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["GORDON MEMORIAL HOSPITAL - CHARGE MASTER 07/01/2021"]
["The listing below is the standard charge amount by procedure at Gordon Memorial Hospital as of 07/01/2021.  All patients are charged the same amount by the facility.   Insurance companies have specific agreements with the Hospital that ultimately determine the patient’s and the insurance companies financial obligation. The amounts due from patients who qualify for discounted care (charity care) are determined under the Hospital’s policy related to discounted care. "]
[]
[]
[]
[]
["CHARGE CODE","DESCRIPTION","IVREVCD","CPT CODE","PRICE","MODIFIER"]
[" 2500196","ETOMIDATE 20MG/10ML VIAL","\nPHARMACY",null,34.6]
[" 2500198","FAMOTIDINE 10MG/ML 2ML VIAL","\nPHARMACY","S0028",21.07]
[" 2500199","fentaNYL 100MCG/2ML VIAL","\nPHARMACY","J3010",21.51]
[" 2500204","NF-FILGRASTIM 480MG/1.6ML VIAL","\nPHARMACY","J1442",1353.6]
[" 2500206","FLAVOR SWEET 473 ML LIQUID","\nPHARMACY",null,0]
[" 2500209","FLUMAZENIL 0.5 MG/5 ML VIAL","\nPHARMACY","J3490",32.799999999999997]
[" 2500210","FLUORESCEIN SODIUM 1 MG STRIP","\nPHARMACY",null,5]
[" 2500215","FOLIC ACID 50MG/10ML VIAL","\nPHARMACY","J3490",191.82]
[" 2500216","FOSPHENYTOIN 100 MG PE/2 ML VIAL","\nPHARMACY","Q2009",72]
[" 2500224","GENTAMICIN 20 MG/2 ML VIAL *PEDIATRIC*","\nPHARMACY","J1580",29.73]
[" 2500225","GENTAMICIN 80 MG/2 ML VIAL","\nPHARMACY","J1580",21.01]
[" 2500229","GLUCAGEN 1 MG/ML VIAL","\nPHARMACY","J1610",463.32]
[" 2500232","GLYCOPYRROLATE 0.2 MG/ML VIAL","\nPHARMACY","J3490",32.31]
[" 2500233","GLYDO 2% SYRINGE 6 ML","\nPHARMACY","J8499",30.95]
[" 2500238","HALOPERIDOL LACTATE 5 MG/ML VIAL","\nPHARMACY","J1630",32.19]
[" 2500239","HEPARIN 10,000 UNITS/ML VIAL","\nPHARMACY","J1644",23.14]
[" 2500240","HEPARIN 500UNITS/5ML FLUSH","\nPHARMACY","J1642",5]
[" 2500241","HEPARIN 10UNITS/ML 3ML FLUSH","\nPHARMACY",null,9.8000000000000007]
[" 2500242","HEPARIN/NS 0.45% 25000 UN/500ML","\nPHARMACY",null,32.6]
[" 2500243","HEPATITIS B VACCINE 20MCG/ML 0.5ML INJ","\nPHARMACY","90747",240.76]
[" 2500244","hydrALAZINE 20MG/ML 1ML VIAL","\nPHARMACY","J0360",62.8]
[" 2500251","HYDROCORTISONE SOD SUCC 100MG/2ML VIAL","\nPHARMACY","J1720",54.76]
[" 2500252","NF-HYDROCORTISONE SOD SUC 250MG/2ML VIAL","\nPHARMACY",null,114.1]
[" 2500254","NF-hydrOXYzine 25 MG/ML VIAL 1 ML","\nPHARMACY","J3410",84.7]
[" 2500257","NF-IMIPENEM/CILASTATIN 500 MG VIAL","\nPHARMACY",null,90.55]
[" 2500268","IPRATROPIUM BROMIDE 0.5MG/2.5ML NEB SOLN","\nPHARMACY","J7644",7.4]
[" 2500270","IRON SUCROSE 100MG/5ML VIAL","\nPHARMACY","J1756",214.5]
[" 2500274","KETAMINE 1000 MG/10 ML VIAL","\nPHARMACY",null,31.99]
[" 2500275","KETAMINE 500 MG/10 ML VIAL","\nPHARMACY",null,31.99]
[" 2500277","KETOROLAC 0.5% OPHTHALMIC DROPS 5ML","\nPHARMACY",null,158.25]
[" 2500278","KETOROLAC 30 MG/ML VIAL 1 ML","\nPHARMACY","J1885",21.04]
[" 2500280","LABETALOL 5 MG/ML MDV 20 ML","\nPHARMACY","J3490",55]
[" 2500282","LACTULOSE 20GRAM/30ML SYRUP","\nPHARMACY",null,4]
[" 2500284","LASIX 40MG/4ML VIAL","\nPHARMACY","J1940",23.49]
[" 2500287","LEUPROLIDE ACETATE 45MG INJ","\nPHARMACY",null,1522.48]
[" 2500288","LEVALBUTEROL 0.63 MG/3 ML VIAL","\nPHARMACY","J7614",8]
[" 2500290","LEVOFLOXACIN/D5W 500MG/100ML IV PREMIX","\nPHARMACY","J1956",33.07]
[" 2500291","LEVOFLOXACIN/D5W 750MG/150ML IV PREMIX","\nPHARMACY","J1956",33.94]
[" 2500294","LEVOTHYROXINE IV 100 MCG VIAL","\nPHARMACY",null,332.58]
[" 2500299","LIDOCAINE 0.5% 5MG/ML 50ML VIAL - MPF","\nPHARMACY","J2001",60.44]
[" 2500300","LIDOCAINE 1% 10MG/ML 20ML VIAL","\nPHARMACY","J2001",29.44]
[" 2500301","LIDOCAINE/EPINEPHRINE 1% 20ML VIAL","\nPHARMACY","J3490",22.57]
[" 2500302","LIDOCAINE 2% 20ML INJECTION","\nPHARMACY","J3490",25.04]
[" 2500303","LIDOCAINE 2% 20MG/ML 20ML VIAL","\nPHARMACY",null,30.04]
[" 2500304","LIDOCAINE 2% 5ML SYRINGE","\nPHARMACY","J2001",29.25]
[" 2500306","LIDOCAINE 2% JELLY URO-JET","\nPHARMACY","J3490",23.5]
[" 2500307","LIDOCAINE 2% 20MG/ML 5ML VIAL - PF","\nPHARMACY","J2001",23.74]
[" 2500308","LIDOCAINE/EPINEPHRINE 2% 20ML VIAL","\nPHARMACY","J3490",29.56]
[" 2500309","LIDOCAINE 4% AMPULE 5 ML","\nPHARMACY",null,31.56]
[" 2500313","LIDOCAINE/DEXTROSE 5% DRIP 4MG/ML 500ML","\nPHARMACY",null,42.62]
[" 2500315","LIDOCAINE-MPF 1% 5ML VIAL","\nPHARMACY","J3490",22.75]
[" 2500324","LORAZEPAM 2 MG/1ML VIAL","\nPHARMACY","J2060",21.17]
[" 2500331","MAGNESIUM SULFATE 5GM/10ML VIAL","\nPHARMACY","J3475",22.27]
[" 2500334","MEDROXYPROGESTERONE ACETATE 150MG VIAL","\nPHARMACY","J1050",214.31]
[" 2500339","MEPERIDINE 25MG/1ML SYRINGE","\nPHARMACY",null,40.75]
[" 2500340","MEPERIDINE 50MG/1ML SYRINGE","\nPHARMACY","J2175",40.75]
[" 2500343","METHYLERGONOVINE MALEATE 0.2MG/ML INJ","\nPHARMACY","J2210",118.44]
[" 2500344","METHYLPRED ACE (DEPO-MEDROL)80MG/ML 1ML","\nPHARMACY","J1040",77.42]
[" 2500345","NF-METHYLPREDNISOLONE SUCC 1000MG VIAL","\nPHARMACY","J2930",163.38]
[" 2500346","METHYLPREDNISOLONE SUCC 125MG/2ML VIAL","\nPHARMACY","J2930",46.72]
[" 2500347","METHYLPREDNISOLONE SUCC 40MG/ML 1ML VIAL","\nPHARMACY","J2920",32.25]
[" 2500348","NF-Methylprednisolone Succ 500MG Vial","\nPHARMACY",null,39.200000000000003]
[" 2500350","METOCLOPRAMIDE 5MG/ML 2ML VIAL","\nPHARMACY","J2765",29.02]
[" 2500355","METOPROLOL TARTRATE 1MG/ML 5ML VIAL","\nPHARMACY","J3490",21.27]
[" 2500357","metroNIDAZOLE/NS 500MG/100ML PREMIX","\nPHARMACY","J3490",22.17]
[" 2500359","MICONAZOLE VAG SUPP KIT (3 SUPP)","\nPHARMACY","J8498",36.57]
[" 2500362","MISOPROSTOL 100 MCG TABLET","\nPHARMACY","J8499",4]
[" 2500366","MORPHINE 30 MG/30 ML PCA VIAL","\nPHARMACY",null,59.65]
[" 2500367","MORPHINE 4MG/ML VIAL","\nPHARMACY",null,40.75]
[" 2500372","ACETYLCYSTEINE INH/ORAL SOLUTION 20%","\nPHARMACY","J7608",23.64]
[" 2500373","MULTIVITAMIN (ADULT) SOLN 10ML","\nPHARMACY",null,595.35]
[" 2500376","NAFCILLIN 1 GM VIAL","\nPHARMACY","J3490",58]
[" 2500377","NF-Nafcillin 2GM Vial","\nPHARMACY",null,79.2]
[" 2500378","NALOXONE 2 MG/2 ML PREFILLED SYRINGE","\nPHARMACY","J2310",138.6]
[" 2500383","NEULASTA 6 MG/0.6 ML INJ","\nPHARMACY",null,6313.44]
[" 2500384","NICARDIPINE 25MG/10ML VIAL","\nPHARMACY","J3490",107.17]
[" 2500388","NICOTINE GUM 2MG DEVICE","\nPHARMACY","J3490",2]
[" 2500395","NITROGLYCERIN/D5W 25MG/250ML BOTTLE","\nPHARMACY",null,73.78]
[" 2500396","NITROPRUSSIDE 25MG/ML 2ML VIAL","\nPHARMACY","J3490",390]
[" 2500397","NOREPINEPHRINE 1MG/ML 4ML VIAL","\nPHARMACY","J3490",75.67]
[" 2500403","OFLOXACIN 0.3% OTIC DROPS 5ML","\nPHARMACY","J3490",171.51]
[" 2500404","OLANZAPINE IM 10 MG VIAL","\nPHARMACY","J3490",145.25]
[" 2500410","OSELTAMIVIR PHOSPHATE 45MG CAP","\nPHARMACY","J8499",42.54]
[" 2500413","NF-Oxacillin 2GM Vial","\nPHARMACY",null,55.55]
[" 2500415","OXYCODONE HCL 20MG ER TABLET","\nPHARMACY","J8499",29.1]
[" 2500419","OXYTOCIN 10 UNIT/ML VIAL 1 ML","\nPHARMACY","J2590",23.6]
[" 2500420","PAMIDRONATE 30 MG/10 ML VIAL","\nPHARMACY",null,580.5]
[" 2500424","PENICILLIN G POTASSIUM 5 MIU VIAL","\nPHARMACY","J2540",60.76]
[" 2500427","PHENYLEPHRINE 0.5% NASAL SPRAY","\nPHARMACY",null,3.8]
[" 2500428","PHENYLEPHRINE 10 MG/ML 1ML VIAL","\nPHARMACY","J2370",29]
[" 2500430","PHENYTOIN 100 MG/2 ML VIAL","\nPHARMACY",null,22.39]
[" 2500433","PHILIPS RESPIRONICS OPTICHAMBER","\nPHARMACY",null,60.6]
[" 2500434","PHYSOSTIGMINE 1 MG/ML AMP 2 ML","\nPHARMACY","J3490",281.82]
[" 2500435","PHYTONADIONE 10MG/ML AMPULE","\nPHARMACY","J3430",189.09]
[" 2500436","PHYTONADIONE 1MG/0.5ML *PEDIATRIC*","\nPHARMACY","J3430",94.5]
[" 2500437","PIPERACILLIN/TAZOBACTAM 3.375GM VIAL","\nPHARMACY","J2543",31.84]
[" 2500439","PREVNAR-13 VACCINE 0.5ML SYRINGE","\nPHARMACY","90670",545.09]
[" 2500440","POLIOVIRUS VACCINE, INACTIVE 0.5ML INJ","\nPHARMACY",null,49.22]
[" 2500441","POTASSIUM CHLORIDE 10MEQ/100ML PREMIX IV","\nPHARMACY","J3480",29.06]
[" 2500442","POTASSIUM CHLORIDE 2MEQ/ML 10ML VIAL","\nPHARMACY",null,22.1]
[" 2500444","POTASSIUM CHLORIDE ORAL 20MEQ/15ML SOLN","\nPHARMACY",null,45.66]
[" 2500445","PRALIDOXIME CHLORIDE 1GM","\nPHARMACY",null,216.75]
[" 2500459","PROMETHazine 25 MG/ML 1ML VIAL","\nPHARMACY","J2550",29.05]
[" 2500465","PROSTIGMIN 1:1000 1MG/ML 10ML VIAL","\nPHARMACY","J2710",52.4]
[" 2500466","PROTAMINE SULFATE 50MG/5ML VIAL","\nPHARMACY","J2720",58.99]
[" 2500472","PYRIDOXINE 100MG/ML 1ML VIAL","\nPHARMACY","J3415",79.540000000000006]
[" 2500479","REMICADE 100MG VIAL","\nPHARMACY","J1745",2382.35]
[" 2500480","RhoGAM 300 mcg SYRINGE","\nPHARMACY",null,251.1]
[" 2500481","NF-Rifampin Oral Capsule 300MG","\nPHARMACY","J8499",8.0399999999999991]
[" 2500483","RITUXIMAB 500MG/50ML VIAL","\nPHARMACY",null,6084.54]
[" 2500486","cefTRIAXone 500 MG VIAL: IM/IV USE","\nPHARMACY","J0696",21.14]
[" 2500487","ROCURONIUM 50 MG/5 ML VIAL","\nPHARMACY",null,42]
[" 2500493","SILVER NITRATE APPLICATOR","\nPHARMACY",null,18.48]
[" 2500497","SODIUM BICARBONATE 4.2% 10ML SYRINGE","\nPHARMACY",null,51.89]
[" 2500498","SODIUM BICARBONATE 8.4% 50ML SYRINGE","\nPHARMACY","J3490",64.8]
[" 2500499","SODIUM CHLORIDE 0.45%/KCL 20MEQ/1000ML","\nPHARMACY",null,115]
[" 2500501","SODIUM CHL CONCENTRATE 23.4% 30ML VIAL","\nPHARMACY",null,30.39]
[" 2500504","SODIUM CHLORIDE 0.9% 1000ML IRRIGATION","\nPHARMACY",null,15.8]
[" 2500507","SODIUM CHLORIDE 0.9% 100ML MINI-BAG PLUS","\nPHARMACY",null,70]
[" 2500511","SODIUM CHLORIDE 0.9% 500ML IRRIGATION","\nPHARMACY","A4217",15.16]
[" 2500516","SODIUM CHLORIDE IRRIG SOLN 3000ML","\nPHARMACY","A4217",29.61]
[" 2500517","SODIUM CITRATE/CITRIC ACID 30ML SOLUTION","\nPHARMACY","J8499",8.68]
[" 2500520","STERILE WATER - IRRIGATION 1000ML","\nPHARMACY","A4217",14.6]
[" 2500521","STERILE WATER 1000ML IV","\nPHARMACY",null,35]
[" 2500522","STERILE WATER FOR INJECTION 20ML VIAL","\nPHARMACY",null,29.55]
[" 2500523","STERILE WATER IRRIGATION 500 ML","\nPHARMACY",null,16.399999999999999]
[" 2500524","SUCCINYLCHOLINE 200MG/10ML VIAL","\nPHARMACY","J0330",80.56]
[" 2500526","SULFAMETH/TRIMETH ORAL SUS 473ML BOTTLE","\nPHARMACY","J8499",4]
[" 2500527","SUMATRIPTAN 6 MG/0.5 ML VIAL","\nPHARMACY","J3030",255]
[" 2500530","TERBUTALINE 1 MG/ML VIAL 1 ML","\nPHARMACY","J3105",29.8]
[" 2500533","TETRACAINE 0.5% OPHTH SOLN BOT","\nPHARMACY","J3490",24.55]
[" 2500536","THIAMINE 200MG/2ML VIAL","\nPHARMACY","J3411",33.299999999999997]
[" 2500538","TNKASE 50MG VIAL","\nPHARMACY","J3101",10137.99]
[" 2500540","NF-Tobramycin 80MG/2 ML Vial","\nPHARMACY",null,54.45]
[" 2500543","NF-Tolterodine ER Oral Capsule 2MG","\nPHARMACY",null,24.12]
[" 2500545","TOPAMAX 25MG TABLET","\nPHARMACY","J8499",8.4]
[" 2500549","TRIAMCINOLONE ACETONIDE 40MG/ML 1ML VIAL","\nPHARMACY","J3301",40.799999999999997]
[" 2500554","TUBERCULIN SKIN TEST 5TU/0.1ML INJ","\nPHARMACY",null,41.02]
[" 2500557","VANCOMYCIN 1000MG VIAL","\nPHARMACY","J3370",34]
[" 2500558","VANCOMYCIN 500 MG VIAL","\nPHARMACY","J3370",23.6]
[" 2500559","VASOPRESSIN 20UN/ML VIAL","\nPHARMACY",null,15.54]
[" 2500560","VECURONIUM BROMIDE 10MG VIAL","\nPHARMACY","J3490",31.6]
[" 2500562","VERAPAMIL 10 MG/4 ML INJECTION","\nPHARMACY",null,69.86]
[" 2500566","VERSED 5MG/5ML VIAL","\nPHARMACY",null,21.67]
[" 2500568","NF-VIBRAMYCIN IV 100MG VIAL","\nPHARMACY","J3490",105.7]
[" 2500574","ZINC SULFATE 220MG CAPSULE","\nPHARMACY",null,2]
[" 2500578","ZOSYN 4.5GRAM VIAL","\nPHARMACY","J2543",34.119999999999997]
[" 2500579","DOBUTamine 500MG/250ML IV PREMIX","\nPHARMACY","J1250",60.1]
[" 2500586","NF-Esomeprazole IV 40MG Vial","\nPHARMACY",null,96.44]
[" 2500587","XYLOCAINE-MPF 1% INJECTION SOLUTION 2ML","\nPHARMACY",null,20]
[" 2500588","DOPAMINE 200MG/5ML VIAL","\nPHARMACY",null,22.59]
[" 2500605","NF-Lyrica Oral Capsule 100MG","\nPHARMACY",null,0]
[" 2500607","DEXAMETHASONE 4MG/1ML VIAL","\nPHARMACY","J1100",23.16]
[" 2500608","NEOSTIGMINE 10MG/10ML INJ *ANESTHESIA*","\nPHARMACY","J2710",33.4]
[" 2500609","BSS STERILE IRRIGATING SOLUTION","\nPHARMACY",null,66]
[" 2500631","DTAP-HEPB-IPV VACCINE 0.5ML","\nPHARMACY","90723",296.25]
[" 2500632","MMR","\nPHARMACY","90707",179.2]
[" 2500633","VARICELLA VACCINE LIVE","\nPHARMACY","90396",232.5]
[" 2500636","NF-Lantus Solostar 300UNITS/3ML Pen","\nPHARMACY",null,204.15]
[" 2500637","DIAZEPAM 50MG/10ML VIAL","\nPHARMACY",null,88]
[" 2500640","CALCIUM CHLORIDE 10% 1000MG/10ML SYRINGE","\nPHARMACY","J3490",43.2]
[" 2500660","DANTRIUM 20MG INJECTION","\nPHARMACY",null,160]
[" 2500665","BUPIVACAINE 0.5% 50ML VIAL","\nPHARMACY","J3490",53.76]
[" 2500669","CL-HepA PED (HAVRIX) 720EL.U./0.5ML INJ","\nPHARMACY","90633",91.08]
[" 2500670","CL-HepA ADULT (HAVRIX) 1ML INJ","\nPHARMACY","90632",193.05]
[" 2500671","CL-HepB PEDS (ENGERIX-B) 10MCG/0.5ML INJ","\nPHARMACY","90744",66.83]
[" 2500672","CL-HepB ADULT (ENGERIX-B) 20MCG/ML INJ","\nPHARMACY","90746",166.68]
[" 2500673","CL-HIB (HAEMOPHILUS B) VACCINE 0.5 INJ","\nPHARMACY","90648",45.95]
[" 2500674","CL-HPV (GARDASIL) VACCINE 0.5ML INJ","\nPHARMACY","90651",615.08000000000004]
[" 2500675","CL-IPV POLIO VIRUS VACCINE 0.5ML INJ","\nPHARMACY","90713",94.61]
[" 2500676","CL-DTAP-IPV(KINRIX) 0.5ML INJ","\nPHARMACY","90696",143.41999999999999]
[" 2500677","CL-DTAP-HepB-IPV (PEDIARIX) 0.5ML INJ","\nPHARMACY","90723",222.19]
[" 2500678","CL-MMR VACCINE 0.5ML","\nPHARMACY","90707",211.41]
[" 2500679","CL-ROTAVIRUS (ROTATEQ) VACCINE 2ML","\nPHARMACY","90680",227.9]
[" 2500680","CL-TENIVAC (TD) over 7yrs VACCINE  0.5ML","\nPHARMACY","90714",93.29]
[" 2500681","CL-B12 CYANOCOBALAMIN 1000 MCG/ML INJ","\nPHARMACY","J3420",13.11]
[" 2500682","CL-TDAP (BOOSTRIX) 0.5ML INJ","\nPHARMACY","90715",142.83000000000001]
[" 2500692","NF-Methotrexate Injection Solution 25MG/","\nPHARMACY",null,0]
[" 2500712","CL-ALLERGY SHOT","\nPHARMACY",null,0]
[" 2500716","CL-HEPARIN 10,000 UNITS/1 ML VIAL","\nPHARMACY","J1644",11.25]
[" 2500718","CL-Vitamin K1 Inj 1MG/0.5ML NEWBORN","\nPHARMACY",null,10.14]
[" 2500722","CL-MIRENA 20MCG/24HR IUD","\nPHARMACY","J7298",1430.26]
[" 2500724","CL-SODIUM CHLORIDE 0.9% 1000 ML","\nPHARMACY",null,147.15]
[" 2500728","CL-TUBERSOL INJ","\nPHARMACY",null,21.32]
[" 2500752","NF-B-Complex Tablet","\nPHARMACY",null,0]
[" 2500753","NF-Norco Oral Tablet 325MG/10MG","\nPHARMACY",null,7]
[" 2500796","CL-INFLUENZA VACCINE(FLULAVAL) 0.5ML SYR","\nPHARMACY","90686",15.18]
[" 2500797","CL-METHOTREXATE 25MG/ML 2ML VIAL - NF","\nPHARMACY","J9260",0]
[" 2500809","NF-Flecainide Acetate Oral Tablet 50MG","\nPHARMACY",null,6]
[" 2500816","NF-Febuxostat Oral Tablet 40MG","\nPHARMACY",null,0]
[" 2500817","VITAMIN A&D OINTMENT 113GM","\nPHARMACY",null,4.24]
[" 2500818","NF-Flecainide Acetate Oral Tablet 100MG","\nPHARMACY",null,14]
[" 2500819","NF-Armour Thyroid Tablet 90MG","\nPHARMACY",null,0]
[" 2500824","NF-Brilinta Oral Tablet 90MG","\nPHARMACY",null,22]
[" 2500825","NF-Calcitriol Liquid Cap 0.25MCG","\nPHARMACY",null,3]
[" 2500828","ESCITALOPRAM 5MG TABLET","\nPHARMACY",null,18.04]
[" 2500829","PATCH REMOVAL (NON-CONTROLLED)","\nPHARMACY",null,0]
[" 2500830","PATCH REMOVAL (CONTROLLED)","\nPHARMACY",null,0]
[" 2500837","NF-Quetiapine Oral Tablet 400MG","\nPHARMACY",null,0]
[" 2500839","NF-Colchicine Oral Tablet 0.6MG","\nPHARMACY",null,0]
[" 2500844","NF-Januvia Oral Tablet 50MG","\nPHARMACY",null,54.14]
[" 2500848","OFLOXACIN 0.3% OPHTHALMIC DROPS 5ML","\nPHARMACY","J3490",41.88]
[" 2500850","SALINE NASAL GEL WITH ALOE 14.1GM TUBE","\nPHARMACY",null,3.08]
[" 2500851","POLYMYXIN B/TRIMETHOPRIM OPHTH DROPS","\nPHARMACY",null,34.840000000000003]
[" 2500856","NF- Ropinirole Oral Tablet 2MG","\nPHARMACY",null,10]
[" 2500857","AZITHROMYCIN 200MG/5ML SUSPENSION 15ML","\nPHARMACY","J8499",104.64]
[" 2500859","BACITRACIN OINTMENT 28.4GM TUBE","\nPHARMACY",null,5.25]
[" 2500860","CORTROSYN 0.25MG VIAL","\nPHARMACY","J0834",319.75]
[" 2500862","NF-Pradaxa Oral Capsule 150MG","\nPHARMACY",null,25.96]
[" 2500880","BENZONATATE 100MG CAPSULE","\nPHARMACY",null,4]
[" 2500881","NF-Entresto Oral Tablet 49/51MG","\nPHARMACY",null,0]
[" 2500882","NF-Brovana 15MCG/2ML Nebulizer","\nPHARMACY",null,0]
[" 2500884","NF-Allopurinol Oral Tablet 300MG","\nPHARMACY",null,2]
[" 2500888","EYE IRRIGATING SOLUTION 4 OZ","\nPHARMACY",null,5]
[" 2500890","MEPERIDINE 50MG/ML 1ML VIAL","\nPHARMACY","J2175",23.17]
[" 2500894","NF-Nephrocaps Softgel Capsule","\nPHARMACY",null,0]
[" 2500895","ATROPINE 0.1MG/ML 10ML SYRINGE","\nPHARMACY","J0461",31.95]
[" 2500896","LEVOTHYROXINE 125 MCG TABLET","\nPHARMACY",null,4]
[" 2500900","LOPERAMIDE 2MG CAPSULE","\nPHARMACY",null,2]
[" 2500906","LIDOCAINE 2% 120MG/6ML SYRINGE PF","\nPHARMACY",null,21.42]
[" 2500913","NF-Mesalamine DR Oral Tablet 800MG","\nPHARMACY",null,23]
[" 2500923","CL-BEXSERO 0.5ML SYRINGE","\nPHARMACY","90620",483.64]
[" 2500925","DIVALPROEX SODIUM 500MG DR TABLET","\nPHARMACY",null,12.92]
[" 2500934","NF-Castiva Cooling Topical Lotion 5%-14%","\nPHARMACY",null,0]
[" 2500936","NF-Sensipar Oral Tablet 30MG","\nPHARMACY",null,96]
[" 2500937","NF-Viberzi Oral Tablet 100MG","\nPHARMACY",null,75]
[" 2500945","ROPINIROLE 0.5MG TABLET","\nPHARMACY",null,10.039999999999999]
[" 2500959","ACETAMINOPHEN/ASPIRIN/CAFFEINE TABLET","\nPHARMACY",null,2]
[" 2500973","NF-Janumet XR Oral Tablet 50/1000MG","\nPHARMACY",null,0]
[" 2500974","NF-Janumet Oral Tablet 50/500MG","\nPHARMACY",null,0]
[" 2500975","NF-Janumet Oral Tablet 50/1000MG","\nPHARMACY",null,0]
[" 2500976","NF-Janumet XR Oral Tablet 50/500MG","\nPHARMACY",null,0]
[" 2500977","NF-Janumet XR Oral Tablet 100/1000MG","\nPHARMACY",null,0]
[" 2500980","NF-Sensipar Oral Tablet 60MG","\nPHARMACY",null,0]
[" 2500981","NF-Sensipar Oral Tablet 90MG","\nPHARMACY",null,0]
[" 2500993","METHYLENE BLUE 0.5% INJECTION 10ML","\nPHARMACY",null,297.93]
[" 2500994","NF-GoLYTELY Oral Solution 4000ML","\nPHARMACY",null,51]
[" 2500995","NF-Spiriva Inh/Neb Cap 18MCG","\nPHARMACY",null,61]
[" 2500996","NF-Vitamin E Capsule 400iu","\nPHARMACY",null,0]
[" 2500997","NF-tiZANidine HCl Tablet 4mg","\nPHARMACY",null,4]
[" 2501013","NF-Lumigan Ophth Solution 0.01%","\nPHARMACY",null,283]
[" 2501014","NF-Depakote DR Oral Tablet 250MG","\nPHARMACY",null,0]
[" 2501024","NF-Topiramate Oral Tablet 100MG","\nPHARMACY",null,18]
[" 2501025","NF-Trileptal Suspension 300MG/5ML","\nPHARMACY",null,1]
[" 2501026","NF-Trileptal Suspension 300MG/5ML","\nPHARMACY",null,1]
[" 2501046","CALCIUM CHLORIDE 10% 1 GM/10ML VIAL","\nPHARMACY",null,84.91]
[" 2501047","ESCITALOPRAM 10MG TABLET","\nPHARMACY",null,17.52]
[" 2501076","NF-Multivitamin/Mineral Chewable Tablet","\nPHARMACY",null,0]
[" 2501077","NF-Sertraline 20mg/mL Oral Solution","\nPHARMACY",null,0]
[" 2501078","NF-Multivitamin/Multimineral Liquid","\nPHARMACY",null,0]
[" 2501084","CL-ROTARIX VACCINE 1ML","\nPHARMACY","90681",335.97]
[" 2501085","VFC ROTARIX","\nPHARMACY","90681",19.82]
[" 2501087","CL-ETHYL CHLORIDE TOPICAL MIST SPRAY","\nPHARMACY",null,48]
[" 2501089","NF-POTASSIUM BICARB/CITRIC ACID 20MEQ TB","\nPHARMACY",null,0]
[" 2501095","CL-SODIUM CHLORIDE 500ML IRRIGATION","\nPHARMACY",null,0]
[" 2501096","CL-STERILE WATER 500ML IRRIGATION","\nPHARMACY",null,0]
[" 2501097","CL-SKYLA 14MCG/24HR IUD","\nPHARMACY","J7301",1190.94]
[" 2501098","CL-LIDOCAINE/PRILOCAINE 2.5%/2.5% CREAM","\nPHARMACY",null,12.06]
[" 2501099","CL-TETRACAINE 0.5% OPHTH SOLUTION 4ML","\nPHARMACY",null,18.420000000000002]
[" 2501100","CL-ARTIFICIAL TEARS SOLUTION 15ML","\nPHARMACY",null,0]
[" 2501105","NF-Enalapril 20mg Tablet","\nPHARMACY",null,0]
[" 2501128","NF-Levetiracetam 1000mg Oral Tablet","\nPHARMACY",null,0]
[" 2501129","LEVETIRACETAM 500MG TABLET","\nPHARMACY",null,10]
[" 2501134","NF-Flax Seed Oil Capsule 1000MG","\nPHARMACY",null,0]
[" 2501135","NF-Lutein Tablet 20MG","\nPHARMACY",null,0]
[" 2501136","NF-Uloric Oral Tablet 40MG","\nPHARMACY",null,0]
[" 2501144","NF-SUCRALFATE 1GM/10ML ORAL SUSPENSION","\nPHARMACY",null,36.54]
[" 2501148","NF-Pentips Pen Needles Device","\nPHARMACY",null,0]
[" 2501154","TORSEMIDE 20MG TABLET","\nPHARMACY",null,4]
[" 2501159","NF-Suboxone Sublingual Film 2MG-0.5MG","\nPHARMACY",null,18]
[" 2501164","NYSTATIN 60GM TOPICAL POWDER","\nPHARMACY",null,287.64]
[" 2501171","NF-Testosterone 4MG/24HR Patch","\nPHARMACY",null,0]
[" 2501178","NF-Dronabinol 5mg Oral Tablet","\nPHARMACY",null,0]
[" 2501180","NF-Incruse Ellipta 62.5mcg Inhaler","\nPHARMACY",null,0]
[" 2501183","NF-Prograf Capsule 1MG","\nPHARMACY",null,9]
[" 2501184","NF-Prograf Capsule 1MG","\nPHARMACY",null,9]
[" 2501185","NF-azaTHIOprine Oral Tablet 50MG","\nPHARMACY",null,6]
[" 2501186","NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","\nPHARMACY",null,37]
[" 2501187","NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","\nPHARMACY",null,128]
[" 2501189","NF-Levofloxacin Oral Tablet 750mg","\nPHARMACY",null,8.68]
[" 2501190","NF-Olanzapine 5mg ODT","\nPHARMACY",null,0]
[" 2501191","NF-Olanzapine Oral Tablet 10mg","\nPHARMACY",null,4]
[" 2501199","CHOLECALCIFEROL (VIT D3) 5000IU TABLET","\nPHARMACY",null,2]
[" 2501200","MELATONIN 3MG TABLET","\nPHARMACY",null,2]
[" 2501226","NF-Ivermectin 3mg Oral Tablet","\nPHARMACY",null,19.88]
[" 2501227","BRIMONIDINE 0.2% OPHTH SOLUTION 5ML","\nPHARMACY",null,25]
[" 2501230","NF-Verapamil HCl Capsule 180MG","\nPHARMACY",null,6]
[" 2501231","NF-Spiriva HandiHaler Inh/Neb Cap 18MCG","\nPHARMACY",null,64]
[" 2501232","FLECAINIDE 50MG TABLET","\nPHARMACY",null,8.08]
[" 2501233","MICONAZOLE 2% VAGINAL CREAM","\nPHARMACY",null,11.79]
[" 2501234","NF-Cyclopentolate 2% Ophth Solution 2ML","\nPHARMACY",null,59.02]
[" 2501235","SHUGARCAINE 0.25/7.5 MG/ML 1ML VIAL","\nPHARMACY",null,39.6]
[" 2501236","NF-Fosinopril 20mg Oral Tablet","\nPHARMACY",null,0]
[" 2501237","NF-Glimepiride 2mg Oral Tablet","\nPHARMACY",null,0]
[" 2501243","MIDODRINE 10MG TABLET","\nPHARMACY",null,5.16]
[" 2501244","DICLOFENAC SODIUM 1% GEL 100GM","\nPHARMACY",null,155.76]
[" 2501245","ORPHENADRINE 100MG ER TABLET","\nPHARMACY",null,9.23]
[" 2501246","NF-Rosuvastatin Oral Tablet 40MG","\nPHARMACY",null,26]
[" 2501247","NF-Minoxidil Tablet 10MG","\nPHARMACY",null,3]
[" 2501250","NF-Naltrexone 50mg Oral Tablet","\nPHARMACY",null,17.25]
[" 2501251","NF-Bio Complete 3 Capsule","\nPHARMACY",null,0]
[" 2501255","NF-ICAPS AREDS ORAL TABLET","\nPHARMACY",null,0.36]
[" 2501265","ATROPINE 1% OPHTHALMIC OINTMENT 3.5GM","\nPHARMACY",null,42]
[" 2501271","NF-Vitamin B6 50mg Oral Tablet","\nPHARMACY",null,0]
[" 2501272","NF-Vitamin B6 100mg Oral Tablet","\nPHARMACY",null,9]
[" 2501282","NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","\nPHARMACY",null,394]
[" 2501283","NF-acetaZOLAMIDE Tablet 250MG","\nPHARMACY",null,9]
[" 2501289","NF-Buprenorphine 10MCG/HR Patch","\nPHARMACY",null,222.63]
[" 2501329","NF-Timolol 0.25% Ophthalmic Drops","\nPHARMACY",null,0]
[" 2501330","NF-Brimonidine 0.15% Ophthalmic Drops","\nPHARMACY",null,0]
[" 2501340","NF-Cyclopentolate 2% Ophth Solution 5mL","\nPHARMACY",null,143.12]
[" 2501341","BARICITINIB 2MG TABLET","\nPHARMACY",null,285.41000000000003]
[" 2501343","NF-Cyclopentolate 0.5% Ophth Drops 15mL","\nPHARMACY",null,189]
[" 2501345","NF-Lamotrigine 200mg Oral Tablet","\nPHARMACY",null,0]
[" 2501347","NF-Sprintec Tablet","\nPHARMACY",null,3]
[" 2501352","MEDROXYPROGESTERONE ACETATE 10MG TABLET","\nPHARMACY",null,4]
[" 2501359","SODIUM BICARBONATE 650MG TABLET","\nPHARMACY",null,2]
[" 2501360","NF-Sodium Chloride Tablet 1GM","\nPHARMACY",null,0]
[" 2501361","NF-Bicalutamide Oral Tablet 50MG","\nPHARMACY",null,49]
[" 2501375","NF-Myrbetriq Oral Tablet 50MG","\nPHARMACY",null,0]
[" 2501376","NF-VESIcare Oral Tablet 10MG","\nPHARMACY",null,46]
[" 2501378","NF-Imipramine HCl Tablet 50MG","\nPHARMACY",null,3]
[" 2501387","NF-Isosorbide Dinitrate Oral Tablet 5MG","\nPHARMACY",null,2]
[" 2507006","CL-BUPIVACAINE 0.5% VIAL 30 ML","\nPHARMACY","J3490",7.97]
[" 2507007","CL-cefTRIAXone 1 GM VIAL","\nPHARMACY","J0696",8]
[" 2507008","CL-CYANOCOBALAMIN(VIT B-12) 1000MCG VIAL","\nPHARMACY","J3420",19.670000000000002]
[" 2507009","CL-DEXAMETHASONE 10 MG/ML VIAL","\nPHARMACY","J1100",16.899999999999999]
[" 2507012","CL-diphenhydrAMINE 50 MG/ML VIAL","\nPHARMACY","J1200",8]
[" 2507013","CL-EPINEPHRINE 0.1MG/1ML SYRINGE","\nPHARMACY",null,35.9]
[" 2507015","CL-EPINEPHrine 1 MG/ML VIAL","\nPHARMACY","J0171",26.93]
[" 2507019","CL-KETOROLAC 30 MG/ML VIAL 1 ML","\nPHARMACY","J1885",8]
[" 2507020","CL-LIDOCAINE 1% 10MG/ML 20ML VIAL","\nPHARMACY","J3490",9.99]
[" 2507021","CL-LIDOCAINE 1% W/EPINEPHRINE 20ML INJ","\nPHARMACY","J3490",8]
[" 2507022","CL-MEDROXYPROGESTERONE ACETATE 150MG/ML","\nPHARMACY","J1050",131.88]
[" 2507023","CL-METHYLPREDNISOLONE ACET 80MG/ML 1ML","\nPHARMACY","J1040",49.52]
[" 2507024","CL-METHYLPREDNISOLONE SUCC 125MG/2ML VIA","\nPHARMACY","J2930",26.17]
[" 2507025","CL-METHYLPREDNISOLONE SUCC 40MG/ML VIAL","\nPHARMACY","J2920",16.25]
[" 2507029","CL-PROMETHazine 25 MG/ML 1ML VIAL","\nPHARMACY","J2550",9.11]
[" 2507030","CL-cefTRIAXone 500 MG VIAL","\nPHARMACY","J0696",8]
[" 2507031","CL-TRIAMCINOLONE ACETONIDE 40MG/ML 1ML","\nPHARMACY","J3301",22.95]
[" 2507053","CL-DEPO-TESTOSTERONE 200MG/1ML INJ","\nPHARMACY","J1071",206.15]
[" 2507055","CL-fentaNYL 100 MCG/2 ML VIAL","\nPHARMACY","J3010",70.55]
[" 2507057","CL-hydrOXYzine 25 MG/ML VIAL 1 ML","\nPHARMACY","J3410",48.4]
[" 2507059","CL-LASIX 40MG/4ML VIAL","\nPHARMACY","J1940",33.33]
[" 2507066","CL-RhoGAM 300 mcg SYRINGE","\nPHARMACY",null,251.1]
[" 6000158","MINI BAG 100 ML NORMAL SALINE","\nPHARMACY",null,12]
[" 6000159","H2O STERILE 1000 ML IRR","\nPHARMACY",null,46]
[" 6000172","SALINE NORMAL 500 ML IRR","\nPHARMACY","A4217",48]
[" 6000175","SALINE NORMAL 1000 ML IRR","\nPHARMACY",null,29]
[" 6000176","H2O STERILE 500 ML IRR","\nPHARMACY",null,5]
[" 6000177","ENEMA OIL","\nPHARMACY",null,7]
[" 6000234","20 mEq/L POTASSIUM CHLORIDE 5% DEX 0.45%","\nPHARMACY",null,10]
[" 6000309","20 mEq/L POTASSIUM CHLORIDE 0.9%","\nPHARMACY",null,10]
[" 6000334","20mEq KCL/0.45% NORMAL SALINE","\nPHARMACY",null,10]
[" 1100001","ANESTHESIA LEVEL 1","ANESTHESIA",null,348]
[" 1100002","ANESTHESIA LEVEL 2","ANESTHESIA",null,1284]
[" 1100003","ANESTHESIA LEVEL 3","ANESTHESIA",null,2568]
[" 1100004","ANESTHESIA LEVEL 4","ANESTHESIA",null,3451]
[" 1100005","ANESTH MINOR 0-30","ANESTHESIA",null,214]
[" 1100006","ANESTH MINOR 31-60","ANESTHESIA",null,294]
[" 1100007","ANESTH MINOR 61-90","ANESTHESIA",null,358]
[" 1100008","ANESTH MINOR 91-120","ANESTHESIA",null,396]
[" 1100009","ANESTH MINOR 121-150","ANESTHESIA",null,449]
[" 1100010","ANESTH MINOR 151-180","ANESTHESIA",null,492]
[" 1100011","ANESTH MAJOR 0-30","ANESTHESIA",null,428]
[" 1100012","ANESTH MAJOR 31-60","ANESTHESIA",null,583]
[" 1100013","ANESTH MAJOR 61-90","ANESTHESIA",null,696]
[" 1100014","ANESTH MAJOR 91-120","ANESTHESIA",null,792]
[" 1100015","ANESTH MAJOR 121-150","ANESTHESIA",null,883]
[" 1100016","ANESTH MAJOR 151-180","ANESTHESIA",null,979]
[" 1100017","ANEST MAJOR 241-270","ANESTHESIA",null,1311]
[" 1100101","ANESTH MAJOR 181 -210","ANESTHESIA",null,1070]
[" 1100102","ANESTH MINOR 211 - 240","ANESTHESIA",null,578]
[" 1100103","ANESTH MINOR 181 - 210","ANESTHESIA",null,535]
[" 1100104","ANESTH MINOR 151 - 180","ANESTHESIA",null,492]
[" 1100105","ANESTH MAJOR 151 -180","ANESTHESIA",null,979]
[" 1100106","ANESTH MAJOR 211 - 240","ANESTHESIA",null,1156]
[" 4106600","CARDIAC EVENT MONITOR (30 DAY)","CARDIAC REHAB","93270",323]
[" 4106601","CARDIAC EVENT MONITOR PATCH (30 DAY)","CARDIAC REHAB","0296T",323]
[" 4400046","CL ELECTROCRADIOGRAM, TRACING","CARDIAC REHAB","93005",290]
[" 4100110","HOLTER REC/ANALYSIS/INTER","CARDIAC REHAB","93224",379]
[" 4100115","HOLTER MONITOR (48 HR)","CARDIAC REHAB","93225",607]
[" 4100120","HOLTER MONITOR-OUTSIDE","CARDIAC REHAB","93226",535]
[" 4001138","CARDIAC EVAL COMPREHENSIVE","CARDIAC REHAB","93798",357]
[" 4001139","CARDIAC REHAB SESSION","CARDIAC REHAB","93798",251]
[" 1501900","CIRCUMCISION","CIRCUMCISION",null,268]
[" 4400089","CL INIT SNF D/D/LC OR C/C/LC","CLINIC","99304",98]
[" 4400090","CL SUBSEQ NF PHYFEE/PHYFEE/SF","CLINIC","99307",88]
[" 4400091","CL NH VISIT LEVEL 1","CLINIC","99307",88]
[" 4400092","CL SUBSEQ NF EPHYFEE/EPHYFEE/LC","CLINIC","99308",125]
[" 4400093","CL NH VISIT LEVEL 2","CLINIC","99308",125]
[" 4400094","CL SUBSEQ NF D/D/MC","CLINIC","99309",172]
[" 4400095","CL NH VISIT LEVEL 3","CLINIC","99309",172]
[" 4400096","CL SUBSEQ NF C/C/HC","CLINIC","99310",245]
[" 4400097","CL NH VISIT LEVEL 4","CLINIC","99310",245]
[" 4400112","CL E/M D/C/LC OR D/C/MC","CLINIC","99318",172]
[" 4400113","CL NH VISIT LEVEL 5","CLINIC","99318",117]
[" 4400153","CL NH VISIT INIT","CLINIC","99305",230]
[" 4400156","CL NH VISIT INITIAL 2","CLINIC","99306",294]
[" 4400504","NH TELE HEALTH VISIT LEVEL 1","CLINIC","9930795",88,"95"]
[" 4400505","NH TELE HEALTH VISIT LEVEL 2","CLINIC","9930895",125,"95"]
[" 4400506","NH TELE HEALTH VISIT LEVEL 3","CLINIC","9930995",172,"95"]
[" 4400507","NH TELE HEALTH VISIT LEVEL 4","CLINIC","9931095",245,"95"]
[" 4400508","NH TELE HEALTH ANNUAL VISIT","CLINIC","9931895",117,"95"]
[" 4400513","CL NH VISIT INITIAL","CLINIC","99305",230]
[" 4400514","CL NH VISIT INITIAL COMP","CLINIC","99306",294]
[" 1700020","APP MULTI-LAYER VENOUS CO","CLINIC","29581",268]
[" 1700023","SPECIALTY CLINIC 99202","CLINIC","99202",54]
[" 1700801","I&D FINGER ABSCESS SIMPLE","CLINIC","26010",515]
[" 1700802","TRIM DYSTROPHIC NAILS 1-5","CLINIC","11720",112]
[" 1700804","LEVEL 2 PROBLEM FOCUS","CLINIC","99212",118]
[" 1700805","AVULSION NAIL PLATE","CLINIC","11730",268]
[" 1900098","CANCEL WOUND CARE ORDER","CLINIC",null,0]
[" 1900099","WOUND CARE ORDER","CLINIC",null,0]
[" 1900100","WC LEVEL 1","CLINIC",null,66]
[" 4400042","CL DOT PHYSICAL","CLINIC","DOTPX",164]
[" 4400043","CL SPORTS PHYSICAL","CLINIC","SPPX",55]
[" 1700007","SPECIALTY CLINIC","CLINIC","99201",54]
[" 4400001","CL REMOVAL CONTRACEPTIVE CAP","CLINIC","11976",302]
[" 4400002","CL REM NON BIODEGRADE DRUG DELIVE","CLINIC","11982",335]
[" 4400003","CL REP INTERMEDIATE WOUND SCALP 7","CLINIC","12034",672]
[" 4400004","CL IUD INSERTION","CLINIC","58300",492]
[" 4400005","CL IUD REMOVAL","CLINIC","58301",696]
[" 4400006","CL FETAL NON-STRESS TEST","CLINIC","59025",124]
[" 4400009","CL ADMINISTRATION ALLERGEN","CLINIC","95115",22]
[" 4400010","CL ADMIN ALLERGEN: MULTIPLE","CLINIC","95117",37]
[" 4400025","CL VENIPUNCTURE, SPEC COLL","CLINIC","36415",14]
[" 4400035","CL PHLEBOTOMY","CLINIC","99195",83]
[" 4400036","CL TB SKIN TEST","CLINIC","86580",54]
[" 4400040","CL EKG 12-LEADS INTERP REPORT","CLINIC","93010",55]
[" 4400044","CL ECG","CLINIC","93000",345]
[" 4400045","CL ELECTROCARDIOGRAM, TRACIN","CLINIC",null,44]
[" 4400050","CL ANTEPARTUM CARE ONLY 4-6","CLINIC","59425",643]
[" 4400051","CL ANTEPARTUM 7 OR MORE VISI","CLINIC","59426",1797]
[" 4400052","CL POSTPARTUM CARE VISIT ONLY","CLINIC","59430",236]
[" 4400053","CL TREATMENT OF MISSED ABORT","CLINIC","59820",865]
[" 4400054","CL CPR/HEART/RESUSCITAT","CLINIC","92950",877]
[" 4400055","CL POSTOP FOLLOW UP","CLINIC","99024",0]
[" 4400057","CL WORK RELATED, MEDICAL DIS","CLINIC","99455",275]
[" 4400058","CL UNLISTED EVAL. & MNGMT","CLINIC","99499",0]
[" 4400059","CL COUNSELING CT LUNG SCREEN LOW DOSE","CLINIC","G0296",59]
[" 4400060","CL IPPE","CLINIC","G0402",343]
[" 4400061","CL EKG FOR IPPE","CLINIC","G0403",63]
[" 4400062","CL AWV PPPS FIRST VISIT","CLINIC","G0438",375]
[" 4400063","CL AWV PPPS SUBSEQUENT VISIT","CLINIC","G0439",251]
[" 4400064","CL VISUAL FIELD EXAMINATION","CLINIC","92081",85]
[" 4400068","CL THERAPEUTIC INJ SUBC/IM","CLINIC","96372",47]
[" 4400069","CL PHYSICIAN E/M, PHYFEE/PHYFEE/SF","CLINIC","99201",131]
[" 4400070","CL PHYSICIAN E/M, PHYFEE/PHYFEE/SF","CLINIC","99201",131]
[" 4400071","CL PHYSICIAN E/M, EPHYFEE/EPHYFEE/SF","CLINIC","99202",193]
[" 4400073","CL PHYSICIAN E/M, D/D/LC","CLINIC","99203",241]
[" 4400076","CL PHYSICIAN E/M, C/C/MC","CLINIC","99204",321]
[" 4400077","CL PHYSICIAN E/M, C/C/HC","CLINIC","99205",492]
[" 4400079","CL MEDICAL E/M, MINIMALJ-EST","CLINIC","99211",76]
[" 4400081","CL PHYSICIAN E/M, PHYFEE/PHYFEE/SF","CLINIC","99212",118]
[" 4400083","CL PHYSICIAN E/M, EPHYFEE/EPHYFEE/LC","CLINIC","99213",144]
[" 4400084","CL PHYSICIAN E/M, D/D/MC","CLINIC","99214",214]
[" 4400086","CL PHYSICIAN E/M, C/C/HC","CLINIC","99215",353]
[" 4400098","CL E/M HEALTHY INFANTJ-NEW","CLINIC","99381",214]
[" 4400099","CL E/M HEALTHY (1-4)-NEW","CLINIC","99382",219]
[" 4400100","CL E/M HEALTHY (5-11)-NEW","CLINIC","99383",241]
[" 4400101","CL E/M HEALTHY (12-17)-NEW","CLINIC","99384",257]
[" 4400102","CL E/M HEALTHY (18-39)-NEW","CLINIC","99385",284]
[" 4400103","CL E/M HEALTHY (40-64)-NEW","CLINIC","99386",375]
[" 4400104","CL E/M HEALTHY (65+)-NEW","CLINIC","99387",305]
[" 4400105","CL E/M HEALTHY INFANT-EST PT","CLINIC","99391",187]
[" 4400106","CL E/M HEALTHY (1-4) EST PT","CLINIC","99392",198]
[" 4400107","CL E/M HEALTHY (5-11) EST PT","CLINIC","99393",203]
[" 4400108","CL E/M HEALTHY (12-17) EST P","CLINIC","99394",219]
[" 4400109","CL E/M HEALTHY (18-39) EST P","CLINIC","99395",235]
[" 4400110","CL E/M HEALTHY (40-64) EST P","CLINIC","99396",316]
[" 4400111","CL E/M HEALTHY (65+) EST PT","CLINIC","99397",353]
[" 4400120","CL OBSTETRIC CARE","CLINIC","59400",3492]
[" 4400164","CL FINE NEEDLE ASPIRAT W/O","CLINIC","10021",340]
[" 4400165","CL ACNE SURGERY","CLINIC","10040",194]
[" 4400166","CL I & D ABSCESS","CLINIC","10060",240]
[" 4400167","CL I & D ABSCESS COMPLICATED","CLINIC","10061",479]
[" 4400168","CL I & D REMOVAL FOREIGN BODY","CLINIC","10120",533]
[" 4400169","CL I&D HEMATOMA, SEROMA","CLINIC","10140",365]
[" 4400170","CL ASPIRATE, ABSCESS/HEMATOMA","CLINIC","10160",253]
[" 4400171","CL DEBRIDEMENT OF EXTENSIVE","CLINIC","11000",100]
[" 4400172","CL DEBRIDEMENT/SKIN/FULL THI","CLINIC","11041",146]
[" 4400173","CL PARING OR CUTTING OF BENIGN","CLINIC","11055",93]
[" 4400174","CL PARING, CUTTING LESION 2-4","CLINIC","11056",139]
[" 4400175","CL BIOPSY SKIN-SUBQ","CLINIC","11100",208]
[" 4400176","CL BIOPSY SKIN EACH ADDITION","CLINIC","11101",120]
[" 4400177","CL SKIN TAGS/EXCISE/UP TO 15","CLINIC","11200",175]
[" 4400178","CL REMOVE SKIN TAGES ADD-ON = <10 LESION","CLINIC","11201",175]
[" 4400179","CL SHAVE EPID/DERM LES <.5CM","CLINIC","11300",178]
[" 4400180","CL SHAV EPID/DERMAL 1.1-2.0","CLINIC","11302",260]
[" 4400181","CL SHAVING LESION .6 TO 1 CM","CLINIC","11306",199]
[" 4400182","CL SHAVE LESION FACE 0.5CM","CLINIC","11310",219]
[" 4400183","CL EXC BENIGN TRUNK TO 0.5CM","CLINIC","11400",228]
[" 4400184","CL EXC BENIGN TRUNK 0.6-1.0","CLINIC","11401",296]
[" 4400185","CL EXC BENIGN TRUNK 1.1-2.0","CLINIC","11402",347]
[" 4400186","CL EXC BENIGN TRUNK 2.1-3.0","CLINIC","11403",444]
[" 4400187","CL EXC BENIGN TRUNK 3.1-4.0 CM","CLINIC","11404",609]
[" 4400188","CL EXCISN BEGIGN LES OV 4.0","CLINIC","11406",779]
[" 4400189","CL EXC BEN SCALP ETC TO 0.5","CLINIC","11420",228]
[" 4400190","CL EXC BEN SCALP ETC 0.6-1.0","CLINIC","11421",292]
[" 4400191","CL EXC BEN SCALP ETC 1.1-2.0","CLINIC","11422",368]
[" 4400192","CL EXC BENIGN SCALP 2.1-3.0","CLINIC","11423",541]
[" 4400193","CL EXC BEN FACE-EARS TO 0.5","CLINIC","11440",272]
[" 4400194","CL EXC BEN FACE-EAR 0.6-1.0","CLINIC","11441",301]
[" 4400195","CL EXC BEN FACE-EAR 1.1-2.0","CLINIC","11442",477]
[" 4400196","CL EXC BEN FACE-EAR 2.1-3.0","CLINIC","11443",595]
[" 4400197","CL EXC MALIG LESION <0.5CM","CLINIC","11600",386]
[" 4400198","CL EXCISE MALIG >0.6 <1.0 CM","CLINIC","11601",422]
[" 4400199","CL EXC MALIG NEO 1.1-2.0","CLINIC","11602",1390]
[" 4400200","CL EXCIS MALIG LESION 2.1-3","CLINIC","11603",1029]
[" 4400201","CL REM OF LESION 3.1 TO 4.0C","CLINIC","11604",1170]
[" 4400202","CL REM OF LESION > 4.0 DIAME","CLINIC","11606",1685]
[" 4400203","CL EXC MAL SCALP-NECK 0.6-1.","CLINIC","11621",422]
[" 4400204","CL GC EXCIS MALIGSCALP 1.1-2","CLINIC","11622",509]
[" 4400205","CL EXC MAL SCALP 2.1-3.0 CM","CLINIC","11623",632]
[" 4400206","CL PHYFEE EX MALIG LESION .5CM/L","CLINIC","11640",367]
[" 4400207","CL EXC MAL FACE-EARS 0.6-1.0","CLINIC","11641",432]
[" 4400208","CL EXC MAL FACE-EARS 1.1-2.0","CLINIC","11642",522]
[" 4400209","CL EXC MAL FACE-EARS 2.1-3.0","CLINIC","11643",638]
[" 4400210","CL TRIM NONDYSTROPHIC NAILS","CLINIC","11719",48]
[" 4400211","CL EVAC SUBUNGUAL HEMATOMA","CLINIC","11740",102]
[" 4400212","CL EXCISION OF NAIL BED","CLINIC","11750",417]
[" 4400213","CL WEDGE EXCISION/SKIN OF NA","CLINIC","11765",247]
[" 4400214","CL SUTURE TRUNK ETC TO 2.5 C","CLINIC","12001",327]
[" 4400215","CL SUTURE TRUNK ETC 2.6-7.5","CLINIC","12002",388]
[" 4400216","CL SUTURE TRUNK ETC 7.6-12.5","CLINIC","12004",482]
[" 4400217","CL SUTURE FACE-EAR TO 2.5 CM","CLINIC","12011",388]
[" 4400218","CL SUTURE FACE-EAR 2.6-5.0 C","CLINIC","12013",455]
[" 4400219","CL SUTURE IMTERMEDIATE SCALP","CLINIC","12031",442]
[" 4400220","CL SUTURE LAY CLOSE 2.6-7.5","CLINIC","12032",569]
[" 4400221","CL REP INTERMED WOUND >30.0C","CLINIC","12037",1199]
[" 4400222","CL REP INTEMED WOUND =<2.5CM","CLINIC","12041",528]
[" 4400223","CL SUTURE LAYER CLOSURE 2.6-","CLINIC","12042",626]
[" 4400224","CL REPAIR WNDS 12.6CM-20. CM","CLINIC","12045",968]
[" 4400225","CL SUTURE LAYER CLOSURE FACE","CLINIC","12051",626]
[" 4400226","CL REP WOUND FACE 2.6-5.0CM","CLINIC","12052",701]
[" 4400227","CL REP COMPLEX 1.1CM-2.5CM","CLINIC","13120",553]
[" 4400228","CL REP COMPLEX 2.6CM-7.5CM","CLINIC","13121",951]
[" 4400229","CL SUTURE COMPLEX 1.1-2.5 CM","CLINIC","13131",496]
[" 4400230","CL SUTURE COMPLEX 2.6-7.5 CM","CLINIC","13132",1298]
[" 4400231","CL REPAIR COMPLEX TRUNK ADD'L 5CM","CLINIC","13133",515]
[" 4400232","CL COMPLEX 2.6-7.5","CLINIC","13152",4030]
[" 4400233","CL BURN TREATMENT DRESSING W","CLINIC","16020",268]
[" 4400234","CL DESTRUCTION LESIONS BY AN","CLINIC","17000",169]
[" 4400235","CL DESTRUCTION ANY METHOD 2-","CLINIC","17003",36]
[" 4400236","CL DESTRUCTION ANY METHOD 15","CLINIC","17004",341]
[" 4400237","CL DESTRUCTION FLAT WARTS 1-","CLINIC","17110",219]
[" 4400238","CL ASPIRATION BREAST CYST","CLINIC","19000",246]
[" 4400239","CL ASPIRATION BREAST CYST E","CLINIC","19001",140]
[" 4400240","CL BREAST NEEDLE BIOPSY","CLINIC","19100",421]
[" 4400241","CL EXC TUMOR/CYST BREAST","CLINIC","19120",1401]
[" 4400242","CL INJ TENDON/LIGA/TRG POINT","CLINIC","20550",161]
[" 4400243","CL INJ; TRIGGER PTS 1 OR 2 MUSC","CLINIC","20552",171]
[" 4400244","CL INJ;INJECT TRIGGER POINTS 3/>","CLINIC","20553",569]
[" 4400245","CL ARTHROCENT ASPIRA/INJ SM","CLINIC","20600",156]
[" 4400246","CL ARTHROCENTESIS MJ","CLINIC","20610",199]
[" 4400247","CL ASPIRAT/INJ GANGLION CYST","CLINIC","20612",171]
[" 4400248","CL DISLOC CL/SHOULDER W/M &","CLINIC","23655",2238]
[" 4400249","CL FX CLOS RADIAL & ULNA W/M","CLINIC","25565",1769]
[" 4400250","CL FX CL DIST RADIUS W/MANIP","CLINIC","25605",1719]
[" 4400251","CL CLOSED TX RADIOCARPAL DIS","CLINIC","25660",1081]
[" 4400252","CL CLSD TRT METACARPOPHALANGEAL W/MANIP","CLINIC","26700",660]
[" 4400253","CL TREATMT HIP DISLOCAT W/AN","CLINIC","27266",1508]
[" 4400254","CL FB REMOVAL FOOT SUBCUTANE","CLINIC","28190",669]
[" 4400255","CL APPLY LONG ARM CAST","CLINIC","29065",386]
[" 4400256","CL APPLY SHORT ARM CAST","CLINIC","29075",299]
[" 4400257","CL CAST HAND & LOWER FOREARM","CLINIC","29085",308]
[" 4400258","CL APPLY LONG ARM SPLINT","CLINIC","29105",276]
[" 4400259","CL APPLY SHORT ARM SPLINT","CLINIC","29125",211]
[" 4400260","CL APP FINGER SPLINT STATIC","CLINIC","29130",211]
[" 4400261","CL APPLY LONG LEG CAST","CLINIC","29345",324]
[" 4400262","CL APPLY SHORT LEG CAST","CLINIC","29405",268]
[" 4400263","CL APPLY SHORT LEG WALKING C","CLINIC","29425",314]
[" 4400264","CL APPLICATION OF LONG LEG SPLINT","CLINIC","29505",249]
[" 4400265","CL APPLY SHORT LEG SPLINT","CLINIC","29515",146]
[" 4400266","CL UNNA BOOT APPLICATION","CLINIC","29580",119]
[" 4400267","CL EPISTAXIS CONTROL/SIMPLE","CLINIC","30901",221]
[" 4400268","CL EPISTAXIS CONTROL/COMPLEX","CLINIC","30903",427]
[" 4400269","CL LARYNGOSCOPY, INDIRECT","CLINIC","31505",211]
[" 4400270","CL I & D ABSCESS, PERITONSIL","CLINIC","42700",364]
[" 4400271","CL CONTROL THROAT BLEEDING","CLINIC","42962",649]
[" 4400272","CL CHANGE GASTROSTOMY TUBE","CLINIC","43760",213]
[" 4400273","CL GC INCISE HEMORRHOID EXT","CLINIC","46083",519]
[" 4400274","CL EXC THROMB HEMMRHOID XTRN","CLINIC","46320",427]
[" 4400275","CL ANOSCOPY, DIAGNOSTIC","CLINIC","46600",177]
[" 4400276","CL INSERTION/NON-INDWELLING","CLINIC","51701",197]
[" 4400277","CL INSERTION/TEMP INDWELLING","CLINIC","51702",221]
[" 4400278","CL INSERT BLADDER CATH, COMP","CLINIC","51703",400]
[" 4400279","CL BLADDER INSTILL ANTI-CA A","CLINIC","51720",323]
[" 4400280","CL DILATION OF URETHRA","CLINIC","53660",214]
[" 4400281","CL CATHETERIZATION, SIMPLE","CLINIC","53670",50]
[" 4400282","CL CIRCUMCISION NEWBORN","CLINIC","54150",520]
[" 4400283","CL FIT/INSERT PESSARY","CLINIC","57160",367]
[" 4400284","CL COLPOSCOPY W/BIOPSIES","CLINIC","57454",370]
[" 4400285","CL BIOPSY CERVIX OR EXCISION","CLINIC","57500",275]
[" 4400286","CL CRYOCAUTERY, CERVIX","CLINIC","57511",341]
[" 4400287","CL DILATION OF CERVICAL CANA","CLINIC","57800",181]
[" 4400288","CL ENDOMETRIAL BIOPSY","CLINIC","58100",287]
[" 4400289","CL INJ ANESTH; FACIAL NERVE","CLINIC","64402",279]
[" 4400290","CL FB EXTERNAL EYE, CONJUNCT","CLINIC","65205",107]
[" 4400291","CL FB EYE CORNEAL","CLINIC","65220",124]
[" 4400292","CL EAR PIERCING; EXTERNAL","CLINIC","69090",370]
[" 4400293","CL REMOVE IMPACTED EAR WAX","CLINIC","69209",109]
[" 4400294","CL CERUMEN REMOVAL","CLINIC","69210",113]
[" 4400295","CL DEBRIDEMENT, DIABETIC FOO","CLINIC","97602",54]
[" 4400296","CL EXC MAL SCALP,NECK 3.1-4.","CLINIC","11624",728]
[" 4400297","CL AVULSION, NAIL","CLINIC","11730",201]
[" 4400298","CL AVULSION NAIL PLATE; EACH","CLINIC","11732",94]
[" 4400299","CL ARTHROCENTESIS IJ","CLINIC","20605",162]
[" 4400300","CL DEBRIDE WOUND 20CM/LESS","CLINIC","97597",113]
[" 4400306","CL ABDOMINAL PARACENTESIS","CLINIC","OW9G3ZZ",669,"ZZ"]
[" 4400307","CL OBTAINING SCREEN PAP SMEAR","CLINIC","Q0091",92]
[" 4400335","CL BIOPSY SKIN-SUBQ","CLINIC","11104",208]
[" 4400336","CL SPHENOPALATINE BLOCK","CLINIC","64505",595]
[" 4400350","CLSD TRT METACARPAL FX W/MANIPULATION","CLINIC","26605",881]
[" 4400351","CLPUNCH BIOPSY EACH ADDITION","CLINIC","11105",120]
[" 4400352","INJECTION PERIPHERAL NERVE OR BRANCH","CLINIC","64450",340]
[" 4400353","BLADDER INSTILLATION IRRIGATION","CLINIC","51700",246]
[" 4400354","CL REPAIR INTERM WNDS 12.6CM-20. CM","CLINIC","12035",852]
[" 4400501","CL E VISIT HEALTH 5-10 MINUTES","CLINIC","99421",49]
[" 4400502","CL E VISIT HEALTH 11-20 MINUTES","CLINIC","99422",82]
[" 4400503","CL E-VISIT HEALTH  >21 MINUTES","CLINIC","99423",137]
[" 4400509","CL TELEHEALTH LEVEL 2 VISIT","CLINIC","9921295",118,"95"]
[" 4400510","CL TELEHEALTH LEVEL 3 VISIT","CLINIC","9921395",144,"95"]
[" 4400511","CL TELE HEALTH LEVEL 4 VISIT","CLINIC","9921495",214,"95"]
[" 4400512","CLTELEHEALTH LEVEL 5","CLINIC","9921595",353,"95"]
[" 4400515","CL MANIPULATION SHOULDER","CLINIC","23929",637]
[" 4400999","DOT PHYSICAL","CLINIC",null,150]
[" 4408092","CL EXCISION LESION, TENDON TOE EA","CLINIC","11624",1304]
[" 3310022","CT ABD VENOGRAM W","CT SCAN","74177",4435]
[" 3300297","CT LOW DOSE LUNG CA SCREEN WO","CT SCAN","71250",2397]
[" 3300480","CT ABD PELVIS WO W","CT SCAN","74178",5377]
[" 3300481","CT ABD PELVIS W","CT SCAN","74177",4435]
[" 3300482","CT ABD PELVIS WO","CT SCAN","74176",3852]
[" 3300483","CT HEAD W","CT SCAN","70460",2370]
[" 3300484","CT LOW EXT LT W","CT SCAN","73701",2151]
[" 3300485","CT SPINE CERV W","CT SCAN","72126",2379]
[" 3300486","CT SINUS COMP","CT SCAN","70486",1856]
[" 3300487","CT NECK WO W","CT SCAN","70492",2651]
[" 3300488","CT FACIAL BONES","CT SCAN","70486",1856]
[" 3300489","CT ANGIO CHEST W","CT SCAN","71275",3044]
[" 3300496","CT ANGIO HEAD","CT SCAN","70496",2477]
[" 3300497","CT ANGIO HEAD AND NECK","CT SCAN",null,0]
[" 3300498","CT ANGIO NECK","CT SCAN","70498",2450]
[" 3301270","CT THORAX WO W","CT SCAN","71270",2593]
[" 3302125","CT SPINE CERVICAL WO","CT SCAN","72125",2381]
[" 3302128","CT SPINE THORACIC WO","CT SCAN","72128",2327]
[" 3302131","CT SPINE LUMBAR WO","CT SCAN","72131",2354]
[" 3302132","CT SPINE LUMBAR W","CT SCAN","72132",2458]
[" 3302192","CT APPY PROTOCOL W","CT SCAN","74177",4435]
[" 3303201","CT UPPER EXT LT WO","CT SCAN","73200LT",2054,"LT"]
[" 3303701","CT LOW EXT LT WO","CT SCAN","73700LT",2176,"LT"]
[" 3304151","CT UPPER EXT LT WO W","CT SCAN","73202LT",2570,"LT"]
[" 3306401","CT HEAD WO","CT SCAN","70450",2054]
[" 3306403","CT NECK WO","CT SCAN","70490",2215]
[" 3306404","CT ANGIO NECK W CAROTIDS","CT SCAN","70491",2450]
[" 3306405","CT CHEST WO","CT SCAN","71250",2397]
[" 3306406","CT LUNG W","CT SCAN","71260",2584]
[" 3306408","CT ANGIO W RUNOFF","CT SCAN","73706",3746]
[" 3306409","CT ABDOMEN WO","CT SCAN","74150",2113]
[" 3306410","CT ABD LIVER W","CT SCAN","74160",2638]
[" 3306414","CT PANCREAS W","CT SCAN","74160",2638]
[" 3306417","CT PELVIS WO","CT SCAN","72192",2091]
[" 3306418","CT PELVIS W","CT SCAN","72193",2356]
[" 3306419","CT CHEST W","CT SCAN","71260",2584]
[" 3306420","CT CHEST ABD PELVIS WO W","CT SCAN",null,0]
[" 3306423","CT HEAD WO W","CT SCAN","70470",2477]
[" 3306427","CT ABD LIVER WO W","CT SCAN","74170",2993]
[" 3306432","CT SINUS LMT","CT SCAN","70486",1856]
[" 3306450","CT ORBIT WO","CT SCAN","70480",2223]
[" 3306451","CT INNER EAR","CT SCAN","70480",2223]
[" 3307029","CT LOW DOSE LUNG SCREEN","CT SCAN","71250",321]
[" 3307716","CT UPPER EXT RT WO","CT SCAN","73200RT",2054,"RT"]
[" 3307717","CT UPPER EXT RT W","CT SCAN","73201RT",2152,"RT"]
[" 3307718","CT LOW EXT RT WO","CT SCAN","73700RT",2065,"RT"]
[" 3307719","CT LOW EXT RT W","CT SCAN","73701RT",2151,"RT"]
[" 3307720","CT UPPER EXT LT W","CT SCAN","73201LT",2152,"LT"]
[" 3307721","CT UPPER EXT RT W","CT SCAN","73701RT",2151,"RT"]
[" 3307723","CT ANGIO HEART W 3D IMAGE","CT SCAN","75574",2196]
[" 3307725","CT CHEST WO W","CT SCAN","71270",4544]
[" 3309100","CT CHEST ABD PELVIS W","CT SCAN",null,0]
[" 3309101","CT ANGIO STROKE WO W","CT SCAN","70498",3769]
[" 3309102","CT AAA ABD AORTA ANEURYSM","CT SCAN",null,0]
[" 3309103","CT ENDOVASCULAR STENT","CT SCAN",null,0]
[" 3309104","CT POSTENDOVASCULAR STENT","CT SCAN",null,0]
[" 3309200","CT CHEST ABD PELVIS WO","CT SCAN",null,0]
[" 3310001","CT CHEST PE W","CT SCAN","71275",2584]
[" 3310002","CT ENTEROGRAPHY (CROHNS) W","CT SCAN","74177",4435]
[" 3310003","CT HEAD W","CT SCAN","70460",2370]
[" 3310004","CT INNER AUDITORY CANAL WO","CT SCAN","70480",2223]
[" 3310005","CT KIDNEY STONE WO","CT SCAN","74176",3852]
[" 3310006","CT PARANASAL SINUSES WO","CT SCAN","70486",1856]
[" 3310007","CT NECK W","CT SCAN","70491",2450]
[" 3310008","CT STROKE WO W","CT SCAN","70470",2477]
[" 3310009","CT TEMPORAL BONES WO","CT SCAN","70480",2223]
[" 3310010","CT ANGIO AORTIC DISSECTION W","CT SCAN","71260",2584]
[" 3310011","CT ANGIO HEAD COW WO/W","CT SCAN","70470",2477]
[" 3310012","CT ANGIO KIDNEY DONOR W","CT SCAN","74177",4435]
[" 3310013","CT ANGIO MESENTERIC GI BLEED W","CT SCAN","74177",4435]
[" 3310023","CT TEMPORAL BONES WITH","CT SCAN","70481",2544]
[" 3307012","CT GUIDANCE NEEDLE PLACEMENT","CT SCAN","77012",718]
[" 3307174","CT ANGIO CHEST ABD PELVIS W","CT SCAN",null,0]
[" 3307722","CT THORAX W/WO CONTRAST","CT SCAN","71270",2593]
[" 3307724","CT ANGIO ABD ARTERIES","CT SCAN","75635",3157]
[" 3307726","CT ANGIO PELVIS WO W","CT SCAN","72191",2441]
[" 3307727","CT ANGIO ABD PELV W","CT SCAN","74174",3942]
[" 3307729","CT ABD & PELV 1/> REGNS","CT SCAN","74178",5377]
[" 3307730","CT ABD W","CT SCAN","74160",2638]
[" 3307731","CT UROGRAPHY W/WO KUB","CT SCAN","74400",995]
[" 3307732","CT UROGRAM","CT SCAN","74178",5377]
[" 3307733","CT ANGIO ABD PELVIS WO W","CT SCAN","74174",3942]
[" 3307734","CT ANGIO ABD WO W","CT SCAN","74175",2980]
[" 3307750","CT CHEST HI RESOLUTION WO","CT SCAN","71250",2397]
[" 3307751","CT UPPER EXT RT WO W","CT SCAN","73202RT",2477,"RT"]
[" 3310014","CT ADRENALS PROTOCOL","CT SCAN","74160",2638]
[" 3310015","CT BIPHASIC LIVER W","CT SCAN","74160",2638]
[" 3310016","CT KIDNEY MASS W","CT SCAN","74160",2638]
[" 3310017","CT LIVER VOLUME W","CT SCAN","74160",2638]
[" 3310018","CT LIVER W","CT SCAN","74160",2638]
[" 3310019","CT PANCREATIC MASS W","CT SCAN","74160",2638]
[" 3310020","CT TRIPHASIC LIVER W","CT SCAN","74160",2638]
[" 3310021","CT ANGIO LIVER DONOR W","CT SCAN","74160",2638]
[" 1502000","VAGINAL DELIVERY","DELIVERY ROOM","59612",3210]
[" 2500267","CONTRAST/LOCM 370 - 100MG/ML","DRUGS/INCIDENT RAD","Q9967",300]
[" 1200043","DSMT INDIVIDUAL 30-MIN","EDUCATION","G0108",120]
[" 1200044","DSMTGROUP 30-MIN","EDUCATION","G0109",47]
[" 1200045","MNT ADDT'L HR 2ND REF 15-","EDUCATION","G0270",68]
[" 1200046","MNT GROUP ADDT'L HR 30-MI","EDUCATION","G0271",42]
[" 1702002","MNT INITIAL 15-MINS","EDUCATION","97802",91]
[" 1702003","MNT REASSESS 15-MINS","EDUCATION","97803",75]
[" 1702004","MNT GROUP 30-MIN","EDUCATION","97804",30]
[" 5500008","SMOKING CESSATION COUNSEL I","EDUCATION","99406",48]
[" 5500009","SMOKING CESSATION COUNSEL II","EDUCATION","99407",86]
[" 4100111","EKG","EKG","93005",310]
[" 4100113","EKG NURSING","EKG","93005",310]
[" 1200014","LEGAL BLOOD ALCOHOL VISIT","EMERGENCY ROOM","99282",118]
[" 1200163","VAGINAL DELIVERY ONLY  AFTER P","EMERGENCY ROOM","59612",1640]
[" 1200205","INTERP ONLY FETAL MONI ER","EMERGENCY ROOM","59051",104]
[" 1201899","UNLISTED PROCEDURE DENTOALVEOL","EMERGENCY ROOM","41899",2961]
[" 1500001","CATEGORY III (INTERMED)","EMERGENCY ROOM","99283",696]
[" 1500002","CATEGORY IV (EXTENDED)","EMERGENCY ROOM","99284",1017]
[" 1500003","CATEGORY V (COMPLEX)","EMERGENCY ROOM","99285",1338]
[" 1500004","ADD 5CM OR LESS FACE","EMERGENCY ROOM","13133",1030]
[" 1500005","CATEG VI (CRITICAL)30-74M","EMERGENCY ROOM","99291",1637]
[" 1500006","CL TX META FX WO MAN EA B","EMERGENCY ROOM","26600",1022]
[" 1500007","W/WO SKIN OR SKEL TRAC TI","EMERGENCY ROOM","26725",881]
[" 1500008","REPAIR FULL ARM CAST","EMERGENCY ROOM","29705",189]
[" 1500009","EACH ADDTL NAIL PLATE","EMERGENCY ROOM","11732",113]
[" 1500010","CATEGORY I (BRIEF)","EMERGENCY ROOM","99281",187]
[" 1500011","CATEGORY II (LIMITED)","EMERGENCY ROOM","99282",375]
[" 1500012","CAST: ELBOW - FINGER","EMERGENCY ROOM","29075",369]
[" 1500014","CL TX FX W8 BRG WO ANT WO","EMERGENCY ROOM","27824",979]
[" 1500015","CLSD TX SCAPHOID FX W/O","EMERGENCY ROOM","25622",1022]
[" 1500016","IV INFUSION ADD 1 HOUR ED","EMERGENCY ROOM","96366",135]
[" 1500017","THER/PROPH/DIAG IV INF INIT =<","EMERGENCY ROOM","9636559",361,"59"]
[" 1500018","TX/PROPH/DG ADDL SEQ IV INF NE","EMERGENCY ROOM","96367",148]
[" 1500019","IV PUSH SAME DRUG ADDON SEQ","EMERGENCY ROOM","96376",153]
[" 1500020","CL TX BIMAL ANK FX WO MAN","EMERGENCY ROOM","27808",979]
[" 1500021","CL TX MALLEOLUS FX W/O MA","EMERGENCY ROOM","27760",979]
[" 1500022","CL TX TRIM ANKLE FX W/O","EMERGENCY ROOM","27816",924]
[" 1500023","CL TX KNEE DISLOC WO ANES","EMERGENCY ROOM","27550",747]
[" 1500024","CL TX PATELLAR FX W/O MAN","EMERGENCY ROOM","27520",828]
[" 1500025","CL TX UNAR SHAFT FX W/O","EMERGENCY ROOM","25530",843]
[" 1500029","INJ GREATER OCCIPITAL NER","EMERGENCY ROOM","64405",668]
[" 1500030","CLSD TX ANKLE FX W/MANIP","EMERGENCY ROOM","27818",1607]
[" 1500031","TX OF NASAL BONE FX W/O M","EMERGENCY ROOM","21310",1809]
[" 1500032","CLTX MTCARPHLNGL W/ANES","EMERGENCY ROOM","26705",1015]
[" 1500033","CLSD TRT FX GREAT TOE W/O","EMERGENCY ROOM","28490",439]
[" 1500034","REP SIMP 12.6 TO 20 CM LA","EMERGENCY ROOM","12005",589]
[" 1500035","CLSD TRT GRT HUMERAL TUBE","EMERGENCY ROOM","23620",926]
[" 1500036","INSERT TEMP INDWELL BLADD","EMERGENCY ROOM","51702",417]
