Procedure,Code Type,Code,NDC,Procedure Description,IP/OP,Charge,Cash Discount (74%), Payor Rate Min,Payor Rate Max ,Aetna/Coventry Exp Reimbursement,Ambetter  Exp Reimbursement ,Amerigroup Exp Reimbursement ,Anthem BCBS HMO/POS Exp Reimbursement,BCBS PPO Exp Reimbursement,Caresource Exp Reimbursement,Cigna Exp Reimbursement,Eon Health Exp Reimbursement,Humana Exp Reimbursement,Kaiser Exp Reimbursement,Multiplan Exp Reimbursement,NaphCare/USP Exp Reimbursement,Peachstate Exp Reimbursement,Tricare/Veteran's Choice Exp Reimbursement,Wellcare Medicaid Exp Reimbursement,Wellcare Medicare Exp Reimbusrement 
"MS003","DRG","MS003","","ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES","INPATIENT ONLY","$846,619.47 ","$626,498.41 ","$0.00 ","$573,019.79 ","$545,963.96 ","$226,063.68 ","$0.00 ","$450,985.30 ","$450,985.30 ","$194,687.78 ","$382,149.53 ","$136,503.65 ","$413,995.33 ","$504,437.36 ","$573,019.79 ","$182,532.67 ","$185,417.02 ","$167,931.68 ","$136,503.65 ","$194,687.78 "
"MS004","DRG","MS004","","TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES","INPATIENT ONLY","$560,790.65 ","$414,985.08 ","$0.00 ","$500,611.30 ","$303,701.56 ","$117,598.72 ","$139,546.44 ","$0.00 ","$0.00 ","$36,289.36 ","$379,251.00 ","$112,641.38 ","$410,855.25 ","$500,611.30 ","$0.00 ","$134,386.24 ","$32,473.86 ","$147,233.83 ","$107,277.50 ","$34,561.30 "
"MS011","DRG","MS011","","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC","INPATIENT ONLY","$341,624.34 ","$252,802.01 ","$0.00 ","$53,518.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$47,587.29 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$53,518.70 ","$45,321.23 ","$0.00 "
"MS012","DRG","MS012","","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC","INPATIENT ONLY","$435,854.28 ","$322,532.17 ","$0.00 ","$131,299.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$131,299.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$112,717.74 ","$124,172.81 ","$0.00 ","$40,861.37 "
"MS013","DRG","MS013","","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC","INPATIENT ONLY","$427,041.11 ","$316,010.42 ","$0.00 ","$28,929.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,929.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,929.99 ","$0.00 "
"MS020","DRG","MS020","","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC","INPATIENT ONLY","$640,592.00 ","$474,038.08 ","$0.00 ","$461,392.05 ","$0.00 ","$130,119.32 ","$0.00 ","$395,862.19 ","$395,862.19 ","$0.00 ","$349,539.44 ","$87,750.60 ","$378,667.73 ","$461,392.05 ","$0.00 ","$121,357.54 ","$0.00 ","$101,514.63 ","$83,572.00 ","$0.00 "
"MS021","DRG","MS021","","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC","INPATIENT ONLY","$829,388.27 ","$613,747.32 ","$0.00 ","$583,001.67 ","$432,052.38 ","$185,501.54 ","$0.00 ","$208,069.92 ","$208,069.92 ","$0.00 ","$441,667.93 ","$0.00 ","$478,473.59 ","$583,001.67 ","$0.00 ","$152,156.12 ","$0.00 ","$91,625.03 ","$0.00 ","$0.00 "
"MS022","DRG","MS022","","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC","INPATIENT ONLY","$262,016.11 ","$193,891.92 ","$0.00 ","$95,010.54 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$40,476.72 ","$0.00 ","$95,010.54 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,549.28 ","$0.00 ","$90,486.22 ","$40,476.72 "
"MS023","DRG","MS023","","CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR","INPATIENT ONLY","$218,569.58 ","$161,741.49 ","$0.00 ","$139,066.20 ","$122,687.67 ","$63,817.39 ","$0.00 ","$139,066.20 ","$139,066.20 ","$55,770.42 ","$97,291.30 ","$52,188.44 ","$105,398.91 ","$128,424.52 ","$123,922.26 ","$56,307.53 ","$53,114.71 ","$59,017.16 ","$49,703.28 ","$55,770.42 "
"MS024","DRG","MS024","","CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC","INPATIENT ONLY","$157,585.04 ","$116,612.93 ","$0.00 ","$101,279.86 ","$101,279.86 ","$0.00 ","$0.00 ","$12,087.95 ","$12,278.79 ","$0.00 ","$60,566.78 ","$41,250.33 ","$33,522.62 ","$79,948.14 ","$86,190.36 ","$40,262.62 ","$0.00 ","$45,945.91 ","$39,286.03 ","$0.00 "
"MS025","DRG","MS025","","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC","INPATIENT ONLY","$478,309.25 ","$353,948.85 ","$0.00 ","$226,592.28 ","$226,592.28 ","$0.00 ","$111,176.48 ","$202,785.63 ","$202,785.63 ","$0.00 ","$141,483.39 ","$43,833.50 ","$153,273.67 ","$186,758.08 ","$99,788.97 ","$44,051.81 ","$0.00 ","$49,032.85 ","$41,746.19 ","$0.00 "
"MS026","DRG","MS026","","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC","INPATIENT ONLY","$270,390.78 ","$200,089.18 ","$0.00 ","$363,866.18 ","$363,866.18 ","$115,593.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,018.73 ","$0.00 ","$0.00 "
"MS027","DRG","MS027","","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$150,043.04 ","$111,031.85 ","$0.00 ","$232,805.15 ","$0.00 ","$0.00 ","$54,890.22 ","$6,278.59 ","$6,691.99 ","$0.00 ","$176,367.53 ","$30,181.04 ","$191,064.82 ","$232,805.15 ","$82,819.30 ","$36,977.13 ","$0.00 ","$32,717.89 ","$28,743.85 ","$0.00 "
"MS028","DRG","MS028","","SPINAL PROCEDURES WITH MCC","INPATIENT ONLY","$378,830.18 ","$280,334.33 ","$0.00 ","$171,853.56 ","$0.00 ","$77,466.83 ","$0.00 ","$118,180.23 ","$118,180.23 ","$0.00 ","$130,192.10 ","$52,005.99 ","$141,041.44 ","$171,853.56 ","$0.00 ","$56,039.87 ","$0.00 ","$58,799.12 ","$49,529.51 ","$0.00 "
"MS029","DRG","MS029","","SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS","INPATIENT ONLY","$255,521.10 ","$189,085.61 ","$0.00 ","$229,583.19 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,718.41 ","$0.00 ","$0.00 ","$229,583.19 ","$0.00 ","$0.00 ","$39,335.16 ","$34,017.53 ","$0.00 "
"MS030","DRG","MS030","","SPINAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$247,560.24 ","$183,194.58 ","$0.00 ","$29,329.56 ","$0.00 ","$0.00 ","$19,797.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,329.56 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,932.91 ","$0.00 "
"MS031","DRG","MS031","","VENTRICULAR SHUNT PROCEDURES WITH MCC","INPATIENT ONLY","$411,152.28 ","$304,252.69 ","$0.00 ","$59,024.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,366.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,834.72 ","$59,024.65 ","$0.00 ","$23,976.45 "
"MS032","DRG","MS032","","VENTRICULAR SHUNT PROCEDURES WITH CC","INPATIENT ONLY","$213,869.28 ","$158,263.27 ","$0.00 ","$14,380.55 ","$14,380.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS033","DRG","MS033","","VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$184,494.76 ","$136,526.12 ","$0.00 ","$12,635.25 ","$9,990.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,635.25 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,033.57 ","$0.00 ","$0.00 ","$12,635.25 "
"MS034","DRG","MS034","","CAROTID ARTERY STENT PROCEDURES WITH MCC","INPATIENT ONLY","$284,867.36 ","$210,801.85 ","$0.00 ","$160,900.01 ","$160,900.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$43,799.77 ","$0.00 ","$0.00 "
"MS035","DRG","MS035","","CAROTID ARTERY STENT PROCEDURES WITH CC","INPATIENT ONLY","$129,223.20 ","$95,625.17 ","$0.00 ","$58,140.79 ","$0.00 ","$0.00 ","$0.00 ","$58,140.79 ","$58,140.79 ","$0.00 ","$0.00 ","$29,535.25 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,946.16 ","$28,128.81 ","$0.00 "
"MS036","DRG","MS036","","CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$63,272.72 ","$46,821.81 ","$0.00 ","$11,686.15 ","$9,048.30 ","$0.00 ","$0.00 ","$11,686.15 ","$11,686.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS037","DRG","MS037","","EXTRACRANIAL PROCEDURES WITH MCC","INPATIENT ONLY","$179,064.31 ","$132,507.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS038","DRG","MS038","","EXTRACRANIAL PROCEDURES WITH CC","INPATIENT ONLY","$162,863.49 ","$120,518.98 ","$0.00 ","$26,825.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,825.78 ","$0.00 ","$0.00 "
"MS039","DRG","MS039","","EXTRACRANIAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$99,295.23 ","$73,478.47 ","$0.00 ","$53,458.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$15,555.38 ","$0.00 ","$43,873.91 ","$53,458.66 ","$0.00 ","$11,340.50 ","$0.00 ","$22,384.03 ","$0.00 ","$0.00 "
"MS040","DRG","MS040","","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC","INPATIENT ONLY","$181,156.10 ","$134,055.51 ","$0.00 ","$120,959.00 ","$114,037.71 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,186.61 ","$91,635.60 ","$40,730.30 ","$99,271.90 ","$120,959.00 ","$0.00 ","$39,499.78 ","$26,844.41 ","$45,324.46 ","$38,790.76 ","$28,186.61 "
"MS041","DRG","MS041","","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR","INPATIENT ONLY","$127,537.44 ","$94,377.71 ","$0.00 ","$72,242.00 ","$37,578.12 ","$0.00 ","$27,327.64 ","$0.00 ","$0.00 ","$27,464.00 ","$32,608.13 ","$30,008.81 ","$6,724.57 ","$72,242.00 ","$0.00 ","$23,772.63 ","$26,156.21 ","$32,512.09 ","$28,579.82 ","$27,464.00 "
"MS042","DRG","MS042","","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$105,060.67 ","$77,744.90 ","$0.00 ","$125,934.52 ","$18,514.80 ","$16,589.36 ","$107,683.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$125,934.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS052","DRG","MS052","","SPINAL DISORDERS AND INJURIES WITH CC/MCC","INPATIENT ONLY","$156,658.67 ","$115,927.42 ","$0.00 ","$167,513.45 ","$0.00 ","$0.00 ","$0.00 ","$167,513.45 ","$167,513.45 ","$0.00 ","$63,079.81 ","$24,934.09 ","$68,336.46 ","$83,265.35 ","$0.00 ","$16,328.58 ","$0.00 ","$26,447.68 ","$23,746.75 ","$0.00 "
"MS053","DRG","MS053","","SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC","INPATIENT ONLY","$178,803.45 ","$132,314.55 ","$0.00 ","$12,615.31 ","$0.00 ","$0.00 ","$0.00 ","$12,615.31 ","$12,615.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS054","DRG","MS054","","NERVOUS SYSTEM NEOPLASMS WITH MCC","INPATIENT ONLY","$57,218.00 ","$42,341.32 ","$0.00 ","$32,180.45 ","$28,652.18 ","$11,646.29 ","$0.00 ","$2,686.98 ","$3,100.38 ","$16,209.33 ","$18,426.38 ","$22,960.49 ","$15,497.86 ","$32,180.45 ","$0.00 ","$13,433.57 ","$16,209.33 ","$24,089.19 ","$21,867.13 ","$16,209.33 "
"MS055","DRG","MS055","","NERVOUS SYSTEM NEOPLASMS WITHOUT MCC","INPATIENT ONLY","$29,991.33 ","$22,193.58 ","$0.00 ","$20,540.66 ","$12,259.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,918.59 ","$0.00 ","$20,540.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,303.42 ","$0.00 ","$19,562.53 ","$12,918.59 "
"MS056","DRG","MS056","","DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC","INPATIENT ONLY","$74,193.16 ","$54,902.94 ","$0.00 ","$51,366.19 ","$12,532.35 ","$15,722.67 ","$27,637.01 ","$50,952.79 ","$51,366.19 ","$4,348.77 ","$0.00 ","$28,784.91 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,891.53 ","$31,049.49 ","$27,414.20 ","$4,141.69 "
"MS057","DRG","MS057","","DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC","INPATIENT ONLY","$48,700.14 ","$36,038.10 ","$0.00 ","$24,142.42 ","$24,142.42 ","$9,014.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$16,648.50 ","$20,335.16 ","$9,564.24 ","$17,411.42 ","$0.00 ","$12,137.42 ","$0.00 ","$18,349.35 ","$19,366.82 ","$0.00 "
"MS058","DRG","MS058","","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC","INPATIENT ONLY","$57,255.06 ","$42,368.74 ","$0.00 ","$35,850.39 ","$0.00 ","$0.00 ","$0.00 ","$8,998.30 ","$9,189.14 ","$0.00 ","$30,877.13 ","$0.00 ","$8,006.13 ","$27,593.07 ","$0.00 ","$19,594.52 ","$0.00 ","$35,850.39 ","$0.00 ","$0.00 "
"MS059","DRG","MS059","","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC","INPATIENT ONLY","$42,378.53 ","$31,360.11 ","$0.00 ","$63,687.23 ","$63,687.23 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$18,994.38 ","$21,254.77 ","$16,079.42 ","$33,948.36 ","$0.00 ","$10,931.50 ","$0.00 ","$22,050.83 ","$20,242.64 ","$0.00 "
"MS060","DRG","MS060","","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC","INPATIENT ONLY","$17,859.37 ","$13,215.93 ","$0.00 ","$10,125.78 ","$0.00 ","$0.00 ","$0.00 ","$10,125.78 ","$10,125.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS061","DRG","MS061","","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC","INPATIENT ONLY","$95,693.84 ","$70,813.44 ","$0.00 ","$215,011.32 ","$92,084.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$162,887.36 ","$32,892.67 ","$176,461.31 ","$215,011.32 ","$0.00 ","$32,518.99 ","$0.00 ","$35,958.33 ","$31,326.35 ","$0.00 "
"MS062","DRG","MS062","","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC","INPATIENT ONLY","$103,906.20 ","$76,890.59 ","$0.00 ","$73,869.50 ","$19,584.47 ","$16,561.69 ","$0.00 ","$15,389.95 ","$15,580.79 ","$0.00 ","$27,654.00 ","$27,546.62 ","$15,607.97 ","$73,869.50 ","$0.00 ","$20,160.87 ","$0.00 ","$29,569.72 ","$26,234.88 ","$0.00 "
"MS063","DRG","MS063","","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC","INPATIENT ONLY","$95,685.66 ","$70,807.39 ","$0.00 ","$50,374.27 ","$8,398.95 ","$13,476.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,111.00 ","$0.00 ","$18,358.07 ","$50,374.27 ","$0.00 ","$16,848.86 ","$0.00 ","$26,871.51 ","$0.00 ","$0.00 "
"MS064","DRG","MS064","","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC","INPATIENT ONLY","$123,857.52 ","$91,654.56 ","$0.00 ","$110,327.78 ","$110,327.78 ","$15,513.81 ","$25,409.92 ","$29,622.92 ","$32,103.32 ","$55,740.19 ","$25,778.50 ","$26,614.49 ","$27,643.93 ","$64,405.47 ","$0.00 ","$18,793.56 ","$44,500.15 ","$28,455.79 ","$25,347.13 ","$25,793.36 "
"MS065","DRG","MS065","","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS","INPATIENT ONLY","$79,103.20 ","$58,536.37 ","$0.00 ","$60,123.35 ","$27,569.45 ","$9,499.65 ","$13,734.30 ","$8,998.30 ","$9,189.14 ","$0.00 ","$14,130.88 ","$20,825.64 ","$15,153.44 ","$60,123.35 ","$54,112.55 ","$10,301.98 ","$0.00 ","$21,537.99 ","$19,833.94 ","$0.00 "
"MS066","DRG","MS066","","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC","INPATIENT ONLY","$41,730.17 ","$30,880.33 ","$0.00 ","$30,837.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,858.75 ","$18,702.38 ","$8,810.14 ","$30,837.84 ","$0.00 ","$7,187.44 ","$0.00 ","$19,000.67 ","$17,811.79 ","$0.00 "
"MS067","DRG","MS067","","NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC","INPATIENT ONLY","$113,443.89 ","$83,948.48 ","$0.00 ","$25,105.11 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,105.11 ","$0.00 ","$0.00 "
"MS068","DRG","MS068","","NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC","INPATIENT ONLY","$68,653.56 ","$50,803.63 ","$0.00 ","$20,522.91 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,976.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,522.91 ","$19,024.95 ","$0.00 "
"MS069","DRG","MS069","","TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC","INPATIENT ONLY","$52,701.73 ","$38,999.28 ","$0.00 ","$19,517.62 ","$4,165.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,134.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,517.62 ","$18,223.78 ","$0.00 "
"MS070","DRG","MS070","","NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC","INPATIENT ONLY","$118,539.35 ","$87,719.12 ","$0.00 ","$32,577.11 ","$16,579.68 ","$14,672.11 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,234.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,577.11 ","$28,582.72 ","$0.00 "
"MS071","DRG","MS071","","NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC","INPATIENT ONLY","$54,131.74 ","$40,057.49 ","$0.00 ","$35,678.57 ","$4,086.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,600.14 ","$0.00 ","$0.00 ","$35,678.57 ","$0.00 ","$0.00 ","$21,268.52 ","$19,619.18 ","$0.00 "
"MS072","DRG","MS072","","NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$61,347.12 ","$45,396.87 ","$0.00 ","$18,849.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,849.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,951.72 ","$0.00 "
"MS073","DRG","MS073","","CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC","INPATIENT ONLY","$41,000.17 ","$30,340.13 ","$0.00 ","$24,705.77 ","$0.00 ","$0.00 ","$14,136.39 ","$18,808.86 ","$21,702.66 ","$0.00 ","$0.00 ","$23,476.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,705.77 ","$22,358.52 ","$0.00 "
"MS074","DRG","MS074","","CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC","INPATIENT ONLY","$33,436.38 ","$24,742.92 ","$0.00 ","$36,882.23 ","$25,719.00 ","$0.00 ","$8,974.55 ","$5,373.96 ","$6,200.76 ","$9,019.34 ","$13,586.38 ","$20,555.00 ","$14,569.53 ","$36,882.23 ","$0.00 ","$9,905.01 ","$8,589.85 ","$21,214.59 ","$19,576.19 ","$9,019.34 "
"MS075","DRG","MS075","","VIRAL MENINGITIS WITH CC/MCC","INPATIENT ONLY","$63,854.38 ","$47,252.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS077","DRG","MS077","","HYPERTENSIVE ENCEPHALOPATHY WITH MCC","INPATIENT ONLY","$29,147.98 ","$21,569.51 ","$0.00 ","$25,742.09 ","$13,255.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,343.64 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,742.09 ","$23,184.42 ","$0.00 "
"MS078","DRG","MS078","","HYPERTENSIVE ENCEPHALOPATHY WITH CC","INPATIENT ONLY","$59,520.47 ","$44,045.15 ","$0.00 ","$20,376.67 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,376.67 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,406.35 ","$0.00 "
"MS080","DRG","MS080","","NONTRAUMATIC STUPOR AND COMA WITH MCC","INPATIENT ONLY","$109,992.22 ","$81,394.24 ","$0.00 ","$29,003.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,003.98 ","$0.00 ","$0.00 "
"MS081","DRG","MS081","","NONTRAUMATIC STUPOR AND COMA WITHOUT MCC","INPATIENT ONLY","$65,998.93 ","$48,839.21 ","$0.00 ","$20,324.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,324.45 ","$0.00 ","$0.00 "
"MS082","DRG","MS082","","TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC","INPATIENT ONLY","$109,243.85 ","$80,840.45 ","$0.00 ","$73,345.89 ","$12,231.51 ","$17,085.63 ","$0.00 ","$32,838.37 ","$32,838.37 ","$0.00 ","$30,962.25 ","$29,190.82 ","$60,195.49 ","$73,345.89 ","$0.00 ","$22,572.74 ","$0.00 ","$31,534.56 ","$27,800.78 ","$0.00 "
"MS083","DRG","MS083","","TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC","INPATIENT ONLY","$91,871.44 ","$67,984.87 ","$0.00 ","$83,592.12 ","$19,781.66 ","$11,068.80 ","$0.00 ","$23,591.33 ","$23,591.33 ","$0.00 ","$63,327.35 ","$22,759.59 ","$68,604.63 ","$83,592.12 ","$0.00 ","$13,138.85 ","$0.00 ","$23,849.11 ","$21,675.80 ","$0.00 "
"MS084","DRG","MS084","","TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC","INPATIENT ONLY","$60,065.16 ","$44,448.22 ","$0.00 ","$105,860.74 ","$105,860.74 ","$0.00 ","$0.00 ","$18,103.32 ","$18,103.32 ","$0.00 ","$68,328.43 ","$18,985.24 ","$74,022.47 ","$90,193.56 ","$0.00 ","$8,994.81 ","$0.00 ","$20,473.08 ","$18,985.24 ","$0.00 "
"MS085","DRG","MS085","","TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC","INPATIENT ONLY","$133,066.60 ","$98,469.28 ","$0.00 ","$189,335.99 ","$129,464.98 ","$0.00 ","$0.00 ","$102,971.71 ","$102,971.71 ","$7,054.97 ","$143,436.35 ","$29,149.82 ","$155,389.38 ","$189,335.99 ","$0.00 ","$23,840.21 ","$6,719.03 ","$39,231.69 ","$27,761.73 ","$7,054.97 "
"MS086","DRG","MS086","","TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC","INPATIENT ONLY","$91,005.46 ","$67,344.04 ","$0.00 ","$156,793.36 ","$16,054.95 ","$9,979.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,531.72 ","$22,261.41 ","$21,878.17 ","$26,657.70 ","$156,793.36 ","$12,408.08 ","$0.00 ","$23,253.77 ","$21,201.34 ","$0.00 "
"MS087","DRG","MS087","","TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC","INPATIENT ONLY","$54,038.57 ","$39,988.54 ","$0.00 ","$54,184.31 ","$10,442.68 ","$6,658.59 ","$6,337.82 ","$0.00 ","$0.00 ","$6,369.44 ","$11,539.00 ","$19,537.48 ","$44,469.44 ","$54,184.31 ","$0.00 ","$8,412.39 ","$6,066.14 ","$19,998.62 ","$18,607.12 ","$6,369.44 "
"MS088","DRG","MS088","","CONCUSSION WITH MCC","INPATIENT ONLY","$61,942.49 ","$45,837.44 ","$0.00 ","$12,687.93 ","$0.00 ","$0.00 ","$12,687.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS089","DRG","MS089","","CONCUSSION WITH CC","INPATIENT ONLY","$82,992.64 ","$61,414.55 ","$0.00 ","$74,998.20 ","$74,998.20 ","$0.00 ","$0.00 ","$12,615.31 ","$12,615.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS090","DRG","MS090","","CONCUSSION WITHOUT CC/MCC","INPATIENT ONLY","$63,676.92 ","$47,120.92 ","$0.00 ","$19,599.65 ","$0.00 ","$6,563.09 ","$0.00 ","$12,615.31 ","$12,615.31 ","$0.00 ","$0.00 ","$19,599.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,666.33 ","$0.00 "
"MS091","DRG","MS091","","OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC","INPATIENT ONLY","$52,693.58 ","$38,993.25 ","$0.00 ","$25,926.64 ","$0.00 ","$0.00 ","$0.00 ","$6,750.52 ","$6,750.52 ","$0.00 ","$0.00 ","$24,498.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,926.64 ","$23,331.51 ","$0.00 "
"MS092","DRG","MS092","","OTHER DISORDERS OF NERVOUS SYSTEM WITH CC","INPATIENT ONLY","$112,379.69 ","$83,160.97 ","$0.00 ","$60,857.94 ","$4,119.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,283.88 ","$20,404.67 ","$3,652.60 ","$60,857.94 ","$0.00 ","$9,684.47 ","$0.00 ","$21,034.94 ","$19,433.02 ","$0.00 "
"MS093","DRG","MS093","","OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC","INPATIENT ONLY","$23,227.89 ","$17,188.64 ","$0.00 ","$21,343.61 ","$5,791.65 ","$0.00 ","$7,940.48 ","$17,402.15 ","$17,402.15 ","$0.00 ","$10,466.50 ","$19,004.44 ","$4,008.53 ","$21,343.61 ","$0.00 ","$7,630.49 ","$0.00 ","$19,361.64 ","$18,099.47 ","$0.00 "
"MS094","DRG","MS094","","BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC","INPATIENT ONLY","$208,527.33 ","$154,310.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS095","DRG","MS095","","BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC","INPATIENT ONLY","$128,295.60 ","$94,938.74 ","$0.00 ","$2,114.21 ","$0.00 ","$0.00 ","$0.00 ","$2,114.21 ","$2,114.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS097","DRG","MS097","","NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC","INPATIENT ONLY","$40,298.97 ","$29,821.24 ","$0.00 ","$46,143.44 ","$13,337.55 ","$0.00 ","$0.00 ","$19,067.63 ","$20,403.25 ","$0.00 ","$0.00 ","$38,239.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$46,143.44 ","$0.00 "
"MS098","DRG","MS098","","NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC","INPATIENT ONLY","$81,880.42 ","$60,591.51 ","$0.00 ","$27,162.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,162.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,869.11 ","$0.00 "
"MS099","DRG","MS099","","NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC","INPATIENT ONLY","$174,672.76 ","$129,257.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS100","DRG","MS100","","SEIZURES WITH MCC","INPATIENT ONLY","$113,408.24 ","$83,922.10 ","$0.00 ","$127,077.03 ","$41,317.50 ","$13,659.94 ","$16,066.40 ","$98,169.13 ","$98,264.55 ","$0.00 ","$96,270.47 ","$26,241.38 ","$104,293.01 ","$127,077.03 ","$0.00 ","$18,246.24 ","$0.00 ","$28,009.92 ","$24,991.79 ","$0.00 "
"MS101","DRG","MS101","","SEIZURES WITHOUT MCC","INPATIENT ONLY","$40,436.43 ","$29,922.96 ","$0.00 ","$30,456.31 ","$20,980.25 ","$0.00 ","$7,244.17 ","$10,125.78 ","$10,125.78 ","$7,280.31 ","$12,139.88 ","$19,836.12 ","$3,828.93 ","$30,456.31 ","$28,419.72 ","$8,850.46 ","$6,933.64 ","$20,355.50 ","$18,891.54 ","$7,280.31 "
"MS102","DRG","MS102","","HEADACHES WITH MCC","INPATIENT ONLY","$29,362.26 ","$21,728.07 ","$0.00 ","$8,589.34 ","$8,589.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS103","DRG","MS103","","HEADACHES WITHOUT MCC","INPATIENT ONLY","$49,370.41 ","$36,534.10 ","$0.00 ","$19,674.42 ","$15,663.02 ","$6,172.14 ","$0.00 ","$0.00 ","$0.00 ","$6,704.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,384.88 ","$19,674.42 ","$0.00 ","$6,704.13 "
"MS113","DRG","MS113","","ORBITAL PROCEDURES WITH CC/MCC","INPATIENT ONLY","$138,306.42 ","$102,346.75 ","$0.00 ","$276,386.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$176,625.91 ","$28,372.83 ","$191,344.73 ","$233,146.18 ","$276,386.52 ","$36,547.34 ","$0.00 ","$30,557.04 ","$27,021.74 ","$0.00 "
"MS114","DRG","MS114","","ORBITAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$87,408.31 ","$64,682.15 ","$0.00 ","$22,869.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,940.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,869.95 ","$20,895.44 ","$0.00 "
"MS115","DRG","MS115","","EXTRAOCULAR PROCEDURES EXCEPT ORBIT","INPATIENT ONLY","$67,898.23 ","$50,244.69 ","$0.00 ","$105,509.24 ","$105,509.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS116","DRG","MS116","","INTRAOCULAR PROCEDURES WITH CC/MCC","INPATIENT ONLY","$82,320.88 ","$60,917.45 ","$0.00 ","$30,595.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,725.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,595.31 ","$0.00 "
"MS117","DRG","MS117","","INTRAOCULAR PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$367,970.92 ","$272,298.48 ","$0.00 ","$61,633.31 ","$0.00 ","$61,633.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS121","DRG","MS121","","ACUTE MAJOR EYE INFECTIONS WITH CC/MCC","INPATIENT ONLY","$15,973.21 ","$11,820.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS123","DRG","MS123","","NEUROLOGICAL EYE DISORDERS","INPATIENT ONLY","$44,663.68 ","$33,051.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS124","DRG","MS124","","OTHER DISORDERS OF THE EYE WITH MCC","INPATIENT ONLY","$29,314.17 ","$21,692.49 ","$0.00 ","$26,180.77 ","$26,180.77 ","$10,203.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,104.25 ","$0.00 ","$3,939.75 ","$21,706.29 ","$0.00 ","$13,927.76 ","$0.00 ","$24,491.81 ","$0.00 ","$0.00 "
"MS125","DRG","MS125","","OTHER DISORDERS OF THE EYE WITHOUT MCC","INPATIENT ONLY","$41,942.08 ","$31,037.14 ","$0.00 ","$19,591.92 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,197.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,591.92 ","$18,282.99 ","$0.00 "
"MS137","DRG","MS137","","MOUTH PROCEDURES WITH CC/MCC","INPATIENT ONLY","$21,396.53 ","$15,833.43 ","$0.00 ","$22,914.03 ","$13,358.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,799.70 ","$0.00 ","$22,914.03 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,380.67 ","$0.00 ","$21,822.89 ","$8,799.70 "
"MS138","DRG","MS138","","MOUTH PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$106,064.54 ","$78,487.76 ","$0.00 ","$8,601.10 ","$8,601.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS139","DRG","MS139","","SALIVARY GLAND PROCEDURES","INPATIENT ONLY","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS140","DRG","MS140","","MAJOR HEAD AND NECK PROCEDURES WITH MCC","INPATIENT ONLY","$309,670.31 ","$229,156.03 ","$0.00 ","$194,628.71 ","$194,628.71 ","$194,363.69 ","$0.00 ","","","","","","","","","","","","",""
"MS141","DRG","MS141","","MAJOR HEAD AND NECK PROCEDURES WITH CC","INPATIENT ONLY","$205,684.54 ","$152,206.56 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS142","DRG","MS142","","MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$165,428.82 ","$122,417.33 ","$0.00 ","$91,709.28 ","$91,709.28 ","$24,814.35 ","$0.00 ","","","","","","","","","","","","",""
"MS143","DRG","MS143","","OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$304,173.95 ","$225,088.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS144","DRG","MS144","","OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC","INPATIENT ONLY","$18,109.68 ","$13,401.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS145","DRG","MS145","","OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$93,894.95 ","$69,482.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS146","DRG","MS146","","EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC","INPATIENT ONLY","$179,849.11 ","$133,088.34 ","$0.00 ","$28,926.04 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,982.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,926.04 ","$25,697.29 ","$0.00 "
"MS147","DRG","MS147","","EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC","INPATIENT ONLY","$66,379.23 ","$49,120.63 ","$0.00 ","$97,982.21 ","$97,982.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS149","DRG","MS149","","DYSEQUILIBRIUM","INPATIENT ONLY","$20,824.61 ","$15,410.21 ","$0.00 ","$19,110.92 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,794.64 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,110.92 ","$17,899.66 ","$0.00 "
"MS150","DRG","MS150","","EPISTAXIS WITH MCC","INPATIENT ONLY","$39,367.10 ","$29,131.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS152","DRG","MS152","","OTITIS MEDIA AND URI WITH MCC","INPATIENT ONLY","$24,484.17 ","$18,118.29 ","$0.00 ","$20,902.85 ","$0.00 ","$0.00 ","$0.00 ","$12,373.56 ","$12,564.40 ","$0.00 ","$0.00 ","$20,902.85 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,907.48 ","$0.00 "
"MS153","DRG","MS153","","OTITIS MEDIA AND URI WITHOUT MCC","INPATIENT ONLY","$23,118.21 ","$17,107.48 ","$0.00 ","$18,914.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,713.00 ","$0.00 ","$10,415.87 ","$16,796.75 ","$0.00 ","$7,081.17 ","$0.00 ","$18,914.10 ","$0.00 ","$0.00 "
"MS154","DRG","MS154","","OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC","INPATIENT ONLY","$93,847.35 ","$69,447.04 ","$0.00 ","$13,877.82 ","$0.00 ","$0.00 ","$0.00 ","$13,877.82 ","$13,877.82 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS155","DRG","MS155","","OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC","INPATIENT ONLY","$43,876.11 ","$32,468.32 ","$0.00 ","$20,504.12 ","$0.00 ","$0.00 ","$0.00 ","$9,814.28 ","$10,227.68 ","$6,474.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,166.65 ","$20,504.12 ","$0.00 ","$6,474.98 "
"MS156","DRG","MS156","","OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$23,686.23 ","$17,527.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS157","DRG","MS157","","DENTAL AND ORAL DISEASES WITH MCC","INPATIENT ONLY","$74,941.49 ","$55,456.70 ","$0.00 ","$92,183.95 ","$0.00 ","$0.00 ","$0.00 ","$90,943.75 ","$92,183.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,908.70 ","$0.00 ","$0.00 "
"MS158","DRG","MS158","","DENTAL AND ORAL DISEASES WITH CC","INPATIENT ONLY","$78,110.53 ","$57,801.79 ","$0.00 ","$20,222.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,794.95 ","$0.00 ","$19,724.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,376.14 ","$20,222.38 ","$18,785.45 ","$8,794.95 "
"MS159","DRG","MS159","","DENTAL AND ORAL DISEASES WITHOUT CC/MCC","INPATIENT ONLY","$77,636.24 ","$57,450.82 ","$0.00 ","$49,192.35 ","$17,283.48 ","$0.00 ","$0.00 ","$9,814.28 ","$10,227.68 ","$0.00 ","$9,252.38 ","$18,401.02 ","$7,632.24 ","$49,192.35 ","$0.00 ","$6,745.36 ","$0.00 ","$18,640.54 ","$17,524.78 ","$0.00 "
"MS163","DRG","MS163","","MAJOR CHEST PROCEDURES WITH MCC","INPATIENT ONLY","$279,043.80 ","$206,492.41 ","$0.00 ","$296,439.13 ","$137,000.36 ","$0.00 ","$51,285.84 ","$0.00 ","$0.00 ","$0.00 ","$224,575.09 ","$0.00 ","$243,289.68 ","$296,439.13 ","$0.00 ","$60,731.26 ","$0.00 ","$52,946.21 ","$0.00 ","$0.00 "
"MS164","DRG","MS164","","MAJOR CHEST PROCEDURES WITH CC","INPATIENT ONLY","$282,327.09 ","$208,922.05 ","$0.00 ","$222,897.67 ","$220,306.22 ","$62,096.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$168,861.87 ","$31,102.90 ","$182,933.69 ","$222,897.67 ","$0.00 ","$34,322.38 ","$0.00 ","$33,819.53 ","$29,621.81 ","$0.00 "
"MS165","DRG","MS165","","MAJOR CHEST PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$65,007.56 ","$48,105.59 ","$0.00 ","$28,246.73 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,439.54 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,246.73 ","$25,180.51 ","$0.00 "
"MS166","DRG","MS166","","OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$178,026.71 ","$131,739.77 ","$0.00 ","$55,255.73 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$51,297.13 ","$39,297.27 ","$16,179.17 ","$55,255.73 ","$0.00 ","$37,397.68 ","$0.00 ","$43,611.96 ","$47,571.93 ","$0.00 "
"MS167","DRG","MS167","","OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC","INPATIENT ONLY","$133,062.87 ","$98,466.52 ","$0.00 ","$70,722.18 ","$0.00 ","$0.00 ","$0.00 ","$69,481.98 ","$70,722.18 ","$18,341.98 ","$26,323.00 ","$26,885.12 ","$16,604.60 ","$32,510.42 ","$0.00 ","$19,190.53 ","$17,468.56 ","$28,779.21 ","$25,604.88 ","$18,341.98 "
"MS168","DRG","MS168","","OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$296,531.05 ","$219,432.98 ","$0.00 ","$22,868.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,868.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,779.93 ","$0.00 "
"MS175","DRG","MS175","","PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE","INPATIENT ONLY","$46,945.21 ","$34,739.46 ","$0.00 ","$101,945.47 ","$26,408.34 ","$0.00 ","$0.00 ","$101,023.25 ","$101,945.47 ","$0.00 ","$19,860.50 ","$23,432.41 ","$16,704.06 ","$38,070.00 ","$0.00 ","$14,479.10 ","$0.00 ","$24,940.97 ","$22,316.58 ","$0.00 "
"MS176","DRG","MS176","","PULMONARY EMBOLISM WITHOUT MCC","INPATIENT ONLY","$35,673.42 ","$26,398.33 ","$0.00 ","$18,666.99 ","$0.00 ","$0.00 ","$0.00 ","$2,811.52 ","$2,906.94 ","$8,645.42 ","$0.00 ","$18,666.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,736.43 ","$18,474.68 ","$18,666.99 ","$8,233.74 "
"MS177","DRG","MS177","","RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC","INPATIENT ONLY","$54,920.67 ","$40,641.30 ","$2,527.77 ","$35,112.81 ","$24,674.54 ","$17,398.03 ","$18,110.89 ","$10,747.92 ","$12,401.52 ","$2,824.77 ","$26,004.00 ","$26,726.58 ","$8,082.82 ","$21,757.37 ","$11,693.56 ","$18,957.97 ","$2,527.77 ","$35,112.81 ","$30,597.17 ","$2,690.25 "
"MS178","DRG","MS178","","RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC","INPATIENT ONLY","$41,304.99 ","$30,565.69 ","$0.00 ","$31,014.33 ","$4,086.60 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$3,998.66 ","$17,095.38 ","$22,298.99 ","$10,783.80 ","$31,014.33 ","$27,319.11 ","$12,463.21 ","$3,578.23 ","$27,587.02 ","$24,618.39 ","$3,808.24 "
"MS179","DRG","MS179","","RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC","INPATIENT ONLY","$14,995.29 ","$11,096.51 ","$0.00 ","$27,548.37 ","$0.00 ","$0.00 ","$6,204.24 ","$0.00 ","$0.00 ","$0.00 ","$11,908.88 ","$19,721.29 ","$12,770.64 ","$27,548.37 ","$11,997.43 ","$8,682.05 ","$0.00 ","$23,205.61 ","$21,137.62 ","$0.00 "
"MS180","DRG","MS180","","RESPIRATORY NEOPLASMS WITH MCC","INPATIENT ONLY","$96,534.84 ","$71,435.78 ","$0.00 ","$27,231.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,590.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,231.65 ","$24,371.54 ","$0.00 "
"MS181","DRG","MS181","","RESPIRATORY NEOPLASMS WITH CC","INPATIENT ONLY","$48,052.18 ","$35,558.61 ","$0.00 ","$22,553.09 ","$4,515.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,675.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,553.09 ","$20,642.93 ","$0.00 "
"MS182","DRG","MS182","","RESPIRATORY NEOPLASMS WITHOUT CC/MCC","INPATIENT ONLY","$48,193.46 ","$35,663.16 ","$0.00 ","$19,562.08 ","$16,511.68 ","$7,219.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,562.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,630.55 ","$0.00 "
"MS183","DRG","MS183","","MAJOR CHEST TRAUMA WITH MCC","INPATIENT ONLY","$71,723.96 ","$53,075.73 ","$0.00 ","$24,116.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,116.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,967.71 ","$0.00 "
"MS184","DRG","MS184","","MAJOR CHEST TRAUMA WITH CC","INPATIENT ONLY","$80,313.41 ","$59,431.92 ","$0.00 ","$64,519.81 ","$22,437.76 ","$0.00 ","$0.00 ","$18,103.32 ","$18,103.32 ","$0.00 ","$14,000.25 ","$20,760.71 ","$52,951.87 ","$64,519.81 ","$0.00 ","$10,206.75 ","$0.00 ","$21,460.41 ","$19,772.10 ","$0.00 "
"MS185","DRG","MS185","","MAJOR CHEST TRAUMA WITHOUT CC/MCC","INPATIENT ONLY","$50,595.65 ","$37,440.78 ","$0.00 ","$19,139.50 ","$12,596.89 ","$5,915.97 ","$0.00 ","$18,103.32 ","$18,103.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,139.50 ","$0.00 ","$0.00 "
"MS186","DRG","MS186","","PLEURAL EFFUSION WITH MCC","INPATIENT ONLY","$30,155.37 ","$22,314.97 ","$0.00 ","$31,067.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,067.06 ","$0.00 ","$0.00 "
"MS187","DRG","MS187","","PLEURAL EFFUSION WITH CC","INPATIENT ONLY","$66,163.36 ","$48,960.89 ","$0.00 ","$20,826.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,826.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,835.22 ","$0.00 "
"MS188","DRG","MS188","","PLEURAL EFFUSION WITHOUT CC/MCC","INPATIENT ONLY","$23,754.99 ","$17,578.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS189","DRG","MS189","","PULMONARY EDEMA AND RESPIRATORY FAILURE","INPATIENT ONLY","$40,618.71 ","$30,057.85 ","$0.00 ","$36,477.30 ","$25,196.85 ","$9,782.23 ","$12,640.58 ","$2,811.52 ","$2,906.94 ","$0.00 ","$16,715.88 ","$22,110.38 ","$15,587.39 ","$36,477.30 ","$26,164.57 ","$12,186.54 ","$0.00 ","$23,073.29 ","$21,057.50 ","$0.00 "
"MS190","DRG","MS190","","CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC","INPATIENT ONLY","$22,075.42 ","$16,335.81 ","$0.00 ","$22,487.76 ","$8,385.55 ","$0.00 ","$10,092.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,620.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,487.76 ","$20,590.86 ","$0.00 "
"MS191","DRG","MS191","","CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC","INPATIENT ONLY","$27,212.46 ","$20,137.22 ","$0.00 ","$20,436.33 ","$0.00 ","$0.00 ","$14,254.34 ","$2,686.98 ","$3,100.38 ","$0.00 ","$0.00 ","$19,903.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,436.33 ","$18,955.96 ","$0.00 "
"MS192","DRG","MS192","","CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC","INPATIENT ONLY","$39,809.35 ","$29,458.92 ","$0.00 ","$18,936.98 ","$8,173.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,649.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,936.98 ","$17,761.04 ","$0.00 "
"MS193","DRG","MS193","","SIMPLE PNEUMONIA AND PLEURISY WITH MCC","INPATIENT ONLY","$53,920.15 ","$39,900.91 ","$0.00 ","$43,491.25 ","$24,519.60 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$12,776.92 ","$18,335.63 ","$22,915.39 ","$3,781.24 ","$33,085.28 ","$43,491.25 ","$13,367.42 ","$12,168.50 ","$24,035.30 ","$21,824.18 ","$12,776.92 "
"MS194","DRG","MS194","","SIMPLE PNEUMONIA AND PLEURISY WITH CC","INPATIENT ONLY","$23,780.48 ","$17,597.56 ","$0.00 ","$20,557.21 ","$0.00 ","$0.00 ","$0.00 ","$13,434.90 ","$15,501.90 ","$3,239.94 ","$12,218.25 ","$19,875.06 ","$6,896.00 ","$20,557.21 ","$0.00 ","$8,907.60 ","$2,899.29 ","$20,402.05 ","$18,928.63 ","$3,085.65 "
"MS195","DRG","MS195","","SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC","INPATIENT ONLY","$27,752.98 ","$20,537.21 ","$0.00 ","$18,715.67 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,270.32 ","$0.00 ","$18,463.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,926.47 ","$18,715.67 ","$17,584.66 ","$3,114.59 "
"MS196","DRG","MS196","","INTERSTITIAL LUNG DISEASE WITH MCC","INPATIENT ONLY","$62,019.94 ","$45,894.76 ","$0.00 ","$50,112.69 ","$4,298.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,036.75 ","$25,251.85 ","$24,703.77 ","$50,112.69 ","$0.00 ","$16,794.73 ","$0.00 ","$26,827.41 ","$24,049.38 ","$0.00 "
"MS197","DRG","MS197","","INTERSTITIAL LUNG DISEASE WITH CC","INPATIENT ONLY","$33,882.40 ","$25,072.98 ","$0.00 ","$21,487.37 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,487.37 ","$0.00 ","$0.00 "
"MS198","DRG","MS198","","INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC","INPATIENT ONLY","$58,135.75 ","$43,020.46 ","$0.00 ","$6,111.70 ","$0.00 ","$0.00 ","$6,111.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS199","DRG","MS199","","PNEUMOTHORAX WITH MCC","INPATIENT ONLY","$87,933.44 ","$65,070.75 ","$0.00 ","$71,834.87 ","$22,271.35 ","$16,374.25 ","$20,990.30 ","$15,188.24 ","$16,428.44 ","$14,397.09 ","$24,668.88 ","$0.00 ","$19,741.79 ","$71,834.87 ","$0.00 ","$17,984.61 ","$13,711.52 ","$27,796.78 ","$0.00 ","$14,397.09 "
"MS200","DRG","MS200","","PNEUMOTHORAX WITH CC","INPATIENT ONLY","$88,938.55 ","$65,814.53 ","$6,062.24 ","$41,863.22 ","$26,577.44 ","$9,000.71 ","$7,212.00 ","$6,062.24 ","$6,475.64 ","$7,589.69 ","$14,878.88 ","$21,197.39 ","$7,597.89 ","$33,230.54 ","$41,863.22 ","$10,847.31 ","$6,902.85 ","$21,982.26 ","$20,187.99 ","$7,247.99 "
"MS201","DRG","MS201","","PNEUMOTHORAX WITHOUT CC/MCC","INPATIENT ONLY","$18,226.67 ","$13,487.74 ","$0.00 ","$28,659.30 ","$28,659.30 ","$0.00 ","$5,832.61 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,709.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,818.31 ","$0.00 "
"MS202","DRG","MS202","","BRONCHITIS AND ASTHMA WITH CC/MCC","INPATIENT ONLY","$27,125.85 ","$20,073.13 ","$0.00 ","$20,887.13 ","$8,642.61 ","$0.00 ","$7,793.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,280.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,887.13 ","$19,315.22 ","$0.00 "
"MS203","DRG","MS203","","BRONCHITIS AND ASTHMA WITHOUT CC/MCC","INPATIENT ONLY","$17,147.67 ","$12,689.28 ","$0.00 ","$18,811.21 ","$0.00 ","$0.00 ","$3,735.21 ","$13,808.52 ","$14,921.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,811.21 ","$0.00 ","$0.00 "
"MS204","DRG","MS204","","RESPIRATORY SIGNS AND SYMPTOMS","INPATIENT ONLY","$12,787.21 ","$9,462.54 ","$0.00 ","$114,402.61 ","$114,402.61 ","$19,192.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,354.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,780.56 ","$18,433.32 ","$0.00 "
"MS205","DRG","MS205","","OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC","INPATIENT ONLY","$71,391.42 ","$52,829.65 ","$0.00 ","$46,642.66 ","$16,664.62 ","$12,495.13 ","$0.00 ","$8,060.94 ","$9,301.14 ","$0.00 ","$22,470.25 ","$24,970.31 ","$12,908.72 ","$46,642.66 ","$0.00 ","$16,381.71 ","$0.00 ","$26,490.96 ","$23,781.25 ","$0.00 "
"MS206","DRG","MS206","","OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC","INPATIENT ONLY","$30,695.99 ","$22,715.03 ","$0.00 ","$34,911.74 ","$0.00 ","$0.00 ","$6,502.44 ","$0.00 ","$0.00 ","$0.00 ","$11,996.88 ","$19,765.04 ","$4,150.00 ","$34,911.74 ","$0.00 ","$8,746.21 ","$0.00 ","$20,270.57 ","$18,823.85 ","$0.00 "
"MS207","DRG","MS207","","RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS","INPATIENT ONLY","$381,382.83 ","$282,223.29 ","$0.00 ","$391,535.95 ","$136,076.60 ","$0.00 ","$62,949.70 ","$391,440.53 ","$391,535.95 ","$0.00 ","$265,173.58 ","$50,474.52 ","$287,271.37 ","$350,029.12 ","$0.00 ","$78,281.84 ","$0.00 ","$59,984.89 ","$50,474.52 ","$0.00 "
"MS208","DRG","MS208","","RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS","INPATIENT ONLY","$129,996.22 ","$96,197.20 ","$0.00 ","$33,431.63 ","$26,856.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,140.35 ","$30,778.29 ","$5,386.48 ","$22,287.15 ","$0.00 ","$24,901.37 ","$0.00 ","$33,431.63 ","$29,312.66 ","$0.00 "
"MS215","DRG","MS215","","OTHER HEART ASSIST SYSTEM IMPLANT","INPATIENT ONLY","$302,673.62 ","$223,978.48 ","$0.00 ","$426,802.21 ","$177,689.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$323,335.01 ","$101,862.99 ","$350,279.60 ","$426,802.21 ","$0.00 ","$129,174.20 ","$0.00 ","$118,379.20 ","$97,012.37 ","$0.00 "
"MS216","DRG","MS216","","CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$844,071.58 ","$624,612.97 ","$0.00 ","$363,816.68 ","$363,816.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$95,156.23 ","$0.00 ","$0.00 "
"MS219","DRG","MS219","","CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$652,285.78 ","$482,691.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS220","DRG","MS220","","CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC","INPATIENT ONLY","$834,118.48 ","$617,247.68 ","$0.00 ","$314,960.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$238,606.64 ","$0.00 ","$258,490.53 ","$314,960.76 ","$0.00 ","$67,066.33 ","$0.00 ","$56,475.77 ","$0.00 ","$0.00 "
"MS222","DRG","MS222","","CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC","INPATIENT ONLY","$557,934.66 ","$412,871.65 ","$0.00 ","$652,154.79 ","$652,154.79 ","$0.00 ","$0.00 ","$168,085.11 ","$168,498.51 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$81,291.22 ","$0.00 ","$0.00 "
"MS224","DRG","MS224","","CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC","INPATIENT ONLY","$224,109.48 ","$165,841.02 ","$0.00 ","$66,349.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$66,349.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$63,190.05 ","$0.00 "
"MS225","DRG","MS225","","CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC","INPATIENT ONLY","$304,647.12 ","$225,438.87 ","$0.00 ","$59,276.04 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$49,909.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$59,276.04 ","$49,909.59 ","$0.00 "
"MS226","DRG","MS226","","CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$262,894.89 ","$194,542.22 ","$0.00 ","$59,504.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$59,504.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$56,671.10 ","$0.00 "
"MS227","DRG","MS227","","CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC","INPATIENT ONLY","$237,743.92 ","$175,930.50 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS228","DRG","MS228","","OTHER CARDIOTHORACIC PROCEDURES WITH MCC","INPATIENT ONLY","$357,913.50 ","$264,855.99 ","$0.00 ","$66,076.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$66,076.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$64,482.16 ","$66,076.66 ","$0.00 "
"MS233","DRG","MS233","","CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$709,784.74 ","$525,240.71 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS234","DRG","MS234","","CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC","INPATIENT ONLY","$480,271.74 ","$355,401.09 ","$0.00 ","$55,662.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$55,662.39 ","$0.00 ","$0.00 "
"MS235","DRG","MS235","","CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$433,659.48 ","$320,908.02 ","$0.00 ","$82,191.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$46,536.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$82,191.24 ","$44,320.66 ","$0.00 "
"MS236","DRG","MS236","","CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC","INPATIENT ONLY","$407,163.36 ","$301,300.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS239","DRG","MS239","","AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC","INPATIENT ONLY","$309,142.02 ","$228,765.09 ","$0.00 ","$520,828.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$394,567.12 ","$45,984.42 ","$427,447.72 ","$520,828.58 ","$0.00 ","$126,573.84 ","$0.00 ","$51,280.25 ","$43,794.69 ","$0.00 "
"MS240","DRG","MS240","","AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC","INPATIENT ONLY","$156,536.31 ","$115,836.87 ","$0.00 ","$35,684.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,140.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,684.78 ","$32,140.33 ","$0.00 "
"MS241","DRG","MS241","","AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC","INPATIENT ONLY","$120,662.24 ","$89,290.06 ","$0.00 ","$25,528.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,528.14 ","$0.00 ","$0.00 "
"MS242","DRG","MS242","","PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC","INPATIENT ONLY","$265,067.17 ","$196,149.71 ","$0.00 ","$43,451.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$43,451.88 ","$0.00 ","$0.00 "
"MS243","DRG","MS243","","PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC","INPATIENT ONLY","$158,068.54 ","$116,970.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS244","DRG","MS244","","PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC","INPATIENT ONLY","$95,847.00 ","$70,926.78 ","$0.00 ","$30,094.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,985.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,094.00 ","$26,652.72 ","$0.00 "
"MS245","DRG","MS245","","AICD GENERATOR PROCEDURES","INPATIENT ONLY","$152,256.14 ","$112,669.54 ","$0.00 ","$49,391.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$49,391.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$47,039.42 ","$0.00 "
"MS246","DRG","MS246","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS","INPATIENT ONLY","$209,787.55 ","$155,242.79 ","$0.00 ","$81,055.22 ","$24,732.19 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$61,405.47 ","$35,484.73 ","$17,653.94 ","$81,055.22 ","$0.00 ","$31,805.11 ","$0.00 ","$39,055.90 ","$33,794.98 ","$0.00 "
"MS247","DRG","MS247","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC","INPATIENT ONLY","$113,312.93 ","$83,851.57 ","$0.00 ","$74,539.79 ","$15,580.11 ","$0.00 ","$0.00 ","$5,277.93 ","$5,277.93 ","$0.00 ","$27,977.13 ","$27,707.22 ","$30,001.65 ","$74,539.79 ","$58,858.96 ","$20,396.45 ","$0.00 ","$29,761.63 ","$26,387.83 ","$0.00 "
"MS248","DRG","MS248","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS","INPATIENT ONLY","$176,079.18 ","$130,298.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS249","DRG","MS249","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC","INPATIENT ONLY","$68,186.12 ","$50,457.73 ","$0.00 ","$26,900.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,900.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,619.19 ","$0.00 "
"MS250","DRG","MS250","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC","INPATIENT ONLY","$159,798.37 ","$118,250.79 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS251","DRG","MS251","","PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC","INPATIENT ONLY","$72,880.41 ","$53,931.50 ","$0.00 ","$14,894.34 ","$0.00 ","$0.00 ","$14,894.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS252","DRG","MS252","","OTHER VASCULAR PROCEDURES WITH MCC","INPATIENT ONLY","$145,151.23 ","$107,411.91 ","$0.00 ","$100,414.90 ","$12,259.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$36,220.00 ","$0.00 ","$0.00 ","$100,414.90 ","$0.00 ","$0.00 ","$39,934.57 ","$34,495.24 ","$0.00 "
"MS253","DRG","MS253","","OTHER VASCULAR PROCEDURES WITH CC","INPATIENT ONLY","$129,099.23 ","$95,533.43 ","$0.00 ","$34,432.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,615.43 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$34,432.01 ","$30,109.93 ","$0.00 "
"MS254","DRG","MS254","","OTHER VASCULAR PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$209,675.21 ","$155,159.66 ","$0.00 ","$26,240.69 ","$7,561.44 ","$15,445.08 ","$0.00 ","$0.00 ","$0.00 ","$17,984.48 ","$0.00 ","$26,240.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,128.08 ","$0.00 ","$24,991.13 ","$17,984.48 "
"MS255","DRG","MS255","","UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC","INPATIENT ONLY","$101,664.29 ","$75,231.57 ","$0.00 ","$85,925.68 ","$85,925.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,909.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,389.81 ","$0.00 "
"MS256","DRG","MS256","","UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC","INPATIENT ONLY","$55,860.77 ","$41,336.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS258","DRG","MS258","","CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC","INPATIENT ONLY","$237,539.00 ","$175,778.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS259","DRG","MS259","","CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC","INPATIENT ONLY","$113,151.42 ","$83,732.05 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS260","DRG","MS260","","CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC","INPATIENT ONLY","$163,381.24 ","$120,902.12 ","$0.00 ","$43,357.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$43,357.97 ","$0.00 ","$0.00 "
"MS261","DRG","MS261","","CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC","INPATIENT ONLY","$51,477.15 ","$38,093.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS262","DRG","MS262","","CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC","INPATIENT ONLY","$57,243.02 ","$42,359.83 ","$0.00 ","$10,687.26 ","$0.00 ","$0.00 ","$0.00 ","$10,273.86 ","$10,687.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS264","DRG","MS264","","OTHER CIRCULATORY SYSTEM O.R. PROCEDURES","INPATIENT ONLY","$0.00 ","$0.00 ","$0.00 ","$39,670.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,999.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$39,670.80 ","$34,285.03 ","$0.00 "
"MS265","DRG","MS265","","AICD LEAD PROCEDURES","INPATIENT ONLY","$281,375.98 ","$208,218.23 ","$0.00 ","$35,132.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,132.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$33,459.78 ","$0.00 "
"MS269","DRG","MS269","","AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC","INPATIENT ONLY","$295,971.85 ","$219,019.17 ","$0.00 ","$42,958.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$42,958.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$40,912.47 ","$0.00 "
"MS270","DRG","MS270","","OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC","INPATIENT ONLY","$509,550.86 ","$377,067.64 ","$0.00 ","$340,524.80 ","$340,524.80 ","$0.00 ","$0.00 ","$117,429.85 ","$118,256.65 ","$0.00 ","$148,491.41 ","$48,724.42 ","$160,865.70 ","$196,008.66 ","$0.00 ","$51,226.20 ","$0.00 ","$54,877.59 ","$46,404.21 ","$0.00 "
"MS271","DRG","MS271","","OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC","INPATIENT ONLY","$275,679.20 ","$204,002.61 ","$0.00 ","$185,320.36 ","$185,320.36 ","$185,320.36 ","$5,081.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,048.73 ","$0.00 ","$0.00 ","$161,466.25 ","$0.00 ","$0.00 ","$42,119.94 ","$36,236.89 ","$0.00 "
"MS272","DRG","MS272","","OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$163,285.34 ","$120,831.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS273","DRG","MS273","","PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC","INPATIENT ONLY","$346,813.41 ","$256,641.92 ","$0.00 ","$91,804.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$69,549.02 ","$39,157.85 ","$44,119.66 ","$91,804.70 ","$0.00 ","$37,193.18 ","$0.00 ","$43,445.35 ","$37,293.19 ","$0.00 "
"MS274","DRG","MS274","","PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC","INPATIENT ONLY","$132,117.47 ","$97,766.93 ","$0.00 ","$35,395.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,395.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$33,710.36 ","$0.00 "
"MS280","DRG","MS280","","ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC","INPATIENT ONLY","$61,063.46 ","$45,186.96 ","$0.00 ","$306,336.59 ","$306,336.59 ","$0.00 ","$0.00 ","$16,869.12 ","$17,441.64 ","$0.00 ","$22,424.88 ","$24,947.74 ","$17,813.05 ","$20,968.38 ","$0.00 ","$16,348.64 ","$0.00 ","$32,089.26 ","$23,759.75 ","$0.00 "
"MS281","DRG","MS281","","ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC","INPATIENT ONLY","$26,455.86 ","$19,577.34 ","$0.00 ","$42,566.21 ","$12,468.89 ","$9,146.20 ","$0.00 ","$19,680.64 ","$20,348.58 ","$0.00 ","$13,319.63 ","$20,422.44 ","$13,390.76 ","$42,566.21 ","$0.00 ","$9,710.54 ","$0.00 ","$21,056.17 ","$19,449.94 ","$0.00 "
"MS282","DRG","MS282","","ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC","INPATIENT ONLY","$93,190.71 ","$68,961.13 ","$0.00 ","$19,171.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,845.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,171.35 ","$17,947.82 ","$0.00 "
"MS283","DRG","MS283","","ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC","INPATIENT ONLY","$189,098.49 ","$139,932.88 ","$0.00 ","$96,797.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$73,331.75 ","$28,357.09 ","$11,537.64 ","$96,797.90 ","$0.00 ","$18,040.74 ","$0.00 ","$27,842.50 ","$27,006.75 ","$0.00 "
"MS286","DRG","MS286","","CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC","INPATIENT ONLY","$170,797.89 ","$126,390.44 ","$0.00 ","$145,102.74 ","$145,102.74 ","$34,337.57 ","$0.00 ","$16,121.88 ","$18,602.28 ","$0.00 ","$0.00 ","$28,819.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,090.31 ","$27,446.73 ","$0.00 "
"MS287","DRG","MS287","","CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC","INPATIENT ONLY","$67,028.40 ","$49,601.02 ","$0.00 ","$29,646.46 ","$0.00 ","$0.00 ","$0.00 ","$11,246.08 ","$11,627.76 ","$0.00 ","$15,842.75 ","$21,676.42 ","$5,663.06 ","$29,646.46 ","$0.00 ","$11,550.01 ","$0.00 ","$22,554.71 ","$20,644.21 ","$0.00 "
"MS288","DRG","MS288","","ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC","INPATIENT ONLY","$106,406.72 ","$78,740.97 ","$0.00 ","$34,846.87 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$34,846.87 ","$0.00 ","$0.00 "
"MS291","DRG","MS291","","HEART FAILURE AND SHOCK WITH MCC","INPATIENT ONLY","$40,413.15 ","$29,905.73 ","$0.00 ","$59,590.83 ","$19,939.50 ","$13,475.17 ","$13,083.40 ","$10,976.02 ","$10,976.02 ","$13,148.68 ","$18,504.75 ","$21,904.23 ","$19,843.82 ","$59,590.83 ","$0.00 ","$13,490.72 ","$12,522.56 ","$24,135.73 ","$21,904.23 ","$13,148.68 "
"MS292","DRG","MS292","","HEART FAILURE AND SHOCK WITH CC","INPATIENT ONLY","$31,089.32 ","$23,006.10 ","$0.00 ","$25,542.17 ","$16,088.88 ","$8,768.64 ","$0.00 ","$15,816.70 ","$15,816.70 ","$0.00 ","$12,450.63 ","$19,990.54 ","$3,423.49 ","$22,244.34 ","$25,542.17 ","$9,077.01 ","$0.00 ","$20,540.04 ","$19,038.61 ","$0.00 "
"MS293","DRG","MS293","","HEART FAILURE AND SHOCK WITHOUT CC/MCC","INPATIENT ONLY","$25,091.99 ","$18,568.07 ","$0.00 ","$19,670.90 ","$15,852.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,280.74 ","$0.00 ","$0.00 ","$19,670.90 ","$0.00 ","$0.00 ","$18,496.80 ","$17,410.23 ","$0.00 "
"MS294","DRG","MS294","","DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC","INPATIENT ONLY","$51,250.50 ","$37,925.37 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS296","DRG","MS296","","CARDIAC ARREST, UNEXPLAINED WITH MCC","INPATIENT ONLY","$60,132.19 ","$44,497.82 ","$0.00 ","$55,644.87 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,534.30 ","$0.00 ","$0.00 ","$55,644.87 ","$0.00 ","$0.00 ","$0.00 ","$23,366.00 ","$0.00 "
"MS299","DRG","MS299","","PERIPHERAL VASCULAR DISORDERS WITH MCC","INPATIENT ONLY","$61,640.61 ","$45,614.05 ","$0.00 ","$24,984.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,709.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,984.23 ","$22,580.44 ","$0.00 "
"MS300","DRG","MS300","","PERIPHERAL VASCULAR DISORDERS WITH CC","INPATIENT ONLY","$33,127.53 ","$24,514.37 ","$0.00 ","$48,648.19 ","$48,648.19 ","$8,720.44 ","$0.00 ","$2,686.98 ","$3,100.38 ","$9,821.82 ","$0.00 ","$20,824.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,354.11 ","$21,537.17 ","$19,833.27 ","$9,821.82 "
"MS301","DRG","MS301","","PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$26,808.70 ","$19,838.44 ","$0.00 ","$18,762.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,762.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,869.07 ","$0.00 "
"MS302","DRG","MS302","","ATHEROSCLEROSIS WITH MCC","INPATIENT ONLY","$27,989.74 ","$20,712.41 ","$0.00 ","$22,147.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,147.21 ","$0.00 ","$0.00 "
"MS303","DRG","MS303","","ATHEROSCLEROSIS WITHOUT MCC","INPATIENT ONLY","$9,872.00 ","$7,305.28 ","$0.00 ","$18,663.40 ","$8,245.79 ","$5,445.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,420.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,663.40 ","$17,543.00 ","$0.00 "
"MS304","DRG","MS304","","HYPERTENSION WITH MCC","INPATIENT ONLY","$53,951.20 ","$39,923.89 ","$0.00 ","$22,059.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,261.62 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,059.01 ","$20,249.16 ","$0.00 "
"MS305","DRG","MS305","","HYPERTENSION WITHOUT MCC","INPATIENT ONLY","$25,501.90 ","$18,871.41 ","$0.00 ","$19,723.81 ","$16,899.41 ","$5,598.22 ","$0.00 ","$8,060.94 ","$9,301.14 ","$0.00 ","$10,058.13 ","$12,322.90 ","$3,994.80 ","$19,723.81 ","$0.00 ","$7,332.77 ","$0.00 ","$19,119.10 ","$12,322.90 ","$0.00 "
"MS306","DRG","MS306","","CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC","INPATIENT ONLY","$21,558.58 ","$15,953.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS307","DRG","MS307","","CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC","INPATIENT ONLY","$33,309.85 ","$24,649.29 ","$0.00 ","$20,349.78 ","$4,312.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,349.78 ","$0.00 ","$0.00 "
"MS308","DRG","MS308","","CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC","INPATIENT ONLY","$49,289.07 ","$36,473.91 ","$0.00 ","$22,844.63 ","$4,086.60 ","$0.00 ","$0.00 ","$5,623.04 ","$5,813.88 ","$0.00 ","$20,330.88 ","$21,919.03 ","$3,891.70 ","$14,418.05 ","$0.00 ","$11,905.86 ","$0.00 ","$22,844.63 ","$20,875.27 ","$0.00 "
"MS309","DRG","MS309","","CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC","INPATIENT ONLY","$32,971.70 ","$24,399.06 ","$0.00 ","$19,321.62 ","$0.00 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$0.00 ","$18,970.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,321.62 ","$18,067.58 ","$0.00 "
"MS310","DRG","MS310","","CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$26,112.51 ","$19,323.26 ","$0.00 ","$22,828.20 ","$4,086.60 ","$4,902.90 ","$5,253.92 ","$0.00 ","$0.00 ","$3,409.57 ","$7,690.38 ","$17,624.69 ","$3,748.58 ","$22,828.20 ","$0.00 ","$5,606.59 ","$3,051.09 ","$17,712.81 ","$16,785.42 ","$3,247.21 "
"MS311","DRG","MS311","","ANGINA PECTORIS","INPATIENT ONLY","$52,330.57 ","$38,724.62 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS312","DRG","MS312","","SYNCOPE AND COLLAPSE","INPATIENT ONLY","$61,214.52 ","$45,298.74 ","$0.00 ","$21,765.49 ","$8,863.70 ","$0.00 ","$0.00 ","$6,787.90 ","$6,787.90 ","$7,256.54 ","$0.00 ","$19,383.03 ","$0.00 ","$0.00 ","$21,765.49 ","$0.00 ","$6,911.00 ","$19,814.06 ","$18,460.03 ","$7,256.54 "
"MS313","DRG","MS313","","CHEST PAIN","INPATIENT ONLY","$33,212.42 ","$24,577.19 ","$0.00 ","$18,986.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,707.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,986.78 ","$17,816.56 ","$0.00 "
"MS314","DRG","MS314","","OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC","INPATIENT ONLY","$76,851.46 ","$56,870.08 ","$0.00 ","$90,518.61 ","$0.00 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$68,574.70 ","$27,671.68 ","$27,623.06 ","$90,518.61 ","$0.00 ","$20,344.32 ","$0.00 ","$29,719.16 ","$26,353.98 ","$0.00 "
"MS315","DRG","MS315","","OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC","INPATIENT ONLY","$25,527.92 ","$18,890.66 ","$0.00 ","$54,485.36 ","$54,485.36 ","$8,580.30 ","$0.00 ","$0.00 ","$0.00 ","$10,816.43 ","$0.00 ","$20,434.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,679.17 ","$21,070.06 ","$19,461.01 ","$10,301.36 "
"MS316","DRG","MS316","","OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$10,452.75 ","$7,735.04 ","$0.00 ","$56,774.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,205.25 ","$0.00 ","$10,943.74 ","$56,774.44 ","$0.00 ","$7,440.03 ","$0.00 ","$19,206.47 ","$0.00 ","$0.00 "
"MS326","DRG","MS326","","STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC","INPATIENT ONLY","$251,818.24 ","$186,345.50 ","$0.00 ","$291,990.40 ","$291,990.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$115,554.98 ","$49,819.86 ","$125,184.57 ","$152,532.58 ","$0.00 ","$52,833.10 ","$0.00 ","$74,365.49 ","$47,447.49 ","$0.00 "
"MS327","DRG","MS327","","STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC","INPATIENT ONLY","$345,047.66 ","$255,335.27 ","$0.00 ","$181,704.09 ","$181,704.09 ","$0.00 ","$0.00 ","$2,811.52 ","$2,906.94 ","$0.00 ","$0.00 ","$31,385.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$34,156.81 ","$29,890.60 ","$0.00 "
"MS328","DRG","MS328","","STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$223,193.30 ","$165,163.04 ","$0.00 ","$94,605.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$94,605.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS329","DRG","MS329","","MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC","INPATIENT ONLY","$274,008.89 ","$202,766.58 ","$0.00 ","$145,226.91 ","$136,237.60 ","$114,248.26 ","$46,129.16 ","$18,747.83 ","$19,988.03 ","$46,359.35 ","$110,020.39 ","$47,337.16 ","$119,188.76 ","$145,226.91 ","$0.00 ","$49,191.26 ","$44,151.78 ","$53,219.79 ","$45,083.01 ","$46,359.35 "
"MS330","DRG","MS330","","MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC","INPATIENT ONLY","$213,414.08 ","$157,926.42 ","$0.00 ","$229,756.74 ","$229,756.74 ","$0.00 ","$0.00 ","$107,244.69 ","$107,244.69 ","$0.00 ","$100,401.45 ","$31,070.11 ","$108,768.24 ","$132,529.93 ","$0.00 ","$25,329.40 ","$0.00 ","$33,780.33 ","$29,590.58 ","$0.00 "
"MS331","DRG","MS331","","MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$192,463.33 ","$142,422.86 ","$0.00 ","$148,688.87 ","$107,640.79 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$16,029.62 ","$112,643.08 ","$25,346.16 ","$122,030.00 ","$148,688.87 ","$0.00 ","$16,933.05 ","$15,266.31 ","$26,940.12 ","$24,139.20 ","$16,029.62 "
"MS332","DRG","MS332","","RECTAL RESECTION WITH MCC","INPATIENT ONLY","$887,584.06 ","$656,812.20 ","$0.00 ","$90,845.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$90,845.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$86,519.75 ","$0.00 "
"MS333","DRG","MS333","","RECTAL RESECTION WITH CC","INPATIENT ONLY","$620,492.87 ","$459,164.72 ","$0.00 ","$56,104.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$56,104.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$53,432.55 ","$0.00 "
"MS335","DRG","MS335","","PERITONEAL ADHESIOLYSIS WITH MCC","INPATIENT ONLY","$532,766.31 ","$394,247.07 ","$0.00 ","$110,895.56 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$84,011.79 ","$0.00 ","$91,012.77 ","$110,895.56 ","$0.00 ","$40,549.32 ","$0.00 ","$46,179.48 ","$0.00 ","$0.00 "
"MS336","DRG","MS336","","PERITONEAL ADHESIOLYSIS WITH CC","INPATIENT ONLY","$219,777.95 ","$162,635.68 ","$0.00 ","$72,874.87 ","$0.00 ","$0.00 ","$0.00 ","$71,221.27 ","$72,874.87 ","$0.00 ","$0.00 ","$29,289.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,652.16 ","$27,894.51 ","$0.00 "
"MS337","DRG","MS337","","PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC","INPATIENT ONLY","$186,895.48 ","$138,302.66 ","$0.00 ","$43,588.46 ","$0.00 ","$0.00 ","$0.00 ","$41,934.86 ","$43,588.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS338","DRG","MS338","","APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC","INPATIENT ONLY","$181,523.85 ","$134,327.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS339","DRG","MS339","","APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC","INPATIENT ONLY","$125,577.54 ","$92,927.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS340","DRG","MS340","","APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$100,873.09 ","$74,646.09 ","$0.00 ","$86,067.33 ","$86,067.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS341","DRG","MS341","","APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC","INPATIENT ONLY","$126,465.33 ","$93,584.34 ","$0.00 ","$36,751.27 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,284.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$36,751.27 ","$0.00 "
"MS342","DRG","MS342","","APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC","INPATIENT ONLY","$99,896.38 ","$73,923.32 ","$0.00 ","$60,127.78 ","$4,542.21 ","$11,703.42 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$22,141.63 ","$0.00 ","$5,521.83 ","$60,127.78 ","$0.00 ","$16,142.14 ","$0.00 ","$26,295.79 ","$0.00 ","$0.00 "
"MS343","DRG","MS343","","APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$99,694.46 ","$73,773.90 ","$0.00 ","$70,753.35 ","$0.00 ","$0.00 ","$0.00 ","$9,441.14 ","$10,267.94 ","$0.00 ","$15,834.50 ","$0.00 ","$7,075.14 ","$70,753.35 ","$58,511.81 ","$11,543.98 ","$0.00 ","$22,549.80 ","$0.00 ","$0.00 "
"MS344","DRG","MS344","","MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC","INPATIENT ONLY","$63,631.33 ","$47,087.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS345","DRG","MS345","","MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC","INPATIENT ONLY","$164,994.22 ","$122,095.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS346","DRG","MS346","","MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$74,406.10 ","$55,060.51 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS347","DRG","MS347","","ANAL AND STOMAL PROCEDURES WITH MCC","INPATIENT ONLY","$26,552.02 ","$19,648.49 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS348","DRG","MS348","","ANAL AND STOMAL PROCEDURES WITH CC","INPATIENT ONLY","$83,349.83 ","$61,678.87 ","$0.00 ","$24,654.33 ","$0.00 ","$0.00 ","$16,830.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,433.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,654.33 ","$22,317.52 ","$0.00 "
"MS349","DRG","MS349","","ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$65,922.10 ","$48,782.35 ","$0.00 ","$40,375.68 ","$0.00 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$13,487.38 ","$0.00 ","$6,026.40 ","$40,375.68 ","$0.00 ","$9,832.84 ","$0.00 ","$21,155.80 ","$0.00 ","$0.00 "
"MS350","DRG","MS350","","INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC","INPATIENT ONLY","$281,616.81 ","$208,396.44 ","$0.00 ","$30,472.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,472.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,021.10 ","$0.00 "
"MS351","DRG","MS351","","INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC","INPATIENT ONLY","$141,041.73 ","$104,370.88 ","$0.00 ","$114,048.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$86,400.20 ","$0.00 ","$93,600.21 ","$114,048.28 ","$0.00 ","$14,618.44 ","$0.00 ","$25,054.47 ","$0.00 ","$0.00 "
"MS352","DRG","MS352","","INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$80,949.32 ","$59,902.50 ","$0.00 ","$120,426.90 ","$120,426.90 ","$0.00 ","$0.00 ","$4,400.68 ","$4,814.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,938.97 ","$0.00 ","$0.00 "
"MS353","DRG","MS353","","HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC","INPATIENT ONLY","$250,528.06 ","$185,390.76 ","$0.00 ","$77,604.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$40,794.88 ","$34,077.63 ","$5,681.42 ","$77,604.07 ","$0.00 ","$29,741.12 ","$0.00 ","$37,374.40 ","$32,454.89 ","$0.00 "
"MS354","DRG","MS354","","HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC","INPATIENT ONLY","$283,035.02 ","$209,445.91 ","$0.00 ","$101,424.28 ","$101,424.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,208.78 ","$0.00 ","$0.00 "
"MS355","DRG","MS355","","HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC","INPATIENT ONLY","$131,335.21 ","$97,188.06 ","$0.00 ","$40,274.04 ","$0.00 ","$0.00 ","$0.00 ","$39,447.24 ","$40,274.04 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS356","DRG","MS356","","OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$231,882.30 ","$171,592.90 ","$0.00 ","$68,067.76 ","$0.00 ","$0.00 ","$0.00 ","$65,587.36 ","$68,067.76 ","$0.00 ","$0.00 ","$39,681.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$46,441.63 ","$39,681.10 ","$0.00 "
"MS357","DRG","MS357","","OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC","INPATIENT ONLY","$246,036.70 ","$182,067.16 ","$0.00 ","$27,791.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,791.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,791.66 ","$0.00 "
"MS358","DRG","MS358","","OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$305,696.80 ","$226,215.63 ","$0.00 ","$66,333.91 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,859.50 ","$0.00 ","$5,778.35 ","$66,333.91 ","$0.00 ","$13,749.33 ","$0.00 ","$24,346.43 ","$0.00 ","$0.00 "
"MS368","DRG","MS368","","MAJOR ESOPHAGEAL DISORDERS WITH MCC","INPATIENT ONLY","$44,626.39 ","$33,023.53 ","$0.00 ","$28,691.00 ","$17,417.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,174.50 ","$0.00 ","$4,678.10 ","$21,077.61 ","$0.00 ","$19,082.27 ","$0.00 ","$28,691.00 ","$0.00 ","$0.00 "
"MS369","DRG","MS369","","MAJOR ESOPHAGEAL DISORDERS WITH CC","INPATIENT ONLY","$33,210.98 ","$24,576.13 ","$0.00 ","$21,827.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,617.63 ","$0.00 ","$8,473.19 ","$17,181.21 ","$0.00 ","$10,656.83 ","$0.00 ","$21,827.08 ","$0.00 ","$0.00 "
"MS370","DRG","MS370","","MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$70,028.29 ","$51,820.93 ","$0.00 ","$9,760.80 ","$9,760.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS371","DRG","MS371","","MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC","INPATIENT ONLY","$90,719.83 ","$67,132.67 ","$0.00 ","$27,236.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,594.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,236.55 ","$24,375.45 ","$0.00 "
"MS372","DRG","MS372","","MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC","INPATIENT ONLY","$41,041.65 ","$30,370.82 ","$0.00 ","$21,495.52 ","$0.00 ","$0.00 ","$3,697.23 ","$16,122.38 ","$18,602.78 ","$0.00 ","$0.00 ","$20,790.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,495.52 ","$19,800.09 ","$0.00 "
"MS373","DRG","MS373","","MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC","INPATIENT ONLY","$25,826.81 ","$19,111.84 ","$0.00 ","$18,871.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,871.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,973.20 ","$0.00 "
"MS374","DRG","MS374","","DIGESTIVE MALIGNANCY WITH MCC","INPATIENT ONLY","$130,953.52 ","$96,905.60 ","$0.00 ","$103,204.32 ","$8,173.20 ","$0.00 ","$0.00 ","$10,502.56 ","$10,502.56 ","$0.00 ","$0.00 ","$27,453.01 ","$0.00 ","$0.00 ","$103,204.32 ","$0.00 ","$0.00 ","$25,228.00 ","$26,145.72 ","$0.00 "
"MS375","DRG","MS375","","DIGESTIVE MALIGNANCY WITH CC","INPATIENT ONLY","$43,263.16 ","$32,014.74 ","$0.00 ","$23,004.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,052.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,004.69 ","$21,002.83 ","$0.00 "
"MS376","DRG","MS376","","DIGESTIVE MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$50,921.70 ","$37,682.06 ","$0.00 ","$20,645.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,645.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,662.12 ","$0.00 "
"MS377","DRG","MS377","","GASTROINTESTINAL HEMORRHAGE WITH MCC","INPATIENT ONLY","$78,283.67 ","$57,929.92 ","$0.00 ","$56,749.25 ","$20,646.76 ","$0.00 ","$15,384.27 ","$9,562.04 ","$9,657.46 ","$0.00 ","$0.00 ","$25,897.63 ","$0.00 ","$0.00 ","$56,749.25 ","$0.00 ","$0.00 ","$27,599.14 ","$24,664.41 ","$0.00 "
"MS378","DRG","MS378","","GASTROINTESTINAL HEMORRHAGE WITH CC","INPATIENT ONLY","$34,470.23 ","$25,507.97 ","$0.00 ","$34,384.78 ","$17,023.65 ","$0.00 ","$0.00 ","$11,560.74 ","$12,482.96 ","$9,378.74 ","$13,586.38 ","$19,576.19 ","$14,569.53 ","$34,384.78 ","$0.00 ","$9,905.01 ","$8,932.14 ","$21,214.59 ","$19,576.19 ","$9,378.74 "
"MS379","DRG","MS379","","GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC","INPATIENT ONLY","$37,486.96 ","$27,740.35 ","$0.00 ","$18,418.41 ","$8,963.57 ","$6,048.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,215.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,418.41 ","$17,347.75 ","$0.00 "
"MS380","DRG","MS380","","COMPLICATED PEPTIC ULCER WITH MCC","INPATIENT ONLY","$26,794.24 ","$19,827.74 ","$0.00 ","$194,237.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$147,149.99 ","$0.00 ","$159,412.49 ","$194,237.98 ","$0.00 ","$24,569.41 ","$0.00 ","$28,560.33 ","$0.00 ","$0.00 "
"MS381","DRG","MS381","","COMPLICATED PEPTIC ULCER WITH CC","INPATIENT ONLY","$46,100.59 ","$34,114.44 ","$0.00 ","$21,938.15 ","$8,173.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,160.49 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,938.15 ","$20,152.85 ","$0.00 "
"MS382","DRG","MS382","","COMPLICATED PEPTIC ULCER WITHOUT CC/MCC","INPATIENT ONLY","$31,452.30 ","$23,274.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS383","DRG","MS383","","UNCOMPLICATED PEPTIC ULCER WITH MCC","INPATIENT ONLY","$24,431.24 ","$18,079.12 ","$0.00 ","$23,976.51 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,976.51 ","$0.00 ","$0.00 "
"MS384","DRG","MS384","","UNCOMPLICATED PEPTIC ULCER WITHOUT MCC","INPATIENT ONLY","$33,274.53 ","$24,623.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS385","DRG","MS385","","INFLAMMATORY BOWEL DISEASE WITH MCC","INPATIENT ONLY","$67,760.04 ","$50,142.43 ","$0.00 ","$24,806.99 ","$0.00 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$0.00 ","$24,806.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,625.70 ","$0.00 "
"MS386","DRG","MS386","","INFLAMMATORY BOWEL DISEASE WITH CC","INPATIENT ONLY","$56,023.07 ","$41,457.07 ","$0.00 ","$21,190.92 ","$20,433.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,535.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,190.92 ","$19,557.33 ","$0.00 "
"MS387","DRG","MS387","","INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC","INPATIENT ONLY","$23,208.03 ","$17,173.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS388","DRG","MS388","","GASTROINTESTINAL OBSTRUCTION WITH MCC","INPATIENT ONLY","$77,758.35 ","$57,541.18 ","$0.00 ","$25,918.43 ","$25,918.43 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,224.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,599.99 ","$23,071.18 ","$0.00 "
"MS389","DRG","MS389","","GASTROINTESTINAL OBSTRUCTION WITH CC","INPATIENT ONLY","$39,413.46 ","$29,165.96 ","$0.00 ","$31,553.56 ","$0.00 ","$0.00 ","$0.00 ","$28,246.36 ","$31,553.56 ","$0.00 ","$0.00 ","$19,540.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,002.70 ","$18,610.37 ","$0.00 "
"MS390","DRG","MS390","","GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC","INPATIENT ONLY","$29,912.81 ","$22,135.48 ","$0.00 ","$95,740.02 ","$95,740.02 ","$0.00 ","$5,565.81 ","$0.00 ","$0.00 ","$5,593.59 ","$0.00 ","$17,763.43 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,327.23 ","$0.00 ","$16,917.55 ","$5,593.59 "
"MS391","DRG","MS391","","ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC","INPATIENT ONLY","$41,863.55 ","$30,979.03 ","$0.00 ","$23,230.90 ","$0.00 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$16,981.25 ","$22,242.27 ","$7,432.68 ","$17,525.21 ","$0.00 ","$12,380.02 ","$0.00 ","$23,230.90 ","$21,183.11 ","$0.00 "
"MS392","DRG","MS392","","ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC","INPATIENT ONLY","$33,170.14 ","$24,545.90 ","$0.00 ","$41,242.74 ","$12,630.39 ","$0.00 ","$2,286.70 ","$2,686.98 ","$3,100.38 ","$4,472.47 ","$10,470.63 ","$19,006.49 ","$11,228.32 ","$41,242.74 ","$23,420.75 ","$7,633.51 ","$4,002.23 ","$19,364.08 ","$18,101.42 ","$4,259.49 "
"MS393","DRG","MS393","","OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC","INPATIENT ONLY","$50,282.24 ","$37,208.86 ","$0.00 ","$26,411.73 ","$16,829.88 ","$15,078.24 ","$0.00 ","$18,875.00 ","$19,701.80 ","$0.00 ","$0.00 ","$24,904.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,411.73 ","$23,718.10 ","$0.00 "
"MS394","DRG","MS394","","OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC","INPATIENT ONLY","$43,731.97 ","$32,361.66 ","$0.00 ","$21,956.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,859.66 ","$12,898.88 ","$20,213.34 ","$7,280.15 ","$21,956.06 ","$0.00 ","$9,403.81 ","$5,243.56 ","$20,806.29 ","$19,250.80 ","$5,580.62 "
"MS395","DRG","MS395","","OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$22,243.70 ","$16,460.34 ","$0.00 ","$24,982.77 ","$24,982.77 ","$5,867.77 ","$0.00 ","$2,686.98 ","$3,100.38 ","$4,987.03 ","$8,998.00 ","$0.00 ","$7,147.50 ","$12,116.27 ","$0.00 ","$6,559.90 ","$4,462.69 ","$18,489.46 ","$0.00 ","$4,749.55 "
"MS405","DRG","MS405","","PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC","INPATIENT ONLY","$200,263.23 ","$148,194.79 ","$0.00 ","$50,890.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$50,890.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$48,467.35 ","$0.00 "
"MS406","DRG","MS406","","PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC","INPATIENT ONLY","$83,962.91 ","$62,132.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS407","DRG","MS407","","PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$379,474.22 ","$280,810.92 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS408","DRG","MS408","","BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC","INPATIENT ONLY","$436,154.41 ","$322,754.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS410","DRG","MS410","","BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC","INPATIENT ONLY","$300,972.34 ","$222,719.53 ","$0.00 ","$201,119.77 ","$193,135.50 ","$49,341.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$152,363.46 ","$0.00 ","$165,060.42 ","$201,119.77 ","$0.00 ","$26,144.96 ","$0.00 ","$26,701.64 ","$0.00 ","$0.00 "
"MS414","DRG","MS414","","CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC","INPATIENT ONLY","$156,040.59 ","$115,470.04 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS415","DRG","MS415","","CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC","INPATIENT ONLY","$136,109.70 ","$100,721.18 ","$0.00 ","$120,290.03 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$91,128.81 ","$0.00 ","$98,722.88 ","$120,290.03 ","$0.00 ","$20,566.86 ","$0.00 ","$29,900.46 ","$0.00 ","$0.00 "
"MS416","DRG","MS416","","CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC","INPATIENT ONLY","$292,085.37 ","$216,143.17 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS417","DRG","MS417","","LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC","INPATIENT ONLY","$137,676.65 ","$101,880.72 ","$0.00 ","$146,623.60 ","$0.00 ","$0.00 ","$21,096.73 ","$0.00 ","$0.00 ","$0.00 ","$111,078.49 ","$30,276.71 ","$120,335.03 ","$146,623.60 ","$0.00 ","$24,165.59 ","$0.00 ","$32,832.21 ","$28,834.96 ","$0.00 "
"MS418","DRG","MS418","","LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC","INPATIENT ONLY","$146,973.04 ","$108,760.05 ","$0.00 ","$84,039.69 ","$84,039.69 ","$0.00 ","$28,650.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,207.41 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,007.06 ","$0.00 "
"MS419","DRG","MS419","","LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC","INPATIENT ONLY","$132,793.00 ","$98,266.82 ","$0.00 ","$104,723.37 ","$91,322.65 ","$12,698.94 ","$10,708.77 ","$0.00 ","$0.00 ","$11,300.32 ","$79,335.88 ","$22,732.94 ","$85,947.21 ","$104,723.37 ","$67,774.35 ","$13,099.76 ","$10,762.21 ","$23,817.26 ","$21,650.42 ","$11,300.32 "
"MS420","DRG","MS420","","HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC","INPATIENT ONLY","$138,545.38 ","$102,523.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS423","DRG","MS423","","OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$287,776.74 ","$212,954.79 ","$0.00 ","$381,197.38 ","$0.00 ","$0.00 ","$0.00 ","$379,130.38 ","$381,197.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS432","DRG","MS432","","CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC","INPATIENT ONLY","$71,759.88 ","$53,102.31 ","$0.00 ","$28,036.05 ","$8,624.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,071.75 ","$26,263.25 ","$17,070.50 ","$27,475.36 ","$0.00 ","$18,278.31 ","$0.00 ","$28,036.05 ","$25,012.62 ","$0.00 "
"MS433","DRG","MS433","","CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC","INPATIENT ONLY","$45,714.27 ","$33,828.56 ","$0.00 ","$29,212.66 ","$4,086.60 ","$8,187.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,190.00 ","$20,855.02 ","$14,492.23 ","$29,212.66 ","$0.00 ","$10,345.09 ","$0.00 ","$21,573.12 ","$19,861.92 ","$0.00 "
"MS434","DRG","MS434","","CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC","INPATIENT ONLY","$20,195.51 ","$14,944.68 ","$0.00 ","$18,175.50 ","$4,086.60 ","$0.00 ","$6,206.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,175.50 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,310.00 ","$0.00 "
"MS435","DRG","MS435","","MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC","INPATIENT ONLY","$95,710.06 ","$70,825.44 ","$0.00 ","$27,004.64 ","$13,847.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,400.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,004.64 ","$24,190.62 ","$0.00 "
"MS436","DRG","MS436","","MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC","INPATIENT ONLY","$52,499.34 ","$38,849.51 ","$0.00 ","$21,514.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,514.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,489.83 ","$0.00 "
"MS437","DRG","MS437","","MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC","INPATIENT ONLY","$67,843.68 ","$50,204.32 ","$0.00 ","$19,475.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,475.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,475.99 ","$0.00 "
"MS438","DRG","MS438","","DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC","INPATIENT ONLY","$45,592.09 ","$33,738.15 ","$0.00 ","$26,524.44 ","$0.00 ","$0.00 ","$0.00 ","$10,747.92 ","$12,401.52 ","$0.00 ","$0.00 ","$24,998.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,524.44 ","$23,807.93 ","$0.00 "
"MS439","DRG","MS439","","DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC","INPATIENT ONLY","$35,242.46 ","$26,079.42 ","$0.00 ","$27,105.60 ","$27,105.60 ","$0.00 ","$8,501.51 ","$0.00 ","$0.00 ","$8,543.93 ","$11,649.00 ","$19,592.13 ","$3,287.36 ","$18,691.33 ","$0.00 ","$8,492.59 ","$8,137.08 ","$20,063.94 ","$18,659.17 ","$8,543.93 "
"MS440","DRG","MS440","","DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$36,890.80 ","$27,299.19 ","$0.00 ","$8,173.20 ","$8,173.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS441","DRG","MS441","","DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC","INPATIENT ONLY","$49,349.00 ","$36,518.26 ","$0.00 ","$26,532.44 ","$0.00 ","$0.00 ","$0.00 ","$10,747.92 ","$12,401.52 ","$0.00 ","$0.00 ","$26,532.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,575.49 ","$26,532.44 ","$0.00 "
"MS442","DRG","MS442","","DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC","INPATIENT ONLY","$39,164.06 ","$28,981.40 ","$0.00 ","$35,767.17 ","$16,346.40 ","$0.00 ","$0.00 ","$35,767.17 ","$35,767.17 ","$0.00 ","$0.00 ","$20,181.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,767.89 ","$19,220.20 ","$0.00 "
"MS443","DRG","MS443","","DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC","INPATIENT ONLY","$37,763.49 ","$27,944.98 ","$0.00 ","$38,930.80 ","$12,711.30 ","$5,812.44 ","$0.00 ","$0.00 ","$0.00 ","$6,477.83 ","$9,354.13 ","$0.00 ","$10,031.02 ","$38,930.80 ","$0.00 ","$6,819.53 ","$6,169.37 ","$18,700.96 ","$0.00 ","$6,477.83 "
"MS444","DRG","MS444","","DISORDERS OF THE BILIARY TRACT WITH MCC","INPATIENT ONLY","$40,567.37 ","$30,019.85 ","$0.00 ","$24,914.95 ","$16,346.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,914.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,728.52 ","$0.00 "
"MS445","DRG","MS445","","DISORDERS OF THE BILIARY TRACT WITH CC","INPATIENT ONLY","$39,233.35 ","$29,032.68 ","$0.00 ","$21,920.18 ","$0.00 ","$0.00 ","$10,502.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,145.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,920.18 ","$20,138.52 ","$0.00 "
"MS446","DRG","MS446","","DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC","INPATIENT ONLY","$46,325.27 ","$34,280.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS453","DRG","MS453","","COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC","INPATIENT ONLY","$438,917.25 ","$324,798.77 ","$0.00 ","$215,352.80 ","$0.00 ","$0.00 ","$0.00 ","$215,352.80 ","$215,352.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS454","DRG","MS454","","COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC","INPATIENT ONLY","$407,718.97 ","$301,712.04 ","$0.00 ","$104,673.75 ","$0.00 ","$0.00 ","$104,673.75 ","$0.00 ","$0.00 ","$77,117.24 ","$0.00 ","$55,659.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$63,264.79 ","$63,164.90 ","$53,008.86 ","$50,919.68 "
"MS455","DRG","MS455","","COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC","INPATIENT ONLY","$334,789.12 ","$247,743.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS456","DRG","MS456","","SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC","INPATIENT ONLY","$340,429.20 ","$251,917.61 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS457","DRG","MS457","","SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC","INPATIENT ONLY","$334,299.43 ","$247,381.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS459","DRG","MS459","","SPINAL FUSION EXCEPT CERVICAL WITH MCC","INPATIENT ONLY","$590,788.39 ","$437,183.41 ","$0.00 ","$294,344.86 ","$294,344.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$160,054.37 ","$60,627.44 ","$173,392.23 ","$211,271.76 ","$0.00 ","$68,686.54 ","$0.00 ","$69,101.93 ","$57,740.42 ","$0.00 "
"MS460","DRG","MS460","","SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC","INPATIENT ONLY","$243,368.62 ","$180,092.78 ","$0.00 ","$169,581.78 ","$0.00 ","$0.00 ","$49,968.85 ","$169,581.78 ","$169,581.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS463","DRG","MS463","","WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC","INPATIENT ONLY","$340,239.14 ","$251,776.96 ","$0.00 ","$407,660.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$308,834.05 ","$55,832.33 ","$334,570.22 ","$407,660.93 ","$0.00 ","$94,279.70 ","$0.00 ","$55,837.96 ","$53,173.65 ","$0.00 "
"MS464","DRG","MS464","","WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC","INPATIENT ONLY","$323,690.26 ","$239,530.79 ","$0.00 ","$146,335.63 ","$115,976.76 ","$0.00 ","$88,498.29 ","$0.00 ","$0.00 ","$28,628.74 ","$110,860.33 ","$0.00 ","$120,098.69 ","$146,335.63 ","$0.00 ","$29,598.76 ","$27,265.48 ","$37,258.44 ","$0.00 ","$28,628.74 "
"MS465","DRG","MS465","","WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$180,920.22 ","$133,880.96 ","$0.00 ","$101,350.92 ","$101,350.92 ","$23,618.90 ","$0.00 ","$0.00 ","$0.00 ","$13,952.11 ","$26,334.00 ","$0.00 ","$28,239.62 ","$77,963.23 ","$0.00 ","$19,198.54 ","$13,287.73 ","$28,785.73 ","$0.00 ","$13,952.11 "
"MS466","DRG","MS466","","REVISION OF HIP OR KNEE REPLACEMENT WITH MCC","INPATIENT ONLY","$222,148.64 ","$164,389.99 ","$0.00 ","$54,786.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$54,786.94 ","$0.00 ","$0.00 "
"MS467","DRG","MS467","","REVISION OF HIP OR KNEE REPLACEMENT WITH CC","INPATIENT ONLY","$270,187.14 ","$199,938.48 ","$0.00 ","$41,826.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$37,803.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$41,826.76 ","$36,003.24 ","$0.00 "
"MS468","DRG","MS468","","REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC","INPATIENT ONLY","$240,260.62 ","$177,792.86 ","$0.00 ","$36,110.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$36,110.24 ","$0.00 ","$0.00 "
"MS469","DRG","MS469","","MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT","INPATIENT ONLY","$181,244.35 ","$134,120.82 ","$0.00 ","$165,554.86 ","$0.00 ","$0.00 ","$0.00 ","$163,074.46 ","$165,554.86 ","$0.00 ","$0.00 ","$35,259.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,787.20 ","$33,580.84 ","$0.00 "
"MS470","DRG","MS470","","MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC","INPATIENT ONLY","$140,929.21 ","$104,287.62 ","$0.00 ","$90,107.90 ","$90,107.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,254.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,220.19 ","$25,956.32 ","$0.00 "
"MS471","DRG","MS471","","CERVICAL SPINAL FUSION WITH MCC","INPATIENT ONLY","$357,681.21 ","$264,684.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS472","DRG","MS472","","CERVICAL SPINAL FUSION WITH CC","INPATIENT ONLY","$261,184.95 ","$193,276.86 ","$0.00 ","$160,311.29 ","$0.00 ","$0.00 ","$97,395.39 ","$90,267.65 ","$90,267.65 ","$0.00 ","$121,447.94 ","$34,587.43 ","$131,568.61 ","$160,311.29 ","$0.00 ","$30,488.93 ","$0.00 ","$37,983.62 ","$32,940.41 ","$0.00 "
"MS473","DRG","MS473","","CERVICAL SPINAL FUSION WITHOUT CC/MCC","INPATIENT ONLY","$239,665.96 ","$177,352.81 ","$0.00 ","$99,766.44 ","$99,766.44 ","$0.00 ","$40,046.68 ","$73,815.33 ","$73,815.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS474","DRG","MS474","","AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC","INPATIENT ONLY","$201,974.02 ","$149,460.77 ","$0.00 ","$86,905.25 ","$0.00 ","$0.00 ","$0.00 ","$86,905.25 ","$86,905.25 ","$0.00 ","$0.00 ","$40,282.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,364.46 ","$0.00 "
"MS475","DRG","MS475","","AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC","INPATIENT ONLY","$105,803.89 ","$78,294.88 ","$0.00 ","$326,501.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$247,349.82 ","$28,160.30 ","$267,962.31 ","$326,501.77 ","$0.00 ","$64,048.46 ","$0.00 ","$30,303.06 ","$26,819.33 ","$0.00 "
"MS476","DRG","MS476","","AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$108,051.26 ","$79,957.93 ","$0.00 ","$9,120.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,120.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,685.83 ","$0.00 ","$0.00 ","$9,120.12 "
"MS477","DRG","MS477","","BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC","INPATIENT ONLY","$61,538.76 ","$45,538.68 ","$0.00 ","$39,729.61 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$39,729.61 ","$0.00 ","$0.00 "
"MS478","DRG","MS478","","BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC","INPATIENT ONLY","$39,367.17 ","$29,131.71 ","$0.00 ","$217,556.76 ","$217,556.76 ","$61,408.69 ","$0.00 ","$120,451.69 ","$121,691.89 ","$21,403.57 ","$0.00 ","$29,637.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,384.36 ","$32,067.82 ","$28,225.77 ","$21,403.57 "
"MS479","DRG","MS479","","BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC","INPATIENT ONLY","$106,309.92 ","$78,669.34 ","$0.00 ","$71,699.35 ","$0.00 ","$15,452.22 ","$15,243.66 ","$0.00 ","$0.00 ","$0.00 ","$24,503.88 ","$0.00 ","$18,769.33 ","$71,699.35 ","$0.00 ","$17,864.32 ","$0.00 ","$27,698.78 ","$0.00 ","$0.00 "
"MS480","DRG","MS480","","HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC","INPATIENT ONLY","$243,911.55 ","$180,494.55 ","$0.00 ","$155,993.30 ","$155,993.30 ","$0.00 ","$68,695.36 ","$78,713.33 ","$79,540.13 ","$0.00 ","$108,852.10 ","$34,430.27 ","$117,923.11 ","$143,684.76 ","$0.00 ","$30,258.36 ","$0.00 ","$37,795.79 ","$32,790.73 ","$0.00 "
"MS481","DRG","MS481","","HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC","INPATIENT ONLY","$187,285.44 ","$138,591.23 ","$0.00 ","$103,487.69 ","$103,487.69 ","$0.00 ","$34,406.15 ","$50,746.67 ","$51,986.87 ","$20,409.50 ","$28,707.25 ","$28,070.09 ","$19,240.38 ","$68,283.40 ","$91,568.13 ","$20,928.74 ","$16,097.59 ","$30,195.26 ","$26,733.42 ","$16,920.75 "
"MS482","DRG","MS482","","HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC","INPATIENT ONLY","$152,211.21 ","$112,636.30 ","$0.00 ","$106,385.28 ","$106,385.28 ","$94,795.46 ","$28,317.96 ","$0.00 ","$0.00 ","$15,767.20 ","$62,356.82 ","$25,046.15 ","$20,216.62 ","$82,311.01 ","$82,947.32 ","$16,492.99 ","$15,016.39 ","$26,581.60 ","$23,853.48 ","$15,767.20 "
"MS483","DRG","MS483","","MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES","INPATIENT ONLY","$217,236.63 ","$160,755.11 ","$0.00 ","$32,680.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,149.61 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,680.33 ","$28,713.91 ","$0.00 "
"MS485","DRG","MS485","","KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC","INPATIENT ONLY","$181,169.09 ","$134,065.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS486","DRG","MS486","","KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC","INPATIENT ONLY","$132,640.30 ","$98,153.82 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS487","DRG","MS487","","KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC","INPATIENT ONLY","$66,172.30 ","$48,967.50 ","$0.00 ","$24,785.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,785.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,605.52 ","$0.00 "
"MS488","DRG","MS488","","KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC","INPATIENT ONLY","$194,584.23 ","$143,992.33 ","$0.00 ","$263,384.75 ","$137,696.34 ","$0.00 ","$31,065.50 ","$11,740.43 ","$12,567.23 ","$14,369.52 ","$125,430.67 ","$27,259.61 ","$135,883.23 ","$165,568.51 ","$263,384.75 ","$19,739.85 ","$13,685.26 ","$29,226.72 ","$25,961.53 ","$14,369.52 "
"MS489","DRG","MS489","","KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC","INPATIENT ONLY","$85,707.36 ","$63,423.45 ","$0.00 ","$242,647.77 ","$199,162.73 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$93,585.19 ","$22,406.27 ","$101,383.95 ","$123,532.45 ","$242,647.77 ","$12,620.61 ","$0.00 ","$23,426.88 ","$21,339.30 ","$0.00 "
"MS492","DRG","MS492","","LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC","INPATIENT ONLY","$180,446.20 ","$133,530.19 ","$0.00 ","$167,518.79 ","$137,567.97 ","$0.00 ","$28,627.59 ","$75,969.03 ","$76,795.83 ","$0.00 ","$126,908.17 ","$37,346.90 ","$137,483.85 ","$167,518.79 ","$97,394.98 ","$42,010.85 ","$0.00 ","$41,281.24 ","$35,568.48 ","$0.00 "
"MS493","DRG","MS493","","LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC","INPATIENT ONLY","$173,538.94 ","$128,418.82 ","$4,787.73 ","$118,634.14 ","$118,634.14 ","$30,494.41 ","$20,250.93 ","$4,787.73 ","$5,201.13 ","$13,089.73 ","$82,516.28 ","$28,127.50 ","$89,392.64 ","$108,921.50 ","$67,758.80 ","$23,075.96 ","$12,466.42 ","$31,944.52 ","$28,127.50 ","$13,089.73 "
"MS494","DRG","MS494","","LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC","INPATIENT ONLY","$138,260.52 ","$102,312.78 ","$8,346.59 ","$95,441.38 ","$26,344.79 ","$13,742.95 ","$16,007.13 ","$37,586.24 ","$39,653.24 ","$13,089.73 ","$24,906.75 ","$26,181.24 ","$8,346.59 ","$77,751.89 ","$95,441.38 ","$18,158.03 ","$12,466.42 ","$27,938.05 ","$24,934.51 ","$13,089.73 "
"MS495","DRG","MS495","","LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC","INPATIENT ONLY","$91,782.64 ","$67,919.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS496","DRG","MS496","","LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC","INPATIENT ONLY","$169,241.03 ","$125,238.36 ","$0.00 ","$29,808.99 ","$19,806.91 ","$0.00 ","$0.00 ","$21,164.34 ","$23,644.74 ","$13,676.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,025.13 ","$29,808.99 ","$0.00 ","$13,676.38 "
"MS497","DRG","MS497","","LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC","INPATIENT ONLY","$75,872.17 ","$56,145.41 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS498","DRG","MS498","","LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC","INPATIENT ONLY","$117,318.76 ","$86,815.88 ","$0.00 ","$146,260.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$110,803.75 ","$30,532.28 ","$120,037.39 ","$146,260.94 ","$0.00 ","$24,540.49 ","$0.00 ","$33,137.63 ","$29,078.36 ","$0.00 "
"MS499","DRG","MS499","","LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC","INPATIENT ONLY","$81,325.84 ","$60,181.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS500","DRG","MS500","","SOFT TISSUE PROCEDURES WITH MCC","INPATIENT ONLY","$578,168.03 ","$427,844.34 ","$0.00 ","$102,731.36 ","$102,731.36 ","$0.00 ","$0.00 ","$49,944.68 ","$50,771.48 ","$0.00 ","$80,884.60 ","$0.00 ","$80,884.60 ","$80,884.60 ","$0.00 ","$80,884.60 ","$0.00 ","$37,768.84 ","$0.00 ","$0.00 "
"MS501","DRG","MS501","","SOFT TISSUE PROCEDURES WITH CC","INPATIENT ONLY","$72,783.50 ","$53,859.79 ","$0.00 ","$116,069.81 ","$4,437.05 ","$0.00 ","$0.00 ","$20,127.55 ","$21,463.17 ","$0.00 ","$87,931.67 ","$25,269.62 ","$95,259.31 ","$116,069.81 ","$62,879.13 ","$16,820.79 ","$0.00 ","$26,848.64 ","$24,066.30 ","$0.00 "
"MS502","DRG","MS502","","SOFT TISSUE PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$101,560.84 ","$75,155.02 ","$0.00 ","$164,767.02 ","$98,313.18 ","$0.00 ","$0.00 ","$10,747.92 ","$12,401.52 ","$0.00 ","$124,823.50 ","$22,827.91 ","$135,225.45 ","$164,767.02 ","$0.00 ","$14,731.48 ","$0.00 ","$23,930.76 ","$21,740.87 ","$0.00 "
"MS503","DRG","MS503","","FOOT PROCEDURES WITH MCC","INPATIENT ONLY","$73,724.81 ","$54,556.36 ","$0.00 ","$187,255.41 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$187,255.41 ","$32,367.16 ","$187,255.41 ","$148,306.29 ","$0.00 ","$187,255.41 ","$0.00 ","$35,330.35 ","$30,825.87 ","$0.00 "
"MS504","DRG","MS504","","FOOT PROCEDURES WITH CC","INPATIENT ONLY","$113,617.68 ","$84,077.08 ","$0.00 ","$142,601.36 ","$142,601.36 ","$33,045.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$87,686.05 ","$0.00 ","$94,993.22 ","$115,745.60 ","$0.00 ","$17,407.21 ","$0.00 ","$27,326.39 ","$0.00 ","$0.00 "
"MS505","DRG","MS505","","FOOT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$141,271.98 ","$104,541.27 ","$0.00 ","$133,223.81 ","$14,075.15 ","$0.00 ","$0.00 ","$954.94 ","$954.94 ","$0.00 ","$100,927.12 ","$0.00 ","$109,337.71 ","$133,223.81 ","$0.00 ","$16,855.87 ","$0.00 ","$26,878.91 ","$0.00 ","$0.00 "
"MS506","DRG","MS506","","MAJOR THUMB OR JOINT PROCEDURES","INPATIENT ONLY","$77,651.23 ","$57,461.91 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS507","DRG","MS507","","MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC","INPATIENT ONLY","$147,482.67 ","$109,137.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS508","DRG","MS508","","MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$152,347.28 ","$112,736.99 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS510","DRG","MS510","","SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC","INPATIENT ONLY","$272,856.35 ","$201,913.70 ","$0.00 ","$179,649.18 ","$0.00 ","$0.00 ","$0.00 ","$70,509.31 ","$71,336.11 ","$0.00 ","$136,097.86 ","$0.00 ","$147,439.34 ","$179,649.18 ","$0.00 ","$27,947.77 ","$0.00 ","$35,913.41 ","$0.00 ","$0.00 "
