202358|0.95|0|0|0|1.36|0|0|0|0|0|0|0|0|45
HOSP OP|0250 - PHARMACY|NMRRX-5190-70||GENTIAN VIOLET 1 % TOPICAL SOLUTION||0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|0|#N/A|#N/A|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|0|0|0|0|0|0|0|#N/A|#N/A
HOSP OP|0250 - PHARMACY|00395-1003-92||GENTIAN VIOLET 1 % TOPICAL SOLUTION||0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|#N/A|#N/A|0|#N/A|0|#N/A|#N/A|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|#N/A|#N/A|#N/A|#N/A|0|0|0|0|0|0|0|#N/A|#N/A
HOSP OP|0637 - DRUGS/SELF ADMIN|nmrrx-0004-92||MINERAL OIL ORAL|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0950-01||ENALAPRIL MALEATE 2.5 MG TABLET|21.31|11.29|15.98|17.05|18.11|19.18|0|17.22|15.34|14.42|0|21.31|14.09|0|10.27|17.44|13.38|13.02|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.31
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0950-20||ENALAPRIL MALEATE 2.5 MG TABLET|21.31|11.29|15.98|17.05|18.11|19.18|0|17.22|15.34|14.42|0|21.31|14.09|0|10.27|17.44|13.38|13.02|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.31
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0282-01||CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLETEXTENDED RELEASE|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0282-11||CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLETEXTENDED RELEASE|21.86|11.59|16.4|17.49|18.58|19.67|0|17.66|15.74|14.79|0|21.86|14.45|0|10.54|17.89|13.73|13.36|0|0|16.4|17.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.43|0|0|0|0|0|0|0|0|21.86
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-4777-02|J0744|CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK|47|24.91|35.25|37.6|39.95|42.3|0|37.98|33.84|31.81|0|47|3.74|0|2.72|38.47|3.56|3.46|0|1.15913556|35.25|36.71|0|0|0|0|0|0|0|0|0|1.18|1.15913556|1.18|0|0|0|2|0|0|0|0|0|0|0|0|47
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0150-04||MIDAZOLAM 2 MG/ML ORAL SYRUP|204.48|108.37|153.36|163.58|173.81|184.03|0|165.22|147.23|138.39|0|204.48|135.16|0|98.56|167.37|128.41|124.94|0|0|153.36|159.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.6|0|0|0|0|0|0|0|0|204.48
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0049-78||MIDAZOLAM 2 MG/ML ORAL SYRUP|28.12|108.37|153.36|163.58|173.81|184.03|0|165.22|147.23|138.39|0|204.48|135.16|0|98.56|167.37|128.41|124.94|0|0|153.36|159.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.6|0|0|0|0|0|0|0|0|204.48
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5643-61||SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0432-01||SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-0083-64|J2795|ROPIVACAINE 0.2% IN AMBU PUMP - MGH|265|140.45|198.75|212|225.25|238.5|0|214.12|190.8|179.35|0|265|96|0|64|216.9|88|88|0|0.078585462|198.75|206.97|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|40|0|0|0|0|0|0|0|0|265
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0315-10|J1570|GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION|152.09|80.61|114.07|121.67|129.28|136.88|0|122.89|109.5|102.93|0|152.09|72.56|0|52.76|124.49|68.96|67.11|0|34.63654224|114.07|118.78|0|0|0|0|0|0|0|0|0|35.26|34.63654224|35.26|0|0|0|38.76|0|0|0|0|0|0|0|0|152.09
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-0759-05|J0694|CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION|56.56|29.98|42.42|45.25|48.08|50.9|0|45.7|40.72|38.28|0|56.56|4.57|0|3.32|46.29|4.34|4.22|0|5.294695481|42.42|44.17|0|0|0|0|0|0|0|0|0|5.39|5.294695481|5.39|0|0|0|2.44|0|0|0|0|0|0|0|0|56.56
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0673-01||METOPROLOL SUCCINATE ER 100 MG TABLETEXTENDED RELEASE 24 HR|21.75|11.53|16.31|17.4|18.49|19.58|0|17.57|15.66|14.72|0|21.75|14.38|0|10.48|17.8|13.66|13.29|0|0|16.31|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.38|0|0|0|0|0|0|0|0|21.75
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0673-11||METOPROLOL SUCCINATE ER 100 MG TABLETEXTENDED RELEASE 24 HR|21.75|11.53|16.31|17.4|18.49|19.58|0|17.57|15.66|14.72|0|21.75|14.38|0|10.48|17.8|13.66|13.29|0|0|16.31|16.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.38|0|0|0|0|0|0|0|0|21.75
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-5375-01||DOXEPIN 75 MG CAPSULE|23.79|12.61|17.84|19.03|20.22|21.41|0|19.22|17.13|16.1|0|23.79|15.73|0|11.47|19.47|14.94|14.54|0|0|17.84|18.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.35|0|0|0|0|0|0|0|0|23.79
HOSP OP|0250 - PHARMACY|00574-0069-15||DEXTROSE 40 % ORAL GEL|30.69|16.27|0|24.55|0|27.62|0|24.8|22.1|20.77|0|30.69|20.29|0|14.79|25.12|19.27|18.75|0|0|0|23.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.65|0|0|0|0|0|0|0|0|30.69
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5057-19||ATENOLOL 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0023-01||METOLAZONE 2.5 MG TABLET|27.21|14.42|20.41|21.77|23.13|24.49|0|21.99|19.59|18.42|0|27.21|17.99|0|13.12|22.27|17.09|16.63|0|0|20.41|21.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.99|0|0|0|0|0|0|0|0|27.21
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0023-20||METOLAZONE 2.5 MG TABLET|27.21|14.42|20.41|21.77|23.13|24.49|0|21.99|19.59|18.42|0|27.21|17.99|0|13.12|22.27|17.09|16.63|0|0|20.41|21.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.99|0|0|0|0|0|0|0|0|27.21
HOSP OP|0637 - DRUGS/SELF ADMIN|00115-4422-01||DANTROLENE 50 MG CAPSULE|22.72|12.04|17.04|18.18|19.31|20.45|0|18.36|16.36|15.38|0|22.72|15.02|0|10.95|18.6|14.27|13.88|0|0|17.04|17.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.84|0|0|0|0|0|0|0|0|22.72
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0774-01||GABAPENTIN 400 MG CAPSULE|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0774-11||GABAPENTIN 400 MG CAPSULE|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0250 - PHARMACY|MGHRX-5100-00||ACYCLOVIR 5 MG/ML BOLUS (NEONATE) (PEDS)|44.37|23.52|0|35.5|0|39.93|0|35.85|31.95|30.03|0|44.37|29.33|0|21.39|36.32|27.86|27.11|0|0|0|34.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.37
HOSP OP|0250 - PHARMACY|MGHRX-5100-13||CLINDAMYCIN 18 MG/ML BOLUS ( NEONATE ) ( PEDS )|40.54|21.49|0|32.43|0|36.49|0|32.76|29.19|27.44|0|40.54|26.8|0|19.54|33.18|25.46|24.77|0|0|0|31.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.35|0|0|0|0|0|0|0|0|40.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-30|J0295|AMPICILLIN-SULBACTAM 30 MG/ML INJECTION (PEDS)|41.5|21.99|31.13|33.2|35.28|37.35|0|33.53|29.88|28.09|0|41.5|3.38|0|2.46|33.97|3.21|3.13|0|2.583497053|31.13|32.41|0|0|0|0|0|0|0|0|0|2.63|2.583497053|2.63|0|0|0|1.8|0|0|0|0|0|0|0|0|41.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-32|J0698|CEFOTAXIME 100 MG/ML BOLUS ( NEONATE )|43.4|23|32.55|34.72|36.89|39.06|0|35.07|31.25|29.37|0|43.4|4.67|0|3.4|35.52|4.44|4.32|0|2.328094303|32.55|33.9|0|0|0|0|0|0|0|0|0|2.37|2.328094303|2.37|0|0|0|2.49|0|0|0|0|0|0|0|0|43.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-33|J0692|CEFEPIME 40 MG/ML BOLUS ( NEONATE ) ( PEDS )|45.93|24.34|34.45|36.74|39.04|41.34|0|37.11|33.07|31.09|0|45.93|3.19|0|2.32|37.59|3.03|2.95|0|1.777996071|34.45|35.87|0|0|0|0|0|0|0|0|0|1.81|1.777996071|1.81|0|0|0|1.7|0|0|0|0|0|0|0|0|45.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-34|J0694|CEFOXITIN 40 MG/ML ( NEONATE ) ( PEDS )|40.23|21.32|30.17|32.18|34.2|36.21|0|32.51|28.97|27.23|0|40.23|4.57|0|3.32|32.93|4.34|4.22|0|5.294695481|30.17|31.42|0|0|0|0|0|0|0|0|0|5.39|5.294695481|5.39|0|0|0|2.44|0|0|0|0|0|0|0|0|40.23
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-35|J0696|CEFTRIAXONE 40 MG/ML ( NEONATE ) ( PEDS )|40.24|21.33|30.18|32.19|34.2|36.22|0|32.51|28.97|27.23|0|40.24|0.84|0|0.61|32.94|0.8|0.78|0|0.599214145|30.18|31.43|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|0.45|0|0|0|0|0|0|0|0|40.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-36|J0697|CEFUROXIME 50 MG/ML BOLUS (NEONATE) (PEDS)|48.66|25.79|36.5|38.93|41.36|43.79|0|39.32|35.04|32.93|0|48.66|2.7|0|1.96|39.83|2.56|2.49|0|2.220039293|36.5|38|0|0|0|0|0|0|0|0|0|2.26|2.220039293|2.26|0|0|0|1.44|0|0|0|0|0|0|0|0|48.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|MGHRX-5100-37|J0713|CEFTAZIDIME 40 MG/ML BOLUS ( NEONATE )  ( PEDS )|65.94|34.95|49.46|52.75|56.05|59.35|0|53.28|47.48|44.63|0|65.94|2.71|0|1.97|53.97|2.57|2.51|0|2.033398821|49.46|51.5|0|0|0|0|0|0|0|0|0|2.07|2.033398821|2.07|0|0|0|1.45|0|0|0|0|0|0|0|0|65.94
HOSP OP|0250 - PHARMACY|NMRRX-5100-60||AMPICILLIN IM 250 MG/ML|45.76|24.25|0|36.61|0|41.18|0|36.97|32.95|30.97|0|45.76|30.25|0|22.06|37.45|28.74|27.96|0|0|0|35.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.84|0|0|0|0|0|0|0|0|45.76
HOSP OP|0250 - PHARMACY|MGHRX-5100-64||MAGNESIUM SULFATE 100 MG/ML BOLUS ( NEONATE ) ( PEDS )|41.27|21.87|0|33.02|0|37.14|0|33.35|29.71|27.93|0|41.27|27.28|0|19.89|33.78|25.92|25.22|0|0|0|32.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.7|0|0|0|0|0|0|0|0|41.27
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-4910-03||SERTRALINE 100 MG TABLET|20.26|10.74|15.2|16.21|17.22|18.23|0|16.37|14.59|13.71|0|20.26|13.39|0|9.77|16.58|12.72|12.38|0|0|15.2|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.26
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0454-01||SIMVASTATIN 10 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0454-20||SIMVASTATIN 10 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00039-0019-01|J0698|CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION|40.99|21.72|30.74|32.79|34.84|36.89|0|33.12|29.51|27.74|0|40.99|9.34|0|6.8|33.55|8.88|8.64|0|2.328094303|30.74|32.01|0|0|0|0|0|0|0|0|0|2.37|2.328094303|2.37|0|0|0|4.98|0|0|0|0|0|0|0|0|40.99
HOSP OP|0250 - PHARMACY|MGHRX-5140-22||METHYLPREDNISOLONE 2 MG/ML ORAL (NEONATE)|38.44|20.37|0|30.75|0|34.6|0|31.06|27.68|26.02|0|38.44|25.41|0|18.53|31.46|24.14|23.49|0|0|0|30.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.35|0|0|0|0|0|0|0|0|38.44
HOSP OP|0250 - PHARMACY|MGHRX-5151-53||AZITHROMYCIN 2 MG/ML BOLUS ( NEONATE ) ( PEDS )|46.28|24.53|0|37.02|0|41.65|0|37.39|33.32|31.32|0|46.28|30.59|0|22.31|37.88|29.06|28.28|0|0|0|36.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.09|0|0|0|0|0|0|0|0|46.28
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0414-01||ESTROPIPATE 0.75 MG TABLET|20.97|11.11|15.73|16.78|17.82|18.87|0|16.94|15.1|14.19|0|20.97|13.86|0|10.11|17.16|13.17|12.81|0|0|15.73|16.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.97
HOSP OP|0250 - PHARMACY|MGHRX-5160-11||ACETYLCYSTEINE 20 % (200 MG/ML) SOLN - BRONCHOSCOPY|40.77|21.61|0|32.62|0|36.69|0|32.94|29.35|27.59|0|40.77|26.95|0|19.65|33.37|25.6|24.91|0|0|0|31.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.46|0|0|0|0|0|0|0|0|40.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-8724-25|J7512|PREDNISONE 5 MG TABLET|20.33|10.77|15.25|16.26|17.28|18.3|0|16.43|14.64|13.76|0|20.33|0.15|0|0.1|16.64|0.1|0.1|0|0.009823183|15.25|15.88|0|0|0|0|0|0|0|0|0|0.01|0.009823183|0.01|0|0|0|0|0|0|0|0|0|0|0|0|20.33
HOSP OP|0250 - PHARMACY|00338-1145-03||AMINO ACIDS 4.25 % WITH LYTES AND CALCIUM IN D10W INTRAVENOUS SOLUTION|100|53|0|80|0|90|0|80.8|72|67.68|0|100|66.1|0|48.2|81.85|62.8|61.1|0|0|0|78.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.73|0|0|0|0|0|0|0|0|100
HOSP OP|0250 - PHARMACY|00338-1115-04||AMINO ACIDS 4.25 % WITH LYTES AND CALCIUM IN D10W INTRAVENOUS SOLUTION|140|53|0|80|0|90|0|80.8|72|67.68|0|100|66.1|0|48.2|81.85|62.8|61.1|0|0|0|78.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.73|0|0|0|0|0|0|0|0|100
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-3301-01|J2354|OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION|42.98|22.78|32.24|34.38|36.53|38.68|0|34.73|30.95|29.09|0|42.98|1.17|0|0.85|35.18|1.12|1.09|0|0.94302554|32.24|33.57|0|0|0|0|0|0|0|0|0|0.96|0.94302554|0.96|0|0|0|0.62|0|0|0|0|0|0|0|0|42.98
HOSP OP|0250 - PHARMACY|NMRRX-5190-04||METOPROLOL SUCCINATE ER 12.5 MG TABLET (1/2 TAB OF 25 MG TAB)|20.03|10.62|0|16.02|0|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|0|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0250 - PHARMACY|NMRRX-5190-06||METOPROLOL TARTRATE 12.5 MG TABLET (1/2 TAB OF 25 MG TAB)|20.18|10.7|0|16.14|0|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|0|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-11||DIGOXIN 62.5 MCG TAB (1/2 TAB OF 125 MCG TAB)|22.04|11.68|16.53|17.63|18.73|19.84|0|17.81|15.87|14.92|0|22.04|14.57|0|10.62|18.04|13.84|13.47|0|0|16.53|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.52|0|0|0|0|0|0|0|0|22.04
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-12||BACLOFEN 5 MG TAB (1/2 TAB OF 10 MG TAB)|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-14||SERTRALINE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.46|10.84|15.35|16.37|17.39|18.41|0|16.53|14.73|13.85|0|20.46|13.52|0|9.86|16.75|12.85|12.5|0|0|15.35|15.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.77|0|0|0|0|0|0|0|0|20.46
HOSP OP|0250 - PHARMACY|NMRRX-5190-19||POOP GOOP|34.19|18.12|0|27.35|0|30.77|0|27.63|24.62|23.14|0|34.19|22.6|0|16.48|27.98|21.47|20.89|0|0|0|26.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.32|0|0|0|0|0|0|0|0|34.19
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-22||LEVETIRACETAM 125 MG TAB (1/2 TABLET OF 250 MG TAB)|20.66|10.95|15.5|16.53|17.56|18.59|0|16.69|14.88|13.98|0|20.66|13.66|0|9.96|16.91|12.97|12.62|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.66
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-23||QUETIAPINE 12.5 MG TAB (1/2 TABLET OF 25 MG TAB)|20.8|11.02|15.6|16.64|17.68|18.72|0|16.81|14.98|14.08|0|20.8|13.75|0|10.03|17.02|13.06|12.71|0|0|15.6|16.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.93|0|0|0|0|0|0|0|0|20.8
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-25||WARFARIN 0.5 MG TAB (1/2 TAB OF 1 MG TAB)|25.75|13.65|19.31|20.6|21.89|23.18|0|20.81|18.54|17.43|0|25.75|17.02|0|12.41|21.08|16.17|15.73|0|0|19.31|20.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.29|0|0|0|0|0|0|0|0|25.75
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-29||ATORVASTATIN 5 MG TAB (1/2 TAB OF 10 MG TAB)|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-30||TRAZODONE 25 MG TAB (1/2 TAB OF 50 MG TAB)|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-32||GEMFIBROZIL 300 MG TAB (1/2 TAB OF 600 MG TAB)|20.61|10.92|15.46|16.49|17.52|18.55|0|16.65|14.84|13.95|0|20.61|13.62|0|9.93|16.87|12.94|12.59|0|0|15.46|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.61
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-33||FUROSEMIDE 10 MG TAB (1/2 TAB OF 20 MG TAB)|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-34||ALLOPURINOL 150 MG TAB (1/2 TAB OF 300 MG TAB)|20.73|10.99|15.55|16.58|17.62|18.66|0|16.75|14.93|14.03|0|20.73|13.7|0|9.99|16.97|13.02|12.67|0|0|15.55|16.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.73
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-35||CHLORTHALIDONE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|24.78|13.13|18.59|19.82|21.06|22.3|0|20.02|17.84|16.77|0|24.78|16.38|0|11.94|20.28|15.56|15.14|0|0|18.59|19.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.83|0|0|0|0|0|0|0|0|24.78
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-36||LORATADINE 5 MG TAB (1/2 TAB OF 10 MG TAB)|20.77|11.01|15.58|16.62|17.65|18.69|0|16.78|14.95|14.06|0|20.77|13.73|0|10.01|17|13.04|12.69|0|0|15.58|16.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.91|0|0|0|0|0|0|0|0|20.77
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-37||FOLIC ACID 0.5 MG TAB (1/2 TAB OF 1 MG TAB)|20.41|10.82|15.31|16.33|17.35|18.37|0|16.49|14.7|13.81|0|20.41|13.49|0|9.84|16.71|12.82|12.47|0|0|15.31|15.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.41
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-42||FLUDROCORTISONE 0.05 MG TAB (1/2 TAB OF 0.1 MG TAB)|21.46|11.37|16.1|17.17|18.24|19.31|0|17.34|15.45|14.52|0|21.46|14.19|0|10.34|17.57|13.48|13.11|0|0|16.1|16.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.46
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-46||LOSARTAN 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.2|10.71|15.15|16.16|17.17|18.18|0|16.32|14.54|13.67|0|20.2|13.35|0|9.74|16.53|12.69|12.34|0|0|15.15|15.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.64|0|0|0|0|0|0|0|0|20.2
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-49||CARVEDILOL 1.5625 MG TAB (1/2 TAB OF 3.125 MG TAB)|20.27|10.74|15.2|16.22|17.23|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|15.2|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-50||SPIRONOLACTONE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-55||OXYBUTYNIN CHLORIDE 2.5 MG TAB (1/2 TAB OF 5 MG)|20.98|11.12|15.74|16.78|17.83|18.88|0|16.95|15.11|14.2|0|20.98|13.87|0|10.11|17.17|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.98
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-57||METFORMIN 250 MG TAB (1/2 TAB OF 500 MG TAB)|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0250 - PHARMACY|NMRRX-5190-60||METOPROLOL TARTRATE 6.25 MG (1/4 TAB OF 25 MG TAB)|20.18|10.7|0|16.14|0|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|0|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-65||ISOSORBIDE DINITRATE 2.5 MG TAB (1/2 TAB OF 5 MG TAB)|21.4|11.34|16.05|17.12|18.19|19.26|0|17.29|15.41|14.48|0|21.4|14.15|0|10.31|17.52|13.44|13.08|0|0|16.05|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.21|0|0|0|0|0|0|0|0|21.4
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-66||PROMETHAZINE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.54|10.89|15.41|16.43|17.46|18.49|0|16.6|14.79|13.9|0|20.54|13.58|0|9.9|16.81|12.9|12.55|0|0|15.41|16.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.54
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-67||GLIPIZIDE 2.5 MG TAB (1/2 TAB OF 5 MG TAB)|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-68||PYRIDOSTIGMINE BROMIDE 30 MG TAB (1/2 TAB OF 60 MG TAB)|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-74||COLCHICINE 0.3 MG TAB (1/2 TAB OF 0.6 MG TAB)|20.63|10.93|15.47|16.5|17.54|18.57|0|16.67|14.85|13.96|0|20.63|13.64|0|9.94|16.89|12.96|12.6|0|0|15.47|16.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.85|0|0|0|0|0|0|0|0|20.63
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-80||AMIODARONE 100 MG TAB (1/2 TAB OF 200 MG TAB)|23.1|12.24|17.33|18.48|19.64|20.79|0|18.66|16.63|15.63|0|23.1|15.27|0|11.13|18.91|14.51|14.11|0|0|17.33|18.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.03|0|0|0|0|0|0|0|0|23.1
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-82||SOTALOL 40 MG TAB (1/2 TAB OF 80 MG TAB)|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-85||TRAMADOL 25 MG TAB (1/2 TAB OF 50 MG TAB)|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-86||TRAZODONE 12.5 MG TAB (1/4 TAB OF 50 MG TAB)|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-87||DIPHENHYDRAMINE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.05|10.63|15.04|16.04|17.04|18.05|0|16.2|14.44|13.57|0|20.05|13.25|0|9.66|16.41|12.59|12.25|0|0|15.04|15.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.05
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-88||CALCIUM CARBONATE-VITAMIN D3 250 MG (625 MG)-100 UNIT TAB (1/2 TAB OF CALCIUM 500MG + VITAMIN D 200 UNITS TABLET)|20.01|10.61|15.01|16.01|17.01|18.01|0|16.17|14.41|13.54|0|20.01|13.23|0|9.64|16.38|12.57|12.23|0|0|15.01|15.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.55|0|0|0|0|0|0|0|0|20.01
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-90||HYDRALAZINE 5 MG TAB (1/2 TAB OF 10 MG TAB)|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-95||LABETALOL 50 MG TABLET (1/2 TAB OF 100 MG)|20.91|11.08|15.68|16.73|17.77|18.82|0|16.9|15.06|14.15|0|20.91|13.82|0|10.08|17.11|13.13|12.78|0|0|15.68|16.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.98|0|0|0|0|0|0|0|0|20.91
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-96||PROPRANOLOL 5 MG TABLET (1/2 TAB OF 10 MG)|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5190-98||HYDRALAZINE 12.5 MG TAB (1/2 TAB OF 25 MG TAB)|20.06|10.63|15.05|16.05|17.05|18.05|0|16.21|14.44|13.58|0|20.06|13.26|0|9.67|16.42|12.6|12.26|0|0|15.05|15.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.06
HOSP OP|0637 - DRUGS/SELF ADMIN|MGHRX-5191-07||SOTALOL 20 MG TAB (1/4 TAB OF 80 MG TAB)|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5191-29||LEVOTHYROXINE 12.5 MCG TAB (1/2 TAB OF 25 MCG TAB)|21.17|11.22|15.88|16.94|17.99|19.05|0|17.11|15.24|14.33|0|21.17|13.99|0|10.2|17.33|13.29|12.93|0|0|15.88|16.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.1|0|0|0|0|0|0|0|0|21.17
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5191-32||EZETIMIBE 5 MG TAB (1/2 TAB OF 10 MG TAB)|46.87|24.84|35.15|37.5|39.84|42.18|0|37.87|33.75|31.72|0|46.87|30.98|0|22.59|38.36|29.43|28.64|0|0|35.15|36.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.37|0|0|0|0|0|0|0|0|46.87
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5191-33||DILTIAZEM 15 MG TAB (1/2 TAB OF 30 MG TAB)|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0637 - DRUGS/SELF ADMIN|57237-0007-30||MIRTAZAPINE 3.75 MG TABLET (1/2 TAB OF 7.5 MG TAB)|32.02|16.97|24.02|25.62|27.22|28.82|0|25.87|23.05|21.67|0|32.02|21.17|0|15.43|26.21|20.11|19.56|0|0|24.02|25.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.28|0|0|0|0|0|0|0|0|32.02
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-5192-01||TRIAMTERENE 18.75 MG-HYDROCHLOROTHIAZIDE 12.5 MG TAB (1/2 OF 37.5-25 MG TAB)|20.31|10.76|15.23|16.25|17.26|18.28|0|16.41|14.62|13.75|0|20.31|13.42|0|9.79|16.62|12.75|12.41|0|0|15.23|15.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.31
HOSP OP|0250 - PHARMACY|NMRRX-5199-95||LURASIDONE 20 MG TABLET (1/2 TAB OF 40 MG TAB)|135.63|71.88|0|108.5|0|122.07|0|109.59|97.65|91.79|0|135.63|89.65|0|65.37|111.01|85.18|82.87|0|0|0|105.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.74|0|0|0|0|0|0|0|0|135.63
HOSP OP|0250 - PHARMACY|00703-9514-03||SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION|58.18|30.84|0|46.54|0|52.36|0|47.01|41.89|39.38|0|58.18|38.46|0|28.04|47.62|36.54|35.55|0|0|0|45.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.77|0|0|0|0|0|0|0|0|58.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6280-61||QUETIAPINE 200 MG TABLET|22.65|12|16.99|18.12|19.25|20.39|0|18.3|16.31|15.33|0|22.65|14.97|0|10.92|18.54|14.22|13.84|0|0|16.99|17.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.81|0|0|0|0|0|0|0|0|22.65
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0200-20||METHYLDOPA 250 MG TABLET|20.48|10.85|15.36|16.38|17.41|18.43|0|16.55|14.75|13.86|0|20.48|13.54|0|9.87|16.76|12.86|12.51|0|0|15.36|15.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.48
HOSP OP|0637 - DRUGS/SELF ADMIN|00223-1760-01||SODIUM CHLORIDE 1 GRAM TABLET|20.27|10.74|15.2|16.22|17.23|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|15.2|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-0476-25|J2560|PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION|84.98|45.04|63.74|67.98|72.23|76.48|0|68.66|61.19|57.51|0|84.98|50.57|0|36.77|69.56|48.06|46.77|0|42.3870334|63.74|66.37|0|0|0|0|0|0|0|0|0|43.15|42.3870334|43.15|0|0|0|27.01|0|0|0|0|0|0|0|0|84.98
HOSP OP|0250 - PHARMACY|61825-0701-05||LIDOCAINE 4 % TOPICAL CREAM|32.67|17.32|0|26.14|0|29.4|0|26.4|23.52|22.11|0|32.67|21.59|0|15.75|26.74|20.52|19.96|0|0|0|25.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.59|0|0|0|0|0|0|0|0|32.67
HOSP OP|0250 - PHARMACY|00009-0870-26|S0077|CLINDAMYCIN 150 MG/ML INJECTION SOLUTION|44.07|23.36|33.05|35.26|37.46|39.66|37.46|35.61|31.73|29.83|0|44.07|1.81|1.34|1.31|36.07|1.72|1.67|1.31|0.785854617|33.05|34.42|17.63|0|17.63|7.75|7.91|3.91|17.63|3.96|7.91|0.8|0.785854617|0.8|0|0|1.88|0.96|0|0|17.63|0|22.04|17.63|17.63|0|44.07
HOSP OP|0250 - PHARMACY|00009-0775-26|S0077|CLINDAMYCIN 150 MG/ML INJECTION SOLUTION|45.48|23.36|33.05|35.26|37.46|39.66|37.46|35.61|31.73|29.83|0|44.07|1.81|1.34|1.31|36.07|1.72|1.67|1.31|0.785854617|33.05|34.42|17.63|0|17.63|7.75|7.91|3.91|17.63|3.96|7.91|0.8|0.785854617|0.8|0|0|1.88|0.96|0|0|17.63|0|22.04|17.63|17.63|0|44.07
HOSP OP|0250 - PHARMACY|63323-0282-04|S0077|CLINDAMYCIN 150 MG/ML INJECTION SOLUTION|45.48|23.36|33.05|35.26|37.46|39.66|37.46|35.61|31.73|29.83|0|44.07|1.81|1.34|1.31|36.07|1.72|1.67|1.31|0.785854617|33.05|34.42|17.63|0|17.63|7.75|7.91|3.91|17.63|3.96|7.91|0.8|0.785854617|0.8|0|0|1.88|0.96|0|0|17.63|0|22.04|17.63|17.63|0|44.07
HOSP OP|0250 - PHARMACY|00009-0902-18|S0077|CLINDAMYCIN 150 MG/ML INJECTION SOLUTION|46.41|23.36|33.05|35.26|37.46|39.66|37.46|35.61|31.73|29.83|0|44.07|1.81|1.34|1.31|36.07|1.72|1.67|1.31|0.785854617|33.05|34.42|17.63|0|17.63|7.75|7.91|3.91|17.63|3.96|7.91|0.8|0.785854617|0.8|0|0|1.88|0.96|0|0|17.63|0|22.04|17.63|17.63|0|44.07
HOSP OP|0250 - PHARMACY|25021-0115-06|S0077|CLINDAMYCIN 150 MG/ML INJECTION SOLUTION|46.41|23.36|33.05|35.26|37.46|39.66|37.46|35.61|31.73|29.83|0|44.07|1.81|1.34|1.31|36.07|1.72|1.67|1.31|0.785854617|33.05|34.42|17.63|0|17.63|7.75|7.91|3.91|17.63|3.96|7.91|0.8|0.785854617|0.8|0|0|1.88|0.96|0|0|17.63|0|22.04|17.63|17.63|0|44.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6377-61||OLANZAPINE 5 MG TABLET|20.5|10.86|15.38|16.4|17.43|18.45|0|16.56|14.76|13.87|0|20.5|13.55|0|9.88|16.78|12.87|12.53|0|0|15.38|16.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00310-0951-30|J9202|GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT|4661.16|2470.41|3495.87|3728.93|3961.99|4195.04|3961.99|3766.22|3356.04|3154.67|0|4661.16|1939.68|1829.52|1410.39|3815.16|1843.44|1793.82|1783.77|529.1846758|3495.87|3640.37|1512.89|1512.89|1512.89|3634.4|3641.82|1183.37|1512.89|1204.24|3641.82|538.71|529.1846758|538.71|0|0|1680.96|1036.32|1512.89|1512.89|1512.89|1512.89|1512.89|1512.89|1558.27|0|4661.16
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0574-01||TRIFLUOPERAZINE 5 MG TABLET|25.62|13.58|19.22|20.5|21.78|23.06|0|20.7|18.45|17.34|0|25.62|16.93|0|12.35|20.97|16.09|15.65|0|0|19.22|20.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.23|0|0|0|0|0|0|0|0|25.62
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0574-20||TRIFLUOPERAZINE 5 MG TABLET|25.62|13.58|19.22|20.5|21.78|23.06|0|20.7|18.45|17.34|0|25.62|16.93|0|12.35|20.97|16.09|15.65|0|0|19.22|20.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.23|0|0|0|0|0|0|0|0|25.62
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0122-20||METRONIDAZOLE 250 MG TABLET|21.18|11.23|15.89|16.94|18|19.06|0|17.11|15.25|14.33|0|21.18|14|0|10.21|17.34|13.3|12.94|0|0|15.89|16.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.11|0|0|0|0|0|0|0|0|21.18
HOSP OP|0250 - PHARMACY|00713-0252-37||MICONAZOLE NITRATE 2 % VAGINAL CREAM|33.5|17.75|0|26.8|0|30.15|0|27.07|24.12|22.67|0|33.5|22.14|0|16.15|27.42|21.04|20.47|0|0|0|26.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.99|0|0|0|0|0|0|0|0|33.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3127-01||DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE|23.39|12.4|17.54|18.71|19.88|21.05|0|18.9|16.84|15.83|0|23.39|15.46|0|11.27|19.14|14.69|14.29|0|0|17.54|18.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.16|0|0|0|0|0|0|0|0|23.39
HOSP OP|0637 - DRUGS/SELF ADMIN|23155-0108-00||NIMODIPINE 30 MG CAPSULE|41.87|22.19|31.4|33.5|35.59|37.68|0|33.83|30.15|28.34|0|41.87|27.68|0|20.18|34.27|26.29|25.58|0|0|31.4|32.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.98|0|0|0|0|0|0|0|0|41.87
HOSP OP|0637 - DRUGS/SELF ADMIN|23155-0108-11||NIMODIPINE 30 MG CAPSULE|41.87|22.19|31.4|33.5|35.59|37.68|0|33.83|30.15|28.34|0|41.87|27.68|0|20.18|34.27|26.29|25.58|0|0|31.4|32.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.98|0|0|0|0|0|0|0|0|41.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7985-09|J7030|SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-0043-03|J7030|SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION|43.75|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.25|0|2.36|42.97|3.09|3.01|0|2.593320236|39.38|41|0|0|0|0|0|0|0|0|0|2.64|2.593320236|2.64|0|0|0|1.73|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6102-61||CLONAZEPAM 1 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0321-09||NIACIN ER 500 MG TABLETEXTENDED RELEASE 24 HR|24.46|12.96|18.35|19.57|20.79|22.01|0|19.76|17.61|16.55|0|24.46|16.17|0|11.79|20.02|15.36|14.95|0|0|18.35|19.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.67|0|0|0|0|0|0|0|0|24.46
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1576-10||METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION|26.56|14.08|19.92|21.25|22.58|23.9|0|21.46|19.12|17.98|0|26.56|17.56|0|12.8|21.74|16.68|16.23|0|0|19.92|20.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.68|0|0|0|0|0|0|0|0|26.56
HOSP OP|0250 - PHARMACY|00338-1134-03||AMINO ACID 4.25 % IN 10 % DEXTROSE INTRAVENOUS SOLUTION|92.5|49.02|0|74|0|83.25|0|74.74|66.6|62.6|0|92.5|61.14|0|44.59|75.71|58.09|56.52|0|0|0|72.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.15|0|0|0|0|0|0|0|0|92.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0293-01||VERAPAMIL ER (SR) 180 MG TABLETEXTENDED RELEASE|20.52|10.88|15.39|16.42|17.44|18.47|0|16.58|14.77|13.89|0|20.52|13.56|0|9.89|16.8|12.89|12.54|0|0|15.39|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.79|0|0|0|0|0|0|0|0|20.52
HOSP OP|0250 - PHARMACY|96295-0120-27||MICONAZOLE NITRATE 2 % TOPICAL POWDER|30.44|16.13|0|24.35|0|27.4|0|24.6|21.92|20.6|0|30.44|20.12|0|14.67|24.92|19.12|18.6|0|0|0|23.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.53|0|0|0|0|0|0|0|0|30.44
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0544-10||DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0637 - DRUGS/SELF ADMIN|48433-0205-10||DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-5810-61||DOFETILIDE 250 MCG CAPSULE|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-4593-21|J7509|METHYLPREDNISOLONE 4 MG TABLET|23.19|12.29|17.39|18.55|19.71|20.87|0|18.74|16.7|15.69|0|23.19|0.48|0|0.35|18.98|0.45|0.44|0|0.353634578|17.39|18.11|0|0|0|0|0|0|0|0|0|0.36|0.353634578|0.36|0|0|0|0.25|0|0|0|0|0|0|0|0|23.19
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0436-50|J9000|DOXORUBICIN 50 MG INTRAVENOUS SOLUTION|650.75|344.9|488.06|520.6|553.14|585.68|0|525.81|468.54|440.43|0|650.75|19.75|0|14.35|532.64|18.75|18.25|0|3.00589391|488.06|508.24|0|0|0|0|0|0|0|0|0|3.06|3.00589391|3.06|0|0|0|10.5|0|0|0|0|0|0|0|0|650.75
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0111-01||GLIPIZIDE ER 5 MG TABLET EXTENDED RELEASE 24 HR|21.48|11.38|16.11|17.18|18.26|19.33|0|17.36|15.47|14.54|0|21.48|14.2|0|10.35|17.58|13.49|13.12|0|0|16.11|16.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.25|0|0|0|0|0|0|0|0|21.48
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0111-11||GLIPIZIDE ER 5 MG TABLET EXTENDED RELEASE 24 HR|21.48|11.38|16.11|17.18|18.26|19.33|0|17.36|15.47|14.54|0|21.48|14.2|0|10.35|17.58|13.49|13.12|0|0|16.11|16.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.25|0|0|0|0|0|0|0|0|21.48
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0565-11||MIDODRINE 5 MG TABLET|22.62|11.99|16.97|18.1|19.23|20.36|0|18.28|16.29|15.31|0|22.62|14.95|0|10.9|18.51|14.21|13.82|0|0|16.97|17.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.8|0|0|0|0|0|0|0|0|22.62
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0565-15||MIDODRINE 5 MG TABLET|22.62|11.99|16.97|18.1|19.23|20.36|0|18.28|16.29|15.31|0|22.62|14.95|0|10.9|18.51|14.21|13.82|0|0|16.97|17.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.8|0|0|0|0|0|0|0|0|22.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6327-61||METFORMIN 850 MG TABLET|20.22|10.72|15.17|16.18|17.19|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|15.17|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0250 - PHARMACY|10223-0201-03||BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY|32.67|17.32|24.5|26.14|27.77|29.4|0|26.4|23.52|22.11|0|32.67|21.59|0|15.75|26.74|20.52|19.96|0|0|24.5|25.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.07|15.59|0|0|0|0|0|0|0|0|32.67
HOSP OP|0250 - PHARMACY|63323-0113-10||PENTAMIDINE 300 MG SOLUTION FOR INJECTION|564.77|299.33|0|451.82|0|508.29|0|456.33|406.63|382.24|0|564.77|373.31|0|272.22|462.26|354.68|345.07|0|0|0|441.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|269.56|0|0|0|0|0|0|0|0|564.77
HOSP OP|0250 - PHARMACY|17478-0253-10||FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION|90.07|47.74|0|72.06|0|81.06|0|72.78|64.85|60.96|0|90.07|59.54|0|43.41|73.72|56.56|55.03|0|0|0|70.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.99|0|0|0|0|0|0|0|0|90.07
HOSP OP|0250 - PHARMACY|00009-0433-04||GELATIN ABSORBABLE MUCOSAL POWDER|164.19|87.02|0|131.35|0|147.77|0|132.67|118.22|111.12|0|164.19|108.53|0|79.14|134.39|103.11|100.32|0|0|0|128.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.37|0|0|0|0|0|0|0|0|164.19
HOSP OP|0250 - PHARMACY|61314-0237-10||CROMOLYN 4 % EYE DROPS|34.15|18.1|0|27.32|0|30.74|0|27.59|24.59|23.11|0|34.15|22.57|0|16.46|27.95|21.45|20.87|0|0|0|26.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.3|0|0|0|0|0|0|0|0|34.15
HOSP OP|0250 - PHARMACY|67457-0118-50||ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION|259.38|137.47|0|207.5|0|233.44|0|209.58|186.75|175.55|0|259.38|171.45|0|125.02|212.3|162.89|158.48|0|0|0|202.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|123.8|0|0|0|0|0|0|0|0|259.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7953-09|J7120|LACTATED RINGERS INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-0117-02|J7120|LACTATED RINGERS INTRAVENOUS SOLUTION|157.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-7953-03|J7120|LACTATED RINGERS INTRAVENOUS SOLUTION|51.25|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0075-21||TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE|96.71|51.26|72.53|77.37|82.2|87.04|0|78.14|69.63|65.45|0|96.71|63.93|0|46.61|79.16|60.73|59.09|0|0|72.53|75.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.16|0|0|0|0|0|0|0|0|96.71
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0024-01||METOLAZONE 5 MG TABLET|28.64|15.18|21.48|22.91|24.34|25.78|0|23.14|20.62|19.38|0|28.64|18.93|0|13.8|23.44|17.99|17.5|0|0|21.48|22.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.67|0|0|0|0|0|0|0|0|28.64
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0024-20||METOLAZONE 5 MG TABLET|28.64|15.18|21.48|22.91|24.34|25.78|0|23.14|20.62|19.38|0|28.64|18.93|0|13.8|23.44|17.99|17.5|0|0|21.48|22.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.67|0|0|0|0|0|0|0|0|28.64
HOSP OP|0637 - DRUGS/SELF ADMIN|00006-3239-66||CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION|28.42|15.06|21.32|22.74|24.16|25.58|0|22.96|20.46|19.23|0|28.42|18.79|0|13.7|23.26|17.85|17.36|0|0|21.32|22.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.56|0|0|0|0|0|0|0|0|28.42
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0057-15||CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION|28.42|15.06|21.32|22.74|24.16|25.58|0|22.96|20.46|19.23|0|28.42|18.79|0|13.7|23.26|17.85|17.36|0|0|21.32|22.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.56|0|0|0|0|0|0|0|0|28.42
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5392-61||ATENOLOL 25 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0250 - PHARMACY|51672-1258-02||CLOBETASOL 0.05 % TOPICAL CREAM|80.62|42.73|0|64.5|0|72.56|0|65.14|58.05|54.56|0|80.62|53.29|0|38.86|65.99|50.63|49.26|0|0|0|62.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|38.48|0|0|0|0|0|0|0|0|80.62
HOSP OP|0637 - DRUGS/SELF ADMIN|00115-4433-01||DANTROLENE 100 MG CAPSULE|22.33|11.83|16.75|17.86|18.98|20.1|0|18.04|16.08|15.11|0|22.33|14.76|0|10.76|18.28|14.02|13.64|0|0|16.75|17.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.66|0|0|0|0|0|0|0|0|22.33
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0188-01||NAPROXEN 250 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00008-0923-60|C9113|PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION|51.61|27.35|38.71|41.29|43.87|46.45|0|41.7|37.16|34.93|0|51.61|34.11|0|24.88|42.24|32.41|31.53|0|6.001964637|38.71|40.31|0|0|0|0|0|0|0|0|0|6.11|6.001964637|6.11|0|0|0|24.63|0|0|0|0|0|0|0|0|51.61
HOSP OP|0250 - PHARMACY|00472-0242-60||PERMETHRIN 5 % TOPICAL CREAM|88.54|46.93|0|70.83|0|79.69|0|71.54|63.75|59.92|0|88.54|58.52|0|42.68|72.47|55.6|54.1|0|0|0|69.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.26|0|0|0|0|0|0|0|0|88.54
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4023-01||ACETAZOLAMIDE 250 MG TABLET|26.58|14.09|19.94|21.26|22.59|23.92|0|21.48|19.14|17.99|0|26.58|17.57|0|12.81|21.76|16.69|16.24|0|0|19.94|20.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.69|0|0|0|0|0|0|0|0|26.58
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0058-50||PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION|25.54|13.54|19.16|20.43|21.71|22.99|0|20.64|18.39|17.29|0|25.54|16.88|0|12.31|20.9|16.04|15.6|0|0|19.16|19.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.19|0|0|0|0|0|0|0|0|25.54
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0285-01||RIFABUTIN 150 MG CAPSULE|54.01|28.63|40.51|43.21|45.91|48.61|0|43.64|38.89|36.55|0|54.01|35.7|0|26.03|44.21|33.92|33|0|0|40.51|42.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.78|0|0|0|0|0|0|0|0|54.01
HOSP OP|0250 - PHARMACY|63736-0037-51||BENZOCAINE 20 % TOPICAL OINTMENT|38.11|20.2|0|30.49|0|34.3|0|30.79|27.44|25.79|0|38.11|25.19|0|18.37|31.19|23.93|23.29|0|0|0|29.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.19|0|0|0|0|0|0|0|0|38.11
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0598-20||CLINDAMYCIN HCL 150 MG CAPSULE|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.18|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0243-01||CLINDAMYCIN HCL 150 MG CAPSULE|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.18|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0243-11||CLINDAMYCIN HCL 150 MG CAPSULE|20.45|10.84|15.34|16.36|17.38|18.41|0|16.52|14.72|13.84|0|20.45|13.52|0|9.86|16.74|12.84|12.49|0|0|15.34|15.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.18|9.76|0|0|0|0|0|0|0|0|20.45
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0713-01||VENLAFAXINE ER 150 MG CAPSULEEXTENDED RELEASE 24 HR|21.28|11.28|15.96|17.02|18.09|19.15|0|17.19|15.32|14.4|0|21.28|14.07|0|10.26|17.42|13.36|13|0|0|15.96|16.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.28
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0713-11||VENLAFAXINE ER 150 MG CAPSULEEXTENDED RELEASE 24 HR|21.28|11.28|15.96|17.02|18.09|19.15|0|17.19|15.32|14.4|0|21.28|14.07|0|10.26|17.42|13.36|13|0|0|15.96|16.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.28
HOSP OP|0637 - DRUGS/SELF ADMIN|65862-0147-36||SUMATRIPTAN 50 MG TABLET|20.99|11.12|15.74|16.79|17.84|18.89|0|16.96|15.11|14.21|0|20.99|13.87|0|10.12|17.18|13.18|12.82|0|0|15.74|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|20.99
HOSP OP|0637 - DRUGS/SELF ADMIN|00169-1837-11|J1815|INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP|72.78|38.57|54.59|58.22|61.86|65.5|0|58.81|52.4|49.26|0|72.78|72.78|0|72.78|59.57|72.78|72.78|0|0.903732809|54.59|56.84|0|0|0|0|0|0|0|0|0|0.92|0.903732809|0.92|0|0|0|71.32|0|0|0|0|0|0|0|0|72.78
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-7424-98||MONTELUKAST 4 MG CHEWABLE TABLET|22.37|11.86|16.78|17.9|19.01|20.13|0|18.07|16.11|15.14|0|22.37|14.79|0|10.78|18.31|14.05|13.67|0|0|16.78|17.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.68|0|0|0|0|0|0|0|0|22.37
HOSP OP|0258 - IV SOLUTIONS|00409-7935-19||DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION|52.5|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0796-01|J2930|METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION|232.88|123.43|174.66|186.3|197.95|209.59|0|188.17|167.67|157.61|0|232.88|143.04|0|104|190.61|136|132.32|0|6.316306483|174.66|181.88|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|76.32|0|0|0|0|0|0|0|0|232.88
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0295-15||ITRACONAZOLE 10 MG/ML ORAL SOLUTION|88.66|46.99|66.5|70.93|75.36|79.79|0|71.64|63.84|60.01|0|88.66|58.6|0|42.73|72.57|55.68|54.17|0|0|66.5|69.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.32|0|0|0|0|0|0|0|0|88.66
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0059-81||ITRACONAZOLE 10 MG/ML ORAL SOLUTION|88.66|46.99|66.5|70.93|75.36|79.79|0|71.64|63.84|60.01|0|88.66|58.6|0|42.73|72.57|55.68|54.17|0|0|66.5|69.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.32|0|0|0|0|0|0|0|0|88.66
HOSP OP|0637 - DRUGS/SELF ADMIN|31722-0530-01||TORSEMIDE 10 MG TABLET|20.25|10.73|15.19|16.2|17.21|18.23|0|16.36|14.58|13.71|0|20.25|13.39|0|9.76|16.57|12.72|12.37|0|0|15.19|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.25
HOSP OP|0250 - PHARMACY|00944-4201-04||THROMBIN (HUMAN PLASMA)-FIBRINOGEN-APROTININ-CALCIUM 2 ML TOPICAL KIT|401.77|212.94|0|321.42|0|361.59|0|324.63|289.27|271.92|0|401.77|265.57|0|193.65|328.85|252.31|245.48|0|0|0|313.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|191.76|0|0|0|0|0|0|0|0|401.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00069-5800-43||DOFETILIDE 125 MCG CAPSULE|50.87|26.96|38.15|40.7|43.24|45.78|0|41.1|36.63|34.43|0|50.87|33.63|0|24.52|41.64|31.95|31.08|0|0|38.15|39.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.28|0|0|0|0|0|0|0|0|50.87
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0894-20||VERAPAMIL ER (SR) 120 MG TABLETEXTENDED RELEASE|25.17|13.34|18.88|20.14|21.39|22.65|0|20.34|18.12|17.04|0|25.17|16.64|0|12.13|20.6|15.81|15.38|0|0|18.88|19.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.01|0|0|0|0|0|0|0|0|25.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00037-0430-01||FELBAMATE 400 MG TABLET|55.23|29.27|41.42|44.18|46.95|49.71|0|44.63|39.77|37.38|0|55.23|36.51|0|26.62|45.21|34.68|33.75|0|0|41.42|43.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.36|0|0|0|0|0|0|0|0|55.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-0983-01||NYSTATIN 500000 UNIT TABLET|20.03|10.62|15.02|16.02|17.03|18.03|0|16.18|14.42|13.56|0|20.03|13.24|0|9.65|16.39|12.58|12.24|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-8777-01|J0153|ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION|501.03|265.55|375.77|400.82|425.88|450.93|0|404.83|360.74|339.1|0|501.03|84.6|0|61.2|410.09|80.1|78.3|0|0.618860511|375.77|391.3|0|0|0|0|0|0|0|0|0|0.63|0.618860511|0.63|0|0|0|45|0|0|0|0|0|0|0|0|501.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0307-30|J0153|ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION|501.03|265.55|375.77|400.82|425.88|450.93|0|404.83|360.74|339.1|0|501.03|84.6|0|61.2|410.09|80.1|78.3|0|0.618860511|375.77|391.3|0|0|0|0|0|0|0|0|0|0.63|0.618860511|0.63|0|0|0|45|0|0|0|0|0|0|0|0|501.03
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68001-0286-39|J0640|LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION|587.32|311.28|440.49|469.86|499.22|528.59|0|474.55|422.87|397.5|0|587.32|30.24|0|21.98|480.72|28.77|28|0|3.330058939|440.49|458.7|0|0|0|0|0|0|0|0|0|3.39|3.330058939|3.39|0|0|0|16.17|0|0|0|0|0|0|0|0|587.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-5145-01|J0640|LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION|587.32|311.28|440.49|469.86|499.22|528.59|0|474.55|422.87|397.5|0|587.32|30.24|0|21.98|480.72|28.77|28|0|3.330058939|440.49|458.7|0|0|0|0|0|0|0|0|0|3.39|3.330058939|3.39|0|0|0|16.17|0|0|0|0|0|0|0|0|587.32
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1556-01||ISOSORBIDE DINITRATE 10 MG TABLET|22.48|11.91|16.86|17.98|19.11|20.23|0|18.16|16.19|15.21|0|22.48|14.86|0|10.84|18.4|14.12|13.74|0|0|16.86|17.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.73|0|0|0|0|0|0|0|0|22.48
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0741-01||HYDROXYZINE PAMOATE 50 MG CAPSULE|20.65|10.94|15.49|16.52|17.55|18.59|0|16.69|14.87|13.98|0|20.65|13.65|0|9.95|16.9|12.97|12.62|0|0|15.49|16.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.65
HOSP OP|0637 - DRUGS/SELF ADMIN|62584-0741-11||HYDROXYZINE PAMOATE 50 MG CAPSULE|20.65|10.94|15.49|16.52|17.55|18.59|0|16.69|14.87|13.98|0|20.65|13.65|0|9.95|16.9|12.97|12.62|0|0|15.49|16.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.65
HOSP OP|0250 - PHARMACY|61772-0600-81||SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE|397.5|210.67|0|318|0|357.75|0|321.18|286.2|269.03|0|397.5|262.75|0|191.6|325.35|249.63|242.87|0|0|0|310.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.73|0|0|0|0|0|0|0|0|397.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0176-01||WARFARIN 2.5 MG TABLET|26.19|13.88|19.64|20.95|22.26|23.57|0|21.16|18.86|17.73|0|26.19|17.31|0|12.62|21.44|16.45|16|0|0|19.64|20.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.5|0|0|0|0|0|0|0|0|26.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00056-0176-75||WARFARIN 2.5 MG TABLET|26.19|13.88|19.64|20.95|22.26|23.57|0|21.16|18.86|17.73|0|26.19|17.31|0|12.62|21.44|16.45|16|0|0|19.64|20.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.5|0|0|0|0|0|0|0|0|26.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0390-63||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-4839-05||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6828-94||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|64950-0354-05||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|64950-0354-45||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|64950-0354-50||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|64950-0354-55||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0637 - DRUGS/SELF ADMIN|66689-0403-16||OXYCODONE 5 MG/5 ML ORAL SOLUTION|41.44|21.96|31.08|33.15|35.22|37.3|0|33.48|29.84|28.05|0|41.44|27.39|0|19.97|33.92|26.02|25.32|0|0|31.08|32.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.58|19.78|0|0|0|0|0|0|0|0|41.44
HOSP OP|0250 - PHARMACY|00409-7811-24|J3490|METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK|41.88|22.2|31.41|33.5|35.6|37.69|0|33.84|30.15|28.34|0|41.88|27.68|0|20.19|34.28|26.3|25.59|0|0|31.41|32.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.99|0|0|0|0|0|0|0|0|41.88
HOSP OP|0637 - DRUGS/SELF ADMIN|43386-0140-01||METHYLERGONOVINE 0.2 MG TABLET|27.82|14.74|20.87|22.26|23.65|25.04|0|22.48|20.03|18.83|0|27.82|18.39|0|13.41|22.77|17.47|17|0|0|20.87|21.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.28|0|0|0|0|0|0|0|0|27.82
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0415-01||DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0637 - DRUGS/SELF ADMIN|55253-0601-30||TIAGABINE 4 MG TABLET|20.49|10.86|15.37|16.39|17.42|18.44|0|16.56|14.75|13.87|0|20.49|13.54|0|9.88|16.77|12.87|12.52|0|0|15.37|16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.78|0|0|0|0|0|0|0|0|20.49
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0128-01||VALSARTAN 80 MG TABLET|22.42|11.88|16.82|17.94|19.06|20.18|0|18.12|16.14|15.17|0|22.42|14.82|0|10.81|18.35|14.08|13.7|0|0|16.82|17.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.7|0|0|0|0|0|0|0|0|22.42
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0128-11||VALSARTAN 80 MG TABLET|22.42|11.88|16.82|17.94|19.06|20.18|0|18.12|16.14|15.17|0|22.42|14.82|0|10.81|18.35|14.08|13.7|0|0|16.82|17.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.7|0|0|0|0|0|0|0|0|22.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00074-1658-01|J2501|PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION|63.22|33.51|47.42|50.58|53.74|56.9|0|51.08|45.52|42.79|0|63.22|4.15|0|3|51.75|3.9|3.8|0|0.766208251|47.42|49.37|0|0|0|0|0|0|0|0|0|0.78|0.766208251|0.78|0|0|0|2.2|0|0|0|0|0|0|0|0|63.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1655-01||PENICILLIN V POTASSIUM 500 MG TABLET|22.61|11.98|16.96|18.09|19.22|20.35|0|18.27|16.28|15.3|0|22.61|14.95|0|10.9|18.51|14.2|13.81|0|0|16.96|17.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.04|10.79|0|0|0|0|0|0|0|0|22.61
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|47781-0589-22|J2250|MIDAZOLAM 5 MG/ML INJECTION SOLUTION|40.92|21.69|30.69|32.74|34.78|36.83|0|33.06|29.46|27.69|0|40.92|1.36|0|0.96|33.49|1.28|1.28|0|0.117878193|30.69|31.96|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.64|0|0|0|0|0|0|0|0|40.92
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6376-61||OLANZAPINE 10 MG TABLET|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-2502-01||LEFLUNOMIDE 10 MG TABLET|27.44|14.54|20.58|21.95|23.32|24.7|0|22.17|19.76|18.57|0|27.44|18.14|0|13.23|22.46|17.23|16.77|0|0|20.58|21.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.1|0|0|0|0|0|0|0|0|27.44
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-1874-31||AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET|24.29|12.87|18.22|19.43|20.65|21.86|0|19.63|17.49|16.44|0|24.29|16.06|0|11.71|19.88|15.25|14.84|0|0|18.22|18.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.59|0|0|0|0|0|0|0|0|24.29
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-1002-94||TETRAHYDROZOLINE 0.05 % EYE DROPS|24.37|12.92|18.28|19.5|20.71|21.93|0|19.69|17.55|16.49|0|24.37|16.11|0|11.75|19.95|15.3|14.89|0|0|18.28|19.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.63|0|0|0|0|0|0|0|0|24.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0021-25||LITHIUM CARBONATE ER 300 MG TABLETEXTENDED RELEASE|20.76|11|15.57|16.61|17.65|18.68|0|16.77|14.95|14.05|0|20.76|13.72|0|10.01|16.99|13.04|12.68|0|0|15.57|16.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.91|0|0|0|0|0|0|0|0|20.76
HOSP OP|0250 - PHARMACY|51672-2003-06||CLOTRIMAZOLE 1 % VAGINAL CREAM|30.53|16.18|0|24.42|0|27.48|0|24.67|21.98|20.66|0|30.53|20.18|0|14.72|24.99|19.17|18.65|0|0|0|23.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.57|0|0|0|0|0|0|0|0|30.53
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0311-47||GABAPENTIN 250 MG/5 ML ORAL SOLUTION|26.95|14.28|20.21|21.56|22.91|24.26|0|21.78|19.4|18.24|0|26.95|17.81|0|12.99|22.06|16.92|16.47|0|0|20.21|21.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.86|0|0|0|0|0|0|0|0|26.95
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-3125-01||DICLOXACILLIN 500 MG CAPSULE|21.73|11.52|16.3|17.38|18.47|19.56|0|17.56|15.65|14.71|0|21.73|14.36|0|10.47|17.79|13.65|13.28|0|0|16.3|16.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.37|0|0|0|0|0|0|0|0|21.73
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0734-01||HALOPERIDOL 1 MG TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0734-20||HALOPERIDOL 1 MG TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0342-01||TOPIRAMATE 25 MG TABLET|20.57|10.9|15.43|16.46|17.48|18.51|0|16.62|14.81|13.92|0|20.57|13.6|0|9.91|16.84|12.92|12.57|0|0|15.43|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.57
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0342-11||TOPIRAMATE 25 MG TABLET|20.57|10.9|15.43|16.46|17.48|18.51|0|16.62|14.81|13.92|0|20.57|13.6|0|9.91|16.84|12.92|12.57|0|0|15.43|16.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.82|0|0|0|0|0|0|0|0|20.57
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5803-15||PSEUDOEPHEDRINE ER 120 MG TABLETEXTENDED RELEASE|20.92|11.09|15.69|16.74|17.78|18.83|0|16.9|15.06|14.16|0|20.92|13.83|0|10.08|17.12|13.14|12.78|0|0|15.69|16.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.99|0|0|0|0|0|0|0|0|20.92
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0227-02|J0834|COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION|81.8|43.35|61.35|65.44|69.53|73.62|0|66.09|58.9|55.36|0|81.8|55.48|0|40.34|66.95|52.73|51.31|0|37.91748527|61.35|63.89|0|0|0|0|0|0|0|0|0|38.6|37.91748527|38.6|0|0|0|29.64|0|0|0|0|0|0|0|0|81.8
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6441-61||HYDRALAZINE 25 MG TABLET|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0250 - PHARMACY|67457-0228-10|J3490|ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION|56.03|29.7|42.02|44.82|47.63|50.43|0|45.27|40.34|37.92|0|56.03|37.04|0|27.01|45.86|35.19|34.23|0|0|42.02|43.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.74|0|0|0|0|0|0|0|0|56.03
HOSP OP|0250 - PHARMACY|00409-9558-05|J3490|ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION|45.4|29.7|42.02|44.82|47.63|50.43|0|45.27|40.34|37.92|0|56.03|37.04|0|27.01|45.86|35.19|34.23|0|0|42.02|43.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.74|0|0|0|0|0|0|0|0|56.03
HOSP OP|0250 - PHARMACY|04090-9558-69|J3490|ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION|45.4|29.7|42.02|44.82|47.63|50.43|0|45.27|40.34|37.92|0|56.03|37.04|0|27.01|45.86|35.19|34.23|0|0|42.02|43.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.74|0|0|0|0|0|0|0|0|56.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0490-01||MECLIZINE 12.5 MG TABLET|21.36|11.32|16.02|17.09|18.16|19.22|0|17.26|15.38|14.46|0|21.36|14.12|0|10.3|17.48|13.41|13.05|0|0|16.02|16.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.2|0|0|0|0|0|0|0|0|21.36
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0490-11||MECLIZINE 12.5 MG TABLET|21.36|11.32|16.02|17.09|18.16|19.22|0|17.26|15.38|14.46|0|21.36|14.12|0|10.3|17.48|13.41|13.05|0|0|16.02|16.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.2|0|0|0|0|0|0|0|0|21.36
HOSP OP|0637 - DRUGS/SELF ADMIN|67618-0109-28||DOCUSATE SODIUM 50 MG CAPSULE|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0250 - PHARMACY|00574-7114-12||MORPHINE 20 MG RECTAL SUPPOSITORY|36.72|19.46|0|29.38|0|33.05|0|29.67|26.44|24.85|0|36.72|24.27|0|17.7|30.06|23.06|22.44|0|0|0|28.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.53|0|0|0|0|0|0|0|0|36.72
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-2718-01||METHYLPHENIDATE ER 54 MG TABLETEXTENDED RELEASE 24 HR|44.96|23.83|33.72|35.97|38.22|40.46|0|36.33|32.37|30.43|0|44.96|29.72|0|21.67|36.8|28.23|27.47|0|0|33.72|35.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.46|0|0|0|0|0|0|0|0|44.96
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0289-13||MONTELUKAST 5 MG CHEWABLE TABLET|22.37|11.86|16.78|17.9|19.01|20.13|0|18.07|16.11|15.14|0|22.37|14.79|0|10.78|18.31|14.05|13.67|0|0|16.78|17.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.68|0|0|0|0|0|0|0|0|22.37
HOSP OP|0250 - PHARMACY|00409-6509-01|J3370|VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION|80.93|42.89|60.7|64.74|68.79|72.84|0|65.39|58.27|54.77|0|80.93|54.7|0|39.8|66.24|52|50.6|0|3.388998035|60.7|63.21|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|29.2|0|0|0|0|0|0|0|0|80.93
HOSP OP|0250 - PHARMACY|00713-0164-12||ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY|21.33|11.3|0|17.06|0|19.2|0|17.23|15.36|14.44|0|21.33|14.1|0|10.28|17.46|13.4|13.03|0|0|0|16.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.33
HOSP OP|0250 - PHARMACY|17478-0101-12||TROPICAMIDE 0.5 % EYE DROPS|45.66|24.2|0|36.53|0|41.09|0|36.89|32.88|30.9|0|45.66|30.18|0|22.01|37.37|28.67|27.9|0|0|0|35.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.79|0|0|0|0|0|0|0|0|45.66
HOSP OP|0250 - PHARMACY|24208-0590-64||TROPICAMIDE 0.5 % EYE DROPS|45.66|24.2|0|36.53|0|41.09|0|36.89|32.88|30.9|0|45.66|30.18|0|22.01|37.37|28.67|27.9|0|0|0|35.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.79|0|0|0|0|0|0|0|0|45.66
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0066-00||LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION|27.75|14.71|20.81|22.2|23.59|24.98|0|22.42|19.98|18.78|0|27.75|18.34|0|13.38|22.71|17.43|16.96|0|0|20.81|21.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.25|0|0|0|0|0|0|0|0|27.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0123-15|J3490|NAFCILLIN 2 GRAM SOLUTION FOR INJECTION|56.67|30.04|42.5|45.34|48.17|51|0|45.79|40.8|38.35|0|56.67|37.46|0|27.31|46.38|35.59|34.63|0|0|42.5|44.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.05|0|0|0|0|0|0|0|0|56.67
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0301-01||RISPERIDONE 0.25 MG TABLET|47.52|25.19|35.64|38.02|40.39|42.77|0|38.4|34.21|32.16|0|47.52|31.41|0|22.9|38.9|29.84|29.03|0|0|35.64|37.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.68|0|0|0|0|0|0|0|0|47.52
HOSP OP|0637 - DRUGS/SELF ADMIN|50458-0301-04||RISPERIDONE 0.25 MG TABLET|47.52|25.19|35.64|38.02|40.39|42.77|0|38.4|34.21|32.16|0|47.52|31.41|0|22.9|38.9|29.84|29.03|0|0|35.64|37.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.68|0|0|0|0|0|0|0|0|47.52
HOSP OP|0637 - DRUGS/SELF ADMIN|24338-0122-13||ERYTHROMYCIN 250 MG TABLETDELAYED RELEASE|39.76|21.07|29.82|31.81|33.8|35.78|0|32.13|28.63|26.91|0|39.76|26.28|0|19.16|32.54|24.97|24.29|0|0|29.82|31.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.98|0|0|0|0|0|0|0|0|39.76
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6128-61||TERAZOSIN 5 MG CAPSULE|20.32|10.77|15.24|16.26|17.27|18.29|0|16.42|14.63|13.75|0|20.32|13.43|0|9.79|16.63|12.76|12.42|0|0|15.24|15.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|0|0|0|0|0|0|0|0|20.32
HOSP OP|0637 - DRUGS/SELF ADMIN|16729-0020-15||PIOGLITAZONE 15 MG TABLET|20.38|10.8|15.29|16.3|17.32|18.34|0|16.47|14.67|13.79|0|20.38|13.47|0|9.82|16.68|12.8|12.45|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0282-25|J1940|FUROSEMIDE 10 MG/ML INJECTION SOLUTION|42.63|22.59|31.97|34.1|36.24|38.37|0|34.45|30.69|28.85|0|42.63|1.07|0|0.78|34.89|1.02|0.99|0|0.589390963|31.97|33.29|0|0|0|0|0|0|0|0|0|0.6|0.589390963|0.6|0|0|0|0.56|0|0|0|0|0|0|0|0|42.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0283-25|J1940|FUROSEMIDE 10 MG/ML INJECTION SOLUTION|42.63|22.59|31.97|34.1|36.24|38.37|0|34.45|30.69|28.85|0|42.63|1.07|0|0.78|34.89|1.02|0.99|0|0.589390963|31.97|33.29|0|0|0|0|0|0|0|0|0|0.6|0.589390963|0.6|0|0|0|0.56|0|0|0|0|0|0|0|0|42.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0284-25|J1940|FUROSEMIDE 10 MG/ML INJECTION SOLUTION|42.63|22.59|31.97|34.1|36.24|38.37|0|34.45|30.69|28.85|0|42.63|1.07|0|0.78|34.89|1.02|0.99|0|0.589390963|31.97|33.29|0|0|0|0|0|0|0|0|0|0.6|0.589390963|0.6|0|0|0|0.56|0|0|0|0|0|0|0|0|42.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0280-16|J1940|FUROSEMIDE 10 MG/ML INJECTION SOLUTION|42.63|22.59|31.97|34.1|36.24|38.37|0|34.45|30.69|28.85|0|42.63|1.07|0|0.78|34.89|1.02|0.99|0|0.589390963|31.97|33.29|0|0|0|0|0|0|0|0|0|0.6|0.589390963|0.6|0|0|0|0.56|0|0|0|0|0|0|0|0|42.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00074-3079-90||NIACIN ER 750 MG TABLETEXTENDED RELEASE 24 HR|40.81|21.63|30.61|32.65|34.69|36.73|0|32.97|29.38|27.62|0|40.81|26.98|0|19.67|33.4|25.63|24.93|0|0|30.61|31.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.48|0|0|0|0|0|0|0|0|40.81
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6369-61||AMLODIPINE 2.5 MG TABLET|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0966-01||METRONIDAZOLE 500 MG TABLET|21.49|11.39|16.12|17.19|18.27|19.34|0|17.36|15.47|14.54|0|21.49|14.2|0|10.36|17.59|13.5|13.13|0|0|16.12|16.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.49
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0966-11||METRONIDAZOLE 500 MG TABLET|21.49|11.39|16.12|17.19|18.27|19.34|0|17.36|15.47|14.54|0|21.49|14.2|0|10.36|17.59|13.5|13.13|0|0|16.12|16.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.49
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5485-21||PROPRANOLOL 60 MG TABLET|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0250 - PHARMACY|17478-0711-10||LIDOCAINE HCL 2 % MUCOSAL JELLY|64|33.92|0|51.2|0|57.6|0|51.71|46.08|43.32|0|64|42.3|0|30.85|52.38|40.19|39.1|0|0|0|49.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.55|0|0|0|0|0|0|0|0|64
HOSP OP|0250 - PHARMACY|17478-0711-30||LIDOCAINE HCL 2 % MUCOSAL JELLY|64|33.92|0|51.2|0|57.6|0|51.71|46.08|43.32|0|64|42.3|0|30.85|52.38|40.19|39.1|0|0|0|49.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|30.55|0|0|0|0|0|0|0|0|64
HOSP OP|0250 - PHARMACY|17478-0102-12||TROPICAMIDE 1 % EYE DROPS|41.52|22.01|31.14|33.22|35.29|37.37|0|33.55|29.89|28.1|0|41.52|27.44|0|20.01|33.98|26.07|25.37|0|0|31.14|32.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.61|19.82|0|0|0|0|0|0|0|0|41.52
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0620-01|J7500|AZATHIOPRINE 50 MG TABLET|21.16|11.21|15.87|16.93|17.99|19.04|0|17.1|15.24|14.32|0|21.16|1.15|0|0.83|17.32|1.09|1.06|0|0.658153242|15.87|16.53|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|0.61|0|0|0|0|0|0|0|0|21.16
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0620-06|J7500|AZATHIOPRINE 50 MG TABLET|21.16|11.21|15.87|16.93|17.99|19.04|0|17.1|15.24|14.32|0|21.16|1.15|0|0.83|17.32|1.09|1.06|0|0.658153242|15.87|16.53|0|0|0|0|0|0|0|0|0|0.67|0.658153242|0.67|0|0|0|0.61|0|0|0|0|0|0|0|0|21.16
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0853-01||OXCARBAZEPINE 300 MG TABLET|22.04|11.68|16.53|17.63|18.73|19.84|0|17.81|15.87|14.92|0|22.04|14.57|0|10.62|18.04|13.84|13.47|0|0|16.53|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.52|0|0|0|0|0|0|0|0|22.04
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0853-11||OXCARBAZEPINE 300 MG TABLET|22.04|11.68|16.53|17.63|18.73|19.84|0|17.81|15.87|14.92|0|22.04|14.57|0|10.62|18.04|13.84|13.47|0|0|16.53|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.52|0|0|0|0|0|0|0|0|22.04
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0905-01||PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE|21.35|11.32|16.01|17.08|18.15|19.22|0|17.25|15.37|14.45|0|21.35|14.11|0|10.29|17.47|13.41|13.04|0|0|16.01|16.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.19|0|0|0|0|0|0|0|0|21.35
HOSP OP|0258 - IV SOLUTIONS|00409-7248-03||HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION|67.5|35.77|0|54|0|60.75|0|54.54|48.6|45.68|0|67.5|44.62|0|32.54|55.25|42.39|41.24|0|0|0|52.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.22|0|0|0|0|0|0|0|0|67.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5182-06||MELATONIN 3 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0068-30|J0330|SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION|44.43|23.55|33.32|35.54|37.77|39.99|0|35.9|31.99|30.07|0|44.43|2.48|0|1.8|36.37|2.35|2.29|0|0.166994106|33.32|34.7|0|0|0|0|0|0|0|0|0|0.17|0.166994106|0.17|0|0|0|1.32|0|0|0|0|0|0|0|0|44.43
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6629-02|J0330|SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION|84.25|23.55|33.32|35.54|37.77|39.99|0|35.9|31.99|30.07|0|44.43|2.48|0|1.8|36.37|2.35|2.29|0|0.166994106|33.32|34.7|0|0|0|0|0|0|0|0|0|0.17|0.166994106|0.17|0|0|0|1.32|0|0|0|0|0|0|0|0|44.43
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0353-01||NIFEDIPINE ER 30 MG TABLETEXTENDED RELEASE|20.96|11.11|15.72|16.77|17.82|18.86|0|16.94|15.09|14.19|0|20.96|13.85|0|10.1|17.16|13.16|12.81|0|0|15.72|16.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10|0|0|0|0|0|0|0|0|20.96
HOSP OP|0250 - PHARMACY|51672-1264-01||FLUOCINONIDE 0.05 % TOPICAL OINTMENT|181.2|96.04|0|144.96|0|163.08|0|146.41|130.46|122.64|0|181.2|119.77|0|87.34|148.31|113.79|110.71|0|0|0|141.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.49|0|0|0|0|0|0|0|0|181.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00071-0007-40||PHENYTOIN 50 MG CHEWABLE TABLET|25.04|13.27|18.78|20.03|21.28|22.54|0|20.23|18.03|16.95|0|25.04|16.55|0|12.07|20.5|15.73|15.3|0|0|18.78|19.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.95|0|0|0|0|0|0|0|0|25.04
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0302-01|J0885|EPOETIN ALFA 2000 UNIT/ML INJECTION SOLUTION|169.01|89.58|126.76|135.21|143.66|152.11|143.66|136.56|121.69|114.39|0|169.01|30.84|31.84|22.42|138.33|29.3|28.52|31.04|10.55992141|126.76|132|19.39|19.39|19.39|50.77|50.87|16.53|19.39|16.82|50.87|10.75|10.55992141|10.75|0|0|25.68|16.46|19.39|19.39|19.39|19.39|19.39|19.39|19.97|0|169.01
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6294-61||CLOPIDOGREL 75 MG TABLET|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.14|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0102-30||FLUCONAZOLE 100 MG TABLET|21.12|11.19|15.84|16.9|17.95|19.01|0|17.06|15.21|14.29|0|21.12|13.96|0|10.18|17.29|13.26|12.9|0|0|15.84|16.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.45|10.08|0|0|0|0|0|0|0|0|21.12
HOSP OP|0250 - PHARMACY|00009-0342-01||GELATIN SPONGEABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE|75.46|39.99|0|60.37|0|67.91|0|60.97|54.33|51.07|0|75.46|49.88|0|36.37|61.76|47.39|46.11|0|0|0|58.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|36.02|0|0|0|0|0|0|0|0|75.46
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0058-01||CHLORTHALIDONE 25 MG TABLET|24.78|13.13|18.59|19.82|21.06|22.3|0|20.02|17.84|16.77|0|24.78|16.38|0|11.94|20.28|15.56|15.14|0|0|18.59|19.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.83|0|0|0|0|0|0|0|0|24.78
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0058-20||CHLORTHALIDONE 25 MG TABLET|24.78|13.13|18.59|19.82|21.06|22.3|0|20.02|17.84|16.77|0|24.78|16.38|0|11.94|20.28|15.56|15.14|0|0|18.59|19.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.83|0|0|0|0|0|0|0|0|24.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68516-3200-02|J7194|FACTOR IX CPLX(PCC) NO.4 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION|1577.5|836.07|1183.13|1262|1340.88|1419.75|1340.88|1274.62|1135.8|1067.65|0|1577.5|920|720|670|1291.18|875|855|700|1.483300589|1183.13|1232.03|631|0|631|1577.5|1577.5|975|631|990|1577.5|1.51|1.483300589|1.51|0|0|350|495|0|0|631|0|788.75|631|631|0|1577.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6292-61||ATORVASTATIN 40 MG TABLET|20.61|10.92|15.46|16.49|17.52|18.55|0|16.65|14.84|13.95|0|20.61|13.62|0|9.93|16.87|12.94|12.59|0|0|15.46|16.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.84|0|0|0|0|0|0|0|0|20.61
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0069-01||CIPROFLOXACIN 250 MG TABLET|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0069-11||CIPROFLOXACIN 250 MG TABLET|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0250 - PHARMACY|61570-0031-50||NEOMYCIN-POLYMYXIN B-BACITRACIN-HYDROCORTISONE 1 % TOP OINTMENT|467.85|247.96|0|374.28|0|421.07|0|378.02|336.85|316.64|0|467.85|309.25|0|225.5|382.94|293.81|285.86|0|0|0|365.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.3|0|0|0|0|0|0|0|0|467.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0638-10||DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP|21.53|11.41|16.15|17.22|18.3|19.38|0|17.4|15.5|14.57|0|21.53|14.23|0|10.38|17.62|13.52|13.15|0|0|16.15|16.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.28|0|0|0|0|0|0|0|0|21.53
HOSP OP|0250 - PHARMACY|NMRRX-2141-75||IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION|11.85|6.28|0|9.48|0|10.67|0|9.57|8.53|8.02|0|11.85|7.83|0|5.71|9.7|7.44|7.24|0|0|0|9.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.66|0|0|0|0|0|0|0|0|11.85
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6126-61||TERAZOSIN 1 MG CAPSULE|20.32|10.77|15.24|16.26|17.27|18.29|0|16.42|14.63|13.75|0|20.32|13.43|0|9.79|16.63|12.76|12.42|0|0|15.24|15.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.7|0|0|0|0|0|0|0|0|20.32
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0481-01||LEVOFLOXACIN 250 MG TABLET|21.15|11.21|15.86|16.92|17.98|19.04|0|17.09|15.23|14.31|0|21.15|13.98|0|10.19|17.31|13.28|12.92|0|0|15.86|16.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00536-1000-59||SENNOSIDES 8.8 MG/5 ML ORAL SYRUP|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0070-89||SENNOSIDES 8.8 MG/5 ML ORAL SYRUP|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0071-27||NAPROXEN 125 MG/5 ML ORAL SUSPENSION|25.02|13.26|18.77|20.02|21.27|22.52|0|20.22|18.01|16.93|0|25.02|16.54|0|12.06|20.48|15.71|15.29|0|0|18.77|19.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.94|0|0|0|0|0|0|0|0|25.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6370-61||AMLODIPINE 5 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|60687-0559-11||METHOCARBAMOL 500 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.14|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0166-10||METHOCARBAMOL 500 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.14|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0685-15|Q0164|PROCHLORPERAZINE MALEATE 10 MG TABLET|24.12|12.78|18.09|19.3|20.5|21.71|0|19.49|17.37|16.32|0|24.12|0.1|0|0.08|19.74|0.1|0.1|0|0.225933202|18.09|18.84|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.04|0|0|0|0|0|0|0|0|24.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0542-01|Q0164|PROCHLORPERAZINE MALEATE 10 MG TABLET|24.12|12.78|18.09|19.3|20.5|21.71|0|19.49|17.37|16.32|0|24.12|0.1|0|0.08|19.74|0.1|0.1|0|0.225933202|18.09|18.84|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.04|0|0|0|0|0|0|0|0|24.12
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0542-20|Q0164|PROCHLORPERAZINE MALEATE 10 MG TABLET|24.12|12.78|18.09|19.3|20.5|21.71|0|19.49|17.37|16.32|0|24.12|0.1|0|0.08|19.74|0.1|0.1|0|0.225933202|18.09|18.84|0|0|0|0|0|0|0|0|0|0.23|0.225933202|0.23|0|0|0|0.04|0|0|0|0|0|0|0|0|24.12
HOSP OP|0637 - DRUGS/SELF ADMIN|65162-0512-10||SALSALATE 500 MG TABLET|28.39|15.05|21.29|22.71|24.13|25.55|0|22.94|20.44|19.21|0|28.39|18.77|0|13.68|23.24|17.83|17.35|0|0|21.29|22.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.55|0|0|0|0|0|0|0|0|28.39
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0310-25|P9045|ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION|115.63|61.28|86.72|92.5|98.29|104.07|98.29|93.43|83.25|78.26|0|115.63|67.66|52.45|49.2|94.64|64.3|62.57|51.14|52.4459725|86.72|90.31|52.45|52.45|52.45|115.63|113.55|41.05|52.45|41.78|113.55|53.39|52.4459725|53.39|0|0|58.75|36.14|52.45|52.45|52.45|52.45|52.45|52.45|54.02|0|115.63
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|44206-0310-50|P9045|ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION|115.63|61.28|86.72|92.5|98.29|104.07|98.29|93.43|83.25|78.26|0|115.63|67.66|52.45|49.2|94.64|64.3|62.57|51.14|52.4459725|86.72|90.31|52.45|52.45|52.45|115.63|113.55|41.05|52.45|41.78|113.55|53.39|52.4459725|53.39|0|0|58.75|36.14|52.45|52.45|52.45|52.45|52.45|52.45|54.02|0|115.63
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-5571-01||TRIMETHOPRIM 100 MG TABLET|20.93|11.09|15.7|16.74|17.79|18.84|0|16.91|15.07|14.17|0|20.93|13.83|0|10.09|17.13|13.14|12.79|0|0|15.7|16.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.99|0|0|0|0|0|0|0|0|20.93
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0061-11||ACYCLOVIR 400 MG TABLET|20.66|10.95|15.5|16.53|17.56|18.59|0|16.69|14.88|13.98|0|20.66|13.66|0|9.96|16.91|12.97|12.62|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.66
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0061-15||ACYCLOVIR 400 MG TABLET|20.66|10.95|15.5|16.53|17.56|18.59|0|16.69|14.88|13.98|0|20.66|13.66|0|9.96|16.91|12.97|12.62|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.66
HOSP OP|0637 - DRUGS/SELF ADMIN|54482-0144-07||LEVOCARNITINE 330 MG TABLET|22.9|12.14|17.18|18.32|19.47|20.61|0|18.5|16.49|15.5|0|22.9|15.14|0|11.04|18.74|14.38|13.99|0|0|17.18|17.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.93|0|0|0|0|0|0|0|0|22.9
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0205-01||ALLOPURINOL 100 MG TABLET|20.73|10.99|15.55|16.58|17.62|18.66|0|16.75|14.93|14.03|0|20.73|13.7|0|9.99|16.97|13.02|12.67|0|0|15.55|16.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.73
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0205-20||ALLOPURINOL 100 MG TABLET|20.73|10.99|15.55|16.58|17.62|18.66|0|16.75|14.93|14.03|0|20.73|13.7|0|9.99|16.97|13.02|12.67|0|0|15.55|16.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55111-0678-10|J1652|FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE|63.76|33.79|47.82|51.01|54.2|57.38|0|51.52|45.91|43.15|0|63.76|13.35|0|9.7|52.19|12.7|12.35|0|1.52259332|47.82|49.8|0|0|0|0|0|0|0|0|0|1.55|1.52259332|1.55|0|0|0|7.15|0|0|0|0|0|0|0|0|63.76
HOSP OP|0250 - PHARMACY|45802-0098-46||MESALAMINE 4 GRAM/60 ML ENEMA|52.54|27.85|0|42.03|0|47.29|0|42.45|37.83|35.56|0|52.54|34.73|0|25.32|43|33|32.1|0|0|0|41.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.08|0|0|0|0|0|0|0|0|52.54
HOSP OP|0250 - PHARMACY|45802-0098-51||MESALAMINE 4 GRAM/60 ML ENEMA|52.54|27.85|0|42.03|0|47.29|0|42.45|37.83|35.56|0|52.54|34.73|0|25.32|43|33|32.1|0|0|0|41.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.08|0|0|0|0|0|0|0|0|52.54
HOSP OP|0637 - DRUGS/SELF ADMIN|00527-1325-01||DIGOXIN 250 MCG (0.25 MG) TABLET|23.35|12.38|17.51|18.68|19.85|21.02|0|18.87|16.81|15.8|0|23.35|15.43|0|11.25|19.11|14.66|14.27|0|0|17.51|18.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.14|0|0|0|0|0|0|0|0|23.35
HOSP OP|0250 - PHARMACY|00143-9689-10||NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION|76.38|40.48|0|61.1|0|68.74|0|61.72|54.99|51.69|0|76.38|50.49|0|36.82|62.52|47.97|46.67|0|0|0|59.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|36.46|0|0|0|0|0|0|0|0|76.38
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0436-20||DOXEPIN 10 MG CAPSULE|21.41|11.35|16.06|17.13|18.2|19.27|0|17.3|15.42|14.49|0|21.41|14.15|0|10.32|17.52|13.45|13.08|0|0|16.06|16.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.22|0|0|0|0|0|0|0|0|21.41
HOSP OP|0250 - PHARMACY|00409-2122-02||ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION|41.66|22.08|0|33.33|0|37.49|0|33.66|30|28.2|0|41.66|27.54|0|20.08|34.1|26.16|25.45|0|0|0|32.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.88|0|0|0|0|0|0|0|0|41.66
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0093-01||VALACYCLOVIR 500 MG TABLET|27.92|14.8|20.94|22.34|23.73|25.13|0|22.56|20.1|18.9|0|27.92|18.46|0|13.46|22.85|17.53|17.06|0|0|20.94|21.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.17|13.33|0|0|0|0|0|0|0|0|27.92
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0093-03||VALACYCLOVIR 500 MG TABLET|27.92|14.8|20.94|22.34|23.73|25.13|0|22.56|20.1|18.9|0|27.92|18.46|0|13.46|22.85|17.53|17.06|0|0|20.94|21.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.17|13.33|0|0|0|0|0|0|0|0|27.92
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0182-01||CIPROFLOXACIN 500 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.17|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0182-20||CIPROFLOXACIN 500 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.17|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8330-23||MORPHINE ER 30 MG TABLETEXTENDED RELEASE|23.15|12.27|17.36|18.52|19.68|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|17.36|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-8330-62||MORPHINE ER 30 MG TABLETEXTENDED RELEASE|23.15|12.27|17.36|18.52|19.68|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|17.36|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2725-61||SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.12|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0637 - DRUGS/SELF ADMIN|51525-0431-01||FELBAMATE 600 MG TABLET|31.94|16.93|23.96|25.55|27.15|28.75|0|25.81|23|21.62|0|31.94|21.11|0|15.4|26.14|20.06|19.52|0|0|23.96|24.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.24|0|0|0|0|0|0|0|0|31.94
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6283-61||OLANZAPINE 2.5 MG TABLET|20.3|10.76|15.23|16.24|17.26|18.27|0|16.4|14.62|13.74|0|20.3|13.42|0|9.78|16.62|12.75|12.4|0|0|15.23|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-0113-03|J1170|HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION|41.79|22.15|31.34|33.43|35.52|37.61|0|33.77|30.09|28.28|0|41.79|7|0|5.08|34.21|6.64|6.46|0|3.104125737|31.34|32.64|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|3.74|0|0|0|0|0|0|0|0|41.79
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-0018-01|J1170|HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION|43.58|22.15|31.34|33.43|35.52|37.61|0|33.77|30.09|28.28|0|41.79|7|0|5.08|34.21|6.64|6.46|0|3.104125737|31.34|32.64|0|0|0|0|0|0|0|0|0|3.16|3.104125737|3.16|0|0|0|3.74|0|0|0|0|0|0|0|0|41.79
HOSP OP|0250 - PHARMACY|00078-0501-15||RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH|83.08|44.03|0|66.46|0|74.77|0|67.13|59.82|56.23|0|83.08|54.92|0|40.04|68|52.17|50.76|0|0|0|64.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.65|0|0|0|0|0|0|0|0|83.08
HOSP OP|0250 - PHARMACY|00078-0501-61||RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH|83.08|44.03|0|66.46|0|74.77|0|67.13|59.82|56.23|0|83.08|54.92|0|40.04|68|52.17|50.76|0|0|0|64.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.65|0|0|0|0|0|0|0|0|83.08
HOSP OP|0250 - PHARMACY|00078-0502-61||RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH|83.08|44.03|0|66.46|0|74.77|0|67.13|59.82|56.23|0|83.08|54.92|0|40.04|68|52.17|50.76|0|0|0|64.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.65|0|0|0|0|0|0|0|0|83.08
HOSP OP|0250 - PHARMACY|43386-0050-19||PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION|61|32.33|0|48.8|0|54.9|0|49.29|43.92|41.28|0|61|40.32|0|29.4|49.93|38.31|37.27|0|0|0|47.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.12|0|0|0|0|0|0|0|0|61
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-1902-01|J2690|PROCAINAMIDE 100 MG/ML INJECTION SOLUTION|177.23|93.93|132.92|141.78|150.65|159.51|0|143.2|127.61|119.95|0|177.23|99.72|0|72.51|145.06|94.77|92.22|0|97.25933202|132.92|138.42|0|0|0|0|0|0|0|0|0|99.01|97.25933202|99.01|0|0|0|53.27|0|0|0|0|0|0|0|0|177.23
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0629-60||NIACIN ER 250 MG CAPSULEEXTENDED RELEASE|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|76045-0001-20|J2250|MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE|43.65|23.13|32.74|34.92|37.1|39.29|0|35.27|31.43|29.54|0|43.65|0.34|0|0.24|35.73|0.32|0.32|0|0.117878193|32.74|34.09|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.16|0|0|0|0|0|0|0|0|43.65
HOSP OP|0637 - DRUGS/SELF ADMIN|43598-0165-30||OLANZAPINE 7.5 MG TABLET|20.28|10.75|15.21|16.22|17.24|18.25|0|16.39|14.6|13.73|0|20.28|13.41|0|9.77|16.6|12.74|12.39|0|0|15.21|15.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-3427-11|J9208|IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION|70.2|37.21|52.65|56.16|59.67|63.18|0|56.72|50.54|47.51|0|70.2|32.83|0|23.87|57.46|31.2|30.36|0|28.02554028|52.65|54.83|0|0|0|0|0|0|0|0|0|28.53|28.02554028|28.53|0|0|0|17.53|0|0|0|0|0|0|0|0|70.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-2533-21||CALAMINE 8 %-ZINC OXIDE 8 % LOTION|30.31|16.06|22.73|24.25|25.76|27.28|0|24.49|21.82|20.51|0|30.31|20.03|0|14.61|24.81|19.03|18.52|0|0|22.73|23.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.47|0|0|0|0|0|0|0|0|30.31
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00049-0116-28|J0348|ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION|144.5|76.58|108.38|115.6|122.83|130.05|0|116.76|104.04|97.8|0|144.5|72|0|53|118.27|69|67|0|0.520628684|108.38|112.85|0|0|0|0|0|0|0|0|0|0.53|0.520628684|0.53|0|0|0|38|0|0|0|0|0|0|0|0|144.5
HOSP OP|0250 - PHARMACY|63323-0173-02|J1580|GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION|44.16|23.4|33.12|35.33|37.54|39.74|0|35.68|31.8|29.89|0|44.16|2.18|0|1.59|36.14|2.07|2.02|0|1.974459725|33.12|34.49|0|0|0|0|0|0|0|0|0|2.01|1.974459725|2.01|0|0|0|1.16|0|0|0|0|0|0|0|0|44.16
HOSP OP|0255 - DRUGS/INCIDENT OTHER DX|00407-1413-10|Q9967|IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION|4.21|2.23|3.16|3.37|3.58|3.79|0|3.4|3.03|2.85|0|4.21|0.15|0|0.11|3.45|0.15|0.14|0|0.117878193|3.16|3.29|0|0|0|0|0|0|0|0|0|0.12|0.117878193|0.12|0|0|0|0.07|0|0|0|0|0|0|0|0|4.21
HOSP OP|0250 - PHARMACY|49502-0605-61||FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION|50.39|26.71|0|40.31|0|45.35|0|40.72|36.28|34.1|0|50.39|33.31|0|24.29|41.24|31.64|30.79|0|0|0|39.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.05|0|0|0|0|0|0|0|0|50.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0220-01||LIOTHYRONINE 5 MCG TABLET|21.81|11.56|16.36|17.45|18.54|19.63|0|17.62|15.7|14.76|0|21.81|14.42|0|10.51|17.85|13.7|13.33|0|0|16.36|17.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.41|0|0|0|0|0|0|0|0|21.81
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0558-01||LOVASTATIN 10 MG TABLET|21.6|11.45|16.2|17.28|18.36|19.44|0|17.45|15.55|14.62|0|21.6|14.28|0|10.41|17.68|13.56|13.2|0|0|16.2|16.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.31|0|0|0|0|0|0|0|0|21.6
HOSP OP|0250 - PHARMACY|80196-0753-67||DIMETHICONE 1.5 % TOPICAL CLEANSER|41.29|21.88|0|33.03|0|37.16|0|33.36|29.73|27.95|0|41.29|27.29|0|19.9|33.8|25.93|25.23|0|0|0|32.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.71|0|0|0|0|0|0|0|0|41.29
HOSP OP|0250 - PHARMACY|60793-0215-05||THROMBIN (BOVINE) 5000 UNIT TOPICAL SOLUTION|180.97|95.91|0|144.78|0|162.87|0|146.22|130.3|122.48|0|180.97|119.62|0|87.23|148.12|113.65|110.57|0|0|0|141.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.38|0|0|0|0|0|0|0|0|180.97
HOSP OP|0250 - PHARMACY|80196-0753-68||DIMETHICONE 1.5 % TOPICAL CREAM|31.33|16.6|0|25.06|0|28.2|0|25.31|22.56|21.2|0|31.33|20.71|0|15.1|25.64|19.68|19.14|0|0|0|24.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.95|0|0|0|0|0|0|0|0|31.33
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0204-01||MINOXIDIL 2.5 MG TABLET|21.24|11.26|15.93|16.99|18.05|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|15.93|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0204-11||MINOXIDIL 2.5 MG TABLET|21.24|11.26|15.93|16.99|18.05|19.12|0|17.16|15.29|14.38|0|21.24|14.04|0|10.24|17.38|13.34|12.98|0|0|15.93|16.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.14|0|0|0|0|0|0|0|0|21.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00574-0850-10|J1110|DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION|116.85|61.93|87.64|93.48|99.32|105.17|0|94.41|84.13|79.08|0|116.85|89.14|0|64.82|95.64|84.72|82.44|0|54.44990177|87.64|91.26|0|0|0|0|0|0|0|0|0|55.43|54.44990177|55.43|0|0|0|47.62|0|0|0|0|0|0|0|0|116.85
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0212-10||ASPIRIN 81 MG TABLETDELAYED RELEASE|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0522-10||ASPIRIN 81 MG TABLETDELAYED RELEASE|20.11|10.66|15.08|16.09|17.09|18.1|0|16.25|14.48|13.61|0|20.11|13.29|0|9.69|16.46|12.63|12.29|0|0|15.08|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.11
HOSP OP|0250 - PHARMACY|00641-6022-01|J3490|FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION|40.88|21.67|30.66|32.7|34.75|36.79|0|33.03|29.43|27.67|0|40.88|27.02|0|19.7|33.46|25.67|24.98|0|0|30.66|31.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.88
HOSP OP|0250 - PHARMACY|00641-6022-25|J3490|FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION|40.88|21.67|30.66|32.7|34.75|36.79|0|33.03|29.43|27.67|0|40.88|27.02|0|19.7|33.46|25.67|24.98|0|0|30.66|31.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.88
HOSP OP|0250 - PHARMACY|63323-0739-12|J3490|FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION|41.76|21.67|30.66|32.7|34.75|36.79|0|33.03|29.43|27.67|0|40.88|27.02|0|19.7|33.46|25.67|24.98|0|0|30.66|31.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|11994-0011-16|Q9957|PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION|139|73.67|104.25|111.2|118.15|125.1|0|112.31|100.08|94.08|0|139|62.81|0|45.67|113.77|59.69|58.09|0|48.20235756|104.25|108.56|0|0|0|0|0|0|0|0|0|49.07|48.20235756|49.07|0|0|0|33.55|0|0|0|0|0|0|0|0|139
HOSP OP|0637 - DRUGS/SELF ADMIN|00955-1737-30||LEFLUNOMIDE 20 MG TABLET|34.25|18.15|25.69|27.4|29.11|30.83|0|27.67|24.66|23.18|0|34.25|22.64|0|16.51|28.03|21.51|20.93|0|0|25.69|26.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.35|0|0|0|0|0|0|0|0|34.25
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-0107-77||CLOTRIMAZOLE 10 MG TROCHE|22.3|11.82|16.73|17.84|18.96|20.07|0|18.02|16.06|15.09|0|22.3|14.74|0|10.75|18.25|14|13.63|0|0|16.73|17.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.64|0|0|0|0|0|0|0|0|22.3
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6365-61||TRAMADOL 50 MG TABLET|20.14|10.67|15.11|16.11|17.12|18.13|0|16.27|14.5|13.63|0|20.14|13.31|0|9.71|16.48|12.65|12.31|0|0|15.11|15.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.06|9.61|0|0|0|0|0|0|0|0|20.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0340-00|J3370|VANCOMYCIN 1000 MG INTRAVENOUS INJECTION|44.88|23.79|33.66|35.9|38.15|40.39|0|36.26|32.31|30.37|0|44.88|10.94|0|7.96|36.73|10.4|10.12|0|3.388998035|33.66|35.05|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|5.84|0|0|0|0|0|0|0|0|44.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67457-0340-01|J3370|VANCOMYCIN 1000 MG INTRAVENOUS INJECTION|44.88|23.79|33.66|35.9|38.15|40.39|0|36.26|32.31|30.37|0|44.88|10.94|0|7.96|36.73|10.4|10.12|0|3.388998035|33.66|35.05|0|0|0|0|0|0|0|0|0|3.45|3.388998035|3.45|0|0|0|5.84|0|0|0|0|0|0|0|0|44.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|10019-0956-01|J9070|CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS SOLUTION|978.27|518.48|733.7|782.62|831.53|880.44|831.53|790.44|704.35|662.09|0|978.27|487.9|659.3|354.8|800.71|463.7|451.2|642.8|34.90176817|733.7|764.03|345.66|345.66|345.66|798.98|800.61|260.15|345.66|264.74|800.61|35.53|34.90176817|35.53|0|0|388.8|260.6|345.66|345.66|345.66|345.66|345.66|345.66|356.03|0|978.27
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-1410-31|J1160|DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION|41.95|22.23|31.46|33.56|35.66|37.76|0|33.9|30.2|28.39|0|41.95|6.28|0|4.57|34.34|5.97|5.81|0|5.57956778|31.46|32.76|0|0|0|0|0|0|0|0|0|5.68|5.57956778|5.68|0|0|0|3.35|0|0|0|0|0|0|0|0|41.95
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-1410-35|J1160|DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION|43.75|22.23|31.46|33.56|35.66|37.76|0|33.9|30.2|28.39|0|41.95|6.28|0|4.57|34.34|5.97|5.81|0|5.57956778|31.46|32.76|0|0|0|0|0|0|0|0|0|5.68|5.57956778|5.68|0|0|0|3.35|0|0|0|0|0|0|0|0|41.95
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0532-01||QUETIAPINE 100 MG TABLET|21.28|11.28|15.96|17.02|18.09|19.15|0|17.19|15.32|14.4|0|21.28|14.07|0|10.26|17.42|13.36|13|0|0|15.96|16.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.28
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0532-11||QUETIAPINE 100 MG TABLET|21.28|11.28|15.96|17.02|18.09|19.15|0|17.19|15.32|14.4|0|21.28|14.07|0|10.26|17.42|13.36|13|0|0|15.96|16.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00641-6103-25|J2800|METHOCARBAMOL 100 MG/ML INJECTION SOLUTION|47.97|25.42|35.98|38.38|40.77|43.17|0|38.76|34.54|32.47|0|47.97|24.74|0|17.99|39.26|23.51|22.88|0|8.271119843|35.98|37.46|0|0|0|0|0|0|0|0|0|8.42|8.271119843|8.42|0|0|0|13.21|0|0|0|0|0|0|0|0|47.97
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-3176-44|J8540|DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)|27.22|14.43|20.42|21.78|23.14|24.5|0|21.99|19.6|18.42|0|27.22|0.32|0|0.24|22.28|0.28|0.28|0|0.019646365|20.42|21.26|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.12|0|0|0|0|0|0|0|0|27.22
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0076-70|J8540|DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)|27.22|14.43|20.42|21.78|23.14|24.5|0|21.99|19.6|18.42|0|27.22|0.32|0|0.24|22.28|0.28|0.28|0|0.019646365|20.42|21.26|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.12|0|0|0|0|0|0|0|0|27.22
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-2140-14|J8540|DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE)|27.22|14.43|20.42|21.78|23.14|24.5|0|21.99|19.6|18.42|0|27.22|0.32|0|0.24|22.28|0.28|0.28|0|0.019646365|20.42|21.26|0|0|0|0|0|0|0|0|0|0.02|0.019646365|0.02|0|0|0|0.12|0|0|0|0|0|0|0|0|27.22
HOSP OP|0250 - PHARMACY|51079-0133-01||AMITRIPTYLINE 50 MG TABLET|21.06|11.16|0|16.85|0|18.95|0|17.02|15.16|14.25|0|21.06|13.92|0|10.15|17.24|13.23|12.87|0|0|0|16.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.05|0|0|0|0|0|0|0|0|21.06
HOSP OP|0250 - PHARMACY|51079-0133-20||AMITRIPTYLINE 50 MG TABLET|21.06|11.16|0|16.85|0|18.95|0|17.02|15.16|14.25|0|21.06|13.92|0|10.15|17.24|13.23|12.87|0|0|0|16.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.05|0|0|0|0|0|0|0|0|21.06
HOSP OP|0250 - PHARMACY|00168-0062-31||ZINC OXIDE 20 % TOPICAL OINTMENT|25.7|13.62|0|20.56|0|23.13|0|20.77|18.5|17.39|0|25.7|16.99|0|12.39|21.04|16.14|15.7|0|0|0|20.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.27|0|0|0|0|0|0|0|0|25.7
HOSP OP|0250 - PHARMACY|60258-0006-01||POTASSIUM SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET|20.98|11.12|0|16.78|0|18.88|0|16.95|15.11|14.2|0|20.98|13.87|0|10.11|17.17|13.18|12.82|0|0|0|16.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.01|0|0|0|0|0|0|0|0|20.98
HOSP OP|0250 - PHARMACY|00409-6729-24|J3475|MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK|63.13|33.46|47.35|50.5|53.66|56.82|0|51.01|45.45|42.73|0|63.13|2.88|0|2.12|51.67|2.76|2.68|0|0.628683694|47.35|49.3|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|1.52|0|0|0|0|0|0|0|0|63.13
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0985-01||BUSPIRONE 5 MG TABLET|20.26|10.74|15.2|16.21|17.22|18.23|0|16.37|14.59|13.71|0|20.26|13.39|0|9.77|16.58|12.72|12.38|0|0|15.2|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.26
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0985-20||BUSPIRONE 5 MG TABLET|20.26|10.74|15.2|16.21|17.22|18.23|0|16.37|14.59|13.71|0|20.26|13.39|0|9.77|16.58|12.72|12.38|0|0|15.2|15.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.26
HOSP OP|0637 - DRUGS/SELF ADMIN|00832-2012-00||AMANTADINE HCL 100 MG CAPSULE|23.78|12.6|17.84|19.02|20.21|21.4|0|19.21|17.12|16.09|0|23.78|15.72|0|11.46|19.46|14.93|14.53|0|0|17.84|18.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.35|0|0|0|0|0|0|0|0|23.78
HOSP OP|0250 - PHARMACY|00409-7171-17||PARENTERAL AMINO ACID 15 % COMBINATION NO.2 INTRAVENOUS SOLUTION|125|66.25|0|100|0|112.5|0|101|90|84.6|0|125|82.63|0|60.25|102.31|78.5|76.38|0|0|0|97.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|59.66|0|0|0|0|0|0|0|0|125
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-1988-61||ACETAMINOPHEN 500 MG TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.03|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0935-20||TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE|20.83|11.04|15.62|16.66|17.71|18.75|0|16.83|15|14.1|0|20.83|13.77|0|10.04|17.05|13.08|12.73|0|0|15.62|16.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.94|0|0|0|0|0|0|0|0|20.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00955-1050-27||SEVELAMER CARBONATE 800 MG TABLET|21.28|11.28|15.96|17.02|18.09|19.15|0|17.19|15.32|14.4|0|21.28|14.07|0|10.26|17.42|13.36|13|0|0|15.96|16.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.28
HOSP OP|0250 - PHARMACY|00409-3815-12|J2274|MORPHINE (PF) 1 MG/ML INJECTION SOLUTION|55.6|29.47|41.7|44.48|47.26|50.04|0|44.92|40.03|37.63|0|55.6|21.18|0|15.4|45.51|20.13|19.59|0|11.79764244|41.7|43.42|0|0|0|0|0|0|0|0|0|12.01|11.79764244|12.01|0|0|0|11.31|0|0|0|0|0|0|0|0|55.6
HOSP OP|0250 - PHARMACY|00409-6730-13|J3475|MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK|53.5|28.35|40.13|42.8|45.48|48.15|0|43.23|38.52|36.21|0|53.5|5.76|0|4.24|43.79|5.52|5.36|0|0.628683694|40.13|41.78|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|3.04|0|0|0|0|0|0|0|0|53.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6361-61||RISPERIDONE 3 MG TABLET|20.42|10.82|15.32|16.34|17.36|18.38|0|16.5|14.7|13.82|0|20.42|13.5|0|9.84|16.71|12.82|12.48|0|0|15.32|15.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6729-09|J3475|MAGNESIUM SULFATE 40 GRAM/1000 ML (4 %) IN WATER INTRAVENOUS SOLUTION|55|29.15|41.25|44|46.75|49.5|0|44.44|39.6|37.22|0|55|55|0|42.4|45.02|55|53.6|0|0.628683694|41.25|42.96|0|0|0|0|0|0|0|0|0|0.64|0.628683694|0.64|0|0|0|30.4|0|0|0|0|0|0|0|0|55
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-1744-10||GUAIFENESIN 100 MG/5 ML ORAL LIQUID|21.2|11.24|15.9|16.96|18.02|19.08|0|17.13|15.26|14.35|0|21.2|14.01|0|10.22|17.35|13.31|12.95|0|0|15.9|16.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.12|0|0|0|0|0|0|0|0|21.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6467-07||CLOPIDOGREL 300 MG TABLET|49.15|26.05|36.86|39.32|41.78|44.24|0|39.71|35.39|33.26|0|49.15|32.49|0|23.69|40.23|30.87|30.03|0|0|36.86|38.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.46|0|0|0|0|0|0|0|0|49.15
HOSP OP|0258 - IV SOLUTIONS|00338-0644-04||PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION|72.5|38.42|0|58|0|65.25|0|58.58|52.2|49.07|0|72.5|47.92|0|34.95|59.34|45.53|44.3|0|0|0|56.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.6|0|0|0|0|0|0|0|0|72.5
HOSP OP|0258 - IV SOLUTIONS|00338-0644-06||PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION|100|38.42|0|58|0|65.25|0|58.58|52.2|49.07|0|72.5|47.92|0|34.95|59.34|45.53|44.3|0|0|0|56.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.6|0|0|0|0|0|0|0|0|72.5
HOSP OP|0250 - PHARMACY|32909-0945-03||BARIUM SULFATE 0.1 % (W/V) 0.1 % (W/W) ORAL SUSPENSION|0.05|0.03|0|0.04|0|0.05|0|0.04|0.04|0.03|0|0.05|0.03|0|0.02|0.04|0.03|0.03|0|0|0|0.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0.02|0|0|0|0|0|0|0|0|0.05
HOSP OP|0250 - PHARMACY|51552-0051-06||ACETIC ACID (BULK) 3 % LIQUID|31.12|16.49|0|24.9|0|28.01|0|25.14|22.41|21.06|0|31.12|20.57|0|15|25.47|19.54|19.01|0|0|0|24.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.85|0|0|0|0|0|0|0|0|31.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-4897-00|90647|HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN|101.04|53.55|75.78|80.83|85.88|90.94|0|81.64|72.75|68.38|0|101.04|33.84|0|24.6|82.7|32.16|31.29|0|26.56188605|75.78|78.91|0|0|0|0|0|0|0|0|0|27.04|26.56188605|27.04|0|0|0|18.07|0|0|0|0|0|0|0|0|101.04
HOSP OP|0250 - PHARMACY|00069-6001-02||FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION|46.4|24.59|0|37.12|0|41.76|0|37.49|33.41|31.4|0|46.4|30.67|0|22.36|37.98|29.14|28.35|0|0|0|36.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.15|0|0|0|0|0|0|0|0|46.4
HOSP OP|0250 - PHARMACY|00069-6001-25||FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION|46.4|24.59|0|37.12|0|41.76|0|37.49|33.41|31.4|0|46.4|30.67|0|22.36|37.98|29.14|28.35|0|0|0|36.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.15|0|0|0|0|0|0|0|0|46.4
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|49281-0215-15|90714|TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE|111.11|58.89|83.33|88.89|94.44|100|0|89.78|80|75.2|0|111.11|29.84|0|21.7|90.94|28.36|27.59|0|25.10805501|83.33|86.78|0|0|0|0|0|0|0|0|0|25.56|25.10805501|25.56|0|0|0|15.94|0|0|0|0|0|0|0|0|111.11
HOSP OP|0250 - PHARMACY|49281-0215-58||TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP|111.11|58.89|0|88.89|0|100|0|89.78|80|75.2|0|111.11|73.44|0|53.56|90.94|69.78|67.89|0|0|0|86.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|53.03|0|0|0|0|0|0|0|0|111.11
HOSP OP|0250 - PHARMACY|08220-1692-10||MICROFIBRILLAR COLLAGEN HEMOSTAT 1 GRAM|500.6|265.32|0|400.48|0|450.54|0|404.48|360.43|338.81|0|500.6|330.9|0|241.29|409.74|314.38|305.87|0|0|0|390.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|238.94|0|0|0|0|0|0|0|0|500.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63459-0391-20|J9033|BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION|6240.78|3307.61|4680.59|4992.62|5304.66|5616.7|5304.66|5042.55|4493.36|4223.76|0|6240.78|3905|2995|2839|5108.08|3711|3611|2920|28.24165029|4680.59|4874.05|2522.5|2522.5|2522.5|6240.78|6128.45|2104.47|2522.5|2141.58|6128.45|28.75|28.24165029|28.75|0|0|3234|2086|2522.5|2522.5|2522.5|2522.5|2522.5|2522.5|2598.18|0|6240.78
HOSP OP|0250 - PHARMACY|00338-1130-03||PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION|82.5|43.72|0|66|0|74.25|0|66.66|59.4|55.84|0|82.5|54.53|0|39.77|67.53|51.81|50.41|0|0|0|64.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.38|0|0|0|0|0|0|0|0|82.5
HOSP OP|0250 - PHARMACY|66689-0036-01||PHENYTOIN 100 MG/4 ML ORAL SUSPENSION|38.47|20.39|0|30.78|0|34.62|0|31.08|27.7|26.04|0|38.47|25.43|0|18.54|31.49|24.16|23.51|0|0|0|30.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.36|0|0|0|0|0|0|0|0|38.47
HOSP OP|0250 - PHARMACY|66689-0036-50||PHENYTOIN 100 MG/4 ML ORAL SUSPENSION|38.47|20.39|0|30.78|0|34.62|0|31.08|27.7|26.04|0|38.47|25.43|0|18.54|31.49|24.16|23.51|0|0|0|30.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.36|0|0|0|0|0|0|0|0|38.47
HOSP OP|0250 - PHARMACY|00006-4681-00||MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT|223.08|118.23|0|178.46|0|200.77|0|180.25|160.62|150.98|0|223.08|147.46|0|107.52|182.59|140.09|136.3|0|0|0|174.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|106.48|0|0|0|0|0|0|0|0|223.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0865-01||LAMOTRIGINE 150 MG TABLET|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0865-20||LAMOTRIGINE 150 MG TABLET|20.53|10.88|15.4|16.42|17.45|18.48|0|16.59|14.78|13.89|0|20.53|13.57|0|9.9|16.8|12.89|12.54|0|0|15.4|16.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.8|0|0|0|0|0|0|0|0|20.53
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0415-01||ESTROPIPATE 1.5 MG TABLET|21.91|11.61|16.43|17.53|18.62|19.72|0|17.7|15.78|14.83|0|21.91|14.48|0|10.56|17.93|13.76|13.39|0|0|16.43|17.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.46|0|0|0|0|0|0|0|0|21.91
HOSP OP|0250 - PHARMACY|00168-0004-16||TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM|38.28|20.29|0|30.62|0|34.45|0|30.93|27.56|25.91|0|38.28|25.3|0|18.45|31.33|24.04|23.39|0|0|0|29.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.27|0|0|0|0|0|0|0|0|38.28
HOSP OP|0250 - PHARMACY|00168-0004-15||TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM|38.28|20.29|0|30.62|0|34.45|0|30.93|27.56|25.91|0|38.28|25.3|0|18.45|31.33|24.04|23.39|0|0|0|29.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.27|0|0|0|0|0|0|0|0|38.28
HOSP OP|0637 - DRUGS/SELF ADMIN|64764-0080-60||LUBIPROSTONE 8 MCG CAPSULE|37.07|19.65|27.8|29.66|31.51|33.36|0|29.95|26.69|25.09|0|37.07|24.5|0|17.87|30.34|23.28|22.65|0|0|27.8|28.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.69|0|0|0|0|0|0|0|0|37.07
HOSP OP|0250 - PHARMACY|70004-0816-12||PHENYLEPHRINE (PF) 0.8 MG/10 ML (80 MCG/ML) IN 0.9 % NACL IV SYRINGE|50|26.5|0|40|0|45|0|40.4|36|33.84|0|50|33.05|0|24.1|40.93|31.4|30.55|0|0|0|39.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.87|0|0|0|0|0|0|0|0|50
HOSP OP|0250 - PHARMACY|00085-1461-02||MOMETASONE 110 MCG/ACTUATION(30 DOSES) BREATH ACTIVATED POWDER INHALER|519.13|275.14|0|415.3|0|467.22|0|419.46|373.77|351.35|0|519.13|343.14|0|250.22|424.91|326.01|317.19|0|0|0|405.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|247.78|0|0|0|0|0|0|0|0|519.13
HOSP OP|0637 - DRUGS/SELF ADMIN|65649-0551-02|J2212|METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION|232.97|123.47|174.73|186.38|198.02|209.67|0|188.24|167.74|157.67|0|232.97|96.8|0|70.4|190.69|92|89.6|0|1.060903733|174.73|181.95|0|0|0|0|0|0|0|0|0|1.08|1.060903733|1.08|0|0|0|51.2|0|0|0|0|0|0|0|0|232.97
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00143-9983-91|J0690|CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION|51.54|27.32|38.66|41.23|43.81|46.39|0|41.64|37.11|34.88|0|51.54|21.4|0|15.6|42.19|20.4|19.8|0|0.815324165|38.66|40.25|0|0|0|0|0|0|0|0|0|0.83|0.815324165|0.83|0|0|0|11.2|0|0|0|0|0|0|0|0|51.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00270-0556-15|J2805|SINCALIDE 5 MCG SOLUTION FOR INJECTION|294.07|155.86|220.55|235.26|249.96|264.66|0|237.61|211.73|199.03|0|294.07|135.41|0|98.46|240.7|128.69|125.23|0|110.9332024|220.55|229.67|0|0|0|0|0|0|0|0|0|112.93|110.9332024|112.93|0|0|0|72.34|0|0|0|0|0|0|0|0|294.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-6102-46||AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION|25.56|13.55|19.17|20.45|21.73|23|0|20.65|18.4|17.3|0|25.56|16.9|0|12.32|20.92|16.05|15.62|0|0|19.17|19.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.2|0|0|0|0|0|0|0|0|25.56
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0078-87||AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION|25.56|13.55|19.17|20.45|21.73|23|0|20.65|18.4|17.3|0|25.56|16.9|0|12.32|20.92|16.05|15.62|0|0|19.17|19.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.2|0|0|0|0|0|0|0|0|25.56
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5951-61||SPIRONOLACTONE 25 MG TABLET|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0250 - PHARMACY|17478-0510-02||PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION|221.78|117.54|0|177.42|0|199.6|0|179.2|159.68|150.1|0|221.78|146.6|0|106.9|181.53|139.28|135.51|0|0|0|173.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.86|0|0|0|0|0|0|0|0|221.78
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|70860-0701-41|J1885|KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION|41.98|22.25|31.49|33.58|35.68|37.78|0|33.92|30.23|28.41|0|41.98|0.66|0|0.48|34.36|0.63|0.61|0|0.520628684|31.49|32.79|0|0|0|0|0|0|0|0|0|0.53|0.520628684|0.53|0|0|0|0.35|0|0|0|0|0|0|0|0|41.98
HOSP OP|0250 - PHARMACY|67877-0124-25||SILVER SULFADIAZINE 1 % TOPICAL CREAM|37.45|19.85|28.09|29.96|31.83|33.71|0|30.26|26.96|25.35|0|37.45|24.75|0|18.05|30.65|23.52|22.88|0|0|28.09|29.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.98|17.87|0|0|0|0|0|0|0|0|37.45
HOSP OP|0250 - PHARMACY|67877-0124-40||SILVER SULFADIAZINE 1 % TOPICAL CREAM|224.2|19.85|28.09|29.96|31.83|33.71|0|30.26|26.96|25.35|0|37.45|24.75|0|18.05|30.65|23.52|22.88|0|0|28.09|29.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.98|17.87|0|0|0|0|0|0|0|0|37.45
HOSP OP|0250 - PHARMACY|61570-0131-50||SILVER SULFADIAZINE 1 % TOPICAL CREAM|49.9|19.85|28.09|29.96|31.83|33.71|0|30.26|26.96|25.35|0|37.45|24.75|0|18.05|30.65|23.52|22.88|0|0|28.09|29.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.98|17.87|0|0|0|0|0|0|0|0|37.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6326-61||METFORMIN 500 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0614-01|J0360|HYDRALAZINE 20 MG/ML INJECTION SOLUTION|43.93|23.28|32.95|35.14|37.34|39.54|0|35.5|31.63|29.73|0|43.93|3.33|0|2.42|35.96|3.16|3.08|0|3.752455796|32.95|34.31|0|0|0|0|0|0|0|0|0|3.82|3.752455796|3.82|0|0|0|1.77|0|0|0|0|0|0|0|0|43.93
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0614-55|J0360|HYDRALAZINE 20 MG/ML INJECTION SOLUTION|43.93|23.28|32.95|35.14|37.34|39.54|0|35.5|31.63|29.73|0|43.93|3.33|0|2.42|35.96|3.16|3.08|0|3.752455796|32.95|34.31|0|0|0|0|0|0|0|0|0|3.82|3.752455796|3.82|0|0|0|1.77|0|0|0|0|0|0|0|0|43.93
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0391-01||BUPROPION HCL SR 100 MG TABLET12 HR SUSTAINED-RELEASE|22.18|11.76|16.64|17.74|18.85|19.96|0|17.92|15.97|15.01|0|22.18|14.66|0|10.69|18.15|13.93|13.55|0|0|16.64|17.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.59|0|0|0|0|0|0|0|0|22.18
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0391-20||BUPROPION HCL SR 100 MG TABLET12 HR SUSTAINED-RELEASE|22.18|11.76|16.64|17.74|18.85|19.96|0|17.92|15.97|15.01|0|22.18|14.66|0|10.69|18.15|13.93|13.55|0|0|16.64|17.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.59|0|0|0|0|0|0|0|0|22.18
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6538-06||BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET|23.15|12.27|17.36|18.52|19.68|20.84|0|18.71|16.67|15.67|0|23.15|15.3|0|11.16|18.95|14.54|14.14|0|0|17.36|18.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.05|0|0|0|0|0|0|0|0|23.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0634-02|J1670|TETANUS IMMUNE GLOBULIN (PF) 250 UNIT INTRAMUSCULAR SYRINGE|1163.7|616.76|872.78|930.96|989.15|1047.33|989.15|940.27|837.86|787.59|0|1163.7|540.01|508.7|392.66|952.49|513.22|499.4|495.98|462.9862475|872.78|908.85|465.48|0|465.48|1163.7|1163.7|339.68|465.48|623.34|1163.7|471.32|462.9862475|471.32|0|0|469.12|288.5|0|0|465.48|0|581.85|465.48|465.48|0|1163.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00169-7201-01|J7189|COAGULATION FACTOR VIIA RECOMB 1 MG (1000 MCG) INTRAVENOUS SOLUTION|4924.28|2609.87|3693.21|3939.42|4185.64|4431.85|4185.64|3978.82|3545.48|3332.75|0|4924.28|2680|2150|1950|4030.52|2550|2480|2100|2.161100196|3693.21|3845.86|1969.71|0|1969.71|4924.28|4924.28|2930|1969.71|2970|4924.28|2.2|2.161100196|2.2|0|0|1310|1430|0|0|1969.71|0|2462.14|1969.71|1969.71|0|4924.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00169-7202-01|J7189|COAGULATION FACTOR VIIA RECOMB 2 MG (2000 MCG) INTRAVENOUS SOLUTION|9808.53|5198.52|7356.4|7846.82|8337.25|8827.68|8337.25|7925.29|7062.14|6638.41|0|9808.53|5360|4300|3900|8028.28|5100|4960|4200|2.161100196|7356.4|7660.46|3923.41|0|3923.41|9808.53|9808.53|5860|3923.41|5940|9808.53|2.2|2.161100196|2.2|0|0|2620|2860|0|0|3923.41|0|4904.27|3923.41|3923.41|0|9808.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00169-7205-01|J7189|COAGULATION FACTOR VIIA RECOMB 5 MG (5000 MCG) INTRAVENOUS SOLUTION|24461.33|12964.5|18346|19569.06|20792.13|22015.2|20792.13|19764.75|17612.16|16555.43|0|24461.33|13400|10750|9750|20021.6|12750|12400|10500|2.161100196|18346|19104.3|9784.53|0|9784.53|24461.33|24461.33|14650|9784.53|14850|24461.33|2.2|2.161100196|2.2|0|0|6550|7150|0|0|9784.53|0|12230.67|9784.53|9784.53|0|24461.33
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00469-6501-89|J2785|REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE|564.65|299.26|423.49|451.72|479.95|508.19|0|456.24|406.55|382.16|0|564.65|297.8|0|216.52|462.17|283|275.4|0|59.28290766|423.49|440.99|0|0|0|0|0|0|0|0|0|60.35|59.28290766|60.35|0|0|0|159.08|0|0|0|0|0|0|0|0|564.65
HOSP OP|0250 - PHARMACY|00404-6512-05||LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100000 INJECTION CARTRIDGE|40.02|21.21|0|32.02|0|36.02|0|32.34|28.81|27.09|0|40.02|26.45|0|19.29|32.76|25.13|24.45|0|0|0|31.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.1|0|0|0|0|0|0|0|0|40.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0055-01|J8499|TIMOLOL 5 MG TABLET|23.07|12.23|17.3|18.46|19.61|20.76|19.61|18.64|16.61|15.61|0|23.07|15.25|0|11.12|18.88|14.49|14.1|12.6|0|17.3|18.02|23.07|23.07|0|19.93|20.71|9.94|23.07|10.1|20.71|0|0|0|0|0|0|11.01|0|0|23.07|0|26.53|23.07|23.07|0|26.53
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|42023-0119-25|J3250|TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION|122.24|64.79|91.68|97.79|103.9|110.02|0|98.77|88.01|82.73|0|122.24|42.27|0|30.74|100.05|40.18|39.09|0|36.46365422|91.68|95.47|0|0|0|0|0|0|0|0|0|37.12|36.46365422|37.12|0|0|0|22.58|0|0|0|0|0|0|0|0|122.24
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-2776-23|J2260|MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK|76.5|40.54|57.38|61.2|65.03|68.85|0|61.81|55.08|51.78|0|76.5|7.24|0|5.24|62.62|6.88|6.68|0|1.532416503|57.38|59.75|0|0|0|0|0|0|0|0|0|1.56|1.532416503|1.56|0|0|0|3.84|0|0|0|0|0|0|0|0|76.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00407-0690-05|A9579|GADODIAMIDE 2.5 MMOL/5 ML (287 MG/ML) INTRAVENOUS SOLUTION|32.6|17.28|24.45|26.08|27.71|29.34|0|26.34|23.47|22.06|0|32.6|11.3|0|8.2|26.68|10.75|10.45|0|1.552062868|24.45|25.46|0|0|0|0|0|0|0|0|0|1.58|1.552062868|1.58|0|0|0|6|0|0|0|0|0|0|0|0|32.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00407-0690-50|A9579|GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION|14.51|7.69|10.88|11.61|12.33|13.06|0|11.72|10.45|9.82|0|14.51|2.26|0|1.64|11.88|2.15|2.09|0|1.552062868|10.88|11.33|0|0|0|0|0|0|0|0|0|1.58|1.552062868|1.58|0|0|0|1.2|0|0|0|0|0|0|0|0|14.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-3015-13|J9190|FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION|10.2|5.41|7.65|8.16|8.67|9.18|0|8.24|7.34|6.9|0|10.2|2.31|0|1.68|8.35|2.19|2.14|0|1.591355599|7.65|7.97|0|0|0|0|0|0|0|0|0|1.62|1.591355599|1.62|0|0|0|1.23|0|0|0|0|0|0|0|0|10.2
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|10139-0063-11|J9190|FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION|10.2|5.41|7.65|8.16|8.67|9.18|0|8.24|7.34|6.9|0|10.2|2.31|0|1.68|8.35|2.19|2.14|0|1.591355599|7.65|7.97|0|0|0|0|0|0|0|0|0|1.62|1.591355599|1.62|0|0|0|1.23|0|0|0|0|0|0|0|0|10.2
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5448-61||PENTOXIFYLLINE ER 400 MG TABLETEXTENDED RELEASE|20.36|10.79|15.27|16.29|17.31|18.32|0|16.45|14.66|13.78|0|20.36|13.46|0|9.81|16.66|12.79|12.44|0|0|15.27|15.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.72|0|0|0|0|0|0|0|0|20.36
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0996-01||PROPAFENONE 150 MG TABLET|21.19|11.23|15.89|16.95|18.01|19.07|0|17.12|15.26|14.34|0|21.19|14.01|0|10.21|17.34|13.31|12.95|0|0|15.89|16.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.11|0|0|0|0|0|0|0|0|21.19
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0996-20||PROPAFENONE 150 MG TABLET|21.19|11.23|15.89|16.95|18.01|19.07|0|17.12|15.26|14.34|0|21.19|14.01|0|10.21|17.34|13.31|12.95|0|0|15.89|16.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.11|0|0|0|0|0|0|0|0|21.19
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6436-04||TEMAZEPAM 7.5 MG CAPSULE|28.16|14.92|21.12|22.53|23.94|25.34|0|22.75|20.28|19.06|0|28.16|18.61|0|13.57|23.05|17.68|17.21|0|0|21.12|21.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.44|0|0|0|0|0|0|0|0|28.16
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-0020-25||LITHIUM CARBONATE ER 450 MG TABLETEXTENDED RELEASE|21.2|11.24|15.9|16.96|18.02|19.08|0|17.13|15.26|14.35|0|21.2|14.01|0|10.22|17.35|13.31|12.95|0|0|15.9|16.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.12|0|0|0|0|0|0|0|0|21.2
HOSP OP|0250 - PHARMACY|00713-0102-25||GLYCERIN (CHILD) RECTAL SUPPOSITORY|20.4|10.81|15.3|16.32|17.34|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|15.3|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.16|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0250 - PHARMACY|00338-0431-03||HEPARIN (PORCINE) (PF) 1000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV|40.02|21.21|0|32.02|0|36.02|0|32.34|28.81|27.09|0|40.02|26.45|0|19.29|32.76|25.13|24.45|0|0|0|31.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.1|0|0|0|0|0|0|0|0|40.02
HOSP OP|0250 - PHARMACY|00409-7620-03||HEPARIN (PORCINE) (PF) 1000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV|40.02|21.21|0|32.02|0|36.02|0|32.34|28.81|27.09|0|40.02|26.45|0|19.29|32.76|25.13|24.45|0|0|0|31.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.1|0|0|0|0|0|0|0|0|40.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5802-61||SIMVASTATIN 40 MG TABLET|20.29|10.75|15.22|16.23|17.25|18.26|0|16.39|14.61|13.73|0|20.29|13.41|0|9.78|16.61|12.74|12.4|0|0|15.22|15.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.68|0|0|0|0|0|0|0|0|20.29
HOSP OP|0637 - DRUGS/SELF ADMIN|00093-8947-01||ACYCLOVIR 800 MG TABLET|20.86|11.06|15.65|16.69|17.73|18.77|0|16.85|15.02|14.12|0|20.86|13.79|0|10.05|17.07|13.1|12.75|0|0|15.65|16.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.96|0|0|0|0|0|0|0|0|20.86
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0326-01||GLIMEPIRIDE 2 MG TABLET|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0326-11||GLIMEPIRIDE 2 MG TABLET|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0250 - PHARMACY|00078-0109-61||CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION|179.77|95.28|0|143.82|0|161.79|0|145.25|129.43|121.67|0|179.77|118.83|0|86.65|147.14|112.9|109.84|0|0|0|140.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|85.8|0|0|0|0|0|0|0|0|179.77
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6300-61||CARVEDILOL 3.125 MG TABLET|20.16|10.68|15.12|16.13|17.14|18.14|0|16.29|14.52|13.64|0|20.16|13.33|0|9.72|16.5|12.66|12.32|0|0|15.12|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.16
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59676-0304-01|J0885|EPOETIN ALFA 4000 UNIT/ML INJECTION SOLUTION|297.97|157.92|223.48|238.38|253.27|268.17|253.27|240.76|214.54|201.67|0|297.97|61.68|63.68|44.84|243.89|58.6|57.04|62.08|10.55992141|223.48|232.71|38.78|38.78|38.78|101.53|101.74|33.06|38.78|33.64|101.74|10.75|10.55992141|10.75|0|0|51.36|32.92|38.78|38.78|38.78|38.78|38.78|38.78|39.95|0|297.97
HOSP OP|0250 - PHARMACY|76329-3013-05||LIDOCAINE 2 % MUCOUS MEMBRANE JELLY IN APPLICATOR (URO-JECT)|41.35|21.92|31.01|33.08|35.15|37.22|0|33.41|29.77|27.99|0|41.35|27.33|0|19.93|33.84|25.97|25.26|0|0|31.01|32.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.54|19.74|0|0|0|0|0|0|0|0|41.35
HOSP OP|0637 - DRUGS/SELF ADMIN|54162-0600-02||LANOLIN ALCOHOLS-MINERAL OIL-W.PETROLATUM-CERESIN TOPICAL CREAM|42.32|22.43|31.74|33.86|35.97|38.09|0|34.19|30.47|28.64|0|42.32|27.97|0|20.4|34.64|26.58|25.86|0|0|31.74|33.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.2|0|0|0|0|0|0|0|0|42.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-0760-01|J0694|CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION|69.42|36.79|52.07|55.54|59.01|62.48|0|56.09|49.98|46.98|0|69.42|9.14|0|6.64|56.82|8.68|8.44|0|5.294695481|52.07|54.22|0|0|0|0|0|0|0|0|0|5.39|5.294695481|5.39|0|0|0|4.88|0|0|0|0|0|0|0|0|69.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|60505-0760-05|J0694|CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION|69.42|36.79|52.07|55.54|59.01|62.48|0|56.09|49.98|46.98|0|69.42|9.14|0|6.64|56.82|8.68|8.44|0|5.294695481|52.07|54.22|0|0|0|0|0|0|0|0|0|5.39|5.294695481|5.39|0|0|0|4.88|0|0|0|0|0|0|0|0|69.42
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0158-13||ONDANSETRON 8 MG DISINTEGRATING TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0158-40||ONDANSETRON 8 MG DISINTEGRATING TABLET|20.59|10.91|15.44|16.47|17.5|18.53|0|16.64|14.82|13.94|0|20.59|13.61|0|9.92|16.85|12.93|12.58|0|0|15.44|16.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.83|0|0|0|0|0|0|0|0|20.59
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5889-61||THEOPHYLLINE ER 300 MG TABLETEXTENDED RELEASE12 HR|20.02|10.61|15.02|16.02|17.02|18.02|0|16.18|14.41|13.55|0|20.02|13.23|0|9.65|16.39|12.57|12.23|0|0|15.02|15.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.56|0|0|0|0|0|0|0|0|20.02
HOSP OP|0250 - PHARMACY|24571-0105-05||BICARBONATE HEMODIALYSIS SOLUTION NO.9 K 4 MEQ-CA 2.5 MEQ-MG 1.5 MEQ/L|315|166.95|0|252|0|283.5|0|254.52|226.8|213.19|0|315|208.22|0|151.83|257.83|197.82|192.47|0|0|0|246.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|150.35|0|0|0|0|0|0|0|0|315
HOSP OP|0250 - PHARMACY|24571-0103-05||BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L|315|166.95|0|252|0|283.5|0|254.52|226.8|213.19|0|315|208.22|0|151.83|257.83|197.82|192.47|0|0|0|246.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|150.35|0|0|0|0|0|0|0|0|315
HOSP OP|0250 - PHARMACY|00168-0357-05||LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM|44.91|23.8|0|35.93|0|40.42|0|36.29|32.34|30.4|0|44.91|29.69|0|21.65|36.76|28.2|27.44|0|0|0|35.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.44|0|0|0|0|0|0|0|0|44.91
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00407-2707-03|Q9956|PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP|288|152.64|216|230.4|244.8|259.2|0|232.7|207.36|194.92|0|288|125.61|0|91.35|235.73|119.4|116.16|0|32.13163065|216|224.93|0|0|0|0|0|0|0|0|0|32.71|32.13163065|32.71|0|0|0|67.11|0|0|0|0|0|0|0|0|288
HOSP OP|0258 - IV SOLUTIONS|00409-7929-09|J7120|DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION|52.5|27.82|39.38|42|44.63|47.25|0|42.42|37.8|35.53|0|52.5|3.16|0|2.3|42.97|3|2.92|0|2.357563851|39.38|41|0|0|0|0|0|0|0|0|0|2.4|2.357563851|2.4|0|0|0|1.68|0|0|0|0|0|0|0|0|52.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-0612-01||THIORIDAZINE 10 MG TABLET|21.26|11.27|15.95|17.01|18.07|19.13|0|17.18|15.31|14.39|0|21.26|14.05|0|10.25|17.4|13.35|12.99|0|0|15.95|16.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.15|0|0|0|0|0|0|0|0|21.26
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68084-0879-25|J7515|CYCLOSPORINE 25 MG CAPSULE|29.37|15.57|22.03|23.5|24.96|26.43|0|23.73|21.15|19.88|0|29.37|0.93|0|0.68|24.04|0.88|0.86|0|0.648330059|22.03|22.94|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.5|0|0|0|0|0|0|0|0|29.37
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|68084-0879-95|J7515|CYCLOSPORINE 25 MG CAPSULE|29.37|15.57|22.03|23.5|24.96|26.43|0|23.73|21.15|19.88|0|29.37|0.93|0|0.68|24.04|0.88|0.86|0|0.648330059|22.03|22.94|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.5|0|0|0|0|0|0|0|0|29.37
HOSP OP|0637 - DRUGS/SELF ADMIN|60432-0126-16||MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION|27.49|14.57|20.62|21.99|23.37|24.74|0|22.21|19.79|18.61|0|27.49|18.17|0|13.25|22.5|17.26|16.8|0|0|20.62|21.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.12|0|0|0|0|0|0|0|0|27.49
HOSP OP|0250 - PHARMACY|17478-0404-01||FLUORESCEIN 1 MG EYE STRIPS|25.42|13.47|19.07|20.34|21.61|22.88|0|20.54|18.3|17.2|0|25.42|16.8|0|12.25|20.81|15.96|15.53|0|0|19.07|19.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|12.13|0|0|0|0|0|0|0|0|25.42
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0444-20||LEVOTHYROXINE 25 MCG TABLET|21.17|11.22|15.88|16.94|17.99|19.05|0|17.11|15.24|14.33|0|21.17|13.99|0|10.2|17.33|13.29|12.93|0|0|15.88|16.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.1|0|0|0|0|0|0|0|0|21.17
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0438-20||DOXEPIN 50 MG CAPSULE|22.7|12.03|17.03|18.16|19.3|20.43|0|18.34|16.34|15.36|0|22.7|15|0|10.94|18.58|14.26|13.87|0|0|17.03|17.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.83|0|0|0|0|0|0|0|0|22.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-5165-21||PHENOBARBITAL 16.2 MG TABLET|21.2|11.24|15.9|16.96|18.02|19.08|0|17.13|15.26|14.35|0|21.2|14.01|0|10.22|17.35|13.31|12.95|0|0|15.9|16.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.12|0|0|0|0|0|0|0|0|21.2
HOSP OP|0250 - PHARMACY|00517-8201-25||TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60 MCG-5MG/ML IV SOLN|53.69|28.46|0|42.95|0|48.32|0|43.38|38.66|36.34|0|53.69|35.49|0|25.88|43.95|33.72|32.8|0|0|0|41.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.63|0|0|0|0|0|0|0|0|53.69
HOSP OP|0637 - DRUGS/SELF ADMIN|16729-0001-01||GLIMEPIRIDE 1 MG TABLET|20.09|10.65|15.07|16.07|17.08|18.08|0|16.23|14.46|13.6|0|20.09|13.28|0|9.68|16.44|12.62|12.27|0|0|15.07|15.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.09
HOSP OP|0250 - PHARMACY|60505-7007-00||FENTANYL 50 MCG/HR TRANSDERMAL PATCH|30.92|16.39|0|24.74|0|27.83|0|24.98|22.26|20.93|0|30.92|20.44|0|14.9|25.31|19.42|18.89|0|0|0|24.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.76|0|0|0|0|0|0|0|0|30.92
HOSP OP|0250 - PHARMACY|60505-7007-02||FENTANYL 50 MCG/HR TRANSDERMAL PATCH|30.92|16.39|0|24.74|0|27.83|0|24.98|22.26|20.93|0|30.92|20.44|0|14.9|25.31|19.42|18.89|0|0|0|24.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.76|0|0|0|0|0|0|0|0|30.92
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0498-01||LAMOTRIGINE 25 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0498-20||LAMOTRIGINE 25 MG TABLET|20.34|10.78|15.26|16.27|17.29|18.31|0|16.43|14.64|13.77|0|20.34|13.44|0|9.8|16.65|12.77|12.43|0|0|15.26|15.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.71|0|0|0|0|0|0|0|0|20.34
HOSP OP|0637 - DRUGS/SELF ADMIN|53489-0150-01||THIORIDAZINE 50 MG TABLET|21|11.13|15.75|16.8|17.85|18.9|0|16.97|15.12|14.21|0|21|13.88|0|10.12|17.19|13.19|12.83|0|0|15.75|16.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.02|0|0|0|0|0|0|0|0|21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0285-23|J2795|ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION|47.6|25.23|35.7|38.08|40.46|42.84|0|38.46|34.27|32.22|0|47.6|2.4|0|1.6|38.96|2.2|2.2|0|0.078585462|35.7|37.18|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|1|0|0|0|0|0|0|0|0|47.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0285-67|J2795|ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION|47.6|25.23|35.7|38.08|40.46|42.84|0|38.46|34.27|32.22|0|47.6|2.4|0|1.6|38.96|2.2|2.2|0|0.078585462|35.7|37.18|0|0|0|0|0|0|0|0|0|0.08|0.078585462|0.08|0|0|0|1|0|0|0|0|0|0|0|0|47.6
HOSP OP|0637 - DRUGS/SELF ADMIN|00574-7034-12||ASPIRIN 300 MG RECTAL SUPPOSITORY|23.94|12.69|17.96|19.15|20.35|21.55|0|19.34|17.24|16.2|0|23.94|15.82|0|11.54|19.59|15.03|14.63|0|0|17.96|18.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.43|0|0|0|0|0|0|0|0|23.94
HOSP OP|0637 - DRUGS/SELF ADMIN|51285-0523-02||DISULFIRAM 250 MG TABLET|20.18|10.7|15.14|16.14|17.15|18.16|0|16.31|14.53|13.66|0|20.18|13.34|0|9.73|16.52|12.67|12.33|0|0|15.14|15.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.18
HOSP OP|0637 - DRUGS/SELF ADMIN|54838-0523-40||FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION|25.18|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0008-41||FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION|25.18|13.35|18.89|20.14|21.4|22.66|0|20.35|18.13|17.04|0|25.18|16.64|0|12.14|20.61|15.81|15.38|0|0|18.89|19.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.02|0|0|0|0|0|0|0|0|25.18
HOSP OP|0637 - DRUGS/SELF ADMIN|62175-0129-37||ISOSORBIDE MONONITRATE ER 120 MG TABLETEXTENDED RELEASE 24 HR|20.85|11.05|15.64|16.68|17.72|18.77|0|16.85|15.01|14.11|0|20.85|13.78|0|10.05|17.07|13.09|12.74|0|0|15.64|16.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.95|0|0|0|0|0|0|0|0|20.85
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00409-6482-01|J1364|ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION|217.38|115.21|163.04|173.9|184.77|195.64|0|175.64|156.51|147.12|0|217.38|101.74|0|73.98|177.93|96.69|94.09|0|75.2259332|163.04|169.77|0|0|0|0|0|0|0|0|0|76.58|75.2259332|76.58|0|0|88.33|54.36|0|0|0|0|0|0|0|0|217.38
HOSP OP|0250 - PHARMACY|00713-0503-24||HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY|29.45|15.61|0|23.56|0|26.51|0|23.8|21.2|19.93|0|29.45|19.47|0|14.19|24.1|18.49|17.99|0|0|0|23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.06|0|0|0|0|0|0|0|0|29.45
HOSP OP|0637 - DRUGS/SELF ADMIN|00121-0465-16||POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID|28.78|15.25|21.59|23.02|24.46|25.9|0|23.25|20.72|19.48|0|28.78|19.02|0|13.87|23.56|18.07|17.58|0|0|21.59|22.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.74|0|0|0|0|0|0|0|0|28.78
HOSP OP|0250 - PHARMACY|00904-5354-31||DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM|24.88|13.19|0|19.9|0|22.39|0|20.1|17.91|16.84|0|24.88|16.45|0|11.99|20.36|15.62|15.2|0|0|0|19.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.88|0|0|0|0|0|0|0|0|24.88
HOSP OP|0250 - PHARMACY|70000-0388-01||DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM|24.88|13.19|0|19.9|0|22.39|0|20.1|17.91|16.84|0|24.88|16.45|0|11.99|20.36|15.62|15.2|0|0|0|19.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.88|0|0|0|0|0|0|0|0|24.88
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50242-0044-13|J2997|ALTEPLASE 50 MG INTRAVENOUS SOLUTION|10257.23|5436.33|7692.92|8205.78|8718.65|9231.51|8718.65|8287.84|7385.21|6942.09|0|10257.23|5660|4384|4115.5|8395.54|5379|5234.5|4274.5|87.84872299|7692.92|8010.9|4394.25|4394.25|4394.25|10257.23|10072.6|3437.79|4394.25|3498.41|10072.6|89.43|87.84872299|89.43|0|0|3795|3024|4394.25|4394.25|4394.25|4394.25|4394.25|4394.25|4526.08|0|10257.23
HOSP OP|0637 - DRUGS/SELF ADMIN|33342-0024-07||FAMCICLOVIR 125 MG TABLET|21.29|11.28|15.97|17.03|18.1|19.16|0|17.2|15.33|14.41|0|21.29|14.07|0|10.26|17.43|13.37|13.01|0|0|15.97|16.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.16|0|0|0|0|0|0|0|0|21.29
HOSP OP|0250 - PHARMACY|24208-0720-02||DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS|129.34|68.55|0|103.47|0|116.41|0|104.51|93.12|87.54|0|129.34|85.49|0|62.34|105.86|81.23|79.03|0|0|0|101.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|61.73|0|0|0|0|0|0|0|0|129.34
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0636-11||PANTOPRAZOLE 20 MG TABLETDELAYED RELEASE|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0636-15||PANTOPRAZOLE 20 MG TABLETDELAYED RELEASE|20.56|10.9|15.42|16.45|17.48|18.5|0|16.61|14.8|13.92|0|20.56|13.59|0|9.91|16.83|12.91|12.56|0|0|15.42|16.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.56
HOSP OP|0637 - DRUGS/SELF ADMIN|00074-5182-11||LEVOTHYROXINE 75 MCG TABLET|21.46|11.37|16.1|17.17|18.24|19.31|0|17.34|15.45|14.52|0|21.46|14.19|0|10.34|17.57|13.48|13.11|0|0|16.1|16.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.46
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0441-01||LEVOTHYROXINE 75 MCG TABLET|21.46|11.37|16.1|17.17|18.24|19.31|0|17.34|15.45|14.52|0|21.46|14.19|0|10.34|17.57|13.48|13.11|0|0|16.1|16.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.46
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0441-20||LEVOTHYROXINE 75 MCG TABLET|21.46|11.37|16.1|17.17|18.24|19.31|0|17.34|15.45|14.52|0|21.46|14.19|0|10.34|17.57|13.48|13.11|0|0|16.1|16.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.24|0|0|0|0|0|0|0|0|21.46
HOSP OP|0250 - PHARMACY|00409-6625-02||SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION|60.25|31.93|0|48.2|0|54.23|0|48.68|43.38|40.78|0|60.25|39.83|0|29.04|49.31|37.84|36.81|0|0|0|47.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.76|0|0|0|0|0|0|0|0|60.25
HOSP OP|0250 - PHARMACY|41616-0219-90||KETOROLAC 0.5 % EYE DROPS|42.58|22.57|0|34.06|0|38.32|0|34.4|30.66|28.82|0|42.58|28.15|0|20.52|34.85|26.74|26.02|0|0|0|33.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.32|0|0|0|0|0|0|0|0|42.58
HOSP OP|0637 - DRUGS/SELF ADMIN|00054-3177-63||DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION|25.09|13.3|18.82|20.07|21.33|22.58|0|20.27|18.06|16.98|0|25.09|16.58|0|12.09|20.54|15.76|15.33|0|0|18.82|19.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|25.09
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0086-29||DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION|25.09|13.3|18.82|20.07|21.33|22.58|0|20.27|18.06|16.98|0|25.09|16.58|0|12.09|20.54|15.76|15.33|0|0|18.82|19.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.98|0|0|0|0|0|0|0|0|25.09
HOSP OP|0637 - DRUGS/SELF ADMIN|00182-0195-01||DIMENHYDRINATE 50 MG TABLET|20.04|10.62|15.03|16.03|17.03|18.04|0|16.19|14.43|13.56|0|20.04|13.25|0|9.66|16.4|12.59|12.24|0|0|15.03|15.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.57|0|0|0|0|0|0|0|0|20.04
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-5913-01|Q0161|CHLORPROMAZINE 10 MG TABLET|27.5|14.57|20.63|22|23.38|24.75|0|22.22|19.8|18.61|0|27.5|4.44|0|3.22|22.51|4.22|4.1|0|2.190569745|20.63|21.48|0|0|0|0|0|0|0|0|0|2.23|2.190569745|2.23|0|0|0|2.36|0|0|0|0|0|0|0|0|27.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00832-0300-00|Q0161|CHLORPROMAZINE 10 MG TABLET|27.5|14.57|20.63|22|23.38|24.75|0|22.22|19.8|18.61|0|27.5|4.44|0|3.22|22.51|4.22|4.1|0|2.190569745|20.63|21.48|0|0|0|0|0|0|0|0|0|2.23|2.190569745|2.23|0|0|0|2.36|0|0|0|0|0|0|0|0|27.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00832-0512-01||BETHANECHOL CHLORIDE 25 MG TABLET|21.39|11.34|16.04|17.11|18.18|19.25|0|17.28|15.4|14.48|0|21.39|14.14|0|10.31|17.51|13.43|13.07|0|0|16.04|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.21|0|0|0|0|0|0|0|0|21.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00832-0512-89||BETHANECHOL CHLORIDE 25 MG TABLET|21.39|11.34|16.04|17.11|18.18|19.25|0|17.28|15.4|14.48|0|21.39|14.14|0|10.31|17.51|13.43|13.07|0|0|16.04|16.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.21|0|0|0|0|0|0|0|0|21.39
HOSP OP|0250 - PHARMACY|00187-4330-05||ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION|123.14|65.26|0|98.51|0|110.83|0|99.5|88.66|83.34|0|123.14|81.4|0|59.35|100.79|77.33|75.24|0|0|0|96.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.77|0|0|0|0|0|0|0|0|123.14
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00039-0018-10|J0698|CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION|43.4|23|32.55|34.72|36.89|39.06|0|35.07|31.25|29.37|0|43.4|4.67|0|3.4|35.52|4.44|4.32|0|2.328094303|32.55|33.9|0|0|0|0|0|0|0|0|0|2.37|2.328094303|2.37|0|0|0|2.49|0|0|0|0|0|0|0|0|43.4
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0447-01||HYDRALAZINE 10 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|15.32|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0447-11||HYDRALAZINE 10 MG TABLET|20.43|10.83|15.32|16.34|17.37|18.39|0|16.51|14.71|13.83|0|20.43|13.5|0|9.85|16.72|12.83|12.48|0|0|15.32|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.75|0|0|0|0|0|0|0|0|20.43
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0087-64||AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION|25.69|13.62|19.27|20.55|21.84|23.12|0|20.76|18.5|17.39|0|25.69|16.98|0|12.38|21.03|16.13|15.7|0|0|19.27|20.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.28|12.26|0|0|0|0|0|0|0|0|25.69
HOSP OP|0637 - DRUGS/SELF ADMIN|66685-1012-01||AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION|57.85|13.62|19.27|20.55|21.84|23.12|0|20.76|18.5|17.39|0|25.69|16.98|0|12.38|21.03|16.13|15.7|0|0|19.27|20.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.28|12.26|0|0|0|0|0|0|0|0|25.69
HOSP OP|0250 - PHARMACY|00409-4887-17|A4216|WATER FOR INJECTION STERILE INJECTION SOLUTION|48.03|25.46|36.02|38.42|40.83|43.23|0|38.81|34.58|32.51|0|48.03|0.66|0|0.48|39.31|0.63|0.61|0|0.461689587|36.02|37.51|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.35|0|0|0|0|0|0|0|0|48.03
HOSP OP|0250 - PHARMACY|63323-0185-10|A4216|WATER FOR INJECTION STERILE INJECTION SOLUTION|48.03|25.46|36.02|38.42|40.83|43.23|0|38.81|34.58|32.51|0|48.03|0.66|0|0.48|39.31|0.63|0.61|0|0.461689587|36.02|37.51|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.35|0|0|0|0|0|0|0|0|48.03
HOSP OP|0250 - PHARMACY|00409-4887-20|A4216|WATER FOR INJECTION STERILE INJECTION SOLUTION|42.65|25.46|36.02|38.42|40.83|43.23|0|38.81|34.58|32.51|0|48.03|0.66|0|0.48|39.31|0.63|0.61|0|0.461689587|36.02|37.51|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.35|0|0|0|0|0|0|0|0|48.03
HOSP OP|0250 - PHARMACY|63323-0185-20|A4216|WATER FOR INJECTION STERILE INJECTION SOLUTION|42.65|25.46|36.02|38.42|40.83|43.23|0|38.81|34.58|32.51|0|48.03|0.66|0|0.48|39.31|0.63|0.61|0|0.461689587|36.02|37.51|0|0|0|0|0|0|0|0|0|0.47|0.461689587|0.47|0|0|0|0.35|0|0|0|0|0|0|0|0|48.03
HOSP OP|0250 - PHARMACY|00409-9104-20||DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION|44.48|23.57|0|35.58|0|40.03|0|35.94|32.03|30.1|0|44.48|29.4|0|21.44|36.41|27.93|27.18|0|0|0|34.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.23|0|0|0|0|0|0|0|0|44.48
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00338-1009-02|J1265|DOPAMINE 800 MG/250 ML (3200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN|65|34.45|48.75|52|55.25|58.5|0|52.52|46.8|43.99|0|65|21.2|0|15.4|53.2|20.2|19.6|0|0.717092338|48.75|50.77|0|0|0|0|0|0|0|0|0|0.73|0.717092338|0.73|0|0|0|11.2|0|0|0|0|0|0|0|0|65
HOSP OP|0258 - IV SOLUTIONS|00338-0671-04||POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV|45|23.85|0|36|0|40.5|0|36.36|32.4|30.46|0|45|29.75|0|21.69|36.83|28.26|27.5|0|0|0|35.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.48|0|0|0|0|0|0|0|0|45
HOSP OP|0250 - PHARMACY|24208-0735-01|J3490|CYCLOPENTOLATE 1 % EYE DROPS|59.5|31.53|44.63|47.6|50.58|53.55|0|48.08|42.84|40.27|0|59.5|39.33|0|28.68|48.7|37.37|36.35|0|0|44.63|46.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.4|0|0|0|0|0|0|0|0|59.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-0274-60||VITAMIN E (DL ACETATE) 400 UNIT CAPSULE|20.13|10.67|15.1|16.1|17.11|18.12|0|16.27|14.49|13.62|0|20.13|13.31|0|9.7|16.48|12.64|12.3|0|0|15.1|15.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.61|0|0|0|0|0|0|0|0|20.13
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0627-50||FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS|34.25|18.15|25.69|27.4|29.11|30.83|0|27.67|24.66|23.18|0|34.25|22.64|0|16.51|28.03|21.51|20.93|0|0|25.69|26.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.35|0|0|0|0|0|0|0|0|34.25
HOSP OP|0250 - PHARMACY|41616-0931-40|J3490|VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION|50.1|26.55|37.58|40.08|42.59|45.09|0|40.48|36.07|33.91|0|50.1|33.12|0|24.15|41.01|31.46|30.61|0|0|37.58|39.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.91|0|0|0|0|0|0|0|0|50.1
HOSP OP|0250 - PHARMACY|67457-0438-00|J3490|VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION|50.1|26.55|37.58|40.08|42.59|45.09|0|40.48|36.07|33.91|0|50.1|33.12|0|24.15|41.01|31.46|30.61|0|0|37.58|39.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.91|0|0|0|0|0|0|0|0|50.1
HOSP OP|0250 - PHARMACY|67457-0438-10|J3490|VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION|50.1|26.55|37.58|40.08|42.59|45.09|0|40.48|36.07|33.91|0|50.1|33.12|0|24.15|41.01|31.46|30.61|0|0|37.58|39.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.91|0|0|0|0|0|0|0|0|50.1
HOSP OP|0250 - PHARMACY|00310-0280-39||QUETIAPINE ER 50 MG TABLETEXTENDED RELEASE 24 HR|43.18|22.89|0|34.54|0|38.86|0|34.89|31.09|29.22|0|43.18|28.54|0|20.81|35.34|27.12|26.38|0|0|0|33.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|20.61|0|0|0|0|0|0|0|0|43.18
HOSP OP|0250 - PHARMACY|00310-0281-39||QUETIAPINE ER 150 MG TABLETEXTENDED RELEASE 24 HR|58.63|31.07|0|46.9|0|52.77|0|47.37|42.21|39.68|0|58.63|38.75|0|28.26|47.99|36.82|35.82|0|0|0|45.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.98|0|0|0|0|0|0|0|0|58.63
HOSP OP|0250 - PHARMACY|00310-0281-60||QUETIAPINE ER 150 MG TABLETEXTENDED RELEASE 24 HR|58.63|31.07|0|46.9|0|52.77|0|47.37|42.21|39.68|0|58.63|38.75|0|28.26|47.99|36.82|35.82|0|0|0|45.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.98|0|0|0|0|0|0|0|0|58.63
HOSP OP|0637 - DRUGS/SELF ADMIN|68462-0332-90||PRAMIPEXOLE 0.5 MG TABLET|20.31|10.76|15.23|16.25|17.26|18.28|0|16.41|14.62|13.75|0|20.31|13.42|0|9.79|16.62|12.75|12.41|0|0|15.23|15.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.69|0|0|0|0|0|0|0|0|20.31
HOSP OP|0250 - PHARMACY|60793-0217-21||THROMBIN (BOVINE) 20000 UNIT TOPICAL SPRAY|670.93|355.59|0|536.74|0|603.84|0|542.11|483.07|454.09|0|670.93|443.48|0|323.39|549.16|421.34|409.94|0|0|0|524|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|320.23|0|0|0|0|0|0|0|0|670.93
HOSP OP|0250 - PHARMACY|00904-2641-13||MULTIVITAMIN-FERROUS FUMARATE-FOLIC ACID 18 MG-400 MCG TABLET|20.1|10.65|0|16.08|0|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|0|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|70004-0600-09|J7999|EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE|54|28.62|40.5|43.2|45.9|48.6|0|43.63|38.88|36.55|0|54|35.69|0|26.03|44.2|33.91|32.99|0|0|40.5|42.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.77|0|0|0|0|0|0|0|0|54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0618-10|90376|RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION|5708.98|3025.76|4281.74|4567.18|4852.63|5138.08|4852.63|4612.86|4110.47|3863.84|0|5708.98|402.47|364.16|292.65|4672.8|382.5|372.2|355.06|278.7033399|4281.74|4458.71|2283.59|0|2283.59|733.26|748.22|471.15|2283.59|375.09|748.22|283.72|278.7033399|283.72|0|0|285.53|215.02|0|0|2283.59|0|2854.49|2283.59|2283.59|0|5708.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0618-11|90376|RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION|5708.98|3025.76|4281.74|4567.18|4852.63|5138.08|4852.63|4612.86|4110.47|3863.84|0|5708.98|402.47|364.16|292.65|4672.8|382.5|372.2|355.06|278.7033399|4281.74|4458.71|2283.59|0|2283.59|733.26|748.22|471.15|2283.59|375.09|748.22|283.72|278.7033399|283.72|0|0|285.53|215.02|0|0|2283.59|0|2854.49|2283.59|2283.59|0|5708.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0618-02|90376|RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION|1206.38|3025.76|4281.74|4567.18|4852.63|5138.08|4852.63|4612.86|4110.47|3863.84|0|5708.98|402.47|364.16|292.65|4672.8|382.5|372.2|355.06|278.7033399|4281.74|4458.71|2283.59|0|2283.59|733.26|748.22|471.15|2283.59|375.09|748.22|283.72|278.7033399|283.72|0|0|285.53|215.02|0|0|2283.59|0|2854.49|2283.59|2283.59|0|5708.98
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0618-20|90376|RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION|1206.38|3025.76|4281.74|4567.18|4852.63|5138.08|4852.63|4612.86|4110.47|3863.84|0|5708.98|402.47|364.16|292.65|4672.8|382.5|372.2|355.06|278.7033399|4281.74|4458.71|2283.59|0|2283.59|733.26|748.22|471.15|2283.59|375.09|748.22|283.72|278.7033399|283.72|0|0|285.53|215.02|0|0|2283.59|0|2854.49|2283.59|2283.59|0|5708.98
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-5988-01||CARBAMAZEPINE ER 400 MG TABLETEXTENDED RELEASE12 HR|34.03|18.04|25.52|27.22|28.93|30.63|0|27.5|24.5|23.03|0|34.03|22.49|0|16.4|27.85|21.37|20.79|0|0|25.52|26.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.24|0|0|0|0|0|0|0|0|34.03
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0562-21||CARBAMAZEPINE ER 400 MG TABLETEXTENDED RELEASE12 HR|34.03|18.04|25.52|27.22|28.93|30.63|0|27.5|24.5|23.03|0|34.03|22.49|0|16.4|27.85|21.37|20.79|0|0|25.52|26.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.24|0|0|0|0|0|0|0|0|34.03
HOSP OP|0250 - PHARMACY|51672-1272-01||NYSTATIN-TRIAMCINOLONE 100000 UNIT/GRAM-0.1 % TOPICAL OINTMENT|174.67|92.58|0|139.74|0|157.2|0|141.13|125.76|118.22|0|174.67|115.46|0|84.19|142.97|109.69|106.72|0|0|0|136.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.37|0|0|0|0|0|0|0|0|174.67
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|70004-0200-06|J3010|FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE|40.97|21.71|30.73|32.78|34.82|36.87|0|33.1|29.5|27.73|0|40.97|1.07|0|0.78|33.53|1.02|0.99|0|0.992141454|30.73|32|0|0|0|0|0|0|0|0|0|1.01|0.992141454|1.01|0|0|0|0.56|0|0|0|0|0|0|0|0|40.97
HOSP OP|0250 - PHARMACY|64764-0918-30||FEBUXOSTAT 40 MG TABLET|50.66|26.85|0|40.53|0|45.59|0|40.93|36.48|34.29|0|50.66|33.49|0|24.42|41.47|31.81|30.95|0|0|0|39.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|24.18|0|0|0|0|0|0|0|0|50.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|58468-0090-03|J7325|HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE|1084.9|575|813.68|867.92|922.17|976.41|922.17|876.6|781.13|734.26|0|1084.9|734.4|639.36|533.76|887.99|697.92|679.2|623.52|11.03143418|813.68|847.31|536.93|536.93|536.93|1084.9|1065.37|414.32|536.93|421.62|1065.37|11.23|11.03143418|11.23|0|0|611.52|392.16|536.93|536.93|536.93|536.93|536.93|536.93|553.04|0|1084.9
HOSP OP|0250 - PHARMACY|00131-2477-60||LACOSAMIDE 50 MG TABLET|49.1|26.02|0|39.28|0|44.19|0|39.67|35.35|33.23|0|49.1|32.46|0|23.67|40.19|30.83|30|0|0|0|38.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|23.44|0|0|0|0|0|0|0|0|49.1
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0174-01||DRONABINOL 2.5 MG CAPSULE|30.98|16.42|23.24|24.78|26.33|27.88|0|25.03|22.31|20.97|0|30.98|20.48|0|14.93|25.36|19.46|18.93|0|0|23.24|24.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.79|0|0|0|0|0|0|0|0|30.98
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0174-11||DRONABINOL 2.5 MG CAPSULE|30.98|16.42|23.24|24.78|26.33|27.88|0|25.03|22.31|20.97|0|30.98|20.48|0|14.93|25.36|19.46|18.93|0|0|23.24|24.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.79|0|0|0|0|0|0|0|0|30.98
HOSP OP|0250 - PHARMACY|00409-4346-73||AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION|56.15|29.76|0|44.92|0|50.54|0|45.37|40.43|38|0|56.15|37.12|0|27.06|45.96|35.26|34.31|0|0|0|43.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.8|0|0|0|0|0|0|0|0|56.15
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-3475-01|J1040|METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION|72.9|38.64|54.68|58.32|61.97|65.61|0|58.9|52.49|49.34|0|72.9|16.59|0|12.06|59.67|15.77|15.34|0|11.89587426|54.68|56.93|0|0|0|0|0|0|0|0|0|12.11|11.89587426|12.11|0|0|0|8.86|0|0|0|0|0|0|0|0|72.9
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-0051-01|J1040|METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION|72.9|38.64|54.68|58.32|61.97|65.61|0|58.9|52.49|49.34|0|72.9|16.59|0|12.06|59.67|15.77|15.34|0|11.89587426|54.68|56.93|0|0|0|0|0|0|0|0|0|12.11|11.89587426|12.11|0|0|0|8.86|0|0|0|0|0|0|0|0|72.9
HOSP OP|0637 - DRUGS/SELF ADMIN|51672-4002-01||NORTRIPTYLINE 25 MG CAPSULE|20.27|10.74|15.2|16.22|17.23|18.24|0|16.38|14.59|13.72|0|20.27|13.4|0|9.77|16.59|12.73|12.38|0|0|15.2|15.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.67|0|0|0|0|0|0|0|0|20.27
HOSP OP|0250 - PHARMACY|63459-0215-30||ARMODAFINIL 150 MG TABLET|98.66|52.29|0|78.93|0|88.79|0|79.72|71.04|66.77|0|98.66|65.21|0|47.55|80.75|61.96|60.28|0|0|0|77.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.09|0|0|0|0|0|0|0|0|98.66
HOSP OP|0250 - PHARMACY|63459-0225-30||ARMODAFINIL 250 MG TABLET|98.66|52.29|0|78.93|0|88.79|0|79.72|71.04|66.77|0|98.66|65.21|0|47.55|80.75|61.96|60.28|0|0|0|77.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.09|0|0|0|0|0|0|0|0|98.66
HOSP OP|0250 - PHARMACY|25208-0002-02||TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS|420.63|222.93|0|336.5|0|378.57|0|339.87|302.85|284.68|0|420.63|278.04|0|202.74|344.29|264.16|257|0|0|0|328.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|200.77|0|0|0|0|0|0|0|0|420.63
HOSP OP|0250 - PHARMACY|00517-4810-25||NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION|67.2|35.62|0|53.76|0|60.48|0|54.3|48.38|45.48|0|67.2|44.42|0|32.39|55|42.2|41.06|0|0|0|52.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.07|0|0|0|0|0|0|0|0|67.2
HOSP OP|0250 - PHARMACY|00078-0568-45||ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET|76.96|40.79|0|61.57|0|69.26|0|62.18|55.41|52.09|0|76.96|50.87|0|37.09|62.99|48.33|47.02|0|0|0|60.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|36.73|0|0|0|0|0|0|0|0|76.96
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00131-1810-67|C9254|LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION|166.6|88.3|124.95|133.28|141.61|149.94|0|134.61|119.95|112.75|0|166.6|110.12|0|80.3|136.36|104.62|101.79|0|2.583497053|124.95|130.11|0|0|0|0|0|0|0|0|0|2.63|2.583497053|2.63|0|0|0|79.52|0|0|0|0|0|0|0|0|166.6
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0816-11||ZONISAMIDE 100 MG CAPSULE|21.14|11.2|15.86|16.91|17.97|19.03|0|17.08|15.22|14.31|0|21.14|13.97|0|10.19|17.3|13.28|12.92|0|0|15.86|16.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.14
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0816-15||ZONISAMIDE 100 MG CAPSULE|21.14|11.2|15.86|16.91|17.97|19.03|0|17.08|15.22|14.31|0|21.14|13.97|0|10.19|17.3|13.28|12.92|0|0|15.86|16.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.14
HOSP OP|0250 - PHARMACY|46017-0044-08||CELLULOSE 80 % ORAL POWDER|20.89|11.07|0|16.71|0|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|0|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0250 - PHARMACY|NMRRX-0357-96||CELLULOSE 80 % ORAL POWDER|20.89|11.07|0|16.71|0|18.8|0|16.88|15.04|14.14|0|20.89|13.81|0|10.07|17.1|13.12|12.76|0|0|0|16.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.97|0|0|0|0|0|0|0|0|20.89
HOSP OP|0250 - PHARMACY|60505-0374-01||PAROXETINE 10 MG/5 ML ORAL SUSPENSION|25.07|13.29|0|20.06|0|22.56|0|20.26|18.05|16.97|0|25.07|16.57|0|12.08|20.52|15.74|15.32|0|0|0|19.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.97|0|0|0|0|0|0|0|0|25.07
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|36000-0002-06|J1450|FLUCONAZOLE ( DIFLUCAN ) 200 MG IV PIGGYBACK|47.75|25.31|35.81|38.2|40.59|42.98|0|38.58|34.38|32.32|0|47.75|7.19|0|5.22|39.08|6.83|6.65|0|4.675834971|35.81|37.29|0|0|0|0|0|0|0|0|0|4.76|4.675834971|4.76|0|0|0|3.84|0|0|0|0|0|0|0|0|47.75
HOSP OP|0637 - DRUGS/SELF ADMIN|51991-0838-01||CYPROHEPTADINE 4 MG TABLET|21.84|11.58|16.38|17.47|18.56|19.66|0|17.65|15.72|14.78|0|21.84|14.44|0|10.53|17.88|13.72|13.34|0|0|16.38|17.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.42|0|0|0|0|0|0|0|0|21.84
HOSP OP|0250 - PHARMACY|50383-0917-50||CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS|20.22|10.72|0|16.18|0|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|0|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0250 - PHARMACY|NMRRX-0896-51||CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS|20.22|10.72|0|16.18|0|18.2|0|16.34|14.56|13.68|0|20.22|13.37|0|9.75|16.55|12.7|12.35|0|0|0|15.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.65|0|0|0|0|0|0|0|0|20.22
HOSP OP|0637 - DRUGS/SELF ADMIN|00009-0049-02|J7509|METHYLPREDNISOLONE 2 MG TABLET|22.32|11.83|16.74|17.86|18.97|20.09|0|18.03|16.07|15.11|0|22.32|0.48|0|0.35|18.27|0.45|0.44|0|0.353634578|16.74|17.43|0|0|0|0|0|0|0|0|0|0.36|0.353634578|0.36|0|0|0|0.25|0|0|0|0|0|0|0|0|22.32
HOSP OP|0250 - PHARMACY|32909-0125-22||BARIUM SULFATE 40 % (W/V) 30% (W/W) ORAL PASTE|15.23|8.07|0|12.18|0|13.71|0|12.31|10.97|10.31|0|15.23|10.07|0|7.34|12.47|9.56|9.31|0|0|0|11.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.27|0|0|0|0|0|0|0|0|15.23
HOSP OP|0250 - PHARMACY|NMRRX-0897-85||BARIUM SULFATE 40 % (W/V) 30% (W/W) ORAL PASTE|15.23|8.07|0|12.18|0|13.71|0|12.31|10.97|10.31|0|15.23|10.07|0|7.34|12.47|9.56|9.31|0|0|0|11.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.27|0|0|0|0|0|0|0|0|15.23
HOSP OP|0250 - PHARMACY|63323-0268-01||SCOPOLAMINE 0.4 MG/ML INJECTION SOLUTION|58.74|31.13|0|46.99|0|52.87|0|47.46|42.29|39.76|0|58.74|38.83|0|28.31|48.08|36.89|35.89|0|0|0|45.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|28.04|0|0|0|0|0|0|0|0|58.74
HOSP OP|0637 - DRUGS/SELF ADMIN|50268-0866-11||CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5000 UNIT) TABLET|20.72|10.98|15.54|16.58|17.61|18.65|0|16.74|14.92|14.02|0|20.72|13.7|0|9.99|16.96|13.01|12.66|0|0|15.54|16.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.89|0|0|0|0|0|0|0|0|20.72
HOSP OP|0637 - DRUGS/SELF ADMIN|00032-1212-01||LIPASE-PROTEASE-AMYLASE 12000-38000-60000 UNIT CAPSULEDELAYED REL|29.31|15.53|21.98|23.45|24.91|26.38|0|23.68|21.1|19.84|0|29.31|19.37|0|14.13|23.99|18.41|17.91|0|0|21.98|22.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13.99|0|0|0|0|0|0|0|0|29.31
HOSP OP|0250 - PHARMACY|00032-1224-01||LIPASE-PROTEASE-AMYLASE 24000-76000-120000 UNIT CAPSULEDELAYED REL|38.45|20.38|0|30.76|0|34.61|0|31.07|27.68|26.02|0|38.45|25.42|0|18.53|31.47|24.15|23.49|0|0|0|30.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.35|0|0|0|0|0|0|0|0|38.45
HOSP OP|0250 - PHARMACY|00032-1224-07||LIPASE-PROTEASE-AMYLASE 24000-76000-120000 UNIT CAPSULEDELAYED REL|38.45|20.38|0|30.76|0|34.61|0|31.07|27.68|26.02|0|38.45|25.42|0|18.53|31.47|24.15|23.49|0|0|0|30.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.35|0|0|0|0|0|0|0|0|38.45
HOSP OP|0250 - PHARMACY|53276-1010-11||MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 70 MM SHEETS|471.74|250.02|0|377.39|0|424.57|0|381.17|339.65|319.27|0|471.74|311.82|0|227.38|386.12|296.25|288.23|0|0|0|368.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|225.16|0|0|0|0|0|0|0|0|471.74
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|59338-0775-01|Q0138|FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION|2362.88|1252.33|1772.16|1890.3|2008.45|2126.59|2008.45|1909.21|1701.27|1599.2|0|2362.88|663|928.2|484.5|1934.02|632.4|612|902.7|1.041257367|1772.16|1845.41|538.56|538.56|538.56|1277.71|1280.32|416.02|538.56|423.36|1280.32|1.06|1.041257367|1.06|0|0|571.2|351.9|538.56|538.56|538.56|538.56|538.56|538.56|554.72|0|2362.88
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0926-20||DILTIAZEM ER 120 MG CAPSULEEXTENDED RELEASE 12 HR|32.13|17.03|24.1|25.7|27.31|28.92|0|25.96|23.13|21.75|0|32.13|21.24|0|15.49|26.3|20.18|19.63|0|0|24.1|25.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.34|0|0|0|0|0|0|0|0|32.13
HOSP OP|0250 - PHARMACY|00574-0304-16||COMPOUNDING VEHICLE NO.8 ORAL LIQUID|66.83|35.42|0|53.46|0|60.15|0|54|48.12|45.23|0|66.83|44.17|0|32.21|54.7|41.97|40.83|0|0|0|52.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.9|0|0|0|0|0|0|0|0|66.83
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0463-01||RISPERIDONE 2 MG TABLET|21.14|11.2|15.86|16.91|17.97|19.03|0|17.08|15.22|14.31|0|21.14|13.97|0|10.19|17.3|13.28|12.92|0|0|15.86|16.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.09|0|0|0|0|0|0|0|0|21.14
HOSP OP|0637 - DRUGS/SELF ADMIN|00002-5123-30||PRASUGREL 10 MG TABLET|62.64|33.2|46.98|50.11|53.24|56.38|0|50.61|45.1|42.39|0|62.64|41.41|0|30.19|51.27|39.34|38.27|0|0|46.98|48.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.9|0|0|0|0|0|0|0|0|62.64
HOSP OP|0250 - PHARMACY|32909-0122-07||BARIUM SULFATE 40 % (W/V) 29% (W/W) ORAL SUSPENSION|153|81.09|0|122.4|0|137.7|0|123.62|110.16|103.55|0|153|101.13|0|73.75|125.23|96.08|93.48|0|0|0|119.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.03|0|0|0|0|0|0|0|0|153
HOSP OP|0250 - PHARMACY|32909-0105-10||BARIUM SULFATE 40 % (W/V) ORAL POWDER|15.54|8.24|0|12.43|0|13.99|0|12.56|11.19|10.52|0|15.54|10.27|0|7.49|12.72|9.76|9.49|0|0|0|12.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7.42|0|0|0|0|0|0|0|0|15.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50458-0563-01|J2426|PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.58153242|0|0|0|0|0|0|0|0|0|0|0|11.79|11.58153242|11.79|0|0|0|0|0|0|0|0|0|0|0|0|11.79
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|50458-0564-01|J2426|PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.58153242|0|0|0|0|0|0|0|0|0|0|0|11.79|11.58153242|11.79|0|0|0|0|0|0|0|0|0|0|0|0|11.79
HOSP OP|0250 - PHARMACY|61314-0044-75||TRIFLURIDINE 1 % EYE DROPS|384.1|203.57|0|307.28|0|345.69|0|310.35|276.55|259.96|0|384.1|253.89|0|185.14|314.39|241.21|234.69|0|0|0|299.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|183.33|0|0|0|0|0|0|0|0|384.1
HOSP OP|0250 - PHARMACY|NMRRX-2153-04|J3490|NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS|40.88|21.67|30.66|32.7|34.75|36.79|0|33.03|29.43|27.67|0|40.88|27.02|0|19.7|33.46|25.67|24.98|0|0|30.66|31.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.88
HOSP OP|0250 - PHARMACY|00338-1049-02|J3490|NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS|61.88|21.67|30.66|32.7|34.75|36.79|0|33.03|29.43|27.67|0|40.88|27.02|0|19.7|33.46|25.67|24.98|0|0|30.66|31.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.51|0|0|0|0|0|0|0|0|40.88
HOSP OP|0637 - DRUGS/SELF ADMIN|00591-0345-01||VERAPAMIL 120 MG TABLET|20.23|10.72|15.17|16.18|17.2|18.21|0|16.35|14.57|13.69|0|20.23|13.37|0|9.75|16.56|12.7|12.36|0|0|15.17|15.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.66|0|0|0|0|0|0|0|0|20.23
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0442-20||LEVOTHYROXINE 100 MCG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0442-01||LEVOTHYROXINE 100 MCG TABLET|21.5|11.39|16.13|17.2|18.28|19.35|0|17.37|15.48|14.55|0|21.5|14.21|0|10.36|17.6|13.5|13.14|0|0|16.13|16.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.26|0|0|0|0|0|0|0|0|21.5
HOSP OP|0637 - DRUGS/SELF ADMIN|00781-2229-01||THIOTHIXENE 10 MG CAPSULE|21.95|11.63|16.46|17.56|18.66|19.76|0|17.74|15.8|14.86|0|21.95|14.51|0|10.58|17.97|13.78|13.41|0|0|16.46|17.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.48|0|0|0|0|0|0|0|0|21.95
HOSP OP|0250 - PHARMACY|63323-0184-10||FOLIC ACID 5 MG/ML INJECTION SOLUTION|92.95|49.26|0|74.36|0|83.66|0|75.1|66.92|62.91|0|92.95|61.44|0|44.8|76.08|58.37|56.79|0|0|0|72.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.37|0|0|0|0|0|0|0|0|92.95
HOSP OP|0637 - DRUGS/SELF ADMIN|60505-3927-01||GUANFACINE ER 1 MG TABLETEXTENDED RELEASE 24 HR|21.17|11.22|15.88|16.94|17.99|19.05|0|17.11|15.24|14.33|0|21.17|13.99|0|10.2|17.33|13.29|12.93|0|0|15.88|16.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.1|0|0|0|0|0|0|0|0|21.17
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0129-50||LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET|22.64|12|16.98|18.11|19.24|20.38|0|18.29|16.3|15.32|0|22.64|14.97|0|10.91|18.53|14.22|13.83|0|0|16.98|17.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.81|0|0|0|0|0|0|0|0|22.64
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0091-73||HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION|26.94|14.28|20.21|21.55|22.9|24.25|0|21.77|19.4|18.23|0|26.94|17.81|0|12.99|22.05|16.92|16.46|0|0|20.21|21.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.86|0|0|0|0|0|0|0|0|26.94
HOSP OP|0258 - IV SOLUTIONS|00338-0048-02|J7050|SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.648330059|32.81|0|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0258 - IV SOLUTIONS|00338-0051-44|J7050|SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.648330059|32.81|0|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0258 - IV SOLUTIONS|00409-6138-03|J7050|SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.648330059|32.81|0|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0258 - IV SOLUTIONS|00409-7138-09|J7050|SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.648330059|32.81|0|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0258 - IV SOLUTIONS|00409-7972-08|J7050|SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION|43.75|23.19|32.81|35|37.19|39.38|0|35.35|31.5|29.61|0|43.75|0.81|0|0.59|35.81|0.77|0.75|0|0.648330059|32.81|0|0|0|0|0|0|0|0|0|0|0.66|0.648330059|0.66|0|0|0|0.43|0|0|0|0|0|0|0|0|43.75
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-0740-01|J2210|METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION|80.95|42.9|60.71|64.76|68.81|72.86|0|65.41|58.28|54.79|0|80.95|20.34|0|14.79|66.26|19.33|18.81|0|18.03536346|60.71|63.22|0|0|0|0|0|0|0|0|0|18.36|18.03536346|18.36|0|0|0|10.87|0|0|0|0|0|0|0|0|80.95
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-0740-20|J2210|METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION|80.95|42.9|60.71|64.76|68.81|72.86|0|65.41|58.28|54.79|0|80.95|20.34|0|14.79|66.26|19.33|18.81|0|18.03536346|60.71|63.22|0|0|0|0|0|0|0|0|0|18.36|18.03536346|18.36|0|0|0|10.87|0|0|0|0|0|0|0|0|80.95
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0632-20||PRAZOSIN 5 MG CAPSULE|29.51|15.64|22.13|23.61|25.08|26.56|0|23.84|21.25|19.97|0|29.51|19.51|0|14.22|24.15|18.53|18.03|0|0|22.13|23.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.09|0|0|0|0|0|0|0|0|29.51
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6172-61||CARBAMAZEPINE 200 MG TABLET|21.51|11.4|16.13|17.21|18.28|19.36|0|17.38|15.49|14.56|0|21.51|14.22|0|10.37|17.61|13.51|13.14|0|0|16.13|16.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.27|0|0|0|0|0|0|0|0|21.51
HOSP OP|0637 - DRUGS/SELF ADMIN|00378-8021-93||FLUVASTATIN 40 MG CAPSULE|31.16|16.51|23.37|24.93|26.49|28.04|0|25.18|22.44|21.09|0|31.16|20.6|0|15.02|25.5|19.57|19.04|0|0|23.37|24.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.87|0|0|0|0|0|0|0|0|31.16
HOSP OP|0637 - DRUGS/SELF ADMIN|69543-0130-12||ALENDRONATE 35 MG TABLET|21.32|11.3|15.99|17.06|18.12|19.19|0|17.23|15.35|14.43|0|21.32|14.09|0|10.28|17.45|13.39|13.03|0|0|15.99|16.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-9702-25|J1790|DROPERIDOL 2.5 MG/ML INJECTION SOLUTION|47.72|25.29|35.79|38.18|40.56|42.95|0|38.56|34.36|32.3|0|47.72|5.95|0|4.32|39.06|5.65|5.5|0|4.695481336|35.79|37.27|0|0|0|0|0|0|0|0|0|4.78|4.695481336|4.78|0|0|0|3.17|0|0|0|0|0|0|0|0|47.72
HOSP OP|0637 - DRUGS/SELF ADMIN|42192-0329-01||THYROID (PORK) 30 MG TABLET|21.66|11.48|16.25|17.33|18.41|19.49|0|17.5|15.6|14.66|0|21.66|14.32|0|10.44|17.73|13.6|13.23|0|0|16.25|16.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.34|0|0|0|0|0|0|0|0|21.66
HOSP OP|0250 - PHARMACY|00456-0459-01||THYROID (PORK) 60 MG TABLET|22.46|11.9|0|17.97|0|20.21|0|18.15|16.17|15.2|0|22.46|14.85|0|10.83|18.38|14.1|13.72|0|0|0|17.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.72|0|0|0|0|0|0|0|0|22.46
HOSP OP|0637 - DRUGS/SELF ADMIN|00456-0461-01||THYROID (PORK) 120 MG TABLET|24.5|12.98|18.38|19.6|20.83|22.05|0|19.8|17.64|16.58|0|24.5|16.19|0|11.81|20.05|15.39|14.97|0|0|18.38|19.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.69|0|0|0|0|0|0|0|0|24.5
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0812-20||NADOLOL 20 MG TABLET|31.32|16.6|23.49|25.06|26.62|28.19|0|25.31|22.55|21.2|0|31.32|20.7|0|15.1|25.64|19.67|19.14|0|0|23.49|24.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.95|0|0|0|0|0|0|0|0|31.32
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00517-0720-01|J0702|BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION|55.77|29.56|41.83|44.62|47.4|50.19|0|45.06|40.15|37.75|0|55.77|17.78|0|12.92|45.65|16.9|16.44|0|7.072691552|41.83|43.56|0|0|0|0|0|0|0|0|0|7.2|7.072691552|7.2|0|0|0|9.48|0|0|0|0|0|0|0|0|55.77
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0588-59||ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.04|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0588-62||ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION|20.1|10.65|15.08|16.08|17.09|18.09|0|16.24|14.47|13.6|0|20.1|13.29|0|9.69|16.45|12.62|12.28|0|0|15.08|15.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.04|9.59|0|0|0|0|0|0|0|0|20.1
HOSP OP|0250 - PHARMACY|64980-0322-12||MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT|29.84|15.82|0|23.87|0|26.86|0|24.11|21.48|20.2|0|29.84|19.72|0|14.38|24.42|18.74|18.23|0|0|0|23.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.24|0|0|0|0|0|0|0|0|29.84
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-0512-23||OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.35|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0637 - DRUGS/SELF ADMIN|00406-0512-62||OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.35|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0355-11||OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET|20.87|11.06|15.65|16.7|17.74|18.78|0|16.86|15.03|14.12|0|20.87|13.8|0|10.06|17.08|13.11|12.75|0|0|15.65|16.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.35|9.96|0|0|0|0|0|0|0|0|20.87
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63459-0390-08|J9033|BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION|1560.21|826.91|1170.16|1248.17|1326.18|1404.19|1326.18|1260.65|1123.35|1055.95|0|1560.21|976.25|748.75|709.75|1277.03|927.75|902.75|730|28.24165029|1170.16|1218.52|630.63|630.63|630.63|1560.21|1532.13|526.12|630.63|535.4|1532.13|28.75|28.24165029|28.75|0|0|808.5|521.5|630.63|630.63|630.63|630.63|630.63|630.63|649.54|0|1560.21
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00023-3921-02|J0585|ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION|3045|1613.85|2283.75|2436|2588.25|2740.5|2588.25|2460.36|2192.4|2060.86|0|3045|1584|1224|1152|2492.33|1506|1466|1194|6.119842829|2283.75|2378.15|1219|1219|1219|2940.35|2946.35|957.38|1219|974.27|2946.35|6.23|6.119842829|6.23|0|0|1346|846|1219|1219|1219|1219|1219|1219|1255.57|0|3045
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0039-28|J2920|METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION|45.6|24.17|34.2|36.48|38.76|41.04|0|36.84|32.83|30.86|0|45.6|6.28|0|4.57|37.32|5.97|5.81|0|4.577603143|34.2|35.61|0|0|0|0|0|0|0|0|0|4.66|4.577603143|4.66|0|0|0|3.35|0|0|0|0|0|0|0|0|45.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0047-22|J2930|METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION|51.58|27.34|38.69|41.26|43.84|46.42|0|41.68|37.14|34.91|0|51.58|8.94|0|6.5|42.22|8.5|8.27|0|6.316306483|38.69|40.28|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|4.77|0|0|0|0|0|0|0|0|51.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0047-25|J2930|METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION|51.58|27.34|38.69|41.26|43.84|46.42|0|41.68|37.14|34.91|0|51.58|8.94|0|6.5|42.22|8.5|8.27|0|6.316306483|38.69|40.28|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|4.77|0|0|0|0|0|0|0|0|51.58
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0018-20|J2930|METHYLPREDNISOLONE SOD SUCC (PF) 1000 MG/8 ML INTRAVENOUS SOLUTION|152.15|80.64|114.11|121.72|129.33|136.94|0|122.94|109.55|102.98|0|152.15|71.52|0|52|124.53|68|66.16|0|6.316306483|114.11|118.83|0|0|0|0|0|0|0|0|0|6.43|6.316306483|6.43|0|0|0|38.16|0|0|0|0|0|0|0|0|152.15
HOSP OP|0250 - PHARMACY|45802-0050-03||DIBUCAINE 1 % TOPICAL OINTMENT|36.89|19.55|0|29.51|0|33.2|0|29.81|26.56|24.97|0|36.89|24.38|0|17.78|30.19|23.17|22.54|0|0|0|28.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.61|0|0|0|0|0|0|0|0|36.89
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3402-95|J0290|AMPICILLIN 250 MG SOLUTION FOR INJECTION|41.47|21.98|31.1|33.18|35.25|37.32|0|33.51|29.86|28.07|0|41.47|1.29|0|0.94|33.94|1.23|1.19|0|0.982318271|31.1|32.39|0|0|0|0|0|0|0|0|0|1|0.982318271|1|0|0|0|0.68|0|0|0|0|0|0|0|0|41.47
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00005-1971-02|90670|PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE|509.19|269.87|381.89|407.35|432.81|458.27|432.81|411.43|366.62|344.62|0|509.19|264.59|215.33|192.39|416.77|251.46|244.7|209.95|214.6168959|381.89|397.68|203.68|0|203.68|509.19|509.19|235.58|203.68|288.88|509.19|218.48|214.6168959|218.48|0|0|241.18|141.36|219.28|219.28|203.68|219.28|254.6|203.68|203.68|0|509.19
HOSP OP|0250 - PHARMACY|63323-0482-17||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|46.53|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0250 - PHARMACY|00409-3178-01||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|42.8|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0250 - PHARMACY|63323-0482-27||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|42.8|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0250 - PHARMACY|00409-3178-02||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|47.43|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0250 - PHARMACY|00409-3178-03||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|44.88|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0250 - PHARMACY|63323-0482-57||LIDOCAINE 1 %-EPINEPHRINE 1:100000 INJECTION SOLUTION|44.88|24.66|34.9|37.22|39.55|41.88|0|37.6|33.5|31.49|0|46.53|30.76|0|22.43|38.08|29.22|28.43|0|0|34.9|36.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|18.61|22.21|0|0|0|0|0|0|0|0|46.53
HOSP OP|0637 - DRUGS/SELF ADMIN|00009-5136-01||LINEZOLID 100 MG/5 ML ORAL SUSPENSION|254.62|134.95|190.97|203.7|216.43|229.16|0|205.73|183.33|172.33|0|254.62|168.3|0|122.73|208.41|159.9|155.57|0|0|190.97|198.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.53|0|0|0|0|0|0|0|0|254.62
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0094-03||LINEZOLID 100 MG/5 ML ORAL SUSPENSION|254.62|134.95|190.97|203.7|216.43|229.16|0|205.73|183.33|172.33|0|254.62|168.3|0|122.73|208.41|159.9|155.57|0|0|190.97|198.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|121.53|0|0|0|0|0|0|0|0|254.62
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|NMRRX-0941-63|A9153|MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID|26.4|13.99|19.8|21.12|22.44|23.76|22.44|21.33|19.01|17.87|0|26.4|17.45|14.78|12.72|21.61|16.58|16.13|14.41|0|19.8|20.62|10.56|0|10.56|22.81|23.7|11.37|10.56|11.56|23.7|0|0|0|0|0|0|12.6|0|0|10.56|0|13.2|10.56|10.56|0|26.4
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0944-01||BUPROPION HCL 100 MG TABLET|21.91|11.61|16.43|17.53|18.62|19.72|0|17.7|15.78|14.83|0|21.91|14.48|0|10.56|17.93|13.76|13.39|0|0|16.43|17.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.46|0|0|0|0|0|0|0|0|21.91
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0944-20||BUPROPION HCL 100 MG TABLET|21.91|11.61|16.43|17.53|18.62|19.72|0|17.7|15.78|14.83|0|21.91|14.48|0|10.56|17.93|13.76|13.39|0|0|16.43|17.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.46|0|0|0|0|0|0|0|0|21.91
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00053-7680-32|P9047|ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION|115.63|61.28|86.72|92.5|98.29|104.07|98.29|93.43|83.25|78.26|0|115.63|67.66|52.45|49.2|94.64|64.3|62.57|51.14|52.4459725|86.72|90.31|52.45|52.45|52.45|115.63|113.55|41.05|52.45|41.78|113.55|53.39|52.4459725|53.39|0|0|58.75|36.14|52.45|52.45|52.45|52.45|52.45|52.45|54.02|0|115.63
HOSP OP|0637 - DRUGS/SELF ADMIN|68094-0853-62||NALTREXONE 50 MG TABLET|25.37|13.45|19.03|20.3|21.56|22.83|0|20.5|18.27|17.17|0|25.37|16.77|0|12.23|20.77|15.93|15.5|0|0|19.03|19.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.11|0|0|0|0|0|0|0|0|25.37
HOSP OP|0637 - DRUGS/SELF ADMIN|00555-0071-02||ISONIAZID 300 MG TABLET|21.3|11.29|15.98|17.04|18.11|19.17|0|17.21|15.34|14.42|0|21.3|14.08|0|10.27|17.43|13.38|13.01|0|0|15.98|16.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.17|0|0|0|0|0|0|0|0|21.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|67386-0501-52|J2515|PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION|225.83|119.69|169.37|180.66|191.96|203.25|191.96|182.47|162.6|152.84|0|225.83|186.87|135.42|135.9|184.84|177.6|172.83|132.03|34.98035363|169.37|176.37|90.33|0|90.33|225.83|225.83|187.68|90.33|141.21|225.83|35.61|34.98035363|35.61|0|0|127.83|99.84|0|0|90.33|0|112.92|90.33|90.33|0|225.83
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6450-61||ISOSORBIDE MONONITRATE ER 60 MG TABLETEXTENDED RELEASE 24 HR|20.74|10.99|15.56|16.59|17.63|18.67|0|16.76|14.93|14.04|0|20.74|13.71|0|10|16.98|13.02|12.67|0|0|15.56|16.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.9|0|0|0|0|0|0|0|0|20.74
HOSP OP|0637 - DRUGS/SELF ADMIN|00527-1344-01||LEVOTHYROXINE 88 MCG TABLET|21.33|11.3|16|17.06|18.13|19.2|0|17.23|15.36|14.44|0|21.33|14.1|0|10.28|17.46|13.4|13.03|0|0|16|16.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.18|0|0|0|0|0|0|0|0|21.33
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0789-01||ALPRAZOLAM 0.5 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0789-20||ALPRAZOLAM 0.5 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0672-01||ALPRAZOLAM 0.5 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0672-11||ALPRAZOLAM 0.5 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00085-1177-01|J1327|EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION|443.65|235.13|332.74|354.92|377.1|399.29|377.1|358.47|319.43|300.26|0|443.65|150.92|139.96|109.76|363.13|143.44|139.6|136.48|39.90176817|332.74|346.49|15.69|15.69|15.69|32.32|32.38|10.52|15.69|10.71|32.38|40.62|39.90176817|40.62|0|0|123.56|80.6|15.69|15.69|15.69|15.69|15.69|15.69|16.16|0|443.65
HOSP OP|0637 - DRUGS/SELF ADMIN|64980-0151-01||AMILORIDE 5 MG TABLET|22.04|11.68|16.53|17.63|18.73|19.84|0|17.81|15.87|14.92|0|22.04|14.57|0|10.62|18.04|13.84|13.47|0|0|16.53|17.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.52|0|0|0|0|0|0|0|0|22.04
HOSP OP|0258 - IV SOLUTIONS|00338-0270-03|J7100|DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION|95|50.35|71.25|76|80.75|85.5|0|76.76|68.4|64.3|0|95|34.22|0|24.89|77.76|32.53|31.65|0|17.77013752|71.25|74.2|0|0|0|0|0|0|0|0|0|18.09|17.77013752|18.09|0|0|0|18.28|0|0|0|0|0|0|0|0|95
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5282-61||RIFAMPIN 300 MG CAPSULE|21.66|11.48|16.25|17.33|18.41|19.49|0|17.5|15.6|14.66|0|21.66|14.32|0|10.44|17.73|13.6|13.23|0|0|16.25|16.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.34|0|0|0|0|0|0|0|0|21.66
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0877-15|J2545|PENTAMIDINE 300 MG SOLUTION FOR INHALATION|287.4|152.32|215.55|229.92|244.29|258.66|244.29|232.22|206.93|194.51|0|287.4|141.5|0|102.89|235.24|134.48|130.86|0|121.2082515|215.55|224.46|114.96|0|114.96|248.31|258.05|123.78|114.96|125.79|258.05|123.39|121.2082515|123.39|0|0|0|75.59|0|0|114.96|0|143.7|114.96|114.96|0|287.4
HOSP OP|0250 - PHARMACY|63323-0281-10||FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION|60.89|32.27|0|48.71|0|54.8|0|49.2|43.84|41.21|0|60.89|40.25|0|29.35|49.84|38.24|37.2|0|0|0|47.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|29.06|0|0|0|0|0|0|0|0|60.89
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6550-61||PROPRANOLOL 10 MG TABLET|20.66|10.95|15.5|16.53|17.56|18.59|0|16.69|14.88|13.98|0|20.66|13.66|0|9.96|16.91|12.97|12.62|0|0|15.5|16.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.86|0|0|0|0|0|0|0|0|20.66
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-3232-61||CALCIUM CARBONATE 600 MG CALCIUM (1500 MG) TABLET|20.08|10.64|15.06|16.06|17.07|18.07|0|16.22|14.46|13.59|0|20.08|13.27|0|9.68|16.44|12.61|12.27|0|0|15.06|15.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.58|0|0|0|0|0|0|0|0|20.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0273-01||ENTACAPONE 200 MG TABLET|33.08|17.53|24.81|26.46|28.12|29.77|0|26.73|23.82|22.39|0|33.08|21.87|0|15.94|27.08|20.77|20.21|0|0|24.81|25.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.79|0|0|0|0|0|0|0|0|33.08
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0273-03||ENTACAPONE 200 MG TABLET|33.08|17.53|24.81|26.46|28.12|29.77|0|26.73|23.82|22.39|0|33.08|21.87|0|15.94|27.08|20.77|20.21|0|0|24.81|25.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.79|0|0|0|0|0|0|0|0|33.08
HOSP OP|0250 - PHARMACY|00409-7139-09||WATER FOR IRRIGATION STERILE SOLUTION|52.5|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|00338-0004-05||WATER FOR IRRIGATION STERILE SOLUTION|47.5|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0250 - PHARMACY|00338-0003-47||WATER FOR IRRIGATION STERILE SOLUTION|55|27.82|0|42|0|47.25|0|42.42|37.8|35.53|0|52.5|34.7|0|25.31|42.97|32.97|32.08|0|0|0|41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|25.06|0|0|0|0|0|0|0|0|52.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3208-85|J0696|CEFTRIAXONE 1 GRAM IM INJECTION|50.83|26.94|38.12|40.66|43.21|45.75|0|41.07|36.6|34.4|0|50.83|3.36|0|2.44|41.6|3.2|3.12|0|0.599214145|38.12|39.7|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|1.8|0|0|0|0|0|0|0|0|50.83
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00781-3208-95|J0696|CEFTRIAXONE 1 GRAM IM INJECTION|50.83|26.94|38.12|40.66|43.21|45.75|0|41.07|36.6|34.4|0|50.83|3.36|0|2.44|41.6|3.2|3.12|0|0.599214145|38.12|39.7|0|0|0|0|0|0|0|0|0|0.61|0.599214145|0.61|0|0|0|1.8|0|0|0|0|0|0|0|0|50.83
HOSP OP|0250 - PHARMACY|68084-0956-25||SIROLIMUS 0.5 MG TABLET|44.38|23.52|0|35.5|0|39.94|0|35.86|31.95|30.04|0|44.38|29.34|0|21.39|36.33|27.87|27.12|0|0|0|34.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.38
HOSP OP|0250 - PHARMACY|68084-0956-95||SIROLIMUS 0.5 MG TABLET|44.38|23.52|0|35.5|0|39.94|0|35.86|31.95|30.04|0|44.38|29.34|0|21.39|36.33|27.87|27.12|0|0|0|34.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.18|0|0|0|0|0|0|0|0|44.38
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0013-05|J1720|HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION|102.5|54.32|76.88|82|87.13|92.25|0|82.82|73.8|69.37|0|102.5|50.28|0|36.54|83.9|47.79|46.5|0|13.04518664|76.88|80.05|0|0|0|0|0|0|0|0|0|13.28|13.04518664|13.28|0|0|0|26.85|0|0|0|0|0|0|0|0|102.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0013-06|J1720|HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION|102.5|54.32|76.88|82|87.13|92.25|0|82.82|73.8|69.37|0|102.5|50.28|0|36.54|83.9|47.79|46.5|0|13.04518664|76.88|80.05|0|0|0|0|0|0|0|0|0|13.28|13.04518664|13.28|0|0|0|26.85|0|0|0|0|0|0|0|0|102.5
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0011-03|J1720|HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION|56.77|30.09|42.58|45.42|48.25|51.09|0|45.87|40.87|38.42|0|56.77|16.76|0|12.18|46.47|15.93|15.5|0|13.04518664|42.58|44.34|0|0|0|0|0|0|0|0|0|13.28|13.04518664|13.28|0|0|0|8.95|0|0|0|0|0|0|0|0|56.77
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00009-0011-04|J1720|HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION|56.77|30.09|42.58|45.42|48.25|51.09|0|45.87|40.87|38.42|0|56.77|16.76|0|12.18|46.47|15.93|15.5|0|13.04518664|42.58|44.34|0|0|0|0|0|0|0|0|0|13.28|13.04518664|13.28|0|0|0|8.95|0|0|0|0|0|0|0|0|56.77
HOSP OP|0637 - DRUGS/SELF ADMIN|65649-0303-03||RIFAXIMIN 550 MG TABLET|138.68|73.5|104.01|110.94|117.88|124.81|0|112.05|99.85|93.86|0|138.68|91.67|0|66.84|113.51|87.09|84.73|0|0|104.01|108.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.19|0|0|0|0|0|0|0|0|138.68
HOSP OP|0250 - PHARMACY|68084-0929-32||TRANEXAMIC ACID 650 MG TABLET|25.97|13.76|0|20.78|0|23.37|0|20.98|18.7|17.58|0|25.97|17.17|0|12.52|21.26|16.31|15.87|0|0|0|20.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.4|0|0|0|0|0|0|0|0|25.97
HOSP OP|0250 - PHARMACY|69918-0301-30||TRANEXAMIC ACID 650 MG TABLET|25.97|13.76|0|20.78|0|23.37|0|20.98|18.7|17.58|0|25.97|17.17|0|12.52|21.26|16.31|15.87|0|0|0|20.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.4|0|0|0|0|0|0|0|0|25.97
HOSP OP|0250 - PHARMACY|60505-0363-01||OFLOXACIN 0.3 % EAR DROPS|74.41|39.44|0|59.53|0|66.97|0|60.12|53.58|50.36|0|74.41|49.19|0|35.87|60.9|46.73|45.46|0|0|0|58.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.52|0|0|0|0|0|0|0|0|74.41
HOSP OP|0637 - DRUGS/SELF ADMIN|00024-1596-01||PRIMAQUINE 26.3 MG TABLET|24.95|13.22|18.71|19.96|21.21|22.46|0|20.16|17.96|16.89|0|24.95|16.49|0|12.03|20.42|15.67|15.24|0|0|18.71|19.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.91|0|0|0|0|0|0|0|0|24.95
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55513-0710-01|J0897|DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE|3563.22|1888.51|2672.42|2850.58|3028.74|3206.9|3028.74|2879.08|2565.52|2411.59|0|3563.22|1440.6|1170|1047.6|2916.5|1369.2|1332|1140.6|19.28290766|2672.42|2782.87|1194.06|1194.06|1194.06|2780.32|2785.99|905.28|1194.06|921.24|2785.99|19.63|19.28290766|19.63|0|0|920.4|769.2|1194.06|1194.06|1194.06|1194.06|1194.06|1194.06|1229.88|0|3563.22
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|63323-0013-02|J3411|THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION|42.73|22.65|32.05|34.18|36.32|38.46|0|34.53|30.77|28.92|0|42.73|3.9|0|2.83|34.97|3.7|3.6|0|1.650294695|32.05|33.37|0|0|0|0|0|0|0|0|0|1.68|1.650294695|1.68|0|0|0|2.07|0|0|0|0|0|0|0|0|42.73
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0374-01||CHLORDIAZEPOXIDE 5 MG CAPSULE|21.59|11.44|16.19|17.27|18.35|19.43|0|17.44|15.54|14.61|0|21.59|14.27|0|10.41|17.67|13.56|13.19|0|0|16.19|16.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.59
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0374-20||CHLORDIAZEPOXIDE 5 MG CAPSULE|21.59|11.44|16.19|17.27|18.35|19.43|0|17.44|15.54|14.61|0|21.59|14.27|0|10.41|17.67|13.56|13.19|0|0|16.19|16.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.3|0|0|0|0|0|0|0|0|21.59
HOSP OP|0250 - PHARMACY|17478-0622-35||SODIUM CHLORIDE 5 % EYE OINTMENT|56.78|30.09|0|45.42|0|51.1|0|45.88|40.88|38.43|0|56.78|37.53|0|27.37|46.47|35.66|34.69|0|0|0|44.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|27.1|0|0|0|0|0|0|0|0|56.78
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-1554-04||POTASSIUM CHLORIDE 20 MEQ ORAL PACKET|40.55|21.49|30.41|32.44|34.47|36.5|0|32.76|29.2|27.44|0|40.55|26.8|0|19.55|33.19|25.47|24.78|0|0|30.41|31.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.35|0|0|0|0|0|0|0|0|40.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00603-1554-10||POTASSIUM CHLORIDE 20 MEQ ORAL PACKET|40.55|21.49|30.41|32.44|34.47|36.5|0|32.76|29.2|27.44|0|40.55|26.8|0|19.55|33.19|25.47|24.78|0|0|30.41|31.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.35|0|0|0|0|0|0|0|0|40.55
HOSP OP|0637 - DRUGS/SELF ADMIN|00245-0003-31||POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION|26.05|13.81|19.54|20.84|22.14|23.45|0|21.05|18.76|17.63|0|26.05|17.22|0|12.56|21.32|16.36|15.92|0|0|19.54|20.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.43|0|0|0|0|0|0|0|0|26.05
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0097-02||POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION|26.05|13.81|19.54|20.84|22.14|23.45|0|21.05|18.76|17.63|0|26.05|17.22|0|12.56|21.32|16.36|15.92|0|0|19.54|20.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.43|0|0|0|0|0|0|0|0|26.05
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|25021-0703-60|J3030|SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION|57.01|30.22|42.76|45.61|48.46|51.31|0|46.06|41.05|38.58|0|57.01|57.01|0|57.01|46.66|57.01|57.01|0|62.1611002|42.76|44.52|0|0|0|0|0|0|0|0|0|63.28|62.1611002|63.28|0|0|0|46.96|0|0|0|0|0|0|0|0|63.28
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55150-0173-01|J3030|SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION|57.01|30.22|42.76|45.61|48.46|51.31|0|46.06|41.05|38.58|0|57.01|57.01|0|57.01|46.66|57.01|57.01|0|62.1611002|42.76|44.52|0|0|0|0|0|0|0|0|0|63.28|62.1611002|63.28|0|0|0|46.96|0|0|0|0|0|0|0|0|63.28
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0485-01||FLUPHENAZINE 1 MG TABLET|21.07|11.17|15.8|16.86|17.91|18.96|0|17.02|15.17|14.26|0|21.07|13.93|0|10.16|17.25|13.23|12.87|0|0|15.8|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.07
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0485-20||FLUPHENAZINE 1 MG TABLET|21.07|11.17|15.8|16.86|17.91|18.96|0|17.02|15.17|14.26|0|21.07|13.93|0|10.16|17.25|13.23|12.87|0|0|15.8|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.07
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5657-61||CLONIDINE HCL 0.2 MG TABLET|20.17|10.69|15.13|16.14|17.14|18.15|0|16.3|14.52|13.65|0|20.17|13.33|0|9.72|16.51|12.67|12.32|0|0|15.13|15.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.63|0|0|0|0|0|0|0|0|20.17
HOSP OP|0637 - DRUGS/SELF ADMIN|00115-1661-01||PROPRANOLOL 40 MG TABLET|20.44|10.83|15.33|16.35|17.37|18.4|0|16.52|14.72|13.83|0|20.44|13.51|0|9.85|16.73|12.84|12.49|0|0|15.33|15.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.76|0|0|0|0|0|0|0|0|20.44
HOSP OP|0250 - PHARMACY|51672-2020-01||TOLNAFTATE 1 % TOPICAL CREAM|25.22|13.37|0|20.18|0|22.7|0|20.38|18.16|17.07|0|25.22|16.67|0|12.16|20.64|15.84|15.41|0|0|0|19.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.04|0|0|0|0|0|0|0|0|25.22
HOSP OP|0637 - DRUGS/SELF ADMIN|43199-0020-01||METHENAMINE HIPPURATE 1 GRAM TABLET|24.73|13.11|18.55|19.78|21.02|22.26|0|19.98|17.81|16.74|0|24.73|16.35|0|11.92|20.24|15.53|15.11|0|0|18.55|19.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11.8|0|0|0|0|0|0|0|0|24.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-9040-03|J0278|AMIKACIN 1000 MG/4 ML INJECTION SOLUTION|63.05|33.42|47.29|50.44|53.59|56.75|0|50.94|45.4|42.67|0|63.05|15.2|0|11.1|51.61|14.5|14.1|0|1.277013752|47.29|49.24|0|0|0|0|0|0|0|0|0|1.3|1.277013752|1.3|0|0|0|8.1|0|0|0|0|0|0|0|0|63.05
HOSP OP|0250 - PHARMACY|24338-0130-13||ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION|1220.5|646.86|0|976.4|0|1098.45|0|986.16|878.76|826.03|0|1220.5|806.75|0|588.28|998.98|766.47|745.73|0|0|0|953.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|582.54|0|0|0|0|0|0|0|0|1220.5
HOSP OP|0637 - DRUGS/SELF ADMIN|42858-0301-25||HYDROMORPHONE 2 MG TABLET|20.39|10.81|15.29|16.31|17.33|18.35|0|16.48|14.68|13.8|0|20.39|13.48|0|9.83|16.69|12.8|12.46|0|0|15.29|15.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.73|0|0|0|0|0|0|0|0|20.39
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-5858-61||ALPRAZOLAM 0.25 MG TABLET|20.12|10.66|15.09|16.1|17.1|18.11|0|16.26|14.49|13.62|0|20.12|13.3|0|9.7|16.47|12.64|12.29|0|0|15.09|15.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.6|0|0|0|0|0|0|0|0|20.12
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00259-1610-01|J0588|INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION|1245|659.85|933.75|996|1058.25|1120.5|1058.25|1005.96|896.4|842.62|0|1245|655|509|477|1019.03|623|606|496|5.009823183|933.75|972.35|501.8|501.8|501.8|1204.11|1206.56|392.06|501.8|398.97|1206.56|5.1|5.009823183|5.1|0|0|565|350|501.8|501.8|501.8|501.8|501.8|501.8|516.85|0|1245
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00259-1605-01|J0588|INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION|672.5|356.42|504.38|538|571.63|605.25|571.63|543.38|484.2|455.15|0|672.5|327.5|254.5|238.5|550.44|311.5|303|248|5.009823183|504.38|525.22|250.9|250.9|250.9|602.05|603.28|196.03|250.9|199.49|603.28|5.1|5.009823183|5.1|0|0|282.5|175|250.9|250.9|250.9|250.9|250.9|250.9|258.43|0|672.5
HOSP OP|0250 - PHARMACY|12496-1202-01||BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM|33.96|18|0|27.17|0|30.56|0|27.44|24.45|22.98|0|33.96|22.45|0|16.37|27.8|21.33|20.75|0|0|0|26.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.21|0|0|0|0|0|0|0|0|33.96
HOSP OP|0637 - DRUGS/SELF ADMIN|59762-0016-01||CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION|89.2|47.28|66.9|71.36|75.82|80.28|0|72.07|64.22|60.37|0|89.2|58.96|0|42.99|73.01|56.02|54.5|0|0|66.9|69.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.58|0|0|0|0|0|0|0|0|89.2
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0098-05||CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION|89.2|47.28|66.9|71.36|75.82|80.28|0|72.07|64.22|60.37|0|89.2|58.96|0|42.99|73.01|56.02|54.5|0|0|66.9|69.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|42.58|0|0|0|0|0|0|0|0|89.2
HOSP OP|0250 - PHARMACY|00597-0135-60||DABIGATRAN ETEXILATE 150 MG CAPSULE|34.7|18.39|0|27.76|0|31.23|0|28.04|24.98|23.48|0|34.7|22.94|0|16.73|28.4|21.79|21.2|0|0|0|27.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.56|0|0|0|0|0|0|0|0|34.7
HOSP OP|0637 - DRUGS/SELF ADMIN|00904-6085-61||CITALOPRAM 20 MG TABLET|20.15|10.68|15.11|16.12|17.13|18.14|0|16.28|14.51|13.64|0|20.15|13.32|0|9.71|16.49|12.65|12.31|0|0|15.11|15.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.62|0|0|0|0|0|0|0|0|20.15
HOSP OP|0250 - PHARMACY|00409-7074-26|J3480|POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK|51|27.03|38.25|40.8|43.35|45.9|0|41.21|36.72|34.52|0|51|0.9|0|0.65|41.74|0.85|0.85|0|0.137524558|38.25|39.83|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.45|0|0|0|0|0|0|0|0|51
HOSP OP|0637 - DRUGS/SELF ADMIN|68084-0581-09||ZIPRASIDONE 20 MG CAPSULE|31.25|16.56|23.44|25|26.56|28.13|0|25.25|22.5|21.15|0|31.25|20.66|0|15.06|25.58|19.63|19.09|0|0|23.44|24.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.92|0|0|0|0|0|0|0|0|31.25
HOSP OP|0637 - DRUGS/SELF ADMIN|50102-0911-01|J8499|ULIPRISTAL 30 MG TABLET|119.6|63.39|89.7|95.68|101.66|107.64|101.66|96.64|86.11|80.95|0|119.6|79.06|0|57.65|97.89|75.11|73.08|65.3|0|89.7|93.41|119.6|119.6|0|103.33|107.39|51.51|119.6|52.35|107.39|0|0|0|0|0|0|57.09|0|0|119.6|0|137.54|119.6|119.6|0|137.54
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00456-0600-01|J0712|CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION|414.73|219.81|311.05|331.78|352.52|373.26|352.52|335.1|298.61|280.69|0|414.73|225|276.6|163.8|339.46|214.2|208.2|269.4|3.182711198|311.05|323.9|165.89|0|165.89|414.73|414.73|234.6|165.89|267.6|414.73|3.24|3.182711198|3.24|0|0|212.4|120|0|0|165.89|0|207.37|165.89|165.89|0|414.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00456-0600-10|J0712|CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION|414.73|219.81|311.05|331.78|352.52|373.26|352.52|335.1|298.61|280.69|0|414.73|225|276.6|163.8|339.46|214.2|208.2|269.4|3.182711198|311.05|323.9|165.89|0|165.89|414.73|414.73|234.6|165.89|267.6|414.73|3.24|3.182711198|3.24|0|0|212.4|120|0|0|165.89|0|207.37|165.89|165.89|0|414.73
HOSP OP|0250 - PHARMACY|00597-0149-60||DABIGATRAN ETEXILATE 75 MG CAPSULE|34.7|18.39|0|27.76|0|31.23|0|28.04|24.98|23.48|0|34.7|22.94|0|16.73|28.4|21.79|21.2|0|0|0|27.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16.56|0|0|0|0|0|0|0|0|34.7
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00006-3941-32|J1453|FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION|760.73|403.19|570.55|608.58|646.62|684.66|646.62|614.67|547.73|514.86|0|760.73|406.5|321|295.5|622.66|385.5|376.5|313.5|1.984282908|570.55|594.13|161.25|161.25|161.25|713.72|715.18|232.39|161.25|236.49|715.18|2.02|1.984282908|2.02|0|0|334.5|217.5|161.25|161.25|161.25|161.25|161.25|161.25|166.09|0|760.73
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|55513-0730-01|J0897|DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION|6554.32|3473.79|4915.74|5243.46|5571.17|5898.89|5571.17|5295.89|4719.11|4435.96|0|6554.32|2881.2|2340|2095.2|5364.71|2738.4|2664|2281.2|19.28290766|4915.74|5118.92|2388.12|2388.12|2388.12|5560.64|5571.99|1810.55|2388.12|1842.48|5571.99|19.63|19.28290766|19.63|0|0|1840.8|1538.4|2388.12|2388.12|2388.12|2388.12|2388.12|2388.12|2459.76|0|6554.32
HOSP OP|0250 - PHARMACY|00132-0301-40||MINERAL OIL ENEMA|25.99|13.77|0|20.79|0|23.39|0|21|18.71|17.59|0|25.99|17.18|0|12.53|21.27|16.32|15.88|0|0|0|20.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.41|0|0|0|0|0|0|0|0|25.99
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0800-20|J1561|IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|1183.13|627.06|887.35|946.5|1005.66|1064.82|1005.66|955.97|851.85|800.74|0|1183.13|517.4|558.2|376.2|968.39|491.7|478.5|544.2|40.35363458|887.35|924.02|473.25|0|473.25|402.2|402.2|523|473.25|545.1|402.2|41.08|40.35363458|41.08|0|0|432.8|276.4|0|0|473.25|0|591.57|473.25|473.25|0|1183.13
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0800-71|J1561|IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|2326.25|1232.91|1744.69|1861|1977.31|2093.63|1977.31|1879.61|1674.9|1574.41|0|2326.25|1034.8|1116.4|752.4|1904.04|983.4|957|1088.4|40.35363458|1744.69|1816.8|930.5|0|930.5|804.4|804.4|1046|930.5|1090.2|804.4|41.08|40.35363458|41.08|0|0|865.6|552.8|0|0|930.5|0|1163.13|930.5|930.5|0|2326.25
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|13533-0800-24|J1561|IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN|4612.5|2444.62|3459.38|3690|3920.63|4151.25|3920.63|3726.9|3321|3121.74|0|4612.5|2069.6|2232.8|1504.8|3775.33|1966.8|1914|2176.8|40.35363458|3459.38|3602.36|1845|0|1845|1608.8|1608.8|2092|1845|2180.4|1608.8|41.08|40.35363458|41.08|0|0|1731.2|1105.6|0|0|1845|0|2306.25|1845|1845|0|4612.5
HOSP OP|0637 - DRUGS/SELF ADMIN|66758-0190-06|J3480|POTASSIUM CHLORIDE ER 20 MEQ TABLETEXTENDED RELEASE(PART/CRYST)|21.02|11.14|15.77|16.82|17.87|18.92|0|16.98|15.13|14.23|0|21.02|1.8|0|1.3|17.2|1.7|1.7|0|0.137524558|15.77|16.42|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.9|0|0|0|0|0|0|0|0|21.02
HOSP OP|0637 - DRUGS/SELF ADMIN|66758-0190-13|J3480|POTASSIUM CHLORIDE ER 20 MEQ TABLETEXTENDED RELEASE(PART/CRYST)|21.02|11.14|15.77|16.82|17.87|18.92|0|16.98|15.13|14.23|0|21.02|1.8|0|1.3|17.2|1.7|1.7|0|0.137524558|15.77|16.42|0|0|0|0|0|0|0|0|0|0.14|0.137524558|0.14|0|0|0|0.9|0|0|0|0|0|0|0|0|21.02
HOSP OP|0637 - DRUGS/SELF ADMIN|00046-1108-11||CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-5 MG TABLET|40.19|21.3|30.14|32.15|34.16|36.17|0|32.47|28.94|27.2|0|40.19|26.57|0|19.37|32.9|25.24|24.56|0|0|30.14|31.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.18|0|0|0|0|0|0|0|0|40.19
HOSP OP|0637 - DRUGS/SELF ADMIN|50383-0810-16||ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION|31.18|16.53|23.39|24.94|26.5|28.06|0|25.19|22.45|21.1|0|31.18|20.61|0|15.03|25.52|19.58|19.05|0|0|23.39|24.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.88|0|0|0|0|0|0|0|0|31.18
HOSP OP|0637 - DRUGS/SELF ADMIN|NMRRX-0009-93||ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION|31.18|16.53|23.39|24.94|26.5|28.06|0|25.19|22.45|21.1|0|31.18|20.61|0|15.03|25.52|19.58|19.05|0|0|23.39|24.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|14.88|0|0|0|0|0|0|0|0|31.18
HOSP OP|0250 - PHARMACY|63323-0652-10||ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION|66.7|35.35|0|53.36|0|60.03|0|53.89|48.02|45.14|0|66.7|44.09|0|32.15|54.59|41.89|40.75|0|0|0|52.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|31.84|0|0|0|0|0|0|0|0|66.7
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0966-20||FAMOTIDINE 20 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0637 - DRUGS/SELF ADMIN|63739-0645-10||FAMOTIDINE 20 MG TABLET|20.19|10.7|15.14|16.15|17.16|18.17|0|16.31|14.54|13.66|0|20.19|13.35|0|9.73|16.53|12.68|12.34|0|0|15.14|15.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.08|9.64|0|0|0|0|0|0|0|0|20.19
HOSP OP|0250 - PHARMACY|39328-0106-10||PRENATAL VITAMIN WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET|20.4|10.81|0|16.32|0|18.36|0|16.48|14.69|13.81|0|20.4|13.48|0|9.83|16.7|12.81|12.46|0|0|0|15.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.74|0|0|0|0|0|0|0|0|20.4
HOSP OP|0250 - PHARMACY|50419-0454-04||ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH|116.42|61.7|0|93.14|0|104.78|0|94.07|83.82|78.79|0|116.42|76.95|0|56.11|95.29|73.11|71.13|0|0|0|90.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|55.57|0|0|0|0|0|0|0|0|116.42
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|43825-0102-01|J0131|ACETAMINOPHEN 1000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION|117|62.01|87.75|93.6|99.45|105.3|0|94.54|84.24|79.19|0|117|53|0|38|95.76|50|49|0|0.481335953|87.75|91.38|0|0|0|0|0|0|0|0|0|0.49|0.481335953|0.49|0|0|0|28|0|0|0|0|0|0|0|0|117
HOSP OP|0637 - DRUGS/SELF ADMIN|68180-0488-09||PRAVASTATIN 80 MG TABLET|21.08|11.17|15.81|16.86|17.92|18.97|0|17.03|15.18|14.27|0|21.08|13.93|0|10.16|17.25|13.24|12.88|0|0|15.81|16.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10.06|0|0|0|0|0|0|0|0|21.08
HOSP OP|0250 - PHARMACY|63402-0304-10||LURASIDONE 40 MG TABLET|131.51|69.7|0|105.21|0|118.36|0|106.26|94.69|89.01|0|131.51|86.93|0|63.39|107.64|82.59|80.35|0|0|0|102.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.77|0|0|0|0|0|0|0|0|131.51
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|45945-0151-01|J0476|BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE|223.6|118.51|167.7|178.88|190.06|201.24|0|180.67|160.99|151.33|0|223.6|57.21|0|41.6|183.02|54.37|52.91|0|60.06876228|167.7|174.63|0|0|0|0|0|0|0|0|0|61.15|60.06876228|61.15|0|0|0|30.56|0|0|0|0|0|0|0|0|223.6
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|45945-0155-02|J0475|BACLOFEN 10000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION|448|237.44|336|358.4|380.8|403.2|380.8|361.98|322.56|303.21|0|448|218.98|185.55|159.23|366.69|208.11|202.51|180.91|173.5952849|336|349.89|175.16|175.16|175.16|417.3|418.15|135.87|175.16|138.27|418.15|176.72|173.5952849|176.72|0|0|194.2|116.99|175.16|175.16|175.16|175.16|175.16|175.16|180.41|0|448
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|45945-0157-02|J0475|BACLOFEN 40000 MCG/20 ML (2000 MCG/ML) INTRATHECAL SOLUTION|1618.45|857.78|1213.84|1294.76|1375.68|1456.61|1375.68|1307.71|1165.28|1095.37|0|1618.45|875.92|742.2|636.92|1324.7|832.44|810.04|723.64|173.5952849|1213.84|1264.01|700.64|700.64|700.64|1618.45|1589.32|543.49|700.64|553.08|1589.32|176.72|173.5952849|176.72|0|0|776.8|467.96|700.64|700.64|700.64|700.64|700.64|700.64|721.66|0|1618.45
HOSP OP|0250 - PHARMACY|00409-4888-10||SODIUM CHLORIDE 0.9 % INJECTION SOLUTION|41.3|21.89|0|33.04|0|37.17|0|33.37|29.74|27.95|0|41.3|27.3|0|19.91|33.8|25.94|25.23|0|0|0|32.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.71|0|0|0|0|0|0|0|0|41.3
HOSP OP|0250 - PHARMACY|63323-0186-10||SODIUM CHLORIDE 0.9 % INJECTION SOLUTION|41.3|21.89|0|33.04|0|37.17|0|33.37|29.74|27.95|0|41.3|27.3|0|19.91|33.8|25.94|25.23|0|0|0|32.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.71|0|0|0|0|0|0|0|0|41.3
HOSP OP|0636 - DRUGS REQUIRING DETAIL CODING|00703-5140-01|J0640|LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION|58.65|31.08|43.99|46.92|49.85|52.79|0|47.39|42.23|39.69|0|58.65|8.64|0|6.28|48.01|8.22|8|0|3.330058939|43.99|45.81|0|0|0|0|0|0|0|0|0|3.39|3.330058939|3.39|0|0|0|4.62|0|0|0|0|0|0|0|0|58.65
HOSP OP|0637 - DRUGS/SELF ADMIN|00006-0032-20||IVERMECTIN 3 MG TABLET|32.97|17.47|24.73|26.38|28.02|29.67|0|26.64|23.74|22.31|0|32.97|21.79|0|15.89|26.99|20.71|20.14|0|0|24.73|25.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|15.74|0|0|0|0|0|0|0|0|32.97
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0107-01||AMITRIPTYLINE 25 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0637 - DRUGS/SELF ADMIN|51079-0107-20||AMITRIPTYLINE 25 MG TABLET|20.55|10.89|15.41|16.44|17.47|18.5|0|16.6|14.8|13.91|0|20.55|13.58|0|9.91|16.82|12.91|12.56|0|0|15.41|16.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9.81|0|0|0|0|0|0|0|0|20.55
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH LIFECELL ALLODERM 4X12CM|3036|1609.08|2277|2428.8|2580.6|2732.4|0|2453.09|2185.92|2054.76|0|3036|1979.47|0|1111.78|2484.97|1879.28|1830.71|0|31.03143418|2277|2371.12|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|1345.25|0|0|0|0|0|0|0|0|3036
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ANCHOR ARTHREX CRKSCRW II 5X15|860|455.8|645|688|731|774|0|694.88|619.2|582.05|0|860|560.72|0|314.93|703.91|532.34|518.58|0|2156.856582|645|671.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|381.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|ACE FIX BALL JOINT UNIVERSAL|840|445.2|630|672|714|756|0|678.72|604.8|568.51|0|840|547.68|0|307.61|687.54|519.96|506.52|0|11.99410609|630|656.04|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|372.2|0|0|0|0|0|0|0|0|840
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GRAFT THORO-ABD BRANCH 26MM|3681.23|1951.05|2760.93|2944.99|3129.05|3313.11|0|2974.44|2650.49|2491.46|0|3681.23|2400.16|0|1348.07|3013.09|2278.68|2219.78|0|0|2760.93|2875.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1631.15|0|0|0|0|0|0|0|0|3681.23
HOSP OP|0272 - STERILE SUPPLY||A4649|ARCH BAR ERICH 38 COIL WAPB|195.52|103.63|146.64|156.42|166.19|175.97|0|157.98|140.77|132.33|0|195.52|127.48|0|71.6|160.03|121.03|117.9|0|11.99410609|146.64|152.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|86.63|0|0|0|0|0|0|0|0|195.52
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT4.0/140 395.74|102.48|54.31|76.86|81.98|87.11|92.23|0|82.8|73.79|69.36|0|102.48|66.82|0|37.53|83.88|63.44|61.8|0|11.99410609|76.86|80.04|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|45.41|0|0|0|0|0|0|0|0|102.48
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT4.0/200 395.77|102.48|54.31|76.86|81.98|87.11|92.23|0|82.8|73.79|69.36|0|102.48|66.82|0|37.53|83.88|63.44|61.8|0|11.99410609|76.86|80.04|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|45.41|0|0|0|0|0|0|0|0|102.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GRAFT THORO ABD BRANCH 30MM|3681.23|1951.05|2760.93|2944.99|3129.05|3313.11|0|2974.44|2650.49|2491.46|0|3681.23|2400.16|0|1348.07|3013.09|2278.68|2219.78|0|0|2760.93|2875.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1631.15|0|0|0|0|0|0|0|0|3681.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GRAFT AORTIC ARCH BRANCH 24MM|3283.72|1740.37|2462.79|2626.98|2791.16|2955.35|0|2653.25|2364.28|2222.42|0|3283.72|2140.99|0|1202.5|2687.73|2032.62|1980.08|0|0|2462.79|2564.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1455.02|0|0|0|0|0|0|0|0|3283.72
HOSP OP|0272 - STERILE SUPPLY||C1729|BECKER VENTRIC CATH 35CM|597.6|316.73|448.2|478.08|507.96|537.84|0|482.86|430.27|404.46|0|597.6|389.64|0|218.84|489.14|369.91|360.35|0|0|448.2|466.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|264.8|0|0|0|0|0|0|0|0|597.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GRAFT AROTIC ARCH BRANCH 28MM|3283.72|1740.37|2462.79|2626.98|2791.16|2955.35|0|2653.25|2364.28|2222.42|0|3283.72|2140.99|0|1202.5|2687.73|2032.62|1980.08|0|0|2462.79|2564.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1455.02|0|0|0|0|0|0|0|0|3283.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 41 1035-41-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 42 1035-42-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 43 1035-43-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 44 1035-44-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 45 1035-45-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 46 1035-46-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 47 1035-47-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 48 1035-48-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 49 1035-49-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 50 1035-50-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE CANCELLOUS CHIPS 30CC|1724|913.72|1293|1379.2|1465.4|1551.6|0|1392.99|1241.28|1166.8|0|1724|1124.05|0|631.33|1411.09|1067.16|1039.57|0|2156.856582|1293|1346.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|763.9|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CEMENT BONE SIMPLEX|227.8|120.73|170.85|182.24|193.63|205.02|0|184.06|164.02|154.18|0|227.8|148.53|0|83.42|186.45|141.01|137.36|0|2156.856582|170.85|177.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|100.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE FEMORAL HEAD|3153.22|1671.21|2364.91|2522.57|2680.23|2837.89|0|2547.8|2270.32|2134.1|0|3153.22|2055.9|0|1154.71|2580.91|1951.84|1901.39|0|2156.856582|2364.91|2462.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1397.19|0|0|0|0|0|0|0|0|3153.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE FEMUR SHAFT 100M|3294.72|1746.2|2471.04|2635.78|2800.51|2965.25|0|2662.13|2372.2|2229.87|0|3294.72|2148.16|0|1206.53|2696.73|2039.43|1986.72|0|2156.856582|2471.04|2573.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1459.89|0|0|0|0|0|0|0|0|3294.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE FIBULA SHAFT 100M|2339.04|1239.69|1754.28|1871.23|1988.18|2105.14|0|1889.94|1684.11|1583.06|0|2339.04|1525.05|0|856.56|1914.5|1447.87|1410.44|0|2156.856582|1754.28|1826.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1036.43|0|0|0|0|0|0|0|0|2339.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SMALL BONE FIX NAIL|1440|763.2|1080|1152|1224|1296|0|1163.52|1036.8|974.59|0|1440|938.88|0|527.33|1178.64|891.36|868.32|0|2156.856582|1080|1124.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|638.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|SMALL BONE FIX SYSTEM (KIT)|1706.8|904.6|1280.1|1365.44|1450.78|1536.12|0|1379.09|1228.9|1155.16|0|1706.8|1112.83|0|625.03|1397.02|1056.51|1029.2|0|11.99410609|1280.1|1333.01|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|756.28|0|0|0|0|0|0|0|0|1706.8
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLE PROX END|1512|801.36|1134|1209.6|1285.2|1360.8|0|1221.7|1088.64|1023.32|0|1512|985.82|0|553.69|1237.57|935.93|911.74|0|11.99410609|1134|1180.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|669.97|0|0|0|0|0|0|0|0|1512
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLE DISTAL END|1512|801.36|1134|1209.6|1285.2|1360.8|0|1221.7|1088.64|1023.32|0|1512|985.82|0|553.69|1237.57|935.93|911.74|0|11.99410609|1134|1180.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|669.97|0|0|0|0|0|0|0|0|1512
HOSP OP|0272 - STERILE SUPPLY||A4649|PLT LONG GTR|4075.2|2159.86|3056.4|3260.16|3463.92|3667.68|0|3292.76|2934.14|2758.1|0|4075.2|2657.03|0|1492.34|3335.55|2522.55|2457.35|0|11.99410609|3056.4|3182.73|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1805.72|0|0|0|0|0|0|0|0|4075.2
HOSP OP|0272 - STERILE SUPPLY||A4649|PLT SHORT GTR|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|11.99410609|2268|2361.74|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLE 610 X 1.8 SS|1440|763.2|1080|1152|1224|1296|0|1163.52|1036.8|974.59|0|1440|938.88|0|527.33|1178.64|891.36|868.32|0|11.99410609|1080|1124.64|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|638.06|0|0|0|0|0|0|0|0|1440
HOSP OP|0272 - STERILE SUPPLY||C2627|CATH MALECOT S/P 16FR LF|184.32|97.69|138.24|147.46|156.67|165.89|0|148.93|132.71|124.75|0|184.32|120.18|0|67.5|150.87|114.09|111.14|0|0|138.24|143.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.67|0|0|0|0|0|0|0|0|184.32
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY ADHERENT CLOT 6FR|891.16|472.31|668.37|712.93|757.49|802.04|0|720.06|641.64|603.14|0|891.16|581.04|0|326.34|729.41|551.63|537.37|0|0|668.37|696|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|394.87|0|0|0|0|0|0|0|0|891.16
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH COOK BALLOON 7FR|558|295.74|418.5|446.4|474.3|502.2|0|450.86|401.76|377.65|0|558|363.82|0|204.34|456.72|345.4|336.47|0|0|418.5|435.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|247.25|0|0|0|0|0|0|0|0|558
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH RANFAC CHOLANGIOCATH|243.32|128.96|182.49|194.66|206.82|218.99|0|196.6|175.19|164.68|0|243.32|158.64|0|89.1|199.16|150.62|146.72|0|11.99410609|182.49|190.03|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|107.82|0|0|0|0|0|0|0|0|243.32
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH CHOLANGIOGRAPHY 4FR|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|11.99410609|180|187.44|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|106.34|0|0|0|0|0|0|0|0|240
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH CHOLANGIOGRAPHY 6FR|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|11.99410609|180|187.44|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|106.34|0|0|0|0|0|0|0|0|240
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY ARTERIAL 3FR|237.92|126.1|178.44|190.34|202.23|214.13|0|192.24|171.3|161.02|0|237.92|155.12|0|87.13|194.74|147.27|143.47|0|0|178.44|185.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.42|0|0|0|0|0|0|0|0|237.92
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY ARTERIAL 4FR|237.92|126.1|178.44|190.34|202.23|214.13|0|192.24|171.3|161.02|0|237.92|155.12|0|87.13|194.74|147.27|143.47|0|0|178.44|185.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|105.42|0|0|0|0|0|0|0|0|237.92
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY ARTERIAL 5FR|231|122.43|173.25|184.8|196.35|207.9|0|186.65|166.32|156.34|0|231|150.61|0|84.59|189.07|142.99|139.29|0|0|173.25|180.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|102.36|0|0|0|0|0|0|0|0|231
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 2FR|344.24|182.45|258.18|275.39|292.6|309.82|0|278.15|247.85|232.98|0|344.24|224.44|0|126.06|281.76|213.08|207.58|0|0|258.18|268.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|152.53|0|0|0|0|0|0|0|0|344.24
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 3FR|222.56|117.96|166.92|178.05|189.18|200.3|0|179.83|160.24|150.63|0|222.56|145.11|0|81.5|182.17|137.76|134.2|0|0|166.92|173.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.62|0|0|0|0|0|0|0|0|222.56
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 4FR 40CM|222.56|117.96|166.92|178.05|189.18|200.3|0|179.83|160.24|150.63|0|222.56|145.11|0|81.5|182.17|137.76|134.2|0|0|166.92|173.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.62|0|0|0|0|0|0|0|0|222.56
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 4FR|222.56|117.96|166.92|178.05|189.18|200.3|0|179.83|160.24|150.63|0|222.56|145.11|0|81.5|182.17|137.76|134.2|0|0|166.92|173.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.62|0|0|0|0|0|0|0|0|222.56
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 5FR|222.56|117.96|166.92|178.05|189.18|200.3|0|179.83|160.24|150.63|0|222.56|145.11|0|81.5|182.17|137.76|134.2|0|0|166.92|173.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.62|0|0|0|0|0|0|0|0|222.56
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY 6FR|216.08|114.52|162.06|172.86|183.67|194.47|0|174.59|155.58|146.24|0|216.08|140.88|0|79.13|176.86|133.75|130.3|0|0|162.06|168.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|95.75|0|0|0|0|0|0|0|0|216.08
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY ADHERENT CLOT 4FR|891.16|472.31|668.37|712.93|757.49|802.04|0|720.06|641.64|603.14|0|891.16|581.04|0|326.34|729.41|551.63|537.37|0|0|668.37|696|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|394.87|0|0|0|0|0|0|0|0|891.16
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH PRUITT IRR/OCCLUSION 12F|1796|951.88|1347|1436.8|1526.6|1616.4|0|1451.17|1293.12|1215.53|0|1796|1170.99|0|657.7|1470.03|1111.72|1082.99|0|0|1347|1402.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|795.81|0|0|0|0|0|0|0|0|1796
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH PRUITT IRR 4FR 40CM|476|252.28|357|380.8|404.6|428.4|0|384.61|342.72|322.16|0|476|310.35|0|174.31|389.61|294.64|287.03|0|0|357|371.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.92|0|0|0|0|0|0|0|0|476
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH COOK RECTAL PRES 12FR36CM|108.8|57.66|81.6|87.04|92.48|97.92|0|87.91|78.34|73.64|0|108.8|70.94|0|39.84|89.05|67.35|65.61|0|11.99410609|81.6|84.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|48.21|0|0|0|0|0|0|0|0|108.8
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH TAUT CHOLANIOGRAM 4.5FR|143.64|76.13|107.73|114.91|122.09|129.28|0|116.06|103.42|97.22|0|143.64|93.65|0|52.6|117.57|88.91|86.61|0|0|107.73|112.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.65|0|0|0|0|0|0|0|0|143.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH TENCKHOFF PERIT 2 CUFF|217.08|115.05|162.81|173.66|184.52|195.37|0|175.4|156.3|146.92|0|217.08|141.54|0|79.49|177.68|134.37|130.9|0|0|162.81|169.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|96.19|0|0|0|0|0|0|0|0|217.08
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH URET FOLEY CONE 10FR|145.56|77.15|109.17|116.45|123.73|131|0|117.61|104.8|98.52|0|145.56|94.91|0|53.3|119.14|90.1|87.77|0|0|109.17|113.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.5|0|0|0|0|0|0|0|0|145.56
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH URET FOLEY CONE 12FR|141.88|75.2|106.41|113.5|120.6|127.69|0|114.64|102.15|96.02|0|141.88|92.51|0|51.96|116.13|87.82|85.55|0|0|106.41|110.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.87|0|0|0|0|0|0|0|0|141.88
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH URET OLIVE 5FR DISP|152.44|80.79|114.33|121.95|129.57|137.2|0|123.17|109.76|103.17|0|152.44|99.39|0|55.82|124.77|94.36|91.92|0|0|114.33|119.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|67.55|0|0|0|0|0|0|0|0|152.44
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH URET WHISTLE TIP 4FR WVN|146.36|77.57|109.77|117.09|124.41|131.72|0|118.26|105.38|99.06|0|146.36|95.43|0|53.6|119.8|90.6|88.26|0|0|109.77|114.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.85|0|0|0|0|0|0|0|0|146.36
HOSP OP|0272 - STERILE SUPPLY||A4649|CLMP SYN FX SM 4.0/2.5 390.041|954.72|506|716.04|763.78|811.51|859.25|0|771.41|687.4|646.15|0|954.72|622.48|0|349.62|781.44|590.97|575.7|0|11.99410609|716.04|745.64|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|423.04|0|0|0|0|0|0|0|0|954.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CLAMP CRANIOFIX TI 11M|421.76|223.53|316.32|337.41|358.5|379.58|0|340.78|303.67|285.45|0|421.76|274.99|0|154.45|345.21|261.07|254.32|0|2156.856582|316.32|329.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.88|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CLAMP CRANIOFIX TI 16M|524.32|277.89|393.24|419.46|445.67|471.89|0|423.65|377.51|354.86|0|524.32|341.86|0|192.01|429.16|324.55|316.16|0|2156.856582|393.24|409.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|232.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|FX SYN CLMP TUB/TUB 390.007|1871.96|992.14|1403.97|1497.57|1591.17|1684.76|0|1512.54|1347.81|1266.94|0|1871.96|1220.52|0|685.51|1532.2|1158.74|1128.79|0|11.99410609|1403.97|1462|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|829.47|0|0|0|0|0|0|0|0|1871.96
HOSP OP|0272 - STERILE SUPPLY||A4649|COMPRESSOR CEMENT FEM|439.2|232.78|329.4|351.36|373.32|395.28|0|354.87|316.22|297.25|0|439.2|286.36|0|160.84|359.49|271.86|264.84|0|11.99410609|329.4|343.02|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|194.61|0|0|0|0|0|0|0|0|439.2
HOSP OP|0272 - STERILE SUPPLY||A4649|COMPRESSOR CEMENT ACET MED 62|204.72|108.5|153.54|163.78|174.01|184.25|0|165.41|147.4|138.55|0|204.72|133.48|0|74.97|167.56|126.72|123.45|0|11.99410609|153.54|159.89|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|90.71|0|0|0|0|0|0|0|0|204.72
HOSP OP|0272 - STERILE SUPPLY||A4649|CONFORMER UNIVERSAL LG|216|114.48|162|172.8|183.6|194.4|0|174.53|155.52|146.19|0|216|140.83|0|79.1|176.8|133.7|130.25|0|11.99410609|162|168.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|95.71|0|0|0|0|0|0|0|0|216
HOSP OP|0272 - STERILE SUPPLY||A4649|CONFORMER UNIVERSAL MED|216|114.48|162|172.8|183.6|194.4|0|174.53|155.52|146.19|0|216|140.83|0|79.1|176.8|133.7|130.25|0|11.99410609|162|168.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|95.71|0|0|0|0|0|0|0|0|216
HOSP OP|0272 - STERILE SUPPLY||A4649|CONFORMER UNIVERSAL SM|216|114.48|162|172.8|183.6|194.4|0|174.53|155.52|146.19|0|216|140.83|0|79.1|176.8|133.7|130.25|0|11.99410609|162|168.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|95.71|0|0|0|0|0|0|0|0|216
HOSP OP|0272 - STERILE SUPPLY||A4649|CONNECTOR ACCU-FLO 3 WAY|1024.32|542.89|768.24|819.46|870.67|921.89|0|827.65|737.51|693.26|0|1024.32|667.86|0|375.11|838.41|634.05|617.66|0|11.99410609|768.24|799.99|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|453.88|0|0|0|0|0|0|0|0|1024.32
HOSP OP|0272 - STERILE SUPPLY||A4649|CONNECTOR ACCU-FLO RT ANG|434.56|230.32|325.92|347.65|369.38|391.1|0|351.12|312.88|294.11|0|434.56|283.33|0|159.14|355.69|268.99|262.04|0|11.99410609|325.92|339.39|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|192.55|0|0|0|0|0|0|0|0|434.56
HOSP OP|0272 - STERILE SUPPLY||A4649|CONNECTOR ACCU-FLO STR|442.32|234.43|331.74|353.86|375.97|398.09|0|357.39|318.47|299.36|0|442.32|288.39|0|161.98|362.04|273.8|266.72|0|11.99410609|331.74|345.45|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|195.99|0|0|0|0|0|0|0|0|442.32
HOSP OP|0272 - STERILE SUPPLY||A4649|ACE FIX COUPLING ARTICULATION|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|11.99410609|378|393.62|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP CVR 12 421.525|1097.6|581.73|823.2|878.08|932.96|987.84|0|886.86|790.27|742.86|0|1097.6|715.64|0|401.94|898.39|679.41|661.85|0|2156.856582|823.2|857.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|486.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|DRAIN CHEST ATRIUM DRY OASIS|116.36|61.67|87.27|93.09|98.91|104.72|0|94.02|83.78|78.75|0|116.36|75.87|0|42.61|95.24|72.03|70.17|0|11.99410609|87.27|90.88|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|51.56|0|0|0|0|0|0|0|0|116.36
HOSP OP|0272 - STERILE SUPPLY||A4649|VAC WOUND DRSG LARGE|192.52|102.04|144.39|154.02|163.64|173.27|0|155.56|138.61|130.3|0|192.52|125.52|0|70.5|157.58|119.17|116.09|0|11.99410609|144.39|150.36|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|85.31|0|0|0|0|0|0|0|0|192.52
HOSP OP|0272 - STERILE SUPPLY||A4649|VAC WOUND DRSG SMALL|126.52|67.06|94.89|101.22|107.54|113.87|0|102.23|91.09|85.63|0|126.52|82.49|0|46.33|103.56|78.32|76.29|0|11.99410609|94.89|98.81|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|56.06|0|0|0|0|0|0|0|0|126.52
HOSP OP|0272 - STERILE SUPPLY||A4649|PACKING NASAL MEROGEL|368.48|195.29|276.36|294.78|313.21|331.63|0|297.73|265.31|249.39|0|368.48|240.25|0|134.94|301.6|228.09|222.19|0|11.99410609|276.36|287.78|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|163.27|0|0|0|0|0|0|0|0|368.48
HOSP OP|0272 - STERILE SUPPLY||C1729|EXACTA DRAINAGE & MONITOR SYS|574.36|304.41|430.77|459.49|488.21|516.92|0|464.08|413.54|388.73|0|574.36|374.48|0|210.33|470.11|355.53|346.34|0|0|430.77|448.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|254.5|0|0|0|0|0|0|0|0|574.36
HOSP OP|0278 - SUPPLY IMPLANTS|||FASCIA LATA LARGE 120MM|1610.96|853.81|0|1288.77|0|1449.86|0|1301.66|1159.89|1090.3|0|1610.96|1050.35|0|589.93|1318.57|997.18|971.41|0|0|0|1258.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.82|0|0|0|0|0|0|0|0|1610.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|FASCIA LATA MED 60-12M|2066.25|1095.11|1549.69|1653|1756.31|1859.63|0|1669.53|1487.7|1398.44|0|2066.25|1347.2|0|756.66|1691.23|1279.01|1245.95|0|0|1549.69|1613.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|915.56|0|0|0|0|0|0|0|0|2066.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M +12M NK 163666|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M +3M NK 163663|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M +6M NK 163638|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M +9M NK 163665|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M -3M NK 163661|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 28M -6M NK 163660|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD STD 28M NK 163662|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0272 - STERILE SUPPLY||A4649|CLAMP CMBNTN LG BLUE 390.005|1823.44|966.42|1367.58|1458.75|1549.92|1641.1|0|1473.34|1312.88|1234.1|0|1823.44|1188.88|0|667.74|1492.49|1128.71|1099.53|0|11.99410609|1367.58|1424.11|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|807.97|0|0|0|0|0|0|0|0|1823.44
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI MNI 100 07030|3186|1688.58|2389.5|2548.8|2708.1|2867.4|0|2574.29|2293.92|2156.28|0|3186|2077.27|0|1166.71|2607.74|1972.13|1921.16|0|11.99410609|2389.5|2488.27|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1411.72|0|0|0|0|0|0|0|0|3186
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI MNI LNG 07020|4143.6|2196.11|3107.7|3314.88|3522.06|3729.24|0|3348.03|2983.39|2804.39|0|4143.6|2701.63|0|1517.39|3391.54|2564.89|2498.59|0|11.99410609|3107.7|3236.15|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1836.03|0|0|0|0|0|0|0|0|4143.6
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI MNI MED 07010|3790.8|2009.12|2843.1|3032.64|3222.18|3411.72|0|3062.97|2729.38|2565.61|0|3790.8|2471.6|0|1388.19|3102.77|2346.51|2285.85|0|11.99410609|2843.1|2960.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1679.7|0|0|0|0|0|0|0|0|3790.8
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI MNI SM 07000|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|11.99410609|2565|2671.02|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0272 - STERILE SUPPLY||A4649|FXSYN CLMP4 PST MLTPIN 390.004|1935.92|1026.04|1451.94|1548.74|1645.53|1742.33|0|1564.22|1393.86|1310.23|0|1935.92|1262.22|0|708.93|1584.55|1198.33|1167.36|0|11.99410609|1451.94|1511.95|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|857.81|0|0|0|0|0|0|0|0|1935.92
HOSP OP|0272 - STERILE SUPPLY||A4649|FX SYN CLMP MLTPIN 390.002|1554.45|823.86|1165.84|1243.56|1321.28|1399.01|0|1256|1119.2|1052.05|0|1554.45|1013.5|0|569.24|1272.32|962.2|937.33|0|11.99410609|1165.84|1214.03|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|688.78|0|0|0|0|0|0|0|0|1554.45
HOSP OP|0272 - STERILE SUPPLY||A4649|FX SYN CLMP OPN ADJST 390.008|1501.56|795.83|1126.17|1201.25|1276.33|1351.4|0|1213.26|1081.12|1016.26|0|1501.56|979.02|0|549.87|1229.03|929.47|905.44|0|11.99410609|1126.17|1172.72|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|665.34|0|0|0|0|0|0|0|0|1501.56
HOSP OP|0272 - STERILE SUPPLY||A4649|FXSYNCLMPRDATT MLTPIN 390.003|1159.8|614.69|869.85|927.84|985.83|1043.82|0|937.12|835.06|784.95|0|1159.8|756.19|0|424.72|949.3|717.92|699.36|0|11.99410609|869.85|905.8|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|513.91|0|0|0|0|0|0|0|0|1159.8
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI ANKLE R 90105|7532.25|3992.09|5649.19|6025.8|6402.41|6779.03|0|6086.06|5423.22|5097.83|0|7532.25|4911.03|0|2758.31|6165.15|4662.46|4541.95|0|11.99410609|5649.19|5882.69|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|3337.54|0|0|0|0|0|0|0|0|7532.25
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI STD CMPLT 01001|4190.4|2220.91|3142.8|3352.32|3561.84|3771.36|0|3385.84|3017.09|2836.06|0|4190.4|2732.14|0|1534.52|3429.84|2593.86|2526.81|0|11.99410609|3142.8|3272.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1856.77|0|0|0|0|0|0|0|0|4190.4
HOSP OP|0272 - STERILE SUPPLY||A4649|FXTR EBI DYNAFIX WRIST 04102|5573.7|2954.06|4180.28|4458.96|4737.65|5016.33|0|4503.55|4013.06|3772.28|0|5573.7|3634.05|0|2041.09|4562.07|3450.12|3360.94|0|11.99410609|4180.28|4353.06|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|2469.71|0|0|0|0|0|0|0|0|5573.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/6 201.356.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORBITAL FLOOR 420.4|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/7 201.357.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|DURAGEN PLUS 1IN X 3IN|1718.01|910.55|1288.51|1374.41|1460.31|1546.21|0|1388.15|1236.97|1162.75|0|1718.01|1120.14|0|629.14|1406.19|1063.45|1035.96|0|11.99410609|1288.51|1341.77|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|761.25|0|0|0|0|0|0|0|0|1718.01
HOSP OP|0272 - STERILE SUPPLY||A4649|DURAGEN PLUS 3IN X 3IN|2572.05|1363.19|1929.04|2057.64|2186.24|2314.85|0|2078.22|1851.88|1740.76|0|2572.05|1676.98|0|941.88|2105.22|1592.1|1550.95|0|11.99410609|1929.04|2008.77|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1139.68|0|0|0|0|0|0|0|0|2572.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/8 201.358.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|DURAGEN PLUS 4IN X 5IN|3856.13|2043.75|2892.1|3084.9|3277.71|3470.52|0|3115.75|2776.41|2609.83|0|3856.13|2514.2|0|1412.11|3156.24|2386.94|2325.25|0|11.99410609|2892.1|3011.64|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1708.65|0|0|0|0|0|0|0|0|3856.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 24X15CM175124P|1759.32|932.44|1319.49|1407.46|1495.42|1583.39|0|1421.53|1266.71|1190.71|0|1759.32|1147.08|0|644.26|1440|1089.02|1060.87|0|0|1319.49|1374.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|779.55|0|0|0|0|0|0|0|0|1759.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 28MX60|2492.25|1320.89|1869.19|1993.8|2118.41|2243.03|0|2013.74|1794.42|1686.75|0|2492.25|1624.95|0|912.66|2039.91|1542.7|1502.83|0|0|1869.19|1946.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1104.32|0|0|0|0|0|0|0|0|2492.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 30MX60|2259.87|1197.73|1694.9|1807.9|1920.89|2033.88|0|1825.97|1627.11|1529.48|0|2259.87|1473.44|0|827.56|1849.7|1398.86|1362.7|0|0|1694.9|1764.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1001.35|0|0|0|0|0|0|0|0|2259.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 10MX15CM 095110|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 10X30CM|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 14X30CM|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 16X30CM 095216|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 18X30CM|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/ 9 201.359.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/10 201.360.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/11 201.361.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/12 201.362.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/13 201.363.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/14 201.364.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/16 201.366.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/18 201.368.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 2|3742.66|1983.61|2806.99|2994.12|3181.26|3368.39|0|3024.07|2694.71|2533.03|0|3742.66|2440.21|0|1370.56|3063.36|2316.7|2256.82|0|0|2806.99|2923.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.37|0|0|0|0|0|0|0|0|3742.66
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 3|3742.66|1983.61|2806.99|2994.12|3181.26|3368.39|0|3024.07|2694.71|2533.03|0|3742.66|2440.21|0|1370.56|3063.36|2316.7|2256.82|0|0|2806.99|2923.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.37|0|0|0|0|0|0|0|0|3742.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/20 201.370.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 4|3744|1984.32|2808|2995.2|3182.4|3369.6|0|3025.15|2695.68|2533.94|0|3744|2441.09|0|1371.05|3064.46|2317.54|2257.63|0|0|2808|2924.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.97|0|0|0|0|0|0|0|0|3744
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 5|3742.66|1983.61|2806.99|2994.12|3181.26|3368.39|0|3024.07|2694.71|2533.03|0|3742.66|2440.21|0|1370.56|3063.36|2316.7|2256.82|0|0|2806.99|2923.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.37|0|0|0|0|0|0|0|0|3742.66
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 6|3742.66|1983.61|2806.99|2994.12|3181.26|3368.39|0|3024.07|2694.71|2533.03|0|3742.66|2440.21|0|1370.56|3063.36|2316.7|2256.82|0|0|2806.99|2923.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.37|0|0|0|0|0|0|0|0|3742.66
HOSP OP|0278 - SUPPLY IMPLANTS||C9352|NEURAGEN NERVE GUIDE 7|3742.66|1983.61|2806.99|2994.12|3181.26|3368.39|0|3024.07|2694.71|2533.03|0|3742.66|2440.21|0|1370.56|3063.36|2316.7|2256.82|0|0|2806.99|2923.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1658.37|0|0|0|0|0|0|0|0|3742.66
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WR SYN TH 2.0M 292.65|106.96|56.69|80.22|85.57|90.92|96.26|0|86.42|77.01|72.39|0|106.96|69.74|0|39.17|87.55|66.21|64.5|0|0|80.22|83.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.39|0|0|0|0|0|0|0|0|106.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/22 201.372.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WIRE TRCRPT 2.8X300 292.68|120.92|64.09|90.69|96.74|102.78|108.83|0|97.7|87.06|81.84|0|120.92|78.84|0|44.28|98.97|74.85|72.91|0|0|90.69|94.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|53.58|0|0|0|0|0|0|0|0|120.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/24 201.374.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|WR GD ACUMED .035/6 WT-0906STT|200|106|150|160|170|180|0|161.6|144|135.36|0|200|130.4|0|73.24|163.7|123.8|120.6|0|0|150|156.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.62|0|0|0|0|0|0|0|0|200
HOSP OP|0272 - STERILE SUPPLY||C1769|WR GD ACUMED 0.62/6 WT-1606STT|200|106|150|160|170|180|0|161.6|144|135.36|0|200|130.4|0|73.24|163.7|123.8|120.6|0|0|150|156.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.62|0|0|0|0|0|0|0|0|200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 51 1035-51-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 52 1035-52-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 53 1035-53-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/26 201.375.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 54 1035-54-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 55 1035-55-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 56 1035-56-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 57 1035-57-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 59 1035-59-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 61 1035-61-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/28 201.376.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/30 201.377.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M PLUS 2.5|1805.44|956.88|1354.08|1444.35|1534.62|1624.9|0|1458.8|1299.92|1221.92|0|1805.44|1177.15|0|661.15|1477.75|1117.57|1088.68|0|0|1354.08|1410.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|799.99|0|0|0|0|0|0|0|0|1805.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/32 201.378.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M +12M NK 163673|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M +3M NK 163670|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M -3M NK 163668|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M +6M NK 163674|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M -6M NK 163667|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 32M +9M NK 163672|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD STD 32M NK 163669|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/34 201.379.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/36 201.380.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/38 201.381.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2/40 201.382.97|117.48|62.26|88.11|93.98|99.86|105.73|0|94.92|84.59|79.51|0|117.48|76.6|0|43.02|96.16|72.72|70.84|0|2156.856582|88.11|91.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|52.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT8 2.4/7 201.757|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT8 2.4/9 201.759|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/11 201.761|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/13 201.763|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 1.0X11 420.85|978.88|518.81|734.16|783.1|832.05|880.99|0|790.94|704.79|662.51|0|978.88|638.23|0|358.47|801.21|605.93|590.26|0|2156.856582|734.16|764.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|433.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 1.0/6 420.84|875.52|464.03|656.64|700.42|744.19|787.97|0|707.42|630.37|592.55|0|875.52|570.84|0|320.62|716.61|541.95|527.94|0|2156.856582|656.64|683.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/6 201.876|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 23MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 27MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 29MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 31MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 33MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|BAND DURAN 35MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/7 201.877|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 13M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 14M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 15M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 10M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 11M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/8 201.878|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER J&J DISTAL 12M|232.96|123.47|174.72|186.37|198.02|209.66|0|188.23|167.73|157.67|0|232.96|151.89|0|85.31|190.68|144.2|140.47|0|0|174.72|181.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.22|0|0|0|0|0|0|0|0|232.96
HOSP OP|0272 - STERILE SUPPLY||A4649|CONNECTOR CATHETER STR|291.6|154.55|218.7|233.28|247.86|262.44|0|235.61|209.95|197.35|0|291.6|190.12|0|106.78|238.67|180.5|175.83|0|11.99410609|218.7|227.74|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|129.21|0|0|0|0|0|0|0|0|291.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 23M|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 25MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 27MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 29MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 31MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 33MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING DURAN 35MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/9 201.879|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M PLUS 0|1929.9|1022.85|1447.43|1543.92|1640.42|1736.91|0|1559.36|1389.53|1306.16|0|1929.9|1258.29|0|706.73|1579.62|1194.61|1163.73|0|0|1447.43|1507.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|855.14|0|0|0|0|0|0|0|0|1929.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M PLUS 7.5|1805.44|956.88|1354.08|1444.35|1534.62|1624.9|0|1458.8|1299.92|1221.92|0|1805.44|1177.15|0|661.15|1477.75|1117.57|1088.68|0|0|1354.08|1410.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|799.99|0|0|0|0|0|0|0|0|1805.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M MINUS 3|1805.44|956.88|1354.08|1444.35|1534.62|1624.9|0|1458.8|1299.92|1221.92|0|1805.44|1177.15|0|661.15|1477.75|1117.57|1088.68|0|0|1354.08|1410.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|799.99|0|0|0|0|0|0|0|0|1805.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M PLUS 10|1929.9|1022.85|1447.43|1543.92|1640.42|1736.91|0|1559.36|1389.53|1306.16|0|1929.9|1258.29|0|706.73|1579.62|1194.61|1163.73|0|0|1447.43|1507.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|855.14|0|0|0|0|0|0|0|0|1929.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/10 201.880|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HEAD J&J 28M PLUS 5|1929.9|1022.85|1447.43|1543.92|1640.42|1736.91|0|1559.36|1389.53|1306.16|0|1929.9|1258.29|0|706.73|1579.62|1194.61|1163.73|0|0|1447.43|1507.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|855.14|0|0|0|0|0|0|0|0|1929.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 2 96-0012|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 2.5 96-0008|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 2.5 96-0018|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 3 96-0003|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 3 96-0013|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/11 201.881|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 4 96-0004|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 4 96-0014|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 5 96-0005|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 5 96-0015|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/12 201.882|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 14MX15CM|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 16MX15CM|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 18MX15CM|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/13 201.883|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J 28/48-52 10D|2485.35|1317.24|1864.01|1988.28|2112.55|2236.82|0|2008.16|1789.45|1682.08|0|2485.35|1620.45|0|910.14|2034.26|1538.43|1498.67|0|0|1864.01|1941.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1101.26|0|0|0|0|0|0|0|0|2485.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/14 201.884|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/16 201.886|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|RESERV CSF OMMAYA SIDE 2.5CM|1509.69|800.14|1132.27|1207.75|1283.24|1358.72|0|1219.83|1086.98|1021.76|0|1509.69|984.32|0|552.85|1235.68|934.5|910.34|0|11.99410609|1132.27|1179.07|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|668.94|0|0|0|0|0|0|0|0|1509.69
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH OPUS VENTRIULAR STD 23CM|752.4|398.77|564.3|601.92|639.54|677.16|0|607.94|541.73|509.22|0|752.4|490.56|0|275.53|615.84|465.74|453.7|0|0|564.3|587.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|333.39|0|0|0|0|0|0|0|0|752.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J OVAL 32 96-0100|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/18 201.888|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/20 201.890|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 0|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 1|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 2|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 3|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 3M|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 4|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/22 201.892|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 5|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 2M|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 2/10.0 1581-21-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 2 1581-20-000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ACETABULAR LCKNG RNG 27 105427|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE ILIAC CREST WEDGE 19/21MM|3189.12|1690.23|2391.84|2551.3|2710.75|2870.21|0|2576.81|2296.17|2158.4|0|3189.12|2079.31|0|1167.86|2610.29|1974.07|1923.04|0|2156.856582|2391.84|2490.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1413.1|0|0|0|0|0|0|0|0|3189.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/24 201.894|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/26 201.896|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CRANIOPLASTIC GLUE X1|3879.55|2056.16|2909.66|3103.64|3297.62|3491.6|0|3134.68|2793.28|2625.68|0|3879.55|2529.47|0|1420.69|3175.41|2401.44|2339.37|0|11.99410609|2909.66|3029.93|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1719.03|0|0|0|0|0|0|0|0|3879.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 2 96-0002|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 6 96-0016|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/28 201.898|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J LT 2 2758111|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPENBOX J&J LT 2.5 2758117|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J LT 3 2758112|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J LT 4 2758113|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J LT 5 2758114|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J LT 6 2758115|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J RT 2 2758101|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPENBOX J&J RT 2.5 2758107|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J RT 3 2758102|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J RT 4 2758103|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T SDR 2/30 201.990|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J RT 5 2758104|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM OPEN BOX J&J RT 6 2758105|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/32 202.892|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/34 202.894|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/36 202.896|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 24MX60|2493.24|1321.42|1869.93|1994.59|2119.25|2243.92|0|2014.54|1795.13|1687.42|0|2493.24|1625.59|0|913.02|2040.72|1543.32|1503.42|0|0|1869.93|1947.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1104.75|0|0|0|0|0|0|0|0|2493.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/38 202.898|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD BIF 12X7X40CM|2320.23|1229.72|1740.17|1856.18|1972.2|2088.21|0|1874.75|1670.57|1570.33|0|2320.23|1512.79|0|849.67|1899.11|1436.22|1399.1|0|0|1740.17|1812.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1028.09|0|0|0|0|0|0|0|0|2320.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD BIF 14X7X40CM|2126.94|1127.28|1595.21|1701.55|1807.9|1914.25|0|1718.57|1531.4|1439.51|0|2126.94|1386.76|0|778.89|1740.9|1316.58|1282.54|0|0|1595.21|1661.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|942.45|0|0|0|0|0|0|0|0|2126.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD BIF 16X8X40CM|2320.23|1229.72|1740.17|1856.18|1972.2|2088.21|0|1874.75|1670.57|1570.33|0|2320.23|1512.79|0|849.67|1899.11|1436.22|1399.1|0|0|1740.17|1812.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1028.09|0|0|0|0|0|0|0|0|2320.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD BIF 18X9X40CM 085189|2126.94|1127.28|1595.21|1701.55|1807.9|1914.25|0|1718.57|1531.4|1439.51|0|2126.94|1386.76|0|778.89|1740.9|1316.58|1282.54|0|0|1595.21|1661.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|942.45|0|0|0|0|0|0|0|0|2126.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDBIF20X11X40CM|2320.23|1229.72|1740.17|1856.18|1972.2|2088.21|0|1874.75|1670.57|1570.33|0|2320.23|1512.79|0|849.67|1899.11|1436.22|1399.1|0|0|1740.17|1812.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1028.09|0|0|0|0|0|0|0|0|2320.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT HMSHLD BIF 2X11MX40CM|2126.94|1127.28|1595.21|1701.55|1807.9|1914.25|0|1718.57|1531.4|1439.51|0|2126.94|1386.76|0|778.89|1740.9|1316.58|1282.54|0|0|1595.21|1661.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|942.45|0|0|0|0|0|0|0|0|2126.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDBIF4X12MX40CM|2126.94|1127.28|1595.21|1701.55|1807.9|1914.25|0|1718.57|1531.4|1439.51|0|2126.94|1386.76|0|778.89|1740.9|1316.58|1282.54|0|0|1595.21|1661.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|942.45|0|0|0|0|0|0|0|0|2126.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 20MX15CM|1646.96|872.89|1235.22|1317.57|1399.92|1482.26|0|1330.74|1185.81|1114.66|0|1646.96|1073.82|0|603.12|1348.04|1019.47|993.12|0|0|1235.22|1286.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.77|0|0|0|0|0|0|0|0|1646.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 20X30CM|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/40 202.900|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 22MX15CM 095122|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 22X30CM 095222|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 24MX15CM|1647|872.91|1235.25|1317.6|1399.95|1482.3|0|1330.78|1185.84|1114.69|0|1647|1073.84|0|603.13|1348.07|1019.49|993.14|0|0|1235.25|1286.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.79|0|0|0|0|0|0|0|0|1647
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD STR 24X30CM 095224|1516.14|803.55|1137.11|1212.91|1288.72|1364.53|0|1225.04|1091.62|1026.12|0|1516.14|988.52|0|555.21|1240.96|938.49|914.23|0|0|1137.11|1184.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|671.8|0|0|0|0|0|0|0|0|1516.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR 6MX60CM|1574.58|834.53|1180.94|1259.66|1338.39|1417.12|0|1272.26|1133.7|1065.68|0|1574.58|1026.63|0|576.61|1288.79|974.67|949.47|0|0|1180.94|1229.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|697.7|0|0|0|0|0|0|0|0|1574.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR 8MX60CM|1569.6|831.89|1177.2|1255.68|1334.16|1412.64|0|1268.24|1130.11|1062.31|0|1569.6|1023.38|0|574.79|1284.72|971.58|946.47|0|0|1177.2|1225.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|695.49|0|0|0|0|0|0|0|0|1569.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 28X15CM|1875.24|993.88|1406.43|1500.19|1593.95|1687.72|0|1515.19|1350.17|1269.16|0|1875.24|1222.66|0|686.71|1534.88|1160.77|1130.77|0|0|1406.43|1464.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|830.92|0|0|0|0|0|0|0|0|1875.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 26X15CM175126P|1875.24|993.88|1406.43|1500.19|1593.95|1687.72|0|1515.19|1350.17|1269.16|0|1875.24|1222.66|0|686.71|1534.88|1160.77|1130.77|0|0|1406.43|1464.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|830.92|0|0|0|0|0|0|0|0|1875.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 30X15CM|1875.24|993.88|1406.43|1500.19|1593.95|1687.72|0|1515.19|1350.17|1269.16|0|1875.24|1222.66|0|686.71|1534.88|1160.77|1130.77|0|0|1406.43|1464.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|830.92|0|0|0|0|0|0|0|0|1875.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/42 202.962|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/44 202.963|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/46 202.965|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/48 202.966|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/50 202.967|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ORBITAL MEDPOR RND 20|1806|957.18|1354.5|1444.8|1535.1|1625.4|0|1459.25|1300.32|1222.3|0|1806|1177.51|0|661.36|1478.21|1117.91|1089.02|0|2156.856582|1354.5|1410.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|800.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ORBITAL MEDPOR RND 22|1806|957.18|1354.5|1444.8|1535.1|1625.4|0|1459.25|1300.32|1222.3|0|1806|1177.51|0|661.36|1478.21|1117.91|1089.02|0|2156.856582|1354.5|1410.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|800.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/55 202.968|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J OVAL 35 96-0101|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J OVAL 38 96-0102|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J OVAL 41 96-0103|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/60 202.969|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 60M 14-103560|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0272 - STERILE SUPPLY||A4649|VALVE DELTA REG LEVEL 1.5|3507.84|1859.16|2630.88|2806.27|2981.66|3157.06|0|2834.33|2525.64|2374.11|0|3507.84|2287.11|0|1284.57|2871.17|2171.35|2115.23|0|11.99410609|2630.88|2739.62|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1554.32|0|0|0|0|0|0|0|0|3507.84
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH PERITONEAL STD|662.4|351.07|496.8|529.92|563.04|596.16|0|535.22|476.93|448.31|0|662.4|431.88|0|242.57|542.17|410.03|399.43|0|0|496.8|517.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|293.51|0|0|0|0|0|0|0|0|662.4
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH PERITONEAL ST OPEND W/SLT|676.8|358.7|507.6|541.44|575.28|609.12|0|546.85|487.3|458.06|0|676.8|441.27|0|247.84|553.96|418.94|408.11|0|0|507.6|528.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|299.89|0|0|0|0|0|0|0|0|676.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 7X115 192007|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/7 212.807|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/9 212.809|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM J&J ULTIMA SZ 4M|3673.56|1946.99|2755.17|2938.85|3122.53|3306.2|0|2968.24|2644.96|2486.27|0|3673.56|2395.16|0|1345.26|3006.81|2273.93|2215.16|0|0|2755.17|2869.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.75|0|0|0|0|0|0|0|0|3673.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 10X130 192110|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 11X135 192111|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 12X140 192112|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 13X145 192113|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 14X150 192114|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 15X155 192115|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/11 212.811|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 6X160 192116|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 17X165 192117|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/13 212.813|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 10X130 192010|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 11X135 192011|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 12X140 192012|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 13X145 192013|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 16X160 192016|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 17X165 192017|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 8X120 192008|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 9X125 192009|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/31/4H 247.344|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/38/5H 247.345|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 2/12.5 1581-21-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 2/17.5 1581-21-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRTJ&J2.5/101581-22-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT J&J2.5/15 1581-22015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/45/6H 247.346|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRTJ&J2.5/8 1581-22-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 3/10.0 1581-23-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 3/12.5 1581-23-012|1503.36|796.78|1127.52|1202.69|1277.86|1353.02|0|1214.71|1082.42|1017.47|0|1503.36|980.19|0|550.53|1230.5|930.58|906.53|0|0|1127.52|1174.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|666.14|0|0|0|0|0|0|0|0|1503.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 3/15.0 1581-23-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/52/7H 247.347|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 3/17.5 1581-23-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT J&J 3/8.0 1581-23008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 4/10.0 1581-24-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 4/12.5 1581-24-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 4/15.0 1581-24-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 4/17.5 1581-24-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/59/8H 247.348|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 4/8.0 1581-24-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 5/10.0 1581-25-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 5/12.5 1581-25-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 5/15.0 1581-25-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 5/17.5 1581-25-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRT J&J 5/8.0 1581-25-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP CDYLR 2/7HS 247.349|1933.47|1024.74|1450.1|1546.78|1643.45|1740.12|0|1562.24|1392.1|1308.57|0|1933.47|1260.62|0|708.04|1582.55|1196.82|1165.88|0|2156.856582|1450.1|1510.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|856.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ 3 8.0 1581-13008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ 3 10.0 158113010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ 3 15.0 158113015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ410.0 1581-14-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ415.0 1581-14-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J5/10.0 1581-15-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2/73/10H 247.360|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ2.512.51581-12012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ2.517.51581-12017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2/12.5 1581-11-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2/8.0 1581-11-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ 3 12.5 158113012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ 3 17.5 158113017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ417.5 1581-14-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ4 8.0 1581-14-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J5/15.0 1581-15-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCPAT 2/81/12H 247.362|1384.12|733.58|1038.09|1107.3|1176.5|1245.71|0|1118.37|996.57|936.77|0|1384.12|902.45|0|506.86|1132.9|856.77|834.62|0|2156.856582|1038.09|1081|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|613.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J5/17.5 1581-15-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J5/8.0 1581-15-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRTJ&J2/15.0 1581-21-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 2/ 8.0 1581-21-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/84/10H 247.364|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 2.5 1581-25000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 3 1581-30-000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPAT2.4/88/12H 247.366|1522.52|806.94|1141.89|1218.02|1294.14|1370.27|0|1230.2|1096.21|1030.44|0|1522.52|992.68|0|557.55|1246.18|942.44|918.08|0|2156.856582|1141.89|1189.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 4 1581-40-000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 5 1581-50-000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2/10.0 1581-11-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2/15.0 1581-11-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ2.58.0 1581-12008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2.5/12.51581-22-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2.5/17.51581-22-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ2.510.01581-12010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPAT 2.7/97/12H 247.370|1522.52|806.94|1141.89|1218.02|1294.14|1370.27|0|1230.2|1096.21|1030.44|0|1522.52|992.68|0|557.55|1246.18|942.44|918.08|0|2156.856582|1141.89|1189.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ2.515.01581-12015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&JSZ412.5 1581-14-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J2/17.5 1581-11-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.7/76/8H 247.372|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.7/94/10H 247.374|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/44/5H 247.375|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/60/7H 247.377|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|VASCUGUARD .8X8CM|594.12|314.88|445.59|475.3|505|534.71|0|480.05|427.77|402.1|0|594.12|387.37|0|217.57|486.29|367.76|358.25|0|0|445.59|464.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|263.25|0|0|0|0|0|0|0|0|594.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J 28/54-58 10D|2485.35|1317.24|1864.01|1988.28|2112.55|2236.82|0|2008.16|1789.45|1682.08|0|2485.35|1620.45|0|910.14|2034.26|1538.43|1498.67|0|0|1864.01|1941.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1101.26|0|0|0|0|0|0|0|0|2485.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT LCP 2/3HH/7HS 247.615|1444.68|765.68|1083.51|1155.74|1227.98|1300.21|0|1167.3|1040.17|977.76|0|1444.68|941.93|0|529.04|1182.47|894.26|871.14|0|2156.856582|1083.51|1128.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|640.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT LCP2.4/3HH/7HS 249.615|1803.69|955.96|1352.77|1442.95|1533.14|1623.32|0|1457.38|1298.66|1220.74|0|1803.69|1176.01|0|660.51|1476.32|1116.48|1087.63|0|2156.856582|1352.77|1408.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|799.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|INCUS-STAPSGLDENBERG 7014-5913|1235|654.55|926.25|988|1049.75|1111.5|0|997.88|889.2|835.85|0|1235|805.22|0|452.26|1010.85|764.47|744.71|0|307.0137525|926.25|964.54|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|547.23|0|0|0|0|0|0|0|0|1235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/36/4H 249.674|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/52/6H 249.676|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.4/68/8H 249.678|1309.16|693.85|981.87|1047.33|1112.79|1178.24|0|1057.8|942.6|886.04|0|1309.16|853.57|0|479.41|1071.55|810.37|789.42|0|2156.856582|981.87|1022.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCPCD 2.4/7HS 249.679|1966.6|1042.3|1474.95|1573.28|1671.61|1769.94|0|1589.01|1415.95|1330.99|0|1966.6|1282.22|0|720.17|1609.66|1217.33|1185.86|0|2156.856582|1474.95|1535.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|871.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.7/40/4H 249.680|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT S/N 5-6 11M 71421516|3208.56|1700.54|2406.42|2566.85|2727.28|2887.7|0|2592.52|2310.16|2171.55|0|3208.56|2091.98|0|1174.97|2626.21|1986.1|1934.76|0|0|2406.42|2505.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1421.71|0|0|0|0|0|0|0|0|3208.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCO 2.7/49/5H 249.681|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.7/58/6H 249.682|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 2.7/67/7H 249.683|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCPCD 2.7/7HS 249.684|1606.89|851.65|1205.17|1285.51|1365.86|1446.2|0|1298.37|1156.96|1087.54|0|1606.89|1047.69|0|588.44|1315.24|994.66|968.95|0|2156.856582|1205.17|1254.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|712.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPT 2.7/2HH/3HS 249.685|1803.69|955.96|1352.77|1442.95|1533.14|1623.32|0|1457.38|1298.66|1220.74|0|1803.69|1176.01|0|660.51|1476.32|1116.48|1087.63|0|2156.856582|1352.77|1408.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|799.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO PERC 6.5FR 0601165|328|173.84|246|262.4|278.8|295.2|0|265.02|236.16|221.99|0|328|213.86|0|120.11|268.47|203.03|197.78|0|0|246|256.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|145.34|0|0|0|0|0|0|0|0|328
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO PERITONEAL SHEATH 61|169.2|89.68|126.9|135.36|143.82|152.28|0|136.71|121.82|114.51|0|169.2|110.32|0|61.96|138.49|104.73|102.03|0|0|126.9|132.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|74.97|0|0|0|0|0|0|0|0|169.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLOR2.7/2HH/3HS249.686|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLOL2.7/2HH/3HS249.687|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLR 2.7/2HH/3HS249.688|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLL2.7/2HH/3HS 249.689|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNY LCP 2/3HH/7HS 247.350|1444.68|765.68|1083.51|1155.74|1227.98|1300.21|0|1167.3|1040.17|977.76|0|1444.68|941.93|0|529.04|1182.47|894.26|871.14|0|2156.856582|1083.51|1128.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|640.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT LCP 2/2HH/7HS 247.351|1444.68|765.68|1083.51|1155.74|1227.98|1300.21|0|1167.3|1040.17|977.76|0|1444.68|941.93|0|529.04|1182.47|894.26|871.14|0|2156.856582|1083.51|1128.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|640.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|INFUSE LGLL|9751.5|5168.29|7313.63|7801.2|8288.78|8776.35|0|7879.21|7021.08|6599.82|0|9751.5|6357.98|0|3571|7981.6|6036.18|5880.15|0|2156.856582|7313.63|7615.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|4320.89|0|0|0|0|0|0|0|0|9751.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|INFUSE MED|8745|4634.85|6558.75|6996|7433.25|7870.5|0|7065.96|6296.4|5918.62|0|8745|5701.74|0|3202.42|7157.78|5413.16|5273.24|0|2156.856582|6558.75|6829.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|3874.91|0|0|0|0|0|0|0|0|8745
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|INFUSE SM|6278.25|3327.47|4708.69|5022.6|5336.51|5650.43|0|5072.83|4520.34|4249.12|0|6278.25|4093.42|0|2299.1|5138.75|3886.24|3785.78|0|2156.856582|4708.69|4903.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2781.89|0|0|0|0|0|0|0|0|6278.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNYLCP 2.4/3HH/7HS 249.669|1803.69|955.96|1352.77|1442.95|1533.14|1623.32|0|1457.38|1298.66|1220.74|0|1803.69|1176.01|0|660.51|1476.32|1116.48|1087.63|0|2156.856582|1352.77|1408.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|799.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT CAMINO VENTRIC|2345.58|1243.16|1759.19|1876.46|1993.74|2111.02|0|1895.23|1688.82|1587.49|0|2345.58|1529.32|0|858.95|1919.86|1451.91|1414.38|0|11.99410609|1759.19|1831.9|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1039.33|0|0|0|0|0|0|0|0|2345.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNTLCP 2.4/2HH/7HS 249.670|1803.69|955.96|1352.77|1442.95|1533.14|1623.32|0|1457.38|1298.66|1220.74|0|1803.69|1176.01|0|660.51|1476.32|1116.48|1087.63|0|2156.856582|1352.77|1408.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|799.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPT 2.7/2HH/4HS 249.697|1803.69|955.96|1352.77|1442.95|1533.14|1623.32|0|1457.38|1298.66|1220.74|0|1803.69|1176.01|0|660.51|1476.32|1116.48|1087.63|0|2156.856582|1352.77|1408.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|799.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLOR2.7/2HH/4HS249.698|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLOL2.7/2HH/4HS249.699|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1726|LACRICATH 2M|1224|648.72|918|979.2|1040.4|1101.6|0|988.99|881.28|828.4|0|1224|798.05|0|448.23|1001.84|757.66|738.07|0|0|918|955.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|542.35|0|0|0|0|0|0|0|0|1224
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLR2.7/2HH/4HS 249.701|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1726|LACRICATH DCP KIT 3M|1224|648.72|918|979.2|1040.4|1101.6|0|988.99|881.28|828.4|0|1224|798.05|0|448.23|1001.84|757.66|738.07|0|0|918|955.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|542.35|0|0|0|0|0|0|0|0|1224
HOSP OP|0272 - STERILE SUPPLY||C1726|LACRICATH 5MM|1564|828.92|1173|1251.2|1329.4|1407.6|0|1263.71|1126.08|1058.52|0|1564|1019.73|0|572.74|1280.13|968.12|943.09|0|0|1173|1221.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.01|0|0|0|0|0|0|0|0|1564
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPLL2.7/2HH/4HS 249.702|1312.04|695.38|984.03|1049.63|1115.23|1180.84|0|1060.13|944.67|887.99|0|1312.04|855.45|0|480.47|1073.9|812.15|791.16|0|2156.856582|984.03|1024.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|581.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1727|TROCAR ORIGIN PDB-2|911.72|483.21|683.79|729.38|774.96|820.55|0|736.67|656.44|617.05|0|911.72|594.44|0|333.87|746.24|564.35|549.77|0|0|683.79|712.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.98|0|0|0|0|0|0|0|0|911.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RING RNGLC LCKNG SZ 22 105422|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RING RNGLC LCKNG SZ 23 105423|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RING RNGLC LCKNG SZ 24 105424|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RING RNGLC LCKNG SZ 25 105425|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RING RNGLC LCKNG SZ 26 105426|450.56|238.8|337.92|360.45|382.98|405.5|0|364.05|324.4|304.94|0|450.56|293.77|0|165|368.78|278.9|271.69|0|0|337.92|351.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|199.64|0|0|0|0|0|0|0|0|450.56
HOSP OP|0275 - PACEMAKER||C1898|LEAD UNIPOLAR EPICARDICAL SUT|1580|837.4|1185|1264|1343|1422|0|1276.64|1137.6|1069.34|0|1580|1030.16|0|578.6|1293.23|978.02|952.74|0|0|1185|1233.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|700.1|0|0|0|0|0|0|0|0|1580
HOSP OP|0275 - PACEMAKER||C1898|LEAD UNIPOLAR EPICARDICAL SUT|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|0|0|0|0|0|0|3360
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH LW PRT ABS ULTRAPRO|1011.88|536.3|758.91|809.5|860.1|910.69|0|817.6|728.55|684.84|0|1011.88|659.75|0|370.55|828.22|626.35|610.16|0|0|758.91|790.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.36|0|0|0|0|0|0|0|0|1011.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 480D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 500D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 520D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 540D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT+4 56/68|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT+4 58/70|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT+4 60/72|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT+4 62/74|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 640D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT +4 660D|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|0|1980|2061.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 480D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 500D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 520D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 540D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 56/68|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 58/70|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 60/72|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 62/74|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 640D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 10D 660D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 480D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 500D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 520D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 540D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 56/68|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 58/70|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 60/72|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 62/74|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 640D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON 20D 660D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 480D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 50OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 52OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 54OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 56/68OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 58/70OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0272 - STERILE SUPPLY||A4649|KNEE IMMOBILIZER X-WIDE 22IN|100.8|53.42|75.6|80.64|85.68|90.72|0|81.45|72.58|68.22|0|100.8|65.72|0|36.91|82.5|62.4|60.78|0|11.99410609|75.6|78.72|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|44.66|0|0|0|0|0|0|0|0|100.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 60/72OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 62/74OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 64OD|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER ENDURON NEUT 660D|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|0|1743.75|1815.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 1.0/9 420.54|921.12|488.19|690.84|736.9|782.95|829.01|0|744.26|663.21|623.41|0|921.12|600.57|0|337.31|753.94|570.17|555.44|0|2156.856582|690.84|719.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|408.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 1.0/9 420.55|921.12|488.19|690.84|736.9|782.95|829.01|0|744.26|663.21|623.41|0|921.12|600.57|0|337.31|753.94|570.17|555.44|0|2156.856582|690.84|719.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|408.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L 2.7/3H 242.31|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LOBLQUE L SM2.7 242.33|206.16|109.26|154.62|164.93|175.24|185.54|0|166.58|148.44|139.53|0|206.16|134.42|0|75.5|168.74|127.61|124.31|0|2156.856582|154.62|161.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|91.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH LW PRT ABS ULTRAPRO 3X6IN|635.56|336.85|476.67|508.45|540.23|572|0|513.53|457.6|430.15|0|635.56|414.39|0|232.74|520.21|393.41|383.24|0|0|476.67|496.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|281.62|0|0|0|0|0|0|0|0|635.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN R 2.7/3H 242.32|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMNI L OBLQUE L 19 243.33|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMNI L OBLQUE R 19 243.34|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH GYNECARE/MESH PS 10X15CM|1851.08|981.07|1388.31|1480.86|1573.42|1665.97|0|1495.67|1332.78|1252.81|0|1851.08|1206.9|0|677.87|1515.11|1145.82|1116.2|0|0|1388.31|1445.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|820.21|0|0|0|0|0|0|0|0|1851.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH MARLEX PLUG XLG 0112780|684.2|362.63|513.15|547.36|581.57|615.78|0|552.83|492.62|463.07|0|684.2|446.1|0|250.55|560.02|423.52|412.57|0|0|513.15|534.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|303.17|0|0|0|0|0|0|0|0|684.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROLENE EX LG PHSE|1569.44|831.8|1177.08|1255.55|1334.02|1412.5|0|1268.11|1130|1062.2|0|1569.44|1023.27|0|574.73|1284.59|971.48|946.37|0|0|1177.08|1225.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|695.42|0|0|0|0|0|0|0|0|1569.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROLENE 6X6IN PMH|424.12|224.78|318.09|339.3|360.5|381.71|0|342.69|305.37|287.04|0|424.12|276.53|0|155.31|347.14|262.53|255.74|0|0|318.09|331.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|187.93|0|0|0|0|0|0|0|0|424.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VICRYL 12X12 VKLM|3390.3|1796.86|2542.73|2712.24|2881.76|3051.27|0|2739.36|2441.02|2294.56|0|3390.3|2210.48|0|1241.53|2774.96|2098.6|2044.35|0|0|2542.73|2647.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1502.24|0|0|0|0|0|0|0|0|3390.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC4MM 11-113554|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC6MM 11-113556|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC8MM 11-113558|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC10MM 11-113560|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC12MM 11-113562|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STM CMP MCRHMFRC14MM 11-113564|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS 6MM 113574|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS 7MM 113575|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS 8MM 113576|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS 9MM 113577|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS10MM 113578|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS11MM 113579|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS12MM 113580|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS13MM 113581|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS14MM 113582|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS15MM 113583|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS16MM 113584|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLEEVE CMP FX HM PS17MM 113585|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PTCHGORESFTTIS15X101310015020|2865|1518.45|2148.75|2292|2435.25|2578.5|0|2314.92|2062.8|1939.03|0|2865|1867.98|0|1049.16|2345|1773.44|1727.6|0|0|2148.75|2237.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1269.48|0|0|0|0|0|0|0|0|2865
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PATCH GORE VASC 1702515006|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|0|936|974.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|552.99|0|0|0|0|0|0|0|0|1248
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PATCH HEMASHIELD CV 019579P|462.52|245.14|346.89|370.02|393.14|416.27|0|373.72|333.01|313.03|0|462.52|301.56|0|169.37|378.57|286.3|278.9|0|0|346.89|361.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|204.94|0|0|0|0|0|0|0|0|462.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PATCH HEMASHIELD CV 019530|563.8|298.81|422.85|451.04|479.23|507.42|0|455.55|405.94|381.58|0|563.8|367.6|0|206.46|461.47|348.99|339.97|0|0|422.85|440.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|249.82|0|0|0|0|0|0|0|0|563.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PTCHGORESFTTIS10X151410015010|1659|879.27|1244.25|1327.2|1410.15|1493.1|0|1340.47|1194.48|1122.81|0|1659|1081.67|0|607.53|1357.89|1026.92|1000.38|0|0|1244.25|1295.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|735.1|0|0|0|0|0|0|0|0|1659
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PATCH GORE SFT TIS 15X20CM|3429|1817.37|2571.75|2743.2|2914.65|3086.1|0|2770.63|2468.88|2320.75|0|3429|2235.71|0|1255.7|2806.64|2122.55|2067.69|0|0|2571.75|2678.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1519.39|0|0|0|0|0|0|0|0|3429
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PTCHGORESFTTIS 5X10 1405010010|912|483.36|684|729.6|775.2|820.8|0|736.9|656.64|617.24|0|912|594.62|0|333.97|746.47|564.53|549.94|0|0|684|712.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|404.11|0|0|0|0|0|0|0|0|912
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PATCH GORE SFT TIS 5X15CM|1136|602.08|852|908.8|965.6|1022.4|0|917.89|817.92|768.84|0|1136|740.67|0|416|929.82|703.18|685.01|0|0|852|887.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|503.36|0|0|0|0|0|0|0|0|1136
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PATCH TEFLON CV 6X6IN|1528.52|810.12|1146.39|1222.82|1299.24|1375.67|0|1235.04|1100.53|1034.5|0|1528.52|996.6|0|559.74|1251.09|946.15|921.7|0|0|1146.39|1193.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|677.29|0|0|0|0|0|0|0|0|1528.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PATCH VENTRALEX ST M|1770.32|938.27|1327.74|1416.26|1504.77|1593.29|0|1430.42|1274.63|1198.15|0|1770.32|1154.25|0|648.29|1449.01|1095.83|1067.5|0|0|1327.74|1382.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|784.43|0|0|0|0|0|0|0|0|1770.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J INSET 25 96-0120|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J INSET 28 96-0121|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J INSET 32 96-0122|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA S/N 32M 71420576|1380|731.4|1035|1104|1173|1242|0|1115.04|993.6|933.98|0|1380|899.76|0|505.36|1129.53|854.22|832.14|0|0|1035|1077.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|611.48|0|0|0|0|0|0|0|0|1380
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S1 11-114641|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PERIGUARD 10X16CM|1860.54|986.09|1395.41|1488.43|1581.46|1674.49|0|1503.32|1339.59|1259.21|0|1860.54|1213.07|0|681.33|1522.85|1151.67|1121.91|0|0|1395.41|1453.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|824.41|0|0|0|0|0|0|0|0|1860.54
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PERIGUARD 6X8CM|1723.44|913.42|1292.58|1378.75|1464.92|1551.1|0|1392.54|1240.88|1166.42|0|1723.44|1123.68|0|631.12|1410.64|1066.81|1039.23|0|0|1292.58|1346.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|763.66|0|0|0|0|0|0|0|0|1723.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PERIGUARD 8X14CM|1697.82|899.84|1273.37|1358.26|1443.15|1528.04|0|1371.84|1222.43|1149.08|0|1697.82|1106.98|0|621.74|1389.67|1050.95|1023.79|0|0|1273.37|1326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|752.3|0|0|0|0|0|0|0|0|1697.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S2 11-114642|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN ABSORBABLE ORTHO SORB|992|525.76|744|793.6|843.2|892.8|0|801.54|714.24|671.39|0|992|646.78|0|363.27|811.95|614.05|598.18|0|2156.856582|744|774.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|439.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN ABSORBABLE ORTHO SORB LNG|896|474.88|672|716.8|761.6|806.4|0|723.97|645.12|606.41|0|896|584.19|0|328.12|733.38|554.62|540.29|0|2156.856582|672|699.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|397.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S3 11-114643|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S4 11-114644|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S5 11-114645|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINKRANENDONK 4/11-1/2 124810|1200.6|636.32|900.45|960.48|1020.51|1080.54|0|970.08|864.43|812.57|0|1200.6|782.79|0|439.66|982.69|743.17|723.96|0|2156.856582|900.45|937.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|531.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINKRANENDONK 5/11-1/2 124826|1329.64|704.71|997.23|1063.71|1130.19|1196.68|0|1074.35|957.34|899.9|0|1329.64|866.93|0|486.91|1088.31|823.05|801.77|0|2156.856582|997.23|1038.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|589.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN OCCLUDER 7M TITANIUM|1630|863.9|1222.5|1304|1385.5|1467|0|1317.04|1173.6|1103.18|0|1630|1062.76|0|596.91|1334.16|1008.97|982.89|0|11.99410609|1222.5|1273.03|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|722.25|0|0|0|0|0|0|0|0|1630
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S6 11-114646|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S7 11-114647|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CLD HA CT RSRF S8 11-114648|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSPISTN FISCH PLATNM 14-0443|455.48|241.4|341.61|364.38|387.16|409.93|0|368.03|327.95|308.27|0|455.48|296.97|0|166.8|372.81|281.94|274.65|0|307.0137525|341.61|355.73|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|201.82|0|0|0|0|0|0|0|0|455.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CNDYLR L 1.5 446.63.96|963.12|510.45|722.34|770.5|818.65|866.81|0|778.2|693.45|651.84|0|963.12|627.95|0|352.69|788.31|596.17|580.76|0|2156.856582|722.34|752.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|426.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CNDYLR R 1.5 446.64.96|963.12|510.45|722.34|770.5|818.65|866.81|0|778.2|693.45|651.84|0|963.12|627.95|0|352.69|788.31|596.17|580.76|0|2156.856582|722.34|752.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|426.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H EXTND L 1.5 446.483|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT 1.5/12 446.032|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS1 11-114661|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT1.5/6 446.031|648.8|343.86|486.6|519.04|551.48|583.92|0|524.23|467.14|439.11|0|648.8|423.02|0|237.59|531.04|401.61|391.23|0|2156.856582|486.6|506.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.5/4 446.234|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1.5 446.612|749.72|397.35|562.29|599.78|637.26|674.75|0|605.77|539.8|507.41|0|749.72|488.82|0|274.55|613.65|464.08|452.08|0|2156.856582|562.29|585.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H EXTND RT 1.5 446.482|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.5/3 446.233|749.72|397.35|562.29|599.78|637.26|674.75|0|605.77|539.8|507.41|0|749.72|488.82|0|274.55|613.65|464.08|452.08|0|2156.856582|562.29|585.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED MEDIAL 10 H PL-LEM12|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS2 11-114662|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 18H|2415.75|1280.35|1811.81|1932.6|2053.39|2174.18|0|1951.93|1739.34|1634.98|0|2415.75|1575.07|0|884.65|1977.29|1495.35|1456.7|0|2156.856582|1811.81|1886.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.42|0|0|0|0|0|0|0|0|2415.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 20H|2415.75|1280.35|1811.81|1932.6|2053.39|2174.18|0|1951.93|1739.34|1634.98|0|2415.75|1575.07|0|884.65|1977.29|1495.35|1456.7|0|2156.856582|1811.81|1886.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.42|0|0|0|0|0|0|0|0|2415.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.0 CNDYLR L 443.61.96|1009.28|534.92|756.96|807.42|857.89|908.35|0|815.5|726.68|683.08|0|1009.28|658.05|0|369.6|826.1|624.74|608.6|0|2156.856582|756.96|788.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|447.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.0 CNDYLR R 443.62.96|1009.28|534.92|756.96|807.42|857.89|908.35|0|815.5|726.68|683.08|0|1009.28|658.05|0|369.6|826.1|624.74|608.6|0|2156.856582|756.96|788.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|447.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.0 DCP 4 449.931|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.0 DCP 6 449.936|922.76|489.06|692.07|738.21|784.35|830.48|0|745.59|664.39|624.52|0|922.76|601.64|0|337.91|755.28|571.19|556.42|0|2156.856582|692.07|720.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|408.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.0 DCP 8 449.938|1046.76|554.78|785.07|837.41|889.75|942.08|0|845.78|753.67|708.45|0|1046.76|682.49|0|383.32|856.77|647.94|631.2|0|2156.856582|785.07|817.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|463.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMNI STR 2.0/17/3H 243.13|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS3 11-114663|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMNI STR 2.0/23/4H 243.14|204.72|108.5|153.54|163.78|174.01|184.25|0|165.41|147.4|138.55|0|204.72|133.48|0|74.97|167.56|126.72|123.45|0|2156.856582|153.54|159.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMNI STR 2.0/29/5H 243.15|219.12|116.13|164.34|175.3|186.25|197.21|0|177.05|157.77|148.3|0|219.12|142.87|0|80.24|179.35|135.64|132.13|0|2156.856582|164.34|171.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|97.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS4 11-114664|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS5 11-114665|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS6 11-114666|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS7 11-114667|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 20H 281.970S|3071.06|1627.66|2303.3|2456.85|2610.4|2763.96|0|2481.42|2211.17|2078.5|0|3071.06|2002.33|0|1124.62|2513.67|1900.99|1851.85|0|2156.856582|2303.3|2398.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1360.79|0|0|0|0|0|0|0|0|3071.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 22H 281.990S|3204.29|1698.27|2403.22|2563.43|2723.64|2883.86|0|2589.06|2307.09|2168.66|0|3204.29|2089.2|0|1173.41|2622.71|1983.45|1932.19|0|2156.856582|2403.22|2502.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1419.82|0|0|0|0|0|0|0|0|3204.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 25M|2898.78|1536.35|2174.09|2319.02|2463.96|2608.9|0|2342.21|2087.12|1961.89|0|2898.78|1890|0|1061.53|2372.65|1794.34|1747.96|0|2156.856582|2174.09|2263.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.45|0|0|0|0|0|0|0|0|2898.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 27.5M|2898.78|1536.35|2174.09|2319.02|2463.96|2608.9|0|2342.21|2087.12|1961.89|0|2898.78|1890|0|1061.53|2372.65|1794.34|1747.96|0|2156.856582|2174.09|2263.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.45|0|0|0|0|0|0|0|0|2898.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 40M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 19M|2898.78|1536.35|2174.09|2319.02|2463.96|2608.9|0|2342.21|2087.12|1961.89|0|2898.78|1890|0|1061.53|2372.65|1794.34|1747.96|0|2156.856582|2174.09|2263.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.45|0|0|0|0|0|0|0|0|2898.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 21M|2898.78|1536.35|2174.09|2319.02|2463.96|2608.9|0|2342.21|2087.12|1961.89|0|2898.78|1890|0|1061.53|2372.65|1794.34|1747.96|0|2156.856582|2174.09|2263.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.45|0|0|0|0|0|0|0|0|2898.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD CPLEASHACTDRSRFS8 11-114668|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 23M|2898.78|1536.35|2174.09|2319.02|2463.96|2608.9|0|2342.21|2087.12|1961.89|0|2898.78|1890|0|1061.53|2372.65|1794.34|1747.96|0|2156.856582|2174.09|2263.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.45|0|0|0|0|0|0|0|0|2898.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 30M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 32.5M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 35M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 37.5|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 42.5M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 45M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 50M|3245.94|1720.35|2434.46|2596.75|2759.05|2921.35|0|2622.72|2337.08|2196.85|0|3245.94|2116.35|0|1188.66|2656.8|2009.24|1957.3|0|2156.856582|2434.46|2535.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1438.28|0|0|0|0|0|0|0|0|3245.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ATLANTIS A/C 52.5M|3100.82|1643.43|2325.62|2480.66|2635.7|2790.74|0|2505.47|2232.59|2098.64|0|3100.82|2021.74|0|1135.52|2538.02|1919.41|1869.8|0|2156.856582|2325.62|2421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1373.98|0|0|0|0|0|0|0|0|3100.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED CORONOID R PL-ELCOR|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ADAPTION 1.3 421.010|1789.8|948.59|1342.35|1431.84|1521.33|1610.82|0|1446.16|1288.66|1211.34|0|1789.8|1166.95|0|655.42|1464.95|1107.89|1079.25|0|2156.856582|1342.35|1397.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|793.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP ADPT 1.5/20 421.520|1747.2|926.02|1310.4|1397.76|1485.12|1572.48|0|1411.74|1257.98|1182.5|0|1747.2|1139.17|0|639.82|1430.08|1081.52|1053.56|0|2156.856582|1310.4|1364.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|774.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN ADAPTION 2.0/193 447.38|1909.12|1011.83|1431.84|1527.3|1622.75|1718.21|0|1542.57|1374.57|1292.09|0|1909.12|1244.75|0|699.12|1562.61|1181.75|1151.2|0|2156.856582|1431.84|1491.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|845.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP ADPT 1.5/5 421.518|966.4|512.19|724.8|773.12|821.44|869.76|0|780.85|695.81|654.06|0|966.4|630.09|0|353.9|791|598.2|582.74|0|2156.856582|724.8|754.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|428.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP ADPT 1.5/7 421.519|1180.8|625.82|885.6|944.64|1003.68|1062.72|0|954.09|850.18|799.17|0|1180.8|769.88|0|432.41|966.48|730.92|712.02|0|2156.856582|885.6|922.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|523.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP BRD 4.5/10H 226.601|1578.78|836.75|1184.09|1263.02|1341.96|1420.9|0|1275.65|1136.72|1068.52|0|1578.78|1029.36|0|578.15|1292.23|977.26|952|0|2156.856582|1184.09|1233.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|699.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP BRD 4.5/11H 226.611|1682.58|891.77|1261.94|1346.06|1430.19|1514.32|0|1359.52|1211.46|1138.77|0|1682.58|1097.04|0|616.16|1377.19|1041.52|1014.6|0|2156.856582|1261.94|1314.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|745.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP BRD 4.5/12H 226.621|1784.22|945.64|1338.17|1427.38|1516.59|1605.8|0|1441.65|1284.64|1207.56|0|1784.22|1163.31|0|653.38|1460.38|1104.43|1075.88|0|2156.856582|1338.17|1393.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|790.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP BRD 4.5/14H 226.641|1989.69|1054.54|1492.27|1591.75|1691.24|1790.72|0|1607.67|1432.58|1346.62|0|1989.69|1297.28|0|728.62|1628.56|1231.62|1199.78|0|2156.856582|1492.27|1553.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|881.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP BRD 4.5/16H 226.661|2422.26|1283.8|1816.7|1937.81|2058.92|2180.03|0|1957.19|1744.03|1639.39|0|2422.26|1579.31|0|887.03|1982.62|1499.38|1460.62|0|2156.856582|1816.7|1891.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.3|0|0|0|0|0|0|0|0|2422.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP BRD 4.5/6H 226.561|1392.76|738.16|1044.57|1114.21|1183.85|1253.48|0|1125.35|1002.79|942.62|0|1392.76|908.08|0|510.03|1139.97|862.12|839.83|0|2156.856582|1044.57|1087.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|617.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP BRD 4.5/7H 226.571|1479.28|784.02|1109.46|1183.42|1257.39|1331.35|0|1195.26|1065.08|1001.18|0|1479.28|964.49|0|541.71|1210.79|915.67|892.01|0|2156.856582|1109.46|1155.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|655.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP BRD 4.5/8H 226.581|1810.88|959.77|1358.16|1448.7|1539.25|1629.79|0|1463.19|1303.83|1225.6|0|1810.88|1180.69|0|663.14|1482.21|1120.93|1091.96|0|2156.856582|1358.16|1414.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|802.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP BRD 4.5/9H 226.591|1960.84|1039.25|1470.63|1568.67|1666.71|1764.76|0|1584.36|1411.8|1327.1|0|1960.84|1278.47|0|718.06|1604.95|1213.76|1182.39|0|2156.856582|1470.63|1531.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|868.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CALC 60/3.5 241.61|1835.04|972.57|1376.28|1468.03|1559.78|1651.54|0|1482.71|1321.23|1241.96|0|1835.04|1196.45|0|671.99|1501.98|1135.89|1106.53|0|2156.856582|1376.28|1433.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|813.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CALC 70/3.5 241.62|1874.2|993.33|1405.65|1499.36|1593.07|1686.78|0|1514.35|1349.42|1268.46|0|1874.2|1221.98|0|686.33|1534.03|1160.13|1130.14|0|2156.856582|1405.65|1463.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|830.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCALC RECON 2.7/8H 245.98|1205.36|638.84|904.02|964.29|1024.56|1084.82|0|973.93|867.86|815.79|0|1205.36|785.89|0|441.4|986.59|746.12|726.83|0|2156.856582|904.02|941.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|534.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCALC RECON 2.7/9H 245.99|1248.6|661.76|936.45|998.88|1061.31|1123.74|0|1008.87|898.99|845.05|0|1248.6|814.09|0|457.24|1021.98|772.88|752.91|0|2156.856582|936.45|975.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CALC Y 241.65|1874.2|993.33|1405.65|1499.36|1593.07|1686.78|0|1514.35|1349.42|1268.46|0|1874.2|1221.98|0|686.33|1534.03|1160.13|1130.14|0|2156.856582|1405.65|1463.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|830.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CLVRLF 3H 88M 241.83|1051.6|557.35|788.7|841.28|893.86|946.44|0|849.69|757.15|711.72|0|1051.6|685.64|0|385.1|860.73|650.94|634.11|0|2156.856582|788.7|821.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|465.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CLVRLF 3H 104M 241.84|1123.92|595.68|842.94|899.14|955.33|1011.53|0|908.13|809.22|760.67|0|1123.92|732.8|0|411.58|919.93|695.71|677.72|0|2156.856582|842.94|877.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|498.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED CORONOID L PL-ELCOL|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNRCONCVD3.5/118/10H245.32|1577.36|836|1183.02|1261.89|1340.76|1419.62|0|1274.51|1135.7|1067.56|0|1577.36|1028.44|0|577.63|1291.07|976.39|951.15|0|2156.856582|1183.02|1231.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNRCONCVD3.5/142/12H245.33|1640.76|869.6|1230.57|1312.61|1394.65|1476.68|0|1325.73|1181.35|1110.47|0|1640.76|1069.78|0|600.85|1342.96|1015.63|989.38|0|2156.856582|1230.57|1281.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|727.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNRCONCVD3.5/166/14H245.34|1842.64|976.6|1381.98|1474.11|1566.24|1658.38|0|1488.85|1326.7|1247.1|0|1842.64|1201.4|0|674.77|1508.2|1140.59|1111.11|0|2156.856582|1381.98|1439.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNRCONCVD3.5/190/16H245.35|1963.76|1040.79|1472.82|1571.01|1669.2|1767.38|0|1586.72|1413.91|1329.07|0|1963.76|1280.37|0|719.13|1607.34|1215.57|1184.15|0|2156.856582|1472.82|1533.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|870.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNRCONCVD3.5/214/18H245.36|1585.26|840.19|1188.95|1268.21|1347.47|1426.73|0|1280.89|1141.39|1072.9|0|1585.26|1033.59|0|580.52|1297.54|981.28|955.91|0|2156.856582|1188.95|1238.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|702.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCONCVD3.5/70/6H 245.30|1381.24|732.06|1035.93|1104.99|1174.05|1243.12|0|1116.04|994.49|934.82|0|1381.24|900.57|0|505.81|1130.54|854.99|832.89|0|2156.856582|1035.93|1078.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|612.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCONCVD3.5/95/8H 245.31|1499.48|794.72|1124.61|1199.58|1274.56|1349.53|0|1211.58|1079.63|1014.85|0|1499.48|977.66|0|549.11|1227.32|928.18|904.19|0|2156.856582|1124.61|1171.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|664.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 10H 281.900|2350.86|1245.96|1763.15|1880.69|1998.23|2115.77|0|1899.49|1692.62|1591.06|0|2350.86|1532.76|0|860.88|1924.18|1455.18|1417.57|0|2156.856582|1763.15|1836.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1041.67|0|0|0|0|0|0|0|0|2350.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 14H 281.930|2655.81|1407.58|1991.86|2124.65|2257.44|2390.23|0|2145.89|1912.18|1797.45|0|2655.81|1731.59|0|972.56|2173.78|1643.95|1601.45|0|2156.856582|1991.86|2074.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.79|0|0|0|0|0|0|0|0|2655.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 16H 281.940|2830.98|1500.42|2123.24|2264.78|2406.33|2547.88|0|2287.43|2038.31|1916.01|0|2830.98|1845.8|0|1036.7|2317.16|1752.38|1707.08|0|2156.856582|2123.24|2211|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1254.41|0|0|0|0|0|0|0|0|2830.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 6H 281.960|2350.86|1245.96|1763.15|1880.69|1998.23|2115.77|0|1899.49|1692.62|1591.06|0|2350.86|1532.76|0|860.88|1924.18|1455.18|1417.57|0|2156.856582|1763.15|1836.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1041.67|0|0|0|0|0|0|0|0|2350.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 8H 281.980|2350.86|1245.96|1763.15|1880.69|1998.23|2115.77|0|1899.49|1692.62|1591.06|0|2350.86|1532.76|0|860.88|1924.18|1455.18|1417.57|0|2156.856582|1763.15|1836.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1041.67|0|0|0|0|0|0|0|0|2350.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 12H 281.925|2655.81|1407.58|1991.86|2124.65|2257.44|2390.23|0|2145.89|1912.18|1797.45|0|2655.81|1731.59|0|972.56|2173.78|1643.95|1601.45|0|2156.856582|1991.86|2074.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.79|0|0|0|0|0|0|0|0|2655.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 10H|1684.74|892.91|1263.56|1347.79|1432.03|1516.27|0|1361.27|1213.01|1140.23|0|1684.74|1098.45|0|616.95|1378.96|1042.85|1015.9|0|2156.856582|1263.56|1315.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|746.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 12H|1684.74|892.91|1263.56|1347.79|1432.03|1516.27|0|1361.27|1213.01|1140.23|0|1684.74|1098.45|0|616.95|1378.96|1042.85|1015.9|0|2156.856582|1263.56|1315.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|746.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 14H|2240.58|1187.51|1680.44|1792.46|1904.49|2016.52|0|1810.39|1613.22|1516.42|0|2240.58|1460.86|0|820.5|1833.91|1386.92|1351.07|0|2156.856582|1680.44|1749.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|992.8|0|0|0|0|0|0|0|0|2240.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 16H|2348.7|1244.81|1761.53|1878.96|1996.4|2113.83|0|1897.75|1691.06|1589.6|0|2348.7|1531.35|0|860.09|1922.41|1453.85|1416.27|0|2156.856582|1761.53|1834.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1040.71|0|0|0|0|0|0|0|0|2348.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS135 D4H 25M 281.540|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 135 D5H 38M 281.150|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 135 D6H 38M 281.160|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 8H|1684.74|892.91|1263.56|1347.79|1432.03|1516.27|0|1361.27|1213.01|1140.23|0|1684.74|1098.45|0|616.95|1378.96|1042.85|1015.9|0|2156.856582|1263.56|1315.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|746.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 140 DEG 10H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 140 DEG 12H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 140 D4H 38M 281.240|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 140 D5H 38M 281.250|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 140 D6H 38M 281.260|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 140 DEG 8H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 145 DEG 10H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 145 DEG 12H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 145 D4H 38M 281.340|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 145 D6H 38M 281.360|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS150 D4H 25M 281.840|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 150 D4H 38M 281.440|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 150 D5H 38M 281.45|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 150 DEG 8H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X26M6958726|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIST L VOLAR DVRAX-L|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|2156.856582|1890|1968.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X28M6958728|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ST 2.4/4 449.14|1630.86|864.36|1223.15|1304.69|1386.23|1467.77|0|1317.73|1174.22|1103.77|0|1630.86|1063.32|0|597.22|1334.86|1009.5|983.41|0|2156.856582|1223.15|1273.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|722.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ST 2.4/5 449.15|1792.56|950.06|1344.42|1434.05|1523.68|1613.3|0|1448.39|1290.64|1213.2|0|1792.56|1168.75|0|656.44|1467.21|1109.59|1080.91|0|2156.856582|1344.42|1399.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CRSCNT 2.4/6 449.26|1951.95|1034.53|1463.96|1561.56|1659.16|1756.76|0|1577.18|1405.4|1321.08|0|1951.95|1272.67|0|714.8|1597.67|1208.26|1177.03|0|2156.856582|1463.96|1524.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ST 2.4/ 6 449.16|1951.95|1034.53|1463.96|1561.56|1659.16|1756.76|0|1577.18|1405.4|1321.08|0|1951.95|1272.67|0|714.8|1597.67|1208.26|1177.03|0|2156.856582|1463.96|1524.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDOLECRANXLNG PL-LEO17R|3567|1890.51|2675.25|2853.6|3031.95|3210.3|0|2882.14|2568.24|2414.15|0|3567|2325.68|0|1306.24|2919.59|2207.97|2150.9|0|2156.856582|2675.25|2785.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.54|0|0|0|0|0|0|0|0|3567
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED LNG LAT L PL-LEL10L|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED LNG LAT R PL-LER10R|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED SM MEDIAL PL-LEM7|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X30M6958730|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED SM LAT R PL-LEL6R|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED LAT L PL-LEL14L|3567|1890.51|2675.25|2853.6|3031.95|3210.3|0|2882.14|2568.24|2414.15|0|3567|2325.68|0|1306.24|2919.59|2207.97|2150.9|0|2156.856582|2675.25|2785.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.54|0|0|0|0|0|0|0|0|3567
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED LAT R PL-LEL14R|3567|1890.51|2675.25|2853.6|3031.95|3210.3|0|2882.14|2568.24|2414.15|0|3567|2325.68|0|1306.24|2919.59|2207.97|2150.9|0|2156.856582|2675.25|2785.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.54|0|0|0|0|0|0|0|0|3567
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNHINDMID FT2.7/5H 242.535|798.72|423.32|599.04|638.98|678.91|718.85|0|645.37|575.08|540.57|0|798.72|520.77|0|292.49|653.75|494.41|481.63|0|2156.856582|599.04|623.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|353.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X32M6958732|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNHINDMID FT2.7/8H 242.536|824.68|437.08|618.51|659.74|700.98|742.21|0|666.34|593.77|558.14|0|824.68|537.69|0|302|675|510.48|497.28|0|2156.856582|618.51|644.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|365.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 1.3 EXTND L 421.321|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X34M6958734|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 1.3 EXTND R 421.320|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN OBLQUE R 1.3/6 421.050|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN OBLQUE L 1.3/7 421.051|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN OBLQUE R 1.3/7 421.052|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN OBLQUE R 1.3/7 421.053|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SYN LC-DCP 2.4/4 H 249.924|977.52|518.09|733.14|782.02|830.89|879.77|0|789.84|703.81|661.59|0|977.52|637.34|0|357.97|800.1|605.08|589.44|0|2156.856582|733.14|763.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|433.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SYN LC-DCP 2.4/6 H 249.926|1104.4|585.33|828.3|883.52|938.74|993.96|0|892.36|795.17|747.46|0|1104.4|720.07|0|404.43|903.95|683.62|665.95|0|2156.856582|828.3|862.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SYN LC-DCP 2.4/8 H 249.928|1190.92|631.19|893.19|952.74|1012.28|1071.83|0|962.26|857.46|806.01|0|1190.92|776.48|0|436.11|974.77|737.18|718.12|0|2156.856582|893.19|930.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|527.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 2.7/4H 242.204|446.92|236.87|335.19|357.54|379.88|402.23|0|361.11|321.78|302.48|0|446.92|291.39|0|163.66|365.8|276.64|269.49|0|2156.856582|335.19|349.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 2.7/6H 242.206|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 6 H 233.56|495.96|262.86|371.97|396.77|421.57|446.36|0|400.74|357.09|335.67|0|495.96|323.37|0|181.62|405.94|307|299.06|0|2156.856582|371.97|387.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|219.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 7 H 223.57|513.28|272.04|384.96|410.62|436.29|461.95|0|414.73|369.56|347.39|0|513.28|334.66|0|187.96|420.12|317.72|309.51|0|2156.856582|384.96|400.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|227.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 8 H 223.58|539.24|285.8|404.43|431.39|458.35|485.32|0|435.71|388.25|364.96|0|539.24|351.58|0|197.47|441.37|333.79|325.16|0|2156.856582|404.43|421.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|238.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X24 6958724PT|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 9 H 223.59|568.04|301.06|426.03|454.43|482.83|511.24|0|458.98|408.99|384.45|0|568.04|370.36|0|208.02|464.94|351.62|342.53|0|2156.856582|426.03|443.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|251.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP10 H 223.60|576.72|305.66|432.54|461.38|490.21|519.05|0|465.99|415.24|390.32|0|576.72|376.02|0|211.19|472.05|356.99|347.76|0|2156.856582|432.54|450.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|255.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 3.5/137/10H 223.601|1245.72|660.23|934.29|996.58|1058.86|1121.15|0|1006.54|896.92|843.1|0|1245.72|812.21|0|456.18|1019.62|771.1|751.17|0|2156.856582|934.29|972.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|551.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 3.5/163/12H 223.621|1372.6|727.48|1029.45|1098.08|1166.71|1235.34|0|1109.06|988.27|928.98|0|1372.6|894.94|0|502.65|1123.47|849.64|827.68|0|2156.856582|1029.45|1072|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|608.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCP 3.5/189/14H 223.641|1546.32|819.55|1159.74|1237.06|1314.37|1391.69|0|1249.43|1113.35|1046.55|0|1546.32|1008.2|0|566.26|1265.66|957.17|932.43|0|2156.856582|1159.74|1207.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|685.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP 3.5/72/5H 223.551|994.84|527.27|746.13|795.87|845.61|895.36|0|803.83|716.28|673.31|0|994.84|648.64|0|364.31|814.28|615.81|599.89|0|2156.856582|746.13|776.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|440.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP 3.5/85/6H 223.561|1061.12|562.39|795.84|848.9|901.95|955.01|0|857.38|764.01|718.17|0|1061.12|691.85|0|388.58|868.53|656.83|639.86|0|2156.856582|795.84|828.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|470.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP 3.5/111/8H 223.581|1162.08|615.9|871.56|929.66|987.77|1045.87|0|938.96|836.7|786.5|0|1162.08|757.68|0|425.55|951.16|719.33|700.73|0|2156.856582|871.56|907.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|514.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP 3.5/124/9H 223.591|1211.12|641.89|908.34|968.9|1029.45|1090.01|0|978.58|872.01|819.69|0|1211.12|789.65|0|443.51|991.3|749.68|730.31|0|2156.856582|908.34|945.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|536.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X26 6958726PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X28 6958728PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNREC3.5/140/10H 245.101|1932|1023.96|1449|1545.6|1642.2|1738.8|0|1561.06|1391.04|1307.58|0|1932|1259.66|0|707.5|1581.34|1195.91|1165|0|2156.856582|1449|1508.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|856.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNREC3.5/168/12H 245.121|1574.43|834.45|1180.82|1259.54|1338.27|1416.99|0|1272.14|1133.59|1065.57|0|1574.43|1026.53|0|576.56|1288.67|974.57|949.38|0|2156.856582|1180.82|1229.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN REC 3.5/70/5H 245.051|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN REC 3.5/84/6H 245.061|1701.32|901.7|1275.99|1361.06|1446.12|1531.19|0|1374.67|1224.95|1151.45|0|1701.32|1109.26|0|623.02|1392.53|1053.12|1025.9|0|2156.856582|1275.99|1328.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|753.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN REC 3.5/98/7H 245.071|1787.84|947.56|1340.88|1430.27|1519.66|1609.06|0|1444.57|1287.24|1210.01|0|1787.84|1165.67|0|654.71|1463.35|1106.67|1078.07|0|2156.856582|1340.88|1396.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|792.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN REC 3.5/112/8H 245.081|1865.72|988.83|1399.29|1492.58|1585.86|1679.15|0|1507.5|1343.32|1262.72|0|1865.72|1216.45|0|683.23|1527.09|1154.88|1125.03|0|2156.856582|1399.29|1457.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|826.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LEIB Z 1.7 9H 57-05279|1225.4|649.46|919.05|980.32|1041.59|1102.86|0|990.12|882.29|829.35|0|1225.4|798.96|0|448.74|1002.99|758.52|738.92|0|2156.856582|919.05|957.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|542.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X30 6958730PT|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X32 6958732PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED LNG MEDIAL PL-LEM9S|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED OLECRAN LNG PLLEOI3E|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP Y 421.515|1052.8|557.98|789.6|842.24|894.88|947.52|0|850.66|758.02|712.54|0|1052.8|686.43|0|385.54|861.72|651.68|634.84|0|2156.856582|789.6|822.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|466.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP DBL Y LG 421.517|1052.8|557.98|789.6|842.24|894.88|947.52|0|850.66|758.02|712.54|0|1052.8|686.43|0|385.54|861.72|651.68|634.84|0|2156.856582|789.6|822.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|466.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTX 3.5X34 6958734PT|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4X24 6958824PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED MED MEDIAL PL-LEM8|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4X32 6958832PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4X34 6958834PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM 4.5M 7756073|3282.3|1739.62|2461.73|2625.84|2789.96|2954.07|0|2652.1|2363.26|2221.46|0|3282.3|2140.06|0|1201.98|2686.56|2031.74|1979.23|0|2156.856582|2461.73|2563.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1454.39|0|0|0|0|0|0|0|0|3282.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM 6M 7756074|3282.3|1739.62|2461.73|2625.84|2789.96|2954.07|0|2652.1|2363.26|2221.46|0|3282.3|2140.06|0|1201.98|2686.56|2031.74|1979.23|0|2156.856582|2461.73|2563.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1454.39|0|0|0|0|0|0|0|0|3282.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/10H 224.601|1819.56|964.37|1364.67|1455.65|1546.63|1637.6|0|1470.2|1310.08|1231.48|0|1819.56|1186.35|0|666.32|1489.31|1126.31|1097.19|0|2156.856582|1364.67|1421.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/11H 224.611|1960.84|1039.25|1470.63|1568.67|1666.71|1764.76|0|1584.36|1411.8|1327.1|0|1960.84|1278.47|0|718.06|1604.95|1213.76|1182.39|0|2156.856582|1470.63|1531.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|868.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/12H 224.621|1578.78|836.75|1184.09|1263.02|1341.96|1420.9|0|1275.65|1136.72|1068.52|0|1578.78|1029.36|0|578.15|1292.23|977.26|952|0|2156.856582|1184.09|1233.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|699.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/14H 224.641|1773.42|939.91|1330.07|1418.74|1507.41|1596.08|0|1432.92|1276.86|1200.25|0|1773.42|1156.27|0|649.43|1451.54|1097.75|1069.37|0|2156.856582|1330.07|1385.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|785.8|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM RT 4.5M 7756073R|3178.56|1684.64|2383.92|2542.85|2701.78|2860.7|0|2568.28|2288.56|2151.25|0|3178.56|2072.42|0|1163.99|2601.65|1967.53|1916.67|0|2156.856582|2383.92|2482.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1408.42|0|0|0|0|0|0|0|0|3178.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/16H 224.661|2071.86|1098.09|1553.9|1657.49|1761.08|1864.67|0|1674.06|1491.74|1402.23|0|2071.86|1350.85|0|758.72|1695.82|1282.48|1249.33|0|2156.856582|1553.9|1618.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|918.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/4H 224.541|1153.44|611.32|865.08|922.75|980.42|1038.1|0|931.98|830.48|780.65|0|1153.44|752.04|0|422.39|944.09|713.98|695.52|0|2156.856582|865.08|900.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|511.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/5H 224.551|1231.28|652.58|923.46|985.02|1046.59|1108.15|0|994.87|886.52|833.33|0|1231.28|802.79|0|450.89|1007.8|762.16|742.46|0|2156.856582|923.46|961.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/6H 224.561|1306.24|692.31|979.68|1044.99|1110.3|1175.62|0|1055.44|940.49|884.06|0|1306.24|851.67|0|478.35|1069.16|808.56|787.66|0|2156.856582|979.68|1020.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|578.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/7H 224.571|1511|800.83|1133.25|1208.8|1284.35|1359.9|0|1220.89|1087.92|1022.64|0|1511|985.17|0|553.33|1236.75|935.31|911.13|0|2156.856582|1133.25|1180.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|669.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/8H 224.581|1597.52|846.69|1198.14|1278.02|1357.89|1437.77|0|1290.8|1150.21|1081.2|0|1597.52|1041.58|0|585.01|1307.57|988.86|963.3|0|2156.856582|1198.14|1247.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|707.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP N 4.5/9H 224.591|1675.4|887.96|1256.55|1340.32|1424.09|1507.86|0|1353.72|1206.29|1133.91|0|1675.4|1092.36|0|613.53|1371.31|1037.07|1010.27|0|2156.856582|1256.55|1308.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|742.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN ORB 1.3 421.021|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM LT 4.5M 7756073L|3178.56|1684.64|2383.92|2542.85|2701.78|2860.7|0|2568.28|2288.56|2151.25|0|3178.56|2072.42|0|1163.99|2601.65|1967.53|1916.67|0|2156.856582|2383.92|2482.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1408.42|0|0|0|0|0|0|0|0|3178.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNORB RIM TI 1.5/12 446.22|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 2.0/12 447.22|975.84|517.2|731.88|780.67|829.46|878.26|0|788.48|702.6|660.45|0|975.84|636.25|0|357.35|798.73|604.04|588.43|0|2156.856582|731.88|762.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|432.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED POST PL-ELP0|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLEIB 1.7 3D 2X2 2H 57-05297|2000.7|1060.37|1500.53|1600.56|1700.6|1800.63|0|1616.57|1440.5|1354.07|0|2000.7|1304.46|0|732.66|1637.57|1238.43|1206.42|0|2156.856582|1500.53|1562.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM RT 6M 7756074R|3178.56|1684.64|2383.92|2542.85|2701.78|2860.7|0|2568.28|2288.56|2151.25|0|3178.56|2072.42|0|1163.99|2601.65|1967.53|1916.67|0|2156.856582|2383.92|2482.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1408.42|0|0|0|0|0|0|0|0|3178.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM LT 6M 7756074L|3178.56|1684.64|2383.92|2542.85|2701.78|2860.7|0|2568.28|2288.56|2151.25|0|3178.56|2072.42|0|1163.99|2601.65|1967.53|1916.67|0|2156.856582|2383.92|2482.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1408.42|0|0|0|0|0|0|0|0|3178.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LEIB STR 1.7 16H 57-05216|2000.7|1060.37|1500.53|1600.56|1700.6|1800.63|0|1616.57|1440.5|1354.07|0|2000.7|1304.46|0|732.66|1637.57|1238.43|1206.42|0|2156.856582|1500.53|1562.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX SET MS CONN 7753500|405.92|215.14|304.44|324.74|345.03|365.33|0|327.98|292.26|274.73|0|405.92|264.66|0|148.65|332.25|251.26|244.77|0|2156.856582|304.44|317.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|179.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LEIB 1.7 7H 57-05260|1908|1011.24|1431|1526.4|1621.8|1717.2|0|1541.66|1373.76|1291.33|0|1908|1244.02|0|698.71|1561.7|1181.05|1150.52|0|2156.856582|1431|1490.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|845.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L4.5/190 10H 240.043|2929.2|1552.48|2196.9|2343.36|2489.82|2636.28|0|2366.79|2109.02|1982.48|0|2929.2|1909.84|0|1072.67|2397.55|1813.17|1766.31|0|2156.856582|2196.9|2287.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1297.93|0|0|0|0|0|0|0|0|2929.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R4.5/190 10H 240.042|2929.2|1552.48|2196.9|2343.36|2489.82|2636.28|0|2366.79|2109.02|1982.48|0|2929.2|1909.84|0|1072.67|2397.55|1813.17|1766.31|0|2156.856582|2196.9|2287.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1297.93|0|0|0|0|0|0|0|0|2929.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L4.5/226 12H 240.045|2962.06|1569.89|2221.54|2369.64|2517.75|2665.85|0|2393.34|2132.68|2004.72|0|2962.06|1931.26|0|1084.7|2424.44|1833.51|1786.12|0|2156.856582|2221.54|2313.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1312.49|0|0|0|0|0|0|0|0|2962.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R4.5/226 12H 240.044|2962.06|1569.89|2221.54|2369.64|2517.75|2665.85|0|2393.34|2132.68|2004.72|0|2962.06|1931.26|0|1084.7|2424.44|1833.51|1786.12|0|2156.856582|2221.54|2313.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1312.49|0|0|0|0|0|0|0|0|2962.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L4.5/262 14H 240.047|2994.91|1587.3|2246.18|2395.93|2545.68|2695.42|0|2419.89|2156.34|2026.96|0|2994.91|1952.68|0|1096.74|2451.34|1853.85|1805.93|0|2156.856582|2246.18|2339.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1327.05|0|0|0|0|0|0|0|0|2994.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MSXLK/MSX CLK 7752529|369|195.57|276.75|295.2|313.65|332.1|0|298.15|265.68|249.74|0|369|240.59|0|135.13|302.03|228.41|222.51|0|2156.856582|276.75|288.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R4.5/262 14H 240.046|2994.91|1587.3|2246.18|2395.93|2545.68|2695.42|0|2419.89|2156.34|2026.96|0|2994.91|1952.68|0|1096.74|2451.34|1853.85|1805.93|0|2156.856582|2246.18|2339.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1327.05|0|0|0|0|0|0|0|0|2994.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L 4.5/82 4H 240.037|3538.2|1875.25|2653.65|2830.56|3007.47|3184.38|0|2858.87|2547.5|2394.65|0|3538.2|2306.91|0|1295.69|2896.02|2190.15|2133.53|0|2156.856582|2653.65|2763.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1567.78|0|0|0|0|0|0|0|0|3538.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R 4.5/82 4H 240.036|3538.2|1875.25|2653.65|2830.56|3007.47|3184.38|0|2858.87|2547.5|2394.65|0|3538.2|2306.91|0|1295.69|2896.02|2190.15|2133.53|0|2156.856582|2653.65|2763.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1567.78|0|0|0|0|0|0|0|0|3538.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L 4.5/118 6H 240.039|3581.43|1898.16|2686.07|2865.14|3044.22|3223.29|0|2893.8|2578.63|2423.91|0|3581.43|2335.09|0|1311.52|2931.4|2216.91|2159.6|0|2156.856582|2686.07|2797.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1586.93|0|0|0|0|0|0|0|0|3581.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R 4.5/118/6H 240.038|3581.43|1898.16|2686.07|2865.14|3044.22|3223.29|0|2893.8|2578.63|2423.91|0|3581.43|2335.09|0|1311.52|2931.4|2216.91|2159.6|0|2156.856582|2686.07|2797.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1586.93|0|0|0|0|0|0|0|0|3581.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP L 4.5/154 8H 240.041|2898.05|1535.97|2173.54|2318.44|2463.34|2608.24|0|2341.62|2086.59|1961.4|0|2898.05|1889.53|0|1061.27|2372.05|1793.89|1747.52|0|2156.856582|2173.54|2263.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.13|0|0|0|0|0|0|0|0|2898.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP R 4.5/154/8H 240.040|2898.05|1535.97|2173.54|2318.44|2463.34|2608.24|0|2341.62|2086.59|1961.4|0|2898.05|1889.53|0|1061.27|2372.05|1793.89|1747.52|0|2156.856582|2173.54|2263.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.13|0|0|0|0|0|0|0|0|2898.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED PRX EXTND PL-LEM16|3567|1890.51|2675.25|2853.6|3031.95|3210.3|0|2882.14|2568.24|2414.15|0|3567|2325.68|0|1306.24|2919.59|2207.97|2150.9|0|2156.856582|2675.25|2785.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.54|0|0|0|0|0|0|0|0|3567
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRXHUM3.5/6H/5H 241.903|3148.92|1668.93|2361.69|2519.14|2676.58|2834.03|0|2544.33|2267.22|2131.19|0|3148.92|2053.1|0|1153.13|2577.39|1949.18|1898.8|0|2156.856582|2361.69|2459.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1395.29|0|0|0|0|0|0|0|0|3148.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRXHUM3.5/6H/3H 241.901|3052.03|1617.57|2289.02|2441.63|2594.23|2746.83|0|2466.04|2197.46|2065.62|0|3052.03|1989.92|0|1117.65|2498.09|1889.21|1840.38|0|2156.856582|2289.02|2383.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1352.36|0|0|0|0|0|0|0|0|3052.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX TI 3.5X240M 7750015|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|2156.856582|450|468.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCKDA 2.4 5/22/5 449.637|4395.01|2329.36|3296.25|3516|3735.76|3955.51|0|3551.16|3164.4|2974.54|0|4395.01|2865.54|0|1609.45|3597.31|2720.51|2650.19|0|2156.856582|3296.25|3432.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1947.43|0|0|0|0|0|0|0|0|4395.01
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RECON 2.4MM STR 20H|1542.08|817.3|1156.56|1233.66|1310.77|1387.87|0|1246|1110.3|1043.68|0|1542.08|1005.44|0|564.71|1262.19|954.55|929.87|0|2156.856582|1156.56|1204.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|683.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|PLATE RECON 2.7MM 16H 128MM|470.5|249.36|352.88|376.4|399.93|423.45|0|380.16|338.76|318.43|0|470.5|306.77|0|172.3|385.1|291.24|283.71|0|0|352.88|367.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|208.48|0|0|0|0|0|0|0|0|470.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VX TI TRD 3.5X240M 7755240|1758.4|931.95|1318.8|1406.72|1494.64|1582.56|0|1420.79|1266.05|1190.09|0|1758.4|1146.48|0|643.93|1439.25|1088.45|1060.32|0|2156.856582|1318.8|1373.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|779.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCON3.5/118/10H 245.00|1438.92|762.63|1079.19|1151.14|1223.08|1295.03|0|1162.65|1036.02|973.86|0|1438.92|938.18|0|526.93|1177.76|890.69|867.67|0|2156.856582|1079.19|1123.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|637.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCON3.5/142/12H 245.02|1577.36|836|1183.02|1261.89|1340.76|1419.62|0|1274.51|1135.7|1067.56|0|1577.36|1028.44|0|577.63|1291.07|976.39|951.15|0|2156.856582|1183.02|1231.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCON3.5/166/14H 245.04|1712.84|907.81|1284.63|1370.27|1455.91|1541.56|0|1383.97|1233.24|1159.25|0|1712.84|1116.77|0|627.24|1401.96|1060.25|1032.84|0|2156.856582|1284.63|1337.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|758.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCON3.5/190/16H 245.06|1854.16|982.7|1390.62|1483.33|1576.04|1668.74|0|1498.16|1335|1254.9|0|1854.16|1208.91|0|678.99|1517.63|1147.73|1118.06|0|2156.856582|1390.62|1448.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|821.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN RCON3.5/214/18H 245.08|1940.68|1028.56|1455.51|1552.54|1649.58|1746.61|0|1568.07|1397.29|1313.45|0|1940.68|1265.32|0|710.68|1588.45|1201.28|1170.23|0|2156.856582|1455.51|1515.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|859.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VX TI TRD 4.5X360M 7755245|1625.4|861.46|1219.05|1300.32|1381.59|1462.86|0|1313.32|1170.29|1100.07|0|1625.4|1059.76|0|595.22|1330.39|1006.12|980.12|0|2156.856582|1219.05|1269.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|720.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN RCON 3.5/58/5H 245.15|1107.32|586.88|830.49|885.86|941.22|996.59|0|894.71|797.27|749.43|0|1107.32|721.97|0|405.5|906.34|685.43|667.71|0|2156.856582|830.49|864.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|490.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN RCON 3.5/70/6H 245.16|1274.56|675.52|955.92|1019.65|1083.38|1147.1|0|1029.84|917.68|862.62|0|1274.56|831.01|0|466.74|1043.23|788.95|768.56|0|2156.856582|955.92|995.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|564.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN RCON 3.5/94/8H 245.18|1392.76|738.16|1044.57|1114.21|1183.85|1253.48|0|1125.35|1002.79|942.62|0|1392.76|908.08|0|510.03|1139.97|862.12|839.83|0|2156.856582|1044.57|1087.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|617.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VX TI TRD 5.5X360M 7755247|1724.1|913.77|1293.08|1379.28|1465.49|1551.69|0|1393.07|1241.35|1166.87|0|1724.1|1124.11|0|631.37|1411.18|1067.22|1039.63|0|2156.856582|1293.08|1346.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|763.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX LTRLOE 10MM 7756064|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX LTRLOE 13MM 7756066|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED OLECRAN STD PL-LE09|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|2156.856582|1687.5|1757.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT1.3/12H 421.312|816.04|432.5|612.03|652.83|693.63|734.44|0|659.36|587.55|552.3|0|816.04|532.06|0|298.83|667.93|505.13|492.07|0|2156.856582|612.03|637.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT 2.0/12 447.032|853.56|452.39|640.17|682.85|725.53|768.2|0|689.68|614.56|577.69|0|853.56|556.52|0|312.57|698.64|528.35|514.7|0|2156.856582|640.17|666.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT 2.0/6 447.031|712.24|377.49|534.18|569.79|605.4|641.02|0|575.49|512.81|482.04|0|712.24|464.38|0|260.82|582.97|440.88|429.48|0|2156.856582|534.18|556.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRGHT 1.3/6 H 421.306|648.8|343.86|486.6|519.04|551.48|583.92|0|524.23|467.14|439.11|0|648.8|423.02|0|237.59|531.04|401.61|391.23|0|2156.856582|486.6|506.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 1.3 421.080|1964.8|1041.34|1473.6|1571.84|1670.08|1768.32|0|1587.56|1414.66|1329.78|0|1964.8|1281.05|0|719.51|1608.19|1216.21|1184.77|0|2156.856582|1473.6|1534.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|870.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 2.0/ 6 449.017|1573.11|833.75|1179.83|1258.49|1337.14|1415.8|0|1271.07|1132.64|1064.68|0|1573.11|1025.67|0|576.07|1287.59|973.76|948.59|0|2156.856582|1179.83|1228.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX LTRLCE 10MM 7756067|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX LTRLCE 13MM 7756068|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DCS 95 DEG 18H 281.950S|2975.9|1577.23|2231.93|2380.72|2529.52|2678.31|0|2404.53|2142.65|2014.09|0|2975.9|1940.29|0|1089.78|2435.78|1842.08|1794.47|0|2156.856582|2231.93|2324.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1318.62|0|0|0|0|0|0|0|0|2975.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 145 DEG 8H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 150 DEG 12H|1792.89|950.23|1344.67|1434.31|1523.96|1613.6|0|1448.66|1290.88|1213.43|0|1792.89|1168.96|0|656.56|1467.48|1109.8|1081.11|0|2156.856582|1344.67|1400.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX CABLE 7751110|1501.5|795.79|1126.13|1201.2|1276.28|1351.35|0|1213.21|1081.08|1016.22|0|1501.5|978.98|0|549.85|1228.98|929.43|905.4|0|2156.856582|1126.13|1172.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|665.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 2.0/2 HD 8 447.232|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 2.0/3 HD 8 447.233|853.56|452.39|640.17|682.85|725.53|768.2|0|689.68|614.56|577.69|0|853.56|556.52|0|312.57|698.64|528.35|514.7|0|2156.856582|640.17|666.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.3 3H HD 421.333|749.72|397.35|562.29|599.78|637.26|674.75|0|605.77|539.8|507.41|0|749.72|488.82|0|274.55|613.65|464.08|452.08|0|2156.856582|562.29|585.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN T2.4/3H HD/10H 249.919|839.12|444.73|629.34|671.3|713.25|755.21|0|678.01|604.17|567.92|0|839.12|547.11|0|307.29|686.82|519.42|505.99|0|2156.856582|629.34|655.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|371.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CCONN VRTX MAS XLNK S 7752525|2710.74|1436.69|2033.06|2168.59|2304.13|2439.67|0|2190.28|1951.73|1834.63|0|2710.74|1767.4|0|992.67|2218.74|1677.95|1634.58|0|2156.856582|2033.06|2117.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1201.13|0|0|0|0|0|0|0|0|2710.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 1.3 421.071|954.56|505.92|715.92|763.65|811.38|859.1|0|771.28|687.28|646.05|0|954.56|622.37|0|349.56|781.31|590.87|575.6|0|2156.856582|715.92|745.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|422.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP T 4.5/4H 240.141|1516.05|803.51|1137.04|1212.84|1288.64|1364.45|0|1224.97|1091.56|1026.06|0|1516.05|988.46|0|555.18|1240.89|938.43|914.18|0|2156.856582|1137.04|1184.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|671.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP T 4.5/6H 240.161|1738.8|921.56|1304.1|1391.04|1477.98|1564.92|0|1404.95|1251.94|1176.82|0|1738.8|1133.7|0|636.75|1423.21|1076.32|1048.5|0|2156.856582|1304.1|1358|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|770.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP T 4.5/8H 240.181|2007|1063.71|1505.25|1605.6|1705.95|1806.3|0|1621.66|1445.04|1358.34|0|2007|1308.56|0|734.96|1642.73|1242.33|1210.22|0|2156.856582|1505.25|1567.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|889.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/194 LT|3585.78|1900.46|2689.34|2868.62|3047.91|3227.2|0|2897.31|2581.76|2426.86|0|3585.78|2337.93|0|1313.11|2934.96|2219.6|2162.23|0|2156.856582|2689.34|2800.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1588.86|0|0|0|0|0|0|0|0|3585.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/194 RT|3585.78|1900.46|2689.34|2868.62|3047.91|3227.2|0|2897.31|2581.76|2426.86|0|3585.78|2337.93|0|1313.11|2934.96|2219.6|2162.23|0|2156.856582|2689.34|2800.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1588.86|0|0|0|0|0|0|0|0|3585.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/220 LT|2899.78|1536.89|2174.83|2319.82|2464.81|2609.8|0|2343.02|2087.84|1962.57|0|2899.78|1890.65|0|1061.9|2373.47|1794.96|1748.56|0|2156.856582|2174.83|2264.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.89|0|0|0|0|0|0|0|0|2899.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX MAS XLNK M 7752526|3437.85|1822.06|2578.39|2750.28|2922.17|3094.07|0|2777.78|2475.25|2326.74|0|3437.85|2241.48|0|1258.94|2813.88|2128.03|2073.02|0|2156.856582|2578.39|2684.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1523.31|0|0|0|0|0|0|0|0|3437.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/220 RT|2899.78|1536.89|2174.83|2319.82|2464.81|2609.8|0|2343.02|2087.84|1962.57|0|2899.78|1890.65|0|1061.9|2373.47|1794.96|1748.56|0|2156.856582|2174.83|2264.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.89|0|0|0|0|0|0|0|0|2899.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/116 LT|2905.32|1539.82|2178.99|2324.26|2469.52|2614.79|0|2347.5|2091.83|1966.32|0|2905.32|1894.27|0|1063.93|2378|1798.39|1751.91|0|2156.856582|2178.99|2269.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1287.35|0|0|0|0|0|0|0|0|2905.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/142 LT|3514.41|1862.64|2635.81|2811.53|2987.25|3162.97|0|2839.64|2530.38|2378.55|0|3514.41|2291.4|0|1286.98|2876.54|2175.42|2119.19|0|2156.856582|2635.81|2744.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1557.24|0|0|0|0|0|0|0|0|3514.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/168 LT|3549.03|1880.99|2661.77|2839.22|3016.68|3194.13|0|2867.62|2555.3|2401.98|0|3549.03|2313.97|0|1299.65|2904.88|2196.85|2140.07|0|2156.856582|2661.77|2771.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1572.58|0|0|0|0|0|0|0|0|3549.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/116 RT|3475.47|1842|2606.6|2780.38|2954.15|3127.92|0|2808.18|2502.34|2352.2|0|3475.47|2266.01|0|1272.72|2844.67|2151.32|2095.71|0|2156.856582|2606.6|2714.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1539.98|0|0|0|0|0|0|0|0|3475.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/142 RT|3514.41|1862.64|2635.81|2811.53|2987.25|3162.97|0|2839.64|2530.38|2378.55|0|3514.41|2291.4|0|1286.98|2876.54|2175.42|2119.19|0|2156.856582|2635.81|2744.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1557.24|0|0|0|0|0|0|0|0|3514.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/168 RT|3549.03|1880.99|2661.77|2839.22|3016.68|3194.13|0|2867.62|2555.3|2401.98|0|3549.03|2313.97|0|1299.65|2904.88|2196.85|2140.07|0|2156.856582|2661.77|2771.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1572.58|0|0|0|0|0|0|0|0|3549.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX MAS XLNK L 7752527|2710.74|1436.69|2033.06|2168.59|2304.13|2439.67|0|2190.28|1951.73|1834.63|0|2710.74|1767.4|0|992.67|2218.74|1677.95|1634.58|0|2156.856582|2033.06|2117.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1201.13|0|0|0|0|0|0|0|0|2710.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN CLP MAS RDXLINK 7752528|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|2156.856582|882|918.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|521.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMINIBRDCVD 2.0/4 447.057|1545.39|819.06|1159.04|1236.31|1313.58|1390.85|0|1248.68|1112.68|1045.92|0|1545.39|1007.59|0|565.92|1264.9|956.6|931.87|0|2156.856582|1159.04|1206.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-1 23 450.151|2261.58|1198.64|1696.19|1809.26|1922.34|2035.42|0|1827.36|1628.34|1530.64|0|2261.58|1474.55|0|828.19|1851.1|1399.92|1363.73|0|2156.856582|1696.19|1766.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1002.11|0|0|0|0|0|0|0|0|2261.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN MINI N MAL2.0/4 447.046|1410.64|747.64|1057.98|1128.51|1199.04|1269.58|0|1139.8|1015.66|954.72|0|1410.64|919.74|0|516.58|1154.61|873.19|850.62|0|2156.856582|1057.98|1101.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|625.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNANGLD LG 2.0/4/4 447.119|3035.34|1608.73|2276.51|2428.27|2580.04|2731.81|0|2452.55|2185.44|2054.32|0|3035.34|1979.04|0|1111.54|2484.43|1878.88|1830.31|0|2156.856582|2276.51|2370.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1344.96|0|0|0|0|0|0|0|0|3035.34
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG L 2.0/ 6/21 447.109|3183.64|1687.33|2387.73|2546.91|2706.1|2865.28|0|2572.38|2292.22|2154.69|0|3183.64|2075.73|0|1165.85|2605.81|1970.67|1919.74|0|2156.856582|2387.73|2486.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1410.67|0|0|0|0|0|0|0|0|3183.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG R 2.0/ 6/21 447.108|3183.64|1687.33|2387.73|2546.91|2706.1|2865.28|0|2572.38|2292.22|2154.69|0|3183.64|2075.73|0|1165.85|2605.81|1970.67|1919.74|0|2156.856582|2387.73|2486.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1410.67|0|0|0|0|0|0|0|0|3183.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN MINI N MAL2.0/6 447.047|1536.92|814.57|1152.69|1229.54|1306.38|1383.23|0|1241.83|1106.58|1040.19|0|1536.92|1002.07|0|562.82|1257.97|951.35|926.76|0|2156.856582|1152.69|1200.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK ROD VRTX S 7752535|3038.1|1610.19|2278.58|2430.48|2582.39|2734.29|0|2454.78|2187.43|2056.19|0|3038.1|1980.84|0|1112.55|2486.68|1880.58|1831.97|0|2156.856582|2278.58|2372.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1346.18|0|0|0|0|0|0|0|0|3038.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOXADPTN 2.0/20 449.020|1755.6|930.47|1316.7|1404.48|1492.26|1580.04|0|1418.52|1264.03|1188.19|0|1755.6|1144.65|0|642.9|1436.96|1086.72|1058.63|0|2156.856582|1316.7|1371.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|777.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP BOX 10/16/4 421.521|1011.2|535.94|758.4|808.96|859.52|910.08|0|817.05|728.06|684.38|0|1011.2|659.3|0|370.3|827.67|625.93|609.75|0|2156.856582|758.4|789.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|448.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP BOX 421.511|1052.8|557.98|789.6|842.24|894.88|947.52|0|850.66|758.02|712.54|0|1052.8|686.43|0|385.54|861.72|651.68|634.84|0|2156.856582|789.6|822.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|466.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN BOX ST BRD2.0/4 449.024|1533.84|812.94|1150.38|1227.07|1303.76|1380.46|0|1239.34|1104.36|1038.1|0|1533.84|1000.06|0|561.69|1255.45|949.45|924.91|0|2156.856582|1150.38|1197.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOX ST BRD2.0/8 449.028|1740.2|922.31|1305.15|1392.16|1479.17|1566.18|0|1406.08|1252.94|1177.77|0|1740.2|1134.61|0|637.26|1424.35|1077.18|1049.34|0|2156.856582|1305.15|1359.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|771.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP STRGHT 4 421.504|265.6|140.77|199.2|212.48|225.76|239.04|0|214.6|191.23|179.76|0|265.6|173.17|0|97.26|217.39|164.41|160.16|0|2156.856582|199.2|207.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX CVD N2.0/4 449.014|1419.88|752.54|1064.91|1135.9|1206.9|1277.89|0|1147.26|1022.31|960.97|0|1419.88|925.76|0|519.96|1162.17|878.91|856.19|0|2156.856582|1064.91|1108.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|629.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN BOX CVD N2.0/ 6 449.016|1533.84|812.94|1150.38|1227.07|1303.76|1380.46|0|1239.34|1104.36|1038.1|0|1533.84|1000.06|0|561.69|1255.45|949.45|924.91|0|2156.856582|1150.38|1197.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DCP 2.0/4 449.034|1309|693.77|981.75|1047.2|1112.65|1178.1|0|1057.67|942.48|885.93|0|1309|853.47|0|479.36|1071.42|810.27|789.33|0|2156.856582|981.75|1022.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK ROD VRTX M 7752636|2395.53|1269.63|1796.65|1916.42|2036.2|2155.98|0|1935.59|1724.78|1621.29|0|2395.53|1561.89|0|877.24|1960.74|1482.83|1444.5|0|2156.856582|1796.65|1870.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1061.46|0|0|0|0|0|0|0|0|2395.53
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DCP 2.0/5 449.035|1419.88|752.54|1064.91|1135.9|1206.9|1277.89|0|1147.26|1022.31|960.97|0|1419.88|925.76|0|519.96|1162.17|878.91|856.19|0|2156.856582|1064.91|1108.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|629.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DCP 2.0/6 449.036|1533.84|812.94|1150.38|1227.07|1303.76|1380.46|0|1239.34|1104.36|1038.1|0|1533.84|1000.06|0|561.69|1255.45|949.45|924.91|0|2156.856582|1150.38|1197.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DCP 2.0/7 449.037|1647.8|873.33|1235.85|1318.24|1400.63|1483.02|0|1331.42|1186.42|1115.23|0|1647.8|1074.37|0|603.42|1348.72|1019.99|993.62|0|2156.856582|1235.85|1286.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DCP 2.0/8 449.038|1740.2|922.31|1305.15|1392.16|1479.17|1566.18|0|1406.08|1252.94|1177.77|0|1740.2|1134.61|0|637.26|1424.35|1077.18|1049.34|0|2156.856582|1305.15|1359.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|771.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOX ANG 2.0/4/4 449.032|1552.32|822.73|1164.24|1241.86|1319.47|1397.09|0|1254.27|1117.67|1050.61|0|1552.32|1012.11|0|568.46|1270.57|960.89|936.05|0|2156.856582|1164.24|1212.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|687.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-1 20 487.212|1615.17|856.04|1211.38|1292.14|1372.89|1453.65|0|1305.06|1162.92|1093.15|0|1615.17|1053.09|0|591.48|1322.02|999.79|973.95|0|2156.856582|1211.38|1261.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|715.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK ROD VRTX L 7752537|2395.53|1269.63|1796.65|1916.42|2036.2|2155.98|0|1935.59|1724.78|1621.29|0|2395.53|1561.89|0|877.24|1960.74|1482.83|1444.5|0|2156.856582|1796.65|1870.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1061.46|0|0|0|0|0|0|0|0|2395.53
