Health Center Chargemaster

DESCRIPTION AND COST

SWINGBED ACUTE (SINGLE ROOM) $2,457.00
INSERT OF NON-INDWELL CATH-STRAIGH $65.00
INSERT TEMP BLADDER CATHETER(FOLEY $151.50
DEBRIDE NAIL 1 - 5 $35.50
PACEMAKER CHECK $37.50
INSERT PICC CATHETER (AGE 5 & UP) $1,619.00
ELECTRICAL STIMULATION (ALPHA-STIM $58.50
SWINGBED SKILLED (DOUBLE ROOM) $2,354.00
SWINGBED SKILLED (SINGLE ROOM) $2,354.00
NEG PRESS WOUND TREATMENT </=50 CM $325.00
SWINGBED LTC SEMI PRIVATE ROOM $190.00
SWINGBED LTC (PRIVATE ROOM) $200.00
WHIRLPOOL BATHS $39.00
DAYCARE PER HOUR $15.00
FILGRASTIM (NEUPOGEN) 480 MCG INJ $1,332.00
PEDIATRIC MASK $30.00
GLOVES NITRILE POWDER FREE $10.40
URINARY DRAINAGE BAG/154102 $25.15
NASAL CANNULA 14FT 001326 $20.00
NEBULIZER KIT 64085 $7.50
STERILE H20 FOR INHALATION 500ML $20.23
HUMIDIFIER BUBBLE EMPTY $13.50
NASAL CANNULA 7FT 33239 $10.00
MEDICAL GAS LOW PRESSURE FLEXIBL $5.50
OXYGEN MASKS MED CONCENTRATION $11.00
OXYGEN MASK NON-REBREATHING $11.00
SECONDARY MED SET TRAVENOL $20.23
ENEMA SODIUM PHOSPHATE 4.5OZ $10.00
DEXTROSE INJ USP 0.5% (100ML) $10.40
KY LUBRICATING JELLY (4 OZ) $15.48
SODIUM CHLORIDE INJ USP 0.9%(100ML $13.00
SODIUM CHLORIDE INJ USP 0.9%(250ML $20.00
DEXTROSE INJ USP 0.5% (1000ML) $11.50
LACTATED RINGERS INJ (1000ML) $10.40
ENEMA MINERAL OIL $16.00
ENEMA BUCKET $25.00
MESH UNDERPANTS $13.00
CHROMIC GUT 4-0 27" TAPER $25.15
CHROMIC GUT 5-0 PROLENE BLUE 18" $48.30
SUTURE PLASTIC 4-0 PROLENE BLUE 18 $50.00
CHROMIC GUT 3-0 27" TAPER $15.48
ICE PACK BLUE CLIPCLOSE W/TIES LG $12.00
COLD/HOT PACKS (MICROWAVABLE) $18.48
CATHETER TRAY URETHRAL $26.50
CONTINU-FLO SOLUTION SET 3Y SITE $22.90
MEDICATION SET (18G)SECOND NEEDLE $10.40
EXTENSION SET- BRAUN 6"SMALLBORE $5.50
IV CATHETER EXTENSION SET 2N1194 $11.00
CATHETER FOLEY ALL SIZES $30.00
IV CATHER/NEEDLE UNIT (ANGIOCATH) $10.40
SAFE-TE-Z SET $10.40
BANDAGE ACE ELASTIC 3" $16.00
ADP INSTANT COLD COMPRESS DISPOSA $25.15
SUTURE/STAPLE REMOVAL KITS $10.40
DRESSING NON-ADHERANT (3X8)ADAPTI $16.00
COTTON TIPPED APPLICATORS STERILE $5.50
VENTED NITROGLYCERIN SET $29.99
STERILE H20 FOR INHALATION 340ML $10.40
METATARSL PAD ALL SIZES $25.15
POSTING HEEL WEDGE PW $25.15
DEXTROSE INJ 0.5% (250ML) $10.40
STOCKINGS ANTI-EMBOLISM KNEE ALL $30.00
SLIPPERS STOP-SLIP TERRY CLOTH $11.50
SIDE KICK WALKER MEDIUM $79.75
SODIUM CHLOR INJ USP 0.9% (1000ML) $11.50
ISOLYTE P(0.5%)DEX-MULTI-ELEC(500M $10.40
ISOLYTE SPH 7.4 MULTI-ELEC (1000ML $13.00
STERILE WATER IRRIGATION USP 250M $10.40
SODIUM CHLORIDE IRRIG 0.9% 500ML $10.40
STERILE WATER FOR IRRIG 500ML $10.40
CATHETER KIT FEMALE W/GLOVES &SWA $30.00
SODIUM CHLORIDE 0.9% IRRIG 250ML $10.40
DUODERM CGF DRESSING (4X4) 05/BX $51.60
SPONGES GUAZE STERILE (4X4) 12PL $20.00
PAD NON-ADHERANT OUCHLESS 3X4 $2.25
PAD GAUZE STERILE (2X2) 12 PLY $2.25
CALMOSEPTINE OINTMENT 4OZ TUBE $35.00
SPONGES KENWOOD STERILE (4X4) 8PL $5.50
BANDAGE STERILE FLEXILITE (6X4.5) $10.40
BANDAGE STERILE FLEXILITE (4X4.5) $2.25
BANDAGE STERILE FLEXILITE (3X4.5) $2.25
DRESSING HYDROPHILIC 4X4" COPAFOA $40.00
PAD GAUZE PETROLAT STER (3X9) $5.50
IV CATHETER DRESSING CLEARSITE(3X $5.50
SKIN CLOSURE STERI-STRIP 1/2X4" $15.48
ATTENDS PULLUPS LG XL 1 PKG $23.65
SUPER DBL D ARM SLING $8.75
SHOULDER IMMOB-MALE S M L $12.00
COMFORTFORM WRIST R/L ALL SIZES $35.75
AIRWAYS CHILD 60MM $5.50
SACRO-LUMBAR SUPPORT XL $29.25
DRESSING TELFA NON-ADHERENT 3X8 $2.25
CRISSCROSS LUMBO SUPP W/COMP S/M $100.93
SYRINGE W/NDL BD SLOK 1CC25GX5/8" $2.25
ACTICOAT ANTIMICROBIAL 7 DAY DRESS $45.77
OXYGEN MASK W/O TUBING $10.00
ELBOW WRAP UNIVERSAL TENNIS ALL $5.50
IV CATHETER DRESSING TRANS (5X10C $25.15
WRIST SUPPORT CTS ABCO $12.00
DERMABOND $107.50
ANKLE BRACE AIR STIRRUP (RIGHT) $104.00
RESUSCITATOR MED/ADULT AMBU SPUR $102.48
RESUSCITATOR INFANT/CHILD AMBU SPU $94.30
KNEE SLV SPORT CLOS PAT LG XLG XXL $16.50
KNEE SLV SPORT CLOS PAT XSM XM ME $17.00
CERVICAL COLLAR ALL $12.00
CRISSCROSS LUMBROSCRAL SUPPORT W/C $100.93
CRISSCROSS BINDER FOR BACK SUPPORT $80.33
RIB BELT FEMALE UNIVERSAL $10.50
RIB BELT ALL $25.15
SLING AND SWATHE PEDIATRIC $60.88
SLING AND SWATHE ADULT $60.88
CRUTCH GRIPS $15.48
CRUTCH TIPS $5.50
CRUTCH UNDERARM PADS $5.50
KNEE SUPPORT PATELLA SM MD LG XL $118.15
ARMSLING PEDIATRIC PRINT $8.25
LIGAMENT STABILIZER HINGED SM ME $131.60
KNEE PWR PLAY W/UNIV BUTT $94.30
PATELLA STRAP UNIVERSAL $43.78
KNEE SUPPORT NEOPRENE (DEROYAL) $32.50
THIGH SLEEVE ALL $20.25
ELASTIC KNEE SUPPORT $14.25
ANKLE BRACE AIRSPORT ALL RGT LFT $60.00
HEEL WEDGES ALL $34.75
ANKLE BINDER SM $34.75
ANKLE BRACE LACE-UP ALL $115.48
ANKLET DOUBLE WRAP $18.25
ANKLE BRACE STANDARD ALL $77.00
ELBOW SLEEVE ALL $11.00
ANKLE SUPPORT PULL-OVER ELASTIC $18.25
ARM IMMOBILIZER LG XLG $10.40
ARM IMMOBILIZER SM MD LG (MEN'S) $15.48
TOE CAPS $25.15
WRIST SUPPORT ALL $12.00
WRISTLET ALL $25.15
CERVICLE COLLAR PED SIZE $29.99
WRIST SPLINT LACE-UP ALL $65.08
WRIST/FOREARM SPLINT W/ LOOP & LOC $72.74
CLAVICAL BRACE PADDED MED $48.30
CLAVICAL BRACE PADDED LG $48.30
WRIST/FOREARM SUPPORT $16.50
CLAVICAL PAD ALL $48.30
CLAVICAL SPLINT ALL $43.78
ACROMIOCLAVICULAR SPLINT UNIVERSA $100.93
ARM SLING WEB ALL $8.75
ARM SLING DEEP POCKET ALL SIZES $7.25
CLAVICAL SPLINT XSM $48.30
COCKUP WRIST SPLINT ALL $52.49
CARPAL TUNNEL PROTECTOR ALL $48.30
ARM SPLINTS ALL $39.18
ARM SLING ELEVATOR 21" $56.85
DRESSING-TEGADERM TRANS 2-3/8X2-3/ $20.00
TUBE CONNECT DISP PLASTIC 1/4"X $2.25
IV CATHETER DRESSING-OPSITE 2X3 $2.25
COMFORT BATH SYSTEM SAGE $10.50
DEX 5%NACL 0.9% INJ USP (1000ML) $15.48
EYE PADS OVAL 1-5/8X2-5/8 50/BX $2.25
EYE SHIELD FOX-ALUMINUM 12/BX $5.50
PADS GAUZE STERILE (4X4) 12 PLY $2.25
GLOVES STERILE ALL $5.00
PEDIATRIC D-FIB PATCHES QUICK COMB $136.84
BANDAGE FLEX KNUCKLE STER 1-1/2X $2.25
BANDAGE FLXFNGRTIP STER 1-3/4X2 $2.25
BANDAGE SHEERE STRIP STER 3/4X3 $2.25
BANDAGE SNOOPY SPOTS 7/8" DIAM $2.25
BANDAGE SHEER SPOTS 100 SPOTS J&J $2.25
BANDAGE BUTTERFLY CLOSURE 100 LG $2.25
CRICOTHYROTOMY KIT EMERGENCY $94.30
TRACHEOSTOMY TUBE-LOW PRESS CUFF $30.25
TRACHEOSTOMY TUBE-PEDIATRIC 3 $30.25
EYE PATCH PRESS PATCH STERILE $2.25
NEBULIZER T UP DRAFT HAND HELD $10.40
DRESSING-TEGADERM TRANS 4X4-3/4" $5.50
DRESSING NON-ADH 3X4 ADAPTIC $10.40
DRESSING-ADHESIVE SURGICAL 4X8" $20.23
DRESSING-THIN FILM 2-1/4X3-1/2" $20.23
SKIN CLOSURE STERI-STRIP 1/4X3" $10.40
SUTURES 000 SILK BLK BRAID 18" $20.23
TRIXIACIN-CAPSICUM OLEORESIN CR 1. $15.48
GELFOAM ABSORB GELATIN PWDR STER $135.06
QUIK-COMBO DEFIB PATCHES 10/BX $118.15
SUTURE 5-0 SILK BLK BRAID 18"CUTIC $15.48
SUTURE 6-0 SILK BLK BRD 18"CUTICUL $15.48
SUTURE 2-0 NUROLON BLK BRD 18" GEN $115.48
SUTURE 3-0 ETHILON BK MONO FIL 30" $70.00
SUTURE 4-0 ETHILON BLK MONO FIL 18 $40.00
SUTURE 5-0 ETHILON BK MONOFIL 18" $60.00
SUTURE 4-0 SILK BK BRD 18" CUTICUL $15.48
SUTURE 3-0 SILK BK BRD 18" CUTICUL $15.48
DRESSING NON_ADHERE 3X16" ADAPTIC $15.48
PAD WET PRUF ABD 7 1/2 X 8 CURITY $2.25
PAD WET PRUF ABD 5X9" KENDAL $2.25
PAD WET PRUF ABD 7 1/2X8" KENDAL $2.25
BANDAGE ACE ELASTIC 2" $10.00
BANDAGE ACE ELASTIC 2-1/2" $13.00
BANDAGE ACE ELASTIC 4" $15.00
BANDAGE ACE ELASTIC 6" SMALL $15.48
BANDAGE ACE ELASTIC 6" LARGE $20.23
COBAN 3" BANDAGE PER ROLL $8.00
BANDAGE COHESIVE 2"X5 YDS PER FOO $5.00
WRAP SELF-ADHER COBAN 1" PER FOO $5.50
WRAP SELF_ADHER KENDALL 3" /FOOT $20.00
COCKUP WRIST SPLINT PED $97.78
SPLINT FINGER-TOE LG 10/BX 2" $10.00
SYRINGE INSULIN 1/2ML 28G $2.25
ICE PACK BLUE CLIPCLOSE W/TIES S $10.40
