Grady Health System																																							
"Updated April 15,2023"																																							
Procedure	Code Type	Code	NDC	Procedure Description	IP/OP	Charge	Cash Discount (74%)	 Payor Rate Min	Payor Rate Max 	Aetna Exp Reimbursement	Coventry Exp Reimbursement	Aetna Advantage	Coventry Advantage	Ambetter  Exp Reimbursement 	Amerigroup Exp Reimbursement 	Anthem BCBS HMO Exp Reimbursement	Anthem BCBS POS Exp Reimbursement	BCBS PPO Exp Reimbursement	BCBS Advantage 	CareSource CMO Exp Reimbursement	CareSource Advantage Exp Reimbursement 	Cigna Exp Reimbursement	Cigna Advantage	Eon Health Exp Reimbursement	Humana Exp Reimbursement	Kaiser Exp Reimbursement	Multiplan Exp Reimbursement	NaphCare Exp Reimbursement	Oscar Exp Reimbursement	USP Exp Reimbursement	Peachstate Exp Reimbursement	Tricare Choice Exp Reimbursement	Veteran's Choice Exp Reimbursement	Wellcare Medicaid Exp Reimbursement	Wellcare Medicare Exp Reimbusrement 	CIGNA	CLOVER	MEDICAID	SONDER
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	"$633,310.40"	"$545,963.96"	"$545,963.96"	"$246,500.86"	"$246,500.86"	"$226,063.68"	$0.00	$0.00	$0.00	"$633,310.40"	"$169,544.23"	$0.00	"$200,521.93"	"$552,556.41"	"$552,556.41"	"$136,503.65"	"$413,995.33"	"$504,437.36"	"$573,019.79"	"$182,532.67"	"$552,556.41"	"$182,532.67"	"$185,417.02"	"$167,931.68"	"$167,931.68"	"$136,503.65"	"$194,687.78"	$0.00	$0.00	$0.00	$0.00
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"	"$303,701.56"	"$102,651.23"	"$102,651.23"	"$117,598.72"	"$139,546.44"	$0.00	$0.00	$0.00	"$93,123.67"	"$139,546.44"	"$106,877.24"	"$307,479.91"	"$307,479.91"	"$112,641.38"	"$410,855.25"	"$500,611.30"	$0.00	"$134,386.24"	"$307,479.91"	"$134,386.24"	"$32,473.86"	"$147,233.83"	"$147,233.83"	"$107,277.50"	"$34,561.30"	$0.00	$0.00	$0.00	$0.00
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	"$45,708.66"	"$45,708.66"	$0.00	$0.00	$0.00	$0.00	$0.00	"$45,618.98"	$0.00	"$46,622.83"	$0.00	$0.00	"$47,587.29"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$53,518.70"	"$53,518.70"	"$45,321.23"	$0.00	$0.00	$0.00	$0.00	$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	"$527,844.11"	$0.00	$0.00	"$64,752.45"	"$64,752.45"	$0.00	$0.00	$0.00	$0.00	"$527,844.11"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$112,717.74"	"$124,172.81"	"$124,172.81"	$0.00	"$40,861.37"	$0.00	$0.00	$0.00	$0.00
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	$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	$0.00	$0.00	$0.00	"$28,929.99"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	"$117,892.75"	"$117,892.75"	"$130,119.32"	$0.00	$0.00	$0.00	"$445,362.06"	"$82,209.64"	$0.00	"$84,042.11"	"$354,069.74"	"$354,069.74"	"$87,750.60"	"$378,667.73"	"$461,392.05"	$0.00	"$121,357.54"	"$354,069.74"	"$121,357.54"	$0.00	"$101,514.63"	"$101,514.63"	"$83,572.00"	$0.00	$0.00	$0.00	$0.00	$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"	"$432,052.38"	$0.00	$0.00	"$185,501.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$538,738.80"	"$538,738.80"	$0.00	"$478,473.59"	"$583,001.67"	$0.00	"$152,156.12"	"$538,738.80"	"$152,156.12"	$0.00	"$91,625.03"	"$91,625.03"	$0.00	$0.00	$0.00	$0.00	$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	"$44,476.05"	"$44,476.05"	$0.00	$0.00	$0.00	$0.00	$0.00	"$88,779.12"	$0.00	$0.00	$0.00	$0.00	"$95,010.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,549.28"	$0.00	$0.00	"$90,486.22"	"$40,476.72"	$0.00	$0.00	$0.00	$0.00
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	"$201,607.59"	"$122,687.67"	"$122,687.67"	"$50,198.05"	"$50,198.05"	"$63,817.39"	$0.00	$0.00	$0.00	"$44,292.45"	"$50,096.77"	$0.00	"$67,359.13"	"$201,607.59"	"$201,607.59"	"$52,188.44"	"$105,398.91"	"$128,424.52"	"$123,922.26"	"$56,307.53"	"$201,607.59"	"$56,307.53"	"$53,114.71"	"$59,017.16"	"$59,017.16"	"$49,703.28"	"$55,770.42"	$0.00	$0.00	$0.00	$0.00
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"	"$101,279.86"	"$38,238.47"	"$38,238.47"	$0.00	$0.00	$0.00	$0.00	"$76,208.16"	"$38,168.13"	$0.00	"$39,003.24"	$0.00	$0.00	"$41,250.33"	"$33,522.62"	"$79,948.14"	"$86,190.36"	"$40,262.62"	$0.00	"$40,262.62"	$0.00	"$45,945.91"	"$45,945.91"	"$39,286.03"	$0.00	$0.00	$0.00	$0.00	$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"	"$226,592.28"	"$54,020.48"	"$54,020.48"	$0.00	"$111,176.48"	$0.00	$0.00	"$124,468.05"	"$42,011.95"	"$140,855.50"	"$55,104.90"	$0.00	$0.00	"$43,833.50"	"$153,273.67"	"$186,758.08"	"$99,788.97"	"$44,051.81"	$0.00	"$44,051.81"	$0.00	"$49,032.85"	"$49,032.85"	"$41,746.19"	$0.00	$0.00	$0.00	$0.00	$0.00
MS026	DRG	MS026		CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	INPATIENT ONLY	"$270,390.78"	"$200,089.18"	$0.00	"$374,897.72"	"$363,866.18"	"$363,866.18"	"$32,699.36"	"$32,699.36"	"$115,593.63"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,354.58"	"$374,897.72"	"$374,897.72"	$0.00	$0.00	$0.00	$0.00	$0.00	"$374,897.72"	$0.00	$0.00	"$38,018.73"	"$38,018.73"	$0.00	$0.00	$0.00	$0.00	$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	"$28,405.90"	"$28,405.90"	$0.00	"$54,890.22"	$0.00	$0.00	$0.00	$0.00	"$69,843.08"	"$28,974.02"	$0.00	$0.00	"$30,181.04"	"$191,064.82"	"$232,805.15"	"$82,819.30"	"$36,977.13"	$0.00	"$36,977.13"	$0.00	"$32,717.89"	"$32,717.89"	"$28,743.85"	$0.00	$0.00	$0.00	$0.00	$0.00
MS028	DRG	MS028		SPINAL PROCEDURES WITH MCC	INPATIENT ONLY	"$378,830.18"	"$280,334.33"	$0.00	"$240,380.32"	$0.00	$0.00	"$50,062.96"	"$50,062.96"	"$77,466.83"	$0.00	$0.00	$0.00	"$238,773.51"	$0.00	$0.00	$0.00	"$240,380.32"	"$240,380.32"	"$52,005.99"	"$141,041.44"	"$171,853.56"	$0.00	"$56,039.87"	"$240,380.32"	"$56,039.87"	$0.00	"$58,799.12"	"$58,799.12"	"$49,529.51"	$0.00	$0.00	$0.00	$0.00	$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	"$33,806.33"	"$33,806.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,482.46"	$0.00	$0.00	"$35,718.41"	$0.00	$0.00	"$229,583.19"	$0.00	$0.00	$0.00	$0.00	"$39,335.16"	"$39,335.16"	"$34,017.53"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$19,797.75"	$0.00	$0.00	$0.00	$0.00	"$19,797.75"	$0.00	$0.00	$0.00	"$29,329.56"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,932.91"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,834.72"	"$59,024.65"	"$59,024.65"	$0.00	"$23,976.45"	$0.00	$0.00	$0.00	$0.00
MS032	DRG	MS032		VENTRICULAR SHUNT PROCEDURES WITH CC	INPATIENT ONLY	"$213,869.28"	"$158,263.27"	$0.00	"$14,380.55"	"$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	$0.00	$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"	"$9,990.32"	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,033.57"	$0.00	$0.00	$0.00	"$12,635.25"	$0.00	$0.00	$0.00	$0.00
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"	"$160,900.01"	"$38,508.31"	"$38,508.31"	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,437.26"	$0.00	"$39,278.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$43,799.77"	"$43,799.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS035	DRG	MS035		CAROTID ARTERY STENT PROCEDURES WITH CC	INPATIENT ONLY	"$129,223.20"	"$95,625.17"	$0.00	"$31,946.16"	$0.00	$0.00	"$27,200.91"	"$27,200.91"	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,159.12"	$0.00	"$27,744.93"	$0.00	$0.00	"$29,535.25"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,946.16"	"$31,946.16"	"$28,128.81"	$0.00	$0.00	$0.00	$0.00	$0.00
MS036	DRG	MS036		CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$63,272.72"	"$46,821.81"	$0.00	"$9,048.30"	"$9,048.30"	"$9,048.30"	$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	$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	$0.00	$0.00	$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	"$22,501.67"	"$22,501.67"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,951.70"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,825.78"	"$26,825.78"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,293.26"	$0.00	$0.00	$0.00	"$43,873.91"	"$53,458.66"	$0.00	"$11,340.50"	$0.00	"$11,340.50"	$0.00	"$22,384.03"	"$22,384.03"	$0.00	$0.00	$0.00	$0.00	$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"	"$114,037.71"	"$37,726.38"	"$37,726.38"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,480.91"	$0.00	$0.00	"$40,730.30"	"$99,271.90"	"$120,959.00"	$0.00	"$39,499.78"	$0.00	"$39,499.78"	"$26,844.41"	"$45,324.46"	"$45,324.46"	"$38,790.76"	"$28,186.61"	$0.00	$0.00	$0.00	$0.00
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"	"$37,578.12"	"$27,269.91"	"$27,269.91"	$0.00	"$27,327.64"	$0.00	$0.00	$0.00	"$27,227.95"	"$27,327.64"	"$27,815.31"	$0.00	$0.00	"$30,008.81"	"$6,724.57"	"$72,242.00"	$0.00	"$23,772.63"	$0.00	"$23,772.63"	"$26,156.21"	"$32,512.09"	"$32,512.09"	"$28,579.82"	"$27,464.00"	$0.00	$0.00	$0.00	$0.00
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"	"$18,514.80"	"$24,174.58"	"$24,174.58"	"$16,589.36"	"$107,683.75"	$0.00	$0.00	$0.00	$0.00	"$107,684.43"	"$24,658.07"	"$67,315.38"	"$67,315.38"	$0.00	$0.00	$0.00	"$125,934.52"	$0.00	"$67,315.38"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$83,265.35"	$0.00	$0.00	"$23,845.39"	"$23,845.39"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,322.30"	$0.00	$0.00	"$24,934.09"	"$68,336.46"	"$83,265.35"	$0.00	"$16,328.58"	$0.00	"$16,328.58"	$0.00	"$26,447.68"	"$26,447.68"	"$23,746.75"	$0.00	$0.00	$0.00	$0.00	$0.00
MS053	DRG	MS053		SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC	INPATIENT ONLY	"$178,803.45"	"$132,314.55"	$0.00	"$18,896.33"	$0.00	$0.00	"$18,896.33"	"$18,896.33"	$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	$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"	"$28,652.18"	"$20,496.79"	"$20,496.79"	"$11,646.29"	$0.00	$0.00	$0.00	$0.00	"$20,472.36"	$0.00	"$20,906.73"	"$20,524.50"	"$20,524.50"	"$22,960.49"	"$15,497.86"	"$32,180.45"	$0.00	"$13,433.57"	"$20,524.50"	"$13,433.57"	"$16,209.33"	"$24,089.19"	"$24,089.19"	"$21,867.13"	"$16,209.33"	$0.00	$0.00	$0.00	$0.00
MS055	DRG	MS055		NERVOUS SYSTEM NEOPLASMS WITHOUT MCC	INPATIENT ONLY	"$29,991.33"	"$22,193.58"	$0.00	"$20,540.66"	"$12,259.80"	"$12,259.80"	"$18,262.77"	"$18,262.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,628.03"	$0.00	$0.00	"$20,540.66"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,303.42"	$0.00	$0.00	"$19,562.53"	"$12,918.59"	$0.00	$0.00	$0.00	$0.00
MS056	DRG	MS056		DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	INPATIENT ONLY	"$74,193.16"	"$54,902.94"	$0.00	"$32,929.50"	"$12,532.35"	"$12,532.35"	"$26,204.32"	"$26,204.32"	"$15,722.67"	"$27,637.01"	$0.00	$0.00	"$16,742.05"	"$26,165.12"	"$27,637.01"	"$26,728.41"	"$32,929.50"	"$32,929.50"	"$28,784.91"	$0.00	$0.00	$0.00	$0.00	"$32,929.50"	$0.00	"$3,891.53"	"$31,049.49"	"$31,049.49"	"$27,414.20"	"$4,141.69"	$0.00	$0.00	$0.00	$0.00
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"	"$24,142.42"	"$19,801.12"	"$19,801.12"	"$9,014.09"	$0.00	$0.00	$0.00	$0.00	"$19,778.49"	$0.00	"$20,197.14"	"$19,012.50"	"$19,012.50"	"$20,335.16"	"$9,564.24"	"$17,411.42"	$0.00	"$12,137.42"	"$19,012.50"	"$12,137.42"	$0.00	"$18,349.35"	"$18,349.35"	"$19,366.82"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,006.13"	"$27,593.07"	$0.00	"$19,594.52"	$0.00	"$19,594.52"	$0.00	"$35,850.39"	"$35,850.39"	$0.00	$0.00	$0.00	$0.00	$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"	"$63,687.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,254.77"	"$16,079.42"	"$33,948.36"	$0.00	"$10,931.50"	$0.00	"$10,931.50"	$0.00	"$22,050.83"	"$22,050.83"	"$20,242.64"	$0.00	$0.00	$0.00	$0.00	$0.00
MS060	DRG	MS060		MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC	INPATIENT ONLY	"$17,859.37"	"$13,215.93"	$0.00	"$17,386.96"	$0.00	$0.00	"$17,386.96"	"$17,386.96"	$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	$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"	"$92,084.48"	"$31,007.07"	"$31,007.07"	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,955.43"	$0.00	"$31,627.21"	$0.00	$0.00	"$32,892.67"	"$176,461.31"	"$215,011.32"	$0.00	"$32,518.99"	$0.00	"$32,518.99"	$0.00	"$35,958.33"	"$35,958.33"	"$31,326.35"	$0.00	$0.00	$0.00	$0.00	$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"	"$19,584.47"	"$24,775.73"	"$24,775.73"	"$16,561.69"	$0.00	$0.00	$0.00	$0.00	"$24,740.22"	$0.00	"$25,271.24"	"$29,824.50"	"$29,824.50"	"$27,546.62"	"$15,607.97"	"$73,869.50"	$0.00	"$20,160.87"	"$29,824.50"	"$20,160.87"	$0.00	"$29,569.72"	"$29,569.72"	"$26,234.88"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,398.95"	"$22,852.96"	"$22,852.96"	"$13,476.07"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,310.02"	"$25,645.50"	"$25,645.50"	$0.00	"$18,358.07"	"$50,374.27"	$0.00	"$16,848.86"	"$25,645.50"	"$16,848.86"	$0.00	"$26,871.51"	"$26,871.51"	$0.00	$0.00	$0.00	$0.00	$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"	"$110,327.78"	"$25,320.78"	"$25,320.78"	"$15,513.81"	"$25,409.92"	$0.00	$0.00	"$17,959.97"	"$25,286.52"	"$25,409.92"	"$24,782.69"	"$28,783.50"	"$28,783.50"	"$26,614.49"	"$27,643.93"	"$64,405.47"	$0.00	"$18,793.56"	"$28,783.50"	"$18,793.56"	"$44,500.15"	"$28,455.79"	"$28,455.79"	"$25,347.13"	"$25,793.36"	$0.00	$0.00	$0.00	$0.00
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"	"$27,569.45"	"$18,093.01"	"$18,093.01"	"$9,499.65"	"$13,734.30"	$0.00	$0.00	"$6,993.69"	"$18,074.80"	"$13,734.30"	"$18,454.87"	"$15,300.00"	"$15,300.00"	"$20,825.64"	"$15,153.44"	"$60,123.35"	"$54,112.55"	"$10,301.98"	"$15,300.00"	"$10,301.98"	$0.00	"$21,537.99"	"$21,537.99"	"$19,833.94"	$0.00	$0.00	$0.00	$0.00	$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	"$15,964.58"	"$15,964.58"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,283.87"	$0.00	$0.00	"$18,702.38"	"$8,810.14"	"$30,837.84"	$0.00	"$7,187.44"	$0.00	"$7,187.44"	$0.00	"$19,000.67"	"$19,000.67"	"$17,811.79"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,105.11"	"$25,105.11"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$20,522.91"	"$20,522.91"	"$19,024.95"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,165.08"	"$16,485.64"	"$16,485.64"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$16,471.58"	$0.00	"$16,815.35"	$0.00	$0.00	"$19,134.97"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,517.62"	"$19,517.62"	"$18,223.78"	$0.00	$0.00	$0.00	$0.00	$0.00
MS070	DRG	MS070		NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC	INPATIENT ONLY	"$118,539.35"	"$87,719.12"	$0.00	"$36,315.50"	"$16,579.68"	"$16,579.68"	"$22,645.22"	"$22,645.22"	"$14,672.11"	$0.00	$0.00	$0.00	$0.00	"$36,315.50"	$0.00	"$23,098.12"	"$25,194.00"	"$25,194.00"	"$25,234.77"	$0.00	$0.00	$0.00	$0.00	"$25,194.00"	$0.00	$0.00	"$32,577.11"	"$32,577.11"	"$28,582.72"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$18,036.40"	"$18,036.40"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,018.34"	$0.00	"$18,397.13"	$0.00	$0.00	"$20,600.14"	$0.00	$0.00	"$35,678.57"	$0.00	$0.00	$0.00	$0.00	"$21,268.52"	"$21,268.52"	"$19,619.18"	$0.00	$0.00	$0.00	$0.00	$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	"$16,379.34"	"$16,379.34"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,365.57"	$0.00	"$16,706.93"	$0.00	$0.00	"$18,849.31"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,951.72"	$0.00	$0.00	$0.00	$0.00	$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	"$21,080.64"	"$21,080.64"	$0.00	"$14,136.39"	$0.00	$0.00	$0.00	$0.00	"$14,136.39"	"$21,502.25"	$0.00	$0.00	"$23,476.45"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,705.77"	"$24,705.77"	"$22,358.52"	$0.00	$0.00	$0.00	$0.00	$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"	"$25,719.00"	$0.00	$0.00	$0.00	"$8,974.55"	$0.00	$0.00	"$6,696.82"	"$18,067.90"	"$8,974.55"	$0.00	$0.00	$0.00	"$20,555.00"	"$14,569.53"	"$36,882.23"	$0.00	"$9,905.01"	$0.00	"$9,905.01"	"$8,589.85"	"$21,214.59"	"$21,214.59"	"$19,576.19"	"$9,019.34"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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"	"$13,255.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,065.43"	$0.00	$0.00	"$24,343.64"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,742.09"	"$25,742.09"	"$23,184.42"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$19,406.35"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,003.98"	"$29,003.98"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,324.45"	"$20,324.45"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,231.51"	"$26,677.77"	"$26,677.77"	"$17,085.63"	$0.00	$0.00	$0.00	"$16,934.46"	"$26,637.35"	$0.00	"$33,757.89"	"$33,958.50"	"$33,958.50"	"$29,190.82"	"$60,195.49"	"$73,345.89"	$0.00	"$22,572.74"	"$33,958.50"	"$22,572.74"	$0.00	"$31,534.56"	"$31,534.56"	"$27,800.78"	$0.00	$0.00	$0.00	$0.00	$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"	"$19,781.66"	"$20,329.09"	"$20,329.09"	"$11,068.80"	$0.00	$0.00	$0.00	"$16,307.27"	"$20,305.08"	$0.00	"$20,735.67"	"$20,160.00"	"$20,160.00"	"$22,759.59"	"$68,604.63"	"$83,592.12"	$0.00	"$13,138.85"	"$20,160.00"	"$13,138.85"	$0.00	"$23,849.11"	"$23,849.11"	"$21,675.80"	$0.00	$0.00	$0.00	$0.00	$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"	"$105,860.74"	"$17,303.46"	"$17,303.46"	$0.00	$0.00	$0.00	$0.00	"$21,552.95"	"$17,287.29"	$0.00	"$17,649.53"	$0.00	$0.00	"$18,985.24"	"$74,022.47"	"$90,193.56"	$0.00	"$8,994.81"	$0.00	"$8,994.81"	$0.00	"$20,473.08"	"$20,473.08"	"$18,985.24"	$0.00	$0.00	$0.00	$0.00	$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"	"$129,464.98"	"$27,007.67"	"$27,007.67"	$0.00	$0.00	$0.00	$0.00	"$46,184.90"	"$26,966.37"	$0.00	"$27,547.82"	$0.00	$0.00	"$29,149.82"	"$155,389.38"	"$189,335.99"	$0.00	"$23,840.21"	$0.00	"$23,840.21"	"$6,719.03"	"$39,231.69"	"$39,231.69"	"$27,761.73"	"$7,054.97"	$0.00	$0.00	$0.00	$0.00
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"	"$16,054.95"	"$19,849.42"	"$19,849.42"	"$9,979.86"	$0.00	$0.00	$0.00	"$39,612.08"	"$19,826.66"	$0.00	"$20,246.41"	"$66,216.14"	"$66,216.14"	"$22,261.41"	"$21,878.17"	"$26,657.70"	"$156,793.36"	"$12,408.08"	"$66,216.14"	"$12,408.08"	$0.00	"$23,253.77"	"$23,253.77"	"$21,201.34"	$0.00	$0.00	$0.00	$0.00	$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"	"$10,442.68"	"$17,013.59"	"$17,013.59"	"$6,658.59"	"$6,337.82"	$0.00	$0.00	"$4,618.49"	$0.00	"$6,337.82"	"$17,353.86"	"$12,954.00"	"$12,954.00"	"$19,537.48"	"$44,469.44"	"$54,184.31"	$0.00	"$8,412.39"	"$12,954.00"	"$8,412.39"	"$6,066.14"	"$19,998.62"	"$19,998.62"	"$18,607.12"	"$6,369.44"	$0.00	$0.00	$0.00	$0.00
MS088	DRG	MS088		CONCUSSION WITH MCC	INPATIENT ONLY	"$61,942.49"	"$45,837.44"	$0.00	"$12,687.93"	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,687.93"	$0.00	$0.00	$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	$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"	"$74,998.20"	"$18,393.22"	"$18,393.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,761.08"	$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
MS090	DRG	MS090		CONCUSSION WITHOUT CC/MCC	INPATIENT ONLY	"$63,676.92"	"$47,120.92"	$0.00	"$19,599.65"	$0.00	$0.00	$0.00	$0.00	"$6,563.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,819.00"	"$12,819.00"	"$19,599.65"	$0.00	$0.00	$0.00	$0.00	"$12,819.00"	$0.00	$0.00	$0.00	$0.00	"$18,666.33"	$0.00	$0.00	$0.00	$0.00	$0.00
MS091	DRG	MS091		OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC	INPATIENT ONLY	"$52,693.58"	"$38,993.25"	$0.00	"$26,373.98"	$0.00	$0.00	"$26,373.98"	"$26,373.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,895.40"	$0.00	$0.00	"$24,498.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,926.64"	"$25,926.64"	"$23,331.51"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,119.13"	"$17,878.35"	"$17,878.35"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,860.69"	$0.00	"$18,235.92"	$0.00	$0.00	"$20,404.67"	"$3,652.60"	"$60,857.94"	$0.00	"$9,684.47"	$0.00	"$9,684.47"	$0.00	"$21,034.94"	"$21,034.94"	"$19,433.02"	$0.00	$0.00	$0.00	$0.00	$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"	"$5,791.65"	"$16,451.82"	"$16,451.82"	$0.00	"$7,940.48"	$0.00	$0.00	$0.00	"$16,437.85"	"$7,940.48"	"$16,780.86"	$0.00	$0.00	"$19,004.44"	"$4,008.53"	"$21,343.61"	$0.00	"$7,630.49"	$0.00	"$7,630.49"	$0.00	"$19,361.64"	"$19,361.64"	"$18,099.47"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$28,357.59"	$0.00	$0.00	"$28,357.59"	"$28,357.59"	$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	$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	"$141,271.31"	"$13,337.55"	"$13,337.55"	"$37,005.85"	"$37,005.85"	$0.00	$0.00	$0.00	$0.00	"$141,271.31"	"$36,938.70"	$0.00	"$37,745.97"	$0.00	$0.00	"$38,239.38"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$46,143.44"	$0.00	$0.00	$0.00	$0.00	$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	"$25,632.89"	"$25,632.89"	$0.00	$0.00	$0.00	$0.00	"$6,696.82"	$0.00	$0.00	"$26,145.55"	$0.00	$0.00	"$27,162.57"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,869.11"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$41,317.50"	"$28,871.11"	"$28,871.11"	"$13,659.94"	"$16,066.40"	$0.00	$0.00	"$16,742.05"	"$23,969.93"	"$16,066.40"	"$24,483.50"	"$28,146.00"	"$28,146.00"	"$26,241.38"	"$104,293.01"	"$127,077.03"	$0.00	"$18,246.24"	"$28,146.00"	"$18,246.24"	$0.00	"$28,009.92"	"$28,009.92"	"$24,991.79"	$0.00	$0.00	$0.00	$0.00	$0.00
MS101	DRG	MS101		SEIZURES WITHOUT MCC	INPATIENT ONLY	"$40,436.43"	"$29,922.96"	$0.00	"$30,456.31"	"$20,980.25"	"$20,980.25"	"$17,184.76"	"$17,184.76"	$0.00	"$7,244.17"	$0.00	$0.00	$0.00	"$17,168.90"	"$7,244.17"	"$17,528.46"	$0.00	$0.00	"$19,836.12"	"$3,828.93"	"$30,456.31"	"$28,419.72"	"$8,850.46"	$0.00	"$8,850.46"	"$6,933.64"	"$20,355.50"	"$20,355.50"	"$18,891.54"	"$7,280.31"	$0.00	$0.00	$0.00	$0.00
MS102	DRG	MS102		HEADACHES WITH MCC	INPATIENT ONLY	"$29,362.26"	"$21,728.07"	$0.00	"$19,391.81"	"$8,589.34"	"$8,589.34"	"$19,011.58"	"$19,011.58"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,990.99"	$0.00	"$19,391.81"	$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
MS103	DRG	MS103		HEADACHES WITHOUT MCC	INPATIENT ONLY	"$49,370.41"	"$36,534.10"	$0.00	"$19,674.42"	"$15,663.02"	"$15,663.02"	"$16,778.24"	"$16,778.24"	"$6,172.14"	$0.00	$0.00	$0.00	"$6,696.82"	"$16,763.43"	$0.00	"$17,113.80"	"$12,442.50"	"$12,442.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,442.50"	$0.00	"$6,384.88"	"$19,674.42"	"$19,674.42"	$0.00	"$6,704.13"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	"$134,305.87"	$0.00	$0.00	"$28,372.83"	"$191,344.73"	"$233,146.18"	"$276,386.52"	"$36,547.34"	$0.00	"$36,547.34"	$0.00	"$30,557.04"	"$30,557.04"	"$27,021.74"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$22,869.95"	"$22,869.95"	"$20,895.44"	$0.00	$0.00	$0.00	$0.00	$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"	"$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	$0.00	$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	$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	$0.00	$0.00	$0.00	"$30,595.31"	$0.00	$0.00	$0.00	$0.00	$0.00
MS117	DRG	MS117		INTRAOCULAR PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$367,970.92"	"$272,298.48"	$0.00	"$239,144.21"	$0.00	$0.00	$0.00	$0.00	"$61,633.31"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$239,144.21"	"$239,144.21"	$0.00	$0.00	$0.00	$0.00	$0.00	"$239,144.21"	$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	$0.00	$0.00	$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	"$16,672.44"	$0.00	$0.00	"$16,345.53"	"$16,345.53"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,672.44"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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"	"$26,180.77"	"$20,729.36"	"$20,729.36"	"$10,203.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,143.95"	"$21,030.00"	"$21,030.00"	$0.00	"$3,939.75"	"$21,706.29"	$0.00	"$13,927.76"	"$21,030.00"	"$13,927.76"	$0.00	"$24,491.81"	"$24,491.81"	$0.00	$0.00	$0.00	$0.00	$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	"$16,830.03"	"$16,830.03"	$0.00	$0.00	$0.00	$0.00	"$6,552.22"	$0.00	$0.00	"$17,166.63"	$0.00	$0.00	"$19,197.14"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,591.92"	"$19,591.92"	"$18,282.99"	$0.00	$0.00	$0.00	$0.00	$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"	"$13,358.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,914.03"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,380.67"	$0.00	$0.00	"$21,822.89"	"$8,799.70"	$0.00	$0.00	$0.00	$0.00
MS138	DRG	MS138		MOUTH PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$106,064.54"	"$78,487.76"	$0.00	"$17,303.89"	"$8,601.10"	"$8,601.10"	"$16,964.60"	"$16,964.60"	$0.00	$0.00	$0.00	$0.00	"$17,079.99"	"$16,949.30"	$0.00	"$17,303.89"	$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
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	$0.00	$0.00	$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	"$213,352.18"	"$194,628.71"	"$194,628.71"	"$60,708.75"	"$60,708.75"	"$194,363.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$213,352.18"	"$213,352.18"						"$213,352.18"	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
MS141	DRG	MS141		MAJOR HEAD AND NECK PROCEDURES WITH CC	INPATIENT ONLY	"$205,684.54"	"$152,206.56"	$0.00	"$93,559.19"	$0.00	$0.00	"$26,278.86"	"$26,278.86"	$0.00	$0.00	$0.00	$0.00	"$93,559.19"	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$124,242.12"	"$91,709.28"	"$91,709.28"	$0.00	$0.00	"$24,814.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$124,242.12"	"$124,242.12"						"$124,242.12"	$0.00			$0.00			$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$25,140.12"	"$25,140.12"	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,103.67"	$0.00	"$25,642.92"	$0.00	$0.00	"$26,982.15"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,926.04"	"$28,926.04"	"$25,697.29"	$0.00	$0.00	$0.00	$0.00	$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"	"$97,982.21"	"$20,033.00"	"$20,033.00"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,009.77"	$0.00	"$20,433.66"	$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
MS149	DRG	MS149		DYSEQUILIBRIUM	INPATIENT ONLY	"$20,824.61"	"$15,410.21"	$0.00	"$19,110.92"	$0.00	$0.00	"$16,139.87"	"$16,139.87"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,126.71"	$0.00	"$16,462.67"	$0.00	$0.00	"$18,794.64"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,110.92"	"$19,110.92"	"$17,899.66"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,393.64"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,902.85"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,907.48"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$10,415.87"	"$16,796.75"	$0.00	"$7,081.17"	$0.00	"$7,081.17"	$0.00	"$18,914.10"	"$18,914.10"	$0.00	$0.00	$0.00	$0.00	$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	"$22,163.26"	$0.00	$0.00	"$21,728.69"	"$21,728.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,163.26"	$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
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	"$17,330.38"	"$17,330.38"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,314.14"	$0.00	"$17,676.99"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,166.65"	"$20,504.12"	"$20,504.12"	$0.00	"$6,474.98"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	"$25,908.70"	$0.00	$0.00	"$21,931.61"	"$21,931.61"	$0.00	$0.00	$0.00	$0.00	"$21,981.73"	"$21,903.46"	$0.00	"$22,370.24"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,908.70"	"$25,908.70"	$0.00	$0.00	$0.00	$0.00	$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	"$17,266.18"	"$17,266.18"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,250.11"	$0.00	"$17,611.50"	$0.00	$0.00	"$19,724.72"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,376.14"	"$20,222.38"	"$20,222.38"	"$18,785.45"	"$8,794.95"	$0.00	$0.00	$0.00	$0.00
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"	"$17,283.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,401.02"	"$7,632.24"	"$49,192.35"	$0.00	"$6,745.36"	$0.00	"$6,745.36"	$0.00	"$18,640.54"	"$18,640.54"	"$17,524.78"	$0.00	$0.00	$0.00	$0.00	$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"	"$137,000.36"	$0.00	$0.00	$0.00	"$51,285.84"	$0.00	$0.00	"$112,921.68"	$0.00	"$53,850.16"	"$48,524.14"	$0.00	$0.00	$0.00	"$243,289.68"	"$296,439.13"	$0.00	"$60,731.26"	$0.00	"$60,731.26"	$0.00	"$52,946.21"	"$52,946.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS164	DRG	MS164		MAJOR CHEST PROCEDURES WITH CC	INPATIENT ONLY	"$282,327.09"	"$208,922.05"	$0.00	"$223,039.12"	"$220,306.22"	"$220,306.22"	$0.00	$0.00	"$62,096.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$223,039.12"	"$223,039.12"	"$31,102.90"	"$182,933.69"	"$222,897.67"	$0.00	"$34,322.38"	"$223,039.12"	"$34,322.38"	$0.00	"$33,819.53"	"$33,819.53"	"$29,621.81"	$0.00	$0.00	$0.00	$0.00	$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	"$24,280.88"	"$24,280.88"	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,246.64"	$0.00	"$24,766.50"	$0.00	$0.00	"$26,439.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,246.73"	"$28,246.73"	"$25,180.51"	$0.00	$0.00	$0.00	$0.00	$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	"$36,751.19"	"$36,751.19"	$0.00	$0.00	$0.00	$0.00	$0.00	"$36,684.69"	$0.00	"$37,486.21"	$0.00	$0.00	"$39,297.27"	"$16,179.17"	"$55,255.73"	$0.00	"$37,397.68"	$0.00	"$37,397.68"	$0.00	"$43,611.96"	"$43,611.96"	"$47,571.93"	$0.00	$0.00	$0.00	$0.00	$0.00
MS167	DRG	MS167		OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	INPATIENT ONLY	"$133,062.87"	"$98,466.52"	$0.00	"$32,510.42"	$0.00	$0.00	"$23,605.22"	"$23,605.22"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,572.75"	$0.00	"$24,077.32"	$0.00	$0.00	"$26,885.12"	"$16,604.60"	"$32,510.42"	$0.00	"$19,190.53"	$0.00	"$19,190.53"	"$17,468.56"	"$28,779.21"	"$28,779.21"	"$25,604.88"	"$18,341.98"	$0.00	$0.00	$0.00	$0.00
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	"$20,400.85"	"$20,400.85"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,511.55"	$0.00	$0.00	"$22,868.93"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,779.93"	$0.00	$0.00	$0.00	$0.00	$0.00
MS175	DRG	MS175		PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	INPATIENT ONLY	"$46,945.21"	"$34,739.46"	$0.00	"$38,070.00"	"$26,408.34"	"$26,408.34"	"$21,723.17"	"$21,723.17"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,695.56"	$0.00	"$22,157.63"	$0.00	$0.00	"$23,432.41"	"$16,704.06"	"$38,070.00"	$0.00	"$14,479.10"	$0.00	"$14,479.10"	$0.00	"$24,940.97"	"$24,940.97"	"$22,316.58"	$0.00	$0.00	$0.00	$0.00	$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	"$17,180.62"	"$17,180.62"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$16,508.75"	$0.00	"$17,524.23"	$0.00	$0.00	"$18,666.99"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,736.43"	"$18,474.68"	"$18,474.68"	"$18,666.99"	"$8,233.74"	$0.00	$0.00	$0.00	$0.00
MS177	DRG	MS177		RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	INPATIENT ONLY	"$54,920.67"	"$40,641.30"	$0.00	"$35,112.81"	"$24,674.54"	"$24,674.54"	"$29,566.11"	"$29,566.11"	"$17,398.03"	"$18,110.89"	$0.00	$0.00	"$24,142.73"	"$29,518.11"	"$18,110.89"	"$30,157.43"	"$27,736.50"	"$27,736.50"	"$26,726.58"	"$8,082.82"	"$21,757.37"	"$11,693.56"	"$18,957.97"	"$27,736.50"	"$18,957.97"	"$2,527.77"	"$35,112.81"	"$35,112.81"	"$30,597.17"	"$2,690.25"	$0.00	$0.00	$0.00	$0.00
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"	"$4,086.60"	"$23,653.50"	"$23,653.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,367.53"	$0.00	"$30,157.43"	$0.00	$0.00	"$22,298.99"	"$10,783.80"	"$31,014.33"	"$27,319.11"	"$12,463.21"	$0.00	"$12,463.21"	"$3,578.23"	"$27,587.02"	"$27,587.02"	"$24,618.39"	"$3,808.24"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$6,204.24"	$0.00	$0.00	$0.00	$0.00	"$6,880.87"	$858.97	$0.00	$0.00	"$19,721.29"	"$12,770.64"	"$27,548.37"	"$11,997.43"	"$8,682.05"	$0.00	"$8,682.05"	$0.00	"$23,205.61"	"$23,205.61"	"$21,137.62"	$0.00	$0.00	$0.00	$0.00	$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	"$23,061.38"	"$23,061.38"	$0.00	$0.00	$0.00	$0.00	"$23,438.87"	"$23,030.30"	$0.00	"$23,522.61"	$0.00	$0.00	"$25,590.12"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,231.65"	"$27,231.65"	"$24,371.54"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,515.45"	"$18,783.83"	"$18,783.83"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,763.84"	$0.00	"$19,159.51"	$0.00	$0.00	"$21,675.08"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,553.09"	"$22,553.09"	"$20,642.93"	$0.00	$0.00	$0.00	$0.00	$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"	"$16,511.68"	$0.00	$0.00	"$7,219.13"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,880.00"	"$11,880.00"	"$19,562.08"	$0.00	$0.00	$0.00	$0.00	"$11,880.00"	$0.00	$0.00	$0.00	$0.00	"$18,630.55"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	"$18,601.98"	$0.00	$0.00	"$24,116.10"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,967.71"	$0.00	$0.00	$0.00	$0.00	$0.00
MS184	DRG	MS184		MAJOR CHEST TRAUMA WITH CC	INPATIENT ONLY	"$80,313.41"	"$59,431.92"	$0.00	"$68,413.61"	"$22,437.76"	"$22,437.76"	"$18,237.24"	"$18,237.24"	$0.00	$0.00	$0.00	$0.00	"$68,413.61"	"$18,218.65"	$0.00	"$18,601.98"	$0.00	$0.00	"$20,760.71"	"$52,951.87"	"$64,519.81"	$0.00	"$10,206.75"	$0.00	"$10,206.75"	$0.00	"$21,460.41"	"$21,460.41"	"$19,772.10"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,596.89"	"$16,401.44"	"$16,401.44"	"$5,915.97"	$0.00	$0.00	$0.00	"$16,934.46"	"$16,387.60"	$0.00	"$16,729.47"	"$11,623.50"	"$11,623.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,623.50"	$0.00	$0.00	"$19,139.50"	"$19,139.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS186	DRG	MS186		PLEURAL EFFUSION WITH MCC	INPATIENT ONLY	"$30,155.37"	"$22,314.97"	$0.00	"$39,070.27"	$0.00	$0.00	"$18,487.14"	"$18,487.14"	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,070.27"	$0.00	"$18,856.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,067.06"	"$31,067.06"	$0.00	$0.00	$0.00	$0.00	$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	"$18,182.03"	"$18,182.03"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,545.67"	$0.00	$0.00	"$20,826.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,835.22"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$25,196.85"	"$19,549.83"	"$19,549.83"	"$9,782.23"	"$12,640.58"	$0.00	$0.00	"$3,348.41"	"$19,493.51"	"$13,272.61"	"$19,905.70"	"$9,782.23"	"$9,782.23"	"$22,110.38"	"$15,587.39"	"$36,477.30"	"$26,164.57"	"$12,186.54"	"$9,782.23"	"$12,186.54"	$0.00	"$23,073.29"	"$23,073.29"	"$21,057.50"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,385.55"	"$17,727.21"	"$17,727.21"	$0.00	"$10,092.46"	$0.00	$0.00	$0.00	"$18,798.25"	"$10,597.09"	"$19,194.71"	$0.00	$0.00	"$21,620.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,487.76"	"$22,487.76"	"$20,590.86"	$0.00	$0.00	$0.00	$0.00	$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	"$17,156.46"	"$17,156.46"	$0.00	"$14,254.34"	$0.00	$0.00	$0.00	"$17,140.67"	"$8,483.54"	"$17,499.59"	$0.00	$0.00	"$19,903.76"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,436.33"	"$20,436.33"	"$18,955.96"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,173.20"	"$15,854.15"	"$15,854.15"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	$0.00	$0.00	"$16,171.23"	$0.00	$0.00	"$18,649.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,936.98"	"$18,936.98"	"$17,761.04"	$0.00	$0.00	$0.00	$0.00	$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"	"$24,519.60"	"$20,108.24"	"$20,108.24"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,084.80"	$0.00	"$20,510.40"	$0.00	$0.00	"$22,915.39"	"$3,781.24"	"$33,085.28"	"$43,491.25"	"$13,367.42"	$0.00	"$13,367.42"	"$12,168.50"	"$24,035.30"	"$24,035.30"	"$21,824.18"	"$12,776.92"	$0.00	$0.00	$0.00	$0.00
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	"$17,015.67"	"$17,015.67"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,000.25"	$0.00	"$17,355.98"	$0.00	$0.00	"$19,875.06"	"$6,896.00"	"$20,557.21"	$0.00	"$8,907.60"	$0.00	"$8,907.60"	"$2,899.29"	"$20,402.05"	"$20,402.05"	"$18,928.63"	"$3,085.65"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,463.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,926.47"	"$18,715.67"	"$18,715.67"	"$17,584.66"	"$3,114.59"	$0.00	$0.00	$0.00	$0.00
MS196	DRG	MS196		INTERSTITIAL LUNG DISEASE WITH MCC	INPATIENT ONLY	"$62,019.94"	"$45,894.76"	$0.00	"$50,112.69"	"$4,298.95"	"$4,298.95"	"$23,052.43"	"$23,052.43"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,021.37"	$0.00	"$23,513.48"	$0.00	$0.00	"$25,251.85"	"$24,703.77"	"$50,112.69"	$0.00	"$16,794.73"	$0.00	"$16,794.73"	$0.00	"$26,827.41"	"$26,827.41"	"$24,049.38"	$0.00	$0.00	$0.00	$0.00	$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	"$18,003.28"	"$18,003.28"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,985.30"	$0.00	"$18,363.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,487.37"	"$21,487.37"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS198	DRG	MS198		INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC	INPATIENT ONLY	"$58,135.75"	"$43,020.46"	$0.00	"$6,417.29"	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,111.70"	$0.00	$0.00	$0.00	$0.00	"$6,417.29"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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"	"$22,271.35"	"$28,615.62"	"$28,615.62"	"$16,374.25"	"$20,990.30"	$0.00	$0.00	$0.00	"$33,369.82"	"$20,995.35"	"$29,187.93"	"$26,850.00"	"$26,850.00"	$0.00	"$19,741.79"	"$71,834.87"	$0.00	"$17,984.61"	"$26,850.00"	"$17,984.61"	"$13,711.52"	"$27,796.78"	"$27,796.78"	$0.00	"$14,397.09"	$0.00	$0.00	$0.00	$0.00
MS200	DRG	MS200		PNEUMOTHORAX WITH CC	INPATIENT ONLY	"$88,938.55"	"$65,814.53"	$0.00	"$41,863.22"	"$26,577.44"	"$26,577.44"	"$18,482.92"	"$18,482.92"	"$9,000.71"	"$7,212.00"	$0.00	$0.00	"$7,290.56"	$0.00	"$7,212.00"	"$18,852.58"	"$16,147.50"	"$16,147.50"	"$21,197.39"	"$7,597.89"	"$33,230.54"	"$41,863.22"	"$10,847.31"	"$16,147.50"	"$10,847.31"	"$6,902.85"	"$21,982.26"	"$21,982.26"	"$20,187.99"	"$7,247.99"	$0.00	$0.00	$0.00	$0.00
MS201	DRG	MS201		PNEUMOTHORAX WITHOUT CC/MCC	INPATIENT ONLY	"$18,226.67"	"$13,487.74"	$0.00	"$28,659.30"	"$28,659.30"	"$28,659.30"	$0.00	$0.00	$0.00	"$5,832.61"	$0.00	$0.00	$0.00	$0.00	"$5,832.61"	"$16,269.80"	$0.00	$0.00	"$18,709.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,818.31"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,642.61"	"$17,727.21"	"$17,727.21"	$0.00	"$7,793.93"	$0.00	$0.00	$0.00	$0.00	"$8,183.63"	"$18,081.75"	$0.00	$0.00	"$20,280.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,887.13"	"$20,887.13"	"$19,315.22"	$0.00	$0.00	$0.00	$0.00	$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	"$15,932.82"	"$15,932.82"	$0.00	"$3,735.21"	$0.00	$0.00	"$3,348.41"	"$15,920.20"	"$5,866.67"	"$16,251.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,811.21"	"$18,811.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS204	DRG	MS204		RESPIRATORY SIGNS AND SYMPTOMS	INPATIENT ONLY	"$12,787.21"	"$9,462.54"	$0.00	"$116,821.39"	"$114,402.61"	"$114,402.61"	"$16,530.50"	"$16,530.50"	"$19,192.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,861.11"	"$116,821.39"	"$116,821.39"	"$19,354.99"	$0.00	$0.00	$0.00	$0.00	"$116,821.39"	$0.00	$0.00	"$19,780.56"	"$19,780.56"	"$18,433.32"	$0.00	$0.00	$0.00	$0.00	$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"	"$16,664.62"	"$27,050.39"	"$27,050.39"	"$12,495.13"	$0.00	$0.00	$0.00	$0.00	"$22,651.02"	$0.00	"$27,591.40"	"$25,272.00"	"$25,272.00"	"$24,970.31"	"$12,908.72"	"$46,642.66"	$0.00	"$16,381.71"	"$25,272.00"	"$16,381.71"	$0.00	"$26,490.96"	"$26,490.96"	"$23,781.25"	$0.00	$0.00	$0.00	$0.00	$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	"$17,168.19"	"$17,168.19"	$0.00	"$6,502.44"	$0.00	$0.00	"$10,045.23"	"$17,152.37"	"$6,502.44"	$0.00	$0.00	$0.00	"$19,765.04"	"$4,150.00"	"$34,911.74"	$0.00	"$8,746.21"	$0.00	"$8,746.21"	$0.00	"$20,270.57"	"$20,270.57"	"$18,823.85"	$0.00	$0.00	$0.00	$0.00	$0.00
MS207	DRG	MS207		RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	INPATIENT ONLY	"$381,382.83"	"$282,223.29"	$0.00	"$350,029.12"	"$136,076.60"	"$136,076.60"	"$50,641.13"	"$50,641.13"	$0.00	"$62,949.70"	$0.00	$0.00	"$7,290.56"	"$50,538.71"	"$66,097.21"	"$51,653.95"	$0.00	$0.00	"$50,474.52"	"$287,271.37"	"$350,029.12"	$0.00	"$78,281.84"	$0.00	"$78,281.84"	$0.00	"$59,984.89"	"$59,984.89"	"$50,474.52"	$0.00	$0.00	$0.00	$0.00	$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"	"$26,856.98"	"$28,616.41"	"$28,616.41"	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,570.95"	$0.00	"$29,188.74"	$0.00	$0.00	"$30,778.29"	"$5,386.48"	"$22,287.15"	$0.00	"$24,901.37"	$0.00	"$24,901.37"	$0.00	"$33,431.63"	"$33,431.63"	"$29,312.66"	$0.00	$0.00	$0.00	$0.00	$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"	"$177,689.39"	"$83,922.24"	"$83,922.24"	$0.00	$0.00	$0.00	$0.00	"$3,645.28"	$0.00	$0.00	"$85,600.68"	$0.00	$0.00	"$101,862.99"	"$350,279.60"	"$426,802.21"	$0.00	"$129,174.20"	$0.00	"$129,174.20"	$0.00	"$118,379.20"	"$118,379.20"	"$97,012.37"	$0.00	$0.00	$0.00	$0.00	$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"	"$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$95,156.23"	"$95,156.23"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$258,490.53"	"$314,960.76"	$0.00	"$67,066.33"	$0.00	"$67,066.33"	$0.00	"$56,475.77"	"$56,475.77"	$0.00	$0.00	$0.00	$0.00	$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"	"$652,154.79"	$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	$0.00	$0.00	"$81,291.22"	"$81,291.22"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$63,190.05"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$59,276.04"	"$59,276.04"	"$49,909.59"	$0.00	$0.00	$0.00	$0.00	$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	"$56,361.78"	"$56,361.78"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$57,489.02"	$0.00	$0.00	"$59,504.66"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$56,671.10"	$0.00	$0.00	$0.00	$0.00	$0.00
MS227	DRG	MS227		CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	INPATIENT ONLY	"$237,743.92"	"$175,930.50"	$0.00	"$47,965.26"	$0.00	$0.00	"$47,024.76"	"$47,024.76"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$47,965.26"	$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
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	"$47,840.51"	"$47,840.51"	$0.00	$0.00	$0.00	$0.00	$0.00	"$47,745.32"	$0.00	"$48,797.32"	$0.00	$0.00	"$66,076.66"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$64,482.16"	"$64,482.16"	"$66,076.66"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$55,662.39"	"$55,662.39"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$82,191.24"	"$82,191.24"	"$44,320.66"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$40,051.71"	"$40,051.71"	$0.00	$0.00	$0.00	$0.00	$0.00	"$40,042.67"	$0.00	"$30,906.38"	$0.00	$0.00	"$45,984.42"	"$427,447.72"	"$520,828.58"	$0.00	"$126,573.84"	$0.00	"$126,573.84"	$0.00	"$51,280.25"	"$51,280.25"	"$43,794.69"	$0.00	$0.00	$0.00	$0.00	$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	"$197,317.38"	$0.00	$0.00	"$30,300.37"	"$30,300.37"	$0.00	$0.00	$0.00	$0.00	"$197,317.38"	"$30,250.57"	$0.00	"$30,906.38"	$0.00	$0.00	"$32,140.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,684.78"	"$35,684.78"	"$32,140.33"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,528.14"	"$25,528.14"	$0.00	$0.00	$0.00	$0.00	$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	"$36,779.50"	"$36,779.50"	$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	"$43,451.88"	"$43,451.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS243	DRG	MS243		PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	INPATIENT ONLY	"$158,068.54"	"$116,970.72"	$0.00	"$29,003.59"	$0.00	$0.00	"$28,434.89"	"$28,434.89"	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,389.92"	$0.00	"$29,003.59"	$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
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	"$25,293.32"	"$25,293.32"	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,256.47"	$0.00	"$25,799.19"	$0.00	$0.00	"$27,985.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,094.00"	"$30,094.00"	"$26,652.72"	$0.00	$0.00	$0.00	$0.00	$0.00
MS245	DRG	MS245		AICD GENERATOR PROCEDURES	INPATIENT ONLY	"$152,256.14"	"$112,669.54"	$0.00	"$49,413.28"	$0.00	$0.00	"$48,444.39"	"$48,444.39"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$49,413.28"	$0.00	$0.00	"$49,391.39"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$47,039.42"	$0.00	$0.00	$0.00	$0.00	$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	"$121,561.11"	"$24,732.19"	"$24,732.19"	"$32,615.82"	"$32,615.82"	$0.00	$0.00	$0.00	$0.00	"$121,561.11"	"$32,560.02"	$0.00	"$33,268.14"	$0.00	$0.00	"$35,484.73"	"$17,653.94"	"$81,055.22"	$0.00	"$31,805.11"	$0.00	"$31,805.11"	$0.00	"$39,055.90"	"$39,055.90"	"$33,794.98"	$0.00	$0.00	$0.00	$0.00	$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"	"$15,580.11"	"$24,671.50"	"$24,671.50"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$24,636.27"	$0.00	"$25,164.93"	$0.00	$0.00	"$27,707.22"	"$30,001.65"	"$74,539.79"	"$58,858.96"	"$20,396.45"	$0.00	"$20,396.45"	$0.00	"$29,761.63"	"$29,761.63"	"$26,387.83"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$23,984.81"	"$23,984.81"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,951.35"	$0.00	"$24,464.51"	$0.00	$0.00	"$26,900.15"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,619.19"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$14,906.70"	$0.00	$0.00	$0.00	$0.00	$0.00	"$14,894.34"	$0.00	$0.00	$0.00	$0.00	"$14,906.70"	$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	$0.00