"MS511","DRG","MS511","","SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC","INPATIENT ONLY","$155,199.53 ","$114,847.65 ","$0.00 ","$119,097.38 ","$119,097.38 ","$0.00 ","$0.00 ","$25,351.72 ","$26,178.52 ","$14,912.43 ","$76,929.96 ","$26,678.75 ","$83,340.79 ","$101,547.55 ","$0.00 ","$18,887.80 ","$14,202.32 ","$28,532.58 ","$25,408.33 ","$14,912.43 "
"MS512","DRG","MS512","","SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$130,533.10 ","$96,594.49 ","$0.00 ","$69,039.85 ","$4,526.08 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$9,824.67 ","$20,814.75 ","$0.00 ","$8,928.39 ","$69,039.85 ","$47,895.51 ","$15,174.79 ","$9,356.83 ","$25,507.72 ","$0.00 ","$9,824.67 "
"MS513","DRG","MS513","","HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC","INPATIENT ONLY","$82,233.47 ","$60,852.77 ","$0.00 ","$95,133.80 ","$0.00 ","$0.00 ","$0.00 ","$39,948.95 ","$41,602.55 ","$0.00 ","$21,685.13 ","$0.00 ","$8,775.22 ","$34,223.36 ","$95,133.80 ","$15,809.32 ","$0.00 ","$26,024.64 ","$0.00 ","$0.00 "
"MS514","DRG","MS514","","HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$65,501.95 ","$48,471.44 ","$0.00 ","$38,957.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,668.50 ","$21,109.64 ","$5,825.91 ","$38,957.44 ","$0.00 ","$10,693.93 ","$0.00 ","$21,857.31 ","$20,104.47 ","$0.00 "
"MS515","DRG","MS515","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$247,874.96 ","$183,427.47 ","$0.00 ","$265,646.77 ","$265,646.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$158,611.27 ","$35,356.23 ","$171,828.87 ","$209,366.89 ","$0.00 ","$31,616.65 ","$0.00 ","$38,902.35 ","$33,672.60 ","$0.00 "
"MS516","DRG","MS516","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC","INPATIENT ONLY","$202,001.98 ","$149,481.47 ","$0.00 ","$192,718.78 ","$6,477.57 ","$18,238.84 ","$59,746.59 ","$0.00 ","$0.00 ","$0.00 ","$26,662.63 ","$27,053.91 ","$6,215.66 ","$41,578.09 ","$192,718.78 ","$19,438.14 ","$0.00 ","$28,980.91 ","$25,765.63 ","$0.00 "
"MS517","DRG","MS517","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$105,666.11 ","$78,192.92 ","$0.00 ","$260,109.45 ","$260,109.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$93,200.66 ","$0.00 ","$100,967.39 ","$123,024.86 ","$194,960.94 ","$14,187.39 ","$0.00 ","$24,703.31 ","$0.00 ","$0.00 "
"MS518","DRG","MS518","","BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR","INPATIENT ONLY","$305,899.54 ","$226,365.66 ","$0.00 ","$35,329.63 ","$0.00 ","$0.00 ","$34,583.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,329.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,329.63 ","$0.00 "
"MS519","DRG","MS519","","BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC","INPATIENT ONLY","$247,143.59 ","$182,886.26 ","$0.00 ","$259,633.24 ","$259,633.24 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$111,039.92 ","$0.00 ","$120,293.25 ","$146,572.73 ","$101,333.30 ","$19,133.38 ","$0.00 ","$28,732.65 ","$0.00 ","$0.00 "
"MS520","DRG","MS520","","BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC","INPATIENT ONLY","$263,064.66 ","$194,667.85 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS522","DRG","MS522","","HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC","INPATIENT ONLY","$164,480.28 ","$121,715.41 ","$0.00 ","$110,446.07 ","$110,446.07 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS533","DRG","MS533","","FRACTURES OF FEMUR WITH MCC","INPATIENT ONLY","$19,588.32 ","$14,495.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS534","DRG","MS534","","FRACTURES OF FEMUR WITHOUT MCC","INPATIENT ONLY","$31,460.66 ","$23,280.89 ","$0.00 ","$19,117.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,117.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,207.50 ","$0.00 "
"MS535","DRG","MS535","","FRACTURES OF HIP AND PELVIS WITH MCC","INPATIENT ONLY","$54,105.68 ","$40,038.20 ","$0.00 ","$55,410.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$16,872.63 ","$22,188.27 ","$45,475.45 ","$55,410.08 ","$0.00 ","$12,300.82 ","$0.00 ","$23,166.38 ","$21,131.69 ","$0.00 "
"MS536","DRG","MS536","","FRACTURES OF HIP AND PELVIS WITHOUT MCC","INPATIENT ONLY","$55,004.91 ","$40,703.63 ","$0.00 ","$51,105.97 ","$10,159.55 ","$0.00 ","$0.00 ","$18,103.32 ","$18,103.32 ","$0.00 ","$10,429.38 ","$18,985.98 ","$41,943.03 ","$51,105.97 ","$0.00 ","$7,603.43 ","$0.00 ","$19,339.59 ","$18,081.89 ","$0.00 "
"MS539","DRG","MS539","","OSTEOMYELITIS WITH MCC","INPATIENT ONLY","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS540","DRG","MS540","","OSTEOMYELITIS WITH CC","INPATIENT ONLY","$56,790.13 ","$42,024.70 ","$0.00 ","$23,761.72 ","$0.00 ","$0.00 ","$12,280.17 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,686.47 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,761.72 ","$21,606.16 ","$0.00 "
"MS541","DRG","MS541","","OSTEOMYELITIS WITHOUT CC/MCC","INPATIENT ONLY","$16,708.96 ","$12,364.63 ","$0.00 ","$20,549.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,467.13 ","$0.00 ","$6,521.61 ","$13,050.54 ","$0.00 ","$9,089.03 ","$0.00 ","$20,549.86 ","$0.00 ","$0.00 "
"MS542","DRG","MS542","","PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC","INPATIENT ONLY","$48,347.24 ","$35,776.96 ","$0.00 ","$28,047.49 ","$20,433.00 ","$17,380.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,047.49 ","$0.00 ","$0.00 "
"MS543","DRG","MS543","","PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC","INPATIENT ONLY","$138,113.94 ","$102,204.32 ","$0.00 ","$57,212.40 ","$57,212.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,021.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,020.07 ","$0.00 "
"MS544","DRG","MS544","","PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$34,792.01 ","$25,746.09 ","$0.00 ","$20,893.70 ","$20,893.70 ","$7,083.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,338.77 ","$0.00 ","$0.00 "
"MS545","DRG","MS545","","CONNECTIVE TISSUE DISORDERS WITH MCC","INPATIENT ONLY","$64,829.08 ","$47,973.52 ","$0.00 ","$41,824.02 ","$26,284.20 ","$22,618.69 ","$41,824.02 ","$0.00 ","$0.00 ","$21,592.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,564.56 ","$33,790.14 ","$0.00 ","$21,592.78 "
"MS546","DRG","MS546","","CONNECTIVE TISSUE DISORDERS WITH CC","INPATIENT ONLY","$55,499.36 ","$41,069.53 ","$0.00 ","$39,074.00 ","$20,716.21 ","$0.00 ","$11,246.10 ","$0.00 ","$0.00 ","$11,302.22 ","$16,546.75 ","$0.00 ","$17,744.13 ","$39,074.00 ","$23,690.09 ","$12,063.24 ","$10,764.02 ","$22,972.84 ","$0.00 ","$11,302.22 "
"MS547","DRG","MS547","","CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$25,917.84 ","$19,179.20 ","$0.00 ","$21,983.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,138.88 ","$19,338.61 ","$3,981.64 ","$21,983.21 ","$0.00 ","$8,120.69 ","$0.00 ","$19,760.97 ","$18,417.72 ","$0.00 "
"MS548","DRG","MS548","","SEPTIC ARTHRITIS WITH MCC","INPATIENT ONLY","$413,977.48 ","$306,343.34 ","$0.00 ","$33,605.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$33,605.39 ","$0.00 ","$0.00 "
"MS549","DRG","MS549","","SEPTIC ARTHRITIS WITH CC","INPATIENT ONLY","$59,228.85 ","$43,829.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS550","DRG","MS550","","SEPTIC ARTHRITIS WITHOUT CC/MCC","INPATIENT ONLY","$68,433.98 ","$50,641.15 ","$0.00 ","$20,201.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,880.00 ","$0.00 ","$3,746.96 ","$9,998.30 ","$0.00 ","$8,661.00 ","$0.00 ","$20,201.14 ","$0.00 ","$0.00 "
"MS551","DRG","MS551","","MEDICAL BACK PROBLEMS WITH MCC","INPATIENT ONLY","$114,513.50 ","$84,739.99 ","$0.00 ","$26,358.23 ","$26,358.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,545.38 ","$0.00 ","$24,664.14 ","$0.00 ","$0.00 ","$25,317.60 ","$0.00 ","$10,043.22 ","$26,125.09 ","$23,489.66 ","$10,545.38 "
"MS552","DRG","MS552","","MEDICAL BACK PROBLEMS WITHOUT MCC","INPATIENT ONLY","$72,301.05 ","$53,502.78 ","$3,841.70 ","$46,583.09 ","$42,175.25 ","$7,763.60 ","$8,531.79 ","$15,188.24 ","$16,428.44 ","$8,574.36 ","$12,538.63 ","$20,034.27 ","$3,841.70 ","$46,583.09 ","$46,274.32 ","$9,141.16 ","$8,166.06 ","$41,185.53 ","$19,080.26 ","$8,574.36 "
"MS553","DRG","MS553","","BONE DISEASES AND ARTHROPATHIES WITH MCC","INPATIENT ONLY","$51,045.58 ","$37,773.73 ","$0.00 ","$28,077.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,587.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,077.22 ","$21,511.79 ","$0.00 "
"MS554","DRG","MS554","","BONE DISEASES AND ARTHROPATHIES WITHOUT MCC","INPATIENT ONLY","$34,943.63 ","$25,858.29 ","$0.00 ","$19,573.95 ","$8,173.20 ","$6,492.58 ","$0.00 ","$0.00 ","$0.00 ","$7,576.01 ","$0.00 ","$19,182.11 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,215.26 ","$19,573.95 ","$18,268.68 ","$7,576.01 "
"MS555","DRG","MS555","","SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC","INPATIENT ONLY","$55,014.70 ","$40,710.88 ","$0.00 ","$25,282.80 ","$0.00 ","$0.00 ","$10,813.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,791.03 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,282.80 ","$0.00 "
"MS556","DRG","MS556","","SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC","INPATIENT ONLY","$15,857.45 ","$11,734.51 ","$0.00 ","$19,611.52 ","$0.00 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,611.52 ","$0.00 ","$0.00 "
"MS557","DRG","MS557","","TENDONITIS, MYOSITIS AND BURSITIS WITH MCC","INPATIENT ONLY","$24,976.66 ","$18,482.73 ","$0.00 ","$25,053.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,431.03 ","$20,050.25 ","$0.00 ","$7,288.53 ","$23,483.23 ","$0.00 ","$14,617.44 ","$8,981.94 ","$25,053.66 ","$0.00 ","$9,431.03 "
"MS558","DRG","MS558","","TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC","INPATIENT ONLY","$29,084.09 ","$21,522.23 ","$0.00 ","$20,179.91 ","$0.00 ","$0.00 ","$7,373.78 ","$0.00 ","$0.00 ","$7,410.57 ","$11,844.25 ","$19,689.18 ","$6,684.92 ","$14,709.82 ","$0.00 ","$8,634.93 ","$7,057.69 ","$20,179.91 ","$18,751.60 ","$7,410.57 "
"MS559","DRG","MS559","","AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC","INPATIENT ONLY","$71,553.76 ","$52,949.78 ","$0.00 ","$26,115.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,115.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,872.05 ","$0.00 "
"MS560","DRG","MS560","","AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC","INPATIENT ONLY","$37,994.06 ","$28,115.60 ","$0.00 ","$9,664.00 ","$0.00 ","$0.00 ","$4,841.55 ","$9,250.60 ","$9,664.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS561","DRG","MS561","","AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC","INPATIENT ONLY","$13,202.24 ","$9,769.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS562","DRG","MS562","","FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC","INPATIENT ONLY","$19,338.11 ","$14,310.20 ","$0.00 ","$29,572.12 ","$21,147.88 ","$0.00 ","$0.00 ","$9,814.28 ","$10,227.68 ","$0.00 ","$18,522.63 ","$23,008.32 ","$24,270.04 ","$29,572.12 ","$0.00 ","$13,503.74 ","$0.00 ","$24,146.36 ","$21,912.69 ","$0.00 "
"MS563","DRG","MS563","","FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC","INPATIENT ONLY","$45,179.03 ","$33,432.48 ","$2,686.98 ","$30,007.85 ","$8,550.54 ","$6,922.80 ","$10,446.77 ","$2,686.98 ","$3,100.38 ","$8,143.64 ","$11,742.50 ","$19,638.62 ","$24,627.66 ","$30,007.85 ","$29,566.02 ","$8,560.76 ","$7,755.86 ","$20,119.49 ","$18,703.45 ","$8,143.64 "
"MS564","DRG","MS564","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC","INPATIENT ONLY","$28,508.20 ","$21,096.07 ","$0.00 ","$25,493.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,783.08 ","$0.00 ","$24,135.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,269.60 ","$25,493.02 ","$22,985.93 ","$10,783.08 "
"MS565","DRG","MS565","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC","INPATIENT ONLY","$58,776.46 ","$43,494.58 ","$0.00 ","$58,773.78 ","$0.00 ","$0.00 ","$0.00 ","$22,118.54 ","$23,835.84 ","$10,783.08 ","$13,481.88 ","$0.00 ","$42,888.55 ","$52,258.04 ","$58,773.78 ","$9,828.83 ","$10,269.60 ","$21,152.55 ","$0.00 ","$10,783.08 "
"MS566","DRG","MS566","","OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$52,050.86 ","$38,517.64 ","$0.00 ","$19,333.07 ","$14,242.21 ","$0.00 ","$0.00 ","$12,501.26 ","$13,328.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,333.07 ","$0.00 ","$0.00 "
"MS570","DRG","MS570","","SKIN DEBRIDEMENT WITH MCC","INPATIENT ONLY","$176,422.47 ","$130,552.63 ","$0.00 ","$37,352.79 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,679.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$37,352.79 ","$29,679.42 ","$0.00 "
"MS571","DRG","MS571","","SKIN DEBRIDEMENT WITH CC","INPATIENT ONLY","$85,212.35 ","$63,057.14 ","$0.00 ","$92,480.47 ","$0.00 ","$0.00 ","$14,515.09 ","$80,227.85 ","$82,294.85 ","$0.00 ","$70,060.96 ","$25,230.67 ","$7,827.96 ","$92,480.47 ","$0.00 ","$16,763.65 ","$0.00 ","$26,802.10 ","$24,029.21 ","$0.00 "
"MS572","DRG","MS572","","SKIN DEBRIDEMENT WITHOUT CC/MCC","INPATIENT ONLY","$94,703.95 ","$70,080.92 ","$0.00 ","$187,600.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$187,600.31 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS574","DRG","MS574","","SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC","INPATIENT ONLY","$148,433.14 ","$109,840.52 ","$0.00 ","$94,618.60 ","$94,618.60 ","$23,472.88 ","$0.00 ","","","","","","","","","","","","",""
"MS575","DRG","MS575","","SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC","INPATIENT ONLY","$159,802.59 ","$118,253.92 ","$0.00 ","$106,610.25 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$106,610.25 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS576","DRG","MS576","","SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC","INPATIENT ONLY","$201,124.76 ","$148,832.32 ","$0.00 ","$52,745.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$52,745.32 ","$0.00 ","$0.00 "
"MS577","DRG","MS577","","SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC","INPATIENT ONLY","$326,238.97 ","$241,416.84 ","$0.00 ","$210,439.66 ","$0.00 ","$0.00 ","$21,509.22 ","$0.00 ","$0.00 ","$21,616.55 ","$159,423.97 ","$30,310.19 ","$172,709.30 ","$210,439.66 ","$0.00 ","$30,411.56 ","$20,587.20 ","$32,872.23 ","$28,866.85 ","$21,616.55 "
"MS578","DRG","MS578","","SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC","INPATIENT ONLY","$195,675.49 ","$144,799.86 ","$0.00 ","$89,151.39 ","$0.00 ","$0.00 ","$15,734.20 ","$41,042.07 ","$41,042.07 ","$0.00 ","$67,538.93 ","$0.00 ","$6,314.74 ","$89,151.39 ","$0.00 ","$16,313.56 ","$0.00 ","$26,435.44 ","$0.00 ","$0.00 "
"MS579","DRG","MS579","","OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC","INPATIENT ONLY","$204,580.32 ","$151,389.44 ","$0.00 ","$37,531.20 ","$0.00 ","$0.00 ","$0.00 ","$13,787.57 ","$15,441.17 ","$0.00 ","$0.00 ","$34,208.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$37,531.20 ","$32,579.85 ","$0.00 "
"MS580","DRG","MS580","","OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC","INPATIENT ONLY","$135,202.42 ","$100,049.79 ","$0.00 ","$103,996.14 ","$103,996.14 ","$0.00 ","$17,934.78 ","$65,020.71 ","$65,020.71 ","$17,313.20 ","$73,225.58 ","$24,796.03 ","$13,426.57 ","$96,657.78 ","$0.00 ","$16,126.10 ","$13,096.07 ","$26,282.71 ","$23,615.27 ","$13,137.34 "
"MS581","DRG","MS581","","OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$103,131.58 ","$76,317.37 ","$0.00 ","$289,721.02 ","$98,764.64 ","$0.00 ","$34,620.26 ","$0.00 ","$0.00 ","$9,351.17 ","$219,485.64 ","$22,377.58 ","$237,776.11 ","$289,721.02 ","$0.00 ","$51,492.35 ","$8,905.88 ","$23,392.60 ","$21,311.98 ","$9,351.17 "
"MS582","DRG","MS582","","MASTECTOMY FOR MALIGNANCY WITH CC/MCC","INPATIENT ONLY","$129,566.31 ","$95,879.07 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS583","DRG","MS583","","MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$162,444.59 ","$120,209.00 ","$0.00 ","$22,037.12 ","$0.00 ","$0.00 ","$22,037.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS584","DRG","MS584","","BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC","INPATIENT ONLY","$94,531.64 ","$69,953.41 ","$0.00 ","$474,664.05 ","$474,664.05 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$16,271.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$15,496.32 ","$0.00 ","$0.00 ","$16,271.13 "
"MS585","DRG","MS585","","BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$165,756.69 ","$122,659.95 ","$0.00 ","$77,375.13 ","$0.00 ","$0.00 ","$32,770.74 ","$0.00 ","$0.00 ","$77,375.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$66,928.30 ","$0.00 ","$0.00 ","$15,175.67 "
"MS592","DRG","MS592","","SKIN ULCERS WITH MCC","INPATIENT ONLY","$22,209.32 ","$16,434.90 ","$0.00 ","$21,094.03 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,094.03 ","$0.00 ","$0.00 "
"MS593","DRG","MS593","","SKIN ULCERS WITH CC","INPATIENT ONLY","$15,697.87 ","$11,616.42 ","$0.00 ","$22,518.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,646.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,518.78 ","$20,615.57 ","$0.00 "
"MS594","DRG","MS594","","SKIN ULCERS WITHOUT CC/MCC","INPATIENT ONLY","$24,390.66 ","$18,049.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS595","DRG","MS595","","MAJOR SKIN DISORDERS WITH MCC","INPATIENT ONLY","$29,157.59 ","$21,576.62 ","$0.00 ","$525,887.27 ","$525,887.27 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS596","DRG","MS596","","MAJOR SKIN DISORDERS WITHOUT MCC","INPATIENT ONLY","$18,558.10 ","$13,732.99 ","$0.00 ","$123,653.36 ","$0.00 ","$0.00 ","$0.00 ","$123,653.36 ","$123,653.36 ","$0.00 ","$0.00 ","$20,459.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,100.29 ","$19,485.10 ","$0.00 "
"MS597","DRG","MS597","","MALIGNANT BREAST DISORDERS WITH MCC","INPATIENT ONLY","$151,439.02 ","$112,064.87 ","$0.00 ","$26,970.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,679.69 ","$0.00 ","$25,371.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,123.52 ","$26,970.32 ","$24,163.28 ","$11,679.69 "
"MS598","DRG","MS598","","MALIGNANT BREAST DISORDERS WITH CC","INPATIENT ONLY","$10,043.51 ","$7,432.20 ","$0.00 ","$35,696.67 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,968.25 ","$21,241.80 ","$10,944.14 ","$35,696.67 ","$0.00 ","$10,912.47 ","$0.00 ","$22,035.33 ","$20,230.29 ","$0.00 "
"MS600","DRG","MS600","","NON-MALIGNANT BREAST DISORDERS WITH CC/MCC","INPATIENT ONLY","$24,329.27 ","$18,003.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS601","DRG","MS601","","NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$11,235.84 ","$8,314.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS602","DRG","MS602","","CELLULITIS WITH MCC","INPATIENT ONLY","$39,242.55 ","$29,039.49 ","$0.00 ","$24,821.74 ","$4,323.53 ","$12,993.19 ","$0.00 ","$5,623.04 ","$5,813.88 ","$0.00 ","$0.00 ","$23,573.49 ","$0.00 ","$0.00 ","$18,754.05 ","$0.00 ","$0.00 ","$24,821.74 ","$22,450.94 ","$0.00 "
"MS603","DRG","MS603","","CELLULITIS WITHOUT MCC","INPATIENT ONLY","$33,623.54 ","$24,881.42 ","$0.00 ","$20,033.73 ","$16,457.97 ","$7,539.56 ","$0.00 ","$8,060.94 ","$9,301.14 ","$8,400.36 ","$11,598.13 ","$19,566.86 ","$6,546.00 ","$17,835.13 ","$0.00 ","$8,455.50 ","$8,000.35 ","$20,033.73 ","$18,635.10 ","$8,400.36 "
"MS604","DRG","MS604","","TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC","INPATIENT ONLY","$58,470.55 ","$43,268.21 ","$0.00 ","$101,032.73 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$76,539.94 ","$23,810.62 ","$82,918.27 ","$101,032.73 ","$0.00 ","$14,680.60 ","$0.00 ","$25,105.11 ","$22,676.78 ","$0.00 "
"MS605","DRG","MS605","","TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC","INPATIENT ONLY","$44,177.90 ","$32,691.65 ","$0.00 ","$33,846.48 ","$11,723.60 ","$0.00 ","$6,598.94 ","$12,615.31 ","$12,615.31 ","$6,631.86 ","$12,040.88 ","$19,786.89 ","$27,778.04 ","$33,846.48 ","$0.00 ","$8,778.29 ","$6,316.06 ","$20,354.44 ","$18,844.66 ","$6,631.86 "
"MS606","DRG","MS606","","MINOR SKIN DISORDERS WITH MCC","INPATIENT ONLY","$38,821.50 ","$28,727.91 ","$0.00 ","$25,358.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,358.28 ","$0.00 ","$0.00 "
"MS607","DRG","MS607","","MINOR SKIN DISORDERS WITHOUT MCC","INPATIENT ONLY","$24,146.53 ","$17,868.43 ","$0.00 ","$19,891.64 ","$4,312.35 ","$0.00 ","$6,557.31 ","$0.00 ","$0.00 ","$0.00 ","$11,358.88 ","$19,447.95 ","$6,767.14 ","$9,573.60 ","$0.00 ","$8,281.08 ","$0.00 ","$19,891.64 ","$18,521.86 ","$0.00 "
"MS614","DRG","MS614","","ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC","INPATIENT ONLY","$332,589.59 ","$246,116.30 ","$0.00 ","$167,928.51 ","$0.00 ","$0.00 ","$39,122.95 ","$0.00 ","$0.00 ","$0.00 ","$127,218.57 ","$30,431.14 ","$137,820.12 ","$167,928.51 ","$0.00 ","$24,392.14 ","$0.00 ","$33,016.77 ","$28,982.04 ","$0.00 "
"MS615","DRG","MS615","","ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$152,983.56 ","$113,207.83 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS616","DRG","MS616","","AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC","INPATIENT ONLY","$192,155.28 ","$142,194.91 ","$0.00 ","$45,817.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$41,143.04 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$45,817.70 ","$39,183.85 ","$0.00 "
"MS617","DRG","MS617","","AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC","INPATIENT ONLY","$70,219.82 ","$51,962.67 ","$0.00 ","$78,850.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,205.38 ","$27,820.65 ","$30,246.42 ","$78,850.16 ","$0.00 ","$20,562.86 ","$0.00 ","$29,897.18 ","$26,495.86 ","$0.00 "
"MS622","DRG","MS622","","SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC","INPATIENT ONLY","$231,450.41 ","$171,273.30 ","$0.00 ","$41,216.66 ","$0.00 ","$41,216.66 ","$0.00 ","","","","","","","","","","","","",""
"MS623","DRG","MS623","","SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC","INPATIENT ONLY","$112,314.61 ","$83,112.81 ","$0.00 ","$37,368.58 ","$0.00 ","$0.00 ","$0.00 ","$32,821.18 ","$37,368.58 ","$0.00 ","$0.00 ","$25,933.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,698.30 ","$0.00 "
"MS626","DRG","MS626","","THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC","INPATIENT ONLY","$190,024.42 ","$140,618.07 ","$0.00 ","$6,200.76 ","$0.00 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS627","DRG","MS627","","THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$133,664.81 ","$98,911.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS628","DRG","MS628","","OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$110,871.85 ","$82,045.17 ","$0.00 ","$39,014.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$39,014.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$37,156.53 ","$0.00 "
"MS629","DRG","MS629","","OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC","INPATIENT ONLY","$112,509.13 ","$83,256.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS630","DRG","MS630","","OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$158,798.79 ","$117,511.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS637","DRG","MS637","","DIABETES WITH MCC","INPATIENT ONLY","$36,108.73 ","$26,720.46 ","$0.00 ","$40,133.70 ","$16,572.15 ","$12,446.04 ","$23,792.53 ","$12,812.76 ","$13,226.16 ","$12,842.52 ","$19,053.38 ","$23,272.11 ","$20,432.15 ","$40,133.70 ","$0.00 ","$13,890.67 ","$12,230.98 ","$24,461.58 ","$22,163.91 ","$12,842.52 "
"MS638","DRG","MS638","","DIABETES WITH CC","INPATIENT ONLY","$34,793.06 ","$25,746.86 ","$0.00 ","$22,063.63 ","$12,998.32 ","$0.00 ","$7,457.98 ","$10,747.92 ","$12,401.52 ","$3,201.70 ","$12,156.38 ","$19,844.30 ","$3,621.13 ","$22,063.63 ","$0.00 ","$8,862.48 ","$2,865.07 ","$20,365.28 ","$18,899.33 ","$3,049.24 "
"MS639","DRG","MS639","","DIABETES WITHOUT CC/MCC","INPATIENT ONLY","$23,626.99 ","$17,483.97 ","$0.00 ","$31,516.95 ","$0.00 ","$0.00 ","$4,826.72 ","$8,310.02 ","$8,914.26 ","$5,219.92 ","$8,431.50 ","$17,993.04 ","$7,233.31 ","$31,516.95 ","$0.00 ","$6,146.90 ","$4,971.35 ","$18,153.00 ","$17,136.23 ","$5,219.92 "
"MS640","DRG","MS640","","MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC","INPATIENT ONLY","$49,024.53 ","$36,278.15 ","$0.00 ","$79,244.98 ","$8,356.69 ","$0.00 ","$9,176.07 ","$0.00 ","$0.00 ","$9,221.86 ","$60,034.09 ","$22,100.13 ","$17,903.38 ","$79,244.98 ","$0.00 ","$12,171.50 ","$8,782.73 ","$23,061.04 ","$21,047.74 ","$9,221.86 "
"MS641","DRG","MS641","","MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC","INPATIENT ONLY","$51,782.41 ","$38,318.98 ","$0.00 ","$120,359.68 ","$12,711.30 ","$6,293.53 ","$0.00 ","$8,424.16 ","$8,424.16 ","$7,062.58 ","$91,181.59 ","$17,809.69 ","$98,780.05 ","$120,359.68 ","$0.00 ","$7,584.39 ","$6,726.27 ","$19,324.07 ","$16,961.90 ","$7,062.58 "
"MS642","DRG","MS642","","INBORN AND OTHER DISORDERS OF METABOLISM","INPATIENT ONLY","$38,588.82 ","$28,555.73 ","$0.00 ","$6,200.76 ","$0.00 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS643","DRG","MS643","","ENDOCRINE DISORDERS WITH MCC","INPATIENT ONLY","$53,294.85 ","$39,438.19 ","$0.00 ","$82,100.01 ","$0.00 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$62,196.98 ","$24,910.85 ","$22,826.66 ","$82,100.01 ","$0.00 ","$16,294.50 ","$0.00 ","$26,419.91 ","$23,724.62 ","$0.00 "
"MS644","DRG","MS644","","ENDOCRINE DISORDERS WITH CC","INPATIENT ONLY","$30,234.31 ","$22,373.39 ","$0.00 ","$21,541.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,828.37 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,541.26 ","$19,836.54 ","$0.00 "
"MS645","DRG","MS645","","ENDOCRINE DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$20,021.98 ","$14,816.27 ","$0.00 ","$19,394.31 ","$0.00 ","$0.00 ","$4,885.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,031.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,394.31 ","$18,125.50 ","$0.00 "
"MS653","DRG","MS653","","MAJOR BLADDER PROCEDURES WITH MCC","INPATIENT ONLY","$422,791.72 ","$312,865.87 ","$0.00 ","$120,632.51 ","$120,632.51 ","$0.00 ","$45,216.19 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$58,358.97 ","$0.00 ","$0.00 "
"MS654","DRG","MS654","","MAJOR BLADDER PROCEDURES WITH CC","INPATIENT ONLY","$254,371.61 ","$188,234.99 ","$0.00 ","$398,005.53 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$398,005.53 ","$0.00 ","$33,020.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$398,005.53 ","$38,871.58 ","$31,448.06 ","$398,005.53 "
"MS655","DRG","MS655","","MAJOR BLADDER PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$248,905.14 ","$184,189.80 ","$0.00 ","$75,740.26 ","$0.00 ","$0.00 ","$0.00 ","$74,500.06 ","$75,740.26 ","$0.00 ","$0.00 ","$27,896.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,568.11 ","$0.00 "
"MS656","DRG","MS656","","KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC","INPATIENT ONLY","$508,652.91 ","$376,403.15 ","$0.00 ","$253,891.46 ","$0.00 ","$0.00 ","$0.00 ","$252,651.26 ","$253,891.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS657","DRG","MS657","","KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC","INPATIENT ONLY","$225,332.95 ","$166,746.38 ","$0.00 ","$173,329.09 ","$0.00 ","$0.00 ","$0.00 ","$172,088.89 ","$173,329.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS658","DRG","MS658","","KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC","INPATIENT ONLY","$296,090.66 ","$219,107.09 ","$0.00 ","$58,312.85 ","$0.00 ","$0.00 ","$0.00 ","$58,312.85 ","$58,312.85 ","$0.00 ","$0.00 ","$24,530.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,362.74 ","$0.00 "
"MS659","DRG","MS659","","KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC","INPATIENT ONLY","$74,221.21 ","$54,923.70 ","$0.00 ","$35,029.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,090.65 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,657.76 ","$35,029.80 ","$0.00 ","$9,090.65 "
"MS660","DRG","MS660","","KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC","INPATIENT ONLY","$15,538.14 ","$11,498.22 ","$0.00 ","$175,248.02 ","$175,248.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,511.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$75,856.50 ","$22,391.71 ","$0.00 "
"MS661","DRG","MS661","","KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC","INPATIENT ONLY","$84,694.84 ","$62,674.18 ","$0.00 ","$160,446.31 ","$115,839.73 ","$21,549.38 ","$40,633.76 ","$8,060.94 ","$9,301.14 ","$0.00 ","$121,550.23 ","$0.00 ","$131,679.42 ","$160,446.31 ","$0.00 ","$12,993.46 ","$0.00 ","$44,096.27 ","$0.00 ","$0.00 "
"MS663","DRG","MS663","","MINOR BLADDER PROCEDURES WITH CC","INPATIENT ONLY","$199,962.84 ","$147,972.50 ","$0.00 ","$132,197.62 ","$0.00 ","$26,512.51 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$100,149.71 ","$0.00 ","$108,495.52 ","$132,197.62 ","$0.00 ","$15,271.03 ","$0.00 ","$25,586.10 ","$0.00 ","$0.00 "
"MS664","DRG","MS664","","MINOR BLADDER PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$0.00 ","$0.00 ","$0.00 ","$12,130.79 ","$0.00 ","$0.00 ","$0.00 ","$11,717.39 ","$12,130.79 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS667","DRG","MS667","","PROSTATECTOMY WITHOUT CC/MCC","INPATIENT ONLY","$77,902.65 ","$57,647.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS668","DRG","MS668","","TRANSURETHRAL PROCEDURES WITH MCC","INPATIENT ONLY","$158,833.08 ","$117,536.48 ","$0.00 ","$35,915.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,915.88 ","$0.00 ","$0.00 "
"MS669","DRG","MS669","","TRANSURETHRAL PROCEDURES WITH CC","INPATIENT ONLY","$91,302.59 ","$67,563.92 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS670","DRG","MS670","","TRANSURETHRAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$139,074.86 ","$102,915.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS671","DRG","MS671","","URETHRAL PROCEDURES WITH CC/MCC","INPATIENT ONLY","$232,859.23 ","$172,315.83 ","$0.00 ","$156,574.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$118,616.94 ","$26,291.95 ","$128,501.69 ","$156,574.35 ","$0.00 ","$18,320.42 ","$0.00 ","$28,070.35 ","$25,039.95 ","$0.00 "
"MS672","DRG","MS672","","URETHRAL PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$137,707.44 ","$101,903.51 ","$0.00 ","$177,791.94 ","$177,791.94 ","$36,697.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$103,447.01 ","$0.00 ","$112,067.60 ","$136,550.05 ","$0.00 ","$10,357.11 ","$0.00 ","$21,582.93 ","$0.00 ","$0.00 "
"MS673","DRG","MS673","","OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC","INPATIENT ONLY","$110,049.20 ","$81,436.41 ","$0.00 ","$42,337.17 ","$34,498.80 ","$31,260.58 ","$25,130.83 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$36,410.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$42,337.17 ","$36,410.02 ","$0.00 "
"MS674","DRG","MS674","","OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC","INPATIENT ONLY","$131,367.95 ","$97,212.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS675","DRG","MS675","","OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$139,199.75 ","$103,007.82 ","$0.00 ","$26,473.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,473.00 ","$0.00 ","$0.00 "
"MS682","DRG","MS682","","RENAL FAILURE WITH MCC","INPATIENT ONLY","$43,843.12 ","$32,443.91 ","$0.00 ","$45,225.20 ","$45,225.20 ","$13,561.75 ","$0.00 ","$12,937.30 ","$13,032.72 ","$15,998.23 ","$20,322.50 ","$23,902.86 ","$21,793.11 ","$26,628.42 ","$0.00 ","$14,815.93 ","$11,998.26 ","$25,215.35 ","$22,764.63 ","$12,616.02 "
"MS683","DRG","MS683","","RENAL FAILURE WITH CC","INPATIENT ONLY","$43,023.52 ","$31,837.40 ","$0.00 ","$31,160.10 ","$16,589.21 ","$0.00 ","$0.00 ","$3,375.26 ","$3,375.26 ","$0.00 ","$12,337.88 ","$19,934.50 ","$10,177.45 ","$31,160.10 ","$0.00 ","$8,994.81 ","$0.00 ","$20,236.40 ","$18,985.24 ","$0.00 "
"MS684","DRG","MS684","","RENAL FAILURE WITHOUT CC/MCC","INPATIENT ONLY","$10,087.95 ","$7,465.08 ","$0.00 ","$18,170.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,460.38 ","$0.00 ","$3,360.22 ","$8,379.35 ","$0.00 ","$6,167.96 ","$0.00 ","$18,170.14 ","$0.00 ","$0.00 "
"MS686","DRG","MS686","","KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC","INPATIENT ONLY","$27,117.25 ","$20,066.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS687","DRG","MS687","","KIDNEY AND URINARY TRACT NEOPLASMS WITH CC","INPATIENT ONLY","$34,699.96 ","$25,677.97 ","$0.00 ","$21,741.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,741.34 ","$0.00 ","$0.00 "
"MS689","DRG","MS689","","KIDNEY AND URINARY TRACT INFECTIONS WITH MCC","INPATIENT ONLY","$52,264.96 ","$38,676.07 ","$0.00 ","$22,280.33 ","$12,330.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,446.82 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,280.33 ","$20,425.54 ","$0.00 "
"MS690","DRG","MS690","","KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC","INPATIENT ONLY","$34,630.42 ","$25,626.51 ","$0.00 ","$38,475.04 ","$4,086.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,873.50 ","$19,206.72 ","$6,663.05 ","$38,475.04 ","$0.00 ","$7,927.21 ","$0.00 ","$17,599.41 ","$18,292.11 ","$0.00 "
"MS693","DRG","MS693","","URINARY STONES WITH MCC","INPATIENT ONLY","$37,763.02 ","$27,944.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS694","DRG","MS694","","URINARY STONES WITHOUT MCC","INPATIENT ONLY","$27,812.82 ","$20,581.49 ","$0.00 ","$22,027.43 ","$4,116.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,180.50 ","$18,862.29 ","$8,086.81 ","$22,027.43 ","$0.00 ","$7,422.00 ","$0.00 ","$19,191.77 ","$17,964.09 ","$0.00 "
"MS695","DRG","MS695","","KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC","INPATIENT ONLY","$30,389.68 ","$22,488.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS696","DRG","MS696","","KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC","INPATIENT ONLY","$8,697.46 ","$6,436.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS698","DRG","MS698","","OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC","INPATIENT ONLY","$62,273.78 ","$46,082.60 ","$0.00 ","$26,363.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,863.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,363.55 ","$23,679.70 ","$0.00 "
"MS699","DRG","MS699","","OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC","INPATIENT ONLY","$34,407.79 ","$25,461.76 ","$0.00 ","$21,922.34 ","$8,173.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$4,436.27 ","$14,199.63 ","$20,859.81 ","$10,876.54 ","$19,704.17 ","$0.00 ","$10,352.10 ","$3,969.84 ","$21,922.34 ","$19,866.49 ","$4,225.02 "
"MS700","DRG","MS700","","OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$33,843.09 ","$25,043.89 ","$0.00 ","$35,130.91 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$10,198.38 ","$18,871.19 ","$7,542.32 ","$35,130.91 ","$0.00 ","$7,435.02 ","$0.00 ","$19,202.40 ","$17,972.56 ","$0.00 "
"MS707","DRG","MS707","","MAJOR MALE PELVIC PROCEDURES WITH CC/MCC","INPATIENT ONLY","$245,462.36 ","$181,642.15 ","$0.00 ","$26,581.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,581.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,315.26 ","$0.00 "
"MS708","DRG","MS708","","MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$191,309.76 ","$141,569.22 ","$0.00 ","$25,003.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,725.19 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,003.02 ","$22,595.42 ","$0.00 "
"MS709","DRG","MS709","","PENIS PROCEDURES WITH CC/MCC","INPATIENT ONLY","$184,084.60 ","$136,222.60 ","$0.00 ","$43,219.19 ","$0.00 ","$0.00 ","$0.00 ","$41,565.59 ","$43,219.19 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,790.56 ","$0.00 ","$0.00 "
"MS710","DRG","MS710","","PENIS PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$64,254.48 ","$47,548.32 ","$0.00 ","$120,205.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$120,205.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS711","DRG","MS711","","TESTES PROCEDURES WITH CC/MCC","INPATIENT ONLY","$99,610.22 ","$73,711.56 ","$0.00 ","$85,899.31 ","$0.00 ","$0.00 ","$17,621.76 ","$0.00 ","$0.00 ","$0.00 ","$65,075.23 ","$0.00 ","$4,158.09 ","$85,899.31 ","$0.00 ","$21,484.09 ","$0.00 ","$30,647.69 ","$0.00 ","$0.00 "
"MS713","DRG","MS713","","TRANSURETHRAL PROSTATECTOMY WITH CC/MCC","INPATIENT ONLY","$82,750.61 ","$61,235.45 ","$0.00 ","$25,084.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,822.56 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,211.96 ","$25,084.68 ","$0.00 ","$12,822.56 "
"MS714","DRG","MS714","","TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC","INPATIENT ONLY","$112,034.77 ","$82,905.73 ","$0.00 ","$20,620.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,620.89 ","$0.00 ","$0.00 "
"MS715","DRG","MS715","","OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC","INPATIENT ONLY","$40,796.73 ","$30,189.58 ","$0.00 ","$148,588.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$112,566.97 ","$0.00 ","$121,947.55 ","$148,588.40 ","$0.00 ","$21,416.93 ","$0.00 ","$30,592.97 ","$0.00 ","$0.00 "
"MS717","DRG","MS717","","OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC","INPATIENT ONLY","$2,327,046.38 ","$1,722,014.32 ","$0.00 ","$326,740.55 ","$178,318.50 ","$0.00 ","$0.00 ","$24,896.03 ","$26,963.03 ","$0.00 ","$0.00 ","$23,674.83 ","$0.00 ","$0.00 ","$326,740.55 ","$0.00 ","$0.00 ","$0.00 ","$23,674.83 ","$0.00 "
"MS718","DRG","MS718","","OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$158,309.83 ","$117,149.27 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS722","DRG","MS722","","MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC","INPATIENT ONLY","$13,710.93 ","$10,146.09 ","$0.00 ","$26,136.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,136.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,892.20 ","$0.00 "
"MS723","DRG","MS723","","MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC","INPATIENT ONLY","$21,568.66 ","$15,960.81 ","$0.00 ","$22,188.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,370.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,188.86 ","$20,352.65 ","$0.00 "
"MS725","DRG","MS725","","BENIGN PROSTATIC HYPERTROPHY WITH MCC","INPATIENT ONLY","$120,705.19 ","$89,321.84 ","$0.00 ","$23,861.50 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,381.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,861.50 ","$21,315.89 ","$0.00 "
"MS727","DRG","MS727","","INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC","INPATIENT ONLY","$19,627.88 ","$14,524.63 ","$0.00 ","$23,556.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,556.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,434.67 ","$0.00 "
"MS728","DRG","MS728","","INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC","INPATIENT ONLY","$17,324.91 ","$12,820.43 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS729","DRG","MS729","","OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC","INPATIENT ONLY","$53,996.15 ","$39,957.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS730","DRG","MS730","","OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$55,239.20 ","$40,877.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS736","DRG","MS736","","UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC","INPATIENT ONLY","$342,516.71 ","$253,462.37 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS737","DRG","MS737","","UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC","INPATIENT ONLY","$149,825.85 ","$110,871.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS738","DRG","MS738","","UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$190,239.02 ","$140,776.87 ","$0.00 ","$23,225.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,225.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,119.65 ","$0.00 "
"MS739","DRG","MS739","","UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC","INPATIENT ONLY","$345,645.71 ","$255,777.83 ","$0.00 ","$76,002.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$39,391.56 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$76,002.23 ","$37,515.77 ","$0.00 "
"MS740","DRG","MS740","","UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC","INPATIENT ONLY","$289,589.03 ","$214,295.88 ","$0.00 ","$27,721.64 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,721.64 ","$0.00 ","$0.00 "
"MS741","DRG","MS741","","UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$220,233.64 ","$162,972.89 ","$0.00 ","$156,113.16 ","$141,373.62 ","$29,872.05 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$118,267.54 ","$0.00 ","$128,123.16 ","$156,113.16 ","$0.00 ","$13,327.31 ","$0.00 ","$24,002.64 ","$0.00 ","$0.00 "
"MS742","DRG","MS742","","UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC","INPATIENT ONLY","$178,499.01 ","$132,089.27 ","$0.00 ","$144,571.35 ","$4,086.60 ","$0.00 ","$14,751.72 ","$99,078.57 ","$100,318.77 ","$0.00 ","$109,523.76 ","$25,364.14 ","$118,650.74 ","$144,571.35 ","$135,777.03 ","$16,936.07 ","$0.00 ","$26,942.56 ","$24,156.36 ","$0.00 "
"MS743","DRG","MS743","","UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC","INPATIENT ONLY","$215,798.10 ","$159,690.59 ","$0.00 ","$113,095.63 ","$113,095.63 ","$0.00 ","$22,501.93 ","$38,115.55 ","$38,942.35 ","$9,034.34 ","$71,594.65 ","$0.00 ","$16,934.63 ","$94,504.91 ","$0.00 ","$11,512.92 ","$8,031.14 ","$22,524.51 ","$0.00 ","$8,432.69 "
"MS744","DRG","MS744","","D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC","INPATIENT ONLY","$235,639.36 ","$174,373.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS745","DRG","MS745","","D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC","INPATIENT ONLY","$91,531.43 ","$67,733.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS746","DRG","MS746","","VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC","INPATIENT ONLY","$0.00 ","$0.00 ","$0.00 ","$75,281.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,948.45 ","$0.00 ","$0.00 ","$75,281.45 ","$0.00 ","$0.00 ","$0.00 ","$23,760.43 ","$0.00 "
"MS748","DRG","MS748","","FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES","INPATIENT ONLY","$154,956.04 ","$114,667.47 ","$0.00 ","$101,307.70 ","$0.00 ","$14,571.85 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$76,748.26 ","$0.00 ","$83,143.95 ","$101,307.70 ","$0.00 ","$13,249.13 ","$0.00 ","$23,938.94 ","$0.00 ","$0.00 "
"MS749","DRG","MS749","","OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC","INPATIENT ONLY","$113,765.76 ","$84,186.66 ","$0.00 ","$104,733.83 ","$104,733.83 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,516.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,015.58 ","$0.00 "
"MS754","DRG","MS754","","MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC","INPATIENT ONLY","$172,896.37 ","$127,943.31 ","$0.00 ","$27,533.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,213.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,631.52 ","$27,533.80 ","$0.00 ","$12,213.09 "
"MS755","DRG","MS755","","MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC","INPATIENT ONLY","$31,589.96 ","$23,376.57 ","$0.00 ","$20,798.98 ","$0.00 ","$0.00 ","$6,164.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,798.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,808.55 ","$0.00 "
"MS756","DRG","MS756","","MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC","INPATIENT ONLY","$13,121.56 ","$9,709.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS757","DRG","MS757","","INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC","INPATIENT ONLY","$32,053.15 ","$23,719.33 ","$0.00 ","$29,643.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,508.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,643.01 ","$22,389.11 ","$0.00 "
"MS758","DRG","MS758","","INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC","INPATIENT ONLY","$32,039.33 ","$23,709.10 ","$0.00 ","$20,399.89 ","$12,259.80 ","$9,388.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,399.89 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,428.47 ","$0.00 "
"MS759","DRG","MS759","","INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC","INPATIENT ONLY","$31,529.67 ","$23,331.96 ","$0.00 ","$5,834.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,834.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,556.33 ","$0.00 ","$0.00 ","$5,834.14 "
"MS760","DRG","MS760","","MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC","INPATIENT ONLY","$22,036.45 ","$16,306.97 ","$0.00 ","$12,958.36 ","$12,958.36 ","$0.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS761","DRG","MS761","","MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$26,444.46 ","$19,568.90 ","$0.00 ","$12,489.77 ","$12,489.77 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS768","DRG","MS768","","VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C","INPATIENT ONLY","$40,711.25 ","$30,126.33 ","$0.00 ","$21,373.04 ","$19,822.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,092.76 ","$13,853.13 ","$0.00 ","$14,855.59 ","$20,902.18 ","$0.00 ","$10,099.48 ","$5,802.63 ","$21,373.04 ","$0.00 ","$6,092.76 "
"MS769","DRG","MS769","","POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES","INPATIENT ONLY","$269,978.86 ","$199,784.36 ","$0.00 ","$172,148.03 ","$172,148.03 ","$43,372.20 ","$12,300.04 ","$10,125.78 ","$10,125.78 ","$12,361.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,772.78 ","$0.00 ","$0.00 ","$12,361.42 "
"MS770","DRG","MS770","","ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","INPATIENT ONLY","$31,584.85 ","$23,372.79 ","$0.00 ","$6,160.27 ","$0.00 ","$0.00 ","$6,129.68 ","$0.00 ","$0.00 ","$6,160.27 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,866.92 ","$0.00 ","$0.00 ","$6,160.27 "
"MS776","DRG","MS776","","POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES","INPATIENT ONLY","$15,568.58 ","$11,520.75 ","$0.00 ","$18,942.70 ","$8,173.20 ","$0.00 ","$2,725.88 ","$5,373.96 ","$6,200.76 ","$6,166.92 ","$3,843.48 ","$0.00 ","$3,376.61 ","$3,044.04 ","$13,481.20 ","$3,843.48 ","$5,873.26 ","$18,942.70 ","$0.00 ","$6,166.92 "
"MS779","DRG","MS779","","ABORTION WITHOUT D&C","INPATIENT ONLY","$16,003.04 ","$11,842.25 ","$0.00 ","$23,300.47 ","$4,106.40 ","$0.00 ","$5,080.47 ","$4,686.44 ","$4,686.44 ","$1,598.25 ","$15,699.75 ","$0.00 ","$16,835.84 ","$23,300.47 ","$0.00 ","$11,445.75 ","$1,430.21 ","$22,469.79 ","$0.00 ","$1,522.14 "
"MS783","DRG","MS783","","CESAREAN SECTION WITH STERILIZATION WITH MCC","INPATIENT ONLY","$71,796.43 ","$53,129.36 ","$0.00 ","$13,830.75 ","$13,830.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,542.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,087.89 ","$0.00 ","$0.00 ","$9,542.28 "
"MS784","DRG","MS784","","CESAREAN SECTION WITH STERILIZATION WITH CC","INPATIENT ONLY","$69,676.31 ","$51,560.47 ","$0.00 ","$37,137.03 ","$0.00 ","$0.00 ","$0.00 ","$6,748.70 ","$6,748.70 ","$9,542.28 ","$14,371.50 ","$0.00 ","$7,705.74 ","$37,137.03 ","$12,460.97 ","$10,477.40 ","$9,087.89 ","$21,680.91 ","$0.00 ","$9,542.28 "
"MS785","DRG","MS785","","CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC","INPATIENT ONLY","$66,138.83 ","$48,942.73 ","$0.00 ","$52,378.97 ","$14,254.51 ","$52,378.97 ","$0.00 ","$6,748.70 ","$6,748.70 ","$9,542.28 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,087.89 ","$0.00 ","$0.00 ","$9,542.28 "
"MS786","DRG","MS786","","CESAREAN SECTION WITHOUT STERILIZATION WITH MCC","INPATIENT ONLY","$64,226.23 ","$47,527.41 ","$0.00 ","$51,796.52 ","$13,929.31 ","$7,050.47 ","$0.00 ","$6,748.70 ","$6,748.70 ","$9,542.28 ","$23,574.38 ","$0.00 ","$24,076.48 ","$51,796.52 ","$27,565.16 ","$17,186.67 ","$9,087.89 ","$27,146.72 ","$0.00 ","$9,542.28 "
"MS787","DRG","MS787","","CESAREAN SECTION WITHOUT STERILIZATION WITH CC","INPATIENT ONLY","$60,021.02 ","$44,415.55 ","$0.00 ","$38,858.99 ","$13,908.48 ","$9,500.59 ","$0.00 ","$8,614.80 ","$8,614.80 ","$9,542.28 ","$14,375.63 ","$20,947.28 ","$7,707.95 ","$38,858.99 ","$0.00 ","$10,480.42 ","$9,087.89 ","$21,683.37 ","$19,949.79 ","$9,542.28 "
"MS788","DRG","MS788","","CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC","INPATIENT ONLY","$53,940.94 ","$39,916.30 ","$0.00 ","$37,750.88 ","$13,582.80 ","$7,920.73 ","$0.00 ","$0.00 ","$0.00 ","$7,775.68 ","$12,460.25 ","$0.00 ","$13,361.92 ","$37,750.88 ","$0.00 ","$9,084.02 ","$7,405.42 ","$20,545.77 ","$0.00 ","$7,775.68 "
"MS789","DRG","MS789","","NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY","INPATIENT ONLY","$12,236.12 ","$9,054.73 ","$0.00 ","$23,015.92 ","$4,334.40 ","$0.00 ","$18,997.58 ","$3,375.26 ","$3,375.26 ","$23,015.92 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,596.05 ","$0.00 ","$0.00 ","$219.20 "
"MS790","DRG","MS790","","EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE","INPATIENT ONLY","$47,484.99 ","$35,138.89 ","$0.00 ","$345,528.12 ","$227,852.34 ","$0.00 ","$6,824.32 ","$64,129.94 ","$64,129.94 ","$25,214.25 ","$261,763.73 ","$0.00 ","$283,577.38 ","$345,528.12 ","$0.00 ","$76,626.93 ","$24,017.10 ","$58,657.03 ","$0.00 ","$25,214.25 "
"MS791","DRG","MS791","","PREMATURITY WITH MAJOR PROBLEMS","INPATIENT ONLY","$106,775.51 ","$79,013.88 ","$0.00 ","$131,833.16 ","$86,741.10 ","$0.00 ","$3,625.61 ","$0.00 ","$0.00 ","$22,302.88 ","$19,759.75 ","$0.00 ","$16,878.92 ","$15,649.71 ","$131,833.16 ","$19,759.75 ","$21,244.37 ","$44,228.51 ","$0.00 ","$22,302.88 "
"MS792","DRG","MS792","","PREMATURITY WITHOUT MAJOR PROBLEMS","INPATIENT ONLY","$9,474.02 ","$7,010.77 ","$0.00 ","$31,899.59 ","$5,534.55 ","$0.00 ","$2,752.37 ","$1,783.96 ","$1,783.96 ","$3,643.33 ","$5,340.18 ","$0.00 ","$5,340.18 ","$4,229.42 ","$0.00 ","$5,340.18 ","$3,473.37 ","$31,899.59 ","$0.00 ","$3,643.33 "
"MS793","DRG","MS793","","FULL TERM NEONATE WITH MAJOR PROBLEMS","INPATIENT ONLY","$31,960.27 ","$23,650.60 ","$0.00 ","$45,073.74 ","$32,199.00 ","$16,677.00 ","$0.00 ","$1,873.16 ","$1,873.16 ","$22,302.88 ","$4,386.25 ","$0.00 ","$4,386.25 ","$3,473.91 ","$19,810.22 ","$4,386.25 ","$21,244.37 ","$45,073.74 ","$0.00 ","$22,302.88 "
"MS794","DRG","MS794","","NEONATE WITH OTHER SIGNIFICANT PROBLEMS","INPATIENT ONLY","$6,506.03 ","$4,814.46 ","$0.00 ","$24,446.07 ","$3,699.60 ","$4,761.00 ","$0.00 ","$1,873.16 ","$1,873.16 ","$2,765.74 ","$5,394.25 ","$0.00 ","$5,394.25 ","$4,272.25 ","$0.00 ","$5,394.25 ","$2,637.56 ","$24,446.07 ","$0.00 ","$2,765.74 "
"MS795","DRG","MS795","","NORMAL NEWBORN","INPATIENT ONLY","$4,674.03 ","$3,458.78 ","$0.00 ","$14,674.90 ","$3,689.70 ","$1,012.00 ","$1,296.58 ","$2,809.74 ","$2,809.74 ","$2,149.62 ","$2,575.38 ","$0.00 ","$1,781.77 ","$3,743.93 ","$2,259.28 ","$1,877.55 ","$2,050.78 ","$14,674.90 ","$0.00 ","$2,149.62 "
"MS796","DRG","MS796","","VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC","INPATIENT ONLY","$54,907.25 ","$40,631.37 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,967.75 ","$0.00 ","$0.00 ","$8,366.13 "
"MS797","DRG","MS797","","VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC","INPATIENT ONLY","$45,318.16 ","$33,535.44 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,967.75 ","$0.00 ","$0.00 ","$8,366.13 "
"MS798","DRG","MS798","","VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC","INPATIENT ONLY","$52,110.07 ","$38,561.45 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,366.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,967.75 ","$0.00 ","$0.00 ","$8,366.13 "
"MS799","DRG","MS799","","SPLENECTOMY WITH MCC","INPATIENT ONLY","$327,183.49 ","$242,115.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS801","DRG","MS801","","SPLENECTOMY WITHOUT CC/MCC","INPATIENT ONLY","$172,895.48 ","$127,942.66 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS802","DRG","MS802","","OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC","INPATIENT ONLY","$596,528.35 ","$441,430.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS803","DRG","MS803","","OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC","INPATIENT ONLY","$251,863.58 ","$186,379.05 ","$0.00 ","$27,694.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,694.69 ","$0.00 ","$0.00 "
"MS805","DRG","MS805","","VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC","INPATIENT ONLY","$30,983.57 ","$22,927.84 ","$0.00 ","$29,462.16 ","$11,805.47 ","$29,462.16 ","$0.00 ","$8,418.64 ","$8,418.64 ","$6,961.79 ","$14,309.63 ","$0.00 ","$7,672.56 ","$14,281.34 ","$0.00 ","$10,432.30 ","$6,630.28 ","$25,233.70 ","$0.00 ","$6,961.79 "
"MS806","DRG","MS806","","VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC","INPATIENT ONLY","$25,294.22 ","$18,717.72 ","$0.00 ","$21,350.23 ","$8,052.96 ","$6,550.61 ","$0.00 ","$4,686.44 ","$4,686.44 ","$6,092.76 ","$9,751.50 ","$18,649.09 ","$7,746.04 ","$13,604.81 ","$21,350.23 ","$7,109.24 ","$5,802.63 ","$18,936.98 ","$17,761.04 ","$6,092.76 "
"MS807","DRG","MS807","","VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC","INPATIENT ONLY","$22,303.67 ","$16,504.72 ","$0.00 ","$18,264.05 ","$8,254.49 ","$5,733.00 ","$0.00 ","$4,686.44 ","$4,686.44 ","$6,092.76 ","$8,618.50 ","$0.00 ","$8,401.97 ","$11,615.99 ","$17,521.13 ","$6,283.23 ","$5,802.63 ","$18,264.05 ","$0.00 ","$6,092.76 "
"MS808","DRG","MS808","","MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC","INPATIENT ONLY","$34,593.18 ","$25,598.95 ","$0.00 ","$30,536.62 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$30,536.62 ","$0.00 ","$0.00 "
"MS809","DRG","MS809","","MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC","INPATIENT ONLY","$75,870.07 ","$56,143.85 ","$0.00 ","$22,111.75 ","$0.00 ","$0.00 ","$12,843.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,111.75 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,058.81 ","$0.00 "
"MS810","DRG","MS810","","MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$26,038.35 ","$19,268.38 ","$0.00 ","$20,194.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,194.88 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,233.22 ","$0.00 "
"MS811","DRG","MS811","","RED BLOOD CELL DISORDERS WITH MCC","INPATIENT ONLY","$37,057.02 ","$27,422.19 ","$0.00 ","$78,735.41 ","$23,615.76 ","$11,450.82 ","$3,403.76 ","$13,434.90 ","$15,501.90 ","$30,963.95 ","$18,429.13 ","$22,961.85 ","$19,762.72 ","$78,735.41 ","$0.00 ","$13,435.57 ","$30,963.95 ","$24,090.82 ","$21,868.43 ","$30,963.95 "
"MS812","DRG","MS812","","RED BLOOD CELL DISORDERS WITHOUT MCC","INPATIENT ONLY","$30,116.25 ","$22,286.03 ","$0.00 ","$24,519.60 ","$24,519.60 ","$7,285.18 ","$8,031.31 ","$2,686.98 ","$2,686.98 ","$8,071.38 ","$11,972.13 ","$19,752.74 ","$3,776.02 ","$13,151.79 ","$0.00 ","$8,728.17 ","$7,687.04 ","$20,255.87 ","$18,812.13 ","$8,071.38 "
"MS813","DRG","MS813","","COAGULATION DISORDERS","INPATIENT ONLY","$130,887.07 ","$96,856.43 ","$0.00 ","$87,448.69 ","$0.00 ","$0.00 ","$11,549.79 ","$0.00 ","$0.00 ","$0.00 ","$66,249.02 ","$0.00 ","$23,373.77 ","$87,448.69 ","$0.00 ","$15,890.52 ","$0.00 ","$52,183.21 ","$0.00 ","$0.00 "
"MS814","DRG","MS814","","RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC","INPATIENT ONLY","$30,605.13 ","$22,647.80 ","$0.00 ","$27,429.29 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,755.50 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,429.29 ","$24,529.05 ","$0.00 "
"MS815","DRG","MS815","","RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC","INPATIENT ONLY","$62,708.27 ","$46,404.12 ","$0.00 ","$21,416.31 ","$0.00 ","$0.00 ","$11,825.34 ","$16,564.80 ","$16,978.20 ","$0.00 ","$0.00 ","$20,723.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,416.31 ","$19,736.96 ","$0.00 "
"MS816","DRG","MS816","","RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC","INPATIENT ONLY","$36,966.21 ","$27,355.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS817","DRG","MS817","","OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$331,165.41 ","$245,062.40 ","$0.00 ","$196,880.15 ","$12,259.80 ","$196,880.15 ","$0.00 ","$0.00 ","$0.00 ","$15,615.48 ","$34,597.75 ","$0.00 ","$32,736.50 ","$78,339.09 ","$0.00 ","$25,223.16 ","$11,253.79 ","$33,693.78 ","$0.00 ","$7,558.26 "
"MS818","DRG","MS818","","OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC","INPATIENT ONLY","$97,432.35 ","$72,099.94 ","$0.00 ","$86,024.42 ","$0.00 ","$86,024.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS819","DRG","MS819","","OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$70,909.67 ","$52,473.16 ","$0.00 ","$7,495.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,495.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,138.29 ","$0.00 ","$0.00 ","$7,495.20 "
"MS821","DRG","MS821","","LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC","INPATIENT ONLY","$162,576.13 ","$120,306.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS823","DRG","MS823","","LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC","INPATIENT ONLY","$630,888.82 ","$466,857.73 ","$0.00 ","$65,586.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$65,586.69 ","$0.00 ","$0.00 "
"MS824","DRG","MS824","","LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC","INPATIENT ONLY","$51,601.70 ","$38,185.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS826","DRG","MS826","","MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$379,947.04 ","$281,160.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS827","DRG","MS827","","MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC","INPATIENT ONLY","$423,291.52 ","$313,235.72 ","$0.00 ","$32,906.05 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,906.05 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$32,906.05 ","$0.00 "
"MS828","DRG","MS828","","MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$247,026.79 ","$182,799.82 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","","","","","","","","","","","","",""
"MS829","DRG","MS829","","MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC","INPATIENT ONLY","$279,328.65 ","$206,703.20 ","$0.00 ","$38,787.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$38,787.20 ","$0.00 ","$0.00 "
"MS830","DRG","MS830","","MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$211,300.46 ","$156,362.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS831","DRG","MS831","","OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$29,160.39 ","$21,578.69 ","$0.00 ","$21,952.85 ","$20,552.75 ","$10,012.94 ","$0.00 ","$0.00 ","$0.00 ","$7,495.20 ","$14,829.38 ","$0.00 ","$9,939.05 ","$19,151.15 ","$0.00 ","$10,811.22 ","$7,138.29 ","$21,952.85 ","$0.00 ","$7,495.20 "
"MS832","DRG","MS832","","OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC","INPATIENT ONLY","$20,347.40 ","$15,057.08 ","$0.00 ","$18,988.42 ","$12,259.80 ","$0.00 ","$0.00 ","$5,373.96 ","$6,200.76 ","$7,495.20 ","$13,838.13 ","$18,692.12 ","$2,930.57 ","$10,159.89 ","$0.00 ","$7,172.39 ","$7,138.29 ","$18,988.42 ","$17,802.02 ","$7,495.20 "
"MS833","DRG","MS833","","OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$14,743.82 ","$10,910.43 ","$0.00 ","$8,272.70 ","$8,272.70 ","$2,152.00 ","$0.00 ","$2,686.98 ","$3,100.38 ","$6,092.76 ","$7,048.80 ","$0.00 ","$7,048.80 ","$7,048.80 ","$6,068.80 ","$7,048.80 ","$5,802.63 ","$7,048.80 ","$0.00 ","$6,092.76 "
"MS834","DRG","MS834","","ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$507,748.30 ","$375,733.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS835","DRG","MS835","","ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC","INPATIENT ONLY","$40,262.10 ","$29,793.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS836","DRG","MS836","","ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$18,640.57 ","$13,794.02 ","$0.00 ","$23,905.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,905.45 ","$0.00 ","$0.00 "
"MS837","DRG","MS837","","CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC","INPATIENT ONLY","$51,339.82 ","$37,991.47 ","$0.00 ","$62,068.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$62,068.97 ","$0.00 ","$0.00 "
"MS838","DRG","MS838","","CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT","INPATIENT ONLY","$48,284.50 ","$35,730.53 ","$0.00 ","$31,012.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$31,012.72 ","$0.00 ","$0.00 "
"MS839","DRG","MS839","","CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$46,940.94 ","$34,736.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS840","DRG","MS840","","LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC","INPATIENT ONLY","$189,074.54 ","$139,915.16 ","$0.00 ","$34,299.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$34,299.15 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,807.13 ","$34,299.15 ","$0.00 "
"MS841","DRG","MS841","","LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC","INPATIENT ONLY","$15,184.92 ","$11,236.84 ","$0.00 ","$19,565.68 ","$0.00 ","$0.00 ","$13,446.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,565.68 ","$0.00 ","$0.00 "
"MS842","DRG","MS842","","LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC","INPATIENT ONLY","$38,523.96 ","$28,507.73 ","$0.00 ","$21,645.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,645.35 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,614.66 ","$0.00 "
"MS843","DRG","MS843","","OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC","INPATIENT ONLY","$90,251.16 ","$66,785.86 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS844","DRG","MS844","","OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC","INPATIENT ONLY","$25,954.84 ","$19,206.58 ","$0.00 ","$22,057.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$22,057.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,007.37 ","$0.00 "
"MS846","DRG","MS846","","CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC","INPATIENT ONLY","$30,411.91 ","$22,504.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS847","DRG","MS847","","CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC","INPATIENT ONLY","$31,407.44 ","$23,241.51 ","$0.00 ","$45,264.16 ","$8,173.20 ","$5,107.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,093.63 ","$0.00 ","$19,402.95 ","$45,264.16 ","$34,827.46 ","$13,190.98 ","$0.00 ","$23,891.56 ","$0.00 ","$0.00 "
"MS848","DRG","MS848","","CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$30,134.29 ","$22,299.37 ","$0.00 ","$22,966.96 ","$12,259.80 ","$7,545.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,494.25 ","$0.00 ","$12,768.30 ","$22,966.96 ","$0.00 ","$9,837.86 ","$0.00 ","$21,159.88 ","$0.00 ","$0.00 "
"MS853","DRG","MS853","","INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$349,119.20 ","$258,348.21 ","$0.00 ","$890,931.60 ","$17,269.35 ","$0.00 ","$50,464.10 ","$890,931.60 ","$890,931.60 ","$0.00 ","$428,083.19 ","$48,645.14 ","$463,756.79 ","$565,069.81 ","$228,902.42 ","$140,496.05 ","$0.00 ","$54,782.85 ","$46,328.70 ","$0.00 "
"MS854","DRG","MS854","","INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC","INPATIENT ONLY","$172,549.34 ","$127,686.51 ","$0.00 ","$28,571.70 ","$0.00 ","$0.00 ","$0.00 ","$766.50 ","$766.50 ","$0.00 ","$0.00 ","$28,571.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,211.14 ","$0.00 "
"MS856","DRG","MS856","","POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$469,903.79 ","$347,728.80 ","$0.00 ","$49,287.63 ","$21,079.29 ","$0.00 ","$37,955.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$49,287.63 ","$0.00 ","$0.00 "
"MS857","DRG","MS857","","POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC","INPATIENT ONLY","$110,455.26 ","$81,736.89 ","$0.00 ","$409,840.86 ","$90,864.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$310,485.49 ","$27,697.65 ","$336,359.28 ","$409,840.86 ","$0.00 ","$88,518.80 ","$0.00 ","$53,140.71 ","$26,378.71 ","$0.00 "
"MS858","DRG","MS858","","POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC","INPATIENT ONLY","$300,169.86 ","$222,125.70 ","$0.00 ","$206,438.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$206,438.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS862","DRG","MS862","","POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC","INPATIENT ONLY","$41,178.47 ","$30,472.07 ","$0.00 ","$28,258.17 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$28,258.17 ","$0.00 ","$0.00 "
"MS863","DRG","MS863","","POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC","INPATIENT ONLY","$26,750.77 ","$19,795.57 ","$0.00 ","$20,554.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,554.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$19,575.56 ","$0.00 "
"MS864","DRG","MS864","","FEVER AND INFLAMMATORY CONDITIONS","INPATIENT ONLY","$19,333.68 ","$14,306.92 ","$0.00 ","$47,628.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$47,628.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,690.76 ","$0.00 "
"MS865","DRG","MS865","","VIRAL ILLNESS WITH MCC","INPATIENT ONLY","$14,496.05 ","$10,727.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS866","DRG","MS866","","VIRAL ILLNESS WITHOUT MCC","INPATIENT ONLY","$34,717.88 ","$25,691.23 ","$0.00 ","$26,124.06 ","$0.00 ","$0.00 ","$6,802.34 ","$0.00 ","$0.00 ","$0.00 ","$11,257.13 ","$0.00 ","$10,651.53 ","$26,124.06 ","$0.00 ","$8,206.90 ","$0.00 ","$19,831.20 ","$0.00 ","$0.00 "
"MS867","DRG","MS867","","OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC","INPATIENT ONLY","$63,136.42 ","$46,720.95 ","$0.00 ","$112,359.77 ","$112,359.77 ","$0.00 ","$16,751.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS868","DRG","MS868","","OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC","INPATIENT ONLY","$30,779.69 ","$22,776.97 ","$0.00 ","$69,508.29 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$15,083.75 ","$0.00 ","$16,175.27 ","$69,508.29 ","$0.00 ","$10,996.66 ","$0.00 ","$22,103.93 ","$0.00 ","$0.00 "
"MS869","DRG","MS869","","OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC","INPATIENT ONLY","$15,619.28 ","$11,558.27 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS870","DRG","MS870","","SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS","INPATIENT ONLY","$342,603.24 ","$253,526.40 ","$0.00 ","$437,462.32 ","$222,926.65 ","$0.00 ","$53,865.50 ","$329,494.18 ","$329,589.60 ","$0.00 ","$331,410.85 ","$57,021.26 ","$359,028.42 ","$437,462.32 ","$0.00 ","$105,276.97 ","$0.00 ","$64,792.48 ","$71,505.46 ","$0.00 "
"MS871","DRG","MS871","","SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC","INPATIENT ONLY","$99,302.62 ","$73,483.94 ","$7,088.64 ","$69,468.99 ","$49,039.20 ","$16,130.58 ","$17,521.48 ","$7,088.64 ","$7,088.64 ","$17,608.91 ","$25,661.63 ","$26,556.42 ","$27,518.59 ","$69,468.99 ","$47,721.33 ","$18,708.37 ","$16,770.40 ","$28,386.40 ","$30,367.39 ","$17,608.91 "
"MS872","DRG","MS872","","SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC","INPATIENT ONLY","$39,146.17 ","$28,968.17 ","$0.00 ","$25,653.18 ","$12,923.98 ","$9,397.01 ","$9,417.32 ","$0.00 ","$0.00 ","$7,781.16 ","$14,290.38 ","$20,904.90 ","$7,127.66 ","$25,653.18 ","$0.00 ","$10,418.26 ","$6,963.04 ","$21,632.73 ","$19,909.43 ","$7,410.63 "
"MS876","DRG","MS876","","O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS","INPATIENT ONLY","$147,401.50 ","$109,077.11 ","$0.00 ","$46,127.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$46,127.21 ","$0.00 ","$0.00 "
"MS880","DRG","MS880","","ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION","INPATIENT ONLY","$37,752.98 ","$27,937.21 ","$0.00 ","$50,316.83 ","$4,100.18 ","$0.00 ","$5,575.59 ","$6,750.52 ","$6,750.52 ","$5,883.58 ","$11,782.38 ","$50,316.83 ","$7,019.44 ","$50,065.60 ","$33,004.93 ","$8,589.83 ","$5,603.41 ","$20,143.15 ","$49,378.27 ","$5,883.58 "
"MS881","DRG","MS881","","DEPRESSIVE NEUROSES","INPATIENT ONLY","$19,663.24 ","$14,550.80 ","$0.00 ","$19,401.50 ","$12,913.95 ","$5,769.59 ","$0.00 ","$0.00 ","$0.00 ","$5,075.40 ","$0.00 ","$19,401.50 ","$0.00 ","$0.00 ","$5,860.95 ","$0.00 ","$4,833.71 ","$0.00 ","$18,477.62 ","$5,075.40 "
"MS882","DRG","MS882","","NEUROSES EXCEPT DEPRESSIVE","INPATIENT ONLY","$20,130.12 ","$14,896.29 ","$0.00 ","$12,620.55 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,620.55 ","$0.00 ","$0.00 "
"MS883","DRG","MS883","","DISORDERS OF PERSONALITY AND IMPULSE CONTROL","INPATIENT ONLY","$21,248.40 ","$15,723.82 ","$0.00 ","$22,936.59 ","$16,782.35 ","$0.00 ","$0.00 ","$5,619.48 ","$5,619.48 ","$7,497.10 ","$0.00 ","$22,936.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$7,140.10 ","$7,183.84 ","$21,844.37 ","$7,497.10 "
"MS884","DRG","MS884","","ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY","INPATIENT ONLY","$38,142.56 ","$28,225.49 ","$0.00 ","$69,644.94 ","$69,644.94 ","$9,624.61 ","$10,098.77 ","$2,686.98 ","$3,100.38 ","$0.00 ","$0.00 ","$23,629.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,888.70 ","$22,504.30 ","$0.00 "
"MS885","DRG","MS885","","PSYCHOSES","INPATIENT ONLY","$27,249.99 ","$20,164.99 ","$4,682.90 ","$16,711.75 ","$5,534.55 ","$9,119.42 ","$6,833.56 ","$4,682.90 ","$4,682.90 ","$6,867.66 ","$16,711.75 ","$9,222.35 ","$12,800.77 ","$14,261.38 ","$11,383.39 ","$9,000.00 ","$6,540.64 ","$4,851.36 ","$8,783.19 ","$6,867.66 "
"MS886","DRG","MS886","","BEHAVIORAL AND DEVELOPMENTAL DISORDERS","INPATIENT ONLY","$18,427.83 ","$13,636.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS887","DRG","MS887","","OTHER MENTAL DISORDER DIAGNOSES","INPATIENT ONLY","$41,241.49 ","$30,518.70 ","$0.00 ","$57,514.90 ","$0.00 ","$8,326.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,961.38 ","$0.00 ","$16,044.03 ","$57,514.90 ","$0.00 ","$10,907.45 ","$0.00 ","$22,031.26 ","$0.00 ","$0.00 "
"MS894","DRG","MS894","","ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA","INPATIENT ONLY","$21,543.05 ","$15,941.86 ","$0.00 ","$17,768.90 ","$4,086.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,291.30 ","$0.00 ","$17,768.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$12,658.39 ","$0.00 ","$16,922.76 ","$13,291.30 "
"MS896","DRG","MS896","","ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC","INPATIENT ONLY","$49,326.69 ","$36,501.75 ","$0.00 ","$40,932.53 ","$4,136.10 ","$13,606.38 ","$0.00 ","$3,375.26 ","$3,375.26 ","$0.00 ","$23,645.88 ","$25,554.59 ","$15,138.49 ","$40,932.53 ","$0.00 ","$17,238.80 ","$0.00 ","$27,189.19 ","$24,337.70 ","$0.00 "
"MS897","DRG","MS897","","ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC","INPATIENT ONLY","$30,584.36 ","$22,632.43 ","$0.00 ","$41,618.80 ","$12,711.30 ","$6,163.22 ","$0.00 ","$5,623.04 ","$5,813.88 ","$6,821.08 ","$41,618.80 ","$19,418.55 ","$41,618.80 ","$32,962.09 ","$14,261.88 ","$41,618.80 ","$6,496.27 ","$4,824.19 ","$18,493.86 ","$6,821.08 "
"MS901","DRG","MS901","","WOUND DEBRIDEMENTS FOR INJURIES WITH MCC","INPATIENT ONLY","$368,092.68 ","$272,388.58 ","$0.00 ","$137,327.80 ","$0.00 ","$0.00 ","$0.00 ","$137,327.80 ","$137,327.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS902","DRG","MS902","","WOUND DEBRIDEMENTS FOR INJURIES WITH CC","INPATIENT ONLY","$122,560.83 ","$90,695.01 ","$0.00 ","$29,207.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,243.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$29,207.95 ","$25,946.57 ","$0.00 "
"MS903","DRG","MS903","","WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC","INPATIENT ONLY","$69,084.55 ","$51,122.57 ","$0.00 ","$342,304.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$259,321.57 ","$0.00 ","$280,931.70 ","$342,304.46 ","$0.00 ","$66,795.60 ","$0.00 ","$40,627.42 ","$0.00 ","$0.00 "
"MS904","DRG","MS904","","SKIN GRAFTS FOR INJURIES WITH CC/MCC","INPATIENT ONLY","$587,248.63 ","$434,563.99 ","$0.00 ","$136,934.37 ","$0.00 ","$0.00 ","$0.00 ","$132,961.05 ","$132,961.05 ","$25,040.40 ","$103,738.17 ","$0.00 ","$112,383.02 ","$136,934.37 ","$0.00 ","$35,459.97 ","$23,848.01 ","$42,033.36 ","$0.00 ","$25,040.40 "
"MS905","DRG","MS905","","SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC","INPATIENT ONLY","$130,398.68 ","$96,495.02 ","$0.00 ","$57,852.44 ","$0.00 ","$0.00 ","$0.00 ","$57,852.44 ","$57,852.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS906","DRG","MS906","","HAND PROCEDURES FOR INJURIES","INPATIENT ONLY","$173,990.59 ","$128,753.04 ","$0.00 ","$184,096.43 ","$184,096.43 ","$49,807.27 ","$0.00 ","$102,200.59 ","$102,200.59 ","$0.00 ","$118,233.52 ","$0.00 ","$128,086.32 ","$156,068.25 ","$0.00 ","$17,451.31 ","$0.00 ","$27,362.32 ","$0.00 ","$0.00 "
"MS907","DRG","MS907","","OTHER O.R. PROCEDURES FOR INJURIES WITH MCC","INPATIENT ONLY","$314,976.43 ","$233,082.56 ","$0.00 ","$388,246.60 ","$217,751.34 ","$0.00 ","$30,419.81 ","$71,015.93 ","$71,015.93 ","$41,365.72 ","$189,941.91 ","$0.00 ","$205,770.40 ","$250,723.31 ","$0.00 ","$45,461.07 ","$39,395.94 ","$388,246.60 ","$0.00 ","$41,365.72 "
"MS908","DRG","MS908","","OTHER O.R. PROCEDURES FOR INJURIES WITH CC","INPATIENT ONLY","$152,656.61 ","$112,965.89 ","$0.00 ","$182,669.21 ","$0.00 ","$0.00 ","$34,521.96 ","$0.00 ","$0.00 ","$16,654.30 ","$89,996.30 ","$27,901.30 ","$97,496.00 ","$118,795.12 ","$182,669.21 ","$20,681.15 ","$15,861.25 ","$29,993.55 ","$26,572.67 ","$16,654.30 "
"MS909","DRG","MS909","","OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC","INPATIENT ONLY","$15,837.75 ","$11,719.94 ","$0.00 ","$58,188.52 ","$0.00 ","$0.00 ","$11,600.88 ","$0.00 ","$0.00 ","$16,654.30 ","$18,132.13 ","$22,814.25 ","$47,755.73 ","$58,188.52 ","$0.00 ","$13,219.05 ","$15,861.25 ","$23,914.43 ","$21,727.86 ","$16,654.30 "
"MS913","DRG","MS913","","TRAUMATIC INJURY WITH MCC","INPATIENT ONLY","$58,527.66 ","$43,310.47 ","$0.00 ","$25,201.47 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,201.47 ","$0.00 ","$0.00 "
"MS914","DRG","MS914","","TRAUMATIC INJURY WITHOUT MCC","INPATIENT ONLY","$50,070.45 ","$37,052.13 ","$0.00 ","$42,063.45 ","$19,477.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$11,848.38 ","$0.00 ","$34,521.77 ","$42,063.45 ","$0.00 ","$8,637.95 ","$0.00 ","$20,182.36 ","$0.00 ","$0.00 "
"MS915","DRG","MS915","","ALLERGIC REACTIONS WITH MCC","INPATIENT ONLY","$13,523.90 ","$10,007.69 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS916","DRG","MS916","","ALLERGIC REACTIONS WITHOUT MCC","INPATIENT ONLY","$18,896.57 ","$13,983.46 ","$0.00 ","$18,988.45 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,129.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,316.33 ","$18,988.45 ","$0.00 "
"MS917","DRG","MS917","","POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC","INPATIENT ONLY","$41,023.80 ","$30,357.61 ","$0.00 ","$51,372.18 ","$17,715.70 ","$12,541.54 ","$6,253.67 ","$9,562.04 ","$9,657.46 ","$11,999.16 ","$20,119.00 ","$23,801.74 ","$17,979.07 ","$51,372.18 ","$0.00 ","$14,667.56 ","$11,427.78 ","$25,094.49 ","$22,668.32 ","$11,999.16 "
"MS918","DRG","MS918","","POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC","INPATIENT ONLY","$26,175.61 ","$19,369.95 ","$2,488.34 ","$19,547.84 ","$4,453.30 ","$2,488.34 ","$6,225.23 ","$5,623.04 ","$5,813.88 ","$6,256.30 ","$10,780.00 ","$19,160.25 ","$3,729.06 ","$12,112.06 ","$13,648.19 ","$6,834.23 ","$5,958.38 ","$19,547.84 ","$18,247.86 ","$6,256.30 "
"MS919","DRG","MS919","","COMPLICATIONS OF TREATMENT WITH MCC","INPATIENT ONLY","$64,348.49 ","$47,617.88 ","$0.00 ","$69,950.28 ","$5,749.93 ","$0.00 ","$11,257.45 ","$0.00 ","$0.00 ","$0.00 ","$25,097.88 ","$26,276.23 ","$26,914.05 ","$69,950.28 ","$0.00 ","$18,297.37 ","$0.00 ","$28,051.57 ","$25,024.98 ","$0.00 "
"MS920","DRG","MS920","","COMPLICATIONS OF TREATMENT WITH CC","INPATIENT ONLY","$24,394.92 ","$18,052.24 ","$0.00 ","$28,277.30 ","$0.00 ","$0.00 ","$0.00 ","$6,750.52 ","$6,750.52 ","$0.00 ","$13,853.13 ","$20,687.60 ","$14,855.59 ","$28,277.30 ","$0.00 ","$10,099.48 ","$0.00 ","$21,373.04 ","$19,702.48 ","$0.00 "
"MS921","DRG","MS921","","COMPLICATIONS OF TREATMENT WITHOUT CC/MCC","INPATIENT ONLY","$34,245.21 ","$25,341.46 ","$0.00 ","$18,521.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$18,521.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$17,639.98 ","$0.00 "
"MS922","DRG","MS922","","OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC","INPATIENT ONLY","$72,838.99 ","$53,900.85 ","$0.00 ","$61,719.57 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$1,492.22 ","$22,049.50 ","$0.00 ","$3,753.19 ","$61,719.57 ","$0.00 ","$16,074.98 ","$1,335.32 ","$26,241.08 ","$0.00 ","$1,421.16 "
"MS923","DRG","MS923","","OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC","INPATIENT ONLY","$20,532.46 ","$15,194.02 ","$0.00 ","$2,906.94 ","$0.00 ","$0.00 ","$0.00 ","$2,811.52 ","$2,906.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS927","DRG","MS927","","EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT","INPATIENT ONLY","$756,935.58 ","$560,132.33 ","$0.00 ","$636,813.54 ","$636,813.54 ","$0.00 ","$122,178.14 ","$0.00 ","$0.00 ","$128,927.26 ","$277,762.11 ","$0.00 ","$300,908.95 ","$366,645.98 ","$0.00 ","$199,919.71 ","$122,787.92 ","$176,013.20 ","$0.00 ","$128,927.26 "
"MS928","DRG","MS928","","FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC","INPATIENT ONLY","$201,318.93 ","$148,976.01 ","$0.00 ","$242,850.15 ","$242,850.15 ","$48,038.28 ","$21,161.06 ","$98,182.96 ","$98,182.96 ","$21,266.66 ","$95,851.28 ","$56,136.99 ","$103,838.89 ","$126,523.70 ","$0.00 ","$62,099.56 ","$20,253.97 ","$63,735.75 ","$53,463.80 ","$21,266.66 "
"MS929","DRG","MS929","","FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC","INPATIENT ONLY","$110,995.12 ","$82,136.39 ","$9,637.44 ","$80,164.64 ","$67,878.36 ","$20,836.22 ","$9,637.44 ","$80,164.64 ","$80,164.64 ","$10,169.81 ","$48,185.37 ","$33,904.08 ","$52,200.82 ","$63,604.70 ","$60,897.37 ","$62,099.56 ","$9,685.54 ","$63,735.75 ","$32,289.60 ","$10,169.81 "
"MS933","DRG","MS933","","EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT","INPATIENT ONLY","$239,425.50 ","$177,174.87 ","$0.00 ","$35,261.93 ","$0.00 ","$0.00 ","$34,672.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$35,261.93 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$33,582.79 ","$0.00 "
"MS934","DRG","MS934","","FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY","INPATIENT ONLY","$21,519.08 ","$15,924.12 ","$0.00 ","$32,060.98 ","$32,060.98 ","$0.00 ","$9,096.60 ","$5,099.09 ","$5,099.09 ","$2,480.91 ","$12,524.62 ","$26,170.31 ","$4,043.26 ","$16,532.51 ","$0.00 ","$18,141.99 ","$2,220.06 ","$27,924.99 ","$24,924.10 ","$2,362.77 "
"MS935","DRG","MS935","","NON-EXTENSIVE BURNS","INPATIENT ONLY","$41,960.79 ","$31,050.98 ","$0.00 ","$28,925.37 ","$15,650.93 ","$0.00 ","$8,178.90 ","$8,993.40 ","$8,993.40 ","$2,693.89 ","$23,337.97 ","$27,007.44 ","$15,169.68 ","$18,483.67 ","$7,817.30 ","$19,369.96 ","$2,410.65 ","$28,925.37 ","$25,721.37 ","$2,565.61 "
"MS940","DRG","MS940","","O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC","INPATIENT ONLY","$94,350.10 ","$69,819.07 ","$0.00 ","$27,930.95 ","$20,433.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,930.95 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$27,930.95 ","$0.00 "
"MS941","DRG","MS941","","O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC","INPATIENT ONLY","$142,894.44 ","$105,741.89 ","$0.00 ","$26,996.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$26,996.52 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$25,710.97 ","$0.00 "
"MS947","DRG","MS947","","SIGNS AND SYMPTOMS WITH MCC","INPATIENT ONLY","$47,907.15 ","$35,451.29 ","$0.00 ","$22,923.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$14,525.45 ","$0.00 ","$21,984.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$13,833.77 ","$22,923.01 ","$20,937.74 ","$14,525.45 "
"MS948","DRG","MS948","","SIGNS AND SYMPTOMS WITHOUT MCC","INPATIENT ONLY","$17,563.09 ","$12,996.69 ","$0.00 ","$31,248.40 ","$20,433.00 ","$0.00 ","$7,783.43 ","$2,686.98 ","$3,100.38 ","$0.00 ","$10,719.50 ","$19,130.18 ","$3,483.39 ","$31,248.40 ","$17,149.01 ","$6,011.26 ","$0.00 ","$19,511.90 ","$18,219.22 ","$0.00 "
"MS950","DRG","MS950","","AFTERCARE WITHOUT CC/MCC","INPATIENT ONLY","$41,083.74 ","$30,401.97 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS951","DRG","MS951","","OTHER FACTORS INFLUENCING HEALTH STATUS","INPATIENT ONLY","$55,607.65 ","$41,149.66 ","$0.00 ","$20,033.73 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,033.73 ","$0.00 ","$0.00 "
"MS955","DRG","MS955","","CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA","INPATIENT ONLY","$622,062.28 ","$460,326.09 ","$0.00 ","$646,654.77 ","$646,654.77 ","$0.00 ","$0.00 ","$155,516.11 ","$155,516.11 ","$56,532.01 ","$333,518.09 ","$74,415.79 ","$361,311.27 ","$440,243.88 ","$303,884.19 ","$105,609.45 ","$53,840.04 ","$62,801.51 ","$70,872.18 ","$56,532.01 "
"MS956","DRG","MS956","","LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","INPATIENT ONLY","$228,564.82 ","$169,137.97 ","$0.00 ","$278,577.75 ","$147,277.43 ","$0.00 ","$117,843.05 ","$57,043.76 ","$57,043.76 ","$103,932.75 ","$161,097.81 ","$40,613.44 ","$174,522.63 ","$212,649.13 ","$278,577.75 ","$39,328.35 ","$84,114.71 ","$45,184.81 ","$38,679.47 ","$53,545.64 "
"MS957","DRG","MS957","","OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC","INPATIENT ONLY","$302,297.61 ","$223,700.23 ","$62,177.15 ","$661,644.95 ","$303,164.25 ","$144,907.91 ","$80,138.05 ","$190,235.48 ","$190,235.48 ","$80,537.94 ","$256,957.20 ","$65,286.01 ","$278,370.30 ","$339,183.51 ","$661,644.95 ","$78,684.59 ","$76,702.83 ","$74,669.01 ","$62,177.15 ","$80,537.94 "
"MS958","DRG","MS958","","OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC","INPATIENT ONLY","$285,394.08 ","$211,191.62 ","$0.00 ","$243,925.14 ","$243,925.14 ","$0.00 ","$33,019.28 ","$132,225.45 ","$132,225.45 ","$33,184.05 ","$120,574.69 ","$42,442.17 ","$130,622.58 ","$159,158.58 ","$179,708.38 ","$42,010.85 ","$31,603.87 ","$47,370.16 ","$40,421.11 ","$33,184.05 "
"MS959","DRG","MS959","","OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC","INPATIENT ONLY","$198,587.32 ","$146,954.62 ","$0.00 ","$121,673.30 ","$117,245.71 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,439.46 ","$92,176.73 ","$0.00 ","$99,858.13 ","$121,673.30 ","$0.00 ","$28,073.07 ","$19,466.16 ","$36,015.52 ","$0.00 ","$20,439.46 "
"MS963","DRG","MS963","","OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC","INPATIENT ONLY","$102,608.59 ","$75,930.36 ","$0.00 ","$113,231.89 ","$29,282.40 ","$24,162.84 ","$0.00 ","$69,300.83 ","$69,300.83 ","$30,904.01 ","$37,470.13 ","$32,425.24 ","$64,598.93 ","$78,711.32 ","$113,231.89 ","$27,317.23 ","$29,432.41 ","$35,399.75 ","$30,881.18 ","$30,904.01 "
"MS964","DRG","MS964","","OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC","INPATIENT ONLY","$102,198.77 ","$75,627.09 ","$0.00 ","$62,293.64 ","$19,477.40 ","$13,182.41 ","$17,222.51 ","$36,292.83 ","$36,292.83 ","$4,534.88 ","$20,535.63 ","$0.00 ","$51,124.83 ","$62,293.64 ","$33,880.61 ","$14,971.29 ","$4,058.08 ","$25,341.92 ","$0.00 ","$4,318.93 "
"MS965","DRG","MS965","","OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC","INPATIENT ONLY","$110,685.47 ","$81,907.25 ","$0.00 ","$46,222.92 ","$15,656.33 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,595.28 ","$12,610.13 ","$0.00 ","$37,935.50 ","$46,222.92 ","$0.00 ","$9,193.30 ","$8,185.98 ","$20,634.78 ","$0.00 ","$8,595.28 "
"MS969","DRG","MS969","","HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC","INPATIENT ONLY","$353,828.86 ","$261,833.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS970","DRG","MS970","","HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC","INPATIENT ONLY","$159,032.74 ","$117,684.23 ","$0.00 ","$36,966.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$36,966.90 ","$0.00 ","$0.00 "
"MS974","DRG","MS974","","HIV WITH MAJOR RELATED CONDITION WITH MCC","INPATIENT ONLY","$73,178.08 ","$54,151.78 ","$0.00 ","$64,425.98 ","$35,613.99 ","$0.00 ","$0.00 ","$58,478.37 ","$59,718.57 ","$0.00 ","$36,766.13 ","$27,554.25 ","$13,595.40 ","$64,425.98 ","$0.00 ","$26,803.98 ","$0.00 ","$44,204.35 ","$27,554.25 ","$0.00 "
"MS975","DRG","MS975","","HIV WITH MAJOR RELATED CONDITION WITH CC","INPATIENT ONLY","$51,952.99 ","$38,445.21 ","$0.00 ","$25,529.20 ","$16,572.15 ","$0.00 ","$11,270.70 ","$21,105.77 ","$21,105.77 ","$0.00 ","$0.00 ","$22,973.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$24,104.72 ","$25,529.20 ","$0.00 "
"MS976","DRG","MS976","","HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC","INPATIENT ONLY","$22,299.59 ","$16,501.70 ","$0.00 ","$36,779.40 ","$36,779.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,764.33 ","$0.00 ","$0.00 "
"MS977","DRG","MS977","","HIV WITH OR WITHOUT OTHER RELATED CONDITION","INPATIENT ONLY","$39,015.42 ","$28,871.41 ","$0.00 ","$23,765.79 ","$8,399.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23,765.79 ","$0.00 ","$0.00 "
"MS981","DRG","MS981","","EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC","INPATIENT ONLY","$206,905.41 ","$153,110.00 ","$0.00 ","$389,857.92 ","$389,857.92 ","$0.00 ","$47,997.68 ","$6,750.52 ","$6,750.52 ","$0.00 ","$0.00 ","$44,568.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$47,748.94 ","$42,445.83 ","$0.00 "
"MS982","DRG","MS982","","EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC","INPATIENT ONLY","$141,904.77 ","$105,009.53 ","$0.00 ","$33,055.16 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$21,856.15 ","$0.00 ","$30,463.26 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$20,815.40 ","$33,055.16 ","$29,012.63 ","$21,856.15 "
"MS983","DRG","MS983","","EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$191,096.52 ","$141,411.42 ","$0.00 ","$84,648.54 ","$0.00 ","$0.00 ","$0.00 ","$39,894.90 ","$40,721.70 ","$0.00 ","$64,127.69 ","$0.00 ","$7,786.79 ","$84,648.54 ","$0.00 ","$16,410.80 ","$0.00 ","$26,514.63 ","$0.00 ","$0.00 "
"MS987","DRG","MS987","","NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC","INPATIENT ONLY","$116,755.62 ","$86,399.16 ","$0.00 ","$129,871.79 ","$111,671.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$62,005.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$129,871.79 ","$59,052.55 ","$0.00 "
"MS988","DRG","MS988","","NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC","INPATIENT ONLY","$301,856.57 ","$223,373.86 ","$0.00 ","$101,160.63 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$76,636.84 ","$24,328.59 ","$83,023.25 ","$101,160.63 ","$0.00 ","$17,224.76 ","$0.00 ","$27,177.75 ","$24,328.59 ","$0.00 "
"MS989","DRG","MS989","","NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC","INPATIENT ONLY","$35,912.44 ","$26,575.21 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"MS998","DRG","MS998","","PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS","INPATIENT ONLY","$72,064.04 ","$53,327.39 ","$0.00 ","$6,092.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,092.76 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,802.63 ","$0.00 ","$0.00 ","$6,092.76 "
"MS999","DRG","MS999","","UNGROUPABLE","INPATIENT ONLY","$30,544.21 ","$22,602.72 ","$0.00 ","$62,801.51 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$62,801.51 ","$0.00 ","$0.00 "
"812","EAP","CPT� 00812","","ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC","BOTH IP/OP","$625.00 ","$462.50 ","$0.00 ","$625.00 ","$0.00 ","$0.00 ","$0.00 ","$446.06 ","$446.06 ","$109.43 ","$625.00 ","$0.00 ","$312.50 ","$495.00 ","$500.00 ","$0.00 ","$97.81 ","$0.00 ","$0.00 ","$0.00 "
"813","EAP","CPT� 00813","","ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX","BOTH IP/OP","$625.00 ","$462.50 ","$0.00 ","$625.00 ","$0.00 ","$0.00 ","$0.00 ","$446.06 ","$446.06 ","$109.43 ","$625.00 ","$0.00 ","$312.50 ","$495.00 ","$500.00 ","$0.00 ","$97.81 ","$0.00 ","$0.00 ","$0.00 "
"11200","EAP","CPT�11200","","PR DEBRIDEMENT OF NAILS, 6 OR MORE","BOTH IP/OP","$255.00 ","$188.70 ","$53.15 ","$255.00 ","255","175.86","53.15","","","","","","","","","","","","",""
"11976","EAP","CPT�11976","","CHEM CAUTERY GRANULATN TISSUE","BOTH IP/OP","$408.00 ","$301.92 ","$0.00 ","$408.00 ","$408.00 ","$408.00 ","$0.00 ","$0.00 ","$0.00 ","$53.40 ","$305.00 ","$175.24 ","$305.00 ","$241.56 ","$244.00 ","$243.48 ","$37.05 ","$38.57 ","$48.56 ","$166.90 "
"11981","EAP","CPT�11981","","PR REMOVAL OF BREAST LESION","BOTH IP/OP","$286.00 ","$211.64 ","$59.61 ","$286.00 ","286","110.43","59.61","","","","","","","","","","","","",""
"11983","EAP","CPT�11983","","INJECT CARPAL TUNNEL","BOTH IP/OP","$402.00 ","$297.48 ","$0.00 ","$402.00 ","$402.00 ","$265.79 ","$83.79 ","$0.00 ","$0.00 ","$49.73 ","$284.00 ","$262.54 ","$284.00 ","$224.93 ","$227.20 ","$284.00 ","$44.45 ","$59.49 ","$45.21 ","$250.04 "
"17250","EAP","CPT� 17250","","INJECT TENDON ORIGIN/INSERT","BOTH IP/OP","$256.00 ","$189.44 ","$0.00 ","$262.54 ","$256.00 ","$175.86 ","$53.36 ","$0.00 ","$0.00 ","$35.37 ","$202.00 ","$262.54 ","$202.00 ","$159.98 ","$161.60 ","$202.00 ","$0.00 ","$41.47 ","$32.16 ","$250.04 "
"20526","EAP","CPT� 20526","","INJECT TRIGGER POINTS, > 3","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$262.54 ","$232.00 ","$232.00 ","$48.35 ","$0.00 ","$0.00 ","$40.27 ","$230.00 ","$262.54 ","$230.00 ","$182.16 ","$184.00 ","$230.00 ","$66.56 ","$45.07 ","$36.62 ","$250.04 "
"20550","EAP","CPT� 20550","","ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US","BOTH IP/OP","$162.00 ","$119.88 ","$28.97 ","$262.54 ","$162.00 ","$162.00 ","$33.76 ","$182.00 ","$182.00 ","$31.87 ","$182.00 ","$262.54 ","$182.00 ","$144.14 ","$145.60 ","$182.00 ","$54.79 ","$37.50 ","$28.97 ","$250.04 "
"20551","EAP","CPT� 20551","","ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT","BOTH IP/OP","$164.00 ","$121.36 ","$0.00 ","$274.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$47.98 ","$274.00 ","$262.54 ","$274.00 ","$217.01 ","$219.20 ","$274.00 ","$69.40 ","$47.60 ","$43.62 ","$250.04 "
"20552","EAP","CPT� 20552","","ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$626.89 ","$0.00 ","$0.00 ","$31.68 ","$0.00 ","$0.00 ","$53.05 ","$303.00 ","$626.89 ","$303.00 ","$239.98 ","$242.40 ","$303.00 ","$76.82 ","$54.81 ","$48.24 ","$597.04 "
"20553","EAP","CPT� 20553","","PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US","BOTH IP/OP","$175.00 ","$129.50 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"20600","EAP","CPT� 20600","","ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US","BOTH IP/OP","$150.00 ","$111.00 ","$31.26 ","$262.54 ","$150.00 ","$150.00 ","$31.26 ","$223.00 ","$223.00 ","$39.05 ","$223.00 ","$262.54 ","$223.00 ","$176.62 ","$178.40 ","$223.00 ","$70.76 ","$47.59 ","$35.50 ","$250.04 "
"20604","EAP","CPT� 20604","","ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$338.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$59.18 ","$338.00 ","$262.54 ","$338.00 ","$267.70 ","$270.40 ","$338.00 ","$88.61 ","$62.38 ","$53.81 ","$250.04 "
"20606","EAP","CPT� 20606","","CLOSED RX METATARSAL FX","BOTH IP/OP","$252.00 ","$186.48 ","$0.00 ","$790.00 ","$252.00 ","$252.00 ","$52.52 ","$0.00 ","$0.00 ","$138.32 ","$790.00 ","$216.27 ","$790.00 ","$625.68 ","$632.00 ","$300.48 ","$214.80 ","$210.83 ","$125.77 ","$205.98 "
"20610","EAP","CPT�20610","","CLOSED RX TOE FX","BOTH IP/OP","$183.00 ","$135.42 ","$0.00 ","$346.90 ","$183.00 ","$183.00 ","$38.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$346.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20610","EAP","CPT� 20610","","PR SHOULDER SCOPE BONE SHAVING","BOTH IP/OP","$183.00 ","$135.42 ","$38.14 ","$183.00 ","183","183","38.14","","","","","","","","","","","","",""
"20611","EAP","CPT� 20611","","PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","BOTH IP/OP","$281.00 ","$207.94 ","$58.57 ","$281.00 ","281","255.86","58.57","","","","","","","","","","","","",""
"20612","EAP","CPT�20612","","PR CATHETER ASPIRATN,NASOTRACH","BOTH IP/OP","$181.00 ","$133.94 ","$0.00 ","$181.00 ","181","181","0","","","","","","","","","","","","",""
"25600","EAP","CPT�25600","","PHLEB, VENIPUNCTURE","BOTH IP/OP","$970.00 ","$717.80 ","$0.00 ","$11.00 ","$0.00 ","$0.00 ","$0.00 ","$3.00 ","$3.00 ","$1.93 ","$11.00 ","$3.15 ","$5.50 ","$8.71 ","$8.80 ","$4.35 ","$1.72 ","$3.00 ","$1.75 ","$3.00 "
"28470","EAP","CPT� 28470","","PR INSERT NON-TUNNEL CV CATH","BOTH IP/OP","$620.00 ","$458.80 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"28490","EAP","CPT�28490","","REMOVE TONSILS/ADENOIDS,<12 Y/O","BOTH IP/OP","$401.00 ","$296.74 ","$0.00 ","$401.00 ","401","201.85","0","","","","","","","","","","","","",""
"28510","EAP","CPT� 28510","","PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","BOTH IP/OP","$340.00 ","$251.60 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"36415","EAP","CPT� 36415","","PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","BOTH IP/OP","$11.00 ","$8.14 ","$1.35 ","$5.97 ","5.97","1.5","1.35","","","","","","","","","","","","",""
"43235","EAP","CPT�43235","","COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","BOTH IP/OP","$867.00 ","$641.58 ","$0.00 ","$1,530.00 ","$0.00 ","$0.00 ","$0.00 ","$1,482.64 ","$1,482.64 ","$267.89 ","$1,530.00 ","$1,007.17 ","$1,530.00 ","$1,211.76 ","$1,224.00 ","$1,399.33 ","$353.17 ","$208.77 ","$243.58 ","$959.21 "
"43239","EAP","CPT�43239","","PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","BOTH IP/OP","$1,110.00 ","$821.40 ","$0.00 ","$1,110.00 ","1110","792.43","0","","","","","","","","","","","","",""
"43239","EAP","CPT� 43239","","COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","BOTH IP/OP","$1,110.00 ","$821.40 ","$0.00 ","$1,598.00 ","$1,110.00 ","$792.43 ","$0.00 ","$1,482.64 ","$1,482.64 ","$279.80 ","$1,598.00 ","$1,007.17 ","$1,598.00 ","$1,265.62 ","$1,278.40 ","$1,399.33 ","$450.95 ","$265.02 ","$254.40 ","$959.21 "
"43246","EAP","CPT�43246","","PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX","BOTH IP/OP","$557.00 ","$412.18 ","$0.00 ","$557.00 ","557","557","0","","","","","","","","","","","","",""
"45330","EAP","CPT� 45330","","PR LAP,CHOLECYSTECTOMY","BOTH IP/OP","$542.00 ","$401.08 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"45331","EAP","CPT�45331","","PR REPAIR ING HERNIA,5+Y/O,REDUCIBL","BOTH IP/OP","$844.00 ","$624.56 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"45335","EAP","CPT�45335","","PR BIOPSY OF PROSTATE,NEEDLE/PUNCH","BOTH IP/OP","$860.00 ","$636.40 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"45378","EAP","CPT�45378","","PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC","BOTH IP/OP","$984.00 ","$728.16 ","$0.00 ","$984.00 ","984","777.17","0","","","","","","","","","","","","",""
"45378","EAP","CPT� 45378","","BIOPSY VULVA/PERINEUM,ONE LESN","BOTH IP/OP","$984.00 ","$728.16 ","$0.00 ","$984.00 ","$984.00 ","$777.17 ","$0.00 ","$328.00 ","$328.00 ","$57.43 ","$328.00 ","$640.34 ","$328.00 ","$259.78 ","$262.40 ","$328.00 ","$84.36 ","$63.10 ","$52.22 ","$609.84 "
"45380","EAP","CPT�45380","","COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG","BOTH IP/OP","$1,268.00 ","$938.32 ","$0.00 ","$1,268.00 ","$1,268.00 ","$1,015.53 ","$0.00 ","$594.00 ","$594.00 ","$104.00 ","$594.00 ","$271.52 ","$594.00 ","$470.45 ","$475.20 ","$377.23 ","$99.94 ","$140.25 ","$94.56 ","$258.59 "
"45380","EAP","CPT� 45380","","COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX","BOTH IP/OP","$1,268.00 ","$938.32 ","$0.00 ","$1,268.00 ","$1,268.00 ","$1,015.53 ","$0.00 ","$560.00 ","$560.00 ","$98.05 ","$560.00 ","$271.52 ","$560.00 ","$443.52 ","$448.00 ","$377.23 ","$145.54 ","$115.02 ","$89.15 ","$258.59 "
"45381","EAP","CPT�45381","","COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG","BOTH IP/OP","$1,294.00 ","$957.56 ","$0.00 ","$1,294.00 ","$1,294.00 ","$1,015.53 ","$0.00 ","$526.00 ","$526.00 ","$92.10 ","$526.00 ","$271.52 ","$526.00 ","$416.59 ","$420.80 ","$377.23 ","$137.69 ","$106.36 ","$83.74 ","$258.59 "
"45385","EAP","CPT�45385","","BIOPSY/EXCIS CERVICAL LESN","BOTH IP/OP","$1,318.00 ","$975.32 ","$0.00 ","$1,318.00 ","$1,318.00 ","$1,015.53 ","$0.00 ","$518.00 ","$518.00 ","$90.70 ","$518.00 ","$640.34 ","$518.00 ","$410.26 ","$414.40 ","$518.00 ","$71.26 ","$78.23 ","$82.47 ","$609.84 "
"45385","EAP","CPT� 45385","","BIOPSY OF UTERUS LINING","BOTH IP/OP","$1,318.00 ","$975.32 ","$0.00 ","$1,318.00 ","$1,318.00 ","$1,015.53 ","$0.00 ","$353.00 ","$353.00 ","$61.81 ","$353.00 ","$166.54 ","$353.00 ","$279.58 ","$282.40 ","$231.38 ","$59.72 ","$67.07 ","$56.20 ","$158.61 "
"56605","EAP","CPT� 56605","","PR OBSTETRICAL CARE,VAG DELIV ONLY","BOTH IP/OP","$276.00 ","$204.24 ","$57.53 ","$276.00 ","276","276","57.53","","","","","","","","","","","","",""
"57454","EAP","CPT� 57454","","PR FULL ROUT OBSTE CARE,CESAREAN DELIV","BOTH IP/OP","$482.00 ","$356.68 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"57455","EAP","CPT� 57455","","PR ROUT OB CARE,VAG DELIV,PREV C-SEC","BOTH IP/OP","$461.00 ","$341.14 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"57456","EAP","CPT� 57456","","PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN","BOTH IP/OP","$432.00 ","$319.68 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"57500","EAP","CPT� 57500","","PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","BOTH IP/OP","$448.00 ","$331.52 ","$93.37 ","$448.00 ","448","448","93.37","","","","","","","","","","","","",""
"57505","EAP","CPT�57505","","INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH","BOTH IP/OP","$449.00 ","$332.26 ","$0.00 ","$626.89 ","$0.00 ","$0.00 ","$0.00 ","$275.00 ","$275.00 ","$48.15 ","$275.00 ","$626.89 ","$275.00 ","$217.80 ","$220.00 ","$275.00 ","$85.27 ","$44.35 ","$43.78 ","$597.04 "
"58100","EAP","CPT� 58100","","PR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL","BOTH IP/OP","$292.00 ","$216.08 ","$60.86 ","$292.00 ","292","166.84","60.86","","","","","","","","","","","","",""
"58110","EAP","CPT� 58110","","PR DISCISSION,2ND CATARACT,LASER","BOTH IP/OP","$141.00 ","$104.34 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"58300","EAP","CPT� 58300","","PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","BOTH IP/OP","$265.00 ","$196.10 ","$51.66 ","$265.00 ","265","51.66","55.23","","","","","","","","","","","","",""
"58301","EAP","CPT� 58301","","PR INJECT INTRAVITREAL PHARMCOLOGIC","BOTH IP/OP","$316.00 ","$233.84 ","$65.86 ","$316.00 ","316","276.2","65.86","","","","","","","","","","","","",""
"64450","EAP","CPT� 64450","","PR CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS","BOTH IP/OP","$216.00 ","$159.84 ","$45.02 ","$216.00 ","216","216","45.02","","","","","","","","","","","","",""
"69210","EAP","CPT� 69210","","CHG RADIOLOGIC EXAM CHEST 2 VIEWS","BOTH IP/OP","$134.00 ","$99.16 ","$27.93 ","$134.00 ","134","54.51","27.93","","","","","","","","","","","","",""
"70360","EAP","CPT� 70360","","X-RAY RIBS, CHEST 4+ VW","BOTH IP/OP","$90.00 ","$66.60 ","$18.76 ","$124.00 ","$63.70 ","$79.21 ","$18.76 ","$85.48 ","$85.48 ","$21.71 ","$124.00 ","$112.41 ","$29.76 ","$98.21 ","$99.20 ","$124.00 ","$50.44 ","$35.30 ","$19.74 ","$107.06 "
"70450","EAP","CPT�70450","","PR CT SCAN,THORAX,W/O CONTRAST","BOTH IP/OP","$313.00 ","$231.62 ","$65.24 ","$313.00 ","313","106.62","65.24","","","","","","","","","","","","",""
"70450","EAP","CPT� 70450","","CT SCAN,THORAX,W/O CONTRAST","BOTH IP/OP","$313.00 ","$231.62 ","$55.40 ","$354.00 ","$313.00 ","$106.62 ","$65.24 ","$354.00 ","$354.00 ","$61.98 ","$354.00 ","$112.41 ","$84.96 ","$280.37 ","$283.20 ","$156.18 ","$55.40 ","$101.21 ","$56.36 ","$107.06 "
"70487","EAP","CPT�70487","","CAT SCAN OF CHEST CONTRAST","BOTH IP/OP","$451.00 ","$333.74 ","$74.02 ","$473.00 ","$451.00 ","$174.93 ","$94.00 ","$473.00 ","$473.00 ","$82.82 ","$473.00 ","$202.33 ","$113.52 ","$374.62 ","$378.40 ","$281.11 ","$74.02 ","$135.06 ","$75.30 ","$192.70 "
"70491","EAP","CPT�70491","","PR CT ANGIO, CHEST (NON-CORON), COMBO, INCL IMG PROC","BOTH IP/OP","$550.00 ","$407.00 ","$114.63 ","$550.00 ","550","174.93","114.63","","","","","","","","","","","","",""
"70492","EAP","CPT� 70492","","CT ANGIO, CHEST, COMBO, INCL IMAGE PROC","BOTH IP/OP","$661.00 ","$489.14 ","$0.00 ","$637.00 ","$0.00 ","$0.00 ","$0.00 ","$637.00 ","$637.00 ","$111.53 ","$637.00 ","$202.33 ","$152.88 ","$504.50 ","$509.60 ","$281.11 ","$99.69 ","$214.30 ","$101.41 ","$192.70 "
"71045","EAP","CPT�71045","","CHG X-RAY THORACIC SPINE 2 VW","BOTH IP/OP","$74.00 ","$54.76 ","$15.42 ","$74.00 ","45.3","74","15.42","","","","","","","","","","","","",""
"71046","EAP","CPT�71046","","X-RAY THORACIC SPINE 2 VW","BOTH IP/OP","$96.00 ","$71.04 ","$12.10 ","$112.41 ","$69.46 ","$79.21 ","$20.01 ","$53.49 ","$53.49 ","$13.31 ","$76.00 ","$112.41 ","$18.24 ","$60.19 ","$60.80 ","$76.00 ","$35.88 ","$21.61 ","$12.10 ","$107.06 "
"71046","EAP","CPT� 71046","","X-RAY THOR-LUMB SP 2 VW","BOTH IP/OP","$96.00 ","$71.04 ","$13.05 ","$82.00 ","$69.46 ","$79.21 ","$20.01 ","$56.99 ","$56.99 ","$14.36 ","$82.00 ","$80.04 ","$19.68 ","$64.94 ","$65.60 ","$82.00 ","$36.61 ","$23.41 ","$13.05 ","$76.23 "
"71110","EAP","CPT�71110","","CHG X-RAY LUMBAR SPINE 2/3 VW","BOTH IP/OP","$126.00 ","$93.24 ","$26.26 ","$106.62 ","85.46","106.62","26.26","","","","","","","","","","","","",""
"71111","EAP","CPT� 71111","","X-RAY LUMBAR SPINE 2/3 VW","BOTH IP/OP","$150.00 ","$111.00 ","$15.12 ","$112.41 ","$109.64 ","$106.62 ","$31.26 ","$64.85 ","$64.85 ","$16.63 ","$95.00 ","$112.41 ","$22.80 ","$75.24 ","$76.00 ","$95.00 ","$36.61 ","$27.01 ","$15.12 ","$107.06 "