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-1 22 487.213|1615.17|856.04|1211.38|1292.14|1372.89|1453.65|0|1305.06|1162.92|1093.15|0|1615.17|1053.09|0|591.48|1322.02|999.79|973.95|0|2156.856582|1211.38|1261.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|715.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-1 24 487.214|1615.17|856.04|1211.38|1292.14|1372.89|1453.65|0|1305.06|1162.92|1093.15|0|1615.17|1053.09|0|591.48|1322.02|999.79|973.95|0|2156.856582|1211.38|1261.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|715.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-1 26 487.215|1615.17|856.04|1211.38|1292.14|1372.89|1453.65|0|1305.06|1162.92|1093.15|0|1615.17|1053.09|0|591.48|1322.02|999.79|973.95|0|2156.856582|1211.38|1261.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|715.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-1 28 487.222|1615.17|856.04|1211.38|1292.14|1372.89|1453.65|0|1305.06|1162.92|1093.15|0|1615.17|1053.09|0|591.48|1322.02|999.79|973.95|0|2156.856582|1211.38|1261.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|715.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-2 38 487.218|1696.2|898.99|1272.15|1356.96|1441.77|1526.58|0|1370.53|1221.26|1147.99|0|1696.2|1105.92|0|621.15|1388.34|1049.95|1022.81|0|2156.856582|1272.15|1324.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|751.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VX MS XT 3.2/3.5 7756069|1934.4|1025.23|1450.8|1547.52|1644.24|1740.96|0|1563|1392.77|1309.2|0|1934.4|1261.23|0|708.38|1583.31|1197.39|1166.44|0|2156.856582|1450.8|1510.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|857.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-2 42 487.227|1696.2|898.99|1272.15|1356.96|1441.77|1526.58|0|1370.53|1221.26|1147.99|0|1696.2|1105.92|0|621.15|1388.34|1049.95|1022.81|0|2156.856582|1272.15|1324.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|751.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-2 45 487.228|1696.2|898.99|1272.15|1356.96|1441.77|1526.58|0|1370.53|1221.26|1147.99|0|1696.2|1105.92|0|621.15|1388.34|1049.95|1022.81|0|2156.856582|1272.15|1324.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|751.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP SM L-2 48 487.236|1696.2|898.99|1272.15|1356.96|1441.77|1526.58|0|1370.53|1221.26|1147.99|0|1696.2|1105.92|0|621.15|1388.34|1049.95|1022.81|0|2156.856582|1272.15|1324.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|751.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX MAS XT 4.5MM 7756071|1934.4|1025.23|1450.8|1547.52|1644.24|1740.96|0|1563|1392.77|1309.2|0|1934.4|1261.23|0|708.38|1583.31|1197.39|1166.44|0|2156.856582|1450.8|1510.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|857.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-1 25 450.152|2261.58|1198.64|1696.19|1809.26|1922.34|2035.42|0|1827.36|1628.34|1530.64|0|2261.58|1474.55|0|828.19|1851.1|1399.92|1363.73|0|2156.856582|1696.19|1766.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1002.11|0|0|0|0|0|0|0|0|2261.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-1 27 450.153|2261.58|1198.64|1696.19|1809.26|1922.34|2035.42|0|1827.36|1628.34|1530.64|0|2261.58|1474.55|0|828.19|1851.1|1399.92|1363.73|0|2156.856582|1696.19|1766.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1002.11|0|0|0|0|0|0|0|0|2261.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-1 29 450.154|2261.58|1198.64|1696.19|1809.26|1922.34|2035.42|0|1827.36|1628.34|1530.64|0|2261.58|1474.55|0|828.19|1851.1|1399.92|1363.73|0|2156.856582|1696.19|1766.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1002.11|0|0|0|0|0|0|0|0|2261.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX MAS XT 5.5MM 7756072|1934.4|1025.23|1450.8|1547.52|1644.24|1740.96|0|1563|1392.77|1309.2|0|1934.4|1261.23|0|708.38|1583.31|1197.39|1166.44|0|2156.856582|1450.8|1510.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|857.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-1 31 450.155|2261.58|1198.64|1696.19|1809.26|1922.34|2035.42|0|1827.36|1628.34|1530.64|0|2261.58|1474.55|0|828.19|1851.1|1399.92|1363.73|0|2156.856582|1696.19|1766.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1002.11|0|0|0|0|0|0|0|0|2261.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-2 37 450.161|2436.27|1291.22|1827.2|1949.02|2070.83|2192.64|0|1968.51|1754.11|1648.87|0|2436.27|1588.45|0|892.16|1994.09|1508.05|1469.07|0|2156.856582|1827.2|1902.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1079.51|0|0|0|0|0|0|0|0|2436.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-2 40 450.162|2436.27|1291.22|1827.2|1949.02|2070.83|2192.64|0|1968.51|1754.11|1648.87|0|2436.27|1588.45|0|892.16|1994.09|1508.05|1469.07|0|2156.856582|1827.2|1902.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1079.51|0|0|0|0|0|0|0|0|2436.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-2 43 450.163|2436.27|1291.22|1827.2|1949.02|2070.83|2192.64|0|1968.51|1754.11|1648.87|0|2436.27|1588.45|0|892.16|1994.09|1508.05|1469.07|0|2156.856582|1827.2|1902.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1079.51|0|0|0|0|0|0|0|0|2436.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-2 46 450.164|2436.27|1291.22|1827.2|1949.02|2070.83|2192.64|0|1968.51|1754.11|1648.87|0|2436.27|1588.45|0|892.16|1994.09|1508.05|1469.07|0|2156.856582|1827.2|1902.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1079.51|0|0|0|0|0|0|0|0|2436.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-2 49 450.165|2436.27|1291.22|1827.2|1949.02|2070.83|2192.64|0|1968.51|1754.11|1648.87|0|2436.27|1588.45|0|892.16|1994.09|1508.05|1469.07|0|2156.856582|1827.2|1902.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1079.51|0|0|0|0|0|0|0|0|2436.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN DFS 3.2/3.5-3.2 7750443|1895.4|1004.56|1421.55|1516.32|1611.09|1705.86|0|1531.48|1364.69|1282.81|0|1895.4|1235.8|0|694.1|1551.38|1173.25|1142.93|0|2156.856582|1421.55|1480.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|839.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP CVR 17 421.527|1097.6|581.73|823.2|878.08|932.96|987.84|0|886.86|790.27|742.86|0|1097.6|715.64|0|401.94|898.39|679.41|661.85|0|2156.856582|823.2|857.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|486.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MESHSYNCONTURMLBLE SLV 421.007|4150.08|2199.54|3112.56|3320.06|3527.57|3735.07|0|3353.26|2988.06|2808.77|0|4150.08|2705.85|0|1519.76|3396.84|2568.9|2502.5|0|2156.856582|3112.56|3241.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1838.9|0|0|0|0|0|0|0|0|4150.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MINI BRD 2.0/4 447.055|1811.04|959.85|1358.28|1448.83|1539.38|1629.94|0|1463.32|1303.95|1225.71|0|1811.04|1180.8|0|663.2|1482.34|1121.03|1092.06|0|2156.856582|1358.28|1414.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|802.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMINITSNBND2.0/4 447.053|1764.84|935.37|1323.63|1411.87|1500.11|1588.36|0|1425.99|1270.68|1194.44|0|1764.84|1150.68|0|646.28|1444.52|1092.44|1064.2|0|2156.856582|1323.63|1378.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN ADAPTION2.0/20 447.051|2074.38|1099.42|1555.79|1659.5|1763.22|1866.94|0|1676.1|1493.55|1403.94|0|2074.38|1352.5|0|759.64|1697.88|1284.04|1250.85|0|2156.856582|1555.79|1620.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|919.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN INTMED 2.0/12 447.102|2023.56|1072.49|1517.67|1618.85|1720.03|1821.2|0|1635.04|1456.96|1369.55|0|2023.56|1319.36|0|741.03|1656.28|1252.58|1220.21|0|2156.856582|1517.67|1580.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|896.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN INTMED 2.0/6 447.101|1781.01|943.94|1335.76|1424.81|1513.86|1602.91|0|1439.06|1282.33|1205.39|0|1781.01|1161.22|0|652.21|1457.76|1102.45|1073.95|0|2156.856582|1335.76|1390.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|789.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG 2.0/12 447.105|2335.41|1237.77|1751.56|1868.33|1985.1|2101.87|0|1887.01|1681.5|1580.61|0|2335.41|1522.69|0|855.23|1911.53|1445.62|1408.25|0|2156.856582|1751.56|1823.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1034.82|0|0|0|0|0|0|0|0|2335.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG 2.0/20 447.106|3217.83|1705.45|2413.37|2574.26|2735.16|2896.05|0|2600.01|2316.84|2177.83|0|3217.83|2098.03|0|1178.37|2633.79|1991.84|1940.35|0|2156.856582|2413.37|2513.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1425.82|0|0|0|0|0|0|0|0|3217.83
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN CRES LG 2.0/3/3 447.117|2802.03|1485.08|2101.52|2241.62|2381.73|2521.83|0|2264.04|2017.46|1896.41|0|2802.03|1826.92|0|1026.1|2293.46|1734.46|1689.62|0|2156.856582|2101.52|2188.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.58|0|0|0|0|0|0|0|0|2802.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN DFS 3.2/3.5-4.5MM 7750444|1895.4|1004.56|1421.55|1516.32|1611.09|1705.86|0|1531.48|1364.69|1282.81|0|1895.4|1235.8|0|694.1|1551.38|1173.25|1142.93|0|2156.856582|1421.55|1480.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|839.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG 2.0/3/3 447.103|2037.42|1079.83|1528.07|1629.94|1731.81|1833.68|0|1646.24|1466.94|1378.93|0|2037.42|1328.4|0|746.1|1667.63|1261.16|1228.56|0|2156.856582|1528.07|1591.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|902.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LG 2.0/6 447.104|2037.42|1079.83|1528.07|1629.94|1731.81|1833.68|0|1646.24|1466.94|1378.93|0|2037.42|1328.4|0|746.1|1667.63|1261.16|1228.56|0|2156.856582|1528.07|1591.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|902.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNANGLD LG2.0/3/3 447.118|2802.03|1485.08|2101.52|2241.62|2381.73|2521.83|0|2264.04|2017.46|1896.41|0|2802.03|1826.92|0|1026.1|2293.46|1734.46|1689.62|0|2156.856582|2101.52|2188.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.58|0|0|0|0|0|0|0|0|2802.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN MINI N MAL2.0/4 447.048|1410.64|747.64|1057.98|1128.51|1199.04|1269.58|0|1139.8|1015.66|954.72|0|1410.64|919.74|0|516.58|1154.61|873.19|850.62|0|2156.856582|1057.98|1101.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|625.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN MINI N MAL2.0/6 447.049|1536.92|814.57|1152.69|1229.54|1306.38|1383.23|0|1241.83|1106.58|1040.19|0|1536.92|1002.07|0|562.82|1257.97|951.35|926.76|0|2156.856582|1152.69|1200.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNMESH 1.3 100/100 421.099|3479.28|1844.02|2609.46|2783.42|2957.39|3131.35|0|2811.26|2505.08|2354.78|0|3479.28|2268.49|0|1274.11|2847.79|2153.67|2098.01|0|2156.856582|2609.46|2717.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1541.67|0|0|0|0|0|0|0|0|3479.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MESH 100/1/4 420.070|3321.96|1760.64|2491.47|2657.57|2823.67|2989.76|0|2684.14|2391.81|2248.3|0|3321.96|2165.92|0|1216.5|2719.02|2056.29|2003.14|0|2156.856582|2491.47|2594.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1471.96|0|0|0|0|0|0|0|0|3321.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MESH 38/42/1.0 420.02|3102.62|1644.39|2326.97|2482.1|2637.23|2792.36|0|2506.92|2233.89|2099.86|0|3102.62|2022.91|0|1136.18|2539.5|1920.52|1870.88|0|2156.856582|2326.97|2423.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1374.77|0|0|0|0|0|0|0|0|3102.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 420.04|1570.92|832.59|1178.19|1256.74|1335.28|1413.83|0|1269.3|1131.06|1063.2|0|1570.92|1024.24|0|575.27|1285.8|972.4|947.26|0|2156.856582|1178.19|1226.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|696.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP STRGHT 2 421.502|208|110.24|156|166.4|176.8|187.2|0|168.06|149.76|140.77|0|208|135.62|0|76.17|170.25|128.75|125.42|0|2156.856582|156|162.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|92.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN DOS 3.2/3.5-5.5M 7750445|2041.2|1081.84|1530.9|1632.96|1735.02|1837.08|0|1649.29|1469.66|1381.48|0|2041.2|1330.86|0|747.49|1670.72|1263.5|1230.84|0|2156.856582|1530.9|1594.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|904.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP STRUT 6 421.522|1833.6|971.81|1375.2|1466.88|1558.56|1650.24|0|1481.55|1320.19|1240.98|0|1833.6|1195.51|0|671.46|1500.8|1135|1105.66|0|2156.856582|1375.2|1432.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|812.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP STRUT 8 421.523|1944|1030.32|1458|1555.2|1652.4|1749.6|0|1570.75|1399.68|1315.7|0|1944|1267.49|0|711.89|1591.16|1203.34|1172.23|0|2156.856582|1458|1518.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|861.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX ST N 2.0/4 449.004|1207.36|639.9|905.52|965.89|1026.26|1086.62|0|975.55|869.3|817.14|0|1207.36|787.2|0|442.14|988.22|747.36|728.04|0|2156.856582|905.52|942.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|534.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX 2.0 ST N 6 449.006|1309|693.77|981.75|1047.2|1112.65|1178.1|0|1057.67|942.48|885.93|0|1309|853.47|0|479.36|1071.42|810.27|789.33|0|2156.856582|981.75|1022.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX 2.0 ST N 8 449.008|1419.88|752.54|1064.91|1135.9|1206.9|1277.89|0|1147.26|1022.31|960.97|0|1419.88|925.76|0|519.96|1162.17|878.91|856.19|0|2156.856582|1064.91|1108.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|629.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNSTCMP TNSN2.4/4 449.100|1536.92|814.57|1152.69|1229.54|1306.38|1383.23|0|1241.83|1106.58|1040.19|0|1536.92|1002.07|0|562.82|1257.97|951.35|926.76|0|2156.856582|1152.69|1200.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNSTCMP TNSN2.4/6 449.110|1650.88|874.97|1238.16|1320.7|1403.25|1485.79|0|1333.91|1188.63|1117.32|0|1650.88|1076.37|0|604.55|1351.25|1021.89|995.48|0|2156.856582|1238.16|1289.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|731.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 54 450.171|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 57 450.172|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 60 450.173|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VX DA 3.2/3.2-3.5 7750346|1895.4|1004.56|1421.55|1516.32|1611.09|1705.86|0|1531.48|1364.69|1282.81|0|1895.4|1235.8|0|694.1|1551.38|1173.25|1142.93|0|2156.856582|1421.55|1480.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|839.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 63 450.174|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 66 450.175|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 69 450.176|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CSLP VA L-3 72 450.177|2661.33|1410.5|1996|2129.06|2262.13|2395.2|0|2150.35|1916.16|1801.19|0|2661.33|1735.19|0|974.58|2178.3|1647.36|1604.78|0|2156.856582|1996|2078.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1179.24|0|0|0|0|0|0|0|0|2661.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VX DA 3.2/3.5-5.5 7750347|2041.2|1081.84|1530.9|1632.96|1735.02|1837.08|0|1649.29|1469.66|1381.48|0|2041.2|1330.86|0|747.49|1670.72|1263.5|1230.84|0|2156.856582|1530.9|1594.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|904.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TRC STBI 138M 281.869|1845.48|978.1|1384.11|1476.38|1568.66|1660.93|0|1491.15|1328.75|1249.02|0|1845.48|1203.25|0|675.81|1510.53|1142.35|1112.82|0|2156.856582|1384.11|1441.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|817.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TRC STB 148M 281.870|1845.48|978.1|1384.11|1476.38|1568.66|1660.93|0|1491.15|1328.75|1249.02|0|1845.48|1203.25|0|675.81|1510.53|1142.35|1112.82|0|2156.856582|1384.11|1441.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|817.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNTCLVR1/3/117/10H 241.401|614.2|325.53|460.65|491.36|522.07|552.78|0|496.27|442.22|415.69|0|614.2|400.46|0|224.92|502.72|380.19|370.36|0|2156.856582|460.65|479.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|272.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VX DA 3.2/3.5-5.5 7750348|2041.2|1081.84|1530.9|1632.96|1735.02|1837.08|0|1649.29|1469.66|1381.48|0|2041.2|1330.86|0|747.49|1670.72|1263.5|1230.84|0|2156.856582|1530.9|1594.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|904.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1/3TUB10H 25M 241.40|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNTCLVR1/3/141/12H 241.421|637.28|337.76|477.96|509.82|541.69|573.55|0|514.92|458.84|431.31|0|637.28|415.51|0|233.37|521.61|394.48|384.28|0|2156.856582|477.96|497.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|282.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1/3 TUB 2H 25M 241.32|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1/3 TUB 3H 25M 241.33|191.72|101.61|143.79|153.38|162.96|172.55|0|154.91|138.04|129.76|0|191.72|125|0|70.21|156.92|118.67|115.61|0|2156.856582|143.79|149.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|84.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB 1/3 49/4H 241.34|222|117.66|166.5|177.6|188.7|199.8|0|179.38|159.84|150.25|0|222|144.74|0|81.3|181.71|137.42|133.87|0|2156.856582|166.5|173.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|98.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN T-CLVR1/3/57/5H 241.351|573.84|304.14|430.38|459.07|487.76|516.46|0|463.66|413.16|388.37|0|573.84|374.14|0|210.14|469.69|355.21|346.03|0|2156.856582|430.38|448.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|254.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB 1/3 61/5H 241.35|222|117.66|166.5|177.6|188.7|199.8|0|179.38|159.84|150.25|0|222|144.74|0|81.3|181.71|137.42|133.87|0|2156.856582|166.5|173.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|98.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT-CLVR 1/3/69/6H 241.361|573.84|304.14|430.38|459.07|487.76|516.46|0|463.66|413.16|388.37|0|573.84|374.14|0|210.14|469.69|355.21|346.03|0|2156.856582|430.38|448.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|254.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1/3 TUB 6H 25M 241.36|230.64|122.24|172.98|184.51|196.04|207.58|0|186.36|166.06|156.1|0|230.64|150.38|0|84.46|188.78|142.77|139.08|0|2156.856582|172.98|180.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|102.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT-CLVR 1/3/81/7H 241.371|585.36|310.24|439.02|468.29|497.56|526.82|0|472.97|421.46|396.17|0|585.36|381.65|0|214.36|479.12|362.34|352.97|0|2156.856582|439.02|457.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|259.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1/3 TUB 7H 25M 241.37|230.64|122.24|172.98|184.51|196.04|207.58|0|186.36|166.06|156.1|0|230.64|150.38|0|84.46|188.78|142.77|139.08|0|2156.856582|172.98|180.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|102.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT-CLVR 1/3/93/8H 241.381|614.2|325.53|460.65|491.36|522.07|552.78|0|496.27|442.22|415.69|0|614.2|400.46|0|224.92|502.72|380.19|370.36|0|2156.856582|460.65|479.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|272.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB 1/3 97/8H 241.38|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN ST UNI FX 2.4/10 449.40|1917.3|1016.17|1437.98|1533.84|1629.71|1725.57|0|1549.18|1380.46|1297.63|0|1917.3|1250.08|0|702.12|1569.31|1186.81|1156.13|0|2156.856582|1437.98|1497.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|849.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ST UNI FX 2.4/8 449.38|1792.56|950.06|1344.42|1434.05|1523.68|1613.3|0|1448.39|1290.64|1213.2|0|1792.56|1168.75|0|656.44|1467.21|1109.59|1080.91|0|2156.856582|1344.42|1399.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 1.5/4 446.81|1020.8|541.02|765.6|816.64|867.68|918.72|0|824.81|734.98|690.88|0|1020.8|665.56|0|373.82|835.52|631.88|615.54|0|2156.856582|765.6|797.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|452.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 2.0/4 447.81|875.52|464.03|656.64|700.42|744.19|787.97|0|707.42|630.37|592.55|0|875.52|570.84|0|320.62|716.61|541.95|527.94|0|2156.856582|656.64|683.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP X 421.510|1052.8|557.98|789.6|842.24|894.88|947.52|0|850.66|758.02|712.54|0|1052.8|686.43|0|385.54|861.72|651.68|634.84|0|2156.856582|789.6|822.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|466.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED EX-L MEDIAL PL-LEM9L|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED OLECRAN PL-LE013|2844|1507.32|2133|2275.2|2417.4|2559.6|0|2297.95|2047.68|1924.82|0|2844|1854.29|0|1041.47|2327.81|1760.44|1714.93|0|2156.856582|2133|2221.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1260.18|0|0|0|0|0|0|0|0|2844
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDOLECRANXLNG PL-LEO17L|3567|1890.51|2675.25|2853.6|3031.95|3210.3|0|2882.14|2568.24|2414.15|0|3567|2325.68|0|1306.24|2919.59|2207.97|2150.9|0|2156.856582|2675.25|2785.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.54|0|0|0|0|0|0|0|0|3567
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 2.0 447.612|853.56|452.39|640.17|682.85|725.53|768.2|0|689.68|614.56|577.69|0|853.56|556.52|0|312.57|698.64|528.35|514.7|0|2156.856582|640.17|666.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNZYGO DCP 2.0/22/4 443.44|921.12|488.19|690.84|736.9|782.95|829.01|0|744.26|663.21|623.41|0|921.12|600.57|0|337.31|753.94|570.17|555.44|0|2156.856582|690.84|719.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|408.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNZYGO DCP 2.0/27/5 443.45|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNZYGODCP 2.0/32/ 6 443.46|1027.52|544.59|770.64|822.02|873.39|924.77|0|830.24|739.81|695.43|0|1027.52|669.94|0|376.28|841.03|636.03|619.59|0|2156.856582|770.64|802.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|455.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSGOLDENBERG PORP 7014-5964|1401.36|742.72|1051.02|1121.09|1191.16|1261.22|0|1132.3|1008.98|948.44|0|1401.36|913.69|0|513.18|1147.01|867.44|845.02|0|307.0137525|1051.02|1094.46|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|620.94|0|0|0|0|0|0|0|0|1401.36
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PORPOFFCNTRDHAPXSHFT 7014-5892|1114.76|590.82|836.07|891.81|947.55|1003.28|0|900.73|802.63|754.47|0|1114.76|726.82|0|408.23|912.43|690.04|672.2|0|307.0137525|836.07|870.63|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|493.95|0|0|0|0|0|0|0|0|1114.76
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PR0S CLASSIC STAPES 14-2105|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSCLASSIC STAPES STD 14-2101|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|307.0137525|351|365.51|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSGOLDENBERGINCUS 7014-5912|1169.4|619.78|877.05|935.52|993.99|1052.46|0|944.88|841.97|791.45|0|1169.4|762.45|0|428.23|957.15|723.86|705.15|0|307.0137525|877.05|913.3|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|518.16|0|0|0|0|0|0|0|0|1169.4
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSGOLDENBERG TORP 7014-5917|1256.36|665.87|942.27|1005.09|1067.91|1130.72|0|1015.14|904.58|850.3|0|1256.36|819.15|0|460.08|1028.33|777.69|757.59|0|307.0137525|942.27|981.22|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|556.69|0|0|0|0|0|0|0|0|1256.36
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS INCUDO-STAPED JT 14-0957|1188.92|630.13|891.69|951.14|1010.58|1070.03|0|960.65|856.02|804.66|0|1188.92|775.18|0|435.38|973.13|735.94|716.92|0|307.0137525|891.69|928.55|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|526.81|0|0|0|0|0|0|0|0|1188.92
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS INCUDO-STAPED JT 14-0956|1188.92|630.13|891.69|951.14|1010.58|1070.03|0|960.65|856.02|804.66|0|1188.92|775.18|0|435.38|973.13|735.94|716.92|0|307.0137525|891.69|928.55|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|526.81|0|0|0|0|0|0|0|0|1188.92
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS MCGEE PISTON 4.5 14-0333|498.92|264.43|374.19|399.14|424.08|449.03|0|403.13|359.22|337.67|0|498.92|325.3|0|182.7|408.37|308.83|300.85|0|307.0137525|374.19|389.66|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|221.07|0|0|0|0|0|0|0|0|498.92
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS MCGEE PISTON 4 14-0331|438.52|232.42|328.89|350.82|372.74|394.67|0|354.32|315.73|296.79|0|438.52|285.92|0|160.59|358.93|271.44|264.43|0|307.0137525|328.89|342.48|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|194.31|0|0|0|0|0|0|0|0|438.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS MCGEE PISTON 5 14-0335|438.52|232.42|328.89|350.82|372.74|394.67|0|354.32|315.73|296.79|0|438.52|285.92|0|160.59|358.93|271.44|264.43|0|307.0137525|328.89|342.48|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|194.31|0|0|0|0|0|0|0|0|438.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0770|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0761|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0771|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0763|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0764|512.36|271.55|384.27|409.89|435.51|461.12|0|413.99|368.9|346.77|0|512.36|334.06|0|187.63|419.37|317.15|308.95|0|307.0137525|384.27|400.15|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|227.03|0|0|0|0|0|0|0|0|512.36
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0765|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0762|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0772|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0766|472.52|250.44|354.39|378.02|401.64|425.27|0|381.8|340.21|319.8|0|472.52|308.08|0|173.04|386.76|292.49|284.93|0|307.0137525|354.39|369.04|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|209.37|0|0|0|0|0|0|0|0|472.52
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON FISCH 14-0444|260.4|138.01|195.3|208.32|221.34|234.36|0|210.4|187.49|176.24|0|260.4|169.78|0|95.36|213.14|161.19|157.02|0|307.0137525|195.3|203.37|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|115.38|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0123|313.24|166.02|234.93|250.59|266.25|281.92|0|253.1|225.53|212|0|313.24|204.23|0|114.71|256.39|193.9|188.88|0|307.0137525|234.93|244.64|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|138.8|0|0|0|0|0|0|0|0|313.24
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0125|400.04|212.02|300.03|320.03|340.03|360.04|0|323.23|288.03|270.75|0|400.04|260.83|0|146.49|327.43|247.62|241.22|0|307.0137525|300.03|312.43|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|177.26|0|0|0|0|0|0|0|0|400.04
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0126|336.12|178.14|252.09|268.9|285.7|302.51|0|271.58|242.01|227.49|0|336.12|219.15|0|123.09|275.11|208.06|202.68|0|307.0137525|252.09|262.51|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|148.93|0|0|0|0|0|0|0|0|336.12
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0127|313.24|166.02|234.93|250.59|266.25|281.92|0|253.1|225.53|212|0|313.24|204.23|0|114.71|256.39|193.9|188.88|0|307.0137525|234.93|244.64|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|138.8|0|0|0|0|0|0|0|0|313.24
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0124|313.24|166.02|234.93|250.59|266.25|281.92|0|253.1|225.53|212|0|313.24|204.23|0|114.71|256.39|193.9|188.88|0|307.0137525|234.93|244.64|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|138.8|0|0|0|0|0|0|0|0|313.24
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON SCHUKNECHT 14-0128|313.24|166.02|234.93|250.59|266.25|281.92|0|253.1|225.53|212|0|313.24|204.23|0|114.71|256.39|193.9|188.88|0|307.0137525|234.93|244.64|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|138.8|0|0|0|0|0|0|0|0|313.24
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS RICHARDS TORP 7014-5888|1114.76|590.82|836.07|891.81|947.55|1003.28|0|900.73|802.63|754.47|0|1114.76|726.82|0|408.23|912.43|690.04|672.2|0|307.0137525|836.07|870.63|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|493.95|0|0|0|0|0|0|0|0|1114.76
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSHEA CAP FLANGE 3.0 140895|1083.68|574.35|812.76|866.94|921.13|975.31|0|875.61|780.25|733.43|0|1083.68|706.56|0|396.84|886.99|670.8|653.46|0|307.0137525|812.76|846.35|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|480.18|0|0|0|0|0|0|0|0|1083.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS TRAPZE RIBON LOOP 14-0744|506.48|268.43|379.86|405.18|430.51|455.83|0|409.24|364.67|342.79|0|506.48|330.22|0|185.47|414.55|313.51|305.41|0|307.0137525|379.86|395.56|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|224.42|0|0|0|0|0|0|0|0|506.48
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS TRAPZE RIBON LOOP 14-0745|506.48|268.43|379.86|405.18|430.51|455.83|0|409.24|364.67|342.79|0|506.48|330.22|0|185.47|414.55|313.51|305.41|0|307.0137525|379.86|395.56|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|224.42|0|0|0|0|0|0|0|0|506.48
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0183|188.36|99.83|141.27|150.69|160.11|169.52|0|152.19|135.62|127.48|0|188.36|122.81|0|68.98|154.17|116.59|113.58|0|307.0137525|141.27|147.11|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|83.46|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0185|173.76|92.09|130.32|139.01|147.7|156.38|0|140.4|125.11|117.6|0|173.76|113.29|0|63.63|142.22|107.56|104.78|0|307.0137525|130.32|135.71|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|76.99|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0186|173.76|92.09|130.32|139.01|147.7|156.38|0|140.4|125.11|117.6|0|173.76|113.29|0|63.63|142.22|107.56|104.78|0|307.0137525|130.32|135.71|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|76.99|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0187|173.76|92.09|130.32|139.01|147.7|156.38|0|140.4|125.11|117.6|0|173.76|113.29|0|63.63|142.22|107.56|104.78|0|307.0137525|130.32|135.71|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|76.99|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0184|173.76|92.09|130.32|139.01|147.7|156.38|0|140.4|125.11|117.6|0|173.76|113.29|0|63.63|142.22|107.56|104.78|0|307.0137525|130.32|135.71|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|76.99|0|0|0|0|0|0|0|0|312.54
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS WIRE LOOP HOUSE 14-0188|173.76|92.09|130.32|139.01|147.7|156.38|0|140.4|125.11|117.6|0|173.76|113.29|0|63.63|142.22|107.56|104.78|0|307.0137525|130.32|135.71|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|76.99|0|0|0|0|0|0|0|0|312.54
HOSP OP|0272 - STERILE SUPPLY||A4649|RESTRICTOR BUCK FEM CEMENT 18|1149.4|609.18|862.05|919.52|976.99|1034.46|0|928.72|827.57|777.91|0|1149.4|749.41|0|420.91|940.78|711.48|693.09|0|11.99410609|862.05|897.68|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|509.3|0|0|0|0|0|0|0|0|1149.4
HOSP OP|0272 - STERILE SUPPLY||A4649|RESTRICTOR BUCK FEM CEMENT 25|1232|652.96|924|985.6|1047.2|1108.8|0|995.46|887.04|833.82|0|1232|803.26|0|451.16|1008.39|762.61|742.9|0|11.99410609|924|962.19|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|545.9|0|0|0|0|0|0|0|0|1232
HOSP OP|0272 - STERILE SUPPLY||A4649|ACE FIX ROD CONNECTING ADJ|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|11.99410609|390|406.12|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|230.41|0|0|0|0|0|0|0|0|520
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X250 394.80|619.6|328.39|464.7|495.68|526.66|557.64|0|500.64|446.11|419.35|0|619.6|403.98|0|226.9|507.14|383.53|373.62|0|11.99410609|464.7|483.91|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|274.54|0|0|0|0|0|0|0|0|619.6
HOSP OP|0272 - STERILE SUPPLY||A4649|TBESYN FIX CRBN FBR 200 394.83|619.6|328.39|464.7|495.68|526.66|557.64|0|500.64|446.11|419.35|0|619.6|403.98|0|226.9|507.14|383.53|373.62|0|11.99410609|464.7|483.91|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|274.54|0|0|0|0|0|0|0|0|619.6
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X250 394.84|663.68|351.75|497.76|530.94|564.13|597.31|0|536.25|477.85|449.18|0|663.68|432.72|0|243.04|543.22|410.82|400.2|0|11.99410609|497.76|518.33|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|294.08|0|0|0|0|0|0|0|0|663.68
HOSP OP|0272 - STERILE SUPPLY||A4649|TBESYN FIX CRBN FBR 300 394.85|663.68|351.75|497.76|530.94|564.13|597.31|0|536.25|477.85|449.18|0|663.68|432.72|0|243.04|543.22|410.82|400.2|0|11.99410609|497.76|518.33|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|294.08|0|0|0|0|0|0|0|0|663.68
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X350 394.86|663.68|351.75|497.76|530.94|564.13|597.31|0|536.25|477.85|449.18|0|663.68|432.72|0|243.04|543.22|410.82|400.2|0|11.99410609|497.76|518.33|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|294.08|0|0|0|0|0|0|0|0|663.68
HOSP OP|0272 - STERILE SUPPLY||A4649|TBESYN FIX CRBN FBR 400 394.87|729.84|386.82|547.38|583.87|620.36|656.86|0|589.71|525.48|493.96|0|729.84|475.86|0|267.27|597.37|451.77|440.09|0|11.99410609|547.38|570.01|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|323.39|0|0|0|0|0|0|0|0|729.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|RDTENDON HUNTERSIL2/30 TR2|3727.8|1975.73|2795.85|2982.24|3168.63|3355.02|0|3012.06|2684.02|2522.98|0|3727.8|2430.53|0|1365.12|3051.2|2307.51|2247.86|0|0|2795.85|2911.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1651.79|0|0|0|0|0|0|0|0|3727.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|RDTENDON HUNTERSIL 3/WH PT3|3727.8|1975.73|2795.85|2982.24|3168.63|3355.02|0|3012.06|2684.02|2522.98|0|3727.8|2430.53|0|1365.12|3051.2|2307.51|2247.86|0|0|2795.85|2911.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1651.79|0|0|0|0|0|0|0|0|3727.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|RDTENDONHUNTERSIL4W/H PT4|3727.8|1975.73|2795.85|2982.24|3168.63|3355.02|0|3012.06|2684.02|2522.98|0|3727.8|2430.53|0|1365.12|3051.2|2307.51|2247.86|0|0|2795.85|2911.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1651.79|0|0|0|0|0|0|0|0|3727.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|RDTENDONHUNTERSIL5W/H PT5|3115.2|1651.06|2336.4|2492.16|2647.92|2803.68|0|2517.08|2242.94|2108.37|0|3115.2|2031.11|0|1140.79|2549.79|1928.31|1878.47|0|0|2336.4|2432.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1380.35|0|0|0|0|0|0|0|0|3115.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.7 X14M 59-17014|60.28|31.95|45.21|48.22|51.24|54.25|0|48.71|43.4|40.8|0|60.28|39.3|0|22.07|49.34|37.31|36.35|0|2156.856582|45.21|47.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|26.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROLENE 3X6IN|383.32|203.16|287.49|306.66|325.82|344.99|0|309.72|275.99|259.43|0|383.32|249.92|0|140.37|313.75|237.28|231.14|0|0|287.49|299.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|169.85|0|0|0|0|0|0|0|0|383.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN SCHNZ 4.0/3.0/80 294.30|196.2|103.99|147.15|156.96|166.77|176.58|0|158.53|141.26|132.79|0|196.2|127.92|0|71.85|160.59|121.45|118.31|0|2156.856582|147.15|153.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/40 02.205.240|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/45 02.205.245|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/50 02.205.250|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/55 02.205.255|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/60 02.205.260|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/65 02.205.265|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/70 02.205.270|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/75 02.205.275|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/80 02.205.280|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/85 02.205.285|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/90 02.205.290|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/95 02.205.295|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/105 217.105|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/50 02.207.250|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/55 02.207.255|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/60 02.207.260|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/65 02.207.265|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/80 02.207.280|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/85 02.207.285|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/90 02.207.290|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/95 02.207.295|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/50 02.207.050|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/55 02.207.055|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/60 02.207.060|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/65 02.207.065|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/70 02.207.070|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/75 02.207.075|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/80 02.207.080|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/85 02.207.085|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/90 02.207.090|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN7.3/95 02.207.095|980.4|519.61|735.3|784.32|833.34|882.36|0|792.16|705.89|663.53|0|980.4|639.22|0|359.02|802.46|606.87|591.18|0|2156.856582|735.3|765.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/14.0 CO-2714|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X12M 3120212|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X13M 3120313|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X16M 3120316|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X17M 3120217|630|333.9|472.5|504|535.5|567|0|509.04|453.6|426.38|0|630|410.76|0|230.71|515.66|389.97|379.89|0|2156.856582|472.5|492.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|279.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X17M 3120317|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW ATLANTIS CANC FA 4.0X18M|696.56|369.18|522.42|557.25|592.08|626.9|0|562.82|501.52|471.43|0|696.56|454.16|0|255.08|570.13|431.17|420.03|0|2156.856582|522.42|544.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|308.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW ATLANTIS CANC VA 4.0X18M|696.56|369.18|522.42|557.25|592.08|626.9|0|562.82|501.52|471.43|0|696.56|454.16|0|255.08|570.13|431.17|420.03|0|2156.856582|522.42|544.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|308.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LOW PROF 6.5X20M 103531|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LOW PROF 6.5X25M 103532|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LOW PROF 6.5X30M 103533|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LOW PROF 6.5X35M 103534|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/10 205.210|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/12 205.212|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/14 205.214|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/16 205.216|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/18 205.218|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/20 205.220|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/22 205.222|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/24 205.224|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/26 205.226|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/28 205.228|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/30 205.230|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/32 205.232|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/34 205.234|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/36 205.236|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/38 205.238|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/40 205.240|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/42 205.242|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/44 205.244|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/46 205.246|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/48 205.248|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM F/TH 3.5/50 205.250|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/10 205.010|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/12 205.012|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/14 205.014|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/16 205.016|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/18 205.018|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/20 205.020|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/22 205.022|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/24 205.024|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/26 205.026|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/28 205.028|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/30 205.030|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/32 205.032|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/34 205.034|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X25MM 04.639.425|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/36 205.036|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/38 205.038|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/40 205.040|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/42 205.042|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/44 205.044|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/46 205.046|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/48 205.048|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN SM P/TH 3.5/50 205.050|625.76|331.65|469.32|500.61|531.9|563.18|0|505.61|450.55|423.51|0|625.76|408|0|229.15|512.18|387.35|377.33|0|2156.856582|469.32|488.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/20 214.520|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/22 214.522|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X30MM 04.639.430|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/24 214.524|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/26 214.526|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/28 214.528|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/30 214.530|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/32 214.532|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/34 214.534|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/36 214.536|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/38 214.538|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/40 214.540|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/42 214.542|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X35MM 04.639.435|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/44 214.544|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/46 214.546|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/48 214.548|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/50 214.550|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/52 214.552|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/54 214.554|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/56 214.556|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/60 214.560|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/64 214.564|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/68 214.568|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X40MM 04.639.440|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 1/3 TH 4.5/72 214.572|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/20 214.720|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/22 214.722|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/24 214.724|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/26 214.726|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/28 214.728|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/30 214.730|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/32 214.732|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/34 214.734|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/36 214.736|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X45MM 04.639.445|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/38 214.738|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/40 214.740|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/42 214.742|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/44 214.744|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/46 214.746|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/48 214.748|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/50 214.750|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/52 214.752|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/54 214.754|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/56 214.756|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X25MM 04.639.525|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/60 214.760|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/64 214.764|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/68 214.768|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 4.5 TH 3.5/72 214.772|666.08|353.02|499.56|532.86|566.17|599.47|0|538.19|479.58|450.8|0|666.08|434.28|0|243.92|545.19|412.3|401.65|0|2156.856582|499.56|520.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|295.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH6.5/16/100 216.100|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH6.5/16/105 216.105|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH6.5/16/110 216.110|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/75 216.075|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/80 216.080|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/85 216.085|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X30MM 04.639.530|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/90 216.090|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/95 216.095|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/45 217.045|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 4 S/T7.3/30 208.830|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 4 S/T7.3/35 208.835|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 4 S/T7.3/40 208.840|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 4 S/T7.3/45 208.845|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/50 02.207.450|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/55 02.207.455|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/60 02.207.460|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X35MM 04.639.535|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/65 02.207.465|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/70 02.207.470|913|483.89|684.75|730.4|776.05|821.7|0|737.7|657.36|617.92|0|913|595.28|0|334.34|747.29|565.15|550.54|0|2156.856582|684.75|713.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|404.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/75 02.207.475|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/80 02.207.480|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/85 02.207.485|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/90 02.207.490|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/95 02.207.495|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/25 02.205.025|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/30 02.205.030|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/35 02.205.035|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X40MM 04.639.540|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/40 02.205.040|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/45 02.205.045|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/50 02.205.050|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/55 02.205.055|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/60 02.205.060|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/65 02.205.065|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/70 02.205.070|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/75 02.205.075|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/80 02.205.080|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/85 02.205.085|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X45MM 04.639.545|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/90 02.205.090|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPCNN 5.0/95 02.205.095|663.2|351.5|497.4|530.56|563.72|596.88|0|535.87|477.5|448.85|0|663.2|432.41|0|242.86|542.83|410.52|399.91|0|2156.856582|497.4|517.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|293.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/100208.100|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/105208.105|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/110208.110|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/115208.115|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/120208.120|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/125208.125|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/130208.130|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/30 208.030|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X50MM 04.639.550|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/35 208.035|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/40 208.040|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/45 208.045|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/50 208.050|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/55 208.055|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/60 208.060|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW ASIF CANN 16MTH 7.0X65M|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/70 208.070|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/75 208.075|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/80 208.080|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X55MM 04.639.555|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/85 208.085|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/90 208.090|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH16/7.0/95 208.095|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/100 209.100|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/105 209.105|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/110 209.110|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/115 209.115|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/120 209.120|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/125 209.125|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH32 7.0/130 209.130|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 5X20MM 04.639.520|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/45 209.045|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/50 209.050|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/55 209.055|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/60 209.060|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/65 209.065|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/70 209.070|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/75 209.075|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/80 209.080|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/85 209.085|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/90 209.090|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X20MM 04.639.620|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRASIFCNNTH 32 7.0/95 209.095|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X25MM 04.639.625|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CNC 110/50 B60-11050|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|2156.856582|327|340.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CNC 120/60 B60-12060|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|2156.856582|327|340.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X30MM 04.639.630|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNN S/T 4.5/16 450.143|653.04|346.11|489.78|522.43|555.08|587.74|0|527.66|470.19|441.98|0|653.04|425.78|0|239.14|534.51|404.23|393.78|0|2156.856582|489.78|510.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|289.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X35MM 04.639.635|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X40MM 04.639.640|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X45MM 04.639.645|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X50MM 04.639.650|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X55MM 04.639.655|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X65MM 04.639.665|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X25MM 04.639.725|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/30 216.030|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/35 216.035|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/40 216.040|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X35MM 04.639.735|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/45 216.045|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/50 216.050|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/55 216.055|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/60 216.060|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/65 216.065|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNC TH 6.5/16/70 216.070|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/100 217.100|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/110 217.110|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/50 217.050|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/60 217.060|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X40MM 04.639.740|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/70 217.070|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/75 217.075|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/80 217.080|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/85 217.085|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/90 217.090|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/95 217.095|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F.TH 6.5 25 218.025|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X45MM 04.639.745|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 15M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 20M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 25M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 30M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 35M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 40M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 45M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 50M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X50MM 04.639.750|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 55M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 60M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 65M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DEPUY 6.5 X 70M|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|2156.856582|198.99|207.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X55MM 04.639.755|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X60MM 04.639.760|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X25MM 04.639.825|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X35MM 04.639.835|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X40MM 04.639.840|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4.5X13M 3125213|630|333.9|472.5|504|535.5|567|0|509.04|453.6|426.38|0|630|410.76|0|230.71|515.66|389.97|379.89|0|2156.856582|472.5|492.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|279.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4.5X15M 3125215|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4.5X17M 3125217|630|333.9|472.5|504|535.5|567|0|509.04|453.6|426.38|0|630|410.76|0|230.71|515.66|389.97|379.89|0|2156.856582|472.5|492.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|279.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X45MM 04.639.845|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4.5X17M 3125317|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/100 208.900|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/105 208.905|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/115 208.915|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/50 208.850|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/55 208.855|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/60 208.860|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/65 208.865|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/70 208.870|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/75 208.875|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X50MM 04.639.850|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/80 208.880|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/85 208.885|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/90 208.890|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN TH 16S/T7.3/95 208.895|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/100 209.900|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/105 209.905|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/110 209.910|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/50 209.850|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/55 209.855|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/60 209.860|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X55MM 04.639.855|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/65 209.865|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/70 209.870|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/75 209.875|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/80 209.880|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/90 209.890|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/95 209.895|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/85 209.885|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/26 207.726|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/34 207.734|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/38 207.738|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X20MM 04.632.420|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/40 207.740|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/42 207.742|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/46 207.746|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/48 207.748|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/50 207.750|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/30 207.630|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/32 207.632|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/34 207.634|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/36 207.636|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/38 207.638|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X25MM 04.632.425|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/40 207.640|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/42 207.642|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/44 207.644|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/46 207.646|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/48 207.648|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/50 207.650|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X28MM 04.632.428|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X30MM 04.632.430|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X32MM 04.632.432|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X35MM 04.632.435|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X38MM 04.632.438|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/16 207.716|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/18 207.718|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/20 207.720|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/22 207.722|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/24 207.724|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X40MM 04.632.440|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/28 207.728|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/30 207.730|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/32 207.732|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/36 207.736|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/44 207.744|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 19 202.719|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 14 202.714|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 15 202.715|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 16 202.716|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 17 202.717|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 4X45MM 04.632.445|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 18 202.718|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 20 202.720|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 21 202.721|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 22 202.722|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 23 202.723|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 24 202.724|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 25 202.725|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 26 202.726|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 27 202.727|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 28 202.728|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X25MM 04.632.525|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 29 202.729|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 30 202.730|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 31 202.732|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 32 202.734|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 33 202.736|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 34 202.738|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 TL 35 202.740|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 10 202.610|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 11 202.611|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 12 202.612|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X30MM 04.632.530|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 13 202.613|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 14 202.614|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 15 202.615|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 16 202.616|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 17 202.617|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 18 202.618|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 19 202.619|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 20 202.620|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 21 202.621|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 22 202.622|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X35MM 04.632.535|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 23 202.623|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 24 202.624|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 25 202.625|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 26 202.626|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 27 202.627|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 28 202.628|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 29 202.629|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 30 202.630|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 31 202.632|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 32 202.634|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X40MM 04.632.540|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 33 202.636|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 34 202.638|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 35 202.640|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 8 202.608|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CNN 3.0 S/T 9 202.609|660.36|349.99|495.27|528.29|561.31|594.32|0|533.57|475.46|446.93|0|660.36|430.55|0|241.82|540.5|408.76|398.2|0|2156.856582|495.27|515.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|292.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/10 207.610|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/12 207.612|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/14 207.614|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/16 207.616|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/18 207.618|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X45MM 04.632.545|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/20 207.620|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/22 207.622|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/24 207.624|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/26 207.626|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/28 207.628|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/110 208.910|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/120 208.920|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/125 208.925|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 16S/T7.3/130 208.930|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/115 209.915|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X50MM 04.632.550|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/120 209.920|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/125 209.925|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH32S/T 7.3/130 209.930|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X55MM 04.632.555|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 5X20MM 04.632.520|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X20MM 04.632.620|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X25MM 04.632.625|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X30MM 04.632.630|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X35MM 04.632.635|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X40MM 04.632.640|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/12 400.812.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/20 400.820.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/22 400.822.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/24 400.824.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CRT 110/30 A60-11030|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|2156.856582|327|340.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CRT 110/40 A60-11040|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|2156.856582|327|340.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X45MM 04.632.645|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/6 401.806.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/7 401.807.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/10 202.810|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/12 202.812|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/14 202.814|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/16 202.816|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/18 202.818|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/20 202.820|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/22 202.822|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X50MM 04.632.650|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/24 202.824|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/26 202.826|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/28 202.828|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/30 202.830|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/32 202.832|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/34 202.834|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/36 202.836|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/38 202.838|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/40 202.840|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/45 202.845|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X55MM 04.632.655|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/50 202.850|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/T 2.7/55 202.855|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X60MM 04.632.660|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/10.0 CO-2710|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/12.0 CO-2712|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/16.0 CO-2716|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/18.0 CO-2718|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 6X65MM 04.632.665|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/20.0 CO-2720|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT2.7/22.5 CO-27225|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|2156.856582|180|187.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/25.0 CO-2725|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|2156.856582|180|187.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT2.7/27.0 CO-27275|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|2156.856582|180|187.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/30.0 CO-2730|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/35.0 CO-2735|240|127.2|180|192|204|216|0|193.92|172.8|162.43|0|240|156.48|0|87.89|196.44|148.56|144.72|0|2156.856582|180|187.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/40.0 CO-2740|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/45.0 CO-2745|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/50.0 CO-2750|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/55.0 CO-2755|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.725|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CORT 2.7/6.0 CO-2706|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/60.0 CO-2760|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT 2.7/65.0 CO-2765|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ACUMED CRT 2.7/8.0 CO-2708|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.730|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/10.0 CO-3100|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/12.0 CO-3120|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.735|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/14.0 CO-3140|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/16.0 CO-3160|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/18.0 CO-3180|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/20.0 CO-3200|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/22.5 CO-3225|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/25.0 CO-3250|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/27.5 CO-3275|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/30.0 CO-3300|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/32.5 CO-3325|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/35.0 CO-3350|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.740|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/37.5 CO-3375|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/40.0 CO-3400|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/45.0 CO-3450|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/50.0 CO-3500|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/55.0 CO-3550|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/60.0 CO-3600|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCORT3.5/65.0 CO-3650|440|233.2|330|352|374|396|0|355.52|316.8|297.79|0|440|286.88|0|161.13|360.14|272.36|265.32|0|2156.856582|330|343.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|194.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/ 8.0 CO-3080|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.745|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.750|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.755|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.760|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.765|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.770|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.775|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/75 206.475|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/80 206.480|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/85 206.485|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/90 206.490|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/95 206.495|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/12.0 CA-4120|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/14.0 CA-4140|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.780|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/16.0 CA-4160|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/18.0 CA-4180|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/20.0 CA-4200|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/22.5 CA-4225|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/25.0 CA-4250|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/27.5 CA-4275|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/30.0 CA-4300|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/35.0 CA-4350|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/40.0 CA-4400|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/45.0 CA-4450|372|197.16|279|297.6|316.2|334.8|0|300.58|267.84|251.77|0|372|242.54|0|136.23|304.48|230.27|224.32|0|2156.856582|279|290.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|164.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.790|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/50.0 CA-4500|464|245.92|348|371.2|394.4|417.6|0|374.91|334.08|314.04|0|464|302.53|0|169.92|379.78|287.22|279.79|0|2156.856582|348|362.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/55.0 CA-4550|464|245.92|348|371.2|394.4|417.6|0|374.91|334.08|314.04|0|464|302.53|0|169.92|379.78|287.22|279.79|0|2156.856582|348|362.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/D 4.0/12 450.137|727.48|385.56|545.61|581.98|618.36|654.73|0|587.8|523.79|492.36|0|727.48|474.32|0|266.4|595.44|450.31|438.67|0|2156.856582|545.61|568.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|322.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/D 4.0/14 450.138|727.48|385.56|545.61|581.98|618.36|654.73|0|587.8|523.79|492.36|0|727.48|474.32|0|266.4|595.44|450.31|438.67|0|2156.856582|545.61|568.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|322.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/D 4.0/16 450.139|727.48|385.56|545.61|581.98|618.36|654.73|0|587.8|523.79|492.36|0|727.48|474.32|0|266.4|595.44|450.31|438.67|0|2156.856582|545.61|568.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|322.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CRT 70/20 A33-07020|712|377.36|534|569.6|605.2|640.8|0|575.3|512.64|481.88|0|712|464.22|0|260.73|582.77|440.73|429.34|0|2156.856582|534|556.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CORT 80/35 A33-08035|712|377.36|534|569.6|605.2|640.8|0|575.3|512.64|481.88|0|712|464.22|0|260.73|582.77|440.73|429.34|0|2156.856582|534|556.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 7X25MM 04.632.799|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X25MM 04.632.825|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREBIMNICRT 60/30 M30-06030T|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|2156.856582|270|281.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|159.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREBIMNICRT 70/20 M30-07020T|282.52|149.74|211.89|226.02|240.14|254.27|0|228.28|203.41|191.21|0|282.52|184.2|0|103.46|231.24|174.88|170.36|0|2156.856582|211.89|220.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X30MM 04.632.830|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X35MM 04.632.835|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X40MM 04.632.840|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/10 400.530|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/14 400.534|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X45MM 04.632.845|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/6 400.526|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/7 400.527|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/8 400.528|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/11 400.531|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/12 400.532|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/13 400.533|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/9 400.529|239.32|126.84|179.49|191.46|203.42|215.39|0|193.37|172.31|161.97|0|239.32|156.04|0|87.64|195.88|148.14|144.31|0|2156.856582|179.49|186.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|106.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SYNTHES CORTEX SCREW 11MM|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/14 400.694|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X50MM 04.632.850|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/16 400.696|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/6 400.686|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/7 400.687|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/8 400.688|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/9 400.689|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/12 400.692|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/13 400.693|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/10 400.810.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/11 400.811.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/13 400.813.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X55MM 04.632.855|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/14 400.814.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/16 400.816.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.5/18 400.818.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.5/6 400.806.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.5/7 400.807.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.5/8 400.808.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.5/9 400.809.96|161.44|85.56|121.08|129.15|137.22|145.3|0|130.44|116.24|109.26|0|161.44|105.26|0|59.12|132.14|99.93|97.35|0|2156.856582|121.08|126.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|71.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 1.5/10 200.810|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 1.5/11 200.811|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 1.5/12 200.812|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X60MM 04.632.860|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 1.5/14 200.814|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 1.5/16 200.816|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX MNI 1.5/6 200.806|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX MNI 1.5/7 200.807|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX MNI 1.5/8 200.808|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX MNI 1.5/9 200.809|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SYNTHES CORTEX SCREW 2MM|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/11 401.811.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/12 401.812.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/13 401.813.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X65MM 04.632.865|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/14 401.814.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/16 401.816.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/18 401.818.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/20 401.820.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/22 401.822.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/24 401.824.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/26 401.826.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/28 401.828.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/30 401.830.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/8 401.808.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X70MM 04.632.870|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.0/9 401.809.96|138.4|73.35|103.8|110.72|117.64|124.56|0|111.83|99.65|93.67|0|138.4|90.24|0|50.68|113.28|85.67|83.46|0|2156.856582|103.8|108.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|61.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/10 201.640|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/12 201.642|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/14 201.644|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/16 201.646|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/18 201.648|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/20 201.650|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/22 201.652|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/24 201.654|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/26 201.656|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X75MM 04.632.875|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/28 201.658|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/30 201.660|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/32 201.662|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/34 201.664|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/36 201.666|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/38 201.668|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/40 201.670|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 2.4/8 201.638|158.56|84.04|118.92|126.85|134.78|142.7|0|128.12|114.16|107.31|0|158.56|103.38|0|58.06|129.78|98.15|95.61|0|2156.856582|118.92|123.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|70.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX 2.7/6 202.806|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX 2.7/8 202.808|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X80MM 04.632.880|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/10 201.810|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/12 201.812|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/14 201.814|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/16 201.816|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/18 201.818|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/20 201.820|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/24 201.824|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/26 201.826|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/28 201.828|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/30 201.830|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X90MM 04.632.890|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/32 201.832|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/34 201.834|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/36 201.836|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/38 201.838|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/40 201.840|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/6 201.806|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX MNI 2.0/8 201.808|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX MNI 2.0/22 201.822|105.2|55.76|78.9|84.16|89.42|94.68|0|85|75.74|71.2|0|105.2|68.59|0|38.52|86.11|65.12|63.44|0|2156.856582|78.9|82.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|46.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 8X100MM 04.632.899|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X30MM 04.632.930|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.5/76 214.876|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.5/80 214.880|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X35MM 04.632.935|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.5/85 214.885|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.5/90 214.890|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X40MM 04.632.940|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/60.0 CA-4600|464|245.92|348|371.2|394.4|417.6|0|374.91|334.08|314.04|0|464|302.53|0|169.92|379.78|287.22|279.79|0|2156.856582|348|362.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X45MM 04.632.945|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DCS LAG 50 280.501|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DCS LAG 55 280.550|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DCS LAG 60 280.600|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 65M 280.650|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 70M 280.700|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 75M 280.750|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 80M 280.800|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 85M 280.850|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 90M 280.900|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 95M 280.950|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X50MM 04.632.950|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNDTRCHS/DCSCMP36M 280.990|136.96|72.59|102.72|109.57|116.42|123.26|0|110.66|98.61|92.69|0|136.96|89.3|0|50.15|112.1|84.78|82.59|0|2156.856582|102.72|106.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|60.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 100M 280.000|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 105M 280.050|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 110M 280.100|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 115M 280.150|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 120M 280.200|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 125M 280.250|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 130M 280.300|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 135M 280.350|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN DHS LAG 140M 280.400|1075.56|570.05|806.67|860.45|914.23|968|0|869.05|774.4|727.94|0|1075.56|701.27|0|393.87|880.35|665.77|648.56|0|2156.856582|806.67|840.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X55MM 04.632.955|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW DISRACTION 14MM|101.94|54.03|76.46|81.55|86.65|91.75|0|82.37|73.4|68.99|0|101.94|66.46|0|37.33|83.44|63.1|61.47|0|2156.856582|76.46|79.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EBI CRT 130/40 A60-13040|436|231.08|327|348.8|370.6|392.4|0|352.29|313.92|295.08|0|436|284.27|0|159.66|356.87|269.88|262.91|0|2156.856582|327|340.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X60MM 04.632.960|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X65MM 04.632.965|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X70MM 04.632.970|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X75MM 04.632.975|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X80MM 04.632.980|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X90MM 04.632.990|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR PL MTRX 9X100MM 04.632.999|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CAP LOCKING MTRX 04.632.000|513|271.89|384.75|410.4|436.05|461.7|0|414.5|369.36|347.2|0|513|334.48|0|187.86|419.89|317.55|309.34|0|11.99410609|384.75|400.65|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|227.31|0|0|0|0|0|0|0|0|513
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HEAD PL MTRX TP LOD 04.632.001|1102|584.06|826.5|881.6|936.7|991.8|0|890.42|793.44|745.83|0|1102|718.5|0|403.55|901.99|682.14|664.51|0|2156.856582|826.5|860.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X30MM 04.636.030|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X35MM 04.636.035|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X40MM 04.636.040|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X45MM 04.636.045|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/10 212.101|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/12 212.102|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/14 212.103|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/16 212.104|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/18 212.105|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/20 212.106|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/22 212.107|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/24 212.108|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/26 212.109|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/28 212.110|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X50MM 04.636.050|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/30 212.111|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/32 212.112|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/34 212.113|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/36 212.115|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/38 212.116|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/40 212.117|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/14 02.204.014|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/16 02.204.016|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/18 02.204.018|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/22 02.204.022|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X55MM 04.636.055|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/26 02.204.026|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/30 02.204.030|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/34 02.204.034|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/38 02.204.038|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/42 02.204.042|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/46 02.204.046|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/50 02.204.050|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/54 02.204.054|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/58 02.204.058|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCPLCK4.0/62 02.204.062|475.76|252.15|356.82|380.61|404.4|428.18|0|384.41|342.55|321.99|0|475.76|310.2|0|174.22|389.41|294.5|286.88|0|2156.856582|356.82|371.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|210.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X60MM 04.636.060|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/14 212.201|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/16 212.202|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/18 212.203|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/20 212.204|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/22 212.205|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/24 212.206|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/26 212.207|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/28 212.208|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/30 212.209|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/32 212.210|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X65MM 04.636.065|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/34 212.211|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/36 212.212|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/38 212.213|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/40 212.214|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/42 212.215|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/44 212.216|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/46 212.217|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/48 212.218|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/50 212.219|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/55 212.220|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X70MM 04.636.070|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/60 212.221|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/65 212.222|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/70 212.223|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/75 212.224|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/80 212.225|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/85 212.226|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN LCP LCK 5.0/90 212.227|484.4|256.73|363.3|387.52|411.74|435.96|0|391.4|348.77|327.84|0|484.4|315.83|0|177.39|396.48|299.84|292.09|0|2156.856582|363.3|378.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/25 215.025|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/30 215.030|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/35 215.035|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X75MM 04.636.075|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/40 215.040|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/45 215.045|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/50 215.050|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/55 215.055|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/60 215.060|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/65 215.065|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN MALEOLR 4.5/70 215.070|112.96|59.87|84.72|90.37|96.02|101.66|0|91.27|81.33|76.45|0|112.96|73.65|0|41.37|92.46|69.92|68.11|0|2156.856582|84.72|88.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|50.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X80MM 04.636.080|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X85MM 04.636.085|855|453.15|641.25|684|726.75|769.5|0|690.84|615.6|578.66|0|855|557.46|0|313.1|699.82|529.25|515.57|0|2156.856582|641.25|667.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|378.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI CVD 5.5X125MM04.636.125|1140|604.2|855|912|969|1026|0|921.12|820.8|771.55|0|1140|743.28|0|417.47|933.09|705.66|687.42|0|2156.856582|855|890.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|505.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ARCOM XL 44-36 STD HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRN ARCOM XL 44-36 STD +3 HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG ARCOM XL 44-36 RTNV+3 HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACROM XL 44-41 STD HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRN ACROM XL 44-41 STD +3 HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BR ARCOM XL 44-41 RTNV +3 HMRL|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 36MM COMP RVRS SHLDR STD|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 36MM COMP RVSR SHLDR +3|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 36MM COMP RVRS SHLDR +6|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 41MM COMP RVRS SHLDR STD|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 41MM COMP RVSR SHLDR +3|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.7 X23M 59-17023|301.4|159.74|226.05|241.12|256.19|271.26|0|243.53|217.01|203.99|0|301.4|196.51|0|110.37|246.7|186.57|181.74|0|2156.856582|226.05|235.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|133.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.7 X11M 59-17011|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.7 X 9M 59-17009|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLNSP 41MM COMP RVRS SHLDR +6|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 2.3 X 12M 59-23012|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 2.3 X 19M 59-23019|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 2.3 X 22M 59-23022|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLEN COMP RVRS SHLDR BASEPLT|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/170 294.55|249.16|132.05|186.87|199.33|211.79|224.24|0|201.32|179.4|168.63|0|249.16|162.45|0|91.24|203.94|154.23|150.24|0|2156.856582|186.87|194.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|110.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY 44MM COMP RVRS SHLDR HMRL|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/200 294.56|249.16|132.05|186.87|199.33|211.79|224.24|0|201.32|179.4|168.63|0|249.16|162.45|0|91.24|203.94|154.23|150.24|0|2156.856582|186.87|194.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|110.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRANIAL SD 1.5/3 400.833|326.4|172.99|244.8|261.12|277.44|293.76|0|263.73|235.01|220.91|0|326.4|212.81|0|119.53|267.16|202.04|196.82|0|2156.856582|244.8|254.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|144.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY 44MM COMP RVRS HMRL +5MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/55 217.055|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCNCTH 6.5/32/65 217.065|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F.TH 6.5 30 218.030|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/35 218.035|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F.TH 6.5 40 218.040|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY 44MM COMP RVRS HMRL +10MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RINGLOC+ REPLACEMENT RING SZ21|552.96|293.07|414.72|442.37|470.02|497.66|0|446.79|398.13|374.24|0|552.96|360.53|0|202.49|452.6|342.28|333.43|0|0|414.72|431.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|245.02|0|0|0|0|0|0|0|0|552.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTRL 20M|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CETRL 25M|281.6|149.25|211.2|225.28|239.36|253.44|0|227.53|202.75|190.59|0|281.6|183.6|0|103.12|230.49|174.31|169.8|0|2156.856582|211.2|219.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTL 30MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTRL 35M|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTRL 40M|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTRL 45M|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 6.5MM COMP RVRS CNTRL 50M|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 2.0/6 401.063|284.88|150.99|213.66|227.9|242.15|256.39|0|230.18|205.11|192.81|0|284.88|185.74|0|104.32|233.17|176.34|171.78|0|2156.856582|213.66|222.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|126.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLOCK P DR 2.0/10 401.295|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 15MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLOCK P DR 2.0/12 401.296|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLOCK P DR 2.0/14 401.297|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLOCK P DR 2.0/16 401.298|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLOCK P DR 2.0/18 401.299|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LOCK P DR 2.0/5 401.291|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LOCK P DR 2.0/6 401.292|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LOCK P DR 2.0/8 401.294|508.2|269.35|381.15|406.56|431.97|457.38|0|410.63|365.9|343.95|0|508.2|331.35|0|186.1|415.96|314.58|306.44|0|2156.856582|381.15|396.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|225.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 2.0/5 401.062|284.88|150.99|213.66|227.9|242.15|256.39|0|230.18|205.11|192.81|0|284.88|185.74|0|104.32|233.17|176.34|171.78|0|2156.856582|213.66|222.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|126.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN PLUS DR 2.0/8 401.065|284.88|150.99|213.66|227.9|242.15|256.39|0|230.18|205.11|192.81|0|284.88|185.74|0|104.32|233.17|176.34|171.78|0|2156.856582|213.66|222.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|126.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EM+DR 2.4/6 401.792|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 20MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EM+DR 2.4/8 401.794|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 25MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNN S/T 4.35/12 487.052|653.04|346.11|489.78|522.43|555.08|587.74|0|527.66|470.19|441.98|0|653.04|425.78|0|239.14|534.51|404.23|393.78|0|2156.856582|489.78|510.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|289.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/14 487.044|470.56|249.4|352.92|376.45|399.98|423.5|0|380.21|338.8|318.48|0|470.56|306.81|0|172.32|385.15|291.28|283.75|0|2156.856582|352.92|367.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|208.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T 4.0/16 487.046|470.56|249.4|352.92|376.45|399.98|423.5|0|380.21|338.8|318.48|0|470.56|306.81|0|172.32|385.15|291.28|283.75|0|2156.856582|352.92|367.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|208.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 30MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.3/3 400.453|340.48|180.45|255.36|272.38|289.41|306.43|0|275.11|245.15|230.44|0|340.48|221.99|0|124.68|278.68|210.76|205.31|0|2156.856582|255.36|265.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|150.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.3/4 400.454|340.48|180.45|255.36|272.38|289.41|306.43|0|275.11|245.15|230.44|0|340.48|221.99|0|124.68|278.68|210.76|205.31|0|2156.856582|255.36|265.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|150.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.3/5 400.455|340.48|180.45|255.36|272.38|289.41|306.43|0|275.11|245.15|230.44|0|340.48|221.99|0|124.68|278.68|210.76|205.31|0|2156.856582|255.36|265.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|150.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.3/6 400.456|340.48|180.45|255.36|272.38|289.41|306.43|0|275.11|245.15|230.44|0|340.48|221.99|0|124.68|278.68|210.76|205.31|0|2156.856582|255.36|265.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|150.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.3/8 400.438|331.36|175.62|248.52|265.09|281.66|298.22|0|267.74|238.58|224.26|0|331.36|216.05|0|121.34|271.22|205.11|199.81|0|2156.856582|248.52|258.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|146.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 35MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI EMRG CRUC 1.7/3 400.483|343.52|182.07|257.64|274.82|291.99|309.17|0|277.56|247.33|232.49|0|343.52|223.98|0|125.8|281.17|212.64|207.14|0|2156.856582|257.64|268.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI EMRG CRUC 1.7/4 400.484|343.52|182.07|257.64|274.82|291.99|309.17|0|277.56|247.33|232.49|0|343.52|223.98|0|125.8|281.17|212.64|207.14|0|2156.856582|257.64|268.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI EMRG CRUC 1.7/5 400.485|343.52|182.07|257.64|274.82|291.99|309.17|0|277.56|247.33|232.49|0|343.52|223.98|0|125.8|281.17|212.64|207.14|0|2156.856582|257.64|268.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI EMRG CRUC 1.7/6 400.486|343.52|182.07|257.64|274.82|291.99|309.17|0|277.56|247.33|232.49|0|343.52|223.98|0|125.8|281.17|212.64|207.14|0|2156.856582|257.64|268.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 40MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI EMRG CRUC 1.7/8 400.488|343.52|182.07|257.64|274.82|291.99|309.17|0|277.56|247.33|232.49|0|343.52|223.98|0|125.8|281.17|212.64|207.14|0|2156.856582|257.64|268.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.4/10 401.310|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.4/12 401.312|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.4/14 401.314|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.4/16 401.316|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.4/18 401.318|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMERG TI 2.4/6 401.306|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMERG TI 2.4/8 401.308|246.24|130.51|184.68|196.99|209.3|221.62|0|198.96|177.29|166.66|0|246.24|160.55|0|90.17|201.55|152.42|148.48|0|2156.856582|184.68|192.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|109.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TIT EMERG 2.4MM RECESS6M|97.12|51.47|72.84|77.7|82.55|87.41|0|78.47|69.93|65.73|0|97.12|63.32|0|35.57|79.49|60.12|58.56|0|2156.856582|72.84|75.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|43.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TIT EMERG 2.4MM RECESS7M|97.12|51.47|72.84|77.7|82.55|87.41|0|78.47|69.93|65.73|0|97.12|63.32|0|35.57|79.49|60.12|58.56|0|2156.856582|72.84|75.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|43.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 4.75 FIXED LOCKING 45MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TIT EMERG 2.4MM RECESS8M|97.12|51.47|72.84|77.7|82.55|87.41|0|78.47|69.93|65.73|0|97.12|63.32|0|35.57|79.49|60.12|58.56|0|2156.856582|72.84|75.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|43.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.7/10 401.560|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.7/12 401.562|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.7/14 401.564|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.7/16 401.566|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN EMERG TI 2.7/18 401.568|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMERG TI 2.7/8 401.558|428.12|226.9|321.09|342.5|363.9|385.31|0|345.92|308.25|289.75|0|428.12|279.13|0|156.78|350.42|265.01|258.16|0|2156.856582|321.09|334.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|189.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMERG SD 2.0/4 400.854|326.4|172.99|244.8|261.12|277.44|293.76|0|263.73|235.01|220.91|0|326.4|212.81|0|119.53|267.16|202.04|196.82|0|2156.856582|244.8|254.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|144.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FIXD NON-LCKNG 15MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC2.4/10 497.670|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC2.4/12 497.672|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC2.4/14 497.674|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC2.4/16 497.676|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC2.4/18 497.678|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK CRU REC2.4/8 497.668|656.04|347.7|492.03|524.83|557.63|590.44|0|530.08|472.35|444.01|0|656.04|427.74|0|240.24|536.97|406.09|395.59|0|2156.856582|492.03|512.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC3.0/10 497.691|757.68|401.57|568.26|606.14|644.03|681.91|0|612.21|545.53|512.8|0|757.68|494.01|0|277.46|620.16|469|456.88|0|2156.856582|568.26|591.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC3.0/12 497.692|757.68|401.57|568.26|606.14|644.03|681.91|0|612.21|545.53|512.8|0|757.68|494.01|0|277.46|620.16|469|456.88|0|2156.856582|568.26|591.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK CRU REC3.0/8 497.690|757.68|401.57|568.26|606.14|644.03|681.91|0|612.21|545.53|512.8|0|757.68|494.01|0|277.46|620.16|469|456.88|0|2156.856582|568.26|591.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FIXD NON-LCKNG 20MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMERG SD 2.0/5 400.855|326.4|172.99|244.8|261.12|277.44|293.76|0|263.73|235.01|220.91|0|326.4|212.81|0|119.53|267.16|202.04|196.82|0|2156.856582|244.8|254.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|144.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/6 400.406|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/8 400.408|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/3 400.463|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/4 400.464|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/5 400.465|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/6 400.466|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/8 400.467|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRANIAL SD 1.5/4 400.834|326.4|172.99|244.8|261.12|277.44|293.76|0|263.73|235.01|220.91|0|326.4|212.81|0|119.53|267.16|202.04|196.82|0|2156.856582|244.8|254.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|144.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRANIAL SD 1.5/5 400.835|326.4|172.99|244.8|261.12|277.44|293.76|0|263.73|235.01|220.91|0|326.4|212.81|0|119.53|267.16|202.04|196.82|0|2156.856582|244.8|254.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|144.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FXED NON-LCKNG 25MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/3 400.423|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/4 400.404|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 1.0/5 400.405|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FXD NON-LCKNG 30MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FIXED NON-LCKNG 35MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FIXED NON-LCKNG 40MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 4.75 FIXED NON-LCKNG 45MM|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|2156.856582|285|296.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|168.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY|||SEALER/DIVIDER 10MM ST 14.6|739.2|391.78|0|591.36|0|665.28|0|597.27|532.22|500.29|0|739.2|481.96|0|270.7|605.04|457.56|445.74|0|0|0|577.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.54|0|0|0|0|0|0|0|0|739.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1765|SEPRAFILM ADH BARRIER 5X6IN|1276.4|676.49|957.3|1021.12|1084.94|1148.76|0|1031.33|919.01|863.87|0|1276.4|832.21|0|467.42|1044.73|790.09|769.67|0|0|957.3|996.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|565.57|0|0|0|0|0|0|0|0|1276.4
HOSP OP|0272 - STERILE SUPPLY||A4649|COMP. REV SHLDR 9 IN STEINMANN|491.52|260.51|368.64|393.22|417.79|442.37|0|397.15|353.89|332.66|0|491.52|320.47|0|179.99|402.31|304.25|296.39|0|11.99410609|368.64|383.88|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|217.79|0|0|0|0|0|0|0|0|491.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE FEMUR SHAFT 200M|3404.02|1804.13|2553.01|2723.21|2893.41|3063.61|0|2750.44|2450.89|2303.84|0|3404.02|2219.42|0|1246.55|2786.19|2107.09|2052.62|0|2156.856582|2553.01|2658.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1508.32|0|0|0|0|0|0|0|0|3404.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE SHAFT FEMORAL 150M|3685.44|1953.28|2764.08|2948.35|3132.62|3316.9|0|2977.84|2653.52|2494.31|0|3685.44|2402.91|0|1349.61|3016.53|2281.29|2222.32|0|2156.856582|2764.08|2878.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1633.02|0|0|0|0|0|0|0|0|3685.44
HOSP OP|0272 - STERILE SUPPLY||A4649|SHEET MEDPOR THIN 38X50X0.85M|1804|956.12|1353|1443.2|1533.4|1623.6|0|1457.63|1298.88|1220.95|0|1804|1176.21|0|660.62|1476.57|1116.68|1087.81|0|11.99410609|1353|1408.92|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|799.35|0|0|0|0|0|0|0|0|1804
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 48M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 50M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 52M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 54M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 56M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 58M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 60M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 62M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 64M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL DEPUY DURALOC 66M|3588|1901.64|2691|2870.4|3049.8|3229.2|0|2899.1|2583.36|2428.36|0|3588|2339.38|0|1313.93|2936.78|2220.97|2163.56|0|0|2691|2802.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1589.84|0|0|0|0|0|0|0|0|3588
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/46M 14-103646|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/48M 14-103648|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/50M 14-103650|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/52M 14-103652|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/54M 14-103654|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/56M 14-103656|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/58M 14-103658|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/60M 14-103660|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/62M 14-103662|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL 2H/64M 14-103664|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL BIOMET 66 14-103666|4966.5|2632.24|3724.88|3973.2|4221.53|4469.85|0|4012.93|3575.88|3361.33|0|4966.5|3238.16|0|1818.73|4065.08|3074.26|2994.8|0|0|3724.88|3878.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2200.66|0|0|0|0|0|0|0|0|4966.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL BIOMET 68 14-103668|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 46M 14-103546|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 48M 14-103548|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 50M 14-103550|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 52M 14-103552|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 54M 14-103554|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 56M 14-103556|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 58M 14-103558|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 62M 14-103562|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL UNIVRSL SD 64M 14-103564|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL BIOMET N/H 66 14-103566|5164.5|2737.18|3873.38|4131.6|4389.83|4648.05|0|4172.92|3718.44|3495.33|0|5164.5|3367.25|0|1891.24|4227.14|3196.83|3114.19|0|0|3873.38|4033.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2288.39|0|0|0|0|0|0|0|0|5164.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL BIOMET N/H 68 14-103568|5164.5|2737.18|3873.38|4131.6|4389.83|4648.05|0|4172.92|3718.44|3495.33|0|5164.5|3367.25|0|1891.24|4227.14|3196.83|3114.19|0|0|3873.38|4033.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2288.39|0|0|0|0|0|0|0|0|5164.5
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|SHOEFOOTPLATEGOLDENBERG 140914|758.72|402.12|569.04|606.98|644.91|682.85|0|613.05|546.28|513.5|0|758.72|494.69|0|277.84|621.01|469.65|457.51|0|307.0137525|569.04|592.56|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|336.19|0|0|0|0|0|0|0|0|758.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.0X4.0 10CM|1524|807.72|1143|1219.2|1295.4|1371.6|0|1231.39|1097.28|1031.44|0|1524|993.65|0|558.09|1247.39|943.36|918.97|0|0|1143|1190.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|675.28|0|0|0|0|0|0|0|0|1524
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.0X4.0 30CM|1772|939.16|1329|1417.6|1506.2|1594.8|0|1431.78|1275.84|1199.29|0|1772|1155.34|0|648.91|1450.38|1096.87|1068.52|0|0|1329|1383.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|785.17|0|0|0|0|0|0|0|0|1772
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CAROTID BYPASS IMPRA 10F|760|402.8|570|608|646|684|0|614.08|547.2|514.37|0|760|495.52|0|278.31|622.06|470.44|458.28|0|11.99410609|570|593.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|336.76|0|0|0|0|0|0|0|0|760
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CARTD BYPASS TUBE 10FR|152|80.56|114|121.6|129.2|136.8|0|122.82|109.44|102.87|0|152|99.1|0|55.66|124.41|94.09|91.66|0|11.99410609|114|118.71|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|67.35|0|0|0|0|0|0|0|0|152
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CARTD BYPASS TUBE 12FR|152|80.56|114|121.6|129.2|136.8|0|122.82|109.44|102.87|0|152|99.1|0|55.66|124.41|94.09|91.66|0|11.99410609|114|118.71|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|67.35|0|0|0|0|0|0|0|0|152
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.5X5.0 30CM|1859.8|985.69|1394.85|1487.84|1580.83|1673.82|0|1502.72|1339.06|1258.71|0|1859.8|1212.59|0|681.06|1522.25|1151.22|1121.46|0|0|1394.85|1452.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|824.08|0|0|0|0|0|0|0|0|1859.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.5X5.0 10CM|1844|977.32|1383|1475.2|1567.4|1659.6|0|1489.95|1327.68|1248.02|0|1844|1202.29|0|675.27|1509.31|1141.44|1111.93|0|0|1383|1440.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.08|0|0|0|0|0|0|0|0|1844
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.0X4.0 10CM|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|0|1154.25|1201.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|681.93|0|0|0|0|0|0|0|0|1539
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT CARTD SUND 3.0X4.0 30CM|1859.8|985.69|1394.85|1487.84|1580.83|1673.82|0|1502.72|1339.06|1258.71|0|1859.8|1212.59|0|681.06|1522.25|1151.22|1121.46|0|0|1394.85|1452.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|824.08|0|0|0|0|0|0|0|0|1859.8
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT SUNDT 10CM 3.0X5.0 NTRNL|1600|848|1200|1280|1360|1440|0|1292.8|1152|1082.88|0|1600|1043.2|0|585.92|1309.6|990.4|964.8|0|11.99410609|1200|1249.6|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|708.96|0|0|0|0|0|0|0|0|1600
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT SUNDT 30CM 3.0X3.5 XTRNL|1860.52|986.08|1395.39|1488.42|1581.44|1674.47|0|1503.3|1339.57|1259.2|0|1860.52|1213.06|0|681.32|1522.84|1151.66|1121.89|0|11.99410609|1395.39|1453.07|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|824.4|0|0|0|0|0|0|0|0|1860.52
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CTS FLO COIL 1.75M|391.88|207.7|293.91|313.5|333.1|352.69|0|316.64|282.15|265.22|0|391.88|255.51|0|143.51|320.75|242.57|236.3|0|11.99410609|293.91|306.06|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|173.64|0|0|0|0|0|0|0|0|391.88
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CTS FLO COIL 2.25M|391.88|207.7|293.91|313.5|333.1|352.69|0|316.64|282.15|265.22|0|391.88|255.51|0|143.51|320.75|242.57|236.3|0|11.99410609|293.91|306.06|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|173.64|0|0|0|0|0|0|0|0|391.88
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CTS FLO COIL 2.75M|391.88|207.7|293.91|313.5|333.1|352.69|0|316.64|282.15|265.22|0|391.88|255.51|0|143.51|320.75|242.57|236.3|0|11.99410609|293.91|306.06|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|173.64|0|0|0|0|0|0|0|0|391.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CEMENT BONE SIMPLEX W/TOBRA|924.16|489.8|693.12|739.33|785.54|831.74|0|746.72|665.4|625.47|0|924.16|602.55|0|338.43|756.42|572.06|557.27|0|2156.856582|693.12|721.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|409.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLE 559 X 1.8 SS|1512|801.36|1134|1209.6|1285.2|1360.8|0|1221.7|1088.64|1023.32|0|1512|985.82|0|553.69|1237.57|935.93|911.74|0|11.99410609|1134|1180.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|669.97|0|0|0|0|0|0|0|0|1512
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|SPARC AMS SLING DEVICE|2904|1539.12|2178|2323.2|2468.4|2613.6|0|2346.43|2090.88|1965.43|0|2904|1893.41|0|1063.44|2376.92|1797.58|1751.11|0|0|2178|2268.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1286.76|0|0|0|0|0|0|0|0|2904
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 10MM 162640|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 11MM 162657|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 12MM 162641|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 13MM 162658|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 14MM 162642|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 15MM 162659|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 16MM 162643|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 17MM 162660|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CENTRALIZER DISTAL 9MM 162656|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT DENVER LG|207.88|110.18|155.91|166.3|176.7|187.09|0|167.97|149.67|140.69|0|207.88|135.54|0|76.13|170.15|128.68|125.35|0|11.99410609|155.91|162.35|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|92.11|0|0|0|0|0|0|0|0|207.88
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT DENVER PETITE|224.24|118.85|168.18|179.39|190.6|201.82|0|181.19|161.45|151.77|0|224.24|146.2|0|82.12|183.54|138.8|135.22|0|11.99410609|168.18|175.13|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|99.36|0|0|0|0|0|0|0|0|224.24
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT DENVER SM|224.24|118.85|168.18|179.39|190.6|201.82|0|181.19|161.45|151.77|0|224.24|146.2|0|82.12|183.54|138.8|135.22|0|11.99410609|168.18|175.13|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|99.36|0|0|0|0|0|0|0|0|224.24
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT DOYLE2 NASAL SEPTAL|198.72|105.32|149.04|158.98|168.91|178.85|0|160.57|143.08|134.49|0|198.72|129.57|0|72.77|162.65|123.01|119.83|0|11.99410609|149.04|155.2|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|88.05|0|0|0|0|0|0|0|0|198.72
HOSP OP|0272 - STERILE SUPPLY|||STAPLER ILA RELOAD 100 3.8M|779.25|413|0|623.4|0|701.33|0|629.63|561.06|527.4|0|779.25|508.07|0|285.36|637.82|482.36|469.89|0|0|0|608.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|345.29|0|0|0|0|0|0|0|0|779.25
HOSP OP|0272 - STERILE SUPPLY|||STAPLER CEEA CVD 25M|1383.1|733.04|0|1106.48|0|1244.79|0|1117.54|995.83|936.08|0|1383.1|901.78|0|506.49|1132.07|856.14|834.01|0|0|0|1080.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|612.85|0|0|0|0|0|0|0|0|1383.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ANSWR CCR 11MX135M 162602|3816|2022.48|2862|3052.8|3243.6|3434.4|0|3083.33|2747.52|2582.67|0|3816|2488.03|0|1397.42|3123.4|2362.1|2301.05|0|0|2862|2980.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1690.87|0|0|0|0|0|0|0|0|3816
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ANSWR CCR 13MX145M 162603|3816|2022.48|2862|3052.8|3243.6|3434.4|0|3083.33|2747.52|2582.67|0|3816|2488.03|0|1397.42|3123.4|2362.1|2301.05|0|0|2862|2980.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1690.87|0|0|0|0|0|0|0|0|3816
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ANSWR CCR 15MX155M 162604|3816|2022.48|2862|3052.8|3243.6|3434.4|0|3083.33|2747.52|2582.67|0|3816|2488.03|0|1397.42|3123.4|2362.1|2301.05|0|0|2862|2980.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1690.87|0|0|0|0|0|0|0|0|3816
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ANSWR CCR 17MX165M 162605|3816|2022.48|2862|3052.8|3243.6|3434.4|0|3083.33|2747.52|2582.67|0|3816|2488.03|0|1397.42|3123.4|2362.1|2301.05|0|0|2862|2980.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1690.87|0|0|0|0|0|0|0|0|3816
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ANSWR CCR 9MX125M 162601|3816|2022.48|2862|3052.8|3243.6|3434.4|0|3083.33|2747.52|2582.67|0|3816|2488.03|0|1397.42|3123.4|2362.1|2301.05|0|0|2862|2980.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1690.87|0|0|0|0|0|0|0|0|3816
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 8X120 192108|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 9X125 192109|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM S&N CEMENTED SZ 9|3541.32|1876.9|2655.99|2833.06|3010.12|3187.19|0|2861.39|2549.75|2396.77|0|3541.32|2308.94|0|1296.83|2898.57|2192.08|2135.42|0|0|2655.99|2765.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1569.16|0|0|0|0|0|0|0|0|3541.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 14X150 192014|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR NC 15X155 192015|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0272 - STERILE SUPPLY||C2628|STENT BALLOON UTERINE|171|90.63|128.25|136.8|145.35|153.9|0|138.17|123.12|115.73|0|171|111.49|0|62.62|139.96|105.85|103.11|0|0|128.25|133.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.77|0|0|0|0|0|0|0|0|171
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT URET DBL J CLSD TIP 7X26|908|481.24|681|726.4|771.8|817.2|0|733.66|653.76|614.53|0|908|592.02|0|332.51|743.2|562.05|547.52|0|0|681|709.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|402.33|0|0|0|0|0|0|0|0|908
HOSP OP|0275 - PACEMAKER||C1898|LEAD BIPOLAR EPICARDICAL SUT|1580|837.4|1185|1264|1343|1422|0|1276.64|1137.6|1069.34|0|1580|1030.16|0|578.6|1293.23|978.02|952.74|0|0|1185|1233.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|700.1|0|0|0|0|0|0|0|0|1580
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN TEMP FIX 387.595|596.6|316.2|447.45|477.28|507.11|536.94|0|482.05|429.55|403.78|0|596.6|388.98|0|218.47|488.32|369.3|359.75|0|11.99410609|447.45|465.94|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|264.35|0|0|0|0|0|0|0|0|596.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SUT MITEK MINI 2-0 QUICK ANCHO|1340|710.2|1005|1072|1139|1206|0|1082.72|964.8|906.91|0|1340|873.68|0|490.71|1096.79|829.46|808.02|0|2156.856582|1005|1046.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|593.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ANCHOR MITEK SUPER 2 QUICK|1364|722.92|1023|1091.2|1159.4|1227.6|0|1102.11|982.08|923.16|0|1364|889.33|0|499.5|1116.43|844.32|822.49|0|2156.856582|1023|1065.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|604.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X100X130CM|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X120X130|2355|1248.15|1766.25|1884|2001.75|2119.5|0|1902.84|1695.6|1593.86|0|2355|1535.46|0|862.4|1927.57|1457.75|1420.07|0|0|1766.25|1839.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1043.5|0|0|0|0|0|0|0|0|2355
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X150X130CM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 7X100X130|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 7X150X130|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004520 4.5X20M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004525 4.5X25M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004530 4.5X30M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004535 4.5X35M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004540 4.5X40M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004545 4.5X45M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004550 4.5X50M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004555 4.5X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005020 5.0X20M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005025 5.0X25M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005030 5.0X30M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005035 5.0X35M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005040 5.0X40M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||A4649|ARMEBITELESCOPING L 0-8CM01030|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|11.99410609|2160|2249.28|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0272 - STERILE SUPPLY||A4649|ARMEBITELESCOPING R 0-8CM01040|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|11.99410609|2160|2249.28|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005045 5.0X45M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005050 5.0X50M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005055 5.0X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005520 5.5X20M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005525 5.5X25M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005530 5.5X30M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 2.7/3H 242.41|206.16|109.26|154.62|164.93|175.24|185.54|0|166.58|148.44|139.53|0|206.16|134.42|0|75.5|168.74|127.61|124.31|0|2156.856582|154.62|161.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|91.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MNI T18/2H 243.41|185.96|98.56|139.47|148.77|158.07|167.36|0|150.26|133.89|125.86|0|185.96|121.25|0|68.1|152.21|115.11|112.13|0|2156.856582|139.47|145.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|82.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/52/3H/3HOR 241.031|1205.36|638.84|904.02|964.29|1024.56|1084.82|0|973.93|867.86|815.79|0|1205.36|785.89|0|441.4|986.59|746.12|726.83|0|2156.856582|904.02|941.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|534.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/63/3H/4HOR 241.041|1260.12|667.86|945.09|1008.1|1071.1|1134.11|0|1018.18|907.29|852.85|0|1260.12|821.6|0|461.46|1031.41|780.01|759.85|0|2156.856582|945.09|984.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/74/3H/5HOR 241.051|1314.88|696.89|986.16|1051.9|1117.65|1183.39|0|1062.42|946.71|889.91|0|1314.88|857.3|0|481.51|1076.23|813.91|792.87|0|2156.856582|986.16|1026.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|582.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/96/3H/7HOR 241.071|1430.28|758.05|1072.71|1144.22|1215.74|1287.25|0|1155.67|1029.8|968.01|0|1430.28|932.54|0|523.77|1170.68|885.34|862.46|0|2156.856582|1072.71|1117.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|633.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005535 5.5X35M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT3.5/50/3HH 3HRA 241.131|1064.04|563.94|798.03|851.23|904.43|957.64|0|859.74|766.11|720.14|0|1064.04|693.75|0|389.65|870.92|658.64|641.62|0|2156.856582|798.03|831.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|471.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT3.5/56/4HH 4HRA 241.141|1110.16|588.38|832.62|888.13|943.64|999.14|0|897.01|799.32|751.36|0|1110.16|723.82|0|406.54|908.67|687.19|669.43|0|2156.856582|832.62|867.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|491.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT3.5/67/3HH 5HRA 241.151|1214|643.42|910.5|971.2|1031.9|1092.6|0|980.91|874.08|821.64|0|1214|791.53|0|444.57|993.66|751.47|732.04|0|2156.856582|910.5|948.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|537.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT3.5/78/4HH 6HRA 241.161|1415.84|750.4|1061.88|1132.67|1203.46|1274.26|0|1144|1019.4|958.24|0|1415.84|923.13|0|518.48|1158.87|876.4|853.75|0|2156.856582|1061.88|1105.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|627.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT3.5/87/3HH 7HRA 241.171|1773.4|939.9|1330.05|1418.72|1507.39|1596.06|0|1432.91|1276.85|1200.24|0|1773.4|1156.26|0|649.42|1451.53|1097.73|1069.36|0|2156.856582|1330.05|1385.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|785.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.0/10 420.70|924.16|489.8|693.12|739.33|785.54|831.74|0|746.72|665.4|625.47|0|924.16|602.55|0|338.43|756.42|572.06|557.27|0|2156.856582|693.12|721.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|409.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/52/3H/3HOL 241.931|1208.2|640.35|906.15|966.56|1026.97|1087.38|0|976.23|869.9|817.71|0|1208.2|787.75|0|442.44|988.91|747.88|728.54|0|2156.856582|906.15|943.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|535.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/63/3H/4HOL 241.941|1265.88|670.92|949.41|1012.7|1076|1139.29|0|1022.83|911.43|856.75|0|1265.88|825.35|0|463.57|1036.12|783.58|763.33|0|2156.856582|949.41|988.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|560.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/74/3H/5HOL 241.951|1320.68|699.96|990.51|1056.54|1122.58|1188.61|0|1067.11|950.89|893.84|0|1320.68|861.08|0|483.63|1080.98|817.5|796.37|0|2156.856582|990.51|1031.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|585.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNT 3.5/96/3H/7HOL 241.971|1433.16|759.57|1074.87|1146.53|1218.19|1289.84|0|1157.99|1031.88|969.96|0|1433.16|934.42|0|524.82|1173.04|887.13|864.2|0|2156.856582|1074.87|1119.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|635.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005540 5.5X40M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNOBLQUE T-PLT 3H 241.23|750.28|397.65|562.71|600.22|637.74|675.25|0|606.23|540.2|507.79|0|750.28|489.18|0|274.75|614.1|464.42|452.42|0|2156.856582|562.71|585.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.45|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNOBLQUE T-PLT 4H 241.24|792.48|420.01|594.36|633.98|673.61|713.23|0|640.32|570.59|536.35|0|792.48|516.7|0|290.21|648.64|490.55|477.87|0|2156.856582|594.36|618.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|351.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNOBLQUE T-PLT 5H 241.25|819.6|434.39|614.7|655.68|696.66|737.64|0|662.24|590.11|554.71|0|819.6|534.38|0|300.14|670.84|507.33|494.22|0|2156.856582|614.7|640.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T RT ANG 3H 50M 241.13|433.92|229.98|325.44|347.14|368.83|390.53|0|350.61|312.42|293.68|0|433.92|282.92|0|158.9|355.16|268.6|261.65|0|2156.856582|325.44|338.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|192.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T RT ANG 5H 67M 241.15|500.2|265.11|375.15|400.16|425.17|450.18|0|404.16|360.14|338.54|0|500.2|326.13|0|183.17|409.41|309.62|301.62|0|2156.856582|375.15|390.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|221.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005545 5.5X45M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005550 5.5X50M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005555 5.5X55M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840005560 5.5X60M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|TBESYN FIX CRBN FBR 150 394.82|619.6|328.39|464.7|495.68|526.66|557.64|0|500.64|446.11|419.35|0|619.6|403.98|0|226.9|507.14|383.53|373.62|0|11.99410609|464.7|483.91|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|274.54|0|0|0|0|0|0|0|0|619.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006020 6.0X20M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006025 6.0X25M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006030 6.0X30M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006035 6.0X35M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006040 6.0X40M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006045 6.0X45M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006050 6.0X50M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|TVT DEVICE|3212.7|1702.73|2409.53|2570.16|2730.8|2891.43|0|2595.86|2313.14|2174.36|0|3212.7|2094.68|0|1176.49|2629.59|1988.66|1937.26|0|0|2409.53|2509.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1423.55|0|0|0|0|0|0|0|0|3212.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006055 6.0X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006060 6.0X60M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006520 6.5X20M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006525 6.5X25M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006530 6.5X30M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|VASCUGUARD 1X6CM|577.2|305.92|432.9|461.76|490.62|519.48|0|466.38|415.58|390.65|0|577.2|376.33|0|211.37|472.44|357.29|348.05|0|0|432.9|450.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|255.76|0|0|0|0|0|0|0|0|577.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006535 6.5X35M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006540 6.5X40M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WASHER SPIKED 13.5M/4M SM|409.48|217.02|307.11|327.58|348.06|368.53|0|330.86|294.83|277.14|0|409.48|266.98|0|149.95|335.16|253.47|246.92|0|2156.856582|307.11|319.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|181.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WASHER SPIKED 13.5M/6.5M LG|400.8|212.42|300.6|320.64|340.68|360.72|0|323.85|288.58|271.26|0|400.8|261.32|0|146.77|328.05|248.1|241.68|0|2156.856582|300.6|313.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|177.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WSHR SYN TH 3.0 SCR 219.89|455.6|241.47|341.7|364.48|387.26|410.04|0|368.12|328.03|308.35|0|455.6|297.05|0|166.84|372.91|282.02|274.73|0|2156.856582|341.7|355.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|201.88|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006545 6.5X45M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WR SYN N TH2.0/230 292.656|100.56|53.3|75.42|80.45|85.48|90.5|0|81.25|72.4|68.06|0|100.56|65.57|0|36.83|82.31|62.25|60.64|0|0|75.42|78.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|44.56|0|0|0|0|0|0|0|0|100.56
HOSP OP|0272 - STERILE SUPPLY||A4649|WR TH EBI 70/15 M16-07015|200|106|150|160|170|180|0|161.6|144|135.36|0|200|130.4|0|73.24|163.7|123.8|120.6|0|11.99410609|150|156.2|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|88.62|0|0|0|0|0|0|0|0|200
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006550 6.5X50M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||A4649|SUT WIRE DOUBLE STERNOTOMY TC1|337.32|178.78|252.99|269.86|286.72|303.59|0|272.55|242.87|228.3|0|337.32|219.93|0|123.53|276.1|208.8|203.4|0|11.99410609|252.99|263.45|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|149.47|0|0|0|0|0|0|0|0|337.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006555 6.5X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006560 6.5X60M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006565 6.5X65M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 1.0/5 420.81|826.88|438.25|620.16|661.5|702.85|744.19|0|668.12|595.35|559.63|0|826.88|539.13|0|302.8|676.8|511.84|498.61|0|2156.856582|620.16|645.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|366.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1.0/9 420.62|924.16|489.8|693.12|739.33|785.54|831.74|0|746.72|665.4|625.47|0|924.16|602.55|0|338.43|756.42|572.06|557.27|0|2156.856582|693.12|721.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|409.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006570 6.5X70M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840006580 6.5X80M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007520 7.5X20M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007525 7.5X25M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH ARROW CHOLANGIOGRAM/INTR|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|0|390|406.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|230.41|0|0|0|0|0|0|0|0|520
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007530 7.5X30M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007535 7.5X35M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007540 7.5X40M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY|||CATH FOLEY SILASTIC 28FR 30CC|28.75|15.24|0|23|0|25.88|0|23.23|20.7|19.46|0|28.75|18.75|0|10.53|23.53|17.8|17.34|0|0|0|22.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12.74|0|0|0|0|0|0|0|0|28.75
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH PRUITT 5FR 40CM|476|252.28|357|380.8|404.6|428.4|0|384.61|342.72|322.16|0|476|310.35|0|174.31|389.61|294.64|287.03|0|0|357|371.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.92|0|0|0|0|0|0|0|0|476
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH PRUITT 6FR 40CM|476|252.28|357|380.8|404.6|428.4|0|384.61|342.72|322.16|0|476|310.35|0|174.31|389.61|294.64|287.03|0|0|357|371.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|210.92|0|0|0|0|0|0|0|0|476
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007545 7.5X45M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007550 7.5X50M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007555 7.5X55M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH URET WHISTLE TIP 5FR|146.36|77.57|109.77|117.09|124.41|131.72|0|118.26|105.38|99.06|0|146.36|95.43|0|53.6|119.8|90.6|88.26|0|0|109.77|114.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.85|0|0|0|0|0|0|0|0|146.36
HOSP OP|0272 - STERILE SUPPLY||C1758|CATHETER URETERAL OLIVE 6FR|152.44|80.79|114.33|121.95|129.57|137.2|0|123.17|109.76|103.17|0|152.44|99.39|0|55.82|124.77|94.36|91.92|0|0|114.33|119.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|67.55|0|0|0|0|0|0|0|0|152.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007560 7.5X60M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007565 7.5X65M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007570 7.5X70M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007580 7.5X80M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007590 7.5X90M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840007500 7.5X100|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008525 8.5X25M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008530 8.5X30M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||C1769|GD PIN DHS / DCS 900.723|129.04|68.39|96.78|103.23|109.68|116.14|0|104.26|92.91|87.33|0|129.04|84.13|0|47.25|105.62|79.88|77.81|0|0|96.78|100.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.18|0|0|0|0|0|0|0|0|129.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008535 8.5X35M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008540 8.5X40M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|VALVE DELTA SMALL LEVEL I.0|3348.55|1774.73|2511.41|2678.84|2846.27|3013.7|0|2705.63|2410.96|2266.3|0|3348.55|2183.26|0|1226.24|2740.79|2072.75|2019.18|0|11.99410609|2511.41|2615.22|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1483.74|0|0|0|0|0|0|0|0|3348.55
HOSP OP|0278 - SUPPLY IMPLANTS|||LEAD SUTURELESS MYOCARDIAL A|2254.47|1194.87|0|1803.58|0|2029.02|0|1821.61|1623.22|1525.83|0|2254.47|1469.91|0|825.59|1845.28|1395.52|1359.45|0|0|0|1760.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.96|0|0|0|0|0|0|0|0|2254.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008545 8.5X45M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS|||LEAD VENTRICULAR PATCH SM AI|2693.91|1427.77|0|2155.13|0|2424.52|0|2176.68|1939.62|1823.24|0|2693.91|1756.43|0|986.51|2204.97|1667.53|1624.43|0|0|0|2103.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1193.67|0|0|0|0|0|0|0|0|2693.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RESERV OMMAYA CSF STD 1.5|1629.44|863.6|1222.08|1303.55|1385.02|1466.5|0|1316.59|1173.2|1102.8|0|1629.44|1062.39|0|596.7|1333.7|1008.62|982.55|0|0|1222.08|1272.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|722|0|0|0|0|0|0|0|0|1629.44
HOSP OP|0272 - STERILE SUPPLY||A4649|RESERVF OMMAYA CSF STD 2.5|1629.44|863.6|1222.08|1303.55|1385.02|1466.5|0|1316.59|1173.2|1102.8|0|1629.44|1062.39|0|596.7|1333.7|1008.62|982.55|0|11.99410609|1222.08|1272.59|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|722|0|0|0|0|0|0|0|0|1629.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008550 8.5X50M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT NEO DELTA ASSY SNAP LVL1|3390.66|1797.05|2543|2712.53|2882.06|3051.59|0|2739.65|2441.28|2294.8|0|3390.66|2210.71|0|1241.66|2775.26|2098.82|2044.57|0|11.99410609|2543|2648.11|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1502.4|0|0|0|0|0|0|0|0|3390.66
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT DELTA VALVE TYPE II|3507.84|1859.16|2630.88|2806.27|2981.66|3157.06|0|2834.33|2525.64|2374.11|0|3507.84|2287.11|0|1284.57|2871.17|2171.35|2115.23|0|11.99410609|2630.88|2739.62|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1554.32|0|0|0|0|0|0|0|0|3507.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008555 8.5X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||C1729|SHUNT PUD CSF VENT CATH FLANG|1657.8|878.63|1243.35|1326.24|1409.13|1492.02|0|1339.5|1193.62|1122|0|1657.8|1080.89|0|607.09|1356.91|1026.18|999.65|0|0|1243.35|1294.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|734.57|0|0|0|0|0|0|0|0|1657.8
HOSP OP|0272 - STERILE SUPPLY||C1729|SHUNT PUD CSF VENT CATH SM|576|305.28|432|460.8|489.6|518.4|0|465.41|414.72|389.84|0|576|375.55|0|210.93|471.46|356.54|347.33|0|0|432|449.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|255.23|0|0|0|0|0|0|0|0|576
HOSP OP|0272 - STERILE SUPPLY||C1729|SHUNT PUD CSF VENT CATH W/LG H|540.8|286.62|405.6|432.64|459.68|486.72|0|436.97|389.38|366.01|0|540.8|352.6|0|198.04|442.64|334.76|326.1|0|0|405.6|422.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|239.63|0|0|0|0|0|0|0|0|540.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008560 8.5X60M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008565 8.5X65M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008570 8.5X70M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 1.0MM|1130|598.9|847.5|904|960.5|1017|0|913.04|813.6|764.78|0|1130|736.76|0|413.81|924.91|699.47|681.39|0|11.99410609|847.5|882.53|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|500.7|0|0|0|0|0|0|0|0|1130
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 1.5MM|1196.68|634.24|897.51|957.34|1017.18|1077.01|0|966.92|861.61|809.91|0|1196.68|780.24|0|438.22|979.48|740.74|721.6|0|11.99410609|897.51|934.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.25|0|0|0|0|0|0|0|0|1196.68
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 2.0MM|1196.68|634.24|897.51|957.34|1017.18|1077.01|0|966.92|861.61|809.91|0|1196.68|780.24|0|438.22|979.48|740.74|721.6|0|11.99410609|897.51|934.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.25|0|0|0|0|0|0|0|0|1196.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008580 8.5X80M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008590 8.5X90M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PATCH VENTRALEX ST S|1472.08|780.2|1104.06|1177.66|1251.27|1324.87|0|1189.44|1059.9|996.3|0|1472.08|959.8|0|539.08|1204.9|911.22|887.66|0|0|1104.06|1149.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|652.28|0|0|0|0|0|0|0|0|1472.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840008500 8.5X100|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN KNOWLES 5/32/6 281-01-15|704|373.12|528|563.2|598.4|633.6|0|568.83|506.88|476.47|0|704|459.01|0|257.8|576.22|435.78|424.51|0|11.99410609|528|549.82|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|311.94|0|0|0|0|0|0|0|0|704
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ADAPTION 420.10|1723.68|913.55|1292.76|1378.94|1465.13|1551.31|0|1392.73|1241.05|1166.59|0|1723.68|1123.84|0|631.21|1410.83|1066.96|1039.38|0|2156.856582|1292.76|1346.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|763.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX 2.0/4|1210.44|641.53|907.83|968.35|1028.87|1089.4|0|978.04|871.52|819.23|0|1210.44|789.21|0|443.26|990.75|749.26|729.9|0|2156.856582|907.83|945.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|536.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCNDYLR L 2.0/7H 243.61L|836.24|443.21|627.18|668.99|710.8|752.62|0|675.68|602.09|565.97|0|836.24|545.23|0|306.23|684.46|517.63|504.25|0|2156.856582|627.18|653.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCNDYLR R 2.0/7H 243.62R|836.24|443.21|627.18|668.99|710.8|752.62|0|675.68|602.09|565.97|0|836.24|545.23|0|306.23|684.46|517.63|504.25|0|2156.856582|627.18|653.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCNDYLR L 2.4/8H 249.917L|916.96|485.99|687.72|733.57|779.42|825.26|0|740.9|660.21|620.6|0|916.96|597.86|0|335.79|750.53|567.6|552.93|0|2156.856582|687.72|716.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|406.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009525 9.5X25M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCNDYLR R2.4/8H 249.916R|916.96|485.99|687.72|733.57|779.42|825.26|0|740.9|660.21|620.6|0|916.96|597.86|0|335.79|750.53|567.6|552.93|0|2156.856582|687.72|716.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|406.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CNDYLR L2.7/7H 242.61|966|511.98|724.5|772.8|821.1|869.4|0|780.53|695.52|653.79|0|966|629.83|0|353.75|790.67|597.95|582.5|0|2156.856582|724.5|754.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|428.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CNDYLR L2.7/7H 242.62|966|511.98|724.5|772.8|821.1|869.4|0|780.53|695.52|653.79|0|966|629.83|0|353.75|790.67|597.95|582.5|0|2156.856582|724.5|754.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|428.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2.4 CUBOID 249.921|1228.44|651.07|921.33|982.75|1044.17|1105.6|0|992.58|884.48|831.41|0|1228.44|800.94|0|449.85|1005.48|760.4|740.75|0|2156.856582|921.33|959.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|544.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 2.0/4H 243.584|700.68|371.36|525.51|560.54|595.58|630.61|0|566.15|504.49|474.22|0|700.68|456.84|0|256.59|573.51|433.72|422.51|0|2156.856582|525.51|547.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|310.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 2.0/6H 243.586|824.68|437.08|618.51|659.74|700.98|742.21|0|666.34|593.77|558.14|0|824.68|537.69|0|302|675|510.48|497.28|0|2156.856582|618.51|644.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|365.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LC-DCP 2.0/8H 243.588|945.8|501.27|709.35|756.64|803.93|851.22|0|764.21|680.98|640.12|0|945.8|616.66|0|346.35|774.14|585.45|570.32|0|2156.856582|709.35|738.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|419.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORBITAL 420.21|1018.4|539.75|763.8|814.72|865.64|916.56|0|822.87|733.25|689.25|0|1018.4|664|0|372.94|833.56|630.39|614.1|0|2156.856582|763.8|795.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|451.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009530 9.5X30M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.3 4H HD 421.334|781.44|414.16|586.08|625.15|664.22|703.3|0|631.4|562.64|528.88|0|781.44|509.5|0|286.16|639.61|483.71|471.21|0|2156.856582|586.08|610.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|346.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y1.3 421.335|749.72|397.35|562.29|599.78|637.26|674.75|0|605.77|539.8|507.41|0|749.72|488.82|0|274.55|613.65|464.08|452.08|0|2156.856582|562.29|585.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN T 2.0/3H HD/10H 243.234|836.24|443.21|627.18|668.99|710.8|752.62|0|675.68|602.09|565.97|0|836.24|545.23|0|306.23|684.46|517.63|504.25|0|2156.856582|627.18|653.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB1/4/23/3H 242.03|262.4|139.07|196.8|209.92|223.04|236.16|0|212.02|188.93|177.59|0|262.4|171.08|0|96.09|214.77|162.43|158.23|0|2156.856582|196.8|204.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|116.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB 1/4/ 31/4H 242.04|282.56|149.76|211.92|226.05|240.18|254.3|0|228.31|203.44|191.24|0|282.56|184.23|0|103.47|231.28|174.9|170.38|0|2156.856582|211.92|220.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB1/4/39/5H 242.05|297|157.41|222.75|237.6|252.45|267.3|0|239.98|213.84|201.01|0|297|193.64|0|108.76|243.09|183.84|179.09|0|2156.856582|222.75|231.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|131.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009535 9.5X35M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB 1/4/ 47/4H 242.06|322.96|171.17|242.22|258.37|274.52|290.66|0|260.95|232.53|218.58|0|322.96|210.57|0|118.27|264.34|199.91|194.74|0|2156.856582|242.22|252.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|143.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB1/4/55/7H 242.07|346.04|183.4|259.53|276.83|294.13|311.44|0|279.6|249.15|234.2|0|346.04|225.62|0|126.72|283.23|214.2|208.66|0|2156.856582|259.53|270.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|153.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN TUB1/4/63/8H 242.08|354.68|187.98|266.01|283.74|301.48|319.21|0|286.58|255.37|240.05|0|354.68|231.25|0|129.88|290.31|219.55|213.87|0|2156.856582|266.01|277.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|157.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009540 9.5X40M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009545 9.5X45M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009550 9.5X50M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009555 9.5X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X13 M3120213|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X14M 3120214|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X15M 3120215|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009560 9.5X60M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X16M 3120216|630|333.9|472.5|504|535.5|567|0|509.04|453.6|426.38|0|630|410.76|0|230.71|515.66|389.97|379.89|0|2156.856582|472.5|492.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|279.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.7 X10M 59-17010|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/18 400.698|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009565 9.5X65M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT CARTD JAVID 10-17FR|320|169.6|240|256|272|288|0|258.56|230.4|216.58|0|320|208.64|0|117.18|261.92|198.08|192.96|0|11.99410609|240|249.92|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|141.79|0|0|0|0|0|0|0|0|320
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009570 9.5X70M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009580 9.5X80M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT REUTER BIVALVE|222.44|117.89|166.83|177.95|189.07|200.2|0|179.73|160.16|150.55|0|222.44|145.03|0|81.46|182.07|137.69|134.13|0|11.99410609|166.83|173.73|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|98.56|0|0|0|0|0|0|0|0|222.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE STRUT CORTICAL 100MM|1291.84|684.68|968.88|1033.47|1098.06|1162.66|0|1043.81|930.12|874.32|0|1291.84|842.28|0|473.07|1057.37|799.65|778.98|0|2156.856582|968.88|1008.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|572.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009590 9.5X90M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840009500 9.5X100|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCR BRK-OFF 5440030|342|181.26|256.5|273.6|290.7|307.8|0|276.34|246.24|231.47|0|342|222.98|0|125.24|279.93|211.7|206.23|0|2156.856582|256.5|267.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|151.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 30M PREBNT 1475501030|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WASHER SYN/FOR 3.5 4.5|176.24|93.41|132.18|140.99|149.8|158.62|0|142.4|126.89|119.28|0|176.24|114.91|0|64.54|144.25|109.09|106.27|0|2156.856582|132.18|137.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 35M PREBNT 1475501035|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 40M PREBNT 1475501040|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 45M PREBNT 1475501045|1064|563.92|798|851.2|904.4|957.6|0|859.71|766.08|720.12|0|1064|693.73|0|389.64|870.88|658.62|641.59|0|2156.856582|798|830.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|471.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 50M PREBNT 1475501050|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 55M PREBNT 1475501055|1064|563.92|798|851.2|904.4|957.6|0|859.71|766.08|720.12|0|1064|693.73|0|389.64|870.88|658.62|641.59|0|2156.856582|798|830.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|471.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 60M PREBNT 1475501060|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 70M PREBNT 1475501070|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 80M PREBNT 1475501080|1064|563.92|798|851.2|904.4|957.6|0|859.71|766.08|720.12|0|1064|693.73|0|389.64|870.88|658.62|641.59|0|2156.856582|798|830.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|471.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 90M PREBNT 1475501090|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH QUINTON CURL 62CM|366|193.98|274.5|292.8|311.1|329.4|0|295.73|263.52|247.71|0|366|238.63|0|134.03|299.57|226.55|220.7|0|0|274.5|285.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|162.17|0|0|0|0|0|0|0|0|366
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 100M PREBNT 1475501100|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 110M PREBNT 1475501110|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|STRATASIS URETHRAL SLING|1349|714.97|1011.75|1079.2|1146.65|1214.1|0|1089.99|971.28|913|0|1349|879.55|0|494|1104.16|835.03|813.45|0|0|1011.75|1053.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|597.74|0|0|0|0|0|0|0|0|1349
HOSP OP|0271 - NONSTER SUPPLY|||CATH URET ROBINSON 20FR|12.58|6.67|0|10.06|0|11.32|0|10.16|9.06|8.51|0|12.58|8.2|0|4.61|10.3|7.79|7.59|0|0|0|9.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5.57|0|0|0|0|0|0|0|0|12.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 120M PREBNT 1475501120|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1755|BECKER LUMBAR DRAIN KIT|906.36|480.37|679.77|725.09|770.41|815.72|0|732.34|652.58|613.42|0|906.36|590.95|0|331.91|741.86|561.04|546.54|0|0|679.77|707.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|401.61|0|0|0|0|0|0|0|0|906.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500M STRAIGHT 1475000500|2402.4|1273.27|1801.8|1921.92|2042.04|2162.16|0|1941.14|1729.73|1625.94|0|2402.4|1566.36|0|879.76|1966.36|1487.09|1448.65|0|2156.856582|1801.8|1876.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1064.5|0|0|0|0|0|0|0|0|2402.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500M STRGHT PLS 1476000500|2402.4|1273.27|1801.8|1921.92|2042.04|2162.16|0|1941.14|1729.73|1625.94|0|2402.4|1566.36|0|879.76|1966.36|1487.09|1448.65|0|2156.856582|1801.8|1876.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1064.5|0|0|0|0|0|0|0|0|2402.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500M STRGHT TIT 1474000500|1716|909.48|1287|1372.8|1458.6|1544.4|0|1386.53|1235.52|1161.39|0|1716|1118.83|0|628.4|1404.55|1062.2|1034.75|0|2156.856582|1287|1340.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|760.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|SLING ADVANTAGE|3090|1637.7|2317.5|2472|2626.5|2781|0|2496.72|2224.8|2091.31|0|3090|2014.68|0|1131.56|2529.17|1912.71|1863.27|0|0|2317.5|2413.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1369.18|0|0|0|0|0|0|0|0|3090
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 16M FX 5442016|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 19M FX 5442019|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT642T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT652T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT740T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT742T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 22M FX 5442022|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT764T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT810T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT700T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 25M FX 5442025|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CLIP YASARGIL ANYSM TI FT710T|1359.84|720.72|1019.88|1087.87|1155.86|1223.86|0|1098.75|979.08|920.34|0|1359.84|886.62|0|497.97|1113.03|841.74|819.98|0|0|1019.88|1062.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.55|0|0|0|0|0|0|0|0|1359.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBLQUE L 2.0/ 7 447.52L|972.8|515.58|729.6|778.24|826.88|875.52|0|786.02|700.42|658.39|0|972.8|634.27|0|356.24|796.24|602.16|586.6|0|2156.856582|729.6|759.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|431.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN OBLQUE R 2.0/7 447.53R|901.88|478|676.41|721.5|766.6|811.69|0|728.72|649.35|610.39|0|901.88|588.03|0|330.27|738.19|558.26|543.83|0|2156.856582|676.41|704.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|399.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBLQUE L 2.0/10 447.54L|1057.92|560.7|793.44|846.34|899.23|952.13|0|854.8|761.7|716|0|1057.92|689.76|0|387.41|865.91|654.85|637.93|0|2156.856582|793.44|826.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBLQUE L 2.0/10 447.55R|1057.92|560.7|793.44|846.34|899.23|952.13|0|854.8|761.7|716|0|1057.92|689.76|0|387.41|865.91|654.85|637.93|0|2156.856582|793.44|826.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y LG 2.0/6 447.62|963.68|510.75|722.76|770.94|819.13|867.31|0|778.65|693.85|652.22|0|963.68|628.32|0|352.9|788.77|596.52|581.1|0|2156.856582|722.76|752.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|427.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 28M FX 5442028|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN ADAPTION 2.0/100 447.10|1748|926.44|1311|1398.4|1485.8|1573.2|0|1412.38|1258.56|1183.05|0|1748|1139.7|0|640.12|1430.74|1082.01|1054.04|0|2156.856582|1311|1365.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|774.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBLQUE L 2.0/ 5 447.50L|924.16|489.8|693.12|739.33|785.54|831.74|0|746.72|665.4|625.47|0|924.16|602.55|0|338.43|756.42|572.06|557.27|0|2156.856582|693.12|721.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|409.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN OBLQUE L 2.0/5 447.51R|924.16|489.8|693.12|739.33|785.54|831.74|0|746.72|665.4|625.47|0|924.16|602.55|0|338.43|756.42|572.06|557.27|0|2156.856582|693.12|721.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|409.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1.5/5 446.61|1020.8|541.02|765.6|816.64|867.68|918.72|0|824.81|734.98|690.88|0|1020.8|665.56|0|373.82|835.52|631.88|615.54|0|2156.856582|765.6|797.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|452.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL L 1.5/5 446.50|1018.4|539.75|763.8|814.72|865.64|916.56|0|822.87|733.25|689.25|0|1018.4|664|0|372.94|833.56|630.39|614.1|0|2156.856582|763.8|795.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|451.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL R 1.5/5 446.51|1018.4|539.75|763.8|814.72|865.64|916.56|0|822.87|733.25|689.25|0|1018.4|664|0|372.94|833.56|630.39|614.1|0|2156.856582|763.8|795.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|451.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL L 1.5/7 446.52|1076.16|570.36|807.12|860.93|914.74|968.54|0|869.54|774.84|728.35|0|1076.16|701.66|0|394.09|880.84|666.14|648.92|0|2156.856582|807.12|840.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL R 1.5/7 446.53|1076.16|570.36|807.12|860.93|914.74|968.54|0|869.54|774.84|728.35|0|1076.16|701.66|0|394.09|880.84|666.14|648.92|0|2156.856582|807.12|840.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|476.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 31M FX 5442031|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB 1.2/7 59-12007|648|343.44|486|518.4|550.8|583.2|0|523.58|466.56|438.57|0|648|422.5|0|237.3|530.39|401.11|390.74|0|2156.856582|486|506.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|287.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLEIB2.3 REPLNT 4X2H 5710195|1225.4|649.46|919.05|980.32|1041.59|1102.86|0|990.12|882.29|829.35|0|1225.4|798.96|0|448.74|1002.99|758.52|738.92|0|2156.856582|919.05|957.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|542.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DBL Y 1.0/6 420.68|978.88|518.81|734.16|783.1|832.05|880.99|0|790.94|704.79|662.51|0|978.88|638.23|0|358.47|801.21|605.93|590.26|0|2156.856582|734.16|764.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|433.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1.3/5 421.061|864|457.92|648|691.2|734.4|777.6|0|698.11|622.08|584.76|0|864|563.33|0|316.4|707.18|534.82|520.99|0|2156.856582|648|674.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX 5/1.3 421.095|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|2156.856582|636|662.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 34M FX 5442034|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BOX 10/1.3 421.096|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|2156.856582|636|662.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN DBL Y 1.3/6 421.068|942.4|499.47|706.8|753.92|801.04|848.16|0|761.46|678.53|637.82|0|942.4|614.44|0|345.11|771.35|583.35|568.27|0|2156.856582|706.8|736.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|417.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN DBL Y LNG 1.3/6 421.069|942.4|499.47|706.8|753.92|801.04|848.16|0|761.46|678.53|637.82|0|942.4|614.44|0|345.11|771.35|583.35|568.27|0|2156.856582|706.8|736.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|417.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 1.3/4 421.081|864|457.92|648|691.2|734.4|777.6|0|698.11|622.08|584.76|0|864|563.33|0|316.4|707.18|534.82|520.99|0|2156.856582|648|674.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 37M FX 5442037|2943.72|1560.17|2207.79|2354.98|2502.16|2649.35|0|2378.53|2119.48|1992.31|0|2943.72|1919.31|0|1077.99|2409.43|1822.16|1775.06|0|2156.856582|2207.79|2299.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.36|0|0|0|0|0|0|0|0|2943.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 30M-32M MP 5442130|3413.28|1809.04|2559.96|2730.62|2901.29|3071.95|0|2757.93|2457.56|2310.11|0|3413.28|2225.46|0|1249.94|2793.77|2112.82|2058.21|0|2156.856582|2559.96|2665.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.42|0|0|0|0|0|0|0|0|3413.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LOBLQUE R SM2.7 242.34|206.16|109.26|154.62|164.93|175.24|185.54|0|166.58|148.44|139.53|0|206.16|134.42|0|75.5|168.74|127.61|124.31|0|2156.856582|154.62|161.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|91.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PINKNOWLES3/16/3-1/2 282-02-05|704|373.12|528|563.2|598.4|633.6|0|568.83|506.88|476.47|0|704|459.01|0|257.8|576.22|435.78|424.51|0|11.99410609|528|549.82|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|311.94|0|0|0|0|0|0|0|0|704
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 32M-37M MP 5442132|3413.28|1809.04|2559.96|2730.62|2901.29|3071.95|0|2757.93|2457.56|2310.11|0|3413.28|2225.46|0|1249.94|2793.77|2112.82|2058.21|0|2156.856582|2559.96|2665.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.42|0|0|0|0|0|0|0|0|3413.28
HOSP OP|0272 - STERILE SUPPLY||A4649|PINKNOWLES5/32/2-1/2 281-01-01|604.8|320.54|453.6|483.84|514.08|544.32|0|488.68|435.46|409.33|0|604.8|394.33|0|221.48|495.03|374.37|364.69|0|11.99410609|453.6|472.35|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|267.99|0|0|0|0|0|0|0|0|604.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 36M-38M MP 5442136|3413.28|1809.04|2559.96|2730.62|2901.29|3071.95|0|2757.93|2457.56|2310.11|0|3413.28|2225.46|0|1249.94|2793.77|2112.82|2058.21|0|2156.856582|2559.96|2665.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.42|0|0|0|0|0|0|0|0|3413.28
HOSP OP|0272 - STERILE SUPPLY||A4649|PINKNOWLES5/32/3-1/2 281-01-05|604.8|320.54|453.6|483.84|514.08|544.32|0|488.68|435.46|409.33|0|604.8|394.33|0|221.48|495.03|374.37|364.69|0|11.99410609|453.6|472.35|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|267.99|0|0|0|0|0|0|0|0|604.8
HOSP OP|0272 - STERILE SUPPLY||A4649|PINKNOWLES5/32/3-3/4 281-01-06|604.8|320.54|453.6|483.84|514.08|544.32|0|488.68|435.46|409.33|0|604.8|394.33|0|221.48|495.03|374.37|364.69|0|11.99410609|453.6|472.35|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|267.99|0|0|0|0|0|0|0|0|604.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 38M-42M MP 5442138|3413.28|1809.04|2559.96|2730.62|2901.29|3071.95|0|2757.93|2457.56|2310.11|0|3413.28|2225.46|0|1249.94|2793.77|2112.82|2058.21|0|2156.856582|2559.96|2665.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.42|0|0|0|0|0|0|0|0|3413.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-8A 802-01-02-A|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-83/4B 802-01-03B|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-91/2C 802-01-04C|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-101/4D802-01-05C|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-11E 802-01-06-E|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH3/16-113/4F 802-01-07-F|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH3/16-121/2G 802-01-08-G|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 41M-48M MP 5442141|3242.62|1718.59|2431.96|2594.09|2756.22|2918.35|0|2620.03|2334.68|2194.6|0|3242.62|2114.19|0|1187.45|2654.08|2007.18|1955.3|0|2156.856582|2431.96|2532.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1436.8|0|0|0|0|0|0|0|0|3242.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH3/16-131/4H 802-01-09-H|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 3/16-14I 802-01-10-I|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|2156.856582|480|499.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|283.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 1/8-4A 803-01-02-A|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-4 1/2B 803-01-03-B|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-1/8 5C 803-01-04-C|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-5 1/2D 803-01-05-D|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-1/8 6E 803-01-06-E|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-6 1/2F 803-01-07-F|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 1/8-7G 803-01-08-G|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-7 1/2H 803-01-09-H|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 47M-60M MP 5442147|3242.62|1718.59|2431.96|2594.09|2756.22|2918.35|0|2620.03|2334.68|2194.6|0|3242.62|2114.19|0|1187.45|2654.08|2007.18|1955.3|0|2156.856582|2431.96|2532.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1436.8|0|0|0|0|0|0|0|0|3242.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 1/8-8I 803-01-10-I|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-8 1/2J 803-01-11-J|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 1/8-9K 803-01-12-K|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PINRUSH 1/8-9 1/2L 803-01-13|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN RUSH 1/8-10M 803-01-14-M|544|288.32|408|435.2|462.4|489.6|0|439.55|391.68|368.18|0|544|354.69|0|199.21|445.26|336.74|328.03|0|2156.856582|408|424.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|241.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPL FX BRBD.062 5/8 2229-01|308|163.24|231|246.4|261.8|277.2|0|248.86|221.76|208.45|0|308|200.82|0|112.79|252.1|190.65|185.72|0|2156.856582|231|240.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|136.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPL FX BRBD .062 3/4 2229-02|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|2156.856582|192|199.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|113.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE XLNK 60M-86M MP 5442160|3413.28|1809.04|2559.96|2730.62|2901.29|3071.95|0|2757.93|2457.56|2310.11|0|3413.28|2225.46|0|1249.94|2793.77|2112.82|2058.21|0|2156.856582|2559.96|2665.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.42|0|0|0|0|0|0|0|0|3413.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/45 212.119|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/50 212.121|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/55 212.123|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKSTDRV3.5/60 212.124|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/70 02.207.270|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN LCPCNN7.3/75 02.207.275|873.72|463.07|655.29|698.98|742.66|786.35|0|705.97|629.08|591.33|0|873.72|569.67|0|319.96|715.14|540.83|526.85|0|2156.856582|655.29|682.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|387.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RVIAL PTA 4X4X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 4X10X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 5X4X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 5X8X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/45 218.045|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/50 218.050|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/55 218.055|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/60 218.060|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 5X10X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5 65 218.065|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/70 218.070|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/75 218.075|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNC F/TH 6.5/80 218.080|112.44|59.59|84.33|89.95|95.57|101.2|0|90.85|80.96|76.1|0|112.44|73.31|0|41.18|92.03|69.6|67.8|0|2156.856582|84.33|87.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LP DBL Y SM 421.516|1052.8|557.98|789.6|842.24|894.88|947.52|0|850.66|758.02|712.54|0|1052.8|686.43|0|385.54|861.72|651.68|634.84|0|2156.856582|789.6|822.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|466.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MESH 100/100 446.017|3957.12|2097.27|2967.84|3165.7|3363.55|3561.41|0|3197.35|2849.13|2678.18|0|3957.12|2580.04|0|1449.1|3238.9|2449.46|2386.14|0|2156.856582|2967.84|3090.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1753.4|0|0|0|0|0|0|0|0|3957.12
HOSP OP|0272 - STERILE SUPPLY||A4649|COMPRESSOR SYN FX OPN 393.76|1499.32|794.64|1124.49|1199.46|1274.42|1349.39|0|1211.45|1079.51|1014.74|0|1499.32|977.56|0|549.05|1227.19|928.08|904.09|0|11.99410609|1124.49|1170.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|664.35|0|0|0|0|0|0|0|0|1499.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MESHSYNCONTURRIGIDGOLD 421.008|4150.08|2199.54|3112.56|3320.06|3527.57|3735.07|0|3353.26|2988.06|2808.77|0|4150.08|2705.85|0|1519.76|3396.84|2568.9|2502.5|0|2156.856582|3112.56|3241.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1838.9|0|0|0|0|0|0|0|0|4150.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN BOX 1.5/4 446.096|960.4|509.01|720.3|768.32|816.34|864.36|0|776|691.49|650|0|960.4|626.18|0|351.7|786.09|594.49|579.12|0|2156.856582|720.3|750.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 6X4X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ST 1.5/4 446.024|241.6|128.05|181.2|193.28|205.36|217.44|0|195.21|173.95|163.51|0|241.6|157.52|0|88.47|197.75|149.55|145.68|0|2156.856582|181.2|188.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|107.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 6X6X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 6X8X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTT 1.8/30 201.980|206.16|109.26|154.62|164.93|175.24|185.54|0|166.58|148.44|139.53|0|206.16|134.42|0|75.5|168.74|127.61|124.31|0|11.99410609|154.62|161.01|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|91.35|0|0|0|0|0|0|0|0|206.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/4 400.054|284.24|150.65|213.18|227.39|241.6|255.82|0|229.67|204.65|192.37|0|284.24|185.32|0|104.09|232.65|175.94|171.4|0|2156.856582|213.18|221.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/5 400.055|284.24|150.65|213.18|227.39|241.6|255.82|0|229.67|204.65|192.37|0|284.24|185.32|0|104.09|232.65|175.94|171.4|0|2156.856582|213.18|221.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/6 400.056|284.24|150.65|213.18|227.39|241.6|255.82|0|229.67|204.65|192.37|0|284.24|185.32|0|104.09|232.65|175.94|171.4|0|2156.856582|213.18|221.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/7 400.057|269.36|142.76|202.02|215.49|228.96|242.42|0|217.64|193.94|182.3|0|269.36|175.62|0|98.64|220.47|166.73|162.42|0|2156.856582|202.02|210.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|119.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/8 400.058|284.24|150.65|213.18|227.39|241.6|255.82|0|229.67|204.65|192.37|0|284.24|185.32|0|104.09|232.65|175.94|171.4|0|2156.856582|213.18|221.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/4 400.274|252.32|133.73|189.24|201.86|214.47|227.09|0|203.87|181.67|170.77|0|252.32|164.51|0|92.4|206.52|156.19|152.15|0|2156.856582|189.24|197.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.8|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/6 400.276|252.32|133.73|189.24|201.86|214.47|227.09|0|203.87|181.67|170.77|0|252.32|164.51|0|92.4|206.52|156.19|152.15|0|2156.856582|189.24|197.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.8|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 6X10X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/8 400.278|252.32|133.73|189.24|201.86|214.47|227.09|0|203.87|181.67|170.77|0|252.32|164.51|0|92.4|206.52|156.19|152.15|0|2156.856582|189.24|197.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.8|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 2.0/4 401.061|284.88|150.99|213.66|227.9|242.15|256.39|0|230.18|205.11|192.81|0|284.88|185.74|0|104.32|233.17|176.34|171.78|0|2156.856582|213.66|222.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|126.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 2.0/4 401.064|284.88|150.99|213.66|227.9|242.15|256.39|0|230.18|205.11|192.81|0|284.88|185.74|0|104.32|233.17|176.34|171.78|0|2156.856582|213.66|222.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|126.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 5X15X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE MARKED SPRING TIP|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 6X15X135|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRAVERSE PTA 2X8X150|756|400.68|567|604.8|642.6|680.4|0|610.85|544.32|511.66|0|756|492.91|0|276.85|618.79|467.96|455.87|0|0|567|590.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|334.98|0|0|0|0|0|0|0|0|756
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMED SM LAT L PL-LEL6L|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRVRSE PTA 2.5X8X150|756|400.68|567|604.8|642.6|680.4|0|610.85|544.32|511.66|0|756|492.91|0|276.85|618.79|467.96|455.87|0|0|567|590.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|334.98|0|0|0|0|0|0|0|0|756
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRAVERSE PTA 3X8X150|756|400.68|567|604.8|642.6|680.4|0|610.85|544.32|511.66|0|756|492.91|0|276.85|618.79|467.96|455.87|0|0|567|590.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|334.98|0|0|0|0|0|0|0|0|756
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNDHS 135 D4H 78M 281.140|1689.76|895.57|1267.32|1351.81|1436.3|1520.78|0|1365.33|1216.63|1143.63|0|1689.76|1101.72|0|618.79|1383.07|1045.96|1018.93|0|2156.856582|1267.32|1319.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LEIB EMERG 1.9/5 59-19005|301.4|159.74|226.05|241.12|256.19|271.26|0|243.53|217.01|203.99|0|301.4|196.51|0|110.37|246.7|186.57|181.74|0|2156.856582|226.05|235.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|133.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRUC RECS 2.0/4 401.934|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRUC RECS 2.0/6 401.936|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRUC RECS 2.0/8 401.938|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.0/10 401.940|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.0/12 401.942|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.0/14 401.944|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.0/16 401.946|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.0/18 401.948|275.64|146.09|206.73|220.51|234.29|248.08|0|222.72|198.46|186.55|0|275.64|179.72|0|100.94|225.61|170.62|166.21|0|2156.856582|206.73|215.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|122.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOXCVDBRD2.0/4 449.025|1740.2|922.31|1305.15|1392.16|1479.17|1566.18|0|1406.08|1252.94|1177.77|0|1740.2|1134.61|0|637.26|1424.35|1077.18|1049.34|0|2156.856582|1305.15|1359.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|771.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOX ST BRD 2.0/6 449.026|1647.8|873.33|1235.85|1318.24|1400.63|1483.02|0|1331.42|1186.42|1115.23|0|1647.8|1074.37|0|603.42|1348.72|1019.99|993.62|0|2156.856582|1235.85|1286.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNBOXCVDBRD 2.0/6449.027|1854.16|982.7|1390.62|1483.33|1576.04|1668.74|0|1498.16|1335|1254.9|0|1854.16|1208.91|0|678.99|1517.63|1147.73|1118.06|0|2156.856582|1390.62|1448.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|821.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRUC RECS 2.4/6 401.506|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRUC RECS 2.4/6 401.508|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/10 401.510|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/12 401.512|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/14 401.514|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/16 401.516|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/18 401.518|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/32 401.532|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/34 401.534|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/36 401.536|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/38 401.538|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRUC RECS 2.4/40 401.540|388.08|205.68|291.06|310.46|329.87|349.27|0|313.57|279.42|262.65|0|388.08|253.03|0|142.11|317.64|240.22|234.01|0|2156.856582|291.06|303.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|171.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CRSCNT 2.4/4 449.24|1792.56|950.06|1344.42|1434.05|1523.68|1613.3|0|1448.39|1290.64|1213.2|0|1792.56|1168.75|0|656.44|1467.21|1109.59|1080.91|0|2156.856582|1344.42|1399.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|794.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNUNIFX ANG 2.4/3/3 449.82|2989.14|1584.24|2241.86|2391.31|2540.77|2690.23|0|2415.23|2152.18|2023.05|0|2989.14|1948.92|0|1094.62|2446.61|1850.28|1802.45|0|2156.856582|2241.86|2334.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1324.49|0|0|0|0|0|0|0|0|2989.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNUNIFX ANG2.4/4/4 449.84|3224.76|1709.12|2418.57|2579.81|2741.05|2902.28|0|2605.61|2321.83|2182.52|0|3224.76|2102.54|0|1180.91|2639.47|1996.13|1944.53|0|2156.856582|2418.57|2518.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.89|0|0|0|0|0|0|0|0|3224.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC3.0/14 497.693|706.64|374.52|529.98|565.31|600.64|635.98|0|570.97|508.78|478.25|0|706.64|460.73|0|258.77|578.38|437.41|426.1|0|2156.856582|529.98|551.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|313.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC3.0/16 497.694|757.68|401.57|568.26|606.14|644.03|681.91|0|612.21|545.53|512.8|0|757.68|494.01|0|277.46|620.16|469|456.88|0|2156.856582|568.26|591.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCKCRU REC3.0/18 497.695|757.68|401.57|568.26|606.14|644.03|681.91|0|612.21|545.53|512.8|0|757.68|494.01|0|277.46|620.16|469|456.88|0|2156.856582|568.26|591.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCK L 2.4/6X23 449.632|3602.21|1909.17|2701.66|2881.77|3061.88|3241.99|0|2910.59|2593.59|2437.98|0|3602.21|2348.64|0|1319.13|2948.41|2229.77|2172.14|0|2156.856582|2701.66|2813.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1596.14|0|0|0|0|0|0|0|0|3602.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCK R 2.4/6/23 449.633|3602.21|1909.17|2701.66|2881.77|3061.88|3241.99|0|2910.59|2593.59|2437.98|0|3602.21|2348.64|0|1319.13|2948.41|2229.77|2172.14|0|2156.856582|2701.66|2813.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1596.14|0|0|0|0|0|0|0|0|3602.21
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD 4.0MM CARBON FIBER 180MM|144.4|76.53|108.3|115.52|122.74|129.96|0|116.68|103.97|97.73|0|144.4|94.15|0|52.88|118.19|89.38|87.07|0|11.99410609|108.3|112.78|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.98|0|0|0|0|0|0|0|0|144.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4.5X15M 3125315|630|333.9|472.5|504|535.5|567|0|509.04|453.6|426.38|0|630|410.76|0|230.71|515.66|389.97|379.89|0|2156.856582|472.5|492.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|279.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4.5X13M 3125313|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X15M 3120315|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X14M 3120314|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X12M 3120312|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/16 CO-T2316|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/18 CO-T2318|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/20 CO-T2320|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/22 CO-T2322|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/24 CO-T2324|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED STD L PL-DR50L|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 2.4/5 401.791|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X28MM 04.639.428|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/14 CON2314|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/16 CON2316|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/18 CON2318|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/20 CON2320|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/22 CON2322|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/24 CON2324|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/26 CON2326|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/28 CON2328|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X32MM 04.639.432|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/30 CON2330|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTHN/LCK2.3/32 CON2332|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/14 COT2314|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/26 CO-T2326|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/28 CO-T2328|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/14 CO-S2314|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/16 CO-S2316|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/18 CO-S2318|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/20 CO-S2320|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/22 CO-S2322|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X38MM 04.639.438|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/24 CO-S2324|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/26 CO-S2326|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDTH/LCK2.3/28 CO-S2328|444|235.32|333|355.2|377.4|399.6|0|358.75|319.68|300.5|0|444|289.49|0|162.59|363.41|274.84|267.73|0|2156.856582|333|346.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/10 COL-3100|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|2156.856582|210|218.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/12 COL-3120|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/14 COL-3140|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/16 COL-3160|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/18 COL-3180|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED STD R PL-DR50R|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED LNG L PL-DR60L|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 6X60MM 04.639.660|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED LNG R PL-DR60R|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED WD L PL-DR70L|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ACUMED WD R PL-DR70R|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/3H-90D 242.500|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/4H-90D 242.501|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/3H+90D 242.502|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/4H+90D42.503|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/3H+20D 242.508|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 7X30MM 04.639.730|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/4H+20D 242.509|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/3H-20D 242.511|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DTLCP L 2.4/4H-20D 242.512|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP T 2.4/3H 242.477|1519.64|805.41|1139.73|1215.71|1291.69|1367.68|0|1227.87|1094.14|1028.49|0|1519.64|990.81|0|556.49|1243.83|940.66|916.34|0|2156.856582|1139.73|1186.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|673.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP T 2.4/4H 242.478|1586|840.58|1189.5|1268.8|1348.1|1427.4|0|1281.49|1141.92|1073.4|0|1586|1034.07|0|580.79|1298.14|981.73|956.36|0|2156.856582|1189.5|1238.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|702.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DST LCP 2.4/5H 242.479|1441.8|764.15|1081.35|1153.44|1225.53|1297.62|0|1164.97|1038.1|975.81|0|1441.8|940.05|0|527.99|1180.11|892.47|869.41|0|2156.856582|1081.35|1126.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|638.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DST LCP 2.4/6H 242.490|1519.64|805.41|1139.73|1215.71|1291.69|1367.68|0|1227.87|1094.14|1028.49|0|1519.64|990.81|0|556.49|1243.83|940.66|916.34|0|2156.856582|1139.73|1186.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|673.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP 2.4/3H+90D 242.504|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP 2.4/4H+90D 242.505|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP 2.4/3H-90D 242.506|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DT LCP 2.4/4H-90D 242.507|1545.6|819.17|1159.2|1236.48|1313.76|1391.04|0|1248.84|1112.83|1046.06|0|1545.6|1007.73|0|566|1265.07|956.73|932|0|2156.856582|1159.2|1207.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|684.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR SHT L 57/3H 242.491|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LG L 61/5H 242.492|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LG L 66/5H 242.462|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LG L 65/5H 242.468|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LCP LT 48/3H 242.461|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LCP LT 47/3H 242.467|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LCP R 47/3H 242.464|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LCP R 48/5H 242.458|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LCP L 65/5H 242.465|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LG R 66/5H 242.459|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR S/T R 43/3H 242.493|2000.49|1060.26|1500.37|1600.39|1700.42|1800.44|0|1616.4|1440.35|1353.93|0|2000.49|1304.32|0|732.58|1637.4|1238.3|1206.3|0|2156.856582|1500.37|1562.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|886.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VLR LG R 61/5H 242.494|2119.44|1123.3|1589.58|1695.55|1801.52|1907.5|0|1712.51|1526|1434.44|0|2119.44|1381.87|0|776.14|1734.76|1311.93|1278.02|0|2156.856582|1589.58|1655.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|939.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T2.4/6 212.806|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/8 212.808|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/10 212.810|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/12 212.812|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/14 212.814|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/16 212.816|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/18 212.818|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/20 212.820|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/22 212.822|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/24 212.824|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/26 212.826|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/28 212.828|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/T 2.4/30 212.830|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|2156.856582|283.29|295|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|167.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT8 2.4/6 201.756|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT8 2.4/8 201.758|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/10 201.760|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/12 201.762|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/14 201.764|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/16 201.766|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/18 201.768|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/20 201.770|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/22 201.772|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/24 201.774|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/26 201.776|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/28 201.778|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/30 201.780|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/10 202.870|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/12 202.872|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/14 202.874|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/16 202.876|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/18 202.878|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T2.7/20 202.880|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/22 202.882|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/24 202.884|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/26 202.886|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/28 202.888|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTXT8S/T 2.7/30 202.890|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/5 400.275|252.32|133.73|189.24|201.86|214.47|227.09|0|203.87|181.67|170.77|0|252.32|164.51|0|92.4|206.52|156.19|152.15|0|2156.856582|189.24|197.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.8|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI+DRVSDRL 1.5/7 400.277|236.2|125.19|177.15|188.96|200.77|212.58|0|190.85|170.06|159.86|0|236.2|154|0|86.5|193.33|146.21|142.43|0|2156.856582|177.15|184.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|104.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI CPTH+DR2.0/8 401.044|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTICPTH+DR2.0/10 401.045|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTICPTH+DR2.0/12 401.046|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTICPTH+DR2.0/14 401.047|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTICPTH+DR2.0/16 401.048|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTICPTH+DR2.0/18 401.049|266.4|141.19|199.8|213.12|226.44|239.76|0|215.25|191.81|180.3|0|266.4|173.69|0|97.56|218.05|164.9|160.64|0|2156.856582|199.8|208.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X30MM 04.639.830|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI EM+DRV 2.4/10 401.795|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI EM+DRV 2.4/12 401.796|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI EM+DRV 2.4/14 401.797|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI EM+DRV 2.4/16 401.798|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNTI EM+DRV 2.4/18 401.799|281.8|149.35|211.35|225.44|239.53|253.62|0|227.69|202.9|190.72|0|281.8|183.73|0|103.2|230.65|174.43|169.93|0|2156.856582|211.35|220.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|124.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL L SHTR 1.5/4 446.792|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL L 1.5/4 446.793|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LNG R 1.5/4 446.794|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBLL LNG L 1.5/4 446.795|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X60MM 04.639.860|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI R 1.5/6 446.504|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI L 1.5/6 446.505|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI R 1.5/6 446.506|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI L 1.5/6 446.507|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI R 1.5/6 446.508|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI L 1.5/6 446.509|1001|530.53|750.75|800.8|850.85|900.9|0|808.81|720.72|677.48|0|1001|652.65|0|366.57|819.32|619.62|603.6|0|2156.856582|750.75|781.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|443.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN L MAXI ST 1.5/2 446.020|176|93.28|132|140.8|149.6|158.4|0|142.21|126.72|119.12|0|176|114.75|0|64.45|144.06|108.94|106.13|0|2156.856582|132|137.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|77.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 1.5/4-7 446.090|1047.2|555.02|785.4|837.76|890.12|942.48|0|846.14|753.98|708.74|0|1047.2|682.77|0|383.48|857.13|648.22|631.46|0|2156.856582|785.4|817.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|464.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL LSHT R 2.0/4 447.556|816.2|432.59|612.15|652.96|693.77|734.58|0|659.49|587.66|552.4|0|816.2|532.16|0|298.89|668.06|505.23|492.17|0|2156.856582|612.15|637.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL LSHT L 2.0/4 447.557|816.2|432.59|612.15|652.96|693.77|734.58|0|659.49|587.66|552.4|0|816.2|532.16|0|298.89|668.06|505.23|492.17|0|2156.856582|612.15|637.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 8X65MM 04.639.865|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL LLNG R 2.0/4 447.558|816.2|432.59|612.15|652.96|693.77|734.58|0|659.49|587.66|552.4|0|816.2|532.16|0|298.89|668.06|505.23|492.17|0|2156.856582|612.15|637.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNOBL LLNG L 2.0/4 447.559|816.2|432.59|612.15|652.96|693.77|734.58|0|659.49|587.66|552.4|0|816.2|532.16|0|298.89|668.06|505.23|492.17|0|2156.856582|612.15|637.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|361.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MAX L R 2.0/6 447.042|865.48|458.7|649.11|692.38|735.66|778.93|0|699.31|623.15|585.76|0|865.48|564.29|0|316.94|708.4|535.73|521.88|0|2156.856582|649.11|675.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|383.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MAX L L 2.0/6 447.043|865.48|458.7|649.11|692.38|735.66|778.93|0|699.31|623.15|585.76|0|865.48|564.29|0|316.94|708.4|535.73|521.88|0|2156.856582|649.11|675.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|383.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MAX L R 2.0/6 447.044|865.48|458.7|649.11|692.38|735.66|778.93|0|699.31|623.15|585.76|0|865.48|564.29|0|316.94|708.4|535.73|521.88|0|2156.856582|649.11|675.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|383.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MAX L L 2.0/6 447.045|865.48|458.7|649.11|692.38|735.66|778.93|0|699.31|623.15|585.76|0|865.48|564.29|0|316.94|708.4|535.73|521.88|0|2156.856582|649.11|675.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|383.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCHINDBLBND 2.0/4 447.073|1188.88|630.11|891.66|951.1|1010.55|1069.99|0|960.62|855.99|804.63|0|1188.88|775.15|0|435.37|973.1|735.92|716.89|0|2156.856582|891.66|928.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|526.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCHINDBLBND 2.0/6 447.074|1188.88|630.11|891.66|951.1|1010.55|1069.99|0|960.62|855.99|804.63|0|1188.88|775.15|0|435.37|973.1|735.92|716.89|0|2156.856582|891.66|928.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|526.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCHINDBLBND 2.0/8 447.075|1253.56|664.39|940.17|1002.85|1065.53|1128.2|0|1012.88|902.56|848.41|0|1253.56|817.32|0|459.05|1026.04|775.95|755.9|0|2156.856582|940.17|979.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|555.45|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNCHINDBLBND 2.0/10 447076|1253.56|664.39|940.17|1002.85|1065.53|1128.2|0|1012.88|902.56|848.41|0|1253.56|817.32|0|459.05|1026.04|775.95|755.9|0|2156.856582|940.17|979.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|555.45|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CVD 2.0/8 449.018|1552.32|822.73|1164.24|1241.86|1319.47|1397.09|0|1254.27|1117.67|1050.61|0|1552.32|1012.11|0|568.46|1270.57|960.89|936.05|0|2156.856582|1164.24|1212.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|687.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN SAG SPLT 2.0/8 447.082|1580.04|837.42|1185.03|1264.03|1343.03|1422.04|0|1276.67|1137.63|1069.37|0|1580.04|1030.19|0|578.61|1293.26|978.04|952.76|0|2156.856582|1185.03|1234.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|700.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN SAG SPLT 2.0/4 447.084|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|2156.856582|1039.5|1082.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|614.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNSAGCVDSPTLP2.0/6 447.033|1309|693.77|981.75|1047.2|1112.65|1178.1|0|1057.67|942.48|885.93|0|1309|853.47|0|479.36|1071.42|810.27|789.33|0|2156.856582|981.75|1022.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNSAGCVDSPTLP2.0/6 447.034|1309|693.77|981.75|1047.2|1112.65|1178.1|0|1057.67|942.48|885.93|0|1309|853.47|0|479.36|1071.42|810.27|789.33|0|2156.856582|981.75|1022.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNSAGCVDSPTLP2.0/6 447.037|1309|693.77|981.75|1047.2|1112.65|1178.1|0|1057.67|942.48|885.93|0|1309|853.47|0|479.36|1071.42|810.27|789.33|0|2156.856582|981.75|1022.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD R 1.53 446.042|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD L1.5/3 446.043|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD R1.5/5 446.044|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD L1.5/5 446.045|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD R1.5/7 446.046|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD L1.5/7 446.047|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD R1.5/9 446.048|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVD L1.5/9 446.049|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVDR1.5/11 446.060|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNPRBNTADVDL1.5/11 446.061|1623.16|860.27|1217.37|1298.53|1379.69|1460.84|0|1311.51|1168.68|1098.55|0|1623.16|1058.3|0|594.4|1328.56|1004.74|978.77|0|2156.856582|1217.37|1267.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z SHT R 1.5/2/2 446.796|1099.56|582.77|824.67|879.65|934.63|989.6|0|888.44|791.68|744.18|0|1099.56|716.91|0|402.66|899.99|680.63|663.03|0|2156.856582|824.67|858.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|487.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z SHT L 1.5/2/2 446.797|1099.56|582.77|824.67|879.65|934.63|989.6|0|888.44|791.68|744.18|0|1099.56|716.91|0|402.66|899.99|680.63|663.03|0|2156.856582|824.67|858.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|487.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z LNG R 1.5/2/2 446.798|1099.56|582.77|824.67|879.65|934.63|989.6|0|888.44|791.68|744.18|0|1099.56|716.91|0|402.66|899.99|680.63|663.03|0|2156.856582|824.67|858.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|487.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z LNG L 1.5/2/2 446.799|1099.56|582.77|824.67|879.65|934.63|989.6|0|888.44|791.68|744.18|0|1099.56|716.91|0|402.66|899.99|680.63|663.03|0|2156.856582|824.67|858.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|487.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Z SHT R 2/2 447.562|927.08|491.35|695.31|741.66|788.02|834.37|0|749.08|667.5|627.45|0|927.08|604.46|0|339.5|758.81|573.86|559.03|0|2156.856582|695.31|724.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|410.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z SHT L 2.0/2/2 447.563|847.2|449.02|635.4|677.76|720.12|762.48|0|684.54|609.98|573.38|0|847.2|552.37|0|310.24|693.43|524.42|510.86|0|2156.856582|635.4|661.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z LNG R 2.0/2/2 447.564|847.2|449.02|635.4|677.76|720.12|762.48|0|684.54|609.98|573.38|0|847.2|552.37|0|310.24|693.43|524.42|510.86|0|2156.856582|635.4|661.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN Z LNG L 2.0/2/2 447.565|927.08|491.35|695.31|741.66|788.02|834.37|0|749.08|667.5|627.45|0|927.08|604.46|0|339.5|758.81|573.86|559.03|0|2156.856582|695.31|724.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|410.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 24 07.00101.001|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 26 07.00101.002|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 28 07.00101.003|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 30 07.00101.004|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 32 07.00101.005|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 34 07.00101.006|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 36 07.00101.007|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 38 07.00102.001|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 40 07.00102.002|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 42 07.00102.003|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 44 07.00102.004|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 46 07.00102.005|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 48 07.00102.006|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 50 07.00102.007|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 52 07.00102.008|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 54 07.00102.009|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.2/12 07.00117.001|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.2/14 07.00117.002|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.2/16 07.00117.003|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.6/12 07.00118.001|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.6/14 07.00118.002|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICA 4.6/16 07.00118.003|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.2/12 07.00119001|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.2/14 07.00119002|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.2/16 07.00119003|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.6/12 07.00120001|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X30MM 04.639.930|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.6/14 07.00120002|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRTRINICAFX4.6/16 07.00120003|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|2156.856582|600|624.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 22 07.00340.001|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 26 07.00340.003|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 28 07.00340.004|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 30 07.00340.005|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 32 07.00340.006|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 34 07.00340.007|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 36 07.00341.009|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 38 07.00341.001|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X35MM 04.639.935|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 40 07.00341.002|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 42 07.00341.003|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 44 07.00341.004|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 46 07.00341.005|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 48 07.00341.006|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 50 07.00341.007|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 52 07.00341.008|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 51 07.00342.001|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 54 07.00342.002|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 57 07.00342.003|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X40MM 04.639.940|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 60 07.00342.004|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 63 07.00342.005|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 66 07.00342.006|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 69 07.00342.007|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 72 07.00342.008|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 22 07.00192.001|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X45MM 04.639.945|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X50MM 04.639.950|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TRINICA 24 07.00340.002|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 9X55MM 04.639.955|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH PERC TRIPLE LUMEN 7FR|388.52|205.92|291.39|310.82|330.24|349.67|0|313.92|279.73|262.95|0|388.52|253.32|0|142.28|318|240.49|234.28|0|0|291.39|303.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.15|0|0|0|0|0|0|0|0|388.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HEAD PA MTRX RDT 04.634.002|1615.95|856.45|1211.96|1292.76|1373.56|1454.36|0|1305.69|1163.48|1093.67|0|1615.95|1053.6|0|591.76|1322.66|1000.27|974.42|0|2156.856582|1211.96|1262.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|716.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 17-22MM 04.633.317|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH THERMO SWAN GANZ 7FR|200|106|150|160|170|180|0|161.6|144|135.36|0|200|130.4|0|73.24|163.7|123.8|120.6|0|0|150|156.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.62|0|0|0|0|0|0|0|0|200
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 21-26MM 04.633.321|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 26-31MM 04.633.326|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 30-33MM 04.633.330|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE JAG HP STR .035X450|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|0|270|281.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|159.52|0|0|0|0|0|0|0|0|360
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE GLD ANGL TIP|812|430.36|609|649.6|690.2|730.8|0|656.1|584.64|549.56|0|812|529.42|0|297.35|664.62|502.63|489.64|0|0|609|634.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|359.8|0|0|0|0|0|0|0|0|812
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT PEG BIG BUMPER|356|188.68|267|284.8|302.6|320.4|0|287.65|256.32|240.94|0|356|232.11|0|130.37|291.39|220.36|214.67|0|11.99410609|267|278.04|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|157.74|0|0|0|0|0|0|0|0|356
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 33-38MM 04.633.333|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE PEG|441.12|233.79|330.84|352.9|374.95|397.01|0|356.42|317.61|298.55|0|441.12|287.61|0|161.54|361.06|273.05|266|0|0|330.84|344.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|195.46|0|0|0|0|0|0|0|0|441.12
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT PONSKY PULL PEG|441.12|233.79|330.84|352.9|374.95|397.01|0|356.42|317.61|298.55|0|441.12|287.61|0|161.54|361.06|273.05|266|0|11.99410609|330.84|344.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|195.46|0|0|0|0|0|0|0|0|441.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 38-47MM 04.633.338|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT ESOPH ULTFLX COV 10X7CM|3768|1997.04|2826|3014.4|3202.8|3391.2|0|3044.54|2712.96|2550.18|0|3768|2456.74|0|1379.84|3084.11|2332.39|2272.1|0|0|2826|2942.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1669.6|0|0|0|0|0|0|0|0|3768
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT ESOPH ULTFLX COV 12X9CM|3768|1997.04|2826|3014.4|3202.8|3391.2|0|3044.54|2712.96|2550.18|0|3768|2456.74|0|1379.84|3084.11|2332.39|2272.1|0|0|2826|2942.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1669.6|0|0|0|0|0|0|0|0|3768
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT BIL 10X42M|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT BIL 10X60M|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 47-62MM 04.633.347|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT RX BIL 7FRX7CM|356|188.68|267|284.8|302.6|320.4|0|287.65|256.32|240.94|0|356|232.11|0|130.37|291.39|220.36|214.67|0|0|267|278.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|157.74|0|0|0|0|0|0|0|0|356
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT RX BIL 10FRX7CM|356|188.68|267|284.8|302.6|320.4|0|287.65|256.32|240.94|0|356|232.11|0|130.37|291.39|220.36|214.67|0|0|267|278.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|157.74|0|0|0|0|0|0|0|0|356
HOSP OP|0272 - STERILE SUPPLY||C1726|HURRAICAINE 4X4|906.84|480.63|680.13|725.47|770.81|816.16|0|732.73|652.92|613.75|0|906.84|591.26|0|332.08|742.25|561.33|546.82|0|0|680.13|708.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|401.82|0|0|0|0|0|0|0|0|906.84
HOSP OP|0272 - STERILE SUPPLY||C1726|HURRICAINE 6X4|906.84|480.63|680.13|725.47|770.81|816.16|0|732.73|652.92|613.75|0|906.84|591.26|0|332.08|742.25|561.33|546.82|0|0|680.13|708.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|401.82|0|0|0|0|0|0|0|0|906.84
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON EXTRAC PRO 12-15M|580|307.4|435|464|493|522|0|468.64|417.6|392.54|0|580|378.16|0|212.4|474.73|359.02|349.74|0|0|435|452.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257|0|0|0|0|0|0|0|0|580
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON EXTRAC PRO 15-18M|580|307.4|435|464|493|522|0|468.64|417.6|392.54|0|580|378.16|0|212.4|474.73|359.02|349.74|0|0|435|452.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257|0|0|0|0|0|0|0|0|580
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN MATRX 62-90MM 04.633.364|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON ERCP EXT XLTPL LUM8.5M|392.04|207.78|294.03|313.63|333.23|352.84|0|316.77|282.27|265.33|0|392.04|255.61|0|143.57|320.88|242.67|236.4|0|0|294.03|306.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.71|0|0|0|0|0|0|0|0|392.04
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON ERCP PROXL TPLLUM12-15|392.04|207.78|294.03|313.63|333.23|352.84|0|316.77|282.27|265.33|0|392.04|255.61|0|143.57|320.88|242.67|236.4|0|0|294.03|306.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.71|0|0|0|0|0|0|0|0|392.04
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON ERCP EXT XL TPL LUM15M|392.04|207.78|294.03|313.63|333.23|352.84|0|316.77|282.27|265.33|0|392.04|255.61|0|143.57|320.88|242.67|236.4|0|0|294.03|306.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.71|0|0|0|0|0|0|0|0|392.04
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON ERCP RET DBL LUM 15M|312.84|165.81|234.63|250.27|265.91|281.56|0|252.77|225.24|211.73|0|312.84|203.97|0|114.56|256.06|193.65|188.64|0|0|234.63|244.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|138.62|0|0|0|0|0|0|0|0|312.84
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON ERCP ERT DBL LUM 11.5M|312.84|165.81|234.63|250.27|265.91|281.56|0|252.77|225.24|211.73|0|312.84|203.97|0|114.56|256.06|193.65|188.64|0|0|234.63|244.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|138.62|0|0|0|0|0|0|0|0|312.84
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE GLIDEWIRE ANG .035|719.2|381.18|539.4|575.36|611.32|647.28|0|581.11|517.82|486.75|0|719.2|468.92|0|263.37|588.67|445.18|433.68|0|0|539.4|561.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|318.68|0|0|0|0|0|0|0|0|719.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE GLIDEWIRE STR .035|719.2|381.18|539.4|575.36|611.32|647.28|0|581.11|517.82|486.75|0|719.2|468.92|0|263.37|588.67|445.18|433.68|0|0|539.4|561.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|318.68|0|0|0|0|0|0|0|0|719.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE HYDRA 260|592.04|313.78|444.03|473.63|503.23|532.84|0|478.37|426.27|400.69|0|592.04|386.01|0|216.81|484.58|366.47|357|0|0|444.03|462.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262.33|0|0|0|0|0|0|0|0|592.04
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ERCP JAG .035X450|592.04|313.78|444.03|473.63|503.23|532.84|0|478.37|426.27|400.69|0|592.04|386.01|0|216.81|484.58|366.47|357|0|0|444.03|462.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262.33|0|0|0|0|0|0|0|0|592.04
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 6-7-8|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 8-9-10|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 10-11-12|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 16-16.5-18|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|0|480|499.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|283.58|0|0|0|0|0|0|0|0|640
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 18-19-20|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|0|480|499.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|283.58|0|0|0|0|0|0|0|0|640
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL EX/PY/CO 6-8CM|839.52|444.95|629.64|671.62|713.59|755.57|0|678.33|604.45|568.19|0|839.52|547.37|0|307.43|687.15|519.66|506.23|0|0|629.64|655.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|371.99|0|0|0|0|0|0|0|0|839.52
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL EX/PY/CO 8-10M|839.52|444.95|629.64|671.62|713.59|755.57|0|678.33|604.45|568.19|0|839.52|547.37|0|307.43|687.15|519.66|506.23|0|0|629.64|655.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|371.99|0|0|0|0|0|0|0|0|839.52
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL ES/PY/CO 10-12M|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|0|636|662.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|375.75|0|0|0|0|0|0|0|0|848
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL ES/PY/CO 12-15M|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|0|636|662.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|375.75|0|0|0|0|0|0|0|0|848
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL ES/PY/CO 15-18M|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|0|636|662.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|375.75|0|0|0|0|0|0|0|0|848
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH CRE BALL ES/PY/CO 18-20M|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|0|636|662.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|375.75|0|0|0|0|0|0|0|0|848
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT SAFETY PEG PUSH 20FR|380|201.4|285|304|323|342|0|307.04|273.6|257.18|0|380|247.76|0|139.16|311.03|235.22|229.14|0|11.99410609|285|296.78|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|168.38|0|0|0|0|0|0|0|0|380
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON EXTRAC PRO 9-12M|580|307.4|435|464|493|522|0|468.64|417.6|392.54|0|580|378.16|0|212.4|474.73|359.02|349.74|0|0|435|452.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257|0|0|0|0|0|0|0|0|580
HOSP OP|0272 - STERILE SUPPLY||A4649|MARKER SPOT ENDO|152|80.56|114|121.6|129.2|136.8|0|122.82|109.44|102.87|0|152|99.1|0|55.66|124.41|94.09|91.66|0|11.99410609|114|118.71|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|67.35|0|0|0|0|0|0|0|0|152
HOSP OP|0272 - STERILE SUPPLY||A4649|ACUSNARE NDL TIP STD OVAL|102|54.06|76.5|81.6|86.7|91.8|0|82.42|73.44|69.03|0|102|66.5|0|37.35|83.49|63.14|61.51|0|11.99410609|76.5|79.66|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|45.2|0|0|0|0|0|0|0|0|102
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ERCP ACCESS .21|532|281.96|399|425.6|452.2|478.8|0|429.86|383.04|360.06|0|532|346.86|0|194.82|435.44|329.31|320.8|0|0|399|415.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|235.73|0|0|0|0|0|0|0|0|532
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 7-5|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 7-7|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 7-9|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 7-12|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 7-15|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 10-5|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 10-9|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 10-12|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 10-15|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 11.5-5|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 11.5-7|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 11.5-12|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 11.5-15|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-5|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-7|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-9|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-12|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-15|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 11.5-5|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 11.5-7|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 11.5-9|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 11.5-12|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 11.5-15|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|0|186|193.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0272 - STERILE SUPPLY||C1887|SYSTEM STENT INTRO OASIS ACT|272|144.16|204|217.6|231.2|244.8|0|219.78|195.84|184.09|0|272|177.34|0|99.61|222.63|168.37|164.02|0|0|204|212.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|120.52|0|0|0|0|0|0|0|0|272
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN PRECUTANEOUS 150MM|995.6|527.67|746.7|796.48|846.26|896.04|0|804.44|716.83|673.82|0|995.6|649.13|0|364.59|814.9|616.28|600.35|0|2156.856582|746.7|777.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|441.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1887|SYSTEM STENT INTRO OASIS ACT|272|144.16|204|217.6|231.2|244.8|0|219.78|195.84|184.09|0|272|177.34|0|99.61|222.63|168.37|164.02|0|0|204|212.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|120.52|0|0|0|0|0|0|0|0|272
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ROADRUNNER STR TIP|584|309.52|438|467.2|496.4|525.6|0|471.87|420.48|395.25|0|584|380.77|0|213.86|478|361.5|352.15|0|0|438|456.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|258.77|0|0|0|0|0|0|0|0|584
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ROADRUNNER ANG TIP|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|0|366|381.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|216.23|0|0|0|0|0|0|0|0|488
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATIC 5-12|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN PRECUTANEOUS 100MM|995.6|527.67|746.7|796.48|846.26|896.04|0|804.44|716.83|673.82|0|995.6|649.13|0|364.59|814.9|616.28|600.35|0|2156.856582|746.7|777.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|441.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATIC 7-2.5|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ZEBRA 450CM STR|316|167.48|237|252.8|268.6|284.4|0|255.33|227.52|213.87|0|316|206.03|0|115.72|258.65|195.6|190.55|0|0|237|246.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.02|0|0|0|0|0|0|0|0|316
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 7-2|209.04|110.79|156.78|167.23|177.68|188.14|0|168.9|150.51|141.48|0|209.04|136.29|0|76.55|171.1|129.4|126.05|0|0|156.78|163.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.63|0|0|0|0|0|0|0|0|209.04
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 7-4|209.04|110.79|156.78|167.23|177.68|188.14|0|168.9|150.51|141.48|0|209.04|136.29|0|76.55|171.1|129.4|126.05|0|0|156.78|163.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.63|0|0|0|0|0|0|0|0|209.04
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 5-5|209.04|110.79|156.78|167.23|177.68|188.14|0|168.9|150.51|141.48|0|209.04|136.29|0|76.55|171.1|129.4|126.05|0|0|156.78|163.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.63|0|0|0|0|0|0|0|0|209.04
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 5-7|209.04|110.79|156.78|167.23|177.68|188.14|0|168.9|150.51|141.48|0|209.04|136.29|0|76.55|171.1|129.4|126.05|0|0|156.78|163.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.63|0|0|0|0|0|0|0|0|209.04
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 10-8|221.52|117.41|166.14|177.22|188.29|199.37|0|178.99|159.49|149.92|0|221.52|144.43|0|81.12|181.31|137.12|133.58|0|0|166.14|173.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.16|0|0|0|0|0|0|0|0|221.52
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 10-12|221.52|117.41|166.14|177.22|188.29|199.37|0|178.99|159.49|149.92|0|221.52|144.43|0|81.12|181.31|137.12|133.58|0|0|166.14|173.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.16|0|0|0|0|0|0|0|0|221.52
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT ZIMMON PANCREATC 10-15|221.52|117.41|166.14|177.22|188.29|199.37|0|178.99|159.49|149.92|0|221.52|144.43|0|81.12|181.31|137.12|133.58|0|0|166.14|173.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.16|0|0|0|0|0|0|0|0|221.52
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA 6FR|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|0|175.5|182.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.69|0|0|0|0|0|0|0|0|234
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA 7FR|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA 8.5FR|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA 9FR|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA 10FR|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|0|175.5|182.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.69|0|0|0|0|0|0|0|0|234
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILAT BIL SOEHENDRA11.5FR|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|0|175.5|182.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|103.69|0|0|0|0|0|0|0|0|234
HOSP OP|0272 - STERILE SUPPLY||C1729|SET DECOMP COLON 14FR|584|309.52|438|467.2|496.4|525.6|0|471.87|420.48|395.25|0|584|380.77|0|213.86|478|361.5|352.15|0|0|438|456.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|258.77|0|0|0|0|0|0|0|0|584
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 7|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 8|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 9|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 10|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 11|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 12|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 12.8|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 14|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 15|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 16|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 17|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0272 - STERILE SUPPLY||C1726|DILATOR SAVORY 18|1048|555.44|786|838.4|890.8|943.2|0|846.78|754.56|709.29|0|1048|683.3|0|383.78|857.79|648.71|631.94|0|0|786|818.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|464.37|0|0|0|0|0|0|0|0|1048
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SET STENT BIL COTTON 10F 7CM|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0272 - STERILE SUPPLY||A4649|SET GASTRIC LAVAGE EASI LAV 34|303.52|160.87|227.64|242.82|257.99|273.17|0|245.24|218.53|205.42|0|303.52|197.9|0|111.15|248.43|187.88|183.02|0|11.99410609|227.64|237.05|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|134.49|0|0|0|0|0|0|0|0|303.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ANCHOR ARTHRX BIOSCW/NDLE 5.5|1062|562.86|796.5|849.6|902.7|955.8|0|858.1|764.64|718.76|0|1062|692.42|0|388.9|869.25|657.38|640.39|0|2156.856582|796.5|829.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|470.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|RUMI COLPO-PNEUMO OCCLUDERS|502.84|266.51|377.13|402.27|427.41|452.56|0|406.29|362.04|340.32|0|502.84|327.85|0|184.14|411.57|311.26|303.21|0|11.99410609|377.13|392.72|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|222.81|0|0|0|0|0|0|0|0|502.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB R 2 1960-50-200|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 4/10.0 96-2141|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACT 9H 425759|3231.9|1712.91|2423.93|2585.52|2747.12|2908.71|0|2611.38|2326.97|2187.35|0|3231.9|2107.2|0|1183.52|2645.31|2000.55|1948.84|0|2156.856582|2423.93|2524.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1432.05|0|0|0|0|0|0|0|0|3231.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 12 04-613-012|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 14/23 04-613-014|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 16/25 04.613.016|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 18/27 04-613-018|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 20/29 04.613.020|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 22/31 04.613.022|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 24/33 04.613.024|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 1 LVL 26/35 04.613.026|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|2156.856582|1856.25|1932.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 26 04.613.126|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 28/37 04.613.128|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 30/39 04.613.130|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 32/41 04-613-132|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 34/43 04.613.134|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 36/45 04.613.136|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 38/47 04.613.138|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 40/49 04.613.140|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 42/51 04.613.142|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 44/53 04.613.144|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 2 LVL 46/55 04.613.146|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|2156.856582|1968.75|2050.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 45/54 04.613.245|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 48/57 04.613.248|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 51/60 04.613.251|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 54/63 04.613.254|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 57/66 04.613.257|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 60/69 04.613.260|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 63/72 04.613.263|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 66/75 04.613.266|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 3 LVL 69/78 04.613.269|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|2156.856582|2081.25|2167.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 60/69 04.613.360|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 64/73 04.613.364|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 68/77 04.613.368|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 72/81 04.613.372|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 76/85 04.613.376|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 80/89 04.613.380|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 84/93 04-613-384|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN 4 LVL 88/97 04-613-388|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN 4 LVL 92/101 04-613-392|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN 4 LVL 96/105 04.613.396|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN4 LVL 100/109 04.613.400|2998.2|1589.05|2248.65|2398.56|2548.47|2698.38|0|2422.55|2158.7|2029.18|0|2998.2|1954.83|0|1097.94|2454.03|1855.89|1807.91|0|2156.856582|2248.65|2341.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1328.5|0|0|0|0|0|0|0|0|2998.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0 14 04.613.514|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0/16 04.613.516|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0/18 04.613.518|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN 4.5 S/DRL 14 04.613.564|880|466.4|660|704|748|792|0|711.04|633.6|595.58|0|880|573.76|0|322.26|720.28|544.72|530.64|0|2156.856582|660|687.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|389.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN 4.5 S/DRL 16 04-613-566|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN 4.5 S/DRL 18 04.613.568|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0 14 04-613-614|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0 16 04-613-616|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0 18 04-613-618|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.5 14 04.613.664|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.5 16 04-613-666|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.5 18 04.613.668|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0/14 04.613.714|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0/16 04.613.716|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.0/18 04.613.718|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.5/14 04.613.764|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.5/16 04.613.766|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/DRL 4.5/18 04.613.768|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0/14 04.613.814|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0/16 04.613.816|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.0/18 04.613.818|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN S/TAP 4.5/14 04.613.864|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN STP 4.5/18 1804.613.866|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN STP 4.5/18 1804.613.868|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|SYNTHES TEMP FIX PIN 324-101|535.8|283.97|401.85|428.64|455.43|482.22|0|432.93|385.78|362.63|0|535.8|349.34|0|196.21|438.55|331.66|323.09|0|11.99410609|401.85|418.46|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|237.41|0|0|0|0|0|0|0|0|535.8
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT DBL LUMEN CATH 8X8 20CM|211.16|111.91|158.37|168.93|179.49|190.04|0|170.62|152.04|142.91|0|211.16|137.68|0|77.33|172.83|130.71|127.33|0|0|158.37|164.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.56|0|0|0|0|0|0|0|0|211.16
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DIL BALL CRE 12-12.5-16|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|0|480|499.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|283.58|0|0|0|0|0|0|0|0|640
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 6FRX24CM|307.8|163.13|230.85|246.24|261.63|277.02|0|248.7|221.62|208.32|0|307.8|200.69|0|112.72|251.93|190.53|185.6|0|0|230.85|240.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|136.39|0|0|0|0|0|0|0|0|307.8
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE SPOOL 18G STERILE|100|53|75|80|85|90|0|80.8|72|67.68|0|100|65.2|0|36.62|81.85|61.9|60.3|0|11.99410609|75|78.1|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|44.31|0|0|0|0|0|0|0|0|100
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE SPOOL 20G STERILE|296.76|157.28|222.57|237.41|252.25|267.08|0|239.78|213.67|200.85|0|296.76|193.49|0|108.67|242.9|183.69|178.95|0|11.99410609|222.57|231.77|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|131.49|0|0|0|0|0|0|0|0|296.76
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE SPOOL 22G STERILE|296.76|157.28|222.57|237.41|252.25|267.08|0|239.78|213.67|200.85|0|296.76|193.49|0|108.67|242.9|183.69|178.95|0|11.99410609|222.57|231.77|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|131.49|0|0|0|0|0|0|0|0|296.76
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE SPOOL 24G STERILE|296.76|157.28|222.57|237.41|252.25|267.08|0|239.78|213.67|200.85|0|296.76|193.49|0|108.67|242.9|183.69|178.95|0|11.99410609|222.57|231.77|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|131.49|0|0|0|0|0|0|0|0|296.76
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE SPOOL 34G STERILE|100.4|53.21|75.3|80.32|85.34|90.36|0|81.12|72.29|67.95|0|100.4|65.46|0|36.77|82.18|62.15|60.54|0|11.99410609|75.3|78.41|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|44.49|0|0|0|0|0|0|0|0|100.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1772|RESERVR MED SYNCHRO INFU 20ML|15159|8034.27|11369.25|12127.2|12885.15|13643.1|0|12248.47|10914.48|10259.61|0|15159|9883.67|0|5551.23|12407.64|9383.42|9140.88|0|0|11369.25|11839.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6716.95|0|0|0|0|0|0|0|0|15159
HOSP OP|0278 - SUPPLY IMPLANTS||C1772|RESERVR MED SYNCHRO INFU 40ML|15159|8034.27|11369.25|12127.2|12885.15|13643.1|0|12248.47|10914.48|10259.61|0|15159|9883.67|0|5551.23|12407.64|9383.42|9140.88|0|0|11369.25|11839.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6716.95|0|0|0|0|0|0|0|0|15159
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT RX BIL 10FRX10CM|356|188.68|267|284.8|302.6|320.4|0|287.65|256.32|240.94|0|356|232.11|0|130.37|291.39|220.36|214.67|0|0|267|278.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|157.74|0|0|0|0|0|0|0|0|356
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT RX BILIARY 10FX5CM|356|188.68|267|284.8|302.6|320.4|0|287.65|256.32|240.94|0|356|232.11|0|130.37|291.39|220.36|214.67|0|0|267|278.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|157.74|0|0|0|0|0|0|0|0|356
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP R 3H 241.262|2309.76|1224.17|1732.32|1847.81|1963.3|2078.78|0|1866.29|1663.03|1563.25|0|2309.76|1505.96|0|845.83|1890.54|1429.74|1392.79|0|2156.856582|1732.32|1803.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1023.45|0|0|0|0|0|0|0|0|2309.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP L 3H 241.263|2309.76|1224.17|1732.32|1847.81|1963.3|2078.78|0|1866.29|1663.03|1563.25|0|2309.76|1505.96|0|845.83|1890.54|1429.74|1392.79|0|2156.856582|1732.32|1803.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1023.45|0|0|0|0|0|0|0|0|2309.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP R 5H 241.264|2562.81|1358.29|1922.11|2050.25|2178.39|2306.53|0|2070.75|1845.22|1734.51|0|2562.81|1670.95|0|938.5|2097.66|1586.38|1545.37|0|2156.856582|1922.11|2001.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.58|0|0|0|0|0|0|0|0|2562.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP L 5H 241.265|2562.81|1358.29|1922.11|2050.25|2178.39|2306.53|0|2070.75|1845.22|1734.51|0|2562.81|1670.95|0|938.5|2097.66|1586.38|1545.37|0|2156.856582|1922.11|2001.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.58|0|0|0|0|0|0|0|0|2562.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP R 7H 241.266|2820.18|1494.7|2115.14|2256.14|2397.15|2538.16|0|2278.71|2030.53|1908.7|0|2820.18|1838.76|0|1032.75|2308.32|1745.69|1700.57|0|2156.856582|2115.14|2202.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1249.62|0|0|0|0|0|0|0|0|2820.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP L 7H 241.267|2820.18|1494.7|2115.14|2256.14|2397.15|2538.16|0|2278.71|2030.53|1908.7|0|2820.18|1838.76|0|1032.75|2308.32|1745.69|1700.57|0|2156.856582|2115.14|2202.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1249.62|0|0|0|0|0|0|0|0|2820.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP R 9H 241.268|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP L 9H 241.269|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT R3H 241.272|2649.33|1404.14|1987|2119.46|2251.93|2384.4|0|2140.66|1907.52|1793.07|0|2649.33|1727.36|0|970.18|2168.48|1639.94|1597.55|0|2156.856582|1987|2069.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1173.92|0|0|0|0|0|0|0|0|2649.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT L3H 241.273|2649.33|1404.14|1987|2119.46|2251.93|2384.4|0|2140.66|1907.52|1793.07|0|2649.33|1727.36|0|970.18|2168.48|1639.94|1597.55|0|2156.856582|1987|2069.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1173.92|0|0|0|0|0|0|0|0|2649.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT R5H 241.274|2889.39|1531.38|2167.04|2311.51|2455.98|2600.45|0|2334.63|2080.36|1955.54|0|2889.39|1883.88|0|1058.09|2364.97|1788.53|1742.3|0|2156.856582|2167.04|2256.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1280.29|0|0|0|0|0|0|0|0|2889.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT R7H 241.276|3133.77|1660.9|2350.33|2507.02|2663.7|2820.39|0|2532.09|2256.31|2120.94|0|3133.77|2043.22|0|1147.59|2564.99|1939.8|1889.66|0|2156.856582|2350.33|2447.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1388.57|0|0|0|0|0|0|0|0|3133.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT L7H 241.277|3133.77|1660.9|2350.33|2507.02|2663.7|2820.39|0|2532.09|2256.31|2120.94|0|3133.77|2043.22|0|1147.59|2564.99|1939.8|1889.66|0|2156.856582|2350.33|2447.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1388.57|0|0|0|0|0|0|0|0|3133.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT R9H 241.278|3399.78|1801.88|2549.84|2719.82|2889.81|3059.8|0|2747.02|2447.84|2300.97|0|3399.78|2216.66|0|1245|2782.72|2104.46|2050.07|0|2156.856582|2549.84|2655.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1506.44|0|0|0|0|0|0|0|0|3399.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT L9H 241.279|3399.78|1801.88|2549.84|2719.82|2889.81|3059.8|0|2747.02|2447.84|2300.97|0|3399.78|2216.66|0|1245|2782.72|2104.46|2050.07|0|2156.856582|2549.84|2655.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1506.44|0|0|0|0|0|0|0|0|3399.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP LAT R14H 241.302|3311.1|1754.88|2483.33|2648.88|2814.44|2979.99|0|2675.37|2383.99|2240.95|0|3311.1|2158.84|0|1212.52|2710.14|2049.57|1996.59|0|2156.856582|2483.33|2585.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1467.15|0|0|0|0|0|0|0|0|3311.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCP LAT L14H 241.303|3311.1|1754.88|2483.33|2648.88|2814.44|2979.99|0|2675.37|2383.99|2240.95|0|3311.1|2158.84|0|1212.52|2710.14|2049.57|1996.59|0|2156.856582|2483.33|2585.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1467.15|0|0|0|0|0|0|0|0|3311.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED R3H 241.282|2309.76|1224.17|1732.32|1847.81|1963.3|2078.78|0|1866.29|1663.03|1563.25|0|2309.76|1505.96|0|845.83|1890.54|1429.74|1392.79|0|2156.856582|1732.32|1803.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1023.45|0|0|0|0|0|0|0|0|2309.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED R5H 241.284|2562.81|1358.29|1922.11|2050.25|2178.39|2306.53|0|2070.75|1845.22|1734.51|0|2562.81|1670.95|0|938.5|2097.66|1586.38|1545.37|0|2156.856582|1922.11|2001.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.58|0|0|0|0|0|0|0|0|2562.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED L5H 241.285|2562.81|1358.29|1922.11|2050.25|2178.39|2306.53|0|2070.75|1845.22|1734.51|0|2562.81|1670.95|0|938.5|2097.66|1586.38|1545.37|0|2156.856582|1922.11|2001.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.58|0|0|0|0|0|0|0|0|2562.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED R7H 241.286|2820.18|1494.7|2115.14|2256.14|2397.15|2538.16|0|2278.71|2030.53|1908.7|0|2820.18|1838.76|0|1032.75|2308.32|1745.69|1700.57|0|2156.856582|2115.14|2202.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1249.62|0|0|0|0|0|0|0|0|2820.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED L7H 241.287|2820.18|1494.7|2115.14|2256.14|2397.15|2538.16|0|2278.71|2030.53|1908.7|0|2820.18|1838.76|0|1032.75|2308.32|1745.69|1700.57|0|2156.856582|2115.14|2202.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1249.62|0|0|0|0|0|0|0|0|2820.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED R9H 241.288|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED L9H 241.289|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED R14H 241.304|3133.77|1660.9|2350.33|2507.02|2663.7|2820.39|0|2532.09|2256.31|2120.94|0|3133.77|2043.22|0|1147.59|2564.99|1939.8|1889.66|0|2156.856582|2350.33|2447.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1388.57|0|0|0|0|0|0|0|0|3133.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED L14H 241.305|3133.77|1660.9|2350.33|2507.02|2663.7|2820.39|0|2532.09|2256.31|2120.94|0|3133.77|2043.22|0|1147.59|2564.99|1939.8|1889.66|0|2156.856582|2350.33|2447.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1388.57|0|0|0|0|0|0|0|0|3133.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/32 201.782|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/34 201.784|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/36 201.786|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/38 201.788|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNCRTX S/TT82.4/40 201.790|178.76|94.74|134.07|143.01|151.95|160.88|0|144.44|128.71|120.98|0|178.76|116.55|0|65.46|146.32|110.65|107.79|0|2156.856582|134.07|139.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|79.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/10 202.210|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/18 202.218|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/22 202.222|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/24 202.224|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/26 202.226|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/28 202.228|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/30 202.230|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/34 202.234|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/36 202.236|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/38 202.238|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/40 202.240|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/42 202.242|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/44 202.244|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/46 202.246|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/48 202.248|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/50 202.250|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/55 202.255|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/60 202.260|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|PATCH FELT PTFE BARD CV1X6IN|108|57.24|81|86.4|91.8|97.2|0|87.26|77.76|73.09|0|108|70.42|0|39.55|88.4|66.85|65.12|0|0|81|84.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.85|0|0|0|0|0|0|0|0|108
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 30MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 35MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 40MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 45MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 50MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 55MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 60MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 65MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 70MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 75MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 80MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 85MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 90MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 95MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 100MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 105MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 110MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 115MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 120MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 125MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 130MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 135MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 140MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 145MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 16MM THD 150MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 45MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 50MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 55MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 60MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 65MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 70MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 75MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 80MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 85MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 90MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 95MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 100MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 105MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 110MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 115MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 120MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 125MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 130MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 135MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 140MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 145MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 32MM THD 150MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 20MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 25MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 30MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 35MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 40MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 45MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 50MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 55MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 60MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 65MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 70MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 75MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 80MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 85MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 90MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 95MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 100MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 105MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 110MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 115MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 120MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 125MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED FULL THD 130MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 64MM THR 120MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 64MM THR 125MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 64MM THR 130MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 64MM THR 135MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 140MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 145MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 150MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 155MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 160MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 165MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 170MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 175MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANNULATED 75MM THR 180MM|1248|661.44|936|998.4|1060.8|1123.2|0|1008.38|898.56|844.65|0|1248|813.7|0|457.02|1021.49|772.51|752.54|0|2156.856582|936|974.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BEAD STIMULAN RESORB RPDCR 5CC|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|2156.856582|2025|2108.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BEAD STIMULAN RESORB RPDCR 10C|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|2156.856582|2250|2343|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 7FX28CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 8FX26CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT URETERAL INLAY 7FX90CM|316.12|167.54|237.09|252.9|268.7|284.51|0|255.42|227.61|213.95|0|316.12|206.11|0|115.76|258.74|195.68|190.62|0|0|237.09|246.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.07|0|0|0|0|0|0|0|0|316.12
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT URETERAL INLAY 8FX90CM|316.12|167.54|237.09|252.9|268.7|284.51|0|255.42|227.61|213.95|0|316.12|206.11|0|115.76|258.74|195.68|190.62|0|0|237.09|246.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.07|0|0|0|0|0|0|0|0|316.12
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 6FX26CM|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 6FX24CM|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 7FX24CM|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 6FX28CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 6FRX30CM|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|0|225|234.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 7FX26CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 6FX22CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 4.7FX24CM|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 4.7FX26CM|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 4.7FX28CM|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WASHER 1.2MM|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|2156.856582|168|174.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|99.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN GUIDE 3.2MMX12IN DRILL PNT|121.6|64.45|91.2|97.28|103.36|109.44|0|98.25|87.55|82.3|0|121.6|79.28|0|44.53|99.53|75.27|73.32|0|11.99410609|91.2|94.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|53.88|0|0|0|0|0|0|0|0|121.6
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN GUIDE 3.2MMX12IN|121.6|64.45|91.2|97.28|103.36|109.44|0|98.25|87.55|82.3|0|121.6|79.28|0|44.53|99.53|75.27|73.32|0|11.99410609|91.2|94.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|53.88|0|0|0|0|0|0|0|0|121.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WASHER|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|2156.856582|168|174.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|99.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN GUIDE 3.2MMX9IN DRILL PNT|115.2|61.06|86.4|92.16|97.92|103.68|0|93.08|82.94|77.97|0|115.2|75.11|0|42.19|94.29|71.31|69.47|0|11.99410609|86.4|89.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|51.05|0|0|0|0|0|0|0|0|115.2
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN GUIDE 3.2MMX9IN|115.2|61.06|86.4|92.16|97.92|103.68|0|93.08|82.94|77.97|0|115.2|75.11|0|42.19|94.29|71.31|69.47|0|11.99410609|86.4|89.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|51.05|0|0|0|0|0|0|0|0|115.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE HIWIRE HYDRPLC .035|137.64|72.95|103.23|110.11|116.99|123.88|0|111.21|99.1|93.15|0|137.64|89.74|0|50.4|112.66|85.2|83|0|0|103.23|107.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.99|0|0|0|0|0|0|0|0|137.64
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRAVERSE PTA 2X4X130|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRAVERSE PTA 3X4X130|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON ULTRAVERSEPTA2.5X4X130|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT E LUMINEXX 6X10X40CM|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|0|1856.25|1932.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT E LUMINEXX 6X9X40CM|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|0|1856.25|1932.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT E LUMINEXX 6X8X40CM|2475|1311.75|1856.25|1980|2103.75|2227.5|0|1999.8|1782|1675.08|0|2475|1613.7|0|906.35|2025.79|1532.03|1492.43|0|0|1856.25|1932.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1096.67|0|0|0|0|0|0|0|0|2475
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL INLAY 6FR ML|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|0|169.29|176.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.02|0|0|0|0|0|0|0|0|225.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X40X130CM|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X60X130CM|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 7X40X130CM|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 6X80X130CM|1890|1001.7|1417.5|1512|1606.5|1701|0|1527.12|1360.8|1279.15|0|1890|1232.28|0|692.12|1546.97|1169.91|1139.67|0|0|1417.5|1476.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|837.46|0|0|0|0|0|0|0|0|1890
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA8X36X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA9X36X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA9X26X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA7X26X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA7X36X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT BILIARY VALEO PTA8X26X80|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT E LUMINEXX 6X8X60CM|2625|1391.25|1968.75|2100|2231.25|2362.5|0|2121|1890|1776.6|0|2625|1711.5|0|961.28|2148.56|1624.88|1582.88|0|0|1968.75|2050.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1163.14|0|0|0|0|0|0|0|0|2625
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 7X2X135|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 8X4X80|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 8X2X135|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 9X2X135|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 10X2X80|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON RIVAL PTA 10X4X135|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|0|375|390.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.55|0|0|0|0|0|0|0|0|500
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG AQUACEL AG 3.5INX12IN|134|71.02|100.5|107.2|113.9|120.6|0|108.27|96.48|90.69|0|134|87.37|0|49.07|109.68|82.95|80.8|0|11.99410609|100.5|104.65|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|59.38|0|0|0|0|0|0|0|0|134
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG AQUACEL AG 3.5INX10IN|118.92|63.03|89.19|95.14|101.08|107.03|0|96.09|85.62|80.49|0|118.92|77.54|0|43.55|97.34|73.61|71.71|0|11.99410609|89.19|92.88|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|52.69|0|0|0|0|0|0|0|0|118.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 5 HR|2951.66|1564.38|2213.75|2361.33|2508.91|2656.5|0|2384.94|2125.2|1997.69|0|2951.66|1924.48|0|1080.9|2415.94|1827.08|1779.85|0|2156.856582|2213.75|2305.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1307.88|0|0|0|0|0|0|0|0|2951.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 5 HL|2951.66|1564.38|2213.75|2361.33|2508.91|2656.5|0|2384.94|2125.2|1997.69|0|2951.66|1924.48|0|1080.9|2415.94|1827.08|1779.85|0|2156.856582|2213.75|2305.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1307.88|0|0|0|0|0|0|0|0|2951.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 7 HR|2984.54|1581.8|2238.41|2387.64|2536.86|2686.09|0|2411.51|2148.87|2019.94|0|2984.54|1945.92|0|1092.94|2442.85|1847.43|1799.68|0|2156.856582|2238.41|2330.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.45|0|0|0|0|0|0|0|0|2984.54
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 7 HL|2984.54|1581.8|2238.41|2387.64|2536.86|2686.09|0|2411.51|2148.87|2019.94|0|2984.54|1945.92|0|1092.94|2442.85|1847.43|1799.68|0|2156.856582|2238.41|2330.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.45|0|0|0|0|0|0|0|0|2984.54
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 9 HR|3015.7|1598.32|2261.77|2412.56|2563.34|2714.13|0|2436.68|2171.3|2041.02|0|3015.7|1966.23|0|1104.35|2468.35|1866.72|1818.46|0|2156.856582|2261.77|2355.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1336.25|0|0|0|0|0|0|0|0|3015.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 9 HL|3015.7|1598.32|2261.77|2412.56|2563.34|2714.13|0|2436.68|2171.3|2041.02|0|3015.7|1966.23|0|1104.35|2468.35|1866.72|1818.46|0|2156.856582|2261.77|2355.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1336.25|0|0|0|0|0|0|0|0|3015.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 11 HR|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 11 HL|3045.12|1613.91|2283.84|2436.1|2588.35|2740.61|0|2460.46|2192.49|2060.94|0|3045.12|1985.42|0|1115.12|2492.43|1884.93|1836.21|0|2156.856582|2283.84|2378.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1349.29|0|0|0|0|0|0|0|0|3045.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 13 HR|3077.98|1631.33|2308.48|2462.38|2616.28|2770.18|0|2487|2216.14|2083.17|0|3077.98|2006.84|0|1127.15|2519.32|1905.27|1856.02|0|2156.856582|2308.48|2403.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1363.85|0|0|0|0|0|0|0|0|3077.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 13 HL|3077.98|1631.33|2308.48|2462.38|2616.28|2770.18|0|2487|2216.14|2083.17|0|3077.98|2006.84|0|1127.15|2519.32|1905.27|1856.02|0|2156.856582|2308.48|2403.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1363.85|0|0|0|0|0|0|0|0|3077.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 15 HR|3119.5|1653.34|2339.62|2495.6|2651.57|2807.55|0|2520.55|2246.04|2111.27|0|3119.5|2033.91|0|1142.36|2553.31|1930.97|1881.06|0|2156.856582|2339.62|2436.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.25|0|0|0|0|0|0|0|0|3119.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 15 HL|3119.5|1653.34|2339.62|2495.6|2651.57|2807.55|0|2520.55|2246.04|2111.27|0|3119.5|2033.91|0|1142.36|2553.31|1930.97|1881.06|0|2156.856582|2339.62|2436.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.25|0|0|0|0|0|0|0|0|3119.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 17 HR|3147.17|1668|2360.38|2517.73|2675.09|2832.45|0|2542.91|2265.96|2130|0|3147.17|2051.95|0|1152.49|2575.96|1948.1|1897.74|0|2156.856582|2360.38|2457.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1394.51|0|0|0|0|0|0|0|0|3147.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 17 HL|3147.17|1668|2360.38|2517.73|2675.09|2832.45|0|2542.91|2265.96|2130|0|3147.17|2051.95|0|1152.49|2575.96|1948.1|1897.74|0|2156.856582|2360.38|2457.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1394.51|0|0|0|0|0|0|0|0|3147.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 19 HR|3173.14|1681.77|2379.85|2538.51|2697.17|2855.82|0|2563.89|2284.66|2147.58|0|3173.14|2068.88|0|1162|2597.21|1964.17|1913.4|0|2156.856582|2379.85|2478.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1406.02|0|0|0|0|0|0|0|0|3173.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 19 HL|3173.14|1681.77|2379.85|2538.51|2697.17|2855.82|0|2563.89|2284.66|2147.58|0|3173.14|2068.88|0|1162|2597.21|1964.17|1913.4|0|2156.856582|2379.85|2478.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1406.02|0|0|0|0|0|0|0|0|3173.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 21 HR|3202.56|1697.36|2401.92|2562.05|2722.18|2882.3|0|2587.67|2305.84|2167.49|0|3202.56|2088.07|0|1172.78|2621.3|1982.38|1931.14|0|2156.856582|2401.92|2501.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1419.05|0|0|0|0|0|0|0|0|3202.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP A/L DSTL TIB 21 HL|3202.56|1697.36|2401.92|2562.05|2722.18|2882.3|0|2587.67|2305.84|2167.49|0|3202.56|2088.07|0|1172.78|2621.3|1982.38|1931.14|0|2156.856582|2401.92|2501.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1419.05|0|0|0|0|0|0|0|0|3202.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 2HR|3052.03|1617.57|2289.02|2441.63|2594.23|2746.83|0|2466.04|2197.46|2065.62|0|3052.03|1989.92|0|1117.65|2498.09|1889.21|1840.38|0|2156.856582|2289.02|2383.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1352.36|0|0|0|0|0|0|0|0|3052.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 3HR|3097.01|1641.42|2322.76|2477.61|2632.46|2787.31|0|2502.38|2229.85|2096.06|0|3097.01|2019.25|0|1134.12|2534.9|1917.05|1867.5|0|2156.856582|2322.76|2418.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1372.28|0|0|0|0|0|0|0|0|3097.01
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 4HR|3145.46|1667.09|2359.1|2516.37|2673.64|2830.92|0|2541.53|2264.73|2128.85|0|3145.46|2050.84|0|1151.87|2574.56|1947.04|1896.71|0|2156.856582|2359.1|2456.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.76|0|0|0|0|0|0|0|0|3145.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 5HR|3221.57|1707.43|2416.18|2577.25|2738.33|2899.41|0|2603.03|2319.53|2180.36|0|3221.57|2100.46|0|1179.74|2636.85|1994.15|1942.61|0|2156.856582|2416.18|2516.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1427.48|0|0|0|0|0|0|0|0|3221.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 6HR|3313.27|1756.03|2484.95|2650.62|2816.28|2981.94|0|2677.12|2385.56|2242.42|0|3313.27|2160.25|0|1213.32|2711.91|2050.92|1997.9|0|2156.856582|2484.95|2587.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.11|0|0|0|0|0|0|0|0|3313.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 8HR|3441.31|1823.89|2580.98|2753.05|2925.12|3097.18|0|2780.58|2477.74|2329.08|0|3441.31|2243.74|0|1260.21|2816.71|2130.17|2075.11|0|2156.856582|2580.98|2687.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1524.85|0|0|0|0|0|0|0|0|3441.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 2HL|3052.03|1617.57|2289.02|2441.63|2594.23|2746.83|0|2466.04|2197.46|2065.62|0|3052.03|1989.92|0|1117.65|2498.09|1889.21|1840.38|0|2156.856582|2289.02|2383.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1352.36|0|0|0|0|0|0|0|0|3052.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 3HL|3097.01|1641.42|2322.76|2477.61|2632.46|2787.31|0|2502.38|2229.85|2096.06|0|3097.01|2019.25|0|1134.12|2534.9|1917.05|1867.5|0|2156.856582|2322.76|2418.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1372.28|0|0|0|0|0|0|0|0|3097.01
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 4HL|3145.46|1667.09|2359.1|2516.37|2673.64|2830.92|0|2541.53|2264.73|2128.85|0|3145.46|2050.84|0|1151.87|2574.56|1947.04|1896.71|0|2156.856582|2359.1|2456.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.76|0|0|0|0|0|0|0|0|3145.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 5HL|3221.57|1707.43|2416.18|2577.25|2738.33|2899.41|0|2603.03|2319.53|2180.36|0|3221.57|2100.46|0|1179.74|2636.85|1994.15|1942.61|0|2156.856582|2416.18|2516.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1427.48|0|0|0|0|0|0|0|0|3221.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 6HL|3313.27|1756.03|2484.95|2650.62|2816.28|2981.94|0|2677.12|2385.56|2242.42|0|3313.27|2160.25|0|1213.32|2711.91|2050.92|1997.9|0|2156.856582|2484.95|2587.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.11|0|0|0|0|0|0|0|0|3313.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 8HL|3441.31|1823.89|2580.98|2753.05|2925.12|3097.18|0|2780.58|2477.74|2329.08|0|3441.31|2243.74|0|1260.21|2816.71|2130.17|2075.11|0|2156.856582|2580.98|2687.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1524.85|0|0|0|0|0|0|0|0|3441.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI ST 5.5X100MM 04.633.290|1140|604.2|855|912|969|1026|0|921.12|820.8|771.55|0|1140|743.28|0|417.47|933.09|705.66|687.42|0|2156.856582|855|890.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|505.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI ST 5.5X200MM 04.633.292|1140|604.2|855|912|969|1026|0|921.12|820.8|771.55|0|1140|743.28|0|417.47|933.09|705.66|687.42|0|2156.856582|855|890.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|505.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG RAPID RHINO 7.5CM ANT/POS|142.4|75.47|106.8|113.92|121.04|128.16|0|115.06|102.53|96.38|0|142.4|92.84|0|52.15|116.55|88.15|85.87|0|11.99410609|106.8|111.21|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.1|0|0|0|0|0|0|0|0|142.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC STRCH GRTX 45CM 4-7M|1866|988.98|1399.5|1492.8|1586.1|1679.4|0|1507.73|1343.52|1262.91|0|1866|1216.63|0|683.33|1527.32|1155.05|1125.2|0|0|1399.5|1457.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|826.82|0|0|0|0|0|0|0|0|1866
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4 HDLSS CMP SHTTHD 9MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 10MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 11MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 12MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 13MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 14MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 15MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 16MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 17MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 18MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 19MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 20MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 21MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 22MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 23MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 24MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 25MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 26MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 27MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 28MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 29MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 30MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 32MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 34MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 36MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 38MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP SHTTHD 40MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 17MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 18MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 19MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 20MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 21MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 22MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 23MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 24MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 25MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 26MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 27MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 28MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 29MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 30MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 32MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 34MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 36MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 38MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.4 HDLSS CMP LNGTHD 40MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 10MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 12MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 14MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 16MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 18MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 20MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 22MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 24MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 26MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 28MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 30MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 32MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 34MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 36MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 38MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP SHTTHD 40MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 16MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 18MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 20MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 22MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 24MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 26MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 28MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 30MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 32MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 34MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 36MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 38MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 3.0 HDLSS CMP LNGTHD 40MM|1101.52|583.81|826.14|881.22|936.29|991.37|0|890.03|793.09|745.51|0|1101.52|718.19|0|403.38|901.59|681.84|664.22|0|2156.856582|826.14|860.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|488.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE DRMWIRE ST TP 035X26|592.04|313.78|444.03|473.63|503.23|532.84|0|478.37|426.27|400.69|0|592.04|386.01|0|216.81|484.58|366.47|357|0|0|444.03|462.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262.33|0|0|0|0|0|0|0|0|592.04
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON HURRICANE RX 8X4|916|485.48|687|732.8|778.6|824.4|0|740.13|659.52|619.95|0|916|597.23|0|335.44|749.75|567|552.35|0|0|687|715.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|405.88|0|0|0|0|0|0|0|0|916
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE FUS LOOP TIP 035|836|443.08|627|668.8|710.6|752.4|0|675.49|601.92|565.8|0|836|545.07|0|306.14|684.27|517.48|504.11|0|0|627|652.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|370.43|0|0|0|0|0|0|0|0|836
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH GLOTIP II DBL LUM 200X6|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|11.99410609|189|196.81|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MTRX 4X20MM 04.639.420|1667.25|883.64|1250.44|1333.8|1417.16|1500.53|0|1347.14|1200.42|1128.39|0|1667.25|1087.05|0|610.55|1364.64|1032.03|1005.35|0|2156.856582|1250.44|1302.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|738.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI ST 5.5X400MM 04.633.294|1140|604.2|855|912|969|1026|0|921.12|820.8|771.55|0|1140|743.28|0|417.47|933.09|705.66|687.42|0|2156.856582|855|890.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|505.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON HURRICAINE RX 10X4|916|485.48|687|732.8|778.6|824.4|0|740.13|659.52|619.95|0|916|597.23|0|335.44|749.75|567|552.35|0|0|687|715.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|405.88|0|0|0|0|0|0|0|0|916
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  4H STR|756.88|401.15|567.66|605.5|643.35|681.19|0|611.56|544.95|512.26|0|756.88|493.49|0|277.17|619.51|468.51|456.4|0|2156.856582|567.66|591.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  6H STR|756.88|401.15|567.66|605.5|643.35|681.19|0|611.56|544.95|512.26|0|756.88|493.49|0|277.17|619.51|468.51|456.4|0|2156.856582|567.66|591.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|335.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  16H STR|1026.24|543.91|769.68|820.99|872.3|923.62|0|829.2|738.89|694.56|0|1026.24|669.11|0|375.81|839.98|635.24|618.82|0|2156.856582|769.68|801.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|454.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  16H STR|1026.24|543.91|769.68|820.99|872.3|923.62|0|829.2|738.89|694.56|0|1026.24|669.11|0|375.81|839.98|635.24|618.82|0|2156.856582|769.68|801.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|454.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  16H OFFSET|1026.24|543.91|769.68|820.99|872.3|923.62|0|829.2|738.89|694.56|0|1026.24|669.11|0|375.81|839.98|635.24|618.82|0|2156.856582|769.68|801.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|454.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX ATE 2/5 H T|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX ATE 3/5 H T|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX ATE 4/6 H T|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX ATE 2/4 H Y|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  2/3H L LEFT|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 FX  2/3H L RIGHT|908.72|481.62|681.54|726.98|772.41|817.85|0|734.25|654.28|615.02|0|908.72|592.49|0|332.77|743.79|562.5|547.96|0|2156.856582|681.54|709.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|402.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 2X2H RECT|945.88|501.32|709.41|756.7|804|851.29|0|764.27|681.03|640.17|0|945.88|616.71|0|346.38|774.2|585.5|570.37|0|2156.856582|709.41|738.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|419.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 2X2H RCT NRW|945.88|501.32|709.41|756.7|804|851.29|0|764.27|681.03|640.17|0|945.88|616.71|0|346.38|774.2|585.5|570.37|0|2156.856582|709.41|738.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|419.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL1.2/1.5 GRDFX 2X2H TRAPEZ|945.88|501.32|709.41|756.7|804|851.29|0|764.27|681.03|640.17|0|945.88|616.71|0|346.38|774.2|585.5|570.37|0|2156.856582|709.41|738.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|419.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 3X2 H RECT|1017.64|539.35|763.23|814.11|864.99|915.88|0|822.25|732.7|688.74|0|1017.64|663.5|0|372.66|832.94|629.92|613.64|0|2156.856582|763.23|794.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|450.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 3X2H TRAPEZ|1017.64|539.35|763.23|814.11|864.99|915.88|0|822.25|732.7|688.74|0|1017.64|663.5|0|372.66|832.94|629.92|613.64|0|2156.856582|763.23|794.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|450.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX  3X2H TRP LFT|1017.64|539.35|763.23|814.11|864.99|915.88|0|822.25|732.7|688.74|0|1017.64|663.5|0|372.66|832.94|629.92|613.64|0|2156.856582|763.23|794.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|450.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 3X2H TRP RGT|1017.64|539.35|763.23|814.11|864.99|915.88|0|822.25|732.7|688.74|0|1017.64|663.5|0|372.66|832.94|629.92|613.64|0|2156.856582|763.23|794.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|450.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 3+3H AGL LFT|1049.12|556.03|786.84|839.3|891.75|944.21|0|847.69|755.37|710.04|0|1049.12|684.03|0|384.19|858.7|649.41|632.62|0|2156.856582|786.84|819.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|464.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 3+3H AGL RGT|1049.12|556.03|786.84|839.3|891.75|944.21|0|847.69|755.37|710.04|0|1049.12|684.03|0|384.19|858.7|649.41|632.62|0|2156.856582|786.84|819.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|464.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 4X2H TRPZ|1057.68|560.57|793.26|846.14|899.03|951.91|0|854.61|761.53|715.84|0|1057.68|689.61|0|387.32|865.71|654.7|637.78|0|2156.856582|793.26|826.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 4X2H ANGL LFT|1057.68|560.57|793.26|846.14|899.03|951.91|0|854.61|761.53|715.84|0|1057.68|689.61|0|387.32|865.71|654.7|637.78|0|2156.856582|793.26|826.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 4X2H ANGL RGT|1057.68|560.57|793.26|846.14|899.03|951.91|0|854.61|761.53|715.84|0|1057.68|689.61|0|387.32|865.71|654.7|637.78|0|2156.856582|793.26|826.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 5X2H TRPZ|1057.68|560.57|793.26|846.14|899.03|951.91|0|854.61|761.53|715.84|0|1057.68|689.61|0|387.32|865.71|654.7|637.78|0|2156.856582|793.26|826.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 GRDFX 6X2H TRPZ|1057.68|560.57|793.26|846.14|899.03|951.91|0|854.61|761.53|715.84|0|1057.68|689.61|0|387.32|865.71|654.7|637.78|0|2156.856582|793.26|826.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|468.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 CMPR 3/8H T OFFSET|1155.2|612.26|866.4|924.16|981.92|1039.68|0|933.4|831.74|781.84|0|1155.2|753.19|0|423.03|945.53|715.07|696.59|0|2156.856582|866.4|902.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|511.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 CMPR 4/8H T OFFSET|1155.2|612.26|866.4|924.16|981.92|1039.68|0|933.4|831.74|781.84|0|1155.2|753.19|0|423.03|945.53|715.07|696.59|0|2156.856582|866.4|902.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|511.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 CMPR CNDY 5H PN LFT|1246.96|660.89|935.22|997.57|1059.92|1122.26|0|1007.54|897.81|843.94|0|1246.96|813.02|0|456.64|1020.64|771.87|751.92|0|2156.856582|935.22|973.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 CMPR CNDY 5H PN RGT|1246.96|660.89|935.22|997.57|1059.92|1122.26|0|1007.54|897.81|843.94|0|1246.96|813.02|0|456.64|1020.64|771.87|751.92|0|2156.856582|935.22|973.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|552.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 CMPR HK 1H 2HOOKS|1155.2|612.26|866.4|924.16|981.92|1039.68|0|933.4|831.74|781.84|0|1155.2|753.19|0|423.03|945.53|715.07|696.59|0|2156.856582|866.4|902.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|511.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK 4H STR|1499.16|794.55|1124.37|1199.33|1274.29|1349.24|0|1211.32|1079.4|1014.63|0|1499.16|977.45|0|548.99|1227.06|927.98|903.99|0|2156.856582|1124.37|1170.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|664.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK 3/5H T|1596.68|846.24|1197.51|1277.34|1357.18|1437.01|0|1290.12|1149.61|1080.63|0|1596.68|1041.04|0|584.7|1306.88|988.34|962.8|0|2156.856582|1197.51|1247.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|707.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK RT 3/3H|1628.12|862.9|1221.09|1302.5|1383.9|1465.31|0|1315.52|1172.25|1101.91|0|1628.12|1061.53|0|596.22|1332.62|1007.81|981.76|0|2156.856582|1221.09|1271.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|721.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK 5/4H T|1656.72|878.06|1242.54|1325.38|1408.21|1491.05|0|1338.63|1192.84|1121.27|0|1656.72|1080.18|0|606.69|1356.03|1025.51|999|0|2156.856582|1242.54|1293.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK GRD 2X2H RECT|1797.4|952.62|1348.05|1437.92|1527.79|1617.66|0|1452.3|1294.13|1216.48|0|1797.4|1171.9|0|658.21|1471.17|1112.59|1083.83|0|2156.856582|1348.05|1403.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|796.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK GRD 3X2H TRPZ|1860.32|985.97|1395.24|1488.26|1581.27|1674.29|0|1503.14|1339.43|1259.06|0|1860.32|1212.93|0|681.25|1522.67|1151.54|1121.77|0|2156.856582|1395.24|1452.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|824.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCKGRD 4X2H TRTPZ|1966.4|1042.19|1474.8|1573.12|1671.44|1769.76|0|1588.85|1415.81|1330.86|0|1966.4|1282.09|0|720.1|1609.5|1217.2|1185.74|0|2156.856582|1474.8|1535.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|871.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK GRD 5X2H TRPZ|1505.01|797.66|1128.76|1204.01|1279.26|1354.51|0|1216.05|1083.61|1018.59|0|1505.01|981.27|0|551.13|1231.85|931.6|907.52|0|2156.856582|1128.76|1175.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|666.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 1.2/1.5 TRLCK SCPHD 3X2H|1966.4|1042.19|1474.8|1573.12|1671.44|1769.76|0|1588.85|1415.81|1330.86|0|1966.4|1282.09|0|720.1|1609.5|1217.2|1185.74|0|2156.856582|1474.8|1535.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|871.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 4H STR|1072|568.16|804|857.6|911.2|964.8|0|866.18|771.84|725.53|0|1072|698.94|0|392.57|877.43|663.57|646.42|0|2156.856582|804|837.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|475|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 5H STR|1072|568.16|804|857.6|911.2|964.8|0|866.18|771.84|725.53|0|1072|698.94|0|392.57|877.43|663.57|646.42|0|2156.856582|804|837.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|475|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 6H STR|1072|568.16|804|857.6|911.2|964.8|0|866.18|771.84|725.53|0|1072|698.94|0|392.57|877.43|663.57|646.42|0|2156.856582|804|837.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|475|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 8H STR|1209.8|641.19|907.35|967.84|1028.33|1088.82|0|977.52|871.06|818.79|0|1209.8|788.79|0|443.03|990.22|748.87|729.51|0|2156.856582|907.35|944.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|536.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/4H T|968.76|513.44|726.57|775.01|823.45|871.88|0|782.76|697.51|655.66|0|968.76|631.63|0|354.76|792.93|599.66|584.16|0|2156.856582|726.57|756.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|429.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/8H T|1309.88|694.24|982.41|1047.9|1113.4|1178.89|0|1058.38|943.11|886.53|0|1309.88|854.04|0|479.68|1072.14|810.82|789.86|0|2156.856582|982.41|1023.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/4H L LFT|968.76|513.44|726.57|775.01|823.45|871.88|0|782.76|697.51|655.66|0|968.76|631.63|0|354.76|792.93|599.66|584.16|0|2156.856582|726.57|756.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|429.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/4H L RGT|968.76|513.44|726.57|775.01|823.45|871.88|0|782.76|697.51|655.66|0|968.76|631.63|0|354.76|792.93|599.66|584.16|0|2156.856582|726.57|756.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|429.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/8H L LFT|1309.88|694.24|982.41|1047.9|1113.4|1178.89|0|1058.38|943.11|886.53|0|1309.88|854.04|0|479.68|1072.14|810.82|789.86|0|2156.856582|982.41|1023.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 MC CMPR 2/8H L RGT|1309.88|694.24|982.41|1047.9|1113.4|1178.89|0|1058.38|943.11|886.53|0|1309.88|854.04|0|479.68|1072.14|810.82|789.86|0|2156.856582|982.41|1023.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|580.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 6H STR|1562.36|828.05|1171.77|1249.89|1328.01|1406.12|0|1262.39|1124.9|1057.41|0|1562.36|1018.66|0|572.14|1278.79|967.1|942.1|0|2156.856582|1171.77|1220.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|692.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/4H T|1608.12|852.3|1206.09|1286.5|1366.9|1447.31|0|1299.36|1157.85|1088.38|0|1608.12|1048.49|0|588.89|1316.25|995.43|969.7|0|2156.856582|1206.09|1255.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|712.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 3/4H T|1688.44|894.87|1266.33|1350.75|1435.17|1519.6|0|1364.26|1215.68|1142.74|0|1688.44|1100.86|0|618.31|1381.99|1045.14|1018.13|0|2156.856582|1266.33|1318.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|748.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/5H Y|1659.6|879.59|1244.7|1327.68|1410.66|1493.64|0|1340.96|1194.91|1123.22|0|1659.6|1082.06|0|607.75|1358.38|1027.29|1000.74|0|2156.856582|1244.7|1296.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|735.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/4H L LFT|1596.68|846.24|1197.51|1277.34|1357.18|1437.01|0|1290.12|1149.61|1080.63|0|1596.68|1041.04|0|584.7|1306.88|988.34|962.8|0|2156.856582|1197.51|1247.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|707.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/4H L RGT|1596.68|846.24|1197.51|1277.34|1357.18|1437.01|0|1290.12|1149.61|1080.63|0|1596.68|1041.04|0|584.7|1306.88|988.34|962.8|0|2156.856582|1197.51|1247.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|707.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 2X2H RCT|1874.6|993.54|1405.95|1499.68|1593.41|1687.14|0|1514.68|1349.71|1268.73|0|1874.6|1222.24|0|686.48|1534.36|1160.38|1130.38|0|2156.856582|1405.95|1464.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|830.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCKGRD 3X2H TRPZ|1937.8|1027.03|1453.35|1550.24|1647.13|1744.02|0|1565.74|1395.22|1311.5|0|1937.8|1263.45|0|709.62|1586.09|1199.5|1168.49|0|2156.856582|1453.35|1513.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|858.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCKGRD 3X2H TR LT|1532.91|812.44|1149.68|1226.33|1302.97|1379.62|0|1238.59|1103.7|1037.47|0|1532.91|999.46|0|561.35|1254.69|948.87|924.34|0|2156.856582|1149.68|1197.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCKGRD 3X2H TR RT|1532.91|812.44|1149.68|1226.33|1302.97|1379.62|0|1238.59|1103.7|1037.47|0|1532.91|999.46|0|561.35|1254.69|948.87|924.34|0|2156.856582|1149.68|1197.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 4X2H TRPZ|1532.91|812.44|1149.68|1226.33|1302.97|1379.62|0|1238.59|1103.7|1037.47|0|1532.91|999.46|0|561.35|1254.69|948.87|924.34|0|2156.856582|1149.68|1197.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 6X2H TRPZ|1597.44|846.64|1198.08|1277.95|1357.82|1437.7|0|1290.73|1150.16|1081.15|0|1597.44|1041.53|0|584.98|1307.5|988.82|963.26|0|2156.856582|1198.08|1247.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|707.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 4H STR|1623.18|860.29|1217.39|1298.54|1379.7|1460.86|0|1311.53|1168.69|1098.57|0|1623.18|1058.31|0|594.41|1328.57|1004.75|978.78|0|2156.856582|1217.39|1267.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 5H STR|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK  6H STR|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 8H STR|1986.48|1052.83|1489.86|1589.18|1688.51|1787.83|0|1605.08|1430.27|1344.45|0|1986.48|1295.18|0|727.45|1625.93|1229.63|1197.85|0|2156.856582|1489.86|1551.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|880.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/4H T|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/8H T|1986.48|1052.83|1489.86|1589.18|1688.51|1787.83|0|1605.08|1430.27|1344.45|0|1986.48|1295.18|0|727.45|1625.93|1229.63|1197.85|0|2156.856582|1489.86|1551.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|880.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/4H L LFT|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRCLK 2/4H L RGT|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/8H L LFT|1986.48|1052.83|1489.86|1589.18|1688.51|1787.83|0|1605.08|1430.27|1344.45|0|1986.48|1295.18|0|727.45|1625.93|1229.63|1197.85|0|2156.856582|1489.86|1551.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|880.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 2/8H L RGT|1986.48|1052.83|1489.86|1589.18|1688.51|1787.83|0|1605.08|1430.27|1344.45|0|1986.48|1295.18|0|727.45|1625.93|1229.63|1197.85|0|2156.856582|1489.86|1551.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|880.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 2X2H RCT|1879.02|995.88|1409.27|1503.22|1597.17|1691.12|0|1518.25|1352.89|1271.72|0|1879.02|1225.12|0|688.1|1537.98|1163.11|1133.05|0|2156.856582|1409.27|1467.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|832.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 3X2H TRPZ|1939.29|1027.82|1454.47|1551.43|1648.4|1745.36|0|1566.95|1396.29|1312.51|0|1939.29|1264.42|0|710.17|1587.31|1200.42|1169.39|0|2156.856582|1454.47|1514.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|859.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 4X2H TRPZ|2033.85|1077.94|1525.39|1627.08|1728.77|1830.47|0|1643.35|1464.37|1376.51|0|2033.85|1326.07|0|744.8|1664.71|1258.95|1226.41|0|2156.856582|1525.39|1588.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|901.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK GRD 5X2H TRPZ|2124.15|1125.8|1593.11|1699.32|1805.53|1911.74|0|1716.31|1529.39|1437.62|0|2124.15|1384.95|0|777.86|1738.62|1314.85|1280.86|0|2156.856582|1593.11|1658.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|941.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.0/2.3 TRLCK 4 CR FSN|2601.3|1378.69|1950.98|2081.04|2211.11|2341.17|0|2101.85|1872.94|1760.56|0|2601.3|1696.05|0|952.6|2129.16|1610.2|1568.58|0|2156.856582|1950.98|2031.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.64|0|0|0|0|0|0|0|0|2601.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 04MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 05MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 06MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 07MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 08MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 09MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 10MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 12MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 14MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.2 CORTICAL 16MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 04MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 05MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 06MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 07MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 08MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 09MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 10MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 11MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 12MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 13MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 14MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 15MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 16MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 17MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 18MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 19MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 20MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 21MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 22MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 23MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 CORTICAL 24MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 04MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 05MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 06MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 07MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 08MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 09MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 10MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 11MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 12MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.5 TRLCK 13MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.8 EMR 06MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 1.8 EMR 10MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 04MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 05MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 06MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 07MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 08MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 09MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 10MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 11MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 12MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 13MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 14MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 15MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 16MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 17MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 18MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 19MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 20MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 21MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 22MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 23MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 CORTICAL 24MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK06MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK07MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK08MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK09MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK10MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK11MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK12MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK13MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK14MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK16MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK18MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.0 TRILOCK20MM|450.08|238.54|337.56|360.06|382.57|405.07|0|363.66|324.06|304.61|0|450.08|293.45|0|164.82|368.39|278.6|271.4|0|2156.856582|337.56|351.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 05MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 06MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 07MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 08MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 09MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 10MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 11MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 12MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 13MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 14MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 15MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 16MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 17MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 18MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 19MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 20MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 21MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 22MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 23MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRW 2.3 CORTICAL 24MM|277.96|147.32|208.47|222.37|236.27|250.16|0|224.59|200.13|188.12|0|277.96|181.23|0|101.79|227.51|172.06|167.61|0|2156.856582|208.47|217.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|123.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|K-WIRE ADAPTUS HAND|994.76|527.22|746.07|795.81|845.55|895.28|0|803.77|716.23|673.25|0|994.76|648.58|0|364.28|814.21|615.76|599.84|0|11.99410609|746.07|776.91|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|440.78|0|0|0|0|0|0|0|0|994.76
HOSP OP|0272 - STERILE SUPPLY||A4649|PINSTEINMANN TRC/PL SHNK0.93X9|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|11.99410609|105|109.34|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|62.03|0|0|0|0|0|0|0|0|140
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT INNERVS ENDO SHUNT PLCMNT|3024.3|1602.88|2268.23|2419.44|2570.66|2721.87|0|2443.63|2177.5|2046.85|0|3024.3|1971.84|0|1107.5|2475.39|1872.04|1823.65|0|11.99410609|2268.23|2361.98|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1340.07|0|0|0|0|0|0|0|0|3024.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFE SFA 7X170X130CM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK CORR.VOLAR LEFT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK CORR.VOLAR RT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK CORR.VOLAR LEFT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK CORR.VOLAR RT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FRACT.VOLAR LT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5TRILOCK FRACT.VOLAR RT|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FRAME DORSAL LT|2805.84|1487.1|2104.38|2244.67|2384.96|2525.26|0|2267.12|2020.2|1898.99|0|2805.84|1829.41|0|1027.5|2296.58|1736.81|1691.92|0|2156.856582|2104.38|2191.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1243.27|0|0|0|0|0|0|0|0|2805.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5TRILOCK FRAME DORSAL RT|2805.84|1487.1|2104.38|2244.67|2384.96|2525.26|0|2267.12|2020.2|1898.99|0|2805.84|1829.41|0|1027.5|2296.58|1736.81|1691.92|0|2156.856582|2104.38|2191.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1243.27|0|0|0|0|0|0|0|0|2805.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FRAME DORSAL LT|2837.85|1504.06|2128.39|2270.28|2412.17|2554.07|0|2292.98|2043.25|1920.66|0|2837.85|1850.28|0|1039.22|2322.78|1756.63|1711.22|0|2156.856582|2128.39|2216.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1257.45|0|0|0|0|0|0|0|0|2837.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5TRILOCK FRAME DORSAL RT|2837.85|1504.06|2128.39|2270.28|2412.17|2554.07|0|2292.98|2043.25|1920.66|0|2837.85|1850.28|0|1039.22|2322.78|1756.63|1711.22|0|2156.856582|2128.39|2216.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1257.45|0|0|0|0|0|0|0|0|2837.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK  SMALLFRAGMENT|1875.9|994.23|1406.93|1500.72|1594.52|1688.31|0|1515.73|1350.65|1269.61|0|1875.9|1223.09|0|686.95|1535.42|1161.18|1131.17|0|2156.856582|1406.93|1465.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|831.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK  SMALLFRAGMENT|1875.9|994.23|1406.93|1500.72|1594.52|1688.31|0|1515.73|1350.65|1269.61|0|1875.9|1223.09|0|686.95|1535.42|1161.18|1131.17|0|2156.856582|1406.93|1465.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|831.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK  SMALLFRAGMENT|1875.9|994.23|1406.93|1500.72|1594.52|1688.31|0|1515.73|1350.65|1269.61|0|1875.9|1223.09|0|686.95|1535.42|1161.18|1131.17|0|2156.856582|1406.93|1465.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|831.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK  SMALLFRAGMENT|1875.9|994.23|1406.93|1500.72|1594.52|1688.31|0|1515.73|1350.65|1269.61|0|1875.9|1223.09|0|686.95|1535.42|1161.18|1131.17|0|2156.856582|1406.93|1465.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|831.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK  SMALLFRAGMENT|1875.9|994.23|1406.93|1500.72|1594.52|1688.31|0|1515.73|1350.65|1269.61|0|1875.9|1223.09|0|686.95|1535.42|1161.18|1131.17|0|2156.856582|1406.93|1465.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|831.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 ADAPTIVE TRLCK VOLAR L|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 ADAPTIVE TRLCK VOLAR R|2670.51|1415.37|2002.88|2136.41|2269.93|2403.46|0|2157.77|1922.77|1807.4|0|2670.51|1741.17|0|977.94|2185.81|1653.05|1610.32|0|2156.856582|2002.88|2085.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1183.3|0|0|0|0|0|0|0|0|2670.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 ADAPTIVE TRLCK VOLAR L|2898.09|1535.99|2173.57|2318.47|2463.38|2608.28|0|2341.66|2086.62|1961.43|0|2898.09|1889.55|0|1061.28|2372.09|1793.92|1747.55|0|2156.856582|2173.57|2263.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.14|0|0|0|0|0|0|0|0|2898.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 ADAPTIVE TRLCK VOLAR R|2898.09|1535.99|2173.57|2318.47|2463.38|2608.28|0|2341.66|2086.62|1961.43|0|2898.09|1889.55|0|1061.28|2372.09|1793.92|1747.55|0|2156.856582|2173.57|2263.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1284.14|0|0|0|0|0|0|0|0|2898.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 08MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 10MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 12MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 14MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 16MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 18MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 20MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 22MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 24MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 26MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 28MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 30MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 32MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 CORITCAL 34MM|291.72|154.61|218.79|233.38|247.96|262.55|0|235.71|210.04|197.44|0|291.72|190.2|0|106.83|238.77|180.57|175.91|0|2156.856582|218.79|227.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.26|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  08MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  10MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  12MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  14MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  16MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  18MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  20MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  22MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  24MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  26MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  28MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  30MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  32MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK  34MM|472.68|250.52|354.51|378.14|401.78|425.41|0|381.93|340.33|319.91|0|472.68|308.19|0|173.1|386.89|292.59|285.03|0|2156.856582|354.51|369.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|209.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 14MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 16MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 18MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 20MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 22MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5 TRILOCK EXPRESS 24MM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|2156.856582|273|284.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 10MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 12MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 14MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 16MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 18MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 20MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 22MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 24MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 26MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 28MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 30MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 32MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 34MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 36MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 38MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 40MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 42MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 44MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 46MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 48MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 50MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 52MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 54MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA LCK SLF-TP 56MM|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 10MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 15MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 20MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 25MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T30MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 35MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0272 - STERILE SUPPLY||A4649|WIRE 1.6MM COMP T 40MM L150MM|142.84|75.71|107.13|114.27|121.41|128.56|0|115.41|102.84|96.67|0|142.84|93.13|0|52.31|116.91|88.42|86.13|0|11.99410609|107.13|111.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.29|0|0|0|0|0|0|0|0|142.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE X 2.4/2.7MM VA-LCK  XS|2731.8|1447.85|2048.85|2185.44|2322.03|2458.62|0|2207.29|1966.9|1848.88|0|2731.8|1781.13|0|1000.39|2235.98|1690.98|1647.28|0|2156.856582|2048.85|2133.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1210.46|0|0|0|0|0|0|0|0|2731.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE X 2.4/2.7MM VA-LCK  S|2731.8|1447.85|2048.85|2185.44|2322.03|2458.62|0|2207.29|1966.9|1848.88|0|2731.8|1781.13|0|1000.39|2235.98|1690.98|1647.28|0|2156.856582|2048.85|2133.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1210.46|0|0|0|0|0|0|0|0|2731.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE X 2.4/2.7MM VA-LCK  M|2731.8|1447.85|2048.85|2185.44|2322.03|2458.62|0|2207.29|1966.9|1848.88|0|2731.8|1781.13|0|1000.39|2235.98|1690.98|1647.28|0|2156.856582|2048.85|2133.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1210.46|0|0|0|0|0|0|0|0|2731.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE X 2.4/2.7MM VA-LCK  L|2731.8|1447.85|2048.85|2185.44|2322.03|2458.62|0|2207.29|1966.9|1848.88|0|2731.8|1781.13|0|1000.39|2235.98|1690.98|1647.28|0|2156.856582|2048.85|2133.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1210.46|0|0|0|0|0|0|0|0|2731.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VALCK STR FN2H|2211.42|1172.05|1658.57|1769.14|1879.71|1990.28|0|1786.83|1592.22|1496.69|0|2211.42|1441.85|0|809.82|1810.05|1368.87|1333.49|0|2156.856582|1658.57|1727.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|979.88|0|0|0|0|0|0|0|0|2211.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VALCK STR FN4H|2033.91|1077.97|1525.43|1627.13|1728.82|1830.52|0|1643.4|1464.42|1376.55|0|2033.91|1326.11|0|744.82|1664.76|1258.99|1226.45|0|2156.856582|1525.43|1588.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|901.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VA-LCP CL F SH|2146.92|1137.87|1610.19|1717.54|1824.88|1932.23|0|1734.71|1545.78|1453.04|0|2146.92|1399.79|0|786.2|1757.25|1328.94|1294.59|0|2156.856582|1610.19|1676.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|951.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VA-LCP CL F ST|2536.62|1344.41|1902.47|2029.3|2156.13|2282.96|0|2049.59|1826.37|1716.78|0|2536.62|1653.88|0|928.91|2076.22|1570.17|1529.58|0|2156.856582|1902.47|1981.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1123.98|0|0|0|0|0|0|0|0|2536.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VA-LCP CL F LG|2259.9|1197.75|1694.93|1807.92|1920.92|2033.91|0|1826|1627.13|1529.5|0|2259.9|1473.45|0|827.58|1849.73|1398.88|1362.72|0|2156.856582|1694.93|1764.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1001.36|0|0|0|0|0|0|0|0|2259.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP T-F 2HH/SH|2146.92|1137.87|1610.19|1717.54|1824.88|1932.23|0|1734.71|1545.78|1453.04|0|2146.92|1399.79|0|786.2|1757.25|1328.94|1294.59|0|2156.856582|1610.19|1676.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|951.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP T-F 2HH/ST|2536.62|1344.41|1902.47|2029.3|2156.13|2282.96|0|2049.59|1826.37|1716.78|0|2536.62|1653.88|0|928.91|2076.22|1570.17|1529.58|0|2156.856582|1902.47|1981.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1123.98|0|0|0|0|0|0|0|0|2536.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP T-F 2HH/LG|2601.69|1378.9|1951.27|2081.35|2211.44|2341.52|0|2102.17|1873.22|1760.82|0|2601.69|1696.3|0|952.74|2129.48|1610.45|1568.82|0|2156.856582|1951.27|2031.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.81|0|0|0|0|0|0|0|0|2601.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F SH/R|2146.92|1137.87|1610.19|1717.54|1824.88|1932.23|0|1734.71|1545.78|1453.04|0|2146.92|1399.79|0|786.2|1757.25|1328.94|1294.59|0|2156.856582|1610.19|1676.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|951.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F SH/L|2146.92|1137.87|1610.19|1717.54|1824.88|1932.23|0|1734.71|1545.78|1453.04|0|2146.92|1399.79|0|786.2|1757.25|1328.94|1294.59|0|2156.856582|1610.19|1676.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|951.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F ST/R|2203.41|1167.81|1652.56|1762.73|1872.9|1983.07|0|1780.36|1586.46|1491.27|0|2203.41|1436.62|0|806.89|1803.49|1363.91|1328.66|0|2156.856582|1652.56|1720.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|976.33|0|0|0|0|0|0|0|0|2203.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F ST/L|2203.41|1167.81|1652.56|1762.73|1872.9|1983.07|0|1780.36|1586.46|1491.27|0|2203.41|1436.62|0|806.89|1803.49|1363.91|1328.66|0|2156.856582|1652.56|1720.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|976.33|0|0|0|0|0|0|0|0|2203.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F LG/R|2601.69|1378.9|1951.27|2081.35|2211.44|2341.52|0|2102.17|1873.22|1760.82|0|2601.69|1696.3|0|952.74|2129.48|1610.45|1568.82|0|2156.856582|1951.27|2031.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.81|0|0|0|0|0|0|0|0|2601.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L-F LG/L|2601.69|1378.9|1951.27|2081.35|2211.44|2341.52|0|2102.17|1873.22|1760.82|0|2601.69|1696.3|0|952.74|2129.48|1610.45|1568.82|0|2156.856582|1951.27|2031.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.81|0|0|0|0|0|0|0|0|2601.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|2.4/2.7MM VA-LCP T-FUSION PL 3|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|2.4/2.7MM VA-LCP TMT FUSION PL|2601.69|1378.9|1951.27|2081.35|2211.44|2341.52|0|2102.17|1873.22|1760.82|0|2601.69|1696.3|0|952.74|2129.48|1610.45|1568.82|0|2156.856582|1951.27|2031.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.81|0|0|0|0|0|0|0|0|2601.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP 1STTMTF/ST|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MMVA-LCP 1STTMTFSN L|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP  SM 0DG R|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP  SM 0D L|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP  SM 5D R|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP SM 5D L|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP SM 10D R|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP SM 10D L|2861.85|1516.78|2146.39|2289.48|2432.57|2575.67|0|2312.37|2060.53|1936.9|0|2861.85|1865.93|0|1048.01|2342.42|1771.49|1725.7|0|2156.856582|2146.39|2235.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1268.09|0|0|0|0|0|0|0|0|2861.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 0D R|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 0D L|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 5DR|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 5D L|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 10D R|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP M 10D L|2485.89|1317.52|1864.42|1988.71|2113.01|2237.3|0|2008.6|1789.84|1682.45|0|2485.89|1620.8|0|910.33|2034.7|1538.77|1498.99|0|2156.856582|1864.42|1941.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.5|0|0|0|0|0|0|0|0|2485.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCPL 5D R|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP L 5D L|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP RV 0D R|3050.88|1616.97|2288.16|2440.7|2593.25|2745.79|0|2465.11|2196.63|2064.84|0|3050.88|1989.17|0|1117.23|2497.15|1888.49|1839.68|0|2156.856582|2288.16|2382.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.84|0|0|0|0|0|0|0|0|3050.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.4/2.7MM VA-LCP RV 0D L|3050.88|1616.97|2288.16|2440.7|2593.25|2745.79|0|2465.11|2196.63|2064.84|0|3050.88|1989.17|0|1117.23|2497.15|1888.49|1839.68|0|2156.856582|2288.16|2382.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.84|0|0|0|0|0|0|0|0|3050.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/NOS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/3MMS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/4MMS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/5MMS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/6MMS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM OW VA-LCK/7MMS|2316.39|1227.69|1737.29|1853.11|1968.93|2084.75|0|1871.64|1667.8|1567.73|0|2316.39|1510.29|0|848.26|1895.97|1433.85|1396.78|0|2156.856582|1737.29|1809.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1026.39|0|0|0|0|0|0|0|0|2316.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4MM/2.7MM VA-LCK NVCLR|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VA-LCK CBD L|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 2.4/2.7MM VA-LCK CBD R|2824.89|1497.19|2118.67|2259.91|2401.16|2542.4|0|2282.51|2033.92|1911.89|0|2824.89|1841.83|0|1034.47|2312.17|1748.61|1703.41|0|2156.856582|2118.67|2206.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1251.71|0|0|0|0|0|0|0|0|2824.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MS 2.4/2.7MM VALCK 5X12H|3344.66|1772.67|2508.5|2675.73|2842.96|3010.2|0|2702.49|2408.16|2263.67|0|3344.66|2180.72|0|1224.82|2737.61|2070.35|2016.83|0|2156.856582|2508.5|2612.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1482.02|0|0|0|0|0|0|0|0|3344.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 32MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 34MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 36MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 38MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 40MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 42MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 44MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 46MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 48MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 50MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 52MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 54MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM VA LCK SLF-TP 56MM|419.92|222.56|314.94|335.94|356.93|377.93|0|339.3|302.34|284.2|0|419.92|273.79|0|153.77|343.7|259.93|253.21|0|2156.856582|314.94|327.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|186.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 42MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 44MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 46MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 48MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 50MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 52MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 54MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.4MM CRTX SLF-TP 56MM|177.08|93.85|132.81|141.66|150.52|159.37|0|143.08|127.5|119.85|0|177.08|115.46|0|64.85|144.94|109.61|106.78|0|2156.856582|132.81|138.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|78.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CLAMP 4.0MM ADJ DSTL RDS FXTR|1609.05|852.8|1206.79|1287.24|1367.69|1448.15|0|1300.11|1158.52|1089.01|0|1609.05|1049.1|0|589.23|1317.01|996|970.26|0|11.99410609|1206.79|1256.67|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|712.97|0|0|0|0|0|0|0|0|1609.05
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD 8.0MM CARBON FIBER 200MM|416.68|220.84|312.51|333.34|354.18|375.01|0|336.68|300.01|282.01|0|416.68|271.68|0|152.59|341.05|257.92|251.26|0|11.99410609|312.51|325.43|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|184.63|0|0|0|0|0|0|0|0|416.68
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD 8.0MM CARBON FIBER 220MM|416.68|220.84|312.51|333.34|354.18|375.01|0|336.68|300.01|282.01|0|416.68|271.68|0|152.59|341.05|257.92|251.26|0|11.99410609|312.51|325.43|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|184.63|0|0|0|0|0|0|0|0|416.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  2 H/139MM-LEFT|3490.62|1850.03|2617.97|2792.5|2967.03|3141.56|0|2820.42|2513.25|2362.45|0|3490.62|2275.88|0|1278.27|2857.07|2160.69|2104.84|0|2156.856582|2617.97|2726.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1546.69|0|0|0|0|0|0|0|0|3490.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  4 H/175MM-LEFT|3559.83|1886.71|2669.87|2847.86|3025.86|3203.85|0|2876.34|2563.08|2409.29|0|3559.83|2321.01|0|1303.61|2913.72|2203.53|2146.58|0|2156.856582|2669.87|2780.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1577.36|0|0|0|0|0|0|0|0|3559.83
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  6 H/211MM-LEFT|2901.48|1537.78|2176.11|2321.18|2466.26|2611.33|0|2344.4|2089.07|1963.72|0|2901.48|1891.76|0|1062.52|2374.86|1796.02|1749.59|0|2156.856582|2176.11|2266.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1285.65|0|0|0|0|0|0|0|0|2901.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  8 H/247MM-LEFT|3046.82|1614.81|2285.12|2437.46|2589.8|2742.14|0|2461.83|2193.71|2062.09|0|3046.82|1986.53|0|1115.75|2493.83|1885.98|1837.23|0|2156.856582|2285.12|2379.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1350.05|0|0|0|0|0|0|0|0|3046.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  10 H/283MM-LEFT|3263.09|1729.44|2447.32|2610.47|2773.62|2936.78|0|2636.58|2349.42|2208.46|0|3263.09|2127.53|0|1194.94|2670.84|2019.85|1967.64|0|2156.856582|2447.32|2548.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1445.87|0|0|0|0|0|0|0|0|3263.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  12 H/319MM-LEFT|3456.89|1832.15|2592.67|2765.51|2938.35|3111.2|0|2793.17|2488.96|2339.62|0|3456.89|2253.89|0|1265.91|2829.46|2139.81|2084.5|0|2156.856582|2592.67|2699.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1531.75|0|0|0|0|0|0|0|0|3456.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  14 H/355MM-LEFT|3733.7|1978.86|2800.28|2986.96|3173.65|3360.33|0|3016.83|2688.27|2526.97|0|3733.7|2434.38|0|1367.28|3056.04|2311.16|2251.42|0|2156.856582|2800.28|2916.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1654.4|0|0|0|0|0|0|0|0|3733.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  16 H/391MM-LEFT|3846.19|2038.48|2884.64|3076.95|3269.26|3461.57|0|3107.72|2769.26|2603.1|0|3846.19|2507.72|0|1408.48|3148.11|2380.79|2319.25|0|2156.856582|2884.64|3003.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1704.25|0|0|0|0|0|0|0|0|3846.19
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  2 H/139MM-RIGHT|3490.62|1850.03|2617.97|2792.5|2967.03|3141.56|0|2820.42|2513.25|2362.45|0|3490.62|2275.88|0|1278.27|2857.07|2160.69|2104.84|0|2156.856582|2617.97|2726.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1546.69|0|0|0|0|0|0|0|0|3490.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  4 H/175MM-RIGHT|3559.83|1886.71|2669.87|2847.86|3025.86|3203.85|0|2876.34|2563.08|2409.29|0|3559.83|2321.01|0|1303.61|2913.72|2203.53|2146.58|0|2156.856582|2669.87|2780.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1577.36|0|0|0|0|0|0|0|0|3559.83
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  6 H/211MM-RIGHT|2901.48|1537.78|2176.11|2321.18|2466.26|2611.33|0|2344.4|2089.07|1963.72|0|2901.48|1891.76|0|1062.52|2374.86|1796.02|1749.59|0|2156.856582|2176.11|2266.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1285.65|0|0|0|0|0|0|0|0|2901.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  8 H/247MM-RIGHT|3046.82|1614.81|2285.12|2437.46|2589.8|2742.14|0|2461.83|2193.71|2062.09|0|3046.82|1986.53|0|1115.75|2493.83|1885.98|1837.23|0|2156.856582|2285.12|2379.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1350.05|0|0|0|0|0|0|0|0|3046.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  10 H/283MM-RIGHT|3263.09|1729.44|2447.32|2610.47|2773.62|2936.78|0|2636.58|2349.42|2208.46|0|3263.09|2127.53|0|1194.94|2670.84|2019.85|1967.64|0|2156.856582|2447.32|2548.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1445.87|0|0|0|0|0|0|0|0|3263.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  12 H/319MM-RIGHT|3456.89|1832.15|2592.67|2765.51|2938.35|3111.2|0|2793.17|2488.96|2339.62|0|3456.89|2253.89|0|1265.91|2829.46|2139.81|2084.5|0|2156.856582|2592.67|2699.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1531.75|0|0|0|0|0|0|0|0|3456.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  14 H/355MM-RIGHT|3733.7|1978.86|2800.28|2986.96|3173.65|3360.33|0|3016.83|2688.27|2526.97|0|3733.7|2434.38|0|1367.28|3056.04|2311.16|2251.42|0|2156.856582|2800.28|2916.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1654.4|0|0|0|0|0|0|0|0|3733.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4.5MM  16 H/391MM-RIGHT|3846.19|2038.48|2884.64|3076.95|3269.26|3461.57|0|3107.72|2769.26|2603.1|0|3846.19|2507.72|0|1408.48|3148.11|2380.79|2319.25|0|2156.856582|2884.64|3003.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1704.25|0|0|0|0|0|0|0|0|3846.19
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP-DCP 5H 223.55|461.36|244.52|346.02|369.09|392.16|415.22|0|372.78|332.18|312.25|0|461.36|300.81|0|168.95|377.62|285.58|278.2|0|2156.856582|346.02|360.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|204.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 30MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 35MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 40MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 45MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 50MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 55MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 60MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 65MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 70MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 75MM|980.72|519.78|735.54|784.58|833.61|882.65|0|792.42|706.12|663.75|0|980.72|639.43|0|359.14|802.72|607.07|591.37|0|2156.856582|735.54|765.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 80MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 85MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 90MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MM THRD 95MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 100MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 105MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 110MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 115MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 120MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 125MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 130MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 135MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 140MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 145MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 16MMTHRD 150MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 45MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 50MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 55MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 60MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 65MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 70MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 75MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 80MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 85MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 90MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MM THRD 95MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 100MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 105MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 110MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 115MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 120MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 125MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 130MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 135MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 140MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 145MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5MM CAN 32MMTHRD 150MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE 2.8 WFLT300/150MM CL|269.72|142.95|202.29|215.78|229.26|242.75|0|217.93|194.2|182.55|0|269.72|175.86|0|98.77|220.77|166.96|162.64|0|0|202.29|210.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|119.51|0|0|0|0|0|0|0|0|269.72
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE 2.8 TRD450TP300MMCL|209.28|110.92|156.96|167.42|177.89|188.35|0|169.1|150.68|141.64|0|209.28|136.45|0|76.64|171.3|129.54|126.2|0|0|156.96|163.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.73|0|0|0|0|0|0|0|0|209.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 64MM THD 120MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 64MM THD 125MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 64MM THD 130MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 64MM THD 135MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 140MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 145MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 150MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 155MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 160MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 165MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 170MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 175MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 7.5MM CANN 75MM THD 180MM|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 27.5M 7200127|2626.2|1391.89|1969.65|2100.96|2232.27|2363.58|0|2121.97|1890.86|1777.41|0|2626.2|1712.28|0|961.71|2149.54|1625.62|1583.6|0|2156.856582|1969.65|2051.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.67|0|0|0|0|0|0|0|0|2626.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 30M 7200130|2626.2|1391.89|1969.65|2100.96|2232.27|2363.58|0|2121.97|1890.86|1777.41|0|2626.2|1712.28|0|961.71|2149.54|1625.62|1583.6|0|2156.856582|1969.65|2051.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.67|0|0|0|0|0|0|0|0|2626.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 32.5M 7200032|2626.2|1391.89|1969.65|2100.96|2232.27|2363.58|0|2121.97|1890.86|1777.41|0|2626.2|1712.28|0|961.71|2149.54|1625.62|1583.6|0|2156.856582|1969.65|2051.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.67|0|0|0|0|0|0|0|0|2626.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 45M 7200145|2772.72|1469.54|2079.54|2218.18|2356.81|2495.45|0|2240.36|1996.36|1876.58|0|2772.72|1807.81|0|1015.37|2269.47|1716.31|1671.95|0|2156.856582|2079.54|2165.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.59|0|0|0|0|0|0|0|0|2772.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 47.5M 7200147|2772.72|1469.54|2079.54|2218.18|2356.81|2495.45|0|2240.36|1996.36|1876.58|0|2772.72|1807.81|0|1015.37|2269.47|1716.31|1671.95|0|2156.856582|2079.54|2165.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.59|0|0|0|0|0|0|0|0|2772.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 50M 7200150|2772.72|1469.54|2079.54|2218.18|2356.81|2495.45|0|2240.36|1996.36|1876.58|0|2772.72|1807.81|0|1015.37|2269.47|1716.31|1671.95|0|2156.856582|2079.54|2165.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.59|0|0|0|0|0|0|0|0|2772.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 55M 7200055|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 67.5M 7200167|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 70M 7200170|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 72.5M 7200172|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 80M 7200180|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 82.5M 7200182|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 85M 7200185|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X11M 3120411|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X16M 3120416|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X17M 3120417|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X11M3120511|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4.5X11M 3125411|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4.5X11M3125511|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4.5X17M3125517|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4X11M 3120211|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4X11M 3120311|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SFTP 4.5X11M 3125211|665|352.45|498.75|532|565.25|598.5|0|537.32|478.8|450.07|0|665|433.58|0|243.52|544.3|411.64|401|0|2156.856582|498.75|519.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLTP 4.5X11M 3125311|665|352.45|498.75|532|565.25|598.5|0|537.32|478.8|450.07|0|665|433.58|0|243.52|544.3|411.64|401|0|2156.856582|498.75|519.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 15H LR3|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 15H RR3|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 16H LR4/5|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 16H RR4/5|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 17H LR6/7|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 17H RR6/7|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 18H LR8/9|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB PRCNT 18H RR8/9|3800.52|2014.28|2850.39|3040.42|3230.44|3420.47|0|3070.82|2736.37|2572.19|0|3800.52|2477.94|0|1391.75|3110.73|2352.52|2291.71|0|2156.856582|2850.39|2968.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.01|0|0|0|0|0|0|0|0|3800.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE TI MTXRB UNVRSL 8H|3236.76|1715.48|2427.57|2589.41|2751.25|2913.08|0|2615.3|2330.47|2190.64|0|3236.76|2110.37|0|1185.3|2649.29|2003.55|1951.77|0|2156.856582|2427.57|2527.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1434.21|0|0|0|0|0|0|0|0|3236.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SPLINT TI MTXRB IM S 3MM W|1718.01|910.55|1288.51|1374.41|1460.31|1546.21|0|1388.15|1236.97|1162.75|0|1718.01|1120.14|0|629.14|1406.19|1063.45|1035.96|0|2156.856582|1288.51|1341.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|761.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SPLINT TI MTXRB IM MED 4MM W|1718.01|910.55|1288.51|1374.41|1460.31|1546.21|0|1388.15|1236.97|1162.75|0|1718.01|1120.14|0|629.14|1406.19|1063.45|1035.96|0|2156.856582|1288.51|1341.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|761.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SPLINT TI MTXRB IM L 5MM W|1718.01|910.55|1288.51|1374.41|1460.31|1546.21|0|1388.15|1236.97|1162.75|0|1718.01|1120.14|0|629.14|1406.19|1063.45|1035.96|0|2156.856582|1288.51|1341.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|761.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9M TI MTXRB LCKSFTP 6M|800.28|424.15|600.21|640.22|680.24|720.25|0|646.63|576.2|541.63|0|800.28|521.78|0|293.06|655.03|495.37|482.57|0|2156.856582|600.21|625.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9M TI MTXRB LCKSFTP14M|800.28|424.15|600.21|640.22|680.24|720.25|0|646.63|576.2|541.63|0|800.28|521.78|0|293.06|655.03|495.37|482.57|0|2156.856582|600.21|625.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9MM TI MTXRB LCKST8MM|800.28|424.15|600.21|640.22|680.24|720.25|0|646.63|576.2|541.63|0|800.28|521.78|0|293.06|655.03|495.37|482.57|0|2156.856582|600.21|625.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9MM TI MTXRB LCKST10MM|800.28|424.15|600.21|640.22|680.24|720.25|0|646.63|576.2|541.63|0|800.28|521.78|0|293.06|655.03|495.37|482.57|0|2156.856582|600.21|625.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9MM TI MTXRB LCKST12MM|800.28|424.15|600.21|640.22|680.24|720.25|0|646.63|576.2|541.63|0|800.28|521.78|0|293.06|655.03|495.37|482.57|0|2156.856582|600.21|625.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|354.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.9M TI MTXRBNLKSLFTP10M|505.44|267.88|379.08|404.35|429.62|454.9|0|408.4|363.92|342.08|0|505.44|329.55|0|185.09|413.7|312.87|304.78|0|2156.856582|379.08|394.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|223.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 52.5M 7200052|2772.72|1469.54|2079.54|2218.18|2356.81|2495.45|0|2240.36|1996.36|1876.58|0|2772.72|1807.81|0|1015.37|2269.47|1716.31|1671.95|0|2156.856582|2079.54|2165.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.59|0|0|0|0|0|0|0|0|2772.72
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG MEPILEX BORDERAG 4X12|113.72|60.27|85.29|90.98|96.66|102.35|0|91.89|81.88|76.97|0|113.72|74.15|0|41.64|93.08|70.39|68.57|0|11.99410609|85.29|88.82|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|50.39|0|0|0|0|0|0|0|0|113.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BIO-A HIATAL REP 7X10CM|1972|1045.16|1479|1577.6|1676.2|1774.8|0|1593.38|1419.84|1334.65|0|1972|1285.74|0|722.15|1614.08|1220.67|1189.12|0|0|1479|1540.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|873.79|0|0|0|0|0|0|0|0|1972
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT ST W ECHO PS 7X9|2988|1583.64|2241|2390.4|2539.8|2689.2|0|2414.3|2151.36|2022.28|0|2988|1948.18|0|1094.21|2445.68|1849.57|1801.76|0|0|2241|2333.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1323.98|0|0|0|0|0|0|0|0|2988
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT STW ECHO PS 6X10|3402.69|1803.43|2552.02|2722.15|2892.29|3062.42|0|2749.37|2449.94|2302.94|0|3402.69|2218.55|0|1246.07|2785.1|2106.27|2051.82|0|0|2552.02|2657.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1507.73|0|0|0|0|0|0|0|0|3402.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT ST W ECHO PS 6X8|2595|1375.35|1946.25|2076|2205.75|2335.5|0|2096.76|1868.4|1756.3|0|2595|1691.94|0|950.29|2124.01|1606.31|1564.79|0|0|1946.25|2026.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1149.84|0|0|0|0|0|0|0|0|2595
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT STW ECHO PS 8X10|3547.2|1880.02|2660.4|2837.76|3015.12|3192.48|0|2866.14|2553.98|2400.74|0|3547.2|2312.77|0|1298.98|2903.38|2195.72|2138.96|0|0|2660.4|2770.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1571.76|0|0|0|0|0|0|0|0|3547.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT STW ECHOPS 10X13|3591|1903.23|2693.25|2872.8|3052.35|3231.9|0|2901.53|2585.52|2430.39|0|3591|2341.33|0|1315.02|2939.23|2222.83|2165.37|0|0|2693.25|2804.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1591.17|0|0|0|0|0|0|0|0|3591