[" 1500037","CLSD TRT HUMERAL CONDYLAR","EMERGENCY ROOM","24576",933]
[" 1500038","UNNABOOT APPLICATION","EMERGENCY ROOM","29580",251]
[" 1500040","CLSD TRT FEMORAL FX W/O M","EMERGENCY ROOM","27508",1758]
[" 1500042","CLSD TRT CALCANEAL FX W/O","EMERGENCY ROOM","28400",1037]
[" 1500043","THORACENTESIS PLEURAL CAV","EMERGENCY ROOM","32555",1478]
[" 1500044","CLSD TRT DISTAL FIBULAR F","EMERGENCY ROOM","27788",1523]
[" 1500046","CLSD TRT ARTICULAR FX W/O","EMERGENCY ROOM","26740",779]
[" 1500047","CLSD TRT PROX FIBULA/SHAF","EMERGENCY ROOM","27780",748]
[" 1500048","DRAIN EXT EAR SIMP ABSCES","EMERGENCY ROOM","69000",396]
[" 1500049","VAGINAL DELIVERY ONLY","EMERGENCY ROOM","59409",3210]
[" 1500051","ANOSCOPY DIAGNOSTIC W/WO","EMERGENCY ROOM","46600",241]
[" 1500052","REP COMPLX TRUNK 1.1-2.5","EMERGENCY ROOM","13100",335]
[" 1500053","CLSD TRT IP JOINT ANEST","EMERGENCY ROOM","26775",1531]
[" 1500054","CLSD TRT CMETACARP DISLOC","EMERGENCY ROOM","26670",745]
[" 1500055","TRT CLSD ELBOW DISLO W/O","EMERGENCY ROOM","24600",1260]
[" 1500056","CLSD TRT FX PHALANG W/MAN","EMERGENCY ROOM","26755",998]
[" 1500057","REM FOREIGN BODY MOUTH SI","EMERGENCY ROOM","40804",4022]
[" 1500058","REM FOREIGN BODY MOUTH","EMERGENCY ROOM","40804",4022]
[" 1500059","I&D ABSCESS COMPLICATED","EMERGENCY ROOM","10061",859]
[" 1500060","HEMORRHOIDECTOMY  INT/EXT","EMERGENCY ROOM","46255",5414]
[" 1500061","APPLICATION OF LONG CAST","EMERGENCY ROOM","29345",387]
[" 1500062","AMP FINGER THUMB DIRECT C","EMERGENCY ROOM","26951",2503]
[" 1500063","CLSD TRT METACARPAL FX W/","EMERGENCY ROOM","26605",920]
[" 1500074","REMOVAL OF IUD","EMERGENCY ROOM","58301",461]
[" 1500080","CLSD TRT FX W/O MANIP EAC","EMERGENCY ROOM","28515",535]
[" 1500090","UNLISTED VASC PROCEDURE","EMERGENCY ROOM","37799",2366]
[" 1500091","CLSD TRT TIB FX W/O MAM","EMERGENCY ROOM","27530",1076]
[" 1500092","AMP METATAR W/TOE SINGLE","EMERGENCY ROOM","28810",3051]
[" 1500105","ED/UP TO 2.5 CM-W & L","EMERGENCY ROOM","12001",326]
[" 1500106","ED/W/L 2.6CM TO 7.5CM","EMERGENCY ROOM","12002",363]
[" 1500107","EC/W/L 7.6CM TO 12.5CM","EMERGENCY ROOM","12004",450]
[" 1500111","ED/W.L 2.6CM TO 7.5CM","EMERGENCY ROOM","1310159",1155,"59"]
[" 1500112","APP LONG ARM CAST","EMERGENCY ROOM","29065",437]
[" 1500113","ED CLSD TRT VERTEBRAL PRO","EMERGENCY ROOM","22305",724]
[" 1500114","ED/SHOULDER W/MANIPULATI","EMERGENCY ROOM","23650",963]
[" 1500115","ED/DISLO SLD W/AN","EMERGENCY ROOM","23655",2092]
[" 1500116","ED/DISLOC FINGER","EMERGENCY ROOM","26770",677]
[" 1500118","ED/F/B EYE-CONJUNCT/SUPER","EMERGENCY ROOM","65205",235]
[" 1500119","ED/F/B INTRANASAL","EMERGENCY ROOM","30300",428]
[" 1500120","ED/F/B EAR AUDITORY CANAL","EMERGENCY ROOM","69200",321]
[" 1500121","ED/SUBCUTANEOUS-SIMPLE","EMERGENCY ROOM","10120",593]
[" 1500123","ED/I&D ABSCESS  SIMPLE","EMERGENCY ROOM","10060",324]
[" 1500124","ED/I&D ASPIRATION OF ABSC","EMERGENCY ROOM","10160",268]
[" 1500128","ED/I&D HEMATOMA  SIMPLE","EMERGENCY ROOM","10140",1181]
[" 1500130","ED/BURN  FIRST DEGREE","EMERGENCY ROOM","16000",278]
[" 1500132","ED/BURN DRESSING MEDIUM","EMERGENCY ROOM","16025",366]
[" 1500134","ED/NASAL HEMORAGE-ANTERI","EMERGENCY ROOM","30901",309]
[" 1500135","ED/NASAL HEMORAGE-POSTE","EMERGENCY ROOM","30905",770]
[" 1500137","ED/SPLINT LONG ARM","EMERGENCY ROOM","29105",278]
[" 1500138","ED/SPLINT SHORT ARM","EMERGENCY ROOM","29125",239]
[" 1500139","ED/SPLINT LONG LEG","EMERGENCY ROOM","29505",266]
[" 1500140","ED/SPLINT SHORT LEG","EMERGENCY ROOM","29515",189]
[" 1500145","ED/SPLINT FINGER","EMERGENCY ROOM","29130",224]
[" 1500146","STRAP SHOULDER","EMERGENCY ROOM","29240",158]
[" 1500147","STRAP ELBOW/WRIST","EMERGENCY ROOM","29260",139]
[" 1500151","LIGATION MAJ ARTERY EXTRE","EMERGENCY ROOM","37618",1471]
[" 1500152","REM TUNN CVC W/O PORT/PUMP","EMERGENCY ROOM","36589",1426]
[" 1500153","ED/RESUSCITATION","EMERGENCY ROOM","92950",829]
[" 1500154","ED/ENDOTRACHEAL INTUBATI","EMERGENCY ROOM","31500",1070]
[" 1500159","ED/LUMBAR PUNCTURE","EMERGENCY ROOM","62270",737]
[" 1500160","ED/GASTRIC LAVAGE","EMERGENCY ROOM","43753",655]
[" 1500162","CLSD TRT PROX HUMERAL FX","EMERGENCY ROOM","23600",721]
[" 1500164","ED/REPAIR-UP TO 2.5 CM","EMERGENCY ROOM","12011",364]
[" 1500165","ED/2.6 - 5.0 CM-REPAIR","EMERGENCY ROOM","12013",396]
[" 1500166","ED/5.1 - 7.5 CM-REPAIR","EMERGENCY ROOM","12014",524]
[" 1500167","ED/7.6 -12.5 CM-REPAIR","EMERGENCY ROOM","12015",562]
[" 1500171","ED/UP TO 2.5 CM-REPAIR","EMERGENCY ROOM","12031",471]
[" 1500172","ED/2.6 - 7.5 CM-REPAIR","EMERGENCY ROOM","12032",561]
[" 1500173","ED/7.6 - 12.5 CM-REPAIR","EMERGENCY ROOM","12034",824]
[" 1500177","ED/UP TO 2.5 CM-REPAIR","EMERGENCY ROOM","12041",517]
[" 1500178","ED/2.6 - 7.5 CM-REPAIR","EMERGENCY ROOM","12042",615]
[" 1500179","ED/7.6 - 12.5 CM-REPAIR","EMERGENCY ROOM","12044",727]
[" 1500183","ED/UP TO 2.5 REPAIR","EMERGENCY ROOM","12051",615]
[" 1500184","ED/2.6 -5.0 CM REPAIR","EMERGENCY ROOM","12052",698]
[" 1500185","ED/5.1 -7.5 CM REPAIR","EMERGENCY ROOM","12053",810]
[" 1500186","ED/COMPLEX  ADD 5 CM","EMERGENCY ROOM","13122",349]
[" 1500191","CATEGORY I (BRIEF) 2","EMERGENCY ROOM","9928125",187,"25"]
[" 1500192","CATEGORY II (LIMITED) 2","EMERGENCY ROOM","9928225",375,"25"]
[" 1500193","CATEGORY III (INTERMED) 2","EMERGENCY ROOM","9928325",696,"25"]
[" 1500194","CATEGORY IV (EXTENDED) 2","EMERGENCY ROOM","9928425",1017,"25"]
[" 1500195","CATEGORY V (COMPLEX) 2","EMERGENCY ROOM","9928525",1338,"25"]
[" 1500209","IRRIGATION IMP CERUMEN","EMERGENCY ROOM","69209",55]
[" 1500210","CRITICAL CARE EACH ADDITIONAL 30 MINUTES","EMERGENCY ROOM","99292",803]
[" 1500212","ED/SUBCUTANEOUS-COMPLIC","EMERGENCY ROOM","10121",2160]
[" 1500214","ED/MUSCLE  DEEP/COMPLICA","EMERGENCY ROOM","20525",1639]
[" 1500216","REM FB CONJUNCTIVA; EMBEDDED","EMERGENCY ROOM","65205",199]
[" 1500217","ED/CORNEAL W/O SLIT LAMP","EMERGENCY ROOM","65220",226]
[" 1500218","CORNEAL W/SLIT LAMP","EMERGENCY ROOM","65222",193]
[" 1500219","ED/EAR  IMPACTED CERUMEN","EMERGENCY ROOM","69210",134]
[" 1500220","ED/COMPLEX  ANTERIOR","EMERGENCY ROOM","30903",428]
[" 1500221","ED/AVULSION  SIMPLE","EMERGENCY ROOM","11730",268]
[" 1500222","ED/EVAC/SUBUNGUAL HEMAT","EMERGENCY ROOM","11740",150]
[" 1500224","ASPIRATION/INJ SMALL JOINT BUR","EMERGENCY ROOM","20600",180]
[" 1500225","ASSPIRATION/INJ INTERMED JOINT","EMERGENCY ROOM","20605",186]
[" 1500226","ED/MAJR JOINT/CHOU/HIP/KN","EMERGENCY ROOM","20610",277]
[" 1500228","SLCTV WND DEBRIDEM 20 CM OR <","EMERGENCY ROOM","97597",278]
[" 1500230","ED/AC SEPARATION W/O MANI","EMERGENCY ROOM","23540",794]
[" 1500231","ED/ELBOW-NURSEMAID W/MA","EMERGENCY ROOM","24640",361]
[" 1500232","ED/METACARPOPALANGEAL","EMERGENCY ROOM","26700",677]
[" 1500234","ED/PATELLA","EMERGENCY ROOM","27560",585]
[" 1500236","PARTIAL EXCISION DISTAL PHALAN","EMERGENCY ROOM","26236",2273]
[" 1500238","ED/CLOSED CLAVICULAR","EMERGENCY ROOM","23500",694]
[" 1500239","ED/CLOSED PHALANGEAL SHA","EMERGENCY ROOM","26720",508]
[" 1500240","ED/CLOSED DISTAL PHALANG","EMERGENCY ROOM","26750",508]
[" 1500243","ED/CLSD PHALANX(S)NO GRT","EMERGENCY ROOM","28510",422]
[" 1500244","CLSD TRT CARPAL FX W/O","EMERGENCY ROOM","25630",919]
[" 1500245","CLSD TRT FX ORBIT WO MANI","EMERGENCY ROOM","21400",1027]
[" 1500252","ED/W & L-1.1CM TO 2.5 CM","EMERGENCY ROOM","13120",610]
[" 1500253","ED/W & L-2.6CM TO 7.5 CM","EMERGENCY ROOM","13121",899]
[" 1500254","ED/W & L-1.1CM TO 2.5 CM","EMERGENCY ROOM","13131",660]
[" 1500255","ED/W & L-2.6 CM TO 7.5 CM","EMERGENCY ROOM","13132",1354]
[" 1500256","ED/W & L-1.1 CM TO 2.5","EMERGENCY ROOM","13151",893]
[" 1500257","ED/W & L-2.6CM TO 7.5CM","EMERGENCY ROOM","13152",1620]
[" 1500259","TUBE THORACOSTOMY","EMERGENCY ROOM","32551",1070]
[" 1500265","ED/TRANSCUTANEOUS PACIN","EMERGENCY ROOM","92953",692]
[" 1500266","ED/ELECTIVE CARDIOVERSION","EMERGENCY ROOM","92960",1548]
[" 1500268","ED/FINGER ABSCESS-SIMPLE","EMERGENCY ROOM","26010",535]
[" 1500269","ED/FINGER ABSCESS - COMP","EMERGENCY ROOM","26011",1592]
[" 1500270","ED/THUMB-CARPOMET-W/MA","EMERGENCY ROOM","26641",914]
[" 1500272","CLSD TRT FEMORAL FX W/O MANIP","EMERGENCY ROOM","27238",1294]
[" 1500275","CLSD TRT SCAPULAR FX W/O MA","EMERGENCY ROOM","23570",993]
[" 1500277","CLOSED FX COCCYGEAL","EMERGENCY ROOM","27200",540]
[" 1500278","ED/CLOSED METATARSAL  EA","EMERGENCY ROOM","28470",779]
[" 1500279","THROMBOLYSIS CORON; IV INFUS","EMERGENCY ROOM","92977",1098]
[" 1500280","ED/W&L 1.0CM OR LESS","EMERGENCY ROOM","12051",1190]
[" 1500281","CLSD TRT POST HIP ARTHROP","EMERGENCY ROOM","27265",1269]
[" 1500286","ED/F-B SUBCUTANEOUS","EMERGENCY ROOM","28190",664]
[" 1500288","STRAP HAND/FINGER","EMERGENCY ROOM","29280",120]
[" 1500289","STRAP KNEE","EMERGENCY ROOM","29530",121]
[" 1500290","ED/STRAP ANKLE","EMERGENCY ROOM","29540",111]
[" 1500291","ED/STRAP TOES","EMERGENCY ROOM","29550",112]
[" 1500293","PROCTOSIGMOIDOSCOPY","EMERGENCY ROOM","45300",251]
[" 1500297","ED APPLY SHORT LEG CAST","EMERGENCY ROOM","29405",294]
[" 1500302","EXPLORE TRAUM WOUND EXTRE","EMERGENCY ROOM","20103",1603]
[" 1500303","CONSCIOUS SEDATION OTHER PROV >5 YRS","EMERGENCY ROOM","99156",268]
[" 1500304","CONSCIOUS SEDATION > 5 YR EACH 14MIN","EMERGENCY ROOM","99157",201]
[" 1500400","APP OF WOUND ADHESIVE","EMERGENCY ROOM","G0168",137]
[" 1500501","INJECTIONS  SC/IM","EMERGENCY ROOM","96372",137]
[" 1500502","INJECTN IV PUSH SING/INIT DRUG","EMERGENCY ROOM","9637459",218,"59"]
[" 1500503","ANTIBIOTIC INJECTION  IM","EMERGENCY ROOM","96372",109]
[" 1500504","IV HYDRATION INT 31 - 60 MINU","EMERGENCY ROOM","9636059",337,"59"]
[" 1500509","IV PUSH EACH ADD NEW DRUG SEQ","EMERGENCY ROOM","96375",181]
[" 1500510","IV HYDRATION EA ADD HOUR","EMERGENCY ROOM","96361",104]
[" 1500511","BLOOD TRANSFUSION PER DAY","EMERGENCY ROOM","36430",924]
[" 1500512","CL TX HUMERAL SFT FX WO","EMERGENCY ROOM","24500",999]
[" 1500552","INJ TRIGGER POINT 1/2 MUSCL","EMERGENCY ROOM","20552",180]
[" 1500553","INJECT TRIGGER POINTS 3/>","EMERGENCY ROOM","20553",312]
[" 1500554","CHANGE GASTROSTOMY TUBE","EMERGENCY ROOM","43760",606]
[" 1500555","CHANGE GASTROSTOMY TUBE","EMERGENCY ROOM","43762",606]
[" 1500600","ED/ELBOW DISLOC W/O ANES","EMERGENCY ROOM","24600",1260]
[" 1500611","CLSD TRT RADIAL HEAD NECK FX W","EMERGENCY ROOM","24650",1083]
[" 1500612","ED/CLOSED RAD SHAFT FRACT","EMERGENCY ROOM","25500",843]
[" 1500613","ED/CLOSED ULN SHAFT FRACT","EMERGENCY ROOM","25530",843]
[" 1500614","ED/CLSD RAD/ULN SHAFT FRA","EMERGENCY ROOM","25560",919]
[" 1500615","ED/CLSD DISTAL RAID FX","EMERGENCY ROOM","25600",970]
[" 1500616","ED/CLOSED FEM SHAFT FRACT","EMERGENCY ROOM","27500",1639]
[" 1500617","ED/CLOSED TIB SHAFT FRACT","EMERGENCY ROOM","27750",1033]
[" 1500619","ED/CLOSED DIST FIB FRACT","EMERGENCY ROOM","27786",979]
[" 1500633","ED/CLSD RAD/ULN SHAFT FRA","EMERGENCY ROOM","25565",1838]
[" 1500634","ED/CLSD DISTAL RADIAL FRA","EMERGENCY ROOM","25605",1788]
[" 1500637","ED/CLOSED BIMAL ANK FRACT","EMERGENCY ROOM","27810",1631]
[" 1500651","ED/URETH STRICTURE - MALE","EMERGENCY ROOM","53600",400]
[" 1500652","CYSTOSTOMY TUBE SIMPLE","EMERGENCY ROOM","51705",311]
[" 1500653","CLSD TRT METATARSAL FX W/MANIP","EMERGENCY ROOM","28475",1070]
[" 1500656","NASOGASTRIC TUBE PLACEMENT","EMERGENCY ROOM","43754",83]
[" 1501008","I&D PILONIDAL CYST SIM","EMERGENCY ROOM","10080",417]
[" 1501101","IVP INITIAL SUBSTANCE/DRUG","EMERGENCY ROOM","9637459",218,"59"]
[" 1501120","REP TENDON/MUSCLE EXTENSO","EMERGENCY ROOM","25270",4854]
[" 1501203","SUTURE INTEMD 12.60-20.0 CM","EMERGENCY ROOM","12035",852]
[" 1501310","C REP TRUNK; EA ADDTL 5 CM/<","EMERGENCY ROOM","13102",342]
[" 1501850","DESTROY LESION (NOT EXCISION)","EMERGENCY ROOM","41850",371]
[" 1502006","SREP S/N/A/G/TR/E; 20.1-30.0CM","EMERGENCY ROOM","12006",642]
[" 1502054","REPAIR 7.6 TO 12.5 CM WOUND","EMERGENCY ROOM","12054",1113]
[" 1502466","CLSD TRT FEMORAL FX PROX END W","EMERGENCY ROOM","27230",1357]
[" 1502467","UNLISTED PROCEDURE ANT SEG OF","EMERGENCY ROOM","66999",2253]
[" 1502468","INSERT BLADDER CATHETER","EMERGENCY ROOM","51701",161]
[" 1502469","EYE EXAM W/ANESTH LIMITED","EMERGENCY ROOM","92019",118]
[" 1502470","CL TX TIB SHFT FX W MANIP","EMERGENCY ROOM","27752",2012]
[" 1502866","INTPHALAN DISLOCATE W/ANES","EMERGENCY ROOM","28665",568]
[" 1502867","REPAIR INT WND 12.6 TO 20.0CM","EMERGENCY ROOM","12045",949]
[" 1502868","CLSD TRT ARTICULAR FX W/MANIP","EMERGENCY ROOM","26742",1346]
[" 1502870","UNLISTED PROCEDURE","EMERGENCY ROOM","45399",982]
[" 1502871","DR ABSC CYST HEMAOM DENTOALVEO","EMERGENCY ROOM","41800",538]
[" 1505505","CL TX RADIAL SHFT FX W MANIP","EMERGENCY ROOM","25505",1739]
[" 1506084","INJECTION ANESTHETIC AGENT  FA","EMERGENCY ROOM","64402",278]
[" 1506085","INSERT PLEURA DRAINAGE CATH W/O IMAGING","EMERGENCY ROOM","32556",1620]
[" 1506086","INSERT DRAINAGE PLEURA CATH W/IMAGING","EMERGENCY ROOM","32557",2074]
[" 1506087","INTRAOSSEOUS INF NEEDLE PLACEMENT","EMERGENCY ROOM","36680",592]
[" 1506440","INJ TRIGEMINAL NERVE","EMERGENCY ROOM","64400",669]
[" 1507197","CLSD TRT POSTERIOR PELVIC RING","EMERGENCY ROOM","27197",446]
[" 1507198","CLSD TRT POSTERIOR PELVIC RING","EMERGENCY ROOM","27198",1134]
[" 1509082","ABDOMINAL PARACENTESIS","EMERGENCY ROOM","49082",861]
[" 1510216","REM FB CONJUNCTIVE; EMBEDDED","EMERGENCY ROOM","65210",203]
[" 1512868","REPAIR 7.6 TO 12.5CM WOUND","EMERGENCY ROOM","12054",1113]
[" 1700506","ABDOMINAL PARACENTESIS","EMERGENCY ROOM","49082",910]
[" 6000004","EYE IRR (MORGAN LENS)","EMERGENCY ROOM","92019",110]
[" 4400056","CL HOME VISIT LOW/MODERATE","HOME VISIT","99348",158]
["  500100","FLU MIST ADMINISTRATION","IMMUNIZATION","90473",22]
["  500101","PNEUMONIA ADMINISTRATION","IMMUNIZATION","90471",47]
["  500102","HEP B ADMINISTRATION","IMMUNIZATION","90471",39]
["  500103","IMMUN ADMIN 1 VACCINE","IMMUNIZATION","90471",34]
[" 1500507","IMMUNIZATION ADMIN 1 VACCINE","IMMUNIZATION","90471",76]
[" 1700504","IMMUNIZATION ADMINISTRATI","IMMUNIZATION","90471",91]
[" 2500614","CL-TYPHOID VI POLYSACCHARIDE VACCINE","IMMUNIZATION","90691",284.45]
[" 2500618","CL-PENTACEL 0.5ML VIAL","IMMUNIZATION","90698",267.86]
[" 2500619","CL-DTAP (INFANRIX)","IMMUNIZATION","90700",67.52]
[" 2500620","CL-VARICELLA VACCINE","IMMUNIZATION","90716",366.12]
[" 2500626","CL-INFLUENZA VACCINE (FLUAD) 0.5ML SYR","IMMUNIZATION","90694",80.180000000000007]
[" 2500713","CL-ProQUAD (MMR + CHICKEN POX) VACCINE","IMMUNIZATION","90710",538.64]
[" 2500930","VFC BEXSERO 0.5ML SYRINGE","IMMUNIZATION","90620",19.82]
[" 2500946","VFC FLULAVAL 0.5ML SYRINGE","IMMUNIZATION","90686",15.18]
[" 2507033","VFC HEP A PED","IMMUNIZATION","90633",19.82]
[" 2507034","VFC HIB","IMMUNIZATION","90648",19.82]
[" 2507035","VFC GARDASIL","IMMUNIZATION","90649",19.82]
[" 2507036","VFC PREVNAR 13","IMMUNIZATION","90670",19.82]
[" 2507037","VFC ROTATEQ","IMMUNIZATION","90680",19.82]
[" 2507038","VFC FLUZONE QUAD PED","IMMUNIZATION","90685",19.82]
[" 2507039","VFC FLUZONE QUADRIVALENT","IMMUNIZATION","90662",19.82]
[" 2507040","VFC KINRIX","IMMUNIZATION","90696",19.82]
[" 2507041","VFC PENTACEL","IMMUNIZATION","90698",19.82]
[" 2507042","VFC DTAP","IMMUNIZATION","90700",19.82]
[" 2507043","VFC MMR","IMMUNIZATION","90707",19.82]
[" 2507044","VFC PROQUAD","IMMUNIZATION","90710",19.82]
[" 2507045","VFC IPV","IMMUNIZATION","90713",19.82]
[" 2507046","VFC TDAP","IMMUNIZATION","90715",19.82]
[" 2507047","VFC VARICELLA","IMMUNIZATION","90716",19.82]
[" 2507048","VFC PEDIARIX","IMMUNIZATION","90723",19.82]
[" 2507049","VFC MENACTRA","IMMUNIZATION","90734",19.82]
[" 2507050","VFC HEP B PED","IMMUNIZATION","90744",19.82]
[" 2507051","VFC MENINGOCOCCAL B","IMMUNIZATION","90620",19.82]
[" 4400007","CL IMMUN ADMIN 8 YRS< FIRST","IMMUNIZATION","90465",22]
[" 4400011","CL IMMUNIZATION REVIEW","IMMUNIZATION",null,0]
[" 4400012","CL IMMUNIZATION ADMIN SINGLE","IMMUNIZATION","90471",19.82]
[" 4400014","CL INFLUENZA ADMINISTRATION","IMMUNIZATION","90471",50]
[" 4400015","CL SD VFC ADMINISTRATION","IMMUNIZATION","90471",19.82]
[" 4400016","CL IMMUNIZATION ADMIN TWO OR","IMMUNIZATION","90472",19.82]
[" 4400018","CL SD VFC ADMIN EA ADDL","IMMUNIZATION","90472",19.82]
[" 4400019","CL IMMUNIZATION BY INTRANASAL","IMMUNIZATION","90473",32]
[" 4400020","CL IMMUNIZATION BY ORAL/NASAL","IMMUNIZATION","90473",40]
[" 4400021","CL SD INTRANASAL IMM ADMIN","IMMUNIZATION","90473",15]
[" 4400022","CL FLU ADMINISTRATION","IMMUNIZATION","G0008",13]
[" 4400023","CL PNEUMONIA ADMINISTRATION","IMMUNIZATION","G0009",68]
[" 4400024","CL HEP B ADMINISTRATION","IMMUNIZATION","G0010",71]
[" 4400308","CL VFC PPD","IMMUNIZATION","86580SL",22,"SL"]
[" 4400309","CL VFC HEP A ADULT","IMMUNIZATION","90632SL",19.82,"SL"]
[" 4400310","CL VFC HEP A PED","IMMUNIZATION","90633SL",19.82,"SL"]
[" 4400311","CL VFC HIB","IMMUNIZATION","90648SL",19.82,"SL"]
[" 4400312","CL VFC GARDASIL","IMMUNIZATION","90649SL",19.82,"SL"]
[" 4400313","CL VFC INFLUENZA <3","IMMUNIZATION","90655SL",19.82,"SL"]
[" 4400314","CL VFC INFLUENZA >3","IMMUNIZATION","90656SL",19.82,"SL"]
[" 4400315","CL VFC FLU MIST","IMMUNIZATION","90660SL",12,"SL"]
[" 4400316","CL PREVNAR 13","IMMUNIZATION","90670SL",19.82,"SL"]
[" 4400317","CL VFC ROTATEQ","IMMUNIZATION","90680SL",19.82,"SL"]
[" 4400318","CL VFC FLUZONE QUAD PED <3YRS","IMMUNIZATION","90685SL",19.82,"SL"]
[" 4400319","CL VFC FLUZONE QUADRIVALENT >3 YRS","IMMUNIZATION","90686SL",19.82,"SL"]
[" 4400320","CL VFC KINRIX","IMMUNIZATION","90696SL",19.82,"SL"]
[" 4400321","CL VFC PENTACEL","IMMUNIZATION","90698SL",19.82,"SL"]
[" 4400322","CL VFC DTAP","IMMUNIZATION","90700SL",19.82,"SL"]
[" 4400323","CL VFC MMR","IMMUNIZATION","90707SL",19.82,"SL"]
[" 4400324","CL VFC PROQUAD","IMMUNIZATION","90710SL",19.82,"SL"]
[" 4400325","CL VFC IPV","IMMUNIZATION","90713SL",19.82,"SL"]
[" 4400326","CL VFC TDAP","IMMUNIZATION","90715SL",19.82,"SL"]
[" 4400327","CL VFC VARICELLA","IMMUNIZATION","90716SL",19.82,"SL"]
[" 4400328","CL VFC TD","IMMUNIZATION","90718SL",22,"SL"]
[" 4400329","CL VFC PEDIARIX","IMMUNIZATION","90723SL",19.82,"SL"]
[" 4400330","CL VFC PNEUMONIA","IMMUNIZATION","90732SL",19.82,"SL"]
[" 4400331","CL VFC MENACTRA","IMMUNIZATION","90734SL",19.82,"SL"]
[" 4400332","CL VFC HEP B PED","IMMUNIZATION","90744SL",19.82,"SL"]
[" 4400333","CL VFC HEP B ADULT","IMMUNIZATION","90746SL",19.82,"SL"]
[" 4400334","CL VFC COMVAX","IMMUNIZATION","90748SL",19.82,"SL"]
[" 4400685","CL FLUZONE QUAD PED <3YRS","IMMUNIZATION","90685SL",19.82,"SL"]
["  902632","LENS POSTERIOR","INTRA OC LENS","V2632",1327]
[" 2500137","DEXTROSE 5 % IN WATER 250 ML BAG","IV SOLUTIONS","J7060",85]
[" 2500138","DEXTROSE 5 % IN WATER 500 ML BAG","IV SOLUTIONS","J7060",147.15]
[" 2500139","DEXTROSE 5% WATER 1000ML IV","IV SOLUTIONS",null,115]
[" 2500143","DEXTROSE 5% / 0.45% NORMAL SALINE 1000ML","IV SOLUTIONS","S50110",115,"0"]
[" 2500144","DEXTROSE 5% / LACTATED RINGERS 1000ML","IV SOLUTIONS",null,115]
[" 2500145","DEXTROSE 5%/NS 0.45%/KCL 20MEQ 1000ML","IV SOLUTIONS",null,115]
[" 2500146","DEXTROSE 5%/LAC RINGER/KCL 20MEQ 1000ML","IV SOLUTIONS",null,164.05]
[" 2500147","DEXTROSE 5% /SODIUM CHLORIDE 0.9% 1000ML","IV SOLUTIONS",null,115]
[" 2500281","LACTATED RINGERS 1000 ML IV BAG","IV SOLUTIONS","J7120",115]
[" 2500332","MANNITOL 20% 500ML IV SOLN","IV SOLUTIONS",null,80.010000000000005]
[" 2500500","SODIUM CHLORIDE 0.9%/KCL 20MEQ/1000ML","IV SOLUTIONS","J7030",115]
[" 2500502","SODIUM CHLORIDE 0.45% 1000ML BAG","IV SOLUTIONS",null,115]
[" 2500503","SODIUM CHLORIDE 0.9% 1000ML BAG","IV SOLUTIONS","J7030",115]
[" 2500505","SODIUM CHLORIDE 0.9% 100ML BAG","IV SOLUTIONS","J7040",70]
[" 2500508","SODIUM CHLORIDE 0.9% 250ML BAG","IV SOLUTIONS","J7050",85]
[" 2500510","SODIUM CHLORIDE 0.9% 500ML BAG","IV SOLUTIONS","J7040",100]
[" 2500512","SODIUM CHLORIDE 0.9% 50ML BAG","IV SOLUTIONS","J7050",70]
[" 2500513","SODIUM CHLORIDE 0.9% 50ML MINI-BAG PLUS","IV SOLUTIONS","J7050",70]
[" 2500514","SODIUM CHLORIDE 3 % 500ML IV HYPERTONIC","IV SOLUTIONS","J7131",100]
[" 2500593","NF-FISH OIL CAPSULE 500MG","IV SOLUTIONS",null,0]
[" 2500594","TIMOLOL 0.5% OPHTH SOLUTION 5ML","IV SOLUTIONS",null,34]
[" 2500595","NF-Escitalopram Oral Tablet 20MG","IV SOLUTIONS",null,20]
[" 2500596","NF-Novolog Mix 70/30 Flexpen SubQ Susp","IV SOLUTIONS",null,0]
[" 2500597","NF-Escitalopram Oral Tablet 10MG","IV SOLUTIONS",null,0]
[" 2500598","NF-Melatonin Oral Capsule 10MG","IV SOLUTIONS",null,0]
[" 2500600","NF-Olmesartan Medoxomil Oral Tablet 40MG","IV SOLUTIONS",null,0]
[" 2500601","NF-Pregabalin Oral Capsule 200MG","IV SOLUTIONS",null,0]
[" 2500604","NF-Melatonin Oral Tablet 5MG","IV SOLUTIONS",null,0]
[" 2500621","NF-GLUTATHIONE PRESERVED 200MG/ML INJ","IV SOLUTIONS",null,0]
[" 2500649","NF-Senexon-S Oral Tablet 50MG-8.6MG","IV SOLUTIONS",null,0]
[" 2500655","NF-NexIUM Oral Capsule 40MG","IV SOLUTIONS",null,0]
[" 2500662","NF-Methotrexate Oral Tablet 2.5MG","IV SOLUTIONS",null,0]
[" 2500663","NF-Zovirax Ointment 5%","IV SOLUTIONS",null,0]
[" 2500664","NF-Guiafenesin/PSETab ER 600MG-120","IV SOLUTIONS",null,0]
[" 2500685","NF-Zonisamide Oral Capsule 100MG","IV SOLUTIONS",null,0]
[" 2500686","NF-Permethrin Cream 5%","IV SOLUTIONS",null,0.06]
[" 2500687","NF-Methotrexate Inj Sol 50MG/2ML Vial","IV SOLUTIONS",null,19.32]
[" 2500688","NF-ALLERGY BUSTER NASAL SPRAY 3X","IV SOLUTIONS",null,0.01]
[" 2500689","NF ALLERGY SHOTS","IV SOLUTIONS",null,0]
[" 2500694","NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","IV SOLUTIONS",null,1]
[" 2500696","VITAMIN B12 1000MCG TABLET","IV SOLUTIONS",null,2]
[" 2500697","NF-ACETYLCYSTEINE INH/ORAL SOLUTION 10%","IV SOLUTIONS","J7608",39.26]
[" 2500698","NF-Ranexa ER Oral Tablet 1000MG","IV SOLUTIONS",null,0]
[" 2500702","NF-INVEGA SUSTENNA IM SUSP ER 156MG","IV SOLUTIONS",null,60.04]
[" 2500703","NF-Hydroxychloroquine Sulfate Tab 200MG","IV SOLUTIONS",null,6.1]
[" 2500704","NF-Letrozole Oral Tablet 2.5MG","IV SOLUTIONS",null,0]
[" 2500705","NF-Armour Thyroid Tablet 90MG","IV SOLUTIONS",null,0]
[" 2500706","NF-Imitrex Oral Tablet 25MG","IV SOLUTIONS",null,0]
[" 2500707","cefTRIAXone 2 GM VIAL: IM/IV USE","IV SOLUTIONS","J0696",274.23]
[" 2500708","FISH OIL CONCENTRATE ORAL LIQ CAP 1000MG","IV SOLUTIONS",null,2]
[" 2500709","NF-Calcitonin Salmon Nasal Spray 200IU","IV SOLUTIONS",null,237.08]
[" 2500730","SENSORCAINE/EPI 0.5% 1:200000 - MPF","IV SOLUTIONS","J3490",43.4]
[" 2500731","NF-Cilostazol Oral Tablet 100MG","IV SOLUTIONS",null,5]
[" 2500732","NF-Betamethasone Valerate Cream 0.1%","IV SOLUTIONS",null,5]
[" 2500733","NF-Genvoya Oral Tablet","IV SOLUTIONS",null,353]
[" 2500735","NF-Twelve Resin-K Tablet 1000mcg","IV SOLUTIONS",null,0]
[" 2500736","NF-Vitamin B12 Oral Tablet 500MCG","IV SOLUTIONS",null,0]
[" 2500737","NF-Xifaxan Oral Tablet 550MG","IV SOLUTIONS",null,131]
[" 2500738","NF-Zinc Sulfate Capsule 220MG","IV SOLUTIONS",null,0]
[" 2500739","NF-Xarelto Oral Tablet 20MG","IV SOLUTIONS",null,50]
[" 2500741","NF-Genvoya Oral Tablet","IV SOLUTIONS",null,353]
[" 2500745","NF-Xifaxan Oral Tablet 550MG","IV SOLUTIONS",null,131]
[" 2500746","NF-Zinc Sulfate Capsule 220MG","IV SOLUTIONS",null,0]
[" 2500747","NF-Bystolic Oral Tablet 10MG","IV SOLUTIONS",null,15]
[" 2500748","NF-Lansoprazole Oral Cap DR 15MG","IV SOLUTIONS",null,17]
[" 2500749","NF-Advair Diskus 100/50 Disk","IV SOLUTIONS",null,19]
[" 2500750","NF-Vitamin D3 Oral Capsule 50000IU","IV SOLUTIONS",null,3]
[" 2500751","NF-Tessalon Perles Liquid Capsule 100MG","IV SOLUTIONS",null,7]
[" 2500754","NF-Victoza Subcutaneous Solution 6MG/1ML","IV SOLUTIONS",null,774.3]
[" 2500755","NF-Sodium Bicarbonate Oral Tablet 650MG","IV SOLUTIONS",null,0]
[" 2500756","NF-Vitamin D Oral Tablet 5000IU","IV SOLUTIONS",null,5]
[" 2500757","NF-MS Contin Oral Tablet ER 30MG","IV SOLUTIONS",null,27]
[" 2500758","NF-MS Contin Oral Tablet ER 15MG","IV SOLUTIONS",null,14]
[" 2500759","NF-Acetaminophen Oral Tablet ER 650MG","IV SOLUTIONS",null,0]
[" 2500760","NF-Aspirin Tablet, Enteric Coated 81MG","IV SOLUTIONS",null,0]
[" 2500761","NF-Vitamin D3 Oral Capsule 50000IU","IV SOLUTIONS",null,3]
[" 2500762","NF-Advair Diskus 100/50 Inhaler","IV SOLUTIONS",null,19]
[" 2500763","NF-Bystolic Oral Tablet 10MG","IV SOLUTIONS",null,15]
[" 2500764","NF-Lansoprazole Oral Cap DR 15MG","IV SOLUTIONS",null,17]
[" 2500765","NF-Tessalon Perles Liquid Capsule 100MG","IV SOLUTIONS",null,7]
[" 2500766","NF-Travatan Z Ophthalmic Solution 0.004%","IV SOLUTIONS",null,245]
[" 2500767","NF-Vitamin D3 Oral Liq Cap 2000 IU","IV SOLUTIONS",null,0]
[" 2500768","NF-Vicks VapoRub Ointment 4.8%-1.2%-2.6%","IV SOLUTIONS",null,0]
[" 2500769","NF-First - metroNIDAZOLE 50 Oral Kit","IV SOLUTIONS",null,1]
[" 2500770","NF-First - metroNIDAZOLE 50 Oral Kit","IV SOLUTIONS",null,1]
[" 2500771","NF-Tradjenta Oral Tablet 5MG","IV SOLUTIONS",null,49.38]
[" 2500775","NF-Vitamin B Complex Capsule","IV SOLUTIONS",null,0]
[" 2500777","NF-Citracal + D Tablet","IV SOLUTIONS",null,0]
[" 2500778","NF-Fish Oil Oral Liquid Capsule 1000MG","IV SOLUTIONS",null,0]
[" 2500780","NF-Januvia Oral Tablet 100MG","IV SOLUTIONS",null,0]
[" 2500781","NF-Metoprolol Tartrate Tablet 100MG","IV SOLUTIONS",null,2]
[" 2500782","NF-Latanoprost Ophthalmic Solution 0.005","IV SOLUTIONS",null,25]
[" 2500783","NF-Augmented BetamethasoneDipropionate O","IV SOLUTIONS",null,8]
[" 2500784","NF-Levothyroxine Oral Tablet 75MCG","IV SOLUTIONS",null,1]
[" 2500785","NF-Zofran Oral Tablet 8MG","IV SOLUTIONS",null,139]
[" 2500786","NF-levETIRAcetam Oral Tablet 500MG","IV SOLUTIONS",null,10]
[" 2500787","NF-Aeroeclipse Nebulizer","IV SOLUTIONS",null,17]
[" 2500788","NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","IV SOLUTIONS",null,20]
[" 2500789","NF-Clotrimazole Troche MM Lozenge 10MG","IV SOLUTIONS",null,8]
[" 2500790","NF-lamoTRIgine Oral Tablet 100MG","IV SOLUTIONS",null,13]
[" 2500791","NF-Renvela Oral Tablet 800MG","IV SOLUTIONS",null,20]
[" 2500792","NF-Flecainide Acetate Tablet 100MG","IV SOLUTIONS",null,10]
[" 2500795","NF-Systane Ophth Solution","IV SOLUTIONS",null,1]
[" 2500798","NF-Budesonide Inhalation Suspension 1MG/","IV SOLUTIONS",null,34]
[" 2500799","NF-Poly Hist Forte Oral Tablet 7.5MG-10M","IV SOLUTIONS",null,2]
[" 2500810","NF-Disulfiram Oral Tablet 500MG","IV SOLUTIONS",null,19]
[" 2500811","NF-Rosuvastatin Calcium Oral Tablet 40MG","IV SOLUTIONS",null,26]
[" 2500812","NF-Zinc Chelated Tablet 25MG","IV SOLUTIONS",null,0]
[" 2500813","NF-Domperidone Powder","IV SOLUTIONS",null,256]
[" 2500821","NF-Armour Thyroid Tablet 120MG","IV SOLUTIONS",null,0]
[" 2500822","NF-Flecainide Acetate Tablet 100MG","IV SOLUTIONS",null,10]
[" 2500823","NF-Imbruvica Oral Tablet 140MG","IV SOLUTIONS",null,1461]
[" 2500826","NF-Dexmethylphenidate HCl Cap ER 10MG","IV SOLUTIONS",null,27]
[" 2500827","NF-Latuda Oral Tablet 120MG","IV SOLUTIONS",null,219]
[" 2500831","NF-Norethindrone Acetate Tablet 5MG","IV SOLUTIONS",null,7]
[" 2500832","NF-Breo Ellipta Inh Pwd 100MCG/Actuation","IV SOLUTIONS",null,21]
[" 2500834","NF-Vitamin D Oral Capsule 50000IU","IV SOLUTIONS",null,4]
[" 2500835","NF-Lunesta Oral Tablet 1MG","IV SOLUTIONS",null,56]
[" 2500836","NF-lamoTRIgine Oral Tablet 100MG","IV SOLUTIONS",null,14]
[" 2500842","NF-Januvia Oral Tablet 100MG","IV SOLUTIONS",null,0]
[" 2500843","NF-Calcium 600 Plus Vitamin D-3 & Minera","IV SOLUTIONS",null,0]
[" 2500852","NF-hydrOXYzine HCl Oral Tablet 25MG","IV SOLUTIONS",null,2]
[" 2500853","NF-Synthroid Oral Tablet 125MCG","IV SOLUTIONS",null,1]
[" 2500854","NF-Bystolic Oral Tablet 10MG","IV SOLUTIONS",null,15]
[" 2500855","NF-Lisinopril Oral Tablet 20MG","IV SOLUTIONS",null,0]
[" 2500872","NF-Flecainide Acetate Tablet 100MG","IV SOLUTIONS",null,10]
[" 2500873","NF-Ipratropium Bromide Nasal Spray 0.03%","IV SOLUTIONS",null,4]
[" 2500874","NF-Morphine Sulfate Oral Capsule ER 30MG","IV SOLUTIONS",null,17]
[" 2500875","NF-HYDROmorphone HCl Tablet 4MG","IV SOLUTIONS",null,2]
[" 2500876","NF-Methadone HCL Oral Tablet 10MG","IV SOLUTIONS",null,1]
[" 2500877","NF-Zonegran Oral Capsule 100MG","IV SOLUTIONS",null,57]
[" 2500878","NF-Vimpat Oral Tablet 200MG","IV SOLUTIONS",null,54]
[" 2500879","NF-Keppra Oral Tablet 750MG","IV SOLUTIONS",null,11]
[" 2500883","NF-Nortriptyline HCL Oral Capsule 75MG","IV SOLUTIONS",null,12]
[" 2500886","NF-Glimepiride Oral Tablet 4MG","IV SOLUTIONS",null,3]
[" 2500887","NF-Eye-Vites Tablet","IV SOLUTIONS",null,0]
[" 2500897","NF-Flecainide Acetate Tablet 100MG","IV SOLUTIONS",null,10]
[" 2500899","NF-Esgic Oral Tablet 50MG-325MG-40MG","IV SOLUTIONS",null,19]
[" 2500902","NF-Dexilant Delayed-Release Capsule 60MG","IV SOLUTIONS",null,13]
[" 2500903","NF-Calcitonin-Salmon Nasal Spray 200IU/1","IV SOLUTIONS",null,96]
[" 2500910","NF-Cefadroxil Oral Capsule 500MG","IV SOLUTIONS",null,12]
[" 2500911","NF-Tylenol PM Extra Strength Tablet","IV SOLUTIONS",null,0]
[" 2500912","NF-Spiriva Respimat Inh Spray 2.5MCG/Act","IV SOLUTIONS",null,386]
[" 2500915","NF-Biotin Oral Tablet 5MG","IV SOLUTIONS",null,0]
[" 2500916","NF-Saw Palmetto Oral Liquid Cap 160MG","IV SOLUTIONS",null,0]
[" 2500917","NF-Combigan Ophth Soln 0.2%-0.5%","IV SOLUTIONS",null,126]
[" 2500918","NF-Dorzolamide Hydrochloride Ophth Soln","IV SOLUTIONS",null,20]
[" 2500919","NF-Xalatan Ophthalmic Solution 0.005%","IV SOLUTIONS",null,293]
[" 2500920","LATANOPROST 0.005% OPHTH SOLUTION 2.5ML","IV SOLUTIONS",null,190]
[" 2500921","NF-Asmanex Twisthaler Inh Pwd 0.22MG/1Ac","IV SOLUTIONS",null,1159]
[" 2500922","NF-Avelox Tablet 400MG","IV SOLUTIONS",null,58]
[" 2500924","NF-Vimpat Oral Tablet 200MG","IV SOLUTIONS",null,54]
[" 2500926","NF-Azelastine HCl Nasal Spray 137MCG/1IN","IV SOLUTIONS",null,10]
[" 2500927","NF-Lysine 500 Tablet 500MG","IV SOLUTIONS",null,0]
[" 2500941","NF-Vimpat Oral Tablet 200MG","IV SOLUTIONS",null,54]
[" 2500942","NF-Turmeric Oral Capsule 500MG","IV SOLUTIONS",null,0]
[" 2500950","NF-Latanoprost Ophth Solution 0.005%","IV SOLUTIONS",null,114]
[" 2500951","NF-Lyrica Oral Capsule 75MG","IV SOLUTIONS",null,28]
[" 2500952","NF-Restasis Ophthalmic Emulsion 0.05%","IV SOLUTIONS",null,33]
[" 2500953","NF-MS Contin Oral Tablet ER 15MG","IV SOLUTIONS",null,15]
[" 2500954","NF-MS Contin Oral Tablet ER 15MG","IV SOLUTIONS",null,15]
[" 2500955","NF-Lisinopril/HCTZ Oral Tablet 20/12.5MG","IV SOLUTIONS",null,3]
[" 2500956","NF-Meloxicam Oral Tablet 15MG","IV SOLUTIONS",null,14]
[" 2500957","NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","IV SOLUTIONS",null,107]
[" 2500969","NF-Ezetimibe Oral Tablet 10MG","IV SOLUTIONS",null,7]
[" 2500970","NF-Leflunomide Oral Tablet 10MG","IV SOLUTIONS",null,49]
[" 2500971","NF-Rosuvastatin Calcium Oral Tablet 10MG","IV SOLUTIONS",null,4]
[" 2500972","NF-Mesalamine Oral Tablet, Delayed Relea","IV SOLUTIONS",null,23]
[" 2500978","NF-Advair Diskus 500/50 Disk","IV SOLUTIONS",null,31]
[" 2500979","NF-Unisom Oral Tablet 25MG","IV SOLUTIONS",null,9]
[" 2500982","NF-Danazol Capsule 200MG","IV SOLUTIONS",null,30]
[" 2500983","NF-Doxepin Oral Capsule 50MG","IV SOLUTIONS",null,2]
[" 2500985","NF-Vitamin D2 Liquid-Filled Cap 50,000IU","IV SOLUTIONS",null,5]
[" 2500986","NF-hydrOXYzine HCl Oral Tablet 10MG","IV SOLUTIONS",null,2]
[" 2500991","NF-Lumigan Ophth Solution 0.01%","IV SOLUTIONS",null,283]
[" 2501000","NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","IV SOLUTIONS",null,122]
[" 2501001","NF-Linezolid Oral Tablet 600MG","IV SOLUTIONS",null,551]
[" 2501005","NF-Topiramate Oral Capsule 15MG","IV SOLUTIONS",null,7]
[" 2501006","NF-Vitamin E Capsule 1000IU","IV SOLUTIONS",null,0]
[" 2501007","NF-Multivitamin Oral Tablet","IV SOLUTIONS",null,0]
[" 2501008","NF-Zinc Oral Tablet 50MG","IV SOLUTIONS",null,0]
[" 2501009","NF-Flovent Inhaler 0.11MG/Act","IV SOLUTIONS",null,72]
[" 2501010","NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","IV SOLUTIONS",null,122]
[" 2501011","NF-Systane Ultra Ophthalmic Soln 0.4%-0.","IV SOLUTIONS",null,40]
[" 2501012","NF-Fenofibrate Oral Tablet 160MG","IV SOLUTIONS",null,7]
[" 2501015","NF-Zinc Sulfate Oral Capsule 220MG","IV SOLUTIONS",null,0]
[" 2501016","NF-Aspercreme Topical Cream 10%","IV SOLUTIONS",null,0]
[" 2501017","NF-Tetrahydrozoline HCl Opth Solution 0.","IV SOLUTIONS",null,1]
[" 2501018","NF-1-BUTANOL LIQUID","IV SOLUTIONS",null,0.04]
[" 2501019","NF-CARTIA XT ORAL 24 HR CAP ER 120MG","IV SOLUTIONS",null,3.59]
[" 2501020","FAMOTIDINE 20MG ORAL TABLET","IV SOLUTIONS","S0028",2]
[" 2501021","NF-Morphine Sulfate Oral Capsule ER 30MG","IV SOLUTIONS",null,17]
[" 2501022","NF-HYDROmorphone Hydrochloride Tablet 4M","IV SOLUTIONS",null,1]
[" 2501027","NF-Trileptal Suspension 300MG/5ML","IV SOLUTIONS",null,1]
[" 2501028","NF-Metaxalone Oral Tablet 800MG","IV SOLUTIONS",null,14]
[" 2501029","NF-Fioricet Oral Capsule 300MG-50MG-40MG","IV SOLUTIONS",null,18]
[" 2501030","NF-Fosinopril Sodium Tablet 20MG","IV SOLUTIONS",null,3]
[" 2501031","NF-Megestrol Acetate Suspension 40MG/ML","IV SOLUTIONS",null,1]
[" 2501033","NF-N-Acetyl-L-Cysteine Capsule","IV SOLUTIONS",null,1]
[" 2501034","NF-Diclofenac Sodium Topical Gel 1%","IV SOLUTIONS",null,1]
[" 2501035","NF-Nasacort Allergy 24HR Nasal Spray 55M","IV SOLUTIONS",null,3]
[" 2501037","NF-Dilaudid Oral Tablet 4MG","IV SOLUTIONS",null,13]
[" 2501038","NF-Soma Tablet 350MG","IV SOLUTIONS",null,34]
[" 2501040","NF-Restasis Ophthalmic Emulsion 0.05%","IV SOLUTIONS",null,33]
[" 2501041","NF-Lumigan Ophth Solution 0.01%","IV SOLUTIONS",null,283]
[" 2501043","NF-Telmisartan Oral Tablet 80MG","IV SOLUTIONS",null,16]
[" 2501048","NF-metFORMIN HCl Tab ER 500MG","IV SOLUTIONS",null,2]
[" 2501049","NF-METFORMIN ER ORAL TAB ER 500MG","IV SOLUTIONS",null,2.13]
[" 2501050","NF-topiramate Capsule ER 200MG","IV SOLUTIONS",null,93]
[" 2501051","NF-Linzess Oral Capsule 290MCG","IV SOLUTIONS",null,50]
[" 2501052","NF-TIZANIDINE ORAL TABLET 2MG","IV SOLUTIONS",null,7]
[" 2501053","NF-SEROQUEL XR ORAL TAB ER 150MG","IV SOLUTIONS",null,53.09]
[" 2501054","NF-Rosuvastatin Calcium Oral Tablet 20MG","IV SOLUTIONS",null,25]
[" 2501055","NF-SUMATRIPTAN SUCCINATE ORAL TABLET 100","IV SOLUTIONS",null,80.55]
[" 2501056","NF-Ziprasidone HCl Capsule 40MG","IV SOLUTIONS",null,26]
[" 2501057","NF-Ziprasidone HCl Oral Capsule 60MG","IV SOLUTIONS",null,0]
[" 2501058","NF-Sotalol Oral Tablet 80MG","IV SOLUTIONS",null,15]
[" 2501059","NF-Zinc Sulfate Capsule 220MG","IV SOLUTIONS",null,0]
[" 2501060","NF-MEROPENEM IV POWDER FOR SOLUTION 1GM","IV SOLUTIONS",null,80.790000000000006]
[" 2501061","NF-Estradiol Tablet 1MG","IV SOLUTIONS",null,2]
[" 2501062","NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","IV SOLUTIONS",null,107]
[" 2501063","NF-Hydrea Capsule 500MG","IV SOLUTIONS",null,3]
[" 2501064","NF-Azopt Ophth Suspension 1%","IV SOLUTIONS",null,111]
[" 2501065","NF-Sotalol Oral Tablet 80MG","IV SOLUTIONS",null,15]
[" 2501067","NF-Colchicine Oral Tablet 0.6MG","IV SOLUTIONS",null,20]
[" 2501068","NF-Athlete's Foot Powder Spray 2%","IV SOLUTIONS",null,0]
[" 2501069","NF-Midodrine HCl Oral Tablet 5MG","IV SOLUTIONS",null,7]
[" 2501070","NF-Megestrol Acetate Oral Susp 40MG/1ML","IV SOLUTIONS",null,1]
[" 2501071","NF-Miconazole Powder","IV SOLUTIONS",null,102]
[" 2501072","NF-Loperamide Oral Liquid 1MG/5ML","IV SOLUTIONS",null,0]
[" 2501073","NF-Probiotic Gummies Oral Chewable Table","IV SOLUTIONS",null,0]
[" 2501075","NF-Vitamin D3 Liquid","IV SOLUTIONS",null,12]
[" 2501079","NF-Sotalol Oral Tablet 80MG","IV SOLUTIONS",null,15]
[" 2501080","NF-Vitamin B12 Tablet 1000mcg","IV SOLUTIONS",null,0]
[" 2501081","NF-Good Sense Cough Drops MM Lozenge 5.4","IV SOLUTIONS",null,0]
[" 2501082","NF-PHENobarbital Tablet 60MG","IV SOLUTIONS",null,0]
[" 2501091","NF-Midodrine HCl Tablet 5MG","IV SOLUTIONS",null,7]
[" 2501101","NF-Effer-K Oral Tab Eff 20MEQ","IV SOLUTIONS",null,1]
[" 2501103","NF-Capecitabine Oral Tablet 500MG","IV SOLUTIONS",null,117]
[" 2501104","NF-Prochlorperazine Oral Tablet 10MG","IV SOLUTIONS",null,4]
[" 2501108","NF-Ipratropium Brom Nasal Spray 0.03%","IV SOLUTIONS",null,16]
[" 2501110","NF-Striverdi Respimat Inh Spray 2.5MCG/1","IV SOLUTIONS",null,202]
[" 2501113","NF-Midodrine HCl Oral Tablet 5MG","IV SOLUTIONS",null,13]
[" 2501114","NF-sulfaSALAzine EC Tab 500MG","IV SOLUTIONS",null,1]
[" 2501115","NF-aMILoride/HCTZ Tablet","IV SOLUTIONS",null,3]
[" 2501116","NF-ASA/Butalbital/Caff Tab 325MG-50MG-40","IV SOLUTIONS",null,0]
[" 2501118","NF-Premarin Oral Tablet 0.45MG","IV SOLUTIONS",null,21]
[" 2501120","NF-Combigan Ophth Soln 0.2%-0.5%","IV SOLUTIONS",null,66]
[" 2501121","NF-Dorzolamide Hydrochloride Ophth Soln","IV SOLUTIONS",null,20]
[" 2501124","NF-Avodart Capsule, Liquid-Filled 0.5MG","IV SOLUTIONS",null,23]
[" 2501125","NF-Diclofenac Sodium Topical Gel 1%","IV SOLUTIONS",null,1]
[" 2501126","NF-cloBAZam Oral Tablet 10MG","IV SOLUTIONS",null,54]
[" 2501131","NF-Chlorthalidone Tablet 25MG","IV SOLUTIONS",null,9.19]
[" 2501132","NF-Colchicine Oral Tablet 0.6MG","IV SOLUTIONS",null,20]
[" 2501133","NF-Lumigan Ophth Solution 0.01%","IV SOLUTIONS",null,297]
[" 2501137","NF-Flonase Nasal Spray 0.05MG/1ACTUATION","IV SOLUTIONS",null,4]
[" 2501142","NF-Danazol Capsule 200MG","IV SOLUTIONS",null,30]
[" 2501143","NF-Doxepin Oral Capsule 10MG","IV SOLUTIONS",null,0]
[" 2501145","NF-Combigan Ophth Soln 0.2%-0.5%","IV SOLUTIONS",null,66]
[" 2501146","NF-Dorzolamide Hydrochloride Ophth Soln","IV SOLUTIONS",null,20]
[" 2501152","NF-Lutein Tablet 20MG","IV SOLUTIONS",null,0]
[" 2501153","NF-Uloric Oral Tablet 40MG","IV SOLUTIONS",null,0]
[" 2501157","NF-Effient Oral Tablet 10MG","IV SOLUTIONS",null,0]
[" 2501160","NF-Myrbetriq Oral Tablet ER 25MG","IV SOLUTIONS",null,48]
[" 2501161","NF-Nortriptyline Oral Capsule 25MG","IV SOLUTIONS",null,3]
[" 2501162","NF-Uloric Oral Tablet 40MG","IV SOLUTIONS",null,0]
[" 2501163","NF-Lutein Tablet 20MG","IV SOLUTIONS",null,0]
[" 2501165","NF-Azopt Ophth Suspension 1%","IV SOLUTIONS",null,117]
[" 2501166","NF-Spiriva Inh/Neb Cap 18MCG","IV SOLUTIONS",null,54]
[" 2501167","NF-Detrol LA Oral Capsule ER 4MG","IV SOLUTIONS",null,43]
[" 2501168","NF-Clotrimazole Troche MM Lozenge 10MG","IV SOLUTIONS",null,0]
[" 2501169","NF-Eplerenone Oral Tablet 25MG","IV SOLUTIONS",null,12]
[" 2501175","NF-Brimonidine Tartrate Ophth Soln 0.2%","IV SOLUTIONS",null,10]
[" 2501176","NF-Diclofenac Sodium Topical Gel 1%","IV SOLUTIONS",null,1]
[" 2501177","NF-Alendronate Sodium Oral Tablet 70MG","IV SOLUTIONS",null,61]
[" 2501181","NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac","IV SOLUTIONS",null,409]
[" 2501188","NF-GLIMEPIRIDE ORAL TABLET 1MG","IV SOLUTIONS",null,1.21]
[" 2501192","NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac","IV SOLUTIONS",null,409]
[" 2501197","NF-Asmanex HFA Inh Aer Powder 100MCG/1AC","IV SOLUTIONS",null,52]
[" 2501198","NF-Norethindrone Oral Tablet 0.35MG","IV SOLUTIONS",null,3]
[" 2501203","NF-Combivent Respimat Inhalation Spray","IV SOLUTIONS",null,1064.42]
[" 2501204","NF-Peridex Oral Solution 0.12%","IV SOLUTIONS",null,0]
[" 2501212","NF-Fibercon Tablet 625MG","IV SOLUTIONS",null,0]
[" 2501222","NF-Fexofenadine Hydrochloride Tablet 180","IV SOLUTIONS",null,7]
[" 2501223","NF-HydrOXYzine HCl Tablet 10MG","IV SOLUTIONS",null,1]
[" 2501224","NF-Carafate Suspension 1GM/10ML","IV SOLUTIONS",null,0]
[" 2501225","NF-Acetaminophen PM Tab 500MG-25MG","IV SOLUTIONS",null,0]
[" 2501228","NF-Clotrimazole 3 Vaginal Cream 2%","IV SOLUTIONS",null,32.97]
[" 2501238","NF-Midodrine Oral Tablet 10MG","IV SOLUTIONS",null,5.15]
[" 2501241","NF-Ferrous Gluconate Tablet 324MG","IV SOLUTIONS",null,0]
[" 2501248","NF-Rosuvastatin Oral Tablet 40MG","IV SOLUTIONS",null,26]
[" 2501249","NF-Minoxidil Tablet 10MG","IV SOLUTIONS",null,3]
[" 2501252","NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","IV SOLUTIONS",null,3.31]
[" 2501253","NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG","IV SOLUTIONS",null,26.86]
[" 2501254","NF-I-PRIN ORAL TABLET 200MG","IV SOLUTIONS",null,0.56999999999999995]
[" 2501256","NF-Rosuvastatin Calcium Oral Tablet 10MG","IV SOLUTIONS",null,26]
[" 2501257","NF-Cetirizine HCl Oral Syrup 1MG/ML","IV SOLUTIONS",null,10]
[" 2501261","NF-ivermectin Oral Tablet 3MG","IV SOLUTIONS",null,14]
[" 2501266","NF-Mometasone Furoate Topical Cream 0.1%","IV SOLUTIONS",null,5]
[" 2501267","NF-Mometason Furoate Cream 0.1%","IV SOLUTIONS",null,3]
[" 2501268","NF-Lumigan Ophth Solution 0.01%","IV SOLUTIONS",null,312]
[" 2501269","NF-Restasis Ophthalmic Emulsion 0.05%","IV SOLUTIONS",null,36]
[" 2501287","NF-Myrbetriq Oral Tablet 50MG","IV SOLUTIONS",null,0]
[" 2501290","NF-Calcium 500 w/Vitamin D Tablet","IV SOLUTIONS",null,0]
[" 2501291","NF-Eucerin Advanced Repair Cream","IV SOLUTIONS",null,0]
[" 2501293","NF-Xtandi Oral Liquid Filled Capsule 40M","IV SOLUTIONS",null,368]
[" 2501297","NF-Xtandi Oral Tablet 40MG","IV SOLUTIONS",null,368]
[" 2501298","NF-Effient Oral Tablet 10MG","IV SOLUTIONS",null,0]
[" 2501299","NF-Jardiance Oral Tablet 10MG","IV SOLUTIONS",null,0]
[" 2501303","NF-Simplist Dilaudid Inj Soln 4MG/1ML","IV SOLUTIONS",null,12]
[" 2501304","NF-Imipramine Pamoate Oral Capsule 100MG","IV SOLUTIONS",null,50]
[" 2501305","NF-Flovent HFA Inh Oral/Neb 0.11MG/1Act","IV SOLUTIONS",null,79]
[" 2501306","NF-Baclofen Intrathecal Solution 0.5MG/1","IV SOLUTIONS",null,34]
[" 2501307","NF-Lysine Tablet 500MG","IV SOLUTIONS",null,0]
[" 2501308","NF-Nature's Blend Omega-3 Fish Oil Liq C","IV SOLUTIONS",null,0]
[" 2501309","NF-Vitamin C Tablet 1000MG","IV SOLUTIONS",null,0]
[" 2501310","NF-Vitamin D3 Oral Liq Cap 2000 IU","IV SOLUTIONS",null,0]
[" 2501311","NF-Myrbetriq Oral Tablet ER 25MG","IV SOLUTIONS",null,50]
[" 2501312","NF-Rizatriptan Benzoate Oral Tablet 10MG","IV SOLUTIONS",null,99]
[" 2501313","NF-Simplist Dilaudid Inj Soln 4MG/1ML","IV SOLUTIONS",null,12]
[" 2501314","NF-Methenamine Hippurate 1GM Tablet","IV SOLUTIONS",null,6]
[" 2501315","NF-Magnesium Sulf-Sodium Chloride IV Sol","IV SOLUTIONS",null,0]
[" 2501316","NF-Selenium Tablet 200mcg","IV SOLUTIONS",null,0]
[" 2501317","NF-Prograf Capsule 1MG","IV SOLUTIONS",null,9]
[" 2501318","NF-Prograf Capsule 1MG","IV SOLUTIONS",null,9]
[" 2501319","NF-azaTHIOprine Oral Tablet 50MG","IV SOLUTIONS",null,6]
[" 2501320","NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","IV SOLUTIONS",null,38]
[" 2501321","NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","IV SOLUTIONS",null,131]
[" 2501322","NF-Levemir FlexTouch SubQ Soln 100U/1ML","IV SOLUTIONS",null,110]
[" 2501323","NF-NovoLOG Injection 100U/ML","IV SOLUTIONS",null,104]
[" 2501327","NF-Xtandi Oral Liquid Filled Capsule 40M","IV SOLUTIONS",null,368]
[" 2501331","NF-Methenamine Hippurate 1GM Tablet","IV SOLUTIONS",null,6]
[" 2501332","NF-Myrbetriq Oral Tablet ER 25MG","IV SOLUTIONS",null,50]
[" 2501333","NF-Nature's Blend Selenium Tablet 200MCG","IV SOLUTIONS",null,0]
[" 2501334","NF-Rizatriptan Benzoate Oral Tablet 5MG","IV SOLUTIONS",null,0]
[" 2501335","NF-Imipramine HCl Oral Tablet 50MG","IV SOLUTIONS",null,0]
[" 2501336","NF-Amlactin Lotion 12%","IV SOLUTIONS",null,0]
[" 2501337","NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","IV SOLUTIONS",null,131]
[" 2501338","NF-Spiriva Inh/Neb Cap 18MCG","IV SOLUTIONS",null,26]
[" 2501339","NF-Fluorouracil Topical Cream 5%","IV SOLUTIONS",null,21]
[" 2501344","NF-Lotemax Ophth Suspension 0.5%","IV SOLUTIONS",null,192]
[" 2501348","NF-Sodium Bicarbonate Tablet 650MG","IV SOLUTIONS",null,0]
[" 2501353","NF-Amlactin Lotion 12%","IV SOLUTIONS",null,0]
[" 2501355","NF-Mestinon Tablet 60MG","IV SOLUTIONS",null,0]
[" 2501358","NF-Vitamin E Tablet 400iu","IV SOLUTIONS",null,0]
[" 2501368","NF-Jardiance Oral Tablet 25MG","IV SOLUTIONS",null,65]
[" 2501372","NF-Adderall Oral Tablet 20MG","IV SOLUTIONS",null,29]
[" 2501373","NF-TraZODone HCl Oral Tablet 150MG","IV SOLUTIONS",null,7]
[" 2501374","NF-Levothyroxin Tab  75MCG","IV SOLUTIONS",null,1]
[" 2501381","NF-ivermectin Oral Tablet 3MG","IV SOLUTIONS",null,14]
[" 2501383","NF-AMBIEN CR EXTENDED-RELEASE TABLET 12.","IV SOLUTIONS",null,26.76]
[" 2501385","NF-ivermectin Oral Tablet 3MG","IV SOLUTIONS",null,14]
[" 2501388","NF-Sprintec Tablet","IV SOLUTIONS",null,3]
[" 2501391","NF-Ortho Tri-Cyclen Lo Oral Kit","IV SOLUTIONS",null,19]
[" 2501392","NF-Flonase Nasal Spray 0.05MG/1ACTUATION","IV SOLUTIONS",null,4]
[" 2505001","ACYCLOVIR/NS : MD TO DOSE/100 ML IVPB","IV SOLUTIONS",null,0]
[" 2505002","AMPICILLIN/NS IVPB : 1000MG/50ML","IV SOLUTIONS",null,0]
[" 2505003","AMPICILLIN/NS IVPB : 500MG/50ML","IV SOLUTIONS",null,0]
[" 2505004","AMPICILLIN/SULBACTAM/NS IVPB: 1.5GM/50ML","IV SOLUTIONS",null,0]
[" 2505005","AMPICILLIN/SULBACTAM/NS IVPB : 3GM/100ML","IV SOLUTIONS",null,0]
[" 2505006","AZITHROMYCIN/NS IVPB : 500MG/250ML","IV SOLUTIONS",null,0]
[" 2505007","AZTREONAM/NS IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505008","AZTREONAM/NS IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505009","CEFAZOLIN/NS IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505010","CEFAZOLIN/NS IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505011","NF-CEFOTAXIME/NS MINI BAG IVPB:1GM/50ML","IV SOLUTIONS",null,0]
[" 2505012","CEFOXITIN/NS IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505013","CEFOXITIN/NS IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505014","CEFTAZIDIME/NS IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505015","CEFTAZIDIME/NS IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505016","CEFTRIAXONE/NS (MB) IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505017","CEFTRIAXONE/NS (MB) IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505019","CLINDAMYCIN/NS IVPB : 300MG/50ML","IV SOLUTIONS",null,0]
[" 2505020","CLINDAMYCIN/NS IVPB : 600MG/50ML","IV SOLUTIONS",null,0]
[" 2505021","CLINDAMYCIN/NS IVPB : 900MG/50ML","IV SOLUTIONS",null,0]
[" 2505022","DILTIAZEM/NS IVPB : 125MG/100ML","IV SOLUTIONS",null,0]
[" 2505023","EPINEPHRINE/NS IVPB : 1MG/250ML","IV SOLUTIONS",null,0]
[" 2505024","FAMOTIDINE/NS IVPB : 20MG/50ML","IV SOLUTIONS",null,0]
[" 2505025","FAMOTIDINE/NS IVPB : 40MG/50ML","IV SOLUTIONS",null,0]
[" 2505026","GENTAMICIN/NS IVPB : MD TO DOSE/50ML","IV SOLUTIONS",null,0]
[" 2505027","NF-IMIPENEM/CILAS/NS IVPB:1000MG/250ML","IV SOLUTIONS",null,0]
[" 2505028","NF-IMIPENEM/CILAS/NS IVPB:200MG/100ML","IV SOLUTIONS",null,0]
[" 2505029","NF-IMIPENEM/CILAS/NS IVPB:500MG/100ML","IV SOLUTIONS",null,0]
[" 2505030","INSULIN REG/NS IVPB : 100UNIT/100ML","IV SOLUTIONS",null,0]
[" 2505031","IRON SUCROSE/NS IVPB : 100MG/100ML","IV SOLUTIONS",null,0]
[" 2505032","IRON SUCROSE/NS IVPB : 200MG/100ML","IV SOLUTIONS",null,0]
[" 2505033","IRON SUCROSE/NS IVPB : 300MG/250ML","IV SOLUTIONS",null,0]
[" 2505034","IRON SUCROSE/NS IVPB : 400MG/250ML","IV SOLUTIONS",null,0]
[" 2505035","IRON SUCROSE/NS IVPB : 500MG/250ML","IV SOLUTIONS",null,0]
[" 2505036","LABETALOL/NS IVPB : 200MG/200ML","IV SOLUTIONS",null,0]
[" 2505037","MAGNESIUM SULFATE/NS IVPB : 1GM/100ML","IV SOLUTIONS",null,0]
[" 2505038","MEPERIDINE/NS IVPB : 250MG/250ML","IV SOLUTIONS",null,0]
[" 2505039","MORPHINE/NS IVPB : 100MG/250ML","IV SOLUTIONS",null,0]
[" 2505040","NALOXONE/NS IVPB : 10MG/100ML","IV SOLUTIONS",null,0]
[" 2505041","NITROPRUSSIDE/D5W IVPB : 50MG/250ML","IV SOLUTIONS",null,0]
[" 2505042","NOREPINEPHRINE/D5W IVPB : 8MG/500ML","IV SOLUTIONS",null,0]
[" 2505043","ONDANSETRON/NS IVPB : 8MG/50ML","IV SOLUTIONS",null,0]
[" 2505044","NF-OXACILLIN/NS IVPB : 1GM/50ML","IV SOLUTIONS",null,0]
[" 2505045","NF-OXACILLIN/NS IVPB : 2GM/100ML","IV SOLUTIONS",null,0]
[" 2505046","PANTOPRAZOLE/NS (MB) IVPB : 40MG/100ML","IV SOLUTIONS",null,0]
[" 2505047","PENICILLIN GK/NS IVPB : 5MU/100ML","IV SOLUTIONS",null,0]
[" 2505048","PHYTONADIONE/NS IVPB : 10MG/50ML","IV SOLUTIONS",null,0]
[" 2505049","PIP-TAZO/NS IVPB: 3.375GM/100ML","IV SOLUTIONS",null,0]
[" 2505050","PROMETHAZINE/NS IVPB : 12.5MG/50ML","IV SOLUTIONS",null,0]
[" 2505051","PROMETHAZINE/NS IVPB : 6.25MG/50ML","IV SOLUTIONS",null,0]
[" 2505052","THIAMINE/NS IVPB : 100MG/50ML","IV SOLUTIONS",null,0]
[" 2505053","TOBRAMYCIN/NS IVPB : 80MG/100ML","IV SOLUTIONS",null,0]
[" 2505054","VANCOMYCIN/NS IVPB : 1000MG/250ML","IV SOLUTIONS",null,0]
[" 2505055","VANCOMYCIN/NS IVPB : 1250MG/250ML","IV SOLUTIONS",null,0]
[" 2505056","VANCOMYCIN/NS IVPB : 500MG/250ML","IV SOLUTIONS",null,0]
[" 2505057","VANCOMYCIN/NS IVPB : 750MG/250ML","IV SOLUTIONS",null,0]
[" 2505058","VANCOMYCIN/NS IVPB : 1500MG/500ML","IV SOLUTIONS",null,0]
[" 2505059","VANCOMYCIN/NS IVPB : 1750MG/500ML","IV SOLUTIONS",null,0]
[" 2505060","VANCOMYCIN/NS IVPB : 2000MG/500ML","IV SOLUTIONS",null,0]
[" 2505061","PIP-TAZO/NS IVPB: 4.5GM/100ML","IV SOLUTIONS",null,0]
[" 2505062","BANANA BAG","IV SOLUTIONS",null,0]
[" 6000162","SALINE NORMAL 50 ML MINI BAG","IV SOLUTIONS","J7050",43]
[" 6000163","DEXTROSE 5% WATER 1000 ML","IV SOLUTIONS",null,151]
[" 6000164","DEXTROSE 5% 1/2 NS 1000 ML","IV SOLUTIONS","S50110",151,"0"]
[" 6000165","DEXTROSE 5% NS 1000 ML","IV SOLUTIONS",null,151]
[" 6000166","DEXTROSE-LR 1000 ML","IV SOLUTIONS",null,151]
[" 6000167","SALINE NORMAL 50 ML","IV SOLUTIONS","J7050",43]
[" 6000168","SALINE NORMAL 100 ML","IV SOLUTIONS","J7040",101]
[" 6000169","SALINE NORMAL 250 ML","IV SOLUTIONS","J7050",101]
[" 6000170","SALINE NORMAL 500 ML","IV SOLUTIONS","J7040",151]
[" 6000171","SALINE NORMAL --DO NOT USE","IV SOLUTIONS","J7030",151]
[" 6000173","1/2 NORMAL SALINE 1000 ML","IV SOLUTIONS",null,151]
[" 6000174","LACTATED RINGERS 1000 ML","IV SOLUTIONS","J7120",151]
[" 1700008","IV INF THER AD SEQU 1HR","IV THERAPY","96367",161]
[" 1700009","IV INF-THER DX 1ST HR","IV THERAPY","96365",428]
[" 1700010","IV INF-THER DX EA AD HR","IV THERAPY","96366",144]
[" 1701500","IV HYDRATION 31M TO 1 HR","IV THERAPY","96360",375]
[" 1701510","IV HYDRATION EA ADD HOUR","IV THERAPY","96361",107]
["  221003","HOLOGIC SARSCOV2","LAB","U0003",146]
[" 1700803","TRIM DYSTROPH 6 OR MORE","LAB","11721",112]
[" 2200001","=>CANCEL LAB ORDER<=","LAB",null,0]
[" 2200002","=>PATHOLOGY ORDER<=","LAB",null,0]
[" 2200004","H & H MULTI","LAB",null,0]
[" 2200005","PT/PTT","LAB",null,0]
[" 2200006","H&H","LAB",null,0]
[" 2200007","NON-COVERED VENIPUNCTURE","LAB",null,0]
[" 2200010","GLUCOSE TOLERANCE 2 HR 75g","LAB",null,0]
[" 2200011","GLUCOSE TOLERANCE 2 HR (75g GDM SCREEN)","LAB",null,0]
[" 2200012","GLUCOSE TOLERANCE 3 HR (100g GDM SCREEN)","LAB",null,0]
[" 2200013","GLUCOSE TOLERANCE 2 HR 75g POST PRANDIAL","LAB",null,0]
[" 2200014","GTT 5 HOUR","LAB",null,0]
[" 2200024","VANCOMYCIN RANDOM","LAB","80202",171]
[" 2200025","NORTRIPTYLINE","LAB","80335",73]
[" 2200026","VANCOMYCIN TROUGH","LAB","80202",171]
[" 2200027","BELL PEPPER","LAB","86003",44]
[" 2200028","CABBAGE","LAB","86003",44]
[" 2200030","QUAD SCREEN","LAB","81511",461]
[" 2200031","ALKALINE PHOS ISOENZYMES(DON'T ORDER)","LAB","84080",92]
[" 2200032","HLA TYPING A B C","LAB","86812",247]
[" 2200034","CHICKEN","LAB","86003",44]
[" 2200035","GRAPE","LAB","86003",44]
[" 2200036","LETTUCE","LAB","86003",44]
[" 2200037","NAVY BEAN","LAB","86003",44]
[" 2200038","ORANGE","LAB","86003",44]
[" 2200039","POTATO","LAB","86003",44]
[" 2200040","EGG WHITE","LAB","86003",44]
[" 2200041","RYE","LAB","86003",44]
[" 2200042","MILK","LAB","86003",44]
[" 2200043","CARROT","LAB","86003",44]
[" 2200044","OAT","LAB","86003",44]
[" 2200046","SOYBEAN","LAB","86003",44]
[" 2200047","RICE","LAB","86003",44]
[" 2200048","WHEAT","LAB","86003",44]
[" 2200049","TOMATO","LAB","86003",44]
[" 2200050","DAIRY &; GRAIN ALLERGEN PROFIL","LAB",null,85]
[" 2200058","PROTEIN C ACTIVITY","LAB","85303",207]
[" 2200060","ALK ISOENZYMES CHARGE","LAB","84075",109]
[" 2200061","LIPID PANEL","LAB","80061",141]