O2 TRANSDUCER PEDS OXISENSOR D-2 $75.00
02 TRANSDUCER ADULT OXISENSOR D2 $68.95
02 TRANSD NEONATAL/ADULT OXIS N-2 $65.08
STOCKINGS ANTI-EMBOLSIM THIGH AL $45.00
PACK STRIP IODOFORM NU-GAUZE 1/2X $2.25
PACK STRIP IODOFORM NU-GAUZE 1/4X $2.25
PACK STRIP IODOFORM NU-GAUZE 1X5 $2.25
GELFOAM SPONGE 12X7 MM $48.30
GAVAGE SET STANDARD $20.23
ANESTHESIA EXTENSION SET 30" $5.50
SUTURE 3-0 CHROMIC GUT 27" GEN CLO $20.23
SUTURE 0 SILK BK BRD 30" SILICONE $56.85
SUTURE 1 CHROMIC GUT ETHICON 27"GE $25.15
SUTURE 0 CHROMIC GUT ETHICON 27" G $25.15
SUTURE 1 CHROMIC GASTRO INT 27" $25.15
CATHETER DISPOZ-A-BAG BARDIC ME $30.00
CATHETER MALE DISP EXTERNAL NON- $10.40
BARD FOLEY TRAY 899616 $34.83
CATH TRAY URETHRAL 14 FR $10.40
NEEDLE INTRAOSSEOUS EZ-IO $155.25
KANGAROO GRAVITY FEEDING BAG/SET $25.15
SPONGE STERILE LAP 18X18 5/PK $2.25
INFUSION SET BUTTERFLY $2.25
IV CATHETER TWIN 2 LUMEN $8.75
INFUSION PLUG ARGYLE INTERMITTENT $10.40
AIRWAY NASOPHARYNGEAL ALL $34.75
PAD WET PRUF ABD 8X10 $2.25
PAD GAUZE PETROLAT STER NON 3X18 $5.50
PRIM ADMIN 2-Y SITE SET IVAC 560 $25.15
SECOND ADMIN/PIGGYBACK W/NEEDLE HN $20.23
ANKLE BRACE AIR STIRRUP RT OR LFT $104.00
EGG CRATE PAD $29.99
NITRO TUBING $43.78
GRAVITY DRAINAGE BAG URESIL $68.95
SHARPS CONTAINER $20.23
OXYGEN K TANK LARGE $55.00
OXYGEN E TANK SMALL $44.00
CRUTCHES YOUTH $48.50
CRUTCHES ADULT $30.75
DRESSING TELFA ISLAND 4X5 $5.50
FINGER GUARDS $10.00
SPONGE 2X2 STERILE 4 PLY $2.25
BANDAGE KERLIZ GAUZE MEDIUM $5.50
SUSPENSION BOOT HEEL LIFT $134.12
TEGADERM 3M 2 3/8 X 2 3/4 $20.00
PERCU-STAY FIX DRAIN CATH LARGE $56.85
SPLINT PADDED TIBIAL & FIBULAR $48.50
SPLINT PADDED FOREARM & WRIST $8.75
CHLORAPREP APPLICATOR $5.00
IV CATHETER PROTECTIVE PLUS 18G $16.00
CERVICLE COLLAR PHILIDEPHIA $25.75
TELFA NON ADHERENT PAD 2X3 $2.25
SURGILAST SIZE 5 ELASTIC BANDANGE $5.50
HEEL PADS GEL UNISEX SOF SOLE $20.23
BALL OF FOOT CUSHION GEL SOFSOL AL $30.00
HEEL CUP GEL SOF SOLE ALL $29.99
INSOLES ARCH SOF SOLE ALL $45.00
TEGADERM DRESSING 6X8 3M $10.40
TIELLE DRESSING $9.89
NEEDLE 25GX1 SAFETY GLIDE $5.00
NEEDLE 23GX1 SAFETY GLIDE $5.00
SYRINGE INSULIN 1/2 ML 29GX1/2 $5.00
SYRINGE INSULIN-1CC 29GX1/2 $2.25
SILVASORB 4X4 ANTIMICROBIAL $22.00
STAY FIX DEVICE FOR CATH.685ME $20.23
ARGLAES ANTIMICROBIAL BARRIER POW $80.00
XCELL AM BIOSYN CELLULOSE 5.5X8" $112.73
X CELL CELLULOSE WOUND DRESS ANTI $112.73
ANGEL WINGS LL $10.40
PORT-A-CATH GRIPPER PLUS 1 1/4" $48.30
PORT-A-CATH GRIPPER PLUS 3/4" $48.30
HEPARIN FLUSH SYRINGES (PREFILL) $5.50
INFUSION SET WINGED 20G W/EXT.SET $20.23
REMEDY NUTRISHIELD $29.99
REMEDY CALAZIME PASTE $29.99
OSTOMY POUCH 10/BX $11.65
OSTOMY WAFER/BARIER 5/BX $25.15
OSTOMY CLAMP $9.10
CAVILON BARRIER FILM $5.50
ULTRASITE IV PUMP SET $25.00
ADAPT PASTE HOLLISTER $39.18
SECONDARY IV SET V1922-19 $22.00
Y-TYPE BLOOD SET HORIZON PUMP $107.50
NYTROGLYCERIN SET #V7450 $110.00
AEROMIST NEBULIZER 6" $10.40
AEROMIST NEBULIZER 7' TUBING $10.40
SYRINGE 10ML BD309604 $2.25
TRIPLE ANTIBIOTIC OINTMEN $2.25
SURGILUBE 5 G FOILPAC $2.25
REMEDY ANTIFUNGAL CREAM 4 OZ $29.99
SUTURE 4-0 PROLENE BLUE MONO FIL $70.00
CATHETER BARD 12FR 5CC $29.99
NOVOFINE 30G NEEDLES (8MM) $5.50
XEROFOAM 2X2 GAUZE PATCH $10.00
QUIK COMBO (PACING/DEFIB/ECG ELECT $120.90
PNEUMOTHORAX TRAY PROC. W/TURKEL $120.90
E-Z SCRUB BRUSH/SPONGE 4% CHLOR. G $2.25
IV SHIELDED CATHETER INSYTE 22GX1 $10.40
CANNULA INTERLINK LEVER LOCK $2.25
SECONDARY MED SET - INTERLINK $10.40
IONOSOL MD & 5% DEXTROSE 500ML $10.40
GENTLEHEAL 4X4 WOUND DRESSING $20.23
CATH STRIP RECLOSABLE FASTENER $10.40
NEEDLE LESS INJECTION SITE $29.99
KERLIX LARGE ROLL $5.50
LEG WALKER LG MED SM USA $65.20
ANKLE WALKER ALL $75.25
OPEN TOE CAST SHOE (POST OP) $48.30
UNNA BOOT MEDICATED SUPPLY $52.49
PEDIATRIC URINE COLLECTOR $10.00
IV CATHETER PROTECTIVE PLUS 20GX1 $20.00
IV CATHETER PROTECTIVE PLUS 22GX1 $20.00
IV CATHETER PROTECTIVE PLUS 24GX1 $20.00
IV CATHETER INSYTE 20GX1" $15.48
BLUE PADS (CHUX) PER CASE $34.75
INDIVIDUAL BLUE PADS (CHUX) $1.00
OXYGEN (CAH) CONCENTRATOR $27.50
CATH. IV PROT. PLUS 16G- 1 1/4 $20.23
CRUTCHES TALL ADULT $47.77
HEEL CUPS BLUE DOT $76.70
SHOE PRO-STEP WALKER SMALL $106.75
DRESSING SACRAL HYDROCOLLOID $70.00
NEBULIZER FULL W/RESERVOIR $10.40
PLASTER BANDAGE 4" $72.74
HEEL LIFT SMOOTH-D $198.00
SETOPRESS COMPRESSION BANDAGE $43.80
SUTURE 2-0 SILK BLK BRAIDED 30" $18.49
SUTURE CHROMIC GUT 2-0 27"TAPER $20.23
VACUTAINER BLOOD COLLECTION SET BD $2.25
SKIN CLOSURE STERI STRIP 1/4X4" $15.48
SYRINGE 12CC REG LUER TIP $2.25
SYRINGE 5CC LL B-D $2.25
SYRINGE/NDL 5CC LL 21GX1" $2.25
INSULIN SYRINGE 1CC 28GX1/2" $2.25
SYRINGE 3CC SAFETY LOK 23GX1" $2.25
SUCTION CATHETER COUDE 14FR $29.99
PORT-A-CATH NEEDLE 20GX2 $15.48
PORT-A-CATH NEEDLE 20GX1.5 $15.48
CHEST DRAIN VALVE BD $110.00
TUBE NON CONDUCTIVE CONNECTING $15.48
SYRINGE ANGIOGRAPHIC CONTROL 12CC $2.25
IPPB MANIFOLD NEBULIZER DOUBLE LIN $20.23
ENDO TRACHEAL TUBE 2.5 $15.48
ENDO TRACHEAL TUBE 3.5 $15.48
MORGAN MEDIFLO LENS $33.00
INFUSION SET VEIN 21GX1.9 $2.25
SYRINGE 3CC 25GX5/8" $2.25
SYRINGE 3CC 22GX1 1/2" LL $2.25
SYRINGE 3CC 21GX1" LL $2.25
PRO VALVE MANUAL RESCUE BREATHING $10.40
SYRINGE 20CC BD LL $2.25
SYRINGE 60CC BD LL $2.25
SPLINT PADDED BASEBALL SMALL $5.00
SPLINT PADDED BASEBALL MEDIUM $5.00
SPLINT PADDED BASEBALL LARGE $5.00
SPLINT FOAM FINGER MEDIUM $10.40
SPLINT FOAM FINGER LARGE $10.40
FINGER COTS FOAM 1" $10.40
FINGER COTS FOAM 3 1/2" $5.50
FINGER TIP FOAM 1" $2.25
FINGER TIP FOAM 3" $2.25
SUCTION CATHETER 10FR 22" $29.99
SUCTION CATHETER 14FR 22" $29.99
SUCTION CATHETER 8FR 16" $34.75
SUMP TUBE 18F 48" $15.48
SUMP TUBE 16FR 48" $15.48
TRACHEAL TUBE PEDIATRIC 13FR 3MM $15.48
TRACHEAL TUBE PEDIATRIC 11FR 2.5M $15.48
TRACHEAL TUBE 6.0 CUFFED $15.48
TRACHEL TUBE 5.5 CUFFED $39.18
TRACHEAL TUBE 7.0 CUFFED $15.00
TRACHEAL TUBE 7.5 CUFFED $15.48
WIPES $6.74
SURGILAST SIZE 1 ELASTIC BANDAGE $2.25
SURGILAST SIZE 3 ELASTIC BANDAGE $5.50
SCOPETTE JR. $22.18
ANKLET DOUBLE STRAP ALL $18.25
ABDOMINAL BINDER $56.85
SUCTION HANDLE $104.00
ENSURE 1 CASE $22.25
MISC. SUPPLIES $90.25
THUMB SPICA SPLINT (COVERS WRIST) $27.00
SYRINGE 5CC (NO NEEDLE) $2.25
SYRINGE 3/NDL 3CC 21GX1 1/2" SL $2.25
SYRINGE W/NDL 3CC 23GX1" SAFETY LO $2.25
SYRINGE 3CC LL (NO NEEDLE) $2.25
INSULIN SYRINGE 1/2CC 23GX1" $2.25
SPLINT PEDIATRIC MOLDABLE $28.00
TELFA ISLAND DRESSING 4X6 $10.40
SYRINGE 1CC 27GX1/2 SAFETY TB $2.25
D/5W 100 ML $7.60
HOT PACK INSTANT DISPOSABLE $5.50
ELECTRODES FOR HEART MONITOR $14.56
IV CATHERER INTRONCAN 22GX1 $20.23
LEG WALKER EQUALIZER XLRG USA $118.15
02 TRANSDUCER ADULT NASAL R-15 $72.74
ARM ELEVATOR/SLING W/ICE BAG $90.99
COLLECT.BOTTLE GUARDIAN ASPIRATOR $9.40
AIR SPLINT-FULL LEG WRAPAROUND $16.50
WATER TRAP O2 TUBING $5.00
SYRINGE 60CC CATH TIP SS-60C $5.00
NASAL TAMPON $27.00
LEG BAG STRAP 23'MED 9343 $5.00
CASTING TAPE 3IN 7.6CM 82003 $22.50
INSOLES ARCH PLUS ALL SIZES $25.00
NEUROMA FOOT PADS $25.00
CALCIUM ALGINATE DRESSING 2X2 3553 $11.00
IPK FOOT PAD $30.00
MASK FULL FACE W/HEADGEAR1012624 $81.00
BACK SUPPORT $32.00
THORACENTESIS KIT AK-1000 $94.00
GASTROSTOMY FEEDING TUBE 0100-24 $45.00
GASTRO TUBE REPLCMNT BALLOON874240 $66.00
TELFA ISLAND DRESSING 4X5 #7540 $2.00
TELFA NON-ADHERE PAD 8X3 #1238 $2.00
EYE WASH STERILE BOTTLE $10.00
COLD PACK INSTANT DISPOSABLE $5.50
EAR WICKS 5 PER PACK- DEROYAL BRAN $10.00
SACRAL DRESSING SMALL TULIP $10.50
SUPER KNEE SPLINT 16" $27.50
GELFOAM-SIZE 50- 3 1/2 X 2 1/2 IN $63.23