"71250","EAP","CPT�71250","","CHG X-RAY LUMBAR SPINE 4 VW","BOTH IP/OP","$393.00 ","$290.82 ","$81.91 ","$393.00 ","393","106.62","81.91","","","","","","","","","","","","",""
"71250","EAP","CPT� 71250","","X-RAY LUMBAR SPINE 4 VW","BOTH IP/OP","$393.00 ","$290.82 ","$19.90 ","$393.00 ","$393.00 ","$106.62 ","$81.91 ","$90.72 ","$90.72 ","$21.89 ","$125.00 ","$112.41 ","$30.00 ","$99.00 ","$100.00 ","$125.00 ","$50.44 ","$35.66 ","$19.90 ","$107.06 "
"71260","EAP","CPT�71260","","PR CT SCAN,CERVICAL SPINE,W/O CONTRAST","BOTH IP/OP","$494.00 ","$365.56 ","$102.96 ","$494.00 ","494","174.93","102.96","","","","","","","","","","","","",""
"71260","EAP","CPT� 71260","","CT SCAN,LUMBAR SPINE,W/O CONTRAST","BOTH IP/OP","$494.00 ","$365.56 ","$58.06 ","$494.00 ","$494.00 ","$174.93 ","$102.96 ","$371.00 ","$371.00 ","$64.96 ","$371.00 ","$112.41 ","$371.00 ","$293.83 ","$296.80 ","$156.18 ","$58.06 ","$105.89 ","$59.06 ","$107.06 "
"71275","EAP","CPT�71275","","PR MRI, CERV SPINE","BOTH IP/OP","$763.00 ","$564.62 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"71275","EAP","CPT� 71275","","PR MRI, LUMBAR SPINE","BOTH IP/OP","$763.00 ","$564.62 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"72040","EAP","CPT�72040","","CHG X-RAY PELVIS 1/2 VW","BOTH IP/OP","$113.00 ","$83.62 ","$23.55 ","$79.21 ","74.98","79.21","23.55","","","","","","","","","","","","",""
"72040","EAP","CPT� 72040","","CHG X-RAY PELVIS 3+ VW","BOTH IP/OP","$113.00 ","$83.62 ","$23.55 ","$79.21 ","74.98","79.21","23.55","","","","","","","","","","","","",""
"72050","EAP","CPT� 72050","","PR CT SCAN OF PELVIS CONTRAST","BOTH IP/OP","$152.00 ","$112.48 ","$31.68 ","$106.62 ","103.2","106.62","31.68","","","","","","","","","","","","",""
"72052","EAP","CPT� 72052","","X-RAY SACRUM/COCCYX 2+ VW","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$80.04 ","$0.00 ","$0.00 ","$36.89 ","$49.14 ","$49.14 ","$13.83 ","$79.00 ","$80.04 ","$18.96 ","$62.57 ","$63.20 ","$79.00 ","$30.55 ","$22.69 ","$12.58 ","$76.23 "
"72070","EAP","CPT�72070","","X-RAY CLAVICLE","BOTH IP/OP","$94.00 ","$69.56 ","$12.90 ","$94.00 ","$77.40 ","$94.00 ","$19.59 ","$45.08 ","$45.08 ","$14.18 ","$81.00 ","$80.04 ","$19.44 ","$64.15 ","$64.80 ","$81.00 ","$27.72 ","$23.05 ","$12.90 ","$76.23 "
"72070","EAP","CPT� 72070","","CHG X-RAY SHOULDER 2+ VW","BOTH IP/OP","$94.00 ","$69.56 ","$19.59 ","$94.00 ","77.4","94","19.59","","","","","","","","","","","","",""
"72080","EAP","CPT� 72080","","X-RAY SHOULDER 2+ VW","BOTH IP/OP","$100.00 ","$74.00 ","$0.00 ","$83.00 ","$0.00 ","$0.00 ","$0.00 ","$48.26 ","$48.26 ","$14.53 ","$83.00 ","$80.04 ","$19.92 ","$65.74 ","$66.40 ","$83.00 ","$30.90 ","$23.77 ","$13.21 ","$76.23 "
"72100","EAP","CPT�72100","","CHG X-RAY HUMERUS","BOTH IP/OP","$114.00 ","$84.36 ","$23.76 ","$106.62 ","79.81","106.62","23.76","","","","","","","","","","","","",""
"72100","EAP","CPT� 72100","","X-RAY HUMERUS","BOTH IP/OP","$114.00 ","$84.36 ","$12.90 ","$106.62 ","$79.81 ","$106.62 ","$23.76 ","$48.26 ","$48.26 ","$14.18 ","$81.00 ","$80.04 ","$19.44 ","$64.15 ","$64.80 ","$81.00 ","$30.55 ","$23.05 ","$12.90 ","$76.23 "
"72110","EAP","CPT�72110","","CHG X-RAY ELBOW 2 VW","BOTH IP/OP","$147.00 ","$108.78 ","$0.00 ","$111.25 ","111.25","106.62","0","","","","","","","","","","","","",""
"72110","EAP","CPT� 72110","","X-RAY ELBOW 2 VW","BOTH IP/OP","$147.00 ","$108.78 ","$0.00 ","$111.25 ","$111.25 ","$106.62 ","$0.00 ","$45.08 ","$45.08 ","$12.43 ","$71.00 ","$80.04 ","$17.04 ","$56.23 ","$56.80 ","$71.00 ","$27.38 ","$20.17 ","$11.30 ","$76.23 "
"72114","EAP","CPT�72114","","X-RAY ELBOW 3+ VW","BOTH IP/OP","$177.00 ","$130.98 ","$12.42 ","$141.08 ","$141.08 ","$106.62 ","$36.89 ","$60.47 ","$60.47 ","$13.66 ","$78.00 ","$80.04 ","$18.72 ","$61.78 ","$62.40 ","$78.00 ","$30.55 ","$22.33 ","$12.42 ","$76.23 "
"72125","EAP","CPT�72125","","CHG X-RAY FOREARM 2 VW","BOTH IP/OP","$385.00 ","$284.90 ","$80.24 ","$385.00 ","385","106.62","80.24","","","","","","","","","","","","",""
"72131","EAP","CPT� 72131","","X-RAY FOREARM 2 VW","BOTH IP/OP","$383.00 ","$283.42 ","$0.00 ","$80.04 ","$0.00 ","$0.00 ","$0.00 ","$45.08 ","$45.08 ","$12.61 ","$72.00 ","$80.04 ","$17.28 ","$57.02 ","$57.60 ","$72.00 ","$27.72 ","$20.53 ","$11.46 ","$76.23 "
"72170","EAP","CPT�72170","","X-RAY WRIST 3+ VW","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$106.00 ","$72.57 ","$80.00 ","$0.00 ","$59.03 ","$59.03 ","$18.56 ","$106.00 ","$80.04 ","$25.44 ","$83.95 ","$84.80 ","$106.00 ","$28.79 ","$30.25 ","$16.88 ","$76.23 "
"72190","EAP","CPT�72190","","X-RAY HAND 2 VW","BOTH IP/OP","$121.00 ","$89.54 ","$12.26 ","$112.41 ","$86.28 ","$106.62 ","$25.22 ","$44.19 ","$44.19 ","$13.48 ","$77.00 ","$112.41 ","$18.48 ","$60.98 ","$61.60 ","$77.00 ","$27.37 ","$21.97 ","$12.26 ","$107.06 "
"72220","EAP","CPT� 72220","","X-RAY HAND 3+ VW","BOTH IP/OP","$93.00 ","$68.82 ","$0.00 ","$92.00 ","$63.70 ","$79.21 ","$0.00 ","$52.06 ","$52.06 ","$16.11 ","$92.00 ","$80.04 ","$22.08 ","$72.86 ","$73.60 ","$92.00 ","$28.79 ","$26.29 ","$14.65 ","$76.23 "
"73000","EAP","CPT� 73000","","CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","BOTH IP/OP","$92.00 ","$68.08 ","$19.18 ","$79.21 ","62.88","79.21","19.18","","","","","","","","","","","","",""
"73030","EAP","CPT�73030","","CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","BOTH IP/OP","$99.00 ","$73.26 ","$20.63 ","$79.21 ","66.11","79.21","20.63","","","","","","","","","","","","",""
"73030","EAP","CPT� 73030","","RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","BOTH IP/OP","$99.00 ","$73.26 ","$19.10 ","$120.00 ","$66.11 ","$79.21 ","$20.63 ","$72.12 ","$72.12 ","$21.01 ","$120.00 ","$80.04 ","$28.80 ","$95.04 ","$96.00 ","$111.21 ","$39.45 ","$34.22 ","$19.10 ","$76.23 "
"73060","EAP","CPT�73060","","RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","BOTH IP/OP","$91.00 ","$67.34 ","$16.08 ","$112.41 ","$66.11 ","$79.21 ","$18.97 ","$67.83 ","$67.83 ","$17.68 ","$101.00 ","$112.41 ","$24.24 ","$79.99 ","$80.80 ","$101.00 ","$37.75 ","$28.81 ","$16.08 ","$107.06 "
"73060","EAP","CPT� 73060","","RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","BOTH IP/OP","$91.00 ","$67.34 ","$18.97 ","$131.00 ","$66.11 ","$79.21 ","$18.97 ","$80.69 ","$80.69 ","$22.94 ","$131.00 ","$112.41 ","$31.44 ","$103.75 ","$104.80 ","$131.00 ","$46.58 ","$37.46 ","$20.86 ","$107.06 "
"73070","EAP","CPT�73070","","CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","BOTH IP/OP","$83.00 ","$61.42 ","$17.30 ","$79.21 ","62.09","79.21","17.3","","","","","","","","","","","","",""
"73070","EAP","CPT� 73070","","RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS","BOTH IP/OP","$83.00 ","$61.42 ","$14.17 ","$89.00 ","$62.09 ","$79.21 ","$17.30 ","$54.94 ","$54.94 ","$15.58 ","$89.00 ","$80.04 ","$21.36 ","$70.49 ","$71.20 ","$89.00 ","$30.93 ","$25.57 ","$14.17 ","$76.23 "
"73080","EAP","CPT� 73080","","CHG X-RAY KNEE 1 OR 2 VIEW","BOTH IP/OP","$93.00 ","$68.82 ","$19.38 ","$79.21 ","70.96","79.21","19.38","","","","","","","","","","","","",""
"73090","EAP","CPT�73090","","X-RAY KNEE 1 OR 2 VIEW","BOTH IP/OP","$83.00 ","$61.42 ","$17.30 ","$132.00 ","$58.87 ","$79.21 ","$17.30 ","$45.95 ","$45.95 ","$23.11 ","$132.00 ","$80.04 ","$31.68 ","$69.70 ","$105.60 ","$111.21 ","$28.43 ","$25.21 ","$21.01 ","$76.23 "
"73090","EAP","CPT� 73090","","X-RAY KNEE 3 VIEW","BOTH IP/OP","$83.00 ","$61.42 ","$16.72 ","$105.00 ","$58.87 ","$79.21 ","$17.30 ","$57.87 ","$57.87 ","$18.38 ","$105.00 ","$80.04 ","$25.20 ","$83.16 ","$84.00 ","$105.00 ","$31.26 ","$29.89 ","$16.72 ","$76.23 "
"73100","EAP","CPT� 73100","","X-RAY KNEE 4+ VIEW","BOTH IP/OP","$97.00 ","$71.78 ","$18.31 ","$115.00 ","$66.11 ","$79.21 ","$20.22 ","$66.59 ","$66.59 ","$20.14 ","$115.00 ","$112.41 ","$27.60 ","$91.08 ","$92.00 ","$115.00 ","$34.81 ","$32.78 ","$18.31 ","$107.06 "
"73110","EAP","CPT�73110","","CHG X-RAY TIB + FIB, 2VW","BOTH IP/OP","$117.00 ","$86.58 ","$24.39 ","$80.63 ","80.63","79.21","24.39","","","","","","","","","","","","",""
"73110","EAP","CPT� 73110","","X-RAY TIB + FIB, 2VW","BOTH IP/OP","$117.00 ","$86.58 ","$12.58 ","$80.63 ","$80.63 ","$79.21 ","$24.39 ","$43.33 ","$43.33 ","$13.83 ","$79.00 ","$80.04 ","$18.96 ","$62.57 ","$63.20 ","$79.00 ","$28.43 ","$22.69 ","$12.58 ","$76.23 "
"73120","EAP","CPT� 73120","","CHG X-RAY ANKLE 2 VW","BOTH IP/OP","$89.00 ","$65.86 ","$18.55 ","$89.00 ","59.66","89","18.55","","","","","","","","","","","","",""
"73130","EAP","CPT�73130","","X-RAY ANKLE 2 VW","BOTH IP/OP","$105.00 ","$77.70 ","$13.05 ","$82.00 ","$70.14 ","$79.21 ","$21.88 ","$44.19 ","$44.19 ","$14.36 ","$82.00 ","$80.04 ","$19.68 ","$64.94 ","$65.60 ","$82.00 ","$27.37 ","$23.41 ","$13.05 ","$76.23 "
"73130","EAP","CPT� 73130","","CHG X-RAY ANKLE 3+ VW","BOTH IP/OP","$105.00 ","$77.70 ","$21.88 ","$79.21 ","70.14","79.21","21.88","","","","","","","","","","","","",""
"73140","EAP","CPT�73140","","X-RAY ANKLE 3+ VW","BOTH IP/OP","$107.00 ","$79.18 ","$14.65 ","$92.00 ","$71.76 ","$79.21 ","$22.30 ","$52.06 ","$52.06 ","$16.11 ","$92.00 ","$80.04 ","$22.08 ","$72.86 ","$73.60 ","$92.00 ","$28.79 ","$26.29 ","$14.65 ","$76.23 "
"73200","EAP","CPT�73200","","CHG X-RAY FOOT 2 VW","BOTH IP/OP","$451.00 ","$333.74 ","$0.00 ","$451.00 ","451","106.62","0","","","","","","","","","","","","",""
"73501","EAP","CPT�73501","","X-RAY FOOT 2 VW","BOTH IP/OP","$93.00 ","$68.82 ","$11.30 ","$80.04 ","$67.72 ","$79.21 ","$19.38 ","$42.45 ","$42.45 ","$12.43 ","$71.00 ","$80.04 ","$17.04 ","$56.23 ","$56.80 ","$71.00 ","$27.37 ","$20.17 ","$11.30 ","$76.23 "
"73502","EAP","CPT�73502","","CHG X-RAY FOOT 3+ VW","BOTH IP/OP","$134.00 ","$99.16 ","$27.93 ","$94.33 ","94.33","79.21","27.93","","","","","","","","","","","","",""
"73502","EAP","CPT� 73502","","X-RAY FOOT 3+ VW","BOTH IP/OP","$134.00 ","$99.16 ","$13.69 ","$94.33 ","$94.33 ","$79.21 ","$27.93 ","$51.19 ","$51.19 ","$15.06 ","$86.00 ","$80.04 ","$20.64 ","$68.11 ","$68.80 ","$86.00 ","$28.79 ","$24.49 ","$13.69 ","$76.23 "
"73521","EAP","CPT� 73521","","X-RAY TOE(S)","BOTH IP/OP","$118.00 ","$87.32 ","$12.10 ","$106.62 ","$90.29 ","$106.62 ","$24.59 ","$48.57 ","$48.57 ","$13.31 ","$76.00 ","$80.04 ","$18.24 ","$60.19 ","$60.80 ","$76.00 ","$23.09 ","$21.61 ","$12.10 ","$76.23 "
"73522","EAP","CPT� 73522","","CT SCAN,LOWER EXTREMITY,W/O CONTRAST","BOTH IP/OP","$153.00 ","$113.22 ","$31.89 ","$371.00 ","$111.25 ","$106.62 ","$31.89 ","$371.00 ","$371.00 ","$64.96 ","$371.00 ","$112.41 ","$371.00 ","$293.83 ","$296.80 ","$156.18 ","$58.06 ","$105.89 ","$59.06 ","$107.06 "
"73552","EAP","CPT�73552","","PR MRI LOWER EXTREM JT, W/O CONTRAST","BOTH IP/OP","$101.00 ","$74.74 ","$21.05 ","$79.21 ","74.18","79.21","21.05","","","","","","","","","","","","",""
"73552","EAP","CPT� 73552","","CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW","BOTH IP/OP","$101.00 ","$74.74 ","$21.05 ","$79.21 ","74.18","79.21","21.05","","","","","","","","","","","","",""
"73560","EAP","CPT�73560","","CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","BOTH IP/OP","$98.00 ","$72.52 ","$20.43 ","$79.21 ","70.14","79.21","20.43","","","","","","","","","","","","",""
"73560","EAP","CPT� 73560","","RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","BOTH IP/OP","$98.00 ","$72.52 ","$0.00 ","$115.00 ","$70.14 ","$79.21 ","$20.43 ","$76.04 ","$76.04 ","$20.14 ","$115.00 ","$112.41 ","$27.60 ","$91.08 ","$92.00 ","$115.00 ","$44.36 ","$32.78 ","$0.00 ","$107.06 "
"73562","EAP","CPT� 73562","","CT SCAN,ABDOMEN,W/O CONTRAST","BOTH IP/OP","$117.00 ","$86.58 ","$24.39 ","$316.00 ","$81.42 ","$79.21 ","$24.39 ","$316.00 ","$316.00 ","$55.33 ","$316.00 ","$112.41 ","$316.00 ","$250.27 ","$252.80 ","$156.18 ","$49.45 ","$90.40 ","$50.31 ","$107.06 "
"73564","EAP","CPT� 73564","","CT SCAN OF ABDOMEN CONTRAST","BOTH IP/OP","$132.00 ","$97.68 ","$27.51 ","$637.00 ","$90.29 ","$106.62 ","$27.51 ","$637.00 ","$637.00 ","$111.53 ","$637.00 ","$202.33 ","$637.00 ","$504.50 ","$509.60 ","$281.11 ","$99.69 ","$185.49 ","$101.41 ","$192.70 "
"73590","EAP","CPT�73590","","CT SCAN OF ABDOMEN COMBO","BOTH IP/OP","$90.00 ","$66.60 ","$18.76 ","$637.00 ","$65.31 ","$79.21 ","$18.76 ","$637.00 ","$637.00 ","$111.53 ","$637.00 ","$202.33 ","$637.00 ","$504.50 ","$509.60 ","$281.11 ","$99.69 ","$211.06 ","$101.41 ","$192.70 "
"73590","EAP","CPT� 73590","","PR CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES","BOTH IP/OP","$90.00 ","$66.60 ","$18.76 ","$79.21 ","65.31","79.21","18.76","","","","","","","","","","","","",""
"73600","EAP","CPT�73600","","CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES","BOTH IP/OP","$92.00 ","$68.08 ","$19.18 ","$1,046.00 ","$67.72 ","$79.21 ","$19.18 ","$755.50 ","$755.50 ","$183.15 ","$1,046.00 ","$387.01 ","$251.04 ","$828.43 ","$836.80 ","$537.70 ","$163.70 ","$298.94 ","$166.52 ","$368.58 "
"73600","EAP","CPT� 73600","","CHG CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST","BOTH IP/OP","$92.00 ","$68.08 ","$19.18 ","$79.21 ","67.72","79.21","19.18","","","","","","","","","","","","",""
"73610","EAP","CPT�73610","","CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST","BOTH IP/OP","$105.00 ","$77.70 ","$0.00 ","$398.00 ","$71.76 ","$79.21 ","$21.88 ","$0.00 ","$0.00 ","$0.00 ","$398.00 ","$0.00 ","$95.52 ","$315.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"73610","EAP","CPT� 73610","","CHG CT SCAN,ABDOMENT AND PELVIS,W CONTRAST","BOTH IP/OP","$105.00 ","$77.70 ","$21.88 ","$79.21 ","71.76","79.21","21.88","","","","","","","","","","","","",""
"73620","EAP","CPT�73620","","CT SCAN,ABDOMENT AND PELVIS,W CONTRAST","BOTH IP/OP","$81.00 ","$59.94 ","$0.00 ","$835.00 ","$58.87 ","$79.21 ","$16.88 ","$0.00 ","$0.00 ","$0.00 ","$835.00 ","$0.00 ","$200.40 ","$661.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"73620","EAP","CPT� 73620","","PR MRI, ABDOMEN, COMBO","BOTH IP/OP","$81.00 ","$59.94 ","$16.88 ","$79.21 ","58.87","79.21","16.88","","","","","","","","","","","","",""
"73630","EAP","CPT�73630","","US, HEAD/NECK TISSUES,REAL TIME","BOTH IP/OP","$99.00 ","$73.26 ","$20.63 ","$79.21 ","66.11","79.21","20.63","","","","","","","","","","","","",""
"73630","EAP","CPT� 73630","","US,HEAD/NECK TISSUES,B-SCAN/REAL TIME","BOTH IP/OP","$99.00 ","$73.26 ","$20.63 ","$311.00 ","$66.11 ","$79.21 ","$20.63 ","$196.88 ","$196.88 ","$54.45 ","$311.00 ","$112.41 ","$74.64 ","$246.31 ","$248.80 ","$156.18 ","$82.37 ","$88.96 ","$49.51 ","$107.06 "
"73660","EAP","CPT� 73660","","CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED","BOTH IP/OP","$83.00 ","$61.42 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"73700","EAP","CPT� 73700","","PR US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE","BOTH IP/OP","$383.00 ","$283.42 ","$79.83 ","$383.00 ","383","106.62","79.83","","","","","","","","","","","","",""
"74018","EAP","CPT�74018","","PR US, ABDOMEN LIMITED","BOTH IP/OP","$86.00 ","$63.64 ","$17.92 ","$79.21 ","62.2","79.21","17.92","","","","","","","","","","","","",""
"74022","EAP","CPT�74022","","SONO ABDOMEN LIMITED","BOTH IP/OP","$143.00 ","$105.82 ","$29.80 ","$219.00 ","$101.59 ","$106.62 ","$29.80 ","$175.05 ","$175.05 ","$38.35 ","$219.00 ","$112.41 ","$52.56 ","$173.45 ","$175.20 ","$156.18 ","$83.78 ","$62.67 ","$34.86 ","$107.06 "
"74022","EAP","CPT� 74022","","US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA","BOTH IP/OP","$143.00 ","$105.82 ","$29.80 ","$306.00 ","$101.59 ","$106.62 ","$29.80 ","$160.30 ","$160.30 ","$53.58 ","$306.00 ","$112.41 ","$73.44 ","$242.35 ","$244.80 ","$156.18 ","$90.50 ","$87.52 ","$48.72 ","$107.06 "
"74150","EAP","CPT� 74150","","PR US,RETROPERIT,REAL TIME,COMPLETE","BOTH IP/OP","$406.00 ","$300.44 ","$84.62 ","$406.00 ","406","106.62","84.62","","","","","","","","","","","","",""
"74160","EAP","CPT� 74160","","US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE","BOTH IP/OP","$691.00 ","$511.34 ","$0.00 ","$691.00 ","$691.00 ","$174.93 ","$0.00 ","$222.59 ","$222.59 ","$47.45 ","$271.00 ","$112.41 ","$65.04 ","$214.63 ","$216.80 ","$156.18 ","$112.23 ","$77.44 ","$43.14 ","$107.06 "
"74170","EAP","CPT� 74170","","SONO ABD RETROPERITNL LTD","BOTH IP/OP","$708.00 ","$523.92 ","$0.00 ","$194.25 ","$0.00 ","$0.00 ","$0.00 ","$194.25 ","$194.25 ","$18.56 ","$106.00 ","$112.41 ","$25.44 ","$83.95 ","$84.80 ","$106.00 ","$83.43 ","$30.25 ","$16.88 ","$107.06 "
"74174","EAP","CPT�74174","","CHG US, OB >/= 14 WKS, SNGL FETUS","BOTH IP/OP","$1,140.00 ","$843.60 ","$237.60 ","$1,140.00 ","1140","360.63","237.6","","","","","","","","","","","","",""
"74174","EAP","CPT� 74174","","CHG US,PREGNANT UTERUS,LIMITED, 1/> FETUSES","BOTH IP/OP","$1,140.00 ","$843.60 ","$237.60 ","$1,140.00 ","1140","360.63","237.6","","","","","","","","","","","","",""
"74176","EAP","CPT�74176","","CHG US,PREGNANT UTERUS,F/U,TRANSABD APP","BOTH IP/OP","$242.00 ","$179.08 ","$0.00 ","$242.00 ","242","0","0","","","","","","","","","","","","",""
"74176","EAP","CPT� 74176","","CHG US,PREGNANT UTERUS,TRANSVAGINAL","BOTH IP/OP","$242.00 ","$179.08 ","$0.00 ","$242.00 ","242","0","0","","","","","","","","","","","","",""
"74177","EAP","CPT�74177","","CHG FETAL BIOPHYS PROF,W/O NST","BOTH IP/OP","$920.00 ","$680.80 ","$0.00 ","$920.00 ","920","0","0","","","","","","","","","","","","",""
"74177","EAP","CPT� 74177","","CHG DOPPLER FETAL UMBILICAL ARTERY","BOTH IP/OP","$920.00 ","$680.80 ","$0.00 ","$920.00 ","920","0","0","","","","","","","","","","","","",""
"74178","EAP","CPT�74178","","CHG ECHOGRAPHY,TRANSVAGINAL","BOTH IP/OP","$1,030.00 ","$762.20 ","$0.00 ","$1,030.00 ","1030","0","0","","","","","","","","","","","","",""
"76536","EAP","CPT�76536","","PR US,PELVIC (NONOBSTETRIC),REAL TIME,COMPLETE","BOTH IP/OP","$322.00 ","$238.28 ","$67.11 ","$266.85 ","266.85","106.62","67.11","","","","","","","","","","","","",""
"76536","EAP","CPT� 76536","","ECHO,PELVIC (NONOBSTETRIC)","BOTH IP/OP","$322.00 ","$238.28 ","$42.51 ","$267.00 ","$266.85 ","$106.62 ","$67.11 ","$204.41 ","$204.41 ","$46.75 ","$267.00 ","$112.41 ","$64.08 ","$211.46 ","$213.60 ","$156.18 ","$92.96 ","$76.36 ","$42.51 ","$107.06 "
"76700","EAP","CPT�76700","","US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED","BOTH IP/OP","$338.00 ","$250.12 ","$0.00 ","$280.53 ","$280.53 ","$106.62 ","$70.45 ","$0.00 ","$0.00 ","$0.00 ","$116.00 ","$0.00 ","$27.84 ","$91.87 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"76700","EAP","CPT� 76700","","CHG US GUIDE, VASCULAR ACCESS","BOTH IP/OP","$338.00 ","$250.12 ","$70.45 ","$280.53 ","280.53","106.62","70.45","","","","","","","","","","","","",""
"76705","EAP","CPT�76705","","SONO GUIDE NEEDLE BIOPSY","BOTH IP/OP","$252.00 ","$186.48 ","$0.00 ","$360.62 ","$209.59 ","$106.62 ","$52.52 ","$360.62 ","$360.62 ","$15.93 ","$91.00 ","$0.00 ","$21.84 ","$72.07 ","$72.80 ","$0.00 ","$92.25 ","$25.93 ","$14.49 ","$0.00 "
"76705","EAP","CPT� 76705","","SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","BOTH IP/OP","$252.00 ","$186.48 ","$14.01 ","$209.59 ","$209.59 ","$106.62 ","$52.52 ","$61.68 ","$61.68 ","$15.41 ","$88.00 ","$26.75 ","$21.12 ","$69.70 ","$70.40 ","$25.21 ","$53.24 ","$25.21 ","$14.01 ","$25.21 "
"76706","EAP","CPT� 76706","","CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI","BOTH IP/OP","$307.00 ","$227.18 ","$63.99 ","$214.45 ","214.45","106.62","63.99","","","","","","","","","","","","",""
"76770","EAP","CPT�76770","","CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","BOTH IP/OP","$313.00 ","$231.62 ","$65.24 ","$259.59 ","259.59","106.62","65.24","","","","","","","","","","","","",""
"76770","EAP","CPT� 76770","","CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","BOTH IP/OP","$313.00 ","$231.62 ","$65.24 ","$259.59 ","259.59","106.62","65.24","","","","","","","","","","","","",""
"76775","EAP","CPT� 76775","","CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","BOTH IP/OP","$165.00 ","$122.10 ","$34.39 ","$133.82 ","133.82","106.62","34.39","","","","","","","","","","","","",""
"76830","EAP","CPT�76830","","CHG DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL","BOTH IP/OP","$345.00 ","$255.30 ","$71.91 ","$280.55 ","280.55","106.62","71.91","","","","","","","","","","","","",""
"76830","EAP","CPT� 76830","","ASSAY OF PHENYTOIN TOTAL","BOTH IP/OP","$345.00 ","$255.30 ","$71.91 ","$280.55 ","280.55","106.62","71.91","","","","","","","","","","","","",""
"76856","EAP","CPT�76856","","ASSAY OF VANCOMYCIN","BOTH IP/OP","$305.00 ","$225.70 ","$63.57 ","$253.12 ","253.12","106.62","63.57","","","","","","","","","","","","",""
"76856","EAP","CPT� 76856","","URINALYSIS NONAUTO W/ SCOPE","BOTH IP/OP","$305.00 ","$225.70 ","$63.57 ","$253.12 ","253.12","106.62","63.57","","","","","","","","","","","","",""
"76857","EAP","CPT�76857","","URINALYSIS WITH MICROSCOPY","BOTH IP/OP","$136.00 ","$100.64 ","$3.17 ","$110.46 ","$110.46 ","$106.62 ","$28.35 ","$4.63 ","$4.63 ","$4.68 ","$11.00 ","$3.33 ","$8.86 ","$8.71 ","$8.80 ","$4.60 ","$4.99 ","$3.17 ","$3.49 ","$3.17 "
"76870","EAP","CPT� 76870","","CHG URINALYSIS NONAUTO W/O SCOPE","BOTH IP/OP","$291.00 ","$215.34 ","$60.65 ","$156.39 ","156.39","106.62","60.65","","","","","","","","","","","","",""
"76882","EAP","CPT� 76882","","URINALYSIS","BOTH IP/OP","$160.00 ","$118.40 ","$2.25 ","$106.62 ","$82.24 ","$106.62 ","$10.15 ","$3.28 ","$3.28 ","$3.33 ","$8.00 ","$2.36 ","$6.28 ","$6.34 ","$6.40 ","$3.26 ","$3.55 ","$2.25 ","$2.48 ","$2.25 "
"76942","EAP","CPT� 76942","","URINE PREGNANCY TEST","BOTH IP/OP","$165.00 ","$122.10 ","$0.00 ","$137.83 ","137.83","0","34.39","","","","","","","","","","","","",""
"77063","EAP","CPT� 77063","","PREGNANCY TEST-URINE","BOTH IP/OP","$149.00 ","$110.26 ","$6.98 ","$126.56 ","$126.56 ","$46.99 ","$31.06 ","$9.24 ","$9.24 ","$9.36 ","$30.00 ","$9.04 ","$17.68 ","$23.76 ","$24.00 ","$12.48 ","$9.97 ","$8.61 ","$6.98 ","$8.61 "
"77063","EAP","CPT�77063","","URINALYSIS VOLUME MEASURE","BOTH IP/OP","$149.00 ","$110.26 ","$31.06 ","$126.56 ","126.56","46.99","31.06","","","","","","","","","","","","",""
"77067","EAP","CPT�77067","","INSERT,IMPLANT CONTRACEPTIVE","BOTH IP/OP","$366.00 ","$270.84 ","$76.28 ","$310.36 ","310.36","113.86","76.28","","","","","","","","","","","","",""
"77067","EAP","CPT� 77067","","REMOVE WITH REINSERTION OF DRUG IMPLANT","BOTH IP/OP","$366.00 ","$270.84 ","$76.28 ","$310.36 ","310.36","113.86","76.28","","","","","","","","","","","","",""
"77080","EAP","CPT� 77080","","ASPIRATION/INJ.,GANGION CYST","BOTH IP/OP","$105.00 ","$77.70 ","$21.88 ","$105.00 ","93.51","105","21.88","","","","","","","","","","","","",""
"77081","EAP","CPT� 77081","","TREAT FRACTURE RADIUS/ULNA","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$79.21 ","63.7","79.21","0","","","","","","","","","","","","",""
"80048","EAP","CPT�80048","","G-TUBE INSERTION","BOTH IP/OP","$26.00 ","$19.24 ","$4.23 ","$17.45 ","17.45","4.23","4.23","","","","","","","","","","","","",""
"80053","EAP","CPT�80053","","#N/A","BOTH IP/OP","$32.00 ","$23.68 ","$5.28 ","$21.81 ","21.81","5.28","5.28","","","","","","","","","","","","",""
"80061","EAP","CPT�80061","","SIGMOIDOSCOPY W/SUBMUC INJ","BOTH IP/OP","$41.00 ","$30.34 ","$6.70 ","$27.64 ","27.64","6.7","6.7","","","","","","","","","","","","",""
"80069","EAP","CPT�80069","","#N/A","BOTH IP/OP","$27.00 ","$19.98 ","$4.34 ","$17.93 ","17.93","4.34","4.34","","","","","","","","","","","","",""
"80076","EAP","CPT�80076","","ECC CERVICAL SCRAPE","BOTH IP/OP","$25.00 ","$18.50 ","$4.09 ","$16.87 ","16.87","4.09","4.09","","","","","","","","","","","","",""
"81001","EAP","CPT� 81001","","FINGER  3 VIEWS","BOTH IP/OP","$10.00 ","$7.40 ","$1.58 ","$6.55 ","6.55","1.59","1.58","","","","","","","","","","","","",""
"81003","EAP","CPT� 81003","","CT, ABD AND PELVIS W&W/O CONTRAST","BOTH IP/OP","$7.00 ","$5.18 ","$1.12 ","$4.65 ","4.65","1.13","1.12","","","","","","","","","","","","",""
"81003","EAP","CPT�81003","","US PELVIS LTD/FU NON-OB","BOTH IP/OP","$7.00 ","$5.18 ","$1.12 ","$4.65 ","4.65","1.13","1.12","","","","","","","","","","","","",""
"81025","EAP","CPT�81025","","BASIC METABOLIC PANEL","BOTH IP/OP","$26.00 ","$19.24 ","$3.87 ","$13.04 ","13.04","4.31","3.87","","","","","","","","","","","","",""
"81025","EAP","CPT� 81025","","RENAL FUNCTION PANEL, EVD","BOTH IP/OP","$26.00 ","$19.24 ","$3.87 ","$13.04 ","13.04","4.31","3.87","","","","","","","","","","","","",""
"82150","EAP","CPT�82150","","RETICULOCYTES, AUTOMATED","BOTH IP/OP","$20.00 ","$14.80 ","$3.24 ","$13.38 ","13.38","3.24","3.24","","","","","","","","","","","","",""
"82274","EAP","CPT� 82274","","VFC FLU. VAC. 3-21 YRS","BOTH IP/OP","$48.00 ","$35.52 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"82565","EAP","CPT�82565","","NICU/PED/DEVELOP.TESTING,LIMI","BOTH IP/OP","$16.00 ","$11.84 ","$2.56 ","$10.59 ","10.59","2.56","2.56","","","","","","","","","","","","",""
"82947","EAP","CPT�82947","","BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT","BOTH IP/OP","$12.00 ","$8.88 ","$0.00 ","$56.00 ","$8.10 ","$1.97 ","$0.00 ","$23.22 ","$23.22 ","$25.48 ","$56.00 ","$16.72 ","$44.44 ","$44.35 ","$44.80 ","$23.08 ","$27.15 ","$15.92 ","$19.01 ","$15.92 "
"82977","EAP","CPT�82977","","ASSAY OF IONIZED CALCIUM","BOTH IP/OP","$22.00 ","$16.28 ","$3.60 ","$14.86 ","14.86","3.6","3.6","","","","","","","","","","","","",""
"83036","EAP","CPT� 83036","","TOTAL CORTISOL","BOTH IP/OP","$30.00 ","$22.20 ","$4.86 ","$20.04 ","20.04","4.86","4.86","","","","","","","","","","","","",""
"83036","EAP","CPT�83036","","ASSAY OF CK (CPK)","BOTH IP/OP","$30.00 ","$22.20 ","$4.86 ","$20.04 ","20.04","4.86","4.86","","","","","","","","","","","","",""
"83540","EAP","CPT�83540","","CREATINE MB FRACTION","BOTH IP/OP","$20.00 ","$14.80 ","$3.24 ","$13.36 ","13.36","3.24","3.24","","","","","","","","","","","","",""
"83615","EAP","CPT�83615","","ASSAY OF URINE CREATININE","BOTH IP/OP","$19.00 ","$14.06 ","$3.02 ","$12.46 ","12.46","3.02","3.02","","","","","","","","","","","","",""
"83690","EAP","CPT�83690","","ASSAY OF FERRITIN","BOTH IP/OP","$21.00 ","$15.54 ","$3.44 ","$14.23 ","14.23","3.45","3.44","","","","","","","","","","","","",""
"83721","EAP","CPT�83721","","ASSAY OF FOLIC ACID SERUM","BOTH IP/OP","$32.00 ","$23.68 ","$4.77 ","$19.69 ","19.69","5.25","4.77","","","","","","","","","","","","",""
"83735","EAP","CPT�83735","","BLOOD PH","BOTH IP/OP","$21.00 ","$15.54 ","$3.35 ","$13.83 ","13.83","3.35","3.35","","","","","","","","","","","","",""
"84100","EAP","CPT�84100","","ASSAY OF HAPTOGLOBIN QUANT","BOTH IP/OP","$15.00 ","$11.10 ","$2.37 ","$9.79 ","9.79","2.37","2.37","","","","","","","","","","","","",""
"84132","EAP","CPT�84132","","HEMOGLOBIN ELECTROPHORESIS","BOTH IP/OP","$15.00 ","$11.10 ","$2.30 ","$9.50 ","9.5","2.38","2.3","","","","","","","","","","","","",""
"84155","EAP","CPT�84155","","LACTATE (LD) (LDH) ENZYME","BOTH IP/OP","$12.00 ","$8.88 ","$0.00 ","$7.58 ","7.58","1.84","0","","","","","","","","","","","","",""
"84550","EAP","CPT�84550","","ASSAY OF SERUM POTASSIUM","BOTH IP/OP","$14.00 ","$10.36 ","$2.26 ","$9.32 ","9.32","2.26","2.26","","","","","","","","","","","","",""
"85018","EAP","CPT� 85018","","ASSAY OF PSA TOTAL","BOTH IP/OP","$8.00 ","$5.92 ","$1.18 ","$4.88 ","4.88","1.19","1.18","","","","","","","","","","","","",""
"85018","EAP","CPT�85018","","PROTEIN ELECTROPHORESIS SERUM","BOTH IP/OP","$8.00 ","$5.92 ","$1.18 ","$4.88 ","4.88","1.19","1.18","","","","","","","","","","","","",""
"85025","EAP","CPT� 85025","","ASSAY OF SERUM SODIUM","BOTH IP/OP","$24.00 ","$17.76 ","$3.88 ","$16.05 ","16.05","3.89","3.88","","","","","","","","","","","","",""
"85025","EAP","CPT�85025","","ASSAY OF URINE SODIUM","BOTH IP/OP","$24.00 ","$17.76 ","$3.88 ","$16.05 ","16.05","3.89","3.88","","","","","","","","","","","","",""
"85027","EAP","CPT� 85027","","ASSAY OF TOTAL TESTOSTERONE","BOTH IP/OP","$20.00 ","$14.80 ","$3.23 ","$13.36 ","13.36","3.24","3.23","","","","","","","","","","","","",""
"85027","EAP","CPT�85027","","ASSAY OF FREE THYROXINE","BOTH IP/OP","$20.00 ","$14.80 ","$3.23 ","$13.36 ","13.36","3.24","3.23","","","","","","","","","","","","",""
"85046","EAP","CPT�85046","","ASSAY THYROID STIM HORMONE","BOTH IP/OP","$17.00 ","$12.58 ","$2.79 ","$11.48 ","11.48","2.79","2.79","","","","","","","","","","","","",""
"85610","EAP","CPT� 85610","","ASSAY OF URINE/UREA-N","BOTH IP/OP","$13.00 ","$9.62 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"85610","EAP","CPT�85610","","ASSAY OF BLOOD/URIC ACID","BOTH IP/OP","$13.00 ","$9.62 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"87070","EAP","CPT� 87070","","THROMBOPLASTIN TIME PARTIAL","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"87210","EAP","CPT�87210","","VIRUS ANTIBODY NOS","BOTH IP/OP","$18.00 ","$13.32 ","$2.62 ","$8.82 ","8.82","2.91","2.62","","","","","","","","","","","","",""
"87210","EAP","CPT� 87210","","SPECIMEN INFECT AGENT CONCNTJ","BOTH IP/OP","$18.00 ","$13.32 ","$2.62 ","$8.82 ","8.82","2.91","2.62","","","","","","","","","","","","",""
"87430","EAP","CPT� 87430","","Culture Other Specimen Aerobic","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$12.57 ","$12.57 ","$12.73 ","$30.00 ","$9.05 ","$24.06 ","$23.76 ","$24.00 ","$12.50 ","$13.56 ","$8.62 ","$0.00 ","$0.00 "
"90460","EAP","CPT� 90460","","TISSUE HOMOGENIZATION CULTURE","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$17.04 ","0","17.04","0","","","","","","","","","","","","",""
"90461","EAP","CPT� 90461","","MICROBE SUSCEPTIBLE MIC","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$12.86 ","0","12.86","0","","","","","","","","","","","","",""
"90471","EAP","CPT�90471","","SMEAR GRAM STAIN","BOTH IP/OP","$47.00 ","$34.78 ","$9.80 ","$39.19 ","25.52","39.19","9.8","","","","","","","","","","","","",""
"90471","EAP","CPT� 90471","","SMEAR FLOURESCENT/ACID STAIN","BOTH IP/OP","$47.00 ","$34.78 ","$9.80 ","$39.19 ","25.52","39.19","9.8","","","","","","","","","","","","",""
"90472","EAP","CPT�90472","","SMEAR WET MOUNT SALINE/INK","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$19.55 ","19.55","0","7.5","","","","","","","","","","","","",""
"90472","EAP","CPT� 90472","","O & P DIRECT, SMEAR","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$20.00 ","$19.55 ","$0.00 ","$7.50 ","$6.23 ","$6.23 ","$6.30 ","$20.00 ","$6.11 ","$11.92 ","$15.84 ","$16.00 ","$8.44 ","$6.71 ","$5.82 ","$4.70 ","$5.82 "
"90620","EAP","CPT� 90620","","CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","BOTH IP/OP","$30.00 ","$22.20 ","$6.25 ","$171.96 ","13.5","171.96","6.25","","","","","","","","","","","","",""
"90621","EAP","CPT� 90621","","IAAD IA STREPTOCOCCUS GROUP A","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$17.52 ","$17.52 ","$17.71 ","$59.00 ","$17.65 ","$33.52 ","$46.73 ","$47.20 ","$24.37 ","$18.87 ","$16.81 ","$13.21 ","$16.81 "
"90632","EAP","CPT� 90632","","CHG CYTOPATH FLUIDS,SMEAR,INTERP","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$56.67 ","13.5","0","56.67","","","","","","","","","","","","",""
"90633","EAP","CPT� 90633","","CHG CYTOPATH, CELL ENHANCE TECH","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$13.50 ","13.5","0","9.4","","","","","","","","","","","","",""
"90636","EAP","CPT� 90636","","CYTOPATH C/V THIN LAYER","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"90647","EAP","CPT� 90647","","CYTOPATH FNA MISC","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$13.50 ","13.5","0","0","","","","","","","","","","","","",""
"90648","EAP","CPT� 90648","","BODY FLUID CELL COUNT","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$13.50 ","13.5","0","6.25","","","","","","","","","","","","",""
"90651","EAP","CPT� 90651","","IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$229.60 ","$13.50 ","$229.60 ","$6.25 ","$15.65 ","$15.65 ","$3.84 ","$21.93 ","$21.90 ","$10.97 ","$17.37 ","$17.54 ","$14.42 ","$7.83 ","$14.42 ","$0.00 ","$14.42 "
"90658","EAP","CPT�90658","","IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$21.93 ","$13.50 ","$15.36 ","$0.00 ","$15.65 ","$15.65 ","$3.84 ","$21.93 ","$13.61 ","$10.97 ","$17.37 ","$17.54 ","$12.98 ","$0.00 ","$12.98 ","$0.00 ","$12.98 "
"90670","EAP","CPT� 90670","","PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID","BOTH IP/OP","$30.00 ","$22.20 ","$6.25 ","$230.14 ","13.5","230.14","6.25","","","","","","","","","","","","",""
"90674","EAP","CPT� 90674","","IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID","BOTH IP/OP","$30.00 ","$22.20 ","$6.25 ","$50.00 ","$13.50 ","$29.23 ","$6.25 ","$35.69 ","$35.69 ","$8.75 ","$50.00 ","$38.22 ","$25.00 ","$39.60 ","$40.00 ","$50.00 ","$7.83 ","$14.42 ","$7.96 ","$36.40 "
"90680","EAP","CPT� 90680","","PR IMMUNIZ,ADMIN,EACH ADDL","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$13.50 ","13.5","0","6.25","","","","","","","","","","","","",""
"90681","EAP","CPT� 90681","","IMMUNIZ,ADMIN,EACH ADDL","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$119.46 ","$13.50 ","$119.46 ","$6.25 ","$32.12 ","$32.12 ","$7.88 ","$45.00 ","$0.00 ","$22.50 ","$35.64 ","$36.00 ","$0.00 ","$7.04 ","$12.98 ","$7.16 ","$0.00 "
"90685","EAP","CPT� 90685","","MENB RECOMBINANT PROT W/OUT MEMBR VESIC VACC IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$200.63 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$200.63 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$200.63 ","$0.00 ","$191.04 ","$0.00 "
"90686","EAP","CPT� 90686","","MENB RECOMBINANT LIPOPROTEIN VACCINE IM","BOTH IP/OP","$25.00 ","$18.50 ","$0.00 ","$163.94 ","$11.25 ","$19.58 ","$5.21 ","$21.41 ","$21.41 ","$163.94 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$163.94 ","$0.00 ","$156.09 ","$0.00 "
"90696","EAP","CPT� 90696","","HEPA VACCINE ADULT IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$70.39 ","$13.50 ","$0.00 ","$6.25 ","$21.41 ","$21.41 ","$70.39 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$70.39 ","$0.00 ","$67.03 ","$0.00 "
"90698","EAP","CPT� 90698","","HEPA VACCINE PED/ADOL-2 DOSE","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90700","EAP","CPT� 90700","","HEPA/HEPB VACCINE ADULT IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$122.20 ","$13.50 ","$0.00 ","$6.25 ","$21.41 ","$21.41 ","$122.20 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$122.20 ","$0.00 ","$116.36 ","$0.00 "
"90707","EAP","CPT� 90707","","HIB VACCINE, PRP-OMP, IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$13.50 ","$0.00 ","$11.75 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90710","EAP","CPT� 90710","","HIB VACCINE, PRP-T, IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$13.50 ","$0.00 ","$6.25 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90713","EAP","CPT� 90713","","HUMAN PAPILLOMA VIRUS NONAVALENT HPV 3 DOSE IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$267.82 ","$13.50 ","$0.00 ","$9.40 ","$21.41 ","$21.41 ","$267.82 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$267.82 ","$0.00 ","$255.01 ","$0.00 "
"90715","EAP","CPT� 90715","","PNEUMOCOCCAL CONJ VACCINE 13 VALENT IM","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$252.18 ","$13.50 ","$0.00 ","$6.25 ","$21.41 ","$21.41 ","$252.18 ","$30.00 ","$4.38 ","$15.00 ","$23.76 ","$24.00 ","$4.38 ","$252.18 ","$7.80 ","$240.12 ","$7.80 "
"90716","EAP","CPT� 90716","","CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","BOTH IP/OP","$30.00 ","$22.20 ","$4.38 ","$136.66 ","$13.50 ","$136.66 ","$9.40 ","$21.41 ","$21.41 ","$33.05 ","$30.00 ","$4.38 ","$15.00 ","$23.76 ","$24.00 ","$4.38 ","$33.05 ","$7.80 ","$31.47 ","$7.80 "
"90723","EAP","CPT� 90723","","ROTOVIRUS VACCINE, ORAL","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$79.00 ","$13.50 ","$79.00 ","$6.25 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90732","EAP","CPT� 90732","","ROTOVIRUS VACCINE, HUMAN ATTENUATED, 2 DOSE, ORAL","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$119.92 ","$13.50 ","$119.92 ","$9.40 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90734","EAP","CPT� 90734","","IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$129.14 ","$13.50 ","$129.14 ","$9.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$23.76 ","$0.00 ","$0.00 ","$4.70 ","$0.00 ","$0.00 ","$0.00 "
"90744","EAP","CPT� 90744","","IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$28.21 ","$13.50 ","$28.21 ","$0.00 ","$17.84 ","$17.84 ","$22.36 ","$25.00 ","$3.65 ","$12.50 ","$19.80 ","$20.00 ","$3.65 ","$22.36 ","$6.50 ","$21.29 ","$6.50 "
"90746","EAP","CPT� 90746","","DTAP-IPV, IM, AGE 4-6 YEAR","BOTH IP/OP","$227.00 ","$167.98 ","$0.00 ","$102.15 ","$102.15 ","$69.65 ","$70.16 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90791","EAP","CPT� 90791","","DTAP-HIB-IP VACCINE, IM","BOTH IP/OP","$494.00 ","$365.56 ","$0.00 ","$268.24 ","$268.24 ","$131.03 ","$102.96 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90792","EAP","CPT�90792","","DTAP IMMUNIZATION, IM","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$300.28 ","$300.28 ","$131.03 ","$115.26 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90832","EAP","CPT�90832","","MMR VIRUS IMMUNIZATION, SUBCUT","BOTH IP/OP","$215.00 ","$159.10 ","$0.00 ","$131.03 ","$116.75 ","$131.03 ","$44.81 ","$21.41 ","$21.41 ","$92.45 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$92.45 ","$0.00 ","$88.03 ","$0.00 "
"90832","EAP","CPT� 90832","","COMBINED VACCINE,MMR+VARICELLA,SQ","BOTH IP/OP","$215.00 ","$159.10 ","$0.00 ","$131.03 ","$116.75 ","$131.03 ","$44.81 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$4.70 ","$0.00 ","$4.78 ","$0.00 "
"90834","EAP","CPT�90834","","POLIOMYELITIS IMMUNIZATN,INACTV,SQ","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$154.21 ","$154.21 ","$131.03 ","$59.19 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"90837","EAP","CPT�90837","","TDAP VACCINE >7 IM","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$226.43 ","$226.43 ","$131.03 ","$86.91 ","$21.41 ","$21.41 ","$39.53 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$39.53 ","$0.00 ","$37.64 ","$0.00 "
"90837","EAP","CPT� 90837","","CHICKEN POX VACCINE,LIVE,SUBCUT","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$226.43 ","$226.43 ","$131.03 ","$86.91 ","$21.41 ","$21.41 ","$159.48 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$159.48 ","$0.00 ","$151.85 ","$0.00 "
"91111","EAP","CPT� 91111","","HEP B VACCINE,PED/ADOL,IM","BOTH IP/OP","$2,479.00 ","$1,834.46 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$5.25 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$18.00 ","$4.70 ","$7.80 ","$0.00 ","$7.80 "
"92250","EAP","CPT�92250","","PR PSYCHOTHERAPY W/PATIENT 45 MINUTES","BOTH IP/OP","$105.00 ","$77.70 ","$21.88 ","$105.00 ","57.02","105","21.88","","","","","","","","","","","","",""
"92250","EAP","CPT� 92250","","PR PSYCHOTHERAPY W/PATIENT 60 MINUTES","BOTH IP/OP","$105.00 ","$77.70 ","$21.88 ","$105.00 ","57.02","105","21.88","","","","","","","","","","","","",""
"92551","EAP","CPT� 92551","","PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","BOTH IP/OP","$40.00 ","$29.60 ","$8.34 ","$21.72 ","21.72","11.81","8.34","","","","","","","","","","","","",""
"92552","EAP","CPT� 92552","","PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","BOTH IP/OP","$95.00 ","$70.30 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"93000","EAP","CPT� 93000","","PR EYE EXAM, EST PATIENT,COMPREHESV","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$37.57 ","37.57","14.92","0","","","","","","","","","","","","",""
"93015","EAP","CPT� 93015","","PR COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE","BOTH IP/OP","$200.00 ","$148.00 ","$0.00 ","$169.04 ","169.04","71.62","0","","","","","","","","","","","","",""
"93225","EAP","CPT�93225","","PR FUNDAL PHOTOGRAPHY","BOTH IP/OP","$59.00 ","$43.66 ","$12.30 ","$59.00 ","58.71","59","12.3","","","","","","","","","","","","",""
"93227","EAP","CPT�93227","","FUNDAL PHOTOGRAPHY","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$160.00 ","$56.00 ","$18.80 ","$0.00 ","$114.19 ","$114.19 ","$28.01 ","$160.00 ","$109.35 ","$80.00 ","$126.72 ","$128.00 ","$151.93 ","$59.03 ","$23.77 ","$25.47 ","$104.14 "
"93242","EAP","CPT�93242","","PR SPEECH/HEARING THERAPY","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"93244","EAP","CPT�93244","","PURE TONE HEARING TEST, AIR","BOTH IP/OP","$73.00 ","$54.02 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$7.70 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$26.40 ","$9.01 ","$0.00 ","$7.00 ","$0.00 "
"93246","EAP","CPT�93246","","PURE TONE AUDIOMETRY, AIR","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$112.00 ","$0.00 ","$0.00 ","$0.00 ","$79.93 ","$79.93 ","$19.61 ","$112.00 ","$109.35 ","$56.00 ","$88.70 ","$89.60 ","$112.00 ","$17.48 ","$32.05 ","$17.83 ","$104.14 "
"93248","EAP","CPT�93248","","PR TYMPANOMETRY","BOTH IP/OP","$81.00 ","$59.94 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"93306","EAP","CPT�93306","","PR AUDITORY EVOKED POTENTIAL, LIMITED","BOTH IP/OP","$566.00 ","$418.84 ","$117.97 ","$504.77 ","504.77","473.2","117.97","","","","","","","","","","","","",""
"93306","EAP","CPT� 93306","","PR EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION","BOTH IP/OP","$566.00 ","$418.84 ","$117.97 ","$504.77 ","504.77","473.2","117.97","","","","","","","","","","","","",""
"93880","EAP","CPT� 93880","","CV STRS TST XERS&/OR RX CONT ECG W/SI&R","BOTH IP/OP","$116.00 ","$85.84 ","$0.00 ","$252.00 ","$116.00 ","$116.00 ","$24.18 ","$179.85 ","$179.85 ","$44.12 ","$252.00 ","$76.29 ","$126.00 ","$199.58 ","$201.60 ","$72.09 ","$110.83 ","$72.09 ","$0.00 ","$72.09 "
"93926","EAP","CPT� 93926","","PR CARDIAC STRESS TST,TRACING ONLY","BOTH IP/OP","$381.00 ","$281.94 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"93970","EAP","CPT�93970","","PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER","BOTH IP/OP","$102.00 ","$75.48 ","$21.26 ","$102.00 ","102","102","21.26","","","","","","","","","","","","",""
"93970","EAP","CPT� 93970","","ECHO HEART XTHORACIC,COMPLETE W DOPPLER","BOTH IP/OP","$102.00 ","$75.48 ","$21.26 ","$739.00 ","$102.00 ","$102.00 ","$21.26 ","$527.42 ","$527.42 ","$129.39 ","$739.00 ","$483.00 ","$369.50 ","$585.29 ","$591.20 ","$671.06 ","$254.50 ","$136.14 ","$117.65 ","$460.00 "
"93971","EAP","CPT�93971","","PR ECHO HEART XTHORACIC,LIMITED","BOTH IP/OP","$343.00 ","$253.82 ","$71.49 ","$266.11 ","266.11","106.62","71.49","","","","","","","","","","","","",""
"93971","EAP","CPT� 93971","","PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I","BOTH IP/OP","$343.00 ","$253.82 ","$71.49 ","$266.11 ","266.11","106.62","71.49","","","","","","","","","","","","",""
"94640","EAP","CPT� 94640","","DUPLEX LO EXTREM ART UNILAT/LTD","BOTH IP/OP","$32.00 ","$23.68 ","$0.00 ","$479.00 ","$0.00 ","$0.00 ","$0.00 ","$424.07 ","$424.07 ","$83.87 ","$479.00 ","$112.41 ","$239.50 ","$379.37 ","$383.20 ","$156.18 ","$120.13 ","$127.86 ","$76.26 ","$107.06 "
"94664","EAP","CPT�94664","","DUPLEX EXTREM VENOUS,BILAT","BOTH IP/OP","$48.00 ","$35.52 ","$10.00 ","$695.00 ","$26.06 ","$48.00 ","$10.00 ","$523.58 ","$523.58 ","$121.69 ","$695.00 ","$233.72 ","$347.50 ","$550.44 ","$556.00 ","$324.73 ","$199.35 ","$163.16 ","$110.64 ","$222.60 "
"96110","EAP","CPT�96110","","PR POS AIRWAY PRESSURE, CPAP","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$10.07 ","0","10.07","0","","","","","","","","","","","","",""
"96127","EAP","CPT�96127","","PR EXHALED AIR ANALYSIS: O2, CO2","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","0","14","0","","","","","","","","","","","","",""
"96161","EAP","CPT� 96161","","PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","BOTH IP/OP","$8.00 ","$5.92 ","$0.00 ","$8.00 ","0","8","0","","","","","","","","","","","","",""
"96361","EAP","CPT� 96361","","PR DIFFUSING CAPACITY","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$7.71 ","0","0","7.71","","","","","","","","","","","","",""
"96372","EAP","CPT� 96372","","PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND","BOTH IP/OP","$41.00 ","$30.34 ","$8.55 ","$41.00 ","22.26","41","8.55","","","","","","","","","","","","",""
"97802","EAP","CPT� 97802","","PR DEBRIDEMENT OPEN WOUND 20 SQ CM<","BOTH IP/OP","$104.00 ","$76.96 ","$21.68 ","$56.47 ","56.47","33.05","21.68","","","","","","","","","","","","",""
"97803","EAP","CPT� 97803","","PR ORTHOTIC MGMT AND TRAINING, EACH 15 MIN","BOTH IP/OP","$90.00 ","$66.60 ","$18.76 ","$48.87 ","48.87","28.17","18.76","","","","","","","","","","","","",""
"98966","EAP","CPT� 98966","","PR ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"98967","EAP","CPT� 98967","","MED NUTR THER, 1ST, INDIV, EA 15 MIN","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$134.00 ","$0.00 ","$0.00 ","$0.00 ","$95.64 ","$95.64 ","$23.46 ","$134.00 ","$29.55 ","$67.00 ","$106.13 ","$107.20 ","$34.61 ","$20.97 ","$34.61 ","$21.33 ","$34.61 "
"98968","EAP","CPT� 98968","","MED NUTR THER, SUBSQ, INDIV, EA 15 MIN","BOTH IP/OP","$95.00 ","$70.30 ","$0.00 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$82.79 ","$82.79 ","$20.31 ","$116.00 ","$25.06 ","$58.00 ","$91.87 ","$92.80 ","$29.21 ","$18.15 ","$29.21 ","$18.47 ","$29.21 "
"99024","EAP","CPT� 99024","","NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN","BOTH IP/OP","$0.01 ","$0.01 ","$0.00 ","$161.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"99173","EAP","CPT� 99173","","NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN","BOTH IP/OP","$11.00 ","$8.14 ","$0.00 ","$266.00 ","$0.00 ","$3.10 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$266.00 ","$0.00 ","$133.00 ","$210.67 ","$212.80 ","$159.60 ","$41.63 ","$0.00 ","$0.00 ","$0.00 "
"99202","EAP","CPT�99202","","POST-OP FOLLOW-UP VISIT","BOTH IP/OP","$204.00 ","$150.96 ","$0.00 ","$67.13 ","$0.00 ","$49.57 ","$67.13 ","$0.00 ","$0.00 ","$0.00 ","$0.01 ","$0.00 ","$0.00 ","$0.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"99202","EAP","CPT� 99202","","VISUAL SCREENING TEST, BILAT","BOTH IP/OP","$204.00 ","$150.96 ","$0.00 ","$67.13 ","$0.00 ","$49.57 ","$67.13 ","$7.85 ","$7.85 ","$1.93 ","$11.00 ","$0.00 ","$5.50 ","$8.71 ","$8.80 ","$6.60 ","$1.72 ","$0.00 ","$0.00 ","$0.00 "
"99203","EAP","CPT�99203","","OFFICE OUTPATIENT NEW 10 MINUTES","BOTH IP/OP","$314.00 ","$232.36 ","$0.00 ","$329.00 ","$0.00 ","$83.89 ","$67.13 ","$299.34 ","$299.34 ","$57.61 ","$329.00 ","$28.83 ","$164.50 ","$260.57 ","$263.20 ","$27.04 ","$108.52 ","$27.04 ","$99.16 ","$27.04 "
"99203","EAP","CPT� 99203","","PR OFFICE OUTPATIENT NEW 20 MINUTES","BOTH IP/OP","$314.00 ","$232.36 ","$0.00 ","$83.89 ","0","83.89","67.13","","","","","","","","","","","","",""
"99204","EAP","CPT�99204","","OFFICE OUTPATIENT NEW 20 MINUTES","BOTH IP/OP","$467.00 ","$345.58 ","$0.00 ","$378.00 ","$0.00 ","$136.63 ","$67.13 ","$299.34 ","$299.34 ","$66.18 ","$378.00 ","$54.20 ","$189.00 ","$299.38 ","$302.40 ","$51.57 ","$108.52 ","$51.57 ","$99.16 ","$51.57 "
"99204","EAP","CPT� 99204","","PR OFFICE OUTPATIENT NEW 30 MINUTES","BOTH IP/OP","$467.00 ","$345.58 ","$0.00 ","$136.63 ","0","136.63","67.13","","","","","","","","","","","","",""
"99205","EAP","CPT�99205","","OFFICE OUTPATIENT NEW 30 MINUTES","BOTH IP/OP","$618.00 ","$457.32 ","$0.00 ","$442.00 ","$0.00 ","$185.53 ","$67.13 ","$299.34 ","$299.34 ","$77.39 ","$442.00 ","$82.35 ","$221.00 ","$350.06 ","$353.60 ","$77.17 ","$108.52 ","$77.17 ","$99.16 ","$77.17 "
"99205","EAP","CPT� 99205","","PR OFFICE OUTPATIENT NEW 45 MINUTES","BOTH IP/OP","$618.00 ","$457.32 ","$0.00 ","$185.53 ","0","185.53","67.13","","","","","","","","","","","","",""
"99211","EAP","CPT�99211","","OFFICE OUTPATIENT NEW 45 MINUTES","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$569.00 ","$0.00 ","$9.03 ","$67.13 ","$299.34 ","$299.34 ","$99.63 ","$569.00 ","$138.78 ","$284.50 ","$450.65 ","$455.20 ","$131.98 ","$108.52 ","$131.98 ","$99.16 ","$131.98 "
"99211","EAP","CPT� 99211","","PR OFFICE OUTPATIENT NEW 60 MINUTES","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$67.13 ","0","9.03","67.13","","","","","","","","","","","","",""
"99212","EAP","CPT�99212","","OFFICE OUTPATIENT NEW 60 MINUTES","BOTH IP/OP","$159.00 ","$117.66 ","$0.00 ","$686.00 ","$0.00 ","$36.10 ","$67.13 ","$299.34 ","$299.34 ","$120.11 ","$686.00 ","$181.26 ","$343.00 ","$543.31 ","$548.80 ","$172.37 ","$108.52 ","$172.37 ","$99.16 ","$172.37 "
"99212","EAP","CPT� 99212","","PR OFFICE OUTPATIENT VISIT 5 MINUTES","BOTH IP/OP","$159.00 ","$117.66 ","$0.00 ","$67.13 ","0","36.1","67.13","","","","","","","","","","","","",""
"99213","EAP","CPT�99213","","OFFICE OUTPATIENT VISIT 5 MINUTES","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$299.34 ","$0.00 ","$67.67 ","$67.13 ","$299.34 ","$299.34 ","$50.78 ","$290.00 ","$9.84 ","$145.00 ","$229.68 ","$232.00 ","$9.38 ","$108.52 ","$9.38 ","$99.16 ","$9.38 "
"99213","EAP","CPT� 99213","","PR OFFICE OUTPATIENT VISIT 10 MINUTES","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$67.67 ","0","67.67","67.13","","","","","","","","","","","","",""
"99214","EAP","CPT�99214","","OFFICE OUTPATIENT VISIT 10 MINUTES","BOTH IP/OP","$358.00 ","$264.92 ","$0.00 ","$313.00 ","$0.00 ","$99.97 ","$67.13 ","$299.34 ","$299.34 ","$54.80 ","$313.00 ","$27.29 ","$156.50 ","$247.90 ","$250.40 ","$26.32 ","$108.52 ","$26.32 ","$99.16 ","$26.32 "
"99214","EAP","CPT� 99214","","PR OFFICE OUTPATIENT VISIT 15 MINUTES","BOTH IP/OP","$358.00 ","$264.92 ","$0.00 ","$99.97 ","0","99.97","67.13","","","","","","","","","","","","",""
"99215","EAP","CPT�99215","","OFFICE OUTPATIENT VISIT 15 MINUTES","BOTH IP/OP","$505.00 ","$373.70 ","$0.00 ","$399.00 ","$0.00 ","$147.16 ","$67.13 ","$299.34 ","$299.34 ","$69.86 ","$399.00 ","$54.93 ","$199.50 ","$316.01 ","$319.20 ","$52.29 ","$108.52 ","$52.29 ","$99.16 ","$52.29 "
"99215","EAP","CPT� 99215","","PR OFFICE OUTPATIENT VISIT 25 MINUTES","BOTH IP/OP","$505.00 ","$373.70 ","$0.00 ","$147.16 ","0","147.16","67.13","","","","","","","","","","","","",""
"99242","EAP","CPT�99242","","OFFICE OUTPATIENT VISIT 25 MINUTES","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$491.00 ","$0.00 ","$67.99 ","$0.00 ","$299.34 ","$299.34 ","$85.97 ","$491.00 ","$84.06 ","$245.50 ","$388.87 ","$392.80 ","$80.42 ","$108.52 ","$80.42 ","$99.16 ","$80.42 "
"99243","EAP","CPT�99243","","PR OFFICE OUTPATIENT VISIT 40 MINUTES","BOTH IP/OP","$436.00 ","$322.64 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"99243","EAP","CPT� 99243","","OFFICE OUTPATIENT VISIT 40 MINUTES","BOTH IP/OP","$436.00 ","$322.64 ","$0.00 ","$541.00 ","$0.00 ","$0.00 ","$0.00 ","$299.34 ","$299.34 ","$94.72 ","$541.00 ","$118.93 ","$270.50 ","$428.47 ","$432.80 ","$113.60 ","$108.52 ","$113.60 ","$99.16 ","$113.60 "
"99244","EAP","CPT�99244","","PR OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$152.96 ","0","152.96","0","","","","","","","","","","","","",""
"99244","EAP","CPT� 99244","","OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$436.00 ","$0.00 ","$152.96 ","$0.00 ","$299.34 ","$299.34 ","$76.34 ","$436.00 ","$0.00 ","$218.00 ","$345.31 ","$348.80 ","$261.60 ","$112.44 ","$0.00 ","$0.00 ","$0.00 "
"99381","EAP","CPT� 99381","","PR OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","BOTH IP/OP","$395.00 ","$292.30 ","$0.00 ","$76.64 ","0","76.64","0","","","","","","","","","","","","",""
"99382","EAP","CPT� 99382","","OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","BOTH IP/OP","$413.00 ","$305.62 ","$0.00 ","$652.00 ","$0.00 ","$81.52 ","$0.00 ","$299.34 ","$299.34 ","$114.16 ","$652.00 ","$0.00 ","$326.00 ","$516.38 ","$521.60 ","$391.20 ","$155.65 ","$0.00 ","$0.00 ","$0.00 "
"99383","EAP","CPT� 99383","","PREVENTIVE VISIT,NEW,INFANT < 1 YR","BOTH IP/OP","$429.00 ","$317.46 ","$0.00 ","$395.00 ","$0.00 ","$86.72 ","$0.00 ","$299.34 ","$299.34 ","$69.16 ","$395.00 ","$0.00 ","$197.50 ","$312.84 ","$316.00 ","$237.00 ","$61.82 ","$0.00 ","$0.00 ","$0.00 "
"99384","EAP","CPT� 99384","","PREVENTIVE VISIT,NEW,AGE 1-4","BOTH IP/OP","$485.00 ","$358.90 ","$0.00 ","$413.00 ","$0.00 ","$101.65 ","$0.00 ","$299.34 ","$299.34 ","$72.31 ","$413.00 ","$0.00 ","$206.50 ","$327.10 ","$330.40 ","$247.80 ","$64.63 ","$0.00 ","$0.00 ","$0.00 "
"99385","EAP","CPT�99385","","PREVENTIVE VISIT,NEW,AGE5-11","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$429.00 ","$0.00 ","$97.50 ","$0.00 ","$299.34 ","$299.34 ","$75.11 ","$429.00 ","$0.00 ","$214.50 ","$339.77 ","$343.20 ","$257.40 ","$67.14 ","$0.00 ","$0.00 ","$0.00 "
"99385","EAP","CPT� 99385","","PREVENTIVE VISIT,NEW,12-17","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$485.00 ","$0.00 ","$97.50 ","$0.00 ","$299.34 ","$299.34 ","$84.92 ","$485.00 ","$0.00 ","$242.50 ","$384.12 ","$388.00 ","$291.00 ","$75.90 ","$0.00 ","$0.00 ","$0.00 "
"99386","EAP","CPT�99386","","PR PREVENTIVE VISIT,NEW,18-39","BOTH IP/OP","$545.00 ","$403.30 ","$0.00 ","$118.64 ","0","118.64","0","","","","","","","","","","","","",""
"99386","EAP","CPT� 99386","","PREVENTIVE VISIT,NEW,18-39","BOTH IP/OP","$545.00 ","$403.30 ","$0.00 ","$469.00 ","$0.00 ","$118.64 ","$0.00 ","$299.34 ","$299.34 ","$82.12 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$281.40 ","$84.34 ","$0.00 ","$0.00 ","$0.00 "
"99387","EAP","CPT� 99387","","PR PREVENTIVE VISIT,NEW,40-64","BOTH IP/OP","$591.00 ","$437.34 ","$0.00 ","$0.00 ","0","0","0","","","","","","","","","","","","",""
"99391","EAP","CPT� 99391","","PREVENTIVE VISIT,NEW,40-64","BOTH IP/OP","$354.00 ","$261.96 ","$0.00 ","$545.00 ","$0.00 ","$69.73 ","$0.00 ","$299.34 ","$299.34 ","$95.43 ","$545.00 ","$0.00 ","$272.50 ","$431.64 ","$436.00 ","$327.00 ","$84.34 ","$0.00 ","$0.00 ","$0.00 "
"99392","EAP","CPT� 99392","","PREVENTIVE VISIT,NEW,65 & OVER","BOTH IP/OP","$378.00 ","$279.72 ","$0.00 ","$591.00 ","$0.00 ","$76.64 ","$0.00 ","$299.34 ","$299.34 ","$0.00 ","$591.00 ","$0.00 ","$295.50 ","$468.07 ","$472.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"99393","EAP","CPT� 99393","","PREVENTIVE VISIT,EST, INFANT < 1 YR","BOTH IP/OP","$377.00 ","$278.98 ","$0.00 ","$354.00 ","$0.00 ","$76.64 ","$0.00 ","$299.34 ","$299.34 ","$61.98 ","$354.00 ","$0.00 ","$177.00 ","$280.37 ","$283.20 ","$212.40 ","$55.40 ","$0.00 ","$0.00 ","$0.00 "
"99394","EAP","CPT� 99394","","PREVENTIVE VISIT,EST,AGE 1-4","BOTH IP/OP","$414.00 ","$306.36 ","$0.00 ","$378.00 ","$0.00 ","$86.72 ","$0.00 ","$299.34 ","$299.34 ","$66.18 ","$378.00 ","$0.00 ","$189.00 ","$299.38 ","$302.40 ","$226.80 ","$59.16 ","$0.00 ","$0.00 ","$0.00 "
"99395","EAP","CPT� 99395","","PREVENTIVE VISIT,EST,AGE5-11","BOTH IP/OP","$423.00 ","$313.02 ","$0.00 ","$377.00 ","$0.00 ","$0.00 ","$0.00 ","$299.34 ","$299.34 ","$66.01 ","$377.00 ","$0.00 ","$188.50 ","$298.58 ","$301.60 ","$226.20 ","$59.00 ","$0.00 ","$0.00 ","$0.00 "
"99396","EAP","CPT� 99396","","PREVENTIVE VISIT,EST,12-17","BOTH IP/OP","$450.00 ","$333.00 ","$0.00 ","$414.00 ","$0.00 ","$96.80 ","$0.00 ","$299.34 ","$299.34 ","$72.49 ","$414.00 ","$0.00 ","$207.00 ","$327.89 ","$331.20 ","$248.40 ","$64.79 ","$0.00 ","$0.00 ","$0.00 "
"99397","EAP","CPT�99397","","PREVENTIVE VISIT,EST,18-39","BOTH IP/OP","$486.00 ","$359.64 ","$0.00 ","$423.00 ","$0.00 ","$0.00 ","$0.00 ","$299.34 ","$299.34 ","$74.06 ","$423.00 ","$0.00 ","$211.50 ","$335.02 ","$338.40 ","$253.80 ","$84.34 ","$0.00 ","$0.00 ","$0.00 "
"99406","EAP","CPT� 99406","","PREVENTIVE VISIT,EST,40-64","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$450.00 ","$0.00 ","$0.00 ","$0.00 ","$299.34 ","$299.34 ","$78.79 ","$450.00 ","$0.00 ","$225.00 ","$356.40 ","$360.00 ","$270.00 ","$84.34 ","$0.00 ","$0.00 ","$0.00 "
"99441","EAP","CPT� 99441","","TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$299.34 ","$0.00 ","$36.10 ","$0.00 ","$299.34 ","$299.34 ","$9.45 ","$54.00 ","$0.00 ","$27.00 ","$42.77 ","$43.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"99442","EAP","CPT� 99442","","PHYS/QHP TELEPHONE EVALUATION 5-10 MIN","BOTH IP/OP","$253.00 ","$187.22 ","$0.00 ","$161.00 ","$0.00 ","$67.98 ","$0.00 ","$0.00 ","$0.00 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$96.60 ","$25.20 ","$0.00 ","$0.00 ","$0.00 "
"99443","EAP","CPT� 99443","","PHYS/QHP TELEPHONE EVALUATION 11-20 MIN","BOTH IP/OP","$358.00 ","$264.92 ","$0.00 ","$266.00 ","$0.00 ","$100.28 ","$0.00 ","$0.00 ","$0.00 ","$46.57 ","$266.00 ","$0.00 ","$133.00 ","$210.67 ","$212.80 ","$159.60 ","$41.63 ","$0.00 ","$0.00 ","$0.00 "
"99495","EAP","CPT� 99495","","PHYS/QHP TELEPHONE EVALUATION 21-30 MIN","BOTH IP/OP","$576.00 ","$426.24 ","$0.00 ","$386.00 ","$0.00 ","$116.36 ","$67.13 ","$0.00 ","$0.00 ","$67.59 ","$386.00 ","$0.00 ","$193.00 ","$305.71 ","$308.80 ","$231.60 ","$60.41 ","$0.00 ","$0.00 ","$0.00 "
"99496","EAP","CPT� 99496","","TRANSITIONAL CARE MANAGE SERVICE 14 DAY DISCHRGE","BOTH IP/OP","$777.00 ","$574.98 ","$0.00 ","$656.00 ","$0.00 ","$0.00 ","$0.00 ","$299.34 ","$299.34 ","$114.86 ","$656.00 ","$116.27 ","$328.00 ","$519.55 ","$524.80 ","$161.54 ","$102.66 ","$125.50 ","$104.44 ","$110.73 "
"99497","EAP","CPT�99497","","TRANSITIONAL CARE MANAGE SERVICE 7 DAY DISCHARGE","BOTH IP/OP","$236.00 ","$174.64 ","$0.00 ","$867.00 ","$0.00 ","$73.28 ","$67.13 ","$299.34 ","$299.34 ","$151.80 ","$867.00 ","$116.27 ","$433.50 ","$686.66 ","$693.60 ","$161.54 ","$135.69 ","$165.53 ","$0.00 ","$0.00 "
"10932085","EAP","HCPCS C1729","","Catheter Urethral 8fr Foley 2 Way Latex Dover Silicone","BOTH IP/OP","$107.00 ","$79.18 ","$0.00 ","$107.00 ","$0.00 ","$0.00 ","$0.00 ","$76.37 ","$76.37 ","$18.73 ","$107.00 ","$0.00 ","$53.50 ","$84.74 ","$85.60 ","$0.00 ","$16.75 ","$0.00 ","$17.03 ","$0.00 "
"10933190","EAP","HCPCS C1729","","Catheter Urethral 18fr Foley 2 Way Medium Olive Coude Tip 1","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$4.55 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$4.07 ","$0.00 ","$4.14 ","$0.00 "
"10945160","EAP","HCPCS C1751","","Catheter Umb 3.5fr 15in .15ml Clr Strl Lf Arg 1 Lum Ll Hub","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"10945178","EAP","HCPCS C1751","","Cap Tube 13mm Blu Eztpr Dbl Flng Sl Thb Tab Pe","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"10945194","EAP","HCPCS C1729","","System Drn 35cm 700ml Blu Strl Lf Be2 Mntr Trndcr Atch Vntrc","BOTH IP/OP","$742.00 ","$549.08 ","$0.00 ","$1,307.00 ","$402.91 ","$0.00 ","$154.65 ","$932.81 ","$932.81 ","$228.85 ","$1,307.00 ","$0.00 ","$653.50 ","$1,035.14 ","$1,045.60 ","$0.00 ","$204.55 ","$0.00 ","$208.07 ","$0.00 "
"10961170","EAP","HCPCS C1751","","Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$57.00 ","$20.63 ","$0.00 ","$7.92 ","$40.68 ","$40.68 ","$9.98 ","$57.00 ","$0.00 ","$28.50 ","$45.14 ","$45.60 ","$0.00 ","$8.92 ","$0.00 ","$9.07 ","$0.00 "
"11100001","EAP","Custom 11100001","","HB MED-SUR-GY/PVT","BOTH IP/OP","$3,058.00 ","$2,262.92 ","$0.00 ","$2,696.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,696.00 ","$0.00 ","$0.00 ","$2,135.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100003","EAP","Custom 11100003","","Tele Private Med Surg","BOTH IP/OP","$3,378.00 ","$2,499.72 ","$0.00 ","$2,978.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,978.00 ","$0.00 ","$0.00 ","$2,358.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100021","EAP","Custom 11100021","","HB  PVT GYN","BOTH IP/OP","$3,058.00 ","$2,262.92 ","$0.00 ","$2,696.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,696.00 ","$0.00 ","$0.00 ","$2,135.23 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100023","EAP","Custom 11100023","","Tele Private  Gyn","BOTH IP/OP","$3,378.00 ","$2,499.72 ","$0.00 ","$2,978.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,978.00 ","$0.00 ","$0.00 ","$2,358.58 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100501","EAP","Custom 11100501","","Trauma Private Med Surg","BOTH IP/OP","$3,398.00 ","$2,514.52 ","$0.00 ","$2,996.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,996.00 ","$0.00 ","$0.00 ","$2,372.83 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100503","EAP","Custom 11100503","","Trauma Tele Private Med Surg","BOTH IP/OP","$3,718.00 ","$2,751.32 ","$0.00 ","$3,278.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,278.00 ","$0.00 ","$0.00 ","$2,596.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100521","EAP","Custom 11100521","","Trauma Private  Gyn","BOTH IP/OP","$3,398.00 ","$2,514.52 ","$0.00 ","$2,996.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,996.00 ","$0.00 ","$0.00 ","$2,372.83 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11100523","EAP","Custom 11100523","","Trauma Tele Private  Gyn","BOTH IP/OP","$3,718.00 ","$2,751.32 ","$0.00 ","$3,278.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,278.00 ","$0.00 ","$0.00 ","$2,596.18 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11200001","EAP","Custom 11200001","","Private Ob","BOTH IP/OP","$3,218.00 ","$2,381.32 ","$0.00 ","$2,838.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,838.00 ","$0.00 ","$0.00 ","$2,247.70 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11200002","EAP","Custom 11200002","","Tele Private Ob","BOTH IP/OP","$3,533.00 ","$2,614.42 ","$0.00 ","$3,115.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,115.00 ","$0.00 ","$0.00 ","$2,467.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11200501","EAP","Custom 11200501","","Trauma Private Ob","BOTH IP/OP","$3,559.00 ","$2,633.66 ","$0.00 ","$3,138.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,138.00 ","$0.00 ","$0.00 ","$2,485.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11200502","EAP","Custom 11200502","","Trauma Tele Private Ob","BOTH IP/OP","$3,873.00 ","$2,866.02 ","$0.00 ","$3,415.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,415.00 ","$0.00 ","$0.00 ","$2,704.68 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11400002","EAP","Custom 11400002","","Private Psy","BOTH IP/OP","$2,837.00 ","$2,099.38 ","$0.00 ","$2,501.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,501.00 ","$0.00 ","$0.00 ","$1,980.79 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11400502","EAP","Custom 11400502","","Trauma Private Psy","BOTH IP/OP","$3,177.00 ","$2,350.98 ","$0.00 ","$2,801.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,801.00 ","$0.00 ","$0.00 ","$2,218.39 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11500001","EAP","Custom 11500001","","Inpatient Hospice","BOTH IP/OP","$3,065.00 ","$2,268.10 ","$0.00 ","$2,702.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,702.00 ","$0.00 ","$0.00 ","$2,139.98 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"11500501","EAP","Custom 11500501","","TRAUMA INPATIENT HOSPICE","BOTH IP/OP","$3,176.00 ","$2,350.24 ","$0.00 ","$2,800.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,800.00 ","$0.00 ","$0.00 ","$2,217.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100001","EAP","Custom 12100001","","Semiprivate Medsurg","BOTH IP/OP","$2,166.00 ","$1,602.84 ","$0.00 ","$1,910.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$1,910.00 ","$0.00 ","$0.00 ","$1,512.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100003","EAP","Custom 12100003","","Tele Semiprivate","BOTH IP/OP","$2,550.00 ","$1,887.00 ","$0.00 ","$2,248.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,248.00 ","$0.00 ","$0.00 ","$1,780.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100021","EAP","Custom 12100021","","Semiprivate Gyn","BOTH IP/OP","$2,166.00 ","$1,602.84 ","$0.00 ","$1,910.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$1,910.00 ","$0.00 ","$0.00 ","$1,512.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100023","EAP","Custom 12100023","","Tele Semiprivate Gyn","BOTH IP/OP","$2,550.00 ","$1,887.00 ","$0.00 ","$2,248.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,248.00 ","$0.00 ","$0.00 ","$1,780.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100501","EAP","Custom 12100501","","Trauma Semiprivate Medsurg","BOTH IP/OP","$2,507.00 ","$1,855.18 ","$0.00 ","$2,210.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,210.00 ","$0.00 ","$0.00 ","$1,750.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100503","EAP","Custom 12100503","","Trauma Tele Semiprivate","BOTH IP/OP","$2,890.00 ","$2,138.60 ","$0.00 ","$2,548.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,548.00 ","$0.00 ","$0.00 ","$2,018.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100521","EAP","Custom 12100521","","Trauma Semiprivate Gyn","BOTH IP/OP","$2,507.00 ","$1,855.18 ","$0.00 ","$2,210.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,210.00 ","$0.00 ","$0.00 ","$1,750.32 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12100523","EAP","Custom 12100523","","Trauma Tele Semiprivate Gyn","BOTH IP/OP","$2,890.00 ","$2,138.60 ","$0.00 ","$2,548.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,548.00 ","$0.00 ","$0.00 ","$2,018.02 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12200001","EAP","Custom 12200001","","Semiprivate Ob","BOTH IP/OP","$2,359.00 ","$1,745.66 ","$0.00 ","$2,080.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,080.00 ","$0.00 ","$0.00 ","$1,647.36 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12200002","EAP","Custom 12200002","","Tele Semiprivate Ob","BOTH IP/OP","$2,391.00 ","$1,769.34 ","$0.00 ","$2,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,108.00 ","$0.00 ","$0.00 ","$1,669.54 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12200501","EAP","Custom 12200501","","Trauma Semiprivate Ob","BOTH IP/OP","$2,700.00 ","$1,998.00 ","$0.00 ","$2,380.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,380.00 ","$0.00 ","$0.00 ","$1,884.96 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12200502","EAP","Custom 12200502","","Trauma Tele Semiprivate Ob","BOTH IP/OP","$2,732.00 ","$2,021.68 ","$0.00 ","$2,408.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,408.00 ","$0.00 ","$0.00 ","$1,907.14 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12400002","EAP","Custom 12400002","","Semiprivate Psych","BOTH IP/OP","$2,625.00 ","$1,942.50 ","$0.00 ","$2,315.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,315.00 ","$0.00 ","$0.00 ","$1,833.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"12400502","EAP","Custom 12400502","","Trauma Semiprivate Psych","BOTH IP/OP","$2,966.00 ","$2,194.84 ","$0.00 ","$2,615.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,615.00 ","$0.00 ","$0.00 ","$2,071.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400001","EAP","Custom 16400001","","Tele.isolation","BOTH IP/OP","$3,488.00 ","$2,581.12 ","$0.00 ","$3,075.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,075.00 ","$0.00 ","$0.00 ","$2,435.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400002","EAP","Custom 16400002","","Isolation Med Surg","BOTH IP/OP","$3,362.00 ","$2,487.88 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$2,347.49 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400004","EAP","Custom 16400004","","Isolation Med Surg","BOTH IP/OP","$3,362.00 ","$2,487.88 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$2,347.49 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400005","EAP","Custom 16400005","","Isolation Ob","BOTH IP/OP","$3,563.00 ","$2,636.62 ","$0.00 ","$3,142.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,142.00 ","$0.00 ","$0.00 ","$2,488.46 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400006","EAP","Custom 16400006","","Tele.isolation Ob","BOTH IP/OP","$3,581.00 ","$2,649.94 ","$0.00 ","$3,157.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,157.00 ","$0.00 ","$0.00 ","$2,500.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400007","EAP","Custom 16400007","","Isolation High-risk Scu","BOTH IP/OP","$3,953.00 ","$2,925.22 ","$0.00 ","$3,485.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,485.00 ","$0.00 ","$0.00 ","$2,760.12 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400022","EAP","Custom 16400022","","Isolation  Gyn","BOTH IP/OP","$3,362.00 ","$2,487.88 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$2,964.00 ","$0.00 ","$0.00 ","$2,347.49 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400501","EAP","Custom 16400501","","Trauma Tele.isolation","BOTH IP/OP","$3,828.00 ","$2,832.72 ","$0.00 ","$3,375.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,375.00 ","$0.00 ","$0.00 ","$2,673.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400502","EAP","Custom 16400502","","Trauma Isolation Med Surg","BOTH IP/OP","$3,702.00 ","$2,739.48 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$2,585.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400504","EAP","Custom 16400504","","Trauma Isolation Med Surg","BOTH IP/OP","$3,702.00 ","$2,739.48 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$2,585.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400505","EAP","Custom 16400505","","Trauma Isolation Ob","BOTH IP/OP","$3,904.00 ","$2,888.96 ","$0.00 ","$3,442.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,442.00 ","$0.00 ","$0.00 ","$2,726.06 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400506","EAP","","","Trauma Tele.isolation Ob","BOTH IP/OP","$3,457.00 ","$2,558.18 ","$0.00 ","$3,457.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,457.00 ","$0.00 ","$0.00 ","$2,737.94 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400507","EAP","Custom 16400507","","Trauma Isolation High-risk Scu","BOTH IP/OP","$4,293.00 ","$3,176.82 ","$0.00 ","$3,785.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,785.00 ","$0.00 ","$0.00 ","$2,997.72 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"16400522","EAP","Custom 16400522","","Trauma Isolation  Gyn","BOTH IP/OP","$3,702.00 ","$2,739.48 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,264.00 ","$0.00 ","$0.00 ","$2,585.09 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17000001","EAP","Custom 17000001","","General Nursery","BOTH IP/OP","$849.00 ","$628.26 ","$0.00 ","$748.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$748.00 ","$0.00 ","$0.00 ","$592.42 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17100001","EAP","Custom 17100001","","NURSERY/LEVEL I","BOTH IP/OP","$1,331.00 ","$984.94 ","$0.00 ","$1,026.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$1,026.00 ","$0.00 ","$0.00 ","$812.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17100002","EAP","Custom 17100002","","Nursery Level I","BOTH IP/OP","$1,331.00 ","$984.94 ","$0.00 ","$1,026.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$1,026.00 ","$0.00 ","$0.00 ","$812.59 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17200002","EAP","Custom 17200002","","Nursery Level Ii","BOTH IP/OP","$3,458.00 ","$2,558.92 ","$0.00 ","$3,049.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,049.00 ","$0.00 ","$0.00 ","$2,414.81 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17300001","EAP","Custom 17300001","","Nursery Level Iii","BOTH IP/OP","$5,760.00 ","$4,262.40 ","$0.00 ","$5,078.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,078.00 ","$0.00 ","$0.00 ","$4,021.78 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"17400001","EAP","Custom 17400001","","Nursery/level Iv","BOTH IP/OP","$6,717.00 ","$4,970.58 ","$0.00 ","$5,922.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,922.00 ","$0.00 ","$0.00 ","$4,690.22 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"18000010","EAP","Custom 18000010","","Leave Of Absence","BOTH IP/OP","$0.01 ","$0.01 ","$0.00 ","$0.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.01 ","$0.00 ","$0.00 ","$0.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"19818887","EAP","HCPCS A6197","","Dressing Wound Square 6x6in 2 Layer Absorbent Nonwoven Soft","BOTH IP/OP","$55.00 ","$40.70 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"19979858","EAP","HCPCS C1729","","Kit Pressure Monitr Transducer Tipped Catheter Drill Bit","BOTH IP/OP","$2,403.00 ","$1,778.22 ","$0.00 ","$2,403.00 ","$0.00 ","$0.00 ","$0.00 ","$1,715.02 ","$1,715.02 ","$420.75 ","$2,403.00 ","$0.00 ","$1,201.50 ","$1,903.18 ","$1,922.40 ","$0.00 ","$376.07 ","$0.00 ","$382.56 ","$0.00 "
"19988898","EAP","Custom 19988898","","Catheter Pressure 3.5mm 5mm 82cm 2cm Sensor Tip External","BOTH IP/OP","$58.00 ","$42.92 ","$0.00 ","$58.00 ","$0.00 ","$0.00 ","$0.00 ","$41.39 ","$41.39 ","$0.00 ","$58.00 ","$0.00 ","$29.00 ","$45.94 ","$46.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"19993849","EAP","HCPCS C1751","","Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq","BOTH IP/OP","$29.00 ","$21.46 ","$0.00 ","$29.00 ","$15.75 ","$0.00 ","$6.04 ","$20.70 ","$20.70 ","$5.08 ","$29.00 ","$0.00 ","$14.50 ","$22.97 ","$23.20 ","$0.00 ","$4.54 ","$0.00 ","$4.62 ","$0.00 "
"19993898","EAP","HCPCS C1729","","Tray Catheterization 16fr Foley Antireflux Evident Seal","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$14.12 ","$0.00 ","$5.42 ","$18.56 ","$18.56 ","$4.55 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$4.07 ","$0.00 ","$4.14 ","$0.00 "
"19994800","EAP","Custom 19994800","","Kit Crntmy 25ga 5/8in Strl Rzr Ndl Drp","BOTH IP/OP","$701.00 ","$518.74 ","$0.00 ","$2,065.00 ","$0.00 ","$0.00 ","$0.00 ","$1,473.79 ","$1,473.79 ","$0.00 ","$2,065.00 ","$0.00 ","$1,032.50 ","$1,635.48 ","$1,652.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20000001","EAP","Custom 20000001","","Intensive Care Icu Ob","BOTH IP/OP","$6,502.00 ","$4,811.48 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$4,539.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20000501","EAP","Custom 20000501","","Trauma Intensive Care Icu Ob","BOTH IP/OP","$6,842.00 ","$5,063.08 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$4,777.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20100001","EAP","Custom 20100001","","Intensive Care Icu Surgical","BOTH IP/OP","$6,502.00 ","$4,811.48 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$4,539.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20100501","EAP","Custom 20100501","","Trauma Intensive Care Icu Surgical","BOTH IP/OP","$6,875.00 ","$5,087.50 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$4,777.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20200001","EAP","Custom 20200001","","Intensive Care Icu Medical","BOTH IP/OP","$6,502.00 ","$4,811.48 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$4,539.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20200501","EAP","Custom 20200501","","Trauma Intensive Care Icu Medical","BOTH IP/OP","$6,875.00 ","$5,087.50 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$6,032.00 ","$0.00 ","$0.00 ","$4,777.34 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20600001","EAP","Custom 20600001","","Intermediate Care","BOTH IP/OP","$4,007.00 ","$2,965.18 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$2,782.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20600002","EAP","Custom 20600002","","Intermediate Care Burn","BOTH IP/OP","$9,266.00 ","$6,856.84 ","$0.00 ","$8,145.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,145.00 ","$0.00 ","$0.00 ","$6,450.84 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20600005","EAP","Custom 20600005","","Intermediate Care","BOTH IP/OP","$4,007.00 ","$2,965.18 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$2,782.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20600501","EAP","Custom 20600501","","Trauma Intermediate Care","BOTH IP/OP","$4,708.00 ","$3,483.92 ","$0.00 ","$3,813.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,813.00 ","$0.00 ","$0.00 ","$3,019.90 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20600502","EAP","Custom 20600502","","Trauma Intermediate Care Burn","BOTH IP/OP","$9,580.00 ","$7,089.20 ","$0.00 ","$8,445.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,445.00 ","$0.00 ","$0.00 ","$6,688.44 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20700001","EAP","Custom 20700001","","Intensive Care Icu Burn","BOTH IP/OP","$10,118.00 ","$7,487.32 ","$0.00 ","$8,884.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$8,884.00 ","$0.00 ","$0.00 ","$7,036.13 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"20700501","EAP","Custom 20700501","","Trauma Intensive Care Icu Burn","BOTH IP/OP","$10,421.00 ","$7,711.54 ","$0.00 ","$9,184.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$9,184.00 ","$0.00 ","$0.00 ","$7,273.73 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"21000001","EAP","Custom 21000001","","Intensive Care Icu Medical","BOTH IP/OP","$6,502.00 ","$4,811.48 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$5,732.00 ","$0.00 ","$0.00 ","$4,539.74 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"21400005","EAP","","","Intermediate Coronary Care Unit","BOTH IP/OP","$4,793.00 ","$3,546.82 ","$0.00 ","$4,190.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$4,190.00 ","$0.00 ","$0.00 ","$3,318.48 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"21400505","EAP","Custom 21400505","","Trauma Intermediate Coronary Care Unit","BOTH IP/OP","$5,219.00 ","$3,862.06 ","$0.00 ","$4,490.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$4,490.00 ","$0.00 ","$0.00 ","$3,556.08 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"21900001","EAP","Custom 21900001","","Intermediate Care","BOTH IP/OP","$3,741.00 ","$2,768.34 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$3,513.00 ","$0.00 ","$0.00 ","$2,782.30 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000134","EAP","Custom 25000134","","Rocephin 250mg","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000141","EAP","Custom 25000141","","Toradol 30 Mg","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$0.00 ","$0.00 ","$0.00 ","$26.41 ","$26.41 ","$0.00 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000153","EAP","Custom 25000153","","Rocephin 250mg, Im","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000157","EAP","Custom 25000157","","Depoprovera 150mg","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$0.00 ","$0.00 ","$0.00 ","$128.47 ","$128.47 ","$0.00 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000169","EAP","Custom 25000169","","Vit B 12 100mcg","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$0.00 ","$0.00 ","$0.00 ","$32.83 ","$32.83 ","$0.00 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000182","EAP","Custom 25000182","","Rocephin Injection","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000187","EAP","Custom 25000187","","Rocephin 250mg","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000189","EAP","Custom 25000189","","Bicillin Injection","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000224","EAP","Custom 25000224","","Rocephin 250mg (cef","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000226","EAP","Custom 25000226","","Depo Provera Inject","BOTH IP/OP","$171.00 ","$126.54 ","$0.00 ","$171.00 ","$0.00 ","$0.00 ","$0.00 ","$122.04 ","$122.04 ","$0.00 ","$171.00 ","$0.00 ","$85.50 ","$135.43 ","$136.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000227","EAP","Custom 25000227","","Oral Contraceptives","BOTH IP/OP","$13.00 ","$9.62 ","$0.00 ","$13.00 ","$0.00 ","$0.00 ","$0.00 ","$9.28 ","$9.28 ","$0.00 ","$13.00 ","$0.00 ","$6.50 ","$10.30 ","$10.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000229","EAP","Custom 25000229","","Plan B","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000230","EAP","Custom 25000230","","Evra Transdermal Pa","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000327","EAP","Custom 25000327","","Oral Contraceptives","BOTH IP/OP","$11.00 ","$8.14 ","$0.00 ","$11.00 ","$0.00 ","$0.00 ","$0.00 ","$7.85 ","$7.85 ","$0.00 ","$11.00 ","$0.00 ","$5.50 ","$8.71 ","$8.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000908","EAP","Custom 25000908","","Evra Trandermal Pat","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000960","EAP","Custom 25000960","","Hetastarch (hespan)","BOTH IP/OP","$435.00 ","$321.90 ","$0.00 ","$435.00 ","$0.00 ","$0.00 ","$0.00 ","$310.46 ","$310.46 ","$0.00 ","$435.00 ","$0.00 ","$217.50 ","$344.52 ","$348.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000961","EAP","Custom 25000961","","Hetastarch","BOTH IP/OP","$435.00 ","$321.90 ","$0.00 ","$435.00 ","$0.00 ","$0.00 ","$0.00 ","$310.46 ","$310.46 ","$0.00 ","$435.00 ","$0.00 ","$217.50 ","$344.52 ","$348.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000966","EAP","Custom 25000966","","Rocephin 250mg, 1gm","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25000990","EAP","Custom 25000990","","Nitric Oxide (per Hr)","BOTH IP/OP","$789.00 ","$583.86 ","$0.00 ","$789.00 ","$0.00 ","$0.00 ","$0.00 ","$563.11 ","$563.11 ","$0.00 ","$789.00 ","$0.00 ","$394.50 ","$624.89 ","$631.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25002130","EAP","Custom 25002130","","Zithromax","BOTH IP/OP","$24.00 ","$17.76 ","$0.00 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$17.13 ","$17.13 ","$0.00 ","$24.00 ","$0.00 ","$12.00 ","$19.01 ","$19.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25500016","EAP","HCPCS Q9965","","Locm 150-199mg/ml I","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25500039","EAP","HCPCS Q9965","","Locm 150-199mg/ml I","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800010","EAP","Custom 25800010","","Solutions Sodium Ch","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800013","EAP","Custom 25800013","","Solution Iv D 5% In","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800016","EAP","Custom 25800016","","Solution Iv Lactate","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800017","EAP","Custom 25800017","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800018","EAP","Custom 25800018","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800019","EAP","Custom 25800019","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800020","EAP","Custom 25800020","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800031","EAP","Custom 25800031","","Solution Iv D 5% In","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800033","EAP","Custom 25800033","","Solution Iv Lactate","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800034","EAP","Custom 25800034","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800037","EAP","Custom 25800037","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800038","EAP","Custom 25800038","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800039","EAP","Custom 25800039","","Solution Iv Nacl 0.","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800060","EAP","Custom 25800060","","Iv Fluids","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800061","EAP","Custom 25800061","","Iv Fluids","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800062","EAP","Custom 25800062","","I.v. Fluids 500ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800063","EAP","Custom 25800063","","I.v. Fluid 100ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800080","EAP","Custom 25800080","","Iv Fluids 1000ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800095","EAP","Custom 25800095","","Solution Iv Water For Irr","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800260","EAP","Custom 25800260","","Iv Fluid 500ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800262","EAP","Custom 25800262","","Solutions  Advantage Glou","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800263","EAP","Custom 25800263","","Solution Irrigation Water 150","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800264","EAP","Custom 25800264","","Solutions Iv Water For Inject","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800265","EAP","Custom 25800265","","Solutions Sodium Chloride","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$0.00 ","$0.00 ","$0.00 ","$26.41 ","$26.41 ","$0.00 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800267","EAP","Custom 25800267","","Iv Fluids, 100cc","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800268","EAP","Custom 25800268","","Iv Fluids, 500cc","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800269","EAP","Custom 25800269","","Iv Fluids, 1000cc","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800274","EAP","Custom 25800274","","Solution Iv Nacl 0.9% Gla","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800277","EAP","Custom 25800277","","Solution Iv Nacl 0.9% 50m","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800278","EAP","Custom 25800278","","Iv Fluids, 50cc","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800401","EAP","Custom 25800401","","I.v. Fluids","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800402","EAP","Custom 25800402","","I.v. Fluids 1000cc","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800403","EAP","Custom 25800403","","I.v. Fluids 500ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800404","EAP","Custom 25800404","","Iv Fluid 1000cc","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800405","EAP","Custom 25800405","","Iv Fluid, # Bags","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800406","EAP","Custom 25800406","","Iv Fluid, #bags","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800407","EAP","Custom 25800407","","Iv Fluids 1000ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800408","EAP","Custom 25800408","","Iv Fluids 500cc","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800409","EAP","Custom 25800409","","Iv Fluids 50cc","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800410","EAP","Custom 25800410","","Iv Fluids-500ml","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800411","EAP","Custom 25800411","","Solution Intravenous Viaflex Latex Free Plasma-lyte A","BOTH IP/OP","$29.00 ","$21.46 ","$0.00 ","$29.00 ","$0.00 ","$0.00 ","$0.00 ","$20.70 ","$20.70 ","$0.00 ","$29.00 ","$0.00 ","$14.50 ","$22.97 ","$23.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25800412","EAP","Custom 25800412","","Solution Irr 0.9% Na Chlor Urmtc 3l Strl Lf","BOTH IP/OP","$27.00 ","$19.98 ","$0.00 ","$27.00 ","$0.00 ","$0.00 ","$0.00 ","$19.27 ","$19.27 ","$0.00 ","$27.00 ","$0.00 ","$13.50 ","$21.38 ","$21.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25900227","EAP","Custom 25900227","","Oral Contraceptives","BOTH IP/OP","$12.00 ","$8.88 ","$0.00 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$8.56 ","$8.56 ","$0.00 ","$12.00 ","$0.00 ","$6.00 ","$9.50 ","$9.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"25900255","EAP","Custom 25900255","","Insulin 5 Units","BOTH IP/OP","$4.00 ","$2.96 ","$0.00 ","$4.00 ","$0.00 ","$0.00 ","$0.00 ","$2.85 ","$2.85 ","$0.00 ","$4.00 ","$0.00 ","$2.00 ","$3.17 ","$3.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"26000001","EAP","CPT� 96360","","Iv Hydra Initial (31 Min To 1 Hr)","BOTH IP/OP","$1,030.00 ","$762.20 ","$34.59 ","$881.00 ","$559.29 ","$200.34 ","$214.68 ","$628.77 ","$628.77 ","$154.26 ","$881.00 ","$184.28 ","$440.50 ","$697.75 ","$704.80 ","$256.03 ","$53.93 ","$34.59 ","$140.26 ","$175.50 "
"26000003","EAP","CPT� 96361","","Iv Hydra Add'l (31 Min To 1 Hr)","BOTH IP/OP","$347.00 ","$256.78 ","$13.69 ","$296.00 ","$188.42 ","$39.19 ","$72.32 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$38.22 ","$148.00 ","$234.43 ","$236.80 ","$53.10 ","$15.67 ","$13.69 ","$47.12 ","$36.40 "
"26000005","EAP","CPT� 96365","","Iv Infus Ther,prophylax,dx Initial (16 Min To 1 Hr)","BOTH IP/OP","$1,796.00 ","$1,329.04 ","$65.68 ","$1,538.00 ","$975.23 ","$200.34 ","$374.33 ","$1,097.67 ","$1,097.67 ","$269.29 ","$1,538.00 ","$184.28 ","$769.00 ","$1,218.10 ","$1,230.40 ","$256.03 ","$65.68 ","$72.05 ","$244.85 ","$175.50 "
"26000006","EAP","CPT� 96366","","Iv Infus Ther,prophylax,dx Add'l (31 Min To 1 Hr)","BOTH IP/OP","$347.00 ","$256.78 ","$20.85 ","$296.00 ","$188.42 ","$39.19 ","$72.32 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$38.22 ","$148.00 ","$234.43 ","$236.80 ","$53.10 ","$20.85 ","$21.98 ","$47.12 ","$36.40 "
"26000007","EAP","CPT� 96367","","Iv Infus Ther,prophylax,dx Add'l New Med (31 Min To 1 Hr)","BOTH IP/OP","$523.00 ","$387.02 ","$31.35 ","$447.00 ","$283.99 ","$60.72 ","$109.01 ","$319.02 ","$319.02 ","$78.27 ","$447.00 ","$60.65 ","$223.50 ","$354.02 ","$357.60 ","$84.26 ","$32.97 ","$31.35 ","$71.16 ","$57.76 "
"26000008","EAP","CPT� 96368","","Iv Infus Ther,prophylax,dx Add'l Concur (31 Min To 1 Hr)","BOTH IP/OP","$630.00 ","$466.20 ","$0.00 ","$490.00 ","$342.09 ","$0.00 ","$131.31 ","$349.71 ","$349.71 ","$85.80 ","$490.00 ","$0.00 ","$245.00 ","$388.08 ","$392.00 ","$0.00 ","$19.47 ","$21.26 ","$78.01 ","$0.00 "
"26000111","EAP","CPT� 96374","","Iv Push - Ther,prophylax,dx 1st Med","BOTH IP/OP","$630.00 ","$466.20 ","$39.99 ","$490.00 ","$342.09 ","$200.34 ","$131.31 ","$349.71 ","$349.71 ","$85.80 ","$490.00 ","$184.28 ","$245.00 ","$388.08 ","$392.00 ","$256.03 ","$52.02 ","$39.99 ","$78.01 ","$175.50 "
"26000112","EAP","CPT� 96375","","Iv Push - Ther,prophylax,dx Add'l Med","BOTH IP/OP","$523.00 ","$387.02 ","$16.57 ","$447.00 ","$283.99 ","$39.19 ","$109.01 ","$319.02 ","$319.02 ","$78.27 ","$447.00 ","$38.22 ","$223.50 ","$354.02 ","$357.60 ","$53.10 ","$22.60 ","$16.57 ","$71.16 ","$36.40 "
"26000113","EAP","CPT� 96376","","Iv Push - Ther,prophylax,dx Ea Push Same Med","BOTH IP/OP","$349.00 ","$258.26 ","$0.00 ","$298.00 ","$189.51 ","$0.00 ","$72.74 ","$212.68 ","$212.68 ","$52.18 ","$298.00 ","$0.00 ","$149.00 ","$236.02 ","$238.40 ","$0.00 ","$46.64 ","$0.00 ","$47.44 ","$0.00 "
"26000114","EAP","CPT� 96523","","Picc/portacath Line Flush","BOTH IP/OP","$282.00 ","$208.68 ","$27.46 ","$241.00 ","$73.05 ","$54.51 ","$58.78 ","$172.00 ","$172.00 ","$42.20 ","$241.00 ","$55.17 ","$120.50 ","$190.87 ","$192.80 ","$76.65 ","$27.46 ","$28.10 ","$38.37 ","$52.54 "
"27000010","EAP","Custom 27000010","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000011","EAP","Custom 27000011","","Tube Salem Silicone Size","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000012","EAP","Custom 27000012","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000015","EAP","Custom 27000015","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000016","EAP","Custom 27000016","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000019","EAP","Custom 27000019","","Kit L.f. Trach Care","BOTH IP/OP","$511.00 ","$378.14 ","$0.00 ","$511.00 ","$0.00 ","$0.00 ","$0.00 ","$364.70 ","$364.70 ","$0.00 ","$511.00 ","$0.00 ","$255.50 ","$404.71 ","$408.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000024","EAP","Custom 27000024","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000026","EAP","Custom 27000026","","Kit Triple Lumen Catheter","BOTH IP/OP","$587.00 ","$434.38 ","$0.00 ","$587.00 ","$0.00 ","$0.00 ","$0.00 ","$418.94 ","$418.94 ","$0.00 ","$587.00 ","$0.00 ","$293.50 ","$464.90 ","$469.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000027","EAP","Custom 27000027","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000029","EAP","Custom 27000029","","Set T-port Small Bore Ext","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000031","EAP","Custom 27000031","","Tray Douch Disposable","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000033","EAP","Custom 27000033","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000034","EAP","Custom 27000034","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000035","EAP","Custom 27000035","","Tray Thoracentesis Dispos","BOTH IP/OP","$134.00 ","$99.16 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000036","EAP","Custom 27000036","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000045","EAP","Custom 27000045","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000046","EAP","Custom 27000046","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000047","EAP","Custom 27000047","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000048","EAP","Custom 27000048","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$663.00 ","$490.62 ","$0.00 ","$663.00 ","$0.00 ","$0.00 ","$0.00 ","$473.18 ","$473.18 ","$0.00 ","$663.00 ","$0.00 ","$331.50 ","$525.10 ","$530.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000066","EAP","Custom 27000066","","Tray,instrumen 13-1/2x9/34x5/8","BOTH IP/OP","$391.00 ","$289.34 ","$0.00 ","$391.00 ","$0.00 ","$0.00 ","$0.00 ","$279.06 ","$279.06 ","$0.00 ","$391.00 ","$0.00 ","$195.50 ","$309.67 ","$312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000076","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$23.89 ","$0.00 ","$9.17 ","$31.40 ","$31.40 ","$7.70 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$6.89 ","$0.00 ","$7.00 ","$0.00 "
"27000078","EAP","Custom 27000078","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000079","EAP","Custom 27000079","","Kit Tracheotomy Care Ster","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000081","EAP","Custom 27000081","","Scapel Surg W/ Handle Attached","BOTH IP/OP","$132.00 ","$97.68 ","$0.00 ","$132.00 ","$0.00 ","$0.00 ","$0.00 ","$94.21 ","$94.21 ","$0.00 ","$132.00 ","$0.00 ","$66.00 ","$104.54 ","$105.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000087","EAP","Custom 27000087","","Kit Thoracotomy","BOTH IP/OP","$203.00 ","$150.22 ","$0.00 ","$203.00 ","$0.00 ","$0.00 ","$0.00 ","$144.88 ","$144.88 ","$0.00 ","$203.00 ","$0.00 ","$101.50 ","$160.78 ","$162.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000093","EAP","Custom 27000093","","Bag 1000ml Pump Set","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000094","EAP","Custom 27000094","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000097","EAP","Custom 27000097","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000098","EAP","Custom 27000098","","Vest Econo Cotton Small","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000101","EAP","Custom 27000101","","Vest Econo Cotton X-large","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000103","EAP","Custom 27000103","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000107","EAP","Custom 27000107","","Tray Foley Perconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000109","EAP","Custom 27000109","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000119","EAP","Custom 27000119","","3ml Posiflush Saline Syringe","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000125","EAP","Custom 27000125","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000127","EAP","Custom 27000127","","Tray,catheter Instrument Dulmn","BOTH IP/OP","$718.00 ","$531.32 ","$0.00 ","$718.00 ","$0.00 ","$0.00 ","$0.00 ","$512.44 ","$512.44 ","$0.00 ","$718.00 ","$0.00 ","$359.00 ","$568.66 ","$574.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000150","EAP","Custom 27000150","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000151","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27000152","EAP","HCPCS C1729","","Catheter Coude 30cc 24fr","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$47.24 ","$0.00 ","$18.13 ","$62.09 ","$62.09 ","$15.23 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$13.62 ","$0.00 ","$13.85 ","$0.00 "
"27000153","EAP","Custom 27000153","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000154","EAP","Custom 27000154","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000155","EAP","Custom 27000155","","Kit Tracheotomy Care Ster","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000168","EAP","Custom 27000168","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000169","EAP","Custom 27000169","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000173","EAP","Custom 27000173","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000174","EAP","Custom 27000174","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000179","EAP","Custom 27000179","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000181","EAP","Custom 27000181","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000182","EAP","Custom 27000182","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000184","EAP","Custom 27000184","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000191","EAP","Custom 27000191","","Suture,silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000197","EAP","Custom 27000197","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000198","EAP","Custom 27000198","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000199","EAP","Custom 27000199","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000200","EAP","Custom 27000200","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$663.00 ","$490.62 ","$0.00 ","$663.00 ","$0.00 ","$0.00 ","$0.00 ","$473.18 ","$473.18 ","$0.00 ","$663.00 ","$0.00 ","$331.50 ","$525.10 ","$530.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000222","EAP","Custom 27000222","","Catheter Urethral 14fr","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000223","EAP","Custom 27000223","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000224","EAP","Custom 27000224","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000225","EAP","Custom 27000225","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000226","EAP","Custom 27000226","","Kit Tracheotomy Care Ster","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000228","EAP","Custom 27000228","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000232","EAP","Custom 27000232","","Cream Baza 5oz","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000240","EAP","Custom 27000240","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000241","EAP","Custom 27000241","","Needle Port-cath 20ga X 1","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000242","EAP","Custom 27000242","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000245","EAP","Custom 27000245","","Kit Triple Lumen Catheter","BOTH IP/OP","$420.00 ","$310.80 ","$0.00 ","$420.00 ","$0.00 ","$0.00 ","$0.00 ","$299.75 ","$299.75 ","$0.00 ","$420.00 ","$0.00 ","$210.00 ","$332.64 ","$336.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000250","EAP","Custom 27000250","","Tray Foley Preconnected W","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000251","EAP","Custom 27000251","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000252","EAP","Custom 27000252","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000253","EAP","Custom 27000253","","Tray Thoracentesis/parace","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$0.00 ","$0.00 ","$0.00 ","$47.82 ","$47.82 ","$0.00 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000254","EAP","Custom 27000254","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000259","EAP","Custom 27000259","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000265","EAP","Custom 27000265","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000266","EAP","Custom 27000266","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000267","EAP","Custom 27000267","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000268","EAP","Custom 27000268","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000293","EAP","Custom 27000293","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000294","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27000295","EAP","HCPCS C1729","","Catheter Coude 30cc 24fr","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$47.24 ","$0.00 ","$18.13 ","$62.09 ","$62.09 ","$15.23 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$13.62 ","$0.00 ","$13.85 ","$0.00 "