[" 2200116","THYROID RELEASING HORMONE","LAB","84146",155]
[" 2200164","FUNGAL ANTIBODIES BY ID","LAB",null,0]
[" 2200171","GABAPENTIN SERUM","LAB","80171",94]
[" 2200180","MYCOPHENOLATE","LAB","80180",268.02999999999997]
[" 2200211","TROPONIN I","LAB","84484",219]
[" 2200212","TROPONIN I (Q6)","LAB","84484",203]
[" 2200214","*GLUCOSE TOLERANCE CHARGE","LAB","82951",152]
[" 2200222","HCV RNA QUANT PCR","LAB","87522",531]
[" 2200223","HCV RNA QUANT PCR W/ RFX TO GENOTYPE","LAB","87522",531]
[" 2200225","HEP C VIRAL","LAB","87521",536]
[" 2200239","FACTOR IX ASSAY","LAB","85250",104]
[" 2200240","FACTOR X ACTIVITY, CHRROMOGENIC","LAB","85260",463]
[" 2200257","ELECTROLYTES","LAB","80051",118]
[" 2200271","CK WITH CKMB","LAB",null,0]
[" 2200272","CKMB ISOENZYMES","LAB","82553",164]
[" 2200277","CATECHOLAMINES  PLASMA","LAB","82384",202]
[" 2200278","CATECHOLAMINES UR FREE","LAB","82384",227]
[" 2200307","PAIN CLINIC DRUG SCREEN URINE","LAB","80307",257]
[" 2200308","ETHYL GLUCURONIDE, URINE","LAB","80307",220]
[" 2200319","COVID19 PCR PRE OP","LAB","U0003",170]
[" 2200366","PREGABALIN, URINE","LAB","80366",92]
[" 2200384","SPOTTED FEVER IGG IGM","LAB","86757",107]
[" 2200472","HEP C MEDICARE SCREENING","LAB","86803",121]
[" 2200540","DIGOXIN","LAB","80162",120]
[" 2200571","FACTOR V LEIDEN (R506Q) MUTATI","LAB","81241",224]
[" 2200580","MTHFR C677T MUTATION","LAB","81291",325]
[" 2200582","PROTHROMBIN G20210A MUTATION ARUP","LAB","81240",448]
[" 2200723","PORK IGE","LAB","86003",54]
[" 2200724","EGG YOLK IGE","LAB","86003",54]
[" 2200725","BEEF  IGE","LAB","86003",54]
[" 2200726","COCOA IGE","LAB","86003",54]
[" 2200727","EGG WHITE IGE","LAB","86003",46]
[" 2200729","MILK IGE","LAB","86003",46]
[" 2200730","WHEAT IGE","LAB","86003",46]
[" 2200731","SOYBEAN IGE","LAB","86003",46]
[" 2200734","PEANUT IGE","LAB","86003",46]
[" 2200735","CORN-FOOD IGE","LAB","86003",46]
[" 2200760","RIBOFLAVIN  VITAMIN B2","LAB","84252",174]
[" 2200783","FERRITIN","LAB","82728",121]
[" 2200818","MAGNESIUM RBC","LAB","83735",117]
[" 2200831","IDENTIFICATION  FUNGUS","LAB","87107",77]
[" 2200836","CRYOGLOBULIN  SERUM","LAB","82595",93]
[" 2200906","INFLUENZA A & B","LAB",null,0]
[" 2200907","INFLUENZA A","LAB","87804",132]
[" 2200908","INFLUENZA B","LAB","87804",132]
[" 2200923","PSA TOTAL (SCREEN)","LAB","84153",126]
[" 2200936","BMP","LAB","80048",142]
[" 2200937","CMP","LAB","80053",166]
[" 2200938","HEPATIC FUNCTION PANEL","LAB","80076",182]
[" 2200939","RENAL FUNCTION PANEL","LAB","80069",136]
[" 2200940","ACUTE HEPATITIS PANEL","LAB","80074",337]
[" 2200941","DAILY CMP","LAB","80053",158]
[" 2200942","DAILY BMP","LAB","80048",142]
[" 2200995","TRILEPTAL (OXCARBAZEPINE)","LAB","80299",363]
[" 2201060","CHLAMYDIA / GC AMPLIFIED","LAB",null,0]
[" 2201291","LYNCH SYNDROME (PREAUTH REQUIRED)","LAB",null,0]
[" 2201380","HLA B HIGH RESOLUTION","LAB","81380",1667]
[" 2201443","URINE DRUG COLLECTION","LAB",null,30]
[" 2201444","URINE DRUG SCREEN","LAB","80305",202]
[" 2201445","TEST DRUG SCREEN-NO ORDER","LAB","80305",202]
[" 2201447","H PYLORI RAPID SCREEN, BLOOD","LAB","86318",44]
[" 2201448","D-DIMER","LAB","85378",161]
[" 2201592","ACTIVATED PROTEIN C RESISTANCE","LAB","85307",196]
[" 2201673","ISLET CELL ANTIBODY  IGG SERUM","LAB","86341",228]
[" 2201714","METANEPHRINES FRACTIONATED,FREE,PLASMA","LAB","83835",540]
[" 2201732","DHEA","LAB","82626",224]
[" 2201742","B12","LAB","82607",139]
[" 2201743","FOLATE","LAB","82746",135]
[" 2201744","CORTISOL","LAB","82533",137]
[" 2201745","PROLACTIN","LAB","84146",155]
[" 2201746","FOLLICLE STIMULATING HORMONE","LAB","83001",129]
[" 2201747","LUTEINIZING HORMONE","LAB","83002",174]
[" 2201748","FSH/LH RATIO","LAB",null,0]
[" 2201778","PROGESTERONE","LAB","84144",118]
[" 2201792","C-REACTIVE PROTEIN","LAB","86140",94]
[" 2201793","RHEUMATOID FACTOR","LAB","86431",66]
[" 2201794","HEPATITIS B SURFACE ANTIBODY","LAB","86706",146]
[" 2201798","CA 125","LAB","86304",156]
[" 2201799","CA 19-9","LAB","86301",174]
[" 2201800","CEA (CARCINOEMBRYONIC AG)","LAB","82378",151]
[" 2201801","CERULOPLASMIN","LAB","82390",163]
[" 2201802","HEPATITIS B CORE IGM ANTIBODY","LAB","86705",152]
[" 2201803","MITOP MITROCHANDRAL FULL GENOM","LAB","81460",2940]
[" 2201805","FFRWB FRIEDREICH ATAXIA  TRATE","LAB","83520",606]
[" 2201807","SNCA ALPHA SYNUCLEIN DNA SEQUE","LAB","81479",3524]
[" 2201809","NEUTROPHIL CYTOPLASMA IGG","LAB","86255",144]
[" 2201810","SM ANTIBODIES  IGG  SERUM","LAB","86235",125]
[" 2201811","TACROLIMUS","LAB","80197",225]
[" 2201842","METHYLMALONIC ACID SERUM","LAB","83921",337]
[" 2201844","WEST NILE ANTIBODIES IGG & IGM","LAB",null,0]
[" 2201845","LDL DIRECT","LAB","83701",106]
[" 2201846","TISSUE CULT INOCULATION","LAB","87252",194]
[" 2201847","TIS CULT ADDITIONAL STUDY","LAB","87253",79]
[" 2201848","CULTURE,HSV","LAB",null,116]
[" 2201866","MITOCHONDRIAL AB M2 SERUM","LAB","83516",149]
[" 2201867","AUTOIMMUNE LIVER DISEASE PANEL","LAB",null,0]
[" 2201870","H PYLORI BREATH TEST","LAB","83013",178]
[" 2201875","H PYLORI ANTIGEN STOOL","LAB","87338",205]
[" 2201877","PROTEIN S ACTIVITY","LAB","85306",281]
[" 2201901","SEROTONIN SERUM","LAB","84260",226]
[" 2201903","FLECAINIDE","LAB","80299",213]
[" 2201905","FAT FECAL QUALITATIVE","LAB","82750",77]
[" 2201912","KIDNEY STONE ANALYSIS","LAB","82365",147]
[" 2201937","AFP TRIPLE/QUAD","LAB","82105",113]
[" 2201938","ESTRIOL TRIPLE/QUAD","LAB","82677",113]
[" 2201939","(DON'T ORDER)LYME ANTIBODIES W/REFLEX","LAB","86618",170]
[" 2201940","BHCG TRIPLE/QUAD","LAB","84702",135]
[" 2201947","INHIBIN A XTRA OR QUAD","LAB","86336",156]
[" 2201955","RNP IGG ANTIBODY","LAB","86235",122]
[" 2201957","THYROID PEROXIDASE ANTIBODY","LAB","83516",117]
[" 2201958","THYROGLOBULIN ANTIBODY","LAB","86800",109]
[" 2201959","PARIETAL CELL ANTIBODIES, IGG, SERUM","LAB","83516",117]
[" 2201960","THYROTROPIN RECEPTOR AB","LAB","83520",164]
[" 2201973","TSH RECEPTOR ANTIBODIES","LAB","83519",278]
[" 2201998","BETA-2-MICROGLOBULIN SERUM","LAB","82232",137]
[" 2202003","ACETAMINOPHEN","LAB","80329",213]
[" 2202007","(OBSELETE)MICROALBUMIN CREAT RATIO","LAB","82043",96]
[" 2202010","BETA-HYDROXYBUTYRATE","LAB","82010",92]
[" 2202020","HYPOGLYCEMIS AGENT SERUM","LAB","80307",181]
[" 2202022","MYASTHENIA GRAVIS EVALUATION DON'T ORDER","LAB",null,0]
[" 2202024","ACTH","LAB","82024",265]
[" 2202040","ALBUMIN  SERUM","LAB","82040",44]
[" 2202043","MICROALBUMIN CREATININE RATIO","LAB","82043",105]
[" 2202051","FACTOR V ACTIVITY","LAB","85220",246]
[" 2202056","ETHANOL","LAB","80320",173]
[" 2202057","DAILY ETHANOL","LAB","80320",173]
[" 2202080","ALDOSTERONE W/SODIUM 24HR U","LAB","82088",381]
[" 2202088","ALDOSTERONE  SERUM","LAB","82088",311]
[" 2202089","ALDOSTERONE URINE","LAB","82088",245]
[" 2202091","NEWBORN THYROXINE","LAB","84437",43]
[" 2202092","NEWBORN PHENYLALANINE","LAB","84030",309]
[" 2202093","NEWBORN HEMOGLOBINOPATH","LAB","83020",112]
[" 2202094","NEWBORN BIOTINADASE","LAB","82261",51]
[" 2202095","NEWBORN GALACTOSE","LAB","82760",43]
[" 2202096","NEWBORN GAL-URIDYLTRANSFE","LAB","82776",43]
[" 2202097","NEWBORN MCAD","LAB","83788",63]
[" 2202100","INSULIN  120 MINUTES","LAB","83525",129]
[" 2202126","ZONISAMIDE","LAB","80299",345]
[" 2202140","AMMONIA","LAB","82140",138]
[" 2202150","AMYLASE","LAB","82150",95]
[" 2202151","AMYLASE  BODY FLUID","LAB","82150",95]
[" 2202152","DAILY AMYLASE","LAB","82150",95]
[" 2202153","AMYLASE RANDOM URINE","LAB","82150",95]
[" 2202157","ANDROSTENEDIONE, SERUM","LAB","82157",174]
[" 2202164","ANGIOTENSIN CONVERTING ENZYME","LAB","82164",97]
[" 2202175",".ARSENIC HEAVY METAL CHARGE","LAB","82175",166]
[" 2202209","PROTEIN  24 HOUR URINE","LAB","84156",73]
[" 2202212","MYOGLOBIN URINE","LAB","83874",140]
[" 2202225","PROTEIN TOTAL  BODY FLUID","LAB","84157",61]
[" 2202226","CSF PROTEIN TOTAL","LAB","84157",63]
[" 2202227","PROTEIN TOTAL URINE","LAB","84156",72]
[" 2202230","SPECIFIC GRAVITY","LAB","81003",36]
[" 2202243","SPECIFIC GRAVITY BODY FL","LAB","84315",47]
[" 2202247","BILIRUBIN BODY FLUID","LAB","82247",55]
[" 2202249","BILIRUBIN  DIRECT","LAB","82248",55]
[" 2202250","BILIRUBIN  TOTAL","LAB","82247",55]
[" 2202270","OCCULT BLOOD","LAB","82270",35]
[" 2202300",".CADMIUM HEAVY METAL CHARGE","LAB","82300",166]
[" 2202301",".LEAD HEAVY METAL CHARGE","LAB","83655",166]
[" 2202310","CALCIUM TOTAL","LAB","82310",50]
[" 2202319","PYRUVIC ACID","LAB","84210",83]
[" 2202327","ESTRIOL UNCONJUGATED SERUM","LAB","82677",133]
[" 2202330","CALCIUM  IONIZED","LAB","82330",109]
[" 2202335","CALCIUM TOTAL  RANDOM URINE","LAB","82310",50]
[" 2202372","CARBAMAZEPINE (TEGRETOL)","LAB","80156",138]
[" 2202375","CARBON MONOXIDE","LAB","82375",137]
[" 2202378","CARBAMAZEPINE-10 11-EPOXIDE","LAB","80156",120]
[" 2202380","CARBAMAZEPINE FREE AND TOTAL","LAB",null,0]
[" 2202382","CARBAMAZEPINE TOTAL","LAB","80156",125]
[" 2202384","CARBAMAZEPINE FREE","LAB","80157",132]
[" 2202386","CAARBAMAZEPINE-10  11-EPOXIDE","LAB","80299",189]
[" 2202403","S. CEREVISIAE AB IGA","LAB","86671",131]
[" 2202412","ALPHA FETOPROTEIN SCREEN MATERNAL","LAB","82105",113]
[" 2202417","CHROMOGRANIN A SERUM","LAB","86316",119]
[" 2202432","TESTOSTERONE FREE","LAB","84402",180]
[" 2202435","TESTOSTERONE FEMALE/CHILD","LAB","84403",218]
[" 2202437",".BORDETELLA PCR","LAB","87801",326]
[" 2202440","CHLORIDE  BLOOD","LAB","82435",43]
[" 2202465","CHOLESTEROL","LAB","82465",67]
[" 2202466","CHOLESTEROL BODY FLUID","LAB","84999",96]
[" 2202476","GLUCOSE 1 HOUR GEST","LAB","82952",49]
[" 2202499","OXYCODONE CONFIRM URINE","LAB","80365",306]
[" 2202511","CCP ANTIBODIES","LAB","86200",147]
[" 2202520","SIROLIMUS (RAPAMUNE)","LAB","80195",362]
[" 2202525","COPPER  SERUM","LAB","82525",179]
[" 2202530","NEWBORN CYSTIC FIBROSIS","LAB","83516",152]
[" 2202531","NEWBORN ADRENAL HYPERPLAS","LAB","83498",199]
[" 2202533","HEMOCHROMATOSIS HFE GENE","LAB","81256",548]
[" 2202534","CORTISOL FREE 24 HOUR URINE","LAB","82530",172]
[" 2202535","COSYNTROPIN STIMULATION TEST","LAB","82533",410]
[" 2202538","FRUCTOSAMINE","LAB","82985",97]
[" 2202542","BILE ACID PROFILE SERUM","LAB","82542",366]
[" 2202550","CK","LAB","82550",88]
[" 2202551","CK BODY FLUID","LAB","82550",88]
[" 2202565","CREATININE","LAB","82565",57]
[" 2202566","SERUM CREATININE FOR CREA CLEARANCE","LAB","82565",0]
[" 2202570","CREATININE URINE RANDOM","LAB","82570",71]
[" 2202571","CREATININE 24 HR URINE","LAB","82570",71]
[" 2202572","CREATININE BODY FLUID","LAB","82570",71]
[" 2202575","CREATININE CLEARANCE","LAB","82575",109]
[" 2202596","FIBRO-TEST-ACTITEST, SERUM","LAB","81596",422]
[" 2202610","CYSTATIN C W/ GFR","LAB","82610",71]
[" 2202614","ENDOMYSIAL AB  IGA SERUM","LAB","86256",241]
[" 2202617","GLOMERULAR BASEMENT MEMBRANE IgG AB","LAB","82951",212]
[" 2202618","LYME DISEAESE AB, IMMUNOBLOT SERUM","LAB",null,0]
[" 2202619",".LYME IGG IMMUNOBLOT","LAB","86617",113]
[" 2202620",".LYME IGM IMMUNOBLOT","LAB","86617",113]
[" 2202622","BNP","LAB","83880",464]
[" 2202625","T3 FREE","LAB","84481",196]
[" 2202626","T3  TOTAL","LAB","84480",114]
[" 2202627","HOMOCYSTEINE PLASMA","LAB","83090",204]
[" 2202628","HIV 1/2 ANTIBODY EVAL","LAB","86703",97]
[" 2202632","ANTINUCLEAR ANTIBODIES","LAB","86038",101]
[" 2202633","ANA W/ REFLEX (ANAlyzer)","LAB","86038",156]
[" 2202634","IGF BINDING PROTEIN 3","LAB","84305",212]
[" 2202643","VON WILLEBRAND FACTOR ANTIGEN","LAB","85246",266]
[" 2202644","ORGANIC ACIDS URINE","LAB","83919",167]
[" 2202646","AMINO ACIDS  QUAN","LAB","82139",457]
[" 2202650","FECAL FAT RANDOM","LAB","82705",228]
[" 2202652","VITAMIN D 1 25 DIHYDROXY","LAB","82652",346]
[" 2202655","PHENYTOIN","LAB","80185",132]
[" 2202656","PHENOBARBITAL","LAB","80184",134]
[" 2202661","VALPROIC ACID","LAB","80164",143]
[" 2202671","ESTRADIOL","LAB","82670",156]
[" 2202675","EBV (EPSTEIN-BARR) PANEL","LAB",null,0]
[" 2202677","TISSUE TRANSGLUTAMINASE IGA","LAB","83516",149]
[" 2202682","IGA IMMUNOGLOBULIN","LAB","82784",101]
[" 2202691","T3 UPTAKE","LAB","84479",88]
[" 2202697","WEST NILE VIRUS IGM ABS","LAB","86788",122]
[" 2202698","WEST NILE VIRUS IGG ABS","LAB","86789",121]
[" 2202699","HSV 1&2 ABS IGG SERUM","LAB",null,0]
[" 2202700","PHOSPHOLIPASE A2 RECEPTER ABS","LAB",null,0]
[" 2202701","PHOSPHOLIPASE A2 RECEPTOR IFA CHARGE","LAB","83520",353]
[" 2202702","PHOSPHOLIPASE A2 RECEPTOR ELISA CHARGE","LAB","86255",353]
[" 2202703","ALPHA-1 ANTITRYPSIN","LAB","82103",138]
[" 2202704","HISTONE ANTIBODY IGG","LAB","83516",162]
[" 2202708","HEPATITIS A IGG ANTIBODY","LAB","86708",127]
[" 2202717","CHLAMYDIA/GC BY AMP DNA","LAB",null,209]
[" 2202724","HEPATITIS B CORE TOTAL ANTIBODIES","LAB","86704",116]
[" 2202725","ESTROGENS  FRACTIONATED","LAB",null,181]
[" 2202726","ESTRONE (E1) SERUM","LAB","82679",146]
[" 2202727","ESTRADIOL (E2)  SERUM (DON'T ORDER)","LAB","82670",164]
[" 2202728","TISSUE TRANS IGA/IGG AB","LAB",null,192]
[" 2202729","TISSUE TRANS IGG ANTIBODY","LAB","83516",149]
[" 2202732","VITAMIN D  25 HYDROXY","LAB","82306",184]
[" 2202735","ALDOLASE  SERUM","LAB","82085",96]
[" 2202736","CYCLOSPORINE","LAB","80158",184]
[" 2202740","ARSENIC 24 HR URINE","LAB","82175",111]
[" 2202751","CITRATE 24 HR URINE","LAB","82507",209]
[" 2202753","EBV IGG AG EARLY ANTIGEN","LAB","86663",129]
[" 2202770","IMMUNOGLOBULIN D","LAB","82784",90]
[" 2202774","LEGIONELLA ANTIBODY","LAB","86713",118]
[" 2202783","CELIAC DISEASE SEROLOGY CASCADE","LAB","82784",90]
[" 2202784","GAMMAGLOBULIN IGA IGD IGG IGM","LAB","82784",90]
[" 2202785","IGE IMMUNOGLOBULIN","LAB","82785",121]
[" 2202786","RESPIRATORY PROFILE REGION 11","LAB","82785",113]
[" 2202792","CELIAC ASSOCIATED HLA-DQ ALPHA","LAB","81376",268]
[" 2202794","CELIAC ASSOCIATED HLA DQ BETA","LAB","81376",268]
[" 2202798","MERCURY  URINE","LAB","83825",156]
[" 2202800","STACHYBOTRYS PANEL II ABS","LAB",null,0]
[" 2202801","METHYLMALONIC ACID URINE","LAB","83921",337]
[" 2202812","OXALATE 24 HR URINE","LAB","83945",129]
[" 2202813","PARVOVIRUS B19 ABS IgG & IgM","LAB",null,0]
[" 2202814","PARVOVIRUS B19 AB  IGG","LAB","86747",120]
[" 2202815","IGM","LAB","82784",90]
[" 2202816","PARVOVIRUS B19 AB  IGM  S","LAB","86747",120]
[" 2202825",".MERCURY HEAVY METAL CHARGE","LAB","83825",167]
[" 2202857","ZINC  SERUM","LAB","84630",113]
[" 2202891","ARTERIAL BLOOD GAS","LAB","82803",213]
[" 2202892","SJOGREN'S ANTI SS-A","LAB","86235",109]
[" 2202893","SJOGREN'S ANTI SS-B","LAB","86235",109]
[" 2202898","HEAVY METALS SCREEN BLOOD","LAB",null,0]
[" 2202899","PROTEIN C ANTIGEN","LAB","85302",244]
[" 2202900","VENOUS BLOOD GAS","LAB","82803",213]
[" 2202905","THYROID ANTIBODIES","LAB",null,0]
[" 2202908","INSULIN  FREE","LAB","83527",138]
[" 2202910","ANCA (CYTOPLASMIC NEUTROPHIL ANTIBODIES)","LAB","83516",149]
[" 2202911","PR3 IGG ANTIBODY","LAB","83516",149]
[" 2202912","MPO ANCA","LAB","83516",152]
[" 2202918","JO 1 ANTIBODIES  IGG  SERUM","LAB","86235",112]
[" 2202941","GASTRIN SERUM","LAB","82941",178]
[" 2202944","CMV IGM ANTIBODY","LAB","86645",132]
[" 2202947","GLUCOSE BODY FL","LAB","82945",63]
[" 2202950","GTT 2 HOUR  75g POST PRANDIAL (GDM)","LAB",null,0]
[" 2202954","URINE GLUCOSE","LAB","82945",63]
[" 2202955","GLUCOSE 6 PHOSPHATE DEHYDROGENASE","LAB","82955",0]
[" 2202957","GLUCOSE 3 HOUR","LAB","82952",49]
[" 2202977","GGT","LAB","82977",66]
[" 2202983","METANEPHRINES  24HR URINE","LAB","83835",232]
[" 2202985","SMOOTH MUSCLE ANTIBODIES","LAB","86255",144]
[" 2202987","ANTISTREPTOLYSIN O TITER","LAB","86060",85]
[" 2202997","HCG QUANTITATIVE","LAB","84702",135]
[" 2203005","MONOCLONAL TOTAL PROTEIN","LAB","84156",65]
[" 2203006","MONO PROTEIN E'PHORESIS","LAB","84166",123]
[" 2203007","MONOCLONAL IMMUNOFIXATION","LAB","86335",189]
[" 2203009","METANEPHRINES FRACTIONATED RAN","LAB","83835",92]
[" 2203010","HAPTOGLOBIN","LAB","83010",214]
[" 2203012","ACH RECEPTOR (MUSCLE) BINDING ANTIBODY","LAB","83519",278]
[" 2203014","ACH RECEPTOR 9MUSCLE0 MODULATI","LAB","83519",278]
[" 2203016","STRIATIONAL AB S","LAB","82520",98]
[" 2203018","ACHR GANGLIONIC NEURONAL AB S","LAB","83519",278]
[" 2203020","NEURONAL K+ CHANNEL AB  S","LAB","83519",278]
[" 2203022","IMMUNOGLOBULIN FREE LT CHAINS,SERUM","LAB",null,0]
[" 2203023","KAPPA FREE LIGHT CHAIN","LAB","83520",144]
[" 2203024","LAMBDA FREE LIGHT CHAIN","LAB","83520",144]
[" 2203069","TISSUE TRANSGLUTAMINASE AB IGA","LAB","83516",152]
[" 2203071","AMIODARONE","LAB","80299",213]
[" 2203078","CHLORIDE  URINE","LAB","82436",129]
[" 2203086","CMV DNA QUANT RAPID PCR","LAB","87497",505]
[" 2203098","HEPATITIS A IGM ANTIBODY","LAB","86709",127]
[" 2203104","REDUCING SUBSTANCE FECES","LAB","84376",257]
[" 2203112","TTGG","LAB","83516",137]
[" 2203144","PROINSULIN PLASMA","LAB","84206",207]
[" 2203157","Q FEVER ANTIBODY  IGG & IGM","LAB",null,0]
[" 2203158","Q FEVER ANTIBODY  IGG","LAB","86638",156]
[" 2203159","Q FEVER ANTIBODY  IGM","LAB","86638",154]
[" 2203169","BENZODIAZEPINE CONF URINE","LAB","80346",148]
[" 2203177","CHARGE URINE PROTEIN E'PHORESIS","LAB",null,0]
[" 2203178","CHARGE ONLY -PROTEIN TOTAL URINE","LAB","84156",72]
[" 2203179","PROTEIN ELECTROPHORESIS 24 HR URINE","LAB","84166",123]
[" 2203192","FRANCISELLA TULARENSIS AB IGM & IGG ELIS","LAB","86000",257]
[" 2203193","OSMOTIC GAP F","LAB","84999",30]
[" 2203195","FRANCISELLA TULARENSIS AB (DO NOT ORDER)","LAB","86668",86]
[" 2203196","FRANCISELLA TULARENSIS B","LAB","86000",240]
[" 2203255","HERPES SIMPLEX VIRUS TYPE 2","LAB","86696",125]
[" 2203274","NICOTINE AND METABOLITES SERUM","LAB","80323",174]
[" 2203279","ENTAMOEBA HISTOLYTICA ANTIBODY","LAB","86753",132]
[" 2203297","HPV HIGH RISK","LAB","87624",94]
[" 2203298","HPV LOW RISK","LAB","87623",94]
[" 2203303","C-REACTIVE PROTEIN  HIGH SENSI","LAB","86141",106]
[" 2203314","LIVER/KIDNEY MICROSOME AB","LAB","86376",117]
[" 2203315","ACH RECEPTOR (MUSCLE) BINDING","LAB","83519",278]
[" 2203318","ACH RECEPTOR MUSCLE MODULATING AB","LAB","83519",278]
[" 2203319","MUSK AUTOANTIBODY","LAB","83519",972]
[" 2203320","OTHER THAN INFECTIOUS AGENT AN","LAB","83520",164]
[" 2203323","PARATHYROID HORMONE  (DON'T ORDER)","LAB","83970",98]
[" 2203327","MYASTHENIA GRAVIS (MG) EVAL W/ MuSK REFL","LAB",null,0]
[" 2203335","EXTRACTABLE NUCLEAR AG EVAL","LAB",null,0]
[" 2203369","SHIGA TOXIN 1 CHARGE","LAB","87427",103]
[" 2203373","CORTISOL  SALIVA","LAB","82530",172]
[" 2203378","PARANEOPLASTIC ANTIBODIES","LAB",null,603]
[" 2203379","ANNA  TYPE1","LAB","86256",132]
[" 2203380","CODFISH IGE","LAB","86003",46]
[" 2203381","CRAB  IGE","LAB","86003",46]
[" 2203382","SHRIMP  IGE","LAB","86003",46]
[" 2203383","TUNA IGE","LAB","86003",46]
[" 2203384","LOBSTER  IGE","LAB","86003",46]
[" 2203385","PCA  TYPE TR","LAB","86256",132]
[" 2203386","AMPHIPHYSIN","LAB","86256",132]
[" 2203387","CRMP-5-IGG","LAB","86256",132]
[" 2203388","STRIATED MUSCLE ANTIBODY","LAB","83520",154]
[" 2203389","PCA  TPYE2","LAB","83519",194]
[" 2203390","N-TYPE CA CHANNEL AB","LAB","83519",194]
[" 2203391","ACHR BINDING ANTIBODY","LAB","83519",194]
[" 2203392","ACHR GANGLIONIC NEURO AB","LAB","83519",194]
[" 2203393","ANNA TYPE2","LAB","86256",132]
[" 2203394","TRYPTASE  SERUM","LAB","83520",164]
[" 2203395","ANNA  TYPE 3","LAB","86256",132]
[" 2203396","SEAFOOD ALLERGEN PROFILE","LAB",null,120]
[" 2203397","AGNA  TYPE 1","LAB","86256",132]
[" 2203398","BK VIRUS DNA BY RAPID PCR","LAB","87799",270]
[" 2203399","PCA  TYPE 1","LAB","86256",132]
[" 2203400","CRYOGLOBULIN(DON'T ORDER)","LAB","82595",93]
[" 2203401","CRYOFIBRINOGEN","LAB","82585",93]
[" 2203402","INFLAMMATORY BOWEL DISEASE SEROLOGY","LAB",null,0]
[" 2203404","S. CEREVISIAE AB IGG","LAB","86671",307]
[" 2203405","PCA  TPYE2","LAB","86256",132]
[" 2203408","NEUTROPHIL SPECIFIC ANTIBODIES","LAB","86255",144]
[" 2203409","IMMUNOGLOBULINS PANEL IGG, IGA, IGM","LAB","82784",0]
[" 2203410","IGG","LAB","82784",90]
[" 2203411","IGA","LAB","82784",90]
[" 2203412","IGM","LAB","82784",90]
[" 2203455","T4 TOTAL","LAB","84436",75]
[" 2203462","ARGININE VASOPRESSIN HORMONE","LAB","84588",201]
[" 2203480","TSH","LAB","84443",144]
[" 2203497","24 HR 5-HIAA URINE","LAB","83497",140]
[" 2203498","17-HYDROXYPROGESTERONE","LAB","83498",174]
[" 2203516","ANTI- LC1","LAB","86376",226]
[" 2203519","21-HYDROXYLASE ANTIBODIES","LAB","83519",348]
[" 2203520","ANTI-SLA","LAB","83520",177]
[" 2203525","INSULIN","LAB","83525",129]
[" 2203544","ADOMPS 13 INHIBITOR","LAB","83540",304]
[" 2203545","IRON","LAB","83540",61]
[" 2203550","IRON BINDING CAPACITY","LAB","83550",77]
[" 2203551","IRON AND TIBC","LAB",null,0]
[" 2203579","CYSTINE QUANTITATIVE URINE","LAB","82131",248]
[" 2203584","COAGULATION FACTOR II ACTIVITY","LAB","85210",179]
[" 2203605","LACTIC ACID","LAB","83605",150]
[" 2203606","LACTIC ACID (POC)","LAB","83605",150]
[" 2203607","PSA TOTAL & FREE","LAB",null,0]
[" 2203608","PSA TOTAL RWMC","LAB","84153",116]
[" 2203609","PSA FREE CHARGE","LAB","84154",157]
[" 2203610","NOROVIRUS PCR FECES","LAB",null,0]
[" 2203611","NOROVIRUS G1 PCR","LAB","87798",403]
[" 2203612","NOROVIRUS G2 PCR","LAB","87798",403]
[" 2203615","LDH","LAB","83615",66]
[" 2203631","LDH  BODY FLUID","LAB","83615",66]
[" 2203655","LEAD  BLOOD CAPILLARY","LAB","83655",73]
[" 2203656","LEAD  BLOOD VENOUS","LAB","83655",73]
[" 2203667","VIRAL CULTURE  RESPIRATORY TIS","LAB","87252",194]
[" 2203668","SULFATE  URINE","LAB","84392",147]
[" 2203669","PAROXETINE SERUM","LAB","80299",205]
[" 2203690","LIPASE","LAB","83690",167]
[" 2203691","DAILY LIPASE","LAB","83690",167]
[" 2203694","HANTAVIRUS IGG/IGM","LAB",null,0]
[" 2203695","HANTAVIRUS AB IGG ELISA","LAB","86790",197]
[" 2203696","HANTAVIRUS AB IGM ELISA","LAB","86790",197]
[" 2203725","LITHIUM","LAB","80178",97]
[" 2203740","MAGNESIUM","LAB","83735",93]
[" 2203741","DAILY MAGNESIUM","LAB","83735",93]
[" 2203783","MAGNESIUM  RANDOM  UR","LAB","83735",25]
[" 2203784","MAGNESIUM  24 HR URINE","LAB","83735",77]
[" 2203819","CARBOXY-THC CONFIMATION  UR","LAB","80349",125]
[" 2203821","FECAL WBC ANTIGEN","LAB","83630",93]
[" 2203840","VITAMIN A","LAB","84590",148]
[" 2203845","VITAMIN B1  PLASMA","LAB","84425",240]
[" 2203848","PROTEIN ELECTROPHORESIS, SERUM","LAB",null,0]
[" 2203849","PROTEIN  TOTAL  PLASMA","LAB","84155",48]
[" 2203850","ELECTROPHORESIS  PROTEIN (CH)","LAB","84165",114]
[" 2203853","PCP CONFIRMATION  UR","LAB","83992",157]
[" 2203876","LAMOTRIGINE(DON'T ORDER)","LAB","80299",295]
[" 2203880","DON'T ORDER - PROTEIN MONO","LAB",null,0]
[" 2203881","AMIODARONE SERUM","LAB","80299",205]
[" 2203883","C1 ESTERASE INHIBITOR ANTIGEN","LAB","83883",175]
[" 2203884","C1 ESTERASE INHIBITOR FUNCTIONAL ASSAY","LAB","83520",215]
[" 2203888","BRUCELLA AB SCREEN  IGG AND IGM","LAB","86622",0]
[" 2203889","BRUCELLA AB SCREEN  IGG","LAB","86622",74]
[" 2203890","BRUCELLA AB SCREEN  IGM S","LAB","86622",74]
[" 2203916","STRIATIONAL ANTIBODIES","LAB","83520",164]
[" 2203920","MUSCLE-SPECIFIC KINASE AUTOANI","LAB","83519",966]
[" 2203930","OSMOLATLITY  SERUM","LAB","83930",93]
[" 2203935","OSMOLALITY  URINE","LAB","83935",93]
[" 2203936","SUPER SATURATION PROFILE 24 HR URINE","LAB",null,0]
[" 2203944","FIBRINOLYSINS INTERP AND REPORT CHARGE","LAB","85390",134]
[" 2203966","HPVHL HGH AND LOW RISK","LAB",null,0]
[" 2203986","PH  BODY FLUID","LAB","83986",86]
[" 2203991","CORTISOL FREE RANDOM URINE","LAB","82530",172]
[" 2204001","QUANTIFERON-TB GOLD","LAB","86480",250]
[" 2204029","TREPONEMA PALLIDUM","LAB","86780",87]
[" 2204046","DRVVT","LAB","85613",122]
[" 2204067","GENTAMYCIN  RANDOM","LAB","80170",146]
[" 2204075","ALP","LAB","84075",45]
[" 2204100","PHOSPHORUS","LAB","84100",48]
[" 2204104","PHOSPHORUS  24 HR URINE","LAB","84105",66]
[" 2204106","PHOSPHOROUS RANDOM URINE","LAB","84105",66]
[" 2204132","POTASSIUM  24 HR URINE","LAB","84133",60]
[" 2204135","POTASSIUM  BODY FL","LAB","84999",96]
[" 2204140","POTASSIUM","LAB","84132",46]
[" 2204145","PROCALCITONIN","LAB","84145",121]
[" 2204155","TOTAL PROTEIN","LAB","84155",48]
[" 2204162","SELENIUM","LAB","84255",188]
[" 2204182","TOBRAMYCIN (TROUGH)","LAB","80200",148]
[" 2204186","BARBITURATE CONFIRM UR","LAB","80345",132]
[" 2204231","DHEA SULFATE","LAB","82627",161]
[" 2204235","INSULIN-LIKE GROWTH FACTOR-1 MS","LAB","84305",295]
[" 2204242","SALICYLATE","LAB","80329",126]
[" 2204244","RENIN ACTIVITY","LAB","84244",183]
[" 2204259","REPTILASE PLASMA","LAB","85635",268]
[" 2204270","SHBG","LAB","84270",138]
[" 2204295","SODIUM","LAB","84295",45]
[" 2204299","SODIUM  24 HR URINE","LAB","84300",65]
[" 2204300","SODIUM  RANDOM URINE","LAB","84300",54]
[" 2204304","JAK2 GENE V617F (ABN)","LAB","81270",843]
[" 2204305","POLYCYTHEMIA VERA JAK2 V617F W/ REFLEX","LAB","81270",843]
[" 2204311","PORPHYRINS, TOTAL PLASMA","LAB","84311",190]
[" 2204324","HISTOPLASMA CAPSULATUM ANTIBOD","LAB","86698",124]
[" 2204330","GLUCOSE","LAB","82947",51]
[" 2204331","CSF GLUCOSE","LAB","82945",63]
[" 2204340","CALCIUM  24 HR URINE","LAB","82340",71]
[" 2204403","TESTOSTERONE TOTAL MALE ONLY","LAB","84403",169]
[" 2204420","THEOPHYLLINE","LAB","80198",117]
[" 2204421","BORDETELLA PERTUSSIS AB IGG","LAB","86615",101]
[" 2204422","BORDETELLA PERTUSSIS AB IGA","LAB","86615",101]
[" 2204423","BORDETELLA PERTUSSIS AB IGM","LAB","86615",101]
[" 2204426","PARASITIC EXAMINATION","LAB",null,0]
[" 2204427","CONCENTRATION INFECTIOUS AGENT","LAB","87177",47]
[" 2204428","COMPLEX STAIN OVA PARASITES","LAB","87209",95]
[" 2204429","LEVETIRACETAM  SERUM","LAB","80299",229]
[" 2204432","THYROGLOBULIN MASS SPECTOMETRY","LAB","84432",142]
[" 2204436","TOPIRAMATE SERUM","LAB","80201",236]
[" 2204439","T4 FREE","LAB","84439",123]
[" 2204445","THYROID STIMULATING IMMUNOGLOBULIN","LAB","84445",426]
[" 2204450","AST","LAB","84450",62]
[" 2204455","BORDETELLA PERTUSSIS AB IGA,IGG,IGM","LAB",null,0]
[" 2204460","ALT","LAB","84460",46]
[" 2204475","TRIGLYCERIDE","LAB","84478",61]
[" 2204477","TRIGLYCERIDE BODY FL","LAB","84478",61]
[" 2204518","PROTEIN ELECTROPHORESIS URINE","LAB","84166",123]
[" 2204520","BUN (BLOOD UREA NITROGEN)","LAB","84520",50]
[" 2204528","COAG FACTOR VII ASSAY","LAB","85230",249]
[" 2204531","SEROTONIN  24HR U","LAB","84260",120]
[" 2204541","UREA  24 HOURE URINE","LAB","84540",66]
[" 2204542","CD4 COUNT","LAB",null,0]
[" 2204543","T-CELL TOTAL COUNT","LAB","86359",72]
[" 2204544","ABSOLUTE CD4/CD8","LAB","86360",229]
[" 2204555","URIC ACID","LAB","84550",54]
[" 2204556","URIC ACID BODY FL","LAB","84560",66]
[" 2204560","URIC ACID  RANDOM URINE","LAB","84560",66]
[" 2204562","URIC ACID  24 HR URINE","LAB","84560",66]
[" 2204579","LUPUS ANICOAGULANT PROFILE","LAB",null,0]
[" 2204581","DRVVT MIX & CONFIRM CHARGE","LAB","85613",188]
[" 2204582","APTTB","LAB","85730",88]
[" 2204583","CHARGE STACLOT","LAB","85598",136]
[" 2204585","VANILLYLMANDELIC ACID","LAB","84585",161]
[" 2204593","CALPROTECTIN FECES","LAB","83993",409]
[" 2204625","PROTEINASE 3 ABS IGG","LAB","83516",152]
[" 2204626","INSULIN (HUMAN)  IGE","LAB","86003",52]
[" 2204628","PIGEON BREEDERS DISEASE","LAB","86001",98]
[" 2204630","VITAMIN B6 PROFILE (PLP & PA)","LAB",null,0]
[" 2204632","VITAMIN B 6","LAB","84207",134]
[" 2204634",".VITAMIN B 6  PYRIDOXIC ACID","LAB","82542",366]
[" 2204646","HISTOPLASMA AG URINE","LAB","87385",327]
[" 2204681","C-PEPTIDE","LAB","84681",138]
[" 2204693","MANGANESE","LAB","83785",181]
[" 2204694","ECHINOCOCCUS ANTIBODY (IGG)  E","LAB","86682",167]
[" 2204695","GENTAMYCIN (PEAK)","LAB","80170",146]
[" 2204696","GENTAMYCIN (TROUGH)","LAB","80170",146]
[" 2204700","PORPHOBILINOGEN","LAB","84110",135]
[" 2204703","GONADOTROPIN CHORIAONIC (HCG)","LAB","84703",112]
[" 2204705","THROMBOPHILIA PROFILE","LAB",null,0]
[" 2204706","STREP PNEUMO SEROTYPES","LAB",null,0]
[" 2204711","ANTITHROMBIN ACTIVITY","LAB","85300",161]
[" 2204714","ACT PROTEIN RESISTANCE","LAB","85307",227]
[" 2204715","SOLUABLE FIBRIN MONOMER","LAB","85366",141]
[" 2204738","VON WILLEBRAND FACTOR ACTIVITY","LAB","85397",77]
[" 2204740","RISTOCETIN COFACTOR  PLASMA","LAB","85245",112]
[" 2204750","CYTOCHROME P450 2D6 COMPREHENS","LAB","81226",862]
[" 2204752","LAGU","LAB","81268",118]
[" 2204757","PARATHYROID HORMONE, INTACT","LAB","83970",244]
[" 2204758","PTH RELATED PEPTIDE","LAB","82397",151]
[" 2204760","CLONAZEPAM  SERUM","LAB","80346",120]
[" 2204782","NEURONAL VGKC AUTO-AB","LAB","83519",194]
[" 2204788","APPTT MIX 1:1","LAB","85732",76]
[" 2204803","PANCREATIC ELASTASE STOOL","LAB","82656",382]
[" 2204817","ELECTROPHORESIS  PROTEIN URINE (CH)","LAB",null,118]
[" 2204819","ZPROTEIN  TOTAL  RANDOM  URINE CHARGE","LAB","84156",65]
[" 2204820","ZZPROTEIN/CREATININE RATIO, URINE","LAB",null,0]
[" 2204873","RESPIRATORY PROFILE  REGION 9","LAB",null,681]
[" 2204933","CHLAMYDIA TRACHOMATIS AND NEIS","LAB",null,140]
[" 2204934","CHLAMYDIA TRACHOMATIS AMPLIFIE","LAB","87491",129]
[" 2204935","NEISSERIA GONORRHOEAE AMPLIFIE","LAB","87591",119]
[" 2204936","ORGANISM IDENT AEROBIC BEC","LAB","87077",95]
[" 2204981","VITAMIN B1  THIAMINE  WHOLE BL","LAB","84425",105]
[" 2204985","PHOSPHOLIPID (CARDIOLIPIN) ABS IGG/IGM","LAB",null,0]
[" 2204986","PHOSPHLIPID ABS IFF","LAB","86147",111]
[" 2204987","PHOSPHOLIPID ABS IGM","LAB","86147",111]
[" 2204990","HEPATITIS C VIRUS GENOTYPING","LAB","87902",742]
[" 2204995","PREALBUMIN","LAB","84134",121]
[" 2205007","EPO","LAB","82668",182]
[" 2205060","BLOOD SMEAR PERIPHERAL","LAB","85060",65]
[" 2205106","PLATELET COUNT","LAB","85049",60]
[" 2205107","MYCOBACTERIAL CULTURE","LAB","87116",161]
[" 2205230","FACTOR VII ACTIVITY","LAB","85230",93]
[" 2205241","FACTOR VIII ACTIVITY ASSAY","LAB","85240",393]
[" 2205242","COAG FACTOR XI ASSAY  P","LAB","85270",98]
[" 2205243","COAG FACTOR XII ACTIVITY ASSAY","LAB","85280",95]
[" 2205247","VON WILLEBRAND FACTOR MULTIMER","LAB","85247",161]
[" 2205263","DILUTE RUSSELL VIPER VENOM TIM","LAB","85613",153]
[" 2205264","DILUTE RUSSELL VIPER VENOM TIM","LAB","85613",153]
[" 2205265","EVEROLIMUS","LAB","80169",81]
[" 2205267","HEMOSIDERIN URINE","LAB","83070",105]
[" 2205268","HOMOCYSTEINE SERUM","LAB","83090",207]
[" 2205281","ELECTROLYTE AND OSMOLALITY PANEL, STOOL","LAB",null,0]
[" 2205282","SODIUM F","LAB","84302",46]
[" 2205283","POTASSIUM URINE RANDOM","LAB","84133",67]
[" 2205284","CHLORIDE  F","LAB","82438",78]
[" 2205285","OSMOLALITY  F","LAB","84999",30]
[" 2205286","MAGNESIUM F","LAB","83735",75]
[" 2205287","PHOSPHORUS FLUID","LAB","84999",68]
[" 2205288","POTASSIUM F","LAB","84999",46]
[" 2205300","ANTITHROMBIN III","LAB","85300",161]
[" 2205303","LAMOTRIGINE","LAB","80175",94]
[" 2205305","PHOSPHOLIPID ABS (CARDIOLIPIN) IGA","LAB","86147",180]
[" 2205308","OXCARBAZEPINE METABOLITE SERUM","LAB","80183",127]
[" 2205335","ALK PHOS TOTAL & ISOENZYMES","LAB","84080",226]
[" 2205336","MYCOBACTERIAL CULTURE  BLOOD","LAB","87116",161]
[" 2205375","FIBRINOGEN","LAB","85384",100]
[" 2205376","OPIATE CONFIMATION  URINE","LAB","80361",113]
[" 2205377","OPIATE 1 OR MORE ADD ON","LAB","80361",58]
[" 2205378","OXYCODONE ADD ON CHG","LAB","80365",57]
[" 2205396","THYROGLOBULIN TUMOR MARKER","LAB","84432",139]
[" 2205397","ANA SCREEN IFA W/ REFLEX TITER/PATTERN","LAB","86038",61]
[" 2205398","THYROGLOBULIN ANTIBODY SCREEN","LAB","86800",109]
[" 2205401","THYROGLOBULIN TUMOR MARKER (DON'T ORDER)","LAB",null,0]
[" 2205469","RESPIRATORY PANEL BIOFIRE W/ SARS CoV-2","LAB","0202U",1126]
[" 2205470","RESP VIRUS 12-25 TARGETS","LAB","87633",776]
[" 2205471","BORDETELLA PERTUSSIS PCR","LAB","87798",117]
[" 2205472","CHLAMYDOPHILA PNEUMONIAE","LAB","87486",117]
[" 2205473","MYCOPLASMA PNEUMONIA","LAB","87581",131]
[" 2205502","LEGIONELLA GUAN","LAB","87798",236]
[" 2205545","COCAINE CONF  U","LAB","80353",123]
[" 2205546","AMPHETAMINES CONFIRMATION URINE","LAB","80324",136]
[" 2205547","AMPHETAMINE BY LC-MS/MS","LAB","80324",72]
[" 2205548","MDMA","LAB","80359",70]
[" 2205549","LYSOZYME SERUM","LAB","85549",82]
[" 2205550","GABAPENTIN UR","LAB","80307",180]
[" 2205551","FENTANYL SCREEN, URINE","LAB","80307",228]
[" 2205562","GI PATHOGEN PANEL","LAB","0097U",781]
[" 2205567",".FUNGAL ANTIBODIES BY ID CHARGE","LAB",null,164]
[" 2205575","TRAMADOL UR","LAB","80373",121]
[" 2205603","TICK -BORNE DISEASE AB PANEL","LAB",null,0]
[" 2205604","EHRLICHIA CHAFFEENSIS AB  IGG","LAB","86666",163]
[" 2205605","ANAPLASMA PHAGOCYTOPHILUM AB","LAB","86666",163]
[" 2205606","BABESIA MICROTI IGG AB","LAB","86753",55]
[" 2205607","LYME DISEASE SEROLOGY","LAB","86618",211]
[" 2205608","TICK-BORNE PANEL PCR","LAB","87798",305]
[" 2205612","COMPLEMENT TOTAL SERUM","LAB","86162",157]
[" 2205620","ANTI-XA LMWH","LAB","85520",111]
[" 2205670","THROMBIN TIME (DON'T ORDER)","LAB","85670",72]
[" 2205700","PSA DIAGNOSTIC","LAB","84153",126]
[" 2205729","HSV 1&2 PCR (SOURCE VARIES)","LAB","87529",192]
[" 2205732","HEMOGLOBIN A1C","LAB","83036",91]
[" 2205752","GLUTEN IGE","LAB","86003",52]
[" 2205881","BCID PERFORMED","LAB","87150",36]
[" 2205903","PT MIX 1:1","LAB","85611",76]
[" 2206000","BRCA1/BRCA2 GENES, FULL ANALYSIS","LAB","81206",2424]
[" 2206003","ALLERGEN SPECIFIC IGE","LAB","86003",44]
[" 2206004","HOUSE DUST MITES/DP IGE","LAB","86003",44]
[" 2206005","HOUSE DUST MITES/DF IGE","LAB","86003",44]
[" 2206006","CAT EPITHELIUM IGE","LAB","86003",44]
[" 2206007","DOG DANDER IGE","LAB","86003",44]
[" 2206008","BERMUDA GRASS  IGE","LAB","86003",44]
[" 2206009","TIMOTHY GRASS IGE","LAB","86003",44]
[" 2206010","COCKROACH IGE","LAB","86003",44]
[" 2206011","PENICILLIUM IGE","LAB","86003",44]
[" 2206012","CLADOSPORIUM IGE","LAB","86003",44]
[" 2206013","ASPERGILLUS FUMIGATUS IGG ANTIBODIES","LAB","86003",97]
[" 2206014","ALTERNARIA TENUIS  IGE","LAB","86003",44]
[" 2206015","BOX ELDER/MAPLE S IGE","LAB","86003",44]
[" 2206016","GREY ALDER IGE","LAB","86003",44]
[" 2206017","MOUNTAIN CEDAR  IGE","LAB","86003",44]
[" 2206018","OAK IGE","LAB","86003",44]
[" 2206019","ELM IGE","LAB","86003",44]
[" 2206021","MULBERRY IGE","LAB","86003",44]
[" 2206022","OLIVE TREE IGE","LAB","86003",44]
[" 2206023","COTTONWOOD IGE","LAB","86003",44]
[" 2206024","SHORT RAGWEED  IGE","LAB","86003",44]
[" 2206025","MUGWORT IGE","LAB","86003",44]
[" 2206026","RUSSIAN THISTLE  IGE","LAB","86003",44]
[" 2206027","ROUGH PIGWEED  IGE","LAB","86003",44]
[" 2206028","RED SORREL IGE","LAB","86003",44]
[" 2206045","SCL70 AB  IG G S","LAB","86235",83]
[" 2206070","BRCA/ABL1 QUALITATIVE","LAB",null,0]
[" 2206081","CREA CALC","LAB","82570",28]
[" 2206082","PROTEIN  TOTAL","LAB","84156",63]
[" 2206083","PROTEIN/CREATININE RATIO, URINE","LAB",null,0]
[" 2206163","C3 COMPLEMENT","LAB","86160",93]
[" 2206164","C4 COMPLEMENT","LAB","86160",93]
[" 2206165","C1 Q COMPLEMENT FUNCTIONAL","LAB","86161",196]
[" 2206179","GLUCOSE TOLERANCE 1 HR (50mG GDM SCREEN)","LAB","82950",60]
[" 2206225","GLIADIN AB, IGA","LAB","83516",94]
[" 2206226","GLIADIN AB, IGG","LAB","83516",94]
[" 2206243","AFP TUMOR MARKER","LAB","82105",113]
[" 2206255","FLUORESCENT NON-INFEC AGENT AN","LAB","86255",144]
[" 2206256","PHOSPHOLIPASE A2 RECEPTOR IGG REFLEX TIT","LAB","86255",128]
[" 2206324","CMV IGG ABS","LAB","86644",118]
[" 2206329","TRANSFERRIN","LAB","84466",109]
[" 2206337","INSULIN ANTIBODIES SERUM","LAB","86337",228]
[" 2206341","ISLET ANTIGEN 2 (IA-2) ANTIBODY SERUM","LAB","86341",228]
[" 2206342","GLUTAMIC ACID DECARBOXYLASE AB ASSAY","LAB","86341",228]
[" 2206356","CD20 ON B CELLS","LAB","86356",209]
[" 2206403","CLOSTRIDIUM DIFFICILE","LAB","87324",159]
[" 2206404","C DIFF TOXIN BY PCR","LAB","87493",188]
[" 2206415","COLLECTION VENIPUNCTURE","LAB","36415",33]
[" 2206599","COLLECTION  ARTERIAL","LAB","36600",143]
[" 2206611","BARTONELLA AB IGG/IGM","LAB","86611",76]
[" 2206635","ANTIBODY COCCIDIOIDES","LAB","86635",83]
[" 2206687","HTLV1 & 2 ANTIBODIES, SERUM","LAB","86790",184]
[" 2206711","JC VIRUS Ab STRATIFY w/INDEX w/REFLEX","LAB","86711",68]
[" 2206738",".MYCOPLASMA PNEUMONIAE IGG","LAB","86738",113]
[" 2206739",".MYCOPLASMA PNEUMONIAE IGM","LAB","86738",113]
[" 2206740","MYCOPLASMA PNEUMONIAE IGG & IGM AB","LAB",null,0]
[" 2206769","SARS-CoV2, SPIKE AB, SEMI QUANT","LAB","86769",223]
[" 2206770","SARS COV2 TOTAL ANTIBODY","LAB","86769",223]
[" 2206776","TOXOPLASMA gondii AB IGM","LAB","86778",97]
[" 2206777","TOXOPLASMA gondii AB IGG","LAB","86777",126]
[" 2206778","TOXOPLASMA gondii AB IGG/IGM","LAB",null,0]
[" 2206812","HLA B27 BLOOD","LAB","86812",247]
[" 2206920","PARAINFLUENZA 1","LAB","87279",30]
[" 2206930","PARAINFLUENZA 2","LAB","87279",30]
[" 2206940","PARAINFLUENZA 3","LAB","87279",27]
[" 2206960","ADENOVIRUS","LAB","87260",27]
[" 2206970","HUMAN METASPNEWMOVIRUS","LAB","87299",27]
[" 2206980",".RESPIRATORY VIRUSES DFA","LAB",null,211]
[" 2207004","TESTOSTERONE FREE/TOTAL","LAB","84403",345]
[" 2207005","BETA 2 GLYCOPROTEIN IGG/IGM","LAB",null,0]
[" 2207006","BETA 2 GLYCOPROTEIN IGA","LAB","86146",434]
[" 2207072","DIRECT COOMBS IGG","LAB","86880",78]
[" 2207081","DIRECT COOMBS C3D","LAB","86880",75]
[" 2207086","ANTIBODY ABSORPTION","LAB","86978",169]
[" 2207252","VIRAL CULTURE NON RESPIRATORY","LAB","87252",194]
[" 2207331","CULT  BLOOD FOR FUNGUS","LAB","87103",79]
[" 2207334","CULTURE  CATHETER TIP","LAB","87070",112]
[" 2207378","GIARDIA/CRYPTOSPORIDIUM ANTIGEN","LAB","84403",0]
[" 2207379","CRYPTOSPORIDIUM","LAB","87328",133]
[" 2207380","GIARDIA EIA","LAB","87329",98]
[" 2207381","GIARDIA","LAB","87329",100]
[" 2207383","STREPTOCOCCUS B BACT AG","LAB","87899",123]
[" 2207385","INFECTIOUS AGENT ANTIGEN DETEC","LAB","87385",221]
[" 2207386","CULT  GARNERELLA VAG SCR","LAB","87081",73]
[" 2207393","EHEC SHIGA TOXIN 1&2","LAB",null,0]
[" 2207395","SHIGA TOXIN 2 CHARGE","LAB","87427",103]
[" 2207400","ASPERGILLUS FUMIGATUS IGE AB","LAB","86606",97]
[" 2207410","BLASTOMYCES AB","LAB","86612",66]
[" 2207420","COCCIDIOIDES ANTIBODY","LAB","86635",44]
[" 2207428","COVID SARS ANTIGEN & FLU A&B","LAB","87428",338]
[" 2207430","HISTOPLASMA ANTIBODY SERUM","LAB","87385",327]
[" 2207600","VOLATILE SCREEN UR","LAB","80320",121]
[" 2207635","COVID-19 PCR (STATE)","LAB","87635",0]
[" 2207661","TRICHOMONAS VAGINALIS","LAB","87661",0]
[" 2207798","VARICELLA ZOSTER VIRUS, PCR","LAB","87798",268]
[" 2207799","JC POLYOMA VIRUS DNA QN PCR","LAB","87799",270]
[" 2208018","MYCOPHENOLIC ACID SERUM","LAB","80180",78]
[" 2208185","ANTIBODY HERPES SIMPLEX TYPE1","LAB","86695",106]
[" 2208186","HERPES SIMPLEX 2 IGG","LAB","86696",106]
[" 2208196","SURG PATH GROSS ONLY","LAB","88300",72]
[" 2208203","IMMUNGLOBULIN FREE LIGHT CHAINS, SERUM","LAB",null,0]
[" 2208205","IMMUNOFIXATION (OBSELETE) ORDER MALD","LAB","86334",241]
[" 2208206","M-PROTEIN ISOTYPE MALDI-TOF-MS","LAB","86334",241]
[" 2208237","MUMPS IGM AB","LAB","86735",71]
[" 2208239","MUMPS IGG ANTIBODY","LAB","86735",155]
[" 2208324","ALBUMIN  BODY FLUID","LAB","82042",58]
[" 2208762","HPV HIGH RISK","LAB","87624",94]
[" 2208825","SHBG","LAB","84270",138]
[" 2209052","BFCNT CELL COUNT/DIFFERENTAL","LAB","89051",124]
[" 2209190","EOSINOPHILS-NASAL SECRETI","LAB","89190",46]
[" 2209816","KIT ASP816VAL MUTATION","LAB","81402",904]
[" 2209817","HISTAMINE PLASMA","LAB","83088",271]
[" 2209818","LEUKMS EACH ADDT'L MARKER","LAB","88185",44]
[" 2209819","LEUKMS 2-8 MARKERS","LAB","88187",437]
[" 2209820","LEUKMS 9-15 MARKERS","LAB","88188",437]
[" 2209821","LEUKMS 16 OR MORE MARKERS","LAB","88189",437]
[" 2209822","LEUKMS TC 1ST MARKER","LAB","88184",136]
[" 2209823","IMMUNOFIXATION SERUM","LAB","86334",145]
[" 2209824","MONOCLONAL PROTEIN RANDOM URINE PANEL","LAB",null,0]
[" 2209825","BHCG TUMOR MARKER","LAB","84702",135]
[" 2209827","F2 GENE ANAYSIS","LAB","81240",440]
[" 2209828","PROTEIN C ACTIVITY CHARGE","LAB","85303",207]
[" 2209829","PROTEIN S ANTIGEN FREE","LAB","85306",232]
[" 2209830","ACTIVATED PROTEIN RESISTANCE","LAB","85307",232]
[" 2209831","SOLUBLE FIBRIN MONOMER PARACOA","LAB","85366",141]
[" 2209832","SPECIAL COAGULATION INTERPRETA","LAB","85390",134]
[" 2209833","STACLOT CHARGE","LAB","85598",122]
[" 2209834","THROMBIN TIME","LAB","85670",82]
[" 2209835","AT ACTIVITY","LAB","85300",161]
[" 2209841","VOLATILE  SCREEN  BLOOD","LAB","84600",113]
[" 2209842","REGION 9","LAB","86003",624]
[" 2209843","ALLERGEN PED PROGRESSION PROFILE","LAB","86003",483]
[" 2209845","11 BETA PROSTAGLANDIN F2 ALPHA","LAB","84150",199]
[" 2209846","N-METHYLHISTAMINE 24 HR URINE","LAB","83789",133]
[" 2209847","CORTISOL FREE","LAB","82530",172]
[" 2209848","CORTISOL CORTISON QUANTITIVE E","LAB","83789",92]
[" 2209849","AEROBE ID BY SEQUENCING","LAB","87153",312]
[" 2209850","MYELOPEROXIDASE ANTIBODIES","LAB","83516",292]
[" 2209851",".IGE ASSAY","LAB",null,240]
[" 2209852","IMMOASSAY","LAB","86331",77]
[" 2209853","IGG","LAB","86001",38]
[" 2209854","IGE CHARGE","LAB","82785",121]
[" 2209856","IGE","LAB","86003",46]
[" 2209991","ETHONAL CONF UR","LAB","80320",291]
[" 2209997","MISC LAB","LAB",null,0]
[" 2209998","BUN CREA W/ GFR","LAB",null,0]
[" 2210059","T3 REVERSE (REVERSE T3)","LAB","84482",234]
[" 2281207",".BRCA/ABL MINOR CHRG","LAB","81207",665]
[" 2281208",".BCR/ABL OTHER CHRG","LAB","81208",2140]
[" 2281227","CYTOCHROME P450 2C9 GENPTYPE","LAB","81227",1284]
[" 2281376","HLA-DQB1 NARCOLEPSY ASSOCIATED AG","LAB","81376",836.5]
[" 2281404","CARNITINE FULL GENE ANALYSIS","LAB","81404",1667]
[" 2282017","ACYLCARNITINES QUANTITATIVE PLASMA","LAB","82017",161]
[" 2282172","APOLIPOROTEIN B, SERUM","LAB","82172",472.5]
[" 2282180","VITAMIN C PLASMA","LAB","82180",210]
[" 2282379","CARNITINE PLASMA","LAB","82379",225]
[" 2282525","COPPER  24 HR URINE","LAB","82525",105]
[" 2282542","FATTY ACID PROFILE SERUM ESSENTIAL","LAB","82542",307]
[" 2283520","INSULIN-LIKE GF BP-3","LAB","83520",323.75]
[" 2283695","LIPOPROTEIN A, SERUM","LAB","83695",120]
[" 2284100","PHOSPHORUS FECAL ADD ON","LAB","84300",96]
[" 2286003","BAKERS YEAST IGE SERUM","LAB","86003",54]
[" 2300001","=>BLOOD BANK ORDER<=","LAB",null,0]
[" 2300002","BB TYPE & SCREEN","LAB",null,0]
[" 2300003","BB ABO/RH","LAB",null,0]
[" 2306250","BB DIRECT COOMBS","LAB","86880",78]
[" 4400026","CL URINE DIP","LAB","81002",27]
[" 4400028","CL OCCULT BLOOD","LAB","82270",33]
[" 4400030","CL GLUCOMETER","LAB","82962",20]
[" 4400032","CL PROTHROMBIN TIME","LAB","85610",56]
[" 4400037","CL INFLUENZA A TEST","LAB","87804",88]
[" 4400038","CL INFLUENZA A&B","LAB","87804",0]
[" 4400039","CL INFLUENZA B TEST","LAB","87804",88]
["22006628","CANDIDA ALBICANS ABS IGG/IGM/IGA","LAB",null,0]
["22006629","CANDIDA ALBICANS IGG","LAB","86628",81]
["22006630","CANDIDA ALBICANS IGA","LAB","86628",81]
["22006631","CANDIDA ALBICANS IGM","LAB","86628",81]
["22021000","STACHYBOTRYS CHARTARUM IGG","LAB","86001",81]
["22021001","STACHYBOTRYS CHARTARUM IGE","LAB","86003",81]
["22021002","STACHYBOTRYS CHARTARUM IGA","LAB","83520",81]
["22023520","INTERLEUKIN 6, PLASMA","LAB","83520",203]
["22026039","ANA PATTERN CHARGE","LAB","86039",86]
["22081206",".BCR/ABL MAJOR CHRG","LAB","81206",835]
["22083520","ANTIMULLERIAN HORMONE SERUM","LAB","83520",370]
[" 2203114","TISSUE TRANSGLUTAMINASE IGG","LAB","83516",149]
[" 2203295","METHADONE CONFIRMATION URINE","LAB","80358",210]
[" 2200579","HIV (OBSELETE) HIV 1/2 RAPID SCREEN","LAB","86701",86]
[" 2200924","HIV1/HIV2 ABS COMBO","LAB","86703",97]
[" 2200925","HIV COMBO","LAB","86703",97]
[" 2201598","ANTIPH SYND PHOS/SER IGA","LAB","86148",203]
[" 2201599","ANTIPH SYND PHOS/SER IGG","LAB","86148",203]
[" 2201600","ANTIPH SYND PHOS/SER IGM","LAB","86148",203]
[" 2201733","HEPATITIS C ANTIBODY","LAB","86803",116]
[" 2201739","B-2 GLYCOPROTEIN IGG","LAB","86146",129]
[" 2201740","B-2 GLYCOPROTEIN IGA","LAB","86146",129]
[" 2201741","B-2 GLYCOPROTEIN IGM","LAB","86146",129]
[" 2204624","AB; HISTOPLASMA","LAB","86698",124]
[" 2205998","RUBELLA","LAB","86762",75]
[" 2206040","DNA DOUBLE STRANDED","LAB","86225",88]
[" 2206147","PHOSPHOLIPID (CARDIOLIPIN) IGG ANTIBODY","LAB","86147",180]
[" 2206148","CARDIOLIPIN IGM ABS","LAB","86147",168]
[" 2206182","ANTIBODY IDENTIFICATION","LAB","86870",162]
[" 2206209","CA 27.29","LAB","86300",183]
[" 2206264","RUBEOLA (MEASLES) IGG ABS","LAB","86765",107]
[" 2206267","VARICELLA ZOSTER  IGG","LAB","86787",134]
[" 2206274","EBV IGG AB VIR CAPSID AG","LAB","86665",100]
[" 2206300","MONOSPOT","LAB","86308",86]
[" 2206311","PATIENT ANTIGEN","LAB","86905",158]
[" 2206323","VARICELLA ZOSTER  IGM","LAB","86787",134]
[" 2206405","RPR","LAB","86592",55]
[" 2206422","ANTIGEN TYPING ON UNITS","LAB",null,80]
[" 2206664","EBV AB TO NUCLEAR AG  IGG","LAB","86664",106]
[" 2206665","EBV IGM AB VIR CAPSID AG","LAB","86665",100]
[" 2206666","EBV AB CAPSID AN  IGM","LAB","86665",93]
[" 2208182","HERPES SIMPLEX 1 IGG","LAB","86695",106]
[" 2208225","ACLIP PHOSPHOLIPID ANTIBODIE I","LAB","86147",166]
[" 2300911","BB CROSSMATCH IMMED SPIN","LAB","86920",152]
[" 2300912","BB THAWED PLASMA COMPONENT","LAB",null,0]
[" 2300913","BB CROSSMATCH ALL PHASES","LAB","86922",391]
[" 2300914","BB PLATELET COMPONENT","LAB",null,0]
[" 2300982","BB FFP-THAWING UNIT","LAB","86927",202]
[" 2306020","BB ANTIBODY SCREEN","LAB","86850",97]
[" 2306080","BB ABO GROUP TYPE","LAB","86900",57]
[" 2306100","BB RH TYPE","LAB","86901",54]
[" 2200003","H & H","LAB",null,0]
[" 2200736","RETICULOCYTE COUNT","LAB","85045",78]
[" 2201441","ERYTHROCYTE SEDIMENTATION RATE","LAB","85651",60]
[" 2201597","ANTIPH SYND LUP ANTICOAG","LAB","85613",203]
[" 2205011","MANUAL DIFFERENTIAL","LAB","85007",0]
[" 2205015","CBC W/O DIFF","LAB","85027",70]
[" 2205016","DAILY CBC W/O DIFF","LAB","85027",70]
[" 2205017","HEMOGLOBIN","LAB","85018",40]
[" 2205020","HEMATOCRIT","LAB","85014",40]
[" 2205028","CBC W/DIFF","LAB","85025",107]
[" 2205029","DAILY CBC W/DIFF","LAB","85025",107]
[" 2205048","WBC","LAB","85048",42]
[" 2205460","FETAL SCREEN","LAB","85461",264]
[" 2205610","PT/INR","LAB","85610",67]
[" 2205611","DAILY PT/INR","LAB","85610",67]
[" 2205730","PTT","LAB","85730",91]
[" 2206317","STREP PNEUMO ANTIBODIES","LAB","86317",289]
[" 4400031","CL HEMOGLOBIN","LAB","85018",36]
[" 2200802","SENSITIVITY  KIRBY BAUER","LAB","87184",97]
[" 2200803","SENSITIVITY  MIC CHARGE","LAB","87186",102]
[" 2200804","SENSITIVITY YEAST CHARGE","LAB","87186",264]
[" 2200824","ID-AEROBIC UR","LAB","87077",82]
[" 2200825","ID-AEROBIC ROUTINE","LAB","87076",82]
[" 2200826","ID VITEK ANAEROBE CHARGE","LAB","87076",93]
[" 2200827","IDENTIFICATION  YEAST","LAB","87106",119]
[" 2200830","BC-AEROBIC-ADDLT ID  MANUAL","LAB","87077",82]
[" 2201061","CHLAMYDIA AMPLIFIED","LAB","87491",143]
[" 2201062","GC AMPLIFIED","LAB","87591",140]
[" 2201228","CYTOGEN MICRARRAY COPY CHARGE","LAB","81228",566]
[" 2201293","MLH1 GENE FULL SEQUENCE CHARGE","LAB","81292",337]
[" 2201295","MSH2 GENE FULL SEQUENCE CHARGE","LAB","81295",241]
[" 2201298","MSH6 GENE FULL SEQUENCE CHARGE","LAB","81298",403]
[" 2201317","PMS2 GENE FULL SEQUENCE CHARGE","LAB","81317",445]
[" 2201319","PMS GENE LARGE DEL/DUP CHARGE","LAB","81319",128]
[" 2201403","MOPATH PROCEDURE CHARGE","LAB","81403",117]
[" 2202005","CMV MOLECULAR DETECTION  PCR","LAB","87496",226]
[" 2203937","SS CALCIUM 24 HR","LAB","82340",22]
[" 2203938","SS CHLORIDE 24 HR","LAB","82436",22]
[" 2203940","SS CITRATE EXCRETION 24 HR","LAB","82507",22]
[" 2203941","SS CREATININE 24 HR","LAB","82570",22]
[" 2203942","SS MAGNESIUM 24 HR","LAB","83735",22]
[" 2203943","SS OSMOLALITY 24 HR","LAB","83935",22]
[" 2203945","SS PH URINE24 HR","LAB","83986",22]
[" 2203946","SS PHOS 24 HR","LAB","84105",22]
[" 2203947","SS POTASSIUM 24 HR","LAB","84133",22]
[" 2203948","SS SODIUM 24 HR","LAB","84300",22]
[" 2203949","SS SULFATE 24 HR","LAB","84392",22]
[" 2203950","SS URIC ACID24 HR","LAB","84560",22]
[" 2203951","SS AMMONIUM 24 HR","LAB","82140",22]
[" 2203952","SS UEAN NITROGEN 24 HR","LAB","84540",22]
[" 2203953","SS OXALATE 24 HR","LAB","83945",22]
[" 2206001","HEPATITIS B SURF ANTIGEN","LAB","87340",102]
[" 2206227","RESPIRATORY SYNCYTIAL VIR","LAB","87420",171]
[" 2207001","ROTAVIRUS ANTIGEN SCREEN","LAB","87425",143]
[" 2207010","GRAM STAIN SMEAR (OBSOLETE)","LAB","87205",57]
[" 2207083","STREP  GROUP A RAPID","LAB","87430",104]
[" 2207206","AFB SMEAR","LAB","87206",87]
[" 2207208","PINWORM TEST","LAB","87172",44]
[" 2207211","WET PREP GENITAL ONLY","LAB","87210",59]
[" 2207220","KOH PREP","LAB","87220",52]
[" 2207327","ABSCESS CULTURE","LAB","87070",112]
[" 2207328","CULTURE, ANAEROBIC","LAB","87075",118]
[" 2207329","CULTURE  BILE","LAB","87070",112]
[" 2207330","BLOOD CULTURE","LAB","87040",187]
[" 2207332","BODY FLUID CULTURE","LAB","87070",112]
[" 2207333","CULTURE  BONE MARROW/BACT","LAB","87070",112]
[" 2207335","CSF CULTURE","LAB","87070",112]
[" 2207337","EAR CULTURE","LAB","87070",112]
[" 2207338","EYE CULTURE","LAB","87070",112]
[" 2207339","CULTURE SYNOVIAL FLUID","LAB","87070",112]
[" 2207341","GENITAL CULTURE","LAB","87070",112]
[" 2207342","CULTURE JOINT BONE","LAB","87070",112]
[" 2207343","CULTURE PERITONEAL FL","LAB","87070",112]
[" 2207344","CULTURE RESPIRATORY","LAB","87070",112]
[" 2207346","THROAT CULTURE","LAB","87070",112]
[" 2207347","CULTURE TISSUE","LAB","87070",112]
[" 2207348","URINE CULTURE","LAB","87086",89]
[" 2207351","WOUND CULTURE","LAB","87070",112]
[" 2207355","GROUP B SCREEN","LAB","87081",73]
[" 2207356","CULTURE STREP SCR THROAT","LAB","87081",73]
[" 2207357","GC CULTURE","LAB","87081",73]
[" 2207358","FUNGUS CULTURE","LAB","87102",121]
[" 2207359","CULT SETUP URN ORG ID ONL","LAB","87088",90]
[" 2207360","CULTURE YEAST SCREEN","LAB","87081",73]
[" 2207363","E COLI 0157 SCREEN","LAB","87081",73]
[" 2207364","CAMPYLOBACTER ONLY","LAB","87081",73]
[" 2207367","CULTURE  STOOL EA ADD'L P","LAB","87046",67]
[" 2207370","STOOL CULTURE","LAB","87045",111]
[" 2207377","CULT CONFIRM-RAPID STRP","LAB","87081",73]
[" 2207389","CULTURE  MRSA SCREEN ONLY","LAB","87081",73]
[" 2210060","COVID 19 AG RAPID TEST","LAB","87811",0]
[" 4400029","CL HEMATEST X 1","LAB","82272",33]
[" 4400033","CL SEDIMENTATION RATE","LAB","85651",54]
[" 4400034","CL STREP, GROUP A RAPID","LAB","87430",89]
[" 2201000","DON'T ORDER. SEE UA W REFLEX","LAB","81001",61]
[" 2201005","URINALYSIS REFLEX TO MICRO","LAB","81003",36]
[" 2201015","URINALYSIS MICROSCOPIC","LAB","81015",43]
[" 2203160","HCG URINE","LAB","81025",87]
[" 4400027","CL PREGNANCY TEST, URINE","LAB","81025",54]
[" 2200029","HLA-DRB 1 LOCUS","LAB","81376",123]
[" 2200033","CFBP","LAB","81220",345]
[" 2200082","CSF COUNT & DIFF","LAB","89051",152]
[" 2204332","MTHFR 2 MUTATIONS","LAB","81291",289]
[" 2208220","IMMUNOHISTO ANTIBODY SLIDE","LAB","88341",184]
[" 2208221","SEMI-QUANTITATIVE IMMUNOHISTOC","LAB","88360",173]
[" 2208827","FCLL CHRONIC","LAB","88275",377]
[" 2209051","CELL CT W/DIFF BODY FL","LAB","89051",152]
[" 2209335","CYRSTAL EXAM BODY FLUID","LAB","89060",72]
[" 2208124","CYTOPATH  SMEAR  OTHER","LAB","88160",74]
[" 2208140","CYTOPATH SMEAR  NONGYN","LAB","88112",107]
[" 2208230","TISSUE CULTURE NON NEOPLASTIC","LAB","88230",534]
[" 2208262","CHROMOSOME ANALYSIS COUNT 15-2","LAB","88262",1463]
[" 2208280","CHROMOSOME ANALYSIS ADDTNL KAR","LAB","88280",478]
[" 2208283","ADDITIONAL SPECIALIZED BANDING","LAB","88283",418]
[" 2208285","CHROMOSOME ANALYSIS ADDT CELLS","LAB","88285",418]
[" 2208291","CYTOGENETICS AND MOLECULAR CYT","LAB","88291",233]
["22081229","CHROMOSOME MICROARRAY POSTNATAL","LAB","81229",4912]
[" 2208189","PATH CONSULT FROZ SCT R/D","LAB","88331",338]
[" 2208190","SPECIAL STAIN GROUP 1 88312","LAB","88312",124]
[" 2208193","LVLV SUR PATH GR & MICR","LAB","88307",336]
[" 2208194","LVLVI SUR PATH GR & MICR","LAB","88309",342]
[" 2208197","LVLII SUR PATH GR & MICR","LAB","88302",101]
[" 2208198","LVLIII SUR PATH GR & MICR","LAB","88304",166]
[" 2208199","LVLIV SUR PATH GR & MICR","LAB","88305",198]
[" 2208200","SPECIAL STAIN  GROUP 2 88313","LAB","88313",103]
