| GUAM MEMORIAL HOSPITAL AUTHORITY |
| FEE SCHEDULE - LAST
UPDATE - OCTOBER 1, 2008 |
|
|
|
| CHARGE |
DESCRIPTION |
CHARGE |
CPT |
HCPCS |
UB-92 |
DEPARTMENT |
| CODE |
|
RATE |
CODE |
CODE |
|
|
|
| AA00000 |
ROOM & BOARD ICU |
1,272.84 |
|
200 |
ROOM AND BOARD |
| AA00001 |
ROOM & BOARD NURSERY |
362.92 |
|
171 |
ROOM AND BOARD |
| AA00002 |
ROOM & BOARD INTMED NURSERY |
546.82 |
|
179 |
ROOM AND BOARD |
| AA00003 |
ROOM & BOARD NICU |
825.29 |
|
175 |
ROOM AND BOARD |
| AA00004 |
ROOM & BOARD TELEMETRY |
714.94 |
|
129 |
ROOM AND BOARD |
| AA00005 |
ROOM & BOARD SNF |
396.55 |
|
169 |
ROOM AND BOARD |
| AA00006 |
ROOM & BOARD PICU |
1,098.70 |
|
203 |
ROOM AND BOARD |
| AA00007 |
ROOM & BOARD ICF |
329.14 |
|
130 |
ROOM AND BOARD |
| AA00008 |
ROOM & BOARD MED/SURG PRIVATE |
544.82 |
|
111 |
ROOM AND BOARD |
| AA00009 |
ROOM & BOARD MED/SURG SEMI-PRIVATE |
494.82 |
|
121 |
ROOM AND BOARD |
| AA00011 |
ROOM & BOARD MEDICAL PRIVATE |
587.94 |
|
111 |
ROOM AND BOARD |
| AA00012 |
ROOM & BOARD MEDICAL SEMI-PRIVATE |
537.94 |
|
121 |
ROOM AND BOARD |
| AA00014 |
ROOM & BOARD PEDS PRIVATE |
732.19 |
|
113 |
ROOM AND BOARD |
| AA00015 |
ROOM & BOARD PEDS SEMI-PRIVATE |
682.19 |
|
123 |
ROOM AND BOARD |
| AA00017 |
ROOM & BOARD OB/GYN PRIVATE |
600.62 |
|
112 |
ROOM AND BOARD |
| AA00018 |
ROOM & BOARD OB/GYN SEMI-PRIVATE |
550.62 |
|
122 |
ROOM AND BOARD |
| AA00020 |
ROOM & BOARD SURGICAL PRIVATE |
573.21 |
|
111 |
ROOM AND BOARD |
| AA00021 |
ROOM & BOARD SURGICAL SEMI-PRIVATE |
523.21 |
|
121 |
ROOM AND BOARD |
| AA00055 |
ROOM & BOARD SNF |
396.55 |
|
169 |
ROOM AND BOARD |
| AA00057 |
ROOM & BOARD ICF |
329.14 |
|
130 |
ROOM AND BOARD |
| AA12006 |
ROOM & BOARD PCU |
993.89 |
|
209 |
ROOM AND BOARD |
| AA24009 |
OBSERVATION BED/HOUR MED/SURG |
20.62 |
|
762 |
ROOM AND BOARD |
| AA24012 |
OBSERVATION BED/HOUR MEDICAL |
22.41 |
|
762 |
ROOM AND BOARD |
| AA24015 |
OBSERVATION BED/HOUR PEDS |
28.42 |
|
762 |
ROOM AND BOARD |
| AA24018 |
OBSERVATION BED/HOUR OB |
22.94 |
|
762 |
ROOM AND BOARD |
| AA24021 |
OBSERVATION BED/HOUR SURGICAL |
21.80 |
|
762 |
ROOM AND BOARD |
| MP98001 |
MIP CO-PAYMENT-ER |
5.00 |
|
220 |
MISCELLANEOUS |
| MP98002 |
MIP CO-PAYMENT-PHARMACY |
2.50 |
|
220 |
MISCELLANEOUS |
| 900000 |
DEFIBRILLATION/CARDIOVERSION |
117.53 |
92960 |
|
489 |
EMERGENCY ROOM |
| 900088 |
PHYSICAL EXAM-ANNUAL |
84.89 |
|
969 |
EMERGENCY ROOM |
| 900178 |
ER-OB/GYN ROOM |
115.48 |
99214 |
|
450 |
EMERGENCY ROOM |
| 900185 |
ER-SPECIALTY SERVICE FEE |
57.38 |
99213 |
|
450 |
EMERGENCY ROOM |
| 900194 |
ER-TRAUMA ROOM |
999.62 |
99215 |
|
450 |
EMERGENCY ROOM |
| 900227 |
EMERGENCY ROOM |
67.48 |
99201 |
|
450 |
EMERGENCY ROOM |
| 900243 |
ER-OBSERVATION SERVICE FEE |
84.35 |
99211 |
|
450 |
EMERGENCY ROOM |
| 901056 |
ANOSCOPE DISP |
9.03 |
|
272 |
EMERGENCY ROOM |
| 901282 |
CATHETER BARTHOLIN GLAND 10/12FR |
85.88 |
|
272 |
EMERGENCY ROOM |
| 902000 |
MORGAN MEDI-FLO LENS |
99.91 |
|
272 |
EMERGENCY ROOM |
| 910060 |
I&D ABSCESS |
26.42 |
|
490 |
EMERGENCY ROOM |
| 910202 |
MORGAN LENS DELIVERY SET |
28.97 |
|
272 |
EMERGENCY ROOM |
| 910942 |
SET ADMIN GRAVITY FLOW |
31.89 |
|
272 |
EMERGENCY ROOM |
| 911010 |
SPONGE RHINO ROCKET XLGE |
73.69 |
|
272 |
EMERGENCY ROOM |
| 911300 |
SPONGE RHINO ROCKET SML |
50.10 |
|
272 |
EMERGENCY ROOM |
| 911500 |
SPONGE RHINO ROCHET MED |
56.51 |
|
272 |
EMERGENCY ROOM |
| 911800 |
SPONGE RHINO ROCKET LGE |
65.52 |
|
272 |
EMERGENCY ROOM |
| 912140 |
LARYNGEAL MASK AIRWAY S-4 |
205.61 |
|
272 |
EMERGENCY ROOM |
| 912150 |
LARYNGEAL MASK AIRWAY S-5 |
205.61 |
|
272 |
EMERGENCY ROOM |
| 931500 |
INTUBATION |
4.62 |
31500 |
|
489 |
EMERGENCY ROOM |
| 932020 |
THORACOSTOMY INSERTION |
64.71 |
32020 |
|
490 |
EMERGENCY ROOM |
| 936425 |
VENIPUNCTURE |
38.30 |
36415 |
|
490 |
EMERGENCY ROOM |
| 936480 |
CVP CATHETER INSERTION |
101.69 |
36489 |
|
490 |
EMERGENCY ROOM |
| 996000 |
CODE 72 (ARREST) PCV |
104.34 |
92950 |
|
981 |
EMERGENCY ROOM |
| 1100049 |
MED REC COPIES </=10 COPIES |
18.92 |
|
999 |
MISCELLANEOUS |
| 1100064 |
MED REC COPIES >10-PER PAGE |
1.85 |
|
999 |
MISCELLANEOUS |
| 1104001 |
ITEMIZED BILLING=1-5COPIES |
5.00 |
|
999 |
MISCELLANEOUS |
| 1104002 |
ITEMIZED BILLING=>5-PER COPY |
0.75 |
|
999 |
MISCELLANEOUS |
| 1195001 |
HOSPITAL BIRTH CERTIFICATE |
5.00 |
|
999 |
MISCELLANEOUS |
| 1195002 |
CERTIFICATION OF DEATH |
2.50 |
|
999 |
MISCELLANEOUS |
| 1200000 |
M.L. REPAIR-SIMPLE |
42.46 |
|
361 |
EMERGENCY ROOM |
| 1201000 |
SKIN, SUBQ & AREOLAR TISSUE |
63.68 |
|
361 |
EMERGENCY ROOM |
| 1202000 |
ML REPAIR-SUPERFICIAL WOUND |
84.89 |
|
361 |
EMERGENCY ROOM |
| 1212000 |
SIMPLE REPAIR-SUPERF WOUND |
84.89 |
|
361 |
EMERGENCY ROOM |
| 1214000 |
ADJ TISSUE TRANS/REARRANGM |
106.12 |
|
361 |
EMERGENCY ROOM |
| 1220000 |
GENERAL INCISION-ABSCESS |
106.12 |
|
361 |
EMERGENCY ROOM |
| 1222000 |
SPINE (VERTEBRAL COLUMN) |
159.20 |
|
361 |
EMERGENCY ROOM |
| 1223000 |
SHOULDER INCISION |
212.27 |
|
361 |
EMERGENCY ROOM |
| 1224000 |
HUMERUS UP ARM/ELBOW INCISION |
- |
|
361 |
EMERGENCY ROOM |
| 1230000 |
RESP SYSTEM-NOSE INCISION |
- |
|
361 |
EMERGENCY ROOM |
| 1310449 |
CANNULA NASAL CPAP SZ-0 |
79.68 |
|
272 |
NURSERY |
| 1310450 |
CANNULA NASAL CPAP SZ-1 |
79.68 |
|
272 |
NURSERY |
| 1310451 |
CANNULA NASAL CPAP SZ-2 |
79.68 |
|
272 |
NURSERY |
| 1332100 |
TRAY PER-Q-CATH SINGLE-LUMEN 2.0FR |
197.69 |
|
272 |
NURSERY |
| 1335000 |
TRAY NEO V-CATH SINGLE-LUMEN 2.0FR |
502.15 |
|
272 |
NURSERY |
| 1370742 |
CATHETER SUCTION ARGYLE 10FR |
60.17 |
|
272 |
NURSERY |
| 1395001 |
PEDS INTUBATION KIT 3.0 |
25.77 |
|
272 |
NURSERY |
| 1395002 |
PEDS INTUBATION KIT 3.5 |
25.77 |
|
272 |
NURSERY |
| 1395003 |
IV PUMP SET (SYRINGE) |
26.88 |
|
272 |
NURSERY |
| 1395004 |
IV PUMP SET (TUBING) |
22.39 |
|
A4649 |
272 |
NURSERY |
| 1395005 |
MICROBORE 60" EXT SET |
8.78 |
|
272 |
NURSERY |
| 1395006 |
PEDS INTUBATION KIT 2.5 |
34.49 |
|
272 |
NURSERY |
| 1395007 |
T-CONNECTOR WITH M.L.S. |
6.21 |
|
272 |
NURSERY |
| 1395008 |
NUTRAMIGEN POWDER 1 LB |
97.01 |
|
250 |
NURSERY |
| 1395009 |
PREGESTIMIL POWDER 16 OZ |
106.28 |
|
250 |
NURSERY |
| 1600028 |
DELIVERY ROOM |
708.81 |
|
722 |
LABOR AND DELIVERY |
| 1600044 |
FETAL NON-STRESS TEST |
128.96 |
59025 |
|
720 |
LABOR AND DELIVERY |
| 1600100 |
VACCUM DELIVERY SYSTEM CMI |
301.99 |
|
720 |
LABOR AND DELIVERY |
| 1600105 |
LR-OUTPT OBSERVATION NO DELIVERY |
191.64 |
99203 |
|
721 |
LABOR AND DELIVERY |
| 1600110 |
ABC ROOM |
804.82 |
|
724 |
LABOR AND DELIVERY |
| 1600127 |
MORGUE FEE PER DAY |
14.87 |
|
999 |
LABOR AND DELIVERY |
| 1600250 |
MATERNAL-FETAL INTENSIVE CARE |
1,171.36 |
|
209 |
LABOR AND DELIVERY |
| 1600300 |
EPIDURAL ANEST MONITOR |
- |
|
720 |
LABOR AND DELIVERY |
| 1600350 |
LR-INPT OBSERVATION |
591.80 |
|
720 |
LABOR AND DELIVERY |
| 1601583 |
ENFAMIL HUMAN MILK FORTIFIER |
396.46 |
|
270 |
LABOR AND DELIVERY |
| 1601850 |
NEEDLE SPINAL 18GAX5.0" |
57.83 |
|
272 |
LABOR AND DELIVERY |
| 1610027 |
CATHETER IUP MONITORING |
202.40 |
|
272 |
LABOR AND DELIVERY |
| 1610110 |
LARYNGEAL MASK AIRWAY SZ-1 |
210.99 |
|
272 |
LABOR AND DELIVERY |
| 1610115 |
LARYNGEAL MASK AIRWAY SZ-1.5 |
210.99 |
|
272 |
LABOR AND DELIVERY |
| 1610130 |
LARYNGEAL MASK AIRWAY SZ-3 |
210.99 |
|
272 |
LABOR AND DELIVERY |
| 1611654 |
MECONIUM ASPIRATOR |
26.66 |
|
272 |
LABOR AND DELIVERY |
| 1612317 |
SET EXTENSION MICROBORE QUAD-LEG |
47.60 |
|
272 |
LABOR AND DELIVERY |
| 1620752 |
BLADE SURGICAL CLIPPER #9660 |
20.25 |
|
272 |
LABOR AND DELIVERY |
| 1633303 |
PREGESTIMIL W/MCT OIL 20CAL 3OZ BOT/PK |
62.89 |
|
270 |
LABOR AND DELIVERY |
| 1670635 |
ENFACARE NURSETTE 22CAL 3OZ BOT/PK |
53.59 |
|
270 |
LABOR AND DELIVERY |
| 1670636 |
ENFAMIL PRM 24CAL 3OZ BOT/PK |
53.59 |
|
270 |
LABOR AND DELIVERY |
| 1670637 |
ENFAMIL PRM 20CAL 3OZ BOT/PK |
53.59 |
|
270 |
LABOR AND DELIVERY |
| 1670638 |
ENFAMIL AR LIPIL NR 20CAL 3OZ BOT/PK |
53.59 |
|
270 |
LABOR AND DELIVERY |
| 1696001 |
MASK OXYGEN-INFANT |
20.99 |
|
270 |
LABOR AND DELIVERY |
| 1700005 |
CATHETER THERMOD VIP |
695.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700007 |
CATHETER BALLOON VERI PACE |
693.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700009 |
LEAD INTRO SUBCLAVIAN 8FR |
103.72 |
|
C1779 |
275 |
CENTRAL SUPPLY ROOM |
| 1700010 |
LEAD INTRO SUBCLAVIAN 10FR |
490.41 |
|
275 |
CENTRAL SUPPLY ROOM |
| 1700011 |
LEAD INTRO SUBCLAVIAN 9FR |
1,001.27 |
|
275 |
CENTRAL SUPPLY ROOM |
| 1700012 |
LEAD INTRO SUBCLAVIAN 11FR |
490.41 |
|
275 |
CENTRAL SUPPLY ROOM |
| 1700013 |
LEAD INTRO SUBCLAVIAN 12FR |
490.41 |
|
275 |
CENTRAL SUPPLY ROOM |
| 1700015 |
MASK FACE SAFETY SHIELD |
6.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700018 |
CUP GRADUATED 1000CC 32OZ |
11.86 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700019 |
ISOLATION CART |
9.65 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700024 |
KIT-MON-1295KM SINGLE LINE |
213.16 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700025 |
KIT-MON-1295KH DOUBLE LINE |
236.46 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700026 |
KIT CATHETER INTRODUCER |
301.02 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700030 |
PAD DEFIBRILLATOR |
27.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700032 |
ARMBOARD W/ COVER 9" DISP |
3.10 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700033 |
ARMBOARD W/ COVER 18" |
4.39 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700036 |
BRUSH SCRUB SURG W/LODOPH |
4.00 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700037 |
SYRINGE CANNISTER 2GAL |
16.96 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700039 |
HEMOVAC 400ML D.D. 1/4" 19F |
197.56 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700041 |
SYRINGE ECCENTRIC TIP 60CC |
3.38 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700042 |
SYRINGE INSULIN 1CC M/FINE |
1.02 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700043 |
AIR MATTRESS MACH/D |
10.63 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700047 |
TUBE NASOGAST W/ SENT 18FR |
15.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700059 |
BODY RESTRAINT |
64.71 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700067 |
NEEDLE SPINAL 18GAX3-1/2" |
11.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700069 |
NEEDLE SPINAL 20GAX3-1/2" |
7.19 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700070 |
NEEDLE SPINAL 22GAX3-1/2" |
8.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700071 |
NEEDLE MULTI-SAM 21GAX1" |
0.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700077 |
CRUTCH TIP WIDE BASE |
11.87 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700079 |
BAG BODY CADAVER-PEDS |
56.53 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700080 |
COLLECTOR MIDSTREAM URINE |
8.80 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700083 |
NEEDLE BONE MARROW 18GA |
117.13 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700085 |
ARTERIAL LINE ARROW |
43.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700086 |
CATHETER 3-LUMEN ARROW |
673.31 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700088 |
TUBING PENROSE 1"X18" |
4.05 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700089 |
TUBING PENROSE 5/8"X18" |
5.90 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700090 |
TUBING PENROSE 1/4"X18" |
3.71 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700091 |
TUBING PENROSE 1/2"X18" |
2.41 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700092 |
SYRINGE ASCEPTO DISP |
23.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700093 |
TUBING PENROSE 7/8"X18" |
4.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700094 |
TUBING PENROSE 5/16"X18" |
4.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700095 |
TUBING PENROSE 3/8"X18" |
8.36 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700096 |
SET ADMIN VENTED PRIM 60DR |
22.65 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700097 |
SYRINGE IRRIG C/TIP 50CC |
3.19 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700098 |
MOTOR PUMP ALTERNATOR |
454.28 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700100 |
BAG BILE |
14.41 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700101 |
GLOVES EXAM LTX PDLESS SML |