MS252	DRG	MS252		OTHER VASCULAR PROCEDURES WITH MCC	INPATIENT ONLY	"$145,151.23"	"$107,411.91"	$0.00	"$169,852.02"	"$12,259.80"	"$12,259.80"	"$34,005.79"	"$34,005.79"	$0.00	$0.00	$0.00	$0.00	"$169,852.02"	"$33,946.40"	$0.00	"$34,685.91"	$0.00	$0.00	"$36,220.00"	$0.00	$0.00	"$100,414.90"	$0.00	$0.00	$0.00	$0.00	"$39,934.57"	"$39,934.57"	"$34,495.24"	$0.00	$0.00	$0.00	$0.00	$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	"$29,367.29"	"$29,367.29"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,954.64"	$0.00	$0.00	"$31,615.43"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,432.01"	"$34,432.01"	"$30,109.93"	$0.00	$0.00	$0.00	$0.00	$0.00
MS254	DRG	MS254		OTHER VASCULAR PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$209,675.21"	"$155,159.66"	$0.00	"$27,238.50"	"$7,561.44"	"$7,561.44"	"$23,585.90"	"$23,585.90"	"$15,445.08"	$0.00	$0.00	$0.00	$0.00	"$23,553.48"	$0.00	"$24,057.62"	"$27,238.50"	"$27,238.50"	"$26,240.69"	$0.00	$0.00	$0.00	$0.00	"$27,238.50"	$0.00	"$17,128.08"	$0.00	$0.00	"$24,991.13"	"$17,984.48"	$0.00	$0.00	$0.00	$0.00
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"	"$85,925.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,909.30"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,389.81"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$18,747.12"	"$18,747.12"	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,609.47"	$0.00	"$19,122.06"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$43,357.97"	"$43,357.97"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$11,542.53"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,542.53"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$33,508.18"	"$33,508.18"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,178.34"	$0.00	$0.00	"$35,999.28"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,670.80"	"$39,670.80"	"$34,285.03"	$0.00	$0.00	$0.00	$0.00	$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	"$34,280.46"	"$34,280.46"	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,220.36"	$0.00	$0.00	$0.00	$0.00	"$35,132.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,459.78"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$40,912.47"	$0.00	$0.00	$0.00	$0.00	$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"	"$340,524.80"	"$46,851.53"	"$46,851.53"	$0.00	$0.00	$0.00	$0.00	$0.00	"$54,034.64"	$0.00	$0.00	$0.00	$0.00	"$48,724.42"	"$160,865.70"	"$196,008.66"	$0.00	"$51,226.20"	$0.00	"$51,226.20"	$0.00	"$54,877.59"	"$54,877.59"	"$46,404.21"	$0.00	$0.00	$0.00	$0.00	$0.00
MS271	DRG	MS271		OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	INPATIENT ONLY	"$275,679.20"	"$204,002.61"	$0.00	"$188,211.42"	"$185,320.36"	"$185,320.36"	"$35,698.21"	"$35,698.21"	"$185,320.36"	"$5,081.42"	$0.00	$0.00	$0.00	$0.00	"$5,081.42"	$0.00	"$188,211.42"	"$188,211.42"	"$38,048.73"	$0.00	$0.00	"$161,466.25"	$0.00	"$188,211.42"	$0.00	$0.00	"$42,119.94"	"$42,119.94"	"$36,236.89"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,157.85"	"$44,119.66"	"$91,804.70"	$0.00	"$37,193.18"	$0.00	"$37,193.18"	$0.00	"$43,445.35"	"$43,445.35"	"$37,293.19"	$0.00	$0.00	$0.00	$0.00	$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	"$33,735.93"	"$33,735.93"	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,677.24"	$0.00	"$34,410.65"	$0.00	$0.00	"$35,395.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,710.36"	$0.00	$0.00	$0.00	$0.00	$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"	"$306,336.59"	"$22,143.49"	"$22,143.49"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,114.79"	$0.00	"$22,586.36"	$0.00	$0.00	"$24,947.74"	"$17,813.05"	"$20,968.38"	$0.00	"$16,348.64"	$0.00	"$16,348.64"	$0.00	"$32,089.26"	"$32,089.26"	"$23,759.75"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,468.89"	"$17,475.99"	"$17,475.99"	"$9,146.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,825.51"	"$13,959.00"	"$13,959.00"	"$20,422.44"	"$13,390.76"	"$42,566.21"	$0.00	"$9,710.54"	"$13,959.00"	"$9,710.54"	$0.00	"$21,056.17"	"$21,056.17"	"$19,449.94"	$0.00	$0.00	$0.00	$0.00	$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	"$16,064.63"	"$16,064.63"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,051.66"	$0.00	"$16,385.92"	$0.00	$0.00	"$18,845.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,171.35"	"$19,171.35"	"$17,947.82"	$0.00	$0.00	$0.00	$0.00	$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	"$23,922.70"	"$23,922.70"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,889.39"	$0.00	"$24,401.15"	$0.00	$0.00	"$28,357.09"	"$11,537.64"	"$96,797.90"	$0.00	"$18,040.74"	$0.00	"$18,040.74"	$0.00	"$27,842.50"	"$27,842.50"	"$27,006.75"	$0.00	$0.00	$0.00	$0.00	$0.00
MS286	DRG	MS286		"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC"	INPATIENT ONLY	"$170,797.89"	"$126,390.44"	$0.00	"$146,910.87"	"$145,102.74"	"$145,102.74"	"$25,797.14"	"$25,797.14"	"$34,337.57"	$0.00	$0.00	$0.00	$0.00	"$25,758.99"	$0.00	"$26,313.08"	"$146,910.87"	"$146,910.87"	"$28,819.07"	$0.00	$0.00	$0.00	$0.00	"$146,910.87"	$0.00	$0.00	"$31,090.31"	"$31,090.31"	"$27,446.73"	$0.00	$0.00	$0.00	$0.00	$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	"$18,749.32"	"$18,749.32"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,729.41"	$0.00	"$19,124.31"	$0.00	$0.00	"$21,676.42"	"$5,663.06"	"$29,646.46"	$0.00	"$11,550.01"	$0.00	"$11,550.01"	$0.00	"$22,554.71"	"$22,554.71"	"$20,644.21"	$0.00	$0.00	$0.00	$0.00	$0.00
MS288	DRG	MS288		ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC	INPATIENT ONLY	"$106,406.72"	"$78,740.97"	$0.00	"$35,135.48"	$0.00	$0.00	"$34,446.55"	"$34,446.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,135.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,846.87"	"$34,846.87"	$0.00	$0.00	$0.00	$0.00	$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"	"$19,939.50"	"$19,806.64"	"$19,806.64"	"$13,475.17"	"$13,083.40"	$0.00	$0.00	"$13,855.47"	"$19,783.99"	"$13,083.40"	"$20,202.77"	"$19,024.50"	"$19,024.50"	"$21,904.23"	"$19,843.82"	"$59,590.83"	$0.00	"$13,490.72"	"$19,024.50"	"$13,490.72"	"$12,522.56"	"$24,135.73"	"$24,135.73"	"$21,904.23"	"$13,148.68"	$0.00	$0.00	$0.00	$0.00
MS292	DRG	MS292		HEART FAILURE AND SHOCK WITH CC	INPATIENT ONLY	"$31,089.32"	"$23,006.10"	$0.00	"$83,990.57"	"$16,088.88"	"$16,088.88"	"$17,012.91"	"$17,012.91"	"$8,768.64"	$0.00	$0.00	$0.00	"$23,092.45"	"$16,997.50"	$0.00	"$17,353.17"	"$83,990.57"	"$83,990.57"	"$19,990.54"	"$3,423.49"	"$22,244.34"	"$25,542.17"	"$9,077.01"	"$83,990.57"	"$9,077.01"	$0.00	"$20,540.04"	"$20,540.04"	"$19,038.61"	$0.00	$0.00	$0.00	$0.00	$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"	"$15,852.90"	"$15,124.67"	"$15,124.67"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$15,114.12"	$0.00	"$15,427.16"	$0.00	$0.00	"$18,280.74"	$0.00	$0.00	"$19,670.90"	$0.00	$0.00	$0.00	$0.00	"$18,496.80"	"$18,496.80"	"$17,410.23"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$22,062.74"	"$22,062.74"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,034.25"	$0.00	"$22,503.99"	$0.00	$0.00	"$24,534.30"	$0.00	$0.00	"$55,644.87"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,366.00"	$0.00	$0.00	$0.00	$0.00	$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	"$16,477.47"	"$16,477.47"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,603.33"	$0.00	"$22,063.32"	$0.00	$0.00	"$23,709.46"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,984.23"	"$24,984.23"	"$22,580.44"	$0.00	$0.00	$0.00	$0.00	$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"	"$48,648.19"	"$18,257.24"	"$18,257.24"	"$8,720.44"	$0.00	$0.00	$0.00	"$6,696.82"	"$18,238.60"	$0.00	"$18,622.38"	"$15,657.00"	"$15,657.00"	"$20,824.93"	$0.00	$0.00	$0.00	$0.00	"$15,657.00"	$0.00	"$9,354.11"	"$21,537.17"	"$21,537.17"	"$19,833.27"	"$9,821.82"	$0.00	$0.00	$0.00	$0.00
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	$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	$0.00	$0.00	$0.00	"$17,869.07"	$0.00	$0.00	$0.00	$0.00	$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	"$18,981.41"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,147.21"	"$22,147.21"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,245.79"	$0.00	$0.00	"$5,445.59"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$10,164.00"	"$10,164.00"	"$18,420.15"	$0.00	$0.00	$0.00	$0.00	"$10,164.00"	$0.00	$0.00	"$18,663.40"	"$18,663.40"	"$17,543.00"	$0.00	$0.00	$0.00	$0.00	$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	"$18,624.42"	"$18,624.42"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,604.83"	$0.00	"$18,996.91"	$0.00	$0.00	"$21,261.62"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,059.01"	"$22,059.01"	"$20,249.16"	$0.00	$0.00	$0.00	$0.00	$0.00
MS305	DRG	MS305		HYPERTENSION WITHOUT MCC	INPATIENT ONLY	"$25,501.90"	"$18,871.41"	$0.00	"$19,723.81"	"$16,899.41"	"$16,899.41"	"$16,589.44"	"$16,589.44"	"$5,598.22"	$0.00	$0.00	$0.00	"$3,348.41"	"$16,146.66"	$0.00	"$16,765.12"	"$11,098.50"	"$11,098.50"	"$12,322.90"	"$3,994.80"	"$19,723.81"	$0.00	"$7,332.77"	"$11,098.50"	"$7,332.77"	$0.00	"$19,119.10"	"$19,119.10"	"$12,322.90"	$0.00	$0.00	$0.00	$0.00	$0.00
MS306	DRG	MS306		CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC	INPATIENT ONLY	"$21,558.58"	"$15,953.35"	$0.00	"$21,885.92"	$0.00	$0.00	"$21,456.78"	"$21,456.78"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,458.56"	$0.00	"$21,885.92"	$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
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"	"$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,349.78"	"$20,349.78"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS308	DRG	MS308		CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	INPATIENT ONLY	"$49,289.07"	"$36,473.91"	$0.00	"$23,133.27"	"$4,086.60"	"$4,086.60"	"$19,341.47"	"$19,341.47"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,133.27"	$0.00	$0.00	"$21,919.03"	"$3,891.70"	"$14,418.05"	$0.00	"$11,905.86"	$0.00	"$11,905.86"	$0.00	"$22,844.63"	"$22,844.63"	"$20,875.27"	$0.00	$0.00	$0.00	$0.00	$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	"$16,233.04"	"$16,233.04"	$0.00	$0.00	$0.00	$0.00	"$7,290.56"	$0.00	$0.00	"$16,557.70"	$0.00	$0.00	"$18,970.96"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,321.62"	"$19,321.62"	"$18,067.58"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$14,912.79"	"$14,912.79"	"$4,902.90"	"$5,253.92"	$0.00	$0.00	"$6,255.35"	"$14,902.81"	"$5,516.62"	"$15,211.05"	"$8,388.00"	"$8,388.00"	"$17,624.69"	"$3,748.58"	"$22,828.20"	$0.00	"$5,606.59"	"$8,388.00"	"$5,606.59"	"$3,051.09"	"$17,712.81"	"$17,712.81"	"$16,785.42"	"$3,247.21"	$0.00	$0.00	$0.00	$0.00
MS311	DRG	MS311		ANGINA PECTORIS	INPATIENT ONLY	"$52,330.57"	"$38,724.62"	$0.00	"$16,191.63"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,191.63"	$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
MS312	DRG	MS312		SYNCOPE AND COLLAPSE	INPATIENT ONLY	"$61,214.52"	"$45,298.74"	$0.00	"$21,765.49"	"$8,863.70"	"$8,863.70"	"$16,841.76"	"$16,841.76"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,826.78"	$0.00	"$17,178.60"	$0.00	$0.00	"$19,383.03"	$0.00	$0.00	"$21,765.49"	$0.00	$0.00	$0.00	"$6,911.00"	"$19,814.06"	"$19,814.06"	"$18,460.03"	"$7,256.54"	$0.00	$0.00	$0.00	$0.00
MS313	DRG	MS313		CHEST PAIN	INPATIENT ONLY	"$33,212.42"	"$24,577.19"	$0.00	"$18,986.78"	$0.00	$0.00	"$16,032.21"	"$16,032.21"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,019.33"	$0.00	"$16,352.85"	$0.00	$0.00	"$18,707.26"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,986.78"	"$18,986.78"	"$17,816.56"	$0.00	$0.00	$0.00	$0.00	$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	"$25,441.03"	"$25,441.03"	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,403.80"	$0.00	"$25,949.85"	$0.00	$0.00	"$27,671.68"	"$27,623.06"	"$90,518.61"	$0.00	"$20,344.32"	$0.00	"$20,344.32"	$0.00	"$29,719.16"	"$29,719.16"	"$26,353.98"	$0.00	$0.00	$0.00	$0.00	$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"	"$54,485.36"	"$17,791.75"	"$17,791.75"	"$8,580.30"	$0.00	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	"$18,126.81"	"$14,601.00"	"$14,601.00"	"$20,434.06"	$0.00	$0.00	$0.00	$0.00	"$14,601.00"	$0.00	"$9,679.17"	"$21,070.06"	"$21,070.06"	"$19,461.01"	"$10,301.36"	$0.00	$0.00	$0.00	$0.00
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	"$16,046.01"	"$16,046.01"	$0.00	$0.00	$0.00	$0.00	"$10,604.42"	$0.00	$0.00	"$16,366.93"	$0.00	$0.00	$0.00	"$10,943.74"	"$56,774.44"	$0.00	"$7,440.03"	$0.00	"$7,440.03"	$0.00	"$19,206.47"	"$19,206.47"	$0.00	$0.00	$0.00	$0.00	$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"	"$291,990.40"	"$47,743.90"	"$47,743.90"	$0.00	$0.00	$0.00	$0.00	"$112,752.12"	"$47,648.96"	$0.00	"$48,698.78"	$0.00	$0.00	"$49,819.86"	"$125,184.57"	"$152,532.58"	$0.00	"$52,833.10"	$0.00	"$52,833.10"	$0.00	"$74,365.49"	"$74,365.49"	"$47,447.49"	$0.00	$0.00	$0.00	$0.00	$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"	"$181,704.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,385.13"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,156.81"	"$34,156.81"	"$29,890.60"	$0.00	$0.00	$0.00	$0.00	$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	"$22,557.58"	"$22,557.58"	$0.00	$0.00	$0.00	$0.00	"$33,357.43"	"$22,527.81"	$0.00	"$23,008.73"	$0.00	$0.00	$0.00	$0.00	$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	$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	"$350,555.03"	"$136,237.60"	"$136,237.60"	"$44,775.57"	"$44,775.57"	"$114,248.26"	"$46,129.16"	$0.00	$0.00	"$88,406.87"	"$44,688.31"	"$46,129.16"	"$45,671.08"	"$350,555.03"	"$350,555.03"	"$47,337.16"	"$119,188.76"	"$145,226.91"	$0.00	"$49,191.26"	"$350,555.03"	"$49,191.26"	"$44,151.78"	"$53,219.79"	"$53,219.79"	"$45,083.01"	"$46,359.35"	$0.00	$0.00	$0.00	$0.00
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"	"$229,756.74"	"$28,647.46"	"$28,647.46"	$0.00	$0.00	$0.00	$0.00	"$96,654.18"	"$28,601.93"	$0.00	"$29,220.41"	$0.00	$0.00	"$31,070.11"	"$108,768.24"	"$132,529.93"	$0.00	"$25,329.40"	$0.00	"$25,329.40"	$0.00	"$33,780.33"	"$33,780.33"	"$29,590.58"	$0.00	$0.00	$0.00	$0.00	$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"	"$107,640.79"	"$30,696.66"	"$30,696.66"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,315.65"	$0.00	$0.00	"$25,346.16"	"$122,030.00"	"$148,688.87"	$0.00	"$16,933.05"	$0.00	"$16,933.05"	"$15,266.31"	"$26,940.12"	"$26,940.12"	"$24,139.20"	"$16,029.62"	$0.00	$0.00	$0.00	$0.00
MS332	DRG	MS332		RECTAL RESECTION WITH MCC	INPATIENT ONLY	"$887,584.06"	"$656,812.20"	$0.00	"$103,355.68"	$0.00	$0.00	"$103,349.75"	"$103,349.75"	$0.00	$0.00	$0.00	$0.00	$0.00	"$103,355.68"	$0.00	"$64,185.57"	$0.00	$0.00	"$90,845.74"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$86,519.75"	$0.00	$0.00	$0.00	$0.00	$0.00
MS333	DRG	MS333		RECTAL RESECTION WITH CC	INPATIENT ONLY	"$620,492.87"	"$459,164.72"	$0.00	"$65,011.79"	$0.00	$0.00	"$65,011.79"	"$65,011.79"	$0.00	$0.00	$0.00	$0.00	$0.00	"$65,006.35"	$0.00	$0.00	$0.00	$0.00	"$56,104.18"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$53,432.55"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$91,012.77"	"$110,895.56"	$0.00	"$40,549.32"	$0.00	"$40,549.32"	$0.00	"$46,179.48"	"$46,179.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS336	DRG	MS336		PERITONEAL ADHESIOLYSIS WITH CC	INPATIENT ONLY	"$219,777.95"	"$162,635.68"	$0.00	"$31,652.16"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,289.24"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,652.16"	"$31,652.16"	"$27,894.51"	$0.00	$0.00	$0.00	$0.00	$0.00
MS337	DRG	MS337		PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC	INPATIENT ONLY	"$186,895.48"	"$138,302.66"	$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	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$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"	"$86,067.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$48,704.12"	$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	$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	$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	$0.00	$0.00	$0.00	"$36,751.27"	$0.00	$0.00	$0.00	$0.00	$0.00
MS342	DRG	MS342		APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC	INPATIENT ONLY	"$99,896.38"	"$73,923.32"	$0.00	"$75,672.75"	"$4,542.21"	"$4,542.21"	$0.00	$0.00	"$11,703.42"	$0.00	$0.00	$0.00	"$3,348.41"	$0.00	$0.00	$0.00	"$75,672.75"	"$75,672.75"	$0.00	"$5,521.83"	"$60,127.78"	$0.00	"$16,142.14"	"$75,672.75"	"$16,142.14"	$0.00	"$26,295.79"	"$26,295.79"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,075.14"	"$70,753.35"	"$58,511.81"	"$11,543.98"	$0.00	"$11,543.98"	$0.00	"$22,549.80"	"$22,549.80"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$22,388.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,388.55"	$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
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	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$16,830.84"	$0.00	$0.00	$0.00	$0.00	"$23,744.82"	$0.00	$0.00	$0.00	"$23,433.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,654.33"	"$24,654.33"	"$22,317.52"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,168.36"	$0.00	$0.00	$0.00	"$6,026.40"	"$40,375.68"	$0.00	"$9,832.84"	$0.00	"$9,832.84"	$0.00	"$21,155.80"	"$21,155.80"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$29,021.10"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$93,600.21"	"$114,048.28"	$0.00	"$14,618.44"	$0.00	"$14,618.44"	$0.00	"$25,054.47"	"$25,054.47"	$0.00	$0.00	$0.00	$0.00	$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"	"$120,426.90"	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,938.97"	"$21,938.97"	$0.00	$0.00	$0.00	$0.00	$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	"$31,929.81"	"$31,929.81"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,077.63"	"$5,681.42"	"$77,604.07"	$0.00	"$29,741.12"	$0.00	"$29,741.12"	$0.00	"$37,374.40"	"$37,374.40"	"$32,454.89"	$0.00	$0.00	$0.00	$0.00	$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"	"$101,424.28"	"$23,371.27"	"$23,371.27"	$0.00	$0.00	$0.00	$0.00	"$53,576.10"	"$23,339.39"	$0.00	"$23,838.70"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,208.78"	"$27,208.78"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$46,441.63"	$0.00	$0.00	"$40,783.74"	"$40,783.74"	$0.00	$0.00	$0.00	$0.00	$0.00	"$40,706.81"	$0.00	"$41,599.41"	$0.00	$0.00	"$39,681.10"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$46,441.63"	"$46,441.63"	"$39,681.10"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	"$26,669.02"	$0.00	$0.00	$0.00	$0.00	"$27,791.66"	$0.00	$0.00	$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
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,778.35"	"$66,333.91"	$0.00	"$13,749.33"	$0.00	"$13,749.33"	$0.00	"$24,346.43"	"$24,346.43"	$0.00	$0.00	$0.00	$0.00	$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"	"$17,417.13"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,857.51"	$0.00	$0.00	$0.00	"$4,678.10"	"$21,077.61"	$0.00	"$19,082.27"	$0.00	"$19,082.27"	$0.00	"$28,691.00"	"$28,691.00"	$0.00	$0.00	$0.00	$0.00	$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	"$18,487.75"	"$18,487.75"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,468.52"	$0.00	"$18,857.51"	$0.00	$0.00	$0.00	"$8,473.19"	"$17,181.21"	$0.00	"$10,656.83"	$0.00	"$10,656.83"	$0.00	"$21,827.08"	"$21,827.08"	$0.00	$0.00	$0.00	$0.00	$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"	"$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	$0.00	$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	"$23,001.33"	"$23,001.33"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,970.42"	$0.00	"$23,461.36"	$0.00	$0.00	"$25,594.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,236.55"	"$27,236.55"	"$24,375.45"	$0.00	$0.00	$0.00	$0.00	$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	"$18,157.17"	"$18,157.17"	$0.00	"$3,697.23"	$0.00	$0.00	$0.00	"$18,138.79"	"$9,522.34"	"$18,520.31"	$0.00	$0.00	"$20,790.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,495.52"	"$21,495.52"	"$19,800.09"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$17,973.20"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,173.20"	"$25,365.10"	"$25,365.10"	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,328.06"	$0.00	"$25,872.40"	$0.00	$0.00	"$27,453.01"	$0.00	$0.00	"$103,204.32"	$0.00	$0.00	$0.00	$0.00	"$25,228.00"	"$25,228.00"	"$26,145.72"	$0.00	$0.00	$0.00	$0.00	$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	"$19,387.71"	"$19,387.71"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,366.15"	$0.00	"$19,775.46"	$0.00	$0.00	"$22,052.97"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,004.69"	"$23,004.69"	"$21,002.83"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	"$17,241.18"	$0.00	"$17,602.37"	$0.00	$0.00	"$20,645.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,662.12"	$0.00	$0.00	$0.00	$0.00	$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"	"$20,646.76"	"$23,484.44"	"$23,484.44"	$0.00	"$15,384.27"	$0.00	$0.00	$0.00	"$23,452.27"	"$15,384.27"	"$23,954.13"	$0.00	$0.00	"$25,897.63"	$0.00	$0.00	"$56,749.25"	$0.00	$0.00	$0.00	$0.00	"$27,599.14"	"$27,599.14"	"$24,664.41"	$0.00	$0.00	$0.00	$0.00	$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"	"$17,023.65"	"$17,910.11"	"$17,910.11"	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,892.36"	$0.00	"$18,268.31"	$0.00	$0.00	"$19,576.19"	"$14,569.53"	"$34,384.78"	$0.00	"$9,905.01"	$0.00	"$9,905.01"	"$8,932.14"	"$21,214.59"	"$21,214.59"	"$19,576.19"	"$9,378.74"	$0.00	$0.00	$0.00	$0.00
MS379	DRG	MS379		GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC	INPATIENT ONLY	"$37,486.96"	"$27,740.35"	$0.00	"$18,418.41"	"$8,963.57"	"$8,963.57"	"$15,451.11"	"$15,451.11"	"$6,048.07"	$0.00	$0.00	$0.00	"$10,935.84"	"$15,439.72"	$0.00	"$15,760.13"	"$9,558.00"	"$9,558.00"	"$18,215.14"	$0.00	$0.00	$0.00	$0.00	"$9,558.00"	$0.00	$0.00	"$18,418.41"	"$18,418.41"	"$17,347.75"	$0.00	$0.00	$0.00	$0.00	$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	"$29,530.88"	"$29,530.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,555.31"	$0.00	$0.00	$0.00	"$159,412.49"	"$194,237.98"	$0.00	"$24,569.41"	$0.00	"$24,569.41"	$0.00	"$28,560.33"	"$28,560.33"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,173.20"	"$18,364.22"	"$18,364.22"	$0.00	$0.00	$0.00	$0.00	"$13,393.64"	$0.00	$0.00	"$18,731.50"	$0.00	$0.00	"$21,160.49"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,938.15"	"$21,938.15"	"$20,152.85"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,976.51"	"$23,976.51"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS384	DRG	MS384		UNCOMPLICATED PEPTIC ULCER WITHOUT MCC	INPATIENT ONLY	"$33,274.53"	"$24,623.15"	$0.00	"$26,787.28"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,787.28"	$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	$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	"$22,249.76"	"$22,249.76"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,220.79"	$0.00	"$22,694.76"	$0.00	$0.00	"$24,806.99"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,625.70"	$0.00	$0.00	$0.00	$0.00	$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"	"$20,433.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,696.82"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,535.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,190.92"	"$21,190.92"	"$19,557.33"	$0.00	$0.00	$0.00	$0.00	$0.00
MS387	DRG	MS387		INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC	INPATIENT ONLY	"$23,208.03"	"$17,173.94"	$0.00	"$16,305.69"	$0.00	$0.00	"$15,985.97"	"$15,985.97"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,305.69"	$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
MS388	DRG	MS388		GASTROINTESTINAL OBSTRUCTION WITH MCC	INPATIENT ONLY	"$77,758.35"	"$57,541.18"	$0.00	"$25,918.43"	"$25,918.43"	"$25,918.43"	"$21,506.47"	"$21,506.47"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,479.43"	$0.00	"$21,936.60"	$0.00	$0.00	"$24,224.74"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,599.99"	"$25,599.99"	"$23,071.18"	$0.00	$0.00	$0.00	$0.00	$0.00
MS389	DRG	MS389		GASTROINTESTINAL OBSTRUCTION WITH CC	INPATIENT ONLY	"$39,413.46"	"$29,165.96"	$0.00	"$20,002.70"	$0.00	$0.00	"$16,734.77"	"$16,734.77"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,720.07"	$0.00	"$17,069.47"	$0.00	$0.00	"$19,540.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,002.70"	"$20,002.70"	"$18,610.37"	$0.00	$0.00	$0.00	$0.00	$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"	"$95,740.02"	"$15,077.74"	"$15,077.74"	$0.00	"$5,565.81"	$0.00	$0.00	"$3,348.41"	"$15,067.32"	"$5,565.81"	"$15,379.29"	$0.00	$0.00	"$17,763.43"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,327.23"	$0.00	$0.00	"$16,917.55"	"$5,593.59"	$0.00	$0.00	$0.00	$0.00
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	"$19,674.82"	"$19,674.82"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,652.52"	$0.00	"$20,068.32"	$0.00	$0.00	"$22,242.27"	"$7,432.68"	"$17,525.21"	$0.00	"$12,380.02"	$0.00	"$12,380.02"	$0.00	"$23,230.90"	"$23,230.90"	"$21,183.11"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,630.39"	"$16,338.64"	"$16,338.64"	$0.00	"$2,286.70"	$0.00	$0.00	"$6,696.82"	$0.00	"$7,045.49"	"$16,665.41"	$0.00	$0.00	"$19,006.49"	"$11,228.32"	"$41,242.74"	"$23,420.75"	"$7,633.51"	$0.00	"$7,633.51"	"$4,002.23"	"$19,364.08"	"$19,364.08"	"$18,101.42"	"$4,259.49"	$0.00	$0.00	$0.00	$0.00
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"	"$16,829.88"	"$22,518.23"	"$22,518.23"	"$15,078.24"	$0.00	$0.00	$0.00	$0.00	"$22,488.57"	$0.00	"$22,968.59"	"$20,121.93"	"$20,121.93"	"$24,904.01"	$0.00	$0.00	$0.00	$0.00	"$20,121.93"	$0.00	$0.00	"$26,411.73"	"$26,411.73"	"$23,718.10"	$0.00	$0.00	$0.00	$0.00	$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	"$17,547.08"	"$17,547.08"	$0.00	$0.00	$0.00	$0.00	"$13,393.64"	"$17,530.28"	$0.00	"$17,898.02"	$0.00	$0.00	"$20,213.34"	"$7,280.15"	"$21,956.06"	$0.00	"$9,403.81"	$0.00	"$9,403.81"	"$5,243.56"	"$20,806.29"	"$20,806.29"	"$19,250.80"	"$5,580.62"	$0.00	$0.00	$0.00	$0.00
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"	"$24,982.77"	"$15,549.79"	"$15,549.79"	"$5,867.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,327.28"	"$9,772.50"	"$9,772.50"	$0.00	"$7,147.50"	"$12,116.27"	$0.00	"$6,559.90"	"$9,772.50"	"$6,559.90"	"$4,462.69"	"$18,489.46"	"$18,489.46"	$0.00	"$4,749.55"	$0.00	$0.00	$0.00	$0.00
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	"$50,651.50"	"$50,651.50"	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$48,467.35"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$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	"$50,500.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$50,500.02"	$0.00	$0.00						$0.00	$0.00			$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"	"$193,135.50"	$0.00	$0.00	"$49,341.28"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$195,549.45"	"$195,549.45"	$0.00	"$165,060.42"	"$201,119.77"	$0.00	"$26,144.96"	"$195,549.45"	"$26,144.96"	$0.00	"$26,701.64"	"$26,701.64"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$98,722.88"	"$120,290.03"	$0.00	"$20,566.86"	$0.00	"$20,566.86"	$0.00	"$29,900.46"	"$29,900.46"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$21,096.73"	$0.00	$0.00	"$44,529.93"	$0.00	"$21,096.73"	$0.00	$0.00	$0.00	"$30,276.71"	"$120,335.03"	"$146,623.60"	$0.00	"$24,165.59"	$0.00	"$24,165.59"	$0.00	"$32,832.21"	"$32,832.21"	"$28,834.96"	$0.00	$0.00	$0.00	$0.00	$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"	"$84,039.69"	"$22,710.10"	"$22,710.10"	$0.00	"$28,650.88"	$0.00	$0.00	$0.00	$0.00	"$28,651.56"	"$23,164.30"	$0.00	$0.00	"$25,207.41"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,007.06"	$0.00	$0.00	$0.00	$0.00	$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"	"$91,322.65"	$0.00	$0.00	"$12,698.94"	"$10,708.77"	$0.00	$0.00	$0.00	$0.00	"$11,244.21"	$0.00	"$92,670.16"	"$92,670.16"	"$22,732.94"	"$85,947.21"	"$104,723.37"	"$67,774.35"	"$13,099.76"	"$92,670.16"	"$13,099.76"	"$10,762.21"	"$23,817.26"	"$23,817.26"	"$21,650.42"	"$11,300.32"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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"	"$8,624.70"	"$24,159.76"	"$24,159.76"	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,000.21"	$0.00	$784.10	$0.00	$0.00	"$26,263.25"	"$17,070.50"	"$27,475.36"	$0.00	"$18,278.31"	$0.00	"$18,278.31"	$0.00	"$28,036.05"	"$28,036.05"	"$25,012.62"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$18,161.31"	"$18,161.31"	"$8,187.57"	$0.00	$0.00	$0.00	"$13,393.64"	"$18,142.93"	$0.00	"$18,524.54"	"$15,448.50"	"$15,448.50"	"$20,855.02"	"$14,492.23"	"$29,212.66"	$0.00	"$10,345.09"	"$15,448.50"	"$10,345.09"	$0.00	"$21,573.12"	"$21,573.12"	"$19,861.92"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	$0.00	$0.00	$0.00	"$6,206.31"	$0.00	$0.00	$0.00	"$15,326.14"	"$6,206.31"	$0.00	$0.00	$0.00	"$18,175.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,310.00"	$0.00	$0.00	$0.00	$0.00	$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"	"$13,847.40"	"$23,154.55"	"$23,154.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,617.64"	$0.00	$0.00	"$25,400.15"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,004.64"	"$27,004.64"	"$24,190.62"	$0.00	$0.00	$0.00	$0.00	$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	"$18,793.50"	"$18,793.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,773.47"	$0.00	$0.00	$0.00	$0.00	"$21,514.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,489.83"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$19,475.99"	$0.00	$0.00	$0.00	$0.00	$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	"$22,080.67"	"$22,080.67"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,522.28"	$0.00	$0.00	"$24,998.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,524.44"	"$26,524.44"	"$23,807.93"	$0.00	$0.00	$0.00	$0.00	$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"	"$27,105.60"	"$16,886.61"	"$16,886.61"	$0.00	"$8,501.51"	$0.00	$0.00	$0.00	"$16,871.51"	"$8,501.51"	"$17,224.34"	$0.00	$0.00	"$19,592.13"	"$3,287.36"	"$18,691.33"	$0.00	"$8,492.59"	$0.00	"$8,492.59"	"$8,137.08"	"$20,063.94"	"$20,063.94"	"$18,659.17"	"$8,543.93"	$0.00	$0.00	$0.00	$0.00
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"	"$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	$0.00	$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	"$236,480.96"	$0.00	$0.00	"$24,024.82"	"$24,024.82"	$0.00	$0.00	$0.00	$0.00	"$236,480.96"	$0.00	$0.00	"$29,751.07"	$0.00	$0.00	"$26,532.44"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,575.49"	"$19,575.49"	"$26,532.44"	$0.00	$0.00	$0.00	$0.00	$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	"$20,767.89"	"$16,346.40"	"$16,346.40"	"$17,471.86"	"$17,471.86"	$0.00	$0.00	$0.00	$0.00	"$16,742.05"	"$17,455.25"	$0.00	$171.72	$0.00	$0.00	"$20,181.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,767.89"	"$20,767.89"	"$19,220.20"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,711.30"	"$15,630.55"	"$15,630.55"	"$5,812.44"	$0.00	$0.00	$0.00	$0.00	"$15,618.70"	$0.00	"$15,943.16"	"$9,948.00"	"$9,948.00"	$0.00	"$10,031.02"	"$38,930.80"	$0.00	"$6,819.53"	"$9,948.00"	"$6,819.53"	"$6,169.37"	"$18,700.96"	"$18,700.96"	$0.00	"$6,477.83"	$0.00	$0.00	$0.00	$0.00
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"	"$16,346.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,041.82"	$0.00	$0.00	"$24,914.95"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,728.52"	$0.00	$0.00	$0.00	$0.00	$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	"$18,489.83"	"$18,489.83"	$0.00	"$10,502.48"	$0.00	$0.00	$0.00	$0.00	"$10,502.48"	"$18,859.63"	$0.00	$0.00	"$21,145.45"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,920.18"	"$21,920.18"	"$20,138.52"	$0.00	$0.00	$0.00	$0.00	$0.00
MS446	DRG	MS446		DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	INPATIENT ONLY	"$46,325.27"	"$34,280.70"	$0.00	"$13,393.64"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,393.64"	$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	$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	"$236,554.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$236,554.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$271,075.74"	$0.00	$0.00	$0.00	$0.00	$0.00	"$104,673.75"	$0.00	$0.00	"$271,075.74"	$0.00	"$104,674.30"	$0.00	$0.00	$0.00	"$55,659.30"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$63,264.79"	"$63,164.90"	"$63,164.90"	"$53,008.86"	"$50,919.68"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	"$71,814.47"	$0.00	$0.00	"$70,406.34"	"$70,406.34"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$71,814.47"	$0.00	$0.00						$0.00	$0.00			$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	"$69,502.94"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$69,502.94"	$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
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"	"$294,344.86"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$259,255.92"	$0.00	$0.00	$0.00	$0.00	$0.00	"$60,627.44"	"$173,392.23"	"$211,271.76"	$0.00	"$68,686.54"	$0.00	"$68,686.54"	$0.00	"$69,101.93"	"$69,101.93"	"$57,740.42"	$0.00	$0.00	$0.00	$0.00	$0.00
MS460	DRG	MS460		SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	INPATIENT ONLY	"$243,368.62"	"$180,092.78"	$0.00	"$66,414.60"	$0.00	$0.00	"$38,181.18"	"$38,181.18"	$0.00	"$49,968.85"	$0.00	$0.00	$0.00	$0.00	"$66,414.60"	"$38,944.80"	$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	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$55,832.33"	"$334,570.22"	"$407,660.93"	$0.00	"$94,279.70"	$0.00	"$94,279.70"	$0.00	"$55,837.96"	"$55,837.96"	"$53,173.65"	$0.00	$0.00	$0.00	$0.00	$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"	"$115,976.76"	"$31,591.63"	"$31,591.63"	$0.00	"$88,498.29"	$0.00	$0.00	$0.00	$0.00	"$88,498.29"	"$32,223.46"	$0.00	$0.00	$0.00	"$120,098.69"	"$146,335.63"	$0.00	"$29,598.76"	$0.00	"$29,598.76"	"$27,265.48"	"$37,258.44"	"$37,258.44"	$0.00	"$28,628.74"	$0.00	$0.00	$0.00	$0.00
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	"$117,446.30"	"$101,350.92"	"$101,350.92"	$0.00	$0.00	"$23,618.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$117,446.30"	"$117,446.30"	$0.00	"$28,239.62"	"$77,963.23"	$0.00	"$19,198.54"	"$117,446.30"	"$19,198.54"	"$13,287.73"	"$28,785.73"	"$28,785.73"	$0.00	"$13,952.11"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$54,786.94"	"$54,786.94"	$0.00	$0.00	$0.00	$0.00	$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	"$35,743.58"	"$35,743.58"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$36,458.45"	$0.00	$0.00	"$37,803.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$41,826.76"	"$41,826.76"	"$36,003.24"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$36,110.24"	"$36,110.24"	$0.00	$0.00	$0.00	$0.00	$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	"$38,787.20"	$0.00	$0.00	"$32,350.79"	"$32,350.79"	$0.00	$0.00	$0.00	$0.00	$0.00	"$32,295.68"	$0.00	"$32,859.14"	$0.00	$0.00	"$35,259.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,787.20"	"$38,787.20"	"$33,580.84"	$0.00	$0.00	$0.00	$0.00	$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"	"$90,107.90"	"$24,168.39"	"$24,168.39"	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,134.45"	$0.00	"$26,686.88"	$0.00	$0.00	"$27,254.14"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,220.19"	"$29,220.19"	"$25,956.32"	$0.00	$0.00	$0.00	$0.00	$0.00
MS471	DRG	MS471		CERVICAL SPINAL FUSION WITH MCC	INPATIENT ONLY	"$357,681.21"	"$264,684.10"	$0.00	"$46,610.85"	$0.00	$0.00	"$45,696.91"	"$45,696.91"	$0.00	$0.00	$0.00	$0.00	$0.00	"$45,607.28"	$0.00	"$46,610.85"	$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
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	"$32,128.57"	"$32,128.57"	$0.00	"$97,395.39"	$0.00	$0.00	$0.00	"$32,074.03"	"$97,407.75"	"$32,771.14"	$0.00	$0.00	"$34,587.43"	"$131,568.61"	"$160,311.29"	$0.00	"$30,488.93"	$0.00	"$30,488.93"	$0.00	"$37,983.62"	"$37,983.62"	"$32,940.41"	$0.00	$0.00	$0.00	$0.00	$0.00
MS473	DRG	MS473		CERVICAL SPINAL FUSION WITHOUT CC/MCC	INPATIENT ONLY	"$239,665.96"	"$177,352.81"	$0.00	"$107,627.95"	"$99,766.44"	"$99,766.44"	"$28,576.36"	"$28,576.36"	$0.00	"$40,046.68"	$0.00	$0.00	"$107,627.95"	"$28,531.02"	"$40,046.68"	"$29,147.89"	$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
MS474	DRG	MS474		AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC	INPATIENT ONLY	"$201,974.02"	"$149,460.77"	$0.00	"$40,282.68"	$0.00	$0.00	"$39,184.68"	"$39,184.68"	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,111.88"	$0.00	"$39,968.37"	$0.00	$0.00	"$40,282.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,364.46"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,160.30"	"$267,962.31"	"$326,501.77"	$0.00	"$64,048.46"	$0.00	"$64,048.46"	$0.00	"$30,303.06"	"$30,303.06"	"$26,819.33"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,685.83"	$0.00	$0.00	$0.00	"$9,120.12"	$0.00	$0.00	$0.00	$0.00
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	"$34,234.90"	"$34,234.90"	$0.00	$0.00	$0.00	$0.00	$0.00	"$34,174.93"	$0.00	"$34,919.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,729.61"	"$39,729.61"	$0.00	$0.00	$0.00	$0.00	$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	"$224,555.14"	"$217,556.76"	"$217,556.76"	$0.00	$0.00	"$61,408.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$224,555.14"	"$224,555.14"	"$29,637.06"	$0.00	$0.00	$0.00	$0.00	"$224,555.14"	$0.00	"$20,384.36"	"$32,067.82"	"$32,067.82"	"$28,225.77"	"$21,403.57"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$15,452.22"	"$15,243.66"	$0.00	$0.00	$0.00	$0.00	"$20,028.55"	$0.00	"$69,077.11"	"$69,077.11"	$0.00	"$18,769.33"	"$71,699.35"	$0.00	"$17,864.32"	"$69,077.11"	"$17,864.32"	$0.00	"$27,698.78"	"$27,698.78"	$0.00	$0.00	$0.00	$0.00	$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"	"$155,993.30"	"$31,936.01"	"$31,936.01"	$0.00	"$68,695.36"	$0.00	$0.00	"$113,747.24"	"$31,881.99"	"$68,695.36"	"$32,574.73"	$0.00	$0.00	"$34,430.27"	"$117,923.11"	"$143,684.76"	$0.00	"$30,258.36"	$0.00	"$30,258.36"	$0.00	"$37,795.79"	"$37,795.79"	"$32,790.73"	$0.00	$0.00	$0.00	$0.00	$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"	"$103,487.69"	"$25,519.71"	"$25,519.71"	$0.00	"$34,406.15"	$0.00	$0.00	"$69,006.41"	"$25,482.27"	"$44,024.27"	"$26,030.10"	$0.00	$0.00	"$28,070.09"	"$19,240.38"	"$68,283.40"	"$91,568.13"	"$20,928.74"	$0.00	"$20,928.74"	"$16,097.59"	"$30,195.26"	"$30,195.26"	"$26,733.42"	"$16,920.75"	$0.00	$0.00	$0.00	$0.00
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"	"$106,385.28"	"$22,411.96"	"$22,411.96"	"$94,795.46"	"$28,317.96"	$0.00	$0.00	"$10,396.95"	"$22,382.56"	"$21,211.70"	"$22,860.20"	"$94,795.46"	"$94,795.46"	"$25,046.15"	"$20,216.62"	"$82,311.01"	"$82,947.32"	"$16,492.99"	"$94,795.46"	"$16,492.99"	"$15,016.39"	"$26,581.60"	"$26,581.60"	"$23,853.48"	"$15,767.20"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	"$27,475.77"	$0.00	$0.00	$0.00	$0.00	"$30,149.61"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$32,680.33"	"$32,680.33"	"$28,713.91"	$0.00	$0.00	$0.00	$0.00	$0.00
MS485	DRG	MS485		KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC	INPATIENT ONLY	"$181,169.09"	"$134,065.13"	$0.00	"$34,584.81"	$0.00	$0.00	"$34,584.81"	"$34,584.81"	$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
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	$0.00	$0.00	$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	$0.00	$0.00	"$22,344.01"	$0.00	$0.00	$0.00	$0.00	"$24,785.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,605.52"	$0.00	$0.00	$0.00	$0.00	$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"	"$137,696.34"	"$24,688.76"	"$24,688.76"	$0.00	"$31,065.50"	$0.00	$0.00	$0.00	$0.00	"$37,012.28"	"$25,182.54"	$0.00	$0.00	"$27,259.61"	"$135,883.23"	"$165,568.51"	"$263,384.75"	"$19,739.85"	$0.00	"$19,739.85"	"$13,685.26"	"$29,226.72"	"$29,226.72"	"$25,961.53"	"$14,369.52"	$0.00	$0.00	$0.00	$0.00
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"	"$199,162.73"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,406.27"	"$101,383.95"	"$123,532.45"	"$242,647.77"	"$12,620.61"	$0.00	"$12,620.61"	$0.00	"$23,426.88"	"$23,426.88"	"$21,339.30"	$0.00	$0.00	$0.00	$0.00	$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"	"$137,567.97"	"$35,001.66"	"$35,001.66"	$0.00	"$28,627.59"	$0.00	$0.00	"$132,023.09"	"$34,939.69"	"$30,058.98"	"$27,647.07"	$0.00	$0.00	"$37,346.90"	"$137,483.85"	"$167,518.79"	"$97,394.98"	"$42,010.85"	$0.00	"$42,010.85"	$0.00	"$41,281.24"	"$41,281.24"	"$35,568.48"	$0.00	$0.00	$0.00	$0.00	$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"	$0.00	"$136,591.07"	"$118,634.14"	"$118,634.14"	"$27,104.97"	"$27,104.97"	"$30,494.41"	"$20,250.93"	$0.00	$0.00	"$22,271.98"	"$27,063.44"	"$20,250.93"	"$27,647.07"	"$136,591.07"	"$136,591.07"	"$28,127.50"	"$89,392.64"	"$108,921.50"	"$67,758.80"	"$23,075.96"	"$136,591.07"	"$23,075.96"	"$12,466.42"	"$31,944.52"	"$31,944.52"	"$28,127.50"	"$13,089.73"	$0.00	$0.00	$0.00	$0.00
MS494	DRG	MS494		"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC"	INPATIENT ONLY	"$138,260.52"	"$102,312.78"	$0.00	"$95,441.38"	"$26,344.79"	"$26,344.79"	"$23,832.96"	"$23,832.96"	"$13,742.95"	"$16,007.13"	$0.00	$0.00	"$10,821.20"	"$23,799.89"	"$16,007.13"	"$24,309.62"	"$81,035.66"	"$81,035.66"	"$26,181.24"	"$8,346.59"	"$77,751.89"	"$95,441.38"	"$18,158.03"	"$81,035.66"	"$18,158.03"	"$12,466.42"	"$27,938.05"	"$27,938.05"	"$24,934.51"	"$13,089.73"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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"	"$19,806.91"	$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	$0.00	"$13,025.13"	"$29,808.99"	"$29,808.99"	$0.00	"$13,676.38"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$28,838.72"	$0.00	$0.00	$0.00	$0.00	"$30,532.28"	"$120,037.39"	"$146,260.94"	$0.00	"$24,540.49"	$0.00	"$24,540.49"	$0.00	"$33,137.63"	"$33,137.63"	"$29,078.36"	$0.00	$0.00	$0.00	$0.00	$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	"$11,045.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,045.89"	$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	$0.00	$0.00	$0.00
MS500	DRG	MS500		SOFT TISSUE PROCEDURES WITH MCC	INPATIENT ONLY	"$578,168.03"	"$427,844.34"	$0.00	"$311,174.26"	"$102,731.36"	"$102,731.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$311,174.26"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$80,884.60"	"$80,884.60"	$0.00	"$80,884.60"	$0.00	"$80,884.60"	$0.00	"$37,768.84"	"$37,768.84"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,437.05"	"$23,011.70"	"$23,011.70"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,980.75"	$0.00	"$23,471.93"	$0.00	$0.00	"$25,269.62"	"$95,259.31"	"$116,069.81"	"$62,879.13"	"$16,820.79"	$0.00	"$16,820.79"	$0.00	"$26,848.64"	"$26,848.64"	"$24,066.30"	$0.00	$0.00	$0.00	$0.00	$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"	"$98,313.18"	"$20,251.78"	"$20,251.78"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,656.82"	$0.00	$0.00	"$22,827.91"	"$135,225.45"	"$164,767.02"	$0.00	"$14,731.48"	$0.00	"$14,731.48"	$0.00	"$23,930.76"	"$23,930.76"	"$21,740.87"	$0.00	$0.00	$0.00	$0.00	$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	"$29,277.56"	"$29,277.56"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,863.11"	$0.00	$0.00	"$32,367.16"	"$187,255.41"	"$148,306.29"	$0.00	"$187,255.41"	$0.00	"$187,255.41"	$0.00	"$35,330.35"	"$35,330.35"	"$30,825.87"	$0.00	$0.00	$0.00	$0.00	$0.00
MS504	DRG	MS504		FOOT PROCEDURES WITH CC	INPATIENT ONLY	"$113,617.68"	"$84,077.08"	$0.00	"$148,692.35"	"$142,601.36"	"$142,601.36"	"$23,303.62"	"$23,303.62"	"$33,045.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,769.69"	"$148,692.35"	"$148,692.35"	$0.00	"$94,993.22"	"$115,745.60"	$0.00	"$17,407.21"	"$148,692.35"	"$17,407.21"	$0.00	"$27,326.39"	"$27,326.39"	$0.00	$0.00	$0.00	$0.00	$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"	"$14,075.15"	"$23,303.62"	"$23,303.62"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,271.93"	$0.00	"$23,769.69"	$0.00	$0.00	$0.00	"$109,337.71"	"$133,223.81"	$0.00	"$16,855.87"	$0.00	"$16,855.87"	$0.00	"$26,878.91"	"$26,878.91"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS506	DRG	MS506		MAJOR THUMB OR JOINT PROCEDURES	INPATIENT ONLY	"$77,651.23"	"$57,461.91"	$0.00	"$21,718.38"	$0.00	$0.00	"$21,292.53"	"$21,292.53"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,266.04"	$0.00	"$21,718.38"	$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
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	"$142,790.15"	$0.00	$0.00	"$30,588.88"	$0.00	$0.00	$0.00	"$147,439.34"	"$179,649.18"	$0.00	"$27,947.77"	$0.00	"$27,947.77"	$0.00	"$35,913.41"	"$35,913.41"	$0.00	$0.00	$0.00	$0.00	$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"	"$119,097.38"	"$24,631.47"	"$24,631.47"	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,596.33"	$0.00	"$25,124.10"	$0.00	$0.00	"$26,678.75"	"$83,340.79"	"$101,547.55"	$0.00	"$18,887.80"	$0.00	"$18,887.80"	"$14,202.32"	"$28,532.58"	"$28,532.58"	"$25,408.33"	"$14,912.43"	$0.00	$0.00	$0.00	$0.00
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"	"$4,526.08"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$43,076.17"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,928.39"	"$69,039.85"	"$47,895.51"	"$15,174.79"	$0.00	"$15,174.79"	"$9,356.83"	"$25,507.72"	"$25,507.72"	$0.00	"$9,824.67"	$0.00	$0.00	$0.00	$0.00