"27000296","EAP","Custom 27000296","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000297","EAP","Custom 27000297","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000298","EAP","Custom 27000298","","Kit Tracheotomy Care Ster","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000300","EAP","Custom 27000300","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000314","EAP","Custom 27000314","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000315","EAP","Custom 27000315","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000318","EAP","Custom 27000318","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000319","EAP","Custom 27000319","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000323","EAP","Custom 27000323","","Vest Econo Cotton X-large","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000324","EAP","Custom 27000324","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000326","EAP","Custom 27000326","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000327","EAP","Custom 27000327","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000330","EAP","Custom 27000330","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000335","EAP","Custom 27000335","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000341","EAP","Custom 27000341","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000342","EAP","Custom 27000342","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000343","EAP","Custom 27000343","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000344","EAP","Custom 27000344","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000345","EAP","Custom 27000345","","Tubes Extension Plain Pla","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000358","EAP","Custom 27000358","","Catheter  Thoracic 16f","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000359","EAP","Custom 27000359","","Catheter  Thoracic 20fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000360","EAP","Custom 27000360","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000361","EAP","Custom 27000361","","Catheter Ventricular 20cm","BOTH IP/OP","$735.00 ","$543.90 ","$0.00 ","$735.00 ","$0.00 ","$0.00 ","$0.00 ","$524.57 ","$524.57 ","$0.00 ","$735.00 ","$0.00 ","$367.50 ","$582.12 ","$588.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000362","EAP","Custom 27000362","","Catheter Edm 11 Becker","BOTH IP/OP","$1,339.00 ","$990.86 ","$0.00 ","$1,339.00 ","$0.00 ","$0.00 ","$0.00 ","$955.64 ","$955.64 ","$0.00 ","$1,339.00 ","$0.00 ","$669.50 ","$1,060.49 ","$1,071.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000363","EAP","Custom 27000363","","Tube Feeding Plastic 8fr","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000364","EAP","Custom 27000364","","Artery Arterial Catheriza","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000365","EAP","Custom 27000365","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000366","EAP","Custom 27000366","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000367","EAP","Custom 27000367","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000368","EAP","Custom 27000368","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000369","EAP","Custom 27000369","","Kit Tracheotomy Care Ster","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000371","EAP","Custom 27000371","","Bag Drainage Becker","BOTH IP/OP","$197.00 ","$145.78 ","$0.00 ","$197.00 ","$0.00 ","$0.00 ","$0.00 ","$140.60 ","$140.60 ","$0.00 ","$197.00 ","$0.00 ","$98.50 ","$156.02 ","$157.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000372","EAP","Custom 27000372","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$377.00 ","$278.98 ","$0.00 ","$377.00 ","$0.00 ","$0.00 ","$0.00 ","$269.06 ","$269.06 ","$0.00 ","$377.00 ","$0.00 ","$188.50 ","$298.58 ","$301.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000373","EAP","Custom 27000373","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000374","EAP","Custom 27000374","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000376","EAP","Custom 27000376","","Set Blood Administration","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000378","EAP","Custom 27000378","","Cream Baza 5oz","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$0.00 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000386","EAP","Custom 27000386","","Pouch Fecal Incontinence","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000387","EAP","Custom 27000387","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000388","EAP","Custom 27000388","","Transducer  Disp For Icp","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000389","EAP","Custom 27000389","","Bridge Kit Bifurated Resp","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000390","EAP","Custom 27000390","","Kit Transducer Monitoring","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000392","EAP","Custom 27000392","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000394","EAP","Custom 27000394","","Bag 1000ml Pump Set","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000395","EAP","Custom 27000395","","Kit Pecutaneous Introduce","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000396","EAP","Custom 27000396","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000403","EAP","Custom 27000403","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000404","EAP","Custom 27000404","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000405","EAP","Custom 27000405","","Catheter Swan Ganz","BOTH IP/OP","$674.00 ","$498.76 ","$0.00 ","$674.00 ","$0.00 ","$0.00 ","$0.00 ","$481.03 ","$481.03 ","$0.00 ","$674.00 ","$0.00 ","$337.00 ","$533.81 ","$539.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000406","EAP","Custom 27000406","","Delivery System Closed In","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000407","EAP","Custom 27000407","","Probe V-pacing","BOTH IP/OP","$1,403.00 ","$1,038.22 ","$0.00 ","$1,403.00 ","$0.00 ","$0.00 ","$0.00 ","$1,001.32 ","$1,001.32 ","$0.00 ","$1,403.00 ","$0.00 ","$701.50 ","$1,111.18 ","$1,122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000410","EAP","Custom 27000410","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000412","EAP","Custom 27000412","","Kit Ventriculostomy","BOTH IP/OP","$1,652.00 ","$1,222.48 ","$0.00 ","$1,652.00 ","$0.00 ","$0.00 ","$0.00 ","$1,179.03 ","$1,179.03 ","$0.00 ","$1,652.00 ","$0.00 ","$826.00 ","$1,308.38 ","$1,321.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000414","EAP","Custom 27000414","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000454","EAP","Custom 27000454","","Catheter  Thoracic 28fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000455","EAP","Custom 27000455","","Catheter Thoracic 32fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000456","EAP","Custom 27000456","","Catheter Thoracic 36fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000457","EAP","Custom 27000457","","Catheter Urethral 14fr","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000458","EAP","Custom 27000458","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000459","EAP","Custom 27000459","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000460","EAP","Custom 27000460","","Tube Salem Silicone Size","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000461","EAP","Custom 27000461","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000462","EAP","Custom 27000462","","Kit Tracheotomy Care Ster","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000464","EAP","Custom 27000464","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000474","EAP","Custom 27000474","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000475","EAP","Custom 27000475","","Needle Port-cath 20ga X 1","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000476","EAP","Custom 27000476","","Chest Unit Drainage Pleur","BOTH IP/OP","$195.00 ","$144.30 ","$0.00 ","$195.00 ","$0.00 ","$0.00 ","$0.00 ","$139.17 ","$139.17 ","$0.00 ","$195.00 ","$0.00 ","$97.50 ","$154.44 ","$156.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000481","EAP","Custom 27000481","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000482","EAP","Custom 27000482","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000483","EAP","Custom 27000483","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000484","EAP","Custom 27000484","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000487","EAP","Custom 27000487","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000488","EAP","Custom 27000488","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000489","EAP","Custom 27000489","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000491","EAP","Custom 27000491","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000495","EAP","Custom 27000495","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000501","EAP","Custom 27000501","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000502","EAP","Custom 27000502","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000503","EAP","Custom 27000503","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000504","EAP","Custom 27000504","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$616.00 ","$455.84 ","$0.00 ","$616.00 ","$0.00 ","$0.00 ","$0.00 ","$439.64 ","$439.64 ","$0.00 ","$616.00 ","$0.00 ","$308.00 ","$487.87 ","$492.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000530","EAP","Custom 27000530","","Catheter  Thoracic 28fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000531","EAP","Custom 27000531","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000532","EAP","Custom 27000532","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000533","EAP","Custom 27000533","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000534","EAP","Custom 27000534","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000535","EAP","Custom 27000535","","Kit Tracheotomy Care Ster","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000538","EAP","Custom 27000538","","Scapel Surg W/ Handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000543","EAP","Custom 27000543","","Kit Thoracotomy","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000549","EAP","Custom 27000549","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000551","EAP","Custom 27000551","","Chest Unit Drainage Pleur","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000556","EAP","Custom 27000556","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000557","EAP","Custom 27000557","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000558","EAP","Custom 27000558","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000559","EAP","Custom 27000559","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000560","EAP","Custom 27000560","","Tray Douch Disposable","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000562","EAP","Custom 27000562","","Tray Foley Preconnected 1","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000563","EAP","Custom 27000563","","Tray Foley Perconnected 1","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000564","EAP","Custom 27000564","","Tray Thoracentesis Dispos","BOTH IP/OP","$261.00 ","$193.14 ","$0.00 ","$261.00 ","$0.00 ","$0.00 ","$0.00 ","$186.28 ","$186.28 ","$0.00 ","$261.00 ","$0.00 ","$130.50 ","$206.71 ","$208.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000570","EAP","Custom 27000570","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000577","EAP","Custom 27000577","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000578","EAP","Custom 27000578","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000579","EAP","Custom 27000579","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$238.00 ","$176.12 ","$0.00 ","$238.00 ","$0.00 ","$0.00 ","$0.00 ","$169.86 ","$169.86 ","$0.00 ","$238.00 ","$0.00 ","$119.00 ","$188.50 ","$190.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000580","EAP","Custom 27000580","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$616.00 ","$455.84 ","$0.00 ","$616.00 ","$0.00 ","$0.00 ","$0.00 ","$439.64 ","$439.64 ","$0.00 ","$616.00 ","$0.00 ","$308.00 ","$487.87 ","$492.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000604","EAP","Custom 27000604","","Catheter  Thoracic 28fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000605","EAP","Custom 27000605","","Catheter Thoracic 32fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000606","EAP","Custom 27000606","","Catheter Thoracic 36fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000607","EAP","Custom 27000607","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000608","EAP","Custom 27000608","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000612","EAP","Custom 27000612","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000613","EAP","Custom 27000613","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000618","EAP","Custom 27000618","","Kit Thoracotomy","BOTH IP/OP","$93.00 ","$68.82 ","$0.00 ","$93.00 ","$0.00 ","$0.00 ","$0.00 ","$66.37 ","$66.37 ","$0.00 ","$93.00 ","$0.00 ","$46.50 ","$73.66 ","$74.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000624","EAP","Custom 27000624","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000625","EAP","Custom 27000625","","Chest Unit Drainage Pleur","BOTH IP/OP","$332.00 ","$245.68 ","$0.00 ","$332.00 ","$0.00 ","$0.00 ","$0.00 ","$236.95 ","$236.95 ","$0.00 ","$332.00 ","$0.00 ","$166.00 ","$262.94 ","$265.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000630","EAP","Custom 27000630","","Dressing X-large","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000632","EAP","Custom 27000632","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000633","EAP","Custom 27000633","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000637","EAP","Custom 27000637","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000638","EAP","Custom 27000638","","Tray Douch Disposable","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000640","EAP","Custom 27000640","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000641","EAP","Custom 27000641","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000642","EAP","Custom 27000642","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000648","EAP","Custom 27000648","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000653","EAP","Custom 27000653","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000654","EAP","Custom 27000654","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000655","EAP","Custom 27000655","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000656","EAP","Custom 27000656","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$663.00 ","$490.62 ","$0.00 ","$663.00 ","$0.00 ","$0.00 ","$0.00 ","$473.18 ","$473.18 ","$0.00 ","$663.00 ","$0.00 ","$331.50 ","$525.10 ","$530.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000666","EAP","Custom 27000666","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000667","EAP","Custom 27000667","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000679","EAP","Custom 27000679","","Kit Triple Lumen Catheter","BOTH IP/OP","$646.00 ","$478.04 ","$0.00 ","$646.00 ","$0.00 ","$0.00 ","$0.00 ","$461.05 ","$461.05 ","$0.00 ","$646.00 ","$0.00 ","$323.00 ","$511.63 ","$516.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000680","EAP","Custom 27000680","","Filter Set 0.22 Micron","BOTH IP/OP","$7.00 ","$5.18 ","$0.00 ","$7.00 ","$0.00 ","$0.00 ","$0.00 ","$5.00 ","$5.00 ","$0.00 ","$7.00 ","$0.00 ","$3.50 ","$5.54 ","$5.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000683","EAP","Custom 27000683","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000686","EAP","Custom 27000686","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000687","EAP","Custom 27000687","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000689","EAP","Custom 27000689","","Tray Thoracentesis Dispos","BOTH IP/OP","$216.00 ","$159.84 ","$0.00 ","$216.00 ","$0.00 ","$0.00 ","$0.00 ","$154.16 ","$154.16 ","$0.00 ","$216.00 ","$0.00 ","$108.00 ","$171.07 ","$172.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000691","EAP","Custom 27000691","","Bag Drainage Ureteral","BOTH IP/OP","$92.00 ","$68.08 ","$0.00 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$65.66 ","$65.66 ","$0.00 ","$92.00 ","$0.00 ","$46.00 ","$72.86 ","$73.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000696","EAP","Custom 27000696","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000697","EAP","Custom 27000697","","10ml Posiflush Saline Syringe","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000701","EAP","Custom 27000701","","Sleeve Knee Regular Dvt","BOTH IP/OP","$378.00 ","$279.72 ","$0.00 ","$378.00 ","$0.00 ","$0.00 ","$0.00 ","$269.78 ","$269.78 ","$0.00 ","$378.00 ","$0.00 ","$189.00 ","$299.38 ","$302.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000702","EAP","Custom 27000702","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000703","EAP","Custom 27000703","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000704","EAP","Custom 27000704","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000705","EAP","Custom 27000705","","Sucrose Analgesia","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000709","EAP","Custom 27000709","","Tray Circumcision","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000710","EAP","Custom 27000710","","Needle Spinal 22g 25/bx","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000712","EAP","Custom 27000712","","Tubes Capillary Hepariniz","BOTH IP/OP","$160.00 ","$118.40 ","$0.00 ","$160.00 ","$0.00 ","$0.00 ","$0.00 ","$114.19 ","$114.19 ","$0.00 ","$160.00 ","$0.00 ","$80.00 ","$126.72 ","$128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000714","EAP","Custom 27000714","","Tube Feeding Plastic 8fr","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000715","EAP","Custom 27000715","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000721","EAP","Custom 27000721","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000723","EAP","Custom 27000723","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000724","EAP","Custom 27000724","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000725","EAP","HCPCS C1751","","Catheter  Iv 26g 120/cs","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$4.90 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$4.38 ","$0.00 ","$4.46 ","$0.00 "
"27000726","EAP","Custom 27000726","","Sleeve Knee Regular Dvt","BOTH IP/OP","$166.00 ","$122.84 ","$0.00 ","$166.00 ","$0.00 ","$0.00 ","$0.00 ","$118.47 ","$118.47 ","$0.00 ","$166.00 ","$0.00 ","$83.00 ","$131.47 ","$132.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000727","EAP","Custom 27000727","","Sleeve Knee X-large Dvt","BOTH IP/OP","$201.00 ","$148.74 ","$0.00 ","$201.00 ","$0.00 ","$0.00 ","$0.00 ","$143.45 ","$143.45 ","$0.00 ","$201.00 ","$0.00 ","$100.50 ","$159.19 ","$160.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000728","EAP","Custom 27000728","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000741","EAP","Custom 27000741","","Catheter  Thoracic 28fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000742","EAP","Custom 27000742","","Catheter Thoracic 32fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000743","EAP","Custom 27000743","","Catheter Thoracic 36fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000744","EAP","Custom 27000744","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000745","EAP","Custom 27000745","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000748","EAP","Custom 27000748","","Scapel Surg W/handle Att","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000760","EAP","Custom 27000760","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000762","EAP","Custom 27000762","","Chest Unit Drainage Pleur","BOTH IP/OP","$420.00 ","$310.80 ","$0.00 ","$420.00 ","$0.00 ","$0.00 ","$0.00 ","$299.75 ","$299.75 ","$0.00 ","$420.00 ","$0.00 ","$210.00 ","$332.64 ","$336.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000765","EAP","Custom 27000765","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000766","EAP","Custom 27000766","","Kit Triple Lumen Catheter","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000770","EAP","Custom 27000770","","Filter Set 0.22 Micron","BOTH IP/OP","$7.00 ","$5.18 ","$0.00 ","$7.00 ","$0.00 ","$0.00 ","$0.00 ","$5.00 ","$5.00 ","$0.00 ","$7.00 ","$0.00 ","$3.50 ","$5.54 ","$5.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000771","EAP","Custom 27000771","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000772","EAP","Custom 27000772","","Tray Douch Disposable","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000773","EAP","Custom 27000773","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000774","EAP","Custom 27000774","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000775","EAP","Custom 27000775","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000776","EAP","Custom 27000776","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000781","EAP","Custom 27000781","","Suture, Silk, 0","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000784","EAP","Custom 27000784","","3ml Posiflush Saline Syringe","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000787","EAP","Custom 27000787","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000788","EAP","Custom 27000788","","Sleeve Knee X-ray Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000789","EAP","Custom 27000789","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000790","EAP","Custom 27000790","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000791","EAP","Custom 27000791","","First Step Select Overlay","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000792","EAP","Custom 27000792","","Telemetry Med Supplies","BOTH IP/OP","$150.00 ","$111.00 ","$0.00 ","$150.00 ","$0.00 ","$0.00 ","$0.00 ","$107.06 ","$107.06 ","$0.00 ","$150.00 ","$0.00 ","$75.00 ","$118.80 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000793","EAP","Custom 27000793","","Med/surg Isolation Supplies","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$0.00 ","$0.00 ","$0.00 ","$200.55 ","$200.55 ","$0.00 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000803","EAP","Custom 27000803","","Dialysis Filter","BOTH IP/OP","$699.00 ","$517.26 ","$0.00 ","$699.00 ","$0.00 ","$0.00 ","$0.00 ","$498.88 ","$498.88 ","$0.00 ","$699.00 ","$0.00 ","$349.50 ","$553.61 ","$559.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000810","EAP","Custom 27000810","","Needle Spinal 18ga","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000811","EAP","Custom 27000811","","Needle Spinal Sterile 20g","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000815","EAP","Custom 27000815","","Catheter  Thoracic 28fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000816","EAP","Custom 27000816","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000817","EAP","Custom 27000817","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000818","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$21.18 ","$0.00 ","$8.13 ","$27.83 ","$27.83 ","$6.83 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$6.10 ","$0.00 ","$6.21 ","$0.00 "
"27000819","EAP","Custom 27000819","","Artery Arterial Catheriza","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000820","EAP","Custom 27000820","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000821","EAP","Custom 27000821","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000822","EAP","Custom 27000822","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000826","EAP","Custom 27000826","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$434.00 ","$321.16 ","$0.00 ","$434.00 ","$0.00 ","$0.00 ","$0.00 ","$309.75 ","$309.75 ","$0.00 ","$434.00 ","$0.00 ","$217.00 ","$343.73 ","$347.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000828","EAP","Custom 27000828","","Catheter Peritoneal Adult","BOTH IP/OP","$210.00 ","$155.40 ","$0.00 ","$210.00 ","$0.00 ","$0.00 ","$0.00 ","$149.88 ","$149.88 ","$0.00 ","$210.00 ","$0.00 ","$105.00 ","$166.32 ","$168.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000829","EAP","Custom 27000829","","Triconnector With Valve","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000830","EAP","Custom 27000830","","Set Blood Administration","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000834","EAP","Custom 27000834","","Kit L.f. Trach Care","BOTH IP/OP","$237.00 ","$175.38 ","$0.00 ","$237.00 ","$0.00 ","$0.00 ","$0.00 ","$169.15 ","$169.15 ","$0.00 ","$237.00 ","$0.00 ","$118.50 ","$187.70 ","$189.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000836","EAP","Custom 27000836","","Kit Thoracotomy","BOTH IP/OP","$217.00 ","$160.58 ","$0.00 ","$217.00 ","$0.00 ","$0.00 ","$0.00 ","$154.87 ","$154.87 ","$0.00 ","$217.00 ","$0.00 ","$108.50 ","$171.86 ","$173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000841","EAP","Custom 27000841","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000842","EAP","Custom 27000842","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000843","EAP","Custom 27000843","","Kit Transducer Monitoring","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000844","EAP","Custom 27000844","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000846","EAP","Custom 27000846","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000847","EAP","Custom 27000847","","Kit Pecutaneous Introduce","BOTH IP/OP","$298.00 ","$220.52 ","$0.00 ","$298.00 ","$0.00 ","$0.00 ","$0.00 ","$212.68 ","$212.68 ","$0.00 ","$298.00 ","$0.00 ","$149.00 ","$236.02 ","$238.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000848","EAP","Custom 27000848","","Chest Unit Drainage Pleur","BOTH IP/OP","$420.00 ","$310.80 ","$0.00 ","$420.00 ","$0.00 ","$0.00 ","$0.00 ","$299.75 ","$299.75 ","$0.00 ","$420.00 ","$0.00 ","$210.00 ","$332.64 ","$336.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000849","EAP","Custom 27000849","","Chest Unit Dry Suction Sy","BOTH IP/OP","$316.00 ","$233.84 ","$0.00 ","$316.00 ","$0.00 ","$0.00 ","$0.00 ","$225.53 ","$225.53 ","$0.00 ","$316.00 ","$0.00 ","$158.00 ","$250.27 ","$252.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000854","EAP","Custom 27000854","","Trac Dressing Xl","BOTH IP/OP","$70.00 ","$51.80 ","$0.00 ","$70.00 ","$0.00 ","$0.00 ","$0.00 ","$49.96 ","$49.96 ","$0.00 ","$70.00 ","$0.00 ","$35.00 ","$55.44 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000857","EAP","Custom 27000857","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000858","EAP","Custom 27000858","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000859","EAP","Custom 27000859","","Catheter Swan Ganz","BOTH IP/OP","$726.00 ","$537.24 ","$0.00 ","$726.00 ","$0.00 ","$0.00 ","$0.00 ","$518.15 ","$518.15 ","$0.00 ","$726.00 ","$0.00 ","$363.00 ","$574.99 ","$580.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000860","EAP","Custom 27000860","","Delivery System Closed In","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000866","EAP","Custom 27000866","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000868","EAP","Custom 27000868","","Tray Urine Meter 18fr","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000869","EAP","Custom 27000869","","Kit Ventriculostomy","BOTH IP/OP","$763.00 ","$564.62 ","$0.00 ","$763.00 ","$0.00 ","$0.00 ","$0.00 ","$544.55 ","$544.55 ","$0.00 ","$763.00 ","$0.00 ","$381.50 ","$604.30 ","$610.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000870","EAP","Custom 27000870","","Tray Thoracentesis Dispos","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000872","EAP","Custom 27000872","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000880","EAP","Custom 27000880","","Femoral Arterial Line Kit","BOTH IP/OP","$178.00 ","$131.72 ","$0.00 ","$178.00 ","$0.00 ","$0.00 ","$0.00 ","$127.04 ","$127.04 ","$0.00 ","$178.00 ","$0.00 ","$89.00 ","$140.98 ","$142.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000881","EAP","Custom 27000881","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000882","EAP","Custom 27000882","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000883","EAP","Custom 27000883","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000884","EAP","Custom 27000884","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000886","EAP","Custom 27000886","","Med/surg Isolation Supplies","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$0.00 ","$0.00 ","$0.00 ","$200.55 ","$200.55 ","$0.00 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000887","EAP","Custom 27000887","","Med/pri Supplies","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000888","EAP","Custom 27000888","","Med/surg Semi-supplies","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000902","EAP","Custom 27000902","","Catheter  Thoracic 28fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000903","EAP","Custom 27000903","","Catheter Thoracic 32fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000904","EAP","Custom 27000904","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000905","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27000906","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27000907","EAP","HCPCS C1729","","Catheter Coude Size 16fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27000908","EAP","Custom 27000908","","Artery Arterial Catheriza","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000909","EAP","Custom 27000909","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000910","EAP","Custom 27000910","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000911","EAP","Custom 27000911","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000912","EAP","Custom 27000912","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000915","EAP","Custom 27000915","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$937.00 ","$693.38 ","$0.00 ","$937.00 ","$0.00 ","$0.00 ","$0.00 ","$668.74 ","$668.74 ","$0.00 ","$937.00 ","$0.00 ","$468.50 ","$742.10 ","$749.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000916","EAP","Custom 27000916","","Scaple Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000918","EAP","Custom 27000918","","Triconnector With Valve","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000922","EAP","Custom 27000922","","Pouch Active Life Squib Drain","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000926","EAP","Custom 27000926","","Kit Thoracotomy","BOTH IP/OP","$210.00 ","$155.40 ","$0.00 ","$210.00 ","$0.00 ","$0.00 ","$0.00 ","$149.88 ","$149.88 ","$0.00 ","$210.00 ","$0.00 ","$105.00 ","$166.32 ","$168.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000931","EAP","Custom 27000931","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000932","EAP","Custom 27000932","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000933","EAP","Custom 27000933","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000934","EAP","Custom 27000934","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000935","EAP","Custom 27000935","","Needle Port-cath 20ga X 1","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000936","EAP","Custom 27000936","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000941","EAP","Custom 27000941","","Dressing X-large","BOTH IP/OP","$321.00 ","$237.54 ","$0.00 ","$321.00 ","$0.00 ","$0.00 ","$0.00 ","$229.10 ","$229.10 ","$0.00 ","$321.00 ","$0.00 ","$160.50 ","$254.23 ","$256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000942","EAP","Custom 27000942","","Trac Dressing Xl","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000945","EAP","Custom 27000945","","Tube Feeding Ng 8fr 36in Entri","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000946","EAP","Custom 27000946","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000949","EAP","Custom 27000949","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000951","EAP","Custom 27000951","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000952","EAP","Custom 27000952","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000953","EAP","Custom 27000953","","Tray Thoracentesis Dispos","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000955","EAP","Custom 27000955","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000962","EAP","Custom 27000962","","Sleeve Knee Regular Dvt","BOTH IP/OP","$370.00 ","$273.80 ","$0.00 ","$370.00 ","$0.00 ","$0.00 ","$0.00 ","$264.07 ","$264.07 ","$0.00 ","$370.00 ","$0.00 ","$185.00 ","$293.04 ","$296.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000963","EAP","Custom 27000963","","Sleeve Knee X-large Dvt","BOTH IP/OP","$450.00 ","$333.00 ","$0.00 ","$450.00 ","$0.00 ","$0.00 ","$0.00 ","$321.17 ","$321.17 ","$0.00 ","$450.00 ","$0.00 ","$225.00 ","$356.40 ","$360.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000964","EAP","Custom 27000964","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$529.00 ","$391.46 ","$0.00 ","$529.00 ","$0.00 ","$0.00 ","$0.00 ","$377.55 ","$377.55 ","$0.00 ","$529.00 ","$0.00 ","$264.50 ","$418.97 ","$423.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000965","EAP","Custom 27000965","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$488.00 ","$361.12 ","$0.00 ","$488.00 ","$0.00 ","$0.00 ","$0.00 ","$348.29 ","$348.29 ","$0.00 ","$488.00 ","$0.00 ","$244.00 ","$386.50 ","$390.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000968","EAP","Custom 27000968","","Dialysis Fluid Bag","BOTH IP/OP","$166.00 ","$122.84 ","$0.00 ","$166.00 ","$0.00 ","$0.00 ","$0.00 ","$118.47 ","$118.47 ","$0.00 ","$166.00 ","$0.00 ","$83.00 ","$131.47 ","$132.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000969","EAP","Custom 27000969","","Dialysis Filter","BOTH IP/OP","$699.00 ","$517.26 ","$0.00 ","$699.00 ","$0.00 ","$0.00 ","$0.00 ","$498.88 ","$498.88 ","$0.00 ","$699.00 ","$0.00 ","$349.50 ","$553.61 ","$559.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000975","EAP","Custom 27000975","","Ioban 2 Drape Incise Smal","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000977","EAP","Custom 27000977","","Ioban 2 Drape Incise Larg","BOTH IP/OP","$462.00 ","$341.88 ","$0.00 ","$462.00 ","$0.00 ","$0.00 ","$0.00 ","$329.73 ","$329.73 ","$0.00 ","$462.00 ","$0.00 ","$231.00 ","$365.90 ","$369.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000978","EAP","Custom 27000978","","Needle Spinal 18ga","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000982","EAP","Custom 27000982","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000983","EAP","Custom 27000983","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000984","EAP","Custom 27000984","","Catheter Urethral Two-eye","BOTH IP/OP","$7.00 ","$5.18 ","$0.00 ","$7.00 ","$0.00 ","$0.00 ","$0.00 ","$5.00 ","$5.00 ","$0.00 ","$7.00 ","$0.00 ","$3.50 ","$5.54 ","$5.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000985","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27000986","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27000987","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27000988","EAP","HCPCS C1729","","Catheter Foley 3-way 30cc","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$20.09 ","$0.00 ","$7.71 ","$26.41 ","$26.41 ","$6.48 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$5.79 ","$0.00 ","$5.89 ","$0.00 "
"27000989","EAP","Custom 27000989","","Catheter Ventricular 20cm","BOTH IP/OP","$313.00 ","$231.62 ","$0.00 ","$313.00 ","$0.00 ","$0.00 ","$0.00 ","$223.39 ","$223.39 ","$0.00 ","$313.00 ","$0.00 ","$156.50 ","$247.90 ","$250.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000990","EAP","Custom 27000990","","Catheter Edm Ii Becker","BOTH IP/OP","$617.00 ","$456.58 ","$0.00 ","$617.00 ","$0.00 ","$0.00 ","$0.00 ","$440.35 ","$440.35 ","$0.00 ","$617.00 ","$0.00 ","$308.50 ","$488.66 ","$493.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000991","EAP","Custom 27000991","","Artery Arterial Catheriza","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000992","EAP","Custom 27000992","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000993","EAP","Custom 27000993","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000994","EAP","Custom 27000994","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000995","EAP","Custom 27000995","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000996","EAP","Custom 27000996","","Kit Percuatane Trache 7fr","BOTH IP/OP","$1,219.00 ","$902.06 ","$0.00 ","$1,219.00 ","$0.00 ","$0.00 ","$0.00 ","$870.00 ","$870.00 ","$0.00 ","$1,219.00 ","$0.00 ","$609.50 ","$965.45 ","$975.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000997","EAP","Custom 27000997","","Kit Percuatane Trache 8fr","BOTH IP/OP","$1,424.00 ","$1,053.76 ","$0.00 ","$1,424.00 ","$0.00 ","$0.00 ","$0.00 ","$1,016.31 ","$1,016.31 ","$0.00 ","$1,424.00 ","$0.00 ","$712.00 ","$1,127.81 ","$1,139.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27000998","EAP","Custom 27000998","","Kit Tracheotomy Care Ster","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001001","EAP","Custom 27001001","","Bag Drainage Becker","BOTH IP/OP","$213.00 ","$157.62 ","$0.00 ","$213.00 ","$0.00 ","$0.00 ","$0.00 ","$152.02 ","$152.02 ","$0.00 ","$213.00 ","$0.00 ","$106.50 ","$168.70 ","$170.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001002","EAP","Custom 27001002","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$937.00 ","$693.38 ","$0.00 ","$937.00 ","$0.00 ","$0.00 ","$0.00 ","$668.74 ","$668.74 ","$0.00 ","$937.00 ","$0.00 ","$468.50 ","$742.10 ","$749.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001006","EAP","Custom 27001006","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001007","EAP","Custom 27001007","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001009","EAP","Custom 27001009","","Triconnector With Valve","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001012","EAP","Custom 27001012","","Cream Baza 5oz","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001016","EAP","Custom 27001016","","Valve Anti-reflux Salem S","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001017","EAP","Custom 27001017","","Kit L.f. Trach Care","BOTH IP/OP","$237.00 ","$175.38 ","$0.00 ","$237.00 ","$0.00 ","$0.00 ","$0.00 ","$169.15 ","$169.15 ","$0.00 ","$237.00 ","$0.00 ","$118.50 ","$187.70 ","$189.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001019","EAP","Custom 27001019","","Kit Thoracotomy","BOTH IP/OP","$217.00 ","$160.58 ","$0.00 ","$217.00 ","$0.00 ","$0.00 ","$0.00 ","$154.87 ","$154.87 ","$0.00 ","$217.00 ","$0.00 ","$108.50 ","$171.86 ","$173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001025","EAP","Custom 27001025","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001026","EAP","Custom 27001026","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001027","EAP","Custom 27001027","","Transducer  Disp For Icp","BOTH IP/OP","$79.00 ","$58.46 ","$0.00 ","$79.00 ","$0.00 ","$0.00 ","$0.00 ","$56.38 ","$56.38 ","$0.00 ","$79.00 ","$0.00 ","$39.50 ","$62.57 ","$63.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001028","EAP","Custom 27001028","","Kit Transducer Monitoring","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001029","EAP","Custom 27001029","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001031","EAP","Custom 27001031","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001032","EAP","Custom 27001032","","Kit Pecutaneous Introduce","BOTH IP/OP","$298.00 ","$220.52 ","$0.00 ","$298.00 ","$0.00 ","$0.00 ","$0.00 ","$212.68 ","$212.68 ","$0.00 ","$298.00 ","$0.00 ","$149.00 ","$236.02 ","$238.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001033","EAP","Custom 27001033","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001034","EAP","Custom 27001034","","Chest Unit Dry Suction Sy","BOTH IP/OP","$333.00 ","$246.42 ","$0.00 ","$333.00 ","$0.00 ","$0.00 ","$0.00 ","$237.66 ","$237.66 ","$0.00 ","$333.00 ","$0.00 ","$166.50 ","$263.74 ","$266.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001035","EAP","Custom 27001035","","Bag  Auto-transfusion Ple","BOTH IP/OP","$245.00 ","$181.30 ","$0.00 ","$245.00 ","$0.00 ","$0.00 ","$0.00 ","$174.86 ","$174.86 ","$0.00 ","$245.00 ","$0.00 ","$122.50 ","$194.04 ","$196.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001040","EAP","Custom 27001040","","Dressing X-large","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001041","EAP","Custom 27001041","","Trac Dressing Xl","BOTH IP/OP","$170.00 ","$125.80 ","$0.00 ","$170.00 ","$0.00 ","$0.00 ","$0.00 ","$121.33 ","$121.33 ","$0.00 ","$170.00 ","$0.00 ","$85.00 ","$134.64 ","$136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001044","EAP","Custom 27001044","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001045","EAP","Custom 27001045","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001046","EAP","Custom 27001046","","Wire Guide Dual Purpose","BOTH IP/OP","$362.00 ","$267.88 ","$0.00 ","$362.00 ","$0.00 ","$0.00 ","$0.00 ","$258.36 ","$258.36 ","$0.00 ","$362.00 ","$0.00 ","$181.00 ","$286.70 ","$289.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001047","EAP","Custom 27001047","","Kit Monitoring Intracrani","BOTH IP/OP","$426.00 ","$315.24 ","$0.00 ","$426.00 ","$0.00 ","$0.00 ","$0.00 ","$304.04 ","$304.04 ","$0.00 ","$426.00 ","$0.00 ","$213.00 ","$337.39 ","$340.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001048","EAP","Custom 27001048","","Cath  Trauma Ventricular","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$0.00 ","$0.00 ","$0.00 ","$312.60 ","$312.60 ","$0.00 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001049","EAP","Custom 27001049","","Catheter Swan Ganz","BOTH IP/OP","$309.00 ","$228.66 ","$0.00 ","$309.00 ","$0.00 ","$0.00 ","$0.00 ","$220.53 ","$220.53 ","$0.00 ","$309.00 ","$0.00 ","$154.50 ","$244.73 ","$247.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001050","EAP","Custom 27001050","","Delivery System Closed In","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001051","EAP","Custom 27001051","","Probe V-pacing","BOTH IP/OP","$1,277.00 ","$944.98 ","$0.00 ","$1,277.00 ","$0.00 ","$0.00 ","$0.00 ","$911.39 ","$911.39 ","$0.00 ","$1,277.00 ","$0.00 ","$638.50 ","$1,011.38 ","$1,021.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001055","EAP","Custom 27001055","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001057","EAP","Custom 27001057","","Tray Foley Preconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001058","EAP","Custom 27001058","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001060","EAP","Custom 27001060","","Tray Urine Meter 18fr","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001061","EAP","Custom 27001061","","Kit Ventriculostomy","BOTH IP/OP","$1,782.00 ","$1,318.68 ","$0.00 ","$1,782.00 ","$0.00 ","$0.00 ","$0.00 ","$1,271.81 ","$1,271.81 ","$0.00 ","$1,782.00 ","$0.00 ","$891.00 ","$1,411.34 ","$1,425.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001062","EAP","Custom 27001062","","Tray Thoracentesis Dispos","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001063","EAP","Custom 27001063","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001064","EAP","Custom 27001064","","Bag Drainage Ureteral","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001078","EAP","Custom 27001078","","Femoral Arterial Line Kit","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001079","EAP","Custom 27001079","","Kit Percutane Trache 9fr","BOTH IP/OP","$3,007.00 ","$2,225.18 ","$0.00 ","$3,007.00 ","$0.00 ","$0.00 ","$0.00 ","$2,146.10 ","$2,146.10 ","$0.00 ","$3,007.00 ","$0.00 ","$1,503.50 ","$2,381.54 ","$2,405.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001081","EAP","Custom 27001081","","Cath Cco Swan Ganz 8fr","BOTH IP/OP","$2,182.00 ","$1,614.68 ","$0.00 ","$2,182.00 ","$0.00 ","$0.00 ","$0.00 ","$1,557.29 ","$1,557.29 ","$0.00 ","$2,182.00 ","$0.00 ","$1,091.00 ","$1,728.14 ","$1,745.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001082","EAP","Custom 27001082","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001083","EAP","Custom 27001083","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001084","EAP","Custom 27001084","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001085","EAP","Custom 27001085","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001086","EAP","Custom 27001086","","First Step Select Overlay","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001096","EAP","Custom 27001096","","Dialysis Filter","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$214.11 ","$214.11 ","$0.00 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001101","EAP","Custom 27001101","","Needle Spinal 22ga X 3-1/","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001106","EAP","Custom 27001106","","Catheter  Thoracic 28fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001107","EAP","Custom 27001107","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001108","EAP","Custom 27001108","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001109","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27001110","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27001111","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27001112","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$21.18 ","$0.00 ","$8.13 ","$27.83 ","$27.83 ","$6.83 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$6.10 ","$0.00 ","$6.21 ","$0.00 "
"27001113","EAP","Custom 27001113","","Catheter Ventricular 20cm","BOTH IP/OP","$735.00 ","$543.90 ","$0.00 ","$735.00 ","$0.00 ","$0.00 ","$0.00 ","$524.57 ","$524.57 ","$0.00 ","$735.00 ","$0.00 ","$367.50 ","$582.12 ","$588.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001114","EAP","Custom 27001114","","Catheter Edm Ii Becker","BOTH IP/OP","$1,440.00 ","$1,065.60 ","$0.00 ","$1,440.00 ","$0.00 ","$0.00 ","$0.00 ","$1,027.73 ","$1,027.73 ","$0.00 ","$1,440.00 ","$0.00 ","$720.00 ","$1,140.48 ","$1,152.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001115","EAP","Custom 27001115","","Tube  Feeding Ng  8fr 43in En","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001116","EAP","Custom 27001116","","Artery Arterial Catheriza","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001117","EAP","Custom 27001117","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001118","EAP","Custom 27001118","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001119","EAP","Custom 27001119","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001120","EAP","Custom 27001120","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001124","EAP","Custom 27001124","","Bag Drainage Becker","BOTH IP/OP","$213.00 ","$157.62 ","$0.00 ","$213.00 ","$0.00 ","$0.00 ","$0.00 ","$152.02 ","$152.02 ","$0.00 ","$213.00 ","$0.00 ","$106.50 ","$168.70 ","$170.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001125","EAP","Custom 27001125","","Blades Surgical #10 W/o H","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001126","EAP","Custom 27001126","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001127","EAP","Custom 27001127","","Triconnector With Valve","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001129","EAP","Custom 27001129","","Set Blood Administration","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001135","EAP","Custom 27001135","","Valve Anti-reflux Salem S","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001137","EAP","Custom 27001137","","Kit Thoracotomy","BOTH IP/OP","$217.00 ","$160.58 ","$0.00 ","$217.00 ","$0.00 ","$0.00 ","$0.00 ","$154.87 ","$154.87 ","$0.00 ","$217.00 ","$0.00 ","$108.50 ","$171.86 ","$173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001142","EAP","Custom 27001142","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001143","EAP","Custom 27001143","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001144","EAP","Custom 27001144","","Transducer  Disp For Icp","BOTH IP/OP","$79.00 ","$58.46 ","$0.00 ","$79.00 ","$0.00 ","$0.00 ","$0.00 ","$56.38 ","$56.38 ","$0.00 ","$79.00 ","$0.00 ","$39.50 ","$62.57 ","$63.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001145","EAP","Custom 27001145","","Bridge Kit Bifurated Resp","BOTH IP/OP","$120.00 ","$88.80 ","$0.00 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$85.64 ","$85.64 ","$0.00 ","$120.00 ","$0.00 ","$60.00 ","$95.04 ","$96.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001146","EAP","Custom 27001146","","Kit Transducer Monitoring","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001147","EAP","Custom 27001147","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001149","EAP","Custom 27001149","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001150","EAP","Custom 27001150","","Kit Pecutaneous Introduce","BOTH IP/OP","$276.00 ","$204.24 ","$0.00 ","$276.00 ","$0.00 ","$0.00 ","$0.00 ","$196.98 ","$196.98 ","$0.00 ","$276.00 ","$0.00 ","$138.00 ","$218.59 ","$220.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001151","EAP","Custom 27001151","","Chest Unit Drainage Pleur","BOTH IP/OP","$401.00 ","$296.74 ","$0.00 ","$401.00 ","$0.00 ","$0.00 ","$0.00 ","$286.19 ","$286.19 ","$0.00 ","$401.00 ","$0.00 ","$200.50 ","$317.59 ","$320.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001152","EAP","Custom 27001152","","Chest Unit Dry Suction Sy","BOTH IP/OP","$316.00 ","$233.84 ","$0.00 ","$316.00 ","$0.00 ","$0.00 ","$0.00 ","$225.53 ","$225.53 ","$0.00 ","$316.00 ","$0.00 ","$158.00 ","$250.27 ","$252.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001157","EAP","Custom 27001157","","Dressing X-large","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001158","EAP","Custom 27001158","","Trac Dressing Xl","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001161","EAP","Custom 27001161","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001162","EAP","Custom 27001162","","Kit Triple Lumen Catheter","BOTH IP/OP","$344.00 ","$254.56 ","$0.00 ","$344.00 ","$0.00 ","$0.00 ","$0.00 ","$245.51 ","$245.51 ","$0.00 ","$344.00 ","$0.00 ","$172.00 ","$272.45 ","$275.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001163","EAP","Custom 27001163","","Wire Guide Dual Purpose","BOTH IP/OP","$392.00 ","$290.08 ","$0.00 ","$392.00 ","$0.00 ","$0.00 ","$0.00 ","$279.77 ","$279.77 ","$0.00 ","$392.00 ","$0.00 ","$196.00 ","$310.46 ","$313.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001164","EAP","Custom 27001164","","Kit Monitoring Intracrani","BOTH IP/OP","$460.00 ","$340.40 ","$0.00 ","$460.00 ","$0.00 ","$0.00 ","$0.00 ","$328.30 ","$328.30 ","$0.00 ","$460.00 ","$0.00 ","$230.00 ","$364.32 ","$368.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001165","EAP","Custom 27001165","","Cath  Trauma Ventricular","BOTH IP/OP","$1,014.00 ","$750.36 ","$0.00 ","$1,014.00 ","$0.00 ","$0.00 ","$0.00 ","$723.69 ","$723.69 ","$0.00 ","$1,014.00 ","$0.00 ","$507.00 ","$803.09 ","$811.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001166","EAP","Custom 27001166","","Catheter Swan Ganz","BOTH IP/OP","$309.00 ","$228.66 ","$0.00 ","$309.00 ","$0.00 ","$0.00 ","$0.00 ","$220.53 ","$220.53 ","$0.00 ","$309.00 ","$0.00 ","$154.50 ","$244.73 ","$247.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001167","EAP","Custom 27001167","","Delivery System Closed In","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001173","EAP","Custom 27001173","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001174","EAP","Custom 27001174","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001176","EAP","Custom 27001176","","Kit Ventriculostomy","BOTH IP/OP","$1,782.00 ","$1,318.68 ","$0.00 ","$1,782.00 ","$0.00 ","$0.00 ","$0.00 ","$1,271.81 ","$1,271.81 ","$0.00 ","$1,782.00 ","$0.00 ","$891.00 ","$1,411.34 ","$1,425.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001178","EAP","Custom 27001178","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001179","EAP","Custom 27001179","","Kit Lumbar Drainage Edm","BOTH IP/OP","$788.00 ","$583.12 ","$0.00 ","$788.00 ","$0.00 ","$0.00 ","$0.00 ","$562.40 ","$562.40 ","$0.00 ","$788.00 ","$0.00 ","$394.00 ","$624.10 ","$630.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001190","EAP","Custom 27001190","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001191","EAP","Custom 27001191","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001192","EAP","Custom 27001192","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001193","EAP","Custom 27001193","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$663.00 ","$490.62 ","$0.00 ","$663.00 ","$0.00 ","$0.00 ","$0.00 ","$473.18 ","$473.18 ","$0.00 ","$663.00 ","$0.00 ","$331.50 ","$525.10 ","$530.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001194","EAP","Custom 27001194","","First Step Select Overlay","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001205","EAP","Custom 27001205","","Dialysis Filter","BOTH IP/OP","$651.00 ","$481.74 ","$0.00 ","$651.00 ","$0.00 ","$0.00 ","$0.00 ","$464.62 ","$464.62 ","$0.00 ","$651.00 ","$0.00 ","$325.50 ","$515.59 ","$520.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001206","EAP","Custom 27001206","","Tubes Extension Plain Pla","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001218","EAP","Custom 27001218","","Catheter Thoracic 16f","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001219","EAP","Custom 27001219","","Catheter Thoracic 20fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001220","EAP","Custom 27001220","","Catheter Thoracic 24fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001221","EAP","Custom 27001221","","Catheter Thoracic 28fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001222","EAP","Custom 27001222","","Catheter Thoracic 32fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001223","EAP","Custom 27001223","","Catheter Urethral 8fr","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001224","EAP","Custom 27001224","","Entriflex","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001225","EAP","Custom 27001225","","Tube  Feeding Nasogastric","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001226","EAP","Custom 27001226","","Artery Arterial Catheriza","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001227","EAP","Custom 27001227","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001228","EAP","Custom 27001228","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001229","EAP","Custom 27001229","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001231","EAP","Custom 27001231","","Set Urinary Drain W/conta","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001232","EAP","Custom 27001232","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$434.00 ","$321.16 ","$0.00 ","$434.00 ","$0.00 ","$0.00 ","$0.00 ","$309.75 ","$309.75 ","$0.00 ","$434.00 ","$0.00 ","$217.00 ","$343.73 ","$347.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001234","EAP","Custom 27001234","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001235","EAP","Custom 27001235","","Stapler Skin Disposable 3","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001236","EAP","Custom 27001236","","Triconnector With Valve","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001240","EAP","Custom 27001240","","Aquacel Ag 4x4","BOTH IP/OP","$92.00 ","$68.08 ","$0.00 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$65.66 ","$65.66 ","$0.00 ","$92.00 ","$0.00 ","$46.00 ","$72.86 ","$73.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001243","EAP","Custom 27001243","","Electrodes Operative","BOTH IP/OP","$289.00 ","$213.86 ","$0.00 ","$289.00 ","$0.00 ","$0.00 ","$0.00 ","$206.26 ","$206.26 ","$0.00 ","$289.00 ","$0.00 ","$144.50 ","$228.89 ","$231.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001249","EAP","Custom 27001249","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001250","EAP","Custom 27001250","","Kit Transducer Monitoring","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001252","EAP","Custom 27001252","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001254","EAP","Custom 27001254","","Bag 1000ml Pump Set","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001255","EAP","Custom 27001255","","Kit Pecutaneous Introduce","BOTH IP/OP","$276.00 ","$204.24 ","$0.00 ","$276.00 ","$0.00 ","$0.00 ","$0.00 ","$196.98 ","$196.98 ","$0.00 ","$276.00 ","$0.00 ","$138.00 ","$218.59 ","$220.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001256","EAP","Custom 27001256","","Chest Unit Drainage Pleur","BOTH IP/OP","$195.00 ","$144.30 ","$0.00 ","$195.00 ","$0.00 ","$0.00 ","$0.00 ","$139.17 ","$139.17 ","$0.00 ","$195.00 ","$0.00 ","$97.50 ","$154.44 ","$156.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001257","EAP","Custom 27001257","","Bag Pressure  500cc","BOTH IP/OP","$82.00 ","$60.68 ","$0.00 ","$82.00 ","$0.00 ","$0.00 ","$0.00 ","$58.52 ","$58.52 ","$0.00 ","$82.00 ","$0.00 ","$41.00 ","$64.94 ","$65.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001258","EAP","Custom 27001258","","Bag Pressure 1000cc","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001260","EAP","Custom 27001260","","Tube Feeding Ng 8fr 36in Entri","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001261","EAP","Custom 27001261","","Multi Lumen Cvc W/o Silver Su","BOTH IP/OP","$751.00 ","$555.74 ","$0.00 ","$751.00 ","$0.00 ","$0.00 ","$0.00 ","$535.99 ","$535.99 ","$0.00 ","$751.00 ","$0.00 ","$375.50 ","$594.79 ","$600.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001262","EAP","Custom 27001262","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001263","EAP","Custom 27001263","","Catheter Swan Ganz","BOTH IP/OP","$726.00 ","$537.24 ","$0.00 ","$726.00 ","$0.00 ","$0.00 ","$0.00 ","$518.15 ","$518.15 ","$0.00 ","$726.00 ","$0.00 ","$363.00 ","$574.99 ","$580.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001264","EAP","Custom 27001264","","Delivery System Closed In","BOTH IP/OP","$141.00 ","$104.34 ","$0.00 ","$141.00 ","$0.00 ","$0.00 ","$0.00 ","$100.63 ","$100.63 ","$0.00 ","$141.00 ","$0.00 ","$70.50 ","$111.67 ","$112.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001265","EAP","Custom 27001265","","Set T-port Small Bore Ext","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001268","EAP","Custom 27001268","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001270","EAP","Custom 27001270","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001271","EAP","Custom 27001271","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001272","EAP","Custom 27001272","","Tray Thoracentesis Dispos","BOTH IP/OP","$207.00 ","$153.18 ","$0.00 ","$207.00 ","$0.00 ","$0.00 ","$0.00 ","$147.74 ","$147.74 ","$0.00 ","$207.00 ","$0.00 ","$103.50 ","$163.94 ","$165.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001273","EAP","Custom 27001273","","Sponges Laparotomy 6522","BOTH IP/OP","$119.00 ","$88.06 ","$0.00 ","$119.00 ","$0.00 ","$0.00 ","$0.00 ","$84.93 ","$84.93 ","$0.00 ","$119.00 ","$0.00 ","$59.50 ","$94.25 ","$95.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001274","EAP","Custom 27001274","","Bovie Pencil Valleylab","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001283","EAP","Custom 27001283","","Dressing Acticoat 16x16","BOTH IP/OP","$678.00 ","$501.72 ","$0.00 ","$678.00 ","$0.00 ","$0.00 ","$0.00 ","$483.89 ","$483.89 ","$0.00 ","$678.00 ","$0.00 ","$339.00 ","$536.98 ","$542.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001284","EAP","Custom 27001284","","Kit Vascular Conform","BOTH IP/OP","$108.00 ","$79.92 ","$0.00 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$77.08 ","$77.08 ","$0.00 ","$108.00 ","$0.00 ","$54.00 ","$85.54 ","$86.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001285","EAP","Custom 27001285","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001286","EAP","Custom 27001286","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001287","EAP","Custom 27001287","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001288","EAP","Custom 27001288","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001289","EAP","Custom 27001289","","1st First Select Overlay","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001298","EAP","Custom 27001298","","Therapy For Cvvh/cvvhd 4","BOTH IP/OP","$166.00 ","$122.84 ","$0.00 ","$166.00 ","$0.00 ","$0.00 ","$0.00 ","$118.47 ","$118.47 ","$0.00 ","$166.00 ","$0.00 ","$83.00 ","$131.47 ","$132.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001299","EAP","Custom 27001299","","Dialysis Filter","BOTH IP/OP","$699.00 ","$517.26 ","$0.00 ","$699.00 ","$0.00 ","$0.00 ","$0.00 ","$498.88 ","$498.88 ","$0.00 ","$699.00 ","$0.00 ","$349.50 ","$553.61 ","$559.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001312","EAP","Custom 27001312","","Catheter  Thoracic 20fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001313","EAP","Custom 27001313","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001314","EAP","Custom 27001314","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001315","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27001316","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27001317","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27001318","EAP","Custom 27001318","","Catheter Ventricular 20cm","BOTH IP/OP","$683.00 ","$505.42 ","$0.00 ","$683.00 ","$0.00 ","$0.00 ","$0.00 ","$487.46 ","$487.46 ","$0.00 ","$683.00 ","$0.00 ","$341.50 ","$540.94 ","$546.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001319","EAP","Custom 27001319","","Catheter Edm Ii Becker","BOTH IP/OP","$1,339.00 ","$990.86 ","$0.00 ","$1,339.00 ","$0.00 ","$0.00 ","$0.00 ","$955.64 ","$955.64 ","$0.00 ","$1,339.00 ","$0.00 ","$669.50 ","$1,060.49 ","$1,071.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001320","EAP","Custom 27001320","","Artery Arterial Catheriza","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001321","EAP","Custom 27001321","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001322","EAP","Custom 27001322","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001323","EAP","Custom 27001323","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001324","EAP","Custom 27001324","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001328","EAP","Custom 27001328","","Bag Drainage Becker","BOTH IP/OP","$202.00 ","$149.48 ","$0.00 ","$202.00 ","$0.00 ","$0.00 ","$0.00 ","$144.17 ","$144.17 ","$0.00 ","$202.00 ","$0.00 ","$101.00 ","$159.98 ","$161.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001329","EAP","Custom 27001329","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$937.00 ","$693.38 ","$0.00 ","$937.00 ","$0.00 ","$0.00 ","$0.00 ","$668.74 ","$668.74 ","$0.00 ","$937.00 ","$0.00 ","$468.50 ","$742.10 ","$749.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001330","EAP","Custom 27001330","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001331","EAP","Custom 27001331","","Triconnector With Valve","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001337","EAP","Custom 27001337","","Cable Patient 12 Pin #r53","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$214.11 ","$214.11 ","$0.00 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001341","EAP","Custom 27001341","","Kit Thoracotomy","BOTH IP/OP","$217.00 ","$160.58 ","$0.00 ","$217.00 ","$0.00 ","$0.00 ","$0.00 ","$154.87 ","$154.87 ","$0.00 ","$217.00 ","$0.00 ","$108.50 ","$171.86 ","$173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001347","EAP","Custom 27001347","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001348","EAP","Custom 27001348","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001349","EAP","Custom 27001349","","Transducer  Disp For Icp","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001350","EAP","Custom 27001350","","Bridge Kit Bifurated Resp","BOTH IP/OP","$120.00 ","$88.80 ","$0.00 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$85.64 ","$85.64 ","$0.00 ","$120.00 ","$0.00 ","$60.00 ","$95.04 ","$96.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001351","EAP","Custom 27001351","","Kit Transducer Monitoring","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001352","EAP","Custom 27001352","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001354","EAP","Custom 27001354","","Bag Feeding Gavage 500ml","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001355","EAP","Custom 27001355","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001356","EAP","Custom 27001356","","Kit Pecutaneous Introduce","BOTH IP/OP","$129.00 ","$95.46 ","$0.00 ","$129.00 ","$0.00 ","$0.00 ","$0.00 ","$92.07 ","$92.07 ","$0.00 ","$129.00 ","$0.00 ","$64.50 ","$102.17 ","$103.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001357","EAP","Custom 27001357","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001358","EAP","Custom 27001358","","Chest Imot Dry Suction Sy","BOTH IP/OP","$316.00 ","$233.84 ","$0.00 ","$316.00 ","$0.00 ","$0.00 ","$0.00 ","$225.53 ","$225.53 ","$0.00 ","$316.00 ","$0.00 ","$158.00 ","$250.27 ","$252.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001363","EAP","Custom 27001363","","Trac Dressing Xl","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001366","EAP","Custom 27001366","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001367","EAP","Custom 27001367","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001369","EAP","Custom 27001369","","Kit Monitoring Intracrani","BOTH IP/OP","$460.00 ","$340.40 ","$0.00 ","$460.00 ","$0.00 ","$0.00 ","$0.00 ","$328.30 ","$328.30 ","$0.00 ","$460.00 ","$0.00 ","$230.00 ","$364.32 ","$368.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001370","EAP","Custom 27001370","","Catheter Swan Ganz","BOTH IP/OP","$674.00 ","$498.76 ","$0.00 ","$674.00 ","$0.00 ","$0.00 ","$0.00 ","$481.03 ","$481.03 ","$0.00 ","$674.00 ","$0.00 ","$337.00 ","$533.81 ","$539.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001371","EAP","Custom 27001371","","Delivery System Closed In","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001372","EAP","Custom 27001372","","Probe V-pacing","BOTH IP/OP","$1,403.00 ","$1,038.22 ","$0.00 ","$1,403.00 ","$0.00 ","$0.00 ","$0.00 ","$1,001.32 ","$1,001.32 ","$0.00 ","$1,403.00 ","$0.00 ","$701.50 ","$1,111.18 ","$1,122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001374","EAP","Custom 27001374","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001376","EAP","Custom 27001376","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001377","EAP","Custom 27001377","","Kit Ventriculostomy","BOTH IP/OP","$1,782.00 ","$1,318.68 ","$0.00 ","$1,782.00 ","$0.00 ","$0.00 ","$0.00 ","$1,271.81 ","$1,271.81 ","$0.00 ","$1,782.00 ","$0.00 ","$891.00 ","$1,411.34 ","$1,425.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001379","EAP","Custom 27001379","","Tray Pericardiocentesis","BOTH IP/OP","$1,235.00 ","$913.90 ","$0.00 ","$1,235.00 ","$0.00 ","$0.00 ","$0.00 ","$881.42 ","$881.42 ","$0.00 ","$1,235.00 ","$0.00 ","$617.50 ","$978.12 ","$988.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001380","EAP","Custom 27001380","","Central Line Dressing Tray With Biopatch","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001391","EAP","Custom 27001391","",".014 Nitrex Guidewire","BOTH IP/OP","$2,554.00 ","$1,889.96 ","$0.00 ","$2,554.00 ","$0.00 ","$0.00 ","$0.00 ","$1,822.79 ","$1,822.79 ","$0.00 ","$2,554.00 ","$0.00 ","$1,277.00 ","$2,022.77 ","$2,043.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001392","EAP","Custom 27001392","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001393","EAP","Custom 27001393","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001394","EAP","Custom 27001394","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$553.00 ","$409.22 ","$0.00 ","$553.00 ","$0.00 ","$0.00 ","$0.00 ","$394.68 ","$394.68 ","$0.00 ","$553.00 ","$0.00 ","$276.50 ","$437.98 ","$442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001395","EAP","Custom 27001395","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$616.00 ","$455.84 ","$0.00 ","$616.00 ","$0.00 ","$0.00 ","$0.00 ","$439.64 ","$439.64 ","$0.00 ","$616.00 ","$0.00 ","$308.00 ","$487.87 ","$492.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001399","EAP","Custom 27001399","","Tray Circumcision","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001400","EAP","Custom 27001400","","Needle Neo-natal Lumbar P","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001401","EAP","Custom 27001401","","Tubes Capillary Hepariniz","BOTH IP/OP","$150.00 ","$111.00 ","$0.00 ","$150.00 ","$0.00 ","$0.00 ","$0.00 ","$107.06 ","$107.06 ","$0.00 ","$150.00 ","$0.00 ","$75.00 ","$118.80 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001403","EAP","Custom 27001403","","Tube Feeding Plastic 8fr","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001408","EAP","Custom 27001408","","Bag Feeding Gavage 500ml","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001409","EAP","Custom 27001409","","Set Breast Pump Complete","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$0.00 ","$0.00 ","$0.00 ","$50.67 ","$50.67 ","$0.00 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001410","EAP","Custom 27001410","","Cassettes Imed #9260 20/c","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001411","EAP","Custom 27001411","","Catheter Quick Iv 22ga","BOTH IP/OP","$7.00 ","$5.18 ","$0.00 ","$7.00 ","$0.00 ","$0.00 ","$0.00 ","$5.00 ","$5.00 ","$0.00 ","$7.00 ","$0.00 ","$3.50 ","$5.54 ","$5.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001412","EAP","Custom 27001412","","Filter Set 0.22 Micron","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001413","EAP","Custom 27001413","","Set T-port Small Bore Ext","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001415","EAP","Custom 27001415","","Tube Sump Gastric 50/cs","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001418","EAP","Custom 27001418","","Precision Introd.26g(1.9f)","BOTH IP/OP","$149.00 ","$110.26 ","$0.00 ","$149.00 ","$0.00 ","$0.00 ","$0.00 ","$106.34 ","$106.34 ","$0.00 ","$149.00 ","$0.00 ","$74.50 ","$118.01 ","$119.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001419","EAP","Custom 27001419","","26g Catheter(1.9f 1st Picc Bd)","BOTH IP/OP","$260.00 ","$192.40 ","$0.00 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$185.56 ","$185.56 ","$0.00 ","$260.00 ","$0.00 ","$130.00 ","$205.92 ","$208.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001420","EAP","Custom 27001420","","Picc Tray (bd Procedure Tray)","BOTH IP/OP","$219.00 ","$162.06 ","$0.00 ","$219.00 ","$0.00 ","$0.00 ","$0.00 ","$156.30 ","$156.30 ","$0.00 ","$219.00 ","$0.00 ","$109.50 ","$173.45 ","$175.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001421","EAP","Custom 27001421","","Precision Introducer 22g(2.8f)","BOTH IP/OP","$183.00 ","$135.42 ","$0.00 ","$183.00 ","$0.00 ","$0.00 ","$0.00 ","$130.61 ","$130.61 ","$0.00 ","$183.00 ","$0.00 ","$91.50 ","$144.94 ","$146.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001422","EAP","Custom 27001422","","22g Catheter(2.8f 1st Picc Bd)","BOTH IP/OP","$343.00 ","$253.82 ","$0.00 ","$343.00 ","$0.00 ","$0.00 ","$0.00 ","$244.80 ","$244.80 ","$0.00 ","$343.00 ","$0.00 ","$171.50 ","$271.66 ","$274.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001423","EAP","Custom 27001423","","Argyle Picc 1.9frx39cm Dual Lu","BOTH IP/OP","$423.00 ","$313.02 ","$0.00 ","$423.00 ","$0.00 ","$0.00 ","$0.00 ","$301.90 ","$301.90 ","$0.00 ","$423.00 ","$0.00 ","$211.50 ","$335.02 ","$338.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001424","EAP","Custom 27001424","","20g(3fr)bdl Cath Picc Dual Lum","BOTH IP/OP","$154.00 ","$113.96 ","$0.00 ","$154.00 ","$0.00 ","$0.00 ","$0.00 ","$109.91 ","$109.91 ","$0.00 ","$154.00 ","$0.00 ","$77.00 ","$121.97 ","$123.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001428","EAP","Custom 27001428","","Tray Circumcision","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001429","EAP","Custom 27001429","","Needle Neo-natal Lumbar P","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001430","EAP","Custom 27001430","","Needle Spinal 22g 25/bx","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001431","EAP","Custom 27001431","","Tubes Capillary Hepariniz","BOTH IP/OP","$150.00 ","$111.00 ","$0.00 ","$150.00 ","$0.00 ","$0.00 ","$0.00 ","$107.06 ","$107.06 ","$0.00 ","$150.00 ","$0.00 ","$75.00 ","$118.80 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001432","EAP","Custom 27001432","","Tube Nasogastric Feeding","BOTH IP/OP","$91.00 ","$67.34 ","$0.00 ","$91.00 ","$0.00 ","$0.00 ","$0.00 ","$64.95 ","$64.95 ","$0.00 ","$91.00 ","$0.00 ","$45.50 ","$72.07 ","$72.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001435","EAP","Custom 27001435","","Catheter Urethral 8fr","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001436","EAP","Custom 27001436","","Catheter Umbilical 15 3-","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001437","EAP","Custom 27001437","","Catheter Umbilical 15 5f","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001438","EAP","Custom 27001438","","Tube Feeding Plastic 8fr","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001441","EAP","Custom 27001441","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001443","EAP","Custom 27001443","","Pouch Little Ones  Cut To","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001446","EAP","Custom 27001446","","Transducer With Interg 43","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$0.00 ","$0.00 ","$0.00 ","$26.41 ","$26.41 ","$0.00 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001447","EAP","Custom 27001447","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001448","EAP","Custom 27001448","","Catheter  Thoracic Trocar","BOTH IP/OP","$134.00 ","$99.16 ","$0.00 ","$134.00 ","$0.00 ","$0.00 ","$0.00 ","$95.64 ","$95.64 ","$0.00 ","$134.00 ","$0.00 ","$67.00 ","$106.13 ","$107.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001449","EAP","Custom 27001449","","Catheter Thoracic Trocar 10 F","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001450","EAP","Custom 27001450","","Chest Unit  Drainage Pleur","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$0.00 ","$0.00 ","$0.00 ","$114.91 ","$114.91 ","$0.00 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001451","EAP","Custom 27001451","","Cassettes Imed #9260 20/c","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001452","EAP","Custom 27001452","","Catheter Quick Iv 22gax1-","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001453","EAP","Custom 27001453","","Catheter Introducer Steri","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001454","EAP","Custom 27001454","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001455","EAP","Custom 27001455","","Set T-port Small Bore Ext","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001456","EAP","Custom 27001456","","Tray Transfusion Sterile","BOTH IP/OP","$597.00 ","$441.78 ","$0.00 ","$597.00 ","$0.00 ","$0.00 ","$0.00 ","$426.08 ","$426.08 ","$0.00 ","$597.00 ","$0.00 ","$298.50 ","$472.82 ","$477.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001458","EAP","Custom 27001458","","Tube Sump Gastric 50/cs","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001459","EAP","HCPCS C1751","","Catheter  Iv 26g 120/cs","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$4.90 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$4.38 ","$0.00 ","$4.46 ","$0.00 "
"27001466","EAP","Custom 27001466","","Catheter Suction 5fr Ster","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001468","EAP","Custom 27001468","","Catheter  Suction Plastic 14","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001469","EAP","Custom 27001469","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001471","EAP","Custom 27001471","","Set Urinary Drain W/conta","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001473","EAP","Custom 27001473","","Scaple Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001475","EAP","Custom 27001475","","Stapler Skin Disposable 3","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$62.09 ","$62.09 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001486","EAP","Custom 27001486","","Speculum Pediatric","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001487","EAP","Custom 27001487","","Bag Hyperinflation","BOTH IP/OP","$85.00 ","$62.90 ","$0.00 ","$85.00 ","$0.00 ","$0.00 ","$0.00 ","$60.66 ","$60.66 ","$0.00 ","$85.00 ","$0.00 ","$42.50 ","$67.32 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001490","EAP","Custom 27001490","","Tray Catheter Urethral 14","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001492","EAP","Custom 27001492","","Tray Foley Preconnected 1","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001494","EAP","Custom 27001494","","Sponges Laparotomy 6522","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001501","EAP","Custom 27001501","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001502","EAP","Custom 27001502","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001503","EAP","Custom 27001503","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$238.00 ","$176.12 ","$0.00 ","$238.00 ","$0.00 ","$0.00 ","$0.00 ","$169.86 ","$169.86 ","$0.00 ","$238.00 ","$0.00 ","$119.00 ","$188.50 ","$190.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001618","EAP","Custom 27001618","","Triadyne Ii (bed)","BOTH IP/OP","$737.00 ","$545.38 ","$0.00 ","$737.00 ","$0.00 ","$0.00 ","$0.00 ","$526.00 ","$526.00 ","$0.00 ","$737.00 ","$0.00 ","$368.50 ","$583.70 ","$589.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001620","EAP","Custom 27001620","","Fluidair Elite (bed)","BOTH IP/OP","$772.00 ","$571.28 ","$0.00 ","$772.00 ","$0.00 ","$0.00 ","$0.00 ","$550.98 ","$550.98 ","$0.00 ","$772.00 ","$0.00 ","$386.00 ","$611.42 ","$617.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001635","EAP","Custom 27001635","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001636","EAP","Custom 27001636","","Set Urinary Drain W/conta","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001641","EAP","Custom 27001641","","Tray Douch Disposable","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001644","EAP","Custom 27001644","","Tray Foley Preconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001645","EAP","Custom 27001645","","Tray Foley Perconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001647","EAP","Custom 27001647","","Arrow Super/extreme Cath Kit","BOTH IP/OP","$802.00 ","$593.48 ","$0.00 ","$802.00 ","$0.00 ","$0.00 ","$0.00 ","$572.39 ","$572.39 ","$0.00 ","$802.00 ","$0.00 ","$401.00 ","$635.18 ","$641.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001649","EAP","Custom 27001649","","Central Line Dressing Tray","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001650","EAP","Custom 27001650","","Continuous Cardiac O/put Swans","BOTH IP/OP","$604.00 ","$446.96 ","$0.00 ","$604.00 ","$0.00 ","$0.00 ","$0.00 ","$431.07 ","$431.07 ","$0.00 ","$604.00 ","$0.00 ","$302.00 ","$478.37 ","$483.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001652","EAP","Custom 27001652","","Pressure Transclucer Kits","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001653","EAP","Custom 27001653","","Percutaneous Introducer Kits","BOTH IP/OP","$2,364.00 ","$1,749.36 ","$0.00 ","$2,364.00 ","$0.00 ","$0.00 ","$0.00 ","$1,687.19 ","$1,687.19 ","$0.00 ","$2,364.00 ","$0.00 ","$1,182.00 ","$1,872.29 ","$1,891.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001655","EAP","Custom 27001655","","Sutures","BOTH IP/OP","$211.00 ","$156.14 ","$0.00 ","$211.00 ","$0.00 ","$0.00 ","$0.00 ","$150.59 ","$150.59 ","$0.00 ","$211.00 ","$0.00 ","$105.50 ","$167.11 ","$168.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001657","EAP","Custom 27001657","","Swan Ganz Catheters","BOTH IP/OP","$604.00 ","$446.96 ","$0.00 ","$604.00 ","$0.00 ","$0.00 ","$0.00 ","$431.07 ","$431.07 ","$0.00 ","$604.00 ","$0.00 ","$302.00 ","$478.37 ","$483.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001658","EAP","Custom 27001658","","Guidewire .35x.68cm","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001660","EAP","Custom 27001660","","Huber Needle","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001665","EAP","Custom 27001665","","14fx15cm Schon Xl Dbl Lmn Vasc","BOTH IP/OP","$6,497.00 ","$4,807.78 ","$0.00 ","$6,497.00 ","$0.00 ","$0.00 ","$0.00 ","$4,636.91 ","$4,636.91 ","$0.00 ","$6,497.00 ","$0.00 ","$3,248.50 ","$5,145.62 ","$5,197.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001666","EAP","Custom 27001666","","14fx24cm Schon Xl Dbl Lmn Vasc","BOTH IP/OP","$6,497.00 ","$4,807.78 ","$0.00 ","$6,497.00 ","$0.00 ","$0.00 ","$0.00 ","$4,636.91 ","$4,636.91 ","$0.00 ","$6,497.00 ","$0.00 ","$3,248.50 ","$5,145.62 ","$5,197.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001667","EAP","Custom 27001667","","14fx20cm Schon Xl Dbl Lmn Vasc","BOTH IP/OP","$6,497.00 ","$4,807.78 ","$0.00 ","$6,497.00 ","$0.00 ","$0.00 ","$0.00 ","$4,636.91 ","$4,636.91 ","$0.00 ","$6,497.00 ","$0.00 ","$3,248.50 ","$5,145.62 ","$5,197.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001670","EAP","Custom 27001670","","Twist Lock Cath Gard Catheter","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$57.10 ","$57.10 ","$0.00 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001671","EAP","Custom 27001671","","Needles 18 Ga/7cm (cook)","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001672","EAP","Custom 27001672","","Cook Tlc Tray","BOTH IP/OP","$457.00 ","$338.18 ","$0.00 ","$457.00 ","$0.00 ","$0.00 ","$0.00 ","$326.16 ","$326.16 ","$0.00 ","$457.00 ","$0.00 ","$228.50 ","$361.94 ","$365.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001675","EAP","Custom 27001675","","Tubes Extension Plain Pla","BOTH IP/OP","$5.00 ","$3.70 ","$0.00 ","$5.00 ","$0.00 ","$0.00 ","$0.00 ","$3.57 ","$3.57 ","$0.00 ","$5.00 ","$0.00 ","$2.50 ","$3.96 ","$4.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001679","EAP","Custom 27001679","","Meter Astech Peak Flow","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001692","EAP","Custom 27001692","","Catheter  Thoracic 28fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001693","EAP","Custom 27001693","","Catheter Thoracic 32fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001694","EAP","Custom 27001694","","Catheter Thoracic 36fr","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001695","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27001696","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27001697","EAP","HCPCS C1729","","Catheter Coude Size 16fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27001698","EAP","Custom 27001698","","Artery Arterial Catheriza","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001699","EAP","Custom 27001699","","Artery Radial Catherizati","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001700","EAP","Custom 27001700","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001701","EAP","Custom 27001701","","Tube Salem Silicone Size","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001702","EAP","Custom 27001702","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001703","EAP","Custom 27001703","","Kit Tracheotomy Care Ster","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001706","EAP","Custom 27001706","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$1,009.00 ","$746.66 ","$0.00 ","$1,009.00 ","$0.00 ","$0.00 ","$0.00 ","$720.12 ","$720.12 ","$0.00 ","$1,009.00 ","$0.00 ","$504.50 ","$799.13 ","$807.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001707","EAP","Custom 27001707","","Scapel Surg W/handle Attached","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001709","EAP","Custom 27001709","","Triconnector With Valve","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001713","EAP","Custom 27001713","","Pouch Active Life Squib Drain","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001715","EAP","Custom 27001715","","Cable Patient 12 Pin #r53","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$214.11 ","$214.11 ","$0.00 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001716","EAP","Custom 27001716","","Electrodes Operative","BOTH IP/OP","$122.00 ","$90.28 ","$0.00 ","$122.00 ","$0.00 ","$0.00 ","$0.00 ","$87.07 ","$87.07 ","$0.00 ","$122.00 ","$0.00 ","$61.00 ","$96.62 ","$97.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001721","EAP","Custom 27001721","","Pouch Fecal Incontinence","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001722","EAP","Custom 27001722","","Kit Pressure Monitoring T","BOTH IP/OP","$177.00 ","$130.98 ","$0.00 ","$177.00 ","$0.00 ","$0.00 ","$0.00 ","$126.32 ","$126.32 ","$0.00 ","$177.00 ","$0.00 ","$88.50 ","$140.18 ","$141.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001723","EAP","Custom 27001723","","Kit  Pressure Monitoring","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001725","EAP","Custom 27001725","","Bag 1000ml Pump Set","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001726","EAP","Custom 27001726","","Needle Port-cath 20ga X 1","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001727","EAP","Custom 27001727","","Chest Unit Drainage Pleur","BOTH IP/OP","$455.00 ","$336.70 ","$0.00 ","$455.00 ","$0.00 ","$0.00 ","$0.00 ","$324.73 ","$324.73 ","$0.00 ","$455.00 ","$0.00 ","$227.50 ","$360.36 ","$364.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001732","EAP","Custom 27001732","","Dressing X-large","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001733","EAP","Custom 27001733","","Trac Dressing Xl","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001735","EAP","Custom 27001735","","Tube Feeding Ng 8fr 36in Entri","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001736","EAP","Custom 27001736","","Kit Triple Lumen Catheter","BOTH IP/OP","$697.00 ","$515.78 ","$0.00 ","$697.00 ","$0.00 ","$0.00 ","$0.00 ","$497.45 ","$497.45 ","$0.00 ","$697.00 ","$0.00 ","$348.50 ","$552.02 ","$557.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001740","EAP","Custom 27001740","","Tube Trach #8 Dct","BOTH IP/OP","$335.00 ","$247.90 ","$0.00 ","$335.00 ","$0.00 ","$0.00 ","$0.00 ","$239.09 ","$239.09 ","$0.00 ","$335.00 ","$0.00 ","$167.50 ","$265.32 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001741","EAP","Custom 27001741","","Tube Trach #6 Dct","BOTH IP/OP","$335.00 ","$247.90 ","$0.00 ","$335.00 ","$0.00 ","$0.00 ","$0.00 ","$239.09 ","$239.09 ","$0.00 ","$335.00 ","$0.00 ","$167.50 ","$265.32 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001742","EAP","Custom 27001742","","Tube Trach #10 Dct","BOTH IP/OP","$335.00 ","$247.90 ","$0.00 ","$335.00 ","$0.00 ","$0.00 ","$0.00 ","$239.09 ","$239.09 ","$0.00 ","$335.00 ","$0.00 ","$167.50 ","$265.32 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001743","EAP","Custom 27001743","","Tube Tracheostomy 4-dcfs","BOTH IP/OP","$326.00 ","$241.24 ","$0.00 ","$326.00 ","$0.00 ","$0.00 ","$0.00 ","$232.67 ","$232.67 ","$0.00 ","$326.00 ","$0.00 ","$163.00 ","$258.19 ","$260.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001744","EAP","Custom 27001744","","Filter Set 0.22 Micron","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001746","EAP","Custom 27001746","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001747","EAP","Custom 27001747","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001748","EAP","Custom 27001748","","Tray Thoracentesis Dispos","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001763","EAP","Custom 27001763","","Sleeve Knee Regular Dvt","BOTH IP/OP","$388.00 ","$287.12 ","$0.00 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$276.92 ","$276.92 ","$0.00 ","$388.00 ","$0.00 ","$194.00 ","$307.30 ","$310.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001764","EAP","Custom 27001764","","Sleeve Knee X-large Dvt","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001765","EAP","Custom 27001765","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$238.00 ","$176.12 ","$0.00 ","$238.00 ","$0.00 ","$0.00 ","$0.00 ","$169.86 ","$169.86 ","$0.00 ","$238.00 ","$0.00 ","$119.00 ","$188.50 ","$190.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001766","EAP","Custom 27001766","","Sleeve Thigh X-large Dvt","BOTH IP/OP","$284.00 ","$210.16 ","$0.00 ","$284.00 ","$0.00 ","$0.00 ","$0.00 ","$202.69 ","$202.69 ","$0.00 ","$284.00 ","$0.00 ","$142.00 ","$224.93 ","$227.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001768","EAP","HCPCS A4300","","Temporary Ven Cath Removal","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$0.00 ","$0.00 ","$0.00 ","$312.60 ","$312.60 ","$0.00 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001769","EAP","Custom 27001769","","Tray Catheter Insrtn Dulm","BOTH IP/OP","$1,048.00 ","$775.52 ","$0.00 ","$1,048.00 ","$0.00 ","$0.00 ","$0.00 ","$747.96 ","$747.96 ","$0.00 ","$1,048.00 ","$0.00 ","$524.00 ","$830.02 ","$838.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001770","EAP","Custom 27001770","","Central Line Dressing Tray","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001771","EAP","Custom 27001771","","Catheter Repair Kit","BOTH IP/OP","$803.00 ","$594.22 ","$0.00 ","$803.00 ","$0.00 ","$0.00 ","$0.00 ","$573.10 ","$573.10 ","$0.00 ","$803.00 ","$0.00 ","$401.50 ","$635.98 ","$642.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001773","EAP","Custom 27001773","","Occult Blood Supply","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001778","EAP","Custom 27001778","","Needle Port-cath 20ga X 1","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001779","EAP","Custom 27001779","","Tray Catheter Urethral 14","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001781","EAP","Custom 27001781","","Ace Wrap","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001782","EAP","Custom 27001782","","Splint","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001783","EAP","Custom 27001783","","Splint - Supply","BOTH IP/OP","$266.00 ","$196.84 ","$0.00 ","$266.00 ","$0.00 ","$0.00 ","$0.00 ","$189.84 ","$189.84 ","$0.00 ","$266.00 ","$0.00 ","$133.00 ","$210.67 ","$212.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001785","EAP","Custom 27001785","","Ace Wrap","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001786","EAP","Custom 27001786","","Ace Wrap Supply","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001788","EAP","Custom 27001788","","Wrist Brace","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27001789","EAP","Custom 27001789","","Sling/fig. 8","BOTH IP/OP","$83.00 ","$61.42 ","$0.00 ","$83.00 ","$0.00 ","$0.00 ","$0.00 ","$59.24 ","$59.24 ","$0.00 ","$83.00 ","$0.00 ","$41.50 ","$65.74 ","$66.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002257","EAP","Custom 27002257","","Cast Application Supply","BOTH IP/OP","$567.00 ","$419.58 ","$0.00 ","$567.00 ","$0.00 ","$0.00 ","$0.00 ","$404.67 ","$404.67 ","$0.00 ","$567.00 ","$0.00 ","$283.50 ","$449.06 ","$453.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002259","EAP","Custom 27002259","","Sling","BOTH IP/OP","$108.00 ","$79.92 ","$0.00 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$77.08 ","$77.08 ","$0.00 ","$108.00 ","$0.00 ","$54.00 ","$85.54 ","$86.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002260","EAP","Custom 27002260","","Ace Bandage","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002261","EAP","Custom 27002261","","Urinary Drainage Bag","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002263","EAP","Custom 27002263","","Gastric Lavage Kit","BOTH IP/OP","$234.00 ","$173.16 ","$0.00 ","$234.00 ","$0.00 ","$0.00 ","$0.00 ","$167.01 ","$167.01 ","$0.00 ","$234.00 ","$0.00 ","$117.00 ","$185.33 ","$187.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002265","EAP","Custom 27002265","","Pelvic Tray","BOTH IP/OP","$138.00 ","$102.12 ","$0.00 ","$138.00 ","$0.00 ","$0.00 ","$0.00 ","$98.49 ","$98.49 ","$0.00 ","$138.00 ","$0.00 ","$69.00 ","$109.30 ","$110.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002266","EAP","Custom 27002266","","Peak Flow Meter","BOTH IP/OP","$343.00 ","$253.82 ","$0.00 ","$343.00 ","$0.00 ","$0.00 ","$0.00 ","$244.80 ","$244.80 ","$0.00 ","$343.00 ","$0.00 ","$171.50 ","$271.66 ","$274.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002267","EAP","Custom 27002267","","Ortho Traction Pins","BOTH IP/OP","$408.00 ","$301.92 ","$0.00 ","$408.00 ","$0.00 ","$0.00 ","$0.00 ","$291.19 ","$291.19 ","$0.00 ","$408.00 ","$0.00 ","$204.00 ","$323.14 ","$326.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002268","EAP","Custom 27002268","","Ace Bandage","BOTH IP/OP","$147.00 ","$108.78 ","$0.00 ","$147.00 ","$0.00 ","$0.00 ","$0.00 ","$104.91 ","$104.91 ","$0.00 ","$147.00 ","$0.00 ","$73.50 ","$116.42 ","$117.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002473","EAP","Custom 27002473","","Angiocath Iv Bb 18gx1.25in Nw","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002510","EAP","Custom 27002510","","Nuva Ring","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002515","EAP","Custom 27002515","","Clavical Straps","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002516","EAP","Custom 27002516","","Fiberglass Casting","BOTH IP/OP","$129.00 ","$95.46 ","$0.00 ","$129.00 ","$0.00 ","$0.00 ","$0.00 ","$92.07 ","$92.07 ","$0.00 ","$129.00 ","$0.00 ","$64.50 ","$102.17 ","$103.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002517","EAP","Custom 27002517","","Ankle Stirrup","BOTH IP/OP","$149.00 ","$110.26 ","$0.00 ","$149.00 ","$0.00 ","$0.00 ","$0.00 ","$106.34 ","$106.34 ","$0.00 ","$149.00 ","$0.00 ","$74.50 ","$118.01 ","$119.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002518","EAP","Custom 27002518","","Knee Immobilizer","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$165.58 ","$165.58 ","$0.00 ","$232.00 ","$0.00 ","$116.00 ","$183.74 ","$185.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002519","EAP","Custom 27002519","","Philadephia Collar","BOTH IP/OP","$193.00 ","$142.82 ","$0.00 ","$193.00 ","$0.00 ","$0.00 ","$0.00 ","$137.74 ","$137.74 ","$0.00 ","$193.00 ","$0.00 ","$96.50 ","$152.86 ","$154.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002520","EAP","Custom 27002520","","Cervical Collar","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$0.00 ","$0.00 ","$0.00 ","$30.69 ","$30.69 ","$0.00 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002521","EAP","Custom 27002521","","Pavlik Harness","BOTH IP/OP","$178.00 ","$131.72 ","$0.00 ","$178.00 ","$0.00 ","$0.00 ","$0.00 ","$127.04 ","$127.04 ","$0.00 ","$178.00 ","$0.00 ","$89.00 ","$140.98 ","$142.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002522","EAP","Custom 27002522","","Cast Shoe","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002523","EAP","Custom 27002523","","Shoulder Immobilizer","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$165.58 ","$165.58 ","$0.00 ","$232.00 ","$0.00 ","$116.00 ","$183.74 ","$185.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002524","EAP","Custom 27002524","","Post Op Shoe","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002525","EAP","Custom 27002525","","Hinged Knee Brace","BOTH IP/OP","$705.00 ","$521.70 ","$0.00 ","$705.00 ","$0.00 ","$0.00 ","$0.00 ","$503.16 ","$503.16 ","$0.00 ","$705.00 ","$0.00 ","$352.50 ","$558.36 ","$564.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002526","EAP","Custom 27002526","","Sling/fig. 8","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$88.00 ","$0.00 ","$0.00 ","$0.00 ","$62.81 ","$62.81 ","$0.00 ","$88.00 ","$0.00 ","$44.00 ","$69.70 ","$70.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002527","EAP","Custom 27002527","","Hinged Knee Sleeve","BOTH IP/OP","$129.00 ","$95.46 ","$0.00 ","$129.00 ","$0.00 ","$0.00 ","$0.00 ","$92.07 ","$92.07 ","$0.00 ","$129.00 ","$0.00 ","$64.50 ","$102.17 ","$103.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002528","EAP","Custom 27002528","","Universal Knee Brace","BOTH IP/OP","$728.00 ","$538.72 ","$0.00 ","$728.00 ","$0.00 ","$0.00 ","$0.00 ","$519.57 ","$519.57 ","$0.00 ","$728.00 ","$0.00 ","$364.00 ","$576.58 ","$582.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002529","EAP","Custom 27002529","","Universal Knee Brace","BOTH IP/OP","$371.00 ","$274.54 ","$0.00 ","$371.00 ","$0.00 ","$0.00 ","$0.00 ","$264.78 ","$264.78 ","$0.00 ","$371.00 ","$0.00 ","$185.50 ","$293.83 ","$296.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002530","EAP","Custom 27002530","","3d Walking Boot","BOTH IP/OP","$197.00 ","$145.78 ","$0.00 ","$197.00 ","$0.00 ","$0.00 ","$0.00 ","$140.60 ","$140.60 ","$0.00 ","$197.00 ","$0.00 ","$98.50 ","$156.02 ","$157.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002531","EAP","Custom 27002531","","Knee Immobilizer","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$165.58 ","$165.58 ","$0.00 ","$232.00 ","$0.00 ","$116.00 ","$183.74 ","$185.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002532","EAP","Custom 27002532","","Shoulder Immobilizer","BOTH IP/OP","$232.00 ","$171.68 ","$0.00 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$165.58 ","$165.58 ","$0.00 ","$232.00 ","$0.00 ","$116.00 ","$183.74 ","$185.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002533","EAP","Custom 27002533","","Philadelphia Collar","BOTH IP/OP","$207.00 ","$153.18 ","$0.00 ","$207.00 ","$0.00 ","$0.00 ","$0.00 ","$147.74 ","$147.74 ","$0.00 ","$207.00 ","$0.00 ","$103.50 ","$163.94 ","$165.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002534","EAP","Custom 27002534","","Soft Collar","BOTH IP/OP","$130.00 ","$96.20 ","$0.00 ","$130.00 ","$0.00 ","$0.00 ","$0.00 ","$92.78 ","$92.78 ","$0.00 ","$130.00 ","$0.00 ","$65.00 ","$102.96 ","$104.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002535","EAP","Custom 27002535","","Arm Sling","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002536","EAP","Custom 27002536","","Active Ankle Brace","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$417.00 ","$0.00 ","$0.00 ","$0.00 ","$297.61 ","$297.61 ","$0.00 ","$417.00 ","$0.00 ","$208.50 ","$330.26 ","$333.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002537","EAP","Custom 27002537","","Buck's Traction Splint","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002538","EAP","Custom 27002538","","Knee Brace","BOTH IP/OP","$762.00 ","$563.88 ","$0.00 ","$762.00 ","$0.00 ","$0.00 ","$0.00 ","$543.84 ","$543.84 ","$0.00 ","$762.00 ","$0.00 ","$381.00 ","$603.50 ","$609.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002539","EAP","Custom 27002539","","Jacksonville Sling","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$88.00 ","$0.00 ","$0.00 ","$0.00 ","$62.81 ","$62.81 ","$0.00 ","$88.00 ","$0.00 ","$44.00 ","$69.70 ","$70.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002541","EAP","Custom 27002541","","Cast Over Wrap","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002542","EAP","Custom 27002542","","Cast Over Wrap-fiberglass","BOTH IP/OP","$117.00 ","$86.58 ","$0.00 ","$117.00 ","$0.00 ","$0.00 ","$0.00 ","$83.50 ","$83.50 ","$0.00 ","$117.00 ","$0.00 ","$58.50 ","$92.66 ","$93.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002543","EAP","Custom 27002543","","Sandbag","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002544","EAP","Custom 27002544","","Aspen Collar","BOTH IP/OP","$154.00 ","$113.96 ","$0.00 ","$154.00 ","$0.00 ","$0.00 ","$0.00 ","$109.91 ","$109.91 ","$0.00 ","$154.00 ","$0.00 ","$77.00 ","$121.97 ","$123.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002545","EAP","Custom 27002545","","Miami J. Collar","BOTH IP/OP","$195.00 ","$144.30 ","$0.00 ","$195.00 ","$0.00 ","$0.00 ","$0.00 ","$139.17 ","$139.17 ","$0.00 ","$195.00 ","$0.00 ","$97.50 ","$154.44 ","$156.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002546","EAP","Custom 27002546","","Atlas Collar","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002547","EAP","Custom 27002547","","Pediatric Pmt Collar","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002548","EAP","Custom 27002548","","Abduction Pillow","BOTH IP/OP","$96.00 ","$71.04 ","$0.00 ","$96.00 ","$0.00 ","$0.00 ","$0.00 ","$68.52 ","$68.52 ","$0.00 ","$96.00 ","$0.00 ","$48.00 ","$76.03 ","$76.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002549","EAP","Custom 27002549","","Neoprene Knee Sleeve","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$48.53 ","$48.53 ","$0.00 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002550","EAP","Custom 27002550","","Cuff And Collar","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002551","EAP","Custom 27002551","","Post Op Shoe","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002552","EAP","Custom 27002552","","Tlso Pre Fab","BOTH IP/OP","$2,419.00 ","$1,790.06 ","$0.00 ","$2,419.00 ","$0.00 ","$0.00 ","$0.00 ","$1,726.44 ","$1,726.44 ","$0.00 ","$2,419.00 ","$0.00 ","$1,209.50 ","$1,915.85 ","$1,935.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002564","EAP","CPT� C1751","","Cvp Kit, Double Lumen","BOTH IP/OP","$569.00 ","$421.06 ","$0.00 ","$569.00 ","$308.97 ","$0.00 ","$118.59 ","$406.10 ","$406.10 ","$99.63 ","$569.00 ","$0.00 ","$284.50 ","$450.65 ","$455.20 ","$0.00 ","$89.05 ","$0.00 ","$90.58 ","$0.00 "
"27002565","EAP","Custom 27002565","","Ett, Double-lumen","BOTH IP/OP","$837.00 ","$619.38 ","$0.00 ","$837.00 ","$0.00 ","$0.00 ","$0.00 ","$597.37 ","$597.37 ","$0.00 ","$837.00 ","$0.00 ","$418.50 ","$662.90 ","$669.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002572","EAP","Custom 27002572","","Introducer Kit","BOTH IP/OP","$261.00 ","$193.14 ","$0.00 ","$261.00 ","$0.00 ","$0.00 ","$0.00 ","$186.28 ","$186.28 ","$0.00 ","$261.00 ","$0.00 ","$130.50 ","$206.71 ","$208.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002573","EAP","Custom 27002573","","Radial Artery Set (arrow)","BOTH IP/OP","$92.00 ","$68.08 ","$0.00 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$65.66 ","$65.66 ","$0.00 ","$92.00 ","$0.00 ","$46.00 ","$72.86 ","$73.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002576","EAP","Custom 27002576","","Epidural Tray","BOTH IP/OP","$316.00 ","$233.84 ","$0.00 ","$316.00 ","$0.00 ","$0.00 ","$0.00 ","$225.53 ","$225.53 ","$0.00 ","$316.00 ","$0.00 ","$158.00 ","$250.27 ","$252.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002579","EAP","Custom 27002579","","Level One Inserts","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002587","EAP","HCPCS C1751","","Kit Quad Lumen Cather","BOTH IP/OP","$148.00 ","$109.52 ","$0.00 ","$148.00 ","$80.36 ","$0.00 ","$30.85 ","$105.63 ","$105.63 ","$25.91 ","$148.00 ","$0.00 ","$74.00 ","$117.22 ","$118.40 ","$0.00 ","$23.16 ","$0.00 ","$23.56 ","$0.00 "