[" 2208201","SURGICAL 1 PX (FIRST AB)","LAB","88342",183]
[" 2208202","DECALCIFICATION PROCEDURE","LAB","88311",55]
[" 2301440","BB RBC  LEUKOREDUCED EA UNIT","LAB","P9016",814]
[" 2306420","BB FR FROZEN PLASMA EA UNIT","LAB","P9017",308]
[" 1700500","BLOOD TRANSFUSION","LAB",36430,924]
[" 1500425","FETAL MONITORING","LABOR",null,192]
[" 1505126","LABOR-LOW RISK/1-5 HOURS","LABOR",null,461]
[" 1505128","LABOR-LOW RISK/HOURLY","LABOR",null,46]
[" 1505131","LABOR-HIGH RISK/1-5 HR","LABOR",null,1070]
[" 1505132","LABOR-HIGH RISK/HOURLY","LABOR",null,107]
[" 3000066","MA  ANNUAL SCREENING BILATERAL","MAMMOGRAPHY","77067",441]
[" 3000067","MA SCREEN BILATERAL ANNUAL","MAMMOGRAPHY","77067",403]
[" 3010002","MA MAMMOGRAM RECALL","MAMMOGRAPHY","77067",0]
["90000104","TUBE VACUUM ESR 1.2ML HIGH ALTITUDE","MEDICAL SUPPLIES",null,0]
["90000105","HOT PACKS LG","MEDICAL SUPPLIES",null,0]
["90000106","DIFF SAFE","MEDICAL SUPPLIES",null,0]
["90000107","BITE BLOCK ENDOSCOPIC 54 FR","MEDICAL SUPPLIES",null,4]
["90000108","BIOPSY FORCEPS LARGE 2.8 MM","MEDICAL SUPPLIES",null,59]
["90000109","GOWNS PROCEDURE BLUE STERILE","MEDICAL SUPPLIES",null,0]
["90000110","QUICKTOX 5 PANEL DRUG TEST","MEDICAL SUPPLIES",null,0]
["90000111","SUCTION RESERVOIR BULB 100CC","MEDICAL SUPPLIES",null,25]
["90000112","JP 10FR DRAIN 3/4 DUCTED STAR DRAIN","MEDICAL SUPPLIES",null,46]
["90000113","ANOSCOPE SINGLE USE W/LIGHT","MEDICAL SUPPLIES",null,22]
["90000114","MAGNETIC DRAPE 10 X 16","MEDICAL SUPPLIES",null,17]
["90000115","INSORB SKIN STAPLER ABSORBABLE 30 CT","MEDICAL SUPPLIES",null,298]
["90000116","SURGIMESH 10 X 15 T1015","MEDICAL SUPPLIES",null,602]
["90000117","SURGIMESH EASY PLUG TEALFIL-8","MEDICAL SUPPLIES",null,490]
["90000118","BARD MESH VENTRALEX, ST LARGE CIRCLE","MEDICAL SUPPLIES",null,1018]
["90000119","VISCERA RETAINER","MEDICAL SUPPLIES",null,249]
["90000120","PERFORMANCE WASHER TEST TOSI TEST","MEDICAL SUPPLIES",null,0]
["90000121","UNBUFFERED BLOOK BANK SALINE","MEDICAL SUPPLIES",null,0]
["90000122","ESR CHEX WHOLE BLOOD HEMATOLOGY","MEDICAL SUPPLIES",null,0]
["90000123","STERILIZATION POUCHES SELF SEALING","MEDICAL SUPPLIES",null,0]
["90000124","ABG 25G 1ML","MEDICAL SUPPLIES",null,0]
["90000125","SONY UPC-55 COLOR DIGITAL IMAGING MEDIA","MEDICAL SUPPLIES",null,0]
["90000126","ALLIANCE II SYRINGE/GAUGE ASSEMBLY","MEDICAL SUPPLIES",null,114]
["90000127","RESOLUTION 360 CLIP","MEDICAL SUPPLIES",null,488]
["90000128","INJECTION NEEDLE","MEDICAL SUPPLIES",null,115]
["90000129","WHOLE BLOOD SERUM PLASMA PYLORI RAPID TE","MEDICAL SUPPLIES",null,0]
["90000130","STREP A RAPID TEST DIPSTICK (ER)","MEDICAL SUPPLIES",null,0]
["90000131","ENDOGATOR TUBING","MEDICAL SUPPLIES",null,74]
["90000132","CHART GRAFT 6 INCH","MEDICAL SUPPLIES",null,0]
["90000133","BUTTERFLY COLLECTION SET 21 GX3/4 367281","MEDICAL SUPPLIES",null,0]
["90000134","SPO2 SENSOR NIHON KOHDEN S405-16","MEDICAL SUPPLIES",null,0]
["90000136","PARAFILM SEALING FILM  M","MEDICAL SUPPLIES",null,0]
["90000137","HEMATOLOGY QUALITY CONTROL ESR-CHEX","MEDICAL SUPPLIES",null,0]
["90000138","CRE BALLOON DILATOR 10-12 MM","MEDICAL SUPPLIES",null,424.26]
["90000139","CRE BALLOON DILATOR 12-15 MM","MEDICAL SUPPLIES",null,424.26]
["90000140","CRE BALLOON DILATOR 15-18 MM","MEDICAL SUPPLIES",null,424.26]
["90000141","CRE BALLOON DILATOR 18-20 MM","MEDICAL SUPPLIES",null,424.26]
["90000142","SCOPE BUDDY UNIVERSAL HOOKUP TUBING","MEDICAL SUPPLIES",null,74]
["90000143","LEAK TEST HOOKUP CONNECTOR","MEDICAL SUPPLIES",null,74]
["90000144","ACID DETERGENT","MEDICAL SUPPLIES",null,0]
["90000145","INSTRUMENT LUBE","MEDICAL SUPPLIES",null,0]
["90000146","RENUZYME WR","MEDICAL SUPPLIES",null,0]
["90000147","BOWIE DICK MINI TEST PACK","MEDICAL SUPPLIES",null,0]
["90000148","MANUAL SINGLE CHANNELL FINNPIPETTE","MEDICAL SUPPLIES",null,0]
["90000149","RAPICIDE PA, ASSEMBLY -- FOR ENDOSCOPES","MEDICAL SUPPLIES",null,74]
["90000150","OMNI SURGICAL SYSTEM","MEDICAL SUPPLIES",null,2720]
["90000151","SURGIFOAM SPONGE 8 CM X 12.5 CM X 10 MM","MEDICAL SUPPLIES",null,187.92]
["90000152","MICRON FILTER 1.0 FOR ENDOSCOPE REPROCES","MEDICAL SUPPLIES",null,0]
["90000153","MICRON FILTER .45 FOR ENDOSCOPE REPROCES","MEDICAL SUPPLIES",null,0]
["90000154","MICRON FILTER .2 FOR ENDOSCOPE REPROCES","MEDICAL SUPPLIES",null,0]
["90000155","WATER PRES REG FOR ENDOSCOPE REPROCES","MEDICAL SUPPLIES",null,0]
["90000156","FLU/COVID TEST COMBO KITS","MEDICAL SUPPLIES",null,0]
["90000157","RAPICIDE TEST STRIPS FOR ENDOSCOPES","MEDICAL SUPPLIES",null,74]
["90000158","BERCI FASCIAL CLOSURE DEVICE 2.8 MM X 17","MEDICAL SUPPLIES",null,0]
["90000160","MONOPOLAR DISSECTING L-HOOK CANNULA","MEDICAL SUPPLIES",null,0]
["90000161","MODULAR HANDLE W/TRUMPET VALVE","MEDICAL SUPPLIES",null,0]
["90000162","CLICKLINE DEBAKEY ATRAUM GRASP FCPS KIT","MEDICAL SUPPLIES",null,0]
["90000163","CLICKLINE SPOON FORCEPS INSERT","MEDICAL SUPPLIES",null,0]
["90000164","CLICKLINE INSULATED OUTER TUBE","MEDICAL SUPPLIES",null,0]
["90000165","CLICKLINE PLASTIC HANDLE WITHOUT RATCHET","MEDICAL SUPPLIES",null,0]
["90000166","CLICKLINE SCISSORS KIT WITH METAL HANDLE","MEDICAL SUPPLIES",null,0]
["90000167","CLICKLINE LONG KELLY DISSECTING FCPS KT","MEDICAL SUPPLIES",null,0]
["90000168","MONOPOLAR HIGH FREQ CORD W/8MM PLUG","MEDICAL SUPPLIES",null,0]
["90000169","TRAY, LAPAROSCOPIC INSTRUMENT SET","MEDICAL SUPPLIES",null,0]
["90000170","SURGINEEDLE 120MM INSTRUMENT","MEDICAL SUPPLIES",null,0]
["90000171","TROCAR VERSAONE OPTICAL W/FIX 12 MM","MEDICAL SUPPLIES",null,0]
["90000172","CANNULA BLADELESS OPTICAL FIX 5MM","MEDICAL SUPPLIES",null,0]
["90000173","SPACEMAKER PRO W/STRUCT BALLOON TROCAR","MEDICAL SUPPLIES",null,0]
["90000174","DEVICE FIXATION ABS 5MM W/30 TACKS ABSOR","MEDICAL SUPPLIES",null,0]
["90000175","LAP PROGRIP ANATOMICAL MESH 10X15 CM RT","MEDICAL SUPPLIES",null,0]
["90000176","LAP PROGRIP ANATOMICAL MESH 10X15 CM LFT","MEDICAL SUPPLIES",null,0]
["90000177","ENDO CATCH 10MM GOLD","MEDICAL SUPPLIES",null,0]
["90000178","ENDO APPLIER CLIP III 5MM","MEDICAL SUPPLIES",null,0]
["90000179","ENDO GIA UNIVERSAL STAPLER 12MM","MEDICAL SUPPLIES",null,0]
["90000180","ENDO GIA ARTICULATING RELOAD STAPLER 60M","MEDICAL SUPPLIES",null,0]
["90000181","TROCAR VERSAONE OPTICAL W/FIX 5 MM","MEDICAL SUPPLIES",null,0]
["90000182","POLYP TRAPS SPECIMEN STERILE","MEDICAL SUPPLIES",null,0]
["90000183","INJECTION NEEDLE 22G LOWER ENDOSCOPY","MEDICAL SUPPLIES",null,0]
["90000184","EPOC BGEM BUN","MEDICAL SUPPLIES",null,0]
["90000185","IRRIGATOR SUCTION TIP 5MM","MEDICAL SUPPLIES",null,74]
["90000186","VERIFY BOWIE DICK TEST PACK","MEDICAL SUPPLIES",null,0]
["90000187","INDICATOR TAPES / STEAM INDICATOR","MEDICAL SUPPLIES",null,0]
["90000188","VERIFY VAPORIZED VH202 PROCESS INDICATOR","MEDICAL SUPPLIES",null,0]
["90000189","CELERITY 20 STEAM PROCESS TEST PACK","MEDICAL SUPPLIES",null,0]
["90000190","VERIFY ALL CLEAN TEST WASHER INDICATOR","MEDICAL SUPPLIES",null,0]
["90000191","VERIFY VH202 INDICATOR TAPE","MEDICAL SUPPLIES",null,0]
["90000192","CELERITY 20 MIN BIOLOGICAL INDICATOR PAC","MEDICAL SUPPLIES",null,0]
["90000193","ENDOGATOR TUBING 24 HOUR MULTI USE TUBE","MEDICAL SUPPLIES",null,74]
["90000194","INTERCEPT DETERGENT","MEDICAL SUPPLIES",null,74]
["90000195","DISPOSABLE SUCTION / IRRIGATOR","MEDICAL SUPPLIES",null,0]
["90000196","SUCTION IRRIGATOR TIP 5 MM X 32 CM","MEDICAL SUPPLIES",null,0]
["90000197","VAPROX HC STERILANT PB012","MEDICAL SUPPLIES",null,0]
["90000198","LIQUID DESCALER ACID BASED SCALE REMOVER","MEDICAL SUPPLIES",null,0]
["90000199","PROLYSTICA U.C. LUBRICANT","MEDICAL SUPPLIES",null,0]
["90000200","PROLYSTICA 2X CONC NEUTRAL 2.5 GAL","MEDICAL SUPPLIES",null,0]
["90000201","PROLYSTICA 2X CONC ENZYM PRESOAK & CLEAN","MEDICAL SUPPLIES",null,0]
["90000202","IMMERSION OIL RESOLVE LOW VISCOSITY CLEA","MEDICAL SUPPLIES",null,0]
["90000203","CAUTERY CORD BIPOLAR 12 FT DISPOSABLE","MEDICAL SUPPLIES",null,0]
["90000204","SUTURE NEEDLE PBT GS-22 SIZE 0 9  BLUE","MEDICAL SUPPLIES",null,0]
["90000205","REPLACEMENT BLADE 8MM STANDARD FIX","MEDICAL SUPPLIES",null,0]
["90000206","MICROSCOPE SLIDES FROSTED END WHITE","MEDICAL SUPPLIES",null,0]
["90000207","BUTTERFLY COLLECTION SET 25 GX3/4 367323","MEDICAL SUPPLIES",null,0]
["90000208","RETRACT LIGASURE L-HOOK 37CM","MEDICAL SUPPLIES",null,0]
["90000209","SLIDES FOR URINALYSIS 10 CHAMBER","MEDICAL SUPPLIES",null,0]
["90000210","ENDO CLINCH II 5 MM INSTRUMENT W/ON/OFF","MEDICAL SUPPLIES",null,0]
["90000211","MESH LARGE RIGHT 3DMAX  4X6","MEDICAL SUPPLIES",null,0]
["90000212","MESH LARGE LEFT 3DMAX  4X6","MEDICAL SUPPLIES",null,0]
["90000213","COVID 19 TEST KIT DIPSTICK QUICKVUE","MEDICAL SUPPLIES",null,0]
["90001002","SHARPS WALL ENCLOSURE WITH GLOVE BOX","MEDICAL SUPPLIES",null,0]
["90001003","FLOOR LIFT, RELIANT LOW HEIGHT BASE","MEDICAL SUPPLIES",null,0]
["90001004","SCALE FOR PATIENT LIFTS UP TO 700 LBS","MEDICAL SUPPLIES",null,0]
["90001005","WHEELCHAIR, HEAVY DUTY, BARIATRIC 450 LB","MEDICAL SUPPLIES",null,0]
["90001006","GLUTEAL STRAP FOR SIT TO STAND LIFT","MEDICAL SUPPLIES",null,0]
["90001497","COMMODE, 3-IN-1, STEEL","MEDICAL SUPPLIES",null,0]
["90001498","COMMODE, BARIATRIC","MEDICAL SUPPLIES",null,0]
["90001499","COMMODE, DROP-ARM PLAIN","MEDICAL SUPPLIES",null,0]
["90001500","COAGUCHEK PROFESSIONAL KIT","MEDICAL SUPPLIES",null,0]
["90001501","BLANKET WARMER","MEDICAL SUPPLIES",null,0]
["90001502","IV POLE","MEDICAL SUPPLIES",null,0]
["90001503","IV POLE HOOKS","MEDICAL SUPPLIES",null,0]
["90001504","IV POLE PUSH HANDLE W/TRAY","MEDICAL SUPPLIES",null,0]
["90001505","IV POLE CASTER WHEELS","MEDICAL SUPPLIES",null,0]
["90001506","TRAUMA STRETCHER FOR ER","MEDICAL SUPPLIES",null,0]
["90001507","THERMOMETER FOR FRIDGE PHARMACY","MEDICAL SUPPLIES",null,0]
["90001508","REFRIGERATOR FOR PHARMACY","MEDICAL SUPPLIES",null,0]
["90001509","FREEZER FOR PHARMACY","MEDICAL SUPPLIES",null,0]
["90001510","ULTRASOUND GEL WARMER","MEDICAL SUPPLIES",null,0]
["90001511","GLOVE HOLDER 3 BOX","MEDICAL SUPPLIES",null,0]
["90001512","EXAMINATION TABLE BASE ONLY","MEDICAL SUPPLIES",null,0]
["90001513","TOP FOR EXAMINATION TABLE -- TOP ONLY","MEDICAL SUPPLIES",null,0]
["90001514","FLOOR SCRUBBER MACHINE","MEDICAL SUPPLIES",null,0]
["90001515","OLYMPUS 5MM 30 DEGREE SCOPE","MEDICAL SUPPLIES",null,0]
["90001516","TEMPERATURE SCREENING KIOSK","MEDICAL SUPPLIES",null,0]
["90001517","ULTRASOUND TABLE AND CHAIR","MEDICAL SUPPLIES",null,0]
["90001518","GLOVE HOLDER 2 BOX WIRE HORIZONTAL","MEDICAL SUPPLIES",null,0]
["90001519","ICE MACHINE COUNTERTOP DISPENSER","MEDICAL SUPPLIES",null,0]
["90001520","BARIATRIC BED STRYKER BARI 10-A","MEDICAL SUPPLIES",null,0]
["90001521","LAPAROSCOPIC EQUIPMENT","MEDICAL SUPPLIES",null,0]
["90001522","TRANSFER CHAIR STRYKER SWING-AWAY MODEL","MEDICAL SUPPLIES",null,0]
["90001523","STANDARD BED STRYKER S3 PX2-3005","MEDICAL SUPPLIES",null,0]
["90001524","BED EXTENDER KIT","MEDICAL SUPPLIES",null,0]
["90001525","ADAPTER BRACKET FOR PATIENT HELPER","MEDICAL SUPPLIES",null,0]
["90001526","OVER THE BED TABLE","MEDICAL SUPPLIES",null,0]
["90001527","NIGHTSTAND","MEDICAL SUPPLIES",null,0]
["90001528","TREATMENT RECLINER","MEDICAL SUPPLIES",null,0]
["90001529","BARIMATT 1000 PLUS FOAM MATTRESS","MEDICAL SUPPLIES",null,0]
["90001530","EXTENDED WARRANTY PREVENTION PACK PROTEC","MEDICAL SUPPLIES",null,0]
["90001531","CARPET MACHINE -- TENNANT","MEDICAL SUPPLIES",null,0]
["90001532","COVID RAPID TEST ADD ON MODULE FOR GCC","MEDICAL SUPPLIES",null,0]
["90001533","VITAL MONITOR FOR GCC","MEDICAL SUPPLIES",null,0]
["90001534","STIRRUPS FOR ULTRASOUND TABLE","MEDICAL SUPPLIES",null,0]
["90001535","RAILS FOR ULTRASOUND TABLE","MEDICAL SUPPLIES",null,0]
["90001536","LAPAROSCOPE 10 MM WIDE ANGLE LENS","MEDICAL SUPPLIES",null,0]
["90001537","LAPAROSCOPE 5 MM WIDE ANGLE LENS","MEDICAL SUPPLIES",null,0]
["90001538","REFRIGERATOR 6.1 CU FT AUTO CYCLE DEFROS","MEDICAL SUPPLIES",null,0]
["90001539","STRETCHER, PRIME ELECTRIC BIG WHEEL","MEDICAL SUPPLIES",null,0]
["90001540","COMFGEL MATTRESS FOR STRETCHER BEDS","MEDICAL SUPPLIES",null,0]
["90001541","VENTILATOR AND EQUIPMENT","MEDICAL SUPPLIES",null,0]
["90001542","REFRIGERATOR LOCK BOX","MEDICAL SUPPLIES",null,0]
["90001543","VITAL MONITOR MOBILE STAND","MEDICAL SUPPLIES",null,0]
["90001544","HALOSIL HALOMIST ALL PURPOSE DISINFECTAN","MEDICAL SUPPLIES",null,0]
["90001545","ACCUVEIN CRADLE WITH STAND","MEDICAL SUPPLIES",null,0]
["90001546","VITAL MONITOR MINDRAY GMHS + SOFTWARE","MEDICAL SUPPLIES",null,0]
["90001547","SCALE, PHYSICIAN","MEDICAL SUPPLIES",null,0]
["90001548","SCALE, WHEELCHAIR DIGITAL","MEDICAL SUPPLIES",null,0]
["90001549","9 VDC ADAPTOR FOR DIGITAL SCALE","MEDICAL SUPPLIES",null,0]
["90001550","BIPAP V60 PLUS W/ACCESSORIES","MEDICAL SUPPLIES",null,0]
["90001551","VALLEYLAB FT10 CAUTERY MACHINE","MEDICAL SUPPLIES",null,0]
["90001552","ANESTHESIA MACHINE AND ACCESSORIES","MEDICAL SUPPLIES",null,0]
["90001553","NURSE CALL LIGHT SYSTEM W/INSTALL","MEDICAL SUPPLIES",null,0]
["90001554","HEMMORHOID STAPLER 35MM","MEDICAL SUPPLIES",null,1225.8399999999999]
["90001555","VENT CIRCUIT DISPOSABLE 15MM","MEDICAL SUPPLIES",null,0]
["90001556","VENT CIRCUIT DISPOSABLE 22MM","MEDICAL SUPPLIES",null,0]
["90001557","VENT AIR INTAKE FOAM FILTER","MEDICAL SUPPLIES",null,0]
["90001558","FLEX TRACH ADAPTOR 15CM","MEDICAL SUPPLIES",null,0]
["90001559","VENT PARTICULATE FILTER","MEDICAL SUPPLIES",null,0]
["90001560","EYE SURGERY STRETCHER","MEDICAL SUPPLIES",null,0]
["90001561","STERILIZER AND REPROCESSOR","MEDICAL SUPPLIES",null,0]
["90001562","HALOSIL INDICATOR STRIPS","MEDICAL SUPPLIES",null,0]
["90001563","LINEN CART 3 SHELVES VINYL COVER","MEDICAL SUPPLIES",null,0]
["90001564","CEILING MOUNT PLATE FOR CT INJECTOR","MEDICAL SUPPLIES",null,0]
["90001565","AIR PLUS PUMP","MEDICAL SUPPLIES",null,0]
["90001566","CONVECTION OVEN","MEDICAL SUPPLIES",null,0]
["90001567","GRIDDLE FLAT IRON GRILL","MEDICAL SUPPLIES",null,0]
["90001568","MINIDOPPLER","MEDICAL SUPPLIES",null,0]
["90001569","MINIDOPPLER FLAT PROBE","MEDICAL SUPPLIES",null,0]
["90001570","SEIZURE PADS FOR SIDE RAILS","MEDICAL SUPPLIES",null,0]
["90001572","CUBICLE CURTAIN","MEDICAL SUPPLIES",null,0]
["90001573","CURTAIN TRACKS","MEDICAL SUPPLIES",null,0]
["90001574","DRAPERY PAIRS -- 120","MEDICAL SUPPLIES",null,0]
["90001575","DRAPERY PAIRS -- 106","MEDICAL SUPPLIES",null,0]
["90001576","DRAPERY PAIRS -- 94","MEDICAL SUPPLIES",null,0]
["90001577","DRAPERY PAIRS -- 64","MEDICAL SUPPLIES",null,0]
["90001578","CORNICE BOARD 123","MEDICAL SUPPLIES",null,0]
["90001579","CORNICE BOARD 109","MEDICAL SUPPLIES",null,0]
["90001580","CORNICE BOARD 97","MEDICAL SUPPLIES",null,0]
["90001581","CORNICE BOARD 67","MEDICAL SUPPLIES",null,0]
["90001582","QUILTED BEDSPREADS","MEDICAL SUPPLIES",null,0]
["90001583","CASSETTE ROLLER SHADES","MEDICAL SUPPLIES",null,0]
["90001584","CUBICLE CURTAIN 252","MEDICAL SUPPLIES",null,0]
["90001585","CUBICLE CURTAIN 144","MEDICAL SUPPLIES",null,0]
["90001586","CUBICLE CURTAIN 126","MEDICAL SUPPLIES",null,0]
["90001587","CUBICLE CURTAIN 216","MEDICAL SUPPLIES",null,0]
["90001588","CUBICLE CURTAIN 270","MEDICAL SUPPLIES",null,0]
["90001589","MIRROR ADA TILT 20  X 24","MEDICAL SUPPLIES",null,0]
["90001590","TV SMART FOR PATIENT CARE","MEDICAL SUPPLIES",null,0]
["90001591","PORTACOUNT N95 TEST MACHINE","MEDICAL SUPPLIES",null,0]
["90001592","N95 TEST PROBE REFILL KIT","MEDICAL SUPPLIES",null,0]
["90001593","HANDRAIL AND ACCESSORIES QUOTE W/SHIPPIN","MEDICAL SUPPLIES",null,0]
["90001594","MONITOR EQUIP QUOTE FOR OR/PACU","MEDICAL SUPPLIES",null,0]
["90001595","T4R RECUMBENT CROSS TRAINER","MEDICAL SUPPLIES",null,0]
["90001596","T4R STABILITY ESSENTIAL BUNDLE","MEDICAL SUPPLIES",null,0]
["90001597","SHIPPING & HANDLING","MEDICAL SUPPLIES",null,0]
["90001598","BUDDY LITE RAPID INFUSOR","MEDICAL SUPPLIES",null,0]
["90001599","BUDDY LITE BATTERY","MEDICAL SUPPLIES",null,0]
["90001600","WHIRLPOOL TRANSFER CHAIR","MEDICAL SUPPLIES",null,0]
["90001601","PROCEDURE TABLE FOR TREATMENT ROOM","MEDICAL SUPPLIES",null,0]
["90002201","CENTRIFUGE","MEDICAL SUPPLIES",null,0]
["90002202","BLOOD DRAW CHAIR","MEDICAL SUPPLIES",null,0]
["90002203","I-STAT WIRELESS ANALYZER","MEDICAL SUPPLIES",null,0]
["90002204","I-STAT DOWNLOADER RECHARGER KIT","MEDICAL SUPPLIES",null,0]
["90002205","I-STAT RECHARGEABLE POWER PACK","MEDICAL SUPPLIES",null,0]
["90002206","I-STAT ELECTRONIC STIMULATOR","MEDICAL SUPPLIES",null,0]
["90002207","I-STAT PRINTER KIT","MEDICAL SUPPLIES",null,0]
["90003001","REPLACEMENT BLADES FOR PHILIPS RAZORS","MEDICAL SUPPLIES",null,0]
["90003002","REMEDY PHYTOPLEX SKIN CREAM","MEDICAL SUPPLIES",null,0]
["90003003","INSULIN DUO PEN","MEDICAL SUPPLIES",null,0]
["90003004","JERGENS LOTION","MEDICAL SUPPLIES",null,0]
["90003005","PILL CRUSHER SIMPLE VERSION","MEDICAL SUPPLIES",null,0]
["90003006","PILL CRUSHER SILENT KNIGHT MODEL","MEDICAL SUPPLIES",null,0]
["90003007","SLING MED W/PAD EZ WAY LIFT","MEDICAL SUPPLIES",null,0]
["90003008","SLING LG W/PAD EZ WAY LIFT","MEDICAL SUPPLIES",null,0]
["90005500","SPIROMETER ASTRA TOUCH","MEDICAL SUPPLIES",null,0]
["90009001","LIGATOR, HEMORROID","MEDICAL SUPPLIES",null,0]
["90009002","O-RING W/BANDER FOR HEMORROID LIGATOR","MEDICAL SUPPLIES",null,0]
["90009003","LOADING CONE FOR LIGATOR","MEDICAL SUPPLIES",null,0]
["90011001","MAINTENANCE, REPAIR AND SERVICE","MEDICAL SUPPLIES",null,0]
["90011002","GLIDESCOPE GRANT","MEDICAL SUPPLIES",null,0]
["90011003","LIFEPAK GRANT","MEDICAL SUPPLIES",null,0]
["90011004","ENDOSCOPE REPROCESSOR GRANT","MEDICAL SUPPLIES",null,0]
["90011005","IC GETINGE CARE PROFESSIONAL SERVICE PLA","MEDICAL SUPPLIES",null,0]
["90011006","FUJI CAMERA HEADS AND ACCESSORIES","MEDICAL SUPPLIES",null,0]
["90011007","WARRANTY / SERVICE AGREEMENT","MEDICAL SUPPLIES",null,0]
["90011008","HEAT SEALER FOR INSTRUMENT STERILIZATION","MEDICAL SUPPLIES",null,0]
["90011501","TRASH BAGS BLK 40-45 GAL","MEDICAL SUPPLIES",null,0]
["90011502","TRASH BAGS BLK 16 GAL do not order","MEDICAL SUPPLIES",null,0]
["90011503","TRASH BAGS CLEAR 10 GAL","MEDICAL SUPPLIES",null,0]
["90011504","TRASH BAGS CLEAR 4 GAL","MEDICAL SUPPLIES",null,0]
["90011505","TRASH BAGS BLK 16 GAL","MEDICAL SUPPLIES",null,0]
["90011506","TRASH BAGS BLK 33 GAL","MEDICAL SUPPLIES",null,0]
["90011507","TNF 24H 3 IN 1 FLOOR CLEANER 1-2 LITER","MEDICAL SUPPLIES",null,0]
["90011508","SPRAY BTL W/TRIGGER TNF #25 HB QUAT DISF","MEDICAL SUPPLIES",null,0]
["90011509","TNF 3H NEUTRAL CLEANER 1-2 LITER","MEDICAL SUPPLIES",null,0]
["90011510","TNF 4L BATHROOM CLEANER 1-2 LITER","MEDICAL SUPPLIES",null,0]
["90011511","329 GREEN EARTH RTU PEROXIDE CLEANER","MEDICAL SUPPLIES",null,0]
["90011512","PUMICE SCOURING STICK","MEDICAL SUPPLIES",null,0]
["90011513","PROSALL WINDEMERE GLASS CLEANER","MEDICAL SUPPLIES",null,0]
["90011514","GREEN EARTH PUSH LIQ. BACTERIA","MEDICAL SUPPLIES",null,0]
["90011515","GREEN EARTH PUSH CLEANER","MEDICAL SUPPLIES",null,0]
["90011516","CLOROX BLEACH CREAM CLEANSER","MEDICAL SUPPLIES",null,0]
["90011517","309 GREEN EARTH RTU RESTROOM CLNR","MEDICAL SUPPLIES",null,0]
["90011518","CLOROX URINE REMOVER","MEDICAL SUPPLIES",null,0]
["90011519","TOILET BOWL SWAB","MEDICAL SUPPLIES",null,0]
["90011520","BATHMATE ACID FREE RTU BATH/BOWL","MEDICAL SUPPLIES",null,0]
["90011521","76 STIX 20% PHOS THICK BOWL CLNR","MEDICAL SUPPLIES",null,0]
["90011522","LYSOL DISINFECTANT/DEOD CLNR LEMON","MEDICAL SUPPLIES",null,0]
["90011523","CF66 CITRUFOAM CLNR/DGSR","MEDICAL SUPPLIES",null,0]
["90011524","CLOROX ODOR DEFENSE CLEAN AIR 32 OZ","MEDICAL SUPPLIES",null,0]
["90011525","CLOROX ODOR DEFENSE CLEAN AIR 14 OZ","MEDICAL SUPPLIES",null,0]
["90011526","VACUUM BAGS 10 PK","MEDICAL SUPPLIES",null,0]
["90011527","WET FLOOR SIGN","MEDICAL SUPPLIES",null,0]
["90011528","WET FLOOR CONE SIGN","MEDICAL SUPPLIES",null,0]
["90011529","WET FLOOR DOOR HANGER","MEDICAL SUPPLIES",null,0]
["90011530","FLIP TOP CAP FOR BOTTLES","MEDICAL SUPPLIES",null,0]
["90011531","FIBERPRO FOAM CONTROL","MEDICAL SUPPLIES",null,0]
["90011532","PINK ERASER BURNISH PAD","MEDICAL SUPPLIES",null,0]
["90011533","SWIFFER DUSTER 360 REFILL YELLOW","MEDICAL SUPPLIES",null,0]
["90011534","RED BUFFER PAD","MEDICAL SUPPLIES",null,0]
["90011535","SCOTCHGUARD OXY CARPET & FABRIC STAIN","MEDICAL SUPPLIES",null,0]
["90011536","DOODLEDUSTER HOLDER LARGE 3X38","MEDICAL SUPPLIES",null,0]
["90011537","THREADED WOOD HANDLE 5'","MEDICAL SUPPLIES",null,0]
["90011538","DOODLEDUSTER HOLDER SMALL 3X25","MEDICAL SUPPLIES",null,0]
["90011539","EASY SCRUB 16  PAD HOLDER AND ATTACH","MEDICAL SUPPLIES",null,0]
["90011540","EASY SCRUB TOP BUTTON","MEDICAL SUPPLIES",null,0]
["90011541","EASY SCRUB FLAT MOP 18","MEDICAL SUPPLIES",null,0]
["90011542","EASY TRAP DUSTER 8 X125'","MEDICAL SUPPLIES",null,0]
["90011543","SCOTCHGUARD SURFACE PROTECTION FILM","MEDICAL SUPPLIES",null,0]
["90011544","SCOTCH BRITE 96 SCOURING PADS","MEDICAL SUPPLIES",null,0]
["90011545","DISC 350 QUAT STAT DISF HBV","MEDICAL SUPPLIES",null,0]
["90011546","ENVY FOAMING DISINFECTANT CLEANER","MEDICAL SUPPLIES",null,0]
["90011547","CLOROX DISINFECTANT SPRAY FRESH SCENT","MEDICAL SUPPLIES",null,0]
["90011548","END BAC II DISINFECTANT","MEDICAL SUPPLIES",null,0]
["90011549","PURELL ES STARTER KIT BASE + REFILL","MEDICAL SUPPLIES",null,0]
["90011550","PURELL REFILLS","MEDICAL SUPPLIES",null,0]
["90011551","PINK FOAMING SKIN CLEANSER","MEDICAL SUPPLIES",null,0]
["90011552","TOILET PAPER -- ENVISION","MEDICAL SUPPLIES",null,0]
["90011553","PAPER TOWELS -- ROLL","MEDICAL SUPPLIES",null,0]
["90011554","MULTI FOLD PAPER TOWELS","MEDICAL SUPPLIES",null,0]
["90011555","CLINGING LIME AWAY 15210","MEDICAL SUPPLIES",null,0]
["90011556","SYMPLICITY DETERGENT 5 GAL","MEDICAL SUPPLIES",null,0]
["90011557","SYMPLICITY DETERGENT 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011558","SYMPLICITY DESTAINER 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011559","SYMPLICITY DESTAINER 5 GAL","MEDICAL SUPPLIES",null,0]
["90011560","SYMPLICITY SOUR 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011561","SYMPLICITY SOUR 5 GAL","MEDICAL SUPPLIES",null,0]
["90011562","SYMPLICITY SOFTENER 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011563","SYMPLICITY SOFTENER 5 GAL","MEDICAL SUPPLIES",null,0]
["90011564","SYMPLICITY PRO A PRE-SPOT","MEDICAL SUPPLIES",null,0]
["90011565","SYMPLICITY BREAK ULTRA 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011566","SYMPLICITY BREAK ULTRA 5 GAL","MEDICAL SUPPLIES",null,0]
["90011567","COYOTE DYE/FRAGRANCE FREE 4/1 GAL (GCC)","MEDICAL SUPPLIES",null,0]
["90011568","PHERFECT FLOOR NEUTRALIZER","MEDICAL SUPPLIES",null,0]
["90011569","BUDDY JUG 2.5GAL 3M EASY SCRUB","MEDICAL SUPPLIES",null,0]
["90011570","BEST BET LIQUID CREAME CLNSR #77","MEDICAL SUPPLIES",null,0]
["90011571","DIAL SOAP 7.5 OZ WITH PUMP","MEDICAL SUPPLIES",null,0]
["90011572","KLEENEX, SMALL, PATIENT ROOMS","MEDICAL SUPPLIES",null,0]
["90011573","EASY SCRUB MOP 16","MEDICAL SUPPLIES",null,0]
["90011574","SPRAY BOTTLE, EMPTY 32 OZ","MEDICAL SUPPLIES",null,0]
["90011575","TRIGGER SPRAYER FOR 32 OZ BOTTLE","MEDICAL SUPPLIES",null,0]
["90011576","PURELL FOODSERVE SURFACE SANITZER SPRAY","MEDICAL SUPPLIES",null,0]
["90011577","SWIFFER DUSTER W/EXTENDABLE HANDLE","MEDICAL SUPPLIES",null,0]
["90011578","DRYER SHEETS SCENT FREE BOUNCE","MEDICAL SUPPLIES",null,0]
["90011579","CLARIO WALL MOUNT SOAP DISPENSER","MEDICAL SUPPLIES",null,0]
["90011580","KITCHEN CLEANER/DEGREASER WIPES","MEDICAL SUPPLIES",null,0]
["90011581","AIR NEUTRALIZER LINEN FRESH","MEDICAL SUPPLIES",null,0]
["90011582","PRESOAK LAUNDRY ENZYME POWDER","MEDICAL SUPPLIES",null,0]
["90011583","BLUE BUFFER PAD","MEDICAL SUPPLIES",null,0]
["90011584","COMET SCOUR POWDER CLNSR W/BLEACH","MEDICAL SUPPLIES",null,0]
["90011585","TRASH BAGS GRAY 33 GAL","MEDICAL SUPPLIES",null,0]
["90011586","TRASH BAGS BLK 10 GAL","MEDICAL SUPPLIES",null,0]
["90011587","DISPENSER AIR FRESHNER/NEUTRALIZER","MEDICAL SUPPLIES",null,0]
["90011588","ENDEAVOUR FLOOR WAX","MEDICAL SUPPLIES",null,0]
["90011589","ICE MELT SNO PLOW 50 LBS BAG","MEDICAL SUPPLIES",null,0]
["90011590","BLACK BUFFER PAD","MEDICAL SUPPLIES",null,0]
["90011591","LEMON FURNITURE POLISH","MEDICAL SUPPLIES",null,0]
["90011592","GERMICIDAL FOAMING CLEANER","MEDICAL SUPPLIES",null,0]
["90011593","AEROSOL SUPER HIL AIRE FRESH CLEAN","MEDICAL SUPPLIES",null,0]
["90011594","MULTI FOLD TOWEL DISPENSER","MEDICAL SUPPLIES",null,0]
["90011595","TOILET SEAT BANDS","MEDICAL SUPPLIES",null,0]
["90011596","RED BUFFER PAD -- SQUARE","MEDICAL SUPPLIES",null,0]
["90011597","BLK STRIPPING PAD--SQUARE","MEDICAL SUPPLIES",null,0]
["90011598","MAROON SURFACE PREP PAD -- SQUARE","MEDICAL SUPPLIES",null,0]
["90011599","GREEN TURFSCRUB SCRUB PAD -- SQUARE","MEDICAL SUPPLIES",null,0]
["90011600","BACKER PAD & VELCRO FASTENERS -- SQUARE","MEDICAL SUPPLIES",null,0]
["90011601","TNF 25L HB QUAT DISINFECTANT","MEDICAL SUPPLIES",null,0]
["90011602","TAKE DOWN GREEN APPLE AIR FRESHENER","MEDICAL SUPPLIES",null,0]
["90011603","PURELL 12 OZ BOTTLES","MEDICAL SUPPLIES",null,0]
["90011604","PURELL 2 LITER BOTTLE","MEDICAL SUPPLIES",null,0]
["90011605","PURELL REFILL FOR STAND DISPENSER","MEDICAL SUPPLIES",null,0]
["90011606","SUPER SHINE ALL CLEANER","MEDICAL SUPPLIES",null,0]
["90011700","GREEN BAGS FOR SOILED LINEN","MEDICAL SUPPLIES",null,0]
["90025001","RECLOSABLE PHARMACY BAGS","MEDICAL SUPPLIES",null,0]
["90025002","SALIJET SINGLE DOSE SALINE","MEDICAL SUPPLIES",null,6]
["90045001","HEMOTROL CONTROL LEVEL 1","MEDICAL SUPPLIES",null,0]
["90045002","HEMOTROL CONTROL LEVEL 2","MEDICAL SUPPLIES",null,0]
["90045003","HEMOTROL CONTROL LEVEL 3","MEDICAL SUPPLIES",null,0]
["90056001","SHOULDER PULLEY","MEDICAL SUPPLIES",null,0]
["90056002","IONTO PATCHES","MEDICAL SUPPLIES",null,0]
["90056003","THERABAND RESISTANCE BANDS -- BLUE (BOX)","MEDICAL SUPPLIES",null,0]
["90056004","THERABAND RESISTANCE BANDS -- BLK (BOX)","MEDICAL SUPPLIES",null,0]
["90056005","THERABAND RESISTANCE BANDS -- RED (BOX)","MEDICAL SUPPLIES",null,0]
["90056006","THERABAND RESISTANCE BANDS -- YLW (BOX)","MEDICAL SUPPLIES",null,0]
["90056007","THERABAND RESISTANCE BANDS -- GRN (BOX)","MEDICAL SUPPLIES",null,0]
["90056008","BILATERAL BANDS -- YELLOW","MEDICAL SUPPLIES",null,0]
["90056009","BILATERAL BANDS -- RED","MEDICAL SUPPLIES",null,0]
["90056010","BILATERAL BANDS -- GREEN","MEDICAL SUPPLIES",null,0]
["90056011","BILATERAL BANDS -- BLUE","MEDICAL SUPPLIES",null,0]
["90056012","BILATERAL BANDS -- BLACK","MEDICAL SUPPLIES",null,0]
["90056013","THERABATH REFILL PARAFFIN WAX BEADS","MEDICAL SUPPLIES",null,0]
["90056014","BIOFREEZE SAMPLE PACKS","MEDICAL SUPPLIES",null,0]
["90056015","BIOFREEZE 3 OZ ROLL-ON","MEDICAL SUPPLIES",null,0]
["90056016","ANCHOR STRAP WITH NUB","MEDICAL SUPPLIES",null,0]
["90056017","HYDROCOLLATOR MOIST HEAT PACK 15X24","MEDICAL SUPPLIES",null,0]
["90056018","BIOFREEZE 4 OZ TUBE -- CLEAR","MEDICAL SUPPLIES",null,0]
["90056019","BIOFREEZE 32 OZ WITH PUMP","MEDICAL SUPPLIES",null,0]
["90056020","THERABAND FLEXBAR -- BLUE","MEDICAL SUPPLIES",null,0]
["90056021","THERABAND FLEXBAR -- GREEN","MEDICAL SUPPLIES",null,0]
["90056022","PARAFFIN BATH","MEDICAL SUPPLIES",null,0]
["90056023","TRANSFER PIVOT DISK","MEDICAL SUPPLIES",null,0]
["90056024","BULK LENGTH EDEMAWEAR SMALL","MEDICAL SUPPLIES",null,0]
["90056025","BULK LENGTH EDEMAWEAR MEDIUM","MEDICAL SUPPLIES",null,0]
["90056026","HAND TABLE HAUSMANN W/ DRAWER","MEDICAL SUPPLIES",null,0]
["90056027","AIR BIKE LIFE CORE ASSAULT CLASSIC","MEDICAL SUPPLIES",null,0]
["90056028","TABLE TOP ERGOMETER/PEDAL EXERCISER","MEDICAL SUPPLIES",null,0]
["90056029","3D MULTI TRAINER","MEDICAL SUPPLIES",null,0]
["90056030","THERABAND RESISTANT TUBING -- BLAC=K","MEDICAL SUPPLIES",null,0]
["90056031","THERABAND RESISTANT TUBING -- BLUE","MEDICAL SUPPLIES",null,0]
["90056032","THERABAND RESISTANT TUBING -- GREEN","MEDICAL SUPPLIES",null,0]
["90056033","HAWKGRIPS HAWK HYDRO WATER BASED EMOLLIE","MEDICAL SUPPLIES",null,0]
["90056034","HAWKGRIPS EMOLLIENT","MEDICAL SUPPLIES",null,0]
["90056035","KINESIOLOGY TAPE","MEDICAL SUPPLIES",null,0]
["90056036","FLEXIBLE SOCK AND STOCKING AID","MEDICAL SUPPLIES",null,0]
["90056037","REACHER GRAB STICKS","MEDICAL SUPPLIES",null,0]
["90056038","TRANSFER POLE","MEDICAL SUPPLIES",null,0]
["90056039","TRANSFER POLE SWING GRIP","MEDICAL SUPPLIES",null,0]
["90058001","HIP KIT/MOBILITY TOOL","MEDICAL SUPPLIES",null,0]
["90058002","THERAPY PUTTY VARIOUS COLORS","MEDICAL SUPPLIES",null,0]
["90060001","PRIVACY SCREEN FOR COMPUTER","MEDICAL SUPPLIES",null,0]
["90060002","CISCO MERAKI MR70 OUTDOOR ACCESS POINT","MEDICAL SUPPLIES",null,0]
["90060003","LENOVO THINKPAD T490S","MEDICAL SUPPLIES",null,0]
["90063001","ENSURE","MEDICAL SUPPLIES",null,0]
["90063002","DIABETASHIELD","MEDICAL SUPPLIES",null,0]
["90090000","SUTURE ETHILON 4.0 699G","MEDICAL SUPPLIES",null,23]
["90090001","SUTURE ETHILON 4.0 662G","MEDICAL SUPPLIES",null,12]
["90090002","SUTURE ETHILON 4.0 1854G","MEDICAL SUPPLIES",null,28]
["90090003","SUTURE ETHILON 5.0 698G","MEDICAL SUPPLIES",null,23]
["90090004","SUTURE ETHILON 5.0 661G","MEDICAL SUPPLIES",null,12]
["90090005","SUTURE ETHILON 6.0 1698G","MEDICAL SUPPLIES",null,23]
["90090006","SUTURE PROLENE 4.0 8683G","MEDICAL SUPPLIES",null,18]
["90090007","SUTURE PROLENE 4.0 8699G","MEDICAL SUPPLIES",null,30]
["90090008","SUTURE PROLENE 3.0 8663G","MEDICAL SUPPLIES",null,28]
["90090009","SUTURE PROLENE 3.0 8665G","MEDICAL SUPPLIES",null,17]
["90090010","SUTURE PROLENE 5.0 8698G","MEDICAL SUPPLIES",null,29]
["90090011","SUTURE PROLENE 5.0 8681G","MEDICAL SUPPLIES",null,30]
["90090012","SUTURE PROLENE 6.0 8695G","MEDICAL SUPPLIES",null,31]
["90090013","SUTURE CHROME GUT 3.0 G122H","MEDICAL SUPPLIES",null,60]
["90090014","SUTURE PERMA SILK 3.0 SA64H","MEDICAL SUPPLIES",null,61]
["90090015","SUTURE ETHIBOND 0 CX41D","MEDICAL SUPPLIES",null,68]
["90090016","SUTURE CHROM GUT 4.0 1654G","MEDICAL SUPPLIES",null,25]
["90090017","SUTURE PERMA HAND SILK 683G","MEDICAL SUPPLIES",null,17]
["90090018","SUTURE CHROM GUT 5.0 687G","MEDICAL SUPPLIES",null,43]
["90090019","SUTURE CHROM GUT 2.0 637H","MEDICAL SUPPLIES",null,22]
["90090020","SUTURE VICRYL 4.0 7504G","MEDICAL SUPPLIES",null,28]
["90090021","SUTURE ETHILON 2.0 664G","MEDICAL SUPPLIES",null,13]
["90090022","SUTURE PROLENE 5.0 8661G","MEDICAL SUPPLIES",null,19]
["90090023","SUTURE PROLENE 6.0 8636G","MEDICAL SUPPLIES",null,35]
["90090024","SUTURE PROLENE 6.0 8697G","MEDICAL SUPPLIES",null,33]
["90090025","SUTURE PROLENE 7.0 8696G","MEDICAL SUPPLIES",null,33]
["90090026","SUTURE PROLENE 7.0 8301H","MEDICAL SUPPLIES",null,201]
["90090027","SUTURE VICRYL 2.0 J775D","MEDICAL SUPPLIES",null,65]
["90090028","SUTURE VICRYL 0 J473H","MEDICAL SUPPLIES",null,14]
["90090029","SUTURE ETHIBOND 0 CX45D","MEDICAL SUPPLIES",null,80]
["90090030","SUTURE VICRYL J258","MEDICAL SUPPLIES",null,23]
["90090031","SUTURE PROLENE 0 8412H","MEDICAL SUPPLIES",null,39]
["90090032","SUTURE PDS II 3-0 CR/SH VIL MONO","MEDICAL SUPPLIES",null,121]
["90090033","SUTURE VICRYL 3.0 J774D","MEDICAL SUPPLIES",null,74]
["90090034","SUTURE MONOCRYL 4.0 PS-2 Y426","MEDICAL SUPPLIES",null,82]
["90090035","SUTURE SILK 2.0 685G","MEDICAL SUPPLIES",null,23]
["90090036","SUTURE SILK 2-0 C016D","MEDICAL SUPPLIES",null,22]
["90090037","SUTURE PROLENE 2-0 8833H","MEDICAL SUPPLIES",null,17.149999999999999]
["90090038","SUTURE SILK 2-0 K833H","MEDICAL SUPPLIES",null,17.149999999999999]
[" 5500141","OXYGEN HOURS SUBSEQUENT","MEDICAL SUPPLIES","A9999",13]
[" 5500170","OXYGEN HOURS INITIAL","MEDICAL SUPPLIES","A9999",54]
[" 6000001","SKIN STAPLER 35CT","MEDICAL SUPPLIES",null,20]
[" 6000010","SKIN STAPLER 5CT","MEDICAL SUPPLIES",null,20]
[" 6000094","ENEMA BAG","MEDICAL SUPPLIES",null,7]
[" 6000127","PAD GAYMOR 13X18","MEDICAL SUPPLIES","E0217",22]
[" 6000128","PAD GAYMOR 15X22","MEDICAL SUPPLIES","E0217",23]
[" 6000129","PAD GAYMOR 18X26","MEDICAL SUPPLIES","E0217",25]
[" 6000328","SKIN STAPLER 35CT","MEDICAL SUPPLIES",null,151]
[" 6000329","PERFORMATRAK FULL SE MASK SMALL","MEDICAL SUPPLIES",null,92]
[" 6000330","PERFORMATRAK FULL SE MASK MEDIUM","MEDICAL SUPPLIES",null,92]
[" 6000331","PERFORMATRAK FULL SE MASK LARGE","MEDICAL SUPPLIES",null,92]
[" 6000332","VASOPRESS DVT CALF GARMET MEDIUM","MEDICAL SUPPLIES",null,73]
[" 6000365","BIPAP/CPAP MASKS FOR VENT AND BIPAP (S)","MEDICAL SUPPLIES",null,94.58]
[" 6000366","BIPAP/CPAP MASKS FOR VENT AND BIPAP (M)","MEDICAL SUPPLIES",null,94.58]
[" 6000367","BIPAP/CPAP MASKS FOR VENT AND BIPAP (L)","MEDICAL SUPPLIES",null,94.58]
[" 6000368","CIRCUIT SINGLE LIMB HEATED BIPAP/VENT","MEDICAL SUPPLIES",null,179.45]
[" 6000369","CIRCUIT NON INVASIVE BIPAP/VENT","MEDICAL SUPPLIES",null,28.09]
[" 6000370","HIGH FLOW NASAL CANNULA MASK (M)","MEDICAL SUPPLIES",null,88.43]
[" 6000371","HIGH FLOW NASAL CANNULA MASK (L)","MEDICAL SUPPLIES",null,88.43]
[" 6000372","PELVIC BINDER, ADULT","MEDICAL SUPPLIES",null,430]
[" 6000373","PELVIC BINDER, PEDIATRIC","MEDICAL SUPPLIES",null,450]
["80000078","CASTSCOTCH 1 STEP 3X12","MEDICAL SUPPLIES","A4580",27]
["80000079","CASTSCOTCH PLUS 2  PINK","MEDICAL SUPPLIES","A4580",14]
["80000080","CASTSCOTCH PLUS 2  WHITE","MEDICAL SUPPLIES","A4580",14]
["80000081","CASTSCOTCH PLUS 2  BLUE","MEDICAL SUPPLIES","A4580",7]
["80000082","CASTSCOTCH PLUS 3  BLUE","MEDICAL SUPPLIES","A4580",13]
["80000083","CASTSCOTCH PLUS 3  PINK","MEDICAL SUPPLIES",null,13]
["80000084","CASTSCOTCH PLUS 4  WHITE","MEDICAL SUPPLIES","A4580",20]
["80000085","CASTSCOTCH PLUS 5  WHITE - DO NOT ORDER","MEDICAL SUPPLIES","A4580",25]
["80000446","CASTSCOTCH PLUS 2  GREEN","MEDICAL SUPPLIES","A4580",14]
["80000447","CASTSCOTCH PLUS 3  GREEN","MEDICAL SUPPLIES","A4580",14]
["80000448","CASTSCOTCH PLUS 3  WHITE","MEDICAL SUPPLIES","A4580",14]
["80000449","CASTSCOTCH PLUS 5  BLUE","MEDICAL SUPPLIES","A4580",14]
["80000452","EAR WASH TIPS","MEDICAL SUPPLIES","A4580",14]
["  500110","1ST STEP SELECT OVERLAY","MEDICAL SUPPLIES","E0371",26]
[" 1500039","ED CRICOTHYROTOMOY CATHET","MEDICAL SUPPLIES",null,843]
[" 2500567","VIAL-MATE ADAPTOR (Supply)  EA","MEDICAL SUPPLIES","A4222",8]
[" 5500005","OXYGEN PROBE OXIMETER DEV","MEDICAL SUPPLIES","A4606",48]
[" 6000007","DERMABOND","MEDICAL SUPPLIES",null,86]
[" 6000012","SPINAL NEEDLE 18 G 3 1/2","MEDICAL SUPPLIES","A4215",15]
[" 6000013","SPINAL NEEDLE 22 G 1 1/2","MEDICAL SUPPLIES","A4215",7]
[" 6000014","SPINAL NEEDLE 22 G 3 1/2","MEDICAL SUPPLIES","A4215",7]
[" 6000015","SPINAL NEEDLE 22 G 5","MEDICAL SUPPLIES","A4215",7]
[" 6000016","SPINAL NEEDLE 20 G 3 1/2","MEDICAL SUPPLIES","A4215",7]
[" 6000018","OSTOMY PASTE","MEDICAL SUPPLIES","A4405",11]
[" 6000025","CATH PLUG","MEDICAL SUPPLIES",null,6]
[" 6000039","SCALPEL 11 SAFETY","MEDICAL SUPPLIES",null,8]
[" 6000040","SCALPEL 15 SAFETY","MEDICAL SUPPLIES",null,8]
[" 6000041","SCALPEL 10 SAFETY","MEDICAL SUPPLIES","A4649",8]
[" 6000059","CENTRAL LINE DRESSING KIT","MEDICAL SUPPLIES",null,64]
[" 6000063","IV KITS","MEDICAL SUPPLIES",null,13]
[" 6000064","ACE 2  SINGLE","MEDICAL SUPPLIES","A6448",11]
[" 6000065","ACE 3  SINGLE","MEDICAL SUPPLIES","A6449",5]
[" 6000066","ACE 4  DOUBLE","MEDICAL SUPPLIES","A6451",23]
[" 6000067","ACE 4  SINGLE","MEDICAL SUPPLIES","A6449",6]
[" 6000068","ACE 6  DOUBLE","MEDICAL SUPPLIES","A6455",12]
[" 6000069","ACE 6  SINGLE","MEDICAL SUPPLIES","A6450",15]
[" 6000071","CATH SECURE","MEDICAL SUPPLIES","A4334",16]
[" 6000072","CATH 14FR COUDE INTERMITTENT","MEDICAL SUPPLIES","A4334",12]
[" 6000073","CATH EXTERNAL 29MM","MEDICAL SUPPLIES","A4349",7]
[" 6000074","CATH TRAY","MEDICAL SUPPLIES","A4354",8]
[" 6000075","CATH 6FR","MEDICAL SUPPLIES","A4353",17]
[" 6000076","CATH 8FR 3ML","MEDICAL SUPPLIES","A4353",39]
[" 6000077","CATH 16FR 30ML","MEDICAL SUPPLIES","A4353",18]
[" 6000078","CATH 14FR 10ML","MEDICAL SUPPLIES","A4353",26]
[" 6000079","CATH 16FR 10ML","MEDICAL SUPPLIES","A4353",26]
[" 6000080","CATH 18FR 10ML COUDE TIP","MEDICAL SUPPLIES","A4353",73]
[" 6000081","CATH 18FR 30CC","MEDICAL SUPPLIES","A4353",19]
[" 6000082","CATH 18FR 30CC 3WAY","MEDICAL SUPPLIES","A4355",55]
[" 6000083","CATH 20FR 10ML","MEDICAL SUPPLIES","A4353",26]
[" 6000084","CATH 20FR 30ML","MEDICAL SUPPLIES","A4353",30]
[" 6000085","CATH 22FR 30CC 3 WAY","MEDICAL SUPPLIES","A4355",41]
[" 6000086","CATH 24FR 5CC","MEDICAL SUPPLIES","A4353",23]
[" 6000087","CATH 24FR 30CC","MEDICAL SUPPLIES","A4353",19]
[" 6000088","CATH 24FR 3WAY","MEDICAL SUPPLIES","A4355",55]
[" 6000089","CATH 26FR 30CC","MEDICAL SUPPLIES","A4353",20]
[" 6000090","CATH 28FR 5 CC","MEDICAL SUPPLIES","A4353",17]
[" 6000092","DRESSING DUODERM","MEDICAL SUPPLIES","A6257",15]
[" 6000095","EYE PAD ST MED","MEDICAL SUPPLIES","A6410",5]
[" 6000096","FEEDING TUBE 5 FR","MEDICAL SUPPLIES","B4083",7]
[" 6000097","FEEDING TUBE 8 FR","MEDICAL SUPPLIES","B4083",7]
[" 6000098","IRRIGATION TRAYS","MEDICAL SUPPLIES","A4320",6]
[" 6000099","DRESSING KERLIX","MEDICAL SUPPLIES","A6216",5]
[" 6000100","DRESSING KLING 1  NS","MEDICAL SUPPLIES","A6216",20]
[" 6000101","DRESSING KLING 1  ST","MEDICAL SUPPLIES","A6218",4]
[" 6000102","DRESSING KLING 2  NS","MEDICAL SUPPLIES","A6216",20]
[" 6000103","DRESSING KLING 2  ST","MEDICAL SUPPLIES","A6218",4]
[" 6000104","DRESSING KLING 3  NS","MEDICAL SUPPLIES","A6216",3]
[" 6000105","DRESSING KLING 3  ST","MEDICAL SUPPLIES","A6218",4]
[" 6000106","DRESSING KLING 4  ST","MEDICAL SUPPLIES","A6218",5]
[" 6000107","DRESSING KLING 6  ST","MEDICAL SUPPLIES","A6218",5]
[" 6000118","OSTOMY BAG 1 3/4","MEDICAL SUPPLIES","A4417",7]
[" 6000119","OSTOMY BAG 2 1/4","MEDICAL SUPPLIES","A4417",7]
[" 6000120","OSTOMY BAG 2 3/4","MEDICAL SUPPLIES","A4417",9]
[" 6000121","OSTOMY BAG 4","MEDICAL SUPPLIES","A4417",8]
[" 6000122","OSTOMY CLAMP","MEDICAL SUPPLIES","A4363",7]
[" 6000123","OSTOMY FILTER","MEDICAL SUPPLIES","A4368",3]
[" 6000124","OSTOMY FLANGE 2 1/4","MEDICAL SUPPLIES","A4421",11]
[" 6000125","OSTOMY FLANGE 2 3/4","MEDICAL SUPPLIES","A4421",11]
[" 6000126","OSTOMY FLANGE 4","MEDICAL SUPPLIES","A4421",16]
[" 6000131","STERISTRIP 1/4 X 3","MEDICAL SUPPLIES","A4450",4]
[" 6000132","STERISTRIP 1/8 X 3","MEDICAL SUPPLIES","A4450",4]
[" 6000133","SUCTION TUBING 6'","MEDICAL SUPPLIES","A7002",4]
[" 6000134","SUCTION TUBING OR 12'","MEDICAL SUPPLIES","A7002",7]
[" 6000135","DRESS TELFA ST 3X4","MEDICAL SUPPLIES","A6219",5]
[" 6000136","DRESS TELFA ST 3X8","MEDICAL SUPPLIES","A6219",3]
[" 6000137","URINARY DRAINAGE BAGS","MEDICAL SUPPLIES","A4358",13]
[" 6000138","URINARY LEG BG 500CC","MEDICAL SUPPLIES","A4358",19]
[" 6000139","URINARY LEG BAG 25 OZ","MEDICAL SUPPLIES","A4358",23]
[" 6000140","VASELINE GAUZE 1X8","MEDICAL SUPPLIES","A6222",5]
[" 6000141","VASELINE GAUZE 3 X 36","MEDICAL SUPPLIES","A6223",7]
[" 6000142","XEROFORM GAUZE 4X4","MEDICAL SUPPLIES","A6222",5]
[" 6000143","XEROFORM GUAZE 1X8","MEDICAL SUPPLIES","A6222",5]
[" 6000144","XEROFORM GUAZE 5X9","MEDICAL SUPPLIES","A6222",5]
[" 6000146","CENTRAL LINE 2 LUMEN","MEDICAL SUPPLIES","C1751",420]
[" 6000153","STERISTRIP 1/2 X 4","MEDICAL SUPPLIES",null,6]
[" 6000157","DRESSING AQUACEL AG EXTRA (420677)","MEDICAL SUPPLIES",null,50]
[" 6000306","UROSECURE FOLEY CATH SECUREMENT (GCC)","MEDICAL SUPPLIES","A4334",13]
[" 6000351","STATLOCK IV STAB DEVICE","MEDICAL SUPPLIES","A4334",27]
[" 6000358","CATH 28FR 30 CC","MEDICAL SUPPLIES","A4353",11.07]
[" 6000376","CATH 30 FR 10 ML","MEDICAL SUPPLIES","A4353",6.55]
[" 6000383","OPTILOCK NON ADHESIVE WOUND DRESSING","MEDICAL SUPPLIES","A4649",9]
[" 6000389","CHEST TUBE KIT PLEURAGUIDE","MEDICAL SUPPLIES","C1751",268.64999999999998]
["80000077","DRESSING 4X4 ST 10CT","MEDICAL SUPPLIES",null,0]
["80000638","SPONGE, DRAIN 4 X 4","MEDICAL SUPPLIES",null,0]
["  600286","THORACENTIS TRAY","MED-SUR SUPPLIES",null,240.3]
["  999022","MISC ITEMS","MED-SUR SUPPLIES",null,0]
[" 1500321","STOPCOCK 3 WAY HIGH FLOW","MED-SUR SUPPLIES",null,31]
[" 1502601","STERI-STRIP 1/8X4","MED-SUR SUPPLIES",null,12]
[" 1502602","LARYNGEAL TUBE 5-6' KING","MED-SUR SUPPLIES",null,132]
[" 1505130","BILIRUBIN LIGHTS/ISOLETTE","MED-SUR SUPPLIES",null,67]
[" 2500515","SODIUM CHLORIDE FLUSH 0.9% 10ML IV","MED-SUR SUPPLIES","A4216",5]
[" 4400302","CL FOLEY CATH W/BAG INDW/2-W","MED-SUR SUPPLIES","A4314",52]
[" 4400303","CL ARM SLING W/PADDED STRAP","MED-SUR SUPPLIES","A4565",29]
[" 4400304","CL SPLINT","MED-SUR SUPPLIES","A4570",51]
[" 4400305","CL KNEE SPLINT","MED-SUR SUPPLIES","L1830",123]
[" 5500018","NON-ELEC OSCILLATORY PEP DVC","MED-SUR SUPPLIES","E0484",161]
[" 5500020","HYPERINFLATION BAG","MED-SUR SUPPLIES",null,60]
[" 5500022","O2 SPO2 PROBE","MED-SUR SUPPLIES","A4606",55]
[" 5500024","AEROLSOL SET-UP KIT","MED-SUR SUPPLIES",null,31]
[" 5500025","FLUTTER DEVICE","MED-SUR SUPPLIES",null,161]
[" 5500119","INCENTIVE SPIROMETRY","MED-SUR SUPPLIES",null,208]
[" 5500200","PORTABLE PEAK FLOW METER","MED-SUR SUPPLIES","S8096",105]
[" 6000002","LOPEZ VALVE","MED-SUR SUPPLIES",null,13]
[" 6000003","LUMBAR TRAY","MED-SUR SUPPLIES",null,136]
[" 6000005","PEAK FLOW METER","MED-SUR SUPPLIES",null,0]
[" 6000006","O2 4 FT CANNULA","MED-SUR SUPPLIES","A4606",5]
[" 6000008","MEDIHONEY TUBE","MED-SUR SUPPLIES",null,32]
[" 6000009","O2 MASK AERO/CHILD","MED-SUR SUPPLIES","A7015",5]
[" 6000011","PULSAVAC SPRAY KIT","MED-SUR SUPPLIES",null,319]
[" 6000017","U-PEDIATRIC BAG","MED-SUR SUPPLIES","A4335",6]
[" 6000019","O2 MASK AERO/ADULT","MED-SUR SUPPLIES","A4620",4]
[" 6000020","SUCTION CATHETER 14FR","MED-SUR SUPPLIES","A4628",3]
[" 6000021","DRESSING POLYMEM 4X4","MED-SUR SUPPLIES","A6209",16]
[" 6000022","DRESS TEGADERM 2X2","MED-SUR SUPPLIES","A6257",5]
[" 6000023","DRESS TEGADERM 6X8","MED-SUR SUPPLIES","A6258",8]
[" 6000024","EYE SHIELD","MED-SUR SUPPLIES","A6410",8]
[" 6000026","EMESIS BASIN","MED-SUR SUPPLIES",null,3]
[" 6000027","FRASIER TIP SUCTION","MED-SUR SUPPLIES",null,8]
[" 6000028","FRASIER TIP SUCTION","MED-SUR SUPPLIES",null,8]
[" 6000029","UNNA BOOT BASIC","MED-SUR SUPPLIES",null,45]
[" 6000030","NASOSTAT REG","MED-SUR SUPPLIES",null,127]
[" 6000031","NU GAUZE 1  IDOFORM","MED-SUR SUPPLIES",null,10]
[" 6000032","NU GAUZE 1/2  IOD","MED-SUR SUPPLIES",null,9]
[" 6000033","NU GAUZE 1/4 IOD","MED-SUR SUPPLIES",null,17]
[" 6000034","NU GAUZE 1/2 PLAIN","MED-SUR SUPPLIES",null,10]
[" 6000035","NU GAUZE 1/4 PLAIN","MED-SUR SUPPLIES",null,16]
[" 6000036","SALEM SUMP 14FR","MED-SUR SUPPLIES",null,22]
[" 6000037","SALEM SUMP 16FR","MED-SUR SUPPLIES",null,22]
[" 6000038","SALEM SUMP 18FR","MED-SUR SUPPLIES",null,22]
[" 6000042","SITZ PAN","MED-SUR SUPPLIES",null,11]
[" 6000043","SUCTION BOTTLES","MED-SUR SUPPLIES",null,7]
[" 6000044","14 FR SUCTION CATH & GLOVE","MED-SUR SUPPLIES",null,61]
[" 6000045","SUTURE REMOVAL KIT","MED-SUR SUPPLIES",null,9]
[" 6000046","YANK SUCT  BULB TIP","MED-SUR SUPPLIES",null,4]
[" 6000047","STOP COCK","MED-SUR SUPPLIES","S1015",13]
[" 6000048","STOP COCK XRAY","MED-SUR SUPPLIES","S1015",13]
[" 6000049","IV INSYTE 18G","MED-SUR SUPPLIES",null,10]
[" 6000050","IV INSYTE 20G","MED-SUR SUPPLIES",null,10]
[" 6000051","IV INSYTE 22G","MED-SUR SUPPLIES",null,10]
[" 6000052","IV INSYTE 24G","MED-SUR SUPPLIES",null,10]
[" 6000053","IV PROT 18G","MED-SUR SUPPLIES",null,10]
[" 6000054","IV PROT 20G 1","MED-SUR SUPPLIES",null,10]
[" 6000055","IV PROT 22G","MED-SUR SUPPLIES",null,10]
[" 6000056","IV PROT 24G","MED-SUR SUPPLIES",null,11]
[" 6000057","TUBING SECONDARY SET","MED-SUR SUPPLIES",null,4]
[" 6000058","NITRO TUBING","MED-SUR SUPPLIES",null,19]
[" 6000060","SURGICEL 1/2 X 2","MED-SUR SUPPLIES",null,153]
[" 6000061","FOLEY CATH KIT 16FR","MED-SUR SUPPLIES",null,113]
[" 6000062","FOLEY CATH KIT 18FR","MED-SUR SUPPLIES",null,80]
[" 6000070","BIPAP DISPOSABLE CIRCUIT","MED-SUR SUPPLIES","A4618",19]
[" 6000091","CHEST DRAINAGE SYSTEM","MED-SUR SUPPLIES","A7041",157]
[" 6000093","EGG CRATE","MED-SUR SUPPLIES","E0199",76]
[" 6000108","NEB ADULT","MED-SUR SUPPLIES","A7003",5]
[" 6000109","NEB PED","MED-SUR SUPPLIES","A7003",10]
[" 6000110","O2 CANNULA 10 FT","MED-SUR SUPPLIES","A4616",5]
[" 6000111","O2 CANNULA HIGH FLOW","MED-SUR SUPPLIES","A4616",8.18]
[" 6000112","O2 PED/INFANT CAN","MED-SUR SUPPLIES","A4616",5]
[" 6000113","O2 MASK ADULT","MED-SUR SUPPLIES","A4620",5]
[" 6000114","O2 MASK N REBREATHER","MED-SUR SUPPLIES","A4620",9]
[" 6000115","O2 SIMPLE MASK PED","MED-SUR SUPPLIES","A4620",6]
[" 6000116","O2 TUBING 25 FT","MED-SUR SUPPLIES","A4616",7]
[" 6000117","O2 TUBING 9 FT","MED-SUR SUPPLIES","A4616",3]
[" 6000130","PEROXIDE 4OZ","MED-SUR SUPPLIES","A4244",7]
[" 6000145","Y-TYPE BLOOD TUBING","MED-SUR SUPPLIES","A4755",29]
[" 6000147","DRESSING SILVERCELL  ALGINATE 4X4","MED-SUR SUPPLIES",null,33]
[" 6000148","DRESSING AQUACEL  4X4 (420642)","MED-SUR SUPPLIES",null,35]
[" 6000149","DRESSING COVER ROLL","MED-SUR SUPPLIES",null,16]
[" 6000150","DRESSING STIMULEN/MULTIDEX","MED-SUR SUPPLIES",null,59]
[" 6000151","DRESSING POLYMEM 6X6","MED-SUR SUPPLIES",null,28]
[" 6000152","DRESSING SORBSAN","MED-SUR SUPPLIES",null,17]
[" 6000154","UNNA BOOT DELUXE","MED-SUR SUPPLIES",null,23]
[" 6000155","DRESSING MEPILEX","MED-SUR SUPPLIES",null,12]
[" 6000156","DRESSING AQUACEL 2X2 (420675)","MED-SUR SUPPLIES",null,29]
[" 6000160","NORMAL SALINE 3000 ML","MED-SUR SUPPLIES",null,0]
[" 6000161","STERILE H2O 1000 ML","MED-SUR SUPPLIES",null,0]
[" 6000179","DRESSING KLING 4  NS","MED-SUR SUPPLIES",null,0]
[" 6000180","BILE BAG","MED-SUR SUPPLIES",null,0]
[" 6000181","BREATHING CIRCUIT PED","MED-SUR SUPPLIES",null,0]
[" 6000182","CATH 14FR 10ML  COUDE","MED-SUR SUPPLIES",null,73]
[" 6000183","CATH TAUT","MED-SUR SUPPLIES",null,0]
[" 6000184","CATH 12FR","MED-SUR SUPPLIES",null,0]
[" 6000185","CATH 22FR 30CC","MED-SUR SUPPLIES",null,30]
[" 6000186","DRESSING ALG/MAXORB","MED-SUR SUPPLIES",null,24]
[" 6000187","DRESSING MAXORB CAL","MED-SUR SUPPLIES",null,0]
[" 6000188","DRESSING MAXORB","MED-SUR SUPPLIES",null,0]
[" 6000189","DRESSING MEPILEX 4X4","MED-SUR SUPPLIES",null,15]
[" 6000190","DRESSING MEPITEL 3  x 4","MED-SUR SUPPLIES",null,22]
[" 6000191","DRESSING MEPITEL 1","MED-SUR SUPPLIES",null,0]
[" 6000192","DRESS TEGADERM 4X4","MED-SUR SUPPLIES",null,5]
[" 6000193","DRESS TELFA ST 2X3","MED-SUR SUPPLIES",null,5]
[" 6000194","2X2 BORDERED GAUZE","MED-SUR SUPPLIES",null,5]
[" 6000195","ET TUBES CUFFED 6.0","MED-SUR SUPPLIES",null,0]
[" 6000196","ET TUBES CUFFED 3.0","MED-SUR SUPPLIES",null,0]
[" 6000197","ET TUBES CUFFED 3.5","MED-SUR SUPPLIES",null,0]
[" 6000198","ET TUBES CUFFED 4.0","MED-SUR SUPPLIES",null,0]
[" 6000199","ET TUBES CUFFED 4.5","MED-SUR SUPPLIES",null,0]
[" 6000200","ET TUBES CUFFED 5.0","MED-SUR SUPPLIES",null,0]
[" 6000201","ET TUBES CUFFED 5.5","MED-SUR SUPPLIES",null,0]
[" 6000202","ET TUBES CUFFED 6.5","MED-SUR SUPPLIES",null,0]
[" 6000203","ET TUBES CUFFED 7.0","MED-SUR SUPPLIES",null,8]
[" 6000204","ET TUBES CUFFED 7.5","MED-SUR SUPPLIES",null,0]
[" 6000205","ET TUBES CUFFED 8.0","MED-SUR SUPPLIES",null,0]
[" 6000206","ET TUBES CUFFED 8.5","MED-SUR SUPPLIES",null,0]
[" 6000207","ET TUBES UNCUFFED 2.0","MED-SUR SUPPLIES",null,6]
[" 6000208","ET TUBES UNCUFFED 2.5","MED-SUR SUPPLIES",null,0]
[" 6000209","ET TUBES UNCUFFED 3.0","MED-SUR SUPPLIES",null,0]
[" 6000210","ET TUBES UNCUFFED 3.5","MED-SUR SUPPLIES",null,0]
[" 6000211","ET TUBES UNCUFFED 4.0","MED-SUR SUPPLIES",null,0]
[" 6000212","ET TUBES UNCUFFED 4.5","MED-SUR SUPPLIES",null,0]
[" 6000213","ET TUBES UNCUFFED 5.0","MED-SUR SUPPLIES",null,0]
[" 6000214","ET TUBES UNCUFFED 5.5","MED-SUR SUPPLIES",null,0]
[" 6000215","ET TUBES UNCUFFED 6.0","MED-SUR SUPPLIES",null,0]
[" 6000216","ET TUBES UNCUFFED 6.5","MED-SUR SUPPLIES",null,0]
[" 6000217","ET TUBES UNCUFFED 7.0","MED-SUR SUPPLIES",null,0]
[" 6000218","PCA EXT SET","MED-SUR SUPPLIES",null,0]
[" 6000219","EXTENSION TUBING CATH","MED-SUR SUPPLIES",null,7]
[" 6000220","E-Z IO 15G 15MM","MED-SUR SUPPLIES",null,391]
[" 6000221","E-Z IO 15G 25MM","MED-SUR SUPPLIES",null,343]
[" 6000222","E-Z IO 15G 45MM","MED-SUR SUPPLIES",null,391]
[" 6000223","HEMATEST STAT","MED-SUR SUPPLIES",null,6]
[" 6000224","HEMOCULT KIT","MED-SUR SUPPLIES",null,5]
[" 6000225","HIBICLENS 4OZ","MED-SUR SUPPLIES",null,16]
[" 6000226","IV  PROT 14G  2","MED-SUR SUPPLIES",null,0]
[" 6000227","IV PROT 14G   1 1/4","MED-SUR SUPPLIES",null,0]
[" 6000228","IV PROT 20G 1 1/4","MED-SUR SUPPLIES",null,0]
[" 6000229","NEEDLE IV ANGIOCATH 14G X 3","MED-SUR SUPPLIES",null,76]
[" 6000230","OSTOMY BAG/FLANGE 2 1/2","MED-SUR SUPPLIES",null,0]
[" 6000231","O2 SPO2 PROBE PED","MED-SUR SUPPLIES",null,40]
[" 6000232","STAPLER EXTRACTOR","MED-SUR SUPPLIES",null,5]
[" 6000233","TINCTURE BENZOIN","MED-SUR SUPPLIES",null,5]
[" 6000235","URINARY LEG BAG 32 OZ","MED-SUR SUPPLIES",null,13]
[" 6000236","VENTILATOR CIRCUIT","MED-SUR SUPPLIES",null,0]
[" 6000237","WIPES UNSCENTED TENA","MED-SUR SUPPLIES",null,10]
[" 6000238","TEDS LG KNEE","MED-SUR SUPPLIES",null,19]
[" 6000239","TEDS MED KNEE","MED-SUR SUPPLIES",null,19]
[" 6000240","TEDS SMALL KNEE","MED-SUR SUPPLIES",null,19]
[" 6000241","TEDS XL KNEE","MED-SUR SUPPLIES",null,19]
[" 6000242","TEDS THIGH   LG","MED-SUR SUPPLIES",null,33]
[" 6000243","TEDS THIGH MED","MED-SUR SUPPLIES",null,30]
[" 6000244","TEDS THIGH SM","MED-SUR SUPPLIES",null,30]
[" 6000245","TEDS THIGH XL","MED-SUR SUPPLIES",null,40]
[" 6000246","SLIPPERS XL ADULT TAN","MED-SUR SUPPLIES",null,0]
[" 6000247","SLIPPERS ADULT TEAL","MED-SUR SUPPLIES",null,0]
[" 6000248","SLIPPERS CHILD PURPLE","MED-SUR SUPPLIES",null,0]
[" 6000249","SLIPPERS XLARGE YELLOW","MED-SUR SUPPLIES",null,0]
[" 6000250","SLIPPERS XXXL (BARIATRIC) GRAY","MED-SUR SUPPLIES",null,0]
[" 6000251","BAIR HUGGER UPPER","MED-SUR SUPPLIES",null,0]
[" 6000252","7.5 UNCUFFED ET TUBE","MED-SUR SUPPLIES",null,0]
[" 6000253","NASO AIRWAY 6.0 (24 FR)","MED-SUR SUPPLIES",null,0]
[" 6000254","NASO AIRWAY 6.5 (26 FR)","MED-SUR SUPPLIES",null,0]
[" 6000255","NASO AIRWAY 7.0 (28 FR)","MED-SUR SUPPLIES",null,11]
[" 6000256","LARYNGEAL MASK #1.5","MED-SUR SUPPLIES",null,0]
[" 6000257","LARYNGEAL MASK #2.0","MED-SUR SUPPLIES",null,0]
[" 6000258","LARYNGEAL MASK #2.5","MED-SUR SUPPLIES",null,0]
[" 6000259","LARYNGEAL MASK #3.0","MED-SUR SUPPLIES",null,0]
[" 6000260","EMERGENCY BIRTH KIT","MED-SUR SUPPLIES",null,72]
[" 6000261","KIWI PALM PUMP","MED-SUR SUPPLIES",null,0]
[" 6000262","INTRAUTERINE PRESSURE CATHETER","MED-SUR SUPPLIES",null,207]
[" 6000263","C SECTION BIRTH KIT","MED-SUR SUPPLIES",null,0]
[" 6000264","IV CATH STABILIZATION DEVICE","MED-SUR SUPPLIES",null,20]
[" 6000265","CHEMO PREP KIT","MED-SUR SUPPLIES",null,0]
[" 6000266","CHEMO SPILL KIT","MED-SUR SUPPLIES",null,0]
[" 6000267","NEBULIZER, ADULT, WITH MASK","MED-SUR SUPPLIES",null,0]
[" 6000268","ADULT 02 MASK WTUBING 7","MED-SUR SUPPLIES",null,0]
[" 6000269","ACAPELLA VIBRATORY PEP","MED-SUR SUPPLIES",null,145.11000000000001]
[" 6000270","MASK MULTI VENT ADULT","MED-SUR SUPPLIES",null,0]
[" 6000271","12 FR SUCTION CATH & GLOVE","MED-SUR SUPPLIES",null,0]
[" 6000272","10 FR SUCTION CATH & GLOVE","MED-SUR SUPPLIES",null,0]
[" 6000273","GAS SAMPLING ELBOW","MED-SUR SUPPLIES",null,0]
[" 6000274","18 FR 10CC","MED-SUR SUPPLIES",null,15]
[" 6000275","FOLEY CATH INSERTION TRAY","MED-SUR SUPPLIES",null,0]
[" 6000276","CYSTO TUBING","MED-SUR SUPPLIES",null,0]
[" 6000278","BENDABLE ARM BOARD-PEDIATRIC","MED-SUR SUPPLIES",null,0]
[" 6000279","NEONATAL IV SUPPORT ARM BOARD","MED-SUR SUPPLIES",null,0]
[" 6000280","STOPCOCK FLO 3 WAY","MED-SUR SUPPLIES",null,0]
[" 6000281","INVISION PLUS IV CONNECTOR","MED-SUR SUPPLIES",null,7]
[" 6000282","VIAL MATE ADAPTOR","MED-SUR SUPPLIES",null,0]
[" 6000283","19G X .75 POWERLOC INFUSION","MED-SUR SUPPLIES",null,35]
[" 6000284","GASTROSTOMY FEEDING TUBE","MED-SUR SUPPLIES",null,389]