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	"$21,902.63"	"$21,902.63"	$0.00	$0.00	$0.00	$0.00	"$9,665.56"	"$21,874.54"	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,775.22"	"$34,223.36"	"$95,133.80"	"$15,809.32"	$0.00	"$15,809.32"	$0.00	"$26,024.64"	"$26,024.64"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,109.64"	"$5,825.91"	"$38,957.44"	$0.00	"$10,693.93"	$0.00	"$10,693.93"	$0.00	"$21,857.31"	"$21,857.31"	"$20,104.47"	$0.00	$0.00	$0.00	$0.00	$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"	"$265,646.77"	"$32,728.31"	"$32,728.31"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,382.88"	$0.00	$0.00	"$35,356.23"	"$171,828.87"	"$209,366.89"	$0.00	"$31,616.65"	$0.00	"$31,616.65"	$0.00	"$38,902.35"	"$38,902.35"	"$33,672.60"	$0.00	$0.00	$0.00	$0.00	$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"	"$6,477.57"	"$24,599.75"	"$24,599.75"	"$18,238.84"	"$59,746.59"	$0.00	$0.00	"$40,231.44"	$0.00	"$59,758.95"	"$25,091.75"	"$82,828.31"	"$82,828.31"	"$27,053.91"	"$6,215.66"	"$41,578.09"	"$192,718.78"	"$19,438.14"	"$82,828.31"	"$19,438.14"	$0.00	"$28,980.91"	"$28,980.91"	"$25,765.63"	$0.00	$0.00	$0.00	$0.00	$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"	"$260,109.45"	"$20,703.15"	"$20,703.15"	$0.00	$0.00	$0.00	$0.00	"$44,163.99"	"$20,678.18"	$0.00	"$21,117.21"	$0.00	$0.00	$0.00	"$100,967.39"	"$123,024.86"	"$194,960.94"	"$14,187.39"	$0.00	"$14,187.39"	$0.00	"$24,703.31"	"$24,703.31"	$0.00	$0.00	$0.00	$0.00	$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	"$53,149.12"	$0.00	$0.00	"$35,808.45"	"$35,808.45"	$0.00	"$34,583.75"	$0.00	$0.00	$0.00	"$35,744.40"	"$53,149.12"	"$36,524.62"	$0.00	$0.00	"$35,329.63"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,329.63"	$0.00	$0.00	$0.00	$0.00	$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"	"$259,633.24"	"$24,580.40"	"$24,580.40"	$0.00	$0.00	$0.00	$0.00	"$153,503.88"	$0.00	$0.00	"$25,072.01"	$0.00	$0.00	$0.00	"$120,293.25"	"$146,572.73"	"$101,333.30"	"$19,133.38"	$0.00	"$19,133.38"	$0.00	"$28,732.65"	"$28,732.65"	$0.00	$0.00	$0.00	$0.00	$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	"$195,326.87"	$0.00	$0.00	"$20,841.86"	"$20,841.86"	$0.00	$0.00	$0.00	$0.00	"$195,326.87"	"$20,816.53"	$0.00	"$21,258.70"	$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
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"	"$110,446.07"	"$26,163.61"	"$26,163.61"	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,124.50"	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$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	$0.00	$0.00	$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	"$16,507.02"	"$16,507.02"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,492.92"	$0.00	$0.00	$0.00	$0.00	"$19,117.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,207.50"	$0.00	$0.00	$0.00	$0.00	$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	"$19,561.65"	"$19,561.65"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,952.88"	$0.00	$0.00	"$22,188.27"	"$45,475.45"	"$55,410.08"	$0.00	"$12,300.82"	$0.00	"$12,300.82"	$0.00	"$23,166.38"	"$23,166.38"	"$21,131.69"	$0.00	$0.00	$0.00	$0.00	$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"	"$10,159.55"	"$16,379.34"	"$16,379.34"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,365.57"	$0.00	"$16,706.93"	$0.00	$0.00	"$18,985.98"	"$41,943.03"	"$51,105.97"	$0.00	"$7,603.43"	$0.00	"$7,603.43"	$0.00	"$19,339.59"	"$19,339.59"	"$18,081.89"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$20,036.46"	"$20,036.46"	$0.00	"$12,280.17"	$0.00	$0.00	$0.00	"$20,013.22"	"$12,280.17"	"$20,437.19"	$0.00	$0.00	"$22,686.47"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,761.72"	"$23,761.72"	"$21,606.16"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,521.61"	"$13,050.54"	$0.00	"$9,089.03"	$0.00	"$9,089.03"	$0.00	"$20,549.86"	"$20,549.86"	$0.00	$0.00	$0.00	$0.00	$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"	"$20,433.00"	"$23,539.66"	"$23,539.66"	"$17,380.18"	$0.00	$0.00	$0.00	$0.00	"$23,507.35"	$0.00	"$24,010.45"	"$27,138.00"	"$27,138.00"	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,138.00"	$0.00	$0.00	"$28,047.49"	"$28,047.49"	$0.00	$0.00	$0.00	$0.00	$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"	"$57,212.40"	"$18,266.92"	"$18,266.92"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,248.25"	$0.00	"$19,775.46"	$0.00	$0.00	"$21,021.07"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,020.07"	$0.00	$0.00	$0.00	$0.00	$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"	"$20,893.70"	$0.00	$0.00	"$7,083.46"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,665.50"	"$11,665.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,665.50"	$0.00	$0.00	"$19,338.77"	"$19,338.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS545	DRG	MS545		CONNECTIVE TISSUE DISORDERS WITH MCC	INPATIENT ONLY	"$64,829.08"	"$47,973.52"	$0.00	"$55,923.33"	"$26,284.20"	"$26,284.20"	$0.00	$0.00	"$22,618.69"	"$41,824.02"	$0.00	$0.00	$0.00	$0.00	"$55,923.33"	$0.00	"$37,546.50"	"$37,546.50"	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,546.50"	$0.00	"$20,564.56"	"$33,790.14"	"$33,790.14"	$0.00	"$21,592.78"	$0.00	$0.00	$0.00	$0.00
MS546	DRG	MS546		CONNECTIVE TISSUE DISORDERS WITH CC	INPATIENT ONLY	"$55,499.36"	"$41,069.53"	$0.00	"$39,074.00"	"$20,716.21"	"$20,716.21"	"$19,390.49"	"$19,390.49"	$0.00	"$11,246.10"	$0.00	$0.00	$0.00	"$19,368.91"	"$11,246.10"	"$19,778.30"	$0.00	$0.00	$0.00	"$17,744.13"	"$39,074.00"	"$23,690.09"	"$12,063.24"	$0.00	"$12,063.24"	"$10,764.02"	"$22,972.84"	"$22,972.84"	$0.00	"$11,302.22"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,338.61"	"$3,981.64"	"$21,983.21"	$0.00	"$8,120.69"	$0.00	"$8,120.69"	$0.00	"$19,760.97"	"$19,760.97"	"$18,417.72"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,605.39"	"$33,605.39"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,746.96"	"$9,998.30"	$0.00	"$8,661.00"	$0.00	"$8,661.00"	$0.00	"$20,201.14"	"$20,201.14"	$0.00	$0.00	$0.00	$0.00	$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"	"$26,358.23"	"$22,284.97"	"$22,284.97"	$0.00	$0.00	$0.00	$0.00	"$11,045.89"	"$22,255.91"	$0.00	"$22,730.67"	$0.00	$0.00	"$24,664.14"	$0.00	$0.00	"$25,317.60"	$0.00	$0.00	$0.00	"$10,043.22"	"$26,125.09"	"$26,125.09"	"$23,489.66"	"$10,545.38"	$0.00	$0.00	$0.00	$0.00
MS552	DRG	MS552		MEDICAL BACK PROBLEMS WITHOUT MCC	INPATIENT ONLY	"$72,301.05"	"$53,502.78"	$0.00	"$46,583.09"	"$42,175.25"	"$42,175.25"	"$17,564.33"	"$17,564.33"	"$7,763.60"	"$8,531.79"	$0.00	$0.00	"$23,389.21"	"$17,547.49"	"$8,531.79"	"$17,915.62"	"$14,151.00"	"$14,151.00"	"$20,034.27"	"$3,841.70"	"$46,583.09"	"$46,274.32"	"$9,141.16"	"$14,151.00"	"$9,141.16"	"$8,166.06"	"$41,185.53"	"$41,185.53"	"$19,080.26"	"$8,574.36"	$0.00	$0.00	$0.00	$0.00
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	"$19,860.48"	"$19,860.48"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,806.02"	$0.00	"$20,225.30"	$0.00	$0.00	"$22,587.38"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,077.22"	"$28,077.22"	"$21,511.79"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,173.20"	"$16,522.90"	"$16,522.90"	"$6,492.58"	$0.00	$0.00	$0.00	$0.00	"$16,508.75"	$0.00	"$16,853.36"	"$11,887.50"	"$11,887.50"	"$19,182.11"	$0.00	$0.00	$0.00	$0.00	"$11,887.50"	$0.00	"$7,215.26"	"$19,573.95"	"$19,573.95"	"$18,268.68"	"$7,576.01"	$0.00	$0.00	$0.00	$0.00
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	"$20,498.16"	"$20,498.16"	$0.00	"$10,813.74"	$0.00	$0.00	$0.00	"$20,473.72"	"$10,813.74"	"$20,908.12"	$0.00	$0.00	"$22,791.03"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,282.80"	$0.00	$0.00	$0.00	$0.00	$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	"$16,634.69"	"$16,634.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,967.38"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,611.52"	"$19,611.52"	$0.00	$0.00	$0.00	$0.00	$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	"$20,709.35"	"$20,709.35"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,684.37"	$0.00	"$17,338.39"	$0.00	$0.00	$0.00	"$7,288.53"	"$23,483.23"	$0.00	"$14,617.44"	$0.00	"$14,617.44"	"$8,981.94"	"$25,053.66"	"$25,053.66"	$0.00	"$9,431.03"	$0.00	$0.00	$0.00	$0.00
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	"$16,998.42"	"$16,998.42"	$0.00	"$7,373.78"	$0.00	$0.00	"$3,348.41"	"$16,983.03"	"$7,373.78"	"$17,338.39"	$0.00	$0.00	"$19,689.18"	"$6,684.92"	"$14,709.82"	$0.00	"$8,634.93"	$0.00	"$8,634.93"	"$7,057.69"	"$20,179.91"	"$20,179.91"	"$18,751.60"	"$7,410.57"	$0.00	$0.00	$0.00	$0.00
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	"$23,926.84"	"$23,926.84"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,405.38"	$0.00	$0.00	"$26,115.65"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,872.05"	$0.00	$0.00	$0.00	$0.00	$0.00
MS560	DRG	MS560		"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC"	INPATIENT ONLY	"$37,994.06"	"$28,115.60"	$0.00	"$19,176.18"	$0.00	$0.00	"$18,479.48"	"$18,479.48"	$0.00	"$4,841.55"	$0.00	$0.00	$0.00	"$18,460.26"	"$19,176.18"	"$18,849.07"	$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
MS561	DRG	MS561		"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC"	INPATIENT ONLY	"$13,202.24"	"$9,769.66"	$0.00	"$16,852.65"	$0.00	$0.00	"$16,522.21"	"$16,522.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,852.65"	$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
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"	"$21,147.88"	"$20,797.00"	"$20,797.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,212.94"	$0.00	$0.00	"$23,008.32"	"$24,270.04"	"$29,572.12"	$0.00	"$13,503.74"	$0.00	"$13,503.74"	$0.00	"$24,146.36"	"$24,146.36"	"$21,912.69"	$0.00	$0.00	$0.00	$0.00	$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"	$0.00	"$30,007.85"	"$8,550.54"	"$8,550.54"	"$17,072.96"	"$17,072.96"	"$6,922.80"	"$10,446.77"	$0.00	$0.00	"$11,045.89"	$0.00	"$8,103.21"	"$17,414.42"	"$13,083.00"	"$13,083.00"	"$19,638.62"	"$24,627.66"	"$30,007.85"	"$29,566.02"	"$8,560.76"	"$13,083.00"	"$8,560.76"	"$7,755.86"	"$20,119.49"	"$20,119.49"	"$18,703.45"	"$8,143.64"	$0.00	$0.00	$0.00	$0.00
MS564	DRG	MS564		OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	INPATIENT ONLY	"$28,508.20"	"$21,096.07"	$0.00	"$33,697.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,697.98"	$0.00	$0.00	"$24,135.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$10,269.60"	"$25,493.02"	"$25,493.02"	"$22,985.93"	"$10,783.08"	$0.00	$0.00	$0.00	$0.00
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	"$18,019.16"	"$18,019.16"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,001.13"	$0.00	"$18,379.54"	$0.00	$0.00	$0.00	"$42,888.55"	"$52,258.04"	"$58,773.78"	"$9,828.83"	$0.00	"$9,828.83"	"$10,269.60"	"$21,152.55"	"$21,152.55"	$0.00	"$10,783.08"	$0.00	$0.00	$0.00	$0.00
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"	"$14,242.21"	$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	$0.00	$0.00	"$19,333.07"	"$19,333.07"	$0.00	$0.00	$0.00	$0.00	$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	"$30,665.46"	"$30,665.46"	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,614.70"	$0.00	"$31,278.77"	$0.00	$0.00	"$29,679.42"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,352.79"	"$37,352.79"	"$29,679.42"	$0.00	$0.00	$0.00	$0.00	$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	"$59,862.87"	"$59,862.87"	$0.00	"$14,515.09"	$0.00	$0.00	"$11,045.89"	"$59,924.61"	"$14,515.09"	"$61,129.05"	$0.00	$0.00	"$25,230.67"	"$7,827.96"	"$92,480.47"	$0.00	"$16,763.65"	$0.00	"$16,763.65"	$0.00	"$26,802.10"	"$26,802.10"	"$24,029.21"	$0.00	$0.00	$0.00	$0.00	$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	"$11,045.89"	$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	$0.00	$0.00	$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	"$96,481.54"	"$94,618.60"	"$94,618.60"	$0.00	$0.00	"$23,472.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$96,481.54"	"$96,481.54"						"$96,481.54"	$0.00			$0.00			$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$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	"$191,834.21"	$0.00	$0.00	"$187,666.77"	"$187,666.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$191,834.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$52,745.32"	"$52,745.32"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$21,509.22"	$0.00	$0.00	"$152,022.01"	$0.00	"$21,509.22"	$0.00	$0.00	$0.00	"$30,310.19"	"$172,709.30"	"$210,439.66"	$0.00	"$30,411.56"	$0.00	"$30,411.56"	"$20,587.20"	"$32,872.23"	"$32,872.23"	"$28,866.85"	"$21,616.55"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$15,734.20"	$0.00	$0.00	$0.00	$0.00	"$15,734.20"	$0.00	$0.00	$0.00	$0.00	"$6,314.74"	"$89,151.39"	$0.00	"$16,313.56"	$0.00	"$16,313.56"	$0.00	"$26,435.44"	"$26,435.44"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,506.89"	$0.00	$0.00	"$34,208.84"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,531.20"	"$37,531.20"	"$32,579.85"	$0.00	$0.00	$0.00	$0.00	$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"	"$103,996.14"	"$22,984.77"	"$22,984.77"	$0.00	"$17,934.78"	$0.00	$0.00	$0.00	"$22,953.89"	"$17,934.78"	"$23,444.47"	$0.00	$0.00	"$24,796.03"	"$13,426.57"	"$96,657.78"	$0.00	"$16,126.10"	$0.00	"$16,126.10"	"$13,096.07"	"$26,282.71"	"$26,282.71"	"$23,615.27"	"$13,137.34"	$0.00	$0.00	$0.00	$0.00
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"	"$98,764.64"	$0.00	$0.00	$0.00	"$34,620.26"	$0.00	$0.00	$0.00	$0.00	"$44,809.25"	"$17,283.48"	$0.00	$0.00	"$22,377.58"	"$237,776.11"	"$289,721.02"	$0.00	"$51,492.35"	$0.00	"$51,492.35"	"$8,905.88"	"$23,392.60"	"$23,392.60"	"$21,311.98"	"$9,351.17"	$0.00	$0.00	$0.00	$0.00
MS582	DRG	MS582		MASTECTOMY FOR MALIGNANCY WITH CC/MCC	INPATIENT ONLY	"$129,566.31"	"$95,879.07"	$0.00	"$22,841.19"	$0.00	$0.00	"$22,393.32"	"$22,393.32"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,841.19"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$29,509.94"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,037.12"	$0.00	$0.00	$0.00	$0.00	"$29,509.94"	$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	$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"	"$474,664.05"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$15,496.32"	$0.00	$0.00	$0.00	"$16,271.13"	$0.00	$0.00	$0.00	$0.00
MS585	DRG	MS585		"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC"	INPATIENT ONLY	"$165,756.69"	"$122,659.95"	$0.00	"$66,928.30"	$0.00	$0.00	$0.00	$0.00	$0.00	"$32,770.74"	$0.00	$0.00	$0.00	$0.00	"$32,770.74"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$66,928.30"	$0.00	$0.00	$0.00	"$15,175.67"	$0.00	$0.00	$0.00	$0.00
MS592	DRG	MS592		SKIN ULCERS WITH MCC	INPATIENT ONLY	"$22,209.32"	"$16,434.90"	$0.00	"$23,226.65"	$0.00	$0.00	"$22,784.82"	"$22,784.82"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,226.65"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,094.03"	"$21,094.03"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$22,518.78"	"$22,518.78"	"$20,615.57"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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"	"$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	$0.00	$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	"$21,100.29"	$0.00	$0.00	"$17,918.39"	"$17,918.39"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,276.76"	$0.00	$0.00	"$20,459.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,100.29"	"$21,100.29"	"$19,485.10"	$0.00	$0.00	$0.00	$0.00	$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	"$22,399.52"	"$22,399.52"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,370.18"	$0.00	"$22,847.51"	$0.00	$0.00	"$25,371.44"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$11,123.52"	"$26,970.32"	"$26,970.32"	"$24,163.28"	"$11,679.69"	$0.00	$0.00	$0.00	$0.00
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	"$18,765.23"	"$18,765.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$851.31	$0.00	$0.00	"$21,241.80"	"$10,944.14"	"$35,696.67"	$0.00	"$10,912.47"	$0.00	"$10,912.47"	$0.00	"$22,035.33"	"$22,035.33"	"$20,230.29"	$0.00	$0.00	$0.00	$0.00	$0.00
MS600	DRG	MS600		NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	INPATIENT ONLY	"$24,329.27"	"$18,003.66"	$0.00	"$18,292.24"	$0.00	$0.00	"$17,933.57"	"$17,933.57"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,292.24"	$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	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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"	"$4,323.53"	"$21,060.64"	"$21,060.64"	"$12,993.19"	$0.00	$0.00	$0.00	$0.00	"$21,073.09"	$0.00	"$17,283.48"	"$21,750.00"	"$21,750.00"	"$23,573.49"	$0.00	$0.00	"$18,754.05"	$0.00	"$21,750.00"	$0.00	$0.00	"$24,821.74"	"$24,821.74"	"$22,450.94"	$0.00	$0.00	$0.00	$0.00	$0.00
MS603	DRG	MS603		CELLULITIS WITHOUT MCC	INPATIENT ONLY	"$33,623.54"	"$24,881.42"	$0.00	"$20,033.73"	"$16,457.97"	"$16,457.97"	"$16,944.59"	"$16,944.59"	"$7,539.56"	$0.00	$0.00	$0.00	"$16,809.02"	"$16,929.35"	$0.00	"$17,283.48"	"$12,804.00"	"$12,804.00"	"$19,566.86"	"$6,546.00"	"$17,835.13"	$0.00	"$8,455.50"	"$12,804.00"	"$8,455.50"	"$8,000.35"	"$20,033.73"	"$20,033.73"	"$18,635.10"	"$8,400.36"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,678.25"	$0.00	$0.00	"$23,810.62"	"$82,918.27"	"$101,032.73"	$0.00	"$14,680.60"	$0.00	"$14,680.60"	$0.00	"$25,105.11"	"$25,105.11"	"$22,676.78"	$0.00	$0.00	$0.00	$0.00	$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"	"$11,723.60"	"$17,291.74"	"$17,291.74"	$0.00	"$6,598.94"	$0.00	$0.00	"$9,236.98"	"$17,275.60"	"$6,598.94"	"$17,637.57"	$0.00	$0.00	"$19,786.89"	"$27,778.04"	"$33,846.48"	$0.00	"$8,778.29"	$0.00	"$8,778.29"	"$6,316.06"	"$20,354.44"	"$20,354.44"	"$18,844.66"	"$6,631.86"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,358.28"	"$25,358.28"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,312.35"	"$16,769.28"	"$16,769.28"	$0.00	"$6,557.31"	$0.00	$0.00	"$6,696.82"	"$16,754.48"	"$6,557.31"	"$17,104.67"	$0.00	$0.00	"$19,447.95"	"$6,767.14"	"$9,573.60"	$0.00	"$8,281.08"	$0.00	"$8,281.08"	$0.00	"$19,891.64"	"$19,891.64"	"$18,521.86"	$0.00	$0.00	$0.00	$0.00	$0.00
MS614	DRG	MS614		ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC	INPATIENT ONLY	"$332,589.59"	"$246,116.30"	$0.00	"$187,016.76"	$0.00	$0.00	$0.00	$0.00	$0.00	"$39,122.95"	$0.00	$0.00	"$187,016.76"	$0.00	"$50,125.70"	$0.00	$0.00	$0.00	"$30,431.14"	"$137,820.12"	"$167,928.51"	$0.00	"$24,392.14"	$0.00	"$24,392.14"	$0.00	"$33,016.77"	"$33,016.77"	"$28,982.04"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$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	$0.00	$0.00	"$45,817.70"	"$45,817.70"	"$39,183.85"	$0.00	$0.00	$0.00	$0.00	$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	"$25,062.13"	"$25,062.13"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$25,025.87"	$0.00	"$25,563.37"	$0.00	$0.00	"$27,820.65"	"$30,246.42"	"$78,850.16"	$0.00	"$20,562.86"	$0.00	"$20,562.86"	$0.00	"$29,897.18"	"$29,897.18"	"$26,495.86"	$0.00	$0.00	$0.00	$0.00	$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	"$150,442.75"	$0.00	$0.00	$0.00	$0.00	"$41,216.66"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$150,442.75"	"$150,442.75"						"$150,442.75"	$0.00			$0.00			$0.00	$0.00	$0.00	$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	"$25,933.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,933.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,698.30"	$0.00	$0.00	$0.00	$0.00	$0.00
MS626	DRG	MS626		"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC"	INPATIENT ONLY	"$190,024.42"	"$140,618.07"	$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	$0.00	$0.00	$0.00	$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	"$29,066.74"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,066.74"	$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	$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	"$36,446.84"	"$36,446.84"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,175.78"	$0.00	$0.00	"$39,014.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,156.53"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$16,572.15"	"$20,554.07"	"$20,554.07"	"$12,446.04"	"$23,792.53"	$0.00	$0.00	$0.00	"$20,529.49"	"$23,792.53"	"$20,965.15"	"$20,649.00"	"$20,649.00"	"$23,272.11"	"$20,432.15"	"$40,133.70"	$0.00	"$13,890.67"	"$20,649.00"	"$13,890.67"	"$12,230.98"	"$24,461.58"	"$24,461.58"	"$22,163.91"	"$12,842.52"	$0.00	$0.00	$0.00	$0.00
MS638	DRG	MS638		DIABETES WITH CC	INPATIENT ONLY	"$34,793.06"	"$25,746.86"	$0.00	"$22,063.63"	"$12,998.32"	"$12,998.32"	"$17,122.64"	"$17,122.64"	$0.00	"$7,457.98"	$0.00	$0.00	"$12,069.23"	"$17,106.93"	"$7,457.98"	"$17,465.09"	$0.00	$0.00	"$19,844.30"	"$3,621.13"	"$22,063.63"	$0.00	"$8,862.48"	$0.00	"$8,862.48"	"$2,865.07"	"$20,365.28"	"$20,365.28"	"$18,899.33"	"$3,049.24"	$0.00	$0.00	$0.00	$0.00
MS639	DRG	MS639		DIABETES WITHOUT CC/MCC	INPATIENT ONLY	"$23,626.99"	"$17,483.97"	$0.00	"$31,516.95"	$0.00	$0.00	"$15,260.63"	"$15,260.63"	$0.00	"$4,826.72"	$0.00	$0.00	"$3,348.41"	$0.00	"$5,194.00"	"$15,565.84"	$0.00	$0.00	"$17,993.04"	"$7,233.31"	"$31,516.95"	$0.00	"$6,146.90"	$0.00	"$6,146.90"	"$4,971.35"	"$18,153.00"	"$18,153.00"	"$17,136.23"	"$5,219.92"	$0.00	$0.00	$0.00	$0.00
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"	"$8,356.69"	"$19,547.83"	"$19,547.83"	$0.00	"$9,176.07"	$0.00	$0.00	$0.00	"$19,525.85"	"$9,176.07"	"$19,963.83"	$0.00	$0.00	"$22,100.13"	"$17,903.38"	"$79,244.98"	$0.00	"$12,171.50"	$0.00	"$12,171.50"	"$8,782.73"	"$23,061.04"	"$23,061.04"	"$21,047.74"	"$9,221.86"	$0.00	$0.00	$0.00	$0.00
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"	"$12,711.30"	"$16,258.58"	"$16,258.58"	"$6,293.53"	$0.00	$0.00	$0.00	"$6,696.82"	"$16,245.11"	$0.00	"$16,583.75"	"$11,313.00"	"$11,313.00"	"$17,809.69"	"$98,780.05"	"$120,359.68"	$0.00	"$7,584.39"	"$11,313.00"	"$7,584.39"	"$6,726.27"	"$19,324.07"	"$19,324.07"	"$16,961.90"	"$7,062.58"	$0.00	$0.00	$0.00	$0.00
MS642	DRG	MS642		INBORN AND OTHER DISORDERS OF METABOLISM	INPATIENT ONLY	"$38,588.82"	"$28,555.73"	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$22,563.09"	"$22,563.09"	$0.00	$0.00	$0.00	$0.00	"$10,045.23"	"$22,533.31"	$0.00	"$23,014.35"	$0.00	$0.00	"$24,910.85"	"$22,826.66"	"$82,100.01"	$0.00	"$16,294.50"	$0.00	"$16,294.50"	$0.00	"$26,419.91"	"$26,419.91"	"$23,724.62"	$0.00	$0.00	$0.00	$0.00	$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	"$18,091.62"	"$18,091.62"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,073.40"	$0.00	"$18,453.45"	$0.00	$0.00	"$20,828.37"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,541.26"	"$21,541.26"	"$19,836.54"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$4,885.00"	$0.00	$0.00	$0.00	$0.00	"$6,576.23"	$0.00	$0.00	$0.00	"$19,031.78"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,394.31"	"$19,394.31"	"$18,125.50"	$0.00	$0.00	$0.00	$0.00	$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"	"$120,632.51"	"$87,387.01"	"$87,387.01"	$0.00	"$45,216.19"	$0.00	$0.00	$0.00	$0.00	"$45,216.19"	"$89,154.85"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$58,358.97"	"$58,358.97"	$0.00	$0.00	$0.00	$0.00	$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	"$31,087.15"	"$31,087.15"	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,035.30"	$0.00	"$31,708.89"	$0.00	$0.00	"$33,020.46"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$398,005.53"	"$38,871.58"	"$38,871.58"	"$31,448.06"	"$398,005.53"	$0.00	$0.00	$0.00	$0.00
MS655	DRG	MS655		MAJOR BLADDER PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$248,905.14"	"$184,189.80"	$0.00	"$27,896.52"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,896.52"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,568.11"	$0.00	$0.00	$0.00	$0.00	$0.00
MS656	DRG	MS656		KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC	INPATIENT ONLY	"$508,652.91"	"$376,403.15"	$0.00	"$322,334.01"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$322,334.01"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$25,489.18"	$0.00	$0.00	"$24,986.36"	"$24,986.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,489.18"	$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
MS658	DRG	MS658		KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	INPATIENT ONLY	"$296,090.66"	"$219,107.09"	$0.00	"$24,530.88"	$0.00	$0.00	"$21,943.35"	"$21,943.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,382.22"	$0.00	$0.00	"$24,530.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,362.74"	$0.00	$0.00	$0.00	$0.00	$0.00
MS659	DRG	MS659		KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC	INPATIENT ONLY	"$74,221.21"	"$54,923.70"	$0.00	"$66,773.39"	$0.00	$0.00	"$29,455.62"	"$29,455.62"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$66,773.39"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$8,657.76"	"$35,029.80"	"$35,029.80"	$0.00	"$9,090.65"	$0.00	$0.00	$0.00	$0.00
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"	"$175,248.02"	"$21,013.02"	"$21,013.02"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	"$75,856.50"	"$75,856.50"	"$22,391.71"	$0.00	$0.00	$0.00	$0.00	$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"	"$115,839.73"	"$19,282.45"	"$19,282.45"	"$21,549.38"	"$40,633.76"	$0.00	$0.00	$0.00	$0.00	"$40,633.76"	"$19,668.10"	"$117,270.70"	"$117,270.70"	$0.00	"$131,679.42"	"$160,446.31"	$0.00	"$12,993.46"	"$117,270.70"	"$12,993.46"	$0.00	"$44,096.27"	"$44,096.27"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	"$22,092.41"	"$22,092.41"	"$26,512.51"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,534.26"	"$129,949.73"	"$129,949.73"	$0.00	"$108,495.52"	"$132,197.62"	$0.00	"$15,271.03"	"$129,949.73"	"$15,271.03"	$0.00	"$25,586.10"	"$25,586.10"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS664	DRG	MS664		MINOR BLADDER PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	$0.00	$0.00	$0.00	"$88,508.75"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$88,508.75"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$31,029.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,915.88"	"$35,915.88"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS669	DRG	MS669		TRANSURETHRAL PROCEDURES WITH CC	INPATIENT ONLY	"$91,302.59"	"$67,563.92"	$0.00	"$22,280.82"	$0.00	$0.00	"$21,843.94"	"$21,843.94"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,280.82"	$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
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,291.95"	"$128,501.69"	"$156,574.35"	$0.00	"$18,320.42"	$0.00	"$18,320.42"	$0.00	"$28,070.35"	"$28,070.35"	"$25,039.95"	$0.00	$0.00	$0.00	$0.00	$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"	"$177,791.94"	$0.00	$0.00	"$36,697.16"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$166,277.84"	"$166,277.84"	$0.00	"$112,067.60"	"$136,550.05"	$0.00	"$10,357.11"	"$166,277.84"	"$10,357.11"	$0.00	"$21,582.93"	"$21,582.93"	$0.00	$0.00	$0.00	$0.00	$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	"$71,089.21"	"$34,498.80"	"$34,498.80"	"$34,989.93"	"$34,989.93"	"$31,260.58"	"$25,130.83"	$0.00	$0.00	"$26,787.28"	"$34,927.98"	"$25,130.83"	"$35,689.73"	"$71,089.21"	"$71,089.21"	"$36,410.02"	$0.00	$0.00	$0.00	$0.00	"$71,089.21"	$0.00	$0.00	"$42,337.17"	"$42,337.17"	"$36,410.02"	$0.00	$0.00	$0.00	$0.00	$0.00
MS674	DRG	MS674		OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC	INPATIENT ONLY	"$131,367.95"	"$97,212.28"	$0.00	"$27,501.12"	$0.00	$0.00	"$27,501.12"	"$27,501.12"	$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	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,473.00"	"$26,473.00"	$0.00	$0.00	$0.00	$0.00	$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"	"$45,225.20"	"$21,217.30"	"$21,217.30"	"$13,561.75"	$0.00	$0.00	$0.00	$0.00	"$21,191.00"	$0.00	"$21,641.65"	"$22,090.50"	"$22,090.50"	"$23,902.86"	"$21,793.11"	"$26,628.42"	$0.00	"$14,815.93"	"$22,090.50"	"$14,815.93"	"$11,998.26"	"$25,215.35"	"$25,215.35"	"$22,764.63"	"$12,616.02"	$0.00	$0.00	$0.00	$0.00
MS683	DRG	MS683		RENAL FAILURE WITH CC	INPATIENT ONLY	"$43,023.52"	"$31,837.40"	$0.00	"$31,160.10"	"$16,589.21"	"$16,589.21"	"$17,121.96"	"$17,121.96"	$0.00	$0.00	$0.00	$0.00	"$13,393.64"	"$17,106.27"	$0.00	"$17,464.40"	$0.00	$0.00	"$19,934.50"	"$10,177.45"	"$31,160.10"	$0.00	"$8,994.81"	$0.00	"$8,994.81"	$0.00	"$20,236.40"	"$20,236.40"	"$18,985.24"	$0.00	$0.00	$0.00	$0.00	$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	"$15,248.89"	"$15,248.89"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$15,553.87"	$0.00	$0.00	$0.00	"$3,360.22"	"$8,379.35"	$0.00	"$6,167.96"	$0.00	"$6,167.96"	$0.00	"$18,170.14"	"$18,170.14"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS686	DRG	MS686		KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC	INPATIENT ONLY	"$27,117.25"	"$20,066.77"	$0.00	"$24,475.76"	$0.00	$0.00	"$23,995.84"	"$23,995.84"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,475.76"	$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
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,741.34"	"$21,741.34"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,330.23"	"$18,743.11"	"$18,743.11"	$0.00	$0.00	$0.00	$0.00	"$3,348.41"	"$18,723.22"	$0.00	"$19,117.97"	$0.00	$0.00	"$21,446.82"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,280.33"	"$22,280.33"	"$20,425.54"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$16,533.26"	"$16,533.26"	$0.00	$0.00	$0.00	$0.00	"$20,090.46"	"$16,519.08"	$0.00	"$16,863.93"	$0.00	$0.00	"$19,206.72"	"$6,663.05"	"$38,475.04"	$0.00	"$7,927.21"	$0.00	"$7,927.21"	$0.00	"$17,599.41"	"$17,599.41"	"$18,292.11"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$4,116.30"	"$16,375.91"	"$16,375.91"	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,362.14"	$0.00	"$16,703.43"	$0.00	$0.00	"$18,862.29"	"$8,086.81"	"$22,027.43"	$0.00	"$7,422.00"	$0.00	"$7,422.00"	$0.00	"$19,191.77"	"$19,191.77"	"$17,964.09"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$15,828.61"	$0.00	$0.00	"$15,828.61"	"$15,828.61"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$268.15	$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
MS698	DRG	MS698		OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	INPATIENT ONLY	"$62,273.78"	"$46,082.60"	$0.00	"$26,856.59"	$0.00	$0.00	"$22,169.02"	"$22,169.02"	$0.00	$0.00	$0.00	$0.00	"$16,742.05"	"$26,856.59"	$0.00	"$22,612.40"	$0.00	$0.00	"$24,863.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,363.55"	"$26,363.55"	"$23,679.70"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,173.20"	"$18,141.30"	"$18,141.30"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,122.96"	$0.00	"$18,504.13"	$0.00	$0.00	"$20,859.81"	"$10,876.54"	"$19,704.17"	$0.00	"$10,352.10"	$0.00	"$10,352.10"	"$3,969.84"	"$21,922.34"	"$21,922.34"	"$19,866.49"	"$4,225.02"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,871.19"	"$7,542.32"	"$35,130.91"	$0.00	"$7,435.02"	$0.00	"$7,435.02"	$0.00	"$19,202.40"	"$19,202.40"	"$17,972.56"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$23.04	$0.00	$0.00	$0.00	$0.00	"$26,581.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,315.26"	$0.00	$0.00	$0.00	$0.00	$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	"$21,344.99"	"$21,344.99"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,771.89"	$0.00	$0.00	"$23,725.19"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,003.02"	"$25,003.02"	"$22,595.42"	$0.00	$0.00	$0.00	$0.00	$0.00
MS709	DRG	MS709		PENIS PROCEDURES WITH CC/MCC	INPATIENT ONLY	"$184,084.60"	"$136,222.60"	$0.00	"$32,790.56"	$0.00	$0.00	"$27,036.64"	"$27,036.64"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,577.37"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$32,790.56"	"$32,790.56"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	"$22,549.05"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$17,621.76"	$0.00	$0.00	$0.00	$0.00	"$17,621.76"	$0.00	$0.00	$0.00	$0.00	"$4,158.09"	"$85,899.31"	$0.00	"$21,484.09"	$0.00	"$21,484.09"	$0.00	"$30,647.69"	"$30,647.69"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,211.96"	"$25,084.68"	"$25,084.68"	$0.00	"$12,822.56"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,620.89"	"$20,620.89"	$0.00	$0.00	$0.00	$0.00	$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	"$25,005.54"	"$25,005.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$121,947.55"	"$148,588.40"	$0.00	"$21,416.93"	$0.00	"$21,416.93"	$0.00	"$30,592.97"	"$30,592.97"	$0.00	$0.00	$0.00	$0.00	$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"	"$178,318.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,674.83"	$0.00	$0.00	"$326,740.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,674.83"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$24,892.20"	$0.00	$0.00	$0.00	$0.00	$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	"$18,589.21"	"$18,589.21"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,960.99"	$0.00	$0.00	"$21,370.28"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,188.86"	"$22,188.86"	"$20,352.65"	$0.00	$0.00	$0.00	$0.00	$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	"$19,925.34"	"$19,925.34"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,902.39"	$0.00	$0.00	$0.00	$0.00	"$22,381.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,861.50"	"$23,861.50"	"$21,315.89"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$22,434.67"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$21,997.01"	$0.00	$0.00	"$21,565.70"	"$21,565.70"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,538.45"	$0.00	"$21,997.01"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$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	"$21,239.38"	"$21,239.38"	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,213.03"	$0.00	$0.00	$0.00	$0.00	"$23,225.63"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,119.65"	$0.00	$0.00	$0.00	$0.00	$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	"$37,444.79"	"$37,444.79"	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,376.50"	$0.00	$0.00	$0.00	$0.00	"$39,391.56"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$76,002.23"	"$76,002.23"	"$37,515.77"	$0.00	$0.00	$0.00	$0.00	$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	"$23,487.20"	"$23,487.20"	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,455.02"	$0.00	"$23,956.94"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,721.64"	"$27,721.64"	$0.00	$0.00	$0.00	$0.00	$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"	"$141,373.62"	$0.00	$0.00	"$29,872.05"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$143,113.04"	"$143,113.04"	$0.00	"$128,123.16"	"$156,113.16"	$0.00	"$13,327.31"	"$143,113.04"	"$13,327.31"	$0.00	"$24,002.64"	"$24,002.64"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$22,910.93"	"$22,910.93"	$0.00	"$14,751.72"	$0.00	$0.00	$0.00	"$22,880.25"	"$21,251.43"	"$23,369.15"	$0.00	$0.00	"$25,364.14"	"$118,650.74"	"$144,571.35"	"$135,777.03"	"$16,936.07"	$0.00	"$16,936.07"	$0.00	"$26,942.56"	"$26,942.56"	"$24,156.36"	$0.00	$0.00	$0.00	$0.00	$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"	"$113,095.63"	"$27,072.03"	"$27,072.03"	$0.00	"$22,501.93"	$0.00	$0.00	$0.00	"$27,069.04"	"$22,968.22"	"$27,614.54"	$0.00	$0.00	$0.00	"$16,934.63"	"$94,504.91"	$0.00	"$11,512.92"	$0.00	"$11,512.92"	"$8,031.14"	"$22,524.51"	"$22,524.51"	$0.00	"$8,432.69"	$0.00	$0.00	$0.00	$0.00
MS744	DRG	MS744		"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC"	INPATIENT ONLY	"$235,639.36"	"$174,373.13"	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$23,760.43"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$14,571.85"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$99,574.54"	"$99,574.54"	$0.00	"$83,143.95"	"$101,307.70"	$0.00	"$13,249.13"	"$99,574.54"	"$13,249.13"	$0.00	"$23,938.94"	"$23,938.94"	$0.00	$0.00	$0.00	$0.00	$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"	"$104,733.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,516.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,015.58"	$0.00	$0.00	$0.00	$0.00	$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	"$23,656.98"	"$23,656.98"	$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	$0.00	$0.00	$0.00	$0.00	"$11,631.52"	"$27,533.80"	"$27,533.80"	$0.00	"$12,213.09"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$6,164.57"	$0.00	$0.00	$0.00	"$18,827.17"	"$10,971.74"	$0.00	$0.00	$0.00	"$20,798.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,808.55"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$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	$0.00	$0.00	"$29,643.01"	"$29,643.01"	"$22,389.11"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,259.80"	$0.00	$0.00	"$9,388.08"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$14,545.50"	"$14,545.50"	"$20,399.89"	$0.00	$0.00	$0.00	$0.00	"$14,545.50"	$0.00	$0.00	$0.00	$0.00	"$19,428.47"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,556.33"	$0.00	$0.00	$0.00	"$5,834.14"	$0.00	$0.00	$0.00	$0.00
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"	"$12,958.36"	$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	$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"	"$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	$0.00	$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"	"$19,822.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,061.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$14,855.59"	"$20,902.18"	$0.00	"$10,099.48"	$0.00	"$10,099.48"	"$5,802.63"	"$21,373.04"	"$21,373.04"	$0.00	"$6,092.76"	$0.00	$0.00	$0.00	$0.00
MS769	DRG	MS769		POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES	INPATIENT ONLY	"$269,978.86"	"$199,784.36"	$0.00	"$175,470.46"	"$172,148.03"	"$172,148.03"	$0.00	$0.00	"$43,372.20"	"$12,300.04"	$0.00	$0.00	$0.00	$0.00	"$12,300.04"	$0.00	"$175,470.46"	"$175,470.46"	$0.00	$0.00	$0.00	$0.00	$0.00	"$175,470.46"	$0.00	"$11,772.78"	$0.00	$0.00	$0.00	"$12,361.42"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$6,129.68"	$0.00	$0.00	$0.00	$0.00	"$6,129.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,866.92"	$0.00	$0.00	$0.00	"$6,160.27"	$0.00	$0.00	$0.00	$0.00
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"	"$8,173.20"	$0.00	$0.00	$0.00	"$2,725.88"	$0.00	$0.00	"$3,348.41"	$0.00	"$6,136.30"	$0.00	$0.00	$0.00	$0.00	"$3,376.61"	"$3,044.04"	"$13,481.20"	"$3,843.48"	$0.00	"$3,843.48"	"$5,873.26"	"$18,942.70"	"$18,942.70"	$0.00	"$6,166.92"	$0.00	$0.00	$0.00	$0.00
MS779	DRG	MS779		ABORTION WITHOUT D&C	INPATIENT ONLY	"$16,003.04"	"$11,842.25"	$0.00	"$23,300.47"	"$4,106.40"	"$4,106.40"	$0.00	$0.00	$0.00	"$5,080.47"	$0.00	$0.00	$0.00	$0.00	"$5,080.47"	$0.00	$0.00	$0.00	$0.00	"$16,835.84"	"$23,300.47"	$0.00	"$11,445.75"	$0.00	"$11,445.75"	"$1,430.21"	"$22,469.79"	"$22,469.79"	$0.00	"$1,522.14"	$0.00	$0.00	$0.00	$0.00
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"	"$13,830.75"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$9,087.89"	$0.00	$0.00	$0.00	"$9,542.28"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,288.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,705.74"	"$37,137.03"	"$12,460.97"	"$10,477.40"	$0.00	"$10,477.40"	"$9,087.89"	"$21,680.91"	"$21,680.91"	$0.00	"$9,542.28"	$0.00	$0.00	$0.00	$0.00
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"	"$14,254.51"	$0.00	$0.00	"$52,378.97"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,752.00"	"$13,752.00"	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,752.00"	$0.00	"$9,087.89"	$0.00	$0.00	$0.00	"$9,542.28"	$0.00	$0.00	$0.00	$0.00
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"	"$13,929.31"	"$22,095.35"	"$22,095.35"	"$7,050.47"	$0.00	$0.00	$0.00	"$13,985.42"	"$22,067.08"	$0.00	$0.00	"$23,916.00"	"$23,916.00"	$0.00	"$24,076.48"	"$51,796.52"	"$27,565.16"	"$17,186.67"	"$23,916.00"	"$17,186.67"	"$9,087.89"	"$27,146.72"	"$27,146.72"	$0.00	"$9,542.28"	$0.00	$0.00	$0.00	$0.00
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"	"$13,908.48"	"$18,399.43"	"$18,399.43"	"$9,500.59"	$0.00	$0.00	$0.00	"$7,288.60"	$0.00	$0.00	$0.00	"$15,966.00"	"$15,966.00"	"$20,947.28"	"$7,707.95"	"$38,858.99"	$0.00	"$10,480.42"	"$15,966.00"	"$10,480.42"	"$9,087.89"	"$21,683.37"	"$21,683.37"	"$19,949.79"	"$9,542.28"	$0.00	$0.00	$0.00	$0.00
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"	"$13,582.80"	$0.00	$0.00	"$7,920.73"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,311.00"	"$13,311.00"	$0.00	"$13,361.92"	"$37,750.88"	$0.00	"$9,084.02"	"$13,311.00"	"$9,084.02"	"$7,405.42"	"$20,545.77"	"$20,545.77"	$0.00	"$7,775.68"	$0.00	$0.00	$0.00	$0.00
MS789	DRG	MS789		"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY"	INPATIENT ONLY	"$12,236.12"	"$9,054.73"	$0.00	"$20,596.05"	"$4,334.40"	"$4,334.40"	$0.00	$0.00	$0.00	"$18,997.58"	$0.00	$0.00	"$14,581.12"	$0.00	"$18,997.58"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,596.05"	$0.00	$0.00	$0.00	$219.20	$0.00	$0.00	$0.00	$0.00
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"	"$227,852.34"	$0.00	$0.00	$0.00	"$6,824.32"	$0.00	$0.00	$0.00	$0.00	"$6,824.32"	$0.00	$0.00	$0.00	$0.00	"$283,577.38"	"$345,528.12"	$0.00	"$76,626.93"	$0.00	"$76,626.93"	"$24,017.10"	"$58,657.03"	"$58,657.03"	$0.00	"$25,214.25"	$0.00	$0.00	$0.00	$0.00
MS791	DRG	MS791		PREMATURITY WITH MAJOR PROBLEMS	INPATIENT ONLY	"$106,775.51"	"$79,013.88"	$0.00	"$131,833.16"	"$86,741.10"	"$86,741.10"	$0.00	$0.00	$0.00	"$3,625.61"	$0.00	$0.00	$0.00	$0.00	"$3,625.61"	$0.00	$0.00	$0.00	$0.00	"$16,878.92"	"$15,649.71"	"$131,833.16"	"$19,759.75"	$0.00	"$19,759.75"	"$21,244.37"	"$44,228.51"	"$44,228.51"	$0.00	"$22,302.88"	$0.00	$0.00	$0.00	$0.00
MS792	DRG	MS792		PREMATURITY WITHOUT MAJOR PROBLEMS	INPATIENT ONLY	"$9,474.02"	"$7,010.77"	$0.00	"$31,899.59"	"$5,534.55"	"$5,534.55"	$0.00	$0.00	$0.00	"$2,752.37"	$0.00	$0.00	$0.00	$0.00	"$2,752.37"	$0.00	$0.00	$0.00	$0.00	"$5,340.18"	"$4,229.42"	$0.00	"$5,340.18"	$0.00	"$5,340.18"	"$3,473.37"	"$31,899.59"	"$31,899.59"	$0.00	"$3,643.33"	$0.00	$0.00	$0.00	$0.00
MS793	DRG	MS793		FULL TERM NEONATE WITH MAJOR PROBLEMS	INPATIENT ONLY	"$31,960.27"	"$23,650.60"	$0.00	"$73,489.93"	"$32,199.00"	"$32,199.00"	$0.00	$0.00	"$16,677.00"	$0.00	$0.00	$0.00	"$48,678.47"	$0.00	$0.00	$0.00	"$73,489.93"	"$73,489.93"	$0.00	"$4,386.25"	"$3,473.91"	"$19,810.22"	"$4,386.25"	"$73,489.93"	"$4,386.25"	"$21,244.37"	"$45,073.74"	"$45,073.74"	$0.00	"$22,302.88"	$0.00	$0.00	$0.00	$0.00
MS794	DRG	MS794		NEONATE WITH OTHER SIGNIFICANT PROBLEMS	INPATIENT ONLY	"$6,506.03"	"$4,814.46"	$0.00	"$24,446.07"	"$3,699.60"	"$3,699.60"	$0.00	$0.00	"$4,761.00"	$0.00	$0.00	$0.00	"$2,023.02"	$0.00	$0.00	$0.00	"$21,126.00"	"$21,126.00"	$0.00	"$5,394.25"	"$4,272.25"	$0.00	"$5,394.25"	"$21,126.00"	"$5,394.25"	"$2,637.56"	"$24,446.07"	"$24,446.07"	$0.00	"$2,765.74"	$0.00	$0.00	$0.00	$0.00
MS795	DRG	MS795		NORMAL NEWBORN	INPATIENT ONLY	"$4,674.03"	"$3,458.78"	$0.00	"$14,674.90"	"$3,689.70"	"$3,689.70"	$0.00	$0.00	"$1,012.00"	"$1,296.58"	$0.00	$0.00	"$2,023.02"	$0.00	"$2,139.31"	$0.00	"$2,860.50"	"$2,860.50"	$0.00	"$1,781.77"	"$3,743.93"	"$2,259.28"	"$1,877.55"	"$2,860.50"	"$1,877.55"	"$2,050.78"	"$14,674.90"	"$14,674.90"	$0.00	"$2,149.62"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$5,061.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,967.75"	$0.00	$0.00	$0.00	"$8,366.13"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,967.75"	$0.00	$0.00	$0.00	"$8,366.13"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$5,061.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,967.75"	$0.00	$0.00	$0.00	"$8,366.13"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$96,469.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$96,469.48"	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,694.69"	"$27,694.69"	$0.00	$0.00	$0.00	$0.00	$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"	"$11,805.47"	$0.00	$0.00	"$29,462.16"	$0.00	$0.00	$0.00	"$7,076.75"	$0.00	$0.00	$0.00	"$15,448.50"	"$15,448.50"	$0.00	"$7,672.56"	"$14,281.34"	$0.00	"$10,432.30"	"$15,448.50"	"$10,432.30"	"$6,630.28"	"$25,233.70"	"$25,233.70"	$0.00	"$6,961.79"	$0.00	$0.00	$0.00	$0.00
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"	"$8,052.96"	$0.00	$0.00	"$6,550.61"	$0.00	$0.00	$0.00	"$5,061.36"	$0.00	$0.00	$0.00	"$11,019.00"	"$11,019.00"	"$18,649.09"	"$7,746.04"	"$13,604.81"	"$21,350.23"	"$7,109.24"	"$11,019.00"	"$7,109.24"	"$5,802.63"	"$18,936.98"	"$18,936.98"	"$17,761.04"	"$6,092.76"	$0.00	$0.00	$0.00	$0.00
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"	"$8,254.49"	$0.00	$0.00	"$5,733.00"	$0.00	$0.00	$0.00	"$5,061.36"	$0.00	$0.00	$0.00	"$9,634.50"	"$9,634.50"	$0.00	"$8,401.97"	"$11,615.99"	"$17,521.13"	"$6,283.23"	"$9,634.50"	"$6,283.23"	"$5,802.63"	"$18,264.05"	"$18,264.05"	$0.00	"$6,092.76"	$0.00	$0.00	$0.00	$0.00
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	"$26,138.77"	"$26,138.77"	$0.00	$0.00	$0.00	$0.00	$0.00	"$26,099.74"	$0.00	"$26,661.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,536.62"	"$30,536.62"	$0.00	$0.00	$0.00	$0.00	$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	"$19,496.75"	"$19,496.75"	$0.00	"$12,843.09"	$0.00	$0.00	$0.00	"$19,474.91"	"$12,843.09"	"$19,886.69"	$0.00	$0.00	"$22,111.75"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,058.81"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$19,233.22"	$0.00	$0.00	$0.00	$0.00	$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"	"$23,615.76"	"$20,572.70"	"$20,572.70"	"$11,450.82"	"$3,403.76"	$0.00	$0.00	"$10,045.23"	"$20,548.08"	"$14,177.07"	"$20,984.15"	"$20,689.50"	"$20,689.50"	"$22,961.85"	"$19,762.72"	"$78,735.41"	$0.00	"$13,435.57"	"$20,689.50"	"$13,435.57"	"$30,963.95"	"$24,090.82"	"$24,090.82"	"$21,868.43"	"$30,963.95"	$0.00	$0.00	$0.00	$0.00