PATIENT ADMIT SUPPLIES PACKETS $5.50
INFLATABLE PILLOWS $2.25
CO2 DETECTOR EASY CAP II $65.08
CHEST DRAINAGE UNIT $156.00
TROCAR CATHETER KIT 12F $58.55
CRICOTHYROTOMY CATH SET $264.00
KING LT-D LARYNGEAL TUBE $116.50
AIRWAY ADAPTER TUBES NONIN $34.75
OXYGEN TUBING SWIVEL CONNECTOR $10.40
MEDIPORE H SOFT CLOTH TAPE $15.00
TRANSPORE SURG. TAPE-2"X10 YD $5.50
COMBIDERM DRESSING $60.88
IODOFORM PACKING STRIP .5X5YDS $20.23
FILTER NEEDLE 19G X 1 $2.25
SUTURE 5-0 18" PLASTIC BRAIDED $34.75
HEEL PROTECTOR DERMASAVER L $40.98
RHINO ROCKET NASAL MED. $53.00
OB PACK DISPOSABLE $52.49
CALMOSEPTINE OINT. 2.5 OZ $25.15
POVIDONE-IODINE SCRUB SWABSTICK $2.00
MONOJ. INS. SYR. 29GX1/2" U50 $2.00
DISPOSABLE SCALPEL #10 #20 $9.40
LEMON GLYCERIN SWABSTICKS TRIPLES $2.00
SAFSITE VALVE/CAP RV1000 $5.00
BLANKET TEMP. MGMT. FULL BODY $31.50
AQUACELL 4X4 DRESSING $57.00
CONNECTING TUBE NON-CONDUCTIVE 6M $5.00
DERMABOND PROPEN $110.65
UROSTOMY POUCH 8482 $25.95
VAC WHITE FOAM SMALL $249.50
VAC CANISTER W/GEL (500ML) $442.75
VAC GRANUFOAM SILVER MED $616.75
SILVA SORB GEL-8OZ. $210.32
MASTISOL SINGLE USE VIAL $9.40
SUMP TUBE 14FR 48" $9.40
NEEDLE BD SAFETYGLIDE 18GX1 1/2 $2.25
TEGADERM TRANS FILM DRESSING 8"X12 $9.00
DURAPORE SILK SURG TAPE 1538-2 $5.00
RHINO ROCKET NASAL SMALL $35.00
SACRUM DRESSING(ALLEVYN 17CMX17CM) $35.68
TINCTURE OF BENZOIN SWABSTICK $2.00
CAST PADDING SYNTHETIC 6" 851 $5.00
DRESSING BIOPATCH ANTIMICROBIAL $25.00
PICC PLUS FOAM-CATH STABILIZATION $43.80
PILLOW FOOT $110.40
CONFORM-STRETCH BANDAGE $35.67
SILVASORB GEL .25 OZ $39.78
IV/OUTLOOK SAFE.INF.SYS $31.50
CATH-SECURE TUBE HOLDER $10.00
OPTICLUDE ORTHOPTIC EYE PATCH $2.25
CLEARLINK VALVE FOR IV ACCESS $25.00
LIQUIBAND TOP. ADHESIVE $85.80
TEGADERM HYDROCOLLOID $35.68
TOTAL FOOT SUPPORT REPLACEMENT INS $37.00
SEASORB ALGINATE DRESSING $22.90
EXTENSION SET 7.0" $22.90
LATEX FREE EXTENSION TUBING $9.40
BORDERED GAUZE 2X2 $2.00
AQUACEL 2X2 SILVER IMPREG ANTI DRE $55.38
MAXORB SILVER ALGINATE DRESSING $27.24
VAC DRAPE $43.80
IRRIGATION TRAY W/PIST SYRG $5.00
BARD LEG BAG 150732 $9.40
SUCTION CANISTER---------- $16.50
WATER TRAP $22.90
CONVEEN SECURITY LEG BAG $18.48
OXYGEN TUBING 25FT $18.48
SPIROMETER 4000ML $21.00
SWIVEL CONNECTOR $13.98
OPTI-MIST NEBUL.W/TUBING $9.40
OXYGEN TUBING 7FT $5.00
CAST PADDING SYNTHETIC 2" $5.00
IV MAXPLUS CLEAR CONNECTOR #MP1000 $5.00
KERLIX SUPER SPONGES $18.48
FLEXICON STRETCH BANDAGE 4"X4.1YDS $5.00
FLEXICON STRETCH BANDAGE 2"X4.1YDS $4.00
CONFIDENCE DUAL CARE BARRIER CREAM $5.00
SILVASORB 2X2 SHEETS $12.00
TEGADERM PICC/CVC SECURE IV DRESSN $10.00
SKIN PREP TRAY W/CHLORAPREP $18.48
KUHL SHIELDS BRACE ANY SIZE $160.00
SI BELT S/M $92.00
SI BELT L/XL $96.00
DUO DERM 8X9 IN $70.75
CPAP MASK WITH HEADGEAR $150.00
ANTIMICROBIAL DRAIN SPONGES #7088 $2.25
INFANT NASAL CANNULA 7' $5.00
CATHETER SELF-STRGHT TIP MALE FR1 $7.50
CATHETER SELF-STRGHT TIP MALE FR1 $7.50
DEXTROSE INJ 0.5% (500ML) $9.00
ICE PACK FOR EYES W/ELASTIC STRAP $12.00
TELFA ISLAND DRESSING 4X8 #7541 $5.00
SUTURE 4-0 18" PLASTIC BRAIDED $85.50
DRESSING ADHESIVE ISLAND 2X2 $2.00
PLASTER BANDAGE 2X3 #7372 $5.00
SODIUM CHLORIDE 0.9% INJ (500ML) $20.00
STAT LOCK FOR PICK LINE $36.00
XOPENEX VIAL NEB .63/3ML $12.50
PLASTER BANDAGE 6X5 #7376 $5.00
LEVALBUTEROL INH 1.25MG/0.5ML $12.50
GELFOAM SPONGE (SIZE 4) 2X2CM $68.00
BOUGIE INTRODUCER 15 FRENCH $10.50
DUODERM 4 X 4 (CONVATEC) 20/BX $45.00
CALCIUM ALGINATE DRESSING 4X5 $24.00
PROXIMATE SKIN STAPLER (35 WIDE) $90.00
CATHETER FOLEY TRAY 16FR W/BAG $42.00
PLEUREX DRAINAGE KIT $96.00
SIMPLY SALINE WOUND WASH 7OZ CAN $12.00
IV CATHETER SYSTEM-CLOSED 22G $15.00
ENEMA PEDIALAX SALINE (2-11YRS) $7.00
PAB MIXING CONTAINER 150ML $13.98
DISPOSABLE T PAD $23.00
LACERATION TRAY-STERILE #31144499 $25.00
DRESSING - HYDROCELLULAR FOAM 5X5 $12.00
DAY CARE $11.00
DERMAFLEX ADHESIVE GEL 0.7G TUBE $30.00
LATEX GLOVES/ 1 BOX $11.00
DIATHERMY TREATMENT $25.00
ORBITS EYES FOR FOREIGN BODY $126.00
MANDIBLE PARTIAL LESS THAN 4 VIEWS $209.50
MANDIBLE COMPLETE MINIMUM 4 VIEWS $320.00
FACIAL BONES 2 VIEW (ROUTINE) $183.00
FACIAL BONES COMPLETE $126.00
NASAL BONES COMPLETE MIN 3 VIEWS $183.00
X-RAY EXAM OF SINUSES 3 VIEW $97.50
SINUS COMPLETE STUDY $183.00
X-RAY EXAM OF SKULL 2 VIEW $237.75
SKULL SERIES COMPLETE $237.75
SOFT TISSUE NECK $162.75
CHEST X-RAY 1 VIEW FRONTAL $185.00
CHEST X-RAY 2 VIEW FRONTAL & LATL $217.00
CHEST AP/PA LAT & LORDOTIC $157.00
CHEST W/ OBLIQUE $237.75
CHEST AP/PA LAT AND OBLIQUES $315.00
X-RAY EXAM RIBS UNI 2 VIEWS $259.50
X-RAY EXAM RIBS UNILAT 1 VIEW $323.00
X-RAY EXAM RIBS BIL 3 VIEWS $278.50
X-RAY EXAM RIBS BIL 1 VIEW $222.00
STERNUM $228.50
X-RAY EXAM STERNO JOINTS 3 $237.50
X-RAY EXAM NECK SPINE 3/VIEWS $443.50
X-RAY EXAM THORAC SPINE 2 VIEWS $235.50
X-RAY EXAM THORAC SPINE 3 VIEWS $297.50
X-RAY EXAM THORAC SPINE 4/>VIEWS $286.00
X-RAY EXAM LUMBAR SPINE 2/3 VIEWS $245.75
X-RAY EXAM PELVIS 1/2 VIEWS ROUTIN $205.75
PELVIS/HIP(S) ADULT $240.00
X-RAY EXAM SACROILIAC 2 VIEWS $225.75
X-RAY EXAM SACRUM TAILBONE $213.75
X-RAY EXAM OF COLLAR BONE $193.00
X-RAY EXAM SCAPULA 2 VIEWS $188.00
X-RAY EXAM OF SHOULDER 1 VIEW $187.25
X-RAY EXAM OF SHOULDER 2 VIEWS $219.50
X-RAY EXAM OF SHOULDERS BILATERAL $260.75
X-RAY EXAM OF HUMERUS 2 VIEWS $211.25
X-RAY EXAM OF ELBOW 1/2VIEWS $193.00
X-RAY EXAM OF ELBOW 3 VIEWS LIMITE $226.25
X-RAY EXAM OF FOREARM 2 VIEWS $193.00
X-RAY EXAM OF WRIST 2 VIEWS $189.50
X-RAY EXAM OF WRIST 3 VIEW $221.75
X-RAY EXAM OF HAND 2 VIEWS $189.50
X-RAY EXAM OF HAND 3 VIEWS $221.75
X-RAY OF FINGERS 3 VIEWS $177.00
X-RAY HIP UNILAT W OR W/O PELVIS 1 $141.25
X-RAY HIP W OR W/O PELVIS 2-3 VIEW $223.00
X-RAY EXAM OF HIPS BILATERAL 5 VIE $259.50
X-RAY EXAM OF FEMUR 1 VIEW $180.00
X-RAY EXAM OF FEMUR 2 VIEWS $214.75
X-RAY EXAM OF KNEE 1/2 VIEWS $222.75
X-RAY EXAM OF KNEE 3 VIEWS $243.50
X-RAY EXAM KNEE-COMP 4 OR + VIEW $265.00
KNEES BILATERAL STANDING $90.00
X-RAY OF LOWER LEG (TIBIA/FIBULA)2 $193.00
X-RAY EXAM OF ANKLE 2 VIEWS $189.50
X-RAY EXAM OF ANKLE 3 VIEWS $220.50
X-RAY EXAM OF FOOT 2 VIEWS $189.50
X-RAY EXAM OF FOOT 3 VIEWS $218.25
X-RAY EXAM OF HEEL (CALCANEUS) 2 V $187.25
X-RAY EXAM OF TOES 2 VIEWS $177.00
X-RAY EXAM OF ABDOMEN 1 VIEW $191.75
X-RAY EXAM OF ABDOMEN 2 VIEWS $274.50
X-RAY OF ABDOMEN 3 OR MORE VIEWS $325.00
X-RAY NOSE TO RECTUM/FOREIGN BODY $195.00
ROUTINE VENIPUNCTURE $19.50
PHLEBOTOMY THERAPEUTIC $137.75
CARDIAC PANEL $375.00
SPECIAL PHLEBOTOMY SERVICE $50.00
METABOLIC PANEL TOTAL CA 8 $81.50
ELECTROLYTE PANEL $80.25
COMPREHEN METABOLIC PANEL 14 $108.00
PRENATAL PANEL $63.00
LIPID PANEL $83.75
RENAL FUNCTION PANEL $90.75
HEPATITIS PANEL ACUTE $268.75
HEPATIC FUNCTION PANEL (LIVER) $109.00
DRUG SCREEN QUALITATE/MULTI $225.25
DRUG SCREEN SINGLE (GABAPENTIN) $63.00
GABAPENTIN $82.00
ASSAY CARBAMAZEPINE TOTAL(TEGRETOL $117.00
ASSAY OF CYCLOSPORINE $140.00
ASSAY OF DIGOXIN $111.25
ASSAY DIPROPYLACETIC ACID(DEPAKOTE $124.00
ETHOSUXIMIDE $145.00
ASSAY OF GENTAMICIN $209.00
ASSAY OF LAMOTRIGINE $26.00
ASSAY OF KEPPRA (LEVETIRACETAM) $40.00
ASSAY OF LITHIUM $68.75
ASSAY OF PHENOBARBITAL $81.50
ASSAY OF PHENYTOIN TOTAL (DILANTIN $112.50
ASSAY OF SIROLIMUS $120.50
TACROLIMUS $163.00
ASSAY OF THEOPHYLLINE $85.00
ASSAY OF VANCOMYCIN $162.00
CBC DIFF $85.00
QUANTITATIVE ASSAY DRUG $143.50
URINE DRUG SCREEN QUALITATIVE $45.00
DRUG SCREEN NOT OTHERWISE SPECIFIE $85.00
URINALYSIS NONAUTO W/SCOPE $40.00
URINALYSIS NONAUTO W/O SCOPE $19.50