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLE W CRMP 1X750MM STERILE|1583.08|839.03|1187.31|1266.46|1345.62|1424.77|0|1279.13|1139.82|1071.43|0|1583.08|1032.17|0|579.72|1295.75|979.93|954.6|0|11.99410609|1187.31|1236.39|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|701.46|0|0|0|0|0|0|0|0|1583.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NT 48/32 1221-32-048|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NT 50/32 1221-32-050|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NT 52/36 1221-36-052|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NT 54/36 1221-36-054|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 65MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 65MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 70MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 70MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 75MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 75MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 80MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 80MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 85MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 85MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 90MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 90MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL PRT THRD 95MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CNCL FLL THRD 95MM|452.72|239.94|339.54|362.18|384.81|407.45|0|365.8|325.96|306.4|0|452.72|295.17|0|165.79|370.55|280.23|272.99|0|2156.856582|339.54|353.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|200.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB LFT 4H|3555.51|1884.42|2666.63|2844.41|3022.18|3199.96|0|2872.85|2559.97|2406.37|0|3555.51|2318.19|0|1302.03|2910.18|2200.86|2143.97|0|2156.856582|2666.63|2776.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1575.45|0|0|0|0|0|0|0|0|3555.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB LFT 6H|3598.74|1907.33|2699.06|2878.99|3058.93|3238.87|0|2907.78|2591.09|2435.63|0|3598.74|2346.38|0|1317.86|2945.57|2227.62|2170.04|0|2156.856582|2699.06|2810.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.6|0|0|0|0|0|0|0|0|3598.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB LFT 8H|2911.87|1543.29|2183.9|2329.5|2475.09|2620.68|0|2352.79|2096.55|1970.75|0|2911.87|1898.54|0|1066.33|2383.37|1802.45|1755.86|0|2156.856582|2183.9|2274.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1290.25|0|0|0|0|0|0|0|0|2911.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB LFT 10H|2943.02|1559.8|2207.27|2354.42|2501.57|2648.72|0|2377.96|2118.98|1991.84|0|2943.02|1918.85|0|1077.74|2408.87|1821.73|1774.64|0|2156.856582|2207.27|2298.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.05|0|0|0|0|0|0|0|0|2943.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB LFT 12H|2981.09|1579.98|2235.82|2384.87|2533.92|2682.98|0|2408.72|2146.38|2017.6|0|2981.09|1943.67|0|1091.67|2440.02|1845.29|1797.6|0|2156.856582|2235.82|2328.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1320.92|0|0|0|0|0|0|0|0|2981.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB LFT 14H|3013.97|1597.41|2260.48|2411.17|2561.87|2712.57|0|2435.29|2170.06|2039.85|0|3013.97|1965.11|0|1103.72|2466.93|1865.65|1817.42|0|2156.856582|2260.48|2353.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1335.49|0|0|0|0|0|0|0|0|3013.97
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB LFT 16H|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB LFT 4H|3555.51|1884.42|2666.63|2844.41|3022.18|3199.96|0|2872.85|2559.97|2406.37|0|3555.51|2318.19|0|1302.03|2910.18|2200.86|2143.97|0|2156.856582|2666.63|2776.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1575.45|0|0|0|0|0|0|0|0|3555.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB LFT 6H|3598.74|1907.33|2699.06|2878.99|3058.93|3238.87|0|2907.78|2591.09|2435.63|0|3598.74|2346.38|0|1317.86|2945.57|2227.62|2170.04|0|2156.856582|2699.06|2810.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.6|0|0|0|0|0|0|0|0|3598.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PROX TIB LB RT 8H|2911.87|1543.29|2183.9|2329.5|2475.09|2620.68|0|2352.79|2096.55|1970.75|0|2911.87|1898.54|0|1066.33|2383.37|1802.45|1755.86|0|2156.856582|2183.9|2274.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1290.25|0|0|0|0|0|0|0|0|2911.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB RT 10H|2943.02|1559.8|2207.27|2354.42|2501.57|2648.72|0|2377.96|2118.98|1991.84|0|2943.02|1918.85|0|1077.74|2408.87|1821.73|1774.64|0|2156.856582|2207.27|2298.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.05|0|0|0|0|0|0|0|0|2943.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB RT 12H|2981.09|1579.98|2235.82|2384.87|2533.92|2682.98|0|2408.72|2146.38|2017.6|0|2981.09|1943.67|0|1091.67|2440.02|1845.29|1797.6|0|2156.856582|2235.82|2328.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1320.92|0|0|0|0|0|0|0|0|2981.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB RT 14H|3013.97|1597.41|2260.48|2411.17|2561.87|2712.57|0|2435.29|2170.06|2039.85|0|3013.97|1965.11|0|1103.72|2466.93|1865.65|1817.42|0|2156.856582|2260.48|2353.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1335.49|0|0|0|0|0|0|0|0|3013.97
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX TIB LB RT 16H|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCREW 7753520|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|2156.856582|378|393.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|223.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCREW 7752510|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|2156.856582|378|393.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|223.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/75MM 04.032.075S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/80MM 04.032.080S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/85MM 04.032.085S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/90MM 04.032.090S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/95MM 04.032.095S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/100MM 04.032.100S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/105MM 04.032.105S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/110MM 04.032.110S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/115MM 04.032.115S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/120MM 04.032.120S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/125MM 04.032.125S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/130MM 04.032.130S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X7MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X8MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X9MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X10MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X11MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X12MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X13MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X15MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X17MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X7MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X8MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X9MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X10MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X11M|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X12MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X13MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X15MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X17MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 9X24X10MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X24X11MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X24X12MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X24X13MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X24X15MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 9X28X10MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X11MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X12MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X13MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X28X15MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 9X32X10MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X11MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X12MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X13MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER OPAL 10X32X15MM-REV|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0272 - STERILE SUPPLY||A4649|SYS COCHLEAR 1 PROCESSOR|35673.75|18907.09|26755.31|28539|30322.69|32106.38|0|28824.39|25685.1|24143.99|0|35673.75|23259.29|0|13063.73|29198.96|22082.05|21511.27|0|11.99410609|26755.31|27861.2|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|15807.04|0|0|0|0|0|0|0|0|35673.75
HOSP OP|0272 - STERILE SUPPLY||A4649|SYS COCHLEAR 2 PROCESSOR|37923.75|20099.59|28442.81|30339|32235.19|34131.38|0|30642.39|27305.1|25666.79|0|37923.75|24726.29|0|13887.68|31040.59|23474.8|22868.02|0|11.99410609|28442.81|29618.45|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|16804.01|0|0|0|0|0|0|0|0|37923.75
HOSP OP|0272 - STERILE SUPPLY||A4649|SYS COCHLEAR 2 PROCESSOR|23673.75|12547.09|17755.31|18939|20122.69|21306.38|0|19128.39|17045.1|16022.39|0|23673.75|15435.29|0|8669.33|19376.96|14654.05|14275.27|0|11.99410609|17755.31|18489.2|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|10489.84|0|0|0|0|0|0|0|0|23673.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE ATS S/T 32M|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE ATS S/T 34M|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 130 DEG 4H|1833.96|972|1375.47|1467.17|1558.87|1650.56|0|1481.84|1320.45|1241.22|0|1833.96|1195.74|0|671.6|1501.1|1135.22|1105.88|0|2156.856582|1375.47|1432.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|812.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TIGHTROPE ABS|736|390.08|552|588.8|625.6|662.4|0|594.69|529.92|498.12|0|736|479.87|0|269.52|602.42|455.58|443.81|0|2156.856582|552|574.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|326.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TIGHTROPE ACL RT|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|2156.856582|1050|1093.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|620.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BUTTON TIGHTROPE ABS|572|303.16|429|457.6|486.2|514.8|0|462.18|411.84|387.13|0|572|372.94|0|209.47|468.18|354.07|344.92|0|2156.856582|429|446.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|253.45|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG ABTHERA WOUND VAC|1875.32|993.92|1406.49|1500.26|1594.02|1687.79|0|1515.26|1350.23|1269.22|0|1875.32|1222.71|0|686.74|1534.95|1160.82|1130.82|0|11.99410609|1406.49|1464.62|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|830.95|0|0|0|0|0|0|0|0|1875.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ANCHOR SUT BIOCOM SWVLCK C CE|1600|848|1200|1280|1360|1440|0|1292.8|1152|1082.88|0|1600|1043.2|0|585.92|1309.6|990.4|964.8|0|2156.856582|1200|1249.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|708.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|BONE SEMITENDINOSUS TENDON|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||A4649|DRSG NASOPORE SINUS STD 8CM|700.92|371.49|525.69|560.74|595.78|630.83|0|566.34|504.66|474.38|0|700.92|457|0|256.68|573.7|433.87|422.65|0|11.99410609|525.69|547.42|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|310.58|0|0|0|0|0|0|0|0|700.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004020 4.0X20M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004025 4.0X25M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004030 4.0X30M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004035 4.0X35M|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004040 4.0X40M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004045 4.0X45M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004050 4.0X50M|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SLR MA 54840004055 4.0X55M|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|2156.856582|2047.5|2132.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||A4649|DRAIN CHEST ATRIUM DRY MINI|257.68|136.57|193.26|206.14|219.03|231.91|0|208.21|185.53|174.4|0|257.68|168.01|0|94.36|210.91|159.5|155.38|0|11.99410609|193.26|201.25|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|114.18|0|0|0|0|0|0|0|0|257.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 18FR|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 12FR|1292|684.76|969|1033.6|1098.2|1162.8|0|1043.94|930.24|874.43|0|1292|842.38|0|473.13|1057.5|799.75|779.08|0|0|969|1009.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|572.49|0|0|0|0|0|0|0|0|1292
HOSP OP|0272 - STERILE SUPPLY||A4649|PACKING NASAL SINU-FOAM|276|146.28|207|220.8|234.6|248.4|0|223.01|198.72|186.8|0|276|179.95|0|101.07|225.91|170.84|166.43|0|11.99410609|207|215.56|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|122.3|0|0|0|0|0|0|0|0|276
HOSP OP|0272 - STERILE SUPPLY||A4649|EPISTAT NASAL CATH|378.84|200.79|284.13|303.07|322.01|340.96|0|306.1|272.76|256.4|0|378.84|247|0|138.73|310.08|234.5|228.44|0|11.99410609|284.13|295.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.86|0|0|0|0|0|0|0|0|378.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE CANC/CORT CRUSHED 60CC|3471.6|1839.95|2603.7|2777.28|2950.86|3124.44|0|2805.05|2499.55|2349.58|0|3471.6|2263.48|0|1271.3|2841.5|2148.92|2093.37|0|2156.856582|2603.7|2711.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1538.27|0|0|0|0|0|0|0|0|3471.6
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 14FR|1292|684.76|969|1033.6|1098.2|1162.8|0|1043.94|930.24|874.43|0|1292|842.38|0|473.13|1057.5|799.75|779.08|0|0|969|1009.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|572.49|0|0|0|0|0|0|0|0|1292
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 16FR|1292|684.76|969|1033.6|1098.2|1162.8|0|1043.94|930.24|874.43|0|1292|842.38|0|473.13|1057.5|799.75|779.08|0|0|969|1009.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|572.49|0|0|0|0|0|0|0|0|1292
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 2.5MM|1196.68|634.24|897.51|957.34|1017.18|1077.01|0|966.92|861.61|809.91|0|1196.68|780.24|0|438.22|979.48|740.74|721.6|0|11.99410609|897.51|934.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.25|0|0|0|0|0|0|0|0|1196.68
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY THRU-LUMEN4FR|368.12|195.1|276.09|294.5|312.9|331.31|0|297.44|265.05|249.14|0|368.12|240.01|0|134.81|301.31|227.87|221.98|0|0|276.09|287.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|163.11|0|0|0|0|0|0|0|0|368.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SHUNT STRATA II ASSY REG 120CM|6858.72|3635.12|5144.04|5486.98|5829.91|6172.85|0|5541.85|4938.28|4641.98|0|6858.72|4471.89|0|2511.66|5613.86|4245.55|4135.81|0|0|5144.04|5356.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3039.1|0|0|0|0|0|0|0|0|6858.72
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY THRU-LUMEN3FR|357.4|189.42|268.05|285.92|303.79|321.66|0|288.78|257.33|241.89|0|357.4|233.02|0|130.88|292.53|221.23|215.51|0|0|268.05|279.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|158.36|0|0|0|0|0|0|0|0|357.4
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO PERITONEAL SHEATH 70|169.2|89.68|126.9|135.36|143.82|152.28|0|136.71|121.82|114.51|0|169.2|110.32|0|61.96|138.49|104.73|102.03|0|0|126.9|132.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|74.97|0|0|0|0|0|0|0|0|169.2
HOSP OP|0272 - STERILE SUPPLY||C2618|CRYOABLATION PROBE SEEDNET|1128.56|598.14|846.42|902.85|959.28|1015.7|0|911.88|812.56|763.81|0|1128.56|735.82|0|413.28|923.73|698.58|680.52|0|0|846.42|881.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|500.06|0|0|0|0|0|0|0|0|1128.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDOVASCULAR ABDOMINAL 2 PIECE|21276|11276.28|15957|17020.8|18084.6|19148.4|0|17191.01|15318.72|14399.6|0|21276|13871.95|0|7791.27|17414.41|13169.84|12829.43|0|0|15957|16616.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9427.4|0|0|0|0|0|0|0|0|21276
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDOVASCULAR ABDOMINAL 3 PIECE|24427.5|12946.57|18320.63|19542|20763.38|21984.75|0|19737.42|17587.8|16532.53|0|24427.5|15926.73|0|8945.35|19993.91|15120.62|14729.78|0|0|18320.63|19077.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10823.83|0|0|0|0|0|0|0|0|24427.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDOVASCULAR ABDOMINAL 4 PIECE|27579|14616.87|20684.25|22063.2|23442.15|24821.1|0|22283.83|19856.88|18665.47|0|27579|17981.51|0|10099.43|22573.41|17071.4|16630.14|0|0|20684.25|21539.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|12220.25|0|0|0|0|0|0|0|0|27579
HOSP OP|0272 - STERILE SUPPLY||A4649|CRYOABLATION SERVICE FEE|3120|1653.6|2340|2496|2652|2808|0|2520.96|2246.4|2111.62|0|3120|2034.24|0|1142.54|2553.72|1931.28|1881.36|0|11.99410609|2340|2436.72|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1382.47|0|0|0|0|0|0|0|0|3120
HOSP OP|0272 - STERILE SUPPLY||A4649|K-WR SYN TH 1.25 292.600|123.24|65.32|92.43|98.59|104.75|110.92|0|99.58|88.73|83.41|0|123.24|80.35|0|45.13|100.87|76.29|74.31|0|11.99410609|92.43|96.25|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|54.61|0|0|0|0|0|0|0|0|123.24
HOSP OP|0272 - STERILE SUPPLY||A4649|K-WR SYN TH 1.6 292.708|123.24|65.32|92.43|98.59|104.75|110.92|0|99.58|88.73|83.41|0|123.24|80.35|0|45.13|100.87|76.29|74.31|0|11.99410609|92.43|96.25|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|54.61|0|0|0|0|0|0|0|0|123.24
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFX SMCNNCT 3.0 ANGLED|143.32|75.96|107.49|114.66|121.82|128.99|0|115.8|103.19|97|0|143.32|93.44|0|52.48|117.31|88.72|86.42|0|11.99410609|107.49|111.93|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|63.51|0|0|0|0|0|0|0|0|143.32
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT 3.0/25 395.105|111.32|59|83.49|89.06|94.62|100.19|0|89.95|80.15|75.34|0|111.32|72.58|0|40.77|91.12|68.91|67.13|0|11.99410609|83.49|86.94|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|49.33|0|0|0|0|0|0|0|0|111.32
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT 3.0/45 395.107|111.32|59|83.49|89.06|94.62|100.19|0|89.95|80.15|75.34|0|111.32|72.58|0|40.77|91.12|68.91|67.13|0|11.99410609|83.49|86.94|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|49.33|0|0|0|0|0|0|0|0|111.32
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT 3.0/60 395.109|111.32|59|83.49|89.06|94.62|100.19|0|89.95|80.15|75.34|0|111.32|72.58|0|40.77|91.12|68.91|67.13|0|11.99410609|83.49|86.94|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|49.33|0|0|0|0|0|0|0|0|111.32
HOSP OP|0272 - STERILE SUPPLY||A4649|BARSYNFXSMCNNCT3.0/75 395.111|111.32|59|83.49|89.06|94.62|100.19|0|89.95|80.15|75.34|0|111.32|72.58|0|40.77|91.12|68.91|67.13|0|11.99410609|83.49|86.94|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|49.33|0|0|0|0|0|0|0|0|111.32
HOSP OP|0272 - STERILE SUPPLY||A4649|CLMP SYN FX 1.25 395.125|1962.36|1040.05|1471.77|1569.89|1668.01|1766.12|0|1585.59|1412.9|1328.13|0|1962.36|1279.46|0|718.62|1606.19|1214.7|1183.3|0|11.99410609|1471.77|1532.6|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|869.52|0|0|0|0|0|0|0|0|1962.36
HOSP OP|0272 - STERILE SUPPLY||A4649|CLMP SYN FX 1.6 395.126|1962.36|1040.05|1471.77|1569.89|1668.01|1766.12|0|1585.59|1412.9|1328.13|0|1962.36|1279.46|0|718.62|1606.19|1214.7|1183.3|0|11.99410609|1471.77|1532.6|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|869.52|0|0|0|0|0|0|0|0|1962.36
HOSP OP|0272 - STERILE SUPPLY||A4649|CLMP SYN FX 3.0/3.0 395.133|1823.44|966.42|1367.58|1458.75|1549.92|1641.1|0|1473.34|1312.88|1234.1|0|1823.44|1188.88|0|667.74|1492.49|1128.71|1099.53|0|11.99410609|1367.58|1424.11|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|807.97|0|0|0|0|0|0|0|0|1823.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GRAFT AXILLO BIFEM 8MM|6029.1|3195.42|4521.83|4823.28|5124.74|5426.19|0|4871.51|4340.95|4080.49|0|6029.1|3930.97|0|2207.86|4934.82|3732.01|3635.55|0|0|4521.83|4708.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2671.49|0|0|0|0|0|0|0|0|6029.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VENTRIO CIR ST LG 4.5|1846.8|978.8|1385.1|1477.44|1569.78|1662.12|0|1492.21|1329.7|1249.91|0|1846.8|1204.11|0|676.3|1511.61|1143.17|1113.62|0|0|1385.1|1442.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|818.32|0|0|0|0|0|0|0|0|1846.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VENTRIO OVAL ST LG 5X7|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VENTRIO OVAL ST XL 7X9|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|0|0|0|0|0|0|3360
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFN 11/70MM 04.032.070S|1402.32|743.23|1051.74|1121.86|1191.97|1262.09|0|1133.07|1009.67|949.09|0|1402.32|914.31|0|513.53|1147.8|868.04|845.6|0|2156.856582|1051.74|1095.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|621.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 8.5 1376-46-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T-CLVR 1/3/57/5H 441.35|573.84|304.14|430.38|459.07|487.76|516.46|0|463.66|413.16|388.37|0|573.84|374.14|0|210.14|469.69|355.21|346.03|0|2156.856582|430.38|448.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|254.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T-CLVR 1/3/69/6H 441.36|573.84|304.14|430.38|459.07|487.76|516.46|0|463.66|413.16|388.37|0|573.84|374.14|0|210.14|469.69|355.21|346.03|0|2156.856582|430.38|448.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|254.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T-CLVR 1/3/81/7H 441.37|585.36|310.24|439.02|468.29|497.56|526.82|0|472.97|421.46|396.17|0|585.36|381.65|0|214.36|479.12|362.34|352.97|0|2156.856582|439.02|457.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|259.37|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T-CLVR 1/3/93/8H 441.38|614.2|325.53|460.65|491.36|522.07|552.78|0|496.27|442.22|415.69|0|614.2|400.46|0|224.92|502.72|380.19|370.36|0|2156.856582|460.65|479.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|272.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI TCLVR1/3/117/10H 441.40|614.2|325.53|460.65|491.36|522.07|552.78|0|496.27|442.22|415.69|0|614.2|400.46|0|224.92|502.72|380.19|370.36|0|2156.856582|460.65|479.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|272.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI TCLVR1/3/141/12H 441.42|637.28|337.76|477.96|509.82|541.69|573.55|0|514.92|458.84|431.31|0|637.28|415.51|0|233.37|521.61|394.48|384.28|0|2156.856582|477.96|497.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|282.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC 3.5/70/5H 445.051|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|2156.856582|1102.98|1148.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|651.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC 3.5/84/6H 445.061|1701.32|901.7|1275.99|1361.06|1446.12|1531.19|0|1374.67|1224.95|1151.45|0|1701.32|1109.26|0|623.02|1392.53|1053.12|1025.9|0|2156.856582|1275.99|1328.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|753.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC 3.5/98/7H 445.071|1787.84|947.56|1340.88|1430.27|1519.66|1609.06|0|1444.57|1287.24|1210.01|0|1787.84|1165.67|0|654.71|1463.35|1106.67|1078.07|0|2156.856582|1340.88|1396.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|792.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 10.0 1376-48-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC 3.5/112/8H 445.081|1865.72|988.83|1399.29|1492.58|1585.86|1679.15|0|1507.5|1343.32|1262.72|0|1865.72|1216.45|0|683.23|1527.09|1154.88|1125.03|0|2156.856582|1399.29|1457.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|826.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC3.5/140/10H 445.101|1932|1023.96|1449|1545.6|1642.2|1738.8|0|1561.06|1391.04|1307.58|0|1932|1259.66|0|707.5|1581.34|1195.91|1165|0|2156.856582|1449|1508.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|856.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  REC3.5/168/12H 445.121|1574.43|834.45|1180.82|1259.54|1338.27|1416.99|0|1272.14|1133.59|1065.57|0|1574.43|1026.53|0|576.56|1288.67|974.57|949.38|0|2156.856582|1180.82|1229.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/72/5H 423.551|994.84|527.27|746.13|795.87|845.61|895.36|0|803.83|716.28|673.31|0|994.84|648.64|0|364.31|814.28|615.81|599.89|0|2156.856582|746.13|776.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|440.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/85/6H 423.561|1061.12|562.39|795.84|848.9|901.95|955.01|0|857.38|764.01|718.17|0|1061.12|691.85|0|388.58|868.53|656.83|639.86|0|2156.856582|795.84|828.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|470.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/98/7H 423.571|1107.32|586.88|830.49|885.86|941.22|996.59|0|894.71|797.27|749.43|0|1107.32|721.97|0|405.5|906.34|685.43|667.71|0|2156.856582|830.49|864.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|490.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/111/8H 423.581|1162.08|615.9|871.56|929.66|987.77|1045.87|0|938.96|836.7|786.5|0|1162.08|757.68|0|425.55|951.16|719.33|700.73|0|2156.856582|871.56|907.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|514.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/124/9H 423.591|1211.12|641.89|908.34|968.9|1029.45|1090.01|0|978.58|872.01|819.69|0|1211.12|789.65|0|443.51|991.3|749.68|730.31|0|2156.856582|908.34|945.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|536.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/137/10H 423.60|1245.72|660.23|934.29|996.58|1058.86|1121.15|0|1006.54|896.92|843.1|0|1245.72|812.21|0|456.18|1019.62|771.1|751.17|0|2156.856582|934.29|972.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|551.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/163/12H 423.62|1372.6|727.48|1029.45|1098.08|1166.71|1235.34|0|1109.06|988.27|928.98|0|1372.6|894.94|0|502.65|1123.47|849.64|827.68|0|2156.856582|1029.45|1072|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|608.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 11.0 1376-20-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI  LCP 3.5/189/14H 423.64|1546.32|819.55|1159.74|1237.06|1314.37|1391.69|0|1249.43|1113.35|1046.55|0|1546.32|1008.2|0|566.26|1265.66|957.17|932.43|0|2156.856582|1159.74|1207.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|685.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T3.5/50/3HH 3HRA 441.13|1064.04|563.94|798.03|851.23|904.43|957.64|0|859.74|766.11|720.14|0|1064.04|693.75|0|389.65|870.92|658.64|641.62|0|2156.856582|798.03|831.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|471.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T3.5/56/4HH 4HRA 441.14|1110.16|588.38|832.62|888.13|943.64|999.14|0|897.01|799.32|751.36|0|1110.16|723.82|0|406.54|908.67|687.19|669.43|0|2156.856582|832.62|867.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|491.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T3.5/67/3HH 5HRA 441.15|1214|643.42|910.5|971.2|1031.9|1092.6|0|980.91|874.08|821.64|0|1214|791.53|0|444.57|993.66|751.47|732.04|0|2156.856582|910.5|948.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|537.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T3.5/78/4HH 6HRA 441.16|1415.84|750.4|1061.88|1132.67|1203.46|1274.26|0|1144|1019.4|958.24|0|1415.84|923.13|0|518.48|1158.87|876.4|853.75|0|2156.856582|1061.88|1105.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|627.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T3.5/87/3HH 7HRA 441.17|1773.4|939.9|1330.05|1418.72|1507.39|1596.06|0|1432.91|1276.85|1200.24|0|1773.4|1156.26|0|649.42|1451.53|1097.73|1069.36|0|2156.856582|1330.05|1385.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|785.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI PRXHUM3.5/6H/3H 441.901|3052.03|1617.57|2289.02|2441.63|2594.23|2746.83|0|2466.04|2197.46|2065.62|0|3052.03|1989.92|0|1117.65|2498.09|1889.21|1840.38|0|2156.856582|2289.02|2383.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1352.36|0|0|0|0|0|0|0|0|3052.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI PRXHUM3.5/6H/5H 441.903|3148.92|1668.93|2361.69|2519.14|2676.58|2834.03|0|2544.33|2267.22|2131.19|0|3148.92|2053.1|0|1153.13|2577.39|1949.18|1898.8|0|2156.856582|2361.69|2459.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1395.29|0|0|0|0|0|0|0|0|3148.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/52/3H/3HOR 441.03|1205.36|638.84|904.02|964.29|1024.56|1084.82|0|973.93|867.86|815.79|0|1205.36|785.89|0|441.4|986.59|746.12|726.83|0|2156.856582|904.02|941.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|534.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/63/3H/4HOR 441.04|1260.12|667.86|945.09|1008.1|1071.1|1134.11|0|1018.18|907.29|852.85|0|1260.12|821.6|0|461.46|1031.41|780.01|759.85|0|2156.856582|945.09|984.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 2 1570-06-080|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/74/3H/5HOR 441.05|1314.88|696.89|986.16|1051.9|1117.65|1183.39|0|1062.42|946.71|889.91|0|1314.88|857.3|0|481.51|1076.23|813.91|792.87|0|2156.856582|986.16|1026.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|582.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/96/3H/7HOR 441.07|1430.28|758.05|1072.71|1144.22|1215.74|1287.25|0|1155.67|1029.8|968.01|0|1430.28|932.54|0|523.77|1170.68|885.34|862.46|0|2156.856582|1072.71|1117.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|633.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/52/3H/3HOL 441.93|1208.2|640.35|906.15|966.56|1026.97|1087.38|0|976.23|869.9|817.71|0|1208.2|787.75|0|442.44|988.91|747.88|728.54|0|2156.856582|906.15|943.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|535.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/63/3H/4HOL 441.94|1265.88|670.92|949.41|1012.7|1076|1139.29|0|1022.83|911.43|856.75|0|1265.88|825.35|0|463.57|1036.12|783.58|763.33|0|2156.856582|949.41|988.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|560.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/74/3H/5HOL 441.95|1320.68|699.96|990.51|1056.54|1122.58|1188.61|0|1067.11|950.89|893.84|0|1320.68|861.08|0|483.63|1080.98|817.5|796.37|0|2156.856582|990.51|1031.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|585.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT TI T 3.5/96/3H/7HOL 441.97|1433.16|759.57|1074.87|1146.53|1218.19|1289.84|0|1157.99|1031.88|969.96|0|1433.16|934.42|0|524.82|1173.04|887.13|864.2|0|2156.856582|1074.87|1119.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|635.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 4 1570-06-100|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 5 1570-06-110|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 6 1570-06-120|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 28/+1.5 1365-11-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/10 412.101|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/12 412.102|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/14 412.103|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/16 412.104|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/18 412.105|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/20 412.106|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/22 412.107|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/24 412.108|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/26 412.109|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/28 412.110|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/30 412.111|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/32 412.112|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/34 412.113|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT 2 1294-33-120|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/36 412.115|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/38 412.116|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/40 412.117|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/45 412.119|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/50 412.121|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/55 412.123|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LCKSTDRV3.5/60 412.124|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/10 402.810|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/12 402.812|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/14 402.814|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/20 402.820|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/24 402.824|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/26 402.826|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/28 402.828|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/30 402.830|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/32 402.832|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/34 402.834|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT 6 1294-33-160|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/36 402.836|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/38 402.838|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/40 402.840|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/45 402.845|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/50 402.850|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI CRTX S/T 2.7/55 402.855|111|58.83|83.25|88.8|94.35|99.9|0|89.69|79.92|75.12|0|111|72.37|0|40.65|90.85|68.71|66.93|0|2156.856582|83.25|86.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2.5/10.0 96-2121|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2.5/15.0 96-2123|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 6/10.0 96-2161|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 20 1217-20-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|212NM ATTUNE FB CAP|6105|3235.65|4578.75|4884|5189.25|5494.5|0|4932.84|4395.6|4131.86|0|6105|3980.46|0|2235.65|4996.94|3779|3681.32|0|0|4578.75|4768.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2705.13|0|0|0|0|0|0|0|0|6105
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 3 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 4 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 5 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 6 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|APEX H J&J ELMNTR 1246-03-000|287.4|152.32|215.55|229.92|244.29|258.66|0|232.22|206.93|194.51|0|287.4|187.38|0|105.25|235.24|177.9|173.3|0|0|215.55|224.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|127.35|0|0|0|0|0|0|0|0|287.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 7 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 8 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 9 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 10 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 3 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 4 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 5 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 6 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 3 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 4 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 5 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 6 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 7 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 8 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 9 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 10 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 3 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 4 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 5 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 6 N CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 32+1 1365-21-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 3 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 4 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 5 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 6 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 7 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 8 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 9 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 10 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 54 1217-22-054|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 3 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP LAT L5H 241.275|2889.39|1531.38|2167.04|2311.51|2455.98|2600.45|0|2334.63|2080.36|1955.54|0|2889.39|1883.88|0|1058.09|2364.97|1788.53|1742.3|0|2156.856582|2167.04|2256.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1280.29|0|0|0|0|0|0|0|0|2889.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP MED L3H 241.283|2309.76|1224.17|1732.32|1847.81|1963.3|2078.78|0|1866.29|1663.03|1563.25|0|2309.76|1505.96|0|845.83|1890.54|1429.74|1392.79|0|2156.856582|1732.32|1803.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1023.45|0|0|0|0|0|0|0|0|2309.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/12 202.212|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/14 202.214|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE MEDIAL DOME PAT 29MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/16 202.216|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE MEDIAL DOME PAT 32MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE MEDIAL DOME PAT 35MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE MEDIAL DOME PAT 38MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE MEDIAL DOME PAT 41MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/20 202.220|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLCK S/TT8 2.7/32 202.232|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC  STRCH GRTX 5MMX40|1593|844.29|1194.75|1274.4|1354.05|1433.7|0|1287.14|1146.96|1078.14|0|1593|1038.64|0|583.36|1303.87|986.07|960.58|0|0|1194.75|1244.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|705.86|0|0|0|0|0|0|0|0|1593
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 4 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 5 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 6 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 7 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 8 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 9 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB RT5 1960-40-500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0272 - STERILE SUPPLY||A4649|ATTUNE EPAK PINNING SYSTEM|640|339.2|480|512|544|576|0|517.12|460.8|433.15|0|640|417.28|0|234.37|523.84|396.16|385.92|0|11.99410609|480|499.84|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|283.58|0|0|0|0|0|0|0|0|640
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB L6 1960-40-600|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 26MM|4037.4|2139.82|3028.05|3229.92|3431.79|3633.66|0|3262.22|2906.93|2732.51|0|4037.4|2632.38|0|1478.5|3304.61|2499.15|2434.55|0|0|3028.05|3153.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1788.97|0|0|0|0|0|0|0|0|4037.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 28MM|4037.4|2139.82|3028.05|3229.92|3431.79|3633.66|0|3262.22|2906.93|2732.51|0|4037.4|2632.38|0|1478.5|3304.61|2499.15|2434.55|0|0|3028.05|3153.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1788.97|0|0|0|0|0|0|0|0|4037.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 30MM|3591|1903.23|2693.25|2872.8|3052.35|3231.9|0|2901.53|2585.52|2430.39|0|3591|2341.33|0|1315.02|2939.23|2222.83|2165.37|0|0|2693.25|2804.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1591.17|0|0|0|0|0|0|0|0|3591
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 32MM|4037.4|2139.82|3028.05|3229.92|3431.79|3633.66|0|3262.22|2906.93|2732.51|0|4037.4|2632.38|0|1478.5|3304.61|2499.15|2434.55|0|0|3028.05|3153.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1788.97|0|0|0|0|0|0|0|0|4037.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 34MM|4037.4|2139.82|3028.05|3229.92|3431.79|3633.66|0|3262.22|2906.93|2732.51|0|4037.4|2632.38|0|1478.5|3304.61|2499.15|2434.55|0|0|3028.05|3153.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1788.97|0|0|0|0|0|0|0|0|4037.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|RING TRICUSPID TRI-AD 36MM|4037.4|2139.82|3028.05|3229.92|3431.79|3633.66|0|3262.22|2906.93|2732.51|0|4037.4|2632.38|0|1478.5|3304.61|2499.15|2434.55|0|0|3028.05|3153.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1788.97|0|0|0|0|0|0|0|0|4037.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 3 1570-06-090|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 10 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/75 456.300S|1622.84|860.11|1217.13|1298.27|1379.41|1460.56|0|1311.25|1168.44|1098.34|0|1622.84|1058.09|0|594.28|1328.29|1004.54|978.57|0|2156.856582|1217.13|1267.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1755|CATH INTRATHECAL ASCENDA|2985|1582.05|2238.75|2388|2537.25|2686.5|0|2411.88|2149.2|2020.25|0|2985|1946.22|0|1093.11|2443.22|1847.72|1799.96|0|0|2238.75|2331.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1322.65|0|0|0|0|0|0|0|0|2985
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLEN RVRS SHLDR MINI BASEPLT|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|SURESCAN LEAD KIT COMPACT 60CM|4185|2218.05|3138.75|3348|3557.25|3766.5|0|3381.48|3013.2|2832.41|0|4185|2728.62|0|1532.55|3425.42|2590.52|2523.56|0|0|3138.75|3268.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1854.37|0|0|0|0|0|0|0|0|4185
HOSP OP|0272 - STERILE SUPPLY||A4649|MULTI-LEAD CABLE ACCESSORY KIT|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|11.99410609|600|624.8|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|354.48|0|0|0|0|0|0|0|0|800
HOSP OP|0278 - SUPPLY IMPLANTS||C1820|NEUROSTIMULATOR RECHARGEABLE|23475|12441.75|17606.25|18780|19953.75|21127.5|0|18967.8|16902|15887.88|0|23475|15305.7|0|8596.55|19214.29|14531.03|14155.43|0|0|17606.25|18333.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|10401.77|0|0|0|0|0|0|0|0|23475
HOSP OP|0272 - STERILE SUPPLY||A4649|CHARGING SYSTEM|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|11.99410609|2835|2952.18|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1787|PATIENT PROGRAMMER|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0272 - STERILE SUPPLY||A4649|PERSONAL THERAPY MANAGER|1650|874.5|1237.5|1320|1402.5|1485|0|1333.2|1188|1116.72|0|1650|1075.8|0|604.23|1350.53|1021.35|994.95|0|11.99410609|1237.5|1288.65|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|731.12|0|0|0|0|0|0|0|0|1650
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|LEAD ACCESSORY KIT|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|0|225|234.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0278 - SUPPLY IMPLANTS||C1767|NEUROSTIMULATOR PRIME ADVANCED|18825|9977.25|14118.75|15060|16001.25|16942.5|0|15210.6|13554|12740.76|0|18825|12273.9|0|6893.72|15408.26|11652.68|11351.48|0|0|14118.75|14702.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8341.36|0|0|0|0|0|0|0|0|18825
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|SURESCAN LEAD KIT COMPACT 75CM|4185|2218.05|3138.75|3348|3557.25|3766.5|0|3381.48|3013.2|2832.41|0|4185|2728.62|0|1532.55|3425.42|2590.52|2523.56|0|0|3138.75|3268.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1854.37|0|0|0|0|0|0|0|0|4185
HOSP OP|0278 - SUPPLY IMPLANTS||C1772|SUTURELESS PUMP CONNECTOR KIT|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/200 294.786|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE ANATOMIC PATELLA 29MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE ANATOMIC PATELLA 32MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE ANATOMIC PATELLA 35MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE ANATOMIC PATELLA 38MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE ANATOMIC PATELLA 41MM|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ CVD RP SZ 4 10.0M|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 9.25 1376-47-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 50MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 55MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 60MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 65MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 70MM TI CP|1145.48|607.1|859.11|916.38|973.66|1030.93|0|925.55|824.75|775.26|0|1145.48|746.85|0|419.47|937.58|709.05|690.72|0|2156.856582|859.11|894.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|507.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 75MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 80MM TI CP|1145.48|607.1|859.11|916.38|973.66|1030.93|0|925.55|824.75|775.26|0|1145.48|746.85|0|419.47|937.58|709.05|690.72|0|2156.856582|859.11|894.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|507.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 85MM TI CP|1145.48|607.1|859.11|916.38|973.66|1030.93|0|925.55|824.75|775.26|0|1145.48|746.85|0|419.47|937.58|709.05|690.72|0|2156.856582|859.11|894.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|507.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 90MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 95MM TI CP|1370.2|726.21|1027.65|1096.16|1164.67|1233.18|0|1107.12|986.54|927.35|0|1370.2|893.37|0|501.77|1121.51|848.15|826.23|0|2156.856582|1027.65|1070.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|607.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STRAIGHT ROD 5.5 X 100MM TI C|1145.48|607.1|859.11|916.38|973.66|1030.93|0|925.55|824.75|775.26|0|1145.48|746.85|0|419.47|937.58|709.05|690.72|0|2156.856582|859.11|894.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|507.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 13MM|3266.91|1731.46|2450.18|2613.53|2776.87|2940.22|0|2639.66|2352.18|2211.04|0|3266.91|2130.03|0|1196.34|2673.97|2022.22|1969.95|0|2156.856582|2450.18|2551.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.57|0|0|0|0|0|0|0|0|3266.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 14MM|3266.91|1731.46|2450.18|2613.53|2776.87|2940.22|0|2639.66|2352.18|2211.04|0|3266.91|2130.03|0|1196.34|2673.97|2022.22|1969.95|0|2156.856582|2450.18|2551.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.57|0|0|0|0|0|0|0|0|3266.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 15MM|3266.91|1731.46|2450.18|2613.53|2776.87|2940.22|0|2639.66|2352.18|2211.04|0|3266.91|2130.03|0|1196.34|2673.97|2022.22|1969.95|0|2156.856582|2450.18|2551.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.57|0|0|0|0|0|0|0|0|3266.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 16MM|3266.91|1731.46|2450.18|2613.53|2776.87|2940.22|0|2639.66|2352.18|2211.04|0|3266.91|2130.03|0|1196.34|2673.97|2022.22|1969.95|0|2156.856582|2450.18|2551.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.57|0|0|0|0|0|0|0|0|3266.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 17MM|3126.24|1656.91|2344.68|2500.99|2657.3|2813.62|0|2526|2250.89|2115.84|0|3126.24|2038.31|0|1144.83|2558.83|1935.14|1885.12|0|2156.856582|2344.68|2441.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1385.24|0|0|0|0|0|0|0|0|3126.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 18MM|3126.24|1656.91|2344.68|2500.99|2657.3|2813.62|0|2526|2250.89|2115.84|0|3126.24|2038.31|0|1144.83|2558.83|1935.14|1885.12|0|2156.856582|2344.68|2441.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1385.24|0|0|0|0|0|0|0|0|3126.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ANTERIOR 19MM|3126.24|1656.91|2344.68|2500.99|2657.3|2813.62|0|2526|2250.89|2115.84|0|3126.24|2038.31|0|1144.83|2558.83|1935.14|1885.12|0|2156.856582|2344.68|2441.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1385.24|0|0|0|0|0|0|0|0|3126.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 15MM SINGLE|1905.15|1009.73|1428.86|1524.12|1619.38|1714.64|0|1539.36|1371.71|1289.41|0|1905.15|1242.16|0|697.67|1559.37|1179.29|1148.81|0|2156.856582|1428.86|1487.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|844.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 17MM SINGLE|1905.15|1009.73|1428.86|1524.12|1619.38|1714.64|0|1539.36|1371.71|1289.41|0|1905.15|1242.16|0|697.67|1559.37|1179.29|1148.81|0|2156.856582|1428.86|1487.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|844.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 19MM ROSTRAL|3049.42|1616.19|2287.06|2439.53|2592|2744.47|0|2463.93|2195.58|2063.84|0|3049.42|1988.22|0|1116.7|2495.95|1887.59|1838.8|0|2156.856582|2287.06|2381.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.2|0|0|0|0|0|0|0|0|3049.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 21MM ROSTRAL|3186.63|1688.91|2389.97|2549.3|2708.64|2867.97|0|2574.8|2294.37|2156.71|0|3186.63|2077.68|0|1166.94|2608.26|1972.52|1921.54|0|2156.856582|2389.97|2488.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412|0|0|0|0|0|0|0|0|3186.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 23MM ROSTRAL|3186.63|1688.91|2389.97|2549.3|2708.64|2867.97|0|2574.8|2294.37|2156.71|0|3186.63|2077.68|0|1166.94|2608.26|1972.52|1921.54|0|2156.856582|2389.97|2488.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412|0|0|0|0|0|0|0|0|3186.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 25MM ROSTRAL|3049.42|1616.19|2287.06|2439.53|2592|2744.47|0|2463.93|2195.58|2063.84|0|3049.42|1988.22|0|1116.7|2495.95|1887.59|1838.8|0|2156.856582|2287.06|2381.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.2|0|0|0|0|0|0|0|0|3049.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 19MM CAUDAL|3049.42|1616.19|2287.06|2439.53|2592|2744.47|0|2463.93|2195.58|2063.84|0|3049.42|1988.22|0|1116.7|2495.95|1887.59|1838.8|0|2156.856582|2287.06|2381.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.2|0|0|0|0|0|0|0|0|3049.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 21MM CAUDAL|3186.63|1688.91|2389.97|2549.3|2708.64|2867.97|0|2574.8|2294.37|2156.71|0|3186.63|2077.68|0|1166.94|2608.26|1972.52|1921.54|0|2156.856582|2389.97|2488.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412|0|0|0|0|0|0|0|0|3186.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 23MM CAUDAL|3186.63|1688.91|2389.97|2549.3|2708.64|2867.97|0|2574.8|2294.37|2156.71|0|3186.63|2077.68|0|1166.94|2608.26|1972.52|1921.54|0|2156.856582|2389.97|2488.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412|0|0|0|0|0|0|0|0|3186.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STAPLE 25MM CAUDAL|3049.42|1616.19|2287.06|2439.53|2592|2744.47|0|2463.93|2195.58|2063.84|0|3049.42|1988.22|0|1116.7|2495.95|1887.59|1838.8|0|2156.856582|2287.06|2381.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.2|0|0|0|0|0|0|0|0|3049.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5X20MM|2574|1364.22|1930.5|2059.2|2187.9|2316.6|0|2079.79|1853.28|1742.08|0|2574|1678.25|0|942.6|2106.82|1593.31|1552.12|0|2156.856582|1930.5|2010.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1140.54|0|0|0|0|0|0|0|0|2574
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 25MM|2654.4|1406.83|1990.8|2123.52|2256.24|2388.96|0|2144.76|1911.17|1796.5|0|2654.4|1730.67|0|972.04|2172.63|1643.07|1600.6|0|2156.856582|1990.8|2073.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.16|0|0|0|0|0|0|0|0|2654.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 30MM|2654.4|1406.83|1990.8|2123.52|2256.24|2388.96|0|2144.76|1911.17|1796.5|0|2654.4|1730.67|0|972.04|2172.63|1643.07|1600.6|0|2156.856582|1990.8|2073.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.16|0|0|0|0|0|0|0|0|2654.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 35MM|2060.58|1092.11|1545.44|1648.46|1751.49|1854.52|0|1664.95|1483.62|1394.6|0|2060.58|1343.5|0|754.58|1686.58|1275.5|1242.53|0|2156.856582|1545.44|1609.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|913.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 40MM|2060.58|1092.11|1545.44|1648.46|1751.49|1854.52|0|1664.95|1483.62|1394.6|0|2060.58|1343.5|0|754.58|1686.58|1275.5|1242.53|0|2156.856582|1545.44|1609.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|913.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 45MM|2654.4|1406.83|1990.8|2123.52|2256.24|2388.96|0|2144.76|1911.17|1796.5|0|2654.4|1730.67|0|972.04|2172.63|1643.07|1600.6|0|2156.856582|1990.8|2073.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.16|0|0|0|0|0|0|0|0|2654.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 X 50MM|2464.8|1306.34|1848.6|1971.84|2095.08|2218.32|0|1991.56|1774.66|1668.18|0|2464.8|1607.05|0|902.61|2017.44|1525.71|1486.27|0|2156.856582|1848.6|1925.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1092.15|0|0|0|0|0|0|0|0|2464.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 20MM|2574|1364.22|1930.5|2059.2|2187.9|2316.6|0|2079.79|1853.28|1742.08|0|2574|1678.25|0|942.6|2106.82|1593.31|1552.12|0|2156.856582|1930.5|2010.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1140.54|0|0|0|0|0|0|0|0|2574
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 25MM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|2156.856582|2079|2164.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 30MM|2654.4|1406.83|1990.8|2123.52|2256.24|2388.96|0|2144.76|1911.17|1796.5|0|2654.4|1730.67|0|972.04|2172.63|1643.07|1600.6|0|2156.856582|1990.8|2073.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1176.16|0|0|0|0|0|0|0|0|2654.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 35MM|2464.8|1306.34|1848.6|1971.84|2095.08|2218.32|0|1991.56|1774.66|1668.18|0|2464.8|1607.05|0|902.61|2017.44|1525.71|1486.27|0|2156.856582|1848.6|1925.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1092.15|0|0|0|0|0|0|0|0|2464.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 40MM|2060.58|1092.11|1545.44|1648.46|1751.49|1854.52|0|1664.95|1483.62|1394.6|0|2060.58|1343.5|0|754.58|1686.58|1275.5|1242.53|0|2156.856582|1545.44|1609.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|913.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 45MM|2060.58|1092.11|1545.44|1648.46|1751.49|1854.52|0|1664.95|1483.62|1394.6|0|2060.58|1343.5|0|754.58|1686.58|1275.5|1242.53|0|2156.856582|1545.44|1609.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|913.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 50MM|2060.58|1092.11|1545.44|1648.46|1751.49|1854.52|0|1664.95|1483.62|1394.6|0|2060.58|1343.5|0|754.58|1686.58|1275.5|1242.53|0|2156.856582|1545.44|1609.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|913.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 55MM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|2156.856582|2079|2164.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 6.5 X 60MM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|2156.856582|2079|2164.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 3.0MM|1196.68|634.24|897.51|957.34|1017.18|1077.01|0|966.92|861.61|809.91|0|1196.68|780.24|0|438.22|979.48|740.74|721.6|0|11.99410609|897.51|934.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.25|0|0|0|0|0|0|0|0|1196.68
HOSP OP|0272 - STERILE SUPPLY||A4649|COUPLER GEM 3.5MM|1196.68|634.24|897.51|957.34|1017.18|1077.01|0|966.92|861.61|809.91|0|1196.68|780.24|0|438.22|979.48|740.74|721.6|0|11.99410609|897.51|934.61|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|530.25|0|0|0|0|0|0|0|0|1196.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 4.5/95 214.895|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 4.5/100 214.900|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 4.5/105 214.905|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX 4.5/110 214.910|121.08|64.17|90.81|96.86|102.92|108.97|0|97.83|87.18|81.95|0|121.08|78.94|0|44.34|99.1|74.95|73.01|0|2156.856582|90.81|94.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 16MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 19MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 22MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 26MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 32MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 13 X 41MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 17MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 20 MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 23MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 28MM|6579.38|3487.07|4934.53|5263.5|5592.47|5921.44|0|5316.14|4737.15|4452.92|0|6579.38|4289.75|0|2409.37|5385.22|4072.63|3967.36|0|0|4934.53|5138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2915.32|0|0|0|0|0|0|0|0|6579.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 33MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 16 X 41MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 19MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 23MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 28MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 36MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 47MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 19 X 69MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 21MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 25MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 31MM|6082.3|3223.62|4561.72|4865.84|5169.95|5474.07|0|4914.5|4379.25|4116.5|0|6082.3|3965.66|0|2227.34|4978.36|3764.94|3667.62|0|0|4561.72|4750.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2695.07|0|0|0|0|0|0|0|0|6082.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 37MM|6082.3|3223.62|4561.72|4865.84|5169.95|5474.07|0|4914.5|4379.25|4116.5|0|6082.3|3965.66|0|2227.34|4978.36|3764.94|3667.62|0|0|4561.72|4750.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2695.07|0|0|0|0|0|0|0|0|6082.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 48MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 22 X 68MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 21MM|6082.3|3223.62|4561.72|4865.84|5169.95|5474.07|0|4914.5|4379.25|4116.5|0|6082.3|3965.66|0|2227.34|4978.36|3764.94|3667.62|0|0|4561.72|4750.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2695.07|0|0|0|0|0|0|0|0|6082.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 25MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 31MM|7713.75|4088.29|5785.31|6171|6556.69|6942.38|0|6232.71|5553.9|5220.67|0|7713.75|5029.37|0|2824.78|6313.7|4774.81|4651.39|0|0|5785.31|6024.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3417.96|0|0|0|0|0|0|0|0|7713.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 37MM|6082.3|3223.62|4561.72|4865.84|5169.95|5474.07|0|4914.5|4379.25|4116.5|0|6082.3|3965.66|0|2227.34|4978.36|3764.94|3667.62|0|0|4561.72|4750.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2695.07|0|0|0|0|0|0|0|0|6082.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 48MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CENTERPIECE 25 X 68MM|8848.13|4689.51|6636.09|7078.5|7520.91|7963.31|0|7149.29|6370.65|5988.41|0|8848.13|5768.98|0|3240.18|7242.19|5476.99|5335.42|0|0|6636.09|6910.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3920.6|0|0|0|0|0|0|0|0|8848.13
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 13MM 4 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 13MM 8 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 13MM 15 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 16MM 4 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 16MM 8 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 16MM 15 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 19MM 4 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 19MM 8 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 19MM 15 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|END CAP 22MM 4 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|0|1179.75|1228.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 22MM 8 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 22MM 15 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|END CAP 25MM 4 DEGREE|1694|897.82|1270.5|1355.2|1439.9|1524.6|0|1368.75|1219.68|1146.5|0|1694|1104.49|0|620.34|1386.54|1048.59|1021.48|0|0|1270.5|1323.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|750.61|0|0|0|0|0|0|0|0|1694
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 25MM 8 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||A4649|END CAP 25MM 15 DEGREE|1573|833.69|1179.75|1258.4|1337.05|1415.7|0|1270.98|1132.56|1064.61|0|1573|1025.6|0|576.03|1287.5|973.69|948.52|0|11.99410609|1179.75|1228.51|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|697|0|0|0|0|0|0|0|0|1573
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 22FR|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONEFILL NORIAN 3CC DRILLABLE|2171.34|1150.81|1628.51|1737.07|1845.64|1954.21|0|1754.44|1563.36|1469.56|0|2171.34|1415.71|0|795.14|1777.24|1344.06|1309.32|0|2156.856582|1628.51|1695.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|962.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONEFILL NORIAN 5CC DRILLABLE|3566.31|1890.14|2674.73|2853.05|3031.36|3209.68|0|2881.58|2567.74|2413.68|0|3566.31|2325.23|0|1305.98|2919.02|2207.55|2150.48|0|2156.856582|2674.73|2785.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.23|0|0|0|0|0|0|0|0|3566.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONEFILL NORIAN 10CC DRILLABLE|4206.92|2229.67|3155.19|3365.54|3575.89|3786.23|0|3399.19|3028.99|2847.25|0|4206.92|2742.91|0|1540.58|3443.37|2604.09|2536.78|0|2156.856582|3155.19|3285.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1864.09|0|0|0|0|0|0|0|0|4206.92
HOSP OP|0272 - STERILE SUPPLY||C1725|ENDOPROS TRI-LOBE BALLOON 10MM|1815|961.95|1361.25|1452|1542.75|1633.5|0|1466.52|1306.8|1228.39|0|1815|1183.38|0|664.65|1485.58|1123.49|1094.45|0|0|1361.25|1417.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|804.23|0|0|0|0|0|0|0|0|1815
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS SHEA CAP 3.0 14-0960|1098.84|582.39|824.13|879.07|934.01|988.96|0|887.86|791.16|743.69|0|1098.84|716.44|0|402.4|899.4|680.18|662.6|0|307.0137525|824.13|858.19|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|486.9|0|0|0|0|0|0|0|0|1098.84
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS SHEA CAP 3.0 14-0963|985.16|522.13|738.87|788.13|837.39|886.64|0|796.01|709.32|666.76|0|985.16|642.32|0|360.77|806.35|609.81|594.05|0|307.0137525|738.87|769.41|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|436.52|0|0|0|0|0|0|0|0|985.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB L3 1960-40-300|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS TRAPZE RIBON LOOP 14-0743|576.28|305.43|432.21|461.02|489.84|518.65|0|465.63|414.92|390.03|0|576.28|375.73|0|211.03|471.69|356.72|347.5|0|307.0137525|432.21|450.07|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|255.35|0|0|0|0|0|0|0|0|576.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 30 1217-30-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 6FRX26CM|307.8|163.13|230.85|246.24|261.63|277.02|0|248.7|221.62|208.32|0|307.8|200.69|0|112.72|251.93|190.53|185.6|0|0|230.85|240.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|136.39|0|0|0|0|0|0|0|0|307.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB R4 1960-50-400|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0272 - STERILE SUPPLY||A4649|SYMBLEPHARON RING 20MM|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|11.99410609|225|234.3|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0272 - STERILE SUPPLY||A4649|SYMBLEPHARON RING 22MM|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|11.99410609|225|234.3|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0272 - STERILE SUPPLY||A4649|SYMBLEPHARON RING 24MM|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|11.99410609|225|234.3|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 5/10.0 96-2151|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT TIGHTROPE SYNDESMOSIS SS|3525|1868.25|2643.75|2820|2996.25|3172.5|0|2848.2|2538|2385.72|0|3525|2298.3|0|1290.86|2885.21|2181.98|2125.58|0|2156.856582|2643.75|2753.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1561.93|0|0|0|0|0|0|0|0|3525
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT ACUSEAL VASC 40CM 6CM 3|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 3/10.0 96-2131|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT 3 1294-33-130|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 275CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 350CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 450CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 550CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 650CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 800CC MED|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 275CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 350CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 450CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 550CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 650CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 750CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 850CC TALL|2970|1574.1|2227.5|2376|2524.5|2673|0|2399.76|2138.4|2010.1|0|2970|1936.44|0|1087.61|2430.95|1838.43|1790.91|0|0|2227.5|2319.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1316.01|0|0|0|0|0|0|0|0|2970
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 400CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 425CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 450CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 475CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 500CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 550CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 600CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 650CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 700CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 750CC|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|747.8192534|2081.25|2167.28|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 800CC|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 400CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 430CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 455CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 480CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 535CC ULTRA|2865|1518.45|2148.75|2292|2435.25|2578.5|0|2314.92|2062.8|1939.03|0|2865|1867.98|0|1049.16|2345|1773.44|1727.6|0|747.8192534|2148.75|2237.57|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1269.48|0|0|0|0|0|0|0|0|2865
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 590CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 650CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 700CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 750CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 800CC ULTRA|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|747.8192534|1687.5|1757.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 125-185CC|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 130-260CC|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 185-285CC|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 225-345CC|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER 250-370CC|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0272 - STERILE SUPPLY||C9358|MESH SURGIMEND 8CMX16CM|5068.8|2686.46|3801.6|4055.04|4308.48|4561.92|0|4095.59|3649.54|3430.56|0|5068.8|3304.86|0|1856.19|4148.81|3137.59|3056.49|0|0|3801.6|3958.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2245.99|0|0|0|0|0|0|0|0|5068.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SMARTLOCK 2.0X6MM|515.2|273.06|386.4|412.16|437.92|463.68|0|416.28|370.94|348.69|0|515.2|335.91|0|188.67|421.69|318.91|310.67|0|2156.856582|386.4|402.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|228.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SMARTLOCK 2.0X8MM|515.2|273.06|386.4|412.16|437.92|463.68|0|416.28|370.94|348.69|0|515.2|335.91|0|188.67|421.69|318.91|310.67|0|2156.856582|386.4|402.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|228.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SELF DRILLING 2.0X8MM|503.44|266.82|377.58|402.75|427.92|453.1|0|406.78|362.48|340.73|0|503.44|328.24|0|184.36|412.07|311.63|303.57|0|2156.856582|377.58|393.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|223.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SELF DRILLING 2.0X12MM|503.44|266.82|377.58|402.75|427.92|453.1|0|406.78|362.48|340.73|0|503.44|328.24|0|184.36|412.07|311.63|303.57|0|2156.856582|377.58|393.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|223.07|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SMARTLOCK HMMF|1196|633.88|897|956.8|1016.6|1076.4|0|966.37|861.12|809.45|0|1196|779.79|0|437.98|978.93|740.32|721.19|0|2156.856582|897|934.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|529.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SMARTLOCK HMMF SMALL|1196|633.88|897|956.8|1016.6|1076.4|0|966.37|861.12|809.45|0|1196|779.79|0|437.98|978.93|740.32|721.19|0|2156.856582|897|934.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|529.95|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|TUBE PAPRLA COATED 1026001|102.12|54.12|76.59|81.7|86.8|91.91|0|82.51|73.53|69.11|0|102.12|66.58|0|37.4|83.59|63.21|61.58|0|0|76.59|79.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.25|0|0|0|0|0|0|0|0|102.12
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 6FRX28CM|307.8|163.13|230.85|246.24|261.63|277.02|0|248.7|221.62|208.32|0|307.8|200.69|0|112.72|251.93|190.53|185.6|0|0|230.85|240.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|136.39|0|0|0|0|0|0|0|0|307.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT ST ECHOPS 4.5X11|1621.8|859.55|1216.35|1297.44|1378.53|1459.62|0|1310.41|1167.7|1097.63|0|1621.8|1057.41|0|593.9|1327.44|1003.89|977.95|0|0|1216.35|1266.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|718.62|0|0|0|0|0|0|0|0|1621.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VNTRLGHT ST W ECHO PS 4X6|1949|1032.97|1461.75|1559.2|1656.65|1754.1|0|1574.79|1403.28|1319.08|0|1949|1270.75|0|713.72|1595.26|1206.43|1175.25|0|0|1461.75|1522.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|863.6|0|0|0|0|0|0|0|0|1949
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH VENTRIO OVAL ST MED 4X6|2417.4|1281.22|1813.05|1933.92|2054.79|2175.66|0|1953.26|1740.53|1636.1|0|2417.4|1576.14|0|885.25|1978.64|1496.37|1457.69|0|0|1813.05|1887.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1071.15|0|0|0|0|0|0|0|0|2417.4
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 7FRX24CM|320|169.6|240|256|272|288|0|258.56|230.4|216.58|0|320|208.64|0|117.18|261.92|198.08|192.96|0|0|240|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|141.79|0|0|0|0|0|0|0|0|320
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 7FRX26CM|320|169.6|240|256|272|288|0|258.56|230.4|216.58|0|320|208.64|0|117.18|261.92|198.08|192.96|0|0|240|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|141.79|0|0|0|0|0|0|0|0|320
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 7FRX28CM|320|169.6|240|256|272|288|0|258.56|230.4|216.58|0|320|208.64|0|117.18|261.92|198.08|192.96|0|0|240|249.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|141.79|0|0|0|0|0|0|0|0|320
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 48MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 50MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 52MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 54MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 56MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 58MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 60MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 62MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 64MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SECTOR CUP W/GRIPTION 66MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HDJ&J 28M +5 1365-12-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FUSION LT|2861.43|1516.56|2146.07|2289.14|2432.22|2575.29|0|2312.04|2060.23|1936.62|0|2861.43|1865.65|0|1047.86|2342.08|1771.23|1725.44|0|2156.856582|2146.07|2234.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1267.9|0|0|0|0|0|0|0|0|2861.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FUSION RT|2861.43|1516.56|2146.07|2289.14|2432.22|2575.29|0|2312.04|2060.23|1936.62|0|2861.43|1865.65|0|1047.86|2342.08|1771.23|1725.44|0|2156.856582|2146.07|2234.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1267.9|0|0|0|0|0|0|0|0|2861.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FUSION LONG|3756.34|1990.86|2817.25|3005.07|3192.89|3380.7|0|3035.12|2704.56|2542.29|0|3756.34|2449.13|0|1375.57|3074.56|2325.17|2265.07|0|2156.856582|2817.25|2933.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1664.43|0|0|0|0|0|0|0|0|3756.34
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FUSION SHORT|3756.34|1990.86|2817.25|3005.07|3192.89|3380.7|0|3035.12|2704.56|2542.29|0|3756.34|2449.13|0|1375.57|3074.56|2325.17|2265.07|0|2156.856582|2817.25|2933.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1664.43|0|0|0|0|0|0|0|0|3756.34
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK FUSION TOTAL|3415.78|1810.37|2561.83|2732.62|2903.41|3074.2|0|2759.95|2459.36|2311.8|0|3415.78|2227.09|0|1250.86|2795.81|2114.37|2059.71|0|2156.856582|2561.83|2667.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1513.53|0|0|0|0|0|0|0|0|3415.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BIO-A 9X15CM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BIO-A 20X20CM|4635|2456.55|3476.25|3708|3939.75|4171.5|0|3745.08|3337.2|3136.97|0|4635|3022.02|0|1697.34|3793.75|2869.07|2794.91|0|0|3476.25|3619.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2053.77|0|0|0|0|0|0|0|0|4635
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BIO-A 20X30CM|6171|3270.63|4628.25|4936.8|5245.35|5553.9|0|4986.17|4443.12|4176.53|0|6171|4023.49|0|2259.82|5050.96|3819.85|3721.11|0|0|4628.25|4819.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2734.37|0|0|0|0|0|0|0|0|6171
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT STRATA II ASSY REG|7171.56|3800.93|5378.67|5737.25|6095.83|6454.4|0|5794.62|5163.52|4853.71|0|7171.56|4675.86|0|2626.23|5869.92|4439.2|4324.45|0|11.99410609|5378.67|5600.99|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|3177.72|0|0|0|0|0|0|0|0|7171.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X13X93MM|7476.15|3962.36|5607.11|5980.92|6354.73|6728.54|0|6040.73|5382.83|5059.86|0|7476.15|4874.45|0|2737.77|6119.23|4627.74|4508.12|0|0|5607.11|5838.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3312.68|0|0|0|0|0|0|0|0|7476.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT LIMB 16X13X124MM|7552.05|4002.59|5664.04|6041.64|6419.24|6796.85|0|6102.06|5437.48|5111.23|0|7552.05|4923.94|0|2765.56|6181.35|4674.72|4553.89|0|0|5664.04|5898.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3346.31|0|0|0|0|0|0|0|0|7552.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X16X93MM|7212.15|3822.44|5409.11|5769.72|6130.33|6490.94|0|5827.42|5192.75|4881.18|0|7212.15|4702.32|0|2641.09|5903.14|4464.32|4348.93|0|0|5409.11|5632.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3195.7|0|0|0|0|0|0|0|0|7212.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X16X124MM|7638.68|4048.5|5729.01|6110.94|6492.87|6874.81|0|6172.05|5499.85|5169.86|0|7638.68|4980.42|0|2797.28|6252.26|4728.34|4606.12|0|0|5729.01|5965.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3384.7|0|0|0|0|0|0|0|0|7638.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X16X156MM|9715.2|5149.06|7286.4|7772.16|8257.92|8743.68|0|7849.88|6994.94|6575.25|0|9715.2|6334.31|0|3557.71|7951.89|6013.71|5858.27|0|0|7286.4|7587.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4304.81|0|0|0|0|0|0|0|0|9715.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X20X93MM|7476.15|3962.36|5607.11|5980.92|6354.73|6728.54|0|6040.73|5382.83|5059.86|0|7476.15|4874.45|0|2737.77|6119.23|4627.74|4508.12|0|0|5607.11|5838.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3312.68|0|0|0|0|0|0|0|0|7476.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X20X124MM|7552.05|4002.59|5664.04|6041.64|6419.24|6796.85|0|6102.06|5437.48|5111.23|0|7552.05|4923.94|0|2765.56|6181.35|4674.72|4553.89|0|0|5664.04|5898.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3346.31|0|0|0|0|0|0|0|0|7552.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 10MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 12MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 14MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 16MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 18MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 20MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 22MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.0MM X 24MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 10MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 12MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 14MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 16MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 18MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 20MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 22MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 24MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 26MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 28MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 30MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 32MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 34MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 2.5MM X 36MM|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|2156.856582|390|406.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|230.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 10MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 12MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 14MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB L4 1960-40-400|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 16MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 18MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 20MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 22MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 24MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 26MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 28MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 30MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 32MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 34MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 36MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 38MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.0MM X 40MM|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|2156.856582|336|349.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 12MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 14MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 16MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 18MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 20MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 22MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 24MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 26MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 28MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 30MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 32MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 34MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 36MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 38MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 40MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 42MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 44MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 46MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 48MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 50MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 52MM|920|487.6|690|736|782|828|0|743.36|662.4|622.66|0|920|599.84|0|336.9|753.02|569.48|554.76|0|2156.856582|690|718.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|407.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 56MM|920|487.6|690|736|782|828|0|743.36|662.4|622.66|0|920|599.84|0|336.9|753.02|569.48|554.76|0|2156.856582|690|718.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|407.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 3.5MM X 60MM|920|487.6|690|736|782|828|0|743.36|662.4|622.66|0|920|599.84|0|336.9|753.02|569.48|554.76|0|2156.856582|690|718.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|407.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 14MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 16MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 18MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 20MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 22MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 24MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 26MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 28MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 30MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 32MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 34MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 36MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 38MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 40MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 42MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 44MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 46MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 48MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 52MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 56MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADED 4.0MM X 60MM|488|258.64|366|390.4|414.8|439.2|0|394.3|351.36|330.28|0|488|318.18|0|178.71|399.43|302.07|294.26|0|2156.856582|366|381.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|216.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 10MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 12MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 14MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 16MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 18MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 20MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 22MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 24MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 26MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 28MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 30MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 32MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 34MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 2.5MM X 36MM|624|330.72|468|499.2|530.4|561.6|0|504.19|449.28|422.32|0|624|406.85|0|228.51|510.74|386.26|376.27|0|2156.856582|468|487.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|276.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 10MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 12MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 14MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 16MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 18MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 20MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 22MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 24MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 26MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 28MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 30MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 32MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 34MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 36MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 38MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW HEADLESS 3.0MM X 40MM|656|347.68|492|524.8|557.6|590.4|0|530.05|472.32|443.98|0|656|427.71|0|240.23|536.94|406.06|395.57|0|2156.856582|492|512.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 0DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 5DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 10DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MEDIUM 0DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MEDIUM 5DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MED 10DG RT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION REVISION RT|2985|1582.05|2238.75|2388|2537.25|2686.5|0|2411.88|2149.2|2020.25|0|2985|1946.22|0|1093.11|2443.22|1847.72|1799.96|0|2156.856582|2238.75|2331.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.65|0|0|0|0|0|0|0|0|2985
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION REV LARGE RT|2985|1582.05|2238.75|2388|2537.25|2686.5|0|2411.88|2149.2|2020.25|0|2985|1946.22|0|1093.11|2443.22|1847.72|1799.96|0|2156.856582|2238.75|2331.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.65|0|0|0|0|0|0|0|0|2985
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 0DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 5DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION SMALL 10DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MEDIUM 0DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MEDIUM 5DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION MED 10DG LT|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION REVISION LT|2985|1582.05|2238.75|2388|2537.25|2686.5|0|2411.88|2149.2|2020.25|0|2985|1946.22|0|1093.11|2443.22|1847.72|1799.96|0|2156.856582|2238.75|2331.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.65|0|0|0|0|0|0|0|0|2985
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MTP FUSION REV LARGE LT|2985|1582.05|2238.75|2388|2537.25|2686.5|0|2411.88|2149.2|2020.25|0|2985|1946.22|0|1093.11|2443.22|1847.72|1799.96|0|2156.856582|2238.75|2331.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1322.65|0|0|0|0|0|0|0|0|2985
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE BOW 0MM|2923.2|1549.3|2192.4|2338.56|2484.72|2630.88|0|2361.95|2104.7|1978.42|0|2923.2|1905.93|0|1070.48|2392.64|1809.46|1762.69|0|2156.856582|2192.4|2283.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1295.27|0|0|0|0|0|0|0|0|2923.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE BOW 2MM|2923.2|1549.3|2192.4|2338.56|2484.72|2630.88|0|2361.95|2104.7|1978.42|0|2923.2|1905.93|0|1070.48|2392.64|1809.46|1762.69|0|2156.856582|2192.4|2283.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1295.27|0|0|0|0|0|0|0|0|2923.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE BOW 3MM|2923.2|1549.3|2192.4|2338.56|2484.72|2630.88|0|2361.95|2104.7|1978.42|0|2923.2|1905.93|0|1070.48|2392.64|1809.46|1762.69|0|2156.856582|2192.4|2283.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1295.27|0|0|0|0|0|0|0|0|2923.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE BOW 4MM|2923.2|1549.3|2192.4|2338.56|2484.72|2630.88|0|2361.95|2104.7|1978.42|0|2923.2|1905.93|0|1070.48|2392.64|1809.46|1762.69|0|2156.856582|2192.4|2283.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1295.27|0|0|0|0|0|0|0|0|2923.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE BOW 5MM|2923.2|1549.3|2192.4|2338.56|2484.72|2630.88|0|2361.95|2104.7|1978.42|0|2923.2|1905.93|0|1070.48|2392.64|1809.46|1762.69|0|2156.856582|2192.4|2283.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1295.27|0|0|0|0|0|0|0|0|2923.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LAPIDUS 0MM|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LAPIDUS 1MM|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LAPIDUS 2MM|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LAPIDUS 3MM|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LAPIDUS 4MM|2346|1243.38|1759.5|1876.8|1994.1|2111.4|0|1895.57|1689.12|1587.77|0|2346|1529.59|0|859.11|1920.2|1452.17|1414.64|0|2156.856582|1759.5|1832.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1039.51|0|0|0|0|0|0|0|0|2346
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE FIRST RAY SMALL|3462|1834.86|2596.5|2769.6|2942.7|3115.8|0|2797.3|2492.64|2343.08|0|3462|2257.22|0|1267.78|2833.65|2142.98|2087.59|0|2156.856582|2596.5|2703.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1534.01|0|0|0|0|0|0|0|0|3462
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE FIRST RAY MEDIUM|3462|1834.86|2596.5|2769.6|2942.7|3115.8|0|2797.3|2492.64|2343.08|0|3462|2257.22|0|1267.78|2833.65|2142.98|2087.59|0|2156.856582|2596.5|2703.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1534.01|0|0|0|0|0|0|0|0|3462
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X10MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X12MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X14MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X16MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X18MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X20MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X22MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X24MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X26MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X28MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING LG HD 2.7X30MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X10MM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X12MM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X14MM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X16MM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X18MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X20MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X22MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X24MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X26MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X28MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 2.7X30MM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 10MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 12MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 14MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 16MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 18MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 20MM|628|332.84|471|502.4|533.8|565.2|0|507.42|452.16|425.03|0|628|409.46|0|229.97|514.02|388.73|378.68|0|2156.856582|471|490.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|278.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 22MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 24MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 26MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 28MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 30MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 32MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 34MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 36MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 38MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 40MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 42MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 44MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 46MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 48MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 50MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 55MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING 3.5 X 60MM|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 10MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 12MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 14MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 16MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 18MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 20MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 22MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 24MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 26MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 28MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 30MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 32MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 34MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 36MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 38MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 40MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 42MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 44MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 46MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 48MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 50MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 55MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LOW PRO 3.5 X 60MM|268|142.04|201|214.4|227.8|241.2|0|216.54|192.96|181.38|0|268|174.74|0|98.14|219.36|165.89|161.6|0|2156.856582|201|209.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|118.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|TEMP FIXATION PIN 1.4MM LG|216|114.48|162|172.8|183.6|194.4|0|174.53|155.52|146.19|0|216|140.83|0|79.1|176.8|133.7|130.25|0|11.99410609|162|168.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|95.71|0|0|0|0|0|0|0|0|216
HOSP OP|0272 - STERILE SUPPLY||A4649|TEMP FIX PIN 1.4MM SM|216|114.48|162|172.8|183.6|194.4|0|174.53|155.52|146.19|0|216|140.83|0|79.1|176.8|133.7|130.25|0|11.99410609|162|168.7|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|95.71|0|0|0|0|0|0|0|0|216
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 10X9|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 10X12|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX BILIARY UNC 8X60|3920.4|2077.81|2940.3|3136.32|3332.34|3528.36|0|3167.68|2822.69|2653.33|0|3920.4|2556.1|0|1435.65|3208.85|2426.73|2364|0|0|2940.3|3061.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1737.13|0|0|0|0|0|0|0|0|3920.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX BILIARY UNC 10X40|3920.4|2077.81|2940.3|3136.32|3332.34|3528.36|0|3167.68|2822.69|2653.33|0|3920.4|2556.1|0|1435.65|3208.85|2426.73|2364|0|0|2940.3|3061.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1737.13|0|0|0|0|0|0|0|0|3920.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX BILIARY UNC 10X60|3920.4|2077.81|2940.3|3136.32|3332.34|3528.36|0|3167.68|2822.69|2653.33|0|3920.4|2556.1|0|1435.65|3208.85|2426.73|2364|0|0|2940.3|3061.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1737.13|0|0|0|0|0|0|0|0|3920.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX BILIARY UNC 10X80|3920.4|2077.81|2940.3|3136.32|3332.34|3528.36|0|3167.68|2822.69|2653.33|0|3920.4|2556.1|0|1435.65|3208.85|2426.73|2364|0|0|2940.3|3061.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1737.13|0|0|0|0|0|0|0|0|3920.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX BILIARY COV 10X40|4410|2337.3|3307.5|3528|3748.5|3969|0|3563.28|3175.2|2984.69|0|4410|2875.32|0|1614.94|3609.59|2729.79|2659.23|0|0|3307.5|3444.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1954.07|0|0|0|0|0|0|0|0|4410
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX BILIARY COV 10X60|4365.9|2313.93|3274.43|3492.72|3711.02|3929.31|0|3527.65|3143.45|2954.84|0|4365.9|2846.57|0|1598.79|3573.49|2702.49|2632.64|0|0|3274.43|3409.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1934.53|0|0|0|0|0|0|0|0|4365.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX BILIARY COV 10X80|4410|2337.3|3307.5|3528|3748.5|3969|0|3563.28|3175.2|2984.69|0|4410|2875.32|0|1614.94|3609.59|2729.79|2659.23|0|0|3307.5|3444.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1954.07|0|0|0|0|0|0|0|0|4410
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX DUODENAL 22X90|4311|2284.83|3233.25|3448.8|3664.35|3879.9|0|3483.29|3103.92|2917.68|0|4311|2810.77|0|1578.69|3528.55|2668.51|2599.53|0|0|3233.25|3366.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1910.2|0|0|0|0|0|0|0|0|4311
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX DUODENAL 22X120|4267.89|2261.98|3200.92|3414.31|3627.71|3841.1|0|3448.46|3072.88|2888.51|0|4267.89|2782.66|0|1562.9|3493.27|2641.82|2573.54|0|0|3200.92|3333.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1891.1|0|0|0|0|0|0|0|0|4267.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX COLONIC STENT 25X90|4311|2284.83|3233.25|3448.8|3664.35|3879.9|0|3483.29|3103.92|2917.68|0|4311|2810.77|0|1578.69|3528.55|2668.51|2599.53|0|0|3233.25|3366.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1910.2|0|0|0|0|0|0|0|0|4311
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX COLONIC STENT 25X60|4311|2284.83|3233.25|3448.8|3664.35|3879.9|0|3483.29|3103.92|2917.68|0|4311|2810.77|0|1578.69|3528.55|2668.51|2599.53|0|0|3233.25|3366.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1910.2|0|0|0|0|0|0|0|0|4311
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLFLEX COLONIC STENT 25X120|4311|2284.83|3233.25|3448.8|3664.35|3879.9|0|3483.29|3103.92|2917.68|0|4311|2810.77|0|1578.69|3528.55|2668.51|2599.53|0|0|3233.25|3366.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1910.2|0|0|0|0|0|0|0|0|4311
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 7X5|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 7X7|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 7X9|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 7X12|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 7X15|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 10X5|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 10X7|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0272 - STERILE SUPPLY||A4649|INSTINCT ENDO HEMOCLIP|889.2|471.28|666.9|711.36|755.82|800.28|0|718.47|640.22|601.81|0|889.2|579.76|0|325.63|727.81|550.41|536.19|0|11.99410609|666.9|694.47|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|394|0|0|0|0|0|0|0|0|889.2
HOSP OP|0272 - STERILE SUPPLY||A4649|GT 5-4-3 GLO TIP ERCP CATH|248|131.44|186|198.4|210.8|223.2|0|200.38|178.56|167.85|0|248|161.7|0|90.82|202.99|153.51|149.54|0|11.99410609|186|193.69|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|109.89|0|0|0|0|0|0|0|0|248
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|PANCREATIC WEDGE STENT 10X18|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|PANCREATIC WEDGE STENT 10X20|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|PANCREATIC WEDGE STENT 8.5X18|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|PANCREATIC WEDGE STENT 8.5X20|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|PANCREATIC WEDGE STENT 8.5X22|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SOLIS PIGTAIL STENT W/INTRO 10|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SOLIS PIGTAIL STENT W/INTRO 10|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SOLIS PIGTAIL STENT W/INTRO 10|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|SOLIS PIGTAIL STENT INTRO 10X1|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|EXPD METAL BILIARY STENT 10X4|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|GEENEN SOFLEX PANC STENT 5X3|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|GEENEN SOFLEX PANC STENT 5X5|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|GEENEN SOFLEX PANC STENT 5X7|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 7X5|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 7X7|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 7X9|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 7X12|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 7X15|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0272 - STERILE SUPPLY||C1769|VISIGLIDE GUIDEWIRE|658.56|349.04|493.92|526.85|559.78|592.7|0|532.12|474.16|445.71|0|658.56|429.38|0|241.16|539.03|407.65|397.11|0|0|493.92|514.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|291.81|0|0|0|0|0|0|0|0|658.56
HOSP OP|0272 - STERILE SUPPLY||A4649|SWINGTIP CANNULA|661.24|350.46|495.93|528.99|562.05|595.12|0|534.28|476.09|447.53|0|661.24|431.13|0|242.15|541.22|409.31|398.73|0|11.99410609|495.93|516.43|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|293|0|0|0|0|0|0|0|0|661.24
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 3.7X5|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|COT LEUNG SF BIL STENT 3.7X7|252|133.56|189|201.6|214.2|226.8|0|203.62|181.44|170.55|0|252|164.3|0|92.28|206.26|155.99|151.96|0|0|189|196.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.66|0|0|0|0|0|0|0|0|252
HOSP OP|0272 - STERILE SUPPLY||C1769|TRACER METRO WRGUIDE .025X260|604|320.12|453|483.2|513.4|543.6|0|488.03|434.88|408.79|0|604|393.81|0|221.18|494.37|373.88|364.21|0|0|453|471.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|267.63|0|0|0|0|0|0|0|0|604
HOSP OP|0272 - STERILE SUPPLY||C1769|TRACER DIRECT METRO 35X260|604|320.12|453|483.2|513.4|543.6|0|488.03|434.88|408.79|0|604|393.81|0|221.18|494.37|373.88|364.21|0|0|453|471.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|267.63|0|0|0|0|0|0|0|0|604
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX COV ESO STENT 18X103|4009.5|2125.03|3007.13|3207.6|3408.08|3608.55|0|3239.68|2886.84|2713.63|0|4009.5|2614.19|0|1468.28|3281.78|2481.88|2417.73|0|0|3007.13|3131.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1776.61|0|0|0|0|0|0|0|0|4009.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX COV ESO STENT 18X123|4009.5|2125.03|3007.13|3207.6|3408.08|3608.55|0|3239.68|2886.84|2713.63|0|4009.5|2614.19|0|1468.28|3281.78|2481.88|2417.73|0|0|3007.13|3131.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1776.61|0|0|0|0|0|0|0|0|4009.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX COV ESO STENT 18X153|4009.5|2125.03|3007.13|3207.6|3408.08|3608.55|0|3239.68|2886.84|2713.63|0|4009.5|2614.19|0|1468.28|3281.78|2481.88|2417.73|0|0|3007.13|3131.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1776.61|0|0|0|0|0|0|0|0|4009.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX  PCV ESO STENT 18X103|3831.3|2030.59|2873.48|3065.04|3256.61|3448.17|0|3095.69|2758.54|2593.02|0|3831.3|2498.01|0|1403.02|3135.92|2371.57|2310.27|0|0|2873.48|2992.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1697.65|0|0|0|0|0|0|0|0|3831.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX  PCV ESO STENT 18X103|3831.3|2030.59|2873.48|3065.04|3256.61|3448.17|0|3095.69|2758.54|2593.02|0|3831.3|2498.01|0|1403.02|3135.92|2371.57|2310.27|0|0|2873.48|2992.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1697.65|0|0|0|0|0|0|0|0|3831.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLFLEX PCV ESO STENT 18X153|3831.3|2030.59|2873.48|3065.04|3256.61|3448.17|0|3095.69|2758.54|2593.02|0|3831.3|2498.01|0|1403.02|3135.92|2371.57|2310.27|0|0|2873.48|2992.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1697.65|0|0|0|0|0|0|0|0|3831.3
HOSP OP|0272 - STERILE SUPPLY||C1769|TRACER METRO WIREGUIDE 21X260|604|320.12|453|483.2|513.4|543.6|0|488.03|434.88|408.79|0|604|393.81|0|221.18|494.37|373.88|364.21|0|0|453|471.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|267.63|0|0|0|0|0|0|0|0|604
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|ADVANIX BILIARY STENT 10X15|536|284.08|402|428.8|455.6|482.4|0|433.09|385.92|362.76|0|536|349.47|0|196.28|438.72|331.78|323.21|0|0|402|418.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|237.5|0|0|0|0|0|0|0|0|536
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE EMER BENSTON STR|144|76.32|108|115.2|122.4|129.6|0|116.35|103.68|97.46|0|144|93.89|0|52.73|117.86|89.14|86.83|0|0|108|112.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.81|0|0|0|0|0|0|0|0|144
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE EMER NEWTON J|144|76.32|108|115.2|122.4|129.6|0|116.35|103.68|97.46|0|144|93.89|0|52.73|117.86|89.14|86.83|0|0|108|112.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.81|0|0|0|0|0|0|0|0|144
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE AMPLATZ 180CM .035|163.2|86.5|122.4|130.56|138.72|146.88|0|131.87|117.5|110.45|0|163.2|106.41|0|59.76|133.58|101.02|98.41|0|0|122.4|127.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|72.31|0|0|0|0|0|0|0|0|163.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE AMPLATZ 260CM .035|192.8|102.18|144.6|154.24|163.88|173.52|0|155.78|138.82|130.49|0|192.8|125.71|0|70.6|157.81|119.34|116.26|0|0|144.6|150.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|85.43|0|0|0|0|0|0|0|0|192.8
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 5X11|119.56|63.37|89.67|95.65|101.63|107.6|0|96.6|86.08|80.92|0|119.56|77.95|0|43.78|97.86|74.01|72.09|0|0|89.67|93.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.98|0|0|0|0|0|0|0|0|119.56
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 6X11|119.56|63.37|89.67|95.65|101.63|107.6|0|96.6|86.08|80.92|0|119.56|77.95|0|43.78|97.86|74.01|72.09|0|0|89.67|93.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.98|0|0|0|0|0|0|0|0|119.56
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 6X23|135.8|71.97|101.85|108.64|115.43|122.22|0|109.73|97.78|91.91|0|135.8|88.54|0|49.73|111.15|84.06|81.89|0|0|101.85|106.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.17|0|0|0|0|0|0|0|0|135.8
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 6X45|135.8|71.97|101.85|108.64|115.43|122.22|0|109.73|97.78|91.91|0|135.8|88.54|0|49.73|111.15|84.06|81.89|0|0|101.85|106.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.17|0|0|0|0|0|0|0|0|135.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H LP STRAIGHT X-LONG|215.08|113.99|161.31|172.06|182.82|193.57|0|173.78|154.86|145.57|0|215.08|140.23|0|78.76|176.04|133.13|129.69|0|2156.856582|161.31|167.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|95.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H LP STRAIGHT REG|215.08|113.99|161.31|172.06|182.82|193.57|0|173.78|154.86|145.57|0|215.08|140.23|0|78.76|176.04|133.13|129.69|0|2156.856582|161.31|167.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|95.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 16H LP STRAIGHT|289.88|153.64|217.41|231.9|246.4|260.89|0|234.22|208.71|196.19|0|289.88|189|0|106.15|237.27|179.44|174.8|0|2156.856582|217.41|226.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|128.45|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 6X90|260|137.8|195|208|221|234|0|210.08|187.2|175.97|0|260|169.52|0|95.21|212.81|160.94|156.78|0|0|195|203.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.21|0|0|0|0|0|0|0|0|260
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE Y-SHAPED LP LONG|501.8|265.95|376.35|401.44|426.53|451.62|0|405.45|361.3|339.62|0|501.8|327.17|0|183.76|410.72|310.61|302.59|0|2156.856582|376.35|391.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|222.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE Y-SHAPED LP DOUBLE LONG|516.12|273.54|387.09|412.9|438.7|464.51|0|417.02|371.61|349.31|0|516.12|336.51|0|189|422.44|319.48|311.22|0|2156.856582|387.09|403.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|228.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 5X2H LP CVD SQ SEGMENT|745.56|395.15|559.17|596.45|633.73|671|0|602.41|536.8|504.6|0|745.56|486.11|0|273.02|610.24|461.5|449.57|0|2156.856582|559.17|582.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|330.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|BURR HOLE COVER LP 0.3MM 22MM|384.12|203.58|288.09|307.3|326.5|345.71|0|310.37|276.57|259.97|0|384.12|250.45|0|140.66|314.4|237.77|231.62|0|11.99410609|288.09|300|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|170.2|0|0|0|0|0|0|0|0|384.12
HOSP OP|0272 - STERILE SUPPLY||A4649|BURR HOLE COVER LP 0.3MM 17MM|384.12|203.58|288.09|307.3|326.5|345.71|0|310.37|276.57|259.97|0|384.12|250.45|0|140.66|314.4|237.77|231.62|0|11.99410609|288.09|300|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|170.2|0|0|0|0|0|0|0|0|384.12
HOSP OP|0272 - STERILE SUPPLY||A4649|BURR HOLE COVER LP 0.3MM 12MM|384.12|203.58|288.09|307.3|326.5|345.71|0|310.37|276.57|259.97|0|384.12|250.45|0|140.66|314.4|237.77|231.62|0|11.99410609|288.09|300|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|170.2|0|0|0|0|0|0|0|0|384.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 3X2H LP CVD SQ SEGMENT|616.48|326.73|462.36|493.18|524.01|554.83|0|498.12|443.87|417.23|0|616.48|401.94|0|225.75|504.59|381.6|371.74|0|2156.856582|462.36|481.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|273.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4X2H LP SQ SEGMENT|645.16|341.93|483.87|516.13|548.39|580.64|0|521.29|464.52|436.64|0|645.16|420.64|0|236.26|528.06|399.35|389.03|0|2156.856582|483.87|503.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|285.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 3X2H LP SQ SEGMENT|559.16|296.35|419.37|447.33|475.29|503.24|0|451.8|402.6|378.44|0|559.16|364.57|0|204.76|457.67|346.12|337.17|0|2156.856582|419.37|436.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|247.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE LP SQUARE|487.44|258.34|365.58|389.95|414.32|438.7|0|393.85|350.96|329.9|0|487.44|317.81|0|178.5|398.97|301.73|293.93|0|2156.856582|365.58|380.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 7X5.5|119.56|63.37|89.67|95.65|101.63|107.6|0|96.6|86.08|80.92|0|119.56|77.95|0|43.78|97.86|74.01|72.09|0|0|89.67|93.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.98|0|0|0|0|0|0|0|0|119.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MESH 3D TITANIUM 80X80MM|2501.88|1326|1876.41|2001.5|2126.6|2251.69|0|2021.52|1801.35|1693.27|0|2501.88|1631.23|0|916.19|2047.79|1548.66|1508.63|0|2156.856582|1876.41|1953.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1108.58|0|0|0|0|0|0|0|0|2501.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MESH 3D TITANIUM 120X120MM|3117.19|1652.11|2337.89|2493.75|2649.61|2805.47|0|2518.69|2244.37|2109.71|0|3117.19|2032.41|0|1141.51|2551.42|1929.54|1879.66|0|2156.856582|2337.89|2434.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1381.23|0|0|0|0|0|0|0|0|3117.19
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H LOCKING REG 1.0MM|739.84|392.12|554.88|591.87|628.86|665.86|0|597.79|532.68|500.72|0|739.84|482.38|0|270.93|605.56|457.96|446.12|0|2156.856582|554.88|577.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|327.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 14H LOCKING REG 1.0MM|1462.48|775.11|1096.86|1169.98|1243.11|1316.23|0|1181.68|1052.99|989.81|0|1462.48|953.54|0|535.56|1197.04|905.28|881.88|0|2156.856582|1096.86|1142.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|648.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H LOCKING LONG 1.0MM|791.48|419.48|593.61|633.18|672.76|712.33|0|639.52|569.87|535.67|0|791.48|516.04|0|289.84|647.83|489.93|477.26|0|2156.856582|593.61|618.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H LOCKING LONG 1.0MM|860.28|455.95|645.21|688.22|731.24|774.25|0|695.11|619.4|582.24|0|860.28|560.9|0|315.03|704.14|532.51|518.75|0|2156.856582|645.21|671.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|381.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 7X11|116.64|61.82|87.48|93.31|99.14|104.98|0|94.25|83.98|78.94|0|116.64|76.05|0|42.71|95.47|72.2|70.33|0|0|87.48|91.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.68|0|0|0|0|0|0|0|0|116.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H STRAIGHT LOCKING 1.0|1187.2|629.22|890.4|949.76|1009.12|1068.48|0|959.26|854.78|803.5|0|1187.2|774.05|0|434.75|971.72|734.88|715.88|0|2156.856582|890.4|927.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|526.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H CURVED LOCKING 1.0MM|1221.64|647.47|916.23|977.31|1038.39|1099.48|0|987.09|879.58|826.81|0|1221.64|796.51|0|447.36|999.91|756.2|736.65|0|2156.856582|916.23|954.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|541.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H CURVED SAGITTAL MED|980.72|519.78|735.54|784.58|833.61|882.65|0|792.42|706.12|663.75|0|980.72|639.43|0|359.14|802.72|607.07|591.37|0|2156.856582|735.54|765.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H CURVED SAGITTAL LONG|980.72|519.78|735.54|784.58|833.61|882.65|0|792.42|706.12|663.75|0|980.72|639.43|0|359.14|802.72|607.07|591.37|0|2156.856582|735.54|765.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H CURVED SAGITTAL EX-LO|980.72|519.78|735.54|784.58|833.61|882.65|0|792.42|706.12|663.75|0|980.72|639.43|0|359.14|802.72|607.07|591.37|0|2156.856582|735.54|765.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|434.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H FRACTURE 28MM|1032.36|547.15|774.27|825.89|877.51|929.12|0|834.15|743.3|698.7|0|1032.36|673.1|0|378.05|844.99|639.03|622.51|0|2156.856582|774.27|806.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|457.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H FRACTURE 33MM|1083.96|574.5|812.97|867.17|921.37|975.56|0|875.84|780.45|733.62|0|1083.96|706.74|0|396.95|887.22|670.97|653.63|0|2156.856582|812.97|846.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|480.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H FRACTURE 43MM|1256.04|665.7|942.03|1004.83|1067.63|1130.44|0|1014.88|904.35|850.09|0|1256.04|818.94|0|459.96|1028.07|777.49|757.39|0|2156.856582|942.03|980.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE  FRACTURE CURVED SHORT|1428.08|756.88|1071.06|1142.46|1213.87|1285.27|0|1153.89|1028.22|966.52|0|1428.08|931.11|0|522.96|1168.88|883.98|861.13|0|2156.856582|1071.06|1115.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|632.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE FRACTURE CURVED LONG|1428.08|756.88|1071.06|1142.46|1213.87|1285.27|0|1153.89|1028.22|966.52|0|1428.08|931.11|0|522.96|1168.88|883.98|861.13|0|2156.856582|1071.06|1115.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|632.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MANDIBULAR ANGLE 3X3|1978.68|1048.7|1484.01|1582.94|1681.88|1780.81|0|1598.77|1424.65|1339.17|0|1978.68|1290.1|0|724.59|1619.55|1224.8|1193.14|0|2156.856582|1484.01|1545.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|876.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MANDIBULAR ANGLE 4X4|1509.81|800.2|1132.36|1207.85|1283.34|1358.83|0|1219.93|1087.06|1021.84|0|1509.81|984.4|0|552.89|1235.78|934.57|910.42|0|2156.856582|1132.36|1179.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|669|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 20H LOCKING STRAIGHT|1819.53|964.35|1364.65|1455.62|1546.6|1637.58|0|1470.18|1310.06|1231.46|0|1819.53|1186.33|0|666.31|1489.29|1126.29|1097.18|0|2156.856582|1364.65|1421.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H SMART ANGLED RT|4219.7|2236.44|3164.78|3375.76|3586.75|3797.73|0|3409.52|3038.19|2855.9|0|4219.7|2751.25|0|1545.26|3453.83|2612|2544.48|0|2156.856582|3164.78|3295.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1869.75|0|0|0|0|0|0|0|0|4219.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H SMART ANGLED LT|4219.7|2236.44|3164.78|3375.76|3586.75|3797.73|0|3409.52|3038.19|2855.9|0|4219.7|2751.25|0|1545.26|3453.83|2612|2544.48|0|2156.856582|3164.78|3295.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1869.75|0|0|0|0|0|0|0|0|4219.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H RECON ANGLED RT|3807.77|2018.12|2855.83|3046.21|3236.6|3426.99|0|3076.68|2741.59|2577.1|0|3807.77|2482.66|0|1394.4|3116.66|2357.01|2296.08|0|2156.856582|2855.83|2973.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1687.22|0|0|0|0|0|0|0|0|3807.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H RECON ANGLED LT|3807.77|2018.12|2855.83|3046.21|3236.6|3426.99|0|3076.68|2741.59|2577.1|0|3807.77|2482.66|0|1394.4|3116.66|2357.01|2296.08|0|2156.856582|2855.83|2973.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1687.22|0|0|0|0|0|0|0|0|3807.77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 20H STRAIGHT|166.96|88.49|125.22|133.57|141.92|150.26|0|134.9|120.21|113|0|166.96|108.86|0|61.14|136.66|103.35|100.68|0|2156.856582|125.22|130.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|73.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 26H RECON ANGLED|166.96|88.49|125.22|133.57|141.92|150.26|0|134.9|120.21|113|0|166.96|108.86|0|61.14|136.66|103.35|100.68|0|2156.856582|125.22|130.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|73.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 32H RECON ANGLED|166.96|88.49|125.22|133.57|141.92|150.26|0|134.9|120.21|113|0|166.96|108.86|0|61.14|136.66|103.35|100.68|0|2156.856582|125.22|130.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|73.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MINI 6H LONG LT  110 DEG|343.08|181.83|257.31|274.46|291.62|308.77|0|277.21|247.02|232.2|0|343.08|223.69|0|125.64|280.81|212.37|206.88|0|2156.856582|257.31|267.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|152.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PLATE MINI 6H LONG RT 110 DEG|370.52|196.38|277.89|296.42|314.94|333.47|0|299.38|266.77|250.77|0|370.52|241.58|0|135.68|303.27|229.35|223.42|0|11.99410609|277.89|289.38|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|164.18|0|0|0|0|0|0|0|0|370.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MINI 4H LONG LT 80 DEG|456.56|241.98|342.42|365.25|388.08|410.9|0|368.9|328.72|309|0|456.56|297.68|0|167.19|373.69|282.61|275.31|0|2156.856582|342.42|356.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|202.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE MINI 4H LONG RT 80 DEG|456.56|241.98|342.42|365.25|388.08|410.9|0|368.9|328.72|309|0|456.56|297.68|0|167.19|373.69|282.61|275.31|0|2156.856582|342.42|356.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|202.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 3D RHOMBUS 2.0 SYSTEM|754.76|400.02|566.07|603.81|641.55|679.28|0|609.85|543.43|510.82|0|754.76|492.1|0|276.39|617.77|467.2|455.12|0|2156.856582|566.07|589.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|334.43|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 3D RHOMBUS LOCKING|1350|715.5|1012.5|1080|1147.5|1215|0|1090.8|972|913.68|0|1350|880.2|0|494.37|1104.98|835.65|814.05|0|2156.856582|1012.5|1054.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|598.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX5MM DRILL FREE|126.36|66.97|94.77|101.09|107.41|113.72|0|102.1|90.98|85.52|0|126.36|82.39|0|46.27|103.43|78.22|76.2|0|2156.856582|94.77|98.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX7MM DRILL FREE|126.36|66.97|94.77|101.09|107.41|113.72|0|102.1|90.98|85.52|0|126.36|82.39|0|46.27|103.43|78.22|76.2|0|2156.856582|94.77|98.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX5MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX7MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 7X90|260|137.8|195|208|221|234|0|210.08|187.2|175.97|0|260|169.52|0|95.21|212.81|160.94|156.78|0|0|195|203.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.21|0|0|0|0|0|0|0|0|260
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX9MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX11MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX13MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX15MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX17MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX19MM LOCKING|299.36|158.66|224.52|239.49|254.46|269.42|0|241.88|215.54|202.61|0|299.36|195.18|0|109.63|245.03|185.3|180.51|0|2156.856582|224.52|233.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.65|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5MMX9MM EMERGENCY|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5MMX13MM EMERGENCY|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.5MMX17MM EMERGENCY|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX7MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 8X11|119.56|63.37|89.67|95.65|101.63|107.6|0|96.6|86.08|80.92|0|119.56|77.95|0|43.78|97.86|74.01|72.09|0|0|89.67|93.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.98|0|0|0|0|0|0|0|0|119.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX9MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX11MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX13MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX15MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX17MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.3MMX19MM LOCKING|333.76|176.89|250.32|267.01|283.7|300.38|0|269.68|240.31|225.89|0|333.76|217.61|0|122.22|273.18|206.6|201.26|0|2156.856582|250.32|260.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX8MM MMF|374.4|198.43|280.8|299.52|318.24|336.96|0|302.52|269.57|253.39|0|374.4|244.11|0|137.11|306.45|231.75|225.76|0|2156.856582|280.8|292.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.9|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0MMX12MM MMF|374.4|198.43|280.8|299.52|318.24|336.96|0|302.52|269.57|253.39|0|374.4|244.11|0|137.11|306.45|231.75|225.76|0|2156.856582|280.8|292.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.9|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H 3MM THRDLCK 155 ANGLE|1948.56|1032.74|1461.42|1558.85|1656.28|1753.7|0|1574.44|1402.96|1318.79|0|1948.56|1270.46|0|713.56|1594.9|1206.16|1174.98|0|2156.856582|1461.42|1521.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|863.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H 3MM THRDLCK 120 ANGLE|1948.56|1032.74|1461.42|1558.85|1656.28|1753.7|0|1574.44|1402.96|1318.79|0|1948.56|1270.46|0|713.56|1594.9|1206.16|1174.98|0|2156.856582|1461.42|1521.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|863.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 8X23|132.84|70.41|99.63|106.27|112.91|119.56|0|107.33|95.64|89.91|0|132.84|86.61|0|48.65|108.73|82.23|80.1|0|0|99.63|103.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.86|0|0|0|0|0|0|0|0|132.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8H 3MM THRDLCK 120 ANGLE|2025.96|1073.76|1519.47|1620.77|1722.07|1823.36|0|1636.98|1458.69|1371.17|0|2025.96|1320.93|0|741.91|1658.25|1254.07|1221.65|0|2156.856582|1519.47|1582.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|897.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H 3MM THRDLCK STRAIGHT|1664.64|882.26|1248.48|1331.71|1414.94|1498.18|0|1345.03|1198.54|1126.63|0|1664.64|1085.35|0|609.59|1362.51|1030.41|1003.78|0|2156.856582|1248.48|1300.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|737.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H 3MM LOCKING RT ANGLE|3484.17|1846.61|2613.13|2787.34|2961.54|3135.75|0|2815.21|2508.6|2358.09|0|3484.17|2271.68|0|1275.9|2851.79|2156.7|2100.95|0|2156.856582|2613.13|2721.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1543.84|0|0|0|0|0|0|0|0|3484.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 26 THREADLOCK 2.7MM|168.6|89.36|126.45|134.88|143.31|151.74|0|136.23|121.39|114.11|0|168.6|109.93|0|61.74|138|104.36|101.67|0|2156.856582|126.45|131.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|74.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H 3MM LOCKING LT ANGLE|3484.17|1846.61|2613.13|2787.34|2961.54|3135.75|0|2815.21|2508.6|2358.09|0|3484.17|2271.68|0|1275.9|2851.79|2156.7|2100.95|0|2156.856582|2613.13|2721.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1543.84|0|0|0|0|0|0|0|0|3484.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H 3MM STRAIGHT|1690.47|895.95|1267.85|1352.38|1436.9|1521.42|0|1365.9|1217.14|1144.11|0|1690.47|1102.19|0|619.05|1383.65|1046.4|1019.35|0|2156.856582|1267.85|1320.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|749.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 20H 3MM STRAIGHT|2309.85|1224.22|1732.39|1847.88|1963.37|2078.87|0|1866.36|1663.09|1563.31|0|2309.85|1506.02|0|845.87|1890.61|1429.8|1392.84|0|2156.856582|1732.39|1803.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1023.49|0|0|0|0|0|0|0|0|2309.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 12H STRAIGHT 2.7MM|168.6|89.36|126.45|134.88|143.31|151.74|0|136.23|121.39|114.11|0|168.6|109.93|0|61.74|138|104.36|101.67|0|2156.856582|126.45|131.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|74.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 20H STRAIGHT 2.7MM|168.6|89.36|126.45|134.88|143.31|151.74|0|136.23|121.39|114.11|0|168.6|109.93|0|61.74|138|104.36|101.67|0|2156.856582|126.45|131.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|74.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H RECON RT ANGLE|3574.5|1894.48|2680.88|2859.6|3038.33|3217.05|0|2888.2|2573.64|2419.22|0|3574.5|2330.57|0|1308.98|2925.73|2212.62|2155.42|0|2156.856582|2680.88|2791.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1583.86|0|0|0|0|0|0|0|0|3574.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 26H RECON ANGLED|168.6|89.36|126.45|134.88|143.31|151.74|0|136.23|121.39|114.11|0|168.6|109.93|0|61.74|138|104.36|101.67|0|2156.856582|126.45|131.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|74.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H RECON LT ANGLE|3574.5|1894.48|2680.88|2859.6|3038.33|3217.05|0|2888.2|2573.64|2419.22|0|3574.5|2330.57|0|1308.98|2925.73|2212.62|2155.42|0|2156.856582|2680.88|2791.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1583.86|0|0|0|0|0|0|0|0|3574.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 32H RECON ANGLE 2.7MM|3169.3|1679.73|2376.97|2535.44|2693.9|2852.37|0|2560.79|2281.89|2144.98|0|3169.3|2066.38|0|1160.6|2594.07|1961.79|1911.09|0|2156.856582|2376.97|2475.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1404.32|0|0|0|0|0|0|0|0|3169.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|TEMPLATE 32H RECON ANGLE 2.7MM|166.96|88.49|125.22|133.57|141.92|150.26|0|134.9|120.21|113|0|166.96|108.86|0|61.14|136.66|103.35|100.68|0|2156.856582|125.22|130.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|73.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.2X12MM EMERGENCY|249.68|132.33|187.26|199.74|212.23|224.71|0|201.74|179.77|168.98|0|249.68|162.79|0|91.43|204.36|154.55|150.56|0|2156.856582|187.26|195|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|110.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X8MM|249.68|132.33|187.26|199.74|212.23|224.71|0|201.74|179.77|168.98|0|249.68|162.79|0|91.43|204.36|154.55|150.56|0|2156.856582|187.26|195|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|110.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X12MM|249.68|132.33|187.26|199.74|212.23|224.71|0|201.74|179.77|168.98|0|249.68|162.79|0|91.43|204.36|154.55|150.56|0|2156.856582|187.26|195|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|110.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X7MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X9MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X11MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X13MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X15MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X17MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7X19MM LOCKING|368.2|195.15|276.15|294.56|312.97|331.38|0|297.51|265.1|249.2|0|368.2|240.07|0|134.83|301.37|227.92|222.02|0|2156.856582|276.15|287.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|163.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X9MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X11MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X13MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X15MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X17MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MINI 2.0X19MM|126.04|66.8|94.53|100.83|107.13|113.44|0|101.84|90.75|85.3|0|126.04|82.18|0|46.16|103.16|78.02|76|0|2156.856582|94.53|98.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|55.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 9X11|116.64|61.82|87.48|93.31|99.14|104.98|0|94.25|83.98|78.94|0|116.64|76.05|0|42.71|95.47|72.2|70.33|0|0|87.48|91.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.68|0|0|0|0|0|0|0|0|116.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X5MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X7MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X9MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X11MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X13MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X15MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X17MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE BONE 2.3X19MM|147.88|78.38|110.91|118.3|125.7|133.09|0|119.49|106.47|100.09|0|147.88|96.42|0|54.15|121.04|91.54|89.17|0|2156.856582|110.91|115.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|65.53|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE MICRO 1.5X9MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW EMERG MICRO 1.8X5MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW EMERG MICRO 1.8X7MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MICRO 1.5X4MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MICRO 1.5X5MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MICRO 1.5X7MM|134.44|71.25|100.83|107.55|114.27|121|0|108.63|96.8|90.99|0|134.44|87.65|0|49.23|110.04|83.22|81.07|0|2156.856582|100.83|105|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|59.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE STRAIGHT .6MM|395.84|209.8|296.88|316.67|336.46|356.26|0|319.84|285|267.9|0|395.84|258.09|0|144.96|324|245.02|238.69|0|2156.856582|296.88|309.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|175.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H  MIDFACE STRAIGHT .6M|461.8|244.75|346.35|369.44|392.53|415.62|0|373.13|332.5|312.55|0|461.8|301.09|0|169.11|377.98|285.85|278.47|0|2156.856582|346.35|360.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|204.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE L-SHAPE .6MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 10H MIDFACE L-SHAPE .6MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE X-SHAPE .6MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H MIDFACE Y-SHAPE .6MM|812.8|430.78|609.6|650.24|690.88|731.52|0|656.74|585.22|550.1|0|812.8|529.95|0|297.65|665.28|503.12|490.12|0|2156.856582|609.6|634.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|360.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE Y-SHAPE .6MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8H MIDFACE T-SHAPE .6MM|717.8|380.43|538.35|574.24|610.13|646.02|0|579.98|516.82|485.81|0|717.8|468.01|0|262.86|587.52|444.32|432.83|0|2156.856582|538.35|560.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|318.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE TWO ROW .6MM|939.44|497.9|704.58|751.55|798.52|845.5|0|759.07|676.4|635.81|0|939.44|612.51|0|344.02|768.93|581.51|566.48|0|2156.856582|704.58|733.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|416.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 24H MIDFACE STRAIGHT.6MM|976.4|517.49|732.3|781.12|829.94|878.76|0|788.93|703.01|660.83|0|976.4|636.61|0|357.56|799.18|604.39|588.77|0|2156.856582|732.3|762.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|432.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE ORBITAL .6MM|783.76|415.39|587.82|627.01|666.2|705.38|0|633.28|564.31|530.45|0|783.76|511.01|0|287.01|641.51|485.15|472.61|0|2156.856582|587.82|612.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|347.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE STRAIGHT.8MM|395.84|209.8|296.88|316.67|336.46|356.26|0|319.84|285|267.9|0|395.84|258.09|0|144.96|324|245.02|238.69|0|2156.856582|296.88|309.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|175.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H MIDFACE STRAIGHT.8MM|461.8|244.75|346.35|369.44|392.53|415.62|0|373.13|332.5|312.55|0|461.8|301.09|0|169.11|377.98|285.85|278.47|0|2156.856582|346.35|360.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|204.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE L-SHAPE .8MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 10H MIDFACE L-SHAPE .8MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE X-SHAPE .8MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H MIDFACE Y-SHAPE .8MM|812.8|430.78|609.6|650.24|690.88|731.52|0|656.74|585.22|550.1|0|812.8|529.95|0|297.65|665.28|503.12|490.12|0|2156.856582|609.6|634.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|360.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE Y-SHAPE .8MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8H MIDFACE T-SHAPE .8MM|717.8|380.43|538.35|574.24|610.13|646.02|0|579.98|516.82|485.81|0|717.8|468.01|0|262.86|587.52|444.32|432.83|0|2156.856582|538.35|560.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|318.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE 2X6 GRID.8MM|939.44|497.9|704.58|751.55|798.52|845.5|0|759.07|676.4|635.81|0|939.44|612.51|0|344.02|768.93|581.51|566.48|0|2156.856582|704.58|733.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|416.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 24H MIDFACE STRAIGHT.8MM|976.4|517.49|732.3|781.12|829.94|878.76|0|788.93|703.01|660.83|0|976.4|636.61|0|357.56|799.18|604.39|588.77|0|2156.856582|732.3|762.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|432.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE ORBITAL .8MM|783.76|415.39|587.82|627.01|666.2|705.38|0|633.28|564.31|530.45|0|783.76|511.01|0|287.01|641.51|485.15|472.61|0|2156.856582|587.82|612.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|347.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE STRAIGHT 1MM|395.84|209.8|296.88|316.67|336.46|356.26|0|319.84|285|267.9|0|395.84|258.09|0|144.96|324|245.02|238.69|0|2156.856582|296.88|309.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|175.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H MIDFACE STRAIGHT 1MM|461.8|244.75|346.35|369.44|392.53|415.62|0|373.13|332.5|312.55|0|461.8|301.09|0|169.11|377.98|285.85|278.47|0|2156.856582|346.35|360.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|204.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE L-SHAPE 1MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 10H MIDFACE L-SHAPE 1MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4H MIDFACE X-SHAPE 1MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H MIDFACE Y-SHAPE 1MM|812.8|430.78|609.6|650.24|690.88|731.52|0|656.74|585.22|550.1|0|812.8|529.95|0|297.65|665.28|503.12|490.12|0|2156.856582|609.6|634.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|360.15|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7H MIDFACE Y-SHAPE 1MM|749.44|397.2|562.08|599.55|637.02|674.5|0|605.55|539.6|507.22|0|749.44|488.63|0|274.44|613.42|463.9|451.91|0|2156.856582|562.08|585.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|332.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8H MIDFACE T-SHAPE 1MM|717.8|380.43|538.35|574.24|610.13|646.02|0|579.98|516.82|485.81|0|717.8|468.01|0|262.86|587.52|444.32|432.83|0|2156.856582|538.35|560.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|318.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE TWO ROW 1MM|939.44|497.9|704.58|751.55|798.52|845.5|0|759.07|676.4|635.81|0|939.44|612.51|0|344.02|768.93|581.51|566.48|0|2156.856582|704.58|733.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|416.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE STRAIGHT 1MM|976.4|517.49|732.3|781.12|829.94|878.76|0|788.93|703.01|660.83|0|976.4|636.61|0|357.56|799.18|604.39|588.77|0|2156.856582|732.3|762.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|432.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 12H MIDFACE ORBITAL 1MM|783.76|415.39|587.82|627.01|666.2|705.38|0|633.28|564.31|530.45|0|783.76|511.01|0|287.01|641.51|485.15|472.61|0|2156.856582|587.82|612.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|347.28|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH 3D TITANIUM 80X80MM .3MM|2501.88|1326|1876.41|2001.5|2126.6|2251.69|0|2021.52|1801.35|1693.27|0|2501.88|1631.23|0|916.19|2047.79|1548.66|1508.63|0|0|1876.41|1953.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1108.58|0|0|0|0|0|0|0|0|2501.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PLATE ORBITAL FLOOR .3MM|1070.36|567.29|802.77|856.29|909.81|963.32|0|864.85|770.66|724.42|0|1070.36|697.87|0|391.97|876.09|662.55|645.43|0|0|802.77|835.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|474.28|0|0|0|0|0|0|0|0|1070.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PLATE ORBITAL FLOOR GOLD 0.5MM|1070.36|567.29|802.77|856.29|909.81|963.32|0|864.85|770.66|724.42|0|1070.36|697.87|0|391.97|876.09|662.55|645.43|0|0|802.77|835.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|474.28|0|0|0|0|0|0|0|0|1070.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB BASE SZ 2 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM RT SZ 2 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FEM LT SZ 2 CEM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 06X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 06X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 07X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 07X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 07X32|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 08X22|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 08X26|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 08X32|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 09X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 09X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 09X32|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 10X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 10X26|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 10X32|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 11X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 11X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 11X32|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 12X22|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 12X26|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 12X32|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 13X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 13X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 13X32|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE PEEK 14X22|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 14X26|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 14X32|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 15X22|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 15X26|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER  CAPSTONE PEEK 15X32|4050|2146.5|3037.5|3240|3442.5|3645|0|3272.4|2916|2741.04|0|4050|2640.6|0|1483.11|3314.93|2506.95|2442.15|0|0|3037.5|3163.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1794.56|0|0|0|0|0|0|0|0|4050
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 16X22|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE PEEK 16X26|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAPSTONE  PEEK 16X32|4275|2265.75|3206.25|3420|3633.75|3847.5|0|3454.2|3078|2893.32|0|4275|2787.3|0|1565.51|3499.09|2646.23|2577.83|0|0|3206.25|3338.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1894.25|0|0|0|0|0|0|0|0|4275
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM PERFORATED MED|6210.6|3291.62|4657.95|4968.48|5279.01|5589.54|0|5018.16|4471.63|4203.33|0|6210.6|4049.31|0|2274.32|5083.38|3844.36|3744.99|0|31.03143418|4657.95|4850.48|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|2751.92|0|0|0|0|0|0|0|0|6210.6
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 325CC|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|747.8192534|2081.25|2167.28|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 350CC|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|747.8192534|2081.25|2167.28|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 375CC|2775|1470.75|2081.25|2220|2358.75|2497.5|0|2242.2|1998|1878.12|0|2775|1809.3|0|1016.21|2271.34|1717.73|1673.33|0|747.8192534|2081.25|2167.28|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1229.6|0|0|0|0|0|0|0|0|2775
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH TEMPO AQUA VERT 5FR 100CM|288|152.64|216|230.4|244.8|259.2|0|232.7|207.36|194.92|0|288|187.78|0|105.47|235.73|178.27|173.66|0|11.99410609|216|224.93|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|127.61|0|0|0|0|0|0|0|0|288
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STORQ 180CM ANG|264|139.92|198|211.2|224.4|237.6|0|213.31|190.08|178.68|0|264|172.13|0|96.68|216.08|163.42|159.19|0|0|198|206.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|116.98|0|0|0|0|0|0|0|0|264
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STORQ 180CM J|306.24|162.31|229.68|244.99|260.3|275.62|0|247.44|220.49|207.26|0|306.24|199.67|0|112.15|250.66|189.56|184.66|0|0|229.68|239.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.69|0|0|0|0|0|0|0|0|306.24
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STORQ 300CM J|306.24|162.31|229.68|244.99|260.3|275.62|0|247.44|220.49|207.26|0|306.24|199.67|0|112.15|250.66|189.56|184.66|0|0|229.68|239.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.69|0|0|0|0|0|0|0|0|306.24
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STORQ 300CM STR|306.24|162.31|229.68|244.99|260.3|275.62|0|247.44|220.49|207.26|0|306.24|199.67|0|112.15|250.66|189.56|184.66|0|0|229.68|239.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.69|0|0|0|0|0|0|0|0|306.24
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STORQ 300CM ANG|306.24|162.31|229.68|244.99|260.3|275.62|0|247.44|220.49|207.26|0|306.24|199.67|0|112.15|250.66|189.56|184.66|0|0|229.68|239.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.69|0|0|0|0|0|0|0|0|306.24
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STAB PL J 180CM .014|388.68|206|291.51|310.94|330.38|349.81|0|314.05|279.85|263.06|0|388.68|253.42|0|142.33|318.13|240.59|234.37|0|0|291.51|303.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.22|0|0|0|0|0|0|0|0|388.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STAB BL J 300CM .014|388.68|206|291.51|310.94|330.38|349.81|0|314.05|279.85|263.06|0|388.68|253.42|0|142.33|318.13|240.59|234.37|0|0|291.51|303.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.22|0|0|0|0|0|0|0|0|388.68
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH BLN OUTBACK ELITE  120CM|4136.4|2192.29|3102.3|3309.12|3515.94|3722.76|0|3342.21|2978.21|2799.52|0|4136.4|2696.93|0|1514.75|3385.64|2560.43|2494.25|0|0|3102.3|3230.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1832.84|0|0|0|0|0|0|0|0|4136.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CAP LOCKING COCR 09.632.099|513|271.89|384.75|410.4|436.05|461.7|0|414.5|369.36|347.2|0|513|334.48|0|187.86|419.89|317.55|309.34|0|2156.856582|384.75|400.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|227.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT GORE VASC 80CM 6MM REM|4908.6|2601.56|3681.45|3926.88|4172.31|4417.74|0|3966.15|3534.19|3322.14|0|4908.6|3200.41|0|1797.53|4017.69|3038.42|2959.89|0|0|3681.45|3833.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2175|0|0|0|0|0|0|0|0|4908.6
HOSP OP|0272 - STERILE SUPPLY||A4649|CATH TEMPO AQUA STR 5FR 125CM|218.4|115.75|163.8|174.72|185.64|196.56|0|176.47|157.25|147.81|0|218.4|142.4|0|79.98|178.76|135.19|131.7|0|11.99410609|163.8|170.57|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|96.77|0|0|0|0|0|0|0|0|218.4
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH EMBOLECTOMY THRU-LUMEN5FR|357.4|189.42|268.05|285.92|303.79|321.66|0|288.78|257.33|241.89|0|357.4|233.02|0|130.88|292.53|221.23|215.51|0|0|268.05|279.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|158.36|0|0|0|0|0|0|0|0|357.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR SM L|2113.5|1120.15|1585.13|1690.8|1796.48|1902.15|0|1707.71|1521.72|1430.42|0|2113.5|1378|0|773.96|1729.9|1308.26|1274.44|0|2156.856582|1585.13|1650.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|936.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR SM R|2113.5|1120.15|1585.13|1690.8|1796.48|1902.15|0|1707.71|1521.72|1430.42|0|2113.5|1378|0|773.96|1729.9|1308.26|1274.44|0|2156.856582|1585.13|1650.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|936.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR MED L|1884.06|998.55|1413.05|1507.25|1601.45|1695.65|0|1522.32|1356.52|1275.13|0|1884.06|1228.41|0|689.94|1542.1|1166.23|1136.09|0|2156.856582|1413.05|1471.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|834.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR MED R|1884.06|998.55|1413.05|1507.25|1601.45|1695.65|0|1522.32|1356.52|1275.13|0|1884.06|1228.41|0|689.94|1542.1|1166.23|1136.09|0|2156.856582|1413.05|1471.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|834.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR LG L|2028.24|1074.97|1521.18|1622.59|1724|1825.42|0|1638.82|1460.33|1372.71|0|2028.24|1322.41|0|742.74|1660.11|1255.48|1223.03|0|2156.856582|1521.18|1584.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|898.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ORBITAL FLOOR LG R|2028.24|1074.97|1521.18|1622.59|1724|1825.42|0|1638.82|1460.33|1372.71|0|2028.24|1322.41|0|742.74|1660.11|1255.48|1223.03|0|2156.856582|1521.18|1584.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|898.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE 3.2MM/475MM|388.48|205.89|291.36|310.78|330.21|349.63|0|313.89|279.71|262.92|0|388.48|253.29|0|142.26|317.97|240.47|234.25|0|0|291.36|303.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|172.14|0|0|0|0|0|0|0|0|388.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 10MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 10MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/125/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/125/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/340|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/340|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/360|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/360|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/380|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/380|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/400|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/400|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/420|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/420|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 11MM/130/440|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 11MM/130/440|3223.44|1708.42|2417.58|2578.75|2739.92|2901.1|0|2604.54|2320.88|2181.62|0|3223.44|2101.68|0|1180.42|2638.39|1995.31|1943.73|0|2156.856582|2417.58|2517.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1428.31|0|0|0|0|0|0|0|0|3223.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/125/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/125/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/380|3120.21|1653.71|2340.16|2496.17|2652.18|2808.19|0|2521.13|2246.55|2111.76|0|3120.21|2034.38|0|1142.62|2553.89|1931.41|1881.49|0|2156.856582|2340.16|2436.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.57|0|0|0|0|0|0|0|0|3120.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 12MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 12MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 10MM/125/170|3216.43|1704.71|2412.32|2573.15|2733.97|2894.79|0|2598.88|2315.83|2176.88|0|3216.43|2097.11|0|1177.86|2632.65|1990.97|1939.51|0|2156.856582|2412.32|2512.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1425.2|0|0|0|0|0|0|0|0|3216.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 10MM/130/170|3065.81|1624.88|2299.36|2452.65|2605.94|2759.23|0|2477.17|2207.38|2074.94|0|3065.81|1998.91|0|1122.7|2509.36|1897.74|1848.68|0|2156.856582|2299.36|2394.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1358.46|0|0|0|0|0|0|0|0|3065.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 11MM/125/170|3216.43|1704.71|2412.32|2573.15|2733.97|2894.79|0|2598.88|2315.83|2176.88|0|3216.43|2097.11|0|1177.86|2632.65|1990.97|1939.51|0|2156.856582|2412.32|2512.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1425.2|0|0|0|0|0|0|0|0|3216.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 11MM/130/170|3065.81|1624.88|2299.36|2452.65|2605.94|2759.23|0|2477.17|2207.38|2074.94|0|3065.81|1998.91|0|1122.7|2509.36|1897.74|1848.68|0|2156.856582|2299.36|2394.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1358.46|0|0|0|0|0|0|0|0|3065.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 12MM/125/170|3216.43|1704.71|2412.32|2573.15|2733.97|2894.79|0|2598.88|2315.83|2176.88|0|3216.43|2097.11|0|1177.86|2632.65|1990.97|1939.51|0|2156.856582|2412.32|2512.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1425.2|0|0|0|0|0|0|0|0|3216.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA 12MM/130/170|3065.81|1624.88|2299.36|2452.65|2605.94|2759.23|0|2477.17|2207.38|2074.94|0|3065.81|1998.91|0|1122.7|2509.36|1897.74|1848.68|0|2156.856582|2299.36|2394.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1358.46|0|0|0|0|0|0|0|0|3065.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 70MM|1920.99|1018.12|1440.74|1536.79|1632.84|1728.89|0|1552.16|1383.11|1300.13|0|1920.99|1252.49|0|703.47|1572.33|1189.09|1158.36|0|2156.856582|1440.74|1500.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|851.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 75MM|1920.99|1018.12|1440.74|1536.79|1632.84|1728.89|0|1552.16|1383.11|1300.13|0|1920.99|1252.49|0|703.47|1572.33|1189.09|1158.36|0|2156.856582|1440.74|1500.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|851.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 80MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 85MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 90MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 95MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 100MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 105MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 110MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 115MM|1820.4|964.81|1365.3|1456.32|1547.34|1638.36|0|1470.88|1310.69|1232.05|0|1820.4|1186.9|0|666.63|1490|1126.83|1097.7|0|2156.856582|1365.3|1421.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|806.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 120MM|1920.99|1018.12|1440.74|1536.79|1632.84|1728.89|0|1552.16|1383.11|1300.13|0|1920.99|1252.49|0|703.47|1572.33|1189.09|1158.36|0|2156.856582|1440.74|1500.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|851.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 125MM|1920.99|1018.12|1440.74|1536.79|1632.84|1728.89|0|1552.16|1383.11|1300.13|0|1920.99|1252.49|0|703.47|1572.33|1189.09|1158.36|0|2156.856582|1440.74|1500.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|851.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL TFNA 130MM|1920.99|1018.12|1440.74|1536.79|1632.84|1728.89|0|1552.16|1383.11|1300.13|0|1920.99|1252.49|0|703.47|1572.33|1189.09|1158.36|0|2156.856582|1440.74|1500.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|851.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 70MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 75MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 80MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 85MM|1745.46|925.09|1309.1|1396.37|1483.64|1570.91|0|1410.33|1256.73|1181.33|0|1745.46|1138.04|0|639.19|1428.66|1080.44|1052.51|0|2156.856582|1309.1|1363.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|773.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 90MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 95MM|1745.46|925.09|1309.1|1396.37|1483.64|1570.91|0|1410.33|1256.73|1181.33|0|1745.46|1138.04|0|639.19|1428.66|1080.44|1052.51|0|2156.856582|1309.1|1363.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|773.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 100MM|1745.46|925.09|1309.1|1396.37|1483.64|1570.91|0|1410.33|1256.73|1181.33|0|1745.46|1138.04|0|639.19|1428.66|1080.44|1052.51|0|2156.856582|1309.1|1363.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|773.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 105MM|1745.46|925.09|1309.1|1396.37|1483.64|1570.91|0|1410.33|1256.73|1181.33|0|1745.46|1138.04|0|639.19|1428.66|1080.44|1052.51|0|2156.856582|1309.1|1363.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|773.41|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 110MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 115MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 120MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 125MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TFNA 130MM|1830.78|970.31|1373.09|1464.62|1556.16|1647.7|0|1479.27|1318.16|1239.07|0|1830.78|1193.67|0|670.43|1498.49|1133.25|1103.96|0|2156.856582|1373.09|1429.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|811.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 2 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 3 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 4 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 5 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 6 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 7 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 8 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 9 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE RP TIB BASE SZ 10 CEM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 2 20MM|2700|1431|2025|2160|2295|2430|0|2181.6|1944|1827.36|0|2700|1760.4|0|988.74|2209.95|1671.3|1628.1|0|0|2025|2108.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1196.37|0|0|0|0|0|0|0|0|2700
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 3 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSMRT STAPES PSTN 70145925|1019.08|540.11|764.31|815.26|866.22|917.17|0|823.42|733.74|689.71|0|1019.08|664.44|0|373.19|834.12|630.81|614.51|0|307.0137525|764.31|795.9|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|451.55|0|0|0|0|0|0|0|0|1019.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 4 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSMRT STAPES PSTN 70145926|1007.4|533.92|755.55|805.92|856.29|906.66|0|813.98|725.33|681.81|0|1007.4|656.82|0|368.91|824.56|623.58|607.46|0|307.0137525|755.55|786.78|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|446.38|0|0|0|0|0|0|0|0|1007.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 5 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSMRT STAPES PSTN 70145927|1179.76|625.27|884.82|943.81|1002.8|1061.78|0|953.25|849.43|798.46|0|1179.76|769.2|0|432.03|965.63|730.27|711.4|0|307.0137525|884.82|921.39|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|522.75|0|0|0|0|0|0|0|0|1179.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 6 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSMRT STAPES PSTN 70145928|1179.76|625.27|884.82|943.81|1002.8|1061.78|0|953.25|849.43|798.46|0|1179.76|769.2|0|432.03|965.63|730.27|711.4|0|307.0137525|884.82|921.39|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|522.75|0|0|0|0|0|0|0|0|1179.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 7 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSSMRT STAPES PSTN 70145929|1019.08|540.11|764.31|815.26|866.22|917.17|0|823.42|733.74|689.71|0|1019.08|664.44|0|373.19|834.12|630.81|614.51|0|307.0137525|764.31|795.9|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|451.55|0|0|0|0|0|0|0|0|1019.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 8 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 9 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 6MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS RP INSRT SZ 10 20MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 7 1570-06-135|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIPOLAR SUMMIT 8 1570-06-150|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 12.0 1376-21-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR DEPUY 13.0 1376-22-000|331.64|175.77|248.73|265.31|281.89|298.48|0|267.97|238.78|224.45|0|331.64|216.23|0|121.45|271.45|205.29|199.98|0|0|248.73|259.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.95|0|0|0|0|0|0|0|0|331.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 28/+8.5 1365-13-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 28/+15.5 1365-15000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 1.6 TRILOCK BN 52X28MM L|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 1.6 TRILOCK BN 52X28MM R|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 1.6 TRILOCK BN 63X28MM L|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 1.6 TRILOCK BN 63X28MM R|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/150 294.784|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/175 294.785|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/175 294.795|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 5/12.5 96-2152|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0272 - STERILE SUPPLY||A4649|ARCH BAR OMNIMAX|1192|631.76|894|953.6|1013.2|1072.8|0|963.14|858.24|806.75|0|1192|777.18|0|436.51|975.65|737.85|718.78|0|11.99410609|894|930.95|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|528.18|0|0|0|0|0|0|0|0|1192
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 5/15.0 96-2153|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0X7MM OMNIMAX SD XD|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0X9MM OMNIMAX SD XD|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0X11MM OMNIMAX SD XD|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|2156.856582|294|306.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0 X 7MM SD IMF HEX|348|184.44|261|278.4|295.8|313.2|0|281.18|250.56|235.53|0|348|226.9|0|127.44|284.84|215.41|209.84|0|2156.856582|261|271.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|154.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0 X 9MM SD IMF HEX|348|184.44|261|278.4|295.8|313.2|0|281.18|250.56|235.53|0|348|226.9|0|127.44|284.84|215.41|209.84|0|2156.856582|261|271.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|154.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.0 X 11MM SD IMF HEX|348|184.44|261|278.4|295.8|313.2|0|281.18|250.56|235.53|0|348|226.9|0|127.44|284.84|215.41|209.84|0|2156.856582|261|271.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|154.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 5/17.5 96-2154|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 6/12.5 96-2162|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 6/15.0 96-2163|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|DBM MAGNIFUSE 1X5CM|3213|1702.89|2409.75|2570.4|2731.05|2891.7|0|2596.1|2313.36|2174.56|0|3213|2094.88|0|1176.6|2629.84|1988.85|1937.44|0|2156.856582|2409.75|2509.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1423.68|0|0|0|0|0|0|0|0|3213
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 6/17.5 96-2164|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2/10.0 96-2111|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2/12.5 96-2112|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2/15.0 96-2113|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2/17.5 96-2114|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2.5/17.5 96-2124|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 3/12.5 96-2132|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 3/15.0 96-2133|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 3/17.5 96-2134|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 4/12.5 96-2142|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SETSCREW|400|212|300|320|340|360|0|323.2|288|270.72|0|400|260.8|0|146.48|327.4|247.6|241.2|0|2156.856582|300|312.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|177.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X20MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X25MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X30MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 4/15.0 96-2143|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X35MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X40MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X45MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X50MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 5X55MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X25MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X30MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X35MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X40MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X45MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 4/17.5 96-2144|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X50MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 6X55MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X35MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X40MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X45MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X50MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X55MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 8X35MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 8X40MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 8X45MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT2.5 1294-33125|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 8X50MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 8X55MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X35MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X40MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X45MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X50MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X55MM|3375|1788.75|2531.25|2700|2868.75|3037.5|0|2727|2430|2284.2|0|3375|2200.5|0|1235.93|2762.44|2089.13|2035.13|0|2156.856582|2531.25|2635.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1495.46|0|0|0|0|0|0|0|0|3375
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 30MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 35MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 40MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT 5 1294-33-150|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 45MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 55MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 65MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 70MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 75MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 80MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 85MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 90MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5 X 95MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ CVD RP SZ 3 12.5M|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ CVD RP SZ 4 12.5M|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 28/+12 1365-14-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT2 1570-11-080|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT3 1570-11-090|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT4 1570-11-100|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT5 1570-11-110|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT6 1570-11-120|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT7 1570-11-135|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0272 - STERILE SUPPLY||A4649|VAC WOUND DRSG SILVER|297.2|157.52|222.9|237.76|252.62|267.48|0|240.14|213.98|201.14|0|297.2|193.77|0|108.83|243.26|183.97|179.21|0|11.99410609|222.9|232.11|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|131.69|0|0|0|0|0|0|0|0|297.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT8 1570-11-150|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFST P/FT9 1570-11-165|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|VIVIGEN BONE MATRIX 1CC|1527|809.31|1145.25|1221.6|1297.95|1374.3|0|1233.82|1099.44|1033.47|0|1527|995.6|0|559.19|1249.85|945.21|920.78|0|2156.856582|1145.25|1192.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|676.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|VIVIGEN BONE MATRIX 5CC|4158|2203.74|3118.5|3326.4|3534.3|3742.2|0|3359.66|2993.76|2814.13|0|4158|2711.02|0|1522.66|3403.32|2573.8|2507.27|0|2156.856582|3118.5|3247.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1842.41|0|0|0|0|0|0|0|0|4158
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|DEMIN CORTICAL POWDER 3CC|848|449.44|636|678.4|720.8|763.2|0|685.18|610.56|573.93|0|848|552.9|0|310.54|694.09|524.91|511.34|0|2156.856582|636|662.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JHIOFSTP/FT101570-11-180|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 2 1570-01-080|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 3 1570-01-090|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH UTERINE BALLOON|460|243.8|345|368|391|414|0|371.68|331.2|311.33|0|460|299.92|0|168.45|376.51|284.74|277.38|0|0|345|359.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|203.83|0|0|0|0|0|0|0|0|460
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 4 1570-01-100|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 7 1570-01-135|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 8 1570-01-150|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 9 1570-01-165|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT10 1570-01-180|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 6H/R|3338.86|1769.6|2504.14|2671.08|2838.03|3004.97|0|2697.8|2403.98|2259.74|0|3338.86|2176.93|0|1222.69|2732.85|2066.75|2013.33|0|2156.856582|2504.14|2607.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1479.45|0|0|0|0|0|0|0|0|3338.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 15 1217-15-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 6H/L|3338.86|1769.6|2504.14|2671.08|2838.03|3004.97|0|2697.8|2403.98|2259.74|0|3338.86|2176.93|0|1222.69|2732.85|2066.75|2013.33|0|2156.856582|2504.14|2607.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1479.45|0|0|0|0|0|0|0|0|3338.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 8H/R|3402.94|1803.56|2552.2|2722.35|2892.5|3062.64|0|2749.57|2450.11|2303.11|0|3402.94|2218.71|0|1246.16|2785.3|2106.42|2051.97|0|2156.856582|2552.2|2657.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1507.84|0|0|0|0|0|0|0|0|3402.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 8H/L|3402.94|1803.56|2552.2|2722.35|2892.5|3062.64|0|2749.57|2450.11|2303.11|0|3402.94|2218.71|0|1246.16|2785.3|2106.42|2051.97|0|2156.856582|2552.2|2657.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1507.84|0|0|0|0|0|0|0|0|3402.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 10H/R|3563.21|1888.5|2672.41|2850.57|3028.73|3206.89|0|2879.07|2565.51|2411.58|0|3563.21|2323.21|0|1304.85|2916.49|2205.63|2148.61|0|2156.856582|2672.41|2782.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1578.86|0|0|0|0|0|0|0|0|3563.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 10H/L|3563.21|1888.5|2672.41|2850.57|3028.73|3206.89|0|2879.07|2565.51|2411.58|0|3563.21|2323.21|0|1304.85|2916.49|2205.63|2148.61|0|2156.856582|2672.41|2782.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1578.86|0|0|0|0|0|0|0|0|3563.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 12H/R|3638.62|1928.47|2728.96|2910.89|3092.82|3274.75|0|2940|2619.8|2462.62|0|3638.62|2372.38|0|1332.46|2978.21|2252.3|2194.09|0|2156.856582|2728.96|2841.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1612.27|0|0|0|0|0|0|0|0|3638.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 12H/L|3638.62|1928.47|2728.96|2910.89|3092.82|3274.75|0|2940|2619.8|2462.62|0|3638.62|2372.38|0|1332.46|2978.21|2252.3|2194.09|0|2156.856582|2728.96|2841.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1612.27|0|0|0|0|0|0|0|0|3638.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 14H/R|3882.84|2057.91|2912.13|3106.27|3300.41|3494.56|0|3137.33|2795.64|2627.91|0|3882.84|2531.61|0|1421.9|3178.1|2403.48|2341.35|0|2156.856582|2912.13|3032.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1720.49|0|0|0|0|0|0|0|0|3882.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 14H/L|3882.84|2057.91|2912.13|3106.27|3300.41|3494.56|0|3137.33|2795.64|2627.91|0|3882.84|2531.61|0|1421.9|3178.1|2403.48|2341.35|0|2156.856582|2912.13|3032.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1720.49|0|0|0|0|0|0|0|0|3882.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 16H/R|3957.74|2097.6|2968.31|3166.2|3364.08|3561.97|0|3197.86|2849.58|2678.6|0|3957.74|2580.45|0|1449.33|3239.41|2449.84|2386.52|0|2156.856582|2968.31|3091|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1753.68|0|0|0|0|0|0|0|0|3957.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 25 1217-25-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 16H/L|3957.74|2097.6|2968.31|3166.2|3364.08|3561.97|0|3197.86|2849.58|2678.6|0|3957.74|2580.45|0|1449.33|3239.41|2449.84|2386.52|0|2156.856582|2968.31|3091|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1753.68|0|0|0|0|0|0|0|0|3957.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 18H/R|3162.15|1675.94|2371.61|2529.72|2687.83|2845.94|0|2555.02|2276.75|2140.14|0|3162.15|2061.72|0|1157.98|2588.22|1957.37|1906.78|0|2156.856582|2371.61|2469.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1401.15|0|0|0|0|0|0|0|0|3162.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM VA-LCP CONDYLAR 18H/L|3162.15|1675.94|2371.61|2529.72|2687.83|2845.94|0|2555.02|2276.75|2140.14|0|3162.15|2061.72|0|1157.98|2588.22|1957.37|1906.78|0|2156.856582|2371.61|2469.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1401.15|0|0|0|0|0|0|0|0|3162.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 20MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 25MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 30MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 35MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 40MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 45MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 50MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 35 1217-35-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 55MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 60MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 65MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 70MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 75MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 80MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 85MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 10MM|846.6|448.7|634.95|677.28|719.61|761.94|0|684.05|609.55|572.98|0|846.6|551.98|0|310.02|692.94|524.05|510.5|0|2156.856582|634.95|661.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 12MM|846.6|448.7|634.95|677.28|719.61|761.94|0|684.05|609.55|572.98|0|846.6|551.98|0|310.02|692.94|524.05|510.5|0|2156.856582|634.95|661.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 14MM|846.6|448.7|634.95|677.28|719.61|761.94|0|684.05|609.55|572.98|0|846.6|551.98|0|310.02|692.94|524.05|510.5|0|2156.856582|634.95|661.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 40 1217-40-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 16MM|846.6|448.7|634.95|677.28|719.61|761.94|0|684.05|609.55|572.98|0|846.6|551.98|0|310.02|692.94|524.05|510.5|0|2156.856582|634.95|661.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 18MM|846.6|448.7|634.95|677.28|719.61|761.94|0|684.05|609.55|572.98|0|846.6|551.98|0|310.02|692.94|524.05|510.5|0|2156.856582|634.95|661.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|375.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 20MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 22MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 24MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 26MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 28MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 30MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 32MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 34MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 45 1217-45-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 36MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 38MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 40MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 42MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 44MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 46MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 48MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 50MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 55MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 60MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 50 1217-50-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 65MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 70MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 75MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 80MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 85MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK SLF-TP 90MM|604.64|320.46|453.48|483.71|513.94|544.18|0|488.55|435.34|409.22|0|604.64|394.23|0|221.42|494.9|374.27|364.6|0|2156.856582|453.48|472.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|267.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 4H/|3354.12|1777.68|2515.59|2683.3|2851|3018.71|0|2710.13|2414.97|2270.07|0|3354.12|2186.89|0|1228.28|2745.35|2076.2|2022.53|0|2156.856582|2515.59|2619.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1486.21|0|0|0|0|0|0|0|0|3354.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 4H/|3354.12|1777.68|2515.59|2683.3|2851|3018.71|0|2710.13|2414.97|2270.07|0|3354.12|2186.89|0|1228.28|2745.35|2076.2|2022.53|0|2156.856582|2515.59|2619.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1486.21|0|0|0|0|0|0|0|0|3354.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 6H/|3391.8|1797.65|2543.85|2713.44|2883.03|3052.62|0|2740.57|2442.1|2295.57|0|3391.8|2211.45|0|1242.08|2776.19|2099.52|2045.26|0|2156.856582|2543.85|2649|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1502.91|0|0|0|0|0|0|0|0|3391.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 6H/|3391.8|1797.65|2543.85|2713.44|2883.03|3052.62|0|2740.57|2442.1|2295.57|0|3391.8|2211.45|0|1242.08|2776.19|2099.52|2045.26|0|2156.856582|2543.85|2649|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1502.91|0|0|0|0|0|0|0|0|3391.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 55 1217-55-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 8H/|3427.8|1816.73|2570.85|2742.24|2913.63|3085.02|0|2769.66|2468.02|2319.94|0|3427.8|2234.93|0|1255.26|2805.65|2121.81|2066.96|0|2156.856582|2570.85|2677.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1518.86|0|0|0|0|0|0|0|0|3427.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 8H/|3427.8|1816.73|2570.85|2742.24|2913.63|3085.02|0|2769.66|2468.02|2319.94|0|3427.8|2234.93|0|1255.26|2805.65|2121.81|2066.96|0|2156.856582|2570.85|2677.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1518.86|0|0|0|0|0|0|0|0|3427.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 10H|3460.37|1834|2595.28|2768.29|2941.31|3114.33|0|2795.98|2491.46|2341.98|0|3460.37|2256.16|0|1267.19|2832.31|2141.97|2086.6|0|2156.856582|2595.28|2702.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.29|0|0|0|0|0|0|0|0|3460.37
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA ANT DSTL TIB 10H|3460.37|1834|2595.28|2768.29|2941.31|3114.33|0|2795.98|2491.46|2341.98|0|3460.37|2256.16|0|1267.19|2832.31|2141.97|2086.6|0|2156.856582|2595.28|2702.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.29|0|0|0|0|0|0|0|0|3460.37
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 4H/|3151.87|1670.49|2363.9|2521.5|2679.09|2836.68|0|2546.71|2269.35|2133.19|0|3151.87|2055.02|0|1154.22|2579.81|1951.01|1900.58|0|2156.856582|2363.9|2461.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1396.59|0|0|0|0|0|0|0|0|3151.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 4H/|3151.87|1670.49|2363.9|2521.5|2679.09|2836.68|0|2546.71|2269.35|2133.19|0|3151.87|2055.02|0|1154.22|2579.81|1951.01|1900.58|0|2156.856582|2363.9|2461.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1396.59|0|0|0|0|0|0|0|0|3151.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 6H/|3186.14|1688.65|2389.61|2548.92|2708.22|2867.53|0|2574.4|2294.02|2156.38|0|3186.14|2077.37|0|1166.77|2607.86|1972.22|1921.24|0|2156.856582|2389.61|2488.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.78|0|0|0|0|0|0|0|0|3186.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 6H/|3186.14|1688.65|2389.61|2548.92|2708.22|2867.53|0|2574.4|2294.02|2156.38|0|3186.14|2077.37|0|1166.77|2607.86|1972.22|1921.24|0|2156.856582|2389.61|2488.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.78|0|0|0|0|0|0|0|0|3186.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 8H/|3218.71|1705.92|2414.03|2574.97|2735.91|2896.84|0|2600.72|2317.47|2178.42|0|3218.71|2098.6|0|1178.69|2634.52|1992.38|1940.88|0|2156.856582|2414.03|2513.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1426.21|0|0|0|0|0|0|0|0|3218.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 8H/|3218.71|1705.92|2414.03|2574.97|2735.91|2896.84|0|2600.72|2317.47|2178.42|0|3218.71|2098.6|0|1178.69|2634.52|1992.38|1940.88|0|2156.856582|2414.03|2513.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1426.21|0|0|0|0|0|0|0|0|3218.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCREW J&J 60 1217-60-500|265.32|140.62|198.99|212.26|225.52|238.79|0|214.38|191.03|179.57|0|265.32|172.99|0|97.16|217.16|164.23|159.99|0|0|198.99|207.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.56|0|0|0|0|0|0|0|0|265.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 10H|3252.98|1724.08|2439.74|2602.39|2765.04|2927.69|0|2628.41|2342.15|2201.62|0|3252.98|2120.95|0|1191.24|2662.57|2013.6|1961.55|0|2156.856582|2439.74|2540.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1441.4|0|0|0|0|0|0|0|0|3252.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 VA MED DSTL TIB 10H|3252.98|1724.08|2439.74|2602.39|2765.04|2927.69|0|2628.41|2342.15|2201.62|0|3252.98|2120.95|0|1191.24|2662.57|2013.6|1961.55|0|2156.856582|2439.74|2540.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1441.4|0|0|0|0|0|0|0|0|3252.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 3H/R|2150.94|1140|1613.21|1720.75|1828.3|1935.85|0|1737.96|1548.68|1455.76|0|2150.94|1402.41|0|787.67|1760.54|1331.43|1297.02|0|2156.856582|1613.21|1679.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|953.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 3H/L|2150.94|1140|1613.21|1720.75|1828.3|1935.85|0|1737.96|1548.68|1455.76|0|2150.94|1402.41|0|787.67|1760.54|1331.43|1297.02|0|2156.856582|1613.21|1679.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|953.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 4H/R|2249.49|1192.23|1687.12|1799.59|1912.07|2024.54|0|1817.59|1619.63|1522.45|0|2249.49|1466.67|0|823.76|1841.21|1392.43|1356.44|0|2156.856582|1687.12|1756.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|996.75|0|0|0|0|0|0|0|0|2249.49
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 4H/L|2249.49|1192.23|1687.12|1799.59|1912.07|2024.54|0|1817.59|1619.63|1522.45|0|2249.49|1466.67|0|823.76|1841.21|1392.43|1356.44|0|2156.856582|1687.12|1756.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|996.75|0|0|0|0|0|0|0|0|2249.49
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 5H/R|2360.91|1251.28|1770.68|1888.73|2006.77|2124.82|0|1907.62|1699.86|1597.86|0|2360.91|1539.31|0|864.57|1932.4|1461.4|1423.63|0|2156.856582|1770.68|1843.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1046.12|0|0|0|0|0|0|0|0|2360.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 5H/L|2360.91|1251.28|1770.68|1888.73|2006.77|2124.82|0|1907.62|1699.86|1597.86|0|2360.91|1539.31|0|864.57|1932.4|1461.4|1423.63|0|2156.856582|1770.68|1843.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1046.12|0|0|0|0|0|0|0|0|2360.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 6H/R|2480.85|1314.85|1860.64|1984.68|2108.72|2232.77|0|2004.53|1786.21|1679.04|0|2480.85|1617.51|0|908.49|2030.58|1535.65|1495.95|0|2156.856582|1860.64|1937.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1099.26|0|0|0|0|0|0|0|0|2480.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 6H/L|2480.85|1314.85|1860.64|1984.68|2108.72|2232.77|0|2004.53|1786.21|1679.04|0|2480.85|1617.51|0|908.49|2030.58|1535.65|1495.95|0|2156.856582|1860.64|1937.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1099.26|0|0|0|0|0|0|0|0|2480.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 7H/R|2600.85|1378.45|1950.64|2080.68|2210.72|2340.77|0|2101.49|1872.61|1760.26|0|2600.85|1695.75|0|952.43|2128.8|1609.93|1568.31|0|2156.856582|1950.64|2031.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.44|0|0|0|0|0|0|0|0|2600.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7MM VA LAT DSTL FIB 7H/L|2600.85|1378.45|1950.64|2080.68|2210.72|2340.77|0|2101.49|1872.61|1760.26|0|2600.85|1695.75|0|952.43|2128.8|1609.93|1568.31|0|2156.856582|1950.64|2031.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1152.44|0|0|0|0|0|0|0|0|2600.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA  LCK SLF-TP 58M|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 2.7MM VA  LCK SLF-TP 60M|448.44|237.67|336.33|358.75|381.17|403.6|0|362.34|322.88|303.5|0|448.44|292.38|0|164.22|367.05|277.58|270.41|0|2156.856582|336.33|350.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|198.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 10MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 12MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 14MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 16MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 18MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 20MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 22MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 24MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 26MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 28MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 30MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 32MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 34MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 36MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 38MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 40MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 42MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 44MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 46MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 48MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 50MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 52MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 54MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 56MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 58MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM VA LCK SLF-TP 60MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 10MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 12MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 14MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 16MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 18MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 20MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 22MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 24MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 26MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 28MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 30MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 32MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 34MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 36MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 38MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 40MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 42MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 44MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 46MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 48MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 50MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 52MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 54MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 56MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 58MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 3.5MM CRTX LP SLF-TP 60MM|103.52|54.87|77.64|82.82|87.99|93.17|0|83.64|74.53|70.06|0|103.52|67.5|0|37.91|84.73|64.08|62.42|0|2156.856582|77.64|80.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|45.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 PROX OLECR 2H/R/73M|2463.75|1305.79|1847.81|1971|2094.19|2217.38|0|1990.71|1773.9|1667.47|0|2463.75|1606.37|0|902.23|2016.58|1525.06|1485.64|0|2156.856582|1847.81|1924.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1091.69|0|0|0|0|0|0|0|0|2463.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 PROX OLECR 2H/L/73M|2463.75|1305.79|1847.81|1971|2094.19|2217.38|0|1990.71|1773.9|1667.47|0|2463.75|1606.37|0|902.23|2016.58|1525.06|1485.64|0|2156.856582|1847.81|1924.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1091.69|0|0|0|0|0|0|0|0|2463.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 2H/R/90|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 4H/R/116|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 6H/R/142|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 2H/L/90|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 4H/L/116|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 OLECRANON 6H/L/142|2770.11|1468.16|2077.58|2216.09|2354.59|2493.1|0|2238.25|1994.48|1874.81|0|2770.11|1806.11|0|1014.41|2267.34|1714.7|1670.38|0|2156.856582|2077.58|2163.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.44|0|0|0|0|0|0|0|0|2770.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 1H/R/72|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 2H/R/85|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 4H/R/111|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 6H/R/137|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 1H/L/72|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 2H/L/85|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 4H/L/111|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 MEDL DSTL 6H/L/137|3138.57|1663.44|2353.93|2510.86|2667.78|2824.71|0|2535.96|2259.77|2124.18|0|3138.57|2046.35|0|1149.34|2568.92|1942.77|1892.56|0|2156.856582|2353.93|2451.22|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1390.7|0|0|0|0|0|0|0|0|3138.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 1H/R/69MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 2H/R/82MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 5H/R/121MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 7H/R/147MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 1H/L/69MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 2H/L/82MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 5H/L/121MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LAT DSTL 7H/L/147MM|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 3H/R/75|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 4H/R/88|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 7H/R/127|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 9H/R/153|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 3H/L/75|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 4H/L/88|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 7H/L/127|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 POST DSTL 9H/L/153|3044.31|1613.48|2283.23|2435.45|2587.66|2739.88|0|2459.8|2191.9|2060.39|0|3044.31|1984.89|0|1114.83|2491.77|1884.43|1835.72|0|2156.856582|2283.23|2377.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.93|0|0|0|0|0|0|0|0|3044.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 10MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 12MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 14MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 16MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 18MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 20MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 22MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 24MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 26MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 28MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 30MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 32MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 34MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 36MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 38MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 40MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 42MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 44MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 46MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 48MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 50MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 52MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 54MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 56MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 58MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 60MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 62MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 64MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 66MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 68MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR 2.7 METPHYSEAL SLF-TP 70MM|162.8|86.28|122.1|130.24|138.38|146.52|0|131.54|117.22|110.18|0|162.8|106.15|0|59.62|133.25|100.77|98.17|0|2156.856582|122.1|127.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 4H/L/87|3270.98|1733.62|2453.24|2616.79|2780.34|2943.89|0|2642.96|2355.11|2213.8|0|3270.98|2132.68|0|1197.83|2677.3|2024.74|1972.4|0|2156.856582|2453.24|2554.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1449.37|0|0|0|0|0|0|0|0|3270.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 6H/R/11|3308.66|1753.59|2481.5|2646.93|2812.36|2977.8|0|2673.4|2382.24|2239.3|0|3308.66|2157.25|0|1211.63|2708.14|2048.06|1995.12|0|2156.856582|2481.5|2584.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1466.07|0|0|0|0|0|0|0|0|3308.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 6H/L/11|3308.66|1753.59|2481.5|2646.93|2812.36|2977.8|0|2673.4|2382.24|2239.3|0|3308.66|2157.25|0|1211.63|2708.14|2048.06|1995.12|0|2156.856582|2481.5|2584.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1466.07|0|0|0|0|0|0|0|0|3308.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 8H/R/14|3762.86|1994.31|2822.15|3010.29|3198.43|3386.58|0|3040.39|2709.26|2546.71|0|3762.86|2453.39|0|1377.96|3079.9|2329.21|2269.01|0|2156.856582|2822.15|2938.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1667.33|0|0|0|0|0|0|0|0|3762.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 8H/L/14|3762.86|1994.31|2822.15|3010.29|3198.43|3386.58|0|3040.39|2709.26|2546.71|0|3762.86|2453.39|0|1377.96|3079.9|2329.21|2269.01|0|2156.856582|2822.15|2938.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1667.33|0|0|0|0|0|0|0|0|3762.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 10H/R/1|3806.06|2017.21|2854.55|3044.85|3235.15|3425.46|0|3075.3|2740.37|2575.94|0|3806.06|2481.55|0|1393.78|3115.26|2355.95|2295.06|0|2156.856582|2854.55|2972.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1686.47|0|0|0|0|0|0|0|0|3806.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 10H/L/1|3806.06|2017.21|2854.55|3044.85|3235.15|3425.46|0|3075.3|2740.37|2575.94|0|3806.06|2481.55|0|1393.78|3115.26|2355.95|2295.06|0|2156.856582|2854.55|2972.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1686.47|0|0|0|0|0|0|0|0|3806.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 12H/R/2|3184.88|1687.98|2388.66|2547.91|2707.15|2866.4|0|2573.39|2293.12|2155.53|0|3184.88|2076.54|0|1166.3|2606.83|1971.44|1920.49|0|2156.856582|2388.66|2487.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.22|0|0|0|0|0|0|0|0|3184.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 12H/L/2|3184.88|1687.98|2388.66|2547.91|2707.15|2866.4|0|2573.39|2293.12|2155.53|0|3184.88|2076.54|0|1166.3|2606.83|1971.44|1920.49|0|2156.856582|2388.66|2487.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.22|0|0|0|0|0|0|0|0|3184.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 14H/R/2|3325|1762.25|2493.75|2660|2826.25|2992.5|0|2686.6|2394|2250.36|0|3325|2167.9|0|1217.61|2721.51|2058.17|2004.97|0|2156.856582|2493.75|2596.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1473.31|0|0|0|0|0|0|0|0|3325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 14H/L/2|3325|1762.25|2493.75|2660|2826.25|2992.5|0|2686.6|2394|2250.36|0|3325|2167.9|0|1217.61|2721.51|2058.17|2004.97|0|2156.856582|2493.75|2596.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1473.31|0|0|0|0|0|0|0|0|3325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 4H/R/87|3270.98|1733.62|2453.24|2616.79|2780.34|2943.89|0|2642.96|2355.11|2213.8|0|3270.98|2132.68|0|1197.83|2677.3|2024.74|1972.4|0|2156.856582|2453.24|2554.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1449.37|0|0|0|0|0|0|0|0|3270.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 4H/L/87|3270.98|1733.62|2453.24|2616.79|2780.34|2943.89|0|2642.96|2355.11|2213.8|0|3270.98|2132.68|0|1197.83|2677.3|2024.74|1972.4|0|2156.856582|2453.24|2554.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1449.37|0|0|0|0|0|0|0|0|3270.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 6H/R/11|3308.66|1753.59|2481.5|2646.93|2812.36|2977.8|0|2673.4|2382.24|2239.3|0|3308.66|2157.25|0|1211.63|2708.14|2048.06|1995.12|0|2156.856582|2481.5|2584.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1466.07|0|0|0|0|0|0|0|0|3308.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 6H/L/11|3308.66|1753.59|2481.5|2646.93|2812.36|2977.8|0|2673.4|2382.24|2239.3|0|3308.66|2157.25|0|1211.63|2708.14|2048.06|1995.12|0|2156.856582|2481.5|2584.07|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1466.07|0|0|0|0|0|0|0|0|3308.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 8H/L/14|3762.86|1994.31|2822.15|3010.29|3198.43|3386.58|0|3040.39|2709.26|2546.71|0|3762.86|2453.39|0|1377.96|3079.9|2329.21|2269.01|0|2156.856582|2822.15|2938.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1667.33|0|0|0|0|0|0|0|0|3762.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 10H/R/1|3806.06|2017.21|2854.55|3044.85|3235.15|3425.46|0|3075.3|2740.37|2575.94|0|3806.06|2481.55|0|1393.78|3115.26|2355.95|2295.06|0|2156.856582|2854.55|2972.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1686.47|0|0|0|0|0|0|0|0|3806.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 10H/L/1|3806.06|2017.21|2854.55|3044.85|3235.15|3425.46|0|3075.3|2740.37|2575.94|0|3806.06|2481.55|0|1393.78|3115.26|2355.95|2295.06|0|2156.856582|2854.55|2972.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1686.47|0|0|0|0|0|0|0|0|3806.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 12H/R/2|3184.88|1687.98|2388.66|2547.91|2707.15|2866.4|0|2573.39|2293.12|2155.53|0|3184.88|2076.54|0|1166.3|2606.83|1971.44|1920.49|0|2156.856582|2388.66|2487.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.22|0|0|0|0|0|0|0|0|3184.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 12H/L/2|3184.88|1687.98|2388.66|2547.91|2707.15|2866.4|0|2573.39|2293.12|2155.53|0|3184.88|2076.54|0|1166.3|2606.83|1971.44|1920.49|0|2156.856582|2388.66|2487.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.22|0|0|0|0|0|0|0|0|3184.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 14H/R/2|3325|1762.25|2493.75|2660|2826.25|2992.5|0|2686.6|2394|2250.36|0|3325|2167.9|0|1217.61|2721.51|2058.17|2004.97|0|2156.856582|2493.75|2596.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1473.31|0|0|0|0|0|0|0|0|3325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 14H/L/2|3325|1762.25|2493.75|2660|2826.25|2992.5|0|2686.6|2394|2250.36|0|3325|2167.9|0|1217.61|2721.51|2058.17|2004.97|0|2156.856582|2493.75|2596.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1473.31|0|0|0|0|0|0|0|0|3325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 65MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 70MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 75MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 80MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 85MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 90MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 3.5MM VA LCK SLF-TP 95MM|535.56|283.85|401.67|428.45|455.23|482|0|432.73|385.6|362.47|0|535.56|349.19|0|196.12|438.36|331.51|322.94|0|2156.856582|401.67|418.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|237.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 20FR|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 24FR|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB L 2 1960-40-200|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB L 2.5 1960-40250|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB R 2.5 1960-50250|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB R3 1960-50-300|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB R5 1960-50-500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJ POSTSTAB R6 1960-50-600|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X450MM 394.88|729.84|386.82|547.38|583.87|620.36|656.86|0|589.71|525.48|493.96|0|729.84|475.86|0|267.27|597.37|451.77|440.09|0|11.99410609|547.38|570.01|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|323.39|0|0|0|0|0|0|0|0|729.84
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X500MM 394.89|729.84|386.82|547.38|583.87|620.36|656.86|0|589.71|525.48|493.96|0|729.84|475.86|0|267.27|597.37|451.77|440.09|0|11.99410609|547.38|570.01|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|323.39|0|0|0|0|0|0|0|0|729.84
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X550MM 394.90|789.36|418.36|592.02|631.49|670.96|710.42|0|637.8|568.34|534.24|0|789.36|514.66|0|289.06|646.09|488.61|475.98|0|11.99410609|592.02|616.49|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|349.77|0|0|0|0|0|0|0|0|789.36
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X600MM 394.91|789.36|418.36|592.02|631.49|670.96|710.42|0|637.8|568.34|534.24|0|789.36|514.66|0|289.06|646.09|488.61|475.98|0|11.99410609|592.02|616.49|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|349.77|0|0|0|0|0|0|0|0|789.36
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STEINMANN 5.0MM 250MM|326.32|172.95|244.74|261.06|277.37|293.69|0|263.67|234.95|220.85|0|326.32|212.76|0|119.5|267.09|201.99|196.77|0|11.99410609|244.74|254.86|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|144.59|0|0|0|0|0|0|0|0|326.32
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STEINMANN 5.0MM 275MM|326.32|172.95|244.74|261.06|277.37|293.69|0|263.67|234.95|220.85|0|326.32|212.76|0|119.5|267.09|201.99|196.77|0|11.99410609|244.74|254.86|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|144.59|0|0|0|0|0|0|0|0|326.32
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STEINMANN 5.0MM 300MM|326.32|172.95|244.74|261.06|277.37|293.69|0|263.67|234.95|220.85|0|326.32|212.76|0|119.5|267.09|201.99|196.77|0|11.99410609|244.74|254.86|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|144.59|0|0|0|0|0|0|0|0|326.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MESH ORB 0.3 420.303|3565.92|1889.94|2674.44|2852.74|3031.03|3209.33|0|2881.26|2567.46|2413.41|0|3565.92|2324.98|0|1305.84|2918.71|2207.3|2150.25|0|2156.856582|2674.44|2784.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.06|0|0|0|0|0|0|0|0|3565.92
HOSP OP|0272 - STERILE SUPPLY||A4649|SPHINC ERCP HOWELL DIR ACCESS|912.96|483.87|684.72|730.37|776.02|821.66|0|737.67|657.33|617.89|0|912.96|595.25|0|334.33|747.26|565.12|550.51|0|11.99410609|684.72|713.02|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|404.53|0|0|0|0|0|0|0|0|912.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL 40X62 1221-40-46|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL 40X64 1221-40-46|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL 40X66 1221-40-46|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X56 1221-40-056|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X58 1221-40-058|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X60 1221-40-060|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X62 1221-40-062|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X64 1221-40-064|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL40X66 1221-40-066|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE 2.7/3.5MM 7H 77MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE 2.7/3.5MM 9H 89MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE 2.7/3.5M 10H 101MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE 2.7/3.5M 11H 113MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE 2.7/3.5M 12H 124MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE MEDL 3.5MM 6H 79MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE MEDL 3.5MM 7H 91MM|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL CLAVICLE MEDL 3.5MM 8H 102M|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 11X650MM 394.92|789.36|418.36|592.02|631.49|670.96|710.42|0|637.8|568.34|534.24|0|789.36|514.66|0|289.06|646.09|488.61|475.98|0|11.99410609|592.02|616.49|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|349.77|0|0|0|0|0|0|0|0|789.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|CATH POWER PORT VUE|1251.72|663.41|938.79|1001.38|1063.96|1126.55|0|1011.39|901.24|847.16|0|1251.72|816.12|0|458.38|1024.53|774.81|754.79|0|0|938.79|977.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|554.64|0|0|0|0|0|0|0|0|1251.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|NDL PERCLOSE PROGLIDE|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|0|600|624.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|354.48|0|0|0|0|0|0|0|0|800
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|PLUG SURGISIS ANAL FISTULAL|2925|1550.25|2193.75|2340|2486.25|2632.5|0|2363.4|2106|1979.64|0|2925|1907.1|0|1071.14|2394.11|1810.58|1763.78|0|0|2193.75|2284.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.07|0|0|0|0|0|0|0|0|2925
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|PATCH VENTRALEX ST L|1876|994.28|1407|1500.8|1594.6|1688.4|0|1515.81|1350.72|1269.68|0|1876|1223.15|0|686.99|1535.51|1161.24|1131.23|0|0|1407|1465.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|831.26|0|0|0|0|0|0|0|0|1876
HOSP OP|0272 - STERILE SUPPLY||A4649|LIGASURE CVD SMALL JAW|1598.52|847.22|1198.89|1278.82|1358.74|1438.67|0|1291.6|1150.93|1081.88|0|1598.52|1042.24|0|585.38|1308.39|989.48|963.91|0|11.99410609|1198.89|1248.44|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|708.3|0|0|0|0|0|0|0|0|1598.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD/BRNCH28X50CM|3264.72|1730.3|2448.54|2611.78|2775.01|2938.25|0|2637.89|2350.6|2209.56|0|3264.72|2128.6|0|1195.54|2672.17|2020.86|1968.63|0|0|2448.54|2549.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1446.6|0|0|0|0|0|0|0|0|3264.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CATH BACTISEAL|1948.5|1032.7|1461.38|1558.8|1656.23|1753.65|0|1574.39|1402.92|1318.74|0|1948.5|1270.42|0|713.54|1594.85|1206.12|1174.95|0|0|1461.38|1521.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|863.38|0|0|0|0|0|0|0|0|1948.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS NG LPSFLX ARTC 12MM FX NT|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT NXGN PTLR 38MM UHMW PE|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MED EDM LUMBAR|783.52|415.27|587.64|626.82|665.99|705.17|0|633.08|564.13|530.29|0|783.52|510.86|0|286.93|641.31|485|472.46|0|0|587.64|611.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|347.18|0|0|0|0|0|0|0|0|783.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SCR TRLG ACTABLR 35MM 6.5MM|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|0|96|99.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.72|0|0|0|0|0|0|0|0|128
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J +4 10D 32M 58M|1768|937.04|1326|1414.4|1502.8|1591.2|0|1428.54|1272.96|1196.58|0|1768|1152.74|0|647.44|1447.11|1094.39|1066.1|0|0|1326|1380.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|783.4|0|0|0|0|0|0|0|0|1768
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 16X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X63|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 16X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NUTRL +4 32M 58M|1768|937.04|1326|1414.4|1502.8|1591.2|0|1428.54|1272.96|1196.58|0|1768|1152.74|0|647.44|1447.11|1094.39|1066.1|0|0|1326|1380.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|783.4|0|0|0|0|0|0|0|0|1768
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X67|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X71|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X71|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X71|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X71|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X71|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 16X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X75|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 16X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X79|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 10X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 12X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 14X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 16X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 18X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRG VNGD ANT STBLZD 20X83|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  48|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  50|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  52|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  54|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  56|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J LIPPED 28M 58M|1768|937.04|1326|1414.4|1502.8|1591.2|0|1428.54|1272.96|1196.58|0|1768|1152.74|0|647.44|1447.11|1094.39|1066.1|0|0|1326|1380.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|783.4|0|0|0|0|0|0|0|0|1768
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  58|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  60|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  62|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHELL G7 PPS LTD HOLE ACET  64|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 15MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 20MM|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 25MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 30MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 35MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 40MM|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 45MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 50MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 60MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 6.5MM X 70MM|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|2156.856582|105|109.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|APICAL G7 HOLE PLUG|260|137.8|195|208|221|234|0|210.08|187.2|175.97|0|260|169.52|0|95.21|212.81|160.94|156.78|0|2156.856582|195|203.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|115.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW G7 HOLE PLUG|260|137.8|195|208|221|234|0|210.08|187.2|175.97|0|260|169.52|0|95.21|212.81|160.94|156.78|0|2156.856582|195|203.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|115.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  32MM C|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  36MM D|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  36MM E|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  36MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  36MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  36MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  40MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  40MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 NEUTRAL ARCOMXL  40MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 32MM C|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 36MM D|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 36MM E|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 36MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 36MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 36MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 40MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 40MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR G7 HI-WALL ARCOMXL 40MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  32MM C|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  36MM D|2175|1152.75|1631.25|1740|1848.75|1957.5|0|1757.4|1566|1472.04|0|2175|1418.1|0|796.49|1780.24|1346.33|1311.53|0|0|1631.25|1698.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|963.74|0|0|0|0|0|0|0|0|2175
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  36MM E|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  36MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J NUTRAL 32M 58M|1768|937.04|1326|1414.4|1502.8|1591.2|0|1428.54|1272.96|1196.58|0|1768|1152.74|0|647.44|1447.11|1094.39|1066.1|0|0|1326|1380.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|783.4|0|0|0|0|0|0|0|0|1768
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  36MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  36MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  40MM F|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  40MM G|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE XL  40MM H|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  32MM C|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  36MM D|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  36MM E|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  36MM F|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  36MM G|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 32+5 1365-22-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  36MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  40MM F|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  40MM G|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 NEUTRAL E1  40MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  32MM C|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  36MM D|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  36MM E|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  36MM F|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  36MM G|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  36MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 32+9 1365-23-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  40MM F|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  40MM G|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 HI-WALL E1  40MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  32MM C|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  36MM D|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  36MM E|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  36MM F|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  36MM G|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  36MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  40MM F|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 32+13 1365-24-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  40MM G|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER G7 10 DEGREE E1  40MM H|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS SO 5.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS SO 6.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS SO 7.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS SO 8.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 9.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 10.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 11.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 12.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 32+17 1365-25-000|1722.6|912.98|1291.95|1378.08|1464.21|1550.34|0|1391.86|1240.27|1165.86|0|1722.6|1123.14|0|630.82|1409.95|1066.29|1038.73|0|0|1291.95|1345.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|763.28|0|0|0|0|0|0|0|0|1722.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 13.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 14.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 15.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 16.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 17.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 18.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 20.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 22.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS SO 24.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS HO 5.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS HO 6.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS HO 7.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 FP TYPE1 PPS HO 8.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 9.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 10.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 11.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 12.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 13.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 14.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 15.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 16.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 17.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 18.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 20.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 22.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TPRLC 133 RD TYPE1 PPS HO 24.0|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINER J&J+4 36/54 1219-36-454|1768|937.04|1326|1414.4|1502.8|1591.2|0|1428.54|1272.96|1196.58|0|1768|1152.74|0|647.44|1447.11|1094.39|1066.1|0|0|1326|1380.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|783.4|0|0|0|0|0|0|0|0|1768
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 36/-2 1365-50-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 36/+1.5 1365-51-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 36/+5.0 1365-52-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 300|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 400|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 36/+8.5 1365-53-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 500|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 350|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 450|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 550|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 36/+12 1365-54-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 48 1217-01-048|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 200CC FULL|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 225CC FULL|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 285CC FULL|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 310CC FULL|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 50 1217-01-050|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 370CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 415CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 465CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 520CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 550CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 610CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 695CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 745CC FULL|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|747.8192534|2310.75|2406.26|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPLANT BREAST GEL 800CC FULL|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 52 1217-01-052|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0272 - STERILE SUPPLY||A4649|VAC WOUND PREVENA 13CM|1702.8|902.48|1277.1|1362.24|1447.38|1532.52|0|1375.86|1226.02|1152.46|0|1702.8|1110.23|0|623.57|1393.74|1054.03|1026.79|0|11.99410609|1277.1|1329.89|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|754.51|0|0|0|0|0|0|0|0|1702.8
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WIRE TH 2.0/230MM 292.652|104.04|55.14|78.03|83.23|88.43|93.64|0|84.06|74.91|70.41|0|104.04|67.83|0|38.1|85.16|64.4|62.74|0|0|78.03|81.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.1|0|0|0|0|0|0|0|0|104.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 54 1217-01-054|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT NASAL 1/6X9X12IN|240.68|127.56|180.51|192.54|204.58|216.61|0|194.47|173.29|162.89|0|240.68|156.92|0|88.14|197|148.98|145.13|0|11.99410609|180.51|187.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|106.65|0|0|0|0|0|0|0|0|240.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 56 1217-01-056|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 58 1217-01-058|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 60 1217-01-060|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 62 1217-01-062|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 64 1217-01-064|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J 100 66 1217-01-066|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SERIES 46 1217-20-046|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE 1.6MM DRILL TIP|104.64|55.46|78.48|83.71|88.94|94.18|0|84.55|75.34|70.82|0|104.64|68.23|0|38.32|85.65|64.77|63.1|0|0|78.48|81.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.37|0|0|0|0|0|0|0|0|104.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 130 DEG 2H|1833.96|972|1375.47|1467.17|1558.87|1650.56|0|1481.84|1320.45|1241.22|0|1833.96|1195.74|0|671.6|1501.1|1135.22|1105.88|0|2156.856582|1375.47|1432.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|812.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 48 1217-22-048|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 50 1217-22-050|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 52 1217-22-052|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 56 1217-22-056|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 58 1217-22-058|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE EPIC MITRAL 25MM|6270|3323.1|4702.5|5016|5329.5|5643|0|5066.16|4514.4|4243.54|0|6270|4088.04|0|2296.07|5132|3881.13|3780.81|0|0|4702.5|4896.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2778.24|0|0|0|0|0|0|0|0|6270
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE EPIC MITRAL 27MM|6270|3323.1|4702.5|5016|5329.5|5643|0|5066.16|4514.4|4243.54|0|6270|4088.04|0|2296.07|5132|3881.13|3780.81|0|0|4702.5|4896.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2778.24|0|0|0|0|0|0|0|0|6270
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE EPIC MITRAL 29MM|6270|3323.1|4702.5|5016|5329.5|5643|0|5066.16|4514.4|4243.54|0|6270|4088.04|0|2296.07|5132|3881.13|3780.81|0|0|4702.5|4896.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2778.24|0|0|0|0|0|0|0|0|6270
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE EPIC MITRAL 31MM|6270|3323.1|4702.5|5016|5329.5|5643|0|5066.16|4514.4|4243.54|0|6270|4088.04|0|2296.07|5132|3881.13|3780.81|0|0|4702.5|4896.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2778.24|0|0|0|0|0|0|0|0|6270
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 60 1217-22-060|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE EPIC MITRAL 33MM|6270|3323.1|4702.5|5016|5329.5|5643|0|5066.16|4514.4|4243.54|0|6270|4088.04|0|2296.07|5132|3881.13|3780.81|0|0|4702.5|4896.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2778.24|0|0|0|0|0|0|0|0|6270
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 62 1217-22-062|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 64 1217-22-064|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP J&J SECTOR 66 1217-22-066|1974|1046.22|1480.5|1579.2|1677.9|1776.6|0|1594.99|1421.28|1336|0|1974|1287.05|0|722.88|1615.72|1221.91|1190.32|0|0|1480.5|1541.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.68|0|0|0|0|0|0|0|0|1974
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 6 96-0006|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ 2 20.M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ 2.5 20.M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ 3 20M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ 4 20M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J5/12.5 1581-15-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ5 20M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT BIF  23X103MM|15142.05|8025.29|11356.54|12113.64|12870.74|13627.85|0|12234.78|10902.28|10248.14|0|15142.05|9872.62|0|5545.02|12393.77|9372.93|9130.66|0|0|11356.54|11825.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6709.44|0|0|0|0|0|0|0|0|15142.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J6/8.0 1581-16-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT BIF  25X103MM|15142.05|8025.29|11356.54|12113.64|12870.74|13627.85|0|12234.78|10902.28|10248.14|0|15142.05|9872.62|0|5545.02|12393.77|9372.93|9130.66|0|0|11356.54|11825.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6709.44|0|0|0|0|0|0|0|0|15142.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT BIF  28X103MM|15471.23|8199.75|11603.42|12376.98|13150.54|13924.1|0|12500.75|11139.28|10470.93|0|15471.23|10087.24|0|5665.56|12663.2|9576.69|9329.15|0|0|11603.42|12083.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6855.3|0|0|0|0|0|0|0|0|15471.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT BIF  32X103MM|15142.05|8025.29|11356.54|12113.64|12870.74|13627.85|0|12234.78|10902.28|10248.14|0|15142.05|9872.62|0|5545.02|12393.77|9372.93|9130.66|0|0|11356.54|11825.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6709.44|0|0|0|0|0|0|0|0|15142.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT BIF  36X103MM|15142.05|8025.29|11356.54|12113.64|12870.74|13627.85|0|12234.78|10902.28|10248.14|0|15142.05|9872.62|0|5545.02|12393.77|9372.93|9130.66|0|0|11356.54|11825.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6709.44|0|0|0|0|0|0|0|0|15142.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X13X156MM|9715.2|5149.06|7286.4|7772.16|8257.92|8743.68|0|7849.88|6994.94|6575.25|0|9715.2|6334.31|0|3557.71|7951.89|6013.71|5858.27|0|0|7286.4|7587.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4304.81|0|0|0|0|0|0|0|0|9715.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X20X156MM|9715.2|5149.06|7286.4|7772.16|8257.92|8743.68|0|7849.88|6994.94|6575.25|0|9715.2|6334.31|0|3557.71|7951.89|6013.71|5858.27|0|0|7286.4|7587.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4304.81|0|0|0|0|0|0|0|0|9715.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X28X93MM|7476.15|3962.36|5607.11|5980.92|6354.73|6728.54|0|6040.73|5382.83|5059.86|0|7476.15|4874.45|0|2737.77|6119.23|4627.74|4508.12|0|0|5607.11|5838.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3312.68|0|0|0|0|0|0|0|0|7476.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X28X124MM|7552.05|4002.59|5664.04|6041.64|6419.24|6796.85|0|6102.06|5437.48|5111.23|0|7552.05|4923.94|0|2765.56|6181.35|4674.72|4553.89|0|0|5664.04|5898.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3346.31|0|0|0|0|0|0|0|0|7552.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANT CONTRA 16X28X156MM|9715.2|5149.06|7286.4|7772.16|8257.92|8743.68|0|7849.88|6994.94|6575.25|0|9715.2|6334.31|0|3557.71|7951.89|6013.71|5858.27|0|0|7286.4|7587.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4304.81|0|0|0|0|0|0|0|0|9715.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 6/10.0 1581-16-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 6/12.5 1581-16-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 6/15.0 1581-16-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIBINSRTJ&J 6/17.5 1581-16-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSERT J&J CVD SZ 6 20M|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J SZ 6 1581-60-000|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRT TIB 6/8 1581-26-008|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRT TIB 6/10 1581-26-010|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRT TIB 6/12 1581-26-012|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRT TIB 6/15 1581-26-015|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRT TIB 6/17.5 1581-26-017|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB INSRT JJ 2.5/12.5 96-2122|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT SPINPLUS BALLOON FRONT 6MM|2888.23|1530.76|2166.17|2310.59|2455|2599.41|0|2333.69|2079.53|1954.76|0|2888.23|1883.13|0|1057.67|2364.02|1787.82|1741.6|0|0|2166.17|2255.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1279.78|0|0|0|0|0|0|0|0|2888.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|XENOSURE .8X8CM|660|349.8|495|528|561|594|0|533.28|475.2|446.69|0|660|430.32|0|241.69|540.21|408.54|397.98|0|0|495|515.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|292.45|0|0|0|0|0|0|0|0|660
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|ALTIS SLING|3470.4|1839.31|2602.8|2776.32|2949.84|3123.36|0|2804.08|2498.69|2348.77|0|3470.4|2262.7|0|1270.86|2840.52|2148.18|2092.65|0|0|2602.8|2710.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1537.73|0|0|0|0|0|0|0|0|3470.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/52 207.652|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/54 207.654|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/56 207.656|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/58 207.658|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/60 207.660|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/64 207.664|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/68 207.668|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN S/T 4.0/72 207.672|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/52 207.752|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/54 207.754|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/56 207.756|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/58 207.758|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/60 207.760|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/64 207.764|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/68 207.768|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CNN L/T 4.0/72 207.772|654.56|346.92|490.92|523.65|556.38|589.1|0|528.88|471.28|443.01|0|654.56|426.77|0|239.7|535.76|405.17|394.7|0|2156.856582|490.92|511.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|290.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.0MM VA LCK CANN 90MM|821.2|435.24|615.9|656.96|698.02|739.08|0|663.53|591.26|555.79|0|821.2|535.42|0|300.72|672.15|508.32|495.18|0|2156.856582|615.9|641.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB SM 4H/R/87|3270.98|1733.62|2453.24|2616.79|2780.34|2943.89|0|2642.96|2355.11|2213.8|0|3270.98|2132.68|0|1197.83|2677.3|2024.74|1972.4|0|2156.856582|2453.24|2554.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1449.37|0|0|0|0|0|0|0|0|3270.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|DBM MAGNIFUSE 1X10CM|3182.4|1686.67|2386.8|2545.92|2705.04|2864.16|0|2571.38|2291.33|2153.85|0|3182.4|2074.92|0|1165.39|2604.79|1969.91|1918.99|0|2156.856582|2386.8|2485.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1410.12|0|0|0|0|0|0|0|0|3182.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|DBM MAGNIFUSE 10X25MM|2856|1513.68|2142|2284.8|2427.6|2570.4|0|2307.65|2056.32|1932.94|0|2856|1862.11|0|1045.87|2337.64|1767.86|1722.17|0|2156.856582|2142|2230.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1265.49|0|0|0|0|0|0|0|0|2856
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SOFT 3X6IN|171.36|90.82|128.52|137.09|145.66|154.22|0|138.46|123.38|115.98|0|171.36|111.73|0|62.75|140.26|106.07|103.33|0|0|128.52|133.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.93|0|0|0|0|0|0|0|0|171.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SOFT 6X6IN|225.4|119.46|169.05|180.32|191.59|202.86|0|182.12|162.29|152.55|0|225.4|146.96|0|82.54|184.49|139.52|135.92|0|0|169.05|176.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.87|0|0|0|0|0|0|0|0|225.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SOFT 12X12IN|518.16|274.62|388.62|414.53|440.44|466.34|0|418.67|373.08|350.69|0|518.16|337.84|0|189.75|424.11|320.74|312.45|0|0|388.62|404.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|229.6|0|0|0|0|0|0|0|0|518.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH FLAT SHEET 3X6IN|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|0|87|90.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.4|0|0|0|0|0|0|0|0|116
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BARD URET ACCESS 12/14F|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|301.22|0|169.18|378.15|285.98|278.59|0|0|346.5|360.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|204.71|0|0|0|0|0|0|0|0|462
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH BARD URET BALLOON KIT 6FR|704|373.12|528|563.2|598.4|633.6|0|568.83|506.88|476.47|0|704|459.01|0|257.8|576.22|435.78|424.51|0|0|528|549.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|311.94|0|0|0|0|0|0|0|0|704
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL OPTIMA 4.7FX30C|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|0|225|234.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|132.93|0|0|0|0|0|0|0|0|300
HOSP OP|0272 - STERILE SUPPLY||C1758|CATH BARD URETERAL DUAL LUMEN|121.6|64.45|91.2|97.28|103.36|109.44|0|98.25|87.55|82.3|0|121.6|79.28|0|44.53|99.53|75.27|73.32|0|0|91.2|94.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|53.88|0|0|0|0|0|0|0|0|121.6
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH BLN UROFORCE 7MMX6CM|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|0|477|496.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|281.81|0|0|0|0|0|0|0|0|636
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CHRONOS 10 CC|1938.6|1027.46|1453.95|1550.88|1647.81|1744.74|0|1566.39|1395.79|1312.04|0|1938.6|1263.97|0|709.92|1586.74|1199.99|1168.98|0|2156.856582|1453.95|1514.05|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|858.99|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|SIGNTURE TKA|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|11.99410609|1728|1799.42|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH MAC DOUBLE LUMEN SPRKIT|386.32|204.75|289.74|309.06|328.37|347.69|0|312.15|278.15|261.46|0|386.32|251.88|0|141.47|316.2|239.13|232.95|0|0|289.74|301.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|171.18|0|0|0|0|0|0|0|0|386.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR 10 X 15 OVAL|2154|1141.62|1615.5|1723.2|1830.9|1938.6|0|1740.43|1550.88|1457.83|0|2154|1404.41|0|788.79|1763.05|1333.33|1298.86|0|0|1615.5|1682.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|954.44|0|0|0|0|0|0|0|0|2154
HOSP OP|0272 - STERILE SUPPLY||A4649|KIT ARTERIAL LINE 20X12CM ARRW|212.32|112.53|159.24|169.86|180.47|191.09|0|171.55|152.87|143.7|0|212.32|138.43|0|77.75|173.78|131.43|128.03|0|11.99410609|159.24|165.82|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|94.08|0|0|0|0|0|0|0|0|212.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR 20 X 25 RECT|5093.55|2699.58|3820.16|4074.84|4329.52|4584.2|0|4115.59|3667.36|3447.31|0|5093.55|3320.99|0|1865.26|4169.07|3152.91|3071.41|0|0|3820.16|3978.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2256.95|0|0|0|0|0|0|0|0|5093.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR 20 X 30 RECT|7194|3812.82|5395.5|5755.2|6114.9|6474.6|0|5812.75|5179.68|4868.9|0|7194|4690.49|0|2634.44|5888.29|4453.09|4337.98|0|0|5395.5|5618.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3187.66|0|0|0|0|0|0|0|0|7194
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR 15 X 20 OVAL|3446.4|1826.59|2584.8|2757.12|2929.44|3101.76|0|2784.69|2481.41|2332.52|0|3446.4|2247.05|0|1262.07|2820.88|2133.32|2078.18|0|0|2584.8|2691.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1527.1|0|0|0|0|0|0|0|0|3446.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR 12CM CIRCLE|1746|925.38|1309.5|1396.8|1484.1|1571.4|0|1410.77|1257.12|1181.69|0|1746|1138.39|0|639.39|1429.1|1080.77|1052.84|0|0|1309.5|1363.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|773.65|0|0|0|0|0|0|0|0|1746
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CNTRL LINE 7F 3 LUMEN MAC|119.52|63.35|89.64|95.62|101.59|107.57|0|96.57|86.05|80.89|0|119.52|77.93|0|43.77|97.83|73.98|72.07|0|0|89.64|93.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|52.96|0|0|0|0|0|0|0|0|119.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2  5MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|UROLIFT|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|0|2137.5|2225.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 7MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 8MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 10MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 12MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 14MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 16MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE PS FB INSRT SZ 2 18MM|2484|1316.52|1863|1987.2|2111.4|2235.6|0|2007.07|1788.48|1681.17|0|2484|1619.57|0|909.64|2033.15|1537.6|1497.85|0|0|1863|1940|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1100.66|0|0|0|0|0|0|0|0|2484
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNN TH 32S/T 7.3/45 209.845|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 32S/T 7.3/135 209.935|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 32S/T 7.3/140 209.940|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 16S/T 7.3/135 208.935|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 32S/T 7.3/145 209.945|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 32S/T 7.3/150 209.950|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 16S/T 7.3/140 208.940|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 16S/T 7.3/145 208.950|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRCNNTH 16S/T 7.3/150 208.955|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/18 04.005.408|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/24 04.005.414|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/20 04.005.410|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/22 04.005.412|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUY 39 1035-39-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD DEPUT 40 1035-40-000|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0272 - STERILE SUPPLY||A4649|OTS DISP CATHETER INTRODUCER|1801.96|955.04|1351.47|1441.57|1531.67|1621.76|0|1455.98|1297.41|1219.57|0|1801.96|1174.88|0|659.88|1474.9|1115.41|1086.58|0|11.99410609|1351.47|1407.33|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|798.45|0|0|0|0|0|0|0|0|1801.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR PRE 10X15CM OVAL|2175|1152.75|1631.25|1740|1848.75|1957.5|0|1757.4|1566|1472.04|0|2175|1418.1|0|796.49|1780.24|1346.33|1311.53|0|0|1631.25|1698.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|963.74|0|0|0|0|0|0|0|0|2175
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN PASSING DRILL TIP|480.2|254.51|360.15|384.16|408.17|432.18|0|388|345.74|325|0|480.2|313.09|0|175.85|393.04|297.24|289.56|0|11.99410609|360.15|375.04|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|212.78|0|0|0|0|0|0|0|0|480.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SET TI BREAK-OFF 7540020|225.72|119.63|169.29|180.58|191.86|203.15|0|182.38|162.52|152.77|0|225.72|147.17|0|82.66|184.75|139.72|136.11|0|2156.856582|169.29|176.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|100.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/25 75445525|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM 16X20 BREASTPK|14158.65|7504.08|10618.99|11326.92|12034.85|12742.79|0|11440.19|10194.23|9582.57|0|14158.65|9231.44|0|5184.9|11588.86|8764.2|8537.67|0|31.03143418|10618.99|11057.91|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|6273.7|0|0|0|0|0|0|0|0|14158.65
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM 16X20 PERF BRSTP|14582.7|7728.83|10937.03|11666.16|12395.3|13124.43|0|11782.82|10499.54|9869.57|0|14582.7|9507.92|0|5340.18|11935.94|9026.69|8793.37|0|31.03143418|10937.03|11389.09|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|6461.59|0|0|0|0|0|0|0|0|14582.7
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM 16X20 PERF|15056.25|7979.81|11292.19|12045|12797.81|13550.63|0|12165.45|10840.5|10190.07|0|15056.25|9816.68|0|5513.6|12323.54|9319.82|9078.92|0|31.03143418|11292.19|11758.93|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|6671.42|0|0|0|0|0|0|0|0|15056.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/30 75445530|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/35 75445535|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE SJM AORTIC COMPOSITE 21M|5775|3060.75|4331.25|4620|4908.75|5197.5|0|4666.2|4158|3908.52|0|5775|3765.3|0|2114.81|4726.84|3574.73|3482.33|0|0|4331.25|4510.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2558.9|0|0|0|0|0|0|0|0|5775
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE SJM AORTIC COMPOSITE 23M|5775|3060.75|4331.25|4620|4908.75|5197.5|0|4666.2|4158|3908.52|0|5775|3765.3|0|2114.81|4726.84|3574.73|3482.33|0|0|4331.25|4510.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2558.9|0|0|0|0|0|0|0|0|5775
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE SJM AORTIC COMPOSITE 25M|5775|3060.75|4331.25|4620|4908.75|5197.5|0|4666.2|4158|3908.52|0|5775|3765.3|0|2114.81|4726.84|3574.73|3482.33|0|0|4331.25|4510.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2558.9|0|0|0|0|0|0|0|0|5775
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VALVE SJM AORTIC COMPOSITE 27M|5775|3060.75|4331.25|4620|4908.75|5197.5|0|4666.2|4158|3908.52|0|5775|3765.3|0|2114.81|4726.84|3574.73|3482.33|0|0|4331.25|4510.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2558.9|0|0|0|0|0|0|0|0|5775
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/40 75445540|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/45 75445545|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/50 75445550|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 5.5/55 75445555|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/30 75446530|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/35 75446535|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/40 75446540|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/45 75446545|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/50 75446550|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 6.5/55 75446555|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/30 75447530|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/35 75447535|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/40 75447540|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/45 75447545|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/50 75447550|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/55 75447555|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 7.5/60 75447560|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/30 8690030|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|2156.856582|477|496.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|281.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/35 8690035|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|2156.856582|477|496.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|281.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/40 8690040|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|2156.856582|477|496.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|281.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/50 8690050|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|2156.856582|477|496.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|281.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/60 8690060|636|337.08|477|508.8|540.6|572.4|0|513.89|457.92|430.44|0|636|414.67|0|232.9|520.57|393.68|383.51|0|2156.856582|477|496.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|281.81|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/70 8690070|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|2156.856582|450|468.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/80 8690080|1374.8|728.64|1031.1|1099.84|1168.58|1237.32|0|1110.84|989.86|930.46|0|1374.8|896.37|0|503.45|1125.27|851|829|0|2156.856582|1031.1|1073.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|609.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/90 8690090|1374.8|728.64|1031.1|1099.84|1168.58|1237.32|0|1110.84|989.86|930.46|0|1374.8|896.37|0|503.45|1125.27|851|829|0|2156.856582|1031.1|1073.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|609.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/100 8690100|1374.8|728.64|1031.1|1099.84|1168.58|1237.32|0|1110.84|989.86|930.46|0|1374.8|896.37|0|503.45|1125.27|851|829|0|2156.856582|1031.1|1073.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|609.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD CP TI 5.5/500 869-022|1404|744.12|1053|1123.2|1193.4|1263.6|0|1134.43|1010.88|950.23|0|1404|915.41|0|514.14|1149.17|869.08|846.61|0|2156.856582|1053|1096.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|622.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY|||BAG ARTERIAL LINE SETUP|77|40.81|0|61.6|0|69.3|0|62.22|55.44|52.11|0|77|50.2|0|28.2|63.02|47.66|46.43|0|0|0|60.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.12|0|0|0|0|0|0|0|0|77
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 9X60MM|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0272 - STERILE SUPPLY||A4649|APPLIER HELI FX ENDOANCHOR|7445.63|3946.19|5584.22|5956.5|6328.78|6701.06|0|6016.07|5360.85|5039.2|0|7445.63|4854.55|0|2726.59|6094.24|4608.84|4489.71|0|11.99410609|5584.22|5815.03|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|3299.16|0|0|0|0|0|0|0|0|7445.63
HOSP OP|0272 - STERILE SUPPLY||A4649|GUIDE HELI FX ENDOANCHOR 22MM|3011.31|1595.99|2258.48|2409.05|2559.61|2710.18|0|2433.14|2168.14|2038.05|0|3011.31|1963.37|0|1102.74|2464.76|1864|1815.82|0|11.99410609|2258.48|2351.83|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1334.31|0|0|0|0|0|0|0|0|3011.31
HOSP OP|0272 - STERILE SUPPLY||A4649|GUIDE HELI FX ENDOANCHOR 28MM|3011.31|1595.99|2258.48|2409.05|2559.61|2710.18|0|2433.14|2168.14|2038.05|0|3011.31|1963.37|0|1102.74|2464.76|1864|1815.82|0|11.99410609|2258.48|2351.83|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1334.31|0|0|0|0|0|0|0|0|3011.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/340|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA L 14MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/320|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/400|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/360|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/380|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/420|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 1 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFNA R 14MM/130/440|3380.94|1791.9|2535.71|2704.75|2873.8|3042.85|0|2731.8|2434.28|2288.22|0|3380.94|2204.37|0|1238.1|2767.3|2092.8|2038.71|0|2156.856582|2535.71|2640.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.09|0|0|0|0|0|0|0|0|3380.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 2 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 3 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 4 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 5 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 6 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 7 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 8 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 9 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE FB TIB+ BASE SZ 10 CEM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 4 HOLE STERN STR  1.8MM|1893.84|1003.74|1420.38|1515.07|1609.76|1704.46|0|1530.22|1363.56|1281.75|0|1893.84|1234.78|0|693.52|1550.11|1172.29|1141.99|0|2156.856582|1420.38|1479.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|839.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6 HOLE STERN STR  1.8MM|1563.12|828.45|1172.34|1250.5|1328.65|1406.81|0|1263|1125.45|1057.92|0|1563.12|1019.15|0|572.41|1279.41|967.57|942.56|0|2156.856582|1172.34|1220.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|692.62|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8 HOLE STERN STR  1.8MM|1703.52|902.87|1277.64|1362.82|1447.99|1533.17|0|1376.44|1226.53|1152.94|0|1703.52|1110.7|0|623.83|1394.33|1054.48|1027.22|0|2156.856582|1277.64|1330.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|754.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 10 HOLE STERN STR 1.8MM|1848.6|979.76|1386.45|1478.88|1571.31|1663.74|0|1493.67|1330.99|1251.13|0|1848.6|1205.29|0|676.96|1513.08|1144.28|1114.71|0|2156.856582|1386.45|1443.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 9 HOLE STERN Y 1.8MM|1703.52|902.87|1277.64|1362.82|1447.99|1533.17|0|1376.44|1226.53|1152.94|0|1703.52|1110.7|0|623.83|1394.33|1054.48|1027.22|0|2156.856582|1277.64|1330.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|754.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 14 HOLE STERN Y 1.8MM|1881.36|997.12|1411.02|1505.09|1599.16|1693.22|0|1520.14|1354.58|1273.3|0|1881.36|1226.65|0|688.95|1539.89|1164.56|1134.46|0|2156.856582|1411.02|1469.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|833.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 11 HOLE STERN JLT 1.8MM|2248.74|1191.83|1686.56|1798.99|1911.43|2023.87|0|1816.98|1619.09|1521.95|0|2248.74|1466.18|0|823.49|1840.59|1391.97|1355.99|0|2156.856582|1686.56|1756.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|996.42|0|0|0|0|0|0|0|0|2248.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 26H STERN LADDER 1.8MM|2639.52|1398.95|1979.64|2111.62|2243.59|2375.57|0|2132.73|1900.45|1786.43|0|2639.52|1720.97|0|966.59|2160.45|1633.86|1591.63|0|2156.856582|1979.64|2061.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1169.57|0|0|0|0|0|0|0|0|2639.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 14HSTERN LSS2.1/2.5MMST|3457.8|1832.63|2593.35|2766.24|2939.13|3112.02|0|2793.9|2489.62|2340.24|0|3457.8|2254.49|0|1266.25|2830.21|2140.38|2085.05|0|2156.856582|2593.35|2700.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.15|0|0|0|0|0|0|0|0|3457.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 6H STERN FOOTBALL 1.8MM|1875.12|993.81|1406.34|1500.1|1593.85|1687.61|0|1515.1|1350.09|1269.08|0|1875.12|1222.58|0|686.67|1534.79|1160.7|1130.7|0|2156.856582|1406.34|1464.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|830.87|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 10 HOLE STERN BODY 1.8MM|1916.46|1015.72|1437.35|1533.17|1628.99|1724.81|0|1548.5|1379.85|1297.06|0|1916.46|1249.53|0|701.81|1568.62|1186.29|1155.63|0|2156.856582|1437.35|1496.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|849.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 7 HOLE STERN JLT 1.8MM|1916.46|1015.72|1437.35|1533.17|1628.99|1724.81|0|1548.5|1379.85|1297.06|0|1916.46|1249.53|0|701.81|1568.62|1186.29|1155.63|0|2156.856582|1437.35|1496.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|849.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 20 HOLE STERN STR  2.0MM|2676.96|1418.79|2007.72|2141.57|2275.42|2409.26|0|2162.98|1927.41|1811.77|0|2676.96|1745.38|0|980.3|2191.09|1657.04|1614.21|0|2156.856582|2007.72|2090.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1186.16|0|0|0|0|0|0|0|0|2676.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 8 HOLE STERN X SHP 1.8MM|1916.46|1015.72|1437.35|1533.17|1628.99|1724.81|0|1548.5|1379.85|1297.06|0|1916.46|1249.53|0|701.81|1568.62|1186.29|1155.63|0|2156.856582|1437.35|1496.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|849.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE 18H STERN LADDER 1.8MM|2244.06|1189.35|1683.05|1795.25|1907.45|2019.65|0|1813.2|1615.72|1518.78|0|2244.06|1463.13|0|821.77|1836.76|1389.07|1353.17|0|2156.856582|1683.05|1752.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|994.34|0|0|0|0|0|0|0|0|2244.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW EMERGENCY STERN 2.5X9MM|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X17MMDF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW EMERGENCY STERN 2.5X17MM|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X13MMDF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW EMERGENCY STERN 2.5X13MM|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X7MM DF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X15MMDF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X9MM DF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCKING STERN 2.3X11MMDF|204.6|108.44|153.45|163.68|173.91|184.14|0|165.32|147.31|138.47|0|204.6|133.4|0|74.92|167.47|126.65|123.37|0|2156.856582|153.45|159.79|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|90.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB Z SHP 32 HOLE ST|3108|1647.24|2331|2486.4|2641.8|2797.2|0|2511.26|2237.76|2103.49|0|3108|2026.42|0|1138.15|2543.9|1923.85|1874.12|0|2156.856582|2331|2427.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1377.15|0|0|0|0|0|0|0|0|3108
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB X SHP 32 HOLE 2.3 ST|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|2156.856582|2709|2820.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB LONG Y 40HOLE 2.3 ST|3654|1936.62|2740.5|2923.2|3105.9|3288.6|0|2952.43|2630.88|2473.03|0|3654|2382.41|0|1338.09|2990.8|2261.83|2203.36|0|2156.856582|2740.5|2853.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1619.09|0|0|0|0|0|0|0|0|3654
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB STR 14 HOLE ST|3412.5|1808.62|2559.38|2730|2900.63|3071.25|0|2757.3|2457|2309.58|0|3412.5|2224.95|0|1249.66|2793.13|2112.34|2057.74|0|2156.856582|2559.38|2665.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1512.08|0|0|0|0|0|0|0|0|3412.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB X SHP 10 HOLE ST|2571|1362.63|1928.25|2056.8|2185.35|2313.9|0|2077.37|1851.12|1740.05|0|2571|1676.29|0|941.5|2104.36|1591.45|1550.31|0|2156.856582|1928.25|2007.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1139.21|0|0|0|0|0|0|0|0|2571
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB X SHP 20 HOLE ST|3234|1714.02|2425.5|2587.2|2748.9|2910.6|0|2613.07|2328.48|2188.77|0|3234|2108.57|0|1184.29|2647.03|2001.85|1950.1|0|2156.856582|2425.5|2525.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1432.99|0|0|0|0|0|0|0|0|3234
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RIB X SHP 32 HOLE ST|3108|1647.24|2331|2486.4|2641.8|2797.2|0|2511.26|2237.76|2103.49|0|3108|2026.42|0|1138.15|2543.9|1923.85|1874.12|0|2156.856582|2331|2427.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1377.15|0|0|0|0|0|0|0|0|3108
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TEMP FIX 2.3X69MM ST|912|483.36|684|729.6|775.2|820.8|0|736.9|656.64|617.24|0|912|594.62|0|333.97|746.47|564.53|549.94|0|2156.856582|684|712.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|404.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE 2.3X7MM ST|591.2|313.34|443.4|472.96|502.52|532.08|0|477.69|425.66|400.12|0|591.2|385.46|0|216.5|483.9|365.95|356.49|0|2156.856582|443.4|461.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|261.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW MAXDRIVE 2.3X7MM ST|1773.6|940.01|1330.2|1418.88|1507.56|1596.24|0|1433.07|1276.99|1200.37|0|1773.6|1156.39|0|649.49|1451.69|1097.86|1069.48|0|2156.856582|1330.2|1385.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|785.88|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE CRANIO SCULPT CMF 5CC|2888.4|1530.85|2166.3|2310.72|2455.14|2599.56|0|2333.83|2079.65|1954.87|0|2888.4|1883.24|0|1057.73|2364.16|1787.92|1741.71|0|2156.856582|2166.3|2255.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1279.85|0|0|0|0|0|0|0|0|2888.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PTERIONAL 3 RIGHT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PTERIONAL 2 LEFT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETAL 4 LEFT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETAL 5 RIGHT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH ANTERIOR PARASAGITTAL 6|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH POSTERIOR PARASAGITTAL 7|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SUBOCCIPITAL 8 LEFT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SUBOCCIPITAL 9 RIGHT|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH FRONT PARIETAL 11 RIGHT|8298.18|4398.04|6223.64|6638.54|7053.45|7468.36|0|6704.93|5974.69|5616.21|0|8298.18|5410.41|0|3038.79|6792.06|5136.57|5003.8|0|0|6223.64|6480.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3676.92|0|0|0|0|0|0|0|0|8298.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH FRONT PARIETAL 10 LEFT|8298.18|4398.04|6223.64|6638.54|7053.45|7468.36|0|6704.93|5974.69|5616.21|0|8298.18|5410.41|0|3038.79|6792.06|5136.57|5003.8|0|0|6223.64|6480.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3676.92|0|0|0|0|0|0|0|0|8298.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH FRONT PARIETAL 13 LEFT|8588.58|4551.95|6441.44|6870.86|7300.29|7729.72|0|6939.57|6183.78|5812.75|0|8588.58|5599.75|0|3145.14|7029.75|5316.33|5178.91|0|0|6441.44|6707.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3805.6|0|0|0|0|0|0|0|0|8588.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH FRONT PARIETAL 14 RIGHT|8588.58|4551.95|6441.44|6870.86|7300.29|7729.72|0|6939.57|6183.78|5812.75|0|8588.58|5599.75|0|3145.14|7029.75|5316.33|5178.91|0|0|6441.44|6707.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3805.6|0|0|0|0|0|0|0|0|8588.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH UNI CENTER|3203.28|1697.74|2402.46|2562.62|2722.79|2882.95|0|2588.25|2306.36|2167.98|0|3203.28|2088.54|0|1173.04|2621.88|1982.83|1931.58|0|0|2402.46|2501.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1419.37|0|0|0|0|0|0|0|0|3203.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BIFRONTAL 1|4604.69|2440.49|3453.52|3683.75|3913.98|4144.22|0|3720.59|3315.38|3116.45|0|4604.69|3002.26|0|1686.24|3768.94|2850.3|2776.63|0|0|3453.52|3596.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2040.34|0|0|0|0|0|0|0|0|4604.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SCHANTZ 3M/100M|112|59.36|84|89.6|95.2|100.8|0|90.5|80.64|75.8|0|112|73.02|0|41.01|91.67|69.33|67.54|0|2156.856582|84|87.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|49.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SCHANTZ 4M/130M|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|2156.856582|87|90.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|51.4|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SCHANTZ 5M/150M|120|63.6|90|96|102|108|0|96.96|86.4|81.22|0|120|78.24|0|43.94|98.22|74.28|72.36|0|2156.856582|90|93.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|53.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE HAKIM PROGRAM RT ANG|8208.93|4350.73|6156.7|6567.15|6977.59|7388.04|0|6632.82|5910.43|5555.8|0|8208.93|5352.22|0|3006.11|6719.01|5081.33|4949.99|0|0|6156.7|6411.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3637.38|0|0|0|0|0|0|0|0|8208.93
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE HAKIM PROGRAM IN-LINE|7300.79|3869.42|5475.59|5840.63|6205.67|6570.71|0|5899.04|5256.57|4941.17|0|7300.79|4760.11|0|2673.55|5975.69|4519.19|4402.38|0|0|5475.59|5701.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3234.98|0|0|0|0|0|0|0|0|7300.79
HOSP OP|0272 - STERILE SUPPLY||A4649|SCRSYNSCHNZ TI 5.0/150 494.784|471.8|250.05|353.85|377.44|401.03|424.62|0|381.21|339.7|319.31|0|471.8|307.61|0|172.77|386.17|292.04|284.5|0|11.99410609|353.85|368.48|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|209.05|0|0|0|0|0|0|0|0|471.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH/4/3/80 294.771|366|193.98|274.5|292.8|311.1|329.4|0|295.73|263.52|247.71|0|366|238.63|0|134.03|299.57|226.55|220.7|0|2156.856582|274.5|285.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|162.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 4/3/100 294.772|366|193.98|274.5|292.8|311.1|329.4|0|295.73|263.52|247.71|0|366|238.63|0|134.03|299.57|226.55|220.7|0|2156.856582|274.5|285.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|162.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 5/250 294.788|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|2.4MM LCP WRIST PLATE 170MM|5178.6|2744.66|3883.95|4142.88|4401.81|4660.74|0|4184.31|3728.59|3504.88|0|5178.6|3376.45|0|1896.4|4238.68|3205.55|3122.7|0|2156.856582|3883.95|4044.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2294.64|0|0|0|0|0|0|0|0|5178.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/100 294.792|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/125 294.793|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/150 294.794|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/200 294.796|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SCHNZ TH 6/250 294.798|443.2|234.9|332.4|354.56|376.72|398.88|0|358.11|319.1|299.96|0|443.2|288.97|0|162.3|362.76|274.34|267.25|0|2156.856582|332.4|346.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|196.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CLMP LG 6 PSTN /OUTRIG 390.010|1287.64|682.45|965.73|1030.11|1094.49|1158.88|0|1040.41|927.1|871.47|0|1287.64|839.54|0|471.53|1053.93|797.05|776.45|0|11.99410609|965.73|1005.65|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|570.55|0|0|0|0|0|0|0|0|1287.64
HOSP OP|0272 - STERILE SUPPLY||A4649|CLP DYNAMIZTN MRSAFE 390.006|268.96|142.55|201.72|215.17|228.62|242.06|0|217.32|193.65|182.03|0|268.96|175.36|0|98.49|220.14|166.49|162.18|0|11.99410609|201.72|210.06|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|119.18|0|0|0|0|0|0|0|0|268.96
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN TRANSFIXATION 6.0 294.950|328.48|174.09|246.36|262.78|279.21|295.63|0|265.41|236.51|222.32|0|328.48|214.17|0|120.29|268.86|203.33|198.07|0|11.99410609|246.36|256.54|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|145.55|0|0|0|0|0|0|0|0|328.48
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STMN W/CNTRL/TH 5.0 293.74|326.32|172.95|244.74|261.06|277.37|293.69|0|263.67|234.95|220.85|0|326.32|212.76|0|119.5|267.09|201.99|196.77|0|11.99410609|244.74|254.86|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|144.59|0|0|0|0|0|0|0|0|326.32
HOSP OP|0272 - STERILE SUPPLY||A4649|POST STRAIGHT OUTRIG 390.011|337.36|178.8|253.02|269.89|286.76|303.62|0|272.59|242.9|228.33|0|337.36|219.96|0|123.54|276.13|208.83|203.43|0|11.99410609|253.02|263.48|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|149.48|0|0|0|0|0|0|0|0|337.36
HOSP OP|0272 - STERILE SUPPLY||C1729|WAYNE PNEUMOTHORAX KIT|730|386.9|547.5|584|620.5|657|0|589.84|525.6|494.06|0|730|475.96|0|267.33|597.51|451.87|440.19|0|0|547.5|570.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|323.46|0|0|0|0|0|0|0|0|730
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR PRE 12X15CM RECT|2793|1480.29|2094.75|2234.4|2374.05|2513.7|0|2256.74|2010.96|1890.3|0|2793|1821.04|0|1022.8|2286.07|1728.87|1684.18|0|0|2094.75|2181.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1237.58|0|0|0|0|0|0|0|0|2793
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR PRE 12X20CM OVAL|3480|1844.4|2610|2784|2958|3132|0|2811.84|2505.6|2355.26|0|3480|2268.96|0|1274.38|2848.38|2154.12|2098.44|0|0|2610|2717.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.99|0|0|0|0|0|0|0|0|3480
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR PRE 20X25CM RECT|5093.55|2699.58|3820.16|4074.84|4329.52|4584.2|0|4115.59|3667.36|3447.31|0|5093.55|3320.99|0|1865.26|4169.07|3152.91|3071.41|0|0|3820.16|3978.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2256.95|0|0|0|0|0|0|0|0|5093.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYNECOR PRE 20X30CM RECT|7194|3812.82|5395.5|5755.2|6114.9|6474.6|0|5812.75|5179.68|4868.9|0|7194|4690.49|0|2634.44|5888.29|4453.09|4337.98|0|0|5395.5|5618.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3187.66|0|0|0|0|0|0|0|0|7194
HOSP OP|0272 - STERILE SUPPLY||A4649|POST OUTRIGGER 30D 390.012|337.36|178.8|253.02|269.89|286.76|303.62|0|272.59|242.9|228.33|0|337.36|219.96|0|123.54|276.13|208.83|203.43|0|11.99410609|253.02|263.48|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|149.48|0|0|0|0|0|0|0|0|337.36
HOSP OP|0272 - STERILE SUPPLY||A4649|POST OUTRIGGER 90D 390.013|372.6|197.48|279.45|298.08|316.71|335.34|0|301.06|268.27|252.18|0|372.6|242.94|0|136.45|304.97|230.64|224.68|0|11.99410609|279.45|291|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|165.1|0|0|0|0|0|0|0|0|372.6
HOSP OP|0272 - STERILE SUPPLY||C1887|VOLCANO|5271.75|2794.03|3953.81|4217.4|4480.99|4744.58|0|4259.57|3795.66|3567.92|0|5271.75|3437.18|0|1930.51|4314.93|3263.21|3178.87|0|0|3953.81|4117.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2335.91|0|0|0|0|0|0|0|0|5271.75
HOSP OP|0272 - STERILE SUPPLY||C1753|VOLCANO PV .018|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0272 - STERILE SUPPLY||C1753|VOLCANO PV .014|2205|1168.65|1653.75|1764|1874.25|1984.5|0|1781.64|1587.6|1492.34|0|2205|1437.66|0|807.47|1804.79|1364.9|1329.62|0|0|1653.75|1722.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|977.04|0|0|0|0|0|0|0|0|2205
HOSP OP|0272 - STERILE SUPPLY||C1753|VOLCANO PV .035|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|0|2137.5|2225.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 58MM SM R|3163.86|1676.85|2372.9|2531.09|2689.28|2847.47|0|2556.4|2277.98|2141.3|0|3163.86|2062.84|0|1158.61|2589.62|1958.43|1907.81|0|2156.856582|2372.9|2470.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1401.91|0|0|0|0|0|0|0|0|3163.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 64MM MED R|3186.45|1688.82|2389.84|2549.16|2708.48|2867.81|0|2574.65|2294.24|2156.59|0|3186.45|2077.57|0|1166.88|2608.11|1972.41|1921.43|0|2156.856582|2389.84|2488.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.92|0|0|0|0|0|0|0|0|3186.45
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 64MM MED L|3186.45|1688.82|2389.84|2549.16|2708.48|2867.81|0|2574.65|2294.24|2156.59|0|3186.45|2077.57|0|1166.88|2608.11|1972.41|1921.43|0|2156.856582|2389.84|2488.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1411.92|0|0|0|0|0|0|0|0|3186.45
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 70MM LG R|3209.07|1700.81|2406.8|2567.26|2727.71|2888.16|0|2592.93|2310.53|2171.9|0|3209.07|2092.31|0|1175.16|2626.62|1986.41|1935.07|0|2156.856582|2406.8|2506.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1421.94|0|0|0|0|0|0|0|0|3209.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 58MM SM L|3163.86|1676.85|2372.9|2531.09|2689.28|2847.47|0|2556.4|2277.98|2141.3|0|3163.86|2062.84|0|1158.61|2589.62|1958.43|1907.81|0|2156.856582|2372.9|2470.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1401.91|0|0|0|0|0|0|0|0|3163.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VA LCK CALCANEAL 70MM LG L|3209.07|1700.81|2406.8|2567.26|2727.71|2888.16|0|2592.93|2310.53|2171.9|0|3209.07|2092.31|0|1175.16|2626.62|1986.41|1935.07|0|2156.856582|2406.8|2506.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1421.94|0|0|0|0|0|0|0|0|3209.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LNG 3.5 130MM|291.2|154.34|218.4|232.96|247.52|262.08|0|235.29|209.66|197.08|0|291.2|189.86|0|106.64|238.35|180.25|175.59|0|2156.856582|218.4|227.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LNG 3.5 140MM|291.2|154.34|218.4|232.96|247.52|262.08|0|235.29|209.66|197.08|0|291.2|189.86|0|106.64|238.35|180.25|175.59|0|2156.856582|218.4|227.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LNG 3.5 145MM|291.2|154.34|218.4|232.96|247.52|262.08|0|235.29|209.66|197.08|0|291.2|189.86|0|106.64|238.35|180.25|175.59|0|2156.856582|218.4|227.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 2|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LNG 3.5 135MM|291.2|154.34|218.4|232.96|247.52|262.08|0|235.29|209.66|197.08|0|291.2|189.86|0|106.64|238.35|180.25|175.59|0|2156.856582|218.4|227.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CORT LNG 3.5 150MM|291.2|154.34|218.4|232.96|247.52|262.08|0|235.29|209.66|197.08|0|291.2|189.86|0|106.64|238.35|180.25|175.59|0|2156.856582|218.4|227.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|129.03|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 1|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 3|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 4|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 5|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 6|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 7|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 9|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 10|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 1|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 8|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 11|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS STD SIZE 12|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 2|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 3|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 4|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 5|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 7|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 8|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 10|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 6|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 9|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 11|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ACTIS HIGH SIZE 12|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ALLOGRAFT MTF TRINITY ELITE SM|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|2156.856582|1350|1405.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|797.58|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CERAMENT BONE VOID FILLER 5ML|3564|1888.92|2673|2851.2|3029.4|3207.6|0|2879.71|2566.08|2412.12|0|3564|2323.73|0|1305.14|2917.13|2206.12|2149.09|0|2156.856582|2673|2783.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1579.21|0|0|0|0|0|0|0|0|3564
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PRO DENSE INJECTABLE 10CC|3735|1979.55|2801.25|2988|3174.75|3361.5|0|3017.88|2689.2|2527.85|0|3735|2435.22|0|1367.76|3057.1|2311.97|2252.21|0|2156.856582|2801.25|2917.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1654.98|0|0|0|0|0|0|0|0|3735
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PRO DENSE INJECTABLE 4CC|3081|1632.93|2310.75|2464.8|2618.85|2772.9|0|2489.45|2218.32|2085.22|0|3081|2008.81|0|1128.26|2521.8|1907.14|1857.84|0|2156.856582|2310.75|2406.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1365.19|0|0|0|0|0|0|0|0|3081
HOSP OP|0278 - SUPPLY IMPLANTS||C1734|AUGMENT INJECTABLE 1.5CC KIT|3240|1717.2|2430|2592|2754|2916|2754|2617.92|2332.8|2192.83|0|3240|2112.48|1814.4|1186.49|2651.94|2005.56|1953.72|1769.04|0|2430|2530.44|1296|0|1296|2799.36|2909.13|1395.47|1296|1418.15|2909.13|0|0|0|0|0|1296|1435.64|0|0|1296|0|1620|1296|1296|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1734|AUGMENT INJECTABLE 3CC KIT|5247|2780.91|3935.25|4197.6|4459.95|4722.3|4459.95|4239.58|3777.84|3551.17|0|5247|3421.04|2938.32|1921.45|4294.67|3247.89|3163.94|2864.86|0|3935.25|4097.91|2098.8|0|2098.8|4533.41|4711.18|2259.88|2098.8|2296.61|4711.18|0|0|0|0|0|2098.8|2324.95|0|0|2098.8|0|2623.5|2098.8|2098.8|0|5247
HOSP OP|0272 - STERILE SUPPLY||A4649|SPECTRUM SU LOPRO S3|152|80.56|114|121.6|129.2|136.8|0|122.82|109.44|102.87|0|152|99.1|0|55.66|124.41|94.09|91.66|0|11.99410609|114|118.71|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|67.35|0|0|0|0|0|0|0|0|152
HOSP OP|0272 - STERILE SUPPLY||A4649|SPECTRUM SU LOPRO S4|152|80.56|114|121.6|129.2|136.8|0|122.82|109.44|102.87|0|152|99.1|0|55.66|124.41|94.09|91.66|0|11.99410609|114|118.71|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|67.35|0|0|0|0|0|0|0|0|152
HOSP OP|0278 - SUPPLY IMPLANTS||Q4130|TISSUE STRATTICE 6X6CM FIRM|2676|1418.28|2007|2140.8|2274.6|2408.4|0|2162.21|1926.72|1811.12|0|2676|1744.75|0|979.95|2190.31|1656.44|1613.63|0|5.088408644|2007|2089.96|0|0|0|0|0|0|0|0|0|5.18|5.088408644|5.18|0|0|0|1185.74|0|0|0|0|0|0|0|0|2676
HOSP OP|0278 - SUPPLY IMPLANTS||C1878|PROLARYN PLUS INJ IMP 1CC|1875|993.75|1406.25|1500|1593.75|1687.5|0|1515|1350|1269|0|1875|1222.5|0|686.63|1534.69|1160.63|1130.63|0|0|1406.25|1464.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|830.81|0|0|0|0|0|0|0|0|1875
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PHASIX 7X10CM|3324|1761.72|2493|2659.2|2825.4|2991.6|0|2685.79|2393.28|2249.68|0|3324|2167.25|0|1217.25|2720.69|2057.56|2004.37|0|0|2493|2596.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1472.86|0|0|0|0|0|0|0|0|3324
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE ILIAC CREST WEDGE 13-15MM|2544.96|1348.83|1908.72|2035.97|2163.22|2290.46|0|2056.33|1832.37|1722.43|0|2544.96|1659.31|0|931.96|2083.05|1575.33|1534.61|0|2156.856582|1908.72|1987.61|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1127.67|0|0|0|0|0|0|0|0|2544.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP PROX TIB LG 8H/R/14|3762.86|1994.31|2822.15|3010.29|3198.43|3386.58|0|3040.39|2709.26|2546.71|0|3762.86|2453.39|0|1377.96|3079.9|2329.21|2269.01|0|2156.856582|2822.15|2938.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1667.33|0|0|0|0|0|0|0|0|3762.86
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STNM FX 9IN 3.2MM THRD ACC|471.04|249.65|353.28|376.83|400.38|423.94|0|380.6|339.15|318.8|0|471.04|307.12|0|172.49|385.55|291.57|284.04|0|11.99410609|353.28|367.88|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|208.72|0|0|0|0|0|0|0|0|471.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 54MM MLHL|6333.11|3356.55|4749.83|5066.49|5383.15|5699.8|0|5117.15|4559.84|4286.25|0|6333.11|4129.19|0|2319.19|5183.65|3920.2|3818.87|0|0|4749.83|4946.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2806.2|0|0|0|0|0|0|0|0|6333.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 60MM MLHL|5710.85|3026.75|4283.14|4568.68|4854.22|5139.76|0|4614.37|4111.81|3865.1|0|5710.85|3723.47|0|2091.31|4674.33|3535.01|3443.64|0|0|4283.14|4460.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2530.48|0|0|0|0|0|0|0|0|5710.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 68MM MLHL|6333.11|3356.55|4749.83|5066.49|5383.15|5699.8|0|5117.15|4559.84|4286.25|0|6333.11|4129.19|0|2319.19|5183.65|3920.2|3818.87|0|0|4749.83|4946.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2806.2|0|0|0|0|0|0|0|0|6333.11
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 ACTABLR 40MM 2 MBL|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 ACTABLR 46MM 2 MBL G|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 ACTABLR 54MM 2 MBL|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ARCOS STS FEM 190MM 18MM|5609.47|2973.02|4207.1|4487.58|4768.05|5048.52|0|4532.45|4038.82|3796.49|0|5609.47|3657.38|0|2054.19|4591.35|3472.26|3382.51|0|0|4207.1|4381|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485.56|0|0|0|0|0|0|0|0|5609.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS CONE 70MM MDLR TI D|10881.02|5766.94|8160.77|8704.82|9248.87|9792.92|0|8791.87|7834.34|7364.28|0|10881.02|7094.43|0|3984.63|8906.12|6735.35|6561.26|0|0|8160.77|8498.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4821.38|0|0|0|0|0|0|0|0|10881.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CLAW ARCOS FEM 100MM COCRMO SM|2903.04|1538.61|2177.28|2322.43|2467.58|2612.74|0|2345.66|2090.19|1964.78|0|2903.04|1892.78|0|1063.09|2376.14|1796.98|1750.53|0|0|2177.28|2267.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1286.34|0|0|0|0|0|0|0|0|2903.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BOLT ARCOS ORTHO 36MM COCRMO|1812.48|960.61|1359.36|1449.98|1540.61|1631.23|0|1464.48|1304.99|1226.69|0|1812.48|1181.74|0|663.73|1483.51|1121.93|1092.93|0|2156.856582|1359.36|1415.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|803.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD FEM 32MM MDLR BLX D -3MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MOLD STG1 SLCT CMNT 52MM SIL|3294|1745.82|2470.5|2635.2|2799.9|2964.6|0|2661.55|2371.68|2229.38|0|3294|2147.69|0|1206.26|2696.14|2038.99|1986.28|0|0|2470.5|2572.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1459.57|0|0|0|0|0|0|0|0|3294
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MOLD STG1 CMNT 60MM REINF SPCR|3294|1745.82|2470.5|2635.2|2799.9|2964.6|0|2661.55|2371.68|2229.38|0|3294|2147.69|0|1206.26|2696.14|2038.99|1986.28|0|0|2470.5|2572.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1459.57|0|0|0|0|0|0|0|0|3294
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MOLD STG1 CMNT SPCR NK ADPR|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ADPR STG1 SLCT NK SPCR MLD +6|1840|975.2|1380|1472|1564|1656|0|1486.72|1324.8|1245.31|0|1840|1199.68|0|673.81|1506.04|1138.96|1109.52|0|0|1380|1437.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|815.3|0|0|0|0|0|0|0|0|1840
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM STG1 FEM 200MM 9MM MLD|4122|2184.66|3091.5|3297.6|3503.7|3709.8|0|3330.58|2967.84|2789.77|0|4122|2687.54|0|1509.48|3373.86|2551.52|2485.57|0|0|3091.5|3219.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1826.46|0|0|0|0|0|0|0|0|4122
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MOLD STG1 SLCT FEM STM 200MM|4122|2184.66|3091.5|3297.6|3503.7|3709.8|0|3330.58|2967.84|2789.77|0|4122|2687.54|0|1509.48|3373.86|2551.52|2485.57|0|0|3091.5|3219.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1826.46|0|0|0|0|0|0|0|0|4122
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC E1 HIP 40MM 2|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR ACT ARTC ACTABLR 46MM 28|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC HIP 50MM E1 STRL|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC HIP 54MM E1 STRL|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT NG LPSFLX OPTN FEM CMNT|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 50MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 52MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 54MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 56MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 58MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL TRLG ACTABLR 62MM PRM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP ACTABLR 56MM MDLR CLSTR HL|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TRLG BN 40MM 6.5MM ST|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TRLG BN 15MM 6.5MM ST|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TRLG BN 20MM 6.5MM ST|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TRLG BN 25MM 6.5MM ST|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR TRLG ACTABLR 6.7MM 50MM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR TRLG ACTABLR 7.9MM 56MM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR TRLG ACTABLR 8.8MM 58MM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR TRLG ACTABLR 10.9MM 62MM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 115MM 10MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 120MM 11MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 120MM 11MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 130MM 13MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 135MM 14MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 135MM 14MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 140MM 15MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 155MM 18MM PRM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD VRSY FEM 28MM COCR +3.5MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD VRSY FEM 36MM COCR 0MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD VRSY FEM 36MM COCR -3.5MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD VRSY FEM 36MM COCR +3.5MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD TRLG IT CONTIN FEM 36MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD TRLG IT CONTIN FEM 36MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD LGC FEM 36MM ZML 6D +10.5|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM WGNR CONE PROS FEM 126.8|5602.74|2969.45|4202.06|4482.19|4762.33|5042.47|0|4527.01|4033.97|3791.93|0|5602.74|3652.99|0|2051.72|4585.84|3468.1|3378.45|0|0|4202.06|4375.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2482.57|0|0|0|0|0|0|0|0|5602.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM WGNR CONE PROS FEM 127.4|5602.74|2969.45|4202.06|4482.19|4762.33|5042.47|0|4527.01|4033.97|3791.93|0|5602.74|3652.99|0|2051.72|4585.84|3468.1|3378.45|0|0|4202.06|4375.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2482.57|0|0|0|0|0|0|0|0|5602.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 52MM LMT 3 HL|5160.96|2735.31|3870.72|4128.77|4386.82|4644.86|0|4170.06|3715.89|3492.94|0|5160.96|3364.95|0|1889.94|4224.25|3194.63|3112.06|0|0|3870.72|4030.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2286.82|0|0|0|0|0|0|0|0|5160.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 54MM LMT 4 HL|5160.96|2735.31|3870.72|4128.77|4386.82|4644.86|0|4170.06|3715.89|3492.94|0|5160.96|3364.95|0|1889.94|4224.25|3194.63|3112.06|0|0|3870.72|4030.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2286.82|0|0|0|0|0|0|0|0|5160.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 56MM LMT 4 HL|5160.96|2735.31|3870.72|4128.77|4386.82|4644.86|0|4170.06|3715.89|3492.94|0|5160.96|3364.95|0|1889.94|4224.25|3194.63|3112.06|0|0|3870.72|4030.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2286.82|0|0|0|0|0|0|0|0|5160.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 52MM MLHL|5710.85|3026.75|4283.14|4568.68|4854.22|5139.76|0|4614.37|4111.81|3865.1|0|5710.85|3723.47|0|2091.31|4674.33|3535.01|3443.64|0|0|4283.14|4460.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2530.48|0|0|0|0|0|0|0|0|5710.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 58MM MLHL|5710.85|3026.75|4283.14|4568.68|4854.22|5139.76|0|4614.37|4111.81|3865.1|0|5710.85|3723.47|0|2091.31|4674.33|3535.01|3443.64|0|0|4283.14|4460.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2530.48|0|0|0|0|0|0|0|0|5710.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 ACTABLR 38MM 2 MBL|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 56MM OSSEOTI F|5710.85|3026.75|4283.14|4568.68|4854.22|5139.76|0|4614.37|4111.81|3865.1|0|5710.85|3723.47|0|2091.31|4674.33|3535.01|3443.64|0|0|4283.14|4460.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2530.48|0|0|0|0|0|0|0|0|5710.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SHL G7 ACTABLR 66MM MLHL|5710.85|3026.75|4283.14|4568.68|4854.22|5139.76|0|4614.37|4111.81|3865.1|0|5710.85|3723.47|0|2091.31|4674.33|3535.01|3443.64|0|0|4283.14|4460.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2530.48|0|0|0|0|0|0|0|0|5710.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 E1 ACTABLR 42MM 2 MBL|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR G7 ACTABLR 44MM 2 MBL F|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ARCOS STS FEM 150MM 14MM|5609.47|2973.02|4207.1|4487.58|4768.05|5048.52|0|4532.45|4038.82|3796.49|0|5609.47|3657.38|0|2054.19|4591.35|3472.26|3382.51|0|0|4207.1|4381|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485.56|0|0|0|0|0|0|0|0|5609.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ARCOS STS FEM 150MM 15MM|5609.47|2973.02|4207.1|4487.58|4768.05|5048.52|0|4532.45|4038.82|3796.49|0|5609.47|3657.38|0|2054.19|4591.35|3472.26|3382.51|0|0|4207.1|4381|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485.56|0|0|0|0|0|0|0|0|5609.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ARCOS STS FEM 150MM 17MM|5609.47|2973.02|4207.1|4487.58|4768.05|5048.52|0|4532.45|4038.82|3796.49|0|5609.47|3657.38|0|2054.19|4591.35|3472.26|3382.51|0|0|4207.1|4381|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485.56|0|0|0|0|0|0|0|0|5609.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS CONE 60MM TI A STD|10881.02|5766.94|8160.77|8704.82|9248.87|9792.92|0|8791.87|7834.34|7364.28|0|10881.02|7094.43|0|3984.63|8906.12|6735.35|6561.26|0|0|8160.77|8498.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4821.38|0|0|0|0|0|0|0|0|10881.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ARCOS STS FEM 150MM 18MM|5609.47|2973.02|4207.1|4487.58|4768.05|5048.52|0|4532.45|4038.82|3796.49|0|5609.47|3657.38|0|2054.19|4591.35|3472.26|3382.51|0|0|4207.1|4381|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485.56|0|0|0|0|0|0|0|0|5609.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS CONE 60MM TI B STD|10881.02|5766.94|8160.77|8704.82|9248.87|9792.92|0|8791.87|7834.34|7364.28|0|10881.02|7094.43|0|3984.63|8906.12|6735.35|6561.26|0|0|8160.77|8498.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4821.38|0|0|0|0|0|0|0|0|10881.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS CONE 70MM TI A HI|10881.02|5766.94|8160.77|8704.82|9248.87|9792.92|0|8791.87|7834.34|7364.28|0|10881.02|7094.43|0|3984.63|8906.12|6735.35|6561.26|0|0|8160.77|8498.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4821.38|0|0|0|0|0|0|0|0|10881.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS CONE 80MM TI A HI|10881.02|5766.94|8160.77|8704.82|9248.87|9792.92|0|8791.87|7834.34|7364.28|0|10881.02|7094.43|0|3984.63|8906.12|6735.35|6561.26|0|0|8160.77|8498.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4821.38|0|0|0|0|0|0|0|0|10881.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CLAW ARCOS FEM 100MM COCRMO LG|2903.04|1538.61|2177.28|2322.43|2467.58|2612.74|0|2345.66|2090.19|1964.78|0|2903.04|1892.78|0|1063.09|2376.14|1796.98|1750.53|0|0|2177.28|2267.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1286.34|0|0|0|0|0|0|0|0|2903.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT ARCOS FEM 25MM BTN TROCH|2749.44|1457.2|2062.08|2199.55|2337.02|2474.5|0|2221.55|1979.6|1860.82|0|2749.44|1792.63|0|1006.84|2250.42|1701.9|1657.91|0|0|2062.08|2147.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1218.28|0|0|0|0|0|0|0|0|2749.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BOLT ARCOS ORTHO 32MM COCRMO|1812.48|960.61|1359.36|1449.98|1540.61|1631.23|0|1464.48|1304.99|1226.69|0|1812.48|1181.74|0|663.73|1483.51|1121.93|1092.93|0|2156.856582|1359.36|1415.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|803.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BOLT ARCOS ORTHO 30MM COCRMO|1812.48|960.61|1359.36|1449.98|1540.61|1631.23|0|1464.48|1304.99|1226.69|0|1812.48|1181.74|0|663.73|1483.51|1121.93|1092.93|0|2156.856582|1359.36|1415.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|803.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BODY ARCOS BROACHED 210MM 18MM|11937.02|6326.62|8952.77|9549.62|10146.47|10743.32|0|9645.12|8594.66|8078.98|0|11937.02|7782.94|0|4371.34|9770.45|7389.02|7198.03|0|0|8952.77|9322.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5289.3|0|0|0|0|0|0|0|0|11937.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM CMPRH HUM 122MM 10MM PPS|5231.29|2772.58|3923.47|4185.03|4446.6|4708.16|0|4226.88|3766.53|3540.54|0|5231.29|3410.8|0|1915.7|4281.81|3238.17|3154.47|0|0|3923.47|4085.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2317.99|0|0|0|0|0|0|0|0|5231.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM CMPRH HUM 122MM 6MM PPS|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD FEM 36MM MDLR BLX D -3MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD FEM 36MM TY I BLX D +0MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD FEM 36MM MDLR BLX D +3MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO FX FEM 9MM COCR STD|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO FX FEM 9MM COCR LAT|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO FX FEM 11MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY TIB 67MM STM INTLK KNEE|4718.59|2500.85|3538.94|3774.87|4010.8|4246.73|0|3812.62|3397.39|3193.54|0|4718.59|3076.52|0|1727.95|3862.17|2920.81|2845.31|0|0|3538.94|3685.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2090.81|0|0|0|0|0|0|0|0|4718.59
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VNGRD 360 TIB 40MM 14MM|3452.93|1830.05|2589.7|2762.34|2934.99|3107.64|0|2789.97|2486.11|2336.94|0|3452.93|2251.31|0|1264.46|2826.22|2137.36|2082.12|0|0|2589.7|2696.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1529.99|0|0|0|0|0|0|0|0|3452.93
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VNGRD 360 TIB 40MM 14MM|3041.28|1611.88|2280.96|2433.02|2585.09|2737.15|0|2457.35|2189.72|2058.34|0|3041.28|1982.91|0|1113.72|2489.29|1882.55|1833.89|0|0|2280.96|2375.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1347.59|0|0|0|0|0|0|0|0|3041.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VNGRD 360 TIB 40MM 15MM|3041.28|1611.88|2280.96|2433.02|2585.09|2737.15|0|2457.35|2189.72|2058.34|0|3041.28|1982.91|0|1113.72|2489.29|1882.55|1833.89|0|0|2280.96|2375.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1347.59|0|0|0|0|0|0|0|0|3041.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VNGRD 360 TIB 40MM 18MM|3041.28|1611.88|2280.96|2433.02|2585.09|2737.15|0|2457.35|2189.72|2058.34|0|3041.28|1982.91|0|1113.72|2489.29|1882.55|1833.89|0|0|2280.96|2375.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1347.59|0|0|0|0|0|0|0|0|3041.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VNGRD 360 TIB 40MM 17MM|3041.28|1611.88|2280.96|2433.02|2585.09|2737.15|0|2457.35|2189.72|2058.34|0|3041.28|1982.91|0|1113.72|2489.29|1882.55|1833.89|0|0|2280.96|2375.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1347.59|0|0|0|0|0|0|0|0|3041.28
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN OSS FX LCK CMPR MLD PE|1179.44|625.1|884.58|943.55|1002.52|1061.5|0|952.99|849.2|798.24|0|1179.44|768.99|0|431.91|965.37|730.07|711.2|0|11.99410609|884.58|921.14|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|522.61|0|0|0|0|0|0|0|0|1179.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OXFD TIB UNCMP AA RT MDL|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM BMTRC FEM 200MM 13MM PRFT|12807.17|6787.8|9605.38|10245.73|10886.09|11526.45|0|10348.19|9221.16|8667.89|0|12807.17|8350.27|0|4689.98|10482.67|7927.64|7722.72|0|0|9605.38|10002.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5674.86|0|0|0|0|0|0|0|0|12807.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG VNGRD 360 TIB 71/75MMX18|3953.66|2095.44|2965.25|3162.93|3360.61|3558.3|0|3194.56|2846.64|2675.84|0|3953.66|2577.79|0|1447.83|3236.07|2447.32|2384.06|0|0|2965.25|3087.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1751.87|0|0|0|0|0|0|0|0|3953.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY VNGRD 360 TIB 71MM POR|4801.54|2544.82|3601.15|3841.23|4081.31|4321.38|0|3879.64|3457.11|3249.68|0|4801.54|3130.6|0|1758.32|3930.06|2972.15|2895.33|0|0|3601.15|3750|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2127.56|0|0|0|0|0|0|0|0|4801.54
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG VNGRD 360 TIB 71/75MMX22|3953.66|2095.44|2965.25|3162.93|3360.61|3558.3|0|3194.56|2846.64|2675.84|0|3953.66|2577.79|0|1447.83|3236.07|2447.32|2384.06|0|0|2965.25|3087.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1751.87|0|0|0|0|0|0|0|0|3953.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT VNGRD 360 FEM 62.5MM POR|11278.08|5977.38|8458.56|9022.46|9586.37|10150.27|0|9112.69|8120.22|7633|0|11278.08|7353.31|0|4130.03|9231.11|6981.13|6800.68|0|0|8458.56|8808.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4997.32|0|0|0|0|0|0|0|0|11278.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BLCK VNGRD 360 AUG 62.5MMX5MM|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BLCK VNGRD 360 AUG 62.5MMX5MM|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BLCK VNGRD 360 AUG 62.5MMX5MM|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|AUG VNGRD 360 FEM CRCTE WNG SM|2257.92|1196.7|1693.44|1806.34|1919.23|2032.13|0|1824.4|1625.7|1528.16|0|2257.92|1472.16|0|826.85|1848.11|1397.65|1361.53|0|0|1693.44|1763.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1000.48|0|0|0|0|0|0|0|0|2257.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO BMTRC MICROPLASTY|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SUB SCP ACCUPORT CTEDG 120MM|5115|2710.95|3836.25|4092|4347.75|4603.5|0|4132.92|3682.8|3461.83|0|5115|3334.98|0|1873.11|4186.63|3166.19|3084.35|0|2156.856582|3836.25|3994.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2266.46|0|0|0|0|0|0|0|0|5115
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA FEM CMNT POST|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA FEM CMNT POST|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA FEM CMNT POST|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA FEM CMNT POST|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA FEM CMNT POST|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS PERSONA ARTC 13MM POST|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS PERSONA ARTC 11MM PS PE|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS PERSONA ARTC 12MM PS PE|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS PERSONA ARTC 12MM PS PE|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS PERSONA ARTC 10MM POST|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BSPLT PERSONA NTR TIB TIB STM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BSPLT PERSONA NTR TIB TIB STM|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BSPLT PERSONA TIB CMNT STM 5D|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA PTLR 29MM ALPLY|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CMPNT PERSONA PTLR 32MM ALPLY|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|XTN PERSONA STM 30+ MM 14MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MOLD STG1 SLCT FEM STM 135MM|4122|2184.66|3091.5|3297.6|3503.7|3709.8|0|3330.58|2967.84|2789.77|0|4122|2687.54|0|1509.48|3373.86|2551.52|2485.57|0|0|3091.5|3219.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1826.46|0|0|0|0|0|0|0|0|4122
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK FEM 128MM TY 1 PRFT|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK XR SER FEM 137MM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK MICROPLASTY FEM 105|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK MICROPLASTY FEM 115|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK XR SER FEM 154MM|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM MICROPLASTY TPRLK FEM 117|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAGE BAK/C SPNL 12MM 12MM TI|4500|2385|3375|3600|3825|4050|0|3636|3240|3045.6|0|4500|2934|0|1647.9|3683.25|2785.5|2713.5|0|0|3375|3514.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1993.95|0|0|0|0|0|0|0|0|4500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM TPRLK MICROPLASTY FEM 119|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS NG LPSFLX ARTC 12MM FX|2496|1322.88|1872|1996.8|2121.6|2246.4|0|2016.77|1797.12|1689.29|0|2496|1627.39|0|914.04|2042.98|1545.02|1505.09|0|0|1872|1949.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1105.98|0|0|0|0|0|0|0|0|2496
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD G7 FEM 32MM BLX D BIOLOX|3120|1653.6|2340|2496|2652|2808|0|2520.96|2246.4|2111.62|0|3120|2034.24|0|1142.54|2553.72|1931.28|1881.36|0|0|2340|2436.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1382.47|0|0|0|0|0|0|0|0|3120
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SLV G7 CENTERING TY 1 TI +3MM|512|271.36|384|409.6|435.2|460.8|0|413.7|368.64|346.52|0|512|333.82|0|187.49|419.07|316.93|308.74|0|0|384|399.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|226.87|0|0|0|0|0|0|0|0|512
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CNTRLZR VRSY STM 16MM CMNT|256|135.68|192|204.8|217.6|230.4|0|206.85|184.32|173.26|0|256|166.91|0|93.75|209.54|158.46|154.37|0|0|192|199.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.43|0|0|0|0|0|0|0|0|256
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM VRSY FEM 190MM 17MM REV|7864.03|4167.93|5898.02|6291.23|6684.43|7077.63|0|6354.14|5662.1|5322.38|0|7864.03|5127.35|0|2879.81|6436.71|4867.84|4742.01|0|0|5898.02|6141.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3484.55|0|0|0|0|0|0|0|0|7864.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD VRSY LGC FEM 28MM ZML 0MM|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS NG CRFLX ARTC 66X42X14MM|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INS NG CRFLX ARTC 82X51X10MM|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LINR RNGLC ACTABLR 36MM HW|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC HIP 38MM E1 STRL|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC HIP 42MM E1 STRL|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BRNG ACT ARTC HIP 44MM E1 STRL|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST SFT|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MTRX ALDRM SLCT TISS 21.5X10.7|7469.55|3958.86|5602.16|5975.64|6349.12|6722.6|0|6035.4|5378.08|5055.39|0|7469.55|4870.15|0|2735.35|6113.83|4623.65|4504.14|0|31.03143418|5602.16|5833.72|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|3309.76|0|0|0|0|0|0|0|0|7469.55
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE BRST 12.4CM STY|2145|1136.85|1608.75|1716|1823.25|1930.5|0|1733.16|1544.4|1451.74|0|2145|1398.54|0|785.5|1755.68|1327.76|1293.44|0|747.8192534|1608.75|1675.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|950.45|0|0|0|0|0|0|0|0|2145
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|2385|1264.05|1788.75|1908|2027.25|2146.5|0|1927.08|1717.2|1614.17|0|2385|1555.02|0|873.39|1952.12|1476.32|1438.16|0|747.8192534|1788.75|1862.69|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1056.79|0|0|0|0|0|0|0|0|2385
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MTRX ALDRM TISS 21.5X10.7CM|7469.55|3958.86|5602.16|5975.64|6349.12|6722.6|0|6035.4|5378.08|5055.39|0|7469.55|4870.15|0|2735.35|6113.83|4623.65|4504.14|0|31.03143418|5602.16|5833.72|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|3309.76|0|0|0|0|0|0|0|0|7469.55
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE BRST 12.6CM STY|2145|1136.85|1608.75|1716|1823.25|1930.5|0|1733.16|1544.4|1451.74|0|2145|1398.54|0|785.5|1755.68|1327.76|1293.44|0|747.8192534|1608.75|1675.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|950.45|0|0|0|0|0|0|0|0|2145
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MTRX ALDRM SLCT TISS 21.5X10.7|7469.55|3958.86|5602.16|5975.64|6349.12|6722.6|0|6035.4|5378.08|5055.39|0|7469.55|4870.15|0|2735.35|6113.83|4623.65|4504.14|0|31.03143418|5602.16|5833.72|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|3309.76|0|0|0|0|0|0|0|0|7469.55
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE BRST 11.9CM STY|2145|1136.85|1608.75|1716|1823.25|1930.5|0|1733.16|1544.4|1451.74|0|2145|1398.54|0|785.5|1755.68|1327.76|1293.44|0|747.8192534|1608.75|1675.25|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|950.45|0|0|0|0|0|0|0|0|2145
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE AUGM GRAFT 3.0CC|5247|2780.91|3935.25|4197.6|4459.95|4722.3|0|4239.58|3777.84|3551.17|0|5247|3421.04|0|1921.45|4294.67|3247.89|3163.94|0|2156.856582|3935.25|4097.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2324.95|0|0|0|0|0|0|0|0|5247
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|QUICK STAPLE|792|419.76|594|633.6|673.2|712.8|0|639.94|570.24|536.03|0|792|516.38|0|290.03|648.25|490.25|477.58|0|2156.856582|594|618.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|350.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GFT AUG BN 3CC|5247|2780.91|3935.25|4197.6|4459.95|4722.3|0|4239.58|3777.84|3551.17|0|5247|3421.04|0|1921.45|4294.67|3247.89|3163.94|0|2156.856582|3935.25|4097.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2324.95|0|0|0|0|0|0|0|0|5247
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|VIVIGEN BONE MATRIX SM|1527|809.31|1145.25|1221.6|1297.95|1374.3|0|1233.82|1099.44|1033.47|0|1527|995.6|0|559.19|1249.85|945.21|920.78|0|2156.856582|1145.25|1192.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|676.61|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|VIVIGEN BONE MATRIX MED|4158|2203.74|3118.5|3326.4|3534.3|3742.2|0|3359.66|2993.76|2814.13|0|4158|2711.02|0|1522.66|3403.32|2573.8|2507.27|0|2156.856582|3118.5|3247.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1842.41|0|0|0|0|0|0|0|0|4158
HOSP OP|0272 - STERILE SUPPLY||C1726|DEVICE INFLATION RELIEVA SINUS|186.28|98.73|139.71|149.02|158.34|167.65|0|150.51|134.12|126.07|0|186.28|121.45|0|68.22|152.47|115.31|112.33|0|0|139.71|145.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.54|0|0|0|0|0|0|0|0|186.28
HOSP OP|0272 - STERILE SUPPLY||A4649|SHEET MEDPOR 50X38X1.0MM|2070|1097.1|1552.5|1656|1759.5|1863|0|1672.56|1490.4|1400.98|0|2070|1349.64|0|758.03|1694.3|1281.33|1248.21|0|11.99410609|1552.5|1616.67|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|917.22|0|0|0|0|0|0|0|0|2070
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANCELLOUS CHIPS 15CC|972|515.16|729|777.6|826.2|874.8|0|785.38|699.84|657.85|0|972|633.74|0|355.95|795.58|601.67|586.12|0|2156.856582|729|759.13|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|430.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANCELLOUS CHIPS 30CC|1459.2|773.38|1094.4|1167.36|1240.32|1313.28|0|1179.03|1050.62|987.59|0|1459.2|951.4|0|534.36|1194.36|903.24|879.9|0|2156.856582|1094.4|1139.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|646.57|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANCELLOUS CUBES 15CC|1135.2|601.66|851.4|908.16|964.92|1021.68|0|917.24|817.34|768.3|0|1135.2|740.15|0|415.71|929.16|702.69|684.53|0|2156.856582|851.4|886.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|503.01|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANCELLOUS CUBES 30CC|1716|909.48|1287|1372.8|1458.6|1544.4|0|1386.53|1235.52|1161.39|0|1716|1118.83|0|628.4|1404.55|1062.2|1034.75|0|2156.856582|1287|1340.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|760.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PUTTY GRAFTON 1CC|595.4|315.56|446.55|476.32|506.09|535.86|0|481.08|428.69|402.97|0|595.4|388.2|0|218.04|487.33|368.55|359.03|0|2156.856582|446.55|465.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|263.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PUTTY GRAFTON 5CC|1650|874.5|1237.5|1320|1402.5|1485|0|1333.2|1188|1116.72|0|1650|1075.8|0|604.23|1350.53|1021.35|994.95|0|2156.856582|1237.5|1288.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|731.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PUTTY GRAFTON 10CC|2774.85|1470.67|2081.14|2219.88|2358.62|2497.37|0|2242.08|1997.89|1878.02|0|2774.85|1809.2|0|1016.15|2271.21|1717.63|1673.23|0|2156.856582|2081.14|2167.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.54|0|0|0|0|0|0|0|0|2774.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON DBF 6CC|2613|1384.89|1959.75|2090.4|2221.05|2351.7|0|2111.3|1881.36|1768.48|0|2613|1703.68|0|956.88|2138.74|1617.45|1575.64|0|2156.856582|1959.75|2040.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1157.82|0|0|0|0|0|0|0|0|2613
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON DBF 3CC|1993.92|1056.78|1495.44|1595.14|1694.83|1794.53|0|1611.09|1435.62|1349.49|0|1993.92|1300.04|0|730.17|1632.02|1234.24|1202.33|0|2156.856582|1495.44|1557.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|883.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON MATRIX STRIPS 1X10CM|3264.3|1730.08|2448.23|2611.44|2774.66|2937.87|0|2637.55|2350.3|2209.28|0|3264.3|2128.32|0|1195.39|2671.83|2020.6|1968.37|0|2156.856582|2448.23|2549.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1446.41|0|0|0|0|0|0|0|0|3264.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON MATRIX STRIPS 1X20CM|3541.59|1877.04|2656.19|2833.27|3010.35|3187.43|0|2861.6|2549.94|2396.95|0|3541.59|2309.12|0|1296.93|2898.79|2192.24|2135.58|0|2156.856582|2656.19|2765.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1569.28|0|0|0|0|0|0|0|0|3541.59
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON PASTE PLUS 1CC|500|265|375|400|425|450|0|404|360|338.4|0|500|326|0|183.1|409.25|309.5|301.5|0|2156.856582|375|390.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|221.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON PASTE PLUS 5CC|1788.15|947.72|1341.11|1430.52|1519.93|1609.34|0|1444.83|1287.47|1210.22|0|1788.15|1165.87|0|654.82|1463.6|1106.86|1078.25|0|2156.856582|1341.11|1396.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|792.33|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON PASTE PLUS 10CC|2774.85|1470.67|2081.14|2219.88|2358.62|2497.37|0|2242.08|1997.89|1878.02|0|2774.85|1809.2|0|1016.15|2271.21|1717.63|1673.23|0|2156.856582|2081.14|2167.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1229.54|0|0|0|0|0|0|0|0|2774.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE LARGE C6|1502.55|796.35|1126.91|1202.04|1277.17|1352.3|0|1214.06|1081.84|1016.93|0|1502.55|979.66|0|550.23|1229.84|930.08|906.04|0|2156.856582|1126.91|1173.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|665.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE LARGE C9|1502.55|796.35|1126.91|1202.04|1277.17|1352.3|0|1214.06|1081.84|1016.93|0|1502.55|979.66|0|550.23|1229.84|930.08|906.04|0|2156.856582|1126.91|1173.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|665.78|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE SMALL L|2253.84|1194.54|1690.38|1803.07|1915.76|2028.46|0|1821.1|1622.76|1525.4|0|2253.84|1469.5|0|825.36|1844.77|1395.13|1359.07|0|2156.856582|1690.38|1760.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|998.68|0|0|0|0|0|0|0|0|2253.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE MED L|2253.84|1194.54|1690.38|1803.07|1915.76|2028.46|0|1821.1|1622.76|1525.4|0|2253.84|1469.5|0|825.36|1844.77|1395.13|1359.07|0|2156.856582|1690.38|1760.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|998.68|0|0|0|0|0|0|0|0|2253.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE LARGE L|2253.84|1194.54|1690.38|1803.07|1915.76|2028.46|0|1821.1|1622.76|1525.4|0|2253.84|1469.5|0|825.36|1844.77|1395.13|1359.07|0|2156.856582|1690.38|1760.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|998.68|0|0|0|0|0|0|0|0|2253.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|XPANSE LARGE CYLINDER|2253.84|1194.54|1690.38|1803.07|1915.76|2028.46|0|1821.1|1622.76|1525.4|0|2253.84|1469.5|0|825.36|1844.77|1395.13|1359.07|0|2156.856582|1690.38|1760.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|998.68|0|0|0|0|0|0|0|0|2253.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 5X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 6X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 7X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 8X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 9X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 10X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 11X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE ASR 12X14X11|2415|1279.95|1811.25|1932|2052.75|2173.5|0|1951.32|1738.8|1634.47|0|2415|1574.58|0|884.37|1976.68|1494.89|1456.25|0|2156.856582|1811.25|1886.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1070.09|0|0|0|0|0|0|0|0|2415
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 5X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 7X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 6X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 8X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 9X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 11X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 10X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CORNERSTONE LASR 12X14X11|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MASTERGRAFT STRIP 12CC|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|2156.856582|2137.5|2225.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MASTERGRAFT STRIP 24CC|3420|1812.6|2565|2736|2907|3078|0|2763.36|2462.4|2314.66|0|3420|2229.84|0|1252.4|2799.27|2116.98|2062.26|0|2156.856582|2565|2671.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.4|0|0|0|0|0|0|0|0|3420
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|MASTERGRAFT STRIP 43CC|5115|2710.95|3836.25|4092|4347.75|4603.5|0|4132.92|3682.8|3461.83|0|5115|3334.98|0|1873.11|4186.63|3166.19|3084.35|0|2156.856582|3836.25|3994.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2266.46|0|0|0|0|0|0|0|0|5115
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT: ARTHROSCOPIC BIOSORB|2085|1105.05|1563.75|1668|1772.25|1876.5|0|1684.68|1501.2|1411.13|0|2085|1359.42|0|763.53|1706.57|1290.62|1257.26|0|2156.856582|1563.75|1628.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|923.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE AMPLATZ .35 260CM|126|66.78|94.5|100.8|107.1|113.4|0|101.81|90.72|85.28|0|126|82.15|0|46.14|103.13|77.99|75.98|0|0|94.5|98.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|55.83|0|0|0|0|0|0|0|0|126
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MTRX ALDRM SLCT DUO TISS 20X16|25743|13643.79|19307.25|20594.4|21881.55|23168.7|0|20800.34|18534.96|17422.86|0|25743|16784.44|0|9427.09|21070.65|15934.92|15523.03|0|31.03143418|19307.25|20105.28|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|11406.72|0|0|0|0|0|0|0|0|25743
HOSP OP|0940 - OTHER THERAPEUTIC SERVICES||Q4116|MTRX ALDRM TISS 20X16CM ALGRF|14592.6|7734.08|10944.45|11674.08|12403.71|13133.34|0|11790.82|10506.67|9876.27|0|14592.6|9514.38|0|5343.81|11944.04|9032.82|8799.34|0|31.03143418|10944.45|11396.82|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|6465.98|0|0|0|0|0|0|0|0|14592.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 650|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 950|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREASTFULL 800|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROGRIP 12CM X 8CM RIGHT|716.48|379.73|537.36|573.18|609.01|644.83|0|578.92|515.87|484.91|0|716.48|467.14|0|262.37|586.44|443.5|432.04|0|0|537.36|559.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|317.47|0|0|0|0|0|0|0|0|716.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH  PROGRIP 12CM X 8CM LEFT|716.48|379.73|537.36|573.18|609.01|644.83|0|578.92|515.87|484.91|0|716.48|467.14|0|262.37|586.44|443.5|432.04|0|0|537.36|559.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|317.47|0|0|0|0|0|0|0|0|716.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROGRIP 14CM X 9CM LEFT|737.56|390.91|553.17|590.05|626.93|663.8|0|595.95|531.04|499.18|0|737.56|480.89|0|270.09|603.69|456.55|444.75|0|0|553.17|576.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|326.81|0|0|0|0|0|0|0|0|737.56
HOSP OP|0272 - STERILE SUPPLY||A4649|DURAGEN SUTURABLE REGEN MATRI|2561.67|1357.69|1921.25|2049.34|2177.42|2305.5|0|2069.83|1844.4|1733.74|0|2561.67|1670.21|0|938.08|2096.73|1585.67|1544.69|0|11.99410609|1921.25|2000.66|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1135.08|0|0|0|0|0|0|0|0|2561.67
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROGRIP SURG 15X10CM SLF|1036.08|549.12|777.06|828.86|880.67|932.47|0|837.15|745.98|701.22|0|1036.08|675.52|0|379.41|848.03|641.33|624.76|0|0|777.06|809.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|459.09|0|0|0|0|0|0|0|0|1036.08
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL MEMORYSHAPE BRST 12.5|3276|1736.28|2457|2620.8|2784.6|2948.4|0|2647.01|2358.72|2217.2|0|3276|2135.95|0|1199.67|2681.41|2027.84|1975.43|0|747.8192534|2457|2558.56|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1451.6|0|0|0|0|0|0|0|0|3276
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL MEMORYSHAPE BRST 13X12.2|3276|1736.28|2457|2620.8|2784.6|2948.4|0|2647.01|2358.72|2217.2|0|3276|2135.95|0|1199.67|2681.41|2027.84|1975.43|0|747.8192534|2457|2558.56|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1451.6|0|0|0|0|0|0|0|0|3276
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ALLOGRAFT MTF TRINITY ELITE LG|7592.06|4023.79|5694.05|6073.65|6453.25|6832.86|0|6134.39|5466.29|5138.31|0|7592.06|4950.02|0|2780.21|6214.1|4699.49|4578.01|0|2156.856582|5694.05|5929.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|3364.04|0|0|0|0|0|0|0|0|7592.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ALLOGRAFT MTF TRINITY ELITE ME|4650.75|2464.9|3488.06|3720.6|3953.14|4185.68|0|3757.81|3348.54|3147.63|0|4650.75|3032.29|0|1703.1|3806.64|2878.81|2804.4|0|2156.856582|3488.06|3632.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2060.75|0|0|0|0|0|0|0|0|4650.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GFT SFT TISS 19.5+ CMX10-20MM|3856.05|2043.71|2892.04|3084.84|3277.64|3470.45|0|3115.69|2776.36|2609.77|0|3856.05|2514.14|0|1412.09|3156.18|2386.89|2325.2|0|0|2892.04|3011.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1708.62|0|0|0|0|0|0|0|0|3856.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VALCK CALCANEAL SHRT 40MM R|3382.2|1792.57|2536.65|2705.76|2874.87|3043.98|0|2732.82|2435.18|2289.07|0|3382.2|2205.19|0|1238.56|2768.33|2093.58|2039.47|0|2156.856582|2536.65|2641.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1498.65|0|0|0|0|0|0|0|0|3382.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VALCK CALCANEAL LONG 56MM R|3050.88|1616.97|2288.16|2440.7|2593.25|2745.79|0|2465.11|2196.63|2064.84|0|3050.88|1989.17|0|1117.23|2497.15|1888.49|1839.68|0|2156.856582|2288.16|2382.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.84|0|0|0|0|0|0|0|0|3050.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VALCK CALCANEAL LONG 56MM L|3512.28|1861.51|2634.21|2809.82|2985.44|3161.05|0|2837.92|2528.84|2377.11|0|3512.28|2290.01|0|1286.2|2874.8|2174.1|2117.9|0|2156.856582|2634.21|2743.09|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1556.29|0|0|0|0|0|0|0|0|3512.28
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 33FR|1292|684.76|969|1033.6|1098.2|1162.8|0|1043.94|930.24|874.43|0|1292|842.38|0|473.13|1057.5|799.75|779.08|0|0|969|1009.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|572.49|0|0|0|0|0|0|0|0|1292
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL VALCK CALCANEAL SHRT 40MM L|2937.87|1557.07|2203.4|2350.3|2497.19|2644.08|0|2373.8|2115.27|1988.35|0|2937.87|1915.49|0|1075.85|2404.65|1818.54|1771.54|0|2156.856582|2203.4|2294.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1301.77|0|0|0|0|0|0|0|0|2937.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT AUG CTEDG 1.5CC|3411|1807.83|2558.25|2728.8|2899.35|3069.9|0|2756.09|2455.92|2308.56|0|3411|2223.97|0|1249.11|2791.9|2111.41|2056.83|0|2156.856582|2558.25|2663.99|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1511.41|0|0|0|0|0|0|0|0|3411
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MULTILOC BN 36MM 4.5MM 3.9|668.16|354.12|501.12|534.53|567.94|601.34|0|539.87|481.08|452.21|0|668.16|435.64|0|244.68|546.89|413.59|402.9|0|2156.856582|501.12|521.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|296.06|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 4H/R/90|1554.99|824.14|1166.24|1243.99|1321.74|1399.49|0|1256.43|1119.59|1052.42|0|1554.99|1013.85|0|569.44|1272.76|962.54|937.66|0|2156.856582|1166.24|1214.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|689.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 3H/R/77|1531.2|811.54|1148.4|1224.96|1301.52|1378.08|0|1237.21|1102.46|1036.32|0|1531.2|998.34|0|560.73|1253.29|947.81|923.31|0|2156.856582|1148.4|1195.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|678.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 4H/L/90|1554.99|824.14|1166.24|1243.99|1321.74|1399.49|0|1256.43|1119.59|1052.42|0|1554.99|1013.85|0|569.44|1272.76|962.54|937.66|0|2156.856582|1166.24|1214.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|689.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 5H/L/10|1576.62|835.61|1182.47|1261.3|1340.13|1418.96|0|1273.91|1135.17|1067.06|0|1576.62|1027.96|0|577.36|1290.46|975.93|950.7|0|2156.856582|1182.47|1231.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 3H/L/77|1531.2|811.54|1148.4|1224.96|1301.52|1378.08|0|1237.21|1102.46|1036.32|0|1531.2|998.34|0|560.73|1253.29|947.81|923.31|0|2156.856582|1148.4|1195.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|678.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 5H/R/10|1576.62|835.61|1182.47|1261.3|1340.13|1418.96|0|1273.91|1135.17|1067.06|0|1576.62|1027.96|0|577.36|1290.46|975.93|950.7|0|2156.856582|1182.47|1231.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 6H/R/11|1600.41|848.22|1200.31|1280.33|1360.35|1440.37|0|1293.13|1152.3|1083.16|0|1600.41|1043.47|0|586.07|1309.94|990.65|965.05|0|2156.856582|1200.31|1249.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|709.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 6H/L/11|1600.41|848.22|1200.31|1280.33|1360.35|1440.37|0|1293.13|1152.3|1083.16|0|1600.41|1043.47|0|586.07|1309.94|990.65|965.05|0|2156.856582|1200.31|1249.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|709.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 7H/R/12|1624.2|860.83|1218.15|1299.36|1380.57|1461.78|0|1312.35|1169.42|1099.26|0|1624.2|1058.98|0|594.78|1329.41|1005.38|979.39|0|2156.856582|1218.15|1268.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 7H/L/12|1624.2|860.83|1218.15|1299.36|1380.57|1461.78|0|1312.35|1169.42|1099.26|0|1624.2|1058.98|0|594.78|1329.41|1005.38|979.39|0|2156.856582|1218.15|1268.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 9H/R/15|1647.96|873.42|1235.97|1318.37|1400.77|1483.16|0|1331.55|1186.53|1115.34|0|1647.96|1074.47|0|603.48|1348.86|1020.09|993.72|0|2156.856582|1235.97|1287.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 9H/L/15|1647.96|873.42|1235.97|1318.37|1400.77|1483.16|0|1331.55|1186.53|1115.34|0|1647.96|1074.47|0|603.48|1348.86|1020.09|993.72|0|2156.856582|1235.97|1287.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 11H/R/1|1671.78|886.04|1253.84|1337.42|1421.01|1504.6|0|1350.8|1203.68|1131.46|0|1671.78|1090|0|612.21|1368.35|1034.83|1008.08|0|2156.856582|1253.84|1305.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|740.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 4H/R/86MM|1554.99|824.14|1166.24|1243.99|1321.74|1399.49|0|1256.43|1119.59|1052.42|0|1554.99|1013.85|0|569.44|1272.76|962.54|937.66|0|2156.856582|1166.24|1214.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|689.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP POSTLAT 11H/L/1|1671.78|886.04|1253.84|1337.42|1421.01|1504.6|0|1350.8|1203.68|1131.46|0|1671.78|1090|0|612.21|1368.35|1034.83|1008.08|0|2156.856582|1253.84|1305.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|740.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 3H/R/73MM|1531.2|811.54|1148.4|1224.96|1301.52|1378.08|0|1237.21|1102.46|1036.32|0|1531.2|998.34|0|560.73|1253.29|947.81|923.31|0|2156.856582|1148.4|1195.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|678.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 3H/L/73MM|1531.2|811.54|1148.4|1224.96|1301.52|1378.08|0|1237.21|1102.46|1036.32|0|1531.2|998.34|0|560.73|1253.29|947.81|923.31|0|2156.856582|1148.4|1195.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|678.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 5H/R/99MM|1576.62|835.61|1182.47|1261.3|1340.13|1418.96|0|1273.91|1135.17|1067.06|0|1576.62|1027.96|0|577.36|1290.46|975.93|950.7|0|2156.856582|1182.47|1231.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 5H/L/99MM|1576.62|835.61|1182.47|1261.3|1340.13|1418.96|0|1273.91|1135.17|1067.06|0|1576.62|1027.96|0|577.36|1290.46|975.93|950.7|0|2156.856582|1182.47|1231.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|698.6|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 6H/R/112MM|1600.41|848.22|1200.31|1280.33|1360.35|1440.37|0|1293.13|1152.3|1083.16|0|1600.41|1043.47|0|586.07|1309.94|990.65|965.05|0|2156.856582|1200.31|1249.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|709.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 6H/L/112MM|1600.41|848.22|1200.31|1280.33|1360.35|1440.37|0|1293.13|1152.3|1083.16|0|1600.41|1043.47|0|586.07|1309.94|990.65|965.05|0|2156.856582|1200.31|1249.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|709.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 4H/L/86MM|1554.99|824.14|1166.24|1243.99|1321.74|1399.49|0|1256.43|1119.59|1052.42|0|1554.99|1013.85|0|569.44|1272.76|962.54|937.66|0|2156.856582|1166.24|1214.45|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|689.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 7H/R/125MM|1624.2|860.83|1218.15|1299.36|1380.57|1461.78|0|1312.35|1169.42|1099.26|0|1624.2|1058.98|0|594.78|1329.41|1005.38|979.39|0|2156.856582|1218.15|1268.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 7H/L/125MM|1624.2|860.83|1218.15|1299.36|1380.57|1461.78|0|1312.35|1169.42|1099.26|0|1624.2|1058.98|0|594.78|1329.41|1005.38|979.39|0|2156.856582|1218.15|1268.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.68|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 9H/R/151MM|1647.96|873.42|1235.97|1318.37|1400.77|1483.16|0|1331.55|1186.53|1115.34|0|1647.96|1074.47|0|603.48|1348.86|1020.09|993.72|0|2156.856582|1235.97|1287.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 9H/L/151MM|1647.96|873.42|1235.97|1318.37|1400.77|1483.16|0|1331.55|1186.53|1115.34|0|1647.96|1074.47|0|603.48|1348.86|1020.09|993.72|0|2156.856582|1235.97|1287.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|730.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 11H/R/177MM|1671.78|886.04|1253.84|1337.42|1421.01|1504.6|0|1350.8|1203.68|1131.46|0|1671.78|1090|0|612.21|1368.35|1034.83|1008.08|0|2156.856582|1253.84|1305.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|740.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 6H/R/158MM|3393.3|1798.45|2544.98|2714.64|2884.31|3053.97|0|2741.79|2443.18|2296.59|0|3393.3|2212.43|0|1242.63|2777.42|2100.45|2046.16|0|2156.856582|2544.98|2650.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1503.57|0|0|0|0|0|0|0|0|3393.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.7/3.5 LCP LAT 11H/L/177MM|1671.78|886.04|1253.84|1337.42|1421.01|1504.6|0|1350.8|1203.68|1131.46|0|1671.78|1090|0|612.21|1368.35|1034.83|1008.08|0|2156.856582|1253.84|1305.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|740.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 4H/R/122MM|2967.24|1572.64|2225.43|2373.79|2522.15|2670.52|0|2397.53|2136.41|2008.23|0|2967.24|1934.64|0|1086.6|2428.69|1836.72|1789.25|0|2156.856582|2225.43|2317.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1314.78|0|0|0|0|0|0|0|0|2967.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 4H/L/122MM|2967.24|1572.64|2225.43|2373.79|2522.15|2670.52|0|2397.53|2136.41|2008.23|0|2967.24|1934.64|0|1086.6|2428.69|1836.72|1789.25|0|2156.856582|2225.43|2317.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1314.78|0|0|0|0|0|0|0|0|2967.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 6H/L/158MM|3393.3|1798.45|2544.98|2714.64|2884.31|3053.97|0|2741.79|2443.18|2296.59|0|3393.3|2212.43|0|1242.63|2777.42|2100.45|2046.16|0|2156.856582|2544.98|2650.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1503.57|0|0|0|0|0|0|0|0|3393.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 10H/L/230M|3050.3|1616.66|2287.73|2440.24|2592.76|2745.27|0|2464.65|2196.22|2064.45|0|3050.3|1988.8|0|1117.02|2496.67|1888.14|1839.33|0|2156.856582|2287.73|2382.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.59|0|0|0|0|0|0|0|0|3050.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 8H/R/194MM|2882.47|1527.71|2161.85|2305.98|2450.1|2594.22|0|2329.04|2075.38|1950.86|0|2882.47|1879.37|0|1055.56|2359.3|1784.25|1738.13|0|2156.856582|2161.85|2251.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1277.22|0|0|0|0|0|0|0|0|2882.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 8H/L/194MM|2882.47|1527.71|2161.85|2305.98|2450.1|2594.22|0|2329.04|2075.38|1950.86|0|2882.47|1879.37|0|1055.56|2359.3|1784.25|1738.13|0|2156.856582|2161.85|2251.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1277.22|0|0|0|0|0|0|0|0|2882.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 10H/R/230M|3050.3|1616.66|2287.73|2440.24|2592.76|2745.27|0|2464.65|2196.22|2064.45|0|3050.3|1988.8|0|1117.02|2496.67|1888.14|1839.33|0|2156.856582|2287.73|2382.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1351.59|0|0|0|0|0|0|0|0|3050.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 12H/R/266M|3391.15|1797.31|2543.36|2712.92|2882.48|3052.04|0|2740.05|2441.63|2295.13|0|3391.15|2211.03|0|1241.84|2775.66|2099.12|2044.86|0|2156.856582|2543.36|2648.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1502.62|0|0|0|0|0|0|0|0|3391.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 12H/L/266M|3391.15|1797.31|2543.36|2712.92|2882.48|3052.04|0|2740.05|2441.63|2295.13|0|3391.15|2211.03|0|1241.84|2775.66|2099.12|2044.86|0|2156.856582|2543.36|2648.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1502.62|0|0|0|0|0|0|0|0|3391.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 14H/R/302M|3732|1977.96|2799|2985.6|3172.2|3358.8|0|3015.46|2687.04|2525.82|0|3732|2433.26|0|1366.66|3054.64|2310.11|2250.4|0|2156.856582|2799|2914.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1653.65|0|0|0|0|0|0|0|0|3732
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5MM LCP EX-ART 14H/L/302M|3732|1977.96|2799|2985.6|3172.2|3358.8|0|3015.46|2687.04|2525.82|0|3732|2433.26|0|1366.66|3054.64|2310.11|2250.4|0|2156.856582|2799|2914.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1653.65|0|0|0|0|0|0|0|0|3732
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 6H/R/119|3594.42|1905.04|2695.82|2875.54|3055.26|3234.98|0|2904.29|2587.98|2432.7|0|3594.42|2343.56|0|1316.28|2942.03|2224.95|2167.44|0|2156.856582|2695.82|2807.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1592.69|0|0|0|0|0|0|0|0|3594.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 4H/R/93M|3546.84|1879.83|2660.13|2837.47|3014.81|3192.16|0|2865.85|2553.72|2400.5|0|3546.84|2312.54|0|1298.85|2903.09|2195.49|2138.74|0|2156.856582|2660.13|2770.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1571.6|0|0|0|0|0|0|0|0|3546.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 4H/L/93M|3546.84|1879.83|2660.13|2837.47|3014.81|3192.16|0|2865.85|2553.72|2400.5|0|3546.84|2312.54|0|1298.85|2903.09|2195.49|2138.74|0|2156.856582|2660.13|2770.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1571.6|0|0|0|0|0|0|0|0|3546.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 6H/L/119|3594.42|1905.04|2695.82|2875.54|3055.26|3234.98|0|2904.29|2587.98|2432.7|0|3594.42|2343.56|0|1316.28|2942.03|2224.95|2167.44|0|2156.856582|2695.82|2807.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1592.69|0|0|0|0|0|0|0|0|3594.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 8H/R/145|2908.42|1541.46|2181.31|2326.73|2472.15|2617.57|0|2350|2094.06|1968.42|0|2908.42|1896.29|0|1065.06|2380.54|1800.31|1753.77|0|2156.856582|2181.31|2271.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1288.72|0|0|0|0|0|0|0|0|2908.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 8H/L/145|2908.42|1541.46|2181.31|2326.73|2472.15|2617.57|0|2350|2094.06|1968.42|0|2908.42|1896.29|0|1065.06|2380.54|1800.31|1753.77|0|2156.856582|2181.31|2271.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1288.72|0|0|0|0|0|0|0|0|2908.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 10H/R/17|2941.3|1558.89|2205.97|2353.04|2500.1|2647.17|0|2376.57|2117.73|1990.67|0|2941.3|1917.72|0|1077.1|2407.45|1820.66|1773.6|0|2156.856582|2205.97|2297.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1303.29|0|0|0|0|0|0|0|0|2941.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 10H/L/17|2941.3|1558.89|2205.97|2353.04|2500.1|2647.17|0|2376.57|2117.73|1990.67|0|2941.3|1917.72|0|1077.1|2407.45|1820.66|1773.6|0|2156.856582|2205.97|2297.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1303.29|0|0|0|0|0|0|0|0|2941.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 12H/R/19|2974.15|1576.3|2230.61|2379.32|2528.03|2676.74|0|2403.11|2141.39|2012.91|0|2974.15|1939.15|0|1089.13|2434.34|1841|1793.41|0|2156.856582|2230.61|2322.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1317.85|0|0|0|0|0|0|0|0|2974.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 12H/L/19|2974.15|1576.3|2230.61|2379.32|2528.03|2676.74|0|2403.11|2141.39|2012.91|0|2974.15|1939.15|0|1089.13|2434.34|1841|1793.41|0|2156.856582|2230.61|2322.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1317.85|0|0|0|0|0|0|0|0|2974.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 14H/R/22|3008.78|1594.65|2256.59|2407.03|2557.47|2707.91|0|2431.1|2166.32|2036.35|0|3008.78|1961.73|0|1101.82|2462.69|1862.44|1814.3|0|2156.856582|2256.59|2349.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1333.19|0|0|0|0|0|0|0|0|3008.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 14H/L/22|3008.78|1594.65|2256.59|2407.03|2557.47|2707.91|0|2431.1|2166.32|2036.35|0|3008.78|1961.73|0|1101.82|2462.69|1862.44|1814.3|0|2156.856582|2256.59|2349.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1333.19|0|0|0|0|0|0|0|0|3008.78
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 16H/R/24|3114.31|1650.58|2335.73|2491.45|2647.17|2802.88|0|2516.36|2242.3|2107.77|0|3114.31|2030.53|0|1140.46|2549.06|1927.76|1877.93|0|2156.856582|2335.73|2432.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1379.95|0|0|0|0|0|0|0|0|3114.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 16H/L/24|3114.31|1650.58|2335.73|2491.45|2647.17|2802.88|0|2516.36|2242.3|2107.77|0|3114.31|2030.53|0|1140.46|2549.06|1927.76|1877.93|0|2156.856582|2335.73|2432.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1379.95|0|0|0|0|0|0|0|0|3114.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 18H/R/27|3225.05|1709.28|2418.79|2580.04|2741.29|2902.54|0|2605.84|2322.03|2182.71|0|3225.05|2102.73|0|1181.01|2639.7|1996.3|1944.7|0|2156.856582|2418.79|2518.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1429.02|0|0|0|0|0|0|0|0|3225.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 18H/L/27|3225.05|1709.28|2418.79|2580.04|2741.29|2902.54|0|2605.84|2322.03|2182.71|0|3225.05|2102.73|0|1181.01|2639.7|1996.3|1944.7|0|2156.856582|2418.79|2518.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1429.02|0|0|0|0|0|0|0|0|3225.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 20H/R/30|3332.33|1766.14|2499.25|2665.86|2832.48|2999.1|0|2692.52|2399.28|2255.32|0|3332.33|2172.68|0|1220.3|2727.51|2062.71|2009.39|0|2156.856582|2499.25|2602.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1476.55|0|0|0|0|0|0|0|0|3332.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP MEDIAL PRX 20H/L/30|3332.33|1766.14|2499.25|2665.86|2832.48|2999.1|0|2692.52|2399.28|2255.32|0|3332.33|2172.68|0|1220.3|2727.51|2062.71|2009.39|0|2156.856582|2499.25|2602.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1476.55|0|0|0|0|0|0|0|0|3332.33
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP POSTMED PRX 4H/105M|2311.95|1225.33|1733.96|1849.56|1965.16|2080.76|0|1868.06|1664.6|1564.73|0|2311.95|1507.39|0|846.64|1892.33|1431.1|1394.11|0|2156.856582|1733.96|1805.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1024.43|0|0|0|0|0|0|0|0|2311.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP POSTMED PRX 1H/69MM|2264.37|1200.12|1698.28|1811.5|1924.71|2037.93|0|1829.61|1630.35|1532.53|0|2264.37|1476.37|0|829.21|1853.39|1401.65|1365.42|0|2156.856582|1698.28|1768.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1003.34|0|0|0|0|0|0|0|0|2264.37
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP POSTMED PRX 8H/157M|2361.66|1251.68|1771.25|1889.33|2007.41|2125.49|0|1908.22|1700.4|1598.37|0|2361.66|1539.8|0|864.84|1933.02|1461.87|1424.08|0|2156.856582|1771.25|1844.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1046.45|0|0|0|0|0|0|0|0|2361.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP POSTMED PRX 2H/79MM|2288.13|1212.71|1716.1|1830.5|1944.91|2059.32|0|1848.81|1647.45|1548.61|0|2288.13|1491.86|0|837.91|1872.83|1416.35|1379.74|0|2156.856582|1716.1|1787.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1013.87|0|0|0|0|0|0|0|0|2288.13
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 3.5 LCP POSTMED PRX  6H/131|2335.71|1237.93|1751.78|1868.57|1985.35|2102.14|0|1887.25|1681.71|1580.81|0|2335.71|1522.88|0|855.34|1911.78|1445.8|1408.43|0|2156.856582|1751.78|1824.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1034.95|0|0|0|0|0|0|0|0|2335.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLOBAL ADVANTAGE ECC HD 48X21|3672|1946.16|2754|2937.6|3121.2|3304.8|0|2966.98|2643.84|2485.21|0|3672|2394.14|0|1344.69|3005.53|2272.97|2214.22|0|0|2754|2867.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1627.06|0|0|0|0|0|0|0|0|3672
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLOBAL ADVANTAGE PC STEM 8MM|6732|3567.96|5049|5385.6|5722.2|6058.8|0|5439.46|4847.04|4556.22|0|6732|4389.26|0|2465.26|5510.14|4167.11|4059.4|0|0|5049|5257.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2982.95|0|0|0|0|0|0|0|0|6732
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN MULTIHOLE W/GRIPTION 52MM|4021.29|2131.28|3015.97|3217.03|3418.1|3619.16|0|3249.2|2895.33|2721.61|0|4021.29|2621.88|0|1472.6|3291.43|2489.18|2424.84|0|0|3015.97|3140.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1781.83|0|0|0|0|0|0|0|0|4021.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN MULTIHOLE W/GRIPTION 60MM|4021.29|2131.28|3015.97|3217.03|3418.1|3619.16|0|3249.2|2895.33|2721.61|0|4021.29|2621.88|0|1472.6|3291.43|2489.18|2424.84|0|0|3015.97|3140.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1781.83|0|0|0|0|0|0|0|0|4021.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN MULTIHOLE W/GRIPTION 54MM|4021.29|2131.28|3015.97|3217.03|3418.1|3619.16|0|3249.2|2895.33|2721.61|0|4021.29|2621.88|0|1472.6|3291.43|2489.18|2424.84|0|0|3015.97|3140.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1781.83|0|0|0|0|0|0|0|0|4021.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN 100 W/GRIPTION 50MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN 100 WGRIPTION 58MM|2745|1454.85|2058.75|2196|2333.25|2470.5|0|2217.96|1976.4|1857.82|0|2745|1789.74|0|1005.22|2246.78|1699.16|1655.24|0|0|2058.75|2143.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1216.31|0|0|0|0|0|0|0|0|2745