[" 6000285","FILTER TUBING","MED-SUR SUPPLIES",null,0]
[" 6000286","CAVILON DURABLE BARRIER CREAM","MED-SUR SUPPLIES",null,19]
[" 6000287","SPINAL TRAY","MED-SUR SUPPLIES",null,0]
[" 6000288","EPIDURAL TRAY","MED-SUR SUPPLIES",null,423.2]
[" 6000289","DRESSING KLING 6  NS","MED-SUR SUPPLIES",null,0]
[" 6000290","4X4 BORDERED GAUZE","MED-SUR SUPPLIES",null,5]
[" 6000291","OPTIFOAM","MED-SUR SUPPLIES",null,16]
[" 6000293","4X4 GAUZE 2 PK STERILE","MED-SUR SUPPLIES",null,5]
[" 6000294","ADAPTIC NON-ADHERANT","MED-SUR SUPPLIES",null,5]
[" 6000295","DRESSING AQUACEL  4X5 (420674)","MED-SUR SUPPLIES",null,22]
[" 6000297","DRESSING AQUACEL  2X2 (420671)","MED-SUR SUPPLIES",null,12]
[" 6000298","DRESSING AQUACEL  4X10 (421153)","MED-SUR SUPPLIES",null,45]
[" 6000299","NASAL PACKING STRING 4.5CM","MED-SUR SUPPLIES",null,37]
[" 6000300","TRIAD HYDROPHILIC WOUND DRESSING","MED-SUR SUPPLIES",null,40]
[" 6000301","O2 SPO2 PROBE INFANT","MED-SUR SUPPLIES",null,40]
[" 6000302","FILTER LINE SET ADULT/PED","MED-SUR SUPPLIES",null,44]
[" 6000303","NIV LINE ADULT","MED-SUR SUPPLIES",null,55]
[" 6000304","PATRIOT COLLARS -- ADULT","MED-SUR SUPPLIES",null,26]
[" 6000305","PATRIOT COLLARS -- PEDIATRIC","MED-SUR SUPPLIES",null,31]
[" 6000307","ADAPTIC NON-ADHERANT 3  x 8","MED-SUR SUPPLIES",null,6]
[" 6000308","ANASEPT WOUND & SKIN GEL","MED-SUR SUPPLIES",null,102]
[" 6000310","MASTISOL ADHESIVE","MED-SUR SUPPLIES",null,11]
[" 6000311","INFANT FORMULA","MED-SUR SUPPLIES",null,82]
[" 6000312","BABY BOTTLES 4 OZ","MED-SUR SUPPLIES",null,10]
[" 6000313","BABY BOTTLES 8 OZ","MED-SUR SUPPLIES",null,10]
[" 6000314","CUPS, SIPPY TODDLER","MED-SUR SUPPLIES",null,5]
[" 6000315","PACIFIER BABY","MED-SUR SUPPLIES",null,12]
[" 6000316","ELECTRODE, FETAL SCALP, QWIK CONNECT","MED-SUR SUPPLIES",null,25]
[" 6000317","INTRODUCER BOUGIE ENDOTRACHEAL TUBE 15FR","MED-SUR SUPPLIES",null,80]
[" 6000318","VASELINE INDIVIDUAL PACKS","MED-SUR SUPPLIES",null,5]
[" 6000319","PESSARY RING -- ASSORTED SIZES","MED-SUR SUPPLIES",null,127]
[" 6000320","IODOSORB GEL","MED-SUR SUPPLIES",null,172]
[" 6000321","LARYNGEAL MASK #5","MED-SUR SUPPLIES",null,36]
[" 6000322","6X6 BORDERED GAUZE","MED-SUR SUPPLIES",null,5]
[" 6000323","ADULT TRACH TUBE HOLDER","MED-SUR SUPPLIES",null,28]
[" 6000324","PED TRACH TUBE HOLDER","MED-SUR SUPPLIES",null,28]
[" 6000325","CO2 DETECTOR ADULT","MED-SUR SUPPLIES",null,41]
[" 6000326","DRESSING MEPILEX BORDER 6  X 6","MED-SUR SUPPLIES",null,23]
[" 6000327","E-Z IO STABILIZER","MED-SUR SUPPLIES",null,74]
[" 6000333","NU GAUZE 1  PLAIN PACKING STRIP","MED-SUR SUPPLIES",null,19]
[" 6000335","EYE SPEARS WECK-CEL CELLULOSE LIGHT","MED-SUR SUPPLIES",null,10]
[" 6000336","MEPILEX BORDER SACRUM HEART SHAPED","MED-SUR SUPPLIES",null,30]
[" 6000337","MEDIPORE WOUND DRESSING 2 3/8 X 4","MED-SUR SUPPLIES",null,5]
[" 6000338","SKINTEGRITY--HYDROGEL","MED-SUR SUPPLIES",null,6]
[" 6000339","MEFIX DRESSING RETENTION TAPE","MED-SUR SUPPLIES",null,23]
[" 6000340","TOOTHPASTE, 2.75 OZ -- GCC","MED-SUR SUPPLIES",null,6]
[" 6000341","DRESSING AQUACEL FOAM 6X6 (420635)","MED-SUR SUPPLIES",null,34]
[" 6000342","BARRIER PROTECTIVE SENSI-CARE CREAM","MED-SUR SUPPLIES",null,18]
[" 6000343","NASAL SPECULUM DISPOSABLE","MED-SUR SUPPLIES",null,10]
[" 6000344","DRESSING MEPILEX BORDER 4  X 4","MED-SUR SUPPLIES",null,13]
[" 6000345","MOUTH MOISTURIZER","MED-SUR SUPPLIES",null,9]
[" 6000346","DRESSING MEPILEX BORDER 3  X 3","MED-SUR SUPPLIES",null,11]
[" 6000347","NEEDLE IV ANGIOCATH 14G X 5.25","MED-SUR SUPPLIES",null,98]
[" 6000348","HEMOCULT ICT TEST DEVICE","MED-SUR SUPPLIES",null,17]
[" 6000349","INTERDRY ANTI-MICROBIAL DRESSING","MED-SUR SUPPLIES",null,175]
[" 6000350","ASHERMAN CHEST SEAL","MED-SUR SUPPLIES","A7041",42]
[" 6000352","NASO AIRWAY 7.5 MM  (30 FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000353","NASO AIRWAY 8.0 (32 FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000354","NASO AIRWAY 8.5 MM (34 FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000356","CRICOTHYROIDOTOMY KIT","MED-SUR SUPPLIES",null,491.98]
[" 6000357","COBAN 2 LAYER COMPRESSION SYSTEM","MED-SUR SUPPLIES",null,61.2]
[" 6000360","BUTTON, BALLOON MINI 12 FR 2.0 CM","MED-SUR SUPPLIES",null,172]
[" 6000361","OPTIFOAM 3x3 BORDERED FOAM DRESSING","MED-SUR SUPPLIES",null,16]
[" 6000362","THORACIC CATHETER 20 FR","MED-SUR SUPPLIES",null,33.6]
[" 6000363","ASPIRA DRAINAGE KIT","MED-SUR SUPPLIES",null,227.4]
[" 6000364","ASPIRA DRESSING KIT","MED-SUR SUPPLIES",null,77.44]
[" 6000374","TEDS KNEE 2XL","MED-SUR SUPPLIES",null,23.5]
[" 6000375","TEDS KNEE 3XL","MED-SUR SUPPLIES",null,23.5]
[" 6000377","THORACIC CATHETER 28 FR","MED-SUR SUPPLIES",null,33.6]
[" 6000378","THORACIC CATHETER 24 FR","MED-SUR SUPPLIES",null,33.6]
[" 6000379","ET TUBES UNCUFFED 8.0","MED-SUR SUPPLIES",null,0]
[" 6000380","NASO AIRWAY 5.0 MM  (20 FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000381","NASO AIRWAY 5.5 MM  (22 FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000382","NASO AIRWAY 9.0 MM  36 (FR)","MED-SUR SUPPLIES",null,15.3]
[" 6000384","CAVILON SPRAY SKIN FILM BARRIER","MED-SUR SUPPLIES",null,15.3]
[" 6000385","LARYNGEAL MASK #4","MED-SUR SUPPLIES",null,36]
[" 6000386","LARYNGEAL MASK SUPRAGLOTTIC SIZE 5","MED-SUR SUPPLIES",null,88.61]
[" 6000387","LARYNGEAL MASK SUPRAGLOTTIC SIZE 4","MED-SUR SUPPLIES",null,88.61]
[" 6000388","LARYNGEAL MASK SUPRAGLOTTIC SIZE 3","MED-SUR SUPPLIES",null,88.61]
[" 6001000","WOUND VAC RENTAL","MED-SUR SUPPLIES",null,192]
[" 6001001","WOUND VAC CANISTER WITH GEL","MED-SUR SUPPLIES",null,130]
[" 6001002","WOUND VAC LARGE BLACK FOAM","MED-SUR SUPPLIES",null,176]
[" 6001003","WOUND VAC LARGE WHITE FOAM DRESSING","MED-SUR SUPPLIES",null,49]
[" 6900001","ANES CIRCUIT OBV 3L","MED-SUR SUPPLIES",null,17]
[" 6900002","ANES CIRCUIT PEDIATRIC","MED-SUR SUPPLIES",null,17]
[" 8000460","PHONE MESSAGE BOOK","MED-SUR SUPPLIES",null,0]
[" 8000466","INDEX CARDS 4X6","MED-SUR SUPPLIES",null,0]
[" 9003005","LIFT, FLOOR - RELIANT LOW HEIGHT BASE","MED-SUR SUPPLIES",null,0]
[" 9003006","SLING--RELIANT W/COMMODE","MED-SUR SUPPLIES",null,0]
[" 9003007","PORTABLE COMMODE - DELUXE BARIATRIC","MED-SUR SUPPLIES",null,0]
[" 9003008","SLING--HOYER 4 POINT LARGE (GREEN)","MED-SUR SUPPLIES",null,0]
["50000001","IV PUMPS SPECTRUM IQ INFUSION","MED-SUR SUPPLIES",null,0]
["70000224","FIVE WISHES BOOKLET","MED-SUR SUPPLIES",null,0]
["70000225","LABEL HOLDER SELF ADHESIVE BINDER SPINE","MED-SUR SUPPLIES",null,0]
["70000226","LABEL, LARGE DISK SIZE 2 1/8  X 2 3/4","MED-SUR SUPPLIES",null,0]
["70000227","LABEL, TAPE 1/2  FOR DYMO","MED-SUR SUPPLIES",null,0]
["70000228","CARDSTOCK, COLORED","MED-SUR SUPPLIES",null,0]
["70000229","SCISSORS, OFFICE","MED-SUR SUPPLIES",null,0]
["70000230","POST IT ARROW FLAGS","MED-SUR SUPPLIES",null,0]
["70000231","CALCULATOR, SMALL DESKTOP","MED-SUR SUPPLIES",null,0]
["70000232","LARGE BANKER BOXES","MED-SUR SUPPLIES",null,0]
["70000233","MOUSE PAD W/WRIST REST","MED-SUR SUPPLIES",null,0]
["70000234","DESK, OFFICE, L-SHAPED","MED-SUR SUPPLIES",null,0]
["70000235","DESK HUTCH","MED-SUR SUPPLIES",null,0]
["70000236","STAPLER, HEAVY DUTY","MED-SUR SUPPLIES",null,0]
["70000237","TAX FORMS 1099 ACCOUNTING MISC.","MED-SUR SUPPLIES",null,0]
["70000238","DRY ERASE BOARD 6' X 4'","MED-SUR SUPPLIES",null,0]
["70000239","ADDRESS LABELS 1  X 2 5/8","MED-SUR SUPPLIES",null,0]
["70000240","NAME BADGE CLIPS","MED-SUR SUPPLIES",null,0]
["70000241","POCKET FOLDERS TEAL ADMIT PACKS","MED-SUR SUPPLIES",null,0]
["70000242","DRY ERASE BOARD 8.5  X 11","MED-SUR SUPPLIES",null,0]
["70000243","MEDICATION ADDED STICKER","MED-SUR SUPPLIES",null,0]
["70000244","CALCULATOR, 10 KEY DESKTOP","MED-SUR SUPPLIES",null,0]
["70000245","WALL CLOCK","MED-SUR SUPPLIES",null,0]
["70000246","BINDER 4","MED-SUR SUPPLIES",null,0]
["70000247","STAPLER PULLER -- OFFICE","MED-SUR SUPPLIES",null,0]
["70000248","STORYBOOK PAPER SHEETS","MED-SUR SUPPLIES",null,0]
["70000249","PENS, GREEN FELT TIP","MED-SUR SUPPLIES",null,0]
["70000250","LABEL, DATE OPENED YELLOW STICKERS","MED-SUR SUPPLIES",null,0]
["70000251","NAME PLAQUES FOR GCC DOORS","MED-SUR SUPPLIES",null,0]
["70000252","ADDRESS LABELS 2  X 4","MED-SUR SUPPLIES",null,0]
["70000253","TABLE, CONFERENCE","MED-SUR SUPPLIES",null,0]
["70000254","CHAIR, EXECUTIVE STYLE","MED-SUR SUPPLIES",null,0]
["70000255","BENCH TWO SEAT RECEPTION","MED-SUR SUPPLIES",null,0]
["70000256","LOCKER DOUBLE TIER 6 OPENINGS","MED-SUR SUPPLIES",null,0]
["70000257","LOCKER BASE","MED-SUR SUPPLIES",null,0]
["70000258","UTILITY CART 3 TIER","MED-SUR SUPPLIES",null,0]
["70000259","NURSES RECEPTION DESK GCC","MED-SUR SUPPLIES",null,0]
["70000260","STORAGE WALL SET","MED-SUR SUPPLIES",null,0]
["70000261","MONTHLY PLANNER","MED-SUR SUPPLIES",null,0]
["70000262","CHAIR, GUEST","MED-SUR SUPPLIES",null,0]
["70000263","CHAIR, GUEST BARIATRIC","MED-SUR SUPPLIES",null,0]
["70000264","END TABLE","MED-SUR SUPPLIES",null,0]
["70000265","CALCULATOR RIBBON SPOOLS RED/BLK","MED-SUR SUPPLIES",null,0]
["70000266","CORKBOARD BULLETIN BOARD 24  X 36","MED-SUR SUPPLIES",null,0]
["70000267","LABELS, MAILING 2  X 4","MED-SUR SUPPLIES",null,0]
["80000001","COTTON BALLS","MED-SUR SUPPLIES",null,0]
["80000002","BANDAID KIDS","MED-SUR SUPPLIES",null,0]
["80000003","BANDAIDE 2","MED-SUR SUPPLIES",null,0]
["80000004","BANDAIDE SPOT","MED-SUR SUPPLIES",null,0]
["80000005","CAPS BLUE (NURSES) 21","MED-SUR SUPPLIES",null,0]
["80000006","CAPS LG BLU NURSES 24","MED-SUR SUPPLIES",null,0]
["80000007","CAPS SURGEON","MED-SUR SUPPLIES",null,0]
["80000008","COTTON TIP APPL ST 6","MED-SUR SUPPLIES",null,0]
["80000009","COTTON TIP APPL 8IN","MED-SUR SUPPLIES",null,0]
["80000010","DENTURE TABS","MED-SUR SUPPLIES",null,0]
["80000011","DIXIE CUPS","MED-SUR SUPPLIES",null,0]
["80000012","GLOVES SM NITRILE","MED-SUR SUPPLIES",null,0]
["80000013","GLOVES MED NITRILE","MED-SUR SUPPLIES",null,0]
["80000014","GLOVES LRG NITRILE","MED-SUR SUPPLIES",null,0]
["80000015","GLOVES XL NITRILE","MED-SUR SUPPLIES",null,0]
["80000016","GLUCOMETER / STRIPS","MED-SUR SUPPLIES",null,0]
["80000017","INDICATORS STEAM","MED-SUR SUPPLIES",null,0]
["80000018","INSTURMENT PROT 2X5","MED-SUR SUPPLIES",null,0]
["80000019","IODINE SWABSTICKS","MED-SUR SUPPLIES",null,0]
["80000020","KIM WIPES","MED-SUR SUPPLIES",null,0]
["80000021","LUBRICATING JELLY","MED-SUR SUPPLIES",null,0]
["80000022","LANCETS MEDICHOICE","MED-SUR SUPPLIES",null,0]
["80000023","MASK ANTI-FOG","MED-SUR SUPPLIES",null,0]
["80000024","MASK MOLDED CONE","MED-SUR SUPPLIES",null,0]
["80000025","MASK N95","MED-SUR SUPPLIES",null,0]
["80000026","MASK CLASSIC SURGICAL","MED-SUR SUPPLIES",null,0]
["80000027","MASK FULL FACE SHIELD","MED-SUR SUPPLIES",null,0]
["80000028","NAIL POLISH REMOVER","MED-SUR SUPPLIES",null,0]
["80000029","NEEDLE FILTER 19 G","MED-SUR SUPPLIES",null,0]
["80000030","NEEDLE 25 G 1 1/2 ECLIPSE NEEDLE","MED-SUR SUPPLIES",null,0]
["80000031","NEEDLE 21G 1 1/2 S","MED-SUR SUPPLIES",null,0]
["80000032","NEEDLE 25 G 1  S G","MED-SUR SUPPLIES",null,0]
["80000033","NEEDLE 25 G 5/8 S G","MED-SUR SUPPLIES",null,0]
["80000034","NEEDLE18 G 1 1/2  S G","MED-SUR SUPPLIES",null,0]
["80000035","NEEDLE22 G 1 1/2  S G","MED-SUR SUPPLIES",null,0]
["80000036","NEEDLES 23 G 1 S G","MED-SUR SUPPLIES",null,0]
["80000037","NEEDLE TWIN PK","MED-SUR SUPPLIES",null,0]
["80000038","PROBE COVERS FILAC","MED-SUR SUPPLIES",null,0]
["80000039","PROBE GENIUS COVERS","MED-SUR SUPPLIES",null,0]
["80000040","SHOE COVERSNO SKID","MED-SUR SUPPLIES",null,0]
["80000041","SKIN WIPES PROTECT","MED-SUR SUPPLIES",null,0]
["80000042","SYRINGE 3ML LL","MED-SUR SUPPLIES",null,0]
["80000043","SYRINGE 3 ML SLIP TIP","MED-SUR SUPPLIES",null,0]
["80000044","SYRINGE 5 ML LL","MED-SUR SUPPLIES",null,0]
["80000045","SYRINGE 10ML LL","MED-SUR SUPPLIES",null,0]
["80000046","SYRINGE SG 1 ML 25G X 5/8","MED-SUR SUPPLIES",null,0]
["80000047","SYRINGE SG 3ML 22G X 1 1/2","MED-SUR SUPPLIES",null,0]
["80000048","SYRINGE SG 3ML 23G X 1","MED-SUR SUPPLIES",null,0]
["80000049","SYRINGE SG 3ML 25G X 5/8","MED-SUR SUPPLIES",null,0]
["80000050","SYRINGE SG 1/2 ML INSULIN","MED-SUR SUPPLIES",null,0]
["80000051","SYRINGE SG 1ML INSULIN","MED-SUR SUPPLIES",null,0]
["80000052","SYRINGE 1ML 27G X 1  TB","MED-SUR SUPPLIES",null,0]
["80000053","SYRINGES 1ML ORAL","MED-SUR SUPPLIES",null,0]
["80000054","SYRINGES 5ML ORAL","MED-SUR SUPPLIES",null,0]
["80000055","TAPE TRANSPORE 1  SINGLES","MED-SUR SUPPLIES",null,0]
["80000056","TONGUE DEPRESSOR NS","MED-SUR SUPPLIES",null,0]
["80000057","TONGUE DEPRESSOR ST","MED-SUR SUPPLIES",null,0]
["80000058","TOURNIQUETS SMOOTH","MED-SUR SUPPLIES",null,0]
["80000059","TOURNIQUETS INDIVIDUAL","MED-SUR SUPPLIES",null,0]
["80000060","TOWELETTE ANTISEPTIC","MED-SUR SUPPLIES",null,0]
["80000061","TUBULAR GAUZE 1 1/2","MED-SUR SUPPLIES",null,0]
["80000062","TUBULAR GAUZE 5/8","MED-SUR SUPPLIES",null,0]
["80000063","TUBULAR GAUZE 2 5/8","MED-SUR SUPPLIES",null,0]
["80000064","TUBULAR GAUZE 3 5/8","MED-SUR SUPPLIES",null,0]
["80000065","TUBULAR GAUZE 1","MED-SUR SUPPLIES",null,0]
["80000066","CD SLEEVES","MED-SUR SUPPLIES",null,0]
["80000067","ENVELOPES WITH LOGO","MED-SUR SUPPLIES",null,0]
["80000068","ENVELOPE LOGO ONE WINDOW","MED-SUR SUPPLIES",null,0]
["80000069","FILE JACKET","MED-SUR SUPPLIES",null,0]
["80000070","BAGS SECURITY CRASH CART BAGS","MED-SUR SUPPLIES",null,0]
["80000071","BAGS GREEN SOILED","MED-SUR SUPPLIES",null,0]
["80000072","CUPS 5 OZ PLASTIC","MED-SUR SUPPLIES",null,0]
["80000073","PAPER CAPES","MED-SUR SUPPLIES",null,0]
["80000074","PAPER SHEETS","MED-SUR SUPPLIES",null,0]
["80000075","PAPER TABLE","MED-SUR SUPPLIES",null,0]
["80000076","PAPER PILLOWCASES","MED-SUR SUPPLIES",null,0]
["80000086","CT TRI PKS SYRINGE INJ","MED-SUR SUPPLIES",null,0]
["80000087","AGFA 25X30 OR 10X12IN","MED-SUR SUPPLIES",null,0]
["80000088","ISOVIEW 300","MED-SUR SUPPLIES",null,0]
["80000089","ISOVIEW 370","MED-SUR SUPPLIES",null,0]
["80000090","ULTRASOUND GEL","MED-SUR SUPPLIES",null,0]
["80000091","US T SPRAY","MED-SUR SUPPLIES",null,0]
["80000092","AIRWAY ADULT KING","MED-SUR SUPPLIES",null,0]
["80000093","AIRWAYS 100","MED-SUR SUPPLIES",null,0]
["80000094","AIRWAYS 60","MED-SUR SUPPLIES",null,0]
["80000095","AIRWAYS 70","MED-SUR SUPPLIES",null,0]
["80000096","AIRWAYS 80","MED-SUR SUPPLIES",null,0]
["80000097","AIRWAYS 90","MED-SUR SUPPLIES",null,0]
["80000098","ALCARE 5.4 OZ","MED-SUR SUPPLIES",null,0]
["80000099","ALCARE 9 OZ","MED-SUR SUPPLIES",null,0]
["80000100","ALCOHOL BOTTLE 16OZ","MED-SUR SUPPLIES",null,0]
["80000101","ALCOHOL BOTTLE 4OZ","MED-SUR SUPPLIES",null,0]
["80000102","ALCOHOL WIPES-PADS","MED-SUR SUPPLIES",null,0]
["80000103","AMBU BAG ADULT","MED-SUR SUPPLIES",null,0]
["80000104","AMBU BAG CHILD","MED-SUR SUPPLIES",null,0]
["80000105","ANOSCOPE","MED-SUR SUPPLIES",null,0]
["80000106","ANTI REFLUX VALVE","MED-SUR SUPPLIES",null,0]
["80000107","ASEPTO--DO NOT USE--USE 80000603","MED-SUR SUPPLIES",null,0]
["80000108","BAGS PATIENT BELONG","MED-SUR SUPPLIES",null,0]
["80000109","BATH BASIN","MED-SUR SUPPLIES",null,0]
["80000110","SHAMPOO CAPS","MED-SUR SUPPLIES",null,0]
["80000111","BIOHAZARD BAGS","MED-SUR SUPPLIES",null,0]
["80000112","BIOPSY PUNCH 2.0","MED-SUR SUPPLIES",null,0]
["80000113","BIOPSY PUNCH 2.5","MED-SUR SUPPLIES",null,0]
["80000114","BIOPSY PUNCH 3.0","MED-SUR SUPPLIES",null,0]
["80000115","BIOPSY PUNCH 3.5","MED-SUR SUPPLIES",null,0]
["80000116","BIOPSY PUNCH 5.0","MED-SUR SUPPLIES",null,0]
["80000117","BP CUFF CHILD DISPOSABLE MINDRAY","MED-SUR SUPPLIES",null,0]
["80000118","BP CUFF ADULT DISPOSABLE MINDRAY","MED-SUR SUPPLIES",null,0]
["80000119","BP CUFF LRG LONG DISPOSABLE MINDRAY","MED-SUR SUPPLIES",null,0]
["80000120","BRUSHES SCRUB","MED-SUR SUPPLIES",null,0]
["80000121","BURETROL TUBING","MED-SUR SUPPLIES",null,0]
["80000122","CASTSCOTCH 1 STEP 4X15","MED-SUR SUPPLIES",null,0]
["80000123","CASTSCOTCH 1 STEP 4X30","MED-SUR SUPPLIES",null,0]
["80000124","CASTSCOTCH PLUS 4  BLUE","MED-SUR SUPPLIES",null,0]
["80000125","CAUTERY PENCIL","MED-SUR SUPPLIES",null,0]
["80000126","CHLORAPREP","MED-SUR SUPPLIES",null,0]
["80000127","RAPICIDE OPA 28","MED-SUR SUPPLIES",null,0]
["80000128","RAPICIDE OPA 28 TEST STRIPS","MED-SUR SUPPLIES",null,0]
["80000129","CO2 DETECTOR ADULT--USE 06000325","MED-SUR SUPPLIES",null,0]
["80000130","COMB","MED-SUR SUPPLIES",null,0]
["80000131","CONDITIONER HAIR","MED-SUR SUPPLIES",null,0]
["80000132","CONNECTORS O2","MED-SUR SUPPLIES",null,0]
["80000133","DEFIB PADS ADULT","MED-SUR SUPPLIES",null,0]
["80000134","DEFIB PADS CHILD","MED-SUR SUPPLIES",null,0]
["80000135","DENTURE CUP","MED-SUR SUPPLIES",null,0]
["80000136","DEODORANT","MED-SUR SUPPLIES",null,0]
["80000137","DISTILLED WATER","MED-SUR SUPPLIES",null,0]
["80000138","DRAIN J PRATT RND 15FR","MED-SUR SUPPLIES",null,0]
["80000139","DRAIN PENROSE 1/4","MED-SUR SUPPLIES",null,0]
["80000140","DRAIN PENROSE 1/2","MED-SUR SUPPLIES",null,0]
["80000141","DRAPE EXTREMITY/6","MED-SUR SUPPLIES",null,0]
["80000142","DRAPE LAPOROTOMY","MED-SUR SUPPLIES",null,0]
["80000143","DRAPE SETUP PK","MED-SUR SUPPLIES",null,0]
["80000144","DRAPE PERI GYN PK","MED-SUR SUPPLIES",null,0]
["80000145","MESSAGE POST IT PADS","MED-SUR SUPPLIES",null,0]
["80000146","DRESSING SPONGE ABD","MED-SUR SUPPLIES",null,0]
["80000147","DRESSING SPONGE 2X2  ST","MED-SUR SUPPLIES",null,0]
["80000148","EAR CURETTE LIGHTED","MED-SUR SUPPLIES",null,0]
["80000149","SURGICAL CLIPPER BLADE ASSEMBLY","MED-SUR SUPPLIES",null,0]
["80000150","ELECTRODE PEDIATRIC","MED-SUR SUPPLIES",null,0]
["80000151","EMEBAG / SIC SAC","MED-SUR SUPPLIES",null,0]
["80000152","LOGBOOK ER","MED-SUR SUPPLIES",null,0]
["80000153","FILTER HEPA","MED-SUR SUPPLIES",null,0]
["80000154","GLIDESCOPE GVLSTAT #3--DO NOT USE","MED-SUR SUPPLIES",null,0]
["80000155","GLIDESCOPE GVLSTAT #4--DO NOT USE","MED-SUR SUPPLIES",null,0]
["80000156","GLIDESCOPE STYLET--DO NOT USE","MED-SUR SUPPLIES",null,0]
["80000158","GLOVES ST 6","MED-SUR SUPPLIES",null,0]
["80000159","GLOVES ST 6.5","MED-SUR SUPPLIES",null,0]
["80000160","GLOVES ST 7","MED-SUR SUPPLIES",null,0]
["80000161","GLOVES ST 7.5","MED-SUR SUPPLIES",null,0]
["80000162","GLOVES ST 8.0","MED-SUR SUPPLIES",null,0]
["80000163","GLOVES ST OR 8.0","MED-SUR SUPPLIES",null,0]
["80000164","GLOVES ST OR 8.5","MED-SUR SUPPLIES",null,0]
["80000165","GLUCOMETER CONTROL","MED-SUR SUPPLIES",null,0]
["80000166","GOWN IV LAUNDRY","MED-SUR SUPPLIES",null,0]
["80000167","GOWN XL OR","MED-SUR SUPPLIES",null,0]
["80000168","GRADUATE LARGE","MED-SUR SUPPLIES",null,0]
["80000169","GROUND PADS","MED-SUR SUPPLIES",null,0]
["80000170","HEMOCUE--USE 80000397","MED-SUR SUPPLIES",null,0]
["80000172","ICE PACK LG","MED-SUR SUPPLIES",null,0]
["80000173","ICE PACK SM","MED-SUR SUPPLIES",null,0]
["80000174","INCENTIVE SPIROMETRY","MED-SUR SUPPLIES",null,0]
["80000175","INFANT HEEL WARMER","MED-SUR SUPPLIES",null,0]
["80000176","IODINE SOLUTION 2OZ","MED-SUR SUPPLIES",null,0]
["80000177","CATHETER CLAMPS","MED-SUR SUPPLIES",null,0]
["80000178","O2 EAR PROTECTOR--USE 80000416","MED-SUR SUPPLIES",null,0]
["80000179","KLEENEX LG","MED-SUR SUPPLIES",null,0]
["80000180","LUBRICATING JELLY (TUBE)","MED-SUR SUPPLIES",null,0]
["80000181","LAP SPONGES 18X18","MED-SUR SUPPLIES",null,0]
["80000182","LIFEPAK DEFIB PAPER","MED-SUR SUPPLIES",null,0]
["80000183","LIGHT HANDLE COVER","MED-SUR SUPPLIES",null,0]
["80000184","LOOP LOCK","MED-SUR SUPPLIES",null,0]
["80000185","LOTION BABY","MED-SUR SUPPLIES",null,0]
["80000186","LOTION","MED-SUR SUPPLIES",null,0]
["80000187","MASK ANESTH LG","MED-SUR SUPPLIES",null,0]
["80000188","MASK ANESTHSM","MED-SUR SUPPLIES",null,0]
["80000189","MASK ANESTHMED","MED-SUR SUPPLIES",null,0]
["80000190","MEDIRULE","MED-SUR SUPPLIES",null,0]
["80000191","MASK HARNESS ANESTHESIA","MED-SUR SUPPLIES",null,0]
["80000192","IV PRESSURE BAG","MED-SUR SUPPLIES",null,0]
["80000193","MINI CATH","MED-SUR SUPPLIES",null,0]
["80000194","MONITOR PAPER  HEART","MED-SUR SUPPLIES",null,0]
["80000195","MOUTHWASH","MED-SUR SUPPLIES",null,0]
["80000196","MUGS","MED-SUR SUPPLIES",null,0]
["80000197","NASAL AIRWAY 26 FR","MED-SUR SUPPLIES",null,0]
["80000198","NASAL AIRWAY 28 FR","MED-SUR SUPPLIES",null,0]
["80000199","NASAL AIRWAY 30 FR","MED-SUR SUPPLIES",null,0]
["80000200","NASAL AIRWAY 34 FR","MED-SUR SUPPLIES",null,0]
["80000201","NASAL TAMPON 4.5","MED-SUR SUPPLIES",null,0]
["80000202","NASAL TAMPON 8CM","MED-SUR SUPPLIES",null,0]
["80000203","NEB BAGS","MED-SUR SUPPLIES",null,0]
["80000204","NEEDLE 27 G 1/2 HYPO","MED-SUR SUPPLIES",null,0]
["80000205","NEEDLE BLUNT CANNULA","MED-SUR SUPPLIES",null,0]
["80000206","NEEDLE BLUNT/SYRINGE CANNULA","MED-SUR SUPPLIES",null,0]
["80000207","NEEDLE COUNTER","MED-SUR SUPPLIES",null,0]
["80000208","BEDPAN FRACTURED","MED-SUR SUPPLIES",null,0]
["80000209","NEEDLES SPINAL 25G X 3 1/2","MED-SUR SUPPLIES",null,0]
["80000210","OSTOMY WIPES   CSC","MED-SUR SUPPLIES",null,0]
["80000211","OTOSCOPE LAMP 3.5","MED-SUR SUPPLIES",null,0]
["80000212","OXIMETER PORTABLE","MED-SUR SUPPLIES",null,0]
["80000213","OXYTIP ADULT/PED","MED-SUR SUPPLIES",null,0]
["80000214","PAD HYPO COOLING","MED-SUR SUPPLIES",null,0]
["80000215","PADDING CAST RL 2","MED-SUR SUPPLIES",null,0]
["80000216","PADDING CAST RL 3","MED-SUR SUPPLIES",null,0]
["80000217","PADDING CAST RL 4","MED-SUR SUPPLIES",null,0]
["80000218","PADDING CAST RL 6","MED-SUR SUPPLIES",null,0]
["80000219","PANTIES MESH","MED-SUR SUPPLIES",null,0]
["80000220","PENLIGHT","MED-SUR SUPPLIES",null,0]
["80000221","PEROXIDE 16 OZ","MED-SUR SUPPLIES",null,0]
["80000222","POWDER BABY","MED-SUR SUPPLIES",null,0]
["80000223","RAYTEX","MED-SUR SUPPLIES",null,0]
["80000224","RAZOR DISPOSABLE","MED-SUR SUPPLIES",null,0]
["80000225","SHAMPOO BABY","MED-SUR SUPPLIES",null,0]
["80000226","SHAMPOO","MED-SUR SUPPLIES",null,0]
["80000227","SHARPS  1.4 QT 305487","MED-SUR SUPPLIES",null,0]
["80000228","SHARPS 3 GAL LAB 305054","MED-SUR SUPPLIES",null,0]
["80000229","SHARPS 14 QT 305480","MED-SUR SUPPLIES",null,0]
["80000230","SHARPS 5 QT CLINIC","MED-SUR SUPPLIES",null,0]
["80000231","SHARPS WALL UNITS","MED-SUR SUPPLIES",null,0]
["80000232","SHARPS 9 GALLON 305601","MED-SUR SUPPLIES",null,0]
["80000233","SKINTEGRITY-- USE 06000338","MED-SUR SUPPLIES",null,6]
["80000234","SOAP BAR","MED-SUR SUPPLIES",null,0]
["80000235","SPECIMEN CUP STERILE","MED-SUR SUPPLIES",null,0]
["80000236","SPECIMEN CUP W/TEMP","MED-SUR SUPPLIES",null,0]
["80000237","6.5 OZ SPECIMEN CUP NO LID","MED-SUR SUPPLIES",null,0]
["80000238","SPECIMEN PAN","MED-SUR SUPPLIES",null,0]
["80000239","SPECIMEN TRAP - STERILE","MED-SUR SUPPLIES",null,0]
["80000240","SPUTUM COLLECTION CUP","MED-SUR SUPPLIES",null,0]
["80000241","STOCKINETTE IMPERVIOUS","MED-SUR SUPPLIES",null,0]
["80000242","STOCKINETTE SYN PER YD 2","MED-SUR SUPPLIES",null,0]
["80000243","STOCKINETTE SYN PER YD 3","MED-SUR SUPPLIES",null,0]
["80000244","STOCKINETTE SYN PER YD 4","MED-SUR SUPPLIES",null,0]
["80000245","STRAINER KIDNEY STONE","MED-SUR SUPPLIES",null,0]
["80000246","STYLET 14 FR ANESTH","MED-SUR SUPPLIES",null,0]
["80000247","SUCTION COAGULATOR 10FR","MED-SUR SUPPLIES",null,0]
["80000248","SWIVEL ADAPTOR","MED-SUR SUPPLIES",null,0]
["80000249","SYRINGE EAR BULB","MED-SUR SUPPLIES",null,0]
["80000250","SYRINGE 20ML LL","MED-SUR SUPPLIES",null,0]
["80000251","SYRINGE 30ML LL","MED-SUR SUPPLIES",null,0]
["80000252","SYRINGE 50ML LL","MED-SUR SUPPLIES",null,0]
["80000253","SYRINGE 70 MLTOOMEY","MED-SUR SUPPLIES",null,0]
["80000254","TAPE MEASURE PAPER","MED-SUR SUPPLIES",null,0]
["80000255","TAPE DURAPORE 3","MED-SUR SUPPLIES",null,0]
["80000256","TAPE DURAPORE 2","MED-SUR SUPPLIES",null,0]
["80000257","TAPE DURAPORE 1","MED-SUR SUPPLIES",null,0]
["80000258","TAPE MEDIPORE 2","MED-SUR SUPPLIES",null,0]
["80000259","TAPE MICROPORE 1","MED-SUR SUPPLIES",null,0]
["80000260","TAPE MICROPORE 2","MED-SUR SUPPLIES",null,0]
["80000261","TAPE MICROPORE 3","MED-SUR SUPPLIES",null,0]
["80000262","TAPE TRANSPORE 1","MED-SUR SUPPLIES",null,0]
["80000263","TAPE TRANSPORE 2","MED-SUR SUPPLIES",null,0]
["80000264","TAPE TRANSPORE 3","MED-SUR SUPPLIES",null,0]
["80000265","TAPE SKIN SAFE 1'","MED-SUR SUPPLIES",null,0]
["80000266","TAPE SKIN SAFE 2","MED-SUR SUPPLIES",null,0]
["80000267","THERMAL PRINTER PAPER","MED-SUR SUPPLIES",null,0]
["80000268","TOOTHBRUSH","MED-SUR SUPPLIES",null,0]
["80000269","TOOTHETTE","MED-SUR SUPPLIES",null,0]
["80000270","TOOTHPASTE","MED-SUR SUPPLIES",null,0]
["80000271","TOWELS ABSORBANT  IV","MED-SUR SUPPLIES",null,0]
["80000272","ADULT TRACH TUBE HOLDER--DO NOT USE","MED-SUR SUPPLIES",null,0]
["80000273","PED TRACH TUBE HOLDER--DO NOT USE","MED-SUR SUPPLIES",null,0]
["80000274","PUMP TUBING","MED-SUR SUPPLIES",null,0]
["80000275","URINAL","MED-SUR SUPPLIES",null,0]
["80000276","WHIRLPOOL BODY OIL","MED-SUR SUPPLIES",null,0]
["80000277","WHIRLPOOL DISENFECTANT","MED-SUR SUPPLIES",null,0]
["80000278","WHIRLPOOL SHAMPOO","MED-SUR SUPPLIES",null,0]
["80000279","WIPES ADULT","MED-SUR SUPPLIES",null,0]
["80000280","WIPES SUPER SANI  LRG","MED-SUR SUPPLIES",null,0]
["80000281","WIPES SUPER SANI X LRG","MED-SUR SUPPLIES",null,0]
["80000282","WIPES HYDROGEN PEROXIDE","MED-SUR SUPPLIES",null,0]
["80000283","WIPES MICRO KILL BLEACH","MED-SUR SUPPLIES",null,0]
["80000284","POST OP SHOE MALE 6-8 SMALL","MED-SUR SUPPLIES",null,0]
["80000285","POST OP SHOE MALE 8 1/2-10 MEDIUM","MED-SUR SUPPLIES",null,0]
["80000286","POST OP SHOE MALE 10 1/2-12 LARGE","MED-SUR SUPPLIES",null,0]
["80000287","POST OP SHOE FEMALE 4-6 SMALL","MED-SUR SUPPLIES",null,0]
["80000288","POST OP SHOE FEMALE 6 1/2-8 MEDIUM","MED-SUR SUPPLIES",null,0]
["80000289","POST OP SHOE FEMALE 8 1/2-10 LARGE","MED-SUR SUPPLIES",null,0]
["80000290","PENS BLACK BIC","MED-SUR SUPPLIES",null,0]
["80000291","PENS BLACK RETRACTABLE","MED-SUR SUPPLIES",null,0]
["80000292","PENS BLUE RETRACTABLE","MED-SUR SUPPLIES",null,0]
["80000293","PENS RED RETRACTABLE","MED-SUR SUPPLIES",null,0]
["80000294","PENS RED FELT TIP","MED-SUR SUPPLIES",null,0]
["80000295","PENCILS WOOD","MED-SUR SUPPLIES",null,0]
["80000296","PENCILS MECHANICAL","MED-SUR SUPPLIES",null,0]
["80000297","SHARPIE MARKER BLACK","MED-SUR SUPPLIES",null,0]
["80000298","SHARPIE MARKER RED","MED-SUR SUPPLIES",null,0]
["80000299","BLACK PERMANENT MARKER","MED-SUR SUPPLIES",null,0]
["80000300","BLUE PERMANENT MARKER","MED-SUR SUPPLIES",null,0]
["80000301","RED PERMANENT MARKER","MED-SUR SUPPLIES",null,0]
["80000302","DRY ERASE MARKER - BIG","MED-SUR SUPPLIES",null,0]
["80000303","DRY ERASE MARKER - SMALL","MED-SUR SUPPLIES",null,0]
["80000304","HIGHLIGHTERS- BIG YELLOW","MED-SUR SUPPLIES",null,0]
["80000305","HIGHLIGHTERS- BIG BLUE","MED-SUR SUPPLIES",null,0]
["80000306","HIGHLIGHTERS-BIG PINK","MED-SUR SUPPLIES",null,0]
["80000307","HIGHLIGHTERS-BIG GREEN","MED-SUR SUPPLIES",null,0]
["80000308","HIGHLIGHTERS-BIG-PURPLE","MED-SUR SUPPLIES",null,0]
["80000309","HIGHLIGHTERS-SM-YELLOW","MED-SUR SUPPLIES",null,0]
["80000310","HIGHLIGHTERS-SM-BLUE","MED-SUR SUPPLIES",null,0]
["80000311","HIGHLIGHTER-SM-PINK","MED-SUR SUPPLIES",null,0]
["80000312","HIGHLIGHTER-SM-GREEN","MED-SUR SUPPLIES",null,0]
["80000313","HIGHLIGHTER-SM-ORANGE","MED-SUR SUPPLIES",null,0]
["80000314","HIGHLIGHTER-SM-PURPLE","MED-SUR SUPPLIES",null,0]
["80000315","TAPE OFFICE","MED-SUR SUPPLIES",null,0]
["80000316","CORRECTION FLUID","MED-SUR SUPPLIES",null,0]
["80000317","CORRECTION TAPE","MED-SUR SUPPLIES",null,0]
["80000318","AIR- CANNED COMPRESSED","MED-SUR SUPPLIES",null,0]
["80000319","BATTERY 9V","MED-SUR SUPPLIES",null,0]
["80000320","BATTERY AA","MED-SUR SUPPLIES",null,0]
["80000321","BATTERY AAA","MED-SUR SUPPLIES",null,0]
["80000322","BATTERY C","MED-SUR SUPPLIES",null,0]
["80000323","BATTERY D","MED-SUR SUPPLIES",null,0]
["80000324","BANKERS BOX","MED-SUR SUPPLIES",null,0]
["80000325","NOTEBOOK MEMO PAD","MED-SUR SUPPLIES",null,0]
["80000326","NOTEBOOK STENO","MED-SUR SUPPLIES",null,0]
["80000327","NOTEBOOK 5 X 8","MED-SUR SUPPLIES",null,0]
["80000328","NOTEBOOK 8 1/2 X 11","MED-SUR SUPPLIES",null,0]
["80000329","NOTEBOOK 8 1/2 X 14","MED-SUR SUPPLIES",null,0]
["80000330","POST IT NOTES 1 X 1","MED-SUR SUPPLIES",null,0]
["80000331","POST IT NOTES 3 X 3","MED-SUR SUPPLIES",null,0]
["80000332","POST IT NOTES FANFOLD3 X 3","MED-SUR SUPPLIES",null,0]
["80000333","POST IT NOTES 4 X 6 LINED","MED-SUR SUPPLIES",null,0]
["80000334","BINDER CLIPS LARGE","MED-SUR SUPPLIES",null,0]
["80000335","BINDER CLIPS MEDIUM","MED-SUR SUPPLIES",null,0]
["80000336","BINDER CLIPS SMALL","MED-SUR SUPPLIES",null,0]
["80000337","BINDER 1","MED-SUR SUPPLIES",null,0]
["80000338","BINDER 1 1/2","MED-SUR SUPPLIES",null,0]
["80000339","BINDER 2","MED-SUR SUPPLIES",null,0]
["80000340","BINDER 3","MED-SUR SUPPLIES",null,0]
["80000341","3 TAB FILE FOLDERS-COLOR","MED-SUR SUPPLIES",null,0]
["80000342","3 TAB FILE FOLDERS-MANILLA","MED-SUR SUPPLIES",null,0]
["80000343","5 TAB HANGING FOLDERS","MED-SUR SUPPLIES",null,0]
["80000344","FOLDERS END-TAB FASTENER","MED-SUR SUPPLIES",null,0]
["80000345","ENVELOPES","MED-SUR SUPPLIES",null,0]
["80000346","MANILLA ENVELOPE 6 X 9","MED-SUR SUPPLIES",null,0]
["80000347","MANILLA ENVELOPE 9 X 12","MED-SUR SUPPLIES",null,0]
["80000348","MANILLA ENVELOPE 10 X 13","MED-SUR SUPPLIES",null,0]
["80000349","MANILLA ENVELOPE 10 X 15","MED-SUR SUPPLIES",null,0]
["80000350","CALCULATOR PAPER ROLL","MED-SUR SUPPLIES",null,0]
["80000351","ENZYMATIC INSTRUMENT DETERGENT CLEANER","MED-SUR SUPPLIES",null,0]
["80000352","PILL CRUSHER BAGS","MED-SUR SUPPLIES",null,0]
["80000353","CHUX","MED-SUR SUPPLIES",null,0]
["80000354","COTTON TIP APPL NS","MED-SUR SUPPLIES",null,0]
["80000355","DIAPERS SIZE 1  8-14LBS","MED-SUR SUPPLIES",null,0]
["80000356","DIAPERS SIZE 3 16-28 LB","MED-SUR SUPPLIES",null,0]
["80000357","DIAPERS NBUP TO 10 LBS","MED-SUR SUPPLIES",null,0]
["80000358","DIAPERS PREMIE","MED-SUR SUPPLIES",null,0]
["80000359","DIAPERS SIZE 4 21-37LBS","MED-SUR SUPPLIES",null,0]
["80000360","DRESSING SPONGE 2X2 NST","MED-SUR SUPPLIES",null,0]
["80000361","DRESSING SPONGE 3X3  NST","MED-SUR SUPPLIES",null,0]
["80000362","DRESSING SPONGE 4X4 NST","MED-SUR SUPPLIES",null,0]
["80000363","EKG PAPER","MED-SUR SUPPLIES",null,0]
["80000364","ELECTRODE EKG PURPLE PACKS","MED-SUR SUPPLIES",null,0]
["80000365","ELECTRODES 5/PK- ER RED PKG","MED-SUR SUPPLIES",null,0]
["80000366","LOCKS RED SECURITY","MED-SUR SUPPLIES",null,0]
["80000367","OTOSCOPE SPECULUM 3","MED-SUR SUPPLIES",null,0]
["80000368","OTOSCOPE SPECULUM 4","MED-SUR SUPPLIES",null,0]
["80000369","OTOSCOPE SPECULUM 5","MED-SUR SUPPLIES",null,0]
["80000370","PERI PADS (OB PADS)","MED-SUR SUPPLIES",null,0]
["80000371","PROBE COVERS  W/A","MED-SUR SUPPLIES",null,0]
["80000372","TENA LRG UNDERWEAR","MED-SUR SUPPLIES",null,0]
["80000373","TENA MED UNDERWEAR","MED-SUR SUPPLIES",null,0]
["80000374","TENA XL UNDERWEAR","MED-SUR SUPPLIES",null,0]
["80000375","TENA 2XL UNDERWEAR","MED-SUR SUPPLIES",null,0]
["80000376","TENA MED BRIEFS","MED-SUR SUPPLIES",null,0]
["80000377","TENA L/XL BRIEF","MED-SUR SUPPLIES",null,0]
["80000378","TENA 2XL BRIEF","MED-SUR SUPPLIES",null,0]
["80000379","TENA 3XL BRIEF","MED-SUR SUPPLIES",null,0]
["80000380","TOWEL OR BLUE","MED-SUR SUPPLIES",null,0]
["80000381","CARD STOCK PAPER","MED-SUR SUPPLIES",null,0]
["80000382","COPY PAPER 8 1/2 X 11","MED-SUR SUPPLIES",null,0]
["80000383","COPY PAPER LEGAL SIZE","MED-SUR SUPPLIES",null,0]
["80000384","COPY PAPER LEDGER SIZE","MED-SUR SUPPLIES",null,0]
["80000385","COPY PAPER COLORED YELLOW","MED-SUR SUPPLIES",null,0]
["80000386","COPY PAPER COLORED -- BLUE","MED-SUR SUPPLIES",null,0]
["80000387","COPY PAPER COLORED -- GREEN","MED-SUR SUPPLIES",null,0]
["80000388","RECORDABLE CD","MED-SUR SUPPLIES",null,0]
["80000389","CD MAILER","MED-SUR SUPPLIES",null,0]
["80000390","SHEET PROTECTORS","MED-SUR SUPPLIES",null,0]
["80000391","LAMINATING POUCHES LETTER","MED-SUR SUPPLIES",null,0]
["80000392","PAPERCLIPS JUMBO","MED-SUR SUPPLIES",null,0]
["80000393","PAPERCLIPS STANDARD","MED-SUR SUPPLIES",null,0]
["80000394","RUBBERBANDS","MED-SUR SUPPLIES",null,0]
["80000395","RUBBERBANDS LARGE","MED-SUR SUPPLIES",null,0]
["80000396","RUBBERBANDS XL","MED-SUR SUPPLIES",null,0]
["80000397","HEMOCUE HB 201","MED-SUR SUPPLIES",null,0]
["80000398","COAGUCHEK","MED-SUR SUPPLIES",null,0]
["80000399","CO-FLEX BANDAGE","MED-SUR SUPPLIES",null,0]
["80000400","URINE THERMAL PAPER","MED-SUR SUPPLIES",null,0]
["80000401","ELECTRODES TREADMILL","MED-SUR SUPPLIES",null,0]
["80000402","GOWN ISOLATION YELLOW XL","MED-SUR SUPPLIES",null,0]
["80000403","MEDICINE CUP PAPER","MED-SUR SUPPLIES",null,0]
["80000404","MEDICINE CUP PLASTIC","MED-SUR SUPPLIES",null,0]
["80000405","OR SPONGE COUNTER BAGS","MED-SUR SUPPLIES",null,0]
["80000406","CHLORAPREP W/TINT","MED-SUR SUPPLIES",null,0]
["80000407","ARGYLE SUCTION TIP/FRAZIER SUCTION","MED-SUR SUPPLIES",null,0]
["80000408","ARGYLE FLEXIBLE YANKAUER","MED-SUR SUPPLIES",null,0]
["80000409","COMFORT BATH(BATH IN A BAG)","MED-SUR SUPPLIES",null,0]
["80000410","SAFETY GLASSES","MED-SUR SUPPLIES",null,0]
["80000411","BLUE ISOLATION GOWNS","MED-SUR SUPPLIES",null,0]
["80000412","GOWNS ISOLATION YELLOW XL LEVEL 2","MED-SUR SUPPLIES",null,0]
["80000413","YELLOW  ISOLATION GOWNS","MED-SUR SUPPLIES",null,0]
["80000414","VIROBAC II BACTERIAL FILTER","MED-SUR SUPPLIES",null,0]
["80000415","STERILE H2O FOR INHALATION","MED-SUR SUPPLIES",null,0]
["80000416","NASAL CANNULA EAR PROTECTOR","MED-SUR SUPPLIES",null,0]
["80000417","RESPIRATORY TUBING ADAPTOR","MED-SUR SUPPLIES",null,0]
["80000418","SUCTION TUBE ATTACTMENT DEVICE","MED-SUR SUPPLIES",null,0]
["80000419","CATH STRAP ADJUSTABLE","MED-SUR SUPPLIES",null,0]
["80000420","MIDSTREAM KITS","MED-SUR SUPPLIES",null,0]
["80000421","SHAVING CREAM BIG CANS GCC","MED-SUR SUPPLIES",null,0]
["80000422","SHAVING CREAM PATIENT CARE","MED-SUR SUPPLIES",null,0]
["80000423","TENA WASH CREAM","MED-SUR SUPPLIES",null,0]
["80000424","WATER SOLUABLE BAGS","MED-SUR SUPPLIES",null,0]
["80000425","SHARPS CONTAINER 3 GAL YELLOW","MED-SUR SUPPLIES",null,0]
["80000426","3 MM DISPOSABLE DERMAL CURETTE","MED-SUR SUPPLIES",null,0]
["80000427","5 MM DISPOSABLE DERMAL CURETTE","MED-SUR SUPPLIES",null,0]
["80000428","18G X 1 1/2 BLUNT FILL NEEDLE","MED-SUR SUPPLIES",null,0]
["80000429","25G X 1 1/2 BLUNT FILL NEEDLE","MED-SUR SUPPLIES",null,0]
["80000430","16G X 1 PRECISION GLIDE NEEDLE","MED-SUR SUPPLIES",null,0]
["80000431","27G X 1 1/4 HYPO NEEDLE","MED-SUR SUPPLIES",null,0]
["80000433","1 ML ORAL SYRINGE","MED-SUR SUPPLIES",null,0]
["80000434","CALL CORD 15FT","MED-SUR SUPPLIES",null,0]
["80000435","EVACUATED DRAINAGE BOTTLE","MED-SUR SUPPLIES",null,0]
["80000436","CAVILON BARRIER FILM","MED-SUR SUPPLIES",null,0]
["80000437","BP CUFF SMALL ADULT DISPOSABLE MINDRAY","MED-SUR SUPPLIES",null,0]
["80000438","BP CUFF INFANT DISPOSABLE MINDRAY","MED-SUR SUPPLIES",null,0]
["80000439","STETHOSCOPE ADULT","MED-SUR SUPPLIES",null,0]
["80000440","STETHOSCOPE INFANT","MED-SUR SUPPLIES",null,0]
["80000441","SPHYGMOMANOMETER ADULT","MED-SUR SUPPLIES",null,0]
["80000442","SPHYGMOMANOMETER CHILD","MED-SUR SUPPLIES",null,0]
["80000443","SPHYGMOMANOMETER LG ADULT","MED-SUR SUPPLIES",null,0]
["80000444","FULL BODY BAIR HUGGER","MED-SUR SUPPLIES",null,0]
["80000445","4  STOCKINETTE","MED-SUR SUPPLIES",null,0]
["80000450","CO-FLEX BANDAGE 3","MED-SUR SUPPLIES",null,0]
["80000451","CO-FLEX BANDAGE 4","MED-SUR SUPPLIES",null,0]
["80000453","16  OB/GYN SWAB","MED-SUR SUPPLIES",null,0]
["80000454","BANDAIDE 1","MED-SUR SUPPLIES",null,0]
["80000455","OB/GYN SWAB 8","MED-SUR SUPPLIES",null,0]
["80000456","OB/GYN SWAB","MED-SUR SUPPLIES",null,0]
["80000457","THUMBTACKS","MED-SUR SUPPLIES",null,0]
["80000458","POST IT FLAGS--PURPLE","MED-SUR SUPPLIES",null,0]
["80000459","POST IT SIGN HERE","MED-SUR SUPPLIES",null,0]
["80000461","DRY ERASER","MED-SUR SUPPLIES",null,0]
["80000462","RED PENCILS","MED-SUR SUPPLIES",null,0]
["80000463","SELF ADHESIVE FASTENER","MED-SUR SUPPLIES",null,0]
["80000464","STANDARD STAPLES","MED-SUR SUPPLIES",null,0]
["80000465","HEAVY DUTY STAPLES","MED-SUR SUPPLIES",null,0]
["80000467","INDEX CARDS 3X5","MED-SUR SUPPLIES",null,0]
["80000468","RECEIPTS","MED-SUR SUPPLIES",null,0]
["80000469","CHAIR ALARM PADS","MED-SUR SUPPLIES",null,0]
["80000470","UNDERPAD MATTRESS SOAKER PADS","MED-SUR SUPPLIES",null,0]
["80000471","FOOT PILLOWS / HEEL PROTECTORS","MED-SUR SUPPLIES",null,0]
["80000472","STICKERS FOR LABELING","MED-SUR SUPPLIES",null,0]
["80000473","CANDY BULK","MED-SUR SUPPLIES",null,0]
["80000474","WIPES, BABY","MED-SUR SUPPLIES",null,0]
["80000475","CABLES FOR COMPUTER","MED-SUR SUPPLIES",null,0]
["80000476","NURSING DRUG HANDBOOK","MED-SUR SUPPLIES",null,0]
["80000477","THYROID SHIELDS","MED-SUR SUPPLIES",null,0]
["80000478","LEAD APRON FOR RADIOLOGY","MED-SUR SUPPLIES",null,0]
["80000479","CERVICAL SANDBAGS","MED-SUR SUPPLIES",null,0]
["80000480","CASSETTE COVERS","MED-SUR SUPPLIES",null,0]
["80000481","TENA SKIN PROTECT CREAM","MED-SUR SUPPLIES",null,0]
["80000482","FILE FOLDER LABELS FOR DYMO","MED-SUR SUPPLIES",null,0]
["80000483","TENA MOISTURIZING LOTION","MED-SUR SUPPLIES",null,0]
["80000484","SHARPIE MARKER BLACK XTRA FINE","MED-SUR SUPPLIES",null,0]
["80000485","CLIPBOARDS","MED-SUR SUPPLIES",null,0]
["80000486","STAPLER -- OFFICE","MED-SUR SUPPLIES",null,0]
["80000487","EXPANDABLE WALLET FOLDER","MED-SUR SUPPLIES",null,0]
["80000488","3 RING BINDER DIVIDER WITH POCKET","MED-SUR SUPPLIES",null,0]
["80000489","LABELS FOR CLINIC EVIDENT","MED-SUR SUPPLIES",null,0]
["80000490","LABELS FOR NURSES STATION EVIDENT","MED-SUR SUPPLIES",null,0]
["80000491","LABELS FOR LAB EVIDENT","MED-SUR SUPPLIES",null,0]
["80000492","LABELS FOR PURCHASING EVIDENT","MED-SUR SUPPLIES",null,0]
["80000493","LABELS FOR PATIENTS EVIDENT","MED-SUR SUPPLIES",null,0]
["80000494","GLUCOMETER","MED-SUR SUPPLIES",null,0]
["80000495","DRESSING 2X2 PURACOL + COLLAGEN","MED-SUR SUPPLIES",null,42]
["80000496","PURELL INDIVIDUAL HAND SANITIZERS 2 OZ","MED-SUR SUPPLIES",null,0]
["80000497","MEDISORB, MULIT-ABSORBER DISP","MED-SUR SUPPLIES",null,0]
["80000498","INZO BARRIER CREAM INDIVIDUAL PACKS","MED-SUR SUPPLIES",null,0]
["80000499","GLUTE-OUT NEUTRALIZER","MED-SUR SUPPLIES",null,0]
["80000500","A-Z FILING GUIDE","MED-SUR SUPPLIES",null,0]
["80000501","CHAIR, DESK","MED-SUR SUPPLIES",null,0]
["80000502","TAPE DISPENSER (OFFICE)","MED-SUR SUPPLIES",null,0]
["80000503","TAPE PACKING","MED-SUR SUPPLIES",null,0]
["80000504","MOUSE PAD","MED-SUR SUPPLIES",null,0]
["80000505","DESK CALENDAR","MED-SUR SUPPLIES",null,0]
["80000506","A-Z EXPANDING FILE, LETTER SIZE","MED-SUR SUPPLIES",null,0]
["80000507","DESKTOP FILE SORTER","MED-SUR SUPPLIES",null,0]
["80000508","POST IT EASEL PAD PAPER","MED-SUR SUPPLIES",null,0]
["80000509","TELEPHONE SHOULDER REST","MED-SUR SUPPLIES",null,0]
["80000510","3 HOLE PAPER PUNCH","MED-SUR SUPPLIES",null,0]
["80000511","HANGING FOLDER TAB INSERTS","MED-SUR SUPPLIES",null,0]
["80000512","FILING CABINET VERTICAL 4 DRAWER","MED-SUR SUPPLIES",null,0]
["80000513","INK REFILL FOR DIETARY CASH REGISTER","MED-SUR SUPPLIES",null,0]
["80000514","3 HOLE PUNCHED COPY PAPER","MED-SUR SUPPLIES",null,0]
["80000515","BATTERY 123","MED-SUR SUPPLIES",null,0]
["80000516","BINS, GIANT STACK CONTAINER","MED-SUR SUPPLIES",null,0]
["80000517","BINS, UNIT DOSE SHELF","MED-SUR SUPPLIES",null,0]
["80000518","TOYS FOR KIDS","MED-SUR SUPPLIES",null,0]
["80000530","TRAY, RX FILL (SHOT TRAY)","MED-SUR SUPPLIES",null,0]
["80000531","BAGS, 4X4 RECLOSEABLE","MED-SUR SUPPLIES",null,0]
["80000532","MEDICINE BOTTLE, 2 OZ. AMBER","MED-SUR SUPPLIES",null,0]
["80000548","L & G SWABSTICK (LEMON GLYCERIN)","MED-SUR SUPPLIES",null,0]
["80000549","DENTURE CREAM FIXODENT/POLYGRIP","MED-SUR SUPPLIES",null,0]
["80000550","TENA NIGHT PAD","MED-SUR SUPPLIES",null,0]
["80000551","TENA DAY PAD","MED-SUR SUPPLIES",null,0]
["80000552","BATH GLOVE","MED-SUR SUPPLIES",null,0]
["80000553","BIOHAZARD TRASHBAGS 45GAL","MED-SUR SUPPLIES",null,0]
["80000554","BIOHAZARD TRASHBAGS 22 X 25 RED","MED-SUR SUPPLIES",null,0]
["80000555","PESSARY RING FITTING SET","MED-SUR SUPPLIES",null,0]
["80000556","CLAMP, UNIVERSAL CATH PLASTIC","MED-SUR SUPPLIES",null,0]
["80000557","OXYGEN REGULATOR","MED-SUR SUPPLIES",null,0]
["80000558","OTOSCOPE REPLACEMENT HEAD 21700","MED-SUR SUPPLIES",null,0]
["80000559","OPHTHALMOSCOPE REPLACEMENT HEAD #11720","MED-SUR SUPPLIES",null,0]
["80000560","DURAPREP SKIN PREP W/APPLICATOR","MED-SUR SUPPLIES",null,0]
["80000561","TUBIGRIP BANDAGE SIZE B","MED-SUR SUPPLIES",null,0]
["80000562","TUBULAR ELASTIC RETENTION NETTING SIZE 5","MED-SUR SUPPLIES",null,0]
["80000563","OB ABDOMINAL BELT, VELCRO","MED-SUR SUPPLIES",null,0]
["80000564","NASAL MUCOUS ATOMIZATION DEVICE","MED-SUR SUPPLIES",null,0]
["80000565","MOUTHPIECE, SPIROMETER ASTRAGUARD","MED-SUR SUPPLIES",null,0]
["80000575","BLEACH CLOROX","MED-SUR SUPPLIES",null,0]
["80000576","BATTERY RECHARGEABLE W/A 3.5V","MED-SUR SUPPLIES",null,0]
["80000577","BATTERY W/A 2.5V","MED-SUR SUPPLIES",null,0]
["80000578","THERMOMETER ELECTRONIC W/A","MED-SUR SUPPLIES",null,0]
["80000579","LIGHT SOURCE FOR SPECULUMS","MED-SUR SUPPLIES",null,0]
["80000581","SPECULUM, DISPOSABLE VAGINAL SMALL","MED-SUR SUPPLIES",null,0]
["80000582","SPECULUM, DISPOSABLE VAGINAL MEDIUM","MED-SUR SUPPLIES",null,0]
["80000583","SPECULUM, DISPOSABLE VAGINAL LARGE","MED-SUR SUPPLIES",null,0]
["80000585","HYDROSCOPIC HEAT/MOIST EXCHANGER","MED-SUR SUPPLIES",null,0]
["80000586","SCISSORS, STITCH LITTAUER 4.5","MED-SUR SUPPLIES",null,0]
["80000587","AVAGARD HAND CLEANSER","MED-SUR SUPPLIES",null,0]
["80000588","ESMARK BANDAGE STERILE 4  X 9","MED-SUR SUPPLIES",null,0]
["80000589","DRAPE, SPLIT 77 X 120","MED-SUR SUPPLIES",null,0]
["80000590","DRAPE SHEET SURGICAL 3/4 FAN FOLD","MED-SUR SUPPLIES",null,0]
["80000591","BASIC PACK CONVERTORS","MED-SUR SUPPLIES",null,0]
["80000592","DIAPERS SIZE 2","MED-SUR SUPPLIES",null,0]
["80000593","DIAPERS SIZE 5","MED-SUR SUPPLIES",null,0]
["80000594","PULL UP BOYS","MED-SUR SUPPLIES",null,0]
["80000595","PULL UP GIRLS","MED-SUR SUPPLIES",null,0]
["80000596","SHOWER CAPS DISPOSABLE","MED-SUR SUPPLIES",null,0]
["80000597","SYRINGE 10ML SLIP TIP","MED-SUR SUPPLIES",null,0]
["80000598","SYRINGE 10ML CONTROL TOP","MED-SUR SUPPLIES",null,0]
["80000599","DEFIB PAPER RECORDING CHARTS","MED-SUR SUPPLIES",null,0]
["80000600","ADHESIVE REMOVER PADS","MED-SUR SUPPLIES",null,0]
["80000601","EAR WICKS STERILE","MED-SUR SUPPLIES",null,0]
["80000602","ANTI REFLUX FILTER","MED-SUR SUPPLIES",null,0]
["80000603","SYRINGE IRRIGATION BULB","MED-SUR SUPPLIES",null,0]
["80000604","REINFORCEMENT LABELS (HOLES)","MED-SUR SUPPLIES",null,0]
["80000605","ERASERS, WHITE PEARL","MED-SUR SUPPLIES",null,0]
["80000606","HIGHLIGHTERS- BIG ORANGE","MED-SUR SUPPLIES",null,0]
["80000607","RING BINDER INDEXES","MED-SUR SUPPLIES",null,0]
["80000608","SKIN MARKERS","MED-SUR SUPPLIES",null,0]
["80000609","CUROS DISINFECTANT CAP PROTECTOR","MED-SUR SUPPLIES",null,0]
["80000610","ADAPT POWDER PREMIUM","MED-SUR SUPPLIES",null,0]
["80000611","OTOSCOPE/OPTHALMOSCOPE HANDLE","MED-SUR SUPPLIES",null,0]
["80000612","SKIN BARRIER SOFTFLEX RINGS","MED-SUR SUPPLIES",null,0]
["80000613","BAGS BEDSIDE PLASTIC W/TIES","MED-SUR SUPPLIES",null,0]
["80000614","BAGS RICE (HEAT PACKS)","MED-SUR SUPPLIES",null,0]
["80000615","DRAPE IOBAN (SMALL) 13 X 13","MED-SUR SUPPLIES",null,0]
["80000616","ASTRATOUCH PRINTER PAPER","MED-SUR SUPPLIES",null,0]
["80000617","GLIDESCOPE LOPRO S1","MED-SUR SUPPLIES",null,0]
["80000618","GLIDESCOPE LOPRO S2","MED-SUR SUPPLIES",null,0]
["80000619","GLIDESCOPE LOPRO S2.5","MED-SUR SUPPLIES",null,0]
["80000620","GLIDESCOPE LOPRO S3","MED-SUR SUPPLIES",null,0]
["80000621","GLIDESCOPE LOPRO S4","MED-SUR SUPPLIES",null,0]
["80000622","GLIDESCOPE MAC S3","MED-SUR SUPPLIES",null,0]
["80000623","GLIDESCOPE MAC S4","MED-SUR SUPPLIES",null,0]
["80000624","GLIDESCOPE STYLET SINGLE USE","MED-SUR SUPPLIES",null,0]
["80000625","GLIDESCOPE BFLEX 5.0","MED-SUR SUPPLIES",null,0]
["80000626","LEAD SET ECG TC70","MED-SUR SUPPLIES",null,0]
["80000627","LEAD SET ECG 3 LEAD SNAP NIHON KOHDEN","MED-SUR SUPPLIES",null,0]
["80000628","ELECTRODES 3/PK- RED PKG  (OR)","MED-SUR SUPPLIES",null,0]
["80000629","CAT TOURNIQUET","MED-SUR SUPPLIES",null,0]
["80000630","IV INFUSER PRESSURE BAG","MED-SUR SUPPLIES",null,0]
["80000631","FULL FACE SHIELD","MED-SUR SUPPLIES",null,0]
["80000632","LIGHTBULB FOR MICROSCOPE","MED-SUR SUPPLIES",null,0]
["80000633","THERMOMETER FOREHEAD W/A","MED-SUR SUPPLIES",null,0]
["80000634","MASK PROCEDURE PEDIATRIC","MED-SUR SUPPLIES",null,0]
["80000635","MASK PROCEDURE -- ORANGE","MED-SUR SUPPLIES",null,0]
["80000636","WIPES, PRIME SANI CLOTH","MED-SUR SUPPLIES",null,0]
["80000637","WIPES, PRIME SANI CLOTH X LARGE","MED-SUR SUPPLIES",null,0]
["80000639","TENA BRIEFS SMALL","MED-SUR SUPPLIES",null,0]
["80000640","SPHYGMOMANOMETER INFANT","MED-SUR SUPPLIES",null,0]
["80000642","DISPOSABLE TYVEK COVERALL","MED-SUR SUPPLIES",null,0]
["80000643","MULTIHANCE","MED-SUR SUPPLIES",null,0]
["80000644","SURGICAL CLIPPER RECHARGEABLE","MED-SUR SUPPLIES",null,0]
["80000645","ULTRASOUND PROBE COVER","MED-SUR SUPPLIES",null,0]
["80000646","CUROS PROTECTOR","MED-SUR SUPPLIES",null,0]
["80000647","AIR POWER UNIT FOR MATTRESS","MED-SUR SUPPLIES",null,0]
["80000648","ESOPHAGEAL STETHOSCOPE 18 FR","MED-SUR SUPPLIES",null,0]
["80000649","HUMID VENT STRAIGHT","MED-SUR SUPPLIES",null,0]
["80000650","BP CUFF SMALL ADULT GCC & OR","MED-SUR SUPPLIES",null,0]
["80000651","BP CUFF ADULT GCC & OR","MED-SUR SUPPLIES",null,0]
["80000652","BP CUFF LARGE ADULT GCC & OR","MED-SUR SUPPLIES",null,0]
["80000653","DYCEM BULK ROLL MATTING 8  X 2 YD","MED-SUR SUPPLIES",null,0]
["80000654","WHEELCHAIR CUSHIONS IN VARIOUS SIZES","MED-SUR SUPPLIES",null,0]
["80000655","SMARTINJECT CT SOLUTION","MED-SUR SUPPLIES",null,0]
["80000656","EMPOWERCTA INSTALL","MED-SUR SUPPLIES",null,0]
["80000657","EMPOWERCTA APPLICATION","MED-SUR SUPPLIES",null,0]
["80000658","EMPOWERCTA+ ANNUAL AGREEMENT","MED-SUR SUPPLIES",null,0]
["80000659","VALVED TEE ADAPTER FOR BIPAP/VENT","MED-SUR SUPPLIES",null,0]
["80000660","PURITAN BENNETT O2 QUICK CONNECT ADAPTER","MED-SUR SUPPLIES",null,0]
["80000661","OXYGEN REGULATOR 50PSI YOKE","MED-SUR SUPPLIES",null,0]
["80000662","SUCTION VACUUM TUBE","MED-SUR SUPPLIES",null,0]
["80000663","BAGS, 6 X 8 UV PROTECT ZIPPIT","MED-SUR SUPPLIES",null,0]
["80000664","DUAL SYRINGE FASTLOAD CTA W/SPIKE","MED-SUR SUPPLIES",null,0]
["80000665","EAR IRRIGATION TIP OTOCLEAR","MED-SUR SUPPLIES",null,0]
["80000666","SINGLE SYRINGE FASTLOAD CTA W/SPIKE","MED-SUR SUPPLIES",null,0]
["80000667","COLD / HOT PACK REUSABLE","MED-SUR SUPPLIES",null,0]
["80000668","ADULT REUSABLE FINGER CLIP SPO2 SENSOR","MED-SUR SUPPLIES",null,0]
["80000669","REUSABLE EAR TIP CLIP","MED-SUR SUPPLIES",null,0]
["80000670","REUSABLE SPO2 SENSOR","MED-SUR SUPPLIES",null,0]
["80000671","PURELL FOAM PUMP BOTTLE","MED-SUR SUPPLIES",null,0]
["80000672","LACERATION KITS DISPOSABLE","MED-SUR SUPPLIES",null,0]
["80000673","MASK PROCEDURE -- YELLOW","MED-SUR SUPPLIES",null,0]
["80000674","SUCTION REGULATOR CONT/INT. PURITAN BENN","MED-SUR SUPPLIES",null,0]
["80000675","SUCTION CANISTER BRACKET","MED-SUR SUPPLIES",null,0]
["80000676","HEEL LANCET","MED-SUR SUPPLIES",null,0]
["80000677","SHARPS 5 QT WALL W/GLOVE HOLDER UNIT","MED-SUR SUPPLIES",null,0]
["80000678","MASK N95 SMALL","MED-SUR SUPPLIES",null,0]
["80000679","HYFERCATOR TIP SHARP LIGHT GRAY","MED-SUR SUPPLIES",null,0]
["80000680","EKG STICKY MOUNT PAPER","MED-SUR SUPPLIES",null,0]
["80000681","LEAD SET TELEMETRY 5 LEAD MINDRAY","MED-SUR SUPPLIES",null,0]
["80000682","BELMONT BUDDY DISPOSABLE BAGS","MED-SUR SUPPLIES",null,0]
["80000683","SYRINGES 20 ML SLIP TIP","MED-SUR SUPPLIES",null,0]
["80000684","CANNULA ADULT DIV W/7FT TUBING W/CO2","MED-SUR SUPPLIES",null,0]
["80000685","PATIENT BEDSIDE TRASHBAG","MED-SUR SUPPLIES",null,0]
["80000686","NEEDLE BLOOD COLLECTION 22G X 1.25","MED-SUR SUPPLIES",null,0]
["80000687","GLOVES XXL NITRILE","MED-SUR SUPPLIES",null,0]
["80000688","WIPE SANI BLEACH DISINFECT ORANGE TOP","MED-SUR SUPPLIES",null,0]
["80000689","BATTERY ME202EK","MED-SUR SUPPLIES",null,0]
["80000690","DISS ATTACHMENT FOR SUCTION CANISTER","MED-SUR SUPPLIES",null,0]
["80000691","O2 FLOWMETER","MED-SUR SUPPLIES",null,0]
["80000692","O2 ADAPTER CHRISTMAS TREE","MED-SUR SUPPLIES",null,0]
["80000693","SUCTION TRAP ASSEMBLY","MED-SUR SUPPLIES",null,0]
["80000694","BATTERY FOR IV PUMPS A/B/G/N BATTERY","MED-SUR SUPPLIES",null,0]
["80000695","CONTRACTS AND SERVICES","MED-SUR SUPPLIES",null,0]
["80000696","BIOPSY PUNCH 4.0","MED-SUR SUPPLIES",null,0]
["80000697","GASTROGRAFIN 30 ML BOTTLE","MED-SUR SUPPLIES",null,0]
["80000698","TWIN TUBE FOR PORTACOUNT 5FT","MED-SUR SUPPLIES",null,0]
["80000699","SALT (NACL) TABS","MED-SUR SUPPLIES",null,0]
["80000700","PAPR KIT TR-600-HKL","MED-SUR SUPPLIES",null,0]
["80000701","SCOPE WARMER","MED-SUR SUPPLIES",null,0]
["80000702","DRAPE LAPAROSCOPIC CHOLECYSTECTOMY SURGI","MED-SUR SUPPLIES",null,0]
["80000703","MACRO PUMP TUBING","MED-SUR SUPPLIES",null,0]
["80011701","PATIENT GOWNS OVERLAP W/TIES DEMURE PRIN","MED-SUR SUPPLIES",null,0]
["80011702","SHEETS, STRETCHER","MED-SUR SUPPLIES",null,0]
["80011703","PILLOW; MEDSOFT WHITE 20  X 26","MED-SUR SUPPLIES",null,0]
["80011704","IV GOWN TELEMETRY BLUE 3XL","MED-SUR SUPPLIES",null,0]
["80011705","PILLOWCASE, MUSLIN","MED-SUR SUPPLIES",null,0]
["80011706","BLANKET, 70 X 108","MED-SUR SUPPLIES",null,0]
["80011707","FITTED SHEET, XL TWIN, 30 X 92 X 15","MED-SUR SUPPLIES",null,0]
["80011708","BATH BLANKET","MED-SUR SUPPLIES",null,0]
["80011709","BLANKET, THERMAL SPREAD","MED-SUR SUPPLIES",null,0]
["80011710","SHEET, FLAT","MED-SUR SUPPLIES",null,0]
["80011711","WASHCLOTHS","MED-SUR SUPPLIES",null,0]
["80011712","PATIENT GOWNS TEEN SIZE","MED-SUR SUPPLIES",null,0]
["80011713","IV GOWN TELEMETRY BLUE OSFM","MED-SUR SUPPLIES",null,0]
["80011714","TOWELS, HAND","MED-SUR SUPPLIES",null,0]
["80011715","IV GOWN TELEMETRY 5XL","MED-SUR SUPPLIES",null,0]
["80011716","IV GOWN TELEMETRY 10XL","MED-SUR SUPPLIES",null,0]
["80011717","SURGICAL SLEEVES","MED-SUR SUPPLIES",null,0]
["80011718","BIBS SNAP CLOSURE ADULT TARTAN PRINT","MED-SUR SUPPLIES",null,0]
["80011719","UNIFORM SCRUB SURGEON GOWN","MED-SUR SUPPLIES",null,0]
["80011720","UNIFORM SCRUB TOP ASST. SIZES","MED-SUR SUPPLIES",null,0]
["80011721","UNIFORM SCRUB PANTS ASST. SIZES","MED-SUR SUPPLIES",null,0]
["80011722","FITTED SHEET, BARIATRIC 48X88X14","MED-SUR SUPPLIES",null,0]
["80011723","BATH TOWELS 24  X 50","MED-SUR SUPPLIES",null,0]
["80011724","SHOWER CURTAIN 3 X 6","MED-SUR SUPPLIES",null,0]
["80011725","SHOWER CURTAIN 6 X 6","MED-SUR SUPPLIES",null,0]
["80011726","MATTRESS PAD WITH ANCHOR BANDS","MED-SUR SUPPLIES",null,0]
["80011727","MATTRESS PAD BARIATRIC BED","MED-SUR SUPPLIES",null,0]
["80011728","PANT PAJAMA XL","MED-SUR SUPPLIES",null,0]
["80011729","PANT PAJAMA 2XL","MED-SUR SUPPLIES",null,0]
["80011730","LAB COAT","MED-SUR SUPPLIES",null,0]
["80011731","PATIENT GOWNS FOR ER","MED-SUR SUPPLIES",null,0]
["80200001","FORMS PREPRINTED NURSING","MED-SUR SUPPLIES",null,0]
["81000099","PROMOTIONAL ITEMS","MED-SUR SUPPLIES",null,0]
["81000100","HP 64A TONER","MED-SUR SUPPLIES",null,0]
["81000101","STAPLER, ELECTRIC OFFICE","MED-SUR SUPPLIES",null,0]
["81000102","HP 26X TONER","MED-SUR SUPPLIES",null,0]
["81000103","HP 80X TONER","MED-SUR SUPPLIES",null,0]
["81000104","HP 05A TONER","MED-SUR SUPPLIES",null,0]
["81000105","INDEX DIVIDERS FOR BINDERS W/POCKET","MED-SUR SUPPLIES",null,0]
["81000106","HP 952 XL BLACK CARTRIDGE","MED-SUR SUPPLIES",null,0]