URINE PREGNANCY TEST $36.75
BIOPSY OF SKIN/SUBCUTANEOUS TISSUE $94.00
HEMOCHROMATOSIS (HFE) GENOTYPE $275.00
HLA TYPING $200.00
ASSAY OF ACETAMINOPHEN $193.00
ASSAY OF ACTH (ADRENOCORTICOTROPIC $225.25
ASSAY OF SERUM ALBUMIN $28.50
MICROALBUMIN QUANTITATIVE (URINE) $55.00
ETOH SCREEN ANY SOURCE BUT BREATH $40.00
ASSAY OF ALDOLASE $90.75
ASSAY OF ALDOSTERONE $64.00
AFP-ALPHA FETOPROTIEN TUMOR MARKER $94.00
AMINO ACIDS 6+ QUANT. EACH SPECIM $573.00
ASSAY OF AMMONIA $30.00
ASSAY OF AMYLASE $85.00
MEPHOBARBITAL $94.50
BILIRUBIN TOTAL $42.50
BILIRUBEN DIRECT $47.00
OCCULT BLOOD FECES $26.25
OCCULT BLD FECES 1-3 TESTS $41.25
VITAMIN D 25 HYDROXY $164.25
ASSAY OF CALCIUM $37.75
ASSAY OF CALCIUM IN URINE $55.00
CALCULUS ANALYSIS QUAL $112.50
CALCULUS SPECTROSCOPY(KIDNEY STONE $160.50
X-RAY ASSAY CALCULUS $96.50
CO2- CARBON DIOXIDE $27.00
CARBON MONOXIDE VENOUS $75.00
CARCINOEMBRYONIC ANTIGEN (CEA) $113.75
ASSAY THREE CATECHOLAMINES $169.00
ASSAY OF BLOOD CHLORIDE $35.00
ASSAY BLOOD/SERUM CHOLESTEROL $39.00
CHROMOTOGRAPHY QUANT SIGN $128.50
ASSAY OF CITRATE (URINE) $175.00
N-TELEOPEPTIDES $139.00
COPPER SERUM $49.00
CORTISOL FREE URINE $20.00
CORTISOL TOTAL $108.00
COLUMN CHROMATOGRAPHY-QUANTATIVE $107.00
ASSAY OF CREATINE KINASE (CK) $67.75
CREATINE MB FRACTION $140.00
ASSAY OF CREATININE $32.00
ASSAY OF URINE CREATININE $41.25
CREATININE CLEARANCE TEST $104.50
VITAMIN B-12 PLASMA $20.00
DHEA (DEHYDROEPIANDROSTERONE) $61.00
DHE SULFATE(DEHYDROEPIANDROSTONE) $65.00
VITAMIN D 1 25 DIHYDROXY $228.00
ASSAY OF ERYTHROPOIETIN $126.00
ASSAY OF ESTRADIOL $155.00
ESTROGENS FRACTIONATED $378.00
ESTROGEN TOTAL $90.00
ESTRADIOL SERUM $97.50
ESTRONE $190.50
ASSAY OF FOLIC ACID SERUM $25.00
ASSAY IGA/IGD/IGG/IGM EACH $50.50
ASSAY OF IGE (IMMUNOGLOBULIN) $78.00
IGG 1 2 3 OR 4 EACH $57.25
BLOOD GASES W/O2 SATURATION $260.75
GLUCOSE OTHER FLUID (STOOL REDUCIN $36.75
ASSAY GLUCOSE BLOOD QUANT $35.50
GLUCOSE 1HR PP (OB TEST) $64.50
GLUCOSE 3 HOUR $77.00
GLUCOSE BLOOD TEST (ACCUCHECK) $21.75
ASSAY OF GGT $49.25
ASSAY OF GONADOTROPIN (FSH) $50.00
ASSAY OF GONADOTROPIN (LH) $85.00
ASSAY GROWTH HORMONE (HGH) $84.00
ASSAY OF HAPTOGLOBIN QUANT $98.75
HEAVY METAL SCREEN BLOOD $231.00
GLYCOSYLATED HEMOGLOBIN TEST $72.25
ASSAY OF HOMOCYSTINE(CARDIOVASCULA $94.00
ASSAY OF CALCIUM (IONIZED) $77.00
ASSAY OF 5-HIAA $113.75
IMMUNOASSAY NONANTIBODY (CCP) $98.75
TRANSGLUTAMINASE (TTG) IGA $38.00
CYCLIC CITRULLINATED PEPTIDE(CCP) $108.00
TISSUE TRANSGLUTAMINASE (TTG) IGA $36.00
ASSAY OF INSULIN $89.50
ASSAY OF INSULIN; FREE $65.00
IRON $45.00
IRON BINDING CAPACITY TEST $15.00
IRON PANEL $100.00
ESTRASE INHIBITOR C1 (MAYO 8198) $42.00
LACTATE (LD) (LDH) ENZYME $46.00
ASSAY OF LEAD BLOOD $62.00
ASSAY OF LIPASE $85.00
ASSAY OF LIPOPROTEIN $44.75
ASSAY OF BLOOD LIPOPROTEIN $55.00
ASSAY OF MAGNESIUM $46.00
MASS SPECTROMETRY QUANT $111.50
ASSAY OF METANEPHRINES $211.50
ASSAY OF MYOGLOBIN $119.50
ASSAY OF NATRIURETIC PEPTIDE $198.75
NICOTINE $129.00
MOLECULE ISOLATE $137.75
DNA EXTRACT FACTOR V LEIDEN $78.00
DIGEST FACTOR V LEIDEN $31.00
MOLECULAR GEL ELECTROPHOR $105.00
MOLECULAR DIAGNOSTICS (PC-FACTOR V $75.00
T CELL NUCLEIC ACID $132.00
MOLECULE NUCLEIC AMPLI EACH $205.00
MOLECULE QUANT AMPLIFY ADD ON $49.25
MOLECULE MUTATION SCAN $91.75
MOLECULE V-NUC ACID AMP $184.50
GENETIC EXAMINIATION $50.50
ORGANIC ACIDS URINE $253.50
ASSAY OF BLOOD OSMOLALITY $86.00
ASSAY OF URINE OSMOLALITY $43.50
ASSAY OF OXALATE URINE $85.00
ASSAY OF PARATHORMONE $231.00
CALPROTECTIN FECAL $270.00
CELIAC DISEASE COMPREHENSIV CASCAD $50.50
THORAZINE $155.00
PKU (PHENYLALANINE) $27.00
ASSAY ALKALINE PHOSPHATE $43.50
ASSAY OF PHOSPHORUS $50.50
BENZODIAZEPINE URINE $33.00
OPIATES SCREEN URINE $33.00
ASSAY OF SERUM POTASSIUM $42.50
ASSAY OF URINE POTASSIUM $33.25
ASSAY OF PREALBUMIN $83.75
PROGESTERONE $141.00
ASSAY OF PROLACTIN SERUM $114.75
ASSAY OF PSA TOTAL $102.25
ASSAY OF PSA FREE $105.00
ASSAY OF PROTEIN SERUM $34.50
ASSAY OF PROTEIN URINE 24 HOUR $54.00
PROTEIN E-PHORESIS SERUM $83.75
PROTEIN E-PHORESIS/URINE/CSF $100.00
PROINSULIN $45.00
ASSAY OF VITAMIN B-6 (PYRIDOXAL) $183.00
PYRUVATE ACID BLOOD $78.00
KOH DRY PREP MOUNT $46.00
ASSAY OF RENIN $42.00
SEROTONIN 24 HR URINE $80.00
ASSAY OF SERUM SODIUM $35.00
ASSAY OF URINE SODIUM $40.00
IGF-1 $132.00
ASSAY OF FREE TESTOSTERONE $105.75
ASSAY OF TOTAL TESTOSTERONE $120.50
BIOAVAILABLE/DIRECT MEASURMNT(DIFF $45.00
ASSAY OF VITAMIN B-1 $169.00
ASSAY OF THYROGLOBULIN $78.00
ASSAY OF TOTAL THYROXINE T4 $140.00
ASSAY OF FREE THYROXINE $80.50
ASSAY THYROID STIM HORMONE $94.00
ASSAY OF VITAMIN E-TOCOPHERAL ALPH $38.00
TRANSFERASE (AST) (SGOT) $33.25
ALANINE AMINO (ALT) (SGPT) $40.00
ASSAY OF TRANSFERRIN $72.50
ASSAY OF TRIGLYCERIDES $47.00
ASSAY OF THYROID UPTAKE T3 $140.00
ASSAY TRIIODOTHYRONINE (T3) $100.00
FREE ASSAY (FT-3)_ $140.25
ASSAY OF TROPONIN QUANT $116.00
ASSAY OF UREA NITROGEN $46.00
ASSAY OF BLOOD/URIC ACID $52.75
ASSAY OF URINE/RIC ACID $41.00
ZINC SERUM $48.00
ASSAY OF C-PEPTIDE SERUM $106.75
CHORIONIC GONADOTROPIN TEST $92.00
CHORIONIC GONADOTROPIN ASSAY (PREG $90.75
BI SMEAR W/DIFF WBC COUNT $54.00
HEMATOCRIT $29.75
HEMOGLOBIN $35.50
COMPLETE CBC W/AUTO DIFF WBC $85.00
CBC (NO DIFF) $65.00
RBC $30.00
AUTOMATEDD RETICULOCYTE COUNT $57.50
RETICYTE/HGB CONCENTRATE $40.00
AUTOMATED LEUKOCYTE COUNT (WBC) $26.25
AUTOMATED PLATELET COUNT $40.00
CLIN PATH CONSULT-LEUKEM $66.00
ALLERGY INHALATION $382.50
ALLERGY INGESTION FOOD ETC $337.50
CLOT FACTOR VIII AHG 1 STATE $166.50
ANTITHROMBIN III ACTIVITY $148.00
PROTEIN C ANTIGEN PLASMA $275.00
PROTIEN S ACTIVITY $182.75
D-DIMER $150.00
LAP SCORE $63.00
PROTHROMBIN TIME $50.50
RUSSELL VIPER VENOM TIME(DRVVT) $85.00
RVVT DILUTED $125.00
RBC SED RATE NONAUTOMATED $44.00
RBC SED RATE AUTOMATED $44.75
THROMBIN TIME PLASMA $155.00
THROMBOPLASTIN TIME PARTIAL $82.75
THROMBOPLASTIN TIME PARTIAL $69.00
VISCOSITY SERUM $153.00
ROCKY MOUNTAIN SPOTTED FEVER $60.00
ALLERGEN IGG $65.00
REGIONAL ENVIROMENTAL PANEL I IGE $80.00
ALLERGEN IGE RAST $40.00
BASIC FOOD PANEL II IGE $80.00
BASIC COMBINATION PANEL I & II IG $135.00
EXPANDED FOOD PANEL III IGE $140.00
COMPREHENSIVE COMBO PANEL I&III IG $190.00
COMPREHENSIVE COMBO PANEL I&III IG $200.00
PEDIATRIC PANEL IGE $85.00
MOLD PANEL IGE $85.00
SUPER COMBINATION PANEL IGE & IGG $320.00
EXPANDED FOOD PANEL III IGG $135.00
FOOD GRAIN ALLERGY PANEL $55.00
ANTINUCLEAR ANTIBODIES SCREEN $69.00
ANTINUCLEAR ANTIBODIES (ANA) $79.00
ASO AB $54.00
C-REACTIVE PROTEIN $61.00
CARDIOLIPIN AB PANEL $385.00
COMPLIMENT ANTIGEN C4 $48.00
ESTRASE INHIBITOR FUNCTION C1 $62.00
CCP ANTIBODY $66.50
DNA ANTIBODY NATIVE $77.00
NUCEAR ANTIGEN ANTIBODY SSB $100.00
FLUORESCENT ANTIBODY SCREEN $106.75
TITER EACH ANTIBODY $175.00
IMMUNOASSAY TUMOR CA 15-3 $109.00
CA 19-9 $50.00
IMMUNOASSAY TUMOR CA 125 $125.25
HETEROPHILE ANTIBODY SCREEN $24.00
IMMUNOASSAY INFECTIOUS AGENT $158.50
IMMUNOFIX E-PHORESIS SERUM $124.00
INHIBIN A $64.50
ISLET CELL ANTIBODY $45.00
MICROSOMAL ANTIBODY EACH $65.50
BLOOD TRANSFUSION SERVICE $912.25
RHEUMATOID FACTOR QUANT $55.00
QUANTIFERON TB GOLD $255.00
TB INTRADERMAL TEST $26.25
SYPHILIS TEST NON-TREP QUAL $47.00
LYME WESTERN BLOT $40.00
LYME DISEASE ANTIBODY EIA $81.50
BRUCELLA ANTIBODY $138.00
CHLAMYDIA ANTIBODY $36.00
CHLAMYDIA IGM ANTIBODY $29.00
COCCIDIOIDES ANTIBODY $63.00
Q FEVER IGG & IGM $140.00
ENCEPHALITIS W. EQUINE AB IGG IGM $115.00
EPSTEIN BARR NUCLEAR ANTIGEN $115.50