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PINN LNR CON +4 10D 28IDX480D|5105.52|2705.93|3829.14|4084.42|4339.69|4594.97|0|4125.26|3675.97|3455.42|0|5105.52|3328.8|0|1869.64|4178.87|3160.32|3078.63|0|0|3829.14|3987.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2262.26|0|0|0|0|0|0|0|0|5105.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT POR KEEL TIB TRAY SZ2.5|3187.2|1689.22|2390.4|2549.76|2709.12|2868.48|0|2575.26|2294.78|2157.1|0|3187.2|2078.05|0|1167.15|2608.72|1972.88|1921.88|0|0|2390.4|2489.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1412.25|0|0|0|0|0|0|0|0|3187.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT POR KEEL TIB TRAY SZ3|3187.2|1689.22|2390.4|2549.76|2709.12|2868.48|0|2575.26|2294.78|2157.1|0|3187.2|2078.05|0|1167.15|2608.72|1972.88|1921.88|0|0|2390.4|2489.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1412.25|0|0|0|0|0|0|0|0|3187.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT POR KEEL TIB TRAY SZ4|3187.2|1689.22|2390.4|2549.76|2709.12|2868.48|0|2575.26|2294.78|2157.1|0|3187.2|2078.05|0|1167.15|2608.72|1972.88|1921.88|0|0|2390.4|2489.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1412.25|0|0|0|0|0|0|0|0|3187.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT POR KEEL TIB TRAY SZ5|3187.2|1689.22|2390.4|2549.76|2709.12|2868.48|0|2575.26|2294.78|2157.1|0|3187.2|2078.05|0|1167.15|2608.72|1972.88|1921.88|0|0|2390.4|2489.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1412.25|0|0|0|0|0|0|0|0|3187.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT POR KEEL TIB TRAY SZ6|3187.2|1689.22|2390.4|2549.76|2709.12|2868.48|0|2575.26|2294.78|2157.1|0|3187.2|2078.05|0|1167.15|2608.72|1972.88|1921.88|0|0|2390.4|2489.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1412.25|0|0|0|0|0|0|0|0|3187.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT REVISION CEM TIB TRAY SZ2|5921.52|3138.41|4441.14|4737.22|5033.29|5329.37|0|4784.59|4263.49|4007.68|0|5921.52|3860.83|0|2168.46|4846.76|3665.42|3570.68|0|0|4441.14|4624.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2623.83|0|0|0|0|0|0|0|0|5921.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT REVISION CEM TIB TRAY SZ2.|5921.52|3138.41|4441.14|4737.22|5033.29|5329.37|0|4784.59|4263.49|4007.68|0|5921.52|3860.83|0|2168.46|4846.76|3665.42|3570.68|0|0|4441.14|4624.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2623.83|0|0|0|0|0|0|0|0|5921.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT REVISION CEM TIB TRAY SZ3|5921.52|3138.41|4441.14|4737.22|5033.29|5329.37|0|4784.59|4263.49|4007.68|0|5921.52|3860.83|0|2168.46|4846.76|3665.42|3570.68|0|0|4441.14|4624.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2623.83|0|0|0|0|0|0|0|0|5921.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT REVISION CEM TIB TRAY SZ4|5921.52|3138.41|4441.14|4737.22|5033.29|5329.37|0|4784.59|4263.49|4007.68|0|5921.52|3860.83|0|2168.46|4846.76|3665.42|3570.68|0|0|4441.14|4624.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2623.83|0|0|0|0|0|0|0|0|5921.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT REVISION CEM TIB TRAY SZ5|5921.52|3138.41|4441.14|4737.22|5033.29|5329.37|0|4784.59|4263.49|4007.68|0|5921.52|3860.83|0|2168.46|4846.76|3665.42|3570.68|0|0|4441.14|4624.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2623.83|0|0|0|0|0|0|0|0|5921.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|UNIV FEM SLEEVE CEM 20MM|4034.88|2138.49|3026.16|3227.9|3429.65|3631.39|0|3260.18|2905.11|2730.81|0|4034.88|2630.74|0|1477.57|3302.55|2497.59|2433.03|0|0|3026.16|3151.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1787.86|0|0|0|0|0|0|0|0|4034.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|UNIV FEM SLV FUL POR 21MM|4755.6|2520.47|3566.7|3804.48|4042.26|4280.04|0|3842.52|3424.03|3218.59|0|4755.6|3100.65|0|1741.5|3892.46|2943.72|2867.63|0|0|3566.7|3714.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2107.21|0|0|0|0|0|0|0|0|4755.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT TRAY SLEEVE POR M/L 29MM|4145.04|2196.87|3108.78|3316.03|3523.28|3730.54|0|3349.19|2984.43|2805.36|0|4145.04|2702.57|0|1517.91|3392.72|2565.78|2499.46|0|0|3108.78|3237.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1836.67|0|0|0|0|0|0|0|0|4145.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|DELTA CER HEAD 12/14 28MM +5|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT TRAY SLEEVE POR M/L 53MM|4145.04|2196.87|3108.78|3316.03|3523.28|3730.54|0|3349.19|2984.43|2805.36|0|4145.04|2702.57|0|1517.91|3392.72|2565.78|2499.46|0|0|3108.78|3237.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1836.67|0|0|0|0|0|0|0|0|4145.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBT STEP WEDGE SZ2 10MM|3611.52|1914.11|2708.64|2889.22|3069.79|3250.37|0|2918.11|2600.29|2444.28|0|3611.52|2354.71|0|1322.54|2956.03|2235.53|2177.75|0|0|2708.64|2820.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.26|0|0|0|0|0|0|0|0|3611.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FEMORAL LT SZ6 CEM|8573.4|4543.9|6430.05|6858.72|7287.39|7716.06|0|6927.31|6172.85|5802.48|0|8573.4|5589.86|0|3139.58|7017.33|5306.93|5169.76|0|0|6430.05|6695.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3798.87|0|0|0|0|0|0|0|0|8573.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FEMORAL RT SZ5 CEM|8573.4|4543.9|6430.05|6858.72|7287.39|7716.06|0|6927.31|6172.85|5802.48|0|8573.4|5589.86|0|3139.58|7017.33|5306.93|5169.76|0|0|6430.05|6695.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3798.87|0|0|0|0|0|0|0|0|8573.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FEMORAL RT SZ6 CEM|8573.4|4543.9|6430.05|6858.72|7287.39|7716.06|0|6927.31|6172.85|5802.48|0|8573.4|5589.86|0|3139.58|7017.33|5306.93|5169.76|0|0|6430.05|6695.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3798.87|0|0|0|0|0|0|0|0|8573.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FEMORAL RT SZ8 CEM|8573.4|4543.9|6430.05|6858.72|7287.39|7716.06|0|6927.31|6172.85|5802.48|0|8573.4|5589.86|0|3139.58|7017.33|5306.93|5169.76|0|0|6430.05|6695.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3798.87|0|0|0|0|0|0|0|0|8573.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ3 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FEMORAL RT SZ7 CEM|8573.4|4543.9|6430.05|6858.72|7287.39|7716.06|0|6927.31|6172.85|5802.48|0|8573.4|5589.86|0|3139.58|7017.33|5306.93|5169.76|0|0|6430.05|6695.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3798.87|0|0|0|0|0|0|0|0|8573.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ4 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ5 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ6 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ7 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB TIB BASE SZ8 CEM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CEMENTED STEM 14X50MM|2410.8|1277.72|1808.1|1928.64|2049.18|2169.72|0|1947.93|1735.78|1631.63|0|2410.8|1571.84|0|882.83|1973.24|1492.29|1453.71|0|0|1808.1|1882.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1068.23|0|0|0|0|0|0|0|0|2410.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB INSRT SZ5 8MM|3358.08|1779.78|2518.56|2686.46|2854.37|3022.27|0|2713.33|2417.82|2272.75|0|3358.08|2189.47|0|1229.73|2748.59|2078.65|2024.92|0|0|2518.56|2622.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1487.97|0|0|0|0|0|0|0|0|3358.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB INSRT SZ6 8MM|3358.08|1779.78|2518.56|2686.46|2854.37|3022.27|0|2713.33|2417.82|2272.75|0|3358.08|2189.47|0|1229.73|2748.59|2078.65|2024.92|0|0|2518.56|2622.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1487.97|0|0|0|0|0|0|0|0|3358.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB INSRT SZ6 14MM|3358.08|1779.78|2518.56|2686.46|2854.37|3022.27|0|2713.33|2417.82|2272.75|0|3358.08|2189.47|0|1229.73|2748.59|2078.65|2024.92|0|0|2518.56|2622.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1487.97|0|0|0|0|0|0|0|0|3358.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE CRS FB INSERT SZ8 8MM|3358.08|1779.78|2518.56|2686.46|2854.37|3022.27|0|2713.33|2417.82|2272.75|0|3358.08|2189.47|0|1229.73|2748.59|2078.65|2024.92|0|0|2518.56|2622.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1487.97|0|0|0|0|0|0|0|0|3358.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNECRS FB INSRT SZ7 12MM|3358.08|1779.78|2518.56|2686.46|2854.37|3022.27|0|2713.33|2417.82|2272.75|0|3358.08|2189.47|0|1229.73|2748.59|2078.65|2024.92|0|0|2518.56|2622.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1487.97|0|0|0|0|0|0|0|0|3358.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ENDURANCE SZ2 180MM|5791.17|3069.32|4343.38|4632.94|4922.49|5212.05|0|4679.27|4169.64|3919.46|0|5791.17|3775.84|0|2120.73|4740.07|3584.73|3492.08|0|0|4343.38|4522.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2566.07|0|0|0|0|0|0|0|0|5791.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PROSTALAC STD 105MM STEM SZ1|4938.57|2617.44|3703.93|3950.86|4197.78|4444.71|0|3990.36|3555.77|3342.42|0|4938.57|3219.95|0|1808.5|4042.22|3056.97|2977.96|0|0|3703.93|3857.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2188.28|0|0|0|0|0|0|0|0|4938.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PROSTALAC RT 150 STEM SZ3|4938.57|2617.44|3703.93|3950.86|4197.78|4444.71|0|3990.36|3555.77|3342.42|0|4938.57|3219.95|0|1808.5|4042.22|3056.97|2977.96|0|0|3703.93|3857.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2188.28|0|0|0|0|0|0|0|0|4938.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ENDURANCE SZ3 190MM|5791.17|3069.32|4343.38|4632.94|4922.49|5212.05|0|4679.27|4169.64|3919.46|0|5791.17|3775.84|0|2120.73|4740.07|3584.73|3492.08|0|0|4343.38|4522.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2566.07|0|0|0|0|0|0|0|0|5791.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PROSTALAC LT 150 STEM SZ3|4938.57|2617.44|3703.93|3950.86|4197.78|4444.71|0|3990.36|3555.77|3342.42|0|4938.57|3219.95|0|1808.5|4042.22|3056.97|2977.96|0|0|3703.93|3857.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2188.28|0|0|0|0|0|0|0|0|4938.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PROSTALAC ACET CUP 42X32|1580.25|837.53|1185.19|1264.2|1343.21|1422.23|0|1276.84|1137.78|1069.51|0|1580.25|1030.32|0|578.69|1293.43|978.17|952.89|0|0|1185.19|1234.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|700.21|0|0|0|0|0|0|0|0|1580.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE POS FEM AUG SZ5 4MM|2798.4|1483.15|2098.8|2238.72|2378.64|2518.56|0|2261.11|2014.85|1893.96|0|2798.4|1824.56|0|1024.77|2290.49|1732.21|1687.44|0|0|2098.8|2185.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1239.97|0|0|0|0|0|0|0|0|2798.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE POS FEM AUG SZ5 8MM|2798.4|1483.15|2098.8|2238.72|2378.64|2518.56|0|2261.11|2014.85|1893.96|0|2798.4|1824.56|0|1024.77|2290.49|1732.21|1687.44|0|0|2098.8|2185.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1239.97|0|0|0|0|0|0|0|0|2798.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE POS FEM AUG SZ6 4MM|2798.4|1483.15|2098.8|2238.72|2378.64|2518.56|0|2261.11|2014.85|1893.96|0|2798.4|1824.56|0|1024.77|2290.49|1732.21|1687.44|0|0|2098.8|2185.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1239.97|0|0|0|0|0|0|0|0|2798.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE POS FEM SUG SZ6 8MM|2798.4|1483.15|2098.8|2238.72|2378.64|2518.56|0|2261.11|2014.85|1893.96|0|2798.4|1824.56|0|1024.77|2290.49|1732.21|1687.44|0|0|2098.8|2185.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1239.97|0|0|0|0|0|0|0|0|2798.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|6IN AML SM STATURE 12.0MM|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ATTUNE POS FEM AUG SZ7 4MM|2798.4|1483.15|2098.8|2238.72|2378.64|2518.56|0|2261.11|2014.85|1893.96|0|2798.4|1824.56|0|1024.77|2290.49|1732.21|1687.44|0|0|2098.8|2185.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1239.97|0|0|0|0|0|0|0|0|2798.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|AML SM STATURE 15.0MM|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|AML SM STATURE 16.5MM|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|AML LG STATURE 13.5MM|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SOL SYS 8/19.5 SML ST|9169.55|4859.86|6877.16|7335.64|7794.11|8252.59|0|7408.99|6602.07|6205.95|0|9169.55|5978.54|0|3357.89|7505.27|5675.95|5529.24|0|0|6877.16|7161.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4063.03|0|0|0|0|0|0|0|0|9169.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIGMA STAB XLK INS 5 8MM|2025|1073.25|1518.75|1620|1721.25|1822.5|0|1636.2|1458|1370.52|0|2025|1320.3|0|741.56|1657.46|1253.48|1221.08|0|0|1518.75|1581.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|897.28|0|0|0|0|0|0|0|0|2025
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RECLAIM PRX BDY CONE 20X85|5313.58|2816.2|3985.18|4250.86|4516.54|4782.22|0|4293.37|3825.78|3596.23|0|5313.58|3464.45|0|1945.83|4349.16|3289.1|3204.09|0|0|3985.18|4149.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2354.45|0|0|0|0|0|0|0|0|5313.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RECLAIM DISTAL TAPERED 15X190|4936.05|2616.11|3702.04|3948.84|4195.64|4442.45|0|3988.33|3553.96|3340.72|0|4936.05|3218.3|0|1807.58|4040.16|3055.41|2976.44|0|0|3702.04|3855.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2187.16|0|0|0|0|0|0|0|0|4936.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|RECLAIM DISTAL TAPERED 16X140|4712.4|2497.57|3534.3|3769.92|4005.54|4241.16|0|3807.62|3392.93|3189.35|0|4712.4|3072.48|0|1725.68|3857.1|2916.98|2841.58|0|0|3534.3|3680.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2088.06|0|0|0|0|0|0|0|0|4712.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS FEM SLEEVE ADAPTER +5|1951.95|1034.53|1463.96|1561.56|1659.16|1756.76|0|1577.18|1405.4|1321.08|0|1951.95|1272.67|0|714.8|1597.67|1208.26|1177.03|0|0|1463.96|1524.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|864.91|0|0|0|0|0|0|0|0|1951.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS DISTAL FEM COMP XXSM LT|15016.95|7958.98|11262.71|12013.56|12764.41|13515.26|0|12133.7|10812.2|10163.47|0|15016.95|9791.05|0|5499.21|12291.37|9295.49|9055.22|0|0|11262.71|11728.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6654.01|0|0|0|0|0|0|0|0|15016.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS UNIV TIB HIN INS XXSM 23MM|5672.45|3006.4|4254.34|4537.96|4821.58|5105.21|0|4583.34|4084.17|3839.12|0|5672.45|3698.44|0|2077.25|4642.9|3511.25|3420.49|0|0|4254.34|4430.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2513.46|0|0|0|0|0|0|0|0|5672.45
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS UNIV TIB HIN INS MED 26MM|5672.45|3006.4|4254.34|4537.96|4821.58|5105.21|0|4583.34|4084.17|3839.12|0|5672.45|3698.44|0|2077.25|4642.9|3511.25|3420.49|0|0|4254.34|4430.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2513.46|0|0|0|0|0|0|0|0|5672.45
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRH REPLC HINGE BRG|1473.6|781.01|1105.2|1178.88|1252.56|1326.24|0|1190.67|1060.99|997.33|0|1473.6|960.79|0|539.63|1206.14|912.16|888.58|0|0|1105.2|1150.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|652.95|0|0|0|0|0|0|0|0|1473.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRH FEM W/PIN MED LFT 71X|8346.36|4423.57|6259.77|6677.09|7094.41|7511.72|0|6743.86|6009.38|5648.82|0|8346.36|5441.83|0|3056.44|6831.5|5166.4|5032.86|0|0|6259.77|6518.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3698.27|0|0|0|0|0|0|0|0|8346.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRHFEM W/PIN SM LFT 66X62|8346.36|4423.57|6259.77|6677.09|7094.41|7511.72|0|6743.86|6009.38|5648.82|0|8346.36|5441.83|0|3056.44|6831.5|5166.4|5032.86|0|0|6259.77|6518.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3698.27|0|0|0|0|0|0|0|0|8346.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRHFEM W/PIN XSM LFT 66X5|8346.36|4423.57|6259.77|6677.09|7094.41|7511.72|0|6743.86|6009.38|5648.82|0|8346.36|5441.83|0|3056.44|6831.5|5166.4|5032.86|0|0|6259.77|6518.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3698.27|0|0|0|0|0|0|0|0|8346.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM BUMPER NOILES MOD SML|473.6|251.01|355.2|378.88|402.56|426.24|0|382.67|340.99|320.53|0|473.6|308.79|0|173.43|387.64|293.16|285.58|0|0|355.2|369.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|209.85|0|0|0|0|0|0|0|0|473.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRHDIST AUG XS/SMD 10MM|1863.6|987.71|1397.7|1490.88|1584.06|1677.24|0|1505.79|1341.79|1261.28|0|1863.6|1215.07|0|682.45|1525.36|1153.57|1123.75|0|0|1397.7|1455.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|825.76|0|0|0|0|0|0|0|0|1863.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SROM NRHDIST AUG XS/S/MD 10MM|1863.6|987.71|1397.7|1490.88|1584.06|1677.24|0|1505.79|1341.79|1261.28|0|1863.6|1215.07|0|682.45|1525.36|1153.57|1123.75|0|0|1397.7|1455.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|825.76|0|0|0|0|0|0|0|0|1863.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG TIB CEM STM 13X60 2/2.5/3|2235.6|1184.87|1676.7|1788.48|1900.26|2012.04|0|1806.36|1609.63|1513.05|0|2235.6|1457.61|0|818.68|1829.84|1383.84|1348.07|0|0|1676.7|1746|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|990.59|0|0|0|0|0|0|0|0|2235.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM LT SZ3|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM LT SZ4N|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM LT SZ 2.5|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM RT SZ3|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R PORCOAT FEM RT SZ4|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM RT SZ6|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG C/R POROCOAT FEM RT SZ 2.5|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM LFT SZ2|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM LFT SZ4|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM LFT SZ5|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM LFT SZ2.5|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM RT SZ3|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM RT SZ4|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA TC3 FEM RT SZ2.5|7297.62|3867.74|5473.22|5838.1|6202.98|6567.86|0|5896.48|5254.29|4939.03|0|7297.62|4758.05|0|2672.39|5973.1|4517.23|4400.46|0|0|5473.22|5699.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3233.58|0|0|0|0|0|0|0|0|7297.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIGMA FEM ADAPTER 5 DEGREE|3578.88|1896.81|2684.16|2863.1|3042.05|3220.99|0|2891.74|2576.79|2422.19|0|3578.88|2333.43|0|1310.59|2929.31|2215.33|2158.06|0|0|2684.16|2795.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1585.8|0|0|0|0|0|0|0|0|3578.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIGMA FEM ADAPTER NEUTRAL BOLT|900.8|477.42|675.6|720.64|765.68|810.72|0|727.85|648.58|609.66|0|900.8|587.32|0|329.87|737.3|557.6|543.18|0|0|675.6|703.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.14|0|0|0|0|0|0|0|0|900.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIG FEM ADAP +2/-2 OFFSET BOLT|900.8|477.42|675.6|720.64|765.68|810.72|0|727.85|648.58|609.66|0|900.8|587.32|0|329.87|737.3|557.6|543.18|0|0|675.6|703.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|399.14|0|0|0|0|0|0|0|0|900.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 8MM SZ 2.5 L|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIG FEM POST AUG SZ2.5 4MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIG FEM POST AUG SZ2.5 8MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 8MM SZ  3 RI|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA FEM POST AUG SZ3 8MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 4MM SZ4 LFT|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 4MM SZ4 RGHT|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA FEM POST AUG SZ4 8MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 8MM SZ5 LFT|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA FEM POST AUG SZ4 4MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA DIS AUG 4MM SZ5 LFT|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA FEM POST AUG SZ5 8MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PFC SIGMA FEM POST AUG SZ5 4MM|2253.6|1194.41|1690.2|1802.88|1915.56|2028.24|0|1820.91|1622.59|1525.24|0|2253.6|1469.35|0|825.27|1844.57|1394.98|1358.92|0|0|1690.2|1760.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|998.57|0|0|0|0|0|0|0|0|2253.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ2.5 20.|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ2.5 25.|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ4 15.0|5148.36|2728.63|3861.27|4118.69|4376.11|4633.52|0|4159.87|3706.82|3484.41|0|5148.36|3356.73|0|1885.33|4213.93|3186.83|3104.46|0|0|3861.27|4020.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2281.24|0|0|0|0|0|0|0|0|5148.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ4 20.0|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|ARIS SLING DEVICE|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|0|2052|2136.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ4 22.5|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ5 12.5|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TC3 RP TIBIAL INSERT SZ5 15.0|3821.76|2025.53|2866.32|3057.41|3248.5|3439.58|0|3087.98|2751.67|2586.57|0|3821.76|2491.79|0|1399.53|3128.11|2365.67|2304.52|0|0|2866.32|2984.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1693.42|0|0|0|0|0|0|0|0|3821.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CORAIL REVISION STEM STD 13|9202.46|4877.3|6901.85|7361.97|7822.09|8282.22|0|7435.59|6625.77|6228.23|0|9202.46|6000.01|0|3369.94|7532.22|5696.32|5549.08|0|0|6901.85|7187.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4077.61|0|0|0|0|0|0|0|0|9202.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SIGTIBCEMSTM 13X30 1.5/2/2.5/3|2235.6|1184.87|1676.7|1788.48|1900.26|2012.04|0|1806.36|1609.63|1513.05|0|2235.6|1457.61|0|818.68|1829.84|1383.84|1348.07|0|0|1676.7|1746|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|990.59|0|0|0|0|0|0|0|0|2235.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS UNIV TIB HIN INS XSM 23MM|5672.45|3006.4|4254.34|4537.96|4821.58|5105.21|0|4583.34|4084.17|3839.12|0|5672.45|3698.44|0|2077.25|4642.9|3511.25|3420.49|0|0|4254.34|4430.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2513.46|0|0|0|0|0|0|0|0|5672.45
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LPS UNIV TIB HIN SM 12MM|8989.2|4764.28|6741.9|7191.36|7640.82|8090.28|0|7263.27|6472.22|6083.89|0|8989.2|5860.96|0|3291.85|7357.66|5564.31|5420.49|0|0|6741.9|7020.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3983.11|0|0|0|0|0|0|0|0|8989.2
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 600|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 850|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|EXPANDER TISSUE BREAST MOD 700|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0272 - STERILE SUPPLY||C1755|CATH REVISION KIT SUTLS PUMP|1600|848|1200|1280|1360|1440|0|1292.8|1152|1082.88|0|1600|1043.2|0|585.92|1309.6|990.4|964.8|0|0|1200|1249.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|708.96|0|0|0|0|0|0|0|0|1600
HOSP OP|0272 - STERILE SUPPLY||C1755|CATH REVISION KIT PUMP|1900|1007|1425|1520|1615|1710|0|1535.2|1368|1285.92|0|1900|1238.8|0|695.78|1555.15|1176.1|1145.7|0|0|1425|1483.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|841.89|0|0|0|0|0|0|0|0|1900
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX 60MM 3.5MM|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X40MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 150MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 120MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCREW SOLERA BRK OFF|342|181.26|256.5|273.6|290.7|307.8|0|276.34|246.24|231.47|0|342|222.98|0|125.24|279.93|211.7|206.23|0|2156.856582|256.5|267.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|151.54|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX 25MM 3.5MM|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX 50MM 3.5MM PCUT|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 110MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX 30MM 3.5MM PCUT|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 30MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X40MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 140MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPCR VRTSTCK CRSTN PSR 5X14X14|2097.6|1111.73|1573.2|1678.08|1782.96|1887.84|0|1694.86|1510.27|1419.66|0|2097.6|1367.64|0|768.14|1716.89|1298.41|1264.85|0|0|1573.2|1638.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|929.45|0|0|0|0|0|0|0|0|2097.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X45MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X35MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SOLERA SET 4.75MM TI SPNE|669.76|354.97|502.32|535.81|569.3|602.78|0|541.17|482.23|453.29|0|669.76|436.68|0|245.27|548.2|414.58|403.87|0|2156.856582|502.32|523.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|296.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CAGE 14MMX6MM RADOPQ|3521.23|1866.25|2640.92|2816.99|2993.05|3169.11|0|2845.16|2535.29|2383.17|0|3521.23|2295.84|0|1289.48|2882.13|2179.64|2123.3|0|0|2640.92|2750.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1560.26|0|0|0|0|0|0|0|0|3521.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 45MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 180MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 200MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 35MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 80MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE SOLO FLEX ANG .035|165.6|87.77|124.2|132.48|140.76|149.04|0|133.8|119.23|112.08|0|165.6|107.97|0|60.64|135.54|102.51|99.86|0|0|124.2|129.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.38|0|0|0|0|0|0|0|0|165.6
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0274 - PROSTH/ORTH DEV||L8600|IMPL NATRELLE INSPIRA BRST|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|747.8192534|2463.75|2565.59|0|0|0|0|0|0|0|0|0|761.28|747.8192534|761.28|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE AMPLATZ STIFF .35 145CM|378|200.34|283.5|302.4|321.3|340.2|0|305.42|272.16|255.83|0|378|246.46|0|138.42|309.39|233.98|227.93|0|0|283.5|295.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|167.49|0|0|0|0|0|0|0|0|378
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3X40145CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON COYOTE 4X40X145 OTW|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON COYOTE 3X220X150 OTW|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 4X40X145CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR V18 FLXTP 300CM|235.2|124.66|176.4|188.16|199.92|211.68|0|190.04|169.34|159.18|0|235.2|153.35|0|86.13|192.51|145.59|141.83|0|0|176.4|183.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|104.22|0|0|0|0|0|0|0|0|235.2
HOSP OP|0272 - STERILE SUPPLY||A4649|ENTELLUS CYCLONE SUCTION/IRRIG|1020|540.6|765|816|867|918|0|824.16|734.4|690.34|0|1020|665.04|0|373.52|834.87|631.38|615.06|0|11.99410609|765|796.62|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|451.96|0|0|0|0|0|0|0|0|1020
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT COLONIC WALLFLEX 25X90MM|4267.89|2261.98|3200.92|3414.31|3627.71|3841.1|0|3448.46|3072.88|2888.51|0|4267.89|2782.66|0|1562.9|3493.27|2641.82|2573.54|0|0|3200.92|3333.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1891.1|0|0|0|0|0|0|0|0|4267.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 14X11X9MM|3706.56|1964.48|2779.92|2965.25|3150.58|3335.9|0|2994.9|2668.72|2508.6|0|3706.56|2416.68|0|1357.34|3033.82|2294.36|2235.06|0|0|2779.92|2894.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1642.38|0|0|0|0|0|0|0|0|3706.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC  16X14X9MM|3706.56|1964.48|2779.92|2965.25|3150.58|3335.9|0|2994.9|2668.72|2508.6|0|3706.56|2416.68|0|1357.34|3033.82|2294.36|2235.06|0|0|2779.92|2894.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1642.38|0|0|0|0|0|0|0|0|3706.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 16X14X8MM|3521.23|1866.25|2640.92|2816.99|2993.05|3169.11|0|2845.16|2535.29|2383.17|0|3521.23|2295.84|0|1289.48|2882.13|2179.64|2123.3|0|0|2640.92|2750.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1560.26|0|0|0|0|0|0|0|0|3521.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 14X11X8MM|3706.56|1964.48|2779.92|2965.25|3150.58|3335.9|0|2994.9|2668.72|2508.6|0|3706.56|2416.68|0|1357.34|3033.82|2294.36|2235.06|0|0|2779.92|2894.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1642.38|0|0|0|0|0|0|0|0|3706.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 16X14X7MM|3521.23|1866.25|2640.92|2816.99|2993.05|3169.11|0|2845.16|2535.29|2383.17|0|3521.23|2295.84|0|1289.48|2882.13|2179.64|2123.3|0|0|2640.92|2750.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1560.26|0|0|0|0|0|0|0|0|3521.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 14X11X7MM|3706.56|1964.48|2779.92|2965.25|3150.58|3335.9|0|2994.9|2668.72|2508.6|0|3706.56|2416.68|0|1357.34|3033.82|2294.36|2235.06|0|0|2779.92|2894.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1642.38|0|0|0|0|0|0|0|0|3706.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 16X14X6MM|3521.23|1866.25|2640.92|2816.99|2993.05|3169.11|0|2845.16|2535.29|2383.17|0|3521.23|2295.84|0|1289.48|2882.13|2179.64|2123.3|0|0|2640.92|2750.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1560.26|0|0|0|0|0|0|0|0|3521.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 16X14X5MM|3521.23|1866.25|2640.92|2816.99|2993.05|3169.11|0|2845.16|2535.29|2383.17|0|3521.23|2295.84|0|1289.48|2882.13|2179.64|2123.3|0|0|2640.92|2750.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1560.26|0|0|0|0|0|0|0|0|3521.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CAGE ANA PTC 14X11X5MM|3706.56|1964.48|2779.92|2965.25|3150.58|3335.9|0|2994.9|2668.72|2508.6|0|3706.56|2416.68|0|1357.34|3033.82|2294.36|2235.06|0|0|2779.92|2894.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1642.38|0|0|0|0|0|0|0|0|3706.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 70MM 4.75MM CCM|2622.75|1390.06|1967.06|2098.2|2229.34|2360.48|0|2119.18|1888.38|1775.08|0|2622.75|1710.03|0|960.45|2146.72|1623.48|1581.52|0|2156.856582|1967.06|2048.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.14|0|0|0|0|0|0|0|0|2622.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 80MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 90MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 100MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 130MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 160MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 170MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 190MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500MM 5.5MM TIAL|1630.2|864.01|1222.65|1304.16|1385.67|1467.18|0|1317.2|1173.74|1103.32|0|1630.2|1062.89|0|596.98|1334.32|1009.09|983.01|0|2156.856582|1222.65|1273.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|722.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 210MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 220MM 4.75MM CCM|2491.62|1320.56|1868.72|1993.3|2117.88|2242.46|0|2013.23|1793.97|1686.33|0|2491.62|1624.54|0|912.43|2039.39|1542.31|1502.45|0|2156.856582|1868.72|1945.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1104.04|0|0|0|0|0|0|0|0|2491.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500MM 6.0MM CCM|2506.44|1328.41|1879.83|2005.15|2130.47|2255.8|0|2025.2|1804.64|1696.36|0|2506.44|1634.2|0|917.86|2051.52|1551.49|1511.38|0|2156.856582|1879.83|1957.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1110.6|0|0|0|0|0|0|0|0|2506.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 500MM 5.5MM CCM|2638.35|1398.33|1978.76|2110.68|2242.6|2374.52|0|2131.79|1899.61|1785.64|0|2638.35|1720.2|0|966.16|2159.49|1633.14|1590.93|0|2156.856582|1978.76|2060.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1169.05|0|0|0|0|0|0|0|0|2638.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X25MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X30MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X35MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X45MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X50MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 5.5X55MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X25MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X30MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X50MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 6.5X55MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X25MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X30MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X35MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X40MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X50MM|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X45MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SOLERA 7.5X55MM|2422.5|1283.92|1816.88|1938|2059.13|2180.25|0|1957.38|1744.2|1639.55|0|2422.5|1579.47|0|887.12|1982.82|1499.53|1460.77|0|2156.856582|1816.88|1891.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1073.41|0|0|0|0|0|0|0|0|2422.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 40MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 50MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 55MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 60MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 70MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 90MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 110MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 100MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 120MM 5.5MM CURV|957.6|507.53|718.2|766.08|813.96|861.84|0|773.74|689.47|648.1|0|957.6|624.36|0|350.67|783.8|592.75|577.43|0|2156.856582|718.2|747.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|424.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 30MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 35MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 40MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 45MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 50MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 55MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 70MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 60MM 5.5MM CCM CURV|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|2156.856582|756|787.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|446.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 80MM 5.5MM CCM CURV|1801.8|954.95|1351.35|1441.44|1531.53|1621.62|0|1455.85|1297.3|1219.46|0|1801.8|1174.77|0|659.82|1474.77|1115.31|1086.49|0|2156.856582|1351.35|1407.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|798.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 90MM 5.5MM CCM CURV|1801.8|954.95|1351.35|1441.44|1531.53|1621.62|0|1455.85|1297.3|1219.46|0|1801.8|1174.77|0|659.82|1474.77|1115.31|1086.49|0|2156.856582|1351.35|1407.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|798.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 100MM 5.5MM CCM CURV|1801.8|954.95|1351.35|1441.44|1531.53|1621.62|0|1455.85|1297.3|1219.46|0|1801.8|1174.77|0|659.82|1474.77|1115.31|1086.49|0|2156.856582|1351.35|1407.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|798.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 110MM 5.5MM CCM CURV|1801.8|954.95|1351.35|1441.44|1531.53|1621.62|0|1455.85|1297.3|1219.46|0|1801.8|1174.77|0|659.82|1474.77|1115.31|1086.49|0|2156.856582|1351.35|1407.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|798.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 120MM 5.5MM CCM CURV|1801.8|954.95|1351.35|1441.44|1531.53|1621.62|0|1455.85|1297.3|1219.46|0|1801.8|1174.77|0|659.82|1474.77|1115.31|1086.49|0|2156.856582|1351.35|1407.21|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|798.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X7MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X8MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X9MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X10MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X11MM|9725.1|5154.3|7293.83|7780.08|8266.34|8752.59|0|7857.88|7002.07|6581.95|0|9725.1|6340.77|0|3561.33|7959.99|6019.84|5864.24|0|0|7293.83|7595.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4309.19|0|0|0|0|0|0|0|0|9725.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 28X7MMMM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 28X8MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 23X9MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 28X10MM|8314.96|4406.93|6236.22|6651.97|7067.72|7483.46|0|6718.49|5986.77|5627.57|0|8314.96|5421.35|0|3044.94|6805.8|5146.96|5013.92|0|0|6236.22|6493.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3684.36|0|0|0|0|0|0|0|0|8314.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ELEVATE X-LOR 28X11MM|9725.1|5154.3|7293.83|7780.08|8266.34|8752.59|0|7857.88|7002.07|6581.95|0|9725.1|6340.77|0|3561.33|7959.99|6019.84|5864.24|0|0|7293.83|7595.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4309.19|0|0|0|0|0|0|0|0|9725.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5MM CHROMALOY PLUS 300MM|1433.04|759.51|1074.78|1146.43|1218.08|1289.74|0|1157.9|1031.79|969.88|0|1433.04|934.34|0|524.78|1172.94|887.05|864.12|0|2156.856582|1074.78|1119.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|634.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|DOM AXIAL 3.5MM TO 4.5/4.75MM|1895.4|1004.56|1421.55|1516.32|1611.09|1705.86|0|1531.48|1364.69|1282.81|0|1895.4|1235.8|0|694.1|1551.38|1173.25|1142.93|0|2156.856582|1421.55|1480.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|839.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK XSMALL MAS|3437.85|1822.06|2578.39|2750.28|2922.17|3094.07|0|2777.78|2475.25|2326.74|0|3437.85|2241.48|0|1258.94|2813.88|2128.03|2073.02|0|2156.856582|2578.39|2684.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1523.31|0|0|0|0|0|0|0|0|3437.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONNECTOR OPEN  LATERAL 19MM|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONNECTOR A LATERAL 19MM ANGL|1593.15|844.37|1194.86|1274.52|1354.18|1433.84|0|1287.27|1147.07|1078.24|0|1593.15|1038.73|0|583.41|1303.99|986.16|960.67|0|2156.856582|1194.86|1244.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|705.92|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TAPERED 3.5MM/4.75MM 420MM|2733.9|1448.97|2050.43|2187.12|2323.82|2460.51|0|2208.99|1968.41|1850.3|0|2733.9|1782.5|0|1001.15|2237.7|1692.28|1648.54|0|2156.856582|2050.43|2135.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1211.39|0|0|0|0|0|0|0|0|2733.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TAPERED 3.5MM/5.5MM 420MM|2733.9|1448.97|2050.43|2187.12|2323.82|2460.51|0|2208.99|1968.41|1850.3|0|2733.9|1782.5|0|1001.15|2237.7|1692.28|1648.54|0|2156.856582|2050.43|2135.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1211.39|0|0|0|0|0|0|0|0|2733.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X40MM|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X70MM|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|2156.856582|922.56|960.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|545.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE SUT 3.5X80MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|2156.856582|1170|1218.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|691.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/5.5MM CCM+ 420MM|3071.25|1627.76|2303.44|2457|2610.56|2764.13|0|2481.57|2211.3|2078.62|0|3071.25|2002.46|0|1124.69|2513.82|1901.1|1851.96|0|2156.856582|2303.44|2398.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1360.87|0|0|0|0|0|0|0|0|3071.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5MM/4.75MM CCM+ 420MM|3071.25|1627.76|2303.44|2457|2610.56|2764.13|0|2481.57|2211.3|2078.62|0|3071.25|2002.46|0|1124.69|2513.82|1901.1|1851.96|0|2156.856582|2303.44|2398.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1360.87|0|0|0|0|0|0|0|0|3071.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X70MM CCM+|1711.84|907.28|1283.88|1369.47|1455.06|1540.66|0|1383.17|1232.52|1158.57|0|1711.84|1116.12|0|626.88|1401.14|1059.63|1032.24|0|2156.856582|1283.88|1336.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|758.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X80MM CCM+|1628.25|862.97|1221.19|1302.6|1384.01|1465.43|0|1315.63|1172.34|1102|0|1628.25|1061.62|0|596.27|1332.72|1007.89|981.83|0|2156.856582|1221.19|1271.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|721.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X90MM CCM+|1628.25|862.97|1221.19|1302.6|1384.01|1465.43|0|1315.63|1172.34|1102|0|1628.25|1061.62|0|596.27|1332.72|1007.89|981.83|0|2156.856582|1221.19|1271.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|721.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRE CUT 3.5X100MM CCM+|1628.25|862.97|1221.19|1302.6|1384.01|1465.43|0|1315.63|1172.34|1102|0|1628.25|1061.62|0|596.27|1332.72|1007.89|981.83|0|2156.856582|1221.19|1271.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|721.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONNECTOR CLOSED LATERAL 19MM|1765.4|935.66|1324.05|1412.32|1500.59|1588.86|0|1426.44|1271.09|1194.82|0|1765.4|1151.04|0|646.49|1444.98|1092.78|1064.54|0|2156.856582|1324.05|1378.78|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 145M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 160M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 165M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 170M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 175M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 16MM THRD 180M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 155M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 160M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 165M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 170M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 175M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 135MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN 32MM THRD 180M|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 140MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 145MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 150MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 155MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 160MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 165MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 170MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 175MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 1850MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 20MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 30MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 25MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 40MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 45MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 35MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 50MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 55MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 60MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 65MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 70MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 75MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 80MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 85MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 90MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 95MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 100MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 105MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 110MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 115MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 120MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 125MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 7.3MM CAN THRD 130MM|862.2|456.97|646.65|689.76|732.87|775.98|0|696.66|620.78|583.54|0|862.2|562.15|0|315.74|705.71|533.7|519.91|0|2156.856582|646.65|673.38|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|382.04|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE RESC|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE 42MM|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE 44MM|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE 46MM|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE 48MM|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW LOCK 3.5 STARDRIVE 52MM|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SLFTAP STARDRIVE 3.5 54M|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SLFTAP STARDRIVE 3.5 546|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SLFTAP STARDRIVE 3.5 58M|412.32|218.53|309.24|329.86|350.47|371.09|0|333.15|296.87|279.06|0|412.32|268.83|0|150.99|337.48|255.23|248.63|0|2156.856582|309.24|322.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|182.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SHTH GD R2P 6FR 119CM|844.9|447.8|633.68|675.92|718.17|760.41|0|682.68|608.33|571.83|0|844.9|550.87|0|309.4|691.55|522.99|509.47|0|0|633.68|659.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|374.38|0|0|0|0|0|0|0|0|844.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH DURAFLOW 55CM 15.5FR|490|259.7|367.5|392|416.5|441|0|395.92|352.8|331.63|0|490|319.48|0|179.44|401.07|303.31|295.47|0|0|367.5|382.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.12|0|0|0|0|0|0|0|0|490
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH DURAFLOW 32CM 15.5FR|490|259.7|367.5|392|416.5|441|0|395.92|352.8|331.63|0|490|319.48|0|179.44|401.07|303.31|295.47|0|0|367.5|382.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.12|0|0|0|0|0|0|0|0|490
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO 10CM 4FR 21GA MPNCH|138.24|73.27|103.68|110.59|117.5|124.41|0|111.69|99.53|93.56|0|138.24|90.13|0|50.62|113.15|85.57|83.36|0|0|103.68|107.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|61.25|0|0|0|0|0|0|0|0|138.24
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH AUROUS STR  5FR 100CM|384.3|203.68|288.23|307.44|326.66|345.87|0|310.51|276.7|260.09|0|384.3|250.56|0|140.73|314.55|237.88|231.73|0|0|288.23|300.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|170.28|0|0|0|0|0|0|0|0|384.3
HOSP OP|0272 - STERILE SUPPLY||C1757|SYS THRMB ANGJT ULT CX-STRM|5166|2737.98|3874.5|4132.8|4391.1|4649.4|0|4174.13|3719.52|3496.35|0|5166|3368.23|0|1891.79|4228.37|3197.75|3115.1|0|0|3874.5|4034.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2289.05|0|0|0|0|0|0|0|0|5166
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABIL  BIL PERC 6CM 10MM|5908|3131.24|4431|4726.4|5021.8|5317.2|0|4773.66|4253.76|3998.53|0|5908|3852.02|0|2163.51|4835.7|3657.05|3562.52|0|0|4431|4614.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2617.83|0|0|0|0|0|0|0|0|5908
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO CHECK FLOW 12FR|109.37|57.97|82.03|87.49|92.96|98.43|0|88.37|78.74|74.02|0|109.37|71.31|0|40.05|89.52|67.7|65.95|0|0|82.03|85.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|48.46|0|0|0|0|0|0|0|0|109.37
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT INTRO MINISTICK 6FR|79.52|42.15|59.64|63.62|67.59|71.57|0|64.25|57.25|53.82|0|79.52|51.85|0|29.12|65.09|49.22|47.95|0|0|59.64|62.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.24|0|0|0|0|0|0|0|0|79.52
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT INTRO MINSTICK  5FR|79.52|42.15|59.64|63.62|67.59|71.57|0|64.25|57.25|53.82|0|79.52|51.85|0|29.12|65.09|49.22|47.95|0|0|59.64|62.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|35.24|0|0|0|0|0|0|0|0|79.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH HEMODIALYSIS SCHN XL 20CM|182|96.46|136.5|145.6|154.7|163.8|0|147.06|131.04|123.18|0|182|118.66|0|66.65|148.97|112.66|109.75|0|0|136.5|142.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|80.64|0|0|0|0|0|0|0|0|182
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH HEMODIALYSIS SCHN XL 15CM|182|96.46|136.5|145.6|154.7|163.8|0|147.06|131.04|123.18|0|182|118.66|0|66.65|148.97|112.66|109.75|0|0|136.5|142.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|80.64|0|0|0|0|0|0|0|0|182
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH 6FR 7FR 16.5/9GA 70CM|308|163.24|231|246.4|261.8|277.2|0|248.86|221.76|208.45|0|308|200.82|0|112.79|252.1|190.65|185.72|0|0|231|240.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|136.47|0|0|0|0|0|0|0|0|308
HOSP OP|0278 - SUPPLY IMPLANTS||C1888|KIT NEVERTOUCH 45CM W/GRIPPE|840|445.2|630|672|714|756|0|678.72|604.8|568.51|0|840|547.68|0|307.61|687.54|519.96|506.52|0|0|630|656.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|372.2|0|0|0|0|0|0|0|0|840
HOSP OP|0278 - SUPPLY IMPLANTS||C1888|KIT NEVERTOUCH 65CM W/ GRIPPE|840|445.2|630|672|714|756|0|678.72|604.8|568.51|0|840|547.68|0|307.61|687.54|519.96|506.52|0|0|630|656.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|372.2|0|0|0|0|0|0|0|0|840
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPRTR REPERFUS MAX 054 134CM|8344|4422.32|6258|6675.2|7092.4|7509.6|0|6741.95|6007.68|5647.22|0|8344|5440.29|0|3055.57|6829.56|5164.94|5031.43|0|0|6258|6516.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3697.23|0|0|0|0|0|0|0|0|8344
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANN BONE CEMT VERTPT 10GA|136.11|72.14|102.08|108.89|115.69|122.5|0|109.98|98|92.12|0|136.11|88.74|0|49.84|111.4|84.25|82.07|0|2156.856582|102.08|106.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|60.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR FLEX ANG 180CM .018IN|205.32|108.82|153.99|164.26|174.53|184.79|0|165.9|147.83|138.96|0|205.32|133.87|0|75.19|168.06|127.1|123.81|0|0|153.99|160.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|90.98|0|0|0|0|0|0|0|0|205.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1888|KIT NEVERTOUCH 25CM W/GRIPPE|840|445.2|630|672|714|756|0|678.72|604.8|568.51|0|840|547.68|0|307.61|687.54|519.96|506.52|0|0|630|656.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|372.2|0|0|0|0|0|0|0|0|840
HOSP OP|0278 - SUPPLY IMPLANTS||C1888|KIT NEVERTOUCH 90CM W/ GRIPPE|840|445.2|630|672|714|756|0|678.72|604.8|568.51|0|840|547.68|0|307.61|687.54|519.96|506.52|0|0|630|656.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|372.2|0|0|0|0|0|0|0|0|840
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MARINER ROSCH CVD 5FR 65C|112|59.36|84|89.6|95.2|100.8|0|90.5|80.64|75.8|0|112|73.02|0|41.01|91.67|69.33|67.54|0|0|84|87.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.63|0|0|0|0|0|0|0|0|112
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014   5MMX2.5CM|8876|4704.28|6657|7100.8|7544.6|7988.4|0|7171.81|6390.72|6007.28|0|8876|5787.15|0|3250.39|7265.01|5494.24|5352.23|0|0|6657|6932.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3932.96|0|0|0|0|0|0|0|0|8876
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  5MMX5CM|9130.8|4839.32|6848.1|7304.64|7761.18|8217.72|0|7377.69|6574.18|6179.73|0|9130.8|5953.28|0|3343.7|7473.56|5651.97|5505.87|0|0|6848.1|7131.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4045.86|0|0|0|0|0|0|0|0|9130.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  5MMX10CM|10004.4|5302.33|7503.3|8003.52|8503.74|9003.96|0|8083.56|7203.17|6770.98|0|10004.4|6522.87|0|3663.61|8188.6|6192.72|6032.65|0|0|7503.3|7813.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4432.95|0|0|0|0|0|0|0|0|10004.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014   5MMX15CM 6FR|11250.4|5962.71|8437.8|9000.32|9562.84|10125.36|0|9090.32|8100.29|7614.27|0|11250.4|7335.26|0|4119.9|9208.45|6964|6783.99|0|0|8437.8|8786.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4985.05|0|0|0|0|0|0|0|0|11250.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  6MMX5CM 6FR|9130.8|4839.32|6848.1|7304.64|7761.18|8217.72|0|7377.69|6574.18|6179.73|0|9130.8|5953.28|0|3343.7|7473.56|5651.97|5505.87|0|0|6848.1|7131.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4045.86|0|0|0|0|0|0|0|0|9130.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  6MMX25CM|18538.8|9825.56|13904.1|14831.04|15757.98|16684.92|0|14979.35|13347.94|12547.06|0|18538.8|12087.3|0|6788.91|15174.01|11475.52|11178.9|0|0|13904.1|14478.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8214.54|0|0|0|0|0|0|0|0|18538.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  7MMX5CM|9130.8|4839.32|6848.1|7304.64|7761.18|8217.72|0|7377.69|6574.18|6179.73|0|9130.8|5953.28|0|3343.7|7473.56|5651.97|5505.87|0|0|6848.1|7131.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4045.86|0|0|0|0|0|0|0|0|9130.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  5MMX25CM|18538.8|9825.56|13904.1|14831.04|15757.98|16684.92|0|14979.35|13347.94|12547.06|0|18538.8|12087.3|0|6788.91|15174.01|11475.52|11178.9|0|0|13904.1|14478.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8214.54|0|0|0|0|0|0|0|0|18538.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  6MMX10CM  6FR|10004.4|5302.33|7503.3|8003.52|8503.74|9003.96|0|8083.56|7203.17|6770.98|0|10004.4|6522.87|0|3663.61|8188.6|6192.72|6032.65|0|0|7503.3|7813.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4432.95|0|0|0|0|0|0|0|0|10004.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  7MMX10CM 7FR|10004.4|5302.33|7503.3|8003.52|8503.74|9003.96|0|8083.56|7203.17|6770.98|0|10004.4|6522.87|0|3663.61|8188.6|6192.72|6032.65|0|0|7503.3|7813.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4432.95|0|0|0|0|0|0|0|0|10004.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  7MMX15CM 7FR|10822|5735.66|8116.5|8657.6|9198.7|9739.8|0|8744.18|7791.84|7324.33|0|10822|7055.94|0|3963.02|8857.81|6698.82|6525.67|0|0|8116.5|8451.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4795.23|0|0|0|0|0|0|0|0|10822
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  8MMX5CM 7FR|9130.8|4839.32|6848.1|7304.64|7761.18|8217.72|0|7377.69|6574.18|6179.73|0|9130.8|5953.28|0|3343.7|7473.56|5651.97|5505.87|0|0|6848.1|7131.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4045.86|0|0|0|0|0|0|0|0|9130.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN .014  8MMX10CM 7FR|10004.4|5302.33|7503.3|8003.52|8503.74|9003.96|0|8083.56|7203.17|6770.98|0|10004.4|6522.87|0|3663.61|8188.6|6192.72|6032.65|0|0|7503.3|7813.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4432.95|0|0|0|0|0|0|0|0|10004.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 6MX5X120C|8811.6|4670.15|6608.7|7049.28|7489.86|7930.44|0|7119.77|6344.35|5963.69|0|8811.6|5745.16|0|3226.81|7212.29|5454.38|5313.39|0|0|6608.7|6881.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3904.42|0|0|0|0|0|0|0|0|8811.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO.035 6MX10X120C|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 7MX10X120|9732.8|5158.38|7299.6|7786.24|8272.88|8759.52|0|7864.1|7007.62|6587.16|0|9732.8|6345.79|0|3564.15|7966.3|6024.6|5868.88|0|0|7299.6|7601.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4312.6|0|0|0|0|0|0|0|0|9732.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 5CMX 8X8M|8811.6|4670.15|6608.7|7049.28|7489.86|7930.44|0|7119.77|6344.35|5963.69|0|8811.6|5745.16|0|3226.81|7212.29|5454.38|5313.39|0|0|6608.7|6881.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3904.42|0|0|0|0|0|0|0|0|8811.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN 8X25X120 035|17488.8|9269.06|13116.6|13991.04|14865.48|15739.92|0|14130.95|12591.94|11836.42|0|17488.8|11402.7|0|6404.4|14314.58|10825.57|10545.75|0|0|13116.6|13658.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7749.29|0|0|0|0|0|0|0|0|17488.8
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X80 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 10X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X100 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X150 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X200 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 10X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 10X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT MCTRDCR MINI 4CM 5FR 21GA|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|0|105|109.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.03|0|0|0|0|0|0|0|0|140
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 12X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X20X142CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 1.5X40X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW  2X40X144CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X100X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X150X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X220X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X100X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X220X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3X150X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE  4X100X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CATH MICRO LANTERN 115 STR|1652|875.56|1239|1321.6|1404.2|1486.8|0|1334.82|1189.44|1118.07|0|1652|1077.1|0|604.96|1352.16|1022.59|996.16|0|0|1239|1290.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|732|0|0|0|0|0|0|0|0|1652
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CATH MICRO LANTERN 135 STR|1652|875.56|1239|1321.6|1404.2|1486.8|0|1334.82|1189.44|1118.07|0|1652|1077.1|0|604.96|1352.16|1022.59|996.16|0|0|1239|1290.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|732|0|0|0|0|0|0|0|0|1652
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CATH MICRO LANTERN 150 STR|1652|875.56|1239|1321.6|1404.2|1486.8|0|1334.82|1189.44|1118.07|0|1652|1077.1|0|604.96|1352.16|1022.59|996.16|0|0|1239|1290.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|732|0|0|0|0|0|0|0|0|1652
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|CATH MICRO LANTERN 150 45|1652|875.56|1239|1321.6|1404.2|1486.8|0|1334.82|1189.44|1118.07|0|1652|1077.1|0|604.96|1352.16|1022.59|996.16|0|0|1239|1290.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|732|0|0|0|0|0|0|0|0|1652
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGIOSCUPT 3X100X155C|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGIOSCUPT 4X100X137C|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGIOSCUPT 6X100X137C|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1729|KIT CATH PLEURX PERITNL|161|85.33|120.75|128.8|136.85|144.9|0|130.09|115.92|108.96|0|161|104.97|0|58.96|131.78|99.66|97.08|0|0|120.75|125.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|71.34|0|0|0|0|0|0|0|0|161
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS 4.0X31MM|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LIVS 4.5X23MM|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS JR 3.5X23MM|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS 5.5X33MM|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS JR 2.5X17MM|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS JR 2.5X23MM|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS JR 3.5X33MM|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 4X40X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 4X60X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 4X80X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 4X120X130|3920|2077.6|2940|3136|3332|3528|0|3167.36|2822.4|2653.06|0|3920|2555.84|0|1435.5|3208.52|2426.48|2363.76|0|0|2940|3061.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1736.95|0|0|0|0|0|0|0|0|3920
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 5X60X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL  5X150X130|4340|2300.2|3255|3472|3689|3906|0|3506.72|3124.8|2937.31|0|4340|2829.68|0|1589.31|3552.29|2686.46|2617.02|0|0|3255|3389.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1923.05|0|0|0|0|0|0|0|0|4340
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL  5X40X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 5X80X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 5X120X130|3920|2077.6|2940|3136|3332|3528|0|3167.36|2822.4|2653.06|0|3920|2555.84|0|1435.5|3208.52|2426.48|2363.76|0|0|2940|3061.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1736.95|0|0|0|0|0|0|0|0|3920
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 5X150X130|4340|2300.2|3255|3472|3689|3906|0|3506.72|3124.8|2937.31|0|4340|2829.68|0|1589.31|3552.29|2686.46|2617.02|0|0|3255|3389.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1923.05|0|0|0|0|0|0|0|0|4340
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 6X40X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 6X60X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 7X40X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 7X80X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 6X80X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRM 6X120X130|3920|2077.6|2940|3136|3332|3528|0|3167.36|2822.4|2653.06|0|3920|2555.84|0|1435.5|3208.52|2426.48|2363.76|0|0|2940|3061.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1736.95|0|0|0|0|0|0|0|0|3920
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 6X150X130|4340|2300.2|3255|3472|3689|3906|0|3506.72|3124.8|2937.31|0|4340|2829.68|0|1589.31|3552.29|2686.46|2617.02|0|0|3255|3389.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1923.05|0|0|0|0|0|0|0|0|4340
HOSP OP|0272 - STERILE SUPPLY||C2623|CATH BLN INPT ADMRL 7X60X130|3500|1855|2625|2800|2975|3150|0|2828|2520|2368.8|0|3500|2282|0|1281.7|2864.75|2166.5|2110.5|0|0|2625|2733.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.85|0|0|0|0|0|0|0|0|3500
HOSP OP|0272 - STERILE SUPPLY||C1757|KIT THRMB 132CM 6FR ACE 68|7826|4147.78|5869.5|6260.8|6652.1|7043.4|0|6323.41|5634.72|5296.64|0|7826|5102.55|0|2865.88|6405.58|4844.29|4719.08|0|0|5869.5|6112.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3467.7|0|0|0|0|0|0|0|0|7826
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH  RENEGADE HIFLO FATHOM|1990.8|1055.12|1493.1|1592.64|1692.18|1791.72|0|1608.57|1433.38|1347.37|0|1990.8|1298|0|729.03|1629.47|1232.31|1200.45|0|0|1493.1|1554.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|882.12|0|0|0|0|0|0|0|0|1990.8
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR V18 CONTL FLXTP 200CM|235.2|124.66|176.4|188.16|199.92|211.68|0|190.04|169.34|159.18|0|235.2|153.35|0|86.13|192.51|145.59|141.83|0|0|176.4|183.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|104.22|0|0|0|0|0|0|0|0|235.2
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH DLV SYS 120CM 5FR .07IN|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH BNCH MRK BERNS 130CM|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X65X5|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X65X10|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X65X20|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X100X5|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X100X10|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X100X20|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X100X40|397.88|210.88|298.41|318.3|338.2|358.09|0|321.49|286.47|269.29|0|397.88|259.42|0|145.7|325.66|246.29|239.92|0|0|298.41|310.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.3|0|0|0|0|0|0|0|0|397.88
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X135X5|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 5X135X10|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 2.9X135X5|480.2|254.51|360.15|384.16|408.17|432.18|0|388|345.74|325|0|480.2|313.09|0|175.85|393.04|297.24|289.56|0|0|360.15|375.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|212.78|0|0|0|0|0|0|0|0|480.2
HOSP OP|0272 - STERILE SUPPLY||C1894|SHTH GD R2P 6FR 149CM|844.9|447.8|633.68|675.92|718.17|760.41|0|682.68|608.33|571.83|0|844.9|550.87|0|309.4|691.55|522.99|509.47|0|0|633.68|659.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|374.38|0|0|0|0|0|0|0|0|844.9
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GD 120CM 2.37MM R2P|844.9|447.8|633.68|675.92|718.17|760.41|0|682.68|608.33|571.83|0|844.9|550.87|0|309.4|691.55|522.99|509.47|0|0|633.68|659.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|374.38|0|0|0|0|0|0|0|0|844.9
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GD 150CM 2.37MM R2P|844.9|447.8|633.68|675.92|718.17|760.41|0|682.68|608.33|571.83|0|844.9|550.87|0|309.4|691.55|522.99|509.47|0|0|633.68|659.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|374.38|0|0|0|0|0|0|0|0|844.9
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 100MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 120MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 150MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 3MM 200CM 200MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  3MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  4MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 100MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 120MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 4MM 200CM 150MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  4MM 200CM 200MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 5MM 200CM 100MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 120MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  5MM 200CM 150MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 5MM 200CM 200MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 6MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 6MM 200CM 100MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  6MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 6MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  6MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  6MM 200CM 120MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 6MM 200CM 150MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  6MM 200CM 200MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 7MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  7MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  7MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  7MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 7MM 200CM 100MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 7MM 200CM 120MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  7MM 200CM 150MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  7MM 200CM 200MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 8MM 200CM 80MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 8MM 200CM 20MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P  8MM 200CM 40MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN R2P 8MM 200CM 60MM|1011.5|536.09|758.63|809.2|859.78|910.35|0|817.29|728.28|684.58|0|1011.5|659.5|0|370.41|827.91|626.12|609.93|0|0|758.63|789.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|448.2|0|0|0|0|0|0|0|0|1011.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL RUBY CMPLX SFT 4MMX15CM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL RUBY POD EMBL 6-8MMX60CM|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D15CM 7MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D30CM 7MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 6CM 4MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 20CM 7MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 10CM 4MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 20CM 6MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM  3D 15CM 5MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 8CM 4MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D10CM 6MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 15CM 6MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 10CM 5MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 4MMX8CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 12CM 7MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM FRM 3D 8CM 5MM|5180|2745.4|3885|4144|4403|4662|0|4185.44|3729.6|3505.82|0|5180|3377.36|0|1896.92|4239.83|3206.42|3123.54|0|0|3885|4045.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2295.26|0|0|0|0|0|0|0|0|5180
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 5MMX15CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL  AXIUM PRM HELX SS 4MMX12|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 4MMX6|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 5MMX15|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 4MMX6|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 6MMX10|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 5MMX10|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 4MMX10|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 5MMX20|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS  5MMX8|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 6MMX12|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 4MMX10|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 6MMX20|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 4MMX8|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX SS 5MMX10|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM3D SS 6MMX15|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 6MMX20|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D SS 4MMX12|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM 3D 2.5MMX8|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM 3D 2MMX6|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM HELX 2.5MMX4|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM HELX 5MMX15|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM 3D 5MMX8|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM 3D  3.5MMX6|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2.5MMX6|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX  4MMX 8|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 8MMX30|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  3MMX10|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  2MMX6 .0115|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 14MMX40|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 6MMX20.0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 8MMX20 .0135|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  4MMX6 .0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 3MMX8CM.0115|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2.5MMX8CM|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 4MX10.0125|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 8MMX15CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2MMX3.0115|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 3MMX8CM|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 3MMX6.0115|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 7MX30.0135|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 6MMX15 .0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2MMX2.0115|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 4MMX10 .0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 3MMX6CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 3.5MMX15CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 6MMX20CM|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  16MMX40CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 7MMX20 .0135|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2MMX8.0115|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 3MMX4CM|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 4MMX12.0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 5MMX15M|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  3.5MMX12CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 4MX12.0125|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 22MX50CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D  4MMX8 .0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 5MX20.0125|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 3MMX4C .0115|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 6MMX10.0125|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D 5MMX10CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM EST 1.5MMX3CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM EST 1MMX3CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM EST 3MMX4CM|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HELX 2MMX4CM|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM EST 2MMX1CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM EST 3.5MMX10CM|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX ES 1.5MMX2C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 3MMX6CM|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2MMX3CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 3.5MMX8C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2MMX8|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2.5MMX4|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 2MMX3CM|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2MMX2CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 1MMX2CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM ED EST 1.5MMX3C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 2.5MMX6|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST  2.5MMX4|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST  2MMX4|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2.5MMX8|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 1.5MMX1|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 2MMX2C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST  3MMX8C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 1MMX4C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST  3MMX8C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 1.5MMX4C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2.5MMX6|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST  2MMX6C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM 3D EST 3.5MMX6C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST  2MMX4C|4690|2485.7|3517.5|3752|3986.5|4221|0|3789.52|3376.8|3174.19|0|4690|3057.88|0|1717.48|3838.77|2903.11|2828.07|0|0|3517.5|3662.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2078.14|0|0|0|0|0|0|0|0|4690
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 3MMX10C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 3MMX10C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL AXIUM PRM HLX EST 2.5MX3C|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 10MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 18MMX40C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 12MMX40C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 14MMX40C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 16MMX40C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 2MMX2C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0272 - STERILE SUPPLY||A4649|LASER KTP GRN LIGHT FIBER|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|11.99410609|1125|1171.5|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0272 - STERILE SUPPLY||A4649|LASER STANDBY ANY TYPE|1000|530|750|800|850|900|0|808|720|676.8|0|1000|652|0|366.2|818.5|619|603|0|11.99410609|750|781|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|443.1|0|0|0|0|0|0|0|0|1000
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 2MMX4C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 2MMX6C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 3MMX4C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL  CONCERTO 3D 3MMX6C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 3MMX8C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL  CONCERTO 3D 4MMX10C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 4MMX12C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 5MMX15C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 7MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 4MMX8C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 6MMX20C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 8MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 9MMX30|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO 3D 10MMX30|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 2MMX4C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 2MMX6C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 5MMX15C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL  CONCERTO HLX 2MMX8C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 3MMX4C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL  CONCERTO HLX 3MMX8C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 4MMX10C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 4MMX8C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 6MMX20C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 7MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 8MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 5MMX20C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 9MMX30C|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 12MMX30|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 20MMX50|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERT HLX 14MMX30|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 16MMX40|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL CONCERTO HLX 18MMX40|1540|816.2|1155|1232|1309|1386|0|1244.32|1108.8|1042.27|0|1540|1004.08|0|563.95|1260.49|953.26|928.62|0|0|1155|1202.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|682.37|0|0|0|0|0|0|0|0|1540
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 3MMX135X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR  4MMX135X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 5MMX135X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 5MMX135X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 5MMX135X100|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 5MMX135X80|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR  5MMX135X120|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 5MMX135X150|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 6MMX135X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR  6MMX135X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 6MMX135X100|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR  6MMX135X80|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR  6MMX135X120|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR  6MMX135X150|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 7MMX135X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 7MMX135X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR  8MMX75X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 7MMX135X80|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 8MMX75X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 9MMX75X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  CHARGR 9MMX75X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 10MMX75X20|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN CHARGR 10MMX75X40|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN STERLING 5MMX135X20|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 5MMX135X40|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 5MMX135X80|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN STERLING 5MMX150X120|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 5MMX150X150|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 6MMX135X20|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN STERLING 6MMX135X40|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 6MMX135X80|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN  STERLING 6MMX150X120|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN STERLING 6MMX150X150|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS  6X27X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 6X37X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 7X27X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 8X17X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 7X57X 135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 8X27X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 8X37X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 8X57X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 9X25X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 9X37X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 9X 57X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 10X25X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 10X37X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS 10X57X135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX  6MMX19X135CM|7106.4|3766.39|5329.8|5685.12|6040.44|6395.76|0|5741.97|5116.61|4809.61|0|7106.4|4633.37|0|2602.36|5816.59|4398.86|4285.16|0|0|5329.8|5550.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3148.85|0|0|0|0|0|0|0|0|7106.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 6MMX29X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX  7MMX39X80CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 7MMX39X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 7MMX79X135CM|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 10MMX29X80CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 11MMX39X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 8MMX39X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 5MMX40X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 5MMX60X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 5MMX80X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 5MMX100X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 6MMX60X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 6MMX40X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 6MMX80X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 6MMX100X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 7MMX40X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 7MMX60X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 7MMX80X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT GORE TIGRIS 7MMX100X120CM|3354.4|1777.83|2515.8|2683.52|2851.24|3018.96|0|2710.36|2415.17|2270.26|0|3354.4|2187.07|0|1228.38|2745.58|2076.37|2022.7|0|0|2515.8|2619.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1486.33|0|0|0|0|0|0|0|0|3354.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC STRCH 8MMX8MMX70CM|6361.6|3371.65|4771.2|5089.28|5407.36|5725.44|0|5140.17|4580.35|4305.53|0|6361.6|4147.76|0|2329.62|5206.97|3937.83|3836.04|0|0|4771.2|4968.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2818.82|0|0|0|0|0|0|0|0|6361.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN  5CM 9MM 9FR|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN 5CM 10MM 11FR|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN 10CM 10MM 11|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETR.035 7MX10X75CM|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO.035 8MX10X75CM|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO.035 8MX10X75CM|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO PLWY  7CM 4FR|83.72|44.37|62.79|66.98|71.16|75.35|0|67.65|60.28|56.66|0|83.72|54.59|0|30.66|68.52|51.82|50.48|0|0|62.79|65.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|37.1|0|0|0|0|0|0|0|0|83.72
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH  ANG BRNSTN CRV 5FR 130C|305.2|161.76|228.9|244.16|259.42|274.68|0|246.6|219.74|206.56|0|305.2|198.99|0|111.76|249.81|188.92|184.04|0|0|228.9|238.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|135.23|0|0|0|0|0|0|0|0|305.2
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MARINER PIGTAIL 5FR 65CM|267.96|142.02|200.97|214.37|227.77|241.16|0|216.51|192.93|181.36|0|267.96|174.71|0|98.13|219.33|165.87|161.58|0|0|200.97|209.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|118.73|0|0|0|0|0|0|0|0|267.96
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUISE 5FRX30X135CM|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUISE  5FRX40X135CM|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUISE 5FRX50X135CM|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MARINER SOS CVD 5FR 80C|159.6|84.59|119.7|127.68|135.66|143.64|0|128.96|114.91|108.02|0|159.6|104.06|0|58.45|130.63|98.79|96.24|0|0|119.7|124.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|70.72|0|0|0|0|0|0|0|0|159.6
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH ACVU PIGTAIL 5FR  70CM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|0|273|284.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|161.29|0|0|0|0|0|0|0|0|364
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH BIOFLO 4FR 6FR  70CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH BIOFLO 4FR 6FR  45CM|420|222.6|315|336|357|378|0|339.36|302.4|284.26|0|420|273.84|0|153.8|343.77|259.98|253.26|0|0|315|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|186.1|0|0|0|0|0|0|0|0|420
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH 6FR 70CM RVRS TPR|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|0|336|349.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|198.51|0|0|0|0|0|0|0|0|448
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH BIOFLO  5FR 7FR 70CM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|0|273|284.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|161.29|0|0|0|0|0|0|0|0|364
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH 6FR 7FR 16.5/19GA 70|448|237.44|336|358.4|380.8|403.2|0|361.98|322.56|303.21|0|448|292.1|0|164.06|366.69|277.31|270.14|0|0|336|349.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|198.51|0|0|0|0|0|0|0|0|448
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT PWR PICC XCELA 300 5FR 55C|1163.12|616.45|872.34|930.5|988.65|1046.81|0|939.8|837.45|787.2|0|1163.12|758.35|0|425.93|952.01|719.97|701.36|0|0|872.34|908.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|515.38|0|0|0|0|0|0|0|0|1163.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1817|PLUG MESH AMPLZR  7MM 10MM|2469.6|1308.89|1852.2|1975.68|2099.16|2222.64|0|1995.44|1778.11|1671.43|0|2469.6|1610.18|0|904.37|2021.37|1528.68|1489.17|0|0|1852.2|1928.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1094.28|0|0|0|0|0|0|0|0|2469.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT IMPLINFN POWERPORT SLIM|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0272 - STERILE SUPPLY||C1751|TRAY CATH 5FR PWRLN 2 LUM PWR|806.4|427.39|604.8|645.12|685.44|725.76|0|651.57|580.61|545.77|0|806.4|525.77|0|295.3|660.04|499.16|486.26|0|0|604.8|629.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|357.32|0|0|0|0|0|0|0|0|806.4
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40  7X40|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT IMPL 8 FLOAT PNT UN SIOM|3351.6|1776.35|2513.7|2681.28|2848.86|3016.44|0|2708.09|2413.15|2268.36|0|3351.6|2185.24|0|1227.36|2743.28|2074.64|2021.01|0|0|2513.7|2617.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1485.09|0|0|0|0|0|0|0|0|3351.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT POWERFLOW APHS 9.6FR|2394|1268.82|1795.5|1915.2|2034.9|2154.6|0|1934.35|1723.68|1620.26|0|2394|1560.89|0|876.68|1959.49|1481.89|1443.58|0|0|1795.5|1869.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1060.78|0|0|0|0|0|0|0|0|2394
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40 6X40|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40 8X40|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40 10X40 75CM|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40 12X40 75CM|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CONQUEST 40 7X40  75CM|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  10MM 75CM 60MM|5040|2671.2|3780|4032|4284|4536|0|4072.32|3628.8|3411.07|0|5040|3286.08|0|1845.65|4125.24|3119.76|3039.12|0|0|3780|3936.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2233.22|0|0|0|0|0|0|0|0|5040
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  10MM 75CM 40MM|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3559.92|0|1999.45|4469.01|3379.74|3292.38|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2419.33|0|0|0|0|0|0|0|0|5460
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX 12MM 75CM 40MM|5040|2671.2|3780|4032|4284|4536|0|4072.32|3628.8|3411.07|0|5040|3286.08|0|1845.65|4125.24|3119.76|3039.12|0|0|3780|3936.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2233.22|0|0|0|0|0|0|0|0|5040
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  6MM 75CM 100MM|4620|2448.6|3465|3696|3927|4158|0|3732.96|3326.4|3126.82|0|4620|3012.24|0|1691.84|3781.47|2859.78|2785.86|0|0|3465|3608.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2047.12|0|0|0|0|0|0|0|0|4620
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  6MM 75CM 60MM|4200|2226|3150|3360|3570|3780|0|3393.6|3024|2842.56|0|4200|2738.4|0|1538.04|3437.7|2599.8|2532.6|0|0|3150|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1861.02|0|0|0|0|0|0|0|0|4200
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  6MM 75CM 80MM|4620|2448.6|3465|3696|3927|4158|0|3732.96|3326.4|3126.82|0|4620|3012.24|0|1691.84|3781.47|2859.78|2785.86|0|0|3465|3608.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2047.12|0|0|0|0|0|0|0|0|4620
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX 7MM 75CM 40MM|4620|2448.6|3465|3696|3927|4158|0|3732.96|3326.4|3126.82|0|4620|3012.24|0|1691.84|3781.47|2859.78|2785.86|0|0|3465|3608.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2047.12|0|0|0|0|0|0|0|0|4620
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  7MM 75CM 60MM|4200|2226|3150|3360|3570|3780|0|3393.6|3024|2842.56|0|4200|2738.4|0|1538.04|3437.7|2599.8|2532.6|0|0|3150|3280.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1861.02|0|0|0|0|0|0|0|0|4200
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  8MM 75CM 40MM|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3559.92|0|1999.45|4469.01|3379.74|3292.38|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2419.33|0|0|0|0|0|0|0|0|5460
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  8MM 75CM 60MM|5040|2671.2|3780|4032|4284|4536|0|4072.32|3628.8|3411.07|0|5040|3286.08|0|1845.65|4125.24|3119.76|3039.12|0|0|3780|3936.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2233.22|0|0|0|0|0|0|0|0|5040
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX  9MM 75CM 40MM|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3559.92|0|1999.45|4469.01|3379.74|3292.38|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2419.33|0|0|0|0|0|0|0|0|5460
HOSP OP|0272 - STERILE SUPPLY||C2623|BLLN LUTONIX 9MM 75CM 60MM|5040|2671.2|3780|4032|4284|4536|0|4072.32|3628.8|3411.07|0|5040|3286.08|0|1845.65|4125.24|3119.76|3039.12|0|0|3780|3936.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2233.22|0|0|0|0|0|0|0|0|5040
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT INTRO PEDEL ACCESS 4FR 7C|103.6|54.91|77.7|82.88|88.06|93.24|0|83.71|74.59|70.12|0|103.6|67.55|0|37.94|84.8|64.13|62.47|0|0|77.7|80.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|45.91|0|0|0|0|0|0|0|0|103.6
HOSP OP|0272 - STERILE SUPPLY||C1887|SET ROSCH-UCHIDA TRNS JUGULAR|1092|578.76|819|873.6|928.2|982.8|0|882.34|786.24|739.07|0|1092|711.98|0|399.89|893.8|675.95|658.48|0|0|819|852.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|483.87|0|0|0|0|0|0|0|0|1092
HOSP OP|0272 - STERILE SUPPLY||C1894|SET NEFF  15CM 7FR 22GA 4FR|188.16|99.72|141.12|150.53|159.94|169.34|0|152.03|135.48|127.35|0|188.16|122.68|0|68.9|154.01|116.47|113.46|0|0|141.12|146.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.37|0|0|0|0|0|0|0|0|188.16
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO CHECK FLO 14FR 30CM|252.59|133.87|189.44|202.07|214.7|227.33|0|204.09|181.86|170.95|0|252.59|164.69|0|92.5|206.74|156.35|152.31|0|0|189.44|197.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.92|0|0|0|0|0|0|0|0|252.59
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MAC-LOC  DRN 12FR 40CM|189|100.17|141.75|151.2|160.65|170.1|0|152.71|136.08|127.92|0|189|123.23|0|69.21|154.7|116.99|113.97|0|0|141.75|147.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.75|0|0|0|0|0|0|0|0|189
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MAC-LOC DRN 14FR 40CM|189|100.17|141.75|151.2|160.65|170.1|0|152.71|136.08|127.92|0|189|123.23|0|69.21|154.7|116.99|113.97|0|0|141.75|147.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.75|0|0|0|0|0|0|0|0|189
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHEATH 16FR 30CM|252.59|133.87|189.44|202.07|214.7|227.33|0|204.09|181.86|170.95|0|252.59|164.69|0|92.5|206.74|156.35|152.31|0|0|189.44|197.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.92|0|0|0|0|0|0|0|0|252.59
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH  DWSN-MLLR DRN 8.5FR 25CM|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MAC-LOC DRN 12FR 45CM|214.2|113.53|160.65|171.36|182.07|192.78|0|173.07|154.22|144.97|0|214.2|139.66|0|78.44|175.32|132.59|129.16|0|0|160.65|167.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|94.91|0|0|0|0|0|0|0|0|214.2
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHEATH 10FR 60CM|361.2|191.44|270.9|288.96|307.02|325.08|0|291.85|260.06|244.46|0|361.2|235.5|0|132.27|295.64|223.58|217.8|0|0|270.9|282.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|160.05|0|0|0|0|0|0|0|0|361.2
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MPA  CVD WHT  7FR 80CM|784|415.52|588|627.2|666.4|705.6|0|633.47|564.48|530.61|0|784|511.17|0|287.1|641.7|485.3|472.75|0|0|588|612.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|347.39|0|0|0|0|0|0|0|0|784
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH RAABE 7FR 90 CM|130.2|69.01|97.65|104.16|110.67|117.18|0|105.2|93.74|88.12|0|130.2|84.89|0|47.68|106.57|80.59|78.51|0|0|97.65|101.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.69|0|0|0|0|0|0|0|0|130.2
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH CHECK FLO 6FR  70CM|130.2|69.01|97.65|104.16|110.67|117.18|0|105.2|93.74|88.12|0|130.2|84.89|0|47.68|106.57|80.59|78.51|0|0|97.65|101.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.69|0|0|0|0|0|0|0|0|130.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH PIGTAIL CVD  5FR 100CM|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH MULLINS  14FR 63CM|252.59|133.87|189.44|202.07|214.7|227.33|0|204.09|181.86|170.95|0|252.59|164.69|0|92.5|206.74|156.35|152.31|0|0|189.44|197.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.92|0|0|0|0|0|0|0|0|252.59
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH RAABE  9FR  70CM|130.2|69.01|97.65|104.16|110.67|117.18|0|105.2|93.74|88.12|0|130.2|84.89|0|47.68|106.57|80.59|78.51|0|0|97.65|101.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.69|0|0|0|0|0|0|0|0|130.2
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH SHUTTLE  7FR 90CM|260.4|138.01|195.3|208.32|221.34|234.36|0|210.4|187.49|176.24|0|260.4|169.78|0|95.36|213.14|161.19|157.02|0|0|195.3|203.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.38|0|0|0|0|0|0|0|0|260.4
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH SHUTTLE  8FR 90CM|260.4|138.01|195.3|208.32|221.34|234.36|0|210.4|187.49|176.24|0|260.4|169.78|0|95.36|213.14|161.19|157.02|0|0|195.3|203.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.38|0|0|0|0|0|0|0|0|260.4
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO  CHECK FLO 5FR 55CM|104.16|55.2|78.12|83.33|88.54|93.74|0|84.16|75|70.5|0|104.16|67.91|0|38.14|85.25|64.48|62.81|0|0|78.12|81.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.15|0|0|0|0|0|0|0|0|104.16
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO CHECK FLO 10FR 80CM|208.32|110.41|156.24|166.66|177.07|187.49|0|168.32|149.99|140.99|0|208.32|135.82|0|76.29|170.51|128.95|125.62|0|0|156.24|162.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|92.31|0|0|0|0|0|0|0|0|208.32
HOSP OP|0272 - STERILE SUPPLY||C1773|SET RETRIEVAL FILTER TULIP|942.48|499.51|706.86|753.98|801.11|848.23|0|761.52|678.59|637.87|0|942.48|614.5|0|345.14|771.42|583.4|568.32|0|0|706.86|736.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|417.61|0|0|0|0|0|0|0|0|942.48
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR REUTER TIP 110CM .038IN|148.4|78.65|111.3|118.72|126.14|133.56|0|119.91|106.85|100.44|0|148.4|96.76|0|54.34|121.47|91.86|89.49|0|0|111.3|115.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|65.76|0|0|0|0|0|0|0|0|148.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ROBERTS CVD UT 5FR 90CM|142.8|75.68|107.1|114.24|121.38|128.52|0|115.38|102.82|96.65|0|142.8|93.11|0|52.29|116.88|88.39|86.11|0|0|107.1|111.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.27|0|0|0|0|0|0|0|0|142.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 7CM 5MM 018|187.6|99.43|140.7|150.08|159.46|168.84|0|151.58|135.07|126.97|0|187.6|122.32|0|68.7|153.55|116.12|113.12|0|0|140.7|146.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.13|0|0|0|0|0|0|0|0|187.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 14CM 5MM 018|187.6|99.43|140.7|150.08|159.46|168.84|0|151.58|135.07|126.97|0|187.6|122.32|0|68.7|153.55|116.12|113.12|0|0|140.7|146.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.13|0|0|0|0|0|0|0|0|187.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER  14CM 4MM 018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 14CM 6MM 018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER  14CM 8MM 018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH GUDING 14FR 45CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO CATH PREFM 16FR 45CM|252.59|133.87|189.44|202.07|214.7|227.33|0|204.09|181.86|170.95|0|252.59|164.69|0|92.5|206.74|156.35|152.31|0|0|189.44|197.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111.92|0|0|0|0|0|0|0|0|252.59
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MAC-LOC DRN 10.2FR 60CM|330.96|175.41|248.22|264.77|281.32|297.86|0|267.42|238.29|223.99|0|330.96|215.79|0|121.2|270.89|204.86|199.57|0|0|248.22|258.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.65|0|0|0|0|0|0|0|0|330.96
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH ANSEL 1  6FR 45CM|117.18|62.11|87.89|93.74|99.6|105.46|0|94.68|84.37|79.31|0|117.18|76.4|0|42.91|95.91|72.53|70.66|0|0|87.89|91.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.92|0|0|0|0|0|0|0|0|117.18
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH SHUTTLE SL CVD 5FR 1.9M|260.4|138.01|195.3|208.32|221.34|234.36|0|210.4|187.49|176.24|0|260.4|169.78|0|95.36|213.14|161.19|157.02|0|0|195.3|203.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.38|0|0|0|0|0|0|0|0|260.4
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO CHECK-FLO 12FR 40CM|151.03|80.04|113.27|120.83|128.38|135.93|0|122.03|108.74|102.22|0|151.03|98.47|0|55.31|123.62|93.49|91.07|0|0|113.27|117.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.92|0|0|0|0|0|0|0|0|151.03
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER  6MM 80MM 125CM|5026|2663.78|3769.5|4020.8|4272.1|4523.4|0|4061.01|3618.72|3401.6|0|5026|3276.95|0|1840.52|4113.78|3111.09|3030.68|0|0|3769.5|3925.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2227.02|0|0|0|0|0|0|0|0|5026
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO CHECK-FLO  9FR 55CM|104.16|55.2|78.12|83.33|88.54|93.74|0|84.16|75|70.5|0|104.16|67.91|0|38.14|85.25|64.48|62.81|0|0|78.12|81.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.15|0|0|0|0|0|0|0|0|104.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER  6MM 40MM 125CM|3290|1743.7|2467.5|2632|2796.5|2961|0|2658.32|2368.8|2226.67|0|3290|2145.08|0|1204.8|2692.87|2036.51|1983.87|0|0|2467.5|2569.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.8|0|0|0|0|0|0|0|0|3290
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER 6MM 100MM 125CM|5026|2663.78|3769.5|4020.8|4272.1|4523.4|0|4061.01|3618.72|3401.6|0|5026|3276.95|0|1840.52|4113.78|3111.09|3030.68|0|0|3769.5|3925.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2227.02|0|0|0|0|0|0|0|0|5026
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER 6MM 140MM 125CM|6706|3554.18|5029.5|5364.8|5700.1|6035.4|0|5418.45|4828.32|4538.62|0|6706|4372.31|0|2455.74|5488.86|4151.01|4043.72|0|0|5029.5|5237.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2971.43|0|0|0|0|0|0|0|0|6706
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER  7MM 100MM 125CM|5026|2663.78|3769.5|4020.8|4272.1|4523.4|0|4061.01|3618.72|3401.6|0|5026|3276.95|0|1840.52|4113.78|3111.09|3030.68|0|0|3769.5|3925.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2227.02|0|0|0|0|0|0|0|0|5026
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ANGIO 65CM 5FR KMP ANG|602|319.06|451.5|481.6|511.7|541.8|0|486.42|433.44|407.43|0|602|392.5|0|220.45|492.74|372.64|363.01|0|0|451.5|470.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|266.75|0|0|0|0|0|0|0|0|602
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STNT NPHURSTM 24CM 8.5FR COPE|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 12FR 4.1MM 80CM LG|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ANGIO 65CM 5FR TRNB CVD|308|163.24|231|246.4|261.8|277.2|0|248.86|221.76|208.45|0|308|200.82|0|112.79|252.1|190.65|185.72|0|0|231|240.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|136.47|0|0|0|0|0|0|0|0|308
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STNT NPHURSTM 24CM 10.2FR COPE|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STNT NPHURSTM 26CM 8.5FR COPE|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0272 - STERILE SUPPLY||C1894|SHTH GD 55CM 7FR 2.5MM FLXR|143.22|75.91|107.42|114.58|121.74|128.9|0|115.72|103.12|96.93|0|143.22|93.38|0|52.45|117.23|88.65|86.36|0|0|107.42|111.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.46|0|0|0|0|0|0|0|0|143.22
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 9.8FR 8FR 55CM HI|143.22|75.91|107.42|114.58|121.74|128.9|0|115.72|103.12|96.93|0|143.22|93.38|0|52.45|117.23|88.65|86.36|0|0|107.42|111.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.46|0|0|0|0|0|0|0|0|143.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 7CM 3MM 018|187.6|99.43|140.7|150.08|159.46|168.84|0|151.58|135.07|126.97|0|187.6|122.32|0|68.7|153.55|116.12|113.12|0|0|140.7|146.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.13|0|0|0|0|0|0|0|0|187.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 7CM 4MM .018|187.6|99.43|140.7|150.08|159.46|168.84|0|151.58|135.07|126.97|0|187.6|122.32|0|68.7|153.55|116.12|113.12|0|0|140.7|146.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.13|0|0|0|0|0|0|0|0|187.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 5FR .074IN 55CM ANL|143.22|75.91|107.42|114.58|121.74|128.9|0|115.72|103.12|96.93|0|143.22|93.38|0|52.45|117.23|88.65|86.36|0|0|107.42|111.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.46|0|0|0|0|0|0|0|0|143.22
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH CHECK FLO 6FR  55CM|143.22|75.91|107.42|114.58|121.74|128.9|0|115.72|103.12|96.93|0|143.22|93.38|0|52.45|117.23|88.65|86.36|0|0|107.42|111.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.46|0|0|0|0|0|0|0|0|143.22
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ANGIO 90CM 5FR CK BCNTP|854|452.62|640.5|683.2|725.9|768.6|0|690.03|614.88|577.99|0|854|556.81|0|312.73|699|528.63|514.96|0|0|640.5|666.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|378.41|0|0|0|0|0|0|0|0|854
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ZILVER 6X120|5586|2960.58|4189.5|4468.8|4748.1|5027.4|0|4513.49|4021.92|3780.6|0|5586|3642.07|0|2045.59|4572.14|3457.73|3368.36|0|0|4189.5|4362.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2475.16|0|0|0|0|0|0|0|0|5586
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHN VBX  7X59X135 035|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 14CM 14MM 035|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHN VBX  7X79X135 035|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN VBX 7X39X80 035|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN VBX 8X39X135 035|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN VBX  8X59X80 035|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN VBX 11X59X80 035|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN VBX 8X59X80 035|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIATORR 5CM 8-10MM 035|13843.2|7336.9|10382.4|11074.56|11766.72|12458.88|0|11185.31|9967.1|9369.08|0|13843.2|9025.77|0|5069.38|11330.66|8568.94|8347.45|0|0|10382.4|10811.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6133.92|0|0|0|0|0|0|0|0|13843.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIATORR 8CM 8-10MM 035|13843.2|7336.9|10382.4|11074.56|11766.72|12458.88|0|11185.31|9967.1|9369.08|0|13843.2|9025.77|0|5069.38|11330.66|8568.94|8347.45|0|0|10382.4|10811.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6133.92|0|0|0|0|0|0|0|0|13843.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABAHN  ILC ART 10CM 11M|9732.8|5158.38|7299.6|7786.24|8272.88|8759.52|0|7864.1|7007.62|6587.16|0|9732.8|6345.79|0|3564.15|7966.3|6024.6|5868.88|0|0|7299.6|7601.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4312.6|0|0|0|0|0|0|0|0|9732.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN 9X5X120 035|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN 9X10X120 035|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIATORR  8CMX 10MM 038|13843.2|7336.9|10382.4|11074.56|11766.72|12458.88|0|11185.31|9967.1|9369.08|0|13843.2|9025.77|0|5069.38|11330.66|8568.94|8347.45|0|0|10382.4|10811.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6133.92|0|0|0|0|0|0|0|0|13843.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABAHN ILC ART 10CM 13MM|9732.8|5158.38|7299.6|7786.24|8272.88|8759.52|0|7864.1|7007.62|6587.16|0|9732.8|6345.79|0|3564.15|7966.3|6024.6|5868.88|0|0|7299.6|7601.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4312.6|0|0|0|0|0|0|0|0|9732.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN 9X15X120 035|10542|5587.26|7906.5|8433.6|8960.7|9487.8|0|8517.94|7590.24|7134.83|0|10542|6873.38|0|3860.48|8628.63|6525.5|6356.83|0|0|7906.5|8233.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4671.16|0|0|0|0|0|0|0|0|10542
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABHAN 10X10X120 035|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VIABILL BIL PERC 4CM 10MM|8204|4348.12|6153|6563.2|6973.4|7383.6|0|6628.83|5906.88|5552.47|0|8204|5349.01|0|3004.3|6714.97|5078.28|4947.01|0|0|6153|6407.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3635.19|0|0|0|0|0|0|0|0|8204
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PRTCL EMBL 100-300UM 2ML VL LC|4922.4|2608.87|3691.8|3937.92|4184.04|4430.16|0|3977.3|3544.13|3331.48|0|4922.4|3209.4|0|1802.58|4028.98|3046.97|2968.21|0|0|3691.8|3844.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2181.12|0|0|0|0|0|0|0|0|4922.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SYR MICRSHEARS EMBL WHT 100UM|5320|2819.6|3990|4256|4522|4788|0|4298.56|3830.4|3600.58|0|5320|3468.64|0|1948.18|4354.42|3293.08|3207.96|0|0|3990|4154.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2357.29|0|0|0|0|0|0|0|0|5320
HOSP OP|0272 - STERILE SUPPLY||C1757|SYS THRMB SOLENT DISTA 3-4F|5950|3153.5|4462.5|4760|5057.5|5355|0|4807.6|4284|4026.96|0|5950|3879.4|0|2178.89|4870.08|3683.05|3587.85|0|0|4462.5|4646.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2636.45|0|0|0|0|0|0|0|0|5950
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH INF RENEGADE HI-FLW FATHM|1386|734.58|1039.5|1108.8|1178.1|1247.4|0|1119.89|997.92|938.04|0|1386|903.67|0|507.55|1134.44|857.93|835.76|0|0|1039.5|1082.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|614.14|0|0|0|0|0|0|0|0|1386
HOSP OP|0272 - STERILE SUPPLY||C1757|SYS THRMB ANGJT ULT SOLENT|4774|2530.22|3580.5|3819.2|4057.9|4296.6|0|3857.39|3437.28|3231.04|0|4774|3112.65|0|1748.24|3907.52|2955.11|2878.72|0|0|3580.5|3728.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2115.36|0|0|0|0|0|0|0|0|4774
HOSP OP|0272 - STERILE SUPPLY||C1757|SYS THRMB ANGJT  8FRX105|11275.6|5976.07|8456.7|9020.48|9584.26|10148.04|0|9110.68|8118.43|7631.33|0|11275.6|7351.69|0|4129.12|9229.08|6979.6|6799.19|0|0|8456.7|8806.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4996.22|0|0|0|0|0|0|0|0|11275.6
HOSP OP|0272 - STERILE SUPPLY||C1887|MICRCATH RENGADE STR 18 130C|1128.96|598.35|846.72|903.17|959.62|1016.06|0|912.2|812.85|764.08|0|1128.96|736.08|0|413.43|924.05|698.83|680.76|0|0|846.72|881.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|500.24|0|0|0|0|0|0|0|0|1128.96
HOSP OP|0272 - STERILE SUPPLY||C1887|MICRCATH RENEGADE ANG 18 130C|1184.4|627.73|888.3|947.52|1006.74|1065.96|0|957|852.77|801.6|0|1184.4|772.23|0|433.73|969.43|733.14|714.19|0|0|888.3|925.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|524.81|0|0|0|0|0|0|0|0|1184.4
HOSP OP|0272 - STERILE SUPPLY||C1887|MICRCAH RENEGADE STC 18 150C|1131.2|599.54|848.4|904.96|961.52|1018.08|0|914.01|814.46|765.6|0|1131.2|737.54|0|414.25|925.89|700.21|682.11|0|0|848.4|883.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|501.23|0|0|0|0|0|0|0|0|1131.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL 7MM 17MM 135CM 20MM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN STERILING  6MX120X135M|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN STERLING  8MX40X135CM|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT PROMUS 3MX24X75CM|2240|1187.2|1680|1792|1904|2016|0|1809.92|1612.8|1516.03|0|2240|1460.48|0|820.29|1833.44|1386.56|1350.72|0|0|1680|1749.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|992.54|0|0|0|0|0|0|0|0|2240
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 14X60X100CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 16X40X75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 18X60X100C|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 9X60X100C|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR THRUWAY JTIP SHRT 130CM|789.6|418.49|592.2|631.68|671.16|710.64|0|638|568.51|534.4|0|789.6|514.82|0|289.15|646.29|488.76|476.13|0|0|592.2|616.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|349.87|0|0|0|0|0|0|0|0|789.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR AMPL FLPY TIP 260CM .035|131.6|69.75|98.7|105.28|111.86|118.44|0|106.33|94.75|89.07|0|131.6|85.8|0|48.19|107.71|81.46|79.35|0|0|98.7|102.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|58.31|0|0|0|0|0|0|0|0|131.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR TRANDS FLPY TIP 200CM|1330|704.9|997.5|1064|1130.5|1197|0|1074.64|957.6|900.14|0|1330|867.16|0|487.05|1088.61|823.27|801.99|0|0|997.5|1038.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|589.32|0|0|0|0|0|0|0|0|1330
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR THRUWY J CVD LNG 130CM|789.6|418.49|592.2|631.68|671.16|710.64|0|638|568.51|534.4|0|789.6|514.82|0|289.15|646.29|488.76|476.13|0|0|592.2|616.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|349.87|0|0|0|0|0|0|0|0|789.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR THRUWY STR LNG 190CM|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR THRUWY STR LNG 300CM|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR FATHOM STR 180CM 016|834.4|442.23|625.8|667.52|709.24|750.96|0|674.2|600.77|564.72|0|834.4|544.03|0|305.56|682.96|516.49|503.14|0|0|625.8|651.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|369.72|0|0|0|0|0|0|0|0|834.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT MTL 8X21X135C|5947.62|3152.24|4460.72|4758.1|5055.48|5352.86|0|4805.68|4282.29|4025.35|0|5947.62|3877.85|0|2178.02|4868.13|3681.58|3586.41|0|0|4460.72|4645.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2635.39|0|0|0|0|0|0|0|0|5947.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT MTL 8X29X135C|5947.62|3152.24|4460.72|4758.1|5055.48|5352.86|0|4805.68|4282.29|4025.35|0|5947.62|3877.85|0|2178.02|4868.13|3681.58|3586.41|0|0|4460.72|4645.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2635.39|0|0|0|0|0|0|0|0|5947.62
HOSP OP|0272 - STERILE SUPPLY||C1884|SHEATH  RTRVL EZ BNT TIP  4FR|224|118.72|168|179.2|190.4|201.6|0|180.99|161.28|151.6|0|224|146.05|0|82.03|183.34|138.66|135.07|0|0|168|174.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|99.25|0|0|0|0|0|0|0|0|224
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EXPRESS MON  6X18X90CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 1.5X20X142CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X30X143CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X20X143CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X30144CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3X301444CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW  3.5X20X143CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3.5X30X144CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3.5X40X145CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 4X20X143CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 4X30X144CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW  2X60X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X80X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2X120X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X60X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X80X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 2.5X120X150CM|530.6|281.22|397.95|424.48|451.01|477.54|0|428.72|382.03|359.11|0|530.6|345.95|0|194.31|434.3|328.44|319.95|0|0|397.95|414.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|235.11|0|0|0|0|0|0|0|0|530.6
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3X80X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3.5X60X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 3.5X80X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 3.5X120X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 3.5X150X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|EMBOSHERES  100-300GH|680.4|360.61|510.3|544.32|578.34|612.36|0|549.76|489.89|460.49|0|680.4|443.62|0|249.16|556.91|421.17|410.28|0|0|510.3|531.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.49|0|0|0|0|0|0|0|0|680.4
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE OTW 3X120X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE  3.5X10X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ANGIO .035IN 5FR .052IN|253.43|134.32|190.07|202.74|215.41|228.09|0|204.77|182.47|171.52|0|253.43|165.24|0|92.81|207.43|156.87|152.82|0|0|190.07|197.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|112.29|0|0|0|0|0|0|0|0|253.43
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR LAUREATE SS  180CM 035|78.4|41.55|58.8|62.72|66.64|70.56|0|63.35|56.45|53.06|0|78.4|51.12|0|28.71|64.17|48.53|47.28|0|0|58.8|61.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.74|0|0|0|0|0|0|0|0|78.4
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR LAUREATE SS 80CM  035|74.2|39.33|55.65|59.36|63.07|66.78|0|59.95|53.42|50.22|0|74.2|48.38|0|27.17|60.73|45.93|44.74|0|0|55.65|57.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.88|0|0|0|0|0|0|0|0|74.2
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRN 8.5FR PIGTAIL 25CM|185.7|98.42|139.27|148.56|157.84|167.13|0|150.04|133.7|125.68|0|185.7|121.07|0|68|151.99|114.95|111.97|0|0|139.27|145.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.28|0|0|0|0|0|0|0|0|185.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|EMBOSHERES 300-500UM|680.4|360.61|510.3|544.32|578.34|612.36|0|549.76|489.89|460.49|0|680.4|443.62|0|249.16|556.91|421.17|410.28|0|0|510.3|531.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.49|0|0|0|0|0|0|0|0|680.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 3.5X200X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 4X60X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 4X80X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE  4X120X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 4X150X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT 9X12X40MM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN COYOTE 4X220X150CM|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR ROSEN  260CM .035IN|49.36|26.16|37.02|39.49|41.96|44.43|0|39.89|35.54|33.41|0|49.36|32.19|0|18.08|40.4|30.56|29.77|0|0|37.02|38.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.87|0|0|0|0|0|0|0|0|49.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 8X20X75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 8X40X75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 8X40X135|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR V18 CNTR 150CM  .018IN|243.6|129.11|182.7|194.88|207.06|219.24|0|196.83|175.39|164.87|0|243.6|158.83|0|89.21|199.39|150.79|146.89|0|0|182.7|190.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|107.94|0|0|0|0|0|0|0|0|243.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 10X42X75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PARTICLES EMBO 150-250UM|401.52|212.81|301.14|321.22|341.29|361.37|0|324.43|289.09|271.75|0|401.52|261.79|0|147.04|328.64|248.54|242.12|0|0|301.14|313.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|177.91|0|0|0|0|0|0|0|0|401.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PARTICLES EMBO 500-710UM|401.52|212.81|301.14|321.22|341.29|361.37|0|324.43|289.09|271.75|0|401.52|261.79|0|147.04|328.64|248.54|242.12|0|0|301.14|313.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|177.91|0|0|0|0|0|0|0|0|401.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|EMBOSHERES SYR YLW 100-300|680.4|360.61|510.3|544.32|578.34|612.36|0|549.76|489.89|460.49|0|680.4|443.62|0|249.16|556.91|421.17|410.28|0|0|510.3|531.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.49|0|0|0|0|0|0|0|0|680.4
HOSP OP|0272 - STERILE SUPPLY||C1724|CATH DIAMDBACK MICRO 1.25X145|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1724|CATH DIAMDBACK SOLID 1.25X145|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1724|CATH DIAMDBCK SOILD 1.5X145|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1724|CATH DIAMDBCK SOILD 2.0X145|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1724|CATH DIAMDBCK 360 SLID 1.5X145|9506|5038.18|7129.5|7604.8|8080.1|8555.4|0|7680.85|6844.32|6433.66|0|9506|6197.91|0|3481.1|7780.66|5884.21|5732.12|0|0|7129.5|7424.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4212.11|0|0|0|0|0|0|0|0|9506
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR VIPER ADVANCE 335CM .014|420|222.6|315|336|357|378|0|339.36|302.4|284.26|0|420|273.84|0|153.8|343.77|259.98|253.26|0|0|315|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|186.1|0|0|0|0|0|0|0|0|420
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH BLN HYPERGLIDE  4X10MM|2744|1454.32|2058|2195.2|2332.4|2469.6|0|2217.15|1975.68|1857.14|0|2744|1789.09|0|1004.85|2245.96|1698.54|1654.63|0|0|2058|2143.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1215.87|0|0|0|0|0|0|0|0|2744
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH  REBAR 18  2.3-2.8FR 153C|1330|704.9|997.5|1064|1130.5|1197|0|1074.64|957.6|900.14|0|1330|867.16|0|487.05|1088.61|823.27|801.99|0|0|997.5|1038.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|589.32|0|0|0|0|0|0|0|0|1330
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SYS EMBL ONYX  18 1ML|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3559.92|0|1999.45|4469.01|3379.74|3292.38|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2419.33|0|0|0|0|0|0|0|0|5460
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MICRO ECHELON 10 155CM|1464.4|776.13|1098.3|1171.52|1244.74|1317.96|0|1183.24|1054.37|991.11|0|1464.4|954.79|0|536.26|1198.61|906.46|883.03|0|0|1098.3|1143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|648.88|0|0|0|0|0|0|0|0|1464.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SYS EMBL ONYX 34 1.5ML|5460|2893.8|4095|4368|4641|4914|0|4411.68|3931.2|3695.33|0|5460|3559.92|0|1999.45|4469.01|3379.74|3292.38|0|0|4095|4264.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2419.33|0|0|0|0|0|0|0|0|5460
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX  4X2  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MICRO ENCHELON 14 155CM|1464.4|776.13|1098.3|1171.52|1244.74|1317.96|0|1183.24|1054.37|991.11|0|1464.4|954.79|0|536.26|1198.61|906.46|883.03|0|0|1098.3|1143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|648.88|0|0|0|0|0|0|0|0|1464.4
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTEX 6X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX  4X4  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 5X20  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 5X40 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 6X2  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 6X20 80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 6X40 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 6X40  80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X80 80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 6X80 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X20 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X40 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X40 80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X80 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 8X40  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 8X80 80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 8X40 80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 8X80  40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 10X40 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 10X40  80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 12X40  80CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 12X40 135CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN FORTREX 7X4 40CM|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X60 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X100 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .035IN 6MM 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X120 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X60  135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X100 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 10X60 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN CHOCOLATE 014 14X120|2296|1216.88|1722|1836.8|1951.6|2066.4|0|1855.17|1653.12|1553.93|0|2296|1496.99|0|840.8|1879.28|1421.22|1384.49|0|0|1722|1793.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1017.36|0|0|0|0|0|0|0|0|2296
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE STD SHF  300CM .014|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X40X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X100 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X60X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X80X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X100X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 7X120X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X150X120|1316|697.48|987|1052.8|1118.6|1184.4|0|1063.33|947.52|890.67|0|1316|858.03|0|481.92|1077.15|814.6|793.55|0|0|987|1027.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.12|0|0|0|0|0|0|0|0|1316
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 7X40X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 7X60X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 7X80X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 8X40X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 8X60X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MARKSMAN 2.8-3.2FR 135CM|2646|1402.38|1984.5|2116.8|2249.1|2381.4|0|2137.97|1905.12|1790.81|0|2646|1725.19|0|968.97|2165.75|1637.87|1595.54|0|0|1984.5|2066.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1172.44|0|0|0|0|0|0|0|0|2646
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH INFS MIC .027IN PHENOM|2870|1521.1|2152.5|2296|2439.5|2583|0|2318.96|2066.4|1942.42|0|2870|1871.24|0|1050.99|2349.1|1776.53|1730.61|0|0|2152.5|2241.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1271.7|0|0|0|0|0|0|0|0|2870
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 8X80X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0272 - STERILE SUPPLY||C1714|DEVICE HAWKONE LS 7FR STD TIP|9212|4882.36|6909|7369.6|7830.2|8290.8|0|7443.3|6632.64|6234.68|0|9212|6006.22|0|3373.43|7540.02|5702.23|5554.84|0|0|6909|7194.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4081.84|0|0|0|0|0|0|0|0|9212
HOSP OP|0272 - STERILE SUPPLY||C1714|DEVICE HAWKONE LX 7FR STD TIP|9212|4882.36|6909|7369.6|7830.2|8290.8|0|7443.3|6632.64|6234.68|0|9212|6006.22|0|3373.43|7540.02|5702.23|5554.84|0|0|6909|7194.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4081.84|0|0|0|0|0|0|0|0|9212
HOSP OP|0272 - STERILE SUPPLY||C1714|DEVICE HAWKONE LS 6FR STD TIP|9212|4882.36|6909|7369.6|7830.2|8290.8|0|7443.3|6632.64|6234.68|0|9212|6006.22|0|3373.43|7540.02|5702.23|5554.84|0|0|6909|7194.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4081.84|0|0|0|0|0|0|0|0|9212
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PLUG MVP Q  5.0-7.0 16MM|4186|2218.58|3139.5|3348.8|3558.1|3767.4|0|3382.29|3013.92|2833.08|0|4186|2729.27|0|1532.91|3426.24|2591.13|2524.16|0|0|3139.5|3269.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1854.82|0|0|0|0|0|0|0|0|4186
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPERF 5MAX ACE 64|7826|4147.78|5869.5|6260.8|6652.1|7043.4|0|6323.41|5634.72|5296.64|0|7826|5102.55|0|2865.88|6405.58|4844.29|4719.08|0|0|5869.5|6112.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3467.7|0|0|0|0|0|0|0|0|7826
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH NEURON BERNST 120CM 5F|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PLUG MVP Q  3.0-5.0  12MM|4186|2218.58|3139.5|3348.8|3558.1|3767.4|0|3382.29|3013.92|2833.08|0|4186|2729.27|0|1532.91|3426.24|2591.13|2524.16|0|0|3139.5|3269.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1854.82|0|0|0|0|0|0|0|0|4186
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR  NITONAL  180CM .018IN|148.4|78.65|111.3|118.72|126.14|133.56|0|119.91|106.85|100.44|0|148.4|96.76|0|54.34|121.47|91.86|89.49|0|0|111.3|115.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|65.76|0|0|0|0|0|0|0|0|148.4
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO NEURON MX STR LNG 80X88|1246|660.38|934.5|996.8|1059.1|1121.4|0|1006.77|897.12|843.29|0|1246|812.39|0|456.29|1019.85|771.27|751.34|0|0|934.5|973.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|552.1|0|0|0|0|0|0|0|0|1246
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH NEURON BERNST 125CM 6F|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH NEURON SIMNS CVD 6FR|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 4X10|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 4X30|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 4X35|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD  5X20|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 5X30|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD  6X30|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 7X25|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 8X40|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RBY STD 10X35|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 12X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 20X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 14X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 18X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 25X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 28X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 32X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RBY STD 10X35|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 3X15|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 6X20|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 6X30|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 8X35|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 8X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 16X50|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY STD 20X60|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL RUBY POD 6X50|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL POD J-SFT 15CM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL POD J-SFT 5CM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL POD J-SFT 30CM|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL POD  J-SFT 45CM|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL 60CM POD PK J-SFT|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1757|SYS MICROCATH VELOCITY|3052|1617.56|2289|2441.6|2594.2|2746.8|0|2466.02|2197.44|2065.59|0|3052|1989.9|0|1117.64|2498.06|1889.19|1840.36|0|0|2289|2383.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1352.34|0|0|0|0|0|0|0|0|3052
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|DEV EMBL 16MM 4.5MM PIPELINE|37324|19781.72|27993|29859.2|31725.4|33591.6|0|30157.79|26873.28|25260.88|0|37324|24335.25|0|13668.05|30549.69|23103.56|22506.37|0|0|27993|29150.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16538.26|0|0|0|0|0|0|0|0|37324
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 5MM 130CM 120MM|445.2|235.96|333.9|356.16|378.42|400.68|0|359.72|320.54|301.31|0|445.2|290.27|0|163.03|364.4|275.58|268.46|0|0|333.9|347.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|197.27|0|0|0|0|0|0|0|0|445.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|DEV EMBL 20MM 4.5MM PIPELINE|37324|19781.72|27993|29859.2|31725.4|33591.6|0|30157.79|26873.28|25260.88|0|37324|24335.25|0|13668.05|30549.69|23103.56|22506.37|0|0|27993|29150.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|16538.26|0|0|0|0|0|0|0|0|37324
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX PROTGE 5X60X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1879|STNT EVRFLX PROTGE 5X100X120|1176|623.28|882|940.8|999.6|1058.4|999.6|950.21|846.72|795.92|0|1176|766.75|658.56|430.65|962.56|727.94|709.13|642.1|0|882|918.46|470.4|0|470.4|1016.06|1055.91|506.5|470.4|514.74|1055.91|0|0|0|0|0|470.4|521.09|0|0|470.4|0|588|470.4|470.4|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL 30CM 10MM .0135IN|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX PROTGE 5X120X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX PROTGE 6X200X120|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|0|0|0|0|0|0|3360
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBL 3CM 1.5MM AXIUM HLX|1285.2|681.16|963.9|1028.16|1092.42|1156.68|0|1038.44|925.34|869.82|0|1285.2|837.95|0|470.64|1051.94|795.54|774.98|0|0|963.9|1003.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|569.47|0|0|0|0|0|0|0|0|1285.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER IVC OPTI ELITE FEM/JUG|2506|1328.18|1879.5|2004.8|2130.1|2255.4|0|2024.85|1804.32|1696.06|0|2506|1633.91|0|917.7|2051.16|1551.21|1511.12|0|0|1879.5|1957.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1110.41|0|0|0|0|0|0|0|0|2506
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER IVF OPT ELITE VENA CAVA|2786|1476.58|2089.5|2228.8|2368.1|2507.4|0|2251.09|2005.92|1885.56|0|2786|1816.47|0|1020.23|2280.34|1724.53|1679.96|0|0|2089.5|2175.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1234.48|0|0|0|0|0|0|0|0|2786
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTN PINN 8FR 45CM|229.6|121.69|172.2|183.68|195.16|206.64|0|185.52|165.31|155.39|0|229.6|149.7|0|84.08|187.93|142.12|138.45|0|0|172.2|179.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.74|0|0|0|0|0|0|0|0|229.6
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTN PINN 8FR 65CM|50.4|26.71|37.8|40.32|42.84|45.36|0|40.72|36.29|34.11|0|50.4|32.86|0|18.46|41.25|31.2|30.39|0|0|37.8|39.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|22.33|0|0|0|0|0|0|0|0|50.4
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTN PINN 8FR 90CM|257.6|136.53|193.2|206.08|218.96|231.84|0|208.14|185.47|174.34|0|257.6|167.96|0|94.33|210.85|159.45|155.33|0|0|193.2|201.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|114.14|0|0|0|0|0|0|0|0|257.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR GLIDW ANG SS 180CM 035|111.16|58.91|83.37|88.93|94.49|100.04|0|89.82|80.04|75.23|0|111.16|72.48|0|40.71|90.98|68.81|67.03|0|0|83.37|86.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.25|0|0|0|0|0|0|0|0|111.16
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH HEADWAY DUAL|1822.8|966.08|1367.1|1458.24|1549.38|1640.52|0|1472.82|1312.42|1233.67|0|1822.8|1188.47|0|667.51|1491.96|1128.31|1099.15|0|0|1367.1|1423.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|807.68|0|0|0|0|0|0|0|0|1822.8
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 7FR 6CM|105|55.65|78.75|84|89.25|94.5|0|84.84|75.6|71.06|0|105|68.46|0|38.45|85.94|65|63.32|0|0|78.75|82.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.53|0|0|0|0|0|0|0|0|105
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH PROGRET 2.4FR 130CM|173.6|92.01|130.2|138.88|147.56|156.24|0|140.27|124.99|117.49|0|173.6|113.19|0|63.57|142.09|107.46|104.68|0|0|130.2|135.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|76.92|0|0|0|0|0|0|0|0|173.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 5FR 2.5CM 25CM DIL|145.6|77.17|109.2|116.48|123.76|131.04|0|117.64|104.83|98.54|0|145.6|94.93|0|53.32|119.17|90.13|87.8|0|0|109.2|113.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.52|0|0|0|0|0|0|0|0|145.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 6FR 6CM|105|55.65|78.75|84|89.25|94.5|0|84.84|75.6|71.06|0|105|68.46|0|38.45|85.94|65|63.32|0|0|78.75|82.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.53|0|0|0|0|0|0|0|0|105
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 6FR 25CM|145.6|77.17|109.2|116.48|123.76|131.04|0|117.64|104.83|98.54|0|145.6|94.93|0|53.32|119.17|90.13|87.8|0|0|109.2|113.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.52|0|0|0|0|0|0|0|0|145.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 7FR 25CM|145.6|77.17|109.2|116.48|123.76|131.04|0|117.64|104.83|98.54|0|145.6|94.93|0|53.32|119.17|90.13|87.8|0|0|109.2|113.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.52|0|0|0|0|0|0|0|0|145.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 8FR 25CM|145.6|77.17|109.2|116.48|123.76|131.04|0|117.64|104.83|98.54|0|145.6|94.93|0|53.32|119.17|90.13|87.8|0|0|109.2|113.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.52|0|0|0|0|0|0|0|0|145.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 9FR 10CM|119.84|63.52|89.88|95.87|101.86|107.86|0|96.83|86.28|81.11|0|119.84|78.14|0|43.89|98.09|74.18|72.26|0|0|89.88|93.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|53.1|0|0|0|0|0|0|0|0|119.84
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PINN R/O 9FR 25CM|145.6|77.17|109.2|116.48|123.76|131.04|0|117.64|104.83|98.54|0|145.6|94.93|0|53.32|119.17|90.13|87.8|0|0|109.2|113.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.52|0|0|0|0|0|0|0|0|145.6
HOSP OP|0272 - STERILE SUPPLY||C1885|CATH TRBO ELTE 150CM .9MM .038|7826|4147.78|5869.5|6260.8|6652.1|7043.4|0|6323.41|5634.72|5296.64|0|7826|5102.55|0|2865.88|6405.58|4844.29|4719.08|0|0|5869.5|6112.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3467.7|0|0|0|0|0|0|0|0|7826
HOSP OP|0272 - STERILE SUPPLY||C1885|CATH TRBO ELTE 150CM 2MM .08|7826|4147.78|5869.5|6260.8|6652.1|7043.4|0|6323.41|5634.72|5296.64|0|7826|5102.55|0|2865.88|6405.58|4844.29|4719.08|0|0|5869.5|6112.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3467.7|0|0|0|0|0|0|0|0|7826
HOSP OP|0272 - STERILE SUPPLY||C1885|CATH TRBO ELTE 150CM 2MM .081|9786|5186.58|7339.5|7828.8|8318.1|8807.4|0|7907.09|7045.92|6623.16|0|9786|6380.47|0|3583.63|8009.84|6057.53|5900.96|0|0|7339.5|7642.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4336.18|0|0|0|0|0|0|0|0|9786
HOSP OP|0272 - STERILE SUPPLY||C1885|CATH TRBO ELTR OTW 2.5MM|7826|4147.78|5869.5|6260.8|6652.1|7043.4|0|6323.41|5634.72|5296.64|0|7826|5102.55|0|2865.88|6405.58|4844.29|4719.08|0|0|5869.5|6112.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3467.7|0|0|0|0|0|0|0|0|7826
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH QCK-CRSS 018 1.8FR 150CM|467.6|247.83|350.7|374.08|397.46|420.84|0|377.82|336.67|316.47|0|467.6|304.88|0|171.24|382.73|289.44|281.96|0|0|350.7|365.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.19|0|0|0|0|0|0|0|0|467.6
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH QCK-CRSS EXTRM  035 150CM|551.6|292.35|413.7|441.28|468.86|496.44|0|445.69|397.15|373.32|0|551.6|359.64|0|202|451.48|341.44|332.61|0|0|413.7|430.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|244.41|0|0|0|0|0|0|0|0|551.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR VERSCOR FLPY 145CM .035|348|184.44|261|278.4|295.8|313.2|0|281.18|250.56|235.53|0|348|226.9|0|127.44|284.84|215.41|209.84|0|0|261|271.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|154.2|0|0|0|0|0|0|0|0|348
HOSP OP|0272 - STERILE SUPPLY||C1887|EXT GUID VERSCORE 115CM .035|140|74.2|105|112|119|126|0|113.12|100.8|94.75|0|140|91.28|0|51.27|114.59|86.66|84.42|0|0|105|109.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|62.03|0|0|0|0|0|0|0|0|140
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|PLUG AMPLZ NITL 14X10MM .087IN|2469.6|1308.89|1852.2|1975.68|2099.16|2222.64|0|1995.44|1778.11|1671.43|0|2469.6|1610.18|0|904.37|2021.37|1528.68|1489.17|0|0|1852.2|1928.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1094.28|0|0|0|0|0|0|0|0|2469.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS JR  2.5X34MM|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS 3.5X22MM|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LVIS 4.0X28MM|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR TAD TPR 300CM .035IN|420|222.6|315|336|357|378|0|339.36|302.4|284.26|0|420|273.84|0|153.8|343.77|259.98|253.26|0|0|315|328.02|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|186.1|0|0|0|0|0|0|0|0|420
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH BLN SCEPTR OCL 5MM 014|3332|1765.96|2499|2665.6|2832.2|2998.8|0|2692.26|2399.04|2255.1|0|3332|2172.46|0|1220.18|2727.24|2062.51|2009.2|0|0|2499|2602.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1476.41|0|0|0|0|0|0|0|0|3332
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GD SOFIA STR 115CM 5FR|2979.2|1578.98|2234.4|2383.36|2532.32|2681.28|0|2407.19|2145.02|2016.32|0|2979.2|1942.44|0|1090.98|2438.48|1844.12|1796.46|0|0|2234.4|2326.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.08|0|0|0|0|0|0|0|0|2979.2
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GD SOFIA STR  125CM 5FR|2979.2|1578.98|2234.4|2383.36|2532.32|2681.28|0|2407.19|2145.02|2016.32|0|2979.2|1942.44|0|1090.98|2438.48|1844.12|1796.46|0|0|2234.4|2326.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.08|0|0|0|0|0|0|0|0|2979.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR GOLD 014  180CM|568.4|301.25|426.3|454.72|483.14|511.56|0|459.27|409.25|384.69|0|568.4|370.6|0|208.15|465.24|351.84|342.75|0|0|426.3|443.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|251.86|0|0|0|0|0|0|0|0|568.4
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR TRAXCESS 014  200CM|735|389.55|551.25|588|624.75|661.5|0|593.88|529.2|497.45|0|735|479.22|0|269.16|601.6|454.97|443.21|0|0|551.25|574.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|325.68|0|0|0|0|0|0|0|0|735
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH HEADWAY 17 ANGL 90D|1646.4|872.59|1234.8|1317.12|1399.44|1481.76|0|1330.29|1185.41|1114.28|0|1646.4|1073.45|0|602.91|1347.58|1019.12|992.78|0|0|1234.8|1285.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|729.52|0|0|0|0|0|0|0|0|1646.4
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH BLN HEADWAY17  STR|1528.8|810.26|1146.6|1223.04|1299.48|1375.92|0|1235.27|1100.74|1034.69|0|1528.8|996.78|0|559.85|1251.32|946.33|921.87|0|0|1146.6|1193.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|677.41|0|0|0|0|0|0|0|0|1528.8
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH HEADWAY 27 156CM|2912|1543.36|2184|2329.6|2475.2|2620.8|0|2352.9|2096.64|1970.84|0|2912|1898.62|0|1066.37|2383.47|1802.53|1755.94|0|0|2184|2274.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1290.31|0|0|0|0|0|0|0|0|2912
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH SPRT 115CM 5FR .058IN|2646|1402.38|1984.5|2116.8|2249.1|2381.4|0|2137.97|1905.12|1790.81|0|2646|1725.19|0|968.97|2165.75|1637.87|1595.54|0|0|1984.5|2066.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1172.44|0|0|0|0|0|0|0|0|2646
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PROTGE GPS 10X40X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT  PROTGE GPS  10X80X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PROTGE GPS 12X40X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH HEADWAY 21 156CM|2038.4|1080.35|1528.8|1630.72|1732.64|1834.56|0|1647.03|1467.65|1379.59|0|2038.4|1329.04|0|746.46|1668.43|1261.77|1229.16|0|0|1528.8|1591.99|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|903.22|0|0|0|0|0|0|0|0|2038.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PROTGE GPS 12X60X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PROTGE GPS 14X40X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PROTGE GPS 14X80X80|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1757|DEVICE THRMB SOLITARE 3 4X40|16506|8748.18|12379.5|13204.8|14030.1|14855.4|0|13336.85|11884.32|11171.26|0|16506|10761.91|0|6044.5|13510.16|10217.21|9953.12|0|0|12379.5|12891.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7313.81|0|0|0|0|0|0|0|0|16506
HOSP OP|0272 - STERILE SUPPLY||C1757|DEVICE THRMB SOLITARE 3 6X20|16836.4|8923.29|12627.3|13469.12|14310.94|15152.76|0|13603.81|12122.21|11394.88|0|16836.4|10977.33|0|6165.49|13780.59|10421.73|10152.35|0|0|12627.3|13149.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7460.21|0|0|0|0|0|0|0|0|16836.4
HOSP OP|0272 - STERILE SUPPLY||C1757|DEVICE THRMB  SOLITARE 3 6X40|16836.4|8923.29|12627.3|13469.12|14310.94|15152.76|0|13603.81|12122.21|11394.88|0|16836.4|10977.33|0|6165.49|13780.59|10421.73|10152.35|0|0|12627.3|13149.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7460.21|0|0|0|0|0|0|0|0|16836.4
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL PRTC 320CM CRTD LWR|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL PRTC 320CM CRTD LWR|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL PRTC 320CM CRTD LWR|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL PRTC 320CM CRTD LWR|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL SPIDERX 320CM 014|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH OCCL VIANCE 5FR 150CM|3906|2070.18|2929.5|3124.8|3320.1|3515.4|0|3156.05|2812.32|2643.58|0|3906|2546.71|0|1430.38|3197.06|2417.81|2355.32|0|0|2929.5|3050.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1730.75|0|0|0|0|0|0|0|0|3906
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CANN BONE CEMT IVAS 11GA|141.57|75.03|106.18|113.25|120.33|127.41|0|114.39|101.93|95.81|0|141.57|92.3|0|51.84|115.87|87.63|85.37|0|2156.856582|106.18|110.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|62.73|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BONE CEMT  VERTAPLEX 20GA|970.2|514.21|727.65|776.16|824.67|873.18|0|783.92|698.54|656.63|0|970.2|632.57|0|355.29|794.11|600.55|585.03|0|2156.856582|727.65|757.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|429.9|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT DX CATH 10MM 11GA IVAS|9240|4897.2|6930|7392|7854|8316|0|7465.92|6652.8|6253.63|0|9240|6024.48|0|3383.69|7562.94|5719.56|5571.72|0|0|6930|7216.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4094.24|0|0|0|0|0|0|0|0|9240
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT BONE BIOPSY IVAS 11GA 10MM|2273.18|1204.79|1704.89|1818.54|1932.2|2045.86|0|1836.73|1636.69|1538.49|0|2273.18|1482.11|0|832.44|1860.6|1407.1|1370.73|0|0|1704.89|1775.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1007.25|0|0|0|0|0|0|0|0|2273.18
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT MCTRDCR 70CM 5FR 15GA|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBOLIZATION 6/2|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH NEPHROSTOMY 18FR|256.2|135.79|192.15|204.96|217.77|230.58|0|207.01|184.46|173.4|0|256.2|167.04|0|93.82|209.7|158.59|154.49|0|0|192.15|200.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.52|0|0|0|0|0|0|0|0|256.2
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH NEPHROSTOMY 20FR|256.2|135.79|192.15|204.96|217.77|230.58|0|207.01|184.46|173.4|0|256.2|167.04|0|93.82|209.7|158.59|154.49|0|0|192.15|200.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|113.52|0|0|0|0|0|0|0|0|256.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH MAHURKAR DL LUM 11.5X19.5|177.32|93.98|132.99|141.86|150.73|159.59|0|143.28|127.67|120.01|0|177.32|115.62|0|64.94|145.14|109.76|106.93|0|0|132.99|138.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.57|0|0|0|0|0|0|0|0|177.32
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFUSION CRAGG 5 FR 30CM|260.68|138.16|195.51|208.54|221.58|234.61|0|210.63|187.69|176.43|0|260.68|169.96|0|95.46|213.37|161.36|157.19|0|0|195.51|203.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.51|0|0|0|0|0|0|0|0|260.68
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH 8FR GROSHONG SNGL LUMEN|557.31|295.37|417.98|445.85|473.72|501.58|0|450.31|401.26|377.19|0|557.31|363.37|0|204.09|456.16|344.98|336.06|0|0|417.98|435.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|246.94|0|0|0|0|0|0|0|0|557.31
HOSP OP|0272 - STERILE SUPPLY||C1769|NITREX .035 ULTRASELECT 145CM|137.45|72.85|103.09|109.96|116.83|123.71|0|111.06|98.97|93.03|0|137.45|89.62|0|50.33|112.5|85.08|82.88|0|0|103.09|107.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.9|0|0|0|0|0|0|0|0|137.45
HOSP OP|0272 - STERILE SUPPLY||C1773|AMPLATZ SNARE NITINOL|768.32|407.21|576.24|614.66|653.07|691.49|0|620.8|553.19|520|0|768.32|500.94|0|281.36|628.87|475.59|463.3|0|0|576.24|600.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|340.44|0|0|0|0|0|0|0|0|768.32
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ASAHI MB 3 180CM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1773|ENSNARE 12-20MM|700|371|525|560|595|630|0|565.6|504|473.76|0|700|456.4|0|256.34|572.95|433.3|422.1|0|0|525|546.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|310.17|0|0|0|0|0|0|0|0|700
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON STERLING 4.0X20X120|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ASAHI GS .14INX300CM|378|200.34|283.5|302.4|321.3|340.2|0|305.42|272.16|255.83|0|378|246.46|0|138.42|309.39|233.98|227.93|0|0|283.5|295.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|167.49|0|0|0|0|0|0|0|0|378
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 5/17 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ASAHI 300CM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1769|LCK GLDWR VASC 150CM .018IN|150.5|79.76|112.88|120.4|127.93|135.45|0|121.6|108.36|101.86|0|150.5|98.13|0|55.11|123.18|93.16|90.75|0|0|112.88|117.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.69|0|0|0|0|0|0|0|0|150.5
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE AMPLATZ STIFF .35 75CM|72.8|38.58|54.6|58.24|61.88|65.52|0|58.82|52.42|49.27|0|72.8|47.47|0|26.66|59.59|45.06|43.9|0|0|54.6|56.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|32.26|0|0|0|0|0|0|0|0|72.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 6X17135CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS SD 5X19|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL PLATINM TORNADO .035 5/10|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBOL TORNADO .035 4/3MM|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH AUROUS PIGTAIL 5F .035IN|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1887|KIT CATH MICRO RENEGADE HI FLW|1469.44|778.8|1102.08|1175.55|1249.02|1322.5|0|1187.31|1058|994.52|0|1469.44|958.07|0|538.11|1202.74|909.58|886.07|0|0|1102.08|1147.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|651.11|0|0|0|0|0|0|0|0|1469.44
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE STARTER BENTSON .035 15CM|39.2|20.78|29.4|31.36|33.32|35.28|0|31.67|28.22|26.53|0|39.2|25.56|0|14.36|32.09|24.26|23.64|0|0|29.4|30.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|17.37|0|0|0|0|0|0|0|0|39.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE NITONAL .18DIA 80CM|162.51|86.13|121.88|130.01|138.14|146.26|0|131.31|117.01|109.99|0|162.51|105.96|0|59.51|133.02|100.59|97.99|0|0|121.88|126.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|72.01|0|0|0|0|0|0|0|0|162.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 8/17 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 8X37 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH PINNACLE DEST 6FR 45CM|229.6|121.69|172.2|183.68|195.16|206.64|0|185.52|165.31|155.39|0|229.6|149.7|0|84.08|187.93|142.12|138.45|0|0|172.2|179.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.74|0|0|0|0|0|0|0|0|229.6
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH EXCELSIOR SL-10 45D|2870|1521.1|2152.5|2296|2439.5|2583|0|2318.96|2066.4|1942.42|0|2870|1871.24|0|1050.99|2349.1|1776.53|1730.61|0|0|2152.5|2241.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1271.7|0|0|0|0|0|0|0|0|2870
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH MICROMEWI 2.9FR 150X5CM|490|259.7|367.5|392|416.5|441|0|395.92|352.8|331.63|0|490|319.48|0|179.44|401.07|303.31|295.47|0|0|367.5|382.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.12|0|0|0|0|0|0|0|0|490
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS LD 7/37 135CM|3906|2070.18|2929.5|3124.8|3320.1|3515.4|0|3156.05|2812.32|2643.58|0|3906|2546.71|0|1430.38|3197.06|2417.81|2355.32|0|0|2929.5|3050.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1730.75|0|0|0|0|0|0|0|0|3906
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URET 8.5 22CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH RENEGADE 150CM 10CM|1038.8|550.56|779.1|831.04|882.98|934.92|0|839.35|747.94|703.06|0|1038.8|677.3|0|380.41|850.26|643.02|626.4|0|0|779.1|811.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|460.29|0|0|0|0|0|0|0|0|1038.8
HOSP OP|0272 - STERILE SUPPLY||C1729|KIT CATH PLEURX|1610|853.3|1207.5|1288|1368.5|1449|0|1300.88|1159.2|1089.65|0|1610|1049.72|0|589.58|1317.79|996.59|970.83|0|0|1207.5|1257.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.39|0|0|0|0|0|0|0|0|1610
HOSP OP|0272 - STERILE SUPPLY||C1769|NITONAL ULTRA SELCT .035 260CM|106.4|56.39|79.8|85.12|90.44|95.76|0|85.97|76.61|72.01|0|106.4|69.37|0|38.96|87.09|65.86|64.16|0|0|79.8|83.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|47.15|0|0|0|0|0|0|0|0|106.4
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS FILTERWIRE EZ 190CM|3289.75|1743.57|2467.31|2631.8|2796.29|2960.77|0|2658.12|2368.62|2226.5|0|3289.75|2144.92|0|1204.71|2692.66|2036.35|1983.72|0|0|2467.31|2569.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.69|0|0|0|0|0|0|0|0|3289.75
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON STERLING 5/2 135CM|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON MONORL STERLING 135CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH STERLING BALLOON 3X2 135|407.4|215.92|305.55|325.92|346.29|366.66|0|329.18|293.33|275.73|0|407.4|265.62|0|149.19|333.46|252.18|245.66|0|0|305.55|318.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|180.52|0|0|0|0|0|0|0|0|407.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBOL TORNADO .035 4.1CM|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1769|TRANSCEND FLOPPY|1316.7|697.85|987.53|1053.36|1119.2|1185.03|0|1063.89|948.02|891.14|0|1316.7|858.49|0|482.18|1077.72|815.04|793.97|0|0|987.53|1028.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.43|0|0|0|0|0|0|0|0|1316.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 6X17 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|CATH SEAL ANGIO VIP 6F|616|326.48|462|492.8|523.6|554.4|0|497.73|443.52|416.91|0|616|401.63|0|225.58|504.2|381.3|371.45|0|0|462|481.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|272.95|0|0|0|0|0|0|0|0|616
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|CATH SEAL ANGIO VIP 8F|616|326.48|462|492.8|523.6|554.4|0|497.73|443.52|416.91|0|616|401.63|0|225.58|504.2|381.3|371.45|0|0|462|481.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|272.95|0|0|0|0|0|0|0|0|616
HOSP OP|0272 - STERILE SUPPLY||C1769|THRUWAY ST SHORT TIP 300CM|345.8|183.27|259.35|276.64|293.93|311.22|0|279.41|248.98|234.04|0|345.8|225.46|0|126.63|283.04|214.05|208.52|0|0|259.35|270.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|153.22|0|0|0|0|0|0|0|0|345.8
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH J-TIP EXCELSIOR SL|2646.7|1402.75|1985.03|2117.36|2249.7|2382.03|0|2138.53|1905.62|1791.29|0|2646.7|1725.65|0|969.22|2166.32|1638.31|1595.96|0|0|1985.03|2067.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1172.75|0|0|0|0|0|0|0|0|2646.7
HOSP OP|0272 - STERILE SUPPLY||C1726|CATH DILATION NEPH 10MM XFORCE|542.95|287.76|407.21|434.36|461.51|488.65|0|438.7|390.92|367.47|0|542.95|354|0|198.83|444.4|336.08|327.4|0|0|407.21|424.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|240.58|0|0|0|0|0|0|0|0|542.95
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH CRAGG VLV INF 5F 135X40CM|397.88|210.88|298.41|318.3|338.2|358.09|0|321.49|286.47|269.29|0|397.88|259.42|0|145.7|325.66|246.29|239.92|0|0|298.41|310.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.3|0|0|0|0|0|0|0|0|397.88
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH PROGREAT 2.8FR 130CM|1456|771.68|1092|1164.8|1237.6|1310.4|0|1176.45|1048.32|985.42|0|1456|949.31|0|533.19|1191.74|901.26|877.97|0|0|1092|1137.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|645.15|0|0|0|0|0|0|0|0|1456
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SYR EMBOSPHERE 500-700 2.0ML|680.4|360.61|510.3|544.32|578.34|612.36|0|549.76|489.89|460.49|0|680.4|443.62|0|249.16|556.91|421.17|410.28|0|0|510.3|531.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.49|0|0|0|0|0|0|0|0|680.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SYR EMBOSPHERE 700-900 2.0ML|680.4|360.61|510.3|544.32|578.34|612.36|0|549.76|489.89|460.49|0|680.4|443.62|0|249.16|556.91|421.17|410.28|0|0|510.3|531.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|301.49|0|0|0|0|0|0|0|0|680.4
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER FLEXOR 10FR 40CM|151.03|80.04|113.27|120.83|128.38|135.93|0|122.03|108.74|102.22|0|151.03|98.47|0|55.31|123.62|93.49|91.07|0|0|113.27|117.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.92|0|0|0|0|0|0|0|0|151.03
HOSP OP|0272 - STERILE SUPPLY||C1894|ACCUSTICK II W/O .038|201.6|106.85|151.2|161.28|171.36|181.44|0|162.89|145.15|136.44|0|201.6|131.44|0|73.83|165.01|124.79|121.56|0|0|151.2|157.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|89.33|0|0|0|0|0|0|0|0|201.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH PLWY 22FR 13X20CM|88.9|47.12|66.68|71.12|75.57|80.01|0|71.83|64.01|60.17|0|88.9|57.96|0|32.56|72.76|55.03|53.61|0|0|66.68|69.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.39|0|0|0|0|0|0|0|0|88.9
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH 5FR 65CM W/9MM FRAG BASKT|2612.37|1384.56|1959.28|2089.9|2220.52|2351.13|0|2110.8|1880.91|1768.05|0|2612.37|1703.27|0|956.65|2138.23|1617.06|1575.26|0|0|1959.28|2040.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1157.54|0|0|0|0|0|0|0|0|2612.37
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH CRAGG MCNAMARA 5FR X 135|397.88|210.88|298.41|318.3|338.2|358.09|0|321.49|286.47|269.29|0|397.88|259.42|0|145.7|325.66|246.29|239.92|0|0|298.41|310.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.3|0|0|0|0|0|0|0|0|397.88
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRAIN MULTI MAC 10FR|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRAIN MULTI MAC 12FR|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL TORNADO EMBOLIZATION 8/4|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT SET URETERAL 10.2|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL TORNADO 8X4 .018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH PEELAWAY 18FRX15.5CM|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT NEUROFORM 4.5X20|19586|10380.58|14689.5|15668.8|16648.1|17627.4|0|15825.49|14101.92|13255.8|0|19586|12770.07|0|7172.39|16031.14|12123.73|11810.36|0|0|14689.5|15296.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8678.56|0|0|0|0|0|0|0|0|19586
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH EXCELSIOR SL 10 90DEGREE|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO CHECK FLO 7.0 55CM|104.16|55.2|78.12|83.33|88.54|93.74|0|84.16|75|70.5|0|104.16|67.91|0|38.14|85.25|64.48|62.81|0|0|78.12|81.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.15|0|0|0|0|0|0|0|0|104.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRAHEPAT SET ACESS HASKAL|1529.5|810.63|1147.13|1223.6|1300.08|1376.55|0|1235.84|1101.24|1035.17|0|1529.5|997.23|0|560.1|1251.9|946.76|922.29|0|0|1147.13|1194.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|677.72|0|0|0|0|0|0|0|0|1529.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL TORNADO 10X4 .018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 7X27|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO CHECK FLOW 6.0 55CM|104.16|55.2|78.12|83.33|88.54|93.74|0|84.16|75|70.5|0|104.16|67.91|0|38.14|85.25|64.48|62.81|0|0|78.12|81.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.15|0|0|0|0|0|0|0|0|104.16
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH MAC-LOC DRN 8FR 25CM|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE ADAPT 90MM 20H|1416.64|750.82|1062.48|1133.31|1204.14|1274.98|0|1144.65|1019.98|958.78|0|1416.64|923.65|0|518.77|1159.52|876.9|854.23|0|2156.856582|1062.48|1106.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|627.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1894|SET CHECK-FLO INTO ANSEL 6FR|117.18|62.11|87.89|93.74|99.6|105.46|0|94.68|84.37|79.31|0|117.18|76.4|0|42.91|95.91|72.53|70.66|0|0|87.89|91.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.92|0|0|0|0|0|0|0|0|117.18
HOSP OP|0272 - STERILE SUPPLY||C1769|TRANSCEND EX 205 CM|1316.7|697.85|987.53|1053.36|1119.2|1185.03|0|1063.89|948.02|891.14|0|1316.7|858.49|0|482.18|1077.72|815.04|793.97|0|0|987.53|1028.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.43|0|0|0|0|0|0|0|0|1316.7
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH CRAGG MCNAMARA 4FR 10X20|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRAINAGE MPD 14 FR|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRAIN MULTIPURPOSE 16 FR|453.6|240.41|340.2|362.88|385.56|408.24|0|366.51|326.59|307|0|453.6|295.75|0|166.11|371.27|280.78|273.52|0|0|340.2|354.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|200.99|0|0|0|0|0|0|0|0|453.6
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER PEELAWAY 24FR|88.9|47.12|66.68|71.12|75.57|80.01|0|71.83|64.01|60.17|0|88.9|57.96|0|32.56|72.76|55.03|53.61|0|0|66.68|69.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|39.39|0|0|0|0|0|0|0|0|88.9
HOSP OP|0272 - STERILE SUPPLY||C1757|SET SOLENT OMNI THROMB|5054|2678.62|3790.5|4043.2|4295.9|4548.6|0|4083.63|3638.88|3420.55|0|5054|3295.21|0|1850.77|4136.7|3128.43|3047.56|0|0|3790.5|3947.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2239.43|0|0|0|0|0|0|0|0|5054
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT 12X40 75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0272 - STERILE SUPPLY||C1887|GLIDECATH C2 4FR|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTINATION 7FR|229.6|121.69|172.2|183.68|195.16|206.64|0|185.52|165.31|155.39|0|229.6|149.7|0|84.08|187.93|142.12|138.45|0|0|172.2|179.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.74|0|0|0|0|0|0|0|0|229.6
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPERFUS 4MAX|4676|2478.28|3507|3740.8|3974.6|4208.4|0|3778.21|3366.72|3164.72|0|4676|3048.75|0|1712.35|3827.31|2894.44|2819.63|0|0|3507|3651.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2071.94|0|0|0|0|0|0|0|0|4676
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPERFUS 3MAX|4564|2418.92|3423|3651.2|3879.4|4107.6|0|3687.71|3286.08|3088.92|0|4564|2975.73|0|1671.34|3735.63|2825.12|2752.09|0|0|3423|3564.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2022.31|0|0|0|0|0|0|0|0|4564
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER DENALI FEMORAL|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER DENALI JUGULAR|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL 10X26|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH GUING RAABE 8.0X55|104.16|55.2|78.12|83.33|88.54|93.74|0|84.16|75|70.5|0|104.16|67.91|0|38.14|85.25|64.48|62.81|0|0|78.12|81.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|46.15|0|0|0|0|0|0|0|0|104.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT 14X40 75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT 18X40 75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|POWERPORT CLEAR VUE 6FR|854|452.62|640.5|683.2|725.9|768.6|0|690.03|614.88|577.99|0|854|556.81|0|312.73|699|528.63|514.96|0|0|640.5|666.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|378.41|0|0|0|0|0|0|0|0|854
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GLIDE 4FR ANG 120CM|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0272 - STERILE SUPPLY||C1773|FCP RECOVERY CONE|1610|853.3|1207.5|1288|1368.5|1449|0|1300.88|1159.2|1089.65|0|1610|1049.72|0|589.58|1317.79|996.59|970.83|0|0|1207.5|1257.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.39|0|0|0|0|0|0|0|0|1610
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR 3MAXS|8344|4422.32|6258|6675.2|7092.4|7509.6|0|6741.95|6007.68|5647.22|0|8344|5440.29|0|3055.57|6829.56|5164.94|5031.43|0|0|6258|6516.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3697.23|0|0|0|0|0|0|0|0|8344
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT LIFESTAR 10X80X40|1470|779.1|1102.5|1176|1249.5|1323|0|1187.76|1058.4|994.9|0|1470|958.44|0|538.31|1203.2|909.93|886.41|0|0|1102.5|1148.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|651.36|0|0|0|0|0|0|0|0|1470
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT SYSTEM IVAS 10G 15MM|3080|1632.4|2310|2464|2618|2772|0|2488.64|2217.6|2084.54|0|3080|2008.16|0|1127.9|2520.98|1906.52|1857.24|0|0|2310|2405.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1364.75|0|0|0|0|0|0|0|0|3080
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT SYSTEM IVAS 10G 10MM|3080|1632.4|2310|2464|2618|2772|0|2488.64|2217.6|2084.54|0|3080|2008.16|0|1127.9|2520.98|1906.52|1857.24|0|0|2310|2405.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1364.75|0|0|0|0|0|0|0|0|3080
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON CATH IVAS 10GA 10MM|2380|1261.4|1785|1904|2023|2142|0|1923.04|1713.6|1610.78|0|2380|1551.76|0|871.56|1948.03|1473.22|1435.14|0|0|1785|1858.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1054.58|0|0|0|0|0|0|0|0|2380
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON CATH IVAS 10G 15MM|2380|1261.4|1785|1904|2023|2142|0|1923.04|1713.6|1610.78|0|2380|1551.76|0|871.56|1948.03|1473.22|1435.14|0|0|1785|1858.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1054.58|0|0|0|0|0|0|0|0|2380
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT CEMENT V PLASTY PCD|1085|575.05|813.75|868|922.25|976.5|0|876.68|781.2|734.33|0|1085|707.42|0|397.33|888.07|671.62|654.26|0|2156.856582|813.75|847.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|480.76|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH EXCELSIOR SL-10 STR 2 TIP|403.2|213.7|302.4|322.56|342.72|362.88|0|325.79|290.3|272.89|0|403.2|262.89|0|147.65|330.02|249.58|243.13|0|0|302.4|314.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|178.66|0|0|0|0|0|0|0|0|403.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE SYNCHO 200CM SOFT|1529.5|810.63|1147.13|1223.6|1300.08|1376.55|0|1235.84|1101.24|1035.17|0|1529.5|997.23|0|560.1|1251.9|946.76|922.29|0|0|1147.13|1194.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|677.72|0|0|0|0|0|0|0|0|1529.5
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE SYNCHO 200CM STD|1529.5|810.63|1147.13|1223.6|1300.08|1376.55|0|1235.84|1101.24|1035.17|0|1529.5|997.23|0|560.1|1251.9|946.76|922.29|0|0|1147.13|1194.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|677.72|0|0|0|0|0|0|0|0|1529.5
HOSP OP|0272 - STERILE SUPPLY||C1887|MICROCATH REBAR 18 130CM|644|341.32|483|515.2|547.4|579.6|0|520.35|463.68|435.86|0|644|419.89|0|235.83|527.11|398.64|388.33|0|0|483|502.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|285.36|0|0|0|0|0|0|0|0|644
HOSP OP|0272 - STERILE SUPPLY||C1757|DEVICE SOLITAIRE 6MMX30MM|16506|8748.18|12379.5|13204.8|14030.1|14855.4|0|13336.85|11884.32|11171.26|0|16506|10761.91|0|6044.5|13510.16|10217.21|9953.12|0|0|12379.5|12891.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7313.81|0|0|0|0|0|0|0|0|16506
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR FLEX 041|8344|4422.32|6258|6675.2|7092.4|7509.6|0|6741.95|6007.68|5647.22|0|8344|5440.29|0|3055.57|6829.56|5164.94|5031.43|0|0|6258|6516.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3697.23|0|0|0|0|0|0|0|0|8344
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE TRANSEND 300 FLOPPY|1609.3|852.93|1206.98|1287.44|1367.91|1448.37|0|1300.31|1158.7|1089.17|0|1609.3|1049.26|0|589.33|1317.21|996.16|970.41|0|0|1206.98|1256.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.08|0|0|0|0|0|0|0|0|1609.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT ICAST TRCHBR 38MM 120CM 8|7210|3821.3|5407.5|5768|6128.5|6489|0|5825.68|5191.2|4879.73|0|7210|4700.92|0|2640.3|5901.39|4462.99|4347.63|0|0|5407.5|5631.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3194.75|0|0|0|0|0|0|0|0|7210
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STD ANG .035X260CM|124.32|65.89|93.24|99.46|105.67|111.89|0|100.45|89.51|84.14|0|124.32|81.06|0|45.53|101.76|76.95|74.96|0|0|93.24|97.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|55.09|0|0|0|0|0|0|0|0|124.32
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STD ANG .035X180CM|111.16|58.91|83.37|88.93|94.49|100.04|0|89.82|80.04|75.23|0|111.16|72.48|0|40.71|90.98|68.81|67.03|0|0|83.37|86.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|49.25|0|0|0|0|0|0|0|0|111.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VHBHN VETRO .018 7MM X 2.|8876|4704.28|6657|7100.8|7544.6|7988.4|0|7171.81|6390.72|6007.28|0|8876|5787.15|0|3250.39|7265.01|5494.24|5352.23|0|0|6657|6932.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3932.96|0|0|0|0|0|0|0|0|8876
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VHBHN VETRO .018 8MM X 15|11250.4|5962.71|8437.8|9000.32|9562.84|10125.36|0|9090.32|8100.29|7614.27|0|11250.4|7335.26|0|4119.9|9208.45|6964|6783.99|0|0|8437.8|8786.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4985.05|0|0|0|0|0|0|0|0|11250.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 5MM X 10C|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 6MM X 25C|17766|9415.98|13324.5|14212.8|15101.1|15989.4|0|14354.93|12791.52|12024.03|0|17766|11583.43|0|6505.91|14541.47|10997.15|10712.9|0|0|13324.5|13875.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7872.11|0|0|0|0|0|0|0|0|17766
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 7MM X 5CM|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 8MM X 15C|10976|5817.28|8232|8780.8|9329.6|9878.4|0|8868.61|7902.72|7428.56|0|10976|7156.35|0|4019.41|8983.86|6794.14|6618.53|0|0|8232|8572.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4863.47|0|0|0|0|0|0|0|0|10976
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X80 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X80 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X80 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X20 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 10X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 12X40 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 12X60 80CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 3X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 3X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X150 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X200 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 4X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X150 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X20 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 5X200 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X150 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 6X200 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 7X40 135 CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X40 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN EVERCROSS 8X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH VACCESS 5X4 50CM|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH VACCESS 6X4 50CM|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH VACCESS 8X4 50CM|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH VACCESS 7X4 50CM|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH VACCESS 8X8 50CM|322|170.66|241.5|257.6|273.7|289.8|0|260.18|231.84|217.93|0|322|209.94|0|117.92|263.56|199.32|194.17|0|0|241.5|251.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.68|0|0|0|0|0|0|0|0|322
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 12X4 80CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 12X 4 120CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 14X4 80CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 14X4 120CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 16X4 80CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DIL ATLAS GLD 16X4 120CM|910|482.3|682.5|728|773.5|819|0|735.28|655.2|615.89|0|910|593.32|0|333.24|744.84|563.29|548.73|0|0|682.5|710.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|403.22|0|0|0|0|0|0|0|0|910
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGSLPT .014 L137 L10|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGSLPT .018 L137 L10|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLN ANGSLPT .018 L137 L20|2716|1439.48|2037|2172.8|2308.6|2444.4|0|2194.53|1955.52|1838.19|0|2716|1770.83|0|994.6|2223.05|1681.2|1637.75|0|0|2037|2121.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1203.46|0|0|0|0|0|0|0|0|2716
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GUID QC .014 L150 OD3-1.9|467.6|247.83|350.7|374.08|397.46|420.84|0|377.82|336.67|316.47|0|467.6|304.88|0|171.24|382.73|289.44|281.96|0|0|350.7|365.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.19|0|0|0|0|0|0|0|0|467.6
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH DORADO .035 10/L4 80CM 6F|462|244.86|346.5|369.6|392.7|415.8|0|373.3|332.64|312.68|0|462|301.22|0|169.18|378.15|285.98|278.59|0|0|346.5|360.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|204.71|0|0|0|0|0|0|0|0|462
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ULTR .014 4/L4 150CM 4F|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH ULTR .014 4/L8 150CM 4FR|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT LFSTR .035 12/L40 80CM 6F|1470|779.1|1102.5|1176|1249.5|1323|0|1187.76|1058.4|994.9|0|1470|958.44|0|538.31|1203.2|909.93|886.41|0|0|1102.5|1148.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|651.36|0|0|0|0|0|0|0|0|1470
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH 014 OTW PTA L2.5X100X150|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH 014 OTW PTA L2.5X150X150|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH 014 OTW PTA L3.0X40X150|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH 014 OTW PTA L3.0X60X150|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH  014 OTW PTA L3.0X210X150|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 1.5MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 1.5MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2.5MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 2.5MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 3MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 3MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 4FR 4MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL .014IN 5FR 4MM|529.2|280.48|396.9|423.36|449.82|476.28|0|427.59|381.02|358.16|0|529.2|345.04|0|193.79|433.15|327.57|319.11|0|0|396.9|413.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.49|0|0|0|0|0|0|0|0|529.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL 5MM 100MM SLF XPD|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL 8MM 60MM 130CM .035IN|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT VASC 6MM 6FR 60MM 130CM|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL 6MM 100MM 130CM .035|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFUSION CRAGG 5FR 20CM|266|140.98|199.5|212.8|226.1|239.4|0|214.93|191.52|180.03|0|266|173.43|0|97.41|217.72|164.65|160.4|0|0|199.5|207.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|117.86|0|0|0|0|0|0|0|0|266
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH INDIGO 6 STR TIP 135CM|5292|2804.76|3969|4233.6|4498.2|4762.8|0|4275.94|3810.24|3581.63|0|5292|3450.38|0|1937.93|4331.5|3275.75|3191.08|0|0|3969|4133.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2344.89|0|0|0|0|0|0|0|0|5292
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH INDIGO 8 TORQ TIP 85CM|8092|4288.76|6069|6473.6|6878.2|7282.8|0|6538.34|5826.24|5476.67|0|8092|5275.98|0|2963.29|6623.3|5008.95|4879.48|0|0|6069|6319.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3585.57|0|0|0|0|0|0|0|0|8092
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR INDIGO 6|3024|1602.72|2268|2419.2|2570.4|2721.6|0|2443.39|2177.28|2046.64|0|3024|1971.65|0|1107.39|2475.14|1871.86|1823.47|0|0|2268|2361.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1339.93|0|0|0|0|0|0|0|0|3024
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR INDIGO 8|5264|2789.92|3948|4211.2|4474.4|4737.6|0|4253.31|3790.08|3562.68|0|5264|3432.13|0|1927.68|4308.58|3258.42|3174.19|0|0|3948|4111.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2332.48|0|0|0|0|0|0|0|0|5264
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPER 5 MAX ACE|6804|3606.12|5103|5443.2|5783.4|6123.6|0|5497.63|4898.88|4604.95|0|6804|4436.21|0|2491.62|5569.07|4211.68|4102.81|0|0|5103|5313.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3014.85|0|0|0|0|0|0|0|0|6804
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH INDIGO ASPIR 3|3256.4|1725.89|2442.3|2605.12|2767.94|2930.76|0|2631.17|2344.61|2203.93|0|3256.4|2123.17|0|1192.49|2665.36|2015.71|1963.61|0|0|2442.3|2543.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1442.91|0|0|0|0|0|0|0|0|3256.4
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH INDIGO ASPIR 5|3256.4|1725.89|2442.3|2605.12|2767.94|2930.76|0|2631.17|2344.61|2203.93|0|3256.4|2123.17|0|1192.49|2665.36|2015.71|1963.61|0|0|2442.3|2543.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1442.91|0|0|0|0|0|0|0|0|3256.4
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR INDIGO 3|2002|1061.06|1501.5|1601.6|1701.7|1801.8|0|1617.62|1441.44|1354.95|0|2002|1305.3|0|733.13|1638.64|1239.24|1207.21|0|0|1501.5|1563.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|887.09|0|0|0|0|0|0|0|0|2002
HOSP OP|0272 - STERILE SUPPLY||C1757|SEPARATOR INDIGO 5|2002|1061.06|1501.5|1601.6|1701.7|1801.8|0|1617.62|1441.44|1354.95|0|2002|1305.3|0|733.13|1638.64|1239.24|1207.21|0|0|1501.5|1563.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|887.09|0|0|0|0|0|0|0|0|2002
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPER 5 MAX ACE 064|6692|3546.76|5019|5353.6|5688.2|6022.8|0|5407.14|4818.24|4529.15|0|6692|4363.18|0|2450.61|5477.4|4142.35|4035.28|0|0|5019|5226.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2965.23|0|0|0|0|0|0|0|0|6692
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE VASC ENSNARE 27-45MM|700|371|525|560|595|630|0|565.6|504|473.76|0|700|456.4|0|256.34|572.95|433.3|422.1|0|0|525|546.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|310.17|0|0|0|0|0|0|0|0|700
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON COYOTE 2.5X150X150 OTW|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON COYOTE 3X20X150 OTW|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON COYOTE 3X100X150 OTW|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.X20X137|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 3X20X137|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 4X20X137|2464|1305.92|1848|1971.2|2094.4|2217.6|0|1990.91|1774.08|1667.64|0|2464|1606.53|0|902.32|2016.78|1525.22|1485.79|0|0|1848|1924.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1091.8|0|0|0|0|0|0|0|0|2464
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 5.0X20X137|2464|1305.92|1848|1971.2|2094.4|2217.6|0|1990.91|1774.08|1667.64|0|2464|1606.53|0|902.32|2016.78|1525.22|1485.79|0|0|1848|1924.38|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1091.8|0|0|0|0|0|0|0|0|2464
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 4X40X137|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.X10X137|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.5X20X137|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 3.5X20X137|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 6X40X137|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2X40X155|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 3.X40X155|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.X100X155|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.5.X100X155|3220|1706.6|2415|2576|2737|2898|0|2601.76|2318.4|2179.3|0|3220|2099.44|0|1179.16|2635.57|1993.18|1941.66|0|0|2415|2514.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1426.78|0|0|0|0|0|0|0|0|3220
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 2.5X40X155|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 3.5X40X155|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSUPT OTW 4X200X137|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSCUPLT OTW 5.0X200X13|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSCUPLT OTW 6.0X200X13|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0272 - STERILE SUPPLY||C1725|BLN ANGIOSCUPLT PTA 7.0X40X90|3010|1595.3|2257.5|2408|2558.5|2709|0|2432.08|2167.2|2037.17|0|3010|1962.52|0|1102.26|2463.69|1863.19|1815.03|0|0|2257.5|2350.81|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1333.73|0|0|0|0|0|0|0|0|3010
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STIFF STR .035X180CM|130.76|69.3|98.07|104.61|111.15|117.68|0|105.65|94.15|88.5|0|130.76|85.26|0|47.88|107.03|80.94|78.85|0|0|98.07|102.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.94|0|0|0|0|0|0|0|0|130.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STN LVIS COIL AST 4.0X28|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER OPTION ELITE|2506|1328.18|1879.5|2004.8|2130.1|2255.4|0|2024.85|1804.32|1696.06|0|2506|1633.91|0|917.7|2051.16|1551.21|1511.12|0|0|1879.5|1957.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1110.41|0|0|0|0|0|0|0|0|2506
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STN LVIS JR COIL AST 2.5X34|19689.6|10435.49|14767.2|15751.68|16736.16|17720.64|0|15909.2|14176.51|13325.92|0|19689.6|12837.62|0|7210.33|16115.94|12187.86|11872.83|0|0|14767.2|15377.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8724.46|0|0|0|0|0|0|0|0|19689.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT RONYX 2.50X26MM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT RONYX 3.00X34MM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT RONYX 3.00X38MM|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 3X15X3.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 3X21X3.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 3X24X3.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 4X21X4.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 4X24X4.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 4X21X4.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPERF W/ HI FLW TUB JET7|7938|4207.14|5953.5|6350.4|6747.3|7144.2|0|6413.9|5715.36|5372.44|0|7938|5175.58|0|2906.9|6497.25|4913.62|4786.61|0|0|5953.5|6199.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3517.33|0|0|0|0|0|0|0|0|7938
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH REPERF W/ HI FLW TUB JETD|7938|4207.14|5953.5|6350.4|6747.3|7144.2|0|6413.9|5715.36|5372.44|0|7938|5175.58|0|2906.9|6497.25|4913.62|4786.61|0|0|5953.5|6199.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3517.33|0|0|0|0|0|0|0|0|7938
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH THROM INDIGO EMB 8FR115CM|8092|4288.76|6069|6473.6|6878.2|7282.8|0|6538.34|5826.24|5476.67|0|8092|5275.98|0|2963.29|6623.3|5008.95|4879.48|0|0|6069|6319.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3585.57|0|0|0|0|0|0|0|0|8092
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ENDURANTII STENT GRAFT SYSTEM|21750|11527.5|16312.5|17400|18487.5|19575|0|17574|15660|14720.4|0|21750|14181|0|7964.85|17802.38|13463.25|13115.25|0|0|16312.5|16986.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|9637.43|0|0|0|0|0|0|0|0|21750
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPCR VRTSTCK CRSTN PSR 6X14X14|2097.6|1111.73|1573.2|1678.08|1782.96|1887.84|0|1694.86|1510.27|1419.66|0|2097.6|1367.64|0|768.14|1716.89|1298.41|1264.85|0|0|1573.2|1638.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|929.45|0|0|0|0|0|0|0|0|2097.6
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 26FR|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|0|1260|1312.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1894|NEURON MAX 088 90CM|1246|660.38|934.5|996.8|1059.1|1121.4|0|1006.77|897.12|843.29|0|1246|812.39|0|456.29|1019.85|771.27|751.34|0|0|934.5|973.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|552.1|0|0|0|0|0|0|0|0|1246
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MIRCO LANTERN 135 45|1652|875.56|1239|1321.6|1404.2|1486.8|0|1334.82|1189.44|1118.07|0|1652|1077.1|0|604.96|1352.16|1022.59|996.16|0|0|1239|1290.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|732|0|0|0|0|0|0|0|0|1652
HOSP OP|0272 - STERILE SUPPLY||C1757|KIT THROM INDIGO D 8FR 50CM|7532|3991.96|5649|6025.6|6402.2|6778.8|0|6085.86|5423.04|5097.66|0|7532|4910.86|0|2758.22|6164.94|4662.31|4541.8|0|0|5649|5882.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3337.43|0|0|0|0|0|0|0|0|7532
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ANG DBL .018 180CM|481.6|255.25|361.2|385.28|409.36|433.44|0|389.13|346.75|325.95|0|481.6|314|0|176.36|394.19|298.11|290.4|0|0|361.2|376.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|213.4|0|0|0|0|0|0|0|0|481.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR ASAHI CONF  300CM .014IN|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0272 - STERILE SUPPLY||C1884|NG ENROUTE NPS ANG|5692.5|3017.02|4269.38|4554|4838.63|5123.25|0|4599.54|4098.6|3852.68|0|5692.5|3711.51|0|2084.59|4659.31|3523.66|3432.58|0|0|4269.38|4445.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2522.35|0|0|0|0|0|0|0|0|5692.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ENROUTE TRANSCAR 8X40MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ENROUTE TRANSCAR  8X30MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ENROUTE TRANSCAR 9X30MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ENROUTE TRANSCAR 9X40MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ENROUTE TRANSCAR 10X40MM|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0272 - STERILE SUPPLY||C1894|KIT MICRO INTRODUCER 21G|520|275.6|390|416|442|468|0|420.16|374.4|351.94|0|520|339.04|0|190.42|425.62|321.88|313.56|0|0|390|406.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|230.41|0|0|0|0|0|0|0|0|520
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE ENROUTE 0.014|700|371|525|560|595|630|0|565.6|504|473.76|0|700|456.4|0|256.34|572.95|433.3|422.1|0|0|525|546.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|310.17|0|0|0|0|0|0|0|0|700
HOSP OP|0272 - STERILE SUPPLY||C1726|INSPIRA AIR BALLOON DIL SYS 1|2085|1105.05|1563.75|1668|1772.25|1876.5|0|1684.68|1501.2|1411.13|0|2085|1359.42|0|763.53|1706.57|1290.62|1257.26|0|0|1563.75|1628.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|923.86|0|0|0|0|0|0|0|0|2085
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW 5.5 TI CORT FIX 7X60MM|1950|1033.5|1462.5|1560|1657.5|1755|0|1575.6|1404|1319.76|0|1950|1271.4|0|714.09|1596.08|1207.05|1175.85|0|2156.856582|1462.5|1522.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|864.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD TI 5.5X105MM|960|508.8|720|768|816|864|0|775.68|691.2|649.73|0|960|625.92|0|351.55|785.76|594.24|578.88|0|2156.856582|720|749.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|425.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|ACIS PROTI LOR/M 9MM|3225|1709.25|2418.75|2580|2741.25|2902.5|0|2605.8|2322|2182.68|0|3225|2102.7|0|1181|2639.66|1996.28|1944.68|0|0|2418.75|2518.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1429|0|0|0|0|0|0|0|0|3225
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONNECTER ROD 5.5MM OUTR|1920.36|1017.79|1440.27|1536.29|1632.31|1728.32|0|1551.65|1382.66|1299.7|0|1920.36|1252.07|0|703.24|1571.81|1188.7|1157.98|0|2156.856582|1440.27|1499.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|850.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|ACIS PROTI LOR/M 8MM|3225|1709.25|2418.75|2580|2741.25|2902.5|0|2605.8|2322|2182.68|0|3225|2102.7|0|1181|2639.66|1996.28|1944.68|0|0|2418.75|2518.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1429|0|0|0|0|0|0|0|0|3225
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CONCORDE LIFT CONVEX 9X21|9405|4984.65|7053.75|7524|7994.25|8464.5|0|7599.24|6771.6|6365.3|0|9405|6132.06|0|3444.11|7697.99|5821.7|5671.22|0|0|7053.75|7345.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4167.36|0|0|0|0|0|0|0|0|9405
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE RECON 32H ANGLED|3419.64|1812.41|2564.73|2735.71|2906.69|3077.68|0|2763.07|2462.14|2314.41|0|3419.64|2229.61|0|1252.27|2798.98|2116.76|2062.04|0|2156.856582|2564.73|2670.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1515.24|0|0|0|0|0|0|0|0|3419.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 475CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 375CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 500CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 535CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 300CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 600CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 455CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1789|TISSUE EXPANDER ARTOURA 350CC|3240|1717.2|2430|2592|2754|2916|0|2617.92|2332.8|2192.83|0|3240|2112.48|0|1186.49|2651.94|2005.56|1953.72|0|0|2430|2530.44|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1435.64|0|0|0|0|0|0|0|0|3240
HOSP OP|0278 - SUPPLY IMPLANTS||C1787|PATIENT REMOTE KIT NEVRO NRSTM|3204|1698.12|2403|2563.2|2723.4|2883.6|0|2588.83|2306.88|2168.47|0|3204|2089.01|0|1173.3|2622.47|1983.28|1932.01|0|0|2403|2502.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1419.69|0|0|0|0|0|0|0|0|3204
HOSP OP|0278 - SUPPLY IMPLANTS||C1822|IPG KIT SENZA NRSTM  STRL LF|29655|15717.15|22241.25|23724|25206.75|26689.5|0|23961.24|21351.6|20070.5|0|29655|19335.06|0|10859.66|24272.62|18356.45|17881.97|0|0|22241.25|23160.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|13140.13|0|0|0|0|0|0|0|0|29655
HOSP OP|0278 - SUPPLY IMPLANTS||C1822|CHARGER KIT SENZA NRSTM NS LF|3561.6|1887.65|2671.2|2849.28|3027.36|3205.44|0|2877.77|2564.35|2410.49|0|3561.6|2322.16|0|1304.26|2915.17|2204.63|2147.64|0|0|2671.2|2781.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1578.14|0|0|0|0|0|0|0|0|3561.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|LEAD SURGICAL KIT NRSTM 50CM|4860|2575.8|3645|3888|4131|4374|0|3926.88|3499.2|3289.25|0|4860|3168.72|0|1779.73|3977.91|3008.34|2930.58|0|0|3645|3795.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2153.47|0|0|0|0|0|0|0|0|4860
HOSP OP|0278 - SUPPLY IMPLANTS||C1778|LEAD SURGICAL KIT SRPS STM 70C|4860|2575.8|3645|3888|4131|4374|0|3926.88|3499.2|3289.25|0|4860|3168.72|0|1779.73|3977.91|3008.34|2930.58|0|0|3645|3795.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2153.47|0|0|0|0|0|0|0|0|4860
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|ADAPT VERSA DIAL 25MM|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH SENTRANT INTRO 28CM 16F|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROGRIP 14CM X 9CM RIGHT|737.56|390.91|553.17|590.05|626.93|663.8|0|595.95|531.04|499.18|0|737.56|480.89|0|270.09|603.69|456.55|444.75|0|0|553.17|576.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|326.81|0|0|0|0|0|0|0|0|737.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 36MM MIN STD PRO HUM|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 36MM +3 MIN STD PRO|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 40MM STD PRO HUM|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 40MM +3 RET HUM|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 36MM +3 RET PRO|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BEARING 40MM +3 STD HUM|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|0|1800|1874.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLEN STD 40MM COCR|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLEN 40MM COCR +3MM|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|GLEN 40MM COCR +6|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY NEUT OFFSET STD|3532.8|1872.38|2649.6|2826.24|3002.88|3179.52|0|2854.5|2543.62|2391|0|3532.8|2303.39|0|1293.71|2891.6|2186.8|2130.28|0|0|2649.6|2759.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1565.38|0|0|0|0|0|0|0|0|3532.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY NEUT OFFSET +5MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY NEUT OFFSET +10MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HUM +3MM STD|3532.8|1872.38|2649.6|2826.24|3002.88|3179.52|0|2854.5|2543.62|2391|0|3532.8|2303.39|0|1293.71|2891.6|2186.8|2130.28|0|0|2649.6|2759.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1565.38|0|0|0|0|0|0|0|0|3532.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HUM +3MM +5MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HIM +3MM +10MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HUM +6MM STD|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HUM +6MM +5MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TRAY OFFSET MIN HUM +6 +10MM|2880|1526.4|2160|2304|2448|2592|0|2327.04|2073.6|1949.18|0|2880|1877.76|0|1054.66|2357.28|1782.72|1736.64|0|0|2160|2249.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1276.13|0|0|0|0|0|0|0|0|2880
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 6 MM X 60 MM X 130 CM|6426|3405.78|4819.5|5140.8|5462.1|5783.4|0|5192.21|4626.72|4349.12|0|6426|4189.75|0|2353.2|5259.68|3977.69|3874.88|0|0|4819.5|5018.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2847.36|0|0|0|0|0|0|0|0|6426
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 6 MM X 80 MM X 130 CM|7266|3850.98|5449.5|5812.8|6176.1|6539.4|0|5870.93|5231.52|4917.63|0|7266|4737.43|0|2660.81|5947.22|4497.65|4381.4|0|0|5449.5|5674.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3219.56|0|0|0|0|0|0|0|0|7266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 6 MM X 100 MM X 130 CM|7266|3850.98|5449.5|5812.8|6176.1|6539.4|0|5870.93|5231.52|4917.63|0|7266|4737.43|0|2660.81|5947.22|4497.65|4381.4|0|0|5449.5|5674.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3219.56|0|0|0|0|0|0|0|0|7266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 6 MM X 120 MM X 130 CM|8106|4296.18|6079.5|6484.8|6890.1|7295.4|0|6549.65|5836.32|5486.14|0|8106|5285.11|0|2968.42|6634.76|5017.61|4887.92|0|0|6079.5|6330.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3591.77|0|0|0|0|0|0|0|0|8106
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 7 MM X 40 MM X 130 CM|5586|2960.58|4189.5|4468.8|4748.1|5027.4|0|4513.49|4021.92|3780.6|0|5586|3642.07|0|2045.59|4572.14|3457.73|3368.36|0|0|4189.5|4362.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2475.16|0|0|0|0|0|0|0|0|5586
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 7 MM X 80 MM X 130 CM|7266|3850.98|5449.5|5812.8|6176.1|6539.4|0|5870.93|5231.52|4917.63|0|7266|4737.43|0|2660.81|5947.22|4497.65|4381.4|0|0|5449.5|5674.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3219.56|0|0|0|0|0|0|0|0|7266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 7 MM X 60 MM X 130 CM|6426|3405.78|4819.5|5140.8|5462.1|5783.4|0|5192.21|4626.72|4349.12|0|6426|4189.75|0|2353.2|5259.68|3977.69|3874.88|0|0|4819.5|5018.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2847.36|0|0|0|0|0|0|0|0|6426
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 7 MM X 100 MM X 130 CM|7266|3850.98|5449.5|5812.8|6176.1|6539.4|0|5870.93|5231.52|4917.63|0|7266|4737.43|0|2660.81|5947.22|4497.65|4381.4|0|0|5449.5|5674.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3219.56|0|0|0|0|0|0|0|0|7266
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 7 MM X 120 MM X 130 CM|8106|4296.18|6079.5|6484.8|6890.1|7295.4|0|6549.65|5836.32|5486.14|0|8106|5285.11|0|2968.42|6634.76|5017.61|4887.92|0|0|6079.5|6330.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3591.77|0|0|0|0|0|0|0|0|8106
HOSP OP|0272 - STERILE SUPPLY||C1729|CANN COPE GASTROJEJUNO|397.6|210.73|298.2|318.08|337.96|357.84|0|321.26|286.27|269.1|0|397.6|259.24|0|145.6|325.44|246.11|239.75|0|0|298.2|310.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|176.18|0|0|0|0|0|0|0|0|397.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER BIRDS NEST JUGULAR|3850|2040.5|2887.5|3080|3272.5|3465|0|3110.8|2772|2605.68|0|3850|2510.2|0|1409.87|3151.23|2383.15|2321.55|0|0|2887.5|3006.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1705.94|0|0|0|0|0|0|0|0|3850
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER BIRDS NEST FEMORAL|3906|2070.18|2929.5|3124.8|3320.1|3515.4|0|3156.05|2812.32|2643.58|0|3906|2546.71|0|1430.38|3197.06|2417.81|2355.32|0|0|2929.5|3050.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1730.75|0|0|0|0|0|0|0|0|3906
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|MIXER US 15-17MM ONYX|1388.8|736.06|1041.6|1111.04|1180.48|1249.92|0|1122.15|999.94|939.94|0|1388.8|905.5|0|508.58|1136.73|859.67|837.45|0|0|1041.6|1084.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|615.38|0|0|0|0|0|0|0|0|1388.8
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL  AXIUM 3D 10MMX20CM|2520|1335.6|1890|2016|2142|2268|0|2036.16|1814.4|1705.54|0|2520|1643.04|0|922.82|2062.62|1559.88|1519.56|0|0|1890|1968.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1116.61|0|0|0|0|0|0|0|0|2520
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT POWER DUAL LUM MRI  9FR|1064|563.92|798|851.2|904.4|957.6|0|859.71|766.08|720.12|0|1064|693.73|0|389.64|870.88|658.62|641.59|0|0|798|830.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|471.46|0|0|0|0|0|0|0|0|1064
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT POWER GROSHONG MRI 8FR|1064|563.92|798|851.2|904.4|957.6|0|859.71|766.08|720.12|0|1064|693.73|0|389.64|870.88|658.62|641.59|0|0|798|830.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|471.46|0|0|0|0|0|0|0|0|1064
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 4X65X5|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INF CRGG- MCN 4X100X20|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INF CRGG-MCNAM 4X40X10|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INF CRGG-MCNAM 4X65X10|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 7MMX29X135CM|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 9MMX39X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 7MMX15X135CM|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN 13MMMX5X75CM 035|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN 10MMX5X110CM 035|8598.8|4557.36|6449.1|6879.04|7308.98|7738.92|0|6947.83|6191.14|5819.67|0|8598.8|5606.42|0|3148.88|7038.12|5322.66|5185.08|0|0|6449.1|6715.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3810.13|0|0|0|0|0|0|0|0|8598.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STNT NPHURSTM 26CM 10.2FR|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STNT NPHURSTM 28CM 10.2FR|246.65|130.72|184.99|197.32|209.65|221.99|0|199.29|177.59|166.93|0|246.65|160.82|0|90.32|201.88|152.68|148.73|0|0|184.99|192.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|109.29|0|0|0|0|0|0|0|0|246.65
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VBX 8MMX59X135CM|8859.2|4695.38|6644.4|7087.36|7530.32|7973.28|0|7158.23|6378.62|5995.91|0|8859.2|5776.2|0|3244.24|7251.26|5483.84|5342.1|0|0|6644.4|6919.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3925.51|0|0|0|0|0|0|0|0|8859.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT PRORTEGE GPS 5X120X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 5X120X130|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 6X120X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT EVRFLX ENTRUST 7X100X120|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT MTL 10X31X135C|5947.62|3152.24|4460.72|4758.1|5055.48|5352.86|0|4805.68|4282.29|4025.35|0|5947.62|3877.85|0|2178.02|4868.13|3681.58|3586.41|0|0|4460.72|4645.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2635.39|0|0|0|0|0|0|0|0|5947.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT MTL 8X36X135C|5947.62|3152.24|4460.72|4758.1|5055.48|5352.86|0|4805.68|4282.29|4025.35|0|5947.62|3877.85|0|2178.02|4868.13|3681.58|3586.41|0|0|4460.72|4645.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2635.39|0|0|0|0|0|0|0|0|5947.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTNT MTL 10X24X135C|5947.62|3152.24|4460.72|4758.1|5055.48|5352.86|0|4805.68|4282.29|4025.35|0|5947.62|3877.85|0|2178.02|4868.13|3681.58|3586.41|0|0|4460.72|4645.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2635.39|0|0|0|0|0|0|0|0|5947.62
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL MNRL XPR SD STNLS STL|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL MNRL XPR SD STNLS STL|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT VASC EVERFLEX 200MM 120CM|3360|1780.8|2520|2688|2856|3024|0|2714.88|2419.2|2274.05|0|3360|2190.72|0|1230.43|2750.16|2079.84|2026.08|0|0|2520|2624.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1488.82|0|0|0|0|0|0|0|0|3360
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL MNRL XPR SD STNLS STL|3327.69|1763.68|2495.77|2662.15|2828.53|2994.92|0|2688.77|2395.94|2252.18|0|3327.69|2169.65|0|1218.6|2723.71|2059.84|2006.6|0|0|2495.77|2598.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1474.5|0|0|0|0|0|0|0|0|3327.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|160CM STNT EPRSTH WLSTNT RP|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT BIL PRTG EVERFLEX NTNL|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT VASC EVERFLEX ENTRUST NI|1176|623.28|882|940.8|999.6|1058.4|0|950.21|846.72|795.92|0|1176|766.75|0|430.65|962.56|727.94|709.13|0|0|882|918.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|521.09|0|0|0|0|0|0|0|0|1176
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|ELUVIA 6 MM X 40 MM X 130 CM|5586|2960.58|4189.5|4468.8|4748.1|5027.4|0|4513.49|4021.92|3780.6|0|5586|3642.07|0|2045.59|4572.14|3457.73|3368.36|0|0|4189.5|4362.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2475.16|0|0|0|0|0|0|0|0|5586
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE THRUWAY .014IN 5X190|293.89|155.76|220.42|235.11|249.8|264.5|0|237.46|211.6|198.9|0|293.89|191.61|0|107.62|240.55|181.92|177.21|0|0|220.42|229.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.22|0|0|0|0|0|0|0|0|293.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1877|STN LVIS AST 3.5X17|17640|9349.2|13230|14112|14994|15876|0|14253.12|12700.8|11938.75|0|17640|11501.28|0|6459.77|14438.34|10919.16|10636.92|0|0|13230|13776.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7816.28|0|0|0|0|0|0|0|0|17640
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT ATLS NEUROFORM 4X30X4.5|20300|10759|15225|16240|17255|18270|0|16402.4|14616|13739.04|0|20300|13235.6|0|7433.86|16615.55|12565.7|12240.9|0|0|15225|15854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8994.93|0|0|0|0|0|0|0|0|20300
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CANC POLYAXIAL 3.5X14MM|2325|1232.25|1743.75|1860|1976.25|2092.5|0|1878.6|1674|1573.56|0|2325|1515.9|0|851.42|1903.01|1439.18|1401.98|0|2156.856582|1743.75|1815.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1030.21|0|0|0|0|0|0|0|0|2325
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH RSLV DRN 25CM 12FR 8 HL|185.7|98.42|139.27|148.56|157.84|167.13|0|150.04|133.7|125.68|0|185.7|121.07|0|68|151.99|114.95|111.97|0|0|139.27|145.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.28|0|0|0|0|0|0|0|0|185.7
HOSP OP|0272 - STERILE SUPPLY||C1729|DRAIN MERMAID 12FRX25CM|170.8|90.52|128.1|136.64|145.18|153.72|0|138.01|122.98|115.6|0|170.8|111.36|0|62.55|139.8|105.73|102.99|0|0|128.1|133.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.68|0|0|0|0|0|0|0|0|170.8
HOSP OP|0272 - STERILE SUPPLY||C1729|DRAIN MERMAID 10FRX25CM|170.8|90.52|128.1|136.64|145.18|153.72|0|138.01|122.98|115.6|0|170.8|111.36|0|62.55|139.8|105.73|102.99|0|0|128.1|133.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.68|0|0|0|0|0|0|0|0|170.8
HOSP OP|0272 - STERILE SUPPLY||C1729|DRAIN MERMAID 8FR X25CM|170.8|90.52|128.1|136.64|145.18|153.72|0|138.01|122.98|115.6|0|170.8|111.36|0|62.55|139.8|105.73|102.99|0|0|128.1|133.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|75.68|0|0|0|0|0|0|0|0|170.8
HOSP OP|0272 - STERILE SUPPLY||C1751|SYS NAMIC FLD MGMT 135IN MAC|18.48|9.79|13.86|14.78|15.71|16.63|0|14.93|13.31|12.51|0|18.48|12.05|0|6.77|15.13|11.44|11.14|0|0|13.86|14.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|8.19|0|0|0|0|0|0|0|0|18.48
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 5CM .02IN 3MM|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL PENUMBRA COIL 400 RUBY|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL PENUMBRA COIL 400 RUBY|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 60CM 40MM STD|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 60CM 36MM STD|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 60CM 16MM STD|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 40CM 12MM STD|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 5CM 3MM STD|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 25CM 8MM|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL POD EMBL 60CM 10-12MM|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 9CM 3MM STD|3612|1914.36|2709|2889.6|3070.2|3250.8|0|2918.5|2600.64|2444.6|0|3612|2355.02|0|1322.71|2956.42|2235.83|2178.04|0|0|2709|2820.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1600.48|0|0|0|0|0|0|0|0|3612
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 12CM 3MM STD|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 15CM 4MM SFT|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 4MM 4CM|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL RUBY EMBL 4CM 2MM STD|2212|1172.36|1659|1769.6|1880.2|1990.8|0|1787.3|1592.64|1497.08|0|2212|1442.22|0|810.03|1810.52|1369.23|1333.84|0|0|1659|1727.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|980.14|0|0|0|0|0|0|0|0|2212
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL POD EMBL 60CM 12-14MM|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL POD EMBL 60CM 8-10MM|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL POD EMBL 20CM 3MM|5012|2656.36|3759|4009.6|4260.2|4510.8|0|4049.7|3608.64|3392.12|0|5012|3267.82|0|1835.39|4102.32|3102.43|3022.24|0|0|3759|3914.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2220.82|0|0|0|0|0|0|0|0|5012
HOSP OP|0272 - STERILE SUPPLY||C1757|PLUG MVP OCL 12X5.3MM 3MM MECH|4186|2218.58|3139.5|3348.8|3558.1|3767.4|0|3382.29|3013.92|2833.08|0|4186|2729.27|0|1532.91|3426.24|2591.13|2524.16|0|0|3139.5|3269.27|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1854.82|0|0|0|0|0|0|0|0|4186
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DWSN-MLLR  DRN 10FR|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT NPHURET 10FR 28CM|156.8|83.1|117.6|125.44|133.28|141.12|0|126.69|112.9|106.12|0|156.8|102.23|0|57.42|128.34|97.06|94.55|0|0|117.6|122.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|69.48|0|0|0|0|0|0|0|0|156.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT  URET DBL PIGTL 8FR  24CM|428.26|226.98|321.2|342.61|364.02|385.43|0|346.03|308.35|289.85|0|428.26|279.23|0|156.83|350.53|265.09|258.24|0|0|321.2|334.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.76|0|0|0|0|0|0|0|0|428.26
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT URET DBL PIGTL 8.3FR 22CM|428.26|226.98|321.2|342.61|364.02|385.43|0|346.03|308.35|289.85|0|428.26|279.23|0|156.83|350.53|265.09|258.24|0|0|321.2|334.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.76|0|0|0|0|0|0|0|0|428.26
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT  NPHURET  8FR 24CM|156.8|83.1|117.6|125.44|133.28|141.12|0|126.69|112.9|106.12|0|156.8|102.23|0|57.42|128.34|97.06|94.55|0|0|117.6|122.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|69.48|0|0|0|0|0|0|0|0|156.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT  NPHURET 8FR 26CM|156.8|83.1|117.6|125.44|133.28|141.12|0|126.69|112.9|106.12|0|156.8|102.23|0|57.42|128.34|97.06|94.55|0|0|117.6|122.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|69.48|0|0|0|0|0|0|0|0|156.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT  URET DBL PIGTL 8FR 28CM|428.26|226.98|321.2|342.61|364.02|385.43|0|346.03|308.35|289.85|0|428.26|279.23|0|156.83|350.53|265.09|258.24|0|0|321.2|334.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.76|0|0|0|0|0|0|0|0|428.26
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT URET DBL PIGTL 8FR 26CM|428.26|226.98|321.2|342.61|364.02|385.43|0|346.03|308.35|289.85|0|428.26|279.23|0|156.83|350.53|265.09|258.24|0|0|321.2|334.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.76|0|0|0|0|0|0|0|0|428.26
HOSP OP|0272 - STERILE SUPPLY||C1757|UNIT AR0W-TREROTOLA  DRVR 5FR|570.02|302.11|427.52|456.02|484.52|513.02|0|460.58|410.42|385.79|0|570.02|371.66|0|208.74|466.56|352.84|343.72|0|0|427.52|445.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|252.58|0|0|0|0|0|0|0|0|570.02
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 4X80X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH  FORTREX  9X40X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 9X80X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 12X40X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 7X20X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 5X80X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 9X40X40|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 10X8040|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH  FORTREX 10X80X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 6X80X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 5X80X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 5X40X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH  FORTREX 5X20X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 4X80X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 4X20X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CATH FORTREX 4X40X80|336|178.08|252|268.8|285.6|302.4|0|271.49|241.92|227.4|0|336|219.07|0|123.04|275.02|207.98|202.61|0|0|252|262.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|148.88|0|0|0|0|0|0|0|0|336
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH INTRO 4 3/8IN 8FR|75.6|40.07|56.7|60.48|64.26|68.04|0|61.08|54.43|51.17|0|75.6|49.29|0|27.68|61.88|46.8|45.59|0|0|56.7|59.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|33.5|0|0|0|0|0|0|0|0|75.6
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GLDCATH COBRA 2 FR 65CM|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1755|KIT DRN 80CM LMBR CLS EDM|690.23|365.82|517.67|552.18|586.69|621.21|0|557.7|496.96|467.15|0|690.23|450.03|0|252.76|564.95|427.25|416.21|0|0|517.67|539.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|305.84|0|0|0|0|0|0|0|0|690.23
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH SPRT 90CM .056IN TRLBLZR|591.36|313.42|443.52|473.09|502.66|532.22|0|477.82|425.78|400.23|0|591.36|385.57|0|216.56|484.03|366.05|356.59|0|0|443.52|461.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262.03|0|0|0|0|0|0|0|0|591.36
HOSP OP|0272 - STERILE SUPPLY||C1887|TRAILBLAZER ANGLED V03|2956.8|1567.1|2217.6|2365.44|2513.28|2661.12|0|2389.09|2128.9|2001.16|0|2956.8|1927.83|0|1082.78|2420.14|1830.26|1782.95|0|0|2217.6|2309.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1310.16|0|0|0|0|0|0|0|0|2956.8
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH CONQ BLLN DIL 50CM 6MM|672|356.16|504|537.6|571.2|604.8|0|542.98|483.84|454.81|0|672|438.14|0|246.09|550.03|415.97|405.22|0|0|504|524.83|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|297.76|0|0|0|0|0|0|0|0|672
HOSP OP|0278 - SUPPLY IMPLANTS||C1788|PORT IMPLINFN POWERPORT CLRVU|1106|586.18|829.5|884.8|940.1|995.4|0|893.65|796.32|748.54|0|1106|721.11|0|405.02|905.26|684.61|666.92|0|0|829.5|863.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|490.07|0|0|0|0|0|0|0|0|1106
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STNT INTRCRAN 3.5MM 20MM|18606.7|9861.55|13955.03|14885.36|15815.7|16746.03|0|15034.21|13396.82|12593.01|0|18606.7|12131.57|0|6813.77|15229.58|11517.55|11219.84|0|2156.856582|13955.03|14531.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|8244.63|0|0|0|0|0|0|0|0|18606.7
HOSP OP|0272 - STERILE SUPPLY||C1887|MCTH CRBRVASC 135CM EXCLS|2832.9|1501.44|2124.68|2266.32|2407.97|2549.61|0|2288.98|2039.69|1917.31|0|2832.9|1847.05|0|1037.41|2318.73|1753.57|1708.24|0|0|2124.68|2212.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1255.26|0|0|0|0|0|0|0|0|2832.9
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL 10.2X22CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0272 - STERILE SUPPLY||C1726|BALLOON XPRESS ULTRA 6X20MM|3499.2|1854.58|2624.4|2799.36|2974.32|3149.28|0|2827.35|2519.42|2368.26|0|3499.2|2281.48|0|1281.41|2864.1|2166|2110.02|0|0|2624.4|2732.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1550.5|0|0|0|0|0|0|0|0|3499.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|SET INTRO PEEL-WAY 8FR 038|369.6|195.89|277.2|295.68|314.16|332.64|0|298.64|266.11|250.15|0|369.6|240.98|0|135.35|302.52|228.78|222.87|0|0|277.2|288.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|163.77|0|0|0|0|0|0|0|0|369.6
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE GOOSENECK 6FR 102CM|784|415.52|588|627.2|666.4|705.6|0|633.47|564.48|530.61|0|784|511.17|0|287.1|641.7|485.3|472.75|0|0|588|612.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|347.39|0|0|0|0|0|0|0|0|784
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH MAHURKAR 11.5X16C|870.49|461.36|652.87|696.39|739.92|783.44|0|703.36|626.75|589.15|0|870.49|567.56|0|318.77|712.5|538.83|524.91|0|0|652.87|679.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|385.72|0|0|0|0|0|0|0|0|870.49
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH  MARKSMAN 150CM|2800|1484|2100|2240|2380|2520|0|2262.4|2016|1895.04|0|2800|1825.6|0|1025.36|2291.8|1733.2|1688.4|0|0|2100|2186.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240.68|0|0|0|0|0|0|0|0|2800
HOSP OP|0278 - SUPPLY IMPLANTS||C1813|INFRAPUBIC CYLINDER PUMP TITAN|14741.1|7812.78|11055.83|11792.88|12529.94|13266.99|0|11910.81|10613.59|9976.78|0|14741.1|9611.2|0|5398.19|12065.59|9124.74|8888.88|0|0|11055.83|11512.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6531.78|0|0|0|0|0|0|0|0|14741.1
HOSP OP|0278 - SUPPLY IMPLANTS||C1813|CL RESERVOIR TITAN|3531.6|1871.75|2648.7|2825.28|3001.86|3178.44|0|2853.53|2542.75|2390.19|0|3531.6|2302.6|0|1293.27|2890.61|2186.06|2129.55|0|0|2648.7|2758.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1564.85|0|0|0|0|0|0|0|0|3531.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW SYNAPSE 4.5X8MM LCK|410.4|217.51|307.8|328.32|348.84|369.36|0|331.6|295.49|277.76|0|410.4|267.58|0|150.29|335.91|254.04|247.47|0|2156.856582|307.8|320.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|181.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|DTRAX CERVICAL CAGE B|3300|1749|2475|2640|2805|2970|0|2666.4|2376|2233.44|0|3300|2151.6|0|1208.46|2701.05|2042.7|1989.9|0|0|2475|2577.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1462.23|0|0|0|0|0|0|0|0|3300
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ACIS 14X13X6MM|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|0|2137.5|2225.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|SPACER ACIS 14X13X7MM|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|0|2137.5|2225.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 8FR 15.5CM PLWY|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 10FR 20CM 15.5CM|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 12FR 15.5CM PLWY|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO SHTH 20CM 15.5CM PLWY 14|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0272 - STERILE SUPPLY||C1894|SET INTRO 15.5CM 6FR PLWY PERC|93.16|49.38|69.87|74.52|79.18|83.84|0|75.27|67.07|63.05|0|93.16|60.74|0|34.11|76.25|57.66|56.17|0|0|69.87|72.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|41.28|0|0|0|0|0|0|0|0|93.16
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH APD FLEXIMA 8FR 25CM|226.8|120.2|170.1|181.44|192.78|204.12|0|183.25|163.3|153.5|0|226.8|147.87|0|83.05|185.64|140.39|136.76|0|0|170.1|177.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.5|0|0|0|0|0|0|0|0|226.8
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH APD FLEXIIMA  10FR 20CM|226.8|120.2|170.1|181.44|192.78|204.12|0|183.25|163.3|153.5|0|226.8|147.87|0|83.05|185.64|140.39|136.76|0|0|170.1|177.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|100.5|0|0|0|0|0|0|0|0|226.8
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DWSN-MLLR DRN 25CM 14FR|177.52|94.09|133.14|142.02|150.89|159.77|0|143.44|127.81|120.15|0|177.52|115.74|0|65.01|145.3|109.88|107.04|0|0|133.14|138.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|78.66|0|0|0|0|0|0|0|0|177.52
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 3X60 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 3X80 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 3X100 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 3X120 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 4X120 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 8X60 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 7X120 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 6X60 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN EVERCROSS 5X60 135CM|196|103.88|147|156.8|166.6|176.4|0|158.37|141.12|132.65|0|196|127.79|0|71.78|160.43|121.32|118.19|0|0|147|153.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.85|0|0|0|0|0|0|0|0|196
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL NESTER 14CM 18MM 2.5|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL NESTER 14CM 16MM 2.8|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL NESTER 14CM 20MM 2.2|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1884|COIL NESTER  14CM 3MM 14.9|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN CHARGER 8X150 135CM|210.76|111.7|158.07|168.6|179.14|189.68|0|170.29|151.74|142.64|0|210.76|137.41|0|77.18|172.5|130.46|127.09|0|0|158.07|164.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|93.39|0|0|0|0|0|0|0|0|210.76
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH PINNACLE  STR 6FR 90CM|257.6|136.53|193.2|206.08|218.96|231.84|0|208.14|185.47|174.34|0|257.6|167.96|0|94.33|210.85|159.45|155.33|0|0|193.2|201.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|114.14|0|0|0|0|0|0|0|0|257.6
HOSP OP|0272 - STERILE SUPPLY||C1887|SHEATH DESTINATION 7FR|257.6|136.53|193.2|206.08|218.96|231.84|0|208.14|185.47|174.34|0|257.6|167.96|0|94.33|210.85|159.45|155.33|0|0|193.2|201.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|114.14|0|0|0|0|0|0|0|0|257.6
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH SELECT H1 5FR 130CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH SELECT H1 5FR 120CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH SELECT BER 5FR 130CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH SELECT SIM 5FR 130CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH DLV SYS SIMV TIP 6FR 125C|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH PACIFIC PLS 6X120 90CM|392|207.76|294|313.6|333.2|352.8|0|316.74|282.24|265.31|0|392|255.58|0|143.55|320.85|242.65|236.38|0|0|294|306.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|173.7|0|0|0|0|0|0|0|0|392
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STNT URETERAL 10X28CM|428.26|226.98|321.2|342.61|364.02|385.43|0|346.03|308.35|289.85|0|428.26|279.23|0|156.83|350.53|265.09|258.24|0|0|321.2|334.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|189.76|0|0|0|0|0|0|0|0|428.26
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN SYMMETRY 3X4 135CM|434.7|230.39|326.03|347.76|369.5|391.23|0|351.24|312.98|294.2|0|434.7|283.42|0|159.19|355.8|269.08|262.12|0|0|326.03|339.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|192.62|0|0|0|0|0|0|0|0|434.7
HOSP OP|0272 - STERILE SUPPLY||C1769|LCK VASC 260CM .035IN FLXTP|504|267.12|378|403.2|428.4|453.6|0|407.23|362.88|341.11|0|504|328.61|0|184.56|412.52|311.98|303.91|0|0|378|393.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|223.32|0|0|0|0|0|0|0|0|504
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN COYOTE 3X60 014|529.62|280.7|397.22|423.7|450.18|476.66|0|427.93|381.33|358.45|0|529.62|345.31|0|193.95|433.49|327.83|319.36|0|0|397.22|413.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|234.67|0|0|0|0|0|0|0|0|529.62
HOSP OP|0272 - STERILE SUPPLY||C1726|CNN BN CMNT 11GA IVAS BVL STY|1191.99|631.76|893.99|953.59|1013.19|1072.79|0|963.13|858.23|806.74|0|1191.99|777.18|0|436.51|975.64|737.84|718.77|0|0|893.99|930.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|528.17|0|0|0|0|0|0|0|0|1191.99
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH NAVIEN STR 6FR .072IN|1500.8|795.42|1125.6|1200.64|1275.68|1350.72|0|1212.65|1080.58|1015.74|0|1500.8|978.52|0|549.59|1228.4|929|904.98|0|0|1125.6|1172.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|665|0|0|0|0|0|0|0|0|1500.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|KIT CATH PERITONEAL.038 L57 CM|322.08|170.7|241.56|257.67|273.77|289.88|0|260.24|231.9|217.99|0|322.08|210|0|117.95|263.63|199.37|194.22|0|0|241.56|251.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|142.72|0|0|0|0|0|0|0|0|322.08
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH PX SLIM 45 TIP  150CM|2604|1380.12|1953|2083.2|2213.4|2343.6|0|2104.03|1874.88|1762.39|0|2604|1697.81|0|953.58|2131.37|1611.88|1570.21|0|0|1953|2033.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1153.83|0|0|0|0|0|0|0|0|2604
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH PX SLIM 130 TIP 150CM|2604|1380.12|1953|2083.2|2213.4|2343.6|0|2104.03|1874.88|1762.39|0|2604|1697.81|0|953.58|2131.37|1611.88|1570.21|0|0|1953|2033.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1153.83|0|0|0|0|0|0|0|0|2604
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH MARKSMAN 3.2FR 160C|2646|1402.38|1984.5|2116.8|2249.1|2381.4|0|2137.97|1905.12|1790.81|0|2646|1725.19|0|968.97|2165.75|1637.87|1595.54|0|0|1984.5|2066.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1172.44|0|0|0|0|0|0|0|0|2646
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH BLLN OCL .01IN 2MM|2772|1469.16|2079|2217.6|2356.2|2494.8|0|2239.78|1995.84|1876.09|0|2772|1807.34|0|1015.11|2268.88|1715.87|1671.52|0|0|2079|2164.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1228.27|0|0|0|0|0|0|0|0|2772
HOSP OP|0272 - STERILE SUPPLY||C1726|KIT BN BX IVAS 11GA LF|1293.6|685.61|970.2|1034.88|1099.56|1164.24|0|1045.23|931.39|875.51|0|1293.6|843.43|0|473.72|1058.81|800.74|780.04|0|0|970.2|1010.3|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|573.19|0|0|0|0|0|0|0|0|1293.6
HOSP OP|0272 - STERILE SUPPLY||C1773|KIT SNR AGN 90D MIC 175CM|1618.96|858.05|1214.22|1295.17|1376.12|1457.06|0|1308.12|1165.65|1095.71|0|1618.96|1055.56|0|592.86|1325.12|1002.14|976.23|0|0|1214.22|1264.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|717.36|0|0|0|0|0|0|0|0|1618.96
HOSP OP|0272 - STERILE SUPPLY||C1773|KIT SNR 175CM 7MM 2.3-3FR AGN|1618.96|858.05|1214.22|1295.17|1376.12|1457.06|0|1308.12|1165.65|1095.71|0|1618.96|1055.56|0|592.86|1325.12|1002.14|976.23|0|0|1214.22|1264.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|717.36|0|0|0|0|0|0|0|0|1618.96
HOSP OP|0272 - STERILE SUPPLY||C1884|SYS EMBL PRTC 190CM .014IN 110|3289.75|1743.57|2467.31|2631.8|2796.29|2960.77|0|2658.12|2368.62|2226.5|0|3289.75|2144.92|0|1204.71|2692.66|2036.35|1983.72|0|0|2467.31|2569.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1457.69|0|0|0|0|0|0|0|0|3289.75
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 5MM 130CM 250MM|5992|3175.76|4494|4793.6|5093.2|5392.8|0|4841.54|4314.24|4055.39|0|5992|3906.78|0|2194.27|4904.45|3709.05|3613.18|0|0|4494|4679.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2655.06|0|0|0|0|0|0|0|0|5992
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 5MM 130CM 200MM|5446|2886.38|4084.5|4356.8|4629.1|4901.4|0|4400.37|3921.12|3685.85|0|5446|3550.79|0|1994.33|4457.55|3371.07|3283.94|0|0|4084.5|4253.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2413.12|0|0|0|0|0|0|0|0|5446
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 4MM 130CM 200MM|5446|2886.38|4084.5|4356.8|4629.1|4901.4|0|4400.37|3921.12|3685.85|0|5446|3550.79|0|1994.33|4457.55|3371.07|3283.94|0|0|4084.5|4253.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2413.12|0|0|0|0|0|0|0|0|5446
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 4MM 130CM 250MM|5992|3175.76|4494|4793.6|5093.2|5392.8|0|4841.54|4314.24|4055.39|0|5992|3906.78|0|2194.27|4904.45|3709.05|3613.18|0|0|4494|4679.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2655.06|0|0|0|0|0|0|0|0|5992
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 6MM 130CM 200MM|5446|2886.38|4084.5|4356.8|4629.1|4901.4|0|4400.37|3921.12|3685.85|0|5446|3550.79|0|1994.33|4457.55|3371.07|3283.94|0|0|4084.5|4253.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2413.12|0|0|0|0|0|0|0|0|5446
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BLLN DIL 6MM 130CM 250MM|5446|2886.38|4084.5|4356.8|4629.1|4901.4|0|4400.37|3921.12|3685.85|0|5446|3550.79|0|1994.33|4457.55|3371.07|3283.94|0|0|4084.5|4253.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2413.12|0|0|0|0|0|0|0|0|5446
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH THRMB 115CM 8FR INDG LG|9114|4830.42|6835.5|7291.2|7746.9|8202.6|0|7364.11|6562.08|6168.36|0|9114|5942.33|0|3337.55|7459.81|5641.57|5495.74|0|0|6835.5|7118.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4038.41|0|0|0|0|0|0|0|0|9114
HOSP OP|0272 - STERILE SUPPLY||C1884|DEVICE REVASCULAR 3D|15372|8147.16|11529|12297.6|13066.2|13834.8|0|12420.58|11067.84|10403.77|0|15372|10022.54|0|5629.23|12581.98|9515.27|9269.32|0|0|11529|12005.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6811.33|0|0|0|0|0|0|0|0|15372
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|INTRO SHTH 7FR 5CM 30CM MP|142.21|75.37|106.66|113.77|120.88|127.99|0|114.91|102.39|96.25|0|142.21|92.72|0|52.08|116.4|88.03|85.75|0|0|106.66|111.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.01|0|0|0|0|0|0|0|0|142.21
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH APD FLEXIMA 12FR 25CM|154.9|82.1|116.17|123.92|131.66|139.41|0|125.16|111.53|104.83|0|154.9|100.99|0|56.72|126.78|95.88|93.4|0|0|116.17|120.97|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|68.63|0|0|0|0|0|0|0|0|154.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1766|SHEATH ENDOSCOPIC SIZE|1610|853.3|1207.5|1288|1368.5|1449|0|1300.88|1159.2|1089.65|0|1610|1049.72|0|589.58|1317.79|996.59|970.83|0|0|1207.5|1257.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.39|0|0|0|0|0|0|0|0|1610
HOSP OP|0278 - SUPPLY IMPLANTS||C1766|SHEATH TG0705517 7F|1610|853.3|1207.5|1288|1368.5|1449|0|1300.88|1159.2|1089.65|0|1610|1049.72|0|589.58|1317.79|996.59|970.83|0|0|1207.5|1257.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|713.39|0|0|0|0|0|0|0|0|1610
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL 4CM 1.5MM HYDROSOFT|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL 2CM 1.5MM HYDROFRAME|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 2X2CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10 2X3CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10 2X4CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10 2X6CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYRDOSOFT 3D 2X8CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 3X6CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 3X8CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 3X10C|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 4X8CM|2527|1339.31|1895.25|2021.6|2147.95|2274.3|0|2041.82|1819.44|1710.27|0|2527|1647.6|0|925.39|2068.35|1564.21|1523.78|0|0|1895.25|1973.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1119.71|0|0|0|0|0|0|0|0|2527
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D  4X10C|2926|1550.78|2194.5|2340.8|2487.1|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|2194.5|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10  6X20C|2926|1550.78|2194.5|2340.8|2487.1|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|2194.5|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 1.5X2|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 5X15C|2926|1550.78|2194.5|2340.8|2487.1|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|2194.5|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10  5X20C|2926|1550.78|2194.5|2340.8|2487.1|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|2194.5|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 10 6X15C|2926|1550.78|2194.5|2340.8|2487.1|2633.4|0|2364.21|2106.72|1980.32|0|2926|1907.75|0|1071.5|2394.93|1811.19|1764.38|0|0|2194.5|2285.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1296.51|0|0|0|0|0|0|0|0|2926
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D  1.5X4|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 2X2|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 2X4CM|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROSOFT 3D 2X6CM|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROFRAME 2.5X4CM|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL HYDROFRAME 3X6CM|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL  HYDROSOFT 3D 3X8CM|4522|2396.66|3391.5|3617.6|3843.7|4069.8|0|3653.78|3255.84|3060.49|0|4522|2948.34|0|1655.96|3701.26|2799.12|2726.77|0|0|3391.5|3531.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.7|0|0|0|0|0|0|0|0|4522
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH SOFIA 5FR 125CM|5239.5|2776.93|3929.63|4191.6|4453.58|4715.55|0|4233.52|3772.44|3546.09|0|5239.5|3416.15|0|1918.7|4288.53|3243.25|3159.42|0|0|3929.63|4092.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2321.62|0|0|0|0|0|0|0|0|5239.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 11X35M|6826.4|3617.99|5119.8|5461.12|5802.44|6143.76|0|5515.73|4915.01|4620.11|0|6826.4|4450.81|0|2499.83|5587.41|4225.54|4116.32|0|0|5119.8|5331.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3024.78|0|0|0|0|0|0|0|0|6826.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 12X35CM|6826.4|3617.99|5119.8|5461.12|5802.44|6143.76|0|5515.73|4915.01|4620.11|0|6826.4|4450.81|0|2499.83|5587.41|4225.54|4116.32|0|0|5119.8|5331.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3024.78|0|0|0|0|0|0|0|0|6826.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 8X15CM|6896.4|3655.09|5172.3|5517.12|5861.94|6206.76|0|5572.29|4965.41|4667.48|0|6896.4|4496.45|0|2525.46|5644.7|4268.87|4158.53|0|0|5172.3|5386.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3055.79|0|0|0|0|0|0|0|0|6896.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 12X45CM|6963.6|3690.71|5222.7|5570.88|5919.06|6267.24|0|5626.59|5013.79|4712.96|0|6963.6|4540.27|0|2550.07|5699.71|4310.47|4199.05|0|0|5222.7|5438.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3085.57|0|0|0|0|0|0|0|0|6963.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 8X20CM|7033.6|3727.81|5275.2|5626.88|5978.56|6330.24|0|5683.15|5064.19|4760.34|0|7033.6|4585.91|0|2575.7|5757|4353.8|4241.26|0|0|5275.2|5493.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3116.59|0|0|0|0|0|0|0|0|7033.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 14X50CM|7033.6|3727.81|5275.2|5626.88|5978.56|6330.24|0|5683.15|5064.19|4760.34|0|7033.6|4585.91|0|2575.7|5757|4353.8|4241.26|0|0|5275.2|5493.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3116.59|0|0|0|0|0|0|0|0|7033.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 18X57CM|7128.8|3778.26|5346.6|5703.04|6059.48|6415.92|0|5760.07|5132.74|4824.77|0|7128.8|4647.98|0|2610.57|5834.92|4412.73|4298.67|0|0|5346.6|5567.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3158.77|0|0|0|0|0|0|0|0|7128.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 24X57CM|7128.8|3778.26|5346.6|5703.04|6059.48|6415.92|0|5760.07|5132.74|4824.77|0|7128.8|4647.98|0|2610.57|5834.92|4412.73|4298.67|0|0|5346.6|5567.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3158.77|0|0|0|0|0|0|0|0|7128.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 15X57CM|7128.8|3778.26|5346.6|5703.04|6059.48|6415.92|0|5760.07|5132.74|4824.77|0|7128.8|4647.98|0|2610.57|5834.92|4412.73|4298.67|0|0|5346.6|5567.59|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3158.77|0|0|0|0|0|0|0|0|7128.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 9X25CM|7170.8|3800.52|5378.1|5736.64|6095.18|6453.72|0|5794.01|5162.98|4853.2|0|7170.8|4675.36|0|2625.95|5869.3|4438.73|4323.99|0|0|5378.1|5600.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3177.38|0|0|0|0|0|0|0|0|7170.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 20X60CM|7170.8|3800.52|5378.1|5736.64|6095.18|6453.72|0|5794.01|5162.98|4853.2|0|7170.8|4675.36|0|2625.95|5869.3|4438.73|4323.99|0|0|5378.1|5600.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3177.38|0|0|0|0|0|0|0|0|7170.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 22X60CM|7170.8|3800.52|5378.1|5736.64|6095.18|6453.72|0|5794.01|5162.98|4853.2|0|7170.8|4675.36|0|2625.95|5869.3|4438.73|4323.99|0|0|5378.1|5600.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3177.38|0|0|0|0|0|0|0|0|7170.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 16X60CM|7170.8|3800.52|5378.1|5736.64|6095.18|6453.72|0|5794.01|5162.98|4853.2|0|7170.8|4675.36|0|2625.95|5869.3|4438.73|4323.99|0|0|5378.1|5600.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3177.38|0|0|0|0|0|0|0|0|7170.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 10X30CM|7308|3873.24|5481|5846.4|6211.8|6577.2|0|5904.86|5261.76|4946.05|0|7308|4764.82|0|2676.19|5981.6|4523.65|4406.72|0|0|5481|5707.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3238.17|0|0|0|0|0|0|0|0|7308
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 11X35CM|7448|3947.44|5586|5958.4|6330.8|6703.2|0|6017.98|5362.56|5040.81|0|7448|4856.1|0|2727.46|6096.19|4610.31|4491.14|0|0|5586|5816.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3300.21|0|0|0|0|0|0|0|0|7448
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 12X35CM|7448|3947.44|5586|5958.4|6330.8|6703.2|0|6017.98|5362.56|5040.81|0|7448|4856.1|0|2727.46|6096.19|4610.31|4491.14|0|0|5586|5816.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3300.21|0|0|0|0|0|0|0|0|7448
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 13X35CM|7448|3947.44|5586|5958.4|6330.8|6703.2|0|6017.98|5362.56|5040.81|0|7448|4856.1|0|2727.46|6096.19|4610.31|4491.14|0|0|5586|5816.89|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3300.21|0|0|0|0|0|0|0|0|7448
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 14X40CM|7585.2|4020.16|5688.9|6068.16|6447.42|6826.68|0|6128.84|5461.34|5133.66|0|7585.2|4945.55|0|2777.7|6208.49|4695.24|4573.88|0|0|5688.9|5924.04|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3361|0|0|0|0|0|0|0|0|7585.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX SFT 156X45CM|7722.4|4092.87|5791.8|6177.92|6564.04|6950.16|0|6239.7|5560.13|5226.52|0|7722.4|5035|0|2827.94|6320.78|4780.17|4656.61|0|0|5791.8|6031.19|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3421.8|0|0|0|0|0|0|0|0|7722.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL COMPLEX STD 28X60CM|7999.6|4239.79|5999.7|6399.68|6799.66|7199.64|0|6463.68|5759.71|5414.13|0|7999.6|5215.74|0|2929.45|6547.67|4951.75|4823.76|0|0|5999.7|6247.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3544.62|0|0|0|0|0|0|0|0|7999.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1770|COIL EMBL CONPLEX STD 32X60CM|7999.6|4239.79|5999.7|6399.68|6799.66|7199.64|0|6463.68|5759.71|5414.13|0|7999.6|5215.74|0|2929.45|6547.67|4951.75|4823.76|0|0|5999.7|6247.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3544.62|0|0|0|0|0|0|0|0|7999.6
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY EMB 2FR LF|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|0|270|281.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|159.52|0|0|0|0|0|0|0|0|360
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY EMB 3FR LF|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|0|270|281.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|159.52|0|0|0|0|0|0|0|0|360
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY EMB 4FR LF|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|0|270|281.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|159.52|0|0|0|0|0|0|0|0|360
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY EMB 5FR LF|360|190.8|270|288|306|324|0|290.88|259.2|243.65|0|360|234.72|0|131.83|294.66|222.84|217.08|0|0|270|281.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|159.52|0|0|0|0|0|0|0|0|360
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH INFS CRGG-MCNAM 4X135X20|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT VBHN VETRO .035 8MMX10CM|9430.4|4998.11|7072.8|7544.32|8015.84|8487.36|0|7619.76|6789.89|6382.49|0|9430.4|6148.62|0|3453.41|7718.78|5837.42|5686.53|0|0|7072.8|7365.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4178.61|0|0|0|0|0|0|0|0|9430.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT  VBHN .014 6MMX15CM|11250.4|5962.71|8437.8|9000.32|9562.84|10125.36|0|9090.32|8100.29|7614.27|0|11250.4|7335.26|0|4119.9|9208.45|6964|6783.99|0|0|8437.8|8786.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4985.05|0|0|0|0|0|0|0|0|11250.4
HOSP OP|0272 - STERILE SUPPLY||C1773|RETRIEVER ENDO SNARE INDY 8FR|1430.8|758.32|1073.1|1144.64|1216.18|1287.72|0|1156.09|1030.18|968.37|0|1430.8|932.88|0|523.96|1171.11|885.67|862.77|0|0|1073.1|1117.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|633.99|0|0|0|0|0|0|0|0|1430.8
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 300CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 400CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 500CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 600CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 750CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH  850CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 350CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 450CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH  550CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 650CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 800CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 950CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 250CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 300CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 400CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 500CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 600CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 700CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 300CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 400CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 500CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 600CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 700CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 850CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 200CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 250CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 300CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 375CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 450CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 550CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 250CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 350CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 400CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 500CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 650CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|EXPANDER TISSUE SMOOTH 800CC|3348|1774.44|2511|2678.4|2845.8|3013.2|0|2705.18|2410.56|2265.93|0|3348|2182.9|0|1226.04|2740.34|2072.41|2018.84|0|0|2511|2614.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1483.5|0|0|0|0|0|0|0|0|3348
HOSP OP|0272 - STERILE SUPPLY||A4649|TUBE REUTRBOBINVENT 145215-ENT|121.6|64.45|91.2|97.28|103.36|109.44|0|98.25|87.55|82.3|0|121.6|79.28|0|44.53|99.53|75.27|73.32|0|11.99410609|91.2|94.97|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|53.88|0|0|0|0|0|0|0|0|121.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE SURG 15X15CM|145.16|76.93|108.87|116.13|123.39|130.64|0|117.29|104.52|98.24|0|145.16|94.64|0|53.16|118.81|89.85|87.53|0|0|108.87|113.37|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64.32|0|0|0|0|0|0|0|0|145.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE SURG 30X30CM|315.08|166.99|236.31|252.06|267.82|283.57|0|254.58|226.86|213.25|0|315.08|205.43|0|115.38|257.89|195.03|189.99|0|0|236.31|246.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|139.61|0|0|0|0|0|0|0|0|315.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH DUATENE SURG 10CM BILAYER|664.12|351.98|498.09|531.3|564.5|597.71|0|536.61|478.17|449.48|0|664.12|433.01|0|243.2|543.58|411.09|400.46|0|0|498.09|518.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|294.27|0|0|0|0|0|0|0|0|664.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETEX SURG 4.6CM COMP|1206.56|639.48|904.92|965.25|1025.58|1085.9|0|974.9|868.72|816.6|0|1206.56|786.68|0|441.84|987.57|746.86|727.56|0|0|904.92|942.32|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|534.63|0|0|0|0|0|0|0|0|1206.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETEX SURG 6.6CM COMP|1445.88|766.32|1084.41|1156.7|1229|1301.29|0|1168.27|1041.03|978.57|0|1445.88|942.71|0|529.48|1183.45|895|871.87|0|0|1084.41|1129.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|640.67|0|0|0|0|0|0|0|0|1445.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETEX SURG 8.6CM COMP|1857.2|984.32|1392.9|1485.76|1578.62|1671.48|0|1500.62|1337.18|1256.95|0|1857.2|1210.89|0|680.11|1520.12|1149.61|1119.89|0|0|1392.9|1450.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|822.93|0|0|0|0|0|0|0|0|1857.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYMBOTEX SURG 15X10CM 2|1487.28|788.26|1115.46|1189.82|1264.19|1338.55|0|1201.72|1070.84|1006.59|0|1487.28|969.71|0|544.64|1217.34|920.63|896.83|0|0|1115.46|1161.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|659.01|0|0|0|0|0|0|0|0|1487.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYMBOTEX SURG 20X15CM 2|1718.88|911.01|1289.16|1375.1|1461.05|1546.99|0|1388.86|1237.59|1163.34|0|1718.88|1120.71|0|629.45|1406.9|1063.99|1036.48|0|0|1289.16|1342.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|761.64|0|0|0|0|0|0|0|0|1718.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYMBOTEX SURG 25X20CM 2|2870.91|1521.58|2153.18|2296.73|2440.27|2583.82|0|2319.7|2067.06|1943.03|0|2870.91|1871.83|0|1051.33|2349.84|1777.09|1731.16|0|0|2153.18|2242.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1272.1|0|0|0|0|0|0|0|0|2870.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 12CM|1100.08|583.04|825.06|880.06|935.07|990.07|0|888.86|792.06|744.53|0|1100.08|717.25|0|402.85|900.42|680.95|663.35|0|0|825.06|859.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|487.45|0|0|0|0|0|0|0|0|1100.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 10X15CM|1100.08|583.04|825.06|880.06|935.07|990.07|0|888.86|792.06|744.53|0|1100.08|717.25|0|402.85|900.42|680.95|663.35|0|0|825.06|859.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|487.45|0|0|0|0|0|0|0|0|1100.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 20X15CM|1764.72|935.3|1323.54|1411.78|1500.01|1588.25|0|1425.89|1270.6|1194.36|0|1764.72|1150.6|0|646.24|1444.42|1092.36|1064.13|0|0|1323.54|1378.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|781.95|0|0|0|0|0|0|0|0|1764.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 25X20CM|2011.65|1066.17|1508.74|1609.32|1709.9|1810.49|0|1625.41|1448.39|1361.48|0|2011.65|1311.6|0|736.67|1646.54|1245.21|1213.02|0|0|1508.74|1571.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|891.36|0|0|0|0|0|0|0|0|2011.65
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETEX PROGRIP SURG 6X6|695.44|368.58|521.58|556.35|591.12|625.9|0|561.92|500.72|470.67|0|695.44|453.43|0|254.67|569.22|430.48|419.35|0|0|521.58|543.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|308.15|0|0|0|0|0|0|0|0|695.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETEX PROGRIP SURG 30|1173.44|621.92|880.08|938.75|997.42|1056.1|0|948.14|844.88|794.18|0|1173.44|765.08|0|429.71|960.46|726.36|707.58|0|0|880.08|916.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|519.95|0|0|0|0|0|0|0|0|1173.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 30X20CM|2750.19|1457.6|2062.64|2200.15|2337.66|2475.17|0|2222.15|1980.14|1861.33|0|2750.19|1793.12|0|1007.12|2251.03|1702.37|1658.36|0|0|2062.64|2147.9|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1218.61|0|0|0|0|0|0|0|0|2750.19
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SYMBOTEX SURG 3.3X2.3MM 9|802.12|425.12|601.59|641.7|681.8|721.91|0|648.11|577.53|542.87|0|802.12|522.98|0|293.74|656.54|496.51|483.68|0|0|601.59|626.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|355.42|0|0|0|0|0|0|0|0|802.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE SURG 15X10CM|125.12|66.31|93.84|100.1|106.35|112.61|0|101.1|90.09|84.68|0|125.12|81.58|0|45.82|102.41|77.45|75.45|0|0|93.84|97.72|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|55.44|0|0|0|0|0|0|0|0|125.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PARIETENE DS SURG 15CM|1439.92|763.16|1079.94|1151.94|1223.93|1295.93|0|1163.46|1036.74|974.54|0|1439.92|938.83|0|527.3|1178.57|891.31|868.27|0|0|1079.94|1124.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|638.03|0|0|0|0|0|0|0|0|1439.92
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 25MMX4CM|1973.22|1045.81|1479.92|1578.58|1677.24|1775.9|0|1594.36|1420.72|1335.48|0|1973.22|1286.54|0|722.59|1615.08|1221.42|1189.85|0|0|1479.92|1541.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.33|0|0|0|0|0|0|0|0|1973.22
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 26MMX4CM|2374.02|1258.23|1780.52|1899.22|2017.92|2136.62|0|1918.21|1709.29|1606.74|0|2374.02|1547.86|0|869.37|1943.14|1469.52|1431.53|0|0|1780.52|1854.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1051.93|0|0|0|0|0|0|0|0|2374.02
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON TRUE 12FR 23MM|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON  TRUE 12FR 24MM|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON  TRUE 13FR 26MM|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON TRUE 13FR 25MM|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON TRUE 14FR 28MM|2250|1192.5|1687.5|1800|1912.5|2025|0|1818|1620|1522.8|0|2250|1467|0|823.95|1841.63|1392.75|1356.75|0|0|1687.5|1757.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|996.98|0|0|0|0|0|0|0|0|2250
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 18MMX3CM|2431.77|1288.84|1823.83|1945.42|2067|2188.59|0|1964.87|1750.87|1645.82|0|2431.77|1585.51|0|890.51|1990.4|1505.27|1466.36|0|0|1823.83|1899.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1077.52|0|0|0|0|0|0|0|0|2431.77
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 20MMX6CM|2310.03|1224.32|1732.52|1848.02|1963.53|2079.03|0|1866.5|1663.22|1563.43|0|2310.03|1506.14|0|845.93|1890.76|1429.91|1392.95|0|0|1732.52|1804.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1023.57|0|0|0|0|0|0|0|0|2310.03
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 22MMX4CM|2310.03|1224.32|1732.52|1848.02|1963.53|2079.03|0|1866.5|1663.22|1563.43|0|2310.03|1506.14|0|845.93|1890.76|1429.91|1392.95|0|0|1732.52|1804.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1023.57|0|0|0|0|0|0|0|0|2310.03
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 23MMX4CM|2374.02|1258.23|1780.52|1899.22|2017.92|2136.62|0|1918.21|1709.29|1606.74|0|2374.02|1547.86|0|869.37|1943.14|1469.52|1431.53|0|0|1780.52|1854.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1051.93|0|0|0|0|0|0|0|0|2374.02
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 24MMX4CM|1973.22|1045.81|1479.92|1578.58|1677.24|1775.9|0|1594.36|1420.72|1335.48|0|1973.22|1286.54|0|722.59|1615.08|1221.42|1189.85|0|0|1479.92|1541.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|874.33|0|0|0|0|0|0|0|0|1973.22
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 28MMX4CM|2374.02|1258.23|1780.52|1899.22|2017.92|2136.62|0|1918.21|1709.29|1606.74|0|2374.02|1547.86|0|869.37|1943.14|1469.52|1431.53|0|0|1780.52|1854.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1051.93|0|0|0|0|0|0|0|0|2374.02
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON ZMED 30MMX4CM|2374.02|1258.23|1780.52|1899.22|2017.92|2136.62|0|1918.21|1709.29|1606.74|0|2374.02|1547.86|0|869.37|1943.14|1469.52|1431.53|0|0|1780.52|1854.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1051.93|0|0|0|0|0|0|0|0|2374.02
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE SOLO FLEX STR .035|165.6|87.77|124.2|132.48|140.76|149.04|0|133.8|119.23|112.08|0|165.6|107.97|0|60.64|135.54|102.51|99.86|0|0|124.2|129.33|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|73.38|0|0|0|0|0|0|0|0|165.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW CANC PART TH 4.0 X 55M|27.85|14.76|20.89|22.28|23.67|25.07|0|22.5|20.05|18.85|0|27.85|18.16|0|10.2|22.8|17.24|16.79|0|2156.856582|20.89|21.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|12.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH SURGIPRO PLUG MEDIUM|365.36|193.64|274.02|292.29|310.56|328.82|0|295.21|263.06|247.28|0|365.36|238.21|0|133.79|299.05|226.16|220.31|0|0|274.02|285.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|161.89|0|0|0|0|0|0|0|0|365.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON DBM FLEX 2.5X5CM|2102.1|1114.11|1576.58|1681.68|1786.79|1891.89|0|1698.5|1513.51|1422.7|0|2102.1|1370.57|0|769.79|1720.57|1301.2|1267.57|0|2156.856582|1576.58|1641.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|931.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|GRAFTON DBM FLEX 2.5X10CM|2102.1|1114.11|1576.58|1681.68|1786.79|1891.89|0|1698.5|1513.51|1422.7|0|2102.1|1370.57|0|769.79|1720.57|1301.2|1267.57|0|2156.856582|1576.58|1641.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|931.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 4H/L/130MM|5218.29|2765.69|3913.72|4174.63|4435.55|4696.46|0|4216.38|3757.17|3531.74|0|5218.29|3402.33|0|1910.94|4271.17|3230.12|3146.63|0|2156.856582|3913.72|4075.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2312.22|0|0|0|0|0|0|0|0|5218.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 6H/L/166MM|5340.06|2830.23|4005.05|4272.05|4539.05|4806.05|0|4314.77|3844.84|3614.15|0|5340.06|3481.72|0|1955.53|4370.84|3305.5|3220.06|0|2156.856582|4005.05|4170.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2366.18|0|0|0|0|0|0|0|0|5340.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 8H/L/202MM|5460.35|2893.99|4095.26|4368.28|4641.29|4914.31|0|4411.96|3931.45|3695.56|0|5460.35|3560.14|0|1999.58|4469.29|3379.95|3292.59|0|2156.856582|4095.26|4264.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2419.48|0|0|0|0|0|0|0|0|5460.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 10H/L/238MM|5582.12|2958.53|4186.59|4465.69|4744.8|5023.9|0|4510.35|4019.12|3777.98|0|5582.12|3639.54|0|2044.17|4568.96|3455.33|3366.02|0|2156.856582|4186.59|4359.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2473.44|0|0|0|0|0|0|0|0|5582.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 12H/L/274MM|5703.89|3023.06|4277.91|4563.11|4848.3|5133.5|0|4608.74|4106.8|3860.39|0|5703.89|3718.93|0|2088.76|4668.63|3530.7|3439.44|0|2156.856582|4277.91|4454.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2527.39|0|0|0|0|0|0|0|0|5703.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 14H/L/310MM|5825.66|3087.6|4369.24|4660.52|4951.81|5243.09|0|4707.13|4194.47|3942.8|0|5825.66|3798.33|0|2133.35|4768.3|3606.08|3512.87|0|2156.856582|4369.24|4549.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2581.35|0|0|0|0|0|0|0|0|5825.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 16H/L/343MM|5947.43|3152.14|4460.57|4757.94|5055.31|5352.68|0|4805.52|4282.15|4025.22|0|5947.43|3877.72|0|2177.95|4867.97|3681.46|3586.3|0|2156.856582|4460.57|4644.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2635.3|0|0|0|0|0|0|0|0|5947.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 4H/R/130MM|5218.29|2765.69|3913.72|4174.63|4435.55|4696.46|0|4216.38|3757.17|3531.74|0|5218.29|3402.33|0|1910.94|4271.17|3230.12|3146.63|0|2156.856582|3913.72|4075.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2312.22|0|0|0|0|0|0|0|0|5218.29
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 10H/R/238MM|5582.12|2958.53|4186.59|4465.69|4744.8|5023.9|0|4510.35|4019.12|3777.98|0|5582.12|3639.54|0|2044.17|4568.96|3455.33|3366.02|0|2156.856582|4186.59|4359.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2473.44|0|0|0|0|0|0|0|0|5582.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 14H/R/310MM|5825.66|3087.6|4369.24|4660.52|4951.81|5243.09|0|4707.13|4194.47|3942.8|0|5825.66|3798.33|0|2133.35|4768.3|3606.08|3512.87|0|2156.856582|4369.24|4549.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2581.35|0|0|0|0|0|0|0|0|5825.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 6H/R/166MM|5340.06|2830.23|4005.05|4272.05|4539.05|4806.05|0|4314.77|3844.84|3614.15|0|5340.06|3481.72|0|1955.53|4370.84|3305.5|3220.06|0|2156.856582|4005.05|4170.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2366.18|0|0|0|0|0|0|0|0|5340.06
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 8H/R/202MM|5460.35|2893.99|4095.26|4368.28|4641.29|4914.31|0|4411.96|3931.45|3695.56|0|5460.35|3560.14|0|1999.58|4469.29|3379.95|3292.59|0|2156.856582|4095.26|4264.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2419.48|0|0|0|0|0|0|0|0|5460.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 12H/R/274MM|5703.89|3023.06|4277.91|4563.11|4848.3|5133.5|0|4608.74|4106.8|3860.39|0|5703.89|3718.93|0|2088.76|4668.63|3530.7|3439.44|0|2156.856582|4277.91|4454.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2527.39|0|0|0|0|0|0|0|0|5703.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT LAT DSTL AXSOS 16H/R/343MM|5947.43|3152.14|4460.57|4757.94|5055.31|5352.68|0|4805.52|4282.15|4025.22|0|5947.43|3877.72|0|2177.95|4867.97|3681.46|3586.3|0|2156.856582|4460.57|4644.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2635.3|0|0|0|0|0|0|0|0|5947.43
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X20MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X35MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X40MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X45MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X25MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X30MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X50MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD  6.0X55MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD  6.0X60MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD  6.0X65MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X70MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD  6.0X75MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X80MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X90MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X95MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/30MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC FULL THD 6.0X85MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/35MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/40MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/45MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/50MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/55MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/60MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/65MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/70MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/75MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/90MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/45MM/32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/80MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/85MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/95MM/TL16MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/50MM/32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/55MM/32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/60MM/32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0/65MM/32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X75MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X80MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X90MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L14MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X70MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X85MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CANC 6.0X95MM 32MM|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L16MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L18MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L20MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L22MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L28MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L30MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L32MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L34MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L36MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L24MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L26MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L38MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L40MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L42MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L44MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L46MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L48MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L50MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L55MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L60MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L65MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L70MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L75MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L80MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L85MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L90MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK 5.0MM/L95MM 5MM|1087.2|576.22|815.4|869.76|924.12|978.48|0|878.46|782.78|735.82|0|1087.2|708.85|0|398.13|889.87|672.98|655.58|0|2156.856582|815.4|849.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X8MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X12MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X10MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X14MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X16MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X18MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK PERIPROSTHETIC 5X20MM|1256.4|665.89|942.3|1005.12|1067.94|1130.76|0|1015.17|904.61|850.33|0|1256.4|819.17|0|460.09|1028.36|777.71|757.61|0|2156.856582|942.3|981.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|556.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L14MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L16MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L18MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L20MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L22MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L32MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L26MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L28MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L30MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L36MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L24MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L34MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L38MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L40MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L42MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L44MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L46MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L48MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L55MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L60MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L50MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L65MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L70MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L75MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L80MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L85MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L90MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR CORTEX 4.5MM/L95MM|244.8|129.74|183.6|195.84|208.08|220.32|0|197.8|176.26|165.68|0|244.8|159.61|0|89.65|200.37|151.53|147.61|0|2156.856582|183.6|191.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|108.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VLV AORTIC TRANSCATH EVOLT 29M|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VLV AORTIC TRANSCATH EVOLT 23M|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0272 - STERILE SUPPLY||C1894|LOADING SYS ENVEO R 26 & 29MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0272 - STERILE SUPPLY||C1894|LOADING SYS ENVEO R 23MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VLV AORTIC TRANSCATH EVOLT 26M|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0272 - STERILE SUPPLY||C1894|DELIVERY SYS ENVEOR 34MM|4698|2489.94|3523.5|3758.4|3993.3|4228.2|0|3795.98|3382.56|3179.61|0|4698|3063.1|0|1720.41|3845.31|2908.06|2832.89|0|0|3523.5|3669.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2081.68|0|0|0|0|0|0|0|0|4698
HOSP OP|0272 - STERILE SUPPLY||C1894|LOADING SYS ENVEO R 34MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0272 - STERILE SUPPLY||C1894|LOADING SYS ENVEO R 26/29MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0272 - STERILE SUPPLY||C1773|LOADING SYS L ENVPRO 16|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0272 - STERILE SUPPLY||C1773|CATH DELIVERY SYS ENVPRO 20FR|3798|2012.94|2848.5|3038.4|3228.3|3418.2|0|3068.78|2734.56|2570.49|0|3798|2476.3|0|1390.83|3108.66|2350.96|2290.19|0|0|2848.5|2966.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1682.89|0|0|0|0|0|0|0|0|3798
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE SAFARI 2XSM CVD|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VLV AORTIC TRANSCATH EVOLT 34M|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|SENTINEL CEREBRAL PROTECT SYS|6600|3498|4950|5280|5610|5940|0|5332.8|4752|4466.88|0|6600|4303.2|0|2416.92|5402.1|4085.4|3979.8|0|0|4950|5154.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2924.46|0|0|0|0|0|0|0|0|6600
HOSP OP|0272 - STERILE SUPPLY||C1894|GLIDESHEATH SLENDER 5FR|220|116.6|165|176|187|198|0|177.76|158.4|148.9|0|220|143.44|0|80.56|180.07|136.18|132.66|0|0|165|171.82|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|97.48|0|0|0|0|0|0|0|0|220
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN ZMED VLVU PLST 23MMX6CM|2445.24|1295.98|1833.93|1956.19|2078.45|2200.72|0|1975.75|1760.57|1654.94|0|2445.24|1594.3|0|895.45|2001.43|1513.6|1474.48|0|0|1833.93|1909.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1083.49|0|0|0|0|0|0|0|0|2445.24
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN PTS SIZING 20MMX3CM|957.84|507.66|718.38|766.27|814.16|862.06|0|773.93|689.64|648.27|0|957.84|624.51|0|350.76|783.99|592.9|577.58|0|0|718.38|748.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|424.42|0|0|0|0|0|0|0|0|957.84
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH BLLN WEDGE PRESSURE 6X60|330.84|175.35|248.13|264.67|281.21|297.76|0|267.32|238.2|223.91|0|330.84|215.71|0|121.15|270.79|204.79|199.5|0|0|248.13|258.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|146.6|0|0|0|0|0|0|0|0|330.84
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DRYSEAL 20FR 65CM|1743|923.79|1307.25|1394.4|1481.55|1568.7|0|1408.34|1254.96|1179.66|0|1743|1136.44|0|638.29|1426.65|1078.92|1051.03|0|0|1307.25|1361.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|772.32|0|0|0|0|0|0|0|0|1743
HOSP OP|0272 - STERILE SUPPLY||C1725|BLLN ZMED VLVU PLST 18MMX6CM|2374.02|1258.23|1780.52|1899.22|2017.92|2136.62|0|1918.21|1709.29|1606.74|0|2374.02|1547.86|0|869.37|1943.14|1469.52|1431.53|0|0|1780.52|1854.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1051.93|0|0|0|0|0|0|0|0|2374.02
HOSP OP|0272 - STERILE SUPPLY||C1886|CATH ABL BI-D  IRRG D-F CVD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VLV EVOLUTPRO PLUS  FRM 23MM|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VLV EVOLUTPRO PLUS FRM 26MM|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0278 - SUPPLY IMPLANTS||L8699|VLV EVOLUTPRO PLUS FRM 29MM|45000|23850|33750|36000|38250|40500|0|36360|32400|30456|0|45000|29340|0|16479|36832.5|27855|27135|0|0|33750|35145|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19939.5|0|0|0|0|0|0|0|0|45000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYN LCK 2.4/20 449.621|2965.56|1571.75|2224.17|2372.45|2520.73|2669|0|2396.17|2135.2|2007.09|0|2965.56|1933.55|0|1085.99|2427.31|1835.68|1788.23|0|2156.856582|2224.17|2316.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1314.04|0|0|0|0|0|0|0|0|2965.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.0X8MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X12MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X10MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X14MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X16MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X24MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X20MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X22MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X26MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X28MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X30MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X32MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X18MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY 3.0X34MM CRV XS|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 15MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 30MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 25MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 35MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 40MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 22MM 3.5MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 24MM 3.5MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY J&J MBT 4 1294-33-140|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 20MM 5.5MM MA TRNS SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 26MM 3.5MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 28MM 3.5MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 30MM 3.5MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 22MM 4MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 24MM 4MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 28MM 4MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 30MM 4MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X20MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X34MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0272 - STERILE SUPPLY||C1725|BIPOLAR STEM CMTD SUMMIT 3|560|296.8|420|448|476|504|0|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|0|420|437.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|248.14|0|0|0|0|0|0|0|0|560
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X36MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BN 26MM 4MM MA FX SPNE|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X18MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X32MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X38MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 3.5X40MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X20MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X18MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X32MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X38MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 5 1570-01-110|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X40MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X12MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X14MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X16MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X34MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA FX 4.0X36MM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X18MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X20MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X22MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X24MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STMJ&JSTDOFTP/FT 6 1570-01-120|3150|1669.5|2362.5|2520|2677.5|2835|0|2545.2|2268|2131.92|0|3150|2053.8|0|1153.53|2578.28|1949.85|1899.45|0|0|2362.5|2460.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1395.77|0|0|0|0|0|0|0|0|3150
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X26MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X28MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X30MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X32MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 3.5X34MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X12MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X16MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X14MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X18MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X20MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X22MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X24MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X30MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X26MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X32MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X24MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X26MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X28MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X28MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.0X34MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X22MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X30MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X32MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X34MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X12MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X14MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X16MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X18MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 5.5X420MM TAPERED|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/6.0X600MM CCM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA 4.5X20MM|2736|1450.08|2052|2188.8|2325.6|2462.4|0|2210.69|1969.92|1851.72|0|2736|1783.87|0|1001.92|2239.42|1693.58|1649.81|0|2156.856582|2052|2136.82|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1212.32|0|0|0|0|0|0|0|0|2736
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 4.75X420MM TAPERED|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/6.0X420MM CCM|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/4.75X420MM TAPERED|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/5.5X420MM TAPERED|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/6.0X600MM TAPERED TI|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5/6.0X420MM TAPERED TI|3120.75|1654|2340.56|2496.6|2652.64|2808.68|0|2521.57|2246.94|2112.12|0|3120.75|2034.73|0|1142.82|2554.33|1931.74|1881.81|0|2156.856582|2340.56|2437.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.8|0|0|0|0|0|0|0|0|3120.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X25MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X30MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X40MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPHUM3.5/142/5H 241.918|3178.32|1684.51|2383.74|2542.66|2701.57|2860.49|0|2568.08|2288.39|2151.09|0|3178.32|2072.26|0|1163.9|2601.45|1967.38|1916.53|0|2156.856582|2383.74|2482.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1408.31|0|0|0|0|0|0|0|0|3178.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X50MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X60MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X70MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X80MM PRE-CUT|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X200MM ADJUSTABLE|3243.3|1718.95|2432.48|2594.64|2756.81|2918.97|0|2620.59|2335.18|2195.07|0|3243.3|2114.63|0|1187.7|2654.64|2007.6|1955.71|0|2156.856582|2432.48|2533.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1437.11|0|0|0|0|0|0|0|0|3243.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X100MM ADJUSTABLE|3243.3|1718.95|2432.48|2594.64|2756.81|2918.97|0|2620.59|2335.18|2195.07|0|3243.3|2114.63|0|1187.7|2654.64|2007.6|1955.71|0|2156.856582|2432.48|2533.02|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1437.11|0|0|0|0|0|0|0|0|3243.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X200MM ADJUSTABLE TI|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X200MM PRECURVE CCM|3744.9|1984.8|2808.68|2995.92|3183.17|3370.41|0|3025.88|2696.33|2534.55|0|3744.9|2441.67|0|1371.38|3065.2|2318.09|2258.17|0|2156.856582|2808.68|2924.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1659.37|0|0|0|0|0|0|0|0|3744.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X100MM ADJUSTABLE TI|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X200MM PRECURVE TI|3744.9|1984.8|2808.68|2995.92|3183.17|3370.41|0|3025.88|2696.33|2534.55|0|3744.9|2441.67|0|1371.38|3065.2|2318.09|2258.17|0|2156.856582|2808.68|2924.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1659.37|0|0|0|0|0|0|0|0|3744.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPHUM3.5/160/6H 241.919|3304.63|1751.45|2478.47|2643.71|2808.94|2974.17|0|2670.14|2379.34|2236.57|0|3304.63|2154.62|0|1210.16|2704.84|2045.57|1992.69|0|2156.856582|2478.47|2580.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1464.28|0|0|0|0|0|0|0|0|3304.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.5X240MM STANDARD|1330|704.9|997.5|1064|1130.5|1197|0|1074.64|957.6|900.14|0|1330|867.16|0|487.05|1088.61|823.27|801.99|0|2156.856582|997.5|1038.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|589.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 4.5MM SPNL|2365.5|1253.71|1774.13|1892.4|2010.68|2128.95|0|1911.32|1703.16|1600.97|0|2365.5|1542.31|0|866.25|1936.16|1464.24|1426.4|0|2156.856582|1774.13|1847.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1048.15|0|0|0|0|0|0|0|0|2365.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 6.0MM SPNL|2365.5|1253.71|1774.13|1892.4|2010.68|2128.95|0|1911.32|1703.16|1600.97|0|2365.5|1542.31|0|866.25|1936.16|1464.24|1426.4|0|2156.856582|1774.13|1847.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1048.15|0|0|0|0|0|0|0|0|2365.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 4.5MM OFFSET L|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD 3.2X240MM STANDARD|1330|704.9|997.5|1064|1130.5|1197|0|1074.64|957.6|900.14|0|1330|867.16|0|487.05|1088.61|823.27|801.99|0|2156.856582|997.5|1038.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|589.32|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 4.5MM OFFSET R|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 6.0MM OFFSET L|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HOOK LAMINAR 6.0MM OFFSET R|2935.5|1555.81|2201.63|2348.4|2495.18|2641.95|0|2371.88|2113.56|1986.75|0|2935.5|1913.95|0|1074.98|2402.71|1817.07|1770.11|0|2156.856582|2201.63|2292.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1300.72|0|0|0|0|0|0|0|0|2935.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 10MM OPN SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 19MM OPN ANG SPNE|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPHUM3.5/96/8H 241.921|3432.67|1819.31|2574.5|2746.14|2917.77|3089.4|0|2773.6|2471.52|2323.23|0|3432.67|2238.1|0|1257.04|2809.64|2124.82|2069.9|0|2156.856582|2574.5|2680.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1521.02|0|0|0|0|0|0|0|0|3432.67
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 13MM OPN SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 19MM OPN SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 10MM CLS SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 13MM CLS SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD 19MM CLS SPNE LAT|1539|815.67|1154.25|1231.2|1308.15|1385.1|0|1243.51|1108.08|1041.6|0|1539|1003.43|0|563.58|1259.67|952.64|928.02|0|2156.856582|1154.25|1201.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|681.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD XTN SPNE 3.2/3.5 MM|2137.5|1132.87|1603.13|1710|1816.88|1923.75|0|1727.1|1539|1446.66|0|2137.5|1393.65|0|782.75|1749.54|1323.11|1288.91|0|2156.856582|1603.13|1669.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|947.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD XTN SPNE 5.5/6/6.35|2137.5|1132.87|1603.13|1710|1816.88|1923.75|0|1727.1|1539|1446.66|0|2137.5|1393.65|0|782.75|1749.54|1323.11|1288.91|0|2156.856582|1603.13|1669.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|947.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD XTN SPNE 4.75 MM MA|2137.5|1132.87|1603.13|1710|1816.88|1923.75|0|1727.1|1539|1446.66|0|2137.5|1393.65|0|782.75|1749.54|1323.11|1288.91|0|2156.856582|1603.13|1669.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|947.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD EYLT STD SPNE OCT|2194.5|1163.08|1645.88|1755.6|1865.33|1975.05|0|1773.16|1580.04|1485.24|0|2194.5|1430.81|0|803.63|1796.2|1358.4|1323.28|0|2156.856582|1645.88|1713.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|972.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD EYLT OFST SPNE OCT|2194.5|1163.08|1645.88|1755.6|1865.33|1975.05|0|1773.16|1580.04|1485.24|0|2194.5|1430.81|0|803.63|1796.2|1358.4|1323.28|0|2156.856582|1645.88|1713.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|972.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPHUM3.5/232/10 241.923|3560.69|1887.17|2670.52|2848.55|3026.58|3204.62|0|2877.04|2563.7|2409.87|0|3560.69|2321.57|0|1303.92|2914.42|2204.07|2147.09|0|2156.856582|2670.52|2780.9|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1577.74|0|0|0|0|0|0|0|0|3560.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD OFST SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD AX SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD DMN OPN TO OPN OFST|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD OFST SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD OFST SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD OFST SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD AX SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR ROD DMN OFST SPNE|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTR DMN ROD AX SPNE 3.5-3.5|1767|936.51|1325.25|1413.6|1501.95|1590.3|0|1427.74|1272.24|1195.91|0|1767|1152.08|0|647.08|1446.29|1093.77|1065.5|0|2156.856582|1325.25|1380.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|782.96|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD INFINITY MED|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTSYNLCPHUM3.5/268/12 241.925|3685.27|1953.19|2763.95|2948.22|3132.48|3316.74|0|2977.7|2653.4|2494.19|0|3685.27|2402.8|0|1349.55|3016.4|2281.18|2222.22|0|2156.856582|2763.95|2878.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1632.94|0|0|0|0|0|0|0|0|3685.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD INFINITY SM|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD INFINITY LG|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD MAS TO MAS MED|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD MAS TO MAS SM|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CROSSLINK ROD MAS TO MAS LG|2223|1178.19|1667.25|1778.4|1889.55|2000.7|0|1796.18|1600.56|1504.53|0|2223|1449.4|0|814.06|1819.53|1376.04|1340.47|0|2156.856582|1667.25|1736.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|985.01|0|0|0|0|0|0|0|0|2223
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ADJUST SM OCT|5130|2718.9|3847.5|4104|4360.5|4617|0|4145.04|3693.6|3471.98|0|5130|3344.76|0|1878.61|4198.91|3175.47|3093.39|0|2156.856582|3847.5|4006.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2273.1|0|0|0|0|0|0|0|0|5130
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 4.5X10MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ADJUST OCT|5130|2718.9|3847.5|4104|4360.5|4617|0|4145.04|3693.6|3471.98|0|5130|3344.76|0|1878.61|4198.91|3175.47|3093.39|0|2156.856582|3847.5|4006.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2273.1|0|0|0|0|0|0|0|0|5130
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCREW INFINITY STANDARD OC|437|231.61|327.75|349.6|371.45|393.3|0|353.1|314.64|295.76|0|437|284.92|0|160.03|357.68|270.5|263.51|0|2156.856582|327.75|341.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SET SCREW INFINITY CNNCTR FLT|437|231.61|327.75|349.6|371.45|393.3|0|353.1|314.64|295.76|0|437|284.92|0|160.03|357.68|270.5|263.51|0|2156.856582|327.75|341.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|193.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 4.5X6MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 4.5X8MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 4.5X12MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 5.0X6MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 4.5X14MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 5.0X8MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 5.0X10MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 5.0X12MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT 5.0X14MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 4.5X6MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 4.5X8MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 4.5X10MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 4.5X14MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 5.0X6MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 4.5X12MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 5.0X8MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 5.0X10MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 5.0X12MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY OCT TPR 5.0X14MM|1824|966.72|1368|1459.2|1550.4|1641.6|0|1473.79|1313.28|1234.48|0|1824|1189.25|0|667.95|1492.94|1129.06|1099.87|0|2156.856582|1368|1424.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|808.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X8MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ANCHOR ARTHREX BIOPUSH 3.5X14M|1080|572.4|810|864|918|972|0|872.64|777.6|730.94|0|1080|704.16|0|395.5|883.98|668.52|651.24|0|2156.856582|810|843.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|478.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X42MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X8MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X10MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X36MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X38MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 3.5X40MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X10MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X36MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X38MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X40MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.0X42MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X8MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X10MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X36MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X38MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X40MM|2969.7|1573.94|2227.28|2375.76|2524.25|2672.73|0|2399.52|2138.18|2009.89|0|2969.7|1936.24|0|1087.5|2430.7|1838.24|1790.73|0|2156.856582|2227.28|2319.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1315.87|0|0|0|0|0|0|0|0|2969.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR INFINITY MA NSTD 4.5X42MM|3156.39|1672.89|2367.29|2525.11|2682.93|2840.75|0|2550.36|2272.6|2136.24|0|3156.39|2057.97|0|1155.87|2583.51|1953.81|1903.3|0|2156.856582|2367.29|2465.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.6|0|0|0|0|0|0|0|0|3156.39
HOSP OP|0272 - STERILE SUPPLY||C1773|LOADING SYS PRO PLUS 2329MM|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0272 - STERILE SUPPLY||C1773|CATH DELIVERY SYS PROPLUS 14FR|3798|2012.94|2848.5|3038.4|3228.3|3418.2|0|3068.78|2734.56|2570.49|0|3798|2476.3|0|1390.83|3108.66|2350.96|2290.19|0|0|2848.5|2966.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1682.89|0|0|0|0|0|0|0|0|3798
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 4H 239.934|3555.51|1884.42|2666.63|2844.41|3022.18|3199.96|0|2872.85|2559.97|2406.37|0|3555.51|2318.19|0|1302.03|2910.18|2200.86|2143.97|0|2156.856582|2666.63|2776.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1575.45|0|0|0|0|0|0|0|0|3555.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 4H 239.935|3555.51|1884.42|2666.63|2844.41|3022.18|3199.96|0|2872.85|2559.97|2406.37|0|3555.51|2318.19|0|1302.03|2910.18|2200.86|2143.97|0|2156.856582|2666.63|2776.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1575.45|0|0|0|0|0|0|0|0|3555.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 6H 239.936|3598.74|1907.33|2699.06|2878.99|3058.93|3238.87|0|2907.78|2591.09|2435.63|0|3598.74|2346.38|0|1317.86|2945.57|2227.62|2170.04|0|2156.856582|2699.06|2810.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.6|0|0|0|0|0|0|0|0|3598.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 6H 239.937|3598.74|1907.33|2699.06|2878.99|3058.93|3238.87|0|2907.78|2591.09|2435.63|0|3598.74|2346.38|0|1317.86|2945.57|2227.62|2170.04|0|2156.856582|2699.06|2810.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.6|0|0|0|0|0|0|0|0|3598.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 8H 239.938|2911.87|1543.29|2183.9|2329.5|2475.09|2620.68|0|2352.79|2096.55|1970.75|0|2911.87|1898.54|0|1066.33|2383.37|1802.45|1755.86|0|2156.856582|2183.9|2274.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1290.25|0|0|0|0|0|0|0|0|2911.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 8H 239.939|2911.87|1543.29|2183.9|2329.5|2475.09|2620.68|0|2352.79|2096.55|1970.75|0|2911.87|1898.54|0|1066.33|2383.37|1802.45|1755.86|0|2156.856582|2183.9|2274.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1290.25|0|0|0|0|0|0|0|0|2911.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 10H 239.940|2943.02|1559.8|2207.27|2354.42|2501.57|2648.72|0|2377.96|2118.98|1991.84|0|2943.02|1918.85|0|1077.74|2408.87|1821.73|1774.64|0|2156.856582|2207.27|2298.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.05|0|0|0|0|0|0|0|0|2943.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 10H 239.941|2943.02|1559.8|2207.27|2354.42|2501.57|2648.72|0|2377.96|2118.98|1991.84|0|2943.02|1918.85|0|1077.74|2408.87|1821.73|1774.64|0|2156.856582|2207.27|2298.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1304.05|0|0|0|0|0|0|0|0|2943.02
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 12H 239.942|2981.09|1579.98|2235.82|2384.87|2533.92|2682.98|0|2408.72|2146.38|2017.6|0|2981.09|1943.67|0|1091.67|2440.02|1845.29|1797.6|0|2156.856582|2235.82|2328.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1320.92|0|0|0|0|0|0|0|0|2981.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 12H 239.943|2981.09|1579.98|2235.82|2384.87|2533.92|2682.98|0|2408.72|2146.38|2017.6|0|2981.09|1943.67|0|1091.67|2440.02|1845.29|1797.6|0|2156.856582|2235.82|2328.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1320.92|0|0|0|0|0|0|0|0|2981.09
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH  UNIFUSE 4X65X10|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH  UNIFUSE 4X100X10|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 4X135X5|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 4X135X50|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X10|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X20|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X2|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X15|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 14H 239.944|3013.97|1597.41|2260.48|2411.17|2561.87|2712.57|0|2435.29|2170.06|2039.85|0|3013.97|1965.11|0|1103.72|2466.93|1865.65|1817.42|0|2156.856582|2260.48|2353.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1335.49|0|0|0|0|0|0|0|0|3013.97
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X135X2|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 4X135X40|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X5|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X90X40|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X135X10|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH UNIFUSE 5X135X15|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 14H 239.945|3013.97|1597.41|2260.48|2411.17|2561.87|2712.57|0|2435.29|2170.06|2039.85|0|3013.97|1965.11|0|1103.72|2466.93|1865.65|1817.42|0|2156.856582|2260.48|2353.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1335.49|0|0|0|0|0|0|0|0|3013.97
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX R 16H 239.946|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN LCP PRX L 16H 239.947|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 65 212.125|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 70 212.126|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 75 212.127|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 80 212.128|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 85 212.129|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 90 212.130|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYNLKNGS/TSTRDR 95 212.131|487.32|258.28|365.49|389.86|414.22|438.59|0|393.75|350.87|329.82|0|487.32|317.73|0|178.46|398.87|301.65|293.85|0|2156.856582|365.49|380.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|215.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/22 CO-3220|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/24 CO-3240|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCRT 3.5/26 CO-3260|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/22.0 CO-2722|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/24.0 CO-2724|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CRT 2.7/26.0 CO-2726|332|175.96|249|265.6|282.2|298.8|0|268.26|239.04|224.7|0|332|216.46|0|121.58|271.74|205.51|200.2|0|2156.856582|249|259.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|147.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/22.0 CA-4220|296|156.88|222|236.8|251.6|266.4|0|239.17|213.12|200.33|0|296|192.99|0|108.4|242.28|183.22|178.49|0|2156.856582|222|231.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|131.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/24.0 CA-4240|296|156.88|222|236.8|251.6|266.4|0|239.17|213.12|200.33|0|296|192.99|0|108.4|242.28|183.22|178.49|0|2156.856582|222|231.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|131.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMED CNC 4.0/26.0 CA-4260|296|156.88|222|236.8|251.6|266.4|0|239.17|213.12|200.33|0|296|192.99|0|108.4|242.28|183.22|178.49|0|2156.856582|222|231.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|131.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/8 COL-3080|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/20 COL-3200|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/22 COL-3220|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/24 COL-3240|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRACUMEDCLPRX 3.5/26 COL-3260|540|286.2|405|432|459|486|0|436.32|388.8|365.47|0|540|352.08|0|197.75|441.99|334.26|325.62|0|2156.856582|405|421.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|239.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|VAC SILVER GRANUFOAM DRSG|286.88|152.05|215.16|229.5|243.85|258.19|0|231.8|206.55|194.16|0|286.88|187.05|0|105.06|234.81|177.58|172.99|0|11.99410609|215.16|224.05|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|127.12|0|0|0|0|0|0|0|0|286.88
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE CERTAS RIGHT ANG PLUS|7300.79|3869.42|5475.59|5840.63|6205.67|6570.71|0|5899.04|5256.57|4941.17|0|7300.79|4760.11|0|2673.55|5975.69|4519.19|4402.38|0|0|5475.59|5701.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3234.98|0|0|0|0|0|0|0|0|7300.79
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCK L LG8 70-0300|3285|1741.05|2463.75|2628|2792.25|2956.5|0|2654.28|2365.2|2223.29|0|3285|2141.82|0|1202.97|2688.77|2033.42|1980.86|0|2156.856582|2463.75|2565.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1455.58|0|0|0|0|0|0|0|0|3285
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCKLMED8PL-CL8ML|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCK L SM 8 PLCL8SL|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCK L J 8 PL-CL8JL|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCKRLG 8 PL-CL8LR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCKR MED8 PL-CL8MR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCKR MED 8 PLCL8SR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCKRSM 8 PL-CL8JR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLCK L SM 6 PLCL6SL|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVLC RSM 6 PL-CL6SR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVL L J 9 PL-CL9JL|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVL R J 9 PL-CL9JR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVL L LG 10 PLCL10LL|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDCLVL R LG 10 PLCL10LR|2235|1184.55|1676.25|1788|1899.75|2011.5|0|1805.88|1609.2|1512.65|0|2235|1457.22|0|818.46|1829.35|1383.47|1347.71|0|2156.856582|1676.25|1745.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.33|0|0|0|0|0|0|0|0|2235
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 21MMX10CM 18FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 21MMX10CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 26MMX10CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 28MMX10CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 28MMX15CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 34MMX15CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 34MMX10CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 45MMX10CM 24FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 45MMX15CM 24FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 45MMX20CM 24FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 31X26X10CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 31X31X10CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 31MMX15CM 20FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 37MM10CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WR VERSACORE 260CM .035|348|184.44|261|278.4|295.8|313.2|0|281.18|250.56|235.53|0|348|226.9|0|127.44|284.84|215.41|209.84|0|0|261|271.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|154.2|0|0|0|0|0|0|0|0|348
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 37MMX15CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 40MMX10CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|ENDOPROS CTAG 40MMX20CM 22FR|25644|13591.32|19233|20515.2|21797.4|23079.6|0|20720.35|18463.68|17355.86|0|25644|16719.89|0|9390.83|20989.61|15873.64|15463.33|0|0|19233|20027.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|11362.86|0|0|0|0|0|0|0|0|25644
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM CONTOUR PERF LRG|7715.4|4089.16|5786.55|6172.32|6558.09|6943.86|0|6234.04|5555.09|5221.78|0|7715.4|5030.44|0|2825.38|6315.05|4775.83|4652.39|0|31.03143418|5786.55|6025.73|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|3418.69|0|0|0|0|0|0|0|0|7715.4
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM CONTOUR PERF MED|6210.6|3291.62|4657.95|4968.48|5279.01|5589.54|0|5018.16|4471.63|4203.33|0|6210.6|4049.31|0|2274.32|5083.38|3844.36|3744.99|0|31.03143418|4657.95|4850.48|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|2751.92|0|0|0|0|0|0|0|0|6210.6
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM 4CM X 12CM THICK|3016.8|1598.9|2262.6|2413.44|2564.28|2715.12|0|2437.57|2172.1|2041.77|0|3016.8|1966.95|0|1104.75|2469.25|1867.4|1819.13|0|31.03143418|2262.6|2356.12|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|1336.74|0|0|0|0|0|0|0|0|3016.8
HOSP OP|0278 - SUPPLY IMPLANTS||Q4130|TISSUE STRATTICE RECON 10X10CM|4098.6|2172.26|3073.95|3278.88|3483.81|3688.74|0|3311.67|2950.99|2773.93|0|4098.6|2672.29|0|1500.91|3354.7|2537.03|2471.46|0|5.088408644|3073.95|3201.01|0|0|0|0|0|0|0|0|0|5.18|5.088408644|5.18|0|0|0|1816.09|0|0|0|0|0|0|0|0|4098.6
HOSP OP|0272 - STERILE SUPPLY||C1894|CATH HEMO INTRO 8FR 10CM|260|137.8|195|208|221|234|0|210.08|187.2|175.97|0|260|169.52|0|95.21|212.81|160.94|156.78|0|0|195|203.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|115.21|0|0|0|0|0|0|0|0|260
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 10HR|3569.35|1891.75|2677.01|2855.48|3033.95|3212.42|0|2884.04|2569.93|2415.74|0|3569.35|2327.22|0|1307.1|2921.51|2209.43|2152.32|0|2156.856582|2677.01|2787.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1581.58|0|0|0|0|0|0|0|0|3569.35
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH ALLODERM 8X16CM THICK|5847.6|3099.23|4385.7|4678.08|4970.46|5262.84|0|4724.86|4210.27|3957.66|0|5847.6|3812.64|0|2141.39|4786.26|3619.66|3526.1|0|31.03143418|4385.7|4566.98|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|2591.07|0|0|0|0|0|0|0|0|5847.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 10HL|3569.35|1891.75|2677.01|2855.48|3033.95|3212.42|0|2884.04|2569.93|2415.74|0|3569.35|2327.22|0|1307.1|2921.51|2209.43|2152.32|0|2156.856582|2677.01|2787.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1581.58|0|0|0|0|0|0|0|0|3569.35
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 12HR|3685.27|1953.19|2763.95|2948.22|3132.48|3316.74|0|2977.7|2653.4|2494.19|0|3685.27|2402.8|0|1349.55|3016.4|2281.18|2222.22|0|2156.856582|2763.95|2878.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1632.94|0|0|0|0|0|0|0|0|3685.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT 3.5 PERI ART PRX HMRL 12HL|3685.27|1953.19|2763.95|2948.22|3132.48|3316.74|0|2977.7|2653.4|2494.19|0|3685.27|2402.8|0|1349.55|3016.4|2281.18|2222.22|0|2156.856582|2763.95|2878.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1632.94|0|0|0|0|0|0|0|0|3685.27
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE AVULUS AORTIC 21MM|9075|4809.75|6806.25|7260|7713.75|8167.5|0|7332.6|6534|6141.96|0|9075|5916.9|0|3323.27|7427.89|5617.43|5472.23|0|0|6806.25|7087.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4021.13|0|0|0|0|0|0|0|0|9075
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE AVULUS AORTIC 23MM|9075|4809.75|6806.25|7260|7713.75|8167.5|0|7332.6|6534|6141.96|0|9075|5916.9|0|3323.27|7427.89|5617.43|5472.23|0|0|6806.25|7087.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4021.13|0|0|0|0|0|0|0|0|9075
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE AVULUS AORTIC 25MM|9075|4809.75|6806.25|7260|7713.75|8167.5|0|7332.6|6534|6141.96|0|9075|5916.9|0|3323.27|7427.89|5617.43|5472.23|0|0|6806.25|7087.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4021.13|0|0|0|0|0|0|0|0|9075
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE AVULUS AORTIC 27MM|9075|4809.75|6806.25|7260|7713.75|8167.5|0|7332.6|6534|6141.96|0|9075|5916.9|0|3323.27|7427.89|5617.43|5472.23|0|0|6806.25|7087.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4021.13|0|0|0|0|0|0|0|0|9075
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ROD 3.5X20MM PRE-CUT|1560|826.8|1170|1248|1326|1404|0|1260.48|1123.2|1055.81|0|1560|1017.12|0|571.27|1276.86|965.64|940.68|0|0|1170|1218.36|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|691.24|0|0|0|0|0|0|0|0|1560
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|ROD 3.5X35MM PRE-CUT|1230.08|651.94|922.56|984.06|1045.57|1107.07|0|993.9|885.66|832.52|0|1230.08|802.01|0|450.46|1006.82|761.42|741.74|0|0|922.56|960.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|545.05|0|0|0|0|0|0|0|0|1230.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE AVULUS AORTIC 19MM|9075|4809.75|6806.25|7260|7713.75|8167.5|0|7332.6|6534|6141.96|0|9075|5916.9|0|3323.27|7427.89|5617.43|5472.23|0|0|6806.25|7087.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4021.13|0|0|0|0|0|0|0|0|9075
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE J-TIP MAILMAN 300CM|1360|720.8|1020|1088|1156|1224|0|1098.88|979.2|920.45|0|1360|886.72|0|498.03|1113.16|841.84|820.08|0|0|1020|1062.16|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|602.62|0|0|0|0|0|0|0|0|1360
HOSP OP|0272 - STERILE SUPPLY||C1725|PACK CARDIAC CATH|142.44|75.49|106.83|113.95|121.07|128.2|0|115.09|102.56|96.4|0|142.44|92.87|0|52.16|116.59|88.17|85.89|0|0|106.83|111.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.12|0|0|0|0|0|0|0|0|142.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|DEVICE CLOSURE MYNXGRIP VAS|760|402.8|570|608|646|684|0|614.08|547.2|514.37|0|760|495.52|0|278.31|622.06|470.44|458.28|0|0|570|593.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|336.76|0|0|0|0|0|0|0|0|760
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 6H R|3801.89|2015|2851.42|3041.51|3231.6|3421.7|0|3071.93|2737.36|2573.12|0|3801.89|2478.83|0|1392.25|3111.85|2353.37|2292.54|0|2156.856582|2851.42|2969.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.62|0|0|0|0|0|0|0|0|3801.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 6H L|3801.89|2015|2851.42|3041.51|3231.6|3421.7|0|3071.93|2737.36|2573.12|0|3801.89|2478.83|0|1392.25|3111.85|2353.37|2292.54|0|2156.856582|2851.42|2969.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1684.62|0|0|0|0|0|0|0|0|3801.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 8H R|3876.91|2054.76|2907.68|3101.53|3295.38|3489.22|0|3132.54|2791.38|2623.89|0|3876.91|2527.75|0|1419.73|3173.25|2399.81|2337.78|0|2156.856582|2907.68|3027.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1717.86|0|0|0|0|0|0|0|0|3876.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 8H L|3876.91|2054.76|2907.68|3101.53|3295.38|3489.22|0|3132.54|2791.38|2623.89|0|3876.91|2527.75|0|1419.73|3173.25|2399.81|2337.78|0|2156.856582|2907.68|3027.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1717.86|0|0|0|0|0|0|0|0|3876.91
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 10H R|3043.51|1613.06|2282.63|2434.81|2586.99|2739.16|0|2459.16|2191.33|2059.85|0|3043.51|1984.37|0|1114.53|2491.11|1883.93|1835.24|0|2156.856582|2282.63|2376.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.58|0|0|0|0|0|0|0|0|3043.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 10H L|3043.51|1613.06|2282.63|2434.81|2586.99|2739.16|0|2459.16|2191.33|2059.85|0|3043.51|1984.37|0|1114.53|2491.11|1883.93|1835.24|0|2156.856582|2282.63|2376.98|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1348.58|0|0|0|0|0|0|0|0|3043.51
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 12H L|3106.57|1646.48|2329.92|2485.25|2640.58|2795.91|0|2510.11|2236.73|2102.52|0|3106.57|2025.48|0|1137.62|2542.72|1922.96|1873.26|0|2156.856582|2329.92|2426.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1376.52|0|0|0|0|0|0|0|0|3106.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 12H R|3106.57|1646.48|2329.92|2485.25|2640.58|2795.91|0|2510.11|2236.73|2102.52|0|3106.57|2025.48|0|1137.62|2542.72|1922.96|1873.26|0|2156.856582|2329.92|2426.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1376.52|0|0|0|0|0|0|0|0|3106.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 14H R|3314.2|1756.53|2485.65|2651.36|2817.07|2982.78|0|2677.87|2386.22|2243.05|0|3314.2|2160.86|0|1213.66|2712.67|2051.49|1998.46|0|2156.856582|2485.65|2588.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.52|0|0|0|0|0|0|0|0|3314.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 14H L|3314.2|1756.53|2485.65|2651.36|2817.07|2982.78|0|2677.87|2386.22|2243.05|0|3314.2|2160.86|0|1213.66|2712.67|2051.49|1998.46|0|2156.856582|2485.65|2588.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.52|0|0|0|0|0|0|0|0|3314.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 16H R|3380.17|1791.49|2535.12|2704.13|2873.14|3042.15|0|2731.17|2433.72|2287.7|0|3380.17|2203.87|0|1237.82|2766.67|2092.32|2038.24|0|2156.856582|2535.12|2639.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1497.75|0|0|0|0|0|0|0|0|3380.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 16H L|3380.17|1791.49|2535.12|2704.13|2873.14|3042.15|0|2731.17|2433.72|2287.7|0|3380.17|2203.87|0|1237.82|2766.67|2092.32|2038.24|0|2156.856582|2535.12|2639.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1497.75|0|0|0|0|0|0|0|0|3380.17
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 18H R|3599.44|1907.7|2699.58|2879.55|3059.53|3239.5|0|2908.35|2591.6|2436.1|0|3599.44|2346.84|0|1318.12|2946.14|2228.05|2170.46|0|2156.856582|2699.58|2811.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.91|0|0|0|0|0|0|0|0|3599.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5MM LCP TI CVD COND 18H L|3599.44|1907.7|2699.58|2879.55|3059.53|3239.5|0|2908.35|2591.6|2436.1|0|3599.44|2346.84|0|1318.12|2946.14|2228.05|2170.46|0|2156.856582|2699.58|2811.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1594.91|0|0|0|0|0|0|0|0|3599.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 20H R|4427.98|2346.83|3320.99|3542.39|3763.78|3985.18|0|3577.81|3188.15|2996.86|0|4427.98|2887.04|0|1621.53|3624.3|2740.92|2670.07|0|2156.856582|3320.99|3458.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1962.04|0|0|0|0|0|0|0|0|4427.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 20H L|4427.98|2346.83|3320.99|3542.39|3763.78|3985.18|0|3577.81|3188.15|2996.86|0|4427.98|2887.04|0|1621.53|3624.3|2740.92|2670.07|0|2156.856582|3320.99|3458.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1962.04|0|0|0|0|0|0|0|0|4427.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 22H R|4753.01|2519.1|3564.76|3802.41|4040.06|4277.71|0|3840.43|3422.17|3216.84|0|4753.01|3098.96|0|1740.55|3890.34|2942.11|2866.06|0|2156.856582|3564.76|3712.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2106.06|0|0|0|0|0|0|0|0|4753.01
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 12MM|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 4.5M LCP TI CVD COND 22H L|4753.01|2519.1|3564.76|3802.41|4040.06|4277.71|0|3840.43|3422.17|3216.84|0|4753.01|3098.96|0|1740.55|3890.34|2942.11|2866.06|0|2156.856582|3564.76|3712.1|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2106.06|0|0|0|0|0|0|0|0|4753.01
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 10MM|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 14MM|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 16MM|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 18MM|948.64|502.78|711.48|758.91|806.34|853.78|0|766.5|683.02|642.04|0|948.64|618.51|0|347.39|776.46|587.21|572.03|0|2156.856582|711.48|740.89|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|420.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 20MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 22MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 24MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 26MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 28MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 30MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 32MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC STRCH GRTX 6MMX40CM|1836|973.08|1377|1468.8|1560.6|1652.4|0|1483.49|1321.92|1242.6|0|1836|1197.07|0|672.34|1502.77|1136.48|1107.11|0|0|1377|1433.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|813.53|0|0|0|0|0|0|0|0|1836
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 36MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 38MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 40MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 42MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 46MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 34MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 44MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 48MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 50MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 55MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC REM RING LN 6MMX70|3573|1893.69|2679.75|2858.4|3037.05|3215.7|0|2886.98|2572.56|2418.21|0|3573|2329.6|0|1308.43|2924.5|2211.69|2154.52|0|0|2679.75|2790.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1583.2|0|0|0|0|0|0|0|0|3573
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 60MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 70MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 65MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 75MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 80MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 85MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 90MM|664.04|351.94|498.03|531.23|564.43|597.64|0|536.54|478.11|449.42|0|664.04|432.95|0|243.17|543.52|411.04|400.42|0|2156.856582|498.03|518.62|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 95MM STR|849.44|450.2|637.08|679.55|722.02|764.5|0|686.35|611.6|574.9|0|849.44|553.83|0|311.06|695.27|525.8|512.21|0|2156.856582|637.08|663.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|376.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI LCK 5.0MM 100MM STR|849.44|450.2|637.08|679.55|722.02|764.5|0|686.35|611.6|574.9|0|849.44|553.83|0|311.06|695.27|525.8|512.21|0|2156.856582|637.08|663.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|376.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 25MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC  REM RING LN 8MMX80|3333.6|1766.81|2500.2|2666.88|2833.56|3000.24|0|2693.55|2400.19|2256.18|0|3333.6|2173.51|0|1220.76|2728.55|2063.5|2010.16|0|0|2500.2|2603.54|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1477.12|0|0|0|0|0|0|0|0|3333.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 20MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 30MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 35MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 40MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 50MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 45MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 55MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 60MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 65MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 70MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 75MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 80MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 85MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0MM 90MM|899.04|476.49|674.28|719.23|764.18|809.14|0|726.42|647.31|608.47|0|899.04|586.17|0|329.23|735.86|556.51|542.12|0|2156.856582|674.28|702.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|398.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0X95MM ST|1086.6|575.9|814.95|869.28|923.61|977.94|0|877.97|782.35|735.41|0|1086.6|708.46|0|397.91|889.38|672.61|655.22|0|2156.856582|814.95|848.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW OPTI CAN LCK 5.0X100MMST|1086.6|575.9|814.95|869.28|923.61|977.94|0|877.97|782.35|735.41|0|1086.6|708.46|0|397.91|889.38|672.61|655.22|0|2156.856582|814.95|848.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|481.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN TI POST VA 5.0MM|764.4|405.13|573.3|611.52|649.74|687.96|0|617.64|550.37|517.35|0|764.4|498.39|0|279.92|625.66|473.16|460.93|0|2156.856582|573.3|597|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|338.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CABLE TI COB CHRM W CRIMP 1.7|1583.08|839.03|1187.31|1266.46|1345.62|1424.77|0|1279.13|1139.82|1071.43|0|1583.08|1032.17|0|579.72|1295.75|979.93|954.6|0|2156.856582|1187.31|1236.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|701.46|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|EVO ESOPH STENTFC 20-25-12-E|2980.8|1579.82|2235.6|2384.64|2533.68|2682.72|0|2408.49|2146.18|2017.41|0|2980.8|1943.48|0|1091.57|2439.78|1845.12|1797.42|0|0|2235.6|2328|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.79|0|0|0|0|0|0|0|0|2980.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|EVO ESOPH STENTFC 20-25-8-E|2980.8|1579.82|2235.6|2384.64|2533.68|2682.72|0|2408.49|2146.18|2017.41|0|2980.8|1943.48|0|1091.57|2439.78|1845.12|1797.42|0|0|2235.6|2328|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.79|0|0|0|0|0|0|0|0|2980.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|EVO ESOPH STENTFC 20-25-10-E|2980.8|1579.82|2235.6|2384.64|2533.68|2682.72|0|2408.49|2146.18|2017.41|0|2980.8|1943.48|0|1091.57|2439.78|1845.12|1797.42|0|0|2235.6|2328|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.79|0|0|0|0|0|0|0|0|2980.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 7X12|415.8|220.37|311.85|332.64|353.43|374.22|0|335.97|299.38|281.41|0|415.8|271.1|0|152.27|340.33|257.38|250.73|0|0|311.85|324.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.24|0|0|0|0|0|0|0|0|415.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 7X15|415.8|220.37|311.85|332.64|353.43|374.22|0|335.97|299.38|281.41|0|415.8|271.1|0|152.27|340.33|257.38|250.73|0|0|311.85|324.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.24|0|0|0|0|0|0|0|0|415.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 5X10|316.8|167.9|237.6|253.44|269.28|285.12|0|255.97|228.1|214.41|0|316.8|206.55|0|116.01|259.3|196.1|191.03|0|0|237.6|247.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.37|0|0|0|0|0|0|0|0|316.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 7X10|415.8|220.37|311.85|332.64|353.43|374.22|0|335.97|299.38|281.41|0|415.8|271.1|0|152.27|340.33|257.38|250.73|0|0|311.85|324.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.24|0|0|0|0|0|0|0|0|415.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 5X12|316.8|167.9|237.6|253.44|269.28|285.12|0|255.97|228.1|214.41|0|316.8|206.55|0|116.01|259.3|196.1|191.03|0|0|237.6|247.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.37|0|0|0|0|0|0|0|0|316.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|ADVANIX PANCREATIC STENT 5X13|316.8|167.9|237.6|253.44|269.28|285.12|0|255.97|228.1|214.41|0|316.8|206.55|0|116.01|259.3|196.1|191.03|0|0|237.6|247.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.37|0|0|0|0|0|0|0|0|316.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK DIS RAD 9H L|1324.44|701.95|993.33|1059.55|1125.77|1192|0|1070.15|953.6|896.38|0|1324.44|863.53|0|485.01|1084.05|819.83|798.64|0|2156.856582|993.33|1034.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|586.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK DIS RAD 11H L|1456.76|772.08|1092.57|1165.41|1238.25|1311.08|0|1177.06|1048.87|985.94|0|1456.76|949.81|0|533.47|1192.36|901.73|878.43|0|2156.856582|1092.57|1137.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|645.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK DIS RAD 9H R|1324.44|701.95|993.33|1059.55|1125.77|1192|0|1070.15|953.6|896.38|0|1324.44|863.53|0|485.01|1084.05|819.83|798.64|0|2156.856582|993.33|1034.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|586.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PL 2.5 TRILOCK DIS RAD 11H R|1456.76|772.08|1092.57|1165.41|1238.25|1311.08|0|1177.06|1048.87|985.94|0|1456.76|949.81|0|533.47|1192.36|901.73|878.43|0|2156.856582|1092.57|1137.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|645.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 55MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 60MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 65MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 70MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 75MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 85MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 90MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW TI CANN CON 5.0MM 80MM|582.48|308.71|436.86|465.98|495.11|524.23|0|470.64|419.39|394.22|0|582.48|379.78|0|213.3|476.76|360.56|351.24|0|2156.856582|436.86|454.92|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|258.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH DEXTILE LT LARGE|580|307.4|435|464|493|522|0|468.64|417.6|392.54|0|580|378.16|0|212.4|474.73|359.02|349.74|0|0|435|452.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257|0|0|0|0|0|0|0|0|580
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH DEXTILE RT LARGE|580|307.4|435|464|493|522|0|468.64|417.6|392.54|0|580|378.16|0|212.4|474.73|359.02|349.74|0|0|435|452.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|257|0|0|0|0|0|0|0|0|580
HOSP OP|0272 - STERILE SUPPLY||C1758|MULTI-3 V PLUS 15-11.5-8.5|500.32|265.17|375.24|400.26|425.27|450.29|0|404.26|360.23|338.62|0|500.32|326.21|0|183.22|409.51|309.7|301.69|0|0|375.24|390.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.69|0|0|0|0|0|0|0|0|500.32
HOSP OP|0272 - STERILE SUPPLY||C1758|MULTI-3 V PLUS 20-18-15|500.32|265.17|375.24|400.26|425.27|450.29|0|404.26|360.23|338.62|0|500.32|326.21|0|183.22|409.51|309.7|301.69|0|0|375.24|390.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|221.69|0|0|0|0|0|0|0|0|500.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT BILI NO H IMPL L80MM|3960|2098.8|2970|3168|3366|3564|0|3199.68|2851.2|2680.13|0|3960|2581.92|0|1450.15|3241.26|2451.24|2387.88|0|0|2970|3092.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1754.68|0|0|0|0|0|0|0|0|3960
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STNT BILI W/O H IMPL L60MM|3960|2098.8|2970|3168|3366|3564|0|3199.68|2851.2|2680.13|0|3960|2581.92|0|1450.15|3241.26|2451.24|2387.88|0|0|2970|3092.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1754.68|0|0|0|0|0|0|0|0|3960
HOSP OP|0272 - STERILE SUPPLY||C1769|GWIRE ENDOSCP L4500MM|658.56|349.04|493.92|526.85|559.78|592.7|0|532.12|474.16|445.71|0|658.56|429.38|0|241.16|539.03|407.65|397.11|0|0|493.92|514.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|291.81|0|0|0|0|0|0|0|0|658.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|DEFENDO SGL USE VALVE AIR/WATR|48.8|25.86|36.6|39.04|41.48|43.92|0|39.43|35.14|33.03|0|48.8|31.82|0|17.87|39.94|30.21|29.43|0|0|36.6|38.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|21.62|0|0|0|0|0|0|0|0|48.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREAS L5CM OD5FR|316.8|167.9|237.6|253.44|269.28|285.12|0|255.97|228.1|214.41|0|316.8|206.55|0|116.01|259.3|196.1|191.03|0|0|237.6|247.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.37|0|0|0|0|0|0|0|0|316.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREAS L7CM OD5FR|316.8|167.9|237.6|253.44|269.28|285.12|0|255.97|228.1|214.41|0|316.8|206.55|0|116.01|259.3|196.1|191.03|0|0|237.6|247.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|140.37|0|0|0|0|0|0|0|0|316.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREAS L5CM OD7FR|415.8|220.37|311.85|332.64|353.43|374.22|0|335.97|299.38|281.41|0|415.8|271.1|0|152.27|340.33|257.38|250.73|0|0|311.85|324.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.24|0|0|0|0|0|0|0|0|415.8
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREAS L7CM OD7FR|415.8|220.37|311.85|332.64|353.43|374.22|0|335.97|299.38|281.41|0|415.8|271.1|0|152.27|340.33|257.38|250.73|0|0|311.85|324.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.24|0|0|0|0|0|0|0|0|415.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 2-3MM 30MM|6151.2|3260.14|4613.4|4920.96|5228.52|5536.08|0|4970.17|4428.86|4163.13|0|6151.2|4010.58|0|2252.57|5034.76|3807.59|3709.17|0|0|4613.4|4804.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2725.6|0|0|0|0|0|0|0|0|6151.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 2-3MM 70MM|12084.6|6404.84|9063.45|9667.68|10271.91|10876.14|0|9764.36|8700.91|8178.86|0|12084.6|7879.16|0|4425.38|9891.25|7480.37|7287.01|0|0|9063.45|9438.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5354.69|0|0|0|0|0|0|0|0|12084.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 3-4MM 30MM|6151.2|3260.14|4613.4|4920.96|5228.52|5536.08|0|4970.17|4428.86|4163.13|0|6151.2|4010.58|0|2252.57|5034.76|3807.59|3709.17|0|0|4613.4|4804.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2725.6|0|0|0|0|0|0|0|0|6151.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 3-4MM 50MM|9571.65|5072.97|7178.74|7657.32|8135.9|8614.49|0|7733.89|6891.59|6478.09|0|9571.65|6240.72|0|3505.14|7834.4|5924.85|5771.7|0|0|7178.74|7475.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4241.2|0|0|0|0|0|0|0|0|9571.65
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 3-4MM 70MM|13117.5|6952.27|9838.13|10494|11149.88|11805.75|0|10598.94|9444.6|8877.92|0|13117.5|8552.61|0|4803.63|10736.67|8119.73|7909.85|0|0|9838.13|10244.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5812.36|0|0|0|0|0|0|0|0|13117.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|GRAFT AVANCE NERVE 4-5MM 50MM|9571.65|5072.97|7178.74|7657.32|8135.9|8614.49|0|7733.89|6891.59|6478.09|0|9571.65|6240.72|0|3505.14|7834.4|5924.85|5771.7|0|0|7178.74|7475.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4241.2|0|0|0|0|0|0|0|0|9571.65
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|CONN AXOGUARD 3MM 15MM|3331.8|1765.85|2498.85|2665.44|2832.03|2998.62|0|2692.09|2398.9|2254.96|0|3331.8|2172.33|0|1220.11|2727.08|2062.38|2009.08|0|0|2498.85|2602.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1476.32|0|0|0|0|0|0|0|0|3331.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|CONN AXOGUARD 4MM 15MM|3331.8|1765.85|2498.85|2665.44|2832.03|2998.62|0|2692.09|2398.9|2254.96|0|3331.8|2172.33|0|1220.11|2727.08|2062.38|2009.08|0|0|2498.85|2602.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1476.32|0|0|0|0|0|0|0|0|3331.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|CONN AXOGUARD 5MM 15MM|3331.8|1765.85|2498.85|2665.44|2832.03|2998.62|0|2692.09|2398.9|2254.96|0|3331.8|2172.33|0|1220.11|2727.08|2062.38|2009.08|0|0|2498.85|2602.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1476.32|0|0|0|0|0|0|0|0|3331.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1763|PROT AXOGUARD NERVE 7MM 40MM|4717.8|2500.43|3538.35|3774.24|4010.13|4246.02|0|3811.98|3396.82|3193.01|0|4717.8|3076.01|0|1727.66|3861.52|2920.32|2844.83|0|0|3538.35|3684.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2090.46|0|0|0|0|0|0|0|0|4717.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLD/BRNCH30X50CM|3041.09|1611.78|2280.82|2432.87|2584.92|2736.98|0|2457.2|2189.58|2058.21|0|3041.09|1982.79|0|1113.65|2489.13|1882.43|1833.78|0|0|2280.82|2375.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1347.51|0|0|0|0|0|0|0|0|3041.09
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 480MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 460MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 480MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 460MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 460MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 460MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 480MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 480MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 460MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 480MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 460MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 480MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 320MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 300MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 340MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 280MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 280MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 300MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 300MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 300MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 300MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 300MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 300MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 360MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 300MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 320MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 340MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 360MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 380MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 380MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 400MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 400MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 420MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 420MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 440MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 440MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 460MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 480MM GT RT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 480MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 320MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 340MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 360MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 380MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 14MM 460MM GT LT|3458.48|1832.99|2593.86|2766.79|2939.71|3112.64|0|2794.46|2490.11|2340.7|0|3458.48|2254.93|0|1266.5|2830.77|2140.8|2085.47|0|2156.856582|2593.86|2701.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1532.45|0|0|0|0|0|0|0|0|3458.48
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 400MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 420MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 440MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 320MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 340MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 360MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 380MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 400MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 420MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 10MM 440MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 320MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 340MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 360MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 380MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 400MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 420MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 440MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 360MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 320MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 340MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 400MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 340MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 380MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 420MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 11MM 440MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 320MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 360MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 380MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 400MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 420MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 440MM GT RT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 340MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 360MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 320MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 380MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 400MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 420MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM 12MM 440MM GT LT|3202.31|1697.23|2401.73|2561.85|2721.96|2882.08|0|2587.46|2305.66|2167.32|0|3202.31|2087.9|0|1172.69|2621.09|1982.23|1930.99|0|2156.856582|2401.73|2501|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1418.94|0|0|0|0|0|0|0|0|3202.31
HOSP OP|0272 - STERILE SUPPLY||A4649|RESERV CSF OMMAYA SIDE 1.5CM|1629.44|863.6|1222.08|1303.55|1385.02|1466.5|0|1316.59|1173.2|1102.8|0|1629.44|1062.39|0|596.7|1333.7|1008.62|982.55|0|11.99410609|1222.08|1272.59|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|722|0|0|0|0|0|0|0|0|1629.44
HOSP OP|0272 - STERILE SUPPLY||A4649|SHUNT STRATA II ASSY SM|7171.56|3800.93|5378.67|5737.25|6095.83|6454.4|0|5794.62|5163.52|4853.71|0|7171.56|4675.86|0|2626.23|5869.92|4439.2|4324.45|0|11.99410609|5378.67|5600.99|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|3177.72|0|0|0|0|0|0|0|0|7171.56
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG EXTR SM TOP 9 173401109|1818.15|963.62|1363.61|1454.52|1545.43|1636.34|0|1469.07|1309.07|1230.52|0|1818.15|1185.43|0|665.81|1488.16|1125.43|1096.34|0|0|1363.61|1419.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|805.62|0|0|0|0|0|0|0|0|1818.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG EXTR SM BOTM 9 173402109|1818.15|963.62|1363.61|1454.52|1545.43|1636.34|0|1469.07|1309.07|1230.52|0|1818.15|1185.43|0|665.81|1488.16|1125.43|1096.34|0|0|1363.61|1419.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|805.62|0|0|0|0|0|0|0|0|1818.15
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG EXTR SM 12 173400112|2422.26|1283.8|1816.7|1937.81|2058.92|2180.03|0|1957.19|1744.03|1639.39|0|2422.26|1579.31|0|887.03|1982.62|1499.38|1460.62|0|0|1816.7|1891.79|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1073.3|0|0|0|0|0|0|0|0|2422.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG EXTR SM 24 173400124|3842.76|2036.66|2882.07|3074.21|3266.35|3458.48|0|3104.95|2766.79|2600.78|0|3842.76|2505.48|0|1407.22|3145.3|2378.67|2317.18|0|0|2882.07|3001.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1702.73|0|0|0|0|0|0|0|0|3842.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SM TOP 9 173401209|1870.95|991.6|1403.21|1496.76|1590.31|1683.86|0|1511.73|1347.08|1266.26|0|1870.95|1219.86|0|685.14|1531.37|1158.12|1128.18|0|0|1403.21|1461.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|829.02|0|0|0|0|0|0|0|0|1870.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SM BOTM 9 173402209|1870.95|991.6|1403.21|1496.76|1590.31|1683.86|0|1511.73|1347.08|1266.26|0|1870.95|1219.86|0|685.14|1531.37|1158.12|1128.18|0|0|1403.21|1461.21|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|829.02|0|0|0|0|0|0|0|0|1870.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SM 12 173400212|2463.3|1305.55|1847.48|1970.64|2093.81|2216.97|0|1990.35|1773.58|1667.16|0|2463.3|1606.07|0|902.06|2016.21|1524.78|1485.37|0|0|1847.48|1923.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1091.49|0|0|0|0|0|0|0|0|2463.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SM 24 173400224|3941.28|2088.88|2955.96|3153.02|3350.09|3547.15|0|3184.55|2837.72|2667.46|0|3941.28|2569.71|0|1443.3|3225.94|2439.65|2376.59|0|0|2955.96|3078.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1746.38|0|0|0|0|0|0|0|0|3941.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED TOP 9 173401309|1923.72|1019.57|1442.79|1538.98|1635.16|1731.35|0|1554.37|1385.08|1301.97|0|1923.72|1254.27|0|704.47|1574.56|1190.78|1160|0|0|1442.79|1502.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|852.4|0|0|0|0|0|0|0|0|1923.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED BOTM 9 173402309|1923.72|1019.57|1442.79|1538.98|1635.16|1731.35|0|1554.37|1385.08|1301.97|0|1923.72|1254.27|0|704.47|1574.56|1190.78|1160|0|0|1442.79|1502.43|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|852.4|0|0|0|0|0|0|0|0|1923.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED 12 173400312|2521.95|1336.63|1891.46|2017.56|2143.66|2269.76|0|2037.74|1815.8|1706.86|0|2521.95|1644.31|0|923.54|2064.22|1561.09|1520.74|0|0|1891.46|1969.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1117.48|0|0|0|0|0|0|0|0|2521.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED 24 173400324|3033.38|1607.69|2275.03|2426.7|2578.37|2730.04|0|2450.97|2184.03|2052.99|0|3033.38|1977.76|0|1110.82|2482.82|1877.66|1829.13|0|0|2275.03|2369.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1344.09|0|0|0|0|0|0|0|0|3033.38
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG LG TOP 9 173401409|1999.98|1059.99|1499.99|1599.98|1699.98|1799.98|0|1615.98|1439.99|1353.59|0|1999.98|1303.99|0|732.39|1636.98|1237.99|1205.99|0|0|1499.99|1561.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|886.19|0|0|0|0|0|0|0|0|1999.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG LG 12 173400412|2639.25|1398.8|1979.44|2111.4|2243.36|2375.33|0|2132.51|1900.26|1786.24|0|2639.25|1720.79|0|966.49|2160.23|1633.7|1591.47|0|0|1979.44|2061.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1169.45|0|0|0|0|0|0|0|0|2639.25
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG LG 24 173400424|3163.59|1676.7|2372.69|2530.87|2689.05|2847.23|0|2556.18|2277.78|2141.12|0|3163.59|2062.66|0|1158.51|2589.4|1958.26|1907.64|0|0|2372.69|2470.76|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1401.79|0|0|0|0|0|0|0|0|3163.59
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED TOP 7 173401311|4521.92|2396.62|3391.44|3617.54|3843.64|4069.73|0|3653.71|3255.79|3060.44|0|4521.92|2948.29|0|1655.93|3701.19|2799.07|2726.72|0|0|3391.44|3531.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.66|0|0|0|0|0|0|0|0|4521.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG MED BOTM 7 173402311|4521.92|2396.62|3391.44|3617.54|3843.64|4069.73|0|3653.71|3255.79|3060.44|0|4521.92|2948.29|0|1655.93|3701.19|2799.07|2726.72|0|0|3391.44|3531.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.66|0|0|0|0|0|0|0|0|4521.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG LG TOP 7 173401413|4521.92|2396.62|3391.44|3617.54|3843.64|4069.73|0|3653.71|3255.79|3060.44|0|4521.92|2948.29|0|1655.93|3701.19|2799.07|2726.72|0|0|3391.44|3531.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.66|0|0|0|0|0|0|0|0|4521.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG LG BOTM 7 173402413|4521.92|2396.62|3391.44|3617.54|3843.64|4069.73|0|3653.71|3255.79|3060.44|0|4521.92|2948.29|0|1655.93|3701.19|2799.07|2726.72|0|0|3391.44|3531.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2003.66|0|0|0|0|0|0|0|0|4521.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLOTD SM 12 173475212|4450.36|2358.69|3337.77|3560.28|3782.8|4005.32|0|3595.89|3204.26|3012|0|4450.36|2901.63|0|1629.72|3642.62|2754.77|2683.56|0|0|3337.77|3475.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1971.95|0|0|0|0|0|0|0|0|4450.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLOTD MED 12 173475312|3565.92|1889.94|2674.44|2852.74|3031.03|3209.33|0|2881.26|2567.46|2413.41|0|3565.92|2324.98|0|1305.84|2918.71|2207.3|2150.25|0|0|2674.44|2784.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1580.06|0|0|0|0|0|0|0|0|3565.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLOTD SM 24 173475224|3596.42|1906.1|2697.31|2877.13|3056.96|3236.78|0|2905.91|2589.42|2434.06|0|3596.42|2344.86|0|1317.01|2943.67|2226.18|2168.64|0|0|2697.31|2808.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1593.57|0|0|0|0|0|0|0|0|3596.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLOTD MED 24 173475324|3649.21|1934.08|2736.91|2919.37|3101.83|3284.29|0|2948.56|2627.43|2469.79|0|3649.21|2379.29|0|1336.34|2986.88|2258.86|2200.47|0|0|2736.91|2850.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1616.97|0|0|0|0|0|0|0|0|3649.21