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"	"$24,519.60"	"$17,128.85"	"$17,128.85"	"$7,285.18"	"$8,031.31"	$0.00	$0.00	"$13,393.64"	"$17,113.13"	"$8,031.31"	"$17,471.43"	"$13,204.50"	"$13,204.50"	"$19,752.74"	"$3,776.02"	"$13,151.79"	$0.00	"$8,728.17"	"$13,204.50"	"$8,728.17"	"$7,687.04"	"$20,255.87"	"$20,255.87"	"$18,812.13"	"$8,071.38"	$0.00	$0.00	$0.00	$0.00
MS813	DRG	MS813		COAGULATION DISORDERS	INPATIENT ONLY	"$130,887.07"	"$96,856.43"	$0.00	"$87,448.69"	$0.00	$0.00	"$21,716.98"	"$21,716.98"	$0.00	"$11,549.79"	$0.00	$0.00	$0.00	"$21,689.39"	"$11,549.79"	"$22,151.32"	$0.00	$0.00	$0.00	"$23,373.77"	"$87,448.69"	$0.00	"$15,890.52"	$0.00	"$15,890.52"	$0.00	"$52,183.21"	"$52,183.21"	$0.00	$0.00	$0.00	$0.00	$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	"$24,109.04"	"$24,109.04"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,591.22"	$0.00	$0.00	"$25,755.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,429.29"	"$27,429.29"	"$24,529.05"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$11,825.34"	$0.00	$0.00	"$16,742.05"	$0.00	"$18,141.81"	$0.00	$0.00	$0.00	"$20,723.81"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$21,416.31"	"$21,416.31"	"$19,736.96"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$12,259.80"	$0.00	$0.00	"$196,880.15"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$196,880.15"	"$196,880.15"	$0.00	"$32,736.50"	"$78,339.09"	$0.00	"$25,223.16"	"$196,880.15"	"$25,223.16"	"$11,253.79"	"$33,693.78"	"$33,693.78"	$0.00	"$7,558.26"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$86,024.42"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,397.00"	"$20,397.00"	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,397.00"	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,138.29"	$0.00	$0.00	$0.00	"$7,495.20"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$65,586.69"	"$65,586.69"	$0.00	$0.00	$0.00	$0.00	$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	"$28,418.19"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,418.19"	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	"$32,906.05"	"$32,906.05"	$0.00	$0.00	$0.00	$0.00	$0.00	"$32,906.05"	$0.00	$0.00	$0.00	$0.00	"$32,906.05"	$0.00	$0.00	$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
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$38,787.20"	"$38,787.20"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$20,552.75"	$0.00	$0.00	"$10,012.94"	$0.00	$0.00	$0.00	"$14,394.30"	$0.00	$0.00	$0.00	"$16,827.00"	"$16,827.00"	$0.00	"$9,939.05"	"$19,151.15"	$0.00	"$10,811.22"	"$16,827.00"	"$10,811.22"	"$7,138.29"	"$21,952.85"	"$21,952.85"	$0.00	"$7,495.20"	$0.00	$0.00	$0.00	$0.00
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"	"$12,259.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,696.82"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,692.12"	"$2,930.57"	"$10,159.89"	$0.00	"$7,172.39"	$0.00	"$7,172.39"	"$7,138.29"	"$18,988.42"	"$18,988.42"	"$17,802.02"	"$7,495.20"	$0.00	$0.00	$0.00	$0.00
MS833	DRG	MS833		OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	INPATIENT ONLY	"$14,743.82"	"$10,910.43"	$0.00	"$10,045.23"	"$8,272.70"	"$8,272.70"	$0.00	$0.00	"$2,152.00"	$0.00	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	"$4,723.00"	"$4,723.00"	$0.00	"$7,048.80"	"$7,048.80"	"$6,068.80"	"$7,048.80"	"$4,723.00"	"$7,048.80"	"$5,802.63"	"$7,048.80"	"$7,048.80"	$0.00	"$6,092.76"	$0.00	$0.00	$0.00	$0.00
MS834	DRG	MS834		ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC	INPATIENT ONLY	"$507,748.30"	"$375,733.74"	$0.00	"$56,196.91"	$0.00	$0.00	"$55,070.71"	"$55,070.71"	$0.00	$0.00	$0.00	$0.00	$0.00	"$55,066.67"	$0.00	"$56,196.91"	$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
MS835	DRG	MS835		ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC	INPATIENT ONLY	"$40,262.10"	"$29,793.95"	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$10,045.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,905.45"	"$23,905.45"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$62,068.97"	"$62,068.97"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$31,012.72"	"$31,012.72"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$33,279.73"	"$33,279.73"	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,222.22"	$0.00	"$22,689.83"	$0.00	$0.00	"$34,299.15"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$28,807.13"	"$28,807.13"	"$34,299.15"	$0.00	$0.00	$0.00	$0.00	$0.00
MS841	DRG	MS841		LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC	INPATIENT ONLY	"$15,184.92"	"$11,236.84"	$0.00	"$22,689.83"	$0.00	$0.00	"$22,244.93"	"$22,244.93"	$0.00	"$13,446.69"	$0.00	$0.00	$0.00	$0.00	"$13,446.69"	"$22,689.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,565.68"	"$19,565.68"	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$20,614.66"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$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	$0.00	$0.00	$0.00	"$21,007.37"	$0.00	$0.00	$0.00	$0.00	$0.00
MS846	DRG	MS846		CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC	INPATIENT ONLY	"$30,411.91"	"$22,504.81"	$0.00	"$30,090.51"	$0.00	$0.00	"$29,500.50"	"$29,500.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$30,090.51"	$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
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"	"$8,173.20"	$0.00	$0.00	"$5,107.14"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,107.14"	"$5,107.14"	$0.00	"$19,402.95"	"$45,264.16"	"$34,827.46"	"$13,190.98"	"$5,107.14"	"$13,190.98"	$0.00	"$23,891.56"	"$23,891.56"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,259.80"	$0.00	$0.00	"$7,545.81"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$15,484.50"	"$15,484.50"	$0.00	"$12,768.30"	"$22,966.96"	$0.00	"$9,837.86"	"$15,484.50"	"$9,837.86"	$0.00	"$21,159.88"	"$21,159.88"	$0.00	$0.00	$0.00	$0.00	$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	"$565,069.81"	"$17,269.35"	"$17,269.35"	"$45,338.71"	"$45,338.71"	$0.00	"$50,464.10"	$0.00	$0.00	$0.00	"$45,250.00"	"$52,987.33"	"$46,245.48"	$0.00	$0.00	"$48,645.14"	"$463,756.79"	"$565,069.81"	"$228,902.42"	"$140,496.05"	$0.00	"$140,496.05"	$0.00	"$54,782.85"	"$54,782.85"	"$46,328.70"	$0.00	$0.00	$0.00	$0.00	$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	"$25,699.83"	"$25,699.83"	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,661.94"	$0.00	"$26,213.83"	$0.00	$0.00	"$28,571.70"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,211.14"	$0.00	$0.00	$0.00	$0.00	$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"	"$21,079.29"	"$43,241.35"	"$43,241.35"	$0.00	"$37,955.94"	$0.00	$0.00	$0.00	$0.00	"$37,955.94"	"$44,106.18"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$49,287.63"	"$49,287.63"	$0.00	$0.00	$0.00	$0.00	$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"	"$90,864.72"	"$25,563.20"	"$25,563.20"	$0.00	$0.00	$0.00	$0.00	"$30,135.69"	"$26,369.16"	$0.00	"$26,074.46"	$0.00	$0.00	"$27,697.65"	"$336,359.28"	"$409,840.86"	$0.00	"$88,518.80"	$0.00	"$88,518.80"	$0.00	"$53,140.71"	"$53,140.71"	"$26,378.71"	$0.00	$0.00	$0.00	$0.00	$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	"$20,090.46"	$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	$0.00	$0.00	$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	"$24,143.55"	"$24,143.55"	$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	"$28,258.17"	"$28,258.17"	$0.00	$0.00	$0.00	$0.00	$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	"$18,033.63"	"$18,033.63"	$0.00	$0.00	$0.00	$0.00	$0.00	"$18,015.57"	$0.00	"$18,394.30"	$0.00	$0.00	"$20,554.34"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,575.56"	$0.00	$0.00	$0.00	$0.00	$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	"$17,102.64"	"$17,102.64"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,444.69"	$0.00	$0.00	"$47,628.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,690.76"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$6,802.34"	$0.00	$0.00	$0.00	$0.00	"$6,802.34"	$0.00	$0.00	$0.00	$0.00	"$10,651.53"	"$26,124.06"	$0.00	"$8,206.90"	$0.00	"$8,206.90"	$0.00	"$19,831.20"	"$19,831.20"	$0.00	$0.00	$0.00	$0.00	$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"	"$112,359.77"	"$26,492.82"	"$26,492.82"	$0.00	"$16,751.36"	$0.00	$0.00	$0.00	$0.00	"$16,751.36"	"$27,022.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,175.27"	"$69,508.29"	$0.00	"$10,996.66"	$0.00	"$10,996.66"	$0.00	"$22,103.93"	"$22,103.93"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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"	"$222,926.65"	"$55,492.21"	"$55,492.21"	$0.00	"$53,865.50"	$0.00	$0.00	"$387,832.33"	"$55,377.23"	"$56,558.79"	"$56,602.05"	$0.00	$0.00	"$57,021.26"	"$359,028.42"	"$437,462.32"	$0.00	"$105,276.97"	$0.00	"$105,276.97"	$0.00	"$64,792.48"	"$64,792.48"	"$71,505.46"	$0.00	$0.00	$0.00	$0.00	$0.00
MS871	DRG	MS871		SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	INPATIENT ONLY	"$99,302.62"	"$73,483.94"	$0.00	"$69,468.99"	"$49,039.20"	"$49,039.20"	"$23,974.45"	"$23,974.45"	"$16,130.58"	"$17,521.48"	$0.00	$0.00	"$16,742.05"	"$23,941.03"	"$17,521.48"	"$24,453.94"	"$28,083.00"	"$28,083.00"	"$26,556.42"	"$27,518.59"	"$69,468.99"	"$47,721.33"	"$18,708.37"	"$28,083.00"	"$18,708.37"	"$16,770.40"	"$28,386.40"	"$28,386.40"	"$30,367.39"	"$17,608.91"	$0.00	$0.00	$0.00	$0.00
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"	"$12,923.98"	"$18,136.48"	"$18,136.48"	"$9,397.01"	"$9,417.32"	$0.00	$0.00	$0.00	"$18,118.16"	"$9,417.32"	"$18,499.21"	"$15,394.50"	"$15,394.50"	"$20,904.90"	"$7,127.66"	"$25,653.18"	$0.00	"$10,418.26"	"$15,394.50"	"$10,418.26"	"$6,963.04"	"$21,632.73"	"$21,632.73"	"$19,909.43"	"$7,410.63"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$46,127.21"	"$46,127.21"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,100.18"	"$17,019.80"	"$17,019.80"	$0.00	"$5,575.59"	$0.00	$0.00	"$10,045.23"	$0.00	"$5,854.37"	"$17,360.20"	$0.00	$0.00	"$50,316.83"	"$7,019.44"	"$50,065.60"	"$33,004.93"	"$8,589.83"	$0.00	"$8,589.83"	"$5,603.41"	"$20,143.15"	"$20,143.15"	"$49,378.27"	"$5,883.58"	$0.00	$0.00	$0.00	$0.00
MS881	DRG	MS881		DEPRESSIVE NEUROSES	INPATIENT ONLY	"$19,663.24"	"$14,550.80"	$0.00	"$19,401.50"	"$12,913.95"	"$12,913.95"	$0.00	$0.00	"$5,769.59"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,030.00"	"$12,030.00"	"$19,401.50"	$0.00	$0.00	"$5,860.95"	$0.00	"$12,030.00"	$0.00	"$4,833.71"	$0.00	$0.00	"$18,477.62"	"$5,075.40"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,620.55"	"$12,620.55"	$0.00	$0.00	$0.00	$0.00	$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"	"$16,782.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,936.59"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,140.10"	"$7,183.84"	"$7,183.84"	"$21,844.37"	"$7,497.10"	$0.00	$0.00	$0.00	$0.00
MS884	DRG	MS884		ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	INPATIENT ONLY	"$38,142.56"	"$28,225.49"	$0.00	"$69,644.94"	"$69,644.94"	"$69,644.94"	"$21,042.01"	"$21,042.01"	"$9,624.61"	"$10,098.77"	$0.00	$0.00	$0.00	"$21,016.17"	"$10,603.71"	"$21,462.85"	"$25,969.50"	"$25,969.50"	"$23,629.52"	$0.00	$0.00	$0.00	$0.00	"$25,969.50"	$0.00	$0.00	"$24,888.70"	"$24,888.70"	"$22,504.30"	$0.00	$0.00	$0.00	$0.00	$0.00
MS885	DRG	MS885		PSYCHOSES	INPATIENT ONLY	"$27,249.99"	"$20,164.99"	$0.00	"$19,607.18"	"$5,534.55"	"$5,534.55"	"$19,607.18"	"$19,607.18"	"$9,119.42"	"$6,833.56"	$0.00	$0.00	"$6,556.06"	"$15,565.31"	"$6,833.56"	"$8,019.25"	"$18,591.00"	"$18,591.00"	"$9,222.35"	"$12,800.77"	"$14,261.38"	"$11,383.39"	"$9,000.00"	"$18,591.00"	"$9,000.00"	"$6,540.64"	"$4,851.36"	"$4,851.36"	"$8,783.19"	"$6,867.66"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	"$8,326.81"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$16,197.00"	"$16,197.00"	$0.00	"$16,044.03"	"$57,514.90"	$0.00	"$10,907.45"	"$16,197.00"	"$10,907.45"	$0.00	"$22,031.26"	"$22,031.26"	$0.00	$0.00	$0.00	$0.00	$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"	"$4,086.60"	"$16,734.90"	"$16,734.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,069.60"	$0.00	$0.00	"$17,768.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$12,658.39"	$0.00	$0.00	"$16,922.76"	"$13,291.30"	$0.00	$0.00	$0.00	$0.00
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"	"$4,136.10"	"$23,340.19"	"$23,340.19"	"$13,606.38"	$0.00	$0.00	$0.00	$0.00	"$23,308.40"	$0.00	"$23,806.99"	"$25,043.92"	"$25,043.92"	"$25,554.59"	"$15,138.49"	"$40,932.53"	$0.00	"$17,238.80"	"$25,043.92"	"$17,238.80"	$0.00	"$27,189.19"	"$27,189.19"	"$24,337.70"	$0.00	$0.00	$0.00	$0.00	$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"	"$12,711.30"	"$16,782.58"	"$16,782.58"	"$6,163.22"	$0.00	$0.00	$0.00	"$10,638.97"	"$16,746.23"	$0.00	$0.00	"$12,405.00"	"$12,405.00"	"$19,418.55"	"$41,618.80"	"$32,962.09"	"$14,261.88"	"$41,618.80"	"$12,405.00"	"$41,618.80"	"$6,496.27"	"$4,824.19"	"$4,824.19"	"$18,493.86"	"$6,821.08"	$0.00	$0.00	$0.00	$0.00
MS901	DRG	MS901		WOUND DEBRIDEMENTS FOR INJURIES WITH MCC	INPATIENT ONLY	"$368,092.68"	"$272,388.58"	$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	$0.00	$0.00	$0.00	$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	"$116,932.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$116,932.68"	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,243.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$29,207.95"	"$29,207.95"	"$25,946.57"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$280,931.70"	"$342,304.46"	$0.00	"$66,795.60"	$0.00	"$66,795.60"	$0.00	"$40,627.42"	"$40,627.42"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$112,383.02"	"$136,934.37"	$0.00	"$35,459.97"	$0.00	"$35,459.97"	"$23,848.01"	"$42,033.36"	"$42,033.36"	$0.00	"$25,040.40"	$0.00	$0.00	$0.00	$0.00
MS905	DRG	MS905		SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC	INPATIENT ONLY	"$130,398.68"	"$96,495.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$201,237.38"	"$184,096.43"	"$184,096.43"	"$23,502.39"	"$23,502.39"	"$49,807.27"	$0.00	$0.00	$0.00	"$13,855.47"	$0.00	$0.00	"$23,972.44"	"$201,237.38"	"$201,237.38"	$0.00	"$128,086.32"	"$156,068.25"	$0.00	"$17,451.31"	"$201,237.38"	"$17,451.31"	$0.00	"$27,362.32"	"$27,362.32"	$0.00	$0.00	$0.00	$0.00	$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"	"$217,751.34"	"$38,301.96"	"$38,301.96"	$0.00	"$30,419.81"	$0.00	$0.00	"$98,592.46"	"$38,231.45"	"$41,160.33"	"$39,068.00"	$0.00	$0.00	$0.00	"$205,770.40"	"$250,723.31"	$0.00	"$45,461.07"	$0.00	"$45,461.07"	"$39,395.94"	"$388,246.60"	"$388,246.60"	$0.00	"$41,365.72"	$0.00	$0.00	$0.00	$0.00
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	"$25,204.31"	"$25,204.31"	$0.00	"$34,521.96"	$0.00	$0.00	"$71,256.39"	$0.00	"$34,521.96"	"$25,708.40"	$0.00	$0.00	"$27,901.30"	"$97,496.00"	"$118,795.12"	"$182,669.21"	"$20,681.15"	$0.00	"$20,681.15"	"$15,861.25"	"$29,993.55"	"$29,993.55"	"$26,572.67"	"$16,654.30"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	"$11,600.88"	$0.00	$0.00	$0.00	$0.00	"$11,600.88"	$0.00	$0.00	$0.00	"$22,814.25"	"$47,755.73"	"$58,188.52"	$0.00	"$13,219.05"	$0.00	"$13,219.05"	"$15,861.25"	"$23,914.43"	"$23,914.43"	"$21,727.86"	"$16,654.30"	$0.00	$0.00	$0.00	$0.00
MS913	DRG	MS913		TRAUMATIC INJURY WITH MCC	INPATIENT ONLY	"$58,527.66"	"$43,310.47"	$0.00	"$35,408.42"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$35,408.42"	$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	"$25,201.47"	"$25,201.47"	$0.00	$0.00	$0.00	$0.00	$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"	"$19,477.40"	"$17,174.42"	"$17,174.42"	$0.00	$0.00	$0.00	$0.00	"$12,315.97"	"$17,158.58"	$0.00	"$17,517.91"	$0.00	$0.00	$0.00	"$34,521.77"	"$42,063.45"	$0.00	"$8,637.95"	$0.00	"$8,637.95"	$0.00	"$20,182.36"	"$20,182.36"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS915	DRG	MS915		ALLERGIC REACTIONS WITH MCC	INPATIENT ONLY	"$13,523.90"	"$10,007.69"	$0.00	"$27,685.69"	$0.00	$0.00	"$27,685.69"	"$27,685.69"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,782.56"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$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	$0.00	$0.00	"$18,316.33"	"$18,316.33"	"$18,988.45"	$0.00	$0.00	$0.00	$0.00	$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"	"$17,715.70"	"$21,257.33"	"$21,257.33"	"$12,541.54"	"$6,253.67"	$0.00	$0.00	"$20,090.46"	"$21,230.93"	"$11,939.58"	"$21,682.48"	"$22,177.50"	"$22,177.50"	"$23,801.74"	"$17,979.07"	"$51,372.18"	$0.00	"$14,667.56"	"$22,177.50"	"$14,667.56"	"$11,427.78"	"$25,094.49"	"$25,094.49"	"$22,668.32"	"$11,999.16"	$0.00	$0.00	$0.00	$0.00
MS918	DRG	MS918		POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	INPATIENT ONLY	"$26,175.61"	"$19,369.95"	$0.00	"$24,709.73"	"$4,453.30"	"$4,453.30"	"$24,709.73"	"$24,709.73"	"$2,488.34"	"$6,225.23"	$0.00	$0.00	"$3,348.41"	"$24,675.25"	"$6,225.23"	"$23,946.92"	"$11,044.46"	"$11,044.46"	"$19,160.25"	"$3,729.06"	"$12,112.06"	"$13,648.19"	"$6,834.23"	"$11,044.46"	"$6,834.23"	"$5,958.38"	"$19,547.84"	"$19,547.84"	"$18,247.86"	"$6,256.30"	$0.00	$0.00	$0.00	$0.00
MS919	DRG	MS919		COMPLICATIONS OF TREATMENT WITH MCC	INPATIENT ONLY	"$64,348.49"	"$47,617.88"	$0.00	"$69,950.28"	"$5,749.93"	"$5,749.93"	"$23,780.51"	"$23,780.51"	$0.00	"$11,257.45"	$0.00	$0.00	$0.00	"$23,747.59"	"$11,257.45"	"$24,256.12"	$0.00	$0.00	"$26,276.23"	"$26,914.05"	"$69,950.28"	$0.00	"$18,297.37"	$0.00	"$18,297.37"	$0.00	"$28,051.57"	"$28,051.57"	"$25,024.98"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,687.60"	"$14,855.59"	"$28,277.30"	$0.00	"$10,099.48"	$0.00	"$10,099.48"	$0.00	"$21,373.04"	"$21,373.04"	"$19,702.48"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	"$10,898.00"	$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	$0.00	$0.00	$0.00	"$17,639.98"	$0.00	$0.00	$0.00	$0.00	$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	"$22,014.43"	"$22,014.43"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,454.72"	$0.00	$0.00	$0.00	"$3,753.19"	"$61,719.57"	$0.00	"$16,074.98"	$0.00	"$16,074.98"	"$1,335.32"	"$26,241.08"	"$26,241.08"	$0.00	"$1,421.16"	$0.00	$0.00	$0.00	$0.00
MS923	DRG	MS923		"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC"	INPATIENT ONLY	"$20,532.46"	"$15,194.02"	$0.00	"$17,890.29"	$0.00	$0.00	"$17,539.50"	"$17,539.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$17,890.29"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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"	"$636,813.54"	$0.00	$0.00	$0.00	"$122,178.14"	$0.00	$0.00	$0.00	$0.00	"$128,287.10"	$0.00	$0.00	$0.00	$0.00	"$300,908.95"	"$366,645.98"	$0.00	"$199,919.71"	$0.00	"$199,919.71"	"$122,787.92"	"$176,013.20"	"$176,013.20"	$0.00	"$128,927.26"	$0.00	$0.00	$0.00	$0.00
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"	"$242,850.15"	"$56,131.28"	"$56,131.28"	"$48,038.28"	"$21,161.06"	$0.00	$0.00	"$198,393.73"	"$56,014.65"	"$21,161.06"	"$57,253.91"	"$81,797.38"	"$81,797.38"	"$56,136.99"	"$103,838.89"	"$126,523.70"	$0.00	"$62,099.56"	"$81,797.38"	"$62,099.56"	"$20,253.97"	"$63,735.75"	"$63,735.75"	"$53,463.80"	"$21,266.66"	$0.00	$0.00	$0.00	$0.00
MS929	DRG	MS929		FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	INPATIENT ONLY	"$110,995.12"	"$82,136.39"	$0.00	"$94,527.37"	"$67,878.36"	"$67,878.36"	"$31,853.89"	"$31,853.89"	"$20,836.22"	"$9,637.44"	$0.00	$0.00	"$94,527.37"	$0.00	"$10,119.31"	"$32,490.97"	"$68,724.23"	"$68,724.23"	"$33,904.08"	"$52,200.82"	"$63,604.70"	"$60,897.37"	"$62,099.56"	"$68,724.23"	"$62,099.56"	"$9,685.54"	"$63,735.75"	"$63,735.75"	"$32,289.60"	"$10,169.81"	$0.00	$0.00	$0.00	$0.00
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	"$26,670.86"	"$26,670.86"	$0.00	"$34,672.09"	$0.00	$0.00	$0.00	$0.00	"$34,672.09"	"$27,204.28"	$0.00	$0.00	"$35,261.93"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$33,582.79"	$0.00	$0.00	$0.00	$0.00	$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"	"$32,060.98"	"$28,769.31"	"$28,769.31"	$0.00	"$9,096.60"	$0.00	$0.00	"$24,196.92"	"$24,413.93"	"$9,096.60"	$516.01	$0.00	$0.00	"$26,170.31"	"$4,043.26"	"$16,532.51"	$0.00	"$18,141.99"	$0.00	"$18,141.99"	"$2,220.06"	"$27,924.99"	"$27,924.99"	"$24,924.10"	"$2,362.77"	$0.00	$0.00	$0.00	$0.00
MS935	DRG	MS935		NON-EXTENSIVE BURNS	INPATIENT ONLY	"$41,960.79"	"$31,050.98"	$0.00	"$28,925.37"	"$15,650.93"	"$15,650.93"	"$24,393.38"	"$24,393.38"	$0.00	"$8,178.90"	$0.00	$0.00	"$8,531.60"	"$24,358.86"	"$8,178.90"	"$24,881.25"	$0.00	$0.00	"$27,007.44"	"$15,169.68"	"$18,483.67"	"$7,817.30"	"$19,369.96"	$0.00	"$19,369.96"	"$2,410.65"	"$28,925.37"	"$28,925.37"	"$25,721.37"	"$2,565.61"	$0.00	$0.00	$0.00	$0.00
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"	"$20,433.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$27,930.95"	$0.00	$0.00	$0.00	$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
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	"$24,325.75"	"$24,325.75"	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,291.39"	$0.00	$0.00	$0.00	$0.00	"$26,996.52"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$25,710.97"	$0.00	$0.00	$0.00	$0.00	$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	"$19,293.84"	"$19,293.84"	$0.00	$0.00	$0.00	$0.00	$0.00	"$19,272.53"	$0.00	"$19,679.72"	$0.00	$0.00	"$21,984.63"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$13,833.77"	"$22,923.01"	"$22,923.01"	"$20,937.74"	"$14,525.45"	$0.00	$0.00	$0.00	$0.00
MS948	DRG	MS948		SIGNS AND SYMPTOMS WITHOUT MCC	INPATIENT ONLY	"$17,563.09"	"$12,996.69"	$0.00	"$31,248.40"	"$20,433.00"	"$20,433.00"	"$16,485.64"	"$16,485.64"	$0.00	"$7,783.43"	$0.00	$0.00	$0.00	$0.00	"$7,783.43"	"$16,815.35"	$0.00	$0.00	"$19,130.18"	"$3,483.39"	"$31,248.40"	"$17,149.01"	"$6,011.26"	$0.00	"$6,011.26"	$0.00	"$19,511.90"	"$19,511.90"	"$18,219.22"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	"$17,291.74"	"$17,291.74"	$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	"$20,033.73"	"$20,033.73"	$0.00	$0.00	$0.00	$0.00	$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"	"$646,654.77"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$74,994.21"	$0.00	$0.00	"$74,415.79"	"$361,311.27"	"$440,243.88"	"$303,884.19"	"$105,609.45"	$0.00	"$105,609.45"	"$53,840.04"	"$62,801.51"	"$62,801.51"	"$70,872.18"	"$56,532.01"	$0.00	$0.00	$0.00	$0.00
MS956	DRG	MS956		"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA"	INPATIENT ONLY	"$228,564.82"	"$169,137.97"	$0.00	"$294,666.51"	"$147,277.43"	"$147,277.43"	"$37,624.23"	"$37,624.23"	$0.00	"$117,843.05"	$0.00	$0.00	"$294,666.51"	$0.00	"$116,900.81"	"$38,376.71"	$0.00	$0.00	"$40,613.44"	"$174,522.63"	"$212,649.13"	"$278,577.75"	"$39,328.35"	$0.00	"$39,328.35"	"$84,114.71"	"$45,184.81"	"$45,184.81"	"$38,679.47"	"$53,545.64"	$0.00	$0.00	$0.00	$0.00
MS957	DRG	MS957		OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	INPATIENT ONLY	"$302,297.61"	"$223,700.23"	$0.00	"$661,644.95"	"$303,164.25"	"$303,164.25"	"$62,268.78"	"$62,268.78"	"$144,907.91"	"$80,138.05"	$0.00	$0.00	"$432,660.03"	$0.00	"$80,138.05"	"$63,514.16"	"$422,490.48"	"$422,490.48"	"$65,286.01"	"$278,370.30"	"$339,183.51"	"$661,644.95"	"$78,684.59"	"$422,490.48"	"$78,684.59"	"$76,702.83"	"$74,669.01"	"$74,669.01"	"$62,177.15"	"$80,537.94"	$0.00	$0.00	$0.00	$0.00
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"	"$243,925.14"	"$40,437.04"	"$40,437.04"	$0.00	"$33,019.28"	$0.00	$0.00	"$171,009.88"	"$40,424.16"	"$33,019.28"	"$41,247.95"	$0.00	$0.00	"$42,442.17"	"$130,622.58"	"$159,158.58"	"$179,708.38"	"$42,010.85"	$0.00	"$42,010.85"	"$31,603.87"	"$47,370.16"	"$47,370.16"	"$40,421.11"	"$33,184.05"	$0.00	$0.00	$0.00	$0.00
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"	"$117,245.71"	$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	"$99,858.13"	"$121,673.30"	$0.00	"$28,073.07"	$0.00	"$28,073.07"	"$19,466.16"	"$36,015.52"	"$36,015.52"	$0.00	"$20,439.46"	$0.00	$0.00	$0.00	$0.00
MS963	DRG	MS963		OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	INPATIENT ONLY	"$102,608.59"	"$75,930.36"	$0.00	"$206,519.43"	"$29,282.40"	"$29,282.40"	"$29,893.87"	"$29,893.87"	"$24,162.84"	$0.00	$0.00	$0.00	"$206,519.43"	"$37,659.87"	$0.00	"$30,491.75"	"$40,948.50"	"$40,948.50"	"$32,425.24"	"$64,598.93"	"$78,711.32"	"$113,231.89"	"$27,317.23"	"$40,948.50"	"$27,317.23"	"$29,432.41"	"$35,399.75"	"$35,399.75"	"$30,881.18"	"$30,904.01"	$0.00	$0.00	$0.00	$0.00
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"	"$19,477.40"	"$21,349.12"	"$21,349.12"	"$13,182.41"	"$17,222.51"	$0.00	$0.00	"$13,855.47"	"$21,322.49"	"$17,222.51"	"$21,776.10"	"$22,377.00"	"$22,377.00"	$0.00	"$51,124.83"	"$62,293.64"	"$33,880.61"	"$14,971.29"	"$22,377.00"	"$14,971.29"	"$4,058.08"	"$25,341.92"	"$25,341.92"	$0.00	"$4,318.93"	$0.00	$0.00	$0.00	$0.00
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"	"$15,656.33"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,618.49"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$37,935.50"	"$46,222.92"	$0.00	"$9,193.30"	$0.00	"$9,193.30"	"$8,185.98"	"$20,634.78"	"$20,634.78"	$0.00	"$8,595.28"	$0.00	$0.00	$0.00	$0.00
MS969	DRG	MS969		HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC	INPATIENT ONLY	"$353,828.86"	"$261,833.36"	$0.00	"$67,855.17"	$0.00	$0.00	"$67,855.17"	"$67,855.17"	$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	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$36,966.90"	"$36,966.90"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
MS974	DRG	MS974		HIV WITH MAJOR RELATED CONDITION WITH MCC	INPATIENT ONLY	"$73,178.08"	"$54,151.78"	$0.00	"$583,583.70"	"$35,613.99"	"$35,613.99"	"$37,227.84"	"$37,227.84"	$0.00	$0.00	$0.00	$0.00	"$583,583.70"	"$29,573.90"	$0.00	"$30,214.39"	$0.00	$0.00	"$27,554.25"	"$13,595.40"	"$64,425.98"	$0.00	"$26,803.98"	$0.00	"$26,803.98"	$0.00	"$44,204.35"	"$44,204.35"	"$27,554.25"	$0.00	$0.00	$0.00	$0.00	$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"	"$16,572.15"	"$19,901.89"	"$19,901.89"	$0.00	"$11,270.70"	$0.00	$0.00	$0.00	$0.00	"$11,270.70"	"$20,299.93"	$0.00	$0.00	"$22,973.48"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$24,104.72"	"$24,104.72"	"$25,529.20"	$0.00	$0.00	$0.00	$0.00	$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"	"$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,764.33"	"$23,764.33"	$0.00	$0.00	$0.00	$0.00	$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"	"$8,399.10"	"$20,193.12"	"$20,193.12"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,596.98"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$23,765.79"	"$23,765.79"	$0.00	$0.00	$0.00	$0.00	$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"	"$389,857.92"	"$47,995.46"	"$47,995.46"	$0.00	"$47,997.68"	$0.00	$0.00	$0.00	"$42,818.02"	"$47,997.68"	"$56,112.45"	$0.00	$0.00	"$44,568.12"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$47,748.94"	"$47,748.94"	"$42,445.83"	$0.00	$0.00	$0.00	$0.00	$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	"$52,490.00"	$0.00	$0.00	"$28,559.81"	"$28,559.81"	$0.00	$0.00	$0.00	$0.00	"$52,490.00"	"$28,514.50"	$0.00	"$26,802.53"	$0.00	$0.00	"$30,463.26"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$20,815.40"	"$33,055.16"	"$33,055.16"	"$29,012.63"	"$21,856.15"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$7,786.79"	"$84,648.54"	$0.00	"$16,410.80"	$0.00	"$16,410.80"	$0.00	"$26,514.63"	"$26,514.63"	$0.00	$0.00	$0.00	$0.00	$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	"$130,780.00"	"$111,671.84"	"$111,671.84"	"$33,662.08"	"$33,662.08"	$0.00	$0.00	$0.00	$0.00	"$130,780.00"	$0.00	$0.00	"$83,339.54"	$0.00	$0.00	"$62,005.18"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$129,871.79"	"$129,871.79"	"$59,052.55"	$0.00	$0.00	$0.00	$0.00	$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	"$22,830.18"	"$22,830.18"	$0.00	$0.00	$0.00	$0.00	$0.00	"$22,799.71"	$0.00	"$23,286.78"	$0.00	$0.00	"$24,328.59"	"$83,023.25"	"$101,160.63"	$0.00	"$17,224.76"	$0.00	"$17,224.76"	$0.00	"$27,177.75"	"$27,177.75"	"$24,328.59"	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$5,802.63"	$0.00	$0.00	$0.00	"$6,092.76"	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$62,801.51"	"$62,801.51"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
812	EAP	CPT® 00812		ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC	BOTH IP/OP	$625.00 	$462.50	$0.00	$500.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$446.06	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$312.50	$495.00	$500.00	$0.00	$0.00	$0.00	$97.81	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$500.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$446.06	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$312.50	$495.00	$500.00	$0.00	$0.00	$0.00	$97.81	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
11200	EAP	CPT®11200		"PR DEBRIDEMENT OF NAILS, 6 OR MORE"	BOTH IP/OP	$255.00 	$188.70	$0.00	$255.00	255	$255.00	$174.88	$174.88	175.86	53.15	255	$255.00	$255.00	$172.08	53.14	$111.85	$113.00	$113.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
11976	EAP	CPT®11976		CHEM CAUTERY GRANULATN TISSUE	BOTH IP/OP	$408.00 	$301.92	$0.00	$606.01	$408.00	$408.00	$606.01	$606.01	$408.00	$0.00	$408.00	$408.00	$408.00	$596.11	$85.03	$387.47	$408.00	$408.00	$175.24	$305.00	$241.56	$244.00	$243.48	$408.00	$243.48	$37.05	$38.57	$38.57	$48.56	$166.90	$0.00	$0.00	$0.00	$0.00
11981	EAP	CPT®11981		PR REMOVAL OF BREAST LESION	BOTH IP/OP	$286.00 	$211.64	$0.00	$286.00	286	$286.00	$109.81	$109.81	110.43	59.61	$0.00	$0.00	$0.00	$107.30	59.6	$69.74	$113.00	$113.00						$286.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
11983	EAP	CPT®11983		INJECT CARPAL TUNNEL	BOTH IP/OP	$402.00 	$297.48	$0.00	$402.00	$402.00	$402.00	$264.30	$264.30	$265.79	$83.79	$0.00	$0.00	$0.00	$258.98	$83.78	$168.34	$113.00	$113.00	$262.54	$284.00	$224.93	$227.20	$284.00	$402.00	$284.00	$44.45	$59.49	$59.49	$45.21	$250.04	$0.00	$0.00	$0.00	$0.00
17250	EAP	CPT® 17250		INJECT TENDON ORIGIN/INSERT	BOTH IP/OP	$256.00 	$189.44	$0.00	$262.54	$256.00	$256.00	$174.88	$174.88	$175.86	$53.36	$0.00	$0.00	$0.00	$172.08	$53.35	$111.85	$113.00	$113.00	$262.54	$202.00	$159.98	$161.60	$202.00	$0.00	$202.00	$0.00	$41.47	$41.47	$32.16	$250.04	$0.00	$0.00	$0.00	$0.00
20526	EAP	CPT® 20526		"INJECT TRIGGER POINTS, > 3"	BOTH IP/OP	$232.00 	$171.68	$0.00	$262.54	$232.00	$232.00	$254.43	$254.43	$232.00	$48.35	$0.00	$0.00	$0.00	$250.31	$48.35	$162.70	$232.00	$232.00	$262.54	$230.00	$182.16	$184.00	$230.00	$0.00	$230.00	$66.56	$45.07	$45.07	$36.62	$250.04	$0.00	$0.00	$0.00	$0.00
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	$254.43	$254.43	$162.00	$33.76	$162.00	$162.00	$162.00	$250.31	$33.76	$162.70	$162.00	$162.00	$262.54	$182.00	$144.14	$145.60	$182.00	$162.00	$182.00	$54.79	$37.50	$37.50	$28.97	$250.04	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$262.54	$274.00	$217.01	$219.20	$274.00	$0.00	$274.00	$69.40	$47.60	$47.60	$43.62	$250.04	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$250.31	$31.68	$162.70	$152.00	$152.00	$626.89	$303.00	$239.98	$242.40	$303.00	$152.00	$303.00	$76.82	$54.81	$54.81	$48.24	$597.04	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$254.43	$254.43	$150.00	$31.26	$150.00	$150.00	$150.00	$250.31	$31.26	$162.70	$150.00	$150.00	$262.54	$223.00	$176.62	$178.40	$223.00	$150.00	$223.00	$70.76	$47.59	$47.59	$35.50	$250.04	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$250.31	$48.35	$162.70	$113.00	$113.00	$262.54	$338.00	$267.70	$270.40	$338.00	$0.00	$338.00	$88.61	$62.38	$62.38	$53.81	$250.04	$0.00	$0.00	$0.00	$0.00
20606	EAP	CPT® 20606		CLOSED RX METATARSAL FX	BOTH IP/OP	$252.00 	$186.48	$0.00	$790.00	$252.00	$252.00	$618.38	$618.38	$252.00	$52.52	$0.00	$0.00	$0.00	$608.20	$52.52	$395.33	$113.00	$113.00	$216.27	$790.00	$625.68	$632.00	$300.48	$0.00	$300.48	$214.80	$210.83	$210.83	$125.77	$205.98	$0.00	$0.00	$0.00	$0.00
20610	EAP	CPT® 20610		PR SHOULDER SCOPE BONE SHAVING	BOTH IP/OP	$183.00 	$135.42	$0.00	$254.43	183	$183.00	$254.43	$254.43	183	38.14	183	$183.00	$183.00	$250.31	38.14	$162.70	$183.00	$183.00						$183.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
20610	EAP	CPT®20610		CLOSED RX TOE FX	BOTH IP/OP	$183.00 	$135.42	$0.00	$346.90	$183.00	$183.00	$254.43	$254.43	$183.00	$38.14	$183.00	$183.00	$183.00	$250.31	$38.14	$162.70	$183.00	$183.00	$0.00	$0.00	$346.90	$0.00	$0.00	$183.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
20611	EAP	CPT® 20611		PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	BOTH IP/OP	$281.00 	$207.94	$0.00	$281.00	281	$281.00	$254.43	$254.43	255.86	58.57	$0.00	$0.00	$0.00	$250.31	58.56	$162.70	$113.00	$113.00						$281.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
20612	EAP	CPT®20612		"PR CATHETER ASPIRATN,NASOTRACH"	BOTH IP/OP	$181.00 	$133.94	$0.00	$254.43	181	$181.00	$254.43	$254.43	181	0	$0.00	$0.00	$0.00	$250.31	37.72	$162.70	$181.00	$181.00						$181.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
25600	EAP	CPT®25600		"PHLEB, VENIPUNCTURE"	BOTH IP/OP	$970.00 	$717.80	$0.00	$202.15	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$197.62	$202.15	$128.45	$113.00	$113.00	$3.15	$5.50	$8.71	$8.80	$4.35	$0.00	$4.35	$1.72	$3.00	$3.00	$1.75	$3.00	$0.00	$0.00	$0.00	$0.00
28470	EAP	CPT® 28470		PR INSERT NON-TUNNEL CV CATH	BOTH IP/OP	$620.00 	$458.80	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
28490	EAP	CPT®28490		"REMOVE TONSILS/ADENOIDS,<12 Y/O"	BOTH IP/OP	$401.00 	$296.74	$0.00	$401.00	401	$401.00	$200.72	$200.72	201.85	0	$0.00	$0.00	$0.00	$0.00	83.57	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
28510	EAP	CPT® 28510		PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	BOTH IP/OP	$340.00 	$251.60	$0.00	$340.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	70.86	$0.00	$0.00	$0.00						$340.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
36415	EAP	CPT® 36415		PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	BOTH IP/OP	$11.00 	$8.14	$0.00	$7.15	5.97	$5.97	$3.00	$3.00	1.5	1.35	3.12	$3.12	$3.24	$3.00	2.29	$1.95	$6.51	$6.51						$7.15	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$775.94	$180.68	$504.36	$867.00	$867.00	"$1,007.17"	"$1,530.00"	"$1,211.76"	"$1,224.00"	"$1,399.33"	$0.00	"$1,399.33"	$353.17	$208.77	$208.77	$243.58	$959.21	$0.00	$0.00	$0.00	$0.00
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"	"$1,110.00"	$787.99	$787.99	$792.43	$0.00	"$1,110.00"	"$1,110.00"	"$1,110.00"	$775.94	$231.32	$504.36	"$1,110.00"	"$1,110.00"	"$1,007.17"	"$1,598.00"	"$1,265.62"	"$1,278.40"	"$1,399.33"	$0.00	"$1,399.33"	$450.95	$265.02	$265.02	$254.40	$959.21	$0.00	$0.00	$0.00	$0.00
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	"$1,110.00"	$787.99	$787.99	792.43	0	1110	"$1,110.00"	"$1,110.00"	$775.94	231.32	$504.36	"$1,110.00"	"$1,110.00"						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	"$1,581.72"	557	$557.00	"$1,581.72"	"$1,581.72"	557	0	557	$557.00	$557.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
45330	EAP	CPT® 45330		"PR LAP,CHOLECYSTECTOMY"	BOTH IP/OP	$542.00 	$401.08	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
45331	EAP	CPT®45331		"PR REPAIR ING HERNIA,5+Y/O,REDUCIBL"	BOTH IP/OP	$844.00 	$624.56	$0.00	$175.89	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	175.89	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
45335	EAP	CPT®45335		"PR BIOPSY OF PROSTATE,NEEDLE/PUNCH"	BOTH IP/OP	$860.00 	$636.40	$0.00	$179.22	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	179.22	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
45378	EAP	CPT® 45378		"BIOPSY VULVA/PERINEUM,ONE LESN"	BOTH IP/OP	$984.00 	$728.16	$0.00	$984.00	$984.00	$984.00	$772.82	$772.82	$777.17	$0.00	$984.00	$984.00	$984.00	$760.65	$205.07	$494.42	$984.00	$984.00	$640.34	$328.00	$259.78	$262.40	$328.00	$0.00	$328.00	$84.36	$63.10	$63.10	$52.22	$609.84	$0.00	$0.00	$0.00	$0.00
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	$984.00	$772.82	$772.82	777.17	0	984	$984.00	$984.00	$760.65	205.07	$494.42	$984.00	$984.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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"	"$1,268.00"	"$1,009.84"	"$1,009.84"	"$1,015.53"	$0.00	"$1,268.00"	"$1,268.00"	"$1,268.00"	$993.84	$264.25	$646.00	"$1,268.00"	"$1,268.00"	$271.52	$560.00	$443.52	$448.00	$377.23	$0.00	$377.23	$145.54	$115.02	$115.02	$89.15	$258.59	$0.00	$0.00	$0.00	$0.00
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"	"$1,268.00"	"$1,009.84"	"$1,009.84"	"$1,015.53"	$0.00	"$1,268.00"	"$1,268.00"	"$1,268.00"	$993.84	$264.25	$646.00	"$1,268.00"	"$1,268.00"	$271.52	$594.00	$470.45	$475.20	$377.23	$0.00	$377.23	$99.94	$140.25	$140.25	$94.56	$258.59	$0.00	$0.00	$0.00	$0.00
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"	"$1,294.00"	"$1,009.84"	"$1,009.84"	"$1,015.53"	$0.00	"$1,294.00"	"$1,294.00"	"$1,294.00"	$993.84	$269.67	$646.00	"$1,294.00"	"$1,294.00"	$271.52	$526.00	$416.59	$420.80	$377.23	$0.00	$377.23	$137.69	$106.36	$106.36	$83.74	$258.59	$0.00	$0.00	$0.00	$0.00
45385	EAP	CPT® 45385		BIOPSY OF UTERUS LINING	BOTH IP/OP	"$1,318.00 "	$975.32	$0.00	"$1,318.00"	"$1,318.00"	"$1,318.00"	"$1,009.84"	"$1,009.84"	"$1,015.53"	$0.00	"$1,318.00"	"$1,318.00"	"$1,318.00"	$993.84	$274.67	$646.00	"$1,318.00"	"$1,318.00"	$166.54	$353.00	$279.58	$282.40	$231.38	$0.00	$231.38	$59.72	$67.07	$67.07	$56.20	$158.61	$0.00	$0.00	$0.00	$0.00
45385	EAP	CPT®45385		BIOPSY/EXCIS CERVICAL LESN	BOTH IP/OP	"$1,318.00 "	$975.32	$0.00	"$1,318.00"	"$1,318.00"	"$1,318.00"	"$1,009.84"	"$1,009.84"	"$1,015.53"	$0.00	"$1,318.00"	"$1,318.00"	"$1,318.00"	$993.84	$274.67	$646.00	"$1,318.00"	"$1,318.00"	$640.34	$518.00	$410.26	$414.40	$518.00	$0.00	$518.00	$71.26	$78.23	$78.23	$82.47	$609.84	$0.00	$0.00	$0.00	$0.00
56605	EAP	CPT® 56605		"PR OBSTETRICAL CARE,VAG DELIV ONLY"	BOTH IP/OP	$276.00 	$204.24	$0.00	$617.38	276	$276.00	$617.38	$617.38	276	57.53	276	$276.00	$276.00	$607.07	57.52	$394.60	$276.00	$276.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
57454	EAP	CPT® 57454		"PR FULL ROUT OBSTE CARE,CESAREAN DELIV"	BOTH IP/OP	$482.00 	$356.68	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
57500	EAP	CPT® 57500		PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	BOTH IP/OP	$448.00 	$331.52	$0.00	$617.38	448	$448.00	$617.38	$617.38	448	93.37	448	$448.00	$448.00	$607.07	93.36	$394.60	$448.00	$448.00						$448.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$626.89	$275.00	$217.80	$220.00	$275.00	$0.00	$275.00	$85.27	$44.35	$44.35	$43.78	$597.04	$0.00	$0.00	$0.00	$0.00
58100	EAP	CPT® 58100		"PR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL"	BOTH IP/OP	$292.00 	$216.08	$0.00	$292.00	292	$292.00	$165.90	$165.90	166.84	60.86	292	$292.00	$292.00	$163.24	60.85	$106.10	$113.00	$113.00						$292.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
58110	EAP	CPT® 58110		"PR DISCISSION,2ND CATARACT,LASER"	BOTH IP/OP	$141.00 	$104.34	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
58300	EAP	CPT® 58300		PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	BOTH IP/OP	$265.00 	$196.10	$0.00	$265.00	265	$265.00	$0.00	$0.00	51.66	55.23	$0.00	$0.00	$0.00	$0.00	55.23	$0.00	$113.00	$113.00						$265.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
58301	EAP	CPT® 58301		PR INJECT INTRAVITREAL PHARMCOLOGIC	BOTH IP/OP	$316.00 	$233.84	$0.00	$316.00	316	$316.00	$274.65	$274.65	276.2	65.86	$0.00	$0.00	$0.00	$269.78	65.85	$175.35	$316.00	$316.00						$316.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
64450	EAP	CPT® 64450		"PR CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS"	BOTH IP/OP	$216.00 	$159.84	$0.00	$618.38	216	$216.00	$618.38	$618.38	216	45.02	216	$216.00	$216.00	$608.20	45.01	$395.33	$216.00	$216.00						$216.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
69210	EAP	CPT® 69210		CHG RADIOLOGIC EXAM CHEST 2 VIEWS	BOTH IP/OP	$134.00 	$99.16	$0.00	$134.00	134	$134.00	$54.21	$54.21	54.51	27.93	$0.00	$0.00	$0.00	$53.35	27.93	$34.67	$113.00	$113.00						$134.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
70360	EAP	CPT® 70360		"X-RAY RIBS, CHEST 4+ VW"	BOTH IP/OP	$90.00 	$66.60	$18.76	$137.87	$63.70	$63.70	$78.77	$78.77	$79.21	$18.76	$45.06	$45.06	$46.80	$77.54	$18.76	$50.40	$53.24	$53.24	$112.41	$29.76	$98.21	$99.20	$124.00	$137.87	$124.00	$50.44	$35.30	$35.30	$19.74	$107.06	$0.00	$0.00	$0.00	$0.00
70450	EAP	CPT® 70450		"CT SCAN,THORAX,W/O CONTRAST"	BOTH IP/OP	$313.00 	$231.62	$55.40	$313.00	$313.00	$313.00	$106.02	$106.02	$106.62	$65.24	$313.00	$313.00	$313.00	$104.44	$65.23	$67.89	$313.00	$313.00	$112.41	$84.96	$280.37	$283.20	$156.18	$313.00	$156.18	$55.40	$101.21	$101.21	$56.36	$107.06	$0.00	$0.00	$0.00	$0.00
70450	EAP	CPT®70450		"PR CT SCAN,THORAX,W/O CONTRAST"	BOTH IP/OP	$313.00 	$231.62	$0.00	$313.00	313	$313.00	$106.02	$106.02	106.62	65.24	313	$313.00	$313.00	$104.44	65.23	$67.89	$313.00	$313.00						$313.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
70487	EAP	CPT®70487		CAT SCAN OF CHEST CONTRAST	BOTH IP/OP	$451.00 	$333.74	$0.00	$451.00	$451.00	$451.00	$173.95	$173.95	$174.93	$94.00	$451.00	$451.00	$451.00	$171.13	$93.99	$111.23	$451.00	$451.00	$202.33	$113.52	$374.62	$378.40	$281.11	$0.00	$281.11	$74.02	$135.06	$135.06	$75.30	$192.70	$0.00	$0.00	$0.00	$0.00
70491	EAP	CPT®70491		"PR CT ANGIO, CHEST (NON-CORON), COMBO, INCL IMG PROC"	BOTH IP/OP	$550.00 	$407.00	$0.00	$550.00	550	$550.00	$173.95	$173.95	174.93	114.63	550	$550.00	$550.00	$171.13	114.62	$111.23	$550.00	$550.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
70492	EAP	CPT® 70492		"CT ANGIO, CHEST, COMBO, INCL IMAGE PROC"	BOTH IP/OP	$661.00 	$489.14	$0.00	$509.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$202.33	$152.88	$504.50	$509.60	$281.11	$0.00	$281.11	$99.69	$214.30	$214.30	$101.41	$192.70	$0.00	$0.00	$0.00	$0.00
71045	EAP	CPT®71045		CHG X-RAY THORACIC SPINE 2 VW	BOTH IP/OP	$74.00 	$54.76	$0.00	$78.77	45.3	$45.30	$78.77	$78.77	74	15.42	26.8	$26.80	$27.83	$77.54	15.42	$50.40	$43.77	$43.77						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
71046	EAP	CPT® 71046		X-RAY THOR-LUMB SP 2 VW	BOTH IP/OP	$96.00 	$71.04	$13.05	$137.87	$69.46	$69.46	$78.77	$78.77	$79.21	$20.01	$49.06	$49.06	$50.94	$77.54	$20.01	$50.40	$56.78	$56.78	$80.04	$19.68	$64.94	$65.60	$82.00	$137.87	$82.00	$36.61	$23.41	$23.41	$13.05	$76.23	$0.00	$0.00	$0.00	$0.00
71046	EAP	CPT®71046		X-RAY THORACIC SPINE 2 VW	BOTH IP/OP	$96.00 	$71.04	$12.10	$137.87	$69.46	$69.46	$78.77	$78.77	$79.21	$20.01	$49.06	$49.06	$50.94	$77.54	$20.01	$50.40	$56.78	$56.78	$112.41	$18.24	$60.19	$60.80	$76.00	$137.87	$76.00	$35.88	$21.61	$21.61	$12.10	$107.06	$0.00	$0.00	$0.00	$0.00
71110	EAP	CPT®71110		CHG X-RAY LUMBAR SPINE 2/3 VW	BOTH IP/OP	$126.00 	$93.24	$0.00	$169.61	85.46	$85.46	$106.02	$106.02	106.62	26.26	67.28	$67.28	$69.87	$104.44	26.26	$67.89	$74.53	$74.53						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
71111	EAP	CPT® 71111		X-RAY LUMBAR SPINE 2/3 VW	BOTH IP/OP	$150.00 	$111.00	$0.00	$112.41	$109.64	$109.64	$106.02	$106.02	$106.62	$31.26	$88.90	$88.90	$92.32	$104.44	$31.26	$67.89	$88.73	$88.73	$112.41	$22.80	$75.24	$76.00	$95.00	$0.00	$95.00	$36.61	$27.01	$27.01	$15.12	$107.06	$0.00	$0.00	$0.00	$0.00
71250	EAP	CPT® 71250		X-RAY LUMBAR SPINE 4 VW	BOTH IP/OP	$393.00 	$290.82	$19.90	$393.00	$393.00	$393.00	$106.02	$106.02	$106.62	$81.91	$393.00	$393.00	$393.00	$104.44	$81.90	$67.89	$393.00	$393.00	$112.41	$30.00	$99.00	$100.00	$125.00	$393.00	$125.00	$50.44	$35.66	$35.66	$19.90	$107.06	$0.00	$0.00	$0.00	$0.00
71250	EAP	CPT®71250		CHG X-RAY LUMBAR SPINE 4 VW	BOTH IP/OP	$393.00 	$290.82	$0.00	$393.00	393	$393.00	$106.02	$106.02	106.62	81.91	393	$393.00	$393.00	$104.44	81.9	$67.89	$393.00	$393.00						$393.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
71260	EAP	CPT® 71260		"CT SCAN,LUMBAR SPINE,W/O CONTRAST"	BOTH IP/OP	$494.00 	$365.56	$0.00	$494.00	$494.00	$494.00	$173.95	$173.95	$174.93	$102.96	$494.00	$494.00	$494.00	$171.13	$102.95	$111.23	$494.00	$494.00	$112.41	$371.00	$293.83	$296.80	$156.18	$0.00	$156.18	$58.06	$105.89	$105.89	$59.06	$107.06	$0.00	$0.00	$0.00	$0.00
71260	EAP	CPT®71260		"PR CT SCAN,CERVICAL SPINE,W/O CONTRAST"	BOTH IP/OP	$494.00 	$365.56	$0.00	$494.00	494	$494.00	$173.95	$173.95	174.93	102.96	494	$494.00	$494.00	$171.13	102.95	$111.23	$494.00	$494.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
71275	EAP	CPT®71275		"PR MRI, CERV SPINE"	BOTH IP/OP	$763.00 	$564.62	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72040	EAP	CPT®72040		CHG X-RAY PELVIS 1/2 VW	BOTH IP/OP	$113.00 	$83.62	$0.00	$137.87	74.98	$74.98	$78.77	$78.77	79.21	23.55	62.89	$62.89	$65.31	$77.54	23.55	$50.40	$66.84	$66.84						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72050	EAP	CPT® 72050		PR CT SCAN OF PELVIS CONTRAST	BOTH IP/OP	$152.00 	$112.48	$0.00	$106.62	103.2	$103.20	$106.02	$106.02	106.62	31.68	89.81	$89.81	$93.27	$104.44	31.68	$67.89	$89.91	$89.91						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72052	EAP	CPT® 72052		X-RAY SACRUM/COCCYX 2+ VW	BOTH IP/OP	$177.00 	$130.98	$0.00	$104.70	$0.00	$0.00	$0.00	$0.00	$0.00	$36.89	$0.00	$0.00	$0.00	$104.44	$36.89	$67.89	$104.70	$104.70	$80.04	$18.96	$62.57	$63.20	$79.00	$0.00	$79.00	$30.55	$22.69	$22.69	$12.58	$76.23	$0.00	$0.00	$0.00	$0.00