0.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700102 |
STERI-STRIP 1/2"X4" |
6.36 |
|
A4454 |
272 |
CENTRAL SUPPLY ROOM |
| 1700103 |
CATH ANGIOCATH 20GAX2" |
5.85 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700104 |
TUBE ENDOTRACH W/CUFF 3.5M |
11.14 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700105 |
NUGAUZE PLAIN 1" |
21.63 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700107 |
TUBE ENDOTRACH W/ CUFF 6MM |
14.77 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700108 |
TUBE ENDOTRACH W/CUFF 9.5M |
20.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700109 |
TUBE ENDOTRACH W/ CUFF 8MM |
17.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700110 |
CATH ANGIOCATH 22GAX1" |
6.02 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700111 |
TUBE ENDOTRACH W/CUFF 7.5M |
15.60 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700112 |
BELT RIBS 42"X48" MEN |
39.37 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700113 |
TUBE ENDOTRACH W/ CUFF 7MM |
17.01 |
|
K0187 |
272 |
CENTRAL SUPPLY ROOM |
| 1700114 |
CATH ANGIOCATH 24GAX3/4" |
6.89 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700115 |
CERVICAL COLLAR FOAM LGE |
39.32 |
|
L0120 |
274 |
CENTRAL SUPPLY ROOM |
| 1700116 |
BELT RIBS 42"X48" FEMALE |
41.13 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700117 |
HEAD-HALTER W/O BAR-ADULT |
87.48 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700122 |
GLOVES EXAM LTX PDLESS MED |
0.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700123 |
SUSPENSORY SCROTAL LGE |
27.76 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700124 |
GLOVES EXAM LATEX LGE |
1.27 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1700125 |
GLOVES SURG S-6 ULTRA |
9.33 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700126 |
COLOSTOMY BAG-PEDS |
18.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700127 |
BELT RIBS 36"X42" MEN |
821.20 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700128 |
SUSPENSORY SCROTAL X-LGE |
43.25 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700129 |
GLOVES SURGEON S-6-1/2 |
2.39 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700130 |
GLOVES SURG S-6-1/2 ULTRA |
3.06 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700131 |
BANDAGE ELASTOPLAST 4"X5YD |
20.39 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700132 |
GLOVES SURG S-8-1/2 SPEC |
3.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700133 |
BELT PELVIC TRACTION 48X64 |
75.26 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700134 |
GLOVES SURG S-7 SPEC |
2.63 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700135 |
GLOVES SURGEON S-7 |
1.17 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700137 |
BELT RIBS 30"X36" MEN |
47.03 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700138 |
GLOVES SURGEON S-7-1/2 |
3.27 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700139 |
BELT RIBS 36"X42" FEMALE |
37.06 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700140 |
BAG BODY CADAVER-WHITE |
49.16 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700141 |
NUGAUZE IODOFORM 1" |
25.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700142 |
BAG FEEDING |
9.53 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700143 |
TUBE STOMACH 18FRX50" |
3.64 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700144 |
TUBE TRACHEOSTOMY 36FR SZ-8 |
413.17 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700145 |
STERI-STRIP 1/4"X4" |
6.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700146 |
CATH ANGIOCATH 18GAX1-1/4" |
6.22 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700147 |
TUBE FEEDING 8FRX42" |
4.05 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700148 |
GLOVES SURGEON S-8-1/2 |
2.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700149 |
TUBE ENDOTRACH W/CUFF 6.5M |
18.54 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700150 |
TUBE ENDOTRACH W/CUFF 8.5M |
20.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700151 |
BUTTERFLY 25GAX3/4" |
5.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700152 |
TUBE ENDOTRACH W/ CUFF 9MM |
19.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700153 |
CATHETER SUCTION 18FR 22" |
2.05 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700154 |
SLIPPER FOAM YOUTH |
2.21 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700155 |
GLOVES EXAM LTX PDLESS LGE |
0.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700156 |
NUGAUZE IODOFORM 8"X10YD |
148.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700157 |
CANNULA NASAL O2 7FT-PEDS |
7.37 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700158 |
CANNULA NASAL O2 7FT-INFANT |
10.78 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700160 |
SLIPPER FOAM SMALL |
2.21 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700161 |
GLOVES SURG S-7-1/2 SPEC |
3.11 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700162 |
GLOVES SURG S-6-1/2 SPEC |
2.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700163 |
GLOVES SURG S-7-1/2 ULTRA |
8.07 |
|
A4927 |
272 |
CENTRAL SUPPLY ROOM |
| 1700164 |
SLIPPER FOAM ADULT X-LGE |
3.19 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700165 |
TUBE ENDOTRACH W/CUFF 4.5M |
24.71 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700166 |
GLOVES SURGEON S-7 ULTRA |
3.13 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700168 |
TUBE ENDOTRACH W/CUFF 10MM |
18.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700169 |
PAD TELFA 3"X8" |
0.43 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700170 |
TUBE NASOGAST W/ SENT 14FR |
11.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700171 |
TUBE NASOGAST W/ SENT 16FR |
11.67 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700172 |
CATHETER SUCTION 14FR 22" |
2.39 |
|
A4624 |
272 |
CENTRAL SUPPLY ROOM |
| 1700173 |
NUGAUZE PLAIN 2" |
32.00 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700174 |
CATH ANGIOCATH 18GAX2" |
4.79 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700175 |
SET UNDERWATER DRAIN |
57.30 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700176 |
CATHETER SUCTION 10FR 22" |
2.45 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700177 |
TUBE ENDOTRACH W/ CUFF 5MM |
17.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700178 |
NUGAUZE PLAIN 1/4" |
21.19 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700179 |
TUBE ENDOTRACH W/ CUFF 4MM |
25.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700180 |
BELT RIBS 30"X36" FEMALE |
47.88 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700182 |
NUGAUZE PLAIN 1/2" |
23.75 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700184 |
TUBE ENDOTRACH W/CUFF 5.5M |
18.06 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700185 |
TUBE ENDOTRACH W/OCUFF 3MM |
10.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700186 |
GLOVES SURG S-8 SPEC |
2.55 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700187 |
GLOVES SURGEON S-8 |
2.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700188 |
NUGAUZE IODOFORM 2" |
42.61 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700189 |
TUBE TRACHEOSTOMY 39FR SZ-10 |
239.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700190 |
GLOVES EXAM LATEX MED |
0.44 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1700191 |
SET ARTERIAL |
13.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700192 |
TUBE TRACHEOSTOMY 30FR SZ-6 |
324.44 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700195 |
KIT TRANSCERV INTRAUTERINE |
19.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700196 |
IMMOBILIZER KNEE 26" |
288.32 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700197 |
IMMOBILIZER KNEE 18" |
217.19 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700198 |
PURSE STRING DEVICE |
131.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700199 |
LIGACLIP LT300 MED/LGE TITANIUM |
46.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700200 |
COBAN 1" |
6.78 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700201 |
TROCAR 5MM |
549.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700202 |
COBAN 2" |
10.96 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700203 |
TROCAR 12MM |
609.76 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700204 |
COBAN 3" |
14.07 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700205 |
TROCAR REDUCER 5MM |
32.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700207 |
SCRUB PALS |
28.22 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700208 |
NEEDLE VERESS 150MM DISP |
239.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700210 |
NEEDLE VERESS 120MM DISP |
232.61 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700214 |
NEBULIZER PREFILLED |
9.94 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700221 |
DRESSING MICROSURG 2X4 |
5.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700223 |
ARTHRO-FLOW IRRIGATOR |
415.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700227 |
SET CONT BLADDER IRRIG |
19.89 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700228 |
BLADE SURGICAL #10,11,15 |
1.17 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700231 |
TUBING U.V.A.C. |
61.04 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700233 |
SET TUR SINGLE |
36.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700238 |
NEBULIZER REFILL |
11.88 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700241 |
BANDAGE KERLIX |
6.50 |
|
A6449 |
272 |
CENTRAL SUPPLY ROOM |
| 1700249 |
STYLET INTUBATING 6FR |
6.87 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700251 |
JUGULAR GRNFLD V.CAVA FILT |
1,862.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700258 |
SET IV ADMIN HEMO |
3.76 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700259 |
SPECULUM EAR DISP |
0.16 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700262 |
TUBE NASOGASTRIC 20FR-ADULT |
456.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700266 |
NEEDLE A-V FISTULA |
3.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700271 |
PLATE-T 240.34 |
233.32 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700276 |
BLADE HALL STRAIGHT |
32.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700277 |
NEURO PATTIES 1/2X1/2 |
13.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700278 |
NEURO PATTIES 3/4X3/4 |
13.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700279 |
NEURO PATTIES 1X1 |
13.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700296 |
CDH21 ILS |
1,182.00
|
|
272 |
CENTRAL SUPPLY ROOM |
| 1700297 |
CDH25 ILS |
1,182.00
|
|
272 |
CENTRAL SUPPLY ROOM |
| 1700298 |
CDH29 ILS |
1,182.00
|
|
272 |
CENTRAL SUPPLY ROOM |
| 1700299 |
CDH33 ILS |
1,182.00
|
|
272 |
CENTRAL SUPPLY ROOM |
| 1700308 |
BANDAGE SLING |
5.04 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700310 |
RU60 RELOAD |
58.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700313 |
SET UP IMV |
19.28 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700314 |
LIGACLIP TC100 SML TITANIUM |
21.41 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700315 |
LIGACLIP TC200 MED TITANIUM |
25.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700317 |
LIGACLIP TC300 LGE TITANIUM |
33.17 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700318 |
LIGACLIP TC400 XLGE TITANIUM |
43.97 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700320 |
ENDOLOOP CHROMIC |
141.47 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700322 |
CERVICAL COLLAR-FELT |
63.68 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700323 |
TROCAR 10MM |
536.98 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700326 |
ENDOLOOP VICRYL |
156.39 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700343 |
TONSIL SNARE |
1.31 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700361 |
SHEENY INCUS REPLACE |
195.52 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700364 |
TUBE ESOPHAGEAL COMBITUBE |
243.06 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700366 |
NEEDLE INFUS INTRAOSSEOUS |
118.70 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700367 |
SPLINT HAND COCK-UP |
84.89 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700368 |