"27002589","EAP","Custom 27002589","","Aintree Intubation Changer","BOTH IP/OP","$83.00 ","$61.42 ","$0.00 ","$83.00 ","$0.00 ","$0.00 ","$0.00 ","$59.24 ","$59.24 ","$0.00 ","$83.00 ","$0.00 ","$41.50 ","$65.74 ","$66.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002590","EAP","Custom 27002590","","Kit Triple Lumen Catheter","BOTH IP/OP","$646.00 ","$478.04 ","$0.00 ","$646.00 ","$0.00 ","$0.00 ","$0.00 ","$461.05 ","$461.05 ","$0.00 ","$646.00 ","$0.00 ","$323.00 ","$511.63 ","$516.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002593","EAP","Custom 27002593","","Cvp Kit, Double Lumen","BOTH IP/OP","$307.00 ","$227.18 ","$0.00 ","$307.00 ","$0.00 ","$0.00 ","$0.00 ","$219.11 ","$219.11 ","$0.00 ","$307.00 ","$0.00 ","$153.50 ","$243.14 ","$245.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002594","EAP","Custom 27002594","","Transducer And Tubing, Disp","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002595","EAP","Custom 27002595","","Fiberoptic Intubation Scope","BOTH IP/OP","$321.00 ","$237.54 ","$0.00 ","$321.00 ","$0.00 ","$0.00 ","$0.00 ","$229.10 ","$229.10 ","$0.00 ","$321.00 ","$0.00 ","$160.50 ","$254.23 ","$256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002598","EAP","Custom 27002598","","Air Embolism Detector","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002599","EAP","Custom 27002599","","Introducer Kit","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002600","EAP","Custom 27002600","","Radial Artery Set (arrow)","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002602","EAP","Custom 27002602","","Disp. Sao2 Probe","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002604","EAP","Custom 27002604","","Epidural Tray","BOTH IP/OP","$132.00 ","$97.68 ","$0.00 ","$132.00 ","$0.00 ","$0.00 ","$0.00 ","$94.21 ","$94.21 ","$0.00 ","$132.00 ","$0.00 ","$66.00 ","$104.54 ","$105.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002605","EAP","Custom 27002605","","Spinal Tray","BOTH IP/OP","$190.00 ","$140.60 ","$0.00 ","$190.00 ","$0.00 ","$0.00 ","$0.00 ","$135.60 ","$135.60 ","$0.00 ","$190.00 ","$0.00 ","$95.00 ","$150.48 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002609","EAP","Custom 27002609","","Thoracotomy Tray","BOTH IP/OP","$132.00 ","$97.68 ","$0.00 ","$132.00 ","$0.00 ","$0.00 ","$0.00 ","$94.21 ","$94.21 ","$0.00 ","$132.00 ","$0.00 ","$66.00 ","$104.54 ","$105.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002610","EAP","Custom 27002610","","Tracheotomy Tray","BOTH IP/OP","$394.00 ","$291.56 ","$0.00 ","$394.00 ","$0.00 ","$0.00 ","$0.00 ","$281.20 ","$281.20 ","$0.00 ","$394.00 ","$0.00 ","$197.00 ","$312.05 ","$315.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002618","EAP","Custom 27002618","","Ioban 2 Drape Incise Smal","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002620","EAP","Custom 27002620","","Ioban 2 Drape Incise Larg","BOTH IP/OP","$434.00 ","$321.16 ","$0.00 ","$434.00 ","$0.00 ","$0.00 ","$0.00 ","$309.75 ","$309.75 ","$0.00 ","$434.00 ","$0.00 ","$217.00 ","$343.73 ","$347.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002621","EAP","Custom 27002621","","Needle Spinal 18ga","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002624","EAP","Custom 27002624","","Catheter Texas Large","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002625","EAP","Custom 27002625","","Catheter Thoracic 32fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002626","EAP","Custom 27002626","","Catheter Thoracic 36fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002627","EAP","Custom 27002627","","Catheter Urethral Two-eye","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002628","EAP","Custom 27002628","","Artery Arterial Catheriza","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002629","EAP","Custom 27002629","","Artery Radial Catherizati","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002630","EAP","Custom 27002630","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002631","EAP","Custom 27002631","","Tube Salem Silicone Size","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002632","EAP","Custom 27002632","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002636","EAP","Custom 27002636","","Bag Drainage Becker","BOTH IP/OP","$197.00 ","$145.78 ","$0.00 ","$197.00 ","$0.00 ","$0.00 ","$0.00 ","$140.60 ","$140.60 ","$0.00 ","$197.00 ","$0.00 ","$98.50 ","$156.02 ","$157.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002637","EAP","Custom 27002637","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002640","EAP","Custom 27002640","","Set Blood Administration","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002643","EAP","Custom 27002643","","Cream Baza 5oz","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002646","EAP","Custom 27002646","","Electrodes Operative","BOTH IP/OP","$266.00 ","$196.84 ","$0.00 ","$266.00 ","$0.00 ","$0.00 ","$0.00 ","$189.84 ","$189.84 ","$0.00 ","$266.00 ","$0.00 ","$133.00 ","$210.67 ","$212.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002647","EAP","Custom 27002647","","Valve Anti-reflux Salem S","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$0.00 ","$0.00 ","$0.00 ","$32.83 ","$32.83 ","$0.00 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002649","EAP","Custom 27002649","","Kit Thoracotomy","BOTH IP/OP","$203.00 ","$150.22 ","$0.00 ","$203.00 ","$0.00 ","$0.00 ","$0.00 ","$144.88 ","$144.88 ","$0.00 ","$203.00 ","$0.00 ","$101.50 ","$160.78 ","$162.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002653","EAP","Custom 27002653","","Set Pediatric Measured Fi","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002656","EAP","Custom 27002656","","Pouch Fecal Incontinence","BOTH IP/OP","$50.00 ","$37.00 ","$0.00 ","$50.00 ","$0.00 ","$0.00 ","$0.00 ","$35.69 ","$35.69 ","$0.00 ","$50.00 ","$0.00 ","$25.00 ","$39.60 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002657","EAP","Custom 27002657","","Kit Pressure Monitoring T","BOTH IP/OP","$163.00 ","$120.62 ","$0.00 ","$163.00 ","$0.00 ","$0.00 ","$0.00 ","$116.33 ","$116.33 ","$0.00 ","$163.00 ","$0.00 ","$81.50 ","$129.10 ","$130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002658","EAP","Custom 27002658","","Transducer Disp For Icp","BOTH IP/OP","$70.00 ","$51.80 ","$0.00 ","$70.00 ","$0.00 ","$0.00 ","$0.00 ","$49.96 ","$49.96 ","$0.00 ","$70.00 ","$0.00 ","$35.00 ","$55.44 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002659","EAP","Custom 27002659","","Kit Transducer Monitoring","BOTH IP/OP","$313.00 ","$231.62 ","$0.00 ","$313.00 ","$0.00 ","$0.00 ","$0.00 ","$223.39 ","$223.39 ","$0.00 ","$313.00 ","$0.00 ","$156.50 ","$247.90 ","$250.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002660","EAP","Custom 27002660","","Kit Pressure Monitoring","BOTH IP/OP","$234.00 ","$173.16 ","$0.00 ","$234.00 ","$0.00 ","$0.00 ","$0.00 ","$167.01 ","$167.01 ","$0.00 ","$234.00 ","$0.00 ","$117.00 ","$185.33 ","$187.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002662","EAP","Custom 27002662","","Bag 1000ml Pump Set","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$0.00 ","$0.00 ","$0.00 ","$26.41 ","$26.41 ","$0.00 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002663","EAP","Custom 27002663","","Kit Pecutaneous Introduce","BOTH IP/OP","$276.00 ","$204.24 ","$0.00 ","$276.00 ","$0.00 ","$0.00 ","$0.00 ","$196.98 ","$196.98 ","$0.00 ","$276.00 ","$0.00 ","$138.00 ","$218.59 ","$220.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002664","EAP","Custom 27002664","","Chest Unit Drainage Pleur","BOTH IP/OP","$420.00 ","$310.80 ","$0.00 ","$420.00 ","$0.00 ","$0.00 ","$0.00 ","$299.75 ","$299.75 ","$0.00 ","$420.00 ","$0.00 ","$210.00 ","$332.64 ","$336.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002665","EAP","Custom 27002665","","Chest Unit Dry Suction Sy","BOTH IP/OP","$309.00 ","$228.66 ","$0.00 ","$309.00 ","$0.00 ","$0.00 ","$0.00 ","$220.53 ","$220.53 ","$0.00 ","$309.00 ","$0.00 ","$154.50 ","$244.73 ","$247.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002666","EAP","Custom 27002666","","Bag Auto-transfusion Ple","BOTH IP/OP","$245.00 ","$181.30 ","$0.00 ","$245.00 ","$0.00 ","$0.00 ","$0.00 ","$174.86 ","$174.86 ","$0.00 ","$245.00 ","$0.00 ","$122.50 ","$194.04 ","$196.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002670","EAP","Custom 27002670","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002671","EAP","Custom 27002671","","Kit Triple Lumen Catheter","BOTH IP/OP","$646.00 ","$478.04 ","$0.00 ","$646.00 ","$0.00 ","$0.00 ","$0.00 ","$461.05 ","$461.05 ","$0.00 ","$646.00 ","$0.00 ","$323.00 ","$511.63 ","$516.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002672","EAP","Custom 27002672","","Catheter Swan Ganz","BOTH IP/OP","$674.00 ","$498.76 ","$0.00 ","$674.00 ","$0.00 ","$0.00 ","$0.00 ","$481.03 ","$481.03 ","$0.00 ","$674.00 ","$0.00 ","$337.00 ","$533.81 ","$539.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002673","EAP","Custom 27002673","","Delivery System Closed In","BOTH IP/OP","$141.00 ","$104.34 ","$0.00 ","$141.00 ","$0.00 ","$0.00 ","$0.00 ","$100.63 ","$100.63 ","$0.00 ","$141.00 ","$0.00 ","$70.50 ","$111.67 ","$112.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002676","EAP","Custom 27002676","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002677","EAP","Custom 27002677","","Tray Catheter Urethral 14","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002678","EAP","Custom 27002678","","Tray Foley Preconnected W","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002679","EAP","Custom 27002679","","Tray Foley Perconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002681","EAP","Custom 27002681","","Tray Urine Meter 18fr","BOTH IP/OP","$85.00 ","$62.90 ","$0.00 ","$85.00 ","$0.00 ","$0.00 ","$0.00 ","$60.66 ","$60.66 ","$0.00 ","$85.00 ","$0.00 ","$42.50 ","$67.32 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002682","EAP","Custom 27002682","","Tray Thoracentesis Dispos","BOTH IP/OP","$216.00 ","$159.84 ","$0.00 ","$216.00 ","$0.00 ","$0.00 ","$0.00 ","$154.16 ","$154.16 ","$0.00 ","$216.00 ","$0.00 ","$108.00 ","$171.07 ","$172.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002684","EAP","Custom 27002684","","Bag Drainage Ureteral","BOTH IP/OP","$92.00 ","$68.08 ","$0.00 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$65.66 ","$65.66 ","$0.00 ","$92.00 ","$0.00 ","$46.00 ","$72.86 ","$73.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002687","EAP","Custom 27002687","","Sleeve Knee Regular Dvt","BOTH IP/OP","$358.00 ","$264.92 ","$0.00 ","$358.00 ","$0.00 ","$0.00 ","$0.00 ","$255.50 ","$255.50 ","$0.00 ","$358.00 ","$0.00 ","$179.00 ","$283.54 ","$286.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002688","EAP","Custom 27002688","","Sleeve Knee X-large Dvt","BOTH IP/OP","$439.00 ","$324.86 ","$0.00 ","$439.00 ","$0.00 ","$0.00 ","$0.00 ","$313.31 ","$313.31 ","$0.00 ","$439.00 ","$0.00 ","$219.50 ","$347.69 ","$351.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002689","EAP","Custom 27002689","","Sleeve Thigh Regular Dvt","BOTH IP/OP","$512.00 ","$378.88 ","$0.00 ","$512.00 ","$0.00 ","$0.00 ","$0.00 ","$365.41 ","$365.41 ","$0.00 ","$512.00 ","$0.00 ","$256.00 ","$405.50 ","$409.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002697","EAP","Custom 27002697","","Catheter  Suction Plastic 14","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002701","EAP","Custom 27002701","","Set Pediatric Micro Drip","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002702","EAP","Custom 27002702","","Set Pediatric Measured Fi","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002703","EAP","Custom 27002703","","Stockings Antiembolism Thigh","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002704","EAP","Custom 27002704","","Stockings Antiembolism Thigh","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002705","EAP","Custom 27002705","","Stockings Antiembolism Thigh","BOTH IP/OP","$50.00 ","$37.00 ","$0.00 ","$50.00 ","$0.00 ","$0.00 ","$0.00 ","$35.69 ","$35.69 ","$0.00 ","$50.00 ","$0.00 ","$25.00 ","$39.60 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002706","EAP","Custom 27002706","","Stockings Antiembolish Ex","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002707","EAP","Custom 27002707","","Needle Port-cath 20ga X 1","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002708","EAP","Custom 27002708","","Tray Catheter Urethral 14","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002709","EAP","Custom 27002709","","Tray Foley Preconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002710","EAP","Custom 27002710","","Bag Urine Leg","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002884","EAP","Custom 27002884","","Et/co2 Sensors","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002885","EAP","Custom 27002885","","Cpap Circuit","BOTH IP/OP","$1,347.00 ","$996.78 ","$0.00 ","$1,347.00 ","$0.00 ","$0.00 ","$0.00 ","$961.35 ","$961.35 ","$0.00 ","$1,347.00 ","$0.00 ","$673.50 ","$1,066.82 ","$1,077.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002886","EAP","Custom 27002886","","Flutter Valve","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$0.00 ","$0.00 ","$0.00 ","$119.19 ","$119.19 ","$0.00 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002892","EAP","Custom 27002892","","Fecal Occult Blood Supply","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002893","EAP","Custom 27002893","","Tubes Extension Plain Pla","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002908","EAP","Custom 27002908","","Kit Iv Start Custom","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002938","EAP","Custom 27002938","","Inflation Device","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002939","EAP","Custom 27002939","","Catheter, Thrombectomy","BOTH IP/OP","$1,076.00 ","$796.24 ","$0.00 ","$1,076.00 ","$0.00 ","$0.00 ","$0.00 ","$767.94 ","$767.94 ","$0.00 ","$1,076.00 ","$0.00 ","$538.00 ","$852.19 ","$860.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002940","EAP","HCPCS C1751","","Catheter Iv 180ga X 1x1/4","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$8.69 ","$0.00 ","$3.33 ","$11.42 ","$11.42 ","$2.80 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$2.50 ","$0.00 ","$2.55 ","$0.00 "
"27002941","EAP","HCPCS C1751","","Catheter Iv 20ga X 1","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$2.80 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$2.50 ","$0.00 ","$2.55 ","$0.00 "
"27002942","EAP","HCPCS C1751","","Catheter Iv 22ga X 1","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$8.69 ","$0.00 ","$3.33 ","$11.42 ","$11.42 ","$2.80 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$2.50 ","$0.00 ","$2.55 ","$0.00 "
"27002943","EAP","Custom 27002943","","Ioban 2 Drape Incise Medi","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002944","EAP","Custom 27002944","","Needle Spinal 18ga","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002945","EAP","Custom 27002945","","Lancet  Grady Orange","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002946","EAP","HCPCS C1751","","Catheter Iv Cut-down 14g","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$23.89 ","$0.00 ","$9.17 ","$31.40 ","$31.40 ","$7.70 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$6.89 ","$0.00 ","$7.00 ","$0.00 "
"27002947","EAP","HCPCS C1751","","Catheter Iv Cut-down 8 1","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$23.89 ","$0.00 ","$9.17 ","$31.40 ","$31.40 ","$7.70 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$6.89 ","$0.00 ","$7.00 ","$0.00 "
"27002951","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27002952","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27002953","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27002954","EAP","Custom 27002954","","Tube Salem Silicone Size","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002955","EAP","Custom 27002955","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002957","EAP","Custom 27002957","","Scaple Surg W/handle Atta","BOTH IP/OP","$152.00 ","$112.48 ","$0.00 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$108.48 ","$108.48 ","$0.00 ","$152.00 ","$0.00 ","$76.00 ","$120.38 ","$121.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002958","EAP","Custom 27002958","","Scaple Surg W/handle Attached","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002959","EAP","Custom 27002959","","Bore Y Extension Small","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$0.00 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002961","EAP","Custom 27002961","","Pad Defi","BOTH IP/OP","$50.00 ","$37.00 ","$0.00 ","$50.00 ","$0.00 ","$0.00 ","$0.00 ","$35.69 ","$35.69 ","$0.00 ","$50.00 ","$0.00 ","$25.00 ","$39.60 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002962","EAP","Custom 27002962","","Valve Reflux","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002963","EAP","Custom 27002963","","Filter,micron .22 Fluid A","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002964","EAP","Custom 27002964","","Set Scalp  Vein Infusion 21 G","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002965","EAP","Custom 27002965","","Mask Sub-micron Small","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002966","EAP","Custom 27002966","","Kit Triple Lumen Catheter","BOTH IP/OP","$646.00 ","$478.04 ","$0.00 ","$646.00 ","$0.00 ","$0.00 ","$0.00 ","$461.05 ","$461.05 ","$0.00 ","$646.00 ","$0.00 ","$323.00 ","$511.63 ","$516.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002967","EAP","Custom 27002967","","Catheter Swan Ganz","BOTH IP/OP","$674.00 ","$498.76 ","$0.00 ","$674.00 ","$0.00 ","$0.00 ","$0.00 ","$481.03 ","$481.03 ","$0.00 ","$674.00 ","$0.00 ","$337.00 ","$533.81 ","$539.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002968","EAP","Custom 27002968","","Probe V-pacing","BOTH IP/OP","$1,403.00 ","$1,038.22 ","$0.00 ","$1,403.00 ","$0.00 ","$0.00 ","$0.00 ","$1,001.32 ","$1,001.32 ","$0.00 ","$1,403.00 ","$0.00 ","$701.50 ","$1,111.18 ","$1,122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002969","EAP","Custom 27002969","","Filter Set 0.22 Micron","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002970","EAP","Custom 27002970","","Tray Foley Preconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002971","EAP","Custom 27002971","","Tray Foley Perconnected 1","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002972","EAP","Custom 27002972","","Bag Urine Leg","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002973","EAP","Custom 27002973","","Pounches Sterilization 12","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002974","EAP","Custom 27002974","","Bag Drainage Ureteral","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$0.00 ","$73.51 ","$73.51 ","$0.00 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002975","EAP","Custom 27002975","","Needle Hypodermic Sterile","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002976","EAP","Custom 27002976","","Drape Half","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002978","EAP","Custom 27002978","","Jcd 5.0-38-20","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002979","EAP","Custom 27002979","","Jcd 7.0-38-20","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002980","EAP","Custom 27002980","","Jcd 8.0-38-20","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002982","EAP","Custom 27002982","","Avantiplus Introducer 6fr 23cm","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$57.10 ","$57.10 ","$0.00 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002984","EAP","Custom 27002984","","Nail Cleaner Plastic Non-steri","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002985","EAP","Custom 27002985","","Super Arrow Flex Introducer-c","BOTH IP/OP","$425.00 ","$314.50 ","$0.00 ","$425.00 ","$0.00 ","$0.00 ","$0.00 ","$303.32 ","$303.32 ","$0.00 ","$425.00 ","$0.00 ","$212.50 ","$336.60 ","$340.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002986","EAP","Custom 27002986","","6fr-24cm Flexsheath Introducer","BOTH IP/OP","$185.00 ","$136.90 ","$0.00 ","$185.00 ","$0.00 ","$0.00 ","$0.00 ","$132.03 ","$132.03 ","$0.00 ","$185.00 ","$0.00 ","$92.50 ","$146.52 ","$148.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002987","EAP","Custom 27002987","","8fr-35cm Flexsheath Introducer","BOTH IP/OP","$185.00 ","$136.90 ","$0.00 ","$185.00 ","$0.00 ","$0.00 ","$0.00 ","$132.03 ","$132.03 ","$0.00 ","$185.00 ","$0.00 ","$92.50 ","$146.52 ","$148.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002990","EAP","Custom 27002990","","Adapter Morse - Y","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$57.10 ","$57.10 ","$0.00 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002991","EAP","Custom 27002991","","Drape C-arm 42 X 64","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002993","EAP","Custom 27002993","","Kit Catheter Suction 14fr","BOTH IP/OP","$810.00 ","$599.40 ","$0.00 ","$810.00 ","$0.00 ","$0.00 ","$0.00 ","$578.10 ","$578.10 ","$0.00 ","$810.00 ","$0.00 ","$405.00 ","$641.52 ","$648.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002994","EAP","Custom 27002994","","Kit Percutaneous Introducer","BOTH IP/OP","$810.00 ","$599.40 ","$0.00 ","$810.00 ","$0.00 ","$0.00 ","$0.00 ","$578.10 ","$578.10 ","$0.00 ","$810.00 ","$0.00 ","$405.00 ","$641.52 ","$648.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27002995","EAP","Custom 27002995","","Kanguru Web","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003005","EAP","Custom 27003005","","Filter Set 0.22 Micron","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003006","EAP","Custom 27003006","","Tray Foley Preconnected 1","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003007","EAP","Custom 27003007","","Tray Foley Perconnected 1","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003008","EAP","Custom 27003008","","Central Line Dressing Tray","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003028","EAP","Custom 27003028","","Lumbo-sacral Support","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003040","EAP","Custom 27003040","","Walker, For Platform Only","BOTH IP/OP","$243.00 ","$179.82 ","$0.00 ","$243.00 ","$0.00 ","$0.00 ","$0.00 ","$173.43 ","$173.43 ","$0.00 ","$243.00 ","$0.00 ","$121.50 ","$192.46 ","$194.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003045","EAP","Custom 27003045","","Foot Plate-prefb","BOTH IP/OP","$577.00 ","$426.98 ","$0.00 ","$577.00 ","$0.00 ","$0.00 ","$0.00 ","$411.80 ","$411.80 ","$0.00 ","$577.00 ","$0.00 ","$288.50 ","$456.98 ","$461.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003049","EAP","Custom 27003049","","Dressing Stick","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003050","EAP","Custom 27003050","","Leg Lifter","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003051","EAP","Custom 27003051","","Reacher","BOTH IP/OP","$117.00 ","$86.58 ","$0.00 ","$117.00 ","$0.00 ","$0.00 ","$0.00 ","$83.50 ","$83.50 ","$0.00 ","$117.00 ","$0.00 ","$58.50 ","$92.66 ","$93.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003053","EAP","Custom 27003053","","Abduction Pillow","BOTH IP/OP","$404.00 ","$298.96 ","$0.00 ","$404.00 ","$0.00 ","$0.00 ","$0.00 ","$288.33 ","$288.33 ","$0.00 ","$404.00 ","$0.00 ","$202.00 ","$319.97 ","$323.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003054","EAP","Custom 27003054","","Compression Glove","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003055","EAP","Custom 27003055","","Dowel","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003063","EAP","Custom 27003063","","Simple Hand-based Splint","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003065","EAP","Custom 27003065","","Custom Finger Splint","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003069","EAP","Custom 27003069","","Compression Glove","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003070","EAP","Custom 27003070","","Dowel","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$0.00 ","$0.00 ","$0.00 ","$32.83 ","$32.83 ","$0.00 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003073","EAP","Custom 27003073","","Foot Drop Splint","BOTH IP/OP","$233.00 ","$172.42 ","$0.00 ","$233.00 ","$0.00 ","$0.00 ","$0.00 ","$166.29 ","$166.29 ","$0.00 ","$233.00 ","$0.00 ","$116.50 ","$184.54 ","$186.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003080","EAP","Custom 27003080","","Custom Finger Splint","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003081","EAP","Custom 27003081","","Safe Position Splint","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003084","EAP","Custom 27003084","","Compression Glove","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003085","EAP","Custom 27003085","","Dowel","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003087","EAP","Custom 27003087","","Tubigrip, Per Piece","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003089","EAP","Custom 27003089","","Helsper Button","BOTH IP/OP","$710.00 ","$525.40 ","$0.00 ","$710.00 ","$0.00 ","$0.00 ","$0.00 ","$506.73 ","$506.73 ","$0.00 ","$710.00 ","$0.00 ","$355.00 ","$562.32 ","$568.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003090","EAP","Custom 27003090","","Laryngectomy Tube","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003091","EAP","Custom 27003091","","Inhealth Advan.indwelling Pros","BOTH IP/OP","$859.00 ","$635.66 ","$0.00 ","$859.00 ","$0.00 ","$0.00 ","$0.00 ","$613.07 ","$613.07 ","$0.00 ","$859.00 ","$0.00 ","$429.50 ","$680.33 ","$687.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003092","EAP","Custom 27003092","","Inhealth Indwelling Prosthesis","BOTH IP/OP","$878.00 ","$649.72 ","$0.00 ","$878.00 ","$0.00 ","$0.00 ","$0.00 ","$626.63 ","$626.63 ","$0.00 ","$878.00 ","$0.00 ","$439.00 ","$695.38 ","$702.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003093","EAP","Custom 27003093","","Inhealth Low Pressure Prosthesis","BOTH IP/OP","$491.00 ","$363.34 ","$0.00 ","$491.00 ","$0.00 ","$0.00 ","$0.00 ","$350.43 ","$350.43 ","$0.00 ","$491.00 ","$0.00 ","$245.50 ","$388.87 ","$392.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003094","EAP","Custom 27003094","","Duckbill Prosthesis","BOTH IP/OP","$309.00 ","$228.66 ","$0.00 ","$309.00 ","$0.00 ","$0.00 ","$0.00 ","$220.53 ","$220.53 ","$0.00 ","$309.00 ","$0.00 ","$154.50 ","$244.73 ","$247.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003095","EAP","Custom 27003095","","Provox/atox Prosthesis","BOTH IP/OP","$893.00 ","$660.82 ","$0.00 ","$893.00 ","$0.00 ","$0.00 ","$0.00 ","$637.33 ","$637.33 ","$0.00 ","$893.00 ","$0.00 ","$446.50 ","$707.26 ","$714.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003096","EAP","Custom 27003096","","Insufflation Test Kit","BOTH IP/OP","$863.00 ","$638.62 ","$0.00 ","$863.00 ","$0.00 ","$0.00 ","$0.00 ","$615.92 ","$615.92 ","$0.00 ","$863.00 ","$0.00 ","$431.50 ","$683.50 ","$690.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003097","EAP","Custom 27003097","","Plug Insert","BOTH IP/OP","$339.00 ","$250.86 ","$0.00 ","$339.00 ","$0.00 ","$0.00 ","$0.00 ","$241.94 ","$241.94 ","$0.00 ","$339.00 ","$0.00 ","$169.50 ","$268.49 ","$271.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003098","EAP","Custom 27003098","","Catheters","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003100","EAP","Custom 27003100","","Barton-mayo Button","BOTH IP/OP","$849.00 ","$628.26 ","$0.00 ","$849.00 ","$0.00 ","$0.00 ","$0.00 ","$605.93 ","$605.93 ","$0.00 ","$849.00 ","$0.00 ","$424.50 ","$672.41 ","$679.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003101","EAP","Custom 27003101","","Oral Tubing","BOTH IP/OP","$5.00 ","$3.70 ","$0.00 ","$5.00 ","$0.00 ","$0.00 ","$0.00 ","$3.57 ","$3.57 ","$0.00 ","$5.00 ","$0.00 ","$2.50 ","$3.96 ","$4.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003103","EAP","Custom 27003103","","Occult Blood Supply","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003104","EAP","Custom 27003104","","Interceed Sup/admin","BOTH IP/OP","$424.00 ","$313.76 ","$0.00 ","$424.00 ","$0.00 ","$0.00 ","$0.00 ","$302.61 ","$302.61 ","$0.00 ","$424.00 ","$0.00 ","$212.00 ","$335.81 ","$339.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003105","EAP","Custom 27003105","","Pudendal Kit","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003108","EAP","Custom 27003108","","Dressing Hemostasis","BOTH IP/OP","$441.00 ","$326.34 ","$0.00 ","$441.00 ","$0.00 ","$0.00 ","$0.00 ","$314.74 ","$314.74 ","$0.00 ","$441.00 ","$0.00 ","$220.50 ","$349.27 ","$352.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003113","EAP","Custom 27003113","","Tegaderm Dressing","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003114","EAP","Custom 27003114","","Tegaderm Dressing","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003115","EAP","Custom 27003115","","Wound Gel, Carrington","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$0.00 ","$73.51 ","$73.51 ","$0.00 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003116","EAP","Custom 27003116","","Kara Klenz, Wound Cleanser","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003117","EAP","Custom 27003117","","Little Ones, White Collar 4x4","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003118","EAP","Custom 27003118","","Pouch, Cut To Fit, Little Ones","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003119","EAP","Custom 27003119","","Pouch, Active Life","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003120","EAP","Custom 27003120","","Flange, Sur-fit","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003121","EAP","Custom 27003121","","Pouch Drainable Opaque","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003124","EAP","Custom 27003124","","Barrier With Convexity","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003127","EAP","Custom 27003127","","High Flow Continuous","BOTH IP/OP","$406.00 ","$300.44 ","$0.00 ","$406.00 ","$0.00 ","$0.00 ","$0.00 ","$289.76 ","$289.76 ","$0.00 ","$406.00 ","$0.00 ","$203.00 ","$321.55 ","$324.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003128","EAP","Custom 27003128","","Low Flow Continous","BOTH IP/OP","$406.00 ","$300.44 ","$0.00 ","$406.00 ","$0.00 ","$0.00 ","$0.00 ","$289.76 ","$289.76 ","$0.00 ","$406.00 ","$0.00 ","$203.00 ","$321.55 ","$324.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003130","EAP","Custom 27003130","","Mdi Spacer Supply","BOTH IP/OP","$195.00 ","$144.30 ","$0.00 ","$195.00 ","$0.00 ","$0.00 ","$0.00 ","$139.17 ","$139.17 ","$0.00 ","$195.00 ","$0.00 ","$97.50 ","$154.44 ","$156.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003131","EAP","Custom 27003131","","Occult Blood Supply","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003132","EAP","Custom 27003132","","Wrist Brace","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003134","EAP","HCPCS J2798","","Mirena (iud) Kit","BOTH IP/OP","$994.00 ","$735.56 ","$0.00 ","$994.00 ","$0.00 ","$0.00 ","$207.17 ","$709.42 ","$709.42 ","$0.00 ","$994.00 ","$0.00 ","$497.00 ","$787.25 ","$795.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27003153","EAP","Custom 27003153","","Nuva Ring Fp","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27004266","EAP","Custom 27004266","","13.5mm/3.2mm Wire Guide","BOTH IP/OP","$1,747.00 ","$1,292.78 ","$0.00 ","$1,747.00 ","$0.00 ","$0.00 ","$0.00 ","$1,246.83 ","$1,246.83 ","$0.00 ","$1,747.00 ","$0.00 ","$873.50 ","$1,383.62 ","$1,397.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27004311","EAP","Custom 27004311","","Long Forceps 230mm","BOTH IP/OP","$2,779.00 ","$2,056.46 ","$0.00 ","$2,779.00 ","$0.00 ","$0.00 ","$0.00 ","$1,983.37 ","$1,983.37 ","$0.00 ","$2,779.00 ","$0.00 ","$1,389.50 ","$2,200.97 ","$2,223.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27004327","EAP","Custom 27004327","","Medium Wire Cutter 160mm","BOTH IP/OP","$4,148.00 ","$3,069.52 ","$0.00 ","$4,148.00 ","$0.00 ","$0.00 ","$0.00 ","$2,960.43 ","$2,960.43 ","$0.00 ","$4,148.00 ","$0.00 ","$2,074.00 ","$3,285.22 ","$3,318.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27004640","EAP","Custom 27004640","","Large Anchoring Hook 30mm","BOTH IP/OP","$509.00 ","$376.66 ","$0.00 ","$509.00 ","$0.00 ","$0.00 ","$0.00 ","$363.27 ","$363.27 ","$0.00 ","$509.00 ","$0.00 ","$254.50 ","$403.13 ","$407.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007212","EAP","Custom 27007212","","10.0mm Circular Saw 28mm","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007213","EAP","Custom 27007213","","12.0mm Circular Saw 28mm","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007214","EAP","Custom 27007214","","15.0mm Circular Saw 28mm","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007219","EAP","Custom 27007219","","Tibial Nail Driving Adaptor","BOTH IP/OP","$4,208.00 ","$3,113.92 ","$0.00 ","$4,208.00 ","$0.00 ","$0.00 ","$0.00 ","$3,003.25 ","$3,003.25 ","$0.00 ","$4,208.00 ","$0.00 ","$2,104.00 ","$3,332.74 ","$3,366.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007220","EAP","Custom 27007220","","Saw Blade 27mm Width 50mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007221","EAP","Custom 27007221","","Saw Blade 10mm Width 25mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007222","EAP","Custom 27007222","","Saw Blade 10mm Width 50mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007223","EAP","Custom 27007223","","Saw Blade 20mm Width 50mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007224","EAP","Custom 27007224","","Saw Blade 19mm Width 70mm/1.0m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007225","EAP","Custom 27007225","","Saw Blade 19mm Width 95mm/0.9m","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007226","EAP","Custom 27007226","","Saw Blade 25mm Width 95mm/0.9","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007227","EAP","Custom 27007227","","Saw Blade 25mm Width 60mm/0.9","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007228","EAP","Custom 27007228","","Saw Blade 18mm Width 70mm/1.2","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007229","EAP","Custom 27007229","","Saw Blade 19mm Width 95mm/1.25","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007230","EAP","Custom 27007230","","Saw Blade 25mm Width 95mm/1.25","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007231","EAP","Custom 27007231","","Saw Blade 19mm Width 95mm/1.4","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007232","EAP","Custom 27007232","","Saw Blade 25mm Width 95mm/1.4","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007233","EAP","Custom 27007233","","Saw Blade 12.5mm Wdth 90mm/0.9","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007234","EAP","Custom 27007234","","Saw Blade 14mm Width 50mm/0.6","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007235","EAP","Custom 27007235","","Saw Blade 27mm Width 70mm/0.8","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007236","EAP","Custom 27007236","","Saw Blade 50mm Width 70mm/0.8","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007237","EAP","Custom 27007237","","Saw Blade 27mm Width 70mm/1.0","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007238","EAP","Custom 27007238","","Saw Blade 27mm Width 70mm/1.2","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007239","EAP","Custom 27007239","","Saw Blade 6mm Width 25mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007240","EAP","Custom 27007240","","Saw Blade 14mm Width 25mm/0.6m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007241","EAP","Custom 27007241","","Saw Blade 6mm Width 10mm/0.4mm","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007242","EAP","Custom 27007242","","Saw Blade 6mm Width 10mm/0.4mm","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007243","EAP","Custom 27007243","","Saw Blade 10mm Width 10mm/0.4m","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007244","EAP","Custom 27007244","","Saw Blade 10mm Width 10mm/0.4m","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007245","EAP","Custom 27007245","","Saw Blade 16mm Width 10mm/0.4m","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007246","EAP","Custom 27007246","","Saw Blade 16mm Width 10mm/0.4m","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007247","EAP","Custom 27007247","","Saw Blade 4mm Width 15mm/0.4mm","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007248","EAP","Custom 27007248","","Saw Blade 4mm Width 15mm/0.4m","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007249","EAP","Custom 27007249","","Saw Blade 8mm Width 20mm/0.4mm","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007250","EAP","Custom 27007250","","Saw Blade 8mm Width 20mm/0.4","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007251","EAP","Custom 27007251","","Saw Blade 12mm Width 20mm/0.4","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007252","EAP","Custom 27007252","","Saw Blade 12mm Width 20mm/0.4","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007253","EAP","Custom 27007253","","Saw Blade 6mm Width 30mm/0.4","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007254","EAP","Custom 27007254","","Saw Blade 6mm Width 30mm/0.4","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007255","EAP","Custom 27007255","","Saw Blade 10mm Width 30mm/0.4","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007256","EAP","Custom 27007256","","Saw Blade 10mm Width 30mm/0.4","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007257","EAP","Custom 27007257","","Saw Blade 6mm Width 25mm/0.6","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007258","EAP","Custom 27007258","","Saw Blade 6mm Width 25mm/0.6","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007259","EAP","Custom 27007259","","Saw Blade 10mm Width 25mm/0.6","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007260","EAP","Custom 27007260","","Saw Blade 10mm Width 25mm/0.6","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007261","EAP","Custom 27007261","","Saw Blade 14mm Width 25mm/0.6","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007262","EAP","Custom 27007262","","Saw Blade 14mm Width 25mm/0.6","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007263","EAP","Custom 27007263","","Saw Blade 10mm Width 50mm/0.6","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007264","EAP","Custom 27007264","","Saw Bld 10 Wdth 50/0.6cut Thk","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007265","EAP","Custom 27007265","","Saw Bld 14 Wdth 50/0.6cut Thk","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007266","EAP","Custom 27007266","","Saw Bld 14 Wdth 50/0.6 Cut Thk","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007267","EAP","Custom 27007267","","Saw Bld 20 Wdth 50/0.6 Cut Thk","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007268","EAP","Custom 27007268","","Saw Bld 20 Wdth 50/0.6 Cut Thk","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007269","EAP","Custom 27007269","","Saw Bld 27 Wdth 50/0.6 Cut Thk","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007270","EAP","Custom 27007270","","Saw Bld 27 Wdth 50/0.6 Cut Thk","BOTH IP/OP","$290.00 ","$214.60 ","$0.00 ","$290.00 ","$0.00 ","$0.00 ","$0.00 ","$206.97 ","$206.97 ","$0.00 ","$290.00 ","$0.00 ","$145.00 ","$229.68 ","$232.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007451","EAP","Custom 27007451","","Peg Fully Thread 2.5mm, 24mm","BOTH IP/OP","$398.00 ","$294.52 ","$0.00 ","$398.00 ","$0.00 ","$0.00 ","$0.00 ","$284.05 ","$284.05 ","$0.00 ","$398.00 ","$0.00 ","$199.00 ","$315.22 ","$318.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007489","EAP","Custom 27007489","","Mini-clip Str 3mm","BOTH IP/OP","$1,693.00 ","$1,252.82 ","$0.00 ","$1,693.00 ","$0.00 ","$0.00 ","$0.00 ","$1,208.29 ","$1,208.29 ","$0.00 ","$1,693.00 ","$0.00 ","$846.50 ","$1,340.86 ","$1,354.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007557","EAP","Custom 27007557","","Screwdriver Blade","BOTH IP/OP","$1,268.00 ","$938.32 ","$0.00 ","$1,268.00 ","$0.00 ","$0.00 ","$0.00 ","$904.97 ","$904.97 ","$0.00 ","$1,268.00 ","$0.00 ","$634.00 ","$1,004.26 ","$1,014.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007632","EAP","Custom 27007632","","Rotary Mixer","BOTH IP/OP","$8,539.00 ","$6,318.86 ","$0.00 ","$8,539.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$8,539.00 ","$0.00 ","$4,269.50 ","$6,762.89 ","$6,831.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007633","EAP","Custom 27007633","","Srs? Fast Set Putty 3cc Steril","BOTH IP/OP","$3,760.00 ","$2,782.40 ","$0.00 ","$3,760.00 ","$0.00 ","$0.00 ","$0.00 ","$2,683.51 ","$2,683.51 ","$0.00 ","$3,760.00 ","$0.00 ","$1,880.00 ","$2,977.92 ","$3,008.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007634","EAP","Custom 27007634","","Nor? Srs? Bne Void Fill Ro 3cc","BOTH IP/OP","$3,852.00 ","$2,850.48 ","$0.00 ","$3,852.00 ","$0.00 ","$0.00 ","$0.00 ","$2,749.17 ","$2,749.17 ","$0.00 ","$3,852.00 ","$0.00 ","$1,926.00 ","$3,050.78 ","$3,081.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007635","EAP","Custom 27007635","","Srs? Fast Set Putty 5cc Steril","BOTH IP/OP","$6,218.00 ","$4,601.32 ","$0.00 ","$6,218.00 ","$0.00 ","$0.00 ","$0.00 ","$4,437.79 ","$4,437.79 ","$0.00 ","$6,218.00 ","$0.00 ","$3,109.00 ","$4,924.66 ","$4,974.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007636","EAP","Custom 27007636","","Nor? Srs? Bne Void Fill Ro 5cc","BOTH IP/OP","$6,310.00 ","$4,669.40 ","$0.00 ","$6,310.00 ","$0.00 ","$0.00 ","$0.00 ","$4,503.45 ","$4,503.45 ","$0.00 ","$6,310.00 ","$0.00 ","$3,155.00 ","$4,997.52 ","$5,048.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007637","EAP","Custom 27007637","","Srs? Fast Set Putty 10cc Steri","BOTH IP/OP","$12,321.00 ","$9,117.54 ","$0.00 ","$12,321.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$12,321.00 ","$0.00 ","$6,160.50 ","$9,758.23 ","$9,856.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007638","EAP","Custom 27007638","","Nor? Srs? Bne Vd Fill Ro Mx 10","BOTH IP/OP","$12,413.00 ","$9,185.62 ","$0.00 ","$12,413.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$12,413.00 ","$0.00 ","$6,206.50 ","$9,831.10 ","$9,930.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007639","EAP","Custom 27007639","","Srs? Fast Set Putty 15cc Ster","BOTH IP/OP","$18,167.00 ","$13,443.58 ","$0.00 ","$18,167.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,167.00 ","$0.00 ","$9,083.50 ","$14,388.26 ","$14,533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007640","EAP","Custom 27007640","","Pressure Measurement","BOTH IP/OP","$904.00 ","$668.96 ","$0.00 ","$904.00 ","$0.00 ","$0.00 ","$0.00 ","$645.18 ","$645.18 ","$0.00 ","$904.00 ","$0.00 ","$452.00 ","$715.97 ","$723.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007719","EAP","Custom 27007719","","Univ Lock Troch Stab Pl 131mm","BOTH IP/OP","$2,620.00 ","$1,938.80 ","$0.00 ","$2,620.00 ","$0.00 ","$0.00 ","$0.00 ","$1,869.89 ","$1,869.89 ","$0.00 ","$2,620.00 ","$0.00 ","$1,310.00 ","$2,075.04 ","$2,096.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007749","EAP","Custom 27007749","","T15/2.5m Hex Cerclage But- Ste","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$652.00 ","$0.00 ","$0.00 ","$0.00 ","$465.33 ","$465.33 ","$0.00 ","$652.00 ","$0.00 ","$326.00 ","$516.38 ","$521.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007795","EAP","Custom 27007795","","Swans Bur S?2.0m Hd Lgh 6.3mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007796","EAP","Custom 27007796","","Swans Bur M?2.0m Hd Lgh 6.3mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007797","EAP","Custom 27007797","","Swans Bur L?2.0m Hd Lgh 6.3mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007798","EAP","Custom 27007798","","Swans Bur S?3.0m Hd Lgh 9.7mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007799","EAP","Custom 27007799","","Swans Bur M?3.0m Hd Lgh 9.7mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007800","EAP","Custom 27007800","","Swans Bur L?3.0m Hd Lgh 9.7mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007801","EAP","Custom 27007801","","Swans Bur S?4.0m Hd Lgh 12.7mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007802","EAP","Custom 27007802","","Swans Bur M?4.0m Hd Lgh 12.7mm","BOTH IP/OP","$148.00 ","$109.52 ","$0.00 ","$148.00 ","$0.00 ","$0.00 ","$0.00 ","$105.63 ","$105.63 ","$0.00 ","$148.00 ","$0.00 ","$74.00 ","$117.22 ","$118.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007803","EAP","Custom 27007803","","Swans Bur L?4.0m Hd Lgh 12.7mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007810","EAP","Custom 27007810","","Swans Bur S?5.0m Hd Lgh 15.8mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007811","EAP","Custom 27007811","","Swans Bur M?5.0m Hd Lgh 15.8mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007812","EAP","Custom 27007812","","Swans Bur L?5.0m Hd Lgh 15.8mm","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007840","EAP","Custom 27007840","","Lindeman Rmer Lgh 45m ?2.3m","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007853","EAP","Custom 27007853","","Saw Blade  F/sagittal Saw","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007854","EAP","Custom 27007854","","Saw Blde Cresc F/oscillat Saw","BOTH IP/OP","$366.00 ","$270.84 ","$0.00 ","$366.00 ","$0.00 ","$0.00 ","$0.00 ","$261.21 ","$261.21 ","$0.00 ","$366.00 ","$0.00 ","$183.00 ","$289.87 ","$292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007864","EAP","Custom 27007864","","Tibial Nail-ex Insertion Handl","BOTH IP/OP","$5,201.00 ","$3,848.74 ","$0.00 ","$5,201.00 ","$0.00 ","$0.00 ","$0.00 ","$3,711.95 ","$3,711.95 ","$0.00 ","$5,201.00 ","$0.00 ","$2,600.50 ","$4,119.19 ","$4,160.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007865","EAP","Custom 27007865","","Rad Ruler Ti Cannul Fem Nails","BOTH IP/OP","$1,330.00 ","$984.20 ","$0.00 ","$1,330.00 ","$0.00 ","$0.00 ","$0.00 ","$949.22 ","$949.22 ","$0.00 ","$1,330.00 ","$0.00 ","$665.00 ","$1,053.36 ","$1,064.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007866","EAP","Custom 27007866","","Rad Ruler Ti Cannul Tib Nails","BOTH IP/OP","$1,330.00 ","$984.20 ","$0.00 ","$1,330.00 ","$0.00 ","$0.00 ","$0.00 ","$949.22 ","$949.22 ","$0.00 ","$1,330.00 ","$0.00 ","$665.00 ","$1,053.36 ","$1,064.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007867","EAP","Custom 27007867","","Rad Ruler Ti Cannul Hum Nails","BOTH IP/OP","$1,330.00 ","$984.20 ","$0.00 ","$1,330.00 ","$0.00 ","$0.00 ","$0.00 ","$949.22 ","$949.22 ","$0.00 ","$1,330.00 ","$0.00 ","$665.00 ","$1,053.36 ","$1,064.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007868","EAP","Custom 27007868","","Rad Canal Wdth Estimat Im Nail","BOTH IP/OP","$1,330.00 ","$984.20 ","$0.00 ","$1,330.00 ","$0.00 ","$0.00 ","$0.00 ","$949.22 ","$949.22 ","$0.00 ","$1,330.00 ","$0.00 ","$665.00 ","$1,053.36 ","$1,064.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007869","EAP","Custom 27007869","","Hold Devic Gde Wire & Ream Rod","BOTH IP/OP","$3,375.00 ","$2,497.50 ","$0.00 ","$3,375.00 ","$0.00 ","$0.00 ","$0.00 ","$2,408.74 ","$2,408.74 ","$0.00 ","$3,375.00 ","$0.00 ","$1,687.50 ","$2,673.00 ","$2,700.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007871","EAP","Custom 27007871","","15.0 Cannul Drl Bit Lg Qc/280m","BOTH IP/OP","$1,969.00 ","$1,457.06 ","$0.00 ","$1,969.00 ","$0.00 ","$0.00 ","$0.00 ","$1,405.28 ","$1,405.28 ","$0.00 ","$1,969.00 ","$0.00 ","$984.50 ","$1,559.45 ","$1,575.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007872","EAP","Custom 27007872","","17.0m Cannul Drl Bit Lg Qc/280","BOTH IP/OP","$2,461.00 ","$1,821.14 ","$0.00 ","$2,461.00 ","$0.00 ","$0.00 ","$0.00 ","$1,756.42 ","$1,756.42 ","$0.00 ","$2,461.00 ","$0.00 ","$1,230.50 ","$1,949.11 ","$1,968.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007873","EAP","Custom 27007873","","13.0mm Protection Sleeve","BOTH IP/OP","$1,490.00 ","$1,102.60 ","$0.00 ","$1,490.00 ","$0.00 ","$0.00 ","$0.00 ","$1,063.41 ","$1,063.41 ","$0.00 ","$1,490.00 ","$0.00 ","$745.00 ","$1,180.08 ","$1,192.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007874","EAP","Custom 27007874","","13.0/3.2 Wire Gude W/ Troc Tip","BOTH IP/OP","$591.00 ","$437.34 ","$0.00 ","$591.00 ","$0.00 ","$0.00 ","$0.00 ","$421.80 ","$421.80 ","$0.00 ","$591.00 ","$0.00 ","$295.50 ","$468.07 ","$472.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007875","EAP","Custom 27007875","","13 Flex Can Drl Bit Lg Qc/465","BOTH IP/OP","$2,762.00 ","$2,043.88 ","$0.00 ","$2,762.00 ","$0.00 ","$0.00 ","$0.00 ","$1,971.24 ","$1,971.24 ","$0.00 ","$2,762.00 ","$0.00 ","$1,381.00 ","$2,187.50 ","$2,209.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007876","EAP","Custom 27007876","","13 Flex Can Drl Bit Lg Qc/465","BOTH IP/OP","$2,891.00 ","$2,139.34 ","$0.00 ","$2,891.00 ","$0.00 ","$0.00 ","$0.00 ","$2,063.31 ","$2,063.31 ","$0.00 ","$2,891.00 ","$0.00 ","$1,445.50 ","$2,289.67 ","$2,312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007877","EAP","Custom 27007877","","12.0mm Protection Sleeve","BOTH IP/OP","$1,490.00 ","$1,102.60 ","$0.00 ","$1,490.00 ","$0.00 ","$0.00 ","$0.00 ","$1,063.41 ","$1,063.41 ","$0.00 ","$1,490.00 ","$0.00 ","$745.00 ","$1,180.08 ","$1,192.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007878","EAP","Custom 27007878","","12.0 Cannul Drl Bit Lg Qc/190","BOTH IP/OP","$2,211.00 ","$1,636.14 ","$0.00 ","$2,211.00 ","$0.00 ","$0.00 ","$0.00 ","$1,577.99 ","$1,577.99 ","$0.00 ","$2,211.00 ","$0.00 ","$1,105.50 ","$1,751.11 ","$1,768.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007879","EAP","Custom 27007879","","10.0mm Protection Sleeve","BOTH IP/OP","$1,490.00 ","$1,102.60 ","$0.00 ","$1,490.00 ","$0.00 ","$0.00 ","$0.00 ","$1,063.41 ","$1,063.41 ","$0.00 ","$1,490.00 ","$0.00 ","$745.00 ","$1,180.08 ","$1,192.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007880","EAP","Custom 27007880","","10.0mm Cannulated Awl","BOTH IP/OP","$1,747.00 ","$1,292.78 ","$0.00 ","$1,747.00 ","$0.00 ","$0.00 ","$0.00 ","$1,246.83 ","$1,246.83 ","$0.00 ","$1,747.00 ","$0.00 ","$873.50 ","$1,383.62 ","$1,397.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007881","EAP","Custom 27007881","","12.0mm Cannulated Awl","BOTH IP/OP","$1,778.00 ","$1,315.72 ","$0.00 ","$1,778.00 ","$0.00 ","$0.00 ","$0.00 ","$1,268.96 ","$1,268.96 ","$0.00 ","$1,778.00 ","$0.00 ","$889.00 ","$1,408.18 ","$1,422.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007882","EAP","Custom 27007882","","14.0mm Cannulated Awl","BOTH IP/OP","$1,855.00 ","$1,372.70 ","$0.00 ","$1,855.00 ","$0.00 ","$0.00 ","$0.00 ","$1,323.91 ","$1,323.91 ","$0.00 ","$1,855.00 ","$0.00 ","$927.50 ","$1,469.16 ","$1,484.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007884","EAP","Custom 27007884","","Standard Insertion Handle","BOTH IP/OP","$5,201.00 ","$3,848.74 ","$0.00 ","$5,201.00 ","$0.00 ","$0.00 ","$0.00 ","$3,711.95 ","$3,711.95 ","$0.00 ","$5,201.00 ","$0.00 ","$2,600.50 ","$4,119.19 ","$4,160.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007885","EAP","Custom 27007885","","Percutaneous Insertion Handle","BOTH IP/OP","$5,201.00 ","$3,848.74 ","$0.00 ","$5,201.00 ","$0.00 ","$0.00 ","$0.00 ","$3,711.95 ","$3,711.95 ","$0.00 ","$5,201.00 ","$0.00 ","$2,600.50 ","$4,119.19 ","$4,160.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007887","EAP","Custom 27007887","","Rec Loc Aim Arm Lat Ent Fem Nl","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007893","EAP","Custom 27007893","","Insert Hdle Ti Cann Hum Nls-ex","BOTH IP/OP","$4,522.00 ","$3,346.28 ","$0.00 ","$4,522.00 ","$0.00 ","$0.00 ","$0.00 ","$3,227.35 ","$3,227.35 ","$0.00 ","$4,522.00 ","$0.00 ","$2,261.00 ","$3,581.42 ","$3,617.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007894","EAP","Custom 27007894","","Sprl Blde Aim Arm Ti Can Hum N","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007900","EAP","Custom 27007900","","12.0mm/8.0mm Protectn Slve 188","BOTH IP/OP","$928.00 ","$686.72 ","$0.00 ","$928.00 ","$0.00 ","$0.00 ","$0.00 ","$662.31 ","$662.31 ","$0.00 ","$928.00 ","$0.00 ","$464.00 ","$734.98 ","$742.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007904","EAP","Custom 27007904","","11.5/8.5 Protectn Slve Rec Lck","BOTH IP/OP","$635.00 ","$469.90 ","$0.00 ","$635.00 ","$0.00 ","$0.00 ","$0.00 ","$453.20 ","$453.20 ","$0.00 ","$635.00 ","$0.00 ","$317.50 ","$502.92 ","$508.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007909","EAP","Custom 27007909","","Tap For 6.5mm Recon Screws","BOTH IP/OP","$1,997.00 ","$1,477.78 ","$0.00 ","$1,997.00 ","$0.00 ","$0.00 ","$0.00 ","$1,425.26 ","$1,425.26 ","$0.00 ","$1,997.00 ","$0.00 ","$998.50 ","$1,581.62 ","$1,597.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007910","EAP","Custom 27007910","","15.0/13.0 Pro Slve F/spir Bld","BOTH IP/OP","$1,616.00 ","$1,195.84 ","$0.00 ","$1,616.00 ","$0.00 ","$0.00 ","$0.00 ","$1,153.34 ","$1,153.34 ","$0.00 ","$1,616.00 ","$0.00 ","$808.00 ","$1,279.87 ","$1,292.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007911","EAP","Custom 27007911","","13.0/3.2 Wre Gde Spir Blde Aim","BOTH IP/OP","$1,222.00 ","$904.28 ","$0.00 ","$1,222.00 ","$0.00 ","$0.00 ","$0.00 ","$872.14 ","$872.14 ","$0.00 ","$1,222.00 ","$0.00 ","$611.00 ","$967.82 ","$977.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007912","EAP","Custom 27007912","","Spir Blde Insert Retrgrde Fem","BOTH IP/OP","$3,061.00 ","$2,265.14 ","$0.00 ","$3,061.00 ","$0.00 ","$0.00 ","$0.00 ","$2,184.64 ","$2,184.64 ","$0.00 ","$3,061.00 ","$0.00 ","$1,530.50 ","$2,424.31 ","$2,448.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007913","EAP","Custom 27007913","","Speclty Lck Meas Dev Ti Fem Nl","BOTH IP/OP","$616.00 ","$455.84 ","$0.00 ","$616.00 ","$0.00 ","$0.00 ","$0.00 ","$439.64 ","$439.64 ","$0.00 ","$616.00 ","$0.00 ","$308.00 ","$487.87 ","$492.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007914","EAP","Custom 27007914","","14.0mm/8.0mm Drill Sleeve 130m","BOTH IP/OP","$679.00 ","$502.46 ","$0.00 ","$679.00 ","$0.00 ","$0.00 ","$0.00 ","$484.60 ","$484.60 ","$0.00 ","$679.00 ","$0.00 ","$339.50 ","$537.77 ","$543.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007919","EAP","Custom 27007919","","Spir Bld Mea Dev Ti Can Hum Nl","BOTH IP/OP","$2,296.00 ","$1,699.04 ","$0.00 ","$2,296.00 ","$0.00 ","$0.00 ","$0.00 ","$1,638.66 ","$1,638.66 ","$0.00 ","$2,296.00 ","$0.00 ","$1,148.00 ","$1,818.43 ","$1,836.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007920","EAP","Custom 27007920","","Stan Aim Arm Ti Can Hum Nls-ex","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007921","EAP","Custom 27007921","","Ream Rod Push Rod Wth Ball Hdl","BOTH IP/OP","$1,484.00 ","$1,098.16 ","$0.00 ","$1,484.00 ","$0.00 ","$0.00 ","$0.00 ","$1,059.13 ","$1,059.13 ","$0.00 ","$1,484.00 ","$0.00 ","$742.00 ","$1,175.33 ","$1,187.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007932","EAP","Custom 27007932","","Hold Slve W/ Lcking Device","BOTH IP/OP","$3,354.00 ","$2,481.96 ","$0.00 ","$3,354.00 ","$0.00 ","$0.00 ","$0.00 ","$2,393.75 ","$2,393.75 ","$0.00 ","$3,354.00 ","$0.00 ","$1,677.00 ","$2,656.37 ","$2,683.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007935","EAP","Custom 27007935","","Lrg Hexa Scwdrvr 3.5 Wdth Acrs","BOTH IP/OP","$1,199.00 ","$887.26 ","$0.00 ","$1,199.00 ","$0.00 ","$0.00 ","$0.00 ","$855.73 ","$855.73 ","$0.00 ","$1,199.00 ","$0.00 ","$599.50 ","$949.61 ","$959.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007937","EAP","Custom 27007937","","Shrt Compres Dev Ti Can Tib Nl","BOTH IP/OP","$1,799.00 ","$1,331.26 ","$0.00 ","$1,799.00 ","$0.00 ","$0.00 ","$0.00 ","$1,283.95 ","$1,283.95 ","$0.00 ","$1,799.00 ","$0.00 ","$899.50 ","$1,424.81 ","$1,439.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007938","EAP","Custom 27007938","","Lng Compres Dev Ti Can Tib Nl","BOTH IP/OP","$1,799.00 ","$1,331.26 ","$0.00 ","$1,799.00 ","$0.00 ","$0.00 ","$0.00 ","$1,283.95 ","$1,283.95 ","$0.00 ","$1,799.00 ","$0.00 ","$899.50 ","$1,424.81 ","$1,439.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007941","EAP","Custom 27007941","","15.0can Flex Dl Bit Lrg Qc/310","BOTH IP/OP","$2,711.00 ","$2,006.14 ","$0.00 ","$2,711.00 ","$0.00 ","$0.00 ","$0.00 ","$1,934.84 ","$1,934.84 ","$0.00 ","$2,711.00 ","$0.00 ","$1,355.50 ","$2,147.11 ","$2,168.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007942","EAP","Custom 27007942","","17 Can Flex Drl Bit Lrg Qc/310","BOTH IP/OP","$2,711.00 ","$2,006.14 ","$0.00 ","$2,711.00 ","$0.00 ","$0.00 ","$0.00 ","$1,934.84 ","$1,934.84 ","$0.00 ","$2,711.00 ","$0.00 ","$1,355.50 ","$2,147.11 ","$2,168.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007943","EAP","Custom 27007943","","11/8 Pro Slve 188mm For Asls","BOTH IP/OP","$889.00 ","$657.86 ","$0.00 ","$889.00 ","$0.00 ","$0.00 ","$0.00 ","$634.48 ","$634.48 ","$0.00 ","$889.00 ","$0.00 ","$444.50 ","$704.09 ","$711.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007945","EAP","Custom 27007945","","Insert Hndl F/4.5 Lcp Prox Tib","BOTH IP/OP","$5,623.00 ","$4,161.02 ","$0.00 ","$5,623.00 ","$0.00 ","$0.00 ","$0.00 ","$4,013.14 ","$4,013.14 ","$0.00 ","$5,623.00 ","$0.00 ","$2,811.50 ","$4,453.42 ","$4,498.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007947","EAP","Custom 27007947","","Strt Ball Spike Low Pro Pelvic","BOTH IP/OP","$1,511.00 ","$1,118.14 ","$0.00 ","$1,511.00 ","$0.00 ","$0.00 ","$0.00 ","$1,078.40 ","$1,078.40 ","$0.00 ","$1,511.00 ","$0.00 ","$755.50 ","$1,196.71 ","$1,208.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007948","EAP","Custom 27007948","","Strt Ball Spike Low Pro Pelvic","BOTH IP/OP","$1,608.00 ","$1,189.92 ","$0.00 ","$1,608.00 ","$0.00 ","$0.00 ","$0.00 ","$1,147.63 ","$1,147.63 ","$0.00 ","$1,608.00 ","$0.00 ","$804.00 ","$1,273.54 ","$1,286.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007949","EAP","Custom 27007949","","Strt Reduc Forceps Low Pro Pel","BOTH IP/OP","$6,337.00 ","$4,689.38 ","$0.00 ","$6,337.00 ","$0.00 ","$0.00 ","$0.00 ","$4,522.72 ","$4,522.72 ","$0.00 ","$6,337.00 ","$0.00 ","$3,168.50 ","$5,018.90 ","$5,069.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007952","EAP","Custom 27007952","","Reduct Forceps For Low Pro Pel","BOTH IP/OP","$8,489.00 ","$6,281.86 ","$0.00 ","$8,489.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$8,489.00 ","$0.00 ","$4,244.50 ","$6,723.29 ","$6,791.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007954","EAP","Custom 27007954","","Lo Pro Pel Sys Rd Frcp 3.5 Scw","BOTH IP/OP","$7,620.00 ","$5,638.80 ","$0.00 ","$7,620.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,620.00 ","$0.00 ","$3,810.00 ","$6,035.04 ","$6,096.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007955","EAP","Custom 27007955","","Round Disk","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007956","EAP","Custom 27007956","","Rectangular Disk","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007966","EAP","Custom 27007966","","Instn Hndl F/4.5 Lcp Prox Tib","BOTH IP/OP","$5,623.00 ","$4,161.02 ","$0.00 ","$5,623.00 ","$0.00 ","$0.00 ","$0.00 ","$4,013.14 ","$4,013.14 ","$0.00 ","$5,623.00 ","$0.00 ","$2,811.50 ","$4,453.42 ","$4,498.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007967","EAP","Custom 27007967","","Solid 4.0 Hex Scwdrvr Shft 200","BOTH IP/OP","$1,131.00 ","$836.94 ","$0.00 ","$1,131.00 ","$0.00 ","$0.00 ","$0.00 ","$807.19 ","$807.19 ","$0.00 ","$1,131.00 ","$0.00 ","$565.50 ","$895.75 ","$904.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007969","EAP","Custom 27007969","","Spiked Round Disk","BOTH IP/OP","$1,247.00 ","$922.78 ","$0.00 ","$1,247.00 ","$0.00 ","$0.00 ","$0.00 ","$889.98 ","$889.98 ","$0.00 ","$1,247.00 ","$0.00 ","$623.50 ","$987.62 ","$997.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007970","EAP","Custom 27007970","","Spiked Rectangular Disk","BOTH IP/OP","$1,247.00 ","$922.78 ","$0.00 ","$1,247.00 ","$0.00 ","$0.00 ","$0.00 ","$889.98 ","$889.98 ","$0.00 ","$1,247.00 ","$0.00 ","$623.50 ","$987.62 ","$997.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007974","EAP","Custom 27007974","","Ped Lcp Hip Pl Gdng Blk 3.5scw","BOTH IP/OP","$1,986.00 ","$1,469.64 ","$0.00 ","$1,986.00 ","$0.00 ","$0.00 ","$0.00 ","$1,417.41 ","$1,417.41 ","$0.00 ","$1,986.00 ","$0.00 ","$993.00 ","$1,572.91 ","$1,588.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007975","EAP","Custom 27007975","","Ped Lcp Hip Pl Gdng Blck 5scw","BOTH IP/OP","$1,986.00 ","$1,469.64 ","$0.00 ","$1,986.00 ","$0.00 ","$0.00 ","$0.00 ","$1,417.41 ","$1,417.41 ","$0.00 ","$1,986.00 ","$0.00 ","$993.00 ","$1,572.91 ","$1,588.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007977","EAP","Custom 27007977","","Reduction Sleeve 4.3mm/2.8mm","BOTH IP/OP","$647.00 ","$478.78 ","$0.00 ","$647.00 ","$0.00 ","$0.00 ","$0.00 ","$461.76 ","$461.76 ","$0.00 ","$647.00 ","$0.00 ","$323.50 ","$512.42 ","$517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007979","EAP","Custom 27007979","","Positioning Device Gdng Blck","BOTH IP/OP","$1,727.00 ","$1,277.98 ","$0.00 ","$1,727.00 ","$0.00 ","$0.00 ","$0.00 ","$1,232.56 ","$1,232.56 ","$0.00 ","$1,727.00 ","$0.00 ","$863.50 ","$1,367.78 ","$1,381.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007980","EAP","Custom 27007980","","Medialization Gde 3.5&5.0 Lcp","BOTH IP/OP","$1,727.00 ","$1,277.98 ","$0.00 ","$1,727.00 ","$0.00 ","$0.00 ","$0.00 ","$1,232.56 ","$1,232.56 ","$0.00 ","$1,727.00 ","$0.00 ","$863.50 ","$1,367.78 ","$1,381.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007981","EAP","Custom 27007981","","Osteotomy Measuring Device","BOTH IP/OP","$1,061.00 ","$785.14 ","$0.00 ","$1,061.00 ","$0.00 ","$0.00 ","$0.00 ","$757.24 ","$757.24 ","$0.00 ","$1,061.00 ","$0.00 ","$530.50 ","$840.31 ","$848.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007984","EAP","Custom 27007984","","Meas Dev 3.0 Hdles Compres Scw","BOTH IP/OP","$722.00 ","$534.28 ","$0.00 ","$722.00 ","$0.00 ","$0.00 ","$0.00 ","$515.29 ","$515.29 ","$0.00 ","$722.00 ","$0.00 ","$361.00 ","$571.82 ","$577.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007990","EAP","Custom 27007990","","Meas Dev F/drl Gde W/stp 3.0m","BOTH IP/OP","$642.00 ","$475.08 ","$0.00 ","$642.00 ","$0.00 ","$0.00 ","$0.00 ","$458.20 ","$458.20 ","$0.00 ","$642.00 ","$0.00 ","$321.00 ","$508.46 ","$513.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007991","EAP","Custom 27007991","","Medium Open Compressor","BOTH IP/OP","$4,431.00 ","$3,278.94 ","$0.00 ","$4,431.00 ","$0.00 ","$0.00 ","$0.00 ","$3,162.40 ","$3,162.40 ","$0.00 ","$4,431.00 ","$0.00 ","$2,215.50 ","$3,509.35 ","$3,544.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007992","EAP","Custom 27007992","","Lo-pro Wrst Fxtr/schan Scr/200","BOTH IP/OP","$4,535.00 ","$3,355.90 ","$0.00 ","$4,535.00 ","$0.00 ","$0.00 ","$0.00 ","$3,236.63 ","$3,236.63 ","$0.00 ","$4,535.00 ","$0.00 ","$2,267.50 ","$3,591.72 ","$3,628.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007993","EAP","Custom 27007993","","Lo-pro Wrst Fxtr/schan Scr/220","BOTH IP/OP","$4,535.00 ","$3,355.90 ","$0.00 ","$4,535.00 ","$0.00 ","$0.00 ","$0.00 ","$3,236.63 ","$3,236.63 ","$0.00 ","$4,535.00 ","$0.00 ","$2,267.50 ","$3,591.72 ","$3,628.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007994","EAP","Custom 27007994","","Low-pro Wrst Fxtr/slf-drlg/200","BOTH IP/OP","$5,757.00 ","$4,260.18 ","$0.00 ","$5,757.00 ","$0.00 ","$0.00 ","$0.00 ","$4,108.77 ","$4,108.77 ","$0.00 ","$5,757.00 ","$0.00 ","$2,878.50 ","$4,559.54 ","$4,605.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007995","EAP","Custom 27007995","","Low-pro Wrst Fxtr/slf-drlg/220","BOTH IP/OP","$5,757.00 ","$4,260.18 ","$0.00 ","$5,757.00 ","$0.00 ","$0.00 ","$0.00 ","$4,108.77 ","$4,108.77 ","$0.00 ","$5,757.00 ","$0.00 ","$2,878.50 ","$4,559.54 ","$4,605.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007996","EAP","Custom 27007996","","Tensioner","BOTH IP/OP","$16,191.00 ","$11,981.34 ","$0.00 ","$16,191.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,191.00 ","$0.00 ","$8,095.50 ","$12,823.27 ","$12,952.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007997","EAP","Custom 27007997","","Slotted Socket Wrench 11mm","BOTH IP/OP","$2,314.00 ","$1,712.36 ","$0.00 ","$2,314.00 ","$0.00 ","$0.00 ","$0.00 ","$1,651.50 ","$1,651.50 ","$0.00 ","$2,314.00 ","$0.00 ","$1,157.00 ","$1,832.69 ","$1,851.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007998","EAP","Custom 27007998","","Patient Wrench 8mm/11mm","BOTH IP/OP","$604.00 ","$446.96 ","$0.00 ","$604.00 ","$0.00 ","$0.00 ","$0.00 ","$431.07 ","$431.07 ","$0.00 ","$604.00 ","$0.00 ","$302.00 ","$478.37 ","$483.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27007999","EAP","Custom 27007999","","Ratchet Wrench 11mm","BOTH IP/OP","$2,891.00 ","$2,139.34 ","$0.00 ","$2,891.00 ","$0.00 ","$0.00 ","$0.00 ","$2,063.31 ","$2,063.31 ","$0.00 ","$2,891.00 ","$0.00 ","$1,445.50 ","$2,289.67 ","$2,312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008000","EAP","Custom 27008000","","Split Tissue Protect Slve 2.5m","BOTH IP/OP","$2,314.00 ","$1,712.36 ","$0.00 ","$2,314.00 ","$0.00 ","$0.00 ","$0.00 ","$1,651.50 ","$1,651.50 ","$0.00 ","$2,314.00 ","$0.00 ","$1,157.00 ","$1,832.69 ","$1,851.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008001","EAP","Custom 27008001","","Split Tissue Protect Slve 5mm","BOTH IP/OP","$2,314.00 ","$1,712.36 ","$0.00 ","$2,314.00 ","$0.00 ","$0.00 ","$0.00 ","$1,651.50 ","$1,651.50 ","$0.00 ","$2,314.00 ","$0.00 ","$1,157.00 ","$1,832.69 ","$1,851.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008004","EAP","Custom 27008004","","Schanz Screw Bolt Mr Safe","BOTH IP/OP","$906.00 ","$670.44 ","$0.00 ","$906.00 ","$0.00 ","$0.00 ","$0.00 ","$646.61 ","$646.61 ","$0.00 ","$906.00 ","$0.00 ","$453.00 ","$717.55 ","$724.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008005","EAP","Custom 27008005","","Pivot Schanz Screw Clamp Mr Sa","BOTH IP/OP","$1,830.00 ","$1,354.20 ","$0.00 ","$1,830.00 ","$0.00 ","$0.00 ","$0.00 ","$1,306.07 ","$1,306.07 ","$0.00 ","$1,830.00 ","$0.00 ","$915.00 ","$1,449.36 ","$1,464.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008006","EAP","Custom 27008006","","Locking Hinge Mr Safe","BOTH IP/OP","$906.00 ","$670.44 ","$0.00 ","$906.00 ","$0.00 ","$0.00 ","$0.00 ","$646.61 ","$646.61 ","$0.00 ","$906.00 ","$0.00 ","$453.00 ","$717.55 ","$724.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008007","EAP","Custom 27008007","","Schanz Screw Bolt Post Mount M","BOTH IP/OP","$1,045.00 ","$773.30 ","$0.00 ","$1,045.00 ","$0.00 ","$0.00 ","$0.00 ","$745.82 ","$745.82 ","$0.00 ","$1,045.00 ","$0.00 ","$522.50 ","$827.64 ","$836.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008008","EAP","Custom 27008008","","Smth Wire/1.5mm Diameter 400m","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008009","EAP","Custom 27008009","","Smth Wire/1.8mm Diameter 400m","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008010","EAP","Custom 27008010","","Smth Wire/2.0mm Diameter 400m","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008011","EAP","Custom 27008011","","Smth Wire 1.5m Dia Hlf Pnt Tip","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008012","EAP","Custom 27008012","","Smth Wire 1.8m Dia Hlf Pnt Tip","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008013","EAP","Custom 27008013","","Smth Wire 2.0m Dia Hlf Pnt Tip","BOTH IP/OP","$308.00 ","$227.92 ","$0.00 ","$308.00 ","$0.00 ","$0.00 ","$0.00 ","$219.82 ","$219.82 ","$0.00 ","$308.00 ","$0.00 ","$154.00 ","$243.94 ","$246.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008014","EAP","Custom 27008014","","Reductn Wre/1.5mm Diam 400m","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008015","EAP","Custom 27008015","","Reductn Wre/1.8mm Diam 400m","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008016","EAP","Custom 27008016","","Reductn Wire/2.0mm Diam 400m","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008017","EAP","Custom 27008017","","Reductn Wre 1.5mm Dia Half Pnt","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008018","EAP","Custom 27008018","","Reductn Wre 1.8mm Dia Hlf Pnt","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008019","EAP","Custom 27008019","","Reductn Wre 2.0mm Dia Half Pnt","BOTH IP/OP","$962.00 ","$711.88 ","$0.00 ","$962.00 ","$0.00 ","$0.00 ","$0.00 ","$686.58 ","$686.58 ","$0.00 ","$962.00 ","$0.00 ","$481.00 ","$761.90 ","$769.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008020","EAP","Custom 27008020","","Wire Bolt/slotted Mr Safe","BOTH IP/OP","$197.00 ","$145.78 ","$0.00 ","$197.00 ","$0.00 ","$0.00 ","$0.00 ","$140.60 ","$140.60 ","$0.00 ","$197.00 ","$0.00 ","$98.50 ","$156.02 ","$157.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008021","EAP","Custom 27008021","","Wire Bolt/offset Mr Safe","BOTH IP/OP","$183.00 ","$135.42 ","$0.00 ","$183.00 ","$0.00 ","$0.00 ","$0.00 ","$130.61 ","$130.61 ","$0.00 ","$183.00 ","$0.00 ","$91.50 ","$144.94 ","$146.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008024","EAP","Custom 27008024","","Schanz Scrw Bolt Can Rng Mnt","BOTH IP/OP","$906.00 ","$670.44 ","$0.00 ","$906.00 ","$0.00 ","$0.00 ","$0.00 ","$646.61 ","$646.61 ","$0.00 ","$906.00 ","$0.00 ","$453.00 ","$717.55 ","$724.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008025","EAP","Custom 27008025","","Schanz Scrw Bolt Can Post Mnt","BOTH IP/OP","$1,045.00 ","$773.30 ","$0.00 ","$1,045.00 ","$0.00 ","$0.00 ","$0.00 ","$745.82 ","$745.82 ","$0.00 ","$1,045.00 ","$0.00 ","$522.50 ","$827.64 ","$836.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008026","EAP","Custom 27008026","","Square Nut Mr Safe","BOTH IP/OP","$337.00 ","$249.38 ","$0.00 ","$337.00 ","$0.00 ","$0.00 ","$0.00 ","$240.52 ","$240.52 ","$0.00 ","$337.00 ","$0.00 ","$168.50 ","$266.90 ","$269.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008027","EAP","Custom 27008027","","Nut Mr Safe","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008028","EAP","Custom 27008028","","Nut 10 Pack Mr Safe","BOTH IP/OP","$154.00 ","$113.96 ","$0.00 ","$154.00 ","$0.00 ","$0.00 ","$0.00 ","$109.91 ","$109.91 ","$0.00 ","$154.00 ","$0.00 ","$77.00 ","$121.97 ","$123.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008029","EAP","Custom 27008029","","Speed Nut Mr Safe","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$652.00 ","$0.00 ","$0.00 ","$0.00 ","$465.33 ","$465.33 ","$0.00 ","$652.00 ","$0.00 ","$326.00 ","$516.38 ","$521.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008030","EAP","Custom 27008030","","Wire Post-short Mr Safe","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008031","EAP","Custom 27008031","","Wire Post-tall Mr Safe","BOTH IP/OP","$928.00 ","$686.72 ","$0.00 ","$928.00 ","$0.00 ","$0.00 ","$0.00 ","$662.31 ","$662.31 ","$0.00 ","$928.00 ","$0.00 ","$464.00 ","$734.98 ","$742.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008032","EAP","Custom 27008032","","Spacing Washer 1mm Mr Safe","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008033","EAP","Custom 27008033","","Spacing Washer 2mm Mr Safe","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008034","EAP","Custom 27008034","","Spacing Washer 4mm Mr Safe","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008035","EAP","Custom 27008035","","Spherical Washer Couple Mr Saf","BOTH IP/OP","$145.00 ","$107.30 ","$0.00 ","$145.00 ","$0.00 ","$0.00 ","$0.00 ","$103.49 ","$103.49 ","$0.00 ","$145.00 ","$0.00 ","$72.50 ","$114.84 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008036","EAP","Custom 27008036","","Oblique Support Mr Safe","BOTH IP/OP","$2,314.00 ","$1,712.36 ","$0.00 ","$2,314.00 ","$0.00 ","$0.00 ","$0.00 ","$1,651.50 ","$1,651.50 ","$0.00 ","$2,314.00 ","$0.00 ","$1,157.00 ","$1,832.69 ","$1,851.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008038","EAP","Custom 27008038","","Thread Rod 80 Lng/slot Mr Safe","BOTH IP/OP","$280.00 ","$207.20 ","$0.00 ","$280.00 ","$0.00 ","$0.00 ","$0.00 ","$199.84 ","$199.84 ","$0.00 ","$280.00 ","$0.00 ","$140.00 ","$221.76 ","$224.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008039","EAP","Custom 27008039","","Thread Rod 100 Lng/slot Mr Sfe","BOTH IP/OP","$280.00 ","$207.20 ","$0.00 ","$280.00 ","$0.00 ","$0.00 ","$0.00 ","$199.84 ","$199.84 ","$0.00 ","$280.00 ","$0.00 ","$140.00 ","$221.76 ","$224.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008040","EAP","Custom 27008040","","Threaded Rod 120mm Lng Mr Safe","BOTH IP/OP","$280.00 ","$207.20 ","$0.00 ","$280.00 ","$0.00 ","$0.00 ","$0.00 ","$199.84 ","$199.84 ","$0.00 ","$280.00 ","$0.00 ","$140.00 ","$221.76 ","$224.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008041","EAP","Custom 27008041","","Threaded Rod 150mm Lng Mr Safe","BOTH IP/OP","$280.00 ","$207.20 ","$0.00 ","$280.00 ","$0.00 ","$0.00 ","$0.00 ","$199.84 ","$199.84 ","$0.00 ","$280.00 ","$0.00 ","$140.00 ","$221.76 ","$224.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008042","EAP","Custom 27008042","","Threaded Rod 200mm Lng Mr Safe","BOTH IP/OP","$301.00 ","$222.74 ","$0.00 ","$301.00 ","$0.00 ","$0.00 ","$0.00 ","$214.82 ","$214.82 ","$0.00 ","$301.00 ","$0.00 ","$150.50 ","$238.39 ","$240.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008043","EAP","Custom 27008043","","Threaded Rod 250mm Lng Mr Safe","BOTH IP/OP","$301.00 ","$222.74 ","$0.00 ","$301.00 ","$0.00 ","$0.00 ","$0.00 ","$214.82 ","$214.82 ","$0.00 ","$301.00 ","$0.00 ","$150.50 ","$238.39 ","$240.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008044","EAP","Custom 27008044","","Threaded Rod 300mm Lng Mr Safe","BOTH IP/OP","$347.00 ","$256.78 ","$0.00 ","$347.00 ","$0.00 ","$0.00 ","$0.00 ","$247.65 ","$247.65 ","$0.00 ","$347.00 ","$0.00 ","$173.50 ","$274.82 ","$277.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008045","EAP","Custom 27008045","","Threaded Rod 350mm Lng Mr Safe","BOTH IP/OP","$347.00 ","$256.78 ","$0.00 ","$347.00 ","$0.00 ","$0.00 ","$0.00 ","$247.65 ","$247.65 ","$0.00 ","$347.00 ","$0.00 ","$173.50 ","$274.82 ","$277.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008046","EAP","Custom 27008046","","Threaded Rod 400mm Lng Mr Safe","BOTH IP/OP","$441.00 ","$326.34 ","$0.00 ","$441.00 ","$0.00 ","$0.00 ","$0.00 ","$314.74 ","$314.74 ","$0.00 ","$441.00 ","$0.00 ","$220.50 ","$349.27 ","$352.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008051","EAP","Custom 27008051","","Standoff 20mm Long Mr Safe","BOTH IP/OP","$185.00 ","$136.90 ","$0.00 ","$185.00 ","$0.00 ","$0.00 ","$0.00 ","$132.03 ","$132.03 ","$0.00 ","$185.00 ","$0.00 ","$92.50 ","$146.52 ","$148.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008052","EAP","Custom 27008052","","Standoff 30mm Long Mr Safe","BOTH IP/OP","$208.00 ","$153.92 ","$0.00 ","$208.00 ","$0.00 ","$0.00 ","$0.00 ","$148.45 ","$148.45 ","$0.00 ","$208.00 ","$0.00 ","$104.00 ","$164.74 ","$166.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008053","EAP","Custom 27008053","","Standoff 40mm Long Mr Safe","BOTH IP/OP","$234.00 ","$173.16 ","$0.00 ","$234.00 ","$0.00 ","$0.00 ","$0.00 ","$167.01 ","$167.01 ","$0.00 ","$234.00 ","$0.00 ","$117.00 ","$185.33 ","$187.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008054","EAP","Custom 27008054","","Standoff 50mm Long Mr Safe","BOTH IP/OP","$301.00 ","$222.74 ","$0.00 ","$301.00 ","$0.00 ","$0.00 ","$0.00 ","$214.82 ","$214.82 ","$0.00 ","$301.00 ","$0.00 ","$150.50 ","$238.39 ","$240.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008055","EAP","Custom 27008055","","Ti Half Ring/80m Diam Mr Safe","BOTH IP/OP","$1,505.00 ","$1,113.70 ","$0.00 ","$1,505.00 ","$0.00 ","$0.00 ","$0.00 ","$1,074.12 ","$1,074.12 ","$0.00 ","$1,505.00 ","$0.00 ","$752.50 ","$1,191.96 ","$1,204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008056","EAP","Custom 27008056","","Ti Half Ring/100m Diam Mr Safe","BOTH IP/OP","$1,624.00 ","$1,201.76 ","$0.00 ","$1,624.00 ","$0.00 ","$0.00 ","$0.00 ","$1,159.05 ","$1,159.05 ","$0.00 ","$1,624.00 ","$0.00 ","$812.00 ","$1,286.21 ","$1,299.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008057","EAP","Custom 27008057","","Ti Half Ring/110m Diam Mr Safe","BOTH IP/OP","$1,667.00 ","$1,233.58 ","$0.00 ","$1,667.00 ","$0.00 ","$0.00 ","$0.00 ","$1,189.74 ","$1,189.74 ","$0.00 ","$1,667.00 ","$0.00 ","$833.50 ","$1,320.26 ","$1,333.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008058","EAP","Custom 27008058","","Ti Half Ring/120m Diam Mr Safe","BOTH IP/OP","$1,735.00 ","$1,283.90 ","$0.00 ","$1,735.00 ","$0.00 ","$0.00 ","$0.00 ","$1,238.27 ","$1,238.27 ","$0.00 ","$1,735.00 ","$0.00 ","$867.50 ","$1,374.12 ","$1,388.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008059","EAP","Custom 27008059","","Ti Half Ring/130m Diam Mr Safe","BOTH IP/OP","$1,783.00 ","$1,319.42 ","$0.00 ","$1,783.00 ","$0.00 ","$0.00 ","$0.00 ","$1,272.53 ","$1,272.53 ","$0.00 ","$1,783.00 ","$0.00 ","$891.50 ","$1,412.14 ","$1,426.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008060","EAP","Custom 27008060","","Ti Half Ring/140m Diam Mr Safe","BOTH IP/OP","$1,850.00 ","$1,369.00 ","$0.00 ","$1,850.00 ","$0.00 ","$0.00 ","$0.00 ","$1,320.35 ","$1,320.35 ","$0.00 ","$1,850.00 ","$0.00 ","$925.00 ","$1,465.20 ","$1,480.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008061","EAP","Custom 27008061","","Ti Half Ring/150m Diam Mr Safe","BOTH IP/OP","$1,969.00 ","$1,457.06 ","$0.00 ","$1,969.00 ","$0.00 ","$0.00 ","$0.00 ","$1,405.28 ","$1,405.28 ","$0.00 ","$1,969.00 ","$0.00 ","$984.50 ","$1,559.45 ","$1,575.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008062","EAP","Custom 27008062","","Ti Half Ring/160m Diam Mr Safe","BOTH IP/OP","$2,153.00 ","$1,593.22 ","$0.00 ","$2,153.00 ","$0.00 ","$0.00 ","$0.00 ","$1,536.60 ","$1,536.60 ","$0.00 ","$2,153.00 ","$0.00 ","$1,076.50 ","$1,705.18 ","$1,722.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008063","EAP","Custom 27008063","","Ti Half Ring/180m Diam Mr Safe","BOTH IP/OP","$2,314.00 ","$1,712.36 ","$0.00 ","$2,314.00 ","$0.00 ","$0.00 ","$0.00 ","$1,651.50 ","$1,651.50 ","$0.00 ","$2,314.00 ","$0.00 ","$1,157.00 ","$1,832.69 ","$1,851.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008064","EAP","Custom 27008064","","Ti Half Ring/200m Diam Mr Safe","BOTH IP/OP","$2,498.00 ","$1,848.52 ","$0.00 ","$2,498.00 ","$0.00 ","$0.00 ","$0.00 ","$1,782.82 ","$1,782.82 ","$0.00 ","$2,498.00 ","$0.00 ","$1,249.00 ","$1,978.42 ","$1,998.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008065","EAP","Custom 27008065","","Ti Half Ring/220m Diam Mr Safe","BOTH IP/OP","$2,663.00 ","$1,970.62 ","$0.00 ","$2,663.00 ","$0.00 ","$0.00 ","$0.00 ","$1,900.58 ","$1,900.58 ","$0.00 ","$2,663.00 ","$0.00 ","$1,331.50 ","$2,109.10 ","$2,130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008066","EAP","Custom 27008066","","Ti Half Ring/240m Diam Mr Safe","BOTH IP/OP","$2,779.00 ","$2,056.46 ","$0.00 ","$2,779.00 ","$0.00 ","$0.00 ","$0.00 ","$1,983.37 ","$1,983.37 ","$0.00 ","$2,779.00 ","$0.00 ","$1,389.50 ","$2,200.97 ","$2,223.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008067","EAP","Custom 27008067","","Ti Full Ring/140m Diam Mr Safe","BOTH IP/OP","$3,704.00 ","$2,740.96 ","$0.00 ","$3,704.00 ","$0.00 ","$0.00 ","$0.00 ","$2,643.54 ","$2,643.54 ","$0.00 ","$3,704.00 ","$0.00 ","$1,852.00 ","$2,933.57 ","$2,963.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008068","EAP","Custom 27008068","","Ti Full Ring/160m Diam Mr Safe","BOTH IP/OP","$4,303.00 ","$3,184.22 ","$0.00 ","$4,303.00 ","$0.00 ","$0.00 ","$0.00 ","$3,071.05 ","$3,071.05 ","$0.00 ","$4,303.00 ","$0.00 ","$2,151.50 ","$3,407.98 ","$3,442.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008069","EAP","Custom 27008069","","Ti Full Ring/180m Diam Mr Safe","BOTH IP/OP","$4,627.00 ","$3,423.98 ","$0.00 ","$4,627.00 ","$0.00 ","$0.00 ","$0.00 ","$3,302.29 ","$3,302.29 ","$0.00 ","$4,627.00 ","$0.00 ","$2,313.50 ","$3,664.58 ","$3,701.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008070","EAP","Custom 27008070","","Ti Full Ring/200m Diam Mr Safe","BOTH IP/OP","$5,022.00 ","$3,716.28 ","$0.00 ","$5,022.00 ","$0.00 ","$0.00 ","$0.00 ","$3,584.20 ","$3,584.20 ","$0.00 ","$5,022.00 ","$0.00 ","$2,511.00 ","$3,977.42 ","$4,017.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008071","EAP","Custom 27008071","","Ti 5/8 Ring/130m Diam Mr Safe","BOTH IP/OP","$2,430.00 ","$1,798.20 ","$0.00 ","$2,430.00 ","$0.00 ","$0.00 ","$0.00 ","$1,734.29 ","$1,734.29 ","$0.00 ","$2,430.00 ","$0.00 ","$1,215.00 ","$1,924.56 ","$1,944.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008072","EAP","Custom 27008072","","Ti 5/8 Ring/150mm Diam Mr Safe","BOTH IP/OP","$2,663.00 ","$1,970.62 ","$0.00 ","$2,663.00 ","$0.00 ","$0.00 ","$0.00 ","$1,900.58 ","$1,900.58 ","$0.00 ","$2,663.00 ","$0.00 ","$1,331.50 ","$2,109.10 ","$2,130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008073","EAP","Custom 27008073","","Ti 5/8 Ring/160mm Diam Mr Safe","BOTH IP/OP","$2,891.00 ","$2,139.34 ","$0.00 ","$2,891.00 ","$0.00 ","$0.00 ","$0.00 ","$2,063.31 ","$2,063.31 ","$0.00 ","$2,891.00 ","$0.00 ","$1,445.50 ","$2,289.67 ","$2,312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008074","EAP","Custom 27008074","","Ti 5/8 Ring/180mm Diam Mr Safe","BOTH IP/OP","$3,358.00 ","$2,484.92 ","$0.00 ","$3,358.00 ","$0.00 ","$0.00 ","$0.00 ","$2,396.60 ","$2,396.60 ","$0.00 ","$3,358.00 ","$0.00 ","$1,679.00 ","$2,659.54 ","$2,686.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008075","EAP","Custom 27008075","","Ti 5/8 Ring/200mm Diam Mr Safe","BOTH IP/OP","$3,470.00 ","$2,567.80 ","$0.00 ","$3,470.00 ","$0.00 ","$0.00 ","$0.00 ","$2,476.54 ","$2,476.54 ","$0.00 ","$3,470.00 ","$0.00 ","$1,735.00 ","$2,748.24 ","$2,776.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008076","EAP","Custom 27008076","","Ti Fem Arch Pl 180 Dia/90 Degr","BOTH IP/OP","$4,165.00 ","$3,082.10 ","$0.00 ","$4,165.00 ","$0.00 ","$0.00 ","$0.00 ","$2,972.56 ","$2,972.56 ","$0.00 ","$4,165.00 ","$0.00 ","$2,082.50 ","$3,298.68 ","$3,332.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008077","EAP","Custom 27008077","","Ti Fem Arch Pl 180 Dia/120 Deg","BOTH IP/OP","$4,281.00 ","$3,167.94 ","$0.00 ","$4,281.00 ","$0.00 ","$0.00 ","$0.00 ","$3,055.35 ","$3,055.35 ","$0.00 ","$4,281.00 ","$0.00 ","$2,140.50 ","$3,390.55 ","$3,424.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008078","EAP","Custom 27008078","","Ti Fem Arch Pl 240 Dia/90 Degr","BOTH IP/OP","$4,515.00 ","$3,341.10 ","$0.00 ","$4,515.00 ","$0.00 ","$0.00 ","$0.00 ","$3,222.36 ","$3,222.36 ","$0.00 ","$4,515.00 ","$0.00 ","$2,257.50 ","$3,575.88 ","$3,612.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008079","EAP","Custom 27008079","","Ti Fem Arch Pl 240 Dia/120 Deg","BOTH IP/OP","$4,627.00 ","$3,423.98 ","$0.00 ","$4,627.00 ","$0.00 ","$0.00 ","$0.00 ","$3,302.29 ","$3,302.29 ","$0.00 ","$4,627.00 ","$0.00 ","$2,313.50 ","$3,664.58 ","$3,701.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008080","EAP","Custom 27008080","","Linear Distrac 60 Lng 25mm Tr","BOTH IP/OP","$2,663.00 ","$1,970.62 ","$0.00 ","$2,663.00 ","$0.00 ","$0.00 ","$0.00 ","$1,900.58 ","$1,900.58 ","$0.00 ","$2,663.00 ","$0.00 ","$1,331.50 ","$2,109.10 ","$2,130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008081","EAP","Custom 27008081","","Linear Distrac 120lng 85mm Tra","BOTH IP/OP","$2,891.00 ","$2,139.34 ","$0.00 ","$2,891.00 ","$0.00 ","$0.00 ","$0.00 ","$2,063.31 ","$2,063.31 ","$0.00 ","$2,891.00 ","$0.00 ","$1,445.50 ","$2,289.67 ","$2,312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008082","EAP","Custom 27008082","","Linear Distrac 180 Lng 145 Tra","BOTH IP/OP","$3,241.00 ","$2,398.34 ","$0.00 ","$3,241.00 ","$0.00 ","$0.00 ","$0.00 ","$2,313.10 ","$2,313.10 ","$0.00 ","$3,241.00 ","$0.00 ","$1,620.50 ","$2,566.87 ","$2,592.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008083","EAP","Custom 27008083","","Linear Distrac 250 Lng 215 Tra","BOTH IP/OP","$3,934.00 ","$2,911.16 ","$0.00 ","$3,934.00 ","$0.00 ","$0.00 ","$0.00 ","$2,807.70 ","$2,807.70 ","$0.00 ","$3,934.00 ","$0.00 ","$1,967.00 ","$3,115.73 ","$3,147.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008118","EAP","Custom 27008118","","Sft Tissue Sprder Trocar 35mm","BOTH IP/OP","$1,247.00 ","$922.78 ","$0.00 ","$1,247.00 ","$0.00 ","$0.00 ","$0.00 ","$889.98 ","$889.98 ","$0.00 ","$1,247.00 ","$0.00 ","$623.50 ","$987.62 ","$997.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008119","EAP","Custom 27008119","","Sft Tissue Sprder Trocar 75","BOTH IP/OP","$1,247.00 ","$922.78 ","$0.00 ","$1,247.00 ","$0.00 ","$0.00 ","$0.00 ","$889.98 ","$889.98 ","$0.00 ","$1,247.00 ","$0.00 ","$623.50 ","$987.62 ","$997.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008122","EAP","Custom 27008122","","Straight Sharp Hook","BOTH IP/OP","$600.00 ","$444.00 ","$0.00 ","$600.00 ","$0.00 ","$0.00 ","$0.00 ","$428.22 ","$428.22 ","$0.00 ","$600.00 ","$0.00 ","$300.00 ","$475.20 ","$480.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008124","EAP","Custom 27008124","","Small Screw Removal Forceps","BOTH IP/OP","$1,770.00 ","$1,309.80 ","$0.00 ","$1,770.00 ","$0.00 ","$0.00 ","$0.00 ","$1,263.25 ","$1,263.25 ","$0.00 ","$1,770.00 ","$0.00 ","$885.00 ","$1,401.84 ","$1,416.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008125","EAP","Custom 27008125","","Large Screw Removal Forceps","BOTH IP/OP","$2,123.00 ","$1,571.02 ","$0.00 ","$2,123.00 ","$0.00 ","$0.00 ","$0.00 ","$1,515.19 ","$1,515.19 ","$0.00 ","$2,123.00 ","$0.00 ","$1,061.50 ","$1,681.42 ","$1,698.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008126","EAP","Custom 27008126","","Ti End Cap T25 Strdr 0mext Hu","BOTH IP/OP","$631.00 ","$466.94 ","$0.00 ","$631.00 ","$0.00 ","$0.00 ","$0.00 ","$450.34 ","$450.34 ","$0.00 ","$631.00 ","$0.00 ","$315.50 ","$499.75 ","$504.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008127","EAP","Custom 27008127","","Ti End Cap T25 Strdrv 0mm Ext","BOTH IP/OP","$759.00 ","$561.66 ","$0.00 ","$759.00 ","$0.00 ","$0.00 ","$0.00 ","$541.70 ","$541.70 ","$0.00 ","$759.00 ","$0.00 ","$379.50 ","$601.13 ","$607.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008128","EAP","Custom 27008128","","Ti End Cap T25 Strdrv 5mm Ext","BOTH IP/OP","$631.00 ","$466.94 ","$0.00 ","$631.00 ","$0.00 ","$0.00 ","$0.00 ","$450.34 ","$450.34 ","$0.00 ","$631.00 ","$0.00 ","$315.50 ","$499.75 ","$504.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008129","EAP","Custom 27008129","","Ti End Cap T25 Strdrv 5mm Ext","BOTH IP/OP","$759.00 ","$561.66 ","$0.00 ","$759.00 ","$0.00 ","$0.00 ","$0.00 ","$541.70 ","$541.70 ","$0.00 ","$759.00 ","$0.00 ","$379.50 ","$601.13 ","$607.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008130","EAP","Custom 27008130","","Ti End Cap T25 Strdrv 10mm Ex","BOTH IP/OP","$631.00 ","$466.94 ","$0.00 ","$631.00 ","$0.00 ","$0.00 ","$0.00 ","$450.34 ","$450.34 ","$0.00 ","$631.00 ","$0.00 ","$315.50 ","$499.75 ","$504.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008131","EAP","Custom 27008131","","Ti End Cap T25 Strdrv 10mm Ex","BOTH IP/OP","$759.00 ","$561.66 ","$0.00 ","$759.00 ","$0.00 ","$0.00 ","$0.00 ","$541.70 ","$541.70 ","$0.00 ","$759.00 ","$0.00 ","$379.50 ","$601.13 ","$607.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008132","EAP","Custom 27008132","","Ti End Cap T25 Strdrv 15mm Ext","BOTH IP/OP","$631.00 ","$466.94 ","$0.00 ","$631.00 ","$0.00 ","$0.00 ","$0.00 ","$450.34 ","$450.34 ","$0.00 ","$631.00 ","$0.00 ","$315.50 ","$499.75 ","$504.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008133","EAP","Custom 27008133","","Ti End Cap T25 Strdrv 15mm Ex","BOTH IP/OP","$759.00 ","$561.66 ","$0.00 ","$759.00 ","$0.00 ","$0.00 ","$0.00 ","$541.70 ","$541.70 ","$0.00 ","$759.00 ","$0.00 ","$379.50 ","$601.13 ","$607.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008138","EAP","Custom 27008138","","11m Ti Can Prox Hum Nl-ex/150m","BOTH IP/OP","$7,722.00 ","$5,714.28 ","$0.00 ","$7,722.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,722.00 ","$0.00 ","$3,861.00 ","$6,115.82 ","$6,177.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008139","EAP","Custom 27008139","","11m Ti Can Hum Nail-ex/190-320","BOTH IP/OP","$7,722.00 ","$5,714.28 ","$0.00 ","$7,722.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,722.00 ","$0.00 ","$3,861.00 ","$6,115.82 ","$6,177.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008140","EAP","Custom 27008140","","Ti End Cap T40 Sdrv 0mext Fem","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008141","EAP","Custom 27008141","","Ti End Cap T40 Sdrv 0mext Ste","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008142","EAP","Custom 27008142","","12 Ti End Cap T40 Sdrv 5m Ext","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008143","EAP","Custom 27008143","","12 Ti End Cap T40 Sdrv 5m Ext","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008144","EAP","Custom 27008144","","12 Ti End Cap T40 Sdrv 10mm Ex","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008145","EAP","Custom 27008145","","12 Ti End Cap T40 Sdrv 10mm Ex","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008146","EAP","Custom 27008146","","12 Ti End Cap T40 Sdrv 15mm Ex","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008147","EAP","Custom 27008147","","12 Ti End Cap T40 Sdrv 15mm Ex","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008148","EAP","Custom 27008148","","12 Ti End Cap T40 Sdrv 20mm Ex","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008149","EAP","Custom 27008149","","12 Ti End Cap T40 Sdrv 20mm Ex","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008150","EAP","Custom 27008150","","16 Ti End Cap T40 Sdrv 5m Ext","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008151","EAP","Custom 27008151","","16m Ti End Cap T40 Sdrv 5m Ext","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008152","EAP","Custom 27008152","","16m Ti End Cap T40 Sdrv 10mm","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008153","EAP","Custom 27008153","","16m Ti End Cap T40 Sdrv 10mm","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008154","EAP","Custom 27008154","","16m Ti End Cap T40 Sdrv 15mm","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008155","EAP","Custom 27008155","","16m Ti End Cap T40 Sdrv 15mm","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008156","EAP","Custom 27008156","","16 Ti End Cap T40 Sdrv 20mm Ex","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008157","EAP","Custom 27008157","","16 Ti End Cap T40 Sdrv 20mm Ex","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008185","EAP","Custom 27008185","","10ti Lat En Fem Nl-ex/300m-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008186","EAP","Custom 27008186","","11ti Lat En Fem Nl-ex/300m-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008187","EAP","Custom 27008187","","11ti Lat En Fem Nl-ex/300m-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008188","EAP","Custom 27008188","","12 Ti Lat En Fem Nl-ex/300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008189","EAP","Custom 27008189","","12 Ti Lat En Fem Nl-ex/300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008190","EAP","Custom 27008190","","13ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008191","EAP","Custom 27008191","","13ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008192","EAP","Custom 27008192","","14ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008193","EAP","Custom 27008193","","14ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008194","EAP","Custom 27008194","","15ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008195","EAP","Custom 27008195","","15ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008196","EAP","Custom 27008196","","16ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008197","EAP","Custom 27008197","","16ti Lat Ent Fem Nl-ex/300m480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008198","EAP","Custom 27008198","","Ti En Cp W/t40 Sdr 0m Ext F/t","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008199","EAP","Custom 27008199","","Ti En Cap W/t40 Sdr 0m Ext F/t","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008200","EAP","Custom 27008200","","Ti En Cap W/t40 Sdr 5m Ext F/t","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008201","EAP","Custom 27008201","","Ti En Cap W/t40 Sdr 5m Ext-ste","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008202","EAP","Custom 27008202","","Ti En Cap W/ T40 Sdr Ext F/ti","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008203","EAP","Custom 27008203","","Ti En Cap W/t40 Sdr 10m Ext-st","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008204","EAP","Custom 27008204","","Ti En Cap W/t40 Sdr 15m Ext","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008205","EAP","Custom 27008205","","Ti En Cap W/t40 Sdr 15m Ext-st","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008206","EAP","Custom 27008206","","Ti En Cap Tib Nl-ex T40 Sdr 0m","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008207","EAP","Custom 27008207","","Ti En Cap Tib Nl-ex T40 Sdr 0","BOTH IP/OP","$812.00 ","$600.88 ","$0.00 ","$812.00 ","$0.00 ","$0.00 ","$0.00 ","$579.52 ","$579.52 ","$0.00 ","$812.00 ","$0.00 ","$406.00 ","$643.10 ","$649.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008208","EAP","Custom 27008208","","Ti En Cap Tib Nl-ex T40 Sdr 5m","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008209","EAP","Custom 27008209","","Ti En Cap Tib Nl-ex T40 Sdr 5m","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008210","EAP","Custom 27008210","","Ti En Cap Tib Nl-ex T40 Sdr 10","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008211","EAP","Custom 27008211","","Ti En Cap Tib Nl-ex T40 Sdr 10","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008212","EAP","Custom 27008212","","Ti En Cap Tib Nl-ex T40 Sdr 15","BOTH IP/OP","$882.00 ","$652.68 ","$0.00 ","$882.00 ","$0.00 ","$0.00 ","$0.00 ","$629.48 ","$629.48 ","$0.00 ","$882.00 ","$0.00 ","$441.00 ","$698.54 ","$705.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008213","EAP","Custom 27008213","","Ti En Cap Tib Nl-ex T40 Sdr 15","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$0.00 ","$0.00 ","$0.00 ","$720.84 ","$720.84 ","$0.00 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008216","EAP","Custom 27008216","","10m Ti Can Tib Nl-ex/255-435mm","BOTH IP/OP","$6,110.00 ","$4,521.40 ","$0.00 ","$6,110.00 ","$0.00 ","$0.00 ","$0.00 ","$4,360.71 ","$4,360.71 ","$0.00 ","$6,110.00 ","$0.00 ","$3,055.00 ","$4,839.12 ","$4,888.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008217","EAP","Custom 27008217","","12m Ti Can Tib Nl-ex/255-435mm","BOTH IP/OP","$6,110.00 ","$4,521.40 ","$0.00 ","$6,110.00 ","$0.00 ","$0.00 ","$0.00 ","$4,360.71 ","$4,360.71 ","$0.00 ","$6,110.00 ","$0.00 ","$3,055.00 ","$4,839.12 ","$4,888.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008219","EAP","Custom 27008219","","Ti En Cap T25 Sdr Hndft Art Nl","BOTH IP/OP","$712.00 ","$526.88 ","$0.00 ","$712.00 ","$0.00 ","$0.00 ","$0.00 ","$508.15 ","$508.15 ","$0.00 ","$712.00 ","$0.00 ","$356.00 ","$563.90 ","$569.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008220","EAP","Custom 27008220","","Ti En Cap T25 Sdr Hndft Art Nl","BOTH IP/OP","$842.00 ","$623.08 ","$0.00 ","$842.00 ","$0.00 ","$0.00 ","$0.00 ","$600.94 ","$600.94 ","$0.00 ","$842.00 ","$0.00 ","$421.00 ","$666.86 ","$673.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008221","EAP","Custom 27008221","","Ti En Cap T25 Sdr Hndft Art Nl","BOTH IP/OP","$712.00 ","$526.88 ","$0.00 ","$712.00 ","$0.00 ","$0.00 ","$0.00 ","$508.15 ","$508.15 ","$0.00 ","$712.00 ","$0.00 ","$356.00 ","$563.90 ","$569.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008222","EAP","Custom 27008222","","Ti En Cap T25 Sdr Hndft Art Nl","BOTH IP/OP","$842.00 ","$623.08 ","$0.00 ","$842.00 ","$0.00 ","$0.00 ","$0.00 ","$600.94 ","$600.94 ","$0.00 ","$842.00 ","$0.00 ","$421.00 ","$666.86 ","$673.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008223","EAP","Custom 27008223","","10ti Hft Art Can Nl-ex150-240m","BOTH IP/OP","$6,453.00 ","$4,775.22 ","$0.00 ","$6,453.00 ","$0.00 ","$0.00 ","$0.00 ","$4,605.51 ","$4,605.51 ","$0.00 ","$6,453.00 ","$0.00 ","$3,226.50 ","$5,110.78 ","$5,162.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008224","EAP","Custom 27008224","","Ti En Cap T40 Sdr 0m Ext Retr","BOTH IP/OP","$682.00 ","$504.68 ","$0.00 ","$682.00 ","$0.00 ","$0.00 ","$0.00 ","$486.74 ","$486.74 ","$0.00 ","$682.00 ","$0.00 ","$341.00 ","$540.14 ","$545.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008225","EAP","Custom 27008225","","Ti Spir Bld 45m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008226","EAP","Custom 27008226","","Ti Spir Bld 50m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008227","EAP","Custom 27008227","","Ti Spir Bld 50m-ster F/ti Retr","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008228","EAP","Custom 27008228","","Ti Spir Bld 55m Ti Retr Fem","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008229","EAP","Custom 27008229","","Ti Spir Bld 55m-ster F/ti Retr","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008230","EAP","Custom 27008230","","Ti Spir Bld 65m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008231","EAP","Custom 27008231","","Ti Spir Bld 65f/ti Ret Fem Nls","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008232","EAP","Custom 27008232","","Ti Spir Bld 70m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008233","EAP","Custom 27008233","","Ti Spir Bld 70m F/ti Retr Fem","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008234","EAP","Custom 27008234","","Ti Spir Bld 75m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008235","EAP","Custom 27008235","","Ti Spir Bld 75 F/ti Ret Fem Nl","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008236","EAP","Custom 27008236","","Ti Spir Bld 80m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008237","EAP","Custom 27008237","","Ti Spir Bld 80 F/ti Ret Fem Nl","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008238","EAP","Custom 27008238","","Ti Spir Bld 85 Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008239","EAP","Custom 27008239","","Ti Spir Bld 85m F/ti Retr Fem","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008240","EAP","Custom 27008240","","Ti Spir Bld 90m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008241","EAP","Custom 27008241","","Ti Spir Bld 90m F/ti Retr Fem","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008242","EAP","Custom 27008242","","Ti Spir Bld 95m Ti Retr Fem Nl","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008243","EAP","Custom 27008243","","Ti Spir Bld 100m Ti Retr Fem","BOTH IP/OP","$2,318.00 ","$1,715.32 ","$0.00 ","$2,318.00 ","$0.00 ","$0.00 ","$0.00 ","$1,654.36 ","$1,654.36 ","$0.00 ","$2,318.00 ","$0.00 ","$1,159.00 ","$1,835.86 ","$1,854.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008244","EAP","Custom 27008244","","Ti Spir Bld 100m-st F/ti Ret","BOTH IP/OP","$2,447.00 ","$1,810.78 ","$0.00 ","$2,447.00 ","$0.00 ","$0.00 ","$0.00 ","$1,746.42 ","$1,746.42 ","$0.00 ","$2,447.00 ","$0.00 ","$1,223.50 ","$1,938.02 ","$1,957.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008247","EAP","Custom 27008247","","10ti Can Ret Fem Nl-ex/160-280","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008248","EAP","Custom 27008248","","10ti Can Ret/ant Fem Nl300-480","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008249","EAP","Custom 27008249","","11ti Can Ret Fem Nl-ex/160-280","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008250","EAP","Custom 27008250","","12mmti Can Retr Fem Nl 160-280","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008251","EAP","Custom 27008251","","13ti Can Retr Fem Nl-ex160-280","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008252","EAP","Custom 27008252","","13ti Can Ret/ant Fem Nl300-480","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008253","EAP","Custom 27008253","","14ti Can Retr Fem Nl-ex160-280","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008254","EAP","Custom 27008254","","14ti Can Ret/ant Fem Nl300-480","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008255","EAP","Custom 27008255","","15ti Can Retr Fem Nl-160-280mm","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008256","EAP","Custom 27008256","","15ti Can Ret/ant Fem Nl300-480","BOTH IP/OP","$6,897.00 ","$5,103.78 ","$0.00 ","$6,897.00 ","$0.00 ","$0.00 ","$0.00 ","$4,922.39 ","$4,922.39 ","$0.00 ","$6,897.00 ","$0.00 ","$3,448.50 ","$5,462.42 ","$5,517.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008258","EAP","Custom 27008258","","10ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008259","EAP","Custom 27008259","","10ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008260","EAP","Custom 27008260","","11ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008261","EAP","Custom 27008261","","12ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008262","EAP","Custom 27008262","","12ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008263","EAP","Custom 27008263","","13ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008264","EAP","Custom 27008264","","13ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008265","EAP","Custom 27008265","","14ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008266","EAP","Custom 27008266","","14ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008267","EAP","Custom 27008267","","15ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008268","EAP","Custom 27008268","","15ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008269","EAP","Custom 27008269","","16ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008270","EAP","Custom 27008270","","16ti Can Lat Ent Fem Nl300-480","BOTH IP/OP","$6,829.00 ","$5,053.46 ","$0.00 ","$6,829.00 ","$0.00 ","$0.00 ","$0.00 ","$4,873.86 ","$4,873.86 ","$0.00 ","$6,829.00 ","$0.00 ","$3,414.50 ","$5,408.57 ","$5,463.