EPSTEIN BARR VIRUS VIRAL CAPSID $177.00
TULAREMIA AB $36.00
HELICOBACTER PYLORI ANTIBODY $120.50
H PYLORI ANTIBODY IGA $120.50
H PYLORI ANTIBODY IGG $120.50
H PYLORI ANTIBODY IGM $120.50
HIV CONFIRMATION $110.00
HERPES SIMPLEX TYPE I CULTURE $52.00
HERPES SIMPLEX TYPE II CULTURE $58.00
HISTOPLASMA ANTIBODY $51.50
HIV-1/HIV-2 1 RESULT ANTIBODY $94.25
HEP B CORE ANTIBODY (HBCAB); TOTAL $56.00
HEP B SURFACE ANTIBODY $64.25
HEPATITIS A ANTIBODY $30.00
LEGIONELLA $52.00
MENINGOCOCCAL IGG VAC $135.00
RICKETTSIA ANTIBODY $210.00
RUBELLA ANTIBODY $55.00
TREPONEMA PALLIDUM SYPHILIS IGG AB $52.00
FTA-ABS SERUM $79.50
VARICELLA-ZOSTER ANTIBODY $82.75
WEST NILE IGM $105.00
WEST NILE VIRUS $105.00
HANTAVIRUS $135.00
THYROGLOBULIN ANTIBODY SERUM $103.25
HEPATITIS C AB TEST $111.50
HLA TYPING A B OR C $125.25
HLA DQ TYPING $205.00
RBC ANTIBODY SCREEN SERUM $124.00
COOMBS TEST DIRECT $81.50
COOMBS TEST INDIRECT QUAL $305.65
ABO BLOOD TYPING $86.00
RH (D) TYPING $52.75
ABO TYPING AND RH (D) $138.75
COMPATIBILITY TEST SPIN $162.00
MICROALBIUMIN/CREATININE PANEL $96.25
VITAMIN B12/FOLIC ACID PANEL $45.00
SPECIMEN INFECT AGNT CONCENTRATION $43.50
BLOOD CULTURE FOR BACTERIA $155.00
FECES CULTURE AEROBIC BACT $85.00
STOOL CULTURE AEROBIC BACT EA $52.75
CULTURE THROAT $57.00
CULTURE NOT URINE BLOOD OR STOOL $95.25
CULTURE BACTERIA EXCEPT BLOOD $131.00
CULTURE ANAEROBE INDENT EACH $67.75
CULTURE AEROBIC IDENTIFY $20.00
CULTURE SCREEN ONLY $56.25
URINE CULTURE/COLONY COUNT $88.50
URINE BACTERIA CULTURE $66.50
FUNGAL CULTURE SKIN HAIR OR NAIL $110.00
FUNGUS ISOOLATION CULTURE $93.00
FUNGI IDENTIFICATION YEAST $94.25
MYCOBACTERIA CULTURE $109.00
OVA AND PARASITES SMEARS $86.00
OVA AND PARASITES COMPLETE $140.00
OVA AND PARASITES SCREEN $70.00
MICROBE SUSCEPTIBLE MIC $25.00
SMEAR GRAM STAIN $48.25
SMEAR FLUORESCENT/ACID STAIN $58.50
SMEAR COMPLEX STAIN $82.00
WET/DRY PREP MOUNT (GENITALS) $46.00
KOH DRY MOUNT (SKIN HAIR NAILS) $46.00
ASSAY TOXIN OR ANTITOXIN (C-DIFF) $73.00
VIRUS INOCULATION TISSUE $140.00
VIRUS INOCULATION SHELL VIA $89.00
BORDETELLA PERTUSSIS $180.00
CRYPTOSPORIDIUM $35.00
CLOSTRIDUM AG EIA (C-DIFF TOXIN) $98.75
GIARDIA $35.00
H PYLORI ANTIGEN FECES $60.00
HEPATITIS B SURFACE AG EIA $69.00
HBSAG NEUTRALIZATION CONFIRM $144.00
INFLUENZA A/B AG EIA $66.50
RSV DIRECT AG $84.00
ROTOVIRUS $20.00
AG DETECT NOS EIA MULT $80.50
CHYLMD TRACH DNA AMP PROBE $155.00
CHLAMYDIA TRACHOMATIS QUANT $50.00
CHLAMYDIA & N GONORRHEA QUANT $155.00
CMV DNA PCR (CYTOMEGALOVIRUS) $20.00
HCV RNA DETECTION & QUANTIFICATION $215.00
HSV DNA AMP PROBE $207.00
NEISSERIA GONORRHEA RNA AMP $40.00
HPV DNA AMP PROBE $125.25
MUMPS DIRECT DETECT/REAL TIME PCR $150.00
DETECT AGENT NOS DNA AMP $363.00
BK VIRUS PCR URINE OR SERUM $202.00
NOROVIRUS PCR $90.00
STREPTOOCCUS GROUP A $84.00
CYTOPATH FL NONGYN SMEARS $119.50
CYTOPATHOLOGY-LIQUID BASED W/INTRP $115.00
FLOW CYTOMETRY-LUEKEMIA $66.00
CYTOPATH C/V THIN LAYER $80.25
CYTOPATHOLOGY SMEARS OTHER SOURCE $247.50
PI LINKED ANTIGEN $99.00
FLOWCYTOMETRY/TC ADD-ON $116.00
SEROQUEL $107.00
CYTOGENETICS DNA PROBE $390.00
ASSAY OF FERRITIN $98.75
CYTOGENETICS 100-300CELLS ANALYZE $315.00
CYTOGENICS/MOLECULAR CYTO-INTERP $325.00
TISSUE EXAM BY PATHOLOGIST $189.50
TISSUE EXAM BY PATHOLOGIST(MICROSC $162.00
SS GRP 1-MICROORGANISM $67.50
SPECIAL STAINS GROUP 2 $174.50
IMMUNOHISTOCHEMISTRY STAIN $120.00
ASSAY OF IRON $51.50
NUCLEAR ANTIGEN ANTIBODY SSA $100.00
DRUG SCREEN (DOT-INSURANCE) $45.00
SYNOVIAL FLUID CELL COUNT $30.00
FECAL LEUKOCYTES $19.00
EXAM SYNOVIAL FLUID CRYSTALS $52.75
MICROALBUMIN/CREATININE RATIO $96.00
US ES COMBINE / PER 15 MINS $25.00
PHYSICAL THERAPY TREATMENT $70.00
ELEC STIM UNATTENDED (NOT WOUND) $104.75
SELF CARE MGMNT TRAINING $63.00
PATIENT EVALUATION $206.75
PATIENT RE-EVALUATION $109.00
MECHANICAL TRACTION THERAPY $58.50
WHIRLPOOL THERAPY $126.25
ELEC STIM/ATTENDED/PER 15 MIN $35.00
IONTOPHORESIS / PER 15 MIN $45.00
CONTRAST BATHS / PER 15 MINS $51.00
ULTRASONIC THERAPY / 15 MIN $55.00
PHONOPHORESIS $59.75
THERAPETIC EXERCISES - PER 15 MIN $85.00
NEUROMUSCULAR REEDUCATION/15 MIN $89.50
GAIT TRAINING THERAPY - PER 15 MIN $78.00
MASSAGE THERAPY - PER 15 MIN $60.75
MANUAL THERAPY 1/> REGIONS /15 MIN $83.75
LOW COMPLEXITY EVALUATION (PT) $156.00
MODERATE COMPLEXITY EVALUATION (PT $206.00
HIGH COMPLEXITY EVALUATION (PT) $256.00
RE-EVALUATION (PT) $110.00
THERAPEUTIC ACTIVITIES - PER 15 MI $78.00
SELF CARE MGMNT TRAINING $94.00
WHEELCHAIR MGMNT TRAINING /15 MIN $56.00
REMOVAL DEVITAL TISSUE 20 CM/< $167.75
WOUND CARE NON-SELECTIVE $251.50
ORTHOTIC MGMNT TRAINING /15 MIN $79.25
PROSTHETIC TRAINING / PER 15 MIN $89.50
APPLICATION OF PASTE BOOT $180.25
ELECTROCARDIOGRAM (EKG REPORT) $193.00
ELECTROCARDIOGRAM(EKG)RHYTHMN STRI $210.00
RHYTHM ECG TRACING (ECG W/O REPORT $79.25
ECG MONITOR/REPORT UPTO 48 HRS $425.00
C $14.96
TYLENOL ARTHRITIS 650MG (150) $1.40
ADMINISTRATION OF FLU VACCINE $29.75
ADMIN PNEUMOCOCCAL VACCINE $34.50
ACETAMIN. & CODEINE-TYL #3 $2.25
TETRACYCLINE 500MG CAP $1.40
ACIPHEX(RABEPRAZOLE) 20MG TAB $15.00
ACTIVATED CHARCOAL LIQUID 50G $44.15
CRESTOR 10MG TAB $12.72
ADENOCORD (ADENOSINE) 6MG INJ $31.24
AEROBID-M INHALER 7G $13.75
ALBUTEROL INHALATION AEROSOL 17G $36.50
BEANO TAB $1.69
ALBUTEROL INHAL.SOL. 0.05% $4.40
DEPAKOTE (VALPROIC)250 MG TAB (100 $5.00
ALBUTEROL SULFATE 16 OZ SYRUP $19.65
TAMIFLU BLISTER PACK (10TABS 75MG) $331.64
ALL BEE + C CAPLETS $1.40
SUPPOSITORY GLYCERIN $4.40
ALLOPURINOL 100MG (100 CAPS) $1.40
ALLOPURINOL 300MG (100TABS) $1.40
ALPRAZOLAM 1 MG TAB $1.40
ALTACE 5MG (100CAPS) $6.50
AMARYL TAB 1MG $1.69
AMBIEN 5 MG TABS (ZOLPIDEM TARTRA. $1.75
LOVENOX 30 MG INJ - TREATMENT ROOM $57.75
AMITRIPTYLINE 10MG (100CAPS) $1.40
AMITRIPTYLINE TAB 10MG $1.40
AMITRIPTYLINE HCL 50MG (100TABS) $1.40
THEOPHYLLINE 200MG TAB $1.95
AMITRIPTYLINE 75MG CAPSULES $1.40
FLOVENT 100MCG DISKUS $206.94
VIACTIV CALCIUM SOFT CHEWS $4.40
AMOXICILLIN 250MG (100) $1.40
AMOXICILLIN 250MG CHEWABLES $1.75
AMOXICILLIN 250MG SUSP. $8.35
AMOXICILLIN 500MG CAPSULES $1.40
AMPICILLIN 250MG CAPSULES $1.40
PROLASTIN C 10MG INJ $656.00
ASPIRIN CHIL.CHEW.81MG(36TABS) $1.40
ASPIRIN 81MG TAB $1.40
ASPIRIN ENT.COAT. 325MG 5GR (1000) $1.40
ASPIRIN TAB ASA 5GR 325MG $1.40
GANCICLOVIR SODIUM INJ (CYTOVENE) $234.25
ATENOLOL & CHLORTHALIDONE 50MG/25M $1.69
ATENOLOL 50MG (100TABS) $1.40
ATIVAN TAB 0.5MG $1.40
RANITIDINE HYDROCHLORIDE INJ 25MG $15.00
AUGMENTIN 500MG TABLETS $3.90
MELATONIN 3MG $1.40
AUGMENTIN 250MG/5ML ORAL SUSPENSIO $109.04
AVANDIA 2MG (60TABS) $6.44
GLUCAGEN IM 1MG VIAL $163.05
AVENTHYL 10MG ORAL $120.42
METOPROLOL SUCC EXT REL 25MG $2.55
B-6 VITAMIN TAB 50MG $1.40
BACTROBAN OINTMENT 2% 22GM $134.15
BACTROBAN 15G CREAM (MUPIROCIN) $101.75
CEFDINIR 300MG CAPSULE (OMNICEF) $3.60
ARANESP 100MCG (DARBEPOETIN)NONESR $2,606.00
BETAMETHASONE DIPROPIONATE 45MG CR $8.35
BETAMETHASONE VALERATE 15G CREAM $6.10
BETAMETHASONE VALERATE 45G CREAM $9.90
CLARITHROMYCIN 500MG TAB (BIAXIN) $3.60
BICILLIN C-R TUBEX VIAL 2ML/21G $200.00
BISACODYL 10 MG SUPPOS $1.40
BUMEX TAB 2MG TAB (BUMETANIDE 100C $1.40
BUSPAR 10MG (BUSPIRONE) $1.40
BUSPAR 5MG (500 TABS) $1.69
DILTIAZEM HCL 180 MG (90 CT) $2.55
BUTALBITAL ACETAMINOPHEN & CAFF $1.40
CALCIUM 500MG TABLETS $1.40
CALCIUM CITRATE 950MG (100TABS) $1.40
VALACYCLOVIR 500MG $2.25
MEXILETINE 150MG $2.75
INFLUENZA VIRUS VACCINE $25.25
CLEOCIN(CLINDAMYCIN)900MG/50ML IVP $13.00