["81000107","HP 952 TRI-COLOR CARTRIDGE","MED-SUR SUPPLIES",null,0]
["90000001","VIDEO RIBBON/PAPER PRINTER","MED-SUR SUPPLIES",null,0]
["90000002","JP15 FR  ROUND","MED-SUR SUPPLIES",null,0]
["90000003","TTUBE 14FR CROSSBAR 18FR","MED-SUR SUPPLIES",null,0]
["90000004","TTUBE","MED-SUR SUPPLIES",null,0]
["90000005","APRON ( BLUE PLASTIC)","MED-SUR SUPPLIES",null,0]
["90000006","FOGARTY EMBOLECTOMY CATH","MED-SUR SUPPLIES",null,0]
["90000007","INST WRAPS 24X24","MED-SUR SUPPLIES",null,0]
["90000008","STERILIZATION INST WRAPS 30X30","MED-SUR SUPPLIES",null,0]
["90000009","INST WRAPS 36X36","MED-SUR SUPPLIES",null,0]
["90000010","INST WRAPS 45X45","MED-SUR SUPPLIES",null,0]
["90000011","PEEL POUCHES 3 3/4 X 6","MED-SUR SUPPLIES",null,0]
["90000012","PEEL POUCHES 5X10","MED-SUR SUPPLIES",null,0]
["90000013","PEEL POUCHES 5X15","MED-SUR SUPPLIES",null,0]
["90000014","PEEL POUCHES 6  ROLL","MED-SUR SUPPLIES",null,0]
["90000015","INST PROTECTOR 2X5","MED-SUR SUPPLIES",null,0]
["90000016","STEAM INDICATOR","MED-SUR SUPPLIES",null,0]
["90000017","BX FORCEPS  MICROVASIVE","MED-SUR SUPPLIES",null,0]
["90000018","BX FORCEPS HOT","MED-SUR SUPPLIES",null,0]
["90000019","SNARE M00561831","MED-SUR SUPPLIES",null,76]
["90000020","ALKALINE DETERGENT--PINK LABEL","MED-SUR SUPPLIES",null,0]
["90000021","ACID DETERGENT","MED-SUR SUPPLIES",null,0]
["90000022","INST LUBE","MED-SUR SUPPLIES",null,0]
["90000023","FIBEROPTIC BRONCHOSCOPE","MED-SUR SUPPLIES",null,0]
["90000024","SPO2 ADAPTER CABLE","MED-SUR SUPPLIES",null,0]
["90000025","NEEDLE COUNTER","MED-SUR SUPPLIES",null,0]
["90000026","GROSHONG 8F SINGLE LUMEN","MED-SUR SUPPLIES",null,0]
["90000027","INST WRAPS  18X18","MED-SUR SUPPLIES",null,0]
["90000028","CONTROLS LEVEL","MED-SUR SUPPLIES",null,0]
["90000029","MULTISTIX 10 SG","MED-SUR SUPPLIES",null,0]
["90000030","TUBES GREEN","MED-SUR SUPPLIES",null,0]
["90000031","TRANSFER PIPETTES","MED-SUR SUPPLIES",null,0]
["90000032","BLOOD COLLECTION 25G BUTTERFLY NEEDLES","MED-SUR SUPPLIES",null,0]
["90000033","BLUE VACUUM TUBES #369714","MED-SUR SUPPLIES",null,0]
["90000034","CENTRIFUGE ADAPTER FOR 4-5 mL BLOOD TUBE","MED-SUR SUPPLIES",null,0]
["90000035","GREEN VACUUM TUBES 367962","MED-SUR SUPPLIES",null,0]
["90000036","VACUUM TUBES PINK #367899","MED-SUR SUPPLIES",null,0]
["90000037","BD NEEDLES 21 G 1","MED-SUR SUPPLIES",null,0]
["90000038","CULTURE TUBES","MED-SUR SUPPLIES",null,0]
["90000039","FILTER NEEDLE","MED-SUR SUPPLIES",null,0]
["90000040","CONTROL TOPPER TIPS","MED-SUR SUPPLIES",null,0]
["90000041","MICROSCOPE SLIDES BLUE CORNER","MED-SUR SUPPLIES",null,0]
["90000042","SEDIPLAST ESR","MED-SUR SUPPLIES",null,0]
["90000043","STRECK ESR-CHEX","MED-SUR SUPPLIES",null,0]
["90000044","WRIGHTS STAIN FIXATION","MED-SUR SUPPLIES",null,0]
["90000045","WRIGHTS STAIN SOL I","MED-SUR SUPPLIES",null,0]
["90000046","WRIGHTS STAIN SOLII","MED-SUR SUPPLIES",null,0]
["90000047","CHLAMYDIA QUIK-VUE","MED-SUR SUPPLIES",null,0]
["90000048","GRAM STAIN SLIDES","MED-SUR SUPPLIES",null,0]
["90000049","GRAM STAIN/STABIL","MED-SUR SUPPLIES",null,0]
["90000051","POTASSIUM HYDROXIDE","MED-SUR SUPPLIES",null,0]
["90000052","GLOVES MICROFLEX","MED-SUR SUPPLIES",null,0]
["90000053","GLUCOSE BEVERAGE","MED-SUR SUPPLIES",null,0]
["90000054","MICROTAINER (365957)","MED-SUR SUPPLIES",null,0]
["90000055","LI HEP MICROTAINER 365965","MED-SUR SUPPLIES",null,0]
["90000056","MICROTAINER EDTA #365974","MED-SUR SUPPLIES",null,0]
["90000057","POLYSTYRENE BEADS","MED-SUR SUPPLIES",null,0]
["90000058","PORTEX ARTERIAL SAMP","MED-SUR SUPPLIES",null,0]
["90000059","SAF-T HOLDER FEMALE","MED-SUR SUPPLIES",null,0]
["90000060","VACUTAINER MINT GREEN #367960","MED-SUR SUPPLIES",null,0]
["90000061","VACUTAINER PLASTIC CITRATE 363080B","MED-SUR SUPPLIES",null,0]
["90000062","VACUTAINER HOLDER (HUBS)","MED-SUR SUPPLIES",null,0]
["90000063","VACUTAINER K2 EDTA #367856","MED-SUR SUPPLIES",null,0]
["90000064","VACUTAINER LI HEP 4ML 367884","MED-SUR SUPPLIES",null,0]
["90000065","VACUTAINER SERUM RED TOP #367815","MED-SUR SUPPLIES",null,0]
["90000066","VACUTAINER SST #367986","MED-SUR SUPPLIES",null,0]
["90000067","BUTTERFLY COLLECTION SET 23GX3/4 367283","MED-SUR SUPPLIES",null,0]
["90000068","ECLIPSE  21G 1 1/4 NEEDLE 368607","MED-SUR SUPPLIES",null,0]
["90000069","MICROTAINER PST MICROGARD 365985","MED-SUR SUPPLIES",null,0]
["90000070","CELL-CHEK STRECK","MED-SUR SUPPLIES",null,0]
["90000071","CHART GRAFT 4 INCH","MED-SUR SUPPLIES",null,0]
["90000072","CULTURE TEST TUBES","MED-SUR SUPPLIES",null,0]
["90000073","CULTURE TEST TUBES CAPS","MED-SUR SUPPLIES",null,0]
["90000074","FINNTIP PIPETTE TIPS 5 ML","MED-SUR SUPPLIES",null,0]
["90000075","PIPETTE TIPS 1-200UL","MED-SUR SUPPLIES",null,0]
["90000076","KOVA CAPS","MED-SUR SUPPLIES",null,0]
["90000077","KOVA GALSST SLD/GRIDS","MED-SUR SUPPLIES",null,0]
["90000078","KOVA PIPETS","MED-SUR SUPPLIES",null,0]
["90000079","KOVA TUBES","MED-SUR SUPPLIES",null,0]
["90000080","LENSE PAPER","MED-SUR SUPPLIES",null,0]
["90000081","MAS UA CONTROLS 1&2","MED-SUR SUPPLIES",null,0]
["90000082","MEDTOX NEG URINE CONTROL","MED-SUR SUPPLIES",null,0]
["90000083","MEDTOX POS URINE CONTROL","MED-SUR SUPPLIES",null,0]
["90000084","MEDTOX PROFILE-II ER","MED-SUR SUPPLIES",null,0]
["90000085","MICRO COVER GLASS","MED-SUR SUPPLIES",null,0]
["90000086","MICROALBUMIN STRIPS","MED-SUR SUPPLIES",null,0]
["90000087","HCG RAPID PREGNANCY TEST","MED-SUR SUPPLIES",null,0]
["90000088","STAT-BLUE","MED-SUR SUPPLIES",null,0]
["90000089","COLOR SLIDE II MONOTEST","MED-SUR SUPPLIES",null,0]
["90000091","FLU TEST KITS","MED-SUR SUPPLIES",null,0]
["90000092","STREP TEST KITS","MED-SUR SUPPLIES",null,0]
["90000093","BARD PORT 8FR","MED-SUR SUPPLIES",null,0]
["90000094","ENDOCELL DISPOSABLE","MED-SUR SUPPLIES",null,0]
["90000095","MEDIHONEY SHEETS","MED-SUR SUPPLIES",null,0]
["90000096","RSV TEST KITS","MED-SUR SUPPLIES",null,0]
["90000097","RAPID 5 STEAM TEST PACK ATTEST","MED-SUR SUPPLIES",null,0]
["90000098","INDICATOR ATTEST STEAM RAPID","MED-SUR SUPPLIES",null,0]
["90000099","SINGLE USE COMBINATION CLEANING BRUSH","MED-SUR SUPPLIES",null,0]
["90000100","VACUTAINER CIT.109 BLUE TOP #363083","MED-SUR SUPPLIES",null,0]
["90000101","VACUTAINER GREY TOP #367921","MED-SUR SUPPLIES",null,0]
["90000102","WOODEN STICK 6","MED-SUR SUPPLIES",null,0]
["90000103","ROCKERSWITCH CAUTERY PENCIL","MED-SUR SUPPLIES",null,0]
[" 3400334","MR ANGIO HEAD WO W","MRI SCANS","70546",4741]
[" 3400335","MR ANGIO HEAD WO","MRI SCANS","70544",3232]
[" 3400336","MR TMJ EXTENDED","MRI SCANS","70336",3047]
[" 3400337","MR ANGIO NECK W","MRI SCANS","70548",3643]
[" 3400338","MR ANGIO NECK WO","MRI SCANS","70547",3221]
[" 3400339","MR ANGIO NECK WO W","MRI SCANS","70549",4675]
[" 3400532","MR NECK W","MRI SCANS","70542",3822]
[" 3400533","MR NECK WO W","MRI SCANS","70543",3746]
[" 3400538","MR ORBIT W","MRI SCANS","70542",3822]
[" 3400539","MR NECK WO","MRI SCANS","70540",2997]
[" 3400540","MR FACIAL ROUTINE","MRI SCANS","70540",2997]
[" 3400541","MR FACIAL EXTENDED WO W","MRI SCANS","70543",3746]
[" 3400551","MR BRAIN ROUTINE WO","MRI SCANS","70551",3606]
[" 3400552","MR BRAIN WO W","MRI SCANS","70553",4093]
[" 3400553","MR BRAIN W","MRI SCANS","70552",3420]
[" 3400570","MR UE W WO","MRI SCANS","73220",2907]
[" 3400571","MR HIPS BILAT W","MRI SCANS","73722",2656]
[" 3400572","MR HIPS BILAT WO W","MRI SCANS","73723",3304]
[" 3400573","MR HIPS BILAT WO","MRI SCANS","73721",2766]
[" 3400574","MR SACRUM W","MRI SCANS","72196",2686]
[" 3400575","MR SACRUM WO W","MRI SCANS","72197",4317]
[" 3400576","MR SACRUM WO","MRI SCANS","72195",2916]
[" 3401550","MR CHEST HILAR MEDIASTEIN","MRI SCANS","71550",3551]
[" 3401551","MR CHEST WO W","MRI SCANS","71552",4078]
[" 3401552","MR CHEST WO","MRI SCANS","71550",3551]
[" 3401553","MR CHEST W","MRI SCANS","71551",3087]
[" 3402180","MR ORBIT WO","MRI SCANS","70540",2997]
[" 3402181","MR ORBIT WO W","MRI SCANS","70543",3746]
[" 3402196","MR PELVIS WO","MRI SCANS","72195",2636]
[" 3402197","MR PELVIS W","MRI SCANS","72196",2686]
[" 3402198","MR PELVIS WO W","MRI SCANS","72197",4317]
[" 3403220","MR UPPER EXT L WO","MRI SCANS","73218",2622]
[" 3403221","MR UPPER EXT L W","MRI SCANS","73219",2644]
[" 3403222","MR UPPER EXT L WO W","MRI SCANS","73220",2907]
[" 3403223","MR UPPER EXT R WO","MRI SCANS","73218",2622]
[" 3403224","MR UPPER EXT R W","MRI SCANS","73219",2644]
[" 3403720","MR LOW EXT LT WO","MRI SCANS","73718",2889]
[" 3403721","MR LOW EXT LT W","MRI SCANS","73719",2869]
[" 3403722","MR LOW EXT LT WO W","MRI SCANS","73720",3157]
[" 3403723","MR LOW EXT RT W","MRI SCANS","73719",2869]
[" 3403724","MR LOW EXT RT WO","MRI SCANS","73718",2889]
[" 3404181","MR ABD W","MRI SCANS","74182",3495]
[" 3404182","MR ABD WO W","MRI SCANS","74183",4341]
[" 3404183","MR ABD WO","MRI SCANS","74181",3190]
[" 3404185","MR ABDOMEN W/WO CONTRAST","MRI SCANS","74185",3324]
[" 3405565","MR JOINT LT LOWER WO","MRI SCANS","73721",2729]
[" 3405566","MR JOINT R LOWER WO","MRI SCANS","73721",2729]
[" 3405567","MR JOINT LT LOWER W","MRI SCANS","73722",2656]
[" 3405568","MR JOINT RT LOWER W","MRI SCANS","73722",2656]
[" 3405569","MR JOINT LT LOWER WO W","MRI SCANS","73723",3304]
[" 3405570","MR JOINT RT LOWER WO W","MRI SCANS","73723",3304]
[" 3405571","MR JOINT LT UPPER W","MRI SCANS","73222",2720]
[" 3405572","MR JOINT RT UPPER W","MRI SCANS","73222",2720]
[" 3405573","MR JOINT L UPPER WO","MRI SCANS","73221",2702]
[" 3405574","MR JOINT R UPPER WO","MRI SCANS","73221",2702]
[" 3405575","MR JOINT LT UPPER WO W","MRI SCANS","73223",3638]
[" 3405576","MR JOINT RT UPPER WO W","MRI SCANS","73223",3638]
[" 3405580","MR TOTAL SPINE","MRI SCANS","72148",9584]
[" 3407222","MR UPPER EXT R WO W","MRI SCANS","73220",2907]
[" 3407721","MR LOW EXT JOINT","MRI SCANS","73721",2729]
[" 3407722","MR LOW EXT RT WO W","MRI SCANS","73720",3157]
[" 3400554","MR PITUITARY WO W","MRI SCANS","70553",4093]
[" 3400555","MR INNER AUDITORY CANAL WO W","MRI SCANS","70553",4093]
[" 3400566","MR PITUITARY WO","MRI SCANS","70551",3606]
[" 3400567","MR PITUITARY W","MRI SCANS","70552",3106]
[" 3400568","MR INNER AUDITORY CANAL WO","MRI SCANS","70551",3606]
[" 3400569","MR INNER AUDITORY CANAL W","MRI SCANS","70552",3106]
[" 3402139","MR SPINE CERV W","MRI SCANS","72142",3079]
[" 3402141","MR SPINE CERV WO","MRI SCANS","72141",3461]
[" 3402143","MR SPINE THOR ROUTINE WO","MRI SCANS","72146",3568]
[" 3402144","MR SPINE LUMBAR WO","MRI SCANS","72148",3278]
[" 3402147","MR SPINE THORACIC W","MRI SCANS","72147",3677]
[" 3402149","MR SPINE LUMBAR W","MRI SCANS","72149",2869]
[" 3402156","MR SPINE CERV WO W","MRI SCANS","72156",4280]
[" 3402157","MR SPINE THORACIC WO W","MRI SCANS","72157",4005]
[" 3402158","MR SPINE LUMBAR WO W","MRI SCANS","72158",4141]
[" 3401555","MR ANGIO CHEST W","MRI SCANS","71555",2636]
[" 3401556","MR ANGIO CHEST WO","MRI SCANS","71555",2636]
["  500004","OBSERVATION PER HOUR","OBSERVATION","99220",0]
["  500200","OBSERVATION HOUR 1","OBSERVATION","99220",625]
["  500201","OBSERVATION HOURS 2 - 8","OBSERVATION","99220",174]
["  500211","OBSERVATION HOURS 9-10","OBSERVATION","99220",55]
["  500212","OBSERVATION HOURS 12-24","OBSERVATION","99220",0]
["  500225","OBSERVATION HOURS 25-26","OBSERVATION","99220",81]
["  500227","OBSERVATION HOUR 27","OBSERVATION","99220",73]
["  500229","OBSERVATION HOURS 28-31","OBSERVATION","99220",46]
["  500232","OBSERVATION HOUR 32","OBSERVATION","99220",33]
["  500233","OBSERVATION HOURS 33-36","OBSERVATION","99220",33]
["  500237","OBSERVATION HOUR 37","OBSERVATION","99220",32]
["  500238","OBSERVATION HOURS 38-40","OBSERVATION","99220",32]
["  500240","OBSERVATION HOURS 41","OBSERVATION","99220",24]
["  500242","OBSERVATION HOURS 42-45","OBSERVATION","99220",22]
["  500246","OBSERVATION HOUR 46","OBSERVATION","99220",22]
["  500247","OBSERVATION HOURS 47 TO DSCH","OBSERVATION","99220",22]
["  502823","OBSERVATION DIRECT ADMIT","OBSERVATION","99212",0]
[" 5604165","OT  OTHER PT/OT CURRENT G8990-CH","OCCUPATIONAL THERAPY","G8990CHGO",1,"CHGO"]
[" 5604166","OT  OTHER PT/OT CURRENT G8990-CI","OCCUPATIONAL THERAPY","G8990CIGO",1,"CIGO"]
[" 5604167","OT  OTHER PT/OT CURRENT G8990-CJ","OCCUPATIONAL THERAPY","G8990CJGO",1,"CJGO"]
[" 5604168","OT  OTHER PT/OT CURRENT G8990-CK","OCCUPATIONAL THERAPY","G8990CKGO",1,"CKGO"]
[" 5604169","OT  OTHER PT/OT CURRENT G8990-CL","OCCUPATIONAL THERAPY","G8990CLGO",1,"CLGO"]
[" 5604170","OT  OTHER PT/OT CURRENT G8990-CM","OCCUPATIONAL THERAPY","G8990CMGO",1,"CMGO"]
[" 5604171","OT  OTHER PT/OT CURRENT G8990-CN","OCCUPATIONAL THERAPY","G8990CNGO",1,"CNGO"]
[" 5604172","OT  ATTEN CURRENT G9165-CH","OCCUPATIONAL THERAPY","G9165CHGO",1,"CHGO"]
[" 5604173","OT  ATTEN CURRENT G9165-CI","OCCUPATIONAL THERAPY","G9165CIGO",1,"CIGO"]
[" 5604174","OT  ATTEN CURRENT G9165-CJ","OCCUPATIONAL THERAPY","G9165CJGO",1,"CJGO"]
[" 5604175","OT  ATTEN CURRENT G9165-CK","OCCUPATIONAL THERAPY","G9165CKGO",1,"CKGO"]
[" 5604176","OT  ATTEN CURRENT G9165-CL","OCCUPATIONAL THERAPY","G9165CLGO",1,"CLGO"]
[" 5604177","OT  ATTEN CURRENT G9165-CM","OCCUPATIONAL THERAPY","G9165CMGO",1,"CMGO"]
[" 5604178","OT  ATTEN CURRENT G9165-CN","OCCUPATIONAL THERAPY","G9165CNGO",1,"CNGO"]
[" 5604179","OT  ATTEN GOAL G9166-CH","OCCUPATIONAL THERAPY","G9166CHGO",1,"CHGO"]
[" 5604180","OT  ATTEN GOAL G9166-CI","OCCUPATIONAL THERAPY","G9166CIGO",1,"CIGO"]
[" 5604181","OT  ATTEN GOAL G9166-CJ","OCCUPATIONAL THERAPY","G9166CJGO",1,"CJGO"]
[" 5604182","OT  ATTEN GOAL G9166-CK","OCCUPATIONAL THERAPY","G9166CKGO",1,"CKGO"]
[" 5604183","OT  ATTEN GOAL G9166-CL","OCCUPATIONAL THERAPY","G9166CLGO",1,"CLGO"]
[" 5604184","OT  ATTEN GOAL G9166-CM","OCCUPATIONAL THERAPY","G9166CMGO",1,"CMGO"]
[" 5604185","OT  ATTEN GOAL G9166-CN","OCCUPATIONAL THERAPY","G9166CNGO",1,"CNGO"]
[" 5604186","OT  BODY POS CURRENT G8981-CH","OCCUPATIONAL THERAPY","G8981CHGO",1,"CHGO"]
[" 5604187","OT  BODY POS CURRENT G8981-CI","OCCUPATIONAL THERAPY","G8981CIGO",1,"CIGO"]
[" 5604188","OT  BODY POS CURRENT G8981-CJ","OCCUPATIONAL THERAPY","G8981CJGO",1,"CJGO"]
[" 5604189","OT  BODY POS CURRENT G8981-CK","OCCUPATIONAL THERAPY","G8981CKGO",1,"CKGO"]
[" 5604190","OT  BODY POS CURRENT G8981-CL","OCCUPATIONAL THERAPY","G8981CLGO",1,"CLGO"]
[" 5604191","OT  BODY POS CURRENT G8981-CM","OCCUPATIONAL THERAPY","G8981CMGO",1,"CMGO"]
[" 5604192","OT  BODY POS CURRENT G8981-CN","OCCUPATIONAL THERAPY","G8981CNGO",1,"CNGO"]
[" 5604193","OT  CARRY DC G8986-CH","OCCUPATIONAL THERAPY","G8986CHGO",1,"CHGO"]
[" 5604194","OT  CARRY DC G8986-CI","OCCUPATIONAL THERAPY","G8986CIGO",1,"CIGO"]
[" 5604195","OT  CARRY DC G8986-CJ","OCCUPATIONAL THERAPY","G8986CJGO",1,"CJGO"]
[" 5604196","OT  CARRY DC G8986-CK","OCCUPATIONAL THERAPY","G8986CKGO",1,"CKGO"]
[" 5604197","OT  CARRY DC G8986-CL","OCCUPATIONAL THERAPY","G8986CLGO",1,"CLGO"]
[" 5604198","OT  CARRY DC G8986-CM","OCCUPATIONAL THERAPY","G8986CMGO",1,"CMGO"]
[" 5604199","OT  CARRY DC G8986-CN","OCCUPATIONAL THERAPY","G8986CNGO",1,"CNGO"]
[" 5604200","OT  CARRY GOAL G8985-CH","OCCUPATIONAL THERAPY","G8985CHGO",1,"CHGO"]
[" 5604201","OT  CARRY GOAL G8985-CI","OCCUPATIONAL THERAPY","G8985CIGO",1,"CIGO"]
[" 5604202","OT  CARRY GOAL G8985-CJ","OCCUPATIONAL THERAPY","G8985CJGO",1,"CJGO"]
[" 5604203","OT  CARRY GOAL G8985-CK","OCCUPATIONAL THERAPY","G8985CKGO",1,"CKGO"]
[" 5604204","OT  CARRY GOAL G8985-CL","OCCUPATIONAL THERAPY","G8985CLGO",1,"CLGO"]
[" 5604205","OT  CARRY GOAL G8985-CM","OCCUPATIONAL THERAPY","G8985CMGO",1,"CMGO"]
[" 5604206","OT  CARRY GOAL G8985-CN","OCCUPATIONAL THERAPY","G8985CNGO",1,"CNGO"]
[" 5604207","OT  MEMORY CURRENT G9168-CH","OCCUPATIONAL THERAPY","G9168CHGO",1,"CHGO"]
[" 5604208","OT  MEMORY CURRENT G9168-CI","OCCUPATIONAL THERAPY","G9168CIGO",1,"CIGO"]
[" 5604209","OT  MEMORY CURRENT G9168-CJ","OCCUPATIONAL THERAPY","G9168CJGO",1,"CJGO"]
[" 5604210","OT  MEMORY CURRENT G9168-CK","OCCUPATIONAL THERAPY","G9168CKGO",1,"CKGO"]
[" 5604211","OT  MEMORY CURRENT G9168-CL","OCCUPATIONAL THERAPY","G9168CLGO",1,"CLGO"]
[" 5604212","OT  MEMORY CURRENT G9168-CM","OCCUPATIONAL THERAPY","G9168CMGO",1,"CMGO"]
[" 5604213","OT  MEMORY CURRENT G9168-CN","OCCUPATIONAL THERAPY","G9168CNGO",1,"CNGO"]
[" 5604214","OT  MEMORY DC G9170-CH","OCCUPATIONAL THERAPY","G9170CHGO",1,"CHGO"]
[" 5604215","OT  MEMORY DC G9170-CI","OCCUPATIONAL THERAPY","G9170CIGO",1,"CIGO"]
[" 5604216","OT  MEMORY DC G9170-CJ","OCCUPATIONAL THERAPY","G9170CJGO",1,"CJGO"]
[" 5604217","OT  MEMORY DC G9170-CK","OCCUPATIONAL THERAPY","G9170CKGO",1,"CKGO"]
[" 5604218","OT  MEMORY DC G9170-CL","OCCUPATIONAL THERAPY","G9170CLGO",1,"CLGO"]
[" 5604219","OT  MEMORY DC G9170-CM","OCCUPATIONAL THERAPY","G9170CMGO",1,"CMGO"]
[" 5604220","OT  MEMORY DC G9170-CN","OCCUPATIONAL THERAPY","G9170CNGO",1,"CNGO"]
[" 5604221","OT  MEMORY GOAL G9169-CH","OCCUPATIONAL THERAPY","G9169CHGO",1,"CHGO"]
[" 5604222","OT  MEMORY GOAL G9169-CI","OCCUPATIONAL THERAPY","G9169CIGO",1,"CIGO"]
[" 5604223","OT  MEMORY GOAL G9169-CJ","OCCUPATIONAL THERAPY","G9169CJGO",1,"CJGO"]
[" 5604224","OT  MEMORY GOAL G9169-CK","OCCUPATIONAL THERAPY","G9169CKGO",1,"CKGO"]
[" 5604225","OT  MEMORY GOAL G9169-CL","OCCUPATIONAL THERAPY","G9169CLGO",1,"CLGO"]
[" 5604226","OT  MEMORY GOAL G9169-CM","OCCUPATIONAL THERAPY","G9169CMGO",1,"CMGO"]
[" 5604227","OT  MEMORY GOAL G9169-CN","OCCUPATIONAL THERAPY","G9169CNGO",1,"CNGO"]
[" 5604228","OT  SELF-CARE DC G8989-CH","OCCUPATIONAL THERAPY","G8989CHGO",1,"CHGO"]
[" 5604229","OT  SELF-CARE DC G8989-CI","OCCUPATIONAL THERAPY","G8989CIGO",1,"CIGO"]
[" 5604230","OT  SELF-CARE DC G8989-CJ","OCCUPATIONAL THERAPY","G8989CJGO",1,"CJGO"]
[" 5604231","OT  SELF-CARE DC G8989-CK","OCCUPATIONAL THERAPY","G8989CKGO",1,"CKGO"]
[" 5604232","OT  SELF-CARE DC G8989-CL","OCCUPATIONAL THERAPY","G8989CLGO",1,"CLGO"]
[" 5604233","OT  SELF-CARE DC G8989-CM","OCCUPATIONAL THERAPY","G8989CMGO",1,"CMGO"]
[" 5604234","OT  SELF-CARE DC G8989-CN","OCCUPATIONAL THERAPY","G8989CNGO",1,"CNGO"]
[" 5604235","OT  SELF-CARE GOAL G8988-CH","OCCUPATIONAL THERAPY","G8988CHGO",1,"CHGO"]
[" 5604236","OT  SELF-CARE GOAL G8988-CI","OCCUPATIONAL THERAPY","G8988CIGO",1,"CIGO"]
[" 5604237","OT  SELF-CARE GOAL G8988-CJ","OCCUPATIONAL THERAPY","G8988CJGO",1,"CJGO"]
[" 5604238","OT  SELF-CARE GOAL G8988-CK","OCCUPATIONAL THERAPY","G8988CKGO",1,"CKGO"]
[" 5604239","OT  SELF-CARE GOAL G8988-CL","OCCUPATIONAL THERAPY","G8988CLGO",1,"CLGO"]
[" 5604240","OT  SELF-CARE GOAL G8988-CM","OCCUPATIONAL THERAPY","G8988CMGO",1,"CMGO"]
[" 5604241","OT  SELF-CARE GOAL G8988-CN","OCCUPATIONAL THERAPY","G8988CNGO",1,"CNGO"]
[" 5604242","OT  SUB PT/OT GOAL G8994-CH","OCCUPATIONAL THERAPY","G8994CHGO",1,"CHGO"]
[" 5604243","OT  SUB PT/OT GOAL G8994-CI","OCCUPATIONAL THERAPY","G8994CIGO",1,"CIGO"]
[" 5604244","OT  SUB PT/OT GOAL G8994-CJ","OCCUPATIONAL THERAPY","G8994CJGO",1,"CJGO"]
[" 5604245","OT  SUB PT/OT GOAL G8994-CK","OCCUPATIONAL THERAPY","G8994CKGO",1,"CKGO"]
[" 5604246","OT  SUB PT/OT GOAL G8994-CL","OCCUPATIONAL THERAPY","G8994CLGO",1,"CLGO"]
[" 5604247","OT  SUB PT/OT GOAL G8994-CM","OCCUPATIONAL THERAPY","G8994CMGO",1,"CMGO"]
[" 5604248","OT  SUB PT/OT GOAL G8994-CN","OCCUPATIONAL THERAPY","G8994CNGO",1,"CNGO"]
[" 5604249","OT  ATTEN DC G9167-CH","OCCUPATIONAL THERAPY","G9167CHGO",1,"CHGO"]
[" 5604250","OT  ATTEN DC G9167-CI","OCCUPATIONAL THERAPY","G9167CIGO",1,"CIGO"]
[" 5604251","OT  ATTEN DC G9167-CJ","OCCUPATIONAL THERAPY","G9167CJGO",1,"CJGO"]
[" 5604252","OT  ATTEN DC G9167-CK","OCCUPATIONAL THERAPY","G9167CKGO",1,"CKGO"]
[" 5604253","OT  ATTEN DC G9167-CL","OCCUPATIONAL THERAPY","G9167CLGO",1,"CLGO"]
[" 5604254","OT  ATTEN DC G9167-CM","OCCUPATIONAL THERAPY","G9167CMGO",1,"CMGO"]
[" 5604255","OT  ATTEN DC G9167-CN","OCCUPATIONAL THERAPY","G9167CNGO",1,"CNGO"]
[" 5604256","OT  BODY POS DC G8983-CH","OCCUPATIONAL THERAPY","G8983CHGO",1,"CHGO"]
[" 5604257","OT  BODY POS DC G8983-CI","OCCUPATIONAL THERAPY","G8983CIGO",1,"CIGO"]
[" 5604258","OT  BODY POS DC G8983-CJ","OCCUPATIONAL THERAPY","G8983CJGO",1,"CJGO"]
[" 5604259","OT  BODY POS DC G8983-CK","OCCUPATIONAL THERAPY","G8983CKGO",1,"CKGO"]
[" 5604260","OT  BODY POS DC G8983-CL","OCCUPATIONAL THERAPY","G8983CLGO",1,"CLGO"]
[" 5604261","OT  BODY POS DC G8983-CM","OCCUPATIONAL THERAPY","G8983CMGO",1,"CMGO"]
[" 5604262","OT  BODY POS DC G8983-CN","OCCUPATIONAL THERAPY","G8983CNGO",1,"CNGO"]
[" 5604263","OT  BODY POS GOAL G8982-CH","OCCUPATIONAL THERAPY","G8982CHGO",1,"CHGO"]
[" 5604264","OT  BODY POS GOAL G8982-CI","OCCUPATIONAL THERAPY","G8982CIGO",1,"CIGO"]
[" 5604265","OT  BODY POS GOAL G8982-CJ","OCCUPATIONAL THERAPY","G8982CJGO",1,"CJGO"]
[" 5604266","OT  BODY POS GOAL G8982-CK","OCCUPATIONAL THERAPY","G8982CKGO",1,"CKGO"]
[" 5604267","OT  BODY POS GOAL G8982-CL","OCCUPATIONAL THERAPY","G8982CLGO",1,"CLGO"]
[" 5604268","OT  BODY POS GOAL G8982-CM","OCCUPATIONAL THERAPY","G8982CMGO",1,"CMGO"]
[" 5604269","OT  BODY POS GOAL G8982-CN","OCCUPATIONAL THERAPY","G8982CNGO",1,"CNGO"]
[" 5604270","OT  CARRY CURRENT G8984 -CH","OCCUPATIONAL THERAPY","G8984CHGO",1,"CHGO"]
[" 5604271","OT  CARRY CURRENT G8984 -CI","OCCUPATIONAL THERAPY","G8984CIGO",1,"CIGO"]
[" 5604272","OT  CARRY CURRENT G8984 -CJ","OCCUPATIONAL THERAPY","G8984CJGO",1,"CJGO"]
[" 5604273","OT  CARRY CURRENT G8984 -CK","OCCUPATIONAL THERAPY","G8984CKGO",1,"CKGO"]
[" 5604274","OT  CARRY CURRENT G8984 -CL","OCCUPATIONAL THERAPY","G8984CLGO",1,"CLGO"]
[" 5604275","OT  CARRY CURRENT G8984 -CM","OCCUPATIONAL THERAPY","G8984CMGO",1,"CMGO"]
[" 5604276","OT  CARRY CURRENT G8984 -CN","OCCUPATIONAL THERAPY","G8984CNGO",1,"CNGO"]
[" 5604277","OT  MOBILITY CURRENT G8978- CH","OCCUPATIONAL THERAPY","G8978CHGO",1,"CHGO"]
[" 5604278","OT  MOBILITY CURRENT G8978- CI","OCCUPATIONAL THERAPY","G8978CIGO",1,"CIGO"]
[" 5604279","OT  MOBILITY CURRENT G8978- CJ","OCCUPATIONAL THERAPY","G8978CJGO",1,"CJGO"]
[" 5604280","OT  MOBILITY CURRENT G8978- CK","OCCUPATIONAL THERAPY","G8978CKGO",1,"CKGO"]
[" 5604281","OT  MOBILITY CURRENT G8978- CL","OCCUPATIONAL THERAPY","G8978CLGO",1,"CLGO"]
[" 5604282","OT  MOBILITY CURRENT G8978- CM","OCCUPATIONAL THERAPY","G8978CMGO",1,"CMGO"]
[" 5604283","OT  MOBILITY CURRENT G8978- CN","OCCUPATIONAL THERAPY","G8978CNGO",1,"CNGO"]
[" 5604284","OT  MOBILITY DC G8980-CH","OCCUPATIONAL THERAPY","G8980CHGO",1,"CHGO"]
[" 5604285","OT  MOBILITY DC G8980-CI","OCCUPATIONAL THERAPY","G8980CIGO",1,"CIGO"]
[" 5604286","OT  MOBILITY DC G8980-CJ","OCCUPATIONAL THERAPY","G8980CJGO",1,"CJGO"]
[" 5604287","OT  MOBILITY DC G8980-CK","OCCUPATIONAL THERAPY","G8980CKGO",1,"CKGO"]
[" 5604288","OT  MOBILITY DC G8980-CL","OCCUPATIONAL THERAPY","G8980CLGO",1,"CLGO"]
[" 5604289","OT  MOBILITY DC G8980-CM","OCCUPATIONAL THERAPY","G8980CMGO",1,"CMGO"]
[" 5604290","OT  MOBILITY DC G8980-CN","OCCUPATIONAL THERAPY","G8980CNGO",1,"CNGO"]
[" 5604291","OT  MOBILITY GOAL G8979-CH","OCCUPATIONAL THERAPY","G8979CHGO",1,"CHGO"]
[" 5604292","OT  MOBILITY GOAL G8979-CI","OCCUPATIONAL THERAPY","G8979CIGO",1,"CIGO"]
[" 5604293","OT  MOBILITY GOAL G8979-CJ","OCCUPATIONAL THERAPY","G8979CJGO",1,"CJGO"]
[" 5604294","OT  MOBILITY GOAL G8979-CK","OCCUPATIONAL THERAPY","G8979CKGO",1,"CKGO"]
[" 5604295","OT  MOBILITY GOAL G8979-CL","OCCUPATIONAL THERAPY","G8979CLGO",1,"CLGO"]
[" 5604296","OT  MOBILITY GOAL G8979-CM","OCCUPATIONAL THERAPY","G8979CMGO",1,"CMGO"]
[" 5604297","OT  MOBILITY GOAL G8979-CN","OCCUPATIONAL THERAPY","G8979CNGO",1,"CNGO"]
[" 5604298","OT  OTHER PT/OT DC G8992-CH","OCCUPATIONAL THERAPY","G8992CHGO",1,"CHGO"]
[" 5604299","OT  OTHER PT/OT DC G8992-CI","OCCUPATIONAL THERAPY","G8992CIGO",1,"CIGO"]
[" 5604300","OT  OTHER PT/OT DC G8992-CJ","OCCUPATIONAL THERAPY","G8992CJGO",1,"CJGO"]
[" 5604301","OT  OTHER PT/OT DC G8992-CK","OCCUPATIONAL THERAPY","G8992CKGO",1,"CKGO"]
[" 5604302","OT  OTHER PT/OT DC G8992-CL","OCCUPATIONAL THERAPY","G8992CLGO",1,"CLGO"]
[" 5604303","OT  OTHER PT/OT DC G8992-CM","OCCUPATIONAL THERAPY","G8992CMGO",1,"CMGO"]
[" 5604304","OT  OTHER PT/OT DC G8992-CN","OCCUPATIONAL THERAPY","G8992CNGO",1,"CNGO"]
[" 5604305","OT  OTHER PT/OT GOAL G8991-CH","OCCUPATIONAL THERAPY","G8991CHGO",1,"CHGO"]
[" 5604306","OT  OTHER PT/OT GOAL G8991-CI","OCCUPATIONAL THERAPY","G8991CIGO",1,"CIGO"]
[" 5604307","OT  OTHER PT/OT GOAL G8991-CJ","OCCUPATIONAL THERAPY","G8991CJGO",1,"CJGO"]
[" 5604308","OT  OTHER PT/OT GOAL G8991-CK","OCCUPATIONAL THERAPY","G8991CKGO",1,"CKGO"]
[" 5604309","OT  OTHER PT/OT GOAL G8991-CL","OCCUPATIONAL THERAPY","G8991CLGO",1,"CLGO"]
[" 5604310","OT  OTHER PT/OT GOAL G8991-CM","OCCUPATIONAL THERAPY","G8991CMGO",1,"CMGO"]
[" 5604311","OT  OTHER PT/OT GOAL G8991-CN","OCCUPATIONAL THERAPY","G8991CNGO",1,"CNGO"]
[" 5604312","OT  SELF-CARE CURRENT G8987-CH","OCCUPATIONAL THERAPY","G8987CHGO",1,"CHGO"]
[" 5604313","OT  SELF-CARE CURRENT G8987-CI","OCCUPATIONAL THERAPY","G8987CIGO",1,"CIGO"]
[" 5604314","OT  SELF-CARE CURRENT G8987-CJ","OCCUPATIONAL THERAPY","G8987CJGO",1,"CJGO"]
[" 5604315","OT  SELF-CARE CURRENT G8987-CK","OCCUPATIONAL THERAPY","G8987CKGO",1,"CKGO"]
[" 5604316","OT  SELF-CARE CURRENT G8987-CL","OCCUPATIONAL THERAPY","G8987CLGO",1,"CLGO"]
[" 5604317","OT  SELF-CARE CURRENT G8987-CM","OCCUPATIONAL THERAPY","G8987CMGO",1,"CMGO"]
[" 5604318","OT  SELF-CARE CURRENT G8987-CN","OCCUPATIONAL THERAPY","G8987CNGO",1,"CNGO"]
[" 5604319","OT  SUB PT/OT CURRENT G8993-CH","OCCUPATIONAL THERAPY","G8993CHGO",1,"CHGO"]
[" 5604320","OT  SUB PT/OT CURRENT G8993-CI","OCCUPATIONAL THERAPY","G8993CIGO",1,"CIGO"]
[" 5604321","OT  SUB PT/OT CURRENT G8993-CJ","OCCUPATIONAL THERAPY","G8993CJGO",1,"CJGO"]
[" 5604322","OT  SUB PT/OT CURRENT G8993-CK","OCCUPATIONAL THERAPY","G8993CKGO",1,"CKGO"]
[" 5604323","OT  SUB PT/OT CURRENT G8993-CL","OCCUPATIONAL THERAPY","G8993CLGO",1,"CLGO"]
[" 5604324","OT  SUB PT/OT CURRENT G8993-CM","OCCUPATIONAL THERAPY","G8993CMGO",1,"CMGO"]
[" 5604325","OT  SUB PT/OT CURRENT G8993-CN","OCCUPATIONAL THERAPY","G8993CNGO",1,"CNGO"]
[" 5604326","OT  SUB PT/OT DC G8995-CH","OCCUPATIONAL THERAPY","G8995CHGO",1,"CHGO"]
[" 5604327","OT  SUB PT/OT DC G8995-CI","OCCUPATIONAL THERAPY","G8995CIGO",1,"CIGO"]
[" 5604328","OT  SUB PT/OT DC G8995-CJ","OCCUPATIONAL THERAPY","G8995CJGO",1,"CJGO"]
[" 5604329","OT  SUB PT/OT DC G8995-CK","OCCUPATIONAL THERAPY","G8995CKGO",1,"CKGO"]
[" 5604330","OT  SUB PT/OT DC G8995-CL","OCCUPATIONAL THERAPY","G8995CLGO",1,"CLGO"]
[" 5604331","OT  SUB PT/OT DC G8995-CM","OCCUPATIONAL THERAPY","G8995CMGO",1,"CMGO"]
[" 5604332","OT  SUB PT/OT DC G8995-CN","OCCUPATIONAL THERAPY","G8995CNGO",1,"CNGO"]
[" 5800001","=>OT ORDER<=","OCCUPATIONAL THERAPY",null,0]
[" 5800010","OT APPLICATION MODALITY","OCCUPATIONAL THERAPY","97010",37]
[" 5800014","OT UNATTENDED E-STIM","OCCUPATIONAL THERAPY","97014",82]
[" 5800035","OT PARAFFIN TREATMENT","OCCUPATIONAL THERAPY","97018",70]
[" 5800037","OT IONTOPHORESIS 15 MIN","OCCUPATIONAL THERAPY","97033",118]
[" 5800048","OT ULTRASOUND THERAPY","OCCUPATIONAL THERAPY","97035",80]
[" 5800110","OT THERAPEUTIC EXERCISE 15 MIN","OCCUPATIONAL THERAPY","97110",102]
[" 5800112","OT NEUROMUSCULAR RE-EDUCATION 15 MIN","OCCUPATIONAL THERAPY","97112",102]
[" 5800113","OT COGNITIVE SKILL DEVELOP 15 min","OCCUPATIONAL THERAPY","97130",102]
[" 5800140","OT MANUAL THERAPY 15 MIN","OCCUPATIONAL THERAPY","97140",102]
[" 5800165","OT  ATTEN CURRENT STATUS","OCCUPATIONAL THERAPY","G9165",1]
[" 5800166","OT  ATTEN GOAL STATUS","OCCUPATIONAL THERAPY","G9166",1]
[" 5800167","OT  ATTEN D/C STATUS","OCCUPATIONAL THERAPY","G9167",1]
[" 5800530","OT THERAPEUTIC ACTIVITIES 15 MIN","OCCUPATIONAL THERAPY","97530",96]
[" 5800532","OT COGNITIVE SKILL DEVELOPMENT","OCCUPATIONAL THERAPY","97129",102]
[" 5800535","OT SELF CARE HOME MANAGEMENT 15 MIN","OCCUPATIONAL THERAPY","97535",91]
[" 5800542","OT WHEELCHAIR MGMT 15 MIN","OCCUPATIONAL THERAPY","97542",93]
[" 5800978","OT  MOBILITY CURRENT STATUS","OCCUPATIONAL THERAPY","G8978",1]
[" 5800979","OT  MOBILITY PROJECTED GOAL STATUS","OCCUPATIONAL THERAPY","G8979",1]
[" 5800980","OT  MOBILITY DISCHARGE STATUS","OCCUPATIONAL THERAPY","G8980",1]
[" 5800981","OT  CHG/MAINT CURRENT STATUS","OCCUPATIONAL THERAPY","G8981",1]
[" 5800982","OT  CHG/MAINT PROJECTED STATUS","OCCUPATIONAL THERAPY","G8982",1]
[" 5800983","OT  CHG/MAINT DISCHARGE STATUS","OCCUPATIONAL THERAPY","G8983",1]
[" 5800984","OT  CARRY/MOVE CURRENT STATUS","OCCUPATIONAL THERAPY","G8984",1]
[" 5800985","OT  CARRY/MOVE-PROJECTED STATUS","OCCUPATIONAL THERAPY","G8985",1]
[" 5800986","OT  CARRY/MOVE-DISCHARGE STATUS","OCCUPATIONAL THERAPY","G8986",1]
[" 5800987","OT  SELF CARE CURRENT STATUS","OCCUPATIONAL THERAPY","G8987",1]
[" 5800988","OT  SELF CARE PROJECTED STATUS","OCCUPATIONAL THERAPY","G8988",1]
[" 5800989","OT  SELF CARE DISCHARGE STATUS","OCCUPATIONAL THERAPY","G8989",1]
[" 5800990","OT  OTHER OT PRIMARY CURRENT STATUS","OCCUPATIONAL THERAPY","G8990",1]
[" 5800991","OT  OTHER OT PRIMARY PROJECTED STATUS","OCCUPATIONAL THERAPY","G8991",1]
[" 5800992","OT  OTHER OT PRIMARY DISCHARGE STATUS","OCCUPATIONAL THERAPY","G8992",1]
[" 5800993","OT  OTHER OT SUBSEQUENT CURRENT","OCCUPATIONAL THERAPY","G8993",1]
[" 5800994","OT  OTHER OT SUBSEQUENT PROJECTED","OCCUPATIONAL THERAPY","G8994",1]
[" 5800995","OT  OTHER OT SUBSEQUENT DISCHARGE","OCCUPATIONAL THERAPY","G8995",1]
[" 5809168","OT  MEMORY CURRENT STATUS","OCCUPATIONAL THERAPY","G9168",1]
[" 5809169","OT  MEMORY GOAL STATUS","OCCUPATIONAL THERAPY","G9169",1]
[" 5809170","OT  MEMORY D/C STATUS","OCCUPATIONAL THERAPY",null,1]
[" 5809178","OT TELE THERAPEUTIC EXERCISE 15 MIN","OCCUPATIONAL THERAPY","9711095",102,"95"]
[" 5809179","OT TELE THERAPEUTIC ACTIVITIES 15 MIN","OCCUPATIONAL THERAPY","9753095",88,"95"]
[" 5809180","OT TELE MANUAL THERAPY 15 MIN","OCCUPATIONAL THERAPY","9714095",102,"95"]
[" 5809181","OT TELE COGNITIVE SKILL DEVELOPMENT","OCCUPATIONAL THERAPY","9712995",95,"95"]
[" 5809182","OT TELE COGNITIVE SKILL DEVELOP 15 min","OCCUPATIONAL THERAPY","9713095",100,"95"]
[" 5809183","OT TELE NEUROMUSCULAR REEDUCATION 15 MIN","OCCUPATIONAL THERAPY","9711295",98,"95"]
[" 5809184","OT TELE WHEELCHAIR MGMT 15 MIN","OCCUPATIONAL THERAPY","9754295",93,"95"]
[" 5809185","OT TELE SELF CARE HOME MANAGEMENT 15 MIN","OCCUPATIONAL THERAPY","9753595",96,"95"]
[" 5800004","OT EVAL LOW COMPLEXITY","OCCUPATIONAL THERAPY","97165",150]
[" 5800005","OT EVAL MODERATE COMPLEXITY","OCCUPATIONAL THERAPY","97166",171]
[" 5800006","OT EVAL HIGH COMPLEXITY","OCCUPATIONAL THERAPY","97167",193]
[" 5800168","OT RE-EVALUATION","OCCUPATIONAL THERAPY","97168",112]
[" 5800999","OT GORDON RUSHVILLE PUBLIC SCHOOLS","OCCUPATIONAL THERAPY",null,0]
[" 5809171","OT E VISIT 5-10 MINUTES","OCCUPATIONAL THERAPY","G2061",39]
[" 5809172","OT E VISIT 11-20 MINUTES","OCCUPATIONAL THERAPY","G2062",68]
[" 5809173","OT E-VISIT > 21 MINUTES","OCCUPATIONAL THERAPY","G2063",107]
[" 5809174","OT TELE HEALTH EVAL LOW COMPLEXITY","OCCUPATIONAL THERAPY","9716595",150,"95"]
[" 5809175","OT TELE EVAL MODERATE COMPLEXITY","OCCUPATIONAL THERAPY","9716695",171,"95"]
[" 5809176","OT TELE EVAL HIGH COMPLEXITY","OCCUPATIONAL THERAPY","9716795",193,"95"]
[" 5809177","OT TELE RE-EVALUATION","OCCUPATIONAL THERAPY","9716895",89,"95"]
["  900010","CYSTOSCOPY","OPERATING ROOM",null,767]
["  900011","OR A 1-15","OPERATING ROOM",null,1498]
["  900012","OR A 16-30","OPERATING ROOM",null,1712]
["  900013","OR A 31-45","OPERATING ROOM",null,1915]
["  900014","OR A 46-60","OPERATING ROOM",null,2087]
["  900015","OR A 61-75","OPERATING ROOM",null,2236]
["  900016","OR A 76-90","OPERATING ROOM",null,2354]
["  900017","OR A 91-105","OPERATING ROOM",null,2461]
["  900018","OR A 106-120","OPERATING ROOM",null,2568]
["  900019","OR A 121-135","OPERATING ROOM",null,2675]
["  900020","OR A 136-150","OPERATING ROOM",null,2782]
["  900021","OR D 211-225","OPERATING ROOM",null,11599]
["  900022","OR D 226-240","OPERATING ROOM",null,11791]
["  900023","OR D 241-255","OPERATING ROOM",null,12947]
["  900024","OR D 256-270","OPERATING ROOM",null,13525]
["  900031","OR A MINOR 1-15","OPERATING ROOM",null,674]
["  900032","OR A MINOR 16-30","OPERATING ROOM",null,835]
["  900033","OR A MINOR 31-45","OPERATING ROOM",null,1070]
["  900034","OR A MINOR 46-60","OPERATING ROOM",null,1214]
["  900035","OR A MINOR 61-75","OPERATING ROOM",null,1428]
["  900036","OR A MINOR 76-90","OPERATING ROOM",null,1552]
["  900037","OR A MINOR 91-105","OPERATING ROOM",null,1744]
["  900038","OR A MINOR 106-120","OPERATING ROOM",null,1851]
["  900051","OR B 1-15","OPERATING ROOM",null,2996]
["  900052","OR B 16-30","OPERATING ROOM",null,3237]
["  900053","OR B 31-45","OPERATING ROOM",null,3424]
["  900054","OR B 46-60","OPERATING ROOM",null,3585]
["  900055","OR B 61-75","OPERATING ROOM",null,3745]
["  900056","OR B 76-90","OPERATING ROOM",null,3895]
["  900057","OR B 91-105","OPERATING ROOM",null,4039]
["  900058","OR B 106-120","OPERATING ROOM",null,4194]
["  900059","OR B 121-135","OPERATING ROOM",null,4301]
["  900060","OR B 136-150","OPERATING ROOM",null,4494]
["  900061","OR B 151-165","OPERATING ROOM",null,4644]
["  900062","OR B 166-180","OPERATING ROOM",null,4788]
["  900063","OR B 181-195","OPERATING ROOM",null,5243]
["  900064","OR B 196-210","OPERATING ROOM",null,5537]
["  900081","OR C 1-15","OPERATING ROOM",null,4521]
["  900082","OR C 16-30","OPERATING ROOM",null,4735]
["  900083","OR C 31-45","OPERATING ROOM",null,4922]
["  900084","OR C 46-60","OPERATING ROOM",null,5099]
["  900085","OR C 61-75","OPERATING ROOM",null,5270]
["  900086","OR C 76-90","OPERATING ROOM",null,5441]
["  900087","OR C 91-105","OPERATING ROOM",null,5612]
["  900088","OR C 106-120","OPERATING ROOM",null,5778]
["  900089","OR C 121-135","OPERATING ROOM",null,5955]
["  900090","OR C 136-150","OPERATING ROOM",null,6126]
["  900091","OR C 151-165","OPERATING ROOM",null,6297]
["  900092","OR C 166-180","OPERATING ROOM",null,6468]
["  900093","OR C 181-195","OPERATING ROOM",null,6634]
["  900094","OR C 196-210","OPERATING ROOM",null,6811]
["  900095","OR C 211-215","OPERATING ROOM",null,6982]
["  900096","OR C 216-230","OPERATING ROOM",null,7153]
["  900097","OR C 231-245","OPERATING ROOM",null,7324]
["  900111","OR D 1-15","OPERATING ROOM",null,7533]
["  900112","OR D 16-30","OPERATING ROOM",null,7747]
["  900113","OR D 31-45","OPERATING ROOM",null,8132]
["  900114","OR D 46-60","OPERATING ROOM",null,8325]
["  900115","OR D 61-75","OPERATING ROOM",null,8517]
["  900116","OR D 76-90","OPERATING ROOM",null,8710]
["  900117","OR D 91-105","OPERATING ROOM",null,8902]
["  900118","OR D 106-120","OPERATING ROOM",null,9095]
["  900119","OR D 121-135","OPERATING ROOM",null,9288]
["  900120","OR D 136-150","OPERATING ROOM",null,9480]
["  900121","OR D 151-165","OPERATING ROOM",null,9673]
["  900122","OR D 166-180","OPERATING ROOM",null,10828]
["  900123","OR D 181-195","OPERATING ROOM",null,11021]
["  900124","OR D 196-210","OPERATING ROOM",null,11406]
["  900300","FINE NEEDLE ASPIRATION W/OGUID","OPERATING ROOM","10021",318]
["  902747","OR LEVEL 1","OPERATING ROOM",null,19]
["  902748","OR LEVEL 2","OPERATING ROOM",null,39]
["  902749","OR LEVEL 3","OPERATING ROOM",null,58]
["  903001","INSERTION PICC>5 YEARS AGE","OPERATING ROOM","36569",1615]
[" 1002320","EPIDURAL CERVICAL THORACIC W/O","OPERATING ROOM","62320",484]
[" 1002322","EPIDURAL LUMBAR/SACRAL W/O GUI","OPERATING ROOM","62322",1107]
[" 1500028","INJ LUMBAR SACRAL SINGLE","OPERATING ROOM","64483",1266]
[" 1500242","CL TX FX GT PHALANX(S); WO MAN","OPERATING ROOM","28490",439]
[" 1500822","DELIVERY OF PLACENTA","OPERATING ROOM","59414",856]
[" 1500823","INJ ANESTH; OTHR PERIPHERAL NR","OPERATING ROOM","64450",514]
[" 1500826","CL TX ULNAR SHFT FX W MANIP","OPERATING ROOM","25535",1533]
[" 1501000","C-SECTION DELIVERY","OPERATING ROOM",null,4815]
[" 1501552","CIRCUMCISION","OPERATING ROOM",null,268]
[" 1506083","INCISE THROMBOSED HEMORRHOID E","OPERATING ROOM","46083",1663]
[" 1700006","MULTI LAYER THIGH LEG ANK","OPERATING ROOM","29582",203]
[" 1700021","MULTI LAYER UPPER ARM FOR","OPERATING ROOM","29583",214]
[" 1700022","MULTI LAYER ARM HAND FING","OPERATING ROOM","29584",228]
[" 1701542","DRESSING CHANGE","OPERATING ROOM",null,96]
[" 1700001","DECLOT OF VAD OR CATHETER","OPERATING ROOM","36593",448]
[" 1700003","INJ BLOOD OR CLOT PATCH","OPERATING ROOM","62273",1338]
[" 1700159","LUMBAR PUNCTURE-DX","OPERATING ROOM","62270",803]
[" 5500007","NASOTRACHEAL SUCTIONING","OPERATING ROOM","31720",161]
["  905001","MESH TINTRAS 14X15","OPERATING ROOM","C1781",2701]
["  905002","MESH T221510 22X15X10","OPERATING ROOM","C1781",1615]
["  905003","MESH T3030 30X30","OPERATING ROOM","C1781",1671]
["  905004","MESH T1518-8","OPERATING ROOM","C1781",1500]
["  905005","MESH T1415 5.6X6","OPERATING ROOM","C1781",1386]
["  905006","MESH T1015 10X15","OPERATING ROOM","C1781",1103]
["  905007","KEYHOLE MESH T613-85","OPERATING ROOM","C1781",1103]
["  905008","SURG MESH R/F03011A","OPERATING ROOM","C1781",2795]
["  905009","OR MESH TINTRACK7","OPERATING ROOM","C1781",1719]
["  905010","PORT CENTRAL VENOUS ACCESS","OPERATING ROOM","C1788",1486]
["90000090","MESH KEYHOLE 5/BX","OPERATING ROOM","C1781",1031]
[" 2309230","THERAPEUTIC PHLEBOTOMY","OTHER","99195",168]
[" 1505125","FETAL NON-STRESS","OTHER","59025",375]
[" 4100121","MULTIPLE SLEEP LATENCY TEST","OTHER","95805",1945]
[" 4100122","DIAGNOSTIC SLEEP STUDY","OTHER","95810",3282]
[" 4100123","SLEEP STUDY THERA TITRATI","OTHER","95811",4337]
[" 2208128","CYTOPATH THIN LAYER PAP S","PAP SMEAR","88142",88]
[" 2500008","ACETYLCYSTEINE INJ 200MG/ML VIAL","PHARMACY","J0132",507.6]
[" 2500009","ACTIVASE 100MG VIAL","PHARMACY","J2997",13200.54]
[" 2500010","ACTIVATED CHARCOAL 50GM SOLUTION","PHARMACY","J8499",70.95]
[" 2500012","ACYCLOVIR 500 MG/10 ML VIAL","PHARMACY","J0133",30.16]
[" 2500013","ADENOSINE 6MG/2ML SYRINGE","PHARMACY","J0150",55.88]
[" 2500014","ADENOSINE 6 MG/2 ML VIAL","PHARMACY","J0153",32.44]
[" 2500015","ALBUMIN HUMAN 25% 50ML VIAL","PHARMACY","P9047",270]
[" 2500017","ALBUTEROL SULF 0.9MG/ACT INHALER","PHARMACY",null,52.94]
[" 2500019","ALTEPLASE 2MG VIAL","PHARMACY","J2997",459.18]
[" 2500022","AMIODARONE 150MG/3ML VIAL","PHARMACY","J0282",21.85]
[" 2500033","AMPICILLIN 1GRAM VIAL","PHARMACY","J0290",33.64]
[" 2500034","NF-Ampicillin 500mg Vial","PHARMACY","J0290",22.76]
[" 2500035","AMPICILLIN/SULBACTAM 1.5 GM VIAL","PHARMACY","J0295",32.74]
[" 2500037","APIXABAN 5MG TABLET","PHARMACY","J8499",29.95]
[" 2500047","ATROPINE SULFATE 0.1MG/1ML  10ML VIAL","PHARMACY",null,19.2]
[" 2500051","AZITHROMYCIN 500 MG VIAL","PHARMACY","J0456",31]
[" 2500052","AZTREONAM 2 GM VIAL","PHARMACY","J3490",213]
[" 2500053","BACITRACIN OINT UD PACKET 0.9GM","PHARMACY",null,2]
[" 2500057","BACTERIOSTATIC SODIUM CHLORIDE 30ML VIAL","PHARMACY",null,27.3]
[" 2500059","BENTYL 20 MG/2 ML AMPULE","PHARMACY",null,61.55]
[" 2500060","BENZTROPINE MESYLATE 2MG/2ML AMPULE","PHARMACY","J0515",225]
[" 2500061","BETAMETHASONE 30MG/5ML VIAL","PHARMACY","J0702",200.85]
[" 2500064","BORTEZOMIB 3.5MG SDV","PHARMACY",null,3077.73]
[" 2500068","BUMETANIDE 1 MG/4 ML VIAL","PHARMACY","J3490",23.3]
[" 2500069","BUPIVACAINE 0.5% 30ML VIAL","PHARMACY",null,23.54]
[" 2500070","BUPIVACAINE 0.75% 30ML INJECTION","PHARMACY",null,21.31]
[" 2500075","CALCIUM GLUCONATE 10% 10ML VIAL","PHARMACY","J0610",48.08]
[" 2500084","CARMEX LIP BALM TUBE 10 GRM","PHARMACY",null,2]
[" 2500088","ceFAZolin 1 GM VIAL","PHARMACY","J0690",21.64]
[" 2500089","CEFDINIR 250MG/5ML ORAL SUSP","PHARMACY","J8499",298.44]
[" 2500090","CEFDINIR 300MG CAPSULE","PHARMACY","J8499",15.33]
[" 2500091","NF-Cefotaxime Sodium 1GM Vial","PHARMACY",null,61.45]
[" 2500092","CEFOXITIN 1 GM VIAL","PHARMACY","J0694",32.659999999999997]
[" 2500093","CEFTAZIDIME 1 GM VIAL","PHARMACY","J0713",30.04]
[" 2500094","NF-Ceftazidime 2GM Vial","PHARMACY",null,34.409999999999997]
[" 2500095","cefTRIAXone 1 GM VIAL: IM/IV USE","PHARMACY","J0696",21.8]
[" 2500101","CETACAINE SPRAY","PHARMACY","J3490",5]
[" 2500103","CHERRY FLAVOR 473 ML SYRUP","PHARMACY",null,0]
[" 2500106","NF-ChlorproMAZINE 25 MG/ML AMPULE","PHARMACY",null,40.75]
[" 2500110","CIPROFLOXACIN 400MG/200ML IV PREMIX","PHARMACY","J0744",23.54]
[" 2500114","CLINDAMYCIN 600 MG/4 ML VIAL","PHARMACY","J3490",24.21]
[" 2500120","COLLAGENASE TOPICAL OINT 30GM","PHARMACY","J3490",307.2]
[" 2500125","CROTALIDAE POLYVALENT IMMUNE FAB VIAL","PHARMACY",null,3658.5]
[" 2500127","CYANOCOBALAMIN (VIT B-12) 1000MCG VIAL","PHARMACY","J3420",33.74]
[" 2500133","DEPO-TESTOSTERONE 200MG/1ML INJ","PHARMACY","J1071",206.15]
[" 2500134","DEXAMETHASONE 0.1% OPHTH SOLN","PHARMACY",null,72.72]
[" 2500135","DEXAMETHASONE 10 MG/ML VIAL","PHARMACY","J1100",22.1]
[" 2500142","DEXTROSE 5% WATER 500ML BAG","PHARMACY",null,100]
[" 2500148","DEXTROSE 50% SYRINGE 50 ML","PHARMACY","J7799",44.16]
[" 2500150","DIAZEPAM 10 MG/2 ML SYRINGE","PHARMACY","J3360",103.39]
[" 2500156","DIGOXIN 500 MCG/2 ML AMPULE","PHARMACY","J1160",31.6]
[" 2500157","DIGOXIN IMMUNE FAB 40MG INJ","PHARMACY",null,1649.1]
[" 2500159","DILTIAZEM 50MG/10ML VIAL","PHARMACY","J3490",23.64]
[" 2500164","diphenhydrAMINE 50 MG/ML VIAL","PHARMACY","J1200",21.28]
[" 2500167","DIPTH/PERTUSSIS/ACELL (DTaP) 0.5ML VACC","PHARMACY","90700",37.049999999999997]
[" 2500172","DOPAMINE 400MG/D5W 250ML IV PREMIX","PHARMACY","J1265",58.46]
[" 2500177","DULOXETINE 30MG CAPSULE","PHARMACY","J8499",17.79]
[" 2500179","ENOXAPARIN 100MG/1ML INJECTION","PHARMACY","J1650",89.75]
[" 2500180","ENOXAPARIN 30MG/0.3ML INJECTION","PHARMACY","J1650",104.2]
[" 2500181","ENOXAPARIN 40MG/0.4ML INJECTION","PHARMACY","J1650",138.91999999999999]
[" 2500182","ENOXAPARIN 60MG/0.6ML INJECTION","PHARMACY","J1650",193.73]
[" 2500183","ENOXAPARIN 80MG/0.8ML INJECTION","PHARMACY","J1650",238.43]
[" 2500184","EPHEDRINE 50MG/ML 1ML VIAL","PHARMACY",null,184.44]
[" 2500185","EPINEPHRINE 0.1MG/1ML SYRINGE","PHARMACY","J0171",42]
[" 2500187","EPINEPHRINE 1 MG/ML VIAL","PHARMACY","J0171",71.81]
[" 2500190","EPTIFIBATIDE 20MG/10ML VIAL","PHARMACY",null,278.88]
[" 2500191","EPTIFIBATIDE 200MG/100ML VIAL","PHARMACY",null,1930.02]
[" 2500194","ESMOLOL 100 MG/10 ML VIAL","PHARMACY","J3490",33.799999999999997]
[" 1700002","RABIES IMMUNE GLOBULIN","PHARMACY","90375",1064]
[" 1700004","RABAVERT (RABIES) VACCINE","PHARMACY","90675",696]
[" 2500080","CARBIDOPA/LEVODOPA 25/100MG *ER* TAB","PHARMACY","J8499",4]
[" 2500131","DARBEPOETEN ALFA 25MCG/0.42ML INJ","PHARMACY","J0881",372.4]
[" 2500189","NF-Epoetin Alfa 20,000 Units/mL 1mL Vial","PHARMACY","J0885",1443.15]
[" 2500195","ESMOLOL HCL/NS:2000MG/100ML IV PREMIX","PHARMACY","J3490",1360.55]
[" 2500217","FOSPHENYTOIN 500MG PE/10ML VIAL","PHARMACY","Q2009",300.05]
[" 2500256","IDARUCIZUMAB 2.5GM/50ML VIAL","PHARMACY","J3490",2800]
[" 2500260","INFLUENZA QUAD VACCINE 0.5ML SYRINGE","PHARMACY","90686",35]
[" 2500261","INFLUENZA QUAD VAC PEDIATRIC 0.25ML SYRN","PHARMACY","90685",15.18]
[" 2500266","IOPAMIDOL 300MG/ML INJ","PHARMACY","Q9967",2]
[" 2500285","LEUPROLIDE 3.75MG SYRINGE KIT","PHARMACY","J1950",2681.47]
[" 2500286","LEUPROLIDE ACETATE 22.5MG SYRINGE KIT","PHARMACY",null,6259.24]
[" 2500317","LINEZOLID 600MG/300ML PREMIX IVPB","PHARMACY","J2020",184.73]
[" 2500330","MAGNESIUM SULF/D5W:1GM/100ML IV PREMIX","PHARMACY","J3475",33.880000000000003]
[" 2500365","MORPHINE 2MG/1ML SYRINGE","PHARMACY","J2270",22.47]
[" 2500380","NATALIZUMAB 300MG/15ML VIAL","PHARMACY","J2323",10688.91]
[" 2500401","OCTREOTIDE 100 MCG/ML 1ML VIAL","PHARMACY","J2354",47.72]
[" 2500407","ONDANSETRON 4 MG/2 ML VIAL","PHARMACY","J2405",20.72]
[" 2500438","PNEUMOVAX-23 25MCG/ML 0.5ML SYRINGE","PHARMACY","90732",315.58]
[" 2500456","PROLIA 60MG/1ML INJECTION","PHARMACY","J0897",2600.14]
[" 2500462","PROPOFOL 200MG/20ML VIAL","PHARMACY","J2704",32.200000000000003]
[" 2500463","PROPRANOLOL 1 MG/ML VIAL 1 ML","PHARMACY","J1800",48.34]
[" 2500467","PROTHROMBIN COMPLEX CONC 1000 UNIT VIAL","PHARMACY","J7168",3026.98]
[" 2500474","RABIES IMMUNE GLOB 150IU/ML 2ML SOLN","PHARMACY","90375",2150.8200000000002]
[" 2500475","RABIES VACCINE 2.5IU 1ML VIAL","PHARMACY","90675",1040.58]
[" 2500531","TETANUS/DIPHTH/ACELL/PERTUSS VAC 0.5ML","PHARMACY","90715",164.87]
[" 2500532","TETANUS/DIPHTHERIA VACCINE 0.5ML SYRINGE","PHARMACY","90714",145.11000000000001]
[" 2500542","TOCILIZUMAB 400MG/20ML VIAL","PHARMACY","J3262",3873.74]
[" 2500552","TRIPTORELIN 11.25 MG INJECTION","PHARMACY","J3315",4098.72]
[" 2500565","VERSED 2MG/2ML VIAL","PHARMACY","J2250",20.77]
[" 2500576","ZOLEDRONIC ACID IV 5 MG/100 ML VIAL","PHARMACY","J3489",810]
[" 2500617","CL-PNEUMOVAX-23 25MCG/ML  0.5ML VIAL","PHARMACY","90732",284.02]
[" 2500773","TOCILIZUMAB/NS IVPB: 400MG/100ML","PHARMACY",null,0]
[" 2500793","PANTOPRAZOLE/NS IV LOAD DOSE: 80MG/100ML","PHARMACY",null,0]
[" 2500794","PANTOPRAZOLE/NS IV DRIP: 80MG/250ML","PHARMACY",null,0]
[" 2500801","DOXYCYCLINE/NS IVPB:100MG/100ML","PHARMACY",null,0]
[" 2500802","NATALIZUMAB/NS IVPB 300MG/100ML","PHARMACY",null,0]
[" 2500803","TOCILIZUMAB/NS IVPB: 800MG/100ML","PHARMACY",null,0]
[" 2500804","PIP-TAZO/NS IVPB: 3.375GM/100ML*4 HOUR*","PHARMACY",null,0]
[" 2500805","PIP-TAZO/NS IVPB: 4.5GM/100ML *4 HOUR*","PHARMACY",null,0]
[" 2500806","PIP-TAZO/NS IVPB: 2.25GM/50ML","PHARMACY",null,0]
[" 2500807","PIP-TAZO/NS IVPB: 2.25GM/50ML *4 HOUR*","PHARMACY",null,0]
[" 2500808","ACETAMINOPHEN IV 1000MG/100ML IVPB","PHARMACY","J0131",168]
[" 2500814","MEPERIDINE 25MG/ML 1ML VIAL","PHARMACY","J2175",23.04]
[" 2500815","fentaNYL 250MCG/5ML AMPULE","PHARMACY","J3010",23.04]
[" 2500820","HEPARIN 100 UNITS/ML 1ML FLUSH","PHARMACY",null,0]
[" 2500840","AMPICILLIN/NS IVPB : 2000MG/100ML","PHARMACY",null,0]
[" 2500845","LIDOCAINE 1% 10MG/ML 2ML VIAL - PF","PHARMACY","J2001",23.08]
[" 2500846","LIDOCAINE 1% 10MG/ML 5ML VIAL - PF","PHARMACY","J2001",29.07]
[" 2500861","ACTIVASE 1MG/ML INFUSION","PHARMACY",null,0]
[" 2500863","CEFTRIAXONE/NS IVPB:MD DOSE/50ML *PEDS*","PHARMACY",null,0]
[" 2500864","PROTAMINE/NS IVPB: 50MG/50ML","PHARMACY",null,0]
[" 2500865","ACETYLCYSTEINE/D5W : BAG 1 (41-100KG)","PHARMACY",null,0]
[" 2500866","ACETYLCYSTEINE/D5W : BAG 2 (41-100KG)","PHARMACY",null,0]
[" 2500867","ACETYLCYSTEINE/D5W : BAG 3 (41-100KG)","PHARMACY",null,0]
[" 2500868","ACETYLCYSTEINE/D5W : BAG 1 (21-40KG)","PHARMACY",null,0]
[" 2500869","ACETYLCYSTEINE/D5W : BAG 2 (21-40KG)","PHARMACY",null,0]
[" 2500870","ACETYLCYSTEINE/D5W : BAG 3 (21-40KG)","PHARMACY",null,0]
[" 2500885","CALCIUM GLUCONATE/NS IVPB : 1GM/100ML","PHARMACY",null,0]
[" 2500889","RITUXAN/NS:1000MG/500ML IV","PHARMACY",null,0]
[" 2500891","CEFEPIME 2GM VIAL","PHARMACY","J0692",48]
[" 2500892","CEFEPIME/NS: 2GM/50ML IVPB","PHARMACY",null,0]
[" 2500893","NICARDIPINE/NS: 25MG/250ML IVPB","PHARMACY",null,0]
[" 2500905","TPN FORMULATION IVPB","PHARMACY",null,400]
[" 2500908","CEFEPIME/NS: 1GM/50ML IVPB","PHARMACY",null,0]
[" 2500914","EPINEPHRINE 1MG/ML AMPULE","PHARMACY","J0171",70]
[" 2500928","NF-IMIPENEM/CILAS/NS IVPB:300MG/100ML","PHARMACY",null,0]
[" 2500929","NF-IMIPENEM/CILAS/NS IVPB:400MG/100ML","PHARMACY",null,0]
[" 2500933","CEFEPIME/NS: 2GM/50ML IVPB *4 HOUR*","PHARMACY",null,0]
[" 2500938","NAFCILLIN/NS : 1GM/50ML IVPB","PHARMACY",null,0]
[" 2500939","NAFCILLIN/NS : 2GM/100ML IVPB","PHARMACY",null,0]
[" 2500940","GENTAMICIN/NS IVPB : MD TO DOSE/100ML","PHARMACY",null,0]
[" 2500943","FLUAD ADJUVANTED 0.5ML SYRINGE","PHARMACY","90694",100]
[" 2500944","OMNIPAQUE 300MG/ML INJECTION","PHARMACY",null,300]
[" 2500949","CL-METOCLOPRAMIDE 10MG/2ML VIAL","PHARMACY","J2765",9.0500000000000007]
[" 2500958","VFC VACCINE","PHARMACY",null,0]
[" 2500960","ORPHENADRINE 60MG/2ML VIAL","PHARMACY","J2360",77.7]
[" 2500961","LEVETIRACETAM 100MG/ML 5ML VIAL","PHARMACY","J1953",22.1]
[" 2500962","LEVETIRACETAM/NS : 500MG/100ML IVPB","PHARMACY",null,0]
[" 2500963","LEVETIRACETAM/NS : 1000MG/100ML IVPB","PHARMACY",null,0]
[" 2500964","LEVETIRACETAM/NS : 1500MG/100ML IVPB","PHARMACY",null,0]
[" 2500965","EPINEPHRINE 0.15MG/0.3ML SYRINGE *PEDS*","PHARMACY","J0171",375]
[" 2500966","SIMPONI ARIA 50MG/4ML VIAL","PHARMACY","J1602",3433.71]
[" 2500967","SIMPONI ARIA/NS : 140MG/100ML IVPB","PHARMACY",null,0]
[" 2500968","NF-OnabotulinumtoxinA 100U VIAL","PHARMACY",null,1221.2]
[" 2500998","MEROPENEM 1GM VIAL","PHARMACY","J2185",169]
[" 2500999","MEROPENEM/NS : 2GM/100ML IVPB","PHARMACY",null,0]
[" 2501002","SYMJEPI 0.3MG/0.3ML SYRINGE","PHARMACY","J0171",375]
[" 2501003","RITUXIMAB 100MG/10ML VIAL","PHARMACY",null,1627.42]
[" 2501066","MEROPENEM/NS : 1GM/50ML IVPB","PHARMACY",null,0]
[" 2501083","MORPHINE 4MG/ML SYRINGE","PHARMACY","J2270",22.26]
[" 2501086","REMICADE/NS IVPB : 400MG/250ML","PHARMACY","J1745",0]
[" 2501088","BUMETANIDE/NS : 5MG/100ML IV DRIP","PHARMACY",null,0]
[" 2501090","BUMETANIDE 2.5MG/10ML VIAL","PHARMACY","J3490",23.58]
[" 2501092","PHENYTOIN/NS : MD TO DOSE/100ML IVPB","PHARMACY","J1165",0]
[" 2501093","PHENYTOIN/NS : MD TO DOSE/250ML IVPB","PHARMACY","J1165",0]
[" 2501094","SODIUM BICARBONATE/D5W:150MEQ/1000ML IV","PHARMACY",null,0]
[" 2501102","NF-Celestone Soluspan 30mg/5mL Vial","PHARMACY","J0702",157.08000000000001]
[" 2501111","INJECTAFER 750MG/15ML VIAL","PHARMACY","J1439",2257.23]
[" 2501112","INJECTAFER/NS : 750MG/50ML IVPB","PHARMACY","J1439",0]
[" 2501119","LUPRON DEPOT 11.25MG SYRINGE KIT","PHARMACY","J1950",6536.15]
[" 2501122","NF-Daptomycin 350mg Vial","PHARMACY","J0878",234]
[" 2501123","NF-DAPTOMYCIN/NS : 1050MG/50ML IVPB","PHARMACY","J0878",0]
[" 2501127","NF-SANDOSTATIN LAR DEPOT KIT 30MG","PHARMACY","J2353",9962.3799999999992]
[" 2501139","TOBRAMYCIN/NS : 60MG/100ML IVPB","PHARMACY",null,0]
[" 2501140","NF-TOBRAMYCIN 2GM/50ML VIAL","PHARMACY",null,186.62]
[" 2501141","FUROSEMIDE/NS : 100MG/100ML IV DRIP","PHARMACY",null,0]
[" 2501155","TRANEXAMIC ACID 1000MG/10ML VIAL","PHARMACY",null,57.6]
[" 2501156","TRANEXAMIC ACID/NS : 1000MG/250ML IVPB","PHARMACY",null,0]
[" 2501170","RETACRIT 10000UNIT/ML VIAL","PHARMACY","Q5106",330.9]
[" 2501172","REMDESIVIR 100MG VIAL","PHARMACY",null,1170]
[" 2501173","REMDESIVIR/NS:200MG/250ML IVPB *LOADING*","PHARMACY",null,0]
[" 2501174","REMDESIVIR/NS : 100MG/250ML IVPB","PHARMACY",null,0]
[" 2501179","XOLAIR 150MG SYRINGE","PHARMACY","J2357",2302.11]
[" 2501194","BAMLANIVIMAB 700MG/20ML VIAL","PHARMACY","Q0239",0]
[" 2501195","BAMLANIVIMAB/NS : 700MG/250ML IVPB","PHARMACY",null,0]
[" 2501201","ELIGARD 30MG INJECTABLE SUSPENSION","PHARMACY","J9217",3252.17]
[" 2501202","TRELSTAR 22.5 MG INJECTION","PHARMACY","J3315",7611.93]
[" 2501205","CASIRIVIMAB 1332 MG/11.1 ML VIAL","PHARMACY","Q0243",0]
[" 2501206","IMDEVIMAB 1332 MG/11.1 ML VIAL","PHARMACY","Q0243",0]
[" 2501207","REGENERON 1200MG/1200MG/250ML IVPB","PHARMACY",null,0]
[" 2501208","AMIODARONE/NS:150MG/100ML IVPB *LOADING*","PHARMACY",null,0]
[" 2501209","AMIODARONE/D5W : 900MG/500ML IVPB","PHARMACY",null,0]
[" 2501210","NF-Valproate Sodium 500mg/5mL Vial","PHARMACY",null,33.04]
[" 2501211","NF-Valproate Sodium/NS:2000mg/100mL IVPB","PHARMACY",null,0]
[" 2501213","FOSPHENYTOIN/NS : MD TO DOSE/50 ML IVPB","PHARMACY",null,0]
[" 2501214","ACYCLOVIR/NS : MD TO DOSE/50ML IVPB","PHARMACY",null,0]
[" 2501215","FOSPHENYTOIN/NS : MD TO DOSE/100ML IVPB","PHARMACY",null,0]
[" 2501216","OCRELIZUMAB 300MG/10ML VIAL","PHARMACY","J2350",24375]
[" 2501217","OCRELIZUMAB/NS : 300MG/250ML IVPB","PHARMACY",null,0]
[" 2501218","OCRELIZUMAB/NS : 600MG/500ML IVPB","PHARMACY",null,0]
[" 2501219","TRANEXAMIC ACID/NS : 1000MG/100ML IVPB","PHARMACY",null,0]
[" 2501220","CORONAVIRUS VACCINE 0.5ML (MODERNA)","PHARMACY","91301",0]
[" 2501221","CL-CORONAVIRUS VACCINE 0.5ML (MODERNA)","PHARMACY","91301",0]
[" 2501258","BCG LIVE INTRAVESICAL SDV","PHARMACY","J9030",471.2]
[" 2501259","ETESEVIMAB 700MG/20ML VIAL","PHARMACY",null,0]