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008275","EAP","Custom 27008275","","T15/2.5m Hex Ti Cerclage Buttn","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$652.00 ","$0.00 ","$0.00 ","$0.00 ","$465.33 ","$465.33 ","$0.00 ","$652.00 ","$0.00 ","$326.00 ","$516.38 ","$521.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008276","EAP","Custom 27008276","","T25/3.5m Hex Ti Cerclage Buttn","BOTH IP/OP","$652.00 ","$482.48 ","$0.00 ","$652.00 ","$0.00 ","$0.00 ","$0.00 ","$465.33 ","$465.33 ","$0.00 ","$652.00 ","$0.00 ","$326.00 ","$516.38 ","$521.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008281","EAP","Custom 27008281","","Saw Bld 95x19 0.89m Cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008282","EAP","Custom 27008282","","Saw Bld 95x19 1.19m Cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008283","EAP","Custom 27008283","","Saw Bld 95x19 1.27m Cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008284","EAP","Custom 27008284","","Saw Bld 95x19 1.37m Cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008285","EAP","Custom 27008285","","Saw Bld 95x 19 1.47 Cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008286","EAP","Custom 27008286","","Saw Bld 80x19 0.89 Cut Thkness","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008287","EAP","Custom 27008287","","Saw Bld 95x19 1.00 Cut Thkness","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008288","EAP","Custom 27008288","","Saw Bld 95 X 19 1.07cut Thknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008289","EAP","Custom 27008289","","Saw Bld 95x25 0.89 Cut Thkness","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008290","EAP","Custom 27008290","","Saw Bld 95x25 1.19 Cut Thcknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008291","EAP","Custom 27008291","","Saw Bld 95x25 1.27 Cut Thcknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008292","EAP","Custom 27008292","","Saw Bld 95x25 1.37 Cut Thcknes","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008293","EAP","Custom 27008293","","Saw Bld 95x25 1.47cut Thckness","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008294","EAP","Custom 27008294","","Saw Blade 95mm X 25mm 1.00mm","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008295","EAP","Custom 27008295","","Saw Blade 95mm X 25mm 1.07mm","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008296","EAP","Custom 27008296","","Saw Blade 90mm X 12.5mm 0.89m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008297","EAP","Custom 27008297","","Saw Blade 90mm X 12.5mm 1.19m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008298","EAP","Custom 27008298","","Saw Blade 90mm X 12.5mm 1.27m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008299","EAP","Custom 27008299","","Saw Blade 90mm X 12.5mm 1.37m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008300","EAP","Custom 27008300","","Saw Blade 90mm X 12.5mm 1.47m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008301","EAP","Custom 27008301","","Saw Blade 90m X 19-12.5m 0.89m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008302","EAP","Custom 27008302","","Saw Blade 90m X19-12.5mm 1.19m","BOTH IP/OP","$328.00 ","$242.72 ","$0.00 ","$328.00 ","$0.00 ","$0.00 ","$0.00 ","$234.09 ","$234.09 ","$0.00 ","$328.00 ","$0.00 ","$164.00 ","$259.78 ","$262.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008303","EAP","Custom 27008303","","Saw Blade 90mx19-12.5mm 1.27m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008304","EAP","Custom 27008304","","Saw Blade 90m X19-12.5m 1.37m","BOTH IP/OP","$310.00 ","$229.40 ","$0.00 ","$310.00 ","$0.00 ","$0.00 ","$0.00 ","$221.25 ","$221.25 ","$0.00 ","$310.00 ","$0.00 ","$155.00 ","$245.52 ","$248.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008305","EAP","Custom 27008305","","Saw Blade 90mx19-12.5mm 1.47m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008306","EAP","Custom 27008306","","Saw Blade 90mx19-12.5mm 1.00m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008307","EAP","Custom 27008307","","Saw Blade 90mm X 12.5mm 1.00m","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008308","EAP","Custom 27008308","","Saw Blade 60mm X 25mm 0.89mm","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008309","EAP","Custom 27008309","","Plan&reduct Tech In Fx Surgery","BOTH IP/OP","$781.00 ","$577.94 ","$0.00 ","$781.00 ","$0.00 ","$0.00 ","$0.00 ","$557.40 ","$557.40 ","$0.00 ","$781.00 ","$0.00 ","$390.50 ","$618.55 ","$624.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008312","EAP","Custom 27008312","","The Rational Operative Fx Care","BOTH IP/OP","$781.00 ","$577.94 ","$0.00 ","$781.00 ","$0.00 ","$0.00 ","$0.00 ","$557.40 ","$557.40 ","$0.00 ","$781.00 ","$0.00 ","$390.50 ","$618.55 ","$624.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008316","EAP","Custom 27008316","","Minimax Fracture Fixation","BOTH IP/OP","$630.00 ","$466.20 ","$0.00 ","$630.00 ","$0.00 ","$0.00 ","$0.00 ","$449.63 ","$449.63 ","$0.00 ","$630.00 ","$0.00 ","$315.00 ","$498.96 ","$504.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008318","EAP","Custom 27008318","","Intern Fixatn Osteoporotic Bne","BOTH IP/OP","$538.00 ","$398.12 ","$0.00 ","$538.00 ","$0.00 ","$0.00 ","$0.00 ","$383.97 ","$383.97 ","$0.00 ","$538.00 ","$0.00 ","$269.00 ","$426.10 ","$430.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008321","EAP","Custom 27008321","","Oper Approach Orth Surg&trauma","BOTH IP/OP","$635.00 ","$469.90 ","$0.00 ","$635.00 ","$0.00 ","$0.00 ","$0.00 ","$453.20 ","$453.20 ","$0.00 ","$635.00 ","$0.00 ","$317.50 ","$502.92 ","$508.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008324","EAP","Custom 27008324","","1.5mm Cortex Scw 6-20mm","BOTH IP/OP","$83.00 ","$61.42 ","$0.00 ","$83.00 ","$0.00 ","$0.00 ","$0.00 ","$59.24 ","$59.24 ","$0.00 ","$83.00 ","$0.00 ","$41.50 ","$65.74 ","$66.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008325","EAP","Custom 27008325","","1.0cor Scw Self-tapg 6-14mm","BOTH IP/OP","$340.00 ","$251.60 ","$0.00 ","$340.00 ","$0.00 ","$0.00 ","$0.00 ","$242.66 ","$242.66 ","$0.00 ","$340.00 ","$0.00 ","$170.00 ","$269.28 ","$272.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008326","EAP","Custom 27008326","","1.3mm Cort Scw Slf-tapg 6-18","BOTH IP/OP","$329.00 ","$243.46 ","$0.00 ","$329.00 ","$0.00 ","$0.00 ","$0.00 ","$234.81 ","$234.81 ","$0.00 ","$329.00 ","$0.00 ","$164.50 ","$260.57 ","$263.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008327","EAP","Custom 27008327","","1.5mm Cort Scw Slf-tapg 6-24","BOTH IP/OP","$97.00 ","$71.78 ","$0.00 ","$97.00 ","$0.00 ","$0.00 ","$0.00 ","$69.23 ","$69.23 ","$0.00 ","$97.00 ","$0.00 ","$48.50 ","$76.82 ","$77.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008335","EAP","Custom 27008335","","1.8mm Buttress Pin/12-30mm","BOTH IP/OP","$170.00 ","$125.80 ","$0.00 ","$170.00 ","$0.00 ","$0.00 ","$0.00 ","$121.33 ","$121.33 ","$0.00 ","$170.00 ","$0.00 ","$85.00 ","$134.64 ","$136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008367","EAP","Custom 27008367","","Schuhli Assembly - 4.5 Cor Scw","BOTH IP/OP","$1,039.00 ","$768.86 ","$0.00 ","$1,039.00 ","$0.00 ","$0.00 ","$0.00 ","$741.53 ","$741.53 ","$0.00 ","$1,039.00 ","$0.00 ","$519.50 ","$822.89 ","$831.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008368","EAP","Custom 27008368","","Schuhli Assembly- 3.5 Cor Scw","BOTH IP/OP","$1,039.00 ","$768.86 ","$0.00 ","$1,039.00 ","$0.00 ","$0.00 ","$0.00 ","$741.53 ","$741.53 ","$0.00 ","$1,039.00 ","$0.00 ","$519.50 ","$822.89 ","$831.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008369","EAP","Custom 27008369","","Thrded Wash 3.0 Cannul Scw","BOTH IP/OP","$560.00 ","$414.40 ","$0.00 ","$560.00 ","$0.00 ","$0.00 ","$0.00 ","$399.67 ","$399.67 ","$0.00 ","$560.00 ","$0.00 ","$280.00 ","$443.52 ","$448.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008370","EAP","Custom 27008370","","Spiked Washer 8.0mm/3.2mm","BOTH IP/OP","$497.00 ","$367.78 ","$0.00 ","$497.00 ","$0.00 ","$0.00 ","$0.00 ","$354.71 ","$354.71 ","$0.00 ","$497.00 ","$0.00 ","$248.50 ","$393.62 ","$397.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008371","EAP","Custom 27008371","","Spiked Washer 13.5mm/4.0mm","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$0.00 ","$0.00 ","$0.00 ","$357.56 ","$357.56 ","$0.00 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008372","EAP","Custom 27008372","","Spiked Washer 13.5mm/5.5mm","BOTH IP/OP","$492.00 ","$364.08 ","$0.00 ","$492.00 ","$0.00 ","$0.00 ","$0.00 ","$351.14 ","$351.14 ","$0.00 ","$492.00 ","$0.00 ","$246.00 ","$389.66 ","$393.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008373","EAP","Custom 27008373","","Spher Wash/sm Oval 6.5/ 0.3mm","BOTH IP/OP","$608.00 ","$449.92 ","$0.00 ","$608.00 ","$0.00 ","$0.00 ","$0.00 ","$433.93 ","$433.93 ","$0.00 ","$608.00 ","$0.00 ","$304.00 ","$481.54 ","$486.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008374","EAP","Custom 27008374","","Spher Washer/lrg Rnd 6.5/7.3","BOTH IP/OP","$608.00 ","$449.92 ","$0.00 ","$608.00 ","$0.00 ","$0.00 ","$0.00 ","$433.93 ","$433.93 ","$0.00 ","$608.00 ","$0.00 ","$304.00 ","$481.54 ","$486.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008375","EAP","Custom 27008375","","Nut For 4.5mm Cortex Screws","BOTH IP/OP","$120.00 ","$88.80 ","$0.00 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$85.64 ","$85.64 ","$0.00 ","$120.00 ","$0.00 ","$60.00 ","$95.04 ","$96.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008376","EAP","Custom 27008376","","Washer 6.5mm","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$0.00 ","$0.00 ","$0.00 ","$77.79 ","$77.79 ","$0.00 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008377","EAP","Custom 27008377","","1.3mm Straight Plate 6 Holes","BOTH IP/OP","$789.00 ","$583.86 ","$0.00 ","$789.00 ","$0.00 ","$0.00 ","$0.00 ","$563.11 ","$563.11 ","$0.00 ","$789.00 ","$0.00 ","$394.50 ","$624.89 ","$631.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008378","EAP","Custom 27008378","","1.3mm Straight Plate 12 Holes","BOTH IP/OP","$996.00 ","$737.04 ","$0.00 ","$996.00 ","$0.00 ","$0.00 ","$0.00 ","$710.85 ","$710.85 ","$0.00 ","$996.00 ","$0.00 ","$498.00 ","$788.83 ","$796.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008379","EAP","Custom 27008379","","1.3mm Extended H-plate/right","BOTH IP/OP","$954.00 ","$705.96 ","$0.00 ","$954.00 ","$0.00 ","$0.00 ","$0.00 ","$680.87 ","$680.87 ","$0.00 ","$954.00 ","$0.00 ","$477.00 ","$755.57 ","$763.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008380","EAP","Custom 27008380","","1.3mm Extended H-plate/left","BOTH IP/OP","$954.00 ","$705.96 ","$0.00 ","$954.00 ","$0.00 ","$0.00 ","$0.00 ","$680.87 ","$680.87 ","$0.00 ","$954.00 ","$0.00 ","$477.00 ","$755.57 ","$763.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008381","EAP","Custom 27008381","","1.3mm T-plte 3 Hles Hd/ 8hles","BOTH IP/OP","$913.00 ","$675.62 ","$0.00 ","$913.00 ","$0.00 ","$0.00 ","$0.00 ","$651.61 ","$651.61 ","$0.00 ","$913.00 ","$0.00 ","$456.50 ","$723.10 ","$730.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008382","EAP","Custom 27008382","","1.3mm T-plte 4hles Head/8hles","BOTH IP/OP","$954.00 ","$705.96 ","$0.00 ","$954.00 ","$0.00 ","$0.00 ","$0.00 ","$680.87 ","$680.87 ","$0.00 ","$954.00 ","$0.00 ","$477.00 ","$755.57 ","$763.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008383","EAP","Custom 27008383","","1.3mm Y-plte 3 Hles Head/8hle","BOTH IP/OP","$913.00 ","$675.62 ","$0.00 ","$913.00 ","$0.00 ","$0.00 ","$0.00 ","$651.61 ","$651.61 ","$0.00 ","$913.00 ","$0.00 ","$456.50 ","$723.10 ","$730.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008384","EAP","Custom 27008384","","Semi-tubul Plate 2 Holes 39m","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008385","EAP","Custom 27008385","","Semi-tubul Plate 3 Holes 55m","BOTH IP/OP","$235.00 ","$173.90 ","$0.00 ","$235.00 ","$0.00 ","$0.00 ","$0.00 ","$167.72 ","$167.72 ","$0.00 ","$235.00 ","$0.00 ","$117.50 ","$186.12 ","$188.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008386","EAP","Custom 27008386","","Semi-tubul Plate 4 Holes 71m","BOTH IP/OP","$255.00 ","$188.70 ","$0.00 ","$255.00 ","$0.00 ","$0.00 ","$0.00 ","$181.99 ","$181.99 ","$0.00 ","$255.00 ","$0.00 ","$127.50 ","$201.96 ","$204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008387","EAP","Custom 27008387","","Semi-tubul Plate 5 Holes 87m","BOTH IP/OP","$267.00 ","$197.58 ","$0.00 ","$267.00 ","$0.00 ","$0.00 ","$0.00 ","$190.56 ","$190.56 ","$0.00 ","$267.00 ","$0.00 ","$133.50 ","$211.46 ","$213.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008388","EAP","Custom 27008388","","Semi-tubulplate 6 Holes 103m","BOTH IP/OP","$283.00 ","$209.42 ","$0.00 ","$283.00 ","$0.00 ","$0.00 ","$0.00 ","$201.98 ","$201.98 ","$0.00 ","$283.00 ","$0.00 ","$141.50 ","$224.14 ","$226.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008389","EAP","Custom 27008389","","Semi-tubul Plate 7 Holes 119m","BOTH IP/OP","$307.00 ","$227.18 ","$0.00 ","$307.00 ","$0.00 ","$0.00 ","$0.00 ","$219.11 ","$219.11 ","$0.00 ","$307.00 ","$0.00 ","$153.50 ","$243.14 ","$245.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008390","EAP","Custom 27008390","","Semi-tubul Plate 8 Holes 135m","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$0.00 ","$0.00 ","$0.00 ","$231.95 ","$231.95 ","$0.00 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008391","EAP","Custom 27008391","","Semi-tubul Plate 9 Holes 151m","BOTH IP/OP","$337.00 ","$249.38 ","$0.00 ","$337.00 ","$0.00 ","$0.00 ","$0.00 ","$240.52 ","$240.52 ","$0.00 ","$337.00 ","$0.00 ","$168.50 ","$266.90 ","$269.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008392","EAP","Custom 27008392","","Semi-tubul Plate 10 Holes 167m","BOTH IP/OP","$345.00 ","$255.30 ","$0.00 ","$345.00 ","$0.00 ","$0.00 ","$0.00 ","$246.23 ","$246.23 ","$0.00 ","$345.00 ","$0.00 ","$172.50 ","$273.24 ","$276.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008393","EAP","Custom 27008393","","Semi-tubul Plate 11 Holes/183m","BOTH IP/OP","$356.00 ","$263.44 ","$0.00 ","$356.00 ","$0.00 ","$0.00 ","$0.00 ","$254.08 ","$254.08 ","$0.00 ","$356.00 ","$0.00 ","$178.00 ","$281.95 ","$284.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008394","EAP","Custom 27008394","","Semi-tubular Plate 12 Hles/199","BOTH IP/OP","$375.00 ","$277.50 ","$0.00 ","$375.00 ","$0.00 ","$0.00 ","$0.00 ","$267.64 ","$267.64 ","$0.00 ","$375.00 ","$0.00 ","$187.50 ","$297.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008662","EAP","Custom 27008662","","100deg Adoles Osteo Plt 50/10","BOTH IP/OP","$2,088.00 ","$1,545.12 ","$0.00 ","$2,088.00 ","$0.00 ","$0.00 ","$0.00 ","$1,490.21 ","$1,490.21 ","$0.00 ","$2,088.00 ","$0.00 ","$1,044.00 ","$1,653.70 ","$1,670.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008663","EAP","Custom 27008663","","100deg Adoles Osteo Plt 50/10","BOTH IP/OP","$2,219.00 ","$1,642.06 ","$0.00 ","$2,219.00 ","$0.00 ","$0.00 ","$0.00 ","$1,583.70 ","$1,583.70 ","$0.00 ","$2,219.00 ","$0.00 ","$1,109.50 ","$1,757.45 ","$1,775.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008666","EAP","Custom 27008666","","100deg Adoles Osteo Plt 40/10","BOTH IP/OP","$2,088.00 ","$1,545.12 ","$0.00 ","$2,088.00 ","$0.00 ","$0.00 ","$0.00 ","$1,490.21 ","$1,490.21 ","$0.00 ","$2,088.00 ","$0.00 ","$1,044.00 ","$1,653.70 ","$1,670.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008667","EAP","Custom 27008667","","100deg Adoles Osteo Plt 40/10","BOTH IP/OP","$2,219.00 ","$1,642.06 ","$0.00 ","$2,219.00 ","$0.00 ","$0.00 ","$0.00 ","$1,583.70 ","$1,583.70 ","$0.00 ","$2,219.00 ","$0.00 ","$1,109.50 ","$1,757.45 ","$1,775.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008670","EAP","Custom 27008670","","100deg Adoles Osteo Plt 50/15","BOTH IP/OP","$2,088.00 ","$1,545.12 ","$0.00 ","$2,088.00 ","$0.00 ","$0.00 ","$0.00 ","$1,490.21 ","$1,490.21 ","$0.00 ","$2,088.00 ","$0.00 ","$1,044.00 ","$1,653.70 ","$1,670.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008671","EAP","Custom 27008671","","100deg Adoles Osteo Plt 50/15","BOTH IP/OP","$2,219.00 ","$1,642.06 ","$0.00 ","$2,219.00 ","$0.00 ","$0.00 ","$0.00 ","$1,583.70 ","$1,583.70 ","$0.00 ","$2,219.00 ","$0.00 ","$1,109.50 ","$1,757.45 ","$1,775.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008674","EAP","Custom 27008674","","100deg Adoles Osteo Plt 60/15","BOTH IP/OP","$2,088.00 ","$1,545.12 ","$0.00 ","$2,088.00 ","$0.00 ","$0.00 ","$0.00 ","$1,490.21 ","$1,490.21 ","$0.00 ","$2,088.00 ","$0.00 ","$1,044.00 ","$1,653.70 ","$1,670.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008675","EAP","Custom 27008675","","100deg Adoles Osteo Plt 60/15","BOTH IP/OP","$2,219.00 ","$1,642.06 ","$0.00 ","$2,219.00 ","$0.00 ","$0.00 ","$0.00 ","$1,583.70 ","$1,583.70 ","$0.00 ","$2,219.00 ","$0.00 ","$1,109.50 ","$1,757.45 ","$1,775.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008678","EAP","Custom 27008678","","100deg Adoles Osteo Plt 40/15","BOTH IP/OP","$2,088.00 ","$1,545.12 ","$0.00 ","$2,088.00 ","$0.00 ","$0.00 ","$0.00 ","$1,490.21 ","$1,490.21 ","$0.00 ","$2,088.00 ","$0.00 ","$1,044.00 ","$1,653.70 ","$1,670.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008679","EAP","Custom 27008679","","100deg Adoles Osteo Plt 40/15","BOTH IP/OP","$2,219.00 ","$1,642.06 ","$0.00 ","$2,219.00 ","$0.00 ","$0.00 ","$0.00 ","$1,583.70 ","$1,583.70 ","$0.00 ","$2,219.00 ","$0.00 ","$1,109.50 ","$1,757.45 ","$1,775.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008680","EAP","Custom 27008680","","115 Deg Bifurcatd Plte 30/5","BOTH IP/OP","$1,187.00 ","$878.38 ","$0.00 ","$1,187.00 ","$0.00 ","$0.00 ","$0.00 ","$847.16 ","$847.16 ","$0.00 ","$1,187.00 ","$0.00 ","$593.50 ","$940.10 ","$949.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008681","EAP","Custom 27008681","","115 Deg Bifurcatd Plte 30/5","BOTH IP/OP","$1,318.00 ","$975.32 ","$0.00 ","$1,318.00 ","$0.00 ","$0.00 ","$0.00 ","$940.66 ","$940.66 ","$0.00 ","$1,318.00 ","$0.00 ","$659.00 ","$1,043.86 ","$1,054.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008682","EAP","Custom 27008682","","115 Deg Bifurcatd Plte 35/5","BOTH IP/OP","$1,187.00 ","$878.38 ","$0.00 ","$1,187.00 ","$0.00 ","$0.00 ","$0.00 ","$847.16 ","$847.16 ","$0.00 ","$1,187.00 ","$0.00 ","$593.50 ","$940.10 ","$949.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27008683","EAP","Custom 27008683","","115 Deg Bifurcatd Plte 35/5","BOTH IP/OP","$1,318.00 ","$975.32 ","$0.00 ","$1,318.00 ","$0.00 ","$0.00 ","$0.00 ","$940.66 ","$940.66 ","$0.00 ","$1,318.00 ","$0.00 ","$659.00 ","$1,043.86 ","$1,054.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010225","EAP","Custom 27010225","","0.8mm Guide Wire 100mm","BOTH IP/OP","$611.00 ","$452.14 ","$0.00 ","$611.00 ","$0.00 ","$0.00 ","$0.00 ","$436.07 ","$436.07 ","$0.00 ","$611.00 ","$0.00 ","$305.50 ","$483.91 ","$488.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010807","EAP","Custom 27010807","","Bipolar Cord,disposable","BOTH IP/OP","$683.00 ","$505.42 ","$0.00 ","$683.00 ","$0.00 ","$0.00 ","$0.00 ","$487.46 ","$487.46 ","$0.00 ","$683.00 ","$0.00 ","$341.50 ","$540.94 ","$546.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010828","EAP","Custom 27010828","","Cast App'l-spica Adult","BOTH IP/OP","$749.00 ","$554.26 ","$0.00 ","$749.00 ","$0.00 ","$0.00 ","$0.00 ","$534.56 ","$534.56 ","$0.00 ","$749.00 ","$0.00 ","$374.50 ","$593.21 ","$599.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010880","EAP","Custom 27010880","","Colostomy Bag & Supplies","BOTH IP/OP","$509.00 ","$376.66 ","$0.00 ","$509.00 ","$0.00 ","$0.00 ","$0.00 ","$363.27 ","$363.27 ","$0.00 ","$509.00 ","$0.00 ","$254.50 ","$403.13 ","$407.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010881","EAP","Custom 27010881","","Gen-supp-guide Wire","BOTH IP/OP","$160.00 ","$118.40 ","$0.00 ","$160.00 ","$0.00 ","$0.00 ","$0.00 ","$114.19 ","$114.19 ","$0.00 ","$160.00 ","$0.00 ","$80.00 ","$126.72 ","$128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010943","EAP","Custom 27010943","","Endo Stitch* Polysorb* 3/0 7 V","BOTH IP/OP","$198.00 ","$146.52 ","$0.00 ","$198.00 ","$0.00 ","$0.00 ","$0.00 ","$141.31 ","$141.31 ","$0.00 ","$198.00 ","$0.00 ","$99.00 ","$156.82 ","$158.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010987","EAP","Custom 27010987","","3.2mm Guide Wire 290mm","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$0.00 ","$0.00 ","$0.00 ","$357.56 ","$357.56 ","$0.00 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010993","EAP","Custom 27010993","","Humeral Fracture Brace","BOTH IP/OP","$196.00 ","$145.04 ","$0.00 ","$196.00 ","$0.00 ","$0.00 ","$0.00 ","$139.89 ","$139.89 ","$0.00 ","$196.00 ","$0.00 ","$98.00 ","$155.23 ","$156.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010994","EAP","Custom 27010994","","Wound Care Shoe","BOTH IP/OP","$309.00 ","$228.66 ","$0.00 ","$309.00 ","$0.00 ","$0.00 ","$0.00 ","$220.53 ","$220.53 ","$0.00 ","$309.00 ","$0.00 ","$154.50 ","$244.73 ","$247.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27010997","EAP","Custom 27010997","","3mmx20cm Tunneler","BOTH IP/OP","$656.00 ","$485.44 ","$0.00 ","$656.00 ","$0.00 ","$0.00 ","$0.00 ","$468.19 ","$468.19 ","$0.00 ","$656.00 ","$0.00 ","$328.00 ","$519.55 ","$524.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011002","EAP","Custom 27011002","","4fr Catheter Cobra 2","BOTH IP/OP","$166.00 ","$122.84 ","$0.00 ","$166.00 ","$0.00 ","$0.00 ","$0.00 ","$118.47 ","$118.47 ","$0.00 ","$166.00 ","$0.00 ","$83.00 ","$131.47 ","$132.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011008","EAP","Custom 27011008","","5fr-100cm Sim 1 Cath","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011009","EAP","Custom 27011009","","5mmx19cmx90cm Monorail Bilary","BOTH IP/OP","$4,654.00 ","$3,443.96 ","$0.00 ","$4,654.00 ","$0.00 ","$0.00 ","$0.00 ","$3,321.56 ","$3,321.56 ","$0.00 ","$4,654.00 ","$0.00 ","$2,327.00 ","$3,685.97 ","$3,723.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011010","EAP","Custom 27011010","","5x135x40cm Unifuse Kit","BOTH IP/OP","$550.00 ","$407.00 ","$0.00 ","$550.00 ","$0.00 ","$0.00 ","$0.00 ","$392.54 ","$392.54 ","$0.00 ","$550.00 ","$0.00 ","$275.00 ","$435.60 ","$440.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011011","EAP","Custom 27011011","","5x135x50cm Unifuse Kit","BOTH IP/OP","$550.00 ","$407.00 ","$0.00 ","$550.00 ","$0.00 ","$0.00 ","$0.00 ","$392.54 ","$392.54 ","$0.00 ","$550.00 ","$0.00 ","$275.00 ","$435.60 ","$440.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011013","EAP","Custom 27011013","","6fr Al1 Catheter","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011015","EAP","Custom 27011015","","6fr Ar1 Catheter","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011028","EAP","Custom 27011028","","7.1 Fr 100cm Pigtail Cath","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011029","EAP","Custom 27011029","","8fr X 40cm Skater Biliary Drai","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$254.00 ","$0.00 ","$0.00 ","$0.00 ","$181.28 ","$181.28 ","$0.00 ","$254.00 ","$0.00 ","$127.00 ","$201.17 ","$203.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011032","EAP","Custom 27011032","","Air Guard Valved Introducer","BOTH IP/OP","$335.00 ","$247.90 ","$0.00 ","$335.00 ","$0.00 ","$0.00 ","$0.00 ","$239.09 ","$239.09 ","$0.00 ","$335.00 ","$0.00 ","$167.50 ","$265.32 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011033","EAP","Custom 27011033","","Bag Drainage Ureteral","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$0.00 ","$73.51 ","$73.51 ","$0.00 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011037","EAP","Custom 27011037","","Balloon Dial Cath Xxl 12mmx4cm","BOTH IP/OP","$856.00 ","$633.44 ","$0.00 ","$856.00 ","$0.00 ","$0.00 ","$0.00 ","$610.93 ","$610.93 ","$0.00 ","$856.00 ","$0.00 ","$428.00 ","$677.95 ","$684.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011039","EAP","Custom 27011039","","Balloon Polar Cath 4x60x120","BOTH IP/OP","$2,002.00 ","$1,481.48 ","$0.00 ","$2,002.00 ","$0.00 ","$0.00 ","$0.00 ","$1,428.83 ","$1,428.83 ","$0.00 ","$2,002.00 ","$0.00 ","$1,001.00 ","$1,585.58 ","$1,601.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011040","EAP","Custom 27011040","","Balloon Polar Cath 5x40x120","BOTH IP/OP","$2,002.00 ","$1,481.48 ","$0.00 ","$2,002.00 ","$0.00 ","$0.00 ","$0.00 ","$1,428.83 ","$1,428.83 ","$0.00 ","$2,002.00 ","$0.00 ","$1,001.00 ","$1,585.58 ","$1,601.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011041","EAP","Custom 27011041","","Balloon Polar Cath 5x60x120","BOTH IP/OP","$2,002.00 ","$1,481.48 ","$0.00 ","$2,002.00 ","$0.00 ","$0.00 ","$0.00 ","$1,428.83 ","$1,428.83 ","$0.00 ","$2,002.00 ","$0.00 ","$1,001.00 ","$1,585.58 ","$1,601.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011051","EAP","Custom 27011051","","Basket Stone Removal 8-wire","BOTH IP/OP","$963.00 ","$712.62 ","$0.00 ","$963.00 ","$0.00 ","$0.00 ","$0.00 ","$687.29 ","$687.29 ","$0.00 ","$963.00 ","$0.00 ","$481.50 ","$762.70 ","$770.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011052","EAP","Custom 27011052","","Bead Block 100-300","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011053","EAP","Custom 27011053","","Bead Block 300-500","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011054","EAP","Custom 27011054","","Bead Block 500-700","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011055","EAP","Custom 27011055","","Bead Block 700-900","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011056","EAP","Custom 27011056","","Bead Block 900-1200","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$0.00 ","$0.00 ","$0.00 ","$476.04 ","$476.04 ","$0.00 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011058","EAP","Custom 27011058","","Cath 20fr 24cm Tenacath Hsg","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011061","EAP","Custom 27011061","","Cath 5fr 100cm Berenstein","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011062","EAP","Custom 27011062","","Cath 5fr 100cm Sim2","BOTH IP/OP","$61.00 ","$45.14 ","$0.00 ","$61.00 ","$0.00 ","$0.00 ","$0.00 ","$43.54 ","$43.54 ","$0.00 ","$61.00 ","$0.00 ","$30.50 ","$48.31 ","$48.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011063","EAP","Custom 27011063","","Cath 5fr 100cm Sim3","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011065","EAP","Custom 27011065","","Cath 5fr 40cm Berenstein","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011067","EAP","Custom 27011067","","Cath 5fr 65cm Berenstein","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011068","EAP","Custom 27011068","","Cath 5fr 65cm Cobra1","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011069","EAP","Custom 27011069","","Cath 5fr 65cm Cobra2","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011070","EAP","Custom 27011070","","Cath 5fr 65cm Ns Straight","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011071","EAP","Custom 27011071","","Cath 5fr 65cm Pig","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011073","EAP","Custom 27011073","","Cath 5fr 80 Cm Mikalesson","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011074","EAP","Custom 27011074","","Cath 5fr 80cm Sos1","BOTH IP/OP","$166.00 ","$122.84 ","$0.00 ","$166.00 ","$0.00 ","$0.00 ","$0.00 ","$118.47 ","$118.47 ","$0.00 ","$166.00 ","$0.00 ","$83.00 ","$131.47 ","$132.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011075","EAP","Custom 27011075","","Cath 5fr 80cm Sos2","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011077","EAP","Custom 27011077","","Cath Polar Dilator Bal4x80x120","BOTH IP/OP","$2,335.00 ","$1,727.90 ","$0.00 ","$2,335.00 ","$0.00 ","$0.00 ","$0.00 ","$1,666.49 ","$1,666.49 ","$0.00 ","$2,335.00 ","$0.00 ","$1,167.50 ","$1,849.32 ","$1,868.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011078","EAP","Custom 27011078","","Cath Polar Dilator Bal5x80x120","BOTH IP/OP","$2,002.00 ","$1,481.48 ","$0.00 ","$2,002.00 ","$0.00 ","$0.00 ","$0.00 ","$1,428.83 ","$1,428.83 ","$0.00 ","$2,002.00 ","$0.00 ","$1,001.00 ","$1,585.58 ","$1,601.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011083","EAP","Custom 27011083","","Cath Triple Lumen 11fr","BOTH IP/OP","$413.00 ","$305.62 ","$0.00 ","$413.00 ","$0.00 ","$0.00 ","$0.00 ","$294.76 ","$294.76 ","$0.00 ","$413.00 ","$0.00 ","$206.50 ","$327.10 ","$330.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011084","EAP","Custom 27011084","","Catheter Repair Kit","BOTH IP/OP","$349.00 ","$258.26 ","$0.00 ","$349.00 ","$0.00 ","$0.00 ","$0.00 ","$249.08 ","$249.08 ","$0.00 ","$349.00 ","$0.00 ","$174.50 ","$276.41 ","$279.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011086","EAP","Custom 27011086","","Chest Unit Drainage Pleur","BOTH IP/OP","$469.00 ","$347.06 ","$0.00 ","$469.00 ","$0.00 ","$0.00 ","$0.00 ","$334.73 ","$334.73 ","$0.00 ","$469.00 ","$0.00 ","$234.50 ","$371.45 ","$375.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011088","EAP","Custom 27011088","","Coil 15-250 Micron (2vl/bx)","BOTH IP/OP","$477.00 ","$352.98 ","$0.00 ","$477.00 ","$0.00 ","$0.00 ","$0.00 ","$340.43 ","$340.43 ","$0.00 ","$477.00 ","$0.00 ","$238.50 ","$377.78 ","$381.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011089","EAP","Custom 27011089","","Coil 250-355 Micron (5vl/bx)","BOTH IP/OP","$463.00 ","$342.62 ","$0.00 ","$463.00 ","$0.00 ","$0.00 ","$0.00 ","$330.44 ","$330.44 ","$0.00 ","$463.00 ","$0.00 ","$231.50 ","$366.70 ","$370.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011090","EAP","Custom 27011090","","Coil 355-500 Micron (5vl/bx)","BOTH IP/OP","$384.00 ","$284.16 ","$0.00 ","$384.00 ","$0.00 ","$0.00 ","$0.00 ","$274.06 ","$274.06 ","$0.00 ","$384.00 ","$0.00 ","$192.00 ","$304.13 ","$307.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011091","EAP","Custom 27011091","","Coil 500-710 Micron (2vl/bx)","BOTH IP/OP","$477.00 ","$352.98 ","$0.00 ","$477.00 ","$0.00 ","$0.00 ","$0.00 ","$340.43 ","$340.43 ","$0.00 ","$477.00 ","$0.00 ","$238.50 ","$377.78 ","$381.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011092","EAP","Custom 27011092","","Coil 710-1000 Micron (2vl/bx)","BOTH IP/OP","$477.00 ","$352.98 ","$0.00 ","$477.00 ","$0.00 ","$0.00 ","$0.00 ","$340.43 ","$340.43 ","$0.00 ","$477.00 ","$0.00 ","$238.50 ","$377.78 ","$381.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011093","EAP","Custom 27011093","","Coil Pusher 16","BOTH IP/OP","$544.00 ","$402.56 ","$0.00 ","$544.00 ","$0.00 ","$0.00 ","$0.00 ","$388.25 ","$388.25 ","$0.00 ","$544.00 ","$0.00 ","$272.00 ","$430.85 ","$435.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011094","EAP","Custom 27011094","","Coil Pusher Trupush","BOTH IP/OP","$1,228.00 ","$908.72 ","$0.00 ","$1,228.00 ","$0.00 ","$0.00 ","$0.00 ","$876.42 ","$876.42 ","$0.00 ","$1,228.00 ","$0.00 ","$614.00 ","$972.58 ","$982.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011095","EAP","Custom 27011095","","Connector Ureteral Catheter","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011096","EAP","Custom 27011096","","Connectory Tuohy","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011097","EAP","Custom 27011097","","Contra 2","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011098","EAP","Custom 27011098","","Contra Flush Catheter","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$0.00 ","$0.00 ","$0.00 ","$142.03 ","$142.03 ","$0.00 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011099","EAP","Custom 27011099","","Cope Suture Anchor Set","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$0.00 ","$0.00 ","$0.00 ","$142.03 ","$142.03 ","$0.00 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011105","EAP","Custom 27011105","","Embolization 38-4-3","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011106","EAP","Custom 27011106","","Embolization 38-8-15","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011107","EAP","Custom 27011107","","Embolization Coil 38-5-5","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011108","EAP","Custom 27011108","","Embolization Coils 38-2-3","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011109","EAP","Custom 27011109","","Embolization Coils 38-4-2","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011110","EAP","Custom 27011110","","Embolization Coils 38-5-10","BOTH IP/OP","$194.00 ","$143.56 ","$0.00 ","$194.00 ","$0.00 ","$0.00 ","$0.00 ","$138.46 ","$138.46 ","$0.00 ","$194.00 ","$0.00 ","$97.00 ","$153.65 ","$155.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011111","EAP","Custom 27011111","","Face Shields","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011112","EAP","Custom 27011112","","Filling Station Plus (neuro)","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011113","EAP","Custom 27011113","","Filter Jugular G-2","BOTH IP/OP","$4,337.00 ","$3,209.38 ","$0.00 ","$4,337.00 ","$0.00 ","$0.00 ","$0.00 ","$3,095.32 ","$3,095.32 ","$0.00 ","$4,337.00 ","$0.00 ","$2,168.50 ","$3,434.90 ","$3,469.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011114","EAP","Custom 27011114","","Flo-switch Hp","BOTH IP/OP","$380.00 ","$281.20 ","$0.00 ","$380.00 ","$0.00 ","$0.00 ","$0.00 ","$271.21 ","$271.21 ","$0.00 ","$380.00 ","$0.00 ","$190.00 ","$300.96 ","$304.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011120","EAP","Custom 27011120","","Forearm Based Outrigger","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011121","EAP","Custom 27011121","","Gtgw.180cm-45deg Angle","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$0.00 ","$0.00 ","$0.00 ","$357.56 ","$357.56 ","$0.00 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011122","EAP","Custom 27011122","","Hemostasis V-pad","BOTH IP/OP","$160.00 ","$118.40 ","$0.00 ","$160.00 ","$0.00 ","$0.00 ","$0.00 ","$114.19 ","$114.19 ","$0.00 ","$160.00 ","$0.00 ","$80.00 ","$126.72 ","$128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011124","EAP","Custom 27011124","","Igtcfs-65-fem Celect Perm Cook","BOTH IP/OP","$4,005.00 ","$2,963.70 ","$0.00 ","$4,005.00 ","$0.00 ","$0.00 ","$0.00 ","$2,858.37 ","$2,858.37 ","$0.00 ","$4,005.00 ","$0.00 ","$2,002.50 ","$3,171.96 ","$3,204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011125","EAP","HCPCS C1880","","Igtcfs-65-jugcelet Perm Cook","BOTH IP/OP","$4,536.00 ","$3,356.64 ","$0.00 ","$4,536.00 ","$0.00 ","$0.00 ","$0.00 ","$3,237.34 ","$3,237.34 ","$794.22 ","$4,536.00 ","$0.00 ","$2,268.00 ","$3,592.51 ","$3,628.80 ","$0.00 ","$709.88 ","$0.00 ","$722.13 ","$0.00 "
"27011126","EAP","Custom 27011126","","Inflation Device Monarch-25","BOTH IP/OP","$184.00 ","$136.16 ","$0.00 ","$184.00 ","$0.00 ","$0.00 ","$0.00 ","$131.32 ","$131.32 ","$0.00 ","$184.00 ","$0.00 ","$92.00 ","$145.73 ","$147.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011127","EAP","Custom 27011127","","Introducer Mpis-401","BOTH IP/OP","$94.00 ","$69.56 ","$0.00 ","$94.00 ","$0.00 ","$0.00 ","$0.00 ","$67.09 ","$67.09 ","$0.00 ","$94.00 ","$0.00 ","$47.00 ","$74.45 ","$75.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011128","EAP","Custom 27011128","","Introducer Pinnacle 5fr 10cm","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$0.00 ","$0.00 ","$0.00 ","$47.82 ","$47.82 ","$0.00 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011129","EAP","Custom 27011129","","Jcd 10.0-38-20","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011130","EAP","Custom 27011130","","Jcd 12.0-38-20","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011131","EAP","Custom 27011131","","Jcd 14.0-38-20","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011132","EAP","Custom 27011132","","Jcd 16.0-38-20","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011133","EAP","Custom 27011133","","Jcd 4.0-25-20","BOTH IP/OP","$31.00 ","$22.94 ","$0.00 ","$31.00 ","$0.00 ","$0.00 ","$0.00 ","$22.12 ","$22.12 ","$0.00 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011134","EAP","Custom 27011134","","Jcd 5.0-38-20","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011135","EAP","Custom 27011135","","Jcd 6.0-38-20","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011136","EAP","Custom 27011136","","Jcd 7.0-38-20","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011137","EAP","Custom 27011137","","Jcd 8.0-38-20","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011138","EAP","Custom 27011138","","Jcd 9.0-38-20","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011139","EAP","Custom 27011139","","Jcd-20.0-38-20 Dilator","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011140","EAP","Custom 27011140","","Jcd-22.0-38-20 Dilator","BOTH IP/OP","$45.00 ","$33.30 ","$0.00 ","$45.00 ","$0.00 ","$0.00 ","$0.00 ","$32.12 ","$32.12 ","$0.00 ","$45.00 ","$0.00 ","$22.50 ","$35.64 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011141","EAP","Custom 27011141","","Jcd-24.0-38-20 Dilator","BOTH IP/OP","$45.00 ","$33.30 ","$0.00 ","$45.00 ","$0.00 ","$0.00 ","$0.00 ","$32.12 ","$32.12 ","$0.00 ","$45.00 ","$0.00 ","$22.50 ","$35.64 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011142","EAP","Custom 27011142","","Jcd-d18.0-38-20 Dilator","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011143","EAP","Custom 27011143","","Kinair Iii W/o Scale","BOTH IP/OP","$192.00 ","$142.08 ","$0.00 ","$192.00 ","$0.00 ","$0.00 ","$0.00 ","$137.03 ","$137.03 ","$0.00 ","$192.00 ","$0.00 ","$96.00 ","$152.06 ","$153.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011148","EAP","Custom 27011148","","Kit Angio Saftey With J Wire","BOTH IP/OP","$178.00 ","$131.72 ","$0.00 ","$178.00 ","$0.00 ","$0.00 ","$0.00 ","$127.04 ","$127.04 ","$0.00 ","$178.00 ","$0.00 ","$89.00 ","$140.98 ","$142.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011149","EAP","Custom 27011149","","Kit Fallopian Tube","BOTH IP/OP","$349.00 ","$258.26 ","$0.00 ","$349.00 ","$0.00 ","$0.00 ","$0.00 ","$249.08 ","$249.08 ","$0.00 ","$349.00 ","$0.00 ","$174.50 ","$276.41 ","$279.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011150","EAP","Custom 27011150","","Kit Gastrostomy 18fr","BOTH IP/OP","$541.00 ","$400.34 ","$0.00 ","$541.00 ","$0.00 ","$0.00 ","$0.00 ","$386.11 ","$386.11 ","$0.00 ","$541.00 ","$0.00 ","$270.50 ","$428.47 ","$432.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011151","EAP","Custom 27011151","","Kit Mahurkar 12f Triple Lumen","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$214.11 ","$214.11 ","$0.00 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011152","EAP","Custom 27011152","","Kit Pressure Monitoring T","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$0.00 ","$0.00 ","$0.00 ","$50.67 ","$50.67 ","$0.00 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011153","EAP","Custom 27011153","","Kit Pressure Monitoring T","BOTH IP/OP","$163.00 ","$120.62 ","$0.00 ","$163.00 ","$0.00 ","$0.00 ","$0.00 ","$116.33 ","$116.33 ","$0.00 ","$163.00 ","$0.00 ","$81.50 ","$129.10 ","$130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011154","EAP","Custom 27011154","","Kit Triple Lumen Catheter","BOTH IP/OP","$726.00 ","$537.24 ","$0.00 ","$726.00 ","$0.00 ","$0.00 ","$0.00 ","$518.15 ","$518.15 ","$0.00 ","$726.00 ","$0.00 ","$363.00 ","$574.99 ","$580.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011156","EAP","Custom 27011156","","Lancet  Grady Orange","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011157","EAP","Custom 27011157","","Line Connecting 36 Hp","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011158","EAP","Custom 27011158","","Line Connecting 48 Hp","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011160","EAP","Custom 27011160","","Mask Sub-micron Small","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011161","EAP","Custom 27011161","","Med/surg Semi Supplies","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011162","EAP","Custom 27011162","","Microsphere Embogold 500-700","BOTH IP/OP","$734.00 ","$543.16 ","$0.00 ","$734.00 ","$0.00 ","$0.00 ","$0.00 ","$523.86 ","$523.86 ","$0.00 ","$734.00 ","$0.00 ","$367.00 ","$581.33 ","$587.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011163","EAP","Custom 27011163","","Microsphere Embogold 700-900","BOTH IP/OP","$734.00 ","$543.16 ","$0.00 ","$734.00 ","$0.00 ","$0.00 ","$0.00 ","$523.86 ","$523.86 ","$0.00 ","$734.00 ","$0.00 ","$367.00 ","$581.33 ","$587.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011164","EAP","Custom 27011164","","Microsphere Embogold 900-1200","BOTH IP/OP","$3,669.00 ","$2,715.06 ","$0.00 ","$3,669.00 ","$0.00 ","$0.00 ","$0.00 ","$2,618.57 ","$2,618.57 ","$0.00 ","$3,669.00 ","$0.00 ","$1,834.50 ","$2,905.85 ","$2,935.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011165","EAP","Custom 27011165","","Needle Chiba 22ga X 15cm","BOTH IP/OP","$82.00 ","$60.68 ","$0.00 ","$82.00 ","$0.00 ","$0.00 ","$0.00 ","$58.52 ","$58.52 ","$0.00 ","$82.00 ","$0.00 ","$41.00 ","$64.94 ","$65.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011166","EAP","Custom 27011166","","Needle Hypodermic Sterile","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011167","EAP","Custom 27011167","","Needle Hypodermic Sterile","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011168","EAP","Custom 27011168","","Needle Port-cath 20ga X 1","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011169","EAP","Custom 27011169","","Needle Port-cath 20ga X 1","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011172","EAP","Custom 27011172","","Olcott Torque Device","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011176","EAP","Custom 27011176","","Perc Gastrostomy Set","BOTH IP/OP","$1,079.00 ","$798.46 ","$0.00 ","$1,079.00 ","$0.00 ","$0.00 ","$0.00 ","$770.08 ","$770.08 ","$0.00 ","$1,079.00 ","$0.00 ","$539.50 ","$854.57 ","$863.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011177","EAP","Custom 27011177","","Polar Cath Inflation Unit","BOTH IP/OP","$7,912.00 ","$5,854.88 ","$0.00 ","$7,912.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,912.00 ","$0.00 ","$3,956.00 ","$6,266.30 ","$6,329.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011178","EAP","Custom 27011178","","Port Peritoneal/drain/ascites","BOTH IP/OP","$1,070.00 ","$791.80 ","$0.00 ","$1,070.00 ","$0.00 ","$0.00 ","$0.00 ","$763.66 ","$763.66 ","$0.00 ","$1,070.00 ","$0.00 ","$535.00 ","$847.44 ","$856.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011179","EAP","Custom 27011179","","Pressure Tubing","BOTH IP/OP","$555.00 ","$410.70 ","$0.00 ","$555.00 ","$0.00 ","$0.00 ","$0.00 ","$396.10 ","$396.10 ","$0.00 ","$555.00 ","$0.00 ","$277.50 ","$439.56 ","$444.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011181","EAP","Custom 27011181","","Rapad Shield","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011182","EAP","Custom 27011182","","Recovery Cone Removal System","BOTH IP/OP","$1,985.00 ","$1,468.90 ","$0.00 ","$1,985.00 ","$0.00 ","$0.00 ","$0.00 ","$1,416.69 ","$1,416.69 ","$0.00 ","$1,985.00 ","$0.00 ","$992.50 ","$1,572.12 ","$1,588.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011183","EAP","Custom 27011183","","Retention Device 10fr","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011184","EAP","Custom 27011184","","Retention Device 12fr","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011185","EAP","Custom 27011185","","Retention Device 8fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011190","EAP","Custom 27011190","","Ring Transjugular Set","BOTH IP/OP","$1,404.00 ","$1,038.96 ","$0.00 ","$1,404.00 ","$0.00 ","$0.00 ","$0.00 ","$1,002.03 ","$1,002.03 ","$0.00 ","$1,404.00 ","$0.00 ","$702.00 ","$1,111.97 ","$1,123.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011194","EAP","Custom 27011194","","Safety Angio Kit","BOTH IP/OP","$127.00 ","$93.98 ","$0.00 ","$127.00 ","$0.00 ","$0.00 ","$0.00 ","$90.64 ","$90.64 ","$0.00 ","$127.00 ","$0.00 ","$63.50 ","$100.58 ","$101.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011195","EAP","Custom 27011195","","Safety Peg Kit Moni Bolster","BOTH IP/OP","$1,497.00 ","$1,107.78 ","$0.00 ","$1,497.00 ","$0.00 ","$0.00 ","$0.00 ","$1,068.41 ","$1,068.41 ","$0.00 ","$1,497.00 ","$0.00 ","$748.50 ","$1,185.62 ","$1,197.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011196","EAP","Custom 27011196","","Scaple Surg W/handle Attached","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011197","EAP","Custom 27011197","","Set Blood Administration","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011198","EAP","Custom 27011198","","Set Blood Adminstration","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011199","EAP","Custom 27011199","","Set Blood Adminstration","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011200","EAP","Custom 27011200","","Set Liver Biopsy Labs-100","BOTH IP/OP","$1,409.00 ","$1,042.66 ","$0.00 ","$1,409.00 ","$0.00 ","$0.00 ","$0.00 ","$1,005.60 ","$1,005.60 ","$0.00 ","$1,409.00 ","$0.00 ","$704.50 ","$1,115.93 ","$1,127.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011201","EAP","Custom 27011201","","Set Mediport Infusion W/i","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$0.00 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011202","EAP","Custom 27011202","","Set Neff Perc Access","BOTH IP/OP","$244.00 ","$180.56 ","$0.00 ","$244.00 ","$0.00 ","$0.00 ","$0.00 ","$174.14 ","$174.14 ","$0.00 ","$244.00 ","$0.00 ","$122.00 ","$193.25 ","$195.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011203","EAP","Custom 27011203","","Set Pca Mini-bore W/int A","BOTH IP/OP","$44.00 ","$32.56 ","$0.00 ","$44.00 ","$0.00 ","$0.00 ","$0.00 ","$31.40 ","$31.40 ","$0.00 ","$44.00 ","$0.00 ","$22.00 ","$34.85 ","$35.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011204","EAP","Custom 27011204","","Set Scalp  Vein Infusion 21 G","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011207","EAP","Custom 27011207","","Set Scalp Vein Infusion 2","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011208","EAP","Custom 27011208","","Set Secondary Piggy Back","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011209","EAP","Custom 27011209","","Set Urinary Drain W/conta","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011212","EAP","Custom 27011212","","Simon-nitinol Vena Cava Filte","BOTH IP/OP","$3,605.00 ","$2,667.70 ","$0.00 ","$3,605.00 ","$0.00 ","$0.00 ","$0.00 ","$2,572.89 ","$2,572.89 ","$0.00 ","$3,605.00 ","$0.00 ","$1,802.50 ","$2,855.16 ","$2,884.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011213","EAP","Custom 27011213","","Simon-nitinol Vena Filter An","BOTH IP/OP","$3,085.00 ","$2,282.90 ","$0.00 ","$3,085.00 ","$0.00 ","$0.00 ","$0.00 ","$2,201.76 ","$2,201.76 ","$0.00 ","$3,085.00 ","$0.00 ","$1,542.50 ","$2,443.32 ","$2,468.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011214","EAP","Custom 27011214","","Skater Introducer System","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$254.00 ","$0.00 ","$0.00 ","$0.00 ","$181.28 ","$181.28 ","$0.00 ","$254.00 ","$0.00 ","$127.00 ","$201.17 ","$203.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011215","EAP","HCPCS C1729","","Skater Nephro Cath 8fr X 35cm","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$156.38 ","$0.00 ","$60.03 ","$205.55 ","$205.55 ","$50.43 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$45.07 ","$0.00 ","$45.85 ","$0.00 "
"27011216","EAP","Custom 27011216","","Snare Amplatz 10mm","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$0.00 ","$0.00 ","$0.00 ","$653.75 ","$653.75 ","$0.00 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011217","EAP","Custom 27011217","","Snare Amplatz 5mm","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$0.00 ","$0.00 ","$0.00 ","$653.75 ","$653.75 ","$0.00 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011226","EAP","Custom 27011226","","Sponge Gelfoam Gelatin","BOTH IP/OP","$85.00 ","$62.90 ","$0.00 ","$85.00 ","$0.00 ","$0.00 ","$0.00 ","$60.66 ","$60.66 ","$0.00 ","$85.00 ","$0.00 ","$42.50 ","$67.32 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011227","EAP","HCPCS C1876","","Stent Vascular Covera Covered 10mm X 60mm 80cm Delivery","BOTH IP/OP","$6,750.00 ","$4,995.00 ","$0.00 ","$6,750.00 ","$3,037.50 ","$0.00 ","$1,406.87 ","$4,817.48 ","$4,817.48 ","$1,181.87 ","$6,750.00 ","$0.00 ","$3,375.00 ","$5,346.00 ","$5,400.00 ","$0.00 ","$1,056.38 ","$0.00 ","$1,074.60 ","$0.00 "
"27011228","EAP","Custom 27011228","","Stent Luminex 12x60","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011229","EAP","Custom 27011229","","Stent Luminexx 7x30","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011230","EAP","Custom 27011230","","Stent Luminexx 7x40","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011231","EAP","Custom 27011231","","Stent Luminexx 8x40","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011232","EAP","Custom 27011232","","Stent Luminexx Stent 8x30","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011233","EAP","Custom 27011233","","Stiff Micropunture 5fr","BOTH IP/OP","$153.00 ","$113.22 ","$0.00 ","$153.00 ","$0.00 ","$0.00 ","$0.00 ","$109.20 ","$109.20 ","$0.00 ","$153.00 ","$0.00 ","$76.50 ","$121.18 ","$122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011234","EAP","Custom 27011234","","Stopcock 1-way Hp","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011236","EAP","Custom 27011236","","Stopcock 3-way Hp","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011237","EAP","Custom 27011237","","Supplies, Non-sterile Penumbra","BOTH IP/OP","$66.00 ","$48.84 ","$0.00 ","$66.00 ","$0.00 ","$0.00 ","$0.00 ","$47.10 ","$47.10 ","$0.00 ","$66.00 ","$0.00 ","$33.00 ","$52.27 ","$52.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011241","EAP","Custom 27011241","","Threapulse Ii","BOTH IP/OP","$581.00 ","$429.94 ","$0.00 ","$581.00 ","$0.00 ","$0.00 ","$0.00 ","$414.66 ","$414.66 ","$0.00 ","$581.00 ","$0.00 ","$290.50 ","$460.15 ","$464.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011242","EAP","Custom 27011242","","Tray Catheter Urethral 14","BOTH IP/OP","$16.00 ","$11.84 ","$0.00 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$11.42 ","$11.42 ","$0.00 ","$16.00 ","$0.00 ","$8.00 ","$12.67 ","$12.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011243","EAP","Custom 27011243","","Tray Foley Perconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011244","EAP","Custom 27011244","","Tray Foley Perconnected 1","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011245","EAP","Custom 27011245","","Tray Foley Preconnected 1","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011246","EAP","Custom 27011246","","Tray Foley Preconnected 1","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011252","EAP","Custom 27011252","","Triple Lumen Catheter Size 24","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$0.00 ","$0.00 ","$0.00 ","$178.43 ","$178.43 ","$0.00 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011253","EAP","Custom 27011253","","Tube  Feeding Ng  8fr 43in En","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$48.53 ","$48.53 ","$0.00 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011254","EAP","Custom 27011254","","Tube Feeding Ng 8fr 36in Entr","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011255","EAP","Custom 27011255","","Tube Gastrostomy 18fr","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$57.10 ","$57.10 ","$0.00 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011256","EAP","Custom 27011256","","Tube Gastrostomy 22fr","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$0.00 ","$0.00 ","$0.00 ","$54.24 ","$54.24 ","$0.00 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011257","EAP","Custom 27011257","","Tube Jejunal Feeding 18 Fr O.d","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$0.00 ","$0.00 ","$0.00 ","$214.11 ","$214.11 ","$0.00 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011258","EAP","Custom 27011258","","Tube Jejunostomy Feed 14 Fr","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$0.00 ","$0.00 ","$0.00 ","$357.56 ","$357.56 ","$0.00 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011259","EAP","Custom 27011259","","Tube Salem Silicone Size","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011260","EAP","Custom 27011260","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011261","EAP","Custom 27011261","","Tube Tj Feeding 18 Fr 45cm End","BOTH IP/OP","$651.00 ","$481.74 ","$0.00 ","$651.00 ","$0.00 ","$0.00 ","$0.00 ","$464.62 ","$464.62 ","$0.00 ","$651.00 ","$0.00 ","$325.50 ","$515.59 ","$520.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011262","EAP","Custom 27011262","","Tube Tj Feeding 22 Fr 45cm End","BOTH IP/OP","$651.00 ","$481.74 ","$0.00 ","$651.00 ","$0.00 ","$0.00 ","$0.00 ","$464.62 ","$464.62 ","$0.00 ","$651.00 ","$0.00 ","$325.50 ","$515.59 ","$520.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011263","EAP","Custom 27011263","","Tubes Extension Plain Pla","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011265","EAP","Custom 27011265","","Tubes Extension Plain Pla","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011266","EAP","Custom 27011266","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011267","EAP","Custom 27011267","","Ultrasound Probe Covers","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$0.00 ","$0.00 ","$0.00 ","$32.83 ","$32.83 ","$0.00 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011268","EAP","Custom 27011268","","Valve Reflux","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011269","EAP","Custom 27011269","","Valve Reflux","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011270","EAP","Custom 27011270","",".014 Nitrex Guidewire","BOTH IP/OP","$1,219.00 ","$902.06 ","$0.00 ","$1,219.00 ","$0.00 ","$0.00 ","$0.00 ","$870.00 ","$870.00 ","$0.00 ","$1,219.00 ","$0.00 ","$609.50 ","$965.45 ","$975.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011301","EAP","Custom 27011301","","Drsg Anti Sft Sil 8x20 20x50cm","BOTH IP/OP","$248.00 ","$183.52 ","$0.00 ","$248.00 ","$0.00 ","$0.00 ","$0.00 ","$177.00 ","$177.00 ","$0.00 ","$248.00 ","$0.00 ","$124.00 ","$196.42 ","$198.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011302","EAP","Custom 27011302","","Drsg Anti Sft Sil 8x20 20x50cm","BOTH IP/OP","$248.00 ","$183.52 ","$0.00 ","$248.00 ","$0.00 ","$0.00 ","$0.00 ","$177.00 ","$177.00 ","$0.00 ","$248.00 ","$0.00 ","$124.00 ","$196.42 ","$198.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011304","EAP","Custom 27011304","","Blood Administration Set","BOTH IP/OP","$111.00 ","$82.14 ","$0.00 ","$111.00 ","$0.00 ","$0.00 ","$0.00 ","$79.22 ","$79.22 ","$0.00 ","$111.00 ","$0.00 ","$55.50 ","$87.91 ","$88.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011305","EAP","Custom 27011305","","Drsng Anti Sft Sil 6x6 15x15cm","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011306","EAP","Custom 27011306","","Drsng Anti Sft Sil 6x6 15x15cm","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011308","EAP","Custom 27011308","","Drsng Anti Sft Sil 4x4 10x10cm","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011309","EAP","Custom 27011309","","Drsng Anti Sft Sil 4x4 10x10cm","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$0.00 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011310","EAP","HCPCS C1769","","Volcano Combowire","BOTH IP/OP","$3,669.00 ","$2,715.06 ","$0.00 ","$3,669.00 ","$1,992.27 ","$0.00 ","$764.71 ","$2,618.57 ","$2,618.57 ","$642.41 ","$3,669.00 ","$0.00 ","$1,834.50 ","$2,905.85 ","$2,935.20 ","$0.00 ","$574.20 ","$0.00 ","$584.10 ","$0.00 "
"27011320","EAP","Custom 27011320","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011323","EAP","Custom 27011323","","Jcd 9.0-38-20","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011324","EAP","Custom 27011324","","Jcd 6.0-38-20","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$0.00 ","$0.00 ","$0.00 ","$119.19 ","$119.19 ","$0.00 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011325","EAP","Custom 27011325","","Tube Salem Sump 48 Lengt","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011326","EAP","Custom 27011326","","Tubes Salem Sump 48 Leng","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011327","EAP","Custom 27011327","","Jcd 9.0-38-20","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011328","EAP","Custom 27011328","","Jcd 6.0-38-20","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011401","EAP","Custom 27011401","","Super Arrow Flex Introducer -","BOTH IP/OP","$251.00 ","$185.74 ","$0.00 ","$251.00 ","$0.00 ","$0.00 ","$0.00 ","$179.14 ","$179.14 ","$0.00 ","$251.00 ","$0.00 ","$125.50 ","$198.79 ","$200.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011410","EAP","Custom 27011410","","Tube Trach #8 Dct","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011411","EAP","Custom 27011411","","Tube Trache 8-dcfs","BOTH IP/OP","$126.00 ","$93.24 ","$0.00 ","$126.00 ","$0.00 ","$0.00 ","$0.00 ","$89.93 ","$89.93 ","$0.00 ","$126.00 ","$0.00 ","$63.00 ","$99.79 ","$100.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011413","EAP","Custom 27011413","","Bag Resusitator Adult","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$0.00 ","$0.00 ","$0.00 ","$27.12 ","$27.12 ","$0.00 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011421","EAP","Custom 27011421","","Blade On Titanium Lopro S3","BOTH IP/OP","$95.00 ","$70.30 ","$0.00 ","$95.00 ","$0.00 ","$0.00 ","$0.00 ","$67.80 ","$67.80 ","$0.00 ","$95.00 ","$0.00 ","$47.50 ","$75.24 ","$76.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011422","EAP","Custom 27011422","","Blade On Titanium Lopro S4","BOTH IP/OP","$95.00 ","$70.30 ","$0.00 ","$95.00 ","$0.00 ","$0.00 ","$0.00 ","$67.80 ","$67.80 ","$0.00 ","$95.00 ","$0.00 ","$47.50 ","$75.24 ","$76.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011423","EAP","Custom 27011423","","Kit 135cm 2.7fr 20mm Img 1 Syr Rapex Tip Radiopq","BOTH IP/OP","$1,875.00 ","$1,387.50 ","$0.00 ","$1,875.00 ","$0.00 ","$0.00 ","$0.00 ","$1,338.19 ","$1,338.19 ","$0.00 ","$1,875.00 ","$0.00 ","$937.50 ","$1,485.00 ","$1,500.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011425","EAP","Custom 27011425","","Mic Transgastric Jejunal Feeding Kit 18f 45cm","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$0.00 ","$0.00 ","$0.00 ","$356.85 ","$356.85 ","$0.00 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011426","EAP","HCPCS C1729","","Catheter Urethral 16fr Foley 2","BOTH IP/OP","$224.00 ","$165.76 ","$0.00 ","$224.00 ","$0.00 ","$0.00 ","$0.00 ","$159.87 ","$159.87 ","$39.22 ","$224.00 ","$0.00 ","$112.00 ","$177.41 ","$179.20 ","$0.00 ","$35.06 ","$0.00 ","$35.66 ","$0.00 "
"27011427","EAP","HCPCS A4649","","Medihoney Dressing 1.5oz Tube","BOTH IP/OP","$28.00 ","$20.72 ","$0.00 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$19.98 ","$19.98 ","$4.90 ","$28.00 ","$0.00 ","$14.00 ","$22.18 ","$22.40 ","$0.00 ","$4.38 ","$0.00 ","$4.46 ","$0.00 "
"27011428","EAP","","","Tube Gstrm 12fr 10cm 5-7ml Entuit Bln Rtnt","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011429","EAP","","","Tube Fd Std 14fr 10cm 5ml Entuit Thrive Bln Rtnt Sm Gstrm","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011430","EAP","","","Tube Fd Std 16fr 10cm 5ml Entuit Thrive Bln Rtnt Med Gstrm","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011431","EAP","","","Tube Gstrm Std 18fr 10cm 5ml 60ml Entuit Thrive Bln Rtnt","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011432","EAP","","","Tube Fd Std 20fr 10cm 20ml Entuit Thrive Bln Rtnt Lg Gstrm","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011433","EAP","","","Tube Fd Std 22fr 10cm 20ml Entuit Thrive Bln Rtnt Lg Gstrm","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011434","EAP","","","Tube Fd Std 24fr 10cm 20ml Entuit Thrive Bln Rtnt Lg Gstrm","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011435","EAP","","","Kit Tracheostomy 12.3mm 9mm Complete Set Inner Cannu","BOTH IP/OP","$1,255.00 ","$928.70 ","$0.00 ","$1,255.00 ","$0.00 ","$0.00 ","$0.00 ","$895.69 ","$895.69 ","$0.00 ","$1,255.00 ","$0.00 ","$627.50 ","$993.96 ","$1,004.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011436","EAP","","","Kit Crntmy 25ga 5/8in Strl Rzr Ndl Drp","BOTH IP/OP","$701.00 ","$518.74 ","$0.00 ","$701.00 ","$0.00 ","$0.00 ","$0.00 ","$500.30 ","$500.30 ","$0.00 ","$701.00 ","$0.00 ","$350.50 ","$555.19 ","$560.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27011437","EAP","Custom 27011437","","Blanket Wrm 84x36in Clr Strl Lf 24x48in 3m Br Hgr Full Acc","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27100021","EAP","Custom 27100021","","Pad Gel Hypo-hyperthermia Large","BOTH IP/OP","$2,481.00 ","$1,835.94 ","$0.00 ","$2,481.00 ","$0.00 ","$0.00 ","$0.00 ","$1,770.69 ","$1,770.69 ","$0.00 ","$2,481.00 ","$0.00 ","$1,240.50 ","$1,964.95 ","$1,984.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27100022","EAP","HCPCS A4467","","POSTERIOR ELBOW SPLINT","BOTH IP/OP","$112.00 ","$82.88 ","$0.00 ","$112.00 ","$60.82 ","$0.00 ","$0.00 ","$79.93 ","$79.93 ","$0.00 ","$112.00 ","$0.00 ","$56.00 ","$88.70 ","$89.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27100023","EAP","Custom 27100023","","M�lnlycke Z-flo Fluidized Positioner Pad","BOTH IP/OP","$122.00 ","$90.28 ","$0.00 ","$122.00 ","$0.00 ","$0.00 ","$0.00 ","$87.07 ","$87.07 ","$0.00 ","$122.00 ","$0.00 ","$61.00 ","$96.62 ","$97.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27100031","EAP","Custom 27100031","","Resuscitator Manual Medium 10f","BOTH IP/OP","$27.00 ","$19.98 ","$0.00 ","$27.00 ","$0.00 ","$0.00 ","$0.00 ","$19.27 ","$19.27 ","$0.00 ","$27.00 ","$0.00 ","$13.50 ","$21.38 ","$21.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27100040","EAP","","","Sup Ortho Universal Abd Binder Velcro Closure","BOTH IP/OP","$538.00 ","$398.12 ","$0.00 ","$538.00 ","$0.00 ","$0.00 ","$0.00 ","$383.97 ","$383.97 ","$0.00 ","$538.00 ","$0.00 ","$269.00 ","$426.10 ","$430.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200003","EAP","Custom 27200003","","Chest Unit Drainage Pleur","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$0.00 ","$0.00 ","$0.00 ","$54.24 ","$54.24 ","$0.00 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200008","EAP","HCPCS C1769","",".014 Nitrex Guidewire","BOTH IP/OP","$1,295.00 ","$958.30 ","$0.00 ","$1,295.00 ","$703.19 ","$0.00 ","$269.91 ","$924.24 ","$924.24 ","$226.74 ","$1,295.00 ","$0.00 ","$647.50 ","$1,025.64 ","$1,036.00 ","$0.00 ","$202.67 ","$0.00 ","$206.16 ","$0.00 "
"27200011","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27200019","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$3.26 ","$0.00 ","$1.25 ","$4.28 ","$4.28 ","$1.05 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.94 ","$0.00 ","$0.96 ","$0.00 "
"27200021","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$19.55 ","$0.00 ","$7.50 ","$25.69 ","$25.69 ","$6.30 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$5.63 ","$0.00 ","$5.73 ","$0.00 "
"27200024","EAP","HCPCS C1729","","Catheter Foley 3cc 10 Fr","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200025","EAP","HCPCS C1729","","Catheter Foley 5cc 12fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27200026","EAP","Custom 27200026","","Dress Sofsorb Absorb Buttoc Sm","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200027","EAP","Custom 27200027","","Dress Sofsorb Absorb Butto Lg","BOTH IP/OP","$97.00 ","$71.78 ","$0.00 ","$97.00 ","$0.00 ","$0.00 ","$0.00 ","$69.23 ","$69.23 ","$0.00 ","$97.00 ","$0.00 ","$48.50 ","$76.82 ","$77.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200028","EAP","Custom 27200028","","Dress Sofsorb Absorb Chest Ssm","BOTH IP/OP","$41.00 ","$30.34 ","$0.00 ","$41.00 ","$0.00 ","$0.00 ","$0.00 ","$29.26 ","$29.26 ","$0.00 ","$41.00 ","$0.00 ","$20.50 ","$32.47 ","$32.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200029","EAP","Custom 27200029","","Dress Sofsorb Absors Chest Ilg","BOTH IP/OP","$41.00 ","$30.34 ","$0.00 ","$41.00 ","$0.00 ","$0.00 ","$0.00 ","$29.26 ","$29.26 ","$0.00 ","$41.00 ","$0.00 ","$20.50 ","$32.47 ","$32.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200030","EAP","Custom 27200030","","Dress Sofsorb Absorb Xl Chest","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200031","EAP","Custom 27200031","","Dressing Leg/hip Adult","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$62.09 ","$62.09 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200032","EAP","Custom 27200032","","Dressing Burn Gauze 17 Ply 36'","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$0.00 ","$0.00 ","$0.00 ","$28.55 ","$28.55 ","$0.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200033","EAP","HCPCS C1751","","Kit Cath Triple Lumen 5.5 Pedi","BOTH IP/OP","$159.00 ","$117.66 ","$0.00 ","$159.00 ","$86.34 ","$0.00 ","$33.14 ","$113.48 ","$113.48 ","$27.84 ","$159.00 ","$0.00 ","$79.50 ","$125.93 ","$127.20 ","$0.00 ","$24.88 ","$0.00 ","$25.31 ","$0.00 "
"27200035","EAP","HCPCS C1751","","Femoral Arterial Line Cath Kit","BOTH IP/OP","$873.00 ","$646.02 ","$0.00 ","$873.00 ","$474.04 ","$0.00 ","$181.96 ","$623.06 ","$623.06 ","$152.86 ","$873.00 ","$0.00 ","$436.50 ","$691.42 ","$698.40 ","$0.00 ","$136.62 ","$0.00 ","$138.98 ","$0.00 "
"27200040","EAP","Custom 27200040","","Kit Transducer Monitoring","BOTH IP/OP","$145.00 ","$107.30 ","$0.00 ","$145.00 ","$0.00 ","$0.00 ","$0.00 ","$103.49 ","$103.49 ","$0.00 ","$145.00 ","$0.00 ","$72.50 ","$114.84 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200041","EAP","Custom 27200041","","Kit  Pressure Monitoring","BOTH IP/OP","$108.00 ","$79.92 ","$0.00 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$77.08 ","$77.08 ","$0.00 ","$108.00 ","$0.00 ","$54.00 ","$85.54 ","$86.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200043","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$3.26 ","$0.00 ","$1.25 ","$4.28 ","$4.28 ","$1.05 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.94 ","$0.00 ","$0.96 ","$0.00 "
"27200045","EAP","Custom 27200045","","Paracentesis Tray","BOTH IP/OP","$214.00 ","$158.36 ","$0.00 ","$214.00 ","$0.00 ","$0.00 ","$0.00 ","$152.73 ","$152.73 ","$0.00 ","$214.00 ","$0.00 ","$107.00 ","$169.49 ","$171.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200047","EAP","Custom 27200047","","Biliary Plastic Stents","BOTH IP/OP","$1,091.00 ","$807.34 ","$0.00 ","$1,091.00 ","$0.00 ","$0.00 ","$0.00 ","$778.65 ","$778.65 ","$0.00 ","$1,091.00 ","$0.00 ","$545.50 ","$864.07 ","$872.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200048","EAP","HCPCS C1769","","Hydratomes Rx Cannulating Sphi","BOTH IP/OP","$3,556.00 ","$2,631.44 ","$0.00 ","$3,556.00 ","$1,930.91 ","$0.00 ","$741.16 ","$2,537.92 ","$2,537.92 ","$622.63 ","$3,556.00 ","$0.00 ","$1,778.00 ","$2,816.35 ","$2,844.80 ","$0.00 ","$556.51 ","$0.00 ","$566.12 ","$0.00 "
"27200049","EAP","HCPCS C1769","","Jagtomes Rx Cannulating Sphinc","BOTH IP/OP","$1,255.00 ","$928.70 ","$0.00 ","$1,255.00 ","$681.47 ","$0.00 ","$261.57 ","$895.69 ","$895.69 ","$219.74 ","$1,255.00 ","$0.00 ","$627.50 ","$993.96 ","$1,004.00 ","$0.00 ","$196.41 ","$0.00 ","$199.80 ","$0.00 "
"27200050","EAP","Custom 27200050","","Extractor Balloon","BOTH IP/OP","$1,388.00 ","$1,027.12 ","$0.00 ","$1,388.00 ","$0.00 ","$0.00 ","$0.00 ","$990.62 ","$990.62 ","$0.00 ","$1,388.00 ","$0.00 ","$694.00 ","$1,099.30 ","$1,110.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200051","EAP","Custom 27200051","","Trapezoid Retrieval Baskets","BOTH IP/OP","$2,263.00 ","$1,674.62 ","$0.00 ","$2,263.00 ","$0.00 ","$0.00 ","$0.00 ","$1,615.10 ","$1,615.10 ","$0.00 ","$2,263.00 ","$0.00 ","$1,131.50 ","$1,792.30 ","$1,810.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200052","EAP","Custom 27200052","","Endoprosthesis Metal Stent","BOTH IP/OP","$9,693.00 ","$7,172.82 ","$0.00 ","$9,693.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$9,693.00 ","$0.00 ","$4,846.50 ","$7,676.86 ","$7,754.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200053","EAP","Custom 27200053","","Esophageal Stent","BOTH IP/OP","$11,672.00 ","$8,637.28 ","$0.00 ","$11,672.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$11,672.00 ","$0.00 ","$5,836.00 ","$9,244.22 ","$9,337.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200054","EAP","Custom 27200054","","Colonic And Duodenal Stent","BOTH IP/OP","$16,179.00 ","$11,972.46 ","$0.00 ","$16,179.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,179.00 ","$0.00 ","$8,089.50 ","$12,813.77 ","$12,943.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200055","EAP","HCPCS C1726","","Cre Balloons","BOTH IP/OP","$1,523.00 ","$1,127.02 ","$0.00 ","$1,523.00 ","$826.99 ","$0.00 ","$317.43 ","$1,086.97 ","$1,086.97 ","$266.67 ","$1,523.00 ","$0.00 ","$761.50 ","$1,206.22 ","$1,218.40 ","$0.00 ","$238.35 ","$0.00 ","$242.46 ","$0.00 "
"27200056","EAP","Custom 27200056","","Esophageal/pyloric Balloon Dil","BOTH IP/OP","$1,750.00 ","$1,295.00 ","$0.00 ","$1,750.00 ","$0.00 ","$0.00 ","$0.00 ","$1,248.98 ","$1,248.98 ","$0.00 ","$1,750.00 ","$0.00 ","$875.00 ","$1,386.00 ","$1,400.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200057","EAP","Custom 27200057","","Esophageal/pyloric/colonic  Ba","BOTH IP/OP","$1,750.00 ","$1,295.00 ","$0.00 ","$1,750.00 ","$0.00 ","$0.00 ","$0.00 ","$1,248.98 ","$1,248.98 ","$0.00 ","$1,750.00 ","$0.00 ","$875.00 ","$1,386.00 ","$1,400.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200058","EAP","Custom 27200058","","O2 Supply-each","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200060","EAP","Custom 27200060","","Venous Port - Maintenance","BOTH IP/OP","$184.00 ","$136.16 ","$0.00 ","$184.00 ","$0.00 ","$0.00 ","$0.00 ","$131.32 ","$131.32 ","$0.00 ","$184.00 ","$0.00 ","$92.00 ","$145.73 ","$147.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200061","EAP","Custom 27200061","","Dressing","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200062","EAP","Custom 27200062","","Dressing, Burn Supplies","BOTH IP/OP","$206.00 ","$152.44 ","$0.00 ","$206.00 ","$0.00 ","$0.00 ","$0.00 ","$147.02 ","$147.02 ","$0.00 ","$206.00 ","$0.00 ","$103.00 ","$163.15 ","$164.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200063","EAP","Custom 27200063","","Iv Start Supply","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200064","EAP","Custom 27200064","","Dressing, Burn Supplies","BOTH IP/OP","$193.00 ","$142.82 ","$0.00 ","$193.00 ","$0.00 ","$0.00 ","$0.00 ","$137.74 ","$137.74 ","$0.00 ","$193.00 ","$0.00 ","$96.50 ","$152.86 ","$154.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200065","EAP","Custom 27200065","","Splint Supply","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200066","EAP","Custom 27200066","","Nephrostomy Bag","BOTH IP/OP","$299.00 ","$221.26 ","$0.00 ","$299.00 ","$0.00 ","$0.00 ","$0.00 ","$213.40 ","$213.40 ","$0.00 ","$299.00 ","$0.00 ","$149.50 ","$236.81 ","$239.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200067","EAP","Custom 27200067","","Dressing Change","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200068","EAP","HCPCS C1729","","Catheter Foley","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200069","EAP","Custom 27200069","","Leg Bag","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200070","EAP","Custom 27200070","","Urinary Drainage Bag","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$0.00 ","$0.00 ","$0.00 ","$33.54 ","$33.54 ","$0.00 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200074","EAP","Custom 27200074","","Acticoat Dressing","BOTH IP/OP","$315.00 ","$233.10 ","$0.00 ","$315.00 ","$0.00 ","$0.00 ","$0.00 ","$224.82 ","$224.82 ","$0.00 ","$315.00 ","$0.00 ","$157.50 ","$249.48 ","$252.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200075","EAP","Custom 27200075","","Feeding/ng Tube","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200076","EAP","Custom 27200076","","Triple Lumen Cath","BOTH IP/OP","$222.00 ","$164.28 ","$0.00 ","$222.00 ","$0.00 ","$0.00 ","$0.00 ","$158.44 ","$158.44 ","$0.00 ","$222.00 ","$0.00 ","$111.00 ","$175.82 ","$177.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200077","EAP","Custom 27200077","","Transvenous Pacing Electrode","BOTH IP/OP","$389.00 ","$287.86 ","$0.00 ","$389.00 ","$0.00 ","$0.00 ","$0.00 ","$277.63 ","$277.63 ","$0.00 ","$389.00 ","$0.00 ","$194.50 ","$308.09 ","$311.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200080","EAP","Custom 27200080","","Injection, Iv, Antibiotic","BOTH IP/OP","$214.00 ","$158.36 ","$0.00 ","$214.00 ","$0.00 ","$0.00 ","$0.00 ","$152.73 ","$152.73 ","$0.00 ","$214.00 ","$0.00 ","$107.00 ","$169.49 ","$171.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200081","EAP","Custom 27200081","","Steroid Injection, Iv Supply","BOTH IP/OP","$192.00 ","$142.08 ","$0.00 ","$192.00 ","$0.00 ","$0.00 ","$0.00 ","$137.03 ","$137.03 ","$0.00 ","$192.00 ","$0.00 ","$96.00 ","$152.06 ","$153.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200082","EAP","Custom 27200082","","Iv Start, Supply","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200084","EAP","Custom 27200084","","Emerg Infus Catheter","BOTH IP/OP","$264.00 ","$195.36 ","$0.00 ","$264.00 ","$0.00 ","$0.00 ","$0.00 ","$188.42 ","$188.42 ","$0.00 ","$264.00 ","$0.00 ","$132.00 ","$209.09 ","$211.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200085","EAP","Custom 27200085","","Ett, Laser","BOTH IP/OP","$897.00 ","$663.78 ","$0.00 ","$897.00 ","$0.00 ","$0.00 ","$0.00 ","$640.19 ","$640.19 ","$0.00 ","$897.00 ","$0.00 ","$448.50 ","$710.42 ","$717.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200086","EAP","Custom 27200086","","Ett, Rae","BOTH IP/OP","$118.00 ","$87.32 ","$0.00 ","$118.00 ","$0.00 ","$0.00 ","$0.00 ","$84.22 ","$84.22 ","$0.00 ","$118.00 ","$0.00 ","$59.00 ","$93.46 ","$94.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200087","EAP","Custom 27200087","","Ett, Wire Reinf","BOTH IP/OP","$362.00 ","$267.88 ","$0.00 ","$362.00 ","$0.00 ","$0.00 ","$0.00 ","$258.36 ","$258.36 ","$0.00 ","$362.00 ","$0.00 ","$181.00 ","$286.70 ","$289.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200088","EAP","Custom 27200088","","Ett, Endotrol/mlt","BOTH IP/OP","$138.00 ","$102.12 ","$0.00 ","$138.00 ","$0.00 ","$0.00 ","$0.00 ","$98.49 ","$98.49 ","$0.00 ","$138.00 ","$0.00 ","$69.00 ","$109.30 ","$110.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200090","EAP","Custom 27200090","","Cvp Kit, Single Lumen","BOTH IP/OP","$238.00 ","$176.12 ","$0.00 ","$238.00 ","$0.00 ","$0.00 ","$0.00 ","$169.86 ","$169.86 ","$0.00 ","$238.00 ","$0.00 ","$119.00 ","$188.50 ","$190.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200091","EAP","HCPCS C1756","","Swan Paceport Cath","BOTH IP/OP","$666.00 ","$492.84 ","$0.00 ","$666.00 ","$0.00 ","$0.00 ","$0.00 ","$475.32 ","$475.32 ","$0.00 ","$666.00 ","$0.00 ","$333.00 ","$527.47 ","$532.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200092","EAP","HCPCS C1751","","Cvp Kit Triple Lumen","BOTH IP/OP","$569.00 ","$421.06 ","$0.00 ","$569.00 ","$308.97 ","$0.00 ","$118.59 ","$406.10 ","$406.10 ","$99.63 ","$569.00 ","$0.00 ","$284.50 ","$450.65 ","$455.20 ","$0.00 ","$89.05 ","$0.00 ","$90.58 ","$0.00 "
"27200093","EAP","HCPCS C1756","","Swan Ganz Cath-bipolar Pacing","BOTH IP/OP","$1,225.00 ","$906.50 ","$0.00 ","$1,225.00 ","$0.00 ","$0.00 ","$0.00 ","$874.28 ","$874.28 ","$0.00 ","$1,225.00 ","$0.00 ","$612.50 ","$970.20 ","$980.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200094","EAP","HCPCS C1756","","Swan Pacing Td","BOTH IP/OP","$2,409.00 ","$1,782.66 ","$0.00 ","$2,409.00 ","$0.00 ","$0.00 ","$0.00 ","$1,719.30 ","$1,719.30 ","$0.00 ","$2,409.00 ","$0.00 ","$1,204.50 ","$1,907.93 ","$1,927.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200096","EAP","Custom 27200096","","Adult Iv Set-up","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$0.00 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200097","EAP","Custom 27200097","","Ett, Endotrol/mlt","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200098","EAP","Custom 27200098","","Cvp Kit, Single Lumen","BOTH IP/OP","$238.00 ","$176.12 ","$0.00 ","$238.00 ","$0.00 ","$0.00 ","$0.00 ","$169.86 ","$169.86 ","$0.00 ","$238.00 ","$0.00 ","$119.00 ","$188.50 ","$190.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200099","EAP","HCPCS C1756","","Swan Paceport Cath","BOTH IP/OP","$634.00 ","$469.16 ","$0.00 ","$634.00 ","$0.00 ","$0.00 ","$0.00 ","$452.49 ","$452.49 ","$0.00 ","$634.00 ","$0.00 ","$317.00 ","$502.13 ","$507.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200100","EAP","Custom 27200100","","Cvp Kit Triple Lumen","BOTH IP/OP","$141.00 ","$104.34 ","$0.00 ","$141.00 ","$0.00 ","$0.00 ","$0.00 ","$100.63 ","$100.63 ","$0.00 ","$141.00 ","$0.00 ","$70.50 ","$111.67 ","$112.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200101","EAP","HCPCS C1756","","Swan Bipolar","BOTH IP/OP","$1,225.00 ","$906.50 ","$0.00 ","$1,225.00 ","$0.00 ","$0.00 ","$0.00 ","$874.28 ","$874.28 ","$0.00 ","$1,225.00 ","$0.00 ","$612.50 ","$970.20 ","$980.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200102","EAP","HCPCS C1756","","Swan Pacing Td","BOTH IP/OP","$2,409.00 ","$1,782.66 ","$0.00 ","$2,409.00 ","$0.00 ","$0.00 ","$0.00 ","$1,719.30 ","$1,719.30 ","$0.00 ","$2,409.00 ","$0.00 ","$1,204.50 ","$1,907.93 ","$1,927.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200104","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$20.09 ","$0.00 ","$7.71 ","$26.41 ","$26.41 ","$6.48 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$5.79 ","$0.00 ","$5.89 ","$0.00 "
"27200107","EAP","HCPCS L8680","","Implt Neurostim Elctr Each","BOTH IP/OP","$1,605.00 ","$1,187.70 ","$0.00 ","$1,605.00 ","$0.00 ","$0.00 ","$0.00 ","$1,145.49 ","$1,145.49 ","$0.00 ","$1,605.00 ","$0.00 ","$802.50 ","$1,271.16 ","$1,284.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200108","EAP","Custom 27200108","","Regional Nerve Block Tray","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$88.00 ","$0.00 ","$0.00 ","$0.00 ","$62.81 ","$62.81 ","$0.00 ","$88.00 ","$0.00 ","$44.00 ","$69.70 ","$70.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200109","EAP","Custom 27200109","","Epidural Tray","BOTH IP/OP","$160.00 ","$118.40 ","$0.00 ","$160.00 ","$0.00 ","$0.00 ","$0.00 ","$114.19 ","$114.19 ","$0.00 ","$160.00 ","$0.00 ","$80.00 ","$126.72 ","$128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200110","EAP","Custom 27200110","","Insulated Block Needle","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$0.00 ","$0.00 ","$0.00 ","$32.83 ","$32.83 ","$0.00 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200111","EAP","Custom 27200111","","O2 Therapy-ea 8 Hrs","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$0.00 ","$0.00 ","$0.00 ","$211.26 ","$211.26 ","$0.00 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200113","EAP","Custom 27200113","","Peak Flow Meter","BOTH IP/OP","$487.00 ","$360.38 ","$0.00 ","$487.00 ","$0.00 ","$0.00 ","$0.00 ","$347.57 ","$347.57 ","$0.00 ","$487.00 ","$0.00 ","$243.50 ","$385.70 ","$389.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200114","EAP","Custom 27200114","","Heart Nebulizer","BOTH IP/OP","$440.00 ","$325.60 ","$0.00 ","$440.00 ","$0.00 ","$0.00 ","$0.00 ","$314.03 ","$314.03 ","$0.00 ","$440.00 ","$0.00 ","$220.00 ","$348.48 ","$352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200115","EAP","Custom 27200115","","Mini Heart","BOTH IP/OP","$424.00 ","$313.76 ","$0.00 ","$424.00 ","$0.00 ","$0.00 ","$0.00 ","$302.61 ","$302.61 ","$0.00 ","$424.00 ","$0.00 ","$212.00 ","$335.81 ","$339.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200116","EAP","Custom 27200116","","Mdi Spacer","BOTH IP/OP","$192.00 ","$142.08 ","$0.00 ","$192.00 ","$0.00 ","$0.00 ","$0.00 ","$137.03 ","$137.03 ","$0.00 ","$192.00 ","$0.00 ","$96.00 ","$152.06 ","$153.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200117","EAP","Custom 27200117","","Inc Spir-disposable","BOTH IP/OP","$319.00 ","$236.06 ","$0.00 ","$319.00 ","$0.00 ","$0.00 ","$0.00 ","$227.67 ","$227.67 ","$0.00 ","$319.00 ","$0.00 ","$159.50 ","$252.65 ","$255.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200118","EAP","Custom 27200118","","Inner Cannula","BOTH IP/OP","$134.00 ","$99.16 ","$0.00 ","$134.00 ","$0.00 ","$0.00 ","$0.00 ","$95.64 ","$95.64 ","$0.00 ","$134.00 ","$0.00 ","$67.00 ","$106.13 ","$107.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200119","EAP","Custom 27200119","","Nasal Prongs","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$0.00 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200120","EAP","Custom 27200120","","Vent Kit Only","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$0.00 ","$0.00 ","$0.00 ","$356.85 ","$356.85 ","$0.00 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200124","EAP","Custom 27200124","","Meter Astech Peak Flow","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200125","EAP","Custom 27200125","","Sleep Apnea Supply Kit","BOTH IP/OP","$1,443.00 ","$1,067.82 ","$0.00 ","$1,443.00 ","$0.00 ","$0.00 ","$0.00 ","$1,029.87 ","$1,029.87 ","$0.00 ","$1,443.00 ","$0.00 ","$721.50 ","$1,142.86 ","$1,154.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200126","EAP","Custom 27200126","","Tracheostomy-pipe Cleaner","BOTH IP/OP","$84.00 ","$62.16 ","$0.00 ","$84.00 ","$0.00 ","$0.00 ","$0.00 ","$59.95 ","$59.95 ","$0.00 ","$84.00 ","$0.00 ","$42.00 ","$66.53 ","$67.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200128","EAP","Custom 27200128","","Tube Trach #8 Dct","BOTH IP/OP","$377.00 ","$278.98 ","$0.00 ","$377.00 ","$0.00 ","$0.00 ","$0.00 ","$269.06 ","$269.06 ","$0.00 ","$377.00 ","$0.00 ","$188.50 ","$298.58 ","$301.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200129","EAP","Custom 27200129","","Tube Trach #6 Dct","BOTH IP/OP","$377.00 ","$278.98 ","$0.00 ","$377.00 ","$0.00 ","$0.00 ","$0.00 ","$269.06 ","$269.06 ","$0.00 ","$377.00 ","$0.00 ","$188.50 ","$298.58 ","$301.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200130","EAP","Custom 27200130","","Tube Trach #10 Dct","BOTH IP/OP","$335.00 ","$247.90 ","$0.00 ","$335.00 ","$0.00 ","$0.00 ","$0.00 ","$239.09 ","$239.09 ","$0.00 ","$335.00 ","$0.00 ","$167.50 ","$265.32 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200131","EAP","Custom 27200131","","Tube Tracheostomy 4-dcfs","BOTH IP/OP","$342.00 ","$253.08 ","$0.00 ","$342.00 ","$0.00 ","$0.00 ","$0.00 ","$244.09 ","$244.09 ","$0.00 ","$342.00 ","$0.00 ","$171.00 ","$270.86 ","$273.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200132","EAP","Custom 27200132","","Tube Tracheostomy 8-dcfs","BOTH IP/OP","$326.00 ","$241.24 ","$0.00 ","$326.00 ","$0.00 ","$0.00 ","$0.00 ","$232.67 ","$232.67 ","$0.00 ","$326.00 ","$0.00 ","$163.00 ","$258.19 ","$260.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200133","EAP","Custom 27200133","","Mini Bal-broncho-alveolar Lava","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200134","EAP","Custom 27200134","","Cont Oxy Hood-pediatrics","BOTH IP/OP","$866.00 ","$640.84 ","$0.00 ","$866.00 ","$0.00 ","$0.00 ","$0.00 ","$618.06 ","$618.06 ","$0.00 ","$866.00 ","$0.00 ","$433.00 ","$685.87 ","$692.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200135","EAP","Custom 27200135","","He-ox Rx Airway Obs + Supply","BOTH IP/OP","$947.00 ","$700.78 ","$0.00 ","$947.00 ","$0.00 ","$0.00 ","$0.00 ","$675.87 ","$675.87 ","$0.00 ","$947.00 ","$0.00 ","$473.50 ","$750.02 ","$757.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200136","EAP","Custom 27200136","","Trach Tube/passy Muir","BOTH IP/OP","$554.00 ","$409.96 ","$0.00 ","$554.00 ","$0.00 ","$0.00 ","$0.00 ","$395.39 ","$395.39 ","$0.00 ","$554.00 ","$0.00 ","$277.00 ","$438.77 ","$443.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200137","EAP","Custom 27200137","","Intubation Specialty Tube","BOTH IP/OP","$1,545.00 ","$1,143.30 ","$0.00 ","$1,545.00 ","$0.00 ","$0.00 ","$0.00 ","$1,102.67 ","$1,102.67 ","$0.00 ","$1,545.00 ","$0.00 ","$772.50 ","$1,223.64 ","$1,236.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200138","EAP","Custom 27200138","","Pulse Oximetry Sensor","BOTH IP/OP","$292.00 ","$216.08 ","$0.00 ","$292.00 ","$0.00 ","$0.00 ","$0.00 ","$208.40 ","$208.40 ","$0.00 ","$292.00 ","$0.00 ","$146.00 ","$231.26 ","$233.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200139","EAP","Custom 27200139","","Vent Circuit Kit","BOTH IP/OP","$423.00 ","$313.02 ","$0.00 ","$423.00 ","$0.00 ","$0.00 ","$0.00 ","$301.90 ","$301.90 ","$0.00 ","$423.00 ","$0.00 ","$211.50 ","$335.02 ","$338.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200140","EAP","Custom 27200140","","Specialty Vent Circuit Kit","BOTH IP/OP","$990.00 ","$732.60 ","$0.00 ","$990.00 ","$0.00 ","$0.00 ","$0.00 ","$706.56 ","$706.56 ","$0.00 ","$990.00 ","$0.00 ","$495.00 ","$784.08 ","$792.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200143","EAP","Custom 27200143","","Blood Gas Kit","BOTH IP/OP","$112.00 ","$82.88 ","$0.00 ","$112.00 ","$0.00 ","$0.00 ","$0.00 ","$79.93 ","$79.93 ","$0.00 ","$112.00 ","$0.00 ","$56.00 ","$88.70 ","$89.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200144","EAP","HCPCS C1729","","Red Rubber Catheter","BOTH IP/OP","$54.00 ","$39.96 ","$0.00 ","$54.00 ","$29.32 ","$0.00 ","$11.25 ","$38.54 ","$38.54 ","$9.45 ","$54.00 ","$0.00 ","$27.00 ","$42.77 ","$43.20 ","$0.00 ","$8.45 ","$0.00 ","$8.60 ","$0.00 "
"27200145","EAP","Custom 27200145","","Air Vest-disposable","BOTH IP/OP","$675.00 ","$499.50 ","$0.00 ","$675.00 ","$0.00 ","$0.00 ","$0.00 ","$481.75 ","$481.75 ","$0.00 ","$675.00 ","$0.00 ","$337.50 ","$534.60 ","$540.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200148","EAP","Custom 27200148","","Iv Start, Supply","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200149","EAP","HCPCS C1769","","Guidewire:pressurewire:radi","BOTH IP/OP","$2,511.00 ","$1,858.14 ","$0.00 ","$2,511.00 ","$1,363.47 ","$0.00 ","$523.36 ","$1,792.10 ","$1,792.10 ","$439.66 ","$2,511.00 ","$0.00 ","$1,255.50 ","$1,988.71 ","$2,008.80 ","$0.00 ","$392.97 ","$0.00 ","$399.75 ","$0.00 "
"27200150","EAP","Custom 27200150","","Pericardiocentesis Kit","BOTH IP/OP","$591.00 ","$437.34 ","$0.00 ","$591.00 ","$0.00 ","$0.00 ","$0.00 ","$421.80 ","$421.80 ","$0.00 ","$591.00 ","$0.00 ","$295.50 ","$468.07 ","$472.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200151","EAP","HCPCS C1769","","Choice Pt X-support Guidewire","BOTH IP/OP","$605.00 ","$447.70 ","$0.00 ","$605.00 ","$328.52 ","$0.00 ","$126.10 ","$431.79 ","$431.79 ","$105.93 ","$605.00 ","$0.00 ","$302.50 ","$479.16 ","$484.00 ","$0.00 ","$94.68 ","$0.00 ","$96.32 ","$0.00 "
"27200152","EAP","HCPCS C1769","","Choice Pt Guidewire","BOTH IP/OP","$605.00 ","$447.70 ","$0.00 ","$605.00 ","$328.52 ","$0.00 ","$126.10 ","$431.79 ","$431.79 ","$105.93 ","$605.00 ","$0.00 ","$302.50 ","$479.16 ","$484.00 ","$0.00 ","$94.68 ","$0.00 ","$96.32 ","$0.00 "
"27200153","EAP","HCPCS C1769","","Glidewire .035 150cm  Angled","BOTH IP/OP","$118.00 ","$87.32 ","$0.00 ","$118.00 ","$0.00 ","$0.00 ","$0.00 ","$84.22 ","$84.22 ","$20.66 ","$118.00 ","$0.00 ","$59.00 ","$93.46 ","$94.40 ","$0.00 ","$18.47 ","$0.00 ","$18.79 ","$0.00 "
"27200154","EAP","HCPCS C1892","","Custom Left Heart Kit W/transd","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$37.47 ","$0.00 ","$14.38 ","$49.25 ","$49.25 ","$12.08 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$10.80 ","$0.00 ","$10.98 ","$0.00 "
"27200155","EAP","HCPCS C1892","","Custom Right Heart Kit W/trans","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$25.52 ","$0.00 ","$9.80 ","$33.54 ","$33.54 ","$8.23 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$7.36 ","$0.00 ","$7.48 ","$0.00 "
"27200156","EAP","HCPCS C2629","","Micropuncture Set","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$21.26 ","$72.80 ","$72.80 ","$17.86 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$15.96 ","$0.00 ","$16.24 ","$0.00 "
"27200157","EAP","HCPCS C1769","",".025 X 260CM 7CM EMERALD GUIDEWIRE","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$11.40 ","$0.00 ","$4.38 ","$14.99 ","$14.99 ","$3.68 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$3.29 ","$0.00 ","$3.34 ","$0.00 "
"27200158","EAP","HCPCS C1887","","6fr Al 1 St Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200159","EAP","HCPCS C1887","","6fr Ar 2 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200160","EAP","HCPCS C1894","","6fr - 10cm  Avanti + Sheath In","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200161","EAP","HCPCS C1887","","6fr Jl4 St Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200162","EAP","HCPCS C1887","","6fr Mpa-1 Guiding Cath","BOTH IP/OP","$189.00 ","$139.86 ","$0.00 ","$189.00 ","$102.63 ","$0.00 ","$39.39 ","$134.89 ","$134.89 ","$33.09 ","$189.00 ","$0.00 ","$94.50 ","$149.69 ","$151.20 ","$0.00 ","$29.58 ","$0.00 ","$30.09 ","$0.00 "
"27200163","EAP","HCPCS C1887","","6ft Jr 4 St Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200164","EAP","HCPCS C1887","","7fr Ar 1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200165","EAP","HCPCS C1887","","7fr Jr 3.5 Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200166","EAP","HCPCS C1887","","7fr H-stick Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200167","EAP","HCPCS C1887","","7fr Jl5 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200168","EAP","HCPCS C1887","","7fr Jr 4 St Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200169","EAP","HCPCS C1887","","7fr Jr 5 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200170","EAP","HCPCS C1887","","7fr Mpa-1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200171","EAP","HCPCS C1887","","7fr Xb 3.5 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200172","EAP","HCPCS C1887","","7fr Xb 3.0 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200173","EAP","HCPCS C1887","","7fr Al 1 St Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200174","EAP","HCPCS C1887","","7fr Al 2 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200175","EAP","HCPCS C1887","","7fr Jr 4 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200176","EAP","HCPCS C1887","","7fr Im Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200177","EAP","HCPCS C1887","","6fr Ar 1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200178","EAP","HCPCS C1887","","6fr Jl4 Sh Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200179","EAP","HCPCS C1887","","6fr Jr 4 Sh Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200180","EAP","HCPCS C1769","",".035 X 260CM 3CM  EMERALD GUIDEWIRE","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$11.95 ","$0.00 ","$4.59 ","$15.70 ","$15.70 ","$3.85 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$3.44 ","$0.00 ","$3.50 ","$0.00 "
"27200181","EAP","HCPCS C1887","","6fr Xb 3 Sh Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200182","EAP","HCPCS C1887","","7fr Xb 3.5 Sh Guilding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200183","EAP","HCPCS C1887","","6fr Xb 3.5 Sh Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200184","EAP","HCPCS C1769","",".035 X 150CM 3CM EMERALD GUIDEWIRE","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$11.95 ","$0.00 ","$4.59 ","$15.70 ","$15.70 ","$3.85 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$3.44 ","$0.00 ","$3.50 ","$0.00 "
"27200185","EAP","HCPCS C1887","","7fr Jl4 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200186","EAP","HCPCS C1887","","7fr Jl4 Sh Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200187","EAP","HCPCS C1887","","7fr Xb 4.0 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200188","EAP","HCPCS C1887","","7fr Jr 4 Sh Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200189","EAP","HCPCS C1887","","7fr Ar 1 Sh Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200190","EAP","HCPCS C1887","","6fr Al 1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200191","EAP","HCPCS C1887","","6fr Xb 4.0 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200192","EAP","HCPCS C1887","","7fr Al 1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200193","EAP","HCPCS C1887","","6fr Jl4 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$0.00 ","$0.00 ","$0.00 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200194","EAP","HCPCS C1887","","6fr Jr 4 Guiding Cath","BOTH IP/OP","$189.00 ","$139.86 ","$0.00 ","$189.00 ","$102.63 ","$0.00 ","$39.39 ","$134.89 ","$134.89 ","$33.09 ","$189.00 ","$0.00 ","$94.50 ","$149.69 ","$151.20 ","$0.00 ","$29.58 ","$0.00 ","$30.09 ","$0.00 "
"27200195","EAP","HCPCS C1887","","6fr Xb 3 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200196","EAP","HCPCS C1887","","6fr Xb 3.5 Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200197","EAP","HCPCS C1887","","6fr H-stick Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200198","EAP","HCPCS C1887","","6fr Jl3.5 Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200199","EAP","HCPCS C1887","","6fr Jr 3.5 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200200","EAP","HCPCS C1887","","6fr Al .75 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200201","EAP","HCPCS C1887","","7fr Al .75 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200202","EAP","HCPCS C1894","","7fr - 10cm Avanti + Sheath Int","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200203","EAP","HCPCS C1894","","8fr - 10cm Avanti + Sheath Int","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200204","EAP","HCPCS C1769","",".025 X 150cm Emerald Guidewire","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$11.40 ","$0.00 ","$4.38 ","$14.99 ","$14.99 ","$3.68 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$3.29 ","$0.00 ","$3.34 ","$0.00 "
"27200205","EAP","HCPCS C1769","","300cm Balanced Middleweight (b","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$156.38 ","$0.00 ","$60.03 ","$205.55 ","$205.55 ","$50.43 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$45.07 ","$0.00 ","$45.85 ","$0.00 "
"27200206","EAP","HCPCS C1769","","Amplatz Guidewire Super Stiff","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$47.24 ","$0.00 ","$18.13 ","$62.09 ","$62.09 ","$15.23 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$13.62 ","$0.00 ","$13.85 ","$0.00 "
"27200207","EAP","HCPCS C1751","","7fr-100cm Swan-ganz Td Cathete","BOTH IP/OP","$189.00 ","$139.86 ","$0.00 ","$189.00 ","$102.63 ","$0.00 ","$39.39 ","$134.89 ","$134.89 ","$33.09 ","$189.00 ","$0.00 ","$94.50 ","$149.69 ","$151.20 ","$0.00 ","$29.58 ","$0.00 ","$30.09 ","$0.00 "
"27200208","EAP","HCPCS C1894","","5fr - 10cm Avanti+sheath Intro","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$18.46 ","$0.00 ","$7.09 ","$24.27 ","$24.27 ","$5.95 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$5.32 ","$0.00 ","$5.41 ","$0.00 "
"27200209","EAP","HCPCS C1887","","7fr Jl4 St Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200214","EAP","HCPCS C1884","","Filter Wire Ex-300cm","BOTH IP/OP","$5,361.00 ","$3,967.14 ","$0.00 ","$5,361.00 ","$2,911.02 ","$0.00 ","$1,117.37 ","$3,826.15 ","$3,826.15 ","$938.67 ","$5,361.00 ","$0.00 ","$2,680.50 ","$4,245.91 ","$4,288.80 ","$0.00 ","$839.00 ","$0.00 ","$853.47 ","$0.00 "
"27200215","EAP","HCPCS C1727","","2.50 X 15mm Cutting Balloon","BOTH IP/OP","$2,869.00 ","$2,123.06 ","$0.00 ","$2,869.00 ","$0.00 ","$0.00 ","$0.00 ","$2,047.61 ","$2,047.61 ","$0.00 ","$2,869.00 ","$0.00 ","$1,434.50 ","$2,272.25 ","$2,295.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200216","EAP","HCPCS C1727","","2.50 X 10cm Cutting Balloon","BOTH IP/OP","$2,869.00 ","$2,123.06 ","$0.00 ","$2,869.00 ","$0.00 ","$0.00 ","$0.00 ","$2,047.61 ","$2,047.61 ","$0.00 ","$2,869.00 ","$0.00 ","$1,434.50 ","$2,272.25 ","$2,295.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200218","EAP","HCPCS C1757","",".014-145cm Export Catheter","BOTH IP/OP","$1,865.00 ","$1,380.10 ","$0.00 ","$1,865.00 ","$1,012.70 ","$0.00 ","$388.71 ","$1,331.05 ","$1,331.05 ","$0.00 ","$1,865.00 ","$0.00 ","$932.50 ","$1,477.08 ","$1,492.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200219","EAP","HCPCS C1756","","Temporary Pace Eletrode Cathet","BOTH IP/OP","$591.00 ","$437.34 ","$0.00 ","$591.00 ","$0.00 ","$0.00 ","$0.00 ","$421.80 ","$421.80 ","$0.00 ","$591.00 ","$0.00 ","$295.50 ","$468.07 ","$472.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200220","EAP","HCPCS C1727","","Balloon Cutting Ultra Tube, 2.","BOTH IP/OP","$2,574.00 ","$1,904.76 ","$0.00 ","$2,574.00 ","$0.00 ","$0.00 ","$0.00 ","$1,837.06 ","$1,837.06 ","$0.00 ","$2,574.00 ","$0.00 ","$1,287.00 ","$2,038.61 ","$2,059.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200226","EAP","HCPCS C1725","","4.00 X 15mm Voyager Rx Balloon","BOTH IP/OP","$699.00 ","$517.26 ","$0.00 ","$699.00 ","$379.56 ","$0.00 ","$145.69 ","$498.88 ","$498.88 ","$122.39 ","$699.00 ","$0.00 ","$349.50 ","$553.61 ","$559.20 ","$0.00 ","$109.39 ","$0.00 ","$111.28 ","$0.00 "
"27200227","EAP","HCPCS C1769","","190cm All-star Guidewire","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$156.38 ","$0.00 ","$60.03 ","$205.55 ","$205.55 ","$50.43 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$45.07 ","$0.00 ","$45.85 ","$0.00 "
"27200228","EAP","HCPCS C1769","","Choice X-support Guidewire","BOTH IP/OP","$605.00 ","$447.70 ","$0.00 ","$605.00 ","$328.52 ","$0.00 ","$126.10 ","$431.79 ","$431.79 ","$105.93 ","$605.00 ","$0.00 ","$302.50 ","$479.16 ","$484.00 ","$0.00 ","$94.68 ","$0.00 ","$96.32 ","$0.00 "
"27200229","EAP","HCPCS C1769","","Choice Standard Guidewire","BOTH IP/OP","$605.00 ","$447.70 ","$0.00 ","$605.00 ","$328.52 ","$0.00 ","$126.10 ","$431.79 ","$431.79 ","$105.93 ","$605.00 ","$0.00 ","$302.50 ","$479.16 ","$484.00 ","$0.00 ","$94.68 ","$0.00 ","$96.32 ","$0.00 "
"27200230","EAP","HCPCS C1887","","7fr Xb 3.0 Sh Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200231","EAP","HCPCS C1887","","6fr Al 2 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200238","EAP","HCPCS C1887","","7fr Ar 2 Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200239","EAP","HCPCS C1887","","7fr Jl3.5 Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200247","EAP","HCPCS C1887","","7fr Lcb Guiding Cath","BOTH IP/OP","$199.00 ","$147.26 ","$0.00 ","$199.00 ","$108.06 ","$0.00 ","$41.48 ","$142.03 ","$142.03 ","$34.84 ","$199.00 ","$0.00 ","$99.50 ","$157.61 ","$159.20 ","$0.00 ","$31.14 ","$0.00 ","$31.68 ","$0.00 "
"27200248","EAP","HCPCS C1887","","7fr Jr 4 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200249","EAP","HCPCS C1887","","7fr Ar 1 Guiding Cath","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200250","EAP","HCPCS C1769","","Glide Wire,.035 Straight","BOTH IP/OP","$112.00 ","$82.88 ","$0.00 ","$112.00 ","$60.82 ","$0.00 ","$23.34 ","$79.93 ","$79.93 ","$19.61 ","$112.00 ","$0.00 ","$56.00 ","$88.70 ","$89.60 ","$0.00 ","$17.53 ","$0.00 ","$17.83 ","$0.00 "
"27200251","EAP","HCPCS C1887","","6fr Mpa- 1 Guiding Cath","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200252","EAP","HCPCS C1769","","190cm J Tip Bmw Guidewire","BOTH IP/OP","$348.00 ","$257.52 ","$0.00 ","$348.00 ","$188.96 ","$0.00 ","$72.53 ","$248.37 ","$248.37 ","$60.93 ","$348.00 ","$0.00 ","$174.00 ","$275.62 ","$278.40 ","$0.00 ","$54.46 ","$0.00 ","$55.40 ","$0.00 "
"27200253","EAP","HCPCS C1726","","12frx28mmx70cm Inoue Balloon","BOTH IP/OP","$19,725.00 ","$14,596.50 ","$0.00 ","$19,725.00 ","$10,710.68 ","$0.00 ","$4,111.18 ","$5,158.80 ","$5,158.80 ","$3,453.69 ","$19,725.00 ","$0.00 ","$9,862.50 ","$15,622.20 ","$15,780.00 ","$0.00 ","$3,086.96 ","$0.00 ","$3,140.22 ","$0.00 "
"27200254","EAP","HCPCS C1887","","6fr H Stick Sh Guiding Cathete","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200255","EAP","HCPCS C1887","","6fr Al 1 Sh Guiding Catheter","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200256","EAP","HCPCS C1887","","6fr Al 2 Sh Guiding Catheter","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200257","EAP","HCPCS C1725","","2.0 X 9mm Maverick Monorail","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27200258","EAP","HCPCS C1725","","2.5 X 9mm Maverick Monorail","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27200259","EAP","HCPCS C1725","","3.0 X 9mm Maverick Monorail","BOTH IP/OP","$872.00 ","$645.28 ","$0.00 ","$872.00 ","$473.50 ","$0.00 ","$181.75 ","$622.35 ","$622.35 ","$152.68 ","$872.00 ","$0.00 ","$436.00 ","$690.62 ","$697.60 ","$0.00 ","$136.47 ","$0.00 ","$138.82 ","$0.00 "
"27200283","EAP","HCPCS C1769","","Hi-torque Pilot 50 Guide Wire","BOTH IP/OP","$302.00 ","$223.48 ","$0.00 ","$302.00 ","$163.99 ","$0.00 ","$62.94 ","$215.54 ","$215.54 ","$52.88 ","$302.00 ","$0.00 ","$151.00 ","$239.18 ","$241.60 ","$0.00 ","$47.26 ","$0.00 ","$48.08 ","$0.00 "