TRAY PEG |
923.13 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700370 |
DENTAL ARCH BAR BENDICK |
94.09 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1700372 |
NEEDLE BX TRAVENOL |
141.55 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700373 |
PACEMAKER LEAD INTRO TEMP |
45.45 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700380 |
GAUZE GELFOAM |
24.30 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700382 |
SET UP OXYGEN TX |
17.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700383 |
TUBING CORRUGATED |
10.63 |
|
K0175 |
270 |
CENTRAL SUPPLY ROOM |
| 1700384 |
MASK OXYGEN-PEDS |
10.21 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700385 |
MASK AEROSOL-ADULT |
10.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700386 |
AEROSOL T ADAPTOR |
1.93 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700387 |
HUMIDIFIER |
11.10 |
|
K0238 |
270 |
CENTRAL SUPPLY ROOM |
| 1700389 |
SLING ARM |
13.32 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700390 |
THERAPLAST |
8.48 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700391 |
TRACHTALK |
60.75 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700392 |
COMPRESSED AIR/HOUR |
6.77 |
|
A4649 |
270 |
CENTRAL SUPPLY ROOM |
| 1700393 |
CANE LOFSTRAND |
258.92 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700394 |
CANE QUAD |
167.41 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700396 |
OXYGEN/HR-1 LITER |
0.77 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700397 |
OXYGEN/HR-2 LITER |
1.93 |
|
E0441 |
270 |
CENTRAL SUPPLY ROOM |
| 1700398 |
OXYGEN/HR-3 LITER |
2.90 |
|
E0441 |
270 |
CENTRAL SUPPLY ROOM |
| 1700400 |
OXYGEN/HR-4 LITER |
3.86 |
|
E0441 |
270 |
CENTRAL SUPPLY ROOM |
| 1700401 |
OXYGEN/HR-5 LITER |
4.84 |
|
E0441 |
270 |
CENTRAL SUPPLY ROOM |
| 1700402 |
OXYGEN/HR-6 LITER |
5.79 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700403 |
OXYGEN/HR-7 LITER |
6.77 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700404 |
OXYGEN/HR-8 LITER |
7.72 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700405 |
OXYGEN/HR-9 LITER |
8.69 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700406 |
CATHETER HYSTERO SBH 6.8 |
30.88 |
|
621 |
CENTRAL SUPPLY ROOM |
| 1700408 |
OXYGEN/HR-10 LITER |
9.65 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700409 |
OXYGEN/HR-11 LITER |
4.79 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700410 |
OXYGEN/HR-12 LITER |
5.05 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700411 |
OXYGEN/HR-13 LITER |
5.70 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700412 |
OXYGEN/HR-14 LITER |
6.07 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700413 |
OXYGEN/HR-15 LITER |
6.51 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700414 |
NEEDLE BX CHIBA DISP |
22.03 |
|
621 |
CENTRAL SUPPLY ROOM |
| 1700418 |
ANG CATH P6.5-35-70-M-NS- |
19.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700419 |
SPLINT FINGER SPRING COIL |
28.77 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700420 |
SPLINT FINGER WIRE FOAM |
28.77 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700421 |
SPLINT KNUCKLE BENDER |
14.50 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700422 |
SPLINT KNUCKLE BENDER REV |
14.50 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700423 |
CATHETER CUTDOWN |
3.88 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700424 |
SPLINT CAP COIL EXT WIRE FOAM |
28.77 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700426 |
SPLINT REV FING KNUCK BEND |
14.50 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700427 |
GLOVE TUBIRGRIP |
21.90 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700429 |
THERABAND (PER 1 FT) |
0.63 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700430 |
COMPRESSOGRIP BAND (/1 FT) |
4.03 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700431 |
KIT MONITOR SORENSON |
93.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700432 |
HAND EXERCISER FOAM |
5.70 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700433 |
ELEVATING WEDGE FOAM |
31.89 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700435 |
FINGER PRESSURE WRAP |
16.63 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700436 |
POLYCUSHION
6"X6" |
1.27 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700437 |
VELCRO (PER 6") |
0.99 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700438 |
VELAFOAM (PER 6") |
3.55 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700439 |
ANG CATH(RDC)BP-6.5-38-65 |
19.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700440 |
BILIRUBIN THERAPY |
19.81 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700442 |
ANG VESSEL DIL JCD-6.0 |
6.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700443 |
ANG VES DIL JCD-5.0-35-2 |
6.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700445 |
ANG WIRE GD TSFNA-38-145- |
13.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700446 |
ANG WIRE GD TSFNB-35-145 |
13.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700452 |
STOMA ADHESIVE 8X8 /EA |
24.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700454 |
SURGICAL STRIP STERILE |
12.31 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700463 |
NEEDLE ARGYLE 3/16 |
19.56 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700464 |
CATHETER SUCTION 5/6FR |
3.59 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700466 |
CATHETER FOGARTY 2FR |
130.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700469 |
BLADE MICRO SUPER SHARP |
5.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700481 |
STOMA ADHESIVE 4X4 /EA |
18.63 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700482 |
PACK C/S BIRTH |
106.72 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700483 |
CYSTO SUPUB DRAIN #330-8 |
87.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700484 |
PACK CYSTOSCOPY |
16.71 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700486 |
PACK ARTHROSCOPY |
117.22 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700493 |
TUBE LARYNGECTOMY S-10 STN |
39.62 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700495 |
TUBE LARYNGECTOMY W/ROT LO |
50.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700510 |
IMPLANT TESTICULAR II AVE |
227.82 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700511 |
IMPLANT TESTICULAR II LGE |
227.82 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700516 |
LIGACLIP LS300 LGE STEEL |
37.60 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700517 |
MENISCUS MENDER II #10714 |
97.00 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700521 |
MESH MARLEX 10"X14" |
85.06 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700527 |
LIGACLIP LS400 XLGE STEEL |
49.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700529 |
NUGAUZE IODOFORM 1/2" |
25.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700533 |
GRAFT DEBAKEY BIF 16X8MM |
358.20 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700534 |
GRAFT DEBAK BIF 19X9.5MM |
358.20 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700545 |
SET URETERAL BRUSH BIOPSY |
62.88 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700547 |
NEPHRO PERCUTANEOUS 8.3FR |
156.43 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700550 |
NEPHRO PERCUTANEOUS 10FR |
170.10 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700551 |
NEEDLE EAR SUCTION |
61.78 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700556 |
SET REPL PERCUT 8.3FR |
77.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700557 |
SET REPL PERCUT 10FR |
77.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700564 |
DERMACARRIERS II |
40.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700567 |
SUTURE RETENTION BRIDGE |
46.92 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700568 |
SHUNT VENTRI PERITONEAL |
700.92 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700571 |
WATER DISTILLED STERILE |
3.86 |
|
A4712 |
272 |
CENTRAL SUPPLY ROOM |
| 1700573 |
STAPLE SKIN EXTRACTOR |
34.71 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700589 |
GAUZE DRESSING 2X2 |
1.93 |
|
A6402 |
623 |
CENTRAL SUPPLY ROOM |
| 1700605 |
GAUZE DRESSING 4X4 |
1.93 |
|
A6402 |
623 |
CENTRAL SUPPLY ROOM |
| 1700619 |
DRESSING TRANSP 2X3 |
0.81 |
|
A6257 |
623 |
CENTRAL SUPPLY ROOM |
| 1700620 |
DRESSING TRANSP 4X5 |
2.54 |
|
A6257 |
623 |
CENTRAL SUPPLY ROOM |
| 1700624 |
SHEET SILASTIC 0.020 THICK |
77.76 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1700632 |
INJECTOR STERILE DISP |
434.37 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700647 |
FAS-TRAC |
21.55 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700651 |
ANG NEEDLE PERCUT BSDN |
4.16 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700652 |
ANG WIRE TJTSCM-35-1453BH |
15.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700653 |
ANG CERE ANGIOGRAPHIC CAT |
22.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700654 |
ANG CERE HEADHUNTER CATH |
22.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700655 |
ANG PIGTAIL ANGIOCATH |
19.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700658 |
SET NEPHROSTOMY PNS-100 |
231.12 |
|
A4649 |
621 |
CENTRAL SUPPLY ROOM |
| 1700659 |
SET NEPHROSTOMY PNS-100A |
68.35 |
|
A4649 |
621 |
CENTRAL SUPPLY ROOM |
| 1700660 |
ANG BSM-100/200/300BILIAR |
265.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700661 |
ANG BPS-6.538100MNSH14CAT |
19.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700662 |
TRAY URETHRAL CATHETERIZATION 14FR |
14.47 |
|
A4316 |
272 |
CENTRAL SUPPLY ROOM |
| 1700663 |
TROCAR CATHETER |
18.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700664 |
THREAD ADJ STABILITY 5MM |
42.89 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700667 |
STOCKINETTE TUBIGRIP |
4.12 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700668 |
LUMBO SACRO CORSETT |
250.86 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700669 |
SPLINT FINGER EXT WIRE FOAM |
27.34 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1700673 |
ETHILON BLK MONO 30" 3-0 |
16.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700676 |
SILK BLK BR 18" 3-0 |
12.65 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700683 |
SILK BLK BR 18" 4-0 |
16.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700685 |
SILK BLK BR 18" 2-0 |
16.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700688 |
GAUZE FURACIN |
4.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700690 |
IV SM20-D STAT MASTER |
3.76 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700693 |
IV SM60-D STAT MASTER |
3.97 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700695 |
TUBE IV EXTENSION |
3.41 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700699 |
ETHILON BLK MONO 18" 4-0 |
34.81 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700702 |
OXY TANK REFILL /11 CU FT |
15.06 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700703 |
AFD-FLATWARE, OFFSET |
48.04 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700705 |
HUMID-VENT-1 |
71.66 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1700707 |
AFD-FLATWARE, ANGULATED |
48.04 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700708 |
OXY TANK REFILL /22 CU FT |
28.79 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700709 |
KIT FETAL SCALP PH |
12.02 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700710 |
KIT CHOLECYSTECTOMY LK007 |
1,024.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700712 |
OXY TANK REFILL /200 CU FT |
50.85 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700713 |
TUBE ORAL RAE UNCUFFED |
49.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700714 |
AFD-FLATWARE, ANGULAT-FORK |
115.93 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700716 |
FLATWARE-ENLARGED HANDLE |
48.04 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700739 |
FLATWARE-FOAM HANDLE ADAPT |
48.04 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700742 |
CIRCUIT VENTILATOR-INFANT |
35.49 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700743 |
TUBE ORAL RAE CUFFED |
82.97 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700744 |
AFD-SELF-LEVEL FLATWARE |