72070	EAP	CPT® 72070		CHG X-RAY SHOULDER 2+ VW	BOTH IP/OP	$94.00 	$69.56	$0.00	$169.61	77.4	$77.40	$106.02	$106.02	94	19.59	55.63	$55.63	$57.77	$104.44	19.59	$67.89	$55.60	$55.60						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72070	EAP	CPT®72070		X-RAY CLAVICLE	BOTH IP/OP	$94.00 	$69.56	$12.90	$169.61	$77.40	$77.40	$106.02	$106.02	$94.00	$19.59	$55.63	$55.63	$57.77	$104.44	$19.59	$67.89	$55.60	$55.60	$80.04	$19.44	$64.15	$64.80	$81.00	$169.61	$81.00	$27.72	$23.05	$23.05	$12.90	$76.23	$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.04	$19.92	$65.74	$66.40	$83.00	$0.00	$83.00	$30.90	$23.77	$23.77	$13.21	$76.23	$0.00	$0.00	$0.00	$0.00
72100	EAP	CPT® 72100		X-RAY HUMERUS	BOTH IP/OP	$114.00 	$84.36	$12.90	$169.61	$79.81	$79.81	$106.02	$106.02	$106.62	$23.76	$67.44	$67.44	$70.04	$104.44	$23.76	$67.89	$67.43	$67.43	$80.04	$19.44	$64.15	$64.80	$81.00	$169.61	$81.00	$30.55	$23.05	$23.05	$12.90	$76.23	$0.00	$0.00	$0.00	$0.00
72100	EAP	CPT®72100		CHG X-RAY HUMERUS	BOTH IP/OP	$114.00 	$84.36	$0.00	$169.61	79.81	$79.81	$106.02	$106.02	106.62	23.76	67.44	$67.44	$70.04	$104.44	23.76	$67.89	$67.43	$67.43						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72110	EAP	CPT® 72110		X-RAY ELBOW 2 VW	BOTH IP/OP	$147.00 	$108.78	$0.00	$169.61	$111.25	$111.25	$106.02	$106.02	$106.62	$0.00	$94.35	$94.35	$97.98	$0.00	$0.00	$0.00	$0.00	$0.00	$80.04	$17.04	$56.23	$56.80	$71.00	$169.61	$71.00	$27.38	$20.17	$20.17	$11.30	$76.23	$0.00	$0.00	$0.00	$0.00
72110	EAP	CPT®72110		CHG X-RAY ELBOW 2 VW	BOTH IP/OP	$147.00 	$108.78	$0.00	$169.61	111.25	$111.25	$106.02	$106.02	106.62	0	94.35	$94.35	$97.98	$0.00	$0.00	$0.00	$0.00	$0.00						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72114	EAP	CPT®72114		X-RAY ELBOW 3+ VW	BOTH IP/OP	$177.00 	$130.98	$12.42	$169.61	$141.08	$141.08	$106.02	$106.02	$106.62	$36.89	$127.92	$127.92	$132.84	$104.44	$36.89	$67.89	$104.70	$104.70	$80.04	$18.72	$61.78	$62.40	$78.00	$169.61	$78.00	$30.55	$22.33	$22.33	$12.42	$76.23	$0.00	$0.00	$0.00	$0.00
72125	EAP	CPT®72125		CHG X-RAY FOREARM 2 VW	BOTH IP/OP	$385.00 	$284.90	$0.00	$385.00	385	$385.00	$106.02	$106.02	106.62	80.24	385	$385.00	$385.00	$104.44	80.23	$67.89	$385.00	$385.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
72131	EAP	CPT® 72131		X-RAY FOREARM 2 VW	BOTH IP/OP	$383.00 	$283.42	$0.00	$383.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.04	$17.28	$57.02	$57.60	$72.00	$383.00	$72.00	$27.72	$20.53	$20.53	$11.46	$76.23	$0.00	$0.00	$0.00	$0.00
72170	EAP	CPT®72170		X-RAY WRIST 3+ VW	BOTH IP/OP	$80.00 	$59.20	$0.00	$169.61	$72.57	$72.57	$106.02	$106.02	$80.00	$0.00	$42.34	$42.34	$43.97	$0.00	$0.00	$0.00	$0.00	$0.00	$80.04	$25.44	$83.95	$84.80	$106.00	$169.61	$106.00	$28.79	$30.25	$30.25	$16.88	$76.23	$0.00	$0.00	$0.00	$0.00
72190	EAP	CPT®72190		X-RAY HAND 2 VW	BOTH IP/OP	$121.00 	$89.54	$0.00	$112.41	$86.28	$86.28	$106.02	$106.02	$106.62	$25.22	$70.16	$70.16	$72.86	$104.44	$25.22	$67.89	$71.57	$71.57	$112.41	$18.48	$60.98	$61.60	$77.00	$0.00	$77.00	$27.37	$21.97	$21.97	$12.26	$107.06	$0.00	$0.00	$0.00	$0.00
72220	EAP	CPT® 72220		X-RAY HAND 3+ VW	BOTH IP/OP	$93.00 	$68.82	$0.00	$137.87	$63.70	$63.70	$78.77	$78.77	$79.21	$0.00	$51.11	$51.11	$53.07	$0.00	$0.00	$0.00	$0.00	$0.00	$80.04	$22.08	$72.86	$73.60	$92.00	$137.87	$92.00	$28.79	$26.29	$26.29	$14.65	$76.23	$0.00	$0.00	$0.00	$0.00
73000	EAP	CPT® 73000		CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW	BOTH IP/OP	$92.00 	$68.08	$0.00	$137.87	62.88	$62.88	$78.77	$78.77	79.21	19.18	46.88	$46.88	$48.69	$77.54	19.17	$50.40	$54.42	$54.42						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73030	EAP	CPT® 73030		RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	BOTH IP/OP	$99.00 	$73.26	$19.10	$137.87	$66.11	$66.11	$78.77	$78.77	$79.21	$20.63	$50.19	$50.19	$52.12	$77.54	$20.63	$50.40	$58.56	$58.56	$80.04	$28.80	$95.04	$96.00	$111.21	$137.87	$111.21	$39.45	$34.22	$34.22	$19.10	$76.23	$0.00	$0.00	$0.00	$0.00
73030	EAP	CPT®73030		CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	BOTH IP/OP	$99.00 	$73.26	$0.00	$137.87	66.11	$66.11	$78.77	$78.77	79.21	20.63	50.19	$50.19	$52.12	$77.54	20.63	$50.40	$58.56	$58.56						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73060	EAP	CPT® 73060		RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS	BOTH IP/OP	$91.00 	$67.34	$18.96	$137.87	$66.11	$66.11	$78.77	$78.77	$79.21	$18.97	$50.19	$50.19	$52.12	$77.54	$18.96	$50.40	$53.83	$53.83	$112.41	$31.44	$103.75	$104.80	$131.00	$137.87	$131.00	$46.58	$37.46	$37.46	$20.86	$107.06	$0.00	$0.00	$0.00	$0.00
73060	EAP	CPT®73060		RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS	BOTH IP/OP	$91.00 	$67.34	$16.08	$137.87	$66.11	$66.11	$78.77	$78.77	$79.21	$18.97	$50.19	$50.19	$52.12	$77.54	$18.96	$50.40	$53.83	$53.83	$112.41	$24.24	$79.99	$80.80	$101.00	$137.87	$101.00	$37.75	$28.81	$28.81	$16.08	$107.06	$0.00	$0.00	$0.00	$0.00
73070	EAP	CPT® 73070		RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	BOTH IP/OP	$83.00 	$61.42	$14.17	$137.87	$62.09	$62.09	$78.77	$78.77	$79.21	$17.30	$46.88	$46.88	$48.69	$77.54	$17.30	$50.40	$49.09	$49.09	$80.04	$21.36	$70.49	$71.20	$89.00	$137.87	$89.00	$30.93	$25.57	$25.57	$14.17	$76.23	$0.00	$0.00	$0.00	$0.00
73070	EAP	CPT®73070		CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	BOTH IP/OP	$83.00 	$61.42	$0.00	$137.87	62.09	$62.09	$78.77	$78.77	79.21	17.3	46.88	$46.88	$48.69	$77.54	17.3	$50.40	$49.09	$49.09						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73080	EAP	CPT® 73080		CHG X-RAY KNEE 1 OR 2 VIEW	BOTH IP/OP	$93.00 	$68.82	$0.00	$137.87	70.96	$70.96	$78.77	$78.77	79.21	19.38	62.89	$62.89	$65.31	$77.54	19.38	$50.40	$55.01	$55.01						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73090	EAP	CPT® 73090		X-RAY KNEE 3 VIEW	BOTH IP/OP	$83.00 	$61.42	$16.72	$137.87	$58.87	$58.87	$78.77	$78.77	$79.21	$17.30	$46.88	$46.88	$48.69	$77.54	$17.30	$50.40	$49.09	$49.09	$80.04	$25.20	$83.16	$84.00	$105.00	$137.87	$105.00	$31.26	$29.89	$29.89	$16.72	$76.23	$0.00	$0.00	$0.00	$0.00
73090	EAP	CPT®73090		X-RAY KNEE 1 OR 2 VIEW	BOTH IP/OP	$83.00 	$61.42	$17.30	$137.87	$58.87	$58.87	$78.77	$78.77	$79.21	$17.30	$46.88	$46.88	$48.69	$77.54	$17.30	$50.40	$49.09	$49.09	$80.04	$31.68	$69.70	$105.60	$111.21	$137.87	$111.21	$28.43	$25.21	$25.21	$21.01	$76.23	$0.00	$0.00	$0.00	$0.00
73100	EAP	CPT® 73100		X-RAY KNEE 4+ VIEW	BOTH IP/OP	$97.00 	$71.78	$18.31	$137.87	$66.11	$66.11	$78.77	$78.77	$79.21	$20.22	$48.68	$48.68	$50.55	$77.54	$20.21	$50.40	$57.38	$57.38	$112.41	$27.60	$91.08	$92.00	$115.00	$137.87	$115.00	$34.81	$32.78	$32.78	$18.31	$107.06	$0.00	$0.00	$0.00	$0.00
73110	EAP	CPT® 73110		"X-RAY TIB + FIB, 2VW"	BOTH IP/OP	$117.00 	$86.58	$12.58	$137.87	$80.63	$80.63	$78.77	$78.77	$79.21	$24.39	$61.39	$61.39	$63.75	$77.54	$24.38	$50.40	$69.21	$69.21	$80.04	$18.96	$62.57	$63.20	$79.00	$137.87	$79.00	$28.43	$22.69	$22.69	$12.58	$76.23	$0.00	$0.00	$0.00	$0.00
73110	EAP	CPT®73110		"CHG X-RAY TIB + FIB, 2VW"	BOTH IP/OP	$117.00 	$86.58	$0.00	$137.87	80.63	$80.63	$78.77	$78.77	79.21	24.39	61.39	$61.39	$63.75	$77.54	24.38	$50.40	$69.21	$69.21						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73120	EAP	CPT® 73120		CHG X-RAY ANKLE 2 VW	BOTH IP/OP	$89.00 	$65.86	$0.00	$169.61	59.66	$59.66	$106.02	$106.02	89	18.55	45.96	$45.96	$47.73	$104.44	18.55	$67.89	$52.64	$52.64						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73130	EAP	CPT® 73130		CHG X-RAY ANKLE 3+ VW	BOTH IP/OP	$105.00 	$77.70	$0.00	$137.87	70.14	$70.14	$78.77	$78.77	79.21	21.88	54.14	$54.14	$56.22	$77.54	21.88	$50.40	$62.11	$62.11						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73130	EAP	CPT®73130		X-RAY ANKLE 2 VW	BOTH IP/OP	$105.00 	$77.70	$13.05	$137.87	$70.14	$70.14	$78.77	$78.77	$79.21	$21.88	$54.14	$54.14	$56.22	$77.54	$21.88	$50.40	$62.11	$62.11	$80.04	$19.68	$64.94	$65.60	$82.00	$137.87	$82.00	$27.37	$23.41	$23.41	$13.05	$76.23	$0.00	$0.00	$0.00	$0.00
73140	EAP	CPT®73140		X-RAY ANKLE 3+ VW	BOTH IP/OP	$107.00 	$79.18	$14.65	$137.87	$71.76	$71.76	$78.77	$78.77	$79.21	$22.30	$53.24	$53.24	$55.29	$77.54	$22.30	$50.40	$63.29	$63.29	$80.04	$22.08	$72.86	$73.60	$92.00	$137.87	$92.00	$28.79	$26.29	$26.29	$14.65	$76.23	$0.00	$0.00	$0.00	$0.00
73200	EAP	CPT®73200		CHG X-RAY FOOT 2 VW	BOTH IP/OP	$451.00 	$333.74	$0.00	$815.94	451	$451.00	$106.02	$106.02	106.62	0	785.72	$785.72	$815.94	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73501	EAP	CPT®73501		X-RAY FOOT 2 VW	BOTH IP/OP	$93.00 	$68.82	$11.30	$137.87	$67.72	$67.72	$78.77	$78.77	$79.21	$19.38	$50.89	$50.89	$52.84	$77.54	$19.38	$50.40	$55.01	$55.01	$80.04	$17.04	$56.23	$56.80	$71.00	$137.87	$71.00	$27.37	$20.17	$20.17	$11.30	$76.23	$0.00	$0.00	$0.00	$0.00
73502	EAP	CPT® 73502		X-RAY FOOT 3+ VW	BOTH IP/OP	$134.00 	$99.16	$13.69	$137.87	$94.33	$94.33	$78.77	$78.77	$79.21	$27.93	$75.00	$75.00	$77.89	$77.54	$27.93	$50.40	$79.26	$79.26	$80.04	$20.64	$68.11	$68.80	$86.00	$137.87	$86.00	$28.79	$24.49	$24.49	$13.69	$76.23	$0.00	$0.00	$0.00	$0.00
73502	EAP	CPT®73502		CHG X-RAY FOOT 3+ VW	BOTH IP/OP	$134.00 	$99.16	$0.00	$137.87	94.33	$94.33	$78.77	$78.77	79.21	27.93	75	$75.00	$77.89	$77.54	27.93	$50.40	$79.26	$79.26						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73521	EAP	CPT® 73521		X-RAY TOE(S)	BOTH IP/OP	$118.00 	$87.32	$12.10	$169.61	$90.29	$90.29	$106.02	$106.02	$106.62	$24.59	$70.54	$70.54	$73.26	$104.44	$24.59	$67.89	$69.80	$69.80	$80.04	$18.24	$60.19	$60.80	$76.00	$169.61	$76.00	$23.09	$21.61	$21.61	$12.10	$76.23	$0.00	$0.00	$0.00	$0.00
73522	EAP	CPT® 73522		"CT SCAN,LOWER EXTREMITY,W/O CONTRAST"	BOTH IP/OP	$153.00 	$113.22	$31.89	$371.00	$111.25	$111.25	$106.02	$106.02	$106.62	$31.89	$83.92	$83.92	$87.15	$104.44	$31.89	$67.89	$90.50	$90.50	$112.41	$371.00	$293.83	$296.80	$156.18	$169.61	$156.18	$58.06	$105.89	$105.89	$59.06	$107.06	$0.00	$0.00	$0.00	$0.00
73552	EAP	CPT®73552		"PR MRI LOWER EXTREM JT, W/O CONTRAST"	BOTH IP/OP	$101.00 	$74.74	$0.00	$137.87	74.18	$74.18	$78.77	$78.77	79.21	21.05	57.14	$57.14	$59.34	$77.54	21.05	$50.40	$59.74	$59.74						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73560	EAP	CPT® 73560		RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES	BOTH IP/OP	$98.00 	$72.52	$0.00	$137.87	$70.14	$70.14	$78.77	$78.77	$79.21	$20.43	$47.79	$47.79	$49.63	$77.54	$20.42	$50.40	$57.97	$57.97	$112.41	$27.60	$91.08	$92.00	$115.00	$137.87	$115.00	$44.36	$32.78	$32.78	$0.00	$107.06	$0.00	$0.00	$0.00	$0.00
73560	EAP	CPT®73560		CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES	BOTH IP/OP	$98.00 	$72.52	$0.00	$137.87	70.14	$70.14	$78.77	$78.77	79.21	20.43	47.79	$47.79	$49.63	$77.54	20.42	$50.40	$57.97	$57.97						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73562	EAP	CPT® 73562		"CT SCAN,ABDOMEN,W/O CONTRAST"	BOTH IP/OP	$117.00 	$86.58	$24.38	$316.00	$81.42	$81.42	$78.77	$78.77	$79.21	$24.39	$60.18	$60.18	$62.50	$77.54	$24.38	$50.40	$69.21	$69.21	$112.41	$316.00	$250.27	$252.80	$156.18	$137.87	$156.18	$49.45	$90.40	$90.40	$50.31	$107.06	$0.00	$0.00	$0.00	$0.00
73564	EAP	CPT® 73564		CT SCAN OF ABDOMEN CONTRAST	BOTH IP/OP	$132.00 	$97.68	$27.51	$637.00	$90.29	$90.29	$106.02	$106.02	$106.62	$27.51	$69.25	$69.25	$71.92	$104.44	$27.51	$67.89	$78.08	$78.08	$202.33	$637.00	$504.50	$509.60	$281.11	$169.61	$281.11	$99.69	$185.49	$185.49	$101.41	$192.70	$0.00	$0.00	$0.00	$0.00
73590	EAP	CPT® 73590		PR CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	BOTH IP/OP	$90.00 	$66.60	$0.00	$137.87	65.31	$65.31	$78.77	$78.77	79.21	18.76	45.06	$45.06	$46.80	$77.54	18.76	$50.40	$53.24	$53.24						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73590	EAP	CPT®73590		CT SCAN OF ABDOMEN COMBO	BOTH IP/OP	$90.00 	$66.60	$18.76	$637.00	$65.31	$65.31	$78.77	$78.77	$79.21	$18.76	$45.06	$45.06	$46.80	$77.54	$18.76	$50.40	$53.24	$53.24	$202.33	$637.00	$504.50	$509.60	$281.11	$137.87	$281.11	$99.69	$211.06	$211.06	$101.41	$192.70	$0.00	$0.00	$0.00	$0.00
73600	EAP	CPT® 73600		"CHG CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST"	BOTH IP/OP	$92.00 	$68.08	$0.00	$137.87	67.72	$67.72	$78.77	$78.77	79.21	19.18	45.96	$45.96	$47.73	$77.54	19.17	$50.40	$54.42	$54.42						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73600	EAP	CPT®73600		CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	BOTH IP/OP	$92.00 	$68.08	$19.17	$836.80	$67.72	$67.72	$78.77	$78.77	$79.21	$19.18	$45.96	$45.96	$47.73	$77.54	$19.17	$50.40	$54.42	$54.42	$387.01	$251.04	$828.43	$836.80	$537.70	$137.87	$537.70	$163.70	$298.94	$298.94	$166.52	$368.58	$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	$0.00	$137.87	71.76	$71.76	$78.77	$78.77	79.21	21.88	54.14	$54.14	$56.22	$77.54	21.88	$50.40	$62.11	$62.11						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73610	EAP	CPT®73610		"CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST"	BOTH IP/OP	$105.00 	$77.70	$0.00	$315.22	$71.76	$71.76	$78.77	$78.77	$79.21	$21.88	$54.14	$54.14	$56.22	$77.54	$21.88	$50.40	$62.11	$62.11	$0.00	$95.52	$315.22	$0.00	$0.00	$137.87	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$137.87	58.87	$58.87	$78.77	$78.77	79.21	16.88	44.15	$44.15	$45.85	$77.54	16.88	$50.40	$47.91	$47.91						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73620	EAP	CPT®73620		"CT SCAN,ABDOMENT AND PELVIS,W CONTRAST"	BOTH IP/OP	$81.00 	$59.94	$0.00	$661.32	$58.87	$58.87	$78.77	$78.77	$79.21	$16.88	$44.15	$44.15	$45.85	$77.54	$16.88	$50.40	$47.91	$47.91	$0.00	$200.40	$661.32	$0.00	$0.00	$137.87	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
73630	EAP	CPT® 73630		"US,HEAD/NECK TISSUES,B-SCAN/REAL TIME"	BOTH IP/OP	$99.00 	$73.26	$20.63	$248.80	$66.11	$66.11	$78.77	$78.77	$79.21	$20.63	$53.24	$53.24	$55.29	$77.54	$20.63	$50.40	$58.56	$58.56	$112.41	$74.64	$246.31	$248.80	$156.18	$137.87	$156.18	$82.37	$88.96	$88.96	$49.51	$107.06	$0.00	$0.00	$0.00	$0.00
73630	EAP	CPT®73630		"US, HEAD/NECK TISSUES,REAL TIME"	BOTH IP/OP	$99.00 	$73.26	$0.00	$137.87	66.11	$66.11	$78.77	$78.77	79.21	20.63	53.24	$53.24	$55.29	$77.54	20.63	$50.40	$58.56	$58.56						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
73700	EAP	CPT® 73700		"PR US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE"	BOTH IP/OP	$383.00 	$283.42	$0.00	$383.00	383	$383.00	$106.02	$106.02	106.62	79.83	383	$383.00	$383.00	$104.44	79.82	$67.89	$383.00	$383.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74018	EAP	CPT®74018		"PR US, ABDOMEN LIMITED"	BOTH IP/OP	$86.00 	$63.64	$0.00	$137.87	62.2	$62.20	$78.77	$78.77	79.21	17.92	45.51	$45.51	$47.26	$77.54	17.92	$50.40	$50.87	$50.87						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74022	EAP	CPT® 74022		US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA	BOTH IP/OP	$143.00 	$105.82	$29.80	$244.80	$101.59	$101.59	$106.02	$106.02	$106.62	$29.80	$79.08	$79.08	$82.12	$104.44	$29.80	$67.89	$84.58	$84.58	$112.41	$73.44	$242.35	$244.80	$156.18	$169.61	$156.18	$90.50	$87.52	$87.52	$48.72	$107.06	$0.00	$0.00	$0.00	$0.00
74022	EAP	CPT®74022		SONO ABDOMEN LIMITED	BOTH IP/OP	$143.00 	$105.82	$29.80	$175.20	$101.59	$101.59	$106.02	$106.02	$106.62	$29.80	$79.08	$79.08	$82.12	$104.44	$29.80	$67.89	$84.58	$84.58	$112.41	$52.56	$173.45	$175.20	$156.18	$169.61	$156.18	$83.78	$62.67	$62.67	$34.86	$107.06	$0.00	$0.00	$0.00	$0.00
74150	EAP	CPT® 74150		"PR US,RETROPERIT,REAL TIME,COMPLETE"	BOTH IP/OP	$406.00 	$300.44	$0.00	$406.00	406	$406.00	$106.02	$106.02	106.62	84.62	406	$406.00	$406.00	$104.44	84.61	$67.89	$406.00	$406.00						$406.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74160	EAP	CPT® 74160		"US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE"	BOTH IP/OP	$691.00 	$511.34	$0.00	$691.00	$691.00	$691.00	$173.95	$173.95	$174.93	$0.00	$691.00	$691.00	$691.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.41	$65.04	$214.63	$216.80	$156.18	$540.00	$156.18	$112.23	$77.44	$77.44	$43.14	$107.06	$0.00	$0.00	$0.00	$0.00
74170	EAP	CPT® 74170		SONO ABD RETROPERITNL LTD	BOTH IP/OP	$708.00 	$523.92	$0.00	$112.41	$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	$112.41	$25.44	$83.95	$84.80	$106.00	$0.00	$106.00	$83.43	$30.25	$30.25	$16.88	$107.06	$0.00	$0.00	$0.00	$0.00
74174	EAP	CPT®74174		"CHG US, OB >/= 14 WKS, SNGL FETUS"	BOTH IP/OP	"$1,140.00 "	$843.60	$0.00	"$1,140.00"	1140	"$1,140.00"	$358.61	$358.61	360.63	237.6	785.72	$785.72	$815.94	$352.81	237.58	$229.33	"$1,106.00"	"$1,106.00"						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74176	EAP	CPT®74176		"CHG US,PREGNANT UTERUS,F/U,TRANSABD APP"	BOTH IP/OP	$242.00 	$179.08	$0.00	$370.58	242	$242.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$370.58	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74177	EAP	CPT®74177		"CHG FETAL BIOPHYS PROF,W/O NST"	BOTH IP/OP	$920.00 	$680.80	$0.00	$920.00	920	$920.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$920.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
74178	EAP	CPT®74178		"CHG ECHOGRAPHY,TRANSVAGINAL"	BOTH IP/OP	"$1,030.00 "	$762.20	$0.00	"$1,030.00"	1030	"$1,030.00"	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						"$1,030.00"	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76536	EAP	CPT® 76536		"ECHO,PELVIC (NONOBSTETRIC)"	BOTH IP/OP	$322.00 	$238.28	$42.51	$266.85	$266.85	$266.85	$106.02	$106.02	$106.62	$67.11	$204.76	$204.76	$212.63	$104.44	$67.10	$67.89	$190.46	$190.46	$112.41	$64.08	$211.46	$213.60	$156.18	$183.00	$156.18	$92.96	$76.36	$76.36	$42.51	$107.06	$0.00	$0.00	$0.00	$0.00
76536	EAP	CPT®76536		"PR US,PELVIC (NONOBSTETRIC),REAL TIME,COMPLETE"	BOTH IP/OP	$322.00 	$238.28	$0.00	$266.85	266.85	$266.85	$106.02	$106.02	106.62	67.11	204.76	$204.76	$212.63	$104.44	67.1	$67.89	$190.46	$190.46						$183.00	$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	$0.00	$280.53	280.53	$280.53	$106.02	$106.02	106.62	70.45	236.95	$236.95	$246.07	$104.44	70.44	$67.89	$199.93	$199.93						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76700	EAP	CPT®76700		"US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED"	BOTH IP/OP	$338.00 	$250.12	$0.00	$280.53	$280.53	$280.53	$106.02	$106.02	$106.62	$70.45	$236.95	$236.95	$246.07	$104.44	$70.44	$67.89	$199.93	$199.93	$0.00	$27.84	$91.87	$0.00	$0.00	$169.61	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
76705	EAP	CPT® 76705		SCREENING DIGITAL BREAST TOMOSYNTHESIS BI	BOTH IP/OP	$252.00 	$186.48	$14.01	$209.59	$209.59	$209.59	$106.02	$106.02	$106.62	$52.52	$182.05	$182.05	$189.05	$104.44	$52.52	$67.89	$149.06	$149.06	$26.75	$21.12	$69.70	$70.40	$25.21	$183.00	$25.21	$53.24	$25.21	$25.21	$14.01	$25.21	$0.00	$0.00	$0.00	$0.00
76705	EAP	CPT®76705		SONO GUIDE NEEDLE BIOPSY	BOTH IP/OP	$252.00 	$186.48	$0.00	$209.59	$209.59	$209.59	$106.02	$106.02	$106.62	$52.52	$182.05	$182.05	$189.05	$104.44	$52.52	$67.89	$149.06	$149.06	$0.00	$21.84	$72.07	$72.80	$0.00	$183.00	$0.00	$92.25	$25.93	$25.93	$14.49	$0.00	$0.00	$0.00	$0.00	$0.00
76706	EAP	CPT® 76706		CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI	BOTH IP/OP	$307.00 	$227.18	$0.00	$214.45	214.45	$214.45	$106.02	$106.02	106.62	63.99	166.71	$166.71	$173.12	$104.44	63.98	$67.89	$181.59	$181.59						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76770	EAP	CPT®76770		CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	BOTH IP/OP	$313.00 	$231.62	$0.00	$259.59	259.59	$259.59	$106.02	$106.02	106.62	65.24	231.49	$231.49	$240.40	$104.44	65.23	$67.89	$185.14	$185.14						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76775	EAP	CPT® 76775		CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	BOTH IP/OP	$165.00 	$122.10	$0.00	$209.79	133.82	$133.82	$106.02	$106.02	106.62	34.39	202.02	$202.02	$209.79	$104.44	34.39	$67.89	$97.60	$97.60						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76830	EAP	CPT®76830		CHG DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL	BOTH IP/OP	$345.00 	$255.30	$0.00	$280.55	280.55	$280.55	$106.02	$106.02	106.62	71.91	211.68	$211.68	$219.82	$104.44	71.9	$67.89	$204.07	$204.07						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76856	EAP	CPT®76856		ASSAY OF VANCOMYCIN	BOTH IP/OP	$305.00 	$225.70	$0.00	$253.12	253.12	$253.12	$106.02	$106.02	106.62	63.57	212.59	$212.59	$220.76	$104.44	63.56	$67.89	$180.41	$180.41						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76857	EAP	CPT®76857		URINALYSIS WITH MICROSCOPY	BOTH IP/OP	$136.00 	$100.64	$3.17	$208.22	$110.46	$110.46	$106.02	$106.02	$106.62	$28.35	$200.51	$200.51	$208.22	$104.44	$28.34	$67.89	$80.44	$80.44	$3.33	$8.86	$8.71	$8.80	$4.60	$169.61	$4.60	$4.99	$3.17	$3.17	$3.49	$3.17	$0.00	$0.00	$0.00	$0.00
76870	EAP	CPT® 76870		CHG URINALYSIS NONAUTO W/O SCOPE	BOTH IP/OP	$291.00 	$215.34	$0.00	$223.60	156.39	$156.39	$106.02	$106.02	106.62	60.65	215.32	$215.32	$223.60	$104.44	60.64	$67.89	$172.13	$172.13						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
76882	EAP	CPT® 76882		URINALYSIS	BOTH IP/OP	$160.00 	$118.40	$0.00	$106.62	$82.24	$82.24	$106.02	$106.02	$106.62	$10.15	$0.00	$0.00	$0.00	$104.44	$0.00	$67.89	$0.00	$0.00	$2.36	$6.28	$6.34	$6.40	$3.26	$104.00	$3.26	$3.55	$2.25	$2.25	$2.48	$2.25	$0.00	$0.00	$0.00	$0.00
76942	EAP	CPT® 76942		URINE PREGNANCY TEST	BOTH IP/OP	$165.00 	$122.10	$0.00	$389.47	137.83	$137.83	$0.00	$0.00	0	34.39	375.04	$375.04	$389.47	$0.00	34.39	$0.00	$97.60	$97.60						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
77063	EAP	CPT® 77063		PREGNANCY TEST-URINE	BOTH IP/OP	$149.00 	$110.26	$6.98	$149.00	$126.56	$126.56	$25.21	$25.21	$46.99	$31.06	$64.15	$64.15	$66.61	$25.21	$31.05	$16.39	$88.13	$88.13	$9.04	$17.68	$23.76	$24.00	$12.48	$149.00	$12.48	$9.97	$8.61	$8.61	$6.98	$8.61	$0.00	$0.00	$0.00	$0.00
77063	EAP	CPT®77063		URINALYSIS VOLUME MEASURE	BOTH IP/OP	$149.00 	$110.26	$0.00	$149.00	126.56	$126.56	$25.21	$25.21	46.99	31.06	64.15	$64.15	$66.61	$25.21	31.05	$16.39	$88.13	$88.13						$149.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
77067	EAP	CPT®77067		"INSERT,IMPLANT CONTRACEPTIVE"	BOTH IP/OP	$366.00 	$270.84	$0.00	$366.00	310.36	$310.36	$99.77	$99.77	113.86	76.28	249.62	$249.62	$259.22	$99.77	76.27	$64.85	$216.49	$216.49						$366.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
77080	EAP	CPT® 77080		"ASPIRATION/INJ.,GANGION CYST"	BOTH IP/OP	$105.00 	$77.70	$0.00	$169.61	93.51	$93.51	$106.02	$106.02	105	21.88	152.48	$152.48	$158.35	$104.44	21.88	$67.89	$62.11	$62.11						$169.61	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
77081	EAP	CPT® 77081		TREAT FRACTURE RADIUS/ULNA	BOTH IP/OP	$88.00 	$65.12	$0.00	$137.87	63.7	$63.70	$78.77	$78.77	79.21	0	48.21	$48.21	$50.07	$0.00	$0.00	$0.00	$0.00	$0.00						$137.87	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
80048	EAP	CPT®80048		G-TUBE INSERTION	BOTH IP/OP	$26.00 	$19.24	$0.00	$17.45	17.45	$17.45	$8.46	$8.46	4.23	4.23	12.85	$12.85	$13.35	$8.46	12.52	$5.50	$15.38	$15.38						$13.96	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
80053	EAP	CPT®80053		#N/A	BOTH IP/OP	$32.00 	$23.68	$0.00	$21.81	21.81	$21.81	$10.56	$10.56	5.28	5.28	16.06	$16.06	$16.68	$10.56	15.61	$6.86	$18.93	$18.93						$17.42	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
80061	EAP	CPT®80061		SIGMOIDOSCOPY W/SUBMUC INJ	BOTH IP/OP	$41.00 	$30.34	$0.00	$27.64	27.64	$27.64	$13.39	$13.39	6.7	6.7	20.35	$20.35	$21.14	$13.39	19.79	$8.70	$24.25	$24.25						$22.09	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
80069	EAP	CPT®80069		#N/A	BOTH IP/OP	$27.00 	$19.98	$0.00	$17.93	17.93	$17.93	$8.68	$8.68	4.34	4.34	13.19	$13.19	$13.69	$8.68	12.83	$5.64	$15.97	$15.97						$14.32	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
80076	EAP	CPT®80076		ECC CERVICAL SCRAPE	BOTH IP/OP	$25.00 	$18.50	$0.00	$16.87	16.87	$16.87	$8.17	$8.17	4.09	4.09	12.41	$12.41	$12.88	$8.17	12.08	$5.31	$14.79	$14.79						$13.48	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
81001	EAP	CPT® 81001		FINGER  3 VIEWS	BOTH IP/OP	$10.00 	$7.40	$0.00	$6.55	6.55	$6.55	$3.17	$3.17	1.59	1.58	4.82	$4.82	$5.00	$3.17	4.68	$2.06	$5.92	$5.92						$5.23	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
81003	EAP	CPT®81003		US PELVIS LTD/FU NON-OB	BOTH IP/OP	$7.00 	$5.18	$0.00	$4.65	4.65	$4.65	$2.25	$2.25	1.13	1.12	3.41	$3.41	$3.54	$2.25	3.33	$1.46	$4.14	$4.14						$3.71	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
81025	EAP	CPT®81025		BASIC METABOLIC PANEL	BOTH IP/OP	$26.00 	$19.24	$0.00	$15.38	13.04	$13.04	$8.61	$8.61	4.31	3.87	9.61	$9.61	$9.98	$8.61	9.36	$5.60	$15.38	$15.38						$14.21	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
82150	EAP	CPT®82150		"RETICULOCYTES, AUTOMATED"	BOTH IP/OP	$20.00 	$14.80	$0.00	$13.38	13.38	$13.38	$6.48	$6.48	3.24	3.24	9.84	$9.84	$10.22	$6.48	9.58	$4.21	$11.83	$11.83						$10.69	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
82274	EAP	CPT® 82274		VFC FLU. VAC. 3-21 YRS	BOTH IP/OP	$48.00 	$35.52	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
82565	EAP	CPT®82565		"NICU/PED/DEVELOP.TESTING,LIMI"	BOTH IP/OP	$16.00 	$11.84	$0.00	$10.59	10.59	$10.59	$5.12	$5.12	2.56	2.56	7.78	$7.78	$8.08	$5.12	7.46	$3.33	$9.46	$9.46						$8.45	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
82947	EAP	CPT®82947		"BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT"	BOTH IP/OP	$12.00 	$8.88	$0.00	$44.80	$8.10	$8.10	$3.93	$3.93	$1.97	$0.00	$5.96	$5.96	$6.19	$0.00	$0.00	$0.00	$0.00	$0.00	$16.72	$44.44	$44.35	$44.80	$23.08	$0.00	$23.08	$27.15	$15.92	$15.92	$19.01	$15.92	$0.00	$0.00	$0.00	$0.00
82977	EAP	CPT®82977		ASSAY OF IONIZED CALCIUM	BOTH IP/OP	$22.00 	$16.28	$0.00	$14.86	14.86	$14.86	$7.20	$7.20	3.6	3.6	10.93	$10.93	$11.35	$7.20	7.46	$4.68	$13.01	$13.01						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83036	EAP	CPT®83036		ASSAY OF CK (CPK)	BOTH IP/OP	$30.00 	$22.20	$0.00	$20.04	20.04	$20.04	$9.71	$9.71	4.86	4.86	14.74	$14.74	$15.30	$9.71	14.33	$6.31	$17.75	$17.75						$16.02	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83540	EAP	CPT®83540		CREATINE MB FRACTION	BOTH IP/OP	$20.00 	$14.80	$0.00	$13.36	13.36	$13.36	$6.47	$6.47	3.24	3.24	9.84	$9.84	$10.22	$6.47	9.58	$4.21	$11.83	$11.83						$10.68	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83615	EAP	CPT®83615		ASSAY OF URINE CREATININE	BOTH IP/OP	$19.00 	$14.06	$0.00	$12.46	12.46	$12.46	$6.04	$6.04	3.02	3.02	9.16	$9.16	$9.51	$6.04	7.46	$3.93	$11.24	$11.24						$9.97	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83690	EAP	CPT®83690		ASSAY OF FERRITIN	BOTH IP/OP	$21.00 	$15.54	$0.00	$14.23	14.23	$14.23	$6.89	$6.89	3.45	3.44	10.46	$10.46	$10.86	$6.89	10.17	$4.48	$12.42	$12.42						$11.37	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83721	EAP	CPT®83721		ASSAY OF FOLIC ACID SERUM	BOTH IP/OP	$32.00 	$23.68	$0.00	$19.69	19.69	$19.69	$10.50	$10.50	5.25	4.77	14.49	$14.49	$15.04	$10.50	14.1	$6.83	$18.93	$18.93						$17.33	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
83735	EAP	CPT®83735		BLOOD PH	BOTH IP/OP	$21.00 	$15.54	$0.00	$13.83	13.83	$13.83	$6.70	$6.70	3.35	3.35	10.17	$10.17	$10.56	$6.70	9.89	$4.36	$12.42	$12.42						$11.06	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
84100	EAP	CPT®84100		ASSAY OF HAPTOGLOBIN QUANT	BOTH IP/OP	$15.00 	$11.10	$0.00	$9.79	9.79	$9.79	$4.74	$4.74	2.37	2.37	7.21	$7.21	$7.48	$4.74	7.01	$3.08	$8.87	$8.87						$7.82	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
84132	EAP	CPT®84132		HEMOGLOBIN ELECTROPHORESIS	BOTH IP/OP	$15.00 	$11.10	$0.00	$9.50	9.5	$9.50	$4.76	$4.76	2.38	2.3	6.97	$6.97	$7.24	$4.76	6.79	$3.09	$8.87	$8.87						$7.85	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
84155	EAP	CPT®84155		LACTATE (LD) (LDH) ENZYME	BOTH IP/OP	$12.00 	$8.88	$0.00	$7.58	7.58	$7.58	$3.67	$3.67	1.84	0	5.56	$5.56	$5.78	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
84550	EAP	CPT®84550		ASSAY OF SERUM POTASSIUM	BOTH IP/OP	$14.00 	$10.36	$0.00	$9.32	9.32	$9.32	$4.52	$4.52	2.26	2.26	6.85	$6.85	$7.12	$4.52	6.67	$2.94	$8.28	$8.28						$7.46	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
85018	EAP	CPT®85018		PROTEIN ELECTROPHORESIS SERUM	BOTH IP/OP	$8.00 	$5.92	$0.00	$4.88	4.88	$4.88	$2.37	$2.37	1.19	1.18	3.6	$3.60	$3.74	$2.37	3.5	$1.54	$4.73	$4.73						$3.91	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
85025	EAP	CPT®85025		ASSAY OF URINE SODIUM	BOTH IP/OP	$24.00 	$17.76	$0.00	$16.05	16.05	$16.05	$7.77	$7.77	3.89	3.88	9.97	$9.97	$10.36	$7.77	11.48	$5.05	$14.20	$14.20						$12.82	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
85027	EAP	CPT®85027		ASSAY OF FREE THYROXINE	BOTH IP/OP	$20.00 	$14.80	$0.00	$13.36	13.36	$13.36	$6.47	$6.47	3.24	3.23	9.83	$9.83	$10.21	$6.47	9.57	$4.21	$11.83	$11.83						$10.68	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
85046	EAP	CPT®85046		ASSAY THYROID STIM HORMONE	BOTH IP/OP	$17.00 	$12.58	$0.00	$11.48	11.48	$11.48	$5.57	$5.57	2.79	2.79	8.48	$8.48	$8.80	$5.57	8.24	$3.62	$10.06	$10.06						$9.19	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
85610	EAP	CPT®85610		ASSAY OF BLOOD/URIC ACID	BOTH IP/OP	$13.00 	$9.62	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
87070	EAP	CPT® 87070		THROMBOPLASTIN TIME PARTIAL	BOTH IP/OP	$26.00 	$19.24	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
87210	EAP	CPT®87210		VIRUS ANTIBODY NOS	BOTH IP/OP	$18.00 	$13.32	$0.00	$10.65	8.82	$8.82	$5.82	$5.82	2.91	2.62	6.48	$6.48	$6.73	$5.82	6.3	$3.78	$10.65	$10.65						$9.60	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
87430	EAP	CPT® 87430		Culture Other Specimen Aerobic	BOTH IP/OP	$51.00 	$37.74	$0.00	$24.06	$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	$0.00	$9.05	$24.06	$23.76	$24.00	$12.50	$0.00	$12.50	$13.56	$8.62	$8.62	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
90460	EAP	CPT® 90460		TISSUE HOMOGENIZATION CULTURE	BOTH IP/OP	$47.00 	$34.78	$0.00	$17.04	0	$0.00	$14.42	$14.42	17.04	0	16.28	$16.28	$16.90	$14.42	9.79	$9.37	$0.00	$0.00						$14.25	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90461	EAP	CPT® 90461		MICROBE SUSCEPTIBLE MIC	BOTH IP/OP	$36.00 	$26.64	$0.00	$16.90	0	$0.00	$12.98	$12.98	12.86	0	16.28	$16.28	$16.90	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90471	EAP	CPT®90471		SMEAR GRAM STAIN	BOTH IP/OP	$47.00 	$34.78	$0.00	$39.19	25.52	$25.52	$38.97	$38.97	39.19	9.8	34.88	$34.88	$36.23	$38.34	9.79	$24.92	$27.80	$27.80						$30.55	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90472	EAP	CPT®90472		SMEAR WET MOUNT SALINE/INK	BOTH IP/OP	$36.00 	$26.64	$0.00	$27.75	19.55	$19.55	$0.00	$0.00	0	7.5	26.72	$26.72	$27.75	$0.00	7.5	$0.00	$21.29	$21.29						$23.40	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90620	EAP	CPT® 90620		CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE	BOTH IP/OP	$30.00 	$22.20	$0.00	$171.96	13.5	$13.50	$0.00	$0.00	171.96	6.25	22.27	$22.27	$23.12	$0.00	30	$0.00	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90621	EAP	CPT® 90621		IAAD IA STREPTOCOCCUS GROUP A	BOTH IP/OP	$30.00 	$22.20	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$0.00	$0.00	$17.65	$33.52	$46.73	$47.20	$24.37	$13.50	$24.37	$18.87	$16.81	$16.81	$13.21	$16.81	$0.00	$0.00	$0.00	$0.00
90632	EAP	CPT® 90632		"CHG CYTOPATH FLUIDS,SMEAR,INTERP"	BOTH IP/OP	$30.00 	$22.20	$0.00	$56.67	13.5	$13.50	$0.00	$0.00	0	56.67	22.27	$22.27	$23.12	$0.00	30	$0.00	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90633	EAP	CPT® 90633		"CHG CYTOPATH, CELL ENHANCE TECH"	BOTH IP/OP	$30.00 	$22.20	$0.00	$23.12	13.5	$13.50	$0.00	$0.00	0	9.4	22.27	$22.27	$23.12	$0.00	6.25	$0.00	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90636	EAP	CPT® 90636		CYTOPATH C/V THIN LAYER	BOTH IP/OP	$30.00 	$22.20	$0.00	$13.50	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90647	EAP	CPT® 90647		CYTOPATH FNA MISC	BOTH IP/OP	$30.00 	$22.20	$0.00	$23.12	13.5	$13.50	$0.00	$0.00	0	0	22.27	$22.27	$23.12	$0.00	6.25	$0.00	$0.00	$0.00						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90648	EAP	CPT® 90648		BODY FLUID CELL COUNT	BOTH IP/OP	$30.00 	$22.20	$0.00	$23.12	13.5	$13.50	$0.00	$0.00	0	6.25	22.27	$22.27	$23.12	$0.00	6.25	$0.00	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
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	$13.50	$0.00	$0.00	$229.60	$6.25	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$21.90	$10.97	$17.37	$17.54	$14.42	$13.50	$14.42	$7.83	$14.42	$14.42	$0.00	$14.42	$0.00	$0.00	$0.00	$0.00
90658	EAP	CPT®90658		IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT	BOTH IP/OP	$30.00 	$22.20	$0.00	$23.12	$13.50	$13.50	$0.00	$0.00	$15.36	$0.00	$22.27	$22.27	$23.12	$0.00	$0.00	$0.00	$0.00	$0.00	$13.61	$10.97	$17.37	$17.54	$12.98	$0.00	$12.98	$0.00	$12.98	$12.98	$0.00	$12.98	$0.00	$0.00	$0.00	$0.00
90670	EAP	CPT® 90670		"PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID"	BOTH IP/OP	$30.00 	$22.20	$0.00	$230.14	13.5	$13.50	$7.80	$7.80	230.14	6.25	22.27	$22.27	$23.12	$7.80	30	$5.07	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90674	EAP	CPT® 90674		"IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID"	BOTH IP/OP	$30.00 	$22.20	$5.07	$50.00	$13.50	$13.50	$7.80	$7.80	$29.23	$6.25	$22.27	$22.27	$23.12	$7.80	$30.00	$5.07	$17.75	$17.75	$38.22	$25.00	$39.60	$40.00	$50.00	$13.50	$50.00	$7.83	$14.42	$14.42	$7.96	$36.40	$0.00	$0.00	$0.00	$0.00
90680	EAP	CPT® 90680		"PR IMMUNIZ,ADMIN,EACH ADDL"	BOTH IP/OP	$30.00 	$22.20	$0.00	$23.12	13.5	$13.50	$0.00	$0.00	0	6.25	22.27	$22.27	$23.12	$0.00	6.25	$0.00	$17.75	$17.75						$13.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
90681	EAP	CPT® 90681		"IMMUNIZ,ADMIN,EACH ADDL"	BOTH IP/OP	$30.00 	$22.20	$0.00	$119.46	$13.50	$13.50	$0.00	$0.00	$119.46	$6.25	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$17.75	$17.75	$0.00	$22.50	$35.64	$36.00	$0.00	$0.00	$0.00	$7.04	$12.98	$12.98	$7.16	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$18.00	$0.00	$18.00	$200.63	$0.00	$0.00	$191.04	$0.00	$0.00	$0.00	$0.00	$0.00
90686	EAP	CPT® 90686		MENB RECOMBINANT LIPOPROTEIN VACCINE IM	BOTH IP/OP	$25.00 	$18.50	$0.00	$163.94	$11.25	$11.25	$6.50	$6.50	$19.58	$5.21	$18.56	$18.56	$19.27	$6.50	$24.12	$4.23	$14.79	$14.79	$0.00	$15.00	$23.76	$24.00	$18.00	$11.25	$18.00	$163.94	$0.00	$0.00	$156.09	$0.00	$0.00	$0.00	$0.00	$0.00
90696	EAP	CPT® 90696		HEPA VACCINE ADULT IM	BOTH IP/OP	$30.00 	$22.20	$0.00	$70.39	$13.50	$13.50	$0.00	$0.00	$0.00	$6.25	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$0.00	$13.50	$0.00	$70.39	$0.00	$0.00	$67.03	$0.00	$0.00	$0.00	$0.00	$0.00
90698	EAP	CPT® 90698		HEPA VACCINE PED/ADOL-2 DOSE	BOTH IP/OP	$30.00 	$22.20	$0.00	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$19.50	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90700	EAP	CPT® 90700		HEPA/HEPB VACCINE ADULT IM	BOTH IP/OP	$30.00 	$22.20	$0.00	$122.20	$13.50	$13.50	$0.00	$0.00	$0.00	$6.25	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$0.00	$13.50	$0.00	$122.20	$0.00	$0.00	$116.36	$0.00	$0.00	$0.00	$0.00	$0.00
90707	EAP	CPT® 90707		"HIB VACCINE, PRP-OMP, IM"	BOTH IP/OP	$30.00 	$22.20	$0.00	$30.00	$13.50	$13.50	$0.00	$0.00	$0.00	$11.75	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$0.00	$13.50	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90710	EAP	CPT® 90710		"HIB VACCINE, PRP-T, IM"	BOTH IP/OP	$30.00 	$22.20	$0.00	$24.00	$13.50	$13.50	$0.00	$0.00	$0.00	$6.25	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$0.00	$13.50	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$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	$13.50	$0.00	$0.00	$0.00	$9.40	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$18.00	$13.50	$18.00	$267.82	$0.00	$0.00	$255.01	$0.00	$0.00	$0.00	$0.00	$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	$13.50	$0.00	$0.00	$0.00	$6.25	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$4.38	$15.00	$23.76	$24.00	$4.38	$13.50	$4.38	$252.18	$7.80	$7.80	$240.12	$7.80	$0.00	$0.00	$0.00	$0.00
90716	EAP	CPT® 90716		CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE	BOTH IP/OP	$30.00 	$22.20	$0.00	$136.66	$13.50	$13.50	$0.00	$0.00	$136.66	$9.40	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$4.38	$15.00	$23.76	$24.00	$4.38	$13.50	$4.38	$33.05	$7.80	$7.80	$31.47	$7.80	$0.00	$0.00	$0.00	$0.00
90723	EAP	CPT® 90723		"ROTOVIRUS VACCINE, ORAL"	BOTH IP/OP	$30.00 	$22.20	$0.00	$79.00	$13.50	$13.50	$0.00	$0.00	$79.00	$6.25	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$0.00	$13.50	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$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	$13.50	$7.80	$7.80	$119.92	$9.40	$22.27	$22.27	$23.12	$7.80	$30.00	$5.07	$17.75	$17.75	$0.00	$15.00	$23.76	$24.00	$18.00	$13.50	$18.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$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	$13.50	$0.00	$0.00	$129.14	$9.40	$22.27	$22.27	$23.12	$0.00	$30.00	$0.00	$17.75	$17.75	$0.00	$0.00	$23.76	$0.00	$0.00	$13.50	$0.00	$4.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.50	$7.80	$7.80	$28.21	$0.00	$22.27	$22.27	$23.12	$0.00	$0.00	$0.00	$0.00	$0.00	$3.65	$12.50	$19.80	$20.00	$3.65	$13.50	$3.65	$22.36	$6.50	$6.50	$21.29	$6.50	$0.00	$0.00	$0.00	$0.00
90746	EAP	CPT® 90746		"DTAP-IPV, IM, AGE 4-6 YEAR"	BOTH IP/OP	$227.00 	$167.98	$0.00	$174.97	$102.15	$102.15	$59.02	$59.02	$69.65	$70.16	$168.48	$168.48	$174.97	$59.02	$81.84	$38.36	$134.27	$134.27	$0.00	$15.00	$23.76	$24.00	$0.00	$102.15	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90791	EAP	CPT® 90791		"DTAP-HIB-IP VACCINE, IM"	BOTH IP/OP	$494.00 	$365.56	$0.00	$380.78	$268.24	$268.24	$130.30	$130.30	$131.03	$102.96	$366.65	$366.65	$380.78	$128.07	$0.00	$83.25	$292.20	$292.20	$0.00	$15.00	$23.76	$24.00	$0.00	$321.10	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90792	EAP	CPT®90792		"DTAP IMMUNIZATION, IM"	BOTH IP/OP	$553.00 	$409.22	$0.00	$426.25	$300.28	$300.28	$130.30	$130.30	$131.03	$115.26	$410.44	$410.44	$426.25	$128.07	$0.00	$83.25	$327.10	$327.10	$0.00	$15.00	$23.76	$24.00	$0.00	$359.45	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90832	EAP	CPT® 90832		"COMBINED VACCINE,MMR+VARICELLA,SQ"	BOTH IP/OP	$215.00 	$159.10	$0.00	$165.72	$116.75	$116.75	$130.30	$130.30	$131.03	$44.81	$159.57	$159.57	$165.72	$128.07	$0.00	$83.25	$127.17	$127.17	$0.00	$15.00	$23.76	$24.00	$0.00	$139.75	$0.00	$4.70	$0.00	$0.00	$4.78	$0.00	$0.00	$0.00	$0.00	$0.00
90832	EAP	CPT®90832		"MMR VIRUS IMMUNIZATION, SUBCUT"	BOTH IP/OP	$215.00 	$159.10	$0.00	$165.72	$116.75	$116.75	$130.30	$130.30	$131.03	$44.81	$159.57	$159.57	$165.72	$128.07	$0.00	$83.25	$127.17	$127.17	$0.00	$15.00	$23.76	$24.00	$0.00	$139.75	$0.00	$92.45	$0.00	$0.00	$88.03	$0.00	$0.00	$0.00	$0.00	$0.00
90834	EAP	CPT®90834		"POLIOMYELITIS IMMUNIZATN,INACTV,SQ"	BOTH IP/OP	$284.00 	$210.16	$0.00	$218.91	$154.21	$154.21	$130.30	$130.30	$131.03	$59.19	$210.78	$210.78	$218.91	$128.07	$0.00	$83.25	$167.99	$167.99	$0.00	$15.00	$23.76	$24.00	$0.00	$184.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$321.42	$226.43	$226.43	$130.30	$130.30	$131.03	$86.91	$309.50	$309.50	$321.42	$128.07	$0.00	$83.25	$246.66	$246.66	$0.00	$15.00	$23.76	$24.00	$0.00	$271.05	$0.00	$39.53	$0.00	$0.00	$37.64	$0.00	$0.00	$0.00	$0.00	$0.00
91111	EAP	CPT® 91111		"HEP B VACCINE,PED/ADOL,IM"	BOTH IP/OP	"$2,479.00 "	"$1,834.46"	$0.00	"$2,479.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$18.00	"$2,479.00"	$18.00	$4.70	$7.80	$7.80	$0.00	$7.80	$0.00	$0.00	$0.00	$0.00
92250	EAP	CPT®92250		PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	BOTH IP/OP	$105.00 	$77.70	$0.00	$109.81	57.02	$57.02	$109.81	$109.81	105	21.88	77.93	$77.93	$80.93	$107.30	21.88	$69.74	$62.11	$62.11						$68.25	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
92551	EAP	CPT® 92551		PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	BOTH IP/OP	$40.00 	$29.60	$0.00	$30.83	21.72	$21.72	$0.00	$0.00	11.81	8.34	29.69	$29.69	$30.83	$0.00	8.34	$0.00	$23.66	$23.66						$26.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
92552	EAP	CPT® 92552		PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	BOTH IP/OP	$95.00 	$70.30	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93000	EAP	CPT® 93000		"PR EYE EXAM, EST PATIENT,COMPREHESV"	BOTH IP/OP	$40.00 	$29.60	$0.00	$37.57	37.57	$37.57	$17.30	$17.30	14.92	0	29.69	$29.69	$30.83	$17.30	8.34	$11.25	$0.00	$0.00						$26.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93015	EAP	CPT® 93015		PR COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE	BOTH IP/OP	$200.00 	$148.00	$0.00	$169.04	169.04	$169.04	$72.09	$72.09	71.62	0	148.44	$148.44	$154.16	$72.09	41.68	$46.86	$0.00	$0.00						$130.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93225	EAP	CPT®93225		PR FUNDAL PHOTOGRAPHY	BOTH IP/OP	$59.00 	$43.66	$0.00	$109.81	58.71	$58.71	$109.81	$109.81	59	12.3	43.79	$43.79	$45.48	$107.30	12.3	$69.74	$34.90	$34.90						$38.35	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93227	EAP	CPT®93227		FUNDAL PHOTOGRAPHY	BOTH IP/OP	$56.00 	$41.44	$0.00	$151.93	$56.00	$56.00	$27.05	$27.05	$18.80	$0.00	$0.00	$0.00	$0.00	$0.00	$11.67	$0.00	$0.00	$0.00	$109.35	$80.00	$126.72	$128.00	$151.93	$36.40	$151.93	$59.03	$23.77	$23.77	$25.47	$104.14	$0.00	$0.00	$0.00	$0.00
93242	EAP	CPT®93242		PR SPEECH/HEARING THERAPY	BOTH IP/OP	$43.00 	$31.82	$0.00	$33.14	0	$0.00	$0.00	$0.00	0	0	31.91	$31.91	$33.14	$0.00	8.96	$0.00	$0.00	$0.00						$27.95	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93244	EAP	CPT®93244		"PURE TONE HEARING TEST, AIR"	BOTH IP/OP	$73.00 	$54.02	$0.00	$47.45	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.21	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$26.40	$47.45	$26.40	$9.01	$0.00	$0.00	$7.00	$0.00	$0.00	$0.00	$0.00	$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	$54.21	$54.21	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$109.35	$56.00	$88.70	$89.60	$112.00	$27.95	$112.00	$17.48	$32.05	$32.05	$17.83	$104.14	$0.00	$0.00	$0.00	$0.00
93248	EAP	CPT®93248		PR TYMPANOMETRY	BOTH IP/OP	$81.00 	$59.94	$0.00	$52.65	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	16.88	$0.00	$0.00	$0.00						$52.65	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93306	EAP	CPT®93306		"PR AUDITORY EVOKED POTENTIAL, LIMITED"	BOTH IP/OP	$566.00 	$418.84	$0.00	$504.77	504.77	$504.77	$470.55	$470.55	473.2	117.97	420.09	$420.09	$436.27	$462.81	117.95	$300.83	$334.79	$334.79						$367.90	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93880	EAP	CPT® 93880		CV STRS TST XERS&/OR RX CONT ECG W/SI&R	BOTH IP/OP	$116.00 	$85.84	$0.00	$562.53	$116.00	$116.00	$224.08	$224.08	$116.00	$24.18	$541.69	$541.69	$562.53	$220.56	$24.17	$143.36	$68.61	$68.61	$76.29	$126.00	$199.58	$201.60	$72.09	$75.40	$72.09	$110.83	$72.09	$72.09	$0.00	$72.09	$0.00	$0.00	$0.00	$0.00
93926	EAP	CPT® 93926		"PR CARDIAC STRESS TST,TRACING ONLY"	BOTH IP/OP	$381.00 	$281.94	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93970	EAP	CPT®93970		"PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER"	BOTH IP/OP	$102.00 	$75.48	$0.00	$565.47	102	$102.00	$224.08	$224.08	102	21.26	544.52	$544.52	$565.47	$220.56	21.26	$143.36	$60.33	$60.33						$66.30	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
93971	EAP	CPT®93971		"PR ECHO HEART XTHORACIC,LIMITED"	BOTH IP/OP	$343.00 	$253.82	$0.00	$374.41	266.11	$266.11	$106.02	$106.02	106.62	71.49	360.55	$360.55	$374.41	$104.44	71.48	$67.89	$202.88	$202.88						$222.95	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
94640	EAP	CPT® 94640		DUPLEX LO EXTREM ART UNILAT/LTD	BOTH IP/OP	$32.00 	$23.68	$0.00	$383.20	$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	$112.41	$239.50	$379.37	$383.20	$156.18	$0.00	$156.18	$120.13	$127.86	$127.86	$76.26	$107.06	$0.00	$0.00	$0.00	$0.00
94664	EAP	CPT®94664		"DUPLEX EXTREM VENOUS,BILAT"	BOTH IP/OP	$48.00 	$35.52	$0.00	$556.00	$26.06	$26.06	$183.05	$183.05	$48.00	$10.00	$35.63	$35.63	$37.00	$180.07	$10.00	$117.04	$28.39	$28.39	$233.72	$347.50	$550.44	$556.00	$324.73	$0.00	$324.73	$199.35	$163.16	$163.16	$110.64	$222.60	$0.00	$0.00	$0.00	$0.00
96110	EAP	CPT®96110		"PR POS AIRWAY PRESSURE, CPAP"	BOTH IP/OP	$35.00 	$25.90	$0.00	$26.98	0	$0.00	$0.00	$0.00	10.07	0	25.98	$25.98	$26.98	$0.00	7.29	$0.00	$0.00	$0.00						$22.75	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
96127	EAP	CPT®96127		"PR EXHALED AIR ANALYSIS: O2, CO2"	BOTH IP/OP	$14.00 	$10.36	$0.00	$32.96	0	$0.00	$32.96	$32.96	14	0	$0.00	$0.00	$0.00	$32.43	$0.00	$21.08	$0.00	$0.00						$9.10	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
96161	EAP	CPT® 96161		PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST	BOTH IP/OP	$8.00 	$5.92	$0.00	$25.59	0	$0.00	$25.59	$25.59	8	0	5.94	$5.94	$6.17	$25.14	1.67	$16.34	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
96361	EAP	CPT® 96361		PR DIFFUSING CAPACITY	BOTH IP/OP	$37.00 	$27.38	$0.00	$38.34	0	$0.00	$0.00	$0.00	0	7.71	$0.00	$0.00	$0.00	$38.34	7.71	$24.92	$21.89	$21.89						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
96372	EAP	CPT® 96372		PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	BOTH IP/OP	$41.00 	$30.34	$0.00	$60.38	22.26	$22.26	$60.38	$60.38	41	8.55	30.43	$30.43	$31.60	$59.39	$0.00	$38.61	$24.25	$24.25						$26.65	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
97802	EAP	CPT® 97802		PR DEBRIDEMENT OPEN WOUND 20 SQ CM<	BOTH IP/OP	$104.00 	$76.96	$0.00	$80.16	56.47	$56.47	$34.61	$34.61	33.05	21.68	77.19	$77.19	$80.16	$34.61	21.67	$22.50	$61.52	$61.52						$67.60	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
97803	EAP	CPT® 97803		"PR ORTHOTIC MGMT AND TRAINING, EACH 15 MIN"	BOTH IP/OP	$90.00 	$66.60	$0.00	$69.37	48.87	$48.87	$29.21	$29.21	28.17	18.76	66.8	$66.80	$69.37	$29.21	18.76	$18.99	$53.24	$53.24						$58.50	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
98966	EAP	CPT® 98966		PR ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN	BOTH IP/OP	$37.00 	$27.38	$0.00	$24.05	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$24.05	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