"27200285","EAP","HCPCS C1769","","Doc Guide Wire Extension","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$175.93 ","$0.00 ","$67.53 ","$231.24 ","$231.24 ","$56.73 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$50.71 ","$0.00 ","$51.58 ","$0.00 "
"27200292","EAP","HCPCS C1725","","1.5 X 6 Sprinter Balloon","BOTH IP/OP","$853.00 ","$631.22 ","$0.00 ","$853.00 ","$463.18 ","$0.00 ","$177.79 ","$608.79 ","$608.79 ","$149.35 ","$853.00 ","$0.00 ","$426.50 ","$675.58 ","$682.40 ","$0.00 ","$133.49 ","$0.00 ","$135.80 ","$0.00 "
"27200294","EAP","HCPCS C1751","","7fr Wedge Pressure Cath","BOTH IP/OP","$153.00 ","$113.22 ","$0.00 ","$153.00 ","$83.08 ","$0.00 ","$31.89 ","$109.20 ","$109.20 ","$26.79 ","$153.00 ","$0.00 ","$76.50 ","$121.18 ","$122.40 ","$0.00 ","$23.94 ","$0.00 ","$24.36 ","$0.00 "
"27200295","EAP","Custom 27200295","","Cardiac Cath Pack","BOTH IP/OP","$190.00 ","$140.60 ","$0.00 ","$190.00 ","$0.00 ","$0.00 ","$0.00 ","$135.60 ","$135.60 ","$0.00 ","$190.00 ","$0.00 ","$95.00 ","$150.48 ","$152.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200296","EAP","Custom 27200296","","Contrast Inject Line-low Press","BOTH IP/OP","$7.00 ","$5.18 ","$0.00 ","$7.00 ","$0.00 ","$0.00 ","$0.00 ","$5.00 ","$5.00 ","$0.00 ","$7.00 ","$0.00 ","$3.50 ","$5.54 ","$5.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200297","EAP","Custom 27200297","","Implant Tray","BOTH IP/OP","$212.00 ","$156.88 ","$0.00 ","$212.00 ","$0.00 ","$0.00 ","$0.00 ","$151.30 ","$151.30 ","$0.00 ","$212.00 ","$0.00 ","$106.00 ","$167.90 ","$169.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200298","EAP","HCPCS C1893","","5fr - 10cm Pinnacle Introducer","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$20.63 ","$0.00 ","$7.92 ","$27.12 ","$27.12 ","$6.65 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$5.95 ","$0.00 ","$6.05 ","$0.00 "
"27200299","EAP","HCPCS C1893","","6fr - 10cm Pinnacle Introducer","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$21.72 ","$0.00 ","$8.34 ","$28.55 ","$28.55 ","$7.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$6.26 ","$0.00 ","$6.37 ","$0.00 "
"27200300","EAP","HCPCS C1893","","7fr - 10cm Pinnacle Introducer","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$20.63 ","$0.00 ","$7.92 ","$27.12 ","$27.12 ","$6.65 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$5.95 ","$0.00 ","$6.05 ","$0.00 "
"27200301","EAP","HCPCS C1893","","8fr - 10cm Pinnacle Introducer","BOTH IP/OP","$38.00 ","$28.12 ","$0.00 ","$38.00 ","$20.63 ","$0.00 ","$7.92 ","$27.12 ","$27.12 ","$6.65 ","$38.00 ","$0.00 ","$19.00 ","$30.10 ","$30.40 ","$0.00 ","$5.95 ","$0.00 ","$6.05 ","$0.00 "
"27200302","EAP","HCPCS C1893","","6fr - 25cm Pinnacle Introducer","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$37.47 ","$0.00 ","$14.38 ","$49.25 ","$49.25 ","$12.08 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$10.80 ","$0.00 ","$10.98 ","$0.00 "
"27200303","EAP","HCPCS C1893","","7fr - 25cm Pinnacle Introducer","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$37.47 ","$0.00 ","$14.38 ","$49.25 ","$49.25 ","$12.08 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$10.80 ","$0.00 ","$10.98 ","$0.00 "
"27200304","EAP","HCPCS C1893","","8fr - 25cm Pinnacle Introducer","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$37.47 ","$0.00 ","$14.38 ","$49.25 ","$49.25 ","$12.08 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$10.80 ","$0.00 ","$10.98 ","$0.00 "
"27200305","EAP","HCPCS C1887","","6fr Ebu 3.0 Guiding Catheter","BOTH IP/OP","$189.00 ","$139.86 ","$0.00 ","$189.00 ","$102.63 ","$0.00 ","$39.39 ","$134.89 ","$134.89 ","$33.09 ","$189.00 ","$0.00 ","$94.50 ","$149.69 ","$151.20 ","$0.00 ","$29.58 ","$0.00 ","$30.09 ","$0.00 "
"27200306","EAP","HCPCS C1887","","6fr Ebu 3.5 Guiding Catheter","BOTH IP/OP","$169.00 ","$125.06 ","$0.00 ","$169.00 ","$91.77 ","$0.00 ","$35.22 ","$120.62 ","$120.62 ","$29.59 ","$169.00 ","$0.00 ","$84.50 ","$133.85 ","$135.20 ","$0.00 ","$26.45 ","$0.00 ","$26.90 ","$0.00 "
"27200307","EAP","HCPCS C1887","","6fr Ebu 4.0 Guiding Catheter","BOTH IP/OP","$169.00 ","$125.06 ","$0.00 ","$169.00 ","$91.77 ","$0.00 ","$35.22 ","$120.62 ","$120.62 ","$29.59 ","$169.00 ","$0.00 ","$84.50 ","$133.85 ","$135.20 ","$0.00 ","$26.45 ","$0.00 ","$26.90 ","$0.00 "
"27200308","EAP","HCPCS C1887","","7fr Ebu 3.0 Guiding Catheter","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200309","EAP","HCPCS C1887","","7fr Ebu 3.5 Guiding Catheter","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200310","EAP","HCPCS C1887","","7fr Ebu 4.0 Guiding Catheter","BOTH IP/OP","$161.00 ","$119.14 ","$0.00 ","$161.00 ","$87.42 ","$0.00 ","$33.56 ","$114.91 ","$114.91 ","$28.19 ","$161.00 ","$0.00 ","$80.50 ","$127.51 ","$128.80 ","$0.00 ","$25.20 ","$0.00 ","$25.63 ","$0.00 "
"27200311","EAP","HCPCS C1887","","8fr Ebu 3.5 Guiding Catheter","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200312","EAP","HCPCS C1887","","8fr Ebu 4.0 Guiding Catheter","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$97.74 ","$0.00 ","$37.52 ","$128.47 ","$128.47 ","$31.52 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$28.17 ","$0.00 ","$28.66 ","$0.00 "
"27200313","EAP","HCPCS C1727","","3.0 X 10cm Cutting Balloon Otw","BOTH IP/OP","$986.00 ","$729.64 ","$0.00 ","$986.00 ","$0.00 ","$0.00 ","$0.00 ","$703.71 ","$703.71 ","$0.00 ","$986.00 ","$0.00 ","$493.00 ","$780.91 ","$788.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200314","EAP","HCPCS C1757","","7fr Export Xt Catheter","BOTH IP/OP","$2,850.00 ","$2,109.00 ","$0.00 ","$2,850.00 ","$1,547.55 ","$0.00 ","$594.01 ","$2,034.05 ","$2,034.05 ","$0.00 ","$2,850.00 ","$0.00 ","$1,425.00 ","$2,257.20 ","$2,280.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200315","EAP","HCPCS C1769","",".014 - 300cm Asahi Miraclebros","BOTH IP/OP","$691.00 ","$511.34 ","$0.00 ","$691.00 ","$375.21 ","$0.00 ","$144.02 ","$493.17 ","$493.17 ","$120.99 ","$691.00 ","$0.00 ","$345.50 ","$547.27 ","$552.80 ","$0.00 ","$108.14 ","$0.00 ","$110.01 ","$0.00 "
"27200316","EAP","HCPCS C1769","",".014 - 300cm Asahi Soft Wire","BOTH IP/OP","$268.00 ","$198.32 ","$0.00 ","$268.00 ","$145.52 ","$0.00 ","$55.86 ","$191.27 ","$191.27 ","$46.92 ","$268.00 ","$0.00 ","$134.00 ","$212.26 ","$214.40 ","$0.00 ","$41.94 ","$0.00 ","$42.67 ","$0.00 "
"27200317","EAP","HCPCS C1769","",".014 - 300cm Whisper Ms","BOTH IP/OP","$331.00 ","$244.94 ","$0.00 ","$331.00 ","$179.73 ","$0.00 ","$68.99 ","$236.23 ","$236.23 ","$57.96 ","$331.00 ","$0.00 ","$165.50 ","$262.15 ","$264.80 ","$0.00 ","$51.80 ","$0.00 ","$52.70 ","$0.00 "
"27200318","EAP","HCPCS C1769","",".014 - 300cm All-star Wire","BOTH IP/OP","$307.00 ","$227.18 ","$0.00 ","$307.00 ","$166.70 ","$0.00 ","$63.99 ","$219.11 ","$219.11 ","$53.75 ","$307.00 ","$0.00 ","$153.50 ","$243.14 ","$245.60 ","$0.00 ","$48.05 ","$0.00 ","$48.87 ","$0.00 "
"27200319","EAP","HCPCS C1753","","Eagle Eye Coronary Imaging Cat","BOTH IP/OP","$2,449.00 ","$1,812.26 ","$0.00 ","$2,449.00 ","$1,329.81 ","$0.00 ","$510.43 ","$1,747.85 ","$1,747.85 ","$428.80 ","$2,449.00 ","$0.00 ","$1,224.50 ","$1,939.61 ","$1,959.20 ","$0.00 ","$383.27 ","$0.00 ","$389.88 ","$0.00 "
"27200320","EAP","Custom 27200320","","Primewire","BOTH IP/OP","$2,332.00 ","$1,725.68 ","$0.00 ","$2,332.00 ","$0.00 ","$0.00 ","$0.00 ","$1,664.35 ","$1,664.35 ","$0.00 ","$2,332.00 ","$0.00 ","$1,166.00 ","$1,846.94 ","$1,865.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200321","EAP","HCPCS C1893","","8fr-35cm Super Arrow Flex Intr","BOTH IP/OP","$249.00 ","$184.26 ","$0.00 ","$249.00 ","$135.21 ","$0.00 ","$51.90 ","$177.71 ","$177.71 ","$43.60 ","$249.00 ","$0.00 ","$124.50 ","$197.21 ","$199.20 ","$0.00 ","$38.97 ","$0.00 ","$39.64 ","$0.00 "
"27200322","EAP","Custom 27200322","","Platinum Plus St .018 Guidewir","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$0.00 ","$0.00 ","$0.00 ","$205.55 ","$205.55 ","$0.00 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200323","EAP","Custom 27200323","","Platinum Plus St .014 Guidewir","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$0.00 ","$0.00 ","$0.00 ","$205.55 ","$205.55 ","$0.00 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200324","EAP","Custom 27200324","","V-18 Control Wire","BOTH IP/OP","$340.00 ","$251.60 ","$0.00 ","$340.00 ","$0.00 ","$0.00 ","$0.00 ","$242.66 ","$242.66 ","$0.00 ","$340.00 ","$0.00 ","$170.00 ","$269.28 ","$272.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200325","EAP","Custom 27200325","","Steel Core 18 Guidewire","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200329","EAP","Custom 27200329","","14fr Sheath Introducer","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$62.09 ","$62.09 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200338","EAP","HCPCS C1725","","Voyager Nc 2.5 X 15mm Balloon","BOTH IP/OP","$634.00 ","$469.16 ","$0.00 ","$634.00 ","$344.26 ","$0.00 ","$132.14 ","$452.49 ","$452.49 ","$111.01 ","$634.00 ","$0.00 ","$317.00 ","$502.13 ","$507.20 ","$0.00 ","$99.22 ","$0.00 ","$100.93 ","$0.00 "
"27200373","EAP","HCPCS C1726","","Catheter Baldilat 12 Atm 1.5mm 142cm 12mm Rapex","BOTH IP/OP","$413.00 ","$305.62 ","$0.00 ","$413.00 ","$224.26 ","$0.00 ","$86.08 ","$294.76 ","$294.76 ","$72.31 ","$413.00 ","$0.00 ","$206.50 ","$327.10 ","$330.40 ","$0.00 ","$64.63 ","$0.00 ","$65.75 ","$0.00 "
"27200376","EAP","HCPCS C1726","","Catheter Blndil 21cm .022in 2mm 142cm Lf 12mm Spntr Lgnd","BOTH IP/OP","$413.00 ","$305.62 ","$0.00 ","$413.00 ","$224.26 ","$0.00 ","$86.08 ","$294.76 ","$294.76 ","$72.31 ","$413.00 ","$0.00 ","$206.50 ","$327.10 ","$330.40 ","$0.00 ","$64.63 ","$0.00 ","$65.75 ","$0.00 "
"27200382","EAP","HCPCS C1726","","Sprinter Legend Balloon Rx 3.0","BOTH IP/OP","$569.00 ","$421.06 ","$0.00 ","$569.00 ","$308.97 ","$0.00 ","$118.59 ","$406.10 ","$406.10 ","$99.63 ","$569.00 ","$0.00 ","$284.50 ","$450.65 ","$455.20 ","$0.00 ","$89.05 ","$0.00 ","$90.58 ","$0.00 "
"27200406","EAP","HCPCS C1726","","Sprinter Nc Balloon Rx 3.50x06","BOTH IP/OP","$627.00 ","$463.98 ","$0.00 ","$627.00 ","$340.46 ","$0.00 ","$130.68 ","$447.49 ","$447.49 ","$109.78 ","$627.00 ","$0.00 ","$313.50 ","$496.58 ","$501.60 ","$0.00 ","$98.13 ","$0.00 ","$99.82 ","$0.00 "
"27200408","EAP","HCPCS C1726","","Sprinter Nc Balloon Rx 3.50x12","BOTH IP/OP","$627.00 ","$463.98 ","$0.00 ","$627.00 ","$340.46 ","$0.00 ","$130.68 ","$447.49 ","$447.49 ","$109.78 ","$627.00 ","$0.00 ","$313.50 ","$496.58 ","$501.60 ","$0.00 ","$98.13 ","$0.00 ","$99.82 ","$0.00 "
"27200417","EAP","HCPCS C1726","","Sprinter Nc Balloon Rx 4.00x15","BOTH IP/OP","$627.00 ","$463.98 ","$0.00 ","$627.00 ","$340.46 ","$0.00 ","$130.68 ","$447.49 ","$447.49 ","$109.78 ","$627.00 ","$0.00 ","$313.50 ","$496.58 ","$501.60 ","$0.00 ","$98.13 ","$0.00 ","$99.82 ","$0.00 "
"27200422","EAP","Custom 27200422","","Spacer (mdi)","BOTH IP/OP","$215.00 ","$159.10 ","$0.00 ","$215.00 ","$0.00 ","$0.00 ","$0.00 ","$153.45 ","$153.45 ","$0.00 ","$215.00 ","$0.00 ","$107.50 ","$170.28 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200423","EAP","Custom 27200423","","FOOT DROP SPLINT-CUSTOM","BOTH IP/OP","$243.00 ","$179.82 ","$0.00 ","$243.00 ","$0.00 ","$0.00 ","$0.00 ","$173.43 ","$173.43 ","$0.00 ","$243.00 ","$0.00 ","$121.50 ","$192.46 ","$194.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200425","EAP","Custom 27200425","","Catheterization Kit, Straight","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$0.00 ","$0.00 ","$0.00 ","$42.82 ","$42.82 ","$0.00 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200426","EAP","Custom 27200426","","Blood Administration Set Up","BOTH IP/OP","$3.00 ","$2.22 ","$0.00 ","$3.00 ","$0.00 ","$0.00 ","$0.00 ","$2.14 ","$2.14 ","$0.00 ","$3.00 ","$0.00 ","$1.50 ","$2.38 ","$2.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200427","EAP","Custom 27200427","","Intra-uterine Press Cath","BOTH IP/OP","$92.00 ","$68.08 ","$0.00 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$65.66 ","$65.66 ","$0.00 ","$92.00 ","$0.00 ","$46.00 ","$72.86 ","$73.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200428","EAP","Custom 27200428","","Pack, C-section","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200430","EAP","Custom 27200430","","Catheterization Kit, Foley","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200431","EAP","Custom 27200431","","Catheterization Kit, Straight","BOTH IP/OP","$180.00 ","$133.20 ","$0.00 ","$180.00 ","$0.00 ","$0.00 ","$0.00 ","$128.47 ","$128.47 ","$0.00 ","$180.00 ","$0.00 ","$90.00 ","$142.56 ","$144.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200432","EAP","Custom 27200432","","Blood Administration Set Up","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200433","EAP","Custom 27200433","","Karmen Cannula","BOTH IP/OP","$1,131.00 ","$836.94 ","$0.00 ","$1,131.00 ","$0.00 ","$0.00 ","$0.00 ","$807.19 ","$807.19 ","$0.00 ","$1,131.00 ","$0.00 ","$565.50 ","$895.75 ","$904.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200434","EAP","HCPCS A4405","","Stomahesive Paste 2 Oz Tube","BOTH IP/OP","$108.00 ","$79.92 ","$0.00 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$77.08 ","$77.08 ","$0.00 ","$108.00 ","$0.00 ","$54.00 ","$85.54 ","$86.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200435","EAP","Custom 27200435","","Little Ones, Pouch Flange","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200436","EAP","Custom 27200436","","Pouch, Urostomy Opaque","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200437","EAP","Custom 27200437","","Flexible Flange","BOTH IP/OP","$42.00 ","$31.08 ","$0.00 ","$42.00 ","$0.00 ","$0.00 ","$0.00 ","$29.98 ","$29.98 ","$0.00 ","$42.00 ","$0.00 ","$21.00 ","$33.26 ","$33.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200438","EAP","Custom 27200438","","Irrigator, Visiflow W/cone","BOTH IP/OP","$201.00 ","$148.74 ","$0.00 ","$201.00 ","$0.00 ","$0.00 ","$0.00 ","$143.45 ","$143.45 ","$0.00 ","$201.00 ","$0.00 ","$100.50 ","$159.19 ","$160.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200439","EAP","Custom 27200439","","Irrigation Sleeve","BOTH IP/OP","$207.00 ","$153.18 ","$0.00 ","$207.00 ","$0.00 ","$0.00 ","$0.00 ","$147.74 ","$147.74 ","$0.00 ","$207.00 ","$0.00 ","$103.50 ","$163.94 ","$165.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200440","EAP","HCPCS A4371","","Stomahesive Powder","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$9.81 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$8.76 ","$0.00 ","$8.92 ","$0.00 "
"27200441","EAP","Custom 27200441","","Mini Pouch","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200442","EAP","Custom 27200442","","Wound Pouch Med.","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$0.00 ","$0.00 ","$0.00 ","$48.53 ","$48.53 ","$0.00 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200443","EAP","HCPCS A4364","","Medical Adhesive","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$36.92 ","$0.00 ","$14.17 ","$48.53 ","$48.53 ","$11.91 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$10.64 ","$0.00 ","$10.83 ","$0.00 "
"27200444","EAP","Custom 27200444","","Drain Tube Attachment","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200446","EAP","HCPCS A4364","","Skin Bond Cement, 4oz","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$41.27 ","$0.00 ","$15.84 ","$54.24 ","$54.24 ","$13.31 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$11.89 ","$0.00 ","$12.10 ","$0.00 "
"27200447","EAP","HCPCS A4455","","Uni-solve Wipes,adhes. Remover","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$0.00 ","$73.51 ","$73.51 ","$18.03 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$16.12 ","$0.00 ","$16.40 ","$0.00 "
"27200448","EAP","HCPCS A6197","","Alginate Dressing>16<= 48 Sq In","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$0.00 ","$0.00 ","$0.00 ","$13.56 ","$13.56 ","$0.00 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200449","EAP","Custom 27200449","","Ace Wrap Supply","BOTH IP/OP","$34.00 ","$25.16 ","$0.00 ","$34.00 ","$0.00 ","$0.00 ","$0.00 ","$24.27 ","$24.27 ","$0.00 ","$34.00 ","$0.00 ","$17.00 ","$26.93 ","$27.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200450","EAP","HCPCS C1728","","Catheter,brachytherapy Seed Ad","BOTH IP/OP","$10,554.00 ","$7,809.96 ","$0.00 ","$10,554.00 ","$5,730.82 ","$0.00 ","$2,199.72 ","$5,158.80 ","$5,158.80 ","$0.00 ","$10,554.00 ","$0.00 ","$5,277.00 ","$8,358.77 ","$8,443.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200452","EAP","HCPCS C1757","","Catheter 6fr X 65 Cm 9mm Cleaner Sterile","BOTH IP/OP","$1,756.00 ","$1,299.44 ","$0.00 ","$1,756.00 ","$0.00 ","$0.00 ","$0.00 ","$1,253.26 ","$1,253.26 ","$0.00 ","$1,756.00 ","$0.00 ","$878.00 ","$1,390.75 ","$1,404.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200453","EAP","HCPCS C1757","","Catheter 6fr X 135 Cm 9mm Cleaner Sterile","BOTH IP/OP","$2,351.00 ","$1,739.74 ","$0.00 ","$2,351.00 ","$0.00 ","$0.00 ","$0.00 ","$1,677.91 ","$1,677.91 ","$0.00 ","$2,351.00 ","$0.00 ","$1,175.50 ","$1,861.99 ","$1,880.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200454","EAP","HCPCS C1757","","Catheter 7 Fr X 65 Cm 9mm Cleaner Sterile","BOTH IP/OP","$2,143.00 ","$1,585.82 ","$0.00 ","$2,143.00 ","$0.00 ","$0.00 ","$0.00 ","$1,529.46 ","$1,529.46 ","$0.00 ","$2,143.00 ","$0.00 ","$1,071.50 ","$1,697.26 ","$1,714.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200455","EAP","HCPCS C1757","","Catheter 7fr X 135 Cm 9mm Cleaner Sterile","BOTH IP/OP","$2,660.00 ","$1,968.40 ","$0.00 ","$2,660.00 ","$0.00 ","$0.00 ","$0.00 ","$1,898.44 ","$1,898.44 ","$0.00 ","$2,660.00 ","$0.00 ","$1,330.00 ","$2,106.72 ","$2,128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200456","EAP","HCPCS C2629","","Mic G-18 Introducer Kit","BOTH IP/OP","$585.00 ","$432.90 ","$0.00 ","$585.00 ","$0.00 ","$0.00 ","$121.93 ","$417.51 ","$417.51 ","$102.43 ","$585.00 ","$0.00 ","$292.50 ","$463.32 ","$468.00 ","$0.00 ","$91.55 ","$0.00 ","$93.13 ","$0.00 "
"27200457","EAP","HCPCS C1751","","Cath Cen Ven 4fr 1 Lum Try 3cg Shrlk Sty Maximal Brr Pic","BOTH IP/OP","$249.00 ","$184.26 ","$0.00 ","$249.00 ","$135.21 ","$0.00 ","$51.90 ","$177.71 ","$177.71 ","$43.60 ","$249.00 ","$0.00 ","$124.50 ","$197.21 ","$199.20 ","$0.00 ","$38.97 ","$0.00 ","$39.64 ","$0.00 "
"27200458","EAP","HCPCS C1751","","Cath 5fr 1lum Try 3cg Shrlk Sty Maximal Brr Picc P","BOTH IP/OP","$260.00 ","$192.40 ","$0.00 ","$260.00 ","$141.18 ","$0.00 ","$54.19 ","$185.56 ","$185.56 ","$45.52 ","$260.00 ","$0.00 ","$130.00 ","$205.92 ","$208.00 ","$0.00 ","$40.69 ","$0.00 ","$41.39 ","$0.00 "
"27200459","EAP","HCPCS C1751","","Cath 6fr 1lum Try 3cg Shrlk Sty Maximal Brr Picc P","BOTH IP/OP","$260.00 ","$192.40 ","$0.00 ","$260.00 ","$0.00 ","$0.00 ","$0.00 ","$185.56 ","$185.56 ","$45.52 ","$260.00 ","$0.00 ","$130.00 ","$205.92 ","$208.00 ","$0.00 ","$40.69 ","$0.00 ","$41.39 ","$0.00 "
"27200460","EAP","HCPCS C1894","","Micro Microintruducer 7cm 5.0fr Flecura Guidewire","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$21.18 ","$0.00 ","$8.13 ","$27.83 ","$27.83 ","$6.83 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$6.10 ","$0.00 ","$6.21 ","$0.00 "
"27200461","EAP","HCPCS C1751","","Tray Cath 5fr 12cm Cen Ven Spctrm 3 Lum Pu .025in Disp D","BOTH IP/OP","$320.00 ","$236.80 ","$0.00 ","$320.00 ","$173.76 ","$0.00 ","$66.70 ","$228.38 ","$228.38 ","$56.03 ","$320.00 ","$0.00 ","$160.00 ","$253.44 ","$256.00 ","$0.00 ","$50.08 ","$0.00 ","$50.94 ","$0.00 "
"27200462","EAP","HCPCS C1887","","Sheath Guid 65cm 6fr Pn Dstn .038in Str Hydphi","BOTH IP/OP","$224.00 ","$165.76 ","$0.00 ","$224.00 ","$121.63 ","$0.00 ","$46.69 ","$159.87 ","$159.87 ","$39.22 ","$224.00 ","$0.00 ","$112.00 ","$177.41 ","$179.20 ","$0.00 ","$35.06 ","$0.00 ","$35.66 ","$0.00 "
"27200467","EAP","HCPCS C1769","","Guidewire Vascular Angle Standard .035in 180cm 3cm","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$21.47 ","$73.51 ","$73.51 ","$18.03 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$16.12 ","$0.00 ","$16.40 ","$0.00 "
"27200470","EAP","HCPCS C1884","","Embosphere Pre-filled Syringe 300-500 Microns/2ml","BOTH IP/OP","$625.00 ","$462.50 ","$0.00 ","$625.00 ","$339.38 ","$0.00 ","$130.27 ","$446.06 ","$446.06 ","$109.43 ","$625.00 ","$0.00 ","$312.50 ","$495.00 ","$500.00 ","$0.00 ","$97.81 ","$0.00 ","$99.50 ","$0.00 "
"27200471","EAP","HCPCS C1894","","Introducer Sheath 7fr .1in 80cm Tuohy Borst Sidearm Radiopq","BOTH IP/OP","$250.00 ","$185.00 ","$0.00 ","$250.00 ","$135.75 ","$0.00 ","$52.11 ","$178.43 ","$178.43 ","$43.77 ","$250.00 ","$0.00 ","$125.00 ","$198.00 ","$200.00 ","$0.00 ","$39.13 ","$0.00 ","$39.80 ","$0.00 "
"27200472","EAP","HCPCS C1769","","Guidewire Vascular 45d .016in 180cm 2mm Angled Flexible Tip","BOTH IP/OP","$725.00 ","$536.50 ","$0.00 ","$725.00 ","$393.68 ","$0.00 ","$151.11 ","$517.43 ","$517.43 ","$126.94 ","$725.00 ","$0.00 ","$362.50 ","$574.20 ","$580.00 ","$0.00 ","$113.46 ","$0.00 ","$115.42 ","$0.00 "
"27200473","EAP","HCPCS C1887","","Catheter Guid Mpc Curve 5fr .056in 90cm Braid Radiopq Soft","BOTH IP/OP","$893.00 ","$660.82 ","$0.00 ","$893.00 ","$484.90 ","$0.00 ","$186.12 ","$637.33 ","$637.33 ","$156.36 ","$893.00 ","$0.00 ","$446.50 ","$707.26 ","$714.40 ","$0.00 ","$139.75 ","$0.00 ","$142.17 ","$0.00 "
"27200474","EAP","HCPCS C1725","","Catheter Angiographic Motarjeme Curve 5fr .046in 100cm Braid","BOTH IP/OP","$310.00 ","$229.40 ","$0.00 ","$168.33 ","$168.33 ","$0.00 ","$64.61 ","$22.12 ","$22.12 ","$5.43 ","$31.00 ","$0.00 ","$15.50 ","$24.55 ","$24.80 ","$0.00 ","$4.85 ","$0.00 ","$4.94 ","$0.00 "
"27200475","EAP","HCPCS C1725","","Catheter Angiographic .035in Pigtail 5fr .052in 90cm Ultra","BOTH IP/OP","$305.00 ","$225.70 ","$0.00 ","$305.00 ","$165.62 ","$0.00 ","$63.57 ","$217.68 ","$217.68 ","$53.40 ","$305.00 ","$0.00 ","$152.50 ","$241.56 ","$244.00 ","$0.00 ","$47.73 ","$0.00 ","$48.56 ","$0.00 "
"27200476","EAP","HCPCS C1769","","Guidewire Vascular Str .018in 180cm 25cm Shapeable Shaft","BOTH IP/OP","$398.00 ","$294.52 ","$0.00 ","$398.00 ","$0.00 ","$0.00 ","$0.00 ","$284.05 ","$284.05 ","$69.69 ","$398.00 ","$0.00 ","$199.00 ","$315.22 ","$318.40 ","$0.00 ","$62.29 ","$0.00 ","$63.36 ","$0.00 "
"27200477","EAP","HCPCS C1769","","Guidewire Vascular .014in 300cm 20cm Exchange Radiopq Distal","BOTH IP/OP","$896.00 ","$663.04 ","$0.00 ","$896.00 ","$486.53 ","$0.00 ","$186.75 ","$639.48 ","$639.48 ","$156.88 ","$896.00 ","$0.00 ","$448.00 ","$709.63 ","$716.80 ","$0.00 ","$140.22 ","$0.00 ","$142.64 ","$0.00 "
"27200478","EAP","HCPCS C1887","","Catheter Infus 45d .014in Micro Str 1.9-2.4fr .017in 155cm","BOTH IP/OP","$1,773.00 ","$1,312.02 ","$0.00 ","$1,773.00 ","$962.74 ","$0.00 ","$369.54 ","$1,265.39 ","$1,265.39 ","$310.44 ","$1,773.00 ","$0.00 ","$886.50 ","$1,404.22 ","$1,418.40 ","$0.00 ","$277.47 ","$0.00 ","$282.26 ","$0.00 "
"27200479","EAP","HCPCS C1887","","Catheter Infus 90d .014in Micro Str 1.9-2.4fr .017in 155cm","BOTH IP/OP","$1,688.00 ","$1,249.12 ","$0.00 ","$1,688.00 ","$916.58 ","$0.00 ","$351.82 ","$1,204.73 ","$1,204.73 ","$295.56 ","$1,688.00 ","$0.00 ","$844.00 ","$1,336.90 ","$1,350.40 ","$0.00 ","$264.17 ","$0.00 ","$268.73 ","$0.00 "
"27200481","EAP","Custom 27200481","","Catheter Vascular Occlusion 1028 Flocontrol Tn","BOTH IP/OP","$6,988.00 ","$5,171.12 ","$0.00 ","$6,988.00 ","$0.00 ","$0.00 ","$0.00 ","$4,987.34 ","$4,987.34 ","$0.00 ","$6,988.00 ","$0.00 ","$3,494.00 ","$5,534.50 ","$5,590.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200482","EAP","HCPCS C1757","","Catheter Reperfusion 4max","BOTH IP/OP","$3,225.00 ","$2,386.50 ","$0.00 ","$3,225.00 ","$1,751.18 ","$0.00 ","$672.17 ","$2,301.68 ","$2,301.68 ","$0.00 ","$3,225.00 ","$0.00 ","$1,612.50 ","$2,554.20 ","$2,580.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200484","EAP","Custom 27200484","","Adhesive Ostomy Med Remain Flexible Silicone","BOTH IP/OP","$45.00 ","$33.30 ","$0.00 ","$45.00 ","$0.00 ","$0.00 ","$0.00 ","$32.12 ","$32.12 ","$0.00 ","$45.00 ","$0.00 ","$22.50 ","$35.64 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200485","EAP","HCPCS C1887","","Catheter Guid 9fr Balloon Cello","BOTH IP/OP","$1,875.00 ","$1,387.50 ","$0.00 ","$1,875.00 ","$1,018.13 ","$0.00 ","$390.80 ","$1,338.19 ","$1,338.19 ","$328.30 ","$1,875.00 ","$0.00 ","$937.50 ","$1,485.00 ","$1,500.00 ","$0.00 ","$293.44 ","$0.00 ","$298.50 ","$0.00 "
"27200496","EAP","HCPCS C1894","","Introducer Sheath .035in 7fr .1in 70cm Anl1 Curve","BOTH IP/OP","$163.00 ","$120.62 ","$0.00 ","$163.00 ","$88.51 ","$0.00 ","$33.97 ","$116.33 ","$116.33 ","$28.54 ","$163.00 ","$0.00 ","$81.50 ","$129.10 ","$130.40 ","$0.00 ","$25.51 ","$0.00 ","$25.95 ","$0.00 "
"27200714","EAP","Custom 27200714","","Compression Hose Lg/xlg Knee","BOTH IP/OP","$131.00 ","$96.94 ","$0.00 ","$131.00 ","$0.00 ","$0.00 ","$0.00 ","$93.49 ","$93.49 ","$0.00 ","$131.00 ","$0.00 ","$65.50 ","$103.75 ","$104.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200751","EAP","Custom 27200751","","Grasping Forceps, 10mm X 120cm","BOTH IP/OP","$744.00 ","$550.56 ","$0.00 ","$744.00 ","$0.00 ","$0.00 ","$0.00 ","$530.99 ","$530.99 ","$0.00 ","$744.00 ","$0.00 ","$372.00 ","$589.25 ","$595.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200753","EAP","Custom 27200753","","Grasping Forceps, 8mm X 120cm","BOTH IP/OP","$708.00 ","$523.92 ","$0.00 ","$708.00 ","$0.00 ","$0.00 ","$0.00 ","$505.30 ","$505.30 ","$0.00 ","$708.00 ","$0.00 ","$354.00 ","$560.74 ","$566.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200755","EAP","Custom 27200755","","Grasp Forceps, Stone Retrieval","BOTH IP/OP","$705.00 ","$521.70 ","$0.00 ","$705.00 ","$0.00 ","$0.00 ","$0.00 ","$503.16 ","$503.16 ","$0.00 ","$705.00 ","$0.00 ","$352.50 ","$558.36 ","$564.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200766","EAP","Custom 27200766","","Probe, Electrohydraulic Lithot","BOTH IP/OP","$428.00 ","$316.72 ","$0.00 ","$428.00 ","$0.00 ","$0.00 ","$0.00 ","$305.46 ","$305.46 ","$0.00 ","$428.00 ","$0.00 ","$214.00 ","$338.98 ","$342.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200769","EAP","Custom 27200769","","Bipolar Forceps","BOTH IP/OP","$573.00 ","$424.02 ","$0.00 ","$573.00 ","$0.00 ","$0.00 ","$0.00 ","$408.95 ","$408.95 ","$0.00 ","$573.00 ","$0.00 ","$286.50 ","$453.82 ","$458.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27200834","EAP","Custom 27200834","","Wet Field Cautery","BOTH IP/OP","$136.00 ","$100.64 ","$0.00 ","$136.00 ","$0.00 ","$0.00 ","$0.00 ","$97.06 ","$97.06 ","$0.00 ","$136.00 ","$0.00 ","$68.00 ","$107.71 ","$108.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201077","EAP","HCPCS C1769","","Guide Wire, 292.653","BOTH IP/OP","$183.00 ","$135.42 ","$0.00 ","$183.00 ","$99.37 ","$0.00 ","$38.14 ","$130.61 ","$130.61 ","$32.04 ","$183.00 ","$0.00 ","$91.50 ","$144.94 ","$146.40 ","$0.00 ","$28.64 ","$0.00 ","$29.13 ","$0.00 "
"27201301","EAP","Custom 27201301","","Drill Bit, 357.047","BOTH IP/OP","$1,952.00 ","$1,444.48 ","$0.00 ","$1,952.00 ","$0.00 ","$0.00 ","$0.00 ","$1,393.14 ","$1,393.14 ","$0.00 ","$1,952.00 ","$0.00 ","$976.00 ","$1,545.98 ","$1,561.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201369","EAP","Custom 27201369","","Endo Disposable Lap. Instr.","BOTH IP/OP","$977.00 ","$722.98 ","$0.00 ","$977.00 ","$0.00 ","$0.00 ","$0.00 ","$697.28 ","$697.28 ","$0.00 ","$977.00 ","$0.00 ","$488.50 ","$773.78 ","$781.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201377","EAP","Custom 27201377","","Ta Premium Dlu Staples","BOTH IP/OP","$1,093.00 ","$808.82 ","$0.00 ","$1,093.00 ","$0.00 ","$0.00 ","$0.00 ","$780.07 ","$780.07 ","$0.00 ","$1,093.00 ","$0.00 ","$546.50 ","$865.66 ","$874.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201399","EAP","Custom 27201399","","Bipolar Bovie","BOTH IP/OP","$14.00 ","$10.36 ","$0.00 ","$14.00 ","$0.00 ","$0.00 ","$0.00 ","$9.99 ","$9.99 ","$0.00 ","$14.00 ","$0.00 ","$7.00 ","$11.09 ","$11.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201400","EAP","Custom 27201400","","Micro Clips","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201403","EAP","Custom 27201403","","Abd Binder","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201407","EAP","Custom 27201407","","Dermabond","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$0.00 ","$0.00 ","$0.00 ","$62.09 ","$62.09 ","$0.00 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201456","EAP","Custom 27201456","","Grasping Forceps, 10mm X 120cm","BOTH IP/OP","$744.00 ","$550.56 ","$0.00 ","$744.00 ","$0.00 ","$0.00 ","$0.00 ","$530.99 ","$530.99 ","$0.00 ","$744.00 ","$0.00 ","$372.00 ","$589.25 ","$595.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201458","EAP","Custom 27201458","","Grasping Forceps, Stone Retrie","BOTH IP/OP","$705.00 ","$521.70 ","$0.00 ","$705.00 ","$0.00 ","$0.00 ","$0.00 ","$503.16 ","$503.16 ","$0.00 ","$705.00 ","$0.00 ","$352.50 ","$558.36 ","$564.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201474","EAP","Custom 27201474","","Grasping Forceps, 8mm X 120cm","BOTH IP/OP","$707.00 ","$523.18 ","$0.00 ","$707.00 ","$0.00 ","$0.00 ","$0.00 ","$504.59 ","$504.59 ","$0.00 ","$707.00 ","$0.00 ","$353.50 ","$559.94 ","$565.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201489","EAP","Custom 27201489","","Irrigation Clip","BOTH IP/OP","$214.00 ","$158.36 ","$0.00 ","$214.00 ","$0.00 ","$0.00 ","$0.00 ","$152.73 ","$152.73 ","$0.00 ","$214.00 ","$0.00 ","$107.00 ","$169.49 ","$171.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201492","EAP","Custom 27201492","","Jp Drain (hemaduct)","BOTH IP/OP","$90.00 ","$66.60 ","$0.00 ","$90.00 ","$0.00 ","$0.00 ","$0.00 ","$64.23 ","$64.23 ","$0.00 ","$90.00 ","$0.00 ","$45.00 ","$71.28 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201536","EAP","Custom 27201536","","Compression Hose Reg. Knee","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$0.00 ","$0.00 ","$0.00 ","$72.08 ","$72.08 ","$0.00 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201626","EAP","Custom 27201626","","Cath,intra-aortic Balloon","BOTH IP/OP","$4,716.00 ","$3,489.84 ","$0.00 ","$4,716.00 ","$0.00 ","$0.00 ","$0.00 ","$3,365.81 ","$3,365.81 ","$0.00 ","$4,716.00 ","$0.00 ","$2,358.00 ","$3,735.07 ","$3,772.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201630","EAP","Custom 27201630","","Cath,chest Tube Rt. Angled","BOTH IP/OP","$135.00 ","$99.90 ","$0.00 ","$135.00 ","$0.00 ","$0.00 ","$0.00 ","$96.35 ","$96.35 ","$0.00 ","$135.00 ","$0.00 ","$67.50 ","$106.92 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201680","EAP","Custom 27201680","","Catheter Angio .038in Ka2 Crv 5fr .046in 40cm Impr","BOTH IP/OP","$165.00 ","$122.10 ","$0.00 ","$165.00 ","$0.00 ","$0.00 ","$0.00 ","$117.76 ","$117.76 ","$0.00 ","$165.00 ","$0.00 ","$82.50 ","$130.68 ","$132.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201681","EAP","Custom 27201681","","Catheter Angio .038in Ka2 Crv 5fr .046in 65cm Prfm","BOTH IP/OP","$153.00 ","$113.22 ","$0.00 ","$153.00 ","$0.00 ","$0.00 ","$0.00 ","$109.20 ","$109.20 ","$0.00 ","$153.00 ","$0.00 ","$76.50 ","$121.18 ","$122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201700","EAP","Custom 27201700","","Rbc Filter Unit","BOTH IP/OP","$83.00 ","$61.42 ","$0.00 ","$83.00 ","$0.00 ","$0.00 ","$0.00 ","$59.24 ","$59.24 ","$0.00 ","$83.00 ","$0.00 ","$41.50 ","$65.74 ","$66.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201701","EAP","Custom 27201701","","Plat Filter Unit","BOTH IP/OP","$215.00 ","$159.10 ","$0.00 ","$215.00 ","$0.00 ","$0.00 ","$0.00 ","$153.45 ","$153.45 ","$0.00 ","$215.00 ","$0.00 ","$107.50 ","$170.28 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201702","EAP","Custom 27201702","","Plf1 Filter Unit","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$0.00 ","$0.00 ","$0.00 ","$27.83 ","$27.83 ","$0.00 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201800","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$3.26 ","$0.00 ","$1.25 ","$4.28 ","$4.28 ","$1.05 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.94 ","$0.00 ","$0.96 ","$0.00 "
"27201801","EAP","HCPCS C1769","","Guidewire .35x150cm Bentson","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$41.27 ","$0.00 ","$15.84 ","$54.24 ","$54.24 ","$13.31 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$11.89 ","$0.00 ","$12.10 ","$0.00 "
"27201802","EAP","HCPCS C1750","","24cm Duraflow Catheter","BOTH IP/OP","$2,096.00 ","$1,551.04 ","$0.00 ","$2,096.00 ","$1,138.13 ","$0.00 ","$436.86 ","$1,495.92 ","$1,495.92 ","$366.99 ","$2,096.00 ","$0.00 ","$1,048.00 ","$1,660.03 ","$1,676.80 ","$0.00 ","$328.02 ","$0.00 ","$333.68 ","$0.00 "
"27201803","EAP","HCPCS C1750","","28cm Duraflow Catheter","BOTH IP/OP","$1,720.00 ","$1,272.80 ","$0.00 ","$1,720.00 ","$933.96 ","$0.00 ","$358.49 ","$1,227.56 ","$1,227.56 ","$301.16 ","$1,720.00 ","$0.00 ","$860.00 ","$1,362.24 ","$1,376.00 ","$0.00 ","$269.18 ","$0.00 ","$273.82 ","$0.00 "
"27201804","EAP","HCPCS C1752","","24cm Schon Xl Temp Cath","BOTH IP/OP","$315.00 ","$233.10 ","$0.00 ","$315.00 ","$0.00 ","$0.00 ","$0.00 ","$224.82 ","$224.82 ","$0.00 ","$315.00 ","$0.00 ","$157.50 ","$249.48 ","$252.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201805","EAP","HCPCS C1751","","5x1235x20cm Unifuse Kit","BOTH IP/OP","$550.00 ","$407.00 ","$0.00 ","$550.00 ","$298.65 ","$0.00 ","$114.63 ","$392.54 ","$392.54 ","$96.30 ","$550.00 ","$0.00 ","$275.00 ","$435.60 ","$440.00 ","$0.00 ","$86.08 ","$0.00 ","$87.56 ","$0.00 "
"27201806","EAP","HCPCS C1751","","5x135x10cm Unifuse Kit","BOTH IP/OP","$550.00 ","$407.00 ","$0.00 ","$550.00 ","$298.65 ","$0.00 ","$114.63 ","$392.54 ","$392.54 ","$96.30 ","$550.00 ","$0.00 ","$275.00 ","$435.60 ","$440.00 ","$0.00 ","$86.08 ","$0.00 ","$87.56 ","$0.00 "
"27201807","EAP","HCPCS C1725","","8-4/5/75 Workhorse Pta","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201808","EAP","HCPCS C1752","","Temporary Dialysis Cath","BOTH IP/OP","$315.00 ","$233.10 ","$0.00 ","$315.00 ","$0.00 ","$0.00 ","$0.00 ","$224.82 ","$224.82 ","$0.00 ","$315.00 ","$0.00 ","$157.50 ","$249.48 ","$252.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201809","EAP","HCPCS C1752","","Temporay Dialysis Cath","BOTH IP/OP","$740.00 ","$547.60 ","$0.00 ","$740.00 ","$0.00 ","$0.00 ","$0.00 ","$528.14 ","$528.14 ","$0.00 ","$740.00 ","$0.00 ","$370.00 ","$586.08 ","$592.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201810","EAP","HCPCS C1725","","Workhorse Pta Balloon","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201811","EAP","HCPCS C1725","","Workhorse Pta Balloon","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201812","EAP","HCPCS C1725","","Wrkhorse Balloon 5-2/5/75","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201813","EAP","HCPCS C1725","","Wrkhrse Balloon 10-4/5/75","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201814","EAP","HCPCS C1725","","Wrkhrse Balloon 5-2/5/100","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201815","EAP","HCPCS C1725","","Wrkhrse Balloon 6-2/5/75","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201816","EAP","HCPCS C1751","","5fr Dual Lumen Picc Line","BOTH IP/OP","$533.00 ","$394.42 ","$0.00 ","$533.00 ","$289.42 ","$0.00 ","$111.09 ","$380.40 ","$380.40 ","$93.32 ","$533.00 ","$0.00 ","$266.50 ","$422.14 ","$426.40 ","$0.00 ","$83.41 ","$0.00 ","$84.85 ","$0.00 "
"27201817","EAP","HCPCS C1751","","5fr Sgle Lumen Pic Line","BOTH IP/OP","$419.00 ","$310.06 ","$0.00 ","$419.00 ","$227.52 ","$0.00 ","$87.33 ","$299.04 ","$299.04 ","$73.36 ","$419.00 ","$0.00 ","$209.50 ","$331.85 ","$335.20 ","$0.00 ","$65.57 ","$0.00 ","$66.70 ","$0.00 "
"27201818","EAP","HCPCS C1757","","Thrombex Device","BOTH IP/OP","$5,955.00 ","$4,406.70 ","$0.00 ","$5,955.00 ","$3,233.57 ","$0.00 ","$1,241.17 ","$4,250.08 ","$4,250.08 ","$0.00 ","$5,955.00 ","$0.00 ","$2,977.50 ","$4,716.36 ","$4,764.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201819","EAP","HCPCS C1769","","Guidewire .035/260m Exchange","BOTH IP/OP","$149.00 ","$110.26 ","$0.00 ","$149.00 ","$80.91 ","$0.00 ","$31.06 ","$106.34 ","$106.34 ","$26.09 ","$149.00 ","$0.00 ","$74.50 ","$118.01 ","$119.20 ","$0.00 ","$23.32 ","$0.00 ","$23.72 ","$0.00 "
"27201820","EAP","HCPCS C1769","","Guidewire .035-150cm Angled Stiff","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$90.68 ","$0.00 ","$34.81 ","$119.19 ","$119.19 ","$29.24 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$26.14 ","$0.00 ","$26.59 ","$0.00 "
"27201821","EAP","HCPCS C1751","","12cm Katzen Infusion Cath","BOTH IP/OP","$1,506.00 ","$1,114.44 ","$0.00 ","$1,506.00 ","$817.76 ","$0.00 ","$313.89 ","$1,074.83 ","$1,074.83 ","$263.69 ","$1,506.00 ","$0.00 ","$753.00 ","$1,192.75 ","$1,204.80 ","$0.00 ","$235.69 ","$0.00 ","$239.76 ","$0.00 "
"27201822","EAP","HCPCS C1751","","150/20 Tracker-18 Infusio","BOTH IP/OP","$3,033.00 ","$2,244.42 ","$0.00 ","$3,033.00 ","$1,646.92 ","$0.00 ","$632.15 ","$2,164.65 ","$2,164.65 ","$531.05 ","$3,033.00 ","$0.00 ","$1,516.50 ","$2,402.14 ","$2,426.40 ","$0.00 ","$474.66 ","$0.00 ","$482.85 ","$0.00 "
"27201823","EAP","HCPCS C1769","","32-150 Angled Guidewire","BOTH IP/OP","$287.00 ","$212.38 ","$0.00 ","$287.00 ","$155.84 ","$0.00 ","$59.82 ","$204.83 ","$204.83 ","$50.25 ","$287.00 ","$0.00 ","$143.50 ","$227.30 ","$229.60 ","$0.00 ","$44.92 ","$0.00 ","$45.69 ","$0.00 "
"27201824","EAP","HCPCS C1894","","5fr Pinnacle Introducer","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27201825","EAP","HCPCS C1887","","5fr-100cm At Catheter","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$20.09 ","$0.00 ","$7.71 ","$26.41 ","$26.41 ","$6.48 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$5.79 ","$0.00 ","$5.89 ","$0.00 "
"27201826","EAP","HCPCS C1751","","A50/20 Fastracker-18 Infu","BOTH IP/OP","$1,590.00 ","$1,176.60 ","$0.00 ","$1,590.00 ","$863.37 ","$0.00 ","$331.40 ","$1,134.78 ","$1,134.78 ","$278.40 ","$1,590.00 ","$0.00 ","$795.00 ","$1,259.28 ","$1,272.00 ","$0.00 ","$248.84 ","$0.00 ","$253.13 ","$0.00 "
"27201827","EAP","HCPCS C1769","","Amplatz Guidewire 260cm","BOTH IP/OP","$129.00 ","$95.46 ","$0.00 ","$129.00 ","$70.05 ","$0.00 ","$26.89 ","$92.07 ","$92.07 ","$22.59 ","$129.00 ","$0.00 ","$64.50 ","$102.17 ","$103.20 ","$0.00 ","$20.19 ","$0.00 ","$20.54 ","$0.00 "
"27201828","EAP","HCPCS C1725","","Catheter  Balloon 6-10/5","BOTH IP/OP","$681.00 ","$503.94 ","$0.00 ","$681.00 ","$0.00 ","$0.00 ","$0.00 ","$486.03 ","$486.03 ","$119.24 ","$681.00 ","$0.00 ","$340.50 ","$539.35 ","$544.80 ","$0.00 ","$106.58 ","$0.00 ","$108.42 ","$0.00 "
"27201829","EAP","HCPCS C1887","","Glidecath C2 Hydeophilic","BOTH IP/OP","$175.00 ","$129.50 ","$0.00 ","$175.00 ","$95.03 ","$0.00 ","$36.47 ","$124.90 ","$124.90 ","$30.64 ","$175.00 ","$0.00 ","$87.50 ","$138.60 ","$140.00 ","$0.00 ","$27.39 ","$0.00 ","$27.86 ","$0.00 "
"27201830","EAP","HCPCS C1769","","Glidewire .035 150cm  Angled","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$54.84 ","$0.00 ","$21.05 ","$72.08 ","$72.08 ","$17.68 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$15.81 ","$0.00 ","$16.08 ","$0.00 "
"27201831","EAP","HCPCS C1769","","Guidewire  Amplatz Super","BOTH IP/OP","$425.00 ","$314.50 ","$0.00 ","$425.00 ","$230.78 ","$0.00 ","$88.58 ","$303.32 ","$303.32 ","$74.41 ","$425.00 ","$0.00 ","$212.50 ","$336.60 ","$340.00 ","$0.00 ","$66.51 ","$0.00 ","$67.66 ","$0.00 "
"27201832","EAP","HCPCS C1769","","Guidewire-long Taper","BOTH IP/OP","$313.00 ","$231.62 ","$0.00 ","$313.00 ","$169.96 ","$0.00 ","$65.24 ","$223.39 ","$223.39 ","$54.80 ","$313.00 ","$0.00 ","$156.50 ","$247.90 ","$250.40 ","$0.00 ","$48.98 ","$0.00 ","$49.83 ","$0.00 "
"27201833","EAP","HCPCS C1769","","Transcend Steerable","BOTH IP/OP","$546.00 ","$404.04 ","$0.00 ","$667.00 ","$296.48 ","$0.00 ","$113.80 ","$476.04 ","$476.04 ","$116.79 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$104.39 ","$0.00 ","$106.19 ","$0.00 "
"27201834","EAP","HCPCS C1725","","Xxl 14-4/5.8/120","BOTH IP/OP","$856.00 ","$633.44 ","$0.00 ","$856.00 ","$464.81 ","$0.00 ","$178.41 ","$610.93 ","$610.93 ","$149.88 ","$856.00 ","$0.00 ","$428.00 ","$677.95 ","$684.80 ","$0.00 ","$133.96 ","$0.00 ","$136.28 ","$0.00 "
"27201835","EAP","HCPCS C1725","","Xxl/12-5/5.8/120 Balloon","BOTH IP/OP","$856.00 ","$633.44 ","$0.00 ","$856.00 ","$464.81 ","$0.00 ","$178.41 ","$610.93 ","$610.93 ","$149.88 ","$856.00 ","$0.00 ","$428.00 ","$677.95 ","$684.80 ","$0.00 ","$133.96 ","$0.00 ","$136.28 ","$0.00 "
"27201836","EAP","HCPCS C1769","","Guidewire .035-260cm Bentson E","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$88.00 ","$47.78 ","$0.00 ","$18.34 ","$62.81 ","$62.81 ","$15.41 ","$88.00 ","$0.00 ","$44.00 ","$69.70 ","$70.40 ","$0.00 ","$13.77 ","$0.00 ","$14.01 ","$0.00 "
"27201837","EAP","HCPCS C1729","","10.2fr Mp Drain Catheter","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$160.73 ","$0.00 ","$61.69 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$46.32 ","$0.00 ","$47.12 ","$0.00 "
"27201838","EAP","HCPCS C1894","","11fr-70cm Introducer Set","BOTH IP/OP","$233.00 ","$172.42 ","$0.00 ","$233.00 ","$126.52 ","$0.00 ","$48.56 ","$166.29 ","$166.29 ","$40.80 ","$233.00 ","$0.00 ","$116.50 ","$184.54 ","$186.40 ","$0.00 ","$36.46 ","$0.00 ","$37.09 ","$0.00 "
"27201839","EAP","HCPCS C1729","","14.0fr Mp Drain Catheter","BOTH IP/OP","$289.00 ","$213.86 ","$0.00 ","$289.00 ","$156.93 ","$0.00 ","$60.23 ","$206.26 ","$206.26 ","$50.60 ","$289.00 ","$0.00 ","$144.50 ","$228.89 ","$231.20 ","$0.00 ","$45.23 ","$0.00 ","$46.01 ","$0.00 "
"27201840","EAP","Custom 27201840","","35-3-5 Embolization Coil","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$0.00 ","$0.00 ","$0.00 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201841","EAP","Custom 27201841","","35-5-10 Embolization Coil","BOTH IP/OP","$279.00 ","$206.46 ","$0.00 ","$279.00 ","$0.00 ","$0.00 ","$0.00 ","$199.12 ","$199.12 ","$0.00 ","$279.00 ","$0.00 ","$139.50 ","$220.97 ","$223.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201842","EAP","Custom 27201842","","35-5-3 Embolization Coil","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201843","EAP","Custom 27201843","","35-5-8 Embolization Coil","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$0.00 ","$0.00 ","$0.00 ","$119.19 ","$119.19 ","$0.00 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201844","EAP","HCPCS C1893","","5fr80cm Neff Catheter","BOTH IP/OP","$120.00 ","$88.80 ","$0.00 ","$120.00 ","$65.16 ","$0.00 ","$25.01 ","$85.64 ","$85.64 ","$21.01 ","$120.00 ","$0.00 ","$60.00 ","$95.04 ","$96.00 ","$0.00 ","$18.78 ","$0.00 ","$19.10 ","$0.00 "
"27201845","EAP","HCPCS C1894","","6fr Balkan Introducer Set","BOTH IP/OP","$60.00 ","$44.40 ","$0.00 ","$60.00 ","$32.58 ","$0.00 ","$12.51 ","$42.82 ","$42.82 ","$10.51 ","$60.00 ","$0.00 ","$30.00 ","$47.52 ","$48.00 ","$0.00 ","$9.39 ","$0.00 ","$9.55 ","$0.00 "
"27201846","EAP","HCPCS C1894","","7fr Balkan Introducer Set","BOTH IP/OP","$170.00 ","$125.80 ","$0.00 ","$170.00 ","$92.31 ","$0.00 ","$35.43 ","$121.33 ","$121.33 ","$29.77 ","$170.00 ","$0.00 ","$85.00 ","$134.64 ","$136.00 ","$0.00 ","$26.61 ","$0.00 ","$27.06 ","$0.00 "
"27201847","EAP","HCPCS C1729","","8.5fr Mp Drain Catheter","BOTH IP/OP","$311.00 ","$230.14 ","$0.00 ","$311.00 ","$168.87 ","$0.00 ","$64.82 ","$221.96 ","$221.96 ","$54.45 ","$311.00 ","$0.00 ","$155.50 ","$246.31 ","$248.80 ","$0.00 ","$48.67 ","$0.00 ","$49.51 ","$0.00 "
"27201848","EAP","HCPCS C1729","","9.5fr Biliary Drain Cath.","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$160.73 ","$0.00 ","$61.69 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$46.32 ","$0.00 ","$47.12 ","$0.00 "
"27201849","EAP","HCPCS C1757","","Coil  Embolization 35-4-3","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$93.40 ","$0.00 ","$35.85 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201850","EAP","HCPCS C1769","","Dtdw35-80-10 Deflecting","BOTH IP/OP","$520.00 ","$384.80 ","$0.00 ","$520.00 ","$282.36 ","$0.00 ","$108.38 ","$371.12 ","$371.12 ","$91.05 ","$520.00 ","$0.00 ","$260.00 ","$411.84 ","$416.00 ","$0.00 ","$81.38 ","$0.00 ","$82.78 ","$0.00 "
"27201851","EAP","HCPCS C1773","","Filter Retrieval Set","BOTH IP/OP","$886.00 ","$655.64 ","$0.00 ","$886.00 ","$481.10 ","$0.00 ","$184.66 ","$632.34 ","$632.34 ","$155.13 ","$886.00 ","$0.00 ","$443.00 ","$701.71 ","$708.80 ","$0.00 ","$138.66 ","$0.00 ","$141.05 ","$0.00 "
"27201852","EAP","HCPCS C1769","","Guidewire  Cope Mandril","BOTH IP/OP","$116.00 ","$85.84 ","$0.00 ","$116.00 ","$62.99 ","$0.00 ","$24.18 ","$82.79 ","$82.79 ","$20.31 ","$116.00 ","$0.00 ","$58.00 ","$91.87 ","$92.80 ","$0.00 ","$18.15 ","$0.00 ","$18.47 ","$0.00 "
"27201853","EAP","HCPCS C1769","","Lewis Micropunture Set","BOTH IP/OP","$130.00 ","$96.20 ","$0.00 ","$130.00 ","$70.59 ","$0.00 ","$27.10 ","$92.78 ","$92.78 ","$22.76 ","$130.00 ","$0.00 ","$65.00 ","$102.96 ","$104.00 ","$0.00 ","$20.35 ","$0.00 ","$20.70 ","$0.00 "
"27201854","EAP","HCPCS C2629","","Micropuncture Set","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$21.26 ","$72.80 ","$72.80 ","$17.86 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$15.96 ","$0.00 ","$16.24 ","$0.00 "
"27201855","EAP","HCPCS C1894","","8fr-23cmavanti-introducer","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$5.43 ","$0.00 ","$2.08 ","$7.14 ","$7.14 ","$1.75 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$1.57 ","$0.00 ","$1.59 ","$0.00 "
"27201856","EAP","HCPCS C1894","","9fr-23cm Avanti Introduce","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$5.43 ","$0.00 ","$2.08 ","$7.14 ","$7.14 ","$1.75 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$1.57 ","$0.00 ","$1.59 ","$0.00 "
"27201857","EAP","HCPCS C1773","","12-20mmx120cm Std Snare","BOTH IP/OP","$1,119.00 ","$828.06 ","$0.00 ","$1,119.00 ","$607.62 ","$0.00 ","$233.23 ","$798.63 ","$798.63 ","$195.93 ","$1,119.00 ","$0.00 ","$559.50 ","$886.25 ","$895.20 ","$0.00 ","$175.12 ","$0.00 ","$178.14 ","$0.00 "
"27201858","EAP","HCPCS C1773","","9-15mmx120cm Std Snare","BOTH IP/OP","$1,119.00 ","$828.06 ","$0.00 ","$1,119.00 ","$607.62 ","$0.00 ","$233.23 ","$798.63 ","$798.63 ","$195.93 ","$1,119.00 ","$0.00 ","$559.50 ","$886.25 ","$895.20 ","$0.00 ","$175.12 ","$0.00 ","$178.14 ","$0.00 "
"27201859","EAP","HCPCS C1725","","Wrkhorse Balloon 10-4/5/100","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201860","EAP","HCPCS C1894","","Pinnacle Introducer 5fr 10cm","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$43.44 ","$0.00 ","$16.67 ","$57.10 ","$57.10 ","$14.01 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$12.52 ","$0.00 ","$12.74 ","$0.00 "
"27201861","EAP","HCPCS C1725","","Conquest Pta Balloon Dilatatio","BOTH IP/OP","$753.00 ","$557.22 ","$0.00 ","$753.00 ","$408.88 ","$0.00 ","$156.94 ","$537.42 ","$537.42 ","$131.84 ","$753.00 ","$0.00 ","$376.50 ","$596.38 ","$602.40 ","$0.00 ","$117.84 ","$0.00 ","$119.88 ","$0.00 "
"27201862","EAP","HCPCS C1725","","Opti-plast  Balloon Dilatation","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$272.04 ","$0.00 ","$104.42 ","$357.56 ","$357.56 ","$87.72 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$78.41 ","$0.00 ","$79.76 ","$0.00 "
"27201863","EAP","HCPCS C1725","","Workhorse Pta Workhorse Balloo","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27201864","EAP","HCPCS C1769","","Guidewire Straight Fixed Core","BOTH IP/OP","$86.00 ","$63.64 ","$0.00 ","$86.00 ","$46.70 ","$0.00 ","$17.92 ","$61.38 ","$61.38 ","$15.06 ","$86.00 ","$0.00 ","$43.00 ","$68.11 ","$68.80 ","$0.00 ","$13.46 ","$0.00 ","$13.69 ","$0.00 "
"27201865","EAP","HCPCS C1769","","Guidewire 3mm J Fixed Core .03","BOTH IP/OP","$46.00 ","$34.04 ","$0.00 ","$46.00 ","$24.98 ","$0.00 ","$9.59 ","$32.83 ","$32.83 ","$8.05 ","$46.00 ","$0.00 ","$23.00 ","$36.43 ","$36.80 ","$0.00 ","$7.20 ","$0.00 ","$7.32 ","$0.00 "
"27201866","EAP","HCPCS C1894","","Pinnacle Introducer 6fr 10cm","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$41.27 ","$0.00 ","$15.84 ","$54.24 ","$54.24 ","$13.31 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$11.89 ","$0.00 ","$12.10 ","$0.00 "
"27201867","EAP","HCPCS C1894","","8fr 10cm Pinnacle Introducer","BOTH IP/OP","$72.00 ","$53.28 ","$0.00 ","$72.00 ","$39.10 ","$0.00 ","$15.01 ","$51.39 ","$51.39 ","$12.61 ","$72.00 ","$0.00 ","$36.00 ","$57.02 ","$57.60 ","$0.00 ","$11.27 ","$0.00 ","$11.46 ","$0.00 "
"27201868","EAP","HCPCS C1894","","Pinnacle Introducer 8fr 10cm","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27201869","EAP","HCPCS C1894","","Pinnacle Introducer 9fr 10cm","BOTH IP/OP","$80.00 ","$59.20 ","$0.00 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$57.10 ","$57.10 ","$14.01 ","$80.00 ","$0.00 ","$40.00 ","$63.36 ","$64.00 ","$0.00 ","$12.52 ","$0.00 ","$12.74 ","$0.00 "
"27201870","EAP","HCPCS C1757","","Fogarty 5.5-40cm","BOTH IP/OP","$352.00 ","$260.48 ","$0.00 ","$352.00 ","$191.14 ","$0.00 ","$73.37 ","$251.22 ","$251.22 ","$0.00 ","$352.00 ","$0.00 ","$176.00 ","$278.78 ","$281.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201871","EAP","HCPCS C1757","","Fogarty 5.5 80cm","BOTH IP/OP","$352.00 ","$260.48 ","$0.00 ","$352.00 ","$0.00 ","$0.00 ","$0.00 ","$251.22 ","$251.22 ","$0.00 ","$352.00 ","$0.00 ","$176.00 ","$278.78 ","$281.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201872","EAP","HCPCS C1757","","Arrow Trerotola Thromolytic De","BOTH IP/OP","$1,805.00 ","$1,335.70 ","$0.00 ","$1,805.00 ","$980.12 ","$0.00 ","$376.21 ","$1,288.23 ","$1,288.23 ","$0.00 ","$1,805.00 ","$0.00 ","$902.50 ","$1,429.56 ","$1,444.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201873","EAP","HCPCS C1757","","Complex Fiber Coil 18 X 3mm X","BOTH IP/OP","$1,212.00 ","$896.88 ","$0.00 ","$1,212.00 ","$658.12 ","$0.00 ","$252.61 ","$865.00 ","$865.00 ","$0.00 ","$1,212.00 ","$0.00 ","$606.00 ","$959.90 ","$969.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201874","EAP","HCPCS C1729","","Skater 10fr","BOTH IP/OP","$605.00 ","$447.70 ","$0.00 ","$605.00 ","$328.52 ","$0.00 ","$126.10 ","$431.79 ","$431.79 ","$105.93 ","$605.00 ","$0.00 ","$302.50 ","$479.16 ","$484.00 ","$0.00 ","$94.68 ","$0.00 ","$96.32 ","$0.00 "
"27201875","EAP","HCPCS C1887","","Lima Guiding Catheter 7fr-55cm","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$417.00 ","$226.43 ","$0.00 ","$86.91 ","$297.61 ","$297.61 ","$73.01 ","$417.00 ","$0.00 ","$208.50 ","$330.26 ","$333.60 ","$0.00 ","$65.26 ","$0.00 ","$66.39 ","$0.00 "
"27201876","EAP","HCPCS C1892","","Meditech Accustick Ii Introduc","BOTH IP/OP","$209.00 ","$154.66 ","$0.00 ","$209.00 ","$113.49 ","$0.00 ","$43.56 ","$149.16 ","$149.16 ","$36.59 ","$209.00 ","$0.00 ","$104.50 ","$165.53 ","$167.20 ","$0.00 ","$32.71 ","$0.00 ","$33.27 ","$0.00 "
"27201877","EAP","HCPCS C1769","","22g X 10cm Chiba Needle","BOTH IP/OP","$27.00 ","$19.98 ","$0.00 ","$70.00 ","$14.66 ","$0.00 ","$5.63 ","$49.96 ","$49.96 ","$12.26 ","$70.00 ","$0.00 ","$35.00 ","$55.44 ","$56.00 ","$0.00 ","$10.96 ","$0.00 ","$11.14 ","$0.00 "
"27201878","EAP","HCPCS C1769","",".038-145 Amplatz Extra Stiff","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$41.27 ","$0.00 ","$15.84 ","$54.24 ","$54.24 ","$13.31 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$11.89 ","$0.00 ","$12.10 ","$0.00 "
"27201879","EAP","HCPCS C1751","","9fr Single Lumen Hickman","BOTH IP/OP","$241.00 ","$178.34 ","$0.00 ","$241.00 ","$130.86 ","$0.00 ","$50.23 ","$172.00 ","$172.00 ","$42.20 ","$241.00 ","$0.00 ","$120.50 ","$190.87 ","$192.80 ","$0.00 ","$37.72 ","$0.00 ","$38.37 ","$0.00 "
"27201880","EAP","HCPCS C1751","","9fr Dual Lumen Hickman","BOTH IP/OP","$528.00 ","$390.72 ","$0.00 ","$528.00 ","$286.70 ","$0.00 ","$110.05 ","$376.83 ","$376.83 ","$92.45 ","$528.00 ","$0.00 ","$264.00 ","$418.18 ","$422.40 ","$0.00 ","$82.63 ","$0.00 ","$84.06 ","$0.00 "
"27201881","EAP","HCPCS C1769","",".035-150cm 3mm J Guidewire","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$36.92 ","$0.00 ","$14.17 ","$48.53 ","$48.53 ","$11.91 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$10.64 ","$0.00 ","$10.83 ","$0.00 "
"27201882","EAP","HCPCS C1769","",".035-150cm Rosen Guidewire","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$11.38 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$10.17 ","$0.00 ","$10.35 ","$0.00 "
"27201883","EAP","HCPCS C1752","","12cm Niagra, Temp Dialysis Cat","BOTH IP/OP","$150.00 ","$111.00 ","$0.00 ","$150.00 ","$0.00 ","$0.00 ","$0.00 ","$107.06 ","$107.06 ","$0.00 ","$150.00 ","$0.00 ","$75.00 ","$118.80 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201884","EAP","HCPCS C1752","","15cm Niagra, Temp Dialysis Cat","BOTH IP/OP","$64.00 ","$47.36 ","$0.00 ","$64.00 ","$0.00 ","$0.00 ","$0.00 ","$45.68 ","$45.68 ","$0.00 ","$64.00 ","$0.00 ","$32.00 ","$50.69 ","$51.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201885","EAP","HCPCS C1725","","8-2/5/100 Workhorse Balloon","BOTH IP/OP","$427.00 ","$315.98 ","$0.00 ","$427.00 ","$231.86 ","$0.00 ","$89.00 ","$304.75 ","$304.75 ","$74.76 ","$427.00 ","$0.00 ","$213.50 ","$338.18 ","$341.60 ","$0.00 ","$66.83 ","$0.00 ","$67.98 ","$0.00 "
"27201886","EAP","HCPCS C1725","","4-2/5/75 Opti-plast Balloon","BOTH IP/OP","$501.00 ","$370.74 ","$0.00 ","$501.00 ","$272.04 ","$0.00 ","$104.42 ","$357.56 ","$357.56 ","$87.72 ","$501.00 ","$0.00 ","$250.50 ","$396.79 ","$400.80 ","$0.00 ","$78.41 ","$0.00 ","$79.76 ","$0.00 "
"27201887","EAP","HCPCS C1725","","3-way Hp Stopcock","BOTH IP/OP","$934.00 ","$691.16 ","$0.00 ","$934.00 ","$507.16 ","$0.00 ","$194.67 ","$666.60 ","$666.60 ","$163.54 ","$934.00 ","$0.00 ","$467.00 ","$739.73 ","$747.20 ","$0.00 ","$146.17 ","$0.00 ","$148.69 ","$0.00 "
"27201888","EAP","HCPCS C1894","","7fr 10cm Pinnacle Introducer","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$38.55 ","$0.00 ","$14.80 ","$50.67 ","$50.67 ","$12.43 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$11.11 ","$0.00 ","$11.30 ","$0.00 "
"27201889","EAP","HCPCS C1894","","7fr 10cm Pinnacle Introducer","BOTH IP/OP","$135.00 ","$99.90 ","$0.00 ","$135.00 ","$73.31 ","$0.00 ","$28.14 ","$96.35 ","$96.35 ","$23.64 ","$135.00 ","$0.00 ","$67.50 ","$106.92 ","$108.00 ","$0.00 ","$21.13 ","$0.00 ","$21.49 ","$0.00 "
"27201890","EAP","HCPCS C1725","","12-2/5.8/75 Udt Dilatation Bal","BOTH IP/OP","$889.00 ","$657.86 ","$0.00 ","$889.00 ","$482.73 ","$0.00 ","$185.29 ","$634.48 ","$634.48 ","$155.66 ","$889.00 ","$0.00 ","$444.50 ","$704.09 ","$711.20 ","$0.00 ","$139.13 ","$0.00 ","$141.53 ","$0.00 "
"27201891","EAP","HCPCS C1729","","8fr Flexima Biliary Catheter","BOTH IP/OP","$271.00 ","$200.54 ","$0.00 ","$271.00 ","$147.15 ","$0.00 ","$56.48 ","$193.41 ","$193.41 ","$47.45 ","$271.00 ","$0.00 ","$135.50 ","$214.63 ","$216.80 ","$0.00 ","$42.41 ","$0.00 ","$43.14 ","$0.00 "
"27201892","EAP","HCPCS C1729","","Cx 18.0-38-40-p-32s-bcl","BOTH IP/OP","$300.00 ","$222.00 ","$0.00 ","$300.00 ","$162.90 ","$0.00 ","$62.53 ","$214.11 ","$214.11 ","$52.53 ","$300.00 ","$0.00 ","$150.00 ","$237.60 ","$240.00 ","$0.00 ","$46.95 ","$0.00 ","$47.76 ","$0.00 "
"27201893","EAP","Custom 27201893","","Tibia Fracture Brace","BOTH IP/OP","$485.00 ","$358.90 ","$0.00 ","$485.00 ","$0.00 ","$0.00 ","$0.00 ","$346.14 ","$346.14 ","$0.00 ","$485.00 ","$0.00 ","$242.50 ","$384.12 ","$388.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201905","EAP","Custom 27201905","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201906","EAP","HCPCS A6250","","Wound Paste","BOTH IP/OP","$118.00 ","$87.32 ","$0.00 ","$118.00 ","$0.00 ","$0.00 ","$24.59 ","$84.22 ","$84.22 ","$20.66 ","$118.00 ","$0.00 ","$59.00 ","$93.46 ","$94.40 ","$0.00 ","$18.47 ","$0.00 ","$18.79 ","$0.00 "
"27201914","EAP","Custom 27201914","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27201930","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27201931","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27201932","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202362","EAP","Custom 27202362","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202368","EAP","Custom 27202368","","Scapel Surg W/handle Att","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202375","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202376","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202377","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202384","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$21.18 ","$0.00 ","$8.13 ","$27.83 ","$27.83 ","$6.83 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$6.10 ","$0.00 ","$6.21 ","$0.00 "
"27202388","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202389","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27202390","EAP","HCPCS C1729","","Catheter Coude Size 16fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27202395","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27202396","EAP","HCPCS C1729","","Catheter Coude 30cc 24fr","BOTH IP/OP","$82.00 ","$60.68 ","$0.00 ","$82.00 ","$44.53 ","$0.00 ","$17.09 ","$58.52 ","$58.52 ","$14.36 ","$82.00 ","$0.00 ","$41.00 ","$64.94 ","$65.60 ","$0.00 ","$12.83 ","$0.00 ","$13.05 ","$0.00 "
"27202397","EAP","Custom 27202397","","Scapel Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202403","EAP","Custom 27202403","","Scaple Surg W/handle Atta","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202406","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$47.00 ","$34.78 ","$0.00 ","$47.00 ","$25.52 ","$0.00 ","$9.80 ","$33.54 ","$33.54 ","$8.23 ","$47.00 ","$0.00 ","$23.50 ","$37.22 ","$37.60 ","$0.00 ","$7.36 ","$0.00 ","$7.48 ","$0.00 "
"27202407","EAP","HCPCS C1729","","Catheter Coude 30cc 24fr","BOTH IP/OP","$87.00 ","$64.38 ","$0.00 ","$87.00 ","$47.24 ","$0.00 ","$18.13 ","$62.09 ","$62.09 ","$15.23 ","$87.00 ","$0.00 ","$43.50 ","$68.90 ","$69.60 ","$0.00 ","$13.62 ","$0.00 ","$13.85 ","$0.00 "
"27202418","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202419","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202420","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202421","EAP","HCPCS C1729","","Catheter Foley 3-way 30cc","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$20.09 ","$0.00 ","$7.71 ","$26.41 ","$26.41 ","$6.48 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$5.79 ","$0.00 ","$5.89 ","$0.00 "
"27202432","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202433","EAP","HCPCS C1729","","Catheter Coude Size 14fr","BOTH IP/OP","$109.00 ","$80.66 ","$0.00 ","$109.00 ","$59.19 ","$0.00 ","$22.72 ","$77.79 ","$77.79 ","$19.09 ","$109.00 ","$0.00 ","$54.50 ","$86.33 ","$87.20 ","$0.00 ","$17.06 ","$0.00 ","$17.35 ","$0.00 "
"27202434","EAP","HCPCS C1729","","Catheter Coude Size 16fr","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$55.39 ","$0.00 ","$21.26 ","$72.80 ","$72.80 ","$17.86 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$15.96 ","$0.00 ","$16.24 ","$0.00 "
"27202435","EAP","Custom 27202435","","Scapel Surg W/handle Attached","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$0.00 ","$101.35 ","$101.35 ","$0.00 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202446","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202447","EAP","HCPCS C1729","","Catheter Foley 16fr","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$9.77 ","$0.00 ","$3.75 ","$12.85 ","$12.85 ","$3.15 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$2.82 ","$0.00 ","$2.87 ","$0.00 "
"27202448","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202449","EAP","HCPCS C1729","","Catheter Foley 30cc 28fr","BOTH IP/OP","$39.00 ","$28.86 ","$0.00 ","$39.00 ","$21.18 ","$0.00 ","$8.13 ","$27.83 ","$27.83 ","$6.83 ","$39.00 ","$0.00 ","$19.50 ","$30.89 ","$31.20 ","$0.00 ","$6.10 ","$0.00 ","$6.21 ","$0.00 "
"27202462","EAP","HCPCS C1729","","Catheter Foley 5cc 14fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202463","EAP","HCPCS C1729","","Catheter Foley 5cc 18fr","BOTH IP/OP","$19.00 ","$14.06 ","$0.00 ","$19.00 ","$10.32 ","$0.00 ","$3.96 ","$13.56 ","$13.56 ","$3.33 ","$19.00 ","$0.00 ","$9.50 ","$15.05 ","$15.20 ","$0.00 ","$2.97 ","$0.00 ","$3.02 ","$0.00 "
"27202470","EAP","HCPCS C1751","","Cragg-mcnamara 5-65-5 Infusion","BOTH IP/OP","$740.00 ","$547.60 ","$0.00 ","$740.00 ","$401.82 ","$0.00 ","$154.23 ","$528.14 ","$528.14 ","$129.57 ","$740.00 ","$0.00 ","$370.00 ","$586.08 ","$592.00 ","$0.00 ","$115.81 ","$0.00 ","$117.81 ","$0.00 "
"27202471","EAP","HCPCS C1751","","Cragg-mcnamara 5-40-20 Infusio","BOTH IP/OP","$315.00 ","$233.10 ","$0.00 ","$315.00 ","$171.05 ","$0.00 ","$65.65 ","$224.82 ","$224.82 ","$55.15 ","$315.00 ","$0.00 ","$157.50 ","$249.48 ","$252.00 ","$0.00 ","$49.30 ","$0.00 ","$50.15 ","$0.00 "
"27202472","EAP","HCPCS C1751","","Cragg-mcnamara 5-100-10 Infusi","BOTH IP/OP","$315.00 ","$233.10 ","$0.00 ","$315.00 ","$171.05 ","$0.00 ","$65.65 ","$224.82 ","$224.82 ","$55.15 ","$315.00 ","$0.00 ","$157.50 ","$249.48 ","$252.00 ","$0.00 ","$49.30 ","$0.00 ","$50.15 ","$0.00 "
"27202473","EAP","HCPCS C1773","","15mm Amplatz Snare","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27202474","EAP","HCPCS C1773","","25mm Amplatz Snare","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27202475","EAP","HCPCS C1729","","10fr X 35cm Skater Nephrostomy","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$254.00 ","$137.92 ","$0.00 ","$52.94 ","$181.28 ","$181.28 ","$44.47 ","$254.00 ","$0.00 ","$127.00 ","$201.17 ","$203.20 ","$0.00 ","$39.75 ","$0.00 ","$40.44 ","$0.00 "
"27202476","EAP","HCPCS C1750","","Chron Carbothane Cath 14.5f X 19cm","BOTH IP/OP","$1,054.00 ","$779.96 ","$0.00 ","$1,054.00 ","$572.32 ","$0.00 ","$219.68 ","$752.24 ","$752.24 ","$184.55 ","$1,054.00 ","$0.00 ","$527.00 ","$834.77 ","$843.20 ","$0.00 ","$164.95 ","$0.00 ","$167.80 ","$0.00 "
"27202477","EAP","HCPCS C1750","","23cm Sport Pack Perm Dialysis","BOTH IP/OP","$921.00 ","$681.54 ","$0.00 ","$921.00 ","$500.10 ","$0.00 ","$191.96 ","$657.32 ","$657.32 ","$161.26 ","$921.00 ","$0.00 ","$460.50 ","$729.43 ","$736.80 ","$0.00 ","$144.14 ","$0.00 ","$146.62 ","$0.00 "
"27202478","EAP","HCPCS C1750","","28cm Sport Pack Perm Dialysis","BOTH IP/OP","$2,263.00 ","$1,674.62 ","$0.00 ","$2,263.00 ","$1,228.81 ","$0.00 ","$471.67 ","$1,615.10 ","$1,615.10 ","$396.23 ","$2,263.00 ","$0.00 ","$1,131.50 ","$1,792.30 ","$1,810.40 ","$0.00 ","$354.16 ","$0.00 ","$360.27 ","$0.00 "
"27202479","EAP","HCPCS C1752","","19cm Q-plus Temp Dialysis Kit","BOTH IP/OP","$254.00 ","$187.96 ","$0.00 ","$254.00 ","$0.00 ","$0.00 ","$0.00 ","$181.28 ","$181.28 ","$0.00 ","$254.00 ","$0.00 ","$127.00 ","$201.17 ","$203.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202480","EAP","HCPCS C1894","","Sheath Flex 6fr 11cm","BOTH IP/OP","$138.00 ","$102.12 ","$0.00 ","$138.00 ","$74.93 ","$0.00 ","$28.76 ","$98.49 ","$98.49 ","$24.16 ","$138.00 ","$0.00 ","$69.00 ","$109.30 ","$110.40 ","$0.00 ","$21.60 ","$0.00 ","$21.97 ","$0.00 "
"27202481","EAP","HCPCS C1751","","Hickman 10.0 French Triple Lum","BOTH IP/OP","$1,357.00 ","$1,004.18 ","$0.00 ","$1,357.00 ","$736.85 ","$0.00 ","$282.83 ","$968.49 ","$968.49 ","$237.60 ","$1,357.00 ","$0.00 ","$678.50 ","$1,074.74 ","$1,085.60 ","$0.00 ","$212.37 ","$0.00 ","$216.03 ","$0.00 "
"27202482","EAP","HCPCS C1725","","Balloon Udt 4-2/5/120","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202483","EAP","HCPCS C1725","","Conquest Dialation Balloon 5mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$0.00 ","$0.00 ","$0.00 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202484","EAP","HCPCS C1725","","Conquest Dialation Balloon 5mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202485","EAP","HCPCS C1725","","Conquest Dialation Balloon 6mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202486","EAP","HCPCS C1725","","Conquest Dialation Balloon 6mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$0.00 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202487","EAP","HCPCS C1725","","Conquest Dialation Balloon 7mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$0.00 ","$0.00 ","$0.00 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202488","EAP","HCPCS C1725","","Conquest Dialation Balloon 7mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202489","EAP","HCPCS C1725","","Conquest Dialation Balloon 8mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202490","EAP","HCPCS C1725","","Conquest Dialation Balloon 8mm","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202491","EAP","HCPCS C1725","","Conquest Dialation Balloon 10m","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202492","EAP","HCPCS C1725","","Conquest Dialation Balloon 10m","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202493","EAP","HCPCS C1725","","Conquest Dialation Balloon 12m","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202494","EAP","HCPCS C1725","","Balloon Dial Cath 4mmx10cmx120","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202495","EAP","HCPCS C1751","","Vaxcel Central Venous Cath","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$3.26 ","$0.00 ","$1.25 ","$4.28 ","$4.28 ","$1.05 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.94 ","$0.00 ","$0.96 ","$0.00 "
"27202496","EAP","HCPCS C1725","","4mmx2cmx90xm Monorail Balloon","BOTH IP/OP","$1,407.00 ","$1,041.18 ","$0.00 ","$1,407.00 ","$764.00 ","$0.00 ","$293.25 ","$1,004.18 ","$1,004.18 ","$246.35 ","$1,407.00 ","$0.00 ","$703.50 ","$1,114.34 ","$1,125.60 ","$0.00 ","$220.20 ","$0.00 ","$223.99 ","$0.00 "
"27202497","EAP","HCPCS C1725","","5mmx2cmx90cm Monorail Balloon","BOTH IP/OP","$1,407.00 ","$1,041.18 ","$0.00 ","$1,407.00 ","$764.00 ","$0.00 ","$293.25 ","$1,004.18 ","$1,004.18 ","$246.35 ","$1,407.00 ","$0.00 ","$703.50 ","$1,114.34 ","$1,125.60 ","$0.00 ","$220.20 ","$0.00 ","$223.99 ","$0.00 "
"27202498","EAP","HCPCS C1725","","5mmx15cmx90xcm Monorail Biliar","BOTH IP/OP","$4,654.00 ","$3,443.96 ","$0.00 ","$4,654.00 ","$2,527.12 ","$0.00 ","$970.01 ","$3,321.56 ","$3,321.56 ","$814.88 ","$4,654.00 ","$0.00 ","$2,327.00 ","$3,685.97 ","$3,723.20 ","$0.00 ","$728.35 ","$0.00 ","$740.92 ","$0.00 "
"27202499","EAP","HCPCS C1725","","6mmx14cmx90cm Monorail Biliary","BOTH IP/OP","$4,654.00 ","$3,443.96 ","$0.00 ","$4,654.00 ","$2,527.12 ","$0.00 ","$970.01 ","$3,321.56 ","$3,321.56 ","$814.88 ","$4,654.00 ","$0.00 ","$2,327.00 ","$3,685.97 ","$3,723.20 ","$0.00 ","$728.35 ","$0.00 ","$740.92 ","$0.00 "
"27202500","EAP","HCPCS C1725","","6mmx18cmx90cm Monorail Bilary","BOTH IP/OP","$4,654.00 ","$3,443.96 ","$0.00 ","$4,654.00 ","$2,527.12 ","$0.00 ","$970.01 ","$3,321.56 ","$3,321.56 ","$814.88 ","$4,654.00 ","$0.00 ","$2,327.00 ","$3,685.97 ","$3,723.20 ","$0.00 ","$728.35 ","$0.00 ","$740.92 ","$0.00 "
"27202501","EAP","HCPCS C1769","",".018x190cm Thruway Guidewire","BOTH IP/OP","$291.00 ","$215.34 ","$0.00 ","$291.00 ","$158.01 ","$0.00 ","$60.65 ","$207.69 ","$207.69 ","$50.95 ","$291.00 ","$0.00 ","$145.50 ","$230.47 ","$232.80 ","$0.00 ","$45.54 ","$0.00 ","$46.33 ","$0.00 "
"27202502","EAP","HCPCS C1893","","6frx45cm Renal Guiding Sheath","BOTH IP/OP","$260.00 ","$192.40 ","$0.00 ","$260.00 ","$141.18 ","$0.00 ","$54.19 ","$185.56 ","$185.56 ","$45.52 ","$260.00 ","$0.00 ","$130.00 ","$205.92 ","$208.00 ","$0.00 ","$40.69 ","$0.00 ","$41.39 ","$0.00 "
"27202503","EAP","HCPCS C1725","","6x40x80 Polar Cath Balloon","BOTH IP/OP","$4,496.00 ","$3,327.04 ","$0.00 ","$4,496.00 ","$2,441.33 ","$0.00 ","$937.08 ","$3,208.80 ","$3,208.80 ","$787.21 ","$4,496.00 ","$0.00 ","$2,248.00 ","$3,560.83 ","$3,596.80 ","$0.00 ","$703.62 ","$0.00 ","$715.76 ","$0.00 "
"27202504","EAP","HCPCS C1725","","7x60x80 Polar Cath Balloon","BOTH IP/OP","$4,496.00 ","$3,327.04 ","$0.00 ","$4,496.00 ","$2,441.33 ","$0.00 ","$937.08 ","$3,208.80 ","$3,208.80 ","$787.21 ","$4,496.00 ","$0.00 ","$2,248.00 ","$3,560.83 ","$3,596.80 ","$0.00 ","$703.62 ","$0.00 ","$715.76 ","$0.00 "
"27202505","EAP","HCPCS C2629","","Banana Peel Sheath","BOTH IP/OP","$151.00 ","$111.74 ","$0.00 ","$151.00 ","$0.00 ","$0.00 ","$31.47 ","$107.77 ","$107.77 ","$26.44 ","$151.00 ","$0.00 ","$75.50 ","$119.59 ","$120.80 ","$0.00 ","$23.63 ","$0.00 ","$24.04 ","$0.00 "
"27202506","EAP","HCPCS C1769","","Guidewite .014x180 Segway Gt","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$417.00 ","$226.43 ","$0.00 ","$86.91 ","$297.61 ","$297.61 ","$73.01 ","$417.00 ","$0.00 ","$208.50 ","$330.26 ","$333.60 ","$0.00 ","$65.26 ","$0.00 ","$66.39 ","$0.00 "
"27202507","EAP","HCPCS C1769","","Guidewire .018x180cm Segway Gt","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$417.00 ","$226.43 ","$0.00 ","$86.91 ","$297.61 ","$297.61 ","$73.01 ","$417.00 ","$0.00 ","$208.50 ","$330.26 ","$333.60 ","$0.00 ","$65.26 ","$0.00 ","$66.39 ","$0.00 "
"27202508","EAP","HCPCS C1769","","Str Guidewire .014x180 Segway","BOTH IP/OP","$417.00 ","$308.58 ","$0.00 ","$417.00 ","$226.43 ","$0.00 ","$86.91 ","$297.61 ","$297.61 ","$73.01 ","$417.00 ","$0.00 ","$208.50 ","$330.26 ","$333.60 ","$0.00 ","$65.26 ","$0.00 ","$66.39 ","$0.00 "
"27202509","EAP","HCPCS C1751","","Infusion Embo Cath Segway","BOTH IP/OP","$835.00 ","$617.90 ","$0.00 ","$835.00 ","$453.41 ","$0.00 ","$174.03 ","$595.94 ","$595.94 ","$146.20 ","$835.00 ","$0.00 ","$417.50 ","$661.32 ","$668.00 ","$0.00 ","$130.68 ","$0.00 ","$132.93 ","$0.00 "
"27202510","EAP","HCPCS C1757","","Complex Helical Coil","BOTH IP/OP","$239.00 ","$176.86 ","$0.00 ","$239.00 ","$129.78 ","$0.00 ","$49.81 ","$170.57 ","$170.57 ","$0.00 ","$239.00 ","$0.00 ","$119.50 ","$189.29 ","$191.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202511","EAP","HCPCS C1894","","6fr Dial Ease Introducer Sheat","BOTH IP/OP","$43.00 ","$31.82 ","$0.00 ","$43.00 ","$23.35 ","$0.00 ","$8.96 ","$30.69 ","$30.69 ","$7.53 ","$43.00 ","$0.00 ","$21.50 ","$34.06 ","$34.40 ","$0.00 ","$6.73 ","$0.00 ","$6.85 ","$0.00 "
"27202512","EAP","HCPCS C1725","","7-2/7/75 Workhorse Balloon","BOTH IP/OP","$438.00 ","$324.12 ","$0.00 ","$438.00 ","$237.83 ","$0.00 ","$91.29 ","$312.60 ","$312.60 ","$76.69 ","$438.00 ","$0.00 ","$219.00 ","$346.90 ","$350.40 ","$0.00 ","$68.55 ","$0.00 ","$69.73 ","$0.00 "
"27202513","EAP","HCPCS C1725","","7-4/5/75 Workhorse Balloon","BOTH IP/OP","$427.00 ","$315.98 ","$0.00 ","$427.00 ","$231.86 ","$0.00 ","$89.00 ","$304.75 ","$304.75 ","$74.76 ","$427.00 ","$0.00 ","$213.50 ","$338.18 ","$341.60 ","$0.00 ","$66.83 ","$0.00 ","$67.98 ","$0.00 "
"27202514","EAP","HCPCS C1894","","10fr 25cm Pinnacle Sheath Intr","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27202515","EAP","HCPCS C1894","","5fr 25cm Pinnacle Introducer S","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$32.04 ","$0.00 ","$12.30 ","$42.11 ","$42.11 ","$10.33 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$9.23 ","$0.00 ","$9.39 ","$0.00 "
"27202516","EAP","HCPCS C1894","","9fr 25cm Pinnacle Introducer S","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27202517","EAP","HCPCS C1894","","6fr 25cm Pinnacle Introducer S","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27202518","EAP","HCPCS C1894","","7fr 25cm Pinnacle Introducer S","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$32.04 ","$0.00 ","$12.30 ","$42.11 ","$42.11 ","$10.33 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$9.23 ","$0.00 ","$9.39 ","$0.00 "
"27202519","EAP","HCPCS C1750","","23cm Hemoglide Perm Cath","BOTH IP/OP","$2,140.00 ","$1,583.60 ","$0.00 ","$2,140.00 ","$1,162.02 ","$0.00 ","$446.03 ","$1,527.32 ","$1,527.32 ","$374.70 ","$2,140.00 ","$0.00 ","$1,070.00 ","$1,694.88 ","$1,712.00 ","$0.00 ","$334.91 ","$0.00 ","$340.69 ","$0.00 "
"27202520","EAP","HCPCS C1750","","19cm Hemoglide Perm Cath","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27202521","EAP","HCPCS C1769","","Nitrex Guidewire","BOTH IP/OP","$728.00 ","$538.72 ","$0.00 ","$728.00 ","$395.30 ","$0.00 ","$151.73 ","$519.57 ","$519.57 ","$127.47 ","$728.00 ","$0.00 ","$364.00 ","$576.58 ","$582.40 ","$0.00 ","$113.93 ","$0.00 ","$115.90 ","$0.00 "
"27202522","EAP","HCPCS C1769","","Disposable Tip Deflecting Wire","BOTH IP/OP","$567.00 ","$419.58 ","$0.00 ","$567.00 ","$307.88 ","$0.00 ","$118.18 ","$404.67 ","$404.67 ","$99.28 ","$567.00 ","$0.00 ","$283.50 ","$449.06 ","$453.60 ","$0.00 ","$88.74 ","$0.00 ","$90.27 ","$0.00 "
"27202523","EAP","HCPCS C1894","","10fr Pinnacle Introducer","BOTH IP/OP","$76.00 ","$56.24 ","$0.00 ","$76.00 ","$41.27 ","$0.00 ","$15.84 ","$54.24 ","$54.24 ","$13.31 ","$76.00 ","$0.00 ","$38.00 ","$60.19 ","$60.80 ","$0.00 ","$11.89 ","$0.00 ","$12.10 ","$0.00 "
"27202524","EAP","HCPCS C1752","","Niagra Dialysis Catheter","BOTH IP/OP","$203.00 ","$150.22 ","$0.00 ","$203.00 ","$0.00 ","$0.00 ","$0.00 ","$144.88 ","$144.88 ","$0.00 ","$203.00 ","$0.00 ","$101.50 ","$160.78 ","$162.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202525","EAP","HCPCS C2629","","5fr Tear-away Introducer","BOTH IP/OP","$81.00 ","$59.94 ","$0.00 ","$81.00 ","$0.00 ","$0.00 ","$16.88 ","$57.81 ","$57.81 ","$14.18 ","$81.00 ","$0.00 ","$40.50 ","$64.15 ","$64.80 ","$0.00 ","$12.68 ","$0.00 ","$12.90 ","$0.00 "
"27202526","EAP","HCPCS C2629","","6fr Tear-away Introducer","BOTH IP/OP","$856.00 ","$633.44 ","$0.00 ","$856.00 ","$0.00 ","$0.00 ","$178.41 ","$610.93 ","$610.93 ","$149.88 ","$856.00 ","$0.00 ","$428.00 ","$677.95 ","$684.80 ","$0.00 ","$133.96 ","$0.00 ","$136.28 ","$0.00 "
"27202527","EAP","HCPCS C2629","","8 Fr Tear Away Introducer","BOTH IP/OP","$397.00 ","$293.78 ","$0.00 ","$397.00 ","$0.00 ","$0.00 ","$82.74 ","$283.34 ","$283.34 ","$69.51 ","$397.00 ","$0.00 ","$198.50 ","$314.42 ","$317.60 ","$0.00 ","$62.13 ","$0.00 ","$63.20 ","$0.00 "
"27202528","EAP","HCPCS C2629","","9fr Tear-away Introducer","BOTH IP/OP","$81.00 ","$59.94 ","$0.00 ","$81.00 ","$0.00 ","$0.00 ","$16.88 ","$57.81 ","$57.81 ","$14.18 ","$81.00 ","$0.00 ","$40.50 ","$64.15 ","$64.80 ","$0.00 ","$12.68 ","$0.00 ","$12.90 ","$0.00 "
"27202529","EAP","HCPCS C2629","","10fr-16cm Introducer","BOTH IP/OP","$85.00 ","$62.90 ","$0.00 ","$85.00 ","$0.00 ","$0.00 ","$17.72 ","$60.66 ","$60.66 ","$14.88 ","$85.00 ","$0.00 ","$42.50 ","$67.32 ","$68.00 ","$0.00 ","$13.30 ","$0.00 ","$13.53 ","$0.00 "
"27202530","EAP","Custom 27202530","","18 Ga Needle  Sterile  Guide","BOTH IP/OP","$65.00 ","$48.10 ","$0.00 ","$65.00 ","$0.00 ","$0.00 ","$0.00 ","$46.39 ","$46.39 ","$0.00 ","$65.00 ","$0.00 ","$32.50 ","$51.48 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202531","EAP","HCPCS C1729","","12fr Flexima Biliary Cath","BOTH IP/OP","$291.00 ","$215.34 ","$0.00 ","$291.00 ","$158.01 ","$0.00 ","$60.65 ","$207.69 ","$207.69 ","$50.95 ","$291.00 ","$0.00 ","$145.50 ","$230.47 ","$232.80 ","$0.00 ","$45.54 ","$0.00 ","$46.33 ","$0.00 "
"27202532","EAP","HCPCS C1757","","2mmx20mm Complex Helical","BOTH IP/OP","$257.00 ","$190.18 ","$0.00 ","$257.00 ","$139.55 ","$0.00 ","$53.57 ","$183.42 ","$183.42 ","$0.00 ","$257.00 ","$0.00 ","$128.50 ","$203.54 ","$205.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202533","EAP","HCPCS C1725","","4-4/5/75 Balloon Catheter","BOTH IP/OP","$681.00 ","$503.94 ","$0.00 ","$681.00 ","$369.78 ","$0.00 ","$141.94 ","$486.03 ","$486.03 ","$119.24 ","$681.00 ","$0.00 ","$340.50 ","$539.35 ","$544.80 ","$0.00 ","$106.58 ","$0.00 ","$108.42 ","$0.00 "
"27202534","EAP","HCPCS C1769","","46fr-65cm C2 Glidecath","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$90.68 ","$0.00 ","$34.81 ","$119.19 ","$119.19 ","$29.24 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$26.14 ","$0.00 ","$26.59 ","$0.00 "
"27202535","EAP","HCPCS C1757","","4mmx30mm Complex Helical","BOTH IP/OP","$265.00 ","$196.10 ","$0.00 ","$265.00 ","$143.90 ","$0.00 ","$55.23 ","$189.13 ","$189.13 ","$0.00 ","$265.00 ","$0.00 ","$132.50 ","$209.88 ","$212.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202536","EAP","HCPCS C1725","","Bmx 8-3/5.8/75 Balloon Ca","BOTH IP/OP","$916.00 ","$677.84 ","$0.00 ","$916.00 ","$497.39 ","$0.00 ","$190.92 ","$653.75 ","$653.75 ","$160.38 ","$916.00 ","$0.00 ","$458.00 ","$725.47 ","$732.80 ","$0.00 ","$143.35 ","$0.00 ","$145.83 ","$0.00 "
"27202537","EAP","HCPCS C1725","","Bmx14-4/7/100 Ballon Gath","BOTH IP/OP","$1,008.00 ","$745.92 ","$0.00 ","$1,008.00 ","$547.34 ","$0.00 ","$210.09 ","$719.41 ","$719.41 ","$176.49 ","$1,008.00 ","$0.00 ","$504.00 ","$798.34 ","$806.40 ","$0.00 ","$157.75 ","$0.00 ","$160.47 ","$0.00 "
"27202538","EAP","HCPCS C1729","","Catheter  10fr Flexima","BOTH IP/OP","$291.00 ","$215.34 ","$0.00 ","$291.00 ","$158.01 ","$0.00 ","$60.65 ","$207.69 ","$207.69 ","$50.95 ","$291.00 ","$0.00 ","$145.50 ","$230.47 ","$232.80 ","$0.00 ","$45.54 ","$0.00 ","$46.33 ","$0.00 "
"27202539","EAP","HCPCS C1729","","Catheter  14fr Flexima","BOTH IP/OP","$282.00 ","$208.68 ","$0.00 ","$282.00 ","$0.00 ","$0.00 ","$0.00 ","$201.26 ","$201.26 ","$49.38 ","$282.00 ","$0.00 ","$141.00 ","$223.34 ","$225.60 ","$0.00 ","$44.13 ","$0.00 ","$44.89 ","$0.00 "
"27202540","EAP","HCPCS C1751","","Catheter  9cm Katzen","BOTH IP/OP","$1,506.00 ","$1,114.44 ","$0.00 ","$1,506.00 ","$0.00 ","$0.00 ","$0.00 ","$1,074.83 ","$1,074.83 ","$263.69 ","$1,506.00 ","$0.00 ","$753.00 ","$1,192.75 ","$1,204.80 ","$0.00 ","$235.69 ","$0.00 ","$239.76 ","$0.00 "
"27202541","EAP","HCPCS C1725","","Catheter  Balloon  Dc/20","BOTH IP/OP","$2,062.00 ","$1,525.88 ","$0.00 ","$2,062.00 ","$0.00 ","$0.00 ","$0.00 ","$1,471.65 ","$1,471.65 ","$361.04 ","$2,062.00 ","$0.00 ","$1,031.00 ","$1,633.10 ","$1,649.60 ","$0.00 ","$322.70 ","$0.00 ","$328.27 ","$0.00 "
"27202542","EAP","HCPCS C1725","","Catheter  Balloon Ultra-","BOTH IP/OP","$718.00 ","$531.32 ","$0.00 ","$718.00 ","$0.00 ","$0.00 ","$0.00 ","$512.44 ","$512.44 ","$125.72 ","$718.00 ","$0.00 ","$359.00 ","$568.66 ","$574.40 ","$0.00 ","$112.37 ","$0.00 ","$114.31 ","$0.00 "
"27202543","EAP","HCPCS C1887","","Glidecath: 100cm Straight","BOTH IP/OP","$838.00 ","$620.12 ","$0.00 ","$838.00 ","$455.03 ","$0.00 ","$174.66 ","$598.08 ","$598.08 ","$146.73 ","$838.00 ","$0.00 ","$419.00 ","$663.70 ","$670.40 ","$0.00 ","$131.15 ","$0.00 ","$133.41 ","$0.00 "
"27202544","EAP","HCPCS C1887","","Guidecath  5fr-100cm","BOTH IP/OP","$175.00 ","$129.50 ","$0.00 ","$175.00 ","$95.03 ","$0.00 ","$36.47 ","$124.90 ","$124.90 ","$30.64 ","$175.00 ","$0.00 ","$87.50 ","$138.60 ","$140.00 ","$0.00 ","$27.39 ","$0.00 ","$27.86 ","$0.00 "
"27202545","EAP","HCPCS C1769","","Guidewire .035/150cm","BOTH IP/OP","$1,424.00 ","$1,053.76 ","$0.00 ","$1,424.00 ","$773.23 ","$0.00 ","$296.80 ","$1,016.31 ","$1,016.31 ","$249.33 ","$1,424.00 ","$0.00 ","$712.00 ","$1,127.81 ","$1,139.20 ","$0.00 ","$222.86 ","$0.00 ","$226.70 ","$0.00 "
"27202546","EAP","HCPCS C1769","","Transcend -ex Guidewire","BOTH IP/OP","$1,759.00 ","$1,301.66 ","$0.00 ","$1,759.00 ","$955.14 ","$0.00 ","$366.62 ","$1,255.40 ","$1,255.40 ","$307.99 ","$1,759.00 ","$0.00 ","$879.50 ","$1,393.13 ","$1,407.20 ","$0.00 ","$275.28 ","$0.00 ","$280.03 ","$0.00 "
"27202547","EAP","HCPCS C1725","","Udt6-10/5/120 Ballon Cath","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202548","EAP","HCPCS C1769","","V-18 Control Guidewires","BOTH IP/OP","$313.00 ","$231.62 ","$0.00 ","$313.00 ","$169.96 ","$0.00 ","$65.24 ","$223.39 ","$223.39 ","$54.80 ","$313.00 ","$0.00 ","$156.50 ","$247.90 ","$250.40 ","$0.00 ","$48.98 ","$0.00 ","$49.83 ","$0.00 "
"27202549","EAP","HCPCS C1725","","Xxl 18-4/5.8/120e Ball Ga","BOTH IP/OP","$934.00 ","$691.16 ","$0.00 ","$934.00 ","$507.16 ","$0.00 ","$194.67 ","$666.60 ","$666.60 ","$163.54 ","$934.00 ","$0.00 ","$467.00 ","$739.73 ","$747.20 ","$0.00 ","$146.17 ","$0.00 ","$148.69 ","$0.00 "
"27202550","EAP","HCPCS C1769","","Guidewire .035-260cm Rosen","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$36.92 ","$0.00 ","$14.17 ","$48.53 ","$48.53 ","$11.91 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$10.64 ","$0.00 ","$10.83 ","$0.00 "
"27202551","EAP","HCPCS C1729","","10.2fr Biliary Drain Cath","BOTH IP/OP","$289.00 ","$213.86 ","$0.00 ","$289.00 ","$156.93 ","$0.00 ","$60.23 ","$206.26 ","$206.26 ","$50.60 ","$289.00 ","$0.00 ","$144.50 ","$228.89 ","$231.20 ","$0.00 ","$45.23 ","$0.00 ","$46.01 ","$0.00 "
"27202552","EAP","HCPCS C1729","","12.0fr Biliary Drain Cath","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$160.73 ","$0.00 ","$61.69 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$46.32 ","$0.00 ","$47.12 ","$0.00 "
"27202553","EAP","HCPCS C1729","","12.0fr Mp Drain Catheter","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$160.73 ","$0.00 ","$61.69 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$46.32 ","$0.00 ","$47.12 ","$0.00 "
"27202554","EAP","HCPCS C1729","","14.0fr Biliary Drain","BOTH IP/OP","$296.00 ","$219.04 ","$0.00 ","$296.00 ","$160.73 ","$0.00 ","$61.69 ","$211.26 ","$211.26 ","$51.83 ","$296.00 ","$0.00 ","$148.00 ","$234.43 ","$236.80 ","$0.00 ","$46.32 ","$0.00 ","$47.12 ","$0.00 "
"27202555","EAP","HCPCS C1769","","35-180 Coons Wire","BOTH IP/OP","$192.00 ","$142.08 ","$0.00 ","$192.00 ","$104.26 ","$0.00 ","$40.02 ","$137.03 ","$137.03 ","$33.62 ","$192.00 ","$0.00 ","$96.00 ","$152.06 ","$153.60 ","$0.00 ","$30.05 ","$0.00 ","$30.57 ","$0.00 "
"27202556","EAP","HCPCS C1757","","35-2-3 Embolization Coil","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$93.40 ","$0.00 ","$35.85 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202557","EAP","HCPCS C1725","","7fr-100cm Montef 10re Cat","BOTH IP/OP","$54.00 ","$39.96 ","$0.00 ","$54.00 ","$29.32 ","$0.00 ","$11.25 ","$38.54 ","$38.54 ","$9.45 ","$54.00 ","$0.00 ","$27.00 ","$42.77 ","$43.20 ","$0.00 ","$8.45 ","$0.00 ","$8.60 ","$0.00 "
"27202558","EAP","HCPCS C1894","","8fr Balkanintroducer","BOTH IP/OP","$170.00 ","$125.80 ","$0.00 ","$170.00 ","$92.31 ","$0.00 ","$35.43 ","$121.33 ","$121.33 ","$29.77 ","$170.00 ","$0.00 ","$85.00 ","$134.64 ","$136.00 ","$0.00 ","$26.61 ","$0.00 ","$27.06 ","$0.00 "
"27202559","EAP","HCPCS C1894","","9fr Flexor Introducer","BOTH IP/OP","$159.00 ","$117.66 ","$0.00 ","$159.00 ","$86.34 ","$0.00 ","$33.14 ","$113.48 ","$113.48 ","$27.84 ","$159.00 ","$0.00 ","$79.50 ","$125.93 ","$127.20 ","$0.00 ","$24.88 ","$0.00 ","$25.31 ","$0.00 "
"27202560","EAP","HCPCS C1757","","Coil  Embolization 35-5-5","BOTH IP/OP","$172.00 ","$127.28 ","$0.00 ","$172.00 ","$93.40 ","$0.00 ","$35.85 ","$122.76 ","$122.76 ","$0.00 ","$172.00 ","$0.00 ","$86.00 ","$136.22 ","$137.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202561","EAP","HCPCS C1751","","135 Cm Mass Transit Max","BOTH IP/OP","$2,960.00 ","$2,190.40 ","$0.00 ","$2,960.00 ","$1,607.28 ","$0.00 ","$616.94 ","$2,112.55 ","$2,112.55 ","$518.27 ","$2,960.00 ","$0.00 ","$1,480.00 ","$2,344.32 ","$2,368.00 ","$0.00 ","$463.24 ","$0.00 ","$471.23 ","$0.00 "
"27202562","EAP","HCPCS C1894","","Introducer Pinnacle 7fr 10cm","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$36.38 ","$0.00 ","$13.96 ","$47.82 ","$47.82 ","$11.73 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$10.49 ","$0.00 ","$10.67 ","$0.00 "
"27202563","EAP","HCPCS C1725","","Balloon Udt 4-4/5/120","BOTH IP/OP","$717.00 ","$530.58 ","$0.00 ","$717.00 ","$389.33 ","$0.00 ","$149.44 ","$511.72 ","$511.72 ","$125.54 ","$717.00 ","$0.00 ","$358.50 ","$567.86 ","$573.60 ","$0.00 ","$112.21 ","$0.00 ","$114.15 ","$0.00 "
"27202564","EAP","HCPCS C1887","","5fr.100cmhinck Headhunter","BOTH IP/OP","$167.00 ","$123.58 ","$0.00 ","$167.00 ","$90.68 ","$0.00 ","$34.81 ","$119.19 ","$119.19 ","$29.24 ","$167.00 ","$0.00 ","$83.50 ","$132.26 ","$133.60 ","$0.00 ","$26.14 ","$0.00 ","$26.59 ","$0.00 "
"27202565","EAP","HCPCS C1894","","8fr 25cm Pinnacle Introducer S","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$32.04 ","$0.00 ","$12.30 ","$42.11 ","$42.11 ","$10.33 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$9.23 ","$0.00 ","$9.39 ","$0.00 "
"27202566","EAP","HCPCS C1887","","5f-90cm Ruc Catheter","BOTH IP/OP","$129.00 ","$95.46 ","$0.00 ","$129.00 ","$70.05 ","$0.00 ","$26.89 ","$92.07 ","$92.07 ","$22.59 ","$129.00 ","$0.00 ","$64.50 ","$102.17 ","$103.20 ","$0.00 ","$20.19 ","$0.00 ","$20.54 ","$0.00 "
"27202567","EAP","HCPCS C2629","","Introducer Tear Away 120fx30cm","BOTH IP/OP","$142.00 ","$105.08 ","$0.00 ","$142.00 ","$0.00 ","$0.00 ","$29.60 ","$101.35 ","$101.35 ","$24.86 ","$142.00 ","$0.00 ","$71.00 ","$112.46 ","$113.60 ","$0.00 ","$22.22 ","$0.00 ","$22.61 ","$0.00 "
"27202568","EAP","HCPCS C2629","","Introducer Tear Away 16f X15cm","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$0.00 ","$0.00 ","$14.17 ","$48.53 ","$48.53 ","$11.91 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$10.64 ","$0.00 ","$10.83 ","$0.00 "
"27202569","EAP","HCPCS C2629","","Introducer Tear Away 14f X15cm","BOTH IP/OP","$68.00 ","$50.32 ","$0.00 ","$68.00 ","$0.00 ","$0.00 ","$14.17 ","$48.53 ","$48.53 ","$11.91 ","$68.00 ","$0.00 ","$34.00 ","$53.86 ","$54.40 ","$0.00 ","$10.64 ","$0.00 ","$10.83 ","$0.00 "
"27202570","EAP","HCPCS C2629","","Introducer Tear Away12.5fx15cm","BOTH IP/OP","$103.00 ","$76.22 ","$0.00 ","$103.00 ","$0.00 ","$0.00 ","$21.47 ","$73.51 ","$73.51 ","$18.03 ","$103.00 ","$0.00 ","$51.50 ","$81.58 ","$82.40 ","$0.00 ","$16.12 ","$0.00 ","$16.40 ","$0.00 "
"27202571","EAP","HCPCS C2629","","Introducer Tear Away 6f X 10cm","BOTH IP/OP","$159.00 ","$117.66 ","$0.00 ","$159.00 ","$0.00 ","$0.00 ","$33.14 ","$113.48 ","$113.48 ","$27.84 ","$159.00 ","$0.00 ","$79.50 ","$125.93 ","$127.20 ","$0.00 ","$24.88 ","$0.00 ","$25.31 ","$0.00 "
"27202572","EAP","HCPCS C1769","","Amplatz Sup Guidewire,035/75gw","BOTH IP/OP","$331.00 ","$244.94 ","$0.00 ","$179.73 ","$179.73 ","$0.00 ","$68.99 ","$47.10 ","$47.10 ","$11.56 ","$66.00 ","$0.00 ","$33.00 ","$52.27 ","$52.80 ","$0.00 ","$10.33 ","$0.00 ","$10.51 ","$0.00 "
"27202573","EAP","HCPCS C1726","","Merci Balloon Guide Catheter","BOTH IP/OP","$2,251.00 ","$1,665.74 ","$0.00 ","$2,251.00 ","$1,222.29 ","$0.00 ","$469.16 ","$1,606.54 ","$1,606.54 ","$394.13 ","$2,251.00 ","$0.00 ","$1,125.50 ","$1,782.79 ","$1,800.80 ","$0.00 ","$352.28 ","$0.00 ","$358.36 ","$0.00 "
"27202574","EAP","HCPCS C1751","","Merci Microcatheter","BOTH IP/OP","$1,641.00 ","$1,214.34 ","$0.00 ","$1,641.00 ","$891.06 ","$0.00 ","$342.03 ","$1,171.18 ","$1,171.18 ","$287.33 ","$1,641.00 ","$0.00 ","$820.50 ","$1,299.67 ","$1,312.80 ","$0.00 ","$256.82 ","$0.00 ","$261.25 ","$0.00 "
"27202575","EAP","HCPCS C1757","","Meri V-series Retrieval V2.0","BOTH IP/OP","$10,341.00 ","$7,652.34 ","$0.00 ","$10,341.00 ","$5,615.16 ","$0.00 ","$2,155.32 ","$5,158.80 ","$5,158.80 ","$0.00 ","$10,341.00 ","$0.00 ","$5,170.50 ","$8,190.07 ","$8,272.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202576","EAP","HCPCS C1757","","Meri V-series Retrieval V2.5","BOTH IP/OP","$10,708.00 ","$7,923.92 ","$0.00 ","$10,708.00 ","$5,814.44 ","$0.00 ","$2,231.81 ","$5,158.80 ","$5,158.80 ","$0.00 ","$10,708.00 ","$0.00 ","$5,354.00 ","$8,480.74 ","$8,566.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202577","EAP","HCPCS C1757","","Meri V-series Retrieval V3.0","BOTH IP/OP","$10,708.00 ","$7,923.92 ","$0.00 ","$10,708.00 ","$5,814.44 ","$0.00 ","$2,231.81 ","$5,158.80 ","$5,158.80 ","$0.00 ","$10,708.00 ","$0.00 ","$5,354.00 ","$8,480.74 ","$8,566.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202578","EAP","HCPCS C1757","","Meri V-series Retrieval V2.5","BOTH IP/OP","$10,341.00 ","$7,652.34 ","$0.00 ","$10,341.00 ","$5,615.16 ","$0.00 ","$2,155.32 ","$5,158.80 ","$5,158.80 ","$0.00 ","$10,341.00 ","$0.00 ","$5,170.50 ","$8,190.07 ","$8,272.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202579","EAP","HCPCS C1751","","Catheter Reperfusion 026","BOTH IP/OP","$3,767.00 ","$2,787.58 ","$0.00 ","$3,767.00 ","$2,045.48 ","$0.00 ","$785.14 ","$2,688.51 ","$2,688.51 ","$659.57 ","$3,767.00 ","$0.00 ","$1,883.50 ","$2,983.46 ","$3,013.60 ","$0.00 ","$589.54 ","$0.00 ","$599.71 ","$0.00 "
"27202580","EAP","HCPCS C1751","","Catheter Reperfusion 032","BOTH IP/OP","$3,635.00 ","$2,689.90 ","$0.00 ","$3,635.00 ","$1,973.81 ","$0.00 ","$757.62 ","$2,594.30 ","$2,594.30 ","$636.46 ","$3,635.00 ","$0.00 ","$1,817.50 ","$2,878.92 ","$2,908.00 ","$0.00 ","$568.88 ","$0.00 ","$578.69 ","$0.00 "
"27202581","EAP","HCPCS C1751","","Catheter Reperfusion 041","BOTH IP/OP","$3,635.00 ","$2,689.90 ","$0.00 ","$3,635.00 ","$1,973.81 ","$0.00 ","$757.62 ","$2,594.30 ","$2,594.30 ","$636.46 ","$3,635.00 ","$0.00 ","$1,817.50 ","$2,878.92 ","$2,908.00 ","$0.00 ","$568.88 ","$0.00 ","$578.69 ","$0.00 "
"27202582","EAP","Custom 27202582","","Separator 026","BOTH IP/OP","$7,910.00 ","$5,853.40 ","$0.00 ","$7,910.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,910.00 ","$0.00 ","$3,955.00 ","$6,264.72 ","$6,328.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202583","EAP","Custom 27202583","","Separator 032","BOTH IP/OP","$7,639.00 ","$5,652.86 ","$0.00 ","$7,639.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,639.00 ","$0.00 ","$3,819.50 ","$6,050.09 ","$6,111.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202584","EAP","Custom 27202584","","Separator 041","BOTH IP/OP","$7,639.00 ","$5,652.86 ","$0.00 ","$7,639.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,639.00 ","$0.00 ","$3,819.50 ","$6,050.09 ","$6,111.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202585","EAP","Custom 27202585","","Tubing, Aspiration","BOTH IP/OP","$1,279.00 ","$946.46 ","$0.00 ","$1,279.00 ","$0.00 ","$0.00 ","$0.00 ","$912.82 ","$912.82 ","$0.00 ","$1,279.00 ","$0.00 ","$639.50 ","$1,012.97 ","$1,023.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202586","EAP","Custom 27202586","","Pump, Penumbra Aspiration","BOTH IP/OP","$8,340.00 ","$6,171.60 ","$0.00 ","$8,340.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$8,340.00 ","$0.00 ","$4,170.00 ","$6,605.28 ","$6,672.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202587","EAP","HCPCS C1751","","Microcatheter, Microvention","BOTH IP/OP","$2,353.00 ","$1,741.22 ","$0.00 ","$2,353.00 ","$1,277.68 ","$0.00 ","$490.42 ","$1,679.34 ","$1,679.34 ","$411.99 ","$2,353.00 ","$0.00 ","$1,176.50 ","$1,863.58 ","$1,882.40 ","$0.00 ","$368.24 ","$0.00 ","$374.60 ","$0.00 "
"27202588","EAP","Custom 27202588","","Controller, V-grip Detachment","BOTH IP/OP","$560.00 ","$414.40 ","$0.00 ","$560.00 ","$0.00 ","$0.00 ","$0.00 ","$399.67 ","$399.67 ","$0.00 ","$560.00 ","$0.00 ","$280.00 ","$443.52 ","$448.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202589","EAP","HCPCS C1751","","Catheter, Echelon Micro","BOTH IP/OP","$2,072.00 ","$1,533.28 ","$0.00 ","$2,072.00 ","$1,125.10 ","$0.00 ","$431.86 ","$1,478.79 ","$1,478.79 ","$362.79 ","$2,072.00 ","$0.00 ","$1,036.00 ","$1,641.02 ","$1,657.60 ","$0.00 ","$324.27 ","$0.00 ","$329.86 ","$0.00 "
"27202590","EAP","HCPCS C1726","","Balloon, Hyperform 4mm X 7mm","BOTH IP/OP","$4,005.00 ","$2,963.70 ","$0.00 ","$4,005.00 ","$2,174.72 ","$0.00 ","$834.74 ","$2,858.37 ","$2,858.37 ","$701.24 ","$4,005.00 ","$0.00 ","$2,002.50 ","$3,171.96 ","$3,204.00 ","$0.00 ","$626.78 ","$0.00 ","$637.60 ","$0.00 "
"27202591","EAP","HCPCS C1726","","Balloon, Hyperform 7mm X 7mm","BOTH IP/OP","$4,005.00 ","$2,963.70 ","$0.00 ","$4,005.00 ","$2,174.72 ","$0.00 ","$834.74 ","$2,858.37 ","$2,858.37 ","$701.24 ","$4,005.00 ","$0.00 ","$2,002.50 ","$3,171.96 ","$3,204.00 ","$0.00 ","$626.78 ","$0.00 ","$637.60 ","$0.00 "
"27202592","EAP","HCPCS C1726","","Balloon, Hyperglide 4mm X 15mm","BOTH IP/OP","$3,336.00 ","$2,468.64 ","$0.00 ","$3,336.00 ","$1,811.45 ","$0.00 ","$695.31 ","$2,380.90 ","$2,380.90 ","$584.11 ","$3,336.00 ","$0.00 ","$1,668.00 ","$2,642.11 ","$2,668.80 ","$0.00 ","$522.08 ","$0.00 ","$531.09 ","$0.00 "
"27202593","EAP","HCPCS C1887","","Catheter, Envoy 6f Guiding","BOTH IP/OP","$884.00 ","$654.16 ","$0.00 ","$884.00 ","$480.01 ","$0.00 ","$184.25 ","$630.91 ","$630.91 ","$154.78 ","$884.00 ","$0.00 ","$442.00 ","$700.13 ","$707.20 ","$0.00 ","$138.35 ","$0.00 ","$140.73 ","$0.00 "
"27202594","EAP","HCPCS C1751","","Microcatheter, Rapidtransit","BOTH IP/OP","$2,002.00 ","$1,481.48 ","$0.00 ","$2,002.00 ","$1,087.09 ","$0.00 ","$417.27 ","$1,428.83 ","$1,428.83 ","$350.53 ","$2,002.00 ","$0.00 ","$1,001.00 ","$1,585.58 ","$1,601.60 ","$0.00 ","$313.31 ","$0.00 ","$318.72 ","$0.00 "
"27202595","EAP","Custom 27202595","","System,trufill N-bca Liquid Em","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$0.00 ","$0.00 ","$0.00 ","$200.55 ","$200.55 ","$0.00 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202596","EAP","HCPCS C1887","","Catheter, Envoy Xb Guiding","BOTH IP/OP","$988.00 ","$731.12 ","$0.00 ","$988.00 ","$536.48 ","$0.00 ","$205.92 ","$705.14 ","$705.14 ","$172.99 ","$988.00 ","$0.00 ","$494.00 ","$782.50 ","$790.40 ","$0.00 ","$154.62 ","$0.00 ","$157.29 ","$0.00 "
"27202597","EAP","HCPCS C1751","","Microcatheter, Prowler","BOTH IP/OP","$2,169.00 ","$1,605.06 ","$0.00 ","$2,169.00 ","$1,177.77 ","$0.00 ","$452.07 ","$1,548.02 ","$1,548.02 ","$379.77 ","$2,169.00 ","$0.00 ","$1,084.50 ","$1,717.85 ","$1,735.20 ","$0.00 ","$339.45 ","$0.00 ","$345.30 ","$0.00 "
"27202598","EAP","HCPCS C1751","","Microcatheter, Prowler","BOTH IP/OP","$2,277.00 ","$1,684.98 ","$0.00 ","$2,277.00 ","$1,236.41 ","$0.00 ","$474.58 ","$1,625.09 ","$1,625.09 ","$398.68 ","$2,277.00 ","$0.00 ","$1,138.50 ","$1,803.38 ","$1,821.60 ","$0.00 ","$356.35 ","$0.00 ","$362.50 ","$0.00 "
"27202599","EAP","HCPCS C1769","","Guidewire Bentson .038 260 Exc","BOTH IP/OP","$88.00 ","$65.12 ","$0.00 ","$88.00 ","$47.78 ","$0.00 ","$18.34 ","$62.81 ","$62.81 ","$15.41 ","$88.00 ","$0.00 ","$44.00 ","$69.70 ","$70.40 ","$0.00 ","$13.77 ","$0.00 ","$14.01 ","$0.00 "
"27202600","EAP","HCPCS C1769","","Guidwire Glide .038 150 Angle","BOTH IP/OP","$154.00 ","$113.96 ","$0.00 ","$154.00 ","$83.62 ","$0.00 ","$32.10 ","$109.91 ","$109.91 ","$26.96 ","$154.00 ","$0.00 ","$77.00 ","$121.97 ","$123.20 ","$0.00 ","$24.10 ","$0.00 ","$24.52 ","$0.00 "
"27202601","EAP","HCPCS C1769","","Guidwire Glide .038 180 Angle","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$20.09 ","$0.00 ","$7.71 ","$26.41 ","$26.41 ","$6.48 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$5.79 ","$0.00 ","$5.89 ","$0.00 "
"27202602","EAP","HCPCS C1769","","Guidewire Transend Ex .014","BOTH IP/OP","$1,036.00 ","$766.64 ","$0.00 ","$1,036.00 ","$562.55 ","$0.00 ","$215.93 ","$739.39 ","$739.39 ","$181.40 ","$1,036.00 ","$0.00 ","$518.00 ","$820.51 ","$828.80 ","$0.00 ","$162.13 ","$0.00 ","$164.93 ","$0.00 "
"27202603","EAP","HCPCS C1769","","Guidewire Transend Ex .014st","BOTH IP/OP","$1,036.00 ","$766.64 ","$0.00 ","$1,036.00 ","$562.55 ","$0.00 ","$215.93 ","$739.39 ","$739.39 ","$181.40 ","$1,036.00 ","$0.00 ","$518.00 ","$820.51 ","$828.80 ","$0.00 ","$162.13 ","$0.00 ","$164.93 ","$0.00 "
"27202604","EAP","HCPCS C1769","","Guidewire Transend Es 300cm","BOTH IP/OP","$1,320.00 ","$976.80 ","$0.00 ","$1,320.00 ","$716.76 ","$0.00 ","$275.12 ","$942.08 ","$942.08 ","$231.12 ","$1,320.00 ","$0.00 ","$660.00 ","$1,045.44 ","$1,056.00 ","$0.00 ","$206.58 ","$0.00 ","$210.14 ","$0.00 "
"27202605","EAP","HCPCS C1887","","Catheter, 7fr Guider Softip","BOTH IP/OP","$667.00 ","$493.58 ","$0.00 ","$667.00 ","$362.18 ","$0.00 ","$139.02 ","$476.04 ","$476.04 ","$116.79 ","$667.00 ","$0.00 ","$333.50 ","$528.26 ","$533.60 ","$0.00 ","$104.39 ","$0.00 ","$106.19 ","$0.00 "
"27202606","EAP","HCPCS C1751","","Catheter, Renegade Micro","BOTH IP/OP","$1,202.00 ","$889.48 ","$0.00 ","$1,202.00 ","$652.69 ","$0.00 ","$250.53 ","$857.87 ","$857.87 ","$210.46 ","$1,202.00 ","$0.00 ","$601.00 ","$951.98 ","$961.60 ","$0.00 ","$188.11 ","$0.00 ","$191.36 ","$0.00 "
"27202607","EAP","HCPCS C1751","","Microcatheter, Excelsior 1018","BOTH IP/OP","$2,169.00 ","$1,605.06 ","$0.00 ","$2,169.00 ","$1,177.77 ","$0.00 ","$452.07 ","$1,548.02 ","$1,548.02 ","$379.77 ","$2,169.00 ","$0.00 ","$1,084.50 ","$1,717.85 ","$1,735.20 ","$0.00 ","$339.45 ","$0.00 ","$345.30 ","$0.00 "
"27202608","EAP","HCPCS C1769","","Guidewire, Synchro2","BOTH IP/OP","$1,251.00 ","$925.74 ","$0.00 ","$1,251.00 ","$679.29 ","$0.00 ","$260.74 ","$892.84 ","$892.84 ","$219.04 ","$1,251.00 ","$0.00 ","$625.50 ","$990.79 ","$1,000.80 ","$0.00 ","$195.78 ","$0.00 ","$199.16 ","$0.00 "
"27202609","EAP","Custom 27202609","","26x12x12cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202610","EAP","Custom 27202610","","26x12x14cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202611","EAP","Custom 27202611","","12x12x13.5cm Lliac Limb Aaa St","BOTH IP/OP","$21,112.00 ","$15,622.88 ","$0.00 ","$21,112.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,112.00 ","$0.00 ","$10,556.00 ","$16,720.70 ","$16,889.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202612","EAP","Custom 27202612","","18x24x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$24,857.00 ","$18,394.18 ","$0.00 ","$24,857.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$24,857.00 ","$0.00 ","$12,428.50 ","$19,686.74 ","$19,885.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202613","EAP","HCPCS C1751","","Cath 6fr 1lum Try 3cg Shrlk Maximal Brr Picc P","BOTH IP/OP","$1,010.00 ","$747.40 ","$0.00 ","$1,010.00 ","$548.43 ","$0.00 ","$210.51 ","$720.84 ","$720.84 ","$176.84 ","$1,010.00 ","$0.00 ","$505.00 ","$799.92 ","$808.00 ","$0.00 ","$158.07 ","$0.00 ","$160.79 ","$0.00 "