189.89 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700745 |
LEAD PACING |
835.33 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700746 |
ANALYZER-AV PACING SYSTEM |
660.34 |
|
275 |
CENTRAL SUPPLY ROOM |
| 1700749 |
AFD-SCOOP DISHES |
52.43 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700750 |
STETHOSCOPE ESOPU DISP |
40.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700751 |
BLANKET BABY |
4.23 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700752 |
AFD-CUP THUMBS-UP |
89.97 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700758 |
AFD-T-HANDLE MUG |
39.73 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700759 |
OXYGEN/HR VENTILATOR |
24.58 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700761 |
BAG WATER COLLECTION |
42.85 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700763 |
AFD-CUP, FLO-TROL VACUUM |
26.47 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700764 |
AFD-GLASS NOSEY CUTOUT |
26.47 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700768 |
AFD-UTENSIL, CURVED HANDLE |
121.71 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700769 |
LESSONS RT BRAIN-READ/WRT |
27.13 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700771 |
AFD-UTENSIL, CURV HAND-KNIFE |
142.89 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700775 |
AFD-KNIFE, STNLESS ROCKER |
60.32 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700776 |
VACUTAINER ANAEROBIC SPEC |
21.95 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700778 |
KIT CHOLECYSTECTOMY LK001 |
1,024.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700783 |
CONCHA PAK |
98.38 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700786 |
SET UP CONCHA PAK |
35.69 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700794 |
WIRE DRILL PASS |
80.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700795 |
PLASTIBELL |
1.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700796 |
CONNECTOR PLASTIC |
1.76 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700798 |
CIRCUIT VENTILATOR-ADULT |
50.28 |
|
A4649 |
270 |
CENTRAL SUPPLY ROOM |
| 1700799 |
BALL URET DIL SET 5FRX65CM |
185.42 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700800 |
MASK NON-REBREATHING-ADULT |
10.45 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700804 |
STD HEL ST EXT 3CM FR3.7-6 |
163.23 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700805 |
AMNIHOOK AMNIOTIC MEMBRANE |
8.82 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700811 |
FILTER PALL |
16.22 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700813 |
SET UP NON-REBREATH MASK |
35.65 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700816 |
COLLAR TRACH |
42.05 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700823 |
DOME STERILE DISP |
3.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700824 |
MINI MASSAGER |
90.15 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700825 |
OXYHOOD |
9.94 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700844 |
FETAL SCALP ELECTRODE |
7.32 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700845 |
NEEDLE INTRACATH |
17.75 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700846 |
NEEDLE INTRAOSSEOUS |
22.78 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700850 |
NEEDLE BIOPSY |
20.75 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700860 |
MINICATH WTIH 19-21 |
7.43 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700880 |
NEEDLE LOOSE EYE |
1.94 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700901 |
SET UP CPAP-INFANT |
37.47 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700903 |
SET UP END TIDAL CO2 |
37.47 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700904 |
SET UP Q-CIRCLE-ADULT |
42.98 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700905 |
SET H4500 FEED |
11.77 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700907 |
MAI CIRCUIT DISP |
27.41 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700909 |
SET UP J INFANT |
42.98 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700910 |
SET UP USN |
20.63 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700911 |
SET UP NEBULIZER TX |
17.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700912 |
MASK TRACHEOSTOMY |
10.21 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700913 |
SET UP SPUTUM INDUCTION |
17.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700915 |
BLADE STR FLUTE STERNUM |
116.94 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700916 |
GLOVES HAND LEATHER |
7.23 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700917 |
HAND GRIP SPRING |
8.48 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1700920 |
MICRODON |
- |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700928 |
PAD ABDOMINAL |
1.93 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1700935 |
NUGAUZE IODOFORM 1/4" |
22.83 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700939 |
PACE AID MACHINE |
117.53 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700940 |
PACE AID MACHINE PAD DISP |
29.06 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1700944 |
PAD EYE DRESSING |
1.93 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1700999 |
EXERCISE BALL |
4.24 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1701010 |
MODULE-OXYGEN DELIVERY |
61.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701020 |
MODULE-INTUBATION |
154.47 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701024 |
PROTECTION PACK |
6.04 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701030 |
MODULE-IV DELIVERY |
159.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701040 |
MODULE-INTRAOSSEOUS |
200.96 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701067 |
RESUSCITATOR MANUAL DISP |
9.12 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1701076 |
SET IV CARTRIDGE-ADULT |
10.32 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701078 |
SET IV CARTRIDGE-NEONATAL |
10.32 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701080 |
SET HALF Y MEDSYSTEM III |
32.22 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701081 |
SET 2 Y MEDSYSTEM III |
60.85 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701092 |
CERVICAL COLLAR-INFANT |
31.20 |
|
L0120 |
271 |
CENTRAL SUPPLY ROOM |
| 1701093 |
CERVICAL COLLAR-PEDS |
31.20 |
|
L0120 |
271 |
CENTRAL SUPPLY ROOM |
| 1701108 |
SET IV BLOOD-VI9 |
12.67 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701116 |
BLOOD PUMP |
24.71 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1701124 |
SET ENEMA DISP |
7.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701249 |
SET METRI BURRETRO |
29.74 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701280 |
SET IV-PEDS |
5.97 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701322 |
SET IV-ADULT |
6.71 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1701348 |
SET TRACHEA CARE |
11.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701363 |
SET URI-METER |
17.70 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701389 |
SET UROGATE |
8.48 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701421 |
SITZ BATH |
16.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1701426 |
CAPNOMETER - ADULT |
76.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701451 |
COLOSTOMY FLANGE-PEDS |
23.51 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701461 |
COLOSTOMY FLANGE-ADULT |
29.18 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701497 |
KIT SUCTION CATHETER |
21.75 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701603 |
TAPE UMBILICAL |
1.93 |
|
A4454 |
272 |
CENTRAL SUPPLY ROOM |
| 1701629 |
TRAY CERVICAL BIOPSY |
21.23 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701645 |
SET UP TRACTION EQUIPMENT |
48.23 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1701660 |
TRAY ANGIOGRAM |
14.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701669 |
ETHILON BLK MONO 18" 3-0 |
34.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701686 |
TRAY ARTERIOGRAM |
21.23 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701744 |
TRAY BURN DRESSING |
19.28 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701801 |
TRAY EAR IRRIGATION |
6.37 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701835 |
TRAY I&D |
15.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701843 |
TRAY IRRIGATION |
9.45 |
|
A4320 |
272 |
CENTRAL SUPPLY ROOM |
| 1701876 |
TRAY MINOR SUTURE |
21.23 |
|
A4550 |
272 |
CENTRAL SUPPLY ROOM |
| 1701880 |
TRAY W/ BETADINE SKIN PREP |
16.67 |
|
A4649 |
270 |
CENTRAL SUPPLY ROOM |
| 1701900 |
TRAY MYELOGRAM |
83.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701926 |
TRAY OB PRECIPITATE |
53.08 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701942 |
TRAY PARACENTESIS |
31.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701967 |
TRAY SALPINGOGRAM |
21.23 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701983 |
TRAY LIVER BIOPSY |
15.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1701991 |
TRAY EPIDURAL ANESTHESIA |
45.17 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702007 |
TRAY LUMBAR PUNCTURE-ADULT |
40.67 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702049 |
TRAY LUMBAR PUNCTURE-PEDS |
45.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702072 |
TRAY STEINMANN PIN |
67.54 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702080 |
TRAY THORACENTESIS |
152.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702106 |
TRAY THORACOTOMY |
31.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702122 |
TRAY TRACHEOTOMY |
31.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702148 |
TRAY TROCATH-ADULT |
45.93 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702160 |
EXER-TUBING (PER 1 FT) |
1.07 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1702163 |
TRAY TROCATH-INFANT |
45.93 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702189 |
TRAY VENISECTION |
31.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702197 |
INCENTIVE SPIROMETER |
50.17 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702205 |
TUBE BLAKEMORE |
127.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702261 |
TRU/MEASURE URI-METER W/BG |
15.56 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702288 |
TUBE FEEDING 5FR |
3.76 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702320 |
TUBE O2 CONNECTING |
3.54 |
|
A4616 |
272 |
CENTRAL SUPPLY ROOM |
| 1702346 |
TUBE RECTAL |
3.97 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702361 |
TUBE STOMACH 14FR |
3.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702363 |
TUBE STOMACH 16FRX50" |
4.02 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702365 |
TUBE FEEDING 8FRX15" |
4.22 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702367 |
GLOVES SURG S-6 SPEC |
2.64 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702369 |
SUSPENSORY SCROTAL MED |
40.36 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702370 |
STYLET INTUBATING 14FR |
16.62 |
|
A4212 |
272 |
CENTRAL SUPPLY ROOM |
| 1702372 |
STERI-STRIP 1/4"X3" |
4.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702373 |
SLIPPER FOAM ADULT MED |
3.56 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702376 |
PAD TELFA 3"X4" |
0.67 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702377 |
NEEDLE SPINAL 22GAX1-1/2" |
9.19 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702379 |
MASK OXYGEN-ADULT |
3.55 |
|
A4620 |
270 |
CENTRAL SUPPLY ROOM |
| 1702380 |
CATH ANGIOCATH 16GAX2" |
5.05 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1702381 |
BUTTERFLY 25GAX3/8" |
4.47 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702382 |
HEAD-HALTER W/O BAR-YOUTH |
87.48 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1702383 |
CERVICAL COLLAR FOAM MED |
49.16 |
|
L0120 |
274 |
CENTRAL SUPPLY ROOM |
| 1702384 |
CATHETER SUCTION 8FR 15" |
3.08 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702385 |
BAG BODY CADAVER-YELLOW |
44.35 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702386 |
BELT RIBS 24"X30" FEMALE |
33.71 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1702388 |
BELT PELVIC TRACTION 26X30 |
66.65 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1702389 |