98967	EAP	CPT® 98967		"MED NUTR THER, 1ST, INDIV, EA 15 MIN"	BOTH IP/OP	$67.00 	$49.58	$0.00	$107.20	$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	$29.55	$67.00	$106.13	$107.20	$34.61	$43.55	$34.61	$20.97	$34.61	$34.61	$21.33	$34.61	$0.00	$0.00	$0.00	$0.00
98968	EAP	CPT® 98968		"MED NUTR THER, SUBSQ, INDIV, EA 15 MIN"	BOTH IP/OP	$95.00 	$70.30	$0.00	$92.80	$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	$25.06	$58.00	$91.87	$92.80	$29.21	$61.75	$29.21	$18.15	$29.21	$29.21	$18.47	$29.21	$0.00	$0.00	$0.00	$0.00
99024	EAP	CPT® 99024		NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN	BOTH IP/OP	$0.01 	$0.01	$0.00	$128.80	$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	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99173	EAP	CPT® 99173		NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN	BOTH IP/OP	$11.00 	$8.14	$0.00	$212.80	$0.00	$0.00	$0.00	$0.00	$3.10	$0.00	$8.16	$8.16	$8.48	$0.00	$2.29	$0.00	$0.00	$0.00	$0.00	$133.00	$210.67	$212.80	$159.60	$7.15	$159.60	$41.63	$0.00	$0.00	$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	$323.29	$0.00	$0.00	$51.57	$51.57	$49.57	$67.13	$311.31	$311.31	$323.29	$51.57	$0.00	$33.52	$120.67	$120.67	$0.00	$5.50	$8.71	$8.80	$6.60	$204.00	$6.60	$1.72	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99202	EAP	CPT®99202		POST-OP FOLLOW-UP VISIT	BOTH IP/OP	$204.00 	$150.96	$0.00	$323.29	$0.00	$0.00	$51.57	$51.57	$49.57	$67.13	$311.31	$311.31	$323.29	$51.57	$0.00	$33.52	$120.67	$120.67	$0.00	$0.00	$0.01	$0.00	$0.00	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99203	EAP	CPT®99203		OFFICE OUTPATIENT NEW 10 MINUTES	BOTH IP/OP	$314.00 	$232.36	$0.00	$323.29	$0.00	$0.00	$77.17	$77.17	$83.89	$67.13	$311.31	$311.31	$323.29	$77.17	$0.00	$50.16	$185.73	$185.73	$28.83	$164.50	$260.57	$263.20	$27.04	$314.00	$27.04	$108.52	$27.04	$27.04	$99.16	$27.04	$0.00	$0.00	$0.00	$0.00
99204	EAP	CPT®99204		OFFICE OUTPATIENT NEW 20 MINUTES	BOTH IP/OP	$467.00 	$345.58	$0.00	$467.00	$0.00	$0.00	$131.98	$131.98	$136.63	$67.13	$311.31	$311.31	$323.29	$131.98	$0.00	$85.79	$276.23	$276.23	$54.20	$189.00	$299.38	$302.40	$51.57	$467.00	$51.57	$108.52	$51.57	$51.57	$99.16	$51.57	$0.00	$0.00	$0.00	$0.00
99205	EAP	CPT®99205		OFFICE OUTPATIENT NEW 30 MINUTES	BOTH IP/OP	$618.00 	$457.32	$0.00	$618.00	$0.00	$0.00	$172.37	$172.37	$185.53	$67.13	$311.31	$311.31	$323.29	$172.37	$0.00	$112.04	$365.55	$365.55	$82.35	$221.00	$350.06	$353.60	$77.17	$618.00	$77.17	$108.52	$77.17	$77.17	$99.16	$77.17	$0.00	$0.00	$0.00	$0.00
99211	EAP	CPT®99211		OFFICE OUTPATIENT NEW 45 MINUTES	BOTH IP/OP	$65.00 	$48.10	$0.00	$455.20	$0.00	$0.00	$9.38	$9.38	$9.03	$67.13	$311.31	$311.31	$323.29	$9.38	$0.00	$6.10	$38.45	$38.45	$138.78	$284.50	$450.65	$455.20	$131.98	$65.00	$131.98	$108.52	$131.98	$131.98	$99.16	$131.98	$0.00	$0.00	$0.00	$0.00
99212	EAP	CPT®99212		OFFICE OUTPATIENT NEW 60 MINUTES	BOTH IP/OP	$159.00 	$117.66	$0.00	$548.80	$0.00	$0.00	$26.32	$26.32	$36.10	$67.13	$311.31	$311.31	$323.29	$26.32	$0.00	$17.11	$94.05	$94.05	$181.26	$343.00	$543.31	$548.80	$172.37	$159.00	$172.37	$108.52	$172.37	$172.37	$99.16	$172.37	$0.00	$0.00	$0.00	$0.00
99213	EAP	CPT®99213		OFFICE OUTPATIENT VISIT 5 MINUTES	BOTH IP/OP	$254.00 	$187.96	$0.00	$323.29	$0.00	$0.00	$52.29	$52.29	$67.67	$67.13	$311.31	$311.31	$323.29	$52.29	$0.00	$33.99	$150.24	$150.24	$9.84	$145.00	$229.68	$232.00	$9.38	$254.00	$9.38	$108.52	$9.38	$9.38	$99.16	$9.38	$0.00	$0.00	$0.00	$0.00
99214	EAP	CPT®99214		OFFICE OUTPATIENT VISIT 10 MINUTES	BOTH IP/OP	$358.00 	$264.92	$0.00	$358.00	$0.00	$0.00	$80.42	$80.42	$99.97	$67.13	$311.31	$311.31	$323.29	$80.42	$0.00	$52.27	$211.76	$211.76	$27.29	$156.50	$247.90	$250.40	$26.32	$358.00	$26.32	$108.52	$26.32	$26.32	$99.16	$26.32	$0.00	$0.00	$0.00	$0.00
99215	EAP	CPT®99215		OFFICE OUTPATIENT VISIT 15 MINUTES	BOTH IP/OP	$505.00 	$373.70	$0.00	$505.00	$0.00	$0.00	$113.60	$113.60	$147.16	$67.13	$311.31	$311.31	$323.29	$113.60	$0.00	$73.84	$298.71	$298.71	$54.93	$199.50	$316.01	$319.20	$52.29	$505.00	$52.29	$108.52	$52.29	$52.29	$99.16	$52.29	$0.00	$0.00	$0.00	$0.00
99242	EAP	CPT®99242		OFFICE OUTPATIENT VISIT 25 MINUTES	BOTH IP/OP	$288.00 	$213.12	$0.00	$392.80	$0.00	$0.00	$0.00	$0.00	$67.99	$0.00	$311.31	$311.31	$323.29	$0.00	$60.02	$0.00	$0.00	$0.00	$84.06	$245.50	$388.87	$392.80	$80.42	$187.20	$80.42	$108.52	$80.42	$80.42	$99.16	$80.42	$0.00	$0.00	$0.00	$0.00
99243	EAP	CPT®99243		PR OFFICE OUTPATIENT VISIT 40 MINUTES	BOTH IP/OP	$436.00 	$322.64	$0.00	$0.00	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
99244	EAP	CPT® 99244		OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN	BOTH IP/OP	$652.00 	$482.48	$0.00	$423.80	$0.00	$0.00	$0.00	$0.00	$152.96	$0.00	$311.31	$311.31	$323.29	$0.00	$135.88	$0.00	$0.00	$0.00	$0.00	$218.00	$345.31	$348.80	$261.60	$423.80	$261.60	$112.44	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$323.29	0	$0.00	$0.00	$0.00	76.64	0	311.31	$311.31	$323.29	$0.00	82.32	$0.00	$0.00	$0.00						$256.75	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
99382	EAP	CPT® 99382		OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN	BOTH IP/OP	$413.00 	$305.62	$0.00	$521.60	$0.00	$0.00	$0.00	$0.00	$81.52	$0.00	$311.31	$311.31	$323.29	$0.00	$86.07	$0.00	$0.00	$0.00	$0.00	$326.00	$516.38	$521.60	$391.20	$268.45	$391.20	$155.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$323.29	$0.00	$0.00	$0.00	$0.00	$86.72	$0.00	$311.31	$311.31	$323.29	$0.00	$89.40	$0.00	$0.00	$0.00	$0.00	$197.50	$312.84	$316.00	$237.00	$278.85	$237.00	$61.82	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$330.40	$0.00	$0.00	$0.00	$0.00	$101.65	$0.00	$311.31	$311.31	$323.29	$0.00	$101.07	$0.00	$0.00	$0.00	$0.00	$206.50	$327.10	$330.40	$247.80	$315.25	$247.80	$64.63	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99385	EAP	CPT®99385		"PREVENTIVE VISIT,NEW,AGE5-11"	BOTH IP/OP	$469.00 	$347.06	$0.00	$343.20	$0.00	$0.00	$0.00	$0.00	$97.50	$0.00	$311.31	$311.31	$323.29	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$214.50	$339.77	$343.20	$257.40	$304.85	$257.40	$67.14	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$354.25	0	$0.00	$0.00	$0.00	118.64	0	311.31	$311.31	$323.29	$0.00	113.58	$0.00	$0.00	$0.00						$354.25	$0.00			$0.00			$0.00	$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	$123.16	0	$0.00	$0.00	$0.00	0	0	$0.00	$0.00	$0.00	$0.00	123.16	$0.00	$0.00	$0.00						$0.00	$0.00			$0.00			$0.00	$0.00	$0.00	$0.00
99391	EAP	CPT® 99391		"PREVENTIVE VISIT,NEW,40-64"	BOTH IP/OP	$354.00 	$261.96	$0.00	$436.00	$0.00	$0.00	$0.00	$0.00	$69.73	$0.00	$311.31	$311.31	$323.29	$0.00	$73.77	$0.00	$0.00	$0.00	$0.00	$272.50	$431.64	$436.00	$327.00	$230.10	$327.00	$84.34	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99392	EAP	CPT® 99392		"PREVENTIVE VISIT,NEW,65 & OVER"	BOTH IP/OP	$378.00 	$279.72	$0.00	$472.80	$0.00	$0.00	$0.00	$0.00	$76.64	$0.00	$311.31	$311.31	$323.29	$0.00	$78.78	$0.00	$0.00	$0.00	$0.00	$295.50	$468.07	$472.80	$0.00	$245.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$323.29	$0.00	$0.00	$0.00	$0.00	$76.64	$0.00	$311.31	$311.31	$323.29	$0.00	$78.57	$0.00	$0.00	$0.00	$0.00	$177.00	$280.37	$283.20	$212.40	$245.05	$212.40	$55.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$323.29	$0.00	$0.00	$0.00	$0.00	$86.72	$0.00	$311.31	$311.31	$323.29	$0.00	$86.28	$0.00	$0.00	$0.00	$0.00	$189.00	$299.38	$302.40	$226.80	$269.10	$226.80	$59.16	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99395	EAP	CPT® 99395		"PREVENTIVE VISIT,EST,AGE5-11"	BOTH IP/OP	$423.00 	$313.02	$0.00	$323.29	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.31	$311.31	$323.29	$0.00	$88.15	$0.00	$0.00	$0.00	$0.00	$188.50	$298.58	$301.60	$226.20	$274.95	$226.20	$59.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99396	EAP	CPT® 99396		"PREVENTIVE VISIT,EST,12-17"	BOTH IP/OP	$450.00 	$333.00	$0.00	$331.20	$0.00	$0.00	$0.00	$0.00	$96.80	$0.00	$311.31	$311.31	$323.29	$0.00	$93.78	$0.00	$0.00	$0.00	$0.00	$207.00	$327.89	$331.20	$248.40	$292.50	$248.40	$64.79	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99397	EAP	CPT®99397		"PREVENTIVE VISIT,EST,18-39"	BOTH IP/OP	$486.00 	$359.64	$0.00	$338.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.31	$311.31	$323.29	$0.00	$101.28	$0.00	$0.00	$0.00	$0.00	$211.50	$335.02	$338.40	$253.80	$315.90	$253.80	$84.34	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
99406	EAP	CPT® 99406		"PREVENTIVE VISIT,EST,40-64"	BOTH IP/OP	$43.00 	$31.82	$0.00	$360.00	$0.00	$0.00	$25.59	$25.59	$0.00	$0.00	$311.31	$311.31	$323.29	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$225.00	$356.40	$360.00	$270.00	$27.95	$270.00	$84.34	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$102.05	$0.00	$0.00	$0.00	$0.00	$36.10	$0.00	$0.00	$0.00	$0.00	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$27.00	$42.77	$43.20	$0.00	$102.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$164.45	$0.00	$0.00	$0.00	$0.00	$67.98	$0.00	$0.00	$0.00	$0.00	$0.00	$52.73	$0.00	$0.00	$0.00	$0.00	$80.50	$127.51	$128.80	$96.60	$164.45	$96.60	$25.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.70	$0.00	$0.00	$0.00	$0.00	$100.28	$0.00	$0.00	$0.00	$0.00	$0.00	$74.61	$0.00	$0.00	$0.00	$0.00	$133.00	$210.67	$212.80	$159.60	$232.70	$159.60	$41.63	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$576.00	$0.00	$0.00	$115.71	$115.71	$116.36	$67.13	$311.31	$311.31	$323.29	$113.80	$120.04	$73.97	$340.70	$340.70	$0.00	$193.00	$305.71	$308.80	$231.60	$576.00	$231.60	$60.41	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$777.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.27	$328.00	$519.55	$524.80	$161.54	$777.00	$161.54	$102.66	$125.50	$125.50	$104.44	$110.73	$0.00	$0.00	$0.00	$0.00
99497	EAP	CPT®99497		TRANSITIONAL CARE MANAGE SERVICE 7 DAY DISCHARGE	BOTH IP/OP	$236.00 	$174.64	$0.00	$693.60	$0.00	$0.00	$72.87	$72.87	$73.28	$67.13	$311.31	$311.31	$323.29	$71.76	$49.18	$46.64	$139.59	$139.59	$116.27	$433.50	$686.66	$693.60	$161.54	$236.00	$161.54	$135.69	$165.53	$165.53	$0.00	$0.00	$0.00	$0.00	$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	$85.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$53.50	$84.74	$85.60	$0.00	$0.00	$0.00	$16.75	$0.00	$0.00	$17.03	$0.00	$0.00	$0.00	$0.00	$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	$20.80	$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	$13.00	$20.59	$20.80	$0.00	$0.00	$0.00	$4.07	$0.00	$0.00	$4.14	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$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	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$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	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$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	"$1,045.60"	$402.91	$402.91	$0.00	$0.00	$0.00	$154.65	$550.71	$550.71	$571.93	$0.00	$154.63	$0.00	$438.89	$438.89	$0.00	$653.50	"$1,035.14"	"$1,045.60"	$0.00	$482.30	$0.00	$204.55	$0.00	$0.00	$208.07	$0.00	$0.00	$0.00	$0.00	$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	$45.60	$20.63	$20.63	$0.00	$0.00	$0.00	$7.92	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$22.48	$22.48	$0.00	$28.50	$45.14	$45.60	$0.00	$24.70	$0.00	$8.92	$0.00	$0.00	$9.07	$0.00	$0.00	$0.00	$0.00	$0.00
11100001	EAP	Custom 11100001		HB MED-SUR-GY/PVT	BOTH IP/OP	"$3,058.00 "	"$2,262.92"	$0.00	"$2,135.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,135.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,358.58"	$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	"$2,358.58"	$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
11100021	EAP	Custom 11100021		HB  PVT GYN	BOTH IP/OP	"$3,058.00 "	"$2,262.92"	$0.00	"$2,135.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,135.23"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,358.58"	$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	"$2,358.58"	$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
11100501	EAP	Custom 11100501		Trauma Private Med Surg	BOTH IP/OP	"$3,398.00 "	"$2,514.52"	$0.00	"$2,372.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,372.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,596.18"	$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	"$2,596.18"	$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
11100521	EAP	Custom 11100521		Trauma Private  Gyn	BOTH IP/OP	"$3,398.00 "	"$2,514.52"	$0.00	"$2,372.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,372.83"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,596.18"	$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	"$2,596.18"	$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
11200001	EAP	Custom 11200001		Private Ob	BOTH IP/OP	"$3,218.00 "	"$2,381.32"	$0.00	"$2,247.70"	$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	"$2,247.70"	$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
11200002	EAP	Custom 11200002		Tele Private Ob	BOTH IP/OP	"$3,533.00 "	"$2,614.42"	$0.00	"$2,467.08"	$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	"$2,467.08"	$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
11200501	EAP	Custom 11200501		Trauma Private Ob	BOTH IP/OP	"$3,559.00 "	"$2,633.66"	$0.00	"$2,485.30"	$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	"$2,485.30"	$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
11200502	EAP	Custom 11200502		Trauma Tele Private Ob	BOTH IP/OP	"$3,873.00 "	"$2,866.02"	$0.00	"$2,704.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,704.68"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
11400002	EAP	Custom 11400002		Private Psy	BOTH IP/OP	"$2,837.00 "	"$2,099.38"	$0.00	"$1,980.79"	$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	"$1,980.79"	$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
11400502	EAP	Custom 11400502		Trauma Private Psy	BOTH IP/OP	"$3,177.00 "	"$2,350.98"	$0.00	"$2,218.39"	$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	$0.00	$0.00	$0.00	"$2,218.39"	$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
11500001	EAP	Custom 11500001		Inpatient Hospice	BOTH IP/OP	"$3,065.00 "	"$2,268.10"	$0.00	"$2,139.98"	$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	$0.00	$0.00	$0.00	"$2,139.98"	$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
11500501	EAP	Custom 11500501		TRAUMA INPATIENT HOSPICE	BOTH IP/OP	"$3,176.00 "	"$2,350.24"	$0.00	"$2,217.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,217.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,512.72"	$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	"$1,512.72"	$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
12100003	EAP	Custom 12100003		Tele Semiprivate	BOTH IP/OP	"$2,550.00 "	"$1,887.00"	$0.00	"$1,780.42"	$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	$0.00	$0.00	"$1,780.42"	$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
12100021	EAP	Custom 12100021		Semiprivate Gyn	BOTH IP/OP	"$2,166.00 "	"$1,602.84"	$0.00	"$1,512.72"	$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	"$1,512.72"	$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
12100023	EAP	Custom 12100023		Tele Semiprivate Gyn	BOTH IP/OP	"$2,550.00 "	"$1,887.00"	$0.00	"$1,780.42"	$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	$0.00	$0.00	"$1,780.42"	$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
12100501	EAP	Custom 12100501		Trauma Semiprivate Medsurg	BOTH IP/OP	"$2,507.00 "	"$1,855.18"	$0.00	"$1,750.32"	$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	$0.00	$0.00	$0.00	"$1,750.32"	$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
12100503	EAP	Custom 12100503		Trauma Tele Semiprivate	BOTH IP/OP	"$2,890.00 "	"$2,138.60"	$0.00	"$2,018.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,018.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,750.32"	$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	$0.00	$0.00	$0.00	"$1,750.32"	$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
12100523	EAP	Custom 12100523		Trauma Tele Semiprivate Gyn	BOTH IP/OP	"$2,890.00 "	"$2,138.60"	$0.00	"$2,018.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,018.02"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,647.36"	$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	"$1,647.36"	$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
12200002	EAP	Custom 12200002		Tele Semiprivate Ob	BOTH IP/OP	"$2,391.00 "	"$1,769.34"	$0.00	"$1,669.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,669.54"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,884.96"	$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	"$1,884.96"	$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
12200502	EAP	Custom 12200502		Trauma Tele Semiprivate Ob	BOTH IP/OP	"$2,732.00 "	"$2,021.68"	$0.00	"$1,907.14"	$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	$0.00	$0.00	$0.00	"$1,907.14"	$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
12400002	EAP	Custom 12400002		Semiprivate Psych	BOTH IP/OP	"$2,625.00 "	"$1,942.50"	$0.00	"$1,833.48"	$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	"$1,833.48"	$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
12400502	EAP	Custom 12400502		Trauma Semiprivate Psych	BOTH IP/OP	"$2,966.00 "	"$2,194.84"	$0.00	"$2,071.08"	$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	"$2,071.08"	$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
16400001	EAP	Custom 16400001		Tele.isolation	BOTH IP/OP	"$3,488.00 "	"$2,581.12"	$0.00	"$2,435.40"	$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	"$2,435.40"	$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
16400002	EAP	Custom 16400002		Isolation Med Surg	BOTH IP/OP	"$3,362.00 "	"$2,487.88"	$0.00	"$2,347.49"	$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	"$2,347.49"	$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
16400004	EAP	Custom 16400004		Isolation Med Surg	BOTH IP/OP	"$3,362.00 "	"$2,487.88"	$0.00	"$2,347.49"	$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	"$2,347.49"	$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
16400005	EAP	Custom 16400005		Isolation Ob	BOTH IP/OP	"$3,563.00 "	"$2,636.62"	$0.00	"$2,488.46"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,488.46"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,500.34"	$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	"$2,500.34"	$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
16400007	EAP	Custom 16400007		Isolation High-risk Scu	BOTH IP/OP	"$3,953.00 "	"$2,925.22"	$0.00	"$2,760.12"	$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	"$2,760.12"	$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
16400022	EAP	Custom 16400022		Isolation  Gyn	BOTH IP/OP	"$3,362.00 "	"$2,487.88"	$0.00	"$2,347.49"	$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	"$2,347.49"	$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
16400501	EAP	Custom 16400501		Trauma Tele.isolation	BOTH IP/OP	"$3,828.00 "	"$2,832.72"	$0.00	"$2,673.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,673.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,726.06"	$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	$0.00	$0.00	$0.00	"$2,726.06"	$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
16400506	EAP			Trauma Tele.isolation Ob	BOTH IP/OP	"$3,457.00 "	"$2,558.18"	$0.00	"$2,737.94"	$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	"$2,737.94"	$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
16400507	EAP	Custom 16400507		Trauma Isolation High-risk Scu	BOTH IP/OP	"$4,293.00 "	"$3,176.82"	$0.00	"$2,997.72"	$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	"$2,997.72"	$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
16400522	EAP	Custom 16400522		Trauma Isolation  Gyn	BOTH IP/OP	"$3,702.00 "	"$2,739.48"	$0.00	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,585.09"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$592.42	$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	$0.00	$0.00	$592.42	$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
17100001	EAP	Custom 17100001		NURSERY/LEVEL I	BOTH IP/OP	"$1,331.00 "	$984.94	$0.00	$812.59	$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	$812.59	$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
17100002	EAP	Custom 17100002		Nursery Level I	BOTH IP/OP	"$1,331.00 "	$984.94	$0.00	$812.59	$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	$812.59	$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
17200002	EAP	Custom 17200002		Nursery Level Ii	BOTH IP/OP	"$3,458.00 "	"$2,558.92"	$0.00	"$2,414.81"	$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	"$2,414.81"	$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
17300001	EAP	Custom 17300001		Nursery Level Iii	BOTH IP/OP	"$5,760.00 "	"$4,262.40"	$0.00	"$4,021.78"	$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	"$4,021.78"	$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
17400001	EAP	Custom 17400001		Nursery/level Iv	BOTH IP/OP	"$6,717.00 "	"$4,970.58"	$0.00	"$4,690.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,690.22"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.01	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
19818887	EAP	HCPCS A6197		Dressing Wound Square 6x6in 2 Layer Absorbent Nonwoven Soft	BOTH IP/OP	$55.00 	$40.70	$0.00	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$40.82	$40.82	$42.39	$0.00	$11.46	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$35.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,922.40"	$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	"$1,201.50"	"$1,903.18"	"$1,922.40"	$0.00	$0.00	$0.00	$376.07	$0.00	$0.00	$382.56	$0.00	$0.00	$0.00	$0.00	$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	$46.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.05	$43.05	$44.71	$0.00	$12.09	$0.00	$0.00	$0.00	$0.00	$29.00	$45.94	$46.40	$0.00	$37.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$23.20	$15.75	$15.75	$0.00	$0.00	$0.00	$6.04	$21.52	$21.52	$22.35	$0.00	$6.04	$0.00	$17.15	$17.15	$0.00	$14.50	$22.97	$23.20	$0.00	$18.85	$0.00	$4.54	$0.00	$0.00	$4.62	$0.00	$0.00	$0.00	$0.00	$0.00
19993898	EAP	HCPCS C1729		Tray Catheterization 16fr Foley Antireflux Evident Seal	BOTH IP/OP	$26.00 	$19.24	$0.00	$20.80	$14.12	$14.12	$0.00	$0.00	$0.00	$5.42	$19.30	$19.30	$20.04	$0.00	$5.42	$0.00	$15.38	$15.38	$0.00	$13.00	$20.59	$20.80	$0.00	$16.90	$0.00	$4.07	$0.00	$0.00	$4.14	$0.00	$0.00	$0.00	$0.00	$0.00
19994800	EAP	Custom 19994800		Kit Crntmy 25ga 5/8in Strl Rzr Ndl Drp	BOTH IP/OP	$701.00 	$518.74	$0.00	"$1,652.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$520.28	$520.28	$540.33	$0.00	$146.09	$0.00	$0.00	$0.00	$0.00	"$1,032.50"	"$1,635.48"	"$1,652.00"	$0.00	$455.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,539.74"	$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	"$4,539.74"	$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
20000501	EAP	Custom 20000501		Trauma Intensive Care Icu Ob	BOTH IP/OP	"$6,842.00 "	"$5,063.08"	$0.00	"$4,777.34"	$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	"$4,777.34"	$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
20100001	EAP	Custom 20100001		Intensive Care Icu Surgical	BOTH IP/OP	"$6,502.00 "	"$4,811.48"	$0.00	"$4,539.74"	$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	"$4,539.74"	$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
20100501	EAP	Custom 20100501		Trauma Intensive Care Icu Surgical	BOTH IP/OP	"$6,875.00 "	"$5,087.50"	$0.00	"$4,777.34"	$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	"$4,777.34"	$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
20200001	EAP	Custom 20200001		Intensive Care Icu Medical	BOTH IP/OP	"$6,502.00 "	"$4,811.48"	$0.00	"$4,539.74"	$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	"$4,539.74"	$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
20200501	EAP	Custom 20200501		Trauma Intensive Care Icu Medical	BOTH IP/OP	"$6,875.00 "	"$5,087.50"	$0.00	"$4,777.34"	$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	"$4,777.34"	$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
20600001	EAP	Custom 20600001		Intermediate Care	BOTH IP/OP	"$4,007.00 "	"$2,965.18"	$0.00	"$2,782.30"	$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	"$2,782.30"	$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
20600002	EAP	Custom 20600002		Intermediate Care Burn	BOTH IP/OP	"$9,266.00 "	"$6,856.84"	$0.00	"$6,450.84"	$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	"$6,450.84"	$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
20600005	EAP	Custom 20600005		Intermediate Care	BOTH IP/OP	"$4,007.00 "	"$2,965.18"	$0.00	"$2,782.30"	$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	"$2,782.30"	$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
20600501	EAP	Custom 20600501		Trauma Intermediate Care	BOTH IP/OP	"$4,708.00 "	"$3,483.92"	$0.00	"$3,019.90"	$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	$0.00	$0.00	$0.00	"$3,019.90"	$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
20600502	EAP	Custom 20600502		Trauma Intermediate Care Burn	BOTH IP/OP	"$9,580.00 "	"$7,089.20"	$0.00	"$6,688.44"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$6,688.44"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$7,036.13"	$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	"$7,036.13"	$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
20700501	EAP	Custom 20700501		Trauma Intensive Care Icu Burn	BOTH IP/OP	"$10,421.00 "	"$7,711.54"	$0.00	"$7,273.73"	$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	$0.00	$0.00	$0.00	"$7,273.73"	$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
21000001	EAP	Custom 21000001		Intensive Care Icu Medical	BOTH IP/OP	"$6,502.00 "	"$4,811.48"	$0.00	"$4,539.74"	$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	"$4,539.74"	$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
21400005	EAP			Intermediate Coronary Care Unit	BOTH IP/OP	"$4,793.00 "	"$3,546.82"	$0.00	"$3,318.48"	$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	"$3,318.48"	$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
21400505	EAP	Custom 21400505		Trauma Intermediate Coronary Care Unit	BOTH IP/OP	"$5,219.00 "	"$3,862.06"	$0.00	"$3,556.08"	$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	"$3,556.08"	$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
21900001	EAP	Custom 21900001		Intermediate Care	BOTH IP/OP	"$3,741.00 "	"$2,768.34"	$0.00	"$2,782.30"	$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	"$2,782.30"	$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
25000134	EAP	Custom 25000134		Rocephin 250mg	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$0.00	$0.00	$0.00	$18.50	$29.30	$29.60	$0.00	$24.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$38.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$144.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$0.00	$0.00	$0.00	$90.00	$142.56	$144.00	$0.00	$117.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$0.00	$0.00	$0.00	$23.00	$36.43	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25000182	EAP	Custom 25000182		Rocephin Injection	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$38.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$15.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$28.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25000226	EAP	Custom 25000226		Depo Provera Inject	BOTH IP/OP	$171.00 	$126.54	$0.00	$136.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$126.92	$126.92	$131.81	$0.00	$35.64	$0.00	$0.00	$0.00	$0.00	$85.50	$135.43	$136.80	$0.00	$111.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$10.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.71	$0.00	$0.00	$0.00	$0.00	$6.50	$10.30	$10.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25000229	EAP	Custom 25000229		Plan B	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$8.16	$8.16	$8.48	$0.00	$2.29	$0.00	$0.00	$0.00	$0.00	$5.50	$8.71	$8.80	$0.00	$7.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$348.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$322.86	$322.86	$335.30	$0.00	$90.65	$0.00	$0.00	$0.00	$0.00	$217.50	$344.52	$348.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25000961	EAP	Custom 25000961		Hetastarch	BOTH IP/OP	$435.00 	$321.90	$0.00	$348.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$322.86	$322.86	$335.30	$0.00	$90.65	$0.00	$0.00	$0.00	$0.00	$217.50	$344.52	$348.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25000990	EAP	Custom 25000990		Nitric Oxide (per Hr)	BOTH IP/OP	$789.00 	$583.86	$0.00	$631.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$585.60	$585.60	$608.16	$0.00	$164.43	$0.00	$0.00	$0.00	$0.00	$394.50	$624.89	$631.20	$0.00	$512.85	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25002130	EAP	Custom 25002130		Zithromax	BOTH IP/OP	$24.00 	$17.76	$0.00	$19.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$17.81	$17.81	$18.50	$0.00	$5.00	$0.00	$0.00	$0.00	$0.00	$12.00	$19.01	$19.20	$0.00	$15.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.45	$4.45	$0.00	$0.00	$1.05	$0.00	$0.00	$0.00	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25500039	EAP	HCPCS Q9965		Locm 150-199mg/ml I	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.45	$4.45	$0.00	$0.00	$1.05	$0.00	$0.00	$0.00	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800010	EAP	Custom 25800010		Solutions Sodium Ch	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800013	EAP	Custom 25800013		Solution Iv D 5% In	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800016	EAP	Custom 25800016		Solution Iv Lactate	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800017	EAP	Custom 25800017		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800018	EAP	Custom 25800018		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800019	EAP	Custom 25800019		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800020	EAP	Custom 25800020		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800031	EAP	Custom 25800031		Solution Iv D 5% In	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800033	EAP	Custom 25800033		Solution Iv Lactate	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800034	EAP	Custom 25800034		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800037	EAP	Custom 25800037		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800038	EAP	Custom 25800038		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800039	EAP	Custom 25800039		Solution Iv Nacl 0.	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800060	EAP	Custom 25800060		Iv Fluids	BOTH IP/OP	$61.00 	$45.14	$0.00	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$39.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800062	EAP	Custom 25800062		I.v. Fluids 500ml	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800260	EAP	Custom 25800260		Iv Fluid 500ml	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$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	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800262	EAP	Custom 25800262		Solutions  Advantage Glou	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800263	EAP	Custom 25800263		Solution Irrigation Water 150	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800264	EAP	Custom 25800264		Solutions Iv Water For Inject	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800265	EAP	Custom 25800265		Solutions Sodium Chloride	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$0.00	$0.00	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800269	EAP	Custom 25800269		"Iv Fluids, 1000cc"	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800277	EAP	Custom 25800277		Solution Iv Nacl 0.9% 50m	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800278	EAP	Custom 25800278		"Iv Fluids, 50cc"	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800401	EAP	Custom 25800401		I.v. Fluids	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$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	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800404	EAP	Custom 25800404		Iv Fluid 1000cc	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$39.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800407	EAP	Custom 25800407		Iv Fluids 1000ml	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800409	EAP	Custom 25800409		Iv Fluids 50cc	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800410	EAP	Custom 25800410		Iv Fluids-500ml	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
25800411	EAP	Custom 25800411		Solution Intravenous Viaflex Latex Free Plasma-lyte A	BOTH IP/OP	$29.00 	$21.46	$0.00	$23.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$21.52	$21.52	$22.35	$0.00	$6.04	$0.00	$0.00	$0.00	$0.00	$14.50	$22.97	$23.20	$0.00	$18.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$21.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.04	$20.04	$20.81	$0.00	$5.63	$0.00	$0.00	$0.00	$0.00	$13.50	$21.38	$21.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$9.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$8.91	$8.91	$9.25	$0.00	$2.50	$0.00	$0.00	$0.00	$0.00	$6.00	$9.50	$9.60	$0.00	$7.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$3.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.97	$2.97	$3.08	$0.00	$0.83	$0.00	$0.00	$0.00	$0.00	$2.00	$3.17	$3.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
26000001	EAP	CPT® 96360		Iv Hydra Initial (31 Min To 1 Hr)	BOTH IP/OP	"$1,030.00 "	$762.20	$34.59	$793.92	$559.29	$559.29	$199.22	$199.22	$200.34	$214.68	$764.47	$764.47	$793.92	$195.04	$214.65	$126.78	$609.25	$609.25	$184.28	$440.50	$697.75	$704.80	$256.03	$669.50	$256.03	$53.93	$34.59	$34.59	$140.26	$175.50	$0.00	$0.00	$0.00	$0.00
26000003	EAP	CPT® 96361		Iv Hydra Add'l (31 Min To 1 Hr)	BOTH IP/OP	$347.00 	$256.78	$13.69	$267.47	$188.42	$188.42	$38.97	$38.97	$39.19	$72.32	$257.54	$257.54	$267.47	$38.34	$72.31	$24.92	$205.25	$205.25	$38.22	$148.00	$234.43	$236.80	$53.10	$225.55	$53.10	$15.67	$13.69	$13.69	$47.12	$36.40	$0.00	$0.00	$0.00	$0.00
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	"$1,384.36"	$975.23	$975.23	$199.22	$199.22	$200.34	$374.33	"$1,332.99"	"$1,332.99"	"$1,384.36"	$195.04	$374.29	$126.78	"$1,062.33"	"$1,062.33"	$184.28	$769.00	"$1,218.10"	"$1,230.40"	$256.03	"$1,167.40"	$256.03	$65.68	$72.05	$72.05	$244.85	$175.50	$0.00	$0.00	$0.00	$0.00
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	$267.47	$188.42	$188.42	$38.97	$38.97	$39.19	$72.32	$257.54	$257.54	$267.47	$38.34	$72.31	$24.92	$205.25	$205.25	$38.22	$148.00	$234.43	$236.80	$53.10	$225.55	$53.10	$20.85	$21.98	$21.98	$47.12	$36.40	$0.00	$0.00	$0.00	$0.00
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	$403.13	$283.99	$283.99	$60.38	$60.38	$60.72	$109.01	$388.17	$388.17	$403.13	$59.39	$108.99	$38.61	$309.35	$309.35	$60.65	$223.50	$354.02	$357.60	$84.26	$339.95	$84.26	$32.97	$31.35	$31.35	$71.16	$57.76	$0.00	$0.00	$0.00	$0.00
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	$485.60	$342.09	$342.09	$0.00	$0.00	$0.00	$131.31	$467.59	$467.59	$485.60	$0.00	$131.29	$0.00	$372.65	$372.65	$0.00	$245.00	$388.08	$392.00	$0.00	$480.35	$0.00	$19.47	$21.26	$21.26	$78.01	$0.00	$0.00	$0.00	$0.00	$0.00
26000111	EAP	CPT® 96374		"Iv Push - Ther,prophylax,dx 1st Med"	BOTH IP/OP	$630.00 	$466.20	$39.99	$485.60	$342.09	$342.09	$199.22	$199.22	$200.34	$131.31	$467.59	$467.59	$485.60	$195.04	$131.29	$126.78	$372.65	$372.65	$184.28	$245.00	$388.08	$392.00	$256.03	$409.50	$256.03	$52.02	$39.99	$39.99	$78.01	$175.50	$0.00	$0.00	$0.00	$0.00
26000112	EAP	CPT® 96375		"Iv Push - Ther,prophylax,dx Add'l Med"	BOTH IP/OP	$523.00 	$387.02	$16.57	$403.13	$283.99	$283.99	$38.97	$38.97	$39.19	$109.01	$388.17	$388.17	$403.13	$38.34	$108.99	$24.92	$309.35	$309.35	$38.22	$223.50	$354.02	$357.60	$53.10	$339.95	$53.10	$22.60	$16.57	$16.57	$71.16	$36.40	$0.00	$0.00	$0.00	$0.00
26000113	EAP	CPT® 96376		"Iv Push - Ther,prophylax,dx Ea Push Same Med"	BOTH IP/OP	$349.00 	$258.26	$0.00	$269.01	$189.51	$189.51	$0.00	$0.00	$0.00	$72.74	$259.03	$259.03	$269.01	$0.00	$72.73	$0.00	$206.43	$206.43	$0.00	$149.00	$236.02	$238.40	$0.00	$226.85	$0.00	$46.64	$0.00	$0.00	$47.44	$0.00	$0.00	$0.00	$0.00	$0.00
26000114	EAP	CPT® 96523		Picc/portacath Line Flush	BOTH IP/OP	$282.00 	$208.68	$27.46	$319.15	$73.05	$73.05	$54.21	$54.21	$54.51	$58.78	$209.30	$209.30	$217.37	$53.35	$58.77	$34.67	$166.80	$166.80	$55.17	$120.50	$190.87	$192.80	$76.65	$319.15	$76.65	$27.46	$28.10	$28.10	$38.37	$52.54	$0.00	$0.00	$0.00	$0.00
27000010	EAP	Custom 27000010		Tube Salem Sump 48 Lengt	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000011	EAP	Custom 27000011		Tube Salem Silicone Size	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000012	EAP	Custom 27000012		Tubes Salem Sump 48 Leng	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000015	EAP	Custom 27000015		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$408.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$379.26	$379.26	$393.88	$0.00	$106.49	$0.00	$0.00	$0.00	$0.00	$255.50	$404.71	$408.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000024	EAP	Custom 27000024		Bag 1000ml Pump Set	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000026	EAP	Custom 27000026		Kit Triple Lumen Catheter	BOTH IP/OP	$587.00 	$434.38	$0.00	$469.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$435.67	$435.67	$452.46	$0.00	$122.33	$0.00	$0.00	$0.00	$0.00	$293.50	$464.90	$469.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000031	EAP	Custom 27000031		Tray Douch Disposable	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000033	EAP	Custom 27000033		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000034	EAP	Custom 27000034		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000035	EAP	Custom 27000035		Tray Thoracentesis Dispos	BOTH IP/OP	$134.00 	$99.16	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$99.45	$99.45	$103.29	$0.00	$27.93	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$30.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000046	EAP	Custom 27000046		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000047	EAP	Custom 27000047		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000048	EAP	Custom 27000048		Sleeve Thigh X-large Dvt	BOTH IP/OP	$663.00 	$490.62	$0.00	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$492.08	$492.08	$511.04	$0.00	$138.17	$0.00	$0.00	$0.00	$0.00	$331.50	$525.10	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000066	EAP	Custom 27000066		"Tray,instrumen 13-1/2x9/34x5/8"	BOTH IP/OP	$391.00 	$289.34	$0.00	$312.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$290.20	$290.20	$301.38	$0.00	$81.48	$0.00	$0.00	$0.00	$0.00	$195.50	$309.67	$312.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000076	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$44.00 	$32.56	$0.00	$35.20	$23.89	$23.89	$0.00	$0.00	$0.00	$9.17	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$26.03	$26.03	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$6.89	$0.00	$0.00	$7.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000078	EAP	Custom 27000078		Tubes Salem Sump 48 Leng	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000079	EAP	Custom 27000079		Kit Tracheotomy Care Ster	BOTH IP/OP	$30.00 	$22.20	$0.00	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$105.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.97	$97.97	$101.75	$0.00	$27.51	$0.00	$0.00	$0.00	$0.00	$66.00	$104.54	$105.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$162.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$150.67	$150.67	$156.47	$0.00	$42.31	$0.00	$0.00	$0.00	$0.00	$101.50	$160.78	$162.40	$0.00	$131.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000094	EAP	Custom 27000094		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000098	EAP	Custom 27000098		Vest Econo Cotton Small	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000101	EAP	Custom 27000101		Vest Econo Cotton X-large	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000103	EAP	Custom 27000103		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000107	EAP	Custom 27000107		Tray Foley Perconnected 1	BOTH IP/OP	$52.00 	$38.48	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000127	EAP	Custom 27000127		"Tray,catheter Instrument Dulmn"	BOTH IP/OP	$718.00 	$531.32	$0.00	$574.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$532.90	$532.90	$553.43	$0.00	$149.63	$0.00	$0.00	$0.00	$0.00	$359.00	$568.66	$574.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000150	EAP	Custom 27000150		Catheter Urethral Two-eye	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27000152	EAP	HCPCS C1729		Catheter Coude 30cc 24fr	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$47.24	$47.24	$0.00	$0.00	$0.00	$18.13	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$51.46	$51.46	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$13.62	$0.00	$0.00	$13.85	$0.00	$0.00	$0.00	$0.00	$0.00
27000153	EAP	Custom 27000153		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000154	EAP	Custom 27000154		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000155	EAP	Custom 27000155		Kit Tracheotomy Care Ster	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000169	EAP	Custom 27000169		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000179	EAP	Custom 27000179		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000181	EAP	Custom 27000181		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000182	EAP	Custom 27000182		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000184	EAP	Custom 27000184		Tray Thoracentesis Dispos	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000198	EAP	Custom 27000198		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000199	EAP	Custom 27000199		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000200	EAP	Custom 27000200		Sleeve Thigh X-large Dvt	BOTH IP/OP	$663.00 	$490.62	$0.00	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$492.08	$492.08	$511.04	$0.00	$138.17	$0.00	$0.00	$0.00	$0.00	$331.50	$525.10	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000222	EAP	Custom 27000222		Catheter Urethral 14fr	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000225	EAP	Custom 27000225		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000226	EAP	Custom 27000226		Kit Tracheotomy Care Ster	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$41.56	$41.56	$43.16	$0.00	$11.67	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000240	EAP	Custom 27000240		Bag 1000ml Pump Set	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000241	EAP	Custom 27000241		Needle Port-cath 20ga X 1	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000242	EAP	Custom 27000242		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.72	$311.72	$323.74	$0.00	$87.53	$0.00	$0.00	$0.00	$0.00	$210.00	$332.64	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000251	EAP	Custom 27000251		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000252	EAP	Custom 27000252		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000253	EAP	Custom 27000253		Tray Thoracentesis/parace	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$0.00	$0.00	$0.00	$33.50	$53.06	$53.60	$0.00	$43.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$30.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000266	EAP	Custom 27000266		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000267	EAP	Custom 27000267		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000268	EAP	Custom 27000268		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000293	EAP	Custom 27000293		Catheter Urethral Two-eye	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27000295	EAP	HCPCS C1729		Catheter Coude 30cc 24fr	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$47.24	$47.24	$0.00	$0.00	$0.00	$18.13	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$51.46	$51.46	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$13.62	$0.00	$0.00	$13.85	$0.00	$0.00	$0.00	$0.00	$0.00