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLV 15 173430015|883.68|468.35|662.76|706.94|751.13|795.31|0|714.01|636.25|598.07|0|883.68|576.16|0|323.6|723.29|547|532.86|0|0|662.76|690.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|391.56|0|0|0|0|0|0|0|0|883.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLV 7.5 173430007|766.36|406.17|574.77|613.09|651.41|689.72|0|619.22|551.78|518.67|0|766.36|499.67|0|280.64|627.27|474.38|462.12|0|0|574.77|598.53|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|339.57|0|0|0|0|0|0|0|0|766.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SLV 5 173430005|703.8|373.01|527.85|563.04|598.23|633.42|0|568.67|506.74|476.33|0|703.8|458.88|0|257.73|576.06|435.65|424.39|0|0|527.85|549.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|311.85|0|0|0|0|0|0|0|0|703.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SCR M4/M4 173450144|3141.84|1665.18|2356.38|2513.47|2670.56|2827.66|0|2538.61|2262.12|2126.4|0|3141.84|2048.48|0|1150.54|2571.6|1944.8|1894.53|0|0|2356.38|2453.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1392.15|0|0|0|0|0|0|0|0|3141.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CG SCR 60 173450065|1055.72|559.53|791.79|844.58|897.36|950.15|0|853.02|760.12|714.51|0|1055.72|688.33|0|386.6|864.11|653.49|636.6|0|2156.856582|791.79|824.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|467.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SCR LCK 120 173450125|1407.6|746.03|1055.7|1126.08|1196.46|1266.84|0|1137.34|1013.47|952.66|0|1407.6|917.76|0|515.46|1152.12|871.3|848.78|0|0|1055.7|1099.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|623.71|0|0|0|0|0|0|0|0|1407.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1821|CG SCR M4/M5 173450145|2187.66|1159.46|1640.75|1750.13|1859.51|1968.89|0|1767.63|1575.12|1480.61|0|2187.66|1426.35|0|801.12|1790.6|1354.16|1319.16|0|0|1640.75|1708.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|969.35|0|0|0|0|0|0|0|0|2187.66
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CRTX S/T4.0/100 206.500|164.36|87.11|123.27|131.49|139.71|147.92|0|132.8|118.34|111.24|0|164.36|107.16|0|60.19|134.53|101.74|99.11|0|2156.856582|123.27|128.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|72.83|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||Q4116|MESH LIFECELL ALLODERM 8X16CM|5662.8|3001.28|4247.1|4530.24|4813.38|5096.52|0|4575.54|4077.22|3832.58|0|5662.8|3692.15|0|2073.72|4635|3505.27|3414.67|0|31.03143418|4247.1|4422.65|0|0|0|0|0|0|0|0|0|31.59|31.03143418|31.59|0|0|0|2509.19|0|0|0|0|0|0|0|0|5662.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 5/25 1877-02-525|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 5/30 1877-02-530|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 5/35 1877-02-535|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 5/40 1877-02-540|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/30 1877-02-630|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 13 1877-04-013|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 14 1877-04-014|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 15 1877-04-015|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 16 1877-04-016|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPLEXP ROSTRAL SM 1877-01-001|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPLEXPROSTRAL MED 1877-01-003|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPLEXP ROSTRAL LG 1877-01-005|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPL EXP CAUDAL SM 1877-01-002|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPLEXP CAUDAL MED 1877-01-004|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPL EXP CAUDAL LG 1877-01-006|1658.73|879.13|1244.05|1326.98|1409.92|1492.86|0|1340.25|1194.29|1122.63|0|1658.73|1081.49|0|607.43|1357.67|1026.75|1000.21|0|2156.856582|1244.05|1295.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|734.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|STPL EXP SNGL 1877-01-010|893.04|473.31|669.78|714.43|759.08|803.74|0|721.58|642.99|604.41|0|893.04|582.26|0|327.03|730.95|552.79|538.5|0|2156.856582|669.78|697.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|395.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WSHR EXP 1877-01-009|300|159|225|240|255|270|0|242.4|216|203.04|0|300|195.6|0|109.86|245.55|185.7|180.9|0|2156.856582|225|234.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|132.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP SET 1877-01-015|495.36|262.54|371.52|396.29|421.06|445.82|0|400.25|356.66|335.26|0|495.36|322.97|0|181.4|405.45|306.63|298.7|0|2156.856582|371.52|386.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|219.49|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/ 45 1877-03-045|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/ 55 1877-03-055|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/65 1877-03-065|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/70 1877-03-070|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/75 1877-03-075|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/80 1877-03-080|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/85 1877-03-085|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/90 1877-03-090|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/95 1877-03-095|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/100 1877-03-100|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/110 1877-03-110|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/120 1797-62-120|1280|678.4|960|1024|1088|1152|0|1034.24|921.6|866.3|0|1280|834.56|0|468.74|1047.68|792.32|771.84|0|2156.856582|960|999.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|567.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/450 1877-03-450|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/35 1877-02-635|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/40 1877-02-640|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/45 1877-02-645|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/50 1877-02-650|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/55 1877-02-655|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 7/35 1877-02-735|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 7/40 1877-02-740|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 7/45 1877-02-745|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 7/50 1877-02-750|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 7/55 1877-02-755|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT TIGHTROPE CANI MINI SS|1575|834.75|1181.25|1260|1338.75|1417.5|0|1272.6|1134|1065.96|0|1575|1026.9|0|576.77|1289.14|974.93|949.73|0|2156.856582|1181.25|1230.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.88|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH BACTISEAL EVD 1.9MM I.D.|1568.64|831.38|1176.48|1254.91|1333.34|1411.78|0|1267.46|1129.42|1061.66|0|1568.64|1022.75|0|574.44|1283.93|970.99|945.89|0|0|1176.48|1225.11|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|695.06|0|0|0|0|0|0|0|0|1568.64
HOSP OP|0731 - EKG - HOLTER MONITOR||93236|CARDIAC MONITOR|361.14|191.4|270.86|288.91|306.97|325.03|306.97|291.8|260.02|244.42|0|361.14|235.46|202.24|132.25|295.59|223.55|217.77|197.18|0|270.86|282.05|144.46|0|144.46|312.02|324.26|155.54|144.46|158.07|324.26|0|0|0|0|0|144.46|160.02|0|0|144.46|0|180.57|144.46|144.46|0|361.14
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/10 52-23010|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/12 52-23012|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/14 52-23014|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/16 52-23016|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/18 52-23018|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/20 52-23020|282.88|149.93|212.16|226.3|240.45|254.59|0|228.57|203.67|191.45|0|282.88|184.44|0|103.59|231.54|175.1|170.58|0|2156.856582|212.16|220.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|125.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/22 52-23022|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/24 52-23024|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/26 52-23026|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/28 52-23028|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/30 52-23030|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/32 52-23032|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/34 52-23034|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/36 52-23036|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX TH 2.3/38 52-23038|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/10 52-27010|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/12 52-27012|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/14 52-27014|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/16 52-27016|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/18 52-27018|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/20 52-27020|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/22 52-27022|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/24 52-27024|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VARIAX TH 2.7/26 52-27026|820.8|435.02|615.6|656.64|697.68|738.72|0|663.21|590.98|555.52|0|820.8|535.16|0|300.58|671.82|508.08|494.94|0|2156.856582|615.6|641.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|363.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/16 5227116|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/10 5227118|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/20 5227120|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/22 5227122|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/24 5227124|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAX P/TH 2.7/26 5227126|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/10 52-23610|846|448.38|634.5|676.8|719.1|761.4|0|683.57|609.12|572.57|0|846|551.59|0|309.81|692.45|523.67|510.14|0|2156.856582|634.5|660.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|374.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/12 52-23612|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/14 52-23614|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/16 52-23616|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/18 52-23618|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/20 52-23620|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/22 52-23622|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/24 52-23624|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/26 52-23626|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/28 52-23628|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/30 52-23630|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/32 52-23632|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/34 52-23634|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/36 52-23636|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.3/38 52-23638|846|448.38|634.5|676.8|719.1|761.4|0|683.57|609.12|572.57|0|846|551.59|0|309.81|692.45|523.67|510.14|0|2156.856582|634.5|660.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|374.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/10 52-27610|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/12 52-27612|846|448.38|634.5|676.8|719.1|761.4|0|683.57|609.12|572.57|0|846|551.59|0|309.81|692.45|523.67|510.14|0|2156.856582|634.5|660.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|374.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/14 52-27614|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/16 52-27616|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/18 52-27618|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/20 52-27620|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/22 52-27622|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/24 52-27624|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRVARIAXLCKNG 2.7/26 52-27626|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/16 52-20616|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/18 52-20618|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/20 52-20620|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/22 52-20622|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/24 52-20624|846|448.38|634.5|676.8|719.1|761.4|0|683.57|609.12|572.57|0|846|551.59|0|309.81|692.45|523.67|510.14|0|2156.856582|634.5|660.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|374.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PEGVARIAXLCKNG 2.0/26 52-20626|451|239.03|338.25|360.8|383.35|405.9|0|364.41|324.72|305.24|0|451|294.05|0|165.16|369.14|279.17|271.95|0|2156.856582|338.25|352.23|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX ULNAR LNG R 54-25404|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX ULNAR SHT R 54-25402|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX ULNAR SHT L 54-25403|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX ULNAR LNG L 54-25405|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX ULNAR LNG 54-25401|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX ULNAR SHT 54-25400|1661.55|880.62|1246.16|1329.24|1412.32|1495.4|0|1342.53|1196.32|1124.54|0|1661.55|1083.33|0|608.46|1359.98|1028.5|1001.91|0|2156.856582|1246.16|1297.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|736.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSLSTDR XL 54-25294|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSL STD R 54-25290|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSLWD L XL54-25297|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSLWD L 54-25293|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSLSTD L XL 54-25295|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSLSTD L 54-25291|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSL WD R XL 54-25296|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAXDRSL WD R 54-25292|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX UNI N LG 54-25395|1923.9|1019.67|1442.93|1539.12|1635.32|1731.51|0|1554.51|1385.21|1302.1|0|1923.9|1254.38|0|704.53|1574.71|1190.89|1160.11|0|2156.856582|1442.93|1502.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|852.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX UNI WD LG 54-25399|1923.9|1019.67|1442.93|1539.12|1635.32|1731.51|0|1554.51|1385.21|1302.1|0|1923.9|1254.38|0|704.53|1574.71|1190.89|1160.11|0|2156.856582|1442.93|1502.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|852.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX UNI STD LG 54-25397|1923.9|1019.67|1442.93|1539.12|1635.32|1731.51|0|1554.51|1385.21|1302.1|0|1923.9|1254.38|0|704.53|1574.71|1190.89|1160.11|0|2156.856582|1442.93|1502.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|852.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX UNI N SHT 54-25394|1923.9|1019.67|1442.93|1539.12|1635.32|1731.51|0|1554.51|1385.21|1302.1|0|1923.9|1254.38|0|704.53|1574.71|1190.89|1160.11|0|2156.856582|1442.93|1502.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|852.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT VARIAX UNI WD SHT 54-25398|1923.9|1019.67|1442.93|1539.12|1635.32|1731.51|0|1554.51|1385.21|1302.1|0|1923.9|1254.38|0|704.53|1574.71|1190.89|1160.11|0|2156.856582|1442.93|1502.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|852.48|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI STD SHT 54-25396|2965.68|1571.81|2224.26|2372.54|2520.83|2669.11|0|2396.27|2135.29|2007.17|0|2965.68|1933.62|0|1086.03|2427.41|1835.76|1788.31|0|2156.856582|2224.26|2316.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1314.09|0|0|0|0|0|0|0|0|2965.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI N XLG 54-25391|2098.8|1112.36|1574.1|1679.04|1783.98|1888.92|0|1695.83|1511.14|1420.47|0|2098.8|1368.42|0|768.58|1717.87|1299.16|1265.58|0|2156.856582|1574.1|1639.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|929.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI WD XLG 54-25392|2098.8|1112.36|1574.1|1679.04|1783.98|1888.92|0|1695.83|1511.14|1420.47|0|2098.8|1368.42|0|768.58|1717.87|1299.16|1265.58|0|2156.856582|1574.1|1639.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|929.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI STD XLG 54-25393|2098.8|1112.36|1574.1|1679.04|1783.98|1888.92|0|1695.83|1511.14|1420.47|0|2098.8|1368.42|0|768.58|1717.87|1299.16|1265.58|0|2156.856582|1574.1|1639.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|929.98|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI ANT N LG 5425375|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNIANTLSTDLG 5425377|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI ANT L N 54-25374|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNIANT L STD 5425376|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI R STD 54-25386|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNI R ANT N 54-25384|2273.7|1205.06|1705.28|1818.96|1932.65|2046.33|0|1837.15|1637.06|1538.84|0|2273.7|1482.45|0|832.63|1861.02|1407.42|1371.04|0|2156.856582|1705.28|1775.76|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1007.48|0|0|0|0|0|0|0|0|2273.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNIRANTSTDLG 5425387|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVARIAX UNIRANT N LG 5425385|2623.5|1390.45|1967.63|2098.8|2229.98|2361.15|0|2119.79|1888.92|1775.58|0|2623.5|1710.52|0|960.73|2147.33|1623.95|1581.97|0|2156.856582|1967.63|2048.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1162.47|0|0|0|0|0|0|0|0|2623.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT RX UNCOVERED 10X40|3336|1768.08|2502|2668.8|2835.6|3002.4|0|2695.49|2401.92|2257.8|0|3336|2175.07|0|1221.64|2730.52|2064.98|2011.61|0|0|2502|2605.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1478.18|0|0|0|0|0|0|0|0|3336
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT RX UNCOVERED 10X60|3336|1768.08|2502|2668.8|2835.6|3002.4|0|2695.49|2401.92|2257.8|0|3336|2175.07|0|1221.64|2730.52|2064.98|2011.61|0|0|2502|2605.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1478.18|0|0|0|0|0|0|0|0|3336
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLSTENT RX COVERED 10X40|3684|1952.52|2763|2947.2|3131.4|3315.6|0|2976.67|2652.48|2493.33|0|3684|2401.97|0|1349.08|3015.35|2280.4|2221.45|0|0|2763|2877.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1632.38|0|0|0|0|0|0|0|0|3684
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|WALLSTENT RX COVERED 10X60|3789.72|2008.55|2842.29|3031.78|3221.26|3410.75|0|3062.09|2728.6|2564.88|0|3789.72|2470.9|0|1387.8|3101.89|2345.84|2285.2|0|0|2842.29|2959.77|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1679.22|0|0|0|0|0|0|0|0|3789.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT ESOPH ULTFLX COV 12X9CM|3654.96|1937.13|2741.22|2923.97|3106.72|3289.46|0|2953.21|2631.57|2473.68|0|3654.96|2383.03|0|1338.45|2991.58|2262.42|2203.94|0|0|2741.22|2854.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1619.51|0|0|0|0|0|0|0|0|3654.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1874|STENT ESOPH ULTFLX COV 10X7CM|3654.96|1937.13|2741.22|2923.97|3106.72|3289.46|0|2953.21|2631.57|2473.68|0|3654.96|2383.03|0|1338.45|2991.58|2262.42|2203.94|0|0|2741.22|2854.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1619.51|0|0|0|0|0|0|0|0|3654.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT RX UNCOVERED 10X80|3108|1647.24|2331|2486.4|2641.8|2797.2|0|2511.26|2237.76|2103.49|0|3108|2026.42|0|1138.15|2543.9|1923.85|1874.12|0|0|2331|2427.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1377.15|0|0|0|0|0|0|0|0|3108
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 5FRX3CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 5FRX7CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 5FRX9CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 7FRX3CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PIGTAIL 7FRX4CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 7FRX9CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT PANCREATC FREEMN 5FRX5CM|184|97.52|138|147.2|156.4|165.6|0|148.67|132.48|124.53|0|184|119.97|0|67.38|150.6|113.9|110.95|0|0|138|143.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.53|0|0|0|0|0|0|0|0|184
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/140 1877-03-140|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/150 1877-03-150|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/25 1877-02-625|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR EXP 6/60 1877-02-660|1533.15|812.57|1149.86|1226.52|1303.18|1379.84|0|1238.79|1103.87|1037.64|0|1533.15|999.61|0|561.44|1254.88|949.02|924.49|0|2156.856582|1149.86|1197.39|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|679.34|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 17 1877-04-017|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CNNCTREXPCR/SCR 18 1877-04-018|1522.71|807.04|1142.03|1218.17|1294.3|1370.44|0|1230.35|1096.35|1030.57|0|1522.71|992.81|0|557.62|1246.34|942.56|918.19|0|2156.856582|1142.03|1189.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.71|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/ 50 1877-03-050|1331.2|705.54|998.4|1064.96|1131.52|1198.08|0|1075.61|958.46|900.96|0|1331.2|867.94|0|487.49|1089.59|824.01|802.71|0|2156.856582|998.4|1039.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|589.85|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/ 60 1877-03-060|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|RD EXP 5.5/130 1877-03-130|767.44|406.74|575.58|613.95|652.32|690.7|0|620.09|552.56|519.4|0|767.44|500.37|0|281.04|628.15|475.05|462.77|0|2156.856582|575.58|599.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|340.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1729|NASAL BILIARY DRAINAGE SET 5FR|468|248.04|351|374.4|397.8|421.2|0|378.14|336.96|316.74|0|468|305.14|0|171.38|383.06|289.69|282.2|0|0|351|365.51|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|207.37|0|0|0|0|0|0|0|0|468
HOSP OP|0272 - STERILE SUPPLY||C1729|NASAL BILIARY DRAINAGE SET 7FR|436.8|231.5|327.6|349.44|371.28|393.12|0|352.93|314.5|295.63|0|436.8|284.79|0|159.96|357.52|270.38|263.39|0|0|327.6|341.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|193.55|0|0|0|0|0|0|0|0|436.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI LOW PROF 6.5X40M 103535|128|67.84|96|102.4|108.8|115.2|0|103.42|92.16|86.63|0|128|83.46|0|46.87|104.77|79.23|77.18|0|2156.856582|96|99.97|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|56.72|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN CRTX1.3/10 400.690|250.88|132.97|188.16|200.7|213.25|225.79|0|202.71|180.63|169.8|0|250.88|163.57|0|91.87|205.35|155.29|151.28|0|2156.856582|188.16|195.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|111.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN TRINICA FIX 07.00656.002|288|152.64|216|230.4|244.8|259.2|0|232.7|207.36|194.92|0|288|187.78|0|105.47|235.73|178.27|173.66|0|11.99410609|216|224.93|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|127.61|0|0|0|0|0|0|0|0|288
HOSP OP|0272 - STERILE SUPPLY||C1755|25GA WHIT 17GA WEISS|114.96|60.93|86.22|91.97|97.72|103.46|0|92.89|82.77|77.8|0|114.96|74.95|0|42.1|94.09|71.16|69.32|0|0|86.22|89.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|50.94|0|0|0|0|0|0|0|0|114.96
HOSP OP|0272 - STERILE SUPPLY||C1755|TRAY ANES CONTIPLEX|144.12|76.38|108.09|115.3|122.5|129.71|0|116.45|103.77|97.54|0|144.12|93.97|0|52.78|117.96|89.21|86.9|0|0|108.09|112.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|63.86|0|0|0|0|0|0|0|0|144.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1760|STARCLOSE DEVICE|800|424|600|640|680|720|0|646.4|576|541.44|0|800|521.6|0|292.96|654.8|495.2|482.4|0|0|600|624.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|354.48|0|0|0|0|0|0|0|0|800
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA11/180/120D 31201180S|4226.58|2240.09|3169.94|3381.26|3592.59|3803.92|0|3415.08|3043.14|2860.55|0|4226.58|2755.73|0|1547.77|3459.46|2616.25|2548.63|0|2156.856582|3169.94|3300.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1872.8|0|0|0|0|0|0|0|0|4226.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA11/180/125D 31251180S|4226.58|2240.09|3169.94|3381.26|3592.59|3803.92|0|3415.08|3043.14|2860.55|0|4226.58|2755.73|0|1547.77|3459.46|2616.25|2548.63|0|2156.856582|3169.94|3300.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1872.8|0|0|0|0|0|0|0|0|4226.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA11/180/130D 31301180S|4226.58|2240.09|3169.94|3381.26|3592.59|3803.92|0|3415.08|3043.14|2860.55|0|4226.58|2755.73|0|1547.77|3459.46|2616.25|2548.63|0|2156.856582|3169.94|3300.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1872.8|0|0|0|0|0|0|0|0|4226.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMA SET 8 /17.5 30030822S|1324.8|702.14|993.6|1059.84|1126.08|1192.32|0|1070.44|953.86|896.62|0|1324.8|863.77|0|485.14|1084.35|820.05|798.85|0|2156.856582|993.6|1034.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL CAP GAMMA 3005-1100S|1324.8|702.14|993.6|1059.84|1126.08|1192.32|0|1070.44|953.86|896.62|0|1324.8|863.77|0|485.14|1084.35|820.05|798.85|0|2156.856582|993.6|1034.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMA LAG 10.5/80 30600080S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMA LAG 10.5/85 30600085S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMA LAG 10.5/90 30600090S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMA LAG 10.5/95 30600095S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/100 30600100S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/105 30600105S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/110 30600110S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/115 30600115S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/120 30600120S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/125 30600125S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRGAMMALAG 10.5/130 30600130S|2770.2|1468.21|2077.65|2216.16|2354.67|2493.18|0|2238.32|1994.54|1874.87|0|2770.2|1806.17|0|1014.45|2267.41|1714.75|1670.43|0|2156.856582|2077.65|2163.53|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1227.48|0|0|0|0|0|0|0|0|2770.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/25 1896-5030S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/35 1896-5035S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/40 1896-5040S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/45 1896-5045S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/50 1896-5050S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/55 1896-5055S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/60 1896-5060S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/65 1896-5065S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/70 1896-5070S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/75 1896-5075S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/80 1896-5080S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/85 1896-5085S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR GAMMA F/T 5/90 1896-5090S|1260|667.8|945|1008|1071|1134|0|1018.08|907.2|852.77|0|1260|821.52|0|461.41|1031.31|779.94|759.78|0|2156.856582|945|984.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|558.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|K-WR GAMMA 3.2/450 1210-6450S|250.8|132.92|188.1|200.64|213.18|225.72|0|202.65|180.58|169.74|0|250.8|163.52|0|91.84|205.28|155.25|151.23|0|11.99410609|188.1|195.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|111.13|0|0|0|0|0|0|0|0|250.8
HOSP OP|0272 - STERILE SUPPLY||C1769|GDRDGAMMABALTIP1000 1806-0085S|376.8|199.7|282.6|301.44|320.28|339.12|0|304.45|271.3|255.02|0|376.8|245.67|0|137.98|308.41|233.24|227.21|0|0|282.6|294.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|166.96|0|0|0|0|0|0|0|0|376.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/246 RT|2937.82|1557.05|2203.36|2350.25|2497.14|2644.03|0|2373.76|2115.23|1988.31|0|2937.82|1915.46|0|1075.83|2404.6|1818.51|1771.5|0|2156.856582|2203.36|2294.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1301.75|0|0|0|0|0|0|0|0|2937.82
HOSP OP|0278 - SUPPLY IMPLANTS||C2617|STENT BIL COTTON LEUNG 10-3|221.52|117.41|166.14|177.22|188.29|199.37|0|178.99|159.49|149.92|0|221.52|144.43|0|81.12|181.31|137.12|133.58|0|0|166.14|173.01|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|98.16|0|0|0|0|0|0|0|0|221.52
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J ROUND 32 96-0110|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J ROUND 35 96-0111|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J ROUND 38 96-0112|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PATELLA J&J ROUND 41 96-0113|1200|636|900|960|1020|1080|0|969.6|864|812.16|0|1200|782.4|0|439.44|982.2|742.8|723.6|0|0|900|937.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|531.72|0|0|0|0|0|0|0|0|1200
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROS PISTON ARMSTR 14-0760|512.36|271.55|384.27|409.89|435.51|461.12|0|413.99|368.9|346.77|0|512.36|334.06|0|187.63|419.37|317.15|308.95|0|307.0137525|384.27|400.15|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|227.03|0|0|0|0|0|0|0|0|512.36
HOSP OP|0272 - STERILE SUPPLY||C1729|DRAIN T-TUBE 14FR|895.2|474.46|671.4|716.16|760.92|805.68|0|723.32|644.54|605.87|0|895.2|583.67|0|327.82|732.72|554.13|539.81|0|0|671.4|699.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|396.66|0|0|0|0|0|0|0|0|895.2
HOSP OP|0272 - STERILE SUPPLY||C1729|DRAIN T-TUBE 16FR|895.2|474.46|671.4|716.16|760.92|805.68|0|723.32|644.54|605.87|0|895.2|583.67|0|327.82|732.72|554.13|539.81|0|0|671.4|699.15|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|396.66|0|0|0|0|0|0|0|0|895.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ORBITAL MEDPOR RND 16|1806|957.18|1354.5|1444.8|1535.1|1625.4|0|1459.25|1300.32|1222.3|0|1806|1177.51|0|661.36|1478.21|1117.91|1089.02|0|2156.856582|1354.5|1410.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|800.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ORBITAL MEDPOR RND 18|1806|957.18|1354.5|1444.8|1535.1|1625.4|0|1459.25|1300.32|1222.3|0|1806|1177.51|0|661.36|1478.21|1117.91|1089.02|0|2156.856582|1354.5|1410.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|800.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA16 3L93716|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA18 3L93718|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA20 3L93720|4738.7|2511.51|3554.02|3790.96|4027.89|4264.83|0|3828.87|3411.86|3207.15|0|4738.7|3089.63|0|1735.31|3878.62|2933.25|2857.43|0|0|3554.02|3700.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2099.72|0|0|0|0|0|0|0|0|4738.7
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT RX BIL 7FRX10CM|352.44|186.79|264.33|281.95|299.57|317.2|0|284.77|253.76|238.53|0|352.44|229.79|0|129.06|288.47|218.16|212.52|0|0|264.33|275.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|156.17|0|0|0|0|0|0|0|0|352.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA11 3L93711|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA12 3L93712|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA13 3L93713|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA14 3L93714|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA15 3L93715|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM DEPUY CORAIL KA 8 3L92498|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM DEPUY CORAIL KA 9 3L92499|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 10 3L92500|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 11 3L92501|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 12 3L92502|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 13 3L92503|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 14 3L92504|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 15 3L92505|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 16 3L92506|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KA 18 3L92508|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUY CORAIL KLA 9 3L93709|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMDEPUYCORAIL KLA10 3L93710|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB L4N 1960-40-450|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEMJJPOSTSTAB R4N 1960-50-450|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J LT SZ 4N 1960-00-400|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM J&J RT SZ 4N 1960-01-400|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH PRUITT OCC 4FR 27CM|1156|612.68|867|924.8|982.6|1040.4|0|934.05|832.32|782.38|0|1156|753.71|0|423.33|946.19|715.56|697.07|0|0|867|902.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|512.22|0|0|0|0|0|0|0|0|1156
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSINCUSNECROH/AFLXMED 0580|1896|1004.88|1422|1516.8|1611.6|1706.4|0|1531.97|1365.12|1283.21|0|1896|1236.19|0|694.32|1551.88|1173.62|1143.29|0|307.0137525|1422|1480.78|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|840.12|0|0|0|0|0|0|0|0|1896
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSUNIVRSLBOJRABH/A TOTAL0506|1798.04|952.96|1348.53|1438.43|1528.33|1618.24|0|1452.82|1294.59|1216.91|0|1798.04|1172.32|0|658.44|1471.7|1112.99|1084.22|0|307.0137525|1348.53|1404.27|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|796.71|0|0|0|0|0|0|0|0|1798.04
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSMALEUSMORET H/A TTL L 0562|1896|1004.88|1422|1516.8|1611.6|1706.4|0|1531.97|1365.12|1283.21|0|1896|1236.19|0|694.32|1551.88|1173.62|1143.29|0|307.0137525|1422|1480.78|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|840.12|0|0|0|0|0|0|0|0|1896
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSMALEUSMORETZH/A TTL R 0563|1896|1004.88|1422|1516.8|1611.6|1706.4|0|1531.97|1365.12|1283.21|0|1896|1236.19|0|694.32|1551.88|1173.62|1143.29|0|307.0137525|1422|1480.78|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|840.12|0|0|0|0|0|0|0|0|1896
HOSP OP|0278 - SUPPLY IMPLANTS||L8613|PROSFTPLTSHOEMORETZPLY11-56372|424.32|224.89|318.24|339.46|360.67|381.89|0|342.85|305.51|287.18|0|424.32|276.66|0|155.39|347.31|262.65|255.86|0|307.0137525|318.24|331.39|0|0|0|0|0|0|0|0|0|312.54|307.0137525|312.54|0|0|0|188.02|0|0|0|0|0|0|0|0|424.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN LCP DTIB 3.5/246 LT|2937.82|1557.05|2203.36|2350.25|2497.14|2644.03|0|2373.76|2115.23|1988.31|0|2937.82|1915.46|0|1075.83|2404.6|1818.51|1771.5|0|2156.856582|2203.36|2294.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1301.75|0|0|0|0|0|0|0|0|2937.82
HOSP OP|0272 - STERILE SUPPLY||C2618|CRYOBLATION PROBE ICEROD|2118.75|1122.94|1589.06|1695|1800.94|1906.88|0|1711.95|1525.5|1433.97|0|2118.75|1381.43|0|775.89|1734.2|1311.51|1277.61|0|0|1589.06|1654.74|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|938.82|0|0|0|0|0|0|0|0|2118.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH ULTRAPRO COMPOSITE LG|1807.24|957.84|1355.43|1445.79|1536.15|1626.52|0|1460.25|1301.21|1223.14|0|1807.24|1178.32|0|661.81|1479.23|1118.68|1089.77|0|0|1355.43|1411.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|800.79|0|0|0|0|0|0|0|0|1807.24
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH CODMAN LUMBAR|845.92|448.34|634.44|676.74|719.03|761.33|0|683.5|609.06|572.52|0|845.92|551.54|0|309.78|692.39|523.62|510.09|0|0|634.44|660.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|374.83|0|0|0|0|0|0|0|0|845.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASCTK26X15CM 730026ADP|4500|2385|3375|3600|3825|4050|0|3636|3240|3045.6|0|4500|2934|0|1647.9|3683.25|2785.5|2713.5|0|0|3375|3514.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1993.95|0|0|0|0|0|0|0|0|4500
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASCTK28X15CM 730028ADP|4917.6|2606.33|3688.2|3934.08|4179.96|4425.84|0|3973.42|3540.67|3328.23|0|4917.6|3206.28|0|1800.83|4025.06|3043.99|2965.31|0|0|3688.2|3840.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2178.99|0|0|0|0|0|0|0|0|4917.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTVASCTK 30X15CM 730030ADP|4917.6|2606.33|3688.2|3934.08|4179.96|4425.84|0|3973.42|3540.67|3328.23|0|4917.6|3206.28|0|1800.83|4025.06|3043.99|2965.31|0|0|3688.2|3840.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2178.99|0|0|0|0|0|0|0|0|4917.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X10 338610|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X12 338612|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X14 338614|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X16 338616|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X18 338618|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X20 338620|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X22 338622|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X24 338624|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X26 338626|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X28 338628|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X30 338630|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X32 338632|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X34 338634|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X36 338636|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X38 338638|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X40 338640|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X45 338645|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X50 338650|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X55 338655|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X60 338660|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X65 338665|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X70 338670|212.4|112.57|159.3|169.92|180.54|191.16|0|171.62|152.93|143.75|0|212.4|138.48|0|77.78|173.85|131.48|128.08|0|2156.856582|159.3|165.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X75 338675|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X80 338680|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X85 338685|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X90 338690|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X95 338695|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X100 338700|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X105 338705|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X110 338710|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 3.5X115 338715|194.4|103.03|145.8|155.52|165.24|174.96|0|157.08|139.97|131.57|0|194.4|126.75|0|71.19|159.12|120.33|117.22|0|2156.856582|145.8|151.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|86.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X14 340614|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X16 340616|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X18 340618|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X20 340620|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X22 340622|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X24 340624|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X26 340626|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X28 340628|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X30 340630|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X32 340632|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X34 340634|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X36 340636|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X38 340638|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X40 340640|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X42 340642|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X44 340644|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X46 340646|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X48 340648|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X50 340650|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X52 340652|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X54 340654|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X56 340656|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X58 340658|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X60 340660|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X65 340665|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X70 340670|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X75 340675|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X80 340680|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X85 340685|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X90 340690|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X95 340695|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X100 340700|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X105 340705|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X110 340710|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X115 340715|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X120 340720|4644|2461.32|3483|3715.2|3947.4|4179.6|0|3752.35|3343.68|3143.06|0|4644|3027.89|0|1700.63|3801.11|2874.64|2800.33|0|2156.856582|3483|3626.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2057.76|0|0|0|0|0|0|0|0|4644
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X125 340725|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACRTXST 4.5X130 340730|234|124.02|175.5|187.2|198.9|210.6|0|189.07|168.48|158.37|0|234|152.57|0|85.69|191.53|144.85|141.1|0|2156.856582|175.5|182.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|103.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X50 341050|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X55 341055|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X60 341060|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X65 341065|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X70 341070|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X75 341075|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X80 341080|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X85 341085|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X90 341090|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X95 341095|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X100 341100|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X105 341105|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X110 341110|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X115 341115|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X120 341120|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X125 341125|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN16TL6.5X130 341130|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X50 342050|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X55 342055|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X60 342060|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X65 342065|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X70 342070|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X75 342075|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X80 342080|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X85 342085|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X90 342090|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X95 342095|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X100 342100|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X105 342105|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X110 342110|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X115 342115|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X120 342120|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X125 342125|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MATTACNN32TL6.5X130 342130|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R10816H 425616|2982.96|1580.97|2237.22|2386.37|2535.52|2684.66|0|2410.23|2147.73|2018.87|0|2982.96|1944.89|0|1092.36|2441.55|1846.45|1798.72|0|2156.856582|2237.22|2329.69|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1321.75|0|0|0|0|0|0|0|0|2982.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R10814H 425614|3396.6|1800.2|2547.45|2717.28|2887.11|3056.94|0|2744.45|2445.55|2298.82|0|3396.6|2214.58|0|1243.83|2780.12|2102.5|2048.15|0|2156.856582|2547.45|2652.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1505.03|0|0|0|0|0|0|0|0|3396.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R10812H 425612|3396.6|1800.2|2547.45|2717.28|2887.11|3056.94|0|2744.45|2445.55|2298.82|0|3396.6|2214.58|0|1243.83|2780.12|2102.5|2048.15|0|2156.856582|2547.45|2652.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1505.03|0|0|0|0|0|0|0|0|3396.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R10810H 425610|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R1088H 425608|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R1086H 425606|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R1085H 425605|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R1084H 425604|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDSYM R756H 425796|3663.36|1941.58|2747.52|2930.69|3113.86|3297.02|0|2959.99|2637.62|2479.36|0|3663.36|2388.51|0|1341.52|2998.46|2267.62|2209.01|0|2156.856582|2747.52|2861.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1623.23|0|0|0|0|0|0|0|0|3663.36
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDSYM R754H 425794|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|2156.856582|2592|2699.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 10H 425760|3231.9|1712.91|2423.93|2585.52|2747.12|2908.71|0|2611.38|2326.97|2187.35|0|3231.9|2107.2|0|1183.52|2645.31|2000.55|1948.84|0|2156.856582|2423.93|2524.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1432.05|0|0|0|0|0|0|0|0|3231.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 8H 425758|3231.9|1712.91|2423.93|2585.52|2747.12|2908.71|0|2611.38|2326.97|2187.35|0|3231.9|2107.2|0|1183.52|2645.31|2000.55|1948.84|0|2156.856582|2423.93|2524.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1432.05|0|0|0|0|0|0|0|0|3231.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 6H 425756|3231.9|1712.91|2423.93|2585.52|2747.12|2908.71|0|2611.38|2326.97|2187.35|0|3231.9|2107.2|0|1183.52|2645.31|2000.55|1948.84|0|2156.856582|2423.93|2524.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1432.05|0|0|0|0|0|0|0|0|3231.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 4H 425754|2940.3|1558.36|2205.23|2352.24|2499.26|2646.27|0|2375.76|2117.02|1990|0|2940.3|1917.08|0|1076.74|2406.64|1820.05|1773|0|2156.856582|2205.23|2296.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1302.85|0|0|0|0|0|0|0|0|2940.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 12H 425762|3566.7|1890.35|2675.03|2853.36|3031.7|3210.03|0|2881.89|2568.02|2413.94|0|3566.7|2325.49|0|1306.13|2919.34|2207.79|2150.72|0|2156.856582|2675.03|2785.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.4|0|0|0|0|0|0|0|0|3566.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 14H 425764|3566.7|1890.35|2675.03|2853.36|3031.7|3210.03|0|2881.89|2568.02|2413.94|0|3566.7|2325.49|0|1306.13|2919.34|2207.79|2150.72|0|2156.856582|2675.03|2785.59|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1580.4|0|0|0|0|0|0|0|0|3566.7
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 16H 425766|3129.84|1658.82|2347.38|2503.87|2660.36|2816.86|0|2528.91|2253.48|2118.28|0|3129.84|2040.66|0|1146.15|2561.77|1937.37|1887.29|0|2156.856582|2347.38|2444.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1386.83|0|0|0|0|0|0|0|0|3129.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST ACE 18H 425768|3129.84|1658.82|2347.38|2503.87|2660.36|2816.86|0|2528.91|2253.48|2118.28|0|3129.84|2040.66|0|1146.15|2561.77|1937.37|1887.29|0|2156.856582|2347.38|2444.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1386.83|0|0|0|0|0|0|0|0|3129.84
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 16H 425666|3396.6|1800.2|2547.45|2717.28|2887.11|3056.94|0|2744.45|2445.55|2298.82|0|3396.6|2214.58|0|1243.83|2780.12|2102.5|2048.15|0|2156.856582|2547.45|2652.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1505.03|0|0|0|0|0|0|0|0|3396.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 14H 425664|3396.6|1800.2|2547.45|2717.28|2887.11|3056.94|0|2744.45|2445.55|2298.82|0|3396.6|2214.58|0|1243.83|2780.12|2102.5|2048.15|0|2156.856582|2547.45|2652.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1505.03|0|0|0|0|0|0|0|0|3396.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 12H 425662|3396.6|1800.2|2547.45|2717.28|2887.11|3056.94|0|2744.45|2445.55|2298.82|0|3396.6|2214.58|0|1243.83|2780.12|2102.5|2048.15|0|2156.856582|2547.45|2652.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1505.03|0|0|0|0|0|0|0|0|3396.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 10H 425660|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 8H 425658|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 6H 425656|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 5H 425655|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTACVDPEL R88 4H 425654|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 8H 425708|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 6H 425706|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 4H 425704|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 3H 425703|2543.4|1348|1907.55|2034.72|2161.89|2289.06|0|2055.07|1831.25|1721.37|0|2543.4|1658.3|0|931.39|2081.77|1574.36|1533.67|0|2156.856582|1907.55|1986.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1126.98|0|0|0|0|0|0|0|0|2543.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 10H 425710|2802.6|1485.38|2101.95|2242.08|2382.21|2522.34|0|2264.5|2017.87|1896.8|0|2802.6|1827.3|0|1026.31|2293.93|1734.81|1689.97|0|2156.856582|2101.95|2188.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1241.83|0|0|0|0|0|0|0|0|2802.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 12H 425712|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 14H 425714|3083.4|1634.2|2312.55|2466.72|2620.89|2775.06|0|2491.39|2220.05|2086.85|0|3083.4|2010.38|0|1129.14|2523.76|1908.62|1859.29|0|2156.856582|2312.55|2408.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.25|0|0|0|0|0|0|0|0|3083.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT MATTA ST PEL 16H 425716|3385.8|1794.47|2539.35|2708.64|2877.93|3047.22|0|2735.73|2437.78|2291.51|0|3385.8|2207.54|0|1239.88|2771.28|2095.81|2041.64|0|2156.856582|2539.35|2644.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1500.25|0|0|0|0|0|0|0|0|3385.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WSHR MATTA CNN SM 390019|230.4|122.11|172.8|184.32|195.84|207.36|0|186.16|165.89|155.93|0|230.4|150.22|0|84.37|188.58|142.62|138.93|0|2156.856582|172.8|179.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|102.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|WSHR STRYKER CNN LG 390016|273.6|145.01|205.2|218.88|232.56|246.24|0|221.07|196.99|185.17|0|273.6|178.39|0|100.19|223.94|169.36|164.98|0|2156.856582|205.2|213.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|121.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X10M6958710|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X12M6958712|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X14M6958714|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X16M6958716|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X18M6958718|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X20M6958720|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X22M6958722|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 3.5X24M6958724|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X18M6958818|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X20M6958820|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X22M6958822|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X24M6958824|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X26M6958826|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.5X24M6958924|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.5X26M6958926|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.5X28M6958928|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.5X30M6958930|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX SET 6950315|220.8|117.02|165.6|176.64|187.68|198.72|0|178.41|158.98|149.44|0|220.8|143.96|0|80.86|180.72|136.68|133.14|0|2156.856582|165.6|172.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|97.84|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX CONN 6901000|1715.7|909.32|1286.78|1372.56|1458.35|1544.13|0|1386.29|1235.3|1161.19|0|1715.7|1118.64|0|628.29|1404.3|1062.02|1034.57|0|2156.856582|1286.78|1339.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|760.23|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX TI 3.2X240M 6900240|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|2156.856582|450|468.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.86|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD VRTX TI PRE-BENT 6900280|3541.86|1877.19|2656.4|2833.49|3010.58|3187.67|0|2861.82|2550.14|2397.13|0|3541.86|2309.29|0|1297.03|2899.01|2192.41|2135.74|0|2156.856582|2656.4|2766.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1569.4|0|0|0|0|0|0|0|0|3541.86
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK VRTX SM 7002525|3087|1636.11|2315.25|2469.6|2623.95|2778.3|0|2494.3|2222.64|2089.28|0|3087|2012.72|0|1130.46|2526.71|1910.85|1861.46|0|2156.856582|2315.25|2410.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1367.85|0|0|0|0|0|0|0|0|3087
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK VRTX MED 7002526|2866.5|1519.24|2149.88|2293.2|2436.53|2579.85|0|2316.13|2063.88|1940.05|0|2866.5|1868.96|0|1049.71|2346.23|1774.36|1728.5|0|2156.856582|2149.88|2238.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1270.15|0|0|0|0|0|0|0|0|2866.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CX LINK VRTX LG 7002527|3087|1636.11|2315.25|2469.6|2623.95|2778.3|0|2494.3|2222.64|2089.28|0|3087|2012.72|0|1130.46|2526.71|1910.85|1861.46|0|2156.856582|2315.25|2410.95|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1367.85|0|0|0|0|0|0|0|0|3087
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX OPEN LAT 10M 6955960|1682.2|891.57|1261.65|1345.76|1429.87|1513.98|0|1359.22|1211.18|1138.51|0|1682.2|1096.79|0|616.02|1376.88|1041.28|1014.37|0|2156.856582|1261.65|1313.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|745.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CONN VRTX OPEN LAT 13M 6955965|1682.2|891.57|1261.65|1345.76|1429.87|1513.98|0|1359.22|1211.18|1138.51|0|1682.2|1096.79|0|616.02|1376.88|1041.28|1014.37|0|2156.856582|1261.65|1313.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|745.38|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM 4.5M 6955973|3414.6|1809.74|2560.95|2731.68|2902.41|3073.14|0|2759|2458.51|2311|0|3414.6|2226.32|0|1250.43|2794.85|2113.64|2059|0|2156.856582|2560.95|2666.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1513.01|0|0|0|0|0|0|0|0|3414.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM 6.0M 6955974|3414.6|1809.74|2560.95|2731.68|2902.41|3073.14|0|2759|2458.51|2311|0|3414.6|2226.32|0|1250.43|2794.85|2113.64|2059|0|2156.856582|2560.95|2666.8|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1513.01|0|0|0|0|0|0|0|0|3414.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM LT 4.5M 6955975L|3086.16|1635.66|2314.62|2468.93|2623.24|2777.54|0|2493.62|2222.04|2088.71|0|3086.16|2012.18|0|1130.15|2526.02|1910.33|1860.95|0|2156.856582|2314.62|2410.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1367.48|0|0|0|0|0|0|0|0|3086.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM RT 4.5M 6955975R|3086.16|1635.66|2314.62|2468.93|2623.24|2777.54|0|2493.62|2222.04|2088.71|0|3086.16|2012.18|0|1130.15|2526.02|1910.33|1860.95|0|2156.856582|2314.62|2410.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1367.48|0|0|0|0|0|0|0|0|3086.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM LT 6.0M 6955977L|3086.16|1635.66|2314.62|2468.93|2623.24|2777.54|0|2493.62|2222.04|2088.71|0|3086.16|2012.18|0|1130.15|2526.02|1910.33|1860.95|0|2156.856582|2314.62|2410.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1367.48|0|0|0|0|0|0|0|0|3086.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|HK VRTX LAM RT 6.0M 6955977R|3582.15|1898.54|2686.61|2865.72|3044.83|3223.94|0|2894.38|2579.15|2424.4|0|3582.15|2335.56|0|1311.78|2931.99|2217.35|2160.04|0|2156.856582|2686.61|2797.66|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1587.25|0|0|0|0|0|0|0|0|3582.15
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT NAIL LG|211.2|111.94|158.4|168.96|179.52|190.08|0|170.65|152.06|142.94|0|211.2|137.7|0|77.34|172.87|130.73|127.35|0|11.99410609|158.4|164.95|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|93.58|0|0|0|0|0|0|0|0|211.2
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT NAIL MED|211.2|111.94|158.4|168.96|179.52|190.08|0|170.65|152.06|142.94|0|211.2|137.7|0|77.34|172.87|130.73|127.35|0|11.99410609|158.4|164.95|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|93.58|0|0|0|0|0|0|0|0|211.2
HOSP OP|0272 - STERILE SUPPLY||A4649|SPLINT NAIL SM|211.2|111.94|158.4|168.96|179.52|190.08|0|170.65|152.06|142.94|0|211.2|137.7|0|77.34|172.87|130.73|127.35|0|11.99410609|158.4|164.95|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|93.58|0|0|0|0|0|0|0|0|211.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1771|MINI ARC SLING|2850|1510.5|2137.5|2280|2422.5|2565|0|2302.8|2052|1928.88|0|2850|1858.2|0|1043.67|2332.73|1764.15|1718.55|0|0|2137.5|2225.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1262.84|0|0|0|0|0|0|0|0|2850
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH Y RESTORELLE 24X4CM|2913|1543.89|2184.75|2330.4|2476.05|2621.7|0|2353.7|2097.36|1971.52|0|2913|1899.28|0|1066.74|2384.29|1803.15|1756.54|0|0|2184.75|2275.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1290.75|0|0|0|0|0|0|0|0|2913
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.0/12 04.610.112|835.52|442.83|626.64|668.42|710.19|751.97|0|675.1|601.57|565.48|0|835.52|544.76|0|305.97|683.87|517.19|503.82|0|2156.856582|626.64|652.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.0/14 04.610.114|835.52|442.83|626.64|668.42|710.19|751.97|0|675.1|601.57|565.48|0|835.52|544.76|0|305.97|683.87|517.19|503.82|0|2156.856582|626.64|652.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.0/16 04.610.116|835.52|442.83|626.64|668.42|710.19|751.97|0|675.1|601.57|565.48|0|835.52|544.76|0|305.97|683.87|517.19|503.82|0|2156.856582|626.64|652.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.0/18 04.610.118|835.52|442.83|626.64|668.42|710.19|751.97|0|675.1|601.57|565.48|0|835.52|544.76|0|305.97|683.87|517.19|503.82|0|2156.856582|626.64|652.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.0/20 04.610.120|835.52|442.83|626.64|668.42|710.19|751.97|0|675.1|601.57|565.48|0|835.52|544.76|0|305.97|683.87|517.19|503.82|0|2156.856582|626.64|652.54|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|370.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.5/12 04.610.212|870.04|461.12|652.53|696.03|739.53|783.04|0|702.99|626.43|588.84|0|870.04|567.27|0|318.61|712.13|538.55|524.63|0|2156.856582|652.53|679.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|385.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.5/14 04.610.214|870.04|461.12|652.53|696.03|739.53|783.04|0|702.99|626.43|588.84|0|870.04|567.27|0|318.61|712.13|538.55|524.63|0|2156.856582|652.53|679.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|385.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.5/16 04.610.216|870.04|461.12|652.53|696.03|739.53|783.04|0|702.99|626.43|588.84|0|870.04|567.27|0|318.61|712.13|538.55|524.63|0|2156.856582|652.53|679.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|385.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.5/18 04.610.218|870.04|461.12|652.53|696.03|739.53|783.04|0|702.99|626.43|588.84|0|870.04|567.27|0|318.61|712.13|538.55|524.63|0|2156.856582|652.53|679.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|385.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/D4.5/20 04.610.220|870.04|461.12|652.53|696.03|739.53|783.04|0|702.99|626.43|588.84|0|870.04|567.27|0|318.61|712.13|538.55|524.63|0|2156.856582|652.53|679.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|385.51|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.0/12 04.610.512|626.64|332.12|469.98|501.31|532.64|563.98|0|506.33|451.18|424.11|0|626.64|408.57|0|229.48|512.9|387.89|377.86|0|2156.856582|469.98|489.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.0/14 04.610.514|626.64|332.12|469.98|501.31|532.64|563.98|0|506.33|451.18|424.11|0|626.64|408.57|0|229.48|512.9|387.89|377.86|0|2156.856582|469.98|489.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.0/16 04.610.516|626.64|332.12|469.98|501.31|532.64|563.98|0|506.33|451.18|424.11|0|626.64|408.57|0|229.48|512.9|387.89|377.86|0|2156.856582|469.98|489.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.0/18 04.610.518|626.64|332.12|469.98|501.31|532.64|563.98|0|506.33|451.18|424.11|0|626.64|408.57|0|229.48|512.9|387.89|377.86|0|2156.856582|469.98|489.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.0/20 04.610.520|626.64|332.12|469.98|501.31|532.64|563.98|0|506.33|451.18|424.11|0|626.64|408.57|0|229.48|512.9|387.89|377.86|0|2156.856582|469.98|489.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|277.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.5/12 04.610.612|801.88|425|601.41|641.5|681.6|721.69|0|647.92|577.35|542.71|0|801.88|522.83|0|293.65|656.34|496.36|483.53|0|2156.856582|601.41|626.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|355.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.5/14 04.610.614|801.88|425|601.41|641.5|681.6|721.69|0|647.92|577.35|542.71|0|801.88|522.83|0|293.65|656.34|496.36|483.53|0|2156.856582|601.41|626.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|355.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.5/16 04.610.616|801.88|425|601.41|641.5|681.6|721.69|0|647.92|577.35|542.71|0|801.88|522.83|0|293.65|656.34|496.36|483.53|0|2156.856582|601.41|626.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|355.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.5/18 04.610.618|801.88|425|601.41|641.5|681.6|721.69|0|647.92|577.35|542.71|0|801.88|522.83|0|293.65|656.34|496.36|483.53|0|2156.856582|601.41|626.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|355.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCRSYN CNNS/T4.5/20 04.610.620|801.88|425|601.41|641.5|681.6|721.69|0|647.92|577.35|542.71|0|801.88|522.83|0|293.65|656.34|496.36|483.53|0|2156.856582|601.41|626.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|355.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTACUMEDOLECRAN XLNG PL-LEO11|3144|1666.32|2358|2515.2|2672.4|2829.6|0|2540.35|2263.68|2127.86|0|3144|2049.89|0|1151.33|2573.36|1946.14|1895.83|0|2156.856582|2358|2455.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1393.11|0|0|0|0|0|0|0|0|3144
HOSP OP|0272 - STERILE SUPPLY||C1887|GUIDE TIP VISTA BRITE 7FR|361.12|191.39|270.84|288.9|306.95|325.01|0|291.78|260.01|244.41|0|361.12|235.45|0|132.24|295.58|223.53|217.76|0|0|270.84|282.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|160.01|0|0|0|0|0|0|0|0|361.12
HOSP OP|0272 - STERILE SUPPLY||C1887|GUIDE TIP VISTA BRITE SMCRV 7|361.12|191.39|270.84|288.9|306.95|325.01|0|291.78|260.01|244.41|0|361.12|235.45|0|132.24|295.58|223.53|217.76|0|0|270.84|282.03|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|160.01|0|0|0|0|0|0|0|0|361.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROCEED OVAL 15X20|2981.16|1580.01|2235.87|2384.93|2533.99|2683.04|0|2408.78|2146.44|2017.65|0|2981.16|1943.72|0|1091.7|2440.08|1845.34|1797.64|0|0|2235.87|2328.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1320.95|0|0|0|0|0|0|0|0|2981.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROCEED OVAL 10X15CM|2058.87|1091.2|1544.15|1647.1|1750.04|1852.98|0|1663.57|1482.39|1393.44|0|2058.87|1342.38|0|753.96|1685.19|1274.44|1241.5|0|0|1544.15|1607.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|912.29|0|0|0|0|0|0|0|0|2058.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH PROCEED OVAL 20X25|3616.54|1916.77|2712.41|2893.23|3074.06|3254.89|0|2922.17|2603.91|2447.68|0|3616.54|2357.99|0|1324.38|2960.14|2238.64|2180.77|0|0|2712.41|2824.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1602.49|0|0|0|0|0|0|0|0|3616.54
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFT VASC  STRCH GRTX 6MMX10CM|740|392.2|555|592|629|666|0|597.92|532.8|500.83|0|740|482.48|0|270.99|605.69|458.06|446.22|0|0|555|577.94|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|327.89|0|0|0|0|0|0|0|0|740
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM BIOMET UNI SM 161468|3510|1860.3|2632.5|2808|2983.5|3159|0|2836.08|2527.2|2375.57|0|3510|2288.52|0|1285.36|2872.94|2172.69|2116.53|0|0|2632.5|2741.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1555.28|0|0|0|0|0|0|0|0|3510
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM BIOMET UNI MED 161469|3510|1860.3|2632.5|2808|2983.5|3159|0|2836.08|2527.2|2375.57|0|3510|2288.52|0|1285.36|2872.94|2172.69|2116.53|0|0|2632.5|2741.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1555.28|0|0|0|0|0|0|0|0|3510
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM BIOMET UNI LG 161470|3510|1860.3|2632.5|2808|2983.5|3159|0|2836.08|2527.2|2375.57|0|3510|2288.52|0|1285.36|2872.94|2172.69|2116.53|0|0|2632.5|2741.31|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1555.28|0|0|0|0|0|0|0|0|3510
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZA154718|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZB154720|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZC154722|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZD154724|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZE154726|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI LSZF154775|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZA154719|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZB154721|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZC154723|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZD154725|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZE154727|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB TRAY BIOMET UNI RSZF154776|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ3 159540|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ4 159541|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ5 159542|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ6 159543|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ7 159544|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ8 159545|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTSMSZ9 159546|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ3 159568|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ4 159569|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ5 159570|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ6 159571|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ7 159572|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ8 159573|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTSMSZ9 159574|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ3 159547|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ4 159548|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ5 159549|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ6 159550|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ7 159551|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ8 159552|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTMDSZ9 159553|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ3 159575|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ4 159576|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ5 159577|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ6 159578|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ7 159579|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ8 159580|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTMDSZ9 159581|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ3 159554|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ4 159555|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ5 159556|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ6 159557|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ7 159558|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ8 159559|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI LTLGSZ9 159560|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ3 159582|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ4 159583|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ5 159584|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ6 159585|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ7 159586|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ8 159587|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MBRG BIOMET UNI RTLGSZ9 159588|3072|1628.16|2304|2457.6|2611.2|2764.8|0|2482.18|2211.84|2079.13|0|3072|2002.94|0|1124.97|2514.43|1901.57|1852.42|0|0|2304|2399.23|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1361.2|0|0|0|0|0|0|0|0|3072
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|VASC ACCESS HERO ARTER GRAFT|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|VASC ACCESS HERO VEN OUTFLOW|4320|2289.6|3240|3456|3672|3888|0|3490.56|3110.4|2923.78|0|4320|2816.64|0|1581.98|3535.92|2674.08|2604.96|0|0|3240|3373.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1914.19|0|0|0|0|0|0|0|0|4320
HOSP OP|0272 - STERILE SUPPLY||A4649|PILLCAM ESO2|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|11.99410609|1125|1171.5|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1762|BONE TIBIALIS TENDON|3660|1939.8|2745|2928|3111|3294|0|2957.28|2635.2|2477.09|0|3660|2386.32|0|1340.29|2995.71|2265.54|2206.98|0|0|2745|2858.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1621.75|0|0|0|0|0|0|0|0|3660
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRODUCER MPIS40110.0SCNTSST|129.2|68.48|96.9|103.36|109.82|116.28|0|104.39|93.02|87.44|0|129.2|84.24|0|47.31|105.75|79.97|77.91|0|0|96.9|100.91|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.25|0|0|0|0|0|0|0|0|129.2
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH QUICK CROS.014X135 518032|668|354.04|501|534.4|567.8|601.2|0|539.74|480.96|452.1|0|668|435.54|0|244.62|546.76|413.49|402.8|0|0|501|521.71|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|295.99|0|0|0|0|0|0|0|0|668
HOSP OP|0278 - SUPPLY IMPLANTS||L8606|CATH QUICK CROS.035X135 518037|668|354.04|501|534.4|567.8|601.2|0|539.74|480.96|452.1|0|668|435.54|0|244.62|546.76|413.49|402.8|0|185.5304519|501|521.71|0|0|0|0|0|0|0|0|0|188.87|185.5304519|188.87|0|0|0|295.99|0|0|0|0|0|0|0|0|668
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STR .035X150 GE3501|127.6|67.63|95.7|102.08|108.46|114.84|0|103.1|91.87|86.36|0|127.6|83.2|0|46.73|104.44|78.98|76.94|0|0|95.7|99.66|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.54|0|0|0|0|0|0|0|0|127.6
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWRE ANGSF.035X150 GS3506|187.2|99.22|140.4|149.76|159.12|168.48|0|151.26|134.78|126.7|0|187.2|122.05|0|68.55|153.22|115.88|112.88|0|0|140.4|146.2|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|82.95|0|0|0|0|0|0|0|0|187.2
HOSP OP|0272 - STERILE SUPPLY||C1887|GLIDECATH STR.038X100 CG413|194.2|102.93|145.65|155.36|165.07|174.78|0|156.91|139.82|131.43|0|194.2|126.62|0|71.12|158.95|120.21|117.1|0|0|145.65|151.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|86.05|0|0|0|0|0|0|0|0|194.2
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTINATION 6FR RSR01|328|173.84|246|262.4|278.8|295.2|0|265.02|236.16|221.99|0|328|213.86|0|120.11|268.47|203.03|197.78|0|0|246|256.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|145.34|0|0|0|0|0|0|0|0|328
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH DESTINATION 7FR RSR04|328|173.84|246|262.4|278.8|295.2|0|265.02|236.16|221.99|0|328|213.86|0|120.11|268.47|203.03|197.78|0|0|246|256.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|145.34|0|0|0|0|0|0|0|0|328
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH BRITE TIP 10X11 401011M|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|0|87|90.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.4|0|0|0|0|0|0|0|0|116
HOSP OP|0272 - STERILE SUPPLY||A4649|ULTRASONIC GUIDANCE INTRAOPER|3075|1629.75|2306.25|2460|2613.75|2767.5|0|2484.6|2214|2081.16|0|3075|2004.9|0|1126.07|2516.89|1903.43|1854.23|0|11.99410609|2306.25|2401.58|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1362.53|0|0|0|0|0|0|0|0|3075
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CHRONOS STRIP 50X25X3MM|2175|1152.75|1631.25|1740|1848.75|1957.5|0|1757.4|1566|1472.04|0|2175|1418.1|0|796.49|1780.24|1346.33|1311.53|0|2156.856582|1631.25|1698.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|963.74|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|CHRONOS STRIP 100X25X3MM|3120|1653.6|2340|2496|2652|2808|0|2520.96|2246.4|2111.62|0|3120|2034.24|0|1142.54|2553.72|1931.28|1881.36|0|2156.856582|2340|2436.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1382.47|0|0|0|0|0|0|0|0|3120
HOSP OP|0272 - STERILE SUPPLY||A4649|CHRONOS STRIP 50X25X6MM|3120|1653.6|2340|2496|2652|2808|0|2520.96|2246.4|2111.62|0|3120|2034.24|0|1142.54|2553.72|1931.28|1881.36|0|11.99410609|2340|2436.72|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1382.47|0|0|0|0|0|0|0|0|3120
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN MED 0.5M G 04.503.305|3160.99|1675.32|2370.74|2528.79|2686.84|2844.89|0|2554.08|2275.91|2139.36|0|3160.99|2060.97|0|1157.56|2587.27|1956.65|1906.08|0|2156.856582|2370.74|2468.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1400.64|0|0|0|0|0|0|0|0|3160.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 0.4M P 04.503.304|3160.99|1675.32|2370.74|2528.79|2686.84|2844.89|0|2554.08|2275.91|2139.36|0|3160.99|2060.97|0|1157.56|2587.27|1956.65|1906.08|0|2156.856582|2370.74|2468.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1400.64|0|0|0|0|0|0|0|0|3160.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 0.2M S 04.503.306|3279.55|1738.16|2459.66|2623.64|2787.62|2951.6|0|2649.88|2361.28|2219.6|0|3279.55|2138.27|0|1200.97|2684.31|2030.04|1977.57|0|2156.856582|2459.66|2561.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1453.17|0|0|0|0|0|0|0|0|3279.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 0.3M B 04.503.307|3279.55|1738.16|2459.66|2623.64|2787.62|2951.6|0|2649.88|2361.28|2219.6|0|3279.55|2138.27|0|1200.97|2684.31|2030.04|1977.57|0|2156.856582|2459.66|2561.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1453.17|0|0|0|0|0|0|0|0|3279.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 0.4M P 04.503.308|3279.55|1738.16|2459.66|2623.64|2787.62|2951.6|0|2649.88|2361.28|2219.6|0|3279.55|2138.27|0|1200.97|2684.31|2030.04|1977.57|0|2156.856582|2459.66|2561.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1453.17|0|0|0|0|0|0|0|0|3279.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ANT SM 0.3M 04.503.301|3160.99|1675.32|2370.74|2528.79|2686.84|2844.89|0|2554.08|2275.91|2139.36|0|3160.99|2060.97|0|1157.56|2587.27|1956.65|1906.08|0|2156.856582|2370.74|2468.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1400.64|0|0|0|0|0|0|0|0|3160.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ANT MD 0.3M 04.503.302|3160.99|1675.32|2370.74|2528.79|2686.84|2844.89|0|2554.08|2275.91|2139.36|0|3160.99|2060.97|0|1157.56|2587.27|1956.65|1906.08|0|2156.856582|2370.74|2468.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1400.64|0|0|0|0|0|0|0|0|3160.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ANT LG 0.3M 04.503.303|3160.99|1675.32|2370.74|2528.79|2686.84|2844.89|0|2554.08|2275.91|2139.36|0|3160.99|2060.97|0|1157.56|2587.27|1956.65|1906.08|0|2156.856582|2370.74|2468.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1400.64|0|0|0|0|0|0|0|0|3160.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CONT 0.4M S 04.503.083|4422.24|2343.79|3316.68|3537.79|3758.9|3980.02|0|3573.17|3184.01|2992.97|0|4422.24|2883.3|0|1619.42|3619.6|2737.37|2666.61|0|2156.856582|3316.68|3453.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1959.49|0|0|0|0|0|0|0|0|4422.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN CONT 0.4M B 04.503.084|4422.24|2343.79|3316.68|3537.79|3758.9|3980.02|0|3573.17|3184.01|2992.97|0|4422.24|2883.3|0|1619.42|3619.6|2737.37|2666.61|0|2156.856582|3316.68|3453.77|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1959.49|0|0|0|0|0|0|0|0|4422.24
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 4H S 04.503.332|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 10X10 S 04.503.331|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 5X10 S 04.503.330|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ADAPT 20H S 04.503.316|2077.08|1100.85|1557.81|1661.66|1765.52|1869.37|0|1678.28|1495.5|1405.77|0|2077.08|1354.26|0|760.63|1700.09|1285.71|1252.48|0|2156.856582|1557.81|1622.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|920.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1X3H S 04.503.317|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y DBL 6H S 04.503.318|1167.32|618.68|875.49|933.86|992.22|1050.59|0|943.19|840.47|790.04|0|1167.32|761.09|0|427.47|955.45|722.57|703.89|0|2156.856582|875.49|911.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|517.24|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 12H S 04.503.313|1526.08|808.82|1144.56|1220.86|1297.17|1373.47|0|1233.07|1098.78|1032.85|0|1526.08|995|0|558.85|1249.1|944.64|920.23|0|2156.856582|1144.56|1191.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|676.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 20H S 04.503.333|1979.04|1048.89|1484.28|1583.23|1682.18|1781.14|0|1599.06|1424.91|1339.41|0|1979.04|1290.33|0|724.72|1619.84|1225.03|1193.36|0|2156.856582|1484.28|1545.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|876.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 4H B 04.503.362|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 10X10 B 04.503.361|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 11H B 04.503.322|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 5X10 B 04.503.360|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 3X6H B 04.503.325|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 4X6H B 04.503.334|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 2X3H B 04.503.324|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 3X6H B 04.503.326|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 4X6H B 04.503.335|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ADAPT 20H/0.5M 04.503.346|2077.08|1100.85|1557.81|1661.66|1765.52|1869.37|0|1678.28|1495.5|1405.77|0|2077.08|1354.26|0|760.63|1700.09|1285.71|1252.48|0|2156.856582|1557.81|1622.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|920.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 3X4H B 04.503.327|1115.68|591.31|836.76|892.54|948.33|1004.11|0|901.47|803.29|755.09|0|1115.68|727.42|0|408.56|913.18|690.61|672.76|0|2156.856582|836.76|871.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|494.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1X3H B 04.503.347|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y DBL 6H B 04.503.348|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 12H B 04.503.343|1526.08|808.82|1144.56|1220.86|1297.17|1373.47|0|1233.07|1098.78|1032.85|0|1526.08|995|0|558.85|1249.1|944.64|920.23|0|2156.856582|1144.56|1191.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|676.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 20H B 04.503.363|1979.04|1048.89|1484.28|1583.23|1682.18|1781.14|0|1599.06|1424.91|1339.41|0|1979.04|1290.33|0|724.72|1619.84|1225.03|1193.36|0|2156.856582|1484.28|1545.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|876.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN X 4H P 04.503.392|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 10X10 P 04.503.391|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 11H P 04.503.352|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN BX 5X10 P 04.503.390|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 2X3H P 04.503.353|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 3X6H P 04.503.355|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 4X6H P 04.503.364|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 2X3H P 04.503.354|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 3X6H P 04.503.356|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 4X6H P 04.503.365|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ADAPT 20H/0.7M 04.503.376|2077.08|1100.85|1557.81|1661.66|1765.52|1869.37|0|1678.28|1495.5|1405.77|0|2077.08|1354.26|0|760.63|1700.09|1285.71|1252.48|0|2156.856582|1557.81|1622.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|920.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 3X4H P 04.503.357|1115.68|591.31|836.76|892.54|948.33|1004.11|0|901.47|803.29|755.09|0|1115.68|727.42|0|408.56|913.18|690.61|672.76|0|2156.856582|836.76|871.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|494.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y 1X3H P 04.503.377|1234.24|654.15|925.68|987.39|1049.1|1110.82|0|997.27|888.65|835.33|0|1234.24|804.72|0|451.98|1010.23|763.99|744.25|0|2156.856582|925.68|963.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|546.89|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN Y DBL 6H P 04.503.378|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN ORB 12H P 04.503.373|1526.08|808.82|1144.56|1220.86|1297.17|1373.47|0|1233.07|1098.78|1032.85|0|1526.08|995|0|558.85|1249.1|944.64|920.23|0|2156.856582|1144.56|1191.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|676.21|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN STRUT 20H P 04.503.393|1979.04|1048.89|1484.28|1583.23|1682.18|1781.14|0|1599.06|1424.91|1339.41|0|1979.04|1290.33|0|724.72|1619.84|1225.03|1193.36|0|2156.856582|1484.28|1545.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|876.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN H 11H G 04.503.382|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 2X3H G 04.503.383|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 3X6H G 04.503.385|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L LT 4X6H G 04.503.394|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 2X3H G 04.503.384|1249.44|662.2|937.08|999.55|1062.02|1124.5|0|1009.55|899.6|845.62|0|1249.44|814.63|0|457.54|1022.67|773.4|753.41|0|2156.856582|937.08|975.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|553.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 3X6H G 04.503.386|1282.88|679.93|962.16|1026.3|1090.45|1154.59|0|1036.57|923.67|868.25|0|1282.88|836.44|0|469.79|1050.04|794.1|773.58|0|2156.856582|962.16|1001.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|568.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN L RT 4X6H G 04.503.395|1325.44|702.48|994.08|1060.35|1126.62|1192.9|0|1070.96|954.32|897.06|0|1325.44|864.19|0|485.38|1084.87|820.45|799.24|0|2156.856582|994.08|1035.17|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|587.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT ADAPT 20H/0.8M 04.503.396|2077.08|1100.85|1557.81|1661.66|1765.52|1869.37|0|1678.28|1495.5|1405.77|0|2077.08|1354.26|0|760.63|1700.09|1285.71|1252.48|0|2156.856582|1557.81|1622.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|920.35|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN T 3X4H G 04.503.387|1115.68|591.31|836.76|892.54|948.33|1004.11|0|901.47|803.29|755.09|0|1115.68|727.42|0|408.56|913.18|690.61|672.76|0|2156.856582|836.76|871.35|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|494.36|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PRE LG LT G 04.503.802|3188.81|1690.07|2391.61|2551.05|2710.49|2869.93|0|2576.56|2295.94|2158.19|0|3188.81|2079.1|0|1167.74|2610.04|1973.87|1922.85|0|2156.856582|2391.61|2490.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412.96|0|0|0|0|0|0|0|0|3188.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PRE LG RT G 04.503.812|3188.81|1690.07|2391.61|2551.05|2710.49|2869.93|0|2576.56|2295.94|2158.19|0|3188.81|2079.1|0|1167.74|2610.04|1973.87|1922.85|0|2156.856582|2391.61|2490.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1412.96|0|0|0|0|0|0|0|0|3188.81
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PRE SM LT P 04.503.801|3083.47|1634.24|2312.6|2466.78|2620.95|2775.12|0|2491.45|2220.1|2086.89|0|3083.47|2010.42|0|1129.17|2523.82|1908.67|1859.33|0|2156.856582|2312.6|2408.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.29|0|0|0|0|0|0|0|0|3083.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PRE SM RT P 04.503.811|3083.47|1634.24|2312.6|2466.78|2620.95|2775.12|0|2491.45|2220.1|2086.89|0|3083.47|2010.42|0|1129.17|2523.82|1908.67|1859.33|0|2156.856582|2312.6|2408.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.29|0|0|0|0|0|0|0|0|3083.47
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/D 4M 04.503.224.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/D 5M 04.503.225.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/D 6M 04.503.226.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/D 8M 04.503.228.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/T 10M 04.503.210.01|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/T 12M 04.503.212.01|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/T 14M 04.503.214.01|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/T 16M 04.503.216.01|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN S/T 18M 04.503.218.01|352.64|186.9|264.48|282.11|299.74|317.38|0|284.93|253.9|238.67|0|352.64|229.92|0|129.14|288.64|218.28|212.64|0|2156.856582|264.48|275.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|156.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 4M 04.503.234.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 5M 04.503.235.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 6M 04.503.236.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 8M 04.503.238.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 10M 04.503.240.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 12M 04.503.242.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 16M 04.503.246.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN EMER 18M 04.503.248.01|364.8|193.34|273.6|291.84|310.08|328.32|0|294.76|262.66|246.9|0|364.8|237.85|0|133.59|298.59|225.81|219.97|0|2156.856582|273.6|284.91|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|161.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE BALL TIP 2.5X 800MM|1231.2|652.54|923.4|984.96|1046.52|1108.08|0|994.81|886.46|833.28|0|1231.2|802.74|0|450.87|1007.74|762.11|742.41|0|0|923.4|961.57|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|545.54|0|0|0|0|0|0|0|0|1231.2
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE BALL TIP 3.0X 800MM|361.2|191.44|270.9|288.96|307.02|325.08|0|291.85|260.06|244.46|0|361.2|235.5|0|132.27|295.64|223.58|217.8|0|0|270.9|282.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|160.05|0|0|0|0|0|0|0|0|361.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2 8M 96-2620|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2 10M 96-2621|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J APSZ2 12.5M 96-2622|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2 15M 96-2623|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2.5 8M 96-2630|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2.5 10M 96-2631|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2.5 12.5M 96-2632|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2.5 15M 96-2633|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ2 8 96-2640|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ3 10M 96-2641|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ3 12.5M 96-2642|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ3 15M 96-2643|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ4 8M 96-2650|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ4 10M 96-2651|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ4 12.5M 96-2652|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ4 15M 96-2653|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ5 8M 96-2660|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ5 10M 96-2661|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ5 12.5 96-2662|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TIB J&J A/PSZ5 15M 96-2663|2730|1446.9|2047.5|2184|2320.5|2457|0|2205.84|1965.6|1847.66|0|2730|1779.96|0|999.73|2234.51|1689.87|1646.19|0|0|2047.5|2132.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1209.66|0|0|0|0|0|0|0|0|2730
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN IMF S/D2.0 8M 201.928|485.08|257.09|363.81|388.06|412.32|436.57|0|391.94|349.26|328.3|0|485.08|316.27|0|177.64|397.04|300.26|292.5|0|2156.856582|363.81|378.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN IMF S/D2.0 12M 201.932|485.08|257.09|363.81|388.06|412.32|436.57|0|391.94|349.26|328.3|0|485.08|316.27|0|177.64|397.04|300.26|292.5|0|2156.856582|363.81|378.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|214.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0275 - PACEMAKER||C1898|PACING WIRE BIPOLAR|183.32|97.16|137.49|146.66|155.82|164.99|0|148.12|131.99|124.07|0|183.32|119.52|0|67.13|150.05|113.48|110.54|0|0|137.49|143.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.23|0|0|0|0|0|0|0|0|183.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X40M 326040S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X45M 326045S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X50M 326050S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X55M 326055S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X60M 326060S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X65M 326065S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X70M 326070S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X75M 326075S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X80M 326080S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X85M 326085S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X90M 326090S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X95M 326095S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X100M 326100S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X105M 326105S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X110M 326110S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X115M 326115S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X120M 326120S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X55M 326255S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X60M 326260S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X65M 326265S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X70M 326270S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X75M 326275S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X80M 326280S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X85M 326285S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X90M 326290S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X95M 326295S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X100M 326300S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X105M 326305S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X110M 326310S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X115M 326315S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 6.5X120M 326320S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X40M 326640S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X45M 326645S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X50M 326650S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X55M 326655S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X60M 326660S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X65M 326665S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X70M 326670S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X75M 326675S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X80M 326680S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X85M 326685S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X90M 326690S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X95M 326695S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X100M 326700S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X105M 326705S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X110M 326710S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X115M 326715S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR ASNIS CNN 8.0X120M 326720S|1850.4|980.71|1387.8|1480.32|1572.84|1665.36|0|1495.12|1332.29|1252.35|0|1850.4|1206.46|0|677.62|1514.55|1145.4|1115.79|0|2156.856582|1387.8|1445.16|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|819.91|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D28X46 1221-28-146|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D32X48 1221-32-148|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D32X50 1221-32-150|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D36X52 1221-36-152|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D36X54 1221-36-154|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D36X56 1221-36-156|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL32X48 1221-32-448|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL32X50 1221-32-450|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X52 1221-36-452|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X54 1221-36-454|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X56 1221-36-456|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X58 1221-36-458|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X60 1221-36-460|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X62 1221-36-462|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X64 1221-36-464|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL36X66 1221-36-466|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 28X46 1221-28-046|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 28X48 1221-28-048|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 28X50 1221-28-050|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 32X52 1221-32-052|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 32X54 1221-32-054|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X56 1221-36-056|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X58 1221-36-058|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X60 1221-36-060|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X62 1221-36-062|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X64 1221-36-064|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J NTL 36X66 1221-36-066|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ0HI1012-14-005|3801.6|2014.85|2851.2|3041.28|3231.36|3421.44|0|3071.69|2737.15|2572.92|0|3801.6|2478.64|0|1392.15|3111.61|2353.19|2292.36|0|0|2851.2|2969.05|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1684.49|0|0|0|0|0|0|0|0|3801.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ0STD1012-04-005|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ1HI1012-14-010|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ1STD1012-04-010|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ2HI1012-14-020|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ2STD1012-04-020|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ3HI1012-14-030|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ3STD1012-04-030|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ4HI1012-14-040|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ4STD1012-04-040|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ5HI1012-14-050|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ5STD1012-04-050|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ6HI1012-14-060|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ6STD1012-04-060|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ7HI1012-14-070|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ7STD1012-04-070|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ8HI1012-14-080|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ8STD1012-04-080|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ9HI1012-14-090|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ9STD1012-04-090|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ10HI1021-14-100|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ10STD1012-04100|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ11HI1012-14-110|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ11STD1012-04110|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ12HI1012-14-120|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEMJ&JTRILCKSZ12STD1012-04120|3330|1764.9|2497.5|2664|2830.5|2997|0|2690.64|2397.6|2253.74|0|3330|2171.16|0|1219.45|2725.61|2061.27|2007.99|0|0|2497.5|2600.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1475.52|0|0|0|0|0|0|0|0|3330
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 8M AT2-C08|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 9M AT2-C09|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 10M AT2-C10|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 11M AT2-C11|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 12M AT2-C12|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 13M AT2-C13|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 14M AT2-C14|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 16M AT2-C16|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 18M AT2-C18|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MIC 20M AT2-C20|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 16M AT2-M16|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 18M AT2-M18|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 20M AT2-M20|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 22M AT2-M22|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 24M AT2-M24|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 26M AT2-M26|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 28M AT2-M28|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 MNI 30M AT2-M30|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 16M AT2-S16|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 18M AT2-S18|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 20M AT2-S20|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 22M AT2-S22|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 24M AT2-S24|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 26M AT2-S26|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 28M AT2-S28|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR BONE AT2 S/T 30M AT2-S30|1984|1051.52|1488|1587.2|1686.4|1785.6|0|1603.07|1428.48|1342.77|0|1984|1293.57|0|726.54|1623.9|1228.1|1196.35|0|2156.856582|1488|1549.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|879.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN 3.5/12H 236.513|2597.4|1376.62|1948.05|2077.92|2207.79|2337.66|0|2098.7|1870.13|1757.92|0|2597.4|1693.5|0|951.17|2125.97|1607.79|1566.23|0|2156.856582|1948.05|2028.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1150.91|0|0|0|0|0|0|0|0|2597.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN L 3.5/10H 236.511|2549.82|1351.4|1912.37|2039.86|2167.35|2294.84|0|2060.25|1835.87|1725.72|0|2549.82|1662.48|0|933.74|2087.03|1578.34|1537.54|0|2156.856582|1912.37|1991.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.83|0|0|0|0|0|0|0|0|2549.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN L 3.5/8H 236.509|2484.96|1317.03|1863.72|1987.97|2112.22|2236.46|0|2007.85|1789.17|1681.82|0|2484.96|1620.19|0|909.99|2033.94|1538.19|1498.43|0|2156.856582|1863.72|1940.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.09|0|0|0|0|0|0|0|0|2484.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN L 3.5/4H 236.505|2333.55|1236.78|1750.16|1866.84|1983.52|2100.2|0|1885.51|1680.16|1579.35|0|2333.55|1521.47|0|854.55|1910.01|1444.47|1407.13|0|2156.856582|1750.16|1822.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1034|0|0|0|0|0|0|0|0|2333.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN L 3.5/6H 236.507|2407.08|1275.75|1805.31|1925.66|2046.02|2166.37|0|1944.92|1733.1|1629.11|0|2407.08|1569.42|0|881.47|1970.19|1489.98|1451.47|0|2156.856582|1805.31|1879.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1066.58|0|0|0|0|0|0|0|0|2407.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/6H 236.506|2407.08|1275.75|1805.31|1925.66|2046.02|2166.37|0|1944.92|1733.1|1629.11|0|2407.08|1569.42|0|881.47|1970.19|1489.98|1451.47|0|2156.856582|1805.31|1879.93|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1066.58|0|0|0|0|0|0|0|0|2407.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/4H 236.504|2333.55|1236.78|1750.16|1866.84|1983.52|2100.2|0|1885.51|1680.16|1579.35|0|2333.55|1521.47|0|854.55|1910.01|1444.47|1407.13|0|2156.856582|1750.16|1822.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1034|0|0|0|0|0|0|0|0|2333.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/2H 236.502|2236.23|1185.2|1677.17|1788.98|1900.8|2012.61|0|1806.87|1610.09|1513.48|0|2236.23|1458.02|0|818.91|1830.35|1384.23|1348.45|0|2156.856582|1677.17|1746.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.87|0|0|0|0|0|0|0|0|2236.23
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/8H 236.508|2484.96|1317.03|1863.72|1987.97|2112.22|2236.46|0|2007.85|1789.17|1681.82|0|2484.96|1620.19|0|909.99|2033.94|1538.19|1498.43|0|2156.856582|1863.72|1940.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1101.09|0|0|0|0|0|0|0|0|2484.96
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/10H 236.510|2549.82|1351.4|1912.37|2039.86|2167.35|2294.84|0|2060.25|1835.87|1725.72|0|2549.82|1662.48|0|933.74|2087.03|1578.34|1537.54|0|2156.856582|1912.37|1991.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.83|0|0|0|0|0|0|0|0|2549.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN R 3.5/12H 236.512|2597.4|1376.62|1948.05|2077.92|2207.79|2337.66|0|2098.7|1870.13|1757.92|0|2597.4|1693.5|0|951.17|2125.97|1607.79|1566.23|0|2156.856582|1948.05|2028.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1150.91|0|0|0|0|0|0|0|0|2597.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK R 3.5/6H/15 241.062|1821.48|965.38|1366.11|1457.18|1548.26|1639.33|0|1471.76|1311.47|1232.78|0|1821.48|1187.6|0|667.03|1490.88|1127.5|1098.35|0|2156.856582|1366.11|1422.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|807.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK L 3.5/6H/15 241.063|1821.48|965.38|1366.11|1457.18|1548.26|1639.33|0|1471.76|1311.47|1232.78|0|1821.48|1187.6|0|667.03|1490.88|1127.5|1098.35|0|2156.856582|1366.11|1422.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|807.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK R 3.5/6H/18 241.064|1821.48|965.38|1366.11|1457.18|1548.26|1639.33|0|1471.76|1311.47|1232.78|0|1821.48|1187.6|0|667.03|1490.88|1127.5|1098.35|0|2156.856582|1366.11|1422.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|807.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK L 3.5/6H/18 241.065|1821.48|965.38|1366.11|1457.18|1548.26|1639.33|0|1471.76|1311.47|1232.78|0|1821.48|1187.6|0|667.03|1490.88|1127.5|1098.35|0|2156.856582|1366.11|1422.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|807.1|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK R 3.5/8H/15 241.066|1952.55|1034.85|1464.41|1562.04|1659.67|1757.3|0|1577.66|1405.84|1321.49|0|1952.55|1273.06|0|715.02|1598.16|1208.63|1177.39|0|2156.856582|1464.41|1524.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|865.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK L 3.5/8H/15 241.067|1952.55|1034.85|1464.41|1562.04|1659.67|1757.3|0|1577.66|1405.84|1321.49|0|1952.55|1273.06|0|715.02|1598.16|1208.63|1177.39|0|2156.856582|1464.41|1524.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|865.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK R 3.5/8H/18 241.068|1952.55|1034.85|1464.41|1562.04|1659.67|1757.3|0|1577.66|1405.84|1321.49|0|1952.55|1273.06|0|715.02|1598.16|1208.63|1177.39|0|2156.856582|1464.41|1524.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|865.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT HOOK L 3.5/8H/18 241.069|1952.55|1034.85|1464.41|1562.04|1659.67|1757.3|0|1577.66|1405.84|1321.49|0|1952.55|1273.06|0|715.02|1598.16|1208.63|1177.39|0|2156.856582|1464.41|1524.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|865.17|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT OLCRN L 3.5/2H 236.503|2236.23|1185.2|1677.17|1788.98|1900.8|2012.61|0|1806.87|1610.09|1513.48|0|2236.23|1458.02|0|818.91|1830.35|1384.23|1348.45|0|2156.856582|1677.17|1746.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|990.87|0|0|0|0|0|0|0|0|2236.23
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD TH SELFDRL 5.0X380 328.160|1081.36|573.12|811.02|865.09|919.16|973.22|0|873.74|778.58|731.86|0|1081.36|705.05|0|395.99|885.09|669.36|652.06|0|11.99410609|811.02|844.54|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|479.15|0|0|0|0|0|0|0|0|1081.36
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WIRE 1.6X410 292.655|151.16|80.11|113.37|120.93|128.49|136.04|0|122.14|108.84|102.31|0|151.16|98.56|0|55.35|123.72|93.57|91.15|0|0|113.37|118.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|66.98|0|0|0|0|0|0|0|0|151.16
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CNN TH BLTIP 5X335 328.170|1081.36|573.12|811.02|865.09|919.16|973.22|0|873.74|778.58|731.86|0|1081.36|705.05|0|395.99|885.09|669.36|652.06|0|11.99410609|811.02|844.54|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|479.15|0|0|0|0|0|0|0|0|1081.36
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD TH SELF DRL 3X270 325.160|888.16|470.72|666.12|710.53|754.94|799.34|0|717.63|639.48|601.11|0|888.16|579.08|0|325.24|726.96|549.77|535.56|0|11.99410609|666.12|693.65|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|393.54|0|0|0|0|0|0|0|0|888.16
HOSP OP|0272 - STERILE SUPPLY||A4649|ROD CRBN FBR 8X240 395.786|416.68|220.84|312.51|333.34|354.18|375.01|0|336.68|300.01|282.01|0|416.68|271.68|0|152.59|341.05|257.92|251.26|0|11.99410609|312.51|325.43|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|184.63|0|0|0|0|0|0|0|0|416.68
HOSP OP|0272 - STERILE SUPPLY||A4649|CLAMP CMBNTN MED GOLD 390.031|1470.64|779.44|1102.98|1176.51|1250.04|1323.58|0|1188.28|1058.86|995.33|0|1470.64|958.86|0|538.55|1203.72|910.33|886.8|0|11.99410609|1102.98|1148.57|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|651.64|0|0|0|0|0|0|0|0|1470.64
HOSP OP|0272 - STERILE SUPPLY||A4649|ROED CRBN FBR 8X160 395.779|418.92|222.03|314.19|335.14|356.08|377.03|0|338.49|301.62|283.53|0|418.92|273.14|0|153.41|342.89|259.31|252.61|0|11.99410609|314.19|327.18|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|185.62|0|0|0|0|0|0|0|0|418.92
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X12M 200.190|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X14M 200.191|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X16M 200.192|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X18M 200.193|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIT BUTTRESS 1.8X20M 200.194|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X22M 200.195|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X24M 200.196|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X26M 200.197|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X28M 200.198|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN BUTTRESS 1.8X30M 200.199|377.72|200.19|283.29|302.18|321.06|339.95|0|305.2|271.96|255.64|0|377.72|246.27|0|138.32|309.16|233.81|227.77|0|11.99410609|283.29|295|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|167.37|0|0|0|0|0|0|0|0|377.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK S/T 2.7/8 202.208|392.16|207.84|294.12|313.73|333.34|352.94|0|316.87|282.36|265.41|0|392.16|255.69|0|143.61|320.98|242.75|236.47|0|2156.856582|294.12|306.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|173.77|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/6H/94 02.112.027|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/7H/110 02.112.029|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/8H/120 02.112.031|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/3H/69 02.112.007|2169.21|1149.68|1626.91|1735.37|1843.83|1952.29|0|1752.72|1561.83|1468.12|0|2169.21|1414.32|0|794.36|1775.5|1342.74|1308.03|0|2156.856582|1626.91|1694.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|961.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/4H/81 02.112.011|2205.99|1169.17|1654.49|1764.79|1875.09|1985.39|0|1782.44|1588.31|1493.01|0|2205.99|1438.31|0|807.83|1805.6|1365.51|1330.21|0|2156.856582|1654.49|1722.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|977.47|0|0|0|0|0|0|0|0|2205.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/5H/94 02.112.013|2242.71|1188.64|1682.03|1794.17|1906.3|2018.44|0|1812.11|1614.75|1517.87|0|2242.71|1462.25|0|821.28|1835.66|1388.24|1352.35|0|2156.856582|1682.03|1751.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|993.74|0|0|0|0|0|0|0|0|2242.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/6H/108 02.112.009|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/7H/123 02.112.019|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/8H/135 02.112.021|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/6H/94 02.112.026|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/7H/110 02.112.028|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/3H/69 02.112.006|2169.21|1149.68|1626.91|1735.37|1843.83|1952.29|0|1752.72|1561.83|1468.12|0|2169.21|1414.32|0|794.36|1775.5|1342.74|1308.03|0|2156.856582|1626.91|1694.15|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|961.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/4H/81 02.112.010|2205.99|1169.17|1654.49|1764.79|1875.09|1985.39|0|1782.44|1588.31|1493.01|0|2205.99|1438.31|0|807.83|1805.6|1365.51|1330.21|0|2156.856582|1654.49|1722.88|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|977.47|0|0|0|0|0|0|0|0|2205.99
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/5H/94 02.112.012|2242.71|1188.64|1682.03|1794.17|1906.3|2018.44|0|1812.11|1614.75|1517.87|0|2242.71|1462.25|0|821.28|1835.66|1388.24|1352.35|0|2156.856582|1682.03|1751.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|993.74|0|0|0|0|0|0|0|0|2242.71
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/6H/108 02.112.008|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/7H/123 02.112.018|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP R9/3H 02.110.330|2099.97|1112.98|1574.98|1679.98|1784.97|1889.97|0|1696.78|1511.98|1421.26|0|2099.97|1369.18|0|769.01|1718.83|1299.88|1266.28|0|2156.856582|1574.98|1640.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|930.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L9/3H 02.110.331|2099.97|1112.98|1574.98|1679.98|1784.97|1889.97|0|1696.78|1511.98|1421.26|0|2099.97|1369.18|0|769.01|1718.83|1299.88|1266.28|0|2156.856582|1574.98|1640.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|930.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP R9/4H 02.110.340|2167.05|1148.54|1625.29|1733.64|1841.99|1950.35|0|1750.98|1560.28|1466.66|0|2167.05|1412.92|0|793.57|1773.73|1341.4|1306.73|0|2156.856582|1625.29|1692.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|960.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L9/4H 02.110.341|2167.05|1148.54|1625.29|1733.64|1841.99|1950.35|0|1750.98|1560.28|1466.66|0|2167.05|1412.92|0|793.57|1773.73|1341.4|1306.73|0|2156.856582|1625.29|1692.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|960.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP R9/5H 02.110.350|2229.75|1181.77|1672.31|1783.8|1895.29|2006.78|0|1801.64|1605.42|1509.09|0|2229.75|1453.8|0|816.53|1825.05|1380.22|1344.54|0|2156.856582|1672.31|1741.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|988|0|0|0|0|0|0|0|0|2229.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L9/5H 02.110.351|2229.75|1181.77|1672.31|1783.8|1895.29|2006.78|0|1801.64|1605.42|1509.09|0|2229.75|1453.8|0|816.53|1825.05|1380.22|1344.54|0|2156.856582|1672.31|1741.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|988|0|0|0|0|0|0|0|0|2229.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP R8/3H 02.110.430|2099.97|1112.98|1574.98|1679.98|1784.97|1889.97|0|1696.78|1511.98|1421.26|0|2099.97|1369.18|0|769.01|1718.83|1299.88|1266.28|0|2156.856582|1574.98|1640.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|930.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L8/3H 02.110.431|2099.97|1112.98|1574.98|1679.98|1784.97|1889.97|0|1696.78|1511.98|1421.26|0|2099.97|1369.18|0|769.01|1718.83|1299.88|1266.28|0|2156.856582|1574.98|1640.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|930.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L8/4H 02.110.441|2167.05|1148.54|1625.29|1733.64|1841.99|1950.35|0|1750.98|1560.28|1466.66|0|2167.05|1412.92|0|793.57|1773.73|1341.4|1306.73|0|2156.856582|1625.29|1692.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|960.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP R8/5H 02.110.450|2229.75|1181.77|1672.31|1783.8|1895.29|2006.78|0|1801.64|1605.42|1509.09|0|2229.75|1453.8|0|816.53|1825.05|1380.22|1344.54|0|2156.856582|1672.31|1741.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|988|0|0|0|0|0|0|0|0|2229.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYNDSTLCP L8/5H 02.110.451|2229.75|1181.77|1672.31|1783.8|1895.29|2006.78|0|1801.64|1605.42|1509.09|0|2229.75|1453.8|0|816.53|1825.05|1380.22|1344.54|0|2156.856582|1672.31|1741.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|988|0|0|0|0|0|0|0|0|2229.75
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 5H/3H 02.110.204|2579.4|1367.08|1934.55|2063.52|2192.49|2321.46|0|2084.16|1857.17|1745.74|0|2579.4|1681.77|0|944.58|2111.24|1596.65|1555.38|0|2156.856582|1934.55|2014.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1142.93|0|0|0|0|0|0|0|0|2579.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 4H/5H 02.110.208|2579.4|1367.08|1934.55|2063.52|2192.49|2321.46|0|2084.16|1857.17|1745.74|0|2579.4|1681.77|0|944.58|2111.24|1596.65|1555.38|0|2156.856582|1934.55|2014.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1142.93|0|0|0|0|0|0|0|0|2579.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 5H/3H 02.110.203|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 4H/3H 02.110.207|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 4H/3H 02.110.205|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 5H/3H 02.110.201|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 4H/5H 02.110.206|2579.4|1367.08|1934.55|2063.52|2192.49|2321.46|0|2084.16|1857.17|1745.74|0|2579.4|1681.77|0|944.58|2111.24|1596.65|1555.38|0|2156.856582|1934.55|2014.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1142.93|0|0|0|0|0|0|0|0|2579.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 5H/5H 02.110.202|2579.4|1367.08|1934.55|2063.52|2192.49|2321.46|0|2084.16|1857.17|1745.74|0|2579.4|1681.77|0|944.58|2111.24|1596.65|1555.38|0|2156.856582|1934.55|2014.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1142.93|0|0|0|0|0|0|0|0|2579.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X8 02.210.108|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X10 02.10.110|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X12 02.210.112|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X14 02.210.114|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X16 02.210.116|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X18 02.210.118|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X20 02.210.120|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X22 02.210.122|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X24 02.210.124|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X26 02.210.126|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X28 02.210.128|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VA LCK R 2.4X30 02.210.130|431.32|228.6|323.49|345.06|366.62|388.19|0|348.51|310.55|291.92|0|431.32|281.22|0|157.95|353.04|266.99|260.09|0|2156.856582|323.49|336.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|191.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 6H/2H 02.111.621|2305.2|1221.76|1728.9|1844.16|1959.42|2074.68|0|1862.6|1659.74|1560.16|0|2305.2|1502.99|0|844.16|1886.81|1426.92|1390.04|0|2156.856582|1728.9|1800.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1021.43|0|0|0|0|0|0|0|0|2305.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 6H/3H 02.111.631|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 6H/4H 02.111.641|2487.3|1318.27|1865.48|1989.84|2114.21|2238.57|0|2009.74|1790.86|1683.4|0|2487.3|1621.72|0|910.85|2035.86|1539.64|1499.84|0|2156.856582|1865.48|1942.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1102.12|0|0|0|0|0|0|0|0|2487.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 7H/2H 02.111.721|2305.2|1221.76|1728.9|1844.16|1959.42|2074.68|0|1862.6|1659.74|1560.16|0|2305.2|1502.99|0|844.16|1886.81|1426.92|1390.04|0|2156.856582|1728.9|1800.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1021.43|0|0|0|0|0|0|0|0|2305.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 7H/3H 02.111.731|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD L 7H/4H 02.111.741|2487.3|1318.27|1865.48|1989.84|2114.21|2238.57|0|2009.74|1790.86|1683.4|0|2487.3|1621.72|0|910.85|2035.86|1539.64|1499.84|0|2156.856582|1865.48|1942.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1102.12|0|0|0|0|0|0|0|0|2487.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 6H/2H 02.111.620|2305.2|1221.76|1728.9|1844.16|1959.42|2074.68|0|1862.6|1659.74|1560.16|0|2305.2|1502.99|0|844.16|1886.81|1426.92|1390.04|0|2156.856582|1728.9|1800.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1021.43|0|0|0|0|0|0|0|0|2305.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 6H/3H 02.111.630|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 6H/4H 02.111.640|2487.3|1318.27|1865.48|1989.84|2114.21|2238.57|0|2009.74|1790.86|1683.4|0|2487.3|1621.72|0|910.85|2035.86|1539.64|1499.84|0|2156.856582|1865.48|1942.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1102.12|0|0|0|0|0|0|0|0|2487.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 7H/2H 02.111.720|2305.2|1221.76|1728.9|1844.16|1959.42|2074.68|0|1862.6|1659.74|1560.16|0|2305.2|1502.99|0|844.16|1886.81|1426.92|1390.04|0|2156.856582|1728.9|1800.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1021.43|0|0|0|0|0|0|0|0|2305.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 7H/3H 02.111.730|2397.3|1270.57|1797.98|1917.84|2037.71|2157.57|0|1937.02|1726.06|1622.49|0|2397.3|1563.04|0|877.89|1962.19|1483.93|1445.57|0|2156.856582|1797.98|1872.29|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1062.24|0|0|0|0|0|0|0|0|2397.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTVA DTRAD R 7H/4H 02.111.740|2487.3|1318.27|1865.48|1989.84|2114.21|2238.57|0|2009.74|1790.86|1683.4|0|2487.3|1621.72|0|910.85|2035.86|1539.64|1499.84|0|2156.856582|1865.48|1942.58|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1102.12|0|0|0|0|0|0|0|0|2487.3
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/80 456.301|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/85 456.302|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/90 456.303|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/95 456.304|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/100 456.305|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/105 456.306|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/110 456.307|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/115 456.308|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/120 456.309|1512.56|801.66|1134.42|1210.05|1285.68|1361.3|0|1222.15|1089.04|1023.7|0|1512.56|986.19|0|553.9|1238.03|936.27|912.07|0|2156.856582|1134.42|1181.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|670.22|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL11M/125 456.310S|1622.84|860.11|1217.13|1298.27|1379.41|1460.56|0|1311.25|1168.44|1098.34|0|1622.84|1058.09|0|594.28|1328.29|1004.54|978.57|0|2156.856582|1217.13|1267.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLADE HELICAL 11M/130 456.650S|1622.84|860.11|1217.13|1298.27|1379.41|1460.56|0|1311.25|1168.44|1098.34|0|1622.84|1058.09|0|594.28|1328.29|1004.54|978.57|0|2156.856582|1217.13|1267.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|719.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 11M/125/170 456.317S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 11M130/170 456.318S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 11M/135/170 456.319S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 12M/125/170 456.321S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 12M/130/170 456.322S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 12M/135/170 456.323S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 10M/125/170 456.314S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 10M/130/170 456.315S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN 10M/135/170 456.316S|2561.55|1357.62|1921.16|2049.24|2177.32|2305.4|0|2069.73|1844.32|1733.66|0|2561.55|1670.13|0|938.04|2096.63|1585.6|1544.61|0|2156.856582|1921.16|2000.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1135.02|0|0|0|0|0|0|0|0|2561.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/300 456.391S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/320 456.393S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/340 456.395S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/360 456.397S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/380 456.399S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/400 456.401S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/420 456.403S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/440 456.405S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/125/460 456.407S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/300 456.390S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/320 456.392S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/340 456.394S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/360 456.396S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/380 456.398S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/400 456.400S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/420 456.402S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/440 456.404S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/125/460 456.406S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/300 456.411S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/320 456.413S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/340 456.415S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/360 456.417S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/380 456.419S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/400 456.421S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/420 456.423S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/440 456.425S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 11/130/460 456.427S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/300 456.410S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/320 456.412S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/340 456.414S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/360 456.416S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/380 456.418S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/400 456.420S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/420 456.422S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/440 456.424S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 11/130/460 456.426S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/300 456.471S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/320 456.473S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/340 456.475S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/360 456.477S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/380 456.479S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/400 456.481S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/420 456.483S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/440 456.485S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 12/130/460 456.487S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/300 456.470S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/320 456.472S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/340 456.474S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/360 456.476S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/380 456.478S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/400 456.480S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/420 456.482S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/440 456.484S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 12/130/460 456.486S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/300 456.630S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/320 456.632S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/340 456.634S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/360 456.636S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/380 456.638S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/400 456.640S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/420 456.642S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/440 456.644S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN R 14/130/460 456.646S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/300 456.631S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/320 456.633S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/340 456.635S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/360 456.637S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/380 456.639S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/400 456.641S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/420 456.643S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/440 456.645S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TFN L 14/130/460 456.647S|3371.85|1787.08|2528.89|2697.48|2866.07|3034.67|0|2724.45|2427.73|2282.07|0|3371.85|2198.45|0|1234.77|2759.86|2087.18|2033.23|0|2156.856582|2528.89|2633.41|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1494.07|0|0|0|0|0|0|0|0|3371.85
HOSP OP|0272 - STERILE SUPPLY||C1769|GD WIRE 3.2M/400M 357.399|198.44|105.17|148.83|158.75|168.67|178.6|0|160.34|142.88|134.3|0|198.44|129.38|0|72.67|162.42|122.83|119.66|0|0|148.83|154.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|87.93|0|0|0|0|0|0|0|0|198.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/26 04.005.416|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/28 04.005.418|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/30 04.005.420|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/32 04.005.422|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/34 04.005.424|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/36 04.005.426|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/38 04.005.428|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/40 04.005.430|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/42 04.005.432|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/44 04.005.434|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/46 04.005.436|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/48 04.005.438|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/50 04.005.440|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/52 04.005.442|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/54 04.005.444|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/56 04.005.446|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/58 04.005.448|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/60 04.005.450|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/62 04.005.452|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/64 04.005.454|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/66 04.005.456|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/68 04.005.458|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/70 04.005.460|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/72 04.005.462|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/74 04.005.464|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/76 04.005.466|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/78 04.005.468|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 4M/80 04.005.470|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/26 04.005.516|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/28 04.005.518|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/30 04.005.520|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/32 04.005.522|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/34 04.005.524|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/36 04.005.526|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/38 04.005.528|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/40 04.005.530|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/42 04.005.532|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/44 04.005.534|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/46 04.005.536|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/48 04.005.538|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/50 04.005.540|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/52 04.005.542|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/54 04.005.544|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/56 04.005.546|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/58 04.005.548|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/60 04.005.550|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/62 04.005.552|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/64 04.005.554|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/66 04.005.556|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/68 04.005.558|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/70 04.005.560|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/72 04.005.562|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/74 04.005.564|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/76 04.005.566|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/78 04.005.568|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/80 04.005.570|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/30 04.015.520|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/35 04.015.525|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/40 04.015.530|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/45 04.015.535|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/50 04.015.540|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/55 04.015.545|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/60 04.015.550|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/65 04.015.555|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/70 04.015.560|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/75 04.015.565|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/80 04.015.570|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/85 04.015.575|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCK DUAL 5M/90 04.015.580|507.12|268.77|380.34|405.7|431.05|456.41|0|409.75|365.13|343.22|0|507.12|330.64|0|185.71|415.08|313.91|305.79|0|2156.856582|380.34|396.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|224.7|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAPSTRDR 0M 04.004.000|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP STRDR 5M 04.004.001|533.56|282.79|400.17|426.85|453.53|480.2|0|431.12|384.16|361.11|0|533.56|347.88|0|195.39|436.72|330.27|321.74|0|2156.856582|400.17|416.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|236.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAPSTRDR 10M 04.004.002|533.56|282.79|400.17|426.85|453.53|480.2|0|431.12|384.16|361.11|0|533.56|347.88|0|195.39|436.72|330.27|321.74|0|2156.856582|400.17|416.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|236.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP STRDR 15M 04.004.003|533.56|282.79|400.17|426.85|453.53|480.2|0|431.12|384.16|361.11|0|533.56|347.88|0|195.39|436.72|330.27|321.74|0|2156.856582|400.17|416.71|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|236.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP GRAY 0M 04.004.008S|524.76|278.12|393.57|419.81|446.05|472.28|0|424.01|377.83|355.16|0|524.76|342.14|0|192.17|429.52|324.83|316.43|0|2156.856582|393.57|409.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|232.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP GRAY 5M 04.004.009S|643.8|341.21|482.85|515.04|547.23|579.42|0|520.19|463.54|435.72|0|643.8|419.76|0|235.76|526.95|398.51|388.21|0|2156.856582|482.85|502.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|285.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP GRAY 10M 04.004.010S|643.8|341.21|482.85|515.04|547.23|579.42|0|520.19|463.54|435.72|0|643.8|419.76|0|235.76|526.95|398.51|388.21|0|2156.856582|482.85|502.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|285.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP GRAY 15M 04.004.011S|643.8|341.21|482.85|515.04|547.23|579.42|0|520.19|463.54|435.72|0|643.8|419.76|0|235.76|526.95|398.51|388.21|0|2156.856582|482.85|502.81|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|285.27|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/270 04.034.234S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/285 04.034.237S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/300 04.034.240S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/315 04.034.243S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/330 04.034.246S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/345 04.034.249S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/360 04.034.252S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/375 04.034.255S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/390 04.034.258S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/405 04.034.261S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 8M/420 04.034.264S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/270 04.034.334S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/285 04.034.337S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/300 04.034.340S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/315 04.034.343S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/330 04.034.346S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/345 04.034.349S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/360 04.034.352S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/375 04.034.355S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/390 04.034.358S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/405 04.034.361S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 9M/420 04.034.364S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/270 04.034.434S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/285 04.034.437S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/300 04.034.440S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/315 04.034.443S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/330 04.034.446S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/345 04.034.449S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/360 04.034.452S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/375 04.034.455S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/390 04.034.458S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/405 04.034.461S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 10M/420 04.034.464S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/270 04.034.534S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/285 04.034.537S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/300 04.034.540S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/315 04.034.543S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/330 04.034.546S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/345 04.034.549S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/360 04.034.552S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/375 04.034.555S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/390 04.034.558S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/405 04.034.561S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 11M/420 04.034.564S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/270 04.034.634S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/285 04.034.637S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/300 04.034.640S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/315 04.034.643S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/330 04.034.646S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/345 04.034.649S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/360 04.034.652S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/375 04.034.655S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/390 04.034.658S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/405 04.034.661S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 12M/420 04.034.664S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/270 04.034.734S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/285 04.034.737S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/300 04.034.740S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/315 04.034.743S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/330 04.034.746S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/345 04.034.749S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/360 04.034.752S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/375 04.034.755S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/390 04.034.758S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/405 04.034.761S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TIB 13M/420 04.034.764S|2764.95|1465.42|2073.71|2211.96|2350.21|2488.46|0|2234.08|1990.76|1871.32|0|2764.95|1802.75|0|1012.52|2263.11|1711.5|1667.26|0|2156.856582|2073.71|2159.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1225.15|0|0|0|0|0|0|0|0|2764.95
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/8H/120 02.112.030|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/8H/135 02.112.020|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/85 04.005.575S|560|296.8|420|448|476|504|0|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|2156.856582|420|437.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|248.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/90 04.005.580S|560|296.8|420|448|476|504|0|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|2156.856582|420|437.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|248.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/95 04.005.585S|560|296.8|420|448|476|504|0|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|2156.856582|420|437.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|248.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/100 04.005.590S|560|296.8|420|448|476|504|0|452.48|403.2|379.01|0|560|365.12|0|205.07|458.36|346.64|337.68|0|2156.856582|420|437.36|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|248.14|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI PURPL 1.5/300 475.915|824.68|437.08|618.51|659.74|700.98|742.21|0|666.34|593.77|558.14|0|824.68|537.69|0|302|675|510.48|497.28|0|2156.856582|618.51|644.08|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|365.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI GR 2.0/440 475.920|882.36|467.65|661.77|705.89|750.01|794.12|0|712.95|635.3|597.18|0|882.36|575.3|0|323.12|722.21|546.18|532.06|0|2156.856582|661.77|689.12|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|390.97|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI PINK 2.5/440 475.925|945.8|501.27|709.35|756.64|803.93|851.22|0|764.21|680.98|640.12|0|945.8|616.66|0|346.35|774.14|585.45|570.32|0|2156.856582|709.35|738.67|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|419.08|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI GOLD 3.0/440 475.930|1003.48|531.84|752.61|802.78|852.96|903.13|0|810.81|722.51|679.16|0|1003.48|654.27|0|367.47|821.35|621.15|605.1|0|2156.856582|752.61|783.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|444.64|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI BLUE 3.5/440 475.935|1061.12|562.39|795.84|848.9|901.95|955.01|0|857.38|764.01|718.17|0|1061.12|691.85|0|388.58|868.53|656.83|639.86|0|2156.856582|795.84|828.73|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|470.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL TI PURPL 430/440 475.940|1139|603.67|854.25|911.2|968.15|1025.1|0|920.31|820.08|770.88|0|1139|742.63|0|417.1|932.27|705.04|686.82|0|2156.856582|854.25|889.56|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|504.69|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TITANIUM 475.900|265.28|140.6|198.96|212.22|225.49|238.75|0|214.35|191|179.54|0|265.28|172.96|0|97.15|217.13|164.21|159.96|0|2156.856582|198.96|207.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|117.55|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1769|GDWR DRLTIP 2.5/300 03.120.026|183.68|97.35|137.76|146.94|156.13|165.31|0|148.41|132.25|124.31|0|183.68|119.76|0|67.26|150.34|113.7|110.76|0|0|137.76|143.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|81.39|0|0|0|0|0|0|0|0|183.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI STRDR 04.003.000|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 12M/5M 04.003.001|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 12M/10M 04.003.002|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 12M/15M 04.003.003|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 12M/20M 04.003.004|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 16M/5M 04.003.006|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 16M/10M 04.003.007|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 16M/15M 04.003.008|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP TI 16M/20M 04.003.009|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/60 04.003.022|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/ 65 04.003.023|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/70 04.003.024|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/75 04.003.025|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/80 04.003.026|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/85 04.003.027|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/90 04.003.028|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/95 04.003.029|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/100 04.003.030|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/105 04.003.031|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/110 04.003.032|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/115 04.003.033|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/120 04.003.034|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/125 04.003.035|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR RECON 6.5/130 04.003.036|463|245.39|347.25|370.4|393.55|416.7|0|374.1|333.36|313.36|0|463|301.88|0|169.55|378.97|286.6|279.19|0|2156.856582|347.25|361.6|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|205.16|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/85 04.005.575|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/90 04.005.580|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/95 04.005.585|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 5M/100 04.005.590|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/26 04.005.616|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/28 04.005.618|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/30 04.005.620|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/32 04.005.622|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/34 04.005.624|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/36 04.005.626|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/38 04.005.628|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/40 04.005.630|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/42 04.005.632|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/44 04.005.634|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/46 04.005.636|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/48 04.005.638|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/50 04.005.640|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/52 04.005.642|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/54 04.005.644|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/56 04.005.646|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/58 04.005.648|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/60 04.005.650|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/64 04.005.654|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/68 04.005.658|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/72 04.005.662|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/76 04.005.666|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/80 04.005.670|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/85 04.005.675|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/90 04.005.680|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/95 04.005.685|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/100 04.005.690|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/105 04.005.691|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/110 04.005.692|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/115 04.005.693|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/120 04.005.694|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LOCKING 6M/125 04.005.695|449.76|238.37|337.32|359.81|382.3|404.78|0|363.41|323.83|304.4|0|449.76|293.24|0|164.7|368.13|278.4|271.21|0|2156.856582|337.32|351.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|199.29|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/300 04.003.340S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/300 04.003.341S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/320 04.003.344S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/320 04.003.345S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/340 04.003.348S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/340 04.003.349S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/360 04.003.352S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/360 04.003.353S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/380 04.003.356S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/380 04.003.357S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/400 04.003.360S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/400 04.003.361S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/420 04.003.364S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/420 04.003.365S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/440 04.003.368S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/460 04.003.369S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/460 04.003.372S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/460 04.003.373S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 10/480 04.003.376S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 10/480 04.003.377S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/300 04.003.440S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/300 04.003.441S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/320 04.003.444S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/320 04.003.445S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/340 04.003.448S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/340 04.003.449S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/360 04.003.452S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/360 04.003.453S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/380 04.003.456S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/380 04.003.457S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/400 04.003.460S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/400 04.003.461S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/420 04.003.464S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/420 04.003.465S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/440 04.003.468S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/440 04.003.469S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/460 04.003.472S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/460 04.003.473S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 11/480 04.003.476S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 11/480 04.003.477S|3222.72|1708.04|2417.04|2578.18|2739.31|2900.45|0|2603.96|2320.36|2181.14|0|3222.72|2101.21|0|1180.16|2637.8|1994.86|1943.3|0|2156.856582|2417.04|2516.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1427.99|0|0|0|0|0|0|0|0|3222.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/300 04.003.540S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/300 04.003.541S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/320 04.003.544S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/320 04.003.545S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/340 04.003.548S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/340 04.003.549S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/360 04.003.552S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/360 04.003.553S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/380 04.003.556S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/380 04.003.557S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/400 04.003.560S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/400 04.003.561S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/420 04.003.564S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/420 04.003.565S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/440 04.003.568S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/440 04.003.569S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/460 04.003.572S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/460 04.003.573S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 12/480 04.003.576S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 12/480 04.003.577S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/300 04.003.640S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/300 04.003.641S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/320 04.003.644S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/320 04.003.645S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/340 04.003.648S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/340 04.003.649S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/360 04.003.652S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/360 04.003.653S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/380 04.003.656S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/380 04.003.657S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/400 04.003.660S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/400 04.003.661S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/420 04.003.664S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/420 04.003.665S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/440 04.003.668S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/440 04.003.669S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/460 04.003.672S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/460 04.003.673S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 13/480 04.003.676S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 13/480 04.003.677S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/300 04.003.740S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/300 04.003.741S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/320 04.003.744S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/320 04.003.745S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/340 04.003.748S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/340 04.003.749S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/360 04.003.752S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/360 04.003.753S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/380 04.003.756S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/380 04.003.757S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/400 04.003.760S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/400 04.003.761S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/420 04.003.764S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/420 04.003.765S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/440 04.003.768S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/440 04.003.769S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/460 04.003.772S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/460 04.003.773S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM RT 14/480 04.003.776S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL FEM LT 14/480 04.003.777S|3084.12|1634.58|2313.09|2467.3|2621.5|2775.71|0|2491.97|2220.57|2087.33|0|3084.12|2010.85|0|1129.4|2524.35|1909.07|1859.72|0|2156.856582|2313.09|2408.7|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1366.57|0|0|0|0|0|0|0|0|3084.12
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDE WIRE 3.2M/290 03.010.115|198.44|105.17|148.83|158.75|168.67|178.6|0|160.34|142.88|134.3|0|198.44|129.38|0|72.67|162.42|122.83|119.66|0|0|148.83|154.98|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|87.93|0|0|0|0|0|0|0|0|198.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|END CAP SPIRAL 0M 04.013.000|414.52|219.7|310.89|331.62|352.34|373.07|0|334.93|298.45|280.55|0|414.52|270.27|0|151.8|339.28|256.59|249.96|0|2156.856582|310.89|323.74|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|183.67|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 45M 04.013.041|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 50M 04.013.042|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 55M 04.013.043|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 60M 04.013.044|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 65M 04.013.045|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 70M 04.013.046|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 75M 04.013.047|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 80M 04.013.048|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 85M 04.013.049|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 90M 04.013.050|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 95M 04.013.051|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|BLD TI SPIRAL 100M 04.013.052|1395.72|739.73|1046.79|1116.58|1186.36|1256.15|0|1127.74|1004.92|944.62|0|1395.72|910.01|0|511.11|1142.4|863.95|841.62|0|2156.856582|1046.79|1090.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|618.44|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/160 04.013.412S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/180 04.013.416S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/200 04.013.420S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/220 04.013.424S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/240 04.013.428S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/260 04.013.432S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 10/280 04.013.436S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/300 04.013.440S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/320 04.013.444S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/340 04.013.448S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/360 04.013.452S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/380 04.013.456S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/400 04.013.460S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/420 04.013.464S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/440 04.013.468S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/460 04.013.472S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM10/480 04.013.476S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/160 04.013.512S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/180 04.013.516S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/200 04.013.520S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/220 04.013.524S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/240 04.013.528S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/260 04.013.532S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 11/280 04.013.536S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/300 04.013.540S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/320 04.013.544S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/340 04.013.548S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/360 04.013.552S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/380 04.013.556S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/400 04.013.560S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/420 04.013.564S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/440 04.013.568S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/460 04.013.572S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM11/480 04.013.576S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/160 04.013.612S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/180 04.013.616S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/200 04.013.620S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/220 04.013.624S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/240 04.013.628S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/260 04.013.632S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 12/280 04.013.636S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/300 04.013.640S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/320 04.013.644S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/340 04.013.648S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/360 04.013.652S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/380 04.013.656S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/400 04.013.660S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/420 04.013.664S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/440 04.013.668S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/460 04.013.672S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM12/480 04.013.676S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/160 04.013.712S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/180 04.013.716S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/200 04.013.720S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/220 04.013.724S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/240 04.013.728S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/260 04.013.732S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 13/280 04.013.736S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/300 04.013.740S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/320 04.013.744S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/340 04.013.748S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/360 04.013.752S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/380 04.013.756S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/400 04.013.760S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/420 04.013.764S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/440 04.013.768S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/460 04.013.772S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM13/480 04.013.776S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/160 04.013.812S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/180 04.013.816S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/200 04.013.820S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/220 04.013.824S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/240 04.013.828S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/260 04.013.832S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL RETFEM 14/280 04.013.836S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/300 04.013.840S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/320 04.013.844S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/340 04.013.848S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/360 04.013.852S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/380 04.013.856S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/400 04.013.860S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/420 04.013.864S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/440 04.013.868S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/460 04.013.872S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAIL R/A FEM14/480 04.013.876S|3156.87|1673.14|2367.65|2525.5|2683.34|2841.18|0|2550.75|2272.95|2136.57|0|3156.87|2058.28|0|1156.05|2583.9|1954.1|1903.59|0|2156.856582|2367.65|2465.52|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1398.81|0|0|0|0|0|0|0|0|3156.87
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ2 196062500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ3 196063500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ4 196064500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ5 19606550|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ6 196066500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ2.5 196068500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ2 196072500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ3 196073500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ4 196074500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ5 196075500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ2.5 196078500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG L SZ4N 196069500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ4N 196079500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM PS LUG R SZ6 196076500|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|0|1912.5|1991.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET TIBIAL LCKNG BAR 141205|512|271.36|384|409.6|435.2|460.8|0|413.7|368.64|346.52|0|512|333.82|0|187.49|419.07|316.93|308.74|0|0|384|399.87|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|226.87|0|0|0|0|0|0|0|0|512
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 25 3PEG 184760|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 28 3PEG 184762|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 31 3PEG 184764|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 34 3PEG 184766|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 37 3PEG 184768|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT STD 40 3PEG 184770|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT THN 25 3PEG 184780|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT THN 28 3PEG 184782|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT THN 31 3PEG 184784|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT THN 34 3PEG 184786|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SERIES PAT THN 37 3PEG 184788|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 63M 141221|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 67M 141222|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 71M 141223|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 75M 141224|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 79M 141225|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 83M 141226|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 10X63/67 183420|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 12X63/67 183422|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 14X63/67 183424|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 16X63/67 183426|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 18X63/67 183428|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 10X71/75 183440|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 12X71/75 183442|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 14X71/75 183444|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 16X71/75 183446|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 18X71/75 183448|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 10X79/83 183460|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 12X79/83 183462|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 14X79/83 183464|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 16X79/83 183466|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 18X79/83 183468|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 10X63/67 183520|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 12X63/67 183522|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 14X63/67 183524|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 16X63/67 183526|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 18X63/67 183528|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 10X71/75 183540|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 12X71/75 183542|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 14X71/75 183544|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 16X71/75 183546|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 18X71/75 183548|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 10X79/83 183560|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 12X79/83 183562|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 14X79/83 183564|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 16X79/83 183566|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LPP TIB 18X79/83 183568|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 10X63/67 183620|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 12X63/67 183622|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 14X63/67 183624|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 16X63/67 183626|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 18X63/67 183628|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 20X63/67 183630|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 10X71/75 183640|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 12X71/75 183642|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 14X71/75 183644|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBAIL 16X71/75 183646|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 18X71/75 183648|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 20X71/75 183650|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 10X79/83 183660|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 12X79/83 183662|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 14X79/83 183664|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 16X79/83 183666|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 18X79/83 183668|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 20X79/83 183670|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 10X63/67 183720|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 12X63/67 183722|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 14X63/67 183724|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 16X63/67 183726|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 18X63/67 183728|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 20X63/67 183730|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 10X71/75 183740|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 12X71/75 183742|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 14X71/75 183744|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 16X71/75 183746|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 18X71/75 183748|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 20X71/75 183750|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 10X79/83 183760|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 12X79/83 183762|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 14X79/83 183764|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 16X79/83 183766|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 18X79/83 183768|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 20X79/83 183770|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 60 183004|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 62.5 183006|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 65 183008|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 67.5 183010|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 70 183012|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 72.5 183013|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 75 183014|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 60 183024|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 62.5 183026|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 65 183028|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 67.5 183030|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 70 183032|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 72.5 183033|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 75 183034|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 60 183104|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 62.5 183106|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 65 183108|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 67.5 183110|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 70 183112|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 72.5 183113|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 75 183114|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 60 183124|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 62.5 183126|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 65 183128|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS IKOL FEM L 67.5 183130|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 70 183132|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 72.5 183133|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 75 183134|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 10X59 183400|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 12X59 183402|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 14X59 183404|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 16X59 183406|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 18X59 183408|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 10X59 183500|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 12X59 183502|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 14X59 183504|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 16X59 183506|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 18X59 183508|2100|1113|1575|1680|1785|1890|0|1696.8|1512|1421.28|0|2100|1369.2|0|769.02|1718.85|1299.9|1266.3|0|0|1575|1640.1|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|930.51|0|0|0|0|0|0|0|0|2100
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 10X59 183600|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 12X59 183602|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 14X59 183604|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 16X59 183606|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 18X59 183608|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 10X59 183700|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 12X59 183702|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 14X59 183704|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 16X59 183706|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 18X59 183708|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 59M 141220|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 55 183000|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 57.5 183002|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 55 183020|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 57.5 183022|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 55 183100|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 57.5 183102|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 55 183120|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 57.5 183122|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 10X87/91 183480|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 12X87/91 183482|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 14X87/91 183484|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 16X87/91 183486|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR TIBIAL 18X87/91 183488|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 10X87/91 183580|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 12X87/91 183582|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 14X87/91 183584|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 16X87/91 183586|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR LIP TIB 18X87/91 183588|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 10X87/91 183680|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 12X87/91 183682|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 14X87/91 183684|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 16X87/91 183686|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS TIBIAL 18X87/91 183688|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 10X87/91 183780|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 12X87/91 183782|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 14X87/91 183784|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 16X87/91 183786|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS+ TIBIAL 18X87/91 183788|1920|1017.6|1440|1536|1632|1728|0|1551.36|1382.4|1299.46|0|1920|1251.84|0|703.1|1571.52|1188.48|1157.76|0|0|1440|1499.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850.75|0|0|0|0|0|0|0|0|1920
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 87M 141227|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIOMET CC IBEAM PLT 91M 141228|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM R 80 183016|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN CR ILOK FEM L 80 183036|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM R 80 183116|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VAN PS ILOK FEM L 80 183136|3780|2003.4|2835|3024|3213|3402|0|3054.24|2721.6|2558.3|0|3780|2464.56|0|1384.24|3093.93|2339.82|2279.34|0|0|2835|2952.18|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1674.92|0|0|0|0|0|0|0|0|3780
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PREBENT 2.0 R 447.304|1650.88|874.97|1238.16|1320.7|1403.25|1485.79|0|1333.91|1188.63|1117.32|0|1650.88|1076.37|0|604.55|1351.25|1021.89|995.48|0|2156.856582|1238.16|1289.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|731.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GLIDE SIM 2 100CM|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STNT WALLSTENT 8X60X75CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALLSTENT 10MM X 68MM 110CM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1892|SET INTRO PEEL-AWAY 10FR 038|135.04|71.57|101.28|108.04|114.79|121.54|0|109.12|97.23|91.4|0|135.04|88.05|0|49.45|110.53|83.59|81.43|0|0|101.28|105.47|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|59.84|0|0|0|0|0|0|0|0|135.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBOLIZATION 4/2|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL EMBOLIZATION 5/2|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE AMPLATZ 10MM|768.32|407.21|576.24|614.66|653.07|691.49|0|620.8|553.19|520|0|768.32|500.94|0|281.36|628.87|475.59|463.3|0|0|576.24|600.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|340.44|0|0|0|0|0|0|0|0|768.32
HOSP OP|0272 - STERILE SUPPLY||C1726|RENAL DELATION SET AMPLATZ|541.46|286.97|406.1|433.17|460.24|487.32|0|437.5|389.85|366.46|0|541.46|353.03|0|198.28|443.19|335.17|326.5|0|0|406.1|422.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|239.92|0|0|0|0|0|0|0|0|541.46
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH DRAIN BILIARY 8.5FXL40CM|189|100.17|141.75|151.2|160.65|170.1|0|152.71|136.08|127.92|0|189|123.23|0|69.21|154.7|116.99|113.97|0|0|141.75|147.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.75|0|0|0|0|0|0|0|0|189
HOSP OP|0272 - STERILE SUPPLY||C1729|CATH BILIARY LOOP ULT 10.2|189|100.17|141.75|151.2|160.65|170.1|0|152.71|136.08|127.92|0|189|123.23|0|69.21|154.7|116.99|113.97|0|0|141.75|147.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|83.75|0|0|0|0|0|0|0|0|189
HOSP OP|0272 - STERILE SUPPLY||C1894|TIP SET RTPS-100|1128.4|598.05|846.3|902.72|959.14|1015.56|0|911.75|812.45|763.7|0|1128.4|735.72|0|413.22|923.6|698.48|680.43|0|0|846.3|881.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|499.99|0|0|0|0|0|0|0|0|1128.4
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STIFF ANG .035X180CM|130.76|69.3|98.07|104.61|111.15|117.68|0|105.65|94.15|88.5|0|130.76|85.26|0|47.88|107.03|80.94|78.85|0|0|98.07|102.12|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|57.94|0|0|0|0|0|0|0|0|130.76
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|WALL STENT 12MM 60MM|2487.44|1318.35|1865.58|1989.95|2114.32|2238.69|0|2009.85|1790.95|1683.5|0|2487.44|1621.81|0|910.9|2035.97|1539.72|1499.92|0|0|1865.58|1942.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1102.18|0|0|0|0|0|0|0|0|2487.44
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL TORNADO MWCE-18S 7/3|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWRE ANG SF.035X260 GS3509|199.4|105.68|149.55|159.52|169.49|179.46|0|161.12|143.57|134.95|0|199.4|130.01|0|73.02|163.21|123.43|120.24|0|0|149.55|155.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.35|0|0|0|0|0|0|0|0|199.4
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE GOOSE NECK AMPLATZ 4MM|1618.96|858.05|1214.22|1295.17|1376.12|1457.06|0|1308.12|1165.65|1095.71|0|1618.96|1055.56|0|592.86|1325.12|1002.14|976.23|0|0|1214.22|1264.41|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|717.36|0|0|0|0|0|0|0|0|1618.96
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE AMPLATZ 25MM|768.32|407.21|576.24|614.66|653.07|691.49|0|620.8|553.19|520|0|768.32|500.94|0|281.36|628.87|475.59|463.3|0|0|576.24|600.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|340.44|0|0|0|0|0|0|0|0|768.32
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|MICROCOIL TORNADO .018 2CM 3-2|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE GLD .018 180CM|568.4|301.25|426.3|454.72|483.14|511.56|0|459.27|409.25|384.69|0|568.4|370.6|0|208.15|465.24|351.84|342.75|0|0|426.3|443.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|251.86|0|0|0|0|0|0|0|0|568.4
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL TORNADO .035 8CM 7-3MM|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|TORNADO .035 6CM 6MM 3MM|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1769|TRANSCEND .014 EX 182CM LGT|1316.7|697.85|987.53|1053.36|1119.2|1185.03|0|1063.89|948.02|891.14|0|1316.7|858.49|0|482.18|1077.72|815.04|793.97|0|0|987.53|1028.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.43|0|0|0|0|0|0|0|0|1316.7
HOSP OP|0272 - STERILE SUPPLY||C1757|CATH FOGARTY EMBOLECTOMY|250.18|132.6|187.64|200.14|212.65|225.16|0|202.15|180.13|169.32|0|250.18|163.12|0|91.62|204.77|154.86|150.86|0|0|187.64|195.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|110.85|0|0|0|0|0|0|0|0|250.18
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SYN PREBENT 2.0 L 447.305|1650.88|874.97|1238.16|1320.7|1403.25|1485.79|0|1333.91|1188.63|1117.32|0|1650.88|1076.37|0|604.55|1351.25|1021.89|995.48|0|2156.856582|1238.16|1289.34|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|731.5|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH 4FR 6FR 17GA 70CM|350|185.5|262.5|280|297.5|315|0|282.8|252|236.88|0|350|228.2|0|128.17|286.48|216.65|211.05|0|0|262.5|273.35|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|155.09|0|0|0|0|0|0|0|0|350
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH BIOFLO 5FR 7FR 70CM|364|192.92|273|291.2|309.4|327.6|0|294.11|262.08|246.36|0|364|237.33|0|133.3|297.93|225.32|219.49|0|0|273|284.28|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|161.29|0|0|0|0|0|0|0|0|364
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH RENEGADE HI FLO 150CM|1008|534.24|756|806.4|856.8|907.2|0|814.46|725.76|682.21|0|1008|657.22|0|369.13|825.05|623.95|607.82|0|0|756|787.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|446.64|0|0|0|0|0|0|0|0|1008
HOSP OP|0272 - STERILE SUPPLY||C1773|ENSNARE 9-15MM|700|371|525|560|595|630|0|565.6|504|473.76|0|700|456.4|0|256.34|572.95|433.3|422.1|0|0|525|546.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|310.17|0|0|0|0|0|0|0|0|700
HOSP OP|0272 - STERILE SUPPLY||C1773|ENSNARE 18-30MM|700|371|525|560|595|630|0|565.6|504|473.76|0|700|456.4|0|256.34|572.95|433.3|422.1|0|0|525|546.7|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|310.17|0|0|0|0|0|0|0|0|700
HOSP OP|0272 - STERILE SUPPLY||C2628|CATH BALLOON CODA 10F 46-140CM|1316|697.48|987|1052.8|1118.6|1184.4|0|1063.33|947.52|890.67|0|1316|858.03|0|481.92|1077.15|814.6|793.55|0|0|987|1027.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.12|0|0|0|0|0|0|0|0|1316
HOSP OP|0272 - STERILE SUPPLY||C1769|GUIDEWIRE NITREX .035X80CM INT|78.01|41.35|58.51|62.41|66.31|70.21|0|63.03|56.17|52.8|0|78.01|50.86|0|28.57|63.85|48.29|47.04|0|0|58.51|60.92|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|34.57|0|0|0|0|0|0|0|0|78.01
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URET AMPLATZ 10.2FR 28CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL 8.5X 28CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0272 - STERILE SUPPLY||C1887|GUIDE TAPER ANG 4FR 65CM|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 7X37X75|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 10/37 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS LD 10/25MM 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS LD 6X27 75CM|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||C1894|INTRO FLEXOR 6FR .038X90CM|291.65|154.58|218.74|233.32|247.9|262.48|0|235.65|209.99|197.39|0|291.65|190.15|0|106.8|238.71|180.53|175.86|0|0|218.74|227.78|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|129.23|0|0|0|0|0|0|0|0|291.65
HOSP OP|0272 - STERILE SUPPLY||C1773|KIT SNARE AMPLTZ 6FR 25MMX65CM|768.32|407.21|576.24|614.66|653.07|691.49|0|620.8|553.19|520|0|768.32|500.94|0|281.36|628.87|475.59|463.3|0|0|576.24|600.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|340.44|0|0|0|0|0|0|0|0|768.32
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH BALLOON DIAL 14MMX4CM XXL|588.53|311.92|441.4|470.83|500.25|529.68|0|475.53|423.74|398.32|0|588.53|383.72|0|215.52|481.71|364.3|354.88|0|0|441.4|459.64|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|260.78|0|0|0|0|0|0|0|0|588.53
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE ANG .035X150  GR3506|116|61.48|87|92.8|98.6|104.4|0|93.73|83.52|78.51|0|116|75.63|0|42.48|94.95|71.8|69.95|0|0|87|90.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|51.4|0|0|0|0|0|0|0|0|116
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH DURAFLOW  24CM 15.5FR|490|259.7|367.5|392|416.5|441|0|395.92|352.8|331.63|0|490|319.48|0|179.44|401.07|303.31|295.47|0|0|367.5|382.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.12|0|0|0|0|0|0|0|0|490
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH RAPIDTRANSIT DUAL MRKRS|2399.6|1271.79|1799.7|1919.68|2039.66|2159.64|0|1938.88|1727.71|1624.05|0|2399.6|1564.54|0|878.73|1964.07|1485.35|1446.96|0|0|1799.7|1874.09|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1063.26|0|0|0|0|0|0|0|0|2399.6
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH ENVOY MPC 6F .070 90CM|1346.8|713.8|1010.1|1077.44|1144.78|1212.12|0|1088.21|969.7|911.51|0|1346.8|878.11|0|493.2|1102.36|833.67|812.12|0|0|1010.1|1051.85|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|596.77|0|0|0|0|0|0|0|0|1346.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1876|STENT EXPRESS 8/27|1844.16|977.4|1383.12|1475.33|1567.54|1659.75|0|1490.08|1327.8|1248.13|0|1844.16|1202.39|0|675.33|1509.45|1141.54|1112.03|0|0|1383.12|1440.29|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|817.15|0|0|0|0|0|0|0|0|1844.16
HOSP OP|0272 - STERILE SUPPLY||A4649|VASC ACCESS HERO COMPONENT KIT|1680|890.4|1260|1344|1428|1512|0|1357.44|1209.6|1137.02|0|1680|1095.36|0|615.22|1375.08|1039.92|1013.04|0|11.99410609|1260|1312.08|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|744.41|0|0|0|0|0|0|0|0|1680
HOSP OP|0272 - STERILE SUPPLY||C1769|GLIDEWIRE STIFF ANG .035X80CM|126.42|67|94.82|101.14|107.46|113.78|0|102.15|91.02|85.56|0|126.42|82.43|0|46.3|103.47|78.25|76.23|0|0|94.82|98.73|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|56.02|0|0|0|0|0|0|0|0|126.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1750|CATH DURAFLOW 28CM 15.5FR|490|259.7|367.5|392|416.5|441|0|395.92|352.8|331.63|0|490|319.48|0|179.44|401.07|303.31|295.47|0|0|367.5|382.69|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|217.12|0|0|0|0|0|0|0|0|490
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH SOS O2 SFTVU CRV 5FR 80C|44.24|23.45|33.18|35.39|37.6|39.82|0|35.75|31.85|29.94|0|44.24|28.84|0|16.2|36.21|27.38|26.68|0|0|33.18|34.55|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|19.6|0|0|0|0|0|0|0|0|44.24
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH PINNACLE 6FR|59.92|31.76|44.94|47.94|50.93|53.93|0|48.42|43.14|40.55|0|59.92|39.07|0|21.94|49.04|37.09|36.13|0|0|44.94|46.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|26.55|0|0|0|0|0|0|0|0|59.92
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER  14CM 4MM 018|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL PLATINUM NESTER .035 6/14|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1880|FILTER VENA TECH LP|3696|1958.88|2772|2956.8|3141.6|3326.4|0|2986.37|2661.12|2501.45|0|3696|2409.79|0|1353.48|3025.18|2287.82|2228.69|0|0|2772|2886.58|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1637.7|0|0|0|0|0|0|0|0|3696
HOSP OP|0272 - STERILE SUPPLY||C1887|CATH GLIDE 4 ANG 100|135.94|72.05|101.96|108.75|115.55|122.35|0|109.84|97.88|92|0|135.94|88.63|0|49.78|111.27|84.15|81.97|0|0|101.96|106.17|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|60.24|0|0|0|0|0|0|0|0|135.94
HOSP OP|0272 - STERILE SUPPLY||C1751|KIT CATH 5FR 7FR 17.5GA 70CM|294|155.82|220.5|235.2|249.9|264.6|0|237.55|211.68|198.98|0|294|191.69|0|107.66|240.64|181.99|177.28|0|0|220.5|229.61|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|130.27|0|0|0|0|0|0|0|0|294
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|D-STAT FLOWABLE|416.08|220.52|312.06|332.86|353.67|374.47|0|336.19|299.58|281.6|0|416.08|271.28|0|152.37|340.56|257.55|250.9|0|0|312.06|324.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|184.37|0|0|0|0|0|0|0|0|416.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH DIALYSIS NIAGARA 20CM|1149.12|609.03|861.84|919.3|976.75|1034.21|0|928.49|827.37|777.72|0|1149.12|749.23|0|420.81|940.55|711.31|692.92|0|0|861.84|897.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|509.18|0|0|0|0|0|0|0|0|1149.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1752|CATH DIALYSIS NIAGARA 24CM|229.82|121.8|172.37|183.86|195.35|206.84|0|185.7|165.47|155.54|0|229.82|149.85|0|84.16|188.11|142.26|138.58|0|0|172.37|179.49|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|101.84|0|0|0|0|0|0|0|0|229.82
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH 9.5 DL GROSHONG 18CM|1302|690.06|976.5|1041.6|1106.7|1171.8|0|1052.02|937.44|881.19|0|1302|848.9|0|476.79|1065.69|805.94|785.11|0|0|976.5|1016.86|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|576.92|0|0|0|0|0|0|0|0|1302
HOSP OP|0272 - STERILE SUPPLY||C1751|CATH 9.5 DL GROSHONG 24CM|543.2|287.9|407.4|434.56|461.72|488.88|0|438.91|391.1|367.64|0|543.2|354.17|0|198.92|444.61|336.24|327.55|0|0|407.4|424.24|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|240.69|0|0|0|0|0|0|0|0|543.2
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL 8.5X 24CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0278 - SUPPLY IMPLANTS||C2625|STENT URETERAL 8.5X 26CM|300.41|159.22|225.31|240.33|255.35|270.37|0|242.73|216.3|203.32|0|300.41|195.87|0|110.01|245.89|185.96|181.15|0|0|225.31|234.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|133.11|0|0|0|0|0|0|0|0|300.41
HOSP OP|0272 - STERILE SUPPLY||C1894|SHEATH MICROPUNCTURE  STIFF|90.44|47.93|67.83|72.35|76.87|81.4|0|73.08|65.12|61.21|0|90.44|58.97|0|33.12|74.03|55.98|54.54|0|0|67.83|70.63|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|40.07|0|0|0|0|0|0|0|0|90.44
HOSP OP|0272 - STERILE SUPPLY||C1769|LUNDERQUIST 180CM|163.8|86.81|122.85|131.04|139.23|147.42|0|132.35|117.94|110.86|0|163.8|106.8|0|59.98|134.07|101.39|98.77|0|0|122.85|127.93|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|72.58|0|0|0|0|0|0|0|0|163.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 14X10  .035|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL NESTER 14X12  .035|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|COIL PLATINUM NESTER .035 8/14|198.8|105.36|149.1|159.04|168.98|178.92|0|160.63|143.14|134.55|0|198.8|129.62|0|72.8|162.72|123.06|119.88|0|0|149.1|155.26|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|88.09|0|0|0|0|0|0|0|0|198.8
HOSP OP|0272 - STERILE SUPPLY||C1725|CATH SIZING PIGTAIL 5FR .035IN|280|148.4|210|224|238|252|0|226.24|201.6|189.5|0|280|182.56|0|102.54|229.18|173.32|168.84|0|0|210|218.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|124.07|0|0|0|0|0|0|0|0|280
HOSP OP|0272 - STERILE SUPPLY||C2628|BALLOON OCCLUSION CODA  30CM|1316|697.48|987|1052.8|1118.6|1184.4|0|1063.33|947.52|890.67|0|1316|858.03|0|481.92|1077.15|814.6|793.55|0|0|987|1027.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|583.12|0|0|0|0|0|0|0|0|1316
HOSP OP|0272 - STERILE SUPPLY||C1769|LUNDERQUIST 260CM|381.36|202.12|286.02|305.09|324.16|343.22|0|308.14|274.58|258.1|0|381.36|248.65|0|139.65|312.14|236.06|229.96|0|0|286.02|297.84|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|168.98|0|0|0|0|0|0|0|0|381.36
HOSP OP|0272 - STERILE SUPPLY||C1769|WIRE LUNDERQUIST DBL CVD XTR S|607.2|321.82|455.4|485.76|516.12|546.48|0|490.62|437.18|410.95|0|607.2|395.89|0|222.36|496.99|375.86|366.14|0|0|455.4|474.22|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|269.05|0|0|0|0|0|0|0|0|607.2
HOSP OP|0272 - STERILE SUPPLY||C1773|SNARE AMPLATZ 35MM 120CM|768.32|407.21|576.24|614.66|653.07|691.49|0|620.8|553.19|520|0|768.32|500.94|0|281.36|628.87|475.59|463.3|0|0|576.24|600.06|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|340.44|0|0|0|0|0|0|0|0|768.32
HOSP OP|0272 - STERILE SUPPLY||C1725|BALLOON OCCLUSION RELIANT  10-|1246|660.38|934.5|996.8|1059.1|1121.4|0|1006.77|897.12|843.29|0|1246|812.39|0|456.29|1019.85|771.27|751.34|0|0|934.5|973.13|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|552.1|0|0|0|0|0|0|0|0|1246
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 135 DEG 2H|1833.96|972|1375.47|1467.17|1558.87|1650.56|0|1481.84|1320.45|1241.22|0|1833.96|1195.74|0|671.6|1501.1|1135.22|1105.88|0|2156.856582|1375.47|1432.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|812.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1781|MESH BARD SEPRAMESH 3X6|1080|572.4|810|864|918|972|0|872.64|777.6|730.94|0|1080|704.16|0|395.5|883.98|668.52|651.24|0|0|810|843.48|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|478.55|0|0|0|0|0|0|0|0|1080
HOSP OP|0272 - STERILE SUPPLY||C1725|ENDOPROS TRI-LOBE BALLOON 16MM|1815|961.95|1361.25|1452|1542.75|1633.5|0|1466.52|1306.8|1228.39|0|1815|1183.38|0|664.65|1485.58|1123.49|1094.45|0|0|1361.25|1417.52|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|804.23|0|0|0|0|0|0|0|0|1815
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE SYN DHS 140 DEG 2H|1833.96|972|1375.47|1467.17|1558.87|1650.56|0|1481.84|1320.45|1241.22|0|1833.96|1195.74|0|671.6|1501.1|1135.22|1105.88|0|2156.856582|1375.47|1432.32|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|812.63|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCP S-T 5.0/8M 02.221.508|712.24|377.49|534.18|569.79|605.4|641.02|0|575.49|512.81|482.04|0|712.24|464.38|0|260.82|582.97|440.88|429.48|0|2156.856582|534.18|556.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCP S-T 5.0/10M 02.221.510|712.24|377.49|534.18|569.79|605.4|641.02|0|575.49|512.81|482.04|0|712.24|464.38|0|260.82|582.97|440.88|429.48|0|2156.856582|534.18|556.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR LCP S-T 5.0/12M 02.221.512|712.24|377.49|534.18|569.79|605.4|641.02|0|575.49|512.81|482.04|0|712.24|464.38|0|260.82|582.97|440.88|429.48|0|2156.856582|534.18|556.26|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|315.59|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/12H/229M 226.622|1788.57|947.94|1341.43|1430.86|1520.28|1609.71|0|1445.16|1287.77|1210.5|0|1788.57|1166.15|0|654.97|1463.94|1107.12|1078.51|0|2156.856582|1341.43|1396.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|792.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/13H/247M 226.632|1896.69|1005.25|1422.52|1517.35|1612.19|1707.02|0|1532.53|1365.62|1283.68|0|1896.69|1236.64|0|694.57|1552.44|1174.05|1143.7|0|2156.856582|1422.52|1481.31|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|840.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/14H/265M 226.642|1996.2|1057.99|1497.15|1596.96|1696.77|1796.58|0|1612.93|1437.26|1351.03|0|1996.2|1301.52|0|731.01|1633.89|1235.65|1203.71|0|2156.856582|1497.15|1559.03|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|884.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/15H/282M 226.652|2214.63|1173.75|1660.97|1771.7|1882.44|1993.17|0|1789.42|1594.53|1498.86|0|2214.63|1443.94|0|811|1812.67|1370.86|1335.42|0|2156.856582|1660.97|1729.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|981.3|0|0|0|0|0|0|0|0|2214.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/16H/300M 226.662|2428.74|1287.23|1821.56|1942.99|2064.43|2185.87|0|1962.42|1748.69|1643.77|0|2428.74|1583.54|0|889.4|1987.92|1503.39|1464.53|0|2156.856582|1821.56|1896.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1076.17|0|0|0|0|0|0|0|0|2428.74
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/17H/318M 226.672|2599.59|1377.78|1949.69|2079.67|2209.65|2339.63|0|2100.47|1871.7|1759.4|0|2599.59|1694.93|0|951.97|2127.76|1609.15|1567.55|0|2156.856582|1949.69|2030.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1151.88|0|0|0|0|0|0|0|0|2599.59
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTLCPCVD 4.5/18H/336M 226.682|2763.96|1464.9|2072.97|2211.17|2349.37|2487.56|0|2233.28|1990.05|1870.65|0|2763.96|1802.1|0|1012.16|2262.3|1710.89|1666.67|0|2156.856582|2072.97|2158.65|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1224.71|0|0|0|0|0|0|0|0|2763.96
HOSP OP|0272 - STERILE SUPPLY||A4649|CABLECRMP 1.7M/750 298.801.01S|1583.08|839.03|1187.31|1266.46|1345.62|1424.77|0|1279.13|1139.82|1071.43|0|1583.08|1032.17|0|579.72|1295.75|979.93|954.6|0|11.99410609|1187.31|1236.39|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|701.46|0|0|0|0|0|0|0|0|1583.08
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PIN CERCLAGE THD 4.5M 298.803S|530.56|281.2|397.92|424.45|450.98|477.5|0|428.69|382|359.08|0|530.56|345.93|0|194.29|434.26|328.42|319.93|0|2156.856582|397.92|414.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|235.09|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/2H/133M 242.120|3235.42|1714.77|2426.56|2588.33|2750.1|2911.87|0|2614.22|2329.5|2189.73|0|3235.42|2109.49|0|1184.81|2648.19|2002.72|1950.96|0|2156.856582|2426.56|2526.86|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1433.61|0|0|0|0|0|0|0|0|3235.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/4H/169M 242.121|3280.42|1738.62|2460.31|2624.33|2788.35|2952.37|0|2650.58|2361.9|2220.19|0|3280.42|2138.83|0|1201.29|2685.02|2030.58|1978.09|0|2156.856582|2460.31|2562|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1453.55|0|0|0|0|0|0|0|0|3280.42
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/6H/205M 242.122|3330.58|1765.21|2497.93|2664.46|2830.99|2997.52|0|2691.11|2398.01|2254.13|0|3330.58|2171.54|0|1219.66|2726.08|2061.63|2008.34|0|2156.856582|2497.93|2601.18|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1475.78|0|0|0|0|0|0|0|0|3330.58
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/8H/241M 242.123|3455.16|1831.23|2591.37|2764.13|2936.89|3109.64|0|2791.77|2487.72|2338.45|0|3455.16|2252.76|0|1265.28|2828.05|2138.74|2083.46|0|2156.856582|2591.37|2698.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1530.98|0|0|0|0|0|0|0|0|3455.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/10H/277 242.124|3631.63|1924.76|2723.72|2905.31|3086.89|3268.47|0|2934.36|2614.78|2457.89|0|3631.63|2367.82|0|1329.9|2972.49|2247.98|2189.87|0|2156.856582|2723.72|2836.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1609.18|0|0|0|0|0|0|0|0|3631.63
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLTFEMURHK 4.5/12H/313 242.125|3749.28|1987.12|2811.96|2999.42|3186.89|3374.35|0|3029.42|2699.48|2537.51|0|3749.28|2444.53|0|1372.99|3068.79|2320.8|2260.82|0|2156.856582|2811.96|2928.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1661.31|0|0|0|0|0|0|0|0|3749.28
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA RT/5H 02.110.005|3046.82|1614.81|2285.12|2437.46|2589.8|2742.14|0|2461.83|2193.71|2062.09|0|3046.82|1986.53|0|1115.75|2493.83|1885.98|1837.23|0|2156.856582|2285.12|2379.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1350.05|0|0|0|0|0|0|0|0|3046.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA RT/7H 02.110.007|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA RT/9H 02.110.009|3193.9|1692.77|2395.42|2555.12|2714.81|2874.51|0|2580.67|2299.61|2161.63|0|3193.9|2082.42|0|1169.6|2614.2|1977.02|1925.92|0|2156.856582|2395.42|2494.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1415.22|0|0|0|0|0|0|0|0|3193.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA RT/11H 02.110.011|3266.57|1731.28|2449.93|2613.25|2776.58|2939.91|0|2639.39|2351.93|2210.81|0|3266.57|2129.8|0|1196.22|2673.69|2022.01|1969.74|0|2156.856582|2449.93|2551.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.42|0|0|0|0|0|0|0|0|3266.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA RT/13H 02.110.013S|3410.16|1807.38|2557.62|2728.13|2898.64|3069.14|0|2755.41|2455.32|2308|0|3410.16|2223.42|0|1248.8|2791.22|2110.89|2056.33|0|2156.856582|2557.62|2663.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1511.04|0|0|0|0|0|0|0|0|3410.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA LT/5H 02.110.105|3046.82|1614.81|2285.12|2437.46|2589.8|2742.14|0|2461.83|2193.71|2062.09|0|3046.82|1986.53|0|1115.75|2493.83|1885.98|1837.23|0|2156.856582|2285.12|2379.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1350.05|0|0|0|0|0|0|0|0|3046.82
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA LT/7H 02.110.107|3121.22|1654.24|2340.92|2496.98|2653.04|2809.1|0|2521.95|2247.28|2112.44|0|3121.22|2035.04|0|1142.99|2554.72|1932.04|1882.1|0|2156.856582|2340.92|2437.68|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1383.01|0|0|0|0|0|0|0|0|3121.22
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA LT/9H 02.110.109|3193.9|1692.77|2395.42|2555.12|2714.81|2874.51|0|2580.67|2299.61|2161.63|0|3193.9|2082.42|0|1169.6|2614.2|1977.02|1925.92|0|2156.856582|2395.42|2494.43|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1415.22|0|0|0|0|0|0|0|0|3193.9
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA LT/11H 02.110.111|3266.57|1731.28|2449.93|2613.25|2776.58|2939.91|0|2639.39|2351.93|2210.81|0|3266.57|2129.8|0|1196.22|2673.69|2022.01|1969.74|0|2156.856582|2449.93|2551.19|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1447.42|0|0|0|0|0|0|0|0|3266.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DIAMETA LT/13H 02.110.113S|3410.16|1807.38|2557.62|2728.13|2898.64|3069.14|0|2755.41|2455.32|2308|0|3410.16|2223.42|0|1248.8|2791.22|2110.89|2056.33|0|2156.856582|2557.62|2663.33|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1511.04|0|0|0|0|0|0|0|0|3410.16
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D40X56 1221-40-156|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D40X58 1221-40-158|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D40X60 1221-40-160|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D44X62 1221-44-162|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D44X64 1221-44-164|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +410D44X68 1221-44-166|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL40X56 1221-40-456|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL40X58 1221-40-458|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL40X60 1221-40-460|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL44X62 1221-44-462|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL44X64 1221-44-464|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR J&J +4NTL44X66 1221-44-466|1656|877.68|1242|1324.8|1407.6|1490.4|0|1338.05|1192.32|1120.78|0|1656|1079.71|0|606.43|1355.44|1025.06|998.57|0|0|1242|1293.34|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|733.77|0|0|0|0|0|0|0|0|1656
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 32/+1 1365-32-310|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 32/+5 1365-32-320|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 32/+9 1365-32-330|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 36/+1.5 1365-36-310|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 36/+5 1365-36-320|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 36/+8.5 1365-36-330|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 36/+12 1365-36-340|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 40/+1.5 1365-40-710|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 40/+5 1365-40-720|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 40/+8.5 1365-40-730|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 40/+12 1365-40-740|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 44/+1.5 1365-44-710|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 44/+5 1365-44-720|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 44/+8.5 1365-44-730|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FM HD CRMC 44/+12 1365-44-740|1800|954|1350|1440|1530|1620|0|1454.4|1296|1218.24|0|1800|1173.6|0|659.16|1473.3|1114.2|1085.4|0|0|1350|1405.8|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|797.58|0|0|0|0|0|0|0|0|1800
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 40/-2 1365-04-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 40/+1.5 1365-05-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 40/+5 1365-06-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 40/+8.5 1365-07-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 40/+12 1365-08-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD JJ 40/+15.5 1365-09-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 44/-2 1365-60-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 44/+1.5 1365-61-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 44/+5 1365-62-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 44/+8.5 1365-63-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD J&J 44/+12 1365-64-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|FEM HD JJ 44/+15.5 1365-65-000|1566.04|830|1174.53|1252.83|1331.13|1409.44|0|1265.36|1127.55|1059.9|0|1566.04|1021.06|0|573.48|1281.8|969.38|944.32|0|0|1174.53|1223.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|693.91|0|0|0|0|0|0|0|0|1566.04
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PEG DISTAL FEMORAL 183099|1305.6|691.97|979.2|1044.48|1109.76|1175.04|0|1054.92|940.03|883.63|0|1305.6|851.25|0|478.11|1068.63|808.17|787.28|0|0|979.2|1019.67|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|578.51|0|0|0|0|0|0|0|0|1305.6
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 28M SZ22 XL-105902|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 28M SZ23 XL-105903|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 32M SZ23 XL-105923|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 32M SZ24 XL-105924|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 36MSZ24 XL-105914|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 36M SZ25 XL-105915|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC HW 36M SZ26 XL-105916|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 28M SZ22 XL-105882|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 28M SZ23 XL-105883|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 32M SZ23 XL-105933|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 32M SZ24 XL-105934|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 36M SZ24 XL-105994|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 36M SZ25 XL-105995|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR RLC STD 36M SZ26 XL-105996|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 32M +3M HW SZ22 XL-108322|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 36M +3M HW SZ23 XL-108323|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M HW SZ24 XL-108524|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M HW SZ25 XL-108525|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M HW SZ26 XL-108526|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 32M +3M STD SZ22 XL-108222|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 36M +3M STD SZ23 XL-108223|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M STD SZ24 XL-108424|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M STD SZ25 XL-108425|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 40M +3M STD SZ26 XL-108426|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 32M +5M STD SZ22 XL-155232|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 36M +5M STD SZ23 XL-156233|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 36M +5M STD SZ24 XL-156234|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR 36M +5M STD SZ25 XL-156235|2304|1221.12|1728|1843.2|1958.4|2073.6|0|1861.63|1658.88|1559.35|0|2304|1502.21|0|843.72|1885.82|1426.18|1389.31|0|0|1728|1799.42|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1020.9|0|0|0|0|0|0|0|0|2304
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY28M HW SZ22 EP-105902|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY28M HW SZ23 EP-105903|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY32M HW SZ23 EP-105923|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY32M HW SZ24 EP-105924|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M HW SZ24 EP-105914|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M HW SZ25 EP-105915|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M HW SZ26 EP-105916|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY28M SD SZ22 EP-105882|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY28M SD SZ23 EP-105883|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY32M SD SZ23 EP-105933|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY32M SD SZ24 EP-105934|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M SD SZ24 EP-105994|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M SD SZ25 EP-105995|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR EPOLY36M SD SZ26 EP-105996|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E32M +3M HW SZ22 EP-108322|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E36M +3M HW SZ23 EP-108323|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E40M +3M HW SZ24 EP-108524|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E44M +3M HW SZ25 EP-108725|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E44M +3M HW SZ26 EP-108726|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E32M +3M SD SZ22 EP-108222|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E36M +3M SD SZ23 EP-108223|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E40M +3M SD SZ24 EP-108424|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E44M +3M SD SZ25 EP-108625|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LNR E44M +3M SD SZ26 EP-108626|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 42M 157442|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 44M 157444|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 46M 157446|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 48M 157448|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 50M 157450|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 52M 157452|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 54M 157454|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 56M 157456|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 58M 157458|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD M2A-MAGNM MOD SZ 60M 157460|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP M2A-MAGNM PF 48OD US157848|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP M2A-MAGNM PF 50OD US157850|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP M2A-MAGNM PF 52OD US157852|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP M2A-MAGNM PF 54OD US157854|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|CUP M2A-MAGNM PF 56OD US157856|3456|1831.68|2592|2764.8|2937.6|3110.4|0|2792.45|2488.32|2339.02|0|3456|2253.31|0|1265.59|2828.74|2139.26|2083.97|0|0|2592|2699.14|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1531.35|0|0|0|0|0|0|0|0|3456
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR -6 139252|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR -3 139254|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR SD 139256|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR +3 139258|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR +6 139259|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM42-50M TPR +9 139261|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR -6 139264|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR -3 139266|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR SD 139268|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR +3 139270|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR +6 139272|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|INSRTMAGNM52-60M TPR +9 139274|600|318|450|480|510|540|0|484.8|432|406.08|0|600|391.2|0|219.72|491.1|371.4|361.8|0|0|450|468.6|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|265.86|0|0|0|0|0|0|0|0|600
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 7X115 192407|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 8X120 192408|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 9X125 192409|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 10X130 192410|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 11X135 192411|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 12X140 192412|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 13X145 192413|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 14X150 192414|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 15X155 192415|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 16X160 192416|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PORRED 17X165 192417|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PRRD LT 8X120 192508|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO PRRD LT 9X125 192509|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 10X130 192510|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 11X135 192511|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 12X140 192512|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 13X145 192513|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 14X150 192514|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 15X155 192515|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 16X160 192516|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECH PRRD LT 17X165 192517|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM ECHO POR LT 7X115 192107|4147.2|2198.02|3110.4|3317.76|3525.12|3732.48|0|3350.94|2985.98|2806.82|0|4147.2|2703.97|0|1518.7|3394.48|2567.12|2500.76|0|0|3110.4|3238.96|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1837.62|0|0|0|0|0|0|0|0|4147.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M -6M 11-363660|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M -3M 11-363661|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD STD 36M 11-363662|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M+3M 11-363663|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M+6M 11-363664|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M+9M 11-363665|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 36M +12M 11-363666|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 40M -6M 010001037|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD  40M -3M 010001036|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD STD 40M 010001035|1500|795|1125|1200|1275|1350|0|1212|1080|1015.2|0|1500|978|0|549.3|1227.75|928.5|904.5|0|0|1125|1171.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|664.65|0|0|0|0|0|0|0|0|1500
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 40M +3M 010001034|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 40M +6M 010001033|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HD COCR MOD 40M +9M 010001032|1536|814.08|1152|1228.8|1305.6|1382.4|0|1241.09|1105.92|1039.56|0|1536|1001.47|0|562.48|1257.22|950.78|926.21|0|0|1152|1199.62|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|680.6|0|0|0|0|0|0|0|0|1536
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL 3.5/6H/85 02.112.080|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/6H/85 02.112.081|2268.69|1202.41|1701.52|1814.95|1928.39|2041.82|0|1833.1|1633.46|1535.45|0|2268.69|1479.19|0|830.79|1856.92|1404.32|1368.02|0|2156.856582|1701.52|1771.85|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1005.26|0|0|0|0|0|0|0|0|2268.69
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/7H/100 02.112.083|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/8H/115 02.112.084|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL L 3.5/8H/115 02.112.085|2387.61|1265.43|1790.71|1910.09|2029.47|2148.85|0|1929.19|1719.08|1615.93|0|2387.61|1556.72|0|874.34|1954.26|1477.93|1439.73|0|2156.856582|1790.71|1864.72|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1057.95|0|0|0|0|0|0|0|0|2387.61
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CL R 3.5/7H/100 02.112.082|2327.07|1233.35|1745.3|1861.66|1978.01|2094.36|0|1880.27|1675.49|1574.96|0|2327.07|1517.25|0|852.17|1904.71|1440.46|1403.22|0|2156.856582|1745.3|1817.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1031.12|0|0|0|0|0|0|0|0|2327.07
HOSP OP|0272 - STERILE SUPPLY||A4649|ANTENNA PATIENT ICON|320|169.6|240|256|272|288|0|258.56|230.4|216.58|0|320|208.64|0|117.18|261.92|198.08|192.96|0|11.99410609|240|249.92|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|141.79|0|0|0|0|0|0|0|0|320
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 18M 496H018|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 20M 496H020|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 22M 496H022|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 24M 496H024|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 26M 496H026|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 28M 496H028|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 18M +2 496H218|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 20M +2 496H220|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 22M +2 496H222|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 24M +2 496H224|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 26M +2 496H226|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 28M +2 496H228|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 18M +4 496H418|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 20M +4 496H420|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 22M +4 496H422|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 24M +4 496H424|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 26M +4 496H426|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|HEAD RAD EVOLVE 28M +4 496H428|5085|2695.05|3813.75|4068|4322.25|4576.5|0|4108.68|3661.2|3441.53|0|5085|3315.42|0|1862.13|4162.07|3147.62|3066.26|0|0|3813.75|3971.39|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.16|0|0|0|0|0|0|0|0|5085
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 4.5M 496S045|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 5.5M 496S055|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 6.5M 496S065|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 7.5M 496S075|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 8.5M 496S085|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLVE 9.5M 496S095|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 4.5M +2 496S245|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 5.5M +2 496S255|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 6.5M +2 496S265|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 7.5M +2 496S275|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 8.5M +2 496S285|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 9.5M +2 496S295|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 4.5M +4 496S445|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 5.5M +4 496S455|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 6.5M +4 496S465|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 7.5M +4 496S475|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 8.5M +4 496S485|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|STEM RAD EVOLV 9.5M +4 496S495|5539.05|2935.7|4154.29|4431.24|4708.19|4985.15|0|4475.55|3988.12|3748.83|0|5539.05|3611.46|0|2028.4|4533.71|3428.67|3340.05|0|0|4154.29|4326|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2454.35|0|0|0|0|0|0|0|0|5539.05
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 8.5/35 75448535|1724.25|913.85|1293.19|1379.4|1465.61|1551.83|0|1393.19|1241.46|1166.97|0|1724.25|1124.21|0|631.42|1411.3|1067.31|1039.72|0|2156.856582|1293.19|1346.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|764.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 8.5/40 75448540|1724.25|913.85|1293.19|1379.4|1465.61|1551.83|0|1393.19|1241.46|1166.97|0|1724.25|1124.21|0|631.42|1411.3|1067.31|1039.72|0|2156.856582|1293.19|1346.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|764.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 8.5/45 75448545|1724.25|913.85|1293.19|1379.4|1465.61|1551.83|0|1393.19|1241.46|1166.97|0|1724.25|1124.21|0|631.42|1411.3|1067.31|1039.72|0|2156.856582|1293.19|1346.64|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|764.02|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR TI 8.5/50 75448550|1635|866.55|1226.25|1308|1389.75|1471.5|0|1321.08|1177.2|1106.57|0|1635|1066.02|0|598.74|1338.25|1012.07|985.91|0|2156.856582|1226.25|1276.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|724.47|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1768|GFTHMSHLDSTR WV 26X30 175426P|1905.09|1009.7|1428.82|1524.07|1619.33|1714.58|0|1539.31|1371.66|1289.36|0|1905.09|1242.12|0|697.64|1559.32|1179.25|1148.77|0|0|1428.82|1487.88|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|844.15|0|0|0|0|0|0|0|0|1905.09
HOSP OP|0272 - STERILE SUPPLY||A4649|DERMACLOSE WOUND CLOSURE KIT|2997|1588.41|2247.75|2397.6|2547.45|2697.3|0|2421.58|2157.84|2028.37|0|2997|1954.04|0|1097.5|2453.04|1855.14|1807.19|0|11.99410609|2247.75|2340.66|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|1327.97|0|0|0|0|0|0|0|0|2997
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X12M 3120512|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X13M 3120513|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X14M 3120514|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X15M 3120515|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4.5X13M3125513|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SFDRL 4.5X14M 876-644|932.48|494.21|699.36|745.98|792.61|839.23|0|753.44|671.39|631.1|0|932.48|607.98|0|341.47|763.23|577.21|562.29|0|2156.856582|699.36|728.27|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|413.18|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4.5X15M3125515|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 19M 7200019|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 21M 7200021|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 23M 7200023|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 25M 7200025|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCK 1 27.5M 7200027|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 30M 7200030|2308.5|1223.5|1731.38|1846.8|1962.23|2077.65|0|1865.27|1662.12|1562.39|0|2308.5|1505.14|0|845.37|1889.51|1428.96|1392.03|0|2156.856582|1731.38|1802.94|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1022.9|0|0|0|0|0|0|0|0|2308.5
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 1LVL 32.5M 7200132|2430|1287.9|1822.5|1944|2065.5|2187|0|1963.44|1749.6|1644.62|0|2430|1584.36|0|889.87|1988.96|1504.17|1465.29|0|2156.856582|1822.5|1897.83|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1076.73|0|0|0|0|0|0|0|0|2430
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 35M 7200035|2626.2|1391.89|1969.65|2100.96|2232.27|2363.58|0|2121.97|1890.86|1777.41|0|2626.2|1712.28|0|961.71|2149.54|1625.62|1583.6|0|2156.856582|1969.65|2051.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1163.67|0|0|0|0|0|0|0|0|2626.2
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 37.5M 7200037|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 40M 7200040|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 42.5M 7200042|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 45M 7200045|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 47.5M 7200047|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 50M 7200050|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 52.5M 7200152|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 2LVL 55M 7200155|2494.89|1322.29|1871.17|1995.91|2120.66|2245.4|0|2015.87|1796.32|1688.54|0|2494.89|1626.67|0|913.63|2042.07|1544.34|1504.42|0|2156.856582|1871.17|1948.51|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1105.49|0|0|0|0|0|0|0|0|2494.89
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 57.5M 7200057|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 60M 7200060|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 62.5M 7200062|2772.72|1469.54|2079.54|2218.18|2356.81|2495.45|0|2240.36|1996.36|1876.58|0|2772.72|1807.81|0|1015.37|2269.47|1716.31|1671.95|0|2156.856582|2079.54|2165.49|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1228.59|0|0|0|0|0|0|0|0|2772.72
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 65M 7200065|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 67.5M 7200067|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 70M 7200070|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 3LVL 72.5M 7200072|2918.64|1546.88|2188.98|2334.91|2480.84|2626.78|0|2358.26|2101.42|1975.34|0|2918.64|1902.95|0|1068.81|2388.91|1806.64|1759.94|0|2156.856582|2188.98|2279.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1293.25|0|0|0|0|0|0|0|0|2918.64
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 75M 7200075|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 77.5M 7200077|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 80M 7200080|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 82.5M 7200082|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 4LVL 85M 7200085|3315.12|1757.01|2486.34|2652.1|2817.85|2983.61|0|2678.62|2386.89|2243.67|0|3315.12|2161.46|0|1214|2713.43|2052.06|1999.02|0|2156.856582|2486.34|2589.11|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1468.93|0|0|0|0|0|0|0|0|3315.12
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 87.5M 7200087|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 90M 7200090|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 95M 7200095|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 100M 7200100|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 105M 7200105|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLATE CRVCL 5LVL 110M 7200110|3461.55|1834.62|2596.16|2769.24|2942.32|3115.4|0|2796.93|2492.32|2342.78|0|3461.55|2256.93|0|1267.62|2833.28|2142.7|2087.31|0|2156.856582|2596.16|2703.47|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1533.81|0|0|0|0|0|0|0|0|3461.55
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X12M 3120412|665|352.45|498.75|532|565.25|598.5|0|537.32|478.8|450.07|0|665|433.58|0|243.52|544.3|411.64|401|0|2156.856582|498.75|519.37|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|294.66|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X13M 3120413|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X14M 3120414|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4X15M 3120415|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4.5X13M 3125413|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4.5X15M 3125415|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD THREADED 3.2X240M 6955240|1554.8|824.04|1166.1|1243.84|1321.58|1399.32|0|1256.28|1119.46|1052.29|0|1554.8|1013.73|0|569.37|1272.6|962.42|937.54|0|2156.856582|1166.1|1214.3|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|688.93|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD THREADED 5.5X360M 6955255|1522.95|807.16|1142.21|1218.36|1294.51|1370.66|0|1230.54|1096.52|1030.73|0|1522.95|992.96|0|557.7|1246.53|942.71|918.34|0|2156.856582|1142.21|1189.42|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|674.82|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD PRECRVD 3.2X200 6955270|1484|786.52|1113|1187.2|1261.4|1335.6|0|1199.07|1068.48|1004.37|0|1484|967.57|0|543.44|1214.65|918.6|894.85|0|2156.856582|1113|1159|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|657.56|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X10M6958810|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X12M6958812|1892.4|1002.97|1419.3|1513.92|1608.54|1703.16|0|1529.06|1362.53|1280.78|0|1892.4|1233.84|0|693|1548.93|1171.4|1141.12|0|2156.856582|1419.3|1477.96|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|838.52|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X14M6958814|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X16M6958816|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X28M6958828|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X30M6958830|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X32M6958832|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X34M6958834|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X36M6958836|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X38M6958838|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR VRTX MLTIAX 4.0X40M6958840|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT 2M/0.8M 04.511.381|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT L 4M/0.8M 04.511.383|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT L 6M/0.8M 04.511.385|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT L 8M/0.8M 04.511.387|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT L10M/0.8M 04.511.389|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT R 2M/0.8M 04.511.382|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT R 4M/0.8M 04.511.384|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT R 6M/0.8M 04.511.386|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT R 8M/0.8M 04.511.388|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT PREBT R10M/0.8M 04.511.390|1841.84|976.18|1381.38|1473.47|1565.56|1657.66|0|1488.21|1326.12|1246.56|0|1841.84|1200.88|0|674.48|1507.55|1140.1|1110.63|0|2156.856582|1381.38|1438.48|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|816.12|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DBLBD5H/4M/0.7M 04.511.461|1503.04|796.61|1127.28|1202.43|1277.58|1352.74|0|1214.46|1082.19|1017.26|0|1503.04|979.98|0|550.41|1230.24|930.38|906.33|0|2156.856582|1127.28|1173.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|666|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DBLBD5H/6M/0.7M 04.511.462|1503.04|796.61|1127.28|1202.43|1277.58|1352.74|0|1214.46|1082.19|1017.26|0|1503.04|979.98|0|550.41|1230.24|930.38|906.33|0|2156.856582|1127.28|1173.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|666|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DBLBD5H/8M/0.7M 04.511.463|1503.04|796.61|1127.28|1202.43|1277.58|1352.74|0|1214.46|1082.19|1017.26|0|1503.04|979.98|0|550.41|1230.24|930.38|906.33|0|2156.856582|1127.28|1173.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|666|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT DBLBD5H/10M/0.7 04.511.464|1503.04|796.61|1127.28|1202.43|1277.58|1352.74|0|1214.46|1082.19|1017.26|0|1503.04|979.98|0|550.41|1230.24|930.38|906.33|0|2156.856582|1127.28|1173.87|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|666|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SAG W/SLDR 33M 04.511.444|1610.07|853.34|1207.55|1288.06|1368.56|1449.06|0|1300.94|1159.25|1089.7|0|1610.07|1049.77|0|589.61|1317.84|996.63|970.87|0|2156.856582|1207.55|1257.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|713.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT SAG W/SLDR/40M 04.511.445|1610.07|853.34|1207.55|1288.06|1368.56|1449.06|0|1300.94|1159.25|1089.7|0|1610.07|1049.77|0|589.61|1317.84|996.63|970.87|0|2156.856582|1207.55|1257.46|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|713.42|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CVD SAG 6H/6M 04.511.401|1598.52|847.22|1198.89|1278.82|1358.74|1438.67|0|1291.6|1150.93|1081.88|0|1598.52|1042.24|0|585.38|1308.39|989.48|963.91|0|2156.856582|1198.89|1248.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|708.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CVD SAG 6H/8M 04.511.402|1598.52|847.22|1198.89|1278.82|1358.74|1438.67|0|1291.6|1150.93|1081.88|0|1598.52|1042.24|0|585.38|1308.39|989.48|963.91|0|2156.856582|1198.89|1248.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|708.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CVD SAG 6H/10M 04.511.403|1598.52|847.22|1198.89|1278.82|1358.74|1438.67|0|1291.6|1150.93|1081.88|0|1598.52|1042.24|0|585.38|1308.39|989.48|963.91|0|2156.856582|1198.89|1248.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|708.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT CVD SAG 6H/12M 04.511.404|1598.52|847.22|1198.89|1278.82|1358.74|1438.67|0|1291.6|1150.93|1081.88|0|1598.52|1042.24|0|585.38|1308.39|989.48|963.91|0|2156.856582|1198.89|1248.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|708.3|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT STR SAG 4H/6M 04.511.421|1573.88|834.16|1180.41|1259.1|1337.8|1416.49|0|1271.7|1133.19|1065.2|0|1573.88|1026.17|0|576.35|1288.22|974.23|949.05|0|2156.856582|1180.41|1229.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT STR SAG 4H/8M 04.511.422|1573.88|834.16|1180.41|1259.1|1337.8|1416.49|0|1271.7|1133.19|1065.2|0|1573.88|1026.17|0|576.35|1288.22|974.23|949.05|0|2156.856582|1180.41|1229.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT STR SAG 4H/10M 04.511.423|1573.88|834.16|1180.41|1259.1|1337.8|1416.49|0|1271.7|1133.19|1065.2|0|1573.88|1026.17|0|576.35|1288.22|974.23|949.05|0|2156.856582|1180.41|1229.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT STR SAG 4H/12M 04.511.424|1573.88|834.16|1180.41|1259.1|1337.8|1416.49|0|1271.7|1133.19|1065.2|0|1573.88|1026.17|0|576.35|1288.22|974.23|949.05|0|2156.856582|1180.41|1229.2|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|697.39|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/DRL1.85/4M 04.511.224.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/DRL1.85/5M 04.511.225.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/DRL1.85/6M 04.511.226.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/DRL1.85/8M 04.511.228.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/4M 04.511.204.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/5M 04.511.205.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/6M 04.511.206.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/8M 04.511.208.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/10 04.511.210.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/12 04.511.212.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/14 04.511.214.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/16 04.511.216.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP1.85/18 04.511.218.01|357.28|189.36|267.96|285.82|303.69|321.55|0|288.68|257.24|241.81|0|357.28|232.95|0|130.84|292.43|221.16|215.44|0|2156.856582|267.96|279.04|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|158.31|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP 2.1/4M 04.511.234.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP 2.1/5M 04.511.235.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP 2.1/6M 04.511.236.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP 2.1/8M 04.511.238.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP2.1/10M 04.511.240.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP2.1/12M 04.511.242.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP2.1/14M 04.511.244.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP2.1/16M 04.511.246.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR S/TAP2.1/18M 04.511.248.01|372.68|197.52|279.51|298.14|316.78|335.41|0|301.13|268.33|252.23|0|372.68|242.99|0|136.48|305.04|230.69|224.73|0|2156.856582|279.51|291.06|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|165.13|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H SHORT 0.5M 04.511.301|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H MEDUM 0.5M 04.511.302|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H LONG 0.5M 04.511.303|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H SHORT 0.5M 04.511.321|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H MEDUM 0.5M 04.511.322|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H LONG 0.5M 04.511.323|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H SHORT 0.5M 04.511.341|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H MEDUM 0.5M 04.511.342|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H LONG 0.5M 04.511.343|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H SHORT 0.7M 04.511.304|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H MEDUM 0.7M 04.511.305|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-4H LONG 0.7M 04.511.306|1105.72|586.03|829.29|884.58|939.86|995.15|0|893.42|796.12|748.35|0|1105.72|720.93|0|404.91|905.03|684.44|666.75|0|2156.856582|829.29|863.57|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|489.94|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H SHORT 0.7M 04.511.324|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H MEDUM 0.7M 04.511.325|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H LONG 0.7M 04.511.326|1148.84|608.89|861.63|919.07|976.51|1033.96|0|928.26|827.16|777.53|0|1148.84|749.04|0|420.71|940.33|711.13|692.75|0|2156.856582|861.63|897.24|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|509.05|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H SHORT 0.7M 04.511.344|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H MEDUM 0.7M 04.511.345|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|PLT L-6H LONG 0.7M 04.511.346|1201.2|636.64|900.9|960.96|1021.02|1081.08|0|970.57|864.86|812.97|0|1201.2|783.18|0|439.88|983.18|743.54|724.32|0|2156.856582|900.9|938.14|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|532.25|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/300/125D 34250300S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/320/125D 34250320S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/340/125D 34250340S|3056.98|1620.2|2292.73|2445.58|2598.43|2751.28|0|2470.04|2201.02|2068.96|0|3056.98|1993.15|0|1119.46|2502.13|1892.27|1843.36|0|2156.856582|2292.73|2387.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1354.55|0|0|0|0|0|0|0|0|3056.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/360/125D 34250360S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/380/125D 34250380S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/400/125D 34250400S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/420/125D 34250420S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/440/125D 34250440S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/300/125D 35250300S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/320/125D 35250320S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/340/125D 35250340S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/360/125D 35250360S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/380/125D 35250380S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/400/125D 35250400S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/420/125D 35250420S|6409.26|3396.91|4806.95|5127.41|5447.87|5768.33|0|5178.68|4614.67|4337.79|0|6409.26|4178.84|0|2347.07|5245.98|3967.33|3864.78|0|2156.856582|4806.95|5005.63|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|2839.94|0|0|0|0|0|0|0|0|6409.26
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|NAILGAMMA10/440/125D 35250440S|3056.98|1620.2|2292.73|2445.58|2598.43|2751.28|0|2470.04|2201.02|2068.96|0|3056.98|1993.15|0|1119.46|2502.13|1892.27|1843.36|0|2156.856582|2292.73|2387.5|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1354.55|0|0|0|0|0|0|0|0|3056.98
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW FA SLDRL 4.5X17M 3125417|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD THREADED 4.5X360M 6955245|1547.7|820.28|1160.78|1238.16|1315.55|1392.93|0|1250.54|1114.34|1047.48|0|1547.7|1009.1|0|566.77|1266.79|958.03|933.26|0|2156.856582|1160.78|1208.75|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|685.79|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|ROD CONN TI 3.2-4.5 6902220|1805.7|957.02|1354.28|1444.56|1534.85|1625.13|0|1459.01|1300.1|1222.1|0|1805.7|1177.32|0|661.25|1477.97|1117.73|1088.84|0|2156.856582|1354.28|1410.25|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|800.11|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MLTIAX 4.0X26 6958826PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MLTIAX 4.0X28 6958828PT|2400|1272|1800|1920|2040|2160|0|1939.2|1728|1624.32|0|2400|1564.8|0|878.88|1964.4|1485.6|1447.2|0|2156.856582|1800|1874.4|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1063.44|0|0|0|0|0|0|0|0|2400
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR MLTIAX 4.0X30 6958830PT|2550|1351.5|1912.5|2040|2167.5|2295|0|2060.4|1836|1725.84|0|2550|1662.6|0|933.81|2087.18|1578.45|1537.65|0|2156.856582|1912.5|1991.55|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1129.91|0|0|0|0|0|0|0|0|2550
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|KIT TIGHTROPE SYNDESMOSIS TI|2640|1399.2|1980|2112|2244|2376|0|2133.12|1900.8|1786.75|0|2640|1721.28|0|966.77|2160.84|1634.16|1591.92|0|2156.856582|1980|2061.84|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|1169.78|0|0|0|0|0|0|0|0|2640
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN SCHNZ 5.0/150 294.54|213.84|113.34|160.38|171.07|181.76|192.46|0|172.78|153.96|144.73|0|213.84|139.42|0|78.31|175.03|132.37|128.95|0|2156.856582|160.38|167.01|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|94.75|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STEIN DIA TIP 2.4MM 60CM|512|271.36|384|409.6|435.2|460.8|0|413.7|368.64|346.52|0|512|333.82|0|187.49|419.07|316.93|308.74|0|11.99410609|384|399.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|226.87|0|0|0|0|0|0|0|0|512
HOSP OP|0272 - STERILE SUPPLY||A4649|PIN STEIN DIA TIP 3.2MM 60CM|512|271.36|384|409.6|435.2|460.8|0|413.7|368.64|346.52|0|512|333.82|0|187.49|419.07|316.93|308.74|0|11.99410609|384|399.87|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|226.87|0|0|0|0|0|0|0|0|512
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X16M3120516|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCREW VA SLFDRL 4X17M3120517|598.52|317.22|448.89|478.82|508.74|538.67|0|483.6|430.93|405.08|0|598.52|390.24|0|219.18|489.89|370.48|360.91|0|2156.856582|448.89|467.44|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|265.2|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV STD MITRAL 500DM25|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV  STD MITRAL 500DM27|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV  STD MITRAL 500DM29|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV STD MITRAL 500DM31|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV STD MITRAL 500DM33|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV STD MITRAL 500DM35|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA16|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA18|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA20|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA22|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA24|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1889|VALVE MHV AP360 505DA26|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 30MM 02.227.030|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 35MM 02.227.035|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 40MM 02.227.040|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 45MM 02.227.045|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 50MM 02.227.050|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 55MM 02.227.055|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 60MM 02.227.060|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 65MM 02.227.065|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 70MM 02.227.070|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 75MM 02.227.075|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 80MM 02.227.080|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 85MM|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 90MM 02.227.090|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 95MM 02.227.095|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 100MM 02.227.100|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 105MM 02.227.105|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 110MM 02.227.110|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 115MM 02.227.115|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 120MM 02.227.120|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 125MM 02.227.125|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 130MM 02.227.130|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 135MM 02.227.135|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 140MM 02.227.140|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 145MM 02.227.145|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 150MM 02.227.150|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 50MM 02.227.250|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 55MM 02.227.255|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 60MM 02.227.260|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 65MM 02.227.265|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 70MM 02.227.270|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 75MM 02.227.275|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 80MM 02.227.280|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 85MM 02.227.285|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 90MM 02.227.290|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 95MM 02.227.295|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 100MM 02.227.300|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 105MM 02.227.305|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 110MM 02.227.310|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 115MM 02.227.315|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 120MM 02.227.320|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 125MM 02.227.325|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 130MM 02.227.330|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 135MM 02.227.335|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 140MM 02.227.340|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 145MM 02.227.345|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1713|SCR SYN 6.5HL 150MM 02.227.350|1113.04|589.91|834.78|890.43|946.08|1001.74|0|899.34|801.39|753.31|0|1113.04|725.7|0|407.6|911.02|688.97|671.16|0|2156.856582|834.78|869.28|0|0|0|0|0|0|0|0|0|2195.68|2156.856582|2195.68|0|0|0|493.19|0|0|0|0|0|0|0|0|2195.68
HOSP OP|0272 - STERILE SUPPLY||A4649|PRE FIXATION PIN 7080902|476.72|252.66|357.54|381.38|405.21|429.05|0|385.19|343.24|322.64|0|476.72|310.82|0|174.57|390.2|295.09|287.46|0|11.99410609|357.54|372.32|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|211.23|0|0|0|0|0|0|0|0|476.72
HOSP OP|0278 - SUPPLY IMPLANTS||C9363|WOUND MTRX MESHED INTEGRA 2X2|5311.86|2815.29|3983.9|4249.49|4515.08|4780.68|0|4291.98|3824.54|3595.07|0|5311.86|3463.33|0|1945.2|4347.76|3288.04|3203.05|0|0|3983.9|4148.56|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2353.69|0|0|0|0|0|0|0|0|5311.86
HOSP OP|0278 - SUPPLY IMPLANTS||C9363|WOUND MTRX MESHED INTEGRA 4X5|9262.57|4909.16|6946.93|7410.06|7873.19|8336.31|0|7484.16|6669.05|6268.91|0|9262.57|6039.2|0|3391.95|7581.42|5733.53|5585.33|0|0|6946.93|7234.07|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4104.25|0|0|0|0|0|0|0|0|9262.57
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 6MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 7MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 8MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 9MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 10MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 11MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 12MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 13MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 14MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 15MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 16MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 17MM STD|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 6MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 7MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 8MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 9MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 10MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 11MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 12MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 13MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 14MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 15MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 16MM MINI|4950|2623.5|3712.5|3960|4207.5|4455|0|3999.6|3564|3350.16|0|4950|3227.4|0|1812.69|4051.58|3064.05|2984.85|0|0|3712.5|3865.95|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.35|0|0|0|0|0|0|0|0|4950
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|COMP PRIMARY STEM 17MM MINI|4680|2480.4|3510|3744|3978|4212|0|3781.44|3369.6|3167.42|0|4680|3051.36|0|1713.82|3830.58|2896.92|2822.04|0|0|3510|3655.08|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2073.71|0|0|0|0|0|0|0|0|4680
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|TAPER VERSA-DIAL/COMP TI STD|1000|530|750|800|850|900|0|808|720|676.8|0|1000|652|0|366.2|818.5|619|603|0|0|750|781|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|443.1|0|0|0|0|0|0|0|0|1000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 38X19X39 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 38X21X38 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 42X18X46 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 42X21X43 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 42X24X42 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 46X18X53 HUM HEAD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 46X21X50 HUM HEAD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 46X24X47 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 46X27X46 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 50X21X57 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 50X24X52 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 50X27X50 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 54X21X64 HUM HEAD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 54X24X58 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 54X27X55 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 58X24X64 HUM HEAD|3478.46|1843.58|2608.85|2782.77|2956.69|3130.62|0|2810.6|2504.49|2354.22|0|3478.46|2267.96|0|1273.81|2847.12|2153.17|2097.51|0|0|2608.85|2716.68|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1541.31|0|0|0|0|0|0|0|0|3478.46
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|VERSA-DIAL 58X27X61 HUM HEAD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|PT HYBRID GLEN POST REGENEREX|1400|742|1050|1120|1190|1260|0|1131.2|1008|947.52|0|1400|912.8|0|512.68|1145.9|866.6|844.2|0|0|1050|1093.4|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|620.34|0|0|0|0|0|0|0|0|1400
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|SM HYBRID GLENOID BASE 4MM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|MD HYBRID GLENOID BASE 4MM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|LG HYBRID GLENOID BASE 4MM|3000|1590|2250|2400|2550|2700|0|2424|2160|2030.4|0|3000|1956|0|1098.6|2455.5|1857|1809|0|0|2250|2343|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.3|0|0|0|0|0|0|0|0|3000
HOSP OP|0272 - STERILE SUPPLY||A4649|STN PN THD TIP 1/8 X2.5IN PK/2|839.68|445.03|629.76|671.74|713.73|755.71|0|678.46|604.57|568.3|0|839.68|547.47|0|307.49|687.28|519.76|506.33|0|11.99410609|629.76|655.79|0|0|0|0|0|0|0|0|0|12.21|11.99410609|12.21|0|0|0|372.06|0|0|0|0|0|0|0|0|839.68
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 40DIAX15MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 40DIAX20MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 40DIAX22MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 44DIAX15MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 44DIAX17MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 44DIAX22MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 44DIAX27MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 48DIAX19MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 48DIAX24MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 48DIAX27MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 54DIAX22MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 54DIAX27MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD HUM HEAD 54DIAX24MM|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X17MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X22MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X27MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 48X19MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 48X24MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 48X27MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 54X22MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 54X24MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 54X27MM HD 4MM OFFSET|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 40X15 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 40X20 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X17 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X22 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 44X27 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 48X19 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 48X24 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 54X22 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
HOSP OP|0278 - SUPPLY IMPLANTS||C1776|BIO-MOD 54X24 EXT ART SURF HD|3450|1828.5|2587.5|2760|2932.5|3105|0|2787.6|2484|2334.96|0|3450|2249.4|0|1263.39|2823.83|2135.55|2080.35|0|0|2587.5|2694.45|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1528.7|0|0|0|0|0|0|0|0|3450
Professional|||10005|PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION|274|274|229.3|205.5|232.9|246.6|232.9|339.18|246.4|231.62|0|0|200.53|229.3|0|245.64|190.5|185.49|223.57|250.61|205.5|245.64|82.69|80.53|82.69|265.05|265.05|51.06|74.06|52.74|275.65|250.61|250.61|51.57|57.19|56.17|61.27|71.9|237.55|237.55|75.5|231.47|129.42|75.5|74.06|0|339.18
Professional|||10021|PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION|234|234|175.8|175.5|198.9|210.6|198.9|262.65|189.7|178.32|0|0|153.74|175.8|41.71|188.32|146.05|142.21|171.41|192.14|175.5|188.32|63.16|61.51|63.16|200.43|200.43|39|56.57|40.29|208.45|192.14|192.14|39.39|43.68|42.9|46.8|54.92|226.24|226.24|57.67|220.44|98.86|57.67|56.57|0|262.65
Professional|||10030|PR IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE|521|521|433.48|390.75|442.85|468.9|442.85|1537.19|1138.2|1069.91|0|0|379.1|433.48|97.33|464.37|360.14|350.66|422.64|473.78|390.75|464.37|158.72|154.58|158.72|503.71|503.71|98.02|142.16|101.25|523.86|473.78|473.78|99|109.78|107.82|117.62|138.02|505.61|505.61|144.92|492.67|248.44|144.92|142.16|0|1537.19
Professional|||10035|PR PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE|325|325|270.79|243.75|276.25|292.5|276.25|1291.54|959|901.46|0|0|236.82|270.79|52.74|290.09|224.97|219.05|264.02|295.96|243.75|290.09|98.95|96.36|98.95|315.15|315.15|61.07|88.62|63.09|327.76|295.96|295.96|61.68|68.4|67.18|73.28|86.04|290.69|290.69|90.34|283.25|154.87|90.34|88.62|0|1291.54
Professional|||10040|ACNE SURGERY OF SKIN ABSCESS|295|295|181.26|221.25|250.75|265.5|250.75|344.13|212.1|199.37|0|0|198.34|181.26|53.4|194.17|188.42|183.46|176.73|198.1|221.25|194.17|61.36|59.76|61.36|209.66|209.66|37.72|54.96|38.96|218.05|198.1|198.1|38.1|42.25|41.49|45.26|53.36|286.18|286.18|56.03|278.86|96.05|56.03|54.96|0|344.13
Professional|||10060|DRAIN SKIN ABSCESS SIMPLE|374|374|306.82|280.5|317.9|336.6|317.9|375.32|231.7|217.8|0|0|335.74|306.82|59.58|328.69|318.95|310.56|299.15|335.35|280.5|328.69|116.4|113.37|116.4|362.62|362.62|71.84|104.26|74.21|377.12|335.35|335.35|72.56|80.46|79.02|86.21|101.22|314.46|314.46|106.28|306.41|182.2|106.28|104.26|0|377.12
Professional|||10061|DRAIN SKIN ABSCESS COMPLIC|680|680|563.42|510|578|612|578|653.74|399.7|375.72|0|0|616.52|563.42|109.25|603.57|585.69|570.28|549.33|615.79|510|603.57|208.91|203.46|208.91|659.31|659.31|129.06|187.11|133.32|685.68|615.79|615.79|130.35|144.55|141.97|154.87|181.66|580.28|580.28|190.74|565.42|326.99|190.74|187.11|0|685.68
Professional|||10080|DRAIN PILONIDAL CYST SIMPL|386|386|319.93|289.5|328.1|347.4|328.1|582.47|361.2|339.53|0|0|350.08|319.93|62.68|342.72|332.57|323.82|311.93|349.67|289.5|342.72|118.13|115.05|118.13|374.49|374.49|72.87|105.8|75.27|389.47|349.67|349.67|73.6|81.61|80.16|87.44|102.72|332.55|332.55|107.86|324.03|184.9|107.86|105.8|0|582.47
Professional|||10081|DRAIN PILONIDAL CYST COMPLIC|635|635|531.76|476.25|539.75|571.5|539.75|873.14|537.6|505.34|0|0|581.87|531.76|102.63|569.64|552.77|538.23|518.47|581.19|476.25|569.64|195.22|190.13|195.22|615.8|615.8|120.6|174.85|124.58|640.43|581.19|581.19|121.81|135.07|132.66|144.72|169.76|548.6|548.6|178.25|534.56|305.57|178.25|174.85|0|873.14
Professional|||10120|REMOVE FOREIGN BODY SIMPLE|393|393|323.2|294.75|334.05|353.7|334.05|481.12|298.2|280.31|0|0|353.66|323.2|63.34|346.23|335.98|327.14|315.12|353.25|294.75|346.23|119.35|116.23|119.35|381.08|381.08|73.64|106.89|76.07|396.32|353.25|353.25|74.38|82.48|81|88.37|103.78|333.68|333.68|108.97|325.14|186.8|108.97|106.89|0|481.12
Professional|||10121|REMOVE FOREIGN BODY COMPLIC|690|690|580.89|517.5|586.5|621|586.5|865.34|529.9|498.11|0|0|635.63|580.89|112.57|622.28|603.85|587.96|566.37|634.89|517.5|622.28|211.36|205.84|211.36|669.85|669.85|130.6|189.3|134.91|696.64|634.89|634.89|131.91|146.27|143.66|156.72|183.79|600.64|600.64|192.98|585.26|330.82|192.98|189.3|0|865.34
Professional|||10140|DRAINAGE OF HEMATOMA/FLUID|447|447|371.25|335.25|379.95|402.3|379.95|531.23|327.6|307.94|0|0|406.23|371.25|72.4|397.7|385.92|375.76|361.97|405.76|335.25|397.7|136.46|132.9|136.46|433.82|433.82|84.16|122.22|86.94|451.17|405.76|405.76|85|94.26|92.58|100.99|118.66|382.31|382.31|124.59|372.53|213.59|124.59|122.22|0|531.23
Professional|||10160|PUNCTURE DRAINAGE OF LESION|358|358|297|268.5|304.3|322.2|304.3|412.07|254.1|238.85|0|0|324.99|297|58.7|318.16|308.74|300.61|289.58|324.6|268.5|318.16|109.12|106.28|109.12|346.79|346.79|67.22|97.74|69.44|360.66|324.6|324.6|67.89|75.29|73.94|80.66|94.89|309.95|309.95|99.63|302.01|170.8|99.63|97.74|0|412.07
Professional|||10180|COMPLEX DRAINAGE WOUND|655|655|556.87|491.25|556.75|589.5|556.75|792.95|480.2|451.39|0|0|609.35|556.87|106.82|596.55|578.88|563.65|542.95|608.63|491.25|596.55|200.16|194.94|200.16|635.57|635.57|123.68|179.27|127.76|660.99|608.63|608.63|124.92|138.52|136.05|148.42|174.05|579.14|579.14|182.75|564.32|313.29|182.75|179.27|0|792.95
Professional|||11000|SURGICAL CLEANSING OF SKIN|108|108|89.54|81|91.8|97.2|91.8|174.85|108.5|101.99|0|0|97.97|89.54|17.21|95.92|93.07|90.63|87.3|97.86|81|95.92|32.51|31.66|32.51|104.17|104.17|20.01|29.12|20.67|108.34|97.86|97.86|20.21|22.41|22.01|24.01|28.27|92.76|92.76|29.68|90.38|50.89|29.68|29.12|0|174.85
Professional|||11004|DEBRIDE NECROTIC SKIN/ TISSUE*|2102|2102|1822.38|1576.5|1786.7|1891.8|1786.7|1858.77|1082.9|1017.93|0|0|1994.12|1822.38|341.23|1952.23|1894.42|1844.56|1776.82|1991.78|1576.5|1952.23|641.38|624.65|641.38|2039.9|2039.9|396.44|574.45|409.52|2121.5|1991.78|1991.78|400.4|444.01|436.08|475.73|557.72|1895.78|1895.78|585.61|1847.25|1003.9|585.61|574.45|0|2121.5
Professional|||11005|DEBRIDE NECROTIC SKIN/ TISSUE*|2805|2805|2472.06|2103.75|2384.25|2524.5|2384.25|2521.42|1445.5|1358.77|0|0|2705.03|2472.06|455.11|2648.2|2569.78|2502.15|2410.26|2701.86|2103.75|2648.2|859.1|836.68|859.1|2722.94|2722.94|530.9|769.45|548.42|2831.86|2701.86|2701.86|536.21|594.61|583.99|637.08|747.04|2564.3|2564.3|784.39|2498.66|1344.67|784.39|769.45|0|2831.86
Professional|||11006|DEBRIDE NECROT SKIN/ TISS GE*|2559|2559|2231.84|1919.25|2175.15|2303.1|2175.15|2276.4|1319.5|1240.33|0|0|2442.17|2231.84|413.19|2390.87|2320.06|2259.01|2176.04|2439.31|1919.25|2390.87|782.85|762.43|782.85|2484.28|2484.28|483.94|701.16|499.91|2583.65|2439.31|2439.31|488.78|542.01|532.33|580.73|680.74|2308.66|2308.66|714.78|2249.56|1225.33|714.78|701.16|0|2583.65
Professional|||11008|REMOVE MESH FROM ABD WALL|985|985|869.15|738.75|837.25|886.5|837.25|886.51|507.5|477.05|0|0|951.06|869.15|159.56|931.08|903.51|879.73|847.42|949.95|738.75|931.08|301.56|293.7|301.56|955.99|955.99|186.29|270.1|192.44|994.23|949.95|949.95|188.15|208.64|204.92|223.55|262.23|901.51|901.51|275.34|878.43|472.01|275.34|270.1|0|994.23
Professional|||11010|DEBRIDE ASSOC OPEN FX/DISLOC SKIN/SUBQ|1029|1029|874.61|771.75|874.65|926.1|874.65|1539.13|941.5|885.01|0|0|957.03|874.61|167.31|936.93|909.18|885.26|852.74|955.91|771.75|936.93|312.67|304.52|312.67|998.19|998.19|193.21|280.05|199.59|1038.12|955.91|955.91|195.14|216.4|212.53|231.85|271.89|927.54|927.54|285.48|903.8|489.4|285.48|280.05|0|1539.13
Professional|||11011|DEBRIDE ASSOC OPEN FX/DISLOC SKIN/MUSCLE|1099|1099|947.77|824.25|934.15|989.1|934.15|1699.51|1031.8|969.89|0|0|1037.09|947.77|176.8|1015.3|985.23|959.3|924.08|1035.87|824.25|1015.3|336.71|327.92|336.71|1066.76|1066.76|208.1|301.57|214.97|1109.43|1035.87|1035.87|210.18|233.07|228.91|249.72|292.79|978.44|978.44|307.43|953.4|527.02|307.43|301.57|0|1699.51
Professional|||11012|DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE|1546|1546|1331.03|1159.5|1314.1|1391.4|1314.1|2204.01|1334.9|1254.81|0|0|1456.46|1331.03|253.16|1425.86|1383.64|1347.23|1297.75|1454.75|1159.5|1425.86|470.12|457.86|470.12|1500.58|1500.58|290.47|421.06|300.06|1560.6|1454.75|1454.75|293.37|325.33|319.52|348.56|408.8|1391.3|1391.3|429.24|1355.68|735.84|429.24|421.06|0|2204.01
Professional|||11042|DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM|230|230|192.17|172.5|195.5|207|195.5|385.34|238.7|224.38|0|0|210.28|192.17|37.52|205.87|199.77|194.51|187.37|210.04|172.5|205.87|69.74|67.92|69.74|222.85|222.85|43.1|62.46|44.52|231.76|210.04|210.04|43.53|48.27|47.41|51.72|60.64|200.2|200.2|63.67|195.08|109.15|63.67|62.46|0|385.34
Professional|||11043|DEBRIDEMENT SKIN SUB-Q TISSUEMUSCLE=<20 SQ CM|572|572|485.9|429|486.2|514.8|486.2|731.7|445.2|418.49|0|0|531.69|485.9|93.35|520.52|505.1|491.81|473.75|531.06|429|520.52|174.98|170.42|174.98|555.14|555.14|108.02|156.72|111.58|577.35|531.06|531.06|109.1|120.98|118.82|129.62|152.16|506.75|506.75|159.77|493.77|273.89|159.77|156.72|0|731.7
Professional|||11044|DEBRIDEMENT SKIN SUB-Q TISSUEMUSCLEBONE=<20 SQ CM|843|843|718.47|632.25|716.55|758.7|716.55|994.53|599.9|563.91|0|0|786.18|718.47|138.16|769.66|746.87|727.22|700.51|785.26|632.25|769.66|256.08|249.4|256.08|817.55|817.55|158.32|229.36|163.54|850.25|785.26|785.26|159.9|177.32|174.15|189.98|222.68|752.21|752.21|233.81|732.95|400.82|233.81|229.36|0|994.53
Professional|||11045|DEBRIDEMENT SKIN SUB-Q TISSUEEACH ADD 20 SQ CM|97|97|82.98|72.75|82.45|87.3|82.45|131.42|79.8|75.01|0|0|90.8|82.98|15.45|88.9|86.26|83.99|80.91|90.7|72.75|88.9|29.65|28.87|29.65|93.63|93.63|18.21|26.55|18.81|97.38|90.7|90.7|18.39|20.4|20.03|21.85|25.78|84.85|84.85|27.07|82.67|46.4|27.07|26.55|0|131.42
Professional|||11046|DEBRIDEMENT SKIN SUB-Q TISSUEMUSCLEEACH ADD 20 SQ CM|204|204|175.8|153|173.4|183.6|173.4|232.76|138.6|130.28|0|0|192.36|175.8|33.11|188.32|182.74|177.94|171.41|192.14|153|188.32|62.36|60.74|62.36|197.8|197.8|38.49|55.86|39.76|205.71|192.14|192.14|38.87|43.11|42.34|46.19|54.23|183.25|183.25|56.94|178.55|97.61|56.94|55.86|0|232.76
Professional|||11047|DEBRIDEMENT SKIN SUB-Q TISSUEMUSCLEBONEEACH ADD 20 SQ CM|359|359|311.19|269.25|305.15|323.1|305.15|393.14|233.1|219.11|0|0|340.52|311.19|58.7|333.36|323.49|314.98|303.41|340.12|269.25|333.36|109.71|106.85|109.71|348.12|348.12|67.74|98.26|69.98|362.04|340.12|340.12|68.42|75.87|74.51|81.29|95.4|325.77|325.77|100.17|317.43|171.72|100.17|98.26|0|393.14
Professional|||11055|TRIM HYPERKERATOTIC SKIN LESI*|62|62|50.23|46.5|52.7|55.8|52.7|177.08|111.3|104.62|0|0|54.96|50.23|9.71|53.81|52.21|50.84|48.97|54.9|46.5|53.81|18.33|17.85|18.33|59.34|59.34|11.29|16.42|11.66|61.71|54.9|54.9|11.4|12.64|12.42|13.55|15.94|52.04|52.04|16.74|50.7|28.69|16.74|16.42|0|177.08
Professional|||11056|TRIM HYPERKERATOTIC SKIN LESI*|86|86|70.97|64.5|73.1|77.4|73.1|211.6|133|125.02|0|0|77.66|70.97|13.9|76.03|73.78|71.84|69.2|77.57|64.5|76.03|26.53|25.84|26.53|83.07|83.07|16.16|23.76|16.69|86.39|77.57|77.57|16.32|18.1|17.78|19.39|23.07|73.53|73.53|24.22|71.65|41.53|24.22|23.76|0|211.6
Professional|||11057|TRIM HYPERKERATOTIC SKIN LESI*|112|112|92.81|84|95.2|100.8|95.2|234.99|147|138.18|0|0|101.56|92.81|18.09|99.42|96.48|93.94|90.49|101.44|84|99.42|34.02|33.13|34.02|108.12|108.12|20.78|30.47|21.47|112.44|101.44|101.44|20.99|23.27|22.86|24.94|29.58|96.16|96.16|31.06|93.7|53.24|31.06|30.47|0|234.99
Professional|||11104|PR PUNCH BIOPSY SKIN SINGLE LESION|187|187|156.14|140.25|158.95|168.3|158.95|392.02|243.6|228.98|0|0|170.86|156.14|0|167.27|162.31|158.04|152.24|170.66|140.25|167.27|55.94|54.48|55.94|180.65|180.65|34.38|50.1|35.51|187.88|170.66|170.66|34.72|38.51|37.82|41.26|48.64|161.75|161.75|51.07|157.61|87.55|51.07|50.1|0|392.02
Professional|||11105|PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION|101|101|85.17|75.75|85.85|90.9|85.85|192.67|119.7|112.52|0|0|93.19|85.17|0|91.24|88.53|86.2|83.04|93.09|75.75|91.24|30.34|29.55|30.34|97.58|97.58|18.73|27.17|19.35|101.48|93.09|93.09|18.92|20.98|20.6|22.48|26.38|88.22|88.22|27.7|85.96|47.48|27.7|27.17|0|192.67
Professional|||11200|REMOVAL OF SKIN TAGS|279|279|229.3|209.25|237.15|251.1|237.15|279.54|172.2|161.87|0|0|250.91|229.3|44.8|245.64|238.36|232.09|223.57|250.61|209.25|245.64|85.35|83.13|85.35|270.32|270.32|52.6|76.45|54.34|281.13|250.61|250.61|53.13|58.91|57.86|63.12|74.22|238.69|238.69|77.93|232.58|133.6|77.93|76.45|0|281.13
Professional|||11300|SHAV SKIN LES <5MM TRUNKARM*|131|131|110.28|98.25|111.35|117.9|111.35|308.49|191.8|180.29|0|0|120.67|110.28|20.97|118.14|114.64|111.62|107.52|120.53|98.25|118.14|39.65|38.62|39.65|126.59|126.59|24.37|35.51|25.17|131.65|120.53|120.53|24.61|27.29|26.81|29.24|34.48|115.39|115.39|36.2|112.43|62.06|36.2|35.51|0|308.49
Professional|||11310|SHAV SKIN LES <5MM FACEFACIAL|176|176|148.5|132|149.6|158.4|149.6|359.73|223.3|209.9|0|0|162.49|148.5|28.47|159.08|154.37|150.31|144.79|162.3|132|159.08|53.44|52.05|53.44|170.1|170.1|32.84|47.86|33.92|176.9|162.3|162.3|33.17|36.78|36.12|39.41|46.47|154.97|154.97|48.79|151.01|83.65|48.79|47.86|0|359.73
Professional|||11311|SHAV SKIN LES 6-10MM FACEFAC*|244|244|205.28|183|207.4|219.6|207.4|429.89|265.3|249.38|0|0|224.62|205.28|39.72|219.9|213.39|207.78|200.15|224.36|183|219.9|73.32|71.41|73.32|236.03|236.03|45.16|65.67|46.65|245.47|224.36|224.36|45.61|50.58|49.68|54.19|63.76|213.79|213.79|66.95|208.31|114.77|66.95|65.67|0|429.89
Professional|||11312|SHAV SKIN LES 11-20MM FACEFA*|288|288|243.49|216|244.8|259.2|244.8|503.39|310.1|291.49|0|0|266.44|243.49|47.01|260.84|253.12|246.46|237.4|266.13|216|260.84|86.96|84.69|86.96|279.54|279.54|53.62|77.89|55.39|290.72|266.13|266.13|54.16|60.05|58.98|64.34|75.62|255.64|255.64|79.4|249.1|136.12|79.4|77.89|0|503.39
Professional|||11313|SHAV SKIN LES >21MM FACEFACI*|373|373|315.56|279.75|317.05|335.7|317.05|590.26|362.6|340.84|0|0|345.3|315.56|60.47|338.04|328.03|319.4|307.67|344.89|279.75|338.04|112.71|109.77|112.71|361.3|361.3|69.53|100.95|71.82|375.75|344.89|344.89|70.23|77.87|76.48|83.44|98.01|328.04|328.04|102.91|319.64|176.42|102.91|100.95|0|590.26
Professional|||11400|EXC SKIN BENIG <5MM TRUNKARM*|307|307|254.41|230.25|260.95|276.3|260.95|393.14|242.9|228.33|0|0|278.39|254.41|49.21|272.54|264.47|257.51|248.05|278.06|230.25|272.54|94.43|91.96|94.43|298.01|298.01|58.24|84.57|60.16|309.93|278.06|278.06|58.82|65.23|64.06|69.89|82.11|261.28|261.28|86.22|254.6|147.8|86.22|84.57|0|393.14
Professional|||11401|EXC SKIN BENIG 0.6-1CM TRUNK*|393|393|326.48|294.75|334.05|353.7|334.05|478.89|294.7|277.02|0|0|357.25|326.48|63.34|349.74|339.38|330.45|318.32|356.83|294.75|349.74|119.61|116.49|119.61|381.08|381.08|73.9|107.13|76.34|396.32|356.83|356.83|74.64|82.77|81.29|88.68|104.01|337.09|337.09|109.21|328.46|187.22|109.21|107.13|0|478.89
Professional|||11402|EXC SKIN BENIG 1.1-2CM TRUNK*|430|430|359.24|322.5|365.5|387|365.5|532.35|326.9|307.29|0|0|393.09|359.24|69.09|384.83|373.43|363.61|350.26|392.63|322.5|384.83|131.46|128.03|131.46|416.68|416.68|81.08|117.74|83.76|433.35|392.63|392.63|81.89|90.81|89.19|97.3|114.31|369.9|369.9|120.03|360.43|205.76|120.03|117.74|0|532.35
Professional|||11403|EXC SKIN BENIG 2.1-3CM TRUNK*|553|553|464.06|414.75|470.05|497.7|470.05|615.88|375.2|352.69|0|0|507.79|464.06|89.18|497.12|482.4|469.71|452.46|507.2|414.75|497.12|169.14|164.73|169.14|536.68|536.68|104.43|151.49|107.88|558.15|507.2|507.2|105.47|116.96|114.87|125.32|147.08|478.47|478.47|154.43|466.23|264.74|154.43|151.49|0|615.88
Professional|||11404|EXC SKIN BENIG 3.1-4CM TRUNK*|604|604|509.92|453|513.4|543.6|513.4|698.29|424.2|398.75|0|0|557.97|509.92|97.33|546.25|530.07|516.12|497.17|557.32|453|546.25|185.16|180.33|185.16|585.46|585.46|114.44|165.84|118.22|608.88|557.32|557.32|115.58|128.17|125.88|137.33|161.01|527.11|527.11|169.06|513.61|289.82|169.06|165.84|0|698.29
Professional|||11406|EXC SKIN BENIG >4CM TRUNKARM*|909|909|776.34|681.75|772.65|818.1|772.65|1004.56|604.1|567.85|0|0|849.5|776.34|146.77|831.66|807.03|785.79|756.93|848.51|681.75|831.66|278.63|271.36|278.63|882.16|882.16|172.17|249.56|177.85|917.45|848.51|848.51|173.89|192.83|189.39|206.6|242.29|801.98|801.98|254.4|781.45|436.12|254.4|249.56|0|1004.56
Professional|||11420|EXC SKIN BENIG <5MM REMAINDR *|309|309|254.41|231.75|262.65|278.1|262.65|393.14|244.3|229.64|0|0|278.39|254.41|49.89|272.54|264.47|257.51|248.05|278.06|231.75|272.54|94.78|92.31|94.78|299.32|299.32|58.5|84.89|60.43|311.29|278.06|278.06|59.09|65.52|64.35|70.2|82.42|264.69|264.69|86.54|257.91|148.36|86.54|84.89|0|393.14
Professional|||11421|EXC SKIN BENIG 0.6-1CM REMAIN*|413|413|343.95|309.75|351.05|371.7|351.05|500.05|307.3|288.86|0|0|376.36|343.95|67.1|368.46|357.54|348.13|335.35|375.92|309.75|368.46|125.83|122.55|125.83|400.86|400.86|77.74|112.7|80.31|416.89|375.92|375.92|78.52|87.07|85.51|93.29|109.42|357.45|357.45|114.89|348.3|196.96|114.89|112.7|0|500.05
Professional|||11422|EXC SKIN BENIG 1.1-2CM REMAIN*|511|511|425.84|383.25|434.35|459.9|434.35|563.53|345.1|324.39|0|0|465.97|425.84|82.54|456.18|442.67|431.02|415.19|465.43|383.25|456.18|155.87|151.8|155.87|495.8|495.8|96.22|139.61|99.4|515.63|465.43|465.43|97.18|107.77|105.84|115.46|135.54|440.02|440.02|142.32|428.76|243.97|142.32|139.61|0|563.53
Professional|||11423|EXC SKIN BENIG 2.1-3CM REMAIN*|585|585|489.17|438.75|497.25|526.5|497.25|642.6|392|368.48|0|0|535.27|489.17|95.11|524.03|508.51|495.13|476.94|534.64|438.75|524.03|178.26|173.61|178.26|567.01|567.01|110.08|159.66|113.71|589.69|534.64|534.64|111.18|123.29|121.09|132.1|155.01|509.02|509.02|162.76|495.99|279.02|162.76|159.66|0|642.6
Professional|||11424|EXC SKIN BENIG 3.1-4CM REMAIN*|669|669|563.42|501.75|568.65|602.1|568.65|745.07|452.9|425.73|0|0|616.52|563.42|108.36|603.57|585.69|570.28|549.33|615.79|501.75|603.57|203.33|198.03|203.33|648.76|648.76|125.47|182.11|129.61|674.71|615.79|615.79|126.72|140.53|138.02|150.56|176.81|584.78|584.78|185.65|569.82|318.26|185.65|182.11|0|745.07
Professional|||11426|EXC SKIN BENIG >4CM REMAINDR *|1018|1018|865.88|763.5|865.3|916.2|865.3|1068.04|641.9|603.39|0|0|947.48|865.88|164.43|927.57|900.1|876.42|844.23|946.37|763.5|927.57|310.87|302.76|310.87|987.64|987.64|192.19|278.43|198.53|1027.15|946.37|946.37|194.11|215.25|211.41|230.63|270.32|893.6|893.6|283.84|870.72|486.58|283.84|278.43|0|1068.04
Professional|||11440|EXC SKIN BENIG <5MM FACEFACI*|394|394|323.2|295.5|334.9|354.6|334.9|435.46|270.2|253.99|0|0|353.66|323.2|63.79|346.23|335.98|327.14|315.12|353.25|295.5|346.23|119.97|116.84|119.97|382.4|382.4|74.15|107.45|76.6|397.7|353.25|353.25|74.89|83.05|81.57|88.98|104.32|332.55|332.55|109.54|324.03|187.78|109.54|107.45|0|435.46
Professional|||11441|EXC SKIN BENIG 0.6-1CM FACEF*|495|495|410.55|371.25|420.75|445.5|420.75|537.92|330.4|310.58|0|0|449.24|410.55|80.55|439.81|426.78|415.55|400.29|448.72|371.25|439.81|150.74|146.81|150.74|479.98|479.98|93.14|135.01|96.21|499.18|448.72|448.72|94.07|104.32|102.45|111.77|131.08|424.17|424.17|137.63|413.31|235.94|137.63|135.01|0|537.92
Professional|||11442|EXC SKIN BENIG 1.1-2CM FACEF*|545|545|454.23|408.75|463.25|490.5|463.25|600.28|367.5|345.45|0|0|497.04|454.23|88.95|486.6|472.18|459.76|442.87|496.45|408.75|486.6|166.47|162.13|166.47|528.77|528.77|102.89|149.1|106.29|549.92|496.45|496.45|103.92|115.24|113.18|123.47|144.76|470.56|470.56|152|458.52|260.57|152|149.1|0|600.28
Professional|||11443|EXC SKIN BENIG 2.1-3CM FACEF*|666|666|557.96|499.5|566.1|599.4|566.1|715|435.4|409.28|0|0|610.54|557.96|107.93|597.72|580.02|564.75|544.01|609.83|499.5|597.72|203.5|198.2|203.5|646.12|646.12|125.73|182.27|129.88|671.96|609.83|609.83|126.99|140.82|138.3|150.88|176.96|578.01|578.01|185.81|563.21|318.53|185.81|182.27|0|715
Professional|||11444|EXC SKIN BENIG 3.1-4CM FACEF*|845|845|710.83|633.75|718.25|760.5|718.25|896.53|544.6|511.92|0|0|777.81|710.83|137.28|761.47|738.92|719.48|693.06|776.9|633.75|761.47|258.5|251.75|258.5|820.18|820.18|159.6|231.52|164.87|852.99|776.9|776.9|161.2|178.75|175.56|191.52|224.78|737.49|737.49|236.02|718.61|404.6|236.02|231.52|0|896.53
Professional|||11446|EXC SKIN BENIG >4CM FACEFACI*|1207|1207|1018.74|905.25|1025.95|1086.3|1025.95|1242.89|751.1|706.03|0|0|1114.75|1018.74|196.43|1091.33|1059.01|1031.14|993.27|1113.44|905.25|1091.33|368.06|358.46|368.06|1170.93|1170.93|227.34|329.65|234.84|1217.77|1113.44|1113.44|229.61|254.62|250.07|272.81|320.05|1058.75|1058.75|336.05|1031.65|576.09|336.05|329.65|0|1242.89
Professional|||11450|EXC SWEAT GLAND LESN AXILLSI*|940|940|800.36|705|799|846|799|1252.91|761.6|715.9|0|0|875.79|800.36|150.75|857.39|832|810.1|780.35|874.76|705|857.39|288.5|280.97|288.5|912.48|912.48|178.33|258.4|184.21|948.98|874.76|874.76|180.11|199.73|196.16|214|250.87|820.07|820.07|263.41|799.07|451.57|263.41|258.4|0|1252.91
Professional|||11451|EXC SWEAT GLAND LESN AXILLCO*|1198|1198|1023.11|898.5|1018.3|1078.2|1018.3|1575.89|955.5|898.17|0|0|1119.53|1023.11|194.01|1096.01|1063.55|1035.56|997.53|1118.22|898.5|1096.01|368.29|358.68|368.29|1163.01|1163.01|227.6|329.86|235.11|1209.53|1118.22|1118.22|229.88|254.91|250.36|273.12|320.25|1056.48|1056.48|336.26|1029.44|576.45|336.26|329.86|0|1575.89
Professional|||11462|EXC SWEAT GLAND LESN INGUINS*|898|898|762.15|673.5|763.3|808.2|763.3|1220.62|744.1|699.45|0|0|833.97|762.15|144.57|816.45|792.27|771.42|743.1|832.99|673.5|816.45|275.8|268.61|275.8|871.6|871.6|170.38|247.02|176|906.46|832.99|832.99|172.08|190.83|187.42|204.46|239.83|783.88|783.88|251.82|763.82|431.69|251.82|247.02|0|1220.62
Professional|||11463|EXC SWEAT GLAND LESN INGUINC*|1211|1211|1028.57|908.25|1029.35|1089.9|1029.35|1594.82|970.2|911.99|0|0|1125.5|1028.57|195.55|1101.86|1069.23|1041.09|1002.86|1124.18|908.25|1101.86|371.37|361.68|371.37|1174.88|1174.88|229.4|332.62|236.97|1221.88|1124.18|1124.18|231.69|256.93|252.34|275.28|322.93|1062.13|1062.13|339.08|1034.94|581.27|339.08|332.62|0|1594.82
Professional|||11470|EXC SWEAT GLAND LESN PERINEAL*|1040|1040|882.26|780|884|936|884|1339.78|814.8|765.91|0|0|965.4|882.26|168.85|945.12|917.13|892.99|860.2|964.27|780|945.12|318.92|310.6|318.92|1008.74|1008.74|197.06|285.64|203.56|1049.09|964.27|964.27|199.03|220.71|216.77|236.47|277.32|910.56|910.56|291.19|887.25|499.18|291.19|285.64|0|1339.78
Professional|||11471|EXC SWEAT GLAND LESN PERINEAL*|1287|1287|1090.81|965.25|1093.95|1158.3|1093.95|1638.25|996.1|936.33|0|0|1193.61|1090.81|210.56|1168.53|1133.92|1104.08|1063.54|1192.21|965.25|1168.53|393.68|383.41|393.68|1248.73|1248.73|243.25|352.6|251.28|1298.68|1192.21|1192.21|245.68|272.44|267.58|291.9|342.33|1135.66|1135.66|359.45|1106.59|616.19|359.45|352.6|0|1638.25
Professional|||11601|EXC SKIN MALIG 0.6-1CM TRUNK*|559|559|468.43|419.25|475.15|503.1|475.15|726.13|445.9|419.15|0|0|512.57|468.43|90.27|501.8|486.94|474.13|456.72|511.97|419.25|501.8|170.26|165.82|170.26|541.95|541.95|105.2|152.49|108.67|563.63|511.97|511.97|106.25|117.82|115.72|126.24|148.05|485.25|485.25|155.45|472.83|266.49|155.45|152.49|0|726.13
Professional|||11602|EXC SKIN MALIG 1.1-2CM TRUNK*|612|612|513.19|459|520.2|550.8|520.2|786.27|482.3|453.36|0|0|561.56|513.19|99.32|549.76|533.48|519.44|500.36|560.9|459|549.76|186.54|181.68|186.54|593.38|593.38|115.21|167.08|119.01|617.12|560.9|560.9|116.36|129.04|126.73|138.25|162.21|532.78|532.78|170.32|519.14|291.98|170.32|167.08|0|786.27
Professional|||11603|EXC SKIN MALIG 2.1-3CM TRUNK*|733|733|614.74|549.75|623.05|659.7|623.05|898.76|549.5|516.53|0|0|672.67|614.74|118.53|658.54|639.04|622.22|599.37|671.88|549.75|658.54|222.58|216.78|222.58|710.74|710.74|137.53|199.36|142.07|739.17|671.88|671.88|138.91|154.03|151.28|165.04|193.55|639.09|639.09|203.23|622.73|348.39|203.23|199.36|0|898.76
Professional|||11604|EXC SKIN MALIG 3.1-4CM TRUNK*|802|802|675.89|601.5|681.7|721.8|681.7|996.76|608.3|571.8|0|0|739.58|675.89|130.01|724.04|702.6|684.11|658.99|738.71|601.5|724.04|244.32|237.94|244.32|777.99|777.99|150.88|218.82|155.86|809.11|738.71|738.71|152.39|168.99|165.97|181.06|212.45|703.58|703.58|223.07|685.57|382.41|223.07|218.82|0|996.76
Professional|||11606|EXC SKIN MALIG >4CM TRUNKARM*|1183|1183|1008.92|887.25|1005.55|1064.7|1005.55|1431.1|864.5|812.63|0|0|1104|1008.92|191.58|1080.8|1048.8|1021.2|983.7|1102.7|887.25|1080.8|360.33|350.93|360.33|1148.52|1148.52|222.72|322.73|230.07|1194.46|1102.7|1102.7|224.95|249.45|244.99|267.26|313.33|1045.17|1045.17|329|1018.41|563.99|329|322.73|0|1431.1
Professional|||11621|EXC SKIN MALIG 0.6-1CM REMAIN*|563|563|471.7|422.25|478.55|506.7|478.55|729.47|447.3|420.46|0|0|516.15|471.7|90.72|505.31|490.35|477.44|459.91|515.55|422.25|505.31|171.24|166.77|171.24|545.9|545.9|105.71|153.37|109.2|567.74|515.55|515.55|106.77|118.4|116.28|126.85|148.9|488.66|488.66|156.35|476.15|268.02|156.35|153.37|0|729.47
Professional|||11622|EXC SKIN MALIG 1.1-2CM REMAIN*|640|640|538.31|480|544|576|544|813|497.7|467.84|0|0|589.04|538.31|104.4|576.66|559.58|544.86|524.85|588.35|480|576.66|195.17|190.08|195.17|621.07|621.07|120.6|174.8|124.58|645.91|588.35|588.35|121.81|135.07|132.66|144.72|169.71|559.92|559.92|178.2|545.58|305.48|178.2|174.8|0|813
Professional|||11623|EXC SKIN MALIG 2.1-3CM REMAIN*|791|791|666.06|593.25|672.35|711.9|672.35|952.21|581|546.14|0|0|728.83|666.06|128.24|713.52|692.39|674.17|649.41|727.97|593.25|713.52|241.12|234.83|241.12|767.43|767.43|148.82|215.96|153.73|798.13|727.97|727.97|150.31|166.68|163.7|178.58|209.67|692.26|692.26|220.15|674.54|377.41|220.15|215.96|0|952.21
Professional|||11626|EXC SKIN MALIG >4CM REMAINDR *|1087|1087|925.93|815.25|923.95|978.3|923.95|1296.35|784|736.96|0|0|1013.19|925.93|176.8|991.91|962.53|937.2|902.78|1012|815.25|991.91|332.07|323.41|332.07|1054.89|1054.89|205.28|297.42|212.05|1097.09|1012|1012|207.33|229.91|225.81|246.34|288.76|961.46|961.46|303.2|936.85|519.77|303.2|297.42|0|1296.35
Professional|||11640|REMOVAL OF MALIGNANT GROWTH (0.5 CENTIMETERS OR LESS) OF THE FACE EARS EYELIDS NOSE OR LIPS|472|472|394.18|354|401.2|424.8|401.2|639.26|393.4|369.8|0|0|431.32|394.18|76.14|422.26|409.76|398.97|384.33|430.82|354|422.26|144.24|140.48|144.24|457.56|457.56|89.04|129.19|91.98|475.86|430.82|430.82|89.93|99.72|97.94|106.85|125.43|406.08|406.08|131.7|395.68|225.77|131.7|129.19|0|639.26
Professional|||11641|EXC SKIN MALIG 0.6-1CM FACEF*|586|586|491.36|439.5|498.1|527.4|498.1|755.09|463.4|435.6|0|0|537.66|491.36|94.91|526.37|510.78|497.34|479.08|537.03|439.5|526.37|178.48|173.82|178.48|568.32|568.32|110.33|159.86|113.97|591.05|537.03|537.03|111.43|123.57|121.36|132.4|155.2|509.02|509.02|162.96|495.99|279.36|162.96|159.86|0|755.09
Professional|||11642|EXC SKIN MALIG 1.1-2CM FACEF*|688|688|578.71|516|584.8|619.2|584.8|860.89|526.4|494.82|0|0|633.24|578.71|111.89|619.94|601.58|585.75|564.24|632.5|516|619.94|209.24|203.78|209.24|667.22|667.22|129.32|187.41|133.59|693.91|632.5|632.5|130.61|144.84|142.25|155.18|181.95|600.64|600.64|191.05|585.26|327.51|191.05|187.41|0|860.89
Professional|||11643|EXC SKIN MALIG 2.1-3CM FACEF*|858|858|722.84|643.5|729.3|772.2|729.3|1012.35|616.7|579.7|0|0|790.96|722.84|139.5|774.34|751.41|731.64|704.77|790.03|643.5|774.34|261.44|254.62|261.44|832.04|832.04|161.4|234.16|166.73|865.32|790.03|790.03|163.01|180.77|177.54|193.68|227.34|752.21|752.21|238.71|732.95|409.21|238.71|234.16|0|1012.35
Professional|||11646|EXC SKIN MALIG >4CM FACEFACI*|1463|1463|1243.67|1097.25|1243.55|1316.7|1243.55|1630.46|984.2|925.15|0|0|1360.88|1243.67|239.03|1332.29|1292.83|1258.81|1212.58|1359.28|1097.25|1332.29|445.91|434.28|445.91|1420.15|1420.15|275.58|399.38|284.67|1476.96|1359.28|1359.28|278.34|308.65|303.14|330.7|387.75|1291.77|1291.77|407.14|1258.7|697.95|407.14|399.38|0|1630.46
Professional|||11720|DEBRIDEMENT OF NAIL(S) 1-5|56|56|45.86|42|47.6|50.4|47.6|104.69|65.1|61.19|0|0|50.18|45.86|8.83|49.13|47.67|46.42|44.71|50.12|42|49.13|16.66|16.23|16.66|54.07|54.07|10.26|14.92|10.6|56.23|50.12|50.12|10.36|11.49|11.29|12.31|14.49|47.5|47.5|15.21|46.28|26.08|15.21|14.92|0|104.69
Professional|||11721|DEBRIDEMENT OF NAILS 6 OR MO*|93|93|77.52|69.75|79.05|83.7|79.05|143.67|88.9|83.57|0|0|84.83|77.52|15.01|83.05|80.59|78.47|75.58|84.73|69.75|83.05|28.61|27.87|28.61|89.67|89.67|17.44|25.63|18.02|93.26|84.73|84.73|17.61|19.53|19.18|20.93|24.88|80.31|80.31|26.12|78.25|44.78|26.12|25.63|0|143.67
Professional|||11730|REMOVAL OF NAIL PLATE|208|208|172.52|156|176.8|187.2|176.8|344.13|214.2|201.35|0|0|188.78|172.52|31.12|184.81|179.34|174.62|168.21|188.56|156|184.81|62.97|61.33|62.97|201.75|201.75|38.74|56.4|40.02|209.82|188.56|188.56|39.13|43.39|42.61|46.49|54.76|179.84|179.84|57.5|175.24|98.57|57.5|56.4|0|344.13
Professional|||11732|REMOVE ADDITIONAL NAIL PLATE|67|67|55.69|50.25|56.95|60.3|56.95|103.57|64.4|60.54|0|0|60.93|55.69|12.36|59.65|57.89|56.36|54.3|60.86|50.25|59.65|20|19.48|20|64.61|64.61|12.31|17.91|12.72|67.19|60.86|60.86|12.43|13.79|13.54|14.77|17.39|57.68|57.68|18.26|56.2|31.3|18.26|17.91|0|103.57
Professional|||11740|DRAIN BLOOD FROM UNDER NAIL|124|124|100.45|93|105.4|111.6|105.4|162.6|101.5|95.41|0|0|109.92|100.45|20.52|107.61|104.43|101.68|97.94|109.79|93|107.61|36.8|35.84|36.8|119.99|119.99|22.58|32.96|23.33|124.79|109.79|109.79|22.81|25.29|24.84|27.1|32|105.21|105.21|33.6|102.51|57.6|33.6|32.96|0|162.6
Professional|||11750|REMOVAL OF NAIL BED|388|388|318.83|291|329.8|349.2|329.8|491.14|305.2|286.89|0|0|348.88|318.83|87.41|341.55|331.44|322.72|310.86|348.47|291|341.55|118.17|115.09|118.17|375.8|375.8|72.87|105.84|75.27|390.83|348.47|348.47|73.6|81.61|80.16|87.44|102.76|366.49|366.49|107.9|357.11|184.97|107.9|105.84|0|491.14
Professional|||11755|BIOPSY NAIL UNIT (SEP PROC)|259|259|195.45|194.25|220.15|233.1|220.15|386.45|240.8|226.35|0|0|213.87|195.45|47.9|209.38|203.18|197.83|190.56|213.62|194.25|209.38|71.69|69.82|71.69|228.12|228.12|44.13|64.21|45.59|237.24|213.62|213.62|44.57|49.43|48.54|52.96|62.34|251.1|251.1|65.46|244.68|112.21|65.46|64.21|0|386.45
Professional|||11760|RECONSTRUC OF NAIL BED|432|432|357.05|324|367.2|388.8|367.2|608.08|377.3|354.66|0|0|390.7|357.05|71.95|382.49|371.16|361.4|348.12|390.24|324|382.49|131.66|128.23|131.66|419.32|419.32|81.34|117.92|84.02|436.09|390.24|390.24|82.15|91.1|89.47|97.61|114.49|371|371|120.21|361.5|206.08|120.21|117.92|0|608.08
Professional|||11762|RECONSTRUC OF NAIL BED W GRAFT|703|703|581.98|527.25|597.55|632.7|597.55|907.67|562.1|528.37|0|0|636.83|581.98|113.66|623.45|604.99|589.07|567.43|636.08|527.25|623.45|220.01|214.27|220.01|681.72|681.72|135.99|197.05|140.48|708.99|636.08|636.08|137.35|152.31|149.59|163.19|191.31|591.59|591.59|200.88|576.45|344.36|200.88|197.05|0|907.67
Professional|||11765|EXCISION OF NAIL FOLD TOE|356|356|291.54|267|302.6|320.4|302.6|534.58|334.6|314.52|0|0|319.01|291.54|58.49|312.31|303.06|295.09|284.25|318.64|267|312.31|107.82|105.01|107.82|345.48|345.48|66.45|96.57|68.64|359.3|318.64|318.64|67.11|74.42|73.1|79.74|93.76|304.27|304.27|98.45|296.49|168.77|98.45|96.57|0|534.58
Professional|||11771|REMV PILONIDAL LESION EXTENS|1603|1603|1376.89|1202.25|1362.55|1442.7|1362.55|1869.9|1122.1|1054.77|0|0|1506.64|1376.89|257.14|1474.99|1431.31|1393.64|1342.47|1504.88|1202.25|1474.99|495.09|482.17|495.09|1555.96|1555.96|305.86|443.43|315.95|1618.2|1504.88|1504.88|308.92|342.56|336.45|367.03|430.51|1409.39|1409.39|452.04|1373.31|774.92|452.04|443.43|0|1869.9
Professional|||11772|REMV PILONIDAL LESION COMPLIC|2126|2126|1812.55|1594.5|1807.1|1913.4|1807.1|2238.54|1343.3|1262.7|0|0|1983.37|1812.55|343.65|1941.7|1884.2|1834.62|1767.24|1981.04|1594.5|1941.7|653.15|636.12|653.15|2063.63|2063.63|403.63|585|416.95|2146.18|1981.04|1981.04|407.67|452.07|443.99|484.36|567.96|1867.5|1867.5|596.36|1819.7|1022.33|596.36|585|0|2238.54
Professional|||11900|INJECTION INTO SKIN LESIONS|117|117|98.27|87.75|99.45|105.3|99.45|171.51|105.7|99.36|0|0|107.53|98.27|18.75|105.27|102.16|99.47|95.81|107.41|87.75|105.27|34.93|34.01|34.93|113.41|113.41|21.55|31.28|22.26|117.95|107.41|107.41|21.77|24.14|23.71|25.86|30.37|101.8|101.8|31.89|99.2|54.67|31.89|31.28|0|171.51
Professional|||11901|ADDED SKIN LESIONS INJECTION|181|181|151.77|135.75|153.85|162.9|153.85|217.17|132.3|124.36|0|0|166.08|151.77|28.9|162.59|157.77|153.62|147.98|165.88|135.75|162.59|54.28|52.86|54.28|175.37|175.37|33.35|48.62|34.45|182.38|165.88|165.88|33.68|37.35|36.69|40.02|47.2|158.35|158.35|49.56|154.29|84.96|49.56|48.62|0|217.17
Professional|||11952|FILL CONTOUR DEFCT 5.1-10CC|360|360|305.73|270|306|324|306|420.98|254.8|239.51|0|0|334.54|305.73|57.82|327.52|317.82|309.45|298.09|334.15|270|327.52|118.27|115.18|118.27|349.43|349.43|72.87|105.93|75.27|363.41|334.15|334.15|73.6|81.61|80.16|87.44|102.84|304.27|304.27|107.98|296.49|185.11|107.98|105.93|0|420.98
Professional|||11960|INSERT TISSUE EXPANDER(S)|3609|3609|3025.65|2706.75|3067.65|3248.1|3067.65|3086.06|1859.2|1747.65|0|0|3310.79|3025.65|578.51|3241.24|3145.25|3062.48|2950.01|3306.91|2706.75|3241.24|1120.02|1090.8|1120.02|3503.56|3503.56|692.3|1003.15|715.15|3643.7|3306.91|3306.91|699.22|775.38|761.53|830.76|973.93|3083.5|3083.5|1022.63|3004.57|1753.07|1022.63|1003.15|0|3643.7
Professional|||11970|REPLACE TISSUE EXPANDER|2269|2269|1907.55|1701.75|1928.65|2042.1|1928.65|1945.63|1169|1098.86|0|0|2087.32|1907.55|372.34|2043.47|1982.95|1930.77|1859.86|2084.87|1701.75|2043.47|697.46|679.27|697.46|2202.09|2202.09|431.08|624.68|445.31|2290.17|2084.87|2084.87|435.39|482.81|474.19|517.3|606.49|1979.49|1979.49|636.81|1928.82|1091.68|636.81|624.68|0|2290.17
Professional|||11971|REMOVE TISSUE EXPANDER(S)|1204|1204|1000.18|903|1023.4|1083.6|1023.4|1505.72|928.2|872.51|0|0|1094.44|1000.18|197.11|1071.45|1039.71|1012.35|975.18|1093.15|903|1071.45|373.03|363.29|373.03|1168.3|1168.3|230.42|334.1|238.02|1215.03|1093.15|1093.15|232.72|258.07|253.46|276.5|324.37|1030.48|1030.48|340.59|1004.1|583.87|340.59|334.1|0|1505.72
Professional|||11981|INSERTION DRUG IMPLANT DEVICE|305|305|262.06|228.75|259.25|274.5|259.25|451.05|273.7|257.28|0|0|286.75|262.06|48.78|280.73|272.41|265.25|255.51|286.42|228.75|280.73|71.58|69.71|71.58|295.37|295.37|44.13|64.11|45.59|307.18|286.42|286.42|44.57|49.43|48.54|52.96|62.24|270.33|270.33|65.35|263.41|112.03|65.35|64.11|0|451.05
Professional|||11982|REMOVAL DRUG IMPLANT DEVICE|366|366|313.38|274.5|311.1|329.4|311.1|500.05|303.1|284.91|0|0|342.91|313.38|59.38|335.7|325.76|317.19|305.55|342.51|274.5|335.7|84.51|82.31|84.51|354.71|354.71|52.08|75.69|53.8|368.9|342.51|342.51|52.6|58.33|57.29|62.5|73.49|328.04|328.04|77.16|319.64|132.28|77.16|75.69|0|500.05
Professional|||12001|REPR SUPERF WND BODY <2.5CM|163|163|138.67|122.25|138.55|146.7|138.55|281.77|173.6|163.18|0|0|151.74|138.67|26.49|148.55|144.15|140.36|135.2|151.56|122.25|148.55|50.11|48.8|50.11|158.24|158.24|30.79|44.88|31.81|164.57|151.56|151.56|31.1|34.48|33.87|36.95|43.57|143.66|143.66|45.75|139.98|78.43|45.75|44.88|0|281.77
Professional|||12002|REPR SUP NPTERF WND BODY 2.6-*|214|214|182.35|160.5|181.9|192.6|181.9|343.02|210|197.4|0|0|199.53|182.35|34.65|195.34|189.56|184.57|177.79|199.3|160.5|195.34|66.11|64.39|66.11|207.02|207.02|40.79|59.21|42.14|215.3|199.3|199.3|41.2|45.68|44.87|48.95|57.49|190.02|190.02|60.36|185.16|103.48|60.36|59.21|0|343.02
Professional|||12004|REPR SUPERF WND BODY 7.6-12.5|269|269|228.21|201.75|228.65|242.1|228.65|402.05|245.7|230.96|0|0|249.71|228.21|43.25|244.47|237.23|230.98|222.5|249.42|201.75|244.47|82.25|80.1|82.25|261.09|261.09|50.8|73.67|52.48|271.53|249.42|249.42|51.31|56.9|55.88|60.96|71.52|237.55|237.55|75.1|231.47|128.74|75.1|73.67|0|402.05
Professional|||12005|REPR SUPERF WND BODY 12.6-20|347|347|295.9|260.25|294.95|312.3|294.95|522.33|317.8|298.73|0|0|323.79|295.9|55.84|316.99|307.6|299.51|288.5|323.41|260.25|316.99|106.29|103.52|106.29|336.25|336.25|65.68|95.2|67.85|349.7|323.41|323.41|66.34|73.56|72.25|78.82|92.43|308.81|308.81|97.05|300.91|166.37|97.05|95.2|0|522.33
Professional|||12006|REPR SUPERF WND BODY 20.1-30|424|424|363.6|318|360.4|381.6|360.4|616.99|374.5|352.03|0|0|397.87|363.6|68.87|389.51|377.97|368.03|354.51|397.4|318|389.51|130.36|126.96|130.36|411.4|411.4|80.57|116.76|83.23|427.86|397.4|397.4|81.38|90.24|88.63|96.68|113.36|380.08|380.08|119.03|370.35|204.05|119.03|116.76|0|616.99
Professional|||12007|REPR SUPERF WND BODY >30CM|527|527|453.14|395.25|447.95|474.3|447.95|709.43|428.4|402.7|0|0|495.84|453.14|86.53|485.43|471.05|458.65|441.81|495.26|395.25|485.43|161.54|157.33|161.54|511.63|511.63|99.81|144.68|103.1|532.1|495.26|495.26|100.81|111.79|109.79|119.77|140.47|476.21|476.21|147.49|464.02|252.85|147.49|144.68|0|709.43
Professional|||12011|REPR SUPERF WND FACE <2.5CM|202|202|171.43|151.5|171.7|181.8|171.7|344.13|211.4|198.72|0|0|187.58|171.43|32.68|183.64|178.2|173.51|167.14|187.36|151.5|183.64|62.22|60.59|62.22|195.15|195.15|38.23|55.72|39.49|202.96|187.36|187.36|38.61|42.82|42.05|45.88|54.1|178.71|178.71|56.81|174.13|97.38|56.81|55.72|0|344.13
Professional|||12013|REPR SUPERF WND FACE 2.6-5|211|211|181.26|158.25|179.35|189.9|179.35|359.73|219.8|206.61|0|0|198.34|181.26|33.99|194.17|188.42|183.46|176.73|198.1|158.25|194.17|65.11|63.41|65.11|204.38|204.38|40.02|58.32|41.34|212.56|198.1|198.1|40.42|44.82|44.02|48.02|56.62|187.78|187.78|59.45|182.98|101.92|59.45|58.32|0|359.73
Professional|||12014|REPR SUPERF WND FACE 5.1-7.5|272|272|233.67|204|231.2|244.8|231.2|432.12|263.2|247.41|0|0|255.69|233.67|43.91|250.32|242.9|236.51|227.83|255.39|204|250.32|83.47|81.29|83.47|263.72|263.72|51.57|74.76|53.27|274.27|255.39|255.39|52.09|57.76|56.73|61.88|72.58|242.06|242.06|76.21|235.86|130.64|76.21|74.76|0|432.12
Professional|||12015|REPR SUPERF WND FACE 7.6-12.5|343|343|293.72|257.25|291.55|308.7|291.55|522.33|317.8|298.73|0|0|321.4|293.72|55.39|314.65|305.33|297.3|286.38|321.02|257.25|314.65|105.44|102.69|105.44|332.3|332.3|65.17|94.44|67.32|345.59|321.02|321.02|65.82|72.99|71.69|78.2|91.69|305.41|305.41|96.27|297.59|165.04|96.27|94.44|0|522.33
Professional|||12016|REPR SUPERF WND FACE 12.6-20|468|468|400.73|351|397.8|421.2|397.8|659.31|399.7|375.72|0|0|438.49|400.73|75.48|429.28|416.57|405.6|390.71|437.98|351|429.28|142.88|139.15|142.88|453.6|453.6|88.27|127.97|91.18|471.74|437.98|437.98|89.15|98.86|97.1|105.92|124.24|416.26|416.26|130.45|405.6|223.63|130.45|127.97|0|659.31
Professional|||12017|REPR SUPERF WND FACE 20.1-30|552|552|473.88|414|469.2|496.8|469.2|483.35|284.9|267.81|0|0|518.54|473.88|89.83|507.65|492.62|479.65|462.03|517.94|414|507.65|169.45|165.03|169.45|535.36|535.36|104.69|151.77|108.14|556.77|517.94|517.94|105.74|117.25|115.16|125.63|147.35|506.75|506.75|154.72|493.77|265.23|154.72|151.77|0|556.77
Professional|||12018|REPR SUPERF WND FACE >30CM|624|624|537.21|468|530.4|561.6|530.4|547.94|322|302.68|0|0|587.84|537.21|101.97|575.49|558.45|543.75|523.78|587.15|468|575.49|191.73|186.73|191.73|605.24|605.24|118.29|171.72|122.19|629.45|587.15|587.15|119.47|132.48|130.12|141.95|166.72|573.5|573.5|175.06|558.82|300.1|175.06|171.72|0|629.45
Professional|||12020|CLOSURE SUPERF WND DEHIS SIMP*|704|704|590.72|528|598.4|633.6|598.4|909.89|557.2|523.77|0|0|646.39|590.72|116.31|632.81|614.07|597.91|575.95|645.63|528|632.81|215.05|209.44|215.05|683.05|683.05|132.91|192.61|137.3|710.37|645.63|645.63|134.24|148.86|146.2|159.49|187|611.95|611.95|196.35|596.29|336.6|196.35|192.61|0|909.89
Professional|||12021|CLOSURE SUPERF WND DEHIS W PA*|517|517|434.58|387.75|439.45|465.3|439.45|530.12|321.3|302.02|0|0|475.53|434.58|85.19|465.54|451.75|439.87|423.72|474.97|387.75|465.54|158.78|154.64|158.78|501.07|501.07|98.02|142.21|101.25|521.11|474.97|474.97|99|109.78|107.82|117.62|138.07|445.66|445.66|144.97|434.26|248.53|144.97|142.21|0|530.12
Professional|||12031|LAYR CLOS WND TRUNKARMLEG <*|574|574|480.44|430.5|487.9|516.6|487.9|777.36|478.1|449.41|0|0|525.71|480.44|93.59|514.67|499.43|486.28|468.43|525.1|430.5|514.67|175.06|170.5|175.06|556.46|556.46|108.02|156.8|111.58|578.72|525.1|525.1|109.1|120.98|118.82|129.62|152.23|498.84|498.84|159.84|486.07|274.01|159.84|156.8|0|777.36
Professional|||12032|LAYR CLOS WND TRUNKARMLEG 2*|730|730|609.28|547.5|620.5|657|620.5|963.35|592.9|557.33|0|0|666.7|609.28|119.18|652.69|633.36|616.7|594.05|665.92|547.5|652.69|220.73|214.97|220.73|708.1|708.1|136.25|197.7|140.75|736.42|665.92|665.92|137.61|152.6|149.88|163.5|191.94|635.69|635.69|201.54|619.41|345.49|201.54|197.7|0|963.35
Professional|||12034|LAYR CLOS WND TRUNKARMLEG 7*|775|775|650.77|581.25|658.75|697.5|658.75|1010.13|618.8|581.67|0|0|712.1|650.77|125.14|697.14|676.5|658.69|634.5|711.27|581.25|697.14|235.6|229.45|235.6|751.61|751.61|145.49|211.02|150.29|781.67|711.27|711.27|146.94|162.95|160.04|174.59|204.87|676.41|676.41|215.11|659.09|368.77|215.11|211.02|0|1010.13
Professional|||12035|LAYR CLOS WND TRUNKARMLEG 1*|891|891|754.5|668.25|757.35|801.9|757.35|1217.27|744.1|699.45|0|0|825.61|754.5|144.8|808.26|784.33|763.69|735.64|824.64|668.25|808.26|272.9|265.78|272.9|865.01|865.01|168.58|244.42|174.14|899.61|824.64|824.64|170.27|188.81|185.44|202.3|237.3|781.61|781.61|249.17|761.61|427.14|249.17|244.42|0|1217.27
Professional|||12036|LAYR CLOS WND TRUNKARMLEG 2*|1031|1031|878.98|773.25|876.35|927.9|876.35|1347.58|818.3|769.2|0|0|961.81|878.98|167.31|941.61|913.72|889.68|857.01|960.69|773.25|941.61|317.37|309.09|317.37|1000.83|1000.83|196.04|284.25|202.51|1040.86|960.69|960.69|198|219.56|215.64|235.25|275.97|908.32|908.32|289.77|885.07|496.75|289.77|284.25|0|1347.58
Professional|||12037|LAYR CLOS WND TRUNKARMLEG >*|1200|1200|1027.48|900|1020|1080|1020|1525.77|921.9|866.59|0|0|1124.31|1027.48|196|1100.69|1068.09|1039.98|1001.79|1122.99|900|1100.69|370.05|360.39|370.05|1164.34|1164.34|228.63|331.43|236.17|1210.91|1122.99|1122.99|230.92|256.07|251.49|274.36|321.78|1071.2|1071.2|337.87|1043.78|579.2|337.87|331.43|0|1525.77
Professional|||12041|LAYR CLOS WND REST BODY <2.5CM|560|560|468.43|420|476|504|476|776.25|478.1|449.41|0|0|512.57|468.43|91.58|501.8|486.94|474.13|456.72|511.97|420|501.8|168.85|164.45|168.85|543.27|543.27|104.17|151.23|107.61|565|511.97|511.97|105.21|116.67|114.59|125|146.83|490.92|490.92|154.17|478.36|264.29|154.17|151.23|0|776.25
Professional|||12042|LAYR CLOS WND REST BODY 2.6-7*|750|750|627.84|562.5|637.5|675|637.5|936.62|574.7|540.22|0|0|687.01|627.84|122.06|672.58|652.66|635.48|612.14|686.21|562.5|672.58|227.07|221.14|227.07|727.88|727.88|140.36|203.37|144.99|757|686.21|686.21|141.76|157.2|154.4|168.43|197.45|654.94|654.94|207.32|638.18|355.41|207.32|203.37|0|936.62
Professional|||12044|LAYR CLOS WND REST BODY 7.6-1*|802|802|673.7|601.5|681.7|721.8|681.7|1159.36|712.6|669.84|0|0|737.19|673.7|130.21|721.7|700.33|681.9|656.86|736.33|601.5|721.7|244.63|238.25|244.63|777.99|777.99|151.13|219.1|156.12|809.11|736.33|736.33|152.64|169.27|166.24|181.36|212.72|700.17|700.17|223.36|682.25|382.9|223.36|219.1|0|1159.36
Professional|||12045|LAYR CLOS WND REST BODY 12.6-*|1004|1004|841.85|753|853.4|903.6|853.4|1276.3|781.9|734.99|0|0|921.19|841.85|163.77|901.84|875.13|852.1|820.8|920.11|753|901.84|306.66|298.66|306.66|974.46|974.46|189.37|274.66|195.62|1013.44|920.11|920.11|191.26|212.09|208.31|227.24|266.66|877.78|877.78|279.99|855.31|479.99|279.99|274.66|0|1276.3
Professional|||12046|LAYR CLOS WND REST BODY 20.1-*|1137|1137|979.43|852.75|966.45|1023.3|966.45|1536.91|928.9|873.17|0|0|1071.74|979.43|183.63|1049.22|1018.15|991.36|954.94|1070.48|852.75|1049.22|350.96|341.8|350.96|1103.69|1103.69|216.82|314.34|223.98|1147.84|1070.48|1070.48|218.99|242.84|238.5|260.18|305.18|1006.72|1006.72|320.44|980.95|549.32|320.44|314.34|0|1536.91
Professional|||12047|LAYR CLOS WND REST BODY >30CM|1264|1264|1090.81|948|1074.4|1137.6|1074.4|1687.26|1017.8|956.73|0|0|1193.61|1090.81|205.71|1168.53|1133.92|1104.08|1063.54|1192.21|948|1168.53|390.11|379.94|390.11|1226.31|1226.31|240.94|349.41|248.89|1275.36|1192.21|1192.21|243.35|269.85|265.03|289.13|339.23|1203.55|1203.55|356.19|1172.74|610.61|356.19|349.41|0|1687.26
Professional|||12051|LAYR CLOS WND FACEFACIAL <2.*|642|642|537.21|481.5|545.7|577.8|545.7|840.84|516.6|485.6|0|0|587.84|537.21|104.83|575.49|558.45|543.75|523.78|587.15|481.5|575.49|194.94|189.85|194.94|622.38|622.38|120.34|174.6|124.31|647.28|587.15|587.15|121.54|134.78|132.37|144.41|169.51|558.78|558.78|177.99|544.48|305.12|177.99|174.6|0|840.84
Professional|||12052|LAYR CLOS WND FACEFACIAL 2.5*|762|762|638.76|571.5|647.7|685.8|647.7|952.21|583.8|548.77|0|0|698.96|638.76|124.03|684.27|664.01|646.54|622.79|698.14|571.5|684.27|230.95|224.93|230.95|739.74|739.74|142.66|206.85|147.37|769.33|698.14|698.14|144.09|159.78|156.93|171.19|200.83|666.23|666.23|210.87|649.17|361.49|210.87|206.85|0|952.21
Professional|||12053|LAYR CLOS WND FACEFACIAL 5.1*|814|814|683.53|610.5|691.9|732.6|691.9|1113.7|683.9|642.87|0|0|747.94|683.53|132.21|732.23|710.55|691.85|666.44|747.07|610.5|732.23|247.69|241.23|247.69|789.85|789.85|152.93|221.84|157.98|821.44|747.07|747.07|154.46|171.28|168.22|183.52|215.38|710.35|710.35|226.15|692.17|387.68|226.15|221.84|0|1113.7
Professional|||12054|LAYR CLOS WND FACEFACIAL 7.6*|825|825|695.54|618.75|701.25|742.5|701.25|1164.93|714|671.16|0|0|761.09|695.54|134.63|745.1|723.03|704.01|678.15|760.2|618.75|745.1|250.29|243.76|250.29|800.4|800.4|154.72|224.17|159.83|832.42|760.2|760.2|156.27|173.29|170.19|185.66|217.64|725.07|725.07|228.52|706.51|391.75|228.52|224.17|0|1164.93
Professional|||12055|LAYR CLOS WND FACEFACIAL 12.*|1122|1122|946.68|841.5|953.7|1009.8|953.7|1511.29|925.4|869.88|0|0|1035.89|946.68|185.4|1014.13|984.1|958.2|923.01|1034.68|841.5|1014.13|340.01|331.14|340.01|1089.18|1089.18|210.15|304.53|217.08|1132.75|1034.68|1034.68|212.25|235.37|231.17|252.18|295.66|994.27|994.27|310.44|968.82|532.19|310.44|304.53|0|1511.29
Professional|||12056|LAYR CLOS WND FACEFACIAL 20.*|1428|1428|1201.09|1071|1213.8|1285.2|1213.8|1779.69|1089.2|1023.85|0|0|1314.28|1201.09|231.08|1286.67|1248.57|1215.71|1171.06|1312.74|1071|1286.67|438.56|427.12|438.56|1385.86|1385.86|270.96|392.8|279.9|1441.29|1312.74|1312.74|273.67|303.48|298.06|325.15|381.36|1114.16|1114.16|400.43|1085.64|686.45|400.43|392.8|0|1779.69
Professional|||13100|REPR CMPL WND TRUNK 1.1-2.5CM|768|768|644.22|576|652.8|691.2|652.8|1075.83|661.5|621.81|0|0|704.93|644.22|125.37|690.12|669.69|652.06|628.11|704.11|576|690.12|233.01|226.93|233.01|745.01|745.01|143.95|208.7|148.7|774.81|704.11|704.11|145.39|161.22|158.35|172.74|202.62|673.04|673.04|212.75|655.81|364.72|212.75|208.7|0|1075.83
Professional|||13101|REPR CMPL WND TRUNK 2.6-7.5CM|949|949|793.81|711.75|806.65|854.1|806.65|1268.5|779.8|733.01|0|0|868.62|793.81|154.72|850.37|825.19|803.47|773.96|867.6|711.75|850.37|287.55|280.04|287.55|920.39|920.39|177.56|257.54|183.42|957.21|867.6|867.6|179.34|198.87|195.32|213.07|250.04|828.01|828.01|262.54|806.81|450.07|262.54|257.54|0|1268.5
Professional|||13102|REPSKINTRUNKCMPLX+5CM/<|275|275|233.67|206.25|233.75|247.5|233.75|385.34|234.5|220.43|0|0|255.69|233.67|44.59|250.32|242.9|236.51|227.83|255.39|206.25|250.32|82.7|80.54|82.7|266.36|266.36|51.06|74.07|52.74|277.01|255.39|255.39|51.57|57.19|56.17|61.27|71.91|243.19|243.19|75.51|236.97|129.44|75.51|74.07|0|385.34
Professional|||13120|REPR CMPL WND SCALPEXTR 1.1-*|883|883|740.31|662.25|750.55|794.7|750.55|1123.72|689.5|648.13|0|0|810.07|740.31|144.34|793.06|769.57|749.32|721.8|809.13|662.25|793.06|268.63|261.62|268.63|857.11|857.11|166.02|240.6|171.5|891.39|809.13|809.13|167.68|185.94|182.62|199.22|233.59|771.43|771.43|245.27|751.69|420.46|245.27|240.6|0|1123.72
Professional|||13121|REPR CMPL WND SCALPEXTR 2.6-*|995|995|837.49|746.25|845.75|895.5|845.75|1365.4|837.9|787.63|0|0|916.41|837.49|162.67|897.16|870.59|847.68|816.55|915.34|746.25|897.16|301.32|293.46|301.32|965.23|965.23|186.29|269.88|192.44|1003.84|915.34|915.34|188.15|208.64|204.92|223.55|262.02|874.37|874.37|275.12|851.99|471.64|275.12|269.88|0|1365.4
Professional|||13122|REPSKINSCALP/EXTREM+5CM/<|317|317|269.7|237.75|269.45|285.3|269.45|420.98|255.5|240.17|0|0|295.12|269.7|51.43|288.92|280.36|272.98|262.96|294.77|237.75|288.92|95.76|93.26|95.76|307.23|307.23|59.01|85.77|60.96|319.52|294.77|294.77|59.6|66.09|64.91|70.81|83.27|280.51|280.51|87.43|273.33|149.89|87.43|85.77|0|420.98
Professional|||13131|REPR CMPL WND HEADFACHAND 1*|931|931|782.89|698.25|791.35|837.9|791.35|1235.09|756.7|711.3|0|0|856.67|782.89|152.07|838.67|813.84|792.42|763.32|855.67|698.25|838.67|282.14|274.78|282.14|903.25|903.25|174.23|252.7|179.98|939.38|855.67|855.67|175.97|195.14|191.65|209.08|245.34|817.83|817.83|257.61|796.89|441.61|257.61|252.7|0|1235.09
Professional|||13132|REPR CMPL WND HEADFACHAND 2*|1171|1171|985.99|878.25|995.35|1053.9|995.35|1521.31|931|875.14|0|0|1078.9|985.99|191.36|1056.24|1024.96|997.99|961.34|1077.64|878.25|1056.24|353.79|344.56|353.79|1136.65|1136.65|218.62|316.87|225.83|1182.12|1077.64|1077.64|220.81|244.85|240.48|262.34|307.64|1030.48|1030.48|323.02|1004.1|553.75|323.02|316.87|0|1521.31
Professional|||13133|REPFACEGENITALHANDFT+5CM/<|484|484|411.65|363|411.4|435.6|411.4|563.53|340.9|320.45|0|0|450.44|411.65|79.46|440.98|427.92|416.66|401.36|449.91|363|440.98|146.56|142.73|146.56|469.43|469.43|90.57|131.26|93.56|488.21|449.91|449.91|91.48|101.44|99.63|108.68|127.44|430.98|430.98|133.81|419.94|229.39|133.81|131.26|0|563.53
Professional|||13151|REPR CMPL WND LIDNOSEAR 1.1*|1071|1071|900.82|803.25|910.35|963.9|910.35|1350.92|825.3|775.78|0|0|985.71|900.82|174.8|965|936.42|911.78|878.3|984.56|803.25|965|323.76|315.31|323.76|1039.07|1039.07|200.14|289.98|206.74|1080.63|984.56|984.56|202.14|224.16|220.15|240.17|281.53|939.99|939.99|295.61|915.93|506.75|295.61|289.98|0|1350.92
Professional|||13152|REPR CMPL WND LIDNOSEAR 2.5*|1293|1293|1090.81|969.75|1099.05|1163.7|1099.05|1612.64|984.2|925.15|0|0|1193.61|1090.81|211.89|1168.53|1133.92|1104.08|1063.54|1192.21|969.75|1168.53|390.67|380.48|390.67|1255.33|1255.33|241.46|349.9|249.43|1305.54|1192.21|1192.21|243.87|270.44|265.61|289.75|339.71|1140.2|1140.2|356.7|1111.01|611.48|356.7|349.9|0|1612.64
Professional|||13153|REPEYELIDNOSEEARLIP+5CM|522|522|444.4|391.5|443.7|469.8|443.7|612.54|370.3|348.08|0|0|486.28|444.4|85.42|476.07|461.97|449.81|433.29|485.71|391.5|476.07|158.41|154.28|158.41|506.35|506.35|97.76|141.88|100.99|526.6|485.71|485.71|98.74|109.49|107.54|117.31|137.75|463.76|463.76|144.64|451.88|247.95|144.64|141.88|0|612.54
Professional|||13160|SECD CLOS SURG WND EXTEN/COMP*|2949|2949|2507|2211.75|2506.65|2654.1|2506.65|2557.06|1519.7|1428.52|0|0|2743.26|2507|483.82|2685.63|2606.1|2537.52|2444.33|2740.05|2211.75|2685.63|903.61|880.04|903.61|2862.72|2862.72|558.61|809.32|577.04|2977.23|2740.05|2740.05|564.2|625.64|614.47|670.33|785.75|2610.67|2610.67|825.04|2543.84|1414.35|825.04|809.32|0|2977.23
Professional|||14000|ADJ TISS XFER TRUNK <10SQCM|1867|1867|1570.15|1400.25|1586.95|1680.3|1586.95|1982.39|1203.3|1131.1|0|0|1718.12|1570.15|306.8|1682.03|1632.22|1589.26|1530.9|1716.11|1400.25|1682.03|569.45|554.59|569.45|1811.78|1811.78|352.05|510.03|363.67|1884.25|1716.11|1716.11|355.57|394.3|387.26|422.46|495.17|1634.49|1634.49|519.93|1592.65|891.31|519.93|510.03|0|1982.39
Professional|||14001|ADJ TISS XFER TRUNK 10.1-30|2413|2413|2044.04|1809.75|2051.05|2171.7|2051.05|2541.46|1533.7|1441.68|0|0|2236.67|2044.04|397.3|2189.68|2124.83|2068.92|1992.94|2234.04|1809.75|2189.68|734.29|715.13|734.29|2341.86|2341.86|453.92|657.67|468.9|2435.53|2234.04|2234.04|458.46|508.39|499.31|544.7|638.51|2137.87|2137.87|670.44|2083.14|1149.32|670.44|657.67|0|2541.46
Professional|||14020|ADJ TISS XFER SCALPEXTREM <1*|2122|2122|1775.43|1591.5|1803.7|1909.8|1803.7|2212.92|1348.2|1267.31|0|0|1942.74|1775.43|347.86|1901.93|1845.61|1797.04|1731.04|1940.47|1591.5|1901.93|645.24|628.41|645.24|2059.68|2059.68|398.75|577.91|411.91|2142.07|1940.47|1940.47|402.74|446.6|438.63|478.5|561.08|1849.41|1849.41|589.13|1802.07|1009.94|589.13|577.91|0|2212.92
Professional|||14021|ADJ TISS XFER SCALPEXTREM 10*|2676|2676|2247.13|2007|2274.6|2408.4|2274.6|2760.86|1677.2|1576.57|0|0|2458.9|2247.13|439.24|2407.24|2335.95|2274.48|2190.95|2456.02|2007|2407.24|813.65|792.42|813.65|2597.67|2597.67|502.93|728.75|519.53|2701.58|2456.02|2456.02|507.96|563.28|553.22|603.52|707.52|2342.58|2342.58|742.9|2282.61|1273.54|742.9|728.75|0|2760.86
Professional|||14040|ADJ TISS XFER HEADFACHAND <*|2361|2361|1976.34|1770.75|2006.85|2124.9|2006.85|2416.73|1471.4|1383.12|0|0|2162.59|1976.34|387.13|2117.16|2054.46|2000.39|1926.93|2160.05|1770.75|2117.16|717.14|698.43|717.14|2291.75|2291.75|443.14|642.31|457.76|2383.42|2160.05|2160.05|447.57|496.32|487.45|531.77|623.6|2059.8|2059.8|654.78|2007.07|1122.48|654.78|642.31|0|2416.73
Professional|||14041|ADJ TISS XFER HEADFACHAND 1*|2903|2903|2436.03|2177.25|2467.55|2612.7|2467.55|2979.15|1810.2|1701.59|0|0|2665.6|2436.03|475.65|2609.6|2532.32|2465.68|2375.13|2662.48|2177.25|2609.6|879.59|856.64|879.59|2817.89|2817.89|543.73|787.81|561.67|2930.61|2662.48|2662.48|549.17|608.98|598.1|652.48|764.86|2540.54|2540.54|803.1|2475.51|1376.75|803.1|787.81|0|2979.15
Professional|||14060|ADJ TISS XFER LIDNOSEAR <10*|2520|2520|2107.37|1890|2142|2268|2142|2462.39|1496.6|1406.8|0|0|2305.96|2107.37|412.31|2257.52|2190.67|2133.02|2054.69|2303.26|1890|2257.52|765.15|745.19|765.15|2446.03|2446.03|472.91|685.31|488.52|2543.87|2303.26|2303.26|477.64|529.66|520.2|567.49|665.35|2194.41|2194.41|698.62|2138.24|1197.63|698.62|685.31|0|2543.87
Professional|||14061|ADJ TISS XFER LIDNOSEAR 10.*|3109|3109|2606.37|2331.75|2642.65|2798.1|2642.65|3204.11|1948.8|1831.87|0|0|2851.99|2606.37|509.42|2792.07|2709.39|2638.09|2541.21|2848.65|2331.75|2792.07|943|918.4|943|3018.31|3018.31|582.99|844.6|602.23|3139.04|2848.65|2848.65|588.82|652.95|641.29|699.59|820|2718.14|2718.14|861|2648.56|1476|861|844.6|0|3204.11
Professional|||14301|SKIN TISSUE REARRANGEMENT|3264|3264|2757.05|2448|2774.4|2937.6|2774.4|3429.08|2074.1|1949.65|0|0|3016.87|2757.05|537.22|2953.49|2866.03|2790.6|2688.12|3013.34|2448|2953.49|993.59|967.67|993.59|3168.64|3168.64|614.3|889.91|634.57|3295.39|3013.34|3013.34|620.44|688.02|675.73|737.16|863.99|2877.62|2877.62|907.19|2803.96|1555.18|907.19|889.91|0|3429.08
Professional|||14302|SKIN TISSUE REARRANGE ADD-ON|809|809|692.26|606.75|687.65|728.1|687.65|706.09|416.5|391.51|0|0|757.5|692.26|132.86|741.59|719.63|700.69|674.95|756.62|606.75|741.59|246.32|239.89|246.32|784.57|784.57|152.16|220.62|157.18|815.95|756.62|756.62|153.68|170.42|167.38|182.59|214.19|723.94|723.94|224.9|705.41|385.54|224.9|220.62|0|815.95
Professional|||14350|FILLET FINGR/TOE FLAP W PREP|2581|2581|2142.31|1935.75|2193.85|2322.9|2193.85|2185.08|1330.7|1250.86|0|0|2344.2|2142.31|426.19|2294.95|2226.99|2168.38|2088.75|2341.45|1935.75|2294.95|791.37|770.73|791.37|2505.37|2505.37|489.07|708.79|505.21|2605.58|2341.45|2341.45|493.96|547.76|537.98|586.88|688.15|2230.62|2230.62|722.56|2173.52|1238.67|722.56|708.79|0|2605.58
Professional|||15002|WOUND PREP PED TRK/ARM/LG 1*|828|828|706.46|621|703.8|745.2|703.8|1107.02|672|631.68|0|0|773.04|706.46|136.4|756.8|734.38|715.06|688.8|772.13|621|756.8|251.69|245.12|251.69|803.04|803.04|155.49|225.43|160.62|835.16|772.13|772.13|157.04|174.15|171.04|186.59|218.86|740.89|740.89|229.8|721.93|393.95|229.8|225.43|0|1107.02
Professional|||15003|WOUND PREP PED TRK/ARM/LG A*|166|166|144.13|124.5|141.1|149.4|141.1|234.99|141.4|132.92|0|0|157.71|144.13|26.93|154.4|149.83|145.89|140.53|157.53|124.5|154.4|50.69|49.37|50.69|160.87|160.87|31.3|45.4|32.33|167.3|157.53|157.53|31.61|35.06|34.43|37.56|44.08|149.3|149.3|46.28|145.48|79.34|46.28|45.4|0|234.99
Professional|||15004|WND PREP PED FACE/NCK/HND/FT*|993|993|838.58|744.75|844.05|893.7|844.05|1267.39|773.5|727.09|0|0|917.61|838.58|164.43|898.33|871.73|848.79|817.62|916.53|744.75|898.33|302.17|294.29|302.17|963.9|963.9|186.8|270.64|192.96|1002.46|916.53|916.53|188.67|209.22|205.48|224.16|262.76|880.01|880.01|275.9|857.49|472.97|275.9|270.64|0|1267.39
Professional|||15005|WND PREPPED FACE/NCK/HND/FT*|333|333|288.26|249.75|283.05|299.7|283.05|392.02|233.8|219.77|0|0|315.43|288.26|54.08|308.8|299.66|291.77|281.05|315.06|249.75|308.8|102.22|99.56|102.22|323.06|323.06|63.12|91.56|65.2|335.98|315.06|315.06|63.75|70.69|69.43|75.74|88.89|298.63|298.63|93.33|290.99|160|93.33|91.56|0|392.02
Professional|||15050|SKIN PINCH GRAFT PROCEDURE <2*|1663|1663|1393.26|1247.25|1413.55|1496.7|1413.55|1797.51|1096.2|1030.43|0|0|1524.56|1393.26|271.25|1492.54|1448.34|1410.22|1358.43|1522.78|1247.25|1492.54|521.19|507.6|521.19|1613.99|1613.99|322.03|466.81|332.66|1678.55|1522.78|1522.78|325.25|360.67|354.23|386.44|453.21|1439.93|1439.93|475.87|1403.07|815.78|475.87|466.81|0|1797.51
Professional|||15100|SPLIT GRFT TRUNKARMLEG <100*|2639|2639|2241.67|1979.25|2243.15|2375.1|2243.15|2737.47|1646.4|1547.62|0|0|2452.92|2241.67|432.17|2401.39|2330.28|2268.96|2185.63|2450.05|1979.25|2401.39|808.76|787.66|808.76|2562.07|2562.07|499.85|724.37|516.35|2664.55|2450.05|2450.05|504.85|559.83|549.84|599.82|703.27|2327.89|2327.89|738.43|2268.3|1265.89|738.43|724.37|0|2737.47
Professional|||15101|SPLIT GRFTTRUNKARMLEG EA 1*|408|408|351.59|306|346.8|367.2|346.8|591.37|358.4|336.9|0|0|384.73|351.59|66.22|376.64|365.49|355.87|342.8|384.27|306|376.64|125.72|122.44|125.72|395.58|395.58|77.49|112.6|80.05|411.4|384.27|384.27|78.26|86.79|85.24|92.99|109.32|363.09|363.09|114.79|353.79|196.78|114.79|112.6|0|591.37
Professional|||15115|EPI AUTOGRFT FACE/NCK/HND/FT/*|2554|2554|2147.77|1915.5|2170.9|2298.6|2170.9|2522.53|1526.7|1435.1|0|0|2350.17|2147.77|433.49|2300.8|2232.66|2173.91|2094.08|2347.42|1915.5|2300.8|780.33|759.98|780.33|2478.99|2478.99|482.4|698.91|498.32|2578.15|2347.42|2347.42|487.22|540.29|530.64|578.88|678.55|2265.67|2265.67|712.48|2207.67|1221.39|712.48|698.91|0|2578.15
Professional|||15120|SPLIT GRFTHEADFACHANDFEET*|2584|2584|2184.89|1938|2196.4|2325.6|2196.4|2705.18|1633.8|1535.77|0|0|2390.79|2184.89|424|2340.57|2271.26|2211.49|2130.27|2387.99|1938|2340.57|789.1|768.51|789.1|2508.01|2508.01|487.79|706.76|503.89|2608.33|2387.99|2387.99|492.67|546.32|536.57|585.35|686.17|2269.08|2269.08|720.48|2210.99|1235.11|720.48|706.76|0|2705.18
Professional|||15121|SPLIT GRFTHEADFACHANDFEET*|494|494|421.47|370.5|419.9|444.6|419.9|662.65|401.8|377.69|0|0|461.19|421.47|79.9|451.5|438.13|426.6|410.93|460.65|370.5|451.5|152.2|148.23|152.2|478.65|478.65|93.91|136.32|97.01|497.8|460.65|460.65|94.85|105.18|103.3|112.69|132.35|435.48|435.48|138.97|424.34|238.23|138.97|136.32|0|662.65
Professional|||15135|DERM AUTOGRAFT FACE/NCK/HND/F*|2793|2793|2343.22|2094.75|2374.05|2513.7|2374.05|2730.79|1656.2|1556.83|0|0|2564.04|2343.22|448.05|2510.18|2435.84|2371.74|2284.64|2561.04|2094.75|2510.18|864.39|841.84|864.39|2711.08|2711.08|534.24|774.19|551.87|2819.52|2561.04|2561.04|539.58|598.35|587.66|641.09|751.64|2383.3|2383.3|789.22|2322.29|1352.95|789.22|774.19|0|2819.52
Professional|||15200|FULL THICK GRFT TRUNK <20 SQCM|2502|2502|2111.73|1876.5|2126.7|2251.8|2126.7|2653.95|1607.9|1511.43|0|0|2310.74|2111.73|408.78|2262.2|2195.21|2137.44|2058.94|2308.04|1876.5|2262.2|765.41|745.44|765.41|2428.89|2428.89|473.17|685.54|488.78|2526.05|2308.04|2308.04|477.9|529.95|520.49|567.8|665.57|2189.9|2189.9|698.85|2133.84|1198.03|698.85|685.54|0|2653.95
Professional|||15201|FULL THICK GRFT TRUNK ADD 20 *|288|288|246.77|216|244.8|259.2|244.8|461.07|281.4|264.52|0|0|270.02|246.77|47.24|264.35|256.52|249.77|240.6|269.71|216|264.35|87.47|85.19|87.47|279.54|279.54|53.88|78.34|55.66|290.72|269.71|269.71|54.42|60.35|59.27|64.66|76.06|256.78|256.78|79.86|250.2|136.91|79.86|78.34|0|461.07
Professional|||15220|FULL THICK GRFT SCALPARMLEG*|2299|2299|1929.39|1724.25|1954.15|2069.1|1954.15|2456.82|1495.2|1405.49|0|0|2111.21|1929.39|375.88|2066.86|2005.65|1952.87|1881.16|2108.74|1724.25|2066.86|699.97|681.71|699.97|2231.1|2231.1|432.62|626.93|446.9|2320.34|2108.74|2108.74|436.95|484.53|475.88|519.14|608.67|2004.39|2004.39|639.1|1953.08|1095.61|639.1|626.93|0|2456.82
Professional|||15221|FULL THICK GRFT SCALPARM ADD*|263|263|223.84|197.25|223.55|236.7|223.55|431|263.2|247.41|0|0|244.93|223.84|42.82|239.79|232.69|226.56|218.24|244.65|197.25|239.79|79.5|77.43|79.5|254.49|254.49|49.01|71.2|50.63|264.67|244.65|244.65|49.5|54.89|53.91|58.81|69.13|234.15|234.15|72.59|228.15|124.43|72.59|71.2|0|431
Professional|||15240|FULL THICK GRFT HEADFACHAND*|2999|2999|2512.46|2249.25|2549.15|2699.1|2549.15|2971.35|1805.3|1696.98|0|0|2749.23|2512.46|491.53|2691.48|2611.77|2543.04|2449.65|2746.01|2249.25|2691.48|913.49|889.66|913.49|2911.5|2911.5|564.77|818.17|583.41|3027.96|2746.01|2746.01|570.42|632.54|621.25|677.72|794.34|2611.8|2611.8|834.06|2544.95|1429.81|834.06|818.17|0|3027.96
Professional|||15241|FULL THICK GRFT HEADFACHA A*|407|407|347.22|305.25|345.95|366.3|345.95|581.35|354.2|332.95|0|0|379.95|347.22|67.32|371.96|360.95|351.45|338.54|379.5|305.25|371.96|123.76|120.53|123.76|394.26|394.26|76.46|110.85|78.98|410.03|379.5|379.5|77.22|85.64|84.11|91.75|107.62|364.22|364.22|113|354.9|193.72|113|110.85|0|581.35
Professional|||15260|FULL THICK GRFT NOSEARLID <*|3218|3218|2691.53|2413.5|2735.3|2896.2|2735.3|3216.37|1957.9|1840.43|0|0|2945.18|2691.53|527.08|2883.31|2797.92|2724.29|2624.24|2941.73|2413.5|2883.31|975.81|950.35|975.81|3123.8|3123.8|603.26|873.99|623.17|3248.75|2941.73|2941.73|609.29|675.65|663.59|723.91|848.53|2802.96|2802.96|890.96|2731.21|1527.35|890.96|873.99|0|3248.75
Professional|||15271|APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM|313|313|264.24|234.75|266.05|281.7|266.05|461.07|282.1|265.17|0|0|289.14|264.24|50.98|283.07|274.68|267.46|257.63|288.8|234.75|283.07|95.9|93.4|95.9|303.28|303.28|59.27|85.89|61.23|315.41|288.8|288.8|59.86|66.38|65.2|71.12|83.39|276|276|87.56|268.94|150.1|87.56|85.89|0|461.07
Professional|||15272|APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM|64|64|54.6|48|54.4|57.6|54.4|84.64|51.1|48.03|0|0|59.74|54.6|10.15|58.49|56.75|55.26|53.24|59.67|48|58.49|19.63|19.12|19.63|61.98|61.98|12.06|17.58|12.46|64.46|59.67|59.67|12.18|13.51|13.27|14.47|17.07|56.54|56.54|17.92|55.1|30.73|17.92|17.58|0|84.64
Professional|||15273|APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM|742|742|637.67|556.5|630.7|667.8|630.7|972.26|586.6|551.4|0|0|697.76|637.67|119.62|683.1|662.88|645.43|621.73|696.95|556.5|683.1|225.57|219.69|225.57|719.96|719.96|139.33|202.03|143.93|748.76|696.95|696.95|140.72|156.05|153.26|167.2|196.15|663.99|663.99|205.96|646.99|353.07|205.96|202.03|0|972.26
Professional|||15274|APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM|166|166|145.22|124.5|141.1|149.4|141.1|239.45|143.5|134.89|0|0|158.91|145.22|26.93|155.57|150.96|146.99|141.59|158.72|124.5|155.57|50.69|49.37|50.69|160.87|160.87|31.3|45.4|32.33|167.3|158.72|158.72|31.61|35.06|34.43|37.56|44.08|150.44|150.44|46.28|146.58|79.34|46.28|45.4|0|239.45
Professional|||15275|SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM|359|359|299.18|269.25|305.15|323.1|305.15|486.69|299.6|281.62|0|0|327.38|299.18|58.27|320.5|311.01|302.82|291.7|326.99|269.25|320.5|109.42|106.57|109.42|348.12|348.12|67.48|98|69.71|362.04|326.99|326.99|68.15|75.58|74.23|80.98|95.15|312.19|312.19|99.91|304.19|171.27|99.91|98|0|486.69
Professional|||15276|SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM|94|94|79.71|70.5|79.9|84.6|79.9|109.14|66.5|62.51|0|0|87.22|79.71|15.22|85.39|82.86|80.68|77.72|87.12|70.5|85.39|29.07|28.31|29.07|90.99|90.99|17.96|26.04|18.55|94.63|87.12|87.12|18.14|20.12|19.76|21.55|25.28|82.58|82.58|26.54|80.46|45.5|26.54|26.04|0|109.14
Professional|||15277|SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM|840|840|720.65|630|714|756|714|1063.58|641.2|602.73|0|0|788.57|720.65|134.42|772|749.14|729.43|702.63|787.64|630|772|256.19|249.5|256.19|814.91|814.91|158.32|229.45|163.54|847.51|787.64|787.64|159.9|177.32|174.15|189.98|222.77|744.3|744.3|233.91|725.24|400.99|233.91|229.45|0|1063.58
Professional|||15278|SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM|210|210|181.26|157.5|178.5|189|178.5|282.88|170.1|159.89|0|0|198.34|181.26|33.77|194.17|188.42|183.46|176.73|198.1|157.5|194.17|63.94|62.27|63.94|203.07|203.07|39.51|57.27|40.81|211.19|198.1|198.1|39.91|44.25|43.46|47.41|55.6|188.89|188.89|58.38|184.05|100.08|58.38|57.27|0|282.88
Professional|||15570|FORM SKIN PEDICLE FLAP TRUNK|2717|2717|2300.63|2037.75|2309.45|2445.3|2309.45|2900.07|1751.4|1646.32|0|0|2517.44|2300.63|447.39|2464.56|2391.57|2328.64|2243.11|2514.49|2037.75|2464.56|833.52|811.78|833.52|2637.23|2637.23|515.25|746.54|532.25|2742.72|2514.49|2514.49|520.4|577.08|566.78|618.3|724.8|2394.61|2394.61|761.04|2333.31|1304.64|761.04|746.54|0|2900.07
Professional|||15572|FORM SKIN PEDICLE FLAP SCALP*|2766|2766|2332.3|2074.5|2351.1|2489.4|2351.1|2821|1705.9|1603.55|0|0|2552.09|2332.3|455.56|2498.48|2424.49|2360.69|2273.99|2549.1|2074.5|2498.48|842.39|820.41|842.39|2684.7|2684.7|520.64|754.49|537.82|2792.09|2549.1|2549.1|525.85|583.12|572.7|624.77|732.51|2434.2|2434.2|769.14|2371.89|1318.52|769.14|754.49|0|2821
Professional|||15574|FORM SKIN PEDICLE FLAP FACEG*|2824|2824|2379.25|2118|2400.4|2541.6|2400.4|2878.91|1742.3|1637.76|0|0|2603.47|2379.25|468.36|2548.78|2473.3|2408.21|2319.77|2600.42|2118|2548.78|859.51|837.09|859.51|2741.4|2741.4|531.16|769.82|548.69|2851.06|2600.42|2600.42|536.47|594.9|584.28|637.39|747.4|2493.04|2493.04|784.77|2429.23|1345.32|784.77|769.82|0|2878.91
Professional|||15576|FORM SKIN PEDICLE FLAP LIDEA*|2501|2501|2093.17|1875.75|2125.85|2250.9|2125.85|2553.71|1554.7|1461.42|0|0|2290.43|2093.17|410.75|2242.31|2175.91|2118.65|2040.84|2287.75|1875.75|2242.31|759.15|739.35|759.15|2427.57|2427.57|469.32|679.93|484.81|2524.67|2287.75|2287.75|474.01|525.64|516.25|563.18|660.13|2184.23|2184.23|693.14|2128.32|1188.23|693.14|679.93|0|2553.71
Professional|||15600|DELAY/SECTN FLAP TRUNK|779|779|645.31|584.25|662.15|701.1|662.15|1035.74|641.2|602.73|0|0|706.13|645.31|128.45|691.29|670.82|653.17|629.18|705.3|584.25|691.29|239.81|233.55|239.81|755.57|755.57|148.05|214.79|152.94|785.79|705.3|705.3|149.53|165.82|162.86|177.66|208.53|669.63|669.63|218.96|652.49|375.35|218.96|214.79|0|1035.74
Professional|||15610|DELAY/SECTN FLAP SCALPARMLEG|901|901|749.04|675.75|765.85|810.9|765.85|1131.52|697.9|656.03|0|0|819.63|749.04|149.21|802.41|778.65|758.16|730.31|818.67|675.75|802.41|276.17|268.97|276.17|874.24|874.24|170.63|247.35|176.26|909.21|818.67|818.67|172.34|191.11|187.69|204.76|240.15|786.15|786.15|252.16|766.03|432.27|252.16|247.35|0|1131.52
Professional|||15620|DELAY/SECTN FLAP FACEGENITH*|1215|1215|1012.19|911.25|1032.75|1093.5|1032.75|1394.35|856.1|804.73|0|0|1107.58|1012.19|201.73|1084.31|1052.2|1024.51|986.89|1106.28|911.25|1084.31|371.84|362.14|371.84|1178.84|1178.84|229.65|333.04|237.23|1225.99|1106.28|1106.28|231.95|257.21|252.62|275.58|323.34|1054.21|1054.21|339.51|1027.23|582.01|339.51|333.04|0|1394.35
Professional|||15630|DELAY/SECTN FLAP LIDNOSEAR*|1295|1295|1077.71|971.25|1100.75|1165.5|1100.75|1457.83|894.6|840.92|0|0|1179.27|1077.71|213.21|1154.49|1120.3|1090.82|1050.77|1177.89|971.25|1154.49|393.91|383.63|393.91|1256.64|1256.64|243.51|352.81|251.55|1306.91|1177.89|1177.89|245.95|272.73|267.86|292.21|342.53|1125.48|1125.48|359.66|1096.67|616.55|359.66|352.81|0|1457.83
Professional|||15650|TRANSFER SKIN PEDICLE FLAP|1436|1436|1202.18|1077|1220.6|1292.4|1220.6|1617.09|988.4|929.1|0|0|1315.47|1202.18|234.18|1287.84|1249.7|1216.81|1172.13|1313.93|1077|1287.84|436.44|425.05|436.44|1393.77|1393.77|269.68|390.9|278.58|1449.52|1313.93|1313.93|272.38|302.04|296.65|323.62|379.51|1245.37|1245.37|398.49|1213.49|683.12|398.49|390.9|0|1617.09
Professional|||15731|FOREHEAD FLAP W/VASC PEDICLE|3733|3733|3140.3|2799.75|3173.05|3359.7|3173.05|3568.29|2156|2026.64|0|0|3436.24|3140.3|615.58|3364.06|3264.43|3178.53|3061.79|3432.22|2799.75|3364.06|1140.47|1110.72|1140.47|3623.55|3623.55|704.88|1021.46|728.14|3768.49|3432.22|3432.22|711.93|789.47|775.37|845.86|991.71|3274.66|3274.66|1041.3|3190.83|1785.08|1041.3|1021.46|0|3768.49
Professional|||15733|PR MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL|3926|3926|3288.8|2944.5|3337.1|3533.4|3337.1|3354.46|2023|1901.62|0|0|3598.74|3288.8|0|3523.14|3418.8|3328.83|3206.58|3594.52|2944.5|3523.14|1188|1157|1188|3810.8|3810.8|734.38|1064.03|758.61|3963.23|3594.52|3594.52|741.72|822.51|807.82|881.26|1033.04|3412.64|3412.64|1084.69|3325.29|1859.47|1084.69|1064.03|0|3963.23
Professional|||15734|MUSCLE-SKIN FLAPTRUNK|5527|5527|4746.49|4145.25|4697.95|4974.3|4697.95|4840.14|2849|2678.06|0|0|5192.6|4746.49|790.61|5084.69|4932.97|4803.16|4627.83|5187.71|4145.25|5084.69|1692.17|1648.02|1692.17|5365.45|5365.45|1046.15|1515.59|1080.67|5580.07|5187.71|5187.71|1056.61|1171.69|1150.77|1255.38|1471.45|4292.69|4292.69|1545.02|4182.8|2648.61|1545.02|1515.59|0|5580.07
Professional|||15736|MUSCLE-SKIN FLAPARM|4546|4546|3854.41|3409.5|3864.1|4091.4|3864.1|3931.36|2342.2|2201.67|0|0|4217.64|3854.41|689.29|4129.04|4006.76|3901.32|3758.05|4212.7|3409.5|4129.04|1387.71|1351.5|1387.71|4413.41|4413.41|857.81|1242.9|886.12|4589.95|4212.7|4212.7|866.39|960.75|943.59|1029.37|1206.7|3706.74|3706.74|1267.04|3611.85|2172.06|1267.04|1242.9|0|4589.95
Professional|||15738|MUSCLE-SKIN FLAPLEG|4837|4837|4111|3627.75|4111.45|4353.3|4111.45|4193.08|2492.7|2343.14|0|0|4498.42|4111|740.95|4403.92|4273.5|4161.04|4008.23|4493.15|3627.75|4403.92|1466.93|1428.66|1466.93|4695.59|4695.59|906.82|1313.86|936.75|4883.41|4493.15|4493.15|915.89|1015.64|997.5|1088.18|1275.59|4001.97|4001.97|1339.37|3899.52|2296.06|1339.37|1313.86|0|4883.41
Professional|||15740|ISLAND PEDICLE FLAP GRAFT|3157|3157|2650.04|2367.75|2683.45|2841.3|2683.45|3210.8|1948.8|1831.87|0|0|2899.78|2650.04|522.66|2838.86|2754.79|2682.3|2583.79|2896.38|2367.75|2838.86|956.73|931.77|956.73|3064.47|3064.47|591.46|856.9|610.98|3187.05|2896.38|2896.38|597.37|662.44|650.61|709.75|831.94|2779.23|2779.23|873.54|2708.08|1497.49|873.54|856.9|0|3210.8
Professional|||15750|NEUROVASCULAR PEDICLE GRAFT|3405|3405|2881.52|2553.75|2894.25|3064.5|2894.25|2939.05|1755.6|1650.26|0|0|3153.08|2881.52|558.63|3086.84|2995.42|2916.6|2809.48|3149.38|2553.75|3086.84|1042.18|1014.99|1042.18|3305.77|3305.77|644.32|933.43|665.58|3438|3149.38|3149.38|650.76|721.64|708.75|773.18|906.24|2982.83|2982.83|951.55|2906.48|1631.23|951.55|933.43|0|3438
Professional|||15756|FREE MUSC-SKIN FLAP W/MICROVA*|8512|8512|7229.47|6384|7235.2|7660.8|7235.2|7373.81|4386.9|4123.69|0|0|7910.77|7229.47|1408.4|7744.58|7515.23|7317.46|7048.73|7901.5|6384|7744.58|2598.47|2530.68|2598.47|8263.77|8263.77|1606.31|2327.33|1659.32|8594.32|7901.5|7901.5|1622.37|1799.07|1766.94|1927.57|2259.54|7557.13|7557.13|2372.52|7363.69|4067.17|2372.52|2327.33|0|8594.32
Professional|||15757|FREE SKIN FLAP W MICROVASC AN*|8431|8431|7153.04|6323.25|7166.35|7587.9|7166.35|7295.85|4344.9|4084.21|0|0|7827.13|7153.04|1390.31|7662.7|7435.78|7240.1|6974.21|7817.96|6323.25|7662.7|2585.65|2518.2|2585.65|8184.65|8184.65|1598.61|2315.84|1651.36|8512.04|7817.96|7817.96|1614.6|1790.44|1758.47|1918.33|2248.39|7451.96|7451.96|2360.81|7261.2|4047.1|2360.81|2315.84|0|8512.04
Professional|||15758|FREE FASCIAL FLAP W MICROVASC*|8505|8505|7216.37|6378.75|7229.25|7654.5|7229.25|7360.44|4383.4|4120.4|0|0|7896.43|7216.37|1390.97|7730.55|7501.61|7304.2|7035.96|7887.18|6378.75|7730.55|2601.78|2533.91|2601.78|8257.17|8257.17|1608.36|2330.29|1661.44|8587.46|7887.18|7887.18|1624.44|1801.36|1769.2|1930.03|2262.42|7473.45|7473.45|2375.54|7282.15|4072.36|2375.54|2330.29|0|8587.46
Professional|||15760|COMPOSITE SKIN GRAFT|2639|2639|2212.19|1979.25|2243.15|2375.1|2243.15|2701.84|1643.6|1544.98|0|0|2420.66|2212.19|434.82|2369.81|2299.63|2239.11|2156.89|2417.83|1979.25|2369.81|803.13|782.17|803.13|2562.07|2562.07|496.52|719.32|512.91|2664.55|2417.83|2417.83|501.49|556.1|546.17|595.82|698.37|2307.53|2307.53|733.29|2248.46|1257.07|733.29|719.32|0|2701.84
Professional|||15769|PR GRAFTING OF AUTOLOGOUS SOFT TISSUE BY DIRECT EXC|1793|1793|1513.37|1344.75|1524.05|1613.7|1524.05|1543.59|0|0|0|0|1655.99|1513.37|0|1621.2|1573.19|1531.79|1475.54|918.92|1344.75|1621.2|547.81|533.52|547.81|1740.58|1740.58|338.45|490.65|349.62|1810.2|918.92|918.92|341.83|379.06|372.3|406.14|476.36|1567.77|1567.77|500.18|1527.64|857.45|500.18|490.65|0|1810.2
Professional|||15770|DERMA-FAT-FASCIA GRAFT|2487|2487|2084.44|1865.25|2113.95|2238.3|2113.95|2126.05|1281.7|1204.8|0|0|2280.87|2084.44|410.97|2232.96|2166.83|2109.81|2032.33|2278.2|1865.25|2232.96|760.59|740.75|760.59|2414.38|2414.38|470.09|681.22|485.6|2510.96|2278.2|2278.2|474.79|526.5|517.1|564.11|661.38|2170.64|2170.64|694.45|2115.08|1190.48|694.45|681.22|0|2510.96
Professional|||15771|PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS|1778|1778|1502.45|1333.5|1511.3|1600.2|1511.3|1843.17|0|0|0|0|1644.04|1502.45|0|1609.51|1561.84|1520.74|1464.89|912.29|1333.5|1609.51|543.32|529.14|543.32|1726.07|1726.07|335.88|486.62|346.96|1795.11|912.29|912.29|339.24|376.19|369.47|403.06|472.45|1556.45|1556.45|496.07|1516.61|850.41|496.07|486.62|0|1843.17
Professional|||15772|PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC|517|517|444.4|387.75|439.45|465.3|439.45|581.35|0|0|0|0|486.28|444.4|0|476.07|461.97|449.81|433.29|269.84|387.75|476.07|158.01|153.89|158.01|501.07|501.07|97.5|141.52|100.72|521.11|269.84|269.84|98.48|109.2|107.25|117|137.4|460.38|460.38|144.27|448.6|247.32|144.27|141.52|0|581.35
Professional|||15775|HAIR XPLANT PUNCH GRFT 1-15|829|829|701|621.75|704.65|746.1|704.65|973.37|591.5|556.01|0|0|767.06|701|134.63|750.95|728.71|709.53|683.48|766.16|621.75|750.95|292.31|284.68|292.31|804.35|804.35|180.64|261.81|186.6|836.52|766.16|766.16|182.45|202.32|198.7|216.77|254.18|726.21|726.21|266.89|707.62|457.52|266.89|261.81|0|973.37
Professional|||15777|PR IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT|796|796|682.44|597|676.6|716.4|676.6|696.06|410.2|385.59|0|0|746.75|682.44|127.57|731.06|709.41|690.74|665.38|745.88|597|731.06|243.29|236.95|243.29|772.71|772.71|150.36|217.91|155.32|803.62|745.88|745.88|151.86|168.4|165.4|180.43|211.56|704.71|704.71|222.14|686.67|380.81|222.14|217.91|0|803.62
Professional|||15820|REVISION OF LOWER EYELID|1926|1926|1588.71|1444.5|1637.1|1733.4|1637.1|1805.31|1110.9|1044.25|0|0|1738.43|1588.71|314.3|1701.91|1651.51|1608.05|1548.99|1736.4|1444.5|1701.91|593.54|578.05|593.54|1869.8|1869.8|366.93|531.6|379.04|1944.59|1736.4|1736.4|370.6|410.96|403.62|440.32|516.12|1692.17|1692.17|541.93|1648.85|929.02|541.93|531.6|0|1944.59
Professional|||15822|REVISION OF UPPER EYELID|1478|1478|1214.19|1108.5|1256.3|1330.2|1256.3|1418.85|875.7|823.16|0|0|1328.62|1214.19|241.47|1300.71|1262.19|1228.97|1183.84|1327.06|1108.5|1300.71|455.09|443.22|455.09|1434.66|1434.66|281.23|407.6|290.51|1492.05|1327.06|1327.06|284.04|314.98|309.35|337.48|395.73|1256.69|1256.69|415.52|1224.52|712.31|415.52|407.6|0|1492.05
Professional|||15823|REV UPPER EYELID W EXCESS SKIN|2070|2070|1693.54|1552.5|1759.5|1863|1759.5|1934.5|1198.4|1126.5|0|0|1853.13|1693.54|336.81|1814.2|1760.48|1714.15|1651.2|1850.96|1552.5|1814.2|633.81|617.28|633.81|2009.57|2009.57|391.82|567.67|404.75|2089.95|1850.96|1850.96|395.74|438.84|431|470.18|551.14|1747.61|1747.61|578.7|1702.87|992.05|578.7|567.67|0|2089.95
Professional|||15830|EXCISE EXCESS SKIN TISSUEABD*|4334|4334|3685.16|3250.5|3683.9|3900.6|3683.9|3758.74|2233.7|2099.68|0|0|4032.45|3685.16|708.29|3947.74|3830.83|3730.02|3593.03|4027.73|3250.5|3947.74|1330.32|1295.62|1330.32|4207.7|4207.7|822.4|1191.5|849.54|4376.01|4027.73|4027.73|830.62|921.09|904.64|986.88|1156.8|3819.86|3819.86|1214.64|3722.07|2082.24|1214.64|1191.5|0|4376.01
Professional|||15832|EXCISE EXCESS SKIN TISSUETHI*|3407|3407|2882.62|2555.25|2895.95|3066.3|2895.95|2940.17|1757|1651.58|0|0|3154.27|2882.62|558.42|3088.01|2996.56|2917.7|2810.55|3150.58|2555.25|3088.01|1045.14|1017.88|1045.14|3307.08|3307.08|646.11|936.08|667.43|3439.36|3150.58|3150.58|652.57|723.64|710.72|775.33|908.82|2972.65|2972.65|954.26|2896.56|1635.88|954.26|936.08|0|3439.36
Professional|||15834|EXCISE EXCESS SKIN TISSUEHIP|3302|3302|2786.53|2476.5|2806.7|2971.8|2806.7|2842.16|1702.4|1600.26|0|0|3049.13|2786.53|542.3|2985.07|2896.67|2820.44|2716.87|3045.56|2476.5|2985.07|1016.17|989.67|1016.17|3205.55|3205.55|628.15|910.14|648.88|3333.77|3045.56|3045.56|634.43|703.53|690.97|753.78|883.63|2883.27|2883.27|927.81|2809.46|1590.53|927.81|910.14|0|3333.77
Professional|||15836|EXCISE EXCESS SKIN TISSUEARM|2938|2938|2473.15|2203.5|2497.3|2644.2|2497.3|2522.53|1514.8|1423.91|0|0|2706.22|2473.15|460.41|2649.37|2570.91|2503.26|2411.32|2703.05|2203.5|2649.37|848.88|826.74|848.88|2852.16|2852.16|524.74|760.3|542.06|2966.25|2703.05|2703.05|529.99|587.71|577.21|629.69|738.16|2558.63|2558.63|775.07|2493.14|1328.69|775.07|760.3|0|2966.25
Professional|||15837|EXCISE EXCESS SKIN TISSUEFOR*|2675|2675|2251.5|2006.25|2273.75|2407.5|2273.75|2750.84|1667.4|1567.36|0|0|2463.68|2251.5|402.37|2411.92|2340.49|2278.9|2195.21|2460.79|2006.25|2411.92|820.26|798.86|820.26|2596.36|2596.36|507.04|734.67|523.77|2700.21|2460.79|2460.79|512.11|567.88|557.74|608.45|713.27|2313.17|2313.17|748.93|2253.96|1283.89|748.93|734.67|0|2750.84
Professional|||15839|EXCISE EXCESS SKIN TISSUEOTH*|2726|2726|2309.37|2044.5|2317.1|2453.4|2317.1|2814.32|1696.1|1594.33|0|0|2527|2309.37|446.51|2473.92|2400.65|2337.48|2251.64|2524.04|2044.5|2473.92|835.22|813.43|835.22|2646.46|2646.46|516.27|748.07|533.31|2752.32|2524.04|2524.04|521.43|578.22|567.9|619.52|726.28|2394.61|2394.61|762.59|2333.31|1307.3|762.59|748.07|0|2814.32
Professional|||15847|EXCISE EXCESS SKIN TISSUEABD*|1394|1394|0|1045.5|1184.9|1254.6|1184.9|617.61|0|0|0|0|582.52|0|291.36|0|553.4|538.83|0|334.44|1045.5|0|368.23|358.62|368.23|1170.93|1170.93|343.07|329.81|354.39|1217.77|334.44|334.44|346.5|384.24|377.38|411.68|320.2|1353.04|1353.04|336.21|1318.4|576.36|336.21|329.81|0|1394
Professional|||15851|REM SUTURES W ANESTH OTHR SUR*|170|170|143.04|127.5|144.5|153|144.5|317.4|196.7|184.9|0|0|156.52|143.04|27.58|153.23|148.69|144.78|139.46|156.34|127.5|153.23|52.14|50.78|52.14|164.82|164.82|32.07|46.7|33.13|171.41|156.34|156.34|32.39|35.92|35.28|38.48|45.34|148.17|148.17|47.61|144.37|81.61|47.61|46.7|0|317.4
Professional|||15852|DRESSING CHANGENOT FOR BURN|170|170|145.22|127.5|144.5|153|144.5|148.12|87.5|82.25|0|0|158.91|145.22|27.81|155.57|150.96|146.99|141.59|158.72|127.5|155.57|52.31|50.95|52.31|164.82|164.82|32.33|46.85|33.4|171.41|158.72|158.72|32.65|36.21|35.56|38.8|45.49|152.7|152.7|47.76|148.8|81.88|47.76|46.85|0|171.41
Professional|||15860|IV INJ TO TEST BLOOD FLOW IN *|393|393|338.49|294.75|334.05|353.7|334.05|345.25|202.3|190.16|0|0|370.39|338.49|65.77|362.61|351.87|342.61|330.03|369.95|294.75|362.61|120.98|117.82|120.98|381.08|381.08|74.67|108.36|77.13|396.32|369.95|369.95|75.42|83.63|82.14|89.6|105.2|358.58|358.58|110.46|349.4|189.36|110.46|108.36|0|396.32
Professional|||15877|SUCT ASSIS LIPECTOMYTRUNK|2232|2232|0|1674|1897.2|2008.8|1897.2|511.03|0|0|0|0|482|0|0|0|457.9|445.85|0|655.13|1674|0|0|0|0|2166.49|2166.49|0|0|0|2253.15|655.13|655.13|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.15
Professional|||15878|SUCT ASSIS LIPECTOMYUP EXTREM|1250|1250|0|937.5|1062.5|1125|1062.5|0|0|0|0|0|0|0|0|0|0|0|0|43.49|937.5|0|0|0|0|1213.13|1213.13|0|0|0|1261.66|43.49|43.49|0|0|0|0|0|0|0|0|0|0|0|0|0|1261.66