"27202614","EAP","Custom 27202614","","Cather, Balloon, Ultra-thin Di","BOTH IP/OP","$1,580.00 ","$1,169.20 ","$0.00 ","$1,580.00 ","$0.00 ","$0.00 ","$0.00 ","$1,127.65 ","$1,127.65 ","$0.00 ","$1,580.00 ","$0.00 ","$790.00 ","$1,251.36 ","$1,264.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202615","EAP","Custom 27202615","","23x12x12cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202616","EAP","Custom 27202616","","23x12x14cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202617","EAP","Custom 27202617","","23x12x16cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202618","EAP","Custom 27202618","","23x12x18cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202619","EAP","Custom 27202619","","23x14.5x12cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202620","EAP","Custom 27202620","","23x14.5x14cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202621","EAP","Custom 27202621","","23x14.5x16cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202622","EAP","Custom 27202622","","23x14.5x18cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202623","EAP","Custom 27202623","","26x12x12cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202624","EAP","Custom 27202624","","26x12x14cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202625","EAP","Custom 27202625","","26x12x16cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202626","EAP","Custom 27202626","","26x12x18cm Aaa Endoprosthesis","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202627","EAP","Custom 27202627","","26x14.5x12cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202628","EAP","Custom 27202628","","26x14.5x14cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202629","EAP","Custom 27202629","","26x14.5x16cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202630","EAP","Custom 27202630","","26x14.4x18cm Aaa Endoprosthesi","BOTH IP/OP","$25,581.00 ","$18,929.94 ","$0.00 ","$25,581.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,581.00 ","$0.00 ","$12,790.50 ","$20,260.15 ","$20,464.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202631","EAP","Custom 27202631","","28.5x12x12cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202632","EAP","Custom 27202632","","28.5x12x14cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202633","EAP","Custom 27202633","","28.5x12x16cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202634","EAP","Custom 27202634","","28.5x12x18cm Aaa Endoprosthesi","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202635","EAP","Custom 27202635","","28.5x14.5x12cm Aaa Endoprosthe","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202636","EAP","Custom 27202636","","28.5x14.5x14cm Aaa Endoprosthe","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202637","EAP","Custom 27202637","","28.5x14.5x16cm Aaa Endoprosthe","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202638","EAP","Custom 27202638","","28.5x14.4x18cm Aaa Endoprosthe","BOTH IP/OP","$23,752.00 ","$17,576.48 ","$0.00 ","$23,752.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,752.00 ","$0.00 ","$11,876.00 ","$18,811.58 ","$19,001.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202639","EAP","Custom 27202639","","12x10cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202640","EAP","Custom 27202640","","12x12cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202641","EAP","Custom 27202641","","12x14cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202642","EAP","Custom 27202642","","14.5x10cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202643","EAP","Custom 27202643","","14.4x12 Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202644","EAP","Custom 27202644","","14.5x14 Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202645","EAP","Custom 27202645","","16x9.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202646","EAP","Custom 27202646","","16x11.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202647","EAP","Custom 27202647","","16x13.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202648","EAP","Custom 27202648","","18x9.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202649","EAP","Custom 27202649","","18x11.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202650","EAP","Custom 27202650","","18x13.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202651","EAP","Custom 27202651","","20x9.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202652","EAP","Custom 27202652","","20x11.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202653","EAP","Custom 27202653","","20x13.5cm Aaa Endoprosthesis","BOTH IP/OP","$22,940.00 ","$16,975.60 ","$0.00 ","$22,940.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,940.00 ","$0.00 ","$11,470.00 ","$18,168.48 ","$18,352.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202654","EAP","Custom 27202654","","12x12x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,214.00 ","$13,478.36 ","$0.00 ","$18,214.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,214.00 ","$0.00 ","$9,107.00 ","$14,425.49 ","$14,571.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202655","EAP","Custom 27202655","","13x13x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,214.00 ","$13,478.36 ","$0.00 ","$18,214.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,214.00 ","$0.00 ","$9,107.00 ","$14,425.49 ","$14,571.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202656","EAP","Custom 27202656","","14x14x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,214.00 ","$13,478.36 ","$0.00 ","$18,214.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,214.00 ","$0.00 ","$9,107.00 ","$14,425.49 ","$14,571.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202657","EAP","Custom 27202657","","15x15x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,214.00 ","$13,478.36 ","$0.00 ","$18,214.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,214.00 ","$0.00 ","$9,107.00 ","$14,425.49 ","$14,571.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202658","EAP","Custom 27202658","","16x16x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,214.00 ","$13,478.36 ","$0.00 ","$18,214.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,214.00 ","$0.00 ","$9,107.00 ","$14,425.49 ","$14,571.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202659","EAP","Custom 27202659","","18x18x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,898.00 ","$13,984.52 ","$0.00 ","$18,898.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,898.00 ","$0.00 ","$9,449.00 ","$14,967.22 ","$15,118.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202660","EAP","Custom 27202660","","20x20x8.5cm Iliac Limb Aaa Ste","BOTH IP/OP","$18,898.00 ","$13,984.52 ","$0.00 ","$18,898.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$18,898.00 ","$0.00 ","$9,449.00 ","$14,967.22 ","$15,118.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202661","EAP","Custom 27202661","","12x12x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,236.00 ","$14,234.64 ","$0.00 ","$19,236.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,236.00 ","$0.00 ","$9,618.00 ","$15,234.91 ","$15,388.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202662","EAP","Custom 27202662","","13x13x11.5cmm Iliac Limb Aaa S","BOTH IP/OP","$19,236.00 ","$14,234.64 ","$0.00 ","$19,236.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,236.00 ","$0.00 ","$9,618.00 ","$15,234.91 ","$15,388.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202663","EAP","Custom 27202663","","14x14x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,236.00 ","$14,234.64 ","$0.00 ","$19,236.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,236.00 ","$0.00 ","$9,618.00 ","$15,234.91 ","$15,388.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202664","EAP","Custom 27202664","","15x15x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,236.00 ","$14,234.64 ","$0.00 ","$19,236.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,236.00 ","$0.00 ","$9,618.00 ","$15,234.91 ","$15,388.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202665","EAP","Custom 27202665","","16x16x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,236.00 ","$14,234.64 ","$0.00 ","$19,236.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,236.00 ","$0.00 ","$9,618.00 ","$15,234.91 ","$15,388.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202666","EAP","Custom 27202666","","18x18x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,916.00 ","$14,737.84 ","$0.00 ","$19,916.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,916.00 ","$0.00 ","$9,958.00 ","$15,773.47 ","$15,932.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202667","EAP","Custom 27202667","","20x20x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$19,916.00 ","$14,737.84 ","$0.00 ","$19,916.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$19,916.00 ","$0.00 ","$9,958.00 ","$15,773.47 ","$15,932.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202668","EAP","Custom 27202668","","13x13x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,112.00 ","$15,622.88 ","$0.00 ","$21,112.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,112.00 ","$0.00 ","$10,556.00 ","$16,720.70 ","$16,889.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202669","EAP","Custom 27202669","","14x14x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,112.00 ","$15,622.88 ","$0.00 ","$21,112.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,112.00 ","$0.00 ","$10,556.00 ","$16,720.70 ","$16,889.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202670","EAP","Custom 27202670","","15x15x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,112.00 ","$15,622.88 ","$0.00 ","$21,112.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,112.00 ","$0.00 ","$10,556.00 ","$16,720.70 ","$16,889.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202671","EAP","Custom 27202671","","16x16x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,112.00 ","$15,622.88 ","$0.00 ","$21,112.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,112.00 ","$0.00 ","$10,556.00 ","$16,720.70 ","$16,889.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202672","EAP","Custom 27202672","","18x18x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,790.00 ","$16,124.60 ","$0.00 ","$21,790.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,790.00 ","$0.00 ","$10,895.00 ","$17,257.68 ","$17,432.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202673","EAP","Custom 27202673","","20x20x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$21,790.00 ","$16,124.60 ","$0.00 ","$21,790.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$21,790.00 ","$0.00 ","$10,895.00 ","$17,257.68 ","$17,432.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202674","EAP","Custom 27202674","","16x20x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$23,492.00 ","$17,384.08 ","$0.00 ","$23,492.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,492.00 ","$0.00 ","$11,746.00 ","$18,605.66 ","$18,793.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202675","EAP","Custom 27202675","","18x22x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$23,492.00 ","$17,384.08 ","$0.00 ","$23,492.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,492.00 ","$0.00 ","$11,746.00 ","$18,605.66 ","$18,793.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202676","EAP","Custom 27202676","","18x24x11.5cm Iliac Limb Aaa St","BOTH IP/OP","$23,492.00 ","$17,384.08 ","$0.00 ","$23,492.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,492.00 ","$0.00 ","$11,746.00 ","$18,605.66 ","$18,793.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202677","EAP","Custom 27202677","","16x20x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$24,857.00 ","$18,394.18 ","$0.00 ","$24,857.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$24,857.00 ","$0.00 ","$12,428.50 ","$19,686.74 ","$19,885.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202678","EAP","Custom 27202678","","18x22x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$24,857.00 ","$18,394.18 ","$0.00 ","$24,857.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$24,857.00 ","$0.00 ","$12,428.50 ","$19,686.74 ","$19,885.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202679","EAP","Custom 27202679","","18x24x13.5cm Iliac Limb Aaa St","BOTH IP/OP","$24,857.00 ","$18,394.18 ","$0.00 ","$24,857.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$24,857.00 ","$0.00 ","$12,428.50 ","$19,686.74 ","$19,885.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202680","EAP","Custom 27202680","","12x12x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202681","EAP","Custom 27202681","","13x13x5.5cm Ilaic Cuff Aaa Ste","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202682","EAP","Custom 27202682","","14x14x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202683","EAP","Custom 27202683","","15x15x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202684","EAP","Custom 27202684","","16x15x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202685","EAP","Custom 27202685","","18x18x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,832.00 ","$11,715.68 ","$0.00 ","$15,832.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,832.00 ","$0.00 ","$7,916.00 ","$12,538.94 ","$12,665.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202686","EAP","Custom 27202686","","20x20x5.5cm Iliac Cuff Aaa Ste","BOTH IP/OP","$15,832.00 ","$11,715.68 ","$0.00 ","$15,832.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,832.00 ","$0.00 ","$7,916.00 ","$12,538.94 ","$12,665.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202687","EAP","HCPCS C1769","","6mmx5cmx110cm 0.035 Guidewire","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202688","EAP","HCPCS C1769","","6mmx10cmx110cm 0.035 Guidewire","BOTH IP/OP","$18,251.00 ","$13,505.74 ","$0.00 ","$18,251.00 ","$9,910.29 ","$0.00 ","$3,803.96 ","$5,158.80 ","$5,158.80 ","$3,195.60 ","$18,251.00 ","$0.00 ","$9,125.50 ","$14,454.79 ","$14,600.80 ","$0.00 ","$2,856.28 ","$0.00 ","$2,905.56 ","$0.00 "
"27202689","EAP","HCPCS C1769","","6mmx15cmx110cm 0.035 Guidewire","BOTH IP/OP","$21,246.00 ","$15,722.04 ","$0.00 ","$21,246.00 ","$11,536.58 ","$0.00 ","$4,428.20 ","$5,158.80 ","$5,158.80 ","$3,720.00 ","$21,246.00 ","$0.00 ","$10,623.00 ","$16,826.83 ","$16,996.80 ","$0.00 ","$3,325.00 ","$0.00 ","$3,382.36 ","$0.00 "
"27202690","EAP","HCPCS C1769","","7mmx5cmx110cm 0.035 Guidewire","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202691","EAP","HCPCS C1769","","7mmx10cmx110cm 0.035 Guidewire","BOTH IP/OP","$18,251.00 ","$13,505.74 ","$0.00 ","$18,251.00 ","$9,910.29 ","$0.00 ","$3,803.96 ","$5,158.80 ","$5,158.80 ","$3,195.60 ","$18,251.00 ","$0.00 ","$9,125.50 ","$14,454.79 ","$14,600.80 ","$0.00 ","$2,856.28 ","$0.00 ","$2,905.56 ","$0.00 "
"27202692","EAP","HCPCS C1769","","7mmx15cmx110cm 0.035 Guidewire","BOTH IP/OP","$21,246.00 ","$15,722.04 ","$0.00 ","$21,246.00 ","$11,536.58 ","$0.00 ","$4,428.20 ","$5,158.80 ","$5,158.80 ","$3,720.00 ","$21,246.00 ","$0.00 ","$10,623.00 ","$16,826.83 ","$16,996.80 ","$0.00 ","$3,325.00 ","$0.00 ","$3,382.36 ","$0.00 "
"27202693","EAP","HCPCS C1769","","8mmx5cmx110cm 0.035 Guidewire","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202694","EAP","HCPCS C1769","","8mmx10cmx110cm 0.035 Guidewire","BOTH IP/OP","$18,251.00 ","$13,505.74 ","$0.00 ","$18,251.00 ","$9,910.29 ","$0.00 ","$3,803.96 ","$5,158.80 ","$5,158.80 ","$3,195.60 ","$18,251.00 ","$0.00 ","$9,125.50 ","$14,454.79 ","$14,600.80 ","$0.00 ","$2,856.28 ","$0.00 ","$2,905.56 ","$0.00 "
"27202695","EAP","HCPCS C1769","","8mmx15cmx110cm 0.035 Guidewire","BOTH IP/OP","$21,246.00 ","$15,722.04 ","$0.00 ","$21,246.00 ","$11,536.58 ","$0.00 ","$4,428.20 ","$5,158.80 ","$5,158.80 ","$3,720.00 ","$21,246.00 ","$0.00 ","$10,623.00 ","$16,826.83 ","$16,996.80 ","$0.00 ","$3,325.00 ","$0.00 ","$3,382.36 ","$0.00 "
"27202696","EAP","HCPCS C1769","","10mmx5cmx110cm 0.025 Guidewire","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202697","EAP","HCPCS C1769","","10mmx10cmx110cm 0.025 Guidewir","BOTH IP/OP","$18,251.00 ","$13,505.74 ","$0.00 ","$18,251.00 ","$9,910.29 ","$0.00 ","$3,803.96 ","$5,158.80 ","$5,158.80 ","$3,195.60 ","$18,251.00 ","$0.00 ","$9,125.50 ","$14,454.79 ","$14,600.80 ","$0.00 ","$2,856.28 ","$0.00 ","$2,905.56 ","$0.00 "
"27202698","EAP","HCPCS C1769","","13mmx5cmx110cm 0.025 Guidewire","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202699","EAP","HCPCS C1769","","13mmx2.5cmx110cm 0.025 Guidewi","BOTH IP/OP","$15,219.00 ","$11,262.06 ","$0.00 ","$15,219.00 ","$8,263.92 ","$0.00 ","$3,172.02 ","$5,158.80 ","$5,158.80 ","$2,664.73 ","$15,219.00 ","$0.00 ","$7,609.50 ","$12,053.45 ","$12,175.20 ","$0.00 ","$2,381.77 ","$0.00 ","$2,422.86 ","$0.00 "
"27202700","EAP","Custom 27202700","","16mmx20mmx8.5cm Aaa Stent Graf","BOTH IP/OP","$22,131.00 ","$16,376.94 ","$0.00 ","$22,131.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,131.00 ","$0.00 ","$11,065.50 ","$17,527.75 ","$17,704.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202701","EAP","Custom 27202701","","18mmx22mmx8.5cm Aaa Stent Graf","BOTH IP/OP","$22,131.00 ","$16,376.94 ","$0.00 ","$22,131.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,131.00 ","$0.00 ","$11,065.50 ","$17,527.75 ","$17,704.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202702","EAP","Custom 27202702","","18mmx24mmx8.5cm Aaa Stent Graf","BOTH IP/OP","$22,131.00 ","$16,376.94 ","$0.00 ","$22,131.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$22,131.00 ","$0.00 ","$11,065.50 ","$17,527.75 ","$17,704.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202703","EAP","Custom 27202703","","20mmx4.0cm Aaa Stent Graft","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202704","EAP","Custom 27202704","","22mmx4.0cm Aaa Stent Graft","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202705","EAP","Custom 27202705","","24mmx4.0cm Aaa Stent Graft","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202706","EAP","Custom 27202706","","26mmx4.0cm Aaa Stent Graft","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202707","EAP","Custom 27202707","","28mmx4.0cm Aaa Stent Graft","BOTH IP/OP","$15,151.00 ","$11,211.74 ","$0.00 ","$15,151.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$15,151.00 ","$0.00 ","$7,575.50 ","$11,999.59 ","$12,120.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202708","EAP","Custom 27202708","","23x3.3cm Aaa Endoprosthesis","BOTH IP/OP","$17,322.00 ","$12,818.28 ","$0.00 ","$17,322.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$17,322.00 ","$0.00 ","$8,661.00 ","$13,719.02 ","$13,857.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202709","EAP","Custom 27202709","","26x3.3cm Aaa Endprosthesis","BOTH IP/OP","$17,322.00 ","$12,818.28 ","$0.00 ","$17,322.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$17,322.00 ","$0.00 ","$8,661.00 ","$13,719.02 ","$13,857.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202710","EAP","Custom 27202710","","28.5x3.3cm Aaa Endoprosthesis","BOTH IP/OP","$16,083.00 ","$11,901.42 ","$0.00 ","$16,083.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,083.00 ","$0.00 ","$8,041.50 ","$12,737.74 ","$12,866.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202711","EAP","Custom 27202711","","10x7cm Aaa Endoprosthesis","BOTH IP/OP","$16,083.00 ","$11,901.42 ","$0.00 ","$16,083.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,083.00 ","$0.00 ","$8,041.50 ","$12,737.74 ","$12,866.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202712","EAP","Custom 27202712","","12x7cm Aaa Endoprosthesis","BOTH IP/OP","$16,083.00 ","$11,901.42 ","$0.00 ","$16,083.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,083.00 ","$0.00 ","$8,041.50 ","$12,737.74 ","$12,866.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202713","EAP","Custom 27202713","","14.5x7cm Aaa Endoprosthesis","BOTH IP/OP","$16,083.00 ","$11,901.42 ","$0.00 ","$16,083.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$16,083.00 ","$0.00 ","$8,041.50 ","$12,737.74 ","$12,866.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202714","EAP","Custom 27202714","","12frx30cm Introducer Sheath","BOTH IP/OP","$525.00 ","$388.50 ","$0.00 ","$525.00 ","$0.00 ","$0.00 ","$0.00 ","$374.69 ","$374.69 ","$0.00 ","$525.00 ","$0.00 ","$262.50 ","$415.80 ","$420.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202715","EAP","Custom 27202715","","18frx30cm Intruder Sheath","BOTH IP/OP","$902.00 ","$667.48 ","$0.00 ","$902.00 ","$0.00 ","$0.00 ","$0.00 ","$643.76 ","$643.76 ","$0.00 ","$902.00 ","$0.00 ","$451.00 ","$714.38 ","$721.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202716","EAP","Custom 27202716","","26x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202717","EAP","Custom 27202717","","28x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202718","EAP","Custom 27202718","","28x15cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202719","EAP","Custom 27202719","","31x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202720","EAP","Custom 27202720","","31x15cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202721","EAP","Custom 27202721","","34x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202722","EAP","Custom 27202722","","34x15cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202723","EAP","Custom 27202723","","34x20cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202724","EAP","Custom 27202724","","37x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202725","EAP","Custom 27202725","","37x15cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202726","EAP","Custom 27202726","","37x20cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202727","EAP","Custom 27202727","","40x10cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202728","EAP","Custom 27202728","","40x15cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202729","EAP","Custom 27202729","","40x20cm Thoracic Endoprosthesi","BOTH IP/OP","$23,023.00 ","$17,037.02 ","$0.00 ","$23,023.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$23,023.00 ","$0.00 ","$11,511.50 ","$18,234.22 ","$18,418.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202730","EAP","Custom 27202730","","20frx30cm Introducer Sheath","BOTH IP/OP","$2,043.00 ","$1,511.82 ","$0.00 ","$2,043.00 ","$0.00 ","$0.00 ","$0.00 ","$1,458.09 ","$1,458.09 ","$0.00 ","$2,043.00 ","$0.00 ","$1,021.50 ","$1,618.06 ","$1,634.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202731","EAP","Custom 27202731","","22frx30cm Introducer Sheath","BOTH IP/OP","$2,043.00 ","$1,511.82 ","$0.00 ","$2,043.00 ","$0.00 ","$0.00 ","$0.00 ","$1,458.09 ","$1,458.09 ","$0.00 ","$2,043.00 ","$0.00 ","$1,021.50 ","$1,618.06 ","$1,634.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202732","EAP","Custom 27202732","","24frx30cm Introducer Sheath","BOTH IP/OP","$2,043.00 ","$1,511.82 ","$0.00 ","$2,043.00 ","$0.00 ","$0.00 ","$0.00 ","$1,458.09 ","$1,458.09 ","$0.00 ","$2,043.00 ","$0.00 ","$1,021.50 ","$1,618.06 ","$1,634.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202733","EAP","Custom 27202733","","Gore Tri-lobe Ballon Catheter","BOTH IP/OP","$3,391.00 ","$2,509.34 ","$0.00 ","$3,391.00 ","$0.00 ","$0.00 ","$0.00 ","$2,420.16 ","$2,420.16 ","$0.00 ","$3,391.00 ","$0.00 ","$1,695.50 ","$2,685.67 ","$2,712.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202734","EAP","Custom 27202734","","20x12x135mm Aaa Stent Graft","BOTH IP/OP","$25,471.00 ","$18,848.54 ","$0.00 ","$25,471.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,471.00 ","$0.00 ","$12,735.50 ","$20,173.03 ","$20,376.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202735","EAP","Custom 27202735","","22x13x135mm Aaa Stent Graft","BOTH IP/OP","$25,471.00 ","$18,848.54 ","$0.00 ","$25,471.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,471.00 ","$0.00 ","$12,735.50 ","$20,173.03 ","$20,376.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202736","EAP","Custom 27202736","","24x14x135mm Aaa Stent Graft","BOTH IP/OP","$25,471.00 ","$18,848.54 ","$0.00 ","$25,471.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,471.00 ","$0.00 ","$12,735.50 ","$20,173.03 ","$20,376.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202737","EAP","Custom 27202737","","26x15x135mm Aaa Stent Graft","BOTH IP/OP","$25,471.00 ","$18,848.54 ","$0.00 ","$25,471.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,471.00 ","$0.00 ","$12,735.50 ","$20,173.03 ","$20,376.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202738","EAP","Custom 27202738","","28x16x135mm Aaa Stent Graft","BOTH IP/OP","$25,471.00 ","$18,848.54 ","$0.00 ","$25,471.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$25,471.00 ","$0.00 ","$12,735.50 ","$20,173.03 ","$20,376.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202739","EAP","Custom 27202739","","20x12x165mm Aaa Stent Graft","BOTH IP/OP","$1,232.00 ","$911.68 ","$0.00 ","$1,232.00 ","$0.00 ","$0.00 ","$0.00 ","$879.28 ","$879.28 ","$0.00 ","$1,232.00 ","$0.00 ","$616.00 ","$975.74 ","$985.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202740","EAP","Custom 27202740","","22x13x165mm Aaa Stent Graft","BOTH IP/OP","$1,232.00 ","$911.68 ","$0.00 ","$1,232.00 ","$0.00 ","$0.00 ","$0.00 ","$879.28 ","$879.28 ","$0.00 ","$1,232.00 ","$0.00 ","$616.00 ","$975.74 ","$985.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202741","EAP","Custom 27202741","","24x14x165mm Aaa Stent Graft","BOTH IP/OP","$1,232.00 ","$911.68 ","$0.00 ","$1,232.00 ","$0.00 ","$0.00 ","$0.00 ","$879.28 ","$879.28 ","$0.00 ","$1,232.00 ","$0.00 ","$616.00 ","$975.74 ","$985.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202742","EAP","Custom 27202742","","26x15x165mm Aaa Stent Graft","BOTH IP/OP","$1,232.00 ","$911.68 ","$0.00 ","$1,232.00 ","$0.00 ","$0.00 ","$0.00 ","$879.28 ","$879.28 ","$0.00 ","$1,232.00 ","$0.00 ","$616.00 ","$975.74 ","$985.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202743","EAP","Custom 27202743","","28x16x165mm Aaa Stent Graft","BOTH IP/OP","$1,232.00 ","$911.68 ","$0.00 ","$1,232.00 ","$0.00 ","$0.00 ","$0.00 ","$879.28 ","$879.28 ","$0.00 ","$1,232.00 ","$0.00 ","$616.00 ","$975.74 ","$985.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202744","EAP","Custom 27202744","","Cath, Angioplasty Spv","BOTH IP/OP","$1,074.00 ","$794.76 ","$0.00 ","$1,074.00 ","$0.00 ","$0.00 ","$0.00 ","$766.51 ","$766.51 ","$0.00 ","$1,074.00 ","$0.00 ","$537.00 ","$850.61 ","$859.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202745","EAP","HCPCS C1729","","Catheter Drainage Spv","BOTH IP/OP","$333.00 ","$246.42 ","$0.00 ","$333.00 ","$180.82 ","$0.00 ","$69.41 ","$237.66 ","$237.66 ","$58.31 ","$333.00 ","$0.00 ","$166.50 ","$263.74 ","$266.40 ","$0.00 ","$52.11 ","$0.00 ","$53.01 ","$0.00 "
"27202746","EAP","Custom 27202746","","Cath, Hemodial, Long-term Spv","BOTH IP/OP","$1,131.00 ","$836.94 ","$0.00 ","$1,131.00 ","$0.00 ","$0.00 ","$0.00 ","$807.19 ","$807.19 ","$0.00 ","$1,131.00 ","$0.00 ","$565.50 ","$895.75 ","$904.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202747","EAP","Custom 27202747","","Cath, Infusion Non-hemo Spv","BOTH IP/OP","$431.00 ","$318.94 ","$0.00 ","$431.00 ","$0.00 ","$0.00 ","$0.00 ","$307.60 ","$307.60 ","$0.00 ","$431.00 ","$0.00 ","$215.50 ","$341.35 ","$344.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202748","EAP","Custom 27202748","","Cath, Hemodial, Short-term Spv","BOTH IP/OP","$587.00 ","$434.38 ","$0.00 ","$587.00 ","$0.00 ","$0.00 ","$0.00 ","$418.94 ","$418.94 ","$0.00 ","$587.00 ","$0.00 ","$293.50 ","$464.90 ","$469.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202749","EAP","Custom 27202749","","Cath,thrombect/embolect Spv","BOTH IP/OP","$2,336.00 ","$1,728.64 ","$0.00 ","$2,336.00 ","$0.00 ","$0.00 ","$0.00 ","$1,667.20 ","$1,667.20 ","$0.00 ","$2,336.00 ","$0.00 ","$1,168.00 ","$1,850.11 ","$1,868.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202750","EAP","Custom 27202750","","Retrieval Device Spv","BOTH IP/OP","$391.00 ","$289.34 ","$0.00 ","$391.00 ","$0.00 ","$0.00 ","$0.00 ","$279.06 ","$279.06 ","$0.00 ","$391.00 ","$0.00 ","$195.50 ","$309.67 ","$312.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202751","EAP","Custom 27202751","","Port, Implantable Spv","BOTH IP/OP","$1,930.00 ","$1,428.20 ","$0.00 ","$1,930.00 ","$0.00 ","$0.00 ","$0.00 ","$1,377.44 ","$1,377.44 ","$0.00 ","$1,930.00 ","$0.00 ","$965.00 ","$1,528.56 ","$1,544.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202752","EAP","Custom 27202752","","Stent, Covrd, W/delv Spv","BOTH IP/OP","$7,595.00 ","$5,620.30 ","$0.00 ","$7,595.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$7,595.00 ","$0.00 ","$3,797.50 ","$6,015.24 ","$6,076.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202753","EAP","Custom 27202753","","Stent, Non-covrd W/delv Spv","BOTH IP/OP","$5,824.00 ","$4,309.76 ","$0.00 ","$5,824.00 ","$0.00 ","$0.00 ","$0.00 ","$4,156.59 ","$4,156.59 ","$0.00 ","$5,824.00 ","$0.00 ","$2,912.00 ","$4,612.61 ","$4,659.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202754","EAP","Custom 27202754","","Stent, Non-covrd W/o Delv Spv","BOTH IP/OP","$3,412.00 ","$2,524.88 ","$0.00 ","$3,412.00 ","$0.00 ","$0.00 ","$0.00 ","$2,435.14 ","$2,435.14 ","$0.00 ","$3,412.00 ","$0.00 ","$1,706.00 ","$2,702.30 ","$2,729.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202755","EAP","HCPCS C1887","","Catheter, Guiding Spv","BOTH IP/OP","$431.00 ","$318.94 ","$0.00 ","$431.00 ","$234.03 ","$0.00 ","$89.83 ","$307.60 ","$307.60 ","$75.46 ","$431.00 ","$0.00 ","$215.50 ","$341.35 ","$344.80 ","$0.00 ","$67.45 ","$0.00 ","$68.62 ","$0.00 "
"27202756","EAP","Custom 27202756","","Workhorse Balloon Catheter","BOTH IP/OP","$1,462.00 ","$1,081.88 ","$0.00 ","$1,462.00 ","$0.00 ","$0.00 ","$0.00 ","$1,043.43 ","$1,043.43 ","$0.00 ","$1,462.00 ","$0.00 ","$731.00 ","$1,157.90 ","$1,169.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202757","EAP","Custom 27202757","","Opta 5 Balloon Catheter","BOTH IP/OP","$1,462.00 ","$1,081.88 ","$0.00 ","$1,462.00 ","$0.00 ","$0.00 ","$0.00 ","$1,043.43 ","$1,043.43 ","$0.00 ","$1,462.00 ","$0.00 ","$731.00 ","$1,157.90 ","$1,169.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202758","EAP","Custom 27202758","","Arrow-trerotola Device","BOTH IP/OP","$3,506.00 ","$2,594.44 ","$0.00 ","$3,506.00 ","$0.00 ","$0.00 ","$0.00 ","$2,502.23 ","$2,502.23 ","$0.00 ","$3,506.00 ","$0.00 ","$1,753.00 ","$2,776.75 ","$2,804.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202759","EAP","Custom 27202759","","Flexima Biliary Drain Cath W/l","BOTH IP/OP","$439.00 ","$324.86 ","$0.00 ","$439.00 ","$0.00 ","$0.00 ","$0.00 ","$313.31 ","$313.31 ","$0.00 ","$439.00 ","$0.00 ","$219.50 ","$347.69 ","$351.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202760","EAP","Custom 27202760","","Catheter, Occlusion Spv","BOTH IP/OP","$2,336.00 ","$1,728.64 ","$0.00 ","$2,336.00 ","$0.00 ","$0.00 ","$0.00 ","$1,667.20 ","$1,667.20 ","$0.00 ","$2,336.00 ","$0.00 ","$1,168.00 ","$1,850.11 ","$1,868.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202761","EAP","Custom 27202761","","G - Feeding Kit, 18fr, 2.5l","BOTH IP/OP","$1,090.00 ","$806.60 ","$0.00 ","$1,090.00 ","$0.00 ","$0.00 ","$0.00 ","$777.93 ","$777.93 ","$0.00 ","$1,090.00 ","$0.00 ","$545.00 ","$863.28 ","$872.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202786","EAP","HCPCS C1892","","8fr-14cm Peel Away Sheath","BOTH IP/OP","$101.00 ","$74.74 ","$0.00 ","$101.00 ","$54.84 ","$0.00 ","$21.05 ","$72.08 ","$72.08 ","$17.68 ","$101.00 ","$0.00 ","$50.50 ","$79.99 ","$80.80 ","$0.00 ","$15.81 ","$0.00 ","$16.08 ","$0.00 "
"27202790","EAP","Custom 27202790","","Alligator Retrieval","BOTH IP/OP","$8,967.00 ","$6,635.58 ","$0.00 ","$8,967.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$8,967.00 ","$0.00 ","$4,483.50 ","$7,101.86 ","$7,173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202791","EAP","HCPCS C1769","","Cadence Precision","BOTH IP/OP","$1,703.00 ","$1,260.22 ","$0.00 ","$1,703.00 ","$924.73 ","$0.00 ","$354.95 ","$1,215.43 ","$1,215.43 ","$298.18 ","$1,703.00 ","$0.00 ","$851.50 ","$1,348.78 ","$1,362.40 ","$0.00 ","$266.52 ","$0.00 ","$271.12 ","$0.00 "
"27202792","EAP","HCPCS C1751","","Catheter Echelon 10 Micro","BOTH IP/OP","$2,423.00 ","$1,793.02 ","$0.00 ","$2,423.00 ","$1,315.69 ","$0.00 ","$505.01 ","$1,729.30 ","$1,729.30 ","$424.25 ","$2,423.00 ","$0.00 ","$1,211.50 ","$1,919.02 ","$1,938.40 ","$0.00 ","$379.20 ","$0.00 ","$385.74 ","$0.00 "
"27202794","EAP","Custom 27202794","","Catheter Marathon","BOTH IP/OP","$2,152.00 ","$1,592.48 ","$0.00 ","$2,152.00 ","$0.00 ","$0.00 ","$0.00 ","$1,535.88 ","$1,535.88 ","$0.00 ","$2,152.00 ","$0.00 ","$1,076.00 ","$1,704.38 ","$1,721.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202795","EAP","HCPCS C2628","","Catheter Marksman 105cm","BOTH IP/OP","$3,587.00 ","$2,654.38 ","$0.00 ","$3,587.00 ","$1,947.74 ","$0.00 ","$747.62 ","$2,560.04 ","$2,560.04 ","$0.00 ","$3,587.00 ","$0.00 ","$1,793.50 ","$2,840.90 ","$2,869.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202796","EAP","HCPCS C2628","","Catheter Marksman 135cm","BOTH IP/OP","$3,587.00 ","$2,654.38 ","$0.00 ","$3,587.00 ","$1,947.74 ","$0.00 ","$747.62 ","$2,560.04 ","$2,560.04 ","$0.00 ","$3,587.00 ","$0.00 ","$1,793.50 ","$2,840.90 ","$2,869.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202797","EAP","Custom 27202797","","Catheter Marksman 150cm","BOTH IP/OP","$3,587.00 ","$2,654.38 ","$0.00 ","$3,587.00 ","$0.00 ","$0.00 ","$0.00 ","$2,560.04 ","$2,560.04 ","$0.00 ","$3,587.00 ","$0.00 ","$1,793.50 ","$2,840.90 ","$2,869.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202798","EAP","HCPCS C1751","","Catheter Rebar-027 130cm Micro","BOTH IP/OP","$989.00 ","$731.86 ","$0.00 ","$989.00 ","$537.03 ","$0.00 ","$206.13 ","$705.85 ","$705.85 ","$173.17 ","$989.00 ","$0.00 ","$494.50 ","$783.29 ","$791.20 ","$0.00 ","$154.78 ","$0.00 ","$157.45 ","$0.00 "
"27202799","EAP","HCPCS C1751","","Catheter Rebar-027 145cm Micro","BOTH IP/OP","$989.00 ","$731.86 ","$0.00 ","$989.00 ","$537.03 ","$0.00 ","$206.13 ","$705.85 ","$705.85 ","$173.17 ","$989.00 ","$0.00 ","$494.50 ","$783.29 ","$791.20 ","$0.00 ","$154.78 ","$0.00 ","$157.45 ","$0.00 "
"27202800","EAP","HCPCS C1751","","Catheter Rebar-10 153cm Micro","BOTH IP/OP","$1,777.00 ","$1,314.98 ","$0.00 ","$1,777.00 ","$964.91 ","$0.00 ","$370.37 ","$1,268.24 ","$1,268.24 ","$311.14 ","$1,777.00 ","$0.00 ","$888.50 ","$1,407.38 ","$1,421.60 ","$0.00 ","$278.10 ","$0.00 ","$282.90 ","$0.00 "
"27202801","EAP","HCPCS C1751","","Catheter Rebar-14 153cm Micro","BOTH IP/OP","$1,777.00 ","$1,314.98 ","$0.00 ","$1,777.00 ","$964.91 ","$0.00 ","$370.37 ","$1,268.24 ","$1,268.24 ","$311.14 ","$1,777.00 ","$0.00 ","$888.50 ","$1,407.38 ","$1,421.60 ","$0.00 ","$278.10 ","$0.00 ","$282.90 ","$0.00 "
"27202802","EAP","HCPCS C1751","","Catheter Rebar-18 130cm Micro","BOTH IP/OP","$1,023.00 ","$757.02 ","$0.00 ","$1,023.00 ","$555.49 ","$0.00 ","$213.22 ","$730.12 ","$730.12 ","$179.12 ","$1,023.00 ","$0.00 ","$511.50 ","$810.22 ","$818.40 ","$0.00 ","$160.10 ","$0.00 ","$162.86 ","$0.00 "
"27202803","EAP","HCPCS C1751","","Catheter Rebar-18 153 Micro","BOTH IP/OP","$1,292.00 ","$956.08 ","$0.00 ","$1,292.00 ","$701.56 ","$0.00 ","$269.29 ","$922.10 ","$922.10 ","$226.22 ","$1,292.00 ","$0.00 ","$646.00 ","$1,023.26 ","$1,033.60 ","$0.00 ","$202.20 ","$0.00 ","$205.69 ","$0.00 "
"27202804","EAP","HCPCS C1751","","Catheter Rebar-18 153cm Micro","BOTH IP/OP","$1,435.00 ","$1,061.90 ","$0.00 ","$1,435.00 ","$779.21 ","$0.00 ","$299.09 ","$1,024.16 ","$1,024.16 ","$251.26 ","$1,435.00 ","$0.00 ","$717.50 ","$1,136.52 ","$1,148.00 ","$0.00 ","$224.58 ","$0.00 ","$228.45 ","$0.00 "
"27202806","EAP","Custom 27202806","","Dribath Onyx Heater Us","BOTH IP/OP","$1,793.00 ","$1,326.82 ","$0.00 ","$1,793.00 ","$0.00 ","$0.00 ","$0.00 ","$1,279.66 ","$1,279.66 ","$0.00 ","$1,793.00 ","$0.00 ","$896.50 ","$1,420.06 ","$1,434.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202808","EAP","HCPCS C1751","","Extended Ultraflow","BOTH IP/OP","$1,793.00 ","$1,326.82 ","$0.00 ","$1,793.00 ","$973.60 ","$0.00 ","$373.71 ","$1,279.66 ","$1,279.66 ","$313.94 ","$1,793.00 ","$0.00 ","$896.50 ","$1,420.06 ","$1,434.40 ","$0.00 ","$280.60 ","$0.00 ","$285.45 ","$0.00 "
"27202809","EAP","HCPCS C1769","","Guidewire Silverspeed .010","BOTH IP/OP","$825.00 ","$610.50 ","$0.00 ","$825.00 ","$447.98 ","$0.00 ","$171.95 ","$588.80 ","$588.80 ","$144.45 ","$825.00 ","$0.00 ","$412.50 ","$653.40 ","$660.00 ","$0.00 ","$129.11 ","$0.00 ","$131.34 ","$0.00 "
"27202810","EAP","HCPCS C1769","","Guidewire Silverspeed .014","BOTH IP/OP","$825.00 ","$610.50 ","$0.00 ","$825.00 ","$447.98 ","$0.00 ","$171.95 ","$588.80 ","$588.80 ","$144.45 ","$825.00 ","$0.00 ","$412.50 ","$653.40 ","$660.00 ","$0.00 ","$129.11 ","$0.00 ","$131.34 ","$0.00 "
"27202811","EAP","HCPCS C1769","","Guidewire Silverspeed .016","BOTH IP/OP","$735.00 ","$543.90 ","$0.00 ","$735.00 ","$399.11 ","$0.00 ","$153.19 ","$524.57 ","$524.57 ","$128.69 ","$735.00 ","$0.00 ","$367.50 ","$582.12 ","$588.00 ","$0.00 ","$115.03 ","$0.00 ","$117.01 ","$0.00 "
"27202812","EAP","HCPCS C1769","","Guidewire X-celerator .010r","BOTH IP/OP","$1,185.00 ","$876.90 ","$0.00 ","$1,185.00 ","$643.46 ","$0.00 ","$246.98 ","$845.73 ","$845.73 ","$207.48 ","$1,185.00 ","$0.00 ","$592.50 ","$938.52 ","$948.00 ","$0.00 ","$185.45 ","$0.00 ","$188.65 ","$0.00 "
"27202813","EAP","HCPCS C1769","","Guidewire X-celerator-14 Re","BOTH IP/OP","$1,185.00 ","$876.90 ","$0.00 ","$1,185.00 ","$643.46 ","$0.00 ","$246.98 ","$845.73 ","$845.73 ","$207.48 ","$1,185.00 ","$0.00 ","$592.50 ","$938.52 ","$948.00 ","$0.00 ","$185.45 ","$0.00 ","$188.65 ","$0.00 "
"27202814","EAP","HCPCS C1769","","Guidewire X-pedion 14 2","BOTH IP/OP","$897.00 ","$663.78 ","$0.00 ","$897.00 ","$487.07 ","$0.00 ","$186.96 ","$640.19 ","$640.19 ","$157.06 ","$897.00 ","$0.00 ","$448.50 ","$710.42 ","$717.60 ","$0.00 ","$140.38 ","$0.00 ","$142.80 ","$0.00 "
"27202815","EAP","HCPCS C1769","","Guidewire X-pedion-10 Re 2","BOTH IP/OP","$897.00 ","$663.78 ","$0.00 ","$897.00 ","$487.07 ","$0.00 ","$186.96 ","$640.19 ","$640.19 ","$157.06 ","$897.00 ","$0.00 ","$448.50 ","$710.42 ","$717.60 ","$0.00 ","$140.38 ","$0.00 ","$142.80 ","$0.00 "
"27202816","EAP","HCPCS C1726","","Hyperglide 3.0 X 10mm","BOTH IP/OP","$3,837.00 ","$2,839.38 ","$0.00 ","$3,837.00 ","$2,083.49 ","$0.00 ","$799.73 ","$2,738.47 ","$2,738.47 ","$671.83 ","$3,837.00 ","$0.00 ","$1,918.50 ","$3,038.90 ","$3,069.60 ","$0.00 ","$600.49 ","$0.00 ","$610.85 ","$0.00 "
"27202817","EAP","HCPCS C1726","","Hyperglide 3.0 X 15mm","BOTH IP/OP","$3,837.00 ","$2,839.38 ","$0.00 ","$3,837.00 ","$2,083.49 ","$0.00 ","$799.73 ","$2,738.47 ","$2,738.47 ","$671.83 ","$3,837.00 ","$0.00 ","$1,918.50 ","$3,038.90 ","$3,069.60 ","$0.00 ","$600.49 ","$0.00 ","$610.85 ","$0.00 "
"27202818","EAP","HCPCS C1726","","Hyperglide 4.0 X 10mm","BOTH IP/OP","$3,837.00 ","$2,839.38 ","$0.00 ","$3,837.00 ","$2,083.49 ","$0.00 ","$799.73 ","$2,738.47 ","$2,738.47 ","$671.83 ","$3,837.00 ","$0.00 ","$1,918.50 ","$3,038.90 ","$3,069.60 ","$0.00 ","$600.49 ","$0.00 ","$610.85 ","$0.00 "
"27202819","EAP","HCPCS C1726","","Hyperglide 4.0 X 20mm","BOTH IP/OP","$3,676.00 ","$2,720.24 ","$0.00 ","$3,676.00 ","$1,996.07 ","$0.00 ","$766.17 ","$2,623.56 ","$2,623.56 ","$643.64 ","$3,676.00 ","$0.00 ","$1,838.00 ","$2,911.39 ","$2,940.80 ","$0.00 ","$575.29 ","$0.00 ","$585.22 ","$0.00 "
"27202820","EAP","HCPCS C1726","","Hyperglide 5.0 X 15mm","BOTH IP/OP","$3,837.00 ","$2,839.38 ","$0.00 ","$3,837.00 ","$2,083.49 ","$0.00 ","$799.73 ","$2,738.47 ","$2,738.47 ","$671.83 ","$3,837.00 ","$0.00 ","$1,918.50 ","$3,038.90 ","$3,069.60 ","$0.00 ","$600.49 ","$0.00 ","$610.85 ","$0.00 "
"27202821","EAP","HCPCS C1726","","Hyperglide 5.0 X 20mm","BOTH IP/OP","$1,472.00 ","$1,089.28 ","$0.00 ","$1,472.00 ","$799.30 ","$0.00 ","$306.80 ","$1,050.57 ","$1,050.57 ","$257.74 ","$1,472.00 ","$0.00 ","$736.00 ","$1,165.82 ","$1,177.60 ","$0.00 ","$230.37 ","$0.00 ","$234.34 ","$0.00 "
"27202822","EAP","HCPCS C1751","","Hyperglide 5.0 X 30","BOTH IP/OP","$4,627.00 ","$3,423.98 ","$0.00 ","$4,627.00 ","$2,512.46 ","$0.00 ","$964.38 ","$3,302.29 ","$3,302.29 ","$810.15 ","$4,627.00 ","$0.00 ","$2,313.50 ","$3,664.58 ","$3,701.60 ","$0.00 ","$724.13 ","$0.00 ","$736.62 ","$0.00 "
"27202823","EAP","HCPCS C1726","","Hyperglide System - 30mm","BOTH IP/OP","$3,676.00 ","$2,720.24 ","$0.00 ","$3,676.00 ","$1,996.07 ","$0.00 ","$766.17 ","$2,623.56 ","$2,623.56 ","$643.64 ","$3,676.00 ","$0.00 ","$1,838.00 ","$2,911.39 ","$2,940.80 ","$0.00 ","$575.29 ","$0.00 ","$585.22 ","$0.00 "
"27202825","EAP","HCPCS C1769","","Meridian .014 Re","BOTH IP/OP","$1,777.00 ","$1,314.98 ","$0.00 ","$1,777.00 ","$964.91 ","$0.00 ","$370.37 ","$1,268.24 ","$1,268.24 ","$311.14 ","$1,777.00 ","$0.00 ","$888.50 ","$1,407.38 ","$1,421.60 ","$0.00 ","$278.10 ","$0.00 ","$282.90 ","$0.00 "
"27202826","EAP","HCPCS C1884","","Microcatheter Nautica","BOTH IP/OP","$1,882.00 ","$1,392.68 ","$0.00 ","$1,882.00 ","$1,021.93 ","$0.00 ","$392.26 ","$1,343.18 ","$1,343.18 ","$329.52 ","$1,882.00 ","$0.00 ","$941.00 ","$1,490.54 ","$1,505.60 ","$0.00 ","$294.53 ","$0.00 ","$299.61 ","$0.00 "
"27202827","EAP","HCPCS C1769","","Mirage Re .008","BOTH IP/OP","$1,490.00 ","$1,102.60 ","$0.00 ","$1,490.00 ","$809.07 ","$0.00 ","$310.55 ","$1,063.41 ","$1,063.41 ","$260.89 ","$1,490.00 ","$0.00 ","$745.00 ","$1,180.08 ","$1,192.00 ","$0.00 ","$233.19 ","$0.00 ","$237.21 ","$0.00 "
"27202828","EAP","Custom 27202828","","Mixer Us 15-17 Mm Vial","BOTH IP/OP","$1,793.00 ","$1,326.82 ","$0.00 ","$1,793.00 ","$0.00 ","$0.00 ","$0.00 ","$1,279.66 ","$1,279.66 ","$0.00 ","$1,793.00 ","$0.00 ","$896.50 ","$1,420.06 ","$1,434.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202829","EAP","HCPCS C1884","","Onyx 18 Kit Avm Us","BOTH IP/OP","$8,071.00 ","$5,972.54 ","$0.00 ","$8,071.00 ","$4,382.55 ","$0.00 ","$1,682.20 ","$5,158.80 ","$5,158.80 ","$1,413.17 ","$8,071.00 ","$0.00 ","$4,035.50 ","$6,392.23 ","$6,456.80 ","$0.00 ","$1,263.11 ","$0.00 ","$1,284.90 ","$0.00 "
"27202830","EAP","HCPCS C1884","","Onyx 34 Kit Avm Us","BOTH IP/OP","$3,227.00 ","$2,387.98 ","$0.00 ","$3,227.00 ","$1,752.26 ","$0.00 ","$672.59 ","$2,303.11 ","$2,303.11 ","$565.02 ","$3,227.00 ","$0.00 ","$1,613.50 ","$2,555.78 ","$2,581.60 ","$0.00 ","$505.03 ","$0.00 ","$513.74 ","$0.00 "
"27202831","EAP","HCPCS C1751","","Onyx Hd500 Kit Aneurys","BOTH IP/OP","$9,325.00 ","$6,900.50 ","$0.00 ","$9,325.00 ","$5,063.48 ","$0.00 ","$1,943.56 ","$5,158.80 ","$5,158.80 ","$1,632.73 ","$9,325.00 ","$0.00 ","$4,662.50 ","$7,385.40 ","$7,460.00 ","$0.00 ","$1,459.36 ","$0.00 ","$1,484.54 ","$0.00 "
"27202833","EAP","Custom 27202833","","Syringe 1ml Single Pa","BOTH IP/OP","$268.00 ","$198.32 ","$0.00 ","$268.00 ","$0.00 ","$0.00 ","$0.00 ","$191.27 ","$191.27 ","$0.00 ","$268.00 ","$0.00 ","$134.00 ","$212.26 ","$214.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202834","EAP","HCPCS C1726","","Syringe Adapter-carton","BOTH IP/OP","$1,793.00 ","$1,326.82 ","$0.00 ","$1,793.00 ","$973.60 ","$0.00 ","$373.71 ","$1,279.66 ","$1,279.66 ","$313.94 ","$1,793.00 ","$0.00 ","$896.50 ","$1,420.06 ","$1,434.40 ","$0.00 ","$280.60 ","$0.00 ","$285.45 ","$0.00 "
"27202835","EAP","Custom 27202835","","Ultraflow Hpc 1.5f Flow","BOTH IP/OP","$1,793.00 ","$1,326.82 ","$0.00 ","$1,793.00 ","$0.00 ","$0.00 ","$0.00 ","$1,279.66 ","$1,279.66 ","$0.00 ","$1,793.00 ","$0.00 ","$896.50 ","$1,420.06 ","$1,434.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202850","EAP","Custom 27202850","","Adjustable Outrigger(flex/ext)","BOTH IP/OP","$365.00 ","$270.10 ","$0.00 ","$365.00 ","$0.00 ","$0.00 ","$0.00 ","$260.50 ","$260.50 ","$0.00 ","$365.00 ","$0.00 ","$182.50 ","$289.08 ","$292.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202852","EAP","Custom 27202852","","Adjustable Wrist Hinge","BOTH IP/OP","$412.00 ","$304.88 ","$0.00 ","$412.00 ","$0.00 ","$0.00 ","$0.00 ","$294.04 ","$294.04 ","$0.00 ","$412.00 ","$0.00 ","$206.00 ","$326.30 ","$329.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202853","EAP","Custom 27202853","","Alumafoam Splint","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202854","EAP","Custom 27202854","","Aquacel Silver 4x4","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$0.00 ","$0.00 ","$0.00 ","$36.40 ","$36.40 ","$0.00 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202855","EAP","Custom 27202855","","Aquacel Silver 6x6","BOTH IP/OP","$117.00 ","$86.58 ","$0.00 ","$117.00 ","$0.00 ","$0.00 ","$0.00 ","$83.50 ","$83.50 ","$0.00 ","$117.00 ","$0.00 ","$58.50 ","$92.66 ","$93.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202856","EAP","Custom 27202856","","Aquacel Silver 8x12","BOTH IP/OP","$163.00 ","$120.62 ","$0.00 ","$163.00 ","$0.00 ","$0.00 ","$0.00 ","$116.33 ","$116.33 ","$0.00 ","$163.00 ","$0.00 ","$81.50 ","$129.10 ","$130.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202857","EAP","Custom 27202857","","Aquacel Silver Rope","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202858","EAP","Custom 27202858","","Bioconcept Brief","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202859","EAP","Custom 27202859","","Bioconcept Sleeved Vest","BOTH IP/OP","$145.00 ","$107.30 ","$0.00 ","$145.00 ","$0.00 ","$0.00 ","$0.00 ","$103.49 ","$103.49 ","$0.00 ","$145.00 ","$0.00 ","$72.50 ","$114.84 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202860","EAP","Custom 27202860","","Bioconcepts Brief","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202861","EAP","Custom 27202861","","Bioconcepts Digi - Sleeve","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202862","EAP","Custom 27202862","","Bioconcepts Digi Sleeves 3""","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202863","EAP","Custom 27202863","","Bioconcepts Forearm Sleeve","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202865","EAP","Custom 27202865","","Bioconcepts Gloves","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202867","EAP","Custom 27202867","","Bioconcepts Sleeved Vest","BOTH IP/OP","$145.00 ","$107.30 ","$0.00 ","$145.00 ","$0.00 ","$0.00 ","$0.00 ","$103.49 ","$103.49 ","$0.00 ","$145.00 ","$0.00 ","$72.50 ","$114.84 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202868","EAP","Custom 27202868","","Bioconcepts Ue Sleeve","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202869","EAP","Custom 27202869","","Chin Strap","BOTH IP/OP","$54.00 ","$39.96 ","$0.00 ","$54.00 ","$0.00 ","$0.00 ","$0.00 ","$38.54 ","$38.54 ","$0.00 ","$54.00 ","$0.00 ","$27.00 ","$42.77 ","$43.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202870","EAP","Custom 27202870","","Clear Acrylic Cone","BOTH IP/OP","$67.00 ","$49.58 ","$0.00 ","$67.00 ","$0.00 ","$0.00 ","$0.00 ","$47.82 ","$47.82 ","$0.00 ","$67.00 ","$0.00 ","$33.50 ","$53.06 ","$53.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202871","EAP","Custom 27202871","","Desensitization Kits","BOTH IP/OP","$26.00 ","$19.24 ","$0.00 ","$26.00 ","$0.00 ","$0.00 ","$0.00 ","$18.56 ","$18.56 ","$0.00 ","$26.00 ","$0.00 ","$13.00 ","$20.59 ","$20.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202872","EAP","Custom 27202872","","Digi Sleeve","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202874","EAP","Custom 27202874","","Double Finger Stall","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202875","EAP","Custom 27202875","","Dynamic Finger Flexion Strap","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202876","EAP","Custom 27202876","","Dynamic Mp Flexion Spring","BOTH IP/OP","$130.00 ","$96.20 ","$0.00 ","$130.00 ","$0.00 ","$0.00 ","$0.00 ","$92.78 ","$92.78 ","$0.00 ","$130.00 ","$0.00 ","$65.00 ","$102.96 ","$104.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202877","EAP","Custom 27202877","","Elbow Pad","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202878","EAP","Custom 27202878","","External Fixator Splint","BOTH IP/OP","$287.00 ","$212.38 ","$0.00 ","$287.00 ","$0.00 ","$0.00 ","$0.00 ","$204.83 ","$204.83 ","$0.00 ","$287.00 ","$0.00 ","$143.50 ","$227.30 ","$229.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202879","EAP","Custom 27202879","","Ezy Wrap Tigger Splint","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202881","EAP","Custom 27202881","","Finger Cylinder Cast","BOTH IP/OP","$6.00 ","$4.44 ","$0.00 ","$6.00 ","$0.00 ","$0.00 ","$0.00 ","$4.28 ","$4.28 ","$0.00 ","$6.00 ","$0.00 ","$3.00 ","$4.75 ","$4.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202882","EAP","Custom 27202882","","Finger Knuckle Bender Splint","BOTH IP/OP","$104.00 ","$76.96 ","$0.00 ","$104.00 ","$0.00 ","$0.00 ","$0.00 ","$74.22 ","$74.22 ","$0.00 ","$104.00 ","$0.00 ","$52.00 ","$82.37 ","$83.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202883","EAP","Custom 27202883","","Green Stick Splint","BOTH IP/OP","$160.00 ","$118.40 ","$0.00 ","$160.00 ","$0.00 ","$0.00 ","$0.00 ","$114.19 ","$114.19 ","$0.00 ","$160.00 ","$0.00 ","$80.00 ","$126.72 ","$128.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202884","EAP","Custom 27202884","","Individual Outigger-each Digit","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$0.00 ","$0.00 ","$0.00 ","$50.67 ","$50.67 ","$0.00 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202885","EAP","Custom 27202885","","Indivisual Outrigger","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$0.00 ","$0.00 ","$0.00 ","$50.67 ","$50.67 ","$0.00 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202886","EAP","Custom 27202886","","Joint Jack","BOTH IP/OP","$176.00 ","$130.24 ","$0.00 ","$176.00 ","$0.00 ","$0.00 ","$0.00 ","$125.61 ","$125.61 ","$0.00 ","$176.00 ","$0.00 ","$88.00 ","$139.39 ","$140.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202887","EAP","Custom 27202887","","Knee Hypercontrol Brace","BOTH IP/OP","$217.00 ","$160.58 ","$0.00 ","$217.00 ","$0.00 ","$0.00 ","$0.00 ","$154.87 ","$154.87 ","$0.00 ","$217.00 ","$0.00 ","$108.50 ","$171.86 ","$173.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202888","EAP","Custom 27202888","","Lmb Ulnar Deviation Splint","BOTH IP/OP","$176.00 ","$130.24 ","$0.00 ","$176.00 ","$0.00 ","$0.00 ","$0.00 ","$125.61 ","$125.61 ","$0.00 ","$176.00 ","$0.00 ","$88.00 ","$139.39 ","$140.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202889","EAP","Custom 27202889","","Merit Static Pro Component","BOTH IP/OP","$149.00 ","$110.26 ","$0.00 ","$149.00 ","$0.00 ","$0.00 ","$0.00 ","$106.34 ","$106.34 ","$0.00 ","$149.00 ","$0.00 ","$74.50 ","$118.01 ","$119.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202890","EAP","Custom 27202890","","Merit Static Progressive Comp","BOTH IP/OP","$149.00 ","$110.26 ","$0.00 ","$149.00 ","$0.00 ","$0.00 ","$0.00 ","$106.34 ","$106.34 ","$0.00 ","$149.00 ","$0.00 ","$74.50 ","$118.01 ","$119.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202891","EAP","Custom 27202891","","Neoprene Tennis Elbow Strap","BOTH IP/OP","$135.00 ","$99.90 ","$0.00 ","$54.00 ","$0.00 ","$0.00 ","$0.00 ","$38.54 ","$38.54 ","$0.00 ","$54.00 ","$0.00 ","$27.00 ","$42.77 ","$43.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202892","EAP","Custom 27202892","","Preformed Elbow Hinge Splint","BOTH IP/OP","$515.00 ","$381.10 ","$0.00 ","$515.00 ","$0.00 ","$0.00 ","$0.00 ","$367.56 ","$367.56 ","$0.00 ","$515.00 ","$0.00 ","$257.50 ","$407.88 ","$412.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202893","EAP","Custom 27202893","","Profore","BOTH IP/OP","$59.00 ","$43.66 ","$0.00 ","$59.00 ","$0.00 ","$0.00 ","$0.00 ","$42.11 ","$42.11 ","$0.00 ","$59.00 ","$0.00 ","$29.50 ","$46.73 ","$47.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202894","EAP","Custom 27202894","","Redi-fit Breifs","BOTH IP/OP","$102.00 ","$75.48 ","$0.00 ","$102.00 ","$0.00 ","$0.00 ","$0.00 ","$72.80 ","$72.80 ","$0.00 ","$102.00 ","$0.00 ","$51.00 ","$80.78 ","$81.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202897","EAP","Custom 27202897","","Redi-fit Forearm Sleeves","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202898","EAP","Custom 27202898","","Redi-fit Sleeved Vest","BOTH IP/OP","$145.00 ","$107.30 ","$0.00 ","$145.00 ","$0.00 ","$0.00 ","$0.00 ","$103.49 ","$103.49 ","$0.00 ","$145.00 ","$0.00 ","$72.50 ","$114.84 ","$116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202899","EAP","Custom 27202899","","Redi-fit Ue Sleeves","BOTH IP/OP","$56.00 ","$41.44 ","$0.00 ","$56.00 ","$0.00 ","$0.00 ","$0.00 ","$39.97 ","$39.97 ","$0.00 ","$56.00 ","$0.00 ","$28.00 ","$44.35 ","$44.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202900","EAP","Custom 27202900","","Reverse Knuckle Bender Splint","BOTH IP/OP","$104.00 ","$76.96 ","$0.00 ","$104.00 ","$0.00 ","$0.00 ","$0.00 ","$74.22 ","$74.22 ","$0.00 ","$104.00 ","$0.00 ","$52.00 ","$82.37 ","$83.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202901","EAP","Custom 27202901","","Ring Splint","BOTH IP/OP","$157.00 ","$116.18 ","$0.00 ","$157.00 ","$0.00 ","$0.00 ","$0.00 ","$112.05 ","$112.05 ","$0.00 ","$157.00 ","$0.00 ","$78.50 ","$124.34 ","$125.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202902","EAP","Custom 27202902","","Soft Ulnar Deviation Support","BOTH IP/OP","$69.00 ","$51.06 ","$0.00 ","$69.00 ","$0.00 ","$0.00 ","$0.00 ","$49.25 ","$49.25 ","$0.00 ","$69.00 ","$0.00 ","$34.50 ","$54.65 ","$55.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202903","EAP","Custom 27202903","","Supination / Pronation Kit","BOTH IP/OP","$276.00 ","$204.24 ","$0.00 ","$276.00 ","$0.00 ","$0.00 ","$0.00 ","$196.98 ","$196.98 ","$0.00 ","$276.00 ","$0.00 ","$138.00 ","$218.59 ","$220.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202905","EAP","Custom 27202905","","Tap Splint","BOTH IP/OP","$211.00 ","$156.14 ","$0.00 ","$211.00 ","$0.00 ","$0.00 ","$0.00 ","$150.59 ","$150.59 ","$0.00 ","$211.00 ","$0.00 ","$105.50 ","$167.11 ","$168.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202906","EAP","Custom 27202906","","Ulnar Deviation Slint","BOTH IP/OP","$184.00 ","$136.16 ","$0.00 ","$184.00 ","$0.00 ","$0.00 ","$0.00 ","$131.32 ","$131.32 ","$0.00 ","$184.00 ","$0.00 ","$92.00 ","$145.73 ","$147.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202908","EAP","Custom 27202908","","Wrap Finger Hooks","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202909","EAP","Custom 27202909","","Wrap On Finger Hooks(each)","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202910","EAP","Custom 27202910","","Wrist Hinge W/ Dynamic Springs","BOTH IP/OP","$480.00 ","$355.20 ","$0.00 ","$480.00 ","$0.00 ","$0.00 ","$0.00 ","$342.58 ","$342.58 ","$0.00 ","$480.00 ","$0.00 ","$240.00 ","$380.16 ","$384.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202911","EAP","HCPCS C1769","","Gwire Vasc 185cm .014in Prss Clip Conctr Radiopq Tip Trq Dev","BOTH IP/OP","$1,772.00 ","$1,311.28 ","$0.00 ","$1,772.00 ","$962.20 ","$0.00 ","$369.33 ","$1,264.68 ","$1,264.68 ","$310.26 ","$1,772.00 ","$0.00 ","$886.00 ","$1,403.42 ","$1,417.60 ","$0.00 ","$277.32 ","$0.00 ","$282.10 ","$0.00 "
"27202912","EAP","HCPCS C1769","","Abbott Vascular","BOTH IP/OP","$207.00 ","$153.18 ","$0.00 ","$207.00 ","$112.40 ","$0.00 ","$43.14 ","$147.74 ","$147.74 ","$36.24 ","$207.00 ","$0.00 ","$103.50 ","$163.94 ","$165.60 ","$0.00 ","$32.40 ","$0.00 ","$32.95 ","$0.00 "
"27202913","EAP","HCPCS C1725","","Cath Baldilat .035in 5fr 9mm 75cm 40mm Pta Lp Nc Mustang","BOTH IP/OP","$525.00 ","$388.50 ","$0.00 ","$525.00 ","$285.08 ","$0.00 ","$109.42 ","$374.69 ","$374.69 ","$91.92 ","$525.00 ","$0.00 ","$262.50 ","$415.80 ","$420.00 ","$0.00 ","$82.16 ","$0.00 ","$83.58 ","$0.00 "
"27202914","EAP","HCPCS C1725","","Cath Baldilat .035in 5fr 8mm 75cm 40mm Pta Lp Nc Mustang","BOTH IP/OP","$525.00 ","$388.50 ","$0.00 ","$525.00 ","$285.08 ","$0.00 ","$109.42 ","$374.69 ","$374.69 ","$91.92 ","$525.00 ","$0.00 ","$262.50 ","$415.80 ","$420.00 ","$0.00 ","$82.16 ","$0.00 ","$83.58 ","$0.00 "
"27202915","EAP","HCPCS C1726","","Catheter Baldilat Lp 5.3fr 4mm 75cm 40mm High Pressure","BOTH IP/OP","$525.00 ","$388.50 ","$0.00 ","$525.00 ","$285.08 ","$0.00 ","$109.42 ","$374.69 ","$374.69 ","$91.92 ","$525.00 ","$0.00 ","$262.50 ","$415.80 ","$420.00 ","$0.00 ","$82.16 ","$0.00 ","$83.58 ","$0.00 "
"27202916","EAP","HCPCS C1725","","Cath Baldilat 2.5mm 150cm 80mm Otw Cyte","BOTH IP/OP","$720.00 ","$532.80 ","$0.00 ","$720.00 ","$0.00 ","$0.00 ","$0.00 ","$513.86 ","$513.86 ","$126.07 ","$720.00 ","$0.00 ","$360.00 ","$570.24 ","$576.00 ","$0.00 ","$112.68 ","$0.00 ","$114.62 ","$0.00 "
"27202917","EAP","HCPCS C1725","","Catheter Balloon Dilit Coyote 2 X 220 150cm Otw","BOTH IP/OP","$900.00 ","$666.00 ","$0.00 ","$900.00 ","$488.70 ","$0.00 ","$187.58 ","$642.33 ","$642.33 ","$157.58 ","$900.00 ","$0.00 ","$450.00 ","$712.80 ","$720.00 ","$0.00 ","$140.85 ","$0.00 ","$143.28 ","$0.00 "
"27202918","EAP","HCPCS C1725","","Balloon Coyote 2.5 X 220, 150cm, Otw","BOTH IP/OP","$900.00 ","$666.00 ","$0.00 ","$900.00 ","$488.70 ","$0.00 ","$187.58 ","$642.33 ","$642.33 ","$157.58 ","$900.00 ","$0.00 ","$450.00 ","$712.80 ","$720.00 ","$0.00 ","$140.85 ","$0.00 ","$143.28 ","$0.00 "
"27202919","EAP","HCPCS C1725","","Catheter Balloon Dilit Coyote 3 X 100 150cm Otw","BOTH IP/OP","$900.00 ","$666.00 ","$0.00 ","$900.00 ","$488.70 ","$0.00 ","$187.58 ","$642.33 ","$642.33 ","$157.58 ","$900.00 ","$0.00 ","$450.00 ","$712.80 ","$720.00 ","$0.00 ","$140.85 ","$0.00 ","$143.28 ","$0.00 "
"27202920","EAP","HCPCS C1725","","Cath Baldilat .035in 5fr 5mm 135cm 200mm Pta Lp Nc Mustang","BOTH IP/OP","$525.00 ","$388.50 ","$0.00 ","$525.00 ","$285.08 ","$0.00 ","$109.42 ","$374.69 ","$374.69 ","$91.92 ","$525.00 ","$0.00 ","$262.50 ","$415.80 ","$420.00 ","$0.00 ","$82.16 ","$0.00 ","$83.58 ","$0.00 "
"27202921","EAP","HCPCS C1725","","Cath Baldilat .035in 5fr 6mm 135cm 100mm Pta Lp Nc Mustang","BOTH IP/OP","$486.00 ","$359.64 ","$0.00 ","$486.00 ","$0.00 ","$0.00 ","$0.00 ","$346.86 ","$346.86 ","$85.09 ","$486.00 ","$0.00 ","$243.00 ","$384.91 ","$388.80 ","$0.00 ","$76.06 ","$0.00 ","$77.37 ","$0.00 "
"27202922","EAP","HCPCS C1768","","Set Introd 40cm 4fr Mpnch Psh+ .018in Ntnl Trnstls Stf Cannu","BOTH IP/OP","$105.00 ","$77.70 ","$0.00 ","$105.00 ","$57.02 ","$0.00 ","$21.88 ","$74.94 ","$74.94 ","$18.38 ","$105.00 ","$0.00 ","$52.50 ","$83.16 ","$84.00 ","$0.00 ","$16.43 ","$0.00 ","$16.72 ","$0.00 "
"27202923","EAP","HCPCS C1769","","Gwire Vasc 1.5mm Rsn Curve .035in 180cm 1.5mm Cvd Cath Exch","BOTH IP/OP","$45.00 ","$33.30 ","$0.00 ","$45.00 ","$24.44 ","$0.00 ","$9.38 ","$32.12 ","$32.12 ","$7.88 ","$45.00 ","$0.00 ","$22.50 ","$35.64 ","$36.00 ","$0.00 ","$7.04 ","$0.00 ","$7.16 ","$0.00 "
"27202924","EAP","Custom 27202924","","Cath Angio .035in Vcf Curve 5fr 65cm 8 Spiraled Sdprt Hflo","BOTH IP/OP","$171.00 ","$126.54 ","$0.00 ","$171.00 ","$0.00 ","$0.00 ","$0.00 ","$122.04 ","$122.04 ","$0.00 ","$171.00 ","$0.00 ","$85.50 ","$135.43 ","$136.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202925","EAP","Custom 27202925","","Cath Angio .038in Kmp Curve 5fr 65cm Ang Multpur Nyl Ss Trnb","BOTH IP/OP","$171.00 ","$126.54 ","$0.00 ","$171.00 ","$0.00 ","$0.00 ","$0.00 ","$122.04 ","$122.04 ","$0.00 ","$171.00 ","$0.00 ","$85.50 ","$135.43 ","$136.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202926","EAP","HCPCS C1894","","Sheath Guid 45cm 6fr .087in Chk-flo Flxr .018/.038in Anl0","BOTH IP/OP","$125.00 ","$92.50 ","$0.00 ","$125.00 ","$67.88 ","$0.00 ","$26.05 ","$89.21 ","$89.21 ","$21.89 ","$125.00 ","$0.00 ","$62.50 ","$99.00 ","$100.00 ","$0.00 ","$19.56 ","$0.00 ","$19.90 ","$0.00 "
"27202927","EAP","HCPCS C1894","","Sheath Guid 45cm 5fr .074in Chk-flo Flxr .018/.038in Anl0","BOTH IP/OP","$119.00 ","$88.06 ","$0.00 ","$119.00 ","$64.62 ","$0.00 ","$24.80 ","$84.93 ","$84.93 ","$20.84 ","$119.00 ","$0.00 ","$59.50 ","$94.25 ","$95.20 ","$0.00 ","$18.62 ","$0.00 ","$18.94 ","$0.00 "
"27202928","EAP","HCPCS C1769","","Gwire Vasc .035in 145cm 20cm Str Flexibile Tip Flpy Bntsn Lg","BOTH IP/OP","$51.00 ","$37.74 ","$0.00 ","$51.00 ","$27.69 ","$0.00 ","$10.63 ","$36.40 ","$36.40 ","$8.93 ","$51.00 ","$0.00 ","$25.50 ","$40.39 ","$40.80 ","$0.00 ","$7.98 ","$0.00 ","$8.12 ","$0.00 "
"27202929","EAP","HCPCS C1894","","Introd Shth 5fr .074in 70cm Anl1 Curve Multpur Tip Ansel","BOTH IP/OP","$170.00 ","$125.80 ","$0.00 ","$170.00 ","$92.31 ","$0.00 ","$35.43 ","$121.33 ","$121.33 ","$29.77 ","$170.00 ","$0.00 ","$85.00 ","$134.64 ","$136.00 ","$0.00 ","$26.61 ","$0.00 ","$27.06 ","$0.00 "
"27202930","EAP","HCPCS C1887","","Cath Guid .035in 5mm Spc 3.1fr 150cm Lp Tpr Tip Sprt Radiopq","BOTH IP/OP","$2,257.00 ","$1,670.18 ","$0.00 ","$2,257.00 ","$1,225.55 ","$0.00 ","$470.42 ","$1,610.82 ","$1,610.82 ","$395.18 ","$2,257.00 ","$0.00 ","$1,128.50 ","$1,787.54 ","$1,805.60 ","$0.00 ","$353.22 ","$0.00 ","$359.31 ","$0.00 "
"27202931","EAP","HCPCS C1887","","Cath Guid .014in 3-1.9fr 150cm 3 Radiopq Mrkr Low Cx Prfl","BOTH IP/OP","$2,257.00 ","$1,670.18 ","$0.00 ","$2,257.00 ","$1,225.55 ","$0.00 ","$470.42 ","$1,610.82 ","$1,610.82 ","$395.18 ","$2,257.00 ","$0.00 ","$1,128.50 ","$1,787.54 ","$1,805.60 ","$0.00 ","$353.22 ","$0.00 ","$359.31 ","$0.00 "
"27202932","EAP","HCPCS C1769","","Gwire Vasc Std .035in 150cm 3cm Ang Tip Kink Rst Gldwr","BOTH IP/OP","$418.00 ","$309.32 ","$0.00 ","$418.00 ","$226.97 ","$0.00 ","$87.12 ","$298.33 ","$298.33 ","$73.19 ","$418.00 ","$0.00 ","$209.00 ","$331.06 ","$334.40 ","$0.00 ","$65.42 ","$0.00 ","$66.55 ","$0.00 "
"27202933","EAP","HCPCS C1769","","Gwire Vasc Std .035in 260cm 3cm Ang Tip Stf Shft Gldwr","BOTH IP/OP","$699.00 ","$517.26 ","$0.00 ","$699.00 ","$379.56 ","$0.00 ","$145.69 ","$498.88 ","$498.88 ","$122.39 ","$699.00 ","$0.00 ","$349.50 ","$553.61 ","$559.20 ","$0.00 ","$109.39 ","$0.00 ","$111.28 ","$0.00 "
"27202934","EAP","HCPCS C1887","","Cath Angio .038in 5fr 100cm 40cm Tpr Ang Tip Gwire Hydphi","BOTH IP/OP","$644.00 ","$476.56 ","$0.00 ","$644.00 ","$0.00 ","$0.00 ","$0.00 ","$459.62 ","$459.62 ","$112.76 ","$644.00 ","$0.00 ","$322.00 ","$510.05 ","$515.20 ","$0.00 ","$100.79 ","$0.00 ","$102.52 ","$0.00 "
"27202935","EAP","HCPCS C1769","","Gwire Vasc Endoscopic Terumo L260 Cm Od.035 In Straight","BOTH IP/OP","$623.00 ","$461.02 ","$0.00 ","$623.00 ","$338.29 ","$0.00 ","$129.85 ","$444.64 ","$444.64 ","$109.08 ","$623.00 ","$0.00 ","$311.50 ","$493.42 ","$498.40 ","$0.00 ","$97.50 ","$0.00 ","$99.18 ","$0.00 "
"27202936","EAP","Custom 27202936","","Burn Pad 36x24in Abs Drsg Slvr Strl","BOTH IP/OP","$221.00 ","$163.54 ","$0.00 ","$221.00 ","$0.00 ","$0.00 ","$0.00 ","$157.73 ","$157.73 ","$0.00 ","$221.00 ","$0.00 ","$110.50 ","$175.03 ","$176.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202940","EAP","Custom 27202940","","Bioconcepts Digi-sleeve (per Digit - 3"").","BOTH IP/OP","$17.00 ","$12.58 ","$0.00 ","$17.00 ","$0.00 ","$0.00 ","$0.00 ","$12.13 ","$12.13 ","$0.00 ","$17.00 ","$0.00 ","$8.50 ","$13.46 ","$13.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202941","EAP","HCPCS C1769","","Stdj-185-4076","BOTH IP/OP","$223.00 ","$165.02 ","$0.00 ","$223.00 ","$121.09 ","$0.00 ","$46.48 ","$159.16 ","$159.16 ","$39.05 ","$223.00 ","$0.00 ","$111.50 ","$176.62 ","$178.40 ","$0.00 ","$34.90 ","$0.00 ","$35.50 ","$0.00 "
"27202942","EAP","HCPCS C1769","","Stdj-300-4076","BOTH IP/OP","$223.00 ","$165.02 ","$0.00 ","$223.00 ","$121.09 ","$0.00 ","$46.48 ","$159.16 ","$159.16 ","$39.05 ","$223.00 ","$0.00 ","$111.50 ","$176.62 ","$178.40 ","$0.00 ","$34.90 ","$0.00 ","$35.50 ","$0.00 "
"27202943","EAP","HCPCS C1769","","Stdj-86-15 40785","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$152.58 ","$0.00 ","$58.57 ","$200.55 ","$200.55 ","$49.20 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$43.98 ","$0.00 ","$44.74 ","$0.00 "
"27202944","EAP","HCPCS C1769","","Sdj-86-5 40785","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$152.58 ","$0.00 ","$58.57 ","$200.55 ","$200.55 ","$49.20 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$43.98 ","$0.00 ","$44.74 ","$0.00 "
"27202945","EAP","HCPCS C1725","","Coronary Sinus Balloon Venography Catheter","BOTH IP/OP","$325.00 ","$240.50 ","$0.00 ","$325.00 ","$176.48 ","$0.00 ","$67.74 ","$231.95 ","$231.95 ","$56.90 ","$325.00 ","$0.00 ","$162.50 ","$257.40 ","$260.00 ","$0.00 ","$50.86 ","$0.00 ","$51.74 ","$0.00 "
"27202950","EAP","Custom 27202950","","C-36-152 Coil Interlock Detach","BOTH IP/OP","$1,258.00 ","$930.92 ","$0.00 ","$1,258.00 ","$0.00 ","$0.00 ","$0.00 ","$897.83 ","$897.83 ","$0.00 ","$1,258.00 ","$0.00 ","$629.00 ","$996.34 ","$1,006.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202951","EAP","Custom 27202951","","C-36-154 Coil Interlock Detach","BOTH IP/OP","$1,258.00 ","$930.92 ","$0.00 ","$1,258.00 ","$0.00 ","$0.00 ","$0.00 ","$897.83 ","$897.83 ","$0.00 ","$1,258.00 ","$0.00 ","$629.00 ","$996.34 ","$1,006.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202952","EAP","Custom 27202952","","C-36-156 Coil Interlock Detach","BOTH IP/OP","$1,258.00 ","$930.92 ","$0.00 ","$1,258.00 ","$0.00 ","$0.00 ","$0.00 ","$897.83 ","$897.83 ","$0.00 ","$1,258.00 ","$0.00 ","$629.00 ","$996.34 ","$1,006.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202953","EAP","Custom 27202953","","C-36-157 Coil Interlock Detach","BOTH IP/OP","$1,258.00 ","$930.92 ","$0.00 ","$1,258.00 ","$0.00 ","$0.00 ","$0.00 ","$897.83 ","$897.83 ","$0.00 ","$1,258.00 ","$0.00 ","$629.00 ","$996.34 ","$1,006.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202954","EAP","HCPCS C1887","","Cg510 Glide Catheter Simmon1","BOTH IP/OP","$1,253.00 ","$927.22 ","$0.00 ","$1,253.00 ","$680.38 ","$0.00 ","$261.16 ","$894.27 ","$894.27 ","$219.39 ","$1,253.00 ","$0.00 ","$626.50 ","$992.38 ","$1,002.40 ","$0.00 ","$196.09 ","$0.00 ","$199.48 ","$0.00 "
"27202955","EAP","HCPCS C1725","","Cg514 Benson-hanafee 1","BOTH IP/OP","$1,193.00 ","$882.82 ","$0.00 ","$1,193.00 ","$536.85 ","$0.00 ","$248.65 ","$851.44 ","$851.44 ","$208.88 ","$1,193.00 ","$0.00 ","$596.50 ","$944.86 ","$954.40 ","$0.00 ","$186.70 ","$0.00 ","$189.93 ","$0.00 "
"27202956","EAP","HCPCS C1880","","Option Ivc Filter","BOTH IP/OP","$1,429.00 ","$1,057.46 ","$0.00 ","$1,429.00 ","$643.05 ","$0.00 ","$297.84 ","$1,019.88 ","$1,019.88 ","$250.21 ","$1,429.00 ","$0.00 ","$714.50 ","$1,131.77 ","$1,143.20 ","$0.00 ","$223.64 ","$0.00 ","$227.50 ","$0.00 "
"27202957","EAP","HCPCS C1894","","Introducer Sheath 5fr","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$6.30 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$5.63 ","$0.00 ","$5.73 ","$0.00 "
"27202958","EAP","HCPCS C1894","","Introducer Sheath 6fr","BOTH IP/OP","$36.00 ","$26.64 ","$0.00 ","$36.00 ","$0.00 ","$0.00 ","$0.00 ","$25.69 ","$25.69 ","$6.30 ","$36.00 ","$0.00 ","$18.00 ","$28.51 ","$28.80 ","$0.00 ","$5.63 ","$0.00 ","$5.73 ","$0.00 "
"27202959","EAP","HCPCS C1725","","Catheter Glide Simmons 2","BOTH IP/OP","$171.00 ","$126.54 ","$0.00 ","$171.00 ","$76.95 ","$0.00 ","$35.64 ","$122.04 ","$122.04 ","$29.94 ","$171.00 ","$0.00 ","$85.50 ","$135.43 ","$136.80 ","$0.00 ","$26.76 ","$0.00 ","$27.22 ","$0.00 "
"27202960","EAP","HCPCS C1725","","Catheter Vertebral 5fr","BOTH IP/OP","$40.00 ","$29.60 ","$0.00 ","$40.00 ","$18.00 ","$0.00 ","$8.34 ","$28.55 ","$28.55 ","$7.00 ","$40.00 ","$0.00 ","$20.00 ","$31.68 ","$32.00 ","$0.00 ","$6.26 ","$0.00 ","$6.37 ","$0.00 "
"27202961","EAP","HCPCS C1751","","Microcatheter Stc","BOTH IP/OP","$1,264.00 ","$935.36 ","$0.00 ","$1,264.00 ","$686.35 ","$0.00 ","$263.45 ","$902.12 ","$902.12 ","$221.32 ","$1,264.00 ","$0.00 ","$632.00 ","$1,001.09 ","$1,011.20 ","$0.00 ","$197.82 ","$0.00 ","$201.23 ","$0.00 "
"27202962","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 30cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202963","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 40cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$6,738.00 ","$4,986.12 ","$0.00 ","$6,738.00 ","$3,658.73 ","$0.00 ","$1,404.37 ","$4,808.91 ","$4,808.91 ","$1,179.77 ","$6,738.00 ","$0.00 ","$3,369.00 ","$5,336.50 ","$5,390.40 ","$0.00 ","$1,054.50 ","$0.00 ","$1,072.69 ","$0.00 "
"27202964","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 50cm Ekosonic Mach 4 Intlgnt Cath","BOTH IP/OP","$6,738.00 ","$4,986.12 ","$0.00 ","$6,738.00 ","$3,658.73 ","$0.00 ","$1,404.37 ","$4,808.91 ","$4,808.91 ","$1,179.77 ","$6,738.00 ","$0.00 ","$3,369.00 ","$5,336.50 ","$5,390.40 ","$0.00 ","$1,054.50 ","$0.00 ","$1,072.69 ","$0.00 "
"27202965","EAP","HCPCS C1751","","System Drg Dlv L135 Cm 12cm Ekosonic Mach 4 Intlgnt Cath","BOTH IP/OP","$6,738.00 ","$4,986.12 ","$0.00 ","$6,738.00 ","$3,658.73 ","$0.00 ","$1,404.37 ","$4,808.91 ","$4,808.91 ","$1,179.77 ","$6,738.00 ","$0.00 ","$3,369.00 ","$5,336.50 ","$5,390.40 ","$0.00 ","$1,054.50 ","$0.00 ","$1,072.69 ","$0.00 "
"27202966","EAP","HCPCS C1751","","System Drg Dlv L135 Cm 30cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202967","EAP","HCPCS C1751","","System Drg Dlv L135 Cm 40cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202968","EAP","HCPCS C1751","","SYSTEM DRG DLV L135 CM 50CM EKOSONIC TX ZN EVAS DEV CATH GWI","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202969","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 6cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202970","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 12cm Ekosonic Cath Us Thrmbs 106cm 12","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202971","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 18cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202972","EAP","HCPCS C1751","","System Drg Dlv L106 Cm 24cm Ekosonic Intlgnt Cath Microsonic","BOTH IP/OP","$7,074.00 ","$5,234.76 ","$0.00 ","$7,074.00 ","$3,841.18 ","$0.00 ","$1,474.40 ","$5,048.71 ","$5,048.71 ","$1,238.60 ","$7,074.00 ","$0.00 ","$3,537.00 ","$5,602.61 ","$5,659.20 ","$0.00 ","$1,107.08 ","$0.00 ","$1,126.18 ","$0.00 "
"27202973","EAP","HCPCS C1729","","Kit Cath Peritoneum Strt Pleurx 1000ml","BOTH IP/OP","$2,226.00 ","$1,647.24 ","$0.00 ","$2,226.00 ","$1,208.72 ","$0.00 ","$463.95 ","$1,588.70 ","$1,588.70 ","$389.75 ","$2,226.00 ","$0.00 ","$1,113.00 ","$1,762.99 ","$1,780.80 ","$0.00 ","$348.37 ","$0.00 ","$354.38 ","$0.00 "
"27202974","EAP","Custom 27202974","","Cable Pcng 6ft Pc Lc Trnvns Sf Dev Temp Conctr Clip Adpr","BOTH IP/OP","$49.00 ","$36.26 ","$0.00 ","$49.00 ","$0.00 ","$0.00 ","$0.00 ","$34.97 ","$34.97 ","$0.00 ","$49.00 ","$0.00 ","$24.50 ","$38.81 ","$39.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202976","EAP","Custom 27202976","","Shld Rad16x16in Drp Armr Rdbrrier L Pstn Prtc Strl","BOTH IP/OP","$72.00 ","$53.28 ","$0.00 ","$72.00 ","$0.00 ","$0.00 ","$0.00 ","$51.39 ","$51.39 ","$0.00 ","$72.00 ","$0.00 ","$36.00 ","$57.02 ","$57.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202977","EAP","Custom 27202977","","Trvo Prvue 4x20mm Rtrvr Kit & Trvo Pro 18 Mc","BOTH IP/OP","$13,399.00 ","$9,915.26 ","$0.00 ","$13,399.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$13,399.00 ","$0.00 ","$6,699.50 ","$10,612.01 ","$10,719.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202978","EAP","Custom 27202978","","Trvo Xp Prvue 4x20mm Rtrvr Kit & Trvo Pro 18 Mc","BOTH IP/OP","$13,399.00 ","$9,915.26 ","$0.00 ","$13,399.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$13,399.00 ","$0.00 ","$6,699.50 ","$10,612.01 ","$10,719.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202979","EAP","Custom 27202979","","Trvo Xp Prvue 3x20mm Rtrvr Kit & Trvo Pro 14 Mc","BOTH IP/OP","$13,399.00 ","$9,915.26 ","$0.00 ","$13,399.00 ","$0.00 ","$0.00 ","$0.00 ","$5,158.80 ","$5,158.80 ","$0.00 ","$13,399.00 ","$0.00 ","$6,699.50 ","$10,612.01 ","$10,719.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202980","EAP","HCPCS C1769","","Guidewire Vasc 190cm .035in Strbl Str Htrq Scr","BOTH IP/OP","$197.00 ","$145.78 ","$0.00 ","$197.00 ","$106.97 ","$0.00 ","$41.06 ","$140.60 ","$140.60 ","$34.49 ","$197.00 ","$0.00 ","$98.50 ","$156.02 ","$157.60 ","$0.00 ","$30.83 ","$0.00 ","$31.36 ","$0.00 "
"27202981","EAP","HCPCS C1887","","Turnpike Catheter, Smooth Shaft, 135cm","BOTH IP/OP","$1,377.00 ","$1,018.98 ","$0.00 ","$1,377.00 ","$747.71 ","$0.00 ","$287.00 ","$982.76 ","$982.76 ","$241.10 ","$1,377.00 ","$0.00 ","$688.50 ","$1,090.58 ","$1,101.60 ","$0.00 ","$215.50 ","$0.00 ","$219.22 ","$0.00 "
"27202982","EAP","HCPCS C1887","","Turnpike Catheter, Smooth Shaft, 155cm","BOTH IP/OP","$1,561.00 ","$1,155.14 ","$0.00 ","$1,561.00 ","$847.62 ","$0.00 ","$325.35 ","$1,114.09 ","$1,114.09 ","$273.32 ","$1,561.00 ","$0.00 ","$780.50 ","$1,236.31 ","$1,248.80 ","$0.00 ","$244.30 ","$0.00 ","$248.51 ","$0.00 "
"27202983","EAP","HCPCS C1769","","Guidewire Vasc 180cm .014in Hbrd Radiopq Str Tip","BOTH IP/OP","$394.00 ","$291.56 ","$0.00 ","$394.00 ","$213.94 ","$0.00 ","$82.12 ","$281.20 ","$281.20 ","$68.99 ","$394.00 ","$0.00 ","$197.00 ","$312.05 ","$315.20 ","$0.00 ","$61.66 ","$0.00 ","$62.72 ","$0.00 "
"27202984","EAP","","","Gdwire Vasc Strght; Sprg L200cm L9 Cm Od.008 In","BOTH IP/OP","$1,238.00 ","$916.12 ","$0.00 ","$1,238.00 ","$0.00 ","$0.00 ","$0.00 ","$883.56 ","$883.56 ","$0.00 ","$1,238.00 ","$0.00 ","$619.00 ","$980.50 ","$990.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27202985","EAP","HCPCS C1769","","Gdwire Vasc 25d L150 Cm Rnd Curve L200 Cm L170","BOTH IP/OP","$1,337.00 ","$989.38 ","$0.00 ","$1,337.00 ","$725.99 ","$0.00 ","$278.66 ","$954.22 ","$954.22 ","$234.10 ","$1,337.00 ","$0.00 ","$668.50 ","$1,058.90 ","$1,069.60 ","$0.00 ","$209.24 ","$0.00 ","$212.85 ","$0.00 "
"27202986","EAP","HCPCS C1769","","Gdwire Vasc Slip Coat Stnlss Stl Polymer 25 D, L","BOTH IP/OP","$1,337.00 ","$989.38 ","$0.00 ","$1,337.00 ","$725.99 ","$0.00 ","$278.66 ","$954.22 ","$954.22 ","$234.10 ","$1,337.00 ","$0.00 ","$668.50 ","$1,058.90 ","$1,069.60 ","$0.00 ","$209.24 ","$0.00 ","$212.85 ","$0.00 "
"27202987","EAP","HCPCS C1769","","Gdwire Vasc Slip-coat; Stnlss Stl; Polymer 25 D;","BOTH IP/OP","$919.00 ","$680.06 ","$0.00 ","$919.00 ","$499.02 ","$0.00 ","$191.54 ","$655.89 ","$655.89 ","$160.91 ","$919.00 ","$0.00 ","$459.50 ","$727.85 ","$735.20 ","$0.00 ","$143.82 ","$0.00 ","$146.30 ","$0.00 "
"27202988","EAP","HCPCS C1887","","Arc Catheter","BOTH IP/OP","$4,712.00 ","$3,486.88 ","$0.00 ","$4,712.00 ","$2,558.62 ","$0.00 ","$982.10 ","$3,362.95 ","$3,362.95 ","$825.03 ","$4,712.00 ","$0.00 ","$2,356.00 ","$3,731.90 ","$3,769.60 ","$0.00 ","$737.43 ","$0.00 ","$750.15 ","$0.00 "
"27202989","EAP","HCPCS C1887","","Arc Mini Catheter","BOTH IP/OP","$3,625.00 ","$2,682.50 ","$0.00 ","$3,625.00 ","$1,968.38 ","$0.00 ","$755.54 ","$2,587.16 ","$2,587.16 ","$634.71 ","$3,625.00 ","$0.00 ","$1,812.50 ","$2,871.00 ","$2,900.00 ","$0.00 ","$567.31 ","$0.00 ","$577.10 ","$0.00 "
"27202990","EAP","HCPCS C1887","","Marksman Catheter","BOTH IP/OP","$2,000.00 ","$1,480.00 ","$0.00 ","$2,000.00 ","$1,086.00 ","$0.00 ","$416.85 ","$1,427.40 ","$1,427.40 ","$350.18 ","$2,000.00 ","$0.00 ","$1,000.00 ","$1,584.00 ","$1,600.00 ","$0.00 ","$313.00 ","$0.00 ","$318.40 ","$0.00 "
"27202991","EAP","HCPCS C1769","","Guidewire Vasc 200cm .014in Str 3cm Traxcess Ntnl","BOTH IP/OP","$844.00 ","$624.56 ","$0.00 ","$844.00 ","$458.29 ","$0.00 ","$175.91 ","$602.36 ","$602.36 ","$147.78 ","$844.00 ","$0.00 ","$422.00 ","$668.45 ","$675.20 ","$0.00 ","$132.09 ","$0.00 ","$134.36 ","$0.00 "
"27202992","EAP","HCPCS C1769","","Guidewire Vasc Traxcess 3x200 Ex","BOTH IP/OP","$878.00 ","$649.72 ","$0.00 ","$878.00 ","$476.75 ","$0.00 ","$183.00 ","$626.63 ","$626.63 ","$153.73 ","$878.00 ","$0.00 ","$439.00 ","$695.38 ","$702.40 ","$0.00 ","$137.41 ","$0.00 ","$139.78 ","$0.00 "
"27202993","EAP","HCPCS C1769","","Guidewire Vasc Dck Traxcess","BOTH IP/OP","$338.00 ","$250.12 ","$0.00 ","$338.00 ","$183.53 ","$0.00 ","$70.45 ","$241.23 ","$241.23 ","$59.18 ","$338.00 ","$0.00 ","$169.00 ","$267.70 ","$270.40 ","$0.00 ","$52.90 ","$0.00 ","$53.81 ","$0.00 "
"27202994","EAP","HCPCS C1725","","Catheter 3.4fr 2.4fr 135cm Crossboss Intvn Rnd","BOTH IP/OP","$3,412.00 ","$2,524.88 ","$0.00 ","$3,412.00 ","$0.00 ","$0.00 ","$0.00 ","$2,435.14 ","$2,435.14 ","$597.41 ","$3,412.00 ","$0.00 ","$1,706.00 ","$2,702.30 ","$2,729.60 ","$0.00 ","$533.98 ","$0.00 ","$543.19 ","$0.00 "
"27202995","EAP","HCPCS C1725","","Catheter Baldilat 3.7fr 2.9fr 135cm Coron Sdprt","BOTH IP/OP","$4,738.00 ","$3,506.12 ","$0.00 ","$4,738.00 ","$2,572.73 ","$0.00 ","$987.52 ","$3,381.51 ","$3,381.51 ","$829.59 ","$4,738.00 ","$0.00 ","$2,369.00 ","$3,752.50 ","$3,790.40 ","$0.00 ","$741.50 ","$0.00 ","$754.29 ","$0.00 "
"27202996","EAP","HCPCS C1769","","Guidewire Vasc 185cm .014in True Lum Slf Ornt","BOTH IP/OP","$1,013.00 ","$749.62 ","$0.00 ","$1,013.00 ","$550.06 ","$0.00 ","$211.13 ","$722.98 ","$722.98 ","$177.37 ","$1,013.00 ","$0.00 ","$506.50 ","$802.30 ","$810.40 ","$0.00 ","$158.53 ","$0.00 ","$161.27 ","$0.00 "
"27202997","EAP","HCPCS C1769","","Guidewire Vasc 300cm .014in True Lum Slf Ornt","BOTH IP/OP","$1,013.00 ","$749.62 ","$0.00 ","$1,013.00 ","$550.06 ","$0.00 ","$211.13 ","$722.98 ","$722.98 ","$177.37 ","$1,013.00 ","$0.00 ","$506.50 ","$802.30 ","$810.40 ","$0.00 ","$158.53 ","$0.00 ","$161.27 ","$0.00 "
"27202998","EAP","HCPCS C1769","","Guidewire Vasc 20cm .014in Extn 28d Stingray","BOTH IP/OP","$305.00 ","$225.70 ","$0.00 ","$305.00 ","$0.00 ","$0.00 ","$0.00 ","$217.68 ","$217.68 ","$53.40 ","$305.00 ","$0.00 ","$152.50 ","$241.56 ","$244.00 ","$0.00 ","$47.73 ","$0.00 ","$48.56 ","$0.00 "
"27202999","EAP","HCPCS C1769","","Coronary Intervention Wire.","BOTH IP/OP","$0.01 ","$0.01 ","$0.00 ","$0.01 ","$0.01 ","$0.00 ","$0.00 ","$0.01 ","$0.01 ","$0.00 ","$0.01 ","$0.00 ","$0.01 ","$0.01 ","$0.01 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203000","EAP","HCPCS C1887","","Cath Angiogrphc .038in Pigtail 145d Cv 6fr 110cm 2","BOTH IP/OP","$285.00 ","$210.90 ","$0.00 ","$285.00 ","$0.00 ","$0.00 ","$0.00 ","$203.40 ","$203.40 ","$49.90 ","$285.00 ","$0.00 ","$142.50 ","$225.72 ","$228.00 ","$0.00 ","$44.60 ","$0.00 ","$45.37 ","$0.00 "
"27203001","EAP","Custom 27203001","","Unit Therapeutic Incision Mngmnt Sys Peel Plc Kt","BOTH IP/OP","$1,238.00 ","$916.12 ","$0.00 ","$1,238.00 ","$0.00 ","$0.00 ","$0.00 ","$883.56 ","$883.56 ","$0.00 ","$1,238.00 ","$0.00 ","$619.00 ","$980.50 ","$990.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203002","EAP","HCPCS C1725","","Catheter Baldilat Lp 5.3fr 3mm 75cm 60mm High Pressure","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$271.50 ","$0.00 ","$104.21 ","$356.85 ","$356.85 ","$87.55 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$78.25 ","$0.00 ","$79.60 ","$0.00 "
"27203003","EAP","HCPCS C1725","","Catheter Baldilat .035in 5mm 75cm 40mm High Pressure Lp","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$271.50 ","$0.00 ","$104.21 ","$356.85 ","$356.85 ","$87.55 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$78.25 ","$0.00 ","$79.60 ","$0.00 "
"27203004","EAP","HCPCS C1725","","Catheter Baldilat .035in 6mm 75cm 20mm High Pressure Lp","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$0.00 ","$0.00 ","$0.00 ","$356.85 ","$356.85 ","$87.55 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$78.25 ","$0.00 ","$79.60 ","$0.00 "
"27203005","EAP","HCPCS C1725","","Catheter Baldilat Lp 5.3fr 6mm 135cm 40mm High Pressure","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$271.50 ","$0.00 ","$104.21 ","$356.85 ","$356.85 ","$87.55 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$78.25 ","$0.00 ","$79.60 ","$0.00 "
"27203006","EAP","HCPCS C1725","","Catheter Baldilat Lp 5.3fr 8mm 75cm 20mm High Pressure","BOTH IP/OP","$500.00 ","$370.00 ","$0.00 ","$500.00 ","$271.50 ","$0.00 ","$104.21 ","$356.85 ","$356.85 ","$87.55 ","$500.00 ","$0.00 ","$250.00 ","$396.00 ","$400.00 ","$0.00 ","$78.25 ","$0.00 ","$79.60 ","$0.00 "
"27203050","EAP","Custom 27203050","","Chiba Needle 22g X 10cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203051","EAP","Custom 27203051","","Chiba Needle 18g X 10cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203052","EAP","Custom 27203052","","Chiba Needle 18g X 15cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203053","EAP","Custom 27203053","","Chiba Needle 18g X 20cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203054","EAP","Custom 27203054","","Chiba Needle 20g X 10cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203055","EAP","Custom 27203055","","Chiba Needle 20g X 15cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203056","EAP","Custom 27203056","","Chiba Needle 20g X 20cm","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203057","EAP","Custom 27203057","","6f Dilator","BOTH IP/OP","$10.00 ","$7.40 ","$0.00 ","$10.00 ","$0.00 ","$0.00 ","$0.00 ","$7.14 ","$7.14 ","$0.00 ","$10.00 ","$0.00 ","$5.00 ","$7.92 ","$8.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203058","EAP","Custom 27203058","","7f Dilator","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203059","EAP","Custom 27203059","","8f Dilator","BOTH IP/OP","$18.00 ","$13.32 ","$0.00 ","$18.00 ","$0.00 ","$0.00 ","$0.00 ","$12.85 ","$12.85 ","$0.00 ","$18.00 ","$0.00 ","$9.00 ","$14.26 ","$14.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203060","EAP","Custom 27203060","","10f Dilator","BOTH IP/OP","$22.00 ","$16.28 ","$0.00 ","$22.00 ","$0.00 ","$0.00 ","$0.00 ","$15.70 ","$15.70 ","$0.00 ","$22.00 ","$0.00 ","$11.00 ","$17.42 ","$17.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203061","EAP","Custom 27203061","","12f Dilator","BOTH IP/OP","$30.00 ","$22.20 ","$0.00 ","$30.00 ","$0.00 ","$0.00 ","$0.00 ","$21.41 ","$21.41 ","$0.00 ","$30.00 ","$0.00 ","$15.00 ","$23.76 ","$24.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203062","EAP","Custom 27203062","","14f Dilator","BOTH IP/OP","$37.00 ","$27.38 ","$0.00 ","$37.00 ","$0.00 ","$0.00 ","$0.00 ","$26.41 ","$26.41 ","$0.00 ","$37.00 ","$0.00 ","$18.50 ","$29.30 ","$29.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203063","EAP","Custom 27203063","","Introducer Needle 17g X 10cm","BOTH IP/OP","$100.00 ","$74.00 ","$0.00 ","$100.00 ","$0.00 ","$0.00 ","$0.00 ","$71.37 ","$71.37 ","$0.00 ","$100.00 ","$0.00 ","$50.00 ","$79.20 ","$80.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203064","EAP","Custom 27203064","","Introducer Needle 17g X 15cm","BOTH IP/OP","$115.00 ","$85.10 ","$0.00 ","$115.00 ","$0.00 ","$0.00 ","$0.00 ","$82.08 ","$82.08 ","$0.00 ","$115.00 ","$0.00 ","$57.50 ","$91.08 ","$92.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203065","EAP","Custom 27203065","","Introducer Needle 19g X 6cm","BOTH IP/OP","$120.00 ","$88.80 ","$0.00 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$85.64 ","$85.64 ","$0.00 ","$120.00 ","$0.00 ","$60.00 ","$95.04 ","$96.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203066","EAP","Custom 27203066","","Introducer Needle 19g X 10cm","BOTH IP/OP","$130.00 ","$96.20 ","$0.00 ","$130.00 ","$0.00 ","$0.00 ","$0.00 ","$92.78 ","$92.78 ","$0.00 ","$130.00 ","$0.00 ","$65.00 ","$102.96 ","$104.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203067","EAP","Custom 27203067","","Introducer Needle 19g X 15cm","BOTH IP/OP","$136.00 ","$100.64 ","$0.00 ","$136.00 ","$0.00 ","$0.00 ","$0.00 ","$97.06 ","$97.06 ","$0.00 ","$136.00 ","$0.00 ","$68.00 ","$107.71 ","$108.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203068","EAP","Custom 27203068","","Coaxial Sets 19x10x20x15","BOTH IP/OP","$79.00 ","$58.46 ","$0.00 ","$79.00 ","$0.00 ","$0.00 ","$0.00 ","$56.38 ","$56.38 ","$0.00 ","$79.00 ","$0.00 ","$39.50 ","$62.57 ","$63.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203069","EAP","Custom 27203069","","Coaxial Sets 19x15x20x20","BOTH IP/OP","$71.00 ","$52.54 ","$0.00 ","$71.00 ","$0.00 ","$0.00 ","$0.00 ","$50.67 ","$50.67 ","$0.00 ","$71.00 ","$0.00 ","$35.50 ","$56.23 ","$56.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203070","EAP","Custom 27203070","","Achieve Gun 18g X 9cm","BOTH IP/OP","$135.00 ","$99.90 ","$0.00 ","$135.00 ","$0.00 ","$0.00 ","$0.00 ","$96.35 ","$96.35 ","$0.00 ","$135.00 ","$0.00 ","$67.50 ","$106.92 ","$108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203071","EAP","Custom 27203071","","Achieve Gun 18g X 11cm","BOTH IP/OP","$138.00 ","$102.12 ","$0.00 ","$138.00 ","$0.00 ","$0.00 ","$0.00 ","$98.49 ","$98.49 ","$0.00 ","$138.00 ","$0.00 ","$69.00 ","$109.30 ","$110.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203072","EAP","Custom 27203072","","Achieve Gun 18g X 15cm","BOTH IP/OP","$150.00 ","$111.00 ","$0.00 ","$150.00 ","$0.00 ","$0.00 ","$0.00 ","$107.06 ","$107.06 ","$0.00 ","$150.00 ","$0.00 ","$75.00 ","$118.80 ","$120.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203073","EAP","Custom 27203073","","Achieve Gun 18g X 20cm","BOTH IP/OP","$214.00 ","$158.36 ","$0.00 ","$214.00 ","$0.00 ","$0.00 ","$0.00 ","$152.73 ","$152.73 ","$0.00 ","$214.00 ","$0.00 ","$107.00 ","$169.49 ","$171.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203074","EAP","Custom 27203074","","Achieve Gun 20g X 11cm","BOTH IP/OP","$230.00 ","$170.20 ","$0.00 ","$230.00 ","$0.00 ","$0.00 ","$0.00 ","$164.15 ","$164.15 ","$0.00 ","$230.00 ","$0.00 ","$115.00 ","$182.16 ","$184.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203075","EAP","Custom 27203075","","Achieve Gun 20g X 15cm","BOTH IP/OP","$237.00 ","$175.38 ","$0.00 ","$237.00 ","$0.00 ","$0.00 ","$0.00 ","$169.15 ","$169.15 ","$0.00 ","$237.00 ","$0.00 ","$118.50 ","$187.70 ","$189.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203076","EAP","Custom 27203076","","Achieve Gun 20g X 20cm","BOTH IP/OP","$245.00 ","$181.30 ","$0.00 ","$245.00 ","$0.00 ","$0.00 ","$0.00 ","$174.86 ","$174.86 ","$0.00 ","$245.00 ","$0.00 ","$122.50 ","$194.04 ","$196.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203077","EAP","Custom 27203077","","Franseen Lung Bx Needle","BOTH IP/OP","$122.00 ","$90.28 ","$0.00 ","$122.00 ","$0.00 ","$0.00 ","$0.00 ","$87.07 ","$87.07 ","$0.00 ","$122.00 ","$0.00 ","$61.00 ","$96.62 ","$97.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203078","EAP","Custom 27203078","","Vansonnenberg Needle Set","BOTH IP/OP","$146.00 ","$108.04 ","$0.00 ","$146.00 ","$0.00 ","$0.00 ","$0.00 ","$104.20 ","$104.20 ","$0.00 ","$146.00 ","$0.00 ","$73.00 ","$115.63 ","$116.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203079","EAP","Custom 27203079","","Bonopty Bx Set","BOTH IP/OP","$1,154.00 ","$853.96 ","$0.00 ","$1,154.00 ","$0.00 ","$0.00 ","$0.00 ","$823.61 ","$823.61 ","$0.00 ","$1,154.00 ","$0.00 ","$577.00 ","$913.97 ","$923.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203080","EAP","Custom 27203080","","Bonopty Bx Penetration Set","BOTH IP/OP","$1,505.00 ","$1,113.70 ","$0.00 ","$1,505.00 ","$0.00 ","$0.00 ","$0.00 ","$1,074.12 ","$1,074.12 ","$0.00 ","$1,505.00 ","$0.00 ","$752.50 ","$1,191.96 ","$1,204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203081","EAP","Custom 27203081","","Soft Tissue Bx Tray","BOTH IP/OP","$63.00 ","$46.62 ","$0.00 ","$63.00 ","$0.00 ","$0.00 ","$0.00 ","$44.96 ","$44.96 ","$0.00 ","$63.00 ","$0.00 ","$31.50 ","$49.90 ","$50.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203082","EAP","Custom 27203082","","Lumbar Puncture Tray","BOTH IP/OP","$229.00 ","$169.46 ","$0.00 ","$229.00 ","$0.00 ","$0.00 ","$0.00 ","$163.44 ","$163.44 ","$0.00 ","$229.00 ","$0.00 ","$114.50 ","$181.37 ","$183.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203083","EAP","Custom 27203083","","Para/thoracentesis Tray","BOTH IP/OP","$138.00 ","$102.12 ","$0.00 ","$138.00 ","$0.00 ","$0.00 ","$0.00 ","$98.49 ","$98.49 ","$0.00 ","$138.00 ","$0.00 ","$69.00 ","$109.30 ","$110.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203084","EAP","Custom 27203084","","Uresil Drainage Bag","BOTH IP/OP","$111.00 ","$82.14 ","$0.00 ","$111.00 ","$0.00 ","$0.00 ","$0.00 ","$79.22 ","$79.22 ","$0.00 ","$111.00 ","$0.00 ","$55.50 ","$87.91 ","$88.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203085","EAP","Custom 27203085","","Gelfoam Sponge","BOTH IP/OP","$464.00 ","$343.36 ","$0.00 ","$464.00 ","$0.00 ","$0.00 ","$0.00 ","$331.16 ","$331.16 ","$0.00 ","$464.00 ","$0.00 ","$232.00 ","$367.49 ","$371.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203086","EAP","Custom 27203086","","Suture Silk 2-0 30in Black","BOTH IP/OP","$21.00 ","$15.54 ","$0.00 ","$21.00 ","$0.00 ","$0.00 ","$0.00 ","$14.99 ","$14.99 ","$0.00 ","$21.00 ","$0.00 ","$10.50 ","$16.63 ","$16.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203087","EAP","Custom 27203087","","Steri-drape","BOTH IP/OP","$20.00 ","$14.80 ","$0.00 ","$20.00 ","$0.00 ","$0.00 ","$0.00 ","$14.27 ","$14.27 ","$0.00 ","$20.00 ","$0.00 ","$10.00 ","$15.84 ","$16.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203088","EAP","Custom 27203088","","Drainge Catheters","BOTH IP/OP","$228.00 ","$168.72 ","$0.00 ","$228.00 ","$0.00 ","$0.00 ","$0.00 ","$162.72 ","$162.72 ","$0.00 ","$228.00 ","$0.00 ","$114.00 ","$180.58 ","$182.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203090","EAP","Custom 27203090","","Cre Wg 6-8mm Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203091","EAP","Custom 27203091","","Cre Wg 8-10 Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203092","EAP","Custom 27203092","","Cre Wg 10-12 Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203093","EAP","Custom 27203093","","Cre 12-15mm Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203094","EAP","Custom 27203094","","Cre 15-18 Mm Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203095","EAP","Custom 27203095","","Cre 18-20 Mm Dilation Balloon","BOTH IP/OP","$324.00 ","$239.76 ","$0.00 ","$324.00 ","$0.00 ","$0.00 ","$0.00 ","$231.24 ","$231.24 ","$0.00 ","$324.00 ","$0.00 ","$162.00 ","$256.61 ","$259.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203096","EAP","Custom 27203096","","Alliance Inflation Syringe","BOTH IP/OP","$52.00 ","$38.48 ","$0.00 ","$52.00 ","$0.00 ","$0.00 ","$0.00 ","$37.11 ","$37.11 ","$0.00 ","$52.00 ","$0.00 ","$26.00 ","$41.18 ","$41.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203097","EAP","Custom 27203097","","2.3mm Interject Inj Needle23g","BOTH IP/OP","$732.00 ","$541.68 ","$0.00 ","$732.00 ","$0.00 ","$0.00 ","$0.00 ","$522.43 ","$522.43 ","$0.00 ","$732.00 ","$0.00 ","$366.00 ","$579.74 ","$585.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203098","EAP","Custom 27203098","","Dreamwire .035 260str Stnd","BOTH IP/OP","$281.00 ","$207.94 ","$0.00 ","$281.00 ","$0.00 ","$0.00 ","$0.00 ","$200.55 ","$200.55 ","$0.00 ","$281.00 ","$0.00 ","$140.50 ","$222.55 ","$224.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203099","EAP","Custom 27203099","","Extractor Rx 9-12 Mm","BOTH IP/OP","$240.00 ","$177.60 ","$0.00 ","$240.00 ","$0.00 ","$0.00 ","$0.00 ","$171.29 ","$171.29 ","$0.00 ","$240.00 ","$0.00 ","$120.00 ","$190.08 ","$192.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203100","EAP","Custom 27203100","","Extractor Rx 12-15 Mm","BOTH IP/OP","$229.00 ","$169.46 ","$0.00 ","$229.00 ","$0.00 ","$0.00 ","$0.00 ","$163.44 ","$163.44 ","$0.00 ","$229.00 ","$0.00 ","$114.50 ","$181.37 ","$183.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203101","EAP","Custom 27203101","","Extractor Rx 15-18 Mm","BOTH IP/OP","$229.00 ","$169.46 ","$0.00 ","$229.00 ","$0.00 ","$0.00 ","$0.00 ","$163.44 ","$163.44 ","$0.00 ","$229.00 ","$0.00 ","$114.50 ","$181.37 ","$183.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203102","EAP","Custom 27203102","","22g Blue Sheath (stiffer)","BOTH IP/OP","$386.00 ","$285.64 ","$0.00 ","$386.00 ","$0.00 ","$0.00 ","$0.00 ","$275.49 ","$275.49 ","$0.00 ","$386.00 ","$0.00 ","$193.00 ","$305.71 ","$308.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203103","EAP","Custom 27203103","","22g Green Spring Coil Sheath","BOTH IP/OP","$386.00 ","$285.64 ","$0.00 ","$386.00 ","$0.00 ","$0.00 ","$0.00 ","$275.49 ","$275.49 ","$0.00 ","$386.00 ","$0.00 ","$193.00 ","$305.71 ","$308.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203104","EAP","Custom 27203104","","Celiac Plexus Neurolysis Needl","BOTH IP/OP","$392.00 ","$290.08 ","$0.00 ","$392.00 ","$0.00 ","$0.00 ","$0.00 ","$279.77 ","$279.77 ","$0.00 ","$392.00 ","$0.00 ","$196.00 ","$310.46 ","$313.60 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203105","EAP","Custom 27203105","","19g Bx Needle","BOTH IP/OP","$515.00 ","$381.10 ","$0.00 ","$515.00 ","$0.00 ","$0.00 ","$0.00 ","$367.56 ","$367.56 ","$0.00 ","$515.00 ","$0.00 ","$257.50 ","$407.88 ","$412.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203106","EAP","Custom 27203106","","Cytology Brush Echo -19","BOTH IP/OP","$244.00 ","$180.56 ","$0.00 ","$244.00 ","$0.00 ","$0.00 ","$0.00 ","$174.14 ","$174.14 ","$0.00 ","$244.00 ","$0.00 ","$122.00 ","$193.25 ","$195.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203108","EAP","Custom 27203108","","Olympus Endo Jaw(cold Forceps)","BOTH IP/OP","$15.00 ","$11.10 ","$0.00 ","$15.00 ","$0.00 ","$0.00 ","$0.00 ","$10.71 ","$10.71 ","$0.00 ","$15.00 ","$0.00 ","$7.50 ","$11.88 ","$12.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203109","EAP","Custom 27203109","","Roth Net","BOTH IP/OP","$1,278.00 ","$945.72 ","$0.00 ","$1,278.00 ","$0.00 ","$0.00 ","$0.00 ","$912.11 ","$912.11 ","$0.00 ","$1,278.00 ","$0.00 ","$639.00 ","$1,012.18 ","$1,022.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203110","EAP","Custom 27203110","","Erbe Probe","BOTH IP/OP","$288.00 ","$213.12 ","$0.00 ","$288.00 ","$0.00 ","$0.00 ","$0.00 ","$205.55 ","$205.55 ","$0.00 ","$288.00 ","$0.00 ","$144.00 ","$228.10 ","$230.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203111","EAP","Custom 27203111","","Ercp Forcep","BOTH IP/OP","$691.00 ","$511.34 ","$0.00 ","$691.00 ","$0.00 ","$0.00 ","$0.00 ","$493.17 ","$493.17 ","$0.00 ","$691.00 ","$0.00 ","$345.50 ","$547.27 ","$552.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203112","EAP","Custom 27203112","","Rx Dilatation Balloon 4-4/5.8","BOTH IP/OP","$414.00 ","$306.36 ","$0.00 ","$414.00 ","$0.00 ","$0.00 ","$0.00 ","$295.47 ","$295.47 ","$0.00 ","$414.00 ","$0.00 ","$207.00 ","$327.89 ","$331.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203113","EAP","Custom 27203113","","Rx Dilatation Balloon 6-4/5.8","BOTH IP/OP","$414.00 ","$306.36 ","$0.00 ","$414.00 ","$0.00 ","$0.00 ","$0.00 ","$295.47 ","$295.47 ","$0.00 ","$414.00 ","$0.00 ","$207.00 ","$327.89 ","$331.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203114","EAP","Custom 27203114","","Rx Dilatation Balloon 8-4/5.8","BOTH IP/OP","$414.00 ","$306.36 ","$0.00 ","$414.00 ","$0.00 ","$0.00 ","$0.00 ","$295.47 ","$295.47 ","$0.00 ","$414.00 ","$0.00 ","$207.00 ","$327.89 ","$331.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203115","EAP","Custom 27203115","","Rx Dilatation Balloon 10-4/5.8","BOTH IP/OP","$414.00 ","$306.36 ","$0.00 ","$414.00 ","$0.00 ","$0.00 ","$0.00 ","$295.47 ","$295.47 ","$0.00 ","$414.00 ","$0.00 ","$207.00 ","$327.89 ","$331.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203116","EAP","Custom 27203116","","Encore 26 Single","BOTH IP/OP","$35.00 ","$25.90 ","$0.00 ","$35.00 ","$0.00 ","$0.00 ","$0.00 ","$24.98 ","$24.98 ","$0.00 ","$35.00 ","$0.00 ","$17.50 ","$27.72 ","$28.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203117","EAP","Custom 27203117","","Injection Probe 10fr","BOTH IP/OP","$431.00 ","$318.94 ","$0.00 ","$431.00 ","$0.00 ","$0.00 ","$0.00 ","$307.60 ","$307.60 ","$0.00 ","$431.00 ","$0.00 ","$215.50 ","$341.35 ","$344.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203118","EAP","Custom 27203118","","Injection Probe 7fr","BOTH IP/OP","$431.00 ","$318.94 ","$0.00 ","$431.00 ","$0.00 ","$0.00 ","$0.00 ","$307.60 ","$307.60 ","$0.00 ","$431.00 ","$0.00 ","$215.50 ","$341.35 ","$344.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203120","EAP","HCPCS C1769","",".014 Nitrex Guidewire","BOTH IP/OP","$1,295.00 ","$958.30 ","$0.00 ","$1,295.00 ","$703.19 ","$0.00 ","$269.91 ","$924.24 ","$924.24 ","$226.74 ","$1,295.00 ","$0.00 ","$647.50 ","$1,025.64 ","$1,036.00 ","$0.00 ","$202.67 ","$0.00 ","$206.16 ","$0.00 "
"27203121","EAP","Custom 27203121","","Coil Axium Helical  Qc-1.5-2-helix","BOTH IP/OP","$3,686.00 ","$2,727.64 ","$0.00 ","$3,686.00 ","$0.00 ","$0.00 ","$0.00 ","$2,630.70 ","$2,630.70 ","$0.00 ","$3,686.00 ","$0.00 ","$1,843.00 ","$2,919.31 ","$2,948.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203122","EAP","Custom 27203122","","Coil Axium Helical  Qc-2-1-helix","BOTH IP/OP","$3,721.00 ","$2,753.54 ","$0.00 ","$3,721.00 ","$0.00 ","$0.00 ","$0.00 ","$2,655.68 ","$2,655.68 ","$0.00 ","$3,721.00 ","$0.00 ","$1,860.50 ","$2,947.03 ","$2,976.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203123","EAP","Custom 27203123","","Coil Axium Helical  Qc-2-2-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203124","EAP","Custom 27203124","","Coil Axium Helical  Qc-2-3-helix","BOTH IP/OP","$3,770.00 ","$2,789.80 ","$0.00 ","$3,770.00 ","$0.00 ","$0.00 ","$0.00 ","$2,690.65 ","$2,690.65 ","$0.00 ","$3,770.00 ","$0.00 ","$1,885.00 ","$2,985.84 ","$3,016.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203125","EAP","Custom 27203125","","Coil Axium Helical  Qc-2-4-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203126","EAP","Custom 27203126","","Coil Axium Helical  Qc-2-6-helix","BOTH IP/OP","$3,819.00 ","$2,826.06 ","$0.00 ","$3,819.00 ","$0.00 ","$0.00 ","$0.00 ","$2,725.62 ","$2,725.62 ","$0.00 ","$3,819.00 ","$0.00 ","$1,909.50 ","$3,024.65 ","$3,055.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203127","EAP","Custom 27203127","","Coil Axium Helical  Qc-2-8-helix","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203128","EAP","Custom 27203128","","Coil Axium Helical  Qc-3-4-helix","BOTH IP/OP","$3,854.00 ","$2,851.96 ","$0.00 ","$3,854.00 ","$0.00 ","$0.00 ","$0.00 ","$2,750.60 ","$2,750.60 ","$0.00 ","$3,854.00 ","$0.00 ","$1,927.00 ","$3,052.37 ","$3,083.20 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203129","EAP","Custom 27203129","","Coil Axium Helical  Qc-3-6-helix","BOTH IP/OP","$3,986.00 ","$2,949.64 ","$0.00 ","$3,986.00 ","$0.00 ","$0.00 ","$0.00 ","$2,844.81 ","$2,844.81 ","$0.00 ","$3,986.00 ","$0.00 ","$1,993.00 ","$3,156.91 ","$3,188.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203130","EAP","Custom 27203130","","Coil Axium Helical  Qc-3-8-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203131","EAP","Custom 27203131","","Coil Axium Helical  Qc-4-8-helix","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203132","EAP","Custom 27203132","","Coil Axium Helical  Qc-4-10-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203133","EAP","Custom 27203133","","Coil Axium Helical  Qc-4-12-helix","BOTH IP/OP","$3,920.00 ","$2,900.80 ","$0.00 ","$3,920.00 ","$0.00 ","$0.00 ","$0.00 ","$2,797.70 ","$2,797.70 ","$0.00 ","$3,920.00 ","$0.00 ","$1,960.00 ","$3,104.64 ","$3,136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203134","EAP","Custom 27203134","","Coil Axium Helical  Qc-5-15-helix","BOTH IP/OP","$3,920.00 ","$2,900.80 ","$0.00 ","$3,920.00 ","$0.00 ","$0.00 ","$0.00 ","$2,797.70 ","$2,797.70 ","$0.00 ","$3,920.00 ","$0.00 ","$1,960.00 ","$3,104.64 ","$3,136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203135","EAP","Custom 27203135","","Coil Axium Helical  Qc-5-20-helix","BOTH IP/OP","$3,955.00 ","$2,926.70 ","$0.00 ","$3,955.00 ","$0.00 ","$0.00 ","$0.00 ","$2,822.68 ","$2,822.68 ","$0.00 ","$3,955.00 ","$0.00 ","$1,977.50 ","$3,132.36 ","$3,164.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203136","EAP","Custom 27203136","","Coil Axium Helical  Qc-6-20-helix","BOTH IP/OP","$4,005.00 ","$2,963.70 ","$0.00 ","$4,005.00 ","$0.00 ","$0.00 ","$0.00 ","$2,858.37 ","$2,858.37 ","$0.00 ","$4,005.00 ","$0.00 ","$2,002.50 ","$3,171.96 ","$3,204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203137","EAP","Custom 27203137","","Coil Axium Helical  Qc-7 -30-helix","BOTH IP/OP","$4,020.00 ","$2,974.80 ","$0.00 ","$4,020.00 ","$0.00 ","$0.00 ","$0.00 ","$2,869.07 ","$2,869.07 ","$0.00 ","$4,020.00 ","$0.00 ","$2,010.00 ","$3,183.84 ","$3,216.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203138","EAP","Custom 27203138","","Coil Axium Helical  Qc-8-30-helix","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203139","EAP","Custom 27203139","","Coil Axium Helical  Qc-9-30-helix","BOTH IP/OP","$4,071.00 ","$3,012.54 ","$0.00 ","$4,071.00 ","$0.00 ","$0.00 ","$0.00 ","$2,905.47 ","$2,905.47 ","$0.00 ","$4,071.00 ","$0.00 ","$2,035.50 ","$3,224.23 ","$3,256.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203140","EAP","Custom 27203140","","Coil Axium Helical  Qc-10-30-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203141","EAP","Custom 27203141","","Coil Axium Helical  Qc-12-30-helix","BOTH IP/OP","$3,885.00 ","$2,874.90 ","$0.00 ","$3,885.00 ","$0.00 ","$0.00 ","$0.00 ","$2,772.72 ","$2,772.72 ","$0.00 ","$3,885.00 ","$0.00 ","$1,942.50 ","$3,076.92 ","$3,108.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203142","EAP","Custom 27203142","","Coil Axium Helical  Qc-14-30-helix","BOTH IP/OP","$3,903.00 ","$2,888.22 ","$0.00 ","$3,903.00 ","$0.00 ","$0.00 ","$0.00 ","$2,785.57 ","$2,785.57 ","$0.00 ","$3,903.00 ","$0.00 ","$1,951.50 ","$3,091.18 ","$3,122.40 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203143","EAP","Custom 27203143","","Coil Axium Helical  Qc-16-30-helix","BOTH IP/OP","$3,920.00 ","$2,900.80 ","$0.00 ","$3,920.00 ","$0.00 ","$0.00 ","$0.00 ","$2,797.70 ","$2,797.70 ","$0.00 ","$3,920.00 ","$0.00 ","$1,960.00 ","$3,104.64 ","$3,136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203144","EAP","Custom 27203144","","Coil Axium Helical  Qc-16-40-helix","BOTH IP/OP","$3,920.00 ","$2,900.80 ","$0.00 ","$3,920.00 ","$0.00 ","$0.00 ","$0.00 ","$2,797.70 ","$2,797.70 ","$0.00 ","$3,920.00 ","$0.00 ","$1,960.00 ","$3,104.64 ","$3,136.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203145","EAP","Custom 27203145","","Coil Axium Helical  Qc-18-40-helix","BOTH IP/OP","$3,955.00 ","$2,926.70 ","$0.00 ","$3,955.00 ","$0.00 ","$0.00 ","$0.00 ","$2,822.68 ","$2,822.68 ","$0.00 ","$3,955.00 ","$0.00 ","$1,977.50 ","$3,132.36 ","$3,164.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203146","EAP","Custom 27203146","","Coil Axium Helical  Qc-20-40-helix","BOTH IP/OP","$3,936.00 ","$2,912.64 ","$0.00 ","$3,936.00 ","$0.00 ","$0.00 ","$0.00 ","$2,809.12 ","$2,809.12 ","$0.00 ","$3,936.00 ","$0.00 ","$1,968.00 ","$3,117.31 ","$3,148.80 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203147","EAP","Custom 27203147","","Coil Axium Helical  Qc-20-50-helix","BOTH IP/OP","$4,005.00 ","$2,963.70 ","$0.00 ","$4,005.00 ","$0.00 ","$0.00 ","$0.00 ","$2,858.37 ","$2,858.37 ","$0.00 ","$4,005.00 ","$0.00 ","$2,002.50 ","$3,171.96 ","$3,204.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203148","EAP","Custom 27203148","","Coil Axium 3d  Qc-2-2-3d","BOTH IP/OP","$1,395.00 ","$1,032.30 ","$0.00 ","$1,395.00 ","$0.00 ","$0.00 ","$0.00 ","$995.61 ","$995.61 ","$0.00 ","$1,395.00 ","$0.00 ","$697.50 ","$1,104.84 ","$1,116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203149","EAP","Custom 27203149","","Coil Axium 3d  Qc-2-4-3d","BOTH IP/OP","$4,105.00 ","$3,037.70 ","$0.00 ","$4,105.00 ","$0.00 ","$0.00 ","$0.00 ","$2,929.74 ","$2,929.74 ","$0.00 ","$4,105.00 ","$0.00 ","$2,052.50 ","$3,251.16 ","$3,284.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203150","EAP","Custom 27203150","","Coil Axium 3d  Qc-2-6-3d","BOTH IP/OP","$4,020.00 ","$2,974.80 ","$0.00 ","$4,020.00 ","$0.00 ","$0.00 ","$0.00 ","$2,869.07 ","$2,869.07 ","$0.00 ","$4,020.00 ","$0.00 ","$2,010.00 ","$3,183.84 ","$3,216.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203151","EAP","Custom 27203151","","Coil Axium 3d  Qc-3-4-3d","BOTH IP/OP","$4,170.00 ","$3,085.80 ","$0.00 ","$4,170.00 ","$0.00 ","$0.00 ","$0.00 ","$2,976.13 ","$2,976.13 ","$0.00 ","$4,170.00 ","$0.00 ","$2,085.00 ","$3,302.64 ","$3,336.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203152","EAP","Custom 27203152","","Coil Axium 3d  Qc-3-6-3d","BOTH IP/OP","$3,245.00 ","$2,401.30 ","$0.00 ","$3,245.00 ","$0.00 ","$0.00 ","$0.00 ","$2,315.96 ","$2,315.96 ","$0.00 ","$3,245.00 ","$0.00 ","$1,622.50 ","$2,570.04 ","$2,596.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203153","EAP","Custom 27203153","","Coil Axium 3d  Qc-3-8-3d","BOTH IP/OP","$1,395.00 ","$1,032.30 ","$0.00 ","$1,395.00 ","$0.00 ","$0.00 ","$0.00 ","$995.61 ","$995.61 ","$0.00 ","$1,395.00 ","$0.00 ","$697.50 ","$1,104.84 ","$1,116.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 ","$0.00 "
"27203154","EAP","Custom 27203154","","Coil Axium 3d  Qc-4-8-3d","BOTH IP/OP","$1,395.00 ","$1,032.30 ","$0.00 ","$1,395.00 ","$0.00 ","$0.00 ","$0.00 ","$995.61 ","$995.61 ","$0.00 ","$1,395.00 ","$0.00 ","$697.50 ","$1,104.84 ","$1,116.00 ","$0.00 ","$0.00 ","$