27000296	EAP	Custom 27000296		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000297	EAP	Custom 27000297		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000298	EAP	Custom 27000298		Kit Tracheotomy Care Ster	BOTH IP/OP	$61.00 	$45.14	$0.00	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000300	EAP	Custom 27000300		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000315	EAP	Custom 27000315		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$0.00	$0.00	$0.00	$51.00	$80.78	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000326	EAP	Custom 27000326		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000327	EAP	Custom 27000327		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000330	EAP	Custom 27000330		Central Line Dressing Tray With Biopatch	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000342	EAP	Custom 27000342		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000343	EAP	Custom 27000343		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000344	EAP	Custom 27000344		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000345	EAP	Custom 27000345		Tubes Extension Plain Pla	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000358	EAP	Custom 27000358		Catheter  Thoracic 16f	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000361	EAP	Custom 27000361		Catheter Ventricular 20cm	BOTH IP/OP	$735.00 	$543.90	$0.00	$588.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$545.52	$545.52	$566.54	$0.00	$153.17	$0.00	$0.00	$0.00	$0.00	$367.50	$582.12	$588.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,071.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$993.81	$993.81	"$1,032.10"	$0.00	$279.05	$0.00	$0.00	$0.00	$0.00	$669.50	"$1,060.49"	"$1,071.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000363	EAP	Custom 27000363		Tube Feeding Plastic 8fr	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000366	EAP	Custom 27000366		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000367	EAP	Custom 27000367		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000368	EAP	Custom 27000368		Tubes Salem Sump 48 Leng	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000369	EAP	Custom 27000369		Kit Tracheotomy Care Ster	BOTH IP/OP	$61.00 	$45.14	$0.00	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000371	EAP	Custom 27000371		Bag Drainage Becker	BOTH IP/OP	$197.00 	$145.78	$0.00	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$146.21	$146.21	$151.85	$0.00	$41.05	$0.00	$0.00	$0.00	$0.00	$98.50	$156.02	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$301.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$279.81	$279.81	$290.59	$0.00	$78.57	$0.00	$0.00	$0.00	$0.00	$188.50	$298.58	$301.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000378	EAP	Custom 27000378		Cream Baza 5oz	BOTH IP/OP	$26.00 	$19.24	$0.00	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$19.30	$19.30	$20.04	$0.00	$5.42	$0.00	$0.00	$0.00	$0.00	$13.00	$20.59	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000386	EAP	Custom 27000386		Pouch Fecal Incontinence	BOTH IP/OP	$21.00 	$15.54	$0.00	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$0.00	$0.00	$0.00	$10.50	$16.63	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000387	EAP	Custom 27000387		Kit Pressure Monitoring T	BOTH IP/OP	$177.00 	$130.98	$0.00	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000389	EAP	Custom 27000389		Bridge Kit Bifurated Resp	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000390	EAP	Custom 27000390		Kit Transducer Monitoring	BOTH IP/OP	$339.00 	$250.86	$0.00	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000392	EAP	Custom 27000392		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$162.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000395	EAP	Custom 27000395		Kit Pecutaneous Introduce	BOTH IP/OP	$101.00 	$74.74	$0.00	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000396	EAP	Custom 27000396		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000404	EAP	Custom 27000404		Kit Triple Lumen Catheter	BOTH IP/OP	$299.00 	$221.26	$0.00	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000405	EAP	Custom 27000405		Catheter Swan Ganz	BOTH IP/OP	$674.00 	$498.76	$0.00	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$500.24	$500.24	$519.52	$0.00	$140.46	$0.00	$0.00	$0.00	$0.00	$337.00	$533.81	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000406	EAP	Custom 27000406		Delivery System Closed In	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$42.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,041.31"	"$1,041.31"	"$1,081.43"	$0.00	$292.39	$0.00	$0.00	$0.00	$0.00	$701.50	"$1,111.18"	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000410	EAP	Custom 27000410		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000412	EAP	Custom 27000412		Kit Ventriculostomy	BOTH IP/OP	"$1,652.00 "	"$1,222.48"	$0.00	"$1,321.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,226.11"	"$1,226.11"	"$1,273.36"	$0.00	$344.28	$0.00	$0.00	$0.00	$0.00	$826.00	"$1,308.38"	"$1,321.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000460	EAP	Custom 27000460		Tube Salem Silicone Size	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000461	EAP	Custom 27000461		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000462	EAP	Custom 27000462		Kit Tracheotomy Care Ster	BOTH IP/OP	$61.00 	$45.14	$0.00	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000464	EAP	Custom 27000464		Scaple Surg W/handle Atta	BOTH IP/OP	$152.00 	$112.48	$0.00	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000475	EAP	Custom 27000475		Needle Port-cath 20ga X 1	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$144.73	$144.73	$150.31	$0.00	$40.64	$0.00	$0.00	$0.00	$0.00	$97.50	$154.44	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000483	EAP	Custom 27000483		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000484	EAP	Custom 27000484		Tray Catheter Urethral 14	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000488	EAP	Custom 27000488		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000489	EAP	Custom 27000489		Tray Thoracentesis Dispos	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000502	EAP	Custom 27000502		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000503	EAP	Custom 27000503		Sleeve Thigh Regular Dvt	BOTH IP/OP	$228.00 	$168.72	$0.00	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$169.22	$169.22	$175.74	$0.00	$47.52	$0.00	$0.00	$0.00	$0.00	$114.00	$180.58	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000504	EAP	Custom 27000504		Sleeve Thigh X-large Dvt	BOTH IP/OP	$616.00 	$455.84	$0.00	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$457.20	$457.20	$474.81	$0.00	$128.37	$0.00	$0.00	$0.00	$0.00	$308.00	$487.87	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000530	EAP	Custom 27000530		Catheter  Thoracic 28fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$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	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000531	EAP	Custom 27000531		Catheter Thoracic 32fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000532	EAP	Custom 27000532		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000533	EAP	Custom 27000533		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000534	EAP	Custom 27000534		Tubes Salem Sump 48 Leng	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000535	EAP	Custom 27000535		Kit Tracheotomy Care Ster	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$23.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000551	EAP	Custom 27000551		Chest Unit Drainage Pleur	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$44.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000558	EAP	Custom 27000558		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000559	EAP	Custom 27000559		Tray Catheter Urethral 14	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000562	EAP	Custom 27000562		Tray Foley Preconnected 1	BOTH IP/OP	$22.00 	$16.28	$0.00	$17.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$16.33	$16.33	$16.96	$0.00	$4.58	$0.00	$0.00	$0.00	$0.00	$11.00	$17.42	$17.60	$0.00	$14.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$17.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$16.33	$16.33	$16.96	$0.00	$4.58	$0.00	$0.00	$0.00	$0.00	$11.00	$17.42	$17.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$208.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$193.71	$193.71	$201.18	$0.00	$54.39	$0.00	$0.00	$0.00	$0.00	$130.50	$206.71	$208.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000570	EAP	Custom 27000570		"Suture, Silk, 0"	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$252.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$304.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.64	$176.64	$183.45	$0.00	$49.60	$0.00	$0.00	$0.00	$0.00	$119.00	$188.50	$190.40	$0.00	$154.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$457.20	$457.20	$474.81	$0.00	$128.37	$0.00	$0.00	$0.00	$0.00	$308.00	$487.87	$492.80	$0.00	$400.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000606	EAP	Custom 27000606		Catheter Thoracic 36fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000607	EAP	Custom 27000607		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000608	EAP	Custom 27000608		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000612	EAP	Custom 27000612		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$74.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.02	$69.02	$71.68	$0.00	$19.38	$0.00	$0.00	$0.00	$0.00	$46.50	$73.66	$74.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000624	EAP	Custom 27000624		Bag 1000ml Pump Set	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000625	EAP	Custom 27000625		Chest Unit Drainage Pleur	BOTH IP/OP	$332.00 	$245.68	$0.00	$265.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$246.41	$246.41	$255.91	$0.00	$69.19	$0.00	$0.00	$0.00	$0.00	$166.00	$262.94	$265.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000637	EAP	Custom 27000637		Tray Catheter Urethral 14	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000640	EAP	Custom 27000640		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000641	EAP	Custom 27000641		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000642	EAP	Custom 27000642		Tray Thoracentesis Dispos	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000654	EAP	Custom 27000654		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000655	EAP	Custom 27000655		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000656	EAP	Custom 27000656		Sleeve Thigh X-large Dvt	BOTH IP/OP	$663.00 	$490.62	$0.00	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$492.08	$492.08	$511.04	$0.00	$138.17	$0.00	$0.00	$0.00	$0.00	$331.50	$525.10	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000666	EAP	Custom 27000666		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000667	EAP	Custom 27000667		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$479.46	$479.46	$497.94	$0.00	$134.63	$0.00	$0.00	$0.00	$0.00	$323.00	$511.63	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000680	EAP	Custom 27000680		Filter Set 0.22 Micron	BOTH IP/OP	$7.00 	$5.18	$0.00	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.20	$5.20	$5.40	$0.00	$1.46	$0.00	$0.00	$0.00	$0.00	$3.50	$5.54	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000687	EAP	Custom 27000687		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000689	EAP	Custom 27000689		Tray Thoracentesis Dispos	BOTH IP/OP	$216.00 	$159.84	$0.00	$172.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$160.32	$160.32	$166.49	$0.00	$45.01	$0.00	$0.00	$0.00	$0.00	$108.00	$171.07	$172.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000691	EAP	Custom 27000691		Bag Drainage Ureteral	BOTH IP/OP	$92.00 	$68.08	$0.00	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$68.28	$68.28	$70.91	$0.00	$19.17	$0.00	$0.00	$0.00	$0.00	$46.00	$72.86	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$302.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$280.55	$280.55	$291.36	$0.00	$78.78	$0.00	$0.00	$0.00	$0.00	$189.00	$299.38	$302.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000702	EAP	Custom 27000702		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000703	EAP	Custom 27000703		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000704	EAP	Custom 27000704		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000705	EAP	Custom 27000705		Sucrose Analgesia	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$30.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$2.40	$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	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000712	EAP	Custom 27000712		Tubes Capillary Hepariniz	BOTH IP/OP	$160.00 	$118.40	$0.00	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$118.75	$118.75	$123.33	$0.00	$33.34	$0.00	$0.00	$0.00	$0.00	$80.00	$126.72	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000715	EAP	Custom 27000715		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000724	EAP	Custom 27000724		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000725	EAP	HCPCS C1751		Catheter  Iv 26g 120/cs	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$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	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$4.38	$0.00	$0.00	$4.46	$0.00	$0.00	$0.00	$0.00	$0.00
27000726	EAP	Custom 27000726		Sleeve Knee Regular Dvt	BOTH IP/OP	$166.00 	$122.84	$0.00	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.21	$123.21	$127.95	$0.00	$34.59	$0.00	$0.00	$0.00	$0.00	$83.00	$131.47	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000727	EAP	Custom 27000727		Sleeve Knee X-large Dvt	BOTH IP/OP	$201.00 	$148.74	$0.00	$160.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$149.18	$149.18	$154.93	$0.00	$41.89	$0.00	$0.00	$0.00	$0.00	$100.50	$159.19	$160.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000728	EAP	Custom 27000728		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000741	EAP	Custom 27000741		Catheter  Thoracic 28fr	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000744	EAP	Custom 27000744		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000745	EAP	Custom 27000745		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000748	EAP	Custom 27000748		Scapel Surg W/handle Att	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000762	EAP	Custom 27000762		Chest Unit Drainage Pleur	BOTH IP/OP	$420.00 	$310.80	$0.00	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.72	$311.72	$323.74	$0.00	$87.53	$0.00	$0.00	$0.00	$0.00	$210.00	$332.64	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000770	EAP	Custom 27000770		Filter Set 0.22 Micron	BOTH IP/OP	$7.00 	$5.18	$0.00	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.20	$5.20	$5.40	$0.00	$1.46	$0.00	$0.00	$0.00	$0.00	$3.50	$5.54	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000773	EAP	Custom 27000773		Tray Foley Preconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000774	EAP	Custom 27000774		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000775	EAP	Custom 27000775		Tray Thoracentesis Dispos	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000788	EAP	Custom 27000788		Sleeve Knee X-ray Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000789	EAP	Custom 27000789		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000790	EAP	Custom 27000790		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000791	EAP	Custom 27000791		First Step Select Overlay	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000792	EAP	Custom 27000792		Telemetry Med Supplies	BOTH IP/OP	$150.00 	$111.00	$0.00	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$111.33	$111.33	$115.62	$0.00	$31.26	$0.00	$0.00	$0.00	$0.00	$75.00	$118.80	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$208.56	$208.56	$216.59	$0.00	$58.56	$0.00	$0.00	$0.00	$0.00	$140.50	$222.55	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000803	EAP	Custom 27000803		Dialysis Filter	BOTH IP/OP	$699.00 	$517.26	$0.00	$559.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$518.80	$518.80	$538.79	$0.00	$145.67	$0.00	$0.00	$0.00	$0.00	$349.50	$553.61	$559.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000810	EAP	Custom 27000810		Needle Spinal 18ga	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$10.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$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	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000816	EAP	Custom 27000816		Catheter Thoracic 32fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000817	EAP	Custom 27000817		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000818	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$21.18	$21.18	$0.00	$0.00	$0.00	$8.13	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$23.07	$23.07	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$6.10	$0.00	$0.00	$6.21	$0.00	$0.00	$0.00	$0.00	$0.00
27000819	EAP	Custom 27000819		Artery Arterial Catheriza	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000820	EAP	Custom 27000820		Artery Radial Catherizati	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$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	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000821	EAP	Custom 27000821		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000822	EAP	Custom 27000822		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000826	EAP	Custom 27000826		Tray Catheter Insrtn Dulm	BOTH IP/OP	$434.00 	$321.16	$0.00	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$322.11	$322.11	$334.53	$0.00	$90.45	$0.00	$0.00	$0.00	$0.00	$217.00	$343.73	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000828	EAP	Custom 27000828		Catheter Peritoneal Adult	BOTH IP/OP	$210.00 	$155.40	$0.00	$168.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$155.86	$155.86	$161.87	$0.00	$43.76	$0.00	$0.00	$0.00	$0.00	$105.00	$166.32	$168.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000830	EAP	Custom 27000830		Set Blood Administration	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000834	EAP	Custom 27000834		Kit L.f. Trach Care	BOTH IP/OP	$237.00 	$175.38	$0.00	$189.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$175.90	$175.90	$182.68	$0.00	$49.39	$0.00	$0.00	$0.00	$0.00	$118.50	$187.70	$189.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$161.06	$161.06	$167.26	$0.00	$45.22	$0.00	$0.00	$0.00	$0.00	$108.50	$171.86	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000844	EAP	Custom 27000844		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000847	EAP	Custom 27000847		Kit Pecutaneous Introduce	BOTH IP/OP	$298.00 	$220.52	$0.00	$238.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.18	$221.18	$229.70	$0.00	$62.10	$0.00	$0.00	$0.00	$0.00	$149.00	$236.02	$238.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000848	EAP	Custom 27000848		Chest Unit Drainage Pleur	BOTH IP/OP	$420.00 	$310.80	$0.00	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.72	$311.72	$323.74	$0.00	$87.53	$0.00	$0.00	$0.00	$0.00	$210.00	$332.64	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$234.54	$234.54	$243.57	$0.00	$65.85	$0.00	$0.00	$0.00	$0.00	$158.00	$250.27	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000854	EAP	Custom 27000854		Trac Dressing Xl	BOTH IP/OP	$70.00 	$51.80	$0.00	$56.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.95	$51.95	$53.96	$0.00	$14.59	$0.00	$0.00	$0.00	$0.00	$35.00	$55.44	$56.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$538.84	$538.84	$559.60	$0.00	$151.30	$0.00	$0.00	$0.00	$0.00	$363.00	$574.99	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000860	EAP	Custom 27000860		Delivery System Closed In	BOTH IP/OP	$152.00 	$112.48	$0.00	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000868	EAP	Custom 27000868		Tray Urine Meter 18fr	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000869	EAP	Custom 27000869		Kit Ventriculostomy	BOTH IP/OP	$763.00 	$564.62	$0.00	$610.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$566.30	$566.30	$588.12	$0.00	$159.01	$0.00	$0.00	$0.00	$0.00	$381.50	$604.30	$610.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000870	EAP	Custom 27000870		Tray Thoracentesis Dispos	BOTH IP/OP	$101.00 	$74.74	$0.00	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000872	EAP	Custom 27000872		Central Line Dressing Tray With Biopatch	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$132.11	$132.11	$137.20	$0.00	$37.10	$0.00	$0.00	$0.00	$0.00	$89.00	$140.98	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000881	EAP	Custom 27000881		Sleeve Knee Regular Dvt	BOTH IP/OP	$388.00 	$287.12	$0.00	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000882	EAP	Custom 27000882		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000883	EAP	Custom 27000883		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000884	EAP	Custom 27000884		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000886	EAP	Custom 27000886		Med/surg Isolation Supplies	BOTH IP/OP	$281.00 	$207.94	$0.00	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$208.56	$208.56	$216.59	$0.00	$58.56	$0.00	$0.00	$0.00	$0.00	$140.50	$222.55	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000887	EAP	Custom 27000887		Med/pri Supplies	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000888	EAP	Custom 27000888		Med/surg Semi-supplies	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000902	EAP	Custom 27000902		Catheter  Thoracic 28fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$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	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000903	EAP	Custom 27000903		Catheter Thoracic 32fr	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000905	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27000906	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27000907	EAP	HCPCS C1729		Catheter Coude Size 16fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27000908	EAP	Custom 27000908		Artery Arterial Catheriza	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000909	EAP	Custom 27000909		Artery Radial Catherizati	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000910	EAP	Custom 27000910		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000911	EAP	Custom 27000911		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000912	EAP	Custom 27000912		Tubes Salem Sump 48 Leng	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000915	EAP	Custom 27000915		Tray Catheter Insrtn Dulm	BOTH IP/OP	$937.00 	$693.38	$0.00	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$695.44	$695.44	$722.24	$0.00	$195.27	$0.00	$0.00	$0.00	$0.00	$468.50	$742.10	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000922	EAP	Custom 27000922		Pouch Active Life Squib Drain	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$168.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$155.86	$155.86	$161.87	$0.00	$43.76	$0.00	$0.00	$0.00	$0.00	$105.00	$166.32	$168.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000935	EAP	Custom 27000935		Needle Port-cath 20ga X 1	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000936	EAP	Custom 27000936		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$256.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$238.25	$238.25	$247.43	$0.00	$66.90	$0.00	$0.00	$0.00	$0.00	$160.50	$254.23	$256.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000942	EAP	Custom 27000942		Trac Dressing Xl	BOTH IP/OP	$157.00 	$116.18	$0.00	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.53	$116.53	$121.02	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000952	EAP	Custom 27000952		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000953	EAP	Custom 27000953		Tray Thoracentesis Dispos	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$296.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$274.61	$274.61	$285.20	$0.00	$77.11	$0.00	$0.00	$0.00	$0.00	$185.00	$293.04	$296.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$360.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$333.99	$333.99	$346.86	$0.00	$93.78	$0.00	$0.00	$0.00	$0.00	$225.00	$356.40	$360.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$423.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$392.62	$392.62	$407.75	$0.00	$110.24	$0.00	$0.00	$0.00	$0.00	$264.50	$418.97	$423.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000965	EAP	Custom 27000965		Sleeve Thigh X-large Dvt	BOTH IP/OP	$488.00 	$361.12	$0.00	$390.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$362.19	$362.19	$376.15	$0.00	$101.70	$0.00	$0.00	$0.00	$0.00	$244.00	$386.50	$390.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000968	EAP	Custom 27000968		Dialysis Fluid Bag	BOTH IP/OP	$166.00 	$122.84	$0.00	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.21	$123.21	$127.95	$0.00	$34.59	$0.00	$0.00	$0.00	$0.00	$83.00	$131.47	$132.80	$0.00	$107.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$559.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$518.80	$518.80	$538.79	$0.00	$145.67	$0.00	$0.00	$0.00	$0.00	$349.50	$553.61	$559.20	$0.00	$454.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000977	EAP	Custom 27000977		Ioban 2 Drape Incise Larg	BOTH IP/OP	$462.00 	$341.88	$0.00	$369.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$342.90	$342.90	$356.11	$0.00	$96.28	$0.00	$0.00	$0.00	$0.00	$231.00	$365.90	$369.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000982	EAP	Custom 27000982		Catheter Thoracic 32fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000983	EAP	Custom 27000983		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000984	EAP	Custom 27000984		Catheter Urethral Two-eye	BOTH IP/OP	$7.00 	$5.18	$0.00	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.20	$5.20	$5.40	$0.00	$1.46	$0.00	$0.00	$0.00	$0.00	$3.50	$5.54	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27000986	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$11.70	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27000987	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27000988	EAP	HCPCS C1729		Catheter Foley 3-way 30cc	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$20.09	$20.09	$0.00	$0.00	$0.00	$7.71	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$21.89	$21.89	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$5.79	$0.00	$0.00	$5.89	$0.00	$0.00	$0.00	$0.00	$0.00
27000989	EAP	Custom 27000989		Catheter Ventricular 20cm	BOTH IP/OP	$313.00 	$231.62	$0.00	$250.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$232.31	$232.31	$241.26	$0.00	$65.23	$0.00	$0.00	$0.00	$0.00	$156.50	$247.90	$250.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000990	EAP	Custom 27000990		Catheter Edm Ii Becker	BOTH IP/OP	$617.00 	$456.58	$0.00	$493.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$457.94	$457.94	$475.58	$0.00	$128.58	$0.00	$0.00	$0.00	$0.00	$308.50	$488.66	$493.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000992	EAP	Custom 27000992		Artery Radial Catherizati	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000993	EAP	Custom 27000993		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000994	EAP	Custom 27000994		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000995	EAP	Custom 27000995		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000996	EAP	Custom 27000996		Kit Percuatane Trache 7fr	BOTH IP/OP	"$1,219.00 "	$902.06	$0.00	$975.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$904.74	$904.74	$939.61	$0.00	$254.04	$0.00	$0.00	$0.00	$0.00	$609.50	$965.45	$975.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000997	EAP	Custom 27000997		Kit Percuatane Trache 8fr	BOTH IP/OP	"$1,424.00 "	"$1,053.76"	$0.00	"$1,139.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,056.89"	"$1,056.89"	"$1,097.62"	$0.00	$296.76	$0.00	$0.00	$0.00	$0.00	$712.00	"$1,127.81"	"$1,139.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27000998	EAP	Custom 27000998		Kit Tracheotomy Care Ster	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$170.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$158.09	$158.09	$164.18	$0.00	$44.39	$0.00	$0.00	$0.00	$0.00	$106.50	$168.70	$170.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001002	EAP	Custom 27001002		Tray Catheter Insrtn Dulm	BOTH IP/OP	$937.00 	$693.38	$0.00	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$695.44	$695.44	$722.24	$0.00	$195.27	$0.00	$0.00	$0.00	$0.00	$468.50	$742.10	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001012	EAP	Custom 27001012		Cream Baza 5oz	BOTH IP/OP	$63.00 	$46.62	$0.00	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001016	EAP	Custom 27001016		Valve Anti-reflux Salem S	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001017	EAP	Custom 27001017		Kit L.f. Trach Care	BOTH IP/OP	$237.00 	$175.38	$0.00	$189.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$175.90	$175.90	$182.68	$0.00	$49.39	$0.00	$0.00	$0.00	$0.00	$118.50	$187.70	$189.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$108.50	$171.86	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$63.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$58.63	$58.63	$60.89	$0.00	$16.46	$0.00	$0.00	$0.00	$0.00	$39.50	$62.57	$63.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001028	EAP	Custom 27001028		Kit Transducer Monitoring	BOTH IP/OP	$339.00 	$250.86	$0.00	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001029	EAP	Custom 27001029		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001032	EAP	Custom 27001032		Kit Pecutaneous Introduce	BOTH IP/OP	$298.00 	$220.52	$0.00	$238.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.18	$221.18	$229.70	$0.00	$62.10	$0.00	$0.00	$0.00	$0.00	$149.00	$236.02	$238.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001033	EAP	Custom 27001033		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$266.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$247.15	$247.15	$256.68	$0.00	$69.40	$0.00	$0.00	$0.00	$0.00	$166.50	$263.74	$266.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001035	EAP	Custom 27001035		Bag  Auto-transfusion Ple	BOTH IP/OP	$245.00 	$181.30	$0.00	$196.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$181.84	$181.84	$188.85	$0.00	$51.06	$0.00	$0.00	$0.00	$0.00	$122.50	$194.04	$196.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$136.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$126.17	$126.17	$131.04	$0.00	$35.43	$0.00	$0.00	$0.00	$0.00	$85.00	$134.64	$136.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$289.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$268.68	$268.68	$279.03	$0.00	$75.44	$0.00	$0.00	$0.00	$0.00	$181.00	$286.70	$289.60	$0.00	$235.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$340.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$316.18	$316.18	$328.36	$0.00	$88.78	$0.00	$0.00	$0.00	$0.00	$213.00	$337.39	$340.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001048	EAP	Custom 27001048		Cath  Trauma Ventricular	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$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	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001049	EAP	Custom 27001049		Catheter Swan Ganz	BOTH IP/OP	$309.00 	$228.66	$0.00	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$229.34	$229.34	$238.18	$0.00	$64.40	$0.00	$0.00	$0.00	$0.00	$154.50	$244.73	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001050	EAP	Custom 27001050		Delivery System Closed In	BOTH IP/OP	$152.00 	$112.48	$0.00	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,021.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$947.79	$947.79	$984.31	$0.00	$266.13	$0.00	$0.00	$0.00	$0.00	$638.50	"$1,011.38"	"$1,021.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001060	EAP	Custom 27001060		Tray Urine Meter 18fr	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001061	EAP	Custom 27001061		Kit Ventriculostomy	BOTH IP/OP	"$1,782.00 "	"$1,318.68"	$0.00	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,322.60"	"$1,322.60"	"$1,373.57"	$0.00	$371.37	$0.00	$0.00	$0.00	$0.00	$891.00	"$1,411.34"	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001063	EAP	Custom 27001063		Central Line Dressing Tray With Biopatch	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001078	EAP	Custom 27001078		Femoral Arterial Line Kit	BOTH IP/OP	$172.00 	$127.28	$0.00	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$0.00	$0.00	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,405.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,231.80"	"$2,231.80"	"$2,317.80"	$0.00	$626.66	$0.00	$0.00	$0.00	$0.00	"$1,503.50"	"$2,381.54"	"$2,405.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,745.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,091.00"	"$1,728.14"	"$1,745.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001083	EAP	Custom 27001083		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001084	EAP	Custom 27001084		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001085	EAP	Custom 27001085		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001086	EAP	Custom 27001086		First Step Select Overlay	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$0.00	$0.00	$0.00	$150.00	$237.60	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$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	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001107	EAP	Custom 27001107		Catheter Thoracic 32fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001108	EAP	Custom 27001108		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001109	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27001110	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27001111	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$12.35	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27001112	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$21.18	$21.18	$0.00	$0.00	$0.00	$8.13	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$23.07	$23.07	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$6.10	$0.00	$0.00	$6.21	$0.00	$0.00	$0.00	$0.00	$0.00
27001113	EAP	Custom 27001113		Catheter Ventricular 20cm	BOTH IP/OP	$735.00 	$543.90	$0.00	$588.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$545.52	$545.52	$566.54	$0.00	$153.17	$0.00	$0.00	$0.00	$0.00	$367.50	$582.12	$588.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,152.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,068.77"	"$1,068.77"	"$1,109.95"	$0.00	$300.10	$0.00	$0.00	$0.00	$0.00	$720.00	"$1,140.48"	"$1,152.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$42.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001117	EAP	Custom 27001117		Artery Radial Catherizati	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001118	EAP	Custom 27001118		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001119	EAP	Custom 27001119		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001120	EAP	Custom 27001120		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001124	EAP	Custom 27001124		Bag Drainage Becker	BOTH IP/OP	$213.00 	$157.62	$0.00	$170.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$158.09	$158.09	$164.18	$0.00	$44.39	$0.00	$0.00	$0.00	$0.00	$106.50	$168.70	$170.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001125	EAP	Custom 27001125		Blades Surgical #10 W/o H	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001129	EAP	Custom 27001129		Set Blood Administration	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001135	EAP	Custom 27001135		Valve Anti-reflux Salem S	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001137	EAP	Custom 27001137		Kit Thoracotomy	BOTH IP/OP	$217.00 	$160.58	$0.00	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$161.06	$161.06	$167.26	$0.00	$45.22	$0.00	$0.00	$0.00	$0.00	$108.50	$171.86	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$63.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$58.63	$58.63	$60.89	$0.00	$16.46	$0.00	$0.00	$0.00	$0.00	$39.50	$62.57	$63.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001145	EAP	Custom 27001145		Bridge Kit Bifurated Resp	BOTH IP/OP	$120.00 	$88.80	$0.00	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$89.06	$89.06	$92.50	$0.00	$25.01	$0.00	$0.00	$0.00	$0.00	$60.00	$95.04	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001147	EAP	Custom 27001147		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001150	EAP	Custom 27001150		Kit Pecutaneous Introduce	BOTH IP/OP	$276.00 	$204.24	$0.00	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$204.85	$204.85	$212.74	$0.00	$57.52	$0.00	$0.00	$0.00	$0.00	$138.00	$218.59	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001151	EAP	Custom 27001151		Chest Unit Drainage Pleur	BOTH IP/OP	$401.00 	$296.74	$0.00	$320.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$297.62	$297.62	$309.09	$0.00	$83.57	$0.00	$0.00	$0.00	$0.00	$200.50	$317.59	$320.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001152	EAP	Custom 27001152		Chest Unit Dry Suction Sy	BOTH IP/OP	$316.00 	$233.84	$0.00	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$234.54	$234.54	$243.57	$0.00	$65.85	$0.00	$0.00	$0.00	$0.00	$158.00	$250.27	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001157	EAP	Custom 27001157		Dressing X-large	BOTH IP/OP	$697.00 	$515.78	$0.00	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.53	$116.53	$121.02	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$275.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$255.32	$255.32	$265.16	$0.00	$71.69	$0.00	$0.00	$0.00	$0.00	$172.00	$272.45	$275.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001163	EAP	Custom 27001163		Wire Guide Dual Purpose	BOTH IP/OP	$392.00 	$290.08	$0.00	$313.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$290.94	$290.94	$302.15	$0.00	$81.69	$0.00	$0.00	$0.00	$0.00	$196.00	$310.46	$313.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$368.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$341.41	$341.41	$354.57	$0.00	$95.86	$0.00	$0.00	$0.00	$0.00	$230.00	$364.32	$368.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$811.20	$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	$507.00	$803.09	$811.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001166	EAP	Custom 27001166		Catheter Swan Ganz	BOTH IP/OP	$309.00 	$228.66	$0.00	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$229.34	$229.34	$238.18	$0.00	$64.40	$0.00	$0.00	$0.00	$0.00	$154.50	$244.73	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001167	EAP	Custom 27001167		Delivery System Closed In	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,322.60"	"$1,322.60"	"$1,373.57"	$0.00	$371.37	$0.00	$0.00	$0.00	$0.00	$891.00	"$1,411.34"	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$30.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$630.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$584.85	$584.85	$607.39	$0.00	$164.22	$0.00	$0.00	$0.00	$0.00	$394.00	$624.10	$630.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001190	EAP	Custom 27001190		Sleeve Knee Regular Dvt	BOTH IP/OP	$388.00 	$287.12	$0.00	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001191	EAP	Custom 27001191		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001192	EAP	Custom 27001192		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001193	EAP	Custom 27001193		Sleeve Thigh X-large Dvt	BOTH IP/OP	$663.00 	$490.62	$0.00	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$492.08	$492.08	$511.04	$0.00	$138.17	$0.00	$0.00	$0.00	$0.00	$331.50	$525.10	$530.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001194	EAP	Custom 27001194		First Step Select Overlay	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001205	EAP	Custom 27001205		Dialysis Filter	BOTH IP/OP	$651.00 	$481.74	$0.00	$520.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.17	$483.17	$501.79	$0.00	$135.67	$0.00	$0.00	$0.00	$0.00	$325.50	$515.59	$520.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001206	EAP	Custom 27001206		Tubes Extension Plain Pla	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001221	EAP	Custom 27001221		Catheter Thoracic 28fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001222	EAP	Custom 27001222		Catheter Thoracic 32fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001223	EAP	Custom 27001223		Catheter Urethral 8fr	BOTH IP/OP	$31.00 	$22.94	$0.00	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001224	EAP	Custom 27001224		Entriflex	BOTH IP/OP	$30.00 	$22.20	$0.00	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001227	EAP	Custom 27001227		Artery Radial Catherizati	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001228	EAP	Custom 27001228		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001229	EAP	Custom 27001229		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001231	EAP	Custom 27001231		Set Urinary Drain W/conta	BOTH IP/OP	$21.00 	$15.54	$0.00	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$0.00	$0.00	$0.00	$10.50	$16.63	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001232	EAP	Custom 27001232		Tray Catheter Insrtn Dulm	BOTH IP/OP	$434.00 	$321.16	$0.00	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$322.11	$322.11	$334.53	$0.00	$90.45	$0.00	$0.00	$0.00	$0.00	$217.00	$343.73	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001234	EAP	Custom 27001234		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$24.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001240	EAP	Custom 27001240		Aquacel Ag 4x4	BOTH IP/OP	$92.00 	$68.08	$0.00	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$68.28	$68.28	$70.91	$0.00	$19.17	$0.00	$0.00	$0.00	$0.00	$46.00	$72.86	$73.60	$0.00	$59.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$231.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$214.50	$214.50	$222.76	$0.00	$60.23	$0.00	$0.00	$0.00	$0.00	$144.50	$228.89	$231.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001249	EAP	Custom 27001249		Kit Pressure Monitoring T	BOTH IP/OP	$177.00 	$130.98	$0.00	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001252	EAP	Custom 27001252		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001255	EAP	Custom 27001255		Kit Pecutaneous Introduce	BOTH IP/OP	$276.00 	$204.24	$0.00	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$204.85	$204.85	$212.74	$0.00	$57.52	$0.00	$0.00	$0.00	$0.00	$138.00	$218.59	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001256	EAP	Custom 27001256		Chest Unit Drainage Pleur	BOTH IP/OP	$195.00 	$144.30	$0.00	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$144.73	$144.73	$150.31	$0.00	$40.64	$0.00	$0.00	$0.00	$0.00	$97.50	$154.44	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$65.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$60.86	$60.86	$63.21	$0.00	$17.09	$0.00	$0.00	$0.00	$0.00	$41.00	$64.94	$65.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001260	EAP	Custom 27001260		Tube Feeding Ng 8fr 36in Entri	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$600.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$557.39	$557.39	$578.87	$0.00	$156.51	$0.00	$0.00	$0.00	$0.00	$375.50	$594.79	$600.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001262	EAP	Custom 27001262		Kit Triple Lumen Catheter	BOTH IP/OP	$697.00 	$515.78	$0.00	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$538.84	$538.84	$559.60	$0.00	$151.30	$0.00	$0.00	$0.00	$0.00	$363.00	$574.99	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001264	EAP	Custom 27001264		Delivery System Closed In	BOTH IP/OP	$141.00 	$104.34	$0.00	$112.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$104.65	$104.65	$108.68	$0.00	$29.38	$0.00	$0.00	$0.00	$0.00	$70.50	$111.67	$112.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001265	EAP	Custom 27001265		Set T-port Small Bore Ext	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001268	EAP	Custom 27001268		Tray Catheter Urethral 14	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001271	EAP	Custom 27001271		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001272	EAP	Custom 27001272		Tray Thoracentesis Dispos	BOTH IP/OP	$207.00 	$153.18	$0.00	$165.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$153.64	$153.64	$159.56	$0.00	$43.14	$0.00	$0.00	$0.00	$0.00	$103.50	$163.94	$165.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$95.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$88.32	$88.32	$91.73	$0.00	$24.80	$0.00	$0.00	$0.00	$0.00	$59.50	$94.25	$95.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001274	EAP	Custom 27001274		Bovie Pencil Valleylab	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$542.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$503.21	$503.21	$522.60	$0.00	$141.30	$0.00	$0.00	$0.00	$0.00	$339.00	$536.98	$542.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001284	EAP	Custom 27001284		Kit Vascular Conform	BOTH IP/OP	$108.00 	$79.92	$0.00	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.16	$80.16	$83.25	$0.00	$22.51	$0.00	$0.00	$0.00	$0.00	$54.00	$85.54	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001285	EAP	Custom 27001285		Sleeve Knee Regular Dvt	BOTH IP/OP	$388.00 	$287.12	$0.00	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001286	EAP	Custom 27001286		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001287	EAP	Custom 27001287		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001288	EAP	Custom 27001288		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001289	EAP	Custom 27001289		1st First Select Overlay	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001298	EAP	Custom 27001298		Therapy For Cvvh/cvvhd 4	BOTH IP/OP	$166.00 	$122.84	$0.00	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.21	$123.21	$127.95	$0.00	$34.59	$0.00	$0.00	$0.00	$0.00	$83.00	$131.47	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001299	EAP	Custom 27001299		Dialysis Filter	BOTH IP/OP	$699.00 	$517.26	$0.00	$559.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$518.80	$518.80	$538.79	$0.00	$145.67	$0.00	$0.00	$0.00	$0.00	$349.50	$553.61	$559.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001312	EAP	Custom 27001312		Catheter  Thoracic 20fr	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001314	EAP	Custom 27001314		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001315	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27001316	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27001317	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27001318	EAP	Custom 27001318		Catheter Ventricular 20cm	BOTH IP/OP	$683.00 	$505.42	$0.00	$546.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.92	$506.92	$526.46	$0.00	$142.34	$0.00	$0.00	$0.00	$0.00	$341.50	$540.94	$546.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001319	EAP	Custom 27001319		Catheter Edm Ii Becker	BOTH IP/OP	"$1,339.00 "	$990.86	$0.00	"$1,071.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$993.81	$993.81	"$1,032.10"	$0.00	$279.05	$0.00	$0.00	$0.00	$0.00	$669.50	"$1,060.49"	"$1,071.