Professional|||15879|SUCT ASSIS LIPECTOMYLOW EXTR*|2232|2232|0|1674|1897.2|2008.8|1897.2|0|0|0|0|0|0|0|0|0|0|0|0|259.93|1674|0|0|0|0|2166.49|2166.49|0|0|0|2253.15|259.93|259.93|0|0|0|0|0|0|0|0|0|0|0|0|0|2253.15
Professional|||15931|EXC SACR PRESS ULC W PRI SUTU*|2525|2525|2177.25|1893.75|2146.25|2272.5|2146.25|2220.72|1301.3|1223.22|0|0|2382.43|2177.25|405.45|2332.38|2263.31|2203.75|2122.82|2379.64|1893.75|2332.38|780.86|760.49|780.86|2451.3|2451.3|482.66|699.38|498.59|2549.35|2379.64|2379.64|487.49|540.58|530.93|579.19|679.01|2234|2234|712.96|2176.81|1222.22|712.96|699.38|0|2549.35
Professional|||15933|EXC SACR PRESS ULC BONE & SUT*|3146|3146|2683.89|2359.5|2674.1|2831.4|2674.1|2737.47|1621.2|1523.93|0|0|2936.82|2683.89|508.76|2875.12|2789.98|2716.56|2616.79|2933.38|2359.5|2875.12|973.44|948.05|973.44|3053.91|3053.91|601.72|871.86|621.58|3176.07|2933.38|2933.38|607.74|673.93|661.89|722.06|846.47|2744.15|2744.15|888.79|2673.9|1523.65|888.79|871.86|0|3176.07
Professional|||15936|EXC SACR PRESS ULC W MUSC FLA*|3278|3278|2808.37|2458.5|2786.3|2950.2|2786.3|2864.44|1689.1|1587.75|0|0|3073.03|2808.37|531.93|3008.47|2919.37|2842.55|2738.16|3069.42|2458.5|3008.47|1013.07|986.64|1013.07|3181.82|3181.82|626.1|907.36|646.76|3309.09|3069.42|3069.42|632.36|701.23|688.71|751.32|880.93|2893.45|2893.45|924.98|2819.38|1585.67|924.98|907.36|0|3309.09
Professional|||15937|EXC SACR PRESS ULC BONE/W MUS*|3820|3820|3259.32|2865|3247|3438|3247|3324.39|1968.4|1850.3|0|0|3566.48|3259.32|620.43|3491.55|3388.15|3298.99|3177.84|3562.3|2865|3491.55|1178.3|1147.56|1178.3|3707.94|3707.94|728.48|1055.35|752.52|3856.26|3562.3|3562.3|735.76|815.9|801.33|874.18|1024.61|3351.56|3351.56|1075.84|3265.77|1844.3|1075.84|1055.35|0|3856.26
Professional|||15946|EXC ISCH PRES ULC BONE MYOCUT*|6006|6006|5117.74|4504.5|5105.1|5405.4|5105.1|5219.91|3095.4|2909.68|0|0|5600.03|5117.74|987.49|5482.38|5320.03|5180.03|4989.8|5593.47|4504.5|5482.38|1841.31|1793.28|1841.31|5830.92|5830.92|1138.27|1649.17|1175.83|6064.16|5593.47|5593.47|1149.65|1274.86|1252.1|1365.92|1601.14|5316.36|5316.36|1681.2|5180.27|2882.05|1681.2|1649.17|0|6064.16
Professional|||15950|EXC TROC PRES ULC W PRIM CLOS|2218|2218|1891.17|1663.5|1885.3|1996.2|1885.3|1928.93|1143.8|1075.17|0|0|2069.39|1891.17|353.16|2025.92|1965.92|1914.19|1843.89|2066.97|1663.5|2025.92|689.7|671.71|689.7|2153.29|2153.29|426.21|617.73|440.27|2239.42|2066.97|2066.97|430.47|477.36|468.83|511.45|599.74|1920.68|1920.68|629.73|1871.51|1079.53|629.73|617.73|0|2239.42
Professional|||16000|INITIAL RX BURN(S) 1ST DEGREE|170|170|144.13|127.5|144.5|153|144.5|222.74|135.8|127.65|0|0|157.71|144.13|27.38|154.4|149.83|145.89|140.53|157.53|127.5|154.4|52.15|50.79|52.15|164.82|164.82|32.07|46.71|33.13|171.41|157.53|157.53|32.39|35.92|35.28|38.48|45.35|149.3|149.3|47.62|145.48|81.63|47.62|46.71|0|222.74
Professional|||16020|DRESS/DEBRID SMALL BURN NO AN*|204|204|169.24|153|173.4|183.6|173.4|258.38|158.9|149.37|0|0|185.19|169.24|33.11|181.3|175.93|171.3|165.01|184.98|153|181.3|62.18|60.56|62.18|197.8|197.8|38.23|55.69|39.49|205.71|184.98|184.98|38.61|42.82|42.05|45.88|54.07|175.33|175.33|56.77|170.85|97.33|56.77|55.69|0|258.38
Professional|||16025|DRESS/DEBRID MED BURN NO ANES*|408|408|345.04|306|346.8|367.2|346.8|474.44|288.4|271.1|0|0|377.56|345.04|67.32|369.63|358.68|349.24|336.41|377.11|306|369.63|125.09|121.82|125.09|395.58|395.58|77.23|112.03|79.78|411.4|377.11|377.11|78|86.5|84.95|92.68|108.77|361.95|361.95|114.21|352.69|195.79|114.21|112.03|0|474.44
Professional|||16030|DRESS/DEBRID LARGE BURN NO AN*|492|492|417.11|369|418.2|442.8|418.2|601.4|365.4|343.48|0|0|456.41|417.11|80.55|446.83|433.59|422.18|406.68|455.88|369|446.83|150.19|146.27|150.19|477.34|477.34|92.63|134.52|95.69|496.43|455.88|455.88|93.56|103.75|101.89|111.16|130.6|435.48|435.48|137.13|424.34|235.08|137.13|134.52|0|601.4
Professional|||17000|DESTRUC PREMALIGNANT FIRST LESION|203|203|167.06|152.25|172.55|182.7|172.55|206.03|126.7|119.1|0|0|182.8|167.06|32.43|178.96|173.66|169.09|162.88|182.59|152.25|178.96|62.33|60.7|62.33|196.47|196.47|38.49|55.83|39.76|204.33|182.59|182.59|38.87|43.11|42.34|46.19|54.2|171.93|171.93|56.91|167.53|97.56|56.91|55.83|0|206.03
Professional|||17003|DESTRUC PREMALIGNANT2-14 LESIONS|9|9|7.64|6.75|7.65|8.1|7.65|17.82|10.5|9.87|0|0|8.36|7.64|1.32|8.19|7.95|7.74|7.45|8.35|6.75|8.19|2.5|2.43|2.5|7.91|7.91|1.53|2.24|1.58|8.23|8.35|8.35|1.55|1.71|1.68|1.84|2.17|7.91|7.91|2.28|7.71|3.91|2.28|2.24|0|17.82
Professional|||17106|DESTRUC CUT/VASC <10SQ CM|1038|1038|865.88|778.5|882.3|934.2|882.3|1089.2|666.4|626.42|0|0|947.48|865.88|168.4|927.57|900.1|876.42|844.23|946.37|778.5|927.57|316.57|308.31|316.57|1007.42|1007.42|195.52|283.54|201.97|1047.72|946.37|946.37|197.48|218.98|215.07|234.62|275.28|900.37|900.37|289.04|877.33|495.5|289.04|283.54|0|1089.2
Professional|||17107|DESTRUC CUT/VASC 10-50 SQ CM|1326|1326|1110.46|994.5|1127.1|1193.4|1127.1|1411.06|860.3|808.68|0|0|1215.11|1110.46|211.44|1189.58|1154.36|1123.98|1082.7|1213.69|994.5|1189.58|408.46|397.8|408.46|1286.97|1286.97|252.49|365.84|260.82|1338.45|1213.69|1213.69|255.01|282.79|277.74|302.99|355.18|1124.34|1124.34|372.94|1095.56|639.32|372.94|365.84|0|1411.06
Professional|||17110|DESTRUC BENIGN LESION|260|260|214.01|195|221|234|221|348.59|217|203.98|0|0|234.18|214.01|43.25|229.26|222.47|216.62|208.66|233.91|195|229.26|77.69|75.67|77.69|251.85|251.85|47.98|69.59|49.56|261.92|233.91|233.91|48.46|53.74|52.78|57.58|67.56|226.24|226.24|70.94|220.44|121.61|70.94|69.59|0|348.59
Professional|||17250|PR CHEMICAL CAUTERIZATION OF GRANULATION TISSUE|139|139|114.65|104.25|118.15|125.1|118.15|257.26|159.6|150.02|0|0|125.45|114.65|22.28|122.82|119.18|116.04|111.78|125.31|104.25|122.82|42.25|41.15|42.25|134.5|134.5|25.91|37.84|26.77|139.88|125.31|125.31|26.17|29.02|28.5|31.09|36.74|119.89|119.89|38.58|116.83|66.13|38.58|37.84|0|257.26
Professional|||17260|DESTR MALIG TRUNKEXTREM <0.6*|265|265|221.66|198.75|225.25|238.5|225.25|301.81|184.8|173.71|0|0|242.54|221.66|42.82|237.45|230.42|224.35|216.12|242.26|198.75|237.45|81.08|78.96|81.08|257.13|257.13|50.03|72.62|51.68|267.42|242.26|242.26|50.53|56.03|55.03|60.04|70.5|228.51|228.51|74.03|222.66|126.9|74.03|72.62|0|301.81
Professional|||17999|SKIN TISSUE PROCEDURE RELOCATION OF LOOP RECORDER|1249|1249|0|936.75|1061.65|1124.1|1061.65|0|0|0|0|0|0|0|0|0|0|0|0|0|936.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1249
Professional||||REMV SKIN PADDLE OF NECK|376|376|0|282|319.6|338.4|319.6|0|0|0|0|0|0|0|0|0|0|0|0|0|282|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|376
Professional|||17999|TOENAIL REMOVAL WITHOUT DIGITAL BLOCK|322|322|0|241.5|273.7|289.8|273.7|0|0|0|0|0|0|0|0|0|0|0|0|0|241.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|322
Professional|||17999|SCAR REVISION SOFT PALATE; 1 CM|642|642|0|481.5|545.7|577.8|545.7|0|0|0|0|0|0|0|0|0|0|0|0|0|481.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|642
Professional|||17999|SKIN TISSUE PROCEDURE PULP RELEASE|1803|1803|0|1352.25|1532.55|1622.7|1532.55|0|0|0|0|0|0|0|0|0|0|0|0|0|1352.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1803
Professional|||19000|PUNC/ASPIR BREAST CYST|162|162|137.58|121.5|137.7|145.8|137.7|347.47|214.9|202.01|0|0|150.54|137.58|26.25|147.38|143.02|139.25|134.14|150.37|121.5|147.38|49.51|48.22|49.51|156.91|156.91|30.53|44.34|31.54|163.19|150.37|150.37|30.84|34.19|33.58|36.64|43.05|142.52|142.52|45.2|138.88|77.49|45.2|44.34|0|347.47
Professional|||19001|PUCT/ASPIR BREAST CYSTEACH A*|81|81|67.7|60.75|68.85|72.9|68.85|85.75|51.8|48.69|0|0|74.08|67.7|13.02|72.52|70.37|68.52|66.01|73.99|60.75|72.52|24.9|24.25|24.9|77.8|77.8|15.13|22.3|15.63|80.91|73.99|73.99|15.28|16.95|16.64|18.16|21.65|71.26|71.26|22.73|69.44|38.97|22.73|22.3|0|85.75
Professional|||19020|EXPLO/DRAIN BREAST ABSCESS|1135|1135|965.24|851.25|964.75|1021.5|964.75|1503.5|914.2|859.35|0|0|1056.2|965.24|182.3|1034.01|1003.39|976.99|941.11|1054.97|851.25|1034.01|349.78|340.66|349.78|1101.05|1101.05|216.05|313.28|223.18|1145.09|1054.97|1054.97|218.21|241.98|237.66|259.26|304.16|993.13|993.13|319.37|967.71|547.49|319.37|313.28|0|1503.5
Professional|||19030|INJECT DUCTOGRAM/GALACTOGRAM|293|293|243.49|219.75|249.05|263.7|249.05|527.89|327.6|307.94|0|0|266.44|243.49|47.44|260.84|253.12|246.46|237.4|266.13|219.75|260.84|89.22|86.89|89.22|283.5|283.5|54.91|79.91|56.72|294.84|266.13|266.13|55.46|61.5|60.4|65.89|77.58|254.51|254.51|81.46|247.99|139.64|81.46|79.91|0|527.89
Professional|||19081|PR BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE|629|629|529.57|471.75|534.65|566.1|534.65|2051.44|1284.5|1207.43|0|0|579.48|529.57|102.41|567.3|550.5|536.02|516.33|578.8|471.75|567.3|192.11|187.1|192.11|610.51|610.51|118.54|172.06|122.45|634.93|578.8|578.8|119.73|132.76|130.39|142.25|167.05|553.14|553.14|175.4|538.98|300.69|175.4|172.06|0|2051.44
Professional|||19082|PR BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE|318|318|266.42|238.5|270.3|286.2|270.3|1673.89|1054.2|990.95|0|0|291.53|266.42|51.43|285.41|276.95|269.67|259.76|291.19|238.5|285.41|96.47|93.96|96.47|308.56|308.56|59.53|86.41|61.49|320.9|291.19|291.19|60.13|66.67|65.48|71.44|83.89|278.27|278.27|88.08|271.15|151|88.08|86.41|0|1673.89
Professional|||19083|PR BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE|593|593|499|444.75|504.05|533.7|504.05|2009.11|1258.6|1183.08|0|0|546.02|499|96.67|534.55|518.72|505.07|486.53|545.38|444.75|534.55|181.29|176.56|181.29|574.92|574.92|111.87|162.37|115.56|597.92|545.38|545.38|112.99|125.29|123.06|134.24|157.64|520.33|520.33|165.52|507.01|283.75|165.52|162.37|0|2009.11
Professional|||19084|PR BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE|298|298|248.95|223.5|253.3|268.2|253.3|1613.75|1017.1|956.07|0|0|272.41|248.95|48.12|266.69|258.79|251.98|242.73|272.1|223.5|266.69|90.19|87.84|90.19|288.78|288.78|55.68|80.78|57.52|300.33|272.1|272.1|56.24|62.36|61.25|66.82|78.43|259.05|259.05|82.35|252.42|141.17|82.35|80.78|0|1613.75
Professional|||19085|PR BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE|695|695|578.71|521.25|590.75|625.5|590.75|3050.42|1920.8|1805.55|0|0|633.24|578.71|0|619.94|601.58|585.75|564.24|632.5|521.25|619.94|211.8|206.27|211.8|673.81|673.81|0|189.7|0|700.76|632.5|632.5|0|0|0|0|184.17|607.41|607.41|193.38|591.87|331.51|193.38|189.7|0|3050.42
Professional|||19101|BIOPSY OF BREAST INCISIONAL|809|809|697.72|606.75|687.65|728.1|687.65|1073.61|646.8|607.99|0|0|763.48|697.72|130.21|747.44|725.3|706.22|680.28|762.58|606.75|747.44|249.18|242.68|249.18|784.57|784.57|153.96|223.18|159.04|815.95|762.58|762.58|155.5|172.44|169.36|184.75|216.68|719.4|719.4|227.51|700.98|390.02|227.51|223.18|0|1073.61
Professional|||19120|REMOVAL OF BREAST LESION|1507|1507|1301.54|1130.25|1280.95|1356.3|1280.95|1592.59|945|888.3|0|0|1424.2|1301.54|243.67|1394.28|1352.99|1317.39|1269|1422.53|1130.25|1394.28|463.28|451.19|463.28|1462.35|1462.35|286.36|414.94|295.81|1520.84|1422.53|1422.53|289.22|320.72|315|343.63|402.85|1343.8|1343.8|422.99|1309.4|725.13|422.99|414.94|0|1592.59
Professional|||19281|PR PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE|382|382|317.74|286.5|324.7|343.8|324.7|768.45|478.8|450.07|0|0|347.69|317.74|62.03|340.38|330.3|321.61|309.8|347.28|286.5|340.38|116.46|113.42|116.46|370.53|370.53|71.84|104.31|74.21|385.35|347.28|347.28|72.56|80.46|79.02|86.21|101.27|331.41|331.41|106.33|322.93|182.29|106.33|104.31|0|768.45
Professional|||19282|PR PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE|191|191|159.42|143.25|162.35|171.9|162.35|536.8|336|315.84|0|0|174.44|159.42|30.91|170.78|165.72|161.36|155.43|174.24|143.25|170.78|58.37|56.85|58.37|184.6|184.6|35.92|52.28|37.11|191.98|174.24|174.24|36.28|40.23|39.51|43.1|50.76|166.29|166.29|53.3|162.03|91.37|53.3|52.28|0|536.8
Professional|||19284|PR PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC|193|193|163.79|144.75|164.05|173.7|164.05|653.74|408.8|384.27|0|0|179.22|163.79|31.12|175.46|170.26|165.78|159.7|179.01|144.75|175.46|58.82|57.29|58.82|187.24|187.24|36.18|52.68|37.37|194.73|179.01|179.01|36.54|40.52|39.8|43.42|51.15|168.53|168.53|53.71|164.21|92.07|53.71|52.68|0|653.74
Professional|||19285|PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG|326|326|272.98|244.5|277.1|293.4|277.1|1535.79|966.7|908.7|0|0|298.7|272.98|52.74|292.43|283.77|276.3|266.16|298.35|244.5|292.43|99.38|96.79|99.38|316.47|316.47|61.32|89.01|63.34|329.13|298.35|298.35|61.93|68.68|67.45|73.58|86.42|283.91|283.91|90.74|276.65|155.56|90.74|89.01|0|1535.79
Professional|||19286|PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE|162|162|136.49|121.5|137.7|145.8|137.7|1326.42|837.9|787.63|0|0|149.35|136.49|26.25|146.21|141.88|138.15|133.08|149.18|121.5|146.21|50.05|48.74|50.05|156.91|156.91|30.79|44.83|31.81|163.19|149.18|149.18|31.1|34.48|33.87|36.95|43.52|142.52|142.52|45.7|138.88|78.34|45.7|44.83|0|1326.42
Professional|||19287|PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID|487|487|406.19|365.25|413.95|438.3|413.95|2594.92|1636.6|1538.4|0|0|444.47|406.19|79.46|435.13|422.24|411.13|396.04|443.94|365.25|435.13|148.99|145.11|148.99|472.07|472.07|91.86|133.45|94.89|490.95|443.94|443.94|92.78|102.88|101.05|110.23|129.56|424.17|424.17|136.04|413.31|233.21|136.04|133.45|0|2594.92
Professional|||19300|MASTECTOMY FOR GYNECOMASTIA|1533|1533|1307|1149.75|1303.05|1379.7|1303.05|1709.53|1028.3|966.6|0|0|1430.18|1307|246.32|1400.13|1358.67|1322.91|1274.33|1428.5|1149.75|1400.13|475.59|463.19|475.59|1487.4|1487.4|293.8|425.97|303.5|1546.9|1428.5|1428.5|296.74|329.06|323.18|352.56|413.56|1340.4|1340.4|434.24|1306.09|744.41|434.24|425.97|0|1709.53
Professional|||19301|MASTECTOMY PARTIAL|2365|2365|2059.32|1773.75|2010.25|2128.5|2010.25|2100.44|1218|1144.92|0|0|2253.39|2059.32|382.28|2206.05|2140.72|2084.39|2007.84|2250.75|1773.75|2206.05|729.71|710.67|729.71|2295.71|2295.71|451.1|653.57|465.99|2387.54|2250.75|2250.75|455.61|505.23|496.21|541.32|634.53|2123.15|2123.15|666.26|2068.8|1142.15|666.26|653.57|0|2387.54
Professional|||19303|MASTECTOMY SIMPLE COMPLETE|3467|3467|3023.47|2600.25|2946.95|3120.3|2946.95|3083.84|1786.4|1679.22|0|0|3308.4|3023.47|590.87|3238.9|3142.98|3060.27|2947.88|3304.52|2600.25|3238.9|1064.52|1036.75|1064.52|3365.11|3365.11|657.92|953.44|679.63|3499.71|3304.52|3304.52|664.5|736.87|723.71|789.5|925.67|3290.48|3290.48|971.95|3206.25|1666.21|971.95|953.44|0|3499.71
Professional|||19316|SUSPENSION OF BREAST|2851|2851|2420.74|2138.25|2423.35|2565.9|2423.35|2469.07|1469.3|1381.14|0|0|2648.87|2420.74|464.62|2593.22|2516.43|2450.21|2360.22|2645.77|2138.25|2593.22|877.77|854.87|877.77|2767.77|2767.77|542.45|786.18|560.35|2878.48|2645.77|2645.77|547.87|607.54|596.7|650.94|763.28|2506.6|2506.6|801.44|2442.43|1373.9|801.44|786.18|0|2878.48
Professional|||19318|REDUCTION OF LARGE BREAST|4072|4072|3449.31|3054|3461.2|3664.8|3461.2|3518.18|2098.6|1972.68|0|0|3774.37|3449.31|670.11|3695.08|3585.65|3491.3|3363.08|3769.95|3054|3695.08|1246.27|1213.76|1246.27|3953.21|3953.21|770.31|1116.22|795.73|4111.34|3769.95|3769.95|778.01|862.75|847.34|924.37|1083.71|3589.11|3589.11|1137.9|3497.24|1950.68|1137.9|1116.22|0|4111.34
Professional|||19325|ENLARGE BREAST WITH IMPLANT|2395|2395|2015.65|1796.25|2035.75|2155.5|2035.75|2055.89|1234.1|1160.05|0|0|2205.6|2015.65|391.55|2159.27|2095.32|2040.18|1965.26|2203.02|1796.25|2159.27|739.38|720.09|739.38|2324.71|2324.71|457|662.23|472.08|2417.7|2203.02|2203.02|461.57|511.84|502.7|548.4|642.94|2086.96|2086.96|675.09|2033.54|1157.29|675.09|662.23|0|2417.7
Professional|||19328|REMOVAL OF BREAST IMPLANT|1849|1849|1558.14|1386.75|1571.65|1664.1|1571.65|1589.25|953.4|896.2|0|0|1704.98|1558.14|302.59|1669.16|1619.73|1577.11|1519.19|1702.98|1386.75|1669.16|570.77|555.88|570.77|1794.63|1794.63|352.82|511.21|364.46|1866.42|1702.98|1702.98|356.35|395.16|388.1|423.38|496.32|1608.49|1608.49|521.14|1567.32|893.38|521.14|511.21|0|1866.42
Professional|||19330|REMOVAL OF IMPLANT MATERIAL|2351|2351|1985.07|1763.25|1998.35|2115.9|1998.35|2024.71|1211.7|1139|0|0|2172.15|1985.07|386.7|2126.51|2063.54|2009.24|1935.44|2169.6|1763.25|2126.51|722.65|703.8|722.65|2282.52|2282.52|446.74|647.24|461.48|2373.82|2169.6|2169.6|451.21|500.35|491.41|536.09|628.39|2059.8|2059.8|659.81|2007.07|1131.1|659.81|647.24|0|2373.82
Professional|||19340|INSERT BREAST PROS IMMED AFTE*|3691|3691|3122.83|2768.25|3137.35|3321.9|3137.35|3185.18|1902.6|1788.44|0|0|3417.13|3122.83|612.05|3345.34|3246.27|3160.84|3044.76|3413.12|2768.25|3345.34|1123.02|1093.72|1123.02|3582.68|3582.68|694.1|1005.84|717.01|3725.99|3413.12|3413.12|701.04|777.39|763.51|832.92|976.54|3265.61|3265.61|1025.37|3182.02|1757.77|1025.37|1005.84|0|3725.99
Professional|||19342|DELAY BREAST PROS AFTER BREAS*|3437|3437|2896.81|2577.75|2921.45|3093.3|2921.45|2954.65|1771|1664.74|0|0|3169.8|2896.81|563.72|3103.21|3011.31|2932.07|2824.39|3166.09|2577.75|3103.21|1058.15|1030.55|1058.15|3336.1|3336.1|654.07|947.73|675.65|3469.54|3166.09|3166.09|660.61|732.56|719.48|784.88|920.13|2999.79|2999.79|966.14|2923|1656.23|966.14|947.73|0|3469.54
Professional|||19350|NIPPLE/AREOLA RECONSTRUCTION|2501|2501|2108.46|1875.75|2125.85|2250.9|2125.85|2629.45|1593.2|1497.61|0|0|2307.16|2108.46|410.97|2258.69|2191.8|2134.12|2055.75|2304.46|1875.75|2258.69|767.77|747.75|767.77|2427.57|2427.57|474.45|687.66|490.11|2524.67|2304.46|2304.46|479.19|531.38|521.9|569.34|667.63|2189.9|2189.9|701.01|2133.84|1201.73|701.01|687.66|0|2629.45
Professional|||19357|BREAST RECONSTRUC W TISS EXPA*|5622|5622|4712.64|4216.5|4778.7|5059.8|4778.7|4806.73|2897.3|2723.46|0|0|5156.76|4712.64|925.46|5048.43|4898.92|4770|4594.82|5150.71|4216.5|5048.43|1723.75|1678.78|1723.75|5457.75|5457.75|1065.65|1543.88|1100.82|5676.06|5150.71|5150.71|1076.31|1193.53|1172.22|1278.78|1498.91|4894.43|4894.43|1573.86|4769.14|2698.04|1573.86|1543.88|0|5676.06
Professional|||19361|BREAST RECONSTRUC W FREE FLAP W/O IMPLANT|5824|5824|4937.57|4368|4950.4|5241.6|4950.4|5036.15|3001.6|2821.5|0|0|5402.89|4937.57|956.15|5289.38|5132.74|4997.67|4814.13|5396.55|4368|5289.38|1784.65|1738.09|1784.65|5654.23|5654.23|1103.38|1598.43|1139.79|5880.4|5396.55|5396.55|1114.41|1235.79|1213.72|1324.06|1551.87|5134.25|5134.25|1629.46|5002.82|2793.37|1629.46|1598.43|0|5880.4
Professional|||19364|BREAST RECONSTRUC W FREE FLAP|10176|10176|8648.94|7632|8649.6|9158.4|8649.6|8821.62|5245.1|4930.39|0|0|9464.01|8648.94|1671.28|9265.19|8990.81|8754.21|8432.72|9452.92|7632|9265.19|3121.61|3040.17|3121.61|9879.07|9879.07|1929.88|2795.87|1993.57|10274.23|9452.92|9452.92|1949.18|2161.47|2122.87|2315.86|2714.44|8988.05|8988.05|2850.16|8757.97|4885.99|2850.16|2795.87|0|10274.23
Professional|||19366|BREAST RECONSTRUC W OTHR TECH*|5156|5156|4409.09|3867|4382.6|4640.4|4382.6|4497.12|2657.2|2497.77|0|0|4824.6|4409.09|844.03|4723.25|4583.37|4462.76|4298.86|4818.95|3867|4723.25|1570.41|1529.44|1570.41|5005.47|5005.47|970.71|1406.54|1002.74|5205.69|4818.95|4818.95|980.42|1087.2|1067.78|1164.85|1365.57|4598.1|4598.1|1433.85|4480.4|2458.03|1433.85|1406.54|0|5205.69
Professional|||19367|BREAST RECONSTRUCT W TRAM 1 P*|6607|6607|5605.81|4955.25|5615.95|5946.3|5615.95|5717.74|3404.8|3200.51|0|0|6134.1|5605.81|1086.59|6005.24|5827.4|5674.05|5465.66|6126.92|4955.25|6005.24|2019.49|1966.81|2019.49|6413.75|6413.75|1248.35|1808.76|1289.55|6670.3|6126.92|6126.92|1260.83|1398.15|1373.19|1498.02|1756.08|5827.65|5827.65|1843.88|5678.47|3160.94|1843.88|1808.76|0|6670.3
Professional|||19368|BREAST RECONSTRUCT W TRAM UVA*|8124|8124|6902.99|6093|6905.4|7311.6|6905.4|7040.81|4186|3934.84|0|0|7553.53|6902.99|1336.23|7394.84|7175.85|6987.01|6730.42|7544.67|6093|7394.84|2490.12|2425.16|2490.12|7886.64|7886.64|1539.34|2230.28|1590.14|8202.11|7544.67|7544.67|1554.73|1724.06|1693.27|1847.21|2165.32|7182.73|7182.73|2273.59|6998.87|3897.58|2273.59|2230.28|0|8202.11
Professional|||19369|BREAST RECONSTRUCT W TRAM 2 P*|7542|7542|6407.27|5656.5|6410.7|6787.8|6410.7|6535.19|3887.1|3653.87|0|0|7011.09|6407.27|1234.48|6863.8|6660.53|6485.25|6247.09|7002.87|5656.5|6863.8|2312.83|2252.5|2312.83|7322.27|7322.27|1429.77|2071.49|1476.95|7615.16|7002.87|7002.87|1444.07|1601.34|1572.75|1715.72|2011.16|6608.13|6608.13|2111.72|6438.97|3620.09|2111.72|2071.49|0|7615.16
Professional|||19370|SURGERY OF BREAST CAPSULE|2557|2557|2154.32|1917.75|2173.45|2301.3|2173.45|2197.33|1317.4|1238.36|0|0|2357.34|2154.32|419.13|2307.82|2239.47|2180.54|2100.46|2354.58|1917.75|2307.82|787.36|766.82|787.36|2481.63|2481.63|486.77|705.2|502.83|2580.9|2354.58|2354.58|491.64|545.18|535.45|584.12|684.66|2230.62|2230.62|718.89|2173.52|1232.39|718.89|705.2|0|2580.9
Professional|||19371|REMOVAL OF BREAST CAPSULE|2921|2921|2463.33|2190.75|2482.85|2628.9|2482.85|2512.51|1505|1414.7|0|0|2695.47|2463.33|478.73|2638.84|2560.7|2493.31|2401.75|2692.31|2190.75|2638.84|899.28|875.82|899.28|2835.03|2835.03|555.79|805.44|574.13|2948.43|2692.31|2692.31|561.35|622.48|611.37|666.95|781.98|2549.59|2549.59|821.08|2484.32|1407.56|821.08|805.44|0|2948.43
Professional|||19380|REVISE BREAST RECONSTRUCTION|2884|2884|2430.57|2163|2451.4|2595.6|2451.4|2479.1|1486.8|1397.59|0|0|2659.62|2430.57|472.34|2603.75|2526.64|2460.15|2369.81|2656.51|2163|2603.75|888.28|865.11|888.28|2799.42|2799.42|549.12|795.59|567.24|2911.4|2656.51|2656.51|554.61|615.01|604.03|658.94|772.42|2515.64|2515.64|811.04|2451.25|1390.36|811.04|795.59|0|2911.4
Professional|||20100|EXPLORE WOUNDNECK|2202|2202|1915.19|1651.5|1871.7|1981.8|1871.7|1953.43|1134.7|1066.62|0|0|2095.68|1915.19|357.78|2051.65|1990.9|1938.5|1867.31|2093.22|1651.5|2051.65|672.59|655.04|672.59|2137.47|2137.47|415.69|602.41|429.41|2222.97|2093.22|2093.22|419.85|465.57|457.26|498.83|584.86|1980.62|1980.62|614.1|1929.92|1052.75|614.1|602.41|0|2222.97
Professional|||20101|EXPLORE WOUNDCHEST|757|757|659.51|567.75|643.45|681.3|643.45|1443.36|879.9|827.11|0|0|721.66|659.51|122.27|706.5|685.58|667.53|643.02|720.81|567.75|706.5|233.12|227.04|233.12|734.47|734.47|143.95|208.79|148.7|763.85|720.81|720.81|145.39|161.22|158.35|172.74|202.71|679.81|679.81|212.85|662.41|364.88|212.85|208.79|0|1443.36
Professional|||20102|EXPLORE WOUNDABDOMEN/FLANK/B*|931|931|806.91|698.25|791.35|837.9|791.35|1563.63|949.9|892.91|0|0|882.96|806.91|150.3|864.41|838.81|816.74|786.74|881.92|698.25|864.41|285.63|278.17|285.63|903.25|903.25|176.54|255.82|182.37|939.38|881.92|881.92|178.31|197.72|194.19|211.85|248.37|830.25|830.25|260.79|808.99|447.07|260.79|255.82|0|1563.63
Professional|||20103|EXPLORE WOUNDEXTREMITY|1281|1281|1090.81|960.75|1088.85|1152.9|1088.85|1849.86|1128.4|1060.7|0|0|1193.61|1090.81|209.68|1168.53|1133.92|1104.08|1063.54|1192.21|960.75|1168.53|391.68|381.46|391.68|1243.46|1243.46|241.97|350.81|249.96|1293.2|1192.21|1192.21|244.39|271.01|266.17|290.36|340.59|1134.52|1134.52|357.62|1105.48|613.06|357.62|350.81|0|1849.86
Professional|||20200|MUSCLE BIOPSY|341|341|298.09|255.75|289.85|306.9|289.85|662.65|403.9|379.67|0|0|326.18|298.09|55.84|319.33|309.87|301.72|290.64|325.8|255.75|319.33|104.42|101.7|104.42|330.97|330.97|64.4|93.52|66.53|344.21|325.8|325.8|65.04|72.13|70.84|77.28|90.8|312.19|312.19|95.34|304.19|163.44|95.34|93.52|0|662.65
Professional|||20205|DEEP MUSCLE BIOPSY|557|557|489.17|417.75|473.45|501.3|473.45|929.94|560.7|527.06|0|0|535.27|489.17|90.49|524.03|508.51|495.13|476.94|534.64|417.75|524.03|169|164.6|169|540.63|540.63|104.43|151.37|107.88|562.26|534.64|534.64|105.47|116.96|114.87|125.32|146.96|510.15|510.15|154.31|497.09|264.53|154.31|151.37|0|929.94
Professional|||20206|NEEDLE BIOPSYMUSCLE|222|222|183.44|166.5|188.7|199.8|188.7|747.29|469.7|441.52|0|0|200.73|183.44|36.42|196.51|190.69|185.67|178.85|200.49|166.5|196.51|67.21|65.45|67.21|214.93|214.93|41.31|60.19|42.67|223.53|200.49|200.49|41.72|46.27|45.44|49.57|58.44|193.43|193.43|61.36|188.47|105.19|61.36|60.19|0|747.29
Professional|||20220|BONE BIOPSYTROCAR/NEEDLE SUPERFICIAL|272|272|224.93|204|231.2|244.8|231.2|533.46|333.2|313.21|0|0|246.13|224.93|44.8|240.96|233.82|227.67|219.31|245.84|204|240.96|102.75|100.07|102.75|263.72|263.72|63.38|92.03|65.47|274.27|245.84|245.84|64.01|70.99|69.72|76.06|89.35|235.28|235.28|93.82|229.26|160.83|93.82|92.03|0|533.46
Professional|||20225|BONE BIOPSYTROCAR/NEEDLE DEEP|404|404|335.21|303|343.4|363.6|343.4|1638.25|1031.1|969.23|0|0|366.8|335.21|66.87|359.1|348.46|339.29|326.83|366.37|303|359.1|152.13|148.16|152.13|391.62|391.62|93.91|136.26|97.01|407.28|366.37|366.37|94.85|105.18|103.3|112.69|132.29|354.04|354.04|138.9|344.98|238.12|138.9|136.26|0|1638.25
Professional|||20240|PR BIOPSY BONE OPEN SUPERFICIAL|557|557|470.61|417.75|473.45|501.3|473.45|480|287|269.78|0|0|514.96|470.61|93.59|504.14|489.21|476.34|458.84|514.36|417.75|504.14|166.83|162.48|166.83|540.63|540.63|102.89|149.42|106.29|562.26|514.36|514.36|103.92|115.24|113.18|123.47|145.07|498.84|498.84|152.32|486.07|261.13|152.32|149.42|0|562.26
Professional|||20245|PR BIOPSY BONE OPEN DEEP|1293|1293|1106.09|969.75|1099.05|1163.7|1099.05|1128.18|667.1|627.07|0|0|1210.33|1106.09|307.69|1184.91|1149.82|1119.56|1078.44|1208.91|969.75|1184.91|393.6|383.33|393.6|1255.33|1255.33|243.25|352.53|251.28|1305.54|1208.91|1208.91|245.68|272.44|267.58|291.9|342.26|1154.88|1154.88|359.37|1125.32|616.07|359.37|352.53|0|1305.54
Professional|||20501|INJECT SINUS TRACT FOR DX W X*|143|143|119.02|107.25|121.55|128.7|121.55|403.16|252.7|237.54|0|0|130.23|119.02|23.17|127.5|123.72|120.47|116.04|130.08|107.25|127.5|43.64|42.5|43.64|138.46|138.46|26.94|39.09|27.83|144|130.08|130.08|27.21|30.17|29.63|32.33|37.95|124.43|124.43|39.85|121.25|68.31|39.85|39.09|0|403.16
Professional|||20520|REMOVAL OF FOREIGN BODY|551|551|458.6|413.25|468.35|495.9|468.35|653.74|401.8|377.69|0|0|501.82|458.6|89.38|491.27|476.73|464.18|447.14|501.23|413.25|491.27|168.68|164.28|168.68|534.04|534.04|104.17|151.08|107.61|555.4|501.23|501.23|105.21|116.67|114.59|125|146.68|475.07|475.07|154.01|462.91|264.02|154.01|151.08|0|653.74
Professional|||20525|REMOVAL OF FOREIGN BODY DEEP/*|916|916|776.34|687|778.6|824.4|778.6|1517.97|933.8|877.77|0|0|849.5|776.34|150.09|831.66|807.03|785.79|756.93|848.51|687|831.66|280.01|272.71|280.01|888.74|888.74|172.94|250.79|178.65|924.29|848.51|848.51|174.67|193.69|190.23|207.53|243.49|805.38|805.38|255.66|784.76|438.28|255.66|250.79|0|1517.97
Professional|||20526|INJECT CARPAL TUNNEL|214|214|181.26|160.5|181.9|192.6|181.9|245.01|147.7|138.84|0|0|198.34|181.26|34.42|194.17|188.42|183.46|176.73|198.1|160.5|194.17|64.48|62.8|64.48|207.02|207.02|39.77|57.75|41.08|215.3|198.1|198.1|40.17|44.54|43.75|47.72|56.07|187.78|187.78|58.87|182.98|100.93|58.87|57.75|0|245.01
Professional|||20550|INJECT TENDON SHEATH/LIGAMENT|146|146|123.38|109.5|124.1|131.4|124.1|168.17|102.2|96.07|0|0|135.01|123.38|25.16|132.18|128.26|124.89|120.3|134.85|109.5|132.18|44.64|43.48|44.64|141.09|141.09|27.45|39.98|28.36|146.73|134.85|134.85|27.72|30.74|30.2|32.94|38.82|127.81|127.81|40.76|124.53|69.88|40.76|39.98|0|168.17
Professional|||20552|INJECT TRIGGER POINT 1 OR 2|143|143|119.02|107.25|121.55|128.7|121.55|174.85|107.1|100.67|0|0|130.23|119.02|22.96|127.5|123.72|120.47|116.04|130.08|107.25|127.5|43.85|42.71|43.85|138.46|138.46|26.94|39.27|27.83|144|130.08|130.08|27.21|30.17|29.63|32.33|38.13|123.3|123.3|40.04|120.14|68.63|40.04|39.27|0|174.85
Professional|||20553|INJECT TRIGGER POINTS > 3|162|162|135.4|121.5|137.7|145.8|137.7|201.58|123.9|116.47|0|0|148.16|135.4|26.25|145.04|140.75|137.04|132.02|147.98|121.5|145.04|49.68|48.38|49.68|156.91|156.91|30.53|44.5|31.54|163.19|147.98|147.98|30.84|34.19|33.58|36.64|43.2|140.26|140.26|45.36|136.66|77.76|45.36|44.5|0|201.58
Professional|||20560|PR NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES|62|62|51.32|46.5|52.7|55.8|52.7|82.41|0|0|0|0|56.16|51.32|0|54.98|53.35|51.94|50.04|31.16|46.5|54.98|0|0|0|59.34|59.34|11.54|0|11.92|61.71|31.16|31.16|11.66|12.92|12.69|13.85|0|53.17|53.17|0|51.81|0|0|0|0|82.41
Professional|||20561|PR NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES|93|93|77.52|69.75|79.05|83.7|79.05|122.51|0|0|0|0|84.83|77.52|0|83.05|80.59|78.47|75.58|47.07|69.75|83.05|0|0|0|89.67|89.67|17.44|0|18.02|93.26|47.07|47.07|17.61|19.53|19.18|20.93|0|80.31|80.31|0|78.25|0|0|0|0|122.51
Professional|||20600|PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US|134|134|112.47|100.5|113.9|120.6|113.9|153.69|93.8|88.17|0|0|123.06|112.47|21.4|120.48|116.91|113.83|109.66|122.92|100.5|120.48|40.91|39.84|40.91|129.22|129.22|25.14|36.64|25.97|134.39|122.92|122.92|25.39|28.16|27.65|30.17|35.57|115.39|115.39|37.35|112.43|64.03|37.35|36.64|0|153.69
Professional|||20604|PR ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT|174|174|146.31|130.5|147.9|156.6|147.9|233.88|143.5|134.89|0|0|160.1|146.31|27.58|156.74|152.1|148.1|142.65|159.92|130.5|156.74|52.56|51.18|52.56|168.78|168.78|32.33|47.07|33.4|175.53|159.92|159.92|32.65|36.21|35.56|38.8|45.7|151.57|151.57|47.99|147.69|82.26|47.99|47.07|0|233.88
Professional|||20605|PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US|139|139|116.83|104.25|118.15|125.1|118.15|160.37|98|92.12|0|0|127.84|116.83|22.51|125.16|121.45|118.26|113.91|127.69|104.25|125.16|42.57|41.46|42.57|134.5|134.5|26.17|38.13|27.03|139.88|127.69|127.69|26.43|29.31|28.79|31.4|37.02|121.03|121.03|38.87|117.93|66.64|38.87|38.13|0|160.37
Professional|||20606|PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US|197|197|167.06|147.75|167.45|177.3|167.45|258.38|158.2|148.71|0|0|182.8|167.06|31.79|178.96|173.66|169.09|162.88|182.59|147.75|178.96|60.35|58.78|60.35|191.2|191.2|37.2|54.05|38.43|198.85|182.59|182.59|37.57|41.66|40.92|44.64|52.48|171.93|171.93|55.1|167.53|94.46|55.1|54.05|0|258.38
Professional|||20610|PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US|169|169|144.13|126.75|143.65|152.1|143.65|190.44|114.8|107.91|0|0|157.71|144.13|27.58|154.4|149.83|145.89|140.53|157.53|126.75|154.4|51.78|50.43|51.78|163.51|163.51|31.81|46.38|32.86|170.05|157.53|157.53|32.13|35.63|34.99|38.17|45.03|150.44|150.44|47.28|146.58|81.05|47.28|46.38|0|190.44
Professional|||20611|PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US|226|226|191.08|169.5|192.1|203.4|192.1|290.68|177.1|166.47|0|0|209.09|191.08|36.85|204.7|198.64|193.41|186.3|208.85|169.5|204.7|68.57|66.79|68.57|218.89|218.89|42.33|61.42|43.73|227.65|208.85|208.85|42.75|47.41|46.56|50.8|59.63|200.2|200.2|62.61|195.08|107.33|62.61|61.42|0|290.68
Professional|||20612|ASPIRAT/INJECTION GANGLION CY*|155|155|131.03|116.25|131.75|139.5|131.75|190.44|116.2|109.23|0|0|143.38|131.03|25.39|140.36|136.21|132.62|127.75|143.21|116.25|140.36|47.18|45.95|47.18|150.32|150.32|28.99|42.26|29.95|156.33|143.21|143.21|29.28|32.47|31.89|34.79|41.03|135.75|135.75|43.08|132.27|73.85|43.08|42.26|0|190.44
Professional|||20615|ASPIR/INJEC BONE CYST|605|605|505.55|453.75|514.25|544.5|514.25|774.02|476|447.44|0|0|553.19|505.55|99.98|541.57|525.53|511.7|492.91|552.54|453.75|541.57|184.44|179.63|184.44|586.79|586.79|113.93|165.19|117.69|610.26|552.54|552.54|115.07|127.6|125.32|136.72|160.38|525.97|525.97|168.4|512.51|288.68|168.4|165.19|0|774.02
Professional|||20670|REMOVAL SUPERFICIAL IMPLANT|549|549|457.51|411.75|466.65|494.1|466.65|1188.32|741.3|696.82|0|0|500.62|457.51|90.49|490.1|475.59|463.07|446.07|500.03|411.75|490.1|167.06|162.7|167.06|532.72|532.72|103.15|149.63|106.55|554.03|500.03|500.03|104.18|115.53|113.47|123.78|145.27|477.34|477.34|152.53|465.12|261.49|152.53|149.63|0|1188.32
Professional|||20680|REMOVAL DEEP IMPLANT|1571|1571|1325.57|1178.25|1335.35|1413.9|1335.35|1962.34|1197|1125.18|0|0|1450.49|1325.57|256.69|1420.02|1377.96|1341.7|1292.43|1448.79|1178.25|1420.02|479.32|466.82|479.32|1524.32|1524.32|296.11|429.3|305.88|1585.29|1448.79|1448.79|299.07|331.64|325.72|355.33|416.8|1375.48|1375.48|437.64|1340.27|750.24|437.64|429.3|0|1962.34
Professional|||20690|APPLY BONE UNIPLANEEXT FIX D*|2199|2199|1878.07|1649.25|1869.15|1979.1|1869.15|1915.56|1133.3|1065.3|0|0|2055.06|1878.07|356.45|2011.88|1952.3|1900.93|1831.12|2052.65|1649.25|2011.88|674.03|656.44|674.03|2134.84|2134.84|416.71|603.69|430.46|2220.23|2052.65|2052.65|420.88|466.72|458.38|500.05|586.11|1936.5|1936.5|615.42|1886.93|1055|615.42|603.69|0|2220.23
Professional|||20692|APPLY BONE MULTIPLANEXT FIX *|4157|4157|3523.56|3117.75|3533.45|3741.3|3533.45|3593.91|2142.7|2014.14|0|0|3855.62|3523.56|675.84|3774.62|3662.84|3566.45|3435.47|3851.1|3117.75|3774.62|1271.58|1238.41|1271.58|4034.97|4034.97|785.96|1138.89|811.9|4196.37|3851.1|3851.1|793.82|880.28|864.56|943.15|1105.72|3641.15|3641.15|1161.01|3547.94|1990.3|1161.01|1138.89|0|4196.37
Professional|||20693|ADJUST EXTERN BONE FIX DEV W *|1655|1655|1392.17|1241.25|1406.75|1489.5|1406.75|1419.97|852.6|801.44|0|0|1523.37|1392.17|269.71|1491.37|1447.2|1409.12|1357.37|1521.59|1241.25|1491.37|506.55|493.34|506.55|1606.08|1606.08|313.05|453.69|323.38|1670.32|1521.59|1521.59|316.18|350.62|344.36|375.66|440.48|1442.2|1442.2|462.5|1405.28|792.86|462.5|453.69|0|1670.32
Professional|||20694|REMOVE EXTERN BONE FIX DEV W *|1261|1261|1062.42|945.75|1071.85|1134.9|1071.85|1359.83|825.3|775.78|0|0|1162.54|1062.42|204.38|1138.12|1104.41|1075.35|1035.86|1161.18|945.75|1138.12|385.19|375.14|385.19|1223.68|1223.68|238.12|345|245.98|1272.63|1161.18|1161.18|240.5|266.69|261.93|285.74|334.95|1097.2|1097.2|351.7|1069.12|602.91|351.7|345|0|1359.83
Professional|||20805|REPLANT FOREARM COMPLETE|12019|12019|10361.04|9014.25|10216.15|10817.1|10216.15|10567.9|6194.3|5822.64|0|0|11337.46|10361.04|1976.09|11099.28|10770.58|10487.15|10102.01|11324.17|9014.25|11099.28|3673.93|3578.09|3673.93|11668.43|11668.43|2271.42|3290.56|2346.38|12135.17|11324.17|11324.17|2294.13|2543.99|2498.56|2725.7|3194.72|10196.1|10196.1|3354.46|9935.1|5750.5|3354.46|3290.56|0|12135.17
Professional|||20808|REPLANTATION HAND COMPLETE|14519|14519|12535.01|10889.25|12341.15|13067.1|12341.15|12784.16|7483|7034.02|0|0|13715.11|12535.01|2414.44|13428.16|13029.35|12686.48|12221.63|13700.23|10889.25|13428.16|4436.29|4320.56|4436.29|14096|14096|2742.79|3973.37|2833.3|14659.84|13700.23|13700.23|2770.22|3071.92|3017.07|3291.35|3857.64|13045.43|13045.43|4050.52|12711.49|6943.75|4050.52|3973.37|0|14659.84
Professional|||20816|REPLANTATION DIGIT MCP COMPL*|7570|7570|6516.46|5677.5|6434.5|6813|6434.5|6646.56|3901.1|3667.03|0|0|7130.57|6516.46|1235.37|6980.77|6774.04|6595.77|6353.55|7122.21|5677.5|6980.77|2314.16|2253.79|2314.16|7348.65|7348.65|1430.54|2072.68|1477.75|7642.6|7122.21|7122.21|1444.85|1602.2|1573.59|1716.65|2012.31|6873.95|6873.95|2112.93|6697.99|3622.16|2112.93|2072.68|0|7642.6
Professional|||20822|REPLANTATION DIGIT DISTAL CO*|6520|6520|5599.26|4890|5542|5868|5542|5711.05|3360|3158.4|0|0|6126.93|5599.26|1095.21|5998.22|5820.59|5667.41|5459.28|6119.76|4890|5998.22|1995.05|1943.01|1995.05|6329.35|6329.35|1233.47|1786.87|1274.17|6582.52|6119.76|6119.76|1245.8|1381.49|1356.82|1480.16|1734.83|5842.33|5842.33|1821.57|5692.78|3122.69|1821.57|1786.87|0|6582.52
Professional|||20824|REPLANTATION THUMB MCP COMPL*|7583|7583|6527.38|5687.25|6445.55|6824.7|6445.55|6657.7|3908.8|3674.27|0|0|7142.51|6527.38|1223.89|6992.47|6785.39|6606.83|6364.2|7134.15|5687.25|6992.47|2318.37|2257.89|2318.37|7361.83|7361.83|1433.36|2076.45|1480.66|7656.3|7134.15|7134.15|1447.69|1605.36|1576.7|1720.03|2015.97|6370.58|6370.58|2116.77|6207.5|3628.75|2116.77|2076.45|0|7656.3
Professional|||20827|REPLANTATION THUMB DISTALCOM*|6681|6681|5718.28|5010.75|5678.85|6012.9|5678.85|5832.45|3451|3243.94|0|0|6257.17|5718.28|1094.33|6125.72|5944.31|5787.88|5575.32|6249.84|5010.75|6125.72|2049.09|1995.64|2049.09|6486.27|6486.27|1266.83|1835.27|1308.64|6745.72|6249.84|6249.84|1279.5|1418.85|1393.51|1520.2|1781.82|5990.53|5990.53|1870.91|5837.19|3207.28|1870.91|1835.27|0|6745.72
Professional|||20838|REPLANTATION FOOT COMPLETE|10238|10238|8810.54|7678.5|8702.3|9214.2|8702.3|8986.45|5276.6|4960|0|0|9640.84|8810.54|1466.47|9438.31|9158.8|8917.78|8590.28|9629.54|7678.5|9438.31|3134.27|3052.5|3134.27|9939.72|9939.72|1937.58|2807.21|2001.52|10337.31|9629.54|9629.54|1956.96|2170.09|2131.34|2325.1|2725.45|8788.95|8788.95|2861.72|8563.97|4905.81|2861.72|2807.21|0|10337.31
Professional|||20900|REMV BONE FOR GRAFT MINOR|688|688|586.35|516|584.8|619.2|584.8|1305.26|803.6|755.38|0|0|641.61|586.35|113.66|628.13|609.53|593.49|571.69|640.86|516|628.13|208.51|203.07|208.51|667.22|667.22|128.81|186.75|133.06|693.91|640.86|640.86|130.1|144.27|141.69|154.57|181.31|617.6|617.6|190.38|601.79|326.36|190.38|186.75|0|1305.26
Professional|||20902|REMV BONE FOR GRAFT MAJOR|1042|1042|895.36|781.5|885.7|937.8|885.7|913.23|537.6|505.34|0|0|979.74|895.36|170.39|959.15|930.75|906.26|872.98|978.59|781.5|959.15|317.07|308.8|317.07|1011.38|1011.38|195.78|283.98|202.24|1051.84|978.59|978.59|197.74|219.27|215.36|234.94|275.71|932.05|932.05|289.5|908.19|496.28|289.5|283.98|0|1051.84
Professional|||20912|REMV CARTILAGE FOR GRAFT NASAL|1772|1772|1484.98|1329|1506.2|1594.8|1506.2|1514.63|912.8|858.03|0|0|1624.93|1484.98|294.01|1590.79|1543.68|1503.06|1447.86|1623.02|1329|1590.79|543.12|528.95|543.12|1719.47|1719.47|335.63|486.45|346.71|1788.25|1623.02|1623.02|338.99|375.91|369.19|402.76|472.28|1547.41|1547.41|495.89|1507.8|850.1|495.89|486.45|0|1788.25
Professional|||20922|REMV FASCIA FOR GRAFT INCIS|1789|1789|1534.12|1341.75|1520.65|1610.1|1520.65|1895.52|1132.6|1064.64|0|0|1678.69|1534.12|303.27|1643.43|1594.76|1552.79|1495.77|1676.73|1341.75|1643.43|546.2|531.96|546.2|1736.62|1736.62|337.68|489.21|348.82|1806.08|1676.73|1676.73|341.06|378.2|371.45|405.22|474.96|1590.4|1590.4|498.71|1549.69|854.93|498.71|489.21|0|1895.52
Professional|||20924|REMV TENDON FOR GRAFT|1882|1882|1588.71|1411.5|1599.7|1693.8|1599.7|1620.43|970.2|911.99|0|0|1738.43|1588.71|305.24|1701.91|1651.51|1608.05|1548.99|1736.4|1411.5|1701.91|576.73|561.68|576.73|1826.28|1826.28|356.41|516.55|368.17|1899.33|1736.4|1736.4|359.97|399.18|392.05|427.69|501.5|1648.08|1648.08|526.58|1605.89|902.7|526.58|516.55|0|1899.33
Professional|||20950|RECORD FLUID PRESSUREMUSCLE|336|336|283.89|252|285.6|302.4|285.6|825.25|513.1|482.31|0|0|310.65|283.89|55.17|304.12|295.12|287.35|276.79|310.28|252|304.12|100.65|98.02|100.65|325.7|325.7|62.09|90.15|64.14|338.73|310.28|310.28|62.71|69.54|68.3|74.51|87.52|296.36|296.36|91.9|288.78|157.54|91.9|90.15|0|825.25
Professional|||20955|MICROVASCULAR FIBULA GRAFT|9210|9210|7827.83|6907.5|7828.5|8289|7828.5|7984.12|4746.7|4461.9|0|0|8565.52|7827.83|1518.33|8385.58|8137.25|7923.11|7632.13|8555.48|6907.5|8385.58|2798.5|2725.5|2798.5|8941.53|8941.53|1729.99|2506.48|1787.08|9299.19|8555.48|8555.48|1747.29|1937.59|1902.99|2075.99|2433.48|8171.36|8171.36|2555.15|7962.19|4380.26|2555.15|2506.48|0|9299.19
Professional|||20956|MICROVASCULAR ILIAC CREST GRA*|9691|9691|8311.54|7268.25|8237.35|8721.9|8237.35|8477.48|5007.8|4707.33|0|0|9094.82|8311.54|1580.78|8903.76|8640.08|8412.71|8103.75|9084.16|7268.25|8903.76|2971.59|2894.07|2971.59|9408.33|9408.33|1836.99|2661.51|1897.61|9784.66|9084.16|9084.16|1855.36|2057.43|2020.69|2204.39|2583.99|8676.97|8676.97|2713.19|8454.85|4651.18|2713.19|2661.51|0|9784.66
Professional|||20962|MICROVASCULAR BONE GRAFTOTHER|9811|9811|8412|7358.25|8339.35|8829.9|8339.35|8579.94|5056.1|4752.73|0|0|9204.74|8412|1302.9|9011.37|8744.5|8514.38|8201.7|9193.95|7358.25|9011.37|2998.59|2920.37|2998.59|9524.36|9524.36|1853.67|2685.69|1914.84|9905.33|9193.95|9193.95|1872.21|2076.11|2039.04|2224.4|2607.47|7015.34|7015.34|2737.84|6835.76|4693.45|2737.84|2685.69|0|9905.33
Professional|||20969|BONE-SKIN GRAFT MICROVASCULAR|10181|10181|8641.3|7635.75|8653.85|9162.9|8653.85|8813.82|5247.2|4932.37|0|0|9455.65|8641.3|1677.91|9257.01|8982.86|8746.47|8425.27|9444.57|7635.75|9257.01|3102.65|3021.72|3102.65|9884.34|9884.34|1918.08|2778.9|1981.38|10279.71|9444.57|9444.57|1937.26|2148.25|2109.89|2301.7|2697.96|9007.28|9007.28|2832.86|8776.71|4856.33|2832.86|2778.9|0|10279.71
Professional|||20970|BONE-SKIN GRAFT MICROVAS ILI*|10477|10477|8995.07|7857.75|8905.45|9429.3|8905.45|9174.66|5411.7|5087|0|0|9842.76|8995.07|1722.05|9635.99|9350.62|9104.56|8770.19|9831.23|7857.75|9635.99|3208.9|3125.19|3208.9|10171.79|10171.79|1983.77|2874.06|2049.23|10578.66|9831.23|9831.23|2003.61|2221.82|2182.15|2380.52|2790.35|9394.13|9394.13|2929.87|9153.66|5022.63|2929.87|2874.06|0|10578.66
Professional|||20972|BONE-SKIN GRAFT MICROVASCULAR METATARSAL|10477|10477|9025.65|7857.75|8905.45|9429.3|8905.45|9205.84|5399.1|5075.15|0|0|9876.22|9025.65|1443.05|9668.74|9382.41|9135.5|8800.01|9864.64|7857.75|9668.74|3200.51|3117.02|3200.51|10171.79|10171.79|1978.64|2866.54|2043.94|10578.66|9864.64|9864.64|1998.43|2216.08|2176.5|2374.37|2783.05|7871.59|7871.59|2922.2|7670.09|5009.49|2922.2|2866.54|0|10578.66
Professional|||20973|BONE-SKIN GRAFT MICROVASC GR*|11061|11061|9533.38|8295.75|9401.85|9954.9|9401.85|9723.71|5700.8|5358.75|0|0|10431.8|9533.38|1594.48|10212.65|9910.21|9649.41|9295.05|10419.58|8295.75|10212.65|3379.61|3291.44|3379.61|10738.8|10738.8|2089.49|3026.95|2158.44|11168.35|10419.58|10419.58|2110.38|2340.23|2298.44|2507.39|2938.79|8071.82|8071.82|3085.73|7865.2|5289.82|3085.73|3026.95|0|11168.35
Professional|||20982|PR ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE|1368|1368|1155.23|1026|1162.8|1231.2|1162.8|12266.29|7751.1|7286.03|0|0|1264.1|1155.23|232.19|1237.54|1200.89|1169.29|1126.35|1262.62|1026|1237.54|417.75|406.85|417.75|1327.85|1327.85|258.13|374.16|266.65|1380.96|1262.62|1262.62|260.71|289.11|283.94|309.76|363.26|1205.78|1205.78|381.42|1174.92|653.87|381.42|374.16|0|12266.29
Professional|||20999|MUSCULOSKELETAL SURG - BRISEMENT PROCEDURE JAW|370|370|0|277.5|314.5|333|314.5|0|0|0|0|0|0|0|0|0|0|0|0|0|277.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|370
Professional|||20999|BONE PROTEIN MATERIAL|370|370|0|277.5|314.5|333|314.5|0|0|0|0|0|0|0|0|0|0|0|0|0|277.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|370
Professional|||20999|BONE GRAFTING MAXILLARY DEFECT|688|688|0|516|584.8|619.2|584.8|0|0|0|0|0|0|0|0|0|0|0|0|0|516|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|688
Professional|||21012|EXC FACE LES SC = 2 CM|1254|1254|1064.6|940.5|1065.9|1128.6|1065.9|1085.86|646.1|607.33|0|0|1164.93|1064.6|203.95|1140.46|1106.68|1077.56|1037.99|1163.57|940.5|1140.46|382.39|372.41|382.39|1217.08|1217.08|236.32|342.49|244.12|1265.76|1163.57|1163.57|238.68|264.68|259.95|283.58|332.51|1102.85|1102.85|349.14|1074.62|598.52|349.14|342.49|0|1265.76
Professional|||21013|EXC FACE TUM DEEP < 2 CM|1494|1494|1261.14|1120.5|1269.9|1344.6|1269.9|1673.89|1016.4|955.42|0|0|1379.99|1261.14|243.89|1351|1310.99|1276.49|1229.61|1378.38|1120.5|1351|457.53|445.59|457.53|1450.48|1450.48|282.77|409.79|292.1|1508.5|1378.38|1378.38|285.6|316.7|311.05|339.32|397.85|1305.35|1305.35|417.74|1271.94|716.13|417.74|409.79|0|1673.89
Professional|||21014|EXC FACE TUM DEEP = 2 CM|1935|1935|1638.94|1451.25|1644.75|1741.5|1644.75|1671.66|997.5|937.65|0|0|1793.39|1638.94|315.18|1755.72|1703.73|1658.89|1597.97|1791.29|1451.25|1755.72|591.4|575.97|591.4|1877.71|1877.71|365.39|529.69|377.45|1952.82|1791.29|1791.29|369.04|409.24|401.93|438.47|514.26|1696.71|1696.71|539.97|1653.28|925.67|539.97|529.69|0|1952.82
Professional|||21025|EXCISION OF BONE LOWER JAW|2730|2730|2300.63|2047.5|2320.5|2457|2320.5|2769.77|1676.5|1575.91|0|0|2517.44|2300.63|463.94|2464.56|2391.57|2328.64|2243.11|2514.49|2047.5|2464.56|805.84|784.82|805.84|2650.41|2650.41|498.06|721.75|514.5|2756.43|2514.49|2514.49|503.04|557.83|547.87|597.67|700.73|2461.37|2461.37|735.77|2398.36|1261.31|735.77|721.75|0|2769.77
Professional|||21026|EXCISION OF FACIAL BONE(S)|1808|1808|1511.19|1356|1536.8|1627.2|1536.8|1895.52|1157.1|1087.67|0|0|1653.6|1511.19|310.54|1618.86|1570.92|1529.58|1473.41|1651.67|1356|1618.86|527.65|513.89|527.65|1755.07|1755.07|326.13|472.59|336.89|1825.27|1651.67|1651.67|329.39|365.27|358.74|391.36|458.83|1634.49|1634.49|481.77|1592.65|825.89|481.77|472.59|0|1895.52
Professional|||21029|CONTOUR OF FACE BONE LESION|2379|2379|1993.81|1784.25|2022.15|2141.1|2022.15|2459.05|1496.6|1406.8|0|0|2181.7|1993.81|393.31|2135.87|2072.62|2018.08|1943.96|2179.15|1784.25|2135.87|719.37|700.6|719.37|2308.9|2308.9|444.68|644.31|459.35|2401.26|2179.15|2179.15|449.13|498.04|489.15|533.62|625.54|2085.83|2085.83|656.82|2032.44|1125.97|656.82|644.31|0|2459.05
Professional|||21030|EXCISIONBENIGN TUMORMAXILLA*|1530|1530|1278.61|1147.5|1300.5|1377|1300.5|1629.34|994.7|935.02|0|0|1399.11|1278.61|259.79|1369.72|1329.16|1294.18|1246.64|1397.47|1147.5|1369.72|452.1|440.31|452.1|1484.76|1484.76|279.43|404.92|288.65|1544.15|1397.47|1397.47|282.22|312.96|307.37|335.32|393.13|1368.67|1368.67|412.79|1333.63|707.63|412.79|404.92|0|1629.34
Professional|||21031|EXCISIONTORUS MANDIBULARIS|1092|1092|910.64|819|928.2|982.8|928.2|1259.59|772.8|726.43|0|0|996.46|910.64|184.29|975.53|946.64|921.73|887.87|995.3|819|975.53|327.47|318.93|327.47|1060.17|1060.17|202.45|293.3|209.13|1102.58|995.3|995.3|204.47|226.74|222.7|242.94|284.76|969.4|969.4|299|944.58|512.57|299|293.3|0|1259.59
Professional|||21034|EXCISIONMALIG TUMOR MAXILLA*|4268|4268|3604.36|3201|3627.8|3841.2|3627.8|4176.38|2517.2|2366.17|0|0|3944.03|3604.36|707.84|3861.18|3746.83|3648.23|3514.25|3939.41|3201|3861.18|1297.53|1263.68|1297.53|4143.09|4143.09|802.13|1162.14|828.6|4308.81|3939.41|3939.41|810.15|898.39|882.34|962.56|1128.29|3785.91|3785.91|1184.7|3689|2030.92|1184.7|1162.14|0|4308.81
Professional|||21040|EXCISIONBENIGN TUMORMANDIBLE|1533|1533|1280.8|1149.75|1303.05|1379.7|1303.05|1641.59|1002.4|942.26|0|0|1401.5|1280.8|260.22|1372.06|1331.43|1296.39|1248.78|1399.86|1149.75|1372.06|453.36|441.54|453.36|1487.4|1487.4|280.2|406.06|289.45|1546.9|1399.86|1399.86|283|313.82|308.22|336.24|394.23|1369.8|1369.8|413.94|1334.74|709.61|413.94|406.06|0|1641.59
Professional|||21044|REMV MALIG JAW BONE LESION|3253|3253|2738.49|2439.75|2765.05|2927.7|2765.05|2794.27|1676.5|1575.91|0|0|2997.75|2738.49|537.22|2933.61|2847.87|2772.92|2670.03|2993.05|2439.75|2933.61|988.89|963.09|988.89|3158.08|3158.08|611.22|885.7|631.39|3284.4|2993.05|2993.05|617.33|684.57|672.34|733.46|859.9|2854.99|2854.99|902.9|2781.91|1547.82|902.9|885.7|0|3284.4
Professional|||21045|REMV MALIG JAW BONE RADICAL|4542|4542|3834.75|3406.5|3860.7|4087.8|3860.7|3911.31|2340.8|2200.35|0|0|4196.14|3834.75|751.77|4107.99|3986.33|3881.43|3738.88|4191.22|3406.5|4107.99|1381.54|1345.5|1381.54|4409.45|4409.45|853.96|1237.38|882.14|4585.83|4191.22|4191.22|862.5|956.44|939.36|1024.75|1201.34|3997.46|3997.46|1261.41|3895.13|2162.41|1261.41|1237.38|0|4585.83
Professional|||21046|EXCISIONBEN TUMORMANDIBLEI*|4102|4102|3447.13|3076.5|3486.7|3691.8|3486.7|3515.95|2114|1987.16|0|0|3771.98|3447.13|691.94|3692.74|3583.38|3489.08|3360.95|3767.56|3076.5|3692.74|1220.55|1188.71|1220.55|3982.22|3982.22|754.4|1093.19|779.3|4141.51|3767.56|3767.56|761.94|844.93|829.84|905.28|1061.35|3660.37|3660.37|1114.42|3566.68|1910.43|1114.42|1093.19|0|4141.51
Professional|||21047|EXCISIONBEN TUMORMANDIBLEE*|4861|4861|4115.37|3645.75|4131.85|4374.9|4131.85|4197.54|2505.3|2354.98|0|0|4503.2|4115.37|807.84|4408.6|4278.04|4165.46|4012.49|4497.92|3645.75|4408.6|1473.2|1434.76|1473.2|4719.33|4719.33|910.67|1319.47|940.72|4908.1|4497.92|4497.92|919.78|1019.95|1001.74|1092.8|1281.04|4302.87|4302.87|1345.09|4192.72|2305.87|1345.09|1319.47|0|4908.1
Professional|||21048|EXCISIONBEN TUMORMAXILLAIN*|4163|4163|3501.72|3122.25|3538.55|3746.7|3538.55|3571.64|2146.2|2017.43|0|0|3831.72|3501.72|709.17|3751.23|3640.14|3544.34|3414.18|3827.23|3122.25|3751.23|1236.47|1204.21|1236.47|4041.55|4041.55|764.41|1107.45|789.64|4203.21|3827.23|3827.23|772.05|856.14|840.85|917.29|1075.19|3755.37|3755.37|1128.95|3659.24|1935.34|1128.95|1107.45|0|4203.21
Professional|||21049|EXCISIONBEN TUMORMAXILLAEX*|4489|4489|3784.53|3366.75|3815.65|4040.1|3815.65|3860.08|2314.9|2176.01|0|0|4141.18|3784.53|738.3|4054.18|3934.12|3830.59|3689.92|4136.32|3366.75|4054.18|1375.63|1339.74|1375.63|4358.03|4358.03|850.37|1232.09|878.43|4532.35|4136.32|4136.32|858.87|952.41|935.41|1020.44|1196.2|3934.11|3934.11|1256.01|3833.4|2153.16|1256.01|1232.09|0|4532.35
Professional|||21050|REMV JAW JOINT|3365|3365|2830.2|2523.75|2860.25|3028.5|2860.25|2886.71|1734.6|1630.52|0|0|3096.92|2830.2|516.91|3031.86|2942.08|2864.65|2759.45|3093.29|2523.75|3031.86|1023.63|996.92|1023.63|3266.21|3266.21|632.77|916.81|653.65|3396.86|3093.29|3093.29|639.1|708.7|696.05|759.32|890.11|2717.01|2717.01|934.62|2647.46|1602.2|934.62|916.81|0|3396.86
Professional|||21060|REMV JAW JOINT CARTILAGE|3056|3056|2574.7|2292|2597.6|2750.4|2597.6|2626.1|1575|1480.5|0|0|2817.34|2574.7|489.55|2758.15|2676.47|2606.04|2510.33|2814.04|2292|2758.15|929.15|904.92|929.15|2966.89|2966.89|574.27|832.2|593.22|3085.57|2814.04|2814.04|580.01|643.18|631.7|689.12|807.96|2616.34|2616.34|848.36|2549.37|1454.33|848.36|832.2|0|3085.57
Professional|||21070|REMV CORONOID PROCESS|2381|2381|2000.36|1785.75|2023.85|2142.9|2023.85|2040.3|1227.1|1153.47|0|0|2188.87|2000.36|374.56|2142.89|2079.43|2024.71|1950.35|2186.31|1785.75|2142.89|725.11|706.19|725.11|2311.53|2311.53|448.28|649.45|463.07|2403.99|2186.31|2186.31|452.76|502.07|493.11|537.94|630.53|1980.62|1980.62|662.06|1929.92|1134.95|662.06|649.45|0|2403.99
Professional|||21073|MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA|949|949|797.09|711.75|806.65|854.1|806.65|1227.3|751.1|706.03|0|0|872.2|797.09|155.83|853.88|828.59|806.79|777.16|871.18|711.75|853.88|291.03|283.44|291.03|920.39|920.39|179.87|260.66|185.81|957.21|871.18|871.18|181.67|201.45|197.86|215.84|253.07|838.19|838.19|265.72|816.73|455.53|265.72|260.66|0|1227.3
Professional|||21085|PREP FACE/ORAL PROST ORAL SPL*|2013|2013|1715.37|1509.75|1711.05|1811.7|1711.05|2344.34|1415.4|1330.48|0|0|1877.03|1715.37|346.98|1837.6|1783.18|1736.25|1672.49|1874.83|1509.75|1837.6|590.67|575.27|590.67|1954.18|1954.18|365.14|529.04|377.19|2032.35|1874.83|1874.83|368.79|408.96|401.65|438.17|513.63|1859.59|1859.59|539.31|1811.99|924.53|539.31|529.04|0|2344.34
Professional|||21110|INTERDENTAL FIXATION|2593|2593|2139.03|1944.75|2204.05|2333.7|2204.05|2603.83|1604.4|1508.14|0|0|2340.61|2139.03|423.79|2291.44|2223.58|2165.07|2085.55|2337.87|1944.75|2291.44|808.77|787.67|808.77|2517.24|2517.24|499.85|724.38|516.35|2617.93|2337.87|2337.87|504.85|559.83|549.84|599.82|703.28|2198.95|2198.95|738.44|2142.66|1265.9|738.44|724.38|0|2617.93
Professional|||21120|RECONST CHIN AUGMENT|2009|2009|1662.96|1506.75|1707.65|1808.1|1707.65|2150.55|1323.7|1244.28|0|0|1819.68|1662.96|324.67|1781.45|1728.7|1683.2|1621.39|1817.55|1506.75|1781.45|603.7|587.96|603.7|1950.23|1950.23|373.09|540.71|385.4|2028.24|1817.55|1817.55|376.82|417.86|410.4|447.71|524.96|1554.18|1554.18|551.21|1514.4|944.93|551.21|540.71|0|2150.55
Professional|||21121|RECONST CHIN SLIDE SINGL OSTE*|2328|2328|1952.32|1746|1978.8|2095.2|1978.8|2333.2|1416.8|1331.79|0|0|2136.3|1952.32|420.01|2091.42|2029.49|1976.08|1903.51|2133.8|1746|2091.42|668.37|650.93|668.37|2260.1|2260.1|413.12|598.63|426.75|2350.5|2133.8|2133.8|417.25|462.69|454.43|495.74|581.19|2198.95|2198.95|610.25|2142.66|1046.14|610.25|598.63|0|2350.5
Professional|||21125|AUGMENT LOWER JAW BONEPROSTH*|2762|2762|2330.11|2071.5|2347.7|2485.8|2347.7|9218.09|5772.2|5425.87|0|0|2549.7|2330.11|481.83|2496.14|2422.22|2358.48|2271.86|2546.72|2071.5|2496.14|804.86|783.87|804.86|2680.74|2680.74|497.54|720.88|513.96|2787.97|2546.72|2546.72|502.52|557.24|547.29|597.05|699.88|2401.42|2401.42|734.87|2339.95|1259.78|734.87|720.88|0|9218.09
Professional|||21127|AUGMENT LOWER JAW BONEBONE G*|3183|3183|2693.72|2387.25|2705.55|2864.7|2705.55|12495.71|7835.1|7364.99|0|0|2947.57|2693.72|549.36|2885.65|2800.19|2726.5|2626.38|2944.12|2387.25|2885.65|926.24|902.08|926.24|3089.52|3089.52|572.47|829.59|591.36|3213.1|2944.12|2944.12|578.19|641.17|629.72|686.96|805.43|2911.57|2911.57|845.7|2837.04|1449.77|845.7|829.59|0|12495.71
Professional|||21141|RECONST FACELEFORT I1 PIECE|5095|5095|4308.64|3821.25|4330.75|4585.5|4330.75|4394.66|2625.7|2468.16|0|0|4714.68|4308.64|821.72|4615.64|4478.95|4361.08|4200.92|4709.16|3821.25|4615.64|1556.69|1516.08|1556.69|4946.13|4946.13|962.25|1394.25|994|5143.98|4709.16|4709.16|971.87|1077.72|1058.48|1154.7|1353.64|4438.59|4438.59|1421.32|4324.97|2436.55|1421.32|1394.25|0|5143.98
Professional|||21142|RECONST FACELEFORT I2 PIECES|5235|5235|4428.75|3926.25|4449.75|4711.5|4449.75|4517.17|2697.8|2535.93|0|0|4846.11|4428.75|861.47|4744.3|4603.8|4482.65|4318.03|4840.43|3926.25|4744.3|1599.1|1557.38|1599.1|5081.95|5081.95|988.42|1432.24|1021.04|5285.23|4840.43|4840.43|998.3|1107.03|1087.26|1186.1|1390.52|4704.41|4704.41|1460.05|4583.98|2502.94|1460.05|1432.24|0|5285.23
Professional|||21143|RECONST FACELEFORT I3+ PIEC*|5464|5464|4620.92|4098|4644.4|4917.6|4644.4|4713.18|2816.1|2647.13|0|0|5056.39|4620.92|867.2|4950.17|4803.57|4677.16|4505.4|5050.47|4098|4950.17|1661.07|1617.74|1661.07|5304.79|5304.79|1026.91|1487.74|1060.8|5516.98|5050.47|5050.47|1037.18|1150.14|1129.6|1232.29|1444.41|4786.99|4786.99|1516.63|4664.45|2599.94|1516.63|1487.74|0|5516.98
Professional|||21150|RECONST FACELEFORT II|6180|6180|5206.18|4635|5253|5562|5253|5310.12|3185|2993.9|0|0|5696.81|5206.18|1026.35|5577.13|5411.97|5269.55|5076.03|5690.13|4635|5577.13|1877.49|1828.51|1877.49|5999.71|5999.71|1160.6|1681.58|1198.9|6239.7|5690.13|5690.13|1172.21|1299.87|1276.66|1392.72|1632.6|5671.54|5671.54|1714.23|5526.36|2938.68|1714.23|1681.58|0|6239.7
Professional|||21172|RECONST ORBIT/FOREHEAD|7457|7457|6615.82|5592.75|6338.45|6711.3|6338.45|6747.91|3751.3|3526.22|0|0|7239.29|6615.82|1134.5|7087.21|6877.33|6696.35|6450.42|7230.81|5592.75|7087.21|2233.68|2175.41|2233.68|7054.6|7054.6|1380.76|2000.6|1426.33|7336.78|7230.81|7230.81|1394.57|1546.45|1518.84|1656.91|1942.33|6730.29|6730.29|2039.45|6558.01|3496.19|2039.45|2000.6|0|7457
Professional|||21179|RECONST ENTIRE FOREHEAD+GRAFT|5633|5633|4760.68|4224.75|4788.05|5069.7|4788.05|4855.73|2909.2|2734.65|0|0|5209.33|4760.68|904.06|5099.89|4948.86|4818.63|4641.66|5203.22|4224.75|5099.89|1736.97|1691.66|1736.97|5468.3|5468.3|1073.87|1555.72|1109.31|5687.03|5203.22|5203.22|1084.61|1202.73|1181.26|1288.64|1510.41|4448.77|4448.77|1585.93|4334.89|2718.74|1585.93|1555.72|0|5687.03
Professional|||21188|RECONST MIDFACE|6236|6236|5247.67|4677|5300.6|5612.4|5300.6|5352.44|3219.3|3026.14|0|0|5742.21|5247.67|983.3|5621.58|5455.1|5311.54|5116.48|5735.48|4677|5621.58|1886.01|1836.81|1886.01|6053.76|6053.76|1165.99|1689.21|1204.47|6295.91|5735.48|5735.48|1177.65|1305.91|1282.59|1399.19|1640.01|5324.27|5324.27|1722.01|5187.98|2952.02|1722.01|1689.21|0|6295.91
Professional|||21193|RECONST MANDIBLEC/L OSTEOTOMY|4749|4749|4016.01|3561.75|4036.65|4274.1|4036.65|4096.19|2450|2303|0|0|4394.47|4016.01|741.17|4302.16|4174.75|4064.89|3915.61|4389.33|3561.75|4302.16|1446.08|1408.36|1446.08|4609.88|4609.88|893.99|1295.18|923.49|4794.28|4389.33|4389.33|902.93|1001.27|983.39|1072.79|1257.46|3849.26|3849.26|1320.33|3750.73|2263.43|1320.33|1295.18|0|4794.28
Professional|||21195|RECONST MANDIBLESAG SPLIT|5314|5314|4477.88|3985.5|4516.9|4782.6|4516.9|4567.28|2739.1|2574.75|0|0|4899.87|4477.88|825.05|4796.94|4654.88|4532.38|4365.93|4894.13|3985.5|4796.94|1603.07|1561.25|1603.07|5158.42|5158.42|990.98|1435.79|1023.68|5364.76|4894.13|4894.13|1000.89|1109.9|1090.08|1189.18|1393.97|4304|4304|1463.67|4193.83|2509.15|1463.67|1435.79|0|5364.76
Professional|||21196|RECONST MANDIBLESAG SPLIT+FI*|5466|5466|4605.63|4099.5|4646.1|4919.4|4646.1|4697.59|2816.8|2647.79|0|0|5039.67|4605.63|914.66|4933.79|4787.68|4661.69|4490.49|5033.76|4099.5|4933.79|1643.64|1600.76|1643.64|5306.11|5306.11|1016.13|1472.13|1049.66|5518.35|5033.76|5033.76|1026.29|1138.07|1117.74|1219.36|1429.25|4855.98|4855.98|1500.71|4731.67|2572.65|1500.71|1472.13|0|5518.35
Professional|||21198|OSTEOTOMY MANDIBLE|4298|4298|3612.01|3223.5|3653.3|3868.2|3653.3|3684.12|2214.8|2081.91|0|0|3952.4|3612.01|723.3|3869.37|3754.78|3655.97|3521.71|3947.77|3223.5|3869.37|1277.05|1243.74|1277.05|4172.1|4172.1|789.55|1143.79|815.61|4338.98|3947.77|3947.77|797.45|884.3|868.51|947.46|1110.48|3819.86|3819.86|1166|3722.07|1998.86|1166|1143.79|0|4338.98
Professional|||21206|RECONST MAXILLASEGMENTAL|4435|4435|3727.75|3326.25|3769.75|3991.5|3769.75|3802.17|2286.9|2149.69|0|0|4079.05|3727.75|727.27|3993.36|3875.09|3773.12|3634.56|4074.27|3326.25|3993.36|1336.04|1301.18|1336.04|4305.27|4305.27|825.99|1196.62|853.25|4477.48|4074.27|4074.27|834.25|925.11|908.59|991.19|1161.77|3979.34|3979.34|1219.86|3877.47|2091.19|1219.86|1196.62|0|4477.48
Professional|||21208|AUGMENT FACIAL BONES|3010|3010|2540.85|2257.5|2558.5|2709|2558.5|5558.48|3436.3|3230.12|0|0|2780.3|2540.85|517.14|2721.89|2641.28|2571.78|2477.33|2777.04|2257.5|2721.89|880.08|857.12|880.08|2922.05|2922.05|543.99|788.25|561.94|3038.93|2777.04|2777.04|549.43|609.27|598.39|652.79|765.29|2748.68|2748.68|803.55|2678.32|1377.52|803.55|788.25|0|5558.48
Professional|||21209|REDUCTION OF FACIAL BONES|2523|2523|2106.28|1892.25|2144.55|2270.7|2144.55|2867.78|1757.7|1652.24|0|0|2304.77|2106.28|381.4|2256.35|2189.53|2131.91|2053.62|2302.07|1892.25|2256.35|707.68|689.21|707.68|2448.67|2448.67|437.5|633.83|451.94|2546.62|2302.07|2302.07|441.88|490|481.25|525|615.37|2017.94|2017.94|646.14|1966.28|1107.67|646.14|633.83|0|2867.78
Professional|||21210|NASALMAXILLAMALAR BONE GRAFT|3096|3096|2611.82|2322|2631.6|2786.4|2631.6|6713.38|4169.2|3919.05|0|0|2857.96|2611.82|534.35|2797.92|2715.06|2643.61|2546.52|2854.61|2322|2797.92|905.87|882.24|905.87|3005.13|3005.13|559.9|811.34|578.38|3125.34|2854.61|2854.61|565.5|627.09|615.89|671.88|787.71|2839.17|2839.17|827.1|2766.5|1417.88|827.1|811.34|0|6713.38
Professional|||21215|MANDIBLE GRAFT|3225|3225|2722.11|2418.75|2741.25|2902.5|2741.25|12775.25|8015|7534.1|0|0|2978.64|2722.11|555.34|2916.06|2829.7|2755.24|2654.06|2975.15|2418.75|2916.06|941.05|916.5|941.05|3130.39|3130.39|581.71|842.85|600.91|3255.61|2975.15|2975.15|587.53|651.52|639.88|698.05|818.3|2954.53|2954.53|859.22|2878.9|1472.94|859.22|842.85|0|12775.25
Professional|||21230|RIB CARTILAGE GRAFT TO FACE|2766|2766|2331.21|2074.5|2351.1|2489.4|2351.1|2377.75|1425.9|1340.35|0|0|2550.9|2331.21|433.71|2497.31|2423.35|2359.58|2272.93|2547.91|2074.5|2497.31|846.75|824.66|846.75|2684.7|2684.7|523.46|758.39|540.73|2792.09|2547.91|2547.91|528.69|586.28|575.81|628.15|736.3|2427.42|2427.42|773.12|2365.28|1325.34|773.12|758.39|0|2792.09
Professional|||21235|EAR CARTILAGE GRAFT TO FACE|2121|2121|1773.25|1590.75|1802.85|1908.9|1802.85|2313.15|1413.3|1328.5|0|0|1940.36|1773.25|349.4|1899.59|1843.34|1794.83|1728.92|1938.08|1590.75|1899.59|647.22|630.34|647.22|2058.36|2058.36|400.03|579.68|413.23|2140.69|1938.08|1938.08|404.03|448.03|440.03|480.04|562.8|1842.64|1842.64|590.94|1795.47|1013.04|590.94|579.68|0|2313.15
Professional|||21240|ARTHROPLASTY TMJ|4151|4151|3510.46|3113.25|3528.35|3735.9|3528.35|3580.55|2139.2|2010.85|0|0|3841.28|3510.46|687.75|3760.59|3649.22|3553.19|3422.7|3836.78|3113.25|3760.59|1246.96|1214.43|1246.96|4029.69|4029.69|770.82|1116.84|796.26|4190.88|3836.78|3836.78|778.53|863.32|847.9|924.98|1084.31|3668.29|3668.29|1138.53|3574.38|1951.76|1138.53|1116.84|0|4190.88
Professional|||21242|ARTHROPLASTY TMJ+ALLOGRAFT|3877|3877|3266.96|2907.75|3295.45|3489.3|3295.45|3332.19|1999.9|1879.91|0|0|3574.84|3266.96|630.82|3499.74|3396.1|3306.73|3185.29|3570.65|2907.75|3499.74|1183.01|1152.14|1183.01|3763.33|3763.33|731.31|1059.56|755.44|3913.86|3570.65|3570.65|738.62|819.07|804.44|877.57|1028.7|3375.33|3375.33|1080.14|3288.92|1851.66|1080.14|1059.56|0|3913.86
Professional|||21243|ARTHROPLASTY TMJ+PROSTHESIS|6315|6315|5341.57|4736.25|5367.75|5683.5|5367.75|5448.22|3254.3|3059.04|0|0|5844.96|5341.57|1042.22|5722.17|5552.71|5406.59|5208.03|5838.11|4736.25|5722.17|1900.47|1850.89|1900.47|6130.24|6130.24|1174.97|1702.16|1213.74|6375.45|5838.11|5838.11|1186.72|1315.97|1292.47|1409.96|1652.58|5601.41|5601.41|1735.21|5458.03|2974.64|1735.21|1702.16|0|6375.45
Professional|||21244|RECONSTR MANDIBLEBONE PLATE|3913|3913|3277.88|2934.75|3326.05|3521.7|3326.05|3343.33|2016.7|1895.7|0|0|3586.79|3277.88|661.93|3511.44|3407.45|3317.78|3195.93|3582.59|2934.75|3511.44|1179.01|1148.26|1179.01|3798.93|3798.93|728.74|1055.99|752.79|3950.89|3582.59|3582.59|736.03|816.19|801.61|874.49|1025.23|3472.59|3472.59|1076.49|3383.7|1845.41|1076.49|1055.99|0|3950.89
Professional|||21245|RECONSTR JAWPART-SUB IMPLNT|3562|3562|3001.63|2671.5|3027.7|3205.8|3027.7|3883.47|2359|2217.46|0|0|3284.51|3001.63|542.3|3215.51|3120.28|3038.17|2926.59|3280.66|2671.5|3215.51|1086.35|1058.01|1086.35|3457.41|3457.41|671.52|972.99|693.68|3595.71|3280.66|3280.66|678.24|752.1|738.67|805.82|944.65|2874.22|2874.22|991.88|2800.65|1700.37|991.88|972.99|0|3883.47
Professional|||21246|RECONSTR JAWFULL-SUB IMPLNT|3280|3280|2777.79|2460|2788|2952|2788|2833.25|1690.5|1589.07|0|0|3039.57|2777.79|530.84|2975.72|2887.59|2811.6|2708.35|3036.01|2460|2975.72|997.8|971.77|997.8|3184.46|3184.46|616.86|893.68|637.22|3311.84|3036.01|3036.01|623.03|690.88|678.55|740.23|867.65|2887.81|2887.81|911.03|2813.88|1561.77|911.03|893.68|0|3311.84
Professional|||21256|RECONSTR OF ORBIT|4625|4625|3907.91|3468.75|3931.25|4162.5|3931.25|3985.93|2382.8|2239.83|0|0|4276.19|3907.91|746.04|4186.36|4062.38|3955.48|3810.21|4271.18|3468.75|4186.36|1418.13|1381.14|1418.13|4489.89|4489.89|876.54|1270.15|905.47|4669.49|4271.18|4271.18|885.31|981.72|964.19|1051.85|1233.16|3918.25|3918.25|1294.82|3817.95|2219.69|1294.82|1270.15|0|4669.49
Professional|||21267|REPOSITN ORBITSEXTRACRAN|6110|6110|5115.55|4582.5|5193.5|5499|5193.5|5217.68|3153.5|2964.29|0|0|5597.64|5115.55|983.3|5480.04|5317.76|5177.82|4987.66|5591.08|4582.5|5480.04|1860.17|1811.64|1860.17|5931.13|5931.13|1150.08|1666.07|1188.03|6168.38|5591.08|5591.08|1161.58|1288.09|1265.09|1380.1|1617.54|5157.98|5157.98|1698.42|5025.95|2911.57|1698.42|1666.07|0|6168.38
Professional|||21275|REVISION ORBITOFACIAL BONES|3126|3126|2640.21|2344.5|2657.1|2813.4|2657.1|2692.93|1611.4|1514.72|0|0|2889.03|2640.21|511.61|2828.33|2744.58|2672.35|2574.2|2885.64|2344.5|2828.33|962.96|937.84|962.96|3034.14|3034.14|595.31|862.48|614.96|3155.51|2885.64|2885.64|601.26|666.75|654.84|714.37|837.36|2731.7|2731.7|879.23|2661.77|1507.25|879.23|862.48|0|3155.51
Professional|||21282|REVISION OF EYELIDLATERAL|1462|1462|1202.18|1096.5|1242.7|1315.8|1242.7|1226.18|753.2|708.01|0|0|1315.47|1202.18|236.38|1287.84|1249.7|1216.81|1172.13|1313.93|1096.5|1287.84|449.8|438.07|449.8|1418.83|1418.83|277.89|402.86|287.06|1475.58|1313.93|1313.93|280.67|311.24|305.68|333.47|391.13|1229.55|1229.55|410.69|1198.07|704.03|410.69|402.86|0|1475.58
Professional|||21299|EXCISION FISTULA TRACT FACE|1846|1846|0|1384.5|1569.1|1661.4|1569.1|0|0|0|0|0|0|0|0|0|0|0|0|0|1384.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1846
Professional|||21299|REATTACHMENT GENIOGLOSSUS MUSCLE TO MANDIBLE|760|760|0|570|646|684|646|0|0|0|0|0|0|0|0|0|0|0|0|0|570|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|760
Professional|||21299|REMOVAL IMPLANT; SUPERFICIAL|1221|1221|0|915.75|1037.85|1098.9|1037.85|0|0|0|0|0|0|0|0|0|0|0|0|0|915.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1221
Professional|||21299|REMOVAL TMJ JOINT MASS|1689|1689|0|1266.75|1435.65|1520.1|1435.65|0|0|0|0|0|0|0|0|0|0|0|0|0|1266.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1689
Professional|||21299|PR APPLICATION RECONSTRUCTION PLATE TO MANDIBLE|6021|6021|0|4515.75|5117.85|5418.9|5117.85|0|0|0|0|0|0|0|0|0|0|0|0|0|4515.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6021
Professional|||21299|PR MANDIBLE HIGH CONDYLOTOMY|2269|2269|0|1701.75|1928.65|2042.1|1928.65|0|0|0|0|0|0|0|0|0|0|0|0|0|1701.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2269
Professional|||21310|CLOSED RX NOSE FRACTURE|100|100|85.17|75|85|90|85|418.75|261.8|246.09|0|0|93.19|85.17|15.9|91.24|88.53|86.2|83.04|93.09|75|91.24|30.33|29.53|30.33|96.26|96.26|18.73|27.16|19.35|100.11|93.09|93.09|18.92|20.98|20.6|22.48|26.37|88.22|88.22|27.69|85.96|47.47|27.69|27.16|0|418.75
Professional|||21315|CLOSED RX NOSE FRACTURE|567|567|471.7|425.25|481.95|510.3|481.95|873.14|541.1|508.63|0|0|516.15|471.7|93.59|505.31|490.35|477.44|459.91|515.55|425.25|505.31|172.5|168|172.5|549.86|549.86|106.48|154.5|109.99|571.85|515.55|515.55|107.54|119.26|117.13|127.78|150|490.92|490.92|157.5|478.36|270|157.5|154.5|0|873.14
Professional|||21320|CLOSED RX NOSE FX W STABILIZA*|500|500|418.2|375|425|450|425|805.21|497.7|467.84|0|0|457.61|418.2|82.77|448|434.73|423.29|407.75|457.07|375|448|152.17|148.2|152.17|485.25|485.25|93.91|136.29|97.01|504.66|457.07|457.07|94.85|105.18|103.3|112.69|132.32|437.75|437.75|138.94|426.55|238.18|138.94|136.29|0|805.21
Professional|||21325|OPEN RX NOSE FRACTURE|1776|1776|1462.05|1332|1509.6|1598.4|1509.6|1491.24|914.9|860.01|0|0|1599.84|1462.05|296.64|1566.23|1519.85|1479.85|1425.5|1597.96|1332|1566.23|505.61|492.42|505.61|1723.43|1723.43|312.53|452.85|322.84|1792.37|1597.96|1597.96|315.66|350.03|343.78|375.04|439.66|1534.96|1534.96|461.64|1495.67|791.39|461.64|452.85|0|1792.37
Professional|||21330|OPEN RX NOSE FX COMPLICATED|2133|2133|1765.6|1599.75|1813.05|1919.7|1813.05|1800.85|1099.7|1033.72|0|0|1931.99|1765.6|352.71|1891.4|1835.39|1787.09|1721.46|1929.73|1599.75|1891.4|645.9|629.05|645.9|2070.23|2070.23|399.26|578.5|412.44|2153.04|1929.73|1929.73|403.25|447.17|439.19|479.11|561.65|1856.19|1856.19|589.73|1808.67|1010.97|589.73|578.5|0|2153.04
Professional|||21335|OPEN RX NOSE FX+OPEN FIX SEPT*|2690|2690|2241.67|2017.5|2286.5|2421|2286.5|2286.43|1386.7|1303.5|0|0|2452.92|2241.67|448.72|2401.39|2330.28|2268.96|2185.63|2450.05|2017.5|2401.39|816.25|794.95|816.25|2610.85|2610.85|504.47|731.07|521.12|2715.28|2450.05|2450.05|509.51|565.01|554.92|605.36|709.78|2345.98|2345.98|745.27|2285.93|1277.6|745.27|731.07|0|2715.28
Professional|||21337|CLOSED RX NASAL SEPTAL FRACTU*|1106|1106|919.38|829.5|940.1|995.4|940.1|1294.12|795.9|748.15|0|0|1006.02|919.38|182.3|984.89|955.72|930.57|896.4|1004.84|829.5|984.89|338.22|329.39|338.22|1073.35|1073.35|208.87|302.92|215.76|1116.28|1004.84|1004.84|210.96|233.93|229.76|250.64|294.1|958.08|958.08|308.81|933.56|529.38|308.81|302.92|0|1294.12
Professional|||21338|REPAIR NASOETHMOID FRACTURE|2516|2516|2061.51|1887|2138.6|2264.4|2138.6|2102.67|1285.9|1208.75|0|0|2255.78|2061.51|449.61|2208.39|2142.99|2086.6|2009.97|2253.14|1887|2208.39|758.4|738.62|758.4|2422.3|2422.3|468.8|679.26|484.27|2519.19|2253.14|2253.14|473.49|525.06|515.68|562.56|659.48|2442.14|2442.14|692.45|2379.63|1187.06|692.45|679.26|0|2519.19
Professional|||21339|REPAIR NASOETHMOID FX+EXTERN *|2835|2835|2334.48|2126.25|2409.75|2551.5|2409.75|2381.09|1455.3|1367.98|0|0|2554.48|2334.48|478.52|2500.82|2426.76|2362.9|2276.12|2551.49|2126.25|2500.82|858.85|836.45|858.85|2738.77|2738.77|530.9|769.23|548.42|2848.32|2551.49|2551.49|536.21|594.61|583.99|637.08|746.83|2752.06|2752.06|784.17|2681.61|1344.29|784.17|769.23|0|2848.32
Professional|||21343|OPEN RX DEPRES FRONTAL SINUS *|4076|4076|3365.24|3057|3464.6|3668.4|3464.6|3432.42|2078.3|1953.6|0|0|3682.37|3365.24|746.24|3605.02|3498.25|3406.2|3281.11|3678.06|3057|3605.02|1229.02|1196.96|1229.02|3913.65|3913.65|759.79|1100.77|784.86|4070.2|3678.06|3678.06|767.39|850.96|835.77|911.75|1068.71|3956.74|3956.74|1122.15|3855.45|1923.68|1122.15|1100.77|0|4076
Professional|||21344|OPEN RX COMPLIC FRONT SINUS F*|5145|5145|4330.48|3858.75|4373.25|4630.5|4373.25|4416.93|2653|2493.82|0|0|4738.58|4330.48|849.98|4639.03|4501.65|4383.18|4222.22|4733.02|3858.75|4639.03|1575.25|1534.15|1575.25|4994.92|4994.92|973.79|1410.87|1005.93|5194.72|4733.02|4733.02|983.53|1090.64|1071.17|1168.55|1369.78|4527.94|4527.94|1438.27|4412.03|2465.6|1438.27|1410.87|0|5194.72
Professional|||21345|CLOSED RX NOSE/JAW FRAC+WIRES|2334|2334|1956.68|1750.5|1983.9|2100.6|1983.9|2477.98|1509.2|1418.65|0|0|2141.08|1956.68|401.92|2096.1|2034.03|1980.5|1907.76|2138.57|1750.5|2096.1|715.85|697.18|715.85|2265.39|2265.39|442.37|641.15|456.97|2356.01|2138.57|2138.57|446.79|495.45|486.61|530.84|622.48|2103.92|2103.92|653.6|2050.06|1120.46|653.6|641.15|0|2477.98
Professional|||21346|OPEN RX NOSE/JAW FRACT+WIRES|3491|3491|2904.45|2618.25|2967.35|3141.9|2967.35|2962.44|1799|1691.06|0|0|3178.17|2904.45|560.84|3111.4|3019.26|2939.81|2831.84|3174.44|2618.25|3111.4|1102.45|1073.69|1102.45|3388.84|3388.84|681.52|987.41|704.01|3524.39|3174.44|3174.44|688.34|763.3|749.67|817.82|958.65|2943.21|2943.21|1006.58|2867.87|1725.57|1006.58|987.41|0|3524.39
Professional|||21347|OPEN RX NOSE/JAW FRACT/COMPLX|3816|3816|3169.79|2862|3243.6|3434.4|3243.6|3233.07|1957.2|1839.77|0|0|3468.5|3169.79|704.76|3395.64|3295.08|3208.37|3090.55|3464.44|2862|3395.64|1163.94|1133.57|1163.94|3686.85|3686.85|719.5|1042.48|743.24|3834.32|3464.44|3464.44|726.7|805.84|791.45|863.4|1012.12|3704.47|3704.47|1062.73|3609.64|1821.82|1062.73|1042.48|0|3834.32
Professional|||21355|CLOSED REPAIR CHEEK BONE FRAC|1196|1196|1001.27|897|1016.6|1076.4|1016.6|1357.6|830.2|780.39|0|0|1095.63|1001.27|196.43|1072.61|1040.85|1013.46|976.24|1094.35|897|1072.61|367.05|357.47|367.05|1160.38|1160.38|226.83|328.75|234.32|1206.8|1094.35|1094.35|229.1|254.05|249.51|272.2|319.17|1085.89|1085.89|335.13|1058.09|574.51|335.13|328.75|0|1357.6
Professional|||21356|OPEN RX DEPRESS ZYGOMA FRAC|1416|1416|1184.71|1062|1203.6|1274.4|1203.6|1593.7|973.7|915.28|0|0|1296.36|1184.71|233.07|1269.12|1231.54|1199.13|1155.09|1294.84|1062|1269.12|431.58|420.32|431.58|1373.99|1373.99|266.6|386.55|275.4|1428.95|1294.84|1294.84|269.27|298.59|293.26|319.92|375.29|1229.55|1229.55|394.05|1198.07|675.52|394.05|386.55|0|1593.7
Professional|||21360|OPEN RX DEPRESS MALAR FRAC|1905|1905|1594.17|1428.75|1619.25|1714.5|1619.25|1626|981.4|922.52|0|0|1744.41|1594.17|330.85|1707.76|1657.19|1613.58|1554.32|1742.36|1428.75|1707.76|584.95|569.69|584.95|1848.7|1848.7|361.54|523.91|373.47|1922.65|1742.36|1742.36|365.16|404.92|397.69|433.85|508.65|1756.66|1756.66|534.08|1711.69|915.57|534.08|523.91|0|1922.65
Professional|||21365|OPEN RX COMPLX CHEEK BONE FRAC|4125|4125|3488.62|3093.75|3506.25|3712.5|3506.25|3558.27|2125.9|1998.35|0|0|3817.39|3488.62|678.94|3737.19|3626.52|3531.08|3401.4|3812.91|3093.75|3737.19|1256.67|1223.89|1256.67|4004.64|4004.64|776.72|1125.54|802.35|4164.83|3812.91|3812.91|784.49|869.93|854.39|932.06|1092.76|3626.43|3626.43|1147.4|3533.6|1966.97|1147.4|1125.54|0|4164.83
Professional|||21366|OPEN RX COMPLX CHEEK FX+GRAFT|4732|4732|3995.26|3549|4022.2|4258.8|4022.2|4075.03|2443|2296.42|0|0|4371.77|3995.26|701.22|4279.93|4153.18|4043.89|3895.38|4366.65|3549|4279.93|1457.42|1419.4|1457.42|4594.06|4594.06|900.92|1305.34|930.65|4777.82|4366.65|4366.65|909.93|1009.03|991.01|1081.1|1267.32|3687.51|3687.51|1330.69|3593.12|2281.18|1330.69|1305.34|0|4777.82
Professional|||21385|REPAIR EYE BLOWOUTTRANSANTRAL|2820|2820|2363.96|2115|2397|2538|2397|2411.16|1453.2|1366.01|0|0|2586.74|2363.96|418.7|2532.4|2457.4|2392.74|2304.86|2583.71|2115|2532.4|855.95|833.62|855.95|2737.44|2737.44|529.1|766.63|546.56|2846.94|2583.71|2583.71|534.39|592.59|582.01|634.92|744.3|2201.19|2201.19|781.52|2144.84|1339.74|781.52|766.63|0|2846.94
Professional|||21386|REPAIR EYE BLOWOUTPERIORBITAL|2588|2588|2181.62|1941|2199.8|2329.2|2199.8|2225.17|1333.5|1253.49|0|0|2387.21|2181.62|425.99|2337.06|2267.85|2208.17|2127.08|2384.41|1941|2337.06|746.57|727.09|746.57|2511.97|2511.97|461.36|668.67|476.58|2612.45|2384.41|2384.41|465.97|516.72|507.5|553.63|649.19|2261.16|2261.16|681.65|2203.28|1168.54|681.65|668.67|0|2612.45
Professional|||21387|REPAIR EYE BLOWOUTCOMBINED|2938|2938|2465.51|2203.5|2497.3|2644.2|2497.3|2514.73|1515.5|1424.57|0|0|2697.86|2465.51|435.91|2641.18|2562.97|2495.52|2403.87|2694.7|2203.5|2641.18|892.86|869.57|892.86|2852.16|2852.16|551.94|799.69|570.15|2966.25|2694.7|2694.7|557.46|618.17|607.13|662.33|776.4|2301.89|2301.89|815.22|2242.96|1397.52|815.22|799.69|0|2966.25
Professional|||21390|REPAIR EYE BLOWOUTPERIORB+IM*|3007|3007|2507|2255.25|2555.95|2706.3|2555.95|2557.06|1549.8|1456.81|0|0|2743.26|2507|489.12|2685.63|2606.1|2537.52|2444.33|2740.05|2255.25|2685.63|920.84|896.82|920.84|2919.41|2919.41|569.13|824.75|587.91|3036.19|2740.05|2740.05|574.82|637.43|626.04|682.96|800.73|2584.67|2584.67|840.77|2518.5|1441.31|840.77|824.75|0|3036.19
Professional|||21401|CLOSED RX FX ORBIT W MANIPULA*|1207|1207|1007.82|905.25|1025.95|1086.3|1025.95|1642.71|1012.9|952.13|0|0|1102.8|1007.82|175.69|1079.63|1047.66|1020.09|982.62|1101.51|905.25|1079.63|371.65|361.95|371.65|1170.93|1170.93|229.65|332.87|237.23|1217.77|1101.51|1101.51|231.95|257.21|252.62|275.58|323.17|989.76|989.76|339.33|964.42|581.71|339.33|332.87|0|1642.71
Professional|||21406|OPEN RX FX ORBIT|2150|2150|1806|1612.5|1827.5|1935|1827.5|1842.06|1108.1|1041.61|0|0|1976.2|1806|317.38|1934.68|1877.39|1827.98|1760.85|1973.88|1612.5|1934.68|664.07|646.74|664.07|2087.37|2087.37|410.56|594.77|424.11|2170.86|1973.88|1973.88|414.67|459.83|451.62|492.67|577.45|1858.46|1858.46|606.32|1810.89|1039.41|606.32|594.77|0|2170.86
Professional|||21407|OPEN RX FX ORBIT W IMPLANT|2422|2422|2023.29|1816.5|2058.7|2179.8|2058.7|2063.69|1248.1|1173.21|0|0|2213.96|2023.29|397.07|2167.45|2103.27|2047.92|1972.71|2211.37|1816.5|2167.45|740.15|720.84|740.15|2351.09|2351.09|457.51|662.92|472.61|2445.13|2211.37|2211.37|462.09|512.41|503.26|549.01|643.61|2100.52|2100.52|675.79|2046.75|1158.5|675.79|662.92|0|2445.13
Professional|||21421|CLOSED RX LEFORTE I+WIRES|2345|2345|1879.16|1758.75|1993.25|2110.5|1993.25|2264.15|1388.1|1304.81|0|0|2056.25|1879.16|397.73|2013.05|1953.44|1902.03|1832.18|2053.84|1758.75|2013.05|662.3|645.02|662.3|2198.14|2198.14|409.27|593.19|422.78|2286.07|2053.84|2053.84|413.36|458.38|450.2|491.12|575.91|2275.85|2275.85|604.71|2217.59|1036.64|604.71|593.19|0|2345
Professional|||21422|OPEN RX LEFORTE I|2468|2468|2071.33|1851|2097.8|2221.2|2097.8|2112.69|1271.9|1195.59|0|0|2266.54|2071.33|415.39|2218.92|2153.21|2096.55|2019.55|2263.88|1851|2218.92|739.85|720.55|739.85|2395.92|2395.92|457.26|662.65|472.35|2491.76|2263.88|2263.88|461.83|512.13|502.99|548.71|643.35|2205.72|2205.72|675.52|2149.26|1158.03|675.52|662.65|0|2491.76
Professional|||21423|OPEN RX LEFORTE ICOMPLICATED|2884|2884|2426.2|2163|2451.4|2595.6|2451.4|2474.64|1485.4|1396.28|0|0|2654.85|2426.2|504.77|2599.07|2522.1|2455.73|2365.55|2651.73|2163|2599.07|878.7|855.78|878.7|2799.42|2799.42|543.22|787.01|561.15|2911.4|2651.73|2651.73|548.65|608.41|597.54|651.86|764.09|2573.35|2573.35|802.29|2507.48|1375.36|802.29|787.01|0|2911.4
Professional|||21432|OPEN RX LEFORTE III+FIXATN|2687|2687|2247.13|2015.25|2283.95|2418.3|2283.95|2291.99|1386.7|1303.5|0|0|2458.9|2247.13|402.14|2407.24|2335.95|2274.48|2190.95|2456.02|2015.25|2407.24|825.14|803.61|825.14|2608.22|2608.22|510.12|739.04|526.95|2712.55|2456.02|2456.02|515.22|571.33|561.13|612.14|717.51|2215.9|2215.9|753.39|2159.18|1291.52|753.39|739.04|0|2712.55
Professional|||21433|OPEN RX LEFORTE IIICOMPLICAT*|6455|6455|5478.06|4841.25|5486.75|5809.5|5486.75|5587.43|3327.1|3127.47|0|0|5994.31|5478.06|1058.57|5868.38|5694.6|5544.74|5341.11|5987.29|4841.25|5868.38|1982.52|1930.8|1982.52|6266.06|6266.06|1225.52|1775.65|1265.96|6516.7|5987.29|5987.29|1237.78|1372.58|1348.07|1470.62|1723.93|5670.4|5670.4|1810.13|5525.25|3103.07|1810.13|1775.65|0|6516.7
Professional|||21440|CLOSED RX DENTAL RIDGE FX|1875|1875|1534.12|1406.25|1593.75|1687.5|1593.75|1930.04|1197.7|1125.84|0|0|1678.69|1534.12|296.64|1643.43|1594.76|1552.79|1495.77|1676.73|1406.25|1643.43|595.69|580.15|595.69|1819.69|1819.69|368.22|533.53|380.37|1892.48|1676.73|1676.73|371.9|412.41|405.04|441.86|517.99|1530.42|1530.42|543.89|1491.24|932.38|543.89|533.53|0|1930.04
Professional|||21445|OPEN RX DENTAL RIDGE FX|2380|2380|1973.06|1785|2023|2142|2023|2479.1|1522.5|1431.15|0|0|2159|1973.06|392|2113.65|2051.05|1997.08|1923.73|2156.47|1785|2113.65|734.07|714.92|734.07|2310.22|2310.22|453.66|657.47|468.63|2402.63|2156.47|2156.47|458.2|508.1|499.03|544.39|638.32|2038.3|2038.3|670.24|1986.12|1148.98|670.24|657.47|0|2479.1
Professional|||21450|CLOSED RX MANDIBLE FX|1789|1789|1470.79|1341.75|1520.65|1610.1|1520.65|1830.92|1132.6|1064.64|0|0|1609.4|1470.79|311.43|1575.59|1528.93|1488.69|1434.02|1607.51|1341.75|1575.59|552.26|537.86|552.26|1736.62|1736.62|341.27|494.64|352.53|1806.08|1607.51|1607.51|344.68|382.22|375.4|409.52|480.23|1611.86|1611.86|504.24|1570.6|864.41|504.24|494.64|0|1830.92
Professional|||21451|CLOSED RX MANDIBLE FX+MANIPUL*|2418|2418|1995.99|1813.5|2055.3|2176.2|2055.3|2422.3|1491|1401.54|0|0|2184.09|1995.99|402.37|2138.21|2074.89|2020.29|1946.09|2181.54|1813.5|2138.21|741.84|722.49|741.84|2347.13|2347.13|458.54|664.43|473.67|2441.02|2181.54|2181.54|463.13|513.56|504.39|550.25|645.08|2204.59|2204.59|677.33|2148.16|1161.14|677.33|664.43|0|2441.02
Professional|||21453|CLOSED RX MANDIBLE FX+DENTAL *|3141|3141|2581.25|2355.75|2669.85|2826.9|2669.85|3076.04|1899.8|1785.81|0|0|2824.51|2581.25|494.63|2765.17|2683.28|2612.67|2516.72|2821.2|2355.75|2765.17|1004.54|978.33|1004.54|3048.64|3048.64|620.97|899.72|641.46|3170.59|2821.2|2821.2|627.18|695.49|683.07|745.16|873.51|2546.18|2546.18|917.19|2481|1572.32|917.19|899.72|0|3170.59
Professional|||21454|OPEN RX MANDIBLE FX+EXTERN FIX|2034|2034|1713.19|1525.5|1728.9|1830.6|1728.9|1747.4|1047.9|985.03|0|0|1874.64|1713.19|367.93|1835.26|1780.91|1734.04|1670.36|1872.44|1525.5|1835.26|594.79|579.28|594.79|1973.96|1973.96|367.7|532.73|379.83|2052.92|1872.44|1872.44|371.38|411.82|404.47|441.24|517.21|1882.22|1882.22|543.07|1834.04|930.98|543.07|532.73|0|2052.92
Professional|||21461|OPEN RX MANDIBLE FX|3712|3712|3068.24|2784|3155.2|3340.8|3155.2|6619.83|4131.4|3883.52|0|0|3357.39|3068.24|590.87|3286.86|3189.52|3105.58|2991.53|3353.45|2784|3286.86|1173.93|1143.31|1173.93|3603.77|3603.77|725.66|1051.43|749.61|3747.92|3353.45|3353.45|732.92|812.74|798.23|870.79|1020.81|3065.38|3065.38|1071.85|2986.91|1837.46|1071.85|1051.43|0|6619.83
Professional|||21462|OPEN RX MANDIBLE FX+DENTAL FIX|4116|4116|3412.19|3087|3498.6|3704.4|3498.6|7057.52|4394.6|4130.92|0|0|3733.75|3412.19|654.87|3655.31|3547.06|3453.72|3326.89|3729.38|3087|3655.31|1298.47|1264.59|1298.47|3995.41|3995.41|802.64|1162.97|829.13|4155.23|3729.38|3729.38|810.67|898.96|882.9|963.17|1129.1|3419.45|3419.45|1185.56|3331.92|2032.38|1185.56|1162.97|0|7057.52
Professional|||21465|OPEN RX MANDIBLE CONDYLE FX|3340|3340|2824.75|2505|2839|3006|2839|2881.14|1722|1618.68|0|0|3090.95|2824.75|590.87|3026.01|2936.4|2859.13|2754.13|3087.33|2505|3026.01|975.25|949.8|975.25|3242.47|3242.47|602.75|873.48|622.64|3372.17|3087.33|3087.33|608.78|675.08|663.03|723.3|848.04|3068.78|3068.78|890.44|2990.23|1526.47|890.44|873.48|0|3372.17
Professional|||21470|OPEN RX MANDIBLE CONDYLE FXC*|4462|4462|3771.42|3346.5|3792.7|4015.8|3792.7|3846.72|2298.8|2160.87|0|0|4126.84|3771.42|738.3|4040.14|3920.5|3817.33|3677.13|4122|3346.5|4040.14|1354.01|1318.69|1354.01|4331.65|4331.65|837.02|1212.72|864.64|4504.92|4122|4122|845.39|937.46|920.72|1004.42|1177.4|3940.88|3940.88|1236.27|3840.01|2119.32|1236.27|1212.72|0|4504.92
Professional|||21480|REDUCE TEMPOROMANDIBL DISLOC|116|116|99.36|87|98.6|104.4|98.6|341.91|212.8|200.03|0|0|108.73|99.36|18.98|106.44|103.29|100.57|96.88|108.6|87|106.44|35.35|34.43|35.35|112.08|112.08|21.81|31.66|22.53|116.56|108.6|108.6|22.03|24.43|23.99|26.17|30.74|104.07|104.07|32.28|101.41|55.33|32.28|31.66|0|341.91
Professional|||21485|REDUCE TEMPOROMANDIBL DISLOC*|2604|2604|2132.48|1953|2213.4|2343.6|2213.4|2649.49|1643.6|1544.98|0|0|2333.44|2132.48|370.14|2284.42|2216.77|2158.44|2079.17|2330.71|1953|2284.42|851.31|829.1|851.31|2527.79|2527.79|526.28|762.48|543.65|2628.9|2330.71|2330.71|531.54|589.43|578.91|631.54|740.27|1903.72|1903.72|777.28|1854.99|1332.49|777.28|762.48|0|2649.49
Professional|||21490|OPEN REDUCTN TEM-MANDIBLE DIS*|3297|3297|2790.9|2472.75|2802.45|2967.3|2802.45|2846.62|1698.9|1596.97|0|0|3053.91|2790.9|560.84|2989.75|2901.21|2824.87|2721.13|3050.33|2472.75|2989.75|961.75|936.66|961.75|3200.28|3200.28|594.54|861.39|614.16|3328.29|3050.33|3050.33|600.49|665.88|653.99|713.45|836.3|2995.25|2995.25|878.12|2918.58|1505.34|878.12|861.39|0|3328.29
Professional|||21497|INTERDENTAL WIRING|2191|2191|1802.73|1643.25|1862.35|1971.9|1862.35|2185.08|1348.9|1267.97|0|0|1972.61|1802.73|387.81|1931.17|1873.98|1824.67|1757.66|1970.3|1643.25|1931.17|675.64|658.01|675.64|2126.93|2126.93|417.48|605.14|431.26|2212.01|1970.3|1970.3|421.65|467.58|459.23|500.98|587.51|2003.25|2003.25|616.89|1951.97|1057.52|616.89|605.14|0|2212.01
Professional|||21499|PLACEMENT HARDWARE MANDIBLE/MAXILLA|1835|1835|0|1376.25|1559.75|1651.5|1559.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1376.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1835
Professional|||21499|ORIF ZYGOMA W/FIXATION|2407|2407|0|1805.25|2045.95|2166.3|2045.95|0|0|0|0|0|0|0|0|0|0|0|0|0|1805.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2407
Professional|||21501|I&D DEEP ABSC/HEMATOMA NECK/C*|1201|1201|1014.38|900.75|1020.85|1080.9|1020.85|1467.86|893.9|840.27|0|0|1109.97|1014.38|194.89|1086.65|1054.47|1026.72|989.02|1108.67|900.75|1086.65|370.37|360.71|370.37|1165.66|1165.66|228.88|331.72|236.43|1212.29|1108.67|1108.67|231.17|256.35|251.77|274.66|322.06|1041.76|1041.76|338.16|1015.1|579.71|338.16|331.72|0|1467.86
Professional|||21550|BIOPSY SOFT TISSUE NECK/CHEST|589|589|492.45|441.75|500.65|530.1|500.65|830.82|512.4|481.66|0|0|538.85|492.45|96.67|527.53|511.91|498.44|480.14|538.22|441.75|527.53|179.08|174.41|179.08|570.96|570.96|110.59|160.39|114.24|593.8|538.22|538.22|111.7|123.86|121.65|132.71|155.72|513.52|513.52|163.51|500.38|280.3|163.51|160.39|0|830.82
Professional|||21552|EXC NECK LES SC = 3 CM|1629|1629|1404.18|1221.75|1384.65|1466.1|1384.65|1432.22|840|789.6|0|0|1536.51|1404.18|264.86|1504.23|1459.69|1421.27|1369.08|1534.71|1221.75|1504.23|499.28|486.26|499.28|1581.02|1581.02|308.68|447.18|318.87|1644.26|1534.71|1534.71|311.77|345.72|339.55|370.42|434.16|1453.52|1453.52|455.87|1416.31|781.49|455.87|447.18|0|1644.26
Professional|||21554|EXC NECK TUM DEEP = 5 CM|2669|2669|2299.54|2001.75|2268.65|2402.1|2268.65|2345.45|1376.2|1293.63|0|0|2516.25|2299.54|435.03|2463.39|2390.44|2327.53|2242.05|2513.3|2001.75|2463.39|818.87|797.51|818.87|2591.07|2591.07|506.27|733.42|522.98|2694.71|2513.3|2513.3|511.33|567.02|556.9|607.52|712.06|2383.3|2383.3|747.66|2322.29|1281.71|747.66|733.42|0|2694.71
Professional|||21555|EXC NECK LES SC < 3 CM|1129|1129|958.69|846.75|959.65|1016.1|959.65|1344.24|814.8|765.91|0|0|1049.03|958.69|184.29|1027|996.58|970.36|934.72|1047.81|846.75|1027|345.74|336.72|345.74|1095.77|1095.77|213.74|309.66|220.79|1139.6|1047.81|1047.81|215.88|239.39|235.11|256.49|300.64|995.4|995.4|315.67|969.92|541.15|315.67|309.66|0|1344.24
Professional|||21556|EXC NECK TUM DEEP < 5 CM|1948|1948|1658.6|1461|1655.8|1753.2|1655.8|1691.71|1003.8|943.57|0|0|1814.9|1658.6|318.72|1776.77|1724.16|1678.78|1617.14|1812.77|1461|1776.77|596.84|581.27|596.84|1890.89|1890.89|368.99|534.56|381.17|1966.53|1812.77|1812.77|372.68|413.27|405.89|442.79|518.99|1721.61|1721.61|544.94|1677.54|934.18|544.94|534.56|0|1966.53
Professional|||21557|PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM|3495|3495|3000.54|2621.25|2970.75|3145.5|2970.75|3060.45|1801.1|1693.03|0|0|3283.31|3000.54|572.98|3214.34|3119.14|3037.06|2925.53|3279.46|2621.25|3214.34|1072.06|1044.1|1072.06|3392.8|3392.8|662.79|960.2|684.66|3528.51|3279.46|3279.46|669.42|742.32|729.07|795.35|932.23|3125.32|3125.32|978.84|3045.32|1678.01|978.84|960.2|0|3528.51
Professional|||21558|PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>|4902|4902|4232.2|3676.5|4166.7|4411.8|4166.7|4316.7|2526.3|2374.72|0|0|4631.04|4232.2|801.66|4533.76|4399.49|4283.72|4126.4|4625.62|3676.5|4533.76|1502.35|1463.16|1502.35|4758.89|4758.89|928.63|1345.58|959.27|4949.25|4625.62|4625.62|937.92|1040.07|1021.49|1114.36|1306.39|4388.82|4388.82|1371.71|4276.47|2351.5|1371.71|1345.58|0|4949.25
Professional|||21600|PARTIAL REMOVAL OF RIB|2030|2030|1730.66|1522.5|1725.5|1827|1725.5|1765.21|1045.8|983.05|0|0|1893.76|1730.66|335.27|1853.97|1799.07|1751.73|1687.39|1891.54|1522.5|1853.97|623.2|606.94|623.2|1970.01|1970.01|385.15|558.17|397.86|2048.81|1891.54|1891.54|389|431.37|423.67|462.18|541.91|1808.69|1808.69|569.01|1762.39|975.44|569.01|558.17|0|2048.81
Professional|||21615|REMOVAL 1ST/CERVICAL RIB|2189|2189|1919.56|1641.75|1860.65|1970.1|1860.65|1957.88|1127.7|1060.04|0|0|2100.46|1919.56|359.55|2056.33|1995.44|1942.92|1871.57|2098|1641.75|2056.33|678.48|660.78|678.48|2124.29|2124.29|419.28|607.68|433.12|2209.26|2098|2098|423.47|469.59|461.21|503.14|589.98|2034.93|2034.93|619.48|1982.84|1061.96|619.48|607.68|0|2209.26
Professional|||21620|PARTIAL REMOVAL OF STERNUM|1844|1844|1585.44|1383|1567.4|1659.6|1567.4|1617.09|949.9|892.91|0|0|1734.85|1585.44|300.4|1698.4|1648.11|1604.74|1545.8|1732.82|1383|1698.4|566.25|551.48|566.25|1789.36|1789.36|350|507.16|361.55|1860.93|1732.82|1732.82|353.5|392|385|420|492.39|1642.4|1642.4|517.01|1600.36|886.3|517.01|507.16|0|1860.93
Professional|||21627|STERNAL DEBRIDEMENT|1977|1977|1691.35|1482.75|1680.45|1779.3|1680.45|1725.12|1018.5|957.39|0|0|1850.75|1691.35|321.59|1811.87|1758.21|1711.94|1649.07|1848.58|1482.75|1811.87|606.68|590.86|606.68|1918.58|1918.58|374.89|543.38|387.26|1995.32|1848.58|1848.58|378.64|419.88|412.38|449.87|527.55|1757.79|1757.79|553.93|1712.79|949.59|553.93|543.38|0|1995.32
Professional|||21750|CLOSE MED STERNOTOMY SEP W/W*|2459|2459|2152.13|1844.25|2090.15|2213.1|2090.15|2195.1|1267|1190.98|0|0|2354.95|2152.13|401.49|2305.48|2237.2|2178.33|2098.33|2352.19|1844.25|2305.48|750.47|730.89|750.47|2386.69|2386.69|463.93|672.16|479.24|2482.16|2352.19|2352.19|468.57|519.6|510.32|556.72|652.58|2232.86|2232.86|685.21|2175.7|1174.64|685.21|672.16|0|2482.16
Professional|||21811|PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS|2133|2133|1875.88|1599.75|1813.05|1919.7|1813.05|1913.34|1099|1033.06|0|0|2052.67|1875.88|355.81|2009.54|1950.03|1898.72|1828.98|2050.26|1599.75|2009.54|654.29|637.22|654.29|2070.23|2070.23|404.4|586.02|417.75|2153.04|2050.26|2050.26|408.44|452.93|444.84|485.28|568.95|1988.53|1988.53|597.4|1937.63|1024.11|597.4|586.02|0|2153.04
Professional|||21812|PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS|2619|2619|2300.63|1964.25|2226.15|2357.1|2226.15|2346.57|1349.6|1268.62|0|0|2517.44|2300.63|426.19|2464.56|2391.57|2328.64|2243.11|2514.49|1964.25|2464.56|798.51|777.68|798.51|2542.29|2542.29|493.44|715.19|509.72|2643.98|2514.49|2514.49|498.37|552.65|542.78|592.13|694.36|2385.57|2385.57|729.08|2324.5|1249.85|729.08|715.19|0|2643.98
Professional|||21813|PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS|3521|3521|3101|2640.75|2992.85|3168.9|2992.85|3162.91|1821.4|1712.12|0|0|3393.23|3101|557.54|3321.95|3223.57|3138.74|3023.48|3389.26|2640.75|3321.95|1082.41|1054.18|1082.41|3417.85|3417.85|669.21|969.47|691.29|3554.56|3389.26|3389.26|675.9|749.52|736.13|803.05|941.23|3141.18|3141.18|988.29|3060.77|1694.21|988.29|969.47|0|3554.56
Professional|||21825|OPEN RX STERNUM FRACTURE|1975|1975|1702.27|1481.25|1678.75|1777.5|1678.75|1736.26|1017.1|956.07|0|0|1862.69|1702.27|322.68|1823.56|1769.56|1722.99|1659.71|1860.51|1481.25|1823.56|606|590.2|606|1917.27|1917.27|374.63|542.77|386.99|1993.96|1860.51|1860.51|378.38|419.59|412.09|449.56|526.96|1757.79|1757.79|553.31|1712.79|948.53|553.31|542.77|0|1993.96
Professional|||21899|EXCISION FISTULA TRACT NECK/ THORAX|1846|1846|0|1384.5|1569.1|1661.4|1569.1|0|0|0|0|0|0|0|0|0|0|0|0|0|1384.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1846
Professional|||21899|CHEST WALL IMPLANT; CAPSULECTOMY|2374|2374|0|1780.5|2017.9|2136.6|2017.9|0|0|0|0|0|0|0|0|0|0|0|0|0|1780.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2374
Professional|||21899|CHEST WALL IMPLANT; INSERTION|3469|3469|0|2601.75|2948.65|3122.1|2948.65|0|0|0|0|0|0|0|0|0|0|0|0|0|2601.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3469
Professional|||21920|BIOPSY SOFT TISSUE BACKSUPERF|594|594|496.81|445.5|504.9|534.6|504.9|813|500.5|470.47|0|0|543.63|496.81|98.01|532.21|516.45|502.86|484.39|543|445.5|532.21|180.34|175.64|180.34|576.24|576.24|111.36|161.52|115.03|599.29|543|543|112.47|124.72|122.5|133.63|156.82|521.47|521.47|164.66|508.12|282.28|164.66|161.52|0|813
Professional|||21931|EXC BACK LES SC = 3 CM|1715|1715|1480.62|1286.25|1457.75|1543.5|1457.75|1510.18|883.4|830.4|0|0|1620.15|1480.62|278.11|1586.11|1539.14|1498.64|1443.6|1618.25|1286.25|1586.11|525.95|512.23|525.95|1664.09|1664.09|325.11|471.07|335.84|1730.65|1618.25|1618.25|328.36|364.12|357.62|390.13|457.35|1532.69|1532.69|480.22|1493.45|823.23|480.22|471.07|0|1730.65
Professional|||21932|EXC BACK TUM DEEP < 5 CM|2411|2411|2082.25|1808.25|2049.35|2169.9|2049.35|2123.83|1242.5|1167.95|0|0|2278.48|2082.25|391.77|2230.62|2164.56|2107.6|2030.19|2275.81|1808.25|2230.62|741.7|722.36|741.7|2340.54|2340.54|458.54|664.31|473.67|2434.16|2275.81|2275.81|463.13|513.56|504.39|550.25|644.96|2159.36|2159.36|677.21|2104.09|1160.93|677.21|664.31|0|2434.16
Professional|||21933|EXC BACK TUM DEEP = 5 CM|2687|2687|2324.66|2015.25|2283.95|2418.3|2283.95|2371.07|1385.3|1302.18|0|0|2543.73|2324.66|435.48|2490.29|2416.54|2352.95|2266.54|2540.75|2015.25|2490.29|824.75|803.23|824.75|2608.22|2608.22|509.86|738.69|526.69|2712.55|2540.75|2540.75|514.96|571.04|560.85|611.83|717.17|2408.2|2408.2|753.03|2346.55|1290.91|753.03|738.69|0|2712.55
Professional|||22513|PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION|1902|1902|1633.48|1426.5|1616.7|1711.8|1616.7|21778.4|13759.9|12934.31|0|0|1787.42|1633.48|321.37|1749.87|1698.05|1653.36|1592.64|1785.33|1426.5|1749.87|578.34|563.25|578.34|1846.06|1846.06|357.44|517.99|369.24|1919.9|1785.33|1785.33|361.01|400.33|393.18|428.93|502.9|1709.16|1709.16|528.05|1665.41|905.22|528.05|517.99|0|21778.4
Professional|||22514|PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR|1773|1773|1522.11|1329.75|1507.05|1595.7|1507.05|21708.24|13721.4|12898.12|0|0|1665.55|1522.11|299.94|1630.56|1582.27|1540.63|1484.06|1663.6|1329.75|1630.56|539.38|525.31|539.38|1720.8|1720.8|333.32|483.1|344.32|1789.63|1663.6|1663.6|336.65|373.32|366.65|399.98|469.03|1590.4|1590.4|492.48|1549.69|844.25|492.48|483.1|0|21708.24
Professional|||22515|PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH|813|813|705.37|609.75|691.05|731.7|691.05|12601.52|7968.8|7490.67|0|0|771.84|705.37|133.75|755.63|733.25|713.95|687.74|770.94|609.75|755.63|246.55|240.12|246.55|788.53|788.53|152.42|220.82|157.45|820.07|770.94|770.94|153.94|170.71|167.66|182.9|214.39|739.76|739.76|225.11|720.82|385.9|225.11|220.82|0|12601.52
Professional|||22558|LUMBAR SPINE FUSIONANTER APP*|5536|5536|4857.86|4152|4705.6|4982.4|4705.6|4954.85|2853.2|2682.01|0|0|5315.67|4857.86|906.49|5204|5049.88|4916.99|4736.41|5309.44|4152|5204|1690.96|1646.85|1690.96|5374.67|5374.67|1045.38|1514.51|1079.88|5589.66|5309.44|5309.44|1055.83|1170.83|1149.92|1254.46|1470.4|5049.4|5049.4|1543.92|4920.15|2646.72|1543.92|1514.51|0|5589.66
Professional|||22585|SPINAL FUSIONANTEA ADNL LEV*|1176|1176|1042.76|882|999.6|1058.4|999.6|1063.58|602.7|566.54|0|0|1141.03|1042.76|189.37|1117.06|1083.98|1055.46|1016.69|1139.7|882|1117.06|356.72|347.41|356.72|1135.32|1135.32|220.41|319.5|227.68|1180.73|1139.7|1139.7|222.61|246.86|242.45|264.49|310.19|1087.02|1087.02|325.7|1059.2|558.34|325.7|319.5|0|1180.73
Professional|||22630|LUMBAR SPINE FUSNPOST INTRBDY|5637|5637|5000.9|4227.75|4791.45|5073.3|4791.45|5100.75|2884|2710.96|0|0|5472.18|5000.9|906.05|5357.23|5198.57|5061.77|4875.88|5465.77|4227.75|5357.23|1710.27|1665.65|1710.27|5432.7|5432.7|1057.19|1531.81|1092.08|5650.01|5465.77|5465.77|1067.76|1184.05|1162.91|1268.63|1487.19|5176.11|5176.11|1561.55|5043.61|2676.94|1561.55|1531.81|0|5650.01
Professional|||22901|EXC BACK TUM DEEP = 5 CM|2418|2418|2096.45|1813.5|2055.3|2176.2|2055.3|2138.3|1246|1171.24|0|0|2294.02|2096.45|392|2245.82|2179.32|2121.96|2044.04|2291.33|1813.5|2245.82|744.35|724.93|744.35|2347.13|2347.13|460.08|666.68|475.26|2441.02|2291.33|2291.33|464.68|515.29|506.09|552.1|647.26|2175.18|2175.18|679.62|2119.5|1165.07|679.62|666.68|0|2441.02
Professional|||22902|EXC ABD LES SC < 3 CM|1215|1215|1040.58|911.25|1032.75|1093.5|1032.75|1431.1|860.3|808.68|0|0|1138.64|1040.58|197.31|1114.72|1081.71|1053.25|1014.57|1137.31|911.25|1114.72|372.29|362.58|372.29|1178.84|1178.84|230.17|333.44|237.77|1225.99|1137.31|1137.31|232.47|257.79|253.19|276.2|323.73|1075.71|1075.71|339.92|1048.17|582.71|339.92|333.44|0|1431.1
Professional|||22903|EXC ABD LES SC > 3 CM|1602|1602|1384.53|1201.5|1361.7|1441.8|1361.7|1412.17|826|776.44|0|0|1515.01|1384.53|259.34|1483.18|1439.26|1401.38|1349.92|1513.23|1201.5|1483.18|491.11|478.3|491.11|1554.65|1554.65|303.55|439.86|313.57|1616.84|1513.23|1513.23|306.59|339.98|333.91|364.26|427.05|1430.89|1430.89|448.4|1394.26|768.69|448.4|439.86|0|1616.84
Professional|||23120|PARTIAL REMOVAL CLAVICLE|2169|2169|1834.39|1626.75|1843.65|1952.1|1843.65|1871.02|1117.9|1050.83|0|0|2007.26|1834.39|352.27|1965.1|1906.9|1856.72|1788.53|2004.91|1626.75|1965.1|665.59|648.22|665.59|2105.82|2105.82|411.32|596.13|424.89|2190.05|2004.91|2004.91|415.43|460.68|452.45|493.58|578.77|1895.78|1895.78|607.71|1847.25|1041.79|607.71|596.13|0|2190.05
Professional|||23330|REMOVE SUBCUT SHOULDER FOREIG*|620|620|519.74|465|527|558|527|890.96|548.8|515.87|0|0|568.72|519.74|91.58|556.78|540.29|526.07|506.75|568.06|465|556.78|189.49|184.54|189.49|601.29|601.29|117|169.71|120.86|625.34|568.06|568.06|118.17|131.04|128.7|140.4|164.77|501.1|501.1|173.01|488.28|296.59|173.01|169.71|0|890.96
Professional|||23350|INJ PROC SHOULDER ARTHROGRAPH*|192|192|160.51|144|163.2|172.8|163.2|442.14|275.8|259.25|0|0|175.64|160.51|31.12|171.95|166.85|162.46|156.5|175.43|144|171.95|58.8|57.27|58.8|185.93|185.93|36.18|52.66|37.37|193.37|175.43|175.43|36.54|40.52|39.8|43.42|51.13|166.29|166.29|53.69|162.03|92.03|53.69|52.66|0|442.14
Professional|||23410|REPAIR ROTATOR CUFFACUTE|3033|3033|2581.25|2274.75|2578.05|2729.7|2578.05|2632.79|1563.1|1469.31|0|0|2824.51|2581.25|493.52|2765.17|2683.28|2612.67|2516.72|2821.2|2274.75|2765.17|928.83|904.6|928.83|2944.46|2944.46|574.01|831.91|592.95|3062.24|2821.2|2821.2|579.75|642.89|631.41|688.81|807.68|2671.75|2671.75|848.06|2603.36|1453.82|848.06|831.91|0|3062.24
Professional|||23472|RECONSTRUCT SHOULDER JOINT|5352|5352|4578.34|4014|4549.2|4816.8|4549.2|4669.74|2758|2592.52|0|0|5009.8|4578.34|872.29|4904.55|4759.31|4634.06|4463.88|5003.93|4014|4904.55|1637.2|1594.49|1637.2|5195.34|5195.34|1012.03|1466.36|1045.43|5403.15|5003.93|5003.93|1022.15|1133.47|1113.23|1214.44|1423.65|4748.53|4748.53|1494.83|4626.98|2562.57|1494.83|1466.36|0|5403.15
Professional|||23500|CLOSED RX CLAVICLE FRACTURE|838|838|695.54|628.5|712.3|754.2|712.3|694.95|422.8|397.43|0|0|761.09|695.54|136.62|745.1|723.03|704.01|678.15|760.2|628.5|745.1|258.12|251.38|258.12|813.59|813.59|159.34|231.18|164.6|846.13|760.2|760.2|160.93|178.46|175.27|191.21|224.45|713.76|713.76|235.67|695.49|404.01|235.67|231.18|0|846.13
Professional|||23545|CLOSED RX A-C JT DISLOCMANIP*|1173|1173|972.88|879.75|997.05|1055.7|997.05|1101.45|674.1|633.65|0|0|1064.57|972.88|188.28|1042.2|1011.34|984.72|948.56|1063.32|879.75|1042.2|354.45|345.21|354.45|1137.96|1137.96|219.13|317.47|226.36|1183.48|1063.32|1063.32|221.32|245.43|241.04|262.96|308.22|986.36|986.36|323.63|961.11|554.8|323.63|317.47|0|1183.48
Professional|||23575|CLOSED RX SCAPULA FXMANIPULA*|1399|1399|1174.88|1049.25|1189.15|1259.1|1189.15|1285.21|777.7|731.04|0|0|1285.6|1174.88|226.46|1258.6|1221.32|1189.18|1145.51|1284.1|1049.25|1258.6|430.35|419.13|430.35|1358.17|1358.17|265.83|385.45|274.6|1412.5|1284.1|1284.1|268.49|297.73|292.41|319|374.22|1204.65|1204.65|392.93|1173.81|673.6|392.93|385.45|0|1412.5
Professional|||23600|CLOSED RX PROX HUMERUS FRACTU*|1160|1160|963.06|870|986|1044|986|1043.54|636.3|598.12|0|0|1053.81|963.06|188.71|1031.68|1001.12|974.78|938.98|1052.58|870|1031.68|357.66|348.33|357.66|1126.1|1126.1|220.93|320.34|228.22|1171.14|1052.58|1052.58|223.14|247.44|243.02|265.12|311.01|989.76|989.76|326.56|964.42|559.82|326.56|320.34|0|1171.14
Professional|||23605|CLOSED RX PROX HUMERUS FXMAN*|1580|1580|1328.84|1185|1343|1422|1343|1484.56|896|842.24|0|0|1454.07|1328.84|258.23|1423.52|1381.37|1345.02|1295.62|1452.37|1185|1423.52|485.23|472.57|485.23|1533.55|1533.55|299.96|434.6|309.86|1594.89|1452.37|1452.37|302.96|335.96|329.96|359.95|421.94|1367.53|1367.53|443.04|1332.53|759.49|443.04|434.6|0|1594.89
Professional|||23620|CLOSED RX GR TUBEROSITY HUM FX|962|962|799.27|721.5|817.7|865.8|817.7|851.98|518.7|487.58|0|0|874.59|799.27|156.71|856.22|830.86|809|779.29|873.57|721.5|856.22|296.22|288.49|296.22|933.58|933.58|182.95|265.31|188.99|970.92|873.57|873.57|184.78|204.9|201.25|219.54|257.58|824.61|824.61|270.46|803.5|463.64|270.46|265.31|0|970.92
Professional|||23630|OPEN TREATMENT GREATER HUMERAL TUBEROSITY FRACTURE|2889|2889|2453.5|2166.75|2455.65|2600.1|2455.65|2502.48|1488.2|1398.91|0|0|2684.72|2453.5|470.78|2628.32|2550.48|2483.36|2392.16|2681.57|2166.75|2628.32|884.43|861.36|884.43|2804.69|2804.69|546.55|792.14|564.59|2916.88|2681.57|2681.57|552.02|612.14|601.21|655.86|769.07|2533.76|2533.76|807.52|2468.9|1384.33|807.52|792.14|0|2916.88
Professional|||23650|CLOSED RX SHLDR DISLOCATION|1087|1087|905.19|815.25|923.95|978.3|923.95|1013.47|617.4|580.36|0|0|990.49|905.19|174.15|969.68|940.96|916.2|882.56|989.33|815.25|969.68|331.15|322.52|331.15|1054.89|1054.89|204.51|296.6|211.26|1097.09|989.33|989.33|206.56|229.05|224.96|245.41|287.96|927.54|927.54|302.36|903.8|518.33|302.36|296.6|0|1097.09
Professional|||23655|CLOSED RX SHLDR DISLOCANESTH*|1501|1501|1263.33|1125.75|1275.85|1350.9|1275.85|1288.55|773.5|727.09|0|0|1382.38|1263.33|243.67|1353.34|1313.26|1278.7|1231.75|1380.76|1125.75|1353.34|461.78|449.74|461.78|1457.07|1457.07|285.33|413.6|294.75|1515.35|1380.76|1380.76|288.18|319.57|313.86|342.4|401.55|1297.41|1297.41|421.63|1264.2|722.79|421.63|413.6|0|1515.35
Professional|||23665|CLOSED RX SHLDR DISLOCGR TUB*|1475|1475|1240.4|1106.25|1253.75|1327.5|1253.75|1364.28|823.9|774.47|0|0|1357.29|1240.4|240.59|1328.78|1289.43|1255.5|1209.39|1355.7|1106.25|1328.78|452.44|440.64|452.44|1432.02|1432.02|279.69|405.23|288.92|1489.3|1355.7|1355.7|282.49|313.25|307.66|335.63|393.43|1277.05|1277.05|413.1|1244.36|708.17|413.1|405.23|0|1489.3
Professional|||23675|CLOSED RX SHLDR DISLOCPROX H*|1856|1856|1564.69|1392|1577.6|1670.4|1577.6|1755.19|1057.7|994.24|0|0|1712.15|1564.69|303.7|1676.18|1626.54|1583.74|1525.57|1710.14|1392|1676.18|570.5|555.62|570.5|1801.23|1801.23|352.56|510.97|364.19|1873.28|1710.14|1710.14|356.09|394.87|387.82|423.07|496.09|1615.27|1615.27|520.89|1573.92|892.96|520.89|510.97|0|1873.28
Professional|||23700|MANIPULATN SHLDR JT W ANESTHE*|726|726|615.83|544.5|617.1|653.4|617.1|628.13|373.8|351.37|0|0|673.87|615.83|118.08|659.71|640.17|623.33|600.43|673.08|544.5|659.71|221.87|216.08|221.87|704.14|704.14|137.02|198.72|141.54|732.31|673.08|673.08|138.39|153.46|150.72|164.42|192.93|636.82|636.82|202.58|620.52|347.27|202.58|198.72|0|732.31
Professional|||23930|INCIS/DRAIN ARMDEEP ABSC/HEM*|787|787|669.33|590.25|668.95|708.3|668.95|1131.52|690.2|648.79|0|0|732.41|669.33|128.67|717.03|695.79|677.48|652.6|731.55|590.25|717.03|240.06|233.8|240.06|763.48|763.48|148.31|215.01|153.2|794.02|731.55|731.55|149.79|166.11|163.14|177.97|208.75|703.58|703.58|219.19|685.57|375.75|219.19|215.01|0|1131.52
Professional|||23931|INCIS/DRAIN ARM/ELBOW INFECT *|586|586|489.17|439.5|498.1|527.4|498.1|912.12|563.5|529.69|0|0|535.27|489.17|97.13|524.03|508.51|495.13|476.94|534.64|439.5|524.03|178.14|173.49|178.14|568.32|568.32|110.08|159.55|113.71|591.05|534.64|534.64|111.18|123.29|121.09|132.1|154.9|518.06|518.06|162.65|504.8|278.82|162.65|159.55|0|912.12
Professional|||24000|EXPLORE/DRAIN ELBOW FOR INFECT|1772|1772|1496.99|1329|1506.2|1594.8|1506.2|1526.88|912.8|858.03|0|0|1638.07|1496.99|288.26|1603.66|1556.17|1515.22|1459.57|1636.15|1329|1603.66|544.21|530.02|544.21|1719.47|1719.47|336.4|487.43|347.5|1788.25|1636.15|1636.15|339.76|376.77|370.04|403.68|473.23|1549.68|1549.68|496.89|1510.01|851.81|496.89|487.43|0|1788.25
Professional|||24073|EX ARM/ELBOW TUM DEEP > 5 CM|2539|2539|2182.71|1904.25|2158.15|2285.1|2158.15|2226.29|1309|1230.46|0|0|2388.41|2182.71|412.31|2338.23|2268.98|2209.27|2128.14|2385.61|1904.25|2338.23|781.3|760.92|781.3|2464.5|2464.5|482.92|699.77|498.86|2563.08|2385.61|2385.61|487.75|540.87|531.21|579.5|679.39|2256.63|2256.63|713.36|2198.86|1222.9|713.36|699.77|0|2563.08
Professional|||24076|EX ARM/ELBOW TUM DEEP < 5 CM|2005|2005|1711.01|1503.75|1704.25|1804.5|1704.25|1745.17|1033.9|971.87|0|0|1872.25|1711.01|325.56|1832.92|1778.64|1731.83|1668.23|1870.06|1503.75|1832.92|614.53|598.49|614.53|1946.27|1946.27|379.76|550.4|392.29|2024.12|1870.06|1870.06|383.56|425.33|417.74|455.71|534.37|1765.7|1765.7|561.09|1720.5|961.87|561.09|550.4|0|2024.12
Professional|||24200|REMOVAL ARM/ELBOW F.B.SUPERF*|522|522|435.67|391.5|443.7|469.8|443.7|670.45|412.3|387.56|0|0|476.73|435.67|84.76|466.71|452.89|440.97|424.78|476.17|391.5|466.71|160.77|156.58|160.77|506.35|506.35|99.3|143.99|102.58|526.6|476.17|476.17|100.29|111.22|109.23|119.16|139.8|452.44|452.44|146.79|440.86|251.64|146.79|143.99|0|670.45
Professional|||24201|REMOVAL ARM/ELBOW F.B.DEEP|1344|1344|1143.22|1008|1142.4|1209.6|1142.4|1761.87|1071|1006.74|0|0|1250.96|1143.22|216.31|1224.68|1188.41|1157.13|1114.64|1249.49|1008|1224.68|409.39|398.71|409.39|1304.11|1304.11|253|366.67|261.35|1356.27|1249.49|1249.49|255.53|283.36|278.3|303.6|355.99|1176.38|1176.38|373.79|1146.26|640.78|373.79|366.67|0|1761.87
Professional|||24300|MANIPULATE ELBOW W/ANESTH|1587|1587|1317.92|1190.25|1348.95|1428.3|1348.95|1344.24|817.6|768.54|0|0|1442.12|1317.92|256.69|1411.83|1370.02|1333.96|1284.97|1440.43|1190.25|1411.83|492.66|479.81|492.66|1540.14|1540.14|304.58|441.25|314.63|1601.75|1440.43|1440.43|307.63|341.13|335.04|365.5|428.4|1343.8|1343.8|449.82|1309.4|771.12|449.82|441.25|0|1601.75
Professional|||24341|MUSC/TENDON REPAIR EACH; ARM/*|2768|2768|2338.85|2076|2352.8|2491.2|2352.8|2385.55|1426.6|1341|0|0|2559.26|2338.85|451.81|2505.5|2431.3|2367.32|2280.38|2556.26|2076|2505.5|848.1|825.98|848.1|2687.34|2687.34|524.23|759.6|541.53|2794.83|2556.26|2556.26|529.47|587.14|576.65|629.08|737.48|2421.78|2421.78|774.35|2359.79|1327.46|774.35|759.6|0|2794.83
Professional|||24359|TENOTOMY ELBOW LATERAL/MEDIAL DEBRIDE REPAIR|2449|2449|2075.7|1836.75|2081.65|2204.1|2081.65|2117.14|1262.1|1186.37|0|0|2271.31|2075.7|398.4|2223.6|2157.75|2100.97|2023.81|2268.65|1836.75|2223.6|751.66|732.05|751.66|2377.47|2377.47|464.7|673.23|480.04|2472.57|2268.65|2268.65|469.35|520.46|511.17|557.64|653.62|2140.1|2140.1|686.3|2085.32|1176.52|686.3|673.23|0|2472.57
Professional|||24430|REPAIR NON/MALUNION HUMERUS|3892|3892|3319.38|2919|3308.2|3502.8|3308.2|3385.65|2005.5|1885.17|0|0|3632.19|3319.38|634.35|3555.89|3450.58|3359.78|3236.4|3627.94|2919|3555.89|1192.98|1161.85|1192.98|3777.83|3777.83|737.46|1068.49|761.8|3928.94|3627.94|3627.94|744.83|825.96|811.21|884.95|1037.37|3442.05|3442.05|1089.24|3353.94|1867.27|1089.24|1068.49|0|3928.94
Professional|||24500|CLOSED RX MID HUMERUS FRACTURE|1226|1226|1020.93|919.5|1042.1|1103.4|1042.1|1137.09|692.3|650.76|0|0|1117.14|1020.93|199.53|1093.67|1061.28|1033.35|995.41|1115.83|919.5|1093.67|378.24|368.37|378.24|1189.39|1189.39|233.76|338.77|241.47|1236.97|1115.83|1115.83|236.1|261.81|257.14|280.51|328.9|1050.84|1050.84|345.35|1023.94|592.02|345.35|338.77|0|1236.97
Professional|||24505|CLOSED RX MID HUMERUS FXMANI*|1670|1670|1404.18|1252.5|1419.5|1503|1419.5|1589.25|959.7|902.12|0|0|1536.51|1404.18|274.35|1504.23|1459.69|1421.27|1369.08|1534.71|1252.5|1504.23|512.27|498.9|512.27|1620.57|1620.57|316.64|458.81|327.09|1685.39|1534.71|1534.71|319.81|354.64|348.3|379.97|445.45|1454.65|1454.65|467.72|1417.41|801.81|467.72|458.81|0|1685.39
Professional|||24530|CLOSED RX HUMERAL SUPRACONDYL*|1293|1293|1079.89|969.75|1099.05|1163.7|1099.05|1208.36|734.3|690.24|0|0|1181.66|1079.89|210.34|1156.83|1122.57|1093.03|1052.89|1180.27|969.75|1156.83|397.46|387.09|397.46|1255.33|1255.33|245.56|355.99|253.66|1305.54|1180.27|1180.27|248.02|275.03|270.12|294.67|345.62|1109.65|1109.65|362.9|1081.25|622.12|362.9|355.99|0|1305.54
Professional|||24535|CLOSED RX HUM SUPRACONDYLR FX*|2110|2110|1779.8|1582.5|1793.5|1899|1793.5|1969.02|1184.4|1113.34|0|0|1947.52|1779.8|342.99|1906.61|1850.15|1801.46|1735.31|1945.24|1582.5|1906.61|645.24|628.41|645.24|2047.81|2047.81|398.75|577.91|411.91|2129.72|1945.24|1945.24|402.74|446.6|438.63|478.5|561.08|1832.46|1832.46|589.13|1785.55|1009.94|589.13|577.91|0|2129.72
Professional|||24545|OPEN RX HUMERAL SUPRACONDYLAR*|3431|3431|2924.11|2573.25|2916.35|3087.9|2916.35|2982.49|1768.2|1662.11|0|0|3199.67|2924.11|558.19|3132.46|3039.69|2959.7|2851.01|3195.93|2573.25|3132.46|1051.17|1023.75|1051.17|3330.82|3330.82|649.71|941.48|671.15|3464.05|3195.93|3195.93|656.21|727.68|714.68|779.65|914.06|3022.42|3022.42|959.76|2945.05|1645.31|959.76|941.48|0|3464.05
Professional|||24565|CLOSED RX HUMER EPICONDYLR FX*|1820|1820|1534.12|1365|1547|1638|1547|1707.3|1029.7|967.92|0|0|1678.69|1534.12|293.12|1643.43|1594.76|1552.79|1495.77|1676.73|1365|1643.43|560.18|545.56|560.18|1766.94|1766.94|346.15|501.72|357.57|1837.62|1676.73|1676.73|349.61|387.69|380.77|415.38|487.11|1574.54|1574.54|511.47|1534.24|876.8|511.47|501.72|0|1837.62
Professional|||24576|CLOSED RX HUMER CONDYLR FX|1151|1151|955.41|863.25|978.35|1035.9|978.35|1091.43|667.1|627.07|0|0|1045.45|955.41|187.39|1023.49|993.18|967.04|931.52|1044.23|863.25|1023.49|355.68|346.4|355.68|1116.87|1116.87|219.64|318.57|226.89|1161.54|1044.23|1044.23|221.84|246|241.6|263.57|309.29|982.95|982.95|324.75|957.79|556.72|324.75|318.57|0|1161.54
Professional|||24577|CLOSED RX HUMER CONDYLR FXMA*|1869|1869|1577.8|1401.75|1588.65|1682.1|1588.65|1759.65|1059.8|996.21|0|0|1726.49|1577.8|301.28|1690.22|1640.16|1597|1538.36|1724.46|1401.75|1690.22|575.36|560.35|575.36|1814.41|1814.41|355.64|515.32|367.38|1886.99|1724.46|1724.46|359.2|398.32|391.2|426.77|500.31|1613|1613|525.33|1571.71|900.56|525.33|515.32|0|1886.99
Professional|||24600|CLOSED RX ELBOW DISLOCATION|1253|1253|1048.22|939.75|1065.05|1127.7|1065.05|1176.07|713.3|670.5|0|0|1147.01|1048.22|202.18|1122.91|1089.66|1060.98|1022.01|1145.66|939.75|1122.91|382.55|372.57|382.55|1215.77|1215.77|236.32|342.63|244.12|1264.4|1145.66|1145.66|238.68|264.68|259.95|283.58|332.65|1073.44|1073.44|349.28|1045.96|598.77|349.28|342.63|0|1264.4
Professional|||24605|CLOSED RX ELBOW DISLOCATNANE*|1761|1761|1483.89|1320.75|1496.85|1584.9|1496.85|1513.52|907.2|852.77|0|0|1623.73|1483.89|284.72|1589.62|1542.55|1501.95|1446.79|1621.83|1320.75|1589.62|540.45|526.36|540.45|1708.93|1708.93|334.09|484.06|345.11|1777.29|1621.83|1621.83|337.43|374.18|367.5|400.91|469.96|1518|1518|493.46|1479.14|845.93|493.46|484.06|0|1777.29
Professional|||24620|CLOSED RX MONTEGGIA FX/DISLOC*|2057|2057|1733.94|1542.75|1748.45|1851.3|1748.45|1768.56|1059.8|996.21|0|0|1897.34|1733.94|333.28|1857.48|1802.48|1755.04|1690.59|1895.12|1542.75|1857.48|630.21|613.77|630.21|1996.38|1996.38|389.51|564.45|402.36|2076.24|1895.12|1895.12|393.41|436.25|428.46|467.41|548.01|1775.88|1775.88|575.41|1730.42|986.42|575.41|564.45|0|2076.24
Professional|||24640|CLOSED RX RADIAL HEAD DISLOC*|298|298|243.49|223.5|253.3|268.2|253.3|318.52|198.1|186.21|0|0|266.44|243.49|55.84|260.84|253.12|246.46|237.4|266.13|223.5|260.84|91.85|89.45|91.85|288.78|288.78|56.7|82.27|58.57|300.33|266.13|266.13|57.27|63.5|62.37|68.04|79.87|277.14|277.14|83.86|270.04|143.77|83.86|82.27|0|318.52
Professional|||24650|CLOSED RX RADIAL HEAD/NECK FX|908|908|752.32|681|771.8|817.2|771.8|829.71|507.5|477.05|0|0|823.22|752.32|147.45|805.92|782.06|761.48|733.51|822.25|681|805.92|279.22|271.94|279.22|880.83|880.83|172.43|250.08|178.12|916.06|822.25|822.25|174.15|193.12|189.67|206.92|242.8|772.57|772.57|254.94|752.79|437.04|254.94|250.08|0|916.06
Professional|||24655|CLOSED RX RADIAL HEAD/NECK FX*|1497|1497|1252.41|1122.75|1272.45|1347.3|1272.45|1409.94|855.4|804.08|0|0|1370.44|1252.41|241.02|1341.65|1301.91|1267.65|1221.1|1368.83|1122.75|1341.65|455.68|443.79|455.68|1453.11|1453.11|281.49|408.13|290.78|1511.23|1368.83|1368.83|284.3|315.27|309.64|337.79|396.24|1278.18|1278.18|416.05|1245.46|713.23|416.05|408.13|0|1511.23
Professional|||24670|CLOSED RX PROX ULNA FRACTURE|989|989|822.2|741.75|840.65|890.1|840.65|922.14|562.8|529.03|0|0|899.68|822.2|160.9|880.78|854.7|832.21|801.65|898.63|741.75|880.78|304.58|296.63|304.58|959.95|959.95|188.08|272.8|194.29|998.35|898.63|898.63|189.96|210.65|206.89|225.7|264.85|844.97|844.97|278.09|823.34|476.73|278.09|272.8|0|998.35
Professional|||24675|CLOSED RX PROX ULNA FXMANIPU*|1550|1550|1302.64|1162.5|1317.5|1395|1317.5|1461.17|882.7|829.74|0|0|1425.4|1302.64|251.17|1395.45|1354.13|1318.49|1270.07|1423.73|1162.5|1395.45|475.05|462.66|475.05|1504.54|1504.54|293.55|425.48|303.24|1564.72|1423.73|1423.73|296.49|328.78|322.91|352.26|413.09|1329.08|1329.08|433.74|1295.06|743.56|433.74|425.48|0|1564.72
Professional|||24685|OPEN RX PROX ULNA FRACTURE|2429|2429|2053.86|1821.75|2064.65|2186.1|2064.65|2094.87|1250.9|1175.85|0|0|2247.42|2053.86|395.53|2200.21|2135.05|2078.86|2002.51|2244.79|1821.75|2200.21|743.36|723.97|743.36|2357.69|2357.69|459.57|665.79|474.74|2452|2244.79|2244.79|464.17|514.72|505.53|551.48|646.4|2120.88|2120.88|678.72|2066.59|1163.52|678.72|665.79|0|2452
Professional|||24900|AMPUTATN ARMTHRU HUMERUSPRI*|2718|2718|2315.92|2038.5|2310.3|2446.2|2310.3|2362.16|1400.7|1316.66|0|0|2534.17|2315.92|439.01|2480.93|2407.46|2344.11|2258.02|2531.2|2038.5|2480.93|835.73|813.93|835.73|2638.55|2638.55|516.53|748.52|533.58|2744.09|2531.2|2531.2|521.7|578.51|568.18|619.84|726.72|2375.39|2375.39|763.06|2314.58|1308.1|763.06|748.52|0|2744.09
Professional|||24920|AMPUTATN ARMTHRU HUMERUSCIR*|2707|2707|2310.46|2030.25|2300.95|2436.3|2300.95|2356.59|1394.4|1310.74|0|0|2528.2|2310.46|439.24|2475.09|2401.79|2338.58|2252.7|2525.23|2030.25|2475.09|829.18|807.55|829.18|2628|2628|512.43|742.66|529.34|2733.12|2525.23|2525.23|517.55|573.92|563.67|614.92|721.03|2341.47|2341.47|757.08|2281.54|1297.85|757.08|742.66|0|2733.12
Professional|||24925|AMPUTATN ARMTHRU HUMERSECON*|2098|2098|1780.89|1573.5|1783.3|1888.2|1783.3|1816.44|1080.8|1015.95|0|0|1948.72|1780.89|328.2|1907.78|1851.28|1802.56|1736.37|1946.44|1573.5|1907.78|643.93|627.13|643.93|2035.94|2035.94|397.98|576.74|411.11|2117.38|1946.44|1946.44|401.96|445.74|437.78|477.58|559.94|1686.53|1686.53|587.94|1643.36|1007.89|587.94|576.74|0|2117.38
Professional|||24999|FX REDUCTION OF DISTAL HUMERUS|1721|1721|0|1290.75|1462.85|1548.9|1462.85|0|0|0|0|0|0|0|0|0|0|0|0|0|1290.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1721
Professional|||25000|INCIS TENDON SHEATHRADIAL ST*|1269|1269|1059.14|951.75|1078.65|1142.1|1078.65|1080.29|653.8|614.57|0|0|1158.96|1059.14|206.37|1134.61|1101.01|1072.03|1032.66|1157.6|951.75|1134.61|390.2|380.02|390.2|1231.59|1231.59|241.2|349.48|249.16|1280.85|1157.6|1157.6|243.61|270.14|265.32|289.44|339.3|1087.02|1087.02|356.27|1059.2|610.74|356.27|349.48|0|1280.85
Professional|||25020|DECOMP FOREARM1 COMPARTW/O *|2148|2148|1793.99|1611|1825.8|1933.2|1825.8|1829.81|1106.7|1040.3|0|0|1963.06|1793.99|354.25|1921.82|1864.9|1815.83|1749.14|1960.76|1611|1921.82|738.5|719.23|738.5|2084.73|2084.73|456.49|661.44|471.55|2168.12|1960.76|1960.76|461.05|511.27|502.14|547.79|642.17|1857.32|1857.32|674.28|1809.78|1155.91|674.28|661.44|0|2168.12
Professional|||25023|DECOMPRESS FOREARMEXCIS MUSC*|4116|4116|3475.52|3087|3498.6|3704.4|3498.6|3544.91|2121|1993.74|0|0|3803.05|3475.52|667.89|3723.16|3612.9|3517.82|3388.63|3798.59|3087|3723.16|1369.96|1334.22|1369.96|3995.41|3995.41|846.78|1227.01|874.72|4155.23|3798.59|3798.59|855.25|948.39|931.46|1016.14|1191.27|3564.21|3564.21|1250.83|3472.98|2144.29|1250.83|1227.01|0|4155.23
Professional|||25024|DECOMP FOREARM2 COMPARTW/O *|2881|2881|2451.32|2160.75|2448.85|2592.9|2448.85|2500.26|1484.7|1395.62|0|0|2682.33|2451.32|465.05|2625.98|2548.21|2481.15|2390.04|2679.18|2160.75|2625.98|886.86|863.72|886.86|2796.78|2796.78|548.09|794.32|566.18|2908.65|2679.18|2679.18|553.57|613.86|602.9|657.71|771.18|2517.91|2517.91|809.74|2453.46|1388.12|809.74|794.32|0|2908.65
Professional|||25028|INCIS/DRAIN FOREARM DEEP ABSC*|1977|1977|1652.04|1482.75|1680.45|1779.3|1680.45|1685.03|1017.8|956.73|0|0|1807.73|1652.04|320.26|1769.76|1717.35|1672.15|1610.74|1805.61|1482.75|1769.76|686|668.1|686|1918.58|1918.58|423.9|614.42|437.89|1995.32|1805.61|1805.61|428.14|474.77|466.29|508.68|596.52|1693.3|1693.3|626.35|1649.96|1073.74|626.35|614.42|0|1995.32
Professional|||25040|EXPLORE/TREAT WRIST JOINT|2085|2085|1762.33|1563.75|1772.25|1876.5|1772.25|1797.51|1074.5|1010.03|0|0|1928.41|1762.33|340.79|1887.9|1831.99|1783.78|1718.27|1926.15|1563.75|1887.9|638.6|621.94|638.6|2024.08|2024.08|394.65|571.96|407.67|2105.04|1926.15|1926.15|398.6|442.01|434.12|473.58|555.3|1823.41|1823.41|583.07|1776.74|999.54|583.07|571.96|0|2105.04
Professional|||25065|BIOPSY FOREARM SOFT TISSUESS*|609|609|506.64|456.75|517.65|548.1|517.65|815.23|502.6|472.44|0|0|554.39|506.64|99.76|542.74|526.67|512.81|493.97|553.74|456.75|542.74|184.43|179.61|184.43|590.74|590.74|113.93|165.18|117.69|614.37|553.74|553.74|115.07|127.6|125.32|136.72|160.37|530.51|530.51|168.39|516.93|288.67|168.39|165.18|0|815.23
Professional|||25071|EXC FOREARM LES SC > 3 CM|1561|1561|1335.39|1170.75|1326.85|1404.9|1326.85|1362.06|804.3|756.04|0|0|1461.24|1335.39|254.49|1430.54|1388.18|1351.65|1302.01|1459.53|1170.75|1430.54|477.58|465.12|477.58|1515.09|1515.09|295.09|427.75|304.83|1575.69|1459.53|1459.53|298.04|330.5|324.6|354.11|415.29|1384.52|1384.52|436.05|1349.08|747.52|436.05|427.75|0|1575.69
Professional|||25075|EXC FOREARM LES SC < 3 CM|1173|1173|992.54|879.75|997.05|1055.7|997.05|1569.2|957.6|900.14|0|0|1086.07|992.54|190.7|1063.26|1031.77|1004.62|967.73|1084.8|879.75|1063.26|358.34|348.99|358.34|1137.96|1137.96|221.44|320.95|228.75|1183.48|1084.8|1084.8|223.65|248.01|243.58|265.73|311.6|1027.08|1027.08|327.18|1000.79|560.88|327.18|320.95|0|1569.2
Professional|||25076|EXC FOREARM TUM DEEP < 3 CM|1925|1925|1625.84|1443.75|1636.25|1732.5|1636.25|1658.3|991.9|932.39|0|0|1779.06|1625.84|312.97|1741.68|1690.1|1645.63|1585.19|1776.97|1443.75|1741.68|588.9|573.54|588.9|1868.48|1868.48|363.85|527.45|375.86|1943.22|1776.97|1776.97|367.49|407.51|400.24|436.62|512.09|1680.89|1680.89|537.69|1637.86|921.76|537.69|527.45|0|1943.22
Professional|||25101|EXPLORE/TREAT WRIST JOINT|1508|1508|1267.7|1131|1281.8|1357.2|1281.8|1293.01|777|730.38|0|0|1387.16|1267.7|245.43|1358.02|1317.8|1283.13|1236.01|1385.54|1131|1358.02|461.6|449.56|461.6|1463.66|1463.66|285.33|413.43|294.75|1522.21|1385.54|1385.54|288.18|319.57|313.86|342.4|401.39|1306.45|1306.45|421.46|1273.01|722.5|421.46|413.43|0|1522.21
Professional|||25105|EXPLOR WRIST JT/REMV SYNOVIUM|1804|1804|1516.65|1353|1533.4|1623.6|1533.4|1546.93|929.6|873.82|0|0|1659.58|1516.65|294.21|1624.71|1576.6|1535.11|1478.73|1657.63|1353|1624.71|554.39|539.93|554.39|1751.12|1751.12|342.56|496.54|353.86|1821.16|1657.63|1657.63|345.99|383.67|376.82|411.07|482.08|1560.96|1560.96|506.18|1521|867.74|506.18|496.54|0|1821.16
Professional|||25107|REPAIR TRIANGULAR CARTWRIST *|2296|2296|1932.66|1722|1951.6|2066.4|1951.6|1971.25|1183.7|1112.68|0|0|2114.8|1932.66|375.22|2070.37|2009.06|1956.19|1884.34|2112.32|1722|2070.37|702.64|684.31|702.64|2228.46|2228.46|434.16|629.32|448.49|2317.6|2112.32|2112.32|438.5|486.26|477.58|520.99|610.99|1996.48|1996.48|641.54|1945.37|1099.78|641.54|629.32|0|2317.6
Professional|||25111|EXCIS PRIMARY GANGLION WRIST|1201|1201|1005.64|900.75|1020.85|1080.9|1020.85|1025.72|618.8|581.67|0|0|1100.41|1005.64|195.34|1077.29|1045.39|1017.88|980.5|1099.12|900.75|1077.29|368.93|359.31|368.93|1165.66|1165.66|227.86|330.43|235.38|1212.29|1099.12|1099.12|230.14|255.2|250.65|273.43|320.81|1036.12|1036.12|336.85|1009.6|577.46|336.85|330.43|0|1212.29
Professional|||25112|EXCIS RECURRENT GANGLION WRIST|1443|1443|1215.28|1082.25|1226.55|1298.7|1226.55|1239.55|743.4|698.8|0|0|1329.81|1215.28|234.84|1301.88|1263.32|1230.08|1184.9|1328.25|1082.25|1301.88|442.34|430.8|442.34|1400.37|1400.37|273.27|396.18|282.29|1456.38|1328.25|1328.25|276|306.06|300.6|327.92|384.64|1252.18|1252.18|403.87|1220.13|692.35|403.87|396.18|0|1456.38
Professional|||25115|RAD EXCIS WRIST SYNOV/TENDON*|2819|2819|2380.34|2114.25|2396.15|2537.1|2396.15|2427.87|1452.5|1365.35|0|0|2604.66|2380.34|461.09|2549.95|2474.43|2409.31|2320.83|2601.61|2114.25|2549.95|862.09|839.6|862.09|2736.13|2736.13|532.95|772.13|550.54|2845.58|2601.61|2601.61|538.28|596.9|586.25|639.54|749.64|2462.5|2462.5|787.12|2399.47|1349.35|787.12|772.13|0|2845.58
Professional|||25170|RESECT RADIUS/ULNAR TUMOR|5422|5422|4648.22|4066.5|4608.7|4879.8|4608.7|4741.02|2797.2|2629.37|0|0|5086.26|4648.22|884.2|4979.41|4831.95|4704.79|4532.01|5080.3|4066.5|4979.41|1658.15|1614.89|1658.15|5263.92|5263.92|1025.11|1485.13|1058.94|5474.48|5080.3|5080.3|1035.36|1148.12|1127.62|1230.13|1441.87|4820.93|4820.93|1513.96|4697.52|2595.37|1513.96|1485.13|0|5474.48
Professional|||25215|REMOVAL OF PROX ROW CARPAL BO*|2299|2299|1939.21|1724.25|1954.15|2069.1|1954.15|1977.93|1184.4|1113.34|0|0|2121.96|1939.21|374.99|2077.39|2015.87|1962.82|1890.73|2119.48|1724.25|2077.39|704.57|686.19|704.57|2231.1|2231.1|435.45|631.05|449.82|2320.34|2119.48|2119.48|439.8|487.7|479|522.54|612.67|2003.25|2003.25|643.3|1951.97|1102.81|643.3|631.05|0|2320.34
Professional|||25246|INJECTION FOR WRIST ARTHROGRAM|283|283|235.85|212.25|240.55|254.7|240.55|543.49|338.1|317.81|0|0|258.08|235.85|45.9|252.66|245.17|238.72|229.95|257.77|212.25|252.66|85.89|83.65|85.89|274.27|274.27|52.85|76.93|54.59|285.24|257.77|257.77|53.38|59.19|58.14|63.42|74.69|245.46|245.46|78.42|239.18|134.44|78.42|76.93|0|543.49
Professional|||25248|REMOVE FOREARM/WRIST FOREIGN *|1530|1530|1297.18|1147.5|1300.5|1377|1300.5|1323.08|788.2|740.91|0|0|1419.42|1297.18|250.08|1389.6|1348.45|1312.97|1264.75|1417.76|1147.5|1389.6|471.57|459.27|471.57|1484.76|1484.76|291.49|422.36|301.11|1544.15|1417.76|1417.76|294.4|326.47|320.64|349.79|410.06|1333.62|1333.62|430.56|1299.48|738.11|430.56|422.36|0|1544.15
Professional|||25260|REPR FOREARM TEND/MUSCFLEXP*|2345|2345|1976.34|1758.75|1993.25|2110.5|1993.25|2015.8|1208.2|1135.71|0|0|2162.59|1976.34|383.17|2117.16|2054.46|2000.39|1926.93|2160.05|1758.75|2117.16|720.43|701.64|720.43|2275.93|2275.93|445.2|645.25|459.89|2366.97|2160.05|2160.05|449.65|498.62|489.72|534.24|626.46|2039.44|2039.44|657.78|1987.23|1127.63|657.78|645.25|0|2366.97
Professional|||25263|REPR FOREARM TEND/MUSCFLEXS*|2324|2324|1967.6|1743|1975.4|2091.6|1975.4|2006.89|1200.5|1128.47|0|0|2153.03|1967.6|378.52|2107.8|2045.38|1991.55|1918.41|2150.51|1743|2107.8|716.23|697.55|716.23|2256.15|2256.15|442.63|641.49|457.24|2346.4|2150.51|2150.51|447.06|495.75|486.89|531.16|622.81|2022.48|2022.48|653.95|1970.71|1121.06|653.95|641.49|0|2346.4
Professional|||25270|REPR FOREARM TEND/MUSCEXTEN*|1825|1825|1535.21|1368.75|1551.25|1642.5|1551.25|1565.86|940.8|884.35|0|0|1679.89|1535.21|298.18|1644.6|1595.89|1553.9|1496.83|1677.92|1368.75|1644.6|562.2|547.53|562.2|1770.9|1770.9|347.43|503.54|358.9|1841.74|1677.92|1677.92|350.9|389.12|382.17|416.92|488.87|1585.86|1585.86|513.31|1545.26|879.97|513.31|503.54|0|1841.74
Professional|||25280|REVISE WRIST/FOREARM TENDON|2099|2099|1767.79|1574.25|1784.15|1889.1|1784.15|1803.08|1082.2|1017.27|0|0|1934.38|1767.79|343.22|1893.74|1837.66|1789.3|1723.6|1932.11|1574.25|1893.74|645.32|628.49|645.32|2037.26|2037.26|398.75|577.98|411.91|2118.75|1932.11|1932.11|402.74|446.6|438.63|478.5|561.15|1825.65|1825.65|589.21|1778.92|1010.07|589.21|577.98|0|2118.75
Professional|||25290|INCISE WRIST/FOREARM TENDON|1628|1628|1368.15|1221|1383.8|1465.2|1383.8|1395.47|838.6|788.28|0|0|1497.08|1368.15|265.97|1465.63|1422.23|1384.8|1333.95|1495.33|1221|1465.63|498.17|485.17|498.17|1579.7|1579.7|307.92|446.19|318.08|1642.89|1495.33|1495.33|311|344.87|338.71|369.5|433.19|1412.79|1412.79|454.85|1376.63|779.74|454.85|446.19|0|1642.89
Professional|||25295|RELEASE WRIST/FOREARM TENDON|1956|1956|1649.86|1467|1662.6|1760.4|1662.6|1682.8|1008|947.52|0|0|1805.34|1649.86|318.27|1767.42|1715.08|1669.94|1608.61|1803.23|1467|1767.42|600.08|584.43|600.08|1898.8|1898.8|370.78|537.46|383.02|1974.75|1803.23|1803.23|374.49|415.27|407.86|444.94|521.81|1698.98|1698.98|547.9|1655.49|939.26|547.9|537.46|0|1974.75
Professional|||25310|TRANSPLANT FOREARM/WRIST TEND*|2305|2305|1942.49|1728.75|1959.25|2074.5|1959.25|1981.27|1188.6|1117.28|0|0|2125.55|1942.49|376.76|2080.9|2019.27|1966.13|1893.93|2123.06|1728.75|2080.9|706.82|688.39|706.82|2237.69|2237.69|436.98|633.07|451.4|2327.2|2123.06|2123.06|441.35|489.42|480.68|524.38|614.63|2007.76|2007.76|645.36|1956.36|1106.33|645.36|633.07|0|2327.2
Professional|||25312|XPLANT FOREARM TENDONW TENDO*|2664|2664|2253.68|1998|2264.4|2397.6|2264.4|2298.68|1372.7|1290.34|0|0|2466.07|2253.68|433.71|2414.26|2342.76|2281.11|2197.34|2463.18|1998|2414.26|817.11|795.79|817.11|2585.8|2585.8|504.98|731.85|521.64|2689.23|2463.18|2463.18|510.03|565.58|555.48|605.98|710.53|2327.89|2327.89|746.06|2268.3|1278.95|746.06|731.85|0|2689.23
Professional|||25394|OSTEOPLASTYCARPAL BONESHORT*|2887|2887|2455.68|2165.25|2453.95|2598.3|2453.95|2504.71|1491|1401.54|0|0|2687.11|2455.68|467.93|2630.66|2552.75|2485.57|2394.29|2683.96|2165.25|2630.66|887.2|864.06|887.2|2802.06|2802.06|548.35|794.62|566.45|2914.14|2683.96|2683.96|553.83|614.15|603.19|658.02|771.48|2545.08|2545.08|810.05|2479.93|1388.66|810.05|794.62|0|2914.14
Professional|||25447|REPAIR INTERCARP/CARP-METACAR*|3079|3079|2602|2309.25|2617.15|2771.1|2617.15|2653.95|1586.9|1491.69|0|0|2847.21|2602|502.8|2787.4|2704.85|2633.67|2536.95|2843.87|2309.25|2787.4|943.61|918.99|943.61|2989.31|2989.31|583.25|845.15|602.5|3108.88|2843.87|2843.87|589.08|653.24|641.58|699.9|820.53|2688.71|2688.71|861.56|2619.88|1476.95|861.56|845.15|0|3108.88
Professional|||25500|CLOSED RX RADIAL SHAFT FX|943|943|781.8|707.25|801.55|848.7|801.55|876.48|536.2|504.03|0|0|855.48|781.8|153.4|837.51|812.7|791.32|762.26|854.47|707.25|837.51|290.17|282.6|290.17|915.12|915.12|179.36|259.89|185.28|951.72|854.47|854.47|181.15|200.88|197.3|215.23|252.32|807.65|807.65|264.94|786.97|454.18|264.94|259.89|0|951.72
Professional|||25505|CLOSED RX RADIAL SHAFT FXMAN*|1701|1701|1422.75|1275.75|1445.85|1530.9|1445.85|1591.48|966|908.04|0|0|1556.82|1422.75|280.08|1524.12|1478.98|1440.06|1387.18|1555|1275.75|1524.12|523.57|509.91|523.57|1650.91|1650.91|323.57|468.94|334.25|1716.95|1555|1555|326.81|362.4|355.93|388.28|455.28|1476.15|1476.15|478.04|1438.36|819.5|478.04|468.94|0|1716.95
Professional|||25515|OPEN RX RADIAL SHAFT FX|2482|2482|2101.91|1861.5|2109.7|2233.8|2109.7|2143.87|1278.9|1202.17|0|0|2299.99|2101.91|403.68|2251.67|2184.99|2127.49|2049.36|2297.3|1861.5|2251.67|760.56|740.72|760.56|2409.11|2409.11|470.09|681.2|485.6|2505.47|2297.3|2297.3|474.79|526.5|517.1|564.11|661.36|2169.54|2169.54|694.43|2114.01|1190.45|694.43|681.2|0|2505.47
Professional|||25530|CLOSED RX ULNA SHAFT FX|896|896|742.49|672|761.6|806.4|761.6|830.82|508.2|477.71|0|0|812.46|742.49|145.68|795.4|771.84|751.53|723.93|811.51|672|795.4|276.16|268.96|276.16|868.96|868.96|170.63|247.34|176.26|903.72|811.51|811.51|172.34|191.11|187.69|204.76|240.14|763.52|763.52|252.15|743.98|432.25|252.15|247.34|0|903.72
Professional|||25535|CLOSED RX ULNA SHAFT FXMANIP*|1687|1687|1418.38|1265.25|1433.95|1518.3|1433.95|1562.52|943.6|886.98|0|0|1552.05|1418.38|274.35|1519.44|1474.44|1435.64|1382.92|1550.23|1265.25|1519.44|517.57|504.07|517.57|1637.72|1637.72|319.98|463.56|330.54|1703.23|1550.23|1550.23|323.18|358.38|351.98|383.98|450.06|1458.05|1458.05|472.56|1420.73|810.11|472.56|463.56|0|1703.23
Professional|||25545|OPEN RX ULNA SHAFT FX|2315|2315|1955.59|1736.25|1967.75|2083.5|1967.75|1994.64|1192.8|1121.23|0|0|2139.89|1955.59|376.98|2094.93|2032.89|1979.4|1906.7|2137.38|1736.25|2094.93|708.77|690.28|708.77|2246.92|2246.92|438.01|634.81|452.46|2336.8|2137.38|2137.38|442.39|490.57|481.81|525.61|616.32|2021.34|2021.34|647.14|1969.6|1109.38|647.14|634.81|0|2336.8
Professional|||25560|CLOSED RX RAD/ULNA SHAFT FX|951|951|788.35|713.25|808.35|855.9|808.35|894.3|547.4|514.56|0|0|862.65|788.35|153.83|844.52|819.51|797.95|768.64|861.63|713.25|844.52|292.69|285.05|292.69|923.03|923.03|180.9|262.15|186.87|959.95|861.63|861.63|182.71|202.61|198.99|217.08|254.51|808.75|808.75|267.24|788.05|458.12|267.24|262.15|0|959.95
Professional|||25565|CLOSED RX RAD/ULNA SHAFT FXM*|1724|1724|1447.86|1293|1465.4|1551.6|1465.4|1639.37|991.9|932.39|0|0|1584.3|1447.86|285.83|1551.02|1505.09|1465.48|1411.66|1582.45|1293|1551.02|528.34|514.56|528.34|1673.33|1673.33|326.65|473.21|337.43|1740.26|1582.45|1582.45|329.92|365.85|359.32|391.98|459.43|1507.82|1507.82|482.4|1469.22|826.97|482.4|473.21|0|1740.26
Professional|||25575|OPEN RX RAD/ULNA SHAFT FX+FIX*|3335|3335|2834.57|2501.25|2834.75|3001.5|2834.75|2891.17|1718.5|1615.39|0|0|3101.7|2834.57|542.52|3036.54|2946.62|2869.07|2763.71|3098.07|2501.25|3036.54|1022.03|995.37|1022.03|3237.2|3237.2|631.74|915.38|652.59|3366.69|3098.07|3098.07|638.06|707.55|694.91|758.09|888.72|2927.39|2927.39|933.16|2852.46|1599.7|933.16|915.38|0|3366.69
Professional|||25600|CLOSED RX DIST RAD/ULNA FX|1179|1179|975.07|884.25|1002.15|1061.1|1002.15|1046.88|641.2|602.73|0|0|1066.96|975.07|191.58|1044.54|1013.61|986.93|950.69|1065.71|884.25|1044.54|365.01|355.49|365.01|1144.56|1144.56|225.55|326.92|232.99|1190.34|1065.71|1065.71|227.81|252.62|248.11|270.66|317.4|997.67|997.67|333.27|972.13|571.32|333.27|326.92|0|1190.34
Professional|||25605|CLOSED RX DIST RAD/ULNA FXMA*|1897|1897|1590.9|1422.75|1612.45|1707.3|1612.45|1720.67|1039.5|977.13|0|0|1740.82|1590.9|313.85|1704.25|1653.78|1610.26|1551.13|1738.78|1422.75|1704.25|581.85|566.68|581.85|1840.79|1840.79|359.49|521.14|371.35|1914.42|1738.78|1738.78|363.08|402.63|395.44|431.39|505.96|1649.21|1649.21|531.26|1606.99|910.73|531.26|521.14|0|1914.42
Professional|||25609|OPEN RX DISTAL RADIUS FX INT*|3885|3885|3296.45|2913.75|3302.25|3496.5|3302.25|3362.26|2002.7|1882.54|0|0|3607.1|3296.45|631.91|3531.32|3426.75|3336.57|3214.04|3602.87|2913.75|3531.32|1190.66|1159.6|1190.66|3771.24|3771.24|735.92|1066.42|760.21|3922.09|3602.87|3602.87|743.28|824.23|809.51|883.1|1035.36|3402.46|3402.46|1087.13|3315.37|1863.65|1087.13|1066.42|0|3922.09
Professional|||25628|OPEN RX NAVICULAR FX|2676|2676|2261.32|2007|2274.6|2408.4|2274.6|2306.47|1379|1296.26|0|0|2474.43|2261.32|436.79|2422.45|2350.71|2288.85|2204.79|2471.53|2007|2422.45|818.83|797.47|818.83|2597.67|2597.67|506.01|733.39|522.71|2701.58|2471.53|2471.53|511.07|566.73|556.61|607.21|712.03|2339.2|2339.2|747.63|2279.32|1281.65|747.63|733.39|0|2701.58
Professional|||25645|OPEN RX CARPAL BONE FXEACH B*|2104|2104|1783.07|1578|1788.4|1893.6|1788.4|1818.67|1086.4|1021.22|0|0|1951.11|1783.07|341.45|1910.12|1853.55|1804.78|1738.49|1948.82|1578|1910.12|647.12|630.24|647.12|2042.54|2042.54|400.03|579.59|413.23|2124.24|1948.82|1948.82|404.03|448.03|440.03|480.04|562.71|1829.05|1829.05|590.85|1782.23|1012.88|590.85|579.59|0|2124.24
Professional|||25675|CLOSED RX RADIO-ULNA DISLOCAT*|1486|1486|1239.31|1114.5|1263.1|1337.4|1263.1|1394.35|848.4|797.5|0|0|1356.1|1239.31|241.02|1327.61|1288.29|1254.39|1208.33|1354.51|1114.5|1327.61|456.44|444.53|456.44|1442.57|1442.57|282|408.81|291.31|1500.27|1354.51|1354.51|284.82|315.84|310.2|338.4|396.9|1268|1268|416.75|1235.54|714.42|416.75|408.81|0|1500.27
Professional|||25685|OPEN RX NAVIC-PERILUNATE FX/D*|2713|2713|2311.55|2034.75|2306.05|2441.7|2306.05|2357.7|1399.3|1315.34|0|0|2529.39|2311.55|440.55|2476.25|2402.92|2339.69|2253.76|2526.43|2034.75|2476.25|832.42|810.7|832.42|2633.27|2633.27|514.48|745.56|531.46|2738.6|2526.43|2526.43|519.62|576.22|565.93|617.38|723.84|2381.06|2381.06|760.03|2320.11|1302.91|760.03|745.56|0|2738.6
Professional|||25690|CLOSED RX LUNATE DISLOCATION|1796|1796|1514.47|1347|1526.6|1616.4|1526.6|1544.7|926.1|870.53|0|0|1657.19|1514.47|287.6|1622.37|1574.33|1532.9|1476.61|1655.25|1347|1622.37|554.17|539.72|554.17|1743.21|1743.21|342.56|496.35|353.86|1812.94|1655.25|1655.25|345.99|383.67|376.82|411.07|481.89|1527.05|1527.05|505.98|1487.96|867.4|505.98|496.35|0|1812.94
Professional|||25695|OPEN REPAIR LUNATE DISLOCATION|2339|2339|1987.26|1754.25|1988.15|2105.1|1988.15|2026.93|1206.8|1134.39|0|0|2174.54|1987.26|380.52|2128.85|2065.81|2011.45|1937.58|2171.99|1754.25|2128.85|718.44|699.7|718.44|2270.66|2270.66|444.17|643.47|458.83|2361.49|2171.99|2171.99|448.61|497.47|488.59|533|624.73|2054.15|2054.15|655.97|2001.57|1124.51|655.97|643.47|0|2361.49
Professional|||25900|AMPUTATION FOREARM|2634|2634|2232.94|1975.5|2238.9|2370.6|2238.9|2277.52|1357.3|1275.86|0|0|2443.37|2232.94|427.53|2392.04|2321.2|2260.11|2177.12|2440.5|1975.5|2392.04|806.52|785.48|806.52|2556.8|2556.8|498.57|722.36|515.02|2659.07|2440.5|2440.5|503.56|558.4|548.43|598.28|701.32|2299.62|2299.62|736.39|2240.75|1262.38|736.39|722.36|0|2659.07
Professional|||25909|RE-AMPUTATION FOREARM|2525|2525|2146.68|1893.75|2146.25|2272.5|2146.25|2189.53|1303.4|1225.2|0|0|2348.98|2146.68|410.97|2299.63|2231.53|2172.8|2093.01|2346.22|1893.75|2299.63|775.86|755.62|775.86|2451.3|2451.3|479.58|694.9|495.41|2549.35|2346.22|2346.22|484.38|537.13|527.54|575.5|674.66|2215.9|2215.9|708.39|2159.18|1214.39|708.39|694.9|0|2549.35
Professional|||25920|AMPUTATE THRU WRIST|2597|2597|2205.64|1947.75|2207.45|2337.3|2207.45|2249.67|1338.4|1258.1|0|0|2413.5|2205.64|417.38|2362.79|2292.82|2232.48|2150.5|2410.67|1947.75|2362.79|811.37|790.2|811.37|2521.19|2521.19|501.39|726.71|517.94|2622.04|2410.67|2410.67|506.4|561.56|551.53|601.67|705.54|2258.9|2258.9|740.82|2201.07|1269.97|740.82|726.71|0|2622.04
Professional|||25931|RE-AMPUTATION TRANSMETACARPAL|2773|2773|2329.02|2079.75|2357.05|2495.7|2357.05|2375.52|1428.7|1342.98|0|0|2548.51|2329.02|394.2|2494.97|2421.08|2357.37|2270.79|2545.52|2079.75|2494.97|881.29|858.3|881.29|2691.3|2691.3|544.76|789.33|562.74|2798.95|2545.52|2545.52|550.21|610.13|599.24|653.71|766.34|2347.11|2347.11|804.66|2287.03|1379.41|804.66|789.33|0|2798.95
Professional|||26010|DRAIN FINGER ABSCESSSIMPLE|514|514|425.84|385.5|436.9|462.6|436.9|862|536.2|504.03|0|0|465.97|425.84|84.09|456.18|442.67|431.02|415.19|465.43|385.5|456.18|158.61|154.47|158.61|498.43|498.43|98.02|142.06|101.25|518.37|465.43|465.43|99|109.78|107.82|117.62|137.92|443.4|443.4|144.82|432.05|248.26|144.82|142.06|0|862
Professional|||26011|DRAIN FINGER ABSCESSCOMPLICA*|688|688|576.52|516|584.8|619.2|584.8|1279.64|793.8|746.17|0|0|630.85|576.52|112.78|617.6|599.31|583.54|562.11|630.12|516|617.6|211.19|205.68|211.19|667.22|667.22|130.35|189.15|134.65|693.91|630.12|630.12|131.65|145.99|143.39|156.42|183.64|598.37|598.37|192.82|583.05|330.55|192.82|189.15|0|1279.64
Professional|||26020|DRAIN HAND TENDON SHEATH|1622|1622|1362.69|1216.5|1378.7|1459.8|1378.7|1389.9|835.8|785.65|0|0|1491.11|1362.69|265.09|1459.79|1416.55|1379.28|1328.62|1489.36|1216.5|1459.79|632.95|616.44|632.95|1574.43|1574.43|391.31|566.9|404.22|1637.41|1489.36|1489.36|395.22|438.27|430.44|469.57|550.39|1401.48|1401.48|577.91|1365.6|990.7|577.91|566.9|0|1637.41
Professional|||26025|DRAINAGE PALM BURSASINGLE|1572|1572|1322.29|1179|1336.2|1414.8|1336.2|1348.69|809.9|761.31|0|0|1446.9|1322.29|257.35|1416.51|1374.56|1338.39|1289.23|1445.21|1179|1416.51|480.7|468.16|480.7|1525.64|1525.64|297.14|430.54|306.95|1586.67|1445.21|1445.21|300.11|332.8|326.85|356.57|418|1366.43|1366.43|438.9|1331.45|752.4|438.9|430.54|0|1586.67
Professional|||26030|DRAINAGE PALM BURSAMULTIP/CO*|1822|1822|1538.49|1366.5|1548.7|1639.8|1548.7|1569.2|938.7|882.38|0|0|1683.47|1538.49|298.85|1648.11|1599.3|1557.21|1500.03|1681.5|1366.5|1648.11|559.39|544.8|559.39|1768.27|1768.27|345.64|501.02|357.05|1839|1681.5|1681.5|349.1|387.12|380.2|414.77|486.43|1596.04|1596.04|510.75|1555.18|875.57|510.75|501.02|0|1839
Professional|||26034|INCIS DEEP FINGR/HAND BONE LE*|2027|2027|1705.55|1520.25|1722.95|1824.3|1722.95|1739.6|1043.7|981.08|0|0|1866.28|1705.55|326.66|1827.07|1772.96|1726.31|1662.91|1864.09|1520.25|1827.07|623.79|607.52|623.79|1967.38|1967.38|385.41|558.7|398.13|2046.08|1864.09|1864.09|389.26|431.66|423.95|462.49|542.43|1746.48|1746.48|569.55|1701.77|976.37|569.55|558.7|0|2046.08
Professional|||26035|DECOMPRESS FINGERS/HANDINJEC*|3173|3173|2700.27|2379.75|2697.05|2855.7|2697.05|2754.18|1635.2|1537.09|0|0|2954.74|2700.27|522.89|2892.67|2807|2733.13|2632.76|2951.28|2379.75|2892.67|972.7|947.33|972.7|3080.28|3080.28|601.21|871.2|621.05|3203.49|2951.28|2951.28|607.22|673.36|661.33|721.45|845.83|2780.33|2780.33|888.12|2709.16|1522.49|888.12|871.2|0|3203.49
Professional|||26037|DECOMPRESS FASCIOTOMY FINGR/H*|2103|2103|1776.52|1577.25|1787.55|1892.7|1787.55|1811.99|1083.6|1018.58|0|0|1943.94|1776.52|343.88|1903.1|1846.74|1798.14|1732.11|1941.66|1577.25|1903.1|643.9|627.1|643.9|2041.21|2041.21|397.98|576.71|411.11|2122.86|1941.66|1941.66|401.96|445.74|437.78|477.58|559.91|1833.59|1833.59|587.91|1786.65|1007.84|587.91|576.71|0|2122.86
Professional|||26040|RELEASE PALM CONTRACTPERCUTA*|1171|1171|978.34|878.25|995.35|1053.9|995.35|997.88|603.4|567.2|0|0|1070.54|978.34|191.58|1048.05|1017.01|990.25|953.88|1069.29|878.25|1048.05|359.97|350.58|359.97|1136.65|1136.65|222.47|322.41|229.81|1182.12|1069.29|1069.29|224.69|249.17|244.72|266.96|313.02|1007.85|1007.85|328.67|982.05|563.44|328.67|322.41|0|1182.12
Professional|||26045|RELEASE PALM CONTRACTOPENPA*|1747|1747|1472.97|1310.25|1484.95|1572.3|1484.95|1502.38|900.2|846.19|0|0|1611.79|1472.97|284.07|1577.93|1531.2|1490.9|1436.15|1609.9|1310.25|1577.93|536.45|522.46|536.45|1695.74|1695.74|331.52|480.47|342.46|1763.57|1609.9|1609.9|334.84|371.3|364.67|397.82|466.48|1515.73|1515.73|489.8|1476.93|839.66|489.8|480.47|0|1763.57
Professional|||26055|INCISE FINGER TENDON SHEATH|1169|1169|972.88|876.75|993.65|1052.1|993.65|1801.97|1116.5|1049.51|0|0|1064.57|972.88|190.7|1042.2|1011.34|984.72|948.56|1063.32|876.75|1042.2|332.26|323.59|332.26|1134.01|1134.01|205.28|297.59|212.05|1179.37|1063.32|1063.32|207.33|229.91|225.81|246.34|288.92|1002.18|1002.18|303.37|976.52|520.06|303.37|297.59|0|1801.97
Professional|||26070|EXPLORE & TREAT CARPOMETACARP*|1200|1200|1003.46|900|1020|1080|1020|1023.49|618.1|581.01|0|0|1098.02|1003.46|189.59|1074.95|1043.12|1015.67|978.37|1096.73|900|1074.95|368.38|358.77|368.38|1164.34|1164.34|227.6|329.94|235.11|1210.91|1096.73|1096.73|229.88|254.91|250.36|273.12|320.33|1020.3|1020.3|336.35|994.18|576.59|336.35|329.94|0|1210.91
Professional|||26075|EXPLORE & TREAT METACARPO-PHA*|1249|1249|1047.13|936.75|1061.65|1124.1|1061.65|1068.04|643.3|604.7|0|0|1145.81|1047.13|202.18|1121.74|1088.52|1059.88|1020.95|1144.47|936.75|1121.74|384.46|374.43|384.46|1211.81|1211.81|237.61|344.34|245.45|1260.28|1144.47|1144.47|239.99|266.12|261.37|285.13|334.31|1076.84|1076.84|351.03|1049.28|601.76|351.03|344.34|0|1260.28
Professional|||26080|EXPLORE/TREAT INTERPHALANGEAL*|1467|1467|1228.39|1100.25|1246.95|1320.3|1246.95|1252.91|756|710.64|0|0|1344.15|1228.39|238.6|1315.91|1276.94|1243.34|1197.68|1342.58|1100.25|1315.91|451.33|439.56|451.33|1424.1|1424.1|278.92|404.23|288.12|1481.06|1342.58|1342.58|281.71|312.39|306.81|334.7|392.46|1261.22|1261.22|412.08|1228.94|706.43|412.08|404.23|0|1481.06
Professional|||26111|EXC HAND LES SC > 1.5 CM|1549|1549|1308.1|1161.75|1316.65|1394.1|1316.65|1334.21|798|750.12|0|0|1431.37|1308.1|253.61|1401.3|1359.8|1324.02|1275.4|1429.69|1161.75|1401.3|473.71|461.35|473.71|1503.22|1503.22|292.78|424.28|302.44|1563.35|1429.69|1429.69|295.71|327.91|322.06|351.34|411.92|1355.12|1355.12|432.52|1320.43|741.46|432.52|424.28|0|1563.35
Professional|||26113|EXC HAND TUM DEEP > 1.5 CM|2038|2038|1718.65|1528.5|1732.3|1834.2|1732.3|1752.96|1050|987|0|0|1880.62|1718.65|333.5|1841.11|1786.58|1739.57|1675.68|1878.41|1528.5|1841.11|623.86|607.59|623.86|1977.92|1977.92|385.66|558.76|398.39|2057.04|1878.41|1878.41|389.52|431.94|424.23|462.79|542.49|1780.42|1780.42|569.61|1734.84|976.48|569.61|558.76|0|2057.04
Professional|||26115|EXC HAND LES SC < 1.5 CM|1239|1239|1041.67|929.25|1053.15|1115.1|1053.15|1653.84|1015|954.1|0|0|1139.84|1041.67|203.06|1115.89|1082.85|1054.35|1015.63|1138.5|929.25|1115.89|378.43|368.56|378.43|1202.57|1202.57|233.76|338.94|241.47|1250.67|1138.5|1138.5|236.1|261.81|257.14|280.51|329.07|1076.84|1076.84|345.52|1049.28|592.33|345.52|338.94|0|1653.84
Professional|||26116|EXC HAND TUM DEEP < 1.5 CM|1960|1960|1652.04|1470|1666|1764|1666|1685.03|1009.4|948.84|0|0|1807.73|1652.04|320.91|1769.76|1717.35|1672.15|1610.74|1805.61|1470|1769.76|599.23|583.6|599.23|1902.76|1902.76|370.27|536.7|382.49|1978.87|1805.61|1805.61|373.97|414.7|407.3|444.32|521.07|1708.02|1708.02|547.12|1664.3|937.93|547.12|536.7|0|1978.87
Professional|||26121|PALMAR FASCIECTOMY|2224|2224|1875.88|1668|1890.4|2001.6|1890.4|1913.34|1145.9|1077.15|0|0|2052.67|1875.88|362.63|2009.54|1950.03|1898.72|1828.98|2050.26|1668|2009.54|682.04|664.25|682.04|2158.58|2158.58|421.59|610.87|435.5|2244.92|2050.26|2050.26|425.81|472.18|463.75|505.91|593.08|1935.39|1935.39|622.73|1885.85|1067.54|622.73|610.87|0|2244.92
Professional|||26123|PART PALMAR FASCIECOPEN 1 DI*|3104|3104|2620.56|2328|2638.4|2793.6|2638.4|2672.88|1599.5|1503.53|0|0|2867.52|2620.56|507.22|2807.28|2724.14|2652.46|2555.05|2864.16|2328|2807.28|951.28|926.46|951.28|3013.04|3013.04|588.12|852.02|607.53|3133.56|2864.16|2864.16|594|658.69|646.93|705.74|827.2|2706.83|2706.83|868.56|2637.54|1488.96|868.56|852.02|0|3133.56
Professional|||26125|PART PALMAR FASCIECOPEN ADDN*|1004|1004|861.51|753|853.4|903.6|853.4|878.71|517.3|486.26|0|0|942.7|861.51|164.21|922.89|895.56|871.99|839.97|941.59|753|922.89|305.97|297.99|305.97|974.46|974.46|189.11|274.04|195.35|1013.44|941.59|941.59|191|211.8|208.02|226.93|266.06|895.87|895.87|279.36|872.94|478.91|279.36|274.04|0|1013.44
Professional|||26140|EXCIS JT LININGPROX I-P JTE*|1884|1884|1585.44|1413|1601.4|1695.6|1601.4|1617.09|970.2|911.99|0|0|1734.85|1585.44|307.46|1698.4|1648.11|1604.74|1545.8|1732.82|1413|1698.4|578.08|563|578.08|1828.92|1828.92|357.18|517.76|368.97|1902.08|1732.82|1732.82|360.75|400.04|392.9|428.62|502.68|1632.22|1632.22|527.81|1590.44|904.82|527.81|517.76|0|1902.08
Professional|||26160|EXCIS TENDON SHEATH LESION H*|1255|1255|1047.13|941.25|1066.75|1129.5|1066.75|1855.42|1146.6|1077.8|0|0|1145.81|1047.13|204.83|1121.74|1088.52|1059.88|1020.95|1144.47|941.25|1121.74|360.79|351.38|360.79|1218.4|1218.4|222.98|323.14|230.34|1267.14|1144.47|1144.47|225.21|249.74|245.28|267.58|313.73|1079.11|1079.11|329.42|1051.49|564.71|329.42|323.14|0|1855.42
Professional|||26180|EXCIS FINGER TENDON FLEXOR EACH|1666|1666|1395.45|1249.5|1416.1|1499.4|1416.1|1423.31|858.2|806.71|0|0|1526.95|1395.45|271.48|1494.88|1450.61|1412.43|1360.56|1525.17|1249.5|1494.88|512.04|498.68|512.04|1616.62|1616.62|316.38|458.61|326.82|1681.28|1525.17|1525.17|319.54|354.35|348.02|379.66|445.25|1432.02|1432.02|467.51|1395.36|801.45|467.51|458.61|0|1681.28
Professional|||26200|EXCIS BENIGN BONE LESNMETACA*|1676|1676|1410.73|1257|1424.6|1508.4|1424.6|1438.9|863.8|811.97|0|0|1543.68|1410.73|274.13|1511.25|1466.5|1427.91|1375.46|1541.87|1257|1511.25|515.35|501.91|515.35|1627.17|1627.17|318.44|461.57|328.95|1692.26|1541.87|1541.87|321.62|356.65|350.28|382.13|448.13|1453.52|1453.52|470.54|1416.31|806.63|470.54|461.57|0|1692.26
Professional|||26210|EXCIS BENIGN BONE LESNPHALANX|1656|1656|1389.99|1242|1407.6|1490.4|1407.6|1417.74|853.3|802.1|0|0|1520.98|1389.99|269.94|1489.03|1444.93|1406.91|1355.24|1519.2|1242|1489.03|508.84|495.57|508.84|1607.39|1607.39|314.59|455.74|324.97|1671.69|1519.2|1519.2|317.74|352.34|346.05|377.51|442.47|1430.89|1430.89|464.59|1394.26|796.45|464.59|455.74|0|1671.69
Professional|||26235|PART REMV BONEPROX/MID PHALA*|1835|1835|1545.04|1376.25|1559.75|1651.5|1559.75|1575.89|945.7|888.96|0|0|1690.64|1545.04|300.83|1655.13|1606.11|1563.84|1506.41|1688.66|1376.25|1655.13|562.27|547.6|562.27|1781.45|1781.45|347.43|503.6|358.9|1852.71|1688.66|1688.66|350.9|389.12|382.17|416.92|488.93|1593.77|1593.77|513.38|1552.97|880.07|513.38|503.6|0|1852.71
Professional|||26236|PART REMV BONEDISTAL PHALANX|1644|1644|1383.44|1233|1397.4|1479.6|1397.4|1411.06|847|796.18|0|0|1513.81|1383.44|269.28|1482.01|1438.12|1400.28|1348.85|1512.04|1233|1482.01|503.78|490.64|503.78|1595.52|1595.52|311.25|451.21|321.52|1659.34|1512.04|1512.04|314.36|348.6|342.38|373.5|438.07|1426.38|1426.38|459.97|1389.87|788.53|459.97|451.21|0|1659.34
Professional|||26260|RESECT PROX FINGER TUMOR|2955|2955|2517.92|2216.25|2511.75|2659.5|2511.75|2568.19|1523.9|1432.47|0|0|2755.21|2517.92|488.24|2697.33|2617.45|2548.57|2454.97|2751.98|2216.25|2697.33|903.6|880.03|903.6|2867.99|2867.99|558.61|809.31|577.04|2982.71|2751.98|2751.98|564.2|625.64|614.47|670.33|785.74|2612.94|2612.94|825.03|2546.05|1414.33|825.03|809.31|0|2982.71
Professional|||26320|REMOVAL OF IMPLANT FROM HAND/*|1300|1300|1089.72|975|1105|1170|1105|1111.47|669.2|629.05|0|0|1192.41|1089.72|212.33|1167.36|1132.79|1102.98|1062.48|1191.01|975|1167.36|398.54|388.15|398.54|1261.91|1261.91|246.33|356.96|254.46|1312.39|1191.01|1191.01|248.79|275.89|270.96|295.6|346.56|1120.97|1120.97|363.89|1092.27|623.81|363.89|356.96|0|1312.39
Professional|||26340|MANIPULATE FINGER JT W/ ANEST*|1281|1281|1055.87|960.75|1088.85|1152.9|1088.85|1076.95|660.1|620.49|0|0|1155.37|1055.87|207.69|1131.1|1097.6|1068.72|1029.47|1154.02|960.75|1131.1|396.75|386.4|396.75|1243.46|1243.46|245.05|355.35|253.14|1293.2|1154.02|1154.02|247.5|274.46|269.56|294.06|345|1075.71|1075.71|362.25|1048.17|621|362.25|355.35|0|1293.2
Professional|||26350|REPAIR FLEXOR TENDONHANDW/O*|2644|2644|2189.26|1983|2247.4|2379.6|2247.4|2232.97|1362.2|1280.47|0|0|2395.57|2189.26|436.13|2345.25|2275.8|2215.91|2134.53|2392.77|1983|2345.25|839.96|818.05|839.96|2566.02|2566.02|519.1|752.31|536.23|2668.66|2392.77|2392.77|524.29|581.39|571.01|622.92|730.4|2270.21|2270.21|766.92|2212.1|1314.72|766.92|752.31|0|2668.66
Professional|||26352|REPAIR FLEXOR TENDONHANDW/ *|3010|3010|2512.46|2257.5|2558.5|2709|2558.5|2562.62|1552.6|1459.44|0|0|2749.23|2512.46|494.18|2691.48|2611.77|2543.04|2449.65|2746.01|2257.5|2691.48|937.22|912.77|937.22|2922.05|2922.05|579.4|839.42|598.52|3038.93|2746.01|2746.01|585.19|648.93|637.34|695.28|814.97|2555.26|2555.26|855.72|2489.85|1466.95|855.72|839.42|0|3038.93
Professional|||26356|REPAIR FLEX TENDONZONE 2HAND|2967|2967|2490.62|2225.25|2521.95|2670.3|2521.95|2540.35|1528.8|1437.07|0|0|2725.34|2490.62|530.84|2668.09|2589.07|2520.94|2428.35|2722.15|2225.25|2668.09|909.17|885.45|909.17|2879.86|2879.86|561.95|814.3|580.49|2995.05|2722.15|2722.15|567.57|629.38|618.15|674.34|790.58|2569.95|2569.95|830.11|2504.16|1423.04|830.11|814.3|0|2995.05
Professional|||26357|REPAIR FLEX TENDONZONE 2SEC*|3294|3294|2784.35|2470.5|2799.9|2964.6|2799.9|2839.94|1698.9|1596.97|0|0|3046.74|2784.35|519.13|2982.74|2894.4|2818.23|2714.74|3043.17|2470.5|2982.74|1011.6|985.21|1011.6|3197.64|3197.64|625.33|906.04|645.97|3325.55|3043.17|3043.17|631.58|700.37|687.86|750.4|879.65|2875.36|2875.36|923.63|2801.75|1583.37|923.63|906.04|0|3325.55
Professional|||26358|REPAIR FLEX TENDZONE 2SECH*|3636|3636|3080.25|2727|3090.6|3272.4|3090.6|3141.75|1876.7|1764.1|0|0|3370.53|3080.25|574.52|3299.72|3202|3117.74|3003.24|3366.58|2727|3299.72|1116.91|1087.78|1116.91|3529.94|3529.94|690.51|1000.37|713.3|3671.14|3366.58|3366.58|697.42|773.37|759.56|828.61|971.23|3164.94|3164.94|1019.79|3083.93|1748.21|1019.79|1000.37|0|3671.14
Professional|||26370|REPAIR PROFUNDUS TENDONPRIMA*|2800|2800|2324.66|2100|2380|2520|2380|2371.07|1442.7|1356.14|0|0|2543.73|2324.66|461.97|2490.29|2416.54|2352.95|2266.54|2540.75|2100|2490.29|883.95|860.89|883.95|2717.66|2717.66|546.3|791.71|564.33|2826.37|2540.75|2540.75|551.76|611.86|600.93|655.56|768.65|2418.38|2418.38|807.08|2356.47|1383.57|807.08|791.71|0|2826.37
Professional|||26373|REPAIR PROFUNDUS TENDONSECON*|3126|3126|2610.73|2344.5|2657.1|2813.4|2657.1|2662.86|1612.1|1515.37|0|0|2856.77|2610.73|509.85|2796.75|2713.93|2642.51|2545.46|2853.42|2344.5|2796.75|988.26|962.48|988.26|3034.14|3034.14|610.96|885.14|631.12|3155.51|2853.42|2853.42|617.07|684.28|672.06|733.15|859.36|2662.7|2662.7|902.33|2594.54|1546.85|902.33|885.14|0|3155.51
Professional|||26390|EXCIS FLEX TEND HANDIMPL ROD*|3069|3069|2582.34|2301.75|2608.65|2762.1|2608.65|2633.9|1582|1487.08|0|0|2825.7|2582.34|501.69|2766.34|2684.42|2613.77|2517.78|2822.39|2301.75|2766.34|972.38|947.02|972.38|2978.75|2978.75|600.95|870.92|620.78|3097.9|2822.39|2822.39|606.96|673.06|661.05|721.14|845.55|2677.42|2677.42|887.83|2608.89|1521.99|887.83|870.92|0|3097.9
Professional|||26392|REMOV ROD & INSERT FLEX TEND *|3574|3574|3001.63|2680.5|3037.9|3216.6|3037.9|3061.56|1843.1|1732.51|0|0|3284.51|3001.63|581.81|3215.51|3120.28|3038.17|2926.59|3280.66|2680.5|3215.51|1125.03|1095.68|1125.03|3469.27|3469.27|695.38|1007.64|718.33|3608.04|3280.66|3280.66|702.33|778.83|764.92|834.46|978.29|3104.96|3104.96|1027.2|3025.48|1760.92|1027.2|1007.64|0|3608.04
Professional|||26410|REPAIR EXTEN TENDONDORSUM HA*|2096|2096|1733.94|1572|1781.6|1886.4|1781.6|1767.44|1080.1|1015.29|0|0|1896.15|1733.94|346.3|1857.48|1801.34|1753.94|1690.59|1895.12|1572|1857.48|669.78|652.31|669.78|2034.63|2034.63|413.89|599.89|427.55|2116.02|1895.12|1895.12|418.03|463.56|455.28|496.67|582.42|1799.65|1799.65|611.54|1753.58|1048.36|611.54|599.89|0|2116.02
Professional|||26412|REPAIR EXTEN TENDONDORSUM HA*|2516|2516|2085.53|1887|2138.6|2264.4|2138.6|2127.17|1296.4|1218.62|0|0|2282.07|2085.53|415.39|2234.13|2167.96|2110.91|2033.39|2279.39|1887|2234.13|794.77|774.03|794.77|2442.08|2442.08|491.13|711.83|507.34|2539.76|2279.39|2279.39|496.04|550.07|540.24|589.36|691.1|2207.99|2207.99|725.66|2151.47|1243.98|725.66|711.83|0|2539.76
Professional|||26418|REPAIR EXTEN TENDONDORSUM FI*|2153|2153|1774.34|1614.75|1830.05|1937.7|1830.05|1809.76|1109.5|1042.93|0|0|1941.55|1774.34|355.36|1900.76|1844.47|1795.93|1729.98|1939.28|1614.75|1900.76|691.04|673.01|691.04|2090|2090|427.23|618.93|441.33|2173.6|1939.28|1939.28|431.5|478.5|469.95|512.68|600.9|1839.23|1839.23|630.95|1792.15|1081.62|630.95|618.93|0|2173.6
Professional|||26420|REPAIR EXTEN TENDONDORSUM FI*|2615|2615|2175.06|1961.25|2222.75|2353.5|2222.75|2218.49|1347.5|1266.65|0|0|2380.04|2175.06|431.49|2330.04|2261.04|2201.54|2120.68|2377.25|1961.25|2330.04|830.73|809.05|830.73|2538.33|2538.33|513.45|744.04|530.39|2639.86|2377.25|2377.25|518.58|575.06|564.8|616.14|722.37|2252.09|2252.09|758.49|2194.44|1300.27|758.49|744.04|0|2639.86
Professional|||26426|REPAIR EXT TENDCENT SLIPSEC|1867|1867|1572.34|1400.25|1586.95|1680.3|1586.95|1603.73|961.8|904.09|0|0|1720.51|1572.34|304.81|1684.37|1634.49|1591.47|1533.03|1718.5|1400.25|1684.37|572.93|557.98|572.93|1811.78|1811.78|354.1|513.15|365.79|1884.25|1718.5|1718.5|357.64|396.59|389.51|424.92|498.2|1622.04|1622.04|523.11|1580.52|896.76|523.11|513.15|0|1884.25
Professional|||26428|REPAIR EXT TENDCENT SLIPSEC*|2787|2787|2326.84|2090.25|2368.95|2508.3|2368.95|2373.29|1437.8|1351.53|0|0|2546.12|2326.84|456.88|2492.63|2418.81|2355.16|2268.67|2543.14|2090.25|2492.63|886.11|862.99|886.11|2705.8|2705.8|547.84|793.65|565.92|2814.03|2543.14|2543.14|553.32|613.58|602.62|657.41|770.53|2361.83|2361.83|809.06|2301.37|1386.95|809.06|793.65|0|2814.03
Professional|||26432|REPAIR EXTEN TENDONDISTAL IN*|1849|1849|1527.57|1386.75|1571.65|1664.1|1571.65|1558.07|952|894.88|0|0|1671.53|1527.57|305.69|1636.41|1587.95|1546.16|1489.38|1669.57|1386.75|1636.41|595.23|579.7|595.23|1794.63|1794.63|367.96|533.12|380.1|1866.42|1669.57|1669.57|371.64|412.12|404.76|441.55|517.59|1588.13|1588.13|543.47|1547.48|931.66|543.47|533.12|0|1866.42
Professional|||26433|REPAIR EXTEN TENDONDISTAL IN*|1962|1962|1624.75|1471.5|1667.7|1765.8|1667.7|1657.19|1010.8|950.15|0|0|1777.86|1624.75|325.12|1740.51|1688.97|1644.52|1584.13|1775.78|1471.5|1740.51|630.61|614.16|630.61|1904.08|1904.08|389.77|564.81|402.63|1980.24|1775.78|1775.78|393.67|436.54|428.75|467.72|548.36|1686.53|1686.53|575.78|1643.36|987.05|575.78|564.81|0|1980.24
Professional|||26437|REALIGNMENT OF TENDONSHAND|2308|2308|1918.47|1731|1961.8|2077.2|1961.8|1956.77|1188.6|1117.28|0|0|2099.26|1918.47|379.86|2055.16|1994.3|1941.82|1870.51|2096.8|1731|2055.16|736.55|717.34|736.55|2240.32|2240.32|455.2|659.69|470.22|2329.93|2096.8|2096.8|459.75|509.82|500.72|546.24|640.48|1985.16|1985.16|672.5|1934.34|1152.86|672.5|659.69|0|2329.93
Professional|||26440|TENOLYSIS FLEX TENDONPALM/F*|2301|2301|1901|1725.75|1955.85|2070.9|1955.85|1938.95|1186.5|1115.31|0|0|2080.15|1901|380.74|2036.45|1976.14|1924.14|1853.48|2077.71|1725.75|2036.45|730.66|711.6|730.66|2233.74|2233.74|451.61|654.42|466.51|2323.09|2077.71|2077.71|456.13|505.8|496.77|541.93|635.36|1971.58|1971.58|667.13|1921.11|1143.65|667.13|654.42|0|2323.09
Professional|||26442|TENOLYSIS FLEX TENDONPALM & *|3564|3564|2967.78|2673|3029.4|3207.6|3029.4|3027.04|1836.8|1726.59|0|0|3247.47|2967.78|587.54|3179.24|3085.09|3003.91|2893.59|3243.66|2673|3179.24|1115.3|1086.21|1115.3|3460.05|3460.05|689.48|998.92|712.23|3598.45|3243.66|3243.66|696.37|772.22|758.43|827.38|969.83|3085.74|3085.74|1018.32|3006.75|1745.69|1018.32|998.92|0|3598.45
Professional|||26445|TENOLYSIS EXT TENDONHAND/FIN*|2141|2141|1763.42|1605.75|1819.85|1926.9|1819.85|1798.63|1103.2|1037.01|0|0|1929.6|1763.42|355.13|1889.07|1833.12|1784.88|1719.33|1927.34|1605.75|1889.07|682.34|664.54|682.34|2078.14|2078.14|421.85|611.14|435.77|2161.27|1927.34|1927.34|426.07|472.47|464.04|506.22|593.34|1834.69|1834.69|623.01|1787.73|1068.01|623.01|611.14|0|2161.27
Professional|||26455|TENOTOMY FINGR FLEXSINGLEOP*|1497|1497|1240.4|1122.75|1272.45|1347.3|1272.45|1265.16|771.4|725.12|0|0|1357.29|1240.4|245.43|1328.78|1289.43|1255.5|1209.39|1355.7|1122.75|1328.78|490.2|477.41|490.2|1453.11|1453.11|303.04|439.05|313.04|1511.23|1355.7|1355.7|306.07|339.4|333.34|363.65|426.26|1284.99|1284.99|447.57|1252.1|767.27|447.57|439.05|0|1511.23
Professional|||26478|TENDON LENGTHENINGFLEXHAND/*|2294|2294|1902.09|1720.5|1949.9|2064.6|1949.9|1940.07|1182.3|1111.36|0|0|2081.34|1902.09|378.3|2037.62|1977.27|1925.24|1854.54|2078.9|1720.5|2037.62|735|715.83|735|2227.14|2227.14|454.18|658.3|469.17|2316.23|2078.9|2078.9|458.72|508.68|499.6|545.02|639.13|1974.98|1974.98|671.09|1924.43|1150.43|671.09|658.3|0|2316.23
Professional|||26480|TRANSPLANT HAND TENDON|2790|2790|2308.28|2092.5|2371.5|2511|2371.5|2354.36|1437.8|1351.53|0|0|2525.81|2308.28|460.41|2472.75|2399.52|2336.37|2250.57|2522.85|2092.5|2472.75|883.1|860.06|883.1|2708.44|2708.44|545.78|790.95|563.79|2816.78|2522.85|2522.85|551.24|611.27|600.36|654.94|767.91|2395.75|2395.75|806.31|2334.42|1382.24|806.31|790.95|0|2816.78
Professional|||26483|TRANSPLANT/GRAFT HAND TENDON|3113|3113|2589.99|2334.75|2646.05|2801.7|2646.05|2641.7|1604.4|1508.14|0|0|2834.07|2589.99|513.17|2774.53|2692.36|2621.51|2525.24|2830.74|2334.75|2774.53|981.93|956.31|981.93|3022.27|3022.27|606.85|879.47|626.88|3143.16|2830.74|2830.74|612.92|679.67|667.54|728.22|853.85|2683.06|2683.06|896.54|2614.38|1536.93|896.54|879.47|0|3143.16
Professional|||26485|TRANSPLANT PALM TENDON|2982|2982|2479.7|2236.5|2534.7|2683.8|2534.7|2529.21|1536.5|1444.31|0|0|2713.39|2479.7|492.2|2656.39|2577.72|2509.89|2417.71|2710.21|2236.5|2656.39|942.24|917.66|942.24|2894.36|2894.36|582.48|843.92|601.7|3010.13|2710.21|2710.21|588.3|652.38|640.73|698.98|819.34|2572.22|2572.22|860.31|2506.37|1474.81|860.31|843.92|0|3010.13
Professional|||26492|THUMB TENDON TRANSFERGRAFT|3244|3244|2730.84|2433|2757.4|2919.6|2757.4|2785.36|1673|1572.62|0|0|2988.19|2730.84|535.03|2925.42|2838.79|2764.08|2662.57|2984.69|2433|2925.42|1027.4|1000.6|1027.4|3148.86|3148.86|635.08|920.19|656.04|3274.81|2984.69|2984.69|641.43|711.29|698.59|762.1|893.39|2827.86|2827.86|938.06|2755.47|1608.1|938.06|920.19|0|3274.81
Professional|||26497|FINGER TENDON TRANSFER4-5 FI*|3175|3175|2674.06|2381.25|2698.75|2857.5|2698.75|2727.45|1636.6|1538.4|0|0|2926.07|2674.06|519.36|2864.6|2779.76|2706.61|2607.21|2922.64|2381.25|2864.6|1004.46|978.25|1004.46|3081.61|3081.61|620.97|899.64|641.46|3204.87|2922.64|2922.64|627.18|695.49|683.07|745.16|873.44|2773.55|2773.55|917.11|2702.55|1572.19|917.11|899.64|0|3204.87
Professional|||26500|HAND TENDON PULLEY RECONSTRUC*|2293|2293|1906.46|1719.75|1949.05|2063.7|1949.05|1944.52|1181.6|1110.7|0|0|2086.12|1906.46|379.41|2042.3|1981.81|1929.66|1858.8|2083.68|1719.75|2042.3|734.53|715.37|734.53|2225.83|2225.83|453.92|657.88|468.9|2314.86|2083.68|2083.68|458.46|508.39|499.31|544.7|638.72|1990.8|1990.8|670.66|1939.84|1149.7|670.66|657.88|0|2314.86
Professional|||26502|HAND TENDON PULLEY RECONSTGR*|2612|2612|2188.17|1959|2220.2|2350.8|2220.2|2231.85|1347.5|1266.65|0|0|2394.38|2188.17|429.07|2344.08|2274.66|2214.8|2133.47|2391.57|1959|2344.08|833.36|811.62|833.36|2535.7|2535.7|514.99|746.4|531.98|2637.13|2391.57|2391.57|520.14|576.79|566.49|617.99|724.66|2265.67|2265.67|760.89|2207.67|1304.39|760.89|746.4|0|2637.13
Professional|||26516|FUSION MC-P JOINTSINGLE|2593|2593|2156.5|1944.75|2204.05|2333.7|2204.05|2199.56|1336.3|1256.12|0|0|2359.73|2156.5|425.76|2310.16|2241.74|2182.75|2102.59|2356.97|1944.75|2310.16|825.82|804.27|825.82|2517.24|2517.24|510.37|739.64|527.21|2617.93|2356.97|2356.97|515.47|571.61|561.41|612.44|718.1|2234|2234|754.01|2176.81|1292.58|754.01|739.64|0|2617.93
Professional|||26518|FUSION MC-P JOINT3-4 DIGITS|3067|3067|2576.88|2300.25|2606.95|2760.3|2606.95|2628.33|1582|1487.08|0|0|2819.73|2576.88|506.54|2760.49|2678.74|2608.25|2512.46|2816.42|2300.25|2760.49|972.29|946.93|972.29|2977.44|2977.44|600.95|870.83|620.78|3096.54|2816.42|2816.42|606.96|673.06|661.05|721.14|845.47|2635.57|2635.57|887.74|2568.1|1521.85|887.74|870.83|0|3096.54
Professional|||26520|RELEASE MC-P JT CONTRACTURE|2406|2406|1988.35|1804.5|2045.1|2165.4|2045.1|2028.05|1239.7|1165.32|0|0|2175.73|1988.35|399.29|2130.02|2066.94|2012.55|1938.64|2173.18|1804.5|2130.02|766.68|746.68|766.68|2335.27|2335.27|473.94|686.68|489.58|2428.68|2173.18|2173.18|478.68|530.81|521.33|568.73|666.68|2072.25|2072.25|700.01|2019.2|1200.02|700.01|686.68|0|2428.68
Professional|||26525|RELEASE I-P JT CONTRACTURE|2418|2418|1998.18|1813.5|2055.3|2176.2|2055.3|2038.07|1246|1171.24|0|0|2186.48|1998.18|399.49|2140.55|2077.16|2022.5|1948.23|2183.92|1813.5|2140.55|768.49|748.44|768.49|2347.13|2347.13|474.96|688.3|490.63|2441.02|2183.92|2183.92|479.71|531.96|522.46|569.95|668.25|2073.38|2073.38|701.66|2020.31|1202.85|701.66|688.3|0|2441.02
Professional|||26530|ARTHROPLASTY MC-P JTSINGLE|2000|2000|1685.89|1500|1700|1800|1700|1719.55|1030.4|968.58|0|0|1844.77|1685.89|325.56|1806.02|1752.53|1706.41|1643.74|1842.61|1500|1806.02|614.45|598.42|614.45|1941|1941|379.76|550.33|392.29|2018.64|1842.61|1842.61|383.56|425.33|417.74|455.71|534.3|1741.97|1741.97|561.02|1697.38|961.74|561.02|550.33|0|2018.64
Professional|||26531|ARTHROPLASTY MC-P JTIMPLANT|2328|2328|1961.05|1746|1978.8|2095.2|1978.8|2000.21|1200.5|1128.47|0|0|2145.86|1961.05|379.63|2100.78|2038.57|1984.92|1912.02|2143.35|1746|2100.78|715.76|697.09|715.76|2260.1|2260.1|442.37|641.07|456.97|2350.5|2143.35|2143.35|446.79|495.45|486.61|530.84|622.4|2021.34|2021.34|653.52|1969.6|1120.32|653.52|641.07|0|2350.5
Professional|||26535|ARTHROPLASTY I-P JT|1607|1607|1347.4|1205.25|1365.95|1446.3|1365.95|1374.31|828.1|778.41|0|0|1474.38|1347.4|258.02|1443.41|1400.66|1363.8|1313.72|1472.66|1205.25|1443.41|496.74|483.78|496.74|1559.92|1559.92|306.89|444.91|317.02|1622.32|1472.66|1472.66|309.96|343.72|337.58|368.27|431.95|1367.53|1367.53|453.55|1332.53|777.51|453.55|444.91|0|1622.32
Professional|||26536|ARTHROPLASTY I-P JTIMPLANT|2649|2649|2193.63|1986.75|2251.65|2384.1|2251.65|2237.42|1365|1283.1|0|0|2400.35|2193.63|436.59|2349.93|2280.34|2220.33|2138.79|2397.54|1986.75|2349.93|839.81|817.9|839.81|2571.31|2571.31|519.1|752.18|536.23|2674.16|2397.54|2397.54|524.29|581.39|571.01|622.92|730.27|2256.63|2256.63|766.78|2198.86|1314.49|766.78|752.18|0|2674.16
Professional|||26540|FIX COLLAT LIGMC-P JTI-P JT|2430|2430|2022.2|1822.5|2065.5|2187|2065.5|2062.57|1252.3|1177.16|0|0|2212.77|2022.2|400.17|2166.28|2102.13|2046.81|1971.65|2210.18|1822.5|2166.28|775.82|755.59|775.82|2359|2359|479.58|694.87|495.41|2453.36|2210.18|2210.18|484.38|537.13|527.54|575.5|674.63|2096.01|2096.01|708.36|2042.36|1214.33|708.36|694.87|0|2453.36
Professional|||26541|FIX COLLAT LIGMC-P JTGRAFT|2946|2946|2465.51|2209.5|2504.1|2651.4|2504.1|2514.73|1518.3|1427.2|0|0|2697.86|2465.51|485.14|2641.18|2562.97|2495.52|2403.87|2694.7|2209.5|2641.18|933|908.66|933|2860.08|2860.08|576.83|835.64|595.87|2974.48|2694.7|2694.7|582.6|646.05|634.51|692.2|811.3|2558.63|2558.63|851.87|2493.14|1460.34|851.87|835.64|0|2974.48
Professional|||26542|FIX COLLAT LIGMC-P JTLOCAL *|2510|2510|2090.99|1882.5|2133.5|2259|2133.5|2132.74|1293.6|1215.98|0|0|2288.04|2090.99|412.31|2239.98|2173.64|2116.44|2038.72|2285.36|1882.5|2239.98|799.64|778.78|799.64|2436.8|2436.8|494.21|716.2|510.52|2534.27|2285.36|2285.36|499.15|553.52|543.63|593.05|695.34|2163.87|2163.87|730.11|2108.48|1251.61|730.11|716.2|0|2534.27
Professional|||26545|FIX COLAT LIGI-P JTGRAFTEA*|2603|2603|2172.88|1952.25|2212.55|2342.7|2212.55|2216.26|1343.3|1262.7|0|0|2377.65|2172.88|420.46|2327.7|2258.77|2199.33|2118.56|2374.87|1952.25|2327.7|830.65|808.98|830.65|2526.46|2526.46|513.45|743.97|530.39|2627.52|2374.87|2374.87|518.58|575.06|564.8|616.14|722.3|2250.98|2250.98|758.42|2193.36|1300.14|758.42|743.97|0|2627.52
Professional|||26546|FIX NONUNION METACARPAL/PHALA*|3677|3677|3071.51|2757.75|3125.45|3309.3|3125.45|3132.84|1894.9|1781.21|0|0|3360.97|3071.51|602.33|3290.37|3192.92|3108.9|2994.72|3357.03|2757.75|3290.37|1157.11|1126.92|1157.11|3569.49|3569.49|715.4|1036.37|739.01|3712.27|3357.03|3357.03|722.55|801.25|786.94|858.48|1006.18|3181.9|3181.9|1056.49|3100.45|1811.12|1056.49|1036.37|0|3712.27
Professional|||26548|FIX FINGERVOLAR PLATEI-P JT|2804|2804|2337.76|2103|2383.4|2523.6|2383.4|2384.43|1444.8|1358.11|0|0|2558.07|2337.76|461.29|2504.33|2430.16|2366.21|2279.32|2555.07|2103|2504.33|889.48|866.28|889.48|2721.62|2721.62|549.89|796.66|568.04|2830.48|2555.07|2555.07|555.39|615.88|604.88|659.87|773.46|2419.51|2419.51|812.13|2357.58|1392.23|812.13|796.66|0|2830.48
Professional|||26561|REPAIR OF WEB FINGERGRAFT|3461|3461|2918.65|2595.75|2941.85|3114.9|2941.85|2976.92|1785|1677.9|0|0|3193.7|2918.65|565.03|3126.61|3034.02|2954.17|2845.68|3189.96|2595.75|3126.61|1091.8|1063.32|1091.8|3359.83|3359.83|674.85|977.87|697.12|3494.22|3189.96|3189.96|681.6|755.83|742.34|809.82|949.39|2979.43|2979.43|996.86|2903.16|1708.9|996.86|977.87|0|3494.22
Professional|||26567|CORRECT FINGER DEFORMITY|2517|2517|2097.54|1887.75|2139.45|2265.3|2139.45|2139.42|1297.1|1219.27|0|0|2295.21|2097.54|414.51|2246.99|2180.45|2123.07|2045.1|2292.52|1887.75|2246.99|801.3|780.39|801.3|2443.39|2443.39|495.23|717.68|511.57|2541.13|2292.52|2292.52|500.18|554.66|544.75|594.28|696.78|2165|2165|731.62|2109.58|1254.2|731.62|717.68|0|2541.13
Professional|||26568|LENGTHEN METACARPAL/FINGER|3310|3310|2769.06|2482.5|2813.5|2979|2813.5|2824.34|1707.3|1604.86|0|0|3030.01|2769.06|542.75|2966.36|2878.51|2802.76|2699.83|3026.46|2482.5|2966.36|1044.95|1017.69|1044.95|3213.47|3213.47|645.86|935.91|667.17|3342.01|3026.46|3026.46|652.32|723.36|710.45|775.03|908.65|2874.22|2874.22|954.08|2800.65|1635.57|954.08|935.91|0|3342.01
Professional|||26591|REPAIR MUSCLES OF HAND|1641|1641|1349.59|1230.75|1394.85|1476.9|1394.85|1376.53|845.6|794.86|0|0|1476.77|1349.59|268.4|1445.75|1402.93|1366.01|1315.85|1475.04|1230.75|1445.75|529.7|515.88|529.7|1592.88|1592.88|327.42|474.43|338.22|1656.6|1475.04|1475.04|330.69|366.71|360.16|392.9|460.61|1384.52|1384.52|483.64|1349.08|829.1|483.64|474.43|0|1656.6
Professional|||26600|CLOSED RX METACARPAL FX|1049|1049|866.97|786.75|891.65|944.1|891.65|934.39|571.9|537.59|0|0|948.67|866.97|170.84|928.74|901.24|877.52|845.3|947.56|786.75|928.74|324.19|315.73|324.19|1017.97|1017.97|200.4|290.36|207.01|1058.69|947.56|947.56|202.4|224.45|220.44|240.48|281.9|889.09|889.09|296|866.33|507.42|296|290.36|0|1058.69
Professional|||26605|CLOSED RX METACARPAL FXMANIP|1099|1099|915.01|824.25|934.15|989.1|934.15|1029.06|627.2|589.57|0|0|1001.24|915.01|179.44|980.21|951.18|926.15|892.13|1000.07|824.25|980.21|338.18|329.36|338.18|1066.76|1066.76|208.87|302.89|215.76|1109.43|1000.07|1000.07|210.96|233.93|229.76|250.64|294.07|942.23|942.23|308.77|918.11|529.33|308.77|302.89|0|1109.43
Professional|||26608|CLOSED RX METACARPAL FXPERCUT|1786|1786|1498.09|1339.5|1518.1|1607.4|1518.1|1528|920.5|865.27|0|0|1639.27|1498.09|290.47|1604.83|1557.3|1516.32|1460.64|1637.34|1339.5|1604.83|549.13|534.8|549.13|1733.98|1733.98|339.48|491.83|350.68|1803.34|1637.34|1637.34|342.87|380.22|373.43|407.38|477.5|1538.36|1538.36|501.38|1498.98|859.5|501.38|491.83|0|1803.34
Professional|||26615|OPEN TRMNT OF METACARPAL FX SGL INCLUDES INTERNAL FIXATION EA BONE|2142|2142|1803.82|1606.5|1820.7|1927.8|1820.7|1839.83|1103.9|1037.67|0|0|1973.81|1803.82|350.72|1932.34|1875.12|1825.77|1758.72|1971.5|1606.5|1932.34|656.52|639.4|656.52|2079.46|2079.46|405.68|588.02|419.07|2162.64|1971.5|1971.5|409.74|454.36|446.25|486.82|570.89|1865.24|1865.24|599.43|1817.49|1027.6|599.43|588.02|0|2162.64
Professional|||26641|TREAT THUMB DISLOCMANIPULATN|1274|1274|1061.33|955.5|1082.9|1146.6|1082.9|1196.11|729.4|685.64|0|0|1161.35|1061.33|203.72|1136.95|1103.28|1074.24|1034.8|1159.98|955.5|1136.95|395.22|384.91|395.22|1236.86|1236.86|244.28|353.98|252.34|1286.33|1159.98|1159.98|246.72|273.59|268.71|293.14|343.67|1100.61|1100.61|360.85|1072.44|618.61|360.85|353.98|0|1286.33
Professional|||26645|TREAT THUMB FX/DISLOCMANIP|1459|1459|1229.48|1094.25|1240.15|1313.1|1240.15|1369.85|826.7|777.1|0|0|1345.34|1229.48|234.18|1317.08|1278.08|1244.44|1198.74|1343.77|1094.25|1317.08|448.71|437|448.71|1416.19|1416.19|277.38|401.89|286.53|1472.84|1343.77|1343.77|280.15|310.67|305.12|332.86|390.18|1263.49|1263.49|409.69|1231.15|702.32|409.69|401.89|0|1472.84
Professional|||26650|PERCUT FIX THUMB FX/DISLOC|1791|1791|1500.27|1343.25|1522.35|1611.9|1522.35|1530.22|922.6|867.24|0|0|1641.66|1500.27|291.56|1607.17|1559.57|1518.53|1462.76|1639.73|1343.25|1607.17|548.78|534.46|548.78|1737.94|1737.94|339.22|491.52|350.41|1807.46|1639.73|1639.73|342.61|379.93|373.14|407.06|477.2|1541.73|1541.73|501.06|1502.27|858.96|501.06|491.52|0|1807.46
Professional|||26665|OPEN REPAIR THUMB FX/DISLOC|2328|2328|1963.24|1746|1978.8|2095.2|1978.8|2002.43|1200.5|1128.47|0|0|2148.25|1963.24|380.95|2103.12|2040.84|1987.13|1914.16|2145.73|1746|2103.12|713.35|694.74|713.35|2260.1|2260.1|440.83|638.91|455.38|2350.5|2145.73|2145.73|445.24|493.73|484.91|529|620.3|2032.66|2032.66|651.32|1980.63|1116.54|651.32|638.91|0|2350.5
Professional|||26670|CLOSED RX CARPOMETACAR DISLO*|1160|1160|967.42|870|986|1044|986|1098.11|668.5|628.39|0|0|1058.59|967.42|186.94|1036.35|1005.66|979.2|943.23|1057.35|870|1036.35|351.61|342.44|351.61|1126.1|1126.1|217.34|314.92|224.51|1171.14|1057.35|1057.35|219.51|243.42|239.07|260.81|305.75|990.89|990.89|321.04|965.53|550.35|321.04|314.92|0|1171.14
Professional|||26675|CLOSED RX C-MC DISLOCANESTH|1558|1558|1313.56|1168.5|1324.3|1402.2|1324.3|1460.06|879.2|826.45|0|0|1437.34|1313.56|250.28|1407.15|1365.48|1329.54|1280.72|1435.66|1168.5|1407.15|478.87|466.38|478.87|1512.45|1512.45|295.85|428.9|305.61|1572.95|1435.66|1435.66|298.81|331.35|325.44|355.02|416.41|1336.99|1336.99|437.23|1302.77|749.54|437.23|428.9|0|1572.95
Professional|||26676|PERCUT FIX CARPOMETACAR DISLO*|1883|1883|1577.8|1412.25|1600.55|1694.7|1600.55|1609.3|970.2|911.99|0|0|1726.49|1577.8|305.47|1690.22|1640.16|1597|1538.36|1724.46|1412.25|1690.22|579.57|564.45|579.57|1827.61|1827.61|358.21|519.09|370.03|1900.71|1724.46|1724.46|361.79|401.2|394.03|429.85|503.97|1614.13|1614.13|529.17|1572.81|907.15|529.17|519.09|0|1900.71
Professional|||26685|OPEN RX CARPOMET DISLNON-THU*|2141|2141|1800.54|1605.75|1819.85|1926.9|1819.85|1836.49|1103.2|1037.01|0|0|1970.23|1800.54|351.6|1928.84|1871.71|1822.46|1755.53|1967.92|1605.75|1928.84|656.8|639.67|656.8|2078.14|2078.14|405.94|588.26|419.34|2161.27|1967.92|1967.92|410|454.65|446.53|487.13|571.13|1864.13|1864.13|599.69|1816.41|1028.03|599.69|588.26|0|2161.27
Professional|||26700|CLOSED RX MC-P DISLOC|1144|1144|953.23|858|972.4|1029.6|972.4|1044.65|634.9|596.81|0|0|1043.06|953.23|183.63|1021.15|990.91|964.83|929.4|1041.84|858|1021.15|350.38|341.24|350.38|1110.27|1110.27|216.57|313.82|223.72|1154.68|1041.84|1041.84|218.74|242.56|238.23|259.88|304.68|976.18|976.18|319.91|951.19|548.42|319.91|313.82|0|1154.68
Professional|||26705|CLOSED RX MC-P DISLOCANESTH|1427|1427|1193.45|1070.25|1212.95|1284.3|1212.95|1334.21|809.2|760.65|0|0|1305.92|1193.45|232.64|1278.48|1240.62|1207.97|1163.61|1304.39|1070.25|1278.48|439.2|427.74|439.2|1384.55|1384.55|271.48|393.37|280.44|1439.93|1304.39|1304.39|274.19|304.06|298.63|325.78|381.91|1219.37|1219.37|401.01|1188.15|687.44|401.01|393.37|0|1439.93
Professional|||26706|PERCUT RX MC-P DISLOC|1647|1647|1383.44|1235.25|1399.95|1482.3|1399.95|1411.06|848.4|797.5|0|0|1513.81|1383.44|268.17|1482.01|1438.12|1400.28|1348.85|1512.04|1235.25|1482.01|505.09|491.92|505.09|1598.16|1598.16|312.28|452.39|322.59|1662.09|1512.04|1512.04|315.4|349.75|343.51|374.74|439.21|1421.84|1421.84|461.17|1385.44|790.58|461.17|452.39|0|1662.09
Professional|||26715|OPEN RX MC-P DISLOC|2136|2136|1795.08|1602|1815.6|1922.4|1815.6|1830.92|1100.4|1034.38|0|0|1964.25|1795.08|348.74|1922.99|1866.04|1816.93|1750.2|1961.95|1602|1922.99|654.01|636.94|654.01|2072.86|2072.86|404.14|585.76|417.48|2155.77|1961.95|1961.95|408.18|452.64|444.55|484.97|568.7|1852.82|1852.82|597.14|1805.39|1023.66|597.14|585.76|0|2155.77
Professional|||26720|CLOSE RX PROX/MID FING SHFT FX|697|697|574.34|522.75|592.45|627.3|592.45|625.9|384.3|361.24|0|0|628.46|574.34|113.45|615.26|597.04|581.33|559.98|627.73|522.75|615.26|213.87|208.29|213.87|676.45|676.45|132.14|191.55|136.5|703.51|627.73|627.73|133.46|148|145.35|158.57|185.97|591.59|591.59|195.27|576.45|334.75|195.27|191.55|0|703.51
Professional|||26725|CLOSE RX PROX/MID FING SHFT F*|1133|1133|945.59|849.75|963.05|1019.7|963.05|1075.83|654.5|615.23|0|0|1034.7|945.59|185.83|1012.96|982.96|957.09|921.95|1033.48|849.75|1012.96|347.54|338.48|347.54|1099.73|1099.73|214.77|311.28|221.86|1143.72|1033.48|1033.48|216.92|240.54|236.25|257.72|302.21|976.18|976.18|317.32|951.19|543.98|317.32|311.28|0|1143.72
Professional|||26727|PERCUT RX PROX/MID FING SHFT *|1761|1761|1476.25|1320.75|1496.85|1584.9|1496.85|1505.72|906.5|852.11|0|0|1615.37|1476.25|286.27|1581.43|1534.6|1494.22|1439.34|1613.48|1320.75|1581.43|540.47|526.37|540.47|1708.93|1708.93|334.09|484.07|345.11|1777.29|1613.48|1613.48|337.43|374.18|367.5|400.91|469.97|1516.87|1516.87|493.47|1478.04|845.95|493.47|484.07|0|1777.29
Professional|||26735|OPEN RX PROX/MID FING SHFT FX|2217|2217|1867.15|1662.75|1884.45|1995.3|1884.45|1904.43|1142.4|1073.86|0|0|2043.11|1867.15|363.08|2000.19|1940.95|1889.87|1820.47|2040.71|1662.75|2000.19|678.51|660.81|678.51|2151.98|2151.98|419.28|607.71|433.12|2238.06|2040.71|2040.71|423.47|469.59|461.21|503.14|590.01|1931.99|1931.99|619.51|1882.54|1062.02|619.51|607.71|0|2238.06
Professional|||26740|CLOSE RX FINGR ARTICULAR FX|815|815|675.89|611.25|692.75|733.5|692.75|730.59|446.6|419.8|0|0|739.58|675.89|132.86|724.04|702.6|684.11|658.99|738.71|611.25|724.04|251.15|244.6|251.15|791.17|791.17|155.24|224.94|160.36|822.82|738.71|738.71|156.79|173.87|170.76|186.29|218.39|695.67|695.67|229.31|677.86|393.1|229.31|224.94|0|822.82
Professional|||26742|CLOSE RX FINGR ARTICULAR FXM*|1247|1247|1044.95|935.25|1059.95|1122.3|1059.95|1182.75|717.5|674.45|0|0|1143.42|1044.95|203.5|1119.4|1086.25|1057.67|1018.83|1142.08|935.25|1119.4|383.05|373.06|383.05|1210.49|1210.49|236.58|343.08|244.39|1258.91|1142.08|1142.08|238.95|264.97|260.24|283.9|333.09|1077.98|1077.98|349.74|1050.38|599.56|349.74|343.08|0|1258.91
Professional|||26746|OPEN RX FINGR ARTICULAR FX|2759|2759|2330.11|2069.25|2345.15|2483.1|2345.15|2376.64|1421.7|1336.4|0|0|2549.7|2330.11|450.7|2496.14|2422.22|2358.48|2271.86|2546.72|2069.25|2496.14|845.26|823.21|845.26|2678.1|2678.1|522.43|757.06|539.67|2785.22|2546.72|2546.72|527.65|585.12|574.67|626.92|735.01|2407.06|2407.06|771.76|2345.45|1323.02|771.76|757.06|0|2785.22
Professional|||26750|CLOSE RX DIST FINGR FX|700|700|576.52|525|595|630|595|584.69|357.7|336.24|0|0|630.85|576.52|113.89|617.6|599.31|583.54|562.11|630.12|525|617.6|214.57|208.97|214.57|679.09|679.09|132.4|192.18|136.77|706.25|630.12|630.12|133.72|148.29|145.64|158.88|186.58|591.59|591.59|195.91|576.45|335.84|195.91|192.18|0|706.25
Professional|||26755|CLOSE RX DIST FINGR FXMANIPU*|1016|1016|848.41|762|863.6|914.4|863.6|1001.22|610.4|573.78|0|0|928.36|848.41|167.08|908.86|881.94|858.73|827.2|927.27|762|908.86|312.63|304.47|312.63|986.32|986.32|193.21|280.01|199.59|1025.77|927.27|927.27|195.14|216.4|212.53|231.85|271.85|877.78|877.78|285.44|855.31|489.33|285.44|280.01|0|1025.77
Professional|||26756|PERCUT RX DIST FINGR FX|1566|1566|1308.1|1174.5|1331.1|1409.4|1331.1|1334.21|807.8|759.33|0|0|1431.37|1308.1|256.03|1401.3|1359.8|1324.02|1275.4|1429.69|1174.5|1401.3|484.48|471.84|484.48|1520.36|1520.36|299.45|433.93|309.33|1581.17|1429.69|1429.69|302.44|335.38|329.4|359.34|421.29|1346.07|1346.07|442.35|1311.61|758.32|442.35|433.93|0|1581.17
Professional|||26765|OPEN RX DIST FINGR FX|1872|1872|1570.15|1404|1591.2|1684.8|1591.2|1601.5|964.6|906.72|0|0|1718.12|1570.15|305.92|1682.03|1632.22|1589.26|1530.9|1716.11|1404|1682.03|574.2|559.22|574.2|1817.05|1817.05|354.87|514.28|366.58|1889.73|1716.11|1716.11|358.42|397.45|390.36|425.84|499.3|1619.8|1619.8|524.27|1578.34|898.74|524.27|514.28|0|1889.73
Professional|||26770|CLOSED RX IP JT DISLOCATION|959|959|796|719.25|815.15|863.1|815.15|884.28|539.7|507.32|0|0|871.01|796|154.28|852.71|827.46|805.68|776.1|869.99|719.25|852.71|293.35|285.7|293.35|930.94|930.94|181.15|262.74|187.13|968.18|869.99|869.99|182.96|202.89|199.27|217.38|255.09|817.83|817.83|267.84|796.89|459.16|267.84|262.74|0|968.18
Professional|||26775|CLOSED RX IP JT DISLOCATIONA*|1298|1298|1082.07|973.5|1103.3|1168.2|1103.3|1223.96|744.8|700.11|0|0|1184.05|1082.07|211.01|1159.17|1124.84|1095.24|1055.02|1182.66|973.5|1159.17|398.18|387.79|398.18|1259.28|1259.28|246.07|356.63|254.19|1309.65|1182.66|1182.66|248.53|275.6|270.68|295.28|346.24|1115.3|1115.3|363.55|1086.75|623.23|363.55|356.63|0|1309.65
Professional|||26776|PERCUT RX IP JT DISLOCATION|1657|1657|1387.8|1242.75|1408.45|1491.3|1408.45|1415.51|854|802.76|0|0|1518.59|1387.8|270.59|1486.69|1442.66|1404.7|1353.11|1516.81|1242.75|1486.69|512.35|498.98|512.35|1608.71|1608.71|316.64|458.89|327.09|1673.06|1516.81|1516.81|319.81|354.64|348.3|379.97|445.52|1429.75|1429.75|467.8|1393.15|801.94|467.8|458.89|0|1673.06
Professional|||26785|OPEN RX IP JT DISLOCATION|2040|2040|1715.37|1530|1734|1836|1734|1749.62|1051.4|988.32|0|0|1877.03|1715.37|333.95|1837.6|1783.18|1736.25|1672.49|1874.83|1530|1837.6|623.66|607.39|623.66|1980.56|1980.56|385.41|558.58|398.13|2059.78|1874.83|1874.83|389.26|431.66|423.95|462.49|542.31|1772.51|1772.51|569.43|1727.14|976.16|569.43|558.58|0|2059.78
Professional|||26820|THUMB FUSION WITH GRAFTIN OP*|2889|2889|2420.74|2166.75|2455.65|2600.1|2455.65|2469.07|1491.7|1402.2|0|0|2648.87|2420.74|473|2593.22|2516.43|2450.21|2360.22|2645.77|2166.75|2593.22|918.67|894.7|918.67|2804.69|2804.69|567.85|822.81|586.59|2916.88|2645.77|2645.77|573.53|635.99|624.64|681.42|798.84|2452.32|2452.32|838.78|2389.55|1437.91|838.78|822.81|0|2916.88
Professional|||26850|FUSION MC-P JT|2557|2557|2128.11|1917.75|2173.45|2301.3|2173.45|2170.6|1317.4|1238.36|0|0|2328.67|2128.11|420.9|2279.75|2212.23|2154.02|2074.91|2325.94|1917.75|2279.75|813.71|792.48|813.71|2481.63|2481.63|502.93|728.8|519.53|2580.9|2325.94|2325.94|507.96|563.28|553.22|603.52|707.57|2205.72|2205.72|742.95|2149.26|1273.63|742.95|728.8|0|2580.9
Professional|||26852|FUSION MC-P JTGRAFT|2933|2933|2448.04|2199.75|2493.05|2639.7|2493.05|2496.92|1511.3|1420.62|0|0|2678.74|2448.04|482.26|2622.47|2544.8|2477.84|2386.84|2675.6|2199.75|2622.47|928.37|904.15|928.37|2846.89|2846.89|573.75|831.5|592.68|2960.77|2675.6|2675.6|579.49|642.6|631.13|688.5|807.28|2540.54|2540.54|847.64|2475.51|1453.1|847.64|831.5|0|2960.77
Professional|||26860|FUSION FINGER JOINT|2099|2099|1737.21|1574.25|1784.15|1889.1|1784.15|1771.9|1081.5|1016.61|0|0|1900.93|1737.21|345.87|1860.99|1805.88|1758.36|1693.78|1898.7|1574.25|1860.99|672.82|655.27|672.82|2037.26|2037.26|415.94|602.61|429.67|2118.75|1898.7|1898.7|420.1|465.85|457.53|499.13|585.06|1798.51|1798.51|614.31|1752.47|1053.11|614.31|602.61|0|2118.75
Professional|||26862|FUSION/GRAFT FINGER JT|2684|2684|2235.12|2013|2281.4|2415.6|2281.4|2279.74|1383.2|1300.21|0|0|2445.76|2235.12|441.66|2394.38|2323.47|2262.32|2179.24|2442.89|2013|2394.38|850.36|828.17|850.36|2605.58|2605.58|525.51|761.62|542.85|2709.8|2442.89|2442.89|530.77|588.57|578.06|630.61|739.44|2316.57|2316.57|776.41|2257.27|1330.99|776.41|761.62|0|2709.8
Professional|||26910|AMPUTATE METACARPAL+FINGER|2665|2665|2231.84|1998.75|2265.25|2398.5|2265.25|2276.4|1374.1|1291.65|0|0|2442.17|2231.84|435.25|2390.87|2320.06|2259.01|2176.04|2439.31|1998.75|2390.87|844.61|822.57|844.61|2587.12|2587.12|522.18|756.47|539.41|2690.6|2439.31|2439.31|527.4|584.84|574.4|626.62|734.44|2304.12|2304.12|771.16|2245.14|1321.99|771.16|756.47|0|2690.6
Professional|||26951|AMPUTATION FINGER/THUMB|2419|2419|2011.28|1814.25|2056.15|2177.1|2056.15|2051.44|1246.7|1171.9|0|0|2200.82|2011.28|398.84|2154.59|2090.78|2035.76|1961|2198.24|1814.25|2154.59|770.33|750.23|770.33|2348.45|2348.45|476.24|689.95|491.96|2442.39|2198.24|2198.24|481|533.39|523.86|571.49|669.85|2081.29|2081.29|703.34|2028.01|1205.73|703.34|689.95|0|2442.39
Professional|||26952|AMPUTATION FINGER/THUMB+FLAPS|2384|2384|1985.07|1788|2026.4|2145.6|2026.4|2024.71|1227.8|1154.13|0|0|2172.15|1985.07|393.11|2126.51|2063.54|2009.24|1935.44|2169.6|1788|2126.51|759.21|739.4|759.21|2314.17|2314.17|469.32|679.99|484.81|2406.74|2169.6|2169.6|474.01|525.64|516.25|563.18|660.18|2055.29|2055.29|693.19|2002.68|1188.32|693.19|679.99|0|2406.74
Professional|||26989|HAND/FINGER SURGERY DISLOCATION|1935|1935|0|1451.25|1644.75|1741.5|1644.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1451.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1935
Professional|||26989|CAPSULODESIS PIP JOINT|2435|2435|0|1826.25|2069.75|2191.5|2069.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1826.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2435
Professional|||26989|ORIF THUMB CARPOMETACARPAL DISLOCATION|2039|2039|0|1529.25|1733.15|1835.1|1733.15|0|0|0|0|0|0|0|0|0|0|0|0|0|1529.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2039
Professional|||26989|THUMB INTERPHALANGEAL JOINT CAPSULODESIS|2435|2435|0|1826.25|2069.75|2191.5|2069.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1826.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2435
Professional|||26989|INTERPHALANGEAL JOINT CAPSULODESIS|2485|2485|0|1863.75|2112.25|2236.5|2112.25|0|0|0|0|0|0|0|0|0|0|0|0|0|1863.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2485
Professional|||26989|RE-INSERTION OF FRACTURED HUNTER ROD|2938|2938|0|2203.5|2497.3|2644.2|2497.3|0|0|0|0|0|0|0|0|0|0|0|0|0|2203.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2938
Professional|||26989|DRAINAGE OF FLUID HAND OR PALM|1822|1822|0|1366.5|1548.7|1639.8|1548.7|0|0|0|0|0|0|0|0|0|0|0|0|0|1366.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1822
Professional|||26989|HAND SURGERY COMPLEX|1240|1240|0|930|1054|1116|1054|0|0|0|0|0|0|0|0|0|0|0|0|0|930|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1240
Professional|||26989|THUMB FLEXOR DIGITORUM TRANSFER|2925|2925|0|2193.75|2486.25|2632.5|2486.25|0|0|0|0|0|0|0|0|0|0|0|0|0|2193.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2925
Professional|||26990|INCIS/DRAIN PELVIS/HIPDEEP A*|2361|2361|2001.45|1770.75|2006.85|2124.9|2006.85|2041.41|1215.9|1142.95|0|0|2190.07|2001.45|375.88|2144.06|2080.56|2025.81|1951.41|2187.5|1770.75|2144.06|744.83|725.4|744.83|2291.75|2291.75|460.34|667.11|475.53|2383.42|2187.5|2187.5|464.94|515.58|506.37|552.41|647.68|2033.79|2033.79|680.06|1981.73|1165.82|680.06|667.11|0|2383.42
Professional|||27025|INCIS OF HIP/THIGH FASCIA|3382|3382|2879.34|2536.5|2874.7|3043.8|2874.7|2936.83|1743|1638.42|0|0|3150.69|2879.34|548.93|3084.5|2993.15|2914.39|2807.36|3147|2536.5|3084.5|1037.04|1009.98|1037.04|3283.36|3283.36|640.98|928.82|662.13|3414.69|3147|3147|647.39|717.9|705.08|769.18|901.77|2965.84|2965.84|946.86|2889.92|1623.19|946.86|928.82|0|3414.69
Professional|||27033|EXPLORATION OF HIP JOINT|3582|3582|3060.6|2686.5|3044.7|3223.8|3044.7|3121.7|1845.9|1735.15|0|0|3349.02|3060.6|582.04|3278.67|3181.57|3097.85|2984.09|3345.1|2686.5|3278.67|1098.47|1069.81|1098.47|3477.19|3477.19|678.96|983.85|701.37|3616.28|3345.1|3345.1|685.75|760.44|746.86|814.75|955.19|3166.05|3166.05|1002.95|3085|1719.34|1002.95|983.85|0|3616.28
Professional|||27045|EXC HIP/PELV TUM DEEP > 5 CM|2717|2717|2334.48|2037.75|2309.45|2445.3|2309.45|2381.09|1399.3|1315.34|0|0|2554.48|2334.48|444.52|2500.82|2426.76|2362.9|2276.12|2551.49|2037.75|2500.82|829.5|807.86|829.5|2637.23|2637.23|512.68|742.94|529.6|2742.72|2551.49|2551.49|517.81|574.2|563.95|615.22|721.3|2438.74|2438.74|757.37|2376.31|1298.34|757.37|742.94|0|2742.72
Professional|||27060|REMOVAL OF ISCHIAL BURSA|1723|1723|1460.96|1292.25|1464.55|1550.7|1464.55|1490.13|887.6|834.34|0|0|1598.64|1460.96|278.99|1565.06|1518.71|1478.74|1424.44|1596.77|1292.25|1565.06|528.36|514.57|528.36|1672|1672|326.65|473.22|337.43|1738.88|1596.77|1596.77|329.92|365.85|359.32|391.98|459.44|1502.15|1502.15|482.41|1463.7|826.99|482.41|473.22|0|1738.88
Professional|||27086|REMOVE PELV/HIP F.B.SUBCUTAN*|625|625|525.2|468.75|531.25|562.5|531.25|958.9|590.8|555.35|0|0|574.7|525.2|100.64|562.63|545.96|531.6|512.07|574.03|468.75|562.63|190.89|185.91|190.89|606.57|606.57|117.77|170.97|121.66|630.83|574.03|574.03|118.95|131.9|129.55|141.32|165.99|521.47|521.47|174.29|508.12|298.78|174.29|170.97|0|958.9
Professional|||27093|INJECTION HIP ARTHROGRAM|263|263|219.47|197.25|223.55|236.7|223.55|637.04|397.6|373.74|0|0|240.15|219.47|42.6|235.11|228.15|222.14|213.98|239.87|197.25|235.11|79.82|77.74|79.82|254.49|254.49|49.26|71.49|50.89|264.67|239.87|239.87|49.75|55.17|54.19|59.11|69.41|228.51|228.51|72.88|222.66|124.94|72.88|71.49|0|637.04
Professional|||27096|INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE|314|314|259.87|235.5|266.9|282.6|266.9|507.85|316.4|297.42|0|0|284.36|259.87|52.09|278.39|270.14|263.04|253.37|284.03|235.5|278.39|96.12|93.61|96.12|304.6|304.6|59.27|86.09|61.23|316.78|284.03|284.03|59.86|66.38|65.2|71.12|83.58|271.46|271.46|87.76|264.52|150.44|87.76|86.09|0|507.85
Professional|||27130|TOTAL HIP ARTHROPLASTY|4982|4982|4268.24|3736.5|4234.7|4483.8|4234.7|4353.45|2567.6|2413.54|0|0|4670.47|4268.24|811.13|4572.36|4436.95|4320.19|4161.53|4665|3736.5|4572.36|1524.82|1485.04|1524.82|4836.68|4836.68|942.49|1365.71|973.59|5030.15|4665|4665|951.91|1055.59|1036.74|1130.99|1325.93|4423.9|4423.9|1392.23|4310.65|2386.67|1392.23|1365.71|0|5030.15
Professional|||27138|REVISE FEM PART OFTOTAL HIP|5618|5618|4819.65|4213.5|4775.3|5056.2|4775.3|4915.87|2895.9|2722.15|0|0|5273.85|4819.65|914.21|5163.06|5010.15|4878.31|4699.16|5267.67|4213.5|5163.06|1719.79|1674.93|1719.79|5453.79|5453.79|1063.09|1540.33|1098.17|5671.94|5267.67|5267.67|1073.72|1190.66|1169.4|1275.71|1495.47|4995.1|4995.1|1570.24|4867.23|2691.85|1570.24|1540.33|0|5671.94
Professional|||27170|BONE GRAFT FEMUR HEAD/NECK/RI*|4311|4311|3692.81|3233.25|3664.35|3879.9|3664.35|3766.53|2221.8|2088.49|0|0|4040.81|3692.81|702.99|3955.93|3838.77|3737.75|3600.49|4036.08|3233.25|3955.93|1323.13|1288.62|1323.13|4185.28|4185.28|818.04|1185.07|845.04|4352.69|4036.08|4036.08|826.22|916.2|899.84|981.65|1150.55|3833.44|3833.44|1208.08|3735.31|2070.99|1208.08|1185.07|0|4352.69
Professional|||27198|PR CLSD TX PELVIC RING FX W/MANIPULATION W/ANES|1114|1114|946.68|835.5|946.9|1002.6|946.9|965.58|574|539.56|0|0|1035.89|946.68|180.91|1014.13|984.1|958.2|923.01|1034.68|835.5|1014.13|347.45|338.39|347.45|1081.27|1081.27|214.77|311.19|221.86|1124.52|1034.68|1034.68|216.92|240.54|236.25|257.72|302.13|966|966|317.24|941.27|543.83|317.24|311.19|0|1124.52
Professional|||27215|OPEN FIX ILIAC FXINTERN FIXA*|2334|2334|1965.42|1750.5|1983.9|2100.6|1983.9|2004.66|1201.9|1129.79|0|0|2150.64|1965.42|377.42|2105.46|2043.11|1989.34|1916.28|2148.12|1750.5|2105.46|0|0|0|2265.39|2265.39|435.7|0|450.08|2356.01|2148.12|2148.12|440.06|487.98|479.27|522.84|0|2029.25|2029.25|0|1977.31|0|0|0|0|2356.01
Professional|||27216|PERCUT FIX POST PELV RING FX|3457|3457|2917.56|2592.75|2938.45|3111.3|2938.45|2975.81|1781.5|1674.61|0|0|3192.51|2917.56|559.08|3125.44|3032.88|2953.07|2844.62|3188.76|2592.75|3125.44|0|0|0|3355.88|3355.88|645.6|0|666.9|3490.12|3188.76|3188.76|652.06|723.07|710.16|774.72|0|3008.83|3008.83|0|2931.81|0|0|0|0|3490.12
Professional|||27217|OPEN INTERN FIX ANTER PELV RI*|3245|3245|2737.39|2433.75|2758.25|2920.5|2758.25|2792.05|1672.3|1571.96|0|0|2995.36|2737.39|524.86|2932.44|2845.6|2770.71|2668.96|2991.85|2433.75|2932.44|0|0|0|3150.17|3150.17|606.08|0|626.08|3276.18|2991.85|2991.85|612.14|678.81|666.69|727.3|0|2823.32|2823.32|0|2751.05|0|0|0|0|3276.18
Professional|||27218|OPEN INTERN FIX POST PELV RIN*|4473|4473|3781.25|3354.75|3802.05|4025.7|3802.05|3856.74|2304.4|2166.14|0|0|4137.59|3781.25|723.73|4050.67|3930.71|3827.27|3686.72|4132.74|3354.75|4050.67|0|0|0|4342.2|4342.2|834.46|0|862|4515.89|4132.74|4132.74|842.8|934.6|917.91|1001.35|0|3902.43|3902.43|0|3802.54|0|0|0|0|4515.89
Professional|||27226|OPEN INTERN FIX ACETABULAR WA*|3890|3890|3327.02|2917.5|3306.5|3501|3306.5|3393.44|2004.8|1884.51|0|0|3640.56|3327.02|632.79|3564.08|3458.53|3367.51|3243.84|3636.29|2917.5|3564.08|1190.81|1159.75|1190.81|3776.52|3776.52|736.18|1066.55|760.47|3927.58|3636.29|3636.29|743.54|824.52|809.8|883.42|1035.49|3444.32|3444.32|1087.26|3356.15|1863.88|1087.26|1066.55|0|3927.58
Professional|||27227|OPEN INTERN FIX ACETABULAR FX|6099|6099|5235.66|4574.25|5184.15|5489.1|5184.15|5340.19|3143|2954.42|0|0|5729.07|5235.66|991.25|5608.71|5442.61|5299.39|5104.77|5722.35|4574.25|5608.71|1861.17|1812.62|1861.17|5920.59|5920.59|1150.59|1666.96|1188.56|6157.41|5722.35|5722.35|1162.1|1288.66|1265.65|1380.71|1618.41|5421.57|5421.57|1699.33|5282.79|2913.14|1699.33|1666.96|0|6157.41
Professional|||27228|OPEN INTERN FIX COMPLEX ACETA*|6910|6910|5935.57|5182.5|5873.5|6219|5873.5|6054.07|3560.9|3347.25|0|0|6494.93|5935.57|1128.53|6358.49|6170.19|6007.81|5787.18|6487.32|5182.5|6358.49|2112.53|2057.42|2112.53|6707.8|6707.8|1306.09|1892.09|1349.19|6976.11|6487.32|6487.32|1319.15|1462.82|1436.7|1567.31|1836.98|6161.33|6161.33|1928.83|6003.61|3306.56|1928.83|1892.09|0|6976.11
Professional|||27232|CLOSED RX PROX/NECK FEMUR FX*|2735|2735|2341.03|2051.25|2324.75|2461.5|2324.75|2387.77|1409.1|1324.55|0|0|2561.65|2341.03|452.69|2507.84|2433.57|2369.53|2282.5|2558.65|2051.25|2507.84|838.89|817.01|838.89|2654.37|2654.37|518.58|751.35|535.69|2760.54|2558.65|2558.65|523.77|580.81|570.44|622.3|729.47|2435.33|2435.33|765.94|2372.99|1313.05|765.94|751.35|0|2760.54
Professional|||27236|FEMORAL FX OPEN TX|4402|4402|3765.96|3301.5|3741.7|3961.8|3741.7|3841.15|2268.7|2132.58|0|0|4120.87|3765.96|717.33|4034.3|3914.82|3811.8|3671.81|4116.04|3301.5|4034.3|1347.74|1312.58|1347.74|4273.64|4273.64|833.18|1207.11|860.67|4444.59|4116.04|4116.04|841.51|933.16|916.5|999.82|1171.95|3900.16|3900.16|1230.55|3800.33|2109.51|1230.55|1207.11|0|4444.59
Professional|||27245|OPEN FIX INTER/SUBTROCH FXIM*|4529|4529|3875.15|3396.75|3849.65|4076.1|3849.65|3952.52|2333.8|2193.77|0|0|4240.35|3875.15|738.09|4151.27|4028.33|3922.32|3778.27|4235.38|3396.75|4151.27|1385.47|1349.33|1385.47|4396.26|4396.26|856.53|1240.9|884.8|4572.11|4235.38|4235.38|865.1|959.31|942.18|1027.84|1204.76|4014.42|4014.42|1265|3911.65|2168.57|1265|1240.9|0|4572.11
Professional|||27250|CLOSED RX TRAUMATIC HIP DISLO*|654|654|564.51|490.5|555.9|588.6|555.9|575.78|336.7|316.5|0|0|617.71|564.51|106.16|604.73|586.83|571.38|550.4|616.99|490.5|604.73|201.03|195.79|201.03|634.25|634.25|124.19|180.05|128.29|659.62|616.99|616.99|125.43|139.09|136.61|149.03|174.81|587.05|587.05|183.55|572.03|314.66|183.55|180.05|0|659.62
Professional|||27252|CLOSED RX TRAUMA HIP DISLOCA*|2787|2787|2380.34|2090.25|2368.95|2508.3|2368.95|2427.87|1437.1|1350.87|0|0|2604.66|2380.34|456.22|2549.95|2474.43|2409.31|2320.83|2601.61|2090.25|2549.95|851.98|829.75|851.98|2705.8|2705.8|526.54|763.08|543.92|2814.03|2601.61|2601.61|531.81|589.72|579.19|631.85|740.85|2463.64|2463.64|777.89|2400.57|1333.53|777.89|763.08|0|2814.03
Professional|||27257|CLOSED RX SPONT HIP DISLOCAN*|1333|1333|1142.13|999.75|1133.05|1199.7|1133.05|1164.93|687.4|646.16|0|0|1249.76|1142.13|216.97|1223.51|1187.27|1156.03|1113.58|1248.3|999.75|1223.51|407.27|396.65|407.27|1293.56|1293.56|251.72|364.77|260.03|1345.3|1248.3|1248.3|254.24|281.93|276.89|302.06|354.15|1110.79|1110.79|371.86|1082.35|637.47|371.86|364.77|0|1345.3
Professional|||27265|CLOSED RX POST HIP ARTHRPLAS *|1503|1503|1257.87|1127.25|1277.55|1352.7|1277.55|1282.98|774.2|727.75|0|0|1376.41|1257.87|242.79|1347.49|1307.59|1273.18|1226.42|1374.8|1127.25|1347.49|458.85|446.88|458.85|1458.39|1458.39|283.54|410.97|292.9|1516.73|1374.8|1374.8|286.38|317.56|311.89|340.25|399|1287.23|1287.23|418.95|1254.28|718.2|418.95|410.97|0|1516.73
Professional|||27266|CLOSED RX POST HIP FIX DISLOC*|2150|2150|1828.93|1612.5|1827.5|1935|1827.5|1865.45|1108.8|1042.27|0|0|2001.29|1828.93|349.63|1959.25|1901.23|1851.19|1783.21|1998.95|1612.5|1959.25|660.7|643.46|660.7|2087.37|2087.37|408.25|591.76|421.72|2170.86|1998.95|1998.95|412.33|457.24|449.08|489.9|574.52|1886.73|1886.73|603.25|1838.43|1034.14|603.25|591.76|0|2170.86
Professional|||27299|REPLACEMENT OF HARDWARE|1835|1835|0|1376.25|1559.75|1651.5|1559.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1376.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1835
Professional|||27301|INCIS/DRAIN THIGH/KNEE ABSCES*|1858|1858|1583.26|1393.5|1579.3|1672.2|1579.3|2157.24|1302|1223.88|0|0|1732.46|1583.26|300.62|1696.07|1645.84|1602.53|1543.68|1730.43|1393.5|1696.07|570.23|555.35|570.23|1803.87|1803.87|352.31|510.73|363.94|1876.02|1730.43|1730.43|355.83|394.59|387.54|422.77|495.85|1629.98|1629.98|520.64|1588.26|892.53|520.64|510.73|0|2157.24
Professional|||27337|EXC THIGH/KNEE LES SC > 3 CM|1531|1531|1316.83|1148.25|1301.35|1377.9|1301.35|1343.12|788.9|741.57|0|0|1440.93|1316.83|248.52|1410.66|1368.88|1332.86|1283.91|1439.24|1148.25|1410.66|469.81|457.55|469.81|1486.08|1486.08|290.21|420.79|299.79|1545.52|1439.24|1439.24|293.11|325.04|319.23|348.25|408.53|1360.76|1360.76|428.96|1325.93|735.35|428.96|420.79|0|1545.52
Professional|||27339|EXC THIGH/KNEE TUM DEEP >5CM|2756|2756|2372.7|2067|2342.6|2480.4|2342.6|2420.07|1420.3|1335.08|0|0|2596.3|2372.7|447.62|2541.76|2466.49|2401.58|2313.38|2593.26|2067|2541.76|846.52|824.43|846.52|2675.47|2675.47|523.2|758.18|540.47|2782.49|2593.26|2593.26|528.43|585.98|575.52|627.84|736.1|2455.69|2455.69|772.91|2392.83|1324.98|772.91|758.18|0|2782.49
Professional|||27355|REMV BENIGN FEMUR LESION|2240|2240|1899.91|1680|1904|2016|1904|1937.84|1153.6|1084.38|0|0|2078.95|1899.91|361.31|2035.28|1975|1923.03|1852.41|2076.52|1680|2035.28|686.25|668.35|686.25|2174.4|2174.4|424.15|614.64|438.15|2261.38|2076.52|2076.52|428.39|475.05|466.57|508.98|596.74|1956.86|1956.86|626.58|1906.77|1074.13|626.58|614.64|0|2261.38
Professional|||27372|REMV FOREIGN BODYKNEE/THIGH*|1480|1480|1252.41|1110|1258|1332|1258|1901.09|1157.8|1088.33|0|0|1370.44|1252.41|243.44|1341.65|1301.91|1267.65|1221.1|1368.83|1110|1341.65|456.19|444.29|456.19|1435.97|1435.97|282|408.59|291.31|1493.41|1368.83|1368.83|284.82|315.84|310.2|338.4|396.69|1304.21|1304.21|416.52|1270.83|714.04|416.52|408.59|0|1901.09
Professional|||27380|FIX INFRAPATELLA TENDONPRIMA*|2220|2220|1875.88|1665|1887|1998|1887|1913.34|1144.5|1075.83|0|0|2052.67|1875.88|358.46|2009.54|1950.03|1898.72|1828.98|2050.26|1665|2009.54|693.43|675.34|693.43|2154.62|2154.62|428.52|621.07|442.66|2240.8|2050.26|2050.26|432.81|479.94|471.37|514.22|602.98|1922.94|1922.94|633.13|1873.72|1085.36|633.13|621.07|0|2240.8
Professional|||27385|FIX QUAD/HAMSTR MUSC RUPTPRI*|2153|2153|1813.65|1614.75|1830.05|1937.7|1830.05|1849.86|1109.5|1042.93|0|0|1984.56|1813.65|348.07|1942.87|1885.33|1835.72|1768.31|1982.24|1614.75|1942.87|673.84|656.26|673.84|2090|2090|416.46|603.53|430.2|2173.6|1982.24|1982.24|420.62|466.44|458.11|499.75|585.95|1860.73|1860.73|615.25|1813.1|1054.71|615.25|603.53|0|2173.6
Professional|||27403|ARTHROTOMYOPEN REPAIR MENISC*|2371|2371|2013.46|1778.25|2015.35|2133.9|2015.35|2053.66|1221.5|1148.21|0|0|2203.21|2013.46|384.48|2156.93|2093.05|2037.97|1963.12|2200.63|1778.25|2156.93|729.31|710.28|729.31|2300.99|2300.99|450.84|653.21|465.72|2393.03|2200.63|2200.63|455.35|504.94|495.92|541.01|634.18|2076.78|2076.78|665.89|2023.62|1141.52|665.89|653.21|0|2393.03
Professional|||27486|REVISE KNEE JOINT REPLACE1 P*|5175|5175|4426.56|3881.25|4398.75|4657.5|4398.75|4514.94|2667|2506.98|0|0|4843.72|4426.56|842.26|4741.96|4601.53|4480.44|4315.9|4838.04|3881.25|4741.96|1585|1543.65|1585|5023.92|5023.92|979.69|1419.61|1012.02|5224.88|4838.04|4838.04|989.49|1097.25|1077.66|1175.63|1378.26|4587.92|4587.92|1447.17|4470.48|2480.87|1447.17|1419.61|0|5224.88
Professional|||27498|DECOMPRESS THIGH/KNEE>1 COMP*|2422|2422|2057.14|1816.5|2058.7|2179.8|2058.7|2098.21|1248.8|1173.87|0|0|2251|2057.14|387.36|2203.71|2138.45|2082.18|2005.71|2248.37|1816.5|2203.71|742.88|723.5|742.88|2351.09|2351.09|459.05|665.36|474.2|2445.13|2248.37|2248.37|463.64|514.14|504.96|550.86|645.98|2111.83|2111.83|678.28|2057.77|1162.76|678.28|665.36|0|2445.13
Professional|||27500|CLOSED RX FEMUR SHAFT FX|1776|1776|1503.55|1332|1509.6|1598.4|1509.6|1661.64|996.8|936.99|0|0|1645.24|1503.55|290.23|1610.68|1562.98|1521.85|1465.96|1643.31|1332|1610.68|544.87|530.66|544.87|1723.43|1723.43|336.65|488.01|347.76|1792.37|1643.31|1643.31|340.02|377.05|370.32|403.98|473.8|1555.32|1555.32|497.49|1515.51|852.84|497.49|488.01|0|1792.37
Professional|||27502|CLOSED RX FEMUR SHAFT FX+MANIP|2797|2797|2385.8|2097.75|2377.45|2517.3|2377.45|2433.43|1442|1355.48|0|0|2610.64|2385.8|464.17|2555.79|2480.11|2414.84|2326.16|2607.58|2097.75|2555.79|855.22|832.91|855.22|2715.03|2715.03|528.59|765.98|546.03|2823.63|2607.58|2607.58|533.88|592.02|581.45|634.31|743.67|2470.41|2470.41|780.85|2407.17|1338.61|780.85|765.98|0|2823.63
Professional|||27510|CLOSED RX FEMURDISTAL+MANIP|2521|2521|2144.49|1890.75|2142.85|2268.9|2142.85|2187.31|1299.2|1221.25|0|0|2346.59|2144.49|414.96|2297.29|2229.26|2170.59|2090.88|2343.84|1890.75|2297.29|768.1|748.06|768.1|2447.35|2447.35|474.71|687.95|490.38|2545.24|2343.84|2343.84|479.46|531.68|522.18|569.65|667.91|2215.9|2215.9|701.31|2159.18|1202.24|701.31|687.95|0|2545.24
Professional|||27511|OPEN RX CONDYLAR FX FEMUR|3666|3666|3141.4|2749.5|3116.1|3299.4|3116.1|3204.11|1889.3|1775.94|0|0|3437.44|3141.4|596.17|3365.23|3265.57|3179.63|3062.87|3433.41|2749.5|3365.23|1124.87|1095.53|1124.87|3558.94|3558.94|695.38|1007.49|718.33|3701.3|3433.41|3433.41|702.33|778.83|764.92|834.46|978.15|3250.89|3250.89|1027.06|3167.68|1760.67|1027.06|1007.49|0|3701.3
Professional|||27513|OPEN RX CONDYLAR FX+EXTENSN|4553|4553|3910.09|3414.75|3870.05|4097.7|3870.05|3988.16|2346.4|2205.62|0|0|4278.58|3910.09|740.51|4188.7|4064.65|3957.69|3812.34|4273.57|3414.75|4188.7|1395.38|1358.97|1395.38|4420|4420|862.68|1249.77|891.15|4596.8|4273.57|4273.57|871.31|966.2|948.95|1035.22|1213.37|4046.09|4046.09|1274.04|3942.52|2184.07|1274.04|1249.77|0|4596.8
Professional|||27514|OPEN RX FEMURDISTAL END|3559|3559|3049.68|2669.25|3025.15|3203.1|3025.15|3110.56|1834|1723.96|0|0|3337.08|3049.68|578.28|3266.97|3170.22|3086.8|2973.44|3333.17|2669.25|3266.97|1090.59|1062.14|1090.59|3454.78|3454.78|674.08|976.79|696.32|3592.97|3333.17|3333.17|680.82|754.97|741.49|808.9|948.34|3151.36|3151.36|995.76|3070.69|1707.01|995.76|976.79|0|3592.97
Professional|||27517|CLOSED RX DIST FEM EPIPHYSIS+*|2531|2531|2140.12|1898.25|2151.35|2277.9|2151.35|2182.85|1308.3|1229.8|0|0|2341.81|2140.12|402.8|2292.61|2224.72|2166.17|2086.62|2339.06|1898.25|2292.61|778.99|758.67|778.99|2456.58|2456.58|481.38|697.7|497.27|2554.84|2339.06|2339.06|486.19|539.15|529.52|577.66|677.38|2080.16|2080.16|711.25|2026.91|1219.28|711.25|697.7|0|2554.84
Professional|||27520|CLOSED RX PATELLA FX|1109|1109|923.75|831.75|942.65|998.1|942.65|1025.72|624.4|586.94|0|0|1010.8|923.75|180.33|989.57|960.26|934.99|900.66|1009.62|831.75|989.57|341.68|332.76|341.68|1075.99|1075.99|211.18|306.02|218.15|1119.03|1009.62|1009.62|213.29|236.52|232.3|253.42|297.11|950.17|950.17|311.97|925.85|534.8|311.97|306.02|0|1119.03
Professional|||27532|CLOSED RX TIB PLAT FX+MANIP|2134|2134|1811.46|1600.5|1813.9|1920.6|1813.9|1971.25|1178.8|1108.07|0|0|1982.17|1811.46|347.18|1940.53|1883.06|1833.51|1766.17|1979.85|1600.5|1940.53|654.75|637.67|654.75|2071.55|2071.55|404.65|586.43|418|2154.41|1979.85|1979.85|408.7|453.21|445.12|485.58|569.35|1870.91|1870.91|597.82|1823.02|1024.83|597.82|586.43|0|2154.41
Professional|||27535|OPEN RX UNI TIB PLAT FX|3305|3305|2830.2|2478.75|2809.25|2974.5|2809.25|2886.71|1702.4|1600.26|0|0|3096.92|2830.2|537|3031.86|2942.08|2864.65|2759.45|3093.29|2478.75|3031.86|1012.45|986.04|1012.45|3208.19|3208.19|625.84|906.8|646.49|3336.52|3093.29|3093.29|632.1|700.94|688.42|751.01|880.39|2923.99|2923.99|924.41|2849.14|1584.7|924.41|906.8|0|3336.52
Professional|||27536|OPEN RX BILAT TIB PLAT FX|4378|4378|3744.13|3283.5|3721.3|3940.2|3721.3|3818.88|2256.1|2120.73|0|0|4096.97|3744.13|713.36|4010.9|3892.12|3789.7|3650.53|4092.17|3283.5|4010.9|1340.42|1305.45|1340.42|4249.9|4249.9|828.56|1200.55|855.9|4419.9|4092.17|4092.17|836.85|927.99|911.42|994.27|1165.58|3875.3|3875.3|1223.86|3776.1|2098.04|1223.86|1200.55|0|4419.9
Professional|||27550|CLOSED RX KNEE DISLOCATN|1789|1789|1507.91|1341.75|1520.65|1610.1|1520.65|1659.41|998.9|938.97|0|0|1650.02|1507.91|286.27|1615.36|1567.52|1526.27|1470.21|1648.09|1341.75|1615.36|551.28|536.89|551.28|1736.62|1736.62|340.76|493.75|352.01|1806.08|1648.09|1648.09|344.17|381.65|374.84|408.91|479.37|1520.24|1520.24|503.34|1481.32|862.87|503.34|493.75|0|1806.08
Professional|||27552|CLOSED RX KNEE DISLOC+ANESTH|2326|2326|1970.88|1744.5|1977.1|2093.4|1977.1|2010.23|1198.4|1126.5|0|0|2156.61|1970.88|377.21|2111.31|2048.78|1994.87|1921.61|2154.09|1744.5|2111.31|714.06|695.43|714.06|2257.47|2257.47|441.35|639.55|455.91|2347.77|2154.09|2154.09|445.76|494.31|485.49|529.62|620.92|2033.79|2033.79|651.97|1981.73|1117.66|651.97|639.55|0|2347.77
Professional|||27560|CLOSED RX KNEECAP DISLOCATN|1261|1261|1054.78|945.75|1071.85|1134.9|1071.85|1169.39|709.1|666.55|0|0|1154.18|1054.78|204.38|1129.93|1096.47|1067.61|1028.41|1152.82|945.75|1129.93|391.51|381.29|391.51|1223.68|1223.68|241.97|350.65|249.96|1272.63|1152.82|1152.82|244.39|271.01|266.17|290.36|340.44|1070.07|1070.07|357.46|1042.68|612.79|357.46|350.65|0|1272.63
Professional|||27562|CLOSED RX KNEECAP DISLOC+ANES*|1796|1796|1516.65|1347|1526.6|1616.4|1526.6|1546.93|927.5|871.85|0|0|1659.58|1516.65|283.62|1624.71|1576.6|1535.11|1478.73|1657.63|1347|1624.71|553.38|538.94|553.38|1743.21|1743.21|342.04|495.64|353.33|1812.94|1657.63|1657.63|345.46|383.08|376.24|410.45|481.2|1538.36|1538.36|505.26|1498.98|866.16|505.26|495.64|0|1812.94
Professional|||27570|MANIPULATN KNEE JT+ANESTHESIA|560|560|473.88|420|476|504|476|483.35|289.1|271.75|0|0|518.54|473.88|91.58|507.65|492.62|479.65|462.03|517.94|420|507.65|171.88|167.4|171.88|543.27|543.27|106.23|153.94|109.74|565|517.94|517.94|107.29|118.98|116.85|127.48|149.46|489.79|489.79|156.93|477.25|269.03|156.93|153.94|0|565
Professional|||27590|AMPUTATE THIGHTHRU FEMUR|2864|2864|2505.91|2148|2434.4|2577.6|2434.4|2555.94|1475.6|1387.06|0|0|2742.07|2505.91|473.88|2684.46|2604.96|2536.41|2443.26|2738.85|2148|2684.46|875.89|853.04|875.89|2779.64|2779.64|541.42|784.49|559.29|2890.83|2738.85|2738.85|546.83|606.39|595.56|649.7|761.64|2625.39|2625.39|799.72|2558.18|1370.95|799.72|784.49|0|2890.83
Professional|||27594|AMPUTATE THIGHSECONDRY CLOSUR|1854|1854|1596.36|1390.5|1575.9|1668.6|1575.9|1628.23|956.2|898.83|0|0|1746.8|1596.36|303.48|1710.1|1659.46|1615.79|1556.45|1744.75|1390.5|1710.1|573.79|558.82|573.79|1799.91|1799.91|354.62|513.92|366.32|1871.91|1744.75|1744.75|358.17|397.17|390.08|425.54|498.95|1649.21|1649.21|523.9|1606.99|898.11|523.9|513.92|0|1871.91
Professional|||27600|DECOMPRESS ANT/LAT LEG CMPART|1486|1486|1275.34|1114.5|1263.1|1337.4|1263.1|1300.8|765.8|719.85|0|0|1395.53|1275.34|248.74|1366.21|1325.75|1290.86|1243.46|1393.89|1114.5|1366.21|455.12|443.25|455.12|1442.57|1442.57|281.23|407.63|290.51|1500.27|1393.89|1393.89|284.04|314.98|309.35|337.48|395.76|1327.95|1327.95|415.55|1293.95|712.37|415.55|407.63|0|1500.27
Professional|||27602|DECOMPRESS ANT/LAT+POST LEG C*|1754|1754|1524.29|1315.5|1490.9|1578.6|1490.9|1554.73|903|848.82|0|0|1667.94|1524.29|295.1|1632.9|1584.54|1542.85|1486.18|1665.99|1315.5|1632.9|536.99|522.98|536.99|1702.33|1702.33|331.78|480.96|342.73|1770.42|1665.99|1665.99|335.1|371.59|364.96|398.14|466.95|1596.04|1596.04|490.3|1555.18|840.51|490.3|480.96|0|1770.42
Professional|||27603|DRAIN LOWER LEG DEEP ABSC/HEM*|1442|1442|1221.84|1081.5|1225.7|1297.8|1225.7|1698.39|1030.4|968.58|0|0|1336.98|1221.84|233.73|1308.89|1270.13|1236.71|1191.29|1335.41|1081.5|1308.89|442.7|431.16|442.7|1399.05|1399.05|273.53|396.51|282.56|1455.01|1335.41|1335.41|276.27|306.35|300.88|328.24|384.96|1258.95|1258.95|404.21|1226.73|692.93|404.21|396.51|0|1698.39
Professional|||27605|INCIS ACHILLES TENDON+LOCAL A*|704|704|585.26|528|598.4|633.6|598.4|1100.34|683.2|642.21|0|0|640.41|585.26|113.66|626.96|608.39|592.38|570.63|639.66|528|626.96|214.67|209.07|214.67|683.05|683.05|132.66|192.27|137.04|710.37|639.66|639.66|133.99|148.58|145.93|159.19|186.67|601.77|601.77|196|586.37|336.01|196|192.27|0|1100.34
Professional|||27610|EXPLORE/TREAT ANKLE JOINT|2418|2418|2046.22|1813.5|2055.3|2176.2|2055.3|2087.07|1245.3|1170.58|0|0|2239.06|2046.22|393.31|2192.02|2127.1|2071.13|1995.06|2236.43|1813.5|2192.02|738.35|719.08|738.35|2347.13|2347.13|456.49|661.3|471.55|2441.02|2236.43|2236.43|461.05|511.27|502.14|547.79|642.04|2110.7|2110.7|674.14|2056.67|1155.67|674.14|661.3|0|2441.02
Professional|||27613|BX LOW LEG SOFT TISSUESUPERF*|605|605|504.46|453.75|514.25|544.5|514.25|800.75|493.5|463.89|0|0|552|504.46|99.53|540.4|524.4|510.6|491.85|551.35|453.75|540.4|184.48|179.67|184.48|586.79|586.79|113.93|165.23|117.69|610.26|551.35|551.35|115.07|127.6|125.32|136.72|160.42|529.38|529.38|168.44|515.83|288.76|168.44|165.23|0|800.75
Professional|||27619|EXC LEG/ANKLE TUM DEEP <5 CM|1728|1728|1455.5|1296|1468.8|1555.2|1468.8|1484.56|890.4|836.98|0|0|1592.67|1455.5|284.72|1559.21|1513.03|1473.22|1419.11|1590.8|1296|1559.21|527.05|513.3|527.05|1677.28|1677.28|325.62|472.05|336.37|1744.37|1590.8|1590.8|328.88|364.69|358.18|390.74|458.3|1520.24|1520.24|481.22|1481.32|824.94|481.22|472.05|0|1744.37
Professional|||27620|EXPLOR ANKLE JOINT|1691|1691|1419.47|1268.25|1437.35|1521.9|1437.35|1447.81|872.2|819.87|0|0|1553.24|1419.47|277.23|1520.61|1475.58|1436.75|1383.98|1551.42|1268.25|1520.61|513.74|500.34|513.74|1641.68|1641.68|317.41|460.13|327.88|1707.35|1551.42|1551.42|320.58|355.5|349.15|380.89|446.73|1476.15|1476.15|469.07|1438.36|804.11|469.07|460.13|0|1707.35
Professional|||27626|EXPLOR ANKLE JT+TENOSYNOVECTO*|2277|2277|1913.01|1707.75|1935.45|2049.3|1935.45|1951.2|1173.2|1102.81|0|0|2093.29|1913.01|374.56|2049.31|1988.63|1936.29|1865.18|2090.84|1707.75|2049.31|692.36|674.3|692.36|2210|2210|428|620.11|442.12|2298.4|2090.84|2090.84|432.28|479.36|470.8|513.6|602.05|1965.94|1965.94|632.15|1915.61|1083.69|632.15|620.11|0|2298.4
Professional|||27630|EXCIS LESN TENDON SHEALTH LEG*|1363|1363|1139.94|1022.25|1158.55|1226.7|1158.55|1776.35|1092|1026.48|0|0|1247.37|1139.94|223.38|1221.17|1185|1153.82|1111.44|1245.91|1022.25|1221.17|413.64|402.85|413.64|1322.58|1322.58|255.57|370.48|264|1375.48|1245.91|1245.91|258.13|286.24|281.13|306.68|359.69|1183.19|1183.19|377.67|1152.9|647.44|377.67|370.48|0|1776.35
Professional|||27632|EXC LEG/ANKLE LES SC > 3 CM|1520|1520|1301.54|1140|1292|1368|1292|1327.53|783.3|736.3|0|0|1424.2|1301.54|247.63|1394.28|1352.99|1317.39|1269|1422.53|1140|1394.28|465.38|453.24|465.38|1475.53|1475.53|287.64|416.82|297.13|1534.55|1422.53|1422.53|290.52|322.16|316.4|345.17|404.68|1344.94|1344.94|424.91|1310.51|728.42|424.91|416.82|0|1534.55
Professional|||27635|EXCIS BENIGN LESNTIB/FIB|2160|2160|1824.56|1620|1836|1944|1836|1860.99|1113|1046.22|0|0|1996.51|1824.56|354.68|1954.57|1896.69|1846.77|1778.95|1994.17|1620|1954.57|662.85|645.56|662.85|2096.6|2096.6|409.79|593.68|423.31|2180.46|1994.17|1994.17|413.89|458.96|450.77|491.75|576.39|1901.45|1901.45|605.21|1852.78|1037.5|605.21|593.68|0|2180.46
Professional|||27641|PARTIAL REMOVAL OF FIBULA|2467|2467|2084.44|1850.25|2096.95|2220.3|2096.95|2126.05|1271.2|1194.93|0|0|2280.87|2084.44|404.36|2232.96|2166.83|2109.81|2032.33|2278.2|1850.25|2232.96|753.68|734.01|753.68|2394.6|2394.6|465.72|675.03|481.09|2490.38|2278.2|2278.2|470.38|521.61|512.29|558.86|655.37|2170.64|2170.64|688.14|2115.08|1179.67|688.14|675.03|0|2490.38
Professional|||27650|REPAIR ACHILLES TENDONPRIMARY|2460|2460|2063.69|1845|2091|2214|2091|2104.89|1267.7|1191.64|0|0|2258.17|2063.69|401.71|2210.73|2145.26|2088.81|2012.1|2255.53|1845|2210.73|753.01|733.36|753.01|2388.01|2388.01|465.47|674.43|480.83|2483.53|2255.53|2255.53|470.12|521.33|512.02|558.56|654.79|2137.87|2137.87|687.53|2083.14|1178.62|687.53|674.43|0|2483.53
Professional|||27652|REPAIR/GRAFT ACHILLES TENDON|2528|2528|2115.01|1896|2148.8|2275.2|2148.8|2157.24|1302.7|1224.54|0|0|2314.33|2115.01|416.72|2265.71|2198.61|2140.75|2062.13|2311.62|1896|2265.71|764.3|744.36|764.3|2453.94|2453.94|472.4|684.55|487.99|2552.1|2311.62|2311.62|477.12|529.09|519.64|566.88|664.61|2224.95|2224.95|697.84|2168|1196.3|697.84|684.55|0|2552.1
Professional|||27654|REPAIR ACHILLES TENDONSECOND*|2658|2658|2228.57|1993.5|2259.3|2392.2|2259.3|2273.06|1369.9|1287.71|0|0|2438.59|2228.57|430.61|2387.36|2316.66|2255.69|2172.86|2435.73|1993.5|2387.36|816.68|795.38|816.68|2580.53|2580.53|504.73|731.46|521.39|2683.75|2435.73|2435.73|509.78|565.3|555.2|605.68|710.16|2300.75|2300.75|745.67|2241.86|1278.29|745.67|731.46|0|2683.75
Professional|||27658|REPAIR FLEX LEG TENDONPRIMEA|1398|1398|1167.24|1048.5|1188.3|1258.2|1188.3|1190.55|720.3|677.08|0|0|1277.24|1167.24|227.79|1250.41|1213.38|1181.45|1138.06|1275.74|1048.5|1250.41|424.89|413.81|424.89|1356.85|1356.85|262.5|380.55|271.16|1411.12|1275.74|1275.74|265.13|294|288.75|315|369.47|1210.32|1210.32|387.94|1179.34|665.05|387.94|380.55|0|1411.12
Professional|||27659|REPAIR FLEX LEG TENDONSECOND*|1777|1777|1483.89|1332.75|1510.45|1599.3|1510.45|1513.52|915.6|860.66|0|0|1623.73|1483.89|293.12|1589.62|1542.55|1501.95|1446.79|1621.83|1332.75|1589.62|540.7|526.59|540.7|1724.75|1724.75|334.09|484.28|345.11|1793.74|1621.83|1621.83|337.43|374.18|367.5|400.91|470.17|1553.05|1553.05|493.68|1513.29|846.31|493.68|484.28|0|1793.74
Professional|||27664|REPAIR EXTEN LEG TENDNPRIME*|1359|1359|1135.58|1019.25|1155.15|1223.1|1155.15|1158.25|700|658|0|0|1242.59|1135.58|220.5|1216.49|1180.46|1149.4|1107.19|1241.14|1019.25|1216.49|414.05|403.24|414.05|1318.62|1318.62|255.83|370.84|264.27|1371.36|1241.14|1241.14|258.39|286.53|281.41|307|360.04|1176.38|1176.38|378.04|1146.26|648.07|378.04|370.84|0|1371.36
Professional|||27665|REPAIR EXTEN LEG TENDNSECOND*|1557|1557|1301.54|1167.75|1323.45|1401.3|1323.45|1327.53|802.2|754.07|0|0|1424.2|1301.54|250.51|1394.28|1352.99|1317.39|1269|1422.53|1167.75|1394.28|475.88|463.47|475.88|1511.13|1511.13|294.06|426.22|303.76|1571.58|1422.53|1422.53|297|329.35|323.47|352.87|413.81|1332.49|1332.49|434.5|1298.38|744.86|434.5|426.22|0|1571.58
Professional|||27675|REPAIR PERONEAL TENDONS|1842|1842|1540.67|1381.5|1565.7|1657.8|1565.7|1571.43|949.9|892.91|0|0|1685.86|1540.67|296.86|1650.45|1601.57|1559.42|1502.15|1683.89|1381.5|1650.45|563.87|549.16|563.87|1788.05|1788.05|348.46|505.03|359.96|1859.57|1683.89|1683.89|351.94|390.28|383.31|418.15|490.32|1591.5|1591.5|514.84|1550.76|882.58|514.84|505.03|0|1859.57
Professional|||27680|RELEASE TIB/FIB/ANKLE FLEX TE*|1585|1585|1332.12|1188.75|1347.25|1426.5|1347.25|1358.71|816.9|767.89|0|0|1457.66|1332.12|259.11|1427.03|1384.77|1348.33|1298.82|1455.95|1188.75|1427.03|485.86|473.19|485.86|1538.83|1538.83|300.22|435.16|310.13|1600.38|1455.95|1455.95|303.22|336.25|330.24|360.26|422.49|1394.7|1394.7|443.61|1359|760.48|443.61|435.16|0|1600.38
Professional|||27685|LENGTH/SHORT LEG/ANKL TENDON*|1744|1744|1456.59|1308|1482.4|1569.6|1482.4|2120.48|1302.7|1224.54|0|0|1593.86|1456.59|283.18|1560.38|1514.17|1474.32|1420.18|1592|1308|1560.38|533.61|519.69|533.61|1693.11|1693.11|329.73|477.93|340.61|1760.83|1592|1592|333.03|369.3|362.7|395.68|464.01|1506.69|1506.69|487.21|1468.12|835.22|487.21|477.93|0|2120.48
Professional|||27686|LENGTH/SHORT LEG/ANKL TENDON*|2034|2034|1714.28|1525.5|1728.9|1830.6|1728.9|1748.51|1047.9|985.03|0|0|1875.84|1714.28|337.26|1836.43|1782.04|1735.15|1671.42|1873.64|1525.5|1836.43|618.07|601.94|618.07|1973.96|1973.96|382.07|553.57|394.68|2052.92|1873.64|1873.64|385.89|427.92|420.28|458.48|537.45|1816.6|1816.6|564.32|1770.1|967.41|564.32|553.57|0|2052.92
Professional|||27687|GASTROCNEMIUS RECESSION|1704|1704|1427.11|1278|1448.4|1533.6|1448.4|1455.61|878.5|825.79|0|0|1561.6|1427.11|276.78|1528.8|1483.52|1444.48|1391.43|1559.77|1278|1528.8|521.59|507.99|521.59|1653.55|1653.55|322.28|467.17|332.92|1719.69|1559.77|1559.77|325.5|360.95|354.51|386.74|453.56|1473.88|1473.88|476.24|1436.15|816.41|476.24|467.17|0|1719.69
Professional|||27690|XFER SINGLE SUPERFICI LOW LEG*|2399|2399|2006.91|1799.25|2039.15|2159.1|2039.15|2046.98|1236.2|1162.03|0|0|2196.04|2006.91|383.6|2149.91|2086.24|2031.34|1956.74|2193.47|1799.25|2149.91|733.61|714.47|733.61|2328.68|2328.68|453.41|657.06|468.37|2421.83|2193.47|2193.47|457.94|507.82|498.75|544.09|637.92|2057.56|2057.56|669.82|2004.89|1148.26|669.82|657.06|0|2421.83
Professional|||27691|XFER SINGLE DEEP LOW LEG TEND*|2779|2779|2343.22|2084.25|2362.15|2501.1|2362.15|2390|1432.2|1346.27|0|0|2564.04|2343.22|454.45|2510.18|2435.84|2371.74|2284.64|2561.04|2084.25|2510.18|849.91|827.74|849.91|2697.88|2697.88|525.26|761.22|542.59|2805.8|2561.04|2561.04|530.51|588.29|577.79|630.31|739.05|2430.83|2430.83|776|2368.6|1330.29|776|761.22|0|2805.8
Professional|||27692|XFER ADDNL LOWER LEG TENDON|385|385|329.75|288.75|327.25|346.5|327.25|336.34|197.4|185.56|0|0|360.83|329.75|62.46|353.25|342.79|333.77|321.51|360.41|288.75|353.25|116.79|113.75|116.79|373.17|373.17|72.1|104.61|74.48|388.1|360.41|360.41|72.82|80.75|79.31|86.52|101.56|342.73|342.73|106.64|333.95|182.81|106.64|104.61|0|388.1
Professional|||27695|REPAIR 1 COLLAT ANKLE LIGMNT*|1780|1780|1489.35|1335|1513|1602|1513|1519.09|917|861.98|0|0|1629.71|1489.35|286.72|1595.47|1548.22|1507.48|1452.12|1627.8|1335|1595.47|544.57|530.36|544.57|1727.38|1727.38|336.65|487.75|347.76|1796.48|1627.8|1627.8|340.02|377.05|370.32|403.98|473.54|1549.68|1549.68|497.22|1510.01|852.37|497.22|487.75|0|1796.48
Professional|||27696|REPAIR BOTH COLLAT ANKL LIGMT*|2081|2081|1740.49|1560.75|1768.85|1872.9|1768.85|1775.24|1072.4|1008.06|0|0|1904.51|1740.49|339.23|1864.5|1809.29|1761.67|1696.98|1902.28|1560.75|1864.5|641.08|624.36|641.08|2020.12|2020.12|396.19|574.18|409.26|2100.92|1902.28|1902.28|400.15|443.73|435.81|475.43|557.46|1795.11|1795.11|585.33|1749.16|1003.43|585.33|574.18|0|2100.92
Professional|||27698|REPAIR COLLAT ANKLE LIGMNTSE*|2381|2381|2002.54|1785.75|2023.85|2142.9|2023.85|2042.53|1227.1|1153.47|0|0|2191.26|2002.54|388.01|2145.23|2081.7|2026.92|1952.48|2188.7|1785.75|2145.23|729.01|709.99|729.01|2311.53|2311.53|450.58|652.94|465.45|2403.99|2188.7|2188.7|455.09|504.65|495.64|540.7|633.92|2082.43|2082.43|665.62|2029.12|1141.06|665.62|652.94|0|2403.99
Professional|||27702|TOTAL ANKLE REPLACEMENT|3562|3562|3025.65|2671.5|3027.7|3205.8|3027.7|3086.06|1834.7|1724.62|0|0|3310.79|3025.65|581.81|3241.24|3145.25|3062.48|2950.01|3306.91|2671.5|3241.24|1092.96|1064.45|1092.96|3457.41|3457.41|675.62|978.91|697.92|3595.71|3306.91|3306.91|682.38|756.69|743.18|810.74|950.4|3136.64|3136.64|997.92|3056.35|1710.72|997.92|978.91|0|3595.71
Professional|||27705|OSTEOTOMY TIBIA|2812|2812|2389.08|2109|2390.2|2530.8|2390.2|2436.78|1449|1362.06|0|0|2614.22|2389.08|456.22|2559.3|2483.51|2418.16|2329.35|2611.16|2109|2559.3|859.6|837.18|859.6|2729.53|2729.53|531.41|769.9|548.95|2838.71|2611.16|2611.16|536.72|595.18|584.55|637.69|747.48|2464.74|2464.74|784.85|2401.65|1345.46|784.85|769.9|0|2838.71
Professional|||27752|CLOSED RX TIBIA SHAFT FXMANI*|1826|1826|1543.95|1369.5|1552.1|1643.4|1552.1|1710.64|1027.6|965.94|0|0|1689.45|1543.95|300.62|1653.96|1604.97|1562.74|1505.35|1687.47|1369.5|1653.96|559.16|544.58|559.16|1772.22|1772.22|345.64|500.82|357.05|1843.11|1687.47|1687.47|349.1|387.12|380.2|414.77|486.23|1601.68|1601.68|510.54|1560.68|875.21|510.54|500.82|0|1843.11
Professional|||27758|OPEN RX TIBIA SHAFT FXSCREWS|3297|3297|2809.46|2472.75|2802.45|2967.3|2802.45|2865.55|1698.9|1596.97|0|0|3074.22|2809.46|535.03|3009.64|2920.51|2843.65|2739.22|3070.62|2472.75|3009.64|1011.77|985.38|1011.77|3200.28|3200.28|625.33|906.19|645.97|3328.29|3070.62|3070.62|631.58|700.37|687.86|750.4|879.8|2899.12|2899.12|923.79|2824.91|1583.64|923.79|906.19|0|3328.29
Professional|||27759|TREAT TIBIAL SHAFT FX INTRAM*|3683|3683|3146.86|2762.25|3130.55|3314.7|3130.55|3209.68|1897|1783.18|0|0|3443.41|3146.86|599.03|3371.08|3271.24|3185.16|3068.19|3439.38|2762.25|3371.08|1127.33|1097.92|1127.33|3574.77|3574.77|696.92|1009.7|719.92|3717.76|3439.38|3439.38|703.89|780.55|766.61|836.3|980.29|3252.03|3252.03|1029.3|3168.78|1764.52|1029.3|1009.7|0|3717.76
Professional|||27760|CLOSED RX MED MALLEOLUS FX|1147|1147|952.14|860.25|974.95|1032.3|974.95|1058.02|646.1|607.33|0|0|1041.87|952.14|186.72|1019.98|989.77|963.73|928.34|1040.64|860.25|1019.98|353.21|344|353.21|1112.91|1112.91|218.36|316.35|225.57|1157.43|1040.64|1040.64|220.54|244.56|240.2|262.03|307.14|978.44|978.44|322.5|953.4|552.85|322.5|316.35|0|1157.43
Professional|||27762|CLOSED RX MED MALLEOLUS FXMA*|1610|1610|1349.59|1207.5|1368.5|1449|1368.5|1517.97|919.1|863.95|0|0|1476.77|1349.59|263.76|1445.75|1402.93|1366.01|1315.85|1475.04|1207.5|1445.75|493.6|480.73|493.6|1562.56|1562.56|305.09|442.1|315.16|1625.06|1475.04|1475.04|308.14|341.7|335.6|366.11|429.22|1383.39|1383.39|450.68|1347.98|772.6|450.68|442.1|0|1625.06
Professional|||27766|OPEN RX MED MALLEOLUS FX|2252|2252|1905.37|1689|1914.2|2026.8|1914.2|1943.41|1160.6|1090.96|0|0|2084.93|1905.37|369.04|2041.13|1980.68|1928.56|1857.74|2082.48|1689|2041.13|688.16|670.21|688.16|2186.27|2186.27|425.44|616.35|439.48|2273.72|2082.48|2082.48|429.69|476.49|467.98|510.53|598.4|1977.22|1977.22|628.32|1926.61|1077.12|628.32|616.35|0|2273.72
Professional|||27767|CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MNPJ|1065|1065|882.26|798.75|905.25|958.5|905.25|899.87|549.5|516.53|0|0|965.4|882.26|173.26|945.12|917.13|892.99|860.2|964.27|798.75|945.12|330.05|321.44|330.05|1033.8|1033.8|203.99|295.61|210.72|1075.15|964.27|964.27|206.03|228.47|224.39|244.79|287|908.32|908.32|301.35|885.07|516.6|301.35|295.61|0|1075.15
Professional|||27768|CLOSED TREATMENT PST MALLEOLUS FRACTURE W MNPJ|1643|1643|1383.44|1232.25|1396.55|1478.7|1396.55|1411.06|847|796.18|0|0|1513.81|1383.44|266.63|1482.01|1438.12|1400.28|1348.85|1512.04|1232.25|1482.01|505.64|492.45|505.64|1594.21|1594.21|312.53|452.88|322.84|1657.98|1512.04|1512.04|315.66|350.03|343.78|375.04|439.69|1418.44|1418.44|461.67|1382.13|791.44|461.67|452.88|0|1657.98
Professional|||27780|CLOSED RX PROX/SHAFT FIBULA FX|1049|1049|871.34|786.75|891.65|944.1|891.65|970.03|592.2|556.67|0|0|953.45|871.34|170.61|933.42|905.78|881.94|849.56|952.33|786.75|933.42|323.55|315.11|323.55|1017.97|1017.97|199.89|289.79|206.49|1058.69|952.33|952.33|201.89|223.88|219.88|239.87|281.35|898.14|898.14|295.42|875.15|506.43|295.42|289.79|0|1058.69
Professional|||27781|CLOSED RX PROX/SHAFT FIB FXM*|1480|1480|1240.4|1110|1258|1332|1258|1369.85|828.8|779.07|0|0|1357.29|1240.4|236.6|1328.78|1289.43|1255.5|1209.39|1355.7|1110|1328.78|455.27|443.4|455.27|1435.97|1435.97|281.23|407.77|290.51|1493.41|1355.7|1355.7|284.04|314.98|309.35|337.48|395.89|1277.05|1277.05|415.68|1244.36|712.6|415.68|407.77|0|1493.41
Professional|||27786|CLOSED RX DIST FIBULA FX|1073|1073|892.08|804.75|912.05|965.7|912.05|998.99|609.7|573.12|0|0|976.15|892.08|175.69|955.64|927.34|902.94|869.78|975.01|804.75|955.64|330.33|321.71|330.33|1041.71|1041.71|203.99|295.86|210.72|1083.38|975.01|975.01|206.03|228.47|224.39|244.79|287.24|921.87|921.87|301.6|898.27|517.03|301.6|295.86|0|1083.38
Professional|||27788|CLOSED RX DIST FIBULA FXMANIP|1435|1435|1202.18|1076.25|1219.75|1291.5|1219.75|1347.58|816.2|767.23|0|0|1315.47|1202.18|234.61|1287.84|1249.7|1216.81|1172.13|1313.93|1076.25|1287.84|440.25|428.77|440.25|1392.46|1392.46|271.99|394.31|280.97|1448.16|1313.93|1313.93|274.71|304.63|299.19|326.39|382.83|1239.73|1239.73|401.97|1207.99|689.09|401.97|394.31|0|1448.16
Professional|||27792|OPEN RX LAT MALLEOLUS FX|2409|2409|2040.76|1806.75|2047.65|2168.1|2047.65|2081.51|1241.1|1166.63|0|0|2233.08|2040.76|394.2|2186.17|2121.43|2065.6|1989.74|2230.46|1806.75|2186.17|736.16|716.96|736.16|2337.91|2337.91|454.95|659.34|469.96|2431.43|2230.46|2230.46|459.5|509.54|500.45|545.94|640.14|2119.74|2119.74|672.15|2065.48|1152.25|672.15|659.34|0|2431.43
Professional|||27808|CLOSED RX BIMALLEOLAR FX|1133|1133|941.22|849.75|963.05|1019.7|963.05|1061.36|648.2|609.31|0|0|1029.92|941.22|184.52|1008.28|978.42|952.67|917.69|1028.71|849.75|1008.28|348.68|339.58|348.68|1099.73|1099.73|215.54|312.3|222.65|1143.72|1028.71|1028.71|217.7|241.4|237.09|258.65|303.2|967.13|967.13|318.36|942.37|545.76|318.36|312.3|0|1143.72
Professional|||27810|CLOSED RX BIMALLEOLAR FXMANIP|1575|1575|1322.29|1181.25|1338.75|1417.5|1338.75|1491.24|902.3|848.16|0|0|1446.9|1322.29|258.46|1416.51|1374.56|1338.39|1289.23|1445.21|1181.25|1416.51|481.76|469.19|481.76|1528.27|1528.27|297.65|431.49|307.47|1589.4|1445.21|1445.21|300.63|333.37|327.42|357.18|418.92|1364.16|1364.16|439.87|1329.24|754.06|439.87|431.49|0|1589.4
Professional|||27814|OPEN RX BIMALLEOLAR FX|2846|2846|2418.56|2134.5|2419.1|2561.4|2419.1|2466.85|1467.2|1379.17|0|0|2646.48|2418.56|465.5|2590.89|2514.16|2448|2358.1|2643.38|2134.5|2590.89|870.37|847.66|870.37|2762.5|2762.5|538.09|779.55|555.85|2873|2643.38|2643.38|543.47|602.66|591.9|645.71|756.84|2507.73|2507.73|794.68|2443.54|1362.31|794.68|779.55|0|2873
Professional|||27816|CLOSED RX TRIMALLEOLAR FX|1087|1087|904.09|815.25|923.95|978.3|923.95|1032.4|630.7|592.86|0|0|989.29|904.09|176.14|968.51|939.83|915.1|881.49|988.14|815.25|968.51|334.37|325.65|334.37|1054.89|1054.89|206.56|299.48|213.38|1097.09|988.14|988.14|208.63|231.35|227.22|247.87|290.76|930.92|930.92|305.3|907.09|523.37|305.3|299.48|0|1097.09
Professional|||27818|CLOSED RX TRIMALLEOLAR FXMAN*|1615|1615|1358.32|1211.25|1372.75|1453.5|1372.75|1549.16|936.6|880.4|0|0|1486.33|1358.32|264.21|1455.11|1412.01|1374.86|1324.36|1484.59|1211.25|1455.11|494.22|481.33|494.22|1567.83|1567.83|305.35|442.65|315.43|1630.54|1484.59|1484.59|308.4|341.99|335.89|366.42|429.76|1399.21|1399.21|451.25|1363.39|773.57|451.25|442.65|0|1630.54
Professional|||27822|OPEN RX TRIMALLEOLAR FX|3192|3192|2699.18|2394|2713.2|2872.8|2713.2|2753.07|1644.3|1545.64|0|0|2953.55|2699.18|508.08|2891.5|2805.87|2732.03|2631.7|2950.08|2394|2891.5|987.06|961.31|987.06|3098.75|3098.75|610.19|884.06|630.33|3222.7|2950.08|2950.08|616.29|683.41|671.21|732.23|858.31|2790.51|2790.51|901.23|2719.08|1544.96|901.23|884.06|0|3222.7
Professional|||27823|OPEN RX TRIMALLEOLAR FXFIX P*|3608|3608|3059.5|2706|3066.8|3247.2|3066.8|3120.59|1858.5|1746.99|0|0|3347.83|3059.5|575.63|3277.5|3180.44|3096.74|2983.01|3343.91|2706|3277.5|1113.25|1084.2|1113.25|3502.25|3502.25|688.2|997.08|710.91|3642.34|3343.91|3343.91|695.08|770.78|757.02|825.84|968.04|3164.94|3164.94|1016.44|3083.93|1742.47|1016.44|997.08|0|3642.34
Professional|||27825|CLOSED RX WEIGHT BEAR DIST TI*|1834|1834|1553.77|1375.5|1558.9|1650.6|1558.9|1748.51|1049.3|986.34|0|0|1700.2|1553.77|296.64|1664.48|1615.19|1572.69|1514.93|1698.21|1375.5|1664.48|560.66|546.03|560.66|1780.14|1780.14|346.41|502.16|357.84|1851.35|1698.21|1698.21|349.87|387.98|381.05|415.69|487.53|1598.31|1598.31|511.91|1557.4|877.55|511.91|502.16|0|1851.35
Professional|||27828|OPEN RX WEIGHTBEAR TIBFIX TI*|4857|4857|4135.03|3642.75|4128.45|4371.3|4128.45|4217.58|2503.2|2353.01|0|0|4524.71|4135.03|778.24|4429.65|4298.47|4185.35|4031.65|4519.41|3642.75|4429.65|1495.64|1456.63|1495.64|4715.37|4715.37|924.52|1339.58|955.03|4903.98|4519.41|4519.41|933.77|1035.46|1016.97|1109.42|1300.56|4276.84|4276.84|1365.59|4167.36|2341.01|1365.59|1339.58|0|4903.98
Professional|||27829|OPEN RX DIST TIB/FIB JT DISRU*|2592|2592|2183.8|1944|2203.2|2332.8|2203.2|2227.4|1334.9|1254.81|0|0|2389.6|2183.8|414.08|2339.4|2270.12|2210.38|2129.21|2386.8|1944|2339.4|800.27|779.4|800.27|2515.92|2515.92|494.72|716.77|511.05|2616.56|2386.8|2386.8|499.67|554.09|544.19|593.66|695.89|2260.03|2260.03|730.68|2202.18|1252.6|730.68|716.77|0|2616.56
Professional|||27840|CLOSED RX ANKLE DISLOCATN|1401|1401|1169.42|1050.75|1190.85|1260.9|1190.85|1192.77|721.7|678.4|0|0|1279.63|1169.42|223.13|1252.75|1215.65|1183.66|1140.18|1278.13|1050.75|1252.75|428.18|417.01|428.18|1359.49|1359.49|264.55|383.5|273.28|1413.87|1278.13|1278.13|267.2|296.3|291.01|317.46|372.33|1186.56|1186.56|390.95|1156.18|670.19|390.95|383.5|0|1413.87
Professional|||27842|CLOSED RX ANKLE DISLOCATNANE*|1820|1820|1536.3|1365|1547|1638|1547|1566.98|938|881.72|0|0|1681.08|1536.3|299.94|1645.77|1597.03|1555|1497.89|1679.11|1365|1645.77|560.3|545.69|560.3|1766.94|1766.94|346.41|501.84|357.84|1837.62|1679.11|1679.11|349.87|387.98|381.05|415.69|487.22|1598.31|1598.31|511.58|1557.4|877|511.58|501.84|0|1837.62
Professional|||27846|OPEN RX ANKLE DISLOCATN|2671|2671|2262.42|2003.25|2270.35|2403.9|2270.35|2307.59|1376.2|1293.63|0|0|2475.63|2262.42|437.9|2423.62|2351.84|2289.95|2205.86|2472.72|2003.25|2423.62|811.59|790.42|811.59|2592.4|2592.4|501.65|726.9|518.2|2696.1|2472.72|2472.72|506.67|561.85|551.82|601.98|705.73|2367.47|2367.47|741.02|2306.87|1270.31|741.02|726.9|0|2696.1
Professional|||27860|MANIPULATION ANKLE JT W ANEST*|639|639|537.21|479.25|543.15|575.1|543.15|547.94|329.7|309.92|0|0|587.84|537.21|105.71|575.49|558.45|543.75|523.78|587.15|479.25|575.49|194.71|189.63|194.71|619.75|619.75|120.34|174.39|124.31|644.54|587.15|587.15|121.54|134.78|132.37|144.41|169.31|561.05|561.05|177.78|546.69|304.76|177.78|174.39|0|644.54
Professional|||27870|ARTHRODESISANKLEOPEN|3799|3799|3227.66|2849.25|3229.15|3419.1|3229.15|3292.1|1957.9|1840.43|0|0|3531.83|3227.66|621.31|3457.63|3355.24|3266.94|3146.97|3527.69|2849.25|3457.63|1159.2|1128.96|1159.2|3688.16|3688.16|716.68|1038.24|740.33|3835.69|3527.69|3527.69|723.85|802.68|788.35|860.02|1008|3352.7|3352.7|1058.4|3266.87|1814.4|1058.4|1038.24|0|3835.69
Professional|||27882|AMPUTATION LOW LEGCIRCULAR|2155|2155|1878.07|1616.25|1831.75|1939.5|1831.75|1915.56|1109.5|1042.93|0|0|2055.06|1878.07|356.69|2011.88|1952.3|1900.93|1831.12|2052.65|1616.25|2011.88|660.18|642.96|660.18|2091.33|2091.33|407.99|591.29|421.45|2174.98|2052.65|2052.65|412.07|456.95|448.79|489.59|574.07|1968.17|1968.17|602.77|1917.79|1033.33|602.77|591.29|0|2174.98
Professional|||27884|AMPUTATION LOW LEGSECOND CLO*|2072|2072|1792.9|1554|1761.2|1864.8|1761.2|1828.7|1067.5|1003.45|0|0|1961.86|1792.9|344.53|1920.65|1863.77|1814.72|1748.08|1959.56|1554|1920.65|638.58|621.92|638.58|2010.89|2010.89|394.65|571.95|407.67|2091.33|1959.56|1959.56|398.6|442.01|434.12|473.58|555.29|1884.49|1884.49|583.05|1836.25|999.52|583.05|571.95|0|2091.33
Professional|||27886|RE-AMPUTATION LOWER LEG|2383|2383|2062.6|1787.25|2025.55|2144.7|2025.55|2103.78|1228.5|1154.79|0|0|2256.98|2062.6|393.76|2209.56|2144.13|2087.7|2011.04|2254.33|1787.25|2209.56|731|711.93|731|2312.86|2312.86|451.87|654.72|466.78|2405.37|2254.33|2254.33|456.39|506.09|497.06|542.24|635.65|2153.69|2153.69|667.43|2098.56|1144.17|667.43|654.72|0|2405.37
Professional|||27894|DECOMPRESS LEGANT/LAT & POST|3094|3094|2656.59|2320.5|2629.9|2784.6|2629.9|2709.63|1594.6|1498.92|0|0|2906.95|2656.59|513.61|2845.88|2761.6|2688.93|2590.18|2903.54|2320.5|2845.88|945.02|920.37|945.02|3003.8|3003.8|584.02|846.41|603.29|3123.95|2903.54|2903.54|589.86|654.1|642.42|700.82|821.76|2793.91|2793.91|862.85|2722.39|1479.17|862.85|846.41|0|3123.95
Professional|||27899|LEG/ANKLE SURGERY PROCEDURE UNLISTED|1689|1689|0|1266.75|1435.65|1520.1|1435.65|0|0|0|0|0|0|0|0|0|0|0|0|0|1266.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1689
Professional|||28002|DEEP DISSEC FOOT INFEC1 BURSA|1211|1211|1004.55|908.25|1029.35|1089.9|1029.35|1424.42|877.8|825.13|0|0|1099.22|1004.55|196.22|1076.12|1044.26|1016.77|979.44|1097.93|908.25|1076.12|368.94|359.32|368.94|1174.88|1174.88|227.86|330.44|235.38|1221.88|1097.93|1097.93|230.14|255.2|250.65|273.43|320.82|1033.85|1033.85|336.86|1007.39|577.48|336.86|330.44|0|1424.42
Professional|||28003|DEEP DISSEC FOOT INFECMULTIP*|2119|2119|1754.68|1589.25|1801.15|1907.1|1801.15|2242.99|1380.4|1297.58|0|0|1920.04|1754.68|350.28|1879.71|1824.04|1776.04|1710.81|1917.79|1589.25|1879.71|648.11|631.2|648.11|2057.04|2057.04|400.55|580.48|413.77|2139.32|1917.79|1917.79|404.56|448.62|440.61|480.66|563.57|1824.51|1824.51|591.75|1777.81|1014.43|591.75|580.48|0|2242.99
Professional|||28005|DEEP INCIS FOOT BONE INFECTN|2194|2194|1814.74|1645.5|1864.9|1974.6|1864.9|1850.97|1130.5|1062.67|0|0|1985.76|1814.74|357.57|1944.04|1886.47|1836.83|1769.37|1983.43|1645.5|1944.04|669.73|652.25|669.73|2129.56|2129.56|413.89|599.84|427.55|2214.74|1983.43|1983.43|418.03|463.56|455.28|496.67|582.37|1876.55|1876.55|611.49|1828.51|1048.27|611.49|599.84|0|2214.74
Professional|||28008|INCISION OF FOOT/TOE FASCIA|1121|1121|923.75|840.75|952.85|1008.9|952.85|1393.24|863.8|811.97|0|0|1010.8|923.75|181.42|989.57|960.26|934.99|900.66|1009.62|840.75|989.57|342.88|333.94|342.88|1087.86|1087.86|211.95|307.1|218.94|1131.37|1009.62|1009.62|214.07|237.38|233.15|254.34|298.16|955.81|955.81|313.07|931.35|536.69|313.07|307.1|0|1393.24
Professional|||28010|INCISION SUBCUT TOE TENDON|798|798|654.05|598.5|678.3|718.2|678.3|745.07|460.6|432.96|0|0|715.69|654.05|129.33|700.65|679.9|662.01|637.7|714.85|598.5|700.65|242.77|236.43|242.77|774.03|774.03|149.85|217.43|154.8|804.99|714.85|714.85|151.35|167.83|164.84|179.82|211.1|678.68|678.68|221.66|661.3|379.98|221.66|217.43|0|804.99
Professional|||28011|INCISION SUBCUT TOE TENDON>1|1079|1079|888.81|809.25|917.15|971.1|917.15|1017.92|626.5|588.91|0|0|972.57|888.81|177.23|952.14|923.94|899.62|866.59|971.43|809.25|952.14|327.2|318.66|327.2|1046.98|1046.98|202.2|293.06|208.87|1088.86|971.43|971.43|204.22|226.46|222.42|242.64|284.52|932.05|932.05|298.75|908.19|512.14|298.75|293.06|0|1088.86
Professional|||28020|EXPLOR TARSAL/TARSOMETATAR JT|1364|1364|1136.67|1023|1159.4|1227.6|1159.4|1736.26|1069.6|1005.42|0|0|1243.79|1136.67|221.61|1217.66|1181.6|1150.5|1108.25|1242.33|1023|1217.66|415.17|404.34|415.17|1323.89|1323.89|256.6|371.85|265.07|1376.85|1242.33|1242.33|259.17|287.39|282.26|307.92|361.02|1178.65|1178.65|379.07|1148.48|649.84|379.07|371.85|0|1736.26
Professional|||28022|EXPLOR METATARSO-PHALANG JT|1230|1230|1017.65|922.5|1045.5|1107|1045.5|1564.75|968.8|910.67|0|0|1113.55|1017.65|202.18|1090.16|1057.88|1030.04|992.21|1112.25|922.5|1090.16|376.6|366.78|376.6|1193.35|1193.35|232.73|337.3|240.41|1241.08|1112.25|1112.25|235.06|260.66|256|279.28|327.48|1053.08|1053.08|343.85|1026.12|589.46|343.85|337.3|0|1564.75
Professional|||28035|TARSAL TUNNEL RELEASE|1349|1349|1120.29|1011.75|1146.65|1214.1|1146.65|1702.85|1051.4|988.32|0|0|1225.86|1120.29|218.28|1200.11|1164.57|1133.92|1092.28|1224.43|1011.75|1200.11|409.92|399.22|409.92|1309.38|1309.38|253.26|367.14|261.62|1361.76|1224.43|1224.43|255.79|283.65|278.59|303.91|356.45|1157.15|1157.15|374.27|1127.53|641.61|374.27|367.14|0|1702.85
Professional|||28039|EXC FOOT/TOE TUM SC > 1.5 CM|1304|1304|1085.35|978|1108.4|1173.6|1108.4|1602.61|987|927.78|0|0|1187.63|1085.35|215.63|1162.68|1128.25|1098.56|1058.22|1186.24|978|1162.68|397.39|387.03|397.39|1265.87|1265.87|245.56|355.93|253.66|1316.5|1186.24|1186.24|248.02|275.03|270.12|294.67|345.56|1139.06|1139.06|362.84|1109.9|622.01|362.84|355.93|0|1602.61
Professional|||28041|EXC FOOT/TOE TUM DEEP >1.5CM|1717|1717|1428.21|1287.75|1459.45|1545.3|1459.45|1456.72|884.8|831.71|0|0|1562.8|1428.21|283.84|1529.97|1484.66|1445.59|1392.5|1560.97|1287.75|1529.97|523.39|509.73|523.39|1666.73|1666.73|323.57|468.77|334.25|1733.4|1560.97|1560.97|326.81|362.4|355.93|388.28|455.12|1488.6|1488.6|477.88|1450.49|819.22|477.88|468.77|0|1733.4
Professional|||28043|EXC FOOT/TOE TUM SC < 1.5 CM|1001|1001|825.48|750.75|850.85|900.9|850.85|1279.64|793.8|746.17|0|0|903.27|825.48|162.67|884.29|858.11|835.52|804.84|902.21|750.75|884.29|303.54|295.62|303.54|971.82|971.82|187.57|271.87|193.76|1010.69|902.21|902.21|189.45|210.08|206.33|225.08|263.95|857.42|857.42|277.15|835.47|475.11|277.15|271.87|0|1279.64
Professional|||28045|EXC FOOT/TOE TUM DEEP <1.5CM|1323|1323|1091.9|992.25|1124.55|1190.7|1124.55|1584.8|981.4|922.52|0|0|1194.8|1091.9|215.63|1169.7|1135.06|1105.19|1064.6|1193.4|992.25|1169.7|402.18|391.69|402.18|1284.33|1284.33|248.64|360.21|256.85|1335.7|1193.4|1193.4|251.13|278.48|273.5|298.37|349.72|1134.52|1134.52|367.21|1105.48|629.5|367.21|360.21|0|1584.8
Professional|||28052|BX SYNOVIUM METATARSO-PHAL JT|1073|1073|889.9|804.75|912.05|965.7|912.05|1425.54|882|829.08|0|0|973.76|889.9|178.34|953.31|925.07|900.73|867.65|972.62|804.75|953.31|328.77|320.2|328.77|1041.71|1041.71|203.22|294.47|209.93|1083.38|972.62|972.62|205.25|227.61|223.54|243.86|285.89|923|923|300.18|899.38|514.6|300.18|294.47|0|1425.54
Professional|||28055|NEURECTOMY INTRINSIC MUSCULA*|1455|1455|1201.09|1091.25|1236.75|1309.5|1236.75|1225.07|749.7|704.72|0|0|1314.28|1201.09|233.3|1286.67|1248.57|1215.71|1171.06|1312.74|1091.25|1286.67|448.45|436.76|448.45|1412.24|1412.24|277.12|401.66|286.26|1468.73|1312.74|1312.74|279.89|310.37|304.83|332.54|389.96|1227.28|1227.28|409.46|1195.86|701.93|409.46|401.66|0|1468.73
Professional|||28060|PART EXCIS PLANTAR FASCIA|1363|1363|1126.84|1022.25|1158.55|1226.7|1158.55|1673.89|1035.3|973.18|0|0|1233.03|1126.84|220.28|1207.13|1171.38|1140.56|1098.67|1231.59|1022.25|1207.13|416.94|406.07|416.94|1322.58|1322.58|257.62|373.44|266.12|1375.48|1231.59|1231.59|260.2|288.53|283.38|309.14|362.56|1160.56|1160.56|380.69|1130.85|652.61|380.69|373.44|0|1673.89
Professional|||28080|EXCIS INTERDIGITAL NEUROMAEA|1406|1406|1155.23|1054.5|1195.1|1265.4|1195.1|1691.71|1050.7|987.66|0|0|1264.1|1155.23|228.88|1237.54|1200.89|1169.29|1126.35|1262.62|1054.5|1237.54|430.31|419.08|430.31|1364.77|1364.77|265.83|385.41|274.6|1419.36|1262.62|1262.62|268.49|297.73|292.41|319|374.18|1196.74|1196.74|392.89|1166.1|673.52|392.89|385.41|0|1691.71
Professional|||28086|SYNOVECTOMY FLEX TENDN SHEATH*|1355|1355|1130.12|1016.25|1151.75|1219.5|1151.75|1751.85|1078.7|1013.98|0|0|1236.62|1130.12|220.73|1210.64|1174.79|1143.87|1101.87|1235.17|1016.25|1210.64|408.71|398.05|408.71|1314.66|1314.66|252.49|366.06|260.82|1367.25|1235.17|1235.17|255.01|282.79|277.74|302.99|355.4|1171.87|1171.87|373.17|1141.87|639.72|373.17|366.06|0|1751.85
Professional|||28090|EXCIS TENDN/CAPSULE LESNFOOT|1171|1171|967.42|878.25|995.35|1053.9|995.35|1513.52|938|881.72|0|0|1058.59|967.42|191.13|1036.35|1005.66|979.2|943.23|1057.35|878.25|1036.35|355.82|346.54|355.82|1136.65|1136.65|219.9|318.69|227.16|1182.12|1057.35|1057.35|222.1|246.29|241.89|263.88|309.41|1003.31|1003.31|324.88|977.63|556.94|324.88|318.69|0|1513.52
Professional|||28092|EXCIS TENDN/CAPSULE LESNTOES|1031|1031|850.59|773.25|876.35|927.9|876.35|1372.08|851.9|800.79|0|0|930.75|850.59|166.86|911.2|884.21|860.94|829.33|929.66|773.25|911.2|313.29|305.12|313.29|1000.83|1000.83|193.47|280.6|199.85|1040.86|929.66|929.66|195.4|216.69|212.82|232.16|272.43|877.78|877.78|286.05|855.31|490.37|286.05|280.6|0|1372.08
Professional|||28100|REMV TALUS/HEEL BENIGN BONE L*|1569|1569|1307|1176.75|1333.65|1412.1|1333.65|1969.02|1212.4|1139.66|0|0|1430.18|1307|252.5|1400.13|1358.67|1322.91|1274.33|1428.5|1176.75|1400.13|478.79|466.3|478.79|1523|1523|295.85|428.83|305.61|1583.92|1428.5|1428.5|298.81|331.35|325.44|355.02|416.34|1343.8|1343.8|437.16|1309.4|749.41|437.16|428.83|0|1969.02
Professional|||28103|REMV TALUS/HEEL BENIGN LESNA*|1496|1496|1228.39|1122|1271.6|1346.4|1271.6|1252.91|770.7|724.46|0|0|1344.15|1228.39|243.89|1315.91|1276.94|1243.34|1197.68|1342.58|1122|1315.91|454.91|443.04|454.91|1451.8|1451.8|281.23|407.44|290.51|1509.87|1342.58|1342.58|284.04|314.98|309.35|337.48|395.57|1291.77|1291.77|415.35|1258.7|712.03|415.35|407.44|0|1509.87
Professional|||28104|REMV TARSAL/METATARSAL BENIGN*|1351|1351|1121.38|1013.25|1148.35|1215.9|1148.35|1716.21|1059.8|996.21|0|0|1227.06|1121.38|218.28|1201.28|1165.71|1135.03|1093.35|1225.62|1013.25|1201.28|409.48|398.8|409.48|1310.71|1310.71|253|366.75|261.35|1363.14|1225.62|1225.62|255.53|283.36|278.3|303.6|356.07|1151.51|1151.51|373.87|1122.03|640.93|373.87|366.75|0|1716.21
Professional|||28108|REMV TOE BENIGN BONE LESN|1101|1101|906.28|825.75|935.85|990.9|935.85|1418.85|881.3|828.42|0|0|991.68|906.28|179.22|970.85|942.1|917.31|883.62|990.52|825.75|970.85|335.18|326.44|335.18|1068.08|1068.08|207.07|300.2|213.9|1110.8|990.52|990.52|209.14|231.92|227.78|248.48|291.46|938.86|938.86|306.03|914.83|524.63|306.03|300.2|0|1418.85
Professional|||28110|PART EXCIS 5TH METATARSAL HEAD|1107|1107|913.92|830.25|940.95|996.3|940.95|1497.93|930.3|874.48|0|0|1000.05|913.92|179.22|979.04|950.05|925.04|891.07|998.88|830.25|979.04|336.92|328.13|336.92|1074.67|1074.67|208.1|301.76|214.97|1117.66|998.88|998.88|210.18|233.07|228.91|249.72|292.97|943.37|943.37|307.62|919.22|527.35|307.62|301.76|0|1497.93
Professional|||28111|FULL EXCIS 1ST METATARSAL HEAD|1226|1226|1017.65|919.5|1042.1|1103.4|1042.1|1574.77|972.3|913.96|0|0|1113.55|1017.65|200.64|1090.16|1057.88|1030.04|992.21|1112.25|919.5|1090.16|374.08|364.32|374.08|1189.39|1189.39|231.19|335.05|238.82|1236.97|1112.25|1112.25|233.5|258.93|254.31|277.43|325.29|1062.13|1062.13|341.55|1034.94|585.52|341.55|335.05|0|1574.77
Professional|||28112|FULL EXCIS 23 OR 4TH METATAR*|1186|1186|981.62|889.5|1008.1|1067.4|1008.1|1571.43|973.7|915.28|0|0|1074.13|981.62|192.24|1051.56|1020.42|993.57|957.08|1072.87|889.5|1051.56|361.84|352.4|361.84|1151.15|1151.15|223.49|324.08|230.87|1197.2|1072.87|1072.87|225.72|250.31|245.84|268.19|314.64|1020.3|1020.3|330.37|994.18|566.35|330.37|324.08|0|1571.43
Professional|||28113|FULL EXCIS 5TH METATARSAL HEAD|1618|1618|1332.12|1213.5|1375.3|1456.2|1375.3|1895.52|1174.6|1104.12|0|0|1457.66|1332.12|263.53|1427.03|1384.77|1348.33|1298.82|1455.95|1213.5|1427.03|492.22|479.38|492.22|1570.47|1570.47|304.07|440.86|314.1|1633.29|1455.95|1455.95|307.11|340.56|334.48|364.88|428.02|1384.52|1384.52|449.42|1349.08|770.44|449.42|440.86|0|1895.52
Professional|||28116|EXCIS TARSAL COALITION|2179|2179|1813.65|1634.25|1852.15|1961.1|1852.15|2456.82|1508.5|1417.99|0|0|1984.56|1813.65|349.83|1942.87|1885.33|1835.72|1768.31|1982.24|1634.25|1942.87|665.23|647.88|665.23|2115.06|2115.06|411.07|595.81|424.64|2199.66|1982.24|1982.24|415.18|460.4|452.18|493.28|578.46|1865.24|1865.24|607.38|1817.49|1041.23|607.38|595.81|0|2456.82
Professional|||28118|REMOVAL OF HEEL BONE|1569|1569|1305.91|1176.75|1333.65|1412.1|1333.65|1924.47|1184.4|1113.34|0|0|1428.98|1305.91|253.16|1398.96|1357.53|1321.81|1273.26|1427.31|1176.75|1398.96|481.16|468.61|481.16|1523|1523|297.39|430.95|307.2|1583.92|1427.31|1427.31|300.36|333.08|327.13|356.87|418.4|1339.26|1339.26|439.32|1304.98|753.12|439.32|430.95|0|1924.47
Professional|||28119|REMOVAL OF HEEL SPUR|1372|1372|1132.3|1029|1166.2|1234.8|1166.2|1685.03|1043.7|981.08|0|0|1239.01|1132.3|223.38|1212.98|1177.06|1146.08|1103.99|1237.56|1029|1212.98|418.95|408.02|418.95|1331.8|1331.8|258.9|375.23|267.44|1385.07|1237.56|1237.56|261.49|289.97|284.79|310.68|364.3|1175.24|1175.24|382.52|1145.16|655.74|382.52|375.23|0|1685.03
Professional|||28120|PART REMV TALUS OR CALCANEUS|1877|1877|1565.78|1407.75|1595.45|1689.3|1595.45|2179.51|1337|1256.78|0|0|1713.34|1565.78|303.05|1677.35|1627.68|1584.84|1526.64|1711.34|1407.75|1677.35|572.41|557.48|572.41|1822.32|1822.32|353.85|512.68|365.53|1895.21|1711.34|1711.34|357.39|396.31|389.24|424.62|497.75|1617.54|1617.54|522.64|1576.13|895.95|522.64|512.68|0|2179.51
Professional|||28122|PART REMV OTHR TARSAL/METATAR*|1668|1668|1381.25|1251|1417.8|1501.2|1417.8|1923.36|1186.5|1115.31|0|0|1511.42|1381.25|271.7|1479.67|1435.85|1398.07|1346.72|1509.65|1251|1479.67|507.66|494.41|507.66|1619.26|1619.26|313.82|454.68|324.18|1684.03|1509.65|1509.65|316.96|351.48|345.2|376.58|441.44|1433.15|1433.15|463.51|1396.47|794.59|463.51|454.68|0|1923.36
Professional|||28124|PART REMV PHALANX OF TOE|1268|1268|1041.67|951|1077.8|1141.2|1077.8|1540.25|956.9|899.49|0|0|1139.84|1041.67|205.26|1115.89|1082.85|1054.35|1015.63|1138.5|951|1115.89|386.66|376.58|386.66|1230.26|1230.26|238.89|346.32|246.77|1279.47|1138.5|1138.5|241.28|267.56|262.78|286.67|336.23|1075.71|1075.71|353.04|1048.17|605.21|353.04|346.32|0|1540.25
Professional|||28126|RESEC ONE TOE PHALANGEAL BASE*|947|947|779.62|710.25|804.95|852.3|804.95|1272.96|791.7|744.2|0|0|853.09|779.62|154.06|835.17|810.43|789.11|760.13|852.09|710.25|835.17|287.57|280.07|287.57|919.07|919.07|177.56|257.56|183.42|955.83|852.09|852.09|179.34|198.87|195.32|213.07|250.06|809.89|809.89|262.56|789.15|450.11|262.56|257.56|0|1272.96
Professional|||28140|REMOVAL OF METATARSAL|1644|1644|1374.7|1233|1397.4|1479.6|1397.4|1904.43|1166.2|1096.23|0|0|1504.25|1374.7|269.28|1472.65|1429.04|1391.43|1340.33|1502.49|1233|1472.65|499.24|486.21|499.24|1595.52|1595.52|308.43|447.14|318.61|1659.34|1502.49|1502.49|311.51|345.44|339.27|370.12|434.12|1430.89|1430.89|455.83|1394.26|781.42|455.83|447.14|0|1904.43
Professional|||28150|REMOVAL OF SINGLE TOEEACH|1064|1064|877.89|798|904.4|957.6|904.4|1364.28|846.3|795.52|0|0|960.62|877.89|174.15|940.44|912.59|888.57|855.94|959.49|798|940.44|322.63|314.22|322.63|1032.48|1032.48|199.37|288.97|205.95|1073.78|959.49|959.49|201.36|223.29|219.31|239.24|280.55|912.82|912.82|294.58|889.46|504.99|294.58|288.97|0|1364.28
Professional|||28153|RESEC HEAD OF PHALANXTOE|1012|1012|833.12|759|860.2|910.8|860.2|1331.99|828.1|778.41|0|0|911.63|833.12|162.89|892.48|866.05|843.26|812.29|910.56|759|892.48|308.94|300.88|308.94|982.37|982.37|190.91|276.7|197.21|1021.66|910.56|910.56|192.82|213.82|210|229.09|268.64|857.42|857.42|282.07|835.47|483.55|282.07|276.7|0|1331.99
Professional|||28160|RESEC TOE AT I-P JTSINGLEEA|1022|1022|840.76|766.5|868.7|919.8|868.7|1342.01|834.4|784.34|0|0|920|840.76|167.31|900.67|874|851|819.74|918.92|766.5|900.67|310.99|302.88|310.99|991.6|991.6|192.19|278.54|198.53|1031.26|918.92|918.92|194.11|215.25|211.41|230.63|270.43|875.51|875.51|283.95|853.1|486.77|283.95|278.54|0|1342.01
Professional|||28190|REMV FOOT FOREIGN BODYSUBCUT*|511|511|420.38|383.25|434.35|459.9|434.35|818.57|510.3|479.68|0|0|460|420.38|83.2|450.33|437|425.5|409.87|459.46|383.25|450.33|155|150.95|155|495.8|495.8|95.71|138.82|98.87|515.63|459.46|459.46|96.67|107.2|105.28|114.85|134.78|435.48|435.48|141.52|424.34|242.6|141.52|138.82|0|818.57
Professional|||28192|REMV FOOT FOREIGN BODYDEEP|1190|1190|981.62|892.5|1011.5|1071|1011.5|1506.84|934.5|878.43|0|0|1074.13|981.62|194.89|1051.56|1020.42|993.57|957.08|1072.87|892.5|1051.56|363|353.53|363|1155.1|1155.1|224.26|325.12|231.66|1201.3|1072.87|1072.87|226.5|251.17|246.69|269.11|315.65|1020.3|1020.3|331.43|994.18|568.17|331.43|325.12|0|1506.84
Professional|||28193|REMV FOOT FOREIGN BODYCOMPLEX|1408|1408|1161.78|1056|1196.8|1267.2|1196.8|1712.87|1060.5|996.87|0|0|1271.27|1161.78|228.43|1244.56|1207.7|1175.92|1132.74|1269.78|1056|1244.56|428.86|417.67|428.86|1366.08|1366.08|265.06|384.11|273.81|1420.72|1269.78|1269.78|267.71|296.87|291.57|318.07|372.92|1202.41|1202.41|391.57|1171.63|671.26|391.57|384.11|0|1712.87
Professional|||28200|REPAIR FLEX FOOT TENDONEA|1230|1230|1017.65|922.5|1045.5|1107|1045.5|1589.25|984.2|925.15|0|0|1113.55|1017.65|198.87|1090.16|1057.88|1030.04|992.21|1112.25|922.5|1090.16|375.37|365.58|375.37|1193.35|1193.35|231.96|336.2|239.61|1241.08|1112.25|1112.25|234.28|259.8|255.16|278.35|326.41|1048.57|1048.57|342.73|1021.73|587.54|342.73|336.2|0|1589.25
Professional|||28202|REPAIR/GRAFT FLEX FOOT TENDON|1641|1641|1358.32|1230.75|1394.85|1476.9|1394.85|1950.09|1204.7|1132.42|0|0|1486.33|1358.32|264.21|1455.11|1412.01|1374.86|1324.36|1484.59|1230.75|1455.11|500.76|487.69|500.76|1592.88|1592.88|309.45|448.5|319.66|1656.6|1484.59|1484.59|312.54|346.58|340.4|371.34|435.44|1381.12|1381.12|457.21|1345.76|783.79|457.21|448.5|0|1950.09
Professional|||28208|REPAIR EXTEN LEG TENDONPRIM*|1198|1198|992.54|898.5|1018.3|1078.2|1018.3|1549.16|959|901.46|0|0|1086.07|992.54|193.78|1063.26|1031.77|1004.62|967.73|1084.8|898.5|1063.26|366.25|356.7|366.25|1163.01|1163.01|226.32|328.03|233.79|1209.53|1084.8|1084.8|228.58|253.48|248.95|271.58|318.48|1021.4|1021.4|334.4|995.26|573.26|334.4|328.03|0|1549.16
Professional|||28220|RELEASE FLEX FOOT TENDONSING*|1156|1156|953.23|867|982.6|1040.4|982.6|1457.83|904.4|850.14|0|0|1043.06|953.23|186.28|1021.15|990.91|964.83|929.4|1041.84|867|1021.15|351.96|342.78|351.96|1122.14|1122.14|217.59|315.23|224.77|1167.03|1041.84|1041.84|219.77|243.7|239.35|261.11|306.05|986.36|986.36|321.35|961.11|550.89|321.35|315.23|0|1457.83
Professional|||28225|RELEASE EXTEN FOOT TENDONSIN*|1011|1011|835.3|758.25|859.35|909.9|859.35|1354.26|840|789.6|0|0|914.02|835.3|159.13|894.82|868.32|845.47|814.42|912.95|758.25|894.82|306.03|298.04|306.03|981.05|981.05|189.11|274.09|195.35|1020.29|912.95|912.95|191|211.8|208.02|226.93|266.11|850.61|850.61|279.42|828.83|479|279.42|274.09|0|1354.26
Professional|||28226|RELEASE EXTEN FOOT TENDONSMU*|1469|1469|1240.4|1101.75|1248.65|1322.1|1248.65|1970.14|1204.7|1132.42|0|0|1357.29|1240.4|237.94|1328.78|1289.43|1255.5|1209.39|1355.7|1101.75|1328.78|449.65|437.92|449.65|1425.42|1425.42|277.89|402.73|287.06|1482.44|1355.7|1355.7|280.67|311.24|305.68|333.47|391|1031.58|1031.58|410.55|1005.18|703.8|410.55|402.73|0|1970.14
Professional|||28230|INCISION FLEX FOOT TENDON(S)|1083|1083|892.08|812.25|920.55|974.7|920.55|1402.15|870.1|817.89|0|0|976.15|892.08|173.92|955.64|927.34|902.94|869.78|975.01|812.25|955.64|329.41|320.81|329.41|1050.93|1050.93|203.48|295.03|210.19|1092.97|975.01|975.01|205.51|227.9|223.83|244.18|286.44|924.14|924.14|300.76|900.48|515.59|300.76|295.03|0|1402.15
Professional|||28232|INCISION FLEX TOE TENDON|927|927|762.15|695.25|787.95|834.3|787.95|1246.23|775.6|729.06|0|0|833.97|762.15|149.87|816.45|792.27|771.42|743.1|832.99|695.25|816.45|281.46|274.12|281.46|899.29|899.29|173.97|252.09|179.71|935.26|832.99|832.99|175.71|194.85|191.37|208.76|244.75|791.8|791.8|256.99|771.53|440.55|256.99|252.09|0|1246.23
Professional|||28234|INCISION EXTEN FOOT/TOE TENDON|1010|1010|828.75|757.5|858.5|909|858.5|1316.39|819|769.86|0|0|906.85|828.75|161.58|887.8|861.51|838.84|808.03|905.79|757.5|887.8|308.78|300.72|308.78|979.73|979.73|190.65|276.56|196.94|1018.92|905.79|905.79|192.56|213.53|209.72|228.78|268.5|858.55|858.55|281.93|836.57|483.3|281.93|276.56|0|1316.39
Professional|||28238|RECONST POST TIB TENDEXCIS A*|1842|1842|1529.75|1381.5|1565.7|1657.8|1565.7|2153.9|1326.5|1246.91|0|0|1673.91|1529.75|299.74|1638.75|1590.22|1548.37|1491.51|1671.95|1381.5|1638.75|559.96|545.35|559.96|1788.05|1788.05|346.15|501.53|357.57|1859.57|1671.95|1671.95|349.61|387.69|380.77|415.38|486.92|1583.59|1583.59|511.27|1543.05|876.46|511.27|501.53|0|2153.9
Professional|||28250|DIVISN PLANTAR FASCIA/MUSCLE|1519|1519|1265.51|1139.25|1291.15|1367.1|1291.15|1858.77|1143.8|1075.17|0|0|1384.77|1265.51|247.2|1355.68|1315.53|1280.92|1233.87|1383.15|1139.25|1355.68|465.78|453.63|465.78|1474.22|1474.22|287.9|417.18|297.4|1533.19|1383.15|1383.15|290.78|322.45|316.69|345.48|405.03|1312.13|1312.13|425.28|1278.54|729.05|425.28|417.18|0|1858.77
Professional|||28260|CAPSULOTOMY MIDFOOT JTMED RE*|1925|1925|1604|1443.75|1636.25|1732.5|1636.25|2209.58|1356.6|1275.2|0|0|1755.16|1604|312.08|1718.29|1667.4|1623.52|1563.9|1753.1|1443.75|1718.29|596.95|581.38|596.95|1868.48|1868.48|368.99|534.66|381.17|1943.22|1753.1|1753.1|372.68|413.27|405.89|442.79|519.09|1676.35|1676.35|545.04|1633.44|934.36|545.04|534.66|0|2209.58
Professional|||28270|CAPSULOTOMY MT-P JTFOOTEACH|1276|1276|1052.59|957|1084.6|1148.4|1084.6|1589.25|984.9|925.81|0|0|1151.79|1052.59|205.04|1127.59|1094.2|1065.4|1026.28|1150.44|957|1127.59|388.57|378.44|388.57|1238.18|1238.18|240.17|348.03|248.1|1287.71|1150.44|1150.44|242.57|268.99|264.19|288.2|337.89|1089.29|1089.29|354.78|1061.41|608.2|354.78|348.03|0|1589.25
Professional|||28272|CAPSULOTOMY I-P JTFOOTEA|969|969|793.81|726.75|823.65|872.1|823.65|1262.94|787.5|740.25|0|0|868.62|793.81|158.25|850.37|825.19|803.47|773.96|867.6|726.75|850.37|294.12|286.45|294.12|940.17|940.17|181.67|263.43|187.67|977.78|867.6|867.6|183.49|203.47|199.84|218|255.76|828.01|828.01|268.55|806.81|460.37|268.55|263.43|0|1262.94
Professional|||28280|FUSION OF TOES|1322|1322|1092.99|991.5|1123.7|1189.8|1123.7|1656.07|1024.8|963.31|0|0|1195.99|1092.99|216.09|1170.87|1136.2|1106.3|1065.67|1194.59|991.5|1170.87|403.4|392.87|403.4|1283.02|1283.02|249.15|361.3|257.37|1334.34|1194.59|1194.59|251.64|279.05|274.07|298.98|350.78|1137.93|1137.93|368.32|1108.8|631.4|368.32|361.3|0|1656.07
Professional|||28285|REPAIR OF HAMMERTOEONE|1444|1444|1191.26|1083|1227.4|1299.6|1227.4|1726.24|1068.9|1004.77|0|0|1303.53|1191.26|232.64|1276.14|1238.35|1205.76|1161.48|1302|1083|1276.14|441.47|429.96|441.47|1401.68|1401.68|272.76|395.41|281.76|1457.75|1302|1302|275.49|305.49|300.04|327.31|383.89|1230.68|1230.68|403.08|1199.18|691|403.08|395.41|0|1726.24
Professional|||28286|REPAIR 5TH TOECOCK-UP|1140|1140|935.76|855|969|1026|969|1445.58|898.8|844.87|0|0|1023.94|935.76|186.51|1002.43|972.75|947.15|912.37|1022.74|855|1002.43|346.59|337.55|346.59|1106.32|1106.32|214.26|310.42|221.33|1150.57|1022.74|1022.74|216.4|239.97|235.69|257.11|301.38|972.77|972.77|316.45|947.87|542.48|316.45|310.42|0|1445.58
Professional|||28288|PART REMV BONE METATARSAL HEA*|1647|1647|1360.51|1235.25|1399.95|1482.3|1399.95|1960.11|1212.4|1139.66|0|0|1488.72|1360.51|265.52|1457.45|1414.28|1377.07|1326.5|1486.98|1235.25|1457.45|502.94|489.82|502.94|1598.16|1598.16|310.74|450.46|320.99|1662.09|1486.98|1486.98|313.85|348.03|341.81|372.89|437.34|1396.97|1396.97|459.21|1361.21|787.21|459.21|450.46|0|1960.11
Professional|||28289|PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT|1747|1747|1450.04|1310.25|1484.95|1572.3|1484.95|2345.45|1451.1|1364.03|0|0|1586.69|1450.04|336.59|1553.36|1507.36|1467.69|1413.79|1584.84|1310.25|1553.36|530.61|516.77|530.61|1695.74|1695.74|327.93|475.24|338.75|1763.57|1584.84|1584.84|331.21|367.28|360.72|393.52|461.4|1513.46|1513.46|484.47|1474.72|830.52|484.47|475.24|0|2345.45
Professional|||28291|PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT|1835|1835|1513.37|1376.25|1559.75|1651.5|1559.75|2339.88|1451.8|1364.69|0|0|1655.99|1513.37|299.49|1621.2|1573.19|1531.79|1475.54|1654.05|1376.25|1621.2|567.99|553.17|567.99|1781.45|1781.45|0|508.72|0|1852.71|1654.05|1654.05|0|0|0|0|493.9|1565.5|1565.5|518.6|1525.43|889.02|518.6|508.72|0|2339.88
Professional|||28292|PR CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL|1849|1849|1527.57|1386.75|1571.65|1664.1|1571.65|2378.86|1475.6|1387.06|0|0|1671.53|1527.57|372.79|1636.41|1587.95|1546.16|1489.38|1669.57|1386.75|1636.41|561.8|547.14|561.8|1794.63|1794.63|347.17|503.18|358.63|1866.42|1669.57|1669.57|350.64|388.83|381.89|416.6|488.52|1574.54|1574.54|512.95|1534.24|879.34|512.95|503.18|0|2378.86
Professional|||28295|PR CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT|2066|2066|1709.92|1549.5|1756.1|1859.4|1756.1|3073.81|1909.6|1795.02|0|0|1871.06|1709.92|335.68|1831.75|1777.5|1730.73|1667.17|1868.86|1549.5|1831.75|648.37|631.46|648.37|2005.61|2005.61|400.8|580.71|414.03|2085.83|1868.86|1868.86|404.81|448.9|440.88|480.96|563.8|1744.21|1744.21|591.99|1699.56|1014.84|591.99|580.71|0|3073.81
Professional|||28296|PR CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT|1960|1960|1618.2|1470|1666|1764|1666|2931.26|1824.2|1714.75|0|0|1770.69|1618.2|323.13|1733.5|1682.16|1637.89|1577.75|1768.62|1470|1733.5|597.26|581.68|597.26|1902.76|1902.76|369.24|534.94|381.42|1978.87|1768.62|1768.62|372.93|413.55|406.16|443.09|519.36|1677.48|1677.48|545.33|1634.54|934.85|545.33|534.94|0|2931.26
Professional|||28297|PR CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF|2277|2277|1894.45|1707.75|1935.45|2049.3|1935.45|3371.17|2087.4|1962.16|0|0|2072.98|1894.45|356.69|2029.43|1969.33|1917.5|1847.09|2070.55|1707.75|2029.43|696.57|678.4|696.57|2210|2210|430.57|623.88|444.78|2298.4|2070.55|2070.55|434.88|482.24|473.63|516.68|605.71|1962.53|1962.53|636|1912.29|1090.28|636|623.88|0|3371.17
Professional|||28298|PR CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT|1886|1886|1564.69|1414.5|1603.1|1697.4|1603.1|2730.79|1693.3|1591.7|0|0|1712.15|1564.69|311.65|1676.18|1626.54|1583.74|1525.57|1710.14|1414.5|1676.18|575.33|560.32|575.33|1830.24|1830.24|355.64|515.3|367.38|1903.45|1710.14|1710.14|359.2|398.32|391.2|426.77|500.29|1614.13|1614.13|525.3|1572.81|900.52|525.3|515.3|0|2730.79
Professional|||28299|PR CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT|2212|2212|1834.39|1659|1880.2|1990.8|1880.2|3250.89|2016.7|1895.7|0|0|2007.26|1834.39|417.38|1965.1|1906.9|1856.72|1788.53|2004.91|1659|1965.1|674.89|657.28|674.89|2146.71|2146.71|417.23|604.47|431|2232.58|2004.91|2004.91|421.4|467.3|458.95|500.68|586.86|1886.73|1886.73|616.2|1838.43|1056.35|616.2|604.47|0|3250.89
Professional|||28300|OSTEOTOMY HEEL BONE|2426|2426|2044.04|1819.5|2062.1|2183.4|2062.1|2084.85|1250.2|1175.19|0|0|2236.67|2044.04|393.31|2189.68|2124.83|2068.92|1992.94|2234.04|1819.5|2189.68|743.15|723.77|743.15|2355.05|2355.05|459.31|665.61|474.47|2449.25|2234.04|2234.04|463.9|514.43|505.24|551.17|646.22|2118.64|2118.64|678.53|2064.41|1163.2|678.53|665.61|0|2449.25
Professional|||28304|OSTEOTOMY MIDTARSAL BONES|2265|2265|1897.72|1698.75|1925.25|2038.5|1925.25|2638.36|1613.5|1516.69|0|0|2076.56|1897.72|363.96|2032.94|1972.73|1920.82|1850.28|2074.13|1698.75|2032.94|692.15|674.09|692.15|2198.14|2198.14|427.75|619.93|441.87|2286.07|2074.13|2074.13|432.03|479.08|470.53|513.3|601.87|1979.49|1979.49|631.96|1928.82|1083.37|631.96|619.93|0|2638.36
Professional|||28305|OSTEOTOMY MIDTARSALAUTOGRAFT|2489|2489|2076.79|1866.75|2115.65|2240.1|2115.65|2118.26|1281.7|1204.8|0|0|2272.51|2076.79|403.68|2224.77|2158.88|2102.07|2024.87|2269.85|1866.75|2224.77|769.37|749.3|769.37|2415.7|2415.7|475.47|689.09|491.16|2512.33|2269.85|2269.85|480.22|532.53|523.02|570.56|669.02|2169.54|2169.54|702.47|2114.01|1204.24|702.47|689.09|0|2512.33
Professional|||28306|OSTEOTOMY 1ST METATARSALBASE*|1520|1520|1267.7|1140|1292|1368|1292|1969.02|1213.1|1140.31|0|0|1387.16|1267.7|245.66|1358.02|1317.8|1283.13|1236.01|1385.54|1140|1358.02|461.46|449.42|461.46|1475.53|1475.53|285.08|413.31|294.49|1534.55|1385.54|1385.54|287.93|319.29|313.59|342.1|401.27|1315.53|1315.53|421.33|1281.85|722.29|421.33|413.31|0|1969.02
Professional|||28308|OSTEOTOMY METATARSAL (NOT 1ST)|1440|1440|1192.35|1080|1224|1296|1224|1830.92|1132.6|1064.64|0|0|1304.72|1192.35|231.96|1277.31|1239.49|1206.87|1162.54|1303.19|1080|1277.31|441.16|429.65|441.16|1397.73|1397.73|272.5|395.13|281.49|1453.64|1303.19|1303.19|275.23|305.2|299.75|327|383.62|1229.55|1229.55|402.8|1198.07|690.52|402.8|395.13|0|1830.92
Professional|||28309|OSTEOTOMY METATARSALSMULTIPLE|3314|3314|2790.9|2485.5|2816.9|2982.6|2816.9|2846.62|1708.7|1606.18|0|0|3053.91|2790.9|550.25|2989.75|2901.21|2824.87|2721.13|3050.33|2485.5|2989.75|1009.31|982.98|1009.31|3217.42|3217.42|623.79|903.99|644.38|3346.12|3050.33|3050.33|630.03|698.64|686.17|748.55|877.66|2931.93|2931.93|921.54|2856.88|1579.79|921.54|903.99|0|3346.12
Professional|||28310|OSTEOTOMY PROX PHALANX1ST TOE|1357|1357|1122.47|1017.75|1153.45|1221.3|1153.45|1752.96|1085.7|1020.56|0|0|1228.25|1122.47|221.38|1202.45|1166.84|1136.14|1094.41|1226.82|1017.75|1202.45|416.17|405.32|416.17|1317.29|1317.29|257.11|372.75|265.59|1369.98|1226.82|1226.82|259.68|287.96|282.82|308.53|361.89|1168.47|1168.47|379.98|1138.56|651.4|379.98|372.75|0|1752.96
Professional|||28312|OSTEOTOMYANY PHALANXANY TOE|1204|1204|994.72|903|1023.4|1083.6|1023.4|1619.32|1004.5|944.23|0|0|1088.46|994.72|196.66|1065.6|1034.04|1006.83|969.85|1087.19|903|1065.6|367.39|357.81|367.39|1168.3|1168.3|227.09|329.05|234.58|1215.03|1087.19|1087.19|229.36|254.34|249.8|272.51|319.47|1038.39|1038.39|335.44|1011.81|575.05|335.44|329.05|0|1619.32
Professional|||28313|RECONSTRUC TOE DEFORMSOFT TI*|1338|1338|1111.55|1003.5|1137.3|1204.2|1137.3|1675|1033.2|971.21|0|0|1216.31|1111.55|216.31|1190.75|1155.49|1125.08|1083.76|1214.88|1003.5|1190.75|410.25|399.55|410.25|1298.84|1298.84|253.52|367.44|261.89|1350.79|1214.88|1214.88|256.06|283.94|278.87|304.22|356.74|1163.93|1163.93|374.58|1134.13|642.13|374.58|367.44|0|1675
Professional|||28315|REMOV SESAMOID BONE1ST TOE|1239|1239|1023.11|929.25|1053.15|1115.1|1053.15|1551.38|961.1|903.43|0|0|1119.53|1023.11|201.07|1096.01|1063.55|1035.56|997.53|1118.22|929.25|1096.01|377.61|367.76|377.61|1202.57|1202.57|233.24|338.21|240.94|1250.67|1118.22|1118.22|235.57|261.23|256.56|279.89|328.36|1062.13|1062.13|344.78|1034.94|591.05|344.78|338.21|0|1551.38
Professional|||28320|REPAIR NON/MALUNION TARSAL BO*|2286|2286|1917.38|1714.5|1943.1|2057.4|1943.1|1955.66|1178.1|1107.41|0|0|2098.07|1917.38|371.25|2053.99|1993.17|1940.71|1869.45|2095.61|1714.5|2053.99|701.47|683.17|701.47|2219.23|2219.23|433.65|628.27|447.96|2308|2095.61|2095.61|437.99|485.69|477.02|520.38|609.97|1991.94|1991.94|640.47|1940.95|1097.95|640.47|628.27|0|2308
Professional|||28322|REPAIR NON/MALUNION METATARSAL|2157|2157|1810.37|1617.75|1833.45|1941.3|1833.45|2525.87|1542.8|1450.23|0|0|1980.98|1810.37|352.93|1939.36|1881.93|1832.41|1765.11|1978.66|1617.75|1939.36|657.58|640.43|657.58|2093.96|2093.96|406.45|588.96|419.86|2177.72|1978.66|1978.66|410.51|455.22|447.1|487.74|571.81|1877.68|1877.68|600.4|1829.62|1029.26|600.4|588.96|0|2525.87
Professional|||28400|CLOSED RX HEEL FX|862|862|711.92|646.5|732.7|775.8|732.7|789.61|484.4|455.34|0|0|779.01|711.92|140.59|762.64|740.06|720.58|694.12|778.1|646.5|762.64|263.9|257.02|263.9|836|836|162.94|236.36|168.32|869.44|778.1|778.1|164.57|182.49|179.23|195.53|229.48|734.12|734.12|240.95|715.33|413.06|240.95|236.36|0|869.44
Professional|||28415|OPEN RX HEEL FRACTURE|4157|4157|3511.55|3117.75|3533.45|3741.3|3533.45|3581.66|2142|2013.48|0|0|3842.48|3511.55|669.43|3761.76|3650.35|3554.29|3423.76|3837.97|3117.75|3761.76|1276.51|1243.21|1276.51|4034.97|4034.97|789.04|1143.31|815.08|4196.37|3837.97|3837.97|796.93|883.72|867.94|946.85|1110.01|3654.7|3654.7|1165.51|3561.15|1998.02|1165.51|1143.31|0|4196.37
Professional|||28430|CLOSED RX TALUS FX|794|794|656.23|595.5|674.9|714.6|674.9|758.43|465.5|437.57|0|0|718.07|656.23|130.01|702.99|682.17|664.22|639.82|717.23|595.5|702.99|242.65|236.32|242.65|770.08|770.08|149.85|217.33|154.8|800.88|717.23|717.23|151.35|167.83|164.84|179.82|211|678.68|678.68|221.55|661.3|379.8|221.55|217.33|0|800.88
Professional|||28435|CLOSED RX TALUS FXMANIPULATN|1208|1208|1013.28|906|1026.8|1087.2|1026.8|1161.59|703.5|661.29|0|0|1108.77|1013.28|174.15|1085.48|1053.34|1025.62|987.95|1107.48|906|1085.48|370.78|361.11|370.78|1172.25|1172.25|229.14|332.09|236.7|1219.14|1107.48|1107.48|231.43|256.64|252.05|274.97|322.42|930.92|930.92|338.54|907.09|580.36|338.54|332.09|0|1219.14
Professional|||28445|OPEN RX TALUS FX|3901|3901|3305.18|2925.75|3315.85|3510.9|3315.85|3371.17|2010.4|1889.78|0|0|3616.66|3305.18|641.4|3540.68|3435.83|3345.41|3222.55|3612.42|2925.75|3540.68|1179.08|1148.32|1179.08|3787.06|3787.06|728.74|1056.05|752.79|3938.54|3612.42|3612.42|736.03|816.19|801.61|874.49|1025.29|3461.28|3461.28|1076.55|3372.67|1845.52|1076.55|1056.05|0|3938.54
Professional|||28446|OPEN OSTEOCHONDRAL AUTOGRAFT TALUS|4503|4503|3842.4|3377.25|3827.55|4052.7|3827.55|3919.11|2325.4|2185.88|0|0|4204.5|3842.4|726.38|4116.17|3994.28|3889.16|3746.34|4199.57|3377.25|4116.17|1380.62|1344.6|1380.62|4371.21|4371.21|853.45|1236.56|881.61|4546.06|4199.57|4199.57|861.98|955.86|938.8|1024.14|1200.54|3928.44|3928.44|1260.57|3827.87|2160.97|1260.57|1236.56|0|4546.06
Professional|||28450|CLOSED RX TARSAL FXEACH|724|724|597.27|543|615.4|651.6|615.4|678.24|417.2|392.17|0|0|653.56|597.27|118.73|639.83|620.88|604.54|582.34|652.79|543|639.83|221.12|215.35|221.12|702.82|702.82|136.51|198.05|141.01|730.93|652.79|652.79|137.88|152.89|150.16|163.81|192.28|622.13|622.13|201.89|606.21|346.1|201.89|198.05|0|730.93
Professional|||28465|OPEN RX TARSAL FXEACH|2372|2372|1983.98|1779|2016.2|2134.8|2016.2|2023.59|1222.2|1148.87|0|0|2170.95|1983.98|378.09|2125.34|2062.4|2008.13|1934.38|2168.41|1779|2125.34|725.49|706.56|725.49|2302.3|2302.3|448.53|649.79|463.33|2394.39|2168.41|2168.41|453.02|502.35|493.38|538.24|630.86|2042.84|2042.84|662.4|1990.55|1135.55|662.4|649.79|0|2394.39
Professional|||28470|CLOSED RX METATARSAL FX|773|773|636.58|579.75|657.05|695.7|657.05|697.18|428.4|402.7|0|0|696.57|636.58|126.91|681.94|661.74|644.33|620.67|695.75|579.75|681.94|236.54|230.37|236.54|750.3|750.3|146|211.86|150.82|780.31|695.75|695.75|147.46|163.52|160.6|175.2|205.69|660.59|660.59|215.97|643.68|370.24|215.97|211.86|0|780.31
Professional|||28475|CLOSED RX METATARSAL FXMANIP|858|858|709.74|643.5|729.3|772.2|729.3|818.57|501.9|471.79|0|0|776.62|709.74|140.38|760.31|737.79|718.37|692|775.71|643.5|760.31|262.29|255.45|262.29|832.04|832.04|161.91|234.92|167.25|865.32|775.71|775.71|163.53|181.34|178.1|194.29|228.08|735.25|735.25|239.48|716.43|410.54|239.48|234.92|0|865.32
Professional|||28476|PERCUT RX METATARSAL FX|1334|1334|1103.91|1000.5|1133.9|1200.6|1133.9|1125.95|687.4|646.16|0|0|1207.94|1103.91|217.4|1182.57|1147.55|1117.35|1076.31|1206.53|1000.5|1182.57|426.25|415.13|426.25|1294.88|1294.88|263.52|381.77|272.22|1346.68|1206.53|1206.53|266.16|295.14|289.87|316.22|370.65|1142.46|1142.46|389.18|1113.22|667.17|389.18|381.77|0|1346.68
Professional|||28485|OPEN RX METATARSAL FRACTURE|2059|2059|1709.92|1544.25|1750.15|1853.1|1750.15|1744.05|1061.2|997.53|0|0|1871.06|1709.92|322.47|1831.75|1777.5|1730.73|1667.17|1868.86|1544.25|1831.75|638.69|622.03|638.69|1999.02|1999.02|394.65|572.04|407.67|2078.98|1868.86|1868.86|398.6|442.01|434.12|473.58|555.38|1760.06|1760.06|583.15|1715.01|999.68|583.15|572.04|0|2078.98
Professional|||28490|CLOSED RX BIG TOE FRACTURE|475|475|389.81|356.25|403.75|427.5|403.75|458.84|284.2|267.15|0|0|426.54|389.81|77.9|417.58|405.22|394.55|380.06|426.04|356.25|417.58|144.18|140.41|144.18|460.2|460.2|89.04|129.13|91.98|478.61|426.04|426.04|89.93|99.72|97.94|106.85|125.37|404.94|404.94|131.64|394.58|225.67|131.64|129.13|0|478.61
Professional|||28495|CLOSED RX BIG TOE FXMANIP|571|571|467.33|428.25|485.35|513.9|485.35|571.33|353.5|332.29|0|0|511.37|467.33|92.71|500.63|485.81|473.02|455.65|510.78|428.25|500.63|172.5|168|172.5|553.82|553.82|106.48|154.5|109.99|575.97|510.78|510.78|107.54|119.26|117.13|127.78|150|486.39|486.39|157.5|473.94|270|157.5|154.5|0|575.97
Professional|||28496|PERCUT BIG TOE FX|927|927|767.61|695.25|787.95|834.3|787.95|1476.77|917.7|862.64|0|0|839.94|767.61|145|822.3|797.95|776.95|748.42|838.96|695.25|822.3|279.23|271.95|279.23|899.29|899.29|172.43|250.09|178.12|935.26|838.96|838.96|174.15|193.12|189.67|206.92|242.81|773.7|773.7|254.95|753.9|437.06|254.95|250.09|0|1476.77
Professional|||28505|OPEN BIG TOE FX|1879|1879|1564.69|1409.25|1597.15|1691.1|1597.15|2133.85|1310.4|1231.78|0|0|1712.15|1564.69|307.24|1676.18|1626.54|1583.74|1525.57|1710.14|1409.25|1676.18|573.29|558.33|573.29|1823.65|1823.65|354.36|513.47|366.05|1896.6|1710.14|1710.14|357.9|396.88|389.8|425.23|498.51|1629.98|1629.98|523.44|1588.26|897.32|523.44|513.47|0|2133.85
Professional|||28510|CLOSED RX TOE FX|458|458|374.52|343.5|389.3|412.2|389.3|390.91|241.5|227.01|0|0|409.82|374.52|74.82|401.21|389.33|379.08|365.16|409.34|343.5|401.21|139.1|135.48|139.1|444.38|444.38|85.96|124.59|88.8|462.16|409.34|409.34|86.82|96.28|94.56|103.15|120.96|389.12|389.12|127.01|379.16|217.73|127.01|124.59|0|462.16
Professional|||28515|CLOSED RX TOE FXMANIPULATN|545|545|445.5|408.75|463.25|490.5|463.25|520.1|322|302.68|0|0|487.48|445.5|88.5|477.24|463.1|450.92|434.36|486.91|408.75|477.24|165.69|161.37|165.69|528.77|528.77|102.38|148.4|105.76|549.92|486.91|486.91|103.4|114.67|112.62|122.86|144.08|462.62|462.62|151.28|450.78|259.34|151.28|148.4|0|549.92
Professional|||28525|OPEN RX TOE FX|1520|1520|1260.05|1140|1292|1368|1292|1832.04|1130.5|1062.67|0|0|1378.8|1260.05|244.12|1349.83|1309.86|1275.39|1228.55|1377.18|1140|1349.83|466.89|454.71|466.89|1475.53|1475.53|288.41|418.17|297.93|1534.55|1377.18|1377.18|291.29|323.02|317.25|346.09|405.99|1290.63|1290.63|426.29|1257.59|730.78|426.29|418.17|0|1832.04
Professional|||28530|CLOSED RX SESAMOID BONE FX|394|394|322.11|295.5|334.9|354.6|334.9|371.98|230.3|216.48|0|0|352.47|322.11|64|345.06|334.84|326.03|314.06|352.05|295.5|345.06|117.42|114.35|117.42|382.4|382.4|72.36|105.16|74.75|397.7|352.05|352.05|73.08|81.04|79.6|86.83|102.1|331.41|331.41|107.21|322.93|183.78|107.21|105.16|0|397.7
Professional|||28540|CLOSED RX TARSAL DISLOCATION|670|670|545.95|502.5|569.5|603|569.5|619.22|385|361.9|0|0|597.4|545.95|115.88|584.85|567.53|552.6|532.3|596.7|502.5|584.85|204.45|199.11|204.45|650.07|650.07|126.24|183.11|130.41|676.07|596.7|596.7|127.5|141.39|138.86|151.49|177.78|564.42|564.42|186.67|549.98|320|186.67|183.11|0|676.07
Professional|||28546|PERCUT RX TARSAL DISLOCATION|1281|1281|1067.88|960.75|1088.85|1152.9|1088.85|1856.54|1148.7|1079.78|0|0|1168.51|1067.88|201.3|1143.97|1110.09|1080.88|1041.18|1167.15|960.75|1143.97|394.35|384.06|394.35|1243.46|1243.46|243.77|353.2|251.81|1293.2|1167.15|1167.15|246.21|273.02|268.15|292.52|342.91|1076.84|1076.84|360.06|1049.28|617.24|360.06|353.2|0|1856.54
Professional|||28555|OPEN RX TARSAL DISLOCATION|2455|2455|2063.69|1841.25|2086.75|2209.5|2086.75|2773.11|1689.1|1587.75|0|0|2258.17|2063.69|404.79|2210.73|2145.26|2088.81|2012.1|2255.53|1841.25|2210.73|744.11|724.7|744.11|2382.74|2382.74|459.82|666.46|474.99|2478.05|2255.53|2255.53|464.42|515|505.8|551.78|647.05|2171.78|2171.78|679.4|2116.19|1164.69|679.4|666.46|0|2773.11
Professional|||28570|CLOSED RX TALOTARSAL DISLOC|723|723|601.64|542.25|614.55|650.7|614.55|728.36|445.2|418.49|0|0|658.33|601.64|116.08|644.5|625.42|608.96|586.6|657.56|542.25|644.5|221.46|215.68|221.46|701.5|701.5|136.76|198.35|141.27|729.56|657.56|657.56|138.13|153.17|150.44|164.11|192.57|494.3|494.3|202.2|481.64|346.63|202.2|198.35|0|729.56
Professional|||28600|CLOSED RX TAR-METATAR DISLOCA*|708|708|584.17|531|601.8|637.2|601.8|697.18|429.8|404.01|0|0|639.22|584.17|115.88|625.79|607.26|591.28|569.57|638.47|531|625.79|214.26|208.67|214.26|687|687|132.4|191.9|136.77|714.48|638.47|638.47|133.72|148.29|145.64|158.88|186.31|615.33|615.33|195.63|599.57|335.36|195.63|191.9|0|714.48
Professional|||28606|PERCUT RX TAR-METATAR FOOT DI*|1463|1463|1228.39|1097.25|1243.55|1316.7|1243.55|1252.91|753.9|708.67|0|0|1344.15|1228.39|239.48|1315.91|1276.94|1243.34|1197.68|1342.58|1097.25|1315.91|444.62|433.03|444.62|1420.15|1420.15|274.81|398.23|283.88|1476.96|1342.58|1342.58|277.56|307.79|302.29|329.77|386.63|1287.23|1287.23|405.96|1254.28|695.93|405.96|398.23|0|1476.96
Professional|||28615|OPEN RX TAR-METATARSAL DISLOC*|3028|3028|2543.04|2271|2573.8|2725.2|2573.8|2593.81|1560.3|1466.68|0|0|2782.69|2543.04|479.41|2724.23|2643.55|2573.99|2479.46|2779.43|2271|2724.23|931.99|907.68|931.99|2939.19|2939.19|576.06|834.74|595.07|3056.76|2779.43|2779.43|581.82|645.19|633.67|691.27|810.43|2615.21|2615.21|850.95|2548.26|1458.77|850.95|834.74|0|3056.76
Professional|||28630|CLOSED RX MT-PHAL TOE DISLOCA*|412|412|343.95|309|350.2|370.8|350.2|500.05|306.6|288.2|0|0|376.36|343.95|66.65|368.46|357.54|348.13|335.35|375.92|309|368.46|126.19|122.9|126.19|399.54|399.54|78|113.02|80.57|415.52|375.92|375.92|78.78|87.36|85.8|93.6|109.73|360.82|360.82|115.22|351.58|197.51|115.22|113.02|0|500.05
Professional|||28645|OPEN RX MT-PHAL TOE DISLOCATI*|1839|1839|1527.57|1379.25|1563.15|1655.1|1563.15|2112.69|1300.6|1222.56|0|0|1671.53|1527.57|298.63|1636.41|1587.95|1546.16|1489.38|1669.57|1379.25|1636.41|561.48|546.83|561.48|1785.41|1785.41|346.92|502.89|358.37|1856.83|1669.57|1669.57|350.39|388.55|381.61|416.3|488.24|1577.95|1577.95|512.65|1537.56|878.83|512.65|502.89|0|2112.69
Professional|||28660|CLOSED RX I-P JTTOE DISLOCAT*|336|336|279.53|252|285.6|302.4|285.6|376.43|231|217.14|0|0|305.87|279.53|53.85|299.44|290.58|282.93|272.54|305.51|252|299.44|103.16|100.46|103.16|325.7|325.7|63.63|92.39|65.73|338.73|305.51|305.51|64.27|71.27|69.99|76.36|89.7|289.59|289.59|94.19|282.17|161.46|94.19|92.39|0|376.43
Professional|||28665|CLOSED RX I-P JTTOE DISLOCA*|496|496|410.55|372|421.6|446.4|421.6|495.6|304.5|286.23|0|0|449.24|410.55|80.55|439.81|426.78|415.55|400.29|448.72|372|439.81|149.56|145.66|149.56|481.29|481.29|92.37|133.95|95.42|500.54|448.72|448.72|93.29|103.45|101.61|110.84|130.05|428.71|428.71|136.55|417.73|234.09|136.55|133.95|0|500.54
Professional|||28666|PERCUT RX I-P JTTOE DISLOC|621|621|494.63|465.75|527.85|558.9|527.85|504.51|310.1|291.49|0|0|541.24|494.63|114.54|529.87|514.18|500.65|482.26|540.61|465.75|529.87|194.15|189.09|194.15|585.46|585.46|119.83|173.89|123.78|608.88|540.61|540.61|121.03|134.21|131.81|143.8|168.83|602.91|602.91|177.27|587.47|303.89|177.27|173.89|0|621
Professional|||28675|OPEN RX I-P JTTOE DISLOCATION|1527|1527|1265.51|1145.25|1297.95|1374.3|1297.95|1832.04|1130.5|1062.67|0|0|1384.77|1265.51|254.27|1355.68|1315.53|1280.92|1233.87|1383.15|1145.25|1355.68|467.58|455.38|467.58|1482.13|1482.13|288.93|418.79|298.46|1541.42|1383.15|1383.15|291.82|323.6|317.82|346.72|406.59|1340.4|1340.4|426.92|1306.09|731.86|426.92|418.79|0|1832.04
Professional|||28715|FUSION FOOT BONESTRIPLE|3505|3505|2960.14|2628.75|2979.25|3154.5|2979.25|3019.24|1805.3|1696.98|0|0|3239.1|2960.14|568.57|3171.06|3077.15|2996.17|2886.14|3235.31|2628.75|3171.06|1071.23|1043.28|1071.23|3402.02|3402.02|662.28|959.45|684.14|3538.1|3235.31|3235.31|668.9|741.75|728.51|794.74|931.5|3056.33|3056.33|978.08|2978.1|1676.7|978.08|959.45|0|3538.1
Professional|||28725|FUSION FOOT BONESSUBTALAR|2908|2908|2452.41|2181|2471.8|2617.2|2471.8|2501.37|1499.4|1409.44|0|0|2683.52|2452.41|472.12|2627.15|2549.34|2482.26|2391.1|2680.38|2181|2627.15|889.25|866.05|889.25|2823.16|2823.16|549.63|796.46|567.77|2936.09|2680.38|2680.38|555.13|615.59|604.59|659.56|773.26|2532.63|2532.63|811.92|2467.8|1391.87|811.92|796.46|0|2936.09
Professional|||28730|FUSION FOOT BONESMIDTARSALM*|2749|2749|2309.37|2061.75|2336.65|2474.1|2336.65|2355.48|1416.1|1331.13|0|0|2527|2309.37|446.96|2473.92|2400.65|2337.48|2251.64|2524.04|2061.75|2473.92|841.2|819.26|841.2|2668.88|2668.88|519.87|753.42|537.03|2775.64|2524.04|2524.04|525.07|582.25|571.86|623.84|731.48|2384.43|2384.43|768.05|2323.39|1316.66|768.05|753.42|0|2775.64
Professional|||28735|FUSION FOOT BONESMIDTARSALO*|2919|2919|2451.32|2189.25|2481.15|2627.1|2481.15|2500.26|1504.3|1414.04|0|0|2682.33|2451.32|476.31|2625.98|2548.21|2481.15|2390.04|2679.18|2189.25|2625.98|888.23|865.05|888.23|2833.7|2833.7|549.12|795.54|567.24|2947.05|2679.18|2679.18|554.61|615.01|604.03|658.94|772.37|2550.72|2550.72|810.99|2485.43|1390.27|810.99|795.54|0|2947.05
Professional|||28740|FUSION FOOT BONEMIDTARSAL1 *|2338|2338|1955.59|1753.5|1987.3|2104.2|1987.3|2708.52|1658.3|1558.8|0|0|2139.89|1955.59|379.41|2094.93|2032.89|1979.4|1906.7|2137.38|1753.5|2094.93|713.21|694.6|713.21|2269.34|2269.34|440.83|638.79|455.38|2360.11|2137.38|2137.38|445.24|493.73|484.91|529|620.18|2028.12|2028.12|651.19|1976.2|1116.32|651.19|638.79|0|2708.52
Professional|||28750|FUSION BIG TOEMT-P JT|2201|2201|1837.67|1650.75|1870.85|1980.9|1870.85|2575.99|1579.2|1484.45|0|0|2010.85|1837.67|362.2|1968.61|1910.31|1860.03|1791.73|2008.49|1650.75|1968.61|670.51|653.02|670.51|2136.16|2136.16|414.4|600.54|428.08|2221.61|2008.49|2008.49|418.54|464.13|455.84|497.28|583.05|1918.41|1918.41|612.2|1869.3|1049.49|612.2|600.54|0|2575.99
Professional|||28755|FUSION BIG TOEI-P JOINT|1261|1261|1043.86|945.75|1071.85|1134.9|1071.85|1641.59|1015.7|954.76|0|0|1142.23|1043.86|203.95|1118.23|1085.12|1056.56|1017.76|1140.89|945.75|1118.23|385.26|375.21|385.26|1223.68|1223.68|238.12|345.06|245.98|1272.63|1140.89|1140.89|240.5|266.69|261.93|285.74|335.01|1075.71|1075.71|351.76|1048.17|603.02|351.76|345.06|0|1641.59
Professional|||28760|FUSION BIG TOEI-P JT+TENDN X*|2195|2195|1825.66|1646.25|1865.75|1975.5|1865.75|2547.03|1568|1473.92|0|0|1997.71|1825.66|355.81|1955.74|1897.82|1847.88|1780.02|1995.36|1646.25|1955.74|665.21|647.85|665.21|2130.88|2130.88|411.07|595.79|424.64|2216.12|1995.36|1995.36|415.18|460.4|452.18|493.28|578.44|1891.27|1891.27|607.36|1842.86|1041.19|607.36|595.79|0|2547.03
Professional|||28800|AMPUTATION FOOTMIDTARSAL-CHO*|2004|2004|1680.43|1503|1703.4|1803.6|1703.4|1713.98|1033.2|971.21|0|0|1838.8|1680.43|331.51|1800.17|1746.86|1700.89|1638.42|1836.64|1503|1800.17|612.84|596.85|612.84|1944.96|1944.96|378.74|548.89|391.24|2022.76|1836.64|1836.64|382.53|424.19|416.61|454.49|532.9|1762.33|1762.33|559.55|1717.22|959.22|559.55|548.89|0|2022.76
Professional|||28805|AMPUTATION FOOTTRANSMETATARS*|2706|2706|2285.35|2029.5|2300.1|2435.4|2300.1|2330.97|1394.4|1310.74|0|0|2500.72|2285.35|443.86|2448.18|2375.68|2313.16|2228.22|2497.79|2029.5|2448.18|822.78|801.32|822.78|2626.68|2626.68|508.58|736.92|525.36|2731.75|2497.79|2497.79|513.67|569.61|559.44|610.3|715.46|2388.97|2388.97|751.23|2327.82|1287.83|751.23|736.92|0|2731.75
Professional|||28810|AMPUTATION METATARSAL+TOESIN*|1594|1594|1349.59|1195.5|1354.9|1434.6|1354.9|1376.53|821.1|771.83|0|0|1476.77|1349.59|261.99|1445.75|1402.93|1366.01|1315.85|1475.04|1195.5|1445.75|486.89|474.19|486.89|1546.74|1546.74|300.99|436.08|310.92|1608.61|1475.04|1475.04|304|337.11|331.09|361.19|423.38|1408.26|1408.26|444.55|1372.21|762.08|444.55|436.08|0|1608.61
Professional|||28820|AMPUTATION TOEMT-P JT|1482|1482|1237.12|1111.5|1259.7|1333.8|1259.7|1801.97|1107.4|1040.96|0|0|1353.71|1237.12|243.67|1325.27|1286.02|1252.18|1206.19|1352.12|1111.5|1325.27|452.02|440.23|452.02|1438.61|1438.61|279.43|404.85|288.65|1496.15|1352.12|1352.12|282.22|312.96|307.37|335.32|393.06|1288.36|1288.36|412.71|1255.38|707.51|412.71|404.85|0|1801.97
Professional|||28825|AMPUTATION TOEI-P JT|1397|1397|1161.78|1047.75|1187.45|1257.3|1187.45|1725.12|1062.6|998.84|0|0|1271.27|1161.78|228.43|1244.56|1207.7|1175.92|1132.74|1269.78|1047.75|1244.56|425.14|414.05|425.14|1355.54|1355.54|262.75|380.78|271.42|1409.76|1269.78|1269.78|265.38|294.28|289.03|315.3|369.69|1209.19|1209.19|388.17|1178.24|665.44|388.17|380.78|0|1725.12
Professional|||28899|TOPAZ COBLATION FOR PLANTAR FASCIITIS|990|990|0|742.5|841.5|891|841.5|0|0|0|0|0|0|0|0|0|0|0|0|0|742.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|990
Professional|||28899|FOOT/TOES SURGERY AMPUTATION|1256|1256|0|942|1067.6|1130.4|1067.6|0|0|0|0|0|0|0|0|0|0|0|0|0|942|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1256
Professional|||28899|REPLACEMENT DEEP HARDWARE|1835|1835|0|1376.25|1559.75|1651.5|1559.75|0|0|0|0|0|0|0|0|0|0|0|0|0|1376.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1835
Professional|||28899|OPEN OSTEOCHONDRAL AUTOGRAFT 1ST METATARSAL|4315|4315|0|3236.25|3667.75|3883.5|3667.75|0|0|0|0|0|0|0|0|0|0|0|0|0|3236.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4315
Professional|||28899|INTERPHALANGEAL JOINT ARTHRODESIS FOOT/TOES|1444|1444|0|1083|1227.4|1299.6|1227.4|0|0|0|0|0|0|0|0|0|0|0|0|0|1083|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1444
Professional|||29065|APPLY LONG ARM CAST|252|252|211.83|189|214.2|226.8|214.2|302.93|184.8|173.71|0|0|231.79|211.83|41.71|226.92|220.2|214.41|206.53|231.52|189|226.92|77.12|75.11|77.12|243.94|243.94|47.47|69.07|49.04|253.7|231.52|231.52|47.94|53.17|52.22|56.96|67.06|221.7|221.7|70.41|216.02|120.71|70.41|69.07|0|302.93
Professional|||29075|APPLY FOREARM CAST|231|231|193.27|173.25|196.35|207.9|196.35|273.97|167.3|157.26|0|0|211.48|193.27|38.18|207.04|200.91|195.62|188.44|211.23|173.25|207.04|70|68.17|70|224.16|224.16|43.1|62.7|44.52|233.13|211.23|211.23|43.53|48.27|47.41|51.72|60.87|202.47|202.47|63.91|197.29|109.57|63.91|62.7|0|273.97
Professional|||29105|APPLY LONG ARM SPLINT|200|200|150.68|150|170|180|170|259.49|159.6|150.02|0|0|164.88|150.68|35.96|161.42|156.64|152.52|146.91|164.69|150|161.42|46.89|45.66|46.89|174.06|174.06|28.73|41.99|29.68|181.02|164.69|164.69|29.02|32.18|31.6|34.48|40.77|193.43|193.43|42.81|188.47|73.39|42.81|41.99|0|259.49
Professional|||29125|APPLY FOREARM SPLINTSTATIC|150|150|123.38|112.5|127.5|135|127.5|203.81|126|118.44|0|0|135.01|123.38|24.05|132.18|128.26|124.89|120.3|134.85|112.5|132.18|44.77|43.6|44.77|145.04|145.04|27.45|40.1|28.36|150.84|134.85|134.85|27.72|30.74|30.2|32.94|38.93|127.81|127.81|40.88|124.53|70.07|40.88|40.1|0|203.81
Professional|||29130|APPLY FINGER SPLINTSTATIC|108|108|90.63|81|91.8|97.2|91.8|130.3|79.1|74.35|0|0|99.17|90.63|16.99|97.09|94.21|91.73|88.36|99.05|81|97.09|33.01|32.14|33.01|104.17|104.17|20.27|29.56|20.94|108.34|99.05|99.05|20.47|22.7|22.3|24.32|28.7|92.76|92.76|30.14|90.38|51.66|30.14|29.56|0|130.3
Professional|||29131|APPLY FINGER SPLINTDYNAMIC|125|125|104.82|93.75|106.25|112.5|106.25|162.6|99.4|93.44|0|0|114.7|104.82|19.86|112.29|108.97|106.1|102.2|114.57|93.75|112.29|38.44|37.44|38.44|121.32|121.32|23.6|34.43|24.38|126.17|114.57|114.57|23.84|26.43|25.96|28.32|33.43|107.44|107.44|35.1|104.69|60.17|35.1|34.43|0|162.6
Professional|||29240|STRAPPING OF SHOULDER|72|72|58.96|54|61.2|64.8|61.2|96.89|60.2|56.59|0|0|64.52|58.96|11.26|63.16|61.29|59.68|57.49|64.44|54|63.16|21.94|21.37|21.94|69.89|69.89|13.34|19.65|13.78|72.69|64.44|64.44|13.47|14.94|14.67|16.01|19.08|58.81|58.81|20.03|57.31|34.34|20.03|19.65|0|96.89
Professional|||29405|APPLY SHORT LEG CAST|222|222|185.62|166.5|188.7|199.8|188.7|256.15|156.8|147.39|0|0|203.12|185.62|36.64|198.85|192.96|187.88|180.98|202.88|166.5|198.85|67.32|65.56|67.32|214.93|214.93|41.56|60.3|42.93|223.53|202.88|202.88|41.98|46.55|45.72|49.87|58.54|195.7|195.7|61.47|190.69|105.37|61.47|60.3|0|256.15
Professional|||29505|APPLY LONG LEG SPLINT|191|191|158.33|143.25|162.35|171.9|162.35|270.63|167.3|157.26|0|0|173.25|158.33|30.23|169.61|164.58|160.25|154.37|173.04|143.25|169.61|57.57|56.07|57.57|184.6|184.6|35.41|51.56|36.58|191.98|173.04|173.04|35.76|39.66|38.95|42.49|50.06|161.75|161.75|52.56|157.61|90.11|52.56|51.56|0|270.63
Professional|||29515|APPLY LOWER LEG SPLINT|187|187|155.05|140.25|158.95|168.3|158.95|226.08|139.3|130.94|0|0|169.66|155.05|30.03|166.1|161.18|156.94|151.17|169.46|140.25|166.1|56.29|54.82|56.29|180.65|180.65|34.64|50.42|35.78|187.88|169.46|169.46|34.99|38.8|38.1|41.57|48.95|161.75|161.75|51.4|157.61|88.11|51.4|50.42|0|226.08
Professional|||29580|APPLY OF PASTE BOOT|119|119|86.26|89.25|101.15|107.1|101.15|198.24|122.5|115.15|0|0|94.39|86.26|21.63|92.41|89.67|87.31|84.1|94.28|89.25|92.41|30.73|29.93|30.73|98.9|98.9|18.98|27.52|19.61|102.86|94.28|94.28|19.17|21.26|20.88|22.78|26.72|115.39|115.39|28.06|112.43|48.1|28.06|27.52|0|198.24
Professional|||29800|TMJ ARTHROSCOPY/DIAGNOSTIC|1956|1956|1660.78|1467|1662.6|1760.4|1662.6|1693.94|1008|947.52|0|0|1817.29|1660.78|310.11|1779.11|1726.43|1680.99|1619.26|1815.16|1467|1779.11|599.84|584.19|599.84|1898.8|1898.8|370.78|537.25|383.02|1974.75|1815.16|1815.16|374.49|415.27|407.86|444.94|521.6|1715.93|1715.93|547.68|1672.01|938.88|547.68|537.25|0|1974.75
Professional|||29804|TMJ ARTHROSCOPY/SURGERY|2385|2385|2012.37|1788.75|2027.25|2146.5|2027.25|2052.55|1229.2|1155.45|0|0|2202.02|2012.37|393.11|2155.76|2091.92|2036.87|1962.06|2199.44|1788.75|2155.76|719.5|700.73|719.5|2315.49|2315.49|444.68|644.42|459.35|2408.11|2199.44|2199.44|449.13|498.04|489.15|533.62|625.65|2099.38|2099.38|656.93|2045.64|1126.17|656.93|644.42|0|2408.11
Professional|||29848|WRIST ARTHROSCOPRELEASE XVER*|1905|1905|1606.18|1428.75|1619.25|1714.5|1619.25|1638.25|981.4|922.52|0|0|1757.55|1606.18|311.65|1720.63|1669.67|1625.73|1566.03|1755.49|1428.75|1720.63|582.28|567.09|582.28|1848.7|1848.7|359.75|521.52|371.62|1922.65|1755.49|1755.49|363.35|402.92|395.73|431.7|506.33|1660.53|1660.53|531.65|1618.02|911.39|531.65|521.52|0|1922.65
Professional|||29893|ANKLE SCOPEPLANTAR FASCIOTOMY|1644|1644|1346.31|1233|1397.4|1479.6|1397.4|1992.41|1241.1|1166.63|0|0|1473.19|1346.31|267.29|1442.24|1399.53|1362.7|1312.65|1471.46|1233|1442.24|502.69|489.57|502.69|1595.52|1595.52|310.74|450.23|320.99|1659.34|1471.46|1471.46|313.85|348.03|341.81|372.89|437.12|1390.16|1390.16|458.98|1354.58|786.82|458.98|450.23|0|1992.41
Professional|||29898|ANKLE SCOPEEXTENS DEBRIDEMNT|2103|2103|1766.69|1577.25|1787.55|1892.7|1787.55|1801.97|1084.3|1019.24|0|0|1933.19|1766.69|343.88|1892.57|1836.53|1788.2|1722.52|1930.92|1577.25|1892.57|644.16|627.36|644.16|2041.21|2041.21|398.24|576.94|411.38|2122.86|1930.92|1930.92|402.22|446.03|438.06|477.89|560.14|1834.69|1834.69|588.15|1787.73|1008.25|588.15|576.94|0|2122.86
Professional|||30000|DRAIN ABSCESS/HEMATOMANASAL|442|442|367.97|331.5|375.7|397.8|375.7|760.66|472.5|444.15|0|0|402.65|367.97|72.4|394.19|382.52|372.45|358.77|402.18|331.5|394.19|135.25|131.72|135.25|428.55|428.55|83.39|121.14|86.14|445.69|402.18|402.18|84.22|93.4|91.73|100.07|117.61|378.94|378.94|123.49|369.24|211.7|123.49|121.14|0|760.66
Professional|||30020|DRAIN ABSCESS/HEMATOMANASAL *|443|443|367.97|332.25|376.55|398.7|376.55|768.45|477.4|448.76|0|0|402.65|367.97|73.06|394.19|382.52|372.45|358.77|402.18|332.25|394.19|136.09|132.54|136.09|429.87|429.87|83.9|121.89|86.67|447.06|402.18|402.18|84.74|93.97|92.29|100.68|118.34|382.31|382.31|124.26|372.53|213.01|124.26|121.89|0|768.45
Professional|||30100|INTRANASAL BIOPSY|253|253|210.74|189.75|215.05|227.7|215.05|445.48|276.5|259.91|0|0|230.6|210.74|41.94|225.75|219.07|213.3|205.47|230.33|189.75|225.75|76.49|74.49|76.49|245.27|245.27|47.21|68.51|48.77|255.08|230.33|230.33|47.68|52.88|51.93|56.65|66.51|221.7|221.7|69.84|216.02|119.72|69.84|68.51|0|445.48
Professional|||30117|EXCIS/DEST INTRANAS LESION; I*|1266|1266|1043.86|949.5|1076.1|1139.4|1076.1|2856.64|1791.3|1683.82|0|0|1142.23|1043.86|211.44|1118.23|1085.12|1056.56|1017.76|1140.89|949.5|1118.23|384.17|374.15|384.17|1228.95|1228.95|237.35|344.08|245.18|1278.11|1140.89|1140.89|239.72|265.83|261.09|284.82|334.06|1091.56|1091.56|350.76|1063.62|601.31|350.76|344.08|0|2856.64
Professional|||30125|EXCIS NASAL DERMOIDCOMPLX|2309|2309|1918.47|1731.75|1962.65|2078.1|1962.65|1956.77|1190|1118.6|0|0|2099.26|1918.47|372.79|2055.16|1994.3|1941.82|1870.51|2096.8|1731.75|2055.16|723.52|704.65|723.52|2241.65|2241.65|447.25|648.02|462.01|2331.32|2096.8|2096.8|451.72|500.92|491.98|536.7|629.15|1944.44|1944.44|660.61|1894.67|1132.47|660.61|648.02|0|2331.32
Professional|||30130|EXCISION TURBINATE|1466|1466|1203.27|1099.5|1246.1|1319.4|1246.1|1227.3|755.3|709.98|0|0|1316.67|1203.27|235.95|1289.01|1250.84|1217.92|1173.19|1315.13|1099.5|1289.01|459.26|447.28|459.26|1422.79|1422.79|283.79|411.34|293.16|1479.7|1315.13|1315.13|286.63|317.84|312.17|340.55|399.36|1220.5|1220.5|419.33|1189.26|718.85|419.33|411.34|0|1479.7
Professional|||30140|EXCISION TURBINATESUBMUCOUS|1452|1452|559.05|1089|1234.2|1306.8|1234.2|882.05|539|506.66|0|0|611.74|559.05|274.78|598.89|581.15|565.86|545.07|611.02|1089|598.89|201.71|196.45|201.71|642.16|642.16|124.7|180.66|128.82|667.85|611.02|611.02|125.95|139.66|137.17|149.64|175.4|1409.39|1409.39|184.17|1373.31|315.72|184.17|180.66|0|1452
Professional|||30300|REMOVE NASAL FOREIGN BODY|417|417|342.86|312.75|354.45|375.3|354.45|585.81|365.4|343.48|0|0|375.17|342.86|65.56|367.29|356.41|347.03|334.29|374.73|312.75|367.29|131.58|128.15|131.58|404.82|404.82|81.34|117.85|84.02|421.01|374.73|374.73|82.15|91.1|89.47|97.61|114.42|340.46|340.46|120.14|331.74|205.96|120.14|117.85|0|585.81
Professional|||30310|REMV NASAL FOR BODYGEN ANESTH|765|765|630.03|573.75|650.25|688.5|650.25|642.6|394.1|370.45|0|0|689.4|630.03|127.79|674.92|654.93|637.69|614.28|688.59|573.75|674.92|234.99|228.86|234.99|742.38|742.38|145.23|210.47|150.02|772.08|688.59|688.59|146.68|162.66|159.75|174.28|204.34|661.72|661.72|214.56|644.78|367.81|214.56|210.47|0|772.08
Professional|||30400|RECONSTR NOSE|4087|4087|3382.71|3065.25|3473.95|3678.3|3473.95|3450.24|2106.3|1979.92|0|0|3701.49|3382.71|623.08|3623.73|3516.42|3423.88|3298.14|3697.15|3065.25|3623.73|1384.99|1348.86|1384.99|3967.72|3967.72|856.27|1240.47|884.53|4126.43|3697.15|3697.15|864.83|959.02|941.9|1027.52|1204.34|3238.44|3238.44|1264.56|3155.55|2167.81|1264.56|1240.47|0|4126.43
Professional|||30410|RECONSTR NOSECOMPLETE+EXTERN*|4704|4704|3906.82|3528|3998.4|4233.6|3998.4|3984.82|2424.8|2279.31|0|0|4274.99|3906.82|725.73|4185.19|4061.24|3954.37|3809.15|4269.99|3528|4185.19|1600.32|1558.57|1600.32|4566.36|4566.36|989.19|1433.33|1021.83|4749.01|4269.99|4269.99|999.08|1107.89|1088.11|1187.03|1391.58|3772.36|3772.36|1461.16|3675.79|2504.84|1461.16|1433.33|0|4749.01
Professional|||30420|RECONSTR NOSE+MAJ SEPTAL REPA*|5170|5170|4304.27|3877.5|4394.5|4653|4394.5|4390.21|2664.2|2504.35|0|0|4709.9|4304.27|839.84|4610.96|4474.41|4356.66|4196.66|4704.38|3877.5|4610.96|1620.79|1578.51|1620.79|5018.65|5018.65|1002.02|1451.66|1035.09|5219.4|4704.38|4704.38|1012.04|1122.26|1102.22|1202.42|1409.38|4395.59|4395.59|1479.85|4283.08|2536.88|1479.85|1451.66|0|5219.4
Professional|||30430|REVIS NOSESECONDARYMINOR|3615|3615|2974.34|2711.25|3072.75|3253.5|3072.75|3033.72|1863.4|1751.6|0|0|3254.64|2974.34|602.33|3186.26|3091.9|3010.54|2899.98|3250.82|2711.25|3186.26|1205.44|1174|1205.44|3508.83|3508.83|745.16|1079.66|769.75|3649.18|3250.82|3250.82|752.61|834.58|819.68|894.19|1048.21|2744.15|2744.15|1100.62|2673.9|1886.78|1100.62|1079.66|0|3649.18
Professional|||30450|REVIS NOSESECONDARYMAJOR|5875|5875|4903.72|4406.25|4993.75|5287.5|4993.75|5001.63|3028.2|2846.51|0|0|5365.85|4903.72|912.44|5253.12|5097.55|4963.41|4781.13|5359.56|4406.25|5253.12|1988.5|1936.63|1988.5|5703.01|5703.01|1229.37|1781|1269.94|5931.13|5359.56|5359.56|1241.66|1376.89|1352.31|1475.24|1729.13|4788.12|4788.12|1815.59|4665.55|3112.43|1815.59|1781|0|5931.13
Professional|||30460|REVIS NOSE/CLEFT LIP/TIP|3059|3059|2567.06|2294.25|2600.15|2753.1|2600.15|2618.31|1576.4|1481.82|0|0|2808.97|2567.06|434.59|2749.96|2668.53|2598.3|2502.88|2805.68|2294.25|2749.96|948.65|923.9|948.65|2969.53|2969.53|586.33|849.66|605.68|3088.31|2805.68|2805.68|592.19|656.69|644.96|703.6|824.91|2623.12|2623.12|866.16|2555.97|1484.84|866.16|849.66|0|3088.31
Professional|||30462|REVIS NOSE/CLEFT LIP/TIPSEPT*|5871|5871|4934.3|4403.25|4990.35|5283.9|4990.35|5032.81|3025.4|2843.88|0|0|5399.3|4934.3|954.16|5285.87|5129.34|4994.35|4810.94|5392.97|4403.25|5285.87|1822.23|1774.7|1822.23|5699.06|5699.06|1126.47|1632.09|1163.64|5927.02|5392.97|5392.97|1137.73|1261.65|1239.12|1351.76|1584.55|4530.21|4530.21|1663.78|4414.24|2852.19|1663.78|1632.09|0|5927.02
Professional|||30465|REPAIR NASAL CAVITY STENOSIS|3685|3685|3071.51|2763.75|3132.25|3316.5|3132.25|3132.84|1899.8|1785.81|0|0|3360.97|3071.51|600.13|3290.37|3192.92|3108.9|2994.72|3357.03|2763.75|3290.37|1146.34|1116.44|1146.34|3577.4|3577.4|708.72|1026.72|732.11|3720.5|3357.03|3357.03|715.81|793.77|779.59|850.46|996.82|3145.69|3145.69|1046.66|3065.16|1794.28|1046.66|1026.72|0|3720.5
Professional|||30520|REPAIR OF NASAL SEPTUM|2379|2379|1969.79|1784.25|2022.15|2141.1|2022.15|2009.11|1225.7|1152.16|0|0|2155.42|1969.79|383.6|2110.14|2047.65|1993.76|1920.55|2152.89|1784.25|2110.14|744.91|725.48|744.91|2308.9|2308.9|460.34|667.18|475.53|2401.26|2152.89|2152.89|464.94|515.58|506.37|552.41|647.75|1996.48|1996.48|680.14|1945.37|1165.95|680.14|667.18|0|2401.26
Professional|||30560|RELEASE OF NASAL ADHESIONS|525|525|431.3|393.75|446.25|472.5|446.25|886.51|553.7|520.48|0|0|471.95|431.3|84.76|462.03|448.35|436.55|420.52|471.39|393.75|462.03|163.3|159.04|163.3|508.99|508.99|100.84|146.26|104.17|529.35|471.39|471.39|101.85|112.94|110.92|121.01|142|440.02|440.02|149.1|428.76|255.6|149.1|146.26|0|886.51
Professional|||30580|REPAIR ORO-MAXILLARY FISTULA|1852|1852|1560.33|1389|1574.2|1666.8|1574.2|2041.41|1240.4|1165.98|0|0|1707.37|1560.33|312.76|1671.5|1622|1579.32|1521.32|1705.37|1389|1671.5|551.66|537.26|551.66|1797.27|1797.27|341.02|494.09|352.27|1869.16|1705.37|1705.37|344.43|381.94|375.12|409.22|479.7|1660.53|1660.53|503.69|1618.02|863.46|503.69|494.09|0|2041.41
Professional|||30600|REPAIR ORO-NASAL FISTULA|1615|1615|1362.69|1211.25|1372.75|1453.5|1372.75|1804.19|1096.2|1030.43|0|0|1491.11|1362.69|271.93|1459.79|1416.55|1379.28|1328.62|1489.36|1211.25|1459.79|495.39|482.46|495.39|1567.83|1567.83|306.12|443.69|316.22|1630.54|1489.36|1489.36|309.18|342.85|336.73|367.34|430.77|1377.71|1377.71|452.31|1342.45|775.39|452.31|443.69|0|1804.19
Professional|||30801|ABLATE INF TURBINATE SUPERF|532|532|434.58|399|452.2|478.8|452.2|703.86|439.6|413.22|0|0|475.53|434.58|85.19|465.54|451.75|439.87|423.72|474.97|399|465.54|167.56|163.18|167.56|515.58|515.58|103.4|150.07|106.81|536.2|474.97|474.97|104.43|115.81|113.74|124.08|145.7|437.75|437.75|152.99|426.55|262.26|152.99|150.07|0|703.86
Professional|||30802|ABLATE INF TURBINATE SUBMUC|723|723|598.36|542.25|614.55|650.7|614.55|894.3|553|519.82|0|0|654.75|598.36|116.97|641|622.01|605.64|583.4|653.98|542.25|641|225.72|219.83|225.72|701.5|701.5|139.33|202.17|143.93|729.56|653.98|653.98|140.72|156.05|153.26|167.2|196.28|609.68|609.68|206.09|594.08|353.3|206.09|202.17|0|894.3
Professional|||30901|CTRL NOSEBLEEDANTERSIMPLE|207|207|176.89|155.25|175.95|186.3|175.95|435.46|268.8|252.67|0|0|193.56|176.89|33.54|189.49|183.88|179.04|172.47|193.33|155.25|189.49|63.45|61.79|63.45|200.43|200.43|39|56.83|40.29|208.45|193.33|193.33|39.39|43.68|42.9|46.8|55.17|184.38|184.38|57.93|179.66|99.31|57.93|56.83|0|435.46
Professional|||30903|CTRL NOSEBLEEDANTERCOMPLEX|288|288|245.68|216|244.8|259.2|244.8|686.04|424.9|399.41|0|0|268.83|245.68|48.12|263.18|255.39|248.67|239.54|268.52|216|263.18|87.65|85.37|87.65|279.54|279.54|54.14|78.51|55.93|290.72|268.52|268.52|54.68|60.64|59.55|64.97|76.22|261.28|261.28|80.03|254.6|137.2|80.03|78.51|0|686.04
Professional|||30905|CTRL NOSEBLEEDPOSTW/PACKS &*|388|388|328.66|291|329.8|349.2|329.8|1042.42|648.9|609.97|0|0|359.63|328.66|63.79|352.08|341.65|332.66|320.44|359.21|291|352.08|118.71|115.62|118.71|375.8|375.8|73.38|106.33|75.8|390.83|359.21|359.21|74.11|82.19|80.72|88.06|103.23|345|345|108.39|336.16|185.81|108.39|106.33|0|1042.42
Professional|||30906|REPEAT CONTROL OF NOSEBLEED|502|502|425.84|376.5|426.7|451.8|426.7|1090.31|674.8|634.31|0|0|465.97|425.84|82.54|456.18|442.67|431.02|415.19|465.43|376.5|456.18|153.36|149.36|153.36|486.57|486.57|94.68|137.36|97.8|506.03|465.43|465.43|95.63|106.04|104.15|113.62|133.36|444.53|444.53|140.03|433.15|240.05|140.03|137.36|0|1090.31
Professional|||30930|THERAPUTIC FRACTURE INFER TUR*|454|454|374.52|340.5|385.9|408.6|385.9|382|233.8|219.77|0|0|409.82|374.52|76.14|401.21|389.33|379.08|365.16|409.34|340.5|401.21|136|132.45|136|440.42|440.42|83.9|121.81|86.67|458.04|409.34|409.34|84.74|93.97|92.29|100.68|118.26|394.76|394.76|124.17|384.66|212.87|124.17|121.81|0|458.04
Professional|||31020|EXPLOR MAXILL SINUSINTRANASAL|1391|1391|1139.94|1043.25|1182.35|1251.9|1182.35|1524.66|946.4|889.62|0|0|1247.37|1139.94|223.58|1221.17|1185|1153.82|1111.44|1245.91|1043.25|1221.17|432.54|421.25|432.54|1350.27|1350.27|267.37|387.4|276.19|1404.28|1245.91|1245.91|270.04|299.45|294.11|320.84|376.12|1156.02|1156.02|394.93|1126.43|677.02|394.93|387.4|0|1524.66
Professional|||31030|EXPLOR MAXILL SINUSRADICAL|1968|1968|1637.85|1476|1672.8|1771.2|1672.8|2131.62|1306.9|1228.49|0|0|1792.2|1637.85|326.01|1754.55|1702.59|1657.79|1596.9|1790.1|1476|1754.55|597.02|581.45|597.02|1910.67|1910.67|368.99|534.72|381.17|1987.1|1790.1|1790.1|372.68|413.27|405.89|442.79|519.15|1700.11|1700.11|545.11|1656.59|934.47|545.11|534.72|0|2131.62
Professional|||31032|EXPLOR MAXILL SINUSRMV POLYPS|2171|2171|1803.82|1628.25|1845.35|1953.9|1845.35|1839.83|1118.6|1051.48|0|0|1973.81|1803.82|352.93|1932.34|1875.12|1825.77|1758.72|1971.5|1628.25|1932.34|668.12|650.69|668.12|2107.15|2107.15|412.86|598.4|426.48|2191.44|1971.5|1971.5|416.99|462.4|454.15|495.43|580.97|1843.77|1843.77|610.02|1796.57|1045.75|610.02|598.4|0|2191.44
Professional|||31200|REMOV ETHMOID SINUSINTRANASA*|2250|2250|1827.84|1687.5|1912.5|2025|1912.5|1864.33|1159.2|1089.65|0|0|2000.1|1827.84|355.56|1958.08|1900.09|1850.09|1782.14|1997.75|1687.5|1958.08|700.79|682.51|700.79|2183.63|2183.63|433.14|627.66|447.43|2270.98|1997.75|1997.75|437.47|485.12|476.45|519.77|609.38|1836.96|1836.96|639.85|1789.94|1096.88|639.85|627.66|0|2270.98
Professional|||31225|REMV UPPER JAW-MAXILLECTOMY|6863|6863|5765.23|5147.25|5833.55|6176.7|5833.55|5880.34|3537.8|3325.53|0|0|6308.54|5765.23|1140.68|6176.02|5993.12|5835.4|5621.1|6301.15|5147.25|6176.02|2079.07|2024.84|2079.07|6662.96|6662.96|1285.3|1862.13|1327.71|6929.48|6301.15|6301.15|1298.15|1439.54|1413.83|1542.36|1807.89|6043.67|6043.67|1898.28|5888.96|3254.2|1898.28|1862.13|0|6929.48
Professional|||31231|NASAL ENDOSCOPYDX|241|241|203.09|180.75|204.85|216.9|204.85|633.7|394.8|371.11|0|0|222.23|203.09|39.5|217.56|211.12|205.57|198.01|221.97|180.75|217.56|72.36|70.47|72.36|233.4|233.4|44.64|64.81|46.11|242.74|221.97|221.97|45.09|50|49.1|53.57|62.92|210.38|210.38|66.07|205|113.26|66.07|64.81|0|633.7
Professional|||31233|PR NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY|502|502|422.57|376.5|426.7|451.8|426.7|825.25|508.9|478.37|0|0|462.39|422.57|82.77|452.67|439.27|427.71|412.01|461.85|376.5|452.67|152.04|148.08|152.04|486.57|486.57|93.91|136.18|97.01|506.03|461.85|461.85|94.85|105.18|103.3|112.69|132.21|442.26|442.26|138.82|430.94|237.98|138.82|136.18|0|825.25
Professional|||31237|NASAL SCOPEBX/RMV POLYP/DEBR*|593|593|500.09|444.75|504.05|533.7|504.05|808.55|494.9|465.21|0|0|547.22|500.09|98.01|535.72|519.86|506.18|487.59|546.58|444.75|535.72|179.87|175.18|179.87|574.92|574.92|111.1|161.1|114.77|597.92|546.58|546.58|112.21|124.43|122.21|133.32|156.41|521.47|521.47|164.23|508.12|281.54|164.23|161.1|0|808.55
Professional|||31240|NASAL/SINUS SCOPYRMV CONCHA *|590|590|497.91|442.5|501.5|531|501.5|507.85|303.1|284.91|0|0|544.83|497.91|97.56|533.38|517.59|503.97|485.46|544.19|442.5|533.38|179.03|174.36|179.03|572.28|572.28|110.59|160.35|114.24|595.17|544.19|544.19|111.7|123.86|121.65|132.71|155.68|520.33|520.33|163.46|507.01|280.22|163.46|160.35|0|595.17
Professional|||31254|PR NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY|912|912|765.42|684|775.2|820.8|775.2|1311.94|802.9|754.73|0|0|837.55|765.42|164.86|819.96|795.68|774.74|746.28|836.57|684|819.96|275.28|268.09|275.28|875.56|875.56|170.12|246.55|175.73|910.58|836.57|836.57|171.82|190.53|187.13|204.14|239.37|884.55|884.55|251.34|861.91|430.87|251.34|246.55|0|1311.94
Professional|||31255|PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY|1335|1335|1018.74|1001.25|1134.75|1201.5|1134.75|1039.08|618.8|581.67|0|0|1114.75|1018.74|241.68|1091.33|1059.01|1031.14|993.27|1113.44|1001.25|1091.33|366.69|357.12|366.69|1165.66|1165.66|226.57|328.43|234.05|1212.29|1113.44|1113.44|228.84|253.76|249.23|271.88|318.86|1295.17|1295.17|334.8|1262.02|573.95|334.8|328.43|0|1335
Professional|||31256|NASAL SCOPYOPEN MAXILL SINUS|670|670|566.7|502.5|569.5|603|569.5|578.01|345.1|324.39|0|0|620.1|566.7|119.84|607.07|589.1|573.59|552.53|619.37|502.5|607.07|203.91|198.59|203.91|650.07|650.07|125.99|182.63|130.15|676.07|619.37|619.37|127.25|141.11|138.59|151.19|177.31|640.23|640.23|186.18|623.84|319.16|186.18|182.63|0|676.07
Professional|||31257|PR NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY|1656|1656|1406.37|1242|1407.6|1490.4|1407.6|1434.45|853.3|802.1|0|0|1538.9|1406.37|0|1506.57|1461.96|1423.48|1371.21|1537.1|1242|1506.57|504.84|491.67|504.84|1607.39|1607.39|312.02|452.16|322.32|1671.69|1537.1|1537.1|315.14|349.46|343.22|374.42|438.99|1447.87|1447.87|460.94|1410.81|790.18|460.94|452.16|0|1671.69
Professional|||31267|NASAL SCOPYRMV TISS MAXILL S*|1058|1058|835.3|793.5|899.3|952.2|899.3|851.98|507.5|477.05|0|0|914.02|835.3|191.81|894.82|868.32|845.47|814.42|912.95|793.5|894.82|300.17|292.34|300.17|955.99|955.99|185.52|268.85|191.64|994.23|912.95|912.95|187.38|207.78|204.07|222.62|261.02|1027.08|1027.08|274.07|1000.79|469.84|274.07|268.85|0|1058
Professional|||31276|PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS|1683|1683|1192.35|1262.25|1430.55|1514.7|1430.55|1216.16|723.8|680.37|0|0|1304.72|1192.35|304.59|1277.31|1239.49|1206.87|1162.54|1303.19|1262.25|1277.31|428.03|416.86|428.03|1363.45|1363.45|264.55|383.37|273.28|1417.99|1303.19|1303.19|267.2|296.3|291.01|317.46|372.2|1633.36|1633.36|390.81|1591.55|669.96|390.81|383.37|0|1683
Professional|||31287|NASAL SCOPYSPHENOIDOTOMY|774|774|633.3|580.5|657.9|696.6|657.9|645.95|385|361.9|0|0|692.98|633.3|140.59|678.43|658.33|641.01|617.47|692.17|580.5|678.43|227.98|222.03|227.98|725.24|725.24|140.87|204.19|145.52|754.25|692.17|692.17|142.28|157.77|154.96|169.04|198.24|751.07|751.07|208.15|731.85|356.83|208.15|204.19|0|774
Professional|||31288|NASAL SCOPYREMV TISS SPHENOID|898|898|737.03|673.5|763.3|808.2|763.3|751.75|448|421.12|0|0|806.49|737.03|162.46|789.55|766.17|746|718.6|805.55|673.5|789.55|264.56|257.66|264.56|842.6|842.6|163.45|236.95|168.84|876.3|805.55|805.55|165.08|183.06|179.8|196.14|230.05|870.97|870.97|241.55|848.67|414.09|241.55|236.95|0|898
Professional|||31295|PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS|587|587|496.81|440.25|498.95|528.3|498.95|6195.51|3917.2|3682.17|0|0|543.63|496.81|99.32|532.21|516.45|502.86|484.39|543|440.25|532.21|178.45|173.79|178.45|569.64|569.64|110.08|159.83|113.71|592.43|543|543|111.18|123.29|121.09|132.1|155.17|530.51|530.51|162.93|516.93|279.31|162.93|159.83|0|6195.51
Professional|||31296|PR NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS|667|667|564.51|500.25|566.95|600.3|566.95|6276.81|3966.2|3728.23|0|0|617.71|564.51|118.96|604.73|586.83|571.38|550.4|616.99|500.25|604.73|203.07|197.77|203.07|647.44|647.44|125.47|181.88|129.61|673.34|616.99|616.99|126.72|140.53|138.02|150.56|176.58|635.69|635.69|185.41|619.41|317.84|185.41|181.88|0|6276.81
Professional|||31365|REMOVAL OF LARYNX+RAD TOTL NE*|9578|9578|8060.41|7183.5|8141.3|8620.2|8141.3|8221.33|4937.1|4640.87|0|0|8820.01|8060.41|1591.61|8634.73|8379.01|8158.51|7858.9|8809.68|7183.5|8634.73|2912.41|2836.43|2912.41|9298.88|9298.88|1800.56|2608.51|1859.98|9670.84|8809.68|8809.68|1818.57|2016.63|1980.62|2160.67|2532.53|8430.37|8430.37|2659.16|8214.57|4558.55|2659.16|2608.51|0|9670.84
Professional|||31395|REMV LARYNX+PHARYNX W RECONST*|11257|11257|9436.2|8442.75|9568.45|10131.3|9568.45|9624.6|5804.4|5456.14|0|0|10325.46|9436.2|1882.51|10108.55|9809.19|9551.05|9200.3|10313.36|8442.75|10108.55|3404.89|3316.06|3404.89|10928.69|10928.69|2104.88|3049.59|2174.34|11365.84|10313.36|10313.36|2125.93|2357.47|2315.37|2525.86|2960.77|9937.06|9937.06|3108.81|9682.69|5329.39|3108.81|3049.59|0|11365.84
Professional|||31500|INSERT EMERGENCY ENDOTRACH AI*|523|523|444.4|392.25|444.55|470.7|444.55|453.28|269.5|253.33|0|0|486.28|444.4|65.99|476.07|461.97|449.81|433.29|485.71|392.25|476.07|160.7|156.51|160.7|507.67|507.67|99.3|143.93|102.58|527.98|485.71|485.71|100.29|111.22|109.23|119.16|139.74|460.38|460.38|146.73|448.6|251.53|146.73|143.93|0|527.98
Professional|||31502|TRACH TUBE CHANGE|131|131|110.28|98.25|111.35|117.9|111.35|112.48|67.2|63.17|0|0|120.67|110.28|21.2|118.14|114.64|111.62|107.52|120.53|98.25|118.14|39.65|38.62|39.65|126.59|126.59|24.37|35.51|25.17|131.65|120.53|120.53|24.61|27.29|26.81|29.24|34.48|114.25|114.25|36.2|111.33|62.06|36.2|35.51|0|131.65
Professional|||31505|LARYNGOSCOPYINDIRECTDX|184|184|151.77|138|156.4|165.6|156.4|267.29|165.9|155.95|0|0|166.08|151.77|30.46|162.59|157.77|153.62|147.98|165.88|138|162.59|55.63|54.17|55.63|178.02|178.02|34.38|49.82|35.51|185.14|165.88|165.88|34.72|38.51|37.82|41.26|48.37|159.48|159.48|50.79|155.4|87.07|50.79|49.82|0|267.29
Professional|||31511|LARYNGOSCOPYINDIRECT+REMV FO*|488|488|412.74|366|414.8|439.2|414.8|669.33|408.8|384.27|0|0|451.63|412.74|78.79|442.15|429.05|417.76|402.42|451.11|366|442.15|149.41|145.51|149.41|473.38|473.38|92.11|133.82|95.15|492.32|451.11|451.11|93.03|103.16|101.32|110.53|129.92|421.9|421.9|136.42|411.1|233.86|136.42|133.82|0|669.33
Professional|||31515|LARYNGOSCOPYDIRECT FOR ASPIR*|405|405|340.67|303.75|344.25|364.5|344.25|644.83|397.6|373.74|0|0|372.78|340.67|64.45|364.95|354.14|344.82|332.15|372.34|303.75|364.95|124.46|121.22|124.46|392.95|392.95|76.72|111.48|79.25|408.67|372.34|372.34|77.49|85.93|84.39|92.06|108.23|338.22|338.22|113.64|329.56|194.81|113.64|111.48|0|644.83
Professional|||31520|LARYNGOSCOPYDIRECTDIAGNOSN*|579|579|489.17|434.25|492.15|521.1|492.15|498.94|298.2|280.31|0|0|535.27|489.17|95.36|524.03|508.51|495.13|476.94|534.64|434.25|524.03|175.7|171.11|175.7|561.73|561.73|108.54|157.36|112.12|584.2|534.64|534.64|109.63|121.56|119.39|130.25|152.78|510.15|510.15|160.42|497.09|275|160.42|157.36|0|584.2
Professional|||31525|LARYNGOSCOPYDIRECTDIAGNOSTIC|591|591|497.91|443.25|502.35|531.9|502.35|792.95|485.8|456.65|0|0|544.83|497.91|97.56|533.38|517.59|503.97|485.46|544.19|443.25|533.38|180.16|175.46|180.16|573.6|573.6|111.36|161.36|115.03|596.54|544.19|544.19|112.47|124.72|122.5|133.63|156.66|521.47|521.47|164.49|508.12|281.99|164.49|161.36|0|792.95
Professional|||31527|LARYNGOSCOPYDIRECTINSRT OBT*|722|722|609.28|541.5|613.7|649.8|613.7|621.44|371.7|349.4|0|0|666.7|609.28|118.3|652.69|633.36|616.7|594.05|665.92|541.5|652.69|219.51|213.79|219.51|700.18|700.18|135.48|196.61|139.95|728.19|665.92|665.92|136.83|151.74|149.03|162.58|190.88|634.58|634.58|200.42|618.34|343.58|200.42|196.61|0|728.19
Professional|||31530|LARYNGOSCOPYDIRCTOPF.B. RE*|737|737|623.47|552.75|626.45|663.3|626.45|635.92|379.4|356.64|0|0|682.23|623.47|120.29|667.9|648.12|631.06|607.88|681.43|552.75|667.9|224.68|218.81|224.68|714.69|714.69|138.82|201.23|143.4|743.28|681.43|681.43|140.21|155.48|152.7|166.58|195.37|645.87|645.87|205.14|629.33|351.67|205.14|201.23|0|743.28
Professional|||31531|LARYNGOSCOPYDIRCTOP SCOPEF*|784|784|663.88|588|666.4|705.6|666.4|677.13|404.6|380.32|0|0|726.44|663.88|129.56|711.18|690.12|671.96|647.28|725.59|588|711.18|238.58|232.36|238.58|760.84|760.84|147.28|213.68|152.14|791.27|725.59|725.59|148.75|164.95|162.01|176.74|207.46|691.13|691.13|217.83|673.44|373.43|217.83|213.68|0|791.27
Professional|||31535|LARYNGOSCOPYDIRCTOPBIOPSY|700|700|591.81|525|595|630|595|603.63|360.5|338.87|0|0|647.58|591.81|115.65|633.98|615.2|599.01|577.01|646.82|525|633.98|212.85|207.3|212.85|679.09|679.09|131.37|190.64|135.71|706.25|646.82|646.82|132.68|147.13|144.51|157.64|185.09|617.6|617.6|194.34|601.79|333.16|194.34|190.64|0|706.25
Professional|||31536|LARYNGOSCOPYDIRCTOP SCOPEB*|779|779|659.51|584.25|662.15|701.1|662.15|672.67|401.8|377.69|0|0|721.66|659.51|128.67|706.5|685.58|667.53|643.02|720.81|584.25|706.5|236.92|230.74|236.92|755.57|755.57|146.26|212.2|151.09|785.79|720.81|720.81|147.72|163.81|160.89|175.51|206.02|687.72|687.72|216.32|670.12|370.84|216.32|212.2|0|785.79
Professional|||31540|LARYNGOSCOPYDIRCTOPEXC TUM*|890|890|754.5|667.5|756.5|801|756.5|769.57|459.2|431.65|0|0|825.61|754.5|147.22|808.26|784.33|763.69|735.64|824.64|667.5|808.26|272.11|265.01|272.11|863.69|863.69|168.07|243.72|173.62|898.24|824.64|824.64|169.75|188.24|184.88|201.68|236.62|789.53|789.53|248.45|769.32|425.92|248.45|243.72|0|898.24
Professional|||31541|LARYNGOSCOPYDIRCTOP SCOPEX*|974|974|824.38|730.5|827.9|876.6|827.9|840.84|501.2|471.13|0|0|902.07|824.38|160.45|883.12|856.97|834.42|803.77|901.02|730.5|883.12|296.75|289|296.75|945.45|945.45|183.21|265.78|189.26|983.27|901.02|901.02|185.04|205.2|201.53|219.85|258.04|860.79|860.79|270.94|838.75|464.47|270.94|265.78|0|983.27
Professional|||31570|LARYNGOSCOPYDIRCTINJ VOCAL *|843|843|716.29|632.25|716.55|758.7|716.55|1072.49|651.7|612.6|0|0|783.79|716.29|139.27|767.32|744.6|725|698.38|782.87|632.25|767.32|257.12|250.41|257.12|817.55|817.55|158.83|230.29|164.07|850.25|782.87|782.87|160.42|177.89|174.71|190.6|223.58|748.8|748.8|234.76|729.64|402.44|234.76|230.29|0|1072.49
Professional|||31574|PR LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI|553|553|466.24|414.75|470.05|497.7|470.05|3206.34|2019.5|1898.33|0|0|510.18|466.24|91.34|499.46|484.67|471.92|454.58|509.58|414.75|499.46|167.34|162.97|167.34|536.68|536.68|103.4|149.88|106.81|558.15|509.58|509.58|104.43|115.81|113.74|124.08|145.51|486.39|486.39|152.79|473.94|261.92|152.79|149.88|0|3206.34
Professional|||31575|PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC|250|250|208.55|187.5|212.5|225|212.5|368.63|227.5|213.85|0|0|228.21|208.55|46.79|223.41|216.8|211.09|203.34|227.94|187.5|223.41|76.07|74.09|76.07|242.63|242.63|46.95|68.13|48.5|252.34|227.94|227.94|47.42|52.58|51.65|56.34|66.15|219.43|219.43|69.46|213.81|119.07|69.46|68.13|0|368.63
Professional|||31577|PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)|496|496|419.29|372|421.6|446.4|421.6|878.71|542.5|509.95|0|0|458.8|419.29|91.15|449.16|435.86|424.39|408.81|458.27|372|449.16|150.65|146.72|150.65|481.29|481.29|92.88|134.93|95.95|500.54|458.27|458.27|93.81|104.03|102.17|111.46|131|437.75|437.75|137.55|426.55|235.8|137.55|134.93|0|878.71
Professional|||31584|PR LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS|5198|5198|4330.48|3898.5|4418.3|4678.2|4418.3|4416.93|2678.2|2517.51|0|0|4738.58|4330.48|924.15|4639.03|4501.65|4383.18|4222.22|4733.02|3898.5|4639.03|1612.76|1570.69|1612.76|5046.34|5046.34|996.89|1444.47|1029.79|5248.19|4733.02|4733.02|1006.86|1116.52|1096.58|1196.27|1402.4|4484.98|4484.98|1472.52|4370.17|2524.32|1472.52|1444.47|0|5248.19
Professional|||31592|PR CRICOTRACHEAL RESECTION|6349|6349|5376.52|4761.75|5396.65|5714.1|5396.65|5483.86|3271.8|3075.49|0|0|5883.2|5376.52|1036.31|5759.6|5589.04|5441.96|5242.11|5876.3|4761.75|5759.6|1956.27|1905.23|1956.27|6163.21|6163.21|1209.35|1752.13|1249.26|6409.74|5876.3|5876.3|1221.44|1354.47|1330.29|1451.22|1701.1|5463.39|5463.39|1786.16|5323.54|3061.98|1786.16|1752.13|0|6409.74
Professional|||31600|TRACHEOSTOMY PLANNED|1336|1336|972.88|1002|1135.6|1202.4|1135.6|992.31|578.9|544.17|0|0|1064.57|972.88|234.84|1042.2|1011.34|984.72|948.56|1063.32|1002|1042.2|343.16|334.21|343.16|1091.82|1091.82|211.95|307.35|218.94|1135.49|1063.32|1063.32|214.07|237.38|233.15|254.34|298.4|1296.27|1296.27|313.32|1263.09|537.12|313.32|307.35|0|1336
Professional|||31603|TRACHEOSTOMYEMERGXTRACH|1178|1178|1016.56|883.5|1001.3|1060.2|1001.3|1036.85|606.9|570.49|0|0|1112.36|1016.56|133.09|1088.99|1056.74|1028.93|991.15|1111.06|883.5|1088.99|360.17|350.77|360.17|1143.24|1143.24|222.47|322.59|229.81|1188.97|1111.06|1111.06|224.69|249.17|244.72|266.96|313.19|728.44|728.44|328.85|709.8|563.74|328.85|322.59|0|1188.97
Professional|||31605|TRACHEOSTOMYEMERGCRICOTHYRO*|1209|1209|1049.32|906.75|1027.65|1088.1|1027.65|1070.27|623|585.62|0|0|1148.2|1049.32|107.48|1124.08|1090.79|1062.09|1023.09|1146.86|906.75|1124.08|370.48|360.82|370.48|1173.57|1173.57|228.88|331.82|236.43|1220.51|1146.86|1146.86|231.17|256.35|251.77|274.66|322.16|601.77|601.77|338.27|586.37|579.89|338.27|331.82|0|1220.51
Professional|||31610|TRACHEOSTOMYFENESTRATN+FLAPS|3560|3560|2974.34|2670|3026|3204|3026|3033.72|1834.7|1724.62|0|0|3254.64|2974.34|437.24|3186.26|3091.9|3010.54|2899.98|3250.82|2670|3186.26|1091.97|1063.48|1091.97|3456.09|3456.09|675.11|978.03|697.39|3594.33|3250.82|3250.82|681.86|756.12|742.62|810.13|949.54|2306.39|2306.39|997.02|2247.35|1709.17|997.02|978.03|0|3594.33
Professional|||31613|TRACH REVISIONSIMPLE|1666|1666|1383.44|1249.5|1416.1|1499.4|1416.1|1411.06|858.2|806.71|0|0|1513.81|1383.44|280.53|1482.01|1438.12|1400.28|1348.85|1512.04|1249.5|1482.01|500.72|487.66|500.72|1616.62|1616.62|309.45|448.47|319.66|1681.28|1512.04|1512.04|312.54|346.58|340.4|371.34|435.41|1465.97|1465.97|457.18|1428.44|783.74|457.18|448.47|0|1681.28
Professional|||31614|TRACH REVISIONCOMPLEX|2766|2766|2299.54|2074.5|2351.1|2489.4|2351.1|2345.45|1425.2|1339.69|0|0|2516.25|2299.54|465.05|2463.39|2390.44|2327.53|2242.05|2513.3|2074.5|2463.39|832.82|811.09|832.82|2684.7|2684.7|514.73|745.92|531.72|2792.09|2513.3|2513.3|519.88|576.5|566.2|617.68|724.19|2435.33|2435.33|760.4|2372.99|1303.54|760.4|745.92|0|2792.09
Professional|||31615|PR TRACHEOBRNCHSC THRU EST TRACHS INC|427|427|359.24|320.25|362.95|384.3|362.95|537.92|329|309.26|0|0|393.09|359.24|78.35|384.83|373.43|363.61|350.26|392.63|320.25|384.83|130.05|126.66|130.05|414.04|414.04|80.31|116.48|82.96|430.6|392.63|392.63|81.11|89.95|88.34|96.37|113.09|374.4|374.4|118.74|364.82|203.56|118.74|116.48|0|537.92
Professional|||31622|PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX|492|492|412.74|369|418.2|442.8|418.2|761.77|469.7|441.52|0|0|451.63|412.74|87.41|442.15|429.05|417.76|402.42|451.11|369|442.15|150.58|146.65|150.58|477.34|477.34|92.88|134.87|95.95|496.43|451.11|451.11|93.81|104.03|102.17|111.46|130.94|430.98|430.98|137.49|419.94|235.69|137.49|134.87|0|761.77
Professional|||31623|PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS|500|500|416.01|375|425|450|425|836.39|519.4|488.24|0|0|455.22|416.01|89.83|445.66|432.46|421.08|405.61|454.69|375|445.66|153.16|149.16|153.16|485.25|485.25|94.68|137.18|97.8|504.66|454.69|454.69|95.63|106.04|104.15|113.62|133.18|437.75|437.75|139.84|426.55|239.72|139.84|137.18|0|836.39
Professional|||31624|PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE|506|506|421.47|379.5|430.1|455.4|430.1|790.73|490|460.6|0|0|461.19|421.47|90.72|451.5|438.13|426.6|410.93|460.65|379.5|451.5|154.99|150.94|154.99|490.52|490.52|95.71|138.81|98.87|510.14|460.65|460.65|96.67|107.2|105.28|114.85|134.77|443.4|443.4|141.51|432.05|242.59|141.51|138.81|0|790.73
Professional|||31625|PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES|589|589|490.26|441.75|500.65|530.1|500.65|1068.04|664.3|624.44|0|0|536.47|490.26|103.51|525.2|509.64|496.23|478|535.84|441.75|525.2|180.11|175.41|180.11|570.96|570.96|111.1|161.32|114.77|593.8|535.84|535.84|112.21|124.43|122.21|133.32|156.62|512.42|512.42|164.45|499.3|281.92|164.45|161.32|0|1068.04
Professional|||31626|PR BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT|742|742|624.57|556.5|630.7|667.8|630.7|2666.2|1670.9|1570.65|0|0|683.43|624.57|128.02|669.07|649.25|632.17|608.96|682.62|556.5|669.07|226.04|220.15|226.04|719.96|719.96|139.59|202.46|144.2|748.76|682.62|682.62|140.99|156.34|153.55|167.51|196.56|651.54|651.54|206.39|634.86|353.81|206.39|202.46|0|2666.2
Professional|||31627|PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION|364|364|305.73|273|309.4|327.6|309.4|4212.01|2665.6|2505.66|0|0|334.54|305.73|62.18|327.52|317.82|309.45|298.09|334.15|273|327.52|110.87|107.98|110.87|353.39|353.39|0|99.3|0|367.53|334.15|334.15|0|0|0|0|96.41|318.99|318.99|101.23|310.83|173.54|101.23|99.3|0|4212.01
Professional|||31628|PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE|665|665|552.5|498.75|565.25|598.5|565.25|1133.75|704.9|662.61|0|0|604.57|552.5|115.88|591.87|574.34|559.23|538.69|603.86|498.75|591.87|203.41|198.11|203.41|644.8|644.8|125.73|182.19|129.88|670.59|603.86|603.86|126.99|140.82|138.3|150.88|176.88|575.74|575.74|185.72|561|318.38|185.72|182.19|0|1133.75
Professional|||31629|PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON|704|704|587.44|528|598.4|633.6|598.4|1402.15|872.9|820.53|0|0|642.8|587.44|122.06|629.3|610.66|594.59|572.75|642.05|528|629.3|215.25|209.63|215.25|683.05|683.05|132.91|192.79|137.3|710.37|642.05|642.05|134.24|148.86|146.2|159.49|187.17|613.09|613.09|196.53|597.39|336.91|196.53|192.79|0|1402.15
Professional|||31630|BRONCHOSCOPYTRACH/BRONCH DIL*|739|739|623.47|554.25|628.15|665.1|628.15|635.92|380.8|357.95|0|0|682.23|623.47|120.95|667.9|648.12|631.06|607.88|681.43|554.25|667.9|226.67|220.75|226.67|717.32|717.32|140.1|203.01|144.72|746.01|681.43|681.43|141.5|156.91|154.11|168.12|197.1|653.81|653.81|206.96|637.07|354.78|206.96|203.01|0|746.01
Professional|||31631|BRONCHOSCOPYTRACH DIL+STENT|848|848|718.47|636|720.8|763.2|720.8|732.81|436.1|409.93|0|0|786.18|718.47|138.39|769.66|746.87|727.22|700.51|785.26|636|769.66|258.95|252.19|258.95|822.82|822.82|159.86|231.93|165.14|855.73|785.26|785.26|161.46|179.04|175.85|191.83|225.17|749.94|749.94|236.43|730.74|405.31|236.43|231.93|0|855.73
Professional|||31632|PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE|185|185|153.96|138.75|157.25|166.5|157.25|201.58|123.9|116.47|0|0|168.47|153.96|30.23|164.93|160.04|155.83|150.11|168.27|138.75|164.93|57.1|55.61|57.1|179.33|179.33|35.15|51.14|36.31|186.5|168.27|168.27|35.5|39.37|38.67|42.18|49.65|160.62|160.62|52.13|156.5|89.37|52.13|51.14|0|201.58
Professional|||31633|PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE|240|240|199.82|180|204|216|204|252.81|154.7|145.42|0|0|218.65|199.82|38.84|214.06|207.72|202.25|194.82|218.39|180|214.06|73.34|71.42|73.34|232.07|232.07|45.16|65.68|46.65|241.35|218.39|218.39|45.61|50.58|49.68|54.19|63.77|207.01|207.01|66.96|201.71|114.79|66.96|65.68|0|252.81
Professional|||31635|PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY|659|659|552.5|494.25|560.15|593.1|560.15|894.3|549.5|516.53|0|0|604.57|552.5|114.77|591.87|574.34|559.23|538.69|603.86|494.25|591.87|201.58|196.32|201.58|639.53|639.53|124.45|180.55|128.56|665.11|603.86|603.86|125.69|139.38|136.9|149.34|175.29|573.5|573.5|184.05|558.82|315.52|184.05|180.55|0|894.3
Professional|||31636|BRONCHOSCOPY BRONCH STENTS|824|824|693.36|618|700.4|741.6|700.4|707.2|423.5|398.09|0|0|758.7|693.36|134.2|742.76|720.76|701.8|676.03|757.81|618|742.76|250.95|244.41|250.95|799.08|799.08|154.98|224.77|160.09|831.04|757.81|757.81|156.53|173.58|170.48|185.98|218.22|720.53|720.53|229.13|702.09|392.8|229.13|224.77|0|831.04
Professional|||31637|BRONCHOSCOPY STENT ADD-ON|290|290|242.4|217.5|246.5|261|246.5|247.24|149.1|140.15|0|0|265.25|242.4|45.47|259.67|251.98|245.35|236.34|264.93|217.5|259.67|88.92|86.6|88.92|280.87|280.87|54.91|79.64|56.72|292.1|264.93|264.93|55.46|61.5|60.4|65.89|77.32|242.06|242.06|81.19|235.86|139.18|81.19|79.64|0|292.1
Professional|||31638|BRONCHOSCOPY REVISE STENT|935|935|787.26|701.25|794.75|841.5|794.75|802.98|481.6|452.7|0|0|861.45|787.26|152.74|843.35|818.38|796.84|767.58|860.44|701.25|843.35|284.58|277.16|284.58|907.21|907.21|175.77|254.88|181.57|943.5|860.44|860.44|177.53|196.86|193.35|210.92|247.46|821.2|821.2|259.83|800.18|445.43|259.83|254.88|0|943.5
Professional|||31640|BRONCHOSCOPYEXCIS LESN|939|939|788.35|704.25|798.15|845.1|798.15|804.09|483.7|454.68|0|0|862.65|788.35|153.83|844.52|819.51|797.95|768.64|861.63|704.25|844.52|287.05|279.56|287.05|911.16|911.16|177.31|257.1|183.16|947.61|861.63|861.63|179.08|198.59|195.04|212.77|249.61|825.74|825.74|262.09|804.6|449.3|262.09|257.1|0|947.61
Professional|||31641|BRONCHOSCOPY TREAT BLOCKAGE|961|961|806.91|720.75|816.85|864.9|816.85|823.02|494.9|465.21|0|0|882.96|806.91|156.71|864.41|838.81|816.74|786.74|881.92|720.75|864.41|293.18|285.53|293.18|932.26|932.26|181.15|262.59|187.13|969.55|881.92|881.92|182.96|202.89|199.27|217.38|254.94|842.7|842.7|267.69|821.13|458.89|267.69|262.59|0|969.55
Professional|||31645|PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST|551|551|459.69|413.25|468.35|495.9|468.35|826.37|511|480.34|0|0|503.01|459.69|98.87|492.44|477.86|465.28|448.2|502.42|413.25|492.44|169.17|164.75|169.17|534.04|534.04|104.43|151.51|107.88|555.4|502.42|502.42|105.47|116.96|114.87|125.32|147.1|487.52|487.52|154.46|475.04|264.78|154.46|151.51|0|826.37
Professional|||31646|PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ|534|534|446.59|400.5|453.9|480.6|453.9|455.5|275.8|259.25|0|0|488.67|446.59|85.42|478.41|464.24|452.02|435.43|488.1|400.5|478.41|163.46|159.2|163.46|518.21|518.21|100.84|146.4|104.17|538.94|488.1|488.1|101.85|112.94|110.92|121.01|142.14|416.26|416.26|149.25|405.6|255.85|149.25|146.4|0|538.94
Professional|||31652|PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX|836|836|697.72|627|710.6|752.4|710.6|3053.77|1918.7|1803.58|0|0|763.48|697.72|143.03|747.44|725.3|706.22|680.28|762.58|627|747.44|255.14|248.48|255.14|810.95|810.95|157.55|228.52|162.75|843.39|762.58|762.58|159.13|176.46|173.31|189.06|221.86|726.21|726.21|232.95|707.62|399.35|232.95|228.52|0|3053.77
Professional|||31653|PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX|925|925|773.07|693.75|786.25|832.5|786.25|3199.66|2009|1888.46|0|0|845.92|773.07|157.8|828.15|803.62|782.47|753.74|844.93|693.75|828.15|282.93|275.55|282.93|897.98|897.98|174.74|253.41|180.51|933.9|844.93|844.93|176.49|195.71|192.21|209.69|246.03|804.24|804.24|258.33|783.66|442.85|258.33|253.41|0|3199.66
Professional|||31654|PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES|253|253|211.83|189.75|215.05|227.7|215.05|393.14|243.6|228.98|0|0|231.79|211.83|41.06|226.92|220.2|214.41|206.53|231.52|189.75|226.92|77.8|75.77|77.8|245.27|245.27|47.98|69.68|49.56|255.08|231.52|231.52|48.46|53.74|52.78|57.58|67.65|221.7|221.7|71.03|216.02|121.77|71.03|69.68|0|393.14
Professional|||31760|REVISN TRACHEAINTRATHROACIC|4918|4918|4321.74|3688.5|4180.3|4426.2|4180.3|4408.02|2536.8|2384.59|0|0|4729.02|4321.74|815.79|4629.67|4492.57|4374.34|4213.7|4723.48|3688.5|4629.67|1507.79|1468.45|1507.79|4774.71|4774.71|931.97|1350.45|962.73|4965.7|4723.48|4723.48|941.29|1043.81|1025.17|1118.36|1311.12|4551.7|4551.7|1376.68|4435.19|2360.02|1376.68|1350.45|0|4965.7
Professional|||31780|EXCIS TRACH STEN/RECONSTCERV|4428|4428|3745.22|3321|3763.8|3985.2|3763.8|3819.99|2282|2145.08|0|0|4098.16|3745.22|705.85|4012.07|3893.26|3790.8|3651.59|4093.36|3321|4012.07|1353.61|1318.3|1353.61|4298.69|4298.69|836.77|1212.36|864.38|4470.64|4093.36|4093.36|845.14|937.18|920.45|1004.12|1177.05|3833.44|3833.44|1235.9|3735.31|2118.69|1235.9|1212.36|0|4470.64
Professional|||31800|REPAIR TRACH WOUND/INJCERVIC*|2718|2718|2251.5|2038.5|2310.3|2446.2|2310.3|2296.45|1401.4|1317.32|0|0|2463.68|2251.5|454.91|2411.92|2340.49|2278.9|2195.21|2460.79|2038.5|2411.92|820.62|799.21|820.62|2638.55|2638.55|507.29|734.99|524.03|2744.09|2460.79|2460.79|512.36|568.16|558.02|608.75|713.58|2375.39|2375.39|749.26|2314.58|1284.44|749.26|734.99|0|2744.09
Professional|||31820|SURG CLOSURE TRACH/FISTULA|1216|1216|1020.93|912|1033.6|1094.4|1033.6|1377.65|840.7|790.26|0|0|1117.14|1020.93|200.19|1093.67|1061.28|1033.35|995.41|1115.83|912|1093.67|372.04|362.33|372.04|1180.16|1180.16|229.91|333.22|237.5|1227.37|1115.83|1115.83|232.21|257.5|252.9|275.89|323.51|1058.75|1058.75|339.69|1031.65|582.32|339.69|333.22|0|1377.65
Professional|||31825|SURG CLOSURE TRACH/FISTPLAST*|1780|1780|1496.99|1335|1513|1602|1513|1911.11|1161.3|1091.62|0|0|1638.07|1496.99|292|1603.66|1556.17|1515.22|1459.57|1636.15|1335|1603.66|544.15|529.95|544.15|1727.38|1727.38|336.4|487.37|347.5|1796.48|1636.15|1636.15|339.76|376.77|370.04|403.68|473.17|1549.68|1549.68|496.83|1510.01|851.71|496.83|487.37|0|1911.11
Professional|||31830|REVISE TRACHEOSTOMY SCAR|1283|1283|1077.71|962.25|1090.55|1154.7|1090.55|1421.08|865.2|813.29|0|0|1179.27|1077.71|209.25|1154.49|1120.3|1090.82|1050.77|1177.89|962.25|1154.49|400.83|390.38|400.83|1244.77|1244.77|247.61|359.01|255.78|1294.56|1177.89|1177.89|250.09|277.32|272.37|297.13|348.55|1110.79|1110.79|365.98|1082.35|627.39|365.98|359.01|0|1421.08
Professional|||31899|BIOPSY TRACHEAL STOMA|782|782|0|586.5|664.7|703.8|664.7|0|0|0|0|0|0|0|0|0|0|0|0|0|586.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|782
Professional|||32035|THORACOSTOMYRIB RESECTEMPYE*|2614|2614|2272.24|1960.5|2221.9|2352.6|2221.9|2317.61|1349.6|1268.62|0|0|2486.38|2272.24|425.54|2434.15|2362.06|2299.9|2215.43|2483.47|1960.5|2434.15|806.27|785.23|806.27|2537.02|2537.02|498.31|722.13|514.75|2638.5|2483.47|2483.47|503.29|558.11|548.14|597.97|701.1|2366.34|2366.34|736.16|2305.77|1261.98|736.16|722.13|0|2638.5
Professional|||32096|THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL|2889|2889|2533.21|2166.75|2455.65|2600.1|2455.65|2583.78|1488.9|1399.57|0|0|2771.94|2533.21|473|2713.7|2633.34|2564.04|2469.88|2768.69|2166.75|2713.7|881.21|858.22|881.21|2804.69|2804.69|544.76|789.26|562.74|2916.88|2768.69|2768.69|550.21|610.13|599.24|653.71|766.27|2638.94|2638.94|804.58|2571.39|1379.29|804.58|789.26|0|2916.88
Professional|||32097|THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL|2887|2887|2532.12|2165.25|2453.95|2598.3|2453.95|2582.67|1487.5|1398.25|0|0|2770.74|2532.12|473|2712.53|2632.2|2562.94|2468.82|2767.49|2165.25|2712.53|882.05|859.04|882.05|2802.06|2802.06|545.27|790.01|563.26|2914.14|2767.49|2767.49|550.72|610.7|599.8|654.32|767|2632.16|2632.16|805.35|2564.78|1380.6|805.35|790.01|0|2914.14
Professional|||32098|THORACOTOMY W/BIOPSY OF PLEURA|2739|2739|2398.9|2054.25|2328.15|2465.1|2328.15|2446.8|1411.2|1326.53|0|0|2624.98|2398.9|448.93|2569.83|2493.73|2428.1|2338.93|2621.9|2054.25|2569.83|835.99|814.18|835.99|2658.32|2658.32|516.79|748.76|533.84|2764.65|2621.9|2621.9|521.96|578.8|568.47|620.15|726.95|2496.41|2496.41|763.3|2432.51|1308.51|763.3|748.76|0|2764.65
Professional|||32100|THORACOTOMY WITH EXPLORATION|2911|2911|2553.95|2183.25|2474.35|2619.9|2474.35|2604.94|1500.1|1410.09|0|0|2794.64|2553.95|474.77|2735.93|2654.91|2585.04|2490.1|2791.36|2183.25|2735.93|891.28|868.03|891.28|2825.79|2825.79|550.92|798.28|569.1|2938.82|2791.36|2791.36|556.43|617.03|606.01|661.1|775.03|2654.79|2654.79|813.78|2586.84|1395.05|813.78|798.28|0|2938.82
Professional|||32110|THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR|5288|5288|4634.02|3966|4494.8|4759.2|4494.8|4726.54|2725.1|2561.59|0|0|5070.73|4634.02|857.05|4964.21|4817.19|4690.43|4518.17|5064.79|3966|4964.21|1614.66|1572.54|1614.66|5133.37|5133.37|998.17|1446.17|1031.11|5338.7|5064.79|5064.79|1008.15|1117.95|1097.99|1197.8|1404.05|4790.39|4790.39|1474.25|4667.76|2527.29|1474.25|1446.17|0|5338.7
Professional|||32120|THORACOTOMY POSTOPERATIVE COMPLICATIONS|3142|3142|2748.31|2356.5|2670.7|2827.8|2670.7|2803.18|1619.1|1521.95|0|0|3007.31|2748.31|512.95|2944.13|2856.95|2781.76|2679.6|3003.79|2356.5|2944.13|962.64|937.53|962.64|3049.96|3049.96|595.05|862.19|614.69|3171.96|3003.79|3003.79|601|666.46|654.56|714.06|837.08|2852.73|2852.73|878.93|2779.7|1506.74|878.93|862.19|0|3171.96
Professional|||32124|THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS|3331|3331|2916.46|2498.25|2831.35|2997.9|2831.35|2974.69|1716.4|1613.42|0|0|3191.31|2916.46|544.52|3124.27|3031.75|2951.96|2843.55|3187.57|2498.25|3124.27|1020.42|993.8|1020.42|3233.25|3233.25|630.72|913.94|651.53|3362.58|3187.57|3187.57|637.03|706.41|693.79|756.86|887.32|3033.7|3033.7|931.69|2956.05|1597.18|931.69|913.94|0|3362.58
Professional|||32141|THORACOTOMY W/RESECTION BULLAE|5462|5462|4809.82|4096.5|4642.7|4915.8|4642.7|4905.85|2814.7|2645.82|0|0|5263.09|4809.82|891.92|5152.53|4999.94|4868.36|4689.57|5256.93|4096.5|5152.53|1668.47|1624.94|1668.47|5302.15|5302.15|1031.53|1494.37|1065.57|5514.24|5256.93|5256.93|1041.85|1155.31|1134.68|1237.84|1450.84|4990.59|4990.59|1523.38|4862.84|2611.51|1523.38|1494.37|0|5514.24
Professional|||32150|THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP|3617|3617|3164.33|2712.75|3074.45|3255.3|3074.45|3227.5|1864.1|1752.25|0|0|3462.53|3164.33|590.87|3389.79|3289.4|3202.84|3085.22|3458.47|2712.75|3389.79|1107.42|1078.53|1107.42|3511.47|3511.47|684.6|991.86|707.19|3651.93|3458.47|3458.47|691.45|766.75|753.06|821.52|962.97|3289.34|3289.34|1011.12|3205.14|1733.35|1011.12|991.86|0|3651.93
Professional|||32151|THORCOM W/RMVL IPUL FB|3602|3602|3149.04|2701.5|3061.7|3241.8|3061.7|3211.91|1862|1750.28|0|0|3445.8|3149.04|592.41|3373.41|3273.51|3187.37|3070.31|3441.77|2701.5|3373.41|1105.08|1076.25|1105.08|3496.97|3496.97|683.06|989.77|705.6|3636.85|3441.77|3441.77|689.89|765.03|751.37|819.67|960.94|3280.3|3280.3|1008.99|3196.33|1729.69|1008.99|989.77|0|3636.85
Professional|||32160|THORACOTOMY W/CARDIAC MASSAGE|2873|2873|2505.91|2154.75|2442.05|2585.7|2442.05|2555.94|1480.5|1391.67|0|0|2742.07|2505.91|467.25|2684.46|2604.96|2536.41|2443.26|2738.85|2154.75|2684.46|878.59|855.67|878.59|2788.87|2788.87|542.96|786.91|560.88|2900.42|2738.85|2738.85|548.39|608.12|597.26|651.55|763.99|2586.9|2586.9|802.19|2520.68|1375.18|802.19|786.91|0|2900.42
Professional|||32200|PNEUMONOSTOMYOPEN DRAIN ABSC*|4089|4089|3574.88|3066.75|3475.65|3680.1|3475.65|3646.25|2109.8|1983.21|0|0|3911.78|3574.88|670.99|3829.6|3716.19|3618.39|3485.51|3907.19|3066.75|3829.6|1252.37|1219.7|1252.37|3969.03|3969.03|774.16|1121.69|799.71|4127.79|3907.19|3907.19|781.9|867.06|851.58|928.99|1089.02|3693.18|3693.18|1143.47|3598.65|1960.24|1143.47|1121.69|0|4127.79
Professional|||32220|DECORTICATIONPULMONARYTOTAL|5709|5709|4999.81|4281.75|4852.65|5138.1|4852.65|5099.63|2942.1|2765.57|0|0|5470.99|4999.81|930.99|5356.06|5197.44|5060.67|4874.81|5464.58|4281.75|5356.06|1749.56|1703.92|1749.56|5542.14|5542.14|1081.56|1567|1117.25|5763.83|5464.58|5464.58|1092.38|1211.35|1189.72|1297.87|1521.36|5180.61|5180.61|1597.43|5048|2738.45|1597.43|1567|0|5763.83
Professional|||32225|DECORTICATIONPULMONARYPARTI*|3578|3578|3131.57|2683.5|3041.3|3220.2|3041.3|3194.09|1843.8|1733.17|0|0|3426.69|3131.57|584.24|3354.7|3255.35|3169.68|3053.28|3422.67|2683.5|3354.7|1094.63|1066.07|1094.63|3473.23|3473.23|676.65|980.41|698.98|3612.16|3422.67|3422.67|683.42|757.85|744.32|811.98|951.85|3249.76|3249.76|999.44|3166.57|1713.33|999.44|980.41|0|3612.16
Professional|||32320|DECORTICATE/REMV PARIETAL PLE*|5739|5739|5036.93|4304.25|4878.15|5165.1|4878.15|5137.5|2957.5|2780.05|0|0|5511.61|5036.93|938.5|5395.83|5236.03|5098.24|4911.01|5505.15|4304.25|5395.83|1755.96|1710.15|1755.96|5571.15|5571.15|1085.41|1572.73|1121.23|5794|5505.15|5505.15|1096.26|1215.66|1193.95|1302.49|1526.92|5228.14|5228.14|1603.27|5094.31|2748.46|1603.27|1572.73|0|5794
Professional|||32400|NEEDLE BIOPSY PLEURA|328|328|272.98|246|278.8|295.2|278.8|491.14|303.8|285.57|0|0|298.7|272.98|53.4|292.43|283.77|276.3|266.16|298.35|246|292.43|99.21|96.62|99.21|317.79|317.79|61.32|88.86|63.34|330.5|298.35|298.35|61.93|68.68|67.45|73.58|86.27|285.05|285.05|90.58|277.75|155.29|90.58|88.86|0|491.14
Professional|||32405|PR BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE|343|343|284.99|257.25|291.55|308.7|291.55|1241.78|781.2|734.33|0|0|311.84|284.99|64|305.29|296.25|288.45|277.87|311.48|257.25|305.29|104.41|101.68|104.41|332.3|332.3|64.4|93.51|66.53|345.59|311.48|311.48|65.04|72.13|70.84|77.28|90.79|298.63|298.63|95.33|290.99|163.42|95.33|93.51|0|1241.78
Professional|||32440|REMOVAL OF LUNG PNEUMONECTOMY|5611|5611|4932.11|4208.25|4769.35|5049.9|4769.35|5030.58|2891.7|2718.2|0|0|5396.91|4932.11|917.31|5283.53|5127.07|4992.14|4808.81|5390.59|4208.25|5283.53|1718.69|1673.85|1718.69|5447.2|5447.2|1062.58|1539.35|1097.65|5665.09|5390.59|5390.59|1073.21|1190.09|1168.84|1275.1|1494.51|5121.8|5121.8|1569.24|4990.69|2690.12|1569.24|1539.35|0|5665.09
Professional|||32480|RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT|5299|5299|4659.14|3974.25|4504.15|4769.1|4504.15|4752.16|2730.7|2566.86|0|0|5098.21|4659.14|865.43|4991.11|4843.3|4715.85|4542.66|5092.24|3974.25|4991.11|1622.7|1580.36|1622.7|5143.92|5143.92|1003.04|1453.37|1036.14|5349.68|5092.24|5092.24|1013.07|1123.4|1103.34|1203.65|1411.04|4840.16|4840.16|1481.59|4716.26|2539.87|1481.59|1453.37|0|5349.68
Professional|||32482|RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC|5671|5671|4982.34|4253.25|4820.35|5103.9|4820.35|5081.81|2922.5|2747.15|0|0|5451.87|4982.34|928.11|5337.34|5179.28|5042.98|4857.78|5445.48|4253.25|5337.34|1740.23|1694.83|1740.23|5505.22|5505.22|1075.92|1558.64|1111.43|5725.43|5445.48|5445.48|1086.68|1205.03|1183.51|1291.1|1513.24|5178.34|5178.34|1588.9|5045.79|2723.83|1588.9|1558.64|0|5725.43
Professional|||32484|RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY|5126|5126|4515.01|3844.5|4357.1|4613.4|4357.1|4605.15|2641.8|2483.29|0|0|4940.5|4515.01|840.5|4836.71|4693.47|4569.96|4402.13|4934.71|3844.5|4836.71|1570.06|1529.1|1570.06|4976.45|4976.45|970.71|1406.23|1002.74|5175.51|4934.71|4934.71|980.42|1087.2|1067.78|1164.85|1365.27|4701|4701|1433.53|4580.67|2457.49|1433.53|1406.23|0|5175.51
Professional|||32505|THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL|3347|3347|2935.03|2510.25|2844.95|3012.3|2844.95|2993.63|1725.5|1621.97|0|0|3211.62|2935.03|547.82|3144.15|3051.04|2970.75|2861.65|3207.86|2510.25|3144.15|1024.66|997.93|1024.66|3249.07|3249.07|633.28|917.74|654.18|3379.03|3207.86|3207.86|639.61|709.27|696.61|759.94|891.01|3048.42|3048.42|935.56|2970.39|1603.82|935.56|917.74|0|3379.03
Professional|||32506|THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL|558|558|494.63|418.5|474.3|502.2|474.3|504.51|287|269.78|0|0|541.24|494.63|90.72|529.87|514.18|500.65|482.26|540.61|418.5|529.87|170.41|165.96|170.41|540.63|540.63|105.2|152.63|108.67|562.26|540.61|540.61|106.25|117.82|115.72|126.24|148.18|513.52|513.52|155.59|500.38|266.72|155.59|152.63|0|562.26
Professional|||32507|THORACOTOMY W/DX WEDGE RESEXN &ANTOM LUNG RESEXN|557|557|493.54|417.75|473.45|501.3|473.45|503.39|287|269.78|0|0|540.05|493.54|90.27|528.7|513.05|499.55|481.2|539.42|417.75|528.7|170.41|165.96|170.41|540.63|540.63|105.2|152.63|108.67|562.26|539.42|539.42|106.25|117.82|115.72|126.24|148.18|513.52|513.52|155.59|500.38|266.72|155.59|152.63|0|562.26
Professional|||32550|PR INSERTION INDWELLING TUNNELED PLEURAL CATHETER|769|769|652.96|576.75|653.65|692.1|653.65|2371.07|1479.1|1390.35|0|0|714.49|652.96|133.09|699.48|678.77|660.9|636.64|713.65|576.75|699.48|234.38|228.27|234.38|746.34|746.34|144.72|209.92|149.5|776.19|713.65|713.65|146.17|162.09|159.19|173.66|203.81|684.35|684.35|214|666.83|366.86|214|209.92|0|2371.07
Professional|||32551|PR TUBE THORACOSTOMY INCLUDES WATER SEAL|574|574|494.63|430.5|487.9|516.6|487.9|504.51|295.4|277.68|0|0|541.24|494.63|100.86|529.87|514.18|500.65|482.26|540.61|430.5|529.87|175.61|171.02|175.61|556.46|556.46|108.54|157.28|112.12|578.72|540.61|540.61|109.63|121.56|119.39|130.25|152.7|515.79|515.79|160.34|502.59|274.86|160.34|157.28|0|578.72
Professional|||32552|REMOVE LUNG CATHETER|590|590|496.81|442.5|501.5|531|501.5|585.81|354.2|332.95|0|0|543.63|496.81|96.45|532.21|516.45|502.86|484.39|543|442.5|532.21|180.33|175.63|180.33|572.28|572.28|111.36|161.51|115.03|595.17|543|543|112.47|124.72|122.5|133.63|156.81|518.06|518.06|164.65|504.8|282.26|164.65|161.51|0|595.17
Professional|||32554|THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING|336|336|281.71|252|285.6|302.4|285.6|669.33|415.1|390.19|0|0|308.26|281.71|54.51|301.78|292.85|285.14|274.67|307.9|252|301.78|102.71|100.03|102.71|325.7|325.7|63.38|91.99|65.47|338.73|307.9|307.9|64.01|70.99|69.72|76.06|89.31|292.96|292.96|93.78|285.46|160.76|93.78|91.99|0|669.33
Professional|||32555|THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING|423|423|351.59|317.25|359.55|380.7|359.55|947.76|592.2|556.67|0|0|384.73|351.59|68.87|376.64|365.49|355.87|342.8|384.27|317.25|376.64|128.95|125.59|128.95|410.09|410.09|79.54|115.49|82.16|426.49|384.27|384.27|80.34|89.08|87.49|95.45|112.13|367.63|367.63|117.74|358.22|201.83|117.74|115.49|0|947.76
Professional|||32556|PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING|460|460|387.62|345|391|414|391|1938.95|1217.3|1144.26|0|0|424.15|387.62|75.48|415.24|402.95|392.34|377.93|423.66|345|415.24|140.67|137|140.67|445.69|445.69|86.73|125.99|89.59|463.52|423.66|423.66|87.6|97.14|95.4|104.08|122.32|402.67|402.67|128.44|392.37|220.18|128.44|125.99|0|1938.95
Professional|||32557|PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING|575|575|479.34|431.25|488.75|517.5|488.75|1787.49|1121.4|1054.12|0|0|524.52|479.34|94.03|513.5|498.29|485.18|467.36|523.9|431.25|513.5|175.92|171.33|175.92|557.77|557.77|108.54|157.56|112.12|580.08|523.9|523.9|109.63|121.56|119.39|130.25|152.97|501.1|501.1|160.62|488.28|275.35|160.62|157.56|0|1787.49
Professional|||32560|TREAT PLEURODESIS W/AGENT|287|287|245.68|215.25|243.95|258.3|243.95|798.52|495.6|465.86|0|0|268.83|245.68|46.13|263.18|255.39|248.67|239.54|268.52|215.25|263.18|87.22|84.94|87.22|278.23|278.23|53.88|78.12|55.66|289.36|268.52|268.52|54.42|60.35|59.27|64.66|75.84|255.64|255.64|79.63|249.1|136.51|79.63|78.12|0|798.52
Professional|||32561|LYSE CHEST FIBRIN INIT DAY|254|254|215.1|190.5|215.9|228.6|215.9|296.24|180.6|169.76|0|0|235.38|215.1|41.49|230.43|223.61|217.72|209.72|235.1|190.5|230.43|77.67|75.64|77.67|246.58|246.58|47.98|69.57|49.56|256.44|235.1|235.1|48.46|53.74|52.78|57.58|67.54|223.97|223.97|70.92|218.23|121.57|70.92|69.57|0|296.24
Professional|||32562|LYSE CHEST FIBRIN SUBQ DAY|227|227|192.17|170.25|192.95|204.3|192.95|265.06|161|151.34|0|0|210.28|192.17|37.07|205.87|199.77|194.51|187.37|210.04|170.25|205.87|69.35|67.54|69.35|220.21|220.21|42.85|62.11|44.26|229.02|210.04|210.04|43.28|47.99|47.14|51.42|60.3|201.34|201.34|63.32|196.18|108.54|63.32|62.11|0|265.06
Professional|||32601|THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX|1106|1106|971.79|829.5|940.1|995.4|940.1|991.19|569.8|535.61|0|0|1063.37|971.79|181.21|1041.03|1010.2|983.62|947.5|1062.13|829.5|1041.03|338.35|329.53|338.35|1073.35|1073.35|209.12|303.05|216.02|1116.28|1062.13|1062.13|211.21|234.21|230.03|250.94|294.22|1011.22|1011.22|308.93|985.34|529.6|308.93|303.05|0|1116.28
Professional|||32606|THORACOSCOPYDX MEDIAST W BX|1652|1652|1457.69|1239|1404.2|1486.8|1404.2|1486.79|851.2|800.13|0|0|1595.06|1457.69|269.94|1561.55|1515.31|1475.43|1421.25|1593.19|1239|1561.55|505.87|492.68|505.87|1603.43|1603.43|312.53|453.09|322.84|1667.57|1593.19|1593.19|315.66|350.03|343.78|375.04|439.89|1516.87|1516.87|461.88|1478.04|791.8|461.88|453.09|0|1667.57
Professional|||32607|THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL|1105|1105|970.7|828.75|939.25|994.5|939.25|990.08|569.1|534.95|0|0|1062.18|970.7|181.21|1039.86|1009.07|982.51|946.43|1060.93|828.75|1039.86|337.93|329.11|337.93|1072.04|1072.04|208.87|302.67|215.76|1114.92|1060.93|1060.93|210.96|233.93|229.76|250.64|293.85|1011.22|1011.22|308.54|985.34|528.93|308.54|302.67|0|1114.92
Professional|||32608|THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL|1353|1353|1191.26|1014.75|1150.05|1217.7|1150.05|1215.05|697.2|655.37|0|0|1303.53|1191.26|221.61|1276.14|1238.35|1205.76|1161.48|1302|1014.75|1276.14|414.52|403.7|414.52|1313.34|1313.34|256.08|371.26|264.53|1365.87|1302|1302|258.64|286.81|281.69|307.3|360.45|1240.86|1240.86|378.47|1209.1|648.81|378.47|371.26|0|1365.87
Professional|||32609|THORACOSCOPY WITH BIOPSYIES OF PLEURA|931|931|813.47|698.25|791.35|837.9|791.35|829.71|479.5|450.73|0|0|890.13|813.47|152.52|871.43|845.62|823.37|793.13|889.08|698.25|871.43|283.96|276.55|283.96|903.25|903.25|175.51|254.33|181.3|939.38|889.08|889.08|177.27|196.57|193.06|210.61|246.92|848.37|848.37|259.27|826.65|444.46|259.27|254.33|0|939.38
Professional|||32650|THORACOSCOPY SURG W/PLEURODES*|2404|2404|2095.36|1803|2043.4|2163.6|2043.4|2137.19|1239|1164.66|0|0|2292.82|2095.36|393.31|2244.65|2178.18|2120.86|2042.98|2290.13|1803|2244.65|735.66|716.46|735.66|2333.95|2333.95|454.69|658.89|469.69|2427.31|2290.13|2290.13|459.24|509.25|500.16|545.63|639.7|2176.32|2176.32|671.69|2120.61|1151.46|671.69|658.89|0|2427.31
Professional|||32651|THORACOSCOPY SURG PART PULM D*|3930|3930|3450.4|2947.5|3340.5|3537|3340.5|3519.29|2025.1|1903.59|0|0|3775.57|3450.4|643.16|3696.25|3586.79|3492.4|3364.14|3771.14|2947.5|3696.25|1202.8|1171.42|1202.8|3814.75|3814.75|743.62|1077.29|768.16|3967.34|3771.14|3771.14|751.06|832.85|817.98|892.34|1045.91|3585.71|3585.71|1098.21|3493.92|1882.64|1098.21|1077.29|0|3967.34
Professional|||32652|THORACOSCOPY SURG TOT PULM DE*|5951|5951|5237.84|4463.25|5058.35|5355.9|5058.35|5342.42|3067.4|2883.36|0|0|5731.46|5237.84|972.93|5611.05|5444.88|5301.6|5106.89|5724.74|4463.25|5611.05|1821.04|1773.53|1821.04|5776.85|5776.85|1125.7|1631.02|1162.85|6007.92|5724.74|5724.74|1136.96|1260.78|1238.27|1350.84|1583.51|5441.93|5441.93|1662.69|5302.63|2850.32|1662.69|1631.02|0|6007.92
Professional|||32653|THORACOSCOPY SURG REMOV FB IN*|3810|3810|3342.31|2857.5|3238.5|3429|3238.5|3409.04|1963.5|1845.69|0|0|3657.28|3342.31|621.99|3580.45|3474.42|3382.99|3258.75|3653|2857.5|3580.45|1167.4|1136.95|1167.4|3698.72|3698.72|721.55|1045.58|745.36|3846.67|3653|3653|728.77|808.14|793.71|865.86|1015.13|3465.81|3465.81|1065.89|3377.1|1827.23|1065.89|1045.58|0|3846.67
Professional|||32655|THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX|3433|3433|3010.37|2574.75|2918.05|3089.7|2918.05|3070.47|1768.9|1662.77|0|0|3294.06|3010.37|561.73|3224.86|3129.36|3047.01|2935.11|3290.2|2574.75|3224.86|1050.17|1022.77|1050.17|3332.14|3332.14|649.19|940.59|670.61|3465.43|3290.2|3290.2|655.68|727.09|714.11|779.03|913.19|3128.73|3128.73|958.85|3048.64|1643.74|958.85|940.59|0|3465.43
Professional|||32658|THORACOSCOPY SURG EXC FB/CLOT*|2566|2566|2242.76|1924.5|2181.1|2309.4|2181.1|2287.54|1324.4|1244.94|0|0|2454.12|2242.76|420.9|2402.56|2331.41|2270.06|2186.69|2451.24|1924.5|2402.56|786.27|765.76|786.27|2490.86|2490.86|486|704.22|502.04|2590.49|2451.24|2451.24|490.86|544.32|534.6|583.2|683.71|2334.66|2334.66|717.9|2274.9|1230.68|717.9|704.22|0|2590.49
Professional|||32659|THORACOSCOPY SURG PERICARD WI*|2637|2637|2303.91|1977.75|2241.45|2373.3|2241.45|2349.91|1358.7|1277.18|0|0|2521.03|2303.91|431.29|2468.07|2394.98|2331.95|2246.31|2518.07|1977.75|2468.07|806.48|785.44|806.48|2559.44|2559.44|498.57|722.33|515.02|2661.82|2518.07|2518.07|503.56|558.4|548.43|598.28|701.29|2393.48|2393.48|736.35|2332.21|1262.32|736.35|722.33|0|2661.82
Professional|||32662|THORACOSCOPY SURG EXC MEDIAST*|3209|3209|2811.64|2406.75|2727.65|2888.1|2727.65|2867.78|1653.4|1554.2|0|0|3076.61|2811.64|524.86|3011.98|2922.78|2845.86|2741.35|3073.01|2406.75|3011.98|981.36|955.76|981.36|3114.57|3114.57|606.6|878.96|626.62|3239.15|3073.01|3073.01|612.67|679.39|667.26|727.92|853.36|2920.62|2920.62|896.03|2845.85|1536.05|896.03|878.96|0|3239.15
Professional|||32663|THORACOSCOPY W/LOBECTOMY SINGLE LOBE|5015|5015|4413.46|3761.25|4262.75|4513.5|4262.75|4501.58|2584.4|2429.34|0|0|4829.38|4413.46|819.75|4727.93|4587.91|4467.18|4303.12|4823.72|3761.25|4727.93|1534.15|1494.12|1534.15|4868.33|4868.33|948.39|1374.06|979.69|5063.06|4823.72|4823.72|957.87|1062.2|1043.23|1138.07|1334.04|4587.92|4587.92|1400.74|4470.48|2401.27|1400.74|1374.06|0|5063.06
Professional|||32666|THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT|3131|3131|2741.76|2348.25|2661.35|2817.9|2661.35|2796.5|1613.5|1516.69|0|0|3000.14|2741.76|512.5|2937.12|2850.14|2775.13|2673.22|2996.63|2348.25|2937.12|956.73|931.77|956.73|3039.41|3039.41|591.46|856.9|610.98|3160.99|2996.63|2996.63|597.37|662.44|650.61|709.75|831.94|2850.49|2850.49|873.54|2777.52|1497.49|873.54|856.9|0|3160.99