CLINDAMYCIN 300MG TABLET $5.00
FLUZONE HIGH DOSE INJ (FLU SHOT) $60.00
CAPTOPRIL 12.5MG (100TABS) $1.40
ROCEPHIN 1GM TX ROOM (CEFTRIAXONE) $40.00
CARDARONE 200MG TABLETS $12.43
GI COCKTAIL (MYLANTA&VISCOUS LIDO) $12.90
BISOPROLOL 5/6.25MG (ZIAC) $1.40
CASODEX 50 MG (BICALUTAMIDE) 30 CT $60.50
CARDIZEM CD 120MG CAPSULES $4.41
VITAMIN B12 500MCG TAB $1.40
CARDIZEM CD 180MG CAPSULES $4.05
CARDIZEM CD 240MG (90CAPS) $6.16
CARDURA 1MG TABLETS $3.35
CARDURA 2MG (100 TABS) $1.40
CARDURA 4MG TABLETS $3.60
CARDURA 8MG TABLETS $3.60
CARISOPRODOL 350MG TABLETS $1.40
CASANTHRANOL & DOCUSATE NA SOFTGEL $4.40
CEFACLOR 250 MG CAPSULES $2.55
CEFAZOLIN 1G -IM $64.13
CEFTIN 250MG TABLETS $1.95
AMANTADINE HCL 100 MG $1.75
CELEBREX 200MG (100 CAPS) $12.75
CELEBREX 100MG (100CT) $10.92
CELEXA 20MG (CITALOPRAM) 100 CT $1.40
CEPHALEXIN 250MG CAPS (KEFLEX) $1.40
CEPHALEXIN 500MG (KEFLEX) 500TABS $1.75
VICTOZA 18MG/3ML INJ PEN $762.00
TRESIBA FLEXTOUCH 100U/ML INJ PEN $565.00
PROLIA 60MG INJECTION $2,550.00
FINASTERIDE 5MG TABS $1.40
XGEVA 60MG INJECTION $2,550.00
MULTIVATAMINS (CERTAGEN TABLETS) $1.40
CHILDREN'S CHEWABLE ASPIRIN TABLET $1.40
CIMETIDINE TAB 400 MG $1.40
CIMETIDINE TAB 300MG $3.60
CIPRO 500MG TAB $5.00
CITROCEL 30OZ PER TBSP OR SCOOP $1.40
CLAFORAN VIAL 1 GM/500 MG $10.65
CALCIUM CHLORIDE 10% VIAL $8.35
CLIMARA ESTRADIOL TRANSD. .05/D (4 $26.35
CLIMARA ESTRADIOL TRANSDERMAL .1MG $4.40
CLOTRIMAZOLE CREAM 1% 45 G $48.50
CLOTRIMAZOLE CREAM 1% 15G $13.75
COLCHICINE .6MG (100 TABS) $1.40
SERTRALINE 25MG TAB (ZOLOFT) $1.40
COMBIVENT 14.7G INHALER $198.90
METRONIDAZOLE 500MG/100ML IV (FLAG $9.90
CORTIZONE 10 CREAM 1 OZ $12.90
COUMADIN 1MG (100) $1.40
COUMADIN 2MG (100) $1.40
COUMADIN 5 MG TABS $1.40
PROTONIX 20MG PO $10.36
LOVENOX 120MG IM $294.00
AVODART 0.5MG SOFT GEL $15.36
DEMADEX 20MG TAB (100) TORSEMIDE $1.40
SIMETHICONE 80MG (GAS-X) $1.40
DEPO-MEDROL 80MG INJ(METHYLPREDNIS $12.90
DEPO-MEDROL 40MG IM $15.82
DEXAMETHAXSON TAB 4MG $1.40
DEXTROSE 50% INJECTION 25G/50ML $9.90
SERTRALINE 100MG TAB (ZOLOFT) $1.40
VITAMIN B 100MG/ML VIAL (THIAMINE) $20.00
DICYCLOMINE HCL 10MG (100) $1.40
DIGOXIN .5MG/2ML $6.85
MUCINEX DM PO (OTC) $3.05
DILANTIN 100 MG (PHENYTOIN NA)100C $1.75
DILAUDID TAB 2MG $1.75
DILAUDID 2MG (HYDROMORPHONE) 10 CT $6.85
DILAUDID 2MG/ML INJ (HYDROMORPHONE $7.60
DILIAZEM HYDROCHLORIDE 30MG TABLET $2.25
DIMETAPP ELIXIR 16 OZ $32.40
DIPHENORYLATE HCL & ATROPINE SULPH $9.36
DOC-Q-LACE $1.40
DSS (DOCUSATE SODIUM 100 MG) $1.40
PERICOLACE 50MG (1000) $1.95
DOXAZOSIN MESYLATE 2MG (100) $1.40
DOXEPIN HYDROCHLOR. 50MG (100) $1.40
LYRICA 75MG $8.00
DOXYCYCLINE HYCLATE VIAL 100MG 10C $13.75
DOXYCYLINE 100MG CAPSULES $1.40
DURAGESIC PATCH(FENTANYL)100MCG (5 $80.00
DURAGESIC PATCH (FENTANYL) 50MCG(5 $40.85
PYRIDOSTIGMINE BR 60MG TAB $1.95
DURAGESIC PATCH (FENTANYL)25MCG (5 $22.50
EAR DROPS 15ML BOTTLE $7.60
ENALAPRIL MALEATE 10MG TABLETS $1.75
EPINEPHRINE IM 1MG/10ML 10 CT $9.10
ERY 250MG TABLETS $1.75
ERYTHROMYCIN ESTOLATE 250MG/5ML OR $12.90
ERYTHROMYCIN OPTH. OINT 8OZ (3.5GR $36.40
ESTRADERM PATCH $11.40
ESTRADIOL 1MG TABLETS $1.40
ESTRADIOL 2MG TABLETS $1.69
EVISTA 60MG TABS (#30/BOTTLE) $17.36
ETODOLAC 400MG (LODINE) 100 CT $1.75
FERROUS GLUCONATE TAB 5 GR 324MG $1.40
FERROUS SULFATE 325MG 5GR (100) $1.40
SUPPOSITORIES FEVERALL 325MG $4.40
IBANDRONATE SODIUM INJ 3 MG $345.00
SUPPOSITORIES FEVERALL 650MG $4.40
FIBERCON (FIBERLAX) 90 CT $1.40
RELISTOR 12MG/0.6ML VIAL $112.09
FOLIC ACID 1 MG TABLETS $1.40
PREDNISOLONE ORAL SOL 15MG/5ML $6.85
FUROSEMIDE 10 MG ORAL (LASIX) $1.40
FUROSEMIDE INJ 20 MG (LASIX) $5.30
FUROSEMIDE INJ 40MG (LASIX) $5.30
LORATADINE 10MG TAB $1.69
FUROSEMIDE 20MG (LASIX) 1000 CT $1.40
FUROSEMIDE 40MG (LASIX) 1000 CT $1.40
FUROSEMIDE 80MG (LASIX) 1000 CT $1.40
GENFIBER PSYSILLIUM HYDORPHILIC MU $4.40
KETOROLAC TROMETHAMINE INJ $13.00
GEMFIBROZIL TAB 600 MG (LOPID) $1.75
GENTAK DROPS 0.3% 5 ML $14.50
LUNESTA 2 MG (100 TABS) $2.75
GINKO BILOBA $1.40
GLUCOPHAGE 500 MG TAB (METFORMIN) $1.40
GLUCOSE TOLERANCE DRINK ORAL $9.90
GLUCOTROL XL 10MG (100) $2.55
JANUVIA 100MG TABS $28.96
GLUTOS 15 GEL (3TUBES) 37.5 GR $22.71
GLYBURIDE 5MG (500) $1.40
GUIATUSS DM (GUAIFENESIN SYRUP)16O $6.10
GUIATUSS(GUIFFEN) 100 MG (4 OZ) $6.10
HALOPERIDOL TABLET 2MG $1.40
HEPATITIS B VACCINE 200MCQ/ML IM $125.71
HYDROCORTISONE 1% 1OZ CREAM $6.85
HYDROXYZINE HCL 50 MG(VISTARIL) $1.95
HYDROXYZINE 50MG IM (VISTARIL) 25C $7.60
IBUPROFEN 600MG TABLETS $1.40
IBUPROFEN 400 MG (500) $1.40
IBUPROFEN CHILD SUSP 100MG/5CC $4.40
ICHTHAMMOL 10% 1 OZ CREAM $11.40
ICHTHAMMOL 20% 1 OZ CREAM $10.65
IRON DEXTRAN (INFED SINGLE DOSE) $68.00
IMITREX SNGL DOSE VIAL 6 MG/.5 ML $177.10
INFLUENZA VIRUS VACCINE TRI TYPES $13.75
IPRATROPIUM BROMIDE 0.02% SOL (25) $4.40
DUO-NEB 2.5MG/3ML(ALBTRL/IPRTRPM) $8.80
ISOSORBIDE MONONITRATE 60MG(100) $1.40
ELIQUIS 5MG TABS $10.00
K DUR 20 KACL TABLETS $2.55
K EFFERVESCENT TABS 25MEQ $1.69
KETOROLAC TROMETHAMINE 30MG IM GEN $15.38
KETOROLAC TROMETHAMINE 60MG IM (25 $6.85
KLOR CON 20MEQ POWDER $14.42
LACTULOSE SOLUTION 8 OZ $5.30
DIGOXIN .125MG (1000 TABS) $1.75
DIGOXIN .25MG (100TABS) $1.75
PHENAZOPYRIDINE 200MG TAB $1.40
LEVOTHROID TAB 100MCG-.100 MG $1.69
LEVOTHROID TAB 50 MCG- .050 MG $1.40
LIDOCAINE SOL 0.8% 250ML $30.00
LEVOTHROID TAB 75 MCG- .075 MG $1.40
LEVOTHROID TAB 88 MCG- .088 MG $1.40
LIDOCAINE 2% 20ML IM (25) $6.85
LIDOCAINE HCL 2% 30ML IM $20.83
LIDOCAINE HCL 100MG IM $21.92
LIPITOR 20MG (90) $13.45
LIPITOR 40MG (ATORVASTATIN) $22.00
LIQUI-CHAR 50G 8 OZ $19.89
NAFCILLING 2MG VIAL $58.68
LOMOTIL (LONOX) 2.5/0.25 $1.40
LOPERAMIDE HCL 2 MG TAB (IMODIUM)) $1.40
LORAZEPAM .5MG (100) $1.40
LORAZEPAM 1MG (100 TABS) $1.40
NEURONTIN 600MG TAB (GABAPENTIN) $1.75
LUPRON 3.75 MG (MONTHLY DOSE) $675.00
MAGNESIUM CITRATE 10 OZ DOSE $8.35
MECLIZINE HCL. 12.5 (100) $1.40
MECLIZINE 25MG TABLETS $1.40
METHOCARBAMAL 500MG TABS $1.40
METHYLPHENIDATE 5 MG TABLETS $1.69
METOCLOPRAMIDE 10 MG TAB (REGLAN) $1.40
METOCLOPRAMIDE 10 MG IVP (REGLAN) $5.30
METROGEL .75% 45 G $92.50
METRONIDAZOLE 250 MG TAB (FLAGYL) $1.40
NICOTINE 7MG/24 HR PATCH $9.90
MI-ACID GAS REL CHEW TAB 80 MG $1.40
MI-ACID LIQ./TBS=1/2 OZ $4.40
MILK OF MAG 480ML-16 OZ PER OZ DOS $4.40
TUMS 500MG $1.40
MINERAL OIL 16OZ/TSP $4.40
MINOCYCLINE HYDROCHLORIDE CAPSULES $1.95
MIRALAX POWDER 527G 17G/DOSE $5.72
MORPHINE 10MG/ML 1ML (10) INJ $6.85
FLUTICASONE 50MCG SPRAY (FLONASE) $57.97
MORPHINE SULFATE TAB $1.69
NAPROXEN SODIUM 220MG TABLET $1.40
NAPROXEN 500MG TABLETS $1.40
UNASYN (AMPICILLIN&SULB) VIAL 1.5G $50.75
NEOMY/POLMY/BAC OPHAL 7.5 ML $122.50
NITROFURANTOIN 100MG (100) $3.60
NITROFURANTOIN 50MG CAPSULES $2.25
NITROGLYCERIN 2.5 MG CAPSULES $1.40
NITROGLYCERIN 6.5 MG CAPSULES $1.40
NITROSTAT 0.4MG SL (NITROQUICK) $1.69
NORVASC 10 MG TABLETS $8.00
NORVASC 5 MG TABLETS $5.15
NYSTATIN CREAM 30GR $6.85
NYSTATIN 16 ML. ORAL $12.15
ZYRTEC 5MG TAB $1.40
NYSTATIN & TRIMCINOLONE 15G $95.00
OCEAN NASAL SPRAY (NORMAL SALINE) $4.40
CYMBALTA 20MG CAP $20.12
OCUVITE PRESERVISION VITAMIN $1.69
OXYBUTYNIN 5MG (100) DITROPAN $1.40
PEPCID 20MG (100) FAMOTIDINE $1.40
PEPTO-BISMAL (CHEWABLE) TABLETS $1.40
ZOFRAN 4MG TAB $1.40
ZOFRAN 4MG DISINTEGRATING TABS $1.70
ZOFRAN 2MG/ML INJ $5.30
PHENYTOIN 250MG/5ML IM (DILANTIN) $9.10
POLYSPORIN 10G POWDER $29.25
OFLOXACIN .3% EYE DROPS $9.90
POTASSIUM 750MG 10MEQ (100) $1.75
KCL(POTASSUIM CHLORIDE 750MG 10MEQ $1.40
PRILOSEC 40MG TAB (OMEPRAZOLE) $1.95
POTASSIUM CHLOR.20MEQ/10ML VIAL $5.30