BANDAGE ELASTOPLAST 3"X5YD |
25.61 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702445 |
UNDERPADS |
1.93 |
|
A4554 |
270 |
CENTRAL SUPPLY ROOM |
| 1702452 |
CATHETER UMBILICAL ART 5FR |
9.49 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702460 |
UNIGARD II |
3.58 |
|
A9900 |
270 |
CENTRAL SUPPLY ROOM |
| 1702486 |
GAUZE XEROFORM 5"X9" |
4.92 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702502 |
VENOUS PRESSURE |
44.04 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702528 |
HEAD-HALTER |
20.74 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1702569 |
WOOL SYNTHETIC |
69.94 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702741 |
BANDAGE PLASTER PARIS 3" |
15.55 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702742 |
BANDAGE PLASTER PARIS 4" |
14.67 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702743 |
BANDAGE PLASTER PARIS 5" |
32.42 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1702925 |
FLEX FLO GRAVITY FEEDING |
5.16 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1702981 |
CATHETER MALECOT |
18.75 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703005 |
CATHETER MUSHROOM |
14.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703010 |
HEEL/ELBOW PROTECTOR |
63.37 |
|
A4649 |
271 |
CENTRAL SUPPLY ROOM |
| 1703062 |
TRAY CUTDOWN |
19.28 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703120 |
STAPLE ZIMALOY |
59.06 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703146 |
BONE WAX |
4.05 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703260 |
BLADE DERMATONE |
34.06 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703294 |
CANE WOODEN |
38.58 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703302 |
BAG URINE DRAINAGE |
17.64 |
|
A4357 |
272 |
CENTRAL SUPPLY ROOM |
| 1703336 |
MASK BILIRUBIN |
21.04 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703369 |
SHIELD EYE |
5.42 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703401 |
PACK VAGINAL FURACIN |
15.43 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703419 |
PACK BASIC |
27.41 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703435 |
PACKING NASAL |
4.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703450 |
PACK LAP |
44.21 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1703468 |
GAUZE VASELINE PRE-PACK |
2.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703476 |
PACK ORTHO |
55.37 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1703492 |
PACK PERI/GYN |
36.87 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703591 |
CANNULA OXYGEN-ADULT |
8.99 |
|
A4615 |
271 |
CENTRAL SUPPLY ROOM |
| 1703609 |
P.E. TUBE |
46.64 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703682 |
SUTURE RETENTION |
6.77 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703708 |
SUTURE BOLSTERS |
5.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703716 |
SUTURE NEURO |
23.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703732 |
CASSETTE COVER |
11.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703744 |
BAG BODY CADAVER-INFANT |
16.37 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703815 |
TOWEL DISP |
4.13 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703865 |
CATHETER SILASTIC |
47.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1703880 |
SILASTIC SPG-1/4 BLOCK |
23.15 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1703906 |
IMPLANT EAR |
257.42 |
|
278 |
CENTRAL SUPPLY ROOM |
| 1704128 |
IV EXTENSION W/ STP COCK |
9.53 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1704144 |
IV EXTENSION |
3.29 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1704186 |
MASK ISOLATION (100) |
8.99 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1704227 |
SET SCALP VEIN |
2.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1704300 |
SUTURE NYLON |
4.62 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1704320 |
TUBE GASTROSTOMY 14FR |
99.78 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1704354 |
TUBE GASTROSTOMY 24FR |
102.99 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1704383 |
CATHETER FOLEY 3-WAY |
97.02 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704384 |
KIT CATHETER CARE |
0.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1704391 |
CATHETER FOLEY 10FR 3CC |
14.74 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704409 |
CATHETER FOLEY 12FR 5CC |
14.74 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704425 |
CATHETER FOLEY 14FR 5CC |
22.02 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704441 |
CATHETER FOLEY 16FR 5CC |
16.59 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704466 |
CATHETER FOLEY 18FR 5CC |
22.73 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704482 |
CATHETER FOLEY 20FR 5CC |
16.41 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704508 |
CATHETER FOLEY 22FR 5CC |
20.80 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704524 |
CATHETER FOLEY 24FR 5CC |
14.21 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704540 |
CATHETER FOLEY 26FR 5CC |
14.74 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704565 |
CATHETER FOLEY 28FR 5CC |
14.74 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704607 |
CATHETER FOLEY 12FR 30CC |
18.92 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704623 |
CATHETER FOLEY 14FR 30CC |
20.37 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704649 |
CATHETER FOLEY 16FR 30CC |
17.57 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704664 |
CATHETER FOLEY 18FR 30CC |
23.34 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704680 |
CATHETER FOLEY 20FR 30CC |
16.41 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704706 |
CATHETER FOLEY 22FR 30CC |
17.20 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704722 |
CATHETER FOLEY 24FR 30CC |
17.20 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704748 |
CATHETER FOLEY 30FR 35CC |
17.20 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704763 |
CATHETER FOLEY 28FR 30CC |
16.23 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704789 |
CATHETER FOLEY 30FR 30CC |
16.23 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704821 |
CATHETER FOLEY 10FR 5CC |
18.92 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1704888 |
TUBING PLASTIC EMERSON |
67.44 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1704904 |
MINICATH W/O 19-21 |
3.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705000 |
3-WAY STPCOK W/O EXTN |
3.41 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705067 |
DIAPER PAMPERS-TODDLER |
8.48 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705083 |
SET SUTURE REMOVAL DISP |
5.35 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1705109 |
SLIPPER FOAM-ADULT |
3.21 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705141 |
BREAST PUMP |
16.74 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705166 |
BELT SANITARY |
1.93 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705182 |
TUBE LUKENS 14FR |
6.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705187 |
TAPE DRESS MICROPORE 1/2X1 |
3.14 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705240 |
SYRINGE BULB |
11.30 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705281 |
CUSHION INVALID RING |
16.97 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705307 |
GRADUATED CONTAINER |
1.93 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705422 |
CATHETER PLUG |
1.93 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705455 |
PERI CARE |
7.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705489 |
TRAY NASAL |
5.30 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705554 |
SHUNT HYDROCEPHALUS |
788.90 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705612 |
STAPLE EPHIPHISEL |
31.49 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705661 |
PIN RUSH |
48.23 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1705737 |
BONE CEMENT KNEE |
203.97 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1705752 |
BONE CEMENT HIP |
288.47 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1705801 |
TUBE ORAL SUCTION ORAVAC |
3.62 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705802 |
BUTTON ORTHO (EACH) |
5.79 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1705803 |
FELT ORTHO 1/4" |
19.56 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705804 |
FELT ORTHO 1/2" |
53.08 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705844 |
SPLINT COLLES (ZIMMER) |
19.28 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705851 |
PIN HOLDER BOHLER |
86.83 |
|
274 |
CENTRAL SUPPLY ROOM |
| 1705869 |
PLASTER ORTHOPLEX |
19.28 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1705885 |
BLADE GIGLI SAW |
28.95 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1705968 |
P.E. BOBBIN |
58.67 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1706008 |
CRASH CART |
77.20 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1706305 |
SIGMOIDOSCOPE |
14.47 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1706404 |
SYRINGE CATHETER TIP 60CC DISP |
4.26 |
|
A4213 |
272 |
CENTRAL SUPPLY ROOM |
| 1706641 |
ETHILON BLK MONO 18" 2-0 |
17.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1709030 |
INJECTION CAP |
1.19 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1709034 |
SPECULUM VAGINAL SML DISP |
1.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1709038 |
SPECULUM VAGINAL MED DISP |
1.09 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1709045 |
SPECULUM VAGINAL LGE DISP |
1.07 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710000 |
BAG SPIKE ADAPTER NEEDLE-FREE |
16.39 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710010 |
CERVICAL COLLAR SMALL |
13.67 |
|
L0172 |
274 |
CENTRAL SUPPLY ROOM |
| 1710012 |
KIT CHEMO PREP ADMIN |
163.17 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710015 |
AIRWAY 40MM-NEONATAL |
1.23 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710016 |
AIRWAY 60MM-PEDS |
1.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710017 |
AIRWAY 80MM-ADULT |
1.71 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710018 |
AIRWAY 90MM-ADULT |
1.44 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710019 |
AIRWAY 100MM-ADULT |
1.44 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710028 |
CERVICAL COLLAR MEDIUM |
13.67 |
|
L0172 |
274 |
CENTRAL SUPPLY ROOM |
| 1710036 |
CERVICAL COLLAR LARGE |
13.67 |
|
L0172 |
274 |
CENTRAL SUPPLY ROOM |
| 1710044 |
CERVICAL COLLAR X-LARGE |
13.67 |
|
L0172 |
274 |
CENTRAL SUPPLY ROOM |
| 1710120 |
ARMBOARD W/ COVER 2.5" |
4.41 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710121 |
ARMBOARD W/ COVER 4" |
4.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710122 |
ARMBOARD W/ COVER 5" |
5.15 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710123 |
ARMBOARD 7" CHILD |
7.00 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710142 |
PACING ELECTRODE EXTERNAL |
51.31 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710146 |
BANDAGE ACE 2" |
3.47 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710147 |
BANDAGE ACE 3" |
7.34 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710148 |
BANDAGE ACE 4" |
8.64 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710149 |
BANDAGE ACE 6" |
13.09 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710150 |
GAUZE STRETCH 2" |
2.28 |
|
A6404 |
623 |
CENTRAL SUPPLY ROOM |
| 1710151 |
GAUZE STRETCH 3" |
2.85 |
|
A6404 |
623 |
CENTRAL SUPPLY ROOM |
| 1710152 |
GAUZE STRETCH 4" |
3.16 |
|
A6404 |
623 |
CENTRAL SUPPLY ROOM |
| 1710153 |
GAUZE STRETCH 6" |
1.93 |
|
A6404 |
623 |
CENTRAL SUPPLY ROOM |
| 1710156 |
BANDAGE WEBRIL 2" |
2.01 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710157 |
BANDAGE WEBRIL 3" |
2.85 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710158 |
BANDAGE WEBRIL 4" |
1.30 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710159 |
BANDAGE WEBRIL 6" |
6.07 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710160 |
CATHETER THORACIC 20FR |
14.24 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710161 |
CATHETER THORACIC 24FR |
22.95 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710162 |
CATHETER THORACIC 28FR |