Professional|||32667|THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL|559|559|495.72|419.25|475.15|503.1|475.15|505.62|287.7|270.44|0|0|542.44|495.72|90.72|531.04|515.32|501.76|483.33|541.8|419.25|531.04|170.83|166.38|170.83|541.95|541.95|105.46|153.01|108.94|563.63|541.8|541.8|106.51|118.12|116.01|126.55|148.55|515.79|515.79|155.98|502.59|267.39|155.98|153.01|0|563.63
Professional|||32668|THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN|559|559|495.72|419.25|475.15|503.1|475.15|505.62|287.7|270.44|0|0|542.44|495.72|90.72|531.04|515.32|501.76|483.33|541.8|419.25|531.04|170.83|166.38|170.83|541.95|541.95|105.46|153.01|108.94|563.63|541.8|541.8|106.51|118.12|116.01|126.55|148.55|515.79|515.79|155.98|502.59|267.39|155.98|153.01|0|563.63
Professional|||32669|THORACOSCOPY W/SEGMENTECTOMY|4811|4811|4235.48|3608.25|4089.35|4329.9|4089.35|4320.04|2479.4|2330.64|0|0|4634.63|4235.48|788.41|4537.27|4402.9|4287.03|4129.59|4629.2|3608.25|4537.27|1472.66|1434.24|1472.66|4670.53|4670.53|910.41|1318.99|940.45|4857.35|4629.2|4629.2|919.51|1019.66|1001.45|1092.49|1280.57|4406.91|4406.91|1344.6|4294.1|2305.03|1344.6|1318.99|0|4857.35
Professional|||32673|THORACOSCOPY RESEXN THYMUS UNI/BILATERAL|4352|4352|3823.83|3264|3699.2|3916.8|3699.2|3900.18|2242.8|2108.23|0|0|4184.19|3823.83|715.13|4096.29|3974.98|3870.38|3728.23|4179.29|3264|4096.29|1335.9|1301.05|1335.9|4224.84|4224.84|825.73|1196.5|852.98|4393.83|4179.29|4179.29|833.99|924.82|908.3|990.88|1161.65|3983.88|3983.88|1219.73|3881.9|2090.97|1219.73|1196.5|0|4393.83
Professional|||32674|THORCOSCPY W/MEDIASTINL &REGIONL LYMPHADENECTOMY|768|768|681.35|576|652.8|691.2|652.8|694.95|395.5|371.77|0|0|745.56|681.35|124.71|729.89|708.28|689.64|664.32|744.68|576|729.89|234.34|228.22|234.34|743.7|743.7|144.72|209.88|149.5|773.45|744.68|744.68|146.17|162.09|159.19|173.66|203.77|709.22|709.22|213.96|691.06|366.79|213.96|209.88|0|773.45
Professional|||32810|CLOSE CHEST AFTER DRAINAGE|3234|3234|2829.11|2425.5|2748.9|2910.6|2748.9|2885.6|1670.2|1569.99|0|0|3095.73|2829.11|529.73|3030.69|2940.94|2863.55|2758.38|3092.1|2425.5|3030.69|991.05|965.19|991.05|3139.62|3139.62|612.5|887.63|632.71|3265.2|3092.1|3092.1|618.63|686|673.75|735|861.78|2921.75|2921.75|904.87|2846.96|1551.2|904.87|887.63|0|3265.2
Professional|||32815|CLOSE BRONCHIAL FISTULA|10025|10025|8849.85|7518.75|8521.25|9022.5|8521.25|9026.54|5167.4|4857.36|0|0|9683.85|8849.85|1637.96|9480.42|9199.66|8957.56|8628.6|9672.51|7518.75|9480.42|3063.22|2983.31|3063.22|9732.7|9732.7|1893.7|2743.58|1956.19|10122.01|9672.51|9672.51|1912.64|2120.94|2083.07|2272.44|2663.67|9140.76|9140.76|2796.85|8906.77|4794.61|2796.85|2743.58|0|10122.01
Professional|||32906|THORACOPLASTYCLOSE BP FISTULA|5896|5896|5196.35|4422|5011.6|5306.4|5011.6|5300.1|3043.6|2860.98|0|0|5686.05|5196.35|968.74|5566.6|5401.75|5259.6|5066.44|5679.39|4422|5566.6|1805.32|1758.22|1805.32|5724.11|5724.11|1115.95|1616.94|1152.78|5953.07|5679.39|5679.39|1127.11|1249.86|1227.55|1339.14|1569.84|5424.94|5424.94|1648.33|5286.07|2825.71|1648.33|1616.94|0|5953.07
Professional|||32998|PR ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY|1676|1676|1399.82|1257|1424.6|1508.4|1424.6|11206.05|7077.7|6653.04|0|0|1531.73|1399.82|174.8|1499.56|1455.15|1416.85|1364.82|1529.94|1257|1499.56|510.38|497.07|510.38|1627.17|1627.17|315.36|457.12|325.77|1692.26|1529.94|1529.94|318.51|353.2|346.9|378.43|443.81|926.41|926.41|466|902.69|798.86|466|457.12|0|11206.05
Professional|||32999|REPOSITIONING OF CHEST TUBE W/FLUORO|120|120|0|90|102|108|102|0|0|0|0|0|0|0|0|0|0|0|0|0|90|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|120
Professional|||33017|PR PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY|889|889|775.25|666.75|755.65|800.1|755.65|790.73|0|0|0|0|848.31|775.25|0|830.49|805.89|784.68|755.87|470.73|666.75|830.49|271.45|264.36|271.45|862.38|862.38|167.81|243.12|173.35|896.88|470.73|470.73|169.49|187.95|184.59|201.37|236.04|803.11|803.11|247.84|782.55|424.87|247.84|243.12|0|896.88
Professional|||33020|INCIS HEART SAC REMV CLOT/FB|3164|3164|2771.24|2373|2689.4|2847.6|2689.4|2826.57|1630.3|1532.48|0|0|3032.4|2771.24|516.91|2968.7|2880.78|2804.97|2701.96|3028.85|2373|2968.7|907.66|883.98|907.66|3071.05|3071.05|560.92|812.95|579.43|3193.89|3028.85|3028.85|566.53|628.23|617.01|673.1|789.27|2883.27|2883.27|828.73|2809.46|1420.69|828.73|812.95|0|3193.89
Professional|||33025|INCIS HEART SAC WINDW FOR DRA*|2866|2866|2513.55|2149.5|2436.1|2579.4|2436.1|2563.74|1477|1388.38|0|0|2750.43|2513.55|469.24|2692.65|2612.91|2544.15|2450.71|2747.21|2149.5|2692.65|846.81|824.72|846.81|2782.28|2782.28|523.46|758.45|540.73|2893.57|2747.21|2747.21|528.69|586.28|575.81|628.15|736.36|2615.21|2615.21|773.18|2548.26|1325.45|773.18|758.45|0|2893.57
Professional|||33030|REMOV HEART SAC NO CP BYPASS|7161|7161|6316.64|5370.75|6086.85|6444.9|6086.85|6442.75|3690.4|3468.98|0|0|6911.92|6316.64|1170.03|6766.71|6566.32|6393.52|6158.72|6903.82|5370.75|6766.71|2190.58|2133.43|2190.58|6951.74|6951.74|1354.33|1962|1399.02|7229.81|6903.82|6903.82|1367.87|1516.85|1489.76|1625.2|1904.85|6571.91|6571.91|2000.09|6403.68|3428.73|2000.09|1962|0|7229.81
Professional|||33120|REMOVAL HEART LESION INTERN|7500|7500|6624.56|5625|6375|6750|6375|6756.82|3865.4|3633.48|0|0|7248.85|6624.56|1224.32|7096.57|6886.41|6705.19|6458.95|7240.36|5625|7096.57|2292.97|2233.16|2292.97|7281.4|7281.4|1417.45|2053.71|1464.23|7572.66|7240.36|7240.36|1431.62|1587.54|1559.2|1700.94|1993.89|6888.64|6888.64|2093.58|6712.3|3589|2093.58|2053.71|0|7572.66
Professional|||33130|REMOVAL HEART LESION EXTERN|4924|4924|4331.57|3693|4185.4|4431.6|4185.4|4418.05|2541|2388.54|0|0|4739.77|4331.57|810.69|4640.2|4502.78|4384.29|4223.28|4734.22|3693|4640.2|1500.8|1461.64|1500.8|4779.98|4779.98|927.86|1344.19|958.48|4971.18|4734.22|4734.22|937.14|1039.2|1020.65|1113.43|1305.04|4530.21|4530.21|1370.29|4414.24|2349.07|1370.29|1344.19|0|4971.18
Professional|||33202|INSERT EPICARDIAL ELECTRODE *|2781|2781|2443.67|2085.75|2363.85|2502.9|2363.85|2492.46|1432.9|1346.93|0|0|2673.96|2443.67|454.91|2617.79|2540.26|2473.42|2382.58|2670.83|2085.75|2617.79|847.65|825.54|847.65|2699.21|2699.21|523.97|759.2|541.26|2807.18|2670.83|2670.83|529.21|586.85|576.37|628.76|737.09|2543.94|2543.94|773.94|2478.82|1326.76|773.94|759.2|0|2807.18
Professional|||33206|PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL|1651|1651|1435.85|1238.25|1403.35|1485.9|1403.35|1464.52|850.5|799.47|0|0|1571.16|1435.85|271.48|1538.16|1492.6|1453.32|1399.95|1569.32|1238.25|1538.16|507.07|493.84|507.07|1602.12|1602.12|313.3|454.16|323.64|1666.2|1569.32|1569.32|316.43|350.9|344.63|375.96|440.93|1479.52|1479.52|462.98|1441.65|793.67|462.98|454.16|0|1666.2
Professional|||33207|PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR|1748|1748|1525.38|1311|1485.8|1573.2|1485.8|1555.84|900.2|846.19|0|0|1669.14|1525.38|288.26|1634.07|1585.68|1543.95|1487.25|1667.18|1311|1634.07|534.01|520.08|534.01|1697.06|1697.06|329.98|478.29|340.87|1764.94|1667.18|1667.18|333.28|369.58|362.98|395.98|464.36|1577.95|1577.95|487.58|1537.56|835.85|487.58|478.29|0|1764.94
Professional|||33208|PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT|1894|1894|1654.23|1420.5|1609.9|1704.6|1609.9|1687.26|975.8|917.25|0|0|1810.12|1654.23|312.08|1772.1|1719.62|1674.36|1612.87|1808|1420.5|1772.1|579.85|564.73|579.85|1838.15|1838.15|358.47|519.35|370.3|1911.68|1808|1808|362.05|401.49|394.32|430.16|504.22|1712.53|1712.53|529.43|1668.69|907.6|529.43|519.35|0|1911.68
Professional|||33210|PR INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH|593|593|519.74|444.75|504.05|533.7|504.05|530.12|305.2|286.89|0|0|568.72|519.74|104.17|556.78|540.29|526.07|506.75|568.06|444.75|556.78|180.71|176|180.71|574.92|574.92|111.62|161.85|115.3|597.92|568.06|568.06|112.74|125.01|122.78|133.94|157.14|544.06|544.06|165|530.14|282.85|165|161.85|0|597.92
Professional|||33213|PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS|1223|1223|1063.51|917.25|1039.55|1100.7|1039.55|1084.74|630|592.2|0|0|1163.74|1063.51|204.38|1139.29|1105.55|1076.46|1036.92|1162.37|917.25|1139.29|374.23|364.47|374.23|1186.75|1186.75|231.19|335.18|238.82|1234.22|1162.37|1162.37|233.5|258.93|254.31|277.43|325.42|1098.34|1098.34|341.69|1070.22|585.76|341.69|335.18|0|1234.22
Professional|||33214|PR UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS|1744|1744|1517.74|1308|1482.4|1569.6|1482.4|1548.04|898.8|844.87|0|0|1660.77|1517.74|288.03|1625.88|1577.73|1536.21|1479.8|1658.83|1308|1625.88|533.95|520.02|533.95|1693.11|1693.11|329.98|478.23|340.87|1760.83|1658.83|1658.83|333.28|369.58|362.98|395.98|464.3|1566.63|1566.63|487.52|1526.53|835.74|487.52|478.23|0|1760.83
Professional|||33215|PR RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE|1131|1131|984.89|848.25|961.35|1017.9|961.35|1004.56|583.1|548.11|0|0|1077.71|984.89|181.87|1055.07|1023.82|996.88|960.27|1076.45|848.25|1055.07|346.35|337.31|346.35|1097.09|1097.09|214|310.21|221.06|1140.97|1076.45|1076.45|216.14|239.68|235.4|256.8|301.17|1019.17|1019.17|316.23|993.08|542.11|316.23|310.21|0|1140.97
Professional|||33216|PR INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB|1356|1356|1174.88|1017|1152.6|1220.4|1152.6|1198.34|698.6|656.68|0|0|1285.6|1174.88|225.57|1258.6|1221.32|1189.18|1145.51|1284.1|1017|1258.6|416.42|405.55|416.42|1315.98|1315.98|257.36|372.96|265.85|1368.62|1284.1|1284.1|259.93|288.24|283.1|308.83|362.1|1213.73|1213.73|380.21|1182.66|651.78|380.21|372.96|0|1368.62
Professional|||33220|PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB|1429|1429|1237.12|1071.75|1214.65|1286.1|1214.65|1261.82|736.4|692.22|0|0|1353.71|1237.12|236.6|1325.27|1286.02|1252.18|1206.19|1352.12|1071.75|1325.27|419.41|408.46|419.41|1387.19|1387.19|259.16|375.64|267.71|1442.68|1352.12|1352.12|261.75|290.26|285.08|310.99|364.7|1277.05|1277.05|382.94|1244.36|656.46|382.94|375.64|0|1442.68
Professional|||33221|PR INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS|1314|1314|1139.94|985.5|1116.9|1182.6|1116.9|1162.7|676.9|636.29|0|0|1247.37|1139.94|219.39|1221.17|1185|1153.82|1111.44|1245.91|985.5|1221.17|404.12|393.58|404.12|1275.11|1275.11|249.67|361.95|257.91|1326.11|1245.91|1245.91|252.17|279.63|274.64|299.6|351.41|1183.19|1183.19|368.98|1152.9|632.54|368.98|361.95|0|1326.11
Professional|||33222|PR RELOCATION OF SKIN POCKET FOR PACEMAKER|1242|1242|1071.15|931.5|1055.7|1117.8|1055.7|1092.54|639.8|601.41|0|0|1172.1|1071.15|206.6|1147.48|1113.49|1084.19|1044.37|1170.73|931.5|1147.48|381.79|371.83|381.79|1205.21|1205.21|235.81|341.95|243.59|1253.42|1170.73|1170.73|238.17|264.11|259.39|282.97|331.99|1101.74|1101.74|348.59|1073.54|597.58|348.59|341.95|0|1253.42
Professional|||33223|PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR|1493|1493|1296.09|1119.75|1269.05|1343.7|1269.05|1321.96|769.3|723.14|0|0|1418.23|1296.09|247.43|1388.43|1347.32|1311.86|1263.69|1416.57|1119.75|1388.43|458.05|446.1|458.05|1449.15|1449.15|283.02|410.25|292.36|1507.12|1416.57|1416.57|285.85|316.98|311.32|339.62|398.3|1336.99|1336.99|418.22|1302.77|716.94|418.22|410.25|0|1507.12
Professional|||33224|PR INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN|1865|1865|1640.03|1398.75|1585.25|1678.5|1585.25|1672.78|961.1|903.43|0|0|1794.59|1640.03|299.51|1756.89|1704.86|1660|1599.03|1792.49|1398.75|1756.89|570.85|555.96|570.85|1810.46|1810.46|352.82|511.28|364.46|1882.88|1792.49|1792.49|356.35|395.16|388.1|423.38|496.39|1698.98|1698.98|521.21|1655.49|893.5|521.21|511.28|0|1882.88
Professional|||33225|PR INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN|1697|1697|1492.63|1272.75|1442.45|1527.3|1442.45|1522.43|873.6|821.18|0|0|1633.29|1492.63|271.93|1598.98|1551.63|1510.79|1455.31|1631.38|1272.75|1598.98|518.88|505.34|518.88|1646.95|1646.95|320.75|464.74|331.33|1712.83|1631.38|1631.38|323.96|359.24|352.83|384.9|451.2|1548.54|1548.54|473.76|1508.9|812.16|473.76|464.74|0|1712.83
Professional|||33227|PR REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD|1234|1234|1072.25|925.5|1048.9|1110.6|1048.9|1093.65|635.6|597.46|0|0|1173.29|1072.25|206.37|1148.65|1114.63|1085.3|1045.44|1171.92|925.5|1148.65|378.03|368.17|378.03|1197.3|1197.3|233.5|338.58|241.21|1245.19|1171.92|1171.92|235.84|261.52|256.85|280.2|328.72|1107.38|1107.38|345.16|1079.04|591.7|345.16|338.58|0|1245.19
Professional|||33228|PR REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS|1289|1289|1120.29|966.75|1095.65|1160.1|1095.65|1142.66|664.3|624.44|0|0|1225.86|1120.29|214.98|1200.11|1164.57|1133.92|1092.28|1224.43|966.75|1200.11|395.31|385|395.31|1251.37|1251.37|244.28|354.06|252.34|1301.42|1224.43|1224.43|246.72|273.59|268.71|293.14|343.75|1158.29|1158.29|360.94|1128.64|618.75|360.94|354.06|0|1301.42
Professional|||33229|PR REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD|1367|1367|1186.9|1025.25|1161.95|1230.3|1161.95|1210.59|704.2|661.95|0|0|1298.75|1186.9|226.66|1271.46|1233.81|1201.34|1157.23|1297.23|1025.25|1271.46|418.88|407.95|418.88|1326.53|1326.53|258.9|375.17|267.44|1379.59|1297.23|1297.23|261.49|289.97|284.79|310.68|364.24|1227.28|1227.28|382.45|1195.86|655.63|382.45|375.17|0|1379.59
Professional|||33233|PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY|848|848|729.39|636|720.8|763.2|720.8|743.95|437.5|411.25|0|0|798.13|729.39|144.12|781.36|758.22|738.27|711.16|797.19|636|781.36|260.52|253.72|260.52|822.82|822.82|160.88|233.34|166.19|855.73|797.19|797.19|162.49|180.19|176.97|193.06|226.54|752.21|752.21|237.87|732.95|407.77|237.87|233.34|0|855.73
Professional|||33234|PR RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR|1769|1769|1539.58|1326.75|1503.65|1592.1|1503.65|1570.32|911.4|856.72|0|0|1684.67|1539.58|291.79|1649.28|1600.43|1558.32|1501.09|1682.69|1326.75|1649.28|542.04|527.9|542.04|1716.84|1716.84|335.11|485.48|346.17|1785.51|1682.69|1682.69|338.46|375.32|368.62|402.13|471.34|1591.5|1591.5|494.91|1550.76|848.41|494.91|485.48|0|1785.51
Professional|||33235|PR RMVL TRANSVNS PM ELTRD DUAL LEAD SYS|2326|2326|2022.2|1744.5|1977.1|2093.4|1977.1|2062.57|1198.4|1126.5|0|0|2212.77|2022.2|381.17|2166.28|2102.13|2046.81|1971.65|2210.18|1744.5|2166.28|712.55|693.96|712.55|2257.47|2257.47|440.32|638.2|454.85|2347.77|2210.18|2210.18|444.72|493.16|484.35|528.38|619.61|2091.47|2091.47|650.59|2037.93|1115.3|650.59|638.2|0|2347.77
Professional|||33238|REMV PERM XVEN ELECTRD/THORAC*|3401|3401|2957.96|2550.75|2890.85|3060.9|2890.85|3017.01|1752.8|1647.63|0|0|3236.71|2957.96|550.68|3168.72|3074.88|2993.96|2884.01|3232.92|2550.75|3168.72|1039.29|1012.18|1039.29|3301.81|3301.81|642.52|930.84|663.72|3433.88|3232.92|3232.92|648.95|719.62|706.77|771.02|903.73|3058.6|3058.6|948.92|2980.31|1626.71|948.92|930.84|0|3433.88
Professional|||33241|PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY|791|791|681.35|593.25|672.35|711.9|672.35|694.95|406.7|382.3|0|0|745.56|681.35|134.86|729.89|708.28|689.64|664.32|744.68|593.25|729.89|241.22|234.93|241.22|767.43|767.43|149.08|216.05|154|798.13|744.68|744.68|150.57|166.97|163.99|178.9|209.76|704.71|704.71|220.25|686.67|377.57|220.25|216.05|0|798.13
Professional|||33244|PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ|3142|3142|2739.58|2356.5|2670.7|2827.8|2670.7|2794.27|1619.1|1521.95|0|0|2997.75|2739.58|510.52|2934.78|2847.87|2772.92|2671.09|2994.24|2356.5|2934.78|964.08|938.93|964.08|3049.96|3049.96|595.82|863.48|615.48|3171.96|2994.24|2994.24|601.78|667.32|655.4|714.98|838.33|2823.32|2823.32|880.25|2751.05|1508.99|880.25|863.48|0|3171.96
Professional|||33249|PR INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR|3335|3335|2912.1|2501.25|2834.75|3001.5|2834.75|2970.24|1718.5|1615.39|0|0|3186.53|2912.1|543.18|3119.59|3027.21|2947.54|2839.3|3182.8|2501.25|3119.59|1021.2|994.56|1021.2|3237.2|3237.2|631.23|914.64|652.06|3366.69|3182.8|3182.8|637.54|706.98|694.35|757.48|888|3009.97|3009.97|932.4|2932.92|1598.4|932.4|914.64|0|3366.69
Professional|||33250|ABLATION SUPRAVENT ARRHYTHMOG*|5219|5219|4563.05|3914.25|4436.15|4697.1|4436.15|4654.15|2706.9|2544.49|0|0|4993.07|4563.05|857.71|4888.18|4743.42|4618.59|4448.97|4987.22|3914.25|4888.18|1597.97|1556.28|1597.97|5066.12|5066.12|987.91|1431.23|1020.51|5268.76|4987.22|4987.22|997.79|1106.46|1086.7|1185.49|1389.54|4766.62|4766.62|1459.02|4644.61|2501.17|1459.02|1431.23|0|5268.76
Professional|||33257|ATRIA ABLATE & RCNSTJ W OTHER PROCEDURE LIMITED|2103|2103|1835.48|1577.25|1787.55|1892.7|1787.55|1872.13|1082.9|1017.93|0|0|2008.46|1835.48|344.1|1966.27|1908.04|1857.82|1789.59|2006.11|1577.25|1966.27|641.83|625.08|641.83|2041.21|2041.21|396.7|574.85|409.79|2122.86|2006.11|2006.11|400.67|444.3|436.37|476.04|558.11|1908.23|1908.23|586.02|1859.38|1004.6|586.02|574.85|0|2122.86
Professional|||33259|ATRIA ABLATE &RCNSTJ W OTHER PX EXTENSIVE W BYP|3050|3050|2665.33|2287.5|2592.5|2745|2592.5|2718.54|1571.5|1477.21|0|0|2916.51|2665.33|497.94|2855.24|2770.68|2697.77|2598.7|2913.09|2287.5|2855.24|931.04|906.75|931.04|2960.29|2960.29|575.55|833.89|594.54|3078.7|2913.09|2913.09|581.31|644.62|633.11|690.66|809.6|2769.05|2769.05|850.08|2698.16|1457.28|850.08|833.89|0|3078.7
Professional|||33262|PR RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD|1360|1360|1181.44|1020|1156|1224|1156|1205.02|700.7|658.66|0|0|1292.77|1181.44|226.23|1265.62|1228.13|1195.82|1151.9|1291.26|1020|1265.62|417.19|406.3|417.19|1319.94|1319.94|257.88|373.65|266.39|1372.74|1291.26|1291.26|260.46|288.83|283.67|309.46|362.77|1222.77|1222.77|380.91|1191.47|652.99|380.91|373.65|0|1372.74
Professional|||33263|PR RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD|1416|1416|1230.57|1062|1203.6|1274.4|1203.6|1255.14|729.4|685.64|0|0|1346.54|1230.57|235.29|1318.25|1279.21|1245.55|1199.81|1344.96|1062|1318.25|433.75|422.43|433.75|1373.99|1373.99|268.14|388.49|276.99|1428.95|1344.96|1344.96|270.82|300.32|294.95|321.77|377.17|1273.67|1273.67|396.03|1241.07|678.91|396.03|388.49|0|1428.95
Professional|||33264|PR RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD|1475|1475|1284.07|1106.25|1253.75|1327.5|1253.75|1309.71|760.9|715.25|0|0|1405.08|1284.07|245|1375.57|1334.83|1299.7|1251.97|1403.44|1106.25|1375.57|452.58|440.78|452.58|1432.02|1432.02|279.69|405.36|288.92|1489.3|1403.44|1403.44|282.49|313.25|307.66|335.63|393.55|1327.95|1327.95|413.23|1293.95|708.39|413.23|405.36|0|1489.3
Professional|||33274|PR TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG|1781|1781|1551.59|1335.75|1513.85|1602.9|1513.85|1582.57|917.7|862.64|0|0|1697.81|1551.59|0|1662.14|1612.92|1570.47|1512.8|1695.82|1335.75|1662.14|542.41|528.26|542.41|1728.71|1728.71|0|485.81|0|1797.86|1695.82|1695.82|0|0|0|0|471.66|1607.35|1607.35|495.24|1566.21|848.99|495.24|485.81|0|1797.86
Professional|||33285|PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG|322|322|282.8|241.5|273.7|289.8|273.7|16267.82|10320.1|9700.89|0|0|309.45|282.8|0|302.95|293.98|286.24|275.73|309.09|241.5|302.95|97.93|95.38|97.93|312.52|312.52|60.3|87.71|62.29|325.02|309.09|309.09|60.9|67.54|66.33|72.36|85.16|292.96|292.96|89.42|285.46|153.29|89.42|87.71|0|16267.82
Professional|||33286|PR REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR|317|317|277.34|237.75|269.45|285.3|269.45|423.21|252|236.88|0|0|303.48|277.34|0|297.1|288.31|280.72|270.41|303.12|237.75|297.1|96.28|93.77|96.28|307.23|307.23|59.27|86.23|61.23|319.52|303.12|303.12|59.86|66.38|65.2|71.12|83.72|287.32|287.32|87.91|279.96|150.7|87.91|86.23|0|423.21
Professional|||33300|REPAIR HEART WOUND|8774|8774|7754.67|6580.5|7457.9|7896.6|7457.9|7909.5|4522|4250.68|0|0|8485.47|7754.67|1429.81|8307.21|8061.2|7849.06|7560.8|8475.53|6580.5|8307.21|2683.02|2613.03|2683.02|8518.26|8518.26|1658.66|2403.05|1713.4|8858.99|8475.53|8475.53|1675.25|1857.7|1824.53|1990.39|2333.06|8044.65|8044.65|2449.71|7838.73|4199.51|2449.71|2403.05|0|8858.99
Professional|||33310|EXPLOR HEART SURG WOUND|4216|4216|3702.63|3162|3583.6|3794.4|3583.6|3776.56|2176.3|2045.72|0|0|4051.57|3702.63|690.18|3966.45|3848.99|3747.7|3610.06|4046.82|3162|3966.45|1285.13|1251.6|1285.13|4092.98|4092.98|794.43|1151.03|820.65|4256.7|4046.82|4046.82|802.37|889.76|873.87|953.32|1117.5|3870.76|3870.76|1173.38|3771.67|2011.5|1173.38|1151.03|0|4256.7
Professional|||33320|REPR AO/GRT VESSEL|3798|3798|3334.66|2848.5|3228.3|3418.2|3228.3|3401.24|1956.5|1839.11|0|0|3648.92|3334.66|622.19|3572.26|3466.47|3375.25|3251.29|3644.64|2848.5|3572.26|1156.61|1126.44|1156.61|3686.85|3686.85|714.88|1035.92|738.47|3834.32|3644.64|3644.64|722.03|800.67|786.37|857.86|1005.75|3485.04|3485.04|1056.04|3395.83|1810.35|1056.04|1035.92|0|3834.32
Professional|||33322|REPR AO/GRT VESSEL W CP BYPASS|4982|4982|4369.78|3736.5|4234.7|4483.8|4234.7|4457.03|2567.6|2413.54|0|0|4781.59|4369.78|814.23|4681.14|4542.51|4422.97|4260.54|4775.99|3736.5|4681.14|1527.45|1487.61|1527.45|4836.68|4836.68|944.28|1368.07|975.44|5030.15|4775.99|4775.99|953.72|1057.59|1038.71|1133.14|1328.22|4553.97|4553.97|1394.63|4437.4|2390.8|1394.63|1368.07|0|5030.15
Professional|||33340|PR PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT|2855|2855|2512.46|2141.25|2426.75|2569.5|2426.75|2562.62|1472.1|1383.77|0|0|2749.23|2512.46|475.27|2691.48|2611.77|2543.04|2449.65|2746.01|2141.25|2691.48|872.38|849.62|872.38|2771.73|2771.73|539.11|781.35|556.9|2882.6|2746.01|2746.01|544.5|603.8|593.02|646.93|758.59|2626.52|2626.52|796.52|2559.29|1365.46|796.52|781.35|0|2882.6
Professional|||33361|REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH|4868|4868|4310.82|3651|4137.8|4381.2|4137.8|4396.89|2509.5|2358.93|0|0|4717.07|4310.82|790.4|4617.98|4481.22|4363.29|4203.05|4711.54|3651|4617.98|1329.38|1294.7|1329.38|4725.92|4725.92|821.88|1190.66|849|4914.96|4711.54|4711.54|830.1|920.51|904.07|986.26|1155.98|4478.17|4478.17|1213.78|4363.54|2080.76|1213.78|1190.66|0|4914.96
Professional|||33362|REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH|5312|5312|4706.09|3984|4515.2|4780.8|4515.2|4800.05|2737.7|2573.44|0|0|5149.59|4706.09|863.46|5041.41|4892.11|4763.37|4588.44|5143.55|3984|5041.41|1446.78|1409.04|1446.78|5157.11|5157.11|894.25|1295.81|923.76|5363.39|5143.55|5143.55|903.19|1001.56|983.68|1073.1|1258.07|4886.52|4886.52|1320.97|4761.43|2264.53|1320.97|1295.81|0|5363.39
Professional|||33363|REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH|5498|5498|4874.24|4123.5|4673.3|4948.2|4673.3|4971.56|2833.6|2663.58|0|0|5333.59|4874.24|897.88|5221.54|5066.91|4933.57|4752.38|5327.34|4123.5|5221.54|1500.65|1461.5|1500.65|5337.75|5337.75|927.6|1344.06|958.21|5551.26|5327.34|5327.34|936.88|1038.91|1020.36|1113.12|1304.91|5144.43|5144.43|1370.16|5012.74|2348.84|1370.16|1344.06|0|5551.26
Professional|||33366|PR TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE|6901|6901|6117.92|5175.75|5865.85|6210.9|5865.85|6240.06|3556.7|3343.3|0|0|6694.46|6117.92|1118.83|6553.83|6359.74|6192.38|5964.97|6686.62|5175.75|6553.83|1725.71|1680.69|1725.71|6699.89|6699.89|1066.94|1545.64|1102.15|6967.89|6686.62|6686.62|1077.61|1194.97|1173.63|1280.33|1500.62|6346.81|6346.81|1575.65|6184.35|2701.12|1575.65|1545.64|0|6967.89
Professional|||33367|REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH|2251|2251|1997.09|1688.25|1913.35|2025.9|1913.35|2036.96|1157.8|1088.33|0|0|2185.29|1997.09|363.96|2139.38|2076.02|2021.39|1947.16|2182.73|1688.25|2139.38|688.34|670.39|688.34|2180.99|2180.99|425.44|616.52|439.48|2268.23|2182.73|2182.73|429.69|476.49|467.98|510.53|598.56|2058.66|2058.66|628.49|2005.96|1077.41|628.49|616.52|0|2268.23
Professional|||33369|REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH|3529|3529|3130.48|2646.75|2999.65|3176.1|2999.65|3192.98|1810.9|1702.25|0|0|3425.49|3130.48|572.76|3353.53|3254.22|3168.58|3052.22|3421.48|2646.75|3353.53|1069.96|1042.05|1069.96|3411.26|3411.26|661.51|958.31|683.34|3547.71|3421.48|3421.48|668.13|740.89|727.66|793.81|930.4|3250.89|3250.89|976.92|3167.68|1674.72|976.92|958.31|0|3547.71
Professional|||33405|PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT|8135|8135|7172.69|6101.25|6914.75|7321.5|6914.75|7315.9|4191.6|3940.1|0|0|7848.64|7172.69|1326.97|7683.76|7456.21|7259.99|6993.37|7839.44|6101.25|7683.76|2486.97|2422.09|2486.97|7897.19|7897.19|1537.54|2227.46|1588.28|8213.08|7839.44|7839.44|1552.92|1722.04|1691.29|1845.05|2162.58|7448.55|7448.55|2270.71|7257.89|3892.64|2270.71|2227.46|0|8213.08
Professional|||33411|REPLACE AORT VALV W ANNULUS ENLRGEMENT|12020|12020|10628.55|9015|10217|10818|10217|10841.87|6195|5823.3|0|0|11631.38|10628.55|1959.33|11385.86|11049.81|10759.02|10362.84|11616.56|9015|11385.86|3674.24|3578.39|3674.24|11669.75|11669.75|2271.42|3290.84|2346.38|12136.54|11616.56|11616.56|2294.13|2543.99|2498.56|2725.7|3194.99|11020.71|11020.71|3354.74|10738.6|5750.98|3354.74|3290.84|0|12136.54
Professional|||33412|REPLAC AO VALV XVENT AO ANNUL*|11280|11280|9945.03|8460|9588|10152|9588|10143.58|5842.2|5491.67|0|0|10882.24|9945.03|1844.33|10653.63|10338.13|10066.07|9696.4|10869.49|8460|10653.63|3449|3359.03|3449|10951.1|10951.1|2132.34|3089.1|2202.71|11389.14|10869.49|10869.49|2153.66|2388.22|2345.57|2558.81|2999.13|10418.94|10418.94|3149.09|10152.23|5398.43|3149.09|3089.1|0|11389.14
Professional|||33414|REPAIR LV OUTFLOW OBSTR PATCH*|7673|7673|6771.96|5754.75|6522.05|6905.7|6522.05|6907.17|3954.3|3717.04|0|0|7410.15|6771.96|1251.7|7254.48|7039.64|6854.39|6602.66|7401.47|5754.75|7254.48|2350.43|2289.11|2350.43|7448.86|7448.86|1453.12|2105.17|1501.07|7746.81|7401.47|7401.47|1467.65|1627.49|1598.43|1743.74|2043.85|7093.38|7093.38|2146.04|6911.8|3678.93|2146.04|2105.17|0|7746.81
Professional|||33425|MITRALPLASTY W CP BYPASS|9781|9781|8630.38|7335.75|8313.85|8802.9|8313.85|8802.68|5040.7|4738.26|0|0|9443.7|8630.38|1597.34|9245.31|8971.51|8735.42|8414.62|9432.63|7335.75|9245.31|2990.56|2912.55|2990.56|9495.35|9495.35|1848.8|2678.5|1909.81|9875.16|9432.63|9432.63|1867.29|2070.66|2033.68|2218.56|2600.49|8966.56|8966.56|2730.51|8737.03|4680.88|2730.51|2678.5|0|9875.16
Professional|||33426|MITRALPLASTY W PROSTHETIC RING|8545|8545|7530.83|6408.75|7263.25|7690.5|7263.25|7681.19|4403.7|4139.48|0|0|8240.54|7530.83|1392.96|8067.42|7828.51|7622.5|7342.56|8230.88|6408.75|8067.42|2610.65|2542.55|2610.65|8295.41|8295.41|1614.01|2338.23|1667.27|8627.23|8230.88|8230.88|1630.15|1807.69|1775.41|1936.81|2270.13|7819.58|7819.58|2383.64|7619.42|4086.23|2383.64|2338.23|0|8627.23
Professional|||33427|MITRALPLASTY W RADICAL RECONS*|8762|8762|7730.65|6571.5|7447.7|7885.8|7447.7|7885|4515.7|4244.76|0|0|8459.18|7730.65|1427.83|8281.48|8036.22|7824.75|7537.38|8449.27|6571.5|8281.48|2677.15|2607.32|2677.15|8506.39|8506.39|1655.07|2397.8|1709.69|8846.65|8449.27|8449.27|1671.62|1853.68|1820.58|1986.08|2327.96|8029.97|8029.97|2444.36|7824.42|4190.33|2444.36|2397.8|0|8846.65
Professional|||33430|REPLACEMENT OF MITRAL VALVE|10035|10035|8850.94|7526.25|8529.75|9031.5|8529.75|9027.65|5171.6|4861.3|0|0|9685.05|8850.94|1636.4|9481.59|9200.8|8958.67|8629.67|9673.7|7526.25|9481.59|3068.22|2988.18|3068.22|9741.93|9741.93|1896.78|2748.06|1959.37|10131.61|9673.7|9673.7|1915.75|2124.39|2086.46|2276.14|2668.02|9184.85|9184.85|2801.42|8949.74|4802.44|2801.42|2748.06|0|10131.61
Professional|||33463|VALVULOPLAS TRICUS NO RING IN*|11072|11072|9773.6|8304|9411.2|9964.8|9411.2|9968.73|5705.7|5363.36|0|0|10694.65|9773.6|1806.36|10469.98|10159.92|9892.56|9529.26|10682.12|8304|10469.98|3388.51|3300.11|3388.51|10749.36|10749.36|2094.88|3034.93|2164.01|11179.33|10682.12|10682.12|2115.83|2346.27|2304.37|2513.86|2946.53|10147.47|10147.47|3093.86|9887.72|5303.75|3093.86|3034.93|0|11179.33
Professional|||33464|VALVULOPLAS TRICUS W RING INS*|8758|8758|7720.82|6568.5|7444.3|7882.2|7444.3|7874.97|4513.6|4242.78|0|0|8448.43|7720.82|1429.37|8270.95|8026.01|7814.8|7527.8|8438.53|6568.5|8270.95|2676.8|2606.97|2676.8|8502.43|8502.43|1654.81|2397.48|1709.42|8842.53|8438.53|8438.53|1671.36|1853.39|1820.29|1985.77|2327.65|8017.52|8017.52|2444.03|7812.28|4189.77|2444.03|2397.48|0|8842.53
Professional|||33465|REPLACE TRICUSPID W CP BYPASS|9873|9873|8725.37|7404.75|8392.05|8885.7|8392.05|8899.58|5088.3|4783|0|0|9547.65|8725.37|1611.9|9347.07|9070.26|8831.57|8507.24|9536.46|7404.75|9347.07|3021.12|2942.31|3021.12|9585.02|9585.02|1867.79|2705.87|1929.43|9968.42|9536.46|9536.46|1886.47|2091.92|2054.57|2241.35|2627.06|9058.18|9058.18|2758.41|8826.31|4728.71|2758.41|2705.87|0|9968.42
Professional|||33507|REPR INTRAMURAL  COR ART TRAN*|6153|6153|5427.83|4614.75|5230.05|5537.7|5230.05|5536.2|3180.1|2989.29|0|0|5939.35|5427.83|1001.19|5814.58|5642.38|5493.9|5292.13|5932.39|4614.75|5814.58|1885.15|1835.97|1885.15|5973.33|5973.33|1165.47|1688.44|1203.93|6212.26|5932.39|5932.39|1177.12|1305.33|1282.02|1398.56|1639.26|5686.23|5686.23|1721.22|5540.67|2950.67|1721.22|1688.44|0|6212.26
Professional|||33508|ENDOSCOPY W/VIDEO-ASST VEIN H*|59|59|51.32|44.25|50.15|53.1|50.15|52.34|30.1|28.29|0|0|56.16|51.32|9.26|54.98|53.35|51.94|50.04|56.09|44.25|54.98|17.84|17.37|17.84|56.7|56.7|10.77|15.98|11.13|58.97|56.09|56.09|10.88|12.06|11.85|12.92|15.51|53.17|53.17|16.29|51.81|27.92|16.29|15.98|0|59
Professional|||33510|CABG VEIN SINGLE|6934|6934|6109.18|5200.5|5893.9|6240.6|5893.9|6231.15|3573.5|3359.09|0|0|6684.91|6109.18|1129.64|6544.47|6350.66|6183.54|5956.45|6677.07|5200.5|6544.47|2120.75|2065.43|2120.75|6731.54|6731.54|1310.96|1899.45|1354.22|7000.8|6677.07|6677.07|1324.07|1468.28|1442.06|1573.15|1844.13|6342.3|6342.3|1936.34|6179.95|3319.43|1936.34|1899.45|0|7000.8
Professional|||33511|CABG VEIN TWO|7614|7614|6709.73|5710.5|6471.9|6852.6|6471.9|6843.69|3924.2|3688.75|0|0|7342.05|6709.73|1242.21|7187.81|6974.94|6791.39|6541.99|7333.44|5710.5|7187.81|2327.29|2266.58|2327.29|7392.16|7392.16|1438.75|2084.44|1486.23|7687.85|7333.44|7333.44|1453.14|1611.4|1582.63|1726.5|2023.73|6971.21|6971.21|2124.92|6792.76|3642.71|2124.92|2084.44|0|7687.85
Professional|||33512|CABG VEIN THREE|8663|8663|7640.02|6497.25|7363.55|7796.7|7363.55|7792.56|4463.9|4196.07|0|0|8360.02|7640.02|1411.28|8184.39|7942.01|7733.01|7449.02|8350.22|6497.25|8184.39|2649.93|2580.8|2649.93|8410.13|8410.13|1638.13|2373.42|1692.19|8746.54|8350.22|8350.22|1654.51|1834.71|1801.94|1965.76|2304.29|7923.63|7923.63|2419.5|7720.8|4147.72|2419.5|2373.42|0|8746.54
Professional|||33513|CABG VEIN FOUR|8910|8910|7868.23|6682.5|7573.5|8019|7573.5|8025.32|4592|4316.48|0|0|8609.73|7868.23|1451.88|8428.86|8179.24|7964|7671.52|8599.64|6682.5|8428.86|2719.34|2648.4|2719.34|8650.12|8650.12|1681.24|2435.58|1736.72|8996.12|8599.64|8599.64|1698.05|1882.99|1849.36|2017.49|2364.64|8156.64|8156.64|2482.87|7947.84|4256.35|2482.87|2435.58|0|8996.12
Professional|||33517|CABG ARTERY-VEIN SINGLE|667|667|590.72|500.25|566.95|600.3|566.95|602.51|343.7|323.08|0|0|646.39|590.72|108.59|632.81|614.07|597.91|575.95|645.63|500.25|632.81|204.67|199.33|204.67|647.44|647.44|126.5|183.31|130.67|673.34|645.63|645.63|127.77|141.68|139.15|151.8|177.97|616.46|616.46|186.87|600.68|320.35|186.87|183.31|0|673.34
Professional|||33518|CABG ARTERY-VEIN TWO|1469|1469|1302.64|1101.75|1248.65|1322.1|1248.65|1328.64|756.7|711.3|0|0|1425.4|1302.64|238.82|1395.45|1354.13|1318.49|1270.07|1423.73|1101.75|1395.45|449.03|437.32|449.03|1425.42|1425.42|277.38|402.17|286.53|1482.44|1423.73|1423.73|280.15|310.67|305.12|332.86|390.46|1353.98|1353.98|409.98|1319.32|702.83|409.98|402.17|0|1482.44
Professional|||33519|CABG ARTERY-VEIN THREE|1943|1943|1723.02|1457.25|1651.55|1748.7|1651.55|1757.42|1001|940.94|0|0|1885.39|1723.02|315.41|1845.79|1791.12|1743.99|1679.94|1883.19|1457.25|1845.79|594.24|578.74|594.24|1885.62|1885.62|367.19|532.23|379.31|1961.04|1883.19|1883.19|370.86|411.25|403.91|440.63|516.73|1790.6|1790.6|542.57|1744.76|930.11|542.57|532.23|0|1961.04
Professional|||33521|CABG ARTERY-VEIN FOUR|2330|2330|2066.97|1747.5|1980.5|2097|1980.5|2108.23|1200.5|1128.47|0|0|2261.76|2066.97|378.09|2214.24|2148.67|2092.12|2015.3|2259.11|1747.5|2214.24|712.75|694.15|712.75|2261.43|2261.43|440.58|638.37|455.12|2351.89|2259.11|2259.11|444.99|493.45|484.64|528.7|619.78|2148.05|2148.05|650.77|2093.06|1115.6|650.77|638.37|0|2351.89
Professional|||33522|CABG ARTERY-VEIN FIVE|2617|2617|2321.38|1962.75|2224.45|2355.3|2224.45|2367.73|1348.2|1267.31|0|0|2540.14|2321.38|424.88|2486.78|2413.14|2349.63|2263.35|2537.17|1962.75|2486.78|799.18|778.33|799.18|2538.33|2538.33|493.95|715.79|510.25|2639.86|2537.17|2537.17|498.89|553.22|543.35|592.74|694.94|2410.47|2410.47|729.69|2348.76|1250.89|729.69|715.79|0|2639.86
Professional|||33530|CORON ART BYPASS/REOP >1 MON*|1877|1877|1665.15|1407.75|1595.45|1689.3|1595.45|1698.39|966.7|908.7|0|0|1822.07|1665.15|304.81|1783.79|1730.97|1685.41|1623.52|1819.94|1407.75|1783.79|573.64|558.68|573.64|1821.01|1821.01|354.62|513.78|366.32|1893.85|1819.94|1819.94|358.17|397.17|390.08|425.54|498.82|1729.52|1729.52|523.76|1685.25|897.88|523.76|513.78|0|1893.85
Professional|||33533|CABG ARTERIAL SINGLE|6706|6706|5906.09|5029.5|5700.1|6035.4|5700.1|6024|3455.9|3248.55|0|0|6462.67|5906.09|1094.1|6326.91|6139.54|5977.97|5758.44|6455.1|5029.5|6326.91|2051|1997.5|2051|6510.01|6510.01|1267.86|1836.98|1309.7|6770.41|6455.1|6455.1|1280.54|1420|1394.65|1521.43|1783.48|6133.06|6133.06|1872.65|5976.06|3210.26|1872.65|1836.98|0|6770.41
Professional|||33534|CABG ARTERIAL TWO|7879|7879|6946.67|5909.25|6697.15|7091.1|6697.15|7085.36|4060.7|3817.06|0|0|7601.32|6946.67|1285.91|7441.63|7221.25|7031.22|6773|7592.41|5909.25|7441.63|2408.74|2345.91|2408.74|7649.29|7649.29|1489.04|2157.4|1538.18|7955.26|7592.41|7592.41|1503.93|1667.72|1637.94|1786.85|2094.56|7216.68|7216.68|2199.29|7031.94|3770.21|2199.29|2157.4|0|7955.26
Professional|||33535|CABG ARTERIAL THREE|8785|8785|7750.31|6588.75|7467.25|7906.5|7467.25|7905.04|4526.9|4255.29|0|0|8480.69|7750.31|1432.68|8302.53|8056.66|7844.64|7556.55|8470.75|6588.75|8302.53|2684.43|2614.4|2684.43|8528.8|8528.8|1659.68|2404.32|1714.45|8869.95|8470.75|8470.75|1676.28|1858.84|1825.65|1991.62|2334.29|8055.97|8055.97|2451|7849.75|4201.72|2451|2404.32|0|8869.95
Professional|||33545|REPR POST MI SEPTAL DFCT|11023|11023|9753.94|8267.25|9369.55|9920.7|9369.55|9949.8|5691|5349.54|0|0|10674.34|9753.94|1806.81|10448.93|10140.63|9873.77|9510.09|10660.64|8267.25|10448.93|3361.69|3274|3361.69|10701.88|10701.88|2078.2|3010.91|2146.78|11129.96|10660.64|10660.64|2098.98|2327.58|2286.02|2493.84|2923.21|10171.21|10171.21|3069.37|9910.84|5261.78|3069.37|3010.91|0|11129.96
Professional|||33548|RESTORE/REMODEL VENTRICLE|10627|10627|9361.95|7970.25|9032.95|9564.3|9032.95|9548.86|5476.8|5148.19|0|0|10244.22|9361.95|1733.3|10029.01|9732|9475.9|9127.9|10232.21|7970.25|10029.01|3240.46|3155.92|3240.46|10316.85|10316.85|2003.27|2902.32|2069.38|10729.52|10232.21|10232.21|2023.3|2243.66|2203.6|2403.92|2817.79|9739.13|9739.13|2958.68|9489.82|5072.02|2958.68|2902.32|0|10729.52
Professional|||33572|OPEN CORONARY ENDARTERECTOMY|821|821|728.3|615.75|697.85|738.9|697.85|742.84|423.5|398.09|0|0|796.93|728.3|133.09|780.19|757.09|737.16|710.09|796|615.75|780.19|250.9|244.35|250.9|796.44|796.44|154.98|224.72|160.09|828.3|796|796|156.53|173.58|170.48|185.98|218.17|756.75|756.75|229.08|737.38|392.71|229.08|224.72|0|828.3
Professional|||33600|CLOSURE OF AV VALVE|6142|6142|5386.34|4606.5|5220.7|5527.8|5220.7|5493.88|3178.7|2987.98|0|0|5893.95|5386.34|1002.07|5770.13|5599.25|5451.9|5251.68|5887.04|4606.5|5770.13|1884.78|1835.61|1884.78|5962.78|5962.78|1165.22|1688.11|1203.67|6201.29|5887.04|5887.04|1176.87|1305.05|1281.74|1398.26|1638.94|5662.49|5662.49|1720.89|5517.54|2950.09|1720.89|1688.11|0|6201.29
Professional|||33641|REPR ASD W BYPASS|5864|5864|5173.42|4398|4984.4|5277.6|4984.4|5276.71|3022.6|2841.24|0|0|5660.96|5173.42|960.34|5542.04|5377.91|5236.39|5044.08|5654.33|4398|5542.04|1795.14|1748.31|1795.14|5692.46|5692.46|1109.79|1607.82|1146.41|5920.16|5654.33|5654.33|1120.89|1242.96|1220.77|1331.75|1560.99|5409.12|5409.12|1639.04|5270.66|2809.78|1639.04|1607.82|0|5920.16
Professional|||33681|CLOSE SINGLE VSD|6590|6590|5790.35|4942.5|5601.5|5931|5601.5|5905.95|3395.7|3191.96|0|0|6336.02|5790.35|1078.43|6202.92|6019.22|5860.82|5645.59|6328.6|4942.5|6202.92|2020.94|1968.22|2020.94|6397.93|6397.93|1249.38|1810.06|1290.61|6653.85|6328.6|6328.6|1261.87|1399.31|1374.32|1499.26|1757.34|6060.66|6060.66|1845.21|5905.52|3163.21|1845.21|1810.06|0|6653.85
Professional|||33858|PR AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION|12153|12153|10759.58|9114.75|10330.05|10937.7|10330.05|10974.4|0|0|0|0|11773.56|10759.58|0|11526.22|11184.88|10890.54|10490.59|6533.2|9114.75|11526.22|3713.58|3616.7|3713.58|11798.97|11798.97|2295.8|3326.08|2371.56|12270.93|6533.2|6533.2|2318.76|2571.3|2525.38|2754.96|3229.2|11146.25|11146.25|3390.66|10860.92|5812.56|3390.66|3326.08|0|12270.93
Professional|||33863|ASCEND AORTA GRAFT W ROOT REPLACMENT.VALVE CONDUIT/CORON RECONSTRUCT|11273|11273|9977.78|8454.75|9582.05|10145.7|9582.05|10178.1|5810|5461.4|0|0|10919.28|9977.78|1836.61|10688.72|10373.31|10100.33|9728.34|10905.29|8454.75|10688.72|3445.23|3355.35|3445.23|10944.51|10944.51|2130.03|3085.73|2200.32|11382.29|10905.29|10905.29|2151.33|2385.63|2343.03|2556.04|2995.85|10353.32|10353.32|3145.64|10088.29|5392.53|3145.64|3085.73|0|11382.29
Professional|||33864|ASCEND AORTA GRAFT W VALVE SPARING ANNULUS REMODEL|11545|11545|10221.28|8658.75|9813.25|10390.5|9813.25|10426.46|5950|5593|0|0|11185.72|10221.28|1876.33|10949.56|10626.43|10346.79|9965.75|11171.42|8658.75|10949.56|3519.59|3427.77|3519.59|11208.23|11208.23|2175.96|3152.33|2247.77|11656.56|11171.42|11171.42|2197.72|2437.08|2393.56|2611.15|3060.51|10608.96|10608.96|3213.54|10337.39|5508.92|3213.54|3152.33|0|11656.56
Professional|||33866|PR AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS|3712|3712|3259.32|2784|3155.2|3340.8|3155.2|3324.39|1913.1|1798.31|0|0|3566.48|3259.32|0|3491.55|3388.15|3298.99|3177.84|3562.3|2784|3491.55|1009.26|982.93|1009.26|3603.77|3603.77|623.79|903.95|644.38|3747.92|3562.3|3562.3|630.03|698.64|686.17|748.55|877.62|3376.46|3376.46|921.5|3290.03|1579.72|921.5|903.95|0|3747.92
Professional|||33871|PR TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA|11674|11674|10344.66|8755.5|9922.9|10506.6|9922.9|10551.19|0|0|0|0|11319.54|10344.66|0|11081.74|10753.56|10470.57|10086.04|6281.26|8755.5|11081.74|3566.92|3473.87|3566.92|11333.5|11333.5|2205.22|3194.72|2277.99|11786.84|6281.26|6281.26|2227.27|2469.85|2425.74|2646.26|3101.67|10716.44|10716.44|3256.75|10442.12|5583.01|3256.75|3194.72|0|11786.84
Professional|||33875|THORACIC AORTA GRAFT|9821|9821|8704.63|7365.75|8347.85|8838.9|8347.85|8878.42|5061.7|4758|0|0|9524.95|8704.63|1605.72|9324.85|9048.7|8810.57|8487.01|9513.78|7365.75|9324.85|2996.46|2918.29|2996.46|9534.9|9534.9|1852.39|2683.79|1913.52|9916.3|9513.78|9513.78|1870.91|2074.68|2037.63|2222.87|2605.62|9006.14|9006.14|2735.9|8775.6|4690.12|2735.9|2683.79|0|9916.3
Professional|||33877|REPR THORACOABDOM AA W GRAFT|12941|12941|11481.33|9705.75|10999.85|11646.9|10999.85|11710.56|6645.8|6247.05|0|0|12563.32|11481.33|2119.12|12299.4|11935.16|11621.07|11194.3|12548.6|9705.75|12299.4|3936.75|3834.05|3936.75|12520.25|12520.25|2433.85|3525.96|2514.17|13021.06|12548.6|12548.6|2458.19|2725.91|2677.24|2920.62|3423.26|11964.08|11964.08|3594.42|11657.82|6161.87|3594.42|3525.96|0|13021.06
Professional|||33880|ENDOVASC TAA REPR INCL SUBCL|6406|6406|5678.97|4804.5|5445.1|5765.4|5445.1|5792.35|3300.5|3102.47|0|0|6214.15|5678.97|1056.13|6083.61|5903.45|5748.09|5537|6206.87|4804.5|6083.61|1955.41|1904.4|1955.41|6218.59|6218.59|1208.84|1751.37|1248.73|6467.33|6206.87|6206.87|1220.93|1353.9|1329.72|1450.61|1700.36|5938.5|5938.5|1785.38|5786.48|3060.65|1785.38|1751.37|0|6467.33
Professional|||33881|ENDOVASC TAA REPR W/O SUBCL|5497|5497|4874.24|4122.75|4672.45|4947.3|4672.45|4971.56|2833.6|2663.58|0|0|5333.59|4874.24|907.14|5221.54|5066.91|4933.57|4752.38|5327.34|4122.75|5221.54|1678.25|1634.47|1678.25|5336.44|5336.44|1037.43|1503.13|1071.67|5549.9|5327.34|5327.34|1047.8|1161.92|1141.17|1244.92|1459.35|5101.44|5101.44|1532.32|4970.85|2626.83|1532.32|1503.13|0|5549.9
Professional|||33883|INSERT ENDOVASC PROSTH TAA|3996|3996|3529.02|2997|3396.6|3596.4|3396.6|3599.48|2059.4|1935.84|0|0|3861.59|3529.02|660.39|3780.47|3668.51|3571.97|3440.79|3857.07|2997|3780.47|1219.38|1187.57|1219.38|3879.36|3879.36|753.89|1092.14|778.77|4034.53|3857.07|3857.07|761.43|844.36|829.28|904.67|1060.33|3702.23|3702.23|1113.35|3607.46|1908.59|1113.35|1092.14|0|4034.53
Professional|||33886|ENDOVASC DIST EXTENS TAA PROS*|3424|3424|3024.56|2568|2910.4|3081.6|2910.4|3084.95|1765.4|1659.48|0|0|3309.6|3024.56|568.57|3240.07|3144.12|3061.38|2948.95|3305.72|2568|3240.07|1044.52|1017.27|1044.52|3324.23|3324.23|645.6|935.53|666.9|3457.2|3305.72|3305.72|652.06|723.07|710.16|774.72|908.28|3186.41|3186.41|953.69|3104.84|1634.9|953.69|935.53|0|3457.2
Professional|||33889|SUBCLAV TRANSPOS W/ ENDOVAS T*|2813|2813|2494.99|2109.75|2391.05|2531.7|2391.05|2544.8|1440.6|1354.16|0|0|2730.12|2494.99|458.87|2672.76|2593.61|2525.36|2432.62|2726.92|2109.75|2672.76|854.86|832.56|854.86|2713.71|2713.71|528.33|765.66|545.76|2822.26|2726.92|2726.92|533.61|591.73|581.16|634|743.36|2603.89|2603.89|780.53|2537.24|1338.05|780.53|765.66|0|2822.26
Professional|||33891|CAR-CAR BYPASS GRFT W/ ENDOVA*|3411|3411|3025.65|2558.25|2899.35|3069.9|2899.35|3086.06|1749.3|1644.34|0|0|3310.79|3025.65|561.5|3241.24|3145.25|3062.48|2950.01|3306.91|2558.25|3241.24|1038.25|1011.17|1038.25|3285.99|3285.99|641.75|929.91|662.93|3417.43|3306.91|3306.91|648.17|718.76|705.93|770.1|902.83|3236.21|3236.21|947.97|3153.36|1625.09|947.97|929.91|0|3417.43
Professional|||33910|REMOVE PUL ART EMBOLI W CP BY*|9436|9436|8322.46|7077|8020.6|8492.4|8020.6|8488.62|4862.9|4571.13|0|0|9106.77|8322.46|1538.62|8915.45|8651.43|8423.76|8114.4|9096.09|7077|8915.45|2912.08|2836.11|2912.08|9160.42|9160.42|1800.3|2608.21|1859.71|9526.84|9096.09|9096.09|1818.3|2016.34|1980.33|2160.36|2532.24|8658.88|8658.88|2658.85|8437.23|4558.03|2658.85|2608.21|0|9526.84
Professional|||33946|PR ECMO/ECLS INITIATION VENO-VENOUS|1118|1118|981.62|838.5|950.3|1006.2|950.3|1001.22|575.4|540.88|0|0|1074.13|981.62|181.42|1051.56|1020.42|993.57|957.08|1072.87|838.5|1051.56|340.57|331.69|340.57|1085.22|1085.22|210.41|305.03|217.35|1128.63|1072.87|1072.87|212.51|235.66|231.45|252.49|296.15|1014.63|1014.63|310.96|988.65|533.07|310.96|305.03|0|1128.63
Professional|||33947|PR ECMO/ECLS INITIATION VENO-ARTERIAL|1235|1235|1088.62|926.25|1049.75|1111.5|1049.75|1110.36|636.3|598.12|0|0|1191.22|1088.62|200.64|1166.19|1131.65|1101.87|1061.4|1189.82|926.25|1166.19|377.1|367.26|377.1|1198.62|1198.62|232.99|337.75|240.68|1246.56|1189.82|1189.82|235.32|260.95|256.29|279.59|327.91|1126.61|1126.61|344.31|1097.77|590.24|344.31|337.75|0|1246.56
Professional|||33948|PR ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS|878|878|754.5|658.5|746.3|790.2|746.3|769.57|451.5|424.41|0|0|825.61|754.5|143.69|808.26|784.33|763.69|735.64|824.64|658.5|808.26|268.59|261.59|268.59|851.82|851.82|166.02|240.57|171.5|885.89|824.64|824.64|167.68|185.94|182.62|199.22|233.56|785.02|785.02|245.24|764.92|420.41|245.24|240.57|0|885.89
Professional|||33952|PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ|1535|1535|1357.23|1151.25|1304.75|1381.5|1304.75|1384.33|791|743.54|0|0|1485.14|1357.23|249.85|1453.94|1410.88|1373.75|1323.3|1483.4|1151.25|1453.94|469.48|457.23|469.48|1490.04|1490.04|290.21|420.49|299.79|1549.64|1483.4|1483.4|293.11|325.04|319.23|348.25|408.24|1409.39|1409.39|428.65|1373.31|734.83|428.65|420.49|0|1549.64
Professional|||33954|PR ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN|1709|1709|1515.56|1281.75|1452.65|1538.1|1452.65|1545.82|880.6|827.76|0|0|1658.38|1515.56|278.99|1623.54|1575.46|1534|1477.67|1656.44|1281.75|1623.54|520.73|507.15|520.73|1658.82|1658.82|321.77|466.39|332.39|1725.17|1656.44|1656.44|324.99|360.38|353.95|386.12|452.81|1574.54|1574.54|475.45|1534.24|815.06|475.45|466.39|0|1725.17
Professional|||33967|INSERT INTRA-AORTIC BALLOON A*|935|935|825.48|701.25|794.75|841.5|794.75|841.96|481.6|452.7|0|0|903.27|825.48|150.75|884.29|858.11|835.52|804.84|902.21|701.25|884.29|284.48|277.05|284.48|907.21|907.21|175.77|254.79|181.57|943.5|902.21|902.21|177.53|196.86|193.35|210.92|247.37|855.15|855.15|259.74|833.26|445.27|259.74|254.79|0|943.5
Professional|||33968|RMV AORTIC BALLOON DEVICE|123|123|107.01|92.25|104.55|110.7|104.55|109.14|63|59.22|0|0|117.09|107.01|19.64|114.63|111.24|108.31|104.33|116.95|92.25|114.63|37.31|36.33|37.31|118.68|118.68|22.83|33.41|23.58|123.43|116.95|116.95|23.06|25.57|25.11|27.4|32.44|110.85|110.85|34.06|108.01|58.39|34.06|33.41|0|123.43
Professional|||33970|INSRT AORT BALLOON ASSIST FEM*|1269|1269|1122.47|951.75|1078.65|1142.1|1078.65|1144.88|653.8|614.57|0|0|1228.25|1122.47|207.03|1202.45|1166.84|1136.14|1094.41|1226.82|951.75|1202.45|387.22|377.12|387.22|1231.59|1231.59|239.15|346.81|247.04|1280.85|1226.82|1226.82|241.54|267.85|263.07|286.98|336.71|1169.6|1169.6|353.55|1139.66|606.08|353.55|346.81|0|1280.85
Professional|||33975|INSERT VENT ASST DEVICESINGL*|4671|4671|4143.76|3503.25|3970.35|4203.9|3970.35|4226.49|2407.3|2262.86|0|0|4534.27|4143.76|765.45|4439.01|4307.55|4194.2|4040.17|4528.95|3503.25|4439.01|1427.13|1389.9|1427.13|4534.72|4534.72|882.19|1278.21|911.3|4716.11|4528.95|4528.95|891.01|988.05|970.41|1058.63|1240.98|4314.18|4314.18|1303.03|4203.75|2233.76|1303.03|1278.21|0|4716.11
Professional|||33980|REMOVE VENT ASST DEVIMPLANT*|6378|6378|5658.23|4783.5|5421.3|5740.2|5421.3|5771.19|3287.2|3089.97|0|0|6191.45|5658.23|1041.34|6061.39|5881.88|5727.09|5516.77|6184.2|4783.5|6061.39|1943.37|1892.68|1943.37|6192.22|6192.22|1201.4|1740.59|1241.05|6439.91|6184.2|6184.2|1213.41|1345.57|1321.54|1441.68|1689.89|5877.41|5877.41|1774.38|5726.96|3041.8|1774.38|1740.59|0|6439.91
Professional|||33984|PR ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER|1018|1018|900.82|763.5|865.3|916.2|865.3|918.8|524.3|492.84|0|0|985.71|900.82|166.63|965|936.42|911.78|878.3|984.56|763.5|965|309.81|301.73|309.81|987.64|987.64|191.42|277.48|197.74|1027.15|984.56|984.56|193.33|214.39|210.56|229.7|269.4|944.5|944.5|282.87|920.32|484.92|282.87|277.48|0|1027.15
Professional|||33990|PR INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY|1533|1533|1353.96|1149.75|1303.05|1379.7|1303.05|1380.99|788.9|741.57|0|0|1481.55|1353.96|254.7|1450.43|1407.47|1370.44|1320.11|1479.82|1149.75|1450.43|466.49|454.32|466.49|1487.4|1487.4|288.16|417.81|297.67|1546.9|1479.82|1479.82|291.04|322.74|316.98|345.79|405.64|1403.75|1403.75|425.92|1367.82|730.15|425.92|417.81|0|1546.9
Professional|||33992|PR REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION|716|716|633.3|537|608.6|644.4|608.6|645.95|369.6|347.42|0|0|692.98|633.3|120.73|678.43|658.33|641.01|617.47|692.17|537|678.43|218.6|212.9|218.6|694.91|694.91|134.97|195.79|139.42|722.71|692.17|692.17|136.32|151.17|148.47|161.96|190.09|660.59|660.59|199.59|643.68|342.16|199.59|195.79|0|722.71
Professional|||33993|PR REPOSITION VAD W/IMAGING DIFFERENT SESSION|632|632|555.78|474|537.2|568.8|537.2|566.87|326.2|306.63|0|0|608.15|555.78|105.94|595.38|577.75|562.54|541.89|607.44|474|595.38|192.12|187.11|192.12|613.15|613.15|118.54|172.07|122.45|637.68|607.44|607.44|119.73|132.76|130.39|142.25|167.06|576.87|576.87|175.41|562.11|300.71|175.41|172.07|0|637.68
Professional|||33999|CARDIAC SURG PROCEDURE OPEN SUBCLAVIAN ARTERY APPROACH|5321|5321|0|3990.75|4522.85|4788.9|4522.85|0|0|0|0|0|0|0|0|0|0|0|0|0|3990.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5321
Professional|||33999|CLIPPING OF 2 COLI LEADS FROM THE LEAD YOKE|1360|1360|0|1020|1156|1224|1156|0|0|0|0|0|0|0|0|0|0|0|0|0|1020|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1360
Professional|||33999|MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS/OFF PUMP|6706|6706|0|5029.5|5700.1|6035.4|5700.1|0|0|0|0|0|0|0|0|0|0|0|0|0|5029.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|6706
Professional|||34101|REMV ART CLOT AXILL-BRACHARM*|2141|2141|1891.17|1605.75|1819.85|1926.9|1819.85|1928.93|1103.2|1037.01|0|0|2069.39|1891.17|355.81|2025.92|1965.92|1914.19|1843.89|2066.97|1605.75|2025.92|653.86|636.8|653.86|2078.14|2078.14|404.14|585.63|417.48|2161.27|2066.97|2066.97|408.18|452.64|444.55|484.97|568.57|1985.16|1985.16|597|1934.34|1023.43|597|585.63|0|2161.27
Professional|||34111|REMV ART CLOT ARMARM INCIS|2153|2153|1898.81|1614.75|1830.05|1937.7|1830.05|1936.72|1110.2|1043.59|0|0|2077.76|1898.81|355.81|2034.11|1973.87|1921.93|1851.34|2075.32|1614.75|2034.11|658.72|641.54|658.72|2090|2090|407.22|589.98|420.66|2173.6|2075.32|2075.32|411.29|456.09|447.94|488.66|572.8|1984.03|1984.03|601.44|1933.24|1031.04|601.44|589.98|0|2173.6
Professional|||34151|REMV ART CLOT VISCABD INCIS|4986|4986|4411.28|3739.5|4238.1|4487.4|4238.1|4499.35|2569|2414.86|0|0|4826.99|4411.28|823.94|4725.59|4585.64|4464.97|4301|4821.34|3739.5|4725.59|1515.93|1476.38|1515.93|4840.64|4840.64|937.1|1357.75|968.02|5034.27|4821.34|4821.34|946.47|1049.55|1030.81|1124.52|1318.2|4645.6|4645.6|1384.11|4526.68|2372.76|1384.11|1357.75|0|5034.27
Professional|||34201|REMV ART CLOT ILIAC-POPLEG I*|3665|3665|3251.68|2748.75|3115.25|3298.5|3115.25|3316.6|1887.9|1774.63|0|0|3558.11|3251.68|607.42|3483.37|3380.21|3291.26|3170.39|3553.95|2748.75|3483.37|1116.9|1087.77|1116.9|3556.3|3556.3|690.51|1000.36|713.3|3698.55|3553.95|3553.95|697.42|773.37|759.56|828.61|971.22|3416.05|3416.05|1019.78|3328.6|1748.2|1019.78|1000.36|0|3698.55
Professional|||34203|REMV ART CLOT LOW LEGLEG INC*|3393|3393|3006|2544.75|2884.05|3053.7|2884.05|3066.02|1748.6|1643.68|0|0|3289.28|3006|563.49|3220.18|3124.82|3042.59|2930.85|3285.43|2544.75|3220.18|1035.64|1008.63|1035.64|3293.9|3293.9|640.21|927.58|661.34|3425.66|3285.43|3285.43|646.61|717.04|704.23|768.25|900.56|3162.67|3162.67|945.59|3081.72|1621.01|945.59|927.58|0|3425.66
Professional|||34421|REMV VEIN CLOT CAVA-ILIACLEG*|2637|2637|2330.11|1977.75|2241.45|2373.3|2241.45|2376.64|1359.4|1277.84|0|0|2549.7|2330.11|432.83|2496.14|2422.22|2358.48|2271.86|2546.72|1977.75|2496.14|814.61|793.36|814.61|2559.44|2559.44|503.44|729.61|520.05|2661.82|2546.72|2546.72|508.47|563.85|553.78|604.13|708.36|2401.42|2401.42|743.78|2339.95|1275.05|743.78|729.61|0|2661.82
Professional|||34490|REMV VEIN CLOT AXILL-SUBCLAR*|2308|2308|2026.57|1731|1961.8|2077.2|1961.8|2067.03|1188.6|1117.28|0|0|2217.55|2026.57|364.19|2170.96|2106.67|2051.23|1975.91|2214.95|1731|2170.96|702.41|684.08|702.41|2240.32|2240.32|434.16|629.11|448.49|2329.93|2214.95|2214.95|438.5|486.26|477.58|520.99|610.79|2013.43|2013.43|641.33|1961.89|1099.42|641.33|629.11|0|2329.93
Professional|||34502|RECONSTRUCT VENA CAVA|5564|5564|4878.61|4173|4729.4|5007.6|4729.4|4976.01|2867.2|2695.17|0|0|5338.37|4878.61|906.71|5226.22|5071.45|4937.99|4756.64|5332.11|4173|5226.22|1701.25|1656.87|1701.25|5401.05|5401.05|1051.8|1523.73|1086.51|5617.09|5332.11|5332.11|1062.32|1178.02|1156.98|1262.16|1479.35|5077.68|5077.68|1553.32|4947.7|2662.83|1553.32|1523.73|0|5617.09
Professional|||34701|PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT|4424|4424|3914.46|3318|3760.4|3981.6|3760.4|3992.61|2279.9|2143.11|0|0|4283.36|3914.46|0|4193.37|4069.19|3962.11|3816.6|4278.34|3318|4193.37|1358.79|1323.35|1358.79|4294.73|4294.73|839.85|1217.01|867.57|4466.52|4278.34|4278.34|848.25|940.63|923.84|1007.82|1181.56|4040.42|4040.42|1240.64|3936.99|2126.81|1240.64|1217.01|0|4466.52
Professional|||34702|PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT|6616|6616|5846.03|4962|5623.6|5954.4|5623.6|5962.75|3415.3|3210.38|0|0|6396.96|5846.03|0|6262.57|6077.11|5917.19|5699.88|6389.46|4962|6262.57|2022.42|1969.67|2022.42|6422.98|6422.98|1250.15|1811.39|1291.4|6679.9|6389.46|6389.46|1262.65|1400.17|1375.17|1500.18|1758.63|6035.76|6035.76|1846.56|5881.26|3165.53|1846.56|1811.39|0|6679.9
Professional|||34703|PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT|4967|4967|4406.91|3725.25|4221.95|4470.3|4221.95|4494.89|2549.4|2396.44|0|0|4822.21|4406.91|0|4720.91|4581.1|4460.55|4296.74|4816.56|3725.25|4720.91|1495.97|1456.94|1495.97|4802.39|4802.39|924.78|1339.87|955.3|4994.49|4816.56|4816.56|934.03|1035.75|1017.26|1109.74|1300.84|4552.84|4552.84|1365.88|4436.29|2341.51|1365.88|1339.87|0|4994.49
Professional|||34704|PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT|8278|8278|7344.12|6208.5|7036.3|7450.2|7036.3|7490.75|4251.8|3996.69|0|0|8036.22|7344.12|0|7867.4|7634.41|7433.51|7160.52|8026.81|6208.5|7867.4|2484.87|2420.05|2484.87|8009.27|8009.27|1536.26|2225.58|1586.96|8329.64|8026.81|8026.81|1551.62|1720.61|1689.89|1843.51|2160.76|7572.99|7572.99|2268.8|7379.13|3889.37|2268.8|2225.58|0|8329.64
Professional|||34705|PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT|5470|5470|4846.94|4102.5|4649.5|4923|4649.5|4943.71|2818.9|2649.77|0|0|5303.72|4846.94|0|5192.3|5038.53|4905.94|4725.77|5297.5|4102.5|5192.3|1671.26|1627.66|1671.26|5310.06|5310.06|1033.07|1496.87|1067.16|5522.46|5297.5|5297.5|1043.4|1157.04|1136.38|1239.68|1453.27|5015.46|5015.46|1525.93|4887.07|2615.89|1525.93|1496.87|0|5522.46
Professional|||34706|PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT|8231|8231|7302.63|6173.25|6996.35|7407.9|6996.35|7448.43|4242|3987.48|0|0|7990.82|7302.63|0|7822.95|7591.28|7391.51|7120.06|7981.46|6173.25|7822.95|2515.91|2450.28|2515.91|7990.81|7990.81|1555.25|2253.38|1606.57|8310.44|7981.46|7981.46|1570.8|1741.88|1710.78|1866.3|2187.75|7549.22|7549.22|2297.14|7355.98|3937.95|2297.14|2253.38|0|8310.44
Professional|||34707|PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT|4135|4135|3651.31|3101.25|3514.75|3721.5|3514.75|3724.21|2130.8|2002.95|0|0|3995.41|3651.31|0|3911.48|3795.64|3695.76|3560.03|3990.73|3101.25|3911.48|1268.89|1235.79|1268.89|4013.86|4013.86|784.42|1136.48|810.31|4174.41|3990.73|3990.73|792.26|878.55|862.86|941.3|1103.38|3767.82|3767.82|1158.55|3671.37|1986.08|1158.55|1136.48|0|4174.41
Professional|||34708|PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT|6649|6649|5861.32|4986.75|5651.65|5984.1|5651.65|5978.34|3425.8|3220.25|0|0|6413.69|5861.32|0|6278.95|6093|5932.66|5714.79|6406.17|4986.75|6278.95|2022.6|1969.83|2022.6|6454.62|6454.62|1250.41|1811.54|1291.67|6712.8|6406.17|6406.17|1262.91|1400.46|1375.45|1500.49|1758.78|6064.03|6064.03|1846.72|5908.8|3165.8|1846.72|1811.54|0|6712.8
Professional|||34709|PR PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR|1155|1155|1024.2|866.25|981.75|1039.5|981.75|1044.65|592.9|557.33|0|0|1120.72|1024.2|0|1097.18|1064.69|1036.67|998.6|1119.41|866.25|1097.18|351.64|342.46|351.64|1116.87|1116.87|217.34|314.94|224.51|1161.54|1119.41|1119.41|219.51|243.42|239.07|260.81|305.77|1061.02|1061.02|321.06|1033.86|550.39|321.06|314.94|0|1161.54
Professional|||34710|PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL|2881|2881|2537.58|2160.75|2448.85|2592.9|2448.85|2588.24|1484.7|1395.62|0|0|2776.72|2537.58|0|2718.38|2637.88|2568.46|2474.14|2773.46|2160.75|2718.38|879.15|856.22|879.15|2796.78|2796.78|543.47|787.41|561.4|2908.65|2773.46|2773.46|548.9|608.69|597.82|652.16|764.48|2629.89|2629.89|802.7|2562.57|1376.06|802.7|787.41|0|2908.65
Professional|||34711|PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL|1066|1066|945.59|799.5|906.1|959.4|906.1|964.46|547.4|514.56|0|0|1034.7|945.59|0|1012.96|982.96|957.09|921.95|1033.48|799.5|1012.96|324.07|315.62|324.07|1031.15|1031.15|200.14|290.25|206.74|1072.4|1033.48|1033.48|202.14|224.16|220.15|240.17|281.8|979.58|979.58|295.89|954.5|507.24|295.89|290.25|0|1072.4
Professional|||34712|PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I|2494|2494|2167.42|1870.5|2119.9|2244.6|2119.9|2210.69|1285.2|1208.09|0|0|2371.68|2167.42|0|2321.85|2253.09|2193.8|2113.23|2368.9|1870.5|2321.85|726.78|707.82|726.78|2420.98|2420.98|449.3|650.94|464.13|2517.82|2368.9|2368.9|453.79|503.22|494.23|539.16|631.98|2247.58|2247.58|663.58|2190.05|1137.56|663.58|650.94|0|2517.82
Professional|||34713|PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT|464|464|407.28|348|394.4|417.6|394.4|415.41|238.7|224.38|0|0|445.66|407.28|0|436.3|423.38|412.24|397.1|445.14|348|436.3|136|132.45|136|449.65|449.65|83.9|121.81|86.67|467.64|445.14|445.14|84.74|93.97|92.29|100.68|118.26|423.03|423.03|124.17|412.21|212.87|124.17|121.81|0|467.64
Professional|||34714|PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH|977|977|856.05|732.75|830.45|879.3|830.45|873.14|503.3|473.1|0|0|936.72|856.05|0|917.04|889.89|866.47|834.65|935.63|732.75|917.04|295.04|287.35|295.04|948.08|948.08|182.18|264.26|188.19|986|935.63|935.63|184|204.04|200.4|218.62|256.56|887.96|887.96|269.39|865.23|461.81|269.39|264.26|0|986
Professional|||34715|PR OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI|1098|1098|959.78|823.5|933.3|988.2|933.3|978.94|564.9|531.01|0|0|1050.23|959.78|0|1028.17|997.72|971.46|935.79|1049|823.5|1028.17|324.93|316.46|324.93|1065.44|1065.44|200.66|291.03|207.28|1108.06|1049|1049|202.67|224.74|220.73|240.79|282.55|992|992|296.68|966.6|508.59|296.68|291.03|0|1108.06
Professional|||34716|PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ|1356|1356|1186.9|1017|1152.6|1220.4|1152.6|1210.59|703.5|661.29|0|0|1298.75|1186.9|0|1271.46|1233.81|1201.34|1157.23|1297.23|1017|1271.46|405.72|395.14|405.72|1315.98|1315.98|250.69|363.38|258.96|1368.62|1297.23|1297.23|253.2|280.77|275.76|300.83|352.8|1231.82|1231.82|370.44|1200.29|635.04|370.44|363.38|0|1368.62
Professional|||34812|PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI|1152|1152|655.14|864|979.2|1036.8|979.2|668.22|378|355.32|0|0|716.88|655.14|197.11|701.82|681.04|663.11|638.76|716.04|864|701.82|224.27|218.42|224.27|712.05|712.05|138.56|200.87|143.13|740.53|716.04|716.04|139.95|155.19|152.42|166.27|195.02|1117.57|1117.57|204.77|1088.96|351.04|204.77|200.87|0|1152
Professional|||34831|AAA+TRAUMA REPR AORTO-BI-ILI*|6891|6891|6113.55|5168.25|5857.35|6201.9|5857.35|6235.61|3544.1|3331.45|0|0|6689.69|6113.55|1110.43|6549.15|6355.2|6187.96|5960.71|6681.85|5168.25|6549.15|2088.26|2033.79|2088.26|6674.83|6674.83|1290.95|1870.36|1333.55|6941.82|6681.85|6681.85|1303.86|1445.86|1420.05|1549.14|1815.88|6310.63|6310.63|1906.67|6149.09|3268.58|1906.67|1870.36|0|6941.82
Professional|||34834|PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI|929|929|409.46|696.75|789.65|836.1|789.65|417.64|235.9|221.75|0|0|448.05|409.46|160.24|438.64|425.65|414.45|399.22|447.53|696.75|438.64|140.17|136.52|140.17|445.69|445.69|86.47|125.55|89.32|463.52|447.53|447.53|87.33|96.85|95.12|103.76|121.89|901.51|901.51|127.98|878.43|219.4|127.98|125.55|0|929
Professional|||34841|PR ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT|5326|5326|0|3994.5|4527.1|4793.4|4527.1|1841.49|0|0|0|0|1736.87|0|0|0|1650.03|1606.61|0|342.21|3994.5|0|1624.86|1582.47|1624.86|5170.29|5170.29|1039.23|1455.31|1073.52|5377.1|342.21|342.21|1049.62|1163.94|1143.15|1247.08|1412.92|4420.05|4420.05|1483.57|4306.91|2543.26|1483.57|1455.31|0|5377.1
Professional|||34846|PR VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS|11138|11138|0|8353.5|9467.3|10024.2|9467.3|2298.35|0|0|0|0|2167.78|0|0|0|2059.39|2005.2|0|474.37|8353.5|0|3398.58|3309.92|3398.58|10812.65|10812.65|1299.93|3043.95|1342.83|11245.16|474.37|474.37|1312.93|1455.92|1429.92|1559.92|2955.29|7281.98|7281.98|3103.05|7095.58|5319.52|3103.05|3043.95|0|11245.16
Professional|||35001|REPR ANEURYSM/GRFT INSCAROTI*|3977|3977|3515.92|2982.75|3380.45|3579.3|3380.45|3586.11|2049.6|1926.62|0|0|3847.26|3515.92|661.05|3766.43|3654.89|3558.71|3428.02|3842.75|2982.75|3766.43|1224.31|1192.37|1224.31|3860.91|3860.91|756.71|1096.56|781.68|4015.35|3842.75|3842.75|764.28|847.52|832.38|908.05|1064.62|3695.42|3695.42|1117.85|3600.83|1916.32|1117.85|1096.56|0|4015.35
Professional|||35011|REPR DFCT ART AXILLO-BRACH|3585|3585|3171.97|2688.75|3047.25|3226.5|3047.25|3235.3|1847.3|1736.46|0|0|3470.89|3171.97|591.3|3397.98|3297.35|3210.58|3092.67|3466.83|2688.75|3397.98|1094.5|1065.95|1094.5|3479.83|3479.83|676.65|980.29|698.98|3619.02|3466.83|3466.83|683.42|757.85|744.32|811.98|951.74|3333.47|3333.47|999.33|3248.14|1713.13|999.33|980.29|0|3619.02
Professional|||35021|REPR ANEURYSM/GRFT INSINNOM/*|4527|4527|3975.61|3395.25|3847.95|4074.3|3847.95|4054.98|2338.7|2198.38|0|0|4350.27|3975.61|740.74|4258.88|4132.75|4024|3876.22|4345.17|3395.25|4258.88|1383.55|1347.46|1383.55|4394.94|4394.94|855.24|1239.18|883.46|4570.74|4345.17|4345.17|863.79|957.87|940.76|1026.29|1203.09|4089.08|4089.08|1263.24|3984.41|2165.56|1263.24|1239.18|0|4570.74
Professional|||35045|REPR ANEURYSM/GRFT INSRADIAL*|3525|3525|3106.46|2643.75|2996.25|3172.5|2996.25|3168.48|1816.5|1707.51|0|0|3399.21|3106.46|588.88|3327.8|3229.25|3144.27|3028.8|3395.22|2643.75|3327.8|1072.18|1044.21|1072.18|3421.8|3421.8|662.79|960.3|684.66|3558.67|3395.22|3395.22|669.42|742.32|729.07|795.35|932.33|3272.39|3272.39|978.95|3188.62|1678.19|978.95|960.3|0|3558.67
Professional|||35081|REPR ANEURYSM/GRFT INSABDOMI*|6181|6181|5483.52|4635.75|5253.85|5562.9|5253.85|5593|3180.1|2989.29|0|0|6000.29|5483.52|1028.77|5874.23|5700.27|5550.26|5346.43|5993.25|4635.75|5874.23|1881.1|1832.03|1881.1|5990.47|5990.47|1162.91|1684.81|1201.29|6230.09|5993.25|5993.25|1174.54|1302.46|1279.2|1395.49|1635.74|5781.25|5781.25|1717.53|5633.26|2944.33|1717.53|1684.81|0|6230.09
Professional|||35082|REPR ART RUPTURE ABD AORTA|7799|7799|6919.37|5849.25|6629.15|7019.1|6629.15|7057.52|4013.1|3772.31|0|0|7571.45|6919.37|1292.53|7412.39|7192.88|7003.59|6746.39|7562.58|5849.25|7412.39|2374.93|2312.98|2374.93|7559.62|7559.62|1468.26|2127.11|1516.71|7862|7562.58|7562.58|1482.94|1644.45|1615.09|1761.91|2065.16|7277.76|7277.76|2168.42|7091.46|3717.29|2168.42|2127.11|0|7862
Professional|||35091|REPR ANEURYSM/GRFT INSABD AO*|6378|6378|5658.23|4783.5|5421.3|5740.2|5421.3|5771.19|3269.7|3073.52|0|0|6191.45|5658.23|1052.16|6061.39|5881.88|5727.09|5516.77|6184.2|4783.5|6061.39|1938.39|1887.83|1938.39|6157.93|6157.93|1198.32|1736.13|1237.86|6404.25|6184.2|6184.2|1210.3|1342.12|1318.15|1437.98|1685.56|5941.87|5941.87|1769.84|5789.77|3034.01|1769.84|1736.13|0|6404.25
Professional|||35102|REPR ANEURYSM/GRFT INSABD AO*|6709|6709|5951.95|5031.75|5702.65|6038.1|5702.65|6070.78|3446.8|3239.99|0|0|6512.85|5951.95|1111.97|6376.03|6187.21|6024.39|5803.15|6505.22|5031.75|6376.03|2040.24|1987.01|2040.24|6494.18|6494.18|1261.18|1827.34|1302.8|6753.95|6505.22|6505.22|1273.79|1412.52|1387.3|1513.42|1774.12|6248.41|6248.41|1862.83|6088.46|3193.42|1862.83|1827.34|0|6753.95
Professional|||35103|REPR ART RUPTUREAORTOILIAC|7998|7998|7096.26|5998.5|6798.3|7198.2|6798.3|7237.94|4106.9|3860.49|0|0|7765.01|7096.26|1320.79|7601.88|7376.75|7182.63|6918.85|7755.91|5998.5|7601.88|2425.95|2362.66|2425.95|7736.32|7736.32|1499.82|2172.81|1549.31|8045.77|7755.91|7755.91|1514.82|1679.8|1649.8|1799.78|2109.52|7459.87|7459.87|2215|7268.91|3797.14|2215|2172.81|0|8045.77
Professional|||35122|REPR ART RUPTUREVISCERAL|7365|7365|5965.05|5523.75|6260.25|6628.5|6260.25|6084.14|3438.4|3232.1|0|0|6527.19|5965.05|1271.78|6390.07|6200.83|6037.65|5815.92|6519.54|5523.75|6390.07|2041.43|1988.18|2041.43|6477.04|6477.04|1261.95|1828.41|1303.59|6736.12|6519.54|6519.54|1274.57|1413.38|1388.15|1514.34|1775.16|7149.92|7149.92|1863.92|6966.9|3195.29|1863.92|1828.41|0|7365
Professional|||35131|REPR ANEURYSM/GRFT INSILIAC|4950|4950|4391.62|3712.5|4207.5|4455|4207.5|4479.3|2550.8|2397.75|0|0|4805.49|4391.62|818.42|4704.53|4565.21|4445.07|4281.83|4799.85|3712.5|4704.53|1496.9|1457.85|1496.9|4805.03|4805.03|925.29|1340.7|955.82|4997.23|4799.85|4799.85|934.54|1036.32|1017.82|1110.35|1301.65|4607.14|4607.14|1366.73|4489.21|2342.97|1366.73|1340.7|0|4997.23
Professional|||35141|REPR ANEURYSM/GRFT INSCOMMON*|3936|3936|3490.8|2952|3345.6|3542.4|3345.6|3560.5|2028.6|1906.88|0|0|3819.78|3490.8|653.33|3739.53|3628.79|3533.29|3403.53|3815.3|2952|3739.53|1201.01|1169.68|1201.01|3821.35|3821.35|742.34|1075.69|766.84|3974.2|3815.3|3815.3|749.76|831.42|816.57|890.81|1044.36|3667.15|3667.15|1096.58|3573.28|1879.85|1096.58|1075.69|0|3974.2
Professional|||35151|REPR ANEURYSM/GRFT INSPOPLIT*|4416|4416|3917.74|3312|3753.6|3974.4|3753.6|3995.96|2275|2138.5|0|0|4286.94|3917.74|732.57|4196.88|4072.6|3965.42|3819.8|4281.92|3312|4196.88|1345.65|1310.55|1345.65|4285.51|4285.51|831.89|1205.23|859.34|4456.93|4281.92|4281.92|840.21|931.72|915.08|998.27|1170.13|4116.22|4116.22|1228.64|4010.85|2106.23|1228.64|1205.23|0|4456.93
Professional|||35189|REPR ACQ AV FISTCHEST/ABD|5424|5424|4719.19|4068|4610.4|4881.6|4610.4|4813.41|2746.1|2581.33|0|0|5163.93|4719.19|898.76|5055.44|4905.73|4776.63|4601.21|5157.87|4068|5055.44|1630.82|1588.27|1630.82|5154.47|5154.47|1008.18|1460.64|1041.45|5360.65|5157.87|5157.87|1018.26|1129.16|1109|1209.82|1418.1|5265.46|5265.46|1489.01|5130.67|2552.58|1489.01|1460.64|0|5424
Professional|||35190|REPR ACQ AV FISTEXTREM|2732|2732|2405.46|2049|2322.2|2458.8|2322.2|2453.48|1407.7|1323.24|0|0|2632.14|2405.46|450.92|2576.85|2500.54|2434.73|2345.32|2629.06|2049|2576.85|837.32|815.47|837.32|2651.74|2651.74|517.56|749.94|534.64|2757.81|2629.06|2629.06|522.74|579.67|569.32|621.07|728.1|2517.91|2517.91|764.51|2453.46|1310.58|764.51|749.94|0|2757.81
Professional|||35201|REPR BL VES DIRECTNECK|3388|3388|2978.7|2541|2879.8|3049.2|2879.8|3038.17|1745.8|1641.05|0|0|3259.41|2978.7|563.49|3190.94|3096.44|3014.96|2904.23|3255.6|2541|3190.94|1035.22|1008.21|1035.22|3288.63|3288.63|639.96|927.2|661.08|3420.18|3255.6|3255.6|646.36|716.76|703.96|767.95|900.19|3124.22|3124.22|945.2|3044.25|1620.34|945.2|927.2|0|3420.18
Professional|||35206|REPR BL VES DIRECTUP EXTREM|2821|2821|2475.34|2115.75|2397.85|2538.9|2397.85|2524.76|1453.9|1366.67|0|0|2708.61|2475.34|458.87|2651.71|2573.18|2505.47|2413.46|2705.44|2115.75|2651.71|860.88|838.42|860.88|2738.77|2738.77|532.18|771.05|549.74|2848.32|2705.44|2705.44|537.5|596.04|585.4|638.62|748.59|2572.22|2572.22|786.02|2506.37|1347.46|786.02|771.05|0|2848.32
Professional|||35207|REPR BL VES DIRECTHAND/FINGR|2804|2804|2375.97|2103|2383.4|2523.6|2383.4|2423.41|1444.1|1357.45|0|0|2599.88|2375.97|462.4|2545.27|2469.89|2404.89|2316.57|2596.84|2103|2545.27|855.21|832.9|855.21|2721.62|2721.62|528.59|765.97|546.03|2830.48|2596.84|2596.84|533.88|592.02|581.45|634.31|743.66|2467.01|2467.01|780.84|2403.86|1338.59|780.84|765.97|0|2830.48
Professional|||35216|REPR BL VES DIRECTCHEST|7419|7419|6519.73|5564.25|6306.15|6677.1|6306.15|6649.9|3823.4|3594|0|0|7134.15|6519.73|1205.13|6984.28|6777.44|6599.09|6356.74|7125.79|5564.25|6984.28|2281.89|2222.36|2281.89|7202.28|7202.28|1410.78|2043.78|1457.34|7490.37|7125.79|7125.79|1424.89|1580.07|1551.86|1692.94|1984.25|6738.2|6738.2|2083.46|6565.72|3571.65|2083.46|2043.78|0|7490.37
Professional|||35221|REPR BL VES DIRECTABD|5250|5250|4638.39|3937.5|4462.5|4725|4462.5|4731|2705.5|2543.17|0|0|5075.51|4638.39|851.53|4968.89|4821.73|4694.85|4522.43|5069.56|3937.5|4968.89|1608.59|1566.62|1608.59|5096.44|5096.44|994.32|1440.73|1027.13|5300.3|5069.56|5069.56|1004.26|1113.64|1093.75|1193.18|1398.77|4822.06|4822.06|1468.71|4698.63|2517.79|1468.71|1440.73|0|5300.3
Professional|||35226|REPR BL VES DIRECTLOW EXTREM|2986|2986|2636.94|2239.5|2538.1|2687.4|2538.1|2689.59|1538.6|1446.28|0|0|2885.44|2636.94|491.98|2824.83|2741.17|2669.03|2571.02|2882.06|2239.5|2824.83|910.77|887.01|910.77|2898.32|2898.32|562.98|815.73|581.56|3014.25|2882.06|2882.06|568.61|630.54|619.28|675.58|791.97|2759.97|2759.97|831.57|2689.32|1425.55|831.57|815.73|0|3014.25
Professional|||35231|REPR BL VES VEIN GRFTNECK|4534|4534|3904.63|3400.5|3853.9|4080.6|3853.9|3982.59|2336.6|2196.4|0|0|4272.6|3904.63|723.73|4182.85|4058.97|3952.16|3807.01|4267.6|3400.5|4182.85|1409.68|1372.91|1409.68|4401.54|4401.54|871.41|1262.58|900.17|4577.6|4267.6|4267.6|880.12|975.98|958.55|1045.69|1225.81|4073.23|4073.23|1287.1|3968.96|2206.46|1287.1|1262.58|0|4577.6
Professional|||35236|REPR BL VES VEIN GRFTUP EXTR*|3606|3606|3168.69|2704.5|3065.1|3245.4|3065.1|3231.96|1858.5|1746.99|0|0|3467.31|3168.69|578.94|3394.47|3293.94|3207.26|3089.47|3463.25|2704.5|3394.47|1106.52|1077.65|1106.52|3500.92|3500.92|684.09|991.06|706.66|3640.96|3463.25|3463.25|690.93|766.18|752.5|820.91|962.19|3255.43|3255.43|1010.3|3172.1|1731.94|1010.3|991.06|0|3640.96
Professional|||35256|REPR BL VES VEIN GRFTLOW EXT*|3666|3666|3241.85|2749.5|3116.1|3299.4|3116.1|3306.58|1889.3|1775.94|0|0|3547.36|3241.85|601.67|3472.84|3369.99|3281.31|3160.8|3543.2|2749.5|3472.84|1120.05|1090.84|1120.05|3558.94|3558.94|692.3|1003.18|715.15|3701.3|3543.2|3543.2|699.22|775.38|761.53|830.76|973.96|3375.33|3375.33|1022.66|3288.92|1753.13|1022.66|1003.18|0|3701.3
Professional|||35266|REPR BL VES GRAFTUP EXTREM|3108|3108|2745.04|2331|2641.8|2797.2|2641.8|2799.84|1602.3|1506.16|0|0|3003.73|2745.04|515.37|2940.63|2853.54|2778.45|2676.41|3000.21|2331|2940.63|947.96|923.23|947.96|3017|3017|586.07|849.04|605.41|3137.68|3000.21|3000.21|591.93|656.4|644.68|703.28|824.31|2871.95|2871.95|865.53|2798.44|1483.76|865.53|849.04|0|3137.68
Professional|||35286|REPR BL VES GRAFTLOW EXTREM|3331|3331|2945.95|2498.25|2831.35|2997.9|2831.35|3004.76|1716.4|1613.42|0|0|3223.57|2945.95|553.78|3155.85|3062.39|2981.8|2872.3|3219.79|2498.25|3155.85|1022.36|995.69|1022.36|3233.25|3233.25|632|915.68|652.86|3362.58|3219.79|3219.79|638.32|707.84|695.2|758.4|889.01|3091.41|3091.41|933.46|3012.28|1600.22|933.46|915.68|0|3362.58
Professional|||35301|THROMBOENDARTECTMY NECKNECK *|4037|4037|3580.34|3027.75|3431.45|3633.3|3431.45|3651.82|2080.4|1955.58|0|0|3917.75|3580.34|667.67|3835.45|3721.86|3623.92|3490.83|3913.16|3027.75|3835.45|1233.47|1201.29|1233.47|3918.92|3918.92|762.61|1104.76|787.78|4075.68|3913.16|3913.16|770.24|854.12|838.87|915.13|1072.58|3754.27|3754.27|1126.21|3658.16|1930.64|1126.21|1104.76|0|4075.68
Professional|||35302|THROMBOENDARTECTMY SUPERFICIA*|4000|4000|3548.68|3000|3400|3600|3400|3619.53|2060.8|1937.15|0|0|3883.1|3548.68|664.13|3801.53|3688.95|3591.87|3459.96|3878.55|3000|3801.53|1220.77|1188.92|1220.77|3882|3882|754.66|1093.39|779.56|4037.28|3878.55|3878.55|762.21|845.22|830.13|905.59|1061.54|3729.37|3729.37|1114.62|3633.9|1910.77|1114.62|1093.39|0|4037.28
Professional|||35303|THROMBOENDARTECTMY POPLITEAL *|4425|4425|3925.38|3318.75|3761.25|3982.5|3761.25|4003.75|2279.9|2143.11|0|0|4295.31|3925.38|735.22|4205.07|4080.54|3973.16|3827.25|4290.27|3318.75|4205.07|1348.59|1313.41|1348.59|4296.05|4296.05|833.69|1207.87|861.2|4467.89|4290.27|4290.27|842.03|933.73|917.06|1000.43|1172.69|4113.95|4113.95|1231.32|4008.64|2110.84|1231.32|1207.87|0|4467.89
Professional|||35304|THROMBOENDARTECTMY TIBIOPERON*|4556|4556|4042.21|3417|3872.6|4100.4|3872.6|4122.92|2346.4|2205.62|0|0|4423.15|4042.21|756.18|4330.23|4201.99|4091.41|3941.15|4417.97|3417|4330.23|1385.7|1349.56|1385.7|4418.68|4418.68|856.53|1241.11|884.8|4595.43|4417.97|4417.97|865.1|959.31|942.18|1027.84|1204.96|4270.06|4270.06|1265.21|4160.75|2168.93|1265.21|1241.11|0|4595.43
Professional|||35305|THROMBOENDARTECTMY TIBIAL/ PE*|4385|4385|3888.26|3288.75|3727.25|3946.5|3727.25|3965.89|2259.6|2124.02|0|0|4254.68|3888.26|724.62|4165.3|4041.95|3935.58|3791.05|4249.7|3288.75|4165.3|1332.22|1297.46|1332.22|4256.49|4256.49|823.42|1193.2|850.59|4426.75|4249.7|4249.7|831.65|922.23|905.76|988.1|1158.45|4082.27|4082.27|1216.37|3977.78|2085.21|1216.37|1193.2|0|4426.75
Professional|||35306|THROMBOENDARTECTMY TIBIAL/ PE*|1582|1582|1403.09|1186.5|1344.7|1423.8|1344.7|1431.1|808.5|759.99|0|0|1535.32|1403.09|267.06|1503.06|1458.55|1420.17|1368.01|1533.52|1186.5|1503.06|479.65|467.14|479.65|1521.69|1521.69|296.37|429.6|306.15|1582.56|1533.52|1533.52|299.33|331.93|326.01|355.64|417.09|1475.01|1475.01|437.94|1437.25|750.76|437.94|429.6|0|1582.56
Professional|||35321|THROMBOENDARTECTMY AXILLARY-B*|3192|3192|2823.65|2394|2713.2|2872.8|2713.2|2880.03|1645|1546.3|0|0|3089.75|2823.65|525.74|3024.84|2935.27|2858.02|2753.06|3086.13|2394|3024.84|974.14|948.73|974.14|3098.75|3098.75|602.24|872.49|622.11|3222.7|3086.13|3086.13|608.26|674.51|662.46|722.69|847.08|2952.29|2952.29|889.43|2876.72|1524.74|889.43|872.49|0|3222.7
Professional|||35355|THROMBOENDARTECTMY ILIOFEMORAL|3678|3678|3262.6|2758.5|3126.3|3310.2|3126.3|3327.74|1892.8|1779.23|0|0|3570.06|3262.6|610.28|3495.06|3391.56|3302.31|3181.04|3565.88|2758.5|3495.06|1120.87|1091.63|1120.87|3565.53|3565.53|692.82|1003.91|715.68|3708.15|3565.88|3565.88|699.75|775.96|762.1|831.38|974.67|3429.63|3429.63|1023.4|3341.84|1754.41|1023.4|1003.91|0|3708.15
Professional|||35371|THROMBOENDARTECTMY FEMORAL CO*|2921|2921|2587.8|2190.75|2482.85|2628.9|2482.85|2639.47|1505.7|1415.36|0|0|2831.68|2587.8|484.03|2772.19|2690.09|2619.3|2523.11|2828.36|2190.75|2772.19|890.95|867.71|890.95|2835.03|2835.03|550.66|797.98|568.83|2948.43|2828.36|2828.36|556.17|616.74|605.73|660.79|774.74|2715.87|2715.87|813.48|2646.35|1394.53|813.48|797.98|0|2948.43
Professional|||35372|THROMBOENDARTECTMY FEMORAL DE*|3494|3494|3097.72|2620.5|2969.9|3144.6|2969.9|3159.57|1801.1|1693.03|0|0|3389.65|3097.72|579.16|3318.44|3220.17|3135.42|3020.28|3385.68|2620.5|3318.44|1065.52|1037.72|1065.52|3391.48|3391.48|658.69|954.34|680.43|3527.14|3385.68|3385.68|665.28|737.73|724.56|790.43|926.54|3254.3|3254.3|972.87|3170.99|1667.77|972.87|954.34|0|3527.14
Professional|||35390|REOPER CAROTID ENDARTEC>1 MON|568|568|503.37|426|482.8|511.2|482.8|513.42|291.2|273.73|0|0|550.8|503.37|92.92|539.23|523.26|509.49|490.79|550.16|426|539.23|173.05|168.54|173.05|548.54|548.54|106.74|154.99|110.26|570.48|550.16|550.16|107.81|119.55|117.41|128.09|150.48|529.38|529.38|158|515.83|270.86|158|154.99|0|570.48
Professional|||35522|ARTERY BYPASS GRAFT|4304|4304|3818.37|3228|3658.4|3873.6|3658.4|3894.61|2218.3|2085.2|0|0|4178.22|3818.37|712.48|4090.44|3969.3|3864.85|3722.91|4173.32|3228|4090.44|1323.87|1289.33|1323.87|4177.37|4177.37|818.29|1185.73|845.29|4344.46|4173.32|4173.32|826.47|916.48|900.12|981.95|1151.19|4013.28|4013.28|1208.75|3910.55|2072.14|1208.75|1185.73|0|4344.46
Professional|||35523|BYPASS GRAFT WITH VEIN BRACHIAL-ULNAR/?RADIAL|4582|4582|4053.13|3436.5|3894.7|4123.8|3894.7|4134.05|2361.1|2219.43|0|0|4435.1|4053.13|759.92|4341.93|4213.34|4102.47|3951.8|4429.9|3436.5|4341.93|1397.3|1360.84|1397.3|4447.69|4447.69|863.71|1251.49|892.21|4625.6|4429.9|4429.9|872.35|967.36|950.08|1036.45|1215.04|4245.16|4245.16|1275.79|4136.49|2187.07|1275.79|1251.49|0|4625.6
Professional|||35525|ARTERY BYPASS GRAFT|4075|4075|3612.01|3056.25|3463.75|3667.5|3463.75|3684.12|2100.7|1974.66|0|0|3952.4|3612.01|676.29|3869.37|3754.78|3655.97|3521.71|3947.77|3056.25|3869.37|1235.93|1203.69|1235.93|3955.85|3955.85|763.89|1106.96|789.1|4114.08|3947.77|3947.77|771.53|855.56|840.28|916.67|1074.72|3809.68|3809.68|1128.46|3712.15|1934.5|1128.46|1106.96|0|4114.08
Professional|||35556|VEIN BYPASS GRAFTFEM-POP|4987|4987|4424.38|3740.25|4238.95|4488.3|4238.95|4512.71|2569.7|2415.52|0|0|4841.33|4424.38|827.47|4739.62|4599.26|4478.23|4313.77|4835.66|3740.25|4739.62|1524.76|1484.99|1524.76|4839.32|4839.32|942.49|1365.66|973.59|5032.89|4835.66|4835.66|951.91|1055.59|1036.74|1130.99|1325.88|4647.86|4647.86|1392.17|4528.89|2386.58|1392.17|1365.66|0|5032.89
Professional|||35558|VEIN BYPASS GRAFTFEM-FEM|4391|4391|3890.44|3293.25|3732.35|3951.9|3732.35|3968.11|2263.1|2127.31|0|0|4257.07|3890.44|731.02|4167.64|4044.22|3937.79|3793.18|4252.08|3293.25|4167.64|1341.87|1306.86|1341.87|4263.08|4263.08|829.58|1201.85|856.96|4433.6|4252.08|4252.08|837.88|929.13|912.54|995.5|1166.84|4089.08|4089.08|1225.18|3984.41|2100.31|1225.18|1201.85|0|4433.6
Professional|||35565|VEIN BYPASS GRAFTILIOFEM|4690|4690|4161.23|3517.5|3986.5|4221|3986.5|4244.31|2415|2270.1|0|0|4553.38|4161.23|782|4457.73|4325.71|4211.88|4057.2|4548.05|3517.5|4457.73|1424.15|1387|1424.15|4549.23|4549.23|880.39|1275.54|909.44|4731.2|4548.05|4548.05|889.19|986.04|968.43|1056.47|1238.39|4418.22|4418.22|1300.31|4305.13|2229.1|1300.31|1275.54|0|4731.2
Professional|||35566|VEIN BYPASS GRAFTFEM-TIBIAL|5952|5952|5280.43|4464|5059.2|5356.8|5059.2|5385.85|3061.1|2877.43|0|0|5778.05|5280.43|985.07|5656.67|5489.15|5344.7|5148.42|5771.28|4464|5656.67|1815.55|1768.19|1815.55|5764.98|5764.98|1122.36|1626.1|1159.4|5995.58|5771.28|5771.28|1133.58|1257.04|1234.6|1346.83|1578.74|5547.1|5547.1|1657.68|5405.11|2841.73|1657.68|1626.1|0|5995.58
Professional|||35570|BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL|5382|5382|4774.88|4036.5|4574.7|4843.8|4574.7|4870.21|2769.9|2603.71|0|0|5224.86|4774.88|895.89|5115.1|4963.62|4833|4655.51|5218.74|4036.5|5115.1|1592.57|1551.02|1592.57|5219.08|5219.08|984.57|1426.39|1017.06|5427.84|5218.74|5218.74|994.42|1102.72|1083.03|1181.48|1384.84|5012.09|5012.09|1454.08|4883.79|2492.71|1454.08|1426.39|0|5427.84
Professional|||35571|VEIN BYPASS GRAFTTIB-PERONEAL|4720|4720|4187.44|3540|4012|4248|4012|4271.04|2429|2283.26|0|0|4582.06|4187.44|783.99|4485.8|4352.96|4238.4|4082.75|4576.69|3540|4485.8|1441.15|1403.55|1441.15|4575.59|4575.59|890.91|1290.77|920.31|4758.61|4576.69|4576.69|899.82|997.82|980|1069.09|1253.17|4406.91|4406.91|1315.83|4294.1|2255.71|1315.83|1290.77|0|4758.61
Professional|||35572|HARVEST FEMPOP VEINONE SEGME*|1237|1237|1097.36|927.75|1051.45|1113.3|1051.45|1119.27|634.9|596.81|0|0|1200.77|1097.36|202.61|1175.55|1140.74|1110.72|1069.93|1199.37|927.75|1175.55|375.35|365.56|375.35|1195.99|1195.99|231.96|336.18|239.61|1243.83|1199.37|1199.37|234.28|259.8|255.16|278.35|326.39|1146.97|1146.97|342.71|1117.61|587.5|342.71|336.18|0|1243.83
Professional|||35583|VEIN IN SITU BYPASS GRAFTFEM*|5150|5150|4568.51|3862.5|4377.5|4635|4377.5|4659.72|2651.6|2492.5|0|0|4999.04|4568.51|854.4|4894.02|4749.09|4624.11|4454.3|4993.19|3862.5|4894.02|1569.72|1528.77|1569.72|4996.23|4996.23|970.46|1405.92|1002.49|5196.08|4993.19|4993.19|980.16|1086.92|1067.51|1164.55|1364.97|4806.21|4806.21|1433.22|4683.18|2456.95|1433.22|1405.92|0|5196.08
Professional|||35585|VEIN IN SITU BYPASS GRAFTFEM*|5965|5965|5292.44|4473.75|5070.25|5368.5|5070.25|5398.1|3068.8|2884.67|0|0|5791.2|5292.44|989.48|5669.54|5501.64|5356.86|5160.13|5784.41|4473.75|5669.54|1817.7|1770.28|1817.7|5782.13|5782.13|1123.65|1628.03|1160.73|6013.42|5784.41|5784.41|1134.89|1258.49|1236.02|1348.38|1580.61|5572|5572|1659.64|5429.37|2845.1|1659.64|1628.03|0|6013.42
Professional|||35600|HARVEST ARTERY FOR BYPASS|916|916|811.28|687|778.6|824.4|778.6|827.48|471.1|442.83|0|0|887.74|811.28|148.33|869.09|843.35|821.16|791|886.7|687|869.09|279.58|272.28|279.58|888.74|888.74|172.69|250.4|178.39|924.29|886.7|886.7|174.42|193.41|189.96|207.23|243.11|840.43|840.43|255.27|818.91|437.6|255.27|250.4|0|924.29
Professional|||35606|BYPASS GRAFT OTHRCAROT-SUBCL|4186|4186|3713.55|3139.5|3558.1|3767.4|3558.1|3787.69|2156|2026.64|0|0|4063.51|3713.55|692.62|3978.15|3860.34|3758.75|3620.71|4058.75|3139.5|3978.15|1276.56|1243.26|1276.56|4061.33|4061.33|789.04|1143.35|815.08|4223.78|4058.75|4058.75|796.93|883.72|867.94|946.85|1110.05|3896.79|3896.79|1165.55|3797.04|1998.09|1165.55|1143.35|0|4223.78
Professional|||35621|BYPASS GRAFT OTHRAXILL-FEM|3908|3908|3466.78|2931|3321.8|3517.2|3321.8|3536|2012.5|1891.75|0|0|3793.49|3466.78|648.69|3713.8|3603.82|3508.98|3380.11|3789.05|2931|3713.8|1193.02|1161.9|1193.02|3791.02|3791.02|737.46|1068.53|761.8|3942.66|3789.05|3789.05|744.83|825.96|811.21|884.95|1037.41|3649.06|3649.06|1089.28|3555.65|1867.34|1089.28|1068.53|0|3942.66
Professional|||35623|BYPASS GRAFT OTHRAXILL-POP|4656|4656|4130.66|3492|3957.6|4190.4|3957.6|4213.13|2391.2|2247.73|0|0|4519.93|4130.66|770.52|4424.98|4293.93|4180.93|4027.39|4514.63|3492|4424.98|1419.93|1382.89|1419.93|4501.75|4501.75|877.82|1271.76|906.79|4681.82|4514.63|4514.63|886.6|983.16|965.6|1053.38|1234.72|4384.31|4384.31|1296.46|4272.08|2222.5|1296.46|1271.76|0|4681.82
Professional|||35626|BYPASS GRAFT OTHRAORTOSUBCLAVIAN/AORTOINNOMINATE/AORTOCAROTID|5678|5678|5023.83|4258.5|4826.3|5110.2|4826.3|5124.13|2926|2750.44|0|0|5497.27|5023.83|929.67|5381.79|5222.41|5084.98|4898.23|5490.83|4258.5|5381.79|1740.44|1695.04|1740.44|5511.81|5511.81|1075.92|1558.83|1111.43|5732.28|5490.83|5490.83|1086.68|1205.03|1183.51|1291.1|1513.43|5213.42|5213.42|1589.1|5079.97|2724.17|1589.1|1558.83|0|5732.28
Professional|||35631|BYPASS GRAFT OTHRAORTO-MESEN*|6612|6612|5865.69|4959|5620.2|5950.8|5620.2|5982.8|3395.7|3191.96|0|0|6418.47|5865.69|1088.58|6283.63|6097.54|5937.08|5719.05|6410.94|4959|6283.63|2009.34|1956.92|2009.34|6396.6|6396.6|1242.2|1799.67|1283.19|6652.46|6410.94|6410.94|1254.62|1391.26|1366.42|1490.64|1747.25|6150.01|6150.01|1834.61|5992.58|3145.05|1834.61|1799.67|0|6652.46
Professional|||35632|BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC|6365|6365|5647.31|4773.75|5410.25|5728.5|5410.25|5760.06|3286.5|3089.31|0|0|6179.51|5647.31|1057.01|6049.69|5870.53|5716.04|5506.13|6172.26|4773.75|6049.69|1951.4|1900.49|1951.4|6167.17|6167.17|1206.27|1747.78|1246.08|6413.86|6172.26|6172.26|1218.33|1351.02|1326.9|1447.52|1696.87|5985.99|5985.99|1781.71|5832.76|3054.37|1781.71|1747.78|0|6413.86
Professional|||35638|BYPASS GRAFT OTHRAORTOBI-ILI*|6267|6267|5559.95|4700.25|5326.95|5640.3|5326.95|5670.96|3225.6|3032.06|0|0|6083.92|5559.95|1041.57|5956.11|5779.73|5627.63|5420.95|6076.79|4700.25|5956.11|1897.14|1847.65|1897.14|6077.5|6077.5|1172.91|1699.18|1211.62|6320.6|6076.79|6076.79|1184.64|1313.66|1290.2|1407.49|1649.69|5854.78|5854.78|1732.17|5704.91|2969.44|1732.17|1699.18|0|6320.6
Professional|||35646|BYPASS GRAFT OTHRAORTOBIFEMO*|6122|6122|5431.11|4591.5|5203.7|5509.8|5203.7|5539.54|3150.7|2961.66|0|0|5942.94|5431.11|1013.98|5818.09|5645.79|5497.22|5295.33|5935.97|4591.5|5818.09|1867.12|1818.41|1867.12|5935.09|5935.09|1154.18|1672.29|1192.27|6172.49|5935.97|5935.97|1165.72|1292.68|1269.6|1385.02|1623.58|5699.81|5699.81|1704.76|5553.91|2922.44|1704.76|1672.29|0|6172.49
Professional|||35654|BYPASS GRAFT OTHRAXILL-FEM-F*|4882|4882|4331.57|3661.5|4149.7|4393.8|4149.7|4418.05|2513.7|2362.88|0|0|4739.77|4331.57|808.72|4640.2|4502.78|4384.29|4223.28|4734.22|3661.5|4640.2|1490.18|1451.31|1490.18|4735.15|4735.15|921.19|1334.68|951.59|4924.56|4734.22|4734.22|930.4|1031.73|1013.31|1105.43|1295.81|4551.7|4551.7|1360.6|4435.19|2332.46|1360.6|1334.68|0|4924.56
Professional|||35656|BYPASS GRAFT OTHRFEM-POP|3860|3860|3422.01|2895|3281|3474|3281|3490.34|1989.4|1870.04|0|0|3744.5|3422.01|641.62|3665.84|3557.28|3463.67|3336.46|3740.12|2895|3665.84|1177.49|1146.77|1177.49|3747.5|3747.5|727.97|1054.62|751.99|3897.4|3740.12|3740.12|735.25|815.33|800.77|873.56|1023.9|3599.29|3599.29|1075.1|3507.16|1843.02|1075.1|1054.62|0|3897.4
Professional|||35661|BYPASS GRAFT OTHRFEM-FEM|3877|3877|3431.84|2907.75|3295.45|3489.3|3295.45|3500.36|1997.8|1877.93|0|0|3755.26|3431.84|642.51|3676.37|3567.49|3473.61|3346.04|3750.86|2907.75|3676.37|1182.29|1151.45|1182.29|3763.33|3763.33|730.79|1058.92|754.91|3913.86|3750.86|3750.86|738.1|818.48|803.87|876.95|1028.08|3606.07|3606.07|1079.48|3513.76|1850.54|1079.48|1058.92|0|3913.86
Professional|||35665|BYPASS GRAFT OTHRILIOFEMORAL|4189|4189|3712.46|3141.75|3560.65|3770.1|3560.65|3786.58|2158.8|2029.27|0|0|4062.32|3712.46|693.71|3976.98|3859.2|3757.65|3619.65|4057.56|3141.75|3976.98|1278.28|1244.94|1278.28|4066.61|4066.61|790.07|1144.9|816.14|4229.27|4057.56|4057.56|797.97|884.88|869.08|948.08|1111.55|3893.39|3893.39|1167.13|3793.72|2000.79|1167.13|1144.9|0|4229.27
Professional|||35666|BYPASS GRAFT OTHRFEM-TIBIAL|4519|4519|4000.72|3389.25|3841.15|4067.1|3841.15|4080.6|2328.9|2189.17|0|0|4377.75|4000.72|750.89|4285.78|4158.86|4049.42|3900.7|4372.62|3389.25|4285.78|1390.59|1354.32|1390.59|4387.03|4387.03|859.61|1245.49|887.98|4562.51|4372.62|4372.62|868.21|962.76|945.57|1031.53|1209.21|4199.93|4199.93|1269.67|4092.42|2176.58|1269.67|1245.49|0|4562.51
Professional|||35681|BYPASS GRAFT COMPOSITE/PROS+V*|288|288|255.5|216|244.8|259.2|244.8|260.61|147.7|138.84|0|0|279.58|255.5|46.79|273.71|265.6|258.61|249.11|279.26|216|273.71|88|85.7|88|278.23|278.23|54.39|78.82|56.18|289.36|279.26|279.26|54.93|60.92|59.83|65.27|76.52|266.96|266.96|80.35|260.12|137.74|80.35|78.82|0|289.36
Professional|||35694|ART TRANSPOSITNSUBCL-CAROT|3500|3500|3105.36|2625|2975|3150|2975|3167.36|1799.7|1691.72|0|0|3398.01|3105.36|581.59|3326.63|3228.11|3143.16|3027.73|3394.03|2625|3326.63|1069.12|1041.23|1069.12|3386.2|3386.2|661|957.56|682.81|3521.65|3394.03|3394.03|667.61|740.32|727.1|793.2|929.67|3276.93|3276.93|976.15|3193.04|1673.41|976.15|957.56|0|3521.65
Professional|||35697|REIMPLANT ARTERY EACH|530|530|469.52|397.5|450.5|477|450.5|478.89|270.9|254.65|0|0|513.76|469.52|86.08|502.97|488.08|475.23|457.78|513.16|397.5|502.97|159.67|155.5|159.67|510.3|510.3|98.53|143.01|101.78|530.71|513.16|513.16|99.52|110.35|108.38|118.24|138.84|489.79|489.79|145.78|477.25|249.91|145.78|143.01|0|530.71
Professional|||35700|REOPERATION BYPASS GRAFT|544|544|482.62|408|462.4|489.6|462.4|492.26|278.6|261.88|0|0|528.1|482.62|89.18|517.01|501.7|488.49|470.55|527.48|408|517.01|165.11|160.8|165.11|524.81|524.81|101.87|147.88|105.23|545.8|527.48|527.48|102.89|114.09|112.06|122.24|143.57|506.75|506.75|150.75|493.77|258.43|150.75|147.88|0|545.8
Professional|||35800|EXPLOR POSTOP BLEEDINFECCLO*|2631|2631|2275.52|1973.25|2236.35|2367.9|2236.35|2320.95|1355.9|1274.55|0|0|2489.96|2275.52|428.84|2437.65|2365.47|2303.22|2218.63|2487.05|1973.25|2437.65|804.06|783.08|804.06|2554.16|2554.16|497.03|720.16|513.43|2656.33|2487.05|2487.05|502|556.67|546.73|596.44|699.18|2358.43|2358.43|734.14|2298.06|1258.52|734.14|720.16|0|2656.33
Professional|||35820|EXPLOR POSTOP BLEEDINFECCLO*|7212|7212|6367.96|5409|6130.2|6490.8|6130.2|6495.1|3717|3493.98|0|0|6968.07|6367.96|1178.19|6821.69|6619.67|6445.47|6208.76|6959.91|5409|6821.69|2203.01|2145.54|2203.01|7001.84|7001.84|1362.03|1973.13|1406.98|7281.91|6959.91|6959.91|1375.65|1525.47|1498.23|1634.44|1915.66|6616.04|6616.04|2011.44|6446.68|3448.19|2011.44|1973.13|0|7281.91
Professional|||35840|EXPLOR POSTOP BLEEDINFECCLO*|4311|4311|3782.34|3233.25|3664.35|3879.9|3664.35|3857.86|2221.8|2088.49|0|0|4138.79|3782.34|701.22|4051.84|3931.85|3828.38|3687.78|4133.94|3233.25|4051.84|1325.24|1290.67|1325.24|4185.28|4185.28|819.32|1186.95|846.36|4352.69|4133.94|4133.94|827.51|917.64|901.25|983.18|1152.38|3921.66|3921.66|1210|3821.27|2074.28|1210|1186.95|0|4352.69
Professional|||35860|EXPLOR POSTOP BLEEDINFECCLO*|2999|2999|2647.86|2249.25|2549.15|2699.1|2549.15|2700.72|1545.6|1452.86|0|0|2897.39|2647.86|497.71|2836.52|2752.52|2680.09|2581.66|2894|2249.25|2836.52|915.86|891.97|915.86|2911.5|2911.5|566.05|820.29|584.73|3027.96|2894|2894|571.71|633.98|622.66|679.26|796.4|2779.23|2779.23|836.22|2708.08|1433.52|836.22|820.29|0|3027.96
Professional|||35870|REPAIR VESSEL GRAFT DEFECT|4405|4405|3907.91|3303.75|3744.25|3964.5|3744.25|3985.93|2268|2131.92|0|0|4276.19|3907.91|730.57|4186.36|4062.38|3955.48|3810.21|4271.18|3303.75|4186.36|1347.41|1312.26|1347.41|4264.4|4264.4|832.92|1206.81|860.41|4434.98|4271.18|4271.18|841.25|932.87|916.21|999.5|1171.66|4126.4|4126.4|1230.24|4020.77|2108.99|1230.24|1206.81|0|4434.98
Professional|||35875|REMOVAL OF CLOT IN GRAFT|2133|2133|1883.53|1599.75|1813.05|1919.7|1813.05|1921.13|1099.7|1033.72|0|0|2061.03|1883.53|352.93|2017.73|1957.98|1906.45|1836.44|2058.62|1599.75|2017.73|651.68|634.68|651.68|2070.23|2070.23|402.86|583.68|416.15|2153.04|2058.62|2058.62|406.89|451.2|443.15|483.43|566.68|1974.98|1974.98|595.01|1924.43|1020.02|595.01|583.68|0|2153.04
Professional|||35876|REMOVAL OF CLOT IN GRAFT|3382|3382|2993.99|2536.5|2874.7|3043.8|2874.7|3053.77|1743|1638.42|0|0|3276.14|2993.99|558.42|3207.32|3112.33|3030.43|2919.14|3272.3|2536.5|3207.32|1033.09|1006.14|1033.09|3283.36|3283.36|638.67|925.29|659.75|3414.69|3272.3|3272.3|645.06|715.31|702.54|766.4|898.34|3142.31|3142.31|943.26|3061.88|1617.01|943.26|925.29|0|3414.69
Professional|||35879|REVISE GRAFT/VEIN PATCH ANGIO|3308|3308|2929.57|2481|2811.8|2977.2|2811.8|2988.06|1704.5|1602.23|0|0|3205.65|2929.57|545.4|3138.31|3045.37|2965.22|2856.33|3201.89|2481|3138.31|1008.07|981.77|1008.07|3210.83|3210.83|623.02|902.88|643.58|3339.26|3201.89|3201.89|629.25|697.78|685.32|747.62|876.58|3059.74|3059.74|920.41|2981.41|1577.84|920.41|902.88|0|3339.26
Professional|||35881|REVISE GRAFT/SEG VEIN INTERPOS|3631|3631|3218.92|2723.25|3086.35|3267.9|3086.35|3283.19|1871.8|1759.49|0|0|3522.27|3218.92|602.33|3448.28|3346.16|3258.1|3138.45|3518.14|2723.25|3448.28|1111.1|1082.11|1111.1|3524.66|3524.66|686.91|995.16|709.58|3665.65|3518.14|3518.14|693.78|769.34|755.6|824.29|966.17|3384.37|3384.37|1014.48|3297.74|1739.11|1014.48|995.16|0|3665.65
Professional|||35883|REVISE FEMORAL GRAFT NON-AUT*|4284|4284|3800.9|3213|3641.4|3855.6|3641.4|3876.79|2205.7|2073.36|0|0|4159.1|3800.9|712.91|4071.73|3951.14|3847.17|3705.88|4154.23|3213|4071.73|1306.75|1272.66|1306.75|4154.96|4154.96|807.77|1170.39|834.43|4321.16|4154.23|4154.23|815.85|904.7|888.55|969.32|1136.3|4009.88|4009.88|1193.12|3907.23|2045.34|1193.12|1170.39|0|4321.16
Professional|||35901|EXCISION INFEC GRAFT NECK|1689|1689|1479.52|1266.75|1435.65|1520.1|1435.65|1509.06|866.6|814.6|0|0|1618.95|1479.52|280.76|1584.94|1538.01|1497.53|1442.53|1617.06|1266.75|1584.94|515.46|502.02|515.46|1632.44|1632.44|318.44|461.68|328.95|1697.74|1617.06|1617.06|321.62|356.65|350.28|382.13|448.23|1639.03|1639.03|470.64|1597.07|806.81|470.64|461.68|0|1697.74
Professional|||35903|EXCISION INFEC GRAFT EXTREM*|2035|2035|1783.07|1526.25|1729.75|1831.5|1729.75|1818.67|1048.6|985.68|0|0|1951.11|1783.07|337.26|1910.12|1853.55|1804.78|1738.49|1948.82|1526.25|1910.12|622.78|606.54|622.78|1975.29|1975.29|384.9|557.8|397.6|2054.3|1948.82|1948.82|388.75|431.09|423.39|461.88|541.55|1865.24|1865.24|568.63|1817.49|974.79|568.63|557.8|0|2054.3
Professional|||35905|EXCISION INFEC GRAFT THORAX|6045|6045|5272.79|4533.75|5138.25|5440.5|5138.25|5378.06|3056.2|2872.83|0|0|5769.69|5272.79|987.06|5648.48|5481.2|5336.96|5140.97|5762.93|4533.75|5648.48|1932.1|1881.7|1932.1|5745.21|5745.21|1194.47|1730.49|1233.89|5975.02|5762.93|5762.93|1206.41|1337.81|1313.92|1433.36|1680.09|5868.37|5868.37|1764.09|5718.15|3024.16|1764.09|1730.49|0|6045
Professional|||35907|EXCISION INFEC GRAFT ABDOMEN|6800|6800|6032.75|5100|5780|6120|5780|6153.19|3490.9|3281.45|0|0|6601.27|6032.75|1124.11|6462.59|6271.21|6106.17|5881.93|6593.54|5100|6462.59|2063.02|2009.2|2063.02|6575.93|6575.93|1275.3|1847.75|1317.38|6838.97|6593.54|6593.54|1288.05|1428.34|1402.83|1530.36|1793.93|6343.44|6343.44|1883.63|6181.06|3229.07|1883.63|1847.75|0|6838.97
Professional|||36000|PLACE NEEDLE IN VEIN|36|36|29.48|27|30.6|32.4|30.6|85.75|53.2|50.01|0|0|32.26|29.48|5.52|31.58|30.65|29.84|28.74|32.22|27|31.58|0|0|0|34.29|34.29|6.41|0|6.62|35.66|32.22|32.22|6.47|7.18|7.05|7.69|0|30.54|30.54|0|29.76|0|0|0|0|85.75
Professional|||36002|INJECTION RX EXTREMITY PSEUDO*|390|390|331.94|292.5|331.5|351|331.5|500.05|303.8|285.57|0|0|363.22|331.94|64.22|355.59|345.06|335.98|323.64|362.79|292.5|355.59|119.09|115.99|119.09|378.44|378.44|73.38|106.67|75.8|393.58|362.79|362.79|74.11|82.19|80.72|88.06|103.56|349.53|349.53|108.74|340.59|186.41|108.74|106.67|0|500.05
Professional|||36005|INJECTION PROCEXTREMITYVENO*|177|177|152.87|132.75|150.45|159.3|150.45|975.6|612.5|575.75|0|0|167.27|152.87|28.9|163.76|158.91|154.73|149.05|167.08|132.75|163.76|53.96|52.55|53.96|171.42|171.42|33.35|48.33|34.45|178.28|167.08|167.08|33.68|37.35|36.69|40.02|46.92|158.35|158.35|49.27|154.29|84.46|49.27|48.33|0|975.6
Professional|||36010|PR INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA|403|403|348.32|302.25|342.55|362.7|342.55|1590.36|991.9|932.39|0|0|381.14|348.32|72.62|373.13|362.08|352.56|339.61|380.69|302.25|373.13|122.57|119.37|122.57|390.31|390.31|75.69|109.78|78.19|405.92|380.69|380.69|76.45|84.77|83.26|90.83|106.58|360.82|360.82|111.91|351.58|191.84|111.91|109.78|0|1590.36
Professional|||36011|PLACE CATH IN VEINSELECT|579|579|495.72|434.25|492.15|521.1|492.15|2675.11|1676.5|1575.91|0|0|542.44|495.72|94.03|531.04|515.32|501.76|483.33|541.8|434.25|531.04|177.33|172.7|177.33|561.73|561.73|109.56|158.83|113.18|584.2|541.8|541.8|110.66|122.71|120.52|131.47|154.2|516.93|516.93|161.91|503.69|277.56|161.91|158.83|0|2675.11
Professional|||36012|PLACE CATH IN VEINSUBSELECT|639|639|549.23|479.25|543.15|575.1|543.15|2728.57|1707.3|1604.86|0|0|600.98|549.23|105.05|588.36|570.94|555.91|535.5|600.28|479.25|588.36|195.26|190.16|195.26|619.75|619.75|120.6|174.88|124.58|644.54|600.28|600.28|121.81|135.07|132.66|144.72|169.79|571.23|571.23|178.28|556.61|305.62|178.28|174.88|0|2728.57
Professional|||36013|PLACE CATH IN RT HRTMAIN PUL*|454|454|384.35|340.5|385.9|408.6|385.9|2432.32|1530.2|1438.39|0|0|420.57|384.35|76.59|411.73|399.54|389.03|374.74|420.08|340.5|411.73|139.39|135.76|139.39|440.42|440.42|85.96|124.85|88.8|458.04|420.08|420.08|86.82|96.28|94.56|103.15|121.21|404.94|404.94|127.27|394.58|218.18|127.27|124.85|0|2432.32
Professional|||36014|PLACE CATH IN LT/RT PULM ART|560|560|478.25|420|476|504|476|2568.19|1610.7|1514.06|0|0|523.32|478.25|90.94|512.33|497.16|484.07|466.29|522.71|420|512.33|171.76|167.28|171.76|543.27|543.27|105.97|153.84|109.47|565|522.71|522.71|107.03|118.69|116.57|127.16|149.36|496.57|496.57|156.83|483.85|268.85|156.83|153.84|0|2568.19
Professional|||36015|PLACE CATH IN SUBSEGMT PULM A*|643|643|543.77|482.25|546.55|578.7|546.55|2782.02|1747.2|1642.37|0|0|595.01|543.77|105.05|582.51|565.26|550.38|530.18|594.31|482.25|582.51|197.39|192.24|197.39|623.71|623.71|121.88|176.79|125.9|648.66|594.31|594.31|123.1|136.51|134.07|146.26|171.64|563.32|563.32|180.22|548.9|308.95|180.22|176.79|0|2782.02
Professional|||36140|PR INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY|326|326|286.08|244.5|277.1|293.4|277.1|1417.74|883.4|830.4|0|0|313.04|286.08|60.26|306.46|297.39|289.56|278.93|312.67|244.5|306.46|98.81|96.23|98.81|316.47|316.47|61.07|88.5|63.09|329.13|312.67|312.67|61.68|68.4|67.18|73.28|85.92|297.5|297.5|90.22|289.88|154.66|90.22|88.5|0|1417.74
Professional|||36200|PR INTRODUCTION CATHETER AORTA|500|500|442.22|375|425|450|425|1807.54|1120|1052.8|0|0|483.89|442.22|89.61|473.73|459.7|447.6|431.16|483.33|375|473.73|152.84|148.85|152.84|485.25|485.25|94.42|136.89|97.54|504.66|483.33|483.33|95.36|105.75|103.86|113.3|132.9|462.62|462.62|139.55|450.78|239.22|139.55|136.89|0|1807.54
Professional|||36215|PLACE CATH SELECTIVE ARTNECK|794|794|672.61|595.5|674.9|714.6|674.9|3274.28|2050.3|1927.28|0|0|736|672.61|141.04|720.54|699.2|680.8|655.79|735.13|595.5|720.54|240.71|234.43|240.71|764.79|764.79|148.57|215.59|153.47|795.38|735.13|735.13|150.06|166.4|163.43|178.28|209.31|770.3|770.3|219.78|750.58|376.76|219.78|215.59|0|3274.28
Professional|||36216|PLACE CATH SUBSELECT ARTNECK|995|995|865.88|746.25|845.75|895.5|845.75|3528.2|2193.1|2061.51|0|0|947.48|865.88|163.1|927.57|900.1|876.42|844.23|946.37|746.25|927.57|303.36|295.44|303.36|965.23|965.23|187.31|271.7|193.49|1003.84|946.37|946.37|189.18|209.79|206.04|224.77|263.79|893.6|893.6|276.98|870.72|474.82|276.98|271.7|0|3528.2
Professional|||36217|PLACE CATH SUBSUBSELECT ARTN*|1190|1190|1038.4|892.5|1011.5|1071|1011.5|5915.97|3699.5|3477.53|0|0|1136.25|1038.4|194.89|1112.38|1079.44|1051.04|1012.44|1134.92|892.5|1112.38|363.83|354.33|363.83|1155.1|1155.1|224.78|325.86|232.2|1201.3|1134.92|1134.92|227.03|251.75|247.26|269.74|316.37|1063.26|1063.26|332.19|1036.04|569.47|332.19|325.86|0|5915.97
Professional|||36218|PLACE CATH ADDN SUBSELEC ART*|191|191|164.88|143.25|162.35|171.9|162.35|767.34|478.8|450.07|0|0|180.41|164.88|31.34|176.62|171.39|166.88|160.76|180.2|143.25|176.62|57.6|56.1|57.6|184.6|184.6|35.41|51.59|36.58|191.98|180.2|180.2|35.76|39.66|38.95|42.49|50.09|170.8|170.8|52.59|166.42|90.16|52.59|51.59|0|767.34
Professional|||36221|PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART|720|720|633.3|540|612|648|612|3264.25|2034.9|1912.81|0|0|692.98|633.3|126.25|678.43|658.33|641.01|617.47|692.17|540|678.43|220.63|214.87|220.63|698.87|698.87|136.25|197.61|140.75|726.82|692.17|692.17|137.61|152.6|149.88|163.5|191.85|665.12|665.12|201.44|648.1|345.33|201.44|197.61|0|3264.25
Professional|||36222|PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART|1015|1015|897.54|761.25|862.75|913.5|862.75|3867.88|2399.6|2255.62|0|0|982.13|897.54|173.26|961.49|933.02|908.47|875.1|980.97|761.25|961.49|309.82|301.74|309.82|985.01|985.01|191.42|277.49|197.74|1024.41|980.97|980.97|193.33|214.39|210.56|229.7|269.41|929.81|929.81|282.88|906.01|484.94|282.88|277.49|0|3867.88
Professional|||36223|PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART|1135|1135|1002.36|851.25|964.75|1021.5|964.75|4894.71|3045|2862.3|0|0|1096.83|1002.36|189.37|1073.78|1041.99|1014.56|977.3|1095.54|851.25|1073.78|347.37|338.31|347.37|1101.05|1101.05|214.51|311.12|221.59|1145.09|1095.54|1095.54|216.66|240.25|235.96|257.41|302.06|1027.08|1027.08|317.16|1000.79|543.71|317.16|311.12|0|4894.71
Professional|||36224|PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART|1290|1290|1144.31|967.5|1096.5|1161|1096.5|6333.61|3943.8|3707.17|0|0|1252.15|1144.31|210.13|1225.85|1189.54|1158.24|1115.7|1250.68|967.5|1225.85|392.28|382.04|392.28|1244.77|1244.77|242.48|351.34|250.48|1294.56|1250.68|1250.68|244.9|271.58|266.73|290.98|341.11|1167.33|1167.33|358.17|1137.45|614|358.17|351.34|0|6333.61
Professional|||36225|PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY|1129|1129|1000.18|846.75|959.65|1016.1|959.65|4715.41|2929.5|2753.73|0|0|1094.44|1000.18|187.17|1071.45|1039.71|1012.35|975.18|1093.15|846.75|1071.45|345.29|336.28|345.29|1095.77|1095.77|213.23|309.26|220.27|1139.6|1093.15|1093.15|215.36|238.82|234.55|255.88|300.25|1022.54|1022.54|315.26|996.36|540.45|315.26|309.26|0|4715.41
Professional|||36226|PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY|1272|1272|1127.93|954|1081.2|1144.8|1081.2|5989.48|3728.2|3504.51|0|0|1234.23|1127.93|210.79|1208.3|1172.52|1141.66|1099.73|1232.78|954|1208.3|387.88|377.76|387.88|1231.59|1231.59|239.66|347.41|247.57|1280.85|1232.78|1232.78|242.06|268.42|263.63|287.59|337.29|1151.51|1151.51|354.15|1122.03|607.12|354.15|347.41|0|5989.48
Professional|||36227|PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC|420|420|372.34|315|357|378|357|805.21|485.8|456.65|0|0|407.43|372.34|66.65|398.87|387.06|376.87|363.03|406.95|315|398.87|128.32|124.97|128.32|406.13|406.13|79.28|114.93|81.9|422.38|406.95|406.95|80.07|88.79|87.21|95.14|111.58|382.31|382.31|117.16|372.53|200.84|117.16|114.93|0|805.21
Professional|||36228|PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT|866|866|767.61|649.5|736.1|779.4|736.1|4191.97|2608.9|2452.37|0|0|839.94|767.61|136.4|822.3|797.95|776.95|748.42|838.96|649.5|822.3|261.96|255.12|261.96|833.37|833.37|161.91|234.62|167.25|866.7|838.96|838.96|163.53|181.34|178.1|194.29|227.79|782.75|782.75|239.18|762.71|410.02|239.18|234.62|0|4191.97
Professional|||36245|PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH|872|872|752.32|654|741.2|784.8|741.2|4168.58|2610.3|2453.68|0|0|823.22|752.32|150.53|805.92|782.06|761.48|733.51|822.25|654|805.92|265.87|258.93|265.87|846.55|846.55|164.22|238.13|169.64|880.41|822.25|822.25|165.86|183.93|180.64|197.06|231.19|789.53|789.53|242.75|769.32|416.14|242.75|238.13|0|4168.58
Professional|||36246|PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH|923|923|806.91|692.25|784.55|830.7|784.55|2650.61|1636.6|1538.4|0|0|882.96|806.91|158.47|864.41|838.81|816.74|786.74|881.92|692.25|864.41|280.11|272.8|280.11|895.34|895.34|172.94|250.88|178.65|931.15|881.92|881.92|174.67|193.69|190.23|207.53|243.57|843.83|843.83|255.75|822.23|438.43|255.75|250.88|0|2650.61
Professional|||36247|PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH|1106|1106|958.69|829.5|940.1|995.4|940.1|4744.36|2963.1|2785.31|0|0|1049.03|958.69|189.16|1027|996.58|970.36|934.72|1047.81|829.5|1027|336.78|327.99|336.78|1073.35|1073.35|208.1|301.64|214.97|1116.28|1047.81|1047.81|210.18|233.07|228.91|249.72|292.85|1003.31|1003.31|307.49|977.63|527.13|307.49|301.64|0|4744.36
Professional|||36248|PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH|184|184|155.05|138|156.4|165.6|156.4|457.73|284.9|267.81|0|0|169.66|155.05|30.03|166.1|161.18|156.94|151.17|169.46|138|166.1|55.73|54.28|55.73|178.02|178.02|34.38|49.91|35.51|185.14|169.46|169.46|34.72|38.51|37.82|41.26|48.46|161.75|161.75|50.88|157.61|87.23|50.88|49.91|0|457.73
Professional|||36251|PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN|951|951|824.38|713.25|808.35|855.9|808.35|4367.93|2731.4|2567.52|0|0|902.07|824.38|165.75|883.12|856.97|834.42|803.77|901.02|713.25|883.12|289.24|281.69|289.24|923.03|923.03|178.59|259.06|184.48|959.95|901.02|901.02|180.38|200.02|196.45|214.31|251.51|875.51|875.51|264.09|853.1|452.72|264.09|259.06|0|4367.93
Professional|||36252|PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL|1302|1302|1145.4|976.5|1106.7|1171.8|1106.7|4725.43|2930.9|2755.05|0|0|1253.35|1145.4|218.96|1227.02|1190.68|1159.34|1116.77|1251.88|976.5|1227.02|396.12|385.78|396.12|1263.24|1263.24|244.79|354.78|252.87|1313.77|1251.88|1251.88|247.24|274.16|269.27|293.75|344.45|1193.37|1193.37|361.67|1162.82|620.01|361.67|354.78|0|4725.43
Professional|||36253|PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I|1345|1345|1132.3|1008.75|1143.25|1210.5|1143.25|6971.76|4389|4125.66|0|0|1239.01|1132.3|229.54|1212.98|1177.06|1146.08|1103.99|1237.56|1008.75|1212.98|409.6|398.91|409.6|1305.43|1305.43|253|366.86|261.35|1357.65|1237.56|1237.56|255.53|283.36|278.3|303.6|356.17|1193.37|1193.37|373.98|1162.82|641.11|373.98|366.86|0|6971.76
Professional|||36299|VENOUS ACCESS FROM CEPHALIC VEIN TO SUBCLAVIAN VEIN|769|769|0|576.75|653.65|692.1|653.65|0|0|0|0|0|0|0|0|0|0|0|0|0|576.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|769
Professional|||36299|SCLEROTHERAPY INJ LIP|454|454|0|340.5|385.9|408.6|385.9|0|0|0|0|0|0|0|0|0|0|0|0|0|340.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|454
Professional|||36405|VENIPUNC <3 Y/O SCALP|59|59|48.04|44.25|50.15|53.1|50.15|73.5|45.5|42.77|0|0|52.57|48.04|9.92|51.47|49.94|48.63|46.84|52.51|44.25|51.47|17.78|17.32|17.78|56.7|56.7|10.77|15.92|11.13|58.97|52.51|52.51|10.88|12.06|11.85|12.92|15.46|53.17|53.17|16.23|51.81|27.83|16.23|15.92|0|73.5
Professional|||36406|VENIPUNC <3 Y/O OTHER|33|33|27.3|24.75|28.05|29.7|28.05|52.34|32.9|30.93|0|0|29.87|27.3|4.85|29.24|28.38|27.63|26.62|29.84|24.75|29.24|10.14|9.88|10.14|31.65|31.65|6.15|9.08|6.35|32.92|29.84|29.84|6.21|6.89|6.77|7.38|8.82|29.41|29.41|9.26|28.65|15.88|9.26|9.08|0|52.34
Professional|||36410|VENIPUNC NEED PHYS SKILLDX O*|36|36|29.48|27|30.6|32.4|30.6|54.57|33.6|31.58|0|0|32.26|29.48|5.52|31.58|30.65|29.84|28.74|32.22|27|31.58|10.71|10.43|10.71|34.29|34.29|6.41|9.59|6.62|35.66|32.22|32.22|6.47|7.18|7.05|7.69|9.31|30.54|30.54|9.78|29.76|16.76|9.78|9.59|0|54.57
Professional|||36470|PR INJECTION SCLEROSANT SINGLE INCMPTNT VEIN|280|280|121.2|210|238|252|238|336.34|206.5|194.11|0|0|132.62|121.2|50.75|129.84|125.99|122.68|118.17|132.47|210|129.84|42.3|41.19|42.3|134.5|134.5|25.91|37.88|26.77|139.88|132.47|132.47|26.17|29.02|28.5|31.09|36.78|271.46|271.46|38.62|264.52|66.2|38.62|37.88|0|336.34
Professional|||36471|PR INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS|338|338|241.31|253.5|287.3|304.2|287.3|609.19|373.8|351.37|0|0|264.05|241.31|59.81|258.5|250.85|244.25|235.28|263.74|253.5|258.5|84.88|82.67|84.88|269|269|52.34|76.02|54.07|279.76|263.74|263.74|52.86|58.62|57.57|62.81|73.81|328.04|328.04|77.5|319.64|132.86|77.5|76.02|0|609.19
Professional|||36478|ENDOVENOUS LASER 1ST VEIN|1011|1011|880.07|758.25|859.35|909.9|859.35|3574.98|2222.5|2089.15|0|0|963.01|880.07|165.09|942.78|914.86|890.78|858.07|961.88|758.25|942.78|308.43|300.38|308.43|981.05|981.05|190.65|276.25|196.94|1020.29|961.88|961.88|192.56|213.53|209.72|228.78|268.2|917.36|917.36|281.61|893.88|482.76|281.61|276.25|0|3574.98
Professional|||36479|PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS|494|494|431.3|370.5|419.9|444.6|419.9|1005.67|613.9|577.07|0|0|471.95|431.3|80.55|462.03|448.35|436.55|420.52|471.39|370.5|462.03|150.87|146.93|150.87|478.65|478.65|93.14|135.13|96.21|497.8|471.39|471.39|94.07|104.32|102.45|111.77|131.19|451.34|451.34|137.75|439.78|236.14|137.75|135.13|0|1005.67
Professional|||36481|PR PRQ PORTAL VEIN CATHETERIZATION ANY METHOD|1258|1258|1055.87|943.5|1069.3|1132.2|1069.3|6174.35|3887.8|3654.53|0|0|1155.37|1055.87|214.32|1131.1|1097.6|1068.72|1029.47|1154.02|943.5|1131.1|379.96|370.05|379.96|1221.04|1221.04|234.78|340.31|242.53|1269.88|1154.02|1154.02|237.13|262.95|258.26|281.74|330.4|1106.25|1106.25|346.92|1077.93|594.72|346.92|340.31|0|6174.35
Professional|||36482|PR ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN|636|636|559.05|477|540.6|572.4|540.6|6458.35|4069.8|3825.61|0|0|611.74|559.05|0|598.89|581.15|565.86|545.07|611.02|477|598.89|198.44|193.27|198.44|617.11|617.11|0|177.74|0|641.79|611.02|611.02|0|0|0|0|172.56|580.28|580.28|181.19|565.42|310.61|181.19|177.74|0|6458.35
Professional|||36483|PR ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN|321|321|280.62|240.75|272.85|288.9|272.85|474.44|284.2|267.15|0|0|307.06|280.62|0|300.61|291.71|284.03|273.6|306.7|240.75|300.61|98.69|96.12|98.69|311.19|311.19|0|88.39|0|323.64|306.7|306.7|0|0|0|0|85.82|289.59|289.59|90.11|282.17|154.48|90.11|88.39|0|474.44
Professional|||36500|VENOUS SELECT SAMPLING W CATH|670|670|578.71|502.5|569.5|603|569.5|590.26|345.1|324.39|0|0|633.24|578.71|108.81|619.94|601.58|585.75|564.24|632.5|502.5|619.94|204.13|198.8|204.13|650.07|650.07|125.99|182.83|130.15|676.07|632.5|632.5|127.25|141.11|138.59|151.19|177.5|599.5|599.5|186.38|584.16|319.5|186.38|182.83|0|676.07
Professional|||36510|CATH VEIN UMBILICAL NEWBORN|204|204|168.15|153|173.4|183.6|173.4|260.61|161.7|152|0|0|184|168.15|33.99|180.13|174.8|170.2|163.95|183.78|153|180.13|62.39|60.76|62.39|197.8|197.8|38.49|55.88|39.76|205.71|183.78|183.78|38.87|43.11|42.34|46.19|54.25|183.25|183.25|56.96|178.55|97.65|56.96|55.88|0|260.61
Professional|||36511|THER APHERESISWHITE BLOOD CE*|411|411|338.49|308.25|349.35|369.9|349.35|345.25|211.4|198.72|0|0|370.39|338.49|57.82|362.61|351.87|342.61|330.03|369.95|308.25|362.61|127.78|124.44|127.78|398.22|398.22|78.77|114.44|81.37|414.15|369.95|369.95|79.56|88.22|86.65|94.52|111.11|304.27|304.27|116.67|296.49|200|116.67|114.44|0|414.15
Professional|||36514|THER APHERESISPLASMA PHERESIS|362|362|301.36|271.5|307.7|325.8|307.7|2283.09|1442|1355.48|0|0|329.76|301.36|56.5|322.84|313.28|305.03|293.83|329.38|271.5|322.84|110.53|107.64|110.53|350.75|350.75|68.25|98.99|70.5|364.78|329.38|329.38|68.93|76.44|75.08|81.9|96.11|304.27|304.27|100.92|296.49|173|100.92|98.99|0|2283.09
Professional|||36555|PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y|358|358|268.61|268.5|304.3|322.2|304.3|593.6|368.9|346.77|0|0|293.92|268.61|73.51|287.75|279.22|271.88|261.89|293.58|268.5|287.75|97.44|94.9|97.44|311.19|311.19|60.04|87.27|62.02|323.64|293.58|293.58|60.64|67.24|66.04|72.05|84.73|347.27|347.27|88.97|338.38|152.51|88.97|87.27|0|593.6
Professional|||36556|INSERT NON-TUNNEL CV CATH|406|406|267.52|304.5|345.1|365.4|345.1|667.11|413.7|388.88|0|0|292.73|267.52|73.28|286.58|278.09|270.77|260.83|292.38|304.5|286.58|96.47|93.96|96.47|307.23|307.23|59.53|86.41|61.49|319.52|292.38|292.38|60.13|66.67|65.48|71.44|83.89|393.63|393.63|88.08|383.55|151|88.08|86.41|0|667.11
Professional|||36558|PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>|977|977|823.29|732.75|830.45|879.3|830.45|2416.73|1505.7|1415.36|0|0|900.88|823.29|167.96|881.95|855.84|833.31|802.71|899.82|732.75|881.95|298.52|290.73|298.52|948.08|948.08|184.49|267.37|190.58|986|899.82|899.82|186.33|206.63|202.94|221.39|259.58|863.06|863.06|272.56|840.96|467.24|272.56|267.37|0|2416.73
Professional|||36561|PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>|1246|1246|1063.51|934.5|1059.1|1121.4|1059.1|3409.04|2118.9|1991.77|0|0|1163.74|1063.51|212.33|1139.29|1105.55|1076.46|1036.92|1162.37|934.5|1139.29|380.93|370.99|380.93|1209.17|1209.17|235.3|341.18|243.06|1257.54|1162.37|1162.37|237.65|263.54|258.83|282.36|331.24|1114.16|1114.16|347.8|1085.64|596.23|347.8|341.18|0|3409.04
Professional|||36565|PR INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP|1205|1205|1051.5|903.75|1024.25|1084.5|1024.25|2767.54|1697.5|1595.65|0|0|1150.59|1051.5|205.49|1126.42|1093.06|1064.3|1025.21|1149.24|903.75|1126.42|371.24|361.56|371.24|1169.61|1169.61|229.4|332.5|236.97|1216.39|1149.24|1149.24|231.69|256.93|252.34|275.28|322.82|1097.2|1097.2|338.96|1069.12|581.08|338.96|332.5|0|2767.54
Professional|||36568|PR INSERTION PICC W/O IMG GDN < 5 YR|345|345|289.35|258.75|293.25|310.5|293.25|295.13|177.8|167.13|0|0|316.62|289.35|59.58|309.97|300.79|292.88|282.12|316.25|258.75|309.97|105.8|103.04|105.8|334.93|334.93|65.17|94.76|67.32|348.33|316.25|316.25|65.82|72.99|71.69|78.2|92|278.27|278.27|96.6|271.15|165.6|96.6|94.76|0|348.33
Professional|||36569|PR INSERTION PICC W/O IMG GDN 5 YR/>|356|356|297|267|302.6|320.4|302.6|302.93|183.4|172.4|0|0|324.99|297|56.28|318.16|308.74|300.61|289.58|324.6|267|318.16|108.82|105.99|108.82|345.48|345.48|67.22|97.47|69.44|359.3|324.6|324.6|67.89|75.29|73.94|80.66|94.63|299.77|299.77|99.36|292.09|170.33|99.36|97.47|0|359.3
Professional|||36570|PR INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR|1197|1197|1043.86|897.75|1017.45|1077.3|1017.45|4552.81|2832.9|2662.93|0|0|1142.23|1043.86|191.13|1118.23|1085.12|1056.56|1017.76|1140.89|897.75|1118.23|367.1|357.53|367.1|1161.7|1161.7|226.83|328.8|234.32|1208.17|1140.89|1140.89|229.1|254.05|249.51|272.2|319.22|1036.12|1036.12|335.18|1009.6|574.6|335.18|328.8|0|4552.81
Professional|||36571|PR INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>|1144|1144|982.71|858|972.4|1029.6|972.4|3995.96|2492|2342.48|0|0|1075.32|982.71|192.9|1052.73|1021.55|994.67|958.14|1074.06|858|1052.73|350.37|341.23|350.37|1110.27|1110.27|216.57|313.81|223.72|1154.68|1074.06|1074.06|218.74|242.56|238.23|259.88|304.67|1015.76|1015.76|319.9|989.76|548.41|319.9|313.81|0|3995.96
Professional|||36573|PR INSERTION PICC W/RS&I 5 YR/>|320|320|267.52|240|272|288|272|1247.34|783.3|736.3|0|0|292.73|267.52|0|286.58|278.09|270.77|260.83|292.38|240|286.58|96.89|94.36|96.89|309.88|309.88|59.78|86.78|61.75|322.28|292.38|292.38|60.38|66.95|65.76|71.74|84.25|277.14|277.14|88.46|270.04|151.65|88.46|86.78|0|1247.34
Professional|||36575|REPAIR TUNNELED CV CATH|130|130|110.28|97.5|110.5|117|110.5|511.19|319.9|300.71|0|0|120.67|110.28|21.2|118.14|114.64|111.62|107.52|120.53|97.5|118.14|39.64|38.61|39.64|125.26|125.26|24.37|35.5|25.17|130.27|120.53|120.53|24.61|27.29|26.81|29.24|34.47|114.25|114.25|36.19|111.33|62.05|36.19|35.5|0|511.19
Professional|||36576|PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT|680|680|581.98|510|578|612|578|1036.85|631.4|593.52|0|0|636.83|581.98|118.3|623.45|604.99|589.07|567.43|636.08|510|623.45|207.99|202.56|207.99|659.31|659.31|128.55|186.29|132.79|685.68|636.08|636.08|129.84|143.98|141.41|154.26|180.86|604.04|604.04|189.9|588.58|325.55|189.9|186.29|0|1036.85
Professional|||36578|PR RPLCMT CATH CTR VAD SUBQ PORT/PMP|753|753|639.85|564.75|640.05|677.7|640.05|1454.49|897.4|843.56|0|0|700.15|639.85|131.32|685.44|665.15|647.64|623.85|699.33|564.75|685.44|230.53|224.52|230.53|730.52|730.52|142.41|206.47|147.11|759.74|699.33|699.33|143.83|159.5|156.65|170.89|200.46|665.12|665.12|210.48|648.1|360.83|210.48|206.47|0|1454.49
Professional|||36580|REPLACE NON-TUNNELEVE CV CATH|249|249|209.64|186.75|211.65|224.1|211.65|682.7|426.3|400.72|0|0|229.4|209.64|40.61|224.58|217.93|212.2|204.4|229.13|186.75|224.58|75.5|73.53|75.5|241.31|241.31|46.44|67.62|47.97|250.96|229.13|229.13|46.9|52.01|51.08|55.73|65.65|218.33|218.33|68.93|212.74|118.17|68.93|67.62|0|682.7
Professional|||36581|PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP|689|689|579.8|516.75|585.65|620.1|585.65|2392.23|1499.4|1409.44|0|0|634.44|579.8|119.84|621.11|602.72|586.86|565.31|633.7|516.75|621.11|210.39|204.9|210.39|668.54|668.54|129.83|188.44|134.11|695.28|633.7|633.7|131.13|145.41|142.81|155.8|182.95|600.64|600.64|192.1|585.26|329.31|192.1|188.44|0|2392.23
Professional|||36582|PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT|1072|1072|915.01|804|911.2|964.8|911.2|3157.34|1965.6|1847.66|0|0|1001.24|915.01|183.63|980.21|951.18|926.15|892.13|1000.07|804|980.21|328.04|319.48|328.04|1040.39|1040.39|202.71|293.81|209.4|1082.01|1000.07|1000.07|204.74|227.04|222.98|243.25|285.25|955.81|955.81|299.51|931.35|513.45|299.51|293.81|0|3157.34
Professional|||36584|PR COMPLETE REPLACEMENT PICC RS&I|226|226|188.9|169.5|192.1|203.4|192.1|1089.2|686|644.84|0|0|206.7|188.9|40.83|202.36|196.37|191.2|184.18|206.46|169.5|202.36|69.07|67.27|69.07|218.89|218.89|42.59|61.86|44|227.65|206.46|206.46|43.02|47.7|46.85|51.11|60.06|217.19|217.19|63.06|211.63|108.11|63.06|61.86|0|1089.2
Professional|||36589|REMOVAL TUNNELED CV CATH|513|513|432.39|384.75|436.05|461.7|436.05|524.55|317.1|298.07|0|0|473.14|432.39|83.65|463.2|449.48|437.66|421.58|472.59|384.75|463.2|156.91|152.81|156.91|497.12|497.12|96.99|140.53|100.19|517|472.59|472.59|97.96|108.63|106.69|116.39|136.44|449.07|449.07|143.26|437.57|245.59|143.26|140.53|0|524.55
Professional|||36590|PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ|703|703|599.45|527.25|597.55|632.7|597.55|706.09|422.1|396.77|0|0|655.95|599.45|122.72|642.17|623.15|606.75|584.46|655.18|527.25|642.17|215.2|209.59|215.2|681.72|681.72|132.91|192.74|137.3|708.99|655.18|655.18|134.24|148.86|146.2|159.49|187.13|625.51|625.51|196.49|609.49|336.83|196.49|192.74|0|708.99
Professional|||36591|COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE|85|85|75.34|63.75|72.25|76.5|72.25|76.85|48.3|45.4|0|0|82.44|75.34|14.56|80.71|78.32|76.26|73.46|82.34|63.75|80.71|29.13|28.37|29.13|26.35|26.35|17.96|26.09|18.55|27.4|82.34|82.34|18.14|20.12|19.76|21.55|25.33|75.8|75.8|26.6|73.86|45.59|26.6|26.09|0|85
Professional|||36593|DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH|121|121|97.18|90.75|102.85|108.9|102.85|99.12|62.3|58.56|0|0|106.34|97.18|19.43|104.1|101.02|98.36|94.75|106.21|90.75|104.1|36.83|35.87|36.83|117.36|117.36|22.58|32.99|23.33|122.05|106.21|106.21|22.81|25.29|24.84|27.1|32.03|100.67|100.67|33.63|98.09|57.65|33.63|32.99|0|122.05
Professional|||36595|MECH REMOV TUNNELED CV CATH|688|688|578.71|516|584.8|619.2|584.8|1926.7|1204|1131.76|0|0|633.24|578.71|112.57|619.94|601.58|585.75|564.24|632.5|516|619.94|209.5|204.03|209.5|667.22|667.22|129.32|187.64|133.59|693.91|632.5|632.5|130.61|144.84|142.25|155.18|182.17|601.77|601.77|191.28|586.37|327.91|191.28|187.64|0|1926.7
Professional|||36596|MECH REMOV TUNNELED CV CATH|166|166|139.76|124.5|141.1|149.4|141.1|397.59|247.8|232.93|0|0|152.93|139.76|27.38|149.72|145.29|141.46|136.27|152.76|124.5|149.72|50.11|48.8|50.11|160.87|160.87|30.79|44.88|31.81|167.3|152.76|152.76|31.1|34.48|33.87|36.95|43.57|145.93|145.93|45.75|142.19|78.43|45.75|44.88|0|397.59
Professional|||36597|REPOSITION VENOUS CATHETER|230|230|193.27|172.5|195.5|207|195.5|410.96|254.1|238.85|0|0|211.48|193.27|37.52|207.04|200.91|195.62|188.44|211.23|172.5|207.04|69.63|67.82|69.63|222.85|222.85|42.85|62.37|44.26|231.76|211.23|211.23|43.28|47.99|47.14|51.42|60.55|200.2|200.2|63.58|195.08|108.99|63.58|62.37|0|410.96
Professional|||36598|CONTRAST INJ CENT VEN CATH I*|139|139|115.74|104.25|118.15|125.1|118.15|367.52|229.6|215.82|0|0|126.65|115.74|22.51|123.99|120.32|117.15|112.85|126.5|104.25|123.99|42.4|41.29|42.4|134.5|134.5|26.17|37.98|27.03|139.88|126.5|126.5|26.43|29.31|28.79|31.4|36.87|121.03|121.03|38.71|117.93|66.37|38.71|37.98|0|367.52
Professional|||36600|WITHDRAWAL OF ARTERIAL BLOOD|59|59|49.14|44.25|50.15|53.1|50.15|96.89|60.2|56.59|0|0|53.77|49.14|9.49|52.64|51.08|49.73|47.91|53.7|44.25|52.64|17.93|17.46|17.93|56.7|56.7|11.03|16.06|11.39|58.97|53.7|53.7|11.14|12.35|12.13|13.24|15.59|49.77|49.77|16.37|48.49|28.06|16.37|16.06|0|96.89
Professional|||36620|INSERT CATHARTPERCUTSHORTT*|172|172|139.76|129|146.2|154.8|146.2|142.55|86.1|80.93|0|0|152.93|139.76|31.34|149.72|145.29|141.46|136.27|152.76|129|149.72|50.82|49.49|50.82|162.19|162.19|31.3|45.52|32.33|168.68|152.76|152.76|31.61|35.06|34.43|37.56|44.19|166.29|166.29|46.4|162.03|79.54|46.4|45.52|0|172
Professional|||36625|INSERT CATH ART CUTDOWNSHORT|388|388|333.03|291|329.8|349.2|329.8|339.68|199.5|187.53|0|0|364.41|333.03|61.8|356.76|346.19|337.08|324.7|363.99|291|356.76|118.77|115.67|118.77|375.8|375.8|73.38|106.38|75.8|390.83|363.99|363.99|74.11|82.19|80.72|88.06|103.28|341.59|341.59|108.44|332.85|185.9|108.44|106.38|0|390.83
Professional|||36660|CATH UMBILICAL ARTERY|263|263|216.2|197.25|223.55|236.7|223.55|220.51|135.1|126.99|0|0|236.57|216.2|39.5|231.6|224.74|218.83|210.8|236.29|197.25|231.6|79.6|77.53|79.6|254.49|254.49|49.01|71.3|50.63|264.67|236.29|236.29|49.5|54.89|53.91|58.81|69.22|240.92|240.92|72.68|234.76|124.6|72.68|71.3|0|264.67
Professional|||36680|INSERT NEEDLEINTRAOSSEOUS IN*|215|215|184.53|161.25|182.75|193.5|182.75|188.22|110.6|103.96|0|0|201.92|184.53|34.65|197.68|191.83|186.78|179.92|201.68|161.25|197.68|66.23|64.5|66.23|208.34|208.34|40.79|59.32|42.14|216.67|201.68|201.68|41.2|45.68|44.87|48.95|57.59|191.16|191.16|60.47|186.26|103.66|60.47|59.32|0|216.67
Professional|||36818|AV ANASTUP ARM CEPHALIC VEIN*|2489|2489|2195.81|1866.75|2115.65|2240.1|2115.65|2239.65|1283.1|1206.11|0|0|2402.74|2195.81|410.75|2352.27|2282.61|2222.54|2140.91|2399.93|1866.75|2352.27|758.55|738.76|758.55|2415.7|2415.7|468.8|679.4|484.27|2512.33|2399.93|2399.93|473.49|525.06|515.68|562.56|659.61|2298.48|2298.48|692.59|2239.64|1187.3|692.59|679.4|0|2512.33
Professional|||36819|AV ANASTUP ARM BASILIC VEIN *|2619|2619|2313.74|1964.25|2226.15|2357.1|2226.15|2359.93|1349.6|1268.62|0|0|2531.78|2313.74|433.49|2478.59|2405.19|2341.9|2255.9|2528.81|1964.25|2478.59|801.11|780.21|801.11|2542.29|2542.29|495.23|717.52|511.57|2643.98|2528.81|2528.81|500.18|554.66|544.75|594.28|696.62|2427.42|2427.42|731.45|2365.28|1253.92|731.45|717.52|0|2643.98
Professional|||36821|ANASTOMOSISAVANY SITE|2383|2383|2101.91|1787.25|2025.55|2144.7|2025.55|2143.87|1227.8|1154.13|0|0|2299.99|2101.91|393.54|2251.67|2184.99|2127.49|2049.36|2297.3|1787.25|2251.67|728.18|709.18|728.18|2312.86|2312.86|450.07|652.2|464.92|2405.37|2297.3|2297.3|454.57|504.08|495.08|540.08|633.2|2200.08|2200.08|664.86|2143.76|1139.76|664.86|652.2|0|2405.37
Professional|||36825|CREAT AV FISTULAAUTOGENOUS G*|2853|2853|2516.83|2139.75|2425.05|2567.7|2425.05|2567.08|1470.7|1382.46|0|0|2754.01|2516.83|475.65|2696.16|2616.31|2547.46|2453.91|2750.79|2139.75|2696.16|871.98|849.23|871.98|2769.09|2769.09|538.86|780.99|556.64|2879.85|2750.79|2750.79|544.25|603.52|592.75|646.63|758.24|2646.88|2646.88|796.15|2579.13|1364.83|796.15|780.99|0|2879.85
Professional|||36830|CREAT AV FISTULANON-AUTOGENO*|2392|2392|2111.73|1794|2033.2|2152.8|2033.2|2153.9|1232.7|1158.74|0|0|2310.74|2111.73|395.3|2262.2|2195.21|2137.44|2058.94|2308.04|1794|2262.2|731.23|712.15|731.23|2322.08|2322.08|451.87|654.93|466.78|2414.96|2308.04|2308.04|456.39|506.09|497.06|542.24|635.85|2212.5|2212.5|667.64|2155.86|1144.53|667.64|654.93|0|2414.96
Professional|||36831|THROMBECTOMYAV FISTULA DIALY*|2210|2210|1949.04|1657.5|1878.5|1989|1878.5|1987.95|1138.9|1070.57|0|0|2132.72|1949.04|365.95|2087.91|2026.08|1972.76|1900.31|2130.22|1657.5|2087.91|675.12|657.51|675.12|2145.38|2145.38|417.23|604.67|431|2231.2|2130.22|2130.22|421.4|467.3|458.95|500.68|587.06|2043.97|2043.97|616.41|1991.65|1056.71|616.41|604.67|0|2231.2
Professional|||36832|REVISE AV FISTULAW/O THROMBE*|2714|2714|2391.26|2035.5|2306.9|2442.6|2306.9|2439|1398.6|1314.68|0|0|2616.61|2391.26|449.16|2561.64|2485.78|2420.37|2331.48|2613.55|2035.5|2561.64|829.32|807.69|829.32|2634.59|2634.59|512.68|742.78|529.6|2739.97|2613.55|2613.55|517.81|574.2|563.95|615.22|721.15|2507.73|2507.73|757.21|2443.54|1298.07|757.21|742.78|0|2739.97
Professional|||36833|AV FIST REVISE GRFTW THROMBE*|2914|2914|2570.33|2185.5|2476.9|2622.6|2476.9|2621.65|1501.5|1411.41|0|0|2812.56|2570.33|481.17|2753.47|2671.93|2601.62|2506.07|2809.26|2185.5|2753.47|888.54|865.36|888.54|2828.43|2828.43|549.12|795.82|567.24|2941.57|2809.26|2809.26|554.61|615.01|604.03|658.94|772.64|2690.98|2690.98|811.27|2622.09|1390.75|811.27|795.82|0|2941.57
Professional|||36838|DIST REVAS LIGATION HEMO|4080|4080|3619.65|3060|3468|3672|3468|3691.92|2102.8|1976.63|0|0|3960.76|3619.65|673.19|3877.56|3762.72|3663.7|3529.16|3956.12|3060|3877.56|1247.57|1215.02|1247.57|3961.12|3961.12|771.08|1117.39|796.53|4119.56|3956.12|3956.12|778.79|863.61|848.19|925.3|1084.84|3796.09|3796.09|1139.08|3698.92|1952.71|1139.08|1117.39|0|4119.56
Professional|||36901|PR INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I|624|624|532.85|468|530.4|561.6|530.4|2041.41|1273.3|1196.9|0|0|583.06|532.85|87.32|570.81|553.91|539.33|519.53|582.38|468|570.81|191.08|186.1|191.08|605.24|605.24|118.03|171.14|121.92|629.45|582.38|582.38|119.21|132.19|129.83|141.64|166.16|476.21|476.21|174.47|464.02|299.09|174.47|171.14|0|2041.41
Professional|||36902|PR INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP|893|893|762.15|669.75|759.05|803.7|759.05|4019.34|2520|2368.8|0|0|833.97|762.15|129.99|816.45|792.27|771.42|743.1|832.99|669.75|816.45|271.69|264.6|271.69|866.33|866.33|167.81|243.34|173.35|900.98|832.99|832.99|169.49|187.95|184.59|201.37|236.25|709.22|709.22|248.06|691.06|425.25|248.06|243.34|0|4019.34
Professional|||36903|PR INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT|1174|1174|1007.82|880.5|997.9|1056.6|997.9|16950.51|10724|10080.56|0|0|1102.8|1007.82|178|1079.63|1047.66|1020.09|982.62|1101.51|880.5|1079.63|357.95|348.61|357.95|1139.28|1139.28|221.18|320.6|228.48|1184.85|1101.51|1101.51|223.39|247.72|243.3|265.42|311.26|970.53|970.53|326.82|945.69|560.27|326.82|320.6|0|16950.51
Professional|||36904|PR PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH|1376|1376|1175.98|1032|1169.6|1238.4|1169.6|5914.86|3705.8|3483.45|0|0|1286.8|1175.98|205.02|1259.77|1222.46|1190.29|1146.58|1285.29|1032|1259.77|419.9|408.95|419.9|1335.76|1335.76|259.42|376.08|267.98|1389.19|1285.29|1285.29|262.01|290.55|285.36|311.3|365.13|1117.57|1117.57|383.39|1088.96|657.23|383.39|376.08|0|5914.86
Professional|||36905|PR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP|1652|1652|1409.64|1239|1404.2|1486.8|1404.2|7439.52|4664.8|4384.91|0|0|1542.49|1409.64|257.07|1510.08|1465.36|1426.8|1374.4|1540.68|1239|1510.08|505.23|492.05|505.23|1603.43|1603.43|312.28|452.51|322.59|1667.57|1540.68|1540.68|315.4|349.75|343.51|374.74|439.33|1402.61|1402.61|461.3|1366.71|790.79|461.3|452.51|0|7439.52
Professional|||36906|PR PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT|1905|1905|1626.93|1428.75|1619.25|1714.5|1619.25|20777.19|13130.6|12342.76|0|0|1780.25|1626.93|299.94|1742.85|1691.24|1646.73|1586.26|1778.17|1428.75|1742.85|581.85|566.68|581.85|1848.7|1848.7|359.49|521.14|371.35|1922.65|1778.17|1778.17|363.08|402.63|395.44|431.39|505.96|1636.76|1636.76|531.26|1594.86|910.73|531.26|521.14|0|20777.19
Professional|||36907|PR TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I|544|544|465.15|408|462.4|489.6|462.4|2275.29|1424.5|1339.03|0|0|508.98|465.15|74.82|498.29|483.54|470.81|453.52|508.39|408|498.29|165.86|161.54|165.86|527.45|527.45|102.38|148.56|105.76|548.55|508.39|508.39|103.4|114.67|112.62|122.86|144.23|408.35|408.35|151.44|397.89|259.61|151.44|148.56|0|2275.29
Professional|||36908|PR STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR|767|767|658.42|575.25|651.95|690.3|651.95|7575.39|4781.7|4494.8|0|0|720.46|658.42|111.89|705.33|684.44|666.43|641.96|719.62|575.25|705.33|233.6|227.51|233.6|743.7|743.7|144.2|209.22|148.96|773.45|719.62|719.62|145.64|161.5|158.62|173.04|203.13|611.95|611.95|213.29|596.29|365.63|213.29|209.22|0|7575.39
Professional|||37182|INSERT TRANSVEN INTRAHEP PORT*|3113|3113|2597.63|2334.75|2646.05|2801.7|2646.05|2649.49|1604.4|1508.14|0|0|2842.43|2597.63|514.49|2782.72|2700.31|2629.25|2532.69|2839.1|2334.75|2782.72|948.97|924.21|948.97|3022.27|3022.27|586.58|849.95|605.94|3143.16|2839.1|2839.1|592.45|656.97|645.24|703.9|825.19|2724.92|2724.92|866.45|2655.17|1485.34|866.45|849.95|0|3143.16
Professional|||37183|PR REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT|1424|1424|1187.99|1068|1210.4|1281.6|1210.4|18972.99|12019.7|11298.52|0|0|1299.94|1187.99|242.79|1272.63|1234.95|1202.45|1158.29|1298.42|1068|1272.63|432.5|421.22|432.5|1381.9|1381.9|267.37|387.37|276.19|1437.18|1298.42|1298.42|270.04|299.45|294.11|320.84|376.09|1245.37|1245.37|394.89|1213.49|676.96|394.89|387.37|0|18972.99
Professional|||37184|PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST|1617|1617|1416.19|1212.75|1374.45|1455.3|1374.45|6708.93|4178.3|3927.6|0|0|1549.66|1416.19|271.48|1517.1|1472.17|1433.43|1380.79|1547.84|1212.75|1517.1|482.13|469.55|482.13|1569.16|1569.16|297.91|431.82|307.74|1631.93|1547.84|1547.84|300.89|333.66|327.7|357.49|419.24|1487.46|1487.46|440.2|1449.38|754.63|440.2|431.82|0|6708.93
Professional|||37185|PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ|604|604|529.57|453|513.4|543.6|513.4|2067.03|1281|1204.14|0|0|579.48|529.57|98.22|567.3|550.5|536.02|516.33|578.8|453|567.3|181.31|176.58|181.31|585.46|585.46|111.87|162.39|115.56|608.88|578.8|578.8|112.99|125.29|123.06|134.24|157.66|556.51|556.51|165.54|542.27|283.79|165.54|162.39|0|2067.03
Professional|||37186|PR SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL|883|883|775.25|662.25|750.55|794.7|750.55|4171.92|2604|2447.76|0|0|848.31|775.25|146.77|830.49|805.89|784.68|755.87|847.31|662.25|830.49|270.05|263.01|270.05|857.11|857.11|166.79|241.87|172.29|891.39|847.31|847.31|168.46|186.8|183.47|200.15|234.83|816.69|816.69|246.57|795.79|422.69|246.57|241.87|0|4171.92
Professional|||37187|PR PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN|1454|1454|1244.77|1090.5|1235.9|1308.6|1235.9|6187.72|3873.8|3641.37|0|0|1362.07|1244.77|243.67|1333.46|1293.97|1259.92|1213.65|1360.48|1090.5|1333.46|444.37|432.78|444.37|1410.92|1410.92|274.56|398|283.62|1467.36|1360.48|1360.48|277.31|307.51|302.02|329.47|386.41|1297.41|1297.41|405.73|1264.2|695.54|405.73|398|0|6187.72
Professional|||37188|PR PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX|1025|1025|876.8|768.75|871.25|922.5|871.25|5204.32|3266.2|3070.23|0|0|959.42|876.8|177.23|939.27|911.45|887.47|854.88|958.3|768.75|939.27|314.11|305.92|314.11|994.24|994.24|193.98|281.33|200.38|1034.01|958.3|958.3|195.92|217.26|213.38|232.78|273.14|920.74|920.74|286.8|897.17|491.65|286.8|281.33|0|5204.32
Professional|||37191|PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I|833|833|708.64|624.75|708.05|749.7|708.05|7790.33|4919.6|4624.42|0|0|775.43|708.64|144.12|759.14|736.65|717.27|690.92|774.52|624.75|759.14|253.63|247.02|253.63|808.31|808.31|156.78|227.17|161.95|840.64|774.52|774.52|158.35|175.59|172.46|188.14|220.55|744.3|744.3|231.58|725.24|396.99|231.58|227.17|0|7790.33
Professional|||37192|PR REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I|1232|1232|1089.72|924|1047.2|1108.8|1047.2|4175.26|2573.2|2418.81|0|0|1192.41|1089.72|218.51|1167.36|1132.79|1102.98|1062.48|1191.01|924|1167.36|371.37|361.68|371.37|1178.84|1178.84|229.4|332.62|236.97|1225.99|1191.01|1191.01|231.69|256.93|252.34|275.28|322.93|1195.6|1195.6|339.08|1165|581.27|339.08|332.62|0|4175.26
Professional|||37193|PR RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I|1299|1299|1108.28|974.25|1104.15|1169.1|1104.15|4906.96|3068.8|2884.67|0|0|1212.72|1108.28|220.93|1187.25|1152.09|1121.77|1080.57|1211.3|974.25|1187.25|396.11|385.77|396.11|1260.6|1260.6|244.79|354.77|252.87|1311.02|1211.3|1211.3|247.24|274.16|269.27|293.75|344.44|1160.56|1160.56|361.66|1130.85|619.99|361.66|354.77|0|4906.96
Professional|||37197|PR PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING|1116|1116|958.69|837|948.6|1004.4|948.6|4833.46|3024.7|2843.22|0|0|1049.03|958.69|189.37|1027|996.58|970.36|934.72|1047.81|837|1027|339.62|330.76|339.62|1082.58|1082.58|209.89|304.18|216.82|1125.88|1047.81|1047.81|211.99|235.08|230.88|251.87|295.32|997.67|997.67|310.09|972.13|531.58|310.09|304.18|0|4833.46
Professional|||37200|TRANSCATHETER BIOPSY|822|822|687.9|616.5|698.7|739.8|698.7|701.63|424.2|398.75|0|0|752.72|687.9|135.51|736.91|715.09|696.27|670.7|751.84|616.5|736.91|251.19|244.64|251.19|797.77|797.77|155.24|224.98|160.36|829.68|751.84|751.84|156.79|173.87|170.76|186.29|218.43|720.53|720.53|229.35|702.09|393.17|229.35|224.98|0|829.68
Professional|||37211|PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX|1410|1410|1224.02|1057.5|1198.5|1269|1198.5|1248.46|726.6|683|0|0|1339.37|1224.02|237.94|1311.23|1272.4|1238.92|1193.42|1337.8|1057.5|1311.23|431.24|419.99|431.24|1368.72|1368.72|266.6|386.24|275.4|1423.47|1337.8|1337.8|269.27|298.59|293.26|319.92|374.99|1273.67|1273.67|393.74|1241.07|674.98|393.74|386.24|0|1423.47
Professional|||37212|PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX|1243|1243|1071.15|932.25|1056.55|1118.7|1056.55|1092.54|640.5|602.07|0|0|1172.1|1071.15|209.9|1147.48|1113.49|1084.19|1044.37|1170.73|932.25|1147.48|379.55|369.64|379.55|1206.53|1206.53|234.53|339.94|242.27|1254.79|1170.73|1170.73|236.88|262.67|257.98|281.44|330.04|1110.79|1110.79|346.54|1082.35|594.07|346.54|339.94|0|1254.79
Professional|||37213|PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX|860|860|738.12|645|731|774|731|752.86|443.1|416.51|0|0|807.68|738.12|148.99|790.72|767.3|747.11|719.67|806.74|645|790.72|261.99|255.16|261.99|834.68|834.68|161.91|234.65|167.25|868.07|806.74|806.74|163.53|181.34|178.1|194.29|227.82|772.57|772.57|239.21|752.79|410.08|239.21|234.65|0|868.07
Professional|||37214|PR CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL|453|453|389.81|339.75|385.05|407.7|385.05|397.59|233.1|219.11|0|0|426.54|389.81|81.44|417.58|405.22|394.55|380.06|426.04|339.75|417.58|137.83|134.23|137.83|439.09|439.09|85.19|123.45|88|456.65|426.04|426.04|86.04|95.41|93.71|102.23|119.85|406.08|406.08|125.84|395.68|215.73|125.84|123.45|0|456.65
Professional|||37215|PR TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ|3609|3609|3189.44|2706.75|3067.65|3248.1|3067.65|3253.12|1859.9|1748.31|0|0|3490.01|3189.44|589.1|3416.69|3315.51|3228.26|3109.7|3485.92|2706.75|3416.69|1097.78|1069.14|1097.78|3503.56|3503.56|678.7|983.23|701.1|3643.7|3485.92|3485.92|685.49|760.14|746.57|814.44|954.59|3290.48|3290.48|1002.32|3206.25|1718.26|1002.32|983.23|0|3643.7
Professional|||37216|PR TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ|13821|13821|3198.18|10365.75|11747.85|12438.9|11747.85|3262.03|1948.1|1831.21|0|0|3499.57|3198.18|2504.5|3426.05|3324.59|3237.1|3118.23|3495.47|10365.75|3426.05|0|0|0|3669.71|3669.71|704.62|0|727.87|3816.5|3495.47|3495.47|711.67|789.17|775.08|845.54|0|13417.59|13417.59|0|13074.13|0|0|0|0|13821
Professional|||37217|PR TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE|3875|3875|3427.47|2906.25|3293.75|3487.5|3293.75|3495.9|1997.1|1877.27|0|0|3750.48|3427.47|642.51|3671.69|3562.95|3469.19|3341.78|3746.08|2906.25|3671.69|1179.92|1149.14|1179.92|3762.01|3762.01|729.25|1056.8|753.32|3912.49|3746.08|3746.08|736.54|816.76|802.18|875.1|1026.02|3633.24|3633.24|1077.32|3540.23|1846.84|1077.32|1056.8|0|3912.49
Professional|||37218|PR TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE|2952|2952|2592.17|2214|2509.2|2656.8|2509.2|2643.92|1521.8|1430.49|0|0|2836.46|2592.17|487.56|2776.87|2694.63|2623.72|2527.37|2833.13|2214|2776.87|903.06|879.5|903.06|2865.35|2865.35|558.1|808.83|576.52|2979.96|2833.13|2833.13|563.68|625.07|613.91|669.72|785.27|2692.11|2692.11|824.53|2623.2|1413.49|824.53|808.83|0|2979.96
Professional|||37220|PR REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL|1443|1443|1275.34|1082.25|1226.55|1298.7|1226.55|9328.35|5844.3|5493.64|0|0|1395.53|1275.34|244.12|1366.21|1325.75|1290.86|1243.46|1393.89|1082.25|1366.21|439.59|428.12|439.59|1400.37|1400.37|271.73|393.72|280.7|1456.38|1393.89|1393.89|274.45|304.34|298.9|326.08|382.25|1332.49|1332.49|401.36|1298.38|688.05|401.36|393.72|0|9328.35
Professional|||37221|PR REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY|1784|1784|1575.61|1338|1516.4|1605.6|1516.4|13238.55|8309.7|7811.12|0|0|1724.1|1575.61|300.4|1687.88|1637.89|1594.79|1536.22|1722.08|1338|1687.88|543|528.83|543|1731.34|1731.34|335.63|486.34|346.71|1800.59|1722.08|1722.08|338.99|375.91|369.19|402.76|472.17|1646.94|1646.94|495.78|1604.78|849.91|495.78|486.34|0|13238.55
Professional|||37222|PR REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL|669|669|591.81|501.75|568.65|602.1|568.65|2521.42|1563.1|1469.31|0|0|647.58|591.81|109.7|633.98|615.2|599.01|577.01|646.82|501.75|633.98|203.77|198.45|203.77|648.76|648.76|125.73|182.51|129.88|674.71|646.82|646.82|126.99|140.82|138.3|150.88|177.19|619.86|619.86|186.05|604|318.94|186.05|182.51|0|2521.42
Professional|||37223|PR REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL|765|765|676.98|573.75|650.25|688.5|650.25|6972.88|4386.2|4123.03|0|0|740.78|676.98|126.02|725.21|703.74|685.22|660.06|739.91|573.75|725.21|233.13|227.05|233.13|742.38|742.38|143.95|208.8|148.7|772.08|739.91|739.91|145.39|161.22|158.35|172.74|202.72|710.35|710.35|212.86|692.17|364.9|212.86|208.8|0|6972.88
Professional|||37224|PR REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI|1603|1603|1412.92|1202.25|1362.55|1442.7|1362.55|11212.73|7035|6612.9|0|0|1546.07|1412.92|269.71|1513.59|1468.77|1430.12|1377.6|1544.26|1202.25|1513.59|488.99|476.24|488.99|1555.96|1555.96|302.27|437.97|312.24|1618.2|1544.26|1544.26|305.29|338.54|332.5|362.72|425.21|1472.74|1472.74|446.47|1435.04|765.38|446.47|437.97|0|11212.73
Professional|||37225|PR REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL|2179|2179|1922.84|1634.25|1852.15|1961.1|1852.15|38453.83|24312.4|22853.66|0|0|2104.04|1922.84|363.96|2059.84|1998.84|1946.24|1874.77|2101.58|1634.25|2059.84|662.88|645.59|662.88|2115.06|2115.06|409.79|593.71|423.31|2199.66|2101.58|2101.58|413.89|458.96|450.77|491.75|576.42|2011.16|2011.16|605.24|1959.68|1037.56|605.24|593.71|0|38453.83
Professional|||37226|PR REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL|1876|1876|1657.5|1407|1594.6|1688.4|1594.6|33353.09|21086.8|19821.59|0|0|1813.71|1657.5|315.62|1775.6|1723.02|1677.68|1616.06|1811.58|1407|1775.6|570.99|556.09|570.99|1821.01|1821.01|352.82|511.41|364.46|1893.85|1811.58|1811.58|356.35|395.16|388.1|423.38|496.51|1736.3|1736.3|521.34|1691.85|893.72|521.34|511.41|0|33353.09
Professional|||37227|PR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL|2618|2618|2311.55|1963.5|2225.3|2356.2|2225.3|49547.4|31336.2|29456.03|0|0|2529.39|2311.55|437.68|2476.25|2402.92|2339.69|2253.76|2526.43|1963.5|2476.25|796.49|775.71|796.49|2540.97|2540.97|492.41|713.38|508.66|2642.61|2526.43|2526.43|497.33|551.5|541.65|590.89|692.6|2424.02|2424.02|727.23|2361.97|1246.68|727.23|713.38|0|49547.4
Professional|||37228|PR REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI|1956|1956|1726.29|1467|1662.6|1760.4|1662.6|16253.34|10217.2|9604.17|0|0|1888.98|1726.29|328.66|1849.3|1794.53|1747.31|1683.13|1886.77|1467|1849.3|596.14|580.59|596.14|1898.8|1898.8|368.47|533.93|380.63|1974.75|1886.77|1886.77|372.15|412.69|405.32|442.16|518.38|1805.29|1805.29|544.3|1759.08|933.08|544.3|533.93|0|16253.34
Professional|||37229|PR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL|2547|2547|2244.95|1910.25|2164.95|2292.3|2164.95|38476.11|24307.5|22849.05|0|0|2456.51|2244.95|424.67|2404.9|2333.68|2272.27|2188.83|2453.63|1910.25|2404.9|774.85|754.63|774.85|2472.41|2472.41|478.81|693.99|494.61|2571.31|2453.63|2453.63|483.6|536.27|526.69|574.57|673.78|2351.65|2351.65|707.47|2291.45|1212.8|707.47|693.99|0|38476.11
Professional|||37230|PR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL|2521|2521|2226.38|1890.75|2142.85|2268.9|2142.85|32757.26|20671.7|19431.4|0|0|2436.2|2226.38|418.49|2385.02|2314.39|2253.48|2170.72|2433.34|1890.75|2385.02|768.57|748.52|768.57|2447.35|2447.35|474.96|688.37|490.63|2545.24|2433.34|2433.34|479.71|531.96|522.46|569.95|668.32|2322.25|2322.25|701.74|2262.8|1202.98|701.74|688.37|0|32757.26
Professional|||37231|PR REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL|2748|2748|2419.65|2061|2335.8|2473.2|2335.8|47064.96|29754.9|27969.61|0|0|2647.68|2419.65|455.11|2592.06|2515.29|2449.1|2359.16|2644.57|2061|2592.06|835.72|813.92|835.72|2667.56|2667.56|516.53|748.51|533.58|2774.26|2644.57|2644.57|521.7|578.51|568.18|619.84|726.71|2520.18|2520.18|763.05|2455.67|1308.08|763.05|748.51|0|47064.96
Professional|||37232|PR REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL|727|727|638.76|545.25|617.95|654.3|617.95|3466.95|2163.7|2033.88|0|0|698.96|638.76|119.41|684.27|664.01|646.54|622.79|698.14|545.25|684.27|221.4|215.62|221.4|705.46|705.46|136.76|198.3|141.27|733.68|698.14|698.14|138.13|153.17|150.44|164.11|192.52|671.9|671.9|202.15|654.7|346.54|202.15|198.3|0|3466.95
Professional|||37233|PR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL|1182|1182|1040.58|886.5|1004.7|1063.8|1004.7|4224.26|2618.7|2461.58|0|0|1138.64|1040.58|194.01|1114.72|1081.71|1053.25|1014.57|1137.31|886.5|1114.72|359.32|349.94|359.32|1147.19|1147.19|221.95|321.82|229.27|1193.08|1137.31|1137.31|224.17|248.58|244.15|266.34|312.45|1091.56|1091.56|328.07|1063.62|562.41|328.07|321.82|0|4224.26
Professional|||37234|PR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL|1030|1030|908.46|772.5|875.5|927|875.5|12222.86|7708.4|7245.9|0|0|994.07|908.46|167.08|973.19|944.37|919.52|885.75|992.91|772.5|973.19|313.79|305.6|313.79|999.51|999.51|193.98|281.05|200.38|1039.49|992.91|992.91|195.92|217.26|213.38|232.78|272.86|945.63|945.63|286.5|921.43|491.15|286.5|281.05|0|12222.86
Professional|||37236|PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL|1609|1609|1412.92|1206.75|1367.65|1448.1|1367.65|11317.42|7104.3|6678.04|0|0|1546.07|1412.92|270.82|1513.59|1468.77|1430.12|1377.6|1544.26|1206.75|1513.59|489.79|477.01|489.79|1561.25|1561.25|302.78|438.68|312.77|1623.7|1544.26|1544.26|305.81|339.11|333.06|363.34|425.9|1461.43|1461.43|447.2|1424.02|766.62|447.2|438.68|0|11317.42
Professional|||37237|PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL|765|765|675.89|573.75|650.25|688.5|650.25|6720.07|4226.6|3973|0|0|739.58|675.89|125.8|724.04|702.6|684.11|658.99|738.71|573.75|724.04|232.98|226.9|232.98|742.38|742.38|143.95|208.67|148.7|772.08|738.71|738.71|145.39|161.22|158.35|172.74|202.59|706.95|706.95|212.72|688.85|364.66|212.72|208.67|0|6720.07
Professional|||37238|PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST|1114|1114|963.06|835.5|946.9|1002.6|946.9|11431.02|7213.5|6780.69|0|0|1053.81|963.06|188.93|1031.68|1001.12|974.78|938.98|1052.58|835.5|1031.68|340.61|331.72|340.61|1081.27|1081.27|210.41|305.07|217.35|1124.52|1052.58|1052.58|212.51|235.66|231.45|252.49|296.18|990.89|990.89|310.99|965.53|533.12|310.99|305.07|0|11431.02
Professional|||37239|PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL|551|551|482.62|413.25|468.35|495.9|468.35|5453.79|3436.3|3230.12|0|0|528.1|482.62|88.5|517.01|501.7|488.49|470.55|527.48|413.25|517.01|168.28|163.89|168.28|534.04|534.04|103.92|150.72|107.35|555.4|527.48|527.48|104.96|116.39|114.31|124.7|146.33|499.97|499.97|153.65|487.17|263.39|153.65|150.72|0|5453.79
Professional|||37241|PR VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I|1624|1624|1404.18|1218|1380.4|1461.6|1380.4|15295.56|9646|9067.24|0|0|1536.51|1404.18|271.05|1504.23|1459.69|1421.27|1369.08|1534.71|1218|1504.23|492.63|479.77|492.63|1575.74|1575.74|304.32|441.22|314.36|1638.77|1534.71|1534.71|307.36|340.84|334.75|365.18|428.37|1462.56|1462.56|449.79|1425.12|771.07|449.79|441.22|0|15295.56
Professional|||37242|PR VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I|1772|1772|1513.37|1329|1506.2|1594.8|1506.2|23554.76|14899.5|14005.53|0|0|1655.99|1513.37|300.62|1621.2|1573.19|1531.79|1475.54|1654.05|1329|1621.2|539.87|525.78|539.87|1719.47|1719.47|333.58|483.53|344.59|1788.25|1654.05|1654.05|336.92|373.61|366.94|400.3|469.45|1589.26|1589.26|492.92|1548.58|845.01|492.92|483.53|0|23554.76
Professional|||37243|PR VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT|2136|2136|1783.07|1602|1815.6|1922.4|1815.6|30471.95|19308.8|18150.27|0|0|1951.11|1783.07|358.66|1910.12|1853.55|1804.78|1738.49|1948.82|1602|1910.12|650.5|633.53|650.5|2072.86|2072.86|402.09|582.62|415.36|2155.77|1948.82|1948.82|406.11|450.34|442.3|482.51|565.65|1875.42|1875.42|593.93|1827.41|1018.17|593.93|582.62|0|30471.95
Professional|||37244|PR VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE|2521|2521|2108.46|1890.75|2142.85|2268.9|2142.85|21791.77|13779.5|12952.73|0|0|2307.16|2108.46|419.58|2258.69|2191.8|2134.12|2055.75|2304.46|1890.75|2258.69|769.79|749.71|769.79|2447.35|2447.35|475.73|689.46|491.43|2545.24|2304.46|2304.46|480.49|532.82|523.3|570.88|669.38|2207.99|2207.99|702.85|2151.47|1204.88|702.85|689.46|0|21791.77
Professional|||37246|PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART|1281|1281|1105|960.75|1088.85|1152.9|1088.85|6602.01|4139.1|3890.75|0|0|1209.14|1105|212.83|1183.74|1148.68|1118.45|1077.38|1207.72|960.75|1183.74|390.3|380.12|390.3|1243.46|1243.46|241.2|349.57|249.16|1293.2|1207.72|1207.72|243.61|270.14|265.32|289.44|339.39|1163.93|1163.93|356.36|1134.13|610.9|356.36|349.57|0|6602.01
Professional|||37247|PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART|632|632|542.67|474|537.2|568.8|537.2|2515.85|1572.2|1477.87|0|0|593.82|542.67|105.41|581.34|564.12|549.28|529.1|593.12|474|581.34|191.51|186.51|191.51|613.15|613.15|118.29|171.53|122.19|637.68|593.12|593.12|119.47|132.48|130.12|141.95|166.53|576.87|576.87|174.86|562.11|299.75|174.86|171.53|0|2515.85
Professional|||37248|PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN|1106|1106|945.59|829.5|940.1|995.4|940.1|4719.86|2956.8|2779.39|0|0|1034.7|945.59|183.15|1012.96|982.96|957.09|921.95|1033.48|829.5|1012.96|337.61|328.8|337.61|1073.35|1073.35|208.61|302.38|215.49|1116.28|1033.48|1033.48|210.7|233.64|229.47|250.33|293.57|1001.04|1001.04|308.25|975.42|528.43|308.25|302.38|0|4719.86
Professional|||37249|PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN|538|538|460.78|403.5|457.3|484.2|457.3|1867.67|1165.5|1095.57|0|0|504.21|460.78|89.55|493.61|479|466.39|449.26|503.61|403.5|493.61|164.65|160.35|164.65|522.17|522.17|101.61|147.47|104.96|543.06|503.61|503.61|102.63|113.8|111.77|121.93|143.17|490.92|490.92|150.33|478.36|257.71|150.33|147.47|0|1867.67
Professional|||37252|PR INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL|329|329|289.35|246.75|279.65|296.1|279.65|3984.82|2513.7|2362.88|0|0|316.62|289.35|53.63|309.97|300.79|292.88|282.12|316.25|246.75|309.97|99.51|96.91|99.51|319.1|319.1|61.32|89.13|63.34|331.86|316.25|316.25|61.93|68.68|67.45|73.58|86.53|304.27|304.27|90.86|296.49|155.75|90.86|89.13|0|3984.82
Professional|||37253|PR INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL|263|263|232.57|197.25|223.55|236.7|223.55|623.67|380.8|357.95|0|0|254.49|232.57|42.82|249.15|241.77|235.41|226.76|254.19|197.25|249.15|79.75|77.67|79.75|254.49|254.49|49.26|71.43|50.89|264.67|254.19|254.19|49.75|55.17|54.19|59.11|69.35|245.46|245.46|72.82|239.18|124.83|72.82|71.43|0|623.67
Professional|||37607|LIGATN ANGIOACCESS AV FISTULA|1352|1352|1182.53|1014|1149.2|1216.8|1149.2|1206.14|697.2|655.37|0|0|1293.97|1182.53|223.81|1266.79|1229.27|1196.92|1152.97|1292.45|1014|1266.79|413.6|402.81|413.6|1312.02|1312.02|255.57|370.44|264|1364.5|1292.45|1292.45|258.13|286.24|281.13|306.68|359.65|1239.73|1239.73|377.63|1207.99|647.37|377.63|370.44|0|1364.5
Professional|||37609|TEMPORAL ARTERY LIGATN OR BX|758|758|648.59|568.5|644.3|682.2|644.3|987.85|597.8|561.93|0|0|709.71|648.59|124.26|694.8|674.23|656.48|632.38|708.88|568.5|694.8|231.12|225.09|231.12|735.79|735.79|142.66|207|147.37|765.22|708.88|708.88|144.09|159.78|156.93|171.19|200.97|677.54|677.54|211.02|660.2|361.75|211.02|207|0|987.85
Professional|||37615|LIGATN OF NECK ARTERY|1909|1909|1655.32|1431.75|1622.65|1718.1|1622.65|1688.37|984.2|925.15|0|0|1811.32|1655.32|312.53|1773.27|1720.75|1675.47|1613.94|1809.19|1431.75|1773.27|588.19|572.85|588.19|1852.66|1852.66|363.6|526.81|375.6|1926.77|1809.19|1809.19|367.24|407.23|399.96|436.32|511.47|1665.03|1665.03|537.04|1622.41|920.65|537.04|526.81|0|1926.77
Professional|||37617|LIGATN OF ABDOMEN ARTERY|4834|4834|4240.94|3625.5|4108.9|4350.6|4108.9|4325.61|2491.3|2341.82|0|0|4640.6|4240.94|786.87|4543.11|4408.57|4292.56|4134.92|4635.17|3625.5|4543.11|1469.96|1431.62|1469.96|4692.95|4692.95|908.62|1316.58|938.6|4880.67|4635.17|4635.17|917.71|1017.65|999.48|1090.34|1278.23|4409.18|4409.18|1342.14|4296.31|2300.81|1342.14|1316.58|0|4880.67
Professional|||37618|LIGATN OF EXTREMITY ARTERY|1401|1401|1213.1|1050.75|1190.85|1260.9|1190.85|1237.32|721.7|678.4|0|0|1327.42|1213.1|229.54|1299.54|1261.05|1227.87|1182.77|1325.87|1050.75|1299.54|431.7|420.44|431.7|1359.49|1359.49|266.86|386.65|275.67|1413.87|1325.87|1325.87|269.53|298.88|293.55|320.23|375.39|1260.09|1260.09|394.16|1227.83|675.7|394.16|386.65|0|1413.87
Professional|||37619|INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I|6194|6194|5464.96|4645.5|5264.9|5574.6|5264.9|5574.07|3194.8|3003.11|0|0|5979.97|5464.96|959.25|5854.35|5680.98|5531.48|5328.34|5972.97|4645.5|5854.35|1902.89|1853.25|1902.89|6012.89|6012.89|1176.25|1704.33|1215.07|6253.41|5972.97|5972.97|1188.01|1317.4|1293.88|1411.5|1654.69|5427.21|5427.21|1737.42|5288.28|2978.44|1737.42|1704.33|0|6253.41
Professional|||37650|LIGATN FEMORAL VEIN|1632|1632|1443.49|1224|1387.2|1468.8|1387.2|1473.43|840.7|790.26|0|0|1580.72|1443.49|302.39|1546.34|1501.68|1462.17|1407.4|1577.67|1224|1546.34|499.05|486.04|499.05|1583.66|1583.66|308.43|446.98|318.61|1647.01|1577.67|1577.67|311.51|345.44|339.27|370.12|433.96|1527.05|1527.05|455.66|1487.96|781.13|455.66|446.98|0|1647.01
Professional|||37718|LIGATE/STRIP SHORT SAPEHNOUS *|1554|1554|1359.42|1165.5|1320.9|1398.6|1320.9|1386.56|800.8|752.75|0|0|1487.53|1359.42|260.88|1456.28|1413.15|1375.96|1325.43|1485.78|1165.5|1456.28|463.2|451.11|463.2|1508.49|1508.49|286.36|414.86|295.81|1568.83|1485.78|1485.78|289.22|320.72|315|343.63|402.78|1429.75|1429.75|422.92|1393.15|725|422.92|414.86|0|1568.83
Professional|||37765|PHLEB VEINS - EXTREM - TO 20|1630|1630|1415.1|1222.5|1385.5|1467|1385.5|2062.57|1233.4|1159.4|0|0|1548.46|1415.1|268.62|1515.93|1471.04|1432.33|1379.72|1546.65|1222.5|1515.93|301.12|293.26|301.12|1582.34|1582.34|186.03|269.7|192.17|1645.63|1546.65|1546.65|187.89|208.35|204.63|223.24|261.84|1480.65|1480.65|274.93|1442.75|471.31|274.93|269.7|0|2062.57
Professional|||37766|PHLEB VEINS - EXTREM 20+|1988|1988|1727.39|1491|1689.8|1789.2|1689.8|2452.37|1461.6|1373.9|0|0|1891.37|1727.39|327.55|1850.47|1796.8|1749.52|1684.21|1887.96|1491|1850.47|368.35|358.74|368.35|1929.13|1929.13|227.6|329.91|235.11|2006.3|1887.96|1887.96|229.88|254.91|250.36|273.12|320.3|1807.56|1807.56|336.32|1761.29|576.54|336.32|329.91|0|2452.37
Professional|||37785|REVISE SECONDARY VARICOSITY|939|939|813.47|704.25|798.15|845.1|798.15|1121.5|669.2|629.05|0|0|890.13|813.47|157.59|871.43|845.62|823.37|793.13|889.08|704.25|871.43|287.18|279.69|287.18|911.16|911.16|177.31|257.21|183.16|947.61|889.08|889.08|179.08|198.59|195.04|212.77|249.72|863.06|863.06|262.21|840.96|449.5|262.21|257.21|0|1121.5
Professional|||37799|MICROPHLEBECTOMY LESS THAN 10 STAB INCISIONS|850|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|REPAIR AORTIC ANEURYSM; RETROPERITONEAL APPROACH|6155|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|GONADAL TO EXTERNAL ILIAC VEIN BYPASS|8280|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|CEPHALIC VEIN EXCISION|2635|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|REANASTOMOSIS OF BLOOD VESSEL|2804|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|LIGATION OF UPPER EXTREMITY VEIN|1401|850|0|637.5|722.5|765|722.5|0|0|0|0|0|0|0|0|0|0|0|0|0|637.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|850
Professional|||37799|PB VENASEAL 1 VEIN|630|630|0|472.5|535.5|567|535.5|0|0|0|0|0|0|0|0|0|0|0|0|0|472.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|630
Professional|||37799|PB VENASEAL MULTI VEIN|1050|1050|0|787.5|892.5|945|892.5|0|0|0|0|0|0|0|0|0|0|0|0|0|787.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1050
Professional|||37799|RETROGRADE LEFT ILIAC TO SMA ARTERY BYPASS|7348|7348|0|5511|6245.8|6613.2|6245.8|0|0|0|0|0|0|0|0|0|0|0|0|0|5511|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7348
Professional|||37799|LIGATION OF EXT JUGULAR VEIN|1838|1838|0|1378.5|1562.3|1654.2|1562.3|0|0|0|0|0|0|0|0|0|0|0|0|0|1378.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1838
Professional|||37799|REMOVAL OF GRAFT IN LOWER EXTREMITY|2066|2066|0|1549.5|1756.1|1859.4|1756.1|0|0|0|0|0|0|0|0|0|0|0|0|0|1549.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2066
Professional|||37799|BIOPSY OF POSTERIOR TIBIAL ARTERY|927|927|0|695.25|787.95|834.3|787.95|0|0|0|0|0|0|0|0|0|0|0|0|0|695.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|927
Professional|||37799|REMOVAL OF PICC WITH WIRE AND FLUOROSCOPY|391|391|0|293.25|332.35|351.9|332.35|0|0|0|0|0|0|0|0|0|0|0|0|0|293.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|391
Professional|||37799|OPEN THROMBECTOMY OF CEPHALIC VEIN|2107|2107|0|1580.25|1790.95|1896.3|1790.95|0|0|0|0|0|0|0|0|0|0|0|0|0|1580.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2107
Professional|||38100|REMOVAL SPLEEN TOTAL|4163|4163|3652.41|3122.25|3538.55|3746.7|3538.55|3725.33|2146.2|2017.43|0|0|3996.61|3652.41|675.41|3912.65|3796.78|3696.86|3561.1|3991.92|3122.25|3912.65|1277.66|1244.33|1277.66|4041.55|4041.55|789.81|1144.34|815.87|4203.21|3991.92|3991.92|797.71|884.59|868.79|947.77|1111.01|3780.27|3780.27|1166.56|3683.5|1999.82|1166.56|1144.34|0|4203.21
Professional|||38101|REMOVAL SPLEEN PARTIAL|4182|4182|3662.23|3136.5|3554.7|3763.8|3554.7|3735.35|2163|2033.22|0|0|4007.36|3662.23|679.15|3923.17|3806.99|3706.81|3570.67|4002.66|3136.5|3923.17|1287.77|1254.18|1287.77|4060.02|4060.02|795.97|1153.39|822.24|4222.42|4002.66|4002.66|803.93|891.49|875.57|955.16|1119.8|3784.81|3784.81|1175.79|3687.92|2015.64|1175.79|1153.39|0|4222.42
Professional|||38102|REMOVAL SPLEEN TOTAL W OTHR *|947|947|835.3|710.25|804.95|852.3|804.95|851.98|487.9|458.63|0|0|914.02|835.3|152.52|894.82|868.32|845.47|814.42|912.95|710.25|894.82|289.81|282.25|289.81|919.07|919.07|179.1|259.57|185.01|955.83|912.95|912.95|180.89|200.59|197.01|214.92|252.01|861.92|861.92|264.61|839.86|453.62|264.61|259.57|0|955.83
Professional|||38115|REPAIR OF RUPTURED SPLEEN|4625|4625|4044.4|3468.75|3931.25|4162.5|3931.25|4125.14|2383.5|2240.49|0|0|4425.54|4044.4|743.82|4332.57|4204.26|4093.62|3943.29|4420.35|3468.75|4332.57|1417.23|1380.25|1417.23|4489.89|4489.89|876.03|1269.34|904.94|4669.49|4420.35|4420.35|884.79|981.15|963.63|1051.24|1232.37|4159.21|4159.21|1293.99|4052.74|2218.27|1293.99|1269.34|0|4669.49
Professional|||38120|LAPSPLENECTOMY|3812|3812|3332.48|2859|3240.2|3430.8|3240.2|3399.01|1964.9|1847.01|0|0|3646.53|3332.48|618.02|3569.92|3464.2|3373.04|3249.17|3642.26|2859|3569.92|1169.85|1139.33|1169.85|3700.03|3700.03|723.09|1047.78|746.95|3848.03|3642.26|3642.26|730.32|809.86|795.4|867.71|1017.26|3446.59|3446.59|1068.12|3358.36|1831.07|1068.12|1047.78|0|3848.03
Professional|||38129|LAP EXCISION SPLENIC CYST|1315|1315|0|986.25|1117.75|1183.5|1117.75|0|0|0|0|0|0|0|0|0|0|0|0|0|986.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1315
Professional|||38220|PR DIAGNOSTIC BONE MARROW ASPIRATIONS|259|259|217.29|194.25|220.15|233.1|220.15|524.55|324.8|305.31|0|0|237.77|217.29|37.07|232.77|225.88|219.93|211.86|237.49|194.25|232.77|78.94|76.88|78.94|250.54|250.54|48.75|70.7|50.36|260.56|237.49|237.49|49.24|54.6|53.63|58.5|68.64|201.34|201.34|72.07|196.18|123.55|72.07|70.7|0|524.55
Professional|||38222|PR DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS|298|298|244.59|223.5|253.3|268.2|253.3|542.37|338.8|318.47|0|0|267.64|244.59|0|262.01|254.25|247.56|238.48|267.32|223.5|262.01|90.38|88.02|90.38|288.78|288.78|55.68|80.95|57.52|300.33|267.32|267.32|56.24|62.36|61.25|66.82|78.59|253.37|253.37|82.52|246.89|141.46|82.52|80.95|0|542.37
Professional|||38232|BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS|737|737|627.84|552.75|626.45|663.3|626.45|640.38|379.4|356.64|0|0|687.01|627.84|120.07|672.58|652.66|635.48|612.14|686.21|552.75|672.58|224.96|219.09|224.96|714.69|714.69|139.07|201.49|143.66|743.28|686.21|686.21|140.46|155.76|152.98|166.88|195.62|639.09|639.09|205.4|622.73|352.12|205.4|201.49|0|743.28
Professional|||38381|LIGATN THOR DUCTTHOR APPROACH|2892|2892|2534.3|2169|2458.2|2602.8|2458.2|2584.9|1490.3|1400.88|0|0|2773.13|2534.3|471.46|2714.87|2634.47|2565.15|2470.94|2769.88|2169|2714.87|885.83|862.72|885.83|2807.33|2807.33|547.58|793.4|565.65|2919.62|2769.88|2769.88|553.06|613.29|602.34|657.1|770.29|2633.3|2633.3|808.8|2565.89|1386.52|808.8|793.4|0|2919.62
Professional|||38500|BIOPSY/EXCISION LYMPH NODE(S)|928|928|803.64|696|788.8|835.2|788.8|1066.92|635.6|597.46|0|0|879.37|803.64|150.3|860.9|835.4|813.42|783.55|878.34|696|860.9|284.71|277.28|284.71|900.61|900.61|175.77|255|181.57|936.63|878.34|878.34|177.53|196.86|193.35|210.92|247.57|830.25|830.25|259.95|808.99|445.63|259.95|255|0|1066.92
Professional|||38505|NEEDLE BIOPSY LYMPH NODE(S)|267|267|220.56|200.25|226.95|240.3|226.95|396.48|246.4|231.62|0|0|241.35|220.56|44.14|236.28|229.28|223.25|215.05|241.07|200.25|236.28|81.28|79.16|81.28|258.45|258.45|50.03|72.8|51.68|268.79|241.07|241.07|50.53|56.03|55.03|60.04|70.68|233.01|233.01|74.21|227.05|127.22|74.21|72.8|0|396.48
Professional|||38510|BX/REMVLYMPH NODEDEEP CERV|1535|1535|1319.02|1151.25|1304.75|1381.5|1304.75|1664.98|994.7|935.02|0|0|1443.32|1319.02|250.96|1413|1371.15|1335.07|1286.04|1441.63|1151.25|1413|470.45|458.18|470.45|1490.04|1490.04|290.72|421.36|300.31|1549.64|1441.63|1441.63|293.63|325.61|319.79|348.86|409.09|1370.94|1370.94|429.54|1335.85|736.36|429.54|421.36|0|1664.98
Professional|||38525|BX/REMVLYMPH NODEDEEP AXILL|1591|1591|1380.16|1193.25|1352.35|1431.9|1352.35|1407.72|820.4|771.18|0|0|1510.23|1380.16|258.02|1478.5|1434.72|1396.96|1345.66|1508.46|1193.25|1478.5|488.89|476.13|488.89|1544.1|1544.1|302.01|437.87|311.98|1605.86|1508.46|1508.46|305.03|338.25|332.21|362.41|425.12|1427.51|1427.51|446.38|1390.97|765.22|446.38|437.87|0|1605.86
Professional|||38531|PR OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES|1610|1610|1375.79|1207.5|1368.5|1449|1368.5|1403.26|829.5|779.73|0|0|1505.45|1375.79|0|1473.82|1430.18|1392.54|1341.4|1503.68|1207.5|1473.82|492.33|479.48|492.33|1562.56|1562.56|304.32|440.95|314.36|1625.06|1503.68|1503.68|307.36|340.84|334.75|365.18|428.11|1425.24|1425.24|449.52|1388.76|770.6|449.52|440.95|0|1625.06
Professional|||38700|REMOVAL NODES NECKSUPRAHYOID|2983|2983|2523.38|2237.25|2535.55|2684.7|2535.55|2574.87|1537.2|1444.97|0|0|2762.38|2523.38|489.76|2703.18|2624.26|2555.2|2460.3|2757.95|2237.25|2703.18|912.44|888.64|912.44|2895.68|2895.68|564|817.23|582.61|3011.51|2757.95|2757.95|569.64|631.68|620.4|676.8|793.43|2623.12|2623.12|833.1|2555.97|1428.17|833.1|817.23|0|3011.51
Professional|||38720|REMOVAL NODES NECKCERV CMPLT|4947|4947|4214.73|3710.25|4204.95|4452.3|4204.95|4298.88|2549.4|2396.44|0|0|4611.93|4214.73|811.8|4515.04|4381.33|4266.03|4109.36|4606.52|3710.25|4515.04|1511.68|1472.24|1511.68|4802.39|4802.39|934.53|1353.94|965.37|4994.49|4606.52|4606.52|943.88|1046.67|1027.98|1121.44|1314.5|4378.64|4378.64|1380.23|4266.55|2366.1|1380.23|1353.94|0|4994.49
Professional|||38724|REMOVAL NODES NECKCERV MOD *|5365|5365|4549.95|4023.75|4560.25|4828.5|4560.25|4640.79|2765|2599.1|0|0|4978.73|4549.95|882.21|4874.14|4729.8|4605.33|4436.2|4972.9|4023.75|4874.14|1639.43|1596.66|1639.43|5208.54|5208.54|1013.57|1468.36|1047.02|5416.88|4972.9|4972.9|1023.71|1135.2|1114.93|1216.28|1425.59|4731.55|4731.55|1496.87|4610.43|2566.06|1496.87|1468.36|0|5416.88
Professional|||38740|REMOVE ARMPIT LYMPH NODES SUP*|2528|2528|2201.27|1896|2148.8|2275.2|2148.8|2245.22|1302.7|1224.54|0|0|2408.72|2201.27|408.55|2358.12|2288.28|2228.06|2146.24|2405.89|1896|2358.12|777.29|757.01|777.29|2453.94|2453.94|480.35|696.18|496.2|2552.1|2405.89|2405.89|485.15|537.99|528.39|576.42|675.9|2270.21|2270.21|709.7|2212.1|1216.62|709.7|696.18|0|2552.1
Professional|||38746|REMOVE THOR LYMPH NODES RAD R*|767|767|680.25|575.25|651.95|690.3|651.95|693.84|394.8|371.11|0|0|744.36|680.25|124.26|728.72|707.14|688.53|663.24|743.49|575.25|728.72|233.91|227.81|233.91|742.38|742.38|144.46|209.5|149.23|772.08|743.49|743.49|145.9|161.8|158.91|173.35|203.4|706.95|706.95|213.57|688.85|366.12|213.57|209.5|0|772.08
Professional|||38792|INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE|134|134|104.82|100.5|113.9|120.6|113.9|260.61|161.7|152|0|0|114.7|104.82|24.28|112.29|108.97|106.1|102.2|114.57|100.5|112.29|37.97|36.98|37.97|119.99|119.99|23.35|34.01|24.12|124.79|114.57|114.57|23.58|26.15|25.69|28.02|33.02|130.07|130.07|34.67|126.75|59.44|34.67|34.01|0|260.61
Professional|||39000|MEDIASTINOSCOPY CERV APPROACH|1816|1816|1567.97|1362|1543.6|1634.4|1543.6|1599.27|935.2|879.09|0|0|1715.73|1567.97|295.53|1679.69|1629.95|1587.05|1528.77|1713.72|1362|1679.69|554.22|539.76|554.22|1762.99|1762.99|342.56|496.39|353.86|1833.51|1713.72|1713.72|345.99|383.67|376.82|411.07|481.93|1623.18|1623.18|506.03|1581.63|867.47|506.03|496.39|0|1833.51
Professional|||39010|MEDIASTINOSCOPY CHST APPROACH|2838|2838|2481.89|2128.5|2412.3|2554.2|2412.3|2531.44|1462.3|1374.56|0|0|2715.78|2481.89|463.74|2658.73|2579.99|2512.1|2419.84|2712.6|2128.5|2658.73|867.95|845.31|867.95|2754.59|2754.59|536.55|777.38|554.26|2864.77|2712.6|2712.6|541.92|600.94|590.21|643.86|754.74|2578.99|2578.99|792.48|2512.97|1358.53|792.48|777.38|0|2864.77
Professional|||39200|RESECTION OF MEDIASTINAL CYST|3124|3124|2738.49|2343|2655.4|2811.6|2655.4|2793.16|1615.6|1518.66|0|0|2996.56|2738.49|518.25|2933.61|2846.73|2771.82|2670.03|2993.05|2343|2933.61|957.81|932.83|957.81|3032.82|3032.82|591.97|857.87|611.51|3154.13|2993.05|2993.05|597.89|663.01|651.17|710.36|832.88|2856.13|2856.13|874.52|2783.02|1499.18|874.52|857.87|0|3154.13
Professional|||39220|RESECTION MEDIASTINAL TUMOR|4089|4089|3579.25|3066.75|3475.65|3680.1|3475.65|3650.71|2107|1980.58|0|0|3916.55|3579.25|670.11|3834.28|3720.73|3622.81|3489.77|3911.97|3066.75|3834.28|1251.82|1219.16|1251.82|3969.03|3969.03|773.9|1121.2|799.44|4127.79|3911.97|3911.97|781.64|866.77|851.29|928.68|1088.54|3716.92|3716.92|1142.97|3621.77|1959.37|1142.97|1121.2|0|4127.79
Professional|||39401|PR MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY|1109|1109|978.34|831.75|942.65|998.1|942.65|997.88|571.9|537.59|0|0|1070.54|978.34|182.09|1048.05|1017.01|990.25|953.88|1069.29|831.75|1048.05|338.38|329.55|338.38|1075.99|1075.99|209.12|303.07|216.02|1119.03|1069.29|1069.29|211.21|234.21|230.03|250.94|294.24|1020.3|1020.3|308.95|994.18|529.63|308.95|303.07|0|1119.03
Professional|||39402|PR MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES|1450|1450|1280.8|1087.5|1232.5|1305|1232.5|1306.37|746.9|702.09|0|0|1401.5|1280.8|237.05|1372.06|1331.43|1296.39|1248.78|1399.86|1087.5|1372.06|442.11|430.57|442.11|1406.97|1406.97|273.27|395.97|282.29|1463.25|1399.86|1399.86|276|306.06|300.6|327.92|384.44|1332.49|1332.49|403.66|1298.38|691.99|403.66|395.97|0|1463.25
Professional|||39501|REPAIR DIAPHRAGM LACERATION|3086|3086|2691.53|2314.5|2623.1|2777.4|2623.1|2745.27|1590.4|1494.98|0|0|2945.18|2691.53|497.94|2883.31|2797.92|2724.29|2624.24|2941.73|2314.5|2883.31|948.2|923.46|948.2|2995.89|2995.89|586.07|849.26|605.41|3115.73|2941.73|2941.73|591.93|656.4|644.68|703.28|824.52|2778.09|2778.09|865.75|2706.98|1484.14|865.75|849.26|0|3115.73
Professional|||39540|REPAIR DIAPHR HERNIA TRAUMA A*|3143|3143|2751.59|2357.25|2671.55|2828.7|2671.55|2806.52|1619.8|1522.61|0|0|3010.9|2751.59|507.65|2947.64|2860.35|2785.08|2682.8|3007.37|2357.25|2947.64|965|939.83|965|3051.27|3051.27|596.59|864.3|616.28|3173.32|3007.37|3007.37|602.56|668.18|656.25|715.91|839.13|2844.81|2844.81|881.09|2771.99|1510.43|881.09|864.3|0|3173.32
Professional|||39545|REVISION OF DIAPHRAGM|3213|3213|2807.27|2409.75|2731.05|2891.7|2731.05|2863.32|1655.5|1556.17|0|0|3071.83|2807.27|526.85|3007.3|2918.24|2841.44|2737.09|3068.23|2409.75|3007.3|988.17|962.39|988.17|3118.52|3118.52|610.7|885.06|630.85|3243.26|3068.23|3068.23|616.81|683.98|671.77|732.84|859.28|2902.49|2902.49|902.24|2828.19|1546.7|902.24|885.06|0|3243.26
Professional|||39599|THORASCOPIC PILATION OF DIAPHRAGM|3100|3100|0|2325|2635|2790|2635|0|0|0|0|0|0|0|0|0|0|0|0|0|2325|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3100
Professional|||40490|BIOPSY OF LIP|271|271|228.21|203.25|230.35|243.9|230.35|399.82|245.7|230.96|0|0|249.71|228.21|44.36|244.47|237.23|230.98|222.5|249.42|203.25|244.47|81.66|79.53|81.66|262.4|262.4|50.29|73.14|51.95|272.9|249.42|249.42|50.79|56.32|55.32|60.35|71.01|240.92|240.92|74.56|234.76|127.82|74.56|73.14|0|399.82
Professional|||40500|LIP SHAVE|1371|1371|1143.22|1028.25|1165.35|1233.9|1165.35|1631.57|1001.7|941.6|0|0|1250.96|1143.22|226.02|1224.68|1188.41|1157.13|1114.64|1249.49|1028.25|1224.68|419.09|408.16|419.09|1330.49|1330.49|258.9|375.36|267.44|1383.71|1249.49|1249.49|261.49|289.97|284.79|310.68|364.43|1189.96|1189.96|382.65|1159.5|655.97|382.65|375.36|0|1631.57
Professional|||40510|PARTIAL EXCIS LIPWEDGE PRIM *|1326|1326|1112.65|994.5|1127.1|1193.4|1127.1|1554.73|949.9|892.91|0|0|1217.5|1112.65|220.05|1191.92|1156.63|1126.19|1084.83|1216.07|994.5|1191.92|402.58|392.08|402.58|1286.97|1286.97|248.9|360.57|257.11|1338.45|1216.07|1216.07|251.39|278.77|273.79|298.68|350.07|1166.2|1166.2|367.57|1136.35|630.13|367.57|360.57|0|1554.73
Professional|||40520|PARTIAL EXCIS LIPV-EXC PRIM *|1340|1340|1123.57|1005|1139|1206|1139|1577|963.9|906.07|0|0|1229.45|1123.57|221.61|1203.62|1167.98|1137.24|1095.48|1228.01|1005|1203.62|407.81|397.17|407.81|1300.16|1300.16|251.98|365.26|260.3|1352.17|1228.01|1228.01|254.5|282.22|277.18|302.38|354.62|1171.87|1171.87|372.35|1141.87|638.32|372.35|365.26|0|1577
Professional|||40525|FULL THICK EXCIS LIPRECON W *|2061|2061|1732.85|1545.75|1751.85|1854.9|1751.85|1767.44|1061.2|997.53|0|0|1896.15|1732.85|339.91|1856.31|1801.34|1753.94|1689.53|1893.93|1545.75|1856.31|631.33|614.86|631.33|2000.34|2000.34|390.28|565.45|403.16|2080.35|1893.93|1893.93|394.18|437.11|429.31|468.34|548.98|1801.92|1801.92|576.43|1755.79|988.16|576.43|565.45|0|2080.35
Professional|||40527|FULL THICK EXCIS LIPFIX W XF*|2303|2303|1933.75|1727.25|1957.55|2072.7|1957.55|1972.36|1186.5|1115.31|0|0|2115.99|1933.75|379.18|2071.54|2010.19|1957.29|1885.41|2113.51|1727.25|2071.54|705.79|687.38|705.79|2235.05|2235.05|436.22|632.14|450.62|2324.45|2113.51|2113.51|440.58|488.57|479.84|523.46|613.73|2037.2|2037.2|644.42|1985.05|1104.71|644.42|632.14|0|2324.45
Professional|||40530|PARTIAL REMOVAL OF LIP>1/4|1504|1504|1263.33|1128|1278.4|1353.6|1278.4|1731.8|1056.3|992.92|0|0|1382.38|1263.33|248.52|1353.34|1313.26|1278.7|1231.75|1380.76|1128|1353.34|458.36|446.4|458.36|1459.71|1459.71|283.28|410.53|292.63|1518.1|1380.76|1380.76|286.11|317.27|311.61|339.94|398.57|1313.26|1313.26|418.5|1279.64|717.43|418.5|410.53|0|1731.8
Professional|||40650|REPAIR LIPFULL THICKVERMILI*|1141|1141|951.04|855.75|969.85|1026.9|969.85|1450.04|893.2|839.61|0|0|1040.67|951.04|185.18|1018.81|988.64|962.62|927.26|1039.45|855.75|1018.81|348.82|339.72|348.82|1107.63|1107.63|215.54|312.42|222.65|1151.94|1039.45|1039.45|217.7|241.4|237.09|258.65|303.32|976.18|976.18|318.49|951.19|545.98|318.49|312.42|0|1450.04
Professional|||40652|REPAIR LIP<1/2 VERT HEIGHT|1329|1329|1110.46|996.75|1129.65|1196.1|1129.65|1589.25|974.4|915.94|0|0|1215.11|1110.46|218.08|1189.58|1154.36|1123.98|1082.7|1213.69|996.75|1189.58|407.2|396.58|407.2|1289.6|1289.6|251.72|364.71|260.03|1341.18|1213.69|1213.69|254.24|281.93|276.89|302.06|354.09|1157.15|1157.15|371.79|1127.53|637.36|371.79|364.71|0|1589.25
Professional|||40654|REPAIR LIP>1/2 VERT HEIGHT|1595|1595|1337.58|1196.25|1355.75|1435.5|1355.75|1836.49|1122.1|1054.77|0|0|1463.63|1337.58|263.76|1432.88|1390.45|1353.86|1304.14|1461.92|1196.25|1432.88|486.53|473.84|486.53|1548.05|1548.05|300.73|435.76|310.65|1609.97|1461.92|1461.92|303.74|336.82|330.8|360.88|423.07|1395.84|1395.84|444.22|1360.11|761.53|444.22|435.76|0|1836.49
Professional|||40720|REPR CLEFT LIP/NASALSECONDARY|3837|3837|3244.03|2877.75|3261.45|3453.3|3261.45|3308.8|1977.5|1858.85|0|0|3549.75|3244.03|627.06|3475.18|3372.26|3283.52|3162.93|3545.59|2877.75|3475.18|1175.15|1144.49|1175.15|3725.09|3725.09|726.43|1052.53|750.4|3874.09|3545.59|3545.59|733.69|813.6|799.07|871.72|1021.87|3262.21|3262.21|1072.96|3178.7|1839.37|1072.96|1052.53|0|3874.09
Professional|||40799|INCISION & DRAINAGE SUBCUTANEOUS ABSCESS LIP|646|646|0|484.5|549.1|581.4|549.1|0|0|0|0|0|0|0|0|0|0|0|0|0|484.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|646
Professional|||40799|LIP LIFT TO CORRECT FOR ASYMMETRY|1506|1506|0|1129.5|1280.1|1355.4|1280.1|0|0|0|0|0|0|0|0|0|0|0|0|0|1129.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1506
Professional|||40800|DRAIN MOUTH ABSC/CYST/HEMATOM*|492|492|406.19|369|418.2|442.8|418.2|677.13|420|394.8|0|0|444.47|406.19|83.65|435.13|422.24|411.13|396.04|443.94|369|435.13|145.65|141.85|145.65|477.34|477.34|89.81|130.45|92.77|496.43|443.94|443.94|90.71|100.59|98.79|107.77|126.65|435.48|435.48|132.98|424.34|227.97|132.98|130.45|0|677.13
Professional|||40801|DRAIN MOUTH ABSC/CYST/HEMATC*|819|819|683.53|614.25|696.15|737.1|696.15|986.74|605.5|569.17|0|0|747.94|683.53|139.93|732.23|710.55|691.85|666.44|747.07|614.25|732.23|241.95|235.64|241.95|795.13|795.13|149.34|216.7|154.27|826.94|747.07|747.07|150.83|167.26|164.27|179.21|210.39|736.39|736.39|220.91|717.54|378.7|220.91|216.7|0|986.74
Professional|||40804|REMOVAL FOREIGN BODYMOUTHSI*|445|445|366.88|333.75|378.25|400.5|378.25|609.19|378|355.32|0|0|401.45|366.88|73.71|393.02|381.38|371.34|357.71|400.98|333.75|393.02|136.84|133.27|136.84|431.18|431.18|84.42|122.56|87.21|448.43|400.98|400.98|85.26|94.55|92.86|101.3|118.99|374.4|374.4|124.94|364.82|214.18|124.94|122.56|0|609.19
Professional|||40808|BIOPSY OF MOUTH LESION|405|405|334.12|303.75|344.25|364.5|344.25|598.06|371.7|349.4|0|0|365.61|334.12|69.09|357.93|347.33|338.19|325.77|365.18|303.75|357.93|100.23|97.62|100.23|392.95|392.95|61.84|89.77|63.88|408.67|365.18|365.18|62.46|69.26|68.02|74.21|87.16|357.45|357.45|91.52|348.3|156.89|91.52|89.77|0|598.06
Professional|||40810|EXCIS MOUTH MUCOSA/SUBNO REP*|480|480|397.45|360|408|432|408|667.11|413|388.22|0|0|434.91|397.45|81|425.77|413.16|402.29|387.51|434.4|360|425.77|143.66|139.91|143.66|465.47|465.47|88.78|128.67|91.71|484.09|434.4|434.4|89.67|99.43|97.66|106.54|124.92|420.8|420.8|131.17|410.03|224.86|131.17|128.67|0|667.11
Professional|||40812|EXCIS MOUTH MUCOSA/SUBSIMPL *|735|735|614.74|551.25|624.75|661.5|624.75|924.37|567.7|533.64|0|0|672.67|614.74|124.26|658.54|639.04|622.22|599.37|671.88|551.25|658.54|220.66|214.91|220.66|713.37|713.37|136.25|197.64|140.75|741.9|671.88|671.88|137.61|152.6|149.88|163.5|191.88|653.81|653.81|201.47|637.07|345.38|201.47|197.64|0|924.37
Professional|||40814|EXCIS MOUTH MUCOSA/SUBCOMPLX*|1141|1141|951.04|855.75|969.85|1026.9|969.85|1235.09|756|710.64|0|0|1040.67|951.04|192.69|1018.81|988.64|962.62|927.26|1039.45|855.75|1018.81|341.15|332.25|341.15|1107.63|1107.63|210.66|305.55|217.61|1151.94|1039.45|1039.45|212.77|235.94|231.73|252.79|296.65|1010.12|1010.12|311.48|984.26|533.97|311.48|305.55|0|1235.09
Professional|||40816|EXCIS MOUTH COMPLEXEXC THRU *|1181|1181|984.89|885.75|1003.85|1062.9|1003.85|1285.21|786.8|739.59|0|0|1077.71|984.89|199.76|1055.07|1023.82|996.88|960.27|1076.45|885.75|1055.07|356.19|346.9|356.19|1145.88|1145.88|220.16|319.02|227.43|1191.72|1076.45|1076.45|222.36|246.58|242.18|264.19|309.73|1046.3|1046.3|325.22|1019.52|557.51|325.22|319.02|0|1285.21
Professional|||40818|EXCISE ORAL MUCOSA FOR GRAFT|1052|1052|863.69|789|894.2|946.8|894.2|1169.39|725.2|681.69|0|0|945.09|863.69|173.49|925.23|897.83|874.21|842.1|943.98|789|925.23|317.2|308.93|317.2|1020.61|1020.61|196.04|284.1|202.51|1061.43|943.98|943.98|198|219.56|215.64|235.25|275.83|902.64|902.64|289.62|879.54|496.49|289.62|284.1|0|1169.39
Professional|||40819|EXCISE LIP OR CHEEK FOLD|893|893|741.4|669.75|759.05|803.7|759.05|1007.9|620.2|582.99|0|0|811.27|741.4|152.29|794.23|770.71|750.42|722.87|810.32|669.75|794.23|247.72|241.26|247.72|866.33|866.33|152.93|221.87|157.98|900.98|810.32|810.32|154.46|171.28|168.22|183.52|215.41|794.06|794.06|226.18|773.74|387.74|226.18|221.87|0|1007.9
Professional|||40820|DESTRUC MOUTH LESION/SCAR|655|655|536.12|491.25|556.75|589.5|556.75|839.73|522.9|491.53|0|0|586.65|536.12|110.35|574.32|557.31|542.65|522.72|585.96|491.25|574.32|196.57|191.44|196.57|635.57|635.57|121.37|176.06|125.38|660.99|585.96|585.96|122.58|135.93|133.51|145.64|170.93|570.1|570.1|179.48|555.5|307.67|179.48|176.06|0|839.73
Professional|||40830|REPAIR MOUTH LACERATION<2.5CM|632|632|523.02|474|537.2|568.8|537.2|866.46|537.6|505.34|0|0|572.31|523.02|104.17|560.29|543.69|529.39|509.94|571.64|474|560.29|193.68|188.63|193.68|613.15|613.15|119.57|173.47|123.52|637.68|571.64|571.64|120.77|133.92|131.53|143.48|168.42|548.6|548.6|176.84|534.56|303.16|176.84|173.47|0|866.46
Professional|||40831|REPAIR MOUTH LACERATION>2.5CM|862|862|715.19|646.5|732.7|775.8|732.7|1108.13|684.6|643.52|0|0|782.59|715.19|141.26|766.15|743.46|723.9|697.31|781.68|646.5|766.15|265.91|258.98|265.91|836|836|164.22|238.17|169.64|869.44|781.68|781.68|165.86|183.93|180.64|197.06|231.23|744.3|744.3|242.79|725.24|416.21|242.79|238.17|0|1108.13
Professional|||40840|RECONSTRUC MOUTH ANTERIOR|2343|2343|1975.25|1757.25|1991.55|2108.7|1991.55|2623.88|1594.6|1498.92|0|0|2161.39|1975.25|388.46|2115.99|2053.32|1999.29|1925.87|2158.86|1757.25|2115.99|718.32|699.59|718.32|2274.61|2274.61|443.91|643.37|458.56|2365.59|2158.86|2158.86|448.35|497.18|488.3|532.69|624.63|2058.66|2058.66|655.86|2005.96|1124.33|655.86|643.37|0|2623.88
Professional|||40842|RECONSTRUC MOUTH POSTERUNILAT|2806|2806|1932.66|2104.5|2385.1|2525.4|2385.1|2539.24|1542.1|1449.57|0|0|2114.8|1932.66|371.68|2070.37|2009.06|1956.19|1884.34|2112.32|2104.5|2070.37|774.05|753.86|774.05|2224.5|2224.5|478.55|693.28|494.34|2313.48|2112.32|2112.32|483.34|535.98|526.41|574.26|673.09|2136.73|2136.73|706.74|2082.04|1211.56|706.74|693.28|0|2806
Professional|||40845|RECONSTRUC MOUTH COMPLEX|4552|4552|3848.95|3414|3869.2|4096.8|3869.2|4700.93|2838.5|2668.19|0|0|4211.67|3848.95|753.54|4123.19|4001.09|3895.79|3752.73|4206.74|3414|4123.19|1382.73|1346.65|1382.73|4418.68|4418.68|854.73|1238.44|882.94|4595.43|4206.74|4206.74|863.28|957.3|940.2|1025.68|1202.37|4016.69|4016.69|1262.49|3913.87|2164.27|1262.49|1238.44|0|4700.93
Professional|||40899|FISTULECTOMY; MANDIBLE|2021|2021|0|1515.75|1717.85|1818.9|1717.85|0|0|0|0|0|0|0|0|0|0|0|0|0|1515.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2021
Professional|||41000|I&D MOUTH/TONG INTRALINGUAL|423|423|351.59|317.25|359.55|380.7|359.55|517.87|318.5|299.39|0|0|384.73|351.59|70.63|376.64|365.49|355.87|342.8|384.27|317.25|376.64|126.72|123.41|126.72|410.09|410.09|78.26|113.5|80.84|426.49|384.27|384.27|79.04|87.65|86.09|93.91|110.19|369.9|369.9|115.7|360.43|198.34|115.7|113.5|0|517.87
Professional|||41005|I&D MOUTH/TONG INTRASUBLING*|465|465|386.53|348.75|395.25|418.5|395.25|706.09|437.5|411.25|0|0|422.96|386.53|79.24|414.07|401.81|391.24|376.87|422.46|348.75|414.07|134.96|131.44|134.96|450.96|450.96|83.39|120.88|86.14|469|422.46|422.46|84.22|93.4|91.73|100.07|117.36|410.62|410.62|123.23|400.11|211.25|123.23|120.88|0|706.09
Professional|||41006|I&D MOUTH/TONG INTRASUBLING*|957|957|803.64|717.75|813.45|861.3|813.45|1135.97|693.7|652.08|0|0|879.37|803.64|157.16|860.9|835.4|813.42|783.55|878.34|717.75|860.9|278.44|271.17|278.44|928.3|928.3|171.92|249.38|177.59|965.43|878.34|878.34|173.64|192.55|189.11|206.3|242.12|892.46|892.46|254.23|869.62|435.82|254.23|249.38|0|1135.97
Professional|||41007|I&D MOUTH/TONG INTRASUBMENTAL|927|927|777.43|695.25|787.95|834.3|787.95|1114.81|681.1|640.23|0|0|850.7|777.43|151.86|832.83|808.16|786.9|757.99|849.7|695.25|832.83|269.95|262.91|269.95|899.29|899.29|166.79|241.78|172.29|935.26|849.7|849.7|168.46|186.8|183.47|200.15|234.74|865.33|865.33|246.48|843.18|422.53|246.48|241.78|0|1114.81
Professional|||41008|INTRAORAL INCISION AND DRAINAGE OF ABSCESS CYST OR HEMATOMA OF TONGUE OR FLOOR OF MOUTH|1008|1008|845.13|756|856.8|907.2|856.8|1233.98|756|710.64|0|0|924.78|845.13|169.07|905.35|878.54|855.42|824|923.69|756|905.35|301.67|293.8|301.67|978.41|978.41|186.29|270.19|192.44|1017.55|923.69|923.69|188.15|208.64|204.92|223.55|262.32|895.87|895.87|275.44|872.94|472.18|275.44|270.19|0|1233.98
Professional|||41009|I&D MOUTH/TONG INTRAMASTICAT*|1103|1103|923.75|827.25|937.55|992.7|937.55|1320.85|808.5|759.99|0|0|1010.8|923.75|183.41|989.57|960.26|934.99|900.66|1009.62|827.25|989.57|331.81|323.15|331.81|1070.71|1070.71|205.02|297.19|211.79|1113.54|1009.62|1009.62|207.07|229.62|225.52|246.02|288.53|972.77|972.77|302.96|947.87|519.35|302.96|297.19|0|1320.85
Professional|||41010|INCISION OF TONGUE FOLD|412|412|339.58|309|350.2|370.8|350.2|657.08|409.5|384.93|0|0|371.58|339.58|68.41|363.78|353|343.71|331.09|371.15|309|363.78|125.15|121.89|125.15|399.54|399.54|77.23|112.09|79.78|415.52|371.15|371.15|78|86.5|84.95|92.68|108.83|351.77|351.77|114.27|342.77|195.89|114.27|112.09|0|657.08
Professional|||41015|I&D MOUTH/TONG EXTRASUBLING|1242|1242|1040.58|931.5|1055.7|1117.8|1055.7|1343.12|819|769.86|0|0|1138.64|1040.58|221.16|1114.72|1081.71|1053.25|1014.57|1137.31|931.5|1114.72|363.1|353.63|363.1|1205.21|1205.21|224.26|325.21|231.66|1253.42|1137.31|1137.31|226.5|251.17|246.69|269.11|315.74|1161.69|1161.69|331.53|1131.95|568.33|331.53|325.21|0|1343.12
Professional|||41016|I&D MOUTH/TONG EXTRASUBMENTAL|1317|1317|1098.45|987.75|1119.45|1185.3|1119.45|1426.65|872.2|819.87|0|0|1201.97|1098.45|221.38|1176.72|1141.87|1111.82|1070.99|1200.56|987.75|1176.72|402.06|391.57|402.06|1277.74|1277.74|248.38|360.11|256.58|1328.85|1200.56|1200.56|250.86|278.19|273.22|298.06|349.62|1165.06|1165.06|367.1|1135.24|629.32|367.1|360.11|0|1426.65
Professional|||41017|I&D MOUTH/TONG EXTRASUBMANDI*|1330|1330|1110.46|997.5|1130.5|1197|1130.5|1448.92|886.2|833.03|0|0|1213.92|1110.46|222.7|1189.58|1153.22|1122.87|1082.7|1213.69|997.5|1189.58|400.63|390.17|400.63|1290.93|1290.93|247.61|358.82|255.78|1342.57|1213.69|1213.69|250.09|277.32|272.37|297.13|348.37|1173.01|1173.01|365.79|1142.98|627.07|365.79|358.82|0|1448.92
Professional|||41018|I&D MOUTH/TONG EXTRAMASTICAT*|1547|1547|1296.09|1160.25|1314.95|1392.3|1314.95|1640.48|999.6|939.62|0|0|1417.03|1296.09|259.57|1388.43|1346.18|1310.76|1263.69|1416.57|1160.25|1388.43|464.6|452.48|464.6|1501.91|1501.91|287.13|416.12|296.61|1561.99|1416.57|1416.57|290|321.59|315.84|344.56|404|1367.53|1367.53|424.2|1332.53|727.2|424.2|416.12|0|1640.48
Professional|||41100|BIOPSY TONGUEANTER 2/3|403|403|335.21|302.25|342.55|362.7|342.55|550.17|338.8|318.47|0|0|366.8|335.21|67.32|359.1|348.46|339.29|326.83|366.37|302.25|359.1|121.24|118.08|121.24|390.31|390.31|74.92|108.59|77.39|405.92|366.37|366.37|75.67|83.91|82.41|89.9|105.43|354.04|354.04|110.7|344.98|189.77|110.7|108.59|0|550.17
Professional|||41105|BIOPSY TONGUEPOSTER 1/3|416|416|348.32|312|353.6|374.4|353.6|559.08|343.7|323.08|0|0|381.14|348.32|69.75|373.13|362.08|352.56|339.61|380.69|312|373.13|124.99|121.73|124.99|403.49|403.49|77.23|111.95|79.78|419.63|380.69|380.69|78|86.5|84.95|92.68|108.69|368.76|368.76|114.12|359.32|195.64|114.12|111.95|0|559.08
Professional|||41108|BIOPSY OF FLOOR OF MOUTH|337|337|281.71|252.75|286.45|303.3|286.45|486.69|301|282.94|0|0|308.26|281.71|56.73|301.78|292.85|285.14|274.67|307.9|252.75|301.78|101.76|99.11|101.76|327.01|327.01|62.86|91.14|64.93|340.09|307.9|307.9|63.49|70.4|69.15|75.43|88.49|298.63|298.63|92.91|290.99|159.28|92.91|91.14|0|486.69
Professional|||41110|EXCIS TONGUE LESN|495|495|411.65|371.25|420.75|445.5|420.75|691.61|427.7|402.04|0|0|450.44|411.65|82.77|440.98|427.92|416.66|401.36|449.91|371.25|440.98|150.18|146.26|150.18|479.98|479.98|92.63|134.51|95.69|499.18|449.91|449.91|93.56|103.75|101.89|111.16|130.59|432.08|432.08|137.12|421.02|235.06|137.12|134.51|0|691.61
Professional|||41112|EXCIS TONGUE LESNANT 2/3+CLOS|949|949|788.35|711.75|806.65|854.1|806.65|1074.72|660.8|621.15|0|0|862.65|788.35|159.81|844.52|819.51|797.95|768.64|861.63|711.75|844.52|285.15|277.72|285.15|920.39|920.39|176.28|255.4|182.1|957.21|861.63|861.63|178.04|197.43|193.91|211.54|247.96|837.06|837.06|260.36|815.63|446.33|260.36|255.4|0|1074.72
Professional|||41113|EXCIS TONGUE LESNPOST 1/3|1046|1046|871.34|784.5|889.1|941.4|889.1|1170.5|717.5|674.45|0|0|953.45|871.34|176.57|933.42|905.78|881.94|849.56|952.33|784.5|933.42|314.23|306.03|314.23|1015.33|1015.33|194.24|281.44|200.65|1055.94|952.33|952.33|196.18|217.55|213.66|233.09|273.24|926.41|926.41|286.9|902.69|491.83|286.9|281.44|0|1170.5
Professional|||41116|EXCIS FLOOR MOUTH LESION|829|829|688.99|621.75|704.65|746.1|704.65|1063.58|655.9|616.55|0|0|753.92|688.99|139.05|738.08|716.22|697.37|671.77|753.04|621.75|738.08|249.88|243.36|249.88|804.35|804.35|154.47|223.81|159.57|836.52|753.04|753.04|156.01|173.01|169.92|185.36|217.29|726.21|726.21|228.15|707.62|391.12|228.15|223.81|0|1063.58
Professional|||41120|PART REMOVAL TONGUE<1/2|4076|4076|3369.6|3057|3464.6|3668.4|3464.6|3436.88|2100.7|1974.66|0|0|3687.15|3369.6|685.33|3609.69|3502.8|3410.62|3285.36|3682.83|3057|3609.69|1229.55|1197.47|1229.55|3957.17|3957.17|760.04|1101.25|785.12|4115.46|3682.83|3682.83|767.64|851.24|836.04|912.05|1069.17|3546.12|3546.12|1122.63|3455.35|1924.51|1122.63|1101.25|0|4115.46
Professional|||41130|PART REMOVAL TONGUE 1/2|5003|5003|4159.05|3752.25|4252.55|4502.7|4252.55|4242.08|2578.1|2423.41|0|0|4550.99|4159.05|838.07|4455.39|4323.44|4209.67|4055.07|4545.66|3752.25|4455.39|1511.57|1472.14|1511.57|4856.46|4856.46|934.53|1353.84|965.37|5050.72|4545.66|4545.66|943.88|1046.67|1027.98|1121.44|1314.41|4363.95|4363.95|1380.13|4252.24|2365.94|1380.13|1353.84|0|5050.72
Professional|||41135|PART EXC TONGUEUNILAT RAD NE*|8193|8193|6870.23|6144.75|6964.05|7373.7|6964.05|7007.4|4222.4|3969.06|0|0|7517.68|6870.23|1360.51|7359.75|7141.8|6953.86|6698.47|7508.87|6144.75|7359.75|2479.18|2414.51|2479.18|7953.89|7953.89|1532.67|2220.48|1583.25|8272.05|7508.87|7508.87|1548|1716.59|1685.94|1839.2|2155.81|7177.09|7177.09|2263.6|6993.37|3880.46|2263.6|2220.48|0|8272.05
Professional|||41150|EXCIS TONGUEMOUTHJAW|8292|8292|6935.75|6219|7048.2|7462.8|7048.2|7074.22|4273.5|4017.09|0|0|7589.37|6935.75|1383.9|7429.93|7209.9|7020.17|6762.36|7580.48|6219|7429.93|2510.82|2445.32|2510.82|8050.15|8050.15|1552.17|2248.82|1603.39|8372.16|7580.48|7580.48|1567.69|1738.43|1707.39|1862.6|2183.32|7266.44|7266.44|2292.49|7080.44|3929.98|2292.49|2248.82|0|8372.16
Professional|||41153|EXCIS TONGUEMOUTHNECK|8974|8974|7517.73|6730.5|7627.9|8076.6|7627.9|7667.82|4625.6|4348.06|0|0|8226.2|7517.73|1505.08|8053.38|7814.89|7609.23|7329.79|8216.56|6730.5|8053.38|2730.85|2659.61|2730.85|8712.09|8712.09|1688.17|2445.89|1743.88|9060.57|8216.56|8216.56|1705.05|1890.75|1856.99|2025.8|2374.65|7901.03|7901.03|2493.38|7698.78|4274.37|2493.38|2445.89|0|9060.57
Professional|||41155|EXCIS TONGUEMOUTHJAWRAD NE*|11324|11324|9524.64|8493|9625.4|10191.6|9625.4|9714.81|5835.9|5485.75|0|0|10422.24|9524.64|1877.21|10203.29|9901.13|9640.57|9286.52|10410.03|8493|10203.29|3436.66|3347.01|3436.66|10993.3|10993.3|2124.64|3078.05|2194.75|11433.03|10410.03|10410.03|2145.89|2379.6|2337.1|2549.57|2988.4|9955.15|9955.15|3137.82|9700.32|5379.12|3137.82|3078.05|0|11433.03
Professional|||41250|REPAIR TONGUE LACER<2.6CM|580|580|482.62|435|493|522|493|873.14|541.1|508.63|0|0|528.1|482.62|96|517.01|501.7|488.49|470.55|527.48|435|517.01|175.57|170.99|175.57|563.05|563.05|108.54|157.25|112.12|585.57|527.48|527.48|109.63|121.56|119.39|130.25|152.67|504.48|504.48|160.3|491.56|274.81|160.3|157.25|0|873.14
Professional|||41252|REPAIR TONGUE LACER2.6CM+/CO*|781|781|656.23|585.75|663.85|702.9|663.85|1016.81|623.7|586.28|0|0|718.07|656.23|130.01|702.99|682.17|664.22|639.82|717.23|585.75|702.99|237.88|231.67|237.88|758.21|758.21|147.03|213.06|151.88|788.54|717.23|717.23|148.5|164.67|161.73|176.44|206.85|695.67|695.67|217.19|677.86|372.33|217.19|213.06|0|1016.81
Professional|||41520|RECONSTRUCTION TONGUE FOLD|936|936|776.34|702|795.6|842.4|795.6|1125.95|694.4|652.74|0|0|849.5|776.34|162.89|831.66|807.03|785.79|756.93|848.51|702|831.66|285.36|277.92|285.36|908.52|908.52|176.28|255.58|182.1|944.86|848.51|848.51|178.04|197.43|193.91|211.54|248.14|850.61|850.61|260.55|828.83|446.65|260.55|255.58|0|1125.95
Professional|||41530|SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION|1424|1424|1170.52|1068|1210.4|1281.6|1210.4|3055.99|1917.3|1802.26|0|0|1280.83|1170.52|239.25|1253.92|1216.78|1184.76|1141.26|1279.32|1068|1253.92|433.35|422.05|433.35|1381.9|1381.9|267.89|388.13|276.73|1437.18|1279.32|1279.32|270.57|300.04|294.68|321.47|376.83|1230.68|1230.68|395.67|1199.18|678.29|395.67|388.13|0|3055.99
Professional|||41599|CO2 LASER ABLATION OF TONGUE|291|291|0|218.25|247.35|261.9|247.35|0|0|0|0|0|0|0|673.68|0|0|0|0|0|218.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|673.68
Professional|||41599|ABLATION OF TONGUE LESION|203|203|0|152.25|172.55|182.7|172.55|0|0|0|0|0|0|0|673.68|0|0|0|0|0|152.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|673.68
Professional|||41800|DRAINAGE OF GUM LESION|580|580|474.98|435|493|522|493|923.26|578.2|543.51|0|0|519.74|474.98|93.59|508.82|493.75|480.76|463.11|519.13|435|508.82|176.93|172.31|176.93|563.05|563.05|109.31|158.47|112.92|585.57|519.13|519.13|110.4|122.43|120.24|131.17|153.85|487.52|487.52|161.54|475.04|276.93|161.54|158.47|0|923.26
Professional|||41805|REMOVAL FOREIGN BODY GUM|724|724|592.9|543|615.4|651.6|615.4|921.03|574.7|540.22|0|0|648.78|592.9|112.12|635.15|616.34|600.12|578.08|648.02|543|635.15|223.72|217.88|223.72|702.82|702.82|138.3|200.38|142.86|730.93|648.02|648.02|139.68|154.9|152.13|165.96|194.54|563.32|563.32|204.27|548.9|350.17|204.27|200.38|0|921.03
Professional|||41806|REMOVAL FOREIGN BODYJAWBONE|1046|1046|863.69|784.5|889.1|941.4|889.1|1259.59|781.2|734.33|0|0|945.09|863.69|164.86|925.23|897.83|874.21|842.1|943.98|784.5|925.23|321.4|313.02|321.4|1015.33|1015.33|198.6|287.86|205.15|1055.94|943.98|943.98|200.59|222.43|218.46|238.32|279.48|858.55|858.55|293.45|836.57|503.06|293.45|287.86|0|1259.59
Professional|||41820|EXCISION GUM EACH QUADRANT|965|965|0|723.75|820.25|868.5|820.25|303.69|0|0|0|0|286.44|0|147.86|0|272.12|264.96|0|232.18|723.75|0|0|0|0|936.21|936.21|169.35|0|174.94|973.66|232.18|232.18|171.04|189.67|186.29|203.22|0|792.93|792.93|0|772.63|0|0|0|0|973.66
Professional|||41823|EXCIS OSSEOUS TUBERDENTOALV|1212|1212|1012.19|909|1030.2|1090.8|1030.2|1404.38|861|809.34|0|0|1107.58|1012.19|203.95|1084.31|1052.2|1024.51|986.89|1106.28|909|1084.31|412.08|401.33|412.08|1176.21|1176.21|254.54|369.08|262.94|1223.26|1106.28|1106.28|257.09|285.08|279.99|305.45|358.33|1106.25|1106.25|376.25|1077.93|644.99|376.25|369.08|0|1404.38
Professional|||41825|EXCIS DENTOALVEOLAR LESION|462|462|385.44|346.5|392.7|415.8|392.7|689.38|426.3|400.72|0|0|421.76|385.44|77.47|412.9|400.68|390.13|375.8|421.27|346.5|412.9|139.83|136.18|139.83|448.33|448.33|86.21|125.24|89.05|466.26|421.27|421.27|87.07|96.56|94.83|103.45|121.59|403.81|403.81|127.67|393.47|218.86|127.67|125.24|0|689.38
Professional|||41826|EXCIS DENTOALV LESNSIMPL REPR|799|799|666.06|599.25|679.15|719.1|679.15|1012.35|623|585.62|0|0|728.83|666.06|134.63|713.52|692.39|674.17|649.41|727.97|599.25|713.52|238.97|232.74|238.97|775.35|775.35|147.54|214.03|152.41|806.36|727.97|727.97|149.02|165.24|162.29|177.05|207.8|706.95|706.95|218.19|688.85|374.04|218.19|214.03|0|1012.35
Professional|||41830|REMOVAL OF GUM TISSUE|1053|1053|881.16|789.75|895.05|947.7|895.05|1271.85|779.8|733.01|0|0|964.2|881.16|179.44|943.95|915.99|891.89|859.13|963.07|789.75|943.95|356.2|346.91|356.2|1021.93|1021.93|220.16|319.03|227.43|1062.81|963.07|963.07|222.36|246.58|242.18|264.19|309.74|941.1|941.1|325.23|917.01|557.53|325.23|319.03|0|1271.85
Professional|||41850|TREATMENT OF GUM LESION|483|483|0|362.25|410.55|434.7|410.55|151.61|0|0|0|0|143|0|72.83|0|135.85|132.27|0|83.8|362.25|0|0|0|0|468.11|468.11|84.67|0|87.46|486.83|83.8|83.8|85.52|94.83|93.14|101.6|0|395.9|395.9|0|385.76|0|0|0|0|486.83
Professional|||41874|REPAIR TOOTH SOCKET|968|968|809.1|726|822.8|871.2|822.8|1245.12|765.1|719.19|0|0|885.35|809.1|161.12|866.75|841.08|818.95|788.87|884.31|726|866.75|292.54|284.91|292.54|938.85|938.85|180.64|262.01|186.6|976.4|884.31|884.31|182.45|202.32|198.7|216.77|254.38|854.01|854.01|267.1|832.15|457.88|267.1|262.01|0|1245.12
Professional|||41899|DENTAL EXTRACTION EACH (OC)|406|406|0|304.5|345.1|365.4|345.1|0|0|0|0|0|0|0|0|0|0|0|0|0|304.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|406
Professional|||42000|DRAINAGE ABSCESS PALATE/UVULA|392|392|324.29|294|333.2|352.8|333.2|494.48|305.2|286.89|0|0|354.86|324.29|65.11|347.4|337.11|328.24|316.18|354.44|294|347.4|119.63|116.51|119.63|379.76|379.76|73.9|107.15|76.34|394.95|354.44|354.44|74.64|82.77|81.29|88.68|104.03|342.73|342.73|109.23|333.95|187.25|109.23|107.15|0|494.48
Professional|||42100|BIOPSY PALATE/UVULA|412|412|342.86|309|350.2|370.8|350.2|476.66|292.6|275.04|0|0|375.17|342.86|68.87|367.29|356.41|347.03|334.29|374.73|309|367.29|124.34|121.09|124.34|399.54|399.54|76.72|111.36|79.25|415.52|374.73|374.73|77.49|85.93|84.39|92.06|108.12|359.71|359.71|113.53|350.51|194.62|113.53|111.36|0|476.66
Professional|||42104|EXCIS LESNPALATE/UVULA|521|521|434.58|390.75|442.85|468.9|442.85|690.49|425.6|400.06|0|0|475.53|434.58|87.41|465.54|451.75|439.87|423.72|474.97|390.75|465.54|156.99|152.89|156.99|505.03|505.03|96.99|140.61|100.19|525.23|474.97|474.97|97.96|108.63|106.69|116.39|136.51|458.11|458.11|143.34|446.39|245.72|143.34|140.61|0|690.49
Professional|||42106|EXCIS LESNPALATE/UVULA-SIMPL*|662|662|552.5|496.5|562.7|595.8|562.7|867.57|533.4|501.4|0|0|604.57|552.5|112.35|591.87|574.34|559.23|538.69|603.86|496.5|591.87|196.8|191.67|196.8|642.16|642.16|121.62|176.26|125.63|667.85|603.86|603.86|122.84|136.21|133.78|145.94|171.13|591.59|591.59|179.69|576.45|308.03|179.69|176.26|0|867.57
Professional|||42107|EXCIS LESNPALETE/UVULA-FLAP *|1296|1296|1085.35|972|1101.6|1166.4|1101.6|1487.9|910|855.4|0|0|1187.63|1085.35|216.97|1162.68|1128.25|1098.56|1058.22|1186.24|972|1162.68|391.72|381.51|391.72|1257.96|1257.96|241.97|350.85|249.96|1308.28|1186.24|1186.24|244.39|271.01|266.17|290.36|340.63|1140.2|1140.2|357.66|1111.01|613.13|357.66|350.85|0|1487.9
Professional|||42120|REMOVE PALATE/LESION|3832|3832|3181.8|2874|3257.2|3448.8|3257.2|3245.32|1974.7|1856.22|0|0|3481.65|3181.8|642.28|3408.51|3307.56|3220.52|3102.26|3477.57|2874|3408.51|1157.44|1127.25|1157.44|3719.81|3719.81|715.4|1036.66|739.01|3868.6|3477.57|3477.57|722.55|801.25|786.94|858.48|1006.47|3336.87|3336.87|1056.79|3251.46|1811.65|1056.79|1036.66|0|3868.6
Professional|||42140|EXCISION OF UVULA|589|589|486.99|441.75|500.65|530.1|500.65|854.21|529.9|498.11|0|0|532.88|486.99|97.33|521.69|506.24|492.91|474.82|532.26|441.75|521.69|179.95|175.26|179.95|570.96|570.96|111.1|161.17|114.77|593.8|532.26|532.26|112.21|124.43|122.21|133.32|156.48|505.61|505.61|164.3|492.67|281.66|164.3|161.17|0|854.21
Professional|||42145|PALATOPHAYNGOPLASTY|2610|2610|2182.71|1957.5|2218.5|2349|2218.5|2226.29|1344.7|1264.02|0|0|2388.41|2182.71|436.13|2338.23|2268.98|2209.27|2128.14|2385.61|1957.5|2338.23|790.87|770.24|790.87|2533.06|2533.06|488.82|708.34|504.95|2634.38|2385.61|2385.61|493.71|547.48|537.7|586.58|687.71|2298.48|2298.48|722.1|2239.64|1237.88|722.1|708.34|0|2634.38
Professional|||42160|DESTRUC LESN PALATE/UVULA|552|552|459.69|414|469.2|496.8|469.2|745.07|459.9|432.31|0|0|503.01|459.69|92.03|492.44|477.86|465.28|448.2|502.42|414|492.44|166.85|162.5|166.85|535.36|535.36|103.15|149.44|106.55|556.77|502.42|502.42|104.18|115.53|113.47|123.78|145.09|482.98|482.98|152.34|470.62|261.16|152.34|149.44|0|745.07
Professional|||42180|REPAIR PALATE LACER <2CM|689|689|575.43|516.75|585.65|620.1|585.65|787.39|482.3|453.36|0|0|629.66|575.43|114.11|616.43|598.18|582.44|561.04|628.92|516.75|616.43|210.98|205.48|210.98|668.54|668.54|130.35|188.96|134.65|695.28|628.92|628.92|131.65|145.99|143.39|156.42|183.46|599.5|599.5|192.63|584.16|330.23|192.63|188.96|0|787.39
Professional|||42182|REPAIR PALATE LACER 2+CM OR C*|954|954|800.36|715.5|810.9|858.6|810.9|1029.06|627.2|589.57|0|0|875.79|800.36|157.59|857.39|832|810.1|780.35|874.76|715.5|857.39|291.95|284.33|291.95|925.67|925.67|180.38|261.49|186.33|962.7|874.76|874.76|182.18|202.03|198.42|216.46|253.87|837.06|837.06|266.56|815.63|456.97|266.56|261.49|0|1029.06
Professional|||42210|RECONST CLEFT PALATEBONE GRFT|4109|4109|3463.51|3081.75|3492.65|3698.1|3492.65|3532.66|2116.8|1989.79|0|0|3789.91|3463.51|609.62|3710.29|3600.41|3505.66|3376.92|3785.46|3081.75|3710.29|1252.18|1219.51|1252.18|3988.81|3988.81|774.16|1121.52|799.71|4148.36|3785.46|3785.46|781.9|867.06|851.58|928.99|1088.85|3401.33|3401.33|1143.29|3314.26|1959.93|1143.29|1121.52|0|4148.36
Professional|||42225|RECONST CLEFT PALATEATTACH P*|3742|3742|3103.18|2806.5|3180.7|3367.8|3180.7|3165.14|1928.5|1812.79|0|0|3395.62|3103.18|550.68|3324.29|3225.84|3140.95|3025.6|3391.64|2806.5|3324.29|1135.03|1105.42|1135.03|3632.78|3632.78|701.54|1016.59|724.69|3778.09|3391.64|3391.64|708.56|785.72|771.69|841.85|986.98|2852.73|2852.73|1036.33|2779.7|1776.56|1036.33|1016.59|0|3778.09
Professional|||42226|LENGTHENING PALATE+PHARY FLAP|3344|3344|2764.69|2508|2842.4|3009.6|2842.4|2819.89|1726.9|1623.29|0|0|3025.23|2764.69|562.38|2961.68|2873.97|2798.34|2695.57|3021.69|2508|2961.68|1018.45|991.88|1018.45|3246.43|3246.43|629.43|912.18|650.2|3376.29|3021.69|3021.69|635.72|704.96|692.37|755.32|885.61|2962.47|2962.47|929.89|2886.64|1594.1|929.89|912.18|0|3376.29
Professional|||42310|DRAIN ABSC-SUBMAXSUBLING-INT*|513|513|428.02|384.75|436.05|461.7|436.05|565.76|345.8|325.05|0|0|468.36|428.02|77.02|458.52|444.94|433.23|417.32|467.81|384.75|458.52|155.69|151.63|155.69|497.12|497.12|96.22|139.44|99.4|517|467.81|467.81|97.18|107.77|105.84|115.46|135.38|404.94|404.94|142.15|394.58|243.68|142.15|139.44|0|565.76
Professional|||42320|DRAIN ABSC-SUBMAX-EXTERNAL|661|661|551.41|495.75|561.85|594.9|561.85|806.32|494.9|465.21|0|0|603.37|551.41|108.59|590.7|573.21|558.12|537.62|602.67|495.75|590.7|201.38|196.12|201.38|640.85|640.85|124.45|180.36|128.56|666.48|602.67|602.67|125.69|139.38|136.9|149.34|175.11|570.1|570.1|183.87|555.5|315.2|183.87|180.36|0|806.32
Professional|||42330|REMOVAL SALIVARY STONEUNCOMP*|616|616|515.38|462|523.6|554.4|523.6|740.61|453.6|426.38|0|0|563.95|515.38|102.18|552.1|535.75|521.65|502.5|563.28|462|552.1|187.7|182.81|187.7|597.33|597.33|115.98|168.12|119.81|621.22|563.28|563.28|117.14|129.9|127.58|139.18|163.22|539.56|539.56|171.38|525.75|293.8|171.38|168.12|0|740.61
Professional|||42335|REMOVAL SUBMAND STONECOMPLICATED|966|966|805.82|724.5|821.1|869.4|821.1|1240.66|763.7|717.88|0|0|881.76|805.82|160.45|863.24|837.67|815.63|785.67|880.73|724.5|863.24|295.34|287.64|295.34|937.54|937.54|182.44|264.52|188.46|975.04|880.73|880.73|184.26|204.33|200.68|218.93|256.82|842.7|842.7|269.66|821.13|462.28|269.66|264.52|0|1240.66
Professional|||42400|BIOPSY SALIVARY GLANDNEEDLE|206|206|169.24|154.5|175.1|185.4|175.1|328.54|204.4|192.14|0|0|185.19|169.24|34.2|181.3|175.93|171.3|165.01|184.98|154.5|181.3|61.85|60.23|61.85|199.11|199.11|38.23|55.39|39.49|207.07|184.98|184.98|38.61|42.82|42.05|45.88|53.78|179.84|179.84|56.47|175.24|96.8|56.47|55.39|0|328.54
Professional|||42405|BIOPSY SALIVARY GLANDINCISIO*|845|845|709.74|633.75|718.25|760.5|718.25|956.67|583.8|548.77|0|0|776.62|709.74|139.27|760.31|737.79|718.37|692|775.71|633.75|760.31|258|251.27|258|820.18|820.18|159.34|231.08|164.6|852.99|775.71|775.71|160.93|178.46|175.27|191.21|224.35|739.76|739.76|235.57|720.82|403.83|235.57|231.08|0|956.67
Professional|||42408|EXCISION SUBLING SALIVARY CYST|1330|1330|1118.11|997.5|1130.5|1197|1130.5|1642.71|1005.2|944.89|0|0|1223.48|1118.11|201.3|1197.77|1162.3|1131.71|1090.16|1222.04|997.5|1197.77|406.57|395.96|406.57|1290.93|1290.93|251.21|364.15|259.5|1342.57|1222.04|1222.04|253.72|281.36|276.33|301.45|353.54|1068.93|1068.93|371.22|1041.57|636.37|371.22|364.15|0|1642.71
Professional|||42410|EXC PAROTD LESNLATER LOBE|2313|2313|1955.59|1734.75|1966.05|2081.7|1966.05|1994.64|1191.4|1119.92|0|0|2139.89|1955.59|379.41|2094.93|2032.89|1979.4|1906.7|2137.38|1734.75|2094.93|708.6|690.11|708.6|2245.61|2245.61|438.01|634.66|452.46|2335.43|2137.38|2137.38|442.39|490.57|481.81|525.61|616.17|2028.12|2028.12|646.98|1976.2|1109.11|646.98|634.66|0|2335.43
Professional|||42415|EXC PAROTDLAT LOBEDISSECT 5*|3915|3915|3309.55|2936.25|3327.75|3523.5|3327.75|3375.62|2017.4|1896.36|0|0|3621.44|3309.55|644.72|3545.36|3440.37|3349.83|3226.81|3617.2|2936.25|3545.36|1196.75|1165.53|1196.75|3800.24|3800.24|739.77|1071.87|764.18|3952.25|3617.2|3617.2|747.17|828.54|813.75|887.72|1040.65|3444.32|3444.32|1092.68|3356.15|1873.17|1092.68|1071.87|0|3952.25
Professional|||42420|EXC PAROTDTOTALDISSECT 5TH *|4394|4394|3719.01|3295.5|3734.9|3954.6|3734.9|3793.26|2264.5|2128.63|0|0|4069.49|3719.01|723.08|3984|3866.01|3764.28|3626.03|4064.72|3295.5|3984|1343.41|1308.36|1343.41|4265.73|4265.73|830.35|1203.23|857.75|4436.36|4064.72|4064.72|838.65|929.99|913.39|996.42|1168.18|3865.12|3865.12|1226.59|3766.18|2102.72|1226.59|1203.23|0|4436.36
Professional|||42425|EXC PAROTDTOTALSACRIFICE 5T*|3098|3098|2618.38|2323.5|2633.3|2788.2|2633.3|2670.65|1597.4|1501.56|0|0|2865.13|2618.38|510.52|2804.94|2721.87|2650.25|2552.92|2861.77|2323.5|2804.94|948.7|923.96|948.7|3007.76|3007.76|586.33|849.71|605.68|3128.07|2861.77|2861.77|592.19|656.69|644.96|703.6|824.96|2726.05|2726.05|866.21|2656.27|1484.93|866.21|849.71|0|3128.07
Professional|||42440|EXCISION SUBMAXILLARY GLAND|1535|1535|1291.72|1151.25|1304.75|1381.5|1304.75|1317.51|791|743.54|0|0|1413.45|1291.72|253.16|1383.76|1342.78|1307.44|1259.43|1411.79|1151.25|1383.76|469.45|457.21|469.45|1490.04|1490.04|290.21|420.47|299.79|1549.64|1411.79|1411.79|293.11|325.04|319.23|348.25|408.22|1342.67|1342.67|428.63|1308.3|734.8|428.63|420.47|0|1549.64
Professional|||42450|EXCISION SUBLINGUAL GLAND|1341|1341|1120.29|1005.75|1139.85|1206.9|1139.85|1448.92|885.5|832.37|0|0|1225.86|1120.29|222.27|1200.11|1164.57|1133.92|1092.28|1224.43|1005.75|1200.11|413.13|402.35|413.13|1301.47|1301.47|255.31|370.02|263.74|1353.53|1224.43|1224.43|257.86|285.95|280.84|306.37|359.24|1171.87|1171.87|377.2|1141.87|646.63|377.2|370.02|0|1448.92
Professional|||42500|REPAIR SALIVARY DUCT SIMPLE|1283|1283|1070.06|962.25|1090.55|1154.7|1090.55|1391.01|851.2|800.13|0|0|1170.9|1070.06|212.98|1146.31|1112.36|1083.09|1043.31|1169.53|962.25|1146.31|390.14|379.96|390.14|1244.77|1244.77|241.2|349.43|249.16|1294.56|1169.53|1169.53|243.61|270.14|265.32|289.44|339.25|1118.7|1118.7|356.21|1090.06|610.65|356.21|349.43|0|1391.01
Professional|||42507|PAROTID DUCT DIVERTBILAT|1902|1902|1582.16|1426.5|1616.7|1711.8|1616.7|1613.75|980|921.2|0|0|1731.27|1582.16|320.26|1694.9|1644.7|1601.42|1542.61|1729.24|1426.5|1694.9|572.71|557.77|572.71|1846.06|1846.06|353.85|512.95|365.53|1919.9|1729.24|1729.24|357.39|396.31|389.24|424.62|498.01|1639.03|1639.03|522.91|1597.07|896.42|522.91|512.95|0|1919.9
Professional|||42550|INJECTION FOR SALIVARY X-RAY|241|241|200.91|180.75|204.85|216.9|204.85|464.41|288.4|271.1|0|0|219.84|200.91|38.84|215.22|208.85|203.35|195.89|219.59|180.75|215.22|73.24|71.33|73.24|233.4|233.4|45.16|65.6|46.65|242.74|219.59|219.59|45.61|50.58|49.68|54.19|63.69|207.01|207.01|66.87|201.71|114.64|66.87|65.6|0|464.41
Professional|||42600|CLOSURE OF SALIVARY FISTULA|1306|1306|1092.99|979.5|1110.1|1175.4|1110.1|1575.89|965.3|907.38|0|0|1195.99|1092.99|214.98|1170.87|1136.2|1106.3|1065.67|1194.59|979.5|1170.87|399.46|389.04|399.46|1267.19|1267.19|246.84|357.78|254.99|1317.88|1194.59|1194.59|249.31|276.46|271.52|296.21|347.36|1120.97|1120.97|364.73|1092.27|625.25|364.73|357.78|0|1575.89
Professional|||42700|INC/DRAIN PERITONSIL ABSCESS|510|510|423.66|382.5|433.5|459|433.5|604.74|372.4|350.06|0|0|463.58|423.66|84.54|453.84|440.4|428.81|413.07|463.04|382.5|453.84|154.49|150.46|154.49|494.48|494.48|95.45|138.37|98.6|514.26|463.04|463.04|96.4|106.9|105|114.54|134.34|442.26|442.26|141.06|430.94|241.81|141.06|138.37|0|604.74
Professional|||42720|INC/DRAIN RETROPHARYNG ABSCES*|1455|1455|1229.48|1091.25|1236.75|1309.5|1236.75|1451.15|875.7|823.16|0|0|1345.34|1229.48|240.14|1317.08|1278.08|1244.44|1198.74|1343.77|1091.25|1317.08|442.06|430.53|442.06|1412.24|1412.24|273.27|395.93|282.29|1468.73|1343.77|1343.77|276|306.06|300.6|327.92|384.4|1279.32|1279.32|403.62|1246.57|691.92|403.62|395.93|0|1468.73
Professional|||42725|INC/DRAIN RETROPHARYNG ABSCES*|3032|3032|2565.97|2274|2577.2|2728.8|2577.2|2617.2|1562.4|1468.66|0|0|2807.78|2565.97|501.24|2748.8|2667.39|2597.2|2501.82|2804.49|2274|2748.8|916.7|892.79|916.7|2943.15|2943.15|566.57|821.04|585.27|3060.88|2804.49|2804.49|572.24|634.56|623.23|679.88|797.13|2680.8|2680.8|836.99|2612.17|1434.83|836.99|821.04|0|3060.88
Professional|||42800|BIOPSY OROPHARYNX|424|424|352.68|318|360.4|381.6|360.4|501.17|308|289.52|0|0|385.92|352.68|69.52|377.81|366.62|356.98|343.86|385.47|318|377.81|129.36|125.99|129.36|411.4|411.4|79.8|115.86|82.43|427.86|385.47|385.47|80.6|89.38|87.78|95.76|112.49|365.36|365.36|118.11|356|202.48|118.11|115.86|0|501.17
Professional|||42804|BIOPSY NASOPHARYNXSIMPLE|432|432|358.14|324|367.2|388.8|367.2|629.24|389.9|366.51|0|0|391.89|358.14|70.86|383.66|372.3|362.5|349.19|391.44|324|383.66|131.81|128.37|131.81|419.32|419.32|81.34|118.06|84.02|436.09|391.44|391.44|82.15|91.1|89.47|97.61|114.62|368.76|368.76|120.35|359.32|206.32|120.35|118.06|0|629.24
Professional|||42806|BIOPSY NASOPHARYNXSURVEY|500|500|416.01|375|425|450|425|703.86|435.4|409.28|0|0|455.22|416.01|82.32|445.66|432.46|421.08|405.61|454.69|375|445.66|152.96|148.97|152.96|485.25|485.25|94.42|137|97.54|504.66|454.69|454.69|95.36|105.75|103.86|113.3|133.01|429.84|429.84|139.66|418.84|239.42|139.66|137|0|703.86
Professional|||42808|EXCISE PHARYNX LESION|608|608|509.92|456|516.8|547.2|516.8|726.13|444.5|417.83|0|0|557.97|509.92|99.98|546.25|530.07|516.12|497.17|557.32|456|546.25|185.85|181|185.85|589.42|589.42|114.7|166.46|118.49|613|557.32|557.32|115.85|128.46|126.17|137.64|161.61|529.38|529.38|169.69|515.83|290.9|169.69|166.46|0|726.13
Professional|||42809|REMOVE PHARYNX FOREIGN BODY|460|460|385.44|345|391|414|391|640.38|393.4|369.8|0|0|421.76|385.44|75.05|412.9|400.68|390.13|375.8|421.27|345|412.9|140.99|137.31|140.99|445.69|445.69|86.98|126.28|89.85|463.52|421.27|421.27|87.85|97.42|95.68|104.38|122.6|399.3|399.3|128.73|389.08|220.68|128.73|126.28|0|640.38
Professional|||42810|EXCISION BRACH CLFT CYSTSUPE*|1079|1079|895.36|809.25|917.15|971.1|917.15|1231.75|758.1|712.61|0|0|979.74|895.36|180.55|959.15|930.75|906.26|872.98|978.59|809.25|959.15|325.75|317.25|325.75|1046.98|1046.98|201.17|291.76|207.81|1088.86|978.59|978.59|203.18|225.31|221.29|241.4|283.26|942.23|942.23|297.42|918.11|509.87|297.42|291.76|0|1231.75
Professional|||42815|EXCISION BRANC CLFT CYSTDEEP|2061|2061|1724.11|1545.75|1751.85|1854.9|1751.85|1758.53|1061.9|998.19|0|0|1886.59|1724.11|346.53|1846.96|1792.26|1745.1|1681.01|1884.38|1545.75|1846.96|624.14|607.86|624.14|2000.34|2000.34|385.66|559.01|398.39|2080.35|1884.38|1884.38|389.52|431.94|424.23|462.79|542.73|1823.41|1823.41|569.87|1776.74|976.91|569.87|559.01|0|2080.35
Professional|||42820|REMOVE TONSILS/ADENOIDS<12 Y*|1082|1082|906.28|811.5|919.7|973.8|919.7|924.37|557.2|523.77|0|0|991.68|906.28|178.79|970.85|942.1|917.31|883.62|990.52|811.5|970.85|329.34|320.75|329.34|1049.62|1049.62|203.48|294.97|210.19|1091.6|990.52|990.52|205.51|227.9|223.83|244.18|286.38|941.1|941.1|300.7|917.01|515.48|300.7|294.97|0|1091.6
Professional|||42821|REMOVE TONSILS/ADENOIDS12+ Y*|1122|1122|941.22|841.5|953.7|1009.8|953.7|960.01|578.2|543.51|0|0|1029.92|941.22|185.63|1008.28|978.42|952.67|917.69|1028.71|841.5|1008.28|343.56|334.6|343.56|1089.18|1089.18|212.2|307.71|219.2|1132.75|1028.71|1028.71|214.32|237.66|233.42|254.64|298.75|981.82|981.82|313.69|956.68|537.75|313.69|307.71|0|1132.75
Professional|||42825|REMOVAL OF TONSILS<12 Y/O|982|982|820.02|736.5|834.7|883.8|834.7|836.39|506.1|475.73|0|0|897.29|820.02|162.21|878.44|852.43|830|799.52|896.24|736.5|878.44|301.05|293.19|301.05|953.36|953.36|186.03|269.63|192.17|991.49|896.24|896.24|187.89|208.35|204.63|223.24|261.78|854.01|854.01|274.87|832.15|471.2|274.87|269.63|0|991.49
Professional|||42826|REMOVAL OF TONSILS12+ Y/O|943|943|787.26|707.25|801.55|848.7|801.55|802.98|485.1|455.99|0|0|861.45|787.26|155.39|843.35|818.38|796.84|767.58|860.44|707.25|843.35|287.64|280.13|287.64|915.12|915.12|177.82|257.62|183.69|951.72|860.44|860.44|179.6|199.16|195.6|213.38|250.12|820.07|820.07|262.63|799.07|450.22|262.63|257.62|0|951.72
Professional|||42830|REMOVAL ADENOIDSPRIMARY<12 *|780|780|649.68|585|663|702|663|662.65|401.8|377.69|0|0|710.91|649.68|128.67|695.97|675.36|657.59|633.44|710.07|585|695.97|238.53|232.31|238.53|756.88|756.88|147.28|213.64|152.14|787.16|710.07|710.07|148.75|164.95|162.01|176.74|207.42|675.3|675.3|217.79|658.02|373.36|217.79|213.64|0|787.16
Professional|||42831|REMOVAL ADENOIDSPRIMARY12+ *|844|844|702.09|633|717.4|759.6|717.4|716.11|434|407.96|0|0|768.26|702.09|139.05|752.12|729.84|710.64|684.54|767.36|633|752.12|258.49|251.74|258.49|818.86|818.86|159.6|231.51|164.87|851.61|767.36|767.36|161.2|178.75|175.56|191.52|224.77|729.58|729.58|236.01|710.9|404.59|236.01|231.51|0|851.61
Professional|||42842|RAD RESEC TONSIL/PILLARS|3818|3818|3173.06|2863.5|3245.3|3436.2|3245.3|3236.41|1967|1848.98|0|0|3472.09|3173.06|640.31|3399.15|3298.48|3211.68|3093.73|3468.02|2863.5|3399.15|1156.76|1126.59|1156.76|3706.63|3706.63|715.14|1036.06|738.74|3854.9|3468.02|3468.02|722.29|800.96|786.65|858.17|1005.88|3332.34|3332.34|1056.17|3247.03|1810.58|1056.17|1036.06|0|3854.9
Professional|||42844|RAD RESEC TONSIL/PILLARSCLOS*|5238|5238|4362.14|3928.5|4452.3|4714.2|4452.3|4449.23|2698.5|2536.59|0|0|4773.23|4362.14|874.71|4672.95|4534.56|4415.23|4253.09|4767.63|3928.5|4672.95|1590.45|1548.96|1590.45|5084.58|5084.58|983.29|1424.49|1015.74|5287.96|4767.63|4767.63|993.12|1101.28|1081.62|1179.95|1383|4584.51|4584.51|1452.15|4467.16|2489.4|1452.15|1424.49|0|5287.96
Professional|||42890|PARTIAL REMOVAL OF PHARYNX|5391|5391|4506.27|4043.25|4582.35|4851.9|4582.35|4596.24|2779|2612.26|0|0|4930.94|4506.27|900.3|4827.35|4684.39|4561.12|4393.61|4925.16|4043.25|4827.35|1630.69|1588.15|1630.69|5233.59|5233.59|1008.18|1460.53|1041.45|5442.93|4925.16|4925.16|1018.26|1129.16|1109|1209.82|1417.99|4725.9|4725.9|1488.89|4604.93|2552.38|1488.89|1460.53|0|5442.93
Professional|||42892|RESEC LAT PHARYN WALL/PYRIFRM*|7067|7067|5914.82|5300.25|6006.95|6360.3|6006.95|6032.91|3643.5|3424.89|0|0|6472.23|5914.82|1184.37|6336.26|6148.62|5986.81|5766.95|6464.65|5300.25|6336.26|2142.06|2086.18|2142.06|6860.76|6860.76|1324.31|1918.54|1368.01|7135.19|6464.65|6464.65|1337.55|1483.23|1456.74|1589.17|1862.66|6238.23|6238.23|1955.79|6078.54|3352.79|1955.79|1918.54|0|7135.19
Professional|||42900|SUTURE INJURY/WND PHARYNX|1251|1251|1053.68|938.25|1063.35|1125.9|1063.35|1074.72|644|605.36|0|0|1152.98|1053.68|207.03|1128.76|1095.33|1066.51|1027.34|1151.63|938.25|1128.76|379.33|369.43|379.33|1214.44|1214.44|234.27|339.75|242|1263.02|1151.63|1151.63|236.61|262.38|257.7|281.12|329.85|1103.98|1103.98|346.34|1075.72|593.73|346.34|339.75|0|1263.02
Professional|||42950|RECONSTRUCTION OF THROAT|3078|3078|2541.94|2308.5|2616.3|2770.2|2616.3|2592.69|1586.9|1491.69|0|0|2781.49|2541.94|520.9|2723.06|2642.42|2572.88|2478.39|2778.24|2308.5|2723.06|924.76|900.64|924.76|2987.98|2987.98|571.7|828.26|590.57|3107.5|2778.24|2778.24|577.42|640.3|628.87|686.04|804.14|2688.71|2688.71|844.35|2619.88|1447.45|844.35|828.26|0|3107.5
Professional|||42960|CONTROL THROAT BLEEDSIMPLE|628|628|527.39|471|533.8|565.2|533.8|537.92|323.4|304|0|0|577.09|527.39|105.05|564.97|548.23|533.81|514.21|576.41|471|564.97|188.78|183.86|188.78|609.2|609.2|116.49|169.08|120.33|633.57|576.41|576.41|117.65|130.47|128.14|139.79|164.16|555.38|555.38|172.37|541.16|295.49|172.37|169.08|0|633.57
Professional|||42961|CONTROL THROAT BLEEDCOMPL IN*|1565|1565|1308.1|1173.75|1330.25|1408.5|1330.25|1334.21|806.4|758.02|0|0|1431.37|1308.1|262.21|1401.3|1359.8|1324.02|1275.4|1429.69|1173.75|1401.3|476.31|463.88|476.31|1519.05|1519.05|294.32|426.61|304.03|1579.81|1429.69|1429.69|297.26|329.64|323.75|353.18|414.18|1377.71|1377.71|434.89|1342.45|745.52|434.89|426.61|0|1579.81
Professional|||42962|CONTROL THROAT BLEEDSURG INT*|1932|1932|1619.29|1449|1642.2|1738.8|1642.2|1651.62|995.4|935.68|0|0|1771.89|1619.29|320.48|1734.67|1683.29|1639|1578.81|1769.81|1449|1734.67|586.82|571.51|586.82|1875.07|1875.07|362.57|525.59|374.53|1950.07|1769.81|1769.81|366.2|406.08|398.83|435.08|510.28|1696.71|1696.71|535.79|1653.28|918.5|535.79|525.59|0|1950.07
Professional|||42999|PB PHARYNGOPLASTY WITH PHARYNGEAL FLAP|2121|2121|0|1590.75|1802.85|1908.9|1802.85|0|0|0|0|0|0|0|0|0|0|0|0|0|1590.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2121
Professional|||42999|TAKEDOWN PHARYGEAL FLAP|1461|1461|0|1095.75|1241.85|1314.9|1241.85|0|0|0|0|0|0|0|0|0|0|0|0|0|1095.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1461
Professional|||43030|CRICOPHAYNGEAL MYOTOMY|1928|1928|1629.11|1446|1638.8|1735.2|1638.8|1661.64|993.3|933.7|0|0|1782.64|1629.11|316.5|1745.19|1693.51|1648.94|1588.38|1780.55|1446|1745.19|589.62|574.24|589.62|1871.11|1871.11|364.37|528.09|376.39|1945.95|1780.55|1780.55|368.01|408.09|400.81|437.24|512.71|1689.93|1689.93|538.35|1646.67|922.88|538.35|528.09|0|1945.95
Professional|||43045|INCIS ESOPHAGUSFOREIGN BODY*|4683|4683|4113.19|3512.25|3980.55|4214.7|3980.55|4195.31|2413.6|2268.78|0|0|4500.81|4113.19|767.67|4406.26|4275.77|4163.25|4010.36|4495.54|3512.25|4406.26|1434.1|1396.68|1434.1|4546.58|4546.58|886.55|1284.45|915.81|4728.44|4495.54|4495.54|895.42|992.94|975.21|1063.86|1247.04|4264.39|4264.39|1309.39|4155.23|2244.67|1309.39|1284.45|0|4728.44
Professional|||43122|PARI REMOV ESOPHTHORACOABDOM|9201|9201|8092.07|6900.75|7820.85|8280.9|7820.85|8253.63|4741.8|4457.29|0|0|8854.66|8092.07|1505.08|8668.65|8411.93|8190.56|7889.77|8844.29|6900.75|8668.65|2821.62|2748.01|2821.62|8932.3|8932.3|1744.36|2527.19|1801.92|9289.59|8844.29|8844.29|1761.8|1953.68|1918.8|2093.23|2453.58|8408.91|8408.91|2576.26|8193.66|4416.44|2576.26|2527.19|0|9289.59
Professional|||43180|PR ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH|2032|2032|1719.74|1524|1727.2|1828.8|1727.2|1754.08|1046.5|983.71|0|0|1881.81|1719.74|335.93|1842.28|1787.72|1740.67|1676.75|1879.61|1524|1842.28|619.83|603.66|619.83|1972.65|1972.65|383.1|555.15|395.74|2051.56|1879.61|1879.61|386.93|429.07|421.41|459.72|538.98|1791.74|1791.74|565.93|1745.87|970.16|565.93|555.15|0|2051.56
Professional|||43191|PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH|578|578|488.08|433.5|491.3|520.2|491.3|497.82|297.5|279.65|0|0|534.08|488.08|94.23|522.86|507.37|494.02|475.88|533.45|433.5|522.86|175.31|170.73|175.31|560.41|560.41|108.28|157.01|111.85|582.83|533.45|533.45|109.36|121.27|119.11|129.94|152.44|505.61|505.61|160.06|492.67|274.39|160.06|157.01|0|582.83
Professional|||43194|PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY|712|712|609.28|534|605.2|640.8|605.2|621.44|366.1|344.13|0|0|666.7|609.28|115.65|652.69|633.36|616.7|594.05|665.92|534|652.69|216.68|211.03|216.68|690.96|690.96|133.94|194.07|138.36|718.6|665.92|665.92|135.28|150.01|147.33|160.73|188.42|634.58|634.58|197.84|618.34|339.16|197.84|194.07|0|718.6
Professional|||43196|PR ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION|731|731|619.11|548.25|621.35|657.9|621.35|631.47|376.6|354|0|0|677.45|619.11|120.07|663.22|643.58|626.64|603.63|676.66|548.25|663.22|222.86|217.04|222.86|709.41|709.41|137.53|199.6|142.07|737.79|676.66|676.66|138.91|154.03|151.28|165.04|193.79|647|647|203.48|630.44|348.82|203.48|199.6|0|737.79
Professional|||43200|PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC|326|326|276.25|244.5|277.1|293.4|277.1|723.91|448.7|421.78|0|0|302.28|276.25|57.16|295.93|287.17|279.61|269.34|301.93|244.5|295.93|99.43|96.84|99.43|316.47|316.47|61.32|89.05|63.34|329.13|301.93|301.93|61.93|68.68|67.45|73.58|86.46|289.59|289.59|90.78|282.17|155.63|90.78|89.05|0|723.91
Professional|||43202|PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY|388|388|327.57|291|329.8|349.2|329.8|1020.15|635.6|597.46|0|0|358.44|327.57|66.65|350.91|340.52|331.56|319.38|358.02|291|350.91|117.63|114.56|117.63|375.8|375.8|72.61|105.36|75.01|390.83|358.02|358.02|73.34|81.32|79.87|87.13|102.29|342.73|342.73|107.4|333.95|184.12|107.4|105.36|0|1020.15
Professional|||43212|PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT|704|704|604.91|528|598.4|633.6|598.4|616.99|361.9|340.19|0|0|661.92|604.91|118.3|648.01|628.82|612.28|589.79|661.14|528|648.01|213.24|207.68|213.24|683.05|683.05|131.63|190.99|135.97|710.37|661.14|661.14|132.95|147.43|144.79|157.96|185.43|631.18|631.18|194.7|615.02|333.77|194.7|190.99|0|710.37
Professional|||43213|PR ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER|972|972|825.48|729|826.2|874.8|826.2|3768.76|2361.8|2220.09|0|0|903.27|825.48|162.01|884.29|858.11|835.52|804.84|902.21|729|884.29|294.47|286.79|294.47|942.81|942.81|181.92|263.74|187.92|980.52|902.21|902.21|183.74|203.75|200.11|218.3|256.06|858.55|858.55|268.86|836.57|460.91|268.86|263.74|0|3768.76
Professional|||43214|PR ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM|724|724|612.56|543|615.4|651.6|615.4|624.79|373.1|350.71|0|0|670.28|612.56|121.38|656.2|636.77|620.01|597.25|669.5|543|656.2|220.69|214.93|220.69|702.82|702.82|136.25|197.66|140.75|730.93|669.5|669.5|137.61|152.6|149.88|163.5|191.9|639.09|639.09|201.5|622.73|345.42|201.5|197.66|0|730.93
Professional|||43215|PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY|529|529|452.05|396.75|449.65|476.1|449.65|1178.29|728.7|684.98|0|0|494.65|452.05|89.61|484.26|469.91|457.55|440.75|494.07|396.75|484.26|160.63|156.44|160.63|512.94|512.94|99.3|143.87|102.58|533.46|494.07|494.07|100.29|111.22|109.23|119.16|139.68|470.56|470.56|146.66|458.52|251.42|146.66|143.87|0|1178.29
Professional|||43220|PR ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM|443|443|374.52|332.25|376.55|398.7|376.55|3294.32|2079|1954.26|0|0|409.82|374.52|75.93|401.21|389.33|379.08|365.16|409.34|332.25|401.21|134.73|131.22|134.73|429.87|429.87|83.13|120.67|85.87|447.06|409.34|409.34|83.96|93.11|91.44|99.76|117.16|391.36|391.36|123.02|381.34|210.89|123.02|120.67|0|3294.32
Professional|||43226|PR ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION|487|487|414.92|365.25|413.95|438.3|413.95|1068.04|660.8|621.15|0|0|454.02|414.92|83.43|444.49|431.32|419.97|404.55|453.49|365.25|444.49|147.69|143.84|147.69|472.07|472.07|91.09|132.28|94.1|490.95|453.49|453.49|92|102.02|100.2|109.31|128.43|433.21|433.21|134.85|422.13|231.17|134.85|132.28|0|1068.04
Professional|||43227|PR ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL|627|627|528.48|470.25|532.95|564.3|532.95|1981.27|1239|1164.66|0|0|578.28|528.48|105.05|566.13|549.37|534.91|515.27|577.61|470.25|566.13|189.37|184.43|189.37|607.88|607.88|117|169.61|120.86|632.2|577.61|577.61|118.17|131.04|128.7|140.4|164.67|548.6|548.6|172.9|534.56|296.41|172.9|169.61|0|1981.27
Professional|||43229|PR ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION|746|746|630.03|559.5|634.1|671.4|634.1|2126.05|1327.2|1247.57|0|0|689.4|630.03|124.92|674.92|654.93|637.69|614.28|688.59|559.5|674.92|226.25|220.35|226.25|723.92|723.92|139.84|202.64|144.45|752.88|688.59|688.59|141.24|156.62|153.82|167.81|196.74|656.05|656.05|206.58|639.25|354.13|206.58|202.64|0|2126.05
Professional|||43231|PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM|606|606|507.73|454.5|515.1|545.4|515.1|1090.31|675.5|634.97|0|0|555.58|507.73|102.18|543.91|527.8|513.91|495.04|554.93|454.5|543.91|183.78|178.99|183.78|588.1|588.1|113.41|164.6|117.15|611.62|554.93|554.93|114.54|127.02|124.75|136.09|159.81|531.65|531.65|167.8|518.04|287.66|167.8|164.6|0|1090.31
Professional|||43235|PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC|464|464|390.9|348|394.4|417.6|394.4|847.53|524.3|492.84|0|0|427.74|390.9|79.01|418.75|406.35|395.66|381.13|427.24|348|418.75|140.58|136.91|140.58|449.65|449.65|86.73|125.91|89.59|467.64|427.24|427.24|87.6|97.14|95.4|104.08|122.24|408.35|408.35|128.35|397.89|220.03|128.35|125.91|0|847.53
Professional|||43236|PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION|525|525|442.22|393.75|446.25|472.5|446.25|1114.81|692.3|650.76|0|0|483.89|442.22|88.95|473.73|459.7|447.6|431.16|483.33|393.75|473.73|159.06|154.91|159.06|508.99|508.99|98.27|142.46|101.51|529.35|483.33|483.33|99.25|110.06|108.1|117.92|138.31|460.38|460.38|145.23|448.6|248.96|145.23|142.46|0|1114.81
Professional|||43237|PR ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS|743|743|625.66|557.25|631.55|668.7|631.55|638.15|382.9|359.93|0|0|684.62|625.66|124.26|670.24|650.39|633.27|610.02|683.82|557.25|670.24|225.1|219.23|225.1|721.28|721.28|139.07|201.61|143.66|750.13|683.82|683.82|140.46|155.76|152.98|166.88|195.74|650.41|650.41|205.53|633.76|352.33|205.53|201.61|0|750.13
Professional|||43238|PR EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS|882|882|743.58|661.5|749.7|793.8|749.7|758.43|455|427.7|0|0|813.66|743.58|146.99|796.57|772.98|752.63|724.99|812.71|661.5|796.57|267.38|260.4|267.38|855.78|855.78|165.25|239.48|170.7|890.01|812.71|812.71|166.9|185.08|181.78|198.3|232.5|774.84|774.84|244.13|755|418.5|244.13|239.48|0|890.01
Professional|||43239|PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE|525|525|442.22|393.75|446.25|472.5|446.25|1134.86|704.9|662.61|0|0|483.89|442.22|88.73|473.73|459.7|447.6|431.16|483.33|393.75|473.73|158.78|154.64|158.78|508.99|508.99|98.02|142.21|101.25|529.35|483.33|483.33|99|109.78|107.82|117.62|138.07|461.52|461.52|144.97|449.7|248.53|144.97|142.21|0|1134.86
Professional|||43240|PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST|1488|1488|1255.69|1116|1264.8|1339.2|1264.8|1280.76|766.5|720.51|0|0|1374.02|1255.69|245.43|1345.16|1305.32|1270.97|1224.3|1372.41|1116|1345.16|451.11|439.34|451.11|1443.88|1443.88|278.66|404.04|287.86|1501.64|1372.41|1372.41|281.45|312.1|306.53|334.39|392.27|1306.45|1306.45|411.88|1273.01|706.09|411.88|404.04|0|1501.64
Professional|||43241|PR EGD INTRALUMINAL TUBE/CATHETER INSERTION|538|538|455.32|403.5|457.3|484.2|457.3|464.41|277.2|260.57|0|0|498.23|455.32|90.94|487.76|473.32|460.86|443.94|497.65|403.5|487.76|162.93|158.68|162.93|522.17|522.17|100.58|145.93|103.9|543.06|497.65|497.65|101.59|112.65|110.64|120.7|141.68|473.94|473.94|148.76|461.8|255.02|148.76|145.93|0|543.06
Professional|||43242|PR EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY|997|997|839.67|747.75|847.45|897.3|847.45|856.44|513.8|482.97|0|0|918.8|839.67|165.97|899.5|872.86|849.89|818.68|917.72|747.75|899.5|302.69|294.8|302.69|967.86|967.86|187.06|271.11|193.23|1006.57|917.72|917.72|188.93|209.51|205.77|224.47|263.21|874.37|874.37|276.37|851.99|473.78|276.37|271.11|0|1006.57
Professional|||43243|PR EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES|897|897|757.78|672.75|762.45|807.3|762.45|772.91|462.7|434.94|0|0|829.19|757.78|149.42|811.77|787.73|767|738.84|828.22|672.75|811.77|272.53|265.42|272.53|870.29|870.29|168.32|244.09|173.87|905.1|828.22|828.22|170|188.52|185.15|201.98|236.98|788.39|788.39|248.83|768.21|426.56|248.83|244.09|0|905.1
Professional|||43244|PR EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES|929|929|782.89|696.75|789.65|836.1|789.65|798.52|478.8|450.07|0|0|856.67|782.89|155.17|838.67|813.84|792.42|763.32|855.67|696.75|838.67|282.39|275.03|282.39|901.94|901.94|174.48|252.93|180.24|938.02|855.67|855.67|176.22|195.42|191.93|209.38|245.56|816.69|816.69|257.84|795.79|442.01|257.84|252.93|0|938.02
Professional|||43245|PR EGD DILATION GASTRIC/DUODENAL STRICTURE|661|661|560.14|495.75|561.85|594.9|561.85|1806.42|1124.9|1057.41|0|0|612.93|560.14|110.8|600.06|582.29|566.96|546.14|612.21|495.75|600.06|200.69|195.45|200.69|640.85|640.85|123.93|179.75|128.02|666.48|612.21|612.21|125.17|138.8|136.32|148.72|174.51|583.68|583.68|183.24|568.74|314.12|183.24|179.75|0|1806.42
Professional|||43246|PR EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE|752|752|639.85|564|639.2|676.8|639.2|652.63|387.1|363.87|0|0|700.15|639.85|125.59|685.44|665.15|647.64|623.85|699.33|564|685.44|227.96|222.02|227.96|729.19|729.19|140.87|204.18|145.52|758.36|699.33|699.33|142.28|157.77|154.96|169.04|198.23|665.12|665.12|208.14|648.1|356.81|208.14|204.18|0|758.36
Professional|||43247|PR EGD FLEXIBLE FOREIGN BODY REMOVAL|670|670|565.6|502.5|569.5|603|569.5|1140.43|702.8|660.63|0|0|618.91|565.6|112.35|605.9|587.96|572.49|551.46|618.18|502.5|605.9|202.75|197.46|202.75|650.07|650.07|125.22|181.59|129.35|676.07|618.18|618.18|126.47|140.25|137.74|150.26|176.3|588.19|588.19|185.12|573.13|317.34|185.12|181.59|0|1140.43
Professional|||43248|PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS|631|631|530.66|473.25|536.35|567.9|536.35|1171.61|725.2|681.69|0|0|580.67|530.66|105.94|568.47|551.64|537.12|517.39|579.99|473.25|568.47|190.61|185.64|190.61|611.84|611.84|117.77|170.72|121.66|636.31|579.99|579.99|118.95|131.9|129.55|141.32|165.75|552.01|552.01|174.04|537.88|298.35|174.04|170.72|0|1171.61
Professional|||43249|PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM|582|582|490.26|436.5|494.7|523.8|494.7|3339.99|2104.2|1977.95|0|0|536.47|490.26|98.01|525.2|509.64|496.23|478|535.84|436.5|525.2|175.89|171.3|175.89|564.37|564.37|108.54|157.54|112.12|586.94|535.84|535.84|109.63|121.56|119.39|130.25|152.95|511.28|511.28|160.6|498.2|275.31|160.6|157.54|0|3339.99
Professional|||43251|PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH|743|743|626.75|557.25|631.55|668.7|631.55|1452.26|899.5|845.53|0|0|685.82|626.75|124.48|671.41|651.52|634.38|611.08|685.01|557.25|671.41|225.12|219.25|225.12|721.28|721.28|139.07|201.63|143.66|750.13|685.01|685.01|140.46|155.76|152.98|166.88|195.76|651.54|651.54|205.55|634.86|352.37|205.55|201.63|0|1452.26
Professional|||43253|PR EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER|999|999|840.76|749.25|849.15|899.1|849.15|857.55|513.8|482.97|0|0|920|840.76|165.75|900.67|874|851|819.74|918.92|749.25|900.67|302.99|295.09|302.99|969.19|969.19|187.31|271.37|193.49|1007.96|918.92|918.92|189.18|209.79|206.04|224.77|263.47|874.37|874.37|276.64|851.99|474.25|276.64|271.37|0|1007.96
Professional|||43254|PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION|1025|1025|863.69|768.75|871.25|922.5|871.25|880.94|527.8|496.13|0|0|945.09|863.69|170.16|925.23|897.83|874.21|842.1|943.98|768.75|925.23|311.05|302.94|311.05|994.24|994.24|192.19|278.59|198.53|1034.01|943.98|943.98|194.11|215.25|211.41|230.63|270.48|900.37|900.37|284|877.33|486.86|284|278.59|0|1034.01
Professional|||43255|PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD|761|761|640.95|570.75|646.85|684.9|646.85|2089.3|1305.5|1227.17|0|0|701.35|640.95|127.36|686.61|666.28|648.75|624.93|700.53|570.75|686.61|230.82|224.8|230.82|738.43|738.43|142.66|206.73|147.37|767.97|700.53|700.53|144.09|159.78|156.93|171.19|200.71|668.5|668.5|210.75|651.38|361.28|210.75|206.73|0|2089.3
Professional|||43259|PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM|859|859|722.84|644.25|730.15|773.1|730.15|737.27|442.4|415.86|0|0|790.96|722.84|143.24|774.34|751.41|731.64|704.77|790.03|644.25|774.34|260.57|253.77|260.57|833.37|833.37|160.88|233.38|166.19|866.7|790.03|790.03|162.49|180.19|176.97|193.06|226.58|752.21|752.21|237.91|732.95|407.84|237.91|233.38|0|866.7
Professional|||43260|PR ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING|1224|1224|1031.85|918|1040.4|1101.6|1040.4|1052.45|630.7|592.86|0|0|1129.09|1031.85|202.61|1105.37|1072.63|1044.4|1006.05|1127.76|918|1105.37|371.27|361.58|371.27|1188.08|1188.08|229.4|332.53|236.97|1235.6|1127.76|1127.76|231.69|256.93|252.34|275.28|322.84|1072.31|1072.31|338.98|1044.86|581.11|338.98|332.53|0|1235.6
Professional|||43261|PR ERCP W/BIOPSY SINGLE/MULTIPLE|1284|1284|1083.16|963|1091.4|1155.6|1091.4|1104.79|662.2|622.47|0|0|1185.24|1083.16|212.55|1160.34|1125.98|1096.35|1056.08|1183.85|963|1160.34|389.47|379.31|389.47|1246.09|1246.09|240.69|348.83|248.63|1295.93|1183.85|1183.85|243.1|269.57|264.76|288.83|338.67|1126.61|1126.61|355.6|1097.77|609.61|355.6|348.83|0|1295.93
Professional|||43262|PR ERCP W/SPHINCTEROTOMY/PAPILLOTOMY|1355|1355|1142.13|1016.25|1151.75|1219.5|1151.75|1164.93|698.6|656.68|0|0|1249.76|1142.13|224.01|1223.51|1187.27|1156.03|1113.58|1248.3|1016.25|1223.51|411.16|400.43|411.16|1314.66|1314.66|254.03|368.26|262.41|1367.25|1248.3|1248.3|256.57|284.51|279.43|304.84|357.53|1188.83|1188.83|375.41|1158.4|643.55|375.41|368.26|0|1367.25
Professional|||43264|PR ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT|1382|1382|1163.97|1036.5|1174.7|1243.8|1174.7|1187.2|711.9|669.19|0|0|1273.66|1163.97|228.22|1246.9|1209.97|1178.13|1134.87|1272.16|1036.5|1246.9|418.81|407.88|418.81|1341.03|1341.03|258.9|375.11|267.44|1394.67|1272.16|1272.16|261.49|289.97|284.79|310.68|364.18|1211.46|1211.46|382.39|1180.45|655.52|382.39|375.11|0|1394.67
Professional|||43265|PR ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD|1643|1643|1385.62|1232.25|1396.55|1478.7|1396.55|1413.29|846.3|795.52|0|0|1516.2|1385.62|271.05|1484.35|1440.39|1402.49|1350.98|1514.42|1232.25|1484.35|498.65|485.64|498.65|1594.21|1594.21|308.17|446.62|318.34|1657.98|1514.42|1514.42|311.25|345.15|338.99|369.8|433.61|1442.2|1442.2|455.29|1405.28|780.5|455.29|446.62|0|1657.98
Professional|||43266|PR EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION|822|822|697.72|616.5|698.7|739.8|698.7|711.65|423.5|398.09|0|0|763.48|697.72|142.15|747.44|725.3|706.22|680.28|762.58|616.5|747.44|249.18|242.68|249.18|797.77|797.77|153.96|223.18|159.04|829.68|762.58|762.58|155.5|172.44|169.36|184.75|216.68|726.21|726.21|227.51|707.62|390.02|227.51|223.18|0|829.68
Professional|||43270|PR EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE|851|851|717.38|638.25|723.35|765.9|723.35|2188.42|1364.3|1282.44|0|0|784.98|717.38|146.99|768.49|745.73|726.11|699.45|784.06|638.25|768.49|258.21|251.47|258.21|825.46|825.46|159.6|231.27|164.87|858.48|784.06|784.06|161.2|178.75|175.56|191.52|224.53|747.67|747.67|235.76|728.53|404.15|235.76|231.27|0|2188.42
Professional|||43273|PR ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC|451|451|381.07|338.25|383.35|405.9|383.35|388.68|232.4|218.46|0|0|416.99|381.07|73.71|408.23|396.14|385.71|371.54|416.5|338.25|408.23|137.83|134.23|137.83|437.78|437.78|85.19|123.45|88|455.29|416.5|416.5|86.04|95.41|93.71|102.23|119.85|398.17|398.17|125.84|387.97|215.73|125.84|123.45|0|455.29
Professional|||43274|PR ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT|1754|1754|1480.62|1315.5|1490.9|1578.6|1490.9|1510.18|903.7|849.48|0|0|1620.15|1480.62|289.35|1586.11|1539.14|1498.64|1443.6|1618.25|1315.5|1586.11|532.45|518.56|532.45|1702.33|1702.33|328.96|476.89|339.82|1770.42|1618.25|1618.25|332.25|368.44|361.86|394.75|463|1540.6|1540.6|486.15|1501.16|833.4|486.15|476.89|0|1770.42
Professional|||43275|PR ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT|1429|1429|1205.46|1071.75|1214.65|1286.1|1214.65|1229.52|735.7|691.56|0|0|1319.06|1205.46|235.95|1291.35|1253.11|1220.13|1175.32|1317.51|1071.75|1291.35|432.87|421.58|432.87|1387.19|1387.19|267.37|387.7|276.19|1442.68|1317.51|1317.51|270.04|299.45|294.11|320.84|376.41|1253.31|1253.31|395.23|1221.23|677.54|395.23|387.7|0|1442.68
Professional|||43276|PR ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE|1829|1829|1541.76|1371.75|1554.65|1646.1|1554.65|1572.54|941.5|885.01|0|0|1687.06|1541.76|301.05|1651.62|1602.7|1560.53|1503.22|1685.08|1371.75|1651.62|554.4|539.94|554.4|1774.85|1774.85|342.56|496.55|353.86|1845.84|1685.08|1685.08|345.99|383.67|376.82|411.07|482.09|1603.95|1603.95|506.19|1562.89|867.76|506.19|496.55|0|1845.84
Professional|||43277|PR ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA|1436|1436|1210.92|1077|1220.6|1292.4|1220.6|1235.09|739.9|695.51|0|0|1325.03|1210.92|237.26|1297.2|1258.78|1225.66|1180.65|1323.48|1077|1297.2|435.37|424.01|435.37|1393.77|1393.77|269.17|389.94|278.05|1449.52|1323.48|1323.48|271.86|301.47|296.09|323|378.58|1260.09|1260.09|397.51|1227.83|681.44|397.51|389.94|0|1449.52
Professional|||43278|PR ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE|1641|1641|1384.53|1230.75|1394.85|1476.9|1394.85|1411.06|845.6|794.86|0|0|1513.81|1384.53|270.82|1483.18|1438.12|1400.28|1349.92|1513.23|1230.75|1483.18|498.39|485.39|498.39|1592.88|1592.88|307.92|446.38|318.08|1656.6|1513.23|1513.23|311|344.87|338.71|369.5|433.38|1441.07|1441.07|455.05|1404.18|780.08|455.05|446.38|0|1656.6
Professional|||43280|LAPESOPHAGOGAST FUNDOPLASTY|3901|3901|3420.92|2925.75|3315.85|3510.9|3315.85|3489.22|2010.4|1889.78|0|0|3743.31|3420.92|632.58|3664.67|3556.14|3462.56|3335.4|3738.92|2925.75|3664.67|1196.56|1165.35|1196.56|3787.06|3787.06|739.77|1071.7|764.18|3938.54|3738.92|3738.92|747.17|828.54|813.75|887.72|1040.49|3543.85|3543.85|1092.51|3453.14|1872.88|1092.51|1071.7|0|3938.54
Professional|||43281|LAP PARAESOPHAG HERN REPAIR|5560|5560|4889.53|4170|4726|5004|4726|4987.15|2865.1|2693.19|0|0|5350.31|4889.53|900.96|5237.92|5082.8|4949.04|4767.29|5344.05|4170|5237.92|1705.29|1660.8|1705.29|5397.09|5397.09|1054.11|1527.35|1088.9|5612.97|5344.05|5344.05|1064.65|1180.6|1159.52|1264.93|1482.86|5065.26|5065.26|1557|4935.6|2669.15|1557|1527.35|0|5612.97
Professional|||43282|LAP PARAESOPH HER RPR W/MESH|6244|6244|5497.72|4683|5307.4|5619.6|5307.4|5607.48|3218.6|3025.48|0|0|6015.82|5497.72|1012.22|5889.44|5715.03|5564.63|5360.28|6008.77|4683|5889.44|1915.92|1865.94|1915.92|6061.67|6061.67|1184.46|1716|1223.55|6304.14|6008.77|6008.77|1196.3|1326.6|1302.91|1421.35|1666.02|5697.54|5697.54|1749.32|5551.69|2998.84|1749.32|1716|0|6304.14
Professional|||43289|EXCISION OF LESION ESOPHAGUS W/PLEURLA FLAP; THORACIC APPROACH|3658|3658|0|2743.5|3109.3|3292.2|3109.3|0|0|0|0|0|0|0|0|0|0|0|0|0|2743.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3658
Professional|||43289|ROBOTIC XI ASSIST RESCTN ESOPHAGEAL MASS THORACIC APPROACH|3658|3658|0|2743.5|3109.3|3292.2|3109.3|0|0|0|0|0|0|0|0|0|0|0|0|0|2743.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3658
Professional|||43310|ESOPHAGOPLASTYTHORACIC APPRCH|5314|5314|4686.43|3985.5|4516.9|4782.6|4516.9|4780|2740.5|2576.07|0|0|5128.08|4686.43|870.52|5020.35|4871.68|4743.48|4569.27|5122.07|3985.5|5020.35|1627.32|1584.87|1627.32|5158.42|5158.42|1005.87|1457.51|1039.06|5364.76|5122.07|5122.07|1015.93|1126.57|1106.46|1207.04|1415.06|4840.16|4840.16|1485.81|4716.26|2547.11|1485.81|1457.51|0|5364.76
Professional|||43352|SURG OPENINGESOPHAGUSCERV A*|3843|3843|3371.79|2882.25|3266.55|3458.7|3266.55|3439.11|1979.6|1860.82|0|0|3689.54|3371.79|631.02|3612.03|3505.07|3412.83|3287.5|3685.22|2882.25|3612.03|1175.51|1144.84|1175.51|3730.36|3730.36|726.69|1052.85|750.67|3879.57|3685.22|3685.22|733.96|813.89|799.36|872.03|1022.18|3512.18|3512.18|1073.29|3422.27|1839.92|1073.29|1052.85|0|3879.57
Professional|||43410|SUTURE ESOPHAGUS WOUNDCERV A*|3814|3814|3214.55|2860.5|3241.9|3432.6|3241.9|3278.73|1966.3|1848.32|0|0|3517.49|3214.55|620.22|3443.6|3341.62|3253.68|3134.19|3513.37|2860.5|3443.6|1164.78|1134.39|1164.78|3702.67|3702.67|720.01|1043.24|743.77|3850.78|3513.37|3513.37|727.21|806.41|792.01|864.01|1012.85|3446.59|3446.59|1063.49|3358.36|1823.13|1063.49|1043.24|0|3850.78
Professional|||43415|SUTURE ESOPHAGUS WOUNDTHOR A*|9259|9259|8152.13|6944.25|7870.15|8333.1|7870.15|8314.88|4771.9|4485.59|0|0|8920.38|8152.13|1508.84|8732.98|8474.36|8251.35|7948.33|8909.92|6944.25|8732.98|2828.41|2754.63|2828.41|8989|8989|1748.47|2533.27|1806.17|9348.56|8909.92|8909.92|1765.95|1958.29|1923.32|2098.16|2459.49|8436.04|8436.04|2582.46|8220.1|4427.08|2582.46|2533.27|0|9348.56
Professional|||43420|REPAIR ESOPHAGUS OPENINGCERV*|3771|3771|3187.26|2828.25|3205.35|3393.9|3205.35|3250.89|1943.2|1826.61|0|0|3487.62|3187.26|620.67|3414.35|3313.24|3226.05|3107.58|3483.53|2828.25|3414.35|1151.62|1121.58|1151.62|3660.47|3660.47|711.8|1031.45|735.29|3806.89|3483.53|3483.53|718.92|797.22|782.98|854.16|1001.41|3323.29|3323.29|1051.48|3238.22|1802.54|1051.48|1031.45|0|3806.89
Professional|||43450|DILATE ESOPHAGUS|301|301|252.23|225.75|255.85|270.9|255.85|523.44|324.1|304.65|0|0|276|252.23|52.31|270.2|262.2|255.3|245.92|275.68|225.75|270.2|91.17|88.79|91.17|291.41|291.41|56.19|81.66|58.04|303.07|275.68|275.68|56.75|62.93|61.81|67.43|79.28|263.55|263.55|83.24|256.81|142.7|83.24|81.66|0|523.44
Professional|||43500|SURGICAL OPENING OF STOMACH|2847|2847|2482.98|2135.25|2419.95|2562.3|2419.95|2532.55|1466.5|1378.51|0|0|2716.98|2482.98|461.29|2659.9|2581.13|2513.2|2420.91|2713.79|2135.25|2659.9|872.86|850.09|872.86|2763.82|2763.82|539.62|781.78|557.43|2874.37|2713.79|2713.79|545.02|604.37|593.58|647.54|759.01|2574.48|2574.48|796.96|2508.58|1366.22|796.96|781.78|0|2874.37
Professional|||43520|INCISION OF PYLORIC MUSCLE|2498|2498|2178.34|1873.5|2123.3|2248.2|2123.3|2221.83|1287.3|1210.06|0|0|2383.63|2178.34|404.14|2333.55|2264.44|2204.85|2123.88|2380.83|1873.5|2333.55|764.31|744.37|764.31|2424.94|2424.94|472.4|684.56|487.99|2521.94|2380.83|2380.83|477.12|529.09|519.64|566.88|664.62|2249.85|2249.85|697.85|2192.26|1196.32|697.85|684.56|0|2521.94
Professional|||43610|EXCIS STOMACH ULCERLESN;LOCAL|3553|3553|3113.01|2664.75|3020.05|3197.7|3020.05|3175.16|1831.2|1721.33|0|0|3406.37|3113.01|573.41|3334.81|3236.06|3150.9|3035.18|3402.38|2664.75|3334.81|1088.95|1060.54|1088.95|3449.49|3449.49|673.06|975.32|695.27|3587.47|3402.38|3402.38|679.79|753.83|740.37|807.67|946.91|3210.17|3210.17|994.26|3128|1704.44|994.26|975.32|0|3587.47
Professional|||43620|REMOVAL STOMACHTOTAL|7081|7081|6223.83|5310.75|6018.85|6372.9|6018.85|6348.09|3649.1|3430.15|0|0|6810.36|6223.83|1143.77|6667.29|6469.84|6299.58|6068.23|6802.38|5310.75|6667.29|2190.22|2133.08|2190.22|6873.94|6873.94|1354.07|1961.68|1398.75|7148.9|6802.38|6802.38|1367.61|1516.56|1489.48|1624.88|1904.54|6453.15|6453.15|1999.77|6287.96|3428.17|1999.77|1961.68|0|7148.9
Professional|||43621|REMOVAL STOMACHROUX-EN-Y|8177|8177|7205.45|6132.75|6950.45|7359.3|6950.45|7349.31|4214|3961.16|0|0|7884.49|7205.45|1323.64|7718.85|7490.26|7293.15|7025.31|7875.25|6132.75|7718.85|2506.91|2441.51|2506.91|7938.07|7938.07|1549.86|2245.32|1601.01|8255.59|7875.25|7875.25|1565.36|1735.84|1704.85|1859.83|2179.92|7442.91|7442.91|2288.92|7252.39|3923.86|2288.92|2245.32|0|8255.59
Professional|||43632|REMV STOMACHPARTDISTALGAST*|7328|7328|6450.95|5496|6228.8|6595.2|6228.8|6579.74|3776.5|3549.91|0|0|7058.88|6450.95|1184.82|6910.59|6705.93|6529.46|6289.68|7050.61|5496|6910.59|2248.81|2190.15|2248.81|7113.93|7113.93|1390.25|2014.15|1436.13|7398.49|7050.61|7050.61|1404.15|1557.08|1529.28|1668.3|1955.49|6664.67|6664.67|2053.26|6494.07|3519.88|2053.26|2014.15|0|7398.49
Professional|||43633|REMV STOMACHPARTDISTALROUX*|6926|6926|6093.89|5194.5|5887.1|6233.4|5887.1|6215.56|3570|3355.8|0|0|6668.18|6093.89|1119.92|6528.1|6334.77|6168.07|5941.54|6660.37|5194.5|6528.1|2127.07|2071.59|2127.07|6723.62|6723.62|1315.07|1905.12|1358.47|6992.56|6660.37|6660.37|1328.22|1472.88|1446.58|1578.08|1849.63|6302.72|6302.72|1942.11|6141.38|3329.33|1942.11|1905.12|0|6992.56
Professional|||43635|REMV STOMACHPARTDISTALVAGO*|403|403|355.96|302.25|342.55|362.7|342.55|363.07|207.2|194.77|0|0|389.5|355.96|64.88|381.32|370.03|360.29|347.06|389.05|302.25|381.32|123.83|120.6|123.83|390.31|390.31|76.46|110.91|78.98|405.92|389.05|389.05|77.22|85.64|84.11|91.75|107.68|371|371|113.06|361.5|193.82|113.06|110.91|0|405.92
Professional|||43653|LAPGASTROSTOMYW/O TUBE CONS*|2093|2093|1814.74|1569.75|1779.05|1883.7|1779.05|1850.97|1078.7|1013.98|0|0|1985.76|1814.74|338.35|1944.04|1886.47|1836.83|1769.37|1983.43|1569.75|1944.04|643.67|626.88|643.67|2031.99|2031.99|397.73|576.5|410.86|2113.27|1983.43|1983.43|401.71|445.46|437.5|477.28|559.71|1874.31|1874.31|587.7|1826.33|1007.48|587.7|576.5|0|2113.27
Professional|||43659|LAPAROSCOPIC ACCESS GASTRIC REMNANT WITH WEDGE RESECTION|5167|5167|0|3875.25|4391.95|4650.3|4391.95|0|0|0|0|0|0|0|2311.71|0|0|0|0|0|3875.25|0|0|0|0|5016.01|5016.01|0|0|0|5216.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5216.65
Professional|||43659|LAPAROSCOPIC REPAIR OF GASTRIC PERFORATION|4910|4910|0|3682.5|4173.5|4419|4173.5|0|0|0|0|0|0|0|2311.71|0|0|0|0|0|3682.5|0|0|0|0|5016.01|5016.01|0|0|0|5216.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5216.65
Professional|||43659|LAPAROSCOPIC GASTROTOMY FOR ERCP ACCESS|5167|5167|0|3875.25|4391.95|4650.3|4391.95|0|0|0|0|0|0|0|2311.71|0|0|0|0|0|3875.25|0|0|0|0|5016.01|5016.01|0|0|0|5216.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5216.65
Professional|||43659|LAPAROSCOPIC REPAIR PERFORATED GASTRIC ULCER|4864|4864|0|3648|4134.4|4377.6|4134.4|0|0|0|0|0|0|0|2311.71|0|0|0|0|0|3648|0|0|0|0|5016.01|5016.01|0|0|0|5216.65|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|5216.65
Professional|||43752|PLACEMENT NG/OG TUBE BY PHYSI*|153|153|127.75|114.75|130.05|137.7|130.05|130.3|78.4|73.7|0|0|139.79|127.75|24.93|136.85|132.8|129.31|124.56|139.63|114.75|136.85|46.71|45.49|46.71|147.68|147.68|28.73|41.84|29.68|153.59|139.63|139.63|29.02|32.18|31.6|34.48|40.62|133.48|133.48|42.65|130.06|73.12|42.65|41.84|0|153.59
Professional|||43753|GASTRIC INTUBATION/ASPIRATION THERAPEUTIC|81|81|68.79|60.75|68.85|72.9|68.85|70.16|41.3|38.82|0|0|75.27|68.79|13.02|73.69|71.51|69.63|67.07|75.18|60.75|73.69|24.63|23.99|24.63|77.8|77.8|15.13|22.06|15.63|80.91|75.18|75.18|15.28|16.95|16.64|18.16|21.42|71.26|71.26|22.49|69.44|38.56|22.49|22.06|0|81
Professional|||43761|REPOSITION GASTROSTOMY TUBE|385|385|325.39|288.75|327.25|346.5|327.25|382|229.6|215.82|0|0|356.05|325.39|62.68|348.57|338.25|329.35|317.26|355.63|288.75|348.57|118.08|115|118.08|373.17|373.17|72.87|105.76|75.27|388.1|355.63|355.63|73.6|81.61|80.16|87.44|102.68|337.09|337.09|107.81|328.46|184.82|107.81|105.76|0|388.1
Professional|||43762|PR PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC|139|139|119.02|104.25|118.15|125.1|118.15|702.74|441|414.54|0|0|130.23|119.02|0|127.5|123.72|120.47|116.04|130.08|104.25|127.5|42.56|41.45|42.56|134.5|134.5|26.17|38.12|27.03|139.88|130.08|130.08|26.43|29.31|28.79|31.4|37.01|123.3|123.3|38.86|120.14|66.62|38.86|38.12|0|702.74
Professional|||43774|LAP REMOVE ADJUST GAST BAND/*|3471|3471|3037.67|2603.25|2950.35|3123.9|2950.35|3098.31|1788.5|1681.19|0|0|3323.93|3037.67|561.95|3254.11|3157.74|3074.64|2961.73|3320.04|2603.25|3254.11|1065.84|1038.04|1065.84|3369.06|3369.06|658.94|954.62|680.69|3503.82|3320.04|3320.04|665.53|738.01|724.83|790.73|926.82|3141.18|3141.18|973.16|3060.77|1668.28|973.16|954.62|0|3503.82
Professional|||43820|GASTROJEJUNOSTOMY|4849|4849|4255.13|3636.75|4121.65|4364.1|4121.65|4340.09|2499|2349.06|0|0|4656.14|4255.13|784.65|4558.32|4423.33|4306.93|4148.75|4650.68|3636.75|4558.32|1489.49|1450.64|1489.49|4707.46|4707.46|920.68|1334.07|951.06|4895.76|4650.68|4650.68|929.89|1031.16|1012.75|1104.82|1295.21|4396.73|4396.73|1359.97|4284.18|2331.38|1359.97|1334.07|0|4895.76
Professional|||43830|GASTROSTOMYOPENW/O TUBE CNS*|2551|2551|2216.56|1913.25|2168.35|2295.9|2168.35|2260.81|1313.9|1235.07|0|0|2425.44|2216.56|412.74|2374.49|2304.17|2243.54|2161.15|2422.6|1913.25|2374.49|784.05|763.59|784.05|2476.36|2476.36|484.71|702.23|500.71|2575.41|2422.6|2422.6|489.56|542.88|533.18|581.65|681.78|2287.17|2287.17|715.87|2228.62|1227.2|715.87|702.23|0|2575.41
Professional|||43840|REPAIR PERF DUOD/GAST ULC-WND*|4910|4910|4306.45|3682.5|4173.5|4419|4173.5|4392.43|2530.5|2378.67|0|0|4712.29|4306.45|794.8|4613.3|4476.68|4358.87|4198.79|4706.77|3682.5|4613.3|1508.28|1468.94|1508.28|4766.8|4766.8|932.48|1350.9|963.25|4957.47|4706.77|4706.77|941.8|1044.38|1025.73|1118.98|1311.55|4453.3|4453.3|1377.13|4339.31|2360.79|1377.13|1350.9|0|4957.47
Professional|||43860|REVISEGASTROJEJUN ANASTW/O *|5909|5909|5178.88|4431.75|5022.65|5318.1|5022.65|5282.28|3045|2862.3|0|0|5666.94|5178.88|955.72|5547.89|5383.59|5241.92|5049.41|5660.3|4431.75|5547.89|1815.33|1767.98|1815.33|5735.98|5735.98|1122.11|1625.91|1159.14|5965.42|5660.3|5660.3|1133.33|1256.76|1234.32|1346.53|1578.55|5361.59|5361.59|1657.48|5224.34|2841.39|1657.48|1625.91|0|5965.42
Professional|||43870|CLOSURE OF GASTROSTOMYSURGIC*|2584|2584|2249.31|1938|2196.4|2325.6|2196.4|2294.22|1332.1|1252.17|0|0|2461.29|2249.31|418.49|2409.58|2338.22|2276.69|2193.08|2458.4|1938|2409.58|792.75|772.07|792.75|2508.01|2508.01|490.1|710.03|506.27|2608.33|2458.4|2458.4|495|548.91|539.11|588.12|689.35|2327.89|2327.89|723.82|2268.3|1240.83|723.82|710.03|0|2608.33
Professional|||43880|CLOSURE GASTROCOLIC FISTULA|5752|5752|5042.39|4314|4889.2|5176.8|4889.2|5143.07|2964.5|2786.63|0|0|5517.59|5042.39|934.09|5401.67|5241.71|5103.77|4916.33|5511.12|4314|5401.67|1766.38|1720.3|1766.38|5584.34|5584.34|1092.08|1582.06|1128.12|5807.71|5511.12|5511.12|1103|1223.13|1201.29|1310.5|1535.98|5242.83|5242.83|1612.78|5108.62|2764.76|1612.78|1582.06|0|5807.71
Professional|||43999|REMOVAL ADJUSTABLE GASTRIC BAND OPEN|3403|3403|0|2552.25|2892.55|3062.7|2892.55|0|0|0|0|0|0|0|0|0|0|0|0|0|2552.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3403
Professional|||43999|GASTRO-GASTROSTOMY OPEN|7298|7298|0|5473.5|6203.3|6568.2|6203.3|0|0|0|0|0|0|0|0|0|0|0|0|0|5473.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|7298
Professional|||43999|LAP REDUCTION OF GASTRIC VOLVULUS|3358|3358|0|2518.5|2854.3|3022.2|2854.3|0|0|0|0|0|0|0|0|0|0|0|0|0|2518.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3358
Professional|||44005|FREEING BOWEL ADHESIONENTERO*|3958|3958|3467.87|2968.5|3364.3|3562.2|3364.3|3537.11|2039.8|1917.41|0|0|3794.68|3467.87|640.51|3714.97|3604.95|3510.08|3381.17|3790.24|2968.5|3714.97|1213.01|1181.36|1213.01|3842.44|3842.44|749.78|1086.43|774.52|3996.14|3790.24|3790.24|757.28|839.75|824.76|899.74|1054.79|3589.11|3589.11|1107.53|3497.24|1898.62|1107.53|1086.43|0|3996.14
Professional|||44010|DUODENOTOMY FOR EXPLORBXFB *|3154|3154|2723.2|2365.5|2680.9|2838.6|2680.9|2777.57|1625.4|1527.88|0|0|2979.83|2723.2|511.84|2917.23|2830.84|2756.34|2655.12|2976.34|2365.5|2917.23|963.82|938.67|963.82|3061.83|3061.83|595.82|863.24|615.48|3184.3|2976.34|2976.34|601.78|667.32|655.4|714.98|838.1|2828.99|2828.99|880.01|2756.58|1508.58|880.01|863.24|0|3184.3
Professional|||44015|INSERT TUBE-BOWELENTERAL ALI*|509|509|450.95|381.75|432.65|458.1|432.65|459.96|261.8|246.09|0|0|493.45|450.95|82.54|483.09|468.78|456.44|439.68|492.87|381.75|483.09|156.15|152.07|156.15|493.16|493.16|96.48|139.85|99.66|512.89|492.87|492.87|97.44|108.06|106.13|115.78|135.78|468.29|468.29|142.57|456.31|244.4|142.57|139.85|0|512.89
Professional|||44020|ENTEROTOMYNON-DUODEXPLOR/BX*|3522|3522|3084.62|2641.5|2993.7|3169.8|2993.7|3146.2|1815.1|1706.19|0|0|3375.31|3084.62|570.78|3304.4|3206.54|3122.16|3007.5|3371.36|2641.5|3304.4|1080.61|1052.42|1080.61|3419.17|3419.17|667.92|967.85|689.96|3555.94|3371.36|3371.36|674.6|748.07|734.71|801.5|939.66|3188.68|3188.68|986.64|3107.05|1691.39|986.64|967.85|0|3555.94
Professional|||44021|ENTEROTOMY DECOMPRESS SMALL B*|3536|3536|3090.08|2652|3005.6|3182.4|3005.6|3151.77|1822.1|1712.77|0|0|3381.28|3090.08|572.32|3310.25|3212.22|3127.69|3012.83|3377.32|2652|3310.25|1083.29|1055.03|1083.29|3432.36|3432.36|669.72|970.25|691.82|3569.65|3377.32|3377.32|676.42|750.09|736.69|803.66|941.99|3190.95|3190.95|989.09|3109.26|1695.58|989.09|970.25|0|3569.65
Professional|||44025|INCIS COLON FOR EXPLORBXFB *|3567|3567|3116.28|2675.25|3031.95|3210.3|3031.95|3178.5|1838.2|1727.91|0|0|3409.96|3116.28|578.71|3338.32|3239.46|3154.21|3038.37|3405.96|2675.25|3338.32|1093.94|1065.4|1093.94|3462.69|3462.69|676.14|979.79|698.45|3601.2|3405.96|3405.96|682.9|757.28|743.75|811.37|951.25|3221.49|3221.49|998.81|3139.02|1712.25|998.81|979.79|0|3601.2
Professional|||44050|REDUCE VOLVULUSINTUSSINTERN*|3384|3384|2961.23|2538|2876.4|3045.6|2876.4|3020.35|1743.7|1639.08|0|0|3240.3|2961.23|548.48|3172.23|3078.28|2997.28|2887.2|3236.5|2538|3172.23|1038.67|1011.57|1038.67|3284.67|3284.67|642.01|930.29|663.2|3416.06|3236.5|3236.5|648.43|719.05|706.21|770.41|903.19|3062.01|3062.01|948.35|2983.62|1625.74|948.35|930.29|0|3416.06
Professional|||44055|CORRECT MALROTATION OF BOWEL|5399|5399|4738.85|4049.25|4589.15|4859.1|4589.15|4833.46|2782.5|2615.55|0|0|5185.43|4738.85|872.95|5076.5|4926.16|4796.52|4620.38|5179.36|4049.25|5076.5|1650.14|1607.09|1650.14|5241.5|5241.5|1019.98|1477.95|1053.64|5451.16|5179.36|5179.36|1030.18|1142.38|1121.98|1223.98|1434.9|4887.65|4887.65|1506.65|4762.54|2582.82|1506.65|1477.95|0|5451.16
Professional|||44110|EXCIS BOWEL LESION(S)SINGLE *|3094|3094|2689.35|2320.5|2629.9|2784.6|2629.9|2743.04|1595.3|1499.58|0|0|2942.79|2689.35|500.58|2880.97|2795.65|2722.08|2622.12|2939.34|2320.5|2880.97|946.51|921.82|946.51|3003.8|3003.8|585.04|847.74|604.35|3123.95|2939.34|2939.34|590.89|655.24|643.54|702.05|823.05|2791.64|2791.64|864.2|2720.18|1481.49|864.2|847.74|0|3123.95
Professional|||44120|RESECT SMALL INTESTSINGL RES*|4421|4421|3874.06|3315.75|3757.85|3978.9|3757.85|3951.41|2278.5|2141.79|0|0|4239.15|3874.06|716.01|4150.1|4027.19|3921.21|3777.21|4234.18|3315.75|4150.1|1356.18|1320.8|1356.18|4292.09|4292.09|838.31|1214.67|865.97|4463.77|4234.18|4234.18|846.69|938.91|922.14|1005.97|1179.29|4011.01|4011.01|1238.25|3908.34|2122.72|1238.25|1214.67|0|4463.77
Professional|||44121|RESECT SMALL INTESTEACH ADDNL|872|872|768.7|654|741.2|784.8|741.2|784.04|448.7|421.78|0|0|841.14|768.7|140.81|823.47|799.08|778.05|749.48|840.15|654|823.47|266.29|259.35|266.29|846.55|846.55|164.48|238.51|169.91|880.41|840.15|840.15|166.12|184.22|180.93|197.38|231.56|796.33|796.33|243.14|775.95|416.81|243.14|238.51|0|880.41
Professional|||44125|RESECT SMALL INTEST W ENTEROS*|4276|4276|3734.3|3207|3634.6|3848.4|3634.6|3808.85|2203.6|2071.38|0|0|4086.22|3734.3|693.5|4000.37|3881.91|3779.75|3640.94|4081.43|3207|4000.37|1312.04|1277.81|1312.04|4151|4151|811.11|1175.13|837.88|4317.04|4081.43|4081.43|819.22|908.44|892.22|973.33|1140.9|3870.76|3870.76|1197.95|3771.67|2053.62|1197.95|1175.13|0|4317.04
Professional|||44130|BOWEL TO BOWEL ANASTOMOSIS|4760|4760|4162.32|3570|4046|4284|4046|4245.42|2452.8|2305.63|0|0|4554.58|4162.32|770.52|4458.9|4326.85|4212.98|4058.26|4549.24|3570|4458.9|1460.87|1422.76|1460.87|4620.43|4620.43|902.97|1308.43|932.77|4805.25|4549.24|4549.24|912|1011.33|993.27|1083.56|1270.32|4305.11|4305.11|1333.84|4194.9|2286.58|1333.84|1308.43|0|4805.25
Professional|||44139|MOBILIZE SPLENIC FLEX|436|436|383.26|327|370.6|392.4|370.6|390.91|224.7|211.22|0|0|419.37|383.26|70.41|410.56|398.41|387.92|373.68|418.88|327|410.56|133.69|130.2|133.69|423.27|423.27|82.62|119.74|85.35|440.2|418.88|418.88|83.45|92.53|90.88|99.14|116.25|399.3|399.3|122.06|389.08|209.25|122.06|119.74|0|440.2
Professional|||44140|PART REMOVAL COLON W ANASTOMO*|4859|4859|4249.67|3644.25|4130.15|4373.1|4130.15|4334.52|2504.6|2354.32|0|0|4650.16|4249.67|786.87|4552.47|4417.65|4301.4|4143.43|4644.71|3644.25|4552.47|1491.09|1452.19|1491.09|4716.69|4716.69|921.7|1335.5|952.12|4905.36|4644.71|4644.71|930.92|1032.3|1013.87|1106.04|1296.6|4397.86|4397.86|1361.43|4285.29|2333.88|1361.43|1335.5|0|4905.36
Professional|||44141|PART REMOVAL COLON W COLOSTOMY|6624|6624|5778.33|4968|5630.4|5961.6|5630.4|5893.7|3413.9|3209.07|0|0|6322.88|5778.33|1074.47|6190.05|6006.74|5848.67|5633.87|6315.47|4968|6190.05|2029.35|1976.41|2029.35|6430.89|6430.89|1254.51|1817.59|1295.91|6688.13|6315.47|6315.47|1267.06|1405.05|1379.96|1505.41|1764.65|5988.26|5988.26|1852.88|5834.97|3176.37|1852.88|1817.59|0|6688.13
Professional|||44143|PART REMOVAL COLON W END COLO*|6034|6034|5270.6|4525.5|5128.9|5430.6|5128.9|5375.83|3108.7|2922.18|0|0|5767.3|5270.6|977.57|5646.14|5478.93|5334.75|5138.84|5760.54|4525.5|5646.14|1849.26|1801.02|1849.26|5857.29|5857.29|1143.15|1656.29|1180.87|6091.58|5760.54|5760.54|1154.58|1280.33|1257.47|1371.78|1608.05|5460.02|5460.02|1688.45|5320.25|2894.49|1688.45|1656.29|0|6091.58
Professional|||44144|PART REMOVAL COLON W OSTOMY/M*|6412|6412|5605.81|4809|5450.2|5770.8|5450.2|5717.74|3304.7|3106.42|0|0|6134.1|5605.81|1038.92|6005.24|5827.4|5674.05|5465.66|6126.92|4809|6005.24|1964.44|1913.2|1964.44|6225.18|6225.18|1214.48|1759.46|1254.56|6474.19|6126.92|6126.92|1226.62|1360.22|1335.93|1457.38|1708.21|5802.75|5802.75|1793.62|5654.21|3074.78|1793.62|1759.46|0|6474.19
Professional|||44145|PART REMOVAL COLON W COLOPROC*|6020|6020|5246.58|4515|5117|5418|5117|5351.33|3102.4|2916.26|0|0|5741.01|5246.58|975.35|5620.41|5453.96|5310.44|5115.42|5734.29|4515|5620.41|1843.4|1795.32|1843.4|5844.1|5844.1|1139.56|1651.05|1177.17|6077.86|5734.29|5734.29|1150.96|1276.31|1253.52|1367.47|1602.96|5439.66|5439.66|1683.11|5300.42|2885.33|1683.11|1651.05|0|6077.86
Professional|||44150|REMOVAL COLON/ILEOSTOMY|6804|6804|5906.09|5103|5783.4|6123.6|5783.4|6024|3506.3|3295.92|0|0|6462.67|5906.09|1105.36|6326.91|6139.54|5977.97|5758.44|6455.1|5103|6326.91|2083.32|2028.97|2083.32|6604.95|6604.95|1287.87|1865.93|1330.37|6869.15|6455.1|6455.1|1300.75|1442.41|1416.66|1545.44|1811.58|6129.65|6129.65|1902.16|5972.74|3260.84|1902.16|1865.93|0|6869.15
Professional|||44160|REMVL COLON & TERM ILEUM W/IL*|4504|4504|3931.93|3378|3828.4|4053.6|3828.4|4010.43|2321.2|2181.93|0|0|4302.47|3931.93|729.47|4212.09|4087.35|3979.79|3833.63|4297.43|3378|4212.09|1381.66|1345.61|1381.66|4372.52|4372.52|854.22|1237.48|882.41|4547.42|4297.43|4297.43|862.76|956.73|939.64|1025.06|1201.44|4070.96|4070.96|1261.51|3966.75|2162.59|1261.51|1237.48|0|4547.42
Professional|||44180|LAP SURG ENTEROLYSIS|3332|3332|2912.1|2499|2832.2|2998.8|2832.2|2970.24|1717.1|1614.07|0|0|3186.53|2912.1|538.99|3119.59|3027.21|2947.54|2839.3|3182.8|2499|3119.59|1021.91|995.25|1021.91|3234.56|3234.56|631.74|915.28|652.59|3363.94|3182.8|3182.8|638.06|707.55|694.91|758.09|888.62|3012.24|3012.24|933.05|2935.13|1599.52|933.05|915.28|0|3363.94
Professional|||44186|LAP SURG JEJUNOSTOMY|2360|2360|2059.32|1770|2006|2124|2006|2100.44|1215.9|1142.95|0|0|2253.39|2059.32|383.6|2206.05|2140.72|2084.39|2007.84|2250.75|1770|2206.05|725.13|706.22|725.13|2290.44|2290.44|448.28|649.47|463.07|2382.06|2250.75|2250.75|452.76|502.07|493.11|537.94|630.55|2133.33|2133.33|662.08|2078.72|1134.99|662.08|649.47|0|2382.06
Professional|||44187|LAPARSCOPY SURGICAL ILEOSTOMY/JEJUNOSTOMY|4053|4053|3480.98|3039.75|3445.05|3647.7|3445.05|3550.48|2089.5|1964.13|0|0|3809.02|3480.98|660.17|3729|3618.57|3523.35|3393.96|3804.56|3039.75|3729|1239.04|1206.72|1239.04|3934.75|3934.75|765.95|1109.75|791.23|4092.14|3804.56|3804.56|773.61|857.86|842.55|919.14|1077.43|3621.92|3621.92|1131.3|3529.21|1939.37|1131.3|1109.75|0|4092.14
Professional|||44188|LAP SURG COLOSTOMY|4477|4477|3871.88|3357.75|3805.45|4029.3|3805.45|3949.18|2307.2|2168.77|0|0|4236.76|3871.88|727.04|4147.76|4024.92|3919|3775.08|4231.8|3357.75|4147.76|1369.33|1333.61|1369.33|4346.16|4346.16|846.52|1226.44|874.46|4520.01|4231.8|4231.8|854.99|948.1|931.17|1015.82|1190.72|4015.55|4015.55|1250.26|3912.76|2143.3|1250.26|1226.44|0|4520.01
Professional|||44202|LAPSURGENTERECTOMYRESECT &*|5015|5015|4381.79|3761.25|4262.75|4513.5|4262.75|4469.28|2584.4|2429.34|0|0|4794.73|4381.79|813.14|4694.01|4555|4435.13|4272.25|4789.11|3761.25|4694.01|1539.14|1498.99|1539.14|4868.33|4868.33|951.47|1378.53|982.87|5063.06|4789.11|4789.11|960.98|1065.65|1046.62|1141.76|1338.38|4543.79|4543.79|1405.3|4427.48|2409.08|1405.3|1378.53|0|5063.06
Professional|||44204|LAPSURGCOLECTOMY PARTIAL *|5593|5593|4870.97|4194.75|4754.05|5033.7|4754.05|4968.22|2882.6|2709.64|0|0|5330|4870.97|905.6|5218.03|5063.5|4930.25|4749.2|5323.76|4194.75|5218.03|1713.96|1669.25|1713.96|5430.06|5430.06|1059.5|1535.11|1094.46|5647.26|5323.76|5323.76|1070.1|1186.64|1165.45|1271.4|1490.4|5047.13|5047.13|1564.92|4917.94|2682.72|1564.92|1535.11|0|5647.26
Professional|||44205|LAPSURGCOLECTOMYW/REMVL TE*|4868|4868|4232.2|3651|4137.8|4381.2|4137.8|4316.7|2508.8|2358.27|0|0|4631.04|4232.2|788.84|4533.76|4399.49|4283.72|4126.4|4625.62|3651|4533.76|1492.1|1453.18|1492.1|4725.92|4725.92|922.47|1336.4|952.91|4914.96|4625.62|4625.62|931.69|1033.17|1014.72|1106.96|1297.48|4389.95|4389.95|1362.35|4277.58|2335.46|1362.35|1336.4|0|4914.96
Professional|||44206|LAPSURGCOLECTOMYW/END COLO*|6359|6359|5534.84|4769.25|5405.15|5723.1|5405.15|5645.35|3277.4|3080.76|0|0|6056.44|5534.84|1032.51|5929.21|5753.62|5602.21|5396.47|6049.34|4769.25|5929.21|1949.04|1898.2|1949.04|6173.75|6173.75|1204.99|1745.66|1244.75|6420.7|6049.34|6049.34|1217.04|1349.59|1325.49|1445.99|1694.82|5746.2|5746.2|1779.56|5599.11|3050.68|1779.56|1745.66|0|6420.7
Professional|||44207|LAPSURGCOLECTOMYW/ANAST|6630|6630|5752.13|4972.5|5635.5|5967|5635.5|5866.97|3416.7|3211.7|0|0|6294.21|5752.13|1075.35|6161.98|5979.5|5822.14|5608.33|6286.83|4972.5|6161.98|2029.68|1976.73|2029.68|6436.16|6436.16|1254.77|1817.89|1296.18|6693.61|6286.83|6286.83|1267.32|1405.34|1380.25|1505.72|1764.94|5973.54|5973.54|1853.19|5820.63|3176.89|1853.19|1817.89|0|6693.61
Professional|||44213|LAP SURG MOBIL SPLENIC FL DU*|681|681|595.09|510.75|578.85|612.9|578.85|606.97|351.4|330.32|0|0|651.17|595.09|110.35|637.49|618.61|602.33|580.21|650.4|510.75|637.49|208.1|202.68|208.1|660.63|660.63|128.55|186.39|132.79|687.06|650.4|650.4|129.84|143.98|141.41|154.26|180.96|619.86|619.86|190.01|604|325.73|190.01|186.39|0|687.06
Professional|||44227|LAP SURG CLOSE ENTEROSTOMY R*|6039|6039|5270.6|4529.25|5133.15|5435.1|5133.15|5375.83|3112.2|2925.47|0|0|5767.3|5270.6|979.33|5646.14|5478.93|5334.75|5138.84|5760.54|4529.25|5646.14|1851.68|1803.38|1851.68|5862.56|5862.56|1144.69|1658.46|1182.46|6097.06|5760.54|5760.54|1156.14|1282.05|1259.16|1373.63|1610.16|5469.07|5469.07|1690.67|5329.07|2898.29|1690.67|1658.46|0|6097.06
Professional|||44238|LAPAROSCOPIC EXCISION OF MECKEL'S DIVERTICULUM|2718|2718|0|2038.5|2310.3|2446.2|2310.3|0|0|0|0|0|0|0|0|0|0|0|0|0|2038.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2718
Professional|||44300|ENTEROSTOMY/CECOSTOMYTUBE|3051|3051|2668.6|2288.25|2593.35|2745.9|2593.35|2721.88|1572.2|1477.87|0|0|2920.09|2668.6|493.97|2858.75|2774.09|2701.08|2601.89|2916.67|2288.25|2858.75|935.78|911.37|935.78|2961.61|2961.61|578.37|838.13|597.46|3080.07|2916.67|2916.67|584.15|647.77|636.21|694.04|813.72|2756.6|2756.6|854.41|2686.03|1464.7|854.41|838.13|0|3080.07
Professional|||44310|ILEOSTOMY/JEJUNOSTOMYNONTUBE|3799|3799|3301.91|2849.25|3229.15|3419.1|3229.15|3367.83|1957.2|1839.77|0|0|3613.08|3301.91|616.26|3537.17|3432.42|3342.09|3219.36|3608.84|2849.25|3537.17|1163.24|1132.89|1163.24|3688.16|3688.16|718.99|1041.86|742.72|3835.69|3608.84|3608.84|726.18|805.27|790.89|862.79|1011.51|3422.82|3422.82|1062.09|3335.21|1820.72|1062.09|1041.86|0|3835.69
Professional|||44312|REVISION OF ILEOSTOMYSIMPLE|2178|2178|1870.42|1633.5|1851.3|1960.2|1851.3|1907.77|1122.1|1054.77|0|0|2046.69|1870.42|351.39|2003.7|1944.36|1893.19|1823.66|2044.29|1633.5|2003.7|668.54|651.1|668.54|2113.74|2113.74|413.12|598.78|426.75|2198.29|2044.29|2044.29|417.25|462.69|454.43|495.74|581.34|1933.13|1933.13|610.41|1883.64|1046.41|610.41|598.78|0|2198.29
Professional|||44320|COLOSTOMY|4367|4367|3805.27|3275.25|3711.95|3930.3|3711.95|3881.24|2250.5|2115.47|0|0|4163.88|3805.27|707.41|4076.4|3955.68|3851.59|3710.14|4159|3275.25|4076.4|1338.63|1303.71|1338.63|4239.35|4239.35|827.53|1198.95|854.84|4408.92|4159|4159|835.81|926.83|910.28|993.04|1164.03|3938.62|3938.62|1222.23|3837.79|2095.25|1222.23|1198.95|0|4408.92
Professional|||44340|REVISION OF COLOSTOMYSIMPLE|2284|2284|1969.79|1713|1941.4|2055.6|1941.4|2008|1177.4|1106.76|0|0|2154.22|1969.79|371.68|2110.14|2046.51|1992.66|1920.55|2152.89|1713|2110.14|700.64|682.36|700.64|2216.59|2216.59|433.14|627.53|447.43|2305.25|2152.89|2152.89|437.47|485.12|476.45|519.77|609.25|2040.57|2040.57|639.71|1988.34|1096.65|639.71|627.53|0|2305.25
Professional|||44346|REVIS COLOSTOMYREPR PARACOLO*|4309|4309|3741.94|3231.75|3662.65|3878.1|3662.65|3816.65|2220.4|2087.18|0|0|4094.58|3741.94|698.57|4008.56|3889.85|3787.49|3648.39|4089.78|3231.75|4008.56|1320.57|1286.12|1320.57|4182.65|4182.65|816.24|1182.77|843.18|4349.96|4089.78|4089.78|824.4|914.19|897.86|979.49|1148.32|3878.67|3878.67|1205.74|3779.38|2066.98|1205.74|1182.77|0|4349.96
Professional|||44360|PR ENDOSCOPY UPPER SMALL INTESTINE|546|546|458.6|409.5|464.1|491.4|464.1|467.75|280.7|263.86|0|0|501.82|458.6|92.26|491.27|476.73|464.18|447.14|501.23|409.5|491.27|165.3|160.99|165.3|530.08|530.08|102.12|148.05|105.49|551.28|501.23|501.23|103.14|114.37|112.33|122.54|143.74|478.47|478.47|150.93|466.23|258.73|150.93|148.05|0|551.28
Professional|||44361|PR ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY|604|604|507.73|453|513.4|543.6|513.4|517.87|310.8|292.15|0|0|555.58|507.73|101.52|543.91|527.8|513.91|495.04|554.93|453|543.91|182.41|177.65|182.41|585.46|585.46|112.64|163.38|116.36|608.88|554.93|554.93|113.77|126.16|123.9|135.17|158.62|528.24|528.24|166.55|514.72|285.52|166.55|163.38|0|608.88
Professional|||44372|PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE|905|905|766.51|678.75|769.25|814.5|769.25|781.82|466.2|438.23|0|0|838.75|766.51|150.98|821.13|796.81|775.84|747.35|837.77|678.75|821.13|274.52|267.36|274.52|878.2|878.2|169.61|245.87|175.21|913.33|837.77|837.77|171.31|189.96|186.57|203.53|238.71|799.71|799.71|250.65|779.24|429.68|250.65|245.87|0|913.33
Professional|||44376|PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX|1078|1078|909.55|808.5|916.3|970.2|916.3|926.6|555.1|521.79|0|0|994.07|909.55|178.11|974.36|944.37|919.52|886.81|994.1|808.5|974.36|327.16|318.63|327.16|1045.66|1045.66|202.2|293.02|208.87|1087.49|994.1|994.1|204.22|226.46|222.42|242.64|284.49|945.63|945.63|298.71|921.43|512.08|298.71|293.02|0|1087.49
Professional|||44380|PR ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD|215|215|179.07|161.25|182.75|193.5|182.75|553.51|345.8|325.05|0|0|195.95|179.07|38.18|191.83|186.15|181.25|174.59|195.72|161.25|191.83|64.75|63.06|64.75|208.34|208.34|39.77|57.99|41.08|216.67|195.72|195.72|40.17|44.54|43.75|47.72|56.3|186.65|186.65|59.12|181.87|101.34|59.12|57.99|0|553.51
Professional|||44382|PR ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE|279|279|233.67|209.25|237.15|251.1|237.15|868.69|543.9|511.27|0|0|255.69|233.67|48.55|250.32|242.9|236.51|227.83|255.39|209.25|250.32|84.09|81.89|84.09|270.32|270.32|51.83|75.31|53.54|281.13|255.39|255.39|52.35|58.05|57.01|62.2|73.12|243.19|243.19|76.78|236.97|131.62|76.78|75.31|0|868.69
Professional|||44386|PR NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE|337|337|283.89|252.75|286.45|303.3|286.45|931.05|581|546.14|0|0|310.65|283.89|58.04|304.12|295.12|287.35|276.79|310.28|252.75|304.12|102.3|99.64|102.3|327.01|327.01|63.12|91.63|65.2|340.09|310.28|310.28|63.75|70.69|69.43|75.74|88.96|295.23|295.23|93.41|287.67|160.13|93.41|91.63|0|931.05
Professional|||44388|PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX|586|586|497.91|439.5|498.1|527.4|498.1|937.74|574|539.56|0|0|544.83|497.91|98.65|533.38|517.59|503.97|485.46|544.19|439.5|533.38|177.62|172.98|177.62|568.32|568.32|109.56|159.08|113.18|591.05|544.19|544.19|110.66|122.71|120.52|131.47|154.45|519.2|519.2|162.17|505.91|278.01|162.17|159.08|0|937.74
Professional|||44389|PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE|648|648|548.13|486|550.8|583.2|550.8|1233.98|762.3|716.56|0|0|599.79|548.13|108.81|587.19|569.8|554.81|534.43|599.09|486|587.19|196.64|191.51|196.64|628.98|628.98|121.37|176.12|125.38|654.14|599.09|599.09|122.58|135.93|133.51|145.64|170.99|571.23|571.23|179.54|556.61|307.78|179.54|176.12|0|1233.98
Professional|||44394|PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE|849|849|720.65|636.75|721.65|764.1|721.65|1313.05|805|756.7|0|0|788.57|720.65|141.7|772|749.14|729.43|702.63|787.64|636.75|772|257.98|251.25|257.98|824.13|824.13|159.34|231.06|164.6|857.1|787.64|787.64|160.93|178.46|175.27|191.21|224.33|749.94|749.94|235.55|730.74|403.79|235.55|231.06|0|1313.05
Professional|||44500|PR INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE|74|74|61.15|55.5|62.9|66.6|62.9|62.37|37.8|35.53|0|0|66.91|61.15|15.01|65.5|63.56|61.89|59.62|66.83|55.5|65.5|22.51|21.92|22.51|71.21|71.21|13.85|20.16|14.31|74.06|66.83|66.83|13.99|15.51|15.24|16.62|19.57|63.35|63.35|20.55|61.73|35.23|20.55|20.16|0|74.06
Professional|||44602|SUTURE SM INTESTSINGLE PERF|5092|5092|4472.42|3819|4328.2|4582.8|4328.2|4561.72|2623.6|2466.18|0|0|4893.9|4472.42|824.6|4791.09|4649.21|4526.86|4360.61|4888.17|3819|4791.09|1561.55|1520.81|1561.55|4943.49|4943.49|965.32|1398.61|997.18|5141.23|4888.17|4888.17|974.97|1081.16|1061.85|1158.38|1357.87|4630.88|4630.88|1425.76|4512.34|2444.17|1425.76|1398.61|0|5141.23
Professional|||44603|SUTURE SM INTESTMULTPL PERF|5861|5861|5133.02|4395.75|4981.85|5274.9|4981.85|5235.5|3020.5|2839.27|0|0|5616.75|5133.02|947.77|5498.76|5335.92|5195.5|5004.69|5610.17|4395.75|5498.76|1797.78|1750.88|1797.78|5689.83|5689.83|1111.33|1610.19|1148|5917.42|5610.17|5610.17|1122.44|1244.69|1222.46|1333.6|1563.29|5318.63|5318.63|1641.45|5182.48|2813.92|1641.45|1610.19|0|5917.42
Professional|||44604|SUTURE LRG INTEST|3831|3831|3353.22|2873.25|3256.35|3447.9|3256.35|3420.17|1974.7|1856.22|0|0|3669.23|3353.22|619.34|3592.15|3485.77|3394.04|3269.39|3664.93|2873.25|3592.15|1174.47|1143.83|1174.47|3718.5|3718.5|725.92|1051.92|749.88|3867.24|3664.93|3664.93|733.18|813.03|798.51|871.1|1021.28|3470.35|3470.35|1072.34|3381.52|1838.3|1072.34|1051.92|0|3867.24
Professional|||44620|CLOSE ENTEROSTOMY|3161|3161|2745.04|2370.75|2686.85|2844.9|2686.85|2799.84|1628.9|1531.17|0|0|3003.73|2745.04|512.5|2940.63|2853.54|2778.45|2676.41|3000.21|2370.75|2940.63|967.74|942.49|967.74|3068.41|3068.41|598.13|866.76|617.87|3191.15|3000.21|3000.21|604.11|669.91|657.94|717.76|841.51|2845.95|2845.95|883.59|2773.1|1514.72|883.59|866.76|0|3191.15
Professional|||44625|CLOSE ENTEROSTOMYRESEC+ANAST|3711|3711|3213.46|2783.25|3154.35|3339.9|3154.35|3277.62|1912.4|1797.66|0|0|3516.3|3213.46|601.9|3442.43|3340.48|3252.57|3133.12|3512.18|2783.25|3442.43|1134.87|1105.26|1134.87|3602.46|3602.46|701.54|1016.45|724.69|3746.56|3512.18|3512.18|708.56|785.72|771.69|841.85|986.84|3334.6|3334.6|1036.18|3249.24|1776.31|1036.18|1016.45|0|3746.56
Professional|||44626|CLOSE ENTEROSTOMYRESEC+COLOR*|5797|5797|5069.69|4347.75|4927.45|5217.3|4927.45|5170.91|2987.6|2808.34|0|0|5547.46|5069.69|939.82|5430.92|5270.08|5131.4|4942.95|5540.96|4347.75|5430.92|1776.22|1729.88|1776.22|5627.85|5627.85|1097.99|1590.88|1134.22|5852.96|5540.96|5540.96|1108.97|1229.75|1207.79|1317.59|1544.54|5259.79|5259.79|1621.77|5125.15|2780.17|1621.77|1590.88|0|5852.96
Professional|||44640|REPAIR BOWEL-SKIN FISTULA|5080|5080|4438.57|3810|4318|4572|4318|4527.19|2618|2460.92|0|0|4856.86|4438.57|823.94|4754.83|4614.02|4492.6|4327.61|4851.17|3810|4754.83|1555.06|1514.5|1555.06|4931.62|4931.62|961.22|1392.8|992.94|5128.88|4851.17|4851.17|970.83|1076.57|1057.34|1153.46|1352.23|4600.34|4600.34|1419.84|4482.58|2434.01|1419.84|1392.8|0|5128.88
Professional|||44650|REPAIR BOWEL-BOWEL FISTULA|5246|5246|4571.79|3934.5|4459.1|4721.4|4459.1|4663.06|2703.4|2541.2|0|0|5002.63|4571.79|852.63|4897.53|4752.5|4627.43|4457.5|4996.77|3934.5|4897.53|1609.98|1567.98|1609.98|5092.49|5092.49|995.35|1441.98|1028.2|5296.19|4996.77|4996.77|1005.3|1114.79|1094.89|1194.42|1399.98|4745.13|4745.13|1469.98|4623.66|2519.96|1469.98|1441.98|0|5296.19
Professional|||44680|SURGICAL REVISION INTESTINE|3875|3875|3392.53|2906.25|3293.75|3487.5|3293.75|3460.27|1997.1|1877.27|0|0|3712.24|3392.53|625.07|3634.26|3526.63|3433.83|3307.72|3707.89|2906.25|3634.26|1178.89|1148.13|1178.89|3762.01|3762.01|728.74|1055.87|752.79|3912.49|3707.89|3707.89|736.03|816.19|801.61|874.49|1025.12|3498.62|3498.62|1076.38|3409.07|1845.22|1076.38|1055.87|0|3912.49
Professional|||44705|PREPARE FECAL MICROBIOTA FOR INSTILLATION|279|279|235.85|209.25|237.15|251.1|237.15|361.95|220.5|207.27|0|0|258.08|235.85|0|252.66|245.17|238.72|229.95|257.77|209.25|252.66|0|0|0|270.32|270.32|0|0|0|281.13|257.77|257.77|0|0|0|0|0|245.46|245.46|0|239.18|0|0|0|0|361.95
Professional|||44799|REPAIR PERFORATION PANCREATICOBILLIAY LIMB OF ROUX-EN-Y|4863|4863|0|3647.25|4133.55|4376.7|4133.55|0|0|0|0|0|0|0|0|0|0|0|0|0|3647.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4863
Professional|||44799|ENDOSCOPY DUODENUM THRU STOMA|525|525|0|393.75|446.25|472.5|446.25|0|0|0|0|0|0|0|0|0|0|0|0|0|393.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|525
Professional|||44799|ENDOSCOPIC GASTRORRHAPHY|4910|4910|0|3682.5|4173.5|4419|4173.5|0|0|0|0|0|0|0|0|0|0|0|0|0|3682.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4910
Professional|||44800|EXCISION MECKELOMPHALOMES DU*|2793|2793|2427.29|2094.75|2374.05|2513.7|2374.05|2475.76|1439.2|1352.85|0|0|2656.04|2427.29|450.49|2600.24|2523.24|2456.84|2366.61|2652.93|2094.75|2600.24|859.35|836.93|859.35|2711.08|2711.08|531.16|769.68|548.69|2819.52|2652.93|2652.93|536.47|594.9|584.28|637.39|747.26|2505.46|2505.46|784.62|2441.33|1345.07|784.62|769.68|0|2819.52
Professional|||44850|SUTURE OF MESENTERY|2722|2722|2369.42|2041.5|2313.7|2449.8|2313.7|2416.73|1402.1|1317.97|0|0|2592.72|2369.42|441.88|2538.25|2463.08|2398.26|2310.18|2589.68|2041.5|2538.25|830.07|808.42|830.07|2642.5|2642.5|513.2|743.45|530.14|2748.2|2589.68|2589.68|518.33|574.78|564.52|615.84|721.8|2455.69|2455.69|757.89|2392.83|1299.24|757.89|743.45|0|2748.2
Professional|||44950|APPENDECTOMY|2324|2324|2033.12|1743|1975.4|2091.6|1975.4|2073.71|1197.7|1125.84|0|0|2224.72|2033.12|376.1|2177.98|2113.48|2057.86|1982.29|2222.11|1743|2177.98|713.99|695.36|713.99|2256.15|2256.15|441.35|639.49|455.91|2346.4|2222.11|2222.11|445.76|494.31|485.49|529.62|620.86|2102.79|2102.79|651.9|2048.96|1117.55|651.9|639.49|0|2346.4
Professional|||44955|APPENDECTOMYW OTHR PROC|305|305|267.52|228.75|259.25|274.5|259.25|272.86|156.8|147.39|0|0|292.73|267.52|48.78|286.58|278.09|270.77|260.83|292.38|228.75|286.58|92.6|90.18|92.6|295.37|295.37|57.22|82.94|59.11|307.18|292.38|292.38|57.79|64.09|62.94|68.66|80.52|276|276|84.55|268.94|144.94|84.55|82.94|0|307.18
Professional|||44960|APPENDECTOMYRUPT APPENDX+ABS*|3165|3165|2774.52|2373.75|2690.25|2848.5|2690.25|2829.91|1631|1533.14|0|0|3035.99|2774.52|511.61|2972.21|2884.19|2808.29|2705.16|3032.43|2373.75|2972.21|972.81|947.43|972.81|3072.37|3072.37|601.21|871.3|621.05|3195.26|3032.43|3032.43|607.22|673.36|661.33|721.45|845.92|2864.04|2864.04|888.22|2790.73|1522.66|888.22|871.3|0|3195.26
Professional|||44970|LAPAPPENDECTOMY|2182|2182|1902.09|1636.5|1854.7|1963.8|1854.7|1940.07|1124.9|1057.41|0|0|2081.34|1902.09|353.36|2037.62|1977.27|1925.24|1854.54|2078.9|1636.5|2037.62|669.54|652.08|669.54|2117.69|2117.69|413.89|599.68|427.55|2202.4|2078.9|2078.9|418.03|463.56|455.28|496.67|582.21|1965.94|1965.94|611.32|1915.61|1047.98|611.32|599.68|0|2202.4
Professional|||45020|DRAINAGE OF DEEP RECTAL ABSCE*|2106|2106|1810.37|1579.5|1790.1|1895.4|1790.1|1846.51|1084.3|1019.24|0|0|1980.98|1810.37|340.34|1939.36|1881.93|1832.41|1765.11|1978.66|1579.5|1939.36|644.82|628|644.82|2043.86|2043.86|398.49|577.53|411.64|2125.61|1978.66|1978.66|402.47|446.31|438.34|478.19|560.71|1872.04|1872.04|588.75|1824.12|1009.28|588.75|577.53|0|2125.61
Professional|||45111|PROCTECTOMYPARTIAL|3973|3973|3437.3|2979.75|3377.05|3575.7|3377.05|3505.93|2047.5|1924.65|0|0|3761.23|3437.3|643.61|3682.22|3573.17|3479.14|3351.37|3756.82|2979.75|3682.22|1218.64|1186.85|1218.64|3856.95|3856.95|753.37|1091.48|778.23|4011.23|3756.82|3756.82|760.9|843.77|828.71|904.04|1059.69|3560.84|3560.84|1112.67|3469.69|1907.44|1112.67|1091.48|0|4011.23
Professional|||45119|PROCTECTOMYA-P PULLTHRU W/RE*|7132|7132|6109.18|5349|6062.2|6418.8|6062.2|6231.15|3676.4|3455.82|0|0|6684.91|6109.18|1162.52|6544.47|6350.66|6183.54|5956.45|6677.07|5349|6544.47|2178.91|2122.06|2178.91|6924.05|6924.05|1346.89|1951.54|1391.34|7201.01|6677.07|6677.07|1360.36|1508.52|1481.58|1616.27|1894.7|6383.03|6383.03|1989.44|6219.63|3410.46|1989.44|1951.54|0|7201.01
Professional|||45300|PROCTOSIGMOIDOSCOPYRIGIDDIA*|183|183|153.96|137.25|155.55|164.7|155.55|386.45|239.4|225.04|0|0|168.47|153.96|32.68|164.93|160.04|155.83|150.11|168.27|137.25|164.93|54.57|53.14|54.57|176.69|176.69|33.61|48.87|34.72|183.76|168.27|168.27|33.95|37.64|36.97|40.33|47.45|177.6|177.6|49.82|173.06|85.41|49.82|48.87|0|386.45
Professional|||45307|PR PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY|358|358|304.64|268.5|304.3|322.2|304.3|560.19|343|322.42|0|0|333.35|304.64|62.23|326.35|316.68|308.35|297.02|332.96|268.5|326.35|110.16|107.28|110.16|346.79|346.79|67.99|98.66|70.23|360.66|332.96|332.96|68.67|76.15|74.79|81.59|95.79|320.13|320.13|100.58|311.93|172.42|100.58|98.66|0|560.19
Professional|||45330|PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD|212|212|177.98|159|180.2|190.8|180.2|543.49|339.5|319.13|0|0|194.75|177.98|34.42|190.66|185.01|180.15|173.53|194.52|159|190.66|64.22|62.54|64.22|205.71|205.71|39.51|57.52|40.81|213.94|194.52|194.52|39.91|44.25|43.46|47.41|55.84|185.51|185.51|58.63|180.77|100.51|58.63|57.52|0|543.49
Professional|||45331|SIGMOIDOSCOPYBIOPSY|271|271|227.12|203.25|230.35|243.9|230.35|846.41|529.9|498.11|0|0|248.52|227.12|44.59|243.3|236.09|229.88|221.44|248.23|203.25|243.3|82.42|80.27|82.42|262.4|262.4|50.8|73.82|52.48|272.9|248.23|248.23|51.31|56.9|55.88|60.96|71.67|238.69|238.69|75.25|232.58|129.01|75.25|73.82|0|846.41
Professional|||45332|PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY|394|394|334.12|295.5|334.9|354.6|334.9|819.68|507.5|477.05|0|0|365.61|334.12|67.98|357.93|347.33|338.19|325.77|365.18|295.5|357.93|120.28|117.14|120.28|382.4|382.4|74.15|107.73|76.6|397.7|365.18|365.18|74.89|83.05|81.57|88.98|104.59|349.53|349.53|109.82|340.59|188.26|109.82|107.73|0|819.68
Professional|||45333|PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS|352|352|298.09|264|299.2|316.8|299.2|965.58|601.3|565.22|0|0|326.18|298.09|60.69|319.33|309.87|301.72|290.64|325.8|264|319.33|107.07|104.27|107.07|341.52|341.52|65.94|95.89|68.12|355.18|325.8|325.8|66.6|73.85|72.53|79.13|93.1|312.19|312.19|97.76|304.19|167.58|97.76|95.89|0|965.58
Professional|||45334|PR SIGMOIDOSCOPY FLX CONTROL BLEEDING|446|446|375.61|334.5|379.1|401.4|379.1|1711.76|1073.8|1009.37|0|0|411.01|375.61|75.93|402.38|390.46|380.19|366.22|410.53|334.5|402.38|134.71|131.2|134.71|432.51|432.51|83.13|120.65|85.87|449.81|410.53|410.53|83.96|93.11|91.44|99.76|117.14|391.36|391.36|123|381.34|210.85|123|120.65|0|1711.76
Professional|||45335|PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST|250|250|210.74|187.5|212.5|225|212.5|796.3|498.4|468.5|0|0|230.6|210.74|44.14|225.75|219.07|213.3|205.47|230.33|187.5|225.75|76.16|74.18|76.16|242.63|242.63|46.95|68.22|48.5|252.34|230.33|230.33|47.42|52.58|51.65|56.34|66.23|220.56|220.56|69.54|214.92|119.21|69.54|68.22|0|796.3
Professional|||45337|PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE|432|432|367.97|324|367.2|388.8|367.2|375.32|222.6|209.24|0|0|402.65|367.97|73.71|394.19|382.52|372.45|358.77|402.18|324|394.19|131.89|128.45|131.89|419.32|419.32|81.34|118.13|84.02|436.09|402.18|402.18|82.15|91.1|89.47|97.61|114.69|383.45|383.45|120.42|373.63|206.44|120.42|118.13|0|436.09
Professional|||45338|PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ|453|453|382.17|339.75|385.05|407.7|385.05|877.6|543.9|511.27|0|0|418.18|382.17|77.47|409.4|397.27|386.82|372.62|417.69|339.75|409.4|137.66|134.06|137.66|439.09|439.09|84.93|123.29|87.73|456.65|417.69|417.69|85.78|95.12|93.42|101.92|119.7|400.44|400.44|125.69|390.19|215.46|125.69|123.29|0|877.6
Professional|||45342|PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX|644|644|541.58|483|547.4|579.6|547.4|552.4|331.8|311.89|0|0|592.62|541.58|108.36|580.17|562.99|548.17|528.04|591.93|483|580.17|195.2|190.11|195.2|625.02|625.02|120.6|174.83|124.58|650.02|591.93|591.93|121.81|135.07|132.66|144.72|169.74|564.42|564.42|178.23|549.98|305.53|178.23|174.83|0|650.02
Professional|||45346|PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES|609|609|513.19|456.75|517.65|548.1|517.65|9172.43|5810.7|5462.06|0|0|561.56|513.19|0|549.76|533.48|519.44|500.36|560.9|456.75|549.76|183.94|179.14|183.94|590.74|590.74|0|164.75|0|614.37|560.9|560.9|0|0|0|0|159.95|533.88|533.88|167.95|520.22|287.91|167.95|164.75|0|9172.43
Professional|||45349|PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION|752|752|633.3|564|639.2|676.8|639.2|645.95|387.1|363.87|0|0|692.98|633.3|0|678.43|658.33|641.01|617.47|692.17|564|678.43|228.31|222.35|228.31|729.19|729.19|0|204.49|0|758.36|692.17|692.17|0|0|0|0|198.53|659.45|659.45|208.46|642.57|357.35|208.46|204.49|0|758.36
Professional|||45378|PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD|699|699|590.72|524.25|594.15|629.1|594.15|1022.38|626.5|588.91|0|0|646.39|590.72|116.76|632.81|614.07|597.91|575.95|645.63|524.25|632.81|211.93|206.4|211.93|677.76|677.76|130.86|189.82|135.18|704.87|645.63|645.63|132.17|146.56|143.95|157.03|184.29|615.33|615.33|193.5|599.57|331.72|193.5|189.82|0|1022.38
Professional|||45379|PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)|902|902|764.33|676.5|766.7|811.8|766.7|1320.85|809.2|760.65|0|0|836.36|764.33|150.3|818.79|794.54|773.63|745.22|835.38|676.5|818.79|274.23|267.08|274.23|875.56|875.56|169.35|245.61|174.94|910.58|835.38|835.38|171.04|189.67|186.29|203.22|238.46|795.2|795.2|250.38|774.84|429.23|250.38|245.61|0|1320.85
Professional|||45380|PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE|760|760|640.95|570|646|684|646|1313.05|810.6|761.96|0|0|701.35|640.95|127.13|686.61|666.28|648.75|624.93|700.53|570|686.61|230.26|224.26|230.26|737.1|737.1|142.15|206.24|146.84|766.58|700.53|700.53|143.57|159.21|156.37|170.58|200.23|667.36|667.36|210.24|650.28|360.41|210.24|206.24|0|1313.05
Professional|||45381|PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST|760|760|640.95|570|646|684|646|1282.98|791|743.54|0|0|701.35|640.95|127.13|686.61|666.28|648.75|624.93|700.53|570|686.61|230.26|224.26|230.26|737.1|737.1|142.15|206.24|146.84|766.58|700.53|700.53|143.57|159.21|156.37|170.58|200.23|667.36|667.36|210.24|650.28|360.41|210.24|206.24|0|1282.98
Professional|||45382|PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD|982|982|827.66|736.5|834.7|883.8|834.7|2251.9|1400.7|1316.66|0|0|905.66|827.66|163.34|886.63|860.38|837.73|806.97|904.6|736.5|886.63|297.99|290.21|297.99|953.36|953.36|183.98|266.89|190.05|991.49|904.6|904.6|185.82|206.06|202.38|220.78|259.12|861.92|861.92|272.08|839.86|466.42|272.08|266.89|0|2251.9
Professional|||45385|PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ|962|962|813.47|721.5|817.7|865.8|817.7|1378.76|844.9|794.21|0|0|890.13|813.47|160.24|871.43|845.62|823.37|793.13|889.08|721.5|871.43|292.3|284.67|292.3|933.58|933.58|180.64|261.8|186.6|970.92|889.08|889.08|182.45|202.32|198.7|216.77|254.17|846.1|846.1|266.88|824.44|457.51|266.88|261.8|0|1378.76
Professional|||45386|PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT|800|800|676.98|600|680|720|680|1893.29|1176.7|1106.1|0|0|740.78|676.98|133.54|725.21|703.74|685.22|660.06|739.91|600|725.21|242.79|236.45|242.79|776.66|776.66|149.85|217.45|154.8|807.73|739.91|739.91|151.35|167.83|164.84|179.82|211.12|704.71|704.71|221.68|686.67|380.02|221.68|217.45|0|1893.29
Professional|||45388|PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES|1022|1022|864.78|766.5|868.7|919.8|868.7|9673.6|6113.1|5746.31|0|0|946.28|864.78|0|926.4|898.97|875.31|843.16|945.17|766.5|926.4|310.13|302.04|310.13|991.6|991.6|0|277.77|0|1031.26|945.17|945.17|0|0|0|0|269.68|900.37|900.37|283.16|877.33|485.42|283.16|277.77|0|9673.6
Professional|||45389|PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT|1097|1097|927.02|822.75|932.45|987.3|932.45|945.53|564.2|530.35|0|0|1014.39|927.02|0|993.08|963.67|938.31|903.84|1013.2|822.75|993.08|332.63|323.95|332.63|1064.13|1064.13|0|297.92|0|1106.7|1013.2|1013.2|0|0|0|0|289.24|964.86|964.86|303.7|940.16|520.63|303.7|297.92|0|1106.7
Professional|||45390|PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION|1261|1261|1063.51|945.75|1071.85|1134.9|1071.85|1084.74|649.6|610.62|0|0|1163.74|1063.51|0|1139.29|1105.55|1076.46|1036.92|1162.37|945.75|1139.29|382.65|372.67|382.65|1223.68|1223.68|0|342.72|0|1272.63|1162.37|1162.37|0|0|0|0|332.74|1105.12|1105.12|349.38|1076.83|598.93|349.38|342.72|0|1272.63
Professional|||45393|PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION|951|951|809.1|713.25|808.35|855.9|808.35|825.25|490.7|461.26|0|0|885.35|809.1|0|866.75|841.08|818.95|788.87|884.31|713.25|866.75|288.93|281.39|288.93|923.03|923.03|0|258.78|0|959.95|884.31|884.31|0|0|0|0|251.24|840.43|840.43|263.8|818.91|452.23|263.8|258.78|0|959.95
Professional|||45563|EXPLOR/REPAIR RECTUMINJCOLO*|5974|5974|5211.64|4480.5|5077.9|5376.6|5077.9|5315.69|3084.2|2899.15|0|0|5702.78|5211.64|966.97|5582.98|5417.64|5275.07|5081.35|5696.1|4480.5|5582.98|1841.27|1793.23|1841.27|5799.27|5799.27|1138.27|1649.13|1175.83|6031.24|5696.1|5696.1|1149.65|1274.86|1252.1|1365.92|1601.1|5375.17|5375.17|1681.16|5237.58|2881.98|1681.16|1649.13|0|6031.24
Professional|||45900|REDUCTION RECTAL PROLAPSE W A*|747|747|636.58|560.25|634.95|672.3|634.95|649.29|385|361.9|0|0|696.57|636.58|121.83|681.94|661.74|644.33|620.67|695.75|560.25|681.94|236.56|230.38|236.56|725.24|725.24|146|211.87|150.82|754.25|695.75|695.75|147.46|163.52|160.6|175.2|205.7|661.72|661.72|215.99|644.78|370.26|215.99|211.87|0|754.25
Professional|||45915|REMV RECTAL OBSTR:FECES/F.B. *|855|855|719.56|641.25|726.75|769.5|726.75|1080.29|660.8|621.15|0|0|787.37|719.56|137.73|770.83|748|728.32|701.57|786.45|641.25|770.83|263.04|256.18|263.04|829.41|829.41|162.42|235.59|167.78|862.59|786.45|786.45|164.04|181.91|178.66|194.9|228.73|739.76|739.76|240.17|720.82|411.71|240.17|235.59|0|1080.29
Professional|||46040|I&D PERIRECTAL ABSCESS|1547|1547|1314.65|1160.25|1314.95|1392.3|1314.95|1726.24|1041.6|979.1|0|0|1438.54|1314.65|249.19|1408.32|1366.61|1330.65|1281.78|1436.85|1160.25|1408.32|477.34|464.89|477.34|1501.91|1501.91|295.09|427.53|304.83|1561.99|1436.85|1436.85|298.04|330.5|324.6|354.11|415.08|1350.58|1350.58|435.83|1316.01|747.14|435.83|427.53|0|1726.24
Professional|||46050|I&D PERIANAL ABSCESSSUPERFIC*|364|364|307.92|273|309.4|327.6|309.4|665.99|411.6|386.9|0|0|336.93|307.92|58.7|329.86|320.09|311.66|300.22|336.54|273|329.86|112.29|109.36|112.29|353.39|353.39|69.28|100.57|71.57|367.53|336.54|336.54|69.97|77.59|76.21|83.14|97.64|317.86|317.86|102.52|309.72|175.75|102.52|100.57|0|665.99
Professional|||46083|INCISE EXTERNAL HEMORRHOID|401|401|336.31|300.75|340.85|360.9|340.85|583.58|359.1|337.55|0|0|368|336.31|64.45|360.27|349.6|340.4|327.9|367.57|300.75|360.27|123.41|120.19|123.41|388.99|388.99|76.21|110.53|78.72|404.55|367.57|367.57|76.97|85.36|83.83|91.45|107.31|347.27|347.27|112.68|338.38|193.16|112.68|110.53|0|583.58
Professional|||46220|EXCISE ANAL EXT TAG/PAPILLA|443|443|375.61|332.25|376.55|398.7|376.55|692.72|424.9|399.41|0|0|411.01|375.61|71.51|402.38|390.46|380.19|366.22|410.53|332.25|402.38|135.65|132.12|135.65|429.87|429.87|83.65|121.5|86.41|447.06|410.53|410.53|84.49|93.69|92.02|100.38|117.96|386.85|386.85|123.86|376.95|212.33|123.86|121.5|0|692.72
Professional|||46320|REMOVAL OF HEMORRHOID CLOT|413|413|351.59|309.75|351.05|371.7|351.05|604.74|369.6|347.42|0|0|384.73|351.59|66.65|376.64|365.49|355.87|342.8|384.27|309.75|376.64|126.81|123.5|126.81|400.86|400.86|78.26|113.58|80.84|416.89|384.27|384.27|79.04|87.65|86.09|93.91|110.27|361.95|361.95|115.78|352.69|198.49|115.78|113.58|0|604.74
Professional|||46500|INJECT SCLEROS SOLN IN HEMORR*|676|676|559.05|507|574.6|608.4|574.6|916.58|568.4|534.3|0|0|611.74|559.05|75.7|598.89|581.15|565.86|545.07|611.02|507|598.89|210.2|204.71|210.2|655.35|655.35|129.83|188.26|134.11|681.56|611.02|611.02|131.13|145.41|142.81|155.8|182.78|401.54|401.54|191.92|391.26|329|191.92|188.26|0|916.58
Professional|||46600|DIAGNOSTIC ANOSCOPY|154|154|128.84|115.5|130.9|138.6|130.9|302.93|188.3|177|0|0|140.99|128.84|24.73|138.02|133.94|130.41|125.62|140.82|115.5|138.02|46.43|45.21|46.43|149|149|28.48|41.58|29.42|154.96|140.82|140.82|28.76|31.9|31.33|34.18|40.37|133.48|133.48|42.39|130.06|72.67|42.39|41.58|0|302.93
Professional|||47000|PR BIOPSY LIVER NEEDLE PERCUTANEOUS|339|339|281.71|254.25|288.15|305.1|288.15|971.15|609|572.46|0|0|308.26|281.71|63.57|301.78|292.85|285.14|274.67|307.9|254.25|301.78|103.17|100.48|103.17|328.34|328.34|63.63|92.4|65.73|341.47|307.9|307.9|64.27|71.27|69.99|76.36|89.71|295.23|295.23|94.2|287.67|161.48|94.2|92.4|0|971.15
Professional|||47001|NEEDLE BIOPSY LIVERW OTHR PR*|374|374|329.75|280.5|317.9|336.6|317.9|336.34|192.5|180.95|0|0|360.83|329.75|60.03|353.25|342.79|333.77|321.51|360.41|280.5|353.25|114.23|111.25|114.23|362.62|362.62|70.56|102.31|72.89|377.12|360.41|360.41|71.27|79.03|77.62|84.67|99.33|342.73|342.73|104.3|333.95|178.79|104.3|102.31|0|377.12
Professional|||47010|DRAINAGE OF LIVER LESION OPEN|4402|4402|3840.21|3301.5|3741.7|3961.8|3741.7|3916.88|2269.4|2133.24|0|0|4202.11|3840.21|708.72|4113.83|3992.01|3886.95|3744.2|4197.19|3301.5|4113.83|1348.4|1313.22|1348.4|4273.64|4273.64|833.43|1207.7|860.93|4444.59|4197.19|4197.19|841.76|933.44|916.77|1000.12|1172.52|3949.93|3949.93|1231.15|3848.82|2110.54|1231.15|1207.7|0|4444.59
Professional|||47100|WEDGE BIOPSY OF LIVER|3079|3079|2675.16|2309.25|2617.15|2771.1|2617.15|2728.57|1586.9|1491.69|0|0|2927.26|2675.16|498.16|2865.77|2780.9|2707.72|2608.28|2923.83|2309.25|2865.77|946.38|921.69|946.38|2989.31|2989.31|585.04|847.63|604.35|3108.88|2923.83|2923.83|590.89|655.24|643.54|702.05|822.94|2762.24|2762.24|864.09|2691.53|1481.29|864.09|847.63|0|3108.88
Professional|||47120|RESEC LIVERPART LOBECTOMY|8431|8431|7401.99|6323.25|7166.35|7587.9|7166.35|7549.77|4345.6|4084.86|0|0|8099.55|7401.99|1362.93|7929.4|7694.57|7492.08|7216.94|8090.06|6323.25|7929.4|2587.51|2520.01|2587.51|8184.65|8184.65|1599.64|2317.51|1652.43|8512.04|8090.06|8090.06|1615.64|1791.6|1759.6|1919.57|2250.01|7638.58|7638.58|2362.51|7443.04|4050.02|2362.51|2317.51|0|8512.04
Professional|||47350|REPAIR BLEED LIVER/SUTURE WOU*|4963|4963|4334.84|3722.25|4218.55|4466.7|4218.55|4421.39|2558.5|2404.99|0|0|4743.36|4334.84|804.31|4643.71|4506.19|4387.6|4226.47|4737.8|3722.25|4643.71|1522.99|1483.26|1522.99|4818.22|4818.22|941.46|1364.07|972.53|5010.95|4737.8|4737.8|950.87|1054.44|1035.61|1129.75|1324.34|4482.71|4482.71|1390.56|4367.96|2383.81|1390.56|1364.07|0|5010.95
Professional|||47361|EXPLOR LIVER WOUNDEXTENSIV D*|10947|10947|9608.72|8210.25|9304.95|9852.3|9304.95|9800.56|5641.3|5302.82|0|0|10514.24|9608.72|1767.29|10293.36|9988.53|9725.67|9368.5|10501.92|8210.25|10293.36|3354.55|3267.04|3354.55|10628.04|10628.04|2073.84|3004.51|2142.28|11053.16|10501.92|10501.92|2094.58|2322.7|2281.22|2488.61|2917|9949.51|9949.51|3062.85|9694.82|5250.6|3062.85|3004.51|0|11053.16
Professional|||47362|RE-EXPLORE LIVER WOUNDREMV P*|5246|5246|4599.08|3934.5|4459.1|4721.4|4459.1|4690.9|2704.1|2541.85|0|0|5032.5|4599.08|848.22|4926.78|4780.87|4655.06|4484.1|5026.6|3934.5|4926.78|1610.95|1568.93|1610.95|5092.49|5092.49|995.86|1442.85|1028.72|5296.19|5026.6|5026.6|1005.82|1115.36|1095.45|1195.03|1400.83|4754.18|4754.18|1470.87|4632.48|2521.49|1470.87|1442.85|0|5296.19
Professional|||47379|LAP WEDGE BIOPSY LIVER|1773|1773|0|1329.75|1507.05|1595.7|1507.05|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1773
Professional|||47379|LAP TX LIVER ABSCESS|1141|1141|0|855.75|969.85|1026.9|969.85|0|0|0|0|0|0|0|0|0|0|0|0|0|855.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1141
Professional|||47382|PR ABLTJ 1/> LVR TUM PRQ RF|2821|2821|2351.95|2115.75|2397.85|2538.9|2397.85|14552.72|9177|8626.38|0|0|2573.6|2351.95|474.77|2519.53|2444.92|2380.58|2293.15|2570.58|2115.75|2519.53|859.38|836.96|859.38|2738.77|2738.77|531.16|769.71|548.69|2848.32|2570.58|2570.58|536.47|594.9|584.28|637.39|747.29|2468.14|2468.14|784.65|2404.96|1345.12|784.65|769.71|0|14552.72
Professional|||47383|PR ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION|1732|1732|1446.77|1299|1472.2|1558.8|1472.2|21848.57|13838.3|13008|0|0|1583.11|1446.77|295.32|1549.85|1503.95|1464.38|1410.6|1581.26|1299|1549.85|526.04|512.32|526.04|1681.24|1681.24|325.11|471.15|335.84|1748.49|1581.26|1581.26|328.36|364.12|357.62|390.13|457.43|1488.6|1488.6|480.3|1450.49|823.37|480.3|471.15|0|21848.57
Professional|||47480|CHOLECYSTOSTOMYOPEN EXPLOR/DRAIN/ REMV CALCULUS|3199|3199|2775.61|2399.25|2719.15|2879.1|2719.15|2831.03|1648.5|1549.59|0|0|3037.18|2775.61|516.91|2973.38|2885.32|2809.39|2706.22|3033.62|2399.25|2973.38|985.19|959.49|985.19|3105.34|3105.34|608.91|882.39|629|3229.55|3033.62|3033.62|615|681.98|669.8|730.69|856.69|2868.58|2868.58|899.52|2795.15|1542.04|899.52|882.39|0|3229.55
Professional|||47490|CHOLECYSTOSTOMYPERCUTANEOUS COMPLETE|1269|1269|1043.86|951.75|1078.65|1142.1|1078.65|1064.7|653.8|614.57|0|0|1142.23|1043.86|207.03|1118.23|1085.12|1056.56|1017.76|1140.89|951.75|1118.23|389.28|379.12|389.28|1231.59|1231.59|240.43|348.66|248.36|1280.85|1140.89|1140.89|242.83|269.28|264.47|288.52|338.5|1082.49|1082.49|355.43|1054.78|609.3|355.43|348.66|0|1280.85
Professional|||47531|PR NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS|271|271|224.93|203.25|230.35|243.9|230.35|1101.45|693.7|652.08|0|0|246.13|224.93|59.15|240.96|233.82|227.67|219.31|245.84|203.25|240.96|82.04|79.9|82.04|262.4|262.4|50.55|73.48|52.22|272.9|245.84|245.84|51.06|56.62|55.61|60.66|71.34|233.01|233.01|74.91|227.05|128.41|74.91|73.48|0|1101.45
Professional|||47533|PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL|1012|1012|845.13|759|860.2|910.8|860.2|3924.68|2468.2|2320.11|0|0|924.78|845.13|186.06|905.35|878.54|855.42|824|923.69|759|905.35|308.52|300.47|308.52|982.37|982.37|190.65|276.33|196.94|1021.66|923.69|923.69|192.56|213.53|209.72|228.78|268.28|884.55|884.55|281.69|861.91|482.9|281.69|276.33|0|3924.68
Professional|||47534|PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT|1416|1416|1180.34|1062|1203.6|1274.4|1203.6|4572.85|2870|2697.8|0|0|1291.58|1180.34|246.54|1264.45|1227|1194.71|1150.83|1290.07|1062|1264.45|431.17|419.92|431.17|1373.99|1373.99|266.35|386.18|275.14|1428.95|1290.07|1290.07|269.01|298.31|292.99|319.62|374.93|1231.82|1231.82|393.68|1200.29|674.87|393.68|386.18|0|4572.85
Professional|||47536|PR EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I|503|503|419.29|377.25|427.55|452.7|427.55|2181.74|1374.1|1291.65|0|0|458.8|419.29|90.94|449.16|435.86|424.39|408.81|458.27|377.25|449.16|153.46|149.45|153.46|487.89|487.89|94.68|137.44|97.8|507.41|458.27|458.27|95.63|106.04|104.15|113.62|133.44|438.89|438.89|140.11|427.65|240.19|140.11|137.44|0|2181.74
Professional|||47537|PR REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I|367|367|304.64|275.25|311.95|330.3|311.95|1281.87|805.7|757.36|0|0|333.35|304.64|60.47|326.35|316.68|308.35|297.02|332.96|275.25|326.35|111.92|109|111.92|356.03|356.03|69.02|100.24|71.3|370.27|332.96|332.96|69.71|77.3|75.92|82.82|97.32|318.99|318.99|102.19|310.83|175.18|102.19|100.24|0|1281.87
Professional|||47538|PR PLMT BILE DUCT STENT PRQ EXISTING ACCESS|901|901|751.23|675.75|765.85|810.9|765.85|13564.87|8596.7|8080.9|0|0|822.02|751.23|202.61|804.75|780.92|760.37|732.45|821.06|675.75|804.75|274.77|267.6|274.77|874.24|874.24|169.86|246.1|175.47|909.21|821.06|821.06|171.56|190.24|186.85|203.83|238.93|780.48|780.48|250.88|760.5|430.07|250.88|246.1|0|13564.87
Professional|||47540|PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH|1678|1678|1400.91|1258.5|1426.3|1510.2|1426.3|15302.24|9680.3|9099.48|0|0|1532.93|1400.91|327.1|1500.73|1456.28|1417.96|1365.89|1531.13|1258.5|1500.73|511.65|498.3|511.65|1628.49|1628.49|316.13|458.26|326.56|1693.63|1531.13|1531.13|319.29|354.07|347.74|379.36|444.91|1465.97|1465.97|467.16|1428.44|800.84|467.16|458.26|0|15302.24
Professional|||47543|PR ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT|549|549|458.6|411.75|466.65|494.1|466.65|1490.13|932.4|876.46|0|0|501.82|458.6|97.13|491.27|476.73|464.18|447.14|501.23|411.75|491.27|167.99|163.61|167.99|532.72|532.72|103.66|150.46|107.08|554.03|501.23|501.23|104.7|116.1|114.03|124.39|146.08|525.97|525.97|153.38|512.51|262.94|153.38|150.46|0|1490.13
Professional|||47555|BILIARY ENDOSCOPY PERCUTDIL *|1235|1235|1032.94|926.25|1049.75|1111.5|1049.75|1053.56|634.2|596.15|0|0|1130.28|1032.94|226.02|1106.54|1073.77|1045.51|1007.12|1128.96|926.25|1106.54|377.65|367.8|377.65|1194.66|1194.66|233.24|338.24|240.94|1242.45|1128.96|1128.96|235.57|261.23|256.56|279.89|328.39|1199.01|1199.01|344.81|1168.32|591.1|344.81|338.24|0|1242.45
Professional|||47562|LAPCHOLECYSTECTOMY|2387|2387|2082.25|1790.25|2028.95|2148.3|2028.95|2123.83|1229.9|1156.11|0|0|2278.48|2082.25|386.04|2230.62|2164.56|2107.6|2030.19|2275.81|1790.25|2230.62|732.83|713.71|732.83|2316.81|2316.81|452.89|656.36|467.84|2409.48|2275.81|2275.81|457.42|507.24|498.18|543.47|637.24|2152.55|2152.55|669.1|2097.45|1147.03|669.1|656.36|0|2409.48
Professional|||47563|LAPCHOLECYSTECTOMY/GRAPH|2592|2592|2265.69|1944|2203.2|2332.8|2203.2|2310.93|1335.6|1255.46|0|0|2479.21|2265.69|418.7|2427.13|2355.25|2293.27|2209.05|2476.31|1944|2427.13|797.2|776.41|797.2|2515.92|2515.92|492.67|714.02|508.93|2616.56|2476.31|2476.31|497.6|551.79|541.94|591.2|693.22|2338.07|2338.07|727.88|2278.22|1247.8|727.88|714.02|0|2616.56
Professional|||47564|LAPCHOLECYSTECTOMY/EXPLORE|4030|4030|3523.56|3022.5|3425.5|3627|3425.5|3593.91|2076.9|1952.29|0|0|3855.62|3523.56|652.45|3774.62|3662.84|3566.45|3435.47|3851.1|3022.5|3774.62|1238.61|1206.3|1238.61|3912.34|3912.34|765.69|1109.36|790.96|4068.83|3851.1|3851.1|773.35|857.57|842.26|918.83|1077.05|3644.52|3644.52|1130.9|3551.23|1938.69|1130.9|1109.36|0|4068.83
Professional|||47600|REMOVAL GALLBLADDER|3866|3866|3381.61|2899.5|3286.1|3479.4|3286.1|3449.13|1992.2|1872.67|0|0|3700.3|3381.61|625.52|3622.56|3515.28|3422.77|3297.07|3695.96|2899.5|3622.56|1188.19|1157.2|1188.19|3752.78|3752.78|734.38|1064.21|758.61|3902.89|3695.96|3695.96|741.72|822.51|807.82|881.26|1033.21|3495.22|3495.22|1084.87|3405.75|1859.78|1084.87|1064.21|0|3902.89
Professional|||47605|REMV GALLBLADDER W CHOLANGIOG*|4064|4064|3559.59|3048|3454.4|3657.6|3454.4|3630.66|2094.4|1968.74|0|0|3895.05|3559.59|657.97|3813.22|3700.3|3602.92|3470.6|3890.48|3048|3813.22|1249.1|1216.51|1249.1|3945.3|3945.3|772.1|1118.76|797.58|4103.11|3890.48|3890.48|779.82|864.75|849.31|926.52|1086.17|3679.6|3679.6|1140.48|3585.41|1955.11|1140.48|1118.76|0|4103.11
Professional|||47610|REMV GALLBLADDEREXPLOR COMMO*|4530|4530|3973.42|3397.5|3850.5|4077|3850.5|4052.75|2334.5|2194.43|0|0|4347.88|3973.42|733.67|4256.54|4130.48|4021.79|3874.08|4342.78|3397.5|4256.54|1391.74|1355.44|1391.74|4397.59|4397.59|860.37|1246.52|888.76|4573.49|4342.78|4342.78|868.97|963.61|946.41|1032.44|1210.21|4110.58|4110.58|1270.72|4005.35|2178.38|1270.72|1246.52|0|4573.49
Professional|||47620|REMV GBW TRANSDUOD SPHINCTER*|4950|4950|4321.74|3712.5|4207.5|4455|4207.5|4408.02|2562|2408.28|0|0|4729.02|4321.74|803.42|4629.67|4492.57|4374.34|4213.7|4723.48|3712.5|4629.67|1525.27|1485.48|1525.27|4805.03|4805.03|943|1366.11|974.12|4997.23|4723.48|4723.48|952.43|1056.16|1037.3|1131.6|1326.32|4489.49|4489.49|1392.64|4374.56|2387.38|1392.64|1366.11|0|4997.23
Professional|||47760|ANAST EXTRAHEP DUCT TO GI TRA*|8133|8133|7148.67|6099.75|6913.05|7319.7|6913.05|7291.39|4191.6|3940.1|0|0|7822.36|7148.67|1317.46|7658.03|7431.24|7235.68|6969.95|7813.19|6099.75|7658.03|2494.49|2429.41|2494.49|7895.87|7895.87|1542.16|2234.19|1593.05|8211.7|7813.19|7813.19|1557.58|1727.22|1696.38|1850.59|2169.12|7387.47|7387.47|2277.58|7198.37|3904.42|2277.58|2234.19|0|8211.7
Professional|||47765|ANAST INTRAHEP DUCT TO GI TRA*|10918|10918|9605.44|8188.5|9280.3|9826.2|9280.3|9797.22|5637.8|5299.53|0|0|10510.66|9605.44|1767.95|10289.85|9985.12|9722.36|9365.3|10498.34|8188.5|10289.85|3355.71|3268.17|3355.71|10599.03|10599.03|2074.61|3005.55|2143.07|11022.99|10498.34|10498.34|2095.36|2323.56|2282.07|2489.53|2918.01|9968.73|9968.73|3063.91|9713.55|5252.42|3063.91|3005.55|0|11022.99
Professional|||47780|ANASTROUX-EN-YEXTRAHEP TO G*|8918|8918|7849.67|6688.5|7580.3|8026.2|7580.3|8006.39|4596.9|4321.09|0|0|8589.42|7849.67|1442.62|8408.97|8159.95|7945.21|7653.43|8579.35|6688.5|8408.97|2738|2666.57|2738|8658.03|8658.03|1692.79|2452.3|1748.65|9004.35|8579.35|8579.35|1709.72|1895.92|1862.07|2031.35|2380.87|8111.41|8111.41|2499.91|7903.77|4285.57|2499.91|2452.3|0|9004.35
Professional|||48102|NEEDLE BIOPSY OF PANCREAS|910|910|758.87|682.5|773.5|819|773.5|1695.05|1054.2|990.95|0|0|830.39|758.87|149.42|812.94|788.87|768.11|739.9|829.41|682.5|812.94|277.16|269.93|277.16|883.47|883.47|171.15|248.24|176.8|918.81|829.41|829.41|172.86|191.69|188.27|205.38|241.01|792.93|792.93|253.06|772.63|433.82|253.06|248.24|0|1695.05
Professional|||48140|PART REMV PANCREASDISTAL SUB*|5651|5651|4962.69|4238.25|4803.35|5085.9|4803.35|5061.77|2912|2737.28|0|0|5430.37|4962.69|914|5316.29|5158.85|5023.09|4838.62|5424|4238.25|5316.29|1733.57|1688.34|1733.57|5485.44|5485.44|1071.56|1552.67|1106.92|5704.86|5424|5424|1082.28|1200.15|1178.72|1285.87|1507.45|5125.21|5125.21|1582.82|4994.01|2713.41|1582.82|1552.67|0|5704.86
Professional|||48150|PART REMV PANCPROX+REMV DUOD*|11239|11239|9892.61|8429.25|9553.15|10115.1|9553.15|10090.12|5792.5|5444.95|0|0|10824.89|9892.61|1817.39|10597.48|10283.64|10013.02|9645.29|10812.2|8429.25|10597.48|3448.37|3358.41|3448.37|10911.54|10911.54|2131.83|3088.54|2202.18|11348|10812.2|10812.2|2153.15|2387.65|2345.01|2558.2|2998.58|10213.06|10213.06|3148.51|9951.63|5397.44|3148.51|3088.54|0|11348
Professional|||48153|PART REMV PANCPROX+PART DUOD*|11196|11196|9846.75|8397|9516.6|10076.4|9516.6|10043.35|5770.1|5423.89|0|0|10774.71|9846.75|1806.81|10548.35|10235.97|9966.6|9600.58|10762.08|8397|10548.35|3434.9|3345.29|3434.9|10869.35|10869.35|2123.62|3076.48|2193.7|11304.12|10762.08|10762.08|2144.86|2378.45|2335.98|2548.34|2986.87|10154.25|10154.25|3136.21|9894.32|5376.37|3136.21|3076.48|0|11304.12
Professional|||48545|PANCREATORRHAPHYINJURY|4852|4852|4248.58|3639|4124.2|4366.8|4124.2|4333.41|2504.6|2354.32|0|0|4648.97|4248.58|780.01|4551.3|4416.52|4300.29|4142.37|4643.52|3639|4551.3|1492.21|1453.28|1492.21|4710.09|4710.09|922.47|1336.5|952.91|4898.49|4643.52|4643.52|931.69|1033.17|1014.72|1106.96|1297.57|4405.78|4405.78|1362.45|4293|2335.63|1362.45|1336.5|0|4898.49
Professional|||49000|EXPLORATORY OF ABDOMEN|2797|2797|2437.12|2097.75|2377.45|2517.3|2377.45|2485.78|1440.6|1354.16|0|0|2666.79|2437.12|453.35|2610.77|2533.45|2466.78|2376.19|2663.67|2097.75|2610.77|856.81|834.46|856.81|2715.03|2715.03|529.62|767.4|547.1|2823.63|2663.67|2663.67|534.92|593.17|582.58|635.54|745.05|2521.31|2521.31|782.3|2456.77|1341.09|782.3|767.4|0|2823.63
Professional|||49002|REOPEN RECENT ABD EXPLORATORY|3787|3787|3312.82|2840.25|3218.95|3408.3|3218.95|3378.97|1951.6|1834.5|0|0|3625.02|3312.82|613.16|3548.87|3443.77|3353.15|3230|3620.78|2840.25|3548.87|1160.99|1130.71|1160.99|3676.3|3676.3|717.71|1039.85|741.39|3823.35|3620.78|3620.78|724.89|803.84|789.48|861.25|1009.56|3425.09|3425.09|1060.04|3337.42|1817.21|1060.04|1039.85|0|3823.35
Professional|||49010|EXPLORATORY RETROPERITONEAL|3365|3365|2937.21|2523.75|2860.25|3028.5|2860.25|2995.85|1733.9|1629.87|0|0|3214.01|2937.21|548.48|3146.49|3053.31|2972.96|2863.78|3210.25|2523.75|3146.49|1027.35|1000.55|1027.35|3266.21|3266.21|635.08|920.15|656.04|3396.86|3210.25|3210.25|641.43|711.29|698.59|762.1|893.35|3060.87|3060.87|938.02|2982.52|1608.03|938.02|920.15|0|3396.86
Professional|||49020|DRAIN ABD ABSCESS OPEN|5769|5769|5036.93|4326.75|4903.65|5192.1|4903.65|5137.5|2972.9|2794.53|0|0|5511.61|5036.93|933.64|5395.83|5236.03|5098.24|4911.01|5505.15|4326.75|5395.83|1772.14|1725.91|1772.14|5600.16|5600.16|1095.42|1587.22|1131.57|5824.17|5505.15|5505.15|1106.37|1226.87|1204.96|1314.5|1540.99|5213.42|5213.42|1618.04|5079.97|2773.78|1618.04|1587.22|0|5824.17
Professional|||49060|DRAIN RETROPERITONEAL ABSCESS*|3985|3985|3476.61|2988.75|3387.25|3586.5|3387.25|3546.02|2053.8|1930.57|0|0|3804.24|3476.61|645.81|3724.32|3614.03|3518.92|3389.69|3799.79|2988.75|3724.32|1226.1|1194.11|1226.1|3868.82|3868.82|757.99|1098.16|783|4023.57|3799.79|3799.79|765.57|848.95|833.79|909.59|1066.17|3597.02|3597.02|1119.48|3504.95|1919.11|1119.48|1098.16|0|4023.57
Professional|||49082|ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE|276|276|231.48|207|234.6|248.4|234.6|631.47|392.7|369.14|0|0|253.3|231.48|45.25|247.98|240.63|234.3|225.69|253|207|247.98|84.38|82.17|84.38|267.68|267.68|52.08|75.57|53.8|278.39|253|253|52.6|58.33|57.29|62.5|73.37|243.19|243.19|77.04|236.97|132.07|77.04|75.57|0|631.47
Professional|||49083|ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE|409|409|339.58|306.75|347.65|368.1|347.65|939.96|587.3|552.06|0|0|371.58|339.58|67.1|363.78|353|343.71|331.09|371.15|306.75|363.78|124.73|121.48|124.73|396.91|396.91|76.98|111.71|79.52|412.79|371.15|371.15|77.75|86.22|84.68|92.38|108.46|356.31|356.31|113.88|347.19|195.23|113.88|111.71|0|939.96
Professional|||49084|PERITONEAL LAVAGE W/WO IMAGING GUIDANCE|390|390|341.76|292.5|331.5|351|331.5|348.59|200.9|188.85|0|0|373.97|341.76|63.12|366.12|355.27|345.92|333.22|373.53|292.5|366.12|120.04|116.91|120.04|378.44|378.44|74.15|107.51|76.6|393.58|373.53|373.53|74.89|83.05|81.57|88.98|104.38|356.31|356.31|109.6|347.19|187.88|109.6|107.51|0|393.58
Professional|||49180|PERCUT BIOPSY ABDOMINAL MASS|322|322|268.61|241.5|273.7|289.8|273.7|524.55|325.5|305.97|0|0|293.92|268.61|52.74|287.75|279.22|271.88|261.89|293.58|241.5|287.75|97.67|95.12|97.67|312.52|312.52|60.3|87.48|62.29|325.02|293.58|293.58|60.9|67.54|66.33|72.36|84.93|280.51|280.51|89.18|273.33|152.87|89.18|87.48|0|524.55
Professional|||49185|PR SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID|455|455|379.98|341.25|386.75|409.5|386.75|3372.28|2130.8|2002.95|0|0|415.79|379.98|75.48|407.06|395|384.61|370.48|415.3|341.25|407.06|138.6|134.98|138.6|441.74|441.74|85.44|124.14|88.26|459.41|415.3|415.3|86.29|95.69|93.98|102.53|120.52|400.44|400.44|126.55|390.19|216.94|126.55|124.14|0|3372.28
Professional|||49203|EXCISION/DESTRUCTION OPEN ABDOMINAL TUMORS 5 CM|4355|4355|3788.89|3266.25|3701.75|3919.5|3701.75|3864.54|2244.2|2109.55|0|0|4145.96|3788.89|705.41|4058.86|3938.66|3835.01|3694.17|4141.1|3266.25|4058.86|1333.22|1298.44|1333.22|4227.48|4227.48|824.19|1194.1|851.39|4396.58|4141.1|4141.1|832.43|923.09|906.61|989.03|1159.32|3923.93|3923.93|1217.29|3823.48|2086.78|1217.29|1194.1|0|4396.58
Professional|||49204|EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM|5555|5555|4845.85|4166.25|4721.75|4999.5|4721.75|4942.6|2863|2691.22|0|0|5302.52|4845.85|900.96|5191.13|5037.4|4904.83|4724.7|5296.31|4166.25|5191.13|1698.96|1654.64|1698.96|5393.14|5393.14|1050.26|1521.68|1084.92|5608.87|5296.31|5296.31|1060.76|1176.29|1155.29|1260.31|1477.36|5024.54|5024.54|1551.23|4895.92|2659.25|1551.23|1521.68|0|5608.87
Professional|||49205|EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM|6377|6377|5574.15|4782.75|5420.45|5739.3|5420.45|5685.44|3286.5|3089.31|0|0|6099.45|5574.15|1031.42|5971.32|5794.48|5641.99|5434.8|6092.31|4782.75|5971.32|1945.56|1894.8|1945.56|6190.9|6190.9|1202.68|1742.54|1242.37|6438.54|6092.31|6092.31|1214.71|1347|1322.95|1443.22|1691.79|5769.94|5769.94|1776.38|5622.24|3045.22|1776.38|1742.54|0|6438.54
Professional|||49255|REMOVAL OF OMENTUM|2889|2889|2503.73|2166.75|2455.65|2600.1|2455.65|2553.71|1488.9|1399.57|0|0|2739.68|2503.73|467.48|2682.12|2602.69|2534.2|2441.14|2736.47|2166.75|2682.12|883.75|860.7|883.75|2804.69|2804.69|546.3|791.53|564.33|2916.88|2736.47|2736.47|551.76|611.86|600.93|655.56|768.48|2589.17|2589.17|806.9|2522.89|1383.26|806.9|791.53|0|2916.88
Professional|||49320|LAPDIAGNOSTIC ABDOMEN|1194|1194|1029.66|895.5|1014.9|1074.6|1014.9|1050.22|615.3|578.38|0|0|1126.7|1029.66|193.35|1103.03|1070.36|1042.19|1003.92|1125.38|895.5|1103.03|367.14|357.56|367.14|1159.06|1159.06|226.83|328.83|234.32|1205.42|1125.38|1125.38|229.1|254.05|249.51|272.2|319.25|1064.39|1064.39|335.21|1037.15|574.65|335.21|328.83|0|1205.42
Professional|||49321|LAPDX SURGICAL ABD W/BIOPSY|1261|1261|1088.62|945.75|1071.85|1134.9|1071.85|1110.36|648.9|609.97|0|0|1191.22|1088.62|204.38|1166.19|1131.65|1101.87|1061.4|1189.82|945.75|1166.19|386.07|376|386.07|1223.68|1223.68|238.63|345.78|246.5|1272.63|1189.82|1189.82|241.02|267.27|262.49|286.36|335.71|1127.75|1127.75|352.5|1098.88|604.28|352.5|345.78|0|1272.63
Professional|||49322|LAPABDOMENASPIRATE CYST|1355|1355|1168.33|1016.25|1151.75|1219.5|1151.75|1191.66|697.9|656.03|0|0|1278.44|1168.33|218.96|1251.58|1214.51|1182.55|1139.12|1276.94|1016.25|1251.58|417.65|406.75|417.65|1314.66|1314.66|258.13|374.07|266.65|1367.25|1276.94|1276.94|260.71|289.11|283.94|309.76|363.17|1206.92|1206.92|381.33|1176.02|653.71|381.33|374.07|0|1367.25
Professional|||49324|LAP INSERTION TUNNELED INTRAPERITONEAL CATHETER|1406|1406|1222.93|1054.5|1195.1|1265.4|1195.1|1247.34|724.5|681.03|0|0|1338.18|1222.93|229.11|1310.06|1271.27|1237.81|1192.36|1336.61|1054.5|1310.06|432.37|421.09|432.37|1364.77|1364.77|267.12|387.25|275.93|1419.36|1336.61|1336.61|269.79|299.17|293.83|320.54|375.97|1273.67|1273.67|394.77|1241.07|676.75|394.77|387.25|0|1419.36
Professional|||49400|AIR/CONTRAST INJECT INTO ABDO*|348|348|292.63|261|295.8|313.2|295.8|437.68|267.4|251.36|0|0|320.21|292.63|56.93|313.48|304.2|296.19|285.31|319.83|261|313.48|105.92|103.15|105.92|337.57|337.57|65.43|94.86|67.59|351.07|319.83|319.83|66.08|73.28|71.97|78.52|92.1|305.41|305.41|96.71|297.59|165.78|96.71|94.86|0|437.68
Professional|||49402|REMOVE PERITONEAL FOREIGN BODY|3103|3103|2711.19|2327.25|2637.55|2792.7|2637.55|2765.32|1598.8|1502.87|0|0|2966.69|2711.19|501.92|2904.37|2818.35|2744.19|2643.41|2963.21|2327.25|2904.37|952.53|927.68|952.53|3011.72|3011.72|588.89|853.14|608.32|3132.19|2963.21|2963.21|594.78|659.56|647.78|706.67|828.29|2801.82|2801.82|869.7|2730.1|1490.92|869.7|853.14|0|3132.19
Professional|||49405|PR IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ|750|750|624.57|562.5|637.5|675|637.5|2665.08|1674.4|1573.94|0|0|683.43|624.57|130.21|669.07|649.25|632.17|608.96|682.62|562.5|669.07|228.32|222.36|228.32|727.88|727.88|141.13|204.5|145.79|757|682.62|682.62|142.54|158.07|155.24|169.36|198.54|652.67|652.67|208.47|635.97|357.37|208.47|204.5|0|2665.08
Professional|||49406|PR IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ|750|750|624.57|562.5|637.5|675|637.5|2663.97|1673.7|1573.28|0|0|683.43|624.57|130.21|669.07|649.25|632.17|608.96|682.62|562.5|669.07|228.17|222.22|228.17|727.88|727.88|148.97|204.36|153.89|757|682.62|682.62|150.46|166.85|163.87|178.76|198.41|652.67|652.67|208.33|635.97|357.14|208.33|204.36|0|2663.97
Professional|||49418|PR INSJ INTRAPERITONEAL CATHETER W/IMG GUID|769|769|643.13|576.75|653.65|692.1|653.65|4022.68|2535.4|2383.28|0|0|703.74|643.13|133.75|688.95|668.55|650.96|627.05|702.91|576.75|688.95|234.39|228.28|234.39|746.34|746.34|144.72|209.93|149.5|776.19|702.91|702.91|146.17|162.09|159.19|173.66|203.82|673.04|673.04|214.01|655.81|366.88|214.01|209.93|0|4022.68
Professional|||49421|INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN|824|824|725.02|618|700.4|741.6|700.4|739.5|424.2|398.75|0|0|793.35|725.02|134.2|776.68|753.68|733.85|706.89|792.42|618|776.68|251.39|244.83|251.39|799.08|799.08|155.24|225.16|160.36|831.04|792.42|792.42|156.79|173.87|170.76|186.29|218.6|754.48|754.48|229.53|735.16|393.48|229.53|225.16|0|831.04
Professional|||49422|REMOVAL TUNNELED INTRAPERITONEAL CATHETER|1282|1282|705.37|961.5|1089.7|1153.8|1089.7|719.45|413.7|388.88|0|0|771.84|705.37|223.58|755.63|733.25|713.95|687.74|770.94|961.5|755.63|245.15|238.75|245.15|779.3|779.3|151.39|219.57|156.39|810.47|770.94|770.94|152.9|169.56|166.53|181.67|213.17|1244.27|1244.27|223.83|1212.42|383.71|223.83|219.57|0|1282
Professional|||49423|DRAINAGE CATHETER EXCHANGE|272|272|226.02|204|231.2|244.8|231.2|1797.51|1135.4|1067.28|0|0|247.32|226.02|44.36|242.13|234.96|228.77|220.37|247.03|204|242.13|82.11|79.97|82.11|263.72|263.72|50.55|73.54|52.22|274.27|247.03|247.03|51.06|56.62|55.61|60.66|71.4|235.28|235.28|74.97|229.26|128.52|74.97|73.54|0|1797.51
Professional|||49424|CONTRAST INJABSCESS/CYST VIA*|144|144|120.11|108|122.4|129.6|122.4|484.46|303.8|285.57|0|0|131.43|120.11|23.39|128.67|124.86|121.57|117.11|131.27|108|128.67|44.07|42.92|44.07|139.77|139.77|27.19|39.47|28.09|145.36|131.27|131.27|27.46|30.45|29.91|32.63|38.32|125.57|125.57|40.24|122.35|68.98|40.24|39.47|0|484.46
Professional|||49440|PR INSERT GASTROSTOMY TUBE PERCUTANEOUS|780|780|650.77|585|663|702|663|3005.88|1890|1776.6|0|0|712.1|650.77|136.4|697.14|676.5|658.69|634.5|711.27|585|697.14|237.05|230.87|237.05|756.88|756.88|146.51|212.31|151.34|787.16|711.27|711.27|147.98|164.09|161.16|175.81|206.13|682.08|682.08|216.44|664.62|371.03|216.44|212.31|0|3005.88
Professional|||49441|PR INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ|906|906|764.33|679.5|770.1|815.4|770.1|3411.26|2139.2|2010.85|0|0|836.36|764.33|155.83|818.79|794.54|773.63|745.22|835.38|679.5|818.79|276.12|268.91|276.12|879.52|879.52|170.63|247.3|176.26|914.7|835.38|835.38|172.34|191.11|187.69|204.76|240.1|796.33|796.33|252.11|775.95|432.18|252.11|247.3|0|3411.26
Professional|||49446|PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ|563|563|469.52|422.25|478.55|506.7|478.55|2890.05|1822.1|1712.77|0|0|513.76|469.52|99.76|502.97|488.08|475.23|457.78|513.16|422.25|502.97|171.74|167.26|171.74|545.9|545.9|105.97|153.82|109.47|567.74|513.16|513.16|107.03|118.69|116.57|127.16|149.34|492.06|492.06|156.81|479.46|268.81|156.81|153.82|0|2890.05
Professional|||49450|REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS|250|250|209.64|187.5|212.5|225|212.5|2093.76|1323.7|1244.28|0|0|229.4|209.64|41.06|224.58|217.93|212.2|204.4|229.13|187.5|224.58|76.28|74.29|76.28|242.63|242.63|46.95|68.32|48.5|252.34|229.13|229.13|47.42|52.58|51.65|56.34|66.33|219.43|219.43|69.65|213.81|119.39|69.65|68.32|0|2093.76
Professional|||49451|REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ|343|343|286.08|257.25|291.55|308.7|291.55|2277.52|1437.8|1351.53|0|0|313.04|286.08|55.62|306.46|297.39|289.56|278.93|312.67|257.25|306.46|103.81|101.1|103.81|332.3|332.3|64.15|92.98|66.27|345.59|312.67|312.67|64.79|71.85|70.57|76.98|90.27|297.5|297.5|94.78|289.88|162.49|94.78|92.98|0|2277.52
Professional|||49452|REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS|525|525|437.85|393.75|446.25|472.5|446.25|2802.07|1766.8|1660.79|0|0|479.11|437.85|86.08|469.05|455.16|443.18|426.9|478.55|393.75|469.05|160.36|156.17|160.36|508.99|508.99|99.04|143.62|102.31|529.35|478.55|478.55|100.03|110.92|108.94|118.85|139.44|458.11|458.11|146.41|446.39|250.99|146.41|143.62|0|2802.07
Professional|||49460|OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE|181|181|151.77|135.75|153.85|162.9|153.85|2276.4|1441.3|1354.82|0|0|166.08|151.77|29.35|162.59|157.77|153.62|147.98|165.88|135.75|162.59|55.75|54.3|55.75|175.37|175.37|34.38|49.93|35.51|182.38|165.88|165.88|34.72|38.51|37.82|41.26|48.48|157.24|157.24|50.9|153.22|87.26|50.9|49.93|0|2276.4
Professional|||49465|CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE|117|117|97.18|87.75|99.45|105.3|99.45|498.94|314.3|295.44|0|0|106.34|97.18|19.2|104.1|101.02|98.36|94.75|106.21|87.75|104.1|35.71|34.78|35.71|113.41|113.41|22.06|31.98|22.79|117.95|106.21|106.21|22.28|24.71|24.27|26.47|31.05|101.8|101.8|32.6|99.2|55.89|32.6|31.98|0|498.94
Professional|||49505|REPAIR ING HERNIA5+Y/OREDUC*|1894|1894|1645.49|1420.5|1609.9|1704.6|1609.9|1678.35|975.1|916.59|0|0|1800.56|1645.49|306.35|1762.74|1710.54|1665.52|1604.35|1798.45|1420.5|1762.74|581.81|566.63|581.81|1838.15|1838.15|359.49|521.1|371.35|1911.68|1798.45|1798.45|363.08|402.63|395.44|431.39|505.92|1701.25|1701.25|531.22|1657.7|910.66|531.22|521.1|0|1911.68
Professional|||49507|REPAIR ING HERNIA5+Y/OSTRANG|2127|2127|1852.95|1595.25|1807.95|1914.3|1807.95|1889.95|1096.9|1031.09|0|0|2027.58|1852.95|344.1|1984.98|1926.2|1875.51|1806.63|2025.2|1595.25|1984.98|653.44|636.4|653.44|2064.95|2064.95|403.88|585.26|417.21|2147.55|2025.2|2025.2|407.92|452.35|444.27|484.66|568.21|1912.76|1912.76|596.62|1863.8|1022.78|596.62|585.26|0|2147.55
Professional|||49520|REPAIR RECURR INGUIN HERNRED*|2292|2292|1999.27|1719|1948.2|2062.8|1948.2|2039.18|1180.9|1110.05|0|0|2187.68|1999.27|370.8|2141.72|2078.29|2023.6|1949.29|2185.12|1719|2141.72|703.42|685.07|703.42|2224.5|2224.5|434.68|630.02|449.02|2313.48|2185.12|2185.12|439.03|486.84|478.15|521.62|611.67|2066.6|2066.6|642.25|2013.7|1101.01|642.25|630.02|0|2313.48
Professional|||49521|REPAIR RECURR INGUIN HERNSTR*|2595|2595|2267.88|1946.25|2205.75|2335.5|2205.75|2313.15|1337.7|1257.44|0|0|2481.6|2267.88|419.58|2429.47|2357.52|2295.48|2211.18|2478.69|1946.25|2429.47|797.2|776.41|797.2|2518.55|2518.55|492.67|714.02|508.93|2619.29|2478.69|2478.69|497.6|551.79|541.94|591.2|693.22|2343.71|2343.71|727.88|2283.72|1247.8|727.88|714.02|0|2619.29
Professional|||49540|REPAIR LUMBAR HERNIA|2447|2447|2131.39|1835.25|2079.95|2202.3|2079.95|2173.94|1260.7|1185.06|0|0|2332.25|2131.39|394.42|2283.25|2215.64|2157.33|2078.11|2329.52|1835.25|2283.25|751.04|731.45|751.04|2374.83|2374.83|464.18|672.67|479.5|2469.82|2329.52|2329.52|468.82|519.88|510.6|557.02|653.08|2202.32|2202.32|685.73|2145.95|1175.54|685.73|672.67|0|2469.82
Professional|||49550|REPAIR FEMORAL HERNIAREDUCIB*|2091|2091|1821.29|1568.25|1777.35|1881.9|1777.35|1857.65|1077.3|1012.66|0|0|1992.93|1821.29|338.14|1951.06|1893.28|1843.46|1775.76|1990.59|1568.25|1951.06|642.4|625.64|642.4|2029.35|2029.35|396.96|575.37|410.06|2110.52|1990.59|1990.59|400.93|444.6|436.66|476.35|558.61|1881.09|1881.09|586.54|1832.94|1005.5|586.54|575.37|0|2110.52
Professional|||49553|REPAIR FEMORAL HERNIASTRANG|2293|2293|1999.27|1719.75|1949.05|2063.7|1949.05|2039.18|1181.6|1110.7|0|0|2187.68|1999.27|370.58|2141.72|2078.29|2023.6|1949.29|2185.12|1719.75|2141.72|703.16|684.81|703.16|2225.83|2225.83|434.68|629.78|449.02|2314.86|2185.12|2185.12|439.03|486.84|478.15|521.62|611.44|2062.07|2062.07|642.01|2009.28|1100.59|642.01|629.78|0|2314.86
Professional|||49555|REPAIR RECURR FEMORAL HERNIA*|2171|2171|1892.26|1628.25|1845.35|1953.9|1845.35|1930.04|1118.6|1051.48|0|0|2070.59|1892.26|350.94|2027.09|1967.06|1915.29|1844.95|2068.16|1628.25|2027.09|670.85|653.35|670.85|2107.15|2107.15|414.66|600.85|428.34|2191.44|2068.16|2068.16|418.81|464.42|456.13|497.59|583.35|1954.62|1954.62|612.52|1904.59|1050.03|612.52|600.85|0|2191.44
Professional|||49560|REPAIR INCISIONAL HERNIAREDU*|2673|2673|2334.48|2004.75|2272.05|2405.7|2272.05|2381.09|1377.6|1294.94|0|0|2554.48|2334.48|432.38|2500.82|2426.76|2362.9|2276.12|2551.49|2004.75|2500.82|820.97|799.56|820.97|2595.03|2595.03|507.55|735.31|524.3|2698.83|2551.49|2551.49|512.63|568.46|558.31|609.06|713.89|2413.84|2413.84|749.58|2352.05|1285|749.58|735.31|0|2698.83
Professional|||49561|REPAIR INCISIONAL HERNIASTRA*|3359|3359|2941.58|2519.25|2855.15|3023.1|2855.15|3000.31|1731.1|1627.23|0|0|3218.79|2941.58|543.63|3151.17|3057.85|2977.38|2868.04|3215.02|2519.25|3151.17|1031.19|1004.29|1031.19|3260.94|3260.94|637.39|923.59|658.42|3391.38|3215.02|3215.02|643.76|713.88|701.13|764.87|896.69|3043.88|3043.88|941.52|2965.96|1614.04|941.52|923.59|0|3391.38
Professional|||49565|REPAIR RECURR INCIS HERNIARE*|2786|2786|2430.57|2089.5|2368.1|2507.4|2368.1|2479.1|1435.7|1349.56|0|0|2659.62|2430.57|450.7|2603.75|2526.64|2460.15|2369.81|2656.51|2089.5|2603.75|855.26|832.94|855.26|2704.48|2704.48|528.59|766.01|546.03|2812.66|2656.51|2656.51|533.88|592.02|581.45|634.31|743.7|2513.4|2513.4|780.89|2449.06|1338.66|780.89|766.01|0|2812.66
Professional|||49566|REPAIR RECURR INCIS HERNIAST*|3391|3391|2967.78|2543.25|2882.35|3051.9|2882.35|3027.04|1747.2|1642.37|0|0|3247.47|2967.78|548.93|3179.24|3085.09|3003.91|2893.59|3243.66|2543.25|3179.24|1041.08|1013.92|1041.08|3291.27|3291.27|643.55|932.45|664.79|3422.92|3243.66|3243.66|649.99|720.78|707.91|772.26|905.29|3071.05|3071.05|950.55|2992.44|1629.52|950.55|932.45|0|3422.92
Professional|||49568|REPAIR INCIS HERNIA W MESH|959|959|848.41|719.25|815.15|863.1|815.15|865.34|494.2|464.55|0|0|928.36|848.41|155.17|908.86|881.94|858.73|827.2|927.27|719.25|908.86|293.92|286.25|293.92|930.94|930.94|181.67|263.25|187.67|968.18|927.27|927.27|183.49|203.47|199.84|218|255.58|877.78|877.78|268.36|855.31|460.04|268.36|263.25|0|968.18
Professional|||49570|REPAIR EPIGASTRIC HERNIAREDUC|1524|1524|1317.92|1143|1295.4|1371.6|1295.4|1344.24|785.4|738.28|0|0|1442.12|1317.92|246.32|1411.83|1370.02|1333.96|1284.97|1440.43|1143|1411.83|467.16|454.98|467.16|1479.49|1479.49|288.67|418.42|298.2|1538.67|1440.43|1440.43|291.56|323.31|317.54|346.4|406.23|1360.76|1360.76|426.54|1325.93|731.21|426.54|418.42|0|1538.67
Professional|||49572|REPAIR EPIGASTRIC HERNIASTRA*|1877|1877|1632.39|1407.75|1595.45|1689.3|1595.45|1664.98|966.7|908.7|0|0|1786.23|1632.39|303.93|1748.7|1696.91|1652.26|1591.58|1784.13|1407.75|1748.7|577.24|562.18|577.24|1822.32|1822.32|356.67|517.01|368.44|1895.21|1784.13|1784.13|360.24|399.47|392.34|428|501.95|1686.53|1686.53|527.05|1643.36|903.51|527.05|517.01|0|1895.21
Professional|||49585|REPAIR UMBILICAL HERN5+Y/OR*|1622|1622|1405.28|1216.5|1378.7|1459.8|1378.7|1433.33|836.5|786.31|0|0|1537.71|1405.28|262.87|1505.4|1460.82|1422.38|1370.15|1535.91|1216.5|1505.4|498.92|485.9|498.92|1574.43|1574.43|308.43|446.86|318.61|1637.41|1535.91|1535.91|311.51|345.44|339.27|370.12|433.84|1453.52|1453.52|455.53|1416.31|780.91|455.53|446.86|0|1637.41
Professional|||49587|REPAIR UMBILICAL HERN5+Y/OS*|1734|1734|1502.45|1300.5|1473.9|1560.6|1473.9|1532.45|893.2|839.61|0|0|1644.04|1502.45|280.53|1609.51|1561.84|1520.74|1464.89|1642.12|1300.5|1609.51|532.94|519.04|532.94|1682.55|1682.55|329.47|477.33|340.34|1749.85|1642.12|1642.12|332.76|369.01|362.42|395.36|463.43|1551.91|1551.91|486.6|1512.19|834.17|486.6|477.33|0|1749.85
Professional|||49590|REPAIR SPIEGELIAN HERNIA|2079|2079|1810.37|1559.25|1767.15|1871.1|1767.15|1846.51|1071|1006.74|0|0|1980.98|1810.37|336.59|1939.36|1881.93|1832.41|1765.11|1978.66|1559.25|1939.36|638.24|621.59|638.24|2017.48|2017.48|394.39|571.64|407.4|2098.18|1978.66|1978.66|398.33|441.72|433.83|473.27|554.99|1872.04|1872.04|582.74|1824.12|998.98|582.74|571.64|0|2098.18
Professional|||49650|LAPINGUINAL HERNIA REPRINIT*|1564|1564|1355.05|1173|1329.4|1407.6|1329.4|1382.1|805.7|757.36|0|0|1482.75|1355.05|252.5|1451.6|1408.61|1371.54|1321.17|1481.01|1173|1451.6|480.79|468.25|480.79|1517.73|1517.73|297.14|430.62|306.95|1578.44|1481.01|1481.01|300.11|332.8|326.85|356.57|418.08|1399.21|1399.21|438.98|1363.39|752.54|438.98|430.62|0|1578.44
Professional|||49651|LAPINGUINAL HERNIA REPRRECUR|2031|2031|1763.42|1523.25|1726.35|1827.9|1726.35|1798.63|1047.2|984.37|0|0|1929.6|1763.42|327.98|1889.07|1833.12|1784.88|1719.33|1927.34|1523.25|1889.07|625.78|609.46|625.78|1971.33|1971.33|386.69|560.48|399.45|2050.18|1927.34|1927.34|390.56|433.09|425.36|464.03|544.16|1818.87|1818.87|571.37|1772.31|979.49|571.37|560.48|0|2050.18
Professional|||49652|LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE|2695|2695|2353.04|2021.25|2290.75|2425.5|2290.75|2400.02|1388.8|1305.47|0|0|2574.79|2353.04|436.36|2520.7|2446.05|2381.68|2294.21|2571.78|2021.25|2520.7|827.86|806.27|827.86|2616.14|2616.14|511.66|741.48|528.54|2720.79|2571.78|2571.78|516.78|573.06|562.83|613.99|719.88|2433.1|2433.1|755.87|2370.81|1295.78|755.87|741.48|0|2720.79
Professional|||49653|LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED|3362|3362|2938.3|2521.5|2857.7|3025.8|2857.7|2996.97|1733.2|1629.21|0|0|3215.21|2938.3|544.06|3147.66|3054.45|2974.07|2864.84|3211.44|2521.5|3147.66|1033.17|1006.22|1033.17|3263.58|3263.58|638.67|925.36|659.75|3394.12|3211.44|3211.44|645.06|715.31|702.54|766.4|898.41|3035.97|3035.97|943.33|2958.26|1617.14|943.33|925.36|0|3394.12
Professional|||49654|LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE|3059|3059|2674.06|2294.25|2600.15|2753.1|2600.15|2727.45|1576.4|1481.82|0|0|2926.07|2674.06|494.63|2864.6|2779.76|2706.61|2607.21|2922.64|2294.25|2864.6|939.01|914.51|939.01|2969.53|2969.53|580.42|841.03|599.57|3088.31|2922.64|2922.64|586.22|650.07|638.46|696.5|816.53|2767.91|2767.91|857.36|2697.06|1469.75|857.36|841.03|0|3088.31
Professional|||49655|LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED|3734|3734|3265.87|2800.5|3173.9|3360.6|3173.9|3331.08|1924.3|1808.84|0|0|3573.65|3265.87|604.1|3498.57|3394.96|3305.62|3184.22|3569.46|2800.5|3498.57|1147.68|1117.74|1147.68|3624.87|3624.87|709.49|1027.92|732.9|3769.86|3569.46|3569.46|716.58|794.63|780.44|851.39|997.98|3377.59|3377.59|1047.88|3291.14|1796.36|1047.88|1027.92|0|3769.86
Professional|||49656|LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE|3314|3314|2900.09|2485.5|2816.9|2982.6|2816.9|2957.99|1708|1605.52|0|0|3173.39|2900.09|537.45|3106.72|3014.72|2935.38|2827.59|3169.67|2485.5|3106.72|1017.16|990.63|1017.16|3217.42|3217.42|628.67|911.02|649.42|3346.12|3169.67|3169.67|634.96|704.11|691.54|754.4|884.49|3003.16|3003.16|928.71|2926.29|1592.08|928.71|911.02|0|3346.12
Professional|||49657|LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED|4762|4762|4175.43|3571.5|4047.7|4285.8|4047.7|4258.79|2454.2|2306.95|0|0|4568.92|4175.43|771.18|4472.93|4340.47|4226.25|4071.04|4563.56|3571.5|4472.93|1463.34|1425.17|1463.34|4623.06|4623.06|904.51|1310.64|934.36|4807.98|4563.56|4563.56|913.56|1013.05|994.96|1085.41|1272.47|4325.47|4325.47|1336.09|4214.74|2290.45|1336.09|1310.64|0|4807.98
Professional|||49659|PB LAPAROSCOPIC PARASTOMAL INCARCERATED HERNIA REPAIR|4202|4202|0|3151.5|3571.7|3781.8|3571.7|0|0|0|0|0|0|0|0|0|0|0|0|0|3151.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|4202
Professional|||49659|LAPROSCOPIC REPAIR OF DIAPHRAGM HERNIA|2695|2695|0|2021.25|2290.75|2425.5|2290.75|0|0|0|0|0|0|0|0|0|0|0|0|0|2021.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2695
Professional|||49659|REPAIR FLANK HERNIA|1564|1564|0|1173|1329.4|1407.6|1329.4|0|0|0|0|0|0|0|0|0|0|0|0|0|1173|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1564
Professional|||49659|LAPAROSCOPIC REPAIR OF OBTURATOR HERNIA|1564|1564|0|1173|1329.4|1407.6|1329.4|0|0|0|0|0|0|0|0|0|0|0|0|0|1173|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1564
Professional|||49900|SUTURE ABD WALL-DEHIS/EVISCER|2979|2979|2581.25|2234.25|2532.15|2681.1|2532.15|2632.79|1535.1|1442.99|0|0|2824.51|2581.25|481.83|2765.17|2683.28|2612.67|2516.72|2821.2|2234.25|2765.17|914.69|890.83|914.69|2891.72|2891.72|565.28|819.24|583.93|3007.39|2821.2|2821.2|570.93|633.11|621.81|678.34|795.38|2663.84|2663.84|835.15|2595.65|1431.68|835.15|819.24|0|3007.39
Professional|||49905|OMENTAL FLAPINTRA-ABDOMINAL|1276|1276|1119.2|957|1084.6|1148.4|1084.6|1141.54|657.3|617.86|0|0|1224.67|1119.2|206.37|1198.94|1163.44|1132.82|1091.22|1223.24|957|1198.94|391.02|380.82|391.02|1238.18|1238.18|241.71|350.22|249.69|1287.71|1223.24|1223.24|244.13|270.72|265.88|290.05|340.02|1160.56|1160.56|357.02|1130.85|612.04|357.02|350.22|0|1287.71
Professional|||49999|REPAIR OF GASTROSTOMY TUBE|111|111|0|83.25|94.35|99.9|94.35|0|0|0|0|0|0|0|0|0|0|0|0|0|83.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|111
Professional|||49999|EXPLORATION OF GROIN|1500|1500|0|1125|1275|1350|1275|0|0|0|0|0|0|0|0|0|0|0|0|0|1125|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1500
Professional|||49999|HEMATOMA EVACUATION|3985|3985|0|2988.75|3387.25|3586.5|3387.25|0|0|0|0|0|0|0|0|0|0|0|0|0|2988.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|3985
Professional|||50010|EXPLORATION OF KIDNEY|2728|2728|2317.01|2046|2318.8|2455.2|2318.8|2363.27|1404.9|1320.61|0|0|2535.37|2317.01|441.21|2482.1|2408.6|2345.21|2259.08|2532.39|2046|2482.1|832.16|810.45|832.16|2647.78|2647.78|514.48|745.33|531.46|2753.69|2532.39|2532.39|519.62|576.22|565.93|617.38|723.62|2417.24|2417.24|759.8|2355.36|1302.52|759.8|745.33|0|2753.69
Professional|||50200|PR RENAL BIOPSY PRQ TROCAR/NEEDLE|485|485|405.09|363.75|412.25|436.5|412.25|1701.73|1068.9|1004.77|0|0|443.27|405.09|87.19|433.96|421.11|410.03|394.96|442.75|363.75|433.96|148.24|144.37|148.24|470.74|470.74|91.6|132.77|94.62|489.57|442.75|442.75|92.52|102.59|100.76|109.92|128.9|424.17|424.17|135.35|413.31|232.02|135.35|132.77|0|1701.73
Professional|||50220|REMV KIDNEYW/RIB RESECTION|3908|3908|3310.64|2931|3321.8|3517.2|3321.8|3376.74|2013.9|1893.07|0|0|3622.63|3310.64|629.48|3546.53|3441.5|3350.94|3227.87|3618.39|2931|3546.53|1191.99|1160.89|1191.99|3793.66|3793.66|736.95|1067.61|761.27|3945.41|3618.39|3618.39|744.32|825.38|810.65|884.34|1036.51|3420.55|3420.55|1088.34|3332.99|1865.72|1088.34|1067.61|0|3945.41
Professional|||50230|REMV KIDNEYRADICAL|4808|4808|4052.04|3606|4086.8|4327.2|4086.8|4132.94|2478|2329.32|0|0|4433.9|4052.04|775.59|4340.76|4212.21|4101.36|3950.74|4428.71|3606|4340.76|1463.66|1425.48|1463.66|4667.9|4667.9|904.77|1310.93|934.63|4854.62|4428.71|4428.71|913.82|1013.34|995.25|1085.72|1272.75|4192.02|4192.02|1336.39|4084.71|2290.95|1336.39|1310.93|0|4854.62
Professional|||50250|OPEN ABLATION RENAL MASS CRYOSURGICAL ULTRASOUND GUIDE|4583|4583|3841.3|3437.25|3895.55|4124.7|3895.55|3918|2361.8|2220.09|0|0|4203.31|3841.3|738.97|4115|3993.14|3888.06|3745.27|4198.38|3437.25|4115|1395.26|1358.86|1395.26|4449.01|4449.01|862.43|1249.67|890.89|4626.97|4198.38|4198.38|871.05|965.92|948.67|1034.92|1213.27|3953.33|3953.33|1273.93|3852.14|2183.89|1273.93|1249.67|0|4626.97
Professional|||50382|PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ|976|976|814.56|732|829.6|878.4|829.6|3491.45|2193.1|2061.51|0|0|891.32|814.56|165.97|872.6|846.75|824.47|794.2|890.28|732|872.6|296.4|288.67|296.4|946.77|946.77|183.21|265.47|189.26|984.64|890.28|890.28|185.04|205.2|201.53|219.85|257.74|846.1|846.1|270.63|824.44|463.93|270.63|265.47|0|3491.45
Professional|||50384|PR REMOVAL INDWELLING URETERAL STENT PRQ|874|874|729.39|655.5|742.9|786.6|742.9|2788.7|1748.6|1643.68|0|0|798.13|729.39|150.53|781.36|758.22|738.27|711.16|797.19|655.5|781.36|264.98|258.07|264.98|847.87|847.87|163.71|237.33|169.11|881.78|797.19|797.19|165.35|183.36|180.08|196.45|230.42|763.52|763.52|241.94|743.98|414.76|241.94|237.33|0|2788.7
Professional|||50387|PR RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH|318|318|265.33|238.5|270.3|286.2|270.3|1632.68|1029|967.26|0|0|290.34|265.33|60.03|284.24|275.82|268.56|258.7|290|238.5|284.24|97.12|94.58|97.12|308.56|308.56|59.78|86.98|61.75|320.9|290|290|60.38|66.95|65.76|71.74|84.45|278.27|278.27|88.67|271.15|152.01|88.67|86.98|0|1632.68
Professional|||50389|REMOVE RENAL TUBE W/FLUORO|204|204|170.34|153|173.4|183.6|173.4|1056.9|666.4|626.42|0|0|186.39|170.34|33.11|182.47|177.07|172.41|166.08|186.17|153|182.47|62.11|60.49|62.11|197.8|197.8|38.23|55.63|39.49|205.71|186.17|186.17|38.61|42.82|42.05|45.88|54.01|177.6|177.6|56.71|173.06|97.22|56.71|55.63|0|1056.9
Professional|||50390|PERCUT DRAIN/INJECT RENAL CYST|364|364|303.55|273|309.4|327.6|309.4|309.61|187.6|176.34|0|0|332.15|303.55|59.15|325.18|315.55|307.24|295.96|331.77|273|325.18|111.02|108.12|111.02|353.39|353.39|68.51|99.44|70.77|367.53|331.77|331.77|69.2|76.73|75.36|82.21|96.54|315.59|315.59|101.37|307.51|173.77|101.37|99.44|0|367.53
Professional|||50430|PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS|585|585|486.99|438.75|497.25|526.5|497.25|1618.21|1013.6|952.78|0|0|532.88|486.99|102.86|521.69|506.24|492.91|474.82|532.26|438.75|521.69|178.54|173.88|178.54|567.01|567.01|110.33|159.91|113.97|589.69|532.26|532.26|111.43|123.57|121.36|132.4|155.25|504.48|504.48|163.01|491.56|279.45|163.01|159.91|0|1618.21
Professional|||50431|PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS|252|252|207.46|189|214.2|226.8|214.2|671.56|421.4|396.12|0|0|227.01|207.46|41.06|222.24|215.66|209.99|202.27|226.75|189|222.24|75.97|73.99|75.97|243.94|243.94|46.95|68.04|48.5|253.7|226.75|226.75|47.42|52.58|51.65|56.34|66.06|217.19|217.19|69.36|211.63|118.91|69.36|68.04|0|671.56
Professional|||50432|PR PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I|786|786|652.96|589.5|668.1|707.4|668.1|2619.42|1645.7|1546.96|0|0|714.49|652.96|135.96|699.48|678.77|660.9|636.64|713.65|589.5|699.48|238.82|232.59|238.82|762.16|762.16|147.54|213.9|152.41|792.65|713.65|713.65|149.02|165.24|162.29|177.05|207.67|680.95|680.95|218.05|663.52|373.81|218.05|213.9|0|2619.42
Professional|||50433|PR PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I|976|976|812.37|732|829.6|878.4|829.6|3480.31|2187.5|2056.25|0|0|888.93|812.37|167.74|870.26|844.48|822.26|792.06|887.89|732|870.26|296.33|288.6|296.33|946.77|946.77|183.21|265.41|189.26|984.64|887.89|887.89|185.04|205.2|201.53|219.85|257.68|849.47|849.47|270.56|827.73|463.82|270.56|265.41|0|3480.31
Professional|||50434|PR CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ|735|735|611.46|551.25|624.75|661.5|624.75|2746.38|1727.6|1623.94|0|0|669.09|611.46|128.45|655.03|635.63|618.91|596.17|668.3|551.25|655.03|222.96|217.15|222.96|713.37|713.37|137.79|199.7|142.34|741.9|668.3|668.3|139.17|154.32|151.57|165.35|193.88|642.49|642.49|203.57|626.05|348.98|203.57|199.7|0|2746.38
Professional|||50435|PR EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I|382|382|316.65|286.5|324.7|343.8|324.7|1629.34|1026.9|965.29|0|0|346.49|316.65|62.68|339.21|329.17|320.51|308.73|346.09|286.5|339.21|115.98|112.95|115.98|370.53|370.53|71.59|103.88|73.95|385.35|346.09|346.09|72.31|80.18|78.75|85.91|100.85|331.41|331.41|105.89|322.93|181.53|105.89|103.88|0|1629.34
Professional|||50436|PR PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG|572|572|477.16|429|486.2|514.8|486.2|486.69|294.7|277.02|0|0|522.13|477.16|0|511.16|496.02|482.97|465.23|521.52|429|511.16|173.98|169.44|173.98|555.14|555.14|107.51|155.83|111.06|577.35|521.52|521.52|108.59|120.41|118.26|129.01|151.29|494.3|494.3|158.85|481.64|272.32|158.85|155.83|0|577.35
Professional|||50437|PR PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS|954|954|796|715.5|810.9|858.6|810.9|811.89|491.4|461.92|0|0|871.01|796|0|852.71|827.46|805.68|776.1|869.99|715.5|852.71|291|283.4|291|925.67|925.67|179.87|260.63|185.81|962.7|869.99|869.99|181.67|201.45|197.86|215.84|253.04|824.61|824.61|265.69|803.5|455.47|265.69|260.63|0|962.7
Professional|||50500|REPAIR OF KIDNEY WOUND|4640|4640|4074.97|3480|3944|4176|3944|4156.33|2391.2|2247.73|0|0|4458.99|4074.97|745.36|4365.32|4236.04|4124.57|3973.1|4453.77|3480|4365.32|1384.88|1348.75|1384.88|4504.39|4504.39|856.01|1240.37|884.26|4684.57|4453.77|4453.77|864.57|958.73|941.61|1027.21|1204.24|3787.05|3787.05|1264.45|3690.1|2167.63|1264.45|1240.37|0|4684.57
Professional|||50592|PR ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY|1304|1304|1084.26|978|1108.4|1173.6|1108.4|10289.47|6507.2|6116.77|0|0|1186.44|1084.26|222.27|1161.51|1127.11|1097.45|1057.15|1185.05|978|1161.51|398.16|387.78|398.16|1265.87|1265.87|246.07|356.62|254.19|1316.5|1185.05|1185.05|248.53|275.6|270.68|295.28|346.23|1136.79|1136.79|363.54|1107.69|623.21|363.54|356.62|0|10289.47
Professional|||50593|PR ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY|1750|1750|1456.59|1312.5|1487.5|1575|1487.5|13975.82|8838.9|8308.57|0|0|1593.86|1456.59|295.1|1560.38|1514.17|1474.32|1420.18|1592|1312.5|1560.38|533.14|519.23|533.14|1698.38|1698.38|329.47|477.51|340.34|1766.32|1592|1592|332.76|369.01|362.42|395.36|463.6|1523.64|1523.64|486.78|1484.64|834.48|486.78|477.51|0|13975.82
Professional|||50605|URETEROTOMY TO INSERT STENT|3620|3620|3130.48|2715|3077|3258|3077|3192.98|1866.2|1754.23|0|0|3425.49|3130.48|579.16|3353.53|3254.22|3168.58|3052.22|3421.48|2715|3353.53|1111.51|1082.51|1111.51|3514.11|3514.11|687.17|995.53|709.85|3654.67|3421.48|3421.48|694.04|769.63|755.89|824.6|966.53|3223.76|3223.76|1014.86|3141.23|1739.75|1014.86|995.53|0|3654.67
Professional|||50688|CHANGE OF URETEROSTOMY TUBE|298|298|245.68|223.5|253.3|268.2|253.3|250.58|153.3|144.1|0|0|268.83|245.68|49.21|263.18|255.39|248.67|239.54|268.52|223.5|263.18|90.49|88.13|90.49|288.78|288.78|55.93|81.05|57.78|300.33|268.52|268.52|56.49|62.64|61.52|67.12|78.69|259.05|259.05|82.62|252.42|141.64|82.62|81.05|0|300.33
Professional|||50690|INJECT RETROGRADE/CONDUIT X-R*|267|267|220.56|200.25|226.95|240.3|226.95|319.63|197.4|185.56|0|0|241.35|220.56|43.48|236.28|229.28|223.25|215.05|241.07|200.25|236.28|81.27|79.15|81.27|258.45|258.45|50.03|72.79|51.68|268.79|241.07|241.07|50.53|56.03|55.03|60.04|70.67|230.74|230.74|74.2|224.84|127.21|74.2|72.79|0|319.63
Professional|||50693|PR PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT|780|780|648.59|585|663|702|663|3200.77|2015.3|1894.38|0|0|709.71|648.59|134.63|694.8|674.23|656.48|632.38|708.88|585|694.8|237.43|231.24|237.43|756.88|756.88|146.77|212.65|151.61|787.16|708.88|708.88|148.24|164.38|161.45|176.12|206.46|674.17|674.17|216.78|656.91|371.63|216.78|212.65|0|3200.77
Professional|||50694|PR PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH|1019|1019|848.41|764.25|866.15|917.1|866.15|3530.43|2219|2085.86|0|0|928.36|848.41|173.69|908.86|881.94|858.73|827.2|927.27|764.25|908.86|311.65|303.52|311.65|988.97|988.97|192.45|279.13|198.8|1028.53|927.27|927.27|194.37|215.54|211.7|230.94|271|882.28|882.28|284.55|859.7|487.8|284.55|279.13|0|3530.43
Professional|||50695|PR PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH|1304|1304|1086.44|978|1108.4|1173.6|1108.4|4311.13|2707.6|2545.14|0|0|1188.83|1086.44|220.28|1163.85|1129.38|1099.66|1059.28|1187.43|978|1163.85|399.6|389.18|399.6|1265.87|1265.87|246.84|357.9|254.99|1316.5|1187.43|1187.43|249.31|276.46|271.52|296.21|347.48|1131.15|1131.15|364.85|1102.19|625.46|364.85|357.9|0|4311.13
Professional|||50706|PR BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I|693|693|579.8|519.75|589.05|623.7|589.05|3052.65|1921.5|1806.21|0|0|634.44|579.8|114.77|621.11|602.72|586.86|565.31|633.7|519.75|621.11|211.47|205.96|211.47|672.49|672.49|130.6|189.41|134.91|699.39|633.7|633.7|131.91|146.27|143.66|156.72|183.89|617.6|617.6|193.08|601.79|331|193.08|189.41|0|3052.65
Professional|||50800|IMPLANT URETER IN BOWEL|3487|3487|2932.84|2615.25|2963.95|3138.3|2963.95|2991.4|1797.6|1689.74|0|0|3209.23|2932.84|560.39|3141.81|3048.77|2968.54|2859.52|3205.47|2615.25|3141.81|1060.99|1033.31|1060.99|3384.89|3384.89|655.86|950.28|677.5|3520.29|3205.47|3205.47|662.42|734.56|721.45|787.03|922.6|3016.75|3016.75|968.73|2939.52|1660.68|968.73|950.28|0|3520.29
Professional|||50860|TRANSPLANT URETER TO SKIN|3563|3563|2984.16|2672.25|3028.55|3206.7|3028.55|3043.74|1837.5|1727.25|0|0|3265.39|2984.16|573.87|3196.79|3102.12|3020.48|2909.56|3261.56|2672.25|3196.79|1084.84|1056.54|1084.84|3458.73|3458.73|670.49|971.64|692.62|3597.08|3261.56|3261.56|677.19|750.95|737.54|804.59|943.34|3112.91|3112.91|990.51|3033.22|1698.01|990.51|971.64|0|3597.08
Professional|||50930|CLOSURE URETER/BOWEL FISTULA|4151|4151|3482.07|3113.25|3528.35|3735.9|3528.35|3551.59|2139.2|2010.85|0|0|3810.22|3482.07|693.28|3730.17|3619.71|3524.45|3395.02|3805.75|3113.25|3730.17|1263.49|1230.53|1263.49|4029.69|4029.69|781.09|1131.65|806.87|4190.88|3805.75|3805.75|788.9|874.82|859.2|937.31|1098.69|3602.7|3602.7|1153.62|3510.47|1977.64|1153.62|1131.65|0|4190.88
Professional|||51100|ASPIRATION BLADDER NEEDLE|146|146|123.38|109.5|124.1|131.4|124.1|204.92|125.3|117.78|0|0|135.01|123.38|23.62|132.18|128.26|124.89|120.3|134.85|109.5|132.18|44.21|43.05|44.21|141.09|141.09|27.19|39.59|28.09|146.73|134.85|134.85|27.46|30.45|29.91|32.63|38.44|127.81|127.81|40.36|124.53|69.19|40.36|39.59|0|204.92
Professional|||51102|ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER|545|545|456.41|408.75|463.25|490.5|463.25|735.04|452.2|425.07|0|0|499.43|456.41|87.84|488.93|474.46|461.97|445|498.84|408.75|488.93|166.9|162.55|166.9|528.77|528.77|103.15|149.48|106.55|549.92|498.84|498.84|104.18|115.53|113.47|123.78|145.13|472.8|472.8|152.39|460.7|261.23|152.39|149.48|0|735.04
Professional|||51600|INJECTION FOR BLADDER X-RAY|168|168|140.86|126|142.8|151.2|142.8|620.33|389.2|365.85|0|0|154.13|140.86|26.93|150.89|146.42|142.57|137.34|153.95|126|150.89|50.88|49.55|50.88|162.19|162.19|31.3|45.57|32.33|168.68|153.95|153.95|31.61|35.06|34.43|37.56|44.24|144.79|144.79|46.45|141.09|79.63|46.45|45.57|0|620.33
Professional|||51610|INJECT FOR RETROGRADE URETHOC*|245|245|202|183.75|208.25|220.5|208.25|357.5|221.9|208.59|0|0|221.04|202|39.5|216.39|209.99|204.46|196.95|220.78|183.75|216.39|74.19|72.25|74.19|237.35|237.35|45.67|66.45|47.18|246.84|220.78|220.78|46.13|51.15|50.24|54.8|64.51|210.38|210.38|67.74|205|116.12|67.74|66.45|0|357.5
Professional|||51700|IRRIGATION OF BLADDER|122|122|95|91.5|103.7|109.8|103.7|236.1|147|138.18|0|0|103.95|95|26.93|101.76|98.75|96.15|92.63|103.83|91.5|101.76|35.05|34.14|35.05|109.45|109.45|21.55|31.39|22.26|113.83|103.83|103.83|21.77|24.14|23.71|25.86|30.48|117.63|117.63|32|114.61|54.86|32|31.39|0|236.1
Professional|||51701|INSERTNON-INDWELLING BLADDER*|96|96|79.71|72|81.6|86.4|81.6|141.44|87.5|82.25|0|0|87.22|79.71|16.78|85.39|82.86|80.68|77.72|87.12|72|85.39|29.5|28.73|29.5|92.3|92.3|18.21|26.42|18.81|95.99|87.12|87.12|18.39|20.4|20.03|21.85|25.65|83.71|83.71|26.93|81.57|46.17|26.93|26.42|0|141.44
Professional|||51702|INSERTTEMP INDWELLING BLAD C*|96|96|79.71|72|81.6|86.4|81.6|196.01|121.8|114.49|0|0|87.22|79.71|18.32|85.39|82.86|80.68|77.72|87.12|72|85.39|29.2|28.44|29.2|92.3|92.3|17.96|26.15|18.55|95.99|87.12|87.12|18.14|20.12|19.76|21.55|25.39|83.71|83.71|26.66|81.57|45.7|26.66|26.15|0|196.01
Professional|||51703|INSERTTEMP INDWELLING BLAD C*|291|291|243.49|218.25|247.35|261.9|247.35|420.98|259|243.46|0|0|266.44|243.49|49.44|260.84|253.12|246.46|237.4|266.13|218.25|260.84|88.03|85.74|88.03|282.18|282.18|54.39|78.85|56.18|293.47|266.13|266.13|54.93|60.92|59.83|65.27|76.55|251.1|251.1|80.38|244.68|137.79|80.38|78.85|0|420.98
Professional|||51705|CHANGE OF BLADDER TUBESIMPLE|197|197|163.79|147.75|167.45|177.3|167.45|297.36|183.4|172.4|0|0|179.22|163.79|31.34|175.46|170.26|165.78|159.7|179.01|147.75|175.46|59.56|58|59.56|191.2|191.2|36.69|53.34|37.9|198.85|179.01|179.01|37.06|41.09|40.36|44.03|51.79|169.66|169.66|54.38|165.32|93.22|54.38|53.34|0|297.36
Professional|||51860|REPAIR BLADDER WOUND/INJSIMP*|2777|2777|2353.04|2082.75|2360.45|2499.3|2360.45|2400.02|1430.8|1344.95|0|0|2574.79|2353.04|445.85|2520.7|2446.05|2381.68|2294.21|2571.78|2082.75|2520.7|848.29|826.16|848.29|2695.25|2695.25|524.23|759.77|541.53|2803.06|2571.78|2571.78|529.47|587.14|576.65|629.08|737.64|2436.47|2436.47|774.52|2374.1|1327.75|774.52|759.77|0|2803.06
Professional|||51865|REPAIR BLADDER WOUND/INJCOMP*|3359|3359|2833.48|2519.25|2855.15|3023.1|2855.15|2890.05|1730.4|1626.58|0|0|3100.51|2833.48|539.44|3035.37|2945.48|2867.97|2762.64|3096.87|2519.25|3035.37|1025.27|998.52|1025.27|3260.94|3260.94|633.8|918.29|654.72|3391.38|3096.87|3096.87|640.14|709.86|697.18|760.56|891.54|2926.26|2926.26|936.12|2851.35|1604.77|936.12|918.29|0|3391.38
Professional|||52000|CYSTOURETHROSCOPY|343|343|255.5|257.25|291.55|308.7|291.55|600.28|372.4|350.06|0|0|279.58|255.5|76.59|273.71|265.6|258.61|249.11|279.26|257.25|273.71|92.21|89.8|92.21|295.37|295.37|56.96|82.59|58.84|307.18|279.26|279.26|57.53|63.8|62.66|68.35|80.18|332.55|332.55|84.19|324.03|144.32|84.19|82.59|0|600.28
Professional|||52310|CYSTOSCOPYREMV CALCULUSSIMP*|570|570|478.25|427.5|484.5|513|484.5|855.32|527.1|495.47|0|0|523.32|478.25|91.83|512.33|497.16|484.07|466.29|522.71|427.5|512.33|172.6|168.1|172.6|552.5|552.5|106.48|154.59|109.99|574.6|522.71|522.71|107.54|119.26|117.13|127.78|150.09|496.57|496.57|157.59|483.85|270.16|157.59|154.59|0|855.32
Professional|||53060|DRAINAGE SKENES GLAND ABSCESS|613|613|512.1|459.75|521.05|551.7|521.05|583.58|354.9|333.61|0|0|560.36|512.1|100.21|548.59|532.34|518.33|499.3|559.7|459.75|548.59|188.58|183.66|188.58|594.7|594.7|116.49|168.9|120.33|618.49|559.7|559.7|117.65|130.47|128.14|139.79|163.98|536.15|536.15|172.18|522.43|295.16|172.18|168.9|0|618.49