POTASSIUM IODIDE ORAL SOL (SSKI) $1.40
PREDNISONE 1MG (100 TABS) $1.69
PREDNISONE 5MG (100 TABS) $1.40
PREDNISONE 2.5MG TAB $1.40
PREDNISONE 10MG (100) $1.40
POTASSIUM CHLORIDE 20MEQ POWDER PK $4.40
PREVACID 30MG CAPSULES $6.96
RECLAST INJ(ZOLEDRONIC ACID)5MG/10 $1,700.00
PRINIVIL TAB 10MG (LISINOPRIL) $1.40
SKELAXIN 800MG TABLET $12.80
PRINIVIL 40MG (LISINOPRIL) $1.75
PRINIVIL 5MG (LISINOPRIL) 100 CT $1.40
PRINZIDE 20/25 MG(LISINOPRIL HCTZ) $1.40
PRINZIDE 20/12.5MG(LISINOPRIL HCTZ $1.40
PROBENICID & COLCHICINE 500MG TABS $1.40
PROCTOSOL-HC 2.5% (HYDROCORITIZONE $13.75
PROMETH W/CODEINE 16 OZ $4.40
PROMETHAZINE 25MG IM (PHENERGAN) $6.10
PROPOXYPHENE HCL & ACETAM 65/650MG $1.40
PROPOXYPHENE & AP TAB 65/650 $1.40
PROPOX. NAP. & ACET. 100/650MG (10 $1.40
PROPRANOLOL HCL 20MG (100) $1.40
PULMICORT RESP 0.5MG/2ML (30) $16.50
ANTIPYRINE-BENZOCAINE OTIC SOLUTIO $5.30
RANITIDINE TAB 150 MG (ZANTAC) $1.40
INVANZ IV/IM 1G (SGL DOSE VIAL) $132.50
REFRESH PM OINT 3.5 GR $18.58
RELAFEN 500MG TAB (NABUMETONE) $1.40
REMERON 15MG (MIRTAZAPINE) 30 CT $1.75
AMLODIPINE-BENAZEPRIL 5/10MG $5.44
MIRTAZAPINE 30MG (REMERON) TAB $1.40
ROBITUSSIN 4 OZ. $6.10
ROCEPHIN 1GM 10ML (CEFTRIAXONE) $30.00
ROCEPHIN 500 MG VIAL (CEFTRIAXONE) $30.00
SODIUM CHLOR. .9% 50ML IM $6.85
SPIRONOLACTONE 25MG TABLETS $1.75
SSKI $4.40
SUCRALFATE 1G (CARAFATE) 100TABS $1.69
SUDOGEST(SUDAFED) NASAL DECONGST $1.40
HALDOL 5 MG VIAL $86.21
ZYPREXA 2.5MG TAB $38.60
BUPROPION SR 150MG TAB $2.25
SULINDAC 200 MG TABLETS $1.75
SUPPOSITORY ACETAMINOHEN 120MG $4.40
SUPPOSITORY ACETAMINOPHEN 650 MG $6.00
SUPPOSITORY ACETAMINOPHEN 325 MG $4.40
SUPPOSITORY ANUSOL-HC HEMMORHOIDA $1.40
SUPPOSITORY ASPIRIN 600 MG $5.30
SUPPOSITORY PROMTHAZINE 25MG (12) $11.40
TAMIFLU 75 MG (EACH CAPSULE) $33.16
TAMIFLU 12 MG (ORAL SUSPENSION) $76.75
TETANUS TOXOID ABS PUROGENATED .5M $10.65
TETANUS & DIPHTHERIA TOROIDS ABS I $12.15
TOVIAZ 4MG $15.34
MULTIVITAMINS(THERAPEUTIC) $1.40
ALIGN CAPSULE $3.35
B1 THIAMINE VIAL 100MG 1 ML $58.85
DIGESTIVE ADVANTAGE CAPS $1.69
TIAZAC CAP 120 MG $2.25
TIAZAC CAP 360 MG $8.10
TIGAN 200MG ADULT SUPP 10/B $4.40
TORADOL 30MG VIALS (KETOROLAC) $9.90
AMPICILLIN 500MG CAPSULE $1.69
TRIAMCINOLONE 1% 30G CREAM $7.60
TRIAMTERENE & HCTZ 75MG $1.40
TRIPLE ANTIBIOTIC 1 OZ OINTMENT $4.40
NORTRIPTILINE 10MG $1.40
TUBERCULIN PROTEIN DERIVATIVE IM $6.10
TUBERCULIN PROTEIN DERV 1ML IM $19.32
TYLENOL EXTRA STRENGTH (500MG) $1.40
TYLENOL-REG STRENTH (325MG) $1.40
TYLENOL 3 (W/CODEINE) $1.40
TYLOX 5/500 MG (OXYCODONE/ACET) $1.40
TYLOX 5/325 (OXYCODONE/ACETAMNPHEN $1.40
ULTRAM 50MG (TRAMADOL) 500 CT $1.40
VALIUM 5MG(DIAZEPAM) $1.40
DIAZEPAM 5MG INJ (VALIUM) $30.00
VALTREX 500 MG $21.15
VANCOMYCIN HYDROCHLORIDE IV $15.70
VERAPAMIL IM 5MG/2ML $6.10
VERAPAMIL 240 MG TABLETS $1.95
VERAPAMIL HCL 180 MG TABLETS $1.95
VERAPAMIL 80MG TABLETS $1.40
VITAMIN A 10MIU SOL $1.40
VITAMIN B-6 50MG TABLETS $1.40
VITAMIN C 500MG TABLET $1.40
VITAMIN D 400IU SOFT GELS $1.40
VITAMIN D 5000IU CAPS $1.40
VITAMIN E 1000IU SOFT GELS $1.40
VITAMIN E 400IU (100) $1.40
VITAMIN A & D (2 OZ) CREAM $6.10
ZAROXOLYN 5MG TAB $2.55
ZAROXOLYN 10MG TAB $2.75
ZITHROMAX 200MG/5ML ORAL SUSPENSIO $25.45
ZITHROMAX 250MG TABLETS $12.00
ZITHROMAX TAB 250MG (Z-PACK) 3-CAR $30.92
RAZADYNE 8MG (60 CT) $10.95
SERTRALINE 50MG TAB (ZOLOFT) $1.40
LOVENOX 100MG INJ $196.00
ZOVIRAX 5% 15G OINTMENT $216.50
DILAUDID ORAL LIQUID $26.16
ZYRTEC 10MG (100) $1.40
SILVADENE CRM (SSD) 50 GRAMS/JAR $12.90
FLEXERIL (CYCLOBENZAPRINE) 10MG TA $1.40
LOPRESSOR INJ 5MG/5ML(METOPROLOL)1 $9.10
ATIVAN (LORAZEPAM) 2MG INJ $6.85
SOLU-MEDROL IM 2ML(125MG) $11.40
CIMETIDINE 300MG/2ML (10) $10.65
POLYMYXIN B & TRIMETHOPRIN OPHT SO $13.75
HYDROCODONE 5/325 (100CT) $1.40
CRESTOR 40MG TAB $12.20
REQUIP .25 MG (100 TABS) $2.55
BENICAR 20 MG $6.32
VITAMIN K PER 1MG $1.52
ASPERCREAM 3OZ TUBE $8.35
XYZAL 5MG TAB $10.32
PRILOCAINE 2.5% CREAM 5GM TUBE $17.10
LEVAQUIN 250MG TAB $47.84
VITAMIN D 1000U TABLET $1.40
LOTRISONE 1% 45GM TUBE $12.90
PROCRIT 10000U/1ML VIAL $288.42
ATACAND 16MG (90TABS) $5.32
ATACAND 32MG $7.20
TRAVATAN Z .004% EYE DROPS $287.00
DDAVP(DESMOPRESSIN) NASAL SPRY .01 $78.82
LOVENOX 30MG IM $57.75
DOPAMINE 200 MG/ 5 ML INJ $5.30
NEXIUM 40MG (30) $9.60
LOTENSIN 20MG $1.40
DERMOPLAST ANTIBIOTIC SPRAY 2.75OZ $13.75
LOPRESSOR 50MG (METOPROLOL) 100 CT $1.40
FORTAZ-INFUSION 1GM $14.50
A/B OTIC DROPS 1/2OZ (15ML) $7.60
RABIES VACCINE (RABAVERT) $437.25
SENOKOT $1.40
VITAMIN B12IM (CYANOCOBALAMIN) $6.10
HCTZ(HYDROCHLOROTHIAZIDE)12.5MG $1.40
DIFLUCAN 100MG (FLUCONAZOLE) 100CT $1.69
LIDOCAINE 2% VISCOUS 100ML $10.65
NEURONTIN 100MG (100) GABAPENTIN $1.40
ACTOS 45 MG (90 TABS) $21.75
FLU SHOTS $30.00
PRINIVIL 20MG (LISINOPRIL) $1.40
TETRACAINE HCL OPTH .5% EYE DROPS $22.69
AVELOX 400MG (30) $43.60
TETRACAINE 2% TOP SOL (PONOCAINE) $40.45
PROTONIX 40MG (PANTOPRAZOLE) $8.56
AMIODORONE 200MG (60) PACERONE $1.95
ADVAIR 250/50 $315.24
LEVAQUIN 500MG TAB $54.84
SINGULAIR 10 MG $11.64
K-PEK(GEN KAOPECTATE)16OZ $13.75
K-PEK(GEN KAOPECTATE)PER OZ $5.30
CLARINEX $11.30
COUMADIN 2.5MG (100) $1.40
LOVENOX 60MG IM $168.00
AUGMENTIN 875 MG $4.00
LEXAPRO 20MG (100) $9.28
SILVER NITRATE STICK (100) $4.40
GELFOAM POWDER-1/4 JAR $37.00
SUPPOSITORY BISACODYL(DULCOLAX) $4.40
HYDROCODONE 325/7.5MG ORAL SUS DOS $2.58
MYLANTA 12 OZ/PER OZ $2.25
OYST-CAL D 500 500MG $1.40
NITRO DRIP(NITROPRUSSIDE)50MG/2ML $21.35
METAMUCIL (METAFIBER/OZ) $4.40
WELLBUTRIN XL 150MG (ZYBAN) $9.68
PLAVIX 75 MG (90 TABS) $16.90
AEROCHAMBER PLUS SPACER $79.12
MEDROL DOSE PACK (6 DAYS)METHYLPRE $60.00
LEVOTHROID 125 MCG=.125 MG $1.75
LEVOTHROID 150 MCG=.150 MG $1.40
LEVOTHROID 175 MCG=.175 MG $1.40
LEVOTHROID 100MCG=.100MG (100) $1.75
NEURONTIN 300MG (GABAPENTIN) 100 C $1.75
NEURONTIN 400 MG (GABAPENTIN) $1.75
SEROQUEL 25MG (100) $8.35
DIOVAN 160MG (90 TABS) $7.60
KLOR CON 20 MEQ TABS $1.40
BISACODYL(DULCOLAX)5MG (100TABS) $1.40
PNEUMONIA SHOTS $70.00
POTASSIUM INJ. 20 MEQ $6.10
CARAFATE SUSP 1G/10MG 14OZ PER DOS $4.40
ALPHAGEN-P OPH. SOL. 15% $256.35
CARDURA 4MG (100TABS) $1.40
KLOR CON E/R 10MEQ (100) $1.40
LEXAPRO 10MG (100) $10.10
LUMIGAN OPH. SOL .03% 22GM $255.60
PRILOSEC OTC 20MG (BOX OF 42) $2.75
AMARYL 4 MG TABS (GLIMEPIRIDE) $1.40
ACCUPRIL 10 MG TABS $4.52
PREDNISONE 20 MG TAB $1.40
MAG OX 400 TABS $1.40
KLONOPIN .5MG $1.40
QUETIAPINE 100MG TABS (SEROQUEL) $1.95
QUETIAPINE 25MG TABS (SEROQUEL) $1.69
SLOW MAG (MAGNESIUM CHLORIDE) $1.69
HYDROCODONE 5/500 (LORCET) $1.40
MAXIDE 75/50 $1.40
PAXIL 20 MG_(PAROXETINE) $1.75
DETROL LA 4MG (90CAPS) $13.15
DOXEPIN 75MG (100) $1.40
DOXEPIN 25 MG $1.40
FEXOFENODINE 180 MG (ALLEGRA) $5.00
AVANDAMET 1/500 $4.68
ADVAIR 100/50 $273.40
LIDOCAINE 1% 20 ML SINGLE DOSE $6.10
ATENOLOL 25MG (100TABS) $1.40
TOPROL XL 100 MG $3.05
TIAZAC 240 MG $6.15
TIAZAC 180 MG (DILTIAZEM) $2.55
MAGNESIUM SULFATE 50% 1G/2ML $6.85
CEPHALEXIN SUSP.250MG/5ML-BOTTLE $14.50
AVANDAMET 2MG/500 $4.20
KCL(POTASSIUM CHLORIDE)20MEQ $1.40
MOBISYL CREAM 100G $15.50
NALOXONE 04MG/ML AMP (NARCAN) $5.30
NASONEX 50MCG 17GM $186.45
EMLA CREAM 5G $30.85
ZITHROMAX 500MG INJ $36.10
HEPARIN 10ML MULTI DOSE $5.30
GLUCOPHAGE 850MG (METFORMIN) $1.40
AVANDAMET 4/500MG $11.44
HCTZ(HYDROCHLOROTHIAZIDE) 25MG(100 $1.40
HCTZ (HYDROCHLOROTHIAZIDE) 50MG $1.40
BACTRIM DS 800/160MG $1.40
ASTELIN NASAL SPRAY $131.55
ACIDOPHYLLIS $1.40
DURAGESIC PATCH (FENTANYL) 12MCG(5 $30.30
PROTONIX 40MG IV (PANTOPROZOLE) 10 $34.85