18.55 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710163 |
CATHETER THORACIC 32FR |
21.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710164 |
CATHETER THORACIC 36FR |
14.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710165 |
CATHETER UMBILICAL ART 3.5FR |
54.87 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710166 |
SET UP CIRCUMCISION |
27.61 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710167 |
STUMP SOCK |
27.88 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710168 |
HEEL TIP WALKING |
0.63 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710169 |
STUMP SHRINKER |
67.54 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710170 |
CRUTCH HAND GRIP |
10.63 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1710171 |
CRUTCH TIP |
8.01 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1710172 |
CRUTCH CUSHION |
10.73 |
|
273 |
CENTRAL SUPPLY ROOM |
| 1710215 |
BANDAGE ELASTOPLAST 2"X5YD |
11.17 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710296 |
STOCKING THIGH HI-LENGTH-MED |
33.02 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710297 |
STOCKING THIGH HI-LENGTH-LGE |
36.60 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710310 |
BANDAGE PLASTER PARIS 2" |
6.14 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710314 |
BANDAGE PLASTER PARIS 6" |
20.04 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1710325 |
SPLINT ONE-STEP 2"X10" |
40.36 |
|
A4570 |
274 |
CENTRAL SUPPLY ROOM |
| 1710330 |
SPLINT ONE-STEP 3"X12" |
46.83 |
|
A4570 |
274 |
CENTRAL SUPPLY ROOM |
| 1710335 |
SPLINT ONE-STEP 4"X15" |
68.95 |
|
A4570 |
274 |
CENTRAL SUPPLY ROOM |
| 1710340 |
SPLINT ONE-STEP 5"X30" |
105.83 |
|
A4570 |
274 |
CENTRAL SUPPLY ROOM |
| 1710341 |
SPLINT ONE-STEP 5"X45" |
130.89 |
|
A4570 |
274 |
CENTRAL SUPPLY ROOM |
| 1710380 |
MITTS SECURE |
165.63 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710381 |
LIMB HOLDER-FOAM CUFF /PR |
20.04 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710382 |
SUPPORT WAIST/VEST/CHEST |
89.66 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710386 |
LIMB STABILIZER WEDGE |
32.75 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1710445 |
NEEDLE-FREE VALVE ALARIS |
8.13 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1710500 |
CATHETER FOLEY 8FR 3CC |
26.44 |
|
A4346 |
272 |
CENTRAL SUPPLY ROOM |
| 1710600 |
KIT CEN/VEN ACCESS 2-LUMEN 7FR |
557.77 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710733 |
CATHETER SUCTION 8FR DELEE |
7.78 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1710850 |
CERVICAL COLLAR FOAM SML |
17.23 |
|
L0120 |
274 |
CENTRAL SUPPLY ROOM |
| 1711015 |
PLUG DECANNULATION |
37.56 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711130 |
ELECTRODE ECG PLIA-CEL-INFANT |
2.30 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711131 |
ELECTRODE EKG QUICK COMBO-PEDS |
148.86 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711132 |
ELECTRODE EKG QUICK COMBO-ADULT |
148.86 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711133 |
ELECTRODE LIFE PAK-ADULT |
1.98 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711218 |
GAUZE PETROLATUM 1/2"X72" |
7.90 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711280 |
GAUZE VASELINE PETROLATUM 3"X8" |
2.99 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711365 |
GOWN SURGICAL ECLIPSE DISP-LARGE |
19.77 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711412 |
BUTTERFLY 23GAX3/4" |
3.84 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711425 |
CATH ANGIOCATH 14GAX1-1/4" |
12.92 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1711610 |
MASK AEROSOL-PEDS |
5.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711630 |
MASK MULTI-VENT-PEDS |
20.33 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711633 |
MASK MULTI-VENT-ADULT |
9.85 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711634 |
MASK NON-REBREATHING-PEDS |
8.19 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711650 |
MASK POCKET |
74.07 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711651 |
FILTER-MASK POCKET |
6.73 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1711653 |
LANCET FINGER BLOOD |
0.69 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711665 |
NEBULIZER W/ T-ADAPTOR |
6.25 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1711692 |
OXISENSOR-ADULT |
91.04 |
|
E0445 |
272 |
CENTRAL SUPPLY ROOM |
| 1711774 |
PAD TELFA 2"X3" |
0.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1711880 |
DRAPE THYROID SHEET CONVERTORS |
49.87 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712075 |
STERI-STRIP 1/8"X3" |
3.21 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712085 |
STOCKINETTE TUBULAR 2" /YD |
1.34 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712090 |
STOCKING ANTI-EMBOLECTOMY-SML |
11.06 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712091 |
STOCKING ANTI-EMBOLECTOMY-MED |
26.39 |
|
A4649 |
271 |
CENTRAL SUPPLY ROOM |
| 1712092 |
STOCKING ANTI-EMBOLECTOMY-LGE |
13.41 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712093 |
STOCKING ANTI-EMBOLECTOMY-XLGE |
22.76 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712095 |
STOCKING THIGH HI-LENGTH-SML |
50.22 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712096 |
STOCKING THIGH HI-LENGTH-MED |
33.02 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712097 |
STOCKING THIGH HI-LENGTH-LGE |
36.60 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712145 |
TRACTION STRIP (SKIN TRAC) MED |
53.43 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712150 |
TRACTION STRIP (SKIN TRAC) LGE |
130.02 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712159 |
SUCTION CANNISTER LINER 1500CC |
10.19 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712160 |
SUPPORT LUMBOSACRAL SML/MED |
241.15 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712161 |
SUPPORT LUMBOSACRAL MED/LGE |
120.21 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712162 |
SUPPORT LUMBOSACRAL LGE |
106.86 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712175 |
SUSPENSORY SCROTAL SUPPORT SML |
34.58 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1712222 |
SET PUMP KANGAROO SCREW CAP |
13.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712223 |
CONTAINER FEEDING KANGAROO 1200ML |
15.28 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712224 |
SET ENTERAL PUMP W/ BAG 1000CC |
22.90 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712234 |
SET PUMP FLEXIFLO |
9.31 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712325 |
SYRINGE LUER LOCK TIP 60CC |
2.14 |
|
A4213 |
272 |
CENTRAL SUPPLY ROOM |
| 1712507 |
TRAY BONE MARROW BIOPSY/ASP |
138.86 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712595 |
TUBE CONICAL GRADUATED 50ML |
4.18 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712724 |
TUBE NASOGASTRIC 8FR |
68.99 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712729 |
TUBE SALEM SUMP W/ SENT 10FR |
16.13 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712730 |
TUBE SALEM SUMP W/ SENT 12FR |
16.45 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712829 |
TUBE ENDOTRACH W/ HOLDER 2.0MM |
13.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712830 |
TUBE ENDOTRACH W/O CUFF 2.5MM |
6.81 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712836 |
TUBE ENDOTRACH W/ HOLDER 3.0MM |
34.19 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712838 |
TUBE ENDOTRACH W/O CUFF 3.5MM |
22.68 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1712895 |
TUBE TRACHEOSTOMY 26FR SZ-4 |
454.08 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713262 |
GLOVES SURG S-6 N/ALLERGENIC |
5.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713311 |
GLOVES SURG S-6.5 N/LATEX |
8.04 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713361 |
GLOVES SURG S-7 N/LATEX |
8.04 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713411 |
GLOVES SURG S-7.5 N/LATEX |
8.04 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713461 |
GLOVES SURG S-8 N/LATEX |
9.90 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713462 |
GLOVES SURG S-8 N/ALLERGIC |
3.40 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1713512 |
GLOVES SURG S-8.5 N/ALLERGIC |
2.69 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1714261 |
CAPNOMETER - PEDS |
76.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1714462 |
IMMOBILIZER KNEE 21" |
183.47 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1716921 |
OXISENSOR-INFANT |
103.65 |
|
E0445 |
272 |
CENTRAL SUPPLY ROOM |
| 1726410 |
COLOSTOMY CLAMP-ADULT |
13.47 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1726441 |
IMMOBILIZER KNEE 20" |
183.47 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1728401 |
TUBE ENDOTRACH UNCUFF 4.0MM |
34.35 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1728431 |
TUBE ENDOTRACH UNCUFF 4.5MM |
34.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1728451 |
TUBE ENDOTRACH UNCUFF 5.0MM |
36.87 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730005 |
CATHETER DUAL LUMEN 11.5FRX13.5CM |
494.53 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730006 |
KIT CATH MAHURKAR 2-LUMEN 13.5FRX36CM |
727.62 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730007 |
CATHETER DUAL LUMEN 11.5FRX19.5CM |
525.25 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730027 |
TRAY TRACH INTRODUCER 100-A-HC |
848.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730028 |
TRAY TRACH INTRODUCER 100-HC |
873.12 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730030 |
BLADE SCALPEL #10 |
1.02 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730035 |
BLADE SCALPEL #11 |
1.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730040 |
BLADE SCALPEL #12 |
0.64 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730045 |
BLADE SCALPEL #15 |
1.20 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730050 |
BLADE SCALPEL #20 |
0.91 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730055 |
BLADE SCALPEL #21 |
0.96 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730100 |
KIT VESSEL CATHETERIZATION 20GA |
120.08 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730289 |
NEEDLE SPINAL 25GAX3-1/2" |
8.66 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730474 |
RESUSCITATOR-AMBU SET DISP-INFANT |
84.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730477 |
RESUSCITATOR-AMBU SET DISP-ADULT |
139.82 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1730479 |
RESUSCITATOR-AMBU SET DISP-PEDS |
135.98 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1733380 |
CAVILON SKIN CLEANER 8OZ |
32.55 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1733392 |
CAVILON CREAM 3.25OZ |
29.18 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1760825 |
CHLORAPREP APPLICATOR 26ML |
62.46 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1761733 |
MEFIX DRESSING 2"X11YD |
34.79 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1764101 |
COLOSTOMY BAG-ADULT |
14.59 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1764800 |
SILK BLK BR 30" 2-0 |
6.76 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1785083 |
EXTERNAL CSF DRAINAGE SYSTEM |
617.88 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1787970 |
DUODERM DRESSING 2.5"X2.5" |
23.57 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1787971 |
DUODERM DRESSING 6"X6" |
37.03 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1793600 |
SET CARDIAC OUTPUT |
271.15 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1795001 |
KIT ELECTRIC BREAST PUMP |
41.34 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1795002 |
BAG BREAST MILK STORAGE |
1.65 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1795003 |
DENTURE CUP |
1.04 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1795004 |
PAD DUO THERM HEAT DISP |
34.05 |
|
271 |
CENTRAL SUPPLY ROOM |
| 1795005 |
SPECIMEN MEASURE TOILET TOP |
3.86 |
|
A4649 |
270 |
CENTRAL SUPPLY ROOM |
| 1795006 |
FEMALE CATHETER KIT |
37.06 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1795007 |
IV ANGIOCATH 20GAX1-1/4 |
7.91 |
|
A4649 |
272 |
CENTRAL SUPPLY ROOM |
| 1795008 |
K MOD HEAT THERAPY PUMP |
1.66 |
|
A9900 |
270 |