Professional|||54001|SLITTING OF PREPUCE|527|527|438.94|395.25|447.95|474.3|447.95|605.85|371.7|349.4|0|0|480.31|438.94|84.31|470.22|456.29|444.29|427.97|479.75|395.25|470.22|160.39|156.21|160.39|511.63|511.63|99.04|143.65|102.31|532.1|479.75|479.75|100.03|110.92|108.94|118.85|139.47|452.44|452.44|146.44|440.86|251.05|146.44|143.65|0|605.85
Professional|||54150|CIRCUMCISIONCLAMPNEWBORN W/ ANESTH|366|366|309.01|274.5|311.1|329.4|311.1|492.26|301|282.94|0|0|338.13|309.01|58.7|331.03|321.22|312.77|301.28|337.73|274.5|331.03|111.54|108.63|111.54|354.71|354.71|68.76|99.9|71.03|368.9|337.73|337.73|69.45|77.01|75.64|82.51|96.99|320.13|320.13|101.84|311.93|174.58|101.84|99.9|0|492.26
Professional|||54160|CIRCUMCISIONOTHER<28 D/O|546|546|455.32|409.5|464.1|491.4|464.1|703.86|433.3|407.3|0|0|498.23|455.32|88.5|487.76|473.32|460.86|443.94|497.65|409.5|487.76|166.28|161.94|166.28|530.08|530.08|102.64|148.93|106.03|551.28|497.65|497.65|103.67|114.96|112.9|123.17|144.59|470.56|470.56|151.82|458.52|260.26|151.82|148.93|0|703.86
Professional|||54161|CIRCUMCISIONOTHER28+ D/O|745|745|622.38|558.75|633.25|670.5|633.25|634.81|383.6|360.58|0|0|681.04|622.38|119.84|666.73|646.98|629.96|606.82|680.24|558.75|666.73|226.31|220.4|226.31|722.6|722.6|139.84|202.69|144.45|751.5|680.24|680.24|141.24|156.62|153.82|167.81|196.79|642.49|642.49|206.63|626.05|354.22|206.63|202.69|0|751.5
Professional|||54220|IRRIGAT CORPUS CAVERNPRIAPISM|500|500|422.57|375|425|450|425|664.88|406.7|382.3|0|0|462.39|422.57|81|452.67|439.27|427.71|412.01|461.85|375|452.67|151.41|147.46|151.41|485.25|485.25|93.4|135.61|96.48|504.66|461.85|461.85|94.33|104.61|102.74|112.08|131.66|438.89|438.89|138.24|427.65|236.99|138.24|135.61|0|664.88
Professional|||54450|PREPUTIAL STRETCHING|216|216|182.35|162|183.6|194.4|183.6|221.63|134.4|126.34|0|0|199.53|182.35|34.65|195.34|189.56|184.57|177.79|199.3|162|195.34|65.63|63.92|65.63|209.66|209.66|40.54|58.78|41.88|218.05|199.3|199.3|40.95|45.4|44.59|48.65|57.07|188.89|188.89|59.92|184.05|102.73|59.92|58.78|0|221.63
Professional|||54520|REMOVAL TESTISSIMPLE|1232|1232|1031.85|924|1047.2|1108.8|1047.2|1052.45|634.9|596.81|0|0|1129.09|1031.85|197.54|1105.37|1072.63|1044.4|1006.05|1127.76|924|1105.37|374.5|364.73|374.5|1195.99|1195.99|231.45|335.42|239.09|1243.83|1127.76|1127.76|233.76|259.22|254.6|277.74|325.65|1065.53|1065.53|341.93|1038.25|586.17|341.93|335.42|0|1243.83
Professional|||54600|REDUCE TESTIS TORSION|1715|1715|1430.39|1286.25|1457.75|1543.5|1457.75|1458.95|883.4|830.4|0|0|1565.19|1430.39|277.43|1532.31|1486.93|1447.8|1394.63|1563.35|1286.25|1532.31|521.5|507.9|521.5|1664.09|1664.09|322.28|467.08|332.92|1730.65|1563.35|1563.35|325.5|360.95|354.51|386.74|453.48|1486.33|1486.33|476.15|1448.28|816.26|476.15|467.08|0|1730.65
Professional|||54700|INCIS/DRAIN SCROTUM/TESTISEP*|803|803|672.61|602.25|682.55|722.7|682.55|686.04|413.7|388.88|0|0|736|672.61|129.78|720.54|699.2|680.8|655.79|735.13|602.25|720.54|245.07|238.67|245.07|779.3|779.3|151.39|219.49|156.39|810.47|735.13|735.13|152.9|169.56|166.53|181.67|213.1|697.9|697.9|223.76|680.04|383.58|223.76|219.49|0|810.47
Professional|||55100|DRAINAGE SCROTAL WALL ABSCESS|628|628|524.11|471|533.8|565.2|533.8|699.4|428.4|402.7|0|0|573.5|524.11|101.52|561.46|544.83|530.49|511.01|572.83|471|561.46|190.87|185.89|190.87|609.2|609.2|117.77|170.95|121.66|633.57|572.83|572.83|118.95|131.9|129.55|141.32|165.97|540.69|540.69|174.27|526.85|298.75|174.27|170.95|0|699.4
Professional|||55110|EXPLORE SCROTUM|1465|1465|1222.93|1098.75|1245.25|1318.5|1245.25|1247.34|753.9|708.67|0|0|1338.18|1222.93|235.95|1310.06|1271.27|1237.81|1192.36|1336.61|1098.75|1310.06|445.64|434.01|445.64|1421.46|1421.46|275.33|399.14|284.42|1478.32|1336.61|1336.61|278.08|308.37|302.86|330.4|387.51|1266.87|1266.87|406.89|1234.44|697.52|406.89|399.14|0|1478.32
Professional|||55150|REMOVAL OF SCROTUM|1857|1857|1553.77|1392.75|1578.45|1671.3|1578.45|1584.8|956.9|899.49|0|0|1700.2|1553.77|298.85|1664.48|1615.19|1572.69|1514.93|1698.21|1392.75|1664.48|565.44|550.69|565.44|1802.55|1802.55|349.48|506.44|361.01|1874.65|1698.21|1698.21|352.97|391.42|384.43|419.38|491.69|1606.22|1606.22|516.27|1565.1|885.04|516.27|506.44|0|1874.65
Professional|||55175|REVISION OF SCROTUMSIMPLE|1375|1375|1146.5|1031.25|1168.75|1237.5|1168.75|1169.39|708.4|665.9|0|0|1254.54|1146.5|221.16|1228.19|1191.81|1160.45|1117.84|1253.07|1031.25|1228.19|418.2|407.29|418.2|1334.44|1334.44|258.39|374.56|266.92|1387.82|1253.07|1253.07|260.97|289.4|284.23|310.07|363.65|1188.83|1188.83|381.83|1158.4|654.57|381.83|374.56|0|1387.82
Professional|||55180|REVISION OF SCROTUMCOMPLICAT*|2597|2597|2175.06|1947.75|2207.45|2337.3|2207.45|2218.49|1339.1|1258.75|0|0|2380.04|2175.06|421.35|2330.04|2261.04|2201.54|2120.68|2377.25|1947.75|2330.04|795.01|774.27|795.01|2521.19|2521.19|491.38|712.05|507.6|2622.04|2377.25|2377.25|496.29|550.35|540.52|589.66|691.31|2246.45|2246.45|725.88|2188.94|1244.36|725.88|712.05|0|2622.04
Professional|||55700|BIOPSY OF PROSTATENEEDLE/PUN*|491|491|411.65|368.25|417.35|441.9|417.35|792.95|490|460.6|0|0|450.44|411.65|84.54|440.98|427.92|416.66|401.36|449.91|368.25|440.98|149.49|145.59|149.49|476.02|476.02|92.37|133.89|95.42|495.06|449.91|449.91|93.29|103.45|101.61|110.84|129.99|428.71|428.71|136.49|417.73|233.98|136.49|133.89|0|792.95
Professional|||56405|I&D OF VULVA/PERINEUM ABSCESS|424|424|351.59|318|360.4|381.6|360.4|361.95|220.5|207.27|0|0|384.73|351.59|65.56|376.64|365.49|355.87|342.8|384.27|318|376.64|136.25|132.7|136.25|411.4|411.4|84.16|122.03|86.94|427.86|384.27|384.27|85|94.26|92.58|100.99|118.48|349.53|349.53|124.4|340.59|213.26|124.4|122.03|0|427.86
Professional|||56420|I&D BARTHOLIN GLAND ABSCESS|360|360|300.27|270|306|324|306|429.89|263.9|248.07|0|0|328.57|300.27|54.96|321.67|312.14|303.93|292.76|328.19|270|321.67|117.23|114.17|117.23|349.43|349.43|72.36|105|74.75|363.41|328.19|328.19|73.08|81.04|79.6|86.83|101.94|294.09|294.09|107.04|286.57|183.49|107.04|105|0|429.89
Professional|||56440|MARSUP BARTHOLIN GLAND CYST|671|671|562.33|503.25|570.35|603.9|570.35|573.56|345.8|325.05|0|0|615.32|562.33|109.7|602.4|584.56|569.17|548.27|614.6|503.25|602.4|206.29|200.91|206.29|651.4|651.4|127.53|184.76|131.74|677.46|614.6|614.6|128.81|142.83|140.28|153.04|179.38|587.05|587.05|188.35|572.03|322.88|188.35|184.76|0|677.46
Professional|||56501|DESTRUCTIONLESION(S)VULVAS*|449|449|372.34|336.75|381.65|404.1|381.65|456.62|280|263.2|0|0|407.43|372.34|69.75|398.87|387.06|376.87|363.03|406.95|336.75|398.87|143.89|140.13|143.89|435.14|435.14|88.78|128.87|91.71|452.55|406.95|406.95|89.67|99.43|97.66|106.54|125.12|371|371|131.38|361.5|225.22|131.38|128.87|0|456.62
Professional|||56605|BIOPSY VULVA/PERINEUMONE LESN|222|222|186.71|166.5|188.7|199.8|188.7|270.63|164.5|154.63|0|0|204.31|186.71|35.96|200.02|194.1|188.99|182.04|204.07|166.5|200.02|68.06|66.28|68.06|214.93|214.93|41.82|60.96|43.2|223.53|204.07|204.07|42.24|46.84|46|50.18|59.18|195.7|195.7|62.14|190.69|106.52|62.14|60.96|0|270.63
Professional|||56606|BXVULVA/PERINEUMADDL LESION|109|109|92.81|81.75|92.65|98.1|92.65|121.39|72.8|68.43|0|0|101.56|92.81|17.44|99.42|96.48|93.94|90.49|101.44|81.75|99.42|33.4|32.52|33.4|105.49|105.49|20.52|29.91|21.2|109.71|101.44|101.44|20.73|22.98|22.57|24.62|29.04|97.26|97.26|30.49|94.77|52.27|30.49|29.91|0|121.39
Professional|||56620|PART SIMPLE REMV VULVA|1996|1996|1692.45|1497|1696.6|1796.4|1696.6|1726.24|1028.3|966.6|0|0|1851.94|1692.45|310.54|1813.04|1759.34|1713.04|1650.14|1849.77|1497|1813.04|632.83|616.32|632.83|1937.05|1937.05|391.05|566.8|403.95|2014.53|1849.77|1849.77|394.96|437.98|430.16|469.26|550.29|1687.66|1687.66|577.8|1644.46|990.52|577.8|566.8|0|2014.53
Professional|||56740|EXCIS BARTHOLIN GLAND/CYST|1120|1120|945.59|840|952|1008|952|964.46|577.5|542.85|0|0|1034.7|945.59|179.44|1012.96|982.96|957.09|921.95|1033.48|840|1012.96|350.74|341.59|350.74|1086.54|1086.54|216.82|314.14|223.98|1130|1033.48|1033.48|218.99|242.84|238.5|260.18|304.99|970.53|970.53|320.24|945.69|548.98|320.24|314.14|0|1130
Professional|||56800|REPAIR OF VAGINA|902|902|755.59|676.5|766.7|811.8|766.7|770.68|464.8|436.91|0|0|826.8|755.59|144.34|809.43|785.46|764.79|736.7|825.83|676.5|809.43|282.88|275.5|282.88|875.56|875.56|174.74|253.36|180.51|910.58|825.83|825.83|176.49|195.71|192.21|209.69|245.98|775.97|775.97|258.28|756.11|442.76|258.28|253.36|0|910.58
Professional|||56810|REPAIR OF PERINEUMNON OBSTET*|976|976|817.83|732|829.6|878.4|829.6|834.16|502.6|472.44|0|0|894.91|817.83|156.05|876.11|850.16|827.79|797.38|893.86|732|876.11|304.72|296.77|304.72|946.77|946.77|188.34|272.92|194.56|984.64|893.86|893.86|190.22|210.94|207.17|226.01|264.97|838.19|838.19|278.22|816.73|476.95|278.22|272.92|0|984.64
Professional|||57135|EXCIS VAGINAL CYST/TUMOR|658|658|551.41|493.5|559.3|592.2|559.3|645.95|392|368.48|0|0|603.37|551.41|104.17|590.7|573.21|558.12|537.62|602.67|493.5|590.7|207.32|201.91|207.32|638.21|638.21|128.04|185.69|132.27|663.74|602.67|602.67|129.32|143.4|140.84|153.65|180.28|558.78|558.78|189.29|544.48|324.5|189.29|185.69|0|663.74
Professional|||57200|REPAIR OF VAGINA|1155|1155|968.52|866.25|981.75|1039.5|981.75|987.85|595|559.3|0|0|1059.79|968.52|180.76|1037.52|1006.8|980.3|944.31|1058.55|866.25|1037.52|364.46|354.95|364.46|1120.83|1120.83|225.29|326.43|232.72|1165.66|1058.55|1058.55|227.54|252.32|247.82|270.35|316.92|975.04|975.04|332.77|950.08|570.46|332.77|326.43|0|1165.66
Professional|||57210|REPAIR VAGINA/PERINEUM|1389|1389|1160.69|1041.75|1180.65|1250.1|1180.65|1183.86|715.4|672.48|0|0|1270.07|1160.69|220.93|1243.39|1206.57|1174.82|1131.67|1268.58|1041.75|1243.39|437.91|426.48|437.91|1347.63|1347.63|270.71|392.21|279.64|1401.54|1268.58|1268.58|273.42|303.2|297.78|324.85|380.79|1179.78|1179.78|399.83|1149.58|685.42|399.83|392.21|0|1401.54
Professional|||57307|REPR REC-VAG FISTABD+COLOSTO*|3863|3863|3253.86|2897.25|3283.55|3476.7|3283.55|3317.71|1995|1875.3|0|0|3559.31|3253.86|626.61|3485.71|3381.34|3292.36|3172.51|3556.33|2897.25|3485.71|1208.87|1177.33|1208.87|3750.14|3750.14|747.21|1082.73|771.87|3900.15|3556.33|3556.33|754.68|836.88|821.93|896.65|1051.19|3419.45|3419.45|1103.75|3331.92|1892.14|1103.75|1082.73|0|3900.15
Professional|||57410|PELVIC EXAMINATION W ANESTH|394|394|333.03|295.5|334.9|354.6|334.9|339.68|203|190.82|0|0|364.41|333.03|64.68|356.76|346.19|337.08|324.7|363.99|295.5|356.76|120.73|117.58|120.73|382.4|382.4|74.41|108.13|76.87|397.7|363.99|363.99|75.15|83.34|81.85|89.29|104.98|348.4|348.4|110.23|339.48|188.96|110.23|108.13|0|397.7
Professional|||57452|COLPOSCOPYCERVIX W/ADJ VAGINA|340|340|286.08|255|289|306|289|361.95|219.1|205.95|0|0|313.04|286.08|55.39|306.46|297.39|289.56|278.93|312.67|255|306.46|103.62|100.91|103.62|329.66|329.66|63.89|92.8|66|342.85|312.67|312.67|64.53|71.56|70.28|76.67|90.1|298.63|298.63|94.61|290.99|162.18|94.61|92.8|0|361.95
Professional|||57454|COLPOSCCERVIX W/ADJ VAGW/BX*|496|496|416.01|372|421.6|446.4|421.6|495.6|301|282.94|0|0|455.22|416.01|81.66|445.66|432.46|421.08|405.61|454.69|372|445.66|152.17|148.2|152.17|481.29|481.29|93.91|136.29|97.01|500.54|454.69|454.69|94.85|105.18|103.3|112.69|132.32|438.89|438.89|138.94|427.65|238.18|138.94|136.29|0|500.54
Professional|||57460|COLPOSCOPYCERVIX W/ADJ VAGW*|595|595|500.09|446.25|505.75|535.5|505.75|924.37|569.1|534.95|0|0|547.22|500.09|97.56|535.72|519.86|506.18|487.59|546.58|446.25|535.72|182.36|177.6|182.36|577.55|577.55|112.64|163.33|116.36|600.65|546.58|546.58|113.77|126.16|123.9|135.17|158.57|524.84|524.84|166.5|511.4|285.43|166.5|163.33|0|924.37
Professional|||57461|COLPOSCOPYCERVIX W/ADJ VAGW*|684|684|576.52|513|581.4|615.6|581.4|1040.2|639.1|600.75|0|0|630.85|576.52|111.89|617.6|599.31|583.54|562.11|630.12|513|617.6|210|204.52|210|663.27|663.27|129.58|188.09|133.86|689.8|630.12|630.12|130.88|145.13|142.54|155.5|182.61|606.28|606.28|191.74|590.76|328.7|191.74|188.09|0|1040.2
Professional|||57500|BIOPSY/EXCIS CERVICAL LESN|278|278|232.57|208.5|236.3|250.2|236.3|423.21|261.1|245.43|0|0|254.49|232.57|45.68|249.15|241.77|235.41|226.76|254.19|208.5|249.15|85.38|83.15|85.38|269|269|52.6|76.47|54.34|279.76|254.19|254.19|53.13|58.91|57.86|63.12|74.24|245.46|245.46|77.95|239.18|133.63|77.95|76.47|0|423.21
Professional|||57505|ENDOCERVICAL CURETTAGE|363|363|300.27|272.25|308.55|326.7|308.55|355.27|217.7|204.64|0|0|328.57|300.27|55.84|321.67|312.14|303.93|292.76|328.19|272.25|321.67|116.32|113.29|116.32|352.08|352.08|71.84|104.18|74.21|366.16|328.19|328.19|72.56|80.46|79.02|86.21|101.15|297.5|297.5|106.21|289.88|182.07|106.21|104.18|0|366.16
Professional|||57520|CONIZATION CERVIXKNIFE/LASER|1044|1044|875.7|783|887.4|939.6|887.4|1020.15|618.1|581.01|0|0|958.23|875.7|165.31|938.1|910.32|886.36|853.81|957.11|783|938.1|326.5|317.98|326.5|1012.7|1012.7|201.68|292.43|208.34|1053.21|957.11|957.11|203.7|225.88|221.85|242.02|283.91|890.19|890.19|298.11|867.41|511.04|298.11|292.43|0|1053.21
Professional|||57720|PLASTIC REPR CERVIXVAG APPRCH|1167|1167|970.7|875.25|991.95|1050.3|991.95|990.08|601.3|565.22|0|0|1062.18|970.7|185.4|1039.86|1009.07|982.51|946.43|1060.93|875.25|1039.86|370|360.35|370|1132.69|1132.69|228.63|331.39|236.17|1178|1060.93|1060.93|230.92|256.07|251.49|274.36|321.74|988.63|988.63|337.83|963.32|579.13|337.83|331.39|0|1178
Professional|||58100|BIOPSY OF UTERUS LINING|292|292|219.47|219|248.2|262.8|248.2|294.02|179.2|168.45|0|0|240.15|219.47|52.31|235.11|228.15|222.14|213.98|239.87|219|235.11|72.36|70.47|72.36|253.18|253.18|44.64|64.81|46.11|263.31|239.87|239.87|45.09|50|49.1|53.57|62.92|282.78|282.78|66.07|275.54|113.26|66.07|64.81|0|294.02
Professional|||58110|ENDOMET BIOPSY DONE W/COLPOSC*|151|151|127.75|113.25|128.35|135.9|128.35|160.37|96.6|90.8|0|0|139.79|127.75|24.28|136.85|132.8|129.31|124.56|139.63|113.25|136.85|46.33|45.12|46.33|146.37|146.37|28.48|41.5|29.42|152.22|139.63|139.63|28.76|31.9|31.33|34.18|40.29|132.34|132.34|42.3|128.96|72.52|42.3|41.5|0|160.37
Professional|||58120|DILATION/CURETTAGEDIAGNOSTIC|824|824|693.36|618|700.4|741.6|700.4|853.09|517.3|486.26|0|0|758.7|693.36|131.1|742.76|720.76|701.8|676.03|757.81|618|742.76|258.52|251.78|258.52|799.08|799.08|159.6|231.54|164.87|831.04|757.81|757.81|161.2|178.75|175.56|191.52|224.8|705.85|705.85|236.04|687.78|404.64|236.04|231.54|0|853.09
Professional|||58140|MYOMECTOMY 1-4W/TOT 250GMS/<*|3385|3385|2858.59|2538.75|2877.25|3046.5|2877.25|2915.67|1744.4|1639.74|0|0|3127.99|2858.59|548.71|3062.27|2971.59|2893.39|2787.13|3124.32|2538.75|3062.27|1052.12|1024.68|1052.12|3285.99|3285.99|650.48|942.34|671.95|3417.43|3124.32|3124.32|656.98|728.54|715.53|780.58|914.89|2959.07|2959.07|960.63|2883.32|1646.8|960.63|942.34|0|3417.43
Professional|||58145|EXCIS UTERINE FIBROIDVAG APP*|2046|2046|1723.02|1534.5|1739.1|1841.4|1739.1|1757.42|1054.2|990.95|0|0|1885.39|1723.02|328.43|1845.79|1791.12|1743.99|1679.94|1883.19|1534.5|1845.79|639.87|623.18|639.87|1985.83|1985.83|395.42|573.1|408.47|2065.26|1883.19|1883.19|399.37|442.87|434.96|474.5|556.41|1764.57|1764.57|584.23|1719.4|1001.54|584.23|573.1|0|2065.26
Professional|||58150|TOTAL ABDOM HYSTERECTOMY|3727|3727|3177.43|2795.25|3167.95|3354.3|3167.95|3240.87|1920.8|1805.55|0|0|3476.87|3177.43|601.9|3403.83|3303.02|3216.1|3097.99|3472.79|2795.25|3403.83|1145.42|1115.54|1145.42|3618.28|3618.28|707.95|1025.9|731.31|3763.01|3472.79|3472.79|715.03|792.9|778.75|849.54|996.02|3281.43|3281.43|1045.82|3197.44|1792.84|1045.82|1025.9|0|3763.01
Professional|||58180|SUPRACERV ABD HYSTERECTOMY|3536|3536|2990.71|2652|3005.6|3182.4|3005.6|3050.42|1822.1|1712.77|0|0|3272.56|2990.71|574.3|3203.81|3108.93|3027.12|2915.94|3268.72|2652|3203.81|1090.1|1061.66|1090.1|3432.36|3432.36|673.83|976.35|696.07|3569.65|3268.72|3268.72|680.57|754.69|741.21|808.6|947.91|3102.73|3102.73|995.31|3023.3|1706.24|995.31|976.35|0|3569.65
Professional|||58260|VAGINAL HYSTERECTOMYUTERUS 2*|3054|3054|2563.78|2290.5|2595.9|2748.6|2595.9|2614.97|1574.3|1479.84|0|0|2805.39|2563.78|494.4|2746.46|2665.12|2594.99|2499.69|2802.1|2290.5|2746.46|949.58|924.81|949.58|2964.24|2964.24|586.84|850.49|606.21|3082.81|2802.1|2802.1|592.71|657.26|645.52|704.21|825.72|2653.66|2653.66|867.01|2585.73|1486.3|867.01|850.49|0|3082.81
Professional|||58300|INSERT INTRAUTERINE DEVICE|197|197|168.15|147.75|167.45|177.3|167.45|253.92|154|144.76|0|0|184|168.15|32|180.13|174.8|170.2|163.95|183.78|147.75|180.13|0|0|0|191.2|191.2|36.69|0|37.9|198.85|183.78|183.78|37.06|41.09|40.36|44.03|0|174.2|174.2|0|169.74|0|0|0|0|253.92
Professional|||58301|REMOVE INTRAUTERINE DEVICE|248|248|208.55|186|210.8|223.2|210.8|300.7|183.4|172.4|0|0|228.21|208.55|40.38|223.41|216.8|211.09|203.34|227.94|186|223.41|76.11|74.12|76.11|239.98|239.98|46.95|68.17|48.5|249.58|227.94|227.94|47.42|52.58|51.65|56.34|66.18|218.33|218.33|69.49|212.74|119.12|69.49|68.17|0|300.7
Professional|||58340|CATH/INJECT HYSTEROSALPINGOGR*|216|216|179.07|162|183.6|194.4|183.6|497.82|310.8|292.15|0|0|195.95|179.07|35.31|191.83|186.15|181.25|174.59|195.72|162|191.83|65.6|63.88|65.6|209.66|209.66|40.54|58.75|41.88|218.05|195.72|195.72|40.95|45.4|44.59|48.65|57.04|187.78|187.78|59.89|182.98|102.67|59.89|58.75|0|497.82
Professional|||58350|REOPEN FALLOPIAN TUBECHROMOT*|309|309|255.5|231.75|262.65|278.1|262.65|341.91|210.7|198.06|0|0|279.58|255.5|47.44|273.71|265.6|258.61|249.11|279.26|231.75|273.71|100.54|97.92|100.54|299.32|299.32|62.09|90.05|64.14|311.29|279.26|279.26|62.71|69.54|68.3|74.51|87.43|253.37|253.37|91.8|246.89|157.37|91.8|90.05|0|341.91
Professional|||58353|ENDOMETRIAL ABLATION THERMAL|818|818|684.62|613.5|695.3|736.2|695.3|3125.04|1964.2|1846.35|0|0|749.14|684.62|131.55|733.4|711.68|692.95|667.5|748.26|613.5|733.4|257.67|250.95|257.67|793.81|793.81|159.09|230.78|164.34|825.56|748.26|748.26|160.68|178.18|175|190.91|224.06|703.58|703.58|235.26|685.57|403.31|235.26|230.78|0|3125.04
Professional|||58552|LAPVAG HYSTUTERUS 250GMS/<*|3623|3623|3062.78|2717.25|3079.55|3260.7|3079.55|3123.93|1866.9|1754.89|0|0|3351.41|3062.78|588.43|3281.01|3183.84|3100.06|2986.21|3347.49|2717.25|3281.01|1116.87|1087.73|1116.87|3516.75|3516.75|690.51|1000.33|713.3|3657.42|3347.49|3347.49|697.42|773.37|759.56|828.61|971.19|3179.63|3179.63|1019.75|3098.24|1748.14|1019.75|1000.33|0|3657.42
Professional|||58553|LAPVAG HYSTUTERUS >250GMS|4132|4132|3472.24|3099|3512.2|3718.8|3512.2|3541.57|2130.1|2002.29|0|0|3799.46|3472.24|677.83|3719.65|3609.49|3514.5|3385.43|3795.01|3099|3719.65|1278.35|1245|1278.35|4011.23|4011.23|790.32|1144.96|816.4|4171.68|3795.01|3795.01|798.22|885.16|869.35|948.38|1111.61|3656.97|3656.97|1167.19|3563.36|2000.9|1167.19|1144.96|0|4171.68
Professional|||58555|HYSTEROSCOPYDXSEP PROC|565|565|474.98|423.75|480.25|508.5|480.25|935.51|577.5|542.85|0|0|519.74|474.98|113.45|508.82|493.75|480.76|463.11|519.13|423.75|508.82|172.9|168.39|172.9|548.54|548.54|106.74|154.86|110.26|570.48|519.13|519.13|107.81|119.55|117.41|128.09|150.35|497.7|497.7|157.87|484.96|270.63|157.87|154.86|0|935.51
Professional|||58558|HYSTEROSCOPYW/ENDO BX|859|859|723.93|644.25|730.15|773.1|730.15|4327.84|2724.4|2560.94|0|0|792.15|723.93|159.36|775.51|752.54|732.74|705.83|791.22|644.25|775.51|263.61|256.74|263.61|833.37|833.37|162.94|236.11|168.32|866.7|791.22|791.22|164.57|182.49|179.23|195.53|229.23|760.12|760.12|240.69|740.66|412.61|240.69|236.11|0|4327.84
Professional|||58563|HYSTEROSCOPYW/ENDOMETRIAL AB*|916|916|769.79|687|778.6|824.4|778.6|5591.89|3526.6|3315|0|0|842.33|769.79|203.95|824.64|800.22|779.16|750.55|841.35|687|824.64|280.85|273.53|280.85|888.74|888.74|173.46|251.55|179.18|924.29|841.35|841.35|175.19|194.28|190.81|208.15|244.22|884.55|884.55|256.43|861.91|439.6|256.43|251.55|0|5591.89
Professional|||58565|HYSTEROSCOPY STERILIZE W IMP*|1622|1622|1355.05|1216.5|1378.7|1459.8|1378.7|5768.97|3623.2|3405.81|0|0|1482.75|1355.05|304.62|1451.6|1408.61|1371.54|1321.17|1481.01|1216.5|1451.6|510.49|497.17|510.49|1574.43|1574.43|298.65|457.22|308.51|1637.41|1481.01|1481.01|301.64|334.49|328.52|358.38|443.9|1393.57|1393.57|466.1|1357.9|799.02|466.1|457.22|0|5768.97
Professional|||58571|LAPS TOTAL HYSTERECTOMY 250 G/< W TUBE/OVARY|3298|3298|2820.38|2473.5|2803.3|2968.2|2803.3|2876.69|1699.6|1597.62|0|0|3086.17|2820.38|529.5|3021.34|2931.86|2854.71|2749.87|3082.55|2473.5|3021.34|1017.74|991.19|1017.74|3201.6|3201.6|629.18|911.54|649.94|3329.66|3082.55|3082.55|635.47|704.68|692.1|755.02|884.99|2900.25|2900.25|929.24|2826.01|1592.98|929.24|911.54|0|3329.66
Professional|||58605|LIGATE FALLOPIAN TUBEPOSTPAR*|1223|1223|1020.93|917.25|1039.55|1100.7|1039.55|1041.31|630|592.2|0|0|1117.14|1020.93|197.99|1093.67|1061.28|1033.35|995.41|1115.83|917.25|1093.67|380.39|370.46|380.39|1186.75|1186.75|235.04|340.69|242.8|1234.22|1115.83|1115.83|237.39|263.24|258.54|282.05|330.77|1055.35|1055.35|347.31|1028.33|595.39|347.31|340.69|0|1234.22
Professional|||58611|LIGATIONFALLOPIAN TUBE W/C-S*|282|282|236.94|211.5|239.7|253.8|239.7|241.67|144.9|136.21|0|0|259.27|236.94|45.9|253.82|246.31|239.83|231.02|258.97|211.5|253.82|86.84|84.57|86.84|272.96|272.96|53.62|77.78|55.39|283.88|258.97|258.97|54.16|60.05|58.98|64.34|75.51|247.73|247.73|79.29|241.39|135.92|79.29|77.78|0|283.88
Professional|||58615|OCCLUDE FALLOPIAN TUBE BY DEV*|909|909|758.87|681.75|772.65|818.1|772.65|774.02|468.3|440.2|0|0|830.39|758.87|145.89|812.94|788.87|768.11|739.9|829.41|681.75|812.94|285.27|277.83|285.27|882.16|882.16|176.28|255.5|182.1|917.45|829.41|829.41|178.04|197.43|193.91|211.54|248.06|799.71|799.71|260.46|779.24|446.51|260.46|255.5|0|917.45
Professional|||58660|LAPLYSIS OF ADHESIONS|2476|2476|2097.54|1857|2104.6|2228.4|2104.6|2139.42|1276.1|1199.53|0|0|2295.21|2097.54|401.49|2246.99|2180.45|2123.07|2045.1|2292.52|1857|2246.99|765.73|745.75|765.73|2403.83|2403.83|473.17|685.83|488.78|2499.98|2292.52|2292.52|477.9|529.95|520.49|567.8|665.85|2169.54|2169.54|699.14|2114.01|1198.53|699.14|685.83|0|2499.98
Professional|||58661|LAPRMV  ADNEXAL STRUCTURE|2387|2387|2025.47|1790.25|2028.95|2148.3|2028.95|2065.91|1229.9|1156.11|0|0|2216.35|2025.47|386.04|2169.79|2105.54|2050.13|1974.83|2213.76|1790.25|2169.79|737.55|718.31|737.55|2316.81|2316.81|455.97|660.59|471.02|2409.48|2213.76|2213.76|460.53|510.69|501.57|547.16|641.35|2094.88|2094.88|673.42|2041.25|1154.43|673.42|660.59|0|2409.48
Professional|||58662|LAPFULGURATE/EXCISE LESIONS|2610|2610|2207.82|1957.5|2218.5|2349|2218.5|2251.9|1344.7|1264.02|0|0|2415.89|2207.82|422.66|2365.13|2295.09|2234.69|2152.62|2413.05|1957.5|2365.13|807.15|786.09|807.15|2533.06|2533.06|498.83|722.93|515.29|2634.38|2413.05|2413.05|503.82|558.69|548.71|598.6|701.87|2288.3|2288.3|736.96|2229.73|1263.37|736.96|722.93|0|2634.38
Professional|||58670|LAPTUBAL CAUTERY|1351|1351|1127.93|1013.25|1148.35|1215.9|1148.35|1150.45|695.8|654.05|0|0|1234.23|1127.93|218.96|1208.3|1172.52|1141.66|1099.73|1232.78|1013.25|1208.3|420.76|409.79|420.76|1310.71|1310.71|259.93|376.86|268.51|1363.14|1232.78|1232.78|262.53|291.12|285.92|311.92|365.88|1170.74|1170.74|384.17|1140.77|658.58|384.17|376.86|0|1363.14
Professional|||58671|LAPTUBAL BLOCK BY DEVICE|1351|1351|1129.02|1013.25|1148.35|1215.9|1148.35|1151.57|695.8|654.05|0|0|1235.42|1129.02|218.96|1209.47|1173.65|1142.77|1100.79|1233.98|1013.25|1209.47|420.2|409.24|420.2|1310.71|1310.71|259.67|376.35|268.24|1363.14|1233.98|1233.98|262.27|290.83|285.64|311.6|365.39|1167.33|1167.33|383.66|1137.45|657.7|383.66|376.35|0|1363.14
Professional|||58673|LAPSALPINGOSTOMY|2923|2923|2450.22|2192.25|2484.55|2630.7|2484.55|2499.14|1507.8|1417.33|0|0|2681.13|2450.22|476.53|2624.81|2547.07|2480.05|2388.96|2677.99|2192.25|2624.81|905.52|881.9|905.52|2837.66|2837.66|559.64|811.03|578.11|2951.17|2677.99|2677.99|565.24|626.8|615.6|671.57|787.41|2563.17|2563.17|826.78|2497.56|1417.34|826.78|811.03|0|2951.17
Professional|||58700|REMOVAL OF FALLOPIAN TUBE|2873|2873|2442.58|2154.75|2442.05|2585.7|2442.05|2491.35|1480.5|1391.67|0|0|2672.77|2442.58|461.52|2616.62|2539.13|2472.31|2381.52|2669.64|2154.75|2616.62|894.21|870.88|894.21|2788.87|2788.87|552.71|800.9|570.95|2900.42|2669.64|2669.64|558.24|619.04|607.98|663.25|777.57|2513.4|2513.4|816.45|2449.06|1399.63|816.45|800.9|0|2900.42
Professional|||58720|REMOVAL OF OVARY/TUBE(S)|2726|2726|2327.93|2044.5|2317.1|2453.4|2317.1|2374.41|1404.9|1320.61|0|0|2547.31|2327.93|436.13|2493.8|2419.95|2356.27|2269.73|2544.33|2044.5|2493.8|845.54|823.48|845.54|2646.46|2646.46|522.69|757.31|539.94|2752.32|2544.33|2544.33|527.92|585.41|574.96|627.23|735.25|2384.43|2384.43|772.01|2323.39|1323.45|772.01|757.31|0|2752.32
Professional|||58805|DRAIN OVARIAN CYST(S)ABD APP*|1519|1519|1267.7|1139.25|1291.15|1367.1|1291.15|1293.01|782.6|735.64|0|0|1387.16|1267.7|242.79|1358.02|1317.8|1283.13|1236.01|1385.54|1139.25|1358.02|477.97|465.51|477.97|1474.22|1474.22|295.34|428.1|305.09|1533.19|1385.54|1385.54|298.29|330.78|324.87|354.41|415.63|1301.95|1301.95|436.41|1268.62|748.13|436.41|428.1|0|1533.19
Professional|||58925|REMOVAL OF OVARIAN CYST(S)|2760|2760|2343.22|2070|2346|2484|2346|2390|1421.7|1336.4|0|0|2564.04|2343.22|443.43|2510.18|2435.84|2371.74|2284.64|2561.04|2070|2510.18|858|835.62|858|2679.43|2679.43|530.39|768.47|547.89|2786.61|2561.04|2561.04|535.69|594.04|583.43|636.47|746.09|2409.33|2409.33|783.39|2347.66|1342.96|783.39|768.47|0|2786.61
Professional|||58940|REMOVAL OF OVARY(S)|1962|1962|1671.7|1471.5|1667.7|1765.8|1667.7|1705.07|1011.5|950.81|0|0|1829.24|1671.7|310.77|1790.81|1737.78|1692.05|1629.91|1827.1|1471.5|1790.81|613.26|597.26|613.26|1904.08|1904.08|378.99|549.27|391.5|1980.24|1827.1|1827.1|382.78|424.47|416.89|454.79|533.27|1701.25|1701.25|559.93|1657.7|959.89|559.93|549.27|0|1980.24
Professional|||59000|AMNIOCENTESISDIAGNOSTIC|288|288|254.41|216|244.8|259.2|244.8|393.14|233.1|219.11|0|0|278.39|254.41|51.75|272.54|264.47|257.51|248.05|278.06|216|272.54|87.7|85.41|87.7|279.54|279.54|58.8|78.55|60.74|290.72|278.06|278.06|59.39|65.86|64.68|70.56|76.26|265.82|265.82|80.07|259.02|137.27|80.07|78.55|0|393.14
Professional|||59001|AMNIOCENTESISTHER AMNIOTIC F*|636|636|562.33|477|540.6|572.4|540.6|573.56|326.9|307.29|0|0|615.32|562.33|115.2|602.4|584.56|569.17|548.27|614.6|477|602.4|193.78|188.72|193.78|617.11|617.11|129.87|173.56|134.16|641.79|614.6|614.6|131.17|145.45|142.86|155.84|168.5|589.32|589.32|176.93|574.24|303.3|176.93|173.56|0|641.79
Professional|||59025|FETAL NON-STRESS TEST|130|130|149.59|97.5|110.5|117|110.5|152.58|90.3|84.88|0|0|163.69|149.59|31.72|160.25|155.5|151.41|145.85|163.5|97.5|160.25|54.02|52.61|54.02|170.1|170.1|36.23|48.38|37.43|176.9|163.5|163.5|36.59|40.58|39.85|43.48|46.97|156.11|156.11|49.32|152.11|84.55|49.32|48.38|0|176.9
Professional|||59070|TRANSABDOM AMNIOINFUS W/ US|1101|1101|973.97|825.75|935.85|990.9|935.85|1284.1|751.1|706.03|0|0|1065.76|973.97|196.47|1043.37|1012.47|985.83|949.62|1064.51|825.75|1043.37|335.83|327.07|335.83|1068.08|1068.08|225.46|300.79|232.9|1110.8|1064.51|1064.51|227.71|252.52|248.01|270.55|292.03|1002.18|1002.18|306.63|976.52|525.65|306.63|300.79|0|1284.1
Professional|||59072|UMBILICAL CORD OCCLUD W/ US|1854|1854|1644.4|1390.5|1575.9|1668.6|1575.9|1677.23|954.1|896.85|0|0|1799.37|1644.4|320.44|1761.57|1709.4|1664.42|1603.29|1797.26|1390.5|1761.57|566.52|551.75|566.52|1797.27|1797.27|380.42|507.41|392.97|1869.16|1797.26|1797.26|384.22|426.07|418.46|456.5|492.63|1528.18|1528.18|517.26|1489.06|886.73|517.26|507.41|0|1869.16
Professional|||59074|FETAL FLUID DRAINAGE W/ US|1101|1101|973.97|825.75|935.85|990.9|935.85|1237.32|721|677.74|0|0|1065.76|973.97|195.74|1043.37|1012.47|985.83|949.62|1064.51|825.75|1043.37|335.83|327.07|335.83|1068.08|1068.08|225.46|300.79|232.9|1110.8|1064.51|1064.51|227.71|252.52|248.01|270.55|292.03|987.49|987.49|306.63|962.21|525.65|306.63|300.79|0|1237.32
Professional|||59076|FETAL SHUNT PLACEMENT W/ US|1854|1854|1644.4|1390.5|1575.9|1668.6|1575.9|1677.23|954.1|896.85|0|0|1799.37|1644.4|320.44|1761.57|1709.4|1664.42|1603.29|1797.26|1390.5|1761.57|566.52|551.75|566.52|1797.27|1797.27|380.42|507.41|392.97|1869.16|1797.26|1797.26|384.22|426.07|418.46|456.5|492.63|1528.18|1528.18|517.26|1489.06|886.73|517.26|507.41|0|1869.16
Professional|||59120|TREAT ECTOPIC PREGRMV TUBE/O*|2857|2857|2515.74|2142.75|2428.45|2571.3|2428.45|2565.96|1472.1|1383.77|0|0|2752.82|2515.74|509.34|2694.99|2615.18|2546.36|2452.85|2749.59|2142.75|2694.99|885.42|862.32|885.42|2773.05|2773.05|594.46|793.03|614.08|2883.97|2749.59|2749.59|600.4|665.8|653.91|713.35|769.93|2584.67|2584.67|808.43|2518.5|1385.87|808.43|793.03|0|2883.97
Professional|||59121|TREAT ECTOPIC PREGNON REMVAL|2859|2859|2519.01|2144.25|2430.15|2573.1|2430.15|2569.31|1473.5|1385.09|0|0|2756.4|2519.01|510.32|2698.5|2618.58|2549.67|2456.03|2753.17|2144.25|2698.5|886.1|862.98|886.1|2775.69|2775.69|595.02|793.64|614.66|2886.72|2753.17|2753.17|600.97|666.42|654.52|714.02|770.52|2592.58|2592.58|809.05|2526.21|1386.94|809.05|793.64|0|2886.72
Professional|||59136|RX ECTOP PREGUTER WALLPART *|3153|3153|2781.07|2364.75|2680.05|2837.7|2680.05|2836.59|1624.7|1527.22|0|0|3043.16|2781.07|557.91|2979.23|2891|2814.92|2711.54|3039.59|2364.75|2979.23|976.14|950.68|976.14|3060.51|3060.51|655.22|874.28|676.84|3182.93|3039.59|3039.59|661.77|733.85|720.74|786.26|848.82|2878.76|2878.76|891.26|2805.07|1527.88|891.26|874.28|0|3182.93
Professional|||59150|RX ECTOP PREG BY LAPAROSCOPE|2770|2770|2438.21|2077.5|2354.5|2493|2354.5|2486.89|1427.3|1341.66|0|0|2667.99|2438.21|493.97|2611.94|2534.59|2467.89|2377.25|2664.86|2077.5|2611.94|858.92|836.52|858.92|2688.66|2688.66|576.63|769.3|595.66|2796.21|2664.86|2664.86|582.4|645.83|634.29|691.96|746.89|2508.86|2508.86|784.23|2444.64|1344.4|784.23|769.3|0|2796.21
Professional|||59151|RX ECTOP PREG BY SCOPERMV TU*|2692|2692|2371.61|2019|2288.2|2422.8|2288.2|2418.96|1388.1|1304.81|0|0|2595.11|2371.61|479.58|2540.59|2465.35|2400.47|2312.32|2592.06|2019|2540.59|837.69|815.84|837.69|2613.49|2613.49|562.41|750.28|580.97|2718.03|2592.06|2592.06|568.03|629.9|618.65|674.89|728.43|2445.51|2445.51|764.85|2382.91|1311.17|764.85|750.28|0|2718.03
Professional|||59160|D&C AFTER DELIVERY|636|636|557.96|477|540.6|572.4|540.6|691.61|405.3|380.98|0|0|610.54|557.96|111.05|597.72|580.02|564.75|544.01|609.83|477|597.72|200.7|195.46|200.7|617.11|617.11|134.61|179.76|139.05|641.79|609.83|609.83|135.96|150.76|148.07|161.53|174.52|566.69|566.69|183.25|552.19|314.14|183.25|179.76|0|691.61
Professional|||59200|INSERT CERVICAL DILATOR|159|159|140.86|119.25|135.15|143.1|135.15|248.36|148.4|139.5|0|0|154.13|140.86|28.3|150.89|146.42|142.57|137.34|153.95|119.25|150.89|48.5|47.23|48.5|152.95|152.95|32.32|43.44|33.39|159.07|153.95|153.95|32.64|36.2|35.55|38.78|42.17|147.06|147.06|44.28|143.3|75.91|44.28|43.44|0|248.36
Professional|||59300|EPISIOTOMY/VAGINAL REPR BY OT*|526|526|465.15|394.5|447.1|473.4|447.1|642.6|378|355.32|0|0|508.98|465.15|95.42|498.29|483.54|470.81|453.52|508.39|394.5|498.29|160.32|156.14|160.32|510.3|510.3|107.57|143.59|111.12|530.71|508.39|508.39|108.65|120.48|118.33|129.08|139.41|484.12|484.12|146.38|471.72|250.94|146.38|143.59|0|642.6
Professional|||59400|FULL ROUT OBSTE CAREVAGINAL *|7575|7575|6598.35|5681.25|6438.75|6817.5|6438.75|6730.09|3903.2|3669.01|0|0|7220.18|6598.35|1213.2|7068.5|6859.17|6678.66|6433.39|7211.72|5681.25|7068.5|2347.3|2286.07|2347.3|7353.92|7353.92|1387.89|2102.36|1433.69|7648.08|7211.72|7211.72|1401.77|1554.44|1526.68|1665.47|2041.13|6818.51|6818.51|2143.19|6643.97|3674.03|2143.19|2102.36|0|7648.08
Professional|||59409|OBSTETRICAL CAREVAG DELIV ON*|2888|2888|2551.77|2166|2454.8|2599.2|2454.8|2602.72|1488.2|1398.91|0|0|2792.25|2551.77|472.02|2733.59|2652.64|2582.83|2487.98|2788.98|2166|2733.59|883.53|860.48|883.53|2803.38|2803.38|540|791.34|557.82|2915.52|2788.98|2788.98|545.4|604.8|594|648|768.29|2667.24|2667.24|806.7|2598.97|1382.92|806.7|791.34|0|2915.52
Professional|||59410|OBSTE CAREVAG DELIV+POSTPART*|3708|3708|3269.15|2781|3151.8|3337.2|3151.8|3334.42|1911|1796.34|0|0|3577.23|3269.15|609.04|3502.08|3398.37|3308.94|3187.42|3573.04|2781|3502.08|1140.64|1110.88|1140.64|3599.82|3599.82|696.73|1021.62|719.72|3743.81|3573.04|3573.04|703.7|780.34|766.4|836.08|991.86|3404.73|3404.73|1041.45|3317.58|1785.35|1041.45|1021.62|0|3743.81
Professional|||59412|ANTEPARTUM HEAD MANIPULATION|366|366|322.11|274.5|311.1|329.4|311.1|328.54|187.6|176.34|0|0|352.47|322.11|66.14|345.06|334.84|326.03|314.06|352.05|274.5|345.06|112.1|109.18|112.1|354.71|354.71|75.24|100.4|77.72|368.9|352.05|352.05|75.99|84.27|82.76|90.29|97.48|338.22|338.22|102.35|329.56|175.46|102.35|100.4|0|368.9
Professional|||59414|DELIVER PLACENTA|327|327|289.35|245.25|277.95|294.3|277.95|295.13|167.3|157.26|0|0|316.62|289.35|58.32|309.97|300.79|292.88|282.12|316.25|245.25|309.97|98.96|96.38|98.96|315.15|315.15|66.33|88.63|68.52|327.76|316.25|316.25|66.99|74.29|72.96|79.6|86.05|302.01|302.01|90.35|294.27|154.89|90.35|88.63|0|327.76
Professional|||59510|FULL ROUT OBSTE CARECESAREAN*|8344|8344|7315.73|6258|7092.4|7509.6|7092.4|7461.79|4300.8|4042.75|0|0|8005.16|7315.73|1213.2|7836.99|7604.9|7404.77|7132.84|7995.78|6258|7836.99|2583.62|2516.23|2583.62|8100.26|8100.26|1387.89|2314.03|1433.69|8424.27|7995.78|7995.78|1401.77|1554.44|1526.68|1665.47|2246.63|7568.45|7568.45|2358.96|7374.71|4043.93|2358.96|2314.03|0|8424.27
Professional|||59514|CESAREAN DELIVERY ONLY|3241|3241|2874.97|2430.75|2754.85|2916.9|2754.85|2932.37|1669.5|1569.33|0|0|3145.91|2874.97|472.02|3079.82|2988.61|2909.97|2803.1|3142.22|2430.75|3079.82|991.89|966.01|991.89|3144.9|3144.9|540|888.39|557.82|3270.7|3142.22|3142.22|545.4|604.8|594|648|862.51|3006.57|3006.57|905.64|2929.6|1552.52|905.64|888.39|0|3270.7
Professional|||59515|CESAREAN DELIVERY+POSTPARTUM *|4485|4485|3974.52|3363.75|3812.25|4036.5|3812.25|4053.87|2312.1|2173.37|0|0|4349.07|3974.52|609.04|4257.71|4131.62|4022.89|3875.16|4343.98|3363.75|4257.71|1379.97|1343.97|1379.97|4354.07|4354.07|696.73|1235.97|719.72|4528.23|4343.98|4343.98|703.7|780.34|766.4|836.08|1199.97|4138.85|4138.85|1259.97|4032.9|2159.95|1259.97|1235.97|0|4528.23
Professional|||59525|REMOVE UTERUS AFTER CESAREAN|1718|1718|1524.29|1288.5|1460.3|1546.2|1460.3|1554.73|882|829.08|0|0|1667.94|1524.29|308.48|1632.9|1584.54|1542.85|1486.18|1665.99|1288.5|1632.9|524.08|510.41|524.08|1661.46|1661.46|351.71|469.39|363.32|1727.92|1665.99|1665.99|355.23|393.92|386.88|422.05|455.72|1594.91|1594.91|478.51|1554.08|820.3|478.51|469.39|0|1727.92
Professional|||59610|ROUT OB CAREVAG DELIVPREV C*|7912|7912|6923.74|5934|6725.2|7120.8|6725.2|7061.97|4077.5|3832.85|0|0|7576.23|6923.74|1213.2|7417.07|7197.42|7008.01|6750.65|7567.35|5934|7417.07|2447.83|2383.98|2447.83|7680.93|7680.93|1387.89|2192.41|1433.69|7988.17|7567.35|7567.35|1401.77|1554.44|1526.68|1665.47|2128.55|7177.09|7177.09|2234.98|6993.37|3831.39|2234.98|2192.41|0|7988.17
Professional|||59612|VAG DELIV ONLYPREV C-SECTN|3242|3242|2876.06|2431.5|2755.7|2917.8|2755.7|2933.49|1663.9|1564.07|0|0|3147.1|2876.06|472.02|3080.99|2989.75|2911.07|2804.16|3143.42|2431.5|3080.99|988.37|962.58|988.37|3134.35|3134.35|540|885.23|557.82|3259.72|3143.42|3143.42|545.4|604.8|594|648|859.45|3009.97|3009.97|902.42|2932.92|1547.01|902.42|885.23|0|3259.72
Professional|||59620|C-SEC ONLYPREV C-SEC|3332|3332|2954.68|2499|2832.2|2998.8|2832.2|3013.67|1722|1618.68|0|0|3233.13|2954.68|601.36|3165.21|3071.47|2990.64|2880.81|3229.34|2499|3165.21|1023.51|996.81|1023.51|3234.56|3234.56|687.27|916.71|709.95|3363.94|3229.34|3229.34|694.14|769.74|756|824.72|890.01|3072.19|3072.19|934.51|2993.54|1602.02|934.51|916.71|0|3363.94
Professional|||59812|SURG RX INCOMPLETE ABORTN|1073|1073|937.94|804.75|912.05|965.7|912.05|1043.54|608.3|571.8|0|0|1026.33|937.94|190.61|1004.77|975.02|949.36|914.49|1025.13|804.75|1004.77|333.81|325.1|333.81|1041.71|1041.71|224.07|298.98|231.46|1083.38|1025.13|1025.13|226.31|250.96|246.48|268.88|290.27|966|966|304.78|941.27|522.49|304.78|298.98|0|1083.38
Professional|||59820|SURG RX MISSED ABORTN1ST TRI|1319|1319|1139.94|989.25|1121.15|1187.1|1121.15|1251.8|735.7|691.56|0|0|1247.37|1139.94|231.61|1221.17|1185|1153.82|1111.44|1245.91|989.25|1221.17|413.63|402.84|413.63|1280.38|1280.38|277.58|370.47|286.74|1331.6|1245.91|1245.91|280.36|310.89|305.34|333.1|359.68|1162.83|1162.83|377.66|1133.06|647.42|377.66|370.47|0|1331.6
Professional|||59821|SURG RX MISSED ABORTN2ND TRI|1304|1304|1134.48|978|1108.4|1173.6|1108.4|1252.91|732.9|688.93|0|0|1241.4|1134.48|231.61|1215.32|1179.33|1148.29|1106.12|1239.94|978|1215.32|406.87|396.26|406.87|1265.87|1265.87|273.12|364.41|282.13|1316.5|1239.94|1239.94|275.85|305.89|300.43|327.74|353.8|1165.06|1165.06|371.49|1135.24|636.84|371.49|364.41|0|1316.5
Professional|||59855|INDUCED AB BY VAG SUPPOS|1493|1493|1310.28|1119.75|1269.05|1343.7|1269.05|1336.44|769.3|723.14|0|0|1433.76|1310.28|266.99|1403.64|1362.07|1326.23|1277.52|1432.08|1119.75|1403.64|462.08|450.03|462.08|1449.15|1449.15|310.19|413.86|320.43|1507.12|1432.08|1432.08|313.29|347.41|341.21|372.23|401.81|1358.49|1358.49|421.9|1323.71|723.26|421.9|413.86|0|1507.12
Professional|||59870|EVACUATE MOLE OF UTERUS|1772|1772|1534.12|1329|1506.2|1594.8|1506.2|1564.75|912.8|858.03|0|0|1678.69|1534.12|306.54|1643.43|1594.76|1552.79|1495.77|1676.73|1329|1643.43|565.36|550.61|565.36|1719.47|1719.47|379.58|506.37|392.11|1788.25|1676.73|1676.73|383.38|425.13|417.54|455.5|491.62|1540.6|1540.6|516.2|1501.16|884.92|516.2|506.37|0|1788.25
Professional|||59899|INTRAUTERINE TAMPONADE BALLOON|413|413|0|309.75|351.05|371.7|351.05|623.79|0|0|0|0|588.35|0|0|0|558.94|544.23|0|0|309.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|623.79
Professional|||60100|BIOPSY OF THYROIDPERCUT|297|297|247.86|222.75|252.45|267.3|252.45|356.38|218.4|205.3|0|0|271.22|247.86|48.12|265.52|257.66|250.88|241.66|270.9|222.75|265.52|90.19|87.84|90.19|287.46|287.46|55.68|80.78|57.52|298.96|270.9|270.9|56.24|62.36|61.25|66.82|78.43|257.91|257.91|82.35|251.31|141.17|82.35|80.78|0|356.38
Professional|||60210|PARTIAL EXCISION THYROIDUNIL*|2586|2586|2224.2|1939.5|2198.1|2327.4|2198.1|2268.61|1332.8|1252.83|0|0|2433.81|2224.2|421.35|2382.68|2312.12|2251.27|2168.6|2430.96|1939.5|2382.68|792.24|771.57|792.24|2510.64|2510.64|489.59|709.57|505.75|2611.07|2430.96|2430.96|494.49|548.34|538.55|587.51|688.9|2304.12|2304.12|723.35|2245.14|1240.02|723.35|709.57|0|2611.07
Professional|||60220|THYROID LOBECTOMYUNILAT|2592|2592|2218.74|1944|2203.2|2332.8|2203.2|2263.04|1335.6|1255.46|0|0|2427.83|2218.74|423.34|2376.83|2306.44|2245.75|2163.27|2424.99|1944|2376.83|793.81|773.1|793.81|2515.92|2515.92|490.61|710.98|506.8|2616.56|2424.99|2424.99|495.52|549.48|539.67|588.73|690.27|2298.48|2298.48|724.78|2239.64|1242.49|724.78|710.98|0|2616.56
Professional|||60240|THYROIDECTOMY|3352|3352|2890.26|2514|2849.2|3016.8|2849.2|2947.96|1728.3|1624.6|0|0|3162.64|2890.26|546.51|3096.2|3004.5|2925.44|2818|3158.93|2514|3096.2|1027.69|1000.88|1027.69|3254.34|3254.34|635.34|920.45|656.31|3384.51|3158.93|3158.93|641.69|711.58|698.87|762.41|893.64|2995.25|2995.25|938.32|2918.58|1608.55|938.32|920.45|0|3384.51
Professional|||60252|THYROIDECTOMYMALIGLTD NECK *|4817|4817|4151.4|3612.75|4094.45|4335.3|4094.45|4234.29|2482.2|2333.27|0|0|4542.63|4151.4|784.88|4447.2|4315.5|4201.93|4047.62|4537.31|3612.75|4447.2|1477.45|1438.91|1477.45|4675.81|4675.81|913.23|1323.28|943.37|4862.84|4537.31|4537.31|922.36|1022.82|1004.55|1095.88|1284.74|4307.38|4307.38|1348.98|4197.12|2312.53|1348.98|1323.28|0|4862.84
Professional|||60254|THYROIDECTOMY W RAD NECK SURG*|6118|6118|5256.41|4588.5|5200.3|5506.2|5200.3|5361.35|3152.8|2963.63|0|0|5751.77|5256.41|999.63|5630.94|5464.18|5320.38|5125|5745.03|4588.5|5630.94|1871.66|1822.83|1871.66|5939.04|5939.04|1157|1676.36|1195.18|6176.6|5745.03|5745.03|1168.57|1295.84|1272.7|1388.4|1627.53|5435.12|5435.12|1708.91|5295.99|2929.55|1708.91|1676.36|0|6176.6
Professional|||60260|THYROIDECTOMY POST PREV THYR *|3996|3996|3435.12|2997|3396.6|3596.4|3396.6|3503.7|2059.4|1935.84|0|0|3758.84|3435.12|651.99|3679.88|3570.9|3476.93|3349.24|3754.44|2997|3679.88|1222.4|1190.52|1222.4|3879.36|3879.36|755.68|1094.85|780.62|4034.53|3754.44|3754.44|763.24|846.36|831.25|906.82|1062.96|3561.98|3561.98|1116.11|3470.8|1913.33|1116.11|1094.85|0|4034.53
Professional|||60270|THYROIDECTOMYSUBSTERNALTRAN*|4981|4981|4306.45|3735.75|4233.85|4482.9|4233.85|4392.43|2566.9|2412.89|0|0|4712.29|4306.45|810.92|4613.3|4476.68|4358.87|4198.79|4706.77|3735.75|4613.3|1525.41|1485.61|1525.41|4835.37|4835.37|943|1366.23|974.12|5028.78|4706.77|4706.77|952.43|1056.16|1037.3|1131.6|1326.44|4467.99|4467.99|1392.76|4353.62|2387.59|1392.76|1366.23|0|5028.78
Professional|||60271|THYROIDECTOMY=SUBSTERNALTRAN*|3865|3865|3324.84|2898.75|3285.25|3478.5|3285.25|3391.22|1992.2|1872.67|0|0|3638.17|3324.84|630.14|3561.74|3456.26|3365.3|3241.72|3633.9|2898.75|3561.74|1182.8|1151.94|1182.8|3751.46|3751.46|731.05|1059.38|755.17|3901.52|3633.9|3633.9|738.36|818.78|804.16|877.26|1028.52|3447.72|3447.72|1079.95|3359.47|1851.34|1079.95|1059.38|0|3901.52
Professional|||60280|EXCIS THYROID DUCT CYST/SINUS|1652|1652|1385.62|1239|1404.2|1486.8|1404.2|1413.29|851.2|800.13|0|0|1516.2|1385.62|271.05|1484.35|1440.39|1402.49|1350.98|1514.42|1239|1484.35|507.98|494.73|507.98|1603.43|1603.43|313.82|454.97|324.18|1667.57|1514.42|1514.42|316.96|351.48|345.2|376.58|441.72|1435.42|1435.42|463.81|1398.68|795.1|463.81|454.97|0|1667.57
Professional|||60300|ASPIRATION AND/OR INJECTION THYROID CYST|187|187|157.23|140.25|158.95|168.3|158.95|364.18|225.4|211.88|0|0|172.05|157.23|30.23|168.44|163.45|159.15|153.3|171.85|140.25|168.44|56.71|55.23|56.71|180.65|180.65|34.89|50.79|36.04|187.88|171.85|171.85|35.24|39.08|38.38|41.87|49.31|162.89|162.89|51.78|158.72|88.76|51.78|50.79|0|364.18
Professional|||60500|EXPLORE PARATHYROID GLANDS|3521|3521|3043.13|2640.75|2992.85|3168.9|2992.85|3103.88|1814.4|1705.54|0|0|3329.91|3043.13|571.67|3259.95|3163.41|3080.16|2967.05|3326.01|2640.75|3259.95|1080.29|1052.11|1080.29|3417.85|3417.85|667.67|967.56|689.7|3554.56|3326.01|3326.01|674.35|747.79|734.44|801.2|939.38|3147.95|3147.95|986.35|3067.37|1690.88|986.35|967.56|0|3554.56
Professional|||60521|THYMECTOMYTRANSTHORACIC|4034|4034|3538.85|3025.5|3428.9|3630.6|3428.9|3609.5|2079|1954.26|0|0|3872.35|3538.85|659.06|3791|3678.73|3581.92|3450.38|3867.81|3025.5|3791|1234.84|1202.62|1234.84|3916.29|3916.29|763.38|1105.98|788.57|4072.94|3867.81|3867.81|771.01|854.99|839.72|916.06|1073.77|3670.55|3670.55|1127.46|3576.6|1932.79|1127.46|1105.98|0|4072.94
Professional|||60522|THYMECTOMYRADICAL MEDIAST DI*|4917|4917|4314.1|3687.75|4179.45|4425.3|4179.45|4400.23|2534|2381.96|0|0|4720.65|4314.1|797.02|4621.48|4484.62|4366.61|4206.25|4715.12|3687.75|4621.48|1501.59|1462.42|1501.59|4773.39|4773.39|928.37|1344.9|959.01|4964.33|4715.12|4715.12|937.65|1039.77|1021.21|1114.04|1305.73|4460.08|4460.08|1371.02|4345.91|2350.31|1371.02|1344.9|0|4964.33
Professional|||60540|EXCISE ADRENAL GLAND|3905|3905|3371.79|2928.75|3319.25|3514.5|3319.25|3439.11|2013.2|1892.41|0|0|3689.54|3371.79|628.83|3612.03|3505.07|3412.83|3287.5|3685.22|2928.75|3612.03|1198.48|1167.22|1198.48|3791.02|3791.02|740.8|1073.42|765.25|3942.66|3685.22|3685.22|748.21|829.7|814.88|888.96|1042.16|3481.64|3481.64|1094.27|3392.51|1875.89|1094.27|1073.42|0|3942.66
Professional|||60600|EXCISE CAROTID BODY LESION|4939|4939|4327.2|3704.25|4198.15|4445.1|4198.15|4413.59|2545.2|2392.49|0|0|4734.99|4327.2|819.3|4635.52|4498.24|4379.87|4219.02|4729.44|3704.25|4635.52|1507.06|1467.75|1507.06|4794.48|4794.48|931.71|1349.8|962.46|4986.26|4729.44|4729.44|941.03|1043.52|1024.88|1118.05|1310.49|4546.06|4546.06|1376.01|4429.69|2358.88|1376.01|1349.8|0|4986.26
Professional|||61501|CRANIECT EXCIS INFECT BONE|4105|4105|3621.83|3078.75|3489.25|3694.5|3489.25|3694.14|2116.1|1989.13|0|0|3963.15|3621.83|675.61|3879.89|3764.99|3665.92|3531.28|3958.51|3078.75|3879.89|1252.03|1219.37|1252.03|3984.86|3984.86|773.9|1121.38|799.44|4144.25|3958.51|3958.51|781.64|866.77|851.29|928.68|1088.72|3776.86|3776.86|1143.16|3680.18|1959.7|1143.16|1121.38|0|4144.25
Professional|||61590|INFRATEMPORAL APPROACH/PREAUR*|11197|11197|9628.37|8397.75|9517.45|10077.3|9517.45|9820.61|5770.1|5423.89|0|0|10535.75|9628.37|1825.13|10314.41|10008.96|9745.57|9387.66|10523.4|8397.75|10314.41|3422.18|3332.91|3422.18|10870.66|10870.66|2115.66|3065.08|2185.48|11305.49|10523.4|10523.4|2136.82|2369.54|2327.23|2538.79|2975.81|9949.51|9949.51|3124.6|9694.82|5356.46|3124.6|3065.08|0|11305.49
Professional|||61605|RESECT INFRATEMP FOSSA/EXTRAD*|8022|8022|6786.16|6016.5|6818.7|7219.8|6818.7|6921.65|4134.2|3886.15|0|0|7425.68|6786.16|1320.79|7269.69|7054.4|6868.76|6616.51|7416.98|6016.5|7269.69|2463.09|2398.84|2463.09|7787.74|7787.74|1522.66|2206.07|1572.91|8099.25|7416.98|7416.98|1537.89|1705.38|1674.93|1827.19|2141.82|7062.84|7062.84|2248.91|6882.04|3855.28|2248.91|2206.07|0|8099.25
Professional|||61623|ENDOVASC TEMP BALLOON OCCLUS*|2045|2045|1813.65|1533.75|1738.25|1840.5|1738.25|1849.86|1043.7|981.08|0|0|1984.56|1813.65|329.54|1942.87|1885.33|1835.72|1768.31|1982.24|1533.75|1942.87|620.17|603.99|620.17|1966.05|1966.05|383.36|555.46|396.01|2044.69|1982.24|1982.24|387.19|429.36|421.7|460.03|539.28|1879.95|1879.95|566.24|1831.83|970.7|566.24|555.46|0|2045
Professional|||61624|PERM OCCLUSION/EMBOLIZATIONP*|4149|4149|3680.79|3111.75|3526.65|3734.1|3526.65|3754.28|2114.7|1987.82|0|0|4027.67|3680.79|660.62|3943.06|3826.29|3725.6|3588.77|4022.95|3111.75|3943.06|1250.03|1217.42|1250.03|3983.54|3983.54|772.62|1119.59|798.12|4142.88|4022.95|4022.95|780.35|865.33|849.88|927.14|1086.98|3781.4|3781.4|1141.33|3684.61|1956.56|1141.33|1119.59|0|4149
Professional|||61626|PERCUT CATH OCCLUSN NON CNS L*|3221|3221|2791.99|2415.75|2737.85|2898.9|2737.85|2847.73|1659|1559.46|0|0|3055.1|2791.99|515.82|2990.92|2902.35|2825.97|2722.19|3051.52|2415.75|2990.92|986.37|960.64|986.37|3126.44|3126.44|609.68|883.44|629.8|3251.5|3051.52|3051.52|615.78|682.84|670.65|731.62|857.71|2831.23|2831.23|900.6|2758.76|1543.88|900.6|883.44|0|3251.5
Professional|||61630|INTRACRANIAL BALLOON ANGIOPLA*|5002|5002|4437.48|3751.5|4251.7|4501.8|4251.7|4526.08|2549.4|2396.44|0|0|4855.67|4437.48|773.17|4753.66|4612.88|4491.49|4326.54|4849.98|3751.5|4753.66|1487.69|1448.88|1487.69|4802.39|4802.39|919.65|1332.45|950|4994.49|4849.98|4849.98|928.85|1030.01|1011.62|1103.58|1293.64|4430.67|4430.67|1358.32|4317.26|2328.55|1358.32|1332.45|0|5002
Professional|||61635|INTRACRANIAL BALLOON ANGIOPLS*|5247|5247|4652.59|3935.25|4459.95|4722.3|4459.95|4745.48|2704.1|2541.85|0|0|5091.04|4652.59|835.63|4984.09|4836.49|4709.21|4536.28|5085.08|3935.25|4984.09|1595.52|1553.9|1595.52|5093.81|5093.81|986.37|1429.03|1018.92|5297.56|5085.08|5085.08|996.23|1104.73|1085.01|1183.64|1387.41|4727.04|4727.04|1456.78|4606.04|2497.34|1456.78|1429.03|0|5297.56
Professional|||61640|BALLOON DILATION INTRACRANIAL*|1757|1757|1529.75|1317.75|1493.45|1581.3|1493.45|1560.29|905.1|850.79|0|0|1673.91|1529.75|0|1638.75|1590.22|1548.37|1491.51|1671.95|1317.75|1638.75|0|0|0|1704.97|1704.97|0|0|0|1773.17|1671.95|1671.95|0|0|0|0|0|1584.73|1584.73|0|1544.16|0|0|0|0|1773.17
Professional|||61645|PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL|2998|2998|2656.59|2248.5|2548.3|2698.2|2548.3|2709.63|1545.6|1452.86|0|0|2906.95|2656.59|454.23|2845.88|2761.6|2688.93|2590.18|2903.54|2248.5|2845.88|916.93|893.01|916.93|2910.19|2910.19|566.82|821.25|585.53|3026.6|2903.54|2903.54|572.49|634.84|623.5|680.18|797.33|2575.62|2575.62|837.2|2509.69|1435.19|837.2|821.25|0|3026.6
Professional|||61650|PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST|1982|1982|1757.96|1486.5|1684.7|1783.8|1684.7|1793.06|1018.5|957.39|0|0|1923.63|1757.96|309.23|1883.22|1827.45|1779.36|1714.01|1921.37|1486.5|1883.22|618.04|601.92|618.04|1918.58|1918.58|382.07|553.55|394.68|1995.32|1921.37|1921.37|385.89|427.92|420.28|458.48|537.43|1761.19|1761.19|564.3|1716.11|967.37|564.3|553.55|0|1995.32
Professional|||61651|PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL|863|863|765.42|647.25|733.55|776.7|733.55|780.7|440.3|413.88|0|0|837.55|765.42|131.55|819.96|795.68|774.74|746.28|836.57|647.25|819.96|264.66|257.76|264.66|829.41|829.41|163.45|237.04|168.84|862.59|836.57|836.57|165.08|183.06|179.8|196.14|230.14|748.8|748.8|241.65|729.64|414.25|241.65|237.04|0|863
Professional|||61782|STEREOTACTIC COMP ASSIST PROCCRANIALEXTRADURAL|644|644|548.13|483|547.4|579.6|547.4|559.08|331.8|311.89|0|0|599.79|548.13|105.94|587.19|569.8|554.81|534.43|599.09|483|587.19|196.34|191.22|196.34|625.02|625.02|121.37|175.85|125.38|650.02|599.09|599.09|122.58|135.93|133.51|145.64|170.73|573.5|573.5|179.27|558.82|307.31|179.27|175.85|0|650.02
Professional|||61886|IMPLANT CRANIAL NEUROSTIM >1 ARRAY|3049|3049|2704.64|2286.75|2591.65|2744.1|2591.65|2758.63|1567.3|1473.26|0|0|2959.52|2704.64|493.29|2897.35|2811.54|2737.56|2637.02|2956.05|2286.75|2897.35|933.11|908.77|933.11|2952.38|2952.38|576.83|835.74|595.87|3070.48|2956.05|2956.05|582.6|646.05|634.51|692.2|811.4|2786|2786|851.97|2714.69|1460.52|851.97|835.74|0|3070.48
Professional|||62140|REPAIR SKULL DEFECTUP TO 5CM|3686|3686|3270.24|2764.5|3133.1|3317.4|3133.1|3335.53|1877.4|1764.76|0|0|3578.43|3270.24|595.06|3503.25|3399.5|3310.04|3188.48|3574.23|2764.5|3503.25|1109.28|1080.34|1109.28|3535.21|3535.21|685.63|993.53|708.26|3676.62|3574.23|3574.23|692.49|767.91|754.19|822.76|964.59|3418.32|3418.32|1012.82|3330.81|1736.26|1012.82|993.53|0|3686
Professional|||62141|REPAIR SKULL DEFECT>5CM|4085|4085|3624.02|3063.75|3472.25|3676.5|3472.25|3696.37|2075.5|1950.97|0|0|3965.54|3624.02|655.09|3882.23|3767.26|3668.13|3533.42|3960.89|3063.75|3882.23|1230.2|1198.11|1230.2|3909.69|3909.69|760.56|1101.83|785.66|4066.08|3960.89|3960.89|768.17|851.83|836.62|912.67|1069.74|3774.63|3774.63|1123.23|3678|1925.53|1123.23|1101.83|0|4085
Professional|||62146|REPAIR SKULL W GRAFTUP TO 5CM|4218|4218|3741.94|3163.5|3585.3|3796.2|3585.3|3816.65|2162.3|2032.56|0|0|4094.58|3741.94|708.29|4008.56|3889.85|3787.49|3648.39|4089.78|3163.5|4008.56|1244.85|1212.38|1244.85|4074.52|4074.52|769.54|1114.95|794.93|4237.5|4089.78|4089.78|777.24|861.88|846.49|923.45|1082.48|3968.05|3968.05|1136.6|3866.48|1948.46|1136.6|1114.95|0|4237.5
Professional|||62230|REPLACEMENT/REVISIONCSF SHUNT|3022|3022|2680.61|2266.5|2568.7|2719.8|2568.7|2734.13|1528.8|1437.07|0|0|2933.23|2680.61|484.26|2871.61|2786.57|2713.24|2613.59|2929.8|2266.5|2871.61|904.94|881.33|904.94|2879.86|2879.86|559.38|810.51|577.84|2995.05|2929.8|2929.8|564.97|626.51|615.32|671.26|786.9|2782.6|2782.6|826.25|2711.37|1416.42|826.25|810.51|0|3022
Professional|||62267|PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS|597|597|496.81|447.75|507.45|537.3|507.45|817.46|504.7|474.42|0|0|543.63|496.81|98.01|532.21|516.45|502.86|484.39|543|447.75|532.21|181.85|177.11|181.85|578.88|578.88|112.39|162.87|116.1|602.04|543|543|113.51|125.88|123.63|134.87|158.13|520.33|520.33|166.04|507.01|284.63|166.04|162.87|0|817.46
Professional|||62268|PERCUT DRAIN SPINAL CORD CYST|966|966|808.01|724.5|821.1|869.4|821.1|824.14|498.4|468.5|0|0|884.15|808.01|159.81|865.58|839.94|817.84|787.81|883.12|724.5|865.58|296.26|288.53|296.26|937.54|937.54|182.95|265.35|188.99|975.04|883.12|883.12|184.78|204.9|201.25|219.54|257.62|844.97|844.97|270.5|823.34|463.72|270.5|265.35|0|975.04
Professional|||62269|PERCUT NEEDLE BIOPSY SPINAL C*|1007|1007|836.4|755.25|855.95|906.3|855.95|853.09|518.7|487.58|0|0|915.22|836.4|164.66|895.99|869.46|846.58|815.49|914.14|755.25|895.99|307.67|299.64|307.67|977.1|977.1|190.14|275.57|196.41|1016.18|914.14|914.14|192.04|212.96|209.15|228.17|267.54|873.24|873.24|280.92|850.88|481.57|280.92|275.57|0|1016.18
Professional|||62270|PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE|290|290|243.49|217.5|246.5|261|246.5|469.98|289.1|271.75|0|0|266.44|243.49|47.01|260.84|253.12|246.46|237.4|266.13|217.5|260.84|70.23|68.4|70.23|280.87|280.87|43.36|62.9|44.79|292.1|266.13|266.13|43.79|48.56|47.7|52.03|61.07|254.51|254.51|64.12|247.99|109.93|64.12|62.9|0|469.98
Professional|||62272|PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF|303|303|263.15|227.25|257.55|272.7|257.55|620.33|379.4|356.64|0|0|287.95|263.15|49.44|281.9|273.55|266.35|256.57|287.61|227.25|281.9|97.2|94.66|97.2|294.05|294.05|60.04|87.06|62.02|305.81|287.61|287.61|60.64|67.24|66.04|72.05|84.52|274.87|274.87|88.75|267.83|152.14|88.75|87.06|0|620.33
Professional|||62273|INJLUMB EPIDURBLOOD/CLOT PA*|428|428|355.96|321|363.8|385.2|363.8|549.05|338.8|318.47|0|0|389.5|355.96|70.63|381.32|370.03|360.29|347.06|389.05|321|381.32|130.69|127.28|130.69|415.36|415.36|80.57|117.05|83.23|431.97|389.05|389.05|81.38|90.24|88.63|96.68|113.64|368.76|368.76|119.32|359.32|204.55|119.32|117.05|0|549.05
Professional|||62284|PR INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR|329|329|277.34|246.75|279.65|296.1|279.65|624.79|386.4|363.22|0|0|303.48|277.34|52.74|297.1|288.31|280.72|270.41|303.12|246.75|297.1|99.34|96.75|99.34|319.1|319.1|61.32|88.97|63.34|331.86|303.12|303.12|61.93|68.68|67.45|73.58|86.38|286.18|286.18|90.7|278.86|155.48|90.7|88.97|0|624.79
Professional|||62287|PR DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR|2180|2180|1826.75|1635|1853|1962|1853|1863.22|1123.5|1056.09|0|0|1998.9|1826.75|454.53|1956.91|1898.96|1848.98|1781.08|1996.56|1635|1956.91|668.17|650.74|668.17|2116.38|2116.38|0|598.45|0|2201.04|1996.56|1996.56|0|0|0|0|581.02|1866.37|1866.37|610.07|1818.59|1045.84|610.07|598.45|0|2201.04
Professional|||62290|INJECT DISCOGRAMLUMBAREA LEVEL|633|633|525.2|474.75|538.05|569.7|538.05|1071.38|666.4|626.42|0|0|574.7|525.2|106.6|562.63|545.96|531.6|512.07|574.03|474.75|562.63|192.08|187.07|192.08|614.47|614.47|118.54|172.04|122.45|639.05|574.03|574.03|119.73|132.76|130.39|142.25|167.03|555.38|555.38|175.38|541.16|300.65|175.38|172.04|0|1071.38
Professional|||62291|INJCERV/THORACFOR DISCOGRAPHY|613|613|507.73|459.75|521.05|551.7|521.05|1033.51|643.3|604.7|0|0|555.58|507.73|105.94|543.91|527.8|513.91|495.04|554.93|459.75|543.91|183.16|178.38|183.16|594.7|594.7|113.16|164.05|116.89|618.49|554.93|554.93|114.29|126.74|124.48|135.79|159.27|552.01|552.01|167.23|537.88|286.69|167.23|164.05|0|1033.51
Professional|||62302|PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL|461|461|383.26|345.75|391.85|414.9|391.85|794.07|493.5|463.89|0|0|419.37|383.26|75.25|410.56|398.41|387.92|373.68|418.88|345.75|410.56|140.7|137.03|140.7|447.01|447.01|86.98|126.02|89.85|464.89|418.88|418.88|87.85|97.42|95.68|104.38|122.35|401.54|401.54|128.47|391.26|220.23|128.47|126.02|0|794.07
Professional|||62303|PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC|461|461|383.26|345.75|391.85|414.9|391.85|811.89|505.4|475.08|0|0|419.37|383.26|76.36|410.56|398.41|387.92|373.68|418.88|345.75|410.56|140.7|137.03|140.7|447.01|447.01|86.98|126.02|89.85|464.89|418.88|418.88|87.85|97.42|95.68|104.38|122.35|404.94|404.94|128.47|394.58|220.23|128.47|126.02|0|811.89
Professional|||62304|PR MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL|453|453|376.71|339.75|385.05|407.7|385.05|784.04|487.2|457.97|0|0|412.21|376.71|74.16|403.55|391.6|381.29|367.29|411.72|339.75|403.55|138.62|135|138.62|439.09|439.09|85.44|124.16|88.26|456.65|411.72|411.72|86.29|95.69|93.98|102.53|120.54|393.63|393.63|126.57|383.55|216.97|126.57|124.16|0|784.04
Professional|||62305|PR MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS|473|473|393.08|354.75|402.05|425.7|402.05|851.98|529.9|498.11|0|0|430.13|393.08|77.47|421.09|408.62|397.87|383.25|429.62|354.75|421.09|144.45|140.68|144.45|458.87|458.87|89.29|129.38|92.24|477.22|429.62|429.62|90.18|100|98.22|107.15|125.61|411.72|411.72|131.89|401.18|226.1|131.89|129.38|0|851.98
Professional|||62320|PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN|375|375|311.19|281.25|318.75|337.5|318.75|521.21|322.7|303.34|0|0|340.52|311.19|62.53|333.36|323.49|314.98|303.41|340.12|281.25|333.36|114.33|111.35|114.33|363.94|363.94|70.56|102.4|72.89|378.5|340.12|340.12|71.27|79.03|77.62|84.67|99.42|332.55|332.55|104.39|324.03|178.96|104.39|102.4|0|521.21
Professional|||62321|PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN|405|405|335.21|303.75|344.25|364.5|344.25|800.75|499.8|469.81|0|0|366.8|335.21|67.46|359.1|348.46|339.29|326.83|366.37|303.75|359.1|123.92|120.69|123.92|392.95|392.95|76.46|110.99|78.98|408.67|366.37|366.37|77.22|85.64|84.11|91.75|107.76|358.58|358.58|113.15|349.4|193.97|113.15|110.99|0|800.75
Professional|||62322|PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN|324|324|268.61|243|275.4|291.6|275.4|485.57|301|282.94|0|0|293.92|268.61|54.04|287.75|279.22|271.88|261.89|293.58|243|287.75|97.21|94.67|97.21|313.83|313.83|60.04|87.07|62.02|326.38|293.58|293.58|60.64|67.24|66.04|72.05|84.53|286.18|286.18|88.76|278.86|152.15|88.76|87.07|0|485.57
Professional|||62323|PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN|374|374|310.1|280.5|317.9|336.6|317.9|791.84|494.2|464.55|0|0|339.32|310.1|61.86|332.19|322.36|313.87|302.35|338.93|280.5|332.19|114.33|111.35|114.33|362.62|362.62|70.56|102.4|72.89|377.12|338.93|338.93|71.27|79.03|77.62|84.67|99.42|326.9|326.9|104.39|318.54|178.96|104.39|102.4|0|791.84
Professional|||62329|PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT|407|407|355.96|305.25|345.95|366.3|345.95|1023.49|0|0|0|0|389.5|355.96|0|381.32|370.03|360.29|347.06|216.14|305.25|381.32|124.22|120.98|124.22|394.26|394.26|76.72|111.26|79.25|410.03|216.14|216.14|77.49|85.93|84.39|92.06|108.02|368.76|368.76|113.42|359.32|194.44|113.42|111.26|0|1023.49
Professional|||62362|INSERT INFUSN PUMPPROGRAMMAB*|1403|1403|1205.46|1052.25|1192.55|1262.7|1192.55|1229.52|723.1|679.71|0|0|1319.06|1205.46|232.64|1291.35|1253.11|1220.13|1175.32|1317.51|1052.25|1291.35|428.67|417.49|428.67|1362.12|1362.12|264.81|383.94|273.55|1416.6|1317.51|1317.51|267.46|296.59|291.29|317.77|372.76|1256.69|1256.69|391.4|1224.52|670.97|391.4|383.94|0|1416.6
Professional|||62367|ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL|94|94|78.62|70.5|79.9|84.6|79.9|126.96|77.7|73.04|0|0|86.03|78.62|15.67|84.22|81.72|79.57|76.65|85.92|70.5|84.22|28.8|28.04|28.8|90.99|90.99|17.7|25.79|18.28|94.63|85.92|85.92|17.88|19.82|19.47|21.24|25.04|82.58|82.58|26.29|80.46|45.07|26.29|25.79|0|126.96
Professional|||62368|ANALYZE INFUSN PUMP+REPROGRAM|132|132|110.28|99|112.2|118.8|112.2|174.85|107.1|100.67|0|0|120.67|110.28|21.4|118.14|114.64|111.62|107.52|120.53|99|118.14|40.48|39.42|40.48|127.9|127.9|24.89|36.26|25.71|133.02|120.53|120.53|25.14|27.88|27.38|29.87|35.2|114.25|114.25|36.96|111.33|63.36|36.96|36.26|0|174.85
Professional|||62369|ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFILL|132|132|110.28|99|112.2|118.8|112.2|371.98|232.4|218.46|0|0|120.67|110.28|21.85|118.14|114.64|111.62|107.52|120.53|99|118.14|40.48|39.42|40.48|127.9|127.9|24.89|36.26|25.71|133.02|120.53|120.53|25.14|27.88|27.38|29.87|35.2|115.39|115.39|36.96|112.43|63.36|36.96|36.26|0|371.98
Professional|||62370|ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR&REF PHYS|174|174|145.22|130.5|147.9|156.6|147.9|386.45|241.5|227.01|0|0|158.91|145.22|28.69|155.57|150.96|146.99|141.59|158.72|130.5|155.57|53.38|51.99|53.38|168.78|168.78|32.84|47.81|33.92|175.53|158.72|158.72|33.17|36.78|36.12|39.41|46.42|150.44|150.44|48.74|146.58|83.56|48.74|47.81|0|386.45
Professional|||63085|REMV VERT BODYTHORONE SGMT|6891|6891|6113.55|5168.25|5857.35|6201.9|5857.35|6235.61|3534.3|3322.24|0|0|6689.69|6113.55|1111.97|6549.15|6355.2|6187.96|5960.71|6681.85|5168.25|6549.15|2096.06|2041.38|2096.06|6656.37|6656.37|1295.83|1877.34|1338.59|6922.62|6681.85|6681.85|1308.79|1451.33|1425.41|1555|1822.66|6311.76|6311.76|1913.79|6150.19|3280.79|1913.79|1877.34|0|6922.62
Professional|||63087|REMV VERT BODYLO THOR/LUMBO*|8654|8654|7678.24|6490.5|7355.9|7788.6|7355.9|7831.54|4428.9|4163.17|0|0|8401.83|7678.24|1400.25|8225.33|7981.74|7771.7|7486.28|8391.99|6490.5|8225.33|2620.48|2552.12|2620.48|8342.88|8342.88|1619.91|2347.04|1673.37|8676.6|8391.99|8391.99|1636.11|1814.3|1781.9|1943.89|2278.68|7947.39|7947.39|2392.61|7743.95|4101.62|2392.61|2347.04|0|8676.6
Professional|||63090|REMV VERT BODYLOWERRETROPER*|7093|7093|6221.65|5319.75|6029.05|6383.7|6029.05|6345.86|3655.4|3436.08|0|0|6807.97|6221.65|1153.26|6664.95|6467.57|6297.37|6066.11|6799.99|5319.75|6664.95|2166.47|2109.96|2166.47|6885.81|6885.81|1339.45|1940.41|1383.65|7161.24|6799.99|6799.99|1352.84|1500.18|1473.4|1607.34|1883.89|6428.25|6428.25|1978.08|6263.7|3391|1978.08|1940.41|0|7161.24
Professional|||63650|PERCUT IMPLNT NEUROELECTEPID*|1553|1553|1290.63|1164.75|1320.05|1397.7|1320.05|5120.79|3217.9|3024.83|0|0|1412.25|1290.63|256.46|1382.59|1341.64|1306.33|1258.36|1410.6|1164.75|1382.59|476.58|464.15|476.58|1507.18|1507.18|294.57|426.85|304.29|1567.47|1410.6|1410.6|297.52|329.92|324.03|353.48|414.42|1336.99|1336.99|435.14|1302.77|745.96|435.14|426.85|0|5120.79
Professional|||63661|REMOVE SPINE ELTRD PERQ ARAY|1200|1200|1017.65|900|1020|1080|1020|1950.09|1197.7|1125.84|0|0|1113.55|1017.65|196|1090.16|1057.88|1030.04|992.21|1112.25|900|1090.16|366.23|356.68|366.23|1164.34|1164.34|226.32|328.01|233.79|1210.91|1112.25|1112.25|228.58|253.48|248.95|271.58|318.46|1048.57|1048.57|334.38|1021.73|573.23|334.38|328.01|0|1950.09
Professional|||64400|PR INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH|263|263|227.12|197.25|223.55|236.7|223.55|432.12|262.5|246.75|0|0|248.52|227.12|42.15|243.3|236.09|229.88|221.44|248.23|197.25|243.3|55.21|53.77|55.21|254.49|254.49|34.12|49.45|35.25|264.67|248.23|248.23|34.46|38.21|37.53|40.94|48.01|231.88|231.88|50.41|225.94|86.42|50.41|49.45|0|432.12
Professional|||64405|PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE|211|211|168.15|158.25|179.35|189.9|179.35|263.95|158.2|148.71|0|0|184|168.15|37.52|180.13|174.8|170.2|163.95|183.78|158.25|180.13|58.93|57.39|58.93|185.93|185.93|36.18|52.78|37.37|193.37|183.78|183.78|36.54|40.52|39.8|43.42|51.24|204.74|204.74|53.8|199.5|92.23|53.8|52.78|0|263.95
Professional|||64415|PR INJECTION AA&/STRD BRACHIAL PLEXUS|244|244|204.19|183|207.4|219.6|207.4|376.43|232.4|218.46|0|0|223.43|204.19|40.17|218.73|212.26|206.67|199.09|223.17|183|218.73|73.2|71.29|73.2|236.03|236.03|45.16|65.56|46.65|245.47|223.17|223.17|45.61|50.58|49.68|54.19|63.65|210.38|210.38|66.83|205|114.57|66.83|65.56|0|376.43
Professional|||64417|PR INJECTION AA&/STRD AXILLARY NERVE|265|265|220.56|198.75|225.25|238.5|225.25|418.75|259.7|244.12|0|0|241.35|220.56|44.14|236.28|229.28|223.25|215.05|241.07|198.75|236.28|69.87|68.05|69.87|257.13|257.13|43.1|62.58|44.52|267.42|241.07|241.07|43.53|48.27|47.41|51.72|60.76|227.37|227.37|63.8|221.55|109.37|63.8|62.58|0|418.75
Professional|||64418|PR INJECTION AA&/STRD SUPRASCAPULAR NERVE|256|256|179.07|192|217.6|230.4|217.6|301.81|185.5|174.37|0|0|195.95|179.07|46.79|191.83|186.15|181.25|174.59|195.72|192|191.83|65.07|63.37|65.07|205.71|205.71|40.02|58.28|41.34|213.94|195.72|195.72|40.42|44.82|44.02|48.02|56.58|247.73|247.73|59.41|241.39|101.84|59.41|58.28|0|301.81
Professional|||64420|PR INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL|253|253|209.64|189.75|215.05|227.7|215.05|350.82|217|203.98|0|0|229.4|209.64|41.94|224.58|217.93|212.2|204.4|229.13|189.75|224.58|68.71|66.92|68.71|245.27|245.27|42.33|61.54|43.73|255.08|229.13|229.13|42.75|47.41|46.56|50.8|59.75|219.43|219.43|62.74|213.81|107.55|62.74|61.54|0|350.82
Professional|||64421|PR INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL|348|348|288.26|261|295.8|313.2|295.8|496.71|308|289.52|0|0|315.43|288.26|56.93|308.8|299.66|291.77|281.05|315.06|261|308.8|29.05|28.29|29.05|337.57|337.57|17.96|26.02|18.55|351.07|315.06|315.06|18.14|20.12|19.76|21.55|25.26|297.5|297.5|26.52|289.88|45.47|26.52|26.02|0|496.71
Professional|||64425|PR INJECTION AA&/STRD ILIOINGUINAL IH NERVES|356|356|297|267|302.6|320.4|302.6|437.68|268.8|252.67|0|0|324.99|297|57.38|318.16|308.74|300.61|289.58|324.6|267|318.16|63.71|62.05|63.71|345.48|345.48|39.25|57.06|40.55|359.3|324.6|324.6|39.64|43.96|43.18|47.1|55.4|303.14|303.14|58.17|295.38|99.72|58.17|57.06|0|437.68
Professional|||64430|PR INJECTION AA&/STRD PUDENDAL NERVE|302|302|251.14|226.5|256.7|271.8|256.7|461.07|285.6|268.46|0|0|274.8|251.14|50.55|269.03|261.06|254.19|244.86|274.48|226.5|269.03|63.3|61.64|63.3|292.74|292.74|39|56.69|40.29|304.45|274.48|274.48|39.39|43.68|42.9|46.8|55.04|263.55|263.55|57.79|256.81|99.07|57.79|56.69|0|461.07
Professional|||64435|PR INJECTION AA&/STRD PARACERVICAL NERVE|306|306|256.6|229.5|260.1|275.4|260.1|445.48|274.4|257.94|0|0|280.78|256.6|50.32|274.88|266.74|259.72|250.19|280.45|229.5|274.88|49.55|48.26|49.55|296.69|296.69|30.53|44.38|31.54|308.56|280.45|280.45|30.84|34.19|33.58|36.64|43.09|269.23|269.23|45.24|262.34|77.56|45.24|44.38|0|445.48
Professional|||64445|PR INJECTION AA&/STRD SCIATIC NERVE|272|272|228.21|204|231.2|244.8|231.2|433.23|267.4|251.36|0|0|249.71|228.21|44.14|244.47|237.23|230.98|222.5|249.42|204|244.47|62.16|60.54|62.16|263.72|263.72|38.23|55.67|39.49|274.27|249.42|249.42|38.61|42.82|42.05|45.88|54.05|234.15|234.15|56.75|228.15|97.29|56.75|55.67|0|433.23
Professional|||64447|PR INJECTION AA&/STRD FEMORAL NERVE|249|249|208.55|186.75|211.65|224.1|211.65|385.34|238|223.72|0|0|228.21|208.55|40.83|223.41|216.8|211.09|203.34|227.94|186.75|223.41|61.27|59.67|61.27|241.31|241.31|37.72|54.88|38.96|250.96|227.94|227.94|38.1|42.25|41.49|45.26|53.28|214.92|214.92|55.94|209.42|95.9|55.94|54.88|0|385.34
Professional|||64450|PR INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH|170|170|139.76|127.5|144.5|153|144.5|243.9|151.2|142.13|0|0|152.93|139.76|28.02|149.72|145.29|141.46|136.27|152.76|127.5|149.72|48.84|47.57|48.84|164.82|164.82|30.02|43.74|31.01|171.41|152.76|152.76|30.32|33.62|33.02|36.02|42.47|147.06|147.06|44.59|143.3|76.45|44.59|43.74|0|243.9
Professional|||64451|PR INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG|299|299|250.05|224.25|254.15|269.1|254.15|667.11|0|0|0|0|273.61|250.05|0|267.86|259.93|253.09|243.8|151.83|224.25|267.86|91.34|88.96|91.34|290.1|290.1|56.45|81.81|58.31|301.7|151.83|151.83|57.01|63.22|62.1|67.74|79.43|259.05|259.05|83.4|252.42|142.97|83.4|81.81|0|667.11
Professional|||64454|PR INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG|309|309|257.69|231.75|262.65|278.1|262.65|673.79|0|0|0|0|281.97|257.69|0|276.05|267.87|260.82|251.25|156.47|231.75|276.05|94.29|91.83|94.29|299.32|299.32|58.24|84.45|60.16|311.29|156.47|156.47|58.82|65.23|64.06|69.89|81.99|266.96|266.96|86.09|260.12|147.58|86.09|84.45|0|673.79
Professional|||64455|NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE|131|131|109.19|98.25|111.35|117.9|111.35|151.46|93.1|87.51|0|0|119.48|109.19|21.2|116.97|113.51|110.52|106.46|119.34|98.25|116.97|40|38.95|40|126.59|126.59|24.63|35.82|25.44|131.65|119.34|119.34|24.88|27.59|27.09|29.56|34.78|113.12|113.12|36.52|110.22|62.6|36.52|35.82|0|151.46
Professional|||64479|INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE 1 LEVEL|495|495|410.55|371.25|420.75|445.5|420.75|774.02|480.9|452.05|0|0|449.24|410.55|82.11|439.81|426.78|415.55|400.29|448.72|371.25|439.81|151.23|147.28|151.23|479.98|479.98|93.4|135.45|96.48|499.18|448.72|448.72|94.33|104.61|102.74|112.08|131.5|428.71|428.71|138.08|417.73|236.7|138.08|135.45|0|774.02
Professional|||64480|INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE EA ADD LEVEL|235|235|196.54|176.25|199.75|211.5|199.75|380.89|235.9|221.75|0|0|215.06|196.54|38.84|210.55|204.31|198.93|191.63|214.81|176.25|210.55|71.74|69.87|71.74|228.12|228.12|44.13|64.25|45.59|237.24|214.81|214.81|44.57|49.43|48.54|52.96|62.38|205.88|205.88|65.5|200.61|112.28|65.5|64.25|0|380.89
Professional|||64483|INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL|422|422|348.32|316.5|358.7|379.8|358.7|717.22|447.3|420.46|0|0|381.14|348.32|69.97|373.13|362.08|352.56|339.61|380.69|316.5|373.13|128.98|125.62|128.98|408.77|408.77|79.54|115.52|82.16|425.12|380.69|380.69|80.34|89.08|87.49|95.45|112.16|363.09|363.09|117.77|353.79|201.89|117.77|115.52|0|717.22
Professional|||64484|INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE EA ADD LEVEL|196|196|162.69|147|166.6|176.4|166.6|310.72|193.2|181.61|0|0|178.03|162.69|32.22|174.29|169.12|164.67|158.62|177.82|147|174.29|60.05|58.49|60.05|189.88|189.88|36.95|53.79|38.17|197.48|177.82|177.82|37.32|41.38|40.65|44.34|52.22|168.53|168.53|54.83|164.21|94|54.83|53.79|0|310.72
Professional|||64486|PR TAP BLOCK UNILATERAL BY INJECTION(S)|211|211|175.8|158.25|179.35|189.9|179.35|347.47|215.6|202.66|0|0|192.36|175.8|38.41|188.32|182.74|177.94|171.41|192.14|158.25|188.32|64.42|62.74|64.42|204.38|204.38|39.77|57.7|41.08|212.56|192.14|192.14|40.17|44.54|43.75|47.72|56.02|202.47|202.47|58.82|197.29|100.84|58.82|57.7|0|347.47
Professional|||64488|PR TAP BLOCK BILATERAL BY INJECTION(S)|264|264|220.56|198|224.4|237.6|224.4|426.55|263.9|248.07|0|0|241.35|220.56|48.78|236.28|229.28|223.25|215.05|241.07|198|236.28|79.95|77.86|79.95|255.81|255.81|49.26|71.61|50.89|266.04|241.07|241.07|49.75|55.17|54.19|59.11|69.52|239.79|239.79|73|233.65|125.14|73|71.61|0|426.55
Professional|||64490|INJ PARAVERT F JNT C/T 1 LEV|400|400|330.85|300|340|360|340|600.28|373.1|350.71|0|0|362.02|330.85|66.22|354.42|343.92|334.87|322.58|361.6|300|354.42|121.89|118.71|121.89|387.67|387.67|75.18|109.17|77.66|403.18|361.6|361.6|75.93|84.2|82.7|90.22|105.99|345|345|111.29|336.16|190.78|111.29|109.17|0|600.28
Professional|||64491|INJ PARAVERT F JNT C/T 2 LEV|227|227|187.81|170.25|192.95|204.3|192.95|298.47|184.1|173.05|0|0|205.51|187.81|37.3|201.19|195.23|190.09|183.11|205.26|170.25|201.19|69.09|67.29|69.09|220.21|220.21|42.59|61.88|44|229.02|205.26|205.26|43.02|47.7|46.85|51.11|60.08|195.7|195.7|63.08|190.69|108.14|63.08|61.88|0|298.47
Professional|||64492|INJ PARAVERT F JNT C/T 3 LEV|230|230|189.99|172.5|195.5|207|195.5|300.7|185.5|174.37|0|0|207.9|189.99|37.73|203.53|197.5|192.3|185.24|207.65|172.5|203.53|69.93|68.11|69.93|222.85|222.85|43.1|62.63|44.52|231.76|207.65|207.65|43.53|48.27|47.41|51.72|60.81|197.96|197.96|63.85|192.9|109.46|63.85|62.63|0|300.7
Professional|||64493|INJ PARAVERT F JNT L/S 1 LEV|341|341|281.71|255.75|289.85|306.9|289.85|546.83|340.2|319.79|0|0|308.26|281.71|56.73|301.78|292.85|285.14|274.67|307.9|255.75|301.78|104.08|101.36|104.08|330.97|330.97|64.15|93.22|66.27|344.21|307.9|307.9|64.79|71.85|70.57|76.98|90.5|294.09|294.09|95.03|286.57|162.9|95.03|93.22|0|546.83
Professional|||64494|INJ PARAVERT F JNT L/S 2 LEV|195|195|162.69|146.25|165.75|175.5|165.75|277.31|171.5|161.21|0|0|178.03|162.69|32|174.29|169.12|164.67|158.62|177.82|146.25|174.29|59.64|58.08|59.64|188.56|188.56|36.69|53.42|37.9|196.1|177.82|177.82|37.06|41.09|40.36|44.03|51.86|168.53|168.53|54.45|164.21|93.35|54.45|53.42|0|277.31
Professional|||64495|INJ PARAVERT F JNT L/S 3 LEV|197|197|164.88|147.75|167.45|177.3|167.45|277.31|171.5|161.21|0|0|180.41|164.88|32.43|176.62|171.39|166.88|160.76|180.2|147.75|176.62|60.48|58.9|60.48|191.2|191.2|37.2|54.17|38.43|198.85|180.2|180.2|37.57|41.66|40.92|44.64|52.59|170.8|170.8|55.22|166.42|94.66|55.22|54.17|0|277.31
Professional|||64510|INJECT NERV BLCKSTELLATE GAN*|283|283|232.57|212.25|240.55|254.7|240.55|420.98|261.8|246.09|0|0|254.49|232.57|45.9|249.15|241.77|235.41|226.76|254.19|212.25|249.15|87.12|84.85|87.12|274.27|274.27|53.62|78.03|55.39|285.24|254.19|254.19|54.16|60.05|58.98|64.34|75.76|237.55|237.55|79.55|231.47|136.37|79.55|78.03|0|420.98
Professional|||64520|INJECT NERV BLCKPARAVERT SYM*|309|309|255.5|231.75|262.65|278.1|262.65|640.38|399.7|375.72|0|0|279.58|255.5|50.32|273.71|265.6|258.61|249.11|279.26|231.75|273.71|95.76|93.26|95.76|299.32|299.32|59.01|85.77|60.96|311.29|279.26|279.26|59.6|66.09|64.91|70.81|83.27|262.42|262.42|87.43|255.7|149.89|87.43|85.77|0|640.38
Professional|||64568|INCISION IMPLANT CRANIAL NERVE STIM ELECTRODE/PULSE GEN|2284|2284|2012.37|1713|1941.4|2055.6|1941.4|2052.55|1176.7|1106.1|0|0|2202.02|2012.37|382.51|2155.76|2091.92|2036.87|1962.06|2199.44|1713|2155.76|690.71|672.69|690.71|2216.59|2216.59|426.98|618.64|441.07|2305.25|2199.44|2199.44|431.25|478.22|469.68|512.38|600.62|2134.46|2134.46|630.65|2079.82|1081.12|630.65|618.64|0|2305.25
Professional|||64569|REVISE/REPLACE CRANIAL NERVE STIM ELECTRODE/CONNECT PULSE GEN|2721|2721|2414.19|2040.75|2312.85|2448.9|2312.85|2462.39|1399.3|1315.34|0|0|2641.7|2414.19|455.11|2586.21|2509.62|2443.58|2353.84|2638.61|2040.75|2586.21|826|804.45|826|2635.91|2635.91|510.63|739.81|527.48|2741.35|2638.61|2638.61|515.74|571.91|561.69|612.76|718.26|2569.95|2569.95|754.17|2504.16|1292.87|754.17|739.81|0|2741.35
Professional|||64600|INJECT TRIGEM NERV1ST BRANCH|845|845|727.21|633.75|718.25|760.5|718.25|1375.42|837.9|787.63|0|0|795.74|727.21|132.21|779.02|755.95|736.06|709.03|794.8|633.75|779.02|256.57|249.87|256.57|820.18|820.18|158.57|229.79|163.8|852.99|794.8|794.8|160.16|177.6|174.43|190.28|223.1|717.13|717.13|234.26|698.77|401.58|234.26|229.79|0|1375.42
Professional|||64611|CHEMODENERVATION PAROTID/SUBMANDIBULAR SALIVARY GLANDSBILATERAL|379|379|330.85|284.25|322.15|341.1|322.15|384.23|225.4|211.88|0|0|362.02|330.85|59.38|354.42|343.92|334.87|322.58|361.6|284.25|354.42|116.82|113.77|116.82|367.9|367.9|72.1|104.63|74.48|382.62|361.6|361.6|72.82|80.75|79.31|86.52|101.58|335.95|335.95|106.66|327.35|182.84|106.66|104.63|0|384.23
Professional|||64612|DESTNERVEFACIAL|438|438|370.15|328.5|372.3|394.2|372.3|426.55|256.2|240.83|0|0|405.04|370.15|70.63|396.53|384.79|374.66|360.9|404.56|328.5|396.53|132.66|129.2|132.66|424.6|424.6|81.85|118.82|84.55|441.58|404.56|404.56|82.67|91.67|90.04|98.22|115.36|378.94|378.94|121.13|369.24|207.65|121.13|118.82|0|441.58
Professional|||64615|CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE|441|441|390.9|330.75|374.85|396.9|374.85|475.55|273|256.62|0|0|427.74|390.9|70.63|418.75|406.35|395.66|381.13|427.24|330.75|418.75|132.41|128.96|132.41|421.96|421.96|81.85|118.59|84.55|438.84|427.24|427.24|82.67|91.67|90.04|98.22|115.14|409.48|409.48|120.9|399|207.25|120.9|118.59|0|475.55
Professional|||64616|PR CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA|392|392|347.22|294|333.2|352.8|333.2|423.21|244.3|229.64|0|0|379.95|347.22|62.23|371.96|360.95|351.45|338.54|379.5|294|371.96|118.07|114.99|118.07|377.13|377.13|72.87|105.75|75.27|392.22|379.5|379.5|73.6|81.61|80.16|87.44|102.67|359.71|359.71|107.8|350.51|184.81|107.8|105.75|0|423.21
Professional|||64624|PR DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG|557|557|461.87|417.75|473.45|501.3|473.45|1288.55|0|0|0|0|505.4|461.87|0|494.78|480.13|467.5|450.32|280.45|417.75|494.78|169.89|165.46|169.89|540.63|540.63|104.94|152.16|108.4|562.26|280.45|280.45|105.99|117.53|115.43|125.93|147.73|478.47|478.47|155.12|466.23|265.91|155.12|152.16|0|1288.55
Professional|||64625|PR RADIOFREQUENCY ABLATION NERVE ENERVATINGG SI JOINT W/IMAGING GUIDANCE|734|734|610.37|550.5|623.9|660.6|623.9|1574.77|0|0|0|0|667.89|610.37|0|653.86|634.5|617.8|595.11|370.62|550.5|653.86|224.4|218.55|224.4|712.05|712.05|138.56|200.98|143.13|740.53|370.62|370.62|139.95|155.19|152.42|166.27|195.13|632.31|632.31|204.89|616.13|351.23|204.89|200.98|0|1574.77
Professional|||64632|DESTRUCTION NEUROLYTIC PLANTAR COMMON DIGITAL NERVE|261|261|214.01|195.75|221.85|234.9|221.85|272.86|168.7|158.58|0|0|234.18|214.01|42.37|229.26|222.47|216.62|208.66|233.91|195.75|229.26|78.42|76.37|78.42|253.18|253.18|48.24|70.24|49.83|263.31|233.91|233.91|48.72|54.03|53.06|57.89|68.19|222.83|222.83|71.6|217.13|122.74|71.6|70.24|0|272.86
Professional|||64633|DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA|851|851|702.09|638.25|723.35|765.9|723.35|1324.19|824.6|775.12|0|0|768.26|702.09|141.26|752.12|729.84|710.64|684.54|767.36|638.25|752.12|259.36|252.59|259.36|825.46|825.46|160.11|232.3|165.39|858.48|767.36|767.36|161.71|179.32|176.12|192.13|225.53|731.85|731.85|236.81|713.11|405.95|236.81|232.3|0|1324.19
Professional|||64634|DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA|257|257|212.92|192.75|218.45|231.3|218.45|594.72|371.7|349.4|0|0|232.99|212.92|42.37|228.09|221.34|215.51|207.6|232.71|192.75|228.09|78.41|76.36|78.41|249.22|249.22|48.24|70.23|49.83|259.19|232.71|232.71|48.72|54.03|53.06|57.89|68.18|221.7|221.7|71.59|216.02|122.72|71.59|70.23|0|594.72
Professional|||64635|DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL|838|838|692.26|628.5|712.3|754.2|712.3|1309.71|815.5|766.57|0|0|757.5|692.26|139.5|741.59|719.63|700.69|674.95|756.62|628.5|741.59|256.15|249.47|256.15|813.59|813.59|158.32|229.42|163.54|846.13|756.62|756.62|159.9|177.32|174.15|189.98|222.74|721.67|721.67|233.88|703.19|400.93|233.88|229.42|0|1309.71
Professional|||64636|DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL|226|226|186.71|169.5|192.1|203.4|192.1|540.14|338.1|317.81|0|0|204.31|186.71|37.07|200.02|194.1|188.99|182.04|204.07|169.5|200.02|68.68|66.89|68.68|218.89|218.89|42.33|61.51|43.73|227.65|204.07|204.07|42.75|47.41|46.56|50.8|59.72|193.43|193.43|62.71|188.47|107.5|62.71|61.51|0|540.14
Professional|||64640|INJECT RX OTHER PERIPH NERVE|359|359|293.72|269.25|305.15|323.1|305.15|429.89|267.4|251.36|0|0|321.4|293.72|58.04|314.65|305.33|297.3|286.38|321.02|269.25|314.65|136.08|132.53|136.08|348.12|348.12|83.9|121.88|86.67|362.04|321.02|321.02|84.74|93.97|92.29|100.68|118.33|300.87|300.87|124.25|293.17|212.99|124.25|121.88|0|429.89
Professional|||64642|PR CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE|393|393|340.67|294.75|334.05|353.7|334.05|462.19|275.1|258.59|0|0|372.78|340.67|63.79|364.95|354.14|344.82|332.15|372.34|294.75|364.95|119.45|116.33|119.45|381.08|381.08|73.64|106.99|76.07|396.32|372.34|372.34|74.38|82.48|81|88.37|103.87|356.31|356.31|109.06|347.19|186.97|109.06|106.99|0|462.19
Professional|||64643|PR CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE|264|264|227.12|198|224.4|237.6|224.4|295.13|175.7|165.16|0|0|248.52|227.12|42.37|243.3|236.09|229.88|221.44|248.23|198|243.3|79.94|77.85|79.94|255.81|255.81|49.26|71.6|50.89|266.04|248.23|248.23|49.75|55.17|54.19|59.11|69.51|236.42|236.42|72.99|230.36|125.12|72.99|71.6|0|295.13
Professional|||64644|PR CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES|431|431|373.43|323.25|366.35|387.9|366.35|536.8|321.3|302.02|0|0|408.62|373.43|69.97|400.04|388.19|377.97|364.09|408.14|323.25|400.04|130.58|127.18|130.58|418|418|80.57|116.96|83.23|434.72|408.14|408.14|81.38|90.24|88.63|96.68|113.55|389.12|389.12|119.23|379.16|204.39|119.23|116.96|0|536.8
Professional|||64645|PR CHEMODENERVATION 1 EXTREMITY EA ADDL 5/< MUSCLES|301|301|262.06|225.75|255.85|270.9|255.85|370.86|219.8|206.61|0|0|286.75|262.06|48.33|280.73|272.41|265.25|255.51|286.42|225.75|280.73|91.24|88.86|91.24|291.41|291.41|56.19|81.72|58.04|303.07|286.42|286.42|56.75|62.93|61.81|67.43|79.34|273.73|273.73|83.31|266.73|142.81|83.31|81.72|0|370.86
Professional|||64646|PR CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES|419|419|364.69|314.25|356.15|377.1|356.15|484.46|287|269.78|0|0|399.06|364.69|68.64|390.68|379.11|369.13|355.57|398.6|314.25|390.68|127.4|124.07|127.4|406.13|406.13|78.51|114.1|81.1|422.38|398.6|398.6|79.3|87.93|86.36|94.21|110.78|381.18|381.18|116.32|371.42|199.4|116.32|114.1|0|484.46
Professional|||64647|PR CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES|488|488|432.39|366|414.8|439.2|414.8|570.21|332.5|312.55|0|0|473.14|432.39|79.9|463.2|449.48|437.66|421.58|472.59|366|463.2|147.11|143.27|147.11|470.74|470.74|90.83|131.76|93.83|489.57|472.59|472.59|91.74|101.73|99.91|109|127.92|451.34|451.34|134.32|439.78|230.26|134.32|131.76|0|570.21
Professional|||64680|INJECT RX CELIAC PLEXUS NERVE|616|616|508.83|462|523.6|554.4|523.6|1010.13|628.6|590.88|0|0|556.78|508.83|102.86|545.08|528.94|515.02|496.11|556.12|462|545.08|187.32|182.44|187.32|597.33|597.33|115.72|167.78|119.54|621.22|556.12|556.12|116.88|129.61|127.29|138.86|162.89|535.02|535.02|171.03|521.32|293.2|171.03|167.78|0|1010.13
Professional|||64702|REVISE/REPAIR FINGER/TOE NERVE|1883|1883|1579.98|1412.25|1600.55|1694.7|1600.55|1611.52|970.2|911.99|0|0|1728.88|1579.98|304.36|1692.56|1642.43|1599.21|1540.48|1726.85|1412.25|1692.56|576.93|561.88|576.93|1827.61|1827.61|356.67|516.73|368.44|1900.71|1726.85|1726.85|360.24|399.47|392.34|428|501.68|1622.04|1622.04|526.76|1580.52|903.02|526.76|516.73|0|1900.71
Professional|||64704|REVISE/REPAIR HAND/FOOT NERVE|1216|1216|1007.82|912|1033.6|1094.4|1033.6|1027.95|627.2|589.57|0|0|1102.8|1007.82|195.77|1079.63|1047.66|1020.09|982.62|1101.51|912|1079.63|372.19|362.48|372.19|1180.16|1180.16|229.91|333.35|237.5|1227.37|1101.51|1101.51|232.21|257.5|252.9|275.89|323.64|1036.12|1036.12|339.82|1009.6|582.55|339.82|333.35|0|1227.37
Professional|||64708|NEUROPLASTY OTHER ARM/LEG NERVEOPEN|1865|1865|1574.52|1398.75|1585.25|1678.5|1585.25|1605.96|960.4|902.78|0|0|1722.9|1574.52|301.5|1686.71|1636.76|1593.68|1535.16|1720.88|1398.75|1686.71|573.92|558.95|573.92|1810.46|1810.46|354.62|514.03|366.32|1882.88|1720.88|1720.88|358.17|397.17|390.08|425.54|499.06|1618.67|1618.67|524.01|1577.24|898.31|524.01|514.03|0|1882.88
Professional|||64713|NEUROPLASTY BRACHIAL PLEXUSOPEN|2851|2851|2454.59|2138.25|2423.35|2565.9|2423.35|2503.6|1470|1381.8|0|0|2685.91|2454.59|435.7|2629.49|2551.61|2484.47|2393.23|2682.76|2138.25|2629.49|877.86|854.96|877.86|2767.77|2767.77|542.7|786.26|560.61|2878.48|2682.76|2682.76|548.13|607.82|596.97|651.24|763.36|2502.09|2502.09|801.53|2438.04|1374.05|801.53|786.26|0|2878.48
Professional|||64716|REVISION OF CRANIAL NERVE|1947|1947|1637.85|1460.25|1654.95|1752.3|1654.95|1670.55|1002.4|942.26|0|0|1792.2|1637.85|328.43|1754.55|1702.59|1657.79|1596.9|1790.1|1460.25|1754.55|587.57|572.24|587.57|1889.57|1889.57|363.08|526.26|375.06|1965.15|1790.1|1790.1|366.71|406.65|399.39|435.7|510.93|1731.79|1731.79|536.48|1687.46|919.67|536.48|526.26|0|1965.15
Professional|||64718|REVISE ULNAR NERVE AT ELBOW|2205|2205|1860.6|1653.75|1874.25|1984.5|1874.25|1897.74|1136.1|1067.93|0|0|2035.94|1860.6|359.55|1993.17|1934.14|1883.24|1814.09|2033.55|1653.75|1993.17|677.68|660|677.68|2140.11|2140.11|418.77|606.97|432.59|2225.71|2033.55|2033.55|422.96|469.02|460.65|502.52|589.29|1920.68|1920.68|618.75|1871.51|1060.72|618.75|606.97|0|2225.71
Professional|||64719|REVISE ULNAR NERVE AT WRIST|1496|1496|1262.24|1122|1271.6|1346.4|1271.6|1287.44|771.4|725.12|0|0|1381.19|1262.24|243.67|1352.17|1312.13|1277.6|1230.68|1379.57|1122|1352.17|459.85|447.85|459.85|1451.8|1451.8|284.05|411.87|293.42|1509.87|1379.57|1379.57|286.89|318.14|312.46|340.86|399.87|1298.54|1298.54|419.86|1265.3|719.77|419.86|411.87|0|1509.87
Professional|||64721|REVISE MEDIAN N/CARPAL TUNNEL*|1596|1596|1345.22|1197|1356.6|1436.4|1356.6|1386.56|831.6|781.7|0|0|1471.99|1345.22|259.79|1441.07|1398.39|1361.59|1311.59|1470.27|1197|1441.07|490.98|478.17|490.98|1549.38|1549.38|303.55|439.75|313.57|1611.36|1470.27|1470.27|306.59|339.98|333.91|364.26|426.94|1383.39|1383.39|448.29|1347.98|768.49|448.29|439.75|0|1611.36
Professional|||64722|RELIEVE PRESSURE ON NERVE(S)|1323|1323|1119.2|992.25|1124.55|1190.7|1124.55|1141.54|682.5|641.55|0|0|1224.67|1119.2|222.49|1198.94|1163.44|1132.82|1091.22|1223.24|992.25|1198.94|409.2|398.53|409.2|1284.33|1284.33|252.75|366.5|261.09|1335.7|1223.24|1223.24|255.28|283.08|278.03|303.3|355.83|1179.78|1179.78|373.62|1149.58|640.49|373.62|366.5|0|1335.7
Professional|||64726|RELEASE FOOT/TOE NERVE|1033|1033|851.68|774.75|878.05|929.7|878.05|868.69|532.7|500.74|0|0|931.94|851.68|168.62|912.37|885.35|862.05|830.39|930.85|774.75|912.37|312.21|304.07|312.21|1002.15|1002.15|192.96|279.63|199.33|1042.24|930.85|930.85|194.89|216.12|212.26|231.55|271.49|885.69|885.69|285.06|863.02|488.68|285.06|279.63|0|1042.24
Professional|||64727|INTERN NERVE REVISOPER MICRO*|669|669|579.8|501.75|568.65|602.1|568.65|591.37|344.4|323.74|0|0|634.44|579.8|109.25|621.11|602.72|586.86|565.31|633.7|501.75|621.11|202.95|197.66|202.95|648.76|648.76|125.22|181.77|129.35|674.71|633.7|633.7|126.47|140.25|137.74|150.26|176.48|605.15|605.15|185.3|589.66|317.66|185.3|181.77|0|674.71
Professional|||64732|TRANSECT SUPRAORBITAL NERV|1587|1587|1407.46|1190.25|1348.95|1428.3|1348.95|1435.56|816.2|767.23|0|0|1540.1|1407.46|228|1507.74|1463.09|1424.59|1372.27|1538.29|1190.25|1507.74|484.56|471.92|484.56|1537.51|1537.51|299.45|434|309.33|1599.01|1538.29|1538.29|302.44|335.38|329.4|359.34|421.36|1221.64|1221.64|442.43|1190.37|758.45|442.43|434|0|1599.01
Professional|||64736|TRANSECT MENTAL NERV|1391|1391|1171.61|1043.25|1182.35|1251.9|1182.35|1195|718.2|675.11|0|0|1282.02|1171.61|242.56|1255.09|1217.92|1185.87|1142.32|1280.52|1043.25|1255.09|405.87|395.28|405.87|1350.27|1350.27|250.69|363.52|258.96|1404.28|1280.52|1280.52|253.2|280.77|275.76|300.83|352.93|1263.49|1263.49|370.58|1231.15|635.27|370.58|363.52|0|1404.28
Professional|||64738|TRANSECT OF JAW NERVE|1732|1732|1459.87|1299|1472.2|1558.8|1472.2|1489.02|892.5|838.95|0|0|1597.45|1459.87|257.35|1563.89|1517.58|1477.64|1423.37|1595.58|1299|1563.89|527.08|513.33|527.08|1681.24|1681.24|325.62|472.08|336.37|1748.49|1595.58|1595.58|328.88|364.69|358.18|390.74|458.33|1496.51|1496.51|481.25|1458.2|824.99|481.25|472.08|0|1748.49
Professional|||64742|TRANSECT OF FACIAL NERVE|1884|1884|1540.67|1413|1601.4|1695.6|1601.4|1571.43|970.9|912.65|0|0|1685.86|1540.67|301.28|1650.45|1601.57|1559.42|1502.15|1683.89|1413|1650.45|572.84|557.89|572.84|1828.92|1828.92|354.1|513.06|365.79|1902.08|1683.89|1683.89|357.64|396.59|389.51|424.92|498.12|1477.28|1477.28|523.03|1439.46|896.62|523.03|513.06|0|1902.08
Professional|||64744|TRANSECT GREAT OCCIPITAL NERV|1759|1759|1560.33|1319.25|1495.15|1583.1|1495.15|1591.48|909.3|854.74|0|0|1707.37|1560.33|284.07|1671.5|1622|1579.32|1521.32|1705.37|1319.25|1671.5|539.84|525.76|539.84|1706.29|1706.29|333.58|483.51|344.59|1774.54|1705.37|1705.37|336.92|373.61|366.94|400.3|469.43|1605.09|1605.09|492.9|1564|844.97|492.9|483.51|0|1774.54
Professional|||64774|EXCISE CUTANEOUS NEUROMA|1515|1515|1278.61|1136.25|1287.75|1363.5|1287.75|1304.14|781.2|734.33|0|0|1399.11|1278.61|252.05|1369.72|1329.16|1294.18|1246.64|1397.47|1136.25|1369.72|467.05|454.87|467.05|1470.26|1470.26|288.67|418.31|298.2|1529.07|1397.47|1397.47|291.56|323.31|317.54|346.4|406.13|1347.17|1347.17|426.44|1312.69|731.03|426.44|418.31|0|1529.07
Professional|||64776|EXCISE DIGITAL NEUROMA|1456|1456|1220.74|1092|1237.6|1310.4|1237.6|1245.12|750.4|705.38|0|0|1335.79|1220.74|238.82|1307.72|1269|1235.6|1190.22|1334.22|1092|1307.72|446.59|434.94|446.59|1413.55|1413.55|276.1|399.99|285.21|1470.09|1334.22|1334.22|278.86|309.23|303.71|331.32|388.34|1261.22|1261.22|407.76|1228.94|699.01|407.76|399.99|0|1470.09
Professional|||64778|EXCISE DIGITAL NEUROMAADDNL *|669|669|578.71|501.75|568.65|602.1|568.65|590.26|344.4|323.74|0|0|633.24|578.71|87.84|619.94|601.58|585.75|564.24|632.5|501.75|619.94|203.78|198.46|203.78|648.76|648.76|125.99|182.52|130.15|674.71|632.5|632.5|127.25|141.11|138.59|151.19|177.2|462.62|462.62|186.06|450.78|318.96|186.06|182.52|0|674.71
Professional|||64782|EXCISE HAND/FOOT NEUROMA|1723|1723|1443.49|1292.25|1464.55|1550.7|1464.55|1472.31|887.6|834.34|0|0|1579.53|1443.49|275.24|1546.34|1500.55|1461.06|1407.4|1577.67|1292.25|1546.34|523.04|509.4|523.04|1672|1672|323.31|468.46|333.98|1738.88|1577.67|1577.67|326.54|362.11|355.64|387.97|454.82|1478.41|1478.41|477.56|1440.57|818.68|477.56|468.46|0|1738.88
Professional|||64783|EXCISE HAND/FOOT NEUROMAEACH*|798|798|691.17|598.5|678.3|718.2|678.3|704.97|410.9|386.25|0|0|756.31|691.17|135.08|740.42|718.49|699.59|673.89|755.42|598.5|740.42|243.06|236.72|243.06|774.03|774.03|150.11|217.7|155.06|804.99|755.42|755.42|151.61|168.12|165.12|180.13|211.36|725.07|725.07|221.93|706.51|380.45|221.93|217.7|0|804.99
Professional|||64784|EXCISE MAJOR PERIPHERAL NEURO*|2691|2691|2284.25|2018.25|2287.35|2421.9|2287.35|2329.86|1386.7|1303.5|0|0|2499.52|2284.25|442.75|2447.01|2374.55|2312.06|2227.14|2496.59|2018.25|2447.01|827.21|805.63|827.21|2612.18|2612.18|511.4|740.89|528.28|2716.67|2496.59|2496.59|516.51|572.77|562.54|613.68|719.31|2373.12|2373.12|755.28|2312.37|1294.76|755.28|740.89|0|2716.67
Professional|||64787|IMPLANT NERVE END TO BONE/MUSC|890|890|759.96|667.5|756.5|801|756.5|775.14|458.5|430.99|0|0|831.58|759.96|146.99|814.11|790|769.21|740.96|830.61|667.5|814.11|271.98|264.88|271.98|863.69|863.69|168.07|243.6|173.62|898.24|830.61|830.61|169.75|188.24|184.88|201.68|236.5|795.2|795.2|248.33|774.84|425.7|248.33|243.6|0|898.24
Professional|||64790|EXCISE MAJOR PERIPH NEUROFIBR*|3044|3044|2641.31|2283|2587.4|2739.6|2587.4|2694.04|1568.7|1474.58|0|0|2890.22|2641.31|495.51|2829.5|2745.71|2673.45|2575.28|2886.83|2283|2829.5|931.34|907.04|931.34|2955.02|2955.02|575.81|834.16|594.81|3073.22|2886.83|2886.83|581.57|644.91|633.39|690.97|809.86|2763.37|2763.37|850.35|2692.64|1457.75|850.35|834.16|0|3073.22
Professional|||64820|SYMPATHECTOMYDIGITAL ARTERIE*|2663|2663|2247.13|1997.25|2263.55|2396.7|2263.55|2291.99|1372|1289.68|0|0|2458.9|2247.13|440.55|2407.24|2335.95|2274.48|2190.95|2456.02|1997.25|2407.24|831.05|809.37|831.05|2584.49|2584.49|513.71|744.33|530.66|2687.87|2456.02|2456.02|518.85|575.36|565.08|616.45|722.65|2305.26|2305.26|758.78|2246.25|1300.77|758.78|744.33|0|2687.87
Professional|||64822|SYMPATHECTOMYULNAR ARTERY|2567|2567|2184.89|1925.25|2181.95|2310.3|2181.95|2228.51|1322.3|1242.96|0|0|2390.79|2184.89|425.31|2340.57|2271.26|2211.49|2130.27|2387.99|1925.25|2340.57|787.19|766.65|787.19|2492.19|2492.19|486.51|705.05|502.56|2591.88|2387.99|2387.99|491.38|544.89|535.16|583.81|684.51|2243.04|2243.04|718.74|2185.62|1232.12|718.74|705.05|0|2591.88
Professional|||64831|REPAIR OF DIGIT NERVE|2559|2559|2160.87|1919.25|2175.15|2303.1|2175.15|2204.01|1318.8|1239.67|0|0|2364.51|2160.87|418.27|2314.84|2246.28|2187.17|2106.85|2361.74|1919.25|2314.84|785.27|764.78|785.27|2484.28|2484.28|485.48|703.33|501.5|2583.65|2361.74|2361.74|490.33|543.74|534.03|582.58|682.84|2231.73|2231.73|716.98|2174.6|1229.11|716.98|703.33|0|2583.65
Professional|||64832|REPAIR EACH ADDNL DIGIT NERVE|1239|1239|1062.42|929.25|1053.15|1115.1|1053.15|1083.63|638.4|600.1|0|0|1162.54|1062.42|203.72|1138.12|1104.41|1075.35|1035.86|1161.18|929.25|1138.12|378.4|368.52|378.4|1202.57|1202.57|233.76|338.91|241.47|1250.67|1161.18|1161.18|236.1|261.81|257.14|280.51|329.04|1106.25|1106.25|345.49|1077.93|592.27|345.49|338.91|0|1250.67
Professional|||64834|REPAIR HAND/FOOT NERVESENSORY|2754|2754|2335.57|2065.5|2340.9|2478.6|2340.9|2382.2|1418.9|1333.77|0|0|2555.68|2335.57|450.04|2501.99|2427.89|2364|2277.18|2552.68|2065.5|2501.99|840.41|818.48|840.41|2672.83|2672.83|519.35|752.71|536.49|2779.74|2552.68|2552.68|524.54|581.67|571.29|623.22|730.79|2427.42|2427.42|767.33|2365.28|1315.42|767.33|752.71|0|2779.74
Professional|||64835|REPAIR HAND/FOOT NERVEMEDIAN*|3001|3001|2562.69|2250.75|2550.85|2700.9|2550.85|2613.85|1549.1|1456.15|0|0|2804.2|2562.69|484.46|2745.29|2663.99|2593.88|2498.62|2800.91|2250.75|2745.29|921.36|897.32|921.36|2912.82|2912.82|569.39|825.22|588.18|3029.33|2800.91|2800.91|575.08|637.72|626.33|683.27|801.18|2624.25|2624.25|841.24|2557.08|1442.12|841.24|825.22|0|3029.33
Professional|||64836|REPAIR HAND/FOOT NERVEULNAR *|3002|3002|2564.87|2251.5|2551.7|2701.8|2551.7|2616.08|1549.1|1456.15|0|0|2806.59|2564.87|485.8|2747.63|2666.26|2596.09|2500.75|2803.3|2251.5|2747.63|921.36|897.32|921.36|2914.14|2914.14|569.39|825.22|588.18|3030.71|2803.3|2803.3|575.08|637.72|626.33|683.27|801.18|2683.06|2683.06|841.24|2614.38|1442.12|841.24|825.22|0|3030.71
Professional|||64837|REPAIR EACH ADDNL HAND/FOOT N*|1341|1341|1162.87|1005.75|1139.85|1206.9|1139.85|1186.09|690.9|649.45|0|0|1272.46|1162.87|227.34|1245.73|1208.84|1177.03|1133.8|1270.97|1005.75|1245.73|409.8|399.11|409.8|1301.47|1301.47|253.26|367.04|261.62|1353.53|1270.97|1270.97|255.79|283.65|278.59|303.91|356.35|1248.77|1248.77|374.17|1216.81|641.43|374.17|367.04|0|1353.53
Professional|||64840|REPAIR POST TIBIAL NERVE|3545|3545|3037.67|2658.75|3013.25|3190.5|3013.25|3098.31|1827|1717.38|0|0|3323.93|3037.67|593.29|3254.11|3157.74|3074.64|2961.73|3320.04|2658.75|3254.11|1085.07|1056.76|1085.07|3441.58|3441.58|670.75|971.85|692.88|3579.24|3320.04|3320.04|677.46|751.24|737.83|804.9|943.54|3172.85|3172.85|990.72|3091.64|1698.37|990.72|971.85|0|3579.24
Professional|||64856|REPAIR/TRANSPOS MAJ PERIPH NE*|3742|3742|3191.62|2806.5|3180.7|3367.8|3180.7|3255.35|1929.2|1813.45|0|0|3492.4|3191.62|610.73|3419.03|3317.78|3230.47|3111.83|3488.31|2806.5|3419.03|1144.07|1114.22|1144.07|3632.78|3632.78|707.18|1024.69|730.52|3778.09|3488.31|3488.31|714.25|792.04|777.9|848.62|994.84|3301.79|3301.79|1044.58|3217.27|1790.71|1044.58|1024.69|0|3778.09
Professional|||64857|REPAIR MAJOR PERIPHERAL NERVE|3900|3900|3323.74|2925|3315|3510|3315|3390.1|2009.7|1889.12|0|0|3636.97|3323.74|637.88|3560.57|3455.12|3364.2|3240.65|3632.71|2925|3560.57|1193.44|1162.3|1193.44|3785.75|3785.75|737.72|1068.9|762.06|3937.18|3632.71|3632.71|745.1|826.25|811.49|885.26|1037.77|3440.91|3440.91|1089.66|3352.83|1867.99|1089.66|1068.9|0|3937.18
Professional|||64858|REPAIR SCIATIC NERVE|4329|4329|3720.1|3246.75|3679.65|3896.1|3679.65|3794.38|2230.9|2097.05|0|0|4070.68|3720.1|681.8|3985.17|3867.15|3765.38|3627.1|4065.91|3246.75|3985.17|1324.46|1289.9|1324.46|4202.43|4202.43|818.81|1186.25|845.83|4370.53|4065.91|4065.91|827|917.07|900.69|982.57|1151.7|3822.12|3822.12|1209.29|3724.29|2073.06|1209.29|1186.25|0|4370.53
Professional|||64859|REPAIR ADDNL MAJ PERIPH NERVE|909|909|785.08|681.75|772.65|818.1|772.65|800.75|469.7|441.52|0|0|859.06|785.08|154.28|841.01|816.11|794.63|765.45|858.05|681.75|841.01|278.45|271.19|278.45|882.16|882.16|171.92|249.39|177.59|917.45|858.05|858.05|173.64|192.55|189.11|206.3|242.13|822.34|822.34|254.24|801.29|435.83|254.24|249.39|0|917.45
Professional|||64861|REPAIR BRACHIAL PLEXUS|5479|5479|4861.14|4109.25|4657.15|4931.1|4657.15|4958.19|2740.5|2576.07|0|0|5319.25|4861.14|785.76|5207.5|5053.29|4920.31|4739.61|5313.02|4109.25|5207.5|1617.26|1575.07|1617.26|5161.06|5161.06|999.71|1448.5|1032.7|5367.5|5313.02|5313.02|1009.71|1119.68|1099.68|1199.65|1406.31|4078.9|4078.9|1476.63|3974.49|2531.36|1476.63|1448.5|0|5479
Professional|||64864|REPR FACIAL NERVEEXTRACRANIAL|3215|3215|2719.92|2411.25|2732.75|2893.5|2732.75|2774.23|1656.9|1557.49|0|0|2976.25|2719.92|538.33|2913.72|2827.43|2753.03|2651.92|2972.76|2411.25|2913.72|981.3|955.7|981.3|3121.17|3121.17|606.6|878.9|626.62|3246.02|2972.76|2972.76|612.67|679.39|667.26|727.92|853.3|2867.44|2867.44|895.97|2794.04|1535.94|895.97|878.9|0|3246.02
Professional|||64874|REPR/TRANSPOSE NERVESECONDARY|639|639|552.5|479.25|543.15|575.1|543.15|563.53|329.7|309.92|0|0|604.57|552.5|102.41|591.87|574.34|559.23|538.69|603.86|479.25|591.87|194.86|189.77|194.86|619.75|619.75|120.34|174.52|124.31|644.54|603.86|603.86|121.54|134.78|132.37|144.41|169.44|538.42|538.42|177.91|524.64|304.99|177.91|174.52|0|644.54
Professional|||64885|NERVE GRAFTHEAD/NECKONE=<4*|4150|4150|3509.37|3112.5|3527.5|3735|3527.5|3579.43|2138.5|2010.19|0|0|3840.09|3509.37|699.89|3759.42|3648.08|3552.08|3421.64|3835.59|3112.5|3759.42|1258.84|1226|1258.84|4028.37|4028.37|778.26|1127.48|803.94|4189.5|3835.59|3835.59|786.04|871.65|856.09|933.91|1094.64|3705.6|3705.6|1149.37|3610.75|1970.35|1149.37|1127.48|0|4189.5
Professional|||64895|NERV GRFTHAND/FOOTMULT=<4CM|4872|4872|4179.79|3654|4141.2|4384.8|4141.2|4263.24|2515.1|2364.19|0|0|4573.69|4179.79|808.5|4477.61|4345.01|4230.67|4075.3|4568.34|3654|4477.61|1492.86|1453.92|1492.86|4729.87|4729.87|922.73|1337.08|953.18|4919.06|4568.34|4568.34|931.96|1033.46|1015|1107.28|1298.14|4384.31|4384.31|1363.05|4272.08|2336.65|1363.05|1337.08|0|4919.06
Professional|||64896|NERV GRFTHAND/FOOTMULT>4CM|5265|5265|4528.11|3948.75|4475.25|4738.5|4475.25|4618.51|2713.2|2550.41|0|0|4954.84|4528.11|883.32|4850.75|4707.09|4583.22|4414.91|4949.03|3948.75|4850.75|1609.8|1567.81|1609.8|5110.95|5110.95|995.09|1441.82|1027.93|5315.39|4949.03|4949.03|1005.04|1114.5|1094.6|1194.11|1399.83|4695.36|4695.36|1469.82|4575.17|2519.69|1469.82|1441.82|0|5315.39
Professional|||64905|NERVE PEDICLE XFERFIRST STAGE|3772|3772|3217.83|2829|3206.2|3394.8|3206.2|3282.07|1943.9|1827.27|0|0|3521.08|3217.83|626.4|3447.11|3345.02|3256.99|3137.38|3516.95|2829|3447.11|1153.63|1123.54|1153.63|3661.8|3661.8|713.09|1033.25|736.62|3808.27|3516.95|3516.95|720.22|798.66|784.4|855.71|1003.16|3371.92|3371.92|1053.32|3285.61|1805.69|1053.32|1033.25|0|3808.27
Professional|||64910|NERVE REPAIR W/ALLOGRAFT OR S*|2971|2971|2499.36|2228.25|2525.35|2673.9|2525.35|2549.26|1530.9|1439.05|0|0|2734.9|2499.36|503.01|2677.44|2598.15|2529.78|2436.88|2731.69|2228.25|2677.44|901.06|877.55|901.06|2883.81|2883.81|557.07|807.04|575.45|2999.16|2731.69|2731.69|562.64|623.92|612.78|668.48|783.53|2675.15|2675.15|822.71|2606.67|1410.35|822.71|807.04|0|2999.16
Professional|||64912|PR NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND|2891|2891|2437.12|2168.25|2457.35|2601.9|2457.35|2485.78|1489.6|1400.22|0|0|2666.79|2437.12|0|2610.77|2533.45|2466.78|2376.19|2663.67|2168.25|2610.77|1026.27|999.5|1026.27|2806.02|2806.02|634.31|919.18|655.24|2918.26|2663.67|2663.67|640.65|710.43|697.74|761.17|892.41|2532.63|2532.63|937.03|2467.8|1606.34|937.03|919.18|0|2918.26
Professional|||64913|PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND|575|575|491.36|431.25|488.75|517.5|488.75|501.17|296.1|278.33|0|0|537.66|491.36|0|526.37|510.78|497.34|479.08|537.03|431.25|526.37|202.18|196.91|202.18|557.77|557.77|124.96|181.08|129.08|580.08|537.03|537.03|126.21|139.96|137.46|149.95|175.81|513.52|513.52|184.6|500.38|316.46|184.6|181.08|0|580.08
Professional|||64999|CHEMODENERVATION OF ECCRINE GLANDS; PALM|262|262|0|196.5|222.7|235.8|222.7|0|0|0|0|0|0|0|0|0|0|0|0|0|196.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262
Professional|||64999|DEEP PERONEAL NERVE NEUROPLASTY BY SUTURE|702|262|0|196.5|222.7|235.8|222.7|0|0|0|0|0|0|0|0|0|0|0|0|0|196.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|262
Professional|||64999|EXCISION OF DIGITAL NERVE|1391|1391|0|1043.25|1182.35|1251.9|1182.35|0|0|0|0|0|0|0|0|0|0|0|0|0|1043.25|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1391
Professional|||64999|CLOSURE OF DURAL TEAR|696|696|0|522|591.6|626.4|591.6|0|0|0|0|0|0|0|0|0|0|0|0|0|522|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|696
Professional|||64999|NERVOUS SYSTEM NEURECTOMY OF GROIN|1749|1749|0|1311.75|1486.65|1574.1|1486.65|0|0|0|0|0|0|0|0|0|0|0|0|0|1311.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1749
Professional|||64999|NEUROPLASTY DIVISION OF THORACODORSAL NERVES|1773|1773|0|1329.75|1507.05|1595.7|1507.05|0|0|0|0|0|0|0|0|0|0|0|0|0|1329.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|1773
Professional|||64999|BOTOX INJ FOR PERFUSION OF INFARCTED TISSUE|440|440|0|330|374|396|374|0|0|0|0|0|0|0|0|0|0|0|0|0|330|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|440
Professional|||64999|IMPLANTATION OF POSTERIOR TIBIAL NERVE TO INTRAMUSCULAR LOCATION|841|841|0|630.75|714.85|756.9|714.85|0|0|0|0|0|0|0|0|0|0|0|0|0|630.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|841
Professional|||64999|GANGLION IMPAR SYMPATHETIC BLOCK|309|309|0|231.75|262.65|278.1|262.65|0|0|0|0|0|0|0|0|0|0|0|0|0|231.75|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|309
Professional|||65101|REMOVAL OF EYE|2870|2870|2333.39|2152.5|2439.5|2583|2439.5|2379.98|1478.4|1389.7|0|0|2553.29|2333.39|457.33|2499.65|2425.62|2361.79|2275.06|2550.3|2152.5|2499.65|923.2|899.11|923.2|2786.24|2786.24|570.67|826.86|589.5|2897.69|2550.3|2550.3|576.38|639.15|627.74|684.8|802.78|2364.07|2364.07|842.92|2303.55|1445|842.92|826.86|0|2897.69
Professional|||65105|REMOVE EYE W MUSC TO IMPLANT|3283|3283|2674.06|2462.25|2790.55|2954.7|2790.55|2727.45|1692.6|1591.04|0|0|2926.07|2674.06|526.2|2864.6|2779.76|2706.61|2607.21|2922.64|2462.25|2864.6|1047.94|1020.6|1047.94|3187.09|3187.09|647.65|938.59|669.02|3314.57|2922.64|2922.64|654.13|725.37|712.42|777.18|911.25|2717.01|2717.01|956.81|2647.46|1640.25|956.81|938.59|0|3314.57
Professional|||65112|REMOVE ORBIT/REMV BONE|5428|5428|4430.93|4071|4613.8|4885.2|4613.8|4519.39|2797.2|2629.37|0|0|4848.5|4430.93|875.6|4746.64|4606.07|4484.86|4320.16|4842.82|4071|4746.64|1698.26|1653.96|1698.26|5269.19|5269.19|1049.75|1521.05|1084.39|5479.96|4842.82|4842.82|1060.25|1175.72|1154.73|1259.7|1476.75|4556.24|4556.24|1550.59|4439.61|2658.15|1550.59|1521.05|0|5479.96
Professional|||65135|LATE OCUL IMPLNT POST ENUCLN*|2880|2880|2344.31|2160|2448|2592|2448|2391.11|1484.7|1395.62|0|0|2565.24|2344.31|459.98|2511.35|2436.97|2372.84|2285.7|2562.23|2160|2511.35|930.6|906.33|930.6|2795.47|2795.47|575.29|833.5|594.27|2907.29|2562.23|2562.23|581.04|644.32|632.82|690.35|809.22|2376.52|2376.52|849.68|2315.69|1456.6|849.68|833.5|0|2907.29
Professional|||65205|REMV F.B.EYESUPERF CONJUNC|146|146|111.37|109.5|124.1|131.4|124.1|145.89|91|85.54|0|0|121.87|111.37|27.13|119.31|115.78|112.73|108.59|121.73|109.5|119.31|34.07|33.19|34.07|133.18|133.18|21.04|30.52|21.73|138.51|121.73|121.73|21.25|23.56|23.14|25.25|29.63|141.39|141.39|31.11|137.77|53.33|31.11|30.52|0|146
Professional|||65210|REMV F.B.EYEEMBED CONJUNC|176|176|133.21|132|149.6|158.4|149.6|178.19|110.6|103.96|0|0|145.77|133.21|32.43|142.7|138.48|134.83|129.88|145.59|132|142.7|42.56|41.45|42.56|158.24|158.24|26.17|38.12|27.03|164.57|145.59|145.59|26.43|29.31|28.79|31.4|37.01|170.8|170.8|38.86|166.42|66.62|38.86|38.12|0|178.19
Professional|||65220|REMV F.B.EYECORNEANO SLIT|157|157|129.94|117.75|133.45|141.3|133.45|187.1|115.5|108.57|0|0|142.18|129.94|25.39|139.19|135.07|131.52|126.69|142.01|117.75|139.19|47.18|45.95|47.18|151.64|151.64|28.99|42.26|29.95|157.71|142.01|142.01|29.28|32.47|31.89|34.79|41.03|136.88|136.88|43.08|133.38|73.85|43.08|42.26|0|187.1
Professional|||65222|REMV F.B.EYECORNEASLIT LAMP|199|199|161.6|149.25|169.15|179.1|169.15|214.94|133.7|125.68|0|0|176.83|161.6|31.79|173.12|167.99|163.57|157.56|176.62|149.25|173.12|59.55|57.99|59.55|192.51|192.51|36.69|53.33|37.9|200.21|176.62|176.62|37.06|41.09|40.36|44.03|51.78|167.42|167.42|54.37|163.14|93.2|54.37|53.33|0|214.94
Professional|||65270|REPAIR CONJUNC LACERATN|536|536|437.85|402|455.6|482.4|455.6|867.57|543.2|510.61|0|0|479.11|437.85|86.53|469.05|455.16|443.18|426.9|478.55|402|469.05|163.08|158.83|163.08|519.54|519.54|100.58|146.06|103.9|540.32|478.55|478.55|101.59|112.65|110.64|120.7|141.81|450.2|450.2|148.9|438.68|255.26|148.9|146.06|0|867.57
Professional|||65280|REPAIR CORNEA LACPERFNO UVE*|2553|2553|2085.53|1914.75|2170.05|2297.7|2170.05|2127.17|1315.3|1236.38|0|0|2282.07|2085.53|414.96|2234.13|2167.96|2110.91|2033.39|2279.39|1914.75|2234.13|775.81|755.57|775.81|2477.68|2477.68|479.58|694.86|495.41|2576.79|2279.39|2279.39|484.38|537.13|527.54|575.5|674.62|2153.69|2153.69|708.35|2098.56|1214.32|708.35|694.86|0|2576.79
Professional|||65285|REPAIR CORNEA LACPERFRESEC *|4215|4215|3447.13|3161.25|3582.75|3793.5|3582.75|3515.95|2171.4|2041.12|0|0|3771.98|3447.13|684.67|3692.74|3583.38|3489.08|3360.95|3767.56|3161.25|3692.74|1281.03|1247.61|1281.03|4091.67|4091.67|791.86|1147.36|817.99|4255.34|3767.56|3767.56|799.78|886.88|871.05|950.23|1113.94|3555.17|3555.17|1169.64|3464.16|2005.09|1169.64|1147.36|0|4255.34
Professional|||65290|REPAIR EXTRAOCULAR MUSC WOUND|1867|1867|1524.29|1400.25|1586.95|1680.3|1586.95|1554.73|961.8|904.09|0|0|1667.94|1524.29|301.71|1632.9|1584.54|1542.85|1486.18|1665.99|1400.25|1632.9|567.51|552.71|567.51|1811.78|1811.78|350.77|508.29|362.35|1884.25|1665.99|1665.99|354.28|392.86|385.85|420.92|493.49|1577.95|1577.95|518.16|1537.56|888.28|518.16|508.29|0|1884.25
Professional|||65435|CURETTE/TREAT CORNEA|265|265|216.2|198.75|225.25|238.5|225.25|258.38|161|151.34|0|0|236.57|216.2|42.82|231.6|224.74|218.83|210.8|236.29|198.75|231.6|80.53|78.43|80.53|257.13|257.13|49.78|72.13|51.42|267.42|236.29|236.29|50.28|55.75|54.76|59.74|70.03|223.97|223.97|73.53|218.23|126.05|73.53|72.13|0|267.42
Professional|||66761|IRIDOTOMY/IRIDECTOMY BY LASER PER SESSION|898|898|732.66|673.5|763.3|808.2|763.3|946.65|589.4|554.04|0|0|801.71|732.66|145.68|784.87|761.63|741.58|714.34|800.77|673.5|784.87|272.83|265.71|272.83|871.6|871.6|168.58|244.36|174.14|906.46|800.77|800.77|170.27|188.81|185.44|202.3|237.24|756.75|756.75|249.1|737.38|427.03|249.1|244.36|0|946.65
Professional|||66821|DISCISSION2ND CATARACTLASER|1189|1189|966.33|891.75|1010.65|1070.1|1010.65|1049.11|652.4|613.26|0|0|1057.4|966.33|192.69|1035.18|1004.53|978.09|942.17|1056.16|891.75|1035.18|361.26|351.84|361.26|1153.79|1153.79|223.24|323.56|230.61|1199.94|1056.16|1056.16|225.47|250.03|245.56|267.89|314.14|996.54|996.54|329.85|971.03|565.45|329.85|323.56|0|1199.94
Professional|||66984|PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP|2429|2429|1982.89|1821.75|2064.65|2186.1|2064.65|2022.48|1251.6|1176.5|0|0|2169.76|1982.89|390.23|2124.18|2061.27|2007.03|1933.32|2167.21|1821.75|2124.18|630.84|614.39|630.84|2357.69|2357.69|390.03|565.02|402.9|2452|2167.21|2167.21|393.93|436.83|429.03|468.04|548.56|2051.88|2051.88|575.99|1999.36|987.41|575.99|565.02|0|2452
Professional|||67036|VITRECTOMYMECHANICAL|3422|3422|2796.36|2566.5|2908.7|3079.8|2908.7|2852.19|1763.3|1657.5|0|0|3059.88|2796.36|557.09|2995.6|2906.89|2830.39|2726.45|3056.3|2566.5|2995.6|1038|1010.92|1038|3321.59|3321.59|641.75|929.69|662.93|3454.45|3056.3|3056.3|648.17|718.76|705.93|770.1|902.61|2888.94|2888.94|947.74|2814.99|1624.7|947.74|929.69|0|3454.45
Professional|||67314|STABISMUS SURGONE VERT MUSCLE|2555|2555|2085.53|1916.25|2171.75|2299.5|2171.75|2127.17|1316|1237.04|0|0|2282.07|2085.53|416.5|2234.13|2167.96|2110.91|2033.39|2279.39|1916.25|2234.13|783.81|763.36|783.81|2480.32|2480.32|484.46|702.02|500.45|2579.53|2279.39|2279.39|489.3|542.6|532.91|581.35|681.57|2155.96|2155.96|715.65|2100.77|1226.83|715.65|702.02|0|2579.53
Professional||||VERTICAL MUSCLE EXCISION AND RELEASE|2376|2376|0|1782|2019.6|2138.4|2019.6|0|0|0|0|0|0|0|0|0|0|0|0|0|1782|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|2376
Professional|||67400|EXPLORE EYE SOCKET|3589|3589|2925.2|2691.75|3050.65|3230.1|3050.65|2983.6|1849.4|1738.44|0|0|3200.87|2925.2|576.06|3133.63|3040.83|2960.8|2852.07|3197.12|2691.75|3133.63|1141.88|1112.09|1141.88|3483.78|3483.78|705.9|1022.73|729.19|3623.13|3197.12|3197.12|712.96|790.61|776.49|847.08|992.94|2978.29|2978.29|1042.59|2902.05|1787.29|1042.59|1022.73|0|3623.13
Professional|||67405|EXPLORE EYE SOCKETDRAINAGE|3055|3055|2496.08|2291.25|2596.75|2749.5|2596.75|2545.92|1574.3|1479.84|0|0|2731.31|2496.08|491.53|2673.93|2594.75|2526.46|2433.68|2728.11|2291.25|2673.93|980.28|954.71|980.28|2965.57|2965.57|605.83|877.99|625.82|3084.19|2728.11|2728.11|611.89|678.53|666.41|727|852.42|2537.14|2537.14|895.04|2472.19|1534.36|895.04|877.99|0|3084.19
Professional|||67412|EXPLORE EYE SOCKET REMOVAL OF  LESION|3304|3304|2694.81|2478|2808.4|2973.6|2808.4|2748.61|1702.4|1600.26|0|0|2948.77|2694.81|526.85|2886.82|2801.33|2727.61|2627.44|2945.31|2478|2886.82|1069.5|1041.6|1069.5|3206.87|3206.87|661|957.9|682.81|3335.14|2945.31|2945.31|667.61|740.32|727.1|793.2|930|2724.92|2724.92|976.5|2655.17|1674|976.5|957.9|0|3335.14
Professional|||67413|EXPLORE EYE SOCKETREMV F.B.|3306|3306|2696.99|2479.5|2810.1|2975.4|2810.1|2750.84|1703.8|1601.57|0|0|2951.16|2696.99|529.5|2889.16|2803.6|2729.82|2629.57|2947.7|2479.5|2889.16|1055.42|1027.89|1055.42|3209.51|3209.51|652.27|945.29|673.79|3337.89|2947.7|2947.7|658.79|730.54|717.5|782.72|917.76|2736.24|2736.24|963.65|2666.19|1651.97|963.65|945.29|0|3337.89
Professional|||67550|INSERT EYE SOCKET IMPLANT|3719|3719|3037.67|2789.25|3161.15|3347.1|3161.15|3098.31|1916.6|1801.6|0|0|3323.93|3037.67|596.83|3254.11|3157.74|3074.64|2961.73|3320.04|2789.25|3254.11|1187.18|1156.21|1187.18|3610.37|3610.37|733.87|1063.3|758.09|3754.78|3320.04|3320.04|741.21|821.93|807.26|880.64|1032.33|3089.14|3089.14|1083.95|3010.07|1858.19|1083.95|1063.3|0|3754.78
Professional|||67560|REVISE EYE SOCKET IMPLANT|3813|3813|3113.01|2859.75|3241.05|3431.7|3241.05|3175.16|1964.9|1847.01|0|0|3406.37|3113.01|611.39|3334.81|3236.06|3150.9|3035.18|3402.38|2859.75|3334.81|1215.45|1183.74|1215.45|3701.36|3701.36|751.32|1088.62|776.11|3849.41|3402.38|3402.38|758.83|841.48|826.45|901.58|1056.91|3164.94|3164.94|1109.76|3083.93|1902.44|1109.76|1088.62|0|3849.41
Professional|||67700|DRAINAGE OF EYELID ABSCESS|443|443|361.42|332.25|376.55|398.7|376.55|870.91|547.4|514.56|0|0|395.48|361.42|72.17|387.17|375.7|365.82|352.38|395.02|332.25|387.17|134.08|130.58|134.08|429.87|429.87|82.88|120.09|85.62|447.06|395.02|395.02|83.71|92.83|91.17|99.46|116.59|373.27|373.27|122.42|363.71|209.86|122.42|120.09|0|870.91
Professional|||67715|INCISION OF EYELID FOLD|409|409|336.31|306.75|347.65|368.1|347.65|787.39|492.8|463.23|0|0|368|336.31|66.87|360.27|349.6|340.4|327.9|367.57|306.75|360.27|123.1|119.88|123.1|396.91|396.91|75.95|110.25|78.46|412.79|367.57|367.57|76.71|85.06|83.55|91.14|107.04|347.27|347.27|112.39|338.38|192.67|112.39|110.25|0|787.39
Professional|||67800|EXCIS CHALAZIONSINGLE|393|393|319.93|294.75|334.05|353.7|334.05|405.39|252|236.88|0|0|350.08|319.93|64|342.72|332.57|323.82|311.93|349.67|294.75|342.72|118.53|115.44|118.53|381.08|381.08|73.13|106.16|75.54|396.32|349.67|349.67|73.86|81.91|80.44|87.76|103.07|332.55|332.55|108.22|324.03|185.53|108.22|106.16|0|405.39
Professional|||67801|EXCIS CHALAZIONMULTSAME LID|506|506|413.83|379.5|430.1|455.4|430.1|516.76|320.6|301.36|0|0|452.83|413.83|82.32|443.32|430.19|418.87|403.48|452.3|379.5|443.32|152.59|148.61|152.59|490.52|490.52|94.17|136.67|97.28|510.14|452.3|452.3|95.11|105.47|103.59|113|132.69|427.57|427.57|139.32|416.63|238.84|139.32|136.67|0|516.76
Professional|||67810|BIOPSY OF EYELID|265|265|221.66|198.75|225.25|238.5|225.25|555.74|345.8|325.05|0|0|242.54|221.66|43.25|237.45|230.42|224.35|216.12|242.26|198.75|237.45|80.42|78.32|80.42|257.13|257.13|49.52|72.03|51.15|267.42|242.26|242.26|50.02|55.46|54.47|59.42|69.93|233.01|233.01|73.43|227.05|125.87|73.43|72.03|0|555.74
Professional|||67820|REVISE EYELASHESFORCEPS|176|176|108.1|132|149.6|158.4|149.6|103.57|64.4|60.54|0|0|118.29|108.1|32.88|115.8|112.37|109.41|105.4|118.15|132|115.8|32.9|32.04|32.9|130.54|130.54|20.27|29.47|20.94|135.76|118.15|118.15|20.47|22.7|22.3|24.32|28.61|170.8|170.8|30.04|166.42|51.5|30.04|29.47|0|176
Professional|||67840|REMOVE EYELID LESN (NOT CHALA*|599|599|490.26|449.25|509.15|539.1|509.15|880.94|550.9|517.85|0|0|536.47|490.26|97.76|525.2|509.64|496.23|478|535.84|449.25|525.2|181.93|177.18|181.93|581.51|581.51|112.39|162.95|116.1|604.77|535.84|535.84|113.51|125.88|123.63|134.87|158.2|507.88|507.88|166.11|494.88|284.76|166.11|162.95|0|880.94
Professional|||67875|TEMP CLOSURE EYELID BY SUTURE|366|366|300.27|274.5|311.1|329.4|311.1|552.4|345.1|324.39|0|0|328.57|300.27|60.03|321.67|312.14|303.93|292.76|328.19|274.5|321.67|110.58|107.7|110.58|354.71|354.71|68.25|99.04|70.5|368.9|328.19|328.19|68.93|76.44|75.08|81.9|96.16|313.32|313.32|100.97|305.3|173.09|100.97|99.04|0|552.4
Professional|||67880|REVISION OF EYELID|1401|1401|1143.22|1050.75|1190.85|1260.9|1190.85|1461.17|909.3|854.74|0|0|1250.96|1143.22|228.22|1224.68|1188.41|1157.13|1114.64|1249.49|1050.75|1224.68|424.58|413.5|424.58|1359.49|1359.49|262.5|380.28|271.16|1413.87|1249.49|1249.49|265.13|294|288.75|315|369.2|1182.05|1182.05|387.66|1151.79|664.56|387.66|380.28|0|1461.17
Professional|||67900|REPAIR BROW PTOSIS|1924|1924|1578.89|1443|1635.4|1731.6|1635.4|2035.84|1261.4|1185.72|0|0|1727.68|1578.89|314.07|1691.39|1641.3|1598.1|1539.42|1725.66|1443|1691.39|584.27|569.03|584.27|1867.15|1867.15|361.03|523.3|372.94|1941.84|1725.66|1725.66|364.64|404.35|397.13|433.24|508.06|1636.76|1636.76|533.46|1594.86|914.51|533.46|523.3|0|2035.84
Professional|||67904|FIX LID PTOSISLEVATR RESECE*|2266|2266|1855.14|1699.5|1926.1|2039.4|1926.1|2332.09|1446.9|1360.09|0|0|2029.97|1855.14|368.81|1987.32|1928.47|1877.72|1808.76|2027.59|1699.5|1987.32|687.88|669.94|687.88|2199.45|2199.45|425.18|616.1|439.21|2287.43|2027.59|2027.59|429.43|476.2|467.7|510.22|598.16|1918.41|1918.41|628.07|1869.3|1076.69|628.07|616.1|0|2332.09
Professional|||67911|CORRECT LID RETRACTN|2133|2133|1743.76|1599.75|1813.05|1919.7|1813.05|1778.58|1098.3|1032.4|0|0|1908.1|1743.76|347.41|1868.01|1812.69|1764.99|1700.17|1905.86|1599.75|1868.01|646.63|629.76|646.63|2070.23|2070.23|399.78|579.16|412.97|2153.04|1905.86|1905.86|403.78|447.75|439.76|479.74|562.29|1805.29|1805.29|590.4|1759.08|1012.12|590.4|579.16|0|2153.04
Professional|||67912|CORRECTION EYELID W/ IMPLANT|1842|1842|1515.56|1381.5|1565.7|1657.8|1565.7|2831.03|1765.4|1659.48|0|0|1658.38|1515.56|302.39|1623.54|1575.46|1534|1477.67|1656.44|1381.5|1623.54|558.75|544.17|558.75|1788.05|1788.05|345.38|500.45|356.78|1859.57|1656.44|1656.44|348.83|386.83|379.92|414.46|485.87|1573.41|1573.41|510.16|1533.13|874.57|510.16|500.45|0|2831.03
Professional|||67917|FIX ECTROPIONENTENSV LID REP*|1738|1738|1420.56|1303.5|1477.3|1564.2|1477.3|1933.38|1203.3|1131.1|0|0|1554.43|1420.56|283.18|1521.78|1476.71|1437.85|1385.05|1552.61|1303.5|1521.78|527.07|513.32|527.07|1686.51|1686.51|325.62|472.07|336.37|1753.97|1552.61|1552.61|328.88|364.69|358.18|390.74|458.32|1470.47|1470.47|481.24|1432.83|824.98|481.24|472.07|0|1933.38
Professional|||67921|FIX ENTROPIONSUTURE|1183|1183|963.06|887.25|1005.55|1064.7|1005.55|1478.99|925.4|869.88|0|0|1053.81|963.06|192.9|1031.68|1001.12|974.78|938.98|1052.58|887.25|1031.68|358.86|349.5|358.86|1148.52|1148.52|221.7|321.41|229.02|1194.46|1052.58|1052.58|223.92|248.3|243.87|266.04|312.05|995.4|995.4|327.65|969.92|561.69|327.65|321.41|0|1478.99
Professional|||67924|FIX ENTROPIONEXTENSV LID REP*|1738|1738|1420.56|1303.5|1477.3|1564.2|1477.3|2022.48|1260|1184.4|0|0|1554.43|1420.56|283.41|1521.78|1476.71|1437.85|1385.05|1552.61|1303.5|1521.78|527.34|513.59|527.34|1686.51|1686.51|325.88|472.32|336.63|1753.97|1552.61|1552.61|329.14|364.99|358.47|391.06|458.56|1470.47|1470.47|481.49|1432.83|825.41|481.49|472.32|0|2022.48
Professional|||67930|SUTURE EYELID WOUNDPARTIAL T*|906|906|744.68|679.5|770.1|815.4|770.1|1161.59|722.4|679.06|0|0|814.85|744.68|147.45|797.74|774.11|753.74|726.06|813.9|679.5|797.74|275.33|268.15|275.33|879.52|879.52|170.12|246.6|175.73|914.7|813.9|813.9|171.82|190.53|187.13|204.14|239.42|772.57|772.57|251.39|752.79|430.96|251.39|246.6|0|1161.59
Professional|||67935|SUTURE EYELID WOUNDFULL THICK|1671|1671|1375.79|1253.25|1420.35|1503.9|1420.35|1888.84|1169.7|1099.52|0|0|1505.45|1375.79|271.93|1473.82|1430.18|1392.54|1341.4|1503.68|1253.25|1473.82|508|494.75|508|1621.9|1621.9|314.07|454.99|324.43|1686.78|1503.68|1503.68|317.21|351.76|345.48|376.88|441.74|1421.84|1421.84|463.83|1385.44|795.13|463.83|454.99|0|1888.84
Professional|||67938|REMOVE EYELID FOREIGN BODYEM*|445|445|361.42|333.75|378.25|400.5|378.25|800.75|504|473.76|0|0|395.48|361.42|71.29|387.17|375.7|365.82|352.38|395.02|333.75|387.17|134.63|131.12|134.63|431.18|431.18|83.13|120.58|85.87|448.43|395.02|395.02|83.96|93.11|91.44|99.76|117.07|373.27|373.27|122.92|363.71|210.73|122.92|120.58|0|800.75
Professional|||67950|CANTHOPLASTY|1755|1755|1436.94|1316.25|1491.75|1579.5|1491.75|1825.35|1133.3|1065.3|0|0|1572.36|1436.94|286.49|1539.33|1493.74|1454.43|1401.02|1570.51|1316.25|1539.33|533.37|519.46|533.37|1703.65|1703.65|329.73|477.71|340.61|1771.8|1570.51|1570.51|333.03|369.3|362.7|395.68|463.8|1488.6|1488.6|486.99|1450.49|834.84|486.99|477.71|0|1825.35
Professional|||67961|REVISION OF EYELID< 1/4 LID *|1727|1727|1411.83|1295.25|1467.95|1554.3|1467.95|1834.26|1140.3|1071.88|0|0|1544.88|1411.83|281.42|1512.42|1467.63|1429.01|1376.53|1543.07|1295.25|1512.42|524.43|510.75|524.43|1675.96|1675.96|324.08|469.71|334.77|1743|1543.07|1543.07|327.32|362.97|356.49|388.9|456.03|1460.29|1460.29|478.83|1422.91|820.85|478.83|469.71|0|1834.26
Professional|||67966|REVISION OF EYELID> 1/4 LID *|2493|2493|2041.85|1869.75|2119.05|2243.7|2119.05|2445.69|1514.8|1423.91|0|0|2234.28|2041.85|406.13|2187.34|2122.56|2066.71|1990.8|2231.66|1869.75|2187.34|755.92|736.2|755.92|2419.66|2419.66|467.26|677.04|482.68|2516.45|2231.66|2231.66|471.93|523.33|513.99|560.71|657.32|2110.7|2110.7|690.19|2056.67|1183.18|690.19|677.04|0|2516.45
Professional|||68020|INCISE/DRAIN CONJUNCTIVA|423|423|343.95|317.25|359.55|380.7|359.55|383.11|238|223.72|0|0|376.36|343.95|68.21|368.46|357.54|348.13|335.35|375.92|317.25|368.46|127.47|124.14|127.47|410.09|410.09|78.77|114.17|81.37|426.49|375.92|375.92|79.56|88.22|86.65|94.52|110.84|354.04|354.04|116.38|344.98|199.51|116.38|114.17|0|426.49
Professional|||68420|INCISE/DRAIN TEAR SAC|637|637|521.93|477.75|541.45|573.3|541.45|1033.51|646.8|607.99|0|0|571.11|521.93|103.95|559.12|542.56|528.28|508.88|570.45|477.75|559.12|193.17|188.13|193.17|618.44|618.44|119.31|173.01|123.25|643.18|570.45|570.45|120.5|133.63|131.24|143.17|167.97|540.69|540.69|176.37|526.85|302.35|176.37|173.01|0|1033.51
Professional|||68700|REPAIR TEAR DUCTS|2296|2296|1874.79|1722|1951.6|2066.4|1951.6|1912.22|1183|1112.02|0|0|2051.47|1874.79|373.45|2008.37|1948.9|1897.61|1827.92|2049.07|1722|2008.37|696.73|678.55|696.73|2228.46|2228.46|430.57|624.03|444.78|2317.6|2049.07|2049.07|434.88|482.24|473.63|516.68|605.85|1937.63|1937.63|636.14|1888.03|1090.53|636.14|624.03|0|2317.6
Professional|||68720|CREATE TEAR SAC-NASAL FISTULA|2884|2884|2358.5|2163|2451.4|2595.6|2451.4|2405.59|1486.1|1396.93|0|0|2580.77|2358.5|467.7|2526.55|2451.73|2387.21|2299.54|2577.74|2163|2526.55|903.05|879.49|903.05|2799.42|2799.42|558.1|808.82|576.52|2911.4|2577.74|2577.74|563.68|625.07|613.91|669.72|785.26|2427.42|2427.42|824.52|2365.28|1413.47|824.52|808.82|0|2911.4
Professional|||68750|CREATE CONJUNC-NASAL FISTULA+*|3005|3005|2455.68|2253.75|2554.25|2704.5|2554.25|2504.71|1547.7|1454.84|0|0|2687.11|2455.68|486.47|2630.66|2552.75|2485.57|2394.29|2683.96|2253.75|2630.66|946.66|921.96|946.66|2916.77|2916.77|585.04|847.88|604.35|3033.44|2683.96|2683.96|590.89|655.24|643.54|702.05|823.18|2522.45|2522.45|864.34|2457.88|1481.72|864.34|847.88|0|3033.44
Professional|||68761|CLOSE TEAR DUCT OPENING BY PL*|451|451|366.88|338.25|383.35|405.9|383.35|469.98|293.3|275.7|0|0|401.45|366.88|73.71|393.02|381.38|371.34|357.71|400.98|338.25|393.02|136.3|132.74|136.3|437.78|437.78|84.16|122.08|86.94|455.29|400.98|400.98|85|94.26|92.58|100.99|118.52|381.18|381.18|124.45|371.42|213.34|124.45|122.08|0|469.98
Professional|||68801|DILATION NASOLACRIMAL DUCT|299|299|242.4|224.25|254.15|269.1|254.15|286.22|179.2|168.45|0|0|265.25|242.4|54.08|259.67|251.98|245.35|236.34|264.93|224.25|259.67|89.79|87.45|89.79|290.1|290.1|55.42|80.42|57.25|301.7|264.93|264.93|55.97|62.07|60.96|66.5|78.08|253.37|253.37|81.98|246.89|140.54|81.98|80.42|0|301.7
Professional|||68810|PROBE NASOLACRIMAL DUCT|488|488|397.45|366|414.8|439.2|414.8|497.82|310.1|291.49|0|0|434.91|397.45|94.23|425.77|413.16|402.29|387.51|434.4|366|425.77|147.44|143.6|147.44|473.38|473.38|91.09|132.06|94.1|492.32|434.4|434.4|92|102.02|100.2|109.31|128.21|409.48|409.48|134.62|399|230.78|134.62|132.06|0|497.82
Professional|||68811|PROBE NASOLAC DUCT W GEN ANES*|517|517|422.57|387.75|439.45|465.3|439.45|431|266|250.04|0|0|462.39|422.57|103.29|452.67|439.27|427.71|412.01|461.85|387.75|452.67|156.04|151.97|156.04|501.07|501.07|96.22|139.76|99.4|521.11|461.85|461.85|97.18|107.77|105.84|115.46|135.69|437.75|437.75|142.47|426.55|244.24|142.47|139.76|0|521.11
Professional|||68815|PROBE NASOLAC DUCTINSERT TUB*|845|845|688.99|633.75|718.25|760.5|718.25|1248.46|781.9|734.99|0|0|753.92|688.99|137.28|738.08|716.22|697.37|671.77|753.04|633.75|738.08|256.02|249.35|256.02|820.18|820.18|158.06|229.31|163.28|852.99|753.04|753.04|159.64|177.03|173.87|189.67|222.63|711.49|711.49|233.76|693.27|400.73|233.76|229.31|0|1248.46
Professional|||68840|EXPLORE LACRIMAL CANALICULI|445|445|361.42|333.75|378.25|400.5|378.25|408.73|254.8|239.51|0|0|395.48|361.42|72.62|387.17|375.7|365.82|352.38|395.02|333.75|387.17|134.25|130.75|134.25|431.18|431.18|82.88|120.24|85.62|448.43|395.02|395.02|83.71|92.83|91.17|99.46|116.74|373.27|373.27|122.58|363.71|210.13|122.58|120.24|0|448.43
Professional|||69000|DRAIN EXT EAR ABSC/BLOODSIMP*|451|451|373.43|338.25|383.35|405.9|383.35|499.8|364.7|342.82|0|0|326.58|373.43|73.28|400.04|310.25|302.08|364.09|408.14|338.25|400.04|138.75|135.13|138.75|437.78|437.78|85.7|124.27|88.53|455.29|408.14|408.14|86.56|95.98|94.27|102.84|120.65|384.58|384.58|126.68|374.74|217.17|126.68|124.27|0|499.8
Professional|||69005|DRAIN EXT EAR ABSC/BLOODCOMP*|587|587|491.36|440.25|498.95|528.3|498.95|579.16|417.9|392.83|0|0|429.71|491.36|96.24|526.37|408.22|397.48|479.08|537.03|440.25|526.37|179.5|174.82|179.5|569.64|569.64|110.85|160.77|114.51|592.43|537.03|537.03|111.96|124.15|121.94|133.02|156.09|506.75|506.75|163.89|493.77|280.96|163.89|160.77|0|592.43
Professional|||69020|DRAIN EXT AUD CANAL ABSCESS|533|533|440.04|399.75|453.05|479.7|453.05|620.73|453.6|426.38|0|0|384.82|440.04|88.29|471.39|365.58|355.96|429.04|480.94|399.75|471.39|161.68|157.46|161.68|516.9|516.9|99.81|144.81|103.1|537.58|480.94|480.94|100.81|111.79|109.79|119.77|140.59|459.25|459.25|147.62|447.49|253.06|147.62|144.81|0|620.73
Professional|||69105|BIOPSY OF EXT AUDITORY CANAL|234|234|195.45|175.5|198.9|210.6|198.9|376.98|276.5|259.91|0|0|170.93|195.45|39.06|209.38|162.38|158.11|190.56|213.62|175.5|209.38|71.35|69.48|71.35|226.8|226.8|43.87|63.9|45.32|235.87|213.62|213.62|44.31|49.13|48.26|52.64|62.04|205.88|205.88|65.14|200.61|111.67|65.14|63.9|0|376.98
Professional|||69110|REMOVAL EXTERNAL EARPARTIAL|1212|1212|1005.64|909|1030.2|1090.8|1030.2|1228.24|892.5|838.95|0|0|879.46|1005.64|200.64|1077.29|835.49|813.5|980.5|1099.12|909|1077.29|374.15|364.39|374.15|1176.21|1176.21|231.19|335.11|238.82|1223.26|1099.12|1099.12|233.5|258.93|254.31|277.43|325.35|1049.71|1049.71|341.62|1022.84|585.63|341.62|335.11|0|1228.24
Professional|||69120|REMOVAL EXTERNAL EARTOTAL|1497|1497|1242.58|1122.75|1272.45|1347.3|1272.45|1075.18|771.4|725.12|0|0|1086.68|1242.58|252.73|1331.12|1032.34|1005.18|1211.52|1358.09|1122.75|1331.12|451.18|439.41|451.18|1453.11|1453.11|278.92|404.1|288.12|1511.23|1358.09|1358.09|281.71|312.39|306.81|334.7|392.33|1312.13|1312.13|411.95|1278.54|706.19|411.95|404.1|0|1511.23
Professional|||69200|REMV EXT CANAL FOREIGN BODY|177|177|147.41|132.75|150.45|159.3|150.45|219.19|158.9|149.37|0|0|128.91|147.41|28.69|157.91|122.47|119.24|143.72|161.11|132.75|157.91|53.33|51.93|53.33|171.42|171.42|32.84|47.76|33.92|178.28|161.11|161.11|33.17|36.78|36.12|39.41|46.37|153.84|153.84|48.69|149.9|83.47|48.69|47.76|0|219.19
Professional|||69205|REMV EXT CANAL F.B.GEN ANESTH|371|371|307.92|278.25|315.35|333.9|315.35|266.43|191.1|179.63|0|0|269.28|307.92|62.68|329.86|255.82|249.09|300.22|336.54|278.25|329.86|111.39|108.48|111.39|359.99|359.99|68.76|99.77|71.03|374.39|336.54|336.54|69.45|77.01|75.64|82.51|96.86|328.04|328.04|101.7|319.64|174.35|101.7|99.77|0|374.39
Professional|||69209|PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT|53|53|43.68|39.75|45.05|47.7|45.05|37.79|28|26.32|0|0|38.2|43.68|7.95|46.79|36.29|35.33|42.59|47.74|39.75|46.79|16.53|16.09|16.53|51.43|51.43|10|14.8|10.33|53.49|47.74|47.74|10.1|11.2|11|12|14.37|40.72|40.72|15.09|39.68|25.87|15.09|14.8|0|53.49
Professional|||69210|PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT|123|123|102.64|92.25|104.55|110.7|104.55|126.6|91|85.54|0|0|89.76|102.64|19.64|109.95|85.27|83.03|100.07|112.18|92.25|109.95|37.57|36.59|37.57|118.68|118.68|23.09|33.65|23.85|123.43|112.18|112.18|23.32|25.86|25.4|27.71|32.67|106.34|106.34|34.3|103.62|58.81|34.3|33.65|0|126.6
Professional|||69222|DEBRIDE MASTOID CAVITYCOMPLEX|507|507|419.29|380.25|430.95|456.3|430.95|578.22|422.8|397.43|0|0|366.68|419.29|84.97|449.16|348.35|339.18|408.81|458.27|380.25|449.16|153.59|149.59|153.59|491.85|491.85|94.94|137.57|98.07|511.52|458.27|458.27|95.89|106.33|104.43|113.93|133.56|441.16|441.16|140.24|429.86|240.41|140.24|137.57|0|578.22
Professional|||69421|INCISION EARDRUMASPIRGEN AN*|553|553|460.78|414.75|470.05|497.7|470.05|398.71|285.6|268.46|0|0|402.97|460.78|92.03|493.61|382.82|372.75|449.26|503.61|414.75|493.61|169.14|164.73|169.14|536.68|536.68|104.43|151.49|107.88|558.15|503.61|503.61|105.47|116.96|114.87|125.32|147.08|480.74|480.74|154.43|468.44|264.74|154.43|151.49|0|558.15
Professional|||69433|CREATE EARDRUM OPENINGLOCAL *|492|492|409.46|369|418.2|442.8|418.2|535.7|389.9|366.51|0|0|358.09|409.46|81.89|438.64|340.18|331.23|399.22|447.53|369|438.64|149.48|145.58|149.48|477.34|477.34|92.37|133.88|95.42|496.43|447.53|447.53|93.29|103.45|101.61|110.84|129.98|427.57|427.57|136.48|416.63|233.96|136.48|133.88|0|535.7
Professional|||69436|CREATE EARDRUM OPENINGGEN AN*|591|591|492.45|443.25|502.35|531.9|502.35|426.1|305.2|286.89|0|0|430.66|492.45|98.87|527.53|409.13|398.36|480.14|538.22|443.25|527.53|179.55|174.87|179.55|573.6|573.6|110.85|160.81|114.51|596.54|538.22|538.22|111.96|124.15|121.94|133.02|156.13|518.06|518.06|163.94|504.8|281.03|163.94|160.81|0|596.54
Professional|||69631|TYMPANOPLASTY|3309|3309|2743.94|2481.75|2812.65|2978.1|2812.65|2374.28|1705.2|1602.89|0|0|2399.66|2743.94|548.71|2939.46|2279.68|2219.69|2675.34|2999.01|2481.75|2939.46|1011.56|985.17|1011.56|3212.15|3212.15|625.33|906.01|645.97|3340.64|2999.01|2999.01|631.58|700.37|687.86|750.4|879.62|2857.26|2857.26|923.6|2784.12|1583.32|923.6|906.01|0|3340.64
Professional|||69633|TYMPANOPLASTYREBLD OSSIC CHA*|3904|3904|3244.03|2928|3318.4|3513.6|3318.4|2807|2011.8|1891.09|0|0|2837.01|3244.03|646.7|3475.18|2695.16|2624.23|3162.93|3545.59|2928|3475.18|1192|1160.9|1192|3789.7|3789.7|736.95|1067.62|761.27|3941.29|3545.59|3545.59|744.32|825.38|810.65|884.34|1036.52|3377.59|3377.59|1088.35|3291.14|1865.74|1088.35|1067.62|0|3941.29
Professional|||69660|STAPEDECTOMY|3449|3449|2878.25|2586.75|2931.65|3104.1|2931.65|2490.49|1777.3|1670.66|0|0|2517.12|2878.25|571.67|3083.33|2391.26|2328.33|2806.29|3145.8|2586.75|3083.33|1052.53|1025.07|1052.53|3347.97|3347.97|650.73|942.7|672.2|3481.89|3145.8|3145.8|657.24|728.82|715.8|780.88|915.24|2997.52|2997.52|961|2920.79|1647.43|961|942.7|0|3481.89
Professional|||69990|MICROSURG TECHNIQUESREQ OPER*|764|764|698.82|573|649.4|687.6|649.4|604.67|389.2|365.85|0|0|611.14|698.82|122.06|748.61|580.58|565.3|681.35|763.78|573|748.61|228.91|222.94|228.91|733.15|733.15|141.38|205.02|146.05|762.48|763.78|763.78|142.79|158.35|155.52|169.66|199.05|727.31|727.31|209|708.69|358.29|209|205.02|0|764
Professional|||70350|X-RAY HEAD FOR ORTHODONTIA|28|28|47.49|21|23.8|25.2|23.8|50.07|35.7|33.56|0|0|50.61|47.49|11.92|49.96|48.08|46.81|46.3|46.04|21|49.96|19.95|19.43|19.95|26.35|26.35|12.31|17.87|12.72|27.4|46.04|46.04|12.43|13.79|13.54|14.77|17.35|50.93|50.93|18.22|49.63|31.23|18.22|17.87|0|50.93
Professional|||70355|ORTHOPANTOGRAM|31|31|50.18|23.25|26.35|27.9|26.35|52.91|37.8|35.53|0|0|53.47|50.18|12.36|52.79|50.8|49.46|48.93|48.65|23.25|52.79|22.03|21.46|22.03|27.9|27.9|13.59|19.73|14.04|29.02|48.65|48.65|13.73|15.22|14.95|16.31|19.16|53.64|53.64|20.12|52.27|34.49|20.12|19.73|0|53.64
Professional|||70486|CT SCANMAXILLOFACIAL AREAW/*|119|119|351.23|89.25|101.15|107.1|101.15|370.36|273.7|257.28|0|0|374.32|351.23|86.96|369.54|355.6|346.25|342.45|340.53|89.25|369.54|162.59|158.35|162.59|202|202|100.33|145.62|103.64|210.08|340.53|340.53|101.33|112.37|110.36|120.4|141.38|357.37|357.37|148.45|348.22|254.48|148.45|145.62|0|374.32
Professional|||71275|CT ANGIO CHEST (NON-CORON) COMBO INCL IMG PROC|694|694|761.6|520.5|589.9|624.6|589.9|803.08|595|559.3|0|0|811.67|761.6|186.5|801.3|771.08|750.79|742.56|738.4|520.5|801.3|316.57|308.31|316.57|438.63|438.63|195.52|283.54|201.97|456.18|738.4|738.4|197.48|218.98|215.07|234.62|275.28|771.14|771.14|289.04|751.4|495.5|289.04|283.54|0|811.67
Professional|||71275|CT ANGIO CHEST (NON-CORON) COMBO INCL IMG PROC|252|694|761.6|520.5|589.9|624.6|589.9|803.08|595|559.3|0|0|811.67|761.6|186.5|801.3|771.08|750.79|742.56|738.4|520.5|801.3|316.57|308.31|316.57|438.63|438.63|195.52|283.54|201.97|456.18|738.4|738.4|197.48|218.98|215.07|234.62|275.28|771.14|771.14|289.04|751.4|495.5|289.04|283.54|0|811.67
Professional|||74174|CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES|901|901|999.94|675.75|765.85|810.9|765.85|1054.4|781.2|734.33|0|0|1065.67|999.94|241.91|1052.05|1012.38|985.74|974.94|969.47|675.75|1052.05|473.92|461.55|473.92|576.56|576.56|292.78|424.46|302.44|599.62|969.47|969.47|295.71|327.91|322.06|351.34|412.1|998.47|998.47|432.71|972.91|741.78|432.71|424.46|0|1065.67
Professional|||74174|CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES|302|901|999.94|675.75|765.85|810.9|765.85|1054.4|781.2|734.33|0|0|1065.67|999.94|241.91|1052.05|1012.38|985.74|974.94|969.47|675.75|1052.05|473.92|461.55|473.92|576.56|576.56|292.78|424.46|302.44|599.62|969.47|969.47|295.71|327.91|322.06|351.34|412.1|998.47|998.47|432.71|972.91|741.78|432.71|424.46|0|1065.67
Professional|||74328|X-RAY FOR BILE DUCT ENDOSCOPY|100|100|0|75|85|90|85|414.89|0|0|0|0|419.33|0|73.05|0|398.36|387.88|0|87.74|75|0|192.25|187.23|192.25|238.69|238.69|84.67|172.19|87.46|248.24|87.74|87.74|85.52|94.83|93.14|101.6|167.17|441.69|441.69|175.53|430.39|300.91|175.53|172.19|0|441.69
Professional|||74329|X-RAY FOR PANCREAS ENDOSCOPY|100|100|0|75|85|90|85|414.89|0|0|0|0|419.33|0|63.12|0|398.36|387.88|0|87.74|75|0|192.25|187.23|192.25|239.2|239.2|72.61|172.19|75.01|248.77|87.74|87.74|73.34|81.32|79.87|87.13|167.17|441.74|441.74|175.53|430.43|300.91|175.53|172.19|0|441.74
Professional|||74330|X-RAY BILE/PANCREAS ENDOSCOPY|127|127|0|95.25|107.95|114.3|107.95|435.28|0|0|0|0|439.94|0|103.74|0|417.94|406.94|0|112.06|95.25|0|203.78|198.46|203.78|253.16|253.16|120.65|182.52|124.63|263.29|112.06|112.06|121.86|135.13|132.72|144.78|177.2|467.84|467.84|186.06|455.87|318.96|186.06|182.52|0|467.84
Professional|||74360|X-RAY GUIDE GI DILATION|79|79|0|59.25|67.15|71.1|67.15|397.81|0|0|0|0|402.06|0|73.05|0|381.96|371.91|0|69.5|59.25|0|182.95|178.18|182.95|227.84|227.84|83.13|163.86|85.87|236.95|69.5|69.5|83.96|93.11|91.44|99.76|159.09|420.21|420.21|167.04|409.45|286.36|167.04|163.86|0|420.21
Professional|||74363|PERCUT TRANSHEPAT DILATBILE *|120|120|0|90|102|108|102|720.41|0|0|0|0|728.11|0|75.7|0|691.71|673.5|0|105.98|90|0|175.89|171.3|175.89|218.03|218.03|89.04|157.54|91.98|226.75|105.98|105.98|89.93|99.72|97.94|106.85|152.95|717.01|717.01|160.6|698.66|275.31|160.6|157.54|0|728.11
Professional|||74485|CHG DILATION URETERS/URETHRA RS&I|111|111|270.59|83.25|94.35|99.9|94.35|285.33|211.4|198.72|0|0|288.38|270.59|57.39|284.7|273.96|266.75|263.83|262.35|83.25|284.7|132.48|129.02|132.48|155.51|155.51|81.85|118.66|84.55|161.73|262.35|262.35|82.67|91.67|90.04|98.22|115.2|235.52|235.52|120.96|229.49|207.36|120.96|118.66|0|288.38
Professional|||75557|CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST|320|320|820.74|240|272|288|272|865.44|641.2|602.73|0|0|874.69|820.74|197.99|863.51|830.95|809.09|800.22|795.73|240|863.51|374.54|364.77|374.54|472.72|472.72|231.45|335.46|239.09|491.63|795.73|795.73|233.76|259.22|254.6|277.74|325.69|822.04|822.04|341.97|801|586.24|341.97|335.46|0|874.69
Professional|||75561|CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ|353|353|1077.89|264.75|300.05|317.7|300.05|1136.59|842.8|792.23|0|0|1148.74|1077.89|263.53|1134.07|1091.31|1062.59|1050.94|1045.05|264.75|1134.07|492.17|479.33|492.17|622.03|622.03|304.07|440.81|314.1|646.91|1045.05|1045.05|307.11|340.56|334.48|364.88|427.97|1091.21|1091.21|449.37|1063.27|770.35|449.37|440.81|0|1148.74
Professional|||75565|CARD MRI VEL FLW MAP ADD-ON|34|34|135.3|25.5|28.9|30.6|28.9|142.66|106.4|100.02|0|0|144.19|135.3|34.21|142.35|136.98|133.38|131.92|131.17|25.5|142.35|61.77|60.16|61.77|78.01|78.01|37.97|55.32|39.22|81.13|131.17|131.17|38.35|42.53|41.77|45.56|53.71|140.96|140.96|56.4|137.35|96.68|56.4|55.32|0|144.19
Professional|||75571|CT HRT W/O DYE W/CA TEST|222|222|261.63|166.5|188.7|199.8|188.7|275.88|204.4|192.14|0|0|278.83|261.63|55.6|275.27|264.89|257.92|255.09|253.66|166.5|275.27|122.53|119.34|122.53|150.34|150.34|75.69|109.75|78.19|156.35|253.66|253.66|76.45|84.77|83.26|90.83|106.55|259.16|259.16|111.88|252.52|191.79|111.88|109.75|0|278.83
Professional|||75571|CT HRT W/O DYE W/CA TEST|80|222|261.63|166.5|188.7|199.8|188.7|275.88|204.4|192.14|0|0|278.83|261.63|55.6|275.27|264.89|257.92|255.09|253.66|166.5|275.27|122.53|119.34|122.53|150.34|150.34|75.69|109.75|78.19|156.35|253.66|253.66|76.45|84.77|83.26|90.83|106.55|259.16|259.16|111.88|252.52|191.79|111.88|109.75|0|278.83
Professional|||75572|CT HRT W/3D IMAGE|466|466|673.79|349.5|396.1|419.4|396.1|710.49|525.7|494.16|0|0|718.08|673.79|176.58|708.91|682.18|664.23|656.95|653.26|349.5|708.91|290.84|283.25|290.84|387.99|387.99|179.62|260.49|185.55|403.51|653.26|653.26|181.42|201.17|197.58|215.54|252.9|728.39|728.39|265.55|709.75|455.22|265.55|260.49|0|728.39
Professional|||75573|CT HRT W/3D IMAGE CONGEN|671|671|912.13|503.25|570.35|603.9|570.35|961.81|711.9|669.19|0|0|972.09|912.13|245.89|959.67|923.48|899.18|889.33|884.34|503.25|959.67|357.81|348.48|357.81|524.9|524.9|221.18|320.47|228.48|545.9|884.34|884.34|223.39|247.72|243.3|265.42|311.14|1003|1003|326.7|977.33|560.05|326.7|320.47|0|1003
Professional|||75574|CT ANGIO HRT W/3D IMAGE|327|327|989.18|245.25|277.95|294.3|277.95|1043.06|772.8|726.43|0|0|1054.21|989.18|220.72|1040.74|1001.5|975.14|964.45|959.04|245.25|1040.74|348.62|339.53|348.62|569.85|569.85|215.28|312.24|222.38|592.64|959.04|959.04|217.43|241.11|236.81|258.34|303.15|1081.22|1081.22|318.31|1053.55|545.67|318.31|312.24|0|1081.22
Professional|||75600|ANGIO AORTOGRAM THORACIC|68|68|504.45|51|57.8|61.2|57.8|627.01|394.8|371.11|0|0|672.67|504.45|123.82|530.74|639.04|622.22|491.84|489.08|51|530.74|234.61|228.49|234.61|290.86|290.86|144.97|210.13|149.75|302.49|489.08|489.08|146.42|162.37|159.47|173.96|204.01|507.42|507.42|214.21|494.43|367.22|214.21|210.13|0|672.67
Professional|||75605|ANGIO AORTOGRAM THOR SERIAL|154|154|338.69|115.5|130.9|138.6|130.9|420.98|261.8|246.09|0|0|451.63|338.69|85.86|356.34|429.05|417.76|330.22|328.37|115.5|356.34|150.86|146.92|150.86|192.71|192.71|93.14|135.12|96.21|200.42|328.37|328.37|94.07|104.32|102.45|111.77|131.18|354.66|354.66|137.74|345.58|236.12|137.74|135.12|0|451.63
Professional|||75625|ANGIO AORTOGRAM ABD SERIAL|154|154|334.21|115.5|130.9|138.6|130.9|415.41|256.2|240.83|0|0|445.66|334.21|84.97|351.63|423.38|412.24|325.85|324.03|115.5|351.63|158.76|154.62|158.76|188.57|188.57|98.02|142.19|101.25|196.11|324.03|324.03|99|109.78|107.82|117.62|138.05|352.83|352.83|144.95|343.8|248.49|144.95|142.19|0|445.66
Professional|||75630|ANGIO AORTOBIFEMORAL W CATH|242|242|419.33|181.5|205.7|217.8|205.7|521.21|321.3|302.02|0|0|559.17|419.33|104.62|441.18|531.21|517.23|408.85|406.55|181.5|441.18|195.59|190.49|195.59|237.13|237.13|120.85|175.18|124.84|246.62|406.55|406.55|122.06|135.35|132.94|145.02|170.08|437.38|437.38|178.58|426.19|306.14|178.58|175.18|0|559.17
Professional|||75705|ANGIO SPINAL SELECTV|323|323|638.85|242.25|274.55|290.7|274.55|794.07|485.1|455.99|0|0|851.89|638.85|148.98|672.15|809.3|788|622.88|619.38|242.25|672.15|286.91|279.43|286.91|358.03|358.03|177.31|256.97|183.16|372.35|619.38|619.38|179.08|198.59|195.04|212.77|249.49|635.63|635.63|261.96|619.36|449.08|261.96|256.97|0|851.89
Professional|||75710|ANGIO EXTREMITY UNILAT|238|238|423.81|178.5|202.3|214.2|202.3|526.78|322.7|303.34|0|0|565.14|423.81|100.87|445.9|536.88|522.75|413.21|410.9|178.5|445.9|187.35|182.46|187.35|238.17|238.17|115.72|167.8|119.54|247.7|410.9|410.9|116.88|129.61|127.29|138.86|162.91|416.48|416.48|171.06|405.82|293.24|171.06|167.8|0|565.14
Professional|||75716|ANGIO EXTERMITY BILAT|266|266|451.58|199.5|226.1|239.4|226.1|561.3|345.8|325.05|0|0|602.18|451.58|115.66|475.12|572.07|557.02|440.29|437.82|199.5|475.12|200.79|195.55|200.79|255.22|255.22|123.93|179.84|128.02|265.43|437.82|437.82|125.17|138.8|136.32|148.72|174.6|479.22|479.22|183.33|466.95|314.28|183.33|179.84|0|602.18
Professional|||75726|ANGIO VISCERAL SELECTV/SUBSEL*|167|167|365.57|125.25|141.95|150.3|141.95|454.39|283.5|266.49|0|0|487.48|365.57|92.7|384.62|463.1|450.92|356.43|354.43|125.25|384.62|213.85|208.28|213.85|209.24|209.24|132.14|191.54|136.5|217.61|354.43|354.43|133.46|148|145.35|158.57|185.96|383.74|383.74|195.26|373.92|334.73|195.26|191.54|0|487.48
Professional|||75736|ANGIO PELVIS|152|152|392.45|114|129.2|136.8|129.2|487.8|303.8|285.57|0|0|523.32|392.45|99.1|412.9|497.16|484.07|382.64|380.49|114|412.9|174.95|170.39|174.95|223.71|223.71|108.02|156.69|111.58|232.66|380.49|380.49|109.1|120.98|118.82|129.62|152.13|411.03|411.03|159.74|400.51|273.83|159.74|156.69|0|523.32
Professional|||75741|ANGIO PULMON UNILAT SELECT|175|175|370.05|131.25|148.75|157.5|148.75|459.96|287|269.78|0|0|493.45|370.05|93.8|389.34|468.78|456.44|360.8|358.77|131.25|389.34|165.9|161.57|165.9|211.31|211.31|102.38|148.59|105.76|219.76|358.77|358.77|103.4|114.67|112.62|122.86|144.26|387.39|387.39|151.47|377.48|259.67|151.47|148.59|0|493.45
Professional|||75743|ANGIO PULMON BILAT SELECT|222|222|415.74|166.5|188.7|199.8|188.7|516.76|321.3|302.02|0|0|554.39|415.74|104.62|437.41|526.67|512.81|405.35|403.08|166.5|437.41|187.01|182.13|187.01|237.13|237.13|115.47|167.5|119.28|246.62|403.08|403.08|116.62|129.33|127.02|138.56|162.62|433.76|433.76|170.75|422.66|292.72|170.75|167.5|0|554.39
Professional|||75746|ANGIO PULMON BILAT NONSELEC|154|154|372.74|115.5|130.9|138.6|130.9|463.3|289.8|272.41|0|0|497.04|372.74|94.47|392.16|472.18|459.76|363.42|361.38|115.5|392.16|168.2|163.81|168.2|213.89|213.89|103.92|150.65|107.35|222.45|361.38|361.38|104.96|116.39|114.31|124.7|146.26|393.75|393.75|153.57|383.67|263.27|153.57|150.65|0|497.04
Professional|||75756|ANGIO INTERN MAMMARY|158|158|429.18|118.5|134.3|142.2|134.3|533.46|330.4|310.58|0|0|572.31|429.18|102.42|451.55|543.69|529.39|418.45|416.11|118.5|451.55|189.67|184.72|189.67|243.33|243.33|117.26|169.88|121.13|253.06|416.11|416.11|118.43|131.33|128.99|140.71|164.93|436.5|436.5|173.18|425.32|296.87|173.18|169.88|0|572.31
Professional|||75774|ANGIO EA ADDNL SELECTV VESSEL|83|83|208.77|62.25|70.55|74.7|70.55|259.49|163.1|153.31|0|0|278.39|208.77|54.74|219.65|264.47|257.51|203.55|202.41|62.25|219.65|124.46|121.22|124.46|119.86|119.86|76.72|111.48|79.25|124.65|202.41|202.41|77.49|85.93|84.39|92.06|108.23|221.88|221.88|113.64|216.21|194.81|113.64|111.48|0|278.39
Professional|||75820|VENOGRAM EXTREM UNILAT|190|190|282.24|142.5|161.5|171|161.5|350.82|219.1|205.95|0|0|376.36|282.24|71.95|296.95|357.54|348.13|275.18|273.64|142.5|296.95|125.43|122.16|125.43|161.19|161.19|77.49|112.34|80.05|167.64|273.64|273.64|78.26|86.79|85.24|92.99|109.07|296.45|296.45|114.52|288.87|196.33|114.52|112.34|0|376.36
Professional|||75822|VENOGRAM EXTREM BILAT|222|222|329.73|166.5|188.7|199.8|188.7|409.84|254.8|239.51|0|0|439.69|329.73|85.2|346.91|417.7|406.71|321.49|319.68|166.5|346.91|146.28|142.46|146.28|187.54|187.54|90.32|131.02|93.3|195.04|319.68|319.68|91.22|101.16|99.35|108.38|127.2|351.92|351.92|133.56|342.91|228.96|133.56|131.02|0|439.69
Professional|||75825|VENOGRAM INFER VENA CAVA|154|154|329.73|115.5|130.9|138.6|130.9|409.84|253.4|238.2|0|0|439.69|329.73|84.09|346.91|417.7|406.71|321.49|319.68|115.5|346.91|145|141.22|145|186.51|186.51|89.55|129.87|92.51|193.97|319.68|319.68|90.45|100.3|98.51|107.46|126.09|348.27|348.27|132.39|339.36|226.96|132.39|129.87|0|439.69
Professional|||75827|VENOGRAM SUPER VENA CAVA|156|156|342.27|117|132.6|140.4|132.6|425.43|262.5|246.75|0|0|456.41|342.27|85.2|360.11|433.59|422.18|333.71|331.84|117|360.11|150.62|146.69|150.62|193.23|193.23|92.88|134.9|95.95|200.96|331.84|331.84|93.81|104.03|102.17|111.46|130.97|355.54|355.54|137.52|346.44|235.75|137.52|134.9|0|456.41
Professional|||75831|VENOGRAM RENAL UNILAT|152|152|344.06|114|129.2|136.8|129.2|427.66|266|250.04|0|0|458.8|344.06|86.74|362|435.86|424.39|335.46|333.58|114|362|152.12|148.15|152.12|195.8|195.8|93.91|136.25|97.01|203.63|333.58|333.58|94.85|105.18|103.3|112.69|132.28|360.1|360.1|138.89|350.89|238.1|138.89|136.25|0|458.8
Professional|||75833|VENOGRAM RENAL BILAT|201|201|407.68|150.75|170.85|180.9|170.85|506.73|311.5|292.81|0|0|543.63|407.68|100.65|428.93|516.45|502.86|397.49|395.26|150.75|428.93|180.72|176.01|180.72|229.91|229.91|111.62|161.86|115.3|239.11|395.26|395.26|112.74|125.01|122.78|133.94|157.15|423.75|423.75|165.01|412.91|282.87|165.01|161.86|0|543.63
Professional|||75860|VENOGRAM SINUS/JUGULAR|156|156|357.5|117|132.6|140.4|132.6|444.37|276.5|259.91|0|0|476.73|357.5|88.72|376.14|452.89|440.97|348.56|346.61|117|376.14|160.1|155.93|160.1|204.07|204.07|98.79|143.4|102.05|212.23|346.61|346.61|99.78|110.64|108.67|118.55|139.22|369.2|369.2|146.18|359.75|250.6|146.18|143.4|0|476.73
Professional|||75872|VENOGRAM EPIDURAL|159|159|365.57|119.25|135.15|143.1|135.15|454.39|284.2|267.15|0|0|487.48|365.57|87.18|384.62|463.1|450.92|356.43|354.43|119.25|384.62|164.54|160.25|164.54|209.76|209.76|101.61|147.37|104.96|218.15|354.43|354.43|102.63|113.8|111.77|121.93|143.08|399.2|399.2|150.23|388.98|257.54|150.23|147.37|0|487.48
Professional|||75894|TRANSCATHETER RX EMBOLIZATN|254|254|0|190.5|215.9|228.6|215.9|3277.46|0|0|0|0|3516.13|0|585.56|0|3340.32|3252.42|0|178.95|190.5|0|1234.57|1202.36|1234.57|1539.05|1539.05|729.77|1105.75|753.85|1600.61|178.95|178.95|737.07|817.34|802.75|875.72|1073.54|2620.58|2620.58|1127.22|2553.5|1932.37|1127.22|1105.75|0|3516.13
Professional|||75898|ANGIOGRAMF/U STUDYCATH THER*|317|317|0|237.75|269.45|285.3|269.45|420.91|0|0|0|0|451.56|0|75.93|0|428.99|417.7|0|223.26|237.75|0|149.57|145.67|149.57|185.99|185.99|92.63|133.96|95.69|193.43|223.26|223.26|93.56|103.75|101.89|111.16|130.06|1956.93|1956.93|136.56|1906.84|234.11|136.56|133.96|0|1956.93
Professional|||75901|REMOVEOBST MATLCVA DEV VIA *|166|166|503.55|124.5|141.1|149.4|141.1|625.9|395.5|371.77|0|0|671.48|503.55|111.24|529.8|637.9|621.12|490.96|488.21|124.5|529.8|256.7|250.01|256.7|291.38|291.38|158.57|229.92|163.8|303.04|488.21|488.21|160.16|177.6|174.43|190.28|223.22|454.67|454.67|234.38|443.03|401.8|234.38|229.92|0|671.48
Professional|||75902|REMOVEOBST MATLCVA DEVICE V*|58|58|198.91|43.5|49.3|52.2|49.3|247.24|154.7|145.42|0|0|265.25|198.91|44.58|209.28|251.98|245.35|193.94|192.85|43.5|209.28|99.52|96.92|99.52|114.18|114.18|61.32|89.14|63.34|118.75|192.85|192.85|61.93|68.68|67.45|73.58|86.54|185.5|185.5|90.87|180.75|155.77|90.87|89.14|0|265.25
Professional|||75956|ENDOVASC REPAIR THOR AORTA IN*|1209|1209|0|906.75|1027.65|1088.1|1027.65|1093.65|0|0|0|0|1173.29|0|202.4|0|1114.63|1085.3|0|853.06|906.75|0|0|0|0|489.25|489.25|231.19|0|238.82|508.82|853.06|853.06|233.5|258.93|254.31|277.43|0|2730.47|2730.47|0|2660.58|0|0|0|0|2730.47
Professional|||75957|ENDOVASC REPAIR THOR AORTA EX*|1038|1038|0|778.5|882.3|934.2|882.3|938.85|0|0|0|0|1007.22|0|173.48|0|956.86|931.68|0|732.31|778.5|0|0|0|0|417.96|417.96|197.58|0|204.1|434.68|732.31|732.31|199.56|221.29|217.34|237.1|0|2459.69|2459.69|0|2396.72|0|0|0|0|2459.69
Professional|||75959|DELAYED PROX EXTENS ENDOVASC *|601|601|0|450.75|510.85|540.9|510.85|543.49|0|0|0|0|583.06|0|100.42|0|553.91|539.33|0|423.93|450.75|0|0|0|0|239.2|239.2|115.47|0|119.28|248.77|423.93|423.93|116.62|129.33|127.02|138.56|0|1411.88|1411.88|0|1375.74|0|0|0|0|1411.88
Professional|||75970|VASCULAR BIOPSY|140|140|0|105|119|126|119|1398.31|0|0|0|0|1500.14|0|275.01|0|1425.13|1387.63|0|98.16|105|0|598|582.4|598|745.5|745.5|315.36|535.6|325.77|775.32|98.16|98.16|318.51|353.2|346.9|378.43|520|1376.59|1376.59|546|1341.35|936|546|535.6|0|1500.14
Professional|||75984|CHANGE PERCUT TUBE/DRAIN CATH|118|118|258.94|88.5|100.3|106.2|100.3|321.86|201.6|189.5|0|0|345.3|258.94|66.43|272.44|328.03|319.4|252.47|251.05|88.5|272.44|115.2|112.19|115.2|148.27|148.27|71.07|103.18|73.42|154.2|251.05|251.05|71.78|79.6|78.18|85.28|100.17|271.9|271.9|105.18|264.94|180.31|105.18|103.18|0|345.3
Professional|||75989|RAD GUIDEDPERCUT DRAINAGEW/*|161|161|306.43|120.75|136.85|144.9|136.85|380.89|237.3|223.06|0|0|408.62|306.43|74.6|322.4|388.19|377.97|298.77|297.1|120.75|322.4|141.02|137.35|141.02|174.63|174.63|86.98|126.31|89.85|181.62|297.1|297.1|87.85|97.42|95.68|104.38|122.63|311|311|128.76|303.04|220.73|128.76|126.31|0|408.62
Professional|||76000|CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME|43|43|119.17|32.25|36.55|38.7|36.55|125.66|92.4|86.86|0|0|127|119.17|29.35|125.38|120.65|117.48|116.19|115.54|32.25|125.38|48.32|47.06|48.32|67.68|67.68|29.76|43.28|30.74|70.39|115.54|115.54|30.06|33.33|32.74|35.71|42.02|121.85|121.85|44.12|118.73|75.64|44.12|43.28|0|127
Professional|||76376|3D RENDER W/O IMAGE POSTPROCE*|28|28|58.24|21|23.8|25.2|23.8|61.41|44.8|42.11|0|0|62.07|58.24|14.12|61.28|58.97|57.41|56.78|56.47|21|61.28|26.66|25.96|26.66|32.55|32.55|16.42|23.88|16.96|33.85|56.47|56.47|16.58|18.39|18.06|19.7|23.18|60.03|60.03|24.34|58.49|41.72|24.34|23.88|0|62.07
Professional|||76705|USABDOMREAL TIMELIMITED|91|91|229.38|68.25|77.35|81.9|77.35|241.87|179.2|168.45|0|0|244.45|229.38|57.16|241.33|232.23|226.12|223.65|222.39|68.25|241.33|106.56|103.78|106.56|131.74|131.74|65.68|95.44|67.85|137.01|222.39|222.39|66.34|73.56|72.25|78.82|92.66|236.43|236.43|97.29|230.38|166.79|97.29|95.44|0|244.45
Professional|||76706|CHG US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA|95|95|286.72|71.25|80.75|85.5|80.75|302.34|224|210.56|0|0|305.57|286.72|59.41|301.66|290.29|282.65|279.55|277.98|71.25|301.66|133.46|129.98|133.46|165.32|165.32|82.36|119.53|85.08|171.93|277.98|277.98|83.18|92.24|90.6|98.83|116.05|241.88|241.88|121.85|235.69|208.89|121.85|119.53|0|305.57
Professional|||76770|USRETROPERITREAL TIMECOMPLETE|104|104|284.93|78|88.4|93.6|88.4|300.45|221.9|208.59|0|0|303.66|284.93|70.85|299.78|288.48|280.88|277.81|276.25|78|299.78|132.53|129.07|132.53|163.26|163.26|81.85|118.7|84.55|169.79|276.25|276.25|82.67|91.67|90.04|98.22|115.24|292.81|292.81|121|285.31|207.43|121|118.7|0|303.66
Professional|||76801|US PREG UTERFETAL & MAT1ST*|138|138|310.02|103.5|117.3|124.2|117.3|326.9|240.8|226.35|0|0|330.4|310.02|85.42|326.17|313.88|305.62|302.27|300.57|103.5|326.17|142.78|139.06|142.78|146.72|146.72|95.87|127.88|99.03|152.59|300.57|300.57|96.83|107.37|105.46|115.04|124.16|320.09|320.09|130.37|311.9|223.49|130.37|127.88|0|330.4
Professional|||76802|US PREG UTERFETAL & MAT1ST*|117|117|162.18|87.75|99.45|105.3|99.45|171.01|124.6|117.12|0|0|172.84|162.18|44.17|170.63|164.2|159.87|158.13|157.23|87.75|170.63|73.53|71.61|73.53|82.66|82.66|49.32|65.86|50.95|85.97|157.23|157.23|49.81|55.24|54.25|59.18|63.94|167.33|167.33|67.14|163.05|115.09|67.14|65.86|0|172.84
Professional|||76805|USPREG UTERFETAL & MAT 2-3*|153|153|355.71|114.75|130.05|137.7|130.05|375.09|276.5|259.91|0|0|379.1|355.71|98.1|374.25|360.14|350.66|346.82|344.87|114.75|374.25|163.78|159.51|163.78|165.84|165.84|109.8|146.69|113.42|172.47|344.87|344.87|110.9|122.98|120.78|131.76|142.42|369.2|369.2|149.54|359.75|256.36|149.54|146.69|0|379.1
Professional|||76810|USPREG UTERFETAL & MAT 2-3*|139|139|235.65|104.25|118.15|125.1|118.15|248.48|182|171.08|0|0|251.14|235.65|64.42|247.93|238.58|232.3|229.76|228.47|104.25|247.93|106.66|103.88|106.66|115.73|115.73|71.62|95.53|73.98|120.36|228.47|228.47|72.34|80.21|78.78|85.94|92.75|241.88|241.88|97.39|235.69|166.95|97.39|95.53|0|251.14
Professional|||76811|USPREG UTERFET & MAT+ DETL*|269|269|458.75|201.75|228.65|242.1|228.65|483.74|352.8|331.63|0|0|488.91|458.75|124.71|482.66|464.46|452.24|447.28|444.77|201.75|482.66|207.3|201.89|207.3|225.77|225.77|139.07|185.67|143.66|234.8|444.77|444.77|140.46|155.76|152.98|166.88|180.26|476.51|476.51|189.27|464.31|324.47|189.27|185.67|0|488.91
Professional|||76812|US OB DETAILED EA ADDL GEST|361|361|512.51|270.75|306.85|324.9|306.85|540.43|395.5|371.77|0|0|546.2|512.51|142.29|539.22|518.89|505.24|499.7|496.9|270.75|539.22|232.56|226.5|232.56|245.4|245.4|156.07|208.3|161.22|255.22|496.9|496.9|157.63|174.8|171.68|187.28|202.23|533.8|533.8|212.34|520.13|364.01|212.34|208.3|0|546.2
Professional|||76813|USPREG UTERNUCHAL MEAS 1ST*|168|168|309.12|126|142.8|151.2|142.8|325.96|238|223.72|0|0|329.44|309.12|83.22|325.23|312.97|304.73|301.39|299.7|126|325.23|141.43|137.74|141.43|149.83|149.83|94.75|126.67|97.88|155.82|299.7|299.7|95.7|106.12|104.23|113.7|122.98|317.36|317.36|129.13|309.23|221.36|129.13|126.67|0|329.44
Professional|||76815|USPREGNANT UTERUSLIMITED 1*|91|91|213.25|68.25|77.35|81.9|77.35|224.86|165.9|155.95|0|0|227.27|213.25|58.08|224.36|215.9|210.22|207.92|206.75|68.25|224.36|98.13|95.57|98.13|100.23|100.23|65.77|87.89|67.94|104.24|206.75|206.75|66.43|73.66|72.35|78.92|85.33|220.06|220.06|89.6|214.43|153.59|89.6|87.89|0|227.27
Professional|||76816|USPREGNANT UTERUSF/UTRANSA*|163|163|289.41|122.25|138.55|146.7|138.55|305.17|224|210.56|0|0|308.43|289.41|79.55|304.49|293.01|285.3|282.17|280.59|122.25|304.49|132.47|129.01|132.47|135.36|135.36|88.9|118.65|91.83|140.77|280.59|280.59|89.79|99.57|97.79|106.68|115.19|300.99|300.99|120.95|293.29|207.34|120.95|118.65|0|308.43
Professional|||76817|USPREGNANT UTERUSTRANSVAGIN*|108|108|244.61|81|91.8|97.2|91.8|257.93|189.7|178.32|0|0|260.69|244.61|67.11|257.36|247.65|241.14|238.49|237.16|81|257.36|111.94|109.02|111.94|115.21|115.21|74.97|100.26|77.44|119.82|237.16|237.16|75.72|83.97|82.47|89.96|97.34|252.8|252.8|102.21|246.33|175.21|102.21|100.26|0|260.69
Professional|||76818|FETAL BIOPHYSICAL PROFILE|160|160|308.22|120|136|144|136|325.01|237.3|223.06|0|0|328.49|308.22|83.71|324.29|312.06|303.85|300.51|298.83|120|324.29|137.98|134.38|137.98|146.72|146.72|92.52|123.58|95.57|152.59|298.83|298.83|93.45|103.62|101.77|111.02|119.98|321.01|321.01|125.98|312.79|215.96|125.98|123.58|0|328.49
Professional|||76819|FETAL BIOPHYS PROFW/O NST|109|109|225.79|81.75|92.65|98.1|92.65|238.09|174.3|163.84|0|0|240.63|225.79|61.25|237.56|228.6|222.59|220.15|218.91|81.75|237.56|101.43|98.78|101.43|107.46|107.46|68|90.85|70.24|111.76|218.91|218.91|68.68|76.16|74.8|81.6|88.2|234.6|234.6|92.61|228.6|158.76|92.61|90.85|0|240.63
Professional|||76820|DOPPLER FETAL UMBILICAL ARTERY|71|71|120.96|53.25|60.35|63.9|60.35|127.55|93.1|87.51|0|0|128.91|120.96|32.7|127.26|122.47|119.24|117.94|117.27|53.25|127.26|54.37|52.95|54.37|58.9|58.9|36.5|48.7|37.7|61.26|117.27|117.27|36.87|40.88|40.15|43.8|47.28|125.5|125.5|49.64|122.29|85.1|49.64|48.7|0|128.91
Professional|||76821|DOPPLER FETAL MID CEREBRAL  A*|101|101|233.86|75.75|85.85|90.9|85.85|246.59|181.3|170.42|0|0|249.23|233.86|63.94|246.04|236.77|230.54|228.01|226.73|75.75|246.04|105.94|103.17|105.94|109.53|109.53|71.06|94.88|73.4|113.91|226.73|226.73|71.77|79.59|78.17|85.27|92.12|241.88|241.88|96.73|235.69|165.82|96.73|94.88|0|249.23
Professional|||76825|US ECHOCARDIOGRAM FETAL|407|407|697.98|305.25|345.95|366.3|345.95|736|544.6|511.92|0|0|743.87|697.98|192.08|734.36|706.67|688.08|680.53|676.72|305.25|734.36|321.09|312.72|321.09|321.35|321.35|215.43|287.59|222.54|334.2|676.72|676.72|217.58|241.28|236.97|258.52|279.21|721.12|721.12|293.17|702.66|502.58|293.17|287.59|0|743.87
Professional|||76827|SONO FETAL HEART DOPPLER|80|80|189.06|60|68|72|68|199.35|147|138.18|0|0|201.48|189.06|52.47|198.91|191.41|186.37|184.33|183.3|60|198.91|85.84|83.6|85.84|88.86|88.86|57.41|76.88|59.3|92.41|183.3|183.3|57.98|64.3|63.15|68.89|74.64|196.42|196.42|78.37|191.39|134.35|78.37|76.88|0|201.48
Professional|||76937|US GUIDE VASCULAR ACCESS|46|46|86.02|34.5|39.1|41.4|39.1|90.7|66.5|62.51|0|0|91.67|86.02|19.42|90.5|87.09|84.8|83.87|83.4|34.5|90.5|42.57|41.46|42.57|49.6|49.6|26.17|38.13|27.03|51.58|83.4|83.4|26.43|29.31|28.79|31.4|37.02|80.93|80.93|38.87|78.86|66.64|38.87|38.13|0|91.67
Professional|||76942|SONO GUIDE NEEDLE BIOPSY|89|89|144.26|66.75|75.65|80.1|75.65|152.11|111.3|104.62|0|0|153.74|144.26|37.74|151.77|146.05|142.21|140.65|139.86|66.75|151.77|66.62|64.88|66.62|82.14|82.14|41.05|59.67|42.4|85.43|139.86|139.86|41.46|45.98|45.16|49.26|57.93|155.5|155.5|60.83|151.52|104.27|60.83|59.67|0|155.5
Professional|||76946|US GUIDE AMNIOCENTESIS|54|54|82.43|40.5|45.9|48.6|45.9|86.92|63|59.22|0|0|87.85|82.43|20.08|86.73|83.46|81.26|80.37|79.92|40.5|86.73|37.49|36.51|37.49|45.98|45.98|23.09|33.58|23.85|47.82|79.92|79.92|23.32|25.86|25.4|27.71|32.6|84.58|84.58|34.23|82.41|58.68|34.23|33.58|0|87.85
Professional|||77001|FLUOROGUIDE CNTRL VEN ACCESS*|61|61|228.48|45.75|51.85|54.9|51.85|240.92|178.5|167.79|0|0|243.5|228.48|43.92|240.39|231.32|225.24|222.77|221.52|45.75|240.39|112.55|109.61|112.55|131.23|131.23|69.53|100.81|71.82|136.48|221.52|221.52|70.23|77.87|76.48|83.44|97.87|216.44|216.44|102.76|210.9|176.17|102.76|100.81|0|243.5
Professional|||77002|CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON|102|102|256.26|76.5|86.7|91.8|86.7|270.21|200.2|188.19|0|0|273.1|256.26|57.83|269.61|259.45|252.62|249.85|248.45|76.5|269.61|126.74|123.44|126.74|147.24|147.24|78.26|113.52|80.84|153.13|248.45|248.45|79.04|87.65|86.09|93.91|110.21|239.17|239.17|115.72|233.04|198.38|115.72|113.52|0|273.1
Professional|||77003|CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON|109|109|248.19|81.75|92.65|98.1|92.65|261.71|193.2|181.61|0|0|264.51|248.19|53.63|261.13|251.28|244.67|241.99|240.63|81.75|261.13|118.31|115.23|118.31|142.07|142.07|73.13|105.97|75.54|147.75|240.63|240.63|73.86|81.91|80.44|87.76|102.88|241.88|241.88|108.02|235.69|185.18|108.02|105.97|0|264.51
Professional|||78451|HT MUSCLE IMAGE SPECT SING|298|298|875.39|223.5|253.3|268.2|253.3|923.07|686|644.84|0|0|932.94|875.39|220.72|921.02|886.29|862.97|853.51|848.72|223.5|921.02|401.06|390.6|401.06|506.3|506.3|247.87|359.21|256.05|526.55|848.72|848.72|250.35|277.61|272.66|297.44|348.75|902.08|902.08|366.19|878.99|627.75|366.19|359.21|0|932.94
Professional|||78452|HEART MUSCLE IMAGE TOMOGRAPHY MULTIPLE STUDIES|281|281|1218.56|210.75|238.85|252.9|238.85|1284.93|955.5|898.17|0|0|1298.66|1218.56|306.58|1282.07|1233.73|1201.26|1188.1|1181.43|210.75|1282.07|559.46|544.87|559.46|705.21|705.21|345.89|501.08|357.3|733.42|1181.43|1181.43|349.35|387.4|380.48|415.07|486.49|1253.09|1253.09|510.81|1221.01|875.68|510.81|501.08|0|1298.66
Professional|||78472|GATED HEART PLANAR SINGLE|134|134|590.46|100.5|113.9|120.6|113.9|622.62|462|434.28|0|0|629.28|590.46|148.33|621.24|597.82|582.08|575.7|572.47|100.5|621.24|270.77|263.7|270.77|340.98|340.98|167.3|242.51|172.82|354.62|572.47|572.47|168.97|187.38|184.03|200.76|235.45|607.45|607.45|247.22|591.9|423.81|247.22|242.51|0|629.28
Professional|||78800|CHG RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING|116|116|502.66|87|98.6|104.4|98.6|529.09|392|368.48|0|0|534.74|502.66|123.37|528.85|508.01|494.64|490.09|487.34|87|528.85|308.32|300.27|308.32|289.32|289.32|190.39|276.14|196.67|300.89|487.34|487.34|192.29|213.24|209.43|228.47|268.1|511.95|511.95|281.51|498.85|482.58|281.51|276.14|0|534.74
Professional|||78803|CHG RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING|184|184|878.98|138|156.4|165.6|156.4|926.85|689.5|648.13|0|0|936.76|878.98|220.72|924.79|889.92|866.5|857.01|852.19|138|924.79|463.8|451.7|463.8|508.37|508.37|286.62|415.4|296.08|528.7|852.19|852.19|289.49|321.01|315.28|343.94|403.3|908.44|908.44|423.47|885.19|725.94|423.47|415.4|0|936.76
Professional|||80048|METABOLIC PANELBASIC|15|15|12.69|11.25|12.75|13.5|12.75|12.01|18.2|17.11|0|0|11.33|12.69|11.06|13.63|10.76|10.48|12.37|10.44|11.25|13.63|9.73|9.48|9.73|9.52|9.52|0|8.71|0|9.9|10.44|10.44|0|0|0|0|8.46|11.6|11.6|8.88|11.14|15.23|8.88|8.71|0|18.2
Professional|||80081|CHG OBSTETRIC PANEL|125|125|112.29|93.75|106.25|112.5|106.25|106.27|161.7|152|0|0|100.23|112.29|97.86|120.61|95.22|92.71|109.48|91.5|93.75|120.61|86.09|83.84|86.09|84.72|84.72|0|77.11|0|88.11|91.5|91.5|0|0|0|0|74.86|102.69|102.69|78.6|98.58|134.75|78.6|77.11|0|161.7
Professional|||80188|ASSAY FOR PRIMIDONE|28|28|24.89|21|23.8|25.2|23.8|23.56|35.7|33.56|0|0|22.22|24.89|21.7|26.74|21.11|20.55|24.27|20.28|21|26.74|19.08|18.58|19.08|18.56|18.56|0|17.09|0|19.3|20.28|20.28|0|0|0|0|16.59|22.76|22.76|17.42|21.85|29.86|17.42|17.09|0|35.7
Professional|||81003|URINALYSIS AUTO W/O SCOPE|4|4|3.36|3|3.4|3.6|3.4|3.18|4.9|4.61|0|0|3|3.36|2.94|3.61|2.85|2.78|3.28|2.77|3|3.61|2.59|2.52|2.59|2.38|2.38|0|2.32|0|2.48|2.77|2.77|0|0|0|0|2.25|3.08|3.08|2.36|2.96|4.05|2.36|2.32|0|4.9
Professional|||81226|CYP2D6 GENE ANALYSIS COMMON VARIANTS|674|674|608.73|505.5|572.9|606.6|572.9|576.07|875.7|823.16|0|0|543.35|608.73|432.31|653.82|516.18|502.6|593.51|496|505.5|653.82|518.55|505.02|518.55|459.17|459.17|0|464.44|0|477.54|496|496|0|0|0|0|450.91|454.07|454.07|473.46|435.91|811.64|473.46|464.44|0|875.7
Professional|||81244|CHG FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES|68|68|60.6|51|57.8|61.2|57.8|57.35|87.5|82.25|0|0|54.09|60.6|0|65.09|51.39|50.04|59.09|49.38|51|65.09|51.62|50.28|51.62|45.7|45.7|0|46.24|0|47.53|49.38|49.38|0|0|0|0|44.89|44.89|44.89|47.13|43.09|80.8|47.13|46.24|0|87.5
Professional|||81257|CHG HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT|153|153|138.05|114.75|130.05|137.7|130.05|130.65|198.8|186.87|0|0|123.22|138.05|183.89|148.28|117.06|113.98|134.6|112.49|114.75|148.28|117.6|114.53|117.6|104.25|104.25|0|105.33|0|108.42|112.49|112.49|0|0|0|0|102.26|102.26|102.26|107.37|98.17|184.07|107.37|105.33|0|198.8
Professional|||82157|ASSAY OF ANDROSTENEDIONE|49|49|43.92|36.75|41.65|44.1|41.65|41.56|63|59.22|0|0|39.2|43.92|38.27|47.17|37.24|36.26|42.82|35.78|36.75|47.17|33.67|32.79|33.67|33.32|33.32|0|30.16|0|34.65|35.78|35.78|0|0|0|0|29.28|40.16|40.16|30.74|38.55|52.7|30.74|30.16|0|63
Professional|||82308|ASSAY OF CALCITONIN|45|45|40.19|33.75|38.25|40.5|38.25|38.03|58.1|54.61|0|0|35.87|40.19|35.02|43.17|34.08|33.18|39.19|32.75|33.75|43.17|30.81|30|30.81|30.46|30.46|0|27.59|0|31.68|32.75|32.75|0|0|0|0|26.79|36.75|36.75|28.13|35.28|48.22|28.13|27.59|0|58.1
Professional|||82379|ASSAY CARNITINE|28|28|25.3|21|23.8|25.2|23.8|23.94|36.4|34.22|0|0|22.58|25.3|22.04|27.17|21.45|20.89|24.67|20.61|21|27.17|19.4|18.89|19.4|19.04|19.04|0|17.38|0|19.8|20.61|20.61|0|0|0|0|16.87|23.14|23.14|17.71|22.21|30.37|17.71|17.38|0|36.4
Professional|||82507|ASSAY CITRATE|47|47|41.7|35.25|39.95|42.3|39.95|39.46|60.2|56.59|0|0|37.22|41.7|32.87|44.79|35.36|34.43|40.66|33.98|35.25|44.79|31.97|31.14|31.97|31.42|31.42|0|28.63|0|32.68|33.98|33.98|0|0|0|0|27.8|38.14|38.14|29.19|36.61|50.04|29.19|28.63|0|60.2
Professional|||82552|ASSAY CPK IN BLOOD|23|23|20.09|17.25|19.55|20.7|19.55|19.01|28.7|26.98|0|0|17.93|20.09|17.51|21.58|17.03|16.59|19.59|16.37|17.25|21.58|15.4|15|15.4|15.23|15.23|0|13.79|0|15.84|16.37|16.37|0|0|0|0|13.39|18.37|18.37|14.06|17.64|24.1|14.06|13.79|0|28.7
Professional|||83088|ASSAY HISTAMINE|49|49|44.29|36.75|41.65|44.1|41.65|41.92|63.7|59.88|0|0|39.54|44.29|38.61|47.57|37.56|36.57|43.18|36.09|36.75|47.57|33.96|33.07|33.96|33.32|33.32|0|30.42|0|34.65|36.09|36.09|0|0|0|0|29.53|40.51|40.51|31.01|38.89|53.15|31.01|30.42|0|63.7
Professional|||83945|ASSAY OXALATE|22|22|19.51|16.5|18.7|19.8|18.7|18.46|28|26.32|0|0|17.41|19.51|16.82|20.95|16.54|16.11|19.02|15.9|16.5|20.95|16.62|16.18|16.62|14.75|14.75|0|14.88|0|15.34|15.9|15.9|0|0|0|0|14.45|17.66|17.66|15.17|16.95|26.01|15.17|14.88|0|28
Professional|||84105|ASSAY URINE PHOSPHORUS|9|9|7.8|6.75|7.65|8.1|7.65|7.38|11.2|10.53|0|0|6.96|7.8|6.77|8.38|6.62|6.44|7.61|6.36|6.75|8.38|6.65|6.47|6.65|5.71|5.71|0|5.95|0|5.94|6.36|6.36|0|0|0|0|5.78|7.1|7.1|6.07|6.82|10.4|6.07|5.95|0|11.2
Professional|||84182|PROTEIN WESTERN BLOT TEST W*|52|52|39.43|39|44.2|46.8|44.2|49.13|56.7|53.3|0|0|49.65|39.43|23.53|42.35|47.17|45.93|38.44|45.17|39|42.35|33.59|32.72|33.59|29.51|29.51|0|30.09|0|30.69|45.17|45.17|0|0|0|0|29.21|24.69|24.69|30.67|23.7|52.58|30.67|30.09|0|56.7
Professional|||84392|ASSAY URINE SULFATE|9|9|7.41|6.75|7.65|8.1|7.65|7.01|10.5|9.87|0|0|6.62|7.41|6.21|7.96|6.28|6.12|7.22|6.04|6.75|7.96|6.31|6.15|6.31|5.71|5.71|0|5.65|0|5.94|6.04|6.04|0|0|0|0|5.49|6.51|6.51|5.76|6.25|9.88|5.76|5.65|0|10.5
Professional|||86337|INSULIN ANTIBODIES|36|36|32.12|27|30.6|32.4|30.6|30.39|46.2|43.43|0|0|28.67|32.12|27.99|34.5|27.23|26.52|31.32|26.17|27|34.5|24.62|23.98|24.62|24.27|24.27|0|22.05|0|25.24|26.17|26.17|0|0|0|0|21.41|29.37|29.37|22.48|28.2|38.54|22.48|22.05|0|46.2
Professional|||86701|HIV-1|15|15|13.32|11.25|12.75|13.5|12.75|12.61|18.9|17.77|0|0|11.89|13.32|11.62|14.31|11.3|11|12.99|10.97|11.25|14.31|10.22|9.96|10.22|10|10|0|9.16|0|10.4|10.97|10.97|0|0|0|0|8.89|12.19|12.19|9.33|11.7|16|9.33|9.16|0|18.9
Professional|||86702|HIV-2|23|23|20.28|17.25|19.55|20.7|19.55|19.19|29.4|27.64|0|0|18.1|20.28|17.67|21.78|17.19|16.74|19.77|16.52|17.25|21.78|15.55|15.14|15.55|15.23|15.23|0|13.93|0|15.84|16.52|16.52|0|0|0|0|13.52|18.54|18.54|14.2|17.8|24.34|14.2|13.93|0|29.4
Professional|||86738|MYCOPLASMA|22|22|19.86|16.5|18.7|19.8|18.7|18.79|28.7|26.98|0|0|17.73|19.86|17.31|21.33|16.84|16.4|19.36|16.18|16.5|21.33|15.23|14.83|15.23|14.75|14.75|0|13.64|0|15.34|16.18|16.18|0|0|0|0|13.24|18.16|18.16|13.9|17.43|23.83|13.9|13.64|0|28.7
Professional|||87220|TISSUE EXAM BY KOH|8|8|6.41|6|6.8|7.2|6.8|6.07|9.1|8.55|0|0|5.72|6.41|5.59|6.89|5.44|5.29|6.25|5.23|6|6.89|4.91|4.78|4.91|4.76|4.76|0|4.4|0|4.95|5.23|5.23|0|0|0|0|4.27|5.86|5.86|4.48|5.63|7.69|4.48|4.4|0|9.1
Professional|||87449|CHG IAAD IA MULT STEP METHOD NOS EACH ORGANISM|20|20|17.98|15|17|18|17|17.02|25.9|24.35|0|0|16.05|17.98|15.67|19.31|15.25|14.85|17.53|14.8|15|19.31|13.78|13.42|13.78|13.33|13.33|0|12.34|0|13.86|14.8|14.8|0|0|0|0|11.98|16.44|16.44|12.58|15.78|21.56|12.58|12.34|0|25.9
Professional|||88108|CYTOPATH FLUIDSCONCENTRATNI*|78|78|83.24|58.5|66.3|70.2|66.3|161.56|119.7|112.52|0|0|163.29|83.24|70.76|89.41|155.12|151.04|81.16|148.55|58.5|89.41|72.74|70.84|72.74|80.91|80.91|0|65.15|0|84.15|148.55|148.55|0|0|0|0|63.25|160.95|160.95|66.41|156.83|113.85|66.41|65.15|0|163.29
Professional|||88230|TISSUE CULTURE LYMPHOCYTE|418|418|174.74|313.5|355.3|376.2|355.3|165.37|251.3|236.22|0|0|155.98|174.74|152.3|187.69|148.18|144.28|170.37|142.38|313.5|187.69|133.96|130.47|133.96|131.83|131.83|0|119.98|0|137.1|142.38|142.38|0|0|0|0|116.49|404.9|404.9|122.31|394.54|209.68|122.31|119.98|0|418
Professional|||88271|CYTOGENETICS DNA PROBE|77|77|32.13|57.75|65.45|69.3|65.45|30.41|46.2|43.43|0|0|28.68|32.13|27.99|34.51|27.25|26.53|31.33|26.18|57.75|34.51|24.63|23.99|24.63|24.27|24.27|0|22.06|0|25.24|26.18|26.18|0|0|0|0|21.42|74.44|74.44|22.49|72.54|38.56|22.49|22.06|0|77
Professional|||88275|CYTOGENETICS 100-300|144|144|69.11|108|122.4|129.6|122.4|65.4|99.4|93.44|0|0|61.68|69.11|34.07|74.23|58.6|57.06|67.38|56.31|108|74.23|58.87|57.33|58.87|51.88|51.88|0|52.73|0|53.96|56.31|56.31|0|0|0|0|51.19|139.59|139.59|53.75|136.01|92.14|53.75|52.73|0|144
Professional|||88346|CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN|157|157|151.63|117.75|133.45|141.3|133.45|293.83|218.4|205.3|0|0|296.97|151.63|90.66|162.86|282.13|274.7|147.84|270.17|117.75|162.86|148.61|144.74|148.61|137.97|137.97|0|133.11|0|143.49|270.17|270.17|0|0|0|0|129.23|242.79|242.79|135.69|236.57|232.61|135.69|133.11|0|296.97
Professional|||88350|CHG IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN|86|86|106.6|64.5|73.1|77.4|73.1|205.97|153.3|144.1|0|0|208.17|106.6|71.88|114.49|197.76|192.56|103.94|189.38|64.5|114.49|108.79|105.95|108.79|96.71|96.71|0|97.44|0|100.58|189.38|189.38|0|0|0|0|94.6|188.24|188.24|99.33|183.42|170.28|99.33|97.44|0|208.17
Professional|||90471|IMMUNIZ ADMIN1 SINGLE/COMB V*|84|84|42.11|63|71.4|75.6|71.4|52.34|32.9|30.93|0|0|44.88|42.11|21.64|44.31|42.64|41.51|41.06|56.09|63|44.31|16.45|16.02|16.45|21.76|21.76|10.86|14.73|11.22|22.63|56.09|56.09|10.97|12.16|11.95|13.03|14.3|81.44|81.44|15.02|79.36|25.74|15.02|14.73|0|84
Professional|||90472|IMMUNIZADMINEACH ADDL|43|43|32.26|32.25|36.55|38.7|36.55|40.09|25.2|23.69|0|0|34.38|32.26|10.82|33.94|32.66|31.8|31.45|42.96|32.25|33.94|14.78|14.39|14.78|13.37|13.37|9.75|13.24|10.07|13.9|42.96|42.96|9.85|10.92|10.73|11.7|12.85|40.72|40.72|13.49|39.68|23.13|13.49|13.24|0|43
Professional|||90647|PR HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE|33|33|26.23|24.75|28.05|29.7|28.05|33.51|0|0|0|0|31.61|26.23|22.07|26.23|30.03|29.24|25.57|26.56|24.75|26.23|0|0|0|26.72|26.72|0|0|0|27.79|26.56|26.56|0|0|0|0|0|28.85|28.85|0|27.7|0|0|0|0|33.51
Professional|||90656|PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE|25|25|19.77|18.75|21.25|22.5|21.25|25.26|0|0|0|0|23.82|19.77|15.49|19.77|22.63|22.04|19.28|19.77|18.75|19.77|0|0|0|20.61|20.61|0|0|0|21.43|19.77|19.77|0|0|0|0|0|21.75|21.75|0|20.88|0|0|0|0|25.26
Professional|||90670|PR PCV13 VACCINE FOR INTRAMUSCULAR USE|255|255|215.33|191.25|216.75|229.5|216.75|262.04|417.9|392.83|0|0|247.16|215.33|158.27|215.33|234.8|228.62|209.95|205.11|191.25|215.33|0|0|0|223.33|223.33|0|0|0|232.26|205.11|205.11|0|0|0|0|0|207.09|207.09|0|213.31|0|0|0|0|417.9
Professional|||90707|MMR VIRUS IMMUNIZATION SUBCUT|90|90|71.68|67.5|76.5|81|76.5|90.61|0|0|0|0|85.46|71.68|41.15|71.68|81.19|79.05|69.89|74.06|67.5|71.68|0|0|0|72.53|72.53|0|0|0|75.43|74.06|74.06|0|0|0|0|0|86.55|86.55|0|83.09|0|0|0|0|90.61
Professional|||90713|POLIOMYELITIS IMMUNIZATNINAC*|40|40|32.06|30|34|36|34|40.84|0|0|0|0|38.52|32.06|24.6|32.06|36.6|35.63|31.26|32.48|30|32.06|0|0|0|32.83|32.83|0|0|0|34.14|32.48|32.48|0|0|0|0|0|36.88|36.88|0|37.14|0|0|0|0|40.84
Professional|||90714|PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE|36|36|24.11|27|30.6|32.4|30.6|29.55|46.9|44.09|0|0|27.87|24.11|18.83|24.11|26.48|25.78|23.51|23.13|27|24.11|0|0|0|24.06|24.06|0|0|0|25.02|23.13|23.13|0|0|0|0|0|34.02|34.02|0|33.61|0|0|0|0|46.9
Professional|||90715|TDAP VACCINE >7 YO IM|50|50|39.18|37.5|42.5|45|42.5|41.32|63.7|59.88|0|0|38.97|39.18|26.3|39.18|37.02|36.05|38.2|32.34|37.5|39.18|0|0|0|40.85|40.85|0|0|0|42.48|32.34|32.34|0|0|0|0|0|47.69|47.69|0|46.46|0|0|0|0|63.7
Professional|||90732|PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE|134|134|114.21|100.5|113.9|120.6|113.9|137.66|221.9|208.59|0|0|129.84|114.21|86.4|114.21|123.35|120.1|111.35|107.75|100.5|114.21|0|0|0|118.34|118.34|0|0|0|123.07|107.75|107.75|0|0|0|0|0|115.71|115.71|0|111.08|0|0|0|0|221.9
Professional|||90734|PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE|149|149|117.3|111.75|126.65|134.1|126.65|153.04|0|0|0|0|144.35|117.3|109.16|117.3|137.13|133.52|114.37|125.5|111.75|117.3|0|0|0|119.11|119.11|0|0|0|123.87|125.5|125.5|0|0|0|0|0|139.18|139.18|0|136.83|0|0|0|0|153.04
Professional|||90746|PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE|81|81|67.06|60.75|68.85|72.9|68.85|83.2|130.2|122.39|0|0|78.47|67.06|52.19|67.06|74.55|72.58|65.38|65.12|60.75|67.06|0|0|0|69.48|69.48|0|0|0|72.26|65.12|65.12|0|0|0|0|0|64.85|64.85|0|62.25|0|0|0|0|130.2
Professional|||90785|PSYCHOTHERAPY COMPLEX INTERACTIVE|47|47|34.94|35.25|39.95|42.3|39.95|46.78|28.7|26.98|7|7|37.24|34.94|12.21|36.77|35.38|34.45|34.07|46.54|35.25|36.77|15.94|15.52|15.94|16.09|16.09|11.98|14.28|12.38|16.73|46.54|46.54|12.1|13.42|13.18|14.38|13.86|44.13|44.13|14.55|43|24.95|14.55|14.28|7|47
Professional|||90791|PSYCHIATRIC DIAGNOSTIC EVALUATION|432|432|317.18|324|367.2|388.8|367.2|433.23|268.1|252.01|0|0|338.03|317.18|112.82|333.72|321.13|312.68|309.25|422.46|324|333.72|144.2|140.44|144.2|102.87|102.87|109.4|129.15|113.01|106.98|422.46|422.46|110.49|122.53|120.34|131.28|125.39|402.67|402.67|131.66|392.37|225.7|131.66|129.15|0|433.23
Professional|||90791|BRIEF PSYCHIATRIC DIAGNOSTIC EVALUATION|421|421|317.18|315.75|357.85|378.9|357.85|433.23|268.1|252.01|0|0|338.03|317.18|112.82|333.72|321.13|312.68|309.25|422.46|315.75|333.72|144.2|140.44|144.2|102.87|102.87|109.4|129.15|113.01|106.98|422.46|422.46|110.49|122.53|120.34|131.28|125.39|402.67|402.67|131.66|392.37|225.7|131.66|129.15|0|433.23
Professional|||90792|PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES|479|479|359.3|359.25|407.15|431.1|407.15|486.69|299.6|281.62|187.25|187.25|382.91|359.3|125.04|378.02|363.77|354.2|350.32|478.55|359.25|378.02|161.71|157.49|161.71|166.01|166.01|122.65|144.84|126.7|172.65|478.55|478.55|123.88|137.37|134.92|147.18|140.62|453.58|453.58|147.65|441.96|253.12|147.65|144.84|122.65|486.69
Professional|||90792|BRIEF PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES|497|497|359.3|372.75|422.45|447.3|422.45|486.69|299.6|281.62|187.25|187.25|382.91|359.3|125.04|378.02|363.77|354.2|350.32|478.55|372.75|378.02|161.71|157.49|161.71|166.01|166.01|122.65|144.84|126.7|172.65|478.55|478.55|123.88|137.37|134.92|147.18|140.62|453.58|453.58|147.65|441.96|253.12|147.65|144.84|122.65|497
Professional|||90832|PR PSYCHOTHERAPY W/PATIENT 30 MINUTES|217|217|157.7|162.75|184.45|195.3|184.45|211.6|130.9|123.05|80.25|80.25|210.28|157.7|55.93|165.92|199.77|194.51|153.76|210.04|162.75|165.92|71.97|70.09|71.97|73.27|73.27|54.54|64.46|56.34|76.2|210.04|210.04|55.09|61.08|59.99|65.45|62.58|200.2|200.2|65.71|195.08|112.64|65.71|64.46|54.54|217
Professional|||90833|PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN|227|227|164.86|170.25|192.95|204.3|192.95|219.4|135.1|126.99|55.5|55.5|219.84|164.86|57.53|173.46|208.85|203.35|160.74|219.59|170.25|173.46|74.9|72.95|74.9|76.23|76.23|56.75|67.08|58.62|79.28|219.59|219.59|57.32|63.56|62.43|68.1|65.13|208.14|208.14|68.39|202.82|117.23|68.39|67.08|55.5|227
Professional|||90834|PR PSYCHOTHERAPY W/PATIENT 45 MINUTES|290|290|210.56|217.5|246.5|261|246.5|281.77|174.3|163.84|121|121|280.78|210.56|74.25|221.53|266.74|259.72|205.3|280.45|217.5|221.53|95.96|93.45|95.96|97.83|97.83|72.83|85.94|75.23|101.74|280.45|280.45|73.56|81.57|80.11|87.4|83.44|266.96|266.96|87.61|260.12|150.19|87.61|85.94|72.83|290
Professional|||90836|PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN|287|287|208.77|215.25|243.95|258.3|243.95|277.31|170.8|160.55|83.25|83.25|278.39|208.77|73.29|219.65|264.47|257.51|203.55|278.06|215.25|219.65|94.74|92.27|94.74|96.56|96.56|71.88|84.85|74.25|100.42|278.06|278.06|72.6|80.51|79.07|86.26|82.38|263.55|263.55|86.5|256.81|148.28|86.5|84.85|71.88|287
Professional|||90837|PR PSYCHOTHERAPY W/PATIENT 60 MINUTES|435|435|316.29|326.25|369.75|391.5|369.75|423.21|261.8|246.09|126.5|126.5|421.76|316.29|111.86|332.77|400.68|390.13|308.38|421.27|326.25|332.77|143.78|140.03|143.78|146.53|146.53|109.09|128.78|112.69|152.39|421.27|421.27|110.18|122.18|120|130.91|125.03|401.54|401.54|131.28|391.26|225.05|131.28|128.78|109.09|435
Professional|||90838|PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN|380|380|275.97|285|323|342|323|366.41|226.1|212.53|111|111|368|275.97|96.75|290.35|349.6|340.4|269.07|367.57|285|290.35|124.83|121.58|124.83|127.89|127.89|94.59|111.81|97.71|133.01|367.57|367.57|95.54|105.94|104.05|113.51|108.55|348.4|348.4|113.98|339.48|195.39|113.98|111.81|94.59|380
Professional|||90839|PSYCHOTHERAPY FOR CRISIS INITIAL 30 TO 74 MINUTES|455|455|330.62|341.25|386.75|409.5|386.75|441.03|273|256.62|107.5|107.5|440.88|330.62|116.68|347.86|418.84|407.82|322.35|440.36|341.25|347.86|150.43|146.51|150.43|153.3|153.3|114.13|134.73|117.9|159.43|440.36|440.36|115.27|127.83|125.54|136.96|130.81|418.53|418.53|137.35|407.81|235.46|137.35|134.73|107.5|455
Professional|||90840|PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES|217|217|157.7|162.75|184.45|195.3|184.45|211.6|130.9|123.05|7|7|210.28|157.7|55.93|165.92|199.77|194.51|153.76|210.04|162.75|165.92|71.97|70.09|71.97|73.27|73.27|54.54|64.46|56.34|76.2|210.04|210.04|55.09|61.08|59.99|65.45|62.58|200.2|200.2|65.71|195.08|112.64|65.71|64.46|7|217
Professional|||90846|PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS|351|351|255.36|263.25|298.35|315.9|298.35|340.79|210.7|198.06|117.25|117.25|340.52|255.36|90.32|268.67|323.49|314.98|248.98|340.12|263.25|268.67|116.06|113.03|116.06|118.15|118.15|87.96|103.95|90.86|122.88|340.12|340.12|88.84|98.52|96.76|105.55|100.92|323.5|323.5|105.97|315.22|181.66|105.97|103.95|87.96|351
Professional|||90847|PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS|365|365|265.22|273.75|310.25|328.5|310.25|354.16|219.1|205.95|142.75|142.75|353.66|265.22|93.54|279.04|335.98|327.14|258.59|353.25|273.75|279.04|120.64|117.49|120.64|122.81|122.81|91.43|108.05|94.45|127.72|353.25|353.25|92.34|102.4|100.57|109.72|104.9|335.95|335.95|110.15|327.35|188.82|110.15|108.05|91.43|365
Professional|||90853|GROUP PSYCHOTHERAPY|87|87|62.72|65.25|73.95|78.3|73.95|84.64|52.5|49.35|45.75|45.75|83.64|62.72|22.17|65.99|79.45|77.36|61.15|83.54|65.25|65.99|28.57|27.82|28.57|29.22|29.22|21.44|25.59|22.15|30.39|83.54|83.54|21.65|24.01|23.58|25.73|24.84|80.31|80.31|26.08|78.25|44.71|26.08|25.59|21.44|87
Professional|||90870|ELECTROCONVULSIVE THERAPY1 S*|384|384|279.55|288|326.4|345.6|326.4|552.4|344.4|323.74|178.75|178.75|372.78|279.55|98.04|294.12|354.14|344.82|272.56|372.34|288|294.12|126.94|123.63|126.94|130.01|130.01|96.16|113.69|99.33|135.21|372.34|372.34|97.12|107.7|105.78|115.39|110.38|352.91|352.91|115.9|343.87|198.68|115.9|113.69|96.16|552.4
Professional|||90875|PSYCHOPHYSIOL THERAPY20-30 M*|213|213|155.01|159.75|181.05|191.7|181.05|200.47|123.2|115.81|0|0|206.7|155.01|54|163.09|196.37|191.2|151.13|206.46|159.75|163.09|0|0|0|71.99|71.99|53.28|0|55.04|74.87|206.46|206.46|53.81|59.67|58.61|63.94|0|195.7|195.7|0|190.69|0|0|0|0|213
Professional|||90935|HEMODIALYSIS ONE EVALUATION|275|275|185.47|206.25|233.75|247.5|233.75|230.54|141.4|132.92|0|0|247.32|185.47|48.22|195.14|234.96|228.77|180.83|247.03|206.25|195.14|84.18|81.98|84.18|266.36|266.36|51.83|75.4|53.54|277.01|247.03|247.03|52.35|58.05|57.01|62.2|73.2|230.74|230.74|76.86|224.84|131.76|76.86|75.4|0|277.01
Professional|||90937|HEMODIALYSIS REPEATED EVAL.|392|392|264.32|294|333.2|352.8|333.2|328.54|201.6|189.5|0|0|352.47|264.32|69.3|278.1|334.84|326.03|257.71|352.05|294|278.1|120.43|117.29|120.43|379.76|379.76|74.41|107.86|76.87|394.95|352.05|352.05|75.15|83.34|81.85|89.29|104.72|332.55|332.55|109.96|324.03|188.5|109.96|107.86|0|394.95
Professional|||90945|DIALYSIS NOT HEMO 1 EVAL|322|322|216.83|241.5|273.7|289.8|273.7|269.52|165.9|155.95|0|0|289.14|216.83|57.43|228.13|274.68|267.46|211.41|288.8|241.5|228.13|99.26|96.67|99.26|312.52|312.52|61.32|88.9|63.34|325.02|288.8|288.8|61.93|68.68|67.45|73.58|86.31|273.73|273.73|90.63|266.73|155.36|90.63|88.9|0|325.02
Professional|||90947|DIALYSIS REPEATED EVAL.|465|465|314.5|348.75|395.25|418.5|395.25|390.91|239.4|225.04|0|0|419.37|314.5|82.63|330.89|398.41|387.92|306.64|418.88|348.75|330.89|143.35|139.61|143.35|450.96|450.96|88.52|128.39|91.44|469|418.88|418.88|89.41|99.14|97.37|106.22|124.65|395.9|395.9|130.88|385.76|224.37|130.88|128.39|0|469
Professional|||91010|ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT|254|254|482.05|190.5|215.9|228.6|215.9|599.17|375.9|353.35|0|0|642.8|482.05|109.91|507.17|610.66|594.59|470|642.05|190.5|507.17|236.59|230.42|236.59|706.78|706.78|146.26|211.9|151.09|735.05|642.05|642.05|147.72|163.81|160.89|175.51|205.73|562.19|562.19|216.02|547.8|370.31|216.02|211.9|0|735.05
Professional|||91037|GERD TST W/ NASAL IMPEDENCE E*|201|201|417.54|150.75|170.85|180.9|170.85|518.98|326.2|306.63|0|0|556.78|417.54|100.2|439.3|528.94|515.02|407.1|556.12|150.75|439.3|195.71|190.6|195.71|613.15|613.15|120.85|175.29|124.84|637.68|556.12|556.12|122.06|135.35|132.94|145.02|170.18|511.28|511.28|178.69|498.2|306.32|178.69|175.29|0|637.68
Professional|||91110|GI TRACT CAPSULE ENDOSCOPY|615|615|2238.21|461.25|522.75|553.5|522.75|2782.02|1760.5|1654.87|0|0|2984.61|2238.21|556.65|2354.86|2835.38|2760.76|2182.25|2981.11|461.25|2354.86|1019.61|993.01|1019.61|3314.99|3314.99|630.2|913.22|651|3447.59|2981.11|2981.11|636.5|705.82|693.22|756.24|886.62|2959.07|2959.07|930.95|2883.32|1595.92|930.95|913.22|0|3447.59
Professional|||92004|EYE EXAM NEW PATIENTCOMPREH*|378|378|124.52|283.5|321.3|340.2|321.3|474.44|296.8|278.99|0|0|335.74|124.52|61.14|130.75|318.95|310.56|121.41|244.1|283.5|130.75|114.08|111.1|114.08|366.57|366.57|70.3|102.18|72.62|381.23|244.1|244.1|71|78.74|77.33|84.36|99.2|320.13|320.13|104.16|311.93|178.56|104.16|102.18|0|474.44
Professional|||92019|EYE EXAM & TREATMENT|276|276|183.68|207|234.6|248.4|234.6|228.31|142.1|133.57|0|0|244.93|183.68|44.14|193.25|232.69|226.56|179.09|244.65|207|193.25|84.93|82.71|84.93|267.68|267.68|52.34|76.07|54.07|278.39|244.65|244.65|52.86|58.62|57.57|62.81|73.85|231.88|231.88|77.54|225.94|132.93|77.54|76.07|0|278.39
Professional|||92284|DARK ADAPTATION EYE EXAM|48|48|155.9|36|40.8|43.2|40.8|193.78|121.8|114.49|0|0|207.9|155.9|37.74|164.03|197.5|192.3|152|207.65|36|164.03|69.62|67.8|69.62|229.44|229.44|42.85|62.36|44.26|238.62|207.65|207.65|43.28|47.99|47.14|51.42|60.54|200.2|200.2|63.57|195.08|108.97|63.57|62.36|0|238.62
Professional|||92511|NASOPHARYNGOSCOPY|143|143|96.77|107.25|121.55|128.7|121.55|350.82|220.5|207.27|0|0|129.04|96.77|24.28|101.81|122.59|119.36|94.35|128.89|107.25|101.81|43.7|42.56|43.7|138.46|138.46|26.94|39.14|27.83|144|128.89|128.89|27.21|30.17|29.63|32.33|38|122.16|122.16|39.9|119.04|68.4|39.9|39.14|0|350.82
Professional|||92550|TYMPANOMETRY & REFLEX THRESH|83|83|55.55|62.25|70.55|74.7|70.55|69.05|42.7|40.14|0|0|74.08|55.55|13.02|58.45|70.37|68.52|54.16|73.99|62.25|58.45|25.74|25.07|25.74|80.43|80.43|15.9|23.05|16.42|83.65|73.99|73.99|16.06|17.81|17.49|19.08|22.38|67.86|67.86|23.5|66.12|40.28|23.5|23.05|0|83.65
Professional|||92557|COMPREHENSIVE HEARING TEST|124|124|83.33|93|105.4|111.6|105.4|120.28|74.9|70.41|0|0|111.12|83.33|19.86|87.67|105.56|102.78|81.25|110.99|93|87.67|37.95|36.96|37.95|119.99|119.99|23.35|33.99|24.12|124.79|110.99|110.99|23.58|26.15|25.69|28.02|33|105.21|105.21|34.65|102.51|59.4|34.65|33.99|0|124.79
Professional|||92585|AUDITORY EVOKED POTENTIAL|132|132|341.38|99|112.2|118.8|112.2|424.32|267.4|251.36|0|0|455.22|341.38|84.97|359.17|432.46|421.08|332.85|454.69|99|359.17|159.1|154.95|159.1|503.71|503.71|98.27|142.5|101.51|523.86|454.69|454.69|99.25|110.06|108.1|117.92|138.35|433.21|433.21|145.27|422.13|249.03|145.27|142.5|0|523.86
Professional|||92920|PR PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH|1914|1914|1387.9|1435.5|1626.9|1722.6|1626.9|1725.12|986.3|927.12|0|0|1850.75|1387.9|316.29|1460.24|1758.21|1711.94|1353.2|1848.58|1435.5|1460.24|583.61|568.39|583.61|1857.93|1857.93|360.77|522.71|372.68|1932.25|1848.58|1848.58|364.38|404.06|396.85|432.92|507.49|1752.15|1752.15|532.86|1707.3|913.48|532.86|522.71|0|1932.25
Professional|||92921|PR PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH|162|162|0|121.5|137.7|145.8|137.7|0|0|0|0|0|0|0|0|0|0|0|0|161.56|121.5|0|0|0|0|0|0|0|0|0|0|161.56|161.56|0|0|0|0|0|0|0|0|0|0|0|0|0|162
Professional|||92924|PR PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH|2280|2280|1655.81|1710|1938|2052|1938|2058.12|1175.3|1104.78|0|0|2207.99|1655.81|375.66|1742.11|2097.59|2042.39|1614.41|2205.4|1710|1742.11|695.3|677.16|695.3|2212.63|2212.63|429.8|622.75|443.98|2301.14|2205.4|2205.4|434.1|481.38|472.78|515.76|604.61|2091.47|2091.47|634.84|2037.93|1088.3|634.84|622.75|0|2301.14
Professional|||92928|PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH|2129|2129|1544.7|1596.75|1809.65|1916.1|1809.65|1920.02|1096.9|1031.09|0|0|2059.84|1544.7|351.16|1625.21|1956.84|1905.35|1506.08|2057.42|1596.75|1625.21|648.92|631.99|648.92|2066.28|2066.28|401.06|581.21|414.29|2148.93|2057.42|2057.42|405.07|449.19|441.17|481.27|564.28|1950.08|1950.08|592.49|1900.16|1015.7|592.49|581.21|0|2148.93
Professional|||92929|PR PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH|384|384|0|288|326.4|345.6|326.4|0|0|0|0|0|0|0|0|0|0|0|0|383.49|288|0|0|0|0|0|0|0|0|0|0|383.49|383.49|0|0|0|0|0|0|0|0|0|0|0|0|0|384
Professional|||92933|PR PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|2388|2388|1732.86|1791|2029.8|2149.2|2029.8|2153.9|1229.9|1156.11|0|0|2310.74|1732.86|392.65|1823.18|2195.21|2137.44|1689.54|2308.04|1791|1823.18|727.77|708.78|727.77|2318.13|2318.13|449.81|651.83|464.65|2410.86|2308.04|2308.04|454.31|503.79|494.79|539.77|632.84|2187.63|2187.63|664.48|2131.63|1139.11|664.48|651.83|0|2410.86
Professional|||92934|PR PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH|311|311|0|233.25|264.35|279.9|264.35|0|0|0|0|0|0|0|0|0|0|0|0|310.13|233.25|0|0|0|0|0|0|0|0|0|0|310.13|310.13|0|0|0|0|0|0|0|0|0|0|0|0|0|311
Professional|||92937|PR PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL|2127|2127|1543.81|1595.25|1807.95|1914.3|1807.95|1918.91|1096.2|1030.43|0|0|2058.64|1543.81|350.72|1624.27|1955.71|1904.24|1505.21|2056.23|1595.25|1624.27|648.09|631.19|648.09|2064.95|2064.95|400.55|580.47|413.77|2147.55|2056.23|2056.23|404.56|448.62|440.61|480.66|563.56|1948.95|1948.95|591.74|1899.06|1014.41|591.74|580.47|0|2147.55
Professional|||92938|PR PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL|1757|1757|0|1317.75|1493.45|1581.3|1493.45|0|0|0|0|0|0|0|0|0|0|0|0|1756.48|1317.75|0|0|0|0|0|0|0|0|0|0|1756.48|1756.48|0|0|0|0|0|0|0|0|0|0|0|0|0|1757
Professional|||92941|PR PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL|2394|2394|1737.34|1795.5|2034.9|2154.6|2034.9|2159.46|1233.4|1159.4|0|0|2316.72|1737.34|393.32|1827.9|2200.88|2142.96|1693.91|2314|1795.5|1827.9|729.28|710.26|729.28|2323.4|2323.4|450.84|653.18|465.72|2416.34|2314|2314|455.35|504.94|495.92|541.01|634.16|2192.14|2192.14|665.87|2136.03|1141.49|665.87|653.18|0|2416.34
Professional|||92943|PR PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL|2394|2394|1736.45|1795.5|2034.9|2154.6|2034.9|2158.35|1232.7|1158.74|0|0|2315.52|1736.45|393.32|1826.95|2199.75|2141.86|1693.04|2312.81|1795.5|1826.95|729.28|710.26|729.28|2323.4|2323.4|450.84|653.18|465.72|2416.34|2312.81|2312.81|455.35|504.94|495.92|541.01|634.16|2189.9|2189.9|665.87|2133.84|1141.49|665.87|653.18|0|2416.34
Professional|||92944|PR PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL|1757|1757|0|1317.75|1493.45|1581.3|1493.45|0|0|0|0|0|0|0|0|0|0|0|0|1756.48|1317.75|0|0|0|0|0|0|0|0|0|0|1756.48|1756.48|0|0|0|0|0|0|0|0|0|0|0|0|0|1757
Professional|||92950|HEART/LUNG RESUSCITATION (CPR)|697|697|479.36|522.75|592.45|627.3|592.45|993.42|611.8|575.09|0|0|639.22|479.36|112.56|504.34|607.26|591.28|467.38|638.47|522.75|504.34|212.53|206.99|212.53|676.45|676.45|131.37|190.35|135.71|703.51|638.47|638.47|132.68|147.13|144.51|157.64|184.81|605.15|605.15|194.05|589.66|332.66|194.05|190.35|0|993.42
Professional|||92960|PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL|415|415|280.45|311.25|352.75|373.5|352.75|502.28|311.5|292.81|0|0|373.97|280.45|74.6|295.07|355.27|345.92|273.44|373.53|311.25|295.07|126.51|123.21|126.51|402.18|402.18|78|113.31|80.57|418.27|373.53|373.53|78.78|87.36|85.8|93.6|110.01|355.18|355.18|115.51|346.08|198.02|115.51|113.31|0|502.28
Professional|||92961|PR CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX|900|900|647.81|675|765|810|765|805.21|464.1|436.25|0|0|863.84|647.81|152.51|681.57|820.65|799.05|631.61|862.83|675|681.57|273.7|266.56|273.7|872.92|872.92|169.09|245.14|174.67|907.84|862.83|862.83|170.78|189.38|186|202.91|238|817.83|817.83|249.9|796.89|428.4|249.9|245.14|0|907.84
Professional|||92973|PR PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY|636|636|461.44|477|540.6|572.4|540.6|573.56|327.6|307.94|0|0|615.32|461.44|102.63|485.49|584.56|569.17|449.9|614.6|477|485.49|193.84|188.79|193.84|617.11|617.11|119.83|173.62|123.78|641.79|614.6|614.6|121.03|134.21|131.81|143.8|168.56|582.55|582.55|176.99|567.64|303.41|176.99|173.62|0|641.79
Professional|||92978|PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL|350|350|0|262.5|297.5|315|297.5|887.78|0|0|0|0|952.43|0|167.52|0|904.8|880.99|0|332.96|262.5|0|323.7|315.26|323.7|1032.48|1032.48|192.96|289.92|199.33|1073.78|332.96|332.96|194.89|216.12|212.26|231.55|281.48|940.21|940.21|295.55|916.15|506.66|295.55|289.92|0|1073.78
Professional|||92986|PR PRQ BALLOON VALVULOPLASTY AORTIC VALVE|4779|4779|3438.85|3584.25|4062.15|4301.1|4062.15|4274.38|2461.9|2314.19|0|0|4585.64|3438.85|779.13|3618.08|4356.36|4241.72|3352.88|4580.27|3584.25|3618.08|1456.97|1418.96|1456.97|4638.89|4638.89|900.66|1304.94|930.38|4824.45|4580.27|4580.27|909.67|1008.74|990.73|1080.79|1266.93|4341.32|4341.32|1330.28|4230.19|2280.47|1330.28|1304.94|0|4824.45
Professional|||93010|ELECTROCARDIOGRAM REPORT|32|32|21.5|24|27.2|28.8|27.2|26.73|16.1|15.13|0|0|28.68|21.5|5.07|22.62|27.24|26.52|20.96|28.64|24|22.62|9.73|9.48|9.73|30.33|30.33|5.9|8.71|6.09|31.54|28.64|28.64|5.96|6.61|6.49|7.08|8.46|27.14|27.14|8.88|26.44|15.23|8.88|8.71|0|32
Professional|||93016|CARDIAC STRESS TSTDR SUPERV *|85|85|56.45|63.75|72.25|76.5|72.25|70.16|43.4|40.8|0|0|75.27|56.45|13.24|59.39|71.51|69.63|55.04|75.18|63.75|59.39|25.69|25.02|25.69|81.76|81.76|15.65|23.01|16.17|85.03|75.18|75.18|15.81|17.53|17.22|18.78|22.34|71.26|71.26|23.46|69.44|40.21|23.46|23.01|0|85.03
Professional|||93018|CARDIAC STRESS TSTINTERP/REP*|56|56|37.63|42|47.6|50.4|47.6|46.78|28.7|26.98|0|0|50.18|37.63|8.83|39.59|47.67|46.42|36.69|50.12|42|39.59|17.22|16.77|17.22|54.07|54.07|10.52|15.42|10.87|56.23|50.12|50.12|10.63|11.78|11.57|12.62|14.97|47.5|47.5|15.72|46.28|26.95|15.72|15.42|0|56.23
Professional|||93227|EXT ECG RECORD CONTIN 48 HR PHYS REVIEW&INTERP|101|101|67.2|75.75|85.85|90.9|85.85|83.53|51.8|48.69|0|0|89.61|67.2|16.33|70.7|85.13|82.89|65.52|89.51|75.75|70.7|30.69|29.89|30.69|97.58|97.58|18.73|27.49|19.35|101.48|89.51|89.51|18.92|20.98|20.6|22.48|26.69|85.98|85.98|28.02|83.78|48.04|28.02|27.49|0|101.48
Professional|||93228|EXT MOBILE CV TELEMETRY PHYS REVIEW/INTERP W/REPORT|98|98|66.3|73.5|83.3|88.2|83.3|82.41|50.4|47.38|0|0|88.42|66.3|15.89|69.76|83.99|81.78|64.64|88.31|73.5|69.76|30.3|29.51|30.3|94.94|94.94|18.73|27.14|19.35|98.74|88.31|88.31|18.92|20.98|20.6|22.48|26.35|83.71|83.71|27.67|81.57|47.43|27.67|27.14|0|98.74
Professional|||93285|PR PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON|105|105|122.75|78.75|89.25|94.5|89.25|152.58|95.2|89.49|0|0|163.69|122.75|26.04|129.15|155.5|151.41|119.68|163.5|78.75|129.15|62.77|61.13|62.77|179.33|179.33|38.74|56.22|40.02|186.5|163.5|163.5|39.13|43.39|42.61|46.49|54.58|134.61|134.61|57.31|131.17|98.24|57.31|56.22|0|186.5
Professional|||93286|PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON|69|69|88.7|51.75|58.65|62.1|58.65|110.26|68.6|64.48|0|0|118.29|88.7|16.77|93.33|112.37|109.41|86.48|118.15|51.75|93.33|47.18|45.95|47.18|129.22|129.22|28.99|42.26|29.95|134.39|118.15|118.15|29.28|32.47|31.89|34.79|41.03|87.08|87.08|43.08|84.86|73.85|43.08|42.26|0|134.39
Professional|||93287|PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB|165|165|109.31|123.75|140.25|148.5|140.25|135.87|84.7|79.62|0|0|145.77|109.31|22.29|115.01|138.48|134.83|106.58|145.59|123.75|115.01|56.09|54.62|56.09|159.55|159.55|34.64|50.23|35.78|165.93|145.59|145.59|34.99|38.8|38.1|41.57|48.77|117.63|117.63|51.21|114.61|87.79|51.21|50.23|0|165.93
Professional|||93287|PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB|92|165|109.31|123.75|140.25|148.5|140.25|135.87|84.7|79.62|0|0|145.77|109.31|22.29|115.01|138.48|134.83|106.58|145.59|123.75|115.01|56.09|54.62|56.09|159.55|159.55|34.64|50.23|35.78|165.93|145.59|145.59|34.99|38.8|38.1|41.57|48.77|117.63|117.63|51.21|114.61|87.79|51.21|50.23|0|165.93
Professional|||93288|PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON|87|87|112|65.25|73.95|78.3|73.95|139.21|86.8|81.59|0|0|149.35|112|22.73|117.84|141.88|138.15|109.2|149.18|65.25|117.84|57.63|56.12|57.63|163.51|163.51|35.41|51.61|36.58|170.05|149.18|149.18|35.76|39.66|38.95|42.49|50.11|119.89|119.89|52.62|116.83|90.2|52.62|51.61|0|170.05
Professional|||93288|PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON|169|87|112|65.25|73.95|78.3|73.95|139.21|86.8|81.59|0|0|149.35|112|22.73|117.84|141.88|138.15|109.2|149.18|65.25|117.84|57.63|56.12|57.63|163.51|163.51|35.41|51.61|36.58|170.05|149.18|149.18|35.76|39.66|38.95|42.49|50.11|119.89|119.89|52.62|116.83|90.2|52.62|51.61|0|170.05
Professional|||93288|PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON|87|87|112|65.25|73.95|78.3|73.95|139.21|86.8|81.59|0|0|149.35|112|22.73|117.84|141.88|138.15|109.2|149.18|65.25|117.84|57.63|56.12|57.63|163.51|163.51|35.41|51.61|36.58|170.05|149.18|149.18|35.76|39.66|38.95|42.49|50.11|119.89|119.89|52.62|116.83|90.2|52.62|51.61|0|170.05
Professional|||93289|PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB|87|87|152.32|65.25|73.95|78.3|73.95|189.33|117.6|110.54|0|0|203.12|152.32|40.38|160.26|192.96|187.88|148.51|202.88|65.25|160.26|77.08|75.07|77.08|221.53|221.53|47.47|69.04|49.04|230.39|202.88|202.88|47.94|53.17|52.22|56.96|67.03|210.38|210.38|70.38|205|120.65|70.38|69.04|0|230.39
Professional|||93289|PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB|229|87|152.32|65.25|73.95|78.3|73.95|189.33|117.6|110.54|0|0|203.12|152.32|40.38|160.26|192.96|187.88|148.51|202.88|65.25|160.26|77.08|75.07|77.08|221.53|221.53|47.47|69.04|49.04|230.39|202.88|202.88|47.94|53.17|52.22|56.96|67.03|210.38|210.38|70.38|205|120.65|70.38|69.04|0|230.39
Professional|||93289|PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB|152|87|152.32|65.25|73.95|78.3|73.95|189.33|117.6|110.54|0|0|203.12|152.32|40.38|160.26|192.96|187.88|148.51|202.88|65.25|160.26|77.08|75.07|77.08|221.53|221.53|47.47|69.04|49.04|230.39|202.88|202.88|47.94|53.17|52.22|56.96|67.03|210.38|210.38|70.38|205|120.65|70.38|69.04|0|230.39
Professional|||93295|PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB|224|224|112.9|168|190.4|201.6|190.4|140.33|86.1|80.93|0|0|150.54|112.9|40.61|118.78|143.02|139.25|110.08|150.37|168|118.78|44.06|42.91|44.06|163.51|163.51|27.19|39.46|28.09|170.05|150.37|150.37|27.46|30.45|29.91|32.63|38.31|217.19|217.19|40.23|211.63|68.96|40.23|39.46|0|224
Professional|||93296|PR REM INTERROG PM/LDLS PM/IDS <90 D PHYS/QHP|98|98|64.51|73.5|83.3|88.2|83.3|80.19|50.4|47.38|0|0|86.03|64.51|16.11|67.87|81.72|79.57|62.9|85.92|73.5|67.87|29.97|29.19|29.97|94.94|94.94|18.47|26.84|19.08|98.74|85.92|85.92|18.65|20.69|20.32|22.16|26.06|83.71|83.71|27.36|81.57|46.91|27.36|26.84|0|98.74
Professional|||93297|PR REM INTERROG ICPMS <30 D PHYS/QHP|100|100|67.2|75|85|90|85|83.53|51.1|48.03|0|0|89.61|67.2|16.11|70.7|85.13|82.89|65.52|89.51|75|70.7|30.73|29.93|30.73|96.26|96.26|18.98|27.52|19.61|100.11|89.51|89.51|19.17|21.26|20.88|22.78|26.72|84.85|84.85|28.06|82.67|48.1|28.06|27.52|0|100.11
Professional|||93306|ECHO TTHRC R-T 2D -MODE COMPL SPEC&COLOR DOP|280|280|523.26|210|238|252|238|650.4|408.8|384.27|0|0|697.76|523.26|142.8|550.54|662.88|645.43|510.18|696.95|210|550.54|243.48|237.13|243.48|771.39|771.39|150.36|218.07|155.32|802.25|696.95|696.95|151.86|168.4|165.4|180.43|211.72|729.58|729.58|222.31|710.9|381.1|222.31|218.07|0|802.25
Professional|||93308|ECHO HEART XTHORACICLIMITED|98|98|249.09|73.5|83.3|88.2|83.3|309.61|195.3|183.58|0|0|332.15|249.09|78.13|262.07|315.55|307.24|242.86|331.77|73.5|262.07|116.1|113.08|116.1|366.57|366.57|71.59|103.99|73.95|381.23|331.77|331.77|72.31|80.18|78.75|85.91|100.96|399.3|399.3|106.01|389.08|181.73|106.01|103.99|0|399.3
Professional|||93312|PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R|416|416|624.51|312|353.6|374.4|353.6|776.25|486.5|457.31|0|0|832.78|624.51|192.02|657.06|791.14|770.32|608.9|831.8|312|657.06|288.19|280.67|288.19|916.43|916.43|178.08|258.12|183.96|953.09|831.8|831.8|179.86|199.45|195.89|213.7|250.6|787.29|787.29|263.13|767.14|451.08|263.13|258.12|0|953.09
Professional|||93320|DOPPLER ECHO HEARTCOMPLETE|70|70|135.3|52.5|59.5|63|59.5|168.17|106.4|100.02|0|0|180.41|135.3|33.99|142.35|171.39|166.88|131.92|180.2|52.5|142.35|62.69|61.05|62.69|199.11|199.11|38.74|56.15|40.02|207.07|180.2|180.2|39.13|43.39|42.61|46.49|54.51|173.07|173.07|57.24|168.64|98.12|57.24|56.15|0|207.07
Professional|||93321|DOPPLER ECHO HEARTLIMITEDF/U|28|28|68.1|21|23.8|25.2|23.8|84.64|53.2|50.01|0|0|90.8|68.1|16.99|71.65|86.26|83.99|66.4|90.7|21|71.65|31.15|30.34|31.15|100.21|100.21|19.24|27.9|19.87|104.22|90.7|90.7|19.43|21.55|21.16|23.09|27.09|87.08|87.08|28.44|84.86|48.76|28.44|27.9|0|104.22
Professional|||93325|DOPPLER COLOR FLOW VELOCITY M*|13|13|63.62|9.75|11.05|11.7|11.05|79.07|50.4|47.38|0|0|84.83|63.62|16.11|66.93|80.59|78.47|62.03|84.73|9.75|66.93|29.37|28.6|29.37|94.94|94.94|17.96|26.31|18.55|98.74|84.73|84.73|18.14|20.12|19.76|21.55|25.54|81.44|81.44|26.82|79.36|45.97|26.82|26.31|0|98.74
Professional|||93351|ECHO TTHRC R-T 2D -MODE REST&STRS CONT ECG|611|611|588.67|458.25|519.35|549.9|519.35|731.7|459.9|432.31|0|0|784.98|588.67|169.51|619.35|745.73|726.11|573.95|784.06|458.25|619.35|275.15|267.97|275.15|866.33|866.33|169.86|246.44|175.47|900.98|784.06|784.06|171.56|190.24|186.85|203.83|239.26|866.46|866.46|251.22|844.28|430.67|251.22|246.44|0|900.98
Professional|||93351|ECHO TTHRC R-T 2D -MODE REST&STRS CONT ECG|486|611|588.67|458.25|519.35|549.9|519.35|731.7|459.9|432.31|0|0|784.98|588.67|169.51|619.35|745.73|726.11|573.95|784.06|458.25|619.35|275.15|267.97|275.15|866.33|866.33|169.86|246.44|175.47|900.98|784.06|784.06|171.56|190.24|186.85|203.83|239.26|866.46|866.46|251.22|844.28|430.67|251.22|246.44|0|900.98
Professional|||93352|USE OF ECHO CONTRAST AGENT DURING STRESS ECHO|130|130|85.12|97.5|110.5|117|110.5|105.8|66.5|62.51|0|0|113.51|85.12|21.19|89.56|107.83|104.99|82.99|113.37|97.5|89.56|39.26|38.24|39.26|125.26|125.26|24.12|35.16|24.92|130.27|113.37|113.37|24.36|27.01|26.53|28.94|34.14|108.58|108.58|35.85|105.8|61.45|35.85|35.16|0|130.27
Professional|||93355|PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN|868|868|588.67|651|737.8|781.2|737.8|731.7|447.3|420.46|0|0|784.98|588.67|137.95|619.35|745.73|726.11|573.95|784.06|651|619.35|265.35|258.43|265.35|842.6|842.6|163.96|237.66|169.37|876.3|784.06|784.06|165.6|183.64|180.36|196.75|230.74|731.85|731.85|242.28|713.11|415.33|242.28|237.66|0|876.3
Professional|||93356|PR MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH|45|45|30.46|33.75|38.25|40.5|38.25|125.85|0|0|0|0|40.62|30.46|0|32.05|38.59|37.58|29.7|21|33.75|32.05|13.62|13.26|13.62|43.51|43.51|8.21|12.2|8.48|45.25|21|21|8.29|9.2|9.03|9.85|11.84|38.45|38.45|12.43|37.47|21.31|12.43|12.2|0|125.85
Professional|||93451|PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT|545|545|1983.74|408.75|463.25|490.5|463.25|2465.73|1542.8|1450.23|0|0|2645.29|1983.74|488.89|2087.14|2513.02|2446.89|1934.15|2642.19|408.75|2087.14|991.5|965.63|991.5|2906.23|2906.23|612.76|888.04|632.98|3022.48|2642.19|2642.19|618.89|686.29|674.04|735.31|862.17|2322.25|2322.25|905.28|2262.8|1551.91|905.28|888.04|0|3022.48
Professional|||93452|PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I|939|939|2204.16|704.25|798.15|845.1|798.15|2739.7|1697.5|1595.65|0|0|2939.21|2204.16|546.27|2319.04|2792.25|2718.77|2149.06|2935.76|704.25|2319.04|1063.18|1035.44|1063.18|3197.64|3197.64|657.15|952.24|678.84|3325.55|2935.76|2935.76|663.72|736.01|722.87|788.58|924.5|2643.48|2643.48|970.73|2575.81|1664.1|970.73|952.24|0|3325.55
Professional|||93453|PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I|1218|1218|2860.03|913.5|1035.3|1096.2|1035.3|3554.93|2198|2066.12|0|0|3813.8|2860.03|702.11|3009.1|3623.11|3527.77|2788.53|3809.33|913.5|3009.1|1368.44|1332.74|1368.44|4139.14|4139.14|846.01|1225.65|873.93|4304.71|3809.33|3809.33|854.47|947.53|930.61|1015.21|1189.95|3431.87|3431.87|1249.45|3344.02|2141.91|1249.45|1225.65|0|4304.71
Professional|||93454|PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I|918|918|2226.56|688.5|780.3|826.2|780.3|2767.54|1712.9|1610.13|0|0|2969.08|2226.56|552.9|2342.61|2820.62|2746.4|2170.9|2965.6|688.5|2342.61|1064.85|1037.08|1064.85|3226.65|3226.65|658.17|953.74|679.89|3355.72|2965.6|2965.6|664.75|737.15|723.99|789.8|925.96|2683.06|2683.06|972.26|2614.38|1666.73|972.26|953.74|0|3355.72
Professional|||93455|PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I|3828|3828|2566.14|2871|3253.8|3445.2|3253.8|3189.64|1973.3|1854.9|0|0|3421.91|2566.14|644.27|2699.89|3250.81|3165.26|2501.99|3417.9|2871|2699.89|1209.36|1177.81|1209.36|3715.86|3715.86|747.47|1083.17|772.14|3864.49|3417.9|3417.9|754.94|837.17|822.22|896.96|1051.62|3136.64|3136.64|1104.2|3056.35|1892.92|1104.2|1083.17|0|3864.49
Professional|||93455|PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I|1058|3828|2566.14|2871|3253.8|3445.2|3253.8|3189.64|1973.3|1854.9|0|0|3421.91|2566.14|644.27|2699.89|3250.81|3165.26|2501.99|3417.9|2871|2699.89|1209.36|1177.81|1209.36|3715.86|3715.86|747.47|1083.17|772.14|3864.49|3417.9|3417.9|754.94|837.17|822.22|896.96|1051.62|3136.64|3136.64|1104.2|3056.35|1892.92|1104.2|1083.17|0|3864.49
Professional|||93456|PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I|1201|1201|2819.71|900.75|1020.85|1080.9|1020.85|3504.81|2167.9|2037.83|0|0|3760.04|2819.71|692.61|2966.68|3572.03|3478.03|2749.22|3755.63|900.75|2966.68|1347.19|1312.05|1347.19|4083.75|4083.75|832.92|1206.61|860.41|4247.1|3755.63|3755.63|841.25|932.87|916.21|999.5|1171.47|3392.28|3392.28|1230.04|3305.45|2108.65|1230.04|1206.61|0|4247.1
Professional|||93458|PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I|1126|1126|2643.2|844.5|957.1|1013.4|957.1|3285.42|2030.7|1908.86|0|0|3524.66|2643.2|663.26|2780.97|3348.43|3260.31|2577.12|3520.53|844.5|2780.97|1245.11|1212.62|1245.11|3825.31|3825.31|769.8|1115.18|795.2|3978.32|3520.53|3520.53|777.5|862.18|846.78|923.76|1082.7|3231.67|3231.67|1136.84|3148.94|1948.86|1136.84|1115.18|0|3978.32
Professional|||93459|PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I|1237|1237|2903.04|927.75|1051.45|1113.3|1051.45|3608.39|2228.8|2095.07|0|0|3871.15|2903.04|732.34|3054.35|3677.59|3580.82|2830.46|3866.62|927.75|3054.35|1353.91|1318.59|1353.91|4197.15|4197.15|837.02|1212.63|864.64|4365.04|3866.62|3866.62|845.39|937.46|920.72|1004.42|1177.31|3582.34|3582.34|1236.18|3490.63|2119.16|1236.18|1212.63|0|4365.04
Professional|||93460|PR R & L HRT CATH WINJX HRT ART& L VENTR IMG|1438|1438|3171.84|1078.5|1222.3|1294.2|1222.3|3941.38|2433.9|2287.87|0|0|4228.4|3171.84|784.65|3337.16|4016.98|3911.27|3092.54|4224.64|1078.5|3337.16|1498.27|1459.18|1498.27|4584.83|4584.83|926.32|1341.93|956.89|4768.22|4224.64|4224.64|935.58|1037.48|1018.95|1111.58|1302.84|3860.58|3860.58|1367.98|3761.75|2345.11|1367.98|1341.93|0|4768.22
Professional|||93461|PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I|1529|1529|3590.27|1146.75|1299.65|1376.1|1299.65|4462.6|2756.6|2591.2|0|0|4787.56|3590.27|898.32|3777.4|4548.19|4428.5|3500.51|4781.95|1146.75|3777.4|1677.63|1633.87|1677.63|5192.71|5192.71|1037.17|1502.57|1071.4|5400.42|4781.95|4781.95|1047.54|1161.63|1140.89|1244.6|1458.81|4418.22|4418.22|1531.75|4305.13|2625.86|1531.75|1502.57|0|5400.42
Professional|||93462|PR LEFT HEART CATH BY TRANSEPTAL PUNCTURE|760|760|547.46|570|646|684|646|680.47|390.6|367.16|0|0|730.02|547.46|121.39|575.99|693.52|675.27|533.77|729.17|570|575.99|232.33|226.27|232.33|737.1|737.1|143.43|208.09|148.16|766.58|729.17|729.17|144.86|160.64|157.77|172.12|202.03|688.86|688.86|212.13|671.22|363.65|212.13|208.09|0|766.58
Professional|||93464|PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU|336|336|630.78|252|285.6|302.4|285.6|784.04|493.5|463.89|0|0|841.14|630.78|171.93|663.66|799.08|778.05|615.01|840.15|252|663.66|285.78|278.32|285.78|929.63|929.63|176.54|255.96|182.37|966.82|840.15|840.15|178.31|197.72|194.19|211.85|248.5|816.69|816.69|260.93|795.79|447.3|260.93|255.96|0|966.82
Professional|||93503|INSERT/PLACE FLOW DIRECT CATH|430|430|228.48|322.5|365.5|387|365.5|283.99|171.5|161.21|0|0|304.67|228.48|79.46|240.39|289.44|281.82|222.77|304.32|322.5|240.39|101.21|98.57|101.21|321.74|321.74|62.35|90.65|64.41|334.61|304.32|304.32|62.97|69.83|68.59|74.82|88.01|417.39|417.39|92.41|406.71|158.42|92.41|90.65|0|430
Professional|||93567|PR NJX SUPRAVALV AORTOG HRT CATH W/S&I|189|189|137.09|141.75|160.65|170.1|160.65|413.18|252|236.88|0|0|182.8|137.09|30.24|144.23|173.66|169.09|133.66|182.59|141.75|144.23|57.8|56.29|57.8|183.29|183.29|35.66|51.77|36.84|190.62|182.59|182.59|36.02|39.94|39.23|42.79|50.26|173.07|173.07|52.77|168.64|90.47|52.77|51.77|0|413.18
Professional|||93571|PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL|715|715|0|536.25|607.75|643.5|607.75|712.77|0|0|0|0|764.67|0|167.52|0|726.44|707.32|0|267.32|536.25|0|299.49|291.68|299.49|967.86|967.86|149.08|268.24|154|1006.57|267.32|267.32|150.57|166.97|163.99|178.9|260.43|940.21|940.21|273.45|916.15|468.77|273.45|268.24|0|1006.57
Professional|||93571|PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL|997|715|0|536.25|607.75|643.5|607.75|712.77|0|0|0|0|764.67|0|167.52|0|726.44|707.32|0|267.32|536.25|0|299.49|291.68|299.49|967.86|967.86|149.08|268.24|154|1006.57|267.32|267.32|150.57|166.97|163.99|178.9|260.43|940.21|940.21|273.45|916.15|468.77|273.45|268.24|0|1006.57
Professional|||93571|PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL|324|715|0|536.25|607.75|643.5|607.75|712.77|0|0|0|0|764.67|0|167.52|0|726.44|707.32|0|267.32|536.25|0|299.49|291.68|299.49|967.86|967.86|149.08|268.24|154|1006.57|267.32|267.32|150.57|166.97|163.99|178.9|260.43|940.21|940.21|273.45|916.15|468.77|273.45|268.24|0|1006.57
Professional|||93572|PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL|580|580|0|435|493|522|493|438.22|0|0|0|0|470.13|0|99.32|0|446.62|434.87|0|216.01|435|0|0|0|0|511.63|511.63|79.8|0|82.43|532.1|216.01|216.01|80.6|89.38|87.78|95.76|0|562.85|562.85|0|548.44|0|0|0|0|580
Professional|||93572|PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL|260|580|0|435|493|522|493|438.22|0|0|0|0|470.13|0|99.32|0|446.62|434.87|0|216.01|435|0|0|0|0|511.63|511.63|79.8|0|82.43|532.1|216.01|216.01|80.6|89.38|87.78|95.76|0|562.85|562.85|0|548.44|0|0|0|0|580
Professional|||93580|PERC CLOSCONG INTERATRIAL CO*|3530|3530|2549.12|2647.5|3000.5|3177|3000.5|3168.48|1819.3|1710.14|0|0|3399.21|2549.12|569.67|2681.98|3229.25|3144.27|2485.39|3395.22|2647.5|2681.98|1075.54|1047.48|1075.54|3427.08|3427.08|664.85|963.31|686.79|3564.16|3395.22|3395.22|671.5|744.63|731.34|797.82|935.25|3220.35|3220.35|982.01|3137.92|1683.45|982.01|963.31|0|3564.16
Professional|||93600|BUNDLE OF HIS RECORDING|434|434|0|325.5|368.9|390.6|368.9|640.38|0|0|0|0|687.01|0|118.96|0|652.66|635.48|0|411.72|325.5|0|227.07|221.14|227.07|719.96|719.96|140.1|203.37|144.72|748.76|411.72|411.72|141.5|156.91|154.11|168.12|197.45|658.28|658.28|207.32|641.43|355.41|207.32|203.37|0|748.76
Professional|||93603|RIGHT VENTRICULAR RECORDING|426|426|0|319.5|362.1|383.4|362.1|589.91|0|0|0|0|632.87|0|110.58|0|601.23|585.41|0|404.56|319.5|0|210.94|205.44|210.94|669.85|669.85|130.35|188.93|134.65|696.64|404.56|404.56|131.65|145.99|143.39|156.42|183.43|609.9|609.9|192.6|594.29|330.17|192.6|188.93|0|696.64
Professional|||93609|PR INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA|1015|1015|0|761.25|862.75|913.5|862.75|1252.91|0|0|0|0|1344.15|0|229.91|0|1276.94|1243.34|0|966.65|761.25|0|441.19|429.68|441.19|1401.68|1401.68|270.45|395.15|279.37|1457.75|966.65|966.65|273.15|302.9|297.5|324.54|383.64|1281.08|1281.08|402.82|1248.29|690.55|402.82|395.15|0|1457.75
Professional|||93613|PR INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING|1350|1350|773.25|1012.5|1147.5|1215|1147.5|961.12|551.6|518.5|0|0|1031.11|773.25|231.31|813.55|979.56|953.78|753.92|1029.9|1012.5|813.55|328.33|319.76|328.33|1039.07|1039.07|202.97|294.07|209.67|1080.63|1029.9|1029.9|205|227.33|223.27|243.56|285.5|1309.86|1309.86|299.78|1276.33|513.9|299.78|294.07|0|1350
Professional|||93619|PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION|1427|1427|0|1070.25|1212.95|1284.3|1212.95|2221.54|0|0|0|0|2383.31|0|427.97|0|2264.15|2204.56|0|1356.9|1070.25|0|806.86|785.81|806.86|2560.75|2560.75|484.97|722.67|500.97|2663.18|1356.9|1356.9|489.82|543.17|533.47|581.96|701.62|2339.46|2339.46|736.7|2279.57|1262.92|736.7|722.67|0|2663.18
Professional|||93620|PR COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION|2292|2292|0|1719|1948.2|2062.8|1948.2|2712.97|0|0|0|0|2910.53|0|509.86|0|2765.01|2692.24|0|2181.54|1719|0|1107.4|1078.52|1107.4|3519.39|3519.39|585.04|991.85|604.35|3660.17|2181.54|2181.54|590.89|655.24|643.54|702.05|962.96|3093.71|3093.71|1011.11|3014.52|1733.33|1011.11|991.85|0|3660.17
Professional|||93621|PR COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC|426|426|0|319.5|362.1|383.4|362.1|503.39|0|0|0|0|540.05|0|92.92|0|513.05|499.55|0|404.56|319.5|0|397.97|387.59|397.97|1261.91|1261.91|109.05|356.44|112.65|1312.39|404.56|404.56|110.14|122.14|119.96|130.86|346.06|1234.5|1234.5|363.36|1202.9|622.91|363.36|356.44|0|1312.39
Professional|||93622|ELECTROPHYSIOLOGIC EVALUATION INCL. INSERTION AND REPOSITIONING OF ELECTRODE CATHETERS W/INDUCTION OR ATTEMPTED INDUCTI*|629|629|0|471.75|534.65|566.1|534.65|745.44|0|0|0|0|799.72|0|135.96|0|759.73|739.74|0|599.09|471.75|0|583.34|568.12|583.34|1856.61|1856.61|160.37|522.47|165.66|1930.87|599.09|599.09|161.97|179.61|176.41|192.44|507.25|1671.49|1671.49|532.61|1628.71|913.05|532.61|522.47|0|1930.87
Professional|||93623|STIM/PACING HEART POST IV DRU*|579|579|0|434.25|492.15|521.1|492.15|684.55|0|0|0|0|734.4|0|126.25|0|697.68|679.32|0|550.16|434.25|0|452.79|440.98|452.79|1438.61|1438.61|147.54|405.54|152.41|1496.15|550.16|550.16|149.02|165.24|162.29|177.05|393.73|883.86|883.86|413.42|861.23|708.71|413.42|405.54|0|1496.15
Professional|||93624|PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT|878|878|0|658.5|746.3|790.2|746.3|1005.19|0|0|0|0|1078.38|0|199.97|0|1024.46|997.5|0|840.15|658.5|0|362.19|352.74|362.19|1155.1|1155.1|214|324.4|221.06|1201.3|840.15|840.15|216.14|239.68|235.4|256.8|314.95|1060.04|1060.04|330.7|1032.91|566.91|330.7|324.4|0|1201.3
Professional|||93641|PR EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN|1141|1141|0|855.75|969.85|1026.9|969.85|1912.2|0|0|0|0|2051.45|0|373.23|0|1948.88|1897.59|0|1085.99|855.75|0|692.88|674.8|692.88|2200.77|2200.77|417.23|620.58|431|2288.8|1085.99|1085.99|421.4|467.3|458.95|500.68|602.5|2008.67|2008.67|632.63|1957.26|1084.5|632.63|620.58|0|2288.8
Professional|||93642|PR EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS|935|935|876.29|701.25|794.75|841.5|794.75|1089.2|644.7|606.02|0|0|1168.51|876.29|254.71|921.96|1110.09|1080.88|854.38|1167.15|701.25|921.96|381.6|371.65|381.6|1215.77|1215.77|235.81|341.78|243.59|1264.4|1167.15|1167.15|238.17|264.11|259.39|282.97|331.83|1107.38|1107.38|348.42|1079.04|597.29|348.42|341.78|0|1264.4
Professional|||93650|PR ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION|2138|2138|1541.12|1603.5|1817.3|1924.2|1817.3|1915.56|1101.8|1035.69|0|0|2055.06|1541.12|351.38|1621.44|1952.3|1900.93|1502.59|2052.65|1603.5|1621.44|654.35|637.28|654.35|2075.5|2075.5|404.4|586.07|417.75|2158.52|2052.65|2052.65|408.44|452.93|444.84|485.28|569|1946.68|1946.68|597.45|1896.85|1024.2|597.45|586.07|0|2158.52
Professional|||93653|PR EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA|3021|3021|2182.66|2265.75|2567.85|2718.9|2567.85|2712.97|1556.8|1463.39|0|0|2910.53|2182.66|493.3|2296.42|2765.01|2692.24|2128.09|2907.12|2265.75|2296.42|924.24|900.13|924.24|2932.6|2932.6|571.19|827.8|590.04|3049.9|2907.12|2907.12|576.9|639.73|628.31|685.43|803.69|2754.33|2754.33|843.87|2683.82|1446.64|843.87|827.8|0|3049.9
Professional|||93654|PR EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA|4044|4044|2920.96|3033|3437.4|3639.6|3437.4|3630.66|2083.9|1958.87|0|0|3895.05|2920.96|656.86|3073.2|3700.3|3602.92|2847.94|3890.48|3033|3073.2|1237.39|1205.11|1237.39|3925.52|3925.52|764.92|1108.27|790.16|4082.54|3890.48|3890.48|772.57|856.71|841.41|917.9|1075.99|3688.65|3688.65|1129.79|3594.22|1936.78|1129.79|1108.27|0|4082.54
Professional|||93655|PR ICAR CATHETER ABLATION ARRHYTHMIA ADD ON|1538|1538|1111.04|1153.5|1307.3|1384.2|1307.3|1380.99|792.4|744.86|0|0|1481.55|1111.04|246.54|1168.95|1407.47|1370.44|1083.26|1479.82|1153.5|1168.95|470.98|458.7|470.98|1492.67|1492.67|290.98|421.84|300.58|1552.38|1479.82|1479.82|293.89|325.9|320.08|349.18|409.55|1403.75|1403.75|430.03|1367.82|737.19|430.03|421.84|0|1552.38
Professional|||93656|PR EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN|4056|4056|2929.92|3042|3447.6|3650.4|3447.6|3641.8|2090.2|1964.79|0|0|3907|2929.92|657.52|3082.63|3711.65|3613.97|2856.67|3902.42|3042|3082.63|1241.16|1208.78|1241.16|3937.39|3937.39|767.23|1111.65|792.55|4094.89|3902.42|3902.42|774.9|859.3|843.95|920.68|1079.27|3701.1|3701.1|1133.23|3606.35|1942.69|1133.23|1111.65|0|4094.89
Professional|||93657|PR ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN|1535|1535|1109.25|1151.25|1304.75|1381.5|1304.75|1378.76|791|743.54|0|0|1479.16|1109.25|246.32|1167.06|1405.2|1368.23|1081.52|1477.43|1151.25|1167.06|470.57|458.29|470.57|1490.04|1490.04|290.72|421.47|300.31|1549.64|1477.43|1477.43|293.63|325.61|319.79|348.86|409.19|1400.34|1400.34|429.65|1364.5|736.54|429.65|421.47|0|1549.64
Professional|||93660|TILT TABLE EVALUATION|250|250|404.1|187.5|212.5|225|212.5|502.28|313.6|294.78|0|0|538.85|404.1|98|425.16|511.91|498.44|394|538.22|187.5|425.16|185.62|180.78|185.62|590.74|590.74|114.7|166.25|118.49|614.37|538.22|538.22|115.85|128.46|126.17|137.64|161.41|506.75|506.75|169.48|493.77|290.54|169.48|166.25|0|614.37
Professional|||93660|TILT TABLE EVALUATION|609|250|404.1|187.5|212.5|225|212.5|502.28|313.6|294.78|0|0|538.85|404.1|98|425.16|511.91|498.44|394|538.22|187.5|425.16|185.62|180.78|185.62|590.74|590.74|114.7|166.25|118.49|614.37|538.22|538.22|115.85|128.46|126.17|137.64|161.41|506.75|506.75|169.48|493.77|290.54|169.48|166.25|0|614.37
Professional|||93660|TILT TABLE EVALUATION|359|250|404.1|187.5|212.5|225|212.5|502.28|313.6|294.78|0|0|538.85|404.1|98|425.16|511.91|498.44|394|538.22|187.5|425.16|185.62|180.78|185.62|590.74|590.74|114.7|166.25|118.49|614.37|538.22|538.22|115.85|128.46|126.17|137.64|161.41|506.75|506.75|169.48|493.77|290.54|169.48|166.25|0|614.37
Professional|||93662|INTRACARD ECHO THER/DX INTER*|546|546|0|409.5|464.1|491.4|464.1|604.37|0|0|0|0|648.38|0|117.64|0|615.96|599.75|0|485.71|409.5|0|423.13|412.09|423.13|1343.67|1343.67|137.53|378.98|142.07|1397.42|485.71|485.71|138.91|154.03|151.28|165.04|367.94|1220.38|1220.38|386.34|1189.14|662.29|386.34|378.98|0|1397.42
Professional|||93880|DUPLEX SCAN EXTRACRANIALBILAT|150|150|510.72|112.5|127.5|135|127.5|634.81|399|375.06|0|0|681.04|510.72|120.07|537.34|646.98|629.96|497.95|680.24|112.5|537.34|234.31|228.2|234.31|750.3|750.3|144.72|209.86|149.5|780.31|680.24|680.24|146.17|162.09|159.19|173.66|203.75|648.14|648.14|213.94|631.55|366.75|213.94|209.86|0|780.31
Professional|||93888|TRANSCRAN DOPPLER INTRACRANL*|100|100|400.51|75|85|90|85|497.82|312.9|294.13|0|0|534.08|400.51|92.7|421.39|507.37|494.02|390.5|533.45|75|421.39|159.98|155.8|159.98|589.42|589.42|98.79|143.28|102.05|613|533.45|533.45|99.78|110.64|108.67|118.55|139.11|480.74|480.74|146.07|468.44|250.4|146.07|143.28|0|613
Professional|||93893|TRANSCRAN DOPP INTRACRAN EMB*|314|314|878.98|235.5|266.9|282.6|266.9|1092.54|689.5|648.13|0|0|1172.1|878.98|94.24|924.79|1113.49|1084.19|857.01|1170.73|235.5|924.79|199.55|194.34|199.55|1297.52|1297.52|123.16|178.73|127.22|1349.42|1170.73|1170.73|124.39|137.94|135.48|147.79|173.52|1108.52|1108.52|182.2|1080.14|312.34|182.2|178.73|0|1349.42
Professional|||93922|NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL|47|47|218.62|35.25|39.95|42.3|39.95|271.74|170.8|160.55|0|0|291.53|218.62|55.84|230.02|276.95|269.67|213.15|291.19|35.25|230.02|99.59|96.99|99.59|320.43|320.43|61.32|89.2|63.34|333.25|291.19|291.19|61.93|68.68|67.45|73.58|86.6|283.91|283.91|90.93|276.65|155.88|90.93|89.2|0|333.25
Professional|||93923|NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS|82|82|338.69|61.5|69.7|73.8|69.7|420.98|263.9|248.07|0|0|451.63|338.69|86.96|356.34|429.05|417.76|330.22|451.11|61.5|356.34|154.96|150.92|154.96|497.12|497.12|95.71|138.79|98.87|517|451.11|451.11|96.67|107.2|105.28|114.85|134.75|441.16|441.16|141.49|429.86|242.55|141.49|138.79|0|517
Professional|||93924|NON-INVASIVE LOWER EXTREM ART STRESS/REST COMPLETEBILATERAL|92|92|418.43|69|78.2|82.8|78.2|520.1|326.9|307.29|0|0|557.97|418.43|109.25|440.24|530.07|516.12|407.97|557.32|69|440.24|191.89|186.88|191.89|615.8|615.8|118.54|171.87|122.45|640.43|557.32|557.32|119.73|132.76|130.39|142.25|166.86|549.74|549.74|175.2|535.66|300.35|175.2|171.87|0|640.43
Professional|||93925|DUPLEX LO EXTREM ART BILAT|147|147|649.6|110.25|124.95|132.3|124.95|807.43|508.2|477.71|0|0|866.23|649.6|119.84|683.46|822.92|801.26|633.36|865.22|110.25|683.46|298.3|290.52|298.3|957.32|957.32|184.23|267.17|190.31|995.61|865.22|865.22|186.07|206.34|202.65|221.08|259.39|829.11|829.11|272.36|807.89|466.9|272.36|267.17|0|995.61
Professional|||93926|DUPLEX LO EXTREM ART UNILAT/L*|90|90|381.7|67.5|76.5|81|76.5|474.44|298.2|280.31|0|0|508.98|381.7|96.23|401.59|483.54|470.81|372.16|508.39|67.5|401.59|157.45|153.34|157.45|561.73|561.73|97.25|141.02|100.46|584.2|508.39|508.39|98.22|108.92|106.98|116.7|136.91|486.39|486.39|143.76|473.94|246.44|143.76|141.02|0|584.2
Professional|||93930|DUPLEX UP EXTREM ART BILAT|147|147|521.47|110.25|124.95|132.3|124.95|648.17|406.7|382.3|0|0|695.37|521.47|120.07|548.65|660.6|643.22|508.43|694.56|110.25|548.65|241.48|235.18|241.48|766.12|766.12|149.08|216.28|154|796.76|694.56|694.56|150.57|166.97|163.99|178.9|209.98|666.23|666.23|220.48|649.17|377.96|220.48|216.28|0|796.76
Professional|||93931|DUPLEX UP EXTREM ART UNILAT/L*|492|492|325.25|369|418.2|442.8|418.2|404.27|254.1|238.85|0|0|433.71|325.25|80.78|342.2|412.03|401.18|317.12|433.2|369|342.2|150.73|146.8|150.73|477.34|477.34|93.14|135|96.21|496.43|433.2|433.2|94.07|104.32|102.45|111.77|131.07|411.72|411.72|137.62|401.18|235.93|137.62|135|0|496.43
Professional|||93970|DUPLEX EXTREM VENOUSBILAT|128|128|494.59|96|108.8|115.2|108.8|614.76|386.4|363.22|0|0|659.53|494.59|116.98|520.37|626.55|610.06|482.23|658.76|96|520.37|228.91|222.94|228.91|727.88|727.88|141.38|205.02|146.05|757|658.76|658.76|142.79|158.35|155.52|169.66|199.05|631.18|631.18|209|615.02|358.29|209|205.02|0|757
Professional|||93971|DUPLEX EXTREM VENOUSUNI OR L*|83|83|306.43|62.25|70.55|74.7|70.55|380.89|239.4|225.04|0|0|408.62|306.43|75.7|322.4|388.19|377.97|298.77|408.14|62.25|322.4|143.18|139.44|143.18|449.65|449.65|88.27|128.24|91.18|467.64|408.14|408.14|89.15|98.86|97.1|105.92|124.5|384.58|384.58|130.73|374.74|224.1|130.73|128.24|0|467.64
Professional|||93975|DUPLEX ABD/PEL VASC STUDYCOM*|253|253|706.05|189.75|215.05|227.7|215.05|877.6|551.6|518.5|0|0|941.5|706.05|131.1|742.85|894.43|870.89|688.4|940.4|189.75|742.85|325.02|316.55|325.02|1037.75|1037.75|200.91|291.11|207.54|1079.26|940.4|940.4|202.92|225.02|221|241.09|282.63|902.64|902.64|296.76|879.54|508.73|296.76|291.11|0|1079.26
Professional|||93978|DUPLEX LARGE VESSEL(S)COMPLE*|144|144|478.46|108|122.4|129.6|122.4|594.72|372.4|350.06|0|0|638.02|478.46|119.62|503.4|606.12|590.17|466.5|637.28|108|503.4|220.05|214.31|220.05|701.5|701.5|135.99|197.09|140.48|729.56|637.28|637.28|137.35|152.31|149.59|163.19|191.35|610.82|610.82|200.92|595.18|344.43|200.92|197.09|0|729.56
Professional|||93979|DUPLEX LARGE VESSEL(S)LIMITED|90|90|304.64|67.5|76.5|81|76.5|378.66|237.3|223.06|0|0|406.23|304.64|75.04|320.52|385.92|375.76|297.02|405.76|67.5|320.52|141.22|137.54|141.22|445.69|445.69|87.24|126.48|90.12|463.52|405.76|405.76|88.11|97.71|95.96|104.69|122.8|383.45|383.45|128.94|373.63|221.04|128.94|126.48|0|463.52
Professional|||93990|DUPLEX HEMODIALYSIS ACCESS|89|89|396.03|66.75|75.65|80.1|75.65|492.26|308|289.52|0|0|528.1|396.03|71.95|416.67|501.7|488.49|386.13|527.48|66.75|416.67|157.21|153.1|157.21|580.19|580.19|96.99|140.8|100.19|603.4|527.48|527.48|97.96|108.63|106.69|116.39|136.7|510.15|510.15|143.54|497.09|246.06|143.54|140.8|0|603.4
Professional|||94002|VENT MANAGEMENT INPATIENT I*|347|347|236.54|260.25|294.95|312.3|294.95|294.02|177.8|167.13|0|0|315.43|236.54|56.5|248.87|299.66|291.77|230.63|315.06|260.25|248.87|105.4|102.65|105.4|336.25|336.25|64.91|94.4|67.05|349.7|315.06|315.06|65.56|72.7|71.4|77.89|91.65|297.5|297.5|96.23|289.88|164.97|96.23|94.4|0|349.7
Professional|||94003|VENT MANAGEMENT INPATIENT S*|248|248|169.34|186|210.8|223.2|210.8|210.49|127.4|119.76|0|0|225.82|169.34|40.38|178.17|214.53|208.88|165.11|225.55|186|178.17|76.13|74.14|76.13|239.98|239.98|46.95|68.19|48.5|249.58|225.55|225.55|47.42|52.58|51.65|56.34|66.2|214.92|214.92|69.51|209.42|119.16|69.51|68.19|0|249.58
Professional|||94010|BREATHING CAPACITY TEST|34|34|89.6|25.5|28.9|30.6|28.9|111.37|70|65.8|0|0|119.48|89.6|22.29|94.27|113.51|110.52|87.36|119.34|25.5|94.27|41.38|40.3|41.38|130.54|130.54|25.4|37.06|26.24|135.76|119.34|119.34|25.65|28.45|27.94|30.48|35.98|114.25|114.25|37.78|111.33|64.76|37.78|37.06|0|135.76
Professional|||94060|EVAL OF BRONCHOSPASM|60|60|150.53|45|51|54|51|187.1|117.6|110.54|0|0|200.73|150.53|38.18|158.37|190.69|185.67|146.77|200.49|45|158.37|69.2|67.39|69.2|220.21|220.21|42.59|61.98|44|229.02|200.49|200.49|43.02|47.7|46.85|51.11|60.17|194.56|194.56|63.18|189.58|108.31|63.18|61.98|0|229.02
Professional|||94070|EVAL OF BRONCHOSPASMPROLONGED|111|111|151.42|83.25|94.35|99.9|94.35|188.22|117.6|110.54|0|0|201.92|151.42|37.08|159.32|191.83|186.78|147.63|201.68|83.25|159.32|69.02|67.22|69.02|220.21|220.21|42.59|61.82|44|229.02|201.68|201.68|43.02|47.7|46.85|51.11|60.02|192.29|192.29|63.02|187.37|108.04|63.02|61.82|0|229.02
Professional|||94617|PR EXERCISE TEST FOR BRONCHOSPASM|127|127|238.34|95.25|107.95|114.3|107.95|296.24|185.5|174.37|0|0|317.82|238.34|0|250.76|301.93|293.98|232.38|317.44|95.25|250.76|106.65|103.87|106.65|349.43|349.43|65.68|95.52|67.85|363.41|317.44|317.44|66.34|73.56|72.25|78.82|92.74|305.41|305.41|97.38|297.59|166.93|97.38|95.52|0|363.41
Professional|||94618|PR PULMONARY STRESS TESTING|128|128|86.02|96|108.8|115.2|108.8|106.92|66.5|62.51|0|0|114.7|86.02|0|90.5|108.97|106.1|83.87|114.57|96|90.5|38.85|37.83|38.85|123.95|123.95|23.86|34.79|24.65|128.91|114.57|114.57|24.1|26.72|26.25|28.63|33.78|109.71|109.71|35.47|106.91|60.8|35.47|34.79|0|128.91
Professional|||94618|PR PULMONARY STRESS TESTING|87|128|86.02|96|108.8|115.2|108.8|106.92|66.5|62.51|0|0|114.7|86.02|0|90.5|108.97|106.1|83.87|114.57|96|90.5|38.85|37.83|38.85|123.95|123.95|23.86|34.79|24.65|128.91|114.57|114.57|24.1|26.72|26.25|28.63|33.78|109.71|109.71|35.47|106.91|60.8|35.47|34.79|0|128.91
Professional|||94726|PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST|206|206|136.19|154.5|175.1|185.4|175.1|169.28|106.4|100.02|0|0|181.61|136.19|33.1|143.29|172.53|167.99|132.79|181.4|154.5|143.29|62.74|61.11|62.74|199.11|199.11|38.74|56.2|40.02|207.07|181.4|181.4|39.13|43.39|42.61|46.49|54.56|168.53|168.53|57.29|164.21|98.21|57.29|56.2|0|207.07
Professional|||94726|PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST|47|206|136.19|154.5|175.1|185.4|175.1|169.28|106.4|100.02|0|0|181.61|136.19|33.1|143.29|172.53|167.99|132.79|181.4|154.5|143.29|62.74|61.11|62.74|199.11|199.11|38.74|56.2|40.02|207.07|181.4|181.4|39.13|43.39|42.61|46.49|54.56|168.53|168.53|57.29|164.21|98.21|57.29|56.2|0|207.07
Professional|||94729|DIFFUSING CAPACITY|34|34|139.78|25.5|28.9|30.6|28.9|173.74|109.2|102.65|0|0|186.39|139.78|34.21|147.06|177.07|172.41|136.29|186.17|25.5|147.06|66.15|64.42|66.15|204.38|204.38|40.79|59.25|42.14|212.56|186.17|186.17|41.2|45.68|44.87|48.95|57.52|174.2|174.2|60.4|169.74|103.54|60.4|59.25|0|212.56
Professional|||95800|SLEEP STUDY UNATTENDED RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME|173|173|429.18|129.75|147.05|155.7|147.05|533.46|336|315.84|0|0|572.31|429.18|0|451.55|543.69|529.39|418.45|571.64|129.75|451.55|195.05|189.96|195.05|310.37|310.37|0|174.7|0|322.78|571.64|571.64|0|0|0|0|169.61|570.1|570.1|178.09|555.5|305.3|178.09|174.7|0|572.31
Professional|||95805|MULTIPLE SLEEP LATENCY TEST|201|201|1063.55|150.75|170.85|180.9|170.85|1321.96|833.7|783.68|0|0|1418.23|1063.55|269.05|1118.98|1347.32|1311.86|1036.96|1416.57|150.75|1118.98|487.43|474.71|487.43|771.72|771.72|301.24|436.57|311.18|802.59|1416.57|1416.57|304.25|337.39|331.36|361.49|423.85|1367.53|1367.53|445.04|1332.53|762.93|445.04|436.57|0|1418.23
Professional|||95807|SLEEP STUDY ATTENDED|255|255|1088.64|191.25|216.75|229.5|216.75|1353.15|853.3|802.1|0|0|1451.68|1088.64|301.5|1145.38|1379.1|1342.81|1061.42|1449.98|191.25|1145.38|478.15|465.67|478.15|789.21|789.21|295.6|428.25|305.35|820.78|1449.98|1449.98|298.56|331.07|325.16|354.72|415.78|1486.33|1486.33|436.57|1448.28|748.4|436.57|428.25|0|1486.33
Professional|||95810|POLYSOMNOGRAPHY 4 OR MORE|492|492|1554.56|369|418.2|442.8|418.2|1932.27|1216.6|1143.6|0|0|2072.98|1554.56|392|1635.58|1969.33|1917.5|1515.7|2070.55|369|1635.58|716.15|697.47|716.15|1126.15|1126.15|442.63|641.42|457.24|1171.2|2070.55|2070.55|447.06|495.75|486.89|531.16|622.74|1989.67|1989.67|653.88|1938.74|1120.93|653.88|641.42|0|2072.98
Professional|||95811|POLYSOMNOGRAPHY W/CPAP|515|515|1629.82|386.25|437.75|463.5|437.75|2025.82|1276.1|1199.53|0|0|2173.34|1629.82|411.64|1714.77|2064.67|2010.34|1589.07|2170.79|386.25|1714.77|748.44|728.92|748.44|1181.23|1181.23|462.64|670.34|477.91|1228.48|2170.79|2170.79|467.27|518.16|508.9|555.17|650.82|2090.34|2090.34|683.36|2036.83|1171.48|683.36|670.34|0|2173.34
Professional|||95812|EEGEXTENDED MONITORING41-60*|351|351|823.42|263.25|298.35|315.9|298.35|1023.49|646.1|607.33|0|0|1098.02|823.42|219.84|866.34|1043.12|1015.67|802.83|1096.73|263.25|866.34|387.48|377.37|387.48|1217.08|1217.08|239.4|347.05|247.3|1265.76|1096.73|1096.73|241.79|268.13|263.34|287.28|336.94|1034.99|1034.99|353.79|1008.49|606.49|353.79|347.05|0|1265.76
Professional|||95813|PR EEG EXTENDED MONITORING 61-119 MINUTES|520|520|1023.23|390|442|468|442|1271.85|801.5|753.41|0|0|1364.46|1023.23|265.08|1076.56|1296.24|1262.13|997.65|1362.86|390|1076.56|480.77|468.23|480.77|1509.82|1509.82|297.14|430.6|306.95|1570.21|1362.86|1362.86|300.11|332.8|326.85|356.57|418.06|1304.21|1304.21|438.96|1270.83|752.51|438.96|430.6|0|1570.21
Professional|||95816|EEGW/AWAKE & DROWSY RECORD|418|418|920.19|313.5|355.3|376.2|355.3|1143.77|721.7|678.4|0|0|1227.06|920.19|227.55|968.15|1165.71|1135.03|897.19|1225.62|313.5|968.15|429.89|418.68|429.89|1359.49|1359.49|265.58|385.03|274.34|1413.87|1225.62|1225.62|268.24|297.45|292.14|318.7|373.82|1154.88|1154.88|392.51|1125.32|672.88|392.51|385.03|0|1413.87
Professional|||95819|EEGW/AWAKE & ASLEEP RECORD|565|565|1082.37|423.75|480.25|508.5|480.25|1345.35|849.8|798.81|0|0|1443.32|1082.37|260.67|1138.78|1371.15|1335.07|1055.31|1441.63|423.75|1138.78|510.42|497.1|510.42|1599.48|1599.48|315.36|457.16|325.77|1663.46|1441.63|1441.63|318.51|353.2|346.9|378.43|443.84|1327.95|1327.95|466.03|1293.95|798.91|466.03|457.16|0|1663.46
Professional|||95822|EEGCOMA/SLEEP RECORD ONLY|376|376|976.64|282|319.6|338.4|319.6|1213.93|766.5|720.51|0|0|1302.33|976.64|234.62|1027.54|1237.22|1204.66|952.22|1300.81|282|1027.54|462.53|450.46|462.53|1443.88|1443.88|285.85|414.27|295.28|1501.64|1300.81|1300.81|288.71|320.15|314.44|343.02|402.2|1199.01|1199.01|422.31|1168.32|723.96|422.31|414.27|0|1501.64
Professional|||95824|EEG EVAL CEREBRAL DEATH|150|150|0|112.5|127.5|135|127.5|322.69|0|0|0|0|346.19|0|62.24|0|328.88|320.22|0|134.85|112.5|0|0|0|0|375.8|375.8|72.1|0|74.48|390.83|134.85|134.85|72.82|80.75|79.31|86.52|0|784.51|784.51|0|764.43|0|0|0|0|784.51
Professional|||95874|NEEDLE EMG GUIDANCE FOR CHEMO*|194|194|195.33|145.5|164.9|174.6|164.9|242.79|153.3|144.1|0|0|260.47|195.33|45.68|205.51|247.44|240.93|190.45|260.16|145.5|205.51|93.21|90.78|93.21|288.78|288.78|57.47|83.48|59.37|300.33|260.16|260.16|58.04|64.37|63.22|68.96|81.05|236.42|236.42|85.1|230.36|145.89|85.1|83.48|0|300.33
Professional|||95885|NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED|72|72|155.01|54|61.2|64.8|61.2|192.67|121.1|113.83|0|0|206.7|155.01|36.63|163.09|196.37|191.2|151.13|206.46|54|163.09|73.9|71.97|73.9|228.12|228.12|45.67|66.19|47.18|237.24|206.46|206.46|46.13|51.15|50.24|54.8|64.26|187.78|187.78|67.47|182.98|115.67|67.47|66.19|0|237.24
Professional|||95886|NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE|182|182|240.13|136.5|154.7|163.8|154.7|298.47|186.9|175.69|0|0|320.21|240.13|56.72|252.64|304.2|296.19|234.13|319.83|136.5|252.64|114.26|111.28|114.26|350.75|350.75|70.56|102.34|72.89|364.78|319.83|319.83|71.27|79.03|77.62|84.67|99.36|291.83|291.83|104.33|284.36|178.85|104.33|102.34|0|364.78
Professional|||95908|MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB|259|259|315.39|194.25|220.15|233.1|220.15|392.02|245|230.3|0|0|420.57|315.39|73.5|331.83|399.54|389.03|307.51|420.08|194.25|331.83|142.23|138.52|142.23|461.52|461.52|87.75|127.39|90.65|479.98|420.08|420.08|88.63|98.28|96.53|105.3|123.68|401.54|401.54|129.86|391.26|222.62|129.86|127.39|0|479.98
Professional|||95909|MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB|309|309|376.32|231.75|262.65|278.1|262.65|467.75|292.6|275.04|0|0|501.82|376.32|89.83|395.93|476.73|464.18|366.91|501.23|231.75|395.93|170.4|165.95|170.4|551.19|551.19|105.2|152.62|108.67|573.24|501.23|501.23|106.25|117.82|115.72|126.24|148.17|478.47|478.47|155.58|466.23|266.71|155.58|152.62|0|573.24
Professional|||95910|MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB|411|411|493.7|308.25|349.35|369.9|349.35|613.65|383.6|360.58|0|0|658.33|493.7|119.41|519.43|625.42|608.96|481.36|657.56|308.25|519.43|223.93|218.09|223.93|722.6|722.6|138.3|200.56|142.86|751.5|657.56|657.56|139.68|154.9|152.13|165.96|194.72|632.31|632.31|204.46|616.13|350.5|204.46|200.56|0|751.5
Professional|||95911|MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB|511|511|593.15|383.25|434.35|459.9|434.35|737.27|460.6|432.96|0|0|790.96|593.15|144.13|624.07|751.41|731.64|578.32|790.03|383.25|624.07|268.63|261.62|268.63|866.33|866.33|166.02|240.6|171.5|900.98|790.03|790.03|167.68|185.94|182.62|199.22|233.59|753.34|753.34|245.27|734.06|420.46|245.27|240.6|0|900.98
Professional|||95912|MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB|609|609|666.62|456.75|517.65|548.1|517.65|828.59|517.3|486.26|0|0|888.93|666.62|161.34|701.37|844.48|822.26|649.95|887.89|456.75|701.37|307.04|299.03|307.04|973.14|973.14|189.62|275|195.88|1012.07|887.89|887.89|191.52|212.37|208.58|227.54|266.99|831.38|831.38|280.34|810.1|480.58|280.34|275|0|1012.07
Professional|||95937|NEUROMUSCULAR JUNCTION TEST|226|226|222.21|169.5|192.1|203.4|192.1|276.2|172.9|162.53|0|0|296.31|222.21|50.54|233.79|281.49|274.09|216.65|295.96|169.5|233.79|110.31|107.43|110.31|325.7|325.7|67.99|98.8|70.23|338.73|295.96|295.96|68.67|76.15|74.79|81.59|95.92|262.42|262.42|100.72|255.7|172.66|100.72|98.8|0|338.73
Professional|||95955|EEG DURING SURGERY|301|301|533.12|225.75|255.85|270.9|255.85|662.65|417.2|392.17|0|0|710.91|533.12|135.52|560.91|675.36|657.59|519.79|710.07|225.75|560.91|247.35|240.9|247.35|785.9|785.9|152.67|221.54|157.71|817.34|710.07|710.07|154.2|170.99|167.94|183.2|215.09|684.35|684.35|225.84|666.83|387.16|225.84|221.54|0|817.34
Professional|||95970|PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING|81|81|47.49|60.75|68.85|72.9|68.85|60.14|36.4|34.22|0|0|63.32|47.49|14.56|49.96|60.16|58.58|46.3|63.25|60.75|49.96|21.69|21.12|21.69|67.25|67.25|13.34|19.43|13.78|69.94|63.25|63.25|13.47|14.94|14.67|16.01|18.86|78.04|78.04|19.8|76.04|33.95|19.8|19.43|0|81
Professional|||96040|GENETIC COUNSELING EACH 30 M*|176|176|116.48|132|149.6|158.4|149.6|144.78|0|0|0|0|155.32|116.48|29.35|122.55|147.56|143.67|113.57|155.14|132|122.55|0|0|0|170.1|170.1|32.58|0|33.66|176.9|155.14|155.14|32.91|36.49|35.84|39.1|0|150.44|150.44|0|146.58|0|0|0|0|176.9
Professional|||96112|PR DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR|480|480|323.46|360|408|432|408|426.55|262.5|246.75|0|0|431.32|323.46|0|340.31|409.76|398.97|315.37|430.82|360|340.31|148.07|144.21|148.07|465.47|465.47|91.34|132.62|94.35|484.09|430.82|430.82|92.25|102.3|100.47|109.61|128.76|408.35|408.35|135.2|397.89|231.77|135.2|132.62|0|484.09
Professional|||96113|PR DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN|219|219|147.84|164.25|186.15|197.1|186.15|190.44|116.9|109.89|0|0|197.14|147.84|0|155.55|187.28|182.36|144.14|196.91|164.25|155.55|67.09|65.34|67.09|212.29|212.29|41.31|60.09|42.67|220.78|196.91|196.91|41.72|46.27|45.44|49.57|58.34|186.65|186.65|61.26|181.87|105.01|61.26|60.09|0|220.78
Professional|||96116|PR NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR|297|297|215.94|222.75|252.45|267.3|252.45|300.7|185.5|174.37|133|133|287.95|215.94|67.59|227.19|273.55|266.35|210.54|287.61|222.75|227.19|97.43|94.89|97.43|99.95|99.95|73.78|87.26|76.21|103.95|287.61|287.61|74.52|82.63|81.16|88.54|84.72|276|276|88.96|268.94|152.5|88.96|87.26|67.59|300.7
Professional|||96121|PR NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR|272|272|198.02|204|231.2|244.8|231.2|258.38|158.9|149.37|106.84|106.84|264.05|198.02|0|208.34|250.85|244.25|193.07|263.74|204|208.34|89.94|87.6|89.94|91.48|91.48|68.1|80.56|70.35|95.14|263.74|263.74|68.78|76.27|74.91|81.72|78.21|249.97|249.97|82.12|243.57|140.78|82.12|80.56|0|272
Professional|||96125|STANDARDIZED COGNITIVE PERFORMANCE TESTING|384|384|279.55|288|326.4|345.6|326.4|347.47|216.3|203.32|0|0|372.78|279.55|72.61|294.12|354.14|344.82|272.56|372.34|288|294.12|127.18|123.86|127.18|130.85|130.85|78.51|113.91|81.1|136.08|372.34|372.34|79.3|87.93|86.36|94.21|110.59|371|371|116.12|361.5|199.06|116.12|113.91|0|384
Professional|||96130|PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR|382|382|277.76|286.5|324.7|343.8|324.7|367.52|226.8|213.19|0|0|370.39|277.76|0|292.24|351.87|342.61|270.82|369.95|286.5|292.24|125.64|122.36|125.64|128.74|128.74|95.22|112.53|98.36|133.89|369.95|369.95|96.17|106.65|104.74|114.26|109.25|350.64|350.64|114.71|341.66|196.65|114.71|112.53|0|382
Professional|||96131|PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR|291|291|211.46|218.25|247.35|261.9|247.35|279.54|172.9|162.53|0|0|281.97|211.46|0|222.48|267.87|260.82|206.17|281.64|218.25|222.48|96.12|93.61|96.12|98.25|98.25|72.83|86.09|75.23|102.18|281.64|281.64|73.56|81.57|80.11|87.4|83.58|266.96|266.96|87.76|260.12|150.44|87.76|86.09|0|291
Professional|||96132|PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR|375|375|272.38|281.25|318.75|337.5|318.75|413.18|256.2|240.83|170.85|170.85|363.22|272.38|0|286.58|345.06|335.98|265.57|362.79|281.25|286.58|123.96|120.72|123.96|126.2|126.2|93.95|111.02|97.05|131.25|362.79|362.79|94.89|105.22|103.35|112.74|107.79|343.86|343.86|113.18|335.06|194.02|113.18|111.02|0|413.18
Professional|||96133|PR NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR|287|287|208.77|215.25|243.95|258.3|243.95|315.18|195.3|183.58|130.33|130.33|278.39|208.77|0|219.65|264.47|257.51|203.55|278.06|215.25|219.65|95.13|92.65|95.13|96.97|96.97|72.2|85.2|74.58|100.85|278.06|278.06|72.92|80.86|79.42|86.64|82.72|263.55|263.55|86.86|256.81|148.9|86.86|85.2|0|315.18
Professional|||96136|PR PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN|87|87|62.72|65.25|73.95|78.3|73.95|148.12|92.4|86.86|61.25|61.25|83.64|62.72|0|65.99|79.45|77.36|61.15|83.54|65.25|65.99|28.31|27.57|28.31|28.8|28.8|21.44|25.36|22.15|29.95|83.54|83.54|21.65|24.01|23.58|25.73|24.62|79.17|79.17|25.85|77.15|44.32|25.85|25.36|0|148.12
Professional|||96137|PR PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN|68|68|49.28|51|57.8|61.2|57.8|136.99|86.1|80.93|56.64|56.64|65.71|49.28|0|51.85|62.43|60.79|48.05|65.64|51|51.85|22.33|21.75|22.33|22.86|22.86|16.71|20|17.26|23.77|65.64|65.64|16.88|18.72|18.38|20.05|19.42|62.22|62.22|20.39|60.62|34.96|20.39|20|0|136.99
Professional|||96138|PR PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN|133|133|96.77|99.75|113.05|119.7|113.05|120.28|76.3|71.72|49.74|49.74|129.04|96.77|0|101.81|122.59|119.36|94.35|128.89|99.75|101.81|44.67|43.5|44.67|45.74|45.74|33.73|40.01|34.84|47.57|128.89|128.89|34.07|37.78|37.1|40.48|38.84|122.16|122.16|40.78|119.04|69.91|40.78|40.01|0|133
Professional|||96146|PR PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT|8|8|5.38|6|6.8|7.2|6.8|6.68|3.5|3.29|0|0|7.17|5.38|0|5.66|6.81|6.63|5.25|7.16|6|5.66|2.24|2.18|2.24|2.12|2.12|1.57|2.01|1.62|2.2|7.16|7.16|1.59|1.76|1.73|1.88|1.95|6.78|6.78|2.05|6.6|3.51|2.05|2.01|0|8
Professional|||96156|PR HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT|333|333|224.9|249.75|283.05|299.7|283.05|261.71|0|0|0|0|239.68|224.9|0|236.62|227.7|221.7|219.28|154.99|249.75|236.62|101.92|99.27|101.92|323.06|323.06|62.86|91.29|64.93|335.98|154.99|154.99|63.49|70.4|69.15|75.43|88.63|283.91|283.91|93.06|276.65|159.53|93.06|91.29|0|335.98
Professional|||96158|PR HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN|229|229|153.22|171.75|194.65|206.1|194.65|178.57|0|0|0|0|163.29|153.22|0|161.2|155.12|151.04|149.39|105.59|171.75|161.2|69.74|67.92|69.74|221.53|221.53|43.1|62.46|44.52|230.39|105.59|105.59|43.53|48.27|47.41|51.72|60.64|193.43|193.43|63.67|188.47|109.15|63.67|62.46|0|230.39
Professional|||96159|PR HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN|79|79|52.86|59.25|67.15|71.1|67.15|62.36|0|0|0|0|56.34|52.86|0|55.62|53.52|52.11|51.54|36.43|59.25|55.62|23.99|23.36|23.99|76.48|76.48|14.62|21.49|15.1|79.54|36.43|36.43|14.77|16.37|16.08|17.54|20.86|66.72|66.72|21.9|65.02|37.55|21.9|21.49|0|79.54
Professional|||96164|PR HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN|33|33|22.4|24.75|28.05|29.7|28.05|26.45|0|0|0|0|23.87|22.4|0|23.57|22.68|22.08|21.84|15.44|24.75|23.57|10.12|9.86|10.12|31.65|31.65|6.15|9.06|6.35|32.92|15.44|15.44|6.21|6.89|6.77|7.38|8.8|28.27|28.27|9.24|27.55|15.84|9.24|9.06|0|33
Professional|||96165|PR HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN|15|15|9.86|11.25|12.75|13.5|12.75|12.28|0|0|0|0|10.5|9.86|0|10.37|9.98|9.72|9.61|6.79|11.25|10.37|4.57|4.45|4.57|14.51|14.51|2.82|4.09|2.91|15.09|6.79|6.79|2.85|3.16|3.1|3.38|3.97|12.45|12.45|4.17|12.13|7.15|4.17|4.09|0|15.09
Professional|||96167|PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN|244|244|163.97|183|207.4|219.6|207.4|191.79|0|0|0|0|174.75|163.97|0|172.51|166.01|161.64|159.87|113|183|172.51|74.46|72.52|74.46|236.03|236.03|45.93|66.69|47.45|245.47|113|113|46.39|51.44|50.52|55.12|64.75|207.01|207.01|67.99|201.71|116.55|67.99|66.69|0|245.47
Professional|||96168|PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN|87|87|58.24|65.25|73.95|78.3|73.95|68.03|0|0|0|0|62.07|58.24|0|61.28|58.97|57.41|56.78|40.14|65.25|61.28|26.48|25.79|26.48|84.39|84.39|16.16|23.72|16.69|87.77|40.14|40.14|16.32|18.1|17.78|19.39|23.03|73.53|73.53|24.18|71.65|41.45|24.18|23.72|0|87.77
Professional|||96170|PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN|290|290|196.22|217.5|246.5|261|246.5|217.3|0|0|0|0|209.12|196.22|0|206.45|198.67|193.44|191.31|135.23|217.5|206.45|0|0|0|280.87|280.87|54.39|0|56.18|292.1|135.23|135.23|54.93|60.92|59.83|65.27|0|247.73|247.73|0|241.39|0|0|0|0|292.1
Professional|||96171|PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15|105|105|71.68|78.75|89.25|94.5|89.25|79.36|0|0|0|0|76.39|71.68|0|75.42|72.57|70.66|69.89|49.4|78.75|75.42|0|0|0|101.54|101.54|19.75|0|20.4|105.6|49.4|49.4|19.95|22.12|21.73|23.7|0|90.49|90.49|0|88.17|0|0|0|0|105.6
Professional|||96372|THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM|84|84|42.11|63|71.4|75.6|71.4|44.41|32.9|30.93|0|0|44.88|42.11|15.66|44.31|42.64|41.51|41.06|56.09|63|44.31|16.45|16.02|16.45|60.65|60.65|10|14.73|10.33|63.08|56.09|56.09|10.1|11.2|11|12|14.3|81.44|81.44|15.02|79.36|25.74|15.02|14.73|0|84
Professional|||96450|CHEMOTHERCNSW/LUMBAR PUNCTU*|299|299|203.39|224.25|254.15|269.1|254.15|484.68|356.3|334.92|0|0|216.76|203.39|48.78|213.99|205.92|200.51|198.31|270.9|224.25|213.99|90.9|88.52|90.9|290.1|290.1|56.19|81.41|58.04|301.7|270.9|270.9|56.75|62.93|61.81|67.43|79.04|260.15|260.15|82.99|253.49|142.27|82.99|81.41|0|484.68
Professional|||96523|IRRIG IMPLANTED DRUG DELIVERY*|105|105|68.99|78.75|89.25|94.5|89.25|72.75|53.9|50.67|0|0|73.53|68.99|15.45|72.59|69.85|68.01|67.27|91.89|78.75|72.59|32.2|31.36|32.2|101.54|101.54|19.75|28.84|20.4|105.6|91.89|91.89|19.95|22.12|21.73|23.7|28|79.17|79.17|29.4|77.15|50.4|29.4|28.84|0|105.6
Professional|||97597|DEBRIDEMENT OPEN WOUND 20 SQ CM<|92|92|60.93|69|78.2|82.8|78.2|280.65|177.1|166.47|0|0|81.25|60.93|15.49|64.1|77.18|75.15|59.41|59.07|69|64.1|42.09|40.99|42.09|88.35|88.35|25.91|37.7|26.77|91.88|59.07|59.07|26.17|29.02|28.5|31.09|36.6|26.06|26.06|38.43|25.02|65.88|38.43|37.7|0|280.65
Professional|||97598|DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM|45|45|28.67|33.75|38.25|40.5|38.25|87.98|55.3|51.98|0|0|38.23|28.67|7.5|30.17|36.32|35.37|27.95|27.8|33.75|30.17|29.2|28.44|29.2|40.87|40.87|17.96|26.15|18.55|42.5|27.8|27.8|18.14|20.12|19.76|21.55|25.39|12.24|12.24|26.66|11.75|45.7|26.66|26.15|0|87.98
Professional|||97605|PR NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM|100|100|66.3|75|85|90|85|138.1|86.1|80.93|0|0|88.42|66.3|16.7|69.76|83.99|81.78|64.64|64.28|75|69.76|30.27|29.48|30.27|96.26|96.26|18.47|27.11|19.08|100.11|64.28|64.28|18.65|20.69|20.32|22.16|26.32|28.03|28.03|27.64|26.91|47.38|27.64|27.11|0|138.1
Professional|||97606|PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM|108|108|71.68|81|91.8|97.2|91.8|162.6|102.2|96.07|0|0|95.58|71.68|18.15|75.42|90.8|88.42|69.89|69.5|81|75.42|32.76|31.91|32.76|104.17|104.17|20.01|29.34|20.67|108.34|69.5|69.5|20.21|22.41|22.01|24.01|28.49|30.39|30.39|29.91|29.18|51.28|29.91|29.34|0|162.6
Professional|||97607|PR NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM|94|94|0|70.5|79.9|84.6|79.9|61.13|0|0|0|0|57.66|0|0|0|54.78|53.33|0|52.02|70.5|0|24.92|24.27|24.92|90.99|90.99|15.39|22.32|15.9|94.63|52.02|52.02|15.54|17.24|16.93|18.47|21.67|48.86|48.86|22.75|46.91|39.01|22.75|22.32|0|94.63
Professional|||97608|PR NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM|105|105|0|78.75|89.25|94.5|89.25|66.86|0|0|0|0|63.06|0|0|0|59.9|58.33|0|55.49|78.75|0|27.98|27.25|27.98|101.54|101.54|17.19|25.06|17.76|105.6|55.49|55.49|17.36|19.25|18.91|20.63|24.33|54.69|54.69|25.55|52.5|43.79|25.55|25.06|0|105.6
Professional|||98966|NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN|43|43|32.26|32.25|36.55|38.7|36.55|36.85|27.3|25.66|0|0|34.38|32.26|7.53|33.94|32.66|31.8|31.45|42.96|32.25|33.94|0|0|0|15.68|15.68|0|0|0|16.31|42.96|42.96|0|0|0|0|0|40.72|40.72|0|39.68|0|0|0|0|43
Professional|||98967|NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN|86|86|64.51|64.5|73.1|77.4|73.1|71.8|51.8|48.69|0|0|68.75|64.51|15.31|67.87|65.32|63.6|62.9|85.92|64.5|67.87|0|0|0|31.35|31.35|0|0|0|32.6|85.92|85.92|0|0|0|0|0|81.44|81.44|0|79.36|0|0|0|0|86
Professional|||98968|NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN|129|129|96.77|96.75|109.65|116.1|109.65|105.82|77|72.38|0|0|103.13|96.77|23.09|101.81|97.97|95.39|94.35|128.89|96.75|101.81|0|0|0|47.03|47.03|0|0|0|48.91|128.89|128.89|0|0|0|0|0|122.16|122.16|0|119.04|0|0|0|0|129
Professional|||99151|PR MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS|94|94|64.51|70.5|79.9|84.6|79.9|200.3|147.7|138.84|0|0|68.75|64.51|14.06|67.87|65.32|63.6|62.9|85.92|70.5|67.87|26.53|25.84|26.53|90.99|90.99|16.16|23.76|16.69|94.63|85.92|85.92|16.32|18.1|17.78|19.39|23.07|75.8|75.8|24.22|73.86|41.53|24.22|23.76|0|200.3
Professional|||99152|PR MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS|47|47|31.36|35.25|39.95|42.3|39.95|136.05|100.8|94.75|0|0|33.42|31.36|7.37|32.99|31.75|30.91|30.58|41.77|35.25|32.99|14.03|13.66|14.03|44.83|44.83|8.46|12.57|8.74|46.62|41.77|41.77|8.54|9.48|9.31|10.15|12.2|39.59|39.59|12.81|38.57|21.96|12.81|12.57|0|136.05
Professional|||99153|PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS|40|40|26.88|30|34|36|34|28.34|21|19.74|0|0|28.65|26.88|6.7|28.28|27.21|26.5|26.21|35.8|30|28.28|12.33|12.01|12.33|38.24|38.24|7.44|11.04|7.69|39.77|35.8|35.8|7.51|8.33|8.18|8.93|10.72|35.08|35.08|11.26|34.18|19.3|11.26|11.04|0|40
Professional|||99155|PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS|332|332|227.58|249|282.2|298.8|282.2|239.98|170.1|159.89|0|0|242.54|227.58|56.28|239.45|230.42|224.35|221.89|303.12|249|239.45|95.4|92.92|95.4|321.74|321.74|58.76|85.45|60.7|334.61|303.12|303.12|59.35|65.81|64.64|70.51|82.96|297.5|297.5|87.11|289.88|149.33|87.11|85.45|0|334.61
Professional|||99156|PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS|291|291|200.7|218.25|247.35|261.9|247.35|211.64|150.5|141.47|0|0|213.9|200.7|45.78|211.16|203.2|197.86|195.68|267.32|218.25|211.16|88.34|86.04|88.34|282.18|282.18|54.39|79.12|56.18|293.47|267.32|267.32|54.93|60.92|59.83|65.27|76.82|243.19|243.19|80.66|236.97|138.28|80.66|79.12|0|293.47
Professional|||99157|PR MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS|241|241|163.07|180.75|204.85|216.9|204.85|171.95|123.2|115.81|0|0|173.79|163.07|34.83|171.57|165.1|160.76|158.99|217.2|180.75|171.57|72.96|71.05|72.96|233.4|233.4|44.9|65.34|46.38|242.74|217.2|217.2|45.35|50.29|49.39|53.88|63.44|184.38|184.38|66.61|179.66|114.19|66.61|65.34|0|242.74
Professional|||99195|PHLEBOTOMY|388|388|256.26|291|329.8|349.2|329.8|318.52|199.5|187.53|0|0|341.71|256.26|62.24|269.61|324.63|316.08|249.85|341.31|291|269.61|118.07|114.99|118.07|375.8|375.8|72.87|105.75|75.27|390.83|341.31|341.31|73.6|81.61|80.16|87.44|102.67|320.13|320.13|107.8|311.93|184.81|107.8|105.75|0|390.83
Professional|||99201|OFFICE/OUTPT VISITLEVL I|97|97|68.1|72.75|82.45|87.3|82.45|121.88|88.9|83.57|37.75|37.75|72.57|68.1|18.75|71.65|68.94|67.13|66.4|66.02|72.75|71.65|29.9|29.12|29.9|96.26|96.26|20.06|26.78|20.72|100.11|66.02|66.02|20.26|22.47|22.07|24.07|26|69.12|69.12|27.3|67.35|46.8|27.3|26.78|18.75|121.88
Professional|||99202|OFFICE/OUTPT VISITLEVL II|182|182|128.13|136.5|154.7|163.8|154.7|203.13|147.7|138.84|67|67|136.55|128.13|35.2|134.81|129.72|126.31|124.93|124.22|136.5|134.81|57.16|55.66|57.16|181.97|181.97|38.18|51.19|39.44|189.25|124.22|124.22|38.56|42.76|42|45.82|49.7|130.03|130.03|52.19|126.71|89.46|52.19|51.19|35.2|203.13
Professional|||99203|OFFICE/OUTPT VISITLEVL III|273|273|192.64|204.75|232.05|245.7|232.05|288.16|208.6|196.08|98.75|98.75|205.3|192.64|53.17|202.68|195.04|189.91|187.82|186.77|204.75|202.68|85.64|83.41|85.64|272.96|272.96|57.41|76.7|59.3|283.88|186.77|186.77|57.98|64.3|63.15|68.89|74.47|197.33|197.33|78.19|192.28|134.05|78.19|76.7|53.17|288.16
Professional|||99204|OFFICE/OUTPT VISITLEVL IV|465|465|326.14|348.75|395.25|418.5|395.25|437.44|316.4|297.42|159|159|347.58|326.14|90.68|343.14|330.2|321.51|317.99|316.21|348.75|343.14|146.53|142.71|146.53|464.16|464.16|98.38|131.24|101.63|482.73|316.21|316.21|99.36|110.19|108.22|118.06|127.42|333.73|333.73|133.79|325.18|229.36|133.79|131.24|90.68|482.73
Professional|||99205|OFFICE/OUTPT VISITLEVL V|606|606|425.6|454.5|515.1|545.4|515.1|549.87|396.9|373.09|202.5|202.5|453.58|425.6|117.92|447.78|430.9|419.56|414.96|412.63|454.5|447.78|191.58|186.58|191.58|605.24|605.24|128.48|171.59|132.72|629.45|412.63|412.63|129.76|143.9|141.33|154.18|166.59|434.67|434.67|174.92|423.55|299.86|174.92|171.59|117.92|629.45
Professional|||99211|OFFICE/OUTPT VISITESTLEVL I|33|33|23.3|24.75|28.05|29.7|28.05|60.47|44.8|42.11|48.25|48.25|24.83|23.3|6.42|24.51|23.59|22.97|22.72|22.59|24.75|24.51|10.56|10.28|10.56|32.96|32.96|6.96|9.46|7.19|34.28|22.59|22.59|7.03|7.8|7.66|8.35|9.18|23.64|23.64|9.64|23.04|16.52|9.64|9.46|6.42|60.47
Professional|||99212|OFFICE/OUTPT VISITESTLEVL II|91|91|64.51|68.25|77.35|81.9|77.35|119.99|87.5|82.25|55|55|68.75|64.51|17.72|67.87|65.32|63.6|62.9|62.55|68.25|67.87|29.06|28.3|29.06|90.99|90.99|19.5|26.03|20.14|94.63|62.55|62.55|19.7|21.84|21.45|23.4|25.27|65.47|65.47|26.53|63.8|45.49|26.53|26.03|17.72|119.99
Professional|||99213|OFFICE/OUTPT VISITESTLEVL III|185|185|129.02|138.75|157.25|166.5|157.25|197.46|144.2|135.55|55.25|55.25|137.51|129.02|35.96|135.75|130.63|127.19|125.79|125.09|138.75|135.75|58.25|56.73|58.25|184.6|184.6|39.01|52.17|40.3|191.98|125.09|125.09|39.4|43.69|42.91|46.81|50.65|130.95|130.95|53.18|127.59|91.17|53.18|52.17|35.96|197.46
Professional|||99214|OFFICE/OUTPT VISITESTLEVL IV|287|287|198.91|215.25|243.95|258.3|243.95|289.11|210.7|198.06|79.25|79.25|211.99|198.91|55.23|209.28|201.39|196.09|193.94|192.85|215.25|209.28|89.93|87.58|89.93|286.14|286.14|60.19|80.55|62.18|297.59|192.85|192.85|60.79|67.41|66.21|72.23|78.2|201.87|201.87|82.11|196.7|140.76|82.11|80.55|55.23|297.59
Professional|||99215|OFFICE/OUTPT VISITESTLEVL V|401|401|280.45|300.75|340.85|360.9|340.85|387.37|281.4|264.52|127|127|298.88|280.45|78.09|295.07|283.94|276.47|273.44|271.9|300.75|295.07|127.18|123.86|127.18|400.86|400.86|85.28|113.91|88.09|416.89|271.9|271.9|86.13|95.51|93.81|102.34|110.59|285.53|285.53|116.12|278.22|199.06|116.12|113.91|78.09|416.89
Professional|||99217|PR OBSERVATION CARE DISCHARGE MANAGEMENT|274|274|184.58|205.5|232.9|246.6|232.9|194.63|140.7|132.26|0|0|196.71|184.58|48.81|194.2|186.87|181.96|179.97|178.95|205.5|194.2|83.02|80.85|83.02|265.05|265.05|55.74|74.36|57.58|275.65|178.95|178.95|56.3|62.43|61.31|66.89|72.19|187.32|187.32|75.8|182.53|129.94|75.8|74.36|0|275.65
Professional|||99218|PR INITIAL OBSERVATION CARE/DAY 30 MINUTES|370|370|251.78|277.5|314.5|333|314.5|265.49|190.4|178.98|0|0|268.33|251.78|66.38|264.9|254.91|248.2|245.49|244.1|277.5|264.9|113.14|110.19|113.14|358.66|358.66|75.8|101.33|78.3|373.01|244.1|244.1|76.56|84.9|83.38|90.96|98.38|256.45|256.45|103.3|249.88|177.08|103.3|101.33|0|373.01
Professional|||99219|PR INITIAL OBSERVATION CARE/DAY 50 MINUTES|506|506|343.17|379.5|430.1|455.4|430.1|361.86|260.4|244.78|0|0|365.73|343.17|90.3|361.05|347.44|338.3|334.59|332.71|379.5|361.05|154.68|150.64|154.68|490.52|490.52|103.67|138.54|107.09|510.14|332.71|332.71|104.71|116.11|114.04|124.4|134.5|349.18|349.18|141.23|340.24|242.1|141.23|138.54|0|510.14
Professional|||99220|PR INITIAL OBSERVATION CARE/DAY 70 MINUTES|692|692|468.61|519|588.2|622.8|588.2|494.13|356.3|334.92|0|0|499.41|468.61|123.98|493.03|474.44|461.96|456.89|454.33|519|493.03|210.4|204.92|210.4|671.18|671.18|141.02|188.45|145.67|698.03|454.33|454.33|142.43|157.94|155.12|169.22|182.96|477.42|477.42|192.11|465.2|329.33|192.11|188.45|0|698.03
Professional|||99221|INITIAL HOSPITAL CARELEVL I|374|374|256.26|280.5|317.9|336.6|317.9|270.21|192.5|180.95|37.75|37.75|273.1|256.26|66.87|269.61|259.45|252.62|249.85|248.45|280.5|269.61|114.84|111.84|114.84|362.62|362.62|76.92|102.86|79.46|377.12|248.45|248.45|77.69|86.15|84.61|92.3|99.86|260.98|260.98|104.85|254.3|179.75|104.85|102.86|37.75|377.12
Professional|||99222|INITIAL HOSPITAL CARELEVL II|508|508|345.86|381|431.8|457.2|431.8|364.69|261.8|246.09|113|113|368.59|345.86|91.03|363.88|350.16|340.95|337.21|335.32|381|363.88|156.1|152.03|156.1|493.16|493.16|104.79|139.81|108.25|512.89|335.32|335.32|105.84|117.36|115.27|125.75|135.74|351.92|351.92|142.53|342.91|244.33|142.53|139.81|91.03|512.89
Professional|||99223|INITIAL HOSPITAL CARELEVL III|753|753|510.72|564.75|640.05|677.7|640.05|538.54|387.8|364.53|183.5|183.5|544.29|510.72|134.96|537.34|517.08|503.47|497.95|495.16|564.75|537.34|230.29|224.28|230.29|730.52|730.52|154.39|206.26|159.48|759.74|495.16|495.16|155.93|172.92|169.83|185.27|200.25|521.05|521.05|210.26|507.71|360.45|210.26|206.26|134.96|759.74
Professional|||99224|SUBSEQUENT OBSERVATION CARELEVEL I|147|147|100.35|110.25|124.95|132.3|124.95|105.82|76.3|71.72|0|0|106.95|100.35|26.36|105.58|101.6|98.93|97.84|97.29|110.25|105.58|45.03|43.86|45.03|142.41|142.41|30.09|40.33|31.08|148.11|97.29|97.29|30.39|33.7|33.1|36.11|39.16|102.75|102.75|41.12|100.12|70.49|41.12|40.33|0|148.11
Professional|||99225|SUBSEQUENT OBSERVATION CARELEVEL II|274|274|184.58|205.5|232.9|246.6|232.9|194.63|140|131.6|0|0|196.71|184.58|48.81|194.2|186.87|181.96|179.97|178.95|205.5|194.2|82.96|80.8|82.96|265.05|265.05|55.46|74.3|57.29|275.65|178.95|178.95|56.01|62.12|61.01|66.55|72.14|187.32|187.32|75.75|182.53|129.85|75.75|74.3|0|275.65
Professional|||99226|SUBSEQUENT OBSERVATION CARELEVEL III|392|392|264.32|294|333.2|352.8|333.2|278.72|201.6|189.5|0|0|281.7|264.32|70.04|278.1|267.61|260.57|257.71|256.27|294|278.1|119.37|116.26|119.37|379.76|379.76|79.98|106.91|82.62|394.95|256.27|256.27|80.78|89.58|87.98|95.98|103.8|270.08|270.08|108.99|263.16|186.84|108.99|106.91|0|394.95
Professional|||99231|SUBSEQUENT HOSPITAL CARE; LEVEL 1|146|146|99.46|109.5|124.1|131.4|124.1|104.87|74.9|70.41|53|53|105.99|99.46|26.11|104.64|100.69|98.04|96.97|96.43|109.5|104.64|44.61|43.44|44.61|141.09|141.09|29.82|39.95|30.8|146.73|96.43|96.43|30.12|33.4|32.8|35.78|38.79|100.95|100.95|40.73|98.36|69.82|40.73|39.95|26.11|146.73
Professional|||99232|SUBSEQUENT HOSPITAL CARE; LEVEL 2|272|272|183.68|204|231.2|244.8|231.2|193.68|139.3|130.94|63.75|63.75|195.75|183.68|48.08|193.25|185.97|181.07|179.09|178.08|204|193.25|82.55|80.39|82.55|263.72|263.72|55.18|73.93|57|274.27|178.08|178.08|55.73|61.8|60.7|66.22|71.78|185.5|185.5|75.37|180.75|129.2|75.37|73.93|48.08|274.27
Professional|||99233|SUBSEQUENT HOSPITAL CARE; LEVEL 3|388|388|262.53|291|329.8|349.2|329.8|276.83|199.5|187.53|93.25|93.25|279.79|262.53|69.55|276.21|265.8|258.8|255.97|254.53|291|276.21|118.96|115.85|118.96|375.8|375.8|79.7|106.54|82.33|390.83|254.53|254.53|80.5|89.26|87.67|95.64|103.44|268.25|268.25|108.61|261.39|186.19|108.61|106.54|69.55|390.83
Professional|||99234|OBSERV/HOSP SAME DATELEVL III|494|494|336|370.5|419.9|444.6|419.9|354.3|254.1|238.85|0|0|358.09|336|88.83|353.51|340.18|331.23|327.6|325.76|370.5|353.51|151.36|147.41|151.36|478.65|478.65|101.44|135.57|104.79|497.8|325.76|325.76|102.45|113.61|111.58|121.73|131.62|342.82|342.82|138.2|334.05|236.92|138.2|135.57|0|497.8
Professional|||99235|OBSERV/HOSP SAME DATELEVL IV|629|629|427.39|471.75|534.65|566.1|534.65|450.67|324.8|305.31|0|0|455.49|427.39|112.75|449.67|432.71|421.33|416.71|414.37|471.75|449.67|192.48|187.45|192.48|610.51|610.51|129.03|172.39|133.29|634.93|414.37|414.37|130.32|144.51|141.93|154.84|167.37|434.67|434.67|175.74|423.55|301.27|175.74|172.39|0|634.93
Professional|||99236|OBSERV/HOSP SAME DATELEVL V|811|811|549.25|608.25|689.35|729.9|689.35|579.16|417.9|392.83|273|273|585.35|549.25|145.46|577.88|556.09|541.45|535.52|532.51|608.25|577.88|247.64|241.18|247.64|787.21|787.21|166.1|221.8|171.58|818.7|532.51|532.51|167.76|186.03|182.71|199.32|215.34|560.15|560.15|226.11|545.81|387.61|226.11|221.8|145.46|818.7
Professional|||99238|HOSPITAL DISCHARGE DAY<30 MIN|274|274|184.58|205.5|232.9|246.6|232.9|194.63|140.7|132.26|86.75|86.75|196.71|184.58|48.57|194.2|186.87|181.96|179.97|178.95|205.5|194.2|83.43|81.26|83.43|265.05|265.05|56.01|74.73|57.86|275.65|178.95|178.95|56.57|62.73|61.61|67.21|72.55|186.41|186.41|76.18|181.64|130.59|76.18|74.73|48.57|275.65
Professional|||99239|HOSPITAL DISCHARGE DAY>30 MIN|401|401|270.59|300.75|340.85|360.9|340.85|285.33|206.5|194.11|118|118|288.38|270.59|71.99|284.7|273.96|266.75|263.83|262.35|300.75|284.7|122.64|119.44|122.64|388.99|388.99|82.21|109.84|84.92|404.55|262.35|262.35|83.03|92.08|90.43|98.65|106.64|276.44|276.44|111.97|269.36|191.95|111.97|109.84|71.99|404.55
Professional|||99241|OFFICE CONSULTATIONLEVEL I|91|91|0|68.25|77.35|81.9|77.35|126.6|92.4|86.86|54.5|54.5|87.85|0|21.71|0|83.46|81.26|0|79.92|68.25|0|0|0|0|0|0|25.08|0|25.91|0|79.92|79.92|25.33|28.09|27.59|30.1|0|83.67|83.67|0|81.52|0|0|0|0|126.6
Professional|||99242|OFFICE CONSULTATIONLEVEL II|190|190|0|142.5|161.5|171|161.5|238.09|173.6|163.18|103|103|184.3|0|45.87|0|175.08|170.47|0|167.66|142.5|0|0|0|0|0|0|52.67|0|54.41|0|167.66|167.66|53.2|58.99|57.94|63.2|0|175.52|175.52|0|171.02|0|0|0|0|238.09
Professional|||99243|OFFICE CONSULTATIONLEVEL III|266|266|0|199.5|226.1|239.4|226.1|325.96|238|223.72|143.25|143.25|257.82|0|64.18|0|244.93|238.49|0|234.55|199.5|0|0|0|0|0|0|73.85|0|76.29|0|234.55|234.55|74.59|82.71|81.24|88.62|0|245.53|245.53|0|239.24|0|0|0|0|325.96
Professional|||99244|OFFICE CONSULTATIONLEVEL IV|427|427|0|320.25|362.95|384.3|362.95|487.52|354.9|333.61|201.75|201.75|414.43|0|103.48|0|393.71|383.34|0|377.02|320.25|0|0|0|0|0|0|118.72|0|122.64|0|377.02|377.02|119.91|132.97|130.59|142.46|0|394.66|394.66|0|384.56|0|0|0|0|487.52
Professional|||99245|OFFICE CONSULTATIONLEVEL V|529|529|0|396.75|449.65|476.1|449.65|594.28|431.9|405.99|261|261|512.78|0|127.89|0|487.14|474.32|0|466.49|396.75|0|0|0|0|0|0|146.87|0|151.72|0|466.49|466.49|148.34|164.49|161.56|176.24|0|488.31|488.31|0|475.81|0|0|0|0|594.28
Professional|||99251|INITIAL INPATIENT CONSULTLEV*|136|136|0|102|115.6|122.4|115.6|130.38|94.5|88.83|44|44|131.78|0|32.7|0|125.19|121.89|0|119.88|102|0|0|0|0|0|0|37.62|0|38.86|0|119.88|119.88|38|42.13|41.38|45.14|0|125.5|125.5|0|122.29|0|0|0|0|136
Professional|||99252|INITIAL INPATIENT CONSULTLEV*|208|208|0|156|176.8|187.2|176.8|199.35|144.2|135.55|84.5|84.5|201.48|0|50.03|0|191.41|186.37|0|183.3|156|0|0|0|0|0|0|57.41|0|59.3|0|183.3|183.3|57.98|64.3|63.15|68.89|0|191.88|191.88|0|186.97|0|0|0|0|208
Professional|||99253|INITIAL INPATIENT CONSULTLEV*|320|320|0|240|272|288|272|307.06|221.9|208.59|115.25|115.25|310.34|0|77.12|0|294.83|287.07|0|282.33|240|0|0|0|0|0|0|88.62|0|91.54|0|282.33|282.33|89.51|99.25|97.48|106.34|0|294.63|294.63|0|287.09|0|0|0|0|320
Professional|||99254|INITIAL INPATIENT CONSULTLEV*|465|465|0|348.75|395.25|418.5|395.25|445.95|322.7|303.34|165.75|165.75|450.71|0|112.26|0|428.18|416.91|0|410.03|348.75|0|0|0|0|0|0|129.03|0|133.29|0|410.03|410.03|130.32|144.51|141.93|154.84|0|428.31|428.31|0|417.35|0|0|0|0|465
Professional|||99255|INITIAL INPATIENT CONSULTLEV*|559|559|0|419.25|475.15|503.1|475.15|536.65|387.8|364.53|228.5|228.5|542.38|0|135.2|0|515.26|501.7|0|493.42|419.25|0|0|0|0|0|0|155.23|0|160.35|0|493.42|493.42|156.78|173.86|170.75|186.28|0|516.52|516.52|0|503.29|0|0|0|0|559
Professional|||99281|EMERGENCY DEPT VISITLEVEL I|78|78|65.77|58.5|66.3|70.2|66.3|72.54|40.6|38.16|104.5|104.5|71.69|65.77|13.91|67.98|68.1|66.31|64.13|7.16|58.5|67.98|25.28|24.62|25.28|75.16|75.16|16.72|22.64|17.27|78.17|7.16|7.16|16.89|18.73|18.39|20.06|21.98|68.75|68.75|23.08|66.99|39.56|23.08|22.64|7.16|104.5
Professional|||99282|EMERGENCY DEPT VISITLEVEL II|153|153|128.24|114.75|130.05|137.7|130.05|141.45|78.4|73.7|104.5|104.5|139.79|128.24|27.09|132.56|132.8|129.31|125.03|139.63|114.75|132.56|48.75|47.48|48.75|147.68|147.68|32.6|43.66|33.68|153.59|139.63|139.63|32.93|36.51|35.86|39.12|42.39|134.07|134.07|44.51|130.64|76.3|44.51|43.66|27.09|153.59
Professional|||99283|EMERGENCY DEPT VISITLEVEL III|227|227|191.82|170.25|192.95|204.3|192.95|211.58|117.6|110.54|164.25|164.25|209.09|191.82|40.75|198.28|198.64|193.41|187.02|208.85|170.25|198.28|73.04|71.13|73.04|220.21|220.21|48.77|65.42|50.38|229.02|208.85|208.85|49.26|54.62|53.65|58.52|63.51|200.55|200.55|66.69|195.42|114.32|66.69|65.42|40.75|229.02
Professional|||99284|EMERGENCY DEPT VISITLEVEL IV|432|432|363.91|324|367.2|388.8|367.2|401.39|222.6|209.24|164.25|164.25|396.67|363.91|77.36|376.16|376.84|366.92|354.81|396.21|324|376.16|133.33|129.85|133.33|419.32|419.32|89.46|119.42|92.41|436.09|396.21|396.21|90.35|100.2|98.41|107.35|115.94|380.45|380.45|121.74|370.71|208.69|121.74|119.42|77.36|436.09
Professional|||99285|EMERGENCY DEPT VISITLEVEL V|636|636|535.99|477|540.6|572.4|540.6|591.2|326.9|307.29|175|175|584.26|535.99|113.97|554.04|555.04|540.44|522.59|583.57|477|554.04|193.46|188.42|193.46|617.11|617.11|129.87|173.28|134.16|641.79|583.57|583.57|131.17|145.45|142.86|155.84|168.23|561.49|561.49|176.64|547.11|302.81|176.64|173.28|113.97|641.79
Professional|||99291|CRITICAL CARE E/M 30-74 MINU*|822|822|562.69|616.5|698.7|739.8|698.7|945.44|532|500.08|0|0|750.33|562.69|148.14|592.02|712.82|694.06|548.62|749.46|616.5|592.02|250.65|244.12|250.65|797.77|797.77|168.05|224.5|173.6|829.68|749.46|749.46|169.73|188.22|184.86|201.66|217.96|724.24|724.24|228.86|705.7|392.33|228.86|224.5|0|945.44
Professional|||99292|CRITICAL CARE ADDL 30 MIN|412|412|282.24|309|350.2|370.8|350.2|418.31|233.8|219.77|0|0|376.36|282.24|73.94|296.95|357.54|348.13|275.18|375.92|309|296.95|125.89|122.61|125.89|399.54|399.54|84.44|112.75|87.23|415.52|375.92|375.92|85.28|94.57|92.88|101.33|109.47|363.27|363.27|114.94|353.97|197.05|114.94|112.75|0|418.31
Professional|||99304|NURSING FACILITY CARE INIT|336|336|227.58|252|285.6|302.4|285.6|239.98|172.9|162.53|86.75|86.75|242.54|227.58|61.5|239.45|230.42|224.35|221.89|220.65|252|239.45|103.29|100.6|103.29|325.7|325.7|69.11|92.51|71.39|338.73|220.65|220.65|69.8|77.4|76.02|82.93|89.82|234.6|234.6|94.31|228.6|161.68|94.31|92.51|61.5|338.73
Professional|||99305|NURSING FACILITY CARE INIT|487|487|328.83|365.25|413.95|438.3|413.95|346.74|250.6|235.56|118|118|350.45|328.83|87.61|345.97|332.93|324.16|320.61|318.81|365.25|345.97|148.6|144.73|148.6|472.07|472.07|99.77|133.1|103.06|490.95|318.81|318.81|100.77|111.74|109.75|119.72|129.22|334.64|334.64|135.68|326.07|232.6|135.68|133.1|87.61|490.95
Professional|||99306|NURSING FACILITY CARE INIT|625|625|421.12|468.75|531.25|562.5|531.25|444.06|321.3|302.02|293.5|293.5|448.8|421.12|111.53|443.07|426.36|415.14|410.59|408.29|468.75|443.07|191.14|186.16|191.14|606.57|606.57|128.2|171.2|132.43|630.83|408.29|408.29|129.48|143.58|141.02|153.84|166.21|428.31|428.31|174.52|417.35|299.18|174.52|171.2|111.53|630.83
Professional|||99307|NURSING FAC CARE SUBSEQ|165|165|111.1|123.75|140.25|148.5|140.25|117.16|84.7|79.62|0|0|118.41|111.1|30.02|116.89|112.49|109.53|108.32|107.72|123.75|116.89|50.35|49.03|50.35|159.55|159.55|33.72|45.09|34.83|165.93|107.72|107.72|34.06|37.77|37.09|40.46|43.78|114.58|114.58|45.97|111.65|78.8|45.97|45.09|0|165.93
Professional|||99308|NURSING FAC CARE SUBSEQ|259|259|173.82|194.25|220.15|233.1|220.15|183.29|133|125.02|49|49|185.25|173.82|46.12|182.88|175.99|171.36|169.47|168.53|194.25|182.88|79.15|77.09|79.15|250.54|250.54|52.95|70.89|54.7|260.56|168.53|168.53|53.48|59.3|58.25|63.54|68.83|177.32|177.32|72.27|172.78|123.89|72.27|70.89|46.12|260.56
Professional|||99309|NURSING FAC CARE SUBSEQ|343|343|231.17|257.25|291.55|308.7|291.55|243.76|176.4|165.82|76.25|76.25|246.36|231.17|61.25|243.22|234.05|227.89|225.39|224.12|257.25|243.22|104.72|101.99|104.72|332.3|332.3|70.23|93.79|72.55|345.59|224.12|224.12|70.93|78.66|77.25|84.28|91.06|234.6|234.6|95.61|228.6|163.91|95.61|93.79|61.25|345.59
Professional|||99310|NURSING FAC CARE SUBSEQ|507|507|342.27|380.25|430.95|456.3|430.95|360.91|261.1|245.43|147|147|364.77|342.27|91.03|360.11|346.53|337.41|333.71|331.84|380.25|360.11|154.48|150.45|154.48|491.85|491.85|103.67|138.36|107.09|511.52|331.84|331.84|104.71|116.11|114.04|124.4|134.33|349.18|349.18|141.05|340.24|241.79|141.05|138.36|91.03|511.52
Professional|||99315|NURSING FAC DISCHRGE DAY1-30*|275|275|185.47|206.25|233.75|247.5|233.75|195.57|141.4|132.92|0|0|197.66|185.47|48.81|195.14|187.78|182.84|180.83|179.82|206.25|195.14|83.86|81.67|83.86|266.36|266.36|56.29|75.11|58.15|277.01|179.82|179.82|56.85|63.04|61.92|67.55|72.92|188.24|188.24|76.57|183.42|131.26|76.57|75.11|0|277.01
Professional|||99316|NURSING FAC DISCHRGE DAYMORE*|396|396|267.01|297|336.6|356.4|336.6|281.55|203.7|191.48|0|0|284.56|267.01|71.01|280.92|270.33|263.22|260.33|258.87|297|280.92|120.81|117.66|120.81|383.71|383.71|81.1|108.2|83.78|399.06|258.87|258.87|81.91|90.83|89.21|97.32|105.05|271.9|271.9|110.3|264.94|189.09|110.3|108.2|0|399.06
Professional|||99354|PR PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON 1ST HR|455|455|308.22|341.25|386.75|409.5|386.75|346.74|250.6|235.56|0|0|328.49|308.22|61.74|324.29|312.06|303.85|300.51|298.83|341.25|324.29|139.24|135.61|139.24|441.74|441.74|93.36|124.71|96.44|459.41|298.83|298.83|94.29|104.56|102.7|112.03|121.08|313.74|313.74|127.13|305.7|217.94|127.13|124.71|0|459.41
Professional|||99355|PR PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON ADDL 30|344|344|232.96|258|292.4|309.6|292.4|264.54|191.1|179.63|0|0|248.27|232.96|60.28|245.1|235.86|229.65|227.14|225.86|258|245.1|104.91|102.18|104.91|333.61|333.61|70.23|93.97|72.55|346.95|225.86|225.86|70.93|78.66|77.25|84.28|91.23|232.81|232.81|95.79|226.85|164.21|95.79|93.97|0|346.95
Professional|||99356|PROLONGED SERVICE I/P REQ UNIT/FLOOR TIME 1ST HR|345|345|232.96|258.75|293.25|310.5|293.25|245.65|177.8|167.13|0|0|248.27|232.96|61.5|245.1|235.86|229.65|227.14|225.86|258.75|245.1|105.78|103.02|105.78|334.93|334.93|70.78|94.74|73.12|348.33|225.86|225.86|71.49|79.27|77.86|84.94|91.98|236.43|236.43|96.58|230.38|165.56|96.58|94.74|0|348.33
Professional|||99357|PROLONGED SVC I/P REQ UNIT/FLOOR TIME EA 30 MIN|347|347|233.86|260.25|294.95|312.3|294.95|246.59|178.5|167.79|0|0|249.23|233.86|61.25|246.04|236.77|230.54|228.01|226.73|260.25|246.04|106.62|103.84|106.62|336.25|336.25|71.34|95.49|73.69|349.7|226.73|226.73|72.05|79.9|78.47|85.61|92.71|236.43|236.43|97.35|230.38|166.88|97.35|95.49|0|349.7
Professional|||99358|PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR|416|416|282.24|312|353.6|374.4|353.6|297.61|0|0|0|0|300.79|282.24|72.52|296.95|285.75|278.23|275.18|273.64|312|296.95|127.72|124.39|127.72|403.49|403.49|0|114.39|0|419.63|273.64|273.64|0|0|0|0|111.06|287.36|287.36|116.61|280|199.91|116.61|114.39|0|419.63
Professional|||99359|PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MIN|202|202|136.19|151.5|171.7|181.8|171.7|143.61|0|0|0|0|145.14|136.19|35.09|143.29|137.89|134.26|132.79|132.04|151.5|143.29|62.01|60.39|62.01|195.15|195.15|0|55.54|0|202.96|132.04|132.04|0|0|0|0|53.92|138.22|138.22|56.62|134.68|97.06|56.62|55.54|0|202.96
Professional|||99368|TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN|138|138|93.18|103.5|117.3|124.2|117.3|98.26|0|0|0|0|99.31|93.18|24.52|98.04|94.34|91.86|90.85|90.34|103.5|98.04|0|0|0|133.18|133.18|0|0|0|138.51|90.34|90.34|0|0|0|0|0|94.56|94.56|0|92.14|0|0|0|0|138.51
Professional|||99387|COLONIAL ACRES PRE-PLACEMENT PHYSICAL|370|370|323.46|277.5|314.5|333|314.5|442.17|322.7|303.34|0|0|344.72|323.46|90.68|340.31|327.48|318.86|315.37|313.6|277.5|340.31|0|0|0|464.16|464.16|98.65|0|101.91|482.73|313.6|313.6|99.64|110.49|108.52|118.38|0|328.28|328.28|0|319.88|0|0|0|0|482.73
Professional|||99406|TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES|47|47|31.36|35.25|39.95|42.3|39.95|39.68|28.7|26.98|0|0|33.42|31.36|9.75|32.99|31.75|30.91|30.58|30.4|35.25|32.99|14.04|13.68|14.04|44.83|44.83|9.19|12.58|9.49|46.62|30.4|30.4|9.28|10.29|10.11|11.03|12.21|31.82|31.82|12.82|31.01|21.98|12.82|12.58|0|47
Professional|||99407|TOBACCO USE CESSATION INTENSIVE >10 MINUTES|96|96|65.41|72|81.6|86.4|81.6|75.58|54.6|51.32|0|0|69.71|65.41|17.98|68.82|66.22|64.48|63.77|63.42|72|68.82|29.47|28.71|29.47|92.3|92.3|19.78|26.4|20.43|95.99|63.42|63.42|19.98|22.15|21.76|23.74|25.63|66.39|66.39|26.91|64.69|46.13|26.91|26.4|0|96
Professional|||99441|PHYSICIAN TELEPHONE EVALUATION 5-10 MIN|36|36|32.26|27|30.6|32.4|30.6|36.85|27.3|25.66|12.5|12.5|34.38|32.26|8.75|33.94|32.66|31.8|31.45|31.27|27|33.94|0|0|0|15.68|15.68|0|0|0|16.31|31.27|31.27|0|0|0|0|0|32.74|32.74|0|31.9|0|0|0|0|36.85
Professional|||99442|PHYSICIAN TELEPHONE EVALUATION 11-20 MIN|71|71|64.51|53.25|60.35|63.9|60.35|71.8|51.8|48.69|32|32|68.75|64.51|17.81|67.87|65.32|63.6|62.9|62.55|53.25|67.87|0|0|0|31.35|31.35|0|0|0|32.6|62.55|62.55|0|0|0|0|0|65.47|65.47|0|63.8|0|0|0|0|71.8
Professional|||99443|PHYSICIAN TELEPHONE EVALUATION 21-30 MIN|107|107|96.77|80.25|90.95|96.3|90.95|105.82|77|72.38|63.75|63.75|103.13|96.77|26.86|101.81|97.97|95.39|94.35|93.82|80.25|101.81|0|0|0|47.03|47.03|0|0|0|48.91|93.82|93.82|0|0|0|0|0|98.21|98.21|0|95.7|0|0|0|0|107
Professional|||99460|1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB|359|359|242.82|269.25|305.15|323.1|305.15|256.04|184.8|173.71|0|0|258.78|242.82|64.67|255.47|245.84|239.37|236.75|235.42|269.25|255.47|109.18|106.33|109.18|348.12|348.12|73.29|97.79|75.71|362.04|235.42|235.42|74.02|82.08|80.62|87.95|94.94|257.36|257.36|99.69|250.77|170.89|99.69|97.79|0|362.04
Professional|||99462|SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN|157|157|106.62|117.75|133.45|141.3|133.45|112.43|80.5|75.67|0|0|113.63|106.62|28.06|112.18|107.95|105.11|103.95|103.38|117.75|112.18|47.93|46.68|47.93|151.64|151.64|32.05|42.93|33.11|157.71|103.38|103.38|32.37|35.9|35.26|38.46|41.68|114.58|114.58|43.76|111.65|75.02|43.76|42.93|0|157.71
Professional|||99463|1ST HOSP/BIRTHING CENTER NB ADMIT&DSCHG SM DATE|415|415|280.45|311.25|352.75|373.5|352.75|295.72|213.5|200.69|0|0|298.88|280.45|80.04|295.07|283.94|276.47|273.44|271.9|311.25|295.07|126.45|123.16|126.45|402.18|402.18|84.72|113.26|87.52|418.27|271.9|271.9|85.57|94.89|93.19|101.66|109.96|307.35|307.35|115.46|299.48|197.93|115.46|113.26|0|418.27
Professional|||99464|ATTN AT DELIVERY& 1ST STABILIZATION OF NEWBORN|282|282|189.95|211.5|239.7|253.8|239.7|200.3|144.2|135.55|0|0|202.44|189.95|47.59|199.85|192.32|187.26|185.2|184.16|211.5|199.85|85.43|83.2|85.43|272.96|272.96|57.13|76.52|59.02|283.88|184.16|184.16|57.7|63.99|62.84|68.56|74.29|198.24|198.24|78|193.17|133.72|78|76.52|0|283.88
Professional|||99465|DELIVERY/BIRTHING ROOM RESUSCITATION|546|546|370.05|409.5|464.1|491.4|464.1|390.2|281.4|264.52|0|0|394.37|370.05|102.5|389.34|374.66|364.8|360.8|358.77|409.5|389.34|166.84|162.49|166.84|530.08|530.08|111.75|149.43|115.44|551.28|358.77|358.77|112.87|125.16|122.93|134.1|145.08|392.84|392.84|152.33|382.78|261.14|152.33|149.43|0|551.28
Professional|||99471|INITIAL PED CRITICAL CARE 29 D THRU 24 MO|2978|2978|2016.9|2233.5|2531.3|2680.2|2531.3|2126.74|1534.4|1442.34|0|0|2149.48|2016.9|579.64|2122.02|2042.01|1988.27|1966.48|1955.44|2233.5|2122.02|908.65|884.95|908.65|2890.41|2890.41|610.07|813.83|630.2|3006.03|1955.44|1955.44|616.17|683.28|671.08|732.08|790.13|2222.45|2222.45|829.64|2165.56|1422.23|829.64|813.83|0|3006.03
Professional|||99475|INITIAL PED CRITICAL CARE 2 THRU 5 YEARS|2096|2096|1419.26|1572|1781.6|1886.4|1781.6|1496.56|1080.1|1015.29|0|0|1512.56|1419.26|384.87|1493.24|1436.93|1399.12|1383.78|1376.02|1572|1493.24|639.7|623.01|639.7|2034.63|2034.63|429.47|572.95|443.64|2116.02|1376.02|1376.02|433.76|481.01|472.42|515.36|556.26|1483.13|1483.13|584.07|1445.17|1001.27|584.07|572.95|0|2116.02
Professional|||99477|INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL|1304|1304|882.56|978|1108.4|1173.6|1108.4|930.63|672|631.68|0|0|940.58|882.56|240.4|928.56|893.55|870.03|860.5|855.67|978|928.56|398.56|388.16|398.56|1265.87|1265.87|267.55|356.97|276.38|1316.5|855.67|855.67|270.23|299.66|294.31|321.06|346.57|909.36|909.36|363.9|886.08|623.83|363.9|356.97|0|1316.5
Professional|||99480|SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS|446|446|301.95|334.5|379.1|401.4|379.1|318.4|229.6|215.82|0|0|321.8|301.95|80.04|317.69|305.71|297.67|294.4|292.75|334.5|317.69|136.69|133.12|136.69|432.51|432.51|91.69|122.43|94.72|449.81|292.75|292.75|92.61|102.69|100.86|110.03|118.86|310.09|310.09|124.8|302.15|213.95|124.8|122.43|0|449.81
Professional|||99497|PR ADVANCE CARE PLANNING FIRST 30 MINS|297|297|80|222.75|252.45|267.3|252.45|226.75|0|0|0|0|212.94|80|0|80|202.3|196.97|78|193.72|222.75|80|90.47|88.11|90.47|287.46|287.46|0|81.03|0|298.96|193.72|193.72|0|0|0|0|78.67|197.33|197.33|82.6|192.28|141.61|82.6|81.03|0|298.96
Professional|||99498|PR ADVANCE CARE PLANNING EA ADDL 30 MINS|279|279|75|209.25|237.15|251.1|237.15|199.35|0|0|0|0|200.53|75|0|75|190.5|185.49|73.13|182.43|209.25|75|85.05|82.84|85.05|270.32|270.32|0|76.18|0|281.13|182.43|182.43|0|0|0|0|73.96|183.7|183.7|77.66|179|133.13|77.66|76.18|0|281.13
Professional||||SLEEP CENTER NO SHOW CHARGE|250|250|0|187.5|212.5|225|212.5|0|0|0|0|0|0|0|0|0|0|0|0|0|187.5|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|250
Professional|||0042T|CEREBRAL PERFUS ANALYSIS CT *|1028|1028|0|771|873.8|925.2|873.8|477.83|0|0|0|0|450.68|0|0|0|428.15|416.88|0|264.31|771|0|0|0|0|235.16|235.16|0|0|0|244.57|264.31|264.31|0|0|0|0|0|997.33|997.33|0|971.8|0|0|0|0|1028
Professional|||0238T|TRANSLUMINAL PERIPHERAL ATHERECTOMY ILIAC ARTERY EACH|8518|8518|0|6388.5|7240.3|7666.2|7240.3|990.6|0|0|0|0|934.32|0|0|0|887.6|864.25|0|2464.09|6388.5|0|0|0|0|8269.86|8269.86|0|0|0|8600.65|2464.09|2464.09|0|0|0|0|0|2522.07|2522.07|0|2457.51|0|0|0|0|8600.65
Professional|||0466T|PR INSRT CH WALL RESPIR ELTRD/RA & CONJ PULSE GEN|1352|1352|0|1014|1149.2|1216.8|1149.2|0|0|0|0|0|0|0|0|0|0|0|0|1311.84|1014|0|0|0|0|1068.9|1068.9|0|0|0|1111.66|1311.84|1311.84|0|0|0|0|0|0|0|0|0|0|0|0|0|1352
Professional|||A4580|CAST SUPPLIES (PLASTER)|54|54|0|40.5|45.9|48.6|45.9|54.73|0|0|0|0|51.62|0|23.99|0|49.04|47.75|0|16.95|40.5|0|0|0|0|0|0|0|0|0|0|16.95|16.95|0|0|0|0|0|0|0|0|0|0|0|0|0|54.73
Professional|||A6456|ZINC PASTE BAND W >=3<5/YD|2|2|0|1.5|1.7|1.8|1.7|1.87|1.4|1.32|0|0|1.76|0|1.35|0|1.67|1.63|0|1.31|1.5|0|0|0|0|1.53|1.53|0|0|0|1.59|1.31|1.31|0|0|0|0|0|0.96|0.96|0|0.92|0|0|0|0|2
Professional|||A9538|TC99M PYROPHOSPHATE|59|59|38.4|44.25|50.15|53.1|50.15|58.26|0|0|0|0|54.95|38.4|16.86|38.4|52.2|50.83|37.44|17.57|44.25|38.4|30.45|29.66|30.45|27.87|27.87|0|27.27|0|28.98|17.57|17.57|0|0|0|0|26.48|57|57|27.8|54.72|47.66|27.8|27.27|0|59
Professional|||A9577|INJ MULTIHANCE|6|6|5.05|4.5|5.1|5.4|5.1|2.57|1.75|1.65|0|0|2.42|5.05|2|5.05|2.3|2.24|4.92|2.01|4.5|5.05|0|0|0|1.91|1.91|0|0|0|1.99|2.01|2.01|0|0|0|0|0|1.94|1.94|0|1.81|0|0|0|0|6
Professional|||D3410|APICOECT/PERIRAD SURG ANTER|988|988|796|741|839.8|889.2|839.8|367.28|0|0|0|0|346.41|796|112.65|796|329.09|320.43|776.1|988|741|796|0|0|0|303.5|303.5|0|0|0|315.64|988|988|0|0|0|0|0|959.22|959.22|0|934.66|0|0|0|0|988
Professional|||D3920|TOOTH SPLITTING|665|665|376|498.75|565.25|598.5|565.25|181.94|0|0|0|0|171.6|376|0|376|163.02|158.73|366.6|665|498.75|376|0|0|0|150.03|150.03|0|0|0|156.03|665|665|0|0|0|0|0|475.07|475.07|0|462.91|0|0|0|0|665
Professional|||D6010|ODONTICS ENDOSTEAL IMPLANT|3144|3144|2268|2358|2672.4|2829.6|2672.4|1169.13|0|0|0|0|1102.71|2268|0|2268|1047.57|1020|2211.3|2500|2358|2268|0|0|0|965.06|965.06|0|0|0|1003.66|2500|2500|0|0|0|0|0|3051.82|3051.82|0|2973.7|0|0|0|0|3144
Professional|||D7140|EXTRACTION ERUPTED TOOTH/EXR|188|188|142|141|159.8|169.2|159.8|69.77|0|0|0|0|65.81|142|41.13|142|62.51|60.87|138.45|176|141|142|0|0|0|75.21|75.21|0|0|0|78.22|176|176|0|0|0|0|0|182.11|182.11|0|177.45|0|0|0|0|188
Professional|||D7210|REM IMP TOOTH W MUCOPER FLP|325|325|281|243.75|276.25|292.5|276.25|123.77|0|0|0|0|116.74|281|56.32|281|110.9|107.98|273.98|324.85|243.75|281|0|0|0|158.04|158.04|0|0|0|164.36|324.85|324.85|0|0|0|0|0|322.37|322.37|0|314.11|0|0|0|0|325
Professional|||D7220|IMPACT TOOTH REMOV SOFT TISS|415|415|316|311.25|352.75|373.5|352.75|154.56|0|0|0|0|145.78|316|79.8|316|138.49|134.85|308.1|393|311.25|316|0|0|0|158.04|158.04|0|0|0|164.36|393|393|0|0|0|0|0|402.67|402.67|0|392.37|0|0|0|0|415
Professional|||D7230|IMPACT TOOTH REMOV PART BONY|554|554|396|415.5|470.9|498.6|470.9|206.07|0|0|0|0|194.37|396|103.26|396|184.65|179.79|386.1|518|415.5|396|0|0|0|253.87|253.87|0|0|0|264.02|518|518|0|0|0|0|0|537.29|537.29|0|523.53|0|0|0|0|554
Professional|||D7240|IMPACT TOOTH REMOV COMP BONY|707|707|470|530.25|600.95|636.3|600.95|727.4|0|0|0|0|686.08|470|122.05|470|651.77|634.62|458.25|592|530.25|470|0|0|0|253.87|253.87|0|0|0|264.02|592|592|0|0|0|0|0|630.04|630.04|0|613.92|0|0|0|0|727.4
Professional|||D7241|IMPACT TOOTH REM BONY W/COMP|816|816|583|612|693.6|734.4|693.6|303.22|0|0|0|0|285.99|583|140.82|583|271.69|264.55|568.43|768|612|583|0|0|0|250.43|250.43|0|0|0|260.45|768|768|0|0|0|0|0|791.8|791.8|0|771.53|0|0|0|0|816
Professional|||D7250|TOOTH ROOT REMOVAL|351|351|296|263.25|298.35|315.9|298.35|130.42|0|0|0|0|123.01|296|70.4|296|116.86|113.78|288.6|326|263.25|296|0|0|0|107.65|107.65|0|0|0|111.96|326|326|0|0|0|0|0|340.46|340.46|0|331.74|0|0|0|0|351
Professional|||D7270|TOOTH REIMPLANTATION|692|692|465|519|588.2|622.8|588.2|239.64|0|0|0|0|226.02|465|132.35|465|214.72|209.07|453.38|671|519|465|0|0|0|198.13|198.13|0|0|0|206.06|671|671|0|0|0|0|0|625.51|625.51|0|609.49|0|0|0|0|692
Professional|||D7272|TOOTH TRANSPLANTATION|835|835|620|626.25|709.75|751.5|709.75|319.17|0|0|0|0|301.03|620|0|620|285.98|278.46|604.5|835|626.25|620|0|0|0|263.79|263.79|0|0|0|274.34|835|835|0|0|0|0|0|833.65|833.65|0|812.31|0|0|0|0|835
Professional|||D7280|EXPOSURE IMPACT TOOTH ORTHOD|644|644|465|483|547.4|579.6|547.4|223.41|0|0|0|0|210.72|465|126.74|465|200.18|194.91|453.38|644|483|465|0|0|0|184.77|184.77|0|0|0|192.16|644|644|0|0|0|0|0|583.68|583.68|0|568.74|0|0|0|0|644
Professional|||D7283|PLACE DEVICE IMPACTED TOOTH|333|333|198|249.75|283.05|299.7|283.05|95.77|0|0|0|0|90.33|198|54.56|198|85.81|83.55|193.05|333|249.75|198|0|0|0|79.03|79.03|0|0|0|82.19|333|333|0|0|0|0|0|249.97|249.97|0|243.57|0|0|0|0|333
Professional|||D7290|REPOSITIONING OF TEETH|605|605|365|453.75|514.25|544.5|514.25|191.52|0|0|0|0|180.64|365|0|365|171.61|167.09|355.88|605|453.75|365|0|0|0|158.04|158.04|0|0|0|164.36|605|605|0|0|0|0|0|499.97|499.97|0|487.17|0|0|0|0|605
Professional|||D7291|TRANSSEPTAL FIBEROTOMY|441|441|428|330.75|374.85|396.9|374.85|258.54|0|0|0|0|243.86|428|75.09|428|231.66|225.57|417.3|278|330.75|428|0|0|0|0|0|0|0|0|0|278|278|0|0|0|0|0|334.82|334.82|0|326.25|0|0|0|0|441
Professional|||D9230|ANALGESIA|83|83|46|62.25|70.55|74.7|70.55|32.04|0|0|0|0|30.22|46|8.43|46|28.71|27.95|44.85|71|62.25|46|0|0|0|26.72|26.72|0|0|0|27.79|71|71|0|0|0|0|0|80.31|80.31|0|78.25|0|0|0|0|83
Professional|||G0008|ADMIN INFLUENZA VIRUS VAC|84|84|25.52|63|71.4|75.6|71.4|21.49|0|0|0|0|20.27|25.52|21.64|25.52|19.25|18.75|24.88|15.91|63|25.52|0|0|0|29.01|29.01|10.86|0|11.22|30.17|15.91|15.91|10.97|12.16|11.95|13.03|0|81.44|81.44|0|79.36|0|0|0|0|84
Professional|||G0009|ADMIN PNEUMOCOCCAL VACCINE|84|84|25.52|63|71.4|75.6|71.4|21.49|0|0|0|0|20.27|25.52|21.64|25.52|19.25|18.75|24.88|15.91|63|25.52|0|0|0|29.01|29.01|10.86|0|11.22|30.17|15.91|15.91|10.97|12.16|11.95|13.03|0|81.44|81.44|0|79.36|0|0|0|0|84
Professional|||G0010|ADMIN HEPATITIS B VACCINE|84|84|25.52|63|71.4|75.6|71.4|21.49|0|0|0|0|20.27|25.52|1.31|25.52|19.25|18.75|24.88|15.91|63|25.52|0|0|0|29.01|29.01|10.86|0|11.22|30.17|15.91|15.91|10.97|12.16|11.95|13.03|0|81.44|81.44|0|79.36|0|0|0|0|84
Professional|||G0104|CA SCREEN;FLEXI SIGMOIDSCOPE|201|201|177.98|150.75|170.85|180.9|170.85|461.06|169.75|159.57|0|0|155.65|177.98|37.8|190.66|147.87|143.98|173.53|194.52|150.75|190.66|64.22|62.54|64.22|59.55|59.55|39.51|57.52|40.81|61.93|194.52|194.52|39.91|44.25|43.46|47.41|55.84|185.51|185.51|58.63|180.77|100.51|58.63|57.52|0|461.06
Professional|||G0105|COLORECTAL SCRN; HI RISK IND|664|664|589.63|498|564.4|597.6|564.4|866.38|312.9|294.13|0|0|515.65|589.63|128.19|631.64|489.86|476.97|574.89|644.44|498|631.64|211.78|206.26|211.78|195.84|195.84|130.86|189.68|135.18|203.67|644.44|644.44|132.17|146.56|143.95|157.03|184.16|613.09|613.09|193.37|597.39|331.49|193.37|189.68|0|866.38
Professional|||G0121|COLON CA SCRN NOT HI RSK IND|665|665|590.72|498.75|565.25|598.5|565.25|867.33|313.25|294.46|0|0|516.6|590.72|128.19|632.81|490.77|477.86|575.95|645.63|498.75|632.81|212.08|206.55|212.08|196.22|196.22|131.12|189.95|135.45|204.07|645.63|645.63|132.43|146.85|144.23|157.34|184.42|615.33|615.33|193.64|599.57|331.96|193.64|189.95|0|867.33
Professional|||G0168|WOUND CLOSURE BY ADHESIVE|94|94|59.14|70.5|79.9|84.6|79.9|255.1|94.5|88.83|0|0|63.02|59.14|0|62.22|59.87|58.3|57.66|78.76|70.5|62.22|20.9|20.35|20.9|24.06|24.06|12.83|18.72|13.25|25.02|78.76|78.76|12.96|14.37|14.11|15.4|18.17|90.49|90.49|19.08|88.17|32.71|19.08|18.72|0|255.1
Professional|||G0278|ILIAC ART ANGIOCARDIAC CATH|48|48|43.68|36|40.8|43.2|40.8|37.79|12.6|11.84|0|0|38.2|43.68|7.72|46.79|36.29|35.33|42.59|47.74|36|46.79|15.04|14.65|15.04|13.74|13.74|9.23|13.47|9.53|14.29|47.74|47.74|9.32|10.34|10.15|11.08|13.08|36.39|36.39|13.73|35.45|23.54|13.73|13.47|0|48
Professional|||G0405|EKG INTERPRET & REPORT PREVE|29|29|21.5|21.75|24.65|26.1|24.65|22.68|8.05|7.57|0|0|22.92|21.5|5.07|22.62|21.77|21.2|20.96|28.64|21.75|22.62|9.73|9.48|9.73|8.79|8.79|5.9|8.71|6.09|9.14|28.64|28.64|5.96|6.61|6.49|7.08|8.46|27.14|27.14|8.88|26.44|15.23|8.88|8.71|0|29
Professional|||G0425|INPT/ED TELECONSULT30|336|336|251.78|252|285.6|302.4|285.6|265.49|95.55|89.82|0|0|268.33|251.78|60.04|264.9|254.91|248.2|245.49|335.35|252|264.9|113.95|110.98|113.95|104.22|104.22|70.3|102.06|72.62|108.39|335.35|335.35|71|78.74|77.33|84.36|99.09|317.86|317.86|104.04|309.72|178.36|104.04|102.06|0|336
Professional|||G0426|INPT/ED TELECONSULT50|456|456|342.27|342|387.6|410.4|387.6|360.91|130.2|122.39|0|0|364.77|342.27|82.11|360.11|346.53|337.41|333.71|455.88|342|360.11|155.22|151.17|155.22|142.01|142.01|95.71|139.02|98.87|147.69|455.88|455.88|96.67|107.2|105.28|114.85|134.97|432.08|432.08|141.72|421.02|242.95|141.72|139.02|0|456
Professional|||G0427|INPT/ED TELECONSULT70|677|677|508.03|507.75|575.45|609.3|575.45|535.7|193.55|181.94|0|0|541.43|508.03|121.84|534.51|514.36|500.82|495.33|676.66|507.75|534.51|229.85|223.85|229.85|211.11|211.11|141.89|205.87|146.57|219.55|676.66|676.66|143.31|158.92|156.08|170.27|199.87|643.63|643.63|209.86|627.15|359.77|209.86|205.87|0|677
Professional|||G0438|PPPS INITIAL VISIT|578|578|433.66|433.5|491.3|520.2|491.3|457.28|166.6|156.6|0|0|462.17|433.66|105.06|456.27|439.06|427.51|422.82|577.61|433.5|456.27|196.44|191.32|196.44|181.71|181.71|121.37|175.94|125.38|188.98|577.61|577.61|122.58|135.93|133.51|145.64|170.82|440.12|440.12|179.36|428.85|307.48|179.36|175.94|0|578
Professional|||G0439|PPPS SUBSEQ VISIT|392|392|293.89|294|333.2|352.8|333.2|309.89|113.05|106.27|0|0|313.21|293.89|71.07|309.21|297.55|289.72|286.54|391.44|294|309.21|133.31|129.83|133.31|123.69|123.69|82.36|119.4|85.08|128.64|391.44|391.44|83.18|92.24|90.6|98.83|115.92|298.25|298.25|121.72|290.62|208.66|121.72|119.4|0|392
Professional|||G2012|PR BRIEF CHECK IN BY MD/QHP|45|45|33.15|33.75|38.25|40.5|38.25|38.74|14|13.16|0|0|35.33|33.15|0|34.88|33.56|32.68|32.32|44.16|33.75|34.88|14.87|14.48|14.87|13.74|13.74|0|13.32|0|14.29|44.16|44.16|0|0|0|0|12.93|33.65|33.65|13.58|32.79|23.27|13.58|13.32|0|45
Professional|||J3301|TRIAMCINOLONE ACET INJ NOS|3|3|2.32|2.25|2.55|2.7|2.55|2.17|1.4|1.32|0|0|2.05|2.32|1.86|2.32|1.95|1.89|2.26|1.7|2.25|2.32|0|0|0|1.53|1.53|0|0|0|1.59|1.7|1.7|0|0|0|0|0|1.57|1.57|0|1.44|0|0|0|0|3
Professional|||Q4121|THERASKIN|54|54|45.76|40.5|45.9|48.6|45.9|54.96|39.9|37.51|0|0|51.84|45.76|44.22|45.76|49.25|47.95|44.62|43.02|40.5|45.76|0|0|0|47.34|47.34|0|0|0|49.23|43.02|43.02|0|0|0|0|0|41.07|41.07|0|40.83|0|0|0|0|54.96
Professional|||S0265|GENETIC COUNSEL 15 MINS|69|69|0|51.75|58.65|62.1|58.65|0|0|0|0|0|0|0|14.47|0|0|0|0|49.6|51.75|0|0|0|0|66.05|66.05|16.55|0|17.1|68.69|49.6|49.6|16.72|18.54|18.21|19.86|0|0|0|0|0|0|0|0|0|69
Professional|||S0630|REMOVAL OF SUTURES|64|64|58.4|48|54.4|57.6|54.4|0|0|0|0|0|0|58.4|0|61.2|0|0|56.94|0|48|61.2|0|0|0|44.67|44.67|0|0|0|46.46|0|0|0|0|0|0|0|0|0|0|0|0|0|0|0|64
Professional|||S2068|BREAST DIEP OR SIEA FLAP|7845|7845|0|5883.75|6668.25|7060.5|6668.25|0|0|0|0|0|0|0|0|0|0|0|0|5110.01|5883.75|0|0|0|0|7615.91|7615.91|0|0|0|7920.55|5110.01|5110.01|0|0|0|0|0|0|0|0|0|0|0|0|0|7920.55
Professional|||S2900|ROBOTIC SURGICAL SYSTEM|513|513|0|384.75|436.05|461.7|436.05|0|0|0|0|0|0|0|0|0|0|0|0|512.91|384.75|0|0|0|0|178.28|178.28|0|0|0|185.41|512.91|512.91|0|0|0|0|0|0|0|0|0|0|0|0|0|513
Anesthesia Pro|||100|ANESTHSALIVARY GLAND W/BX|2367.04|2367.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2503.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|203.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|541.27|No Volume|No Volume|No Volume|No Volume|238.47|No Volume|465|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|203.44|2503.81
Anesthesia Pro|||103|ANESTHBLEPHAROPLASTY|1618.86|1618.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|171.75|326.42|No Volume|No Volume|No Volume|200|No Volume|383.89|No Volume|No Volume|91.28|119.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1433.9|No Volume|198.32|No Volume|No Volume|No Volume|No Volume|1709.65|No Volume|1522.14|No Volume|No Volume|No Volume|No Volume|91.28|1709.65
Anesthesia Pro|||120|ANESTHESIA FOR EAR SURGERY|1926.01|1926.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|285.97|203.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|789.09|No Volume|No Volume|No Volume|No Volume|649.59|No Volume|498.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|203.44|1926.01
Anesthesia Pro|||126|ANESTHTYMPANOTOMY|1169.18|1169.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1169.18|1169.18
Anesthesia Pro|||140|ANESTHPROCEDURES ON EYE|2018.49|2018.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1397.72|No Volume|No Volume|240|No Volume|156.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|132.71|132.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|541.27|No Volume|No Volume|No Volume|No Volume|136.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|132.24|2018.49
Anesthesia Pro|||160|ANESTHNOSESINUS SURGERY|1839.91|1839.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|210|No Volume|188.36|No Volume|No Volume|No Volume|402.79|597.16|No Volume|No Volume|105.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|467.69|No Volume|170.5|157.77|No Volume|195.2|No Volume|418.75|No Volume|No Volume|No Volume|No Volume|No Volume|1996.43|105.44|1996.43
Anesthesia Pro|||162|ANESTHNOSERADICAL SINUS SUR*|4070.07|4070.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|392.36|No Volume|No Volume|No Volume|No Volume|No Volume|2115.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|392.36|4070.07
Anesthesia Pro|||170|ANESTHPROCEDURE ON MOUTH|1802.49|1802.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|442.93|359.52|568.43|No Volume|No Volume|200|No Volume|437.5|No Volume|1764.8|89.68|221.4|88.26|No Volume|No Volume|No Volume|1351.18|No Volume|No Volume|556.58|No Volume|399.23|121.45|No Volume|160.02|No Volume|437.45|No Volume|121.31|540|659.21|No Volume|No Volume|88.26|1802.49
Anesthesia Pro|||172|ANESTHCLEFT PALATE REPAIR|2724.41|2724.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|707.82|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|707.82|2724.41
Anesthesia Pro|||176|ANESTHPHARYNX SURG RADICAL|3430.33|3430.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|158.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|5768.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|158.1|5768.69
Anesthesia Pro|||190|ANESTHFACIAL BONE SURGERY|2232.66|2232.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|483.16|1031.61|209.71|No Volume|220|No Volume|No Volume|No Volume|No Volume|No Volume|143.69|1117.53|No Volume|No Volume|No Volume|1654.5|1420.66|1808.92|1819.95|698.13|No Volume|190.29|1814.44|No Volume|273.71|No Volume|445.71|No Volume|390.02|586.8|203.62|No Volume|282.63|143.69|2232.66
Anesthesia Pro|||192|ANESTHRADICAL FACIAL BONE SU*|3882.09|3882.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3474.45|No Volume|No Volume|1818.02|No Volume|193.85|990.66|880|No Volume|No Volume|No Volume|No Volume|No Volume|377.35|502.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1474.49|No Volume|233.74|246.11|No Volume|349.3|No Volume|2162.3|No Volume|2327.33|2713.3|No Volume|No Volume|No Volume|193.85|3882.09
Anesthesia Pro|||210|ANESTHOPEN HEAD SURGERY|4260.73|4260.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|506.67|862.85|373.28|1015.79|No Volume|No Volume|No Volume|1037.92|No Volume|No Volume|287.34|359.02|363.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1185.74|No Volume|305.03|289.42|No Volume|1199.2|276|851.92|No Volume|2610.33|No Volume|No Volume|5151.01|293.29|276|5151.01
Anesthesia Pro|||211|ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA|3456.23|3456.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2193.34|872.33|310.72|No Volume|380|No Volume|709.91|No Volume|No Volume|No Volume|481.97|233.37|285.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|937.35|No Volume|305.07|285.16|No Volume|384.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|230.37|230.37|3456.23
Anesthesia Pro|||214|ANESTHSKULL SURG BURR HOLE|2856.77|2856.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|380|No Volume|244.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|200.8|203.44|211.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|629.63|No Volume|269.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|179.51|No Volume|No Volume|No Volume|No Volume|179.51|2856.77
Anesthesia Pro|||215|ANESTH CRANIOPLASTY|3218.31|3218.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1664.98|270.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1604.43|No Volume|278.99|No Volume|No Volume|322.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|270.85|3218.31
Anesthesia Pro|||220|ANESTHINTRACRAN PROC; CSF SH*|3445.77|3445.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|290.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|916|No Volume|284.15|No Volume|No Volume|No Volume|207|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|207|3445.77
Anesthesia Pro|||300|ANESTHSKIN SURG HEAD/NECK|2019.2|2019.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|245|293.15|158.11|No Volume|180|No Volume|326.42|374.73|No Volume|1389.78|640.55|470.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|847.47|No Volume|552.76|148.49|No Volume|268.69|140.61|724.54|No Volume|104.12|No Volume|No Volume|No Volume|148.33|104.12|2019.2
Anesthesia Pro|||320|ANESTHNECK ORG PROC; NOS AG*|2510.18|2510.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|373.22|512.91|379.09|No Volume|200|360|627.73|1387.97|No Volume|3375.18|184.38|268.11|138.86|No Volume|No Volume|No Volume|2663.75|No Volume|No Volume|840.09|No Volume|558.16|172.78|No Volume|900.68|143.75|907.05|No Volume|2812.65|No Volume|657.86|No Volume|174.43|138.86|3375.18
Anesthesia Pro|||350|ANESTHNECK VESSEL SURGERY NOS|3691.37|3691.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2581.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|317.8|271.26|244.24|No Volume|No Volume|No Volume|2432.11|No Volume|No Volume|917.07|No Volume|467.47|No Volume|No Volume|308.93|No Volume|No Volume|No Volume|203.02|No Volume|385.71|No Volume|No Volume|203.02|3691.37
Anesthesia Pro|||352|ANESTHNECK VESSEL SURG SIMPL*|2220.71|2220.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|639.81|No Volume|No Volume|No Volume|No Volume|246.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.04|No Volume|No Volume|No Volume|No Volume|141.04|2220.71
Anesthesia Pro|||400|ANESTHSKIN SURG THORAX/EXTR|1471.13|1471.13|1036.82|No Volume|No Volume|No Volume|No Volume|No Volume|783.84|No Volume|No Volume|No Volume|318.52|395.3|169.68|No Volume|144|140|267.23|405.22|No Volume|255.75|270.7|306.14|107.33|No Volume|1323.6|No Volume|No Volume|No Volume|No Volume|597.36|No Volume|190.01|198.94|No Volume|208.85|99.05|608.37|No Volume|96.22|327.6|986.99|No Volume|102.93|96.22|1471.13
Anesthesia Pro|||402|ANESTHSURG BREAST RECONSTRUC*|2358.8|2358.8|2062.61|No Volume|No Volume|No Volume|No Volume|No Volume|4474.92|1182.42|No Volume|No Volume|508.45|958.95|286.32|No Volume|313.33|540|792.05|511.85|No Volume|1527.85|106.59|183.1|159.75|No Volume|2341.12|No Volume|No Volume|No Volume|2062.61|860.5|No Volume|358.18|No Volume|No Volume|340.8|No Volume|713.62|No Volume|134.63|438|166.43|No Volume|143.98|106.59|4474.92
Anesthesia Pro|||404|ANESTHSURG BREAST RAD MASTEC|3353.12|3353.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3353.12|3353.12
Anesthesia Pro|||406|ANESTHSURG BREAST RAD MAST W*|6331.22|6331.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1623.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1623.81|6331.22
Anesthesia Pro|||410|ANESTHCORRECT HEART RHYTHM|1169.18|1169.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|140|No Volume|No Volume|No Volume|160|No Volume|No Volume|No Volume|No Volume|No Volume|407.8|111.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|102.15|No Volume|No Volume|No Volume|61.81|No Volume|No Volume|No Volume|No Volume|61.81|1169.18
Anesthesia Pro|||450|ANESTHSURG CLAVICLE/SCAPULA|2055.59|2055.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1278.2|151.23|No Volume|No Volume|No Volume|554.69|554.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|547.63|No Volume|169.99|No Volume|No Volume|168.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|151.23|2055.59
Anesthesia Pro|||470|ANESTHPARTIAL RIB RESECTN|3258.58|3258.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|727.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|924.14|No Volume|No Volume|No Volume|No Volume|461.34|No Volume|3783.29|No Volume|No Volume|No Volume|No Volume|No Volume|117.32|117.32|3783.29
Anesthesia Pro|||500|ANESTHESOPHAGEAL SURGERY|5057.26|5057.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1834.13|No Volume|No Volume|No Volume|275.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|387.19|No Volume|No Volume|No Volume|507.54|No Volume|481.65|No Volume|No Volume|275.25|5057.26
Anesthesia Pro|||520|ANESTHCHEST PROC CLOSEDNOS|2205.72|2205.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|240|544.03|164.98|No Volume|No Volume|No Volume|547.84|499.63|No Volume|1080.95|143.07|153.18|No Volume|No Volume|2156.37|No Volume|1613.69|1687.59|1974.37|569.89|No Volume|No Volume|207.61|No Volume|469.41|149.5|914.87|No Volume|141.59|423.36|No Volume|No Volume|137.73|137.73|2205.72
Anesthesia Pro|||529|ANESTH CHEST PARTITION VIEW|4064.56|4064.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2279.78|No Volume|No Volume|No Volume|No Volume|2279.78|4064.56
Anesthesia Pro|||530|ANESTHPACEMAKER INSERTION|2601.7|2601.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|219.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|175.41|149.6|377.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|156.28|No Volume|No Volume|146.64|112.7|No Volume|No Volume|139.97|No Volume|No Volume|No Volume|No Volume|112.7|2601.7
Anesthesia Pro|||532|ANESTHCENTRL VASCULAR ACCESS|1508.56|1508.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|94.25|119.67|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|789.04|No Volume|No Volume|No Volume|No Volume|No Volume|115|No Volume|No Volume|126.71|No Volume|No Volume|No Volume|No Volume|94.25|1508.56
Anesthesia Pro|||534|ANESTHCARDIOVERTER/DEFIB|3588.43|3588.43|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|231.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3154.58|No Volume|3209.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|231.95|3588.43
Anesthesia Pro|||537|ANESTHCARD ELECTROPHYS PROC|4292.3|4292.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|552|959.87|175.56|No Volume|No Volume|No Volume|No Volume|1109.01|No Volume|No Volume|388.94|1317.65|371.2|No Volume|No Volume|No Volume|2964.86|No Volume|No Volume|975.55|No Volume|461.08|No Volume|No Volume|495.94|No Volume|1200.75|No Volume|1794.77|No Volume|No Volume|No Volume|303.96|175.56|4292.3
Anesthesia Pro|||540|ANESTHCHEST SURGERYTHORACOT*|4607.34|4607.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|394.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|418.59|424.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|991.18|No Volume|No Volume|307.98|No Volume|473.7|No Volume|1005|No Volume|313.18|No Volume|No Volume|No Volume|212.24|212.24|4607.34
Anesthesia Pro|||541|ANESTHTHORACOTOMY PROC W/1 *|5310.33|5310.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3533.57|1845.68|No Volume|No Volume|No Volume|No Volume|1023.7|No Volume|No Volume|2926.36|402.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1378.92|No Volume|No Volume|468.84|No Volume|516.66|No Volume|1005|No Volume|310.22|No Volume|No Volume|No Volume|373.28|310.22|5310.33
Anesthesia Pro|||542|ANESTHCHEST DECORTICATION|5963.55|5963.55|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|497.42|1488.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|497.42|5963.55
Anesthesia Pro|||546|ANESTHLUNG RESECTHORACOPLAS*|6717.27|6717.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4702.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4702.09|6717.27
Anesthesia Pro|||550|ANESTHSTERNAL DEBRIDEMENT|3016.71|3016.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1740.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1740.85|3016.71
Anesthesia Pro|||560|ANESTHOPEN HEART; W/O PUMP O*|4371.15|4371.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|420|858.28|1513.95|No Volume|No Volume|9342.41|No Volume|1492.9|No Volume|1470.92|271.95|303.96|No Volume|No Volume|No Volume|No Volume|3477.54|No Volume|No Volume|1108.95|No Volume|442.68|343.04|No Volume|521.75|No Volume|1498.75|No Volume|874.26|No Volume|No Volume|No Volume|No Volume|271.95|9342.41
Anesthesia Pro|||562|ANESTHOPEN HEART SURGERY+PUMP|6442.26|6442.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2118.32|No Volume|564.38|No Volume|No Volume|740|No Volume|No Volume|No Volume|No Volume|470.03|526.56|No Volume|No Volume|7114.35|No Volume|4223.39|No Volume|No Volume|1606.95|No Volume|2792.64|503.9|No Volume|680.47|No Volume|3243.13|No Volume|422.06|No Volume|No Volume|No Volume|396.21|396.21|7114.35
Anesthesia Pro|||566|ANESTHDIRECT CABG W/O PUMP|7262.61|7262.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1000|1628.83|602.19|No Volume|880|No Volume|1684.61|No Volume|No Volume|No Volume|494.59|519.67|574.33|No Volume|7544.52|No Volume|4987.77|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|731.55|No Volume|1788.75|No Volume|472.79|No Volume|977|No Volume|No Volume|472.79|7544.52
Anesthesia Pro|||567|ANES DIRECT CAB GRAFTING W/ PUMP OXYGENATOR|6250.99|6250.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|910|No Volume|No Volume|No Volume|760|680|No Volume|No Volume|No Volume|No Volume|1176.39|453.39|431.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1660.16|No Volume|580.8|No Volume|No Volume|583.26|No Volume|3553.5|No Volume|411.17|No Volume|No Volume|No Volume|No Volume|411.17|6250.99
Anesthesia Pro|||600|ANESTHCERV SPINECORD SURGERY|3679.88|3679.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|324|712.19|1070.12|No Volume|400|No Volume|No Volume|No Volume|No Volume|No Volume|236.44|299.18|No Volume|No Volume|No Volume|No Volume|2933.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|469.57|No Volume|946.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|236.44|3679.88
Anesthesia Pro|||620|ANESTHTHOR SPINECORD SURGERY|3849.47|3849.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|310.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|310.72|3849.47
Anesthesia Pro|||625|ANESTHTRANSTHORACIC SPINE SURG W/O 1 LUNG VENT|3904.62|3904.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3904.62|3904.62
Anesthesia Pro|||630|ANESTHLUMBAR SPINECORD SURG*|2819.5|2819.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|306.67|1705.66|287.79|No Volume|280.95|320|2989.13|1948.84|No Volume|No Volume|605.14|233.36|No Volume|No Volume|2768.53|No Volume|No Volume|No Volume|No Volume|651.06|No Volume|No Volume|281.17|No Volume|358.33|207|1087.79|No Volume|400.57|No Volume|No Volume|No Volume|243.17|207|2989.13
Anesthesia Pro|||635|ANESTHLUMBAR PUNCTURE|1522.14|1522.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|123.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1422.87|No Volume|No Volume|No Volume|No Volume|123.73|1522.14
Anesthesia Pro|||670|ANESTHEXTENSIVE SPINECORD P*|4674.04|4674.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|548|1686.26|370.7|No Volume|812.85|620|4698.78|1220.68|No Volume|2753.09|722.04|330.3|364.94|No Volume|No Volume|No Volume|No Volume|No Volume|4257.58|1465.27|No Volume|1070.84|477.09|421.63|442.8|No Volume|1840.74|No Volume|733.16|No Volume|559.97|No Volume|310.63|310.63|4698.78
Anesthesia Pro|||700|ANESTHABD WALLUPER ANTERSU*|2339.74|2339.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|308.16|219.84|No Volume|300|No Volume|No Volume|No Volume|No Volume|No Volume|158.45|119.67|93.39|No Volume|No Volume|No Volume|2030.62|No Volume|No Volume|780.22|1202.27|198.32|135.66|No Volume|285.98|176.24|730.4|No Volume|741.35|No Volume|279.98|82.72|114.12|82.72|2339.74
Anesthesia Pro|||730|ANESTHABD WALLUPPER POSTSU*|1786.86|1786.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|369.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|369.79|1786.86
Anesthesia Pro|||731|PR ANESTHESIA UPPER GI ENDOSCOPIC PX NOS|1313.84|1313.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|376.2|392.81|121.75|No Volume|208.16|180|452.77|465.37|No Volume|628.38|128.87|210.06|161.02|No Volume|1472.51|No Volume|1078.73|1246.39|1290.51|419.54|No Volume|186.35|145.33|103.12|133.66|170.74|435.64|315|361.6|736.89|501.09|1174.7|91.19|91.19|1472.51
Anesthesia Pro|||732|PR ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP|2080.38|2080.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|200|323|652.95|No Volume|No Volume|228|1500.08|1160.39|No Volume|1287.7|134.3|404.78|145.78|No Volume|1731.71|3153.45|No Volume|No Volume|1604.87|687.45|No Volume|180.73|178.73|No Volume|921.94|129.41|423|483.75|814.73|No Volume|201.67|No Volume|1222.27|129.41|3153.45
Anesthesia Pro|||750|ANESTHREPAIR UPPER ABD HERNI*|1877.46|1877.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|186.97|No Volume|No Volume|No Volume|No Volume|469.2|No Volume|No Volume|No Volume|197.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|390.29|No Volume|155.83|No Volume|No Volume|231.95|No Volume|No Volume|No Volume|111|No Volume|No Volume|No Volume|No Volume|111|1877.46
Anesthesia Pro|||752|ANESTHREPAIR UP HERNIA LUMBA*|3271.27|3271.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|268.88|No Volume|No Volume|No Volume|2272.18|No Volume|No Volume|No Volume|No Volume|639.82|No Volume|No Volume|No Volume|No Volume|282.57|315.56|1023.75|No Volume|180.11|No Volume|No Volume|2206|No Volume|180.11|3271.27
Anesthesia Pro|||756|ANESTHREPAIR UP HERNIA DIAPH*|2823.68|2823.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|183.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|183.07|2823.68
Anesthesia Pro|||770|ANESTHMAJOR ABD BLOOD VESSEL*|4702.09|4702.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1052.58|No Volume|No Volume|No Volume|371.5|293.17|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|936.82|No Volume|No Volume|No Volume|No Volume|456.39|No Volume|No Volume|No Volume|5274.4|No Volume|No Volume|No Volume|356.21|293.17|5274.4
Anesthesia Pro|||790|ANESTHSURG UPPER ABDOMEN|2962.23|2962.23|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|333.85|1101.4|726.54|No Volume|372.5|446.67|695.44|826.05|No Volume|1360.62|207.82|598.02|1206.38|No Volume|2459.69|No Volume|2104.52|2674.78|2797.94|926.77|707.82|541.01|436.26|No Volume|393.97|216.86|880.36|765|348.19|644.4|361.94|153.93|431.46|153.93|2962.23
Anesthesia Pro|||792|ANESTHPARTIAL LIVER REMOVAL|3718.21|3718.21|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|719.04|3540.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|229.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1109.01|No Volume|No Volume|2065.65|No Volume|436.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|229.52|3718.21
Anesthesia Pro|||794|ANESTHPANCREAS REMOVAL|5508.7|5508.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|512.37|275.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1134.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|7687.91|No Volume|No Volume|No Volume|No Volume|275.25|7687.91
Anesthesia Pro|||797|ANESTHGASTRIC RESTRICT MORB*|4247.05|4247.05|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|460|No Volume|No Volume|No Volume|No Volume|No Volume|1057.77|938.39|No Volume|No Volume|262.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1023.3|No Volume|No Volume|No Volume|No Volume|1148.99|No Volume|2612.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|262.78|4247.05
Anesthesia Pro|||800|ANESTHABD WALLLOWER ANTSURG|1993.98|1993.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|874.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|169.12|No Volume|224.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|169.12|1993.98
Anesthesia Pro|||802|ANESTHFAT LAYER REMOVAL|3065.24|3065.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|204.82|No Volume|No Volume|No Volume|586.65|No Volume|No Volume|No Volume|No Volume|155.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1985.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|686.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|155.58|3065.24
Anesthesia Pro|||811|PR ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS|1236.23|1236.23|1279.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|172.5|808.71|128.53|337.83|180|No Volume|297.89|535.66|No Volume|568.05|111.57|215.68|80.63|No Volume|753.28|No Volume|No Volume|No Volume|1207.79|319.55|No Volume|99.16|342.43|87.31|120.25|254.37|843.79|No Volume|357.95|No Volume|139.02|1356.69|66.12|66.12|1356.69
Anesthesia Pro|||812|PR ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC|1061.03|1061.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|160|223.7|102.41|No Volume|No Volume|926.52|No Volume|No Volume|No Volume|No Volume|218.27|71.81|No Volume|No Volume|970.64|No Volume|No Volume|No Volume|No Volume|484.75|No Volume|No Volume|92.12|No Volume|110.39|86.86|459.13|No Volume|525.74|No Volume|No Volume|No Volume|No Volume|71.81|1061.03
Anesthesia Pro|||813|PR ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX|1584.51|1584.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|190|1003.78|1235.36|No Volume|160|180|295.97|No Volume|No Volume|876.89|390.52|210.7|No Volume|No Volume|No Volume|No Volume|1065.5|No Volume|No Volume|404.58|No Volume|492.7|129.24|No Volume|437.13|115|757.09|No Volume|371.12|No Volume|214.63|1643.47|1941.28|115|1941.28
Anesthesia Pro|||830|ANESTHREPAIR LO ABD HERNIA N*|2107.44|2107.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|300|No Volume|208.91|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|119.03|143.61|144.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|582.91|No Volume|226.65|226.86|No Volume|220.78|No Volume|393.75|No Volume|134.63|No Volume|321.1|No Volume|94.92|94.92|2107.44
Anesthesia Pro|||832|ANESTHREPAIR LO HERNIA VENTR*|3264.88|3264.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3264.88|3264.88
Anesthesia Pro|||840|ANESTHSURG LOWER ABDOMEN|2552.69|2552.69|860.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|828.66|540.59|466.87|392.62|1932.38|240|794.37|790.38|No Volume|No Volume|271.21|190.36|145.92|No Volume|3452.39|No Volume|1196.76|No Volume|1786.86|872.47|597.16|327.87|357.27|No Volume|425.38|952.98|1077.92|No Volume|483.39|669.6|386.69|No Volume|262.36|145.92|3452.39
Anesthesia Pro|||844|ANESTHABD-PERINEAL RESECTION|4552.63|4552.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|287.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1066.36|No Volume|369.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|287.22|4552.63
Anesthesia Pro|||851|ANESTHTUBAL LIGATION/TRANSEC*|1837.11|1837.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|240|No Volume|204.82|No Volume|No Volume|No Volume|360.5|No Volume|No Volume|1687.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|554.5|No Volume|No Volume|No Volume|No Volume|907.13|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|204.82|1837.11
Anesthesia Pro|||860|ANESTHSURG LOW ABDEXTRAPERI*|2205|2205|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|155.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|109.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|725.13|No Volume|141.65|No Volume|No Volume|189.48|No Volume|1127.83|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|109.63|2205
Anesthesia Pro|||862|ANESTHKIDNEYPROX URETER SURG|2953.56|2953.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|410|616.12|246.1|No Volume|360|No Volume|No Volume|3772.26|No Volume|1682.08|169.37|172.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|874.36|No Volume|259.71|No Volume|No Volume|303.16|No Volume|572.72|No Volume|194.07|No Volume|381.8|No Volume|No Volume|169.37|3772.26
Anesthesia Pro|||865|ANESTHREMOVAL OF PROSTATE|3286.28|3286.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1799.35|576.36|No Volume|No Volume|No Volume|360|819.48|957.63|No Volume|No Volume|219.03|245.33|No Volume|No Volume|No Volume|No Volume|2250.67|No Volume|No Volume|1078.05|No Volume|No Volume|No Volume|No Volume|377.31|No Volume|783.75|No Volume|1000.16|954|428.78|No Volume|220.77|219.03|3286.28
Anesthesia Pro|||866|ANESTHREMOVAL OF ADRENAL|3413.79|3413.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|239.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|938.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|239.35|3413.79
Anesthesia Pro|||872|ANESTHKID STONE DESTRUCT+WAT*|2089.71|2089.71|976.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|240|No Volume|170.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|162.59|185.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|594.01|No Volume|165.53|No Volume|No Volume|266.97|169.05|624.38|No Volume|116.94|No Volume|No Volume|No Volume|161.04|116.94|2089.71
Anesthesia Pro|||873|ANESTHKID STONE DESTRUCT|1710.78|1710.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|242|349.25|160.93|No Volume|No Volume|No Volume|317.29|465.8|No Volume|948.95|125.72|138.29|138.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|500.98|No Volume|327.73|No Volume|No Volume|168.72|120.75|378.83|No Volume|104.13|327.6|187.96|No Volume|No Volume|104.13|1710.78
Anesthesia Pro|||880|ANESTHMAJOR LOW ABD VESSEL S*|5239.25|5239.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|442.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|442.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|442.7|5239.25
Anesthesia Pro|||902|ANESTHANORECTAL SURGERY|1601.3|1601.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|310|349.19|137.2|No Volume|1842.01|No Volume|No Volume|No Volume|No Volume|1122.31|94.5|No Volume|127.41|No Volume|1417.36|No Volume|No Volume|No Volume|No Volume|503.28|No Volume|156.02|516.76|No Volume|169.71|No Volume|384.07|No Volume|87.64|No Volume|150.76|No Volume|95.99|87.64|1842.01
Anesthesia Pro|||904|ANESTHRADICAL PERINEAL SURGE*|3038.15|3038.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|451.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.94|466.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|597.16|No Volume|269.15|237.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.94|3038.15
Anesthesia Pro|||910|ANESTHTRANSURETHRAL SURGNOS|1140.48|1140.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1493.02|No Volume|No Volume|140|697.01|166.52|194.03|No Volume|180|No Volume|291.46|No Volume|558.37|74.16|141.7|80.94|No Volume|1257.42|No Volume|795.26|948.58|No Volume|312.83|No Volume|373.75|130.88|No Volume|273.08|70.43|540.85|No Volume|210.1|No Volume|No Volume|No Volume|1036.82|70.43|1493.02
Anesthesia Pro|||912|ANESTHXURETHRAL BLADDER TUMO*|1642.98|1642.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|355.45|No Volume|No Volume|220|No Volume|No Volume|426.54|No Volume|No Volume|108.34|125.66|116.74|No Volume|No Volume|No Volume|1042.34|No Volume|No Volume|368.88|No Volume|141.65|No Volume|No Volume|162.29|No Volume|No Volume|No Volume|231.63|No Volume|No Volume|No Volume|No Volume|108.34|1642.98
Anesthesia Pro|||914|ANESTHXURETHRAL REMOVAL OF P*|2239.64|2239.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|261.94|No Volume|955|No Volume|No Volume|No Volume|No Volume|583.92|No Volume|No Volume|135.75|507.17|No Volume|No Volume|No Volume|No Volume|1011.45|No Volume|3055.31|843.03|No Volume|No Volume|No Volume|No Volume|No Volume|112.7|880.62|No Volume|168.32|No Volume|No Volume|No Volume|No Volume|112.7|3055.31
Anesthesia Pro|||918|ANESTHSTONE RMVOVAL|1681.6|1681.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|523.48|1599.35|140.04|No Volume|200|No Volume|No Volume|665.33|No Volume|932.04|122.38|133.64|117.97|No Volume|2316.3|1963.34|No Volume|1786.86|No Volume|766.13|No Volume|413.97|No Volume|No Volume|160.07|119.49|493.79|No Volume|127.21|No Volume|No Volume|No Volume|No Volume|117.97|2316.3
Anesthesia Pro|||920|ANESTHMALE GENITALIA SURGERY|1608.47|1608.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1400.81|287.62|111.35|No Volume|No Volume|No Volume|No Volume|520.48|No Volume|No Volume|1421.13|143.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|398.97|No Volume|No Volume|155.91|No Volume|124.91|92|296.25|No Volume|981.67|No Volume|No Volume|No Volume|No Volume|92|1608.47
Anesthesia Pro|||921|ANESTHVASECTOMY UNILAT/BILAT|1181.31|1181.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|598.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1301.54|507.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|324|No Volume|No Volume|No Volume|170.34|No Volume|No Volume|170.34|1301.54
Anesthesia Pro|||924|ANESTHTESTIS EXPLORATION|2239.09|2239.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|486|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|486|2239.09
Anesthesia Pro|||926|ANESTHRADICAL REMV TESTISIN*|1610.38|1610.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|316|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|723.6|No Volume|No Volume|No Volume|330|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|316|1610.38
Anesthesia Pro|||930|ANESTHTESTIS SUSPENSION|1626.93|1626.93|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1279.48|142.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|499.63|No Volume|No Volume|No Volume|No Volume|163.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|142.98|1626.93
Anesthesia Pro|||938|ANESTHINSERT PENIS PROSTHESIS|2569.99|2569.99|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|179.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|566.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|179.51|2569.99
Anesthesia Pro|||940|ANESTHVAGINAL PROCEDURES|1267.01|1267.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|120|No Volume|No Volume|298.58|No Volume|709.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|941.96|No Volume|No Volume|431.61|No Volume|No Volume|75.63|No Volume|123.29|No Volume|228.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|75.63|1267.01
Anesthesia Pro|||942|ANESTHCOLPOTVAGINECTCOLPOR*|1373.24|1373.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|131.98|No Volume|No Volume|No Volume|No Volume|291.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|131.98|1373.24
Anesthesia Pro|||944|ANESTHVAGINAL HYSTERECTOMY|2288.11|2288.11|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|260|463.38|219.45|No Volume|No Volume|No Volume|No Volume|639.81|No Volume|No Volume|141.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|754.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.94|2288.11
Anesthesia Pro|||952|ANESTHHYSTEROSCOPY/VAG BX|1430.86|1430.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|160.93|No Volume|240|No Volume|247.01|341.23|No Volume|No Volume|131.64|No Volume|No Volume|No Volume|121.92|No Volume|No Volume|No Volume|No Volume|387.94|No Volume|No Volume|681.61|No Volume|137.17|No Volume|341.25|No Volume|No Volume|306|150.76|No Volume|No Volume|121.92|1430.86
Anesthesia Pro|||1112|ANESTHBONE MARROW ASP/BX ILI*|1378.75|1378.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1378.75|1378.75
Anesthesia Pro|||1120|ANESTHBONY PELVIS SURGERY|2409.27|2409.27|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|187.67|No Volume|No Volume|460|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|311.65|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|187.67|2409.27
Anesthesia Pro|||1160|ANESTHPUBISSACROILIAC OPEN *|1797.89|1797.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.61|1797.89
Anesthesia Pro|||1170|ANESTHPUBISSACROILIAC CLOSE*|2816.33|2816.33|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|268.1|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|175.4|215.41|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|387.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|175.4|2816.33
Anesthesia Pro|||1173|ANESTH FX REPAIR PELVIS|4116.64|4116.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2650.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|993.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|993.75|4116.64
Anesthesia Pro|||1200|ANESTHHIP JOINT PROCEDURE|1608.46|1608.46|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|153.48|106.53|87.24|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|541.27|No Volume|155.83|No Volume|No Volume|163.94|No Volume|No Volume|No Volume|80.56|No Volume|No Volume|No Volume|123.72|80.56|1608.46
Anesthesia Pro|||1210|ANESTHHIP JOINT SURGERY|2388.34|2388.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|255|No Volume|196.6|2900.89|340|No Volume|440.55|936.82|No Volume|No Volume|209.24|203.01|769.94|No Volume|No Volume|No Volume|1429.93|No Volume|No Volume|677.6|No Volume|556.15|195.24|No Volume|247.97|185.38|602.35|No Volume|432.82|No Volume|No Volume|2172.91|148.88|148.88|2900.89
Anesthesia Pro|||1214|ANESTHTOTAL HIP ARTHROPLASTY|2836.56|2836.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|356.95|No Volume|263.34|No Volume|410|No Volume|2823.68|1165.81|No Volume|1943.49|171.26|657.84|No Volume|No Volume|208.36|No Volume|1928.32|No Volume|2415.57|726.22|No Volume|290.95|306.6|No Volume|257.86|No Volume|1897.48|No Volume|173.05|No Volume|302.5|No Volume|158.91|158.91|2836.56
Anesthesia Pro|||1215|ANESTHREVISE TOTAL HIP ARTHR*|4355.01|4355.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|792.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1291.89|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1066.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|336.14|No Volume|No Volume|No Volume|No Volume|336.14|4355.01
Anesthesia Pro|||1220|ANESTHCLOSED PROC UPPER 2/3 *|1617.52|1617.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|118.86|95.74|No Volume|No Volume|No Volume|No Volume|1189.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|126.5|No Volume|No Volume|84.41|No Volume|No Volume|No Volume|No Volume|84.41|1617.52
Anesthesia Pro|||1230|ANESTHOPEN PROC UPPER 2/3 FE*|2183.5|2183.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|222.5|No Volume|619.73|513.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|473.25|309.7|130.1|No Volume|No Volume|No Volume|1304.85|No Volume|No Volume|897.02|No Volume|1198.66|174.61|No Volume|258.68|126.5|523.13|No Volume|825.93|No Volume|No Volume|No Volume|133.32|126.5|2183.5
Anesthesia Pro|||1232|ANESTHAMPUTATION OF FEMUR|1835.39|1835.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|155.83|193.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|155.83|1835.39
Anesthesia Pro|||1250|ANESTHUPPER LEG SURGERY|1952.31|1952.31|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1166.44|150.13|No Volume|No Volume|No Volume|No Volume|518.32|No Volume|No Volume|108.48|155.58|25.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|909.83|No Volume|841.74|127.86|No Volume|193.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|25.42|1952.31
Anesthesia Pro|||1270|ANESTHTHIGH ARTERIES SURG|3829.25|3829.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|424|No Volume|301.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|237.01|230.47|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1034.34|No Volume|396.64|No Volume|No Volume|399.23|247.25|1481.25|No Volume|2343.89|No Volume|640.24|No Volume|No Volume|230.47|3829.25
Anesthesia Pro|||1274|ANESTHFEMORAL EMBOLECTOMY|3127.01|3127.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|203.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|895.74|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|203.44|3127.01
Anesthesia Pro|||1320|ANESTHKNEE AREA SURGERY|1642.03|1642.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1599.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|149.93|154.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|926.19|No Volume|155.82|No Volume|No Volume|No Volume|No Volume|433.75|No Volume|107.86|No Volume|No Volume|109.96|No Volume|107.86|1642.03
Anesthesia Pro|||1340|ANESTHLOWER 1/3 FEMURCLOSED*|2382.48|2382.48|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|292.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|191.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|191.12|2382.48
Anesthesia Pro|||1360|ANESTHLOWER 1/3 FEMUROPEN P*|2326.7|2326.7|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|260|440.55|202.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|191.56|158.57|197.83|No Volume|1930.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|182.86|No Volume|176.3|126.5|No Volume|No Volume|1808.92|No Volume|No Volume|2305.27|2316.3|126.5|2326.7
Anesthesia Pro|||1380|ANESTHKNEE JOINTCLOSED PROC*|915.49|915.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|67.62|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|67.62|915.49
Anesthesia Pro|||1382|ANESTHDX ARTHROSCOPIC PROC K*|1908.19|1908.19|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|143.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|143.61|1908.19
Anesthesia Pro|||1390|ANESTHUPPER LEGCLOSED PROCE*|1508.9|1508.9|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1345.66|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|255.93|No Volume|169.99|No Volume|No Volume|146.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|146.64|1508.9
Anesthesia Pro|||1392|ANESTHUPPER LEGOPEN PROCEDU*|2090.14|2090.14|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|280|569.26|571.48|No Volume|240|No Volume|No Volume|469.2|No Volume|No Volume|186.22|122.07|145.62|No Volume|2283.21|No Volume|1258.52|No Volume|No Volume|752.69|No Volume|430.1|554.25|No Volume|403.87|No Volume|437.14|543.75|No Volume|No Volume|278.02|No Volume|No Volume|122.07|2283.21
Anesthesia Pro|||1400|ANESTHKNEE JOINT; NOS|1790.01|1790.01|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|360|398.33|138.85|No Volume|No Volume|No Volume|333.27|No Volume|No Volume|No Volume|134.52|109.81|165.89|No Volume|1781.35|No Volume|No Volume|No Volume|No Volume|408.93|No Volume|No Volume|2691.32|114.12|178.77|112.7|461.25|No Volume|103.64|No Volume|No Volume|No Volume|No Volume|103.64|2691.32
Anesthesia Pro|||1402|ANESTHTOTAL KNEE ARTHROPLASTY|2677.57|2677.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1161.4|1012.12|234.08|No Volume|No Volume|No Volume|No Volume|666.18|No Volume|No Volume|193.08|345.87|226.71|No Volume|2967.07|No Volume|2455.28|2724.41|No Volume|686.15|No Volume|231.37|2569.99|182.86|292.57|205.47|577.5|648.75|169.86|590.4|No Volume|No Volume|175.98|169.86|2967.07
Anesthesia Pro|||1404|ANESTHAMPUTATION AT KNEE|2250.12|2250.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3066.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2250.12|3066.34
Anesthesia Pro|||1440|ANESTHKNEE ARTERIES SURG|4594|4594|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|423.45|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|832.72|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|423.45|4594
Anesthesia Pro|||1442|ANESTHPOPLIT THROMBOENDARTEC*|5834.87|5834.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|483.95|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|483.95|5834.87
Anesthesia Pro|||1462|ANESTHLOWER LEGCLOSED PROCE*|1288.3|1288.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|140|No Volume|248.81|No Volume|No Volume|No Volume|No Volume|143.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|277.5|1091.97|No Volume|No Volume|No Volume|No Volume|140|1288.3
Anesthesia Pro|||1470|ANESTHLOWER LEGOPEN SURGERY|1456.58|1456.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|160|288.38|331.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|98.73|119.7|No Volume|No Volume|No Volume|1428.39|No Volume|No Volume|395.78|No Volume|152.28|110.68|No Volume|122.99|No Volume|389.92|No Volume|76.34|No Volume|No Volume|86.92|No Volume|76.34|1456.58
Anesthesia Pro|||1472|ANESTHACHILLES TENDON SURG|1836.5|1836.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|246.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|483.75|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|246.44|1836.5
Anesthesia Pro|||1474|ANESTHGASTROCNEMIUS SURGERY|2106.73|2106.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2106.73|2106.73
Anesthesia Pro|||1480|ANESTHLOWER LEG BONE SURG|1516.16|1516.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|238.85|1197|139.7|No Volume|220|No Volume|1345.66|526.56|No Volume|1224.33|102.95|269.64|135.72|No Volume|No Volume|No Volume|1050.06|No Volume|No Volume|567.77|No Volume|283.26|368.64|123.74|188.93|334.34|349.9|No Volume|236.1|298.8|No Volume|No Volume|97.06|97.06|1516.16
Anesthesia Pro|||1482|ANESTHRADICAL LEG RESECTION|1818.97|1818.97|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|200|433.71|138.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|110.25|131.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|437.18|No Volume|169.99|207.61|No Volume|154.88|92|498.75|No Volume|135.17|No Volume|319.14|102.63|No Volume|92|1818.97
Anesthesia Pro|||1484|ANESTHLOWER LEG BONE REVISION|2459.69|2459.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|245.5|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|245.5|2459.69
Anesthesia Pro|||1500|ANESTHLOWER LEG ARTERIES SURG|3046.49|3046.49|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|386.88|46.94|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|624.54|No Volume|240.82|No Volume|No Volume|No Volume|No Volume|956.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|46.94|3046.49
Anesthesia Pro|||1520|ANESTHLOWER LEG VEIN SURGNOS|1786.86|1786.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1786.86|1786.86
Anesthesia Pro|||1522|ANESTHLOWER LEG VEIN THROMBE*|2790.59|2790.59|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2790.59|2790.59
Anesthesia Pro|||1610|ANESTHSURGERY OF SHOULDER|2332.37|2332.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1090.72|148.94|No Volume|No Volume|No Volume|No Volume|967.4|No Volume|No Volume|138.77|No Volume|195.37|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|975.09|No Volume|191.24|155.37|No Volume|164.48|138|817.5|No Volume|161.69|No Volume|475.78|No Volume|No Volume|138|2332.37
Anesthesia Pro|||1620|ANESTHSHOULDERCLOSED PROCED*|1249.15|1249.15|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|132.21|No Volume|No Volume|121.51|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|121.51|1249.15
Anesthesia Pro|||1622|ANESTHDX ARTHROSC PROCSHOUL*|2525.87|2525.87|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2525.87|2525.87
Anesthesia Pro|||1630|ANESTHSHOULDER JOINTNOS|2349.39|2349.39|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|404.03|263.34|No Volume|No Volume|No Volume|442.84|No Volume|No Volume|No Volume|239.69|1080.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|550.98|No Volume|No Volume|145.74|No Volume|No Volume|No Volume|No Volume|No Volume|3297.97|No Volume|No Volume|No Volume|No Volume|145.74|3297.97
Anesthesia Pro|||1638|ANESTHSHOULDER REPLACEMENT|3327.2|3327.2|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1842.44|No Volume|3132.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|227.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2956.04|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|193.4|No Volume|No Volume|No Volume|288.49|193.4|3327.2
Anesthesia Pro|||1652|ANESTHAXILLARY-BRACHIAL ANEU*|2967.07|2967.07|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2967.07|2967.07
Anesthesia Pro|||1654|ANESTHSHLDR VESSEL SURGBYPA*|2228.06|2228.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1114.03|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1114.03|2228.06
Anesthesia Pro|||1656|ANESTHAXILL-FEM BYPASS GRFT *|4875.26|4875.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|372.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|372.58|4875.26
Anesthesia Pro|||1710|ANESTHELBOW AREA SURGERY|1352.28|1352.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|300|No Volume|120.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|83.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|604.06|No Volume|84.99|No Volume|No Volume|1251.91|No Volume|374|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|83.09|1352.28
Anesthesia Pro|||1730|ANESTHARM/ELBOW BONESCLOSED*|1117.71|1117.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|236.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|236.25|1117.71
Anesthesia Pro|||1740|ANESTHELBOWNOS|2208.34|2208.34|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1128.53|271.08|No Volume|260|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|465.68|No Volume|169.99|304.54|No Volume|123.57|No Volume|730.4|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|123.57|2208.34
Anesthesia Pro|||1742|ANESTHHUMERUS SURGERY|2660.44|2660.44|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|264.79|196.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|176.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|433.02|No Volume|191.24|No Volume|No Volume|300.97|No Volume|No Volume|No Volume|185.02|No Volume|No Volume|No Volume|No Volume|176.42|2660.44
Anesthesia Pro|||1744|ANESTHHUMERUS REPAIR|2312.16|2312.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|192.91|No Volume|2029.52|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1491.8|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|192.91|2312.16
Anesthesia Pro|||1756|ANESTHRADICAL HUMERUS SURG|2558.96|2558.96|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|529.58|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|529.58|2558.96
Anesthesia Pro|||1770|ANESTHUPPERARM ARTERY SURG|2756.12|2756.12|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1165.81|No Volume|No Volume|2183.94|No Volume|290.81|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|129.27|129.27|2756.12
Anesthesia Pro|||1772|ANESTHUPPERARM EMBOLECTOMY|3402.76|3402.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|3750.2|No Volume|No Volume|No Volume|632.3|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|632.3|3750.2
Anesthesia Pro|||1780|ANESTHUPPER ARM VEIN SURG|1103|1103|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1103|1103
Anesthesia Pro|||1782|ANESTHUPPER ARM VEIN REPAIR|4643.63|4643.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|4643.63|4643.63
Anesthesia Pro|||1810|ANESTHLOWER ARM SURGERY|1588.84|1588.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|313.33|822.34|257.86|No Volume|No Volume|180|335.55|405.22|No Volume|No Volume|232.08|312.32|No Volume|No Volume|2277.7|No Volume|No Volume|No Volume|No Volume|479.94|No Volume|158.66|147.14|No Volume|286.19|90.16|579.38|No Volume|678.74|403.2|139.02|No Volume|91.99|90.16|2277.7
Anesthesia Pro|||1820|ANESTHFOREARM BONESCLOSED P*|1315.63|1315.63|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|724.23|No Volume|No Volume|79.87|No Volume|No Volume|No Volume|1551.92|No Volume|No Volume|282.39|No Volume|113.32|90.74|No Volume|134.28|No Volume|No Volume|No Volume|63.99|No Volume|No Volume|No Volume|No Volume|63.99|1551.92
Anesthesia Pro|||1830|ANESTHDISTAL RADIUS/ULNA WRI*|1753.6|1753.6|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|784.92|327.89|137.82|No Volume|180|180|334.95|866.98|No Volume|No Volume|154.69|114.23|138.85|No Volume|1757.45|No Volume|No Volume|1169.18|No Volume|400.33|No Volume|181.32|396.72|No Volume|345.13|180.32|473.07|No Volume|84.41|No Volume|2933.98|No Volume|121.59|84.41|2933.98
Anesthesia Pro|||1840|ANESTHLOWER ARM ARTERY SURG|3002.71|3002.71|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|365.23|640.07|No Volume|380|No Volume|No Volume|No Volume|No Volume|No Volume|192.26|143.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|761.81|No Volume|1320.21|290.11|No Volume|274.33|No Volume|555|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|143.61|3002.71
Anesthesia Pro|||1842|ANESTHLOWER ARM EMBOLECTOMY|2514.84|2514.84|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|175.98|175.98|2514.84
Anesthesia Pro|||1844|ANESTHLOWER ARMVASC SHUNT S*|2185.78|2185.78|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|189.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|138.56|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|458|No Volume|No Volume|239.93|No Volume|219.85|153.76|480|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|138.56|2185.78
Anesthesia Pro|||1850|ANESTHLOWER ARM VEIN SURG|4036.98|4036.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|402.02|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|402.02|4036.98
Anesthesia Pro|||1916|ANESTHDX ARTERIOGRAPHY/VENOG*|2073.64|2073.64|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|134.73|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|932.85|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|134.73|2073.64
Anesthesia Pro|||1922|ANESTHCAT/MRI SCANRADIATN T*|2927.16|2927.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|380|531.86|179|No Volume|260|No Volume|No Volume|No Volume|No Volume|898.95|242.6|222.29|234.91|No Volume|No Volume|No Volume|2177.32|No Volume|No Volume|879.15|No Volume|1124.41|246.1|No Volume|228.2|No Volume|523.13|485.63|157.07|No Volume|No Volume|No Volume|No Volume|157.07|2927.16
Anesthesia Pro|||1924|ANESTHINTER RADARTERIAL SYS*|2664.36|2664.36|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|167.33|143.61|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|846.98|No Volume|No Volume|No Volume|No Volume|No Volume|2448.66|No Volume|No Volume|161.34|No Volume|No Volume|No Volume|490.67|143.61|2664.36
Anesthesia Pro|||1925|ANESTHINTER RADCAROTID/CORO*|2603.08|2603.08|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|188.06|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|177.37|No Volume|No Volume|No Volume|No Volume|177.37|2603.08
Anesthesia Pro|||1926|ANESTHINTER RADINTRACRA/INT*|3036.09|3036.09|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|167.59|No Volume|No Volume|No Volume|360|No Volume|No Volume|No Volume|No Volume|No Volume|171.71|819.72|No Volume|No Volume|No Volume|No Volume|2283.21|No Volume|No Volume|1066.36|No Volume|No Volume|265.35|No Volume|308.11|276|965.63|No Volume|1352.69|No Volume|No Volume|No Volume|No Volume|167.59|3036.09
Anesthesia Pro|||1931|ANESTHINTER RADINTRAHEPAT/P*|3073.69|3073.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|261.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|237.86|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|237.86|3073.69
Anesthesia Pro|||1932|ANESTHINTER RADINTRATHORACI*|3264.88|3264.88|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|220.77|220.77|3264.88
Anesthesia Pro|||1936|ANESTHESIA PERQ IMG GID SPINE THERAPEUTIC|1867.38|1867.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|554.69|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|117.54|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|205.95|No Volume|2228.06|No Volume|105.78|No Volume|No Volume|No Volume|No Volume|105.78|2228.06
Anesthesia Pro|||1951|ANESTHBURN TX <4% TBSA|1610.38|1610.38|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1610.38|1610.38
Anesthesia Pro|||1961|ANESTHCESAREAN DELIVERY ONLY|2098.26|2098.26|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|260|853.72|184.57|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|202.66|No Volume|No Volume|No Volume|186.18|No Volume|No Volume|No Volume|No Volume|518.13|No Volume|184.25|182.86|149.86|296.9|No Volume|1464.22|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|149.86|2098.26
Anesthesia Pro|||1962|ANESTHURG HYSTERECTOMY FOL D*|2702.35|2702.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2702.35|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2702.35|2702.35
Anesthesia Pro|||1965|ANESTH INCOMP/MISSED AB PROC|1253.28|1253.28|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|200|No Volume|656.16|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|98.99|No Volume|138.18|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|98.99|1253.28
Anesthesia Pro|||1966|ANESTH INDUCED AB PROCEDURE|2117.76|2117.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2117.76|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|2117.76|2117.76
Anesthesia Pro|||1967|NEURAXIAL LABOR ANAL/ANES PL*|1830.98|1830.98|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1830.98|1830.98
Anesthesia Pro|||1968|ANESTHCES DEL FOL NEURAXIAL *|1269.68|1269.68|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|220.31|571.34|No Volume|No Volume|No Volume|No Volume|1025.79|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|1202.27|No Volume|No Volume|No Volume|141.66|1897.16|No Volume|644.15|No Volume|386.25|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|141.66|1897.16
Anesthesia Pro|||1990|PHYS SUPPORTBRAIN-DEAD ORGAN*|2764.29|2764.29|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|194.42|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|No Volume|194.42|2764.29