REFRESH TEARS 30ML SINGLE USE $25.34
BACTRIM SUSP. (100ML) $44.15
PREVACID SOLU-TABS 30 MG $12.15
CROMOLYN (NEB TX) $4.40
VICOPROFEN(HYDROCO/IBUPROF7.5/200) $7.85
NYSTOP (NYSTATIN) 15G $14.50
KCL SUSP. 40MEQ/15CC $4.40
CIPROFLIXACIN IV 400MG $60.75
CIPROFLOXIN OPTH. .3% 5ML $30.25
FLOMAX 0.4MG (100 TABS) $9.20
GENTAMICIN 80 MG VIAL $43.43
COREG 6.25MG TAB (CARVEDILOL) $1.40
COREG 3.125MG TAB (CARVEDILOL) $1.40
ARICEPT 10 MG TABS (30 CT) $19.85
ARICEPT 5MG TABS (30 CT) $21.45
COREG 12.5MG TAB (CARVEDILOL) $1.40
AMARYL 2MG (100TABS) $2.75
ALTACE 2.5 MG(RAMIPRIL) 100 CAPS $6.25
ATACAND HCT 32MG/12.5MG (90TABS) $7.36
AVANDIA 4MG (100TABS) $11.70
CELEXA 10MG (CITALOPRAM) $1.40
CHLORTHALIDONE 50MG $1.40
CRESTOR 5 MG $10.15
DIOVAN 80MG (90 TABS) $6.85
GLUCOTROL XL 5MG (GLIPIZIDE) 100 C $1.95
I CAPS (120) $1.40
LEVOTHROID 25MCG $1.40
LOTENSIN 10MG (BENAZEPRIL) $1.40
NAMENDA 10MG/100 COUNT $9.20
NIFEDIPINE 30MG (PROCARDIA) $3.35
TOPROL XL 50MG $2.75
VASERETIC 5MG $1.40
ZOCOR 10MG (30) SIMVASTATIN $1.75
TRIAMCINOLONE DENTAL PASTE 1% 5G $28.20
PONARIS 1OZ $21.75
ACTOS 15 MG (30 TABS) $12.50
VIT B 100MG $1.40
VITAMIN B COMPLES W/B12 (100TABS) $1.40
COUMADIN 3MG (100TABS) $1.40
SPIRIVA HANDI HALER 18MCG $333.00
PULMICORT RESPULES 0.25 (30) $14.50
LANTUS-INSULIN 10 ML $193.30
NOVOLOG 100U 10 ML $126.90
NOVOLIN R 10 ML $32.85
SUPPOSITORY HEMMORRHOIDAL HC 25MG $4.40
VITAMIN B1 100MG (100) $1.40
PENLAC NAIL LACQUER 8% 6.6 ML $245.16
CALCIUM CARB. LIQ/ML (10MG=5ML) $1.40
NAMENDA 5MG/100 COUNT $9.20
SODIUM BICARBONATE 8.4% 50 MEQ (10 $9.90
ATROPINE SULFATE 0.1 MG INJ (10 CT $9.10
NITRO-BID (NITRO OINT.) 30G $13.75
ACTIDOSE W/SORBITOL (ACT.CHAR.SUSP $44.15
NITROGLYCERIN 50/10ML INJ $110.06
DIGOXIN INJ 1ML $6.85
FUROSEMIDE 100MG INJ (LASIX) $6.10
DOPAMINE HCL 400MG INJ $97.38
DIPHENHYDRAMINE 50MG IM (BENADRYL) $6.10
EPINEPHRINE 1ML INJ $2.99
DIFLUCAN 150 MG (FLUCONAZOLE) $1.95
REPLENS/APPLICATOR (8/BOX) $7.60
MOTRIN SUSP.4OZ(5ML=TSP 24 TSP/BOT $1.40
TYLENOL (CHILDREN'S) ORAL SUSP 5ML $1.40
ZOFRAN 4MG INJ (ONDANSETRON) $6.85
NYSTATIN ORAL 500 000 U TABS $2.25
METHADONE HCL (100 $1.40
TRIAMCINOLONE ACE. NASAL SPRAY $245.00
ACETAMINOPHEN 1000MG/100ML INJ $50.00
DOXEPIN HYRODCLOR. 10MG (100) $1.40
KLONOPIN 1MG (CLONAZEPAM) 100 CT $1.40
LACTAID TABS (60) $1.40
LOVENOX 60MG IM - TREATMENT ROOM $168.00
BUTT PASTE $15.39
IMITREX 100 MG (SUMATRIPTAN) 9 CT $78.40
ZOFRAN 4 MG PO 3 PK (ONDANSETRON) $45.20
LIDOCAINE GEL 2% 30 ML PER ML $20.95
LOPRESSOR 25MG (METOPROLOL) $1.40
A & D OINTMENT 2 OZ $4.40
CALCIUM CARBONATE 600 MG TAB $1.40
CARAFATE 1GR TAB (SUCRALFATE) $1.75
CRANBERRY CAPS (90) $1.40
DIOVAN 320MG (90) $10.35
FORADIL CAP 12MCG (60) $7.85
LEVOTHROID 112MCG= 0112MG (100) $1.75
LIPITOR 10MG (90) $9.90
MI-ACID LIQ. FULL BOTTLE 12 OZ $7.60
PNEUMOVAX-PER DOSEOSE $88.50
PRINIVIL 2.5 MG(LISINOPRIL) 100 CT $1.40
SAW PALMETTO SOFT GEL (50) $1.40
SODIUM BICARB. SYRUP 50ML (10)/ML $1.40
SODIUM CHLORIDE .9% 20 ML (24) $5.30
JANTOVEN 3MG (100) $1.75
GENTAMICIN OPTH. SOL. 5ML $7.60
ZINC OXIDE OINT 16OZ $6.85
ROCEPHIN 500MG IM TX RM(CEFTRIAXON $30.00
CIPROFLOXACIN IV 200 MG $60.75
PREDNISONE ACETATE OPTH 1% 5 ML $12.90
AZITHROMYCIN 250MG 6TABS/CARD-5/BX $36.00
DOXYCYCLINE HYCLATE 50MG (50) $1.40
AYR NASAL GEL 0.5 $11.40
FIBER THERAPY-METHYLCELLULOSE 16OZ $4.40
MIRALAX FULL BOTTLE $24.31
TRIPLE VITAMIN B SHOT $48.30
CIPRO 1000MG CR $8.00
LEVAQUIN 500MG IV-SINGLE USE VIAL $106.10
TEMAZEPAM (RESTORIL) 15MG(100 TABS $1.40
T DAP $62.15
HEPARIN-10 000 U/ML 1ML VIAL (25) $6.10
ROZEREM 8MG TAB $18.40
METOPROLOL TARTRATE 25MG $1.40
LOPRESSOR(METOPROLOL SUC)100MG TAB $2.75
DILTIAZEM (CARDIZEM)10-25MG INJ $10.65
SPS SUSPENSION 473 ML $43.58
ACULAR LS OPHAL SOL 4% $173.30
ALENDRONATE 70 MG (FOSAMAX) $17.00
AMOXICILLIN 875 MG $5.40
BONIVA 150 MG $353.50
CETIRIZINE HCL (ZYRTEC) $1.40
CIPROFLOXIN OPHAL SOL 0.3% 2.5 ML $21.50
DIPHENHYDRAMINE 25 MG (100 CT) $1.40
JANTOVEN 2.0 MG (100 CT) $1.75
JANTOVEN 2.5 MG (100 CT) $1.75
KETOCONAZOLE SHAMPOO FULL BOTTLE $35.95
LYRICA 50 MG $8.00
MIRAPEX 0.25 MG $1.40
NOVOLIN N 10 ML $32.85
NYSTATIN & TRIMCINLONE 60 GR $10.65
NYSTOP 30 GR (NYSTATIN) $42.75
SYSTANE EYE DROPS 30ML/1 OZ $31.00
TOPAMX 25 MG $7.90
TORADOL 10 MG TAB (KETOROLAC) 100 $1.75
TORADOL 60 MG VIAL $9.90
VALTREX 1000 MG TAB $37.50
XALATAN OPHTHAL SOL 0.005% $144.60
ZOCOR 20 MG (SIMVASTATIN) $3.35
ZOCOR 40 MG (SIMVASTATIN) $3.35
ZOFRAN INJ 40 MG/20 ML $14.40
ZYVOX 600 MG (20 CT) $262.30
VENOFER (IRON SUCROSE) 100 MG VIAL $119.68
ASMANEX INHALER $252.20
ANUCORT-HC SUPPOSITORY 25MG $6.85
ESCITALOPRAM OXALATE 5MG (LEXAPRO) $1.40
CIPRO HC OTIC SUSPENSION (BOTTLE) $250.46
SODIUM CHLOR 0.9%INJ 10ML SYRINGE $5.00
LOSARTAN 100MG TAB (COZAAR) $7.16
LYRICA 25 MG $8.00
LYRICA 100MG $11.40
DEXAMETHASONE INJ 20MG PER VIAL $6.10
COUMADIN 4MG TAB $2.25
FELODIPINE 5MG TAB (PLENDIL) $2.75
PLETAL 100 MG TAB (CILOSTAZOL) $3.05
KAOPECTATE SUSP 1 DOSE $1.75
CYMBALTA 60 MG CAPSULE $22.56
CYMBALTA 30MG CAPSULES $22.60
HYDROCODONE 7.5/500 (100CT) $2.55
SEROQUEL 300 MG TAB $42.04
LOVENOX 40MG INJ $152.00
LOVENOX 80MG INJ $174.00
ARMOUR THYROID 90MG $3.90
TYLENOL PM EXTRA STRENGTH 500MG $1.40
SEROQUEL 50MG TAB $16.28
SUMATRIPTAN 6MG (IMETREX) INJ $47.50
PYRIDOXINE 100MG/ML VIAL (VIT B6) $17.16
HYDROCHLOROTHIAZIDE 25MG TAB $1.40
INDOMETHACIN ER 75MG $7.92
NAPHCON-A EYE DROPS $40.87
MIRAPEX .5MG $1.40
ENALAPRIL (VASOTEC) 2.5MG INJ $12.15
LIDODERM 5% PATCH $18.70
LEVEMIR 100 UNITS/ML VIAL $140.78
DIFLUCAN-NORMAL SALINE 200MG BAG $22.89
VITAMIN K2 CAPSULES 5MG $1.40
NEULASTA 6MG INJ $3,415.71
RIFAMPIN 300MG $4.88
ALBUTEROL .083% INHAL SOLN $4.40
RISPERIDONE .5MG TAB $2.25
GLUCOPHAGE 1000MG (METFORMIN) $1.40
DICYCLOMINE (BENTYL) 20MG TAB $1.40
COREG 25MG TAB (CARVEDILOL) $1.40
NITROGLYCERIN 0.1MG/HR PATCH $6.10
ADVAIR 500/50 $390.45
ZYPREXA 10MG VIAL $83.35
DILTIAZEM HCL 120 MG $2.55
DEPAKOTE (DIVALPROEX) 500MG TAB $2.55
INSERT OF NON-INDWELL CATH-STRAIGH $65.00
FOLEY CATH INSERTION $70.00
ENEMA TREATMENT ROOM $52.00
NEBULIZER TREATMENT LESS THAN 1 HR $46.50
NEBULIZER TREATMENT 1ST HOUR $56.50
NEBULIZER TREATMENT ADD'L HR $20.00
HYDRATION IV INFUSION INITIAL $298.75
HYDRATE IV INFUSION ADD-ON $90.75
THERAPEUTIC IV INFUSION INITIAL $341.25
THERAPEUTIC IV INFUSION ADD-ON $90.75
THERAPEUTIC INJECTION SC/IM $73.50
THERAPEUTIC INJECTION IV PUSH $174.50
TREATMENT INJECTION NEW DRUG ADD-O $127.50
TREATMENT INJECTION SAME DRUG ADDO $113.75
FLUSHING OF CENTERAL LINE_________ $74.50
TREATMENT ROOM VISIT (2 TO 24 HRS) $62.00
REMOVE IMPACTED EAR WAX $77.00
TREATMENT ROOM VISIT (INITIAL HOUR $192.00
OBSERVATION CARE - INITIAL (1ST HR $389.00
OBSERVATION CARE (2ND HOUR) $219.00
OBSERVATION CARE (3-48 HRS) PER HR $29.00
SUCTION TUBING $9.40
CPR (IN ER) $159.00
CARDIOVERSION ELECTRICAL SHOCK $1,063.00
ER TELEHEATH ORIG FEE (AVERA USED) $300.00
BREATHING CAPACITY TEST $165.50
OXYGEN/ER- PER 1/2 HOUR $30.00
INTRAOSSEOUS INFUSION PROCEDURE-ER $225.00
ER VISIT - LEVEL I (1ST 1/2 HR) $161.00
ER VISIT LEVEL II $261.00
ER VISIT - LEVEL III (1ST 1/2 HR) $408.00
ER VISIT - LEVEL IV (1ST 1/2 HR) $700.00
ER VISIT - LEVEL V (1ST 1/2 HR) $1,314.00
ER VISIT - LEVEL I (ADDTL 1/4 HR) $83.00
ER VISIT - LEVEL II (ADDTL 1/4 HR) $131.00
ER VISIT - LEVEL III (ADDTL 1/4 HR $204.00
ER VISIT - LEVEL IV (ADDTL 1/4 HR) $350.00
ER VISIT - LEVEL V (ADDTL 1/4 HR) $657.00
ER VISIT - LEVEL I (< THAN 1/2 HR) $83.00

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