CENTRAL SUPPLY ROOM |
| 1796003 |
PAD EGGCRATE-BED |
94.12 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1796004 |
PAD EGGCRATE-CHAIR |
17.22 |
|
270 |
CENTRAL SUPPLY ROOM |
| 1796009 |
NEEDLE BONE MARROW 15GA |
60.74 |
|
272 |
CENTRAL SUPPLY ROOM |
| 1797000 |
TRAY GAUZE 4X4 |
3.50 |
|
A6222 |
272 |
CENTRAL SUPPLY ROOM |
| 1997000 |
X-RAY COPY-FILM&IMAGING, INIT |
25.00 |
76499 |
|
999 |
RADIOLOGY |
| 1997001 |
X-RAY COPY-EXTRA FILM |
5.00 |
|
999 |
RADIOLOGY |
| 2000000 |
CT-CYST ASPIRATION |
504.82 |
76365 |
|
350 |
RADIOLOGY |
| 2000001 |
US-EXT CAROTIDS, BILATERAL |
156.15 |
93880 |
|
921 |
RADIOLOGY |
| 2000003 |
CISTERN/LAT CERVIC, W/O INJ |
62.25 |
61050 |
|
329 |
RADIOLOGY |
| 2000004 |
US-GUIDED BIOPSY |
296.82 |
76942 |
|
402 |
RADIOLOGY |
| 2000006 |
X-RAY CONTROL CATH CHANGE |
30.23 |
75984 |
|
320 |
RADIOLOGY |
| 2000009 |
PLACE CATH BILIARY DRAINAGE |
162.80 |
75982 |
|
320 |
RADIOLOGY |
| 2000010 |
INSTILL AIRWAY CONTRAST DYE |
124.49 |
31708 |
|
320 |
RADIOLOGY |
| 2000012 |
US-FETAL HEART, COMP |
259.71 |
76827 |
|
402 |
RADIOLOGY |
| 2000014 |
INSERT URETERAL TUBE |
248.99 |
50393 |
|
329 |
RADIOLOGY |
| 2000015 |
CISTERN/LAT CERVIC, W/ INJ |
124.49 |
61055 |
|
329 |
RADIOLOGY |
| 2000016 |
US-EXT CAROTIDS, UNILATERAL |
121.16 |
93882 |
|
921 |
RADIOLOGY |
| 2000017 |
INJECTION FOR URETER X-RAY |
124.49 |
50392 |
|
329 |
RADIOLOGY |
| 2000019 |
INJECTION OF URETER X-RAY |
124.49 |
50684 |
|
329 |
RADIOLOGY |
| 2000020 |
ESTABLISH ACCESS TO AORTA |
248.99 |
36160 |
|
329 |
RADIOLOGY |
| 2000021 |
INJECT FOR TEAR SAC X-RAY |
62.25 |
68850 |
|
329 |
RADIOLOGY |
| 2000022 |
ACROMIOCLAVICULAR JT, BIL |
47.72 |
73050 |
|
320 |
RADIOLOGY |
| 2000024 |
PUNCTURE SHUNT TUBING |
124.49 |
61070 |
|
329 |
RADIOLOGY |
| 2000025 |
X-RAY AORTA, LEG ARTERIES |
45.35 |
75630 |
|
323 |
RADIOLOGY |
| 2000028 |
INJECTION FOR MYELOGRAM |
93.37 |
62284 |
|
329 |
RADIOLOGY |
| 2000032 |
INJECT FOR LYMPHATIC X-RAY |
124.49 |
38790 |
|
329 |
RADIOLOGY |
| 2000033 |
US-FETAL HEART, 2-D |
116.45 |
76825 |
|
402 |
RADIOLOGY |
| 2000034 |
INJECTION FOR SIALOGRAPHY |
124.49 |
42550 |
|
329 |
RADIOLOGY |
| 2000035 |
BIOPSY, ABDOMINAL MASS |
124.49 |
49180 |
|
329 |
RADIOLOGY |
| 2000038 |
INJECTION FOR HIP X-RAY |
62.25 |
27093 |
|
329 |
RADIOLOGY |
| 2000040 |
INJECT FOR BRONCHUS X-RAY |
62.25 |
31715 |
|
329 |
RADIOLOGY |
| 2000043 |
CT-MAXILLO/FACIAL, WITH CONTRAST |
265.11 |
70487 |
|
351 |
RADIOLOGY |
| 2000046 |
INJECT FOR URETHROCYSTOGRAPHY |
80.71 |
51605 |
|
320 |
RADIOLOGY |
| 2000047 |
BIOPSY OF THYROID |
62.25 |
60100 |
|
329 |
RADIOLOGY |
| 2000048 |
ABDOMEN, INCL CHEST PA |
63.62 |
74022 |
|
320 |
RADIOLOGY |
| 2000050 |
US-GUIDE RADIOTX EXC B-SCAN |
116.45 |
76960 |
|
402 |
RADIOLOGY |
| 2000052 |
CHANGE BILE DUCT CATHETER |
124.49 |
47525 |
|
329 |
RADIOLOGY |
| 2000055 |
INJECT FOR URETEROPYELOGRAPHY |
124.49 |
50690 |
|
329 |
RADIOLOGY |
| 2000057 |
INJECTION, VENOGRAPHY |
248.99 |
36005 |
|
320 |
RADIOLOGY |
| 2000059 |
PREP FOR BLADDER X-RAY |
62.25 |
51600 |
|
329 |
RADIOLOGY |
| 2000061 |
ABSCESS DRAIN UNDER X-RAY |
60.47 |
75989 |
|
320 |
RADIOLOGY |
| 2000063 |
ABDOMEN, MULTIPLE VIEWS |
47.72 |
74020 |
|
320 |
RADIOLOGY |
| 2000064 |
US-TRANSRECTAL |
210.25 |
76872 |
|
402 |
RADIOLOGY |
| 2000065 |
INSERT BILE DUCT DRAIN |
124.49 |
47510 |
|
329 |
RADIOLOGY |
| 2000066 |
US-GUIDE RADIOTX B-SCAN |
121.16 |
76950 |
|
402 |
RADIOLOGY |
| 2000067 |
MAMMOGRAPHY, BREAST SPECIMEN |
77.26 |
76098 |
|
320 |
RADIOLOGY |
| 2000068 |
US-TRANSVAGINAL |
210.25 |
76830 |
|
402 |
RADIOLOGY |
| 2000070 |
KNEE, APL W/ OBLIQUE, MIN 3 VIEWS |
69.06 |
73562 |
|
320 |
RADIOLOGY |
| 2000071 |
CT-AORTA, CONTRAST |
533.27 |
75600 |
|
323 |
RADIOLOGY |
| 2000073 |
INJECT SINUS TRACT FOR XRAY |
124.49 |
20501 |
|
329 |
RADIOLOGY |
| 2000074 |
CHANGE KIDNEY TUBE |
124.49 |
50398 |
|
329 |
RADIOLOGY |
| 2000076 |
US EXAM FOLLOW-UP |
108.54 |
76970 |
|
402 |
RADIOLOGY |
| 2000077 |
INJECT UTERUS/TUBE X-RAY |
62.25 |
51610 |
|
329 |
RADIOLOGY |
| 2000079 |
US-BIOPHYSICAL PROFILE |
247.35 |
76818 |
|
402 |
RADIOLOGY |
| 2000080 |
US-SURGERY |
108.54 |
76998 |
|
402 |
RADIOLOGY |
| 2000084 |
US-GUIDED ASPIRATION |
309.16 |
76938 |
|
402 |
RADIOLOGY |
| 2000086 |
CT-LOWER EXTREMITY |
482.94 |
73700 |
|
350 |
RADIOLOGY |
| 2000089 |
ABDOMEN, SINGLE AP |
66.66 |
74000 |
|
320 |
RADIOLOGY |
| 2000091 |
CT-LUMBAR SPINE |
523.74 |
72131 |
|
350 |
RADIOLOGY |
| 2000093 |
CT-LOWER EXTREMITY, W/ CONTRAST |
539.63 |
73701 |
|
350 |
RADIOLOGY |
| 2000099 |
DRAINAGE OF CHEST |
124.49 |
32421 |
|
329 |
RADIOLOGY |
| 2000100 |
BARIUM SPEECH EVAL, COMPLEX |
72.45 |
70371 |
|
320 |
RADIOLOGY |
| 2000101 |
DRAINAGE OF HEART SAC |
124.49 |
33010 |
|
329 |
RADIOLOGY |
| 2000103 |
DRAINAGE OF KIDNEY LESION |
230.29 |
50390 |
|
329 |
RADIOLOGY |
| 2000105 |
DRAINAGE OF LUNG LESION |
124.49 |
32200 |
|
329 |
RADIOLOGY |
| 2000106 |
CT-MAXILLO/FACIAL, W/O CONTRAST |
205.20 |
70486 |
|
351 |
RADIOLOGY |
| 2000109 |
INJECTION FOR BREAST X-RAY |
62.25 |
19030 |
|
401 |
RADIOLOGY |
| 2000115 |
CHANGE GASTROSTOMY TUBE |
124.49 |
43760 |
|
329 |
RADIOLOGY |
| 2000117 |
CHEST, W/ APICAL LORDOTIC |
55.28 |
71021 |
|
324 |
RADIOLOGY |
| 2000118 |
BRONCHOSCOPY INJECT X-RAY |
62.25 |
31656 |
|
320 |
RADIOLOGY |
| 2000120 |
NEEDLE BIOPSY, PANCREAS |
315.95 |
48102 |
|
329 |
RADIOLOGY |
| 2000122 |
PREOP NDLE LOCAL'N, BREAST |
62.25 |
19290 |
|
329 |
RADIOLOGY |
| 2000124 |
REVISE, REINSERT BILE TUBE |
124.49 |
47530 |
|
329 |
RADIOLOGY |
| 2000125 |
NEEDLE BIOPSY, CHEST LINING |
149.97 |
32400 |
|
329 |
RADIOLOGY |
| 2000126 |
NEEDLE BIOPSY, MUSCLE |
149.97 |
20206 |
|
329 |
RADIOLOGY |
| 2000127 |
BIOPSY OF KIDNEY |
124.49 |
50200 |
|
329 |
RADIOLOGY |
| 2000128 |
NEEDLE BIOPSY, LIVER |
199.96 |
47001 |
|
329 |
RADIOLOGY |
| 2000129 |
JT(S) SURVEY, SINGLE FILM |
47.62 |
76066 |
|
320 |
RADIOLOGY |
| 2000130 |
BIOPSY OF HEART LINING |
124.49 |
93505 |
|
329 |
RADIOLOGY |
| 2000132 |
BIOPSY, LUNG/MEDIASTINUM |
124.49 |
32405 |
|
320 |
RADIOLOGY |
| 2000134 |
MAMMOGRAM, SCREENING |
94.18 |
77057 |
|
403 |
RADIOLOGY |
| 2000135 |
CHANGE URETER TUBE |
124.49 |
50688 |
|
329 |
RADIOLOGY |
| 2000137 |
REMOVAL BILE DUCT STONE |
124.49 |
47511 |
|
329 |
RADIOLOGY |
| 2000138 |
CT-NECK, SOFT TISSUE, W/O CONTRAST |
230.29 |
70490 |
|
350 |
RADIOLOGY |
| 2000139 |
KNEE, BOTH, STANDING AP |
50.16 |
73565 |
|
320 |
RADIOLOGY |
| 2000140 |
CT-THORACIC SPINE |
523.74 |
72128 |
|
352 |
RADIOLOGY |
| 2000142 |
INSERT CATHETER, BILE DUCT |
124.49 |
47500 |
|
329 |
RADIOLOGY |
| 2000143 |
INSERT OF AIRWAY CATHETER |
124.49 |
31710 |
|
329 |
RADIOLOGY |
| 2000144 |
CT-NECK, SOFT TISSUE, W/ CONTRAST |
265.11 |
70491 |
|
350 |
RADIOLOGY |
| 2000147 |
ANKLE COMPLETE MIN 3 VIEWS |
47.72 |
73610 |
|
320 |
RADIOLOGY |
| 2000148 |
EXTRACT BILIARY DUCT STONE |
248.99 |
47630 |
|
329 |
RADIOLOGY |
| 2000151 |
CT-NEEDLE BIOPSY |
488.98 |
77012 |
|
350 |
RADIOLOGY |
| 2000152 |
US-OVA ASPIRATION |
435.71 |
76948 |
|
402 |
RADIOLOGY |
| 2000162 |
ANKLE, TWO VIEWS |
66.66 |
73600 |
|
320 |
RADIOLOGY |
| 2000402 |
BARIUM ENEMA, AIR CONTRAST |
127.25 |
74280 |
|
320 |
RADIOLOGY |
| 2000469 |
BONE AGE STUDIES |
74.99 |
77072 |
|
320 |
RADIOLOGY |
| 2000485 |
BONE LENGTH STUDIES |
79.53 |
77073 |
|
320 |
RADIOLOGY |
| 2000501 |
BONE SURVEY, COMPLETE |
118.99 |
77075 |
|
320 |
RADIOLOGY |
| 2000527 |
BONE SURVEY, INFANT |
47.72 |
77076 |
|
320 |
RADIOLOGY |
| 2000543 |
BRONCHOGRAPHY, BILATERAL |
127.25 |
71060 |
|
320 |
RADIOLOGY |
| 2000568 |
BRONCHOGRAPHY, UNILATERAL |
79.53 |
71040 |
|
320 |
RADIOLOGY |
| 2000600 |
CHEST, OBLIQUE VIEWS |
63.62 |
71022 |
|
324 |
RADIOLOGY |
| 2000626 |
CHEST, W/ FLUOROSCOPY |
99.99 |
71023 |
|
324 |
RADIOLOGY |
| 2000667 |
CHEST, SINGLE VIEW |
66.66 |
71010 |
|
324 |
RADIOLOGY |
| 2000683 |
CHEST, TWO VIEWS |
74.99 |
71020 |
|
324 |
RADIOLOGY |
| 2000725 |
CHOLANGIOGRAPHY, ADD SET OP |
95.42 |
74301 |
|
320 |
RADIOLOGY |
| 2000741 |
CHOLANGIOGRAPHY, INTRAOP |
79.53 |
74300 |
|
320 |
RADIOLOGY |
| 2000766 |
CHOLANGIOGRAPHY, PERCUTAN |
95.42 |
74320 |
|
320 |
RADIOLOGY |
| 2000782 |
CHOLANGIOGRAPHY, POST-OP |
79.53 |
74305 |
|
320 |
RADIOLOGY |
| 2000808 |
CHOLECYSTOGRAPHY, ORAL |
79.53 |
74290 |
|
320 |
RADIOLOGY |
| 2000824 |
CHOLECYSTOGRAPHY, ADD/RPT |
83.32 |
74291 |
|
320 |
RADIOLOGY |
| 2000865 |
CLAVICLE |
74.99 |
73000 |
|
320 |
RADIOLOGY |
| 2000881 |
BARIUM ENEMA, COLON |
95.42 |
74270 |
|
320 |
RADIOLOGY |
| 2000907 |
GU-CYSTOGRAPHY |
63.62 |
74430 |
|
320 |
RADIOLOGY |
| 2000964 |
ELBOW, PARTIAL |
66.66 |
73070 |
|
320 |
RADIOLOGY |
| 2000980 |
ELBOW, COMPLETE |
47.72 |
73080 |
|
320 |
RADIOLOGY |
| 2001004 |
BARIUM, ESOPHAGUS & PHARYNX |
63.62 |
74210 |
|
320 |
RADIOLOGY |
| 2001020 |
PORTABLE BEDSIDE |
15.90 |
76499 |
|
329 |
RADIOLOGY |
| 2001059 |
CATHETER VENOUS PIC 3FR |
430.72 |
|
272 |
RADIOLOGY |
| 2001060 |
CATHETER VENOUS PIC 4FR |
456.60 |
|
272 |
RADIOLOGY |
| 2001061 |
CATHETER VENOUS PIC 5FR |
456.60 |
|
272 |
RADIOLOGY |
| 2001103 |
EYE, LOCALIZATION FB |
79.53 |
70030 |
|
320 |
RADIOLOGY |
| 2001104 |
ANGIO SEAL PLATEFORM VIP 8FR |
820.00
|
|
A4649 |
272 |
RADIOLOGY |
| 2001114 |
CATHETER STATLOCK UNIV 6-8FR |
89.71 |
|
621 |
RADIOLOGY |
| 2001129 |
FACIAL BONES, LESS 3 VIEWS |
47.72 |
70140 |
|
320 |
RADIOLOGY |
| 2001145 |
FACIAL BONES, MIN 3 VIEWS |
79.53 |
70150 |
|
320 |
RADIOLOGY |
| 2001150 |
CATHETER PICC DUAL-LUMEN 6FR 135CM |
625.00
|
|
621 |
RADIOLOGY |
| 2001151 |
NEEDLE BIOPSY OSTYCUT |
561.00
|
|
621 |
RADIOLOGY |
| 2001152 |
NEEDLE BIOPSY HANDGRIP |
347.28 |
|
621 |
RADIOLOGY |
| 2001153 |
CATHETER BALLOON 6X4 75CM 20ATM |
757.00
|
|
621 |
RADIOLOGY |
| 2001155 |
CATHETER BALLOON CON 7MMX4MMX75CM |
757.00
|
|
621 |
RADIOLOGY |
| 2001156 |
CATHETER BALLOON 10X4 75CM 20ATM |
757.00
|
|
621 |
RADIOLOGY |
| 2001157 |
CATHETER BALLOON QUEST 12MMX4CM 75CM |
757.00
|
|
621 |
RADIOLOGY |
| 2001160 |
FEMUR, INCL 1 JOINT |
47.72 |
73550 |
|
320 |
RADIOLOGY |
| 2001186 |
FINGERS |
66.66 |
73140 |
|
320 |
RADIOLOGY |
| 2001188 |
CATHETER PICC SINGLE LUMEN 5FR |
648.95 |
|
621 |
RADIOLOGY |
| 2001202 |
FISTULA/SINUS TRACT STUDY |
79.53 |
76080 |
|
320 |
RADIOLOGY |
| 2001220 |
ANG, INTRA-AORTIC BALLOON DEVICE 8FR |
1,440.00
|
|
272 |
RADIOLOGY |
| 2001224 |
CATHETER IAB 8FR 25CC |
1,440.00
|
|
621 |
RADIOLOGY |
| 2001244 |
FOOT, COMPLETE |
47.72 |
73630 |
|
320 |
RADIOLOGY |
| 2001264 |
CATHETER HEADHUNTER 5FR .038INX100CM |
140.09 |
|
621 |
RADIOLOGY |
| 2001265 |
CATHETER SIDEWINER 5FR .038IN |
140.09 |
|
621 |
RADIOLOGY |
| 2001266 |
CATHETER CORDIS COBRA 0.38INX65CM 5FR |
140.09 |
|
621 |
RADIOLOGY |
| 2001268 |
CATHETER CORDIS COBRA 0.38INX100CM 5FR |
140.09 |
|
621 |
RADIOLOGY |
| 2001269 |
OS CALCIS(HEEL), MIN 2 VIEWS |
66.66 |
73650 |
|
320 |
RADIOLOGY |
| 2001271 |
CATHETER MULTI SH TEMPO 5 125CM |
140.09 |
|
A4649 |
621 |
RADIOLOGY |
| 2001272 |
CATHETER BERENSTEIN 5FR 100CM |
140.09 |
|
621 |
RADIOLOGY |
| 2001285 |
FOOT, PARTIAL |
66.66 |
73620 |
|
320 |
RADIOLOGY |
| 2001295 |
PROBE COVER ULTRASOUND LARGE |
73.25 |
|
621 |
RADIOLOGY |
| 2001301 |
FOREARM, INCL 1 JOINT |
66.66 |
73090 |
|
320 |
RADIOLOGY |
| 2001327 |
HAND, COMPLETE |
74.99 |
73130 |
|
320 |
RADIOLOGY |
| 2001343 |
HIP, COMPLETE |
57.26 |
73510 |
|
320 |
RADIOLOGY |
| 2001368 |
HIP, PARTIAL |
74.99 |
73500 |
|
320 |
RADIOLOGY |
| 2001384 |
HIP OPER PROC ADD'L |
15.90 |
76499 |
|
320 |
RADIOLOGY |
| 2001400 |
HIP, OPERATIVE |
127.25 |
73530 |
|
320 |
RADIOLOGY |
| 2001410 |
NEEDLE CORE BIOPSY MAGNUM |
287.82 |
|
A4649 |
621 |
RADIOLOGY |
| 2001426 |
HUMERUS, INCL 1 JOINT |
47.72 |
73060 |
|
320 |
RADIOLOGY |
| 2001442 |
HYSTEROSALPINGOGRAPHY |
133.31 |
74740 |
|
320 |
RADIOLOGY |
| 2001483 |
KNEE, COMPLETE |
47.72 |
73564 |
|
320 |
RADIOLOGY |
| 2001509 |
KNEE, PARTIAL |
74.99 |
73560 |
|
320 |
RADIOLOGY |
| 2001517 |
KNEE ARHTRO INJECTION |
41.27 |
27370 |
|
329 |
RADIOLOGY |
| 2001525 |
HAND, MACRO |
47.72 |
73120 |
|
320 |
RADIOLOGY |
| 2001531 |
ANG, PVA FOAM 500 |
626.45 |
|
621 |
RADIOLOGY |
| 2001532 |
ANG, PVA FOAM 700 |
626.45 |
|
621 |
RADIOLOGY |
| 2001566 |
LARYNGOGRAM |
127.25 |
70373 |
|
320 |
RADIOLOGY |
| 2001582 |
LOWER EXTREMITY, INFANT |
66.66 |
73592 |
|
320 |
RADIOLOGY |
| 2001608 |