[" 2501260","BAMLANIVIMAB/ETESEVIMAB/NS 100ML IVPB","PHARMACY",null,0]
[" 2501262","CORONAVIRUS VACCINE 0.5ML (JANSSEN)","PHARMACY","91303",0]
[" 2501263","CL-CORONAVIRUS VACCINE 0.5ML (JANSSEN)","PHARMACY","91303",0]
[" 2501264","VITAMIN C/MAGNESIUM/STERILE WATER 500ML","PHARMACY",null,0]
[" 2501273","METHYLPREDNISOLONE/NS:1000MG/250ML IVPB","PHARMACY",null,0]
[" 2501274","CL-SYNVISC ONE 48MG/6ML SYRINGE","PHARMACY","J7325",1890.1]
[" 2501275","LANTUS SOLOSTAR 300UNITS/3ML PEN","PHARMACY","J1815",255.2]
[" 2501276","HUMALOG 300UNITS/3ML KWIKPEN","PHARMACY","J1815",318.24]
[" 2501280","HUMULIN 70/30 300UNITS/3ML KWIKPEN","PHARMACY","J1815",282.77999999999997]
[" 2501281","HUMULIN N 300UNITS/3ML KWIKPEN","PHARMACY","J1815",282.77999999999997]
[" 2501284","ZARXIO 300MCG/0.5ML SYRINGE","PHARMACY","Q5101",740.77]
[" 2501286","POTASSIUM PHOSPHATE 66MEQ/15ML VIAL","PHARMACY",null,70.28]
[" 2501292","UDENYCA 6MG/0.6ML SYRINGE","PHARMACY","Q5111",6513]
[" 2501325","REGENERON 600MG/600MG/50ML IVPB","PHARMACY",null,0]
[" 2501342","BUPIVACAINE 0.25% 50ML VIAL","PHARMACY",null,23.49]
[" 2501346","NF-DAPTOMYCIN/NS : 330MG/50ML IVPB","PHARMACY",null,0]
[" 2501354","FUROSEMIDE/NS : 120MG/50ML IVPB","PHARMACY",null,0]
[" 2501357","REGEN-COV 600MG/600MG/10ML VIAL","PHARMACY",null,0]
[" 2501362","GAMUNEX-C 10% 50ML VIAL","PHARMACY","J1561",1756.62]
[" 2501363","GAMUNEX-C 10% 100ML VIAL","PHARMACY","J1561",2498.3000000000002]
[" 2501364","GAMUNEX-C 10% 200ML VIAL","PHARMACY","J1561",4372.03]
[" 2501382","LEVETIRACETAM/NS : 750MG/100ML IVPB","PHARMACY",null,0]
[" 2501386","SYNAGIS 100MG/ML VIAL","PHARMACY","90378",5165.41]
[" 2501389","ZIEXTENZO 6MG/0.6ML SYRINGE","PHARMACY","Q5120",6594.9]
[" 2501390","CEFEPIME/NS : MD TO DOSE/50ML IVPB *PEDS","PHARMACY",null,0]
[" 2507064","CL-MORPHINE 2MG/1ML SYRINGE","PHARMACY","J2270",40.75]
[" 3008610","CONTRAST 10CC 100-199MG 1","PHARMACY",null,69]
[" 3008616","CONTRAST 50CC 320MG","PHARMACY",null,93]
[" 4400008","CL TD=>7 YRS INTRAMUSCULAR USE","PHARMACY","90714",62]
[" 2500001","ACETAMINOPHEN 120 MG SUPPOSITORY","PHARMACY",null,2]
[" 2500002","ACETAMINOPHEN 160MG/5ML UD SOLN","PHARMACY","J8499",2]
[" 2500003","ACETAMINOPHEN 325 MG SUPPOSITORY","PHARMACY",null,2]
[" 2500004","ACETAMINOPHEN 325 MG TABLET","PHARMACY","J3490",2]
[" 2500005","ACETAMINOPHEN 325 MG/10.15 ML SOLUTION","PHARMACY",null,0.5]
[" 2500006","ACETAMINOPHEN 650 MG SUPPOSITORY","PHARMACY",null,2]
[" 2500007","ACETAMINOPHEN/CODEINE 300/30MG TAB","PHARMACY","J8499",4]
[" 2500011","ACYCLOVIR 400 MG TABLET","PHARMACY","J8499",15]
[" 2500016","ALBUTEROL 0.083% 2.5MG/3ML NEB SOLN","PHARMACY","J7613",4]
[" 2500018","ALLOPURINOL 100MG TABLET","PHARMACY","J8499",4]
[" 2500020","AMANTADINE 100 MG CAP","PHARMACY","J8499",11.77]
[" 2500021","AMIODARONE 200 MG TABLET","PHARMACY",null,4]
[" 2500023","AMITRIPTYLINE 10 MG TABLET","PHARMACY",null,4]
[" 2500024","AMITRIPTYLINE 25 MG TABLET","PHARMACY",null,4]
[" 2500025","amLODIPine 5 MG TABLET","PHARMACY",null,6.57]
[" 2500026","AMOXICILLIN 125 MG/5 ML ORAL SUSP(150ML)","PHARMACY","J8499",16.440000000000001]
[" 2500027","AMOXICILLIN 250 MG/5 ML ORAL SUSP(100ML)","PHARMACY","J8499",18.27]
[" 2500028","AMOXICILLIN 250MG CAPSULE","PHARMACY",null,4]
[" 2500029","AMOXICILLIN 500MG CAPSULE","PHARMACY","J8499",4]
[" 2500030","AMOXICILLIN/CLAV 250MG/62.5MG/5 ML SUSP","PHARMACY","J8499",217.46]
[" 2500031","AMOXICILLIN/CLAV/POTASSIUM 500-125MG TAB","PHARMACY","J8499",15.12]
[" 2500032","AMOXICILLIN/CLAV/POTASSIUM 875-125MG TAB","PHARMACY","J8499",15.15]
[" 2500036","ANUSOL HC 25MG SUPPOSITORY","PHARMACY",null,64.62]
[" 2500038","ARICEPT 10MG TABLET","PHARMACY",null,4]
[" 2500039","ARIPIPRAZOLE 5MG TABLET","PHARMACY",null,96.33]
[" 2500040","ARTIFICIAL TEARS OPHTH SOLUTION","PHARMACY","J3490",6.41]
[" 2500041","ASCORBIC ACID 500 MG TABLET","PHARMACY",null,2]
[" 2500042","ASPIRIN CHEWABLE 81MG TABLET","PHARMACY",null,2]
[" 2500043","ASPIRIN EC 325 MG TABLET","PHARMACY",null,2]
[" 2500044","ATENOLOL 25 MG TABLET","PHARMACY",null,4]
[" 2500045","ATIVAN 0.5MG TABLET","PHARMACY","J8499",4]
[" 2500046","ATROPINE 1% OPHTH SOLN 5ML","PHARMACY","J3490",116.76]
[" 2500048","AVAPRO 150MG TABLET","PHARMACY",null,4]
[" 2500049","AZITHROMYCIN 100MG/5ML SUSPENSION 15ML","PHARMACY","J8499",104.64]
[" 2500050","AZITHROMYCIN 250 MG TABLET","PHARMACY","J8499",22.17]
[" 2500054","BACITRACIN/POLYMYXIN B ANTIBIOTIC OINT","PHARMACY",null,14.4]
[" 2500055","BACITRACIN/POLYMYXIN B OPHTH OINT 3.5GM","PHARMACY",null,77.099999999999994]
[" 2500056","BACLOFEN 10 MG TABLET","PHARMACY",null,4]
[" 2500058","BACTRIM DS TABLET","PHARMACY",null,4]
[" 2500062","CLARITHROMYCIN 500MG TABLET","PHARMACY","J8499",18.05]
[" 2500063","BIOTENE ORAL BALANCE GEL 42GM","PHARMACY",null,5.65]
[" 2500065","BOUDREAUX'S BUTT PASTE TOP OINTMENT","PHARMACY",null,19.5]
[" 2500066","BUDESONIDE 0.5 MG/2 ML AMP","PHARMACY","J7626",34.5]
[" 2500067","BUMETANIDE 1 MG TABLET","PHARMACY",null,6]
[" 2500071","BuPROPion XL 150 MG TAB ER 24H","PHARMACY",null,4]
[" 2500072","busPIRone 5 MG TABLET","PHARMACY","J8499",4]
[" 2500073","CALCIUM 600MG/VITAMIN D 400IU TAB","PHARMACY",null,2]
[" 2500074","CALCIUM CARBONATE 500 MG CHEW TAB","PHARMACY",null,2]
[" 2500076","NF-Calcium Polycarbophil 625mg Tablet","PHARMACY",null,2]
[" 2500077","CARBACHOL 0.01% OPHTH SOLN 1.5ML","PHARMACY",null,109.92]
[" 2500078","carBAMazepine 200 MG TABLET","PHARMACY","J8499",4.4800000000000004]
[" 2500079","CARBAMIDE PEROXIDE 6.5% OTIC SUSP","PHARMACY","J3490",5.23]
[" 2500081","CARBIDOPA/LEVODOPA 25/250 MG *IR* TAB","PHARMACY",null,4]
[" 2500082","CARBIDOPA/LEVODOPA 50/200MG *ER* TABLET","PHARMACY",null,4]
[" 2500083","CARBIDOPA/LEVODOPA 25/100MG *IR* TABLET","PHARMACY",null,4]
[" 2500085","CARVEDILOL 25 MG TABLET","PHARMACY","J8499",8.4]
[" 2500086","CARVEDILOL 3.125 MG TABLET","PHARMACY",null,8.4]
[" 2500087","CASTOR OIL 118 ML BOTTLE","PHARMACY",null,2]
[" 2500096","CELECOXIB 100MG CAPSULE","PHARMACY",null,17.48]
[" 2500097","CEPACOL LOZENGE","PHARMACY",null,2]
[" 2500098","CEPHALEXIN 125 MG/5 ML SUSP 100ML","PHARMACY","J8499",71.25]
[" 2500099","CEPHALEXIN 250 MG/5 ML SUSP 200ML","PHARMACY",null,153.75]
[" 2500100","CEPHALEXIN 500 MG CAPSULE","PHARMACY",null,4.8899999999999997]
[" 2500102","CETIRIZINE 10 MG TABLET","PHARMACY","J8499",2]
[" 2500104","CHLORASEPTIC 6OZ SPRAY","PHARMACY",null,4.5]
[" 2500105","chlordiazePOXIDE 25 MG CAPSULE","PHARMACY",null,4]
[" 2500107","NF-Chlorpromazine Oral Tablet 25MG","PHARMACY",null,0.5]
[" 2500108","CHOLECALCIFEROL (VIT D3) 1000IU TABLET","PHARMACY",null,2]
[" 2500109","CHOLESTYRAMINE 4 GM POWDER PACK","PHARMACY",null,15.33]
[" 2500111","CIPROFLOXACIN 500 MG TABLET","PHARMACY",null,4]
[" 2500112","CITALOPRAM 20 MG TABLET","PHARMACY",null,10.77]
[" 2500113","CLINDAMYCIN 150 MG CAPSULE","PHARMACY",null,4]
[" 2500115","clonazePAM 0.5 MG TABLET","PHARMACY",null,4]
[" 2500116","cloNIDine 0.1 MG TABLET","PHARMACY","J8499",4]
[" 2500117","CLOPIDOGREL 75 MG TABLET","PHARMACY","J8499",17.45]
[" 2500118","CLOTRIMAZOLE/BETAMETHASONE CREAM 15GM","PHARMACY",null,60.69]
[" 2500119","COGENTIN 1MG TABLET","PHARMACY",null,4]
[" 2500121","NF-Conjugated Estrogens Tablet 0.625MG","PHARMACY",null,4]
[" 2500122","WARFARIN 2MG TABLET","PHARMACY",null,4]
[" 2500123","WARFARIN 3MG TABLET","PHARMACY",null,4]
[" 2500124","WARFARIN 5MG TABLET","PHARMACY",null,4]
[" 2500126","CULTURELLE CAPSULE","PHARMACY","J8499",2]
[" 2500128","CYCLOBENZAPRINE 10 MG TABLET","PHARMACY","J8499",4.6399999999999997]
[" 2500129","CYCLOPENTOLATE 1% OPHTH SOLN","PHARMACY","J3490",29.54]
[" 2500130","NF-Cyproheptadine Oral Table 4MG","PHARMACY",null,4]
[" 2500132","DECADRON 4MG TABLET","PHARMACY",null,4.8]
[" 2500136","DEXTROSE 40% GEL 15GM TUBE","PHARMACY","J3490",3.95]
[" 2500149","DIASTAT 2.5MG/0.5ML APPLICATOR","PHARMACY",null,354.82]
[" 2500151","DIAZEPAM 2 MG TABLET","PHARMACY","J8499",4]
[" 2500152","DIAZEPAM 5 MG TABLET","PHARMACY","J8499",4]
[" 2500153","DICYCLOMINE 20 MG TABLET","PHARMACY","J8499",4]
[" 2500154","DIGOXIN 125 MCG TABLET","PHARMACY",null,6.72]
[" 2500155","DIGOXIN 250 MCG TABLET","PHARMACY",null,6.72]
[" 2500158","DILTIAZEM 30 MG TABLET","PHARMACY",null,4]
[" 2500160","DILTIAZEM ER 120 MG CAPSULE","PHARMACY",null,4]
[" 2500161","DILTIAZEM ER 180 MG CAPSULE","PHARMACY",null,5.8]
[" 2500162","diphenhydrAMINE 12.5 MG/5 ML ELIXER","PHARMACY","J8499",2]
[" 2500163","diphenhydrAMINE 25 MG CAPSULE","PHARMACY","J8499",2]
[" 2500165","NF-DIPHEN/ZINC ACETATE ANTI-ITCH CRM","PHARMACY","J3490",19.559999999999999]
[" 2500166","DIPHENOXYLATE/ATROPINE 0.0025/2.5MG TAB","PHARMACY",null,4]
[" 2500168","DITROPAN 5MG TABLET","PHARMACY",null,4]
[" 2500169","DIVALPROEX SODIUM 125MG SPRINKLE CAP","PHARMACY",null,5.68]
[" 2500170","NF-Divalproex Sodium ER Tablet 500MG","PHARMACY",null,4]
[" 2500171","DOCUSATE SODIUM 100 MG CAPSULE","PHARMACY",null,2]
[" 2500173","DOXAZOSIN 2 MG TABLET","PHARMACY",null,4.08]
[" 2500174","DOXYCYCLINE MONO 100MG CAPSULE","PHARMACY",null,7.45]
[" 2500175","DULCOLAX 5MG TABLET","PHARMACY",null,2]
[" 2500176","DULCOLAX 10MG SUPPOSITORY","PHARMACY","J3490",2]
[" 2500178","ENALAPRIL 5 MG TABLET","PHARMACY",null,6.16]
[" 2500186","EPINEPHRINE 0.3MG/0.3ML SYRINGE","PHARMACY",null,555.76]
[" 2500188","EPINEPHRINE JR 0.15MG/0.3ML SYRINGE","PHARMACY",null,730.33]
[" 2500192","ERYTHROMYCIN 0.5% OPHTH OINT 1GM","PHARMACY","J3490",24.82]
[" 2500193","NF-Erythromycin Base Oral Filmtab 250MG","PHARMACY",null,4]
[" 2500197","EUCERIN LOTION BOTTLE 500 ML","PHARMACY",null,8.1999999999999993]
[" 2500200","fentaNYL 12 MCG/HR PATCH","PHARMACY",null,60.9]
[" 2500201","fentaNYL 25 MCG/HR PATCH","PHARMACY",null,63.81]
[" 2500202","fentaNYL 50 MCG/HR PATCH","PHARMACY",null,116.64]
[" 2500203","FERROUS SULFATE 325MG TABLET","PHARMACY","J3490",2]
[" 2500205","FLAGYL 500MG TABLET","PHARMACY","J8499",4]
[" 2500207","FLEET ENEMA 133 ML BOTTLE","PHARMACY",null,20.95]
[" 2500208","FLUCONAZOLE 100 MG TABLET","PHARMACY",null,29.13]
[" 2500211","FLURBIPROFEN SOD 0.03% 2.5ML OPHTH SOLN","PHARMACY","J3490",86.4]
[" 2500212","FLUTICASONE 120 SPRAYS/16 GM NASAL SPRAY","PHARMACY",null,75.27]
[" 2500213","FLUTICASONE/SALMETEROL 250/50MCG DISKUS","PHARMACY",null,364.16]
[" 2500214","FOLIC ACID 1 MG TABLET","PHARMACY",null,2]
[" 2500218","FUROSEMIDE 20 MG TABLET","PHARMACY",null,4]
[" 2500219","FUROSEMIDE 40 MG TABLET","PHARMACY",null,4]
[" 2500220","GABAPENTIN 100 MG CAPSULE","PHARMACY","J8499",4]
[" 2500221","GABAPENTIN 300 MG CAPSULE","PHARMACY",null,4]
[" 2500222","GEMFIBROZIL 600 MG TABLET","PHARMACY","J8499",9.2799999999999994]
[" 2500223","GENTAMICIN 0.3% 5ML OPHTH SOLN","PHARMACY",null,38.36]
[" 2500226","GI COCKTAIL SUSPENSION","PHARMACY",null,8]
[" 2500227","glipiZIDE 5 MG TABLET","PHARMACY",null,4]
[" 2500228","glipiZIDE ER 5 MG TAB","PHARMACY",null,4]
[" 2500230","glyBURIDE (MICRONIZED) 3 MG TABLET","PHARMACY",null,4]
[" 2500231","glyBURIDE 5 MG TABLET","PHARMACY",null,4]
[" 2500234","guaiFENesin 100 mg/5 mL Oral SOLN","PHARMACY",null,2]
[" 2500235","guaiFENesin ER 600 MG TABLET","PHARMACY",null,2]
[" 2500236","GUAIFENESIN/DEXTROMETH10/100MG/5ML SYRUP","PHARMACY",null,2.5]
[" 2500237","HALOPERIDOL 1 MG TABLET","PHARMACY","J8499",4]
[" 2500245","hydrALAZINE 25 MG TABLET","PHARMACY",null,4]
[" 2500246","HYDROCHLOROTHIAZIDE 25 MG TABLET","PHARMACY","J8499",4]
[" 2500247","HYDROcodone/ACETAMIN 7.5/325MG 15ML ELXR","PHARMACY",null,19.68]
[" 2500248","HYDROcodone/ACETAMINOPHEN 5/325MG TAB","PHARMACY","J8499",4]
[" 2500249","HYDROCORTISONE 2.5% CREAM 28GM","PHARMACY",null,32.4]
[" 2500250","HYDROCORTISONE 20 MG TABLET","PHARMACY",null,4.3600000000000003]
[" 2500253","HYDROXYZINE 25 MG CAPSULE","PHARMACY","J8499",4]
[" 2500255","IBUPROFEN 100MG/5ML ORAL SUSPENSION","PHARMACY","A9270",2]
[" 2500258","INDERAL 10MG TABLET","PHARMACY",null,4]
[" 2500259","INDOMETHACIN 25 MG CAPSULE","PHARMACY",null,4]
[" 2500262","INSULIN humaLOG 100 UNITS/ML VIAL","PHARMACY",null,17]
[" 2500263","INSULIN ISOPHANE/REG 70/30 100U/ML VIAL","PHARMACY",null,17]
[" 2500264","INSULIN NPH 100UNITS/ML VIAL","PHARMACY",null,17]
[" 2500265","INSULIN REGULAR 100UNITS/ML VIAL","PHARMACY","J1815",17]
[" 2500269","IPRATROPIUM/ALBUTEROL SULFATE NEB 3ML","PHARMACY","J7620",9.16]
[" 2500271","ISOSORBIDE MONONITRATE ER 30 MG TAB","PHARMACY","J8499",6.72]
[" 2500272","ISOSORBIDE MONONITRATE ER 60MG TAB","PHARMACY",null,7.96]
[" 2500273","KEPPRA 250MG TABLET","PHARMACY",null,10.36]
[" 2500276","NF-KETOCONAZOLE 2% CREAM 15GM TUBE","PHARMACY",null,92.7]
[" 2500279","LABETALOL 100 MG TABLET","PHARMACY","J8499",4]
[" 2500283","LANTUS 100 UNITS/ML VIAL","PHARMACY","J1815",17]
[" 2500289","LEVOFLOXACIN 250 MG TABLET","PHARMACY",null,44.19]
[" 2500292","LEVONORGESTREL 1.5MG TAB","PHARMACY",null,75]
[" 2500293","LEVOTHYROXINE 100 MCG TABLET","PHARMACY",null,4]
[" 2500295","LEVOTHYROXINE 112 MCG TABLET","PHARMACY",null,4]
[" 2500296","LEVOTHYROXINE 25 MCG TABLET","PHARMACY",null,4]
[" 2500297","LEVOTHYROXINE 50 MCG TABLET","PHARMACY",null,4]
[" 2500298","LEVOTHYROXINE 88 MCG TABLET","PHARMACY",null,4]
[" 2500305","LIDOCAINE 2% JELLY 5 ML TUBE","PHARMACY",null,25.2]
[" 2500310","LIDOCAINE 4% TOPICAL SOLUTION","PHARMACY",null,144]
[" 2500311","LIDOCAINE 5% PATCH","PHARMACY",null,30.83]
[" 2500312","LIDOCAINE VISCOUS 2% 15ML UD CUP","PHARMACY","J8499",9.44]
[" 2500314","LIDOCAINE/PRILOCAINE 30 GM CREAM","PHARMACY",null,24.12]
[" 2500316","NF-Linezolid Oral Tablet 600MG","PHARMACY",null,307.26]
[" 2500318","LIPITOR 20MG TABLET","PHARMACY",null,4]
[" 2500319","LISINOPRIL 10 MG TABLET","PHARMACY","J8499",4]
[" 2500320","LISINOPRIL 5 MG TABLET","PHARMACY",null,4]
[" 2500321","LITHIUM CARBONATE 300MG TABLET","PHARMACY","J8499",4]
[" 2500322","LOPERAMIDE 2 MG CAPSULE","PHARMACY",null,2]
[" 2500323","LORATADINE 10 MG TABLET","PHARMACY","J8499",2]
[" 2500325","LOSARTAN 50 MG TABLET","PHARMACY",null,9]
[" 2500326","MAG HYDROX/AL HYDROX/SIMETH 30ML","PHARMACY","J8499",3.78]
[" 2500327","MAG OX 400MG TABLET","PHARMACY",null,2]
[" 2500328","MAGNESIUM CHLOR WITH CALCIUM 64MG TAB","PHARMACY",null,2]
[" 2500329","MAGNESIUM CITRATE 296ML BOTTLE","PHARMACY",null,2.1]
[" 2500333","MECLIZINE 25 MG TABLET","PHARMACY",null,4]
[" 2500335","NF-MEDROXYPROGESTERONE ACETATE 2.5MG TAB","PHARMACY",null,4]
[" 2500336","MELOXICAM 7.5 MG TABLET","PHARMACY",null,12.4]
[" 2500337","NF-Memantine Oral Tablet 5MG","PHARMACY","J8499",4]
[" 2500338","MENTHOL/ZINC OXIDE OINTMENT 113GM","PHARMACY",null,5]
[" 2500341","metFORMIN 500 MG TABLET","PHARMACY",null,4]
[" 2500342","METHOCARBAMOL 750 MG TABLET","PHARMACY",null,4]
[" 2500349","METOCLOPRAMIDE 10 MG TABLET","PHARMACY",null,4]
[" 2500351","METOLAZONE 2.5 MG TABLET","PHARMACY",null,8.2799999999999994]
[" 2500352","METOPROLOL SUCCINATE ER 25MG TABLET","PHARMACY",null,4.68]
[" 2500353","METOPROLOL SUCCINATE ER 50MG TABLET","PHARMACY",null,4.96]
[" 2500354","METOPROLOL TARTRATE 25MG TABLET","PHARMACY","J8499",4]
[" 2500356","METOPROLOL TARTRATE 50MG TABLET","PHARMACY",null,4]
[" 2500358","MICONAZOLE 2% CREAM 28 GM TUBE","PHARMACY",null,5.27]
[" 2500360","MINERAL OIL 25ML SOLUTION","PHARMACY",null,5.45]
[" 2500361","MIRALAX 17GM POWDER","PHARMACY",null,2.46]
[" 2500363","MOM 30ML SUSPENSION","PHARMACY",null,2.04]
[" 2500364","MONTELUKAST 10 MG TABLET","PHARMACY",null,19.920000000000002]
[" 2500368","MORPHINE ORAL 100MG/5ML SOLUTION","PHARMACY","J8499",67.290000000000006]
[" 2500369","NF-Ibuprofen Oral Tablet 200MG","PHARMACY",null,4]
[" 2500370","IBUPROFEN 400 MG TABLET","PHARMACY",null,2]
[" 2500371","IBUPROFEN 800 MG TABLET","PHARMACY","J1741",2]
[" 2500374","MULTIVITAMIN TABLET","PHARMACY",null,2]
[" 2500375","MUPIROCIN 2% OINT TUBE 22 GRAM","PHARMACY",null,128.25]
[" 2500379","NAPROXEN 500 MG TABLET","PHARMACY","J8499",5.36]
[" 2500381","NEOMYCIN/POLYMYXIN B/BACITRACIN OINTMENT","PHARMACY",null,4]
[" 2500382","NEOMYCIN/POLYMYXIN B/HC OTIC SUSP","PHARMACY","J8499",50.05]
[" 2500385","NICODERM 14MG PATCH","PHARMACY",null,2.14]
[" 2500386","NICOTINE 21MG/24HR TRANSDERMAL PATCH","PHARMACY",null,2.14]
[" 2500387","NICOTINE 7 MG /24 HR PATCH","PHARMACY","J3490",2.14]
[" 2500389","NIFEDIPINE ER 30 MG TAB","PHARMACY",null,7.16]
[" 2500390","NITROFURANTOIN MONO 100 MG CAP","PHARMACY",null,13.8]
[" 2500391","NITROGLYCERIN 0.4 MG/HR PATCH","PHARMACY",null,8.69]
[" 2500392","NITROGLYCERIN 0.4MG SL TABLET #25/BOTTLE","PHARMACY",null,77.010000000000005]
[" 2500393","NITROGLYCERIN 1 GM OINT UD","PHARMACY",null,11.02]
[" 2500394","NITROGLYCERIN EXT REL 2.5 MG CAPSULE","PHARMACY",null,4]
[" 2500398","Nystatin 100,000 UNITS/GM CREAM 30GM","PHARMACY",null,78.75]
[" 2500399","NYSTATIN 15GM POWDER","PHARMACY",null,82.38]
[" 2500400","NYSTATIN 500,000 UNITS/5 ML UD SUSP","PHARMACY",null,6.16]
[" 2500402","OCUVITE CAPSULE","PHARMACY",null,2]
[" 2500405","OLANZAPINE 5 MG TABLET","PHARMACY",null,39.659999999999997]
[" 2500406","OMEPRAZOLE DR 20 MG CAPSULE","PHARMACY","J8499",2]
[" 2500408","ONDANSETRON ODT 4 MG TABLET","PHARMACY","Q0162",66.87]
[" 2500409","OSELTAMIVIR 6MG/ML ORAL SUSPENSION","PHARMACY","J8499",364.52]
[" 2500411","OSELTAMIVIR PHOSPHATE 30MG CAP","PHARMACY","J8499",42.54]
[" 2500412","OSELTAMIVIR PHOSPHATE 75MG CAP","PHARMACY",null,46.38]
[" 2500414","OXYCODONE HCL 10MG ER TABLET","PHARMACY",null,15.62]
[" 2500416","oxyCODONE IR 5 MG TABLET","PHARMACY","J8499",4]
[" 2500417","OXYCODONE/ACETAMINOPHEN 5/325MG TAB","PHARMACY","J8499",5.48]
[" 2500418","OXYMETAZOLINE 0.05% 30 ML NASAL SPRAY","PHARMACY",null,2]
[" 2500421","PANTOPRAZOLE 40 MG TABLET.DR","PHARMACY",null,15.81]
[" 2500422","PANTOPRAZOLE IV 40MG VIAL","PHARMACY","C9113",33.5]
[" 2500423","PARoxetine 20 MG TABLET","PHARMACY","J8499",11.76]
[" 2500425","PEN-VK 250MG TABLET","PHARMACY","J8499",4]
[" 2500426","PHENAZOPYRIDINE 100 MG TABLET","PHARMACY",null,2.7]
[" 2500429","PHENYLEPHRINE 2.5% OPHTH SOLN","PHARMACY","J3490",81.260000000000005]
[" 2500431","PHENYTOIN 100 MG/4 ML UD CUP","PHARMACY","J8499",25.92]
[" 2500432","PHENYTOIN ER 100 MG CAPSULE","PHARMACY",null,4]
[" 2500443","POTASSIUM CHLORIDE 10MEQ ER TABLET","PHARMACY","J8499",4]
[" 2500446","PRAVASTATIN 20MG TABLET","PHARMACY","J8499",10]
[" 2500447","PRAZOSIN 1 MG CAPSULE","PHARMACY",null,4]
[" 2500448","PREDNISOLONE ACET 1% OPHTH SUSP 5ML","PHARMACY",null,110.64]
[" 2500449","PrednisoLONE SOD PHOSPHATE 15MG/5ML SOLN","PHARMACY","J8499",7.52]
[" 2500450","predniSONE 1 MG TABLET","PHARMACY",null,4]
[" 2500451","predniSONE 10 MG TABLET","PHARMACY","J8499",4]
[" 2500452","predniSONE 5 MG TABLET","PHARMACY",null,4]
[" 2500453","PREPARATION H OINTMENT 30GM TUBE","PHARMACY",null,5.58]
[" 2500454","PIPERONYL/PYRETHRIN SHAMPOO 118ML BOTTLE","PHARMACY",null,10.09]
[" 2500455","PRIMIDONE 50 MG TABLET","PHARMACY",null,4]
[" 2500457","PROMETHAZINE 25 MG SUPPOSITORY","PHARMACY",null,53.13]
[" 2500458","PROMETHAZINE 25 MG TABLET","PHARMACY","J8499",4]
[" 2500460","PROMETHAZINE 6.25 MG/5 ML UD SYRUP","PHARMACY","J8499",4]
[" 2500461","PROMETHAZINE/CODEINE 6.25/10MG 5ML SYRUP","PHARMACY",null,9.7200000000000006]
[" 2500464","PROPRANOLOL ER 80 MG CAPSULE","PHARMACY",null,9.52]
[" 2500468","PROZAC 20MG CAPSULE","PHARMACY",null,9.92]
[" 2500469","Pseudoephedrine 120MG EXT REL TABLET","PHARMACY",null,2]
[" 2500470","Pseudoephedrine 30 MG/5 ML UD","PHARMACY",null,5.15]
[" 2500471","PSYLLIUM POWDER 5.8GM PACKET","PHARMACY","J3490",2]
[" 2500473","QUEtiapine 25 MG TABLET","PHARMACY",null,4]
[" 2500476","RACEPINEPHRINE 2.25% NEB AMPULE","PHARMACY","J7699",7.2]
[" 2500477","REFRESH PM OPHTH OINTMENT 3.5GM","PHARMACY","J3490",10.3]
[" 2500478","REMERON 15MG TABLET","PHARMACY",null,11.44]
[" 2500482","risperiDONE 0.5 MG TABLET","PHARMACY",null,15.72]
[" 2500484","RIVAROXABAN 10MG TABLET","PHARMACY",null,59.1]
[" 2500485","RIVAROXABAN 15MG TABLET","PHARMACY",null,59.1]
[" 2500488","SALINE NASAL SPRAY 44 ML BOTTLE","PHARMACY",null,3.59]
[" 2500489","SCOPOLAMINE TRANSDERMAL 1MG/72HR PATCH","PHARMACY",null,67.41]
[" 2500490","SENNA 8.6 MG TABLET","PHARMACY","J3490",2]
[" 2500491","SENNA-PLUS TABLET","PHARMACY",null,2]
[" 2500492","SERTRALINE 50 MG TABLET","PHARMACY","J8499",4]
[" 2500494","SILVER SULFADIAZINE (SSD) 1% CREAM","PHARMACY","J3490",8.94]
[" 2500495","SIMETHICONE 80 MG CHEW TABLET","PHARMACY",null,2]
[" 2500496","SIMVASTATIN 20 MG TABLET","PHARMACY",null,19.68]
[" 2500509","SODIUM CHLORIDE 0.9% 3ML NEB SOLN","PHARMACY",null,0]
[" 2500518","SODIUM POLYSTYRENE SULF 15GM/60ML SUSP","PHARMACY",null,71.7]
[" 2500519","SPIRONOLACTONE 25 MG TABLET","PHARMACY",null,4]
[" 2500525","SUCRALFATE 1 GM TABLET","PHARMACY",null,4]
[" 2500528","TAMSULOSIN 0.4 MG CAPSULE","PHARMACY",null,16.84]
[" 2500529","TERAZOSIN 1 MG CAPSULE","PHARMACY",null,6.44]
[" 2500534","THERMOTAB  TABLET","PHARMACY",null,2]
[" 2500535","THIAMINE 100MG TABLET","PHARMACY",null,2]
[" 2500537","TIMOLOL/DORZOLAMIDE 0.5%/2% OPHTH DROPS","PHARMACY",null,6.28]
[" 2500539","TOBRAMYCIN 0.3% OPHTH SOLUTION","PHARMACY",null,27.72]
[" 2500541","TOBRAMYCIN/DEXAMETH OPHTH 2.5ML SOLN","PHARMACY",null,195.93]
[" 2500544","NF-Tolterodine ER Oral Capsule 4MG","PHARMACY",null,4]
[" 2500546","traMADol 50 MG TABLET","PHARMACY","J8499",4]
[" 2500547","traZODone 50 MG TABLET","PHARMACY",null,4]
[" 2500548","TRIAMCINOLONE ACETONIDE 0.1% CREAM 15GM","PHARMACY","J3490",17.489999999999998]
[" 2500550","TRIAMTERENE/HCTZ 37.5 MG/25 MG TABLET","PHARMACY",null,4]
[" 2500551","TRIPHROCAPS 1 MG SOFTGEL","PHARMACY",null,4]
[" 2500553","TROPICAMIDE OPHTH SOLN 15 ML","PHARMACY",null,13]
[" 2500555","valACYclovir 500 MG TABLET","PHARMACY",null,11.68]
[" 2500556","VALSARTAN 80MG TABLET","PHARMACY",null,19.399999999999999]
[" 2500561","VENLAFAXINE ER 75 MG CAPSULE","PHARMACY",null,16.8]
[" 2500563","VERAPAMIL 80 MG TABLET","PHARMACY","J8499",4]
[" 2500564","VERAPAMIL ER 120 MG TABLET","PHARMACY",null,5.32]
[" 2500569","VITAMIN A & D OINT PACKAGE 5 GM","PHARMACY",null,4]
[" 2500570","NF-Warfarin Oral Tablet 7.5MG","PHARMACY",null,4]
[" 2500571","WITCH HAZEL PADS","PHARMACY",null,2.59]
[" 2500572","XANAX 0.25MG TABLET","PHARMACY",null,6.08]
[" 2500573","NF-Zantac 150mg Oral Tablet","PHARMACY",null,4]
[" 2500575","ZITHROMAX 40MG/ML 15ML SUSPENSION","PHARMACY","J8499",49.4]
[" 2500577","ZOLPIDEM 5 MG TABLET","PHARMACY",null,4]
[" 2500580","CEFUROXIME 250 MG TABLET","PHARMACY",null,17.600000000000001]
[" 2500581","NF-Captopril Oral Tablet 12.5MG","PHARMACY",null,6.88]
[" 2500582","FINASTERIDE 5 MG TABLET","PHARMACY",null,4]
[" 2500583","AZITHROMYCIN 500 MG TABLET","PHARMACY",null,20.61]
[" 2500584","POTASSIUM ACETATE 2MEQ/ML 20ML VIAL","PHARMACY","J3480",22.1]
[" 2500585","PHENYTOIN SODIUM 250MG/5ML INJ","PHARMACY","J1165",21.52]
[" 2500590","DAKIN'S FULL STRENGTH SOLUTION","PHARMACY",null,11.34]
[" 2500591","DAKIN'S FULL STRENGTH SOLUTION","PHARMACY",null,4]
[" 2500599","NF-NovoLOG Mix 70/30 FlexPen","PHARMACY",null,0]
[" 2500602","NF-Melatonin Oral Tablet 3MG","PHARMACY",null,0]
[" 2500606","BENZOCAINE ORAL ANESTHETIC SPRAY 20%","PHARMACY",null,38.36]
[" 2500610","MEMANTINE 10 MG TABLET","PHARMACY",null,4]
[" 2500611","POTASSIUM CHLORIDE 20MEQ ER TAB","PHARMACY",null,4]
[" 2500612","LICE KILLING SHAMPOO 118 ML","PHARMACY",null,20]
[" 2500622","BACITRACIN OPHTH OINTMENT 3.5GM","PHARMACY",null,236.88]
[" 2500623","RASAGILINE 1MG TABLET","PHARMACY",null,74.760000000000005]
[" 2500624","LANOLIN HYDROUS TOP LUBRICANT 28GM","PHARMACY",null,2.16]
[" 2500625","BENZOCAINE 20% ORAL  ANALGESIC GEL","PHARMACY",null,4.6399999999999997]
[" 2500627","LIDOCAINE/PRILOCAINE CREAM 5 GM TUBE","PHARMACY",null,120]
[" 2500628","NF-Dutasteride Oral Capsule 0.5MG","PHARMACY",null,18]
[" 2500629","NF-Terbinafine 250mg Oral Tablet","PHARMACY",null,26.76]
[" 2500630","MORPHINE 5 MG/ML INJ","PHARMACY",null,10]
[" 2500635","VANCOMYCIN 50MG/ML ORAL SOLUTION","PHARMACY",null,520.76]
[" 2500638","LEVALBUTEROL 1.25MG/3ML VIAL","PHARMACY","J7614",8]
[" 2500639","LANOLIN/PETROLATUM OINTMENT","PHARMACY",null,11]
[" 2500641","LIDOCAINE 2% JELLY TOP ANES 120MG/6ML","PHARMACY",null,21.42]
[" 2500642","CUREL LOTION","PHARMACY",null,2.92]
[" 2500643","CL-MENTHOL/ZINC (CALMOSEPTINE) OINT","PHARMACY",null,20]
[" 2500644","NF-NexIUM DR Oral Capsule 20MG","PHARMACY",null,0]
[" 2500645","NF-Multaq Oral Tablet 400MG","PHARMACY",null,0]
[" 2500646","NF-Calcium Acetate 169MG Tablet","PHARMACY",null,0]
[" 2500647","NF-Levemir 100U/1ML","PHARMACY",null,1]
[" 2500648","NF-Fenofibrate Oral Tablet 145MG","PHARMACY",null,0]
[" 2500650","NF-Vitamin B12 Oral Tablet 1000MCG","PHARMACY",null,0]
[" 2500651","NF-Melatonin 3MG TAB","PHARMACY",null,0]
[" 2500652","NF-NovoLOG Injection 100U/ML","PHARMACY",null,1]
[" 2500653","NF-NovoLIN N Injection 100U/ML","PHARMACY",null,0]
[" 2500654","NF-NovoLIN R Injection 100U/ML","PHARMACY",null,0]
[" 2500656","NF-NovoLOG Injection 100U/ML","PHARMACY",null,1]
[" 2500657","NF-NovoLOG Injection 100U/ML","PHARMACY",null,1]
[" 2500658","NF-NovoLOG FlexPen SQ Soln 100U/ML","PHARMACY",null,1]
[" 2500659","NF-Levemir 100UNITS/ML","PHARMACY",null,1]
[" 2500661","DABIGATRAN 75 MG CAPSULE","PHARMACY",null,28.62]
[" 2500683","ACYCLOVIR (ZOVIRAX) 5% OINTMENT","PHARMACY",null,767.88]
[" 2500684","BISOPROLOL FUMARATE 5MG TABLET","PHARMACY",null,9]
[" 2500714","CL-ASPIRIN EC (ECOTRIN) 325 MG TAB","PHARMACY",null,0]
[" 2500715","CL-ERYTHROMYCIN OPHTH OINT 1GM UD","PHARMACY",null,18.62]
[" 2500717","CL-SUMAtriptan (IMITREX) 6MG/0.5ML VIAL","PHARMACY","J3030",191.25]
[" 2500719","CL-Vitamin K1 Inj 10MG/1ML  ADULT","PHARMACY","J3430",114]
[" 2500720","CL-Lidocaine 2% Jelly 5ML TUBE","PHARMACY",null,12.6]
[" 2500721","CL-EYE WASH 120ML","PHARMACY",null,4.32]
[" 2500725","CL-LIDOCAINE 2% LIQUID 15ML","PHARMACY",null,2]
[" 2500726","CL-NEOSPORIN OINTMENT U/D","PHARMACY",null,0]
[" 2500727","CL-SILVER NITRATE STICKS","PHARMACY",null,2]
[" 2507001","CL-ACETAMINOPHEN 160MG/5ML UD SOLN","PHARMACY","J8499",0]
[" 2507002","CL-ACETAMINOPHEN 325 MG TABLET","PHARMACY","J3490",0]
[" 2507004","CL-ALBUTEROL 0.083% 2.5MG/3ML NEB SOLN","PHARMACY","J7613",2]
[" 2507005","CL-ASPIRIN CHEWABLE 81MG TABLET","PHARMACY",null,0]
[" 2507010","CL-diphenhydrAMINE 12.5 MG/5 ML ELIXER","PHARMACY","J8499",0]
[" 2507011","CL-diphenhydrAMINE 25 MG CAPSULE","PHARMACY","J8499",0]
[" 2507014","CL-EPINEPHRINE 0.3MG/0.3ML SYRINGE","PHARMACY","96372",639.04999999999995]
[" 2507016","CL-EPINEPHrine JR 0.15 MG/0.3 ML","PHARMACY","96372",639.04999999999995]
[" 2507017","CL-IBUPROFEN 100 MG/5 ML ORAL SUSP","PHARMACY","A9270",0]
[" 2507018","CL-IPRATROPIUM/ALBUTEROL SULFATE NEB","PHARMACY","J7620",3.44]
[" 2507026","CL-IBUPROFEN 800 MG TABLET","PHARMACY","A9270",0]
[" 2507027","CL-NITROGLYCERIN 0.4MG SL TAB #25/BOTTLE","PHARMACY","J8499",38.51]
[" 2507028","CL-ONDANSETRON ODT 4 MG TABLET","PHARMACY","Q0162",33.44]
[" 2507056","CL-GI COCKTAIL SUSPENSION","PHARMACY",null,7.29]
[" 2507058","CL-INSULIN REG (humuLIN R) 100UN/ML VIAL","PHARMACY","J1815",17]
[" 2507060","CL-MAG HYDROX/AL HYDROX/SIMETH 30","PHARMACY","J8499",0]
[" 2507061","CL-MECLIZINE 25 MG TABLET","PHARMACY",null,1.31]
[" 2507065","CL-RACEPINEPHRINE 2.25% NEB AMPUL","PHARMACY",null,7.2]
[" 2507067","CL-SILVER SULFADIAZINE (SSD) 1% CREAM","PHARMACY",null,13.49]
[" 2507068","CL-XANAX 0.25MG TABLET","PHARMACY",null,2.2799999999999998]
[" 6000178","ENEMA (FLEETS)","PHARMACY","A9270GY",22,"GY"]
[" 2500666","NF-Abilify Tablet 20MG","PHARMACY",null,1]
[" 2500667","NF-Aspirin Oral Tablet 325MG","PHARMACY",null,0]
[" 2500691","NF-Xalatan Ophthalmic Solution 0.005%","PHARMACY",null,2]
[" 2500693","NF-Methotrexate Injection Solution 25MG/","PHARMACY",null,0]
[" 2500699","NF-Valsartan Oral Tablet 160MG","PHARMACY",null,0]
[" 2500700","NF-Lansoprazole Oral Cap DR 30MG","PHARMACY",null,0]
[" 2500701","NF-Potassium Chloride Oral Cap ER 10MEQ","PHARMACY",null,0]
[" 2500710","NF-Budesonide Inhalation Suspension 1MG/","PHARMACY",null,0]
[" 2500711","NF-Poly Hist Forte Oral Tablet 7.5MG-10M","PHARMACY",null,0]
[" 2500729","NF-metFORMIN Hydrochloride OralTablet 50","PHARMACY",null,0]
[" 2500734","NF-Thiamine HCl Tablet 100MG","PHARMACY",null,0]
[" 2500740","NF-Betamethasone Valerate Cream 0.1%","PHARMACY",null,5]
[" 2500742","NF-Thiamine HCl Tablet 100MG","PHARMACY",null,0]
[" 2500743","NF-Twelve Resin-K Tablet 1000mcg","PHARMACY",null,0]
[" 2500744","NF-Vitamin B12 Tablet 500mcg","PHARMACY",null,0]
[" 2500774","NF-Methotrexate Injection Solution 25MG/","PHARMACY",null,18]
[" 2500776","NF-Children's Chewable Vitamins With Iro","PHARMACY",null,0]
[" 2500800","NF-Aspirin Oral Enteric Coated Tablet 81","PHARMACY",null,0]
[" 2500833","NF-Clotrimazole Troche MM Lozenge 10MG","PHARMACY",null,8]
[" 2500838","NF-Colchicine Oral Capsule 0.6MG","PHARMACY",null,19]
[" 2500847","NF-Amoxicillin Chewable Tab 200MG","PHARMACY",null,1]
[" 2500858","NF-Azo Cranberry Oral Tablet","PHARMACY",null,0]
[" 2500871","NF-Glutathione Powder","PHARMACY",null,87]
[" 2500898","NF-Advanced Sleep Melatonin Tab ER 10MG","PHARMACY",null,0]
[" 2500901","NF-HYDROcodone and APAP 7.5MG-325MG/15ML","PHARMACY",null,0]
[" 2500904","NF-Glutamine Powder","PHARMACY",null,79]
[" 2500907","NF-Tetrahydrozoline HCl Opth Solution 0.","PHARMACY",null,1]
[" 2500909","NF-Calcitonin-Salmon Nasal Spray 200IU/1","PHARMACY",null,96]
[" 2500931","NF-Periogard Liquid 0.12%","PHARMACY",null,0]
[" 2500932","NF-Voltaren Gel Topical 1%","PHARMACY",null,0]
[" 2500935","NF-Tinactin Cream 1%","PHARMACY",null,1]
[" 2500947","NF-Fleet Mineral Oil Enema","PHARMACY",null,0]
[" 2500948","NF-Glucose Oral Gel 15GM","PHARMACY",null,0]
[" 2500984","NF-Saline Mist Spray 0.65%","PHARMACY",null,0]
[" 2500987","NF-Rosuvastatin Calcium Oral Tablet 40MG","PHARMACY",null,26]
[" 2500988","NF-Nasacort Allergy 24HR Nasal Spray 55M","PHARMACY",null,3]
[" 2500989","NF-Methadone HCl Oral Tablet 10MG","PHARMACY",null,0]
[" 2500990","NF-Diclofenac Sodium Topical Gel 1%","PHARMACY",null,1]
[" 2501004","NF-Topiramate Oral Capsule 15MG","PHARMACY",null,7]
[" 2501023","NF-Sildenafil Tablet 25MG","PHARMACY",null,199]
[" 2501032","NF-NeilMed Sinus Rinse Kit Nasal Packet","PHARMACY",null,0]
[" 2501036","NF-Meloxicam Oral Tablet 15MG","PHARMACY",null,14]
[" 2501039","NF-Thiamine HCl Tablet 100MG","PHARMACY",null,0]
[" 2501044","NF-Eye Drop Original Ophth Soln 0.05%","PHARMACY",null,0]
[" 2501045","NF-Cyclosporin A Powder","PHARMACY",null,448]
[" 2501074","NF-Vitamin D3 Oral Tablet 2000IU","PHARMACY",null,0]
[" 2501106","NF-Vicks VapoRub Ointment 4.7%-1.2%-2.6%","PHARMACY",null,0]
[" 2501107","NF-Tetrahydrozoline HCl Opth Solution 0.","PHARMACY",null,1]
[" 2501109","NF-Lyrica Oral Capsule 25MG","PHARMACY",null,29]
[" 2501117","NF-Felodipine Tablet ER 2.5MG","PHARMACY",null,4]
[" 2501130","NF-Aquacel Hydrofiber Dressing Device","PHARMACY",null,19]
[" 2501138","NF-Colchicine Oral Tablet 0.6MG","PHARMACY",null,20]
[" 2501147","NF-Lancets","PHARMACY",null,0]
[" 2501149","NF-Blood Glucose Test Strips","PHARMACY",null,0]
[" 2501150","NF-Pro Comfort Tens Unit Device","PHARMACY",null,1931]
[" 2501151","NF-Capsaicin Topical Cream 0.1%","PHARMACY",null,0]
[" 2501158","NF-Famotidine Tablet 20MG","PHARMACY",null,5]
[" 2501182","NF-Spiriva Respimat Inh Spray 1.25MCG/1A","PHARMACY",null,409]
[" 2501193","NF-Doxylamine-Phenylephrine  Tab 7.5MG-1","PHARMACY",null,1]
[" 2501196","NF-Sodium Chloride Nasal Mist 0.65%","PHARMACY",null,0]
[" 2501229","NF-Tetrahydrozoline HCl Opth Solution 0.","PHARMACY",null,1]
[" 2501239","NF-Praluent Subcutaneous Solution 75MG/1","PHARMACY",null,0]
[" 2501240","NF-Simethicone Capsule, Liquid Filled 12","PHARMACY",null,0]
[" 2501242","NF-terbinafine Oral Tablet 250MG","PHARMACY",null,38]
[" 2501277","NF-Lancets","PHARMACY",null,0]
[" 2501278","NF-Pro Comfort Tens Unit Device","PHARMACY",null,1931]
[" 2501279","NF-Pentips Pen Needles Device","PHARMACY",null,0]
[" 2501288","NF-Butrans Transdermal Patch ER 10MCG/1H","PHARMACY",null,437]
[" 2501294","NF-Boniva Oral Tablet 150MG","PHARMACY",null,687]
[" 2501295","NF-Irbesartan Oral Tablet 300MG","PHARMACY",null,11]
[" 2501296","NF- Leader Burn Spray Relief","PHARMACY",null,0]
[" 2501300","NF-Blood Glucose Test Strips","PHARMACY",null,0]
[" 2501301","NF-Blood Glucose Test Strips","PHARMACY",null,0]
[" 2501302","NF-HYDROmorphone HCl-NaCl IV 1MG/ML-0.9%","PHARMACY",null,1]
[" 2501324","NF-Lunesta Tablet 1MG","PHARMACY",null,56]
[" 2501326","NF-Cialis Tablet 5MG","PHARMACY",null,42]
[" 2501328","NF-Cromolyn Sodium Ophth Solution 4%","PHARMACY",null,11]
[" 2501349","NF-Terbinafine HCl Topical Cream 1%","PHARMACY",null,1]
[" 2501350","NF-Vitamin D3 Oral Liq Cap 50MCG","PHARMACY",null,0]
[" 2501351","NF-Systane Ophth Solution","PHARMACY",null,0]
[" 2501356","NF-Mestinon Tablet 60MG","PHARMACY",null,0]
[" 2501365","NF-PHENobarbital Tablet 60MG","PHARMACY",null,0]
[" 2501366","NF-Jardiance Oral Tablet 25MG","PHARMACY",null,65]
[" 2501367","NF-Jardiance Oral Tablet 25MG","PHARMACY",null,65]
[" 2501369","NF-Mirapex Oral Tablet 0.25MG","PHARMACY",null,26]
[" 2501370","NF-Vitamin D3 Oral Capsule 50000IU","PHARMACY",null,0]
[" 2501371","NF-Rosuvastatin Calcium Oral Tablet 20MG","PHARMACY",null,4]
[" 2501377","NF-Solifenacin Succinate Oral Tablet 10M","PHARMACY",null,43]
[" 2501379","NF-Vitamin E Tablet 400iu","PHARMACY",null,0]
[" 2501380","NF-Pen Needles Device","PHARMACY",null,0]
[" 2501384","NF-Rosuvastatin Oral Tablet 10MG","PHARMACY",null,26]
[" 5600001","PT  MOBILITY CURRENT STATUS","PHYSICAL THERAPY","G8978",1]
[" 5600002","PT  MOBILTY PROJECT GOAL STATUS","PHYSICAL THERAPY","G8979",1]
[" 5600003","PT  MOBILTY DISCHARGE STATUS","PHYSICAL THERAPY","G8980",1]
[" 5600004","PT  CHG/MAINT CURRENT STATUS","PHYSICAL THERAPY","G8981",1]
[" 5600005","PT  CHG/MAINT PROJECTED STATUS","PHYSICAL THERAPY","G8982",1]
[" 5600006","PT  CHG/MAINT DISCHARGE STATUS","PHYSICAL THERAPY","G8983",1]
[" 5600007","PT  CARRY/MOVE CURRENT STATUS","PHYSICAL THERAPY","G8984",1]
[" 5600008","PT  CARRY/MOVE PROJECTED STATUS","PHYSICAL THERAPY","G8985",1]
[" 5600009","PT  CARRY/MOVE DISCHARGE STATUS","PHYSICAL THERAPY","G8986",1]
[" 5600010","PT  SELF CARE CURRENT STATUS","PHYSICAL THERAPY","G8987",1]
[" 5600011","PT  SELF CARE PROJECTED STATUS","PHYSICAL THERAPY","G8988",1]
[" 5600012","PT  SELF CARE DISCHARGE STATUS","PHYSICAL THERAPY","G8989",1]
[" 5600013","PT  OTHER PT CURRENT STATUS","PHYSICAL THERAPY","G8990",1]
[" 5600014","PT  OTHER PT PROJECTED STATUS","PHYSICAL THERAPY","G8991",1]
[" 5600015","PT  OTHER PT DISCHARGE STATUS","PHYSICAL THERAPY","G8992",1]
[" 5600016","PT  OTHER PT SUBSEQUENT CURRENT","PHYSICAL THERAPY","G8993",1]
[" 5600017","PT  OTHER PT SUBSEQUENT PROJECT STATUS","PHYSICAL THERAPY","G8994",1]
[" 5600018","PT  OTHER PT SUBSEQUENT DISCHARGE","PHYSICAL THERAPY","G8995",1]
[" 5600030","PT NEUROSTIMULATOR/TENS","PHYSICAL THERAPY","64550",85]
[" 5600033","PT MECHANICAL TRACTION","PHYSICAL THERAPY","97012",97]
[" 5600034","PT UNATTENDED E-STIM","PHYSICAL THERAPY","97014",82]
[" 5600035","PT PARAFFIN TREATMENT","PHYSICAL THERAPY","97018",82]
[" 5600036","PT ATTENDED E-STIM 15 MIN","PHYSICAL THERAPY","97032",92]
[" 5600037","PT IONTOPHORESIS 15 MIN","PHYSICAL THERAPY","97033",118]
[" 5600038","THER EX 1OR MORE 15MIN","PHYSICAL THERAPY","97110",93]
[" 5600039","PT NEUROMUSCULAR RE-ED 15 MIN","PHYSICAL THERAPY","97112",102]
[" 5600040","PT AQUATIC THERAPY","PHYSICAL THERAPY","97113",107]
[" 5600041","PT GAIT TRAINING 15 MIN","PHYSICAL THERAPY","97116",96]
[" 5600042","PT MASSAGE 15 MIN","PHYSICAL THERAPY","97124",80]
[" 5600043","PT MANUAL THERAPY 15 MIN","PHYSICAL THERAPY","97140",102]
[" 5600044","THERA ACTIVITY 1ON1 15MIN","PHYSICAL THERAPY","97530",80]
[" 5600045","PT WHEELCHAIR MANAGEMENT","PHYSICAL THERAPY","97542",93]
[" 5600046","PT NON-SELECTIVE DEBRIDEMENT","PHYSICAL THERAPY","97602",193]
[" 5600047","PT ORTHOTICS FIT AND TRAIN","PHYSICAL THERAPY","97760",118]
[" 5600048","PT ULTRASOUND THERAPY","PHYSICAL THERAPY","97035",80]
[" 5600049","IONTOPHORESIS 15 MIN","PHYSICAL THERAPY","97033",102]
[" 5600055","UNATTENDED ELEC STIM","PHYSICAL THERAPY","97014",77]
[" 5600057","PT MASSAGE 15 MIN","PHYSICAL THERAPY","97124",75]
[" 5600058","ULTRASOUND 15MIN","PHYSICAL THERAPY","97035",75]
[" 5600080","MANUAL THERAPY 15MIN","PHYSICAL THERAPY","97140",95]
[" 5600098","WC ASSESS/FIT/TRAIN 15M","PHYSICAL THERAPY","97542",90]
[" 5600116","PT THERAPEUTIC EXERCISE 15 MIN","PHYSICAL THERAPY","97110",102]
[" 5600121","GAIT TRAINING 15MIN","PHYSICAL THERAPY","97116",90]
[" 5600174","PT WHIRLPOOL EXTREMITY","PHYSICAL THERAPY","97022",93]
[" 5600208","PT THERAPEUTIC ACTIVITY 15 MIN","PHYSICAL THERAPY","97530",96]
[" 5600305","PT TELE THERAPEUTIC EXERCISE 15 MIN","PHYSICAL THERAPY","9711095",102,"95"]
[" 5600306","PT TELE CANALITH REPOSITIONING","PHYSICAL THERAPY","9599295",96,"95"]
[" 5600307","PT TELE MANUAL THERAPY 15 MIN","PHYSICAL THERAPY","9714095",102,"95"]
[" 5600308","PT TELE THERAPEUTIC ACTIVITY 15 MIN","PHYSICAL THERAPY","9753095",96,"95"]
[" 5600309","PT TELE GAIT TRAINING 15 MIN","PHYSICAL THERAPY","9711695",96,"95"]
[" 5600310","PT TELE WHEELCHAIR MANAGEMENT","PHYSICAL THERAPY","9754295",93,"95"]
[" 5600311","PT TELE NEUROMUSCULAR RE-ED 15 MIN","PHYSICAL THERAPY","9711295",98,"95"]
[" 5600992","PT CANALITH REPOSITIONING","PHYSICAL THERAPY","95992",96]
[" 5601203","NEUROMUSCULAR RE-ED 15 MIN","PHYSICAL THERAPY","97112",92]
[" 5601204","PT BODY FAT COMPOSITN TEST 15 MIN","PHYSICAL THERAPY",null,28]
[" 5602207","ATTENDED ELEC STIM 15MIN","PHYSICAL THERAPY","97032",77]
[" 5604333","PT  BODY POS CURRENT G8981-CH","PHYSICAL THERAPY","G8981CHGP",1,"CHGP"]
[" 5604334","PT  BODY POS CURRENT G8981-CI","PHYSICAL THERAPY","G8981CIGP",1,"CIGP"]
[" 5604335","PT  BODY POS CURRENT G8981-CJ","PHYSICAL THERAPY","G8981CJGP",1,"CJGP"]
[" 5604336","PT  BODY POS CURRENT G8981-CK","PHYSICAL THERAPY","G8981CKGP",1,"CKGP"]
[" 5604337","PT  BODY POS CURRENT G8981-CL","PHYSICAL THERAPY","G8981CLGP",1,"CLGP"]
[" 5604338","PT  BODY POS CURRENT G8981-CM","PHYSICAL THERAPY","G8981CMGP",1,"CMGP"]
[" 5604339","PT  BODY POS CURRENT G8981-CN","PHYSICAL THERAPY","G8981CNGP",1,"CNGP"]
[" 5604340","PT  CARRY DC G8986-CH","PHYSICAL THERAPY","G8986CHGP",1,"CHGP"]
[" 5604341","PT  CARRY DC G8986-CI","PHYSICAL THERAPY","G8986CIGP",1,"CIGP"]
[" 5604342","PT  CARRY DC G8986-CJ","PHYSICAL THERAPY","G8986CJGP",1,"CJGP"]
[" 5604343","PT  CARRY DC G8986-CK","PHYSICAL THERAPY","G8986CKGP",1,"CKGP"]
[" 5604344","PT  CARRY DC G8986-CL","PHYSICAL THERAPY","G8986CLGP",1,"CLGP"]
[" 5604345","PT  CARRY DC G8986-CM","PHYSICAL THERAPY","G8986CMGP",1,"CMGP"]
[" 5604346","PT  CARRY DC G8986-CN","PHYSICAL THERAPY","G8986CNGP",1,"CNGP"]
[" 5604347","PT  CARRY GOAL G8985-CH","PHYSICAL THERAPY","G8985CHGP",1,"CHGP"]
[" 5604348","PT  CARRY GOAL G8985-CI","PHYSICAL THERAPY","G8985CIGP",1,"CIGP"]
[" 5604349","PT  CARRY GOAL G8985-CJ","PHYSICAL THERAPY","G8985CJGP",1,"CJGP"]
[" 5604350","PT  CARRY GOAL G8985-CK","PHYSICAL THERAPY","G8985CKGP",1,"CKGP"]
[" 5604351","PT  CARRY GOAL G8985-CL","PHYSICAL THERAPY","G8985CLGP",1,"CLGP"]
[" 5604352","PT  CARRY GOAL G8985-CM","PHYSICAL THERAPY","G8985CMGP",1,"CMGP"]
[" 5604353","PT  CARRY GOAL G8985-CN","PHYSICAL THERAPY","G8985CNGP",1,"CNGP"]
[" 5604354","PT  SELF-CARE DC G8989-CH","PHYSICAL THERAPY","G8989CHGP",1,"CHGP"]
[" 5604355","PT  SELF-CARE DC G8989-CI","PHYSICAL THERAPY","G8989CIGP",1,"CIGP"]
[" 5604356","PT  SELF-CARE DC G8989-CJ","PHYSICAL THERAPY","G8989CJGP",1,"CJGP"]
[" 5604357","PT  SELF-CARE DC G8989-CK","PHYSICAL THERAPY","G8989CKGP",1,"CKGP"]
[" 5604358","PT  SELF-CARE DC G8989-CL","PHYSICAL THERAPY","G8989CLGP",1,"CLGP"]
[" 5604359","PT  SELF-CARE DC G8989-CM","PHYSICAL THERAPY","G8989CMGP",1,"CMGP"]
[" 5604360","PT  SELF-CARE DC G8989-CN","PHYSICAL THERAPY","G8989CNGP",1,"CNGP"]
[" 5604361","PT  SELF-CARE GOAL G8988-CH","PHYSICAL THERAPY","G8988CHGP",1,"CHGP"]
[" 5604362","PT  SELF-CARE GOAL G8988-CI","PHYSICAL THERAPY","G8988CIGP",1,"CIGP"]
[" 5604363","PT  SELF-CARE GOAL G8988-CJ","PHYSICAL THERAPY","G8988CJGP",1,"CJGP"]
[" 5604364","PT  SELF-CARE GOAL G8988-CK","PHYSICAL THERAPY","G8988CKGP",1,"CKGP"]
[" 5604365","PT  SELF-CARE GOAL G8988-CL","PHYSICAL THERAPY","G8988CLGP",1,"CLGP"]
[" 5604366","PT  SELF-CARE GOAL G8988-CM","PHYSICAL THERAPY","G8988CMGP",1,"CMGP"]
[" 5604367","PT  SELF-CARE GOAL G8988-CN","PHYSICAL THERAPY","G8988CNGP",1,"CNGP"]
[" 5604368","PT  SUB PT/OT GOAL G8994-CH","PHYSICAL THERAPY","G8994CHGP",1,"CHGP"]
[" 5604369","PT  SUB PT/OT GOAL G8994-CI","PHYSICAL THERAPY","G8994CIGP",1,"CIGP"]
[" 5604370","PT  SUB PT/OT GOAL G8994-CJ","PHYSICAL THERAPY","G8994CJGP",1,"CJGP"]
[" 5604371","PT  SUB PT/OT GOAL G8994-CK","PHYSICAL THERAPY","G8994CKGP",1,"CKGP"]
[" 5604372","PT  SUB PT/OT GOAL G8994-CL","PHYSICAL THERAPY","G8994CLGP",1,"CLGP"]
[" 5604373","PT  SUB PT/OT GOAL G8994-CM","PHYSICAL THERAPY","G8994CMGP",1,"CMGP"]
[" 5604374","PT  SUB PT/OT GOAL G8994-CN","PHYSICAL THERAPY","G8994CNGP",1,"CNGP"]
[" 5604375","PT  BODY POS DC G8983-CH","PHYSICAL THERAPY","G8983CHGP",1,"CHGP"]
[" 5604376","PT  BODY POS DC G8983-CI","PHYSICAL THERAPY","G8983CIGP",1,"CIGP"]
[" 5604377","PT  BODY POS DC G8983-CJ","PHYSICAL THERAPY","G8983CJGP",1,"CJGP"]
[" 5604378","PT  BODY POS DC G8983-CK","PHYSICAL THERAPY","G8983CKGP",1,"CKGP"]
[" 5604379","PT  BODY POS DC G8983-CL","PHYSICAL THERAPY","G8983CLGP",1,"CLGP"]
[" 5604380","PT  BODY POS DC G8983-CM","PHYSICAL THERAPY","G8983CMGP",1,"CMGP"]
[" 5604381","PT  BODY POS DC G8983-CN","PHYSICAL THERAPY","G8983CNGP",1,"CNGP"]
[" 5604382","PT  BODY POS GOAL G8982-CH","PHYSICAL THERAPY","G8982CHGP",1,"CHGP"]
[" 5604383","PT  BODY POS GOAL G8982-CI","PHYSICAL THERAPY","G8982CIGP",1,"CIGP"]
[" 5604384","PT  BODY POS GOAL G8982-CJ","PHYSICAL THERAPY","G8982CJGP",1,"CJGP"]
[" 5604385","PT  BODY POS GOAL G8982-CK","PHYSICAL THERAPY","G8982CKGP",1,"CKGP"]
[" 5604386","PT  BODY POS GOAL G8982-CL","PHYSICAL THERAPY","G8982CLGP",1,"CLGP"]
[" 5604387","PT  BODY POS GOAL G8982-CM","PHYSICAL THERAPY","G8982CMGP",1,"CMGP"]
[" 5604388","PT  BODY POS GOAL G8982-CN","PHYSICAL THERAPY","G8982CNGP",1,"CNGP"]
[" 5604389","PT  CARRY CURRENT G8984 -CH","PHYSICAL THERAPY","G8984CHGP",1,"CHGP"]
[" 5604390","PT  CARRY CURRENT G8984 -CI","PHYSICAL THERAPY","G8984CIGP",1,"CIGP"]
[" 5604391","PT  CARRY CURRENT G8984 -CJ","PHYSICAL THERAPY","G8984CJGP",1,"CJGP"]
[" 5604392","PT  CARRY CURRENT G8984 -CK","PHYSICAL THERAPY","G8984CKGP",1,"CKGP"]
[" 5604393","PT  CARRY CURRENT G8984 -CL","PHYSICAL THERAPY","G8984CLGP",1,"CLGP"]
[" 5604394","PT  CARRY CURRENT G8984 -CM","PHYSICAL THERAPY","G8984CMGP",1,"CMGP"]
[" 5604395","PT  CARRY CURRENT G8984 -CN","PHYSICAL THERAPY","G8984CNGP",1,"CNGP"]
[" 5604396","PT  MOBILITY CURRENT G8978- CH","PHYSICAL THERAPY","G8978CHGP",1,"CHGP"]
[" 5604397","PT  MOBILITY CURRENT G8978- CI","PHYSICAL THERAPY","G8978CIGP",1,"CIGP"]
[" 5604398","PT  MOBILITY CURRENT G8978- CJ","PHYSICAL THERAPY","G8978CJGP",1,"CJGP"]
[" 5604399","PT  MOBILITY CURRENT G8978- CK","PHYSICAL THERAPY","G8978CKGP",1,"CKGP"]
[" 5604400","PT  MOBILITY CURRENT G8978- CL","PHYSICAL THERAPY","G8978CLGP",1,"CLGP"]
[" 5604401","PT  MOBILITY CURRENT G8978- CM","PHYSICAL THERAPY","G8978CMGP",1,"CMGP"]
[" 5604402","PT  MOBILITY CURRENT G8978- CN","PHYSICAL THERAPY","G8978CNGP",1,"CNGP"]
[" 5604403","PT  MOBILITY DC G8980-CH","PHYSICAL THERAPY","G8980CHGP",1,"CHGP"]
[" 5604404","PT  MOBILITY DC G8980-CI","PHYSICAL THERAPY","G8980CIGP",1,"CIGP"]
[" 5604405","PT  MOBILITY DC G8980-CJ","PHYSICAL THERAPY","G8980CJGP",1,"CJGP"]
[" 5604406","PT  MOBILITY DC G8980-CK","PHYSICAL THERAPY","G8980CKGP",1,"CKGP"]
[" 5604407","PT  MOBILITY DC G8980-CL","PHYSICAL THERAPY","G8980CLGP",1,"CLGP"]
[" 5604408","PT  MOBILITY DC G8980-CM","PHYSICAL THERAPY","G8980CMGP",1,"CMGP"]
[" 5604409","PT  MOBILITY DC G8980-CN","PHYSICAL THERAPY","G8980CNGP",1,"CNGP"]
[" 5604410","PT  MOBILITY GOAL G8979-CH","PHYSICAL THERAPY","G8979CHGP",1,"CHGP"]
[" 5604411","PT  MOBILITY GOAL G8979-CI","PHYSICAL THERAPY","G8979CIGP",1,"CIGP"]
[" 5604412","PT  MOBILITY GOAL G8979-CJ","PHYSICAL THERAPY","G8979CJGP",1,"CJGP"]
[" 5604413","PT  MOBILITY GOAL G8979-CK","PHYSICAL THERAPY","G8979CKGP",1,"CKGP"]
[" 5604414","PT  MOBILITY GOAL G8979-CL","PHYSICAL THERAPY","G8979CLGP",1,"CLGP"]
[" 5604415","PT  MOBILITY GOAL G8979-CM","PHYSICAL THERAPY","G8979CMGP",1,"CMGP"]
[" 5604416","PT  MOBILITY GOAL G8979-CN","PHYSICAL THERAPY","G8979CNGP",1,"CNGP"]
[" 5604417","PT  OTHER PT/OT CURRENT G8990-CH","PHYSICAL THERAPY","G8990CHGP",1,"CHGP"]
[" 5604418","PT  OTHER PT/OT CURRENT G8990-CI","PHYSICAL THERAPY","G8990CIGP",1,"CIGP"]
[" 5604419","PT  OTHER PT/OT CURRENT G8990-CJ","PHYSICAL THERAPY","G8990CJGP",1,"CJGP"]
[" 5604420","PT  OTHER PT/OT CURRENT G8990-CK","PHYSICAL THERAPY","G8990CKGP",1,"CKGP"]
[" 5604421","PT  OTHER PT/OT CURRENT G8990-CL","PHYSICAL THERAPY","G8990CLGP",1,"CLGP"]
[" 5604422","PT  OTHER PT/OT CURRENT G8990-CM","PHYSICAL THERAPY","G8990CMGP",1,"CMGP"]
[" 5604423","PT  OTHER PT/OT CURRENT G8990-CN","PHYSICAL THERAPY","G8990CNGP",1,"CNGP"]
[" 5604424","PT  OTHER PT/OT DC G8992-CH","PHYSICAL THERAPY","G8992CHGP",1,"CHGP"]
[" 5604425","PT  OTHER PT/OT DC G8992-CI","PHYSICAL THERAPY","G8992CIGP",1,"CIGP"]
[" 5604426","PT  OTHER PT/OT DC G8992-CJ","PHYSICAL THERAPY","G8992CJGP",1,"CJGP"]
[" 5604427","PT  OTHER PT/OT DC G8992-CK","PHYSICAL THERAPY","G8992CKGP",1,"CKGP"]
[" 5604428","PT  OTHER PT/OT DC G8992-CL","PHYSICAL THERAPY","G8992CLGP",1,"CLGP"]
[" 5604429","PT  OTHER PT/OT DC G8992-CM","PHYSICAL THERAPY","G8992CMGP",1,"CMGP"]
[" 5604430","PT  OTHER PT/OT DC G8992-CN","PHYSICAL THERAPY","G8992CNGP",1,"CNGP"]
[" 5604431","PT  OTHER PT/OT GOAL G8991-CH","PHYSICAL THERAPY","G8991CHGP",1,"CHGP"]
[" 5604432","PT  OTHER PT/OT GOAL G8991-CI","PHYSICAL THERAPY","G8991CIGP",1,"CIGP"]
[" 5604433","PT  OTHER PT/OT GOAL G8991-CJ","PHYSICAL THERAPY","G8991CJGP",1,"CJGP"]
[" 5604434","PT  OTHER PT/OT GOAL G8991-CK","PHYSICAL THERAPY","G8991CKGP",1,"CKGP"]
[" 5604435","PT  OTHER PT/OT GOAL G8991-CL","PHYSICAL THERAPY","G8991CLGP",1,"CLGP"]
[" 5604436","PT  OTHER PT/OT GOAL G8991-CM","PHYSICAL THERAPY","G8991CMGP",1,"CMGP"]
[" 5604437","PT  OTHER PT/OT GOAL G8991-CN","PHYSICAL THERAPY","G8991CNGP",1,"CNGP"]
[" 5604438","PT  SELF-CARE CURRENT G8987-CH","PHYSICAL THERAPY","G8987CHGP",1,"CHGP"]
[" 5604439","PT  SELF-CARE CURRENT G8987-CI","PHYSICAL THERAPY","G8987CIGP",1,"CIGP"]
[" 5604440","PT  SELF-CARE CURRENT G8987-CJ","PHYSICAL THERAPY","G8987CJGP",1,"CJGP"]
[" 5604441","PT  SELF-CARE CURRENT G8987-CK","PHYSICAL THERAPY","G8987CKGP",1,"CKGP"]
[" 5604442","PT  SELF-CARE CURRENT G8987-CL","PHYSICAL THERAPY","G8987CLGP",1,"CLGP"]
[" 5604443","PT  SELF-CARE CURRENT G8987-CM","PHYSICAL THERAPY","G8987CMGP",1,"CMGP"]
[" 5604444","PT  SELF-CARE CURRENT G8987-CN","PHYSICAL THERAPY","G8987CNGP",1,"CNGP"]
[" 5604445","PT  SUB PT/OT CURRENT G8993-CH","PHYSICAL THERAPY","G8993CHGP",1,"CHGP"]
[" 5604446","PT  SUB PT/OT CURRENT G8993-CI","PHYSICAL THERAPY","G8993CIGP",1,"CIGP"]
[" 5604447","PT  SUB PT/OT CURRENT G8993-CJ","PHYSICAL THERAPY","G8993CJGP",1,"CJGP"]
[" 5604448","PT  SUB PT/OT CURRENT G8993-CK","PHYSICAL THERAPY","G8993CKGP",1,"CKGP"]
[" 5604449","PT  SUB PT/OT CURRENT G8993-CL","PHYSICAL THERAPY","G8993CLGP",1,"CLGP"]
[" 5604450","PT  SUB PT/OT CURRENT G8993-CM","PHYSICAL THERAPY","G8993CMGP",1,"CMGP"]
[" 5604451","PT  SUB PT/OT CURRENT G8993-CN","PHYSICAL THERAPY","G8993CNGP",1,"CNGP"]
[" 5604452","PT  SUB PT/OT DC G8995-CH","PHYSICAL THERAPY","G8995CHGP",1,"CHGP"]
[" 5604453","PT  SUB PT/OT DC G8995-CI","PHYSICAL THERAPY","G8995CIGP",1,"CIGP"]
[" 5604454","PT  SUB PT/OT DC G8995-CJ","PHYSICAL THERAPY","G8995CJGP",1,"CJGP"]
[" 5604455","PT  SUB PT/OT DC G8995-CK","PHYSICAL THERAPY","G8995CKGP",1,"CKGP"]
[" 5604456","PT  SUB PT/OT DC G8995-CL","PHYSICAL THERAPY","G8995CLGP",1,"CLGP"]
[" 5604457","PT  SUB PT/OT DC G8995-CM","PHYSICAL THERAPY","G8995CMGP",1,"CMGP"]
[" 5604458","PT  SUB PT/OT DC G8995-CN","PHYSICAL THERAPY","G8995CNGP",1,"CNGP"]
[" 5690000","=>PT ORDER<=","PHYSICAL THERAPY",null,0]
[" 5690001","=>CANCEL REHAB ORDER<=","PHYSICAL THERAPY",null,0]
[" 5800200","OT NON-SELECTIVE DEBRIDEMENT","PHYSICAL THERAPY","97602",193]
[" 5800543","OT ORTHOTICS FIT AND TRAIN","PHYSICAL THERAPY","97760",118]
[" 5800544","OT ORTHOTICS TRAINING INTIAL 15 MIN","PHYSICAL THERAPY","97761",0]
[" 5800545","OT ORTHOTICS TRAINING SUBSEQUENT 15 MIN","PHYSICAL THERAPY","97763",0]
[" 5600019","PT EVAL LOW COMPLEXITY","PHYSICAL THERAPY","97161",150]
[" 5600020","PT EVAL MODERATE COMPLEXITY","PHYSICAL THERAPY","97162",171]
[" 5600021","PT EVAL HIGH COMPLEXITY","PHYSICAL THERAPY","97163",193]
[" 5600022","PT RE-EVALUATION","PHYSICAL THERAPY","97164",112]
[" 5600023","PT E-VISIT 5-10 MIN","PHYSICAL THERAPY","G2061",39]
[" 5600024","PT E- VISIT 11-20 MINUTES","PHYSICAL THERAPY","G2062",68]
[" 5600025","PT E-VISIT >21 MINS","PHYSICAL THERAPY","G2063",107]
[" 5600200","PT EVAL MODERATE COMPLEXITY","PHYSICAL THERAPY","97162",160]
[" 5600300","PT TELE EVAL LOW COMPLEXITY","PHYSICAL THERAPY","9716195",150,"95"]
[" 5600301","PT TELE EVAL MODERATE COMPLEXITY","PHYSICAL THERAPY","9716295",171,"95"]
[" 5600302","PT TELE EVAL HIGH COMPLEXITY","PHYSICAL THERAPY","9716395",193,"95"]
[" 5600303","PT TELE RE-EVALUATION","PHYSICAL THERAPY","9716495",112,"95"]
[" 5600304","PT TELE SELF CARE HOME MGT TRAINING 15 M","PHYSICAL THERAPY","9753595",91,"95"]
[" 5600535","PT SELF CARE HOME MGMT TRAINING 15 MIN","PHYSICAL THERAPY","97535",91]
[" 5604161","PT EVAL OF LOW COMPLEX 20 MINS","PHYSICAL THERAPY","97161",140]
[" 5604162","PT EVAL OF MOD COMPLEX 30 MINS","PHYSICAL THERAPY","97162",160]
[" 5604163","PT EVAL OF HIGH COMPLEX 45 MIN","PHYSICAL THERAPY","97163",180]
[" 5604164","PT RE-EVALUATION","PHYSICAL THERAPY","97164",105]
[" 1000320","PF EPIDURAL CERVICAL/THORACIC","PROFESSIONAL FEE","62320",1107]
[" 1000322","PF EPIDURAL LUMBAR/SACRAL W/O","PROFESSIONAL FEE","62322",484]
[" 1209001","MC PF ADD 5CM OR LESS FACE","PROFESSIONAL FEE","13133",441]
[" 1209002","MC PF W/WO SKIN OR SKEL TRAC","PROFESSIONAL FEE","26725",807]
[" 1209003","MC PF CL TX RADIALULNAR SHAF","PROFESSIONAL FEE","25560",827]
[" 1209004","MC PF REPAIR FULL ARM CAST","PROFESSIONAL FEE","29705",182]
[" 1209005","MC PF CL TX BIMAL ANK FX WO","PROFESSIONAL FEE","27808",763]
[" 1209007","MC PF CL TX TRIM ANKLE FX W/","PROFESSIONAL FEE","27816",721]
[" 1209008","MC PF CLTX MALLEOLUS FX W/O","PROFESSIONAL FEE","27760",763]
[" 1209009","MC PF CL TX DISTAL RAID FX W","PROFESSIONAL FEE","25600",872]
[" 1209010","MC PF CL TX RADIAL SHAFT FX","PROFESSIONAL FEE","25500",758]
[" 1209011","MC PF CL TX KNEE DISLOC WO A","PROFESSIONAL FEE","27550",963]
[" 1209012","MC PF INCISION/DRAINAGE HEMA","PROFESSIONAL FEE","10140",341]
[" 1209013","MC PF EACH ADDTL NAIL PLATE","PROFESSIONAL FEE","11732",94]
[" 1209015","MC INJ GREATER OCCIPITAL NER","PROFESSIONAL FEE","64405",642]
[" 1209016","MC INJ LUMBAR SACRAL SINGLE","PROFESSIONAL FEE","64483",729]
[" 1209017","MC PF CL TX PATELLAR FX W/O","PROFESSIONAL FEE","27520",751]
[" 1209018","MC PF CL TX ULNAR SHAFT FX W","PROFESSIONAL FEE","25530",758]
[" 1209020","MC PF ED/CLOSED TIB SHAFT FR","PROFESSIONAL FEE","27750",805]
[" 1209022","MC PF CLSD TX S/P HIP ARTHRO","PROFESSIONAL FEE","27265",967]
[" 1209033","MC PC TX NASAL BONE FX W/","PROFESSIONAL FEE","21310",342]
[" 1209036","MC CLTX MTCARPHLNGL W/ANES","PROFESSIONAL FEE","26705",932]
[" 1209037","MC PC CLSD TRT FX GREAT TOE","PROFESSIONAL FEE","28490",367]
[" 1209039","MC PF ELBOW/FINGER SHRTARM C","PROFESSIONAL FEE","29075",279]
[" 1209040","MC PF REP SIMP 12.6 TO 20 CM","PROFESSIONAL FEE","12005",449]
[" 1209041","MC PF APP LONG ARM CAST","PROFESSIONAL FEE","29065",361]
[" 1209042","MC PF CLSD TRT GRT HUMERAL T","PROFESSIONAL FEE","23620",637]
[" 1209047","MC PF ESOPHAGOGASTRIC W/BALL","PROFESSIONAL FEE","43460",679]
[" 1209048","MC PFCLSD TRT HUMERAL CONDYL","PROFESSIONAL FEE","24576",631]
[" 1209049","MC PF ESOPHAGASTRIC TAMPONAD","PROFESSIONAL FEE","43460",679]
[" 1209050","MC PF CLSD TRT CALCANEAL FX","PROFESSIONAL FEE","28400",869]
[" 1209051","MC PF CLSD TRT DISTAL FIBULA","PROFESSIONAL FEE","27788",1187]
[" 1209053","MC PF REP TENDON/MUSCLE EXTE","PROFESSIONAL FEE","25270",4667]
[" 1209054","MC PF LIGATION ARTERY INT MA","PROFESSIONAL FEE","30920",3877]
[" 1209055","MC PFDRAIN EXT EAR SIMP ABSC","PROFESSIONAL FEE","69000",371]
[" 1209057","MC PF REP COMPLX TRUNK 1.1-2","PROFESSIONAL FEE","13100",472]
[" 1209058","MC PF CLSD TRT IP JOINT ANES","PROFESSIONAL FEE","26775",932]
[" 1209059","MC PF CLSD CARPOMETACARPAL","PROFESSIONAL FEE","26670",684]
[" 1209060","MC PF HEMORRHOIDECTOMY  INT/","PROFESSIONAL FEE","46255",3459]
[" 1209061","MC PF APPLICATION LONG CAST","PROFESSIONAL FEE","29345",347]
[" 1209062","MC PF SMPLE REP FACE =<2.5CM","PROFESSIONAL FEE","12011",343]
[" 1209063","MC PF TRT CLSD ELBOW W/O ANE","PROFESSIONAL FEE","24600",723]
[" 1209064","MC PF CLSD TRT FX PHALANG W/","PROFESSIONAL FEE","26755",625]
[" 1209065","MC PF REM FOREIGN BODY MOUTH","PROFESSIONAL FEE","40804",428]
[" 1209066","MC PF REM FOREIGN BODY MOUTH","PROFESSIONAL FEE","40804",428]
[" 1209068","MC PF I&D ABSCESS COMPLICATE","PROFESSIONAL FEE","10061",448]
[" 1209069","MC PF AMP FINGER THUMB DIREC","PROFESSIONAL FEE","26951",2266]
[" 1209071","MC PF CLSD TRT FEMORAL SHAFT","PROFESSIONAL FEE","27500",1481]
[" 1209072","MC PF CONT NASAL HEMRAGE POS","PROFESSIONAL FEE","30905",553]
[" 1209073","MC PF CLSD TRT METACARPL FX W","PROFESSIONAL FEE","26605",807]
[" 1209080","MC PF CLSD TRT FX W/O MANIP","PROFESSIONAL FEE","28515",449]
[" 1209090","MC PR UNLIST PROC VASC SURG","PROFESSIONAL FEE","37799",625]
[" 1209091","MC PF CLSD TRT TIB FX W/O MA","PROFESSIONAL FEE","27530",973]
[" 1209100","MC EXAM-MINIMAL/BRIEF","PROFESSIONAL FEE","99281",87]
[" 1209101","MC EXAM-LIMITED","PROFESSIONAL FEE","99282",214]
[" 1209102","MC EXAM-ROUTINE","PROFESSIONAL FEE","99283",321]
[" 1209103","MC EXAM-INTERMEDIATE","PROFESSIONAL FEE","99284",535]
[" 1209104","MC EXAM-COMPREHENSIVE","PROFESSIONAL FEE","99285",829]
[" 1209105","MC UP TO 2.5 CM-W&L","PROFESSIONAL FEE","12001",285]
[" 1209106","MC W/L 2.6CM TO 7.5CM","PROFESSIONAL FEE","12002",343]
[" 1209107","MC W/L 7.6CM TO 12.5CM","PROFESSIONAL FEE","12004",426]
[" 1209108","MC EXAM-LIMITED 2","PROFESSIONAL FEE","9928225",214,"25"]
[" 1209109","MC EXAM-ROUTINE 2","PROFESSIONAL FEE","9928325",321,"25"]
[" 1209110","MC EXAM-INTERMEDIATE 2","PROFESSIONAL FEE","9928425",535,"25"]
[" 1209111","MC W/L 2.6CM TO 7.5CM","PROFESSIONAL FEE","1310159",797,"59"]
[" 1209112","MC EXAM-COMPREHENSIVE 2","PROFESSIONAL FEE","9928525",829,"25"]
[" 1209114","MC SHOULDER W/MANIPULATION","PROFESSIONAL FEE","23650",637]
[" 1209115","MC DISLO SLD W/AN","PROFESSIONAL FEE","23655",2092]
[" 1209116","MC DISLOC FINGER","PROFESSIONAL FEE","26770",622]
[" 1209118","MC F/B EYE-CONJUNCT/SUPERFIC","PROFESSIONAL FEE","65205",113]
[" 1209119","MC F/B INTRANASAL","PROFESSIONAL FEE","30300",462]
[" 1209120","MC F/B EAR  AUDITORY CANAL","PROFESSIONAL FEE","69200",260]
[" 1209121","MC SUBCUTANEOUS-SIMPLE","PROFESSIONAL FEE","10120",499]
[" 1209123","MC I&D ABSCESS  SIMPLE","PROFESSIONAL FEE","10060",290]
[" 1209124","MC I&D ASPIRATION OF ABSCESS","PROFESSIONAL FEE","10160",264]
[" 1209129","MC INSERTION FOLEY CATH","PROFESSIONAL FEE","51702",207]
[" 1209130","MC BRRN  FIRST DEGREE","PROFESSIONAL FEE","16000",140]
[" 1209131","MC BURN DRESSING SMALL","PROFESSIONAL FEE","16020",272]
[" 1209132","MC BURN DRESSING MEDIUM","PROFESSIONAL FEE","16025",305]
[" 1209133","MC COMPLEX  EACH ADD 5 CM","PROFESSIONAL FEE","13122",302]
[" 1209134","MC NASAL HEMORAGE-ANTERIOR","PROFESSIONAL FEE","30901",235]
[" 1209135","MC NASAL HEMORAGE-POSTERIOR","PROFESSIONAL FEE","30905",209]
[" 1209137","MC SPLINT LONG ARM","PROFESSIONAL FEE","29105",230]
[" 1209138","MC SPLINT SHORT ARM","PROFESSIONAL FEE","29125",197]
[" 1209139","MC SPLINT LONG LEG","PROFESSIONAL FEE","29505",209]
[" 1209140","MC SPLINT SHORT LEG","PROFESSIONAL FEE","29515",182]
[" 1209145","MC SPLINT FINGER","PROFESSIONAL FEE","29130",132]
[" 1209146","MC PF CLSD TRT FEMORAL FX W/","PROFESSIONAL FEE","27508",1270]
[" 1209151","MC PF LIGATION MAJ ARTERY EX","PROFESSIONAL FEE","37617",1953]
[" 1209152","MC PF REM TUNN CVC W/O PORT/PUMP","PROFESSIONAL FEE","36589",494]
[" 1209153","MC RESUSCITATION","PROFESSIONAL FEE","92950",821]
[" 1209154","MC ENDOTRACHEAL INTUBATION","PROFESSIONAL FEE","31500",290]
[" 1209156","MC THORACENTESIS","PROFESSIONAL FEE","32555",883]
[" 1209158","MC ANOSCOPY","PROFESSIONAL FEE","46600",299]
[" 1209159","MC LUMBAR PUNCTURE","PROFESSIONAL FEE","62270",402]
[" 1209160","MC PF CLSD TRT ARTICULAR FX","PROFESSIONAL FEE","26740",715]
[" 1209161","MC PF CLSD TRT PROX FIBULA/S","PROFESSIONAL FEE","27780",583]
[" 1209162","MC PF CLSD TRT PROX HUMERAL","PROFESSIONAL FEE","23600",728]
[" 1209164","MC REPAIR-UP TO 2.5 CM","PROFESSIONAL FEE","12011",343]
[" 1209165","MC 2.6 - 5.0 CM-REPAIR","PROFESSIONAL FEE","12013",402]
[" 1209166","MC 5.1 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12014",426]
[" 1209167","MC 7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12015",520]
[" 1209171","MC UP TO 2.5 CM-REPAIR","PROFESSIONAL FEE","12031",486]
[" 1209172","MC 2.6 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12032",613]
[" 1209173","MC 7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12034",609]
[" 1209174","MC SUTURE INTEMD 12.60-20.0 CM","PROFESSIONAL FEE","12035",852]
[" 1209175","MC ED EXCISION NAIL MATRIX","PROFESSIONAL FEE","11750",468]
[" 1209177","MC UP TO 2.5 CM-REPAIR","PROFESSIONAL FEE","12041",508]
[" 1209178","MC 2.6 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12042",582]
[" 1209179","MC 7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12044",688]
[" 1209183","MC UP TO 2.5 REPAIR","PROFESSIONAL FEE","12051",575]
[" 1209184","MC 2.5 - 5.0 CM REPAIR","PROFESSIONAL FEE","12052",653]
[" 1209185","MC 5.1 - 7.5 CM REPAIR","PROFESSIONAL FEE","12053",758]
[" 1209186","MC STRAP ELBOW/WRIST","PROFESSIONAL FEE","29260",139]
[" 1209187","MC PT MANIPULATIVE THERAPY","PROFESSIONAL FEE","97124",65]
[" 1209202","MC CRITICAL CARE 1ST HOUR","PROFESSIONAL FEE","99291",1070]
[" 1209203","MC CRITICAL CARE EA AD'L 1/2","PROFESSIONAL FEE","99292",321]
[" 1209206","MC PF CL TX FX W8 BAR WO ANT","PROFESSIONAL FEE","27824",763]
[" 1209207","MC PF TX SCAPOID FX W/O PER","PROFESSIONAL FEE","25622",918]
[" 1209208","MC PF CL TX CRPL FX WO MAN E","PROFESSIONAL FEE","26600",622]
[" 1209212","MC SUBCUTANEOUS-COMPLICATED","PROFESSIONAL FEE","10121",2078]
[" 1209214","MC MUSCLE DEEP/COMPLICATED","PROFESSIONAL FEE","20525",975]
[" 1209216","MC PF REM FB CONJUNCTIVA; EMBEDDE","PROFESSIONAL FEE","65210",127]
[" 1209217","MC CORNEAL W/O SLIT LAMP","PROFESSIONAL FEE","65220",144]
[" 1209219","MC EAR  IMPACTED CERUMEN","PROFESSIONAL FEE","69210",106]
[" 1209220","MC COMPLEX  ANTERIOR","PROFESSIONAL FEE","30903",399]
[" 1209221","MC AVULSION  SIMPLE","PROFESSIONAL FEE","11730",188]
[" 1209222","MC EVAC-SUBUNGUAL HEMATOMA","PROFESSIONAL FEE","11740",111]
[" 1209225","MC PF ASPIRATION/INJ INTERMED JOI","PROFESSIONAL FEE","20605",151]
[" 1209226","MC MAJOR JOINT-SHOU/HIP/KNEE","PROFESSIONAL FEE","20610",179]
[" 1209230","MC AC SEPARATION W/O MANIP","PROFESSIONAL FEE","23540",546]
[" 1209231","MC ELBOW-NURSEMAID W/MANIP","PROFESSIONAL FEE","24640",326]
[" 1209232","MC METACARPOPHALANGEAL/FING","PROFESSIONAL FEE","26700",630]
[" 1209234","MC PATELLA","PROFESSIONAL FEE","27560",729]
[" 1209236","MC PF PARTIAL EXCISION DISTAL PHA","PROFESSIONAL FEE","26236",2653]
[" 1209238","MC CLOSED CLAVICULAR","PROFESSIONAL FEE","23500",477]
[" 1209239","MC CLOSED PHALANGEAL SHAFT","PROFESSIONAL FEE","26720",467]
[" 1209240","MC CLOSED DISTAL PHALANGEAL","PROFESSIONAL FEE","26750",467]
[" 1209242","MC PF CL TX FX GT PHALANX(S); WO","PROFESSIONAL FEE","28490",470]
[" 1209243","MC CLSD PHALANX(S)NO GRT TOE","PROFESSIONAL FEE","28510",354]
[" 1209244","MC PF CLSD TRT CARPAL FX W/O","PROFESSIONAL FEE","25630",827]
[" 1209245","MC PF CLSD TRT FX ORBIT WO M","PROFESSIONAL FEE","21400",989]
[" 1209252","MC W & L-1.1CM TO 2.5CM","PROFESSIONAL FEE","13120",652]
[" 1209253","MC W & L - 2.6CM TO 7.5 CM","PROFESSIONAL FEE","13121",889]
[" 1209254","MC W & L - 1.1CM TO 2.5 CM","PROFESSIONAL FEE","13131",720]
[" 1209255","MC W & L - 2.6CM TO 7.5CM","PROFESSIONAL FEE","13132",1213]
[" 1209256","MC W & L - 1.1 CM TO 2.5","PROFESSIONAL FEE","13151",815]
[" 1209257","MC W & L -2.6CM TO 7.5 CM","PROFESSIONAL FEE","13152",1402]
[" 1209259","MC PF TUBE THORACOSTOMY","PROFESSIONAL FEE","32551",627]
[" 1209265","MC TRANSCUTANEOUS PACING","PROFESSIONAL FEE","92953",290]
[" 1209268","MC FINGER ABSCESS-SIMPLE","PROFESSIONAL FEE","26010",505]
[" 1209269","MC FINGER ABSCESS - COMP","PROFESSIONAL FEE","26011",1531]
[" 1209270","MC THUMB-CARPOMET - W/MAN","PROFESSIONAL FEE","26641",839]
[" 1209271","MC PF INJ ANES AGENT TRIGEMINA NERVE","PROFESSIONAL FEE","64400",482]
[" 1209272","MC PF CLSD TRT FEMORAL FX W/O MA","PROFESSIONAL FEE","27238",988]
[" 1209274","MC CLOSED VERTEBRAL PROCESS","PROFESSIONAL FEE","22305",556]
[" 1209275","MC PF CLSD TRT SCAPULAR FX W/O MA","PROFESSIONAL FEE","23570",569]
[" 1209278","MC CLOSED METATARSAL  EACH","PROFESSIONAL FEE","28470",652]
[" 1209279","MC THROMBOLYSIS BY IV CORONARY I","PROFESSIONAL FEE","92977",1268]
[" 1209280","MC W&L 1.0CM OR LESS","PROFESSIONAL FEE","12051",716]
[" 1209286","MC F/B SUBCUTANEOUS","PROFESSIONAL FEE","28190",625]
[" 1209290","MC STRAP ANKLE","PROFESSIONAL FEE","29540",102]
[" 1209291","MC STRAP TOES","PROFESSIONAL FEE","29550",102]
[" 1209292","MC PF CL TX HUMERAL SFT FX W","PROFESSIONAL FEE","24500",784]
[" 1209293","MC PF PROCTOSIGMOIDOSCOPY","PROFESSIONAL FEE","45300",138]
[" 1209294","MC CLSD TRT DISTAL RADIAL FX W/MA","PROFESSIONAL FEE","25605",1607]
[" 1209297","MC PF APPLICATION SHORT LEG CAST","PROFESSIONAL FEE","29405",269]
[" 1209302","MC PFEXPLORE TRAUM WOUND EXT","PROFESSIONAL FEE","20103",1573]
[" 1209438","MC PF ABD PARACENTESIS/WGUID","PROFESSIONAL FEE","49083",997]
[" 1209552","MC PF INJ TRIGGER POINT 1/2 MUSCL","PROFESSIONAL FEE","20552",489]
[" 1209553","MC PF INJECT TRIGGER POINTS 3/>","PROFESSIONAL FEE","20553",505]
[" 1209554","MC CHANGE GASTROSTOMY TUBE","PROFESSIONAL FEE","43760",254]
[" 1209555","MC CHANGE GASTROSTOMY TUBE","PROFESSIONAL FEE","43762",254]
[" 1209611","MC PF CLSD TRT RADIAL HEAD NECK F","PROFESSIONAL FEE","24650",598]
[" 1209633","MC PF CL TX RADIAL&ULNA FX W MANP","PROFESSIONAL FEE","25565",479]
[" 1209637","MC PF ED/CLOSED BIMAL ANK FRACT","PROFESSIONAL FEE","27810",1283]
[" 1209652","MC PF CHG CYSTOSTOMY TUBE SIMPLE","PROFESSIONAL FEE","51705",162]
[" 1209653","MC PF CLSD TRT METATARSAL FX W/MA","PROFESSIONAL FEE","28475",897]
[" 1209654","MC PF ENDOMETRIAL BIOPSY","PROFESSIONAL FEE","58100",289]
[" 1209656","MC NASOGASTRIC TUBE PLACEMENT","PROFESSIONAL FEE","43754",83]
[" 1209821","MC PF INJ ANESTH;","PROFESSIONAL FEE","64450BZ",1187,"BZ"]
[" 1209823","MC PF INJ ANESTH; OTHR PERIPHERAL","PROFESSIONAL FEE","64450",1187]
[" 1209826","MC PF CL TX ULNAR SHFT FX W MANIP","PROFESSIONAL FEE","25535",470]
[" 4400138","CL CARE PLAN OVERSIGHT 15-29 MINU","PROFESSIONAL FEE","99339",146]
[" 4400139","CL CARE PLAN OVERSIGHT 30 MINUTES","PROFESSIONAL FEE","99340",234]
[" 4409123","MC PC OBSV FINAL DAY/DISCH","PROFESSIONAL FEE","99217",144]
[" 4409124","MC PC INITIAL OBSV LOW","PROFESSIONAL FEE","99218",188]
[" 4409125","MC PC INITIAL OBSV INTERMEDI","PROFESSIONAL FEE","99219",256]
[" 4409126","MC PC INITIAL OBSV CARE COMP","PROFESSIONAL FEE","99220",324]
[" 4409130","MC PC OBS DAILY CARE LOW","PROFESSIONAL FEE","99224",211]
[" 4409131","MC PC DAILY OBS CARE MODERATE","PROFESSIONAL FEE","99225",285]
[" 4409132","MC PC OBS DAILY VISIT COMPRE","PROFESSIONAL FEE","99226",213]
[" 4409138","MC CARE PLAN OVERSIGHT 15-29 MINU","PROFESSIONAL FEE","99339",146]
[" 4409139","MC CARE PLAN OVERSIGHT 30 MINUTES","PROFESSIONAL FEE","99340",234]
["12009006","MC PF CL TX DIST FIB FX W/O","PROFESSIONAL FEE","27786",678]
[" 1100100","CRNA PROF SERVCS PER UNIT","PROFESSIONAL FEE",null,134]
[" 1207197","CLSD TRT POSTERIOR PELVIC RING","PROFESSIONAL FEE","27197",437]
[" 1207198","CLSD TRT POSTERIOR PELVIC RING","PROFESSIONAL FEE","27198",437]
[" 1107385","ABG","PROFESSIONAL FEE","36600",326]
[" 1200001","PF ADD 5CM OR LESS FACE","PROFESSIONAL FEE","13133",441]
[" 1200002","PF W/WO SKIN OR SKEL TRAC","PROFESSIONAL FEE","26725",807]
[" 1200003","PF CL TX RADIALULNAR SHAF","PROFESSIONAL FEE","25560",827]
[" 1200004","PF REPAIR FULL ARM CAST","PROFESSIONAL FEE","29705",182]
[" 1200005","PF CL TX BIMAL ANK FX WO","PROFESSIONAL FEE","27808",763]
[" 1200006","PF CL TX DIST FIB FX W/O","PROFESSIONAL FEE","27786",678]
[" 1200007","PF CL TX TRIM ANKLE FX W/","PROFESSIONAL FEE","27816",721]
[" 1200008","PF CLTX MALLEOLUS FX W/O","PROFESSIONAL FEE","27760",763]
[" 1200009","PF CL TX DISTAL RAID FX W","PROFESSIONAL FEE","25600",872]
[" 1200010","PF CL TX RADIAL SHAFT FX","PROFESSIONAL FEE","25500",758]
[" 1200011","PF CL TX KNEE DISLOC WO A","PROFESSIONAL FEE","27550",963]
[" 1200012","PF INCISION/DRAINAGE HEMA","PROFESSIONAL FEE","10140",341]
[" 1200013","PF EACH ADDTL NAIL PLATE","PROFESSIONAL FEE","11732",94]
[" 1200015","INJ GREATER OCCIPITAL NER","PROFESSIONAL FEE","64405",642]
[" 1200016","INJ LUMBAR SACRAL SINGLE","PROFESSIONAL FEE","64483",729]
[" 1200017","PF CL TX PATELLAR FX W/O","PROFESSIONAL FEE","27520",751]
[" 1200018","PF CL TX ULNAR SHAFT FX W","PROFESSIONAL FEE","25530",758]
[" 1200020","PF ED/CLOSED TIB SHAFT FR","PROFESSIONAL FEE","27750",805]
[" 1200022","PF CLSD TX S/P HIP ARTHRO","PROFESSIONAL FEE","27265",967]
[" 1200033","PC TX NASAL BONE FX W/","PROFESSIONAL FEE","21310",342]
[" 1200036","CLTX MTCARPHLNGL W/ANES","PROFESSIONAL FEE","26705",932]
[" 1200037","PC CLSD TRT FX GREAT TOE","PROFESSIONAL FEE","28490",367]
[" 1200039","PF ELBOW/FINGER SHRTARM C","PROFESSIONAL FEE","29075",279]
[" 1200040","PF REP SIMP 12.6 TO 20 CM","PROFESSIONAL FEE","12005",449]
[" 1200041","PF APP LONG ARM CAST","PROFESSIONAL FEE","29065",361]
[" 1200042","PF CLSD TRT GRT HUMERAL T","PROFESSIONAL FEE","23620",637]
[" 1200047","PF ESOPHAGOGASTRIC W/BALL","PROFESSIONAL FEE","43460",679]
[" 1200048","PFCLSD TRT HUMERAL CONDYL","PROFESSIONAL FEE","24576",631]
[" 1200049","PF ESOPHAGASTRIC TAMPONAD","PROFESSIONAL FEE","43460",679]
[" 1200050","PF CLSD TRT CALCANEAL FX","PROFESSIONAL FEE","28400",869]
[" 1200051","PF CLSD TRT DISTAL FIBULA","PROFESSIONAL FEE","27788",1187]
[" 1200053","PF REP TENDON/MUSCLE EXTE","PROFESSIONAL FEE","25270",4667]
[" 1200054","PF LIGATION ARTERY INT MA","PROFESSIONAL FEE","30920",3877]
[" 1200055","PFDRAIN EXT EAR SIMP ABSC","PROFESSIONAL FEE","69000",371]
[" 1200056","PF VAGINAL DELIVERY ONLY","PROFESSIONAL FEE","59409",1476]
[" 1200057","PF REP COMPLX TRUNK 1.1-2","PROFESSIONAL FEE","13100",472]
[" 1200058","PF CLSD TRT IP JOINT ANES","PROFESSIONAL FEE","26775",932]
[" 1200059","PF CLSD CARPOMETACARPAL","PROFESSIONAL FEE","26670",684]
[" 1200060","PF HEMORRHOIDECTOMY  INT/","PROFESSIONAL FEE","46255",3459]
[" 1200061","PF APPLICATION LONG CAST","PROFESSIONAL FEE","29345",347]
[" 1200062","PF SMPLE REP FACE =<2.5CM","PROFESSIONAL FEE","12011",343]
[" 1200063","PF TRT CLSD ELBOW W/O ANE","PROFESSIONAL FEE","24600",723]
[" 1200064","PF CLSD TRT FX PHALANG W/","PROFESSIONAL FEE","26755",625]
[" 1200065","PF REM FOREIGN BODY MOUTH","PROFESSIONAL FEE","40804",428]
[" 1200066","PF REM FOREIGN BODY MOUTH","PROFESSIONAL FEE","40804",428]
[" 1200068","PF I&D ABSCESS COMPLICATE","PROFESSIONAL FEE","10061",448]
[" 1200069","PF AMP FINGER THUMB DIREC","PROFESSIONAL FEE","26951",2266]
[" 1200071","PF CLSD TRT FEMORAL SHAFT","PROFESSIONAL FEE","27500",1481]
[" 1200072","PF CONT NASAL HEMRAGE POS","PROFESSIONAL FEE","30905",553]
[" 1200073","PFCLSD TRT METACARPL FX W","PROFESSIONAL FEE","26605",807]
[" 1200074","PF REMOVAL IUD","PROFESSIONAL FEE","58301",192]
[" 1200080","PF CLSD TRT FX W/O MANIP","PROFESSIONAL FEE","28515",449]
[" 1200090","PR UNLIST PROC VASC SURG","PROFESSIONAL FEE","37799",625]
[" 1200091","PF CLSD TRT TIB FX W/O MA","PROFESSIONAL FEE","27530",973]
[" 1200100","EXAM-MINIMAL/BRIEF","PROFESSIONAL FEE","99281",87]
[" 1200101","EXAM-LIMITED","PROFESSIONAL FEE","99282",214]
[" 1200102","EXAM-ROUTINE","PROFESSIONAL FEE","99283",321]
[" 1200103","EXAM-INTERMEDIATE","PROFESSIONAL FEE","99284",535]
[" 1200104","EXAM-COMPREHENSIVE","PROFESSIONAL FEE","99285",829]
[" 1200105","UP TO 2.5 CM-W&L","PROFESSIONAL FEE","12001",285]
[" 1200106","W/L 2.6CM TO 7.5CM","PROFESSIONAL FEE","12002",343]
[" 1200107","W/L 7.6CM TO 12.5CM","PROFESSIONAL FEE","12004",426]
[" 1200108","EXAM-LIMITED 2","PROFESSIONAL FEE","9928225",214,"25"]
[" 1200109","EXAM-ROUTINE 2","PROFESSIONAL FEE","9928325",321,"25"]
[" 1200110","EXAM-INTERMEDIATE 2","PROFESSIONAL FEE","9928425",535,"25"]
[" 1200111","W/L 2.6CM TO 7.5CM","PROFESSIONAL FEE","1310159",797,"59"]
[" 1200112","EXAM-COMPREHENSIVE 2","PROFESSIONAL FEE","9928525",829,"25"]
[" 1200114","SHOULDER W/MANIPULATION","PROFESSIONAL FEE","23650",637]
[" 1200115","DISLO SLD W/AN","PROFESSIONAL FEE","23655",2092]
[" 1200116","DISLOC FINGER","PROFESSIONAL FEE","26770",622]
[" 1200118","F/B EYE-CONJUNCT/SUPERFIC","PROFESSIONAL FEE","65205",113]
[" 1200119","F/B INTRANASAL","PROFESSIONAL FEE","30300",462]
[" 1200120","F/B EAR  AUDITORY CANAL","PROFESSIONAL FEE","69200",260]
[" 1200121","SUBCUTANEOUS-SIMPLE","PROFESSIONAL FEE","10120",499]
[" 1200123","I&D ABSCESS  SIMPLE","PROFESSIONAL FEE","10060",290]
[" 1200124","I&D ASPIRATION OF ABSCESS","PROFESSIONAL FEE","10160",264]
[" 1200129","INSERTION FOLEY CATH","PROFESSIONAL FEE","51702",207]
[" 1200130","BRRN  FIRST DEGREE","PROFESSIONAL FEE","16000",140]
[" 1200131","BURN DRESSING SMALL","PROFESSIONAL FEE","16020",272]
[" 1200132","BURN DRESSING MEDIUM","PROFESSIONAL FEE","16025",305]
[" 1200133","COMPLEX  EACH ADD 5 CM","PROFESSIONAL FEE","13122",302]
[" 1200134","NASAL HEMORAGE-ANTERIOR","PROFESSIONAL FEE","30901",235]
[" 1200135","NASAL HEMORAGE-POSTERIOR","PROFESSIONAL FEE","30905",209]
[" 1200137","SPLINT LONG ARM","PROFESSIONAL FEE","29105",230]
[" 1200138","SPLINT SHORT ARM","PROFESSIONAL FEE","29125",197]
[" 1200139","SPLINT LONG LEG","PROFESSIONAL FEE","29505",209]
[" 1200140","SPLINT SHORT LEG","PROFESSIONAL FEE","29515",182]
[" 1200145","SPLINT FINGER","PROFESSIONAL FEE","29130",132]
[" 1200146","PF CLSD TRT FEMORAL FX W/","PROFESSIONAL FEE","27508",1270]
[" 1200151","PF LIGATION MAJ ARTERY EX","PROFESSIONAL FEE","37617",1953]
[" 1200152","PF REM TUNN CVC W/O PORT/PUMP","PROFESSIONAL FEE","36589",494]
[" 1200153","RESUSCITATION","PROFESSIONAL FEE","92950",821]
[" 1200154","ENDOTRACHEAL INTUBATION","PROFESSIONAL FEE","31500",290]
[" 1200156","THORACENTESIS","PROFESSIONAL FEE","32555",883]
[" 1200158","ANOSCOPY","PROFESSIONAL FEE","46600",299]
[" 1200159","LUMBAR PUNCTURE","PROFESSIONAL FEE","62270",402]
[" 1200160","PF CLSD TRT ARTICULAR FX","PROFESSIONAL FEE","26740",715]
[" 1200161","PF CLSD TRT PROX FIBULA/S","PROFESSIONAL FEE","27780",583]
[" 1200162","PF CLSD TRT PROX HUMERAL","PROFESSIONAL FEE","23600",728]
[" 1200164","REPAIR-UP TO 2.5 CM","PROFESSIONAL FEE","12011",343]
[" 1200165","2.6 - 5.0 CM-REPAIR","PROFESSIONAL FEE","12013",402]
[" 1200166","5.1 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12014",426]
[" 1200167","7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12015",520]
[" 1200171","UP TO 2.5 CM-REPAIR","PROFESSIONAL FEE","12031",486]
[" 1200172","2.6 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12032",613]
[" 1200173","7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12034",609]
[" 1200174","SUTURE INTEMD 12.60-20.0 CM","PROFESSIONAL FEE","12035",852]
[" 1200175","ED EXCISION NAIL MATRIX","PROFESSIONAL FEE","11750",468]
[" 1200177","UP TO 2.5 CM-REPAIR","PROFESSIONAL FEE","12041",508]
[" 1200178","2.6 - 7.5 CM-REPAIR","PROFESSIONAL FEE","12042",582]
[" 1200179","7.6 - 12.5 CM-REPAIR","PROFESSIONAL FEE","12044",688]
[" 1200183","UP TO 2.5 REPAIR","PROFESSIONAL FEE","12051",575]
[" 1200184","2.5 - 5.0 CM REPAIR","PROFESSIONAL FEE","12052",653]
[" 1200185","5.1 - 7.5 CM REPAIR","PROFESSIONAL FEE","12053",758]
[" 1200186","STRAP ELBOW/WRIST","PROFESSIONAL FEE","29260",139]
[" 1200187","PT MANIPULATIVE THERAPY","PROFESSIONAL FEE","97124",65]
[" 1200188","PF REPAIR WOUND 12.6cm to 20.0cm","PROFESSIONAL FEE","12045",968]
[" 1200202","CRITICAL CARE 1ST HOUR","PROFESSIONAL FEE","99291",1070]
[" 1200203","CRITICAL CARE EA AD'L 1/2","PROFESSIONAL FEE","99292",321]
[" 1200206","PF CL TX FX W8 BAR WO ANT","PROFESSIONAL FEE","27824",763]
[" 1200207","PF TX SCAPOID FX W/O PER","PROFESSIONAL FEE","25622",918]
[" 1200208","PF CL TX CRPL FX WO MAN E","PROFESSIONAL FEE","26600",622]
[" 1200212","SUBCUTANEOUS-COMPLICATED","PROFESSIONAL FEE","10121",2078]
[" 1200214","MUSCLE  DEEP/COMPLICATED","PROFESSIONAL FEE","20525",975]
[" 1200216","PF REM FB CONJUNCTIVA; EMBEDDE","PROFESSIONAL FEE","65210",127]
[" 1200217","CORNEAL W/O SLIT LAMP","PROFESSIONAL FEE","65220",144]
[" 1200219","EAR  IMPACTED CERUMEN","PROFESSIONAL FEE","69210",106]
[" 1200220","COMPLEX  ANTERIOR","PROFESSIONAL FEE","30903",399]
[" 1200221","AVULSION  SIMPLE","PROFESSIONAL FEE","11730",188]
[" 1200222","EVAC-SUBUNGUAL HEMATOMA","PROFESSIONAL FEE","11740",111]
[" 1200225","PF ASPIRATION/INJ INTERMED JOI","PROFESSIONAL FEE","20605",151]
[" 1200226","MAJOR JOINT-SHOU/HIP/KNEE","PROFESSIONAL FEE","20610",179]
[" 1200227","PF INSERT PLEURA DRAINAGE W/O IMAGING","PROFESSIONAL FEE","32556",2597]
[" 1200230","AC SEPARATION W/O MANIP","PROFESSIONAL FEE","23540",546]
[" 1200231","ELBOW-NURSEMAID W/MANIP","PROFESSIONAL FEE","24640",326]
[" 1200232","METACARPOPHALANGEAL/FING","PROFESSIONAL FEE","26700",630]
[" 1200234","PATELLA","PROFESSIONAL FEE","27560",729]
[" 1200236","PF PARTIAL EXCISION DISTAL PHA","PROFESSIONAL FEE","26236",2653]
[" 1200238","CLOSED CLAVICULAR","PROFESSIONAL FEE","23500",477]
[" 1200239","CLOSED PHALANGEAL SHAFT","PROFESSIONAL FEE","26720",467]
[" 1200240","CLOSED DISTAL PHALANGEAL","PROFESSIONAL FEE","26750",467]
[" 1200242","PF CL TX FX GT PHALANX(S); WO","PROFESSIONAL FEE","28490",470]
[" 1200243","CLSD PHALANX(S)NO GRT TOE","PROFESSIONAL FEE","28510",354]
[" 1200244","PF CLSD TRT CARPAL FX W/O","PROFESSIONAL FEE","25630",827]
[" 1200245","PF CLSD TRT FX ORBIT WO M","PROFESSIONAL FEE","21400",989]
[" 1200252","W & L-1.1CM TO 2.5CM","PROFESSIONAL FEE","13120",652]
[" 1200253","W & L - 2.6CM TO 7.5 CM","PROFESSIONAL FEE","13121",889]
[" 1200254","W & L - 1.1CM TO 2.5 CM","PROFESSIONAL FEE","13131",720]
[" 1200255","W & L - 2.6CM TO 7.5CM","PROFESSIONAL FEE","13132",1213]
[" 1200256","W & L - 1.1 CM TO 2.5","PROFESSIONAL FEE","13151",815]
[" 1200257","W & L -2.6CM TO 7.5 CM","PROFESSIONAL FEE","13152",1402]
[" 1200259","PF TUBE THORACOSTOMY","PROFESSIONAL FEE","32551",627]
[" 1200265","TRANSCUTANEOUS PACING","PROFESSIONAL FEE","92953",290]
[" 1200268","FINGER ABSCESS-SIMPLE","PROFESSIONAL FEE","26010",505]
[" 1200269","FINGER ABSCESS - COMP","PROFESSIONAL FEE","26011",1531]
[" 1200270","THUMB-CARPOMET - W/MAN","PROFESSIONAL FEE","26641",839]
[" 1200271","PF INJ ANES AGENT TRIGEMINA NERVE","PROFESSIONAL FEE","64400",482]
[" 1200272","PF CLSD TRT FEMORAL FX W/O MA","PROFESSIONAL FEE","27238",988]
[" 1200274","CLOSED VERTEBRAL PROCESS","PROFESSIONAL FEE","22305",556]
[" 1200275","PF CLSD TRT SCAPULAR FX W/O MA","PROFESSIONAL FEE","23570",569]
[" 1200278","CLOSED METATARSAL  EACH","PROFESSIONAL FEE","28470",652]
[" 1200279","THROMBOLYSIS BY IV CORONARY I","PROFESSIONAL FEE","92977",1268]
[" 1200280","W&L 1.0CM OR LESS","PROFESSIONAL FEE","12051",716]
[" 1200286","F/B SUBCUTANEOUS","PROFESSIONAL FEE","28190",625]
[" 1200290","STRAP ANKLE","PROFESSIONAL FEE","29540",102]
[" 1200291","STRAP TOES","PROFESSIONAL FEE","29550",102]
[" 1200292","PF CL TX HUMERAL SFT FX W","PROFESSIONAL FEE","24500",784]
[" 1200293","PF PROCTOSIGMOIDOSCOPY","PROFESSIONAL FEE","45300",138]
[" 1200294","CLSD TRT DISTAL RADIAL FX W/MA","PROFESSIONAL FEE","25605",1607]
[" 1200297","PF APPLICATION SHORT LEG CAST","PROFESSIONAL FEE","29405",269]
[" 1200302","PFEXPLORE TRAUM WOUND EXT","PROFESSIONAL FEE","20103",1573]
[" 1200438","PF ABD PARACENTESIS/WGUID","PROFESSIONAL FEE","49083",997]
[" 1200552","PF INJ TRIGGER POINT 1/2 MUSCL","PROFESSIONAL FEE","20552",489]
[" 1200553","PF INJECT TRIGGER POINTS 3/>","PROFESSIONAL FEE","20553",505]
[" 1200554","CHANGE GASTROSTOMY TUBE","PROFESSIONAL FEE","43760",254]
[" 1200555","CHANGE GASTROSTOMY TUBE","PROFESSIONAL FEE","43762",254]
[" 1200611","PF CLSD TRT RADIAL HEAD NECK F","PROFESSIONAL FEE","24650",598]
[" 1200633","PF CL TX RADIAL&ULNA FX W MANP","PROFESSIONAL FEE","25565",479]
[" 1200637","PF ED/CLOSED BIMAL ANK FRACT","PROFESSIONAL FEE","27810",1283]
[" 1200652","PF CHG CYSTOSTOMY TUBE SIMPLE","PROFESSIONAL FEE","51705",162]
[" 1200653","PF CLSD TRT METATARSAL FX W/MA","PROFESSIONAL FEE","28475",897]
[" 1200654","PF ENDOMETRIAL BIOPSY","PROFESSIONAL FEE","58100",289]
[" 1200656","NASOGASTRIC TUBE PLACEMENT","PROFESSIONAL FEE","43754",83]
[" 1200821","PF INJ ANESTH SINGLE INJ","PROFESSIONAL FEE","64450BZ",1187,"BZ"]
[" 1200822","PF DELIVERY OF PLACENTA","PROFESSIONAL FEE","59414",4961]
[" 1200823","PF INJ ANESTH; OTHR PERIPHERAL","PROFESSIONAL FEE","64450",1187]
[" 1200826","PF CL TX ULNAR SHFT FX W MANIP","PROFESSIONAL FEE","25535",470]
[" 1201000","PF CL TX TRIMALL ANKLE FX; W M","PROFESSIONAL FEE","27818",2947]
[" 1201001","PF SLCTV WND DEBRIDEM 20 CM OR","PROFESSIONAL FEE","97597",369]
[" 1201002","BLADDER INSTILLATION IRRIGATION","PROFESSIONAL FEE","51700",246]
[" 1201008","PF I&D PILONIDAL CYST SIM","PROFESSIONAL FEE","10080",349]
[" 1201203","PF STURE INTERMD 12. 0-20.0 CM","PROFESSIONAL FEE","12055",151]
[" 1201310","PF C REP TRUNK; EA ADDTL 5 CM/","PROFESSIONAL FEE","13102",233]
[" 1201850","PF DESTROY LESION (NOT EXCISIO","PROFESSIONAL FEE","41850",354]
[" 1202006","PFSREPS/N/A/G/TR/E;20.1-30.0CM","PROFESSIONAL FEE","12006",258]
[" 1202466","PF CLSD TRT REMORAL FX PROX EN","PROFESSIONAL FEE","27230",1035]
[" 1202467","PF UNLISTED PROCEDURE ANT SEG","PROFESSIONAL FEE","66999",393]
[" 1202468","PF INSERT BLADDER CATHETER","PROFESSIONAL FEE","51701",157]
[" 1202469","PF EYE EXAM W/ANESTH LIMITED","PROFESSIONAL FEE","92019",134]
[" 1202470","PF CL TX TIB SHFT FX W MANIP","PROFESSIONAL FEE","27752",1568]
[" 1202866","PF INTPHALAN DISLOCTE W/ANES","PROFESSIONAL FEE","28665",476]
[" 1202867","REPAIR INT WND 12.6 TO 20.0CM","PROFESSIONAL FEE","12054",1006]
[" 1202868","PF REPAIR 7.6 TO 12.5CM WOUND","PROFESSIONAL FEE","12054",941]
[" 1202869","CLSD TRT ARTICULAR FX W/MANIP","PROFESSIONAL FEE","26742",1056]
[" 1202870","UNLISTED PROCEDURE","PROFESSIONAL FEE","45399",491]
[" 1202871","DR ABSC CYST HEMAOM DENTOALVEO","PROFESSIONAL FEE","41800",218]
[" 1202960","CARDIOVERSION EXT PF","PROFESSIONAL FEE","92960",691]
[" 1205505","PF CL TX RADIAL SHFT FX W MANI","PROFESSIONAL FEE","25505",962]
[" 1206083","INCISE THROMBOSED HEMORRHOID E","PROFESSIONAL FEE","46083",339]
[" 1206084","INJECTION ANESTHETIC AGENT FAC","PROFESSIONAL FEE","64402",261]
[" 1208000","EGD","PROFESSIONAL FEE","43235",970]
[" 1208001","REMOVE OTHER DEVICE VAGINA UNDER ANES","PROFESSIONAL FEE","57415",369]
[" 1208002","SCREENING COLONOSCOPY","PROFESSIONAL FEE","G0121",1212]
[" 1208003","COLONOSCOPY SCREEN HIGH RISK","PROFESSIONAL FEE","G0105",1212]
[" 1208004","COLONOSCOPY WITH BIOPSY","PROFESSIONAL FEE","45380",1333]
[" 1208005","COLONSCOPY SCREENING","PROFESSIONAL FEE","45378",1212]
[" 1208006","DILATION ESOPHAGUS","PROFESSIONAL FEE","43450",350]
[" 1208007","TRIGGER FINGER DECOMPRESSION","PROFESSIONAL FEE","26055",2110]
[" 1208008","REPAIR INCARCERATED VENTRAL HERNIA","PROFESSIONAL FEE","49561",2335]
[" 1208009","CARPAL TUNNEL AND GUYON DECOMPRESSION","PROFESSIONAL FEE","64721",1298]
[" 1209082","ABDOMINAL PARACENTESIS","PROFESSIONAL FEE","49082",964]
[" 1209188","MC PF REPAIR WOUND 12.6cm to 20.0cm","PROFESSIONAL FEE","12045",968]
[" 1209227","MC PF INSERT PLEURA GRAINAGE W/O IMAGING","PROFESSIONAL FEE","32556",2597]
[" 1501899","UNLISTED PROCEDURE DENTOALVEOL","PROFESSIONAL FEE","41899",357]
[" 4400162","CL DIVISION OF FEMALE PERIEUM EX","PROFESSIONAL FEE","0W8NX",709]
[" 4400163","CL DELIVERY OF PRODUCTS OF CEONCEPTION","PROFESSIONAL FEE","10E0X",760]
[" 9996040","MONTHLY RENT CHARGE","PROFESSIONAL FEE",null,0]
[" 4400114","CL PC MANIP/ANEST SLDR JOINT","PROFESSIONAL FEE","23700",913]
[" 4400115","CL PC CLSD TX TRIMALLEOLAR F","PROFESSIONAL FEE","27818",1587]
[" 4400116","CL CONTROL NASAL HEMORRHAGE","PROFESSIONAL FEE","30905",670]
[" 4400118","CL PHYFEE PICC INSERT >5YRS","PROFESSIONAL FEE","36569",901]
[" 4400119","CL PHYFEE REPLACE PICC SAME ACCE","PROFESSIONAL FEE","36584",564]
[" 4400122","CL TREADMILL, INTERPRETATION","PROFESSIONAL FEE","93018",78]
[" 4400123","CL PC OBSV FINAL DAY/DISCH","PROFESSIONAL FEE","99217",144]
[" 4400124","CL PC INITIAL OBSV LOW","PROFESSIONAL FEE","99218",188]
[" 4400125","CL PC INITIAL OBSV INTERMEDI","PROFESSIONAL FEE","99219",256]
[" 4400126","CL PC INITIAL OBSV CARE COMP","PROFESSIONAL FEE","99220",324]
[" 4400130","CL PC OBS DAILY CARE LOW","PROFESSIONAL FEE","99224",211]
[" 4400131","CL PC DAILY OBS CARE MODERATE","PROFESSIONAL FEE","99225",285]
[" 4400132","CL PC OBS DAILY VISIT COMPRE","PROFESSIONAL FEE","99226",213]
[" 4400142","CL PHYFEE EXC MALIG LESION 3.1-4","PROFESSIONAL FEE","11624",738]
[" 4400143","CL PHYFEE AVULSION NAIL PLATE SI","PROFESSIONAL FEE","11730",201]
[" 4400144","CL PHYFEE AVULSION NAIL EACH ADD","PROFESSIONAL FEE","11732",101]
[" 4400145","CL PHYFEE ARTHROCENTESIS ITERM","PROFESSIONAL FEE","20605",162]
[" 4400148","CL PC OBS SAME DAY CARE LOW","PROFESSIONAL FEE","99234",282]
[" 4400150","CL PC OBS SAME DAY INTERMED","PROFESSIONAL FEE","99235",375]
[" 4400152","CL PC OBS SAME DAY COMPLEX","PROFESSIONAL FEE","99236",472]
[" 4409148","MC PC OBS SAME DAY CARE LOW","PROFESSIONAL FEE","99234",282]
[" 4409150","MC PC OBS SAME DAY INTERMED","PROFESSIONAL FEE","99235",375]
[" 4409152","MC PC OBS SAME DAY COMPLEX","PROFESSIONAL FEE","99236",472]
[" 4100112","EKG INTERPRETATION AND REPORT","PROFESSIONAL FEE","93010",59]
[" 4109112","MC EKG INTERPRETATION AND REPORT","PROFESSIONAL FEE","93010",59]
[" 4400117","CL PHYFEE PICC INSERT <5YRS","PROFESSIONAL FEE","36568",1081]
[" 4400121","CL VAGINAL DELIVERY ONLY","PROFESSIONAL FEE","59409",2226]
[" 4400127","CL INIT HOSP CARE, C/C/LC","PROFESSIONAL FEE","99221",166]
[" 4400128","CL INIT HOSP CARE, C/C/MC","PROFESSIONAL FEE","99222",225]
[" 4400129","CL INIT HOSP CARE, C/C/HC","PROFESSIONAL FEE","99223",334]
[" 4400133","CL DAILY HOSP CARE, PHYFEE/PHYFEE/LC","PROFESSIONAL FEE","99231",107]
[" 4400134","CL DAILY CARE, EPHYFEE/EPHYFEE/MC","PROFESSIONAL FEE","99232",151]
[" 4400135","CL DAILY HOSP CARE, D/D/HC","PROFESSIONAL FEE","99233",205]
[" 4400136","CL FINAL HOSP CARE/DISCH","PROFESSIONAL FEE","99238",150]
[" 4400137","CL HOSP DISCH>30 MIN","PROFESSIONAL FEE","99239",188]
[" 4400140","CL PHYFEE INITIAL E/M NEWBORN","PROFESSIONAL FEE","99460",249]
[" 4400141","CL DAILY NEWBORN CARE","PROFESSIONAL FEE","99462",117]
[" 4400146","CL PHYFEE DEBRIDE WOUND 20 CM/LE","PROFESSIONAL FEE","97597",94]
[" 4400147","CL INPT SERV INC ADM/DIS-LOW","PROFESSIONAL FEE","99234",277]
[" 4400149","CL INPT SERV INC ADM/DIS-MOD","PROFESSIONAL FEE","99235",375]
[" 4400151","CL INPT SERV INC ADM/DIS-COMP","PROFESSIONAL FEE","99236",472]
[" 4400154","CL INIT SNF C/C/MC","PROFESSIONAL FEE","99305",230]
[" 4400155","CL INIT SNF C/C/HC","PROFESSIONAL FEE","99306",294]
[" 4400160","CL SNF DISCH < 30 MIN","PROFESSIONAL FEE","99315",162]
[" 4400161","CL SNF DISCH > 30 MIN","PROFESSIONAL FEE","99316",202]
[" 4409127","MC INIT HOSP CARE, C/C/LC","PROFESSIONAL FEE","99221",166]
[" 4409128","MC INIT HOSP CARE, C/C/MC","PROFESSIONAL FEE","99222",225]
[" 4409129","MC INIT HOSP CARE, C/C/HC","PROFESSIONAL FEE","99223",334]
[" 4409133","MC DAILY HOSP CARE, PHYFEE/PHYFEE/LC","PROFESSIONAL FEE","99231",107]
[" 4409134","MC DAILY CARE, EPHYFEE/EPHYFEE/MC","PROFESSIONAL FEE","99232",151]
[" 4409135","MC DAILY HOSP CARE, D/D/HC","PROFESSIONAL FEE","99233",205]
[" 4409136","MC FINAL HOSP CARE/DISCH","PROFESSIONAL FEE","99238",150]
[" 4409137","MC HOSP DISCH>30 MIN","PROFESSIONAL FEE","99239",188]
[" 4409147","MC INPT SERV INC ADM/DIS-LOW","PROFESSIONAL FEE","99234",277]
[" 4409149","MC INPT SERV INC ADM/DIS-MOD","PROFESSIONAL FEE","99235",375]
[" 4409151","MC INPT SERV INC ADM/DIS-COMP","PROFESSIONAL FEE","99236",472]
[" 5500012","PULMONARY REHAB W EXER","PULMONARY REHAB","G0424",251]
[" 3000004","XR BONE LENGTH STUDY","RADIOLOGY","77073",306]
[" 3000005","XR BONE SURVEY METAS","RADIOLOGY","77074",775]
[" 3000006","XR INFANT UP EXT LT","RADIOLOGY","73092",203]
[" 3000007","XR INFANT UP EXT RT","RADIOLOGY","73092",203]
[" 3000009","XR FLOUR 1HR W/O FILM","RADIOLOGY","76000",578]
[" 3000010","XR RIBS UNI 2 V","RADIOLOGY","71100",281]
[" 3000030","XR ORBITS EYES 1-2 V","RADIOLOGY","70030",230]
[" 3000031","XR FACIAL BONES MAX 3 V","RADIOLOGY","70140",240]
[" 3000110","XR MANDIBLE","RADIOLOGY","70110",442]
[" 3000150","XR FACIAL BONES","RADIOLOGY","70150",427]
[" 3000160","XR NASAL BONES","RADIOLOGY","70160",318]
[" 3000210","XR SINUSES 1 V","RADIOLOGY","70210",232]
[" 3000220","XR SINUS MINIMUM 3 V","RADIOLOGY","70220",357]
[" 3000250","XR SKULL 3 V","RADIOLOGY","70250",281]
[" 3000260","XR SKULL 4 V MIN COMP","RADIOLOGY","70260",406]
[" 3000330","XR TM JOINTS","RADIOLOGY","70330",324]
[" 3000360","XR NECK SOFT TISSUE","RADIOLOGY","70360",297]
[" 3001007","XR CALCANEOUS RT","RADIOLOGY","73650",212]
[" 3001008","XR CALCANEOUS LT","RADIOLOGY","73650",212]
[" 3001009","XR SKELETON BONE STUDY COMP","RADIOLOGY","77075",843]
[" 3001023","XR RIBS W PA CHEST MIN 3 V","RADIOLOGY","71101",358]
[" 3001110","XR RIBS BILATERAL 3 V","RADIOLOGY","71110",392]
[" 3001112","XR RIBS W PA CHEST 4 V MIN","RADIOLOGY","71111",539]
[" 3001120","XR STERNUM 2 V","RADIOLOGY","71120",425]
[" 3002010","XR SPINE AP LAT","RADIOLOGY","72010",528]
[" 3002020","XR SCOLIOSIS SURVEY (LMT)","RADIOLOGY","72090",426.3]
[" 3002040","XR C SPINE 2-3 V","RADIOLOGY","72040",308]
[" 3002041","XR CERVICAL SPINE 1 V","RADIOLOGY","72020",285]
[" 3002044","XR C SPINE COMP OBL FLEX EXT","RADIOLOGY","72052",641]
[" 3002052","XR C SPINE 4 V","RADIOLOGY","72050",460]
[" 3002070","XR T SPINE AP LAT","RADIOLOGY","72070",343]
[" 3002071","XR T SPINE 3 V","RADIOLOGY","72072",443]
[" 3002083","XR ENTIRE SPINE 4-5 VIEWS","RADIOLOGY","72083",470]
[" 3002084","XR ENTIRE SPINE 6 VIEW","RADIOLOGY","72084",563]
[" 3002100","XR L SPINE 2-3 V","RADIOLOGY","72100",459]
[" 3002110","XR L SPINE MIN 4 V","RADIOLOGY","72110",450]
[" 3002120","XR L SPINE COMP W BENDING","RADIOLOGY","72114",578]
[" 3002121","XR L SPINE AP LAT FLEX EXT","RADIOLOGY","72120",504]
[" 3002200","XR SACROILIAC JOINTS","RADIOLOGY","72200",286]
[" 3002220","XR SACRUM COCCYX","RADIOLOGY","72220",296]
[" 3003000","XR CLAVICLE LT","RADIOLOGY","73000LT",294,"LT"]
[" 3003001","XR CLAVICLE RT","RADIOLOGY","73000RT",294,"RT"]
[" 3003010","XR SCAPULA LT","RADIOLOGY","73010",317]
[" 3003011","XR SCAPULA RT","RADIOLOGY","73010",317]
[" 3003020","XR SHOULDER LT 1 V","RADIOLOGY","73020LT",235,"LT"]
[" 3003021","XR SHOULDER RT 1 V","RADIOLOGY","73020RT",235,"RT"]
[" 3003030","XR SHOULDER LT MIN 2 V","RADIOLOGY","73030LT",337,"LT"]
[" 3003031","XR SHOULDER RT MIN 2 V","RADIOLOGY","73030RT",337,"RT"]
[" 3003050","XR AC JOINTS BILATERAL","RADIOLOGY","73050",271]
[" 3003060","XR HUMERUS LT","RADIOLOGY","73060LT",284,"LT"]
[" 3003061","XR HUMERUS RT","RADIOLOGY","73060RT",284,"RT"]
[" 3003070","XR ELBOW LT 2 V","RADIOLOGY","73070",238]
[" 3003071","XR ELBOW RT 2 V","RADIOLOGY","73070",238]
[" 3003080","XR ELBOW LT COMP","RADIOLOGY","73080",299]
[" 3003081","XR ELBOW RT COMP","RADIOLOGY","73080",299]
[" 3003090","XR FOREARM LT","RADIOLOGY","73090LT",270,"LT"]
[" 3003091","XR FOREARM RT","RADIOLOGY","73090RT",270,"RT"]
[" 3003096","XR INFANT LOW EXT RT","RADIOLOGY","73592",207]
[" 3003098","XR INFANT LOW EXT LT","RADIOLOGY","73592",207]
[" 3003100","XR WRIST LT 2 V","RADIOLOGY","73100",214]
[" 3003101","XR WRIST RT 2 V","RADIOLOGY","73100",214]
[" 3003110","XR WRIST LT COMP","RADIOLOGY","73110",294]
[" 3003111","XR WRIST RT COMP","RADIOLOGY","73110",294]
[" 3003120","XR HAND LT 2 V","RADIOLOGY","73120",235]
[" 3003121","XR HAND RT 2 V","RADIOLOGY","73120",235]
[" 3003130","XR HAND LT 3 V","RADIOLOGY","73130",332]
[" 3003131","XR HAND RT 3 V","RADIOLOGY","73130",332]
[" 3003140","XR FINGERS LT","RADIOLOGY","73140",210]
[" 3003141","XR FINGERS RT","RADIOLOGY","73140",210]
[" 3003144","XR HIP RT 1 V","RADIOLOGY","73501LT",213,"LT"]
[" 3003145","XR HIP LT 1 V","RADIOLOGY","73501RT",213,"RT"]
[" 3003146","XR HIP BILAT 2 V","RADIOLOGY","73521",437]
[" 3003272","XR HAND LT THUMB","RADIOLOGY","73140",210]
[" 3003273","XR HAND LT 2ND DIGIT","RADIOLOGY","73140",210]
[" 3003274","XR HAND LT 3RD DIGIT","RADIOLOGY","73140",210]
[" 3003275","XR HAND LT 4TH DIGIT","RADIOLOGY","73140",210]
[" 3003276","XR HAND LT 5TH DIGIT","RADIOLOGY","73140",210]
[" 3003277","XR HAND RT THUMB","RADIOLOGY","73140",210]
[" 3003278","XR HAND RT 2ND DIGIT","RADIOLOGY","73140",210]
[" 3003279","XR HAND RT 3RD DIGIT","RADIOLOGY","73140",210]
[" 3003280","XR HAND RT 4TH DIGIT","RADIOLOGY","73140",210]
[" 3003281","XR HAND RT 5TH DIGIT","RADIOLOGY","73140",210]
[" 3003285","XR FOOT LT GREAT TOE","RADIOLOGY","73660",207]
[" 3003286","XR FOOT LT 2ND DIGIT","RADIOLOGY","73660",207]
[" 3003287","XR FOOT LT 3RD DIGIT","RADIOLOGY","73660",207]
[" 3003288","XR FOOT LT 4TH DIGIT","RADIOLOGY","73660",207]
[" 3003289","XR FOOT LT 5TH DIGIT","RADIOLOGY","73660",207]
[" 3003290","XR FOOT RT GREAT TOE","RADIOLOGY","73660",207]
[" 3003291","XR FOOT RT 2ND DIGIT","RADIOLOGY","73660",207]
[" 3003292","XR FOOT RT 3RD DIGIT","RADIOLOGY","73660",207]
[" 3003293","XR FOOT RT 4TH DIGIT","RADIOLOGY","73660",207]
[" 3003294","XR FOOT RT 5TH DIGIT","RADIOLOGY","73660",207]
[" 3003500","XR PELVIS 1-2 V","RADIOLOGY","72170",305]
[" 3003502","XR UNI 2-3VIEWS","RADIOLOGY","73502",220]
[" 3003503","XR HIP UNI 4 VIEWS","RADIOLOGY","73503",220]
[" 3003510","XR HIP UNI 2-3 V L","RADIOLOGY","73502LT",345,"LT"]
[" 3003511","XR HIP UNI 2-3 V R","RADIOLOGY","73502RT",345,"RT"]
[" 3003520","XR PELVIS 3 V MIN","RADIOLOGY","72190",476]
[" 3003522","XR HIP BI 3-4 VIEWS","RADIOLOGY","73522",190]
[" 3003550","XR FEMUR LT 2 V","RADIOLOGY","73552LT",321,"LT"]
[" 3003551","XR FEMUR RT 2 V","RADIOLOGY","73552RT",321,"RT"]
[" 3003560","XR KNEE LT 2 V","RADIOLOGY","73560LT",302,"LT"]
[" 3003561","XR KNEE RT 2 V","RADIOLOGY","73560RT",302,"RT"]
[" 3003564","XR KNEE LT 3 V","RADIOLOGY","73562LT",361,"LT"]
[" 3003565","XR KNEE RT 3 V","RADIOLOGY","73562RT",361,"RT"]
[" 3003570","XR KNEE LT MIN 4 V","RADIOLOGY","73564LT",325,"LT"]
[" 3003571","XR KNEE RT MIN 4 V","RADIOLOGY","73564RT",325,"RT"]
[" 3003575","XR KNEES STAND BILAT/AP ONLY","RADIOLOGY","73565",223]
[" 3003590","XR TIBIA LT","RADIOLOGY","73590LT",290,"LT"]
[" 3003591","XR TIBIA RT","RADIOLOGY","73590",290]
[" 3003600","XR ANKLE LT 2 V","RADIOLOGY","73600LT",311,"LT"]
[" 3003601","XR ANKLE RT 2 V","RADIOLOGY","73600RT",311,"RT"]
[" 3003610","XR ANKLE LT COMP","RADIOLOGY","73610",321]
[" 3003611","XR ANKLE RT COMP","RADIOLOGY","73610",321]
[" 3003620","XR FOOT LT 2 V","RADIOLOGY","73620LT",286,"LT"]
[" 3003621","XR FOOT RT 2 V","RADIOLOGY","73620RT",286,"RT"]
[" 3003630","XR FOOT LT MIN 3 V","RADIOLOGY","73630LT",296,"LT"]
[" 3003631","XR FOOT R MIN 3 V","RADIOLOGY","73630RT",296,"RT"]
[" 3003660","XR TOES LT","RADIOLOGY","73660",215]
[" 3003661","XR TOES RT","RADIOLOGY","73660",215]
[" 3004000","XR ABD KUB 1V","RADIOLOGY","74018",324]
[" 3004020","XR ABD 2 V","RADIOLOGY","74021",377]
[" 3004022","XR MULT ABD W PA CHEST","RADIOLOGY","74022",516]
[" 3004220","XR ESOPHAGUS","RADIOLOGY","74220",609]
[" 3004305","XR CHOLANGIO INTRA-OP","RADIOLOGY","74300",583]
[" 3004324","XR T-TUBE POST OP  (CHEST)","RADIOLOGY","74305",597]
[" 3004400","XR IV PYELOGRAM","RADIOLOGY","74400",877]
[" 3006020","XR BONE AGE STUDIES","RADIOLOGY","77072",234]
[" 3006021","XR VP SHUNT SURVEY","RADIOLOGY","75809",505]
[" 3007003","XR PRE MRI ORBIT FB","RADIOLOGY","70030",230]
[" 3007025","XR SKULL SHUNT/ANEURYSMCLIP PLACE","RADIOLOGY","70250",281]
[" 3007354","XR FEMUR 1 RT","RADIOLOGY","73551RT",622,"RT"]
[" 3007355","XR FEMUR 1 LT","RADIOLOGY","73551LT",622,"LT"]
[" 3001010","XR CHEST 1 V","RADIOLOGY","71045",305]
[" 3001020","XR CHEST 2 V","RADIOLOGY","71046",349]
[" 3001022","XR CHEST WITH OBLIQUES","RADIOLOGY","71048",353]
[" 3500001","DX AXIAL SKELETON BD","RADIOLOGY","77080",727]
[" 1700402","CHEMOTHERAPY ADMINISTRATION HO","RADIOLOGY","96402",214]
[" 1700505","CHEMO ADMIN SUBQ/IM","RADIOLOGY","96401",262]
[" 1501500","CHEMO ADM IV INFUS 1ST HR","RADIOLOGY","96413",717]
[" 3009901","XR MISC SUPPLY/DESC OVERRIDE","RADIOLOGY",null,0]
["  502813","EXTENDED STAY RECOVERY","RECOVERY ROOM",null,1310]
[" 1000001","PACU LEVEL 1","RECOVERY ROOM",null,214]
[" 1000002","PACU LEVEL 2","RECOVERY ROOM",null,615]
[" 1000003","PACU LEVEL 3","RECOVERY ROOM",null,1445]
[" 1000004","PHASE I RECOV MAJ 0-30","RECOVERY ROOM",null,535]
[" 1000005","PHASE I RECOV MAJ 31-60","RECOVERY ROOM",null,749]
[" 1000006","PHASE I RECOV MAJ 61-90","RECOVERY ROOM",null,835]
[" 1000007","PHASE I RECOV MAJ 91-120","RECOVERY ROOM",null,920]
[" 1000008","PHASE I RECOV MAJ 121-150","RECOVERY ROOM",null,984]
[" 1000009","PHASE I RECOV MAJ 151-180","RECOVERY ROOM",null,1043]
[" 1000010","PHASE I RECOV MINOR 0-60","RECOVERY ROOM",null,696]
[" 1000011","PHAS I RECOV MINR 61-120","RECOVERY ROOM",null,856]
[" 1000012","PHAS I RECOV MINR 121-180","RECOVERY ROOM",null,1043]
[" 1000013","PHAS I RECOV MINR 181-240","RECOVERY ROOM",null,1177]
[" 1000030","PHASE II RECOVERY","RECOVERY ROOM",null,0]
[" 1000080","RECOVERY ENDO - GI","RECOVERY ROOM",null,696]
[" 1001665","ENDOSCOPY-RECOVERY","RECOVERY ROOM",null,3]
[" 1701001","OPS LEVEL 1","RECOVERY ROOM",null,144]
[" 1701002","OPS LEVEL 2","RECOVERY ROOM",null,336]
[" 1701003","OPS LEVEL 3","RECOVERY ROOM",null,504]
[" 4100001","=>EKG ORDER<=","RESPIRATORY THERAPY",null,0]
[" 5500001","RESPIRATORY TO ASSESS","RESPIRATORY THERAPY",null,0]
[" 5500002","=>RESPIRATORY ORDER<=","RESPIRATORY THERAPY",null,0]
[" 5500003","=>CANCEL RESPIRATORY ORDER<=","RESPIRATORY THERAPY",null,0]
[" 5500006","VENT VOLUME INITIAL","RESPIRATORY THERAPY","94002",2140]
[" 5500010","PULMONARY REHAB 15MIN OTHE","RESPIRATORY THERAPY","G0238",90]
[" 5500011","PULMONARY REHAB GROUP","RESPIRATORY THERAPY","G0239",251]
[" 5500015","CHEST PHYSIO INITIAL","RESPIRATORY THERAPY","94667",193]
[" 5500016","NEBULIZER TX INITIAL","RESPIRATORY THERAPY","94664",151]
[" 5500017","PULMONARY REHAB 15-MIN 1","RESPIRATORY THERAPY","94799",214]
[" 5500019","SMOKE CESS FOLLOW-UP WITH","RESPIRATORY THERAPY",null,0]
[" 5500023","NEBULIZER SUB 2ND MED FREQ","RESPIRATORY THERAPY","94640",278]
[" 5500026","MDI TX INITIAL","RESPIRATORY THERAPY","94664",151]
[" 5500027","NEBULIZER MDI SUBSEQUENT","RESPIRATORY THERAPY","94640",278]
[" 5500111","VENT VOLUME SUBSEQUENT","RESPIRATORY THERAPY","94003",1926]
[" 5500118","NEBULIZER SUBSEQUENT","RESPIRATORY THERAPY","94640",278]
[" 5500120","AEROSOL TRTMNT 1 DAILY","RESPIRATORY THERAPY","94664",151]
[" 5500134","CHEST PHYSIO SUBSEQU","RESPIRATORY THERAPY","94668",128]
[" 5500165","BI-PAP/C-PAP PULMONARY TH","RESPIRATORY THERAPY","94660",786]
[" 5500166","BI-PAP/C-PAP INITIAL","RESPIRATORY THERAPY","94660",786]
[" 5500167","DAILY BI-PAP/C-PAP PULMON","RESPIRATORY THERAPY","94660",786]
[" 4001143","PULMON REHAB SESSION","RESPIRATORY THERAPY","94799",214]
[" 5500013","PULMONARY STRESS TEST","RESPIRATORY THERAPY","94620",432]
[" 5500123","EAR OX W CONT OVERNIGHT M","RESPIRATORY THERAPY","94762",556]
[" 5500196","PRE AND POST SPIROMETRY","RESPIRATORY THERAPY","94060",642]
[" 5500197","SPIROMETRY","RESPIRATORY THERAPY","94010",300]
[" 5500198","EAR-OXIMETRY-SGL","RESPIRATORY THERAPY","94760",139]
[" 5500199","OXIMETRY/EXERCISE","RESPIRATORY THERAPY","94761",268]
[" 5502713","VITAL CAPACITY SCREENING","RESPIRATORY THERAPY","94150",139]
[" 5500014","CARDIOVASCULAR STRESS TEST","RESPIRATORY THERAPY","93015",1031]
[" 1500013","TRAUMA RESPONSE TEAM","TRAUMA","G0390",1637]
["  500007","NON STRESS TEST","TREATMENT ROOM","59025",335]
[" 1200204","INTERP ONLY FETAL MONITOR","TREATMENT ROOM","59051",104]
[" 1500041","SLCTV WND DEBRIDEM ADDL 20 CM/","TREATMENT ROOM","97598",280]
[" 1700005","IRRIGATION ACCESS DEVICE","TREATMENT ROOM","96523",187]
[" 1700011","INJECTION IV PUSH SINGLE","TREATMENT ROOM","96375",182]
[" 1700012","IVP REPEAT SAME MED","TREATMENT ROOM","96376",161]
[" 1700013","MULTI-LAYER VENOUS WOUND","TREATMENT ROOM","29581",387]
[" 1700014","WOUNDCARE SHARP DEBRID<20","TREATMENT ROOM","97597",278]
[" 1700015","WOUNDCARE NON-SELECTIVE D","TREATMENT ROOM","97602",203]
[" 1700016","WOUNDCARE NEG PRESS <50CM","TREATMENT ROOM","97605",258]
[" 1700017","NEG PRESS WOUND TX >50 SQ CM","TREATMENT ROOM","97606",321]
[" 1700018","WOUNDCARE SHARP DEBRID>20","TREATMENT ROOM","97598",280]
[" 1700019","UNNA BOOT APPLICATION","TREATMENT ROOM","29580",482]
[" 1700050","ASPIRAT/INJ MAJ JOINT/BUR","TREATMENT ROOM","20610",321]
[" 1700110","INSERTION FOLEY CATHETER SIMPL","TREATMENT ROOM","51702",289]
[" 1700150","ARTHROCENTESIS INTERM JOI","TREATMENT ROOM","20605",161]
[" 1700209","AVULSION NAIL PLATE SING","TREATMENT ROOM","11730",268]
[" 1700210","AVULSION NAIL EACH ADDITI","TREATMENT ROOM","11732",161]
[" 1700300","EXC MALIG LESION 3.1-4.0","TREATMENT ROOM","11624",1878]
[" 1700501","INJECTIONS  SC/IM","TREATMENT ROOM","96372",123]
[" 1700502","INJECTION IV PUSH SINGLE","TREATMENT ROOM","96374",235]
[" 1700677","BLADDER INFUSION","TREATMENT ROOM","51720",759]
[" 1701004","TREATMENT ROOM LEVEL 1","TREATMENT ROOM","99211",96]
[" 1701005","TREATMENT ROOM LEVEL 2","TREATMENT ROOM","99212",118]
[" 1701006","TREATMENT ROOM LEVEL 3","TREATMENT ROOM","99213",144]
[" 1701007","NON STRESS TEST","TREATMENT ROOM","59025",335]
[" 1701008","UNLISTED EVAL & MANAGEMENT","TREATMENT ROOM","99499",0]
[" 1701009","APPLICATION SHORT LEG CAST","TREATMENT ROOM","29405",294]
[" 1701545","INJECTION (IM OR SUB Q)","TREATMENT ROOM","96372",139]
[" 1701990","MISC PROCEDURE LEVEL I","TREATMENT ROOM",null,134]
[" 1701991","MISC PROCEDURE LEVEL II","TREATMENT ROOM",null,187]
[" 1701992","MISC PROCEDURE LEVEL III","TREATMENT ROOM",null,348]
[" 1701993","MISC PROCEDURE LEVEL IV","TREATMENT ROOM",null,482]
[" 1702005","BLADDER INSTILLATION","TREATMENT ROOM","51700",268]
[" 1702006","DRSING BURN SMALL < 5%","TREATMENT ROOM","16020",272]
[" 1702007","INSERT PICC","TREATMENT ROOM","36569",2622]
[" 1702008","VAS US GUIDANCE","TREATMENT ROOM","76937",873]
[" 1702009","VAS LINE REPLACEMENT","TREATMENT ROOM","36584",1873]
[" 1702010","VAS LINE REMOVAL WITH PUMP","TREATMENT ROOM","36590",2675]
[" 1702011","VAS LINE REM W/O PUMP","TREATMENT ROOM","36589",494]
[" 1703002","OPS TREATMENT ROOM LEVEL1","TREATMENT ROOM","99202",144]
[" 2500615","NF-Pentacel-ActHIB IM 10MCG","TREATMENT ROOM",null,0]
[" 2500616","CL-PNEUMOCOCCAL 13  VAC 0.5ML","TREATMENT ROOM","90670",484.5]
[" 2500634","CL-MENINGOCOCCAL CONJUGATE VACCINE","TREATMENT ROOM","90734",346.3]
[" 3200156","US THORACENTESIS","TREATMENT ROOM","32555",1478]
[" 3207000","US PICC INSERT MAX 5 YRS","TREATMENT ROOM","36568",2456]
[" 3207001","US PICC INSERT MIN 5 YRS","TREATMENT ROOM","36569",1615]
[" 3207002","US REPLACE PICC SAME ACCESS","TREATMENT ROOM","36584",1473]
[" 5600059","PT UNNABOOT APPLICATION","TREATMENT ROOM","29580",377]
[" 5600060","PT COMPRESSION MULTI LAYER LOWER LEG","TREATMENT ROOM","29581",387]
[" 5600061","PT SHARP DEBRIDEMENT = < 20 CM","TREATMENT ROOM","97597",278]
[" 5600062","NON-SELECTIVE DEBRIDEMENT","TREATMENT ROOM","97602",148]
[" 5600063","PT WIND THERAPY NEG PRESS =<50","TREATMENT ROOM","97605",273]
[" 5600064","PT WIND THERAPY NEG PRESS > 50 SQ CM","TREATMENT ROOM","97606",312]
[" 5600065","PT SHARP DEBRIDEMENT ADDT 20 CM","TREATMENT ROOM","97598",294]
[" 3206770","US DUPLEX SCAN AORTA LIMITED","ULTRASOUND","93979",655]
[" 3010001","US VENOUS REFLUX STUDY BILAT","ULTRASOUND","93970",1278]
[" 3203961","US RENAL ART/VEN DUPLEX LMT","ULTRASOUND","93976",910]
[" 3203969","US ART DOPPLER LOW EXT RT","ULTRASOUND","93926RT",826,"RT"]
[" 3203972","US ART DOPPLER LOW EXT LT","ULTRASOUND","93926LT",826,"LT"]
[" 3206817","US VENOUS D SCAN BILAT EXT","ULTRASOUND","93970",1332]
[" 3206818","US VENOUS US RT","ULTRASOUND","93971RT",1010,"RT"]
[" 3206819","US VENOUS US LT","ULTRASOUND","93971LT",1010,"LT"]
[" 3206925","US CAROTID DOPPLER","ULTRASOUND","93880",1367]
[" 3209976","US DUPLEX DOPPLER PELVIC IMT","ULTRASOUND","93976",910]
[" 3200432","US ARTER BILAT SEGMENTAL","ULTRASOUND","93923",912]
[" 3200433","US D SCAN BILAT UP EXT ARTERY C","ULTRASOUND","93930",1065]
[" 3200434","US D SCAN UNI UP EXT ARTERY LIM","ULTRASOUND","93931",1145]
[" 3200435","US D SCAN AORTA COMP","ULTRASOUND","93978",1050]
[" 3200441","US ABI","ULTRASOUND","93922",485]
[" 3200442","US D SCAN BILAT LOW EXT ARTERIAL","ULTRASOUND","93925",1044]
[" 3200443","US RENAL W DOPPLER","ULTRASOUND","93975",1545]
[" 3200438","US ABD PARACENTESIS W GUIDE","ULTRASOUND","49083",1367]
["  506517","OPHTHALMIC US DX","ULTRASOUND","76512",501]
[" 3200428","US PELVIC BLADDER LIMITED","ULTRASOUND","76857",428]
[" 3200429","US BLADDER CAPACITY POST","ULTRASOUND","51798",192]
[" 3200430","US 1ST TRIMESTER TWINS","ULTRASOUND","76802",306]
[" 3200431","US OB BIOPHYSICAL PROFILE","ULTRASOUND","76818",419]
[" 3200436","US NECK","ULTRASOUND","76536",658]
[" 3200437","US CHEST","ULTRASOUND","76604",478]
[" 3200439","US PERICARDIOCENTESIS","ULTRASOUND","76930",338]
[" 3200440","US LMT ABDOMINAL","ULTRASOUND","76705",712]
[" 3200444","US EXT NON-VASC LMT","ULTRASOUND","76882",519]
[" 3200445","US OB LIMITED  EMERGENT","ULTRASOUND","76815",471]
[" 3200446","US GUIDE NEEDLE PLACEMENT","ULTRASOUND","76942",753]
[" 3200447","US EXT NON-VASCULAR","ULTRASOUND","76881",625]
[" 3203962","US RENAL COMP","ULTRASOUND","76770",770]
[" 3206535","US THYROID","ULTRASOUND","76536",589]
[" 3206700","US ABDOMEN COMP","ULTRASOUND","76700",840]
[" 3206706","US SCREENING ABDOMINAL AORTIC","ULTRASOUND","76706",535]
[" 3206730","US RENAL LTD","ULTRASOUND","76775",642]
[" 3206765","US RETROPERITONEAL LMT","ULTRASOUND","76775",642]
[" 3206810","US OB TRANSVAGINAL","ULTRASOUND","76817",616]
[" 3206811","US MIN 14 WEEKS OB EACH ADDL","ULTRASOUND","76810",733]
[" 3206812","US OB 1ST TRIMESTER","ULTRASOUND","76801",733]
[" 3206814","US OB 2ND 3RD TRIMESTER","ULTRASOUND","76805",733]
[" 3206830","US TRANSVAG PELVIS NON-OB","ULTRASOUND","76830",708]
[" 3206850","US PELVIC COMP","ULTRASOUND","76856",813]
[" 3206851","US PELVIC NON OB LMT","ULTRASOUND","76857",428]
[" 3206870","US SCROTUM","ULTRASOUND","76870",646]
[" 3206999","US MISC","ULTRASOUND","76999",373]
[" 3207003","US GUIDE ABSCESS","ULTRASOUND","75989",1519]
[" 3210001","US SUPERFICIAL LUMP HEAD NECK","ULTRASOUND","76536",698]
[" 4207000","US ECHOCARDIOGRAM","ULTRASOUND","93307",1917]
[" 4207006","US ECHO DOPPLER","ULTRASOUND","93306",2158]
["  506213","6 OPHTHALMIC BIOMETRY","ULTRASOUND","92136",170]

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{"sheet":"Sheet3","index":2,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}