LYMPHANGIOGRAM, BILATERAL |
238.58 |
75805 |
|
320 |
RADIOLOGY |
| 2001620 |
ANG, ANGIOGRAM PACK DISP |
566.93 |
|
272 |
RADIOLOGY |
| 2001624 |
LYMPHANGIOGRAM, UNILATERAL |
111.34 |
75801 |
|
320 |
RADIOLOGY |
| 2001628 |
DRESSING TEGADERM 6INX6IN |
16.95 |
|
621 |
RADIOLOGY |
| 2001629 |
DRESSING TEGADERM 8INX12IN |
22.21 |
|
621 |
RADIOLOGY |
| 2001640 |
MAMMOGRAPHY, BILATERAL |
95.42 |
77056 |
|
401 |
RADIOLOGY |
| 2001665 |
MAMMOGRAPHY, UNILATERAL |
63.62 |
77055 |
|
401 |
RADIOLOGY |
| 2001681 |
MANDIBLE, COMPLETE |
79.53 |
70110 |
|
320 |
RADIOLOGY |
| 2001707 |
MANDIBLE, PARTIAL |
47.72 |
70100 |
|
320 |
RADIOLOGY |
| 2001723 |
MASTOIDS, COMPLETE |
79.53 |
70130 |
|
320 |
RADIOLOGY |
| 2001749 |
MASTOIDS, PARTIAL |
57.26 |
70120 |
|
320 |
RADIOLOGY |
| 2001764 |
MYELOGRAPHY, COMP, SPINAL CANAL |
249.95 |
72270 |
|
320 |
RADIOLOGY |
| 2001780 |
MYELOGRAPHY, CERVICAL |
199.96 |
72240 |
|
320 |
RADIOLOGY |
| 2001806 |
MYELOGRAPHY, LUMBAR |
199.96 |
72265 |
|
320 |
RADIOLOGY |
| 2001822 |
NASAL BONES |
47.72 |
70160 |
|
320 |
RADIOLOGY |
| 2001848 |
NASOLACRIMAL DUCT |
63.62 |
70170 |
|
320 |
RADIOLOGY |
| 2001863 |
NECK, SOFT TISSUE |
74.99 |
70360 |
|
320 |
RADIOLOGY |
| 2001871 |
LUNG NEEDLE BIOPSY |
326.70 |
77002 |
|
320 |
RADIOLOGY |
| 2001897 |
LIVER BIOPSY |
261.25 |
77002 |
|
320 |
RADIOLOGY |
| 2001905 |
GU-NEPHROTOMOGRAPHY INT |
238.58 |
74415 |
|
320 |
RADIOLOGY |
| 2001921 |
OPTIC FORAMINA |
47.72 |
70190 |
|
320 |
RADIOLOGY |
| 2001947 |
ORBIT, COMPLETE MIN 4 VIEWS |
63.62 |
70200 |
|
320 |
RADIOLOGY |
| 2001962 |
PARANASAL SINUS, COMPLETE |
63.62 |
70220 |
|
320 |
RADIOLOGY |
| 2001988 |
P/NASAL SIN CONT ST |
124.98 |
70170 |
|
320 |
RADIOLOGY |
| 2002002 |
PARANASAL SINUS, PARTIAL |
74.99 |
70210 |
|
320 |
RADIOLOGY |
| 2002009 |
NEEDLE ACCUCORE 19GA 5CM |
103.03 |
|
621 |
RADIOLOGY |
| 2002015 |
NEEDLE ACCUC0RE 19GA 15CM |
103.03 |
|
621 |
RADIOLOGY |
| 2002016 |
NEEDLE BIOPSY QUICKCORE 18-9.0-20T |
310.60 |
|
621 |
RADIOLOGY |
| 2002020 |
NEEDLE BIOPSY QUICKCORE 18-9.0-10T |
310.60 |
|
621 |
RADIOLOGY |
| 2002021 |
NEEDLE BIOPSY QUICKCORE 18-15.0-10T |
310.60 |
|
621 |
RADIOLOGY |
| 2002044 |
PELVIMETRY |
79.53 |
74710 |
|
320 |
RADIOLOGY |
| 2002069 |
PELVIS, AP |
66.66 |
72170 |
|
320 |
RADIOLOGY |
| 2002085 |
PELVIS, COMPLETE |
127.25 |
72190 |
|
320 |
RADIOLOGY |
| 2002090 |
CATHETER BALLOON CUT 7MMX2CM |
1,750.00
|
|
621 |
RADIOLOGY |
| 2002101 |
SACROILIAC JOINT |
63.62 |
72202 |
|
320 |
RADIOLOGY |
| 2002127 |
SACRUM & COCCYX |
47.72 |
72220 |
|
320 |
RADIOLOGY |
| 2002168 |
LARYNX-PHARYNX |
63.62 |
70370 |
|
320 |
RADIOLOGY |
| 2002275 |
RENAL CYST PUNCTURE |
378.28 |
77002 |
|
320 |
RADIOLOGY |
| 2002309 |
RIBS, BILATERAL |
69.98 |
71111 |
|
320 |
RADIOLOGY |
| 2002325 |
RIBS, UNILATERAL |
47.72 |
71101 |
|
320 |
RADIOLOGY |
| 2002341 |
SALIVARY GLAND CALCULUS |
47.72 |
70380 |
|
320 |
RADIOLOGY |
| 2002366 |
SCAPULA |
47.72 |
73010 |
|
320 |
RADIOLOGY |
| 2002382 |
SCOLIOSIS SURVEY REC |
99.99 |
72090 |
|
320 |
RADIOLOGY |
| 2002408 |
SELLA TURCICA |
83.32 |
70240 |
|
320 |
RADIOLOGY |
| 2002424 |
SHOULDER, COMPLETE |
47.72 |
73030 |
|
320 |
RADIOLOGY |
| 2002440 |
SHOULDER, PARTIAL |
31.82 |
73020 |
|
320 |
RADIOLOGY |
| 2002457 |
SHOULDER ARTHRO INJECTION |
41.27 |
23350 |
|
329 |
RADIOLOGY |
| 2002465 |
SIALOGRAPHY |
149.97 |
70390 |
|
320 |
RADIOLOGY |
| 2002481 |
SKULL, COMPLETE |
79.53 |
70260 |
|
320 |
RADIOLOGY |
| 2002507 |
SKULL, LESS 4 VIEWS |
47.72 |
70250 |
|
320 |
RADIOLOGY |
| 2002523 |
BARIUM, SMALL BOWEL |
95.42 |
74250 |
|
320 |
RADIOLOGY |
| 2002524 |
GUIDEWIRE EMERALD .025INX150CM |
142.12 |
|
A4649 |
621 |
RADIOLOGY |
| 2002549 |
SPINE, CERVICAL, APL |
47.72 |
72040 |
|
320 |
RADIOLOGY |
| 2002560 |
GUIDEWIRE SOFT STR TIP BENTSON 150CM |
148.10 |
|
A4649 |
621 |
RADIOLOGY |
| 2002564 |
SPINE, CERVICAL, COMPLETE |
95.42 |
72052 |
|
320 |
RADIOLOGY |
| 2002580 |
SPINE, CERVICAL, PARTIAL |
79.53 |
72050 |
|
320 |
RADIOLOGY |
| 2002606 |
SPINE, ENTIRE, PARTIAL |
143.15 |
72010 |
|
320 |
RADIOLOGY |
| 2002622 |
SPINE, L-SACRAL, PARTIAL |
57.26 |
72100 |
|
320 |
RADIOLOGY |
| 2002648 |
SPINE, L-SACRAL, BENDING |
111.34 |
72120 |
|
320 |
RADIOLOGY |
| 2002663 |
SPINE, L-SACRAL, COMPLETE |
91.65 |
72110 |
|
320 |
RADIOLOGY |
| 2002689 |
SPINE, T-LUMBAR, APL |
47.72 |
72080 |
|
320 |
RADIOLOGY |
| 2002705 |
SPINE, THORACIC, APL |
47.72 |
72070 |
|
320 |
RADIOLOGY |
| 2002721 |
STERNOCLAVICULAR JOINT |
63.62 |
71130 |
|
320 |
RADIOLOGY |
| 2002726 |
ANG, GUIDEWIRE APTZ .035INX150CM 9CM |
259.56 |
|
621 |
RADIOLOGY |
| 2002735 |
GUIDEWIRE EMERALD .035INX260CM |
142.12 |
|
A4649 |
621 |
RADIOLOGY |
| 2002747 |
STERNUM |
47.72 |
71120 |
|
320 |
RADIOLOGY |
| 2002762 |
RENAL CYST, TRANSLUMBAR |
183.30 |
74470 |
|
320 |
RADIOLOGY |
| 2002788 |
T-MANDIBULAR JT, BILATERAL |
63.62 |
70330 |
|
320 |
RADIOLOGY |
| 2002887 |
TIBIA & FIBULA, APL |
74.99 |
73590 |
|
320 |
RADIOLOGY |
| 2002903 |
TOES |
66.66 |
73660 |
|
320 |
RADIOLOGY |
| 2002929 |
GU-URECYSTOGRAPHY, RETRO |
79.53 |
74450 |
|
320 |
RADIOLOGY |
| 2002945 |
GU-URETHROCYSTOGRAPHY, VOID |
111.34 |
74455 |
|
320 |
RADIOLOGY |
| 2002960 |
BARIUM, UPPER G-I |
111.34 |
74240 |
|
320 |
RADIOLOGY |
| 2002986 |
BARIUM, UGI W/ SMALL BOWEL |
159.04 |
74249 |
|
320 |
RADIOLOGY |
| 2003026 |
UPPER EXTREMITY, INFANT |
66.66 |
73092 |
|
320 |
RADIOLOGY |
| 2003042 |
GU-UROGRAPHY, IVP |
122.17 |
74400 |
|
320 |
RADIOLOGY |
| 2003067 |
GU-UROGRAPHY, ANTEGRADE |
127.25 |
74425 |
|
320 |
RADIOLOGY |
| 2003083 |
GU-UROGRAPHY, RETROGRADE |
79.53 |
74420 |
|
320 |
RADIOLOGY |
| 2003109 |
VENOGRAM, BILATERAL |
269.13 |
75822 |
|
320 |
RADIOLOGY |
| 2003125 |
ANG, VENOGRAM, INF V CAVA |
254.48 |
75825 |
|
320 |
RADIOLOGY |
| 2003166 |
VENOGRAM, UNILATERAL |
127.25 |
75820 |
|
320 |
RADIOLOGY |
| 2003208 |
WRIST, PARTIAL |
66.66 |
73100 |
|
320 |
RADIOLOGY |
| 2003224 |
WRIST, COMPLETE |
74.99 |
73110 |
|
320 |
RADIOLOGY |
| 2003265 |
ADDITIONAL VIEW |
15.90 |
76499 |
|
320 |
RADIOLOGY |
| 2003281 |
SPINE, T-LUMBAR, 4 VIEWS |
95.42 |
72074 |
|
320 |
RADIOLOGY |
| 2003331 |
ANG, AOR THO, S&I |
481.45 |
75605 |
|
323 |
RADIOLOGY |
| 2003360 |
INJECTION FOR AORTOGRAPHY |
62.25 |
93544 |
|
481 |
RADIOLOGY |
| 2003364 |
ANG, AOR THO CATH INJ |
327.38 |
36200 |
|
323 |
RADIOLOGY |
| 2003398 |
ANG, AOR T-LUMBAR, S&I |
481.45 |
75625 |
|
323 |
RADIOLOGY |
| 2003422 |
ANG, AOR T-LUMBAR INJ |
231.09 |
93544 |
|
481 |
RADIOLOGY |
| 2003455 |
ANG, AOR ABD CATH, S&I |
481.45 |
75625 |
|
323 |
RADIOLOGY |
| 2003489 |
ANG, AOR ABD CATH INJ |
327.38 |
36200 |
|
323 |
RADIOLOGY |
| 2003513 |
ANG, CERV CATH, S&I |
240.72 |
75650 |
|
323 |
RADIOLOGY |
| 2003527 |
SYRINGE CONTRAST 150ML/QFT ANGIO |
62.19 |
|
272 |
RADIOLOGY |
| 2003547 |
ANG, CERV INJECTION |
385.17 |
36100 |
|
329 |
RADIOLOGY |
| 2003570 |
ANG, CERV, MIN 3VS, S&I |
481.45 |
75650 |
|
323 |
RADIOLOGY |
| 2003604 |
ANG, CERV, MIN 3VS INJ |
577.73 |
93544 |
|
481 |
RADIOLOGY |
| 2003638 |
ANG, CTD CD, UNI, S&I |
481.45 |
75665 |
|
323 |
RADIOLOGY |
| 2003661 |
ANG, CTD CB, UNI CP INJ |
385.17 |
75676 |
|
320 |
RADIOLOGY |
| 2003695 |
ANG, CTB CB, UNI CATH INJ |
462.19 |
36200 |
|
329 |
RADIOLOGY |
| 2003729 |
ANG, CTD CB, UNI EXT INJ |
385.17 |
36200 |
|
329 |
RADIOLOGY |
| 2003752 |
ANG, CTD CB, BIL S&I |
722.16 |
75671 |
|
323 |
RADIOLOGY |
| 2003786 |
ANG, CTD CB, BIL DP PRO |
577.73 |
75680 |
|
323 |
RADIOLOGY |
| 2003810 |
ANG, CTD CB, BIL CATH INJ |
577.73 |
75685 |
|
480 |
RADIOLOGY |
| 2003844 |
ANG, CTD CB, BIL EXT INJ |
577.73 |
75685 |
|
329 |
RADIOLOGY |
| 2003877 |
ANG, CTD CV, UNI S&I |
240.72 |
75676 |
|
323 |
RADIOLOGY |
| 2003901 |
ANG, CTD CV, UNI DP INJ |
385.17 |
75676 |
|
320 |
RADIOLOGY |
| 2003935 |
ANG, CTD CV, UNI CATH INJ |
385.17 |
75676 |
|
320 |
RADIOLOGY |
| 2003968 |
ANG, CTD CV, BIL S&I |
361.07 |
75680 |
|
323 |
RADIOLOGY |
| 2003992 |
ANG, CTD CV, BIL DP INJ |
577.73 |
75680 |
|
320 |
RADIOLOGY |
| 2004024 |
ANG, CTD CV, BIL CATH INJ |
577.73 |
36100 |
|
323 |
RADIOLOGY |
| 2004057 |
ANG, VTB S&I |
481.45 |
75685 |
|
323 |
RADIOLOGY |
| 2004081 |
ANG, VTB CATH INJ |
462.19 |
75685 |
|
320 |
RADIOLOGY |
| 2004149 |
ANG, VTB CV, UNI CATH INJ |
462.19 |
75685 |
|
320 |
RADIOLOGY |
| 2004172 |
ANG, VTB CV, BIL S&I |
361.07 |
75685 |
|
323 |
RADIOLOGY |
| 2004206 |
ANG, VTB CV, BIL CATH INJ |
577.73 |
75685 |
|
320 |
RADIOLOGY |
| 2004230 |
ANG, EXT, UNIL S&I |
385.17 |
75710 |
|
323 |
RADIOLOGY |
| 2004263 |
ANG, EXT, UNIL |
216.65 |
36140 |
|
323 |
RADIOLOGY |
| 2004297 |
ANG, EXT, UNIL SERI |
154.07 |
75710 |
|
323 |
RADIOLOGY |
| 2004321 |
ANG, EXT, BIL S&I |
481.45 |
75716 |
|
323 |
RADIOLOGY |
| 2004354 |
ANG, EXT, BIL INJ SERI |
327.38 |
75716 |
|
320 |
RADIOLOGY |
| 2004388 |
ANG, RENAL, UNIL, SEL S&I |
481.45 |
75722 |
|
323 |
RADIOLOGY |
| 2004412 |
ANG, RENAL, UNIL, SEL INJ |
385.17 |
75722 |
|
320 |
RADIOLOGY |
| 2004479 |
ANG, RENAL, BIL, SEL INJ |
481.45 |
75724 |
|
320 |
RADIOLOGY |
| 2004503 |
ANG, VISC, SEL S&I |
481.45 |
75726 |
|
323 |
RADIOLOGY |
| 2004537 |
ANG, VISC, SEL INJ |
385.17 |
75726 |
|
320 |
RADIOLOGY |
| 2004560 |
ANG, RENAL, BIL V&R STD |
481.45 |
75724 |
|
323 |
RADIOLOGY |
| 2004568 |
GUIDEWIRE STD J-TIP 0.025INX150CM |
17.58 |
|
621 |
RADIOLOGY |
| 2004594 |
ANG, ADR, UNIL, SEL S&I |
481.45 |
75731 |
|
323 |
RADIOLOGY |
| 2004604 |
SHEATH INTRO 4FR 11CM |
140.09 |
|
621 |
RADIOLOGY |
| 2004605 |
SHEATH BRITE TIP 6FR 5.5CM |
764.60 |
|
621 |
RADIOLOGY |
| 2004606 |
INTRODUCER ADVANTIX 6FRX11CM |
131.68 |
|
621 |
RADIOLOGY |
| 2004608 |
INTRODUCER 8FR .38INX11CM |
35.90 |
|
621 |
RADIOLOGY |
| 2004610 |
GUIDEWIRE FRM J-TIP 0.038INX150CM |
17.58 |
|
C1769 |
621 |
RADIOLOGY |
| 2004617 |
GUIDEWIRE STD J-TIP 0.038INX260CM |
17.58 |
|
621 |
RADIOLOGY |
| 2004628 |
ANG, ADR, UNIL, SEL INJ |
327.38 |
75731 |
|
323 |
RADIOLOGY |
| 2004651 |
ANG, ADR, BIL, SEL S&I |
722.16 |
75733 |
|
323 |
RADIOLOGY |
| 2004685 |
ANG, ADR, BIL, SEL INJ |
327.38 |
75733 |
|
320 |
RADIOLOGY |
| 2004719 |
ANG, PELVIC, SEL S&I |
481.45 |
75736 |
|
323 |
RADIOLOGY |
| 2004743 |
ANG, PELVIC, SEL INJ |
385.17 |
93541 |
|
481 |
RADIOLOGY |
| 2004776 |
ANG, PUL, UNIL, SEL S&I |
481.45 |
75741 |
|
323 |
RADIOLOGY |
| 2004800 |
ANG, PUL, UNIL, SEL INJ |
481.45 |
93541 |
|
481 |
RADIOLOGY |
| 2004834 |
ANG, PUL, BIL, SEL S&I |
722.16 |
75743 |
|
323 |
RADIOLOGY |
| 2004867 |
ANG, PUL, BIL, SEL INJ |
722.16 |
93541 |
|
481 |
RADIOLOGY |
| 2004870 |
ANG, GUIDEWIRE STD STR .038INX150CM 7CM |
17.58 |
|
621 |
RADIOLOGY |
| 2004883 |
US-THYROID |
128.96 |
76536 |
|
402 |
RADIOLOGY |
| 2004891 |
ANG, ADD SERI RUNS |
144.43 |
75774 |
|
323 |
RADIOLOGY |
| 2004925 |
US-GALLBLADDER |
128.96 |
76705 |
|
402 |
RADIOLOGY |
| 2004933 |
US-ABDOMEN (LIVER,PANCREAS,B-DUCT) |
156.46 |
76700 |
|
402 |
RADIOLOGY |
| 2004941 |
US-AORTA |
128.96 |
76770 |
|
402 |
RADIOLOGY |
| 2004958 |
US-KIDNEY |
128.96 |
76770 |
|
402 |
RADIOLOGY |
| 2004966 |
US-BRAIN NEWBORN |
128.96 |
76506 |
|
402 |
RADIOLOGY |
| 2004974 |
US-OBSTETRICAL |
128.96 |
76805 |
|
402 |
RADIOLOGY |
| 2004984 |
US-PELVIC |
128.96 |
76856 |
|
402 |
RADIOLOGY |
| 2004990 |
CT-HEAD, COMBINED |
820.11 |
70470 |
|
351 |
RADIOLOGY |
| 2005005 |
CT-HEAD, W/O CONTRAST |
501.71 |
70450 |
|
351 |
RADIOLOGY |
| 2005013 |
CT-HEAD, W/ CONTRAST |
540.31 |
70460 |
|
351 |
RADIOLOGY |
| 2005039 |
CT-ABDOMEN, COMBINED |
771.87 |
74170 |
|
352 |
RADIOLOGY |
| 2005047 |
CT-ABDOMEN, W/O CONTRAST |
482.42 |
74150 |
|
352 |
RADIOLOGY |
| 2005054 |
CT-ABDOMEN, W/ CONTRAST |
530.66 |
74160 |
|
352 |
RADIOLOGY |
| 2005118 |
TRAY PICC DUAL LUMEN 5FR |
646.00
|
|
621 |
RADIOLOGY |
| 2005153 |
CT-SPINE, COMBINED |
771.87 |
72127 |
|
350 |
RADIOLOGY |
| 2005161 |
CT-CERVICAL SPINE |
482.42 |
72125 |
|
350 |
RADIOLOGY |
| 2005179 |
CT-SPINE, W/ CONTRAST |
530.66 |
72126 |
|
350 |
RADIOLOGY |
| 2005195 |
CT-PELVIS, COMBINED |
771.87 |
72194 |
|
350 |
RADIOLOGY |
| 2005203 |
CT-PELVIS, W/O CONTRAST |
482.42 |
72192 |
|
350 |
RADIOLOGY |
| 2005211 |
CT-PELVIS, W/ CONTRAST |
530.66 |
72193 |
|
352 |
RADIOLOGY |
| 2005237 |
CT-CHEST, COMBINED |
771.87 |
71270 |
|
350 |
RADIOLOGY |
| 2005245 |
CT-CHEST, W/O CONTRAST |
482.42 |
71250 |
|
350 |
RADIOLOGY |
| 2005252 |
CT-CHEST, W/ CONTRAST |
530.66 |
71260 |