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001320	EAP	Custom 27001320		Artery Arterial Catheriza	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001322	EAP	Custom 27001322		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001323	EAP	Custom 27001323		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001324	EAP	Custom 27001324		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001328	EAP	Custom 27001328		Bag Drainage Becker	BOTH IP/OP	$202.00 	$149.48	$0.00	$161.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$149.92	$149.92	$155.70	$0.00	$42.10	$0.00	$0.00	$0.00	$0.00	$101.00	$159.98	$161.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$695.44	$695.44	$722.24	$0.00	$195.27	$0.00	$0.00	$0.00	$0.00	$468.50	$742.10	$749.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$0.00	$0.00	$0.00	$150.00	$237.60	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$161.06	$161.06	$167.26	$0.00	$45.22	$0.00	$0.00	$0.00	$0.00	$108.50	$171.86	$173.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001350	EAP	Custom 27001350		Bridge Kit Bifurated Resp	BOTH IP/OP	$120.00 	$88.80	$0.00	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$89.06	$89.06	$92.50	$0.00	$25.01	$0.00	$0.00	$0.00	$0.00	$60.00	$95.04	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$259.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$240.47	$240.47	$249.74	$0.00	$67.52	$0.00	$0.00	$0.00	$0.00	$162.00	$256.61	$259.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001352	EAP	Custom 27001352		Kit  Pressure Monitoring	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001355	EAP	Custom 27001355		Bag 1000ml Pump Set	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001356	EAP	Custom 27001356		Kit Pecutaneous Introduce	BOTH IP/OP	$129.00 	$95.46	$0.00	$103.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$95.74	$95.74	$99.43	$0.00	$26.88	$0.00	$0.00	$0.00	$0.00	$64.50	$102.17	$103.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001357	EAP	Custom 27001357		Chest Unit Drainage Pleur	BOTH IP/OP	$455.00 	$336.70	$0.00	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$234.54	$234.54	$243.57	$0.00	$65.85	$0.00	$0.00	$0.00	$0.00	$158.00	$250.27	$252.80	$0.00	$205.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.53	$116.53	$121.02	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$368.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$341.41	$341.41	$354.57	$0.00	$95.86	$0.00	$0.00	$0.00	$0.00	$230.00	$364.32	$368.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$500.24	$500.24	$519.52	$0.00	$140.46	$0.00	$0.00	$0.00	$0.00	$337.00	$533.81	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001371	EAP	Custom 27001371		Delivery System Closed In	BOTH IP/OP	$152.00 	$112.48	$0.00	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,041.31"	"$1,041.31"	"$1,081.43"	$0.00	$292.39	$0.00	$0.00	$0.00	$0.00	$701.50	"$1,111.18"	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001374	EAP	Custom 27001374		Filter Set 0.22 Micron	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001377	EAP	Custom 27001377		Kit Ventriculostomy	BOTH IP/OP	"$1,782.00 "	"$1,318.68"	$0.00	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,322.60"	"$1,322.60"	"$1,373.57"	$0.00	$371.37	$0.00	$0.00	$0.00	$0.00	$891.00	"$1,411.34"	"$1,425.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$988.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$916.62	$916.62	$951.94	$0.00	$257.37	$0.00	$0.00	$0.00	$0.00	$617.50	$978.12	$988.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,043.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,895.58"	"$1,895.58"	"$1,968.62"	$0.00	$532.25	$0.00	$0.00	$0.00	$0.00	"$1,277.00"	"$2,022.77"	"$2,043.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001392	EAP	Custom 27001392		Sleeve Knee Regular Dvt	BOTH IP/OP	$388.00 	$287.12	$0.00	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001393	EAP	Custom 27001393		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001394	EAP	Custom 27001394		Sleeve Thigh Regular Dvt	BOTH IP/OP	$553.00 	$409.22	$0.00	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$410.44	$410.44	$426.25	$0.00	$115.25	$0.00	$0.00	$0.00	$0.00	$276.50	$437.98	$442.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001395	EAP	Custom 27001395		Sleeve Thigh X-large Dvt	BOTH IP/OP	$616.00 	$455.84	$0.00	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$457.20	$457.20	$474.81	$0.00	$128.37	$0.00	$0.00	$0.00	$0.00	$308.00	$487.87	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001399	EAP	Custom 27001399		Tray Circumcision	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$0.00	$0.00	$0.00	$10.50	$16.63	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001401	EAP	Custom 27001401		Tubes Capillary Hepariniz	BOTH IP/OP	$150.00 	$111.00	$0.00	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$111.33	$111.33	$115.62	$0.00	$31.26	$0.00	$0.00	$0.00	$0.00	$75.00	$118.80	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001409	EAP	Custom 27001409		Set Breast Pump Complete	BOTH IP/OP	$71.00 	$52.54	$0.00	$56.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$52.70	$52.70	$54.73	$0.00	$14.80	$0.00	$0.00	$0.00	$0.00	$35.50	$56.23	$56.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001410	EAP	Custom 27001410		Cassettes Imed #9260 20/c	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$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	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001411	EAP	Custom 27001411		Catheter Quick Iv 22ga	BOTH IP/OP	$7.00 	$5.18	$0.00	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.20	$5.20	$5.40	$0.00	$1.46	$0.00	$0.00	$0.00	$0.00	$3.50	$5.54	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001415	EAP	Custom 27001415		Tube Sump Gastric 50/cs	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001418	EAP	Custom 27001418		Precision Introd.26g(1.9f)	BOTH IP/OP	$149.00 	$110.26	$0.00	$119.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$110.59	$110.59	$114.85	$0.00	$31.05	$0.00	$0.00	$0.00	$0.00	$74.50	$118.01	$119.20	$0.00	$96.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$208.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$192.97	$192.97	$200.41	$0.00	$54.18	$0.00	$0.00	$0.00	$0.00	$130.00	$205.92	$208.00	$0.00	$169.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$175.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$162.54	$162.54	$168.81	$0.00	$45.64	$0.00	$0.00	$0.00	$0.00	$109.50	$173.45	$175.20	$0.00	$142.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$146.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$135.82	$135.82	$141.06	$0.00	$38.14	$0.00	$0.00	$0.00	$0.00	$91.50	$144.94	$146.40	$0.00	$118.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$274.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$254.57	$254.57	$264.38	$0.00	$71.48	$0.00	$0.00	$0.00	$0.00	$171.50	$271.66	$274.40	$0.00	$222.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$338.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$313.95	$313.95	$326.05	$0.00	$88.15	$0.00	$0.00	$0.00	$0.00	$211.50	$335.02	$338.40	$0.00	$274.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$123.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$114.30	$114.30	$118.70	$0.00	$32.09	$0.00	$0.00	$0.00	$0.00	$77.00	$121.97	$123.20	$0.00	$100.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$0.00	$0.00	$0.00	$10.50	$16.63	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001430	EAP	Custom 27001430		Needle Spinal 22g 25/bx	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$111.33	$111.33	$115.62	$0.00	$31.26	$0.00	$0.00	$0.00	$0.00	$75.00	$118.80	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$67.54	$67.54	$70.14	$0.00	$18.96	$0.00	$0.00	$0.00	$0.00	$45.50	$72.07	$72.80	$0.00	$59.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001437	EAP	Custom 27001437		Catheter Umbilical 15 5f	BOTH IP/OP	$63.00 	$46.62	$0.00	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001438	EAP	Custom 27001438		Tube Feeding Plastic 8fr	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$0.00	$0.00	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001446	EAP	Custom 27001446		Transducer With Interg 43	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$0.00	$0.00	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001448	EAP	Custom 27001448		Catheter  Thoracic Trocar	BOTH IP/OP	$134.00 	$99.16	$0.00	$107.20	$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	$67.00	$106.13	$107.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001449	EAP	Custom 27001449		Catheter Thoracic Trocar 10 F	BOTH IP/OP	$177.00 	$130.98	$0.00	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$128.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$0.00	$0.00	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001451	EAP	Custom 27001451		Cassettes Imed #9260 20/c	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$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	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001452	EAP	Custom 27001452		Catheter Quick Iv 22gax1-	BOTH IP/OP	$3.00 	$2.22	$0.00	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001453	EAP	Custom 27001453		Catheter Introducer Steri	BOTH IP/OP	$3.00 	$2.22	$0.00	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001454	EAP	Custom 27001454		Filter Set 0.22 Micron	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001456	EAP	Custom 27001456		Tray Transfusion Sterile	BOTH IP/OP	$597.00 	$441.78	$0.00	$477.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$443.09	$443.09	$460.17	$0.00	$124.41	$0.00	$0.00	$0.00	$0.00	$298.50	$472.82	$477.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001459	EAP	HCPCS C1751		Catheter  Iv 26g 120/cs	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$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	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$4.38	$0.00	$0.00	$4.46	$0.00	$0.00	$0.00	$0.00	$0.00
27001466	EAP	Custom 27001466		Catheter Suction 5fr Ster	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$2.40	$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	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001469	EAP	Custom 27001469		Catheter Urethral Two-eye	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$63.09	$63.09	$65.52	$0.00	$17.71	$0.00	$0.00	$0.00	$0.00	$42.50	$67.32	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001494	EAP	Custom 27001494		Sponges Laparotomy 6522	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001502	EAP	Custom 27001502		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001503	EAP	Custom 27001503		Sleeve Thigh Regular Dvt	BOTH IP/OP	$238.00 	$176.12	$0.00	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.64	$176.64	$183.45	$0.00	$49.60	$0.00	$0.00	$0.00	$0.00	$119.00	$188.50	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001618	EAP	Custom 27001618		Triadyne Ii (bed)	BOTH IP/OP	$737.00 	$545.38	$0.00	$589.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$547.00	$547.00	$568.08	$0.00	$153.59	$0.00	$0.00	$0.00	$0.00	$368.50	$583.70	$589.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$617.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$572.98	$572.98	$595.06	$0.00	$160.88	$0.00	$0.00	$0.00	$0.00	$386.00	$611.42	$617.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001636	EAP	Custom 27001636		Set Urinary Drain W/conta	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001644	EAP	Custom 27001644		Tray Foley Preconnected 1	BOTH IP/OP	$52.00 	$38.48	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$641.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$595.24	$595.24	$618.18	$0.00	$167.14	$0.00	$0.00	$0.00	$0.00	$401.00	$635.18	$641.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$483.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$448.29	$448.29	$465.56	$0.00	$125.87	$0.00	$0.00	$0.00	$0.00	$302.00	$478.37	$483.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001652	EAP	Custom 27001652		Pressure Transclucer Kits	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001653	EAP	Custom 27001653		Percutaneous Introducer Kits	BOTH IP/OP	"$2,364.00 "	"$1,749.36"	$0.00	"$1,891.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,754.56"	"$1,754.56"	"$1,822.17"	$0.00	$492.66	$0.00	$0.00	$0.00	$0.00	"$1,182.00"	"$1,872.29"	"$1,891.20"	$0.00	"$1,536.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001655	EAP	Custom 27001655		Sutures	BOTH IP/OP	$211.00 	$156.14	$0.00	$168.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$156.60	$156.60	$162.64	$0.00	$43.97	$0.00	$0.00	$0.00	$0.00	$105.50	$167.11	$168.80	$0.00	$137.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$483.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$448.29	$448.29	$465.56	$0.00	$125.87	$0.00	$0.00	$0.00	$0.00	$302.00	$478.37	$483.20	$0.00	$392.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$11.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,007.89"	$0.00	"$1,353.97"	$0.00	$0.00	$0.00	$0.00	"$3,248.50"	"$5,145.62"	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,007.89"	$0.00	"$1,353.97"	$0.00	$0.00	$0.00	$0.00	"$3,248.50"	"$5,145.62"	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,007.89"	$0.00	"$1,353.97"	$0.00	$0.00	$0.00	$0.00	"$3,248.50"	"$5,145.62"	"$5,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$59.38	$59.38	$61.66	$0.00	$16.67	$0.00	$0.00	$0.00	$0.00	$40.00	$63.36	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$19.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$365.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$339.19	$339.19	$352.26	$0.00	$95.24	$0.00	$0.00	$0.00	$0.00	$228.50	$361.94	$365.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$4.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$3.71	$3.71	$3.85	$0.00	$1.04	$0.00	$0.00	$0.00	$0.00	$2.50	$3.96	$4.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001692	EAP	Custom 27001692		Catheter  Thoracic 28fr	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001694	EAP	Custom 27001694		Catheter Thoracic 36fr	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001695	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27001696	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27001697	EAP	HCPCS C1729		Catheter Coude Size 16fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27001698	EAP	Custom 27001698		Artery Arterial Catheriza	BOTH IP/OP	$102.00 	$75.48	$0.00	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$0.00	$0.00	$0.00	$51.00	$80.78	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001700	EAP	Custom 27001700		Tube Salem Sump 48 Lengt	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001701	EAP	Custom 27001701		Tube Salem Silicone Size	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001702	EAP	Custom 27001702		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001703	EAP	Custom 27001703		Kit Tracheotomy Care Ster	BOTH IP/OP	$30.00 	$22.20	$0.00	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$22.27	$22.27	$23.12	$0.00	$6.25	$0.00	$0.00	$0.00	$0.00	$15.00	$23.76	$24.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$807.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$748.88	$748.88	$777.74	$0.00	$210.28	$0.00	$0.00	$0.00	$0.00	$504.50	$799.13	$807.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001707	EAP	Custom 27001707		Scapel Surg W/handle Attached	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001713	EAP	Custom 27001713		Pouch Active Life Squib Drain	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$0.00	$0.00	$0.00	$150.00	$237.60	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$97.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$90.55	$90.55	$94.04	$0.00	$25.42	$0.00	$0.00	$0.00	$0.00	$61.00	$96.62	$97.60	$0.00	$79.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$131.37	$131.37	$136.43	$0.00	$36.89	$0.00	$0.00	$0.00	$0.00	$88.50	$140.18	$141.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001726	EAP	Custom 27001726		Needle Port-cath 20ga X 1	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$10.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$337.70	$337.70	$350.71	$0.00	$94.82	$0.00	$0.00	$0.00	$0.00	$227.50	$360.36	$364.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.53	$116.53	$121.02	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$517.31	$517.31	$537.25	$0.00	$145.25	$0.00	$0.00	$0.00	$0.00	$348.50	$552.02	$557.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$248.64	$248.64	$258.22	$0.00	$69.81	$0.00	$0.00	$0.00	$0.00	$167.50	$265.32	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$248.64	$248.64	$258.22	$0.00	$69.81	$0.00	$0.00	$0.00	$0.00	$167.50	$265.32	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$248.64	$248.64	$258.22	$0.00	$69.81	$0.00	$0.00	$0.00	$0.00	$167.50	$265.32	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.96	$241.96	$251.28	$0.00	$67.94	$0.00	$0.00	$0.00	$0.00	$163.00	$258.19	$260.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001744	EAP	Custom 27001744		Filter Set 0.22 Micron	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001747	EAP	Custom 27001747		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001748	EAP	Custom 27001748		Tray Thoracentesis Dispos	BOTH IP/OP	$101.00 	$74.74	$0.00	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001763	EAP	Custom 27001763		Sleeve Knee Regular Dvt	BOTH IP/OP	$388.00 	$287.12	$0.00	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$287.97	$287.97	$299.07	$0.00	$80.86	$0.00	$0.00	$0.00	$0.00	$194.00	$307.30	$310.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001764	EAP	Custom 27001764		Sleeve Knee X-large Dvt	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001765	EAP	Custom 27001765		Sleeve Thigh Regular Dvt	BOTH IP/OP	$238.00 	$176.12	$0.00	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.64	$176.64	$183.45	$0.00	$49.60	$0.00	$0.00	$0.00	$0.00	$119.00	$188.50	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001766	EAP	Custom 27001766		Sleeve Thigh X-large Dvt	BOTH IP/OP	$284.00 	$210.16	$0.00	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.78	$210.78	$218.91	$0.00	$59.19	$0.00	$0.00	$0.00	$0.00	$142.00	$224.93	$227.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001768	EAP	HCPCS A4300		Temporary Ven Cath Removal	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$0.00	$0.00	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001769	EAP	Custom 27001769		Tray Catheter Insrtn Dulm	BOTH IP/OP	"$1,048.00 "	$775.52	$0.00	$838.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$777.83	$777.83	$807.80	$0.00	$218.40	$0.00	$0.00	$0.00	$0.00	$524.00	$830.02	$838.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001770	EAP	Custom 27001770		Central Line Dressing Tray	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$642.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$595.99	$595.99	$618.95	$0.00	$167.35	$0.00	$0.00	$0.00	$0.00	$401.50	$635.98	$642.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001773	EAP	Custom 27001773		Occult Blood Supply	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001779	EAP	Custom 27001779		Tray Catheter Urethral 14	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$10.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27001782	EAP	Custom 27001782		Splint	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$212.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$197.43	$197.43	$205.03	$0.00	$55.43	$0.00	$0.00	$0.00	$0.00	$133.00	$210.67	$212.80	$0.00	$172.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$20.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$61.60	$61.60	$63.98	$0.00	$17.30	$0.00	$0.00	$0.00	$0.00	$41.50	$65.74	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002257	EAP	Custom 27002257		Cast Application Supply	BOTH IP/OP	$567.00 	$419.58	$0.00	$453.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$420.83	$420.83	$437.04	$0.00	$118.16	$0.00	$0.00	$0.00	$0.00	$283.50	$449.06	$453.60	$0.00	$368.55	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002259	EAP	Custom 27002259		Sling	BOTH IP/OP	$108.00 	$79.92	$0.00	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.16	$80.16	$83.25	$0.00	$22.51	$0.00	$0.00	$0.00	$0.00	$54.00	$85.54	$86.40	$0.00	$70.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$9.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$18.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$173.67	$173.67	$180.37	$0.00	$48.77	$0.00	$0.00	$0.00	$0.00	$117.00	$185.33	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002265	EAP	Custom 27002265		Pelvic Tray	BOTH IP/OP	$138.00 	$102.12	$0.00	$110.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$102.42	$102.42	$106.37	$0.00	$28.76	$0.00	$0.00	$0.00	$0.00	$69.00	$109.30	$110.40	$0.00	$89.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$274.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$254.57	$254.57	$264.38	$0.00	$71.48	$0.00	$0.00	$0.00	$0.00	$171.50	$271.66	$274.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002267	EAP	Custom 27002267		Ortho Traction Pins	BOTH IP/OP	$408.00 	$301.92	$0.00	$326.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$302.82	$302.82	$314.49	$0.00	$85.03	$0.00	$0.00	$0.00	$0.00	$204.00	$323.14	$326.40	$0.00	$265.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$117.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$109.10	$109.10	$113.31	$0.00	$30.63	$0.00	$0.00	$0.00	$0.00	$73.50	$116.42	$117.60	$0.00	$95.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002510	EAP	Custom 27002510		Nuva Ring	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002516	EAP	Custom 27002516		Fiberglass Casting	BOTH IP/OP	$129.00 	$95.46	$0.00	$103.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$95.74	$95.74	$99.43	$0.00	$26.88	$0.00	$0.00	$0.00	$0.00	$64.50	$102.17	$103.20	$0.00	$83.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$119.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$110.59	$110.59	$114.85	$0.00	$31.05	$0.00	$0.00	$0.00	$0.00	$74.50	$118.01	$119.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002518	EAP	Custom 27002518		Knee Immobilizer	BOTH IP/OP	$232.00 	$171.68	$0.00	$185.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$172.19	$172.19	$178.83	$0.00	$48.35	$0.00	$0.00	$0.00	$0.00	$116.00	$183.74	$185.60	$0.00	$150.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$154.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.24	$143.24	$148.76	$0.00	$40.22	$0.00	$0.00	$0.00	$0.00	$96.50	$152.86	$154.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002520	EAP	Custom 27002520		Cervical Collar	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$0.00	$0.00	$0.00	$21.50	$34.06	$34.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002521	EAP	Custom 27002521		Pavlik Harness	BOTH IP/OP	$178.00 	$131.72	$0.00	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$132.11	$132.11	$137.20	$0.00	$37.10	$0.00	$0.00	$0.00	$0.00	$89.00	$140.98	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002522	EAP	Custom 27002522		Cast Shoe	BOTH IP/OP	$51.00 	$37.74	$0.00	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$33.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$185.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$172.19	$172.19	$178.83	$0.00	$48.35	$0.00	$0.00	$0.00	$0.00	$116.00	$183.74	$185.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$24.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$564.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$523.25	$523.25	$543.41	$0.00	$146.92	$0.00	$0.00	$0.00	$0.00	$352.50	$558.36	$564.00	$0.00	$458.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$65.31	$65.31	$67.83	$0.00	$18.34	$0.00	$0.00	$0.00	$0.00	$44.00	$69.70	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002527	EAP	Custom 27002527		Hinged Knee Sleeve	BOTH IP/OP	$129.00 	$95.46	$0.00	$103.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$95.74	$95.74	$99.43	$0.00	$26.88	$0.00	$0.00	$0.00	$0.00	$64.50	$102.17	$103.20	$0.00	$83.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$582.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$540.32	$540.32	$561.14	$0.00	$151.72	$0.00	$0.00	$0.00	$0.00	$364.00	$576.58	$582.40	$0.00	$473.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$296.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$275.36	$275.36	$285.97	$0.00	$77.32	$0.00	$0.00	$0.00	$0.00	$185.50	$293.83	$296.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002530	EAP	Custom 27002530		3d Walking Boot	BOTH IP/OP	$197.00 	$145.78	$0.00	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$146.21	$146.21	$151.85	$0.00	$41.05	$0.00	$0.00	$0.00	$0.00	$98.50	$156.02	$157.60	$0.00	$128.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$185.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$172.19	$172.19	$178.83	$0.00	$48.35	$0.00	$0.00	$0.00	$0.00	$116.00	$183.74	$185.60	$0.00	$150.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$185.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$172.19	$172.19	$178.83	$0.00	$48.35	$0.00	$0.00	$0.00	$0.00	$116.00	$183.74	$185.60	$0.00	$150.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$165.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$153.64	$153.64	$159.56	$0.00	$43.14	$0.00	$0.00	$0.00	$0.00	$103.50	$163.94	$165.60	$0.00	$134.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$104.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$96.49	$96.49	$100.20	$0.00	$27.09	$0.00	$0.00	$0.00	$0.00	$65.00	$102.96	$104.00	$0.00	$84.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$61.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$333.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$309.50	$309.50	$321.42	$0.00	$86.90	$0.00	$0.00	$0.00	$0.00	$208.50	$330.26	$333.60	$0.00	$271.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$0.00	$0.00	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$609.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$565.56	$565.56	$587.35	$0.00	$158.80	$0.00	$0.00	$0.00	$0.00	$381.00	$603.50	$609.60	$0.00	$495.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$65.31	$65.31	$67.83	$0.00	$18.34	$0.00	$0.00	$0.00	$0.00	$44.00	$69.70	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002541	EAP	Custom 27002541		Cast Over Wrap	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$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	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002542	EAP	Custom 27002542		Cast Over Wrap-fiberglass	BOTH IP/OP	$117.00 	$86.58	$0.00	$93.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$58.50	$92.66	$93.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002543	EAP	Custom 27002543		Sandbag	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$12.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$123.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$114.30	$114.30	$118.70	$0.00	$32.09	$0.00	$0.00	$0.00	$0.00	$77.00	$121.97	$123.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002545	EAP	Custom 27002545		Miami J. Collar	BOTH IP/OP	$195.00 	$144.30	$0.00	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$144.73	$144.73	$150.31	$0.00	$40.64	$0.00	$0.00	$0.00	$0.00	$97.50	$154.44	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002547	EAP	Custom 27002547		Pediatric Pmt Collar	BOTH IP/OP	$63.00 	$46.62	$0.00	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002548	EAP	Custom 27002548		Abduction Pillow	BOTH IP/OP	$96.00 	$71.04	$0.00	$76.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$71.25	$71.25	$74.00	$0.00	$20.01	$0.00	$0.00	$0.00	$0.00	$48.00	$76.03	$76.80	$0.00	$62.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$0.00	$0.00	$0.00	$34.00	$53.86	$54.40	$0.00	$44.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$24.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$24.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,935.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,795.38"	"$1,795.38"	"$1,864.57"	$0.00	$504.12	$0.00	$0.00	$0.00	$0.00	"$1,209.50"	"$1,915.85"	"$1,935.20"	$0.00	"$1,572.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$455.20	$308.97	$308.97	$0.00	$0.00	$0.00	$118.59	$422.31	$422.31	$438.59	$0.00	$118.58	$0.00	$336.56	$336.56	$0.00	$284.50	$450.65	$455.20	$0.00	$369.85	$0.00	$89.05	$0.00	$0.00	$90.58	$0.00	$0.00	$0.00	$0.00	$0.00
27002565	EAP	Custom 27002565		"Ett, Double-lumen"	BOTH IP/OP	$837.00 	$619.38	$0.00	$669.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$621.22	$621.22	$645.16	$0.00	$174.43	$0.00	$0.00	$0.00	$0.00	$418.50	$662.90	$669.60	$0.00	$544.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$208.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$193.71	$193.71	$201.18	$0.00	$54.39	$0.00	$0.00	$0.00	$0.00	$130.50	$206.71	$208.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002573	EAP	Custom 27002573		Radial Artery Set (arrow)	BOTH IP/OP	$92.00 	$68.08	$0.00	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$68.28	$68.28	$70.91	$0.00	$19.17	$0.00	$0.00	$0.00	$0.00	$46.00	$72.86	$73.60	$0.00	$59.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$252.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$234.54	$234.54	$243.57	$0.00	$65.85	$0.00	$0.00	$0.00	$0.00	$158.00	$250.27	$252.80	$0.00	$205.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002587	EAP	HCPCS C1751		Kit Quad Lumen Cather	BOTH IP/OP	$148.00 	$109.52	$0.00	$118.40	$80.36	$80.36	$0.00	$0.00	$0.00	$30.85	$109.85	$109.85	$114.08	$0.00	$30.84	$0.00	$87.54	$87.54	$0.00	$74.00	$117.22	$118.40	$0.00	$96.20	$0.00	$23.16	$0.00	$0.00	$23.56	$0.00	$0.00	$0.00	$0.00	$0.00
27002589	EAP	Custom 27002589		Aintree Intubation Changer	BOTH IP/OP	$83.00 	$61.42	$0.00	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$61.60	$61.60	$63.98	$0.00	$17.30	$0.00	$0.00	$0.00	$0.00	$41.50	$65.74	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002590	EAP	Custom 27002590		Kit Triple Lumen Catheter	BOTH IP/OP	$646.00 	$478.04	$0.00	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$479.46	$479.46	$497.94	$0.00	$134.63	$0.00	$0.00	$0.00	$0.00	$323.00	$511.63	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002593	EAP	Custom 27002593		"Cvp Kit, Double Lumen"	BOTH IP/OP	$307.00 	$227.18	$0.00	$245.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$227.86	$227.86	$236.64	$0.00	$63.98	$0.00	$0.00	$0.00	$0.00	$153.50	$243.14	$245.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$256.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$238.25	$238.25	$247.43	$0.00	$66.90	$0.00	$0.00	$0.00	$0.00	$160.50	$254.23	$256.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002598	EAP	Custom 27002598		Air Embolism Detector	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002599	EAP	Custom 27002599		Introducer Kit	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002600	EAP	Custom 27002600		Radial Artery Set (arrow)	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002604	EAP	Custom 27002604		Epidural Tray	BOTH IP/OP	$132.00 	$97.68	$0.00	$105.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.97	$97.97	$101.75	$0.00	$27.51	$0.00	$0.00	$0.00	$0.00	$66.00	$104.54	$105.60	$0.00	$85.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$152.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$141.02	$141.02	$146.45	$0.00	$39.60	$0.00	$0.00	$0.00	$0.00	$95.00	$150.48	$152.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$105.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.97	$97.97	$101.75	$0.00	$27.51	$0.00	$0.00	$0.00	$0.00	$66.00	$104.54	$105.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$315.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$292.43	$292.43	$303.70	$0.00	$82.11	$0.00	$0.00	$0.00	$0.00	$197.00	$312.05	$315.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002618	EAP	Custom 27002618		Ioban 2 Drape Incise Smal	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$322.11	$322.11	$334.53	$0.00	$90.45	$0.00	$0.00	$0.00	$0.00	$217.00	$343.73	$347.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002621	EAP	Custom 27002621		Needle Spinal 18ga	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$0.00	$0.00	$0.00	$51.00	$80.78	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002631	EAP	Custom 27002631		Tube Salem Silicone Size	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002632	EAP	Custom 27002632		Tubes Salem Sump 48 Leng	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002636	EAP	Custom 27002636		Bag Drainage Becker	BOTH IP/OP	$197.00 	$145.78	$0.00	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$146.21	$146.21	$151.85	$0.00	$41.05	$0.00	$0.00	$0.00	$0.00	$98.50	$156.02	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002643	EAP	Custom 27002643		Cream Baza 5oz	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002646	EAP	Custom 27002646		Electrodes Operative	BOTH IP/OP	$266.00 	$196.84	$0.00	$212.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$197.43	$197.43	$205.03	$0.00	$55.43	$0.00	$0.00	$0.00	$0.00	$133.00	$210.67	$212.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002647	EAP	Custom 27002647		Valve Anti-reflux Salem S	BOTH IP/OP	$46.00 	$34.04	$0.00	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$0.00	$0.00	$0.00	$23.00	$36.43	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002649	EAP	Custom 27002649		Kit Thoracotomy	BOTH IP/OP	$203.00 	$150.22	$0.00	$162.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$150.67	$150.67	$156.47	$0.00	$42.31	$0.00	$0.00	$0.00	$0.00	$101.50	$160.78	$162.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002653	EAP	Custom 27002653		Set Pediatric Measured Fi	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002656	EAP	Custom 27002656		Pouch Fecal Incontinence	BOTH IP/OP	$50.00 	$37.00	$0.00	$40.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.11	$37.11	$38.54	$0.00	$10.42	$0.00	$0.00	$0.00	$0.00	$25.00	$39.60	$40.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$130.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$120.98	$120.98	$125.64	$0.00	$33.97	$0.00	$0.00	$0.00	$0.00	$81.50	$129.10	$130.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002658	EAP	Custom 27002658		Transducer Disp For Icp	BOTH IP/OP	$70.00 	$51.80	$0.00	$56.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.95	$51.95	$53.96	$0.00	$14.59	$0.00	$0.00	$0.00	$0.00	$35.00	$55.44	$56.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$250.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$232.31	$232.31	$241.26	$0.00	$65.23	$0.00	$0.00	$0.00	$0.00	$156.50	$247.90	$250.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002660	EAP	Custom 27002660		Kit Pressure Monitoring	BOTH IP/OP	$234.00 	$173.16	$0.00	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$173.67	$173.67	$180.37	$0.00	$48.77	$0.00	$0.00	$0.00	$0.00	$117.00	$185.33	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002662	EAP	Custom 27002662		Bag 1000ml Pump Set	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$0.00	$0.00	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$204.85	$204.85	$212.74	$0.00	$57.52	$0.00	$0.00	$0.00	$0.00	$138.00	$218.59	$220.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002664	EAP	Custom 27002664		Chest Unit Drainage Pleur	BOTH IP/OP	$420.00 	$310.80	$0.00	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$311.72	$311.72	$323.74	$0.00	$87.53	$0.00	$0.00	$0.00	$0.00	$210.00	$332.64	$336.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$229.34	$229.34	$238.18	$0.00	$64.40	$0.00	$0.00	$0.00	$0.00	$154.50	$244.73	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002666	EAP	Custom 27002666		Bag Auto-transfusion Ple	BOTH IP/OP	$245.00 	$181.30	$0.00	$196.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$181.84	$181.84	$188.85	$0.00	$51.06	$0.00	$0.00	$0.00	$0.00	$122.50	$194.04	$196.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$45.27	$45.27	$47.02	$0.00	$12.71	$0.00	$0.00	$0.00	$0.00	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002671	EAP	Custom 27002671		Kit Triple Lumen Catheter	BOTH IP/OP	$646.00 	$478.04	$0.00	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$479.46	$479.46	$497.94	$0.00	$134.63	$0.00	$0.00	$0.00	$0.00	$323.00	$511.63	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002672	EAP	Custom 27002672		Catheter Swan Ganz	BOTH IP/OP	$674.00 	$498.76	$0.00	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$500.24	$500.24	$519.52	$0.00	$140.46	$0.00	$0.00	$0.00	$0.00	$337.00	$533.81	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002673	EAP	Custom 27002673		Delivery System Closed In	BOTH IP/OP	$141.00 	$104.34	$0.00	$112.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$104.65	$104.65	$108.68	$0.00	$29.38	$0.00	$0.00	$0.00	$0.00	$70.50	$111.67	$112.80	$0.00	$91.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002677	EAP	Custom 27002677		Tray Catheter Urethral 14	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002678	EAP	Custom 27002678		Tray Foley Preconnected W	BOTH IP/OP	$42.00 	$31.08	$0.00	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$63.09	$63.09	$65.52	$0.00	$17.71	$0.00	$0.00	$0.00	$0.00	$42.50	$67.32	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$172.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$160.32	$160.32	$166.49	$0.00	$45.01	$0.00	$0.00	$0.00	$0.00	$108.00	$171.07	$172.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002684	EAP	Custom 27002684		Bag Drainage Ureteral	BOTH IP/OP	$92.00 	$68.08	$0.00	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$68.28	$68.28	$70.91	$0.00	$19.17	$0.00	$0.00	$0.00	$0.00	$46.00	$72.86	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$286.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$265.71	$265.71	$275.95	$0.00	$74.61	$0.00	$0.00	$0.00	$0.00	$179.00	$283.54	$286.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002688	EAP	Custom 27002688		Sleeve Knee X-large Dvt	BOTH IP/OP	$439.00 	$324.86	$0.00	$351.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$325.83	$325.83	$338.38	$0.00	$91.49	$0.00	$0.00	$0.00	$0.00	$219.50	$347.69	$351.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002689	EAP	Custom 27002689		Sleeve Thigh Regular Dvt	BOTH IP/OP	$512.00 	$378.88	$0.00	$409.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$380.01	$380.01	$394.65	$0.00	$106.70	$0.00	$0.00	$0.00	$0.00	$256.00	$405.50	$409.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002702	EAP	Custom 27002702		Set Pediatric Measured Fi	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002703	EAP	Custom 27002703		Stockings Antiembolism Thigh	BOTH IP/OP	$22.00 	$16.28	$0.00	$17.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$16.33	$16.33	$16.96	$0.00	$4.58	$0.00	$0.00	$0.00	$0.00	$11.00	$17.42	$17.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002705	EAP	Custom 27002705		Stockings Antiembolism Thigh	BOTH IP/OP	$50.00 	$37.00	$0.00	$40.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.11	$37.11	$38.54	$0.00	$10.42	$0.00	$0.00	$0.00	$0.00	$25.00	$39.60	$40.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$23.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002708	EAP	Custom 27002708		Tray Catheter Urethral 14	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002709	EAP	Custom 27002709		Tray Foley Preconnected 1	BOTH IP/OP	$52.00 	$38.48	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$9.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,077.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$999.74	$999.74	"$1,038.27"	$0.00	$280.71	$0.00	$0.00	$0.00	$0.00	$673.50	"$1,066.82"	"$1,077.60"	$0.00	$875.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$133.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.95	$123.95	$128.72	$0.00	$34.80	$0.00	$0.00	$0.00	$0.00	$83.50	$132.26	$133.60	$0.00	$108.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$162.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$860.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$798.61	$798.61	$829.38	$0.00	$224.24	$0.00	$0.00	$0.00	$0.00	$538.00	$852.19	$860.80	$0.00	$699.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.80	$8.69	$8.69	$0.00	$0.00	$0.00	$3.33	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$9.46	$9.46	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$2.50	$0.00	$0.00	$2.55	$0.00	$0.00	$0.00	$0.00	$0.00
27002941	EAP	HCPCS C1751		Catheter Iv 20ga X 1	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$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	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$2.50	$0.00	$0.00	$2.55	$0.00	$0.00	$0.00	$0.00	$0.00
27002942	EAP	HCPCS C1751		Catheter Iv 22ga X 1	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$8.69	$8.69	$0.00	$0.00	$0.00	$3.33	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$9.46	$9.46	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$2.50	$0.00	$0.00	$2.55	$0.00	$0.00	$0.00	$0.00	$0.00
27002943	EAP	Custom 27002943		Ioban 2 Drape Incise Medi	BOTH IP/OP	$56.00 	$41.44	$0.00	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$41.56	$41.56	$43.16	$0.00	$11.67	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002944	EAP	Custom 27002944		Needle Spinal 18ga	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$23.89	$23.89	$0.00	$0.00	$0.00	$9.17	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$26.03	$26.03	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$6.89	$0.00	$0.00	$7.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002947	EAP	HCPCS C1751		Catheter Iv Cut-down 8 1	BOTH IP/OP	$44.00 	$32.56	$0.00	$35.20	$23.89	$23.89	$0.00	$0.00	$0.00	$9.17	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$26.03	$26.03	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$6.89	$0.00	$0.00	$7.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002951	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27002952	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$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	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27002953	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27002954	EAP	Custom 27002954		Tube Salem Silicone Size	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002955	EAP	Custom 27002955		Tubes Salem Sump 48 Leng	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002957	EAP	Custom 27002957		Scaple Surg W/handle Atta	BOTH IP/OP	$152.00 	$112.48	$0.00	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$112.81	$112.81	$117.16	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$76.00	$120.38	$121.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$19.30	$19.30	$20.04	$0.00	$5.42	$0.00	$0.00	$0.00	$0.00	$13.00	$20.59	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002961	EAP	Custom 27002961		Pad Defi	BOTH IP/OP	$50.00 	$37.00	$0.00	$40.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.11	$37.11	$38.54	$0.00	$10.42	$0.00	$0.00	$0.00	$0.00	$25.00	$39.60	$40.00	$0.00	$32.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002963	EAP	Custom 27002963		"Filter,micron .22 Fluid A"	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002964	EAP	Custom 27002964		Set Scalp  Vein Infusion 21 G	BOTH IP/OP	$3.00 	$2.22	$0.00	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002965	EAP	Custom 27002965		Mask Sub-micron Small	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$479.46	$479.46	$497.94	$0.00	$134.63	$0.00	$0.00	$0.00	$0.00	$323.00	$511.63	$516.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002967	EAP	Custom 27002967		Catheter Swan Ganz	BOTH IP/OP	$674.00 	$498.76	$0.00	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$500.24	$500.24	$519.52	$0.00	$140.46	$0.00	$0.00	$0.00	$0.00	$337.00	$533.81	$539.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002968	EAP	Custom 27002968		Probe V-pacing	BOTH IP/OP	"$1,403.00 "	"$1,038.22"	$0.00	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,041.31"	"$1,041.31"	"$1,081.43"	$0.00	$292.39	$0.00	$0.00	$0.00	$0.00	$701.50	"$1,111.18"	"$1,122.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002969	EAP	Custom 27002969		Filter Set 0.22 Micron	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002971	EAP	Custom 27002971		Tray Foley Perconnected 1	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002972	EAP	Custom 27002972		Bag Urine Leg	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$76.45	$76.45	$79.39	$0.00	$21.47	$0.00	$0.00	$0.00	$0.00	$51.50	$81.58	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002975	EAP	Custom 27002975		Needle Hypodermic Sterile	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$0.00	$0.00	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002978	EAP	Custom 27002978		Jcd 5.0-38-20	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$11.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$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	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27002982	EAP	Custom 27002982		Avantiplus Introducer 6fr 23cm	BOTH IP/OP	$80.00 	$59.20	$0.00	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$59.38	$59.38	$61.66	$0.00	$16.67	$0.00	$0.00	$0.00	$0.00	$40.00	$63.36	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$340.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$315.44	$315.44	$327.59	$0.00	$88.57	$0.00	$0.00	$0.00	$0.00	$212.50	$336.60	$340.00	$0.00	$276.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$137.31	$137.31	$142.60	$0.00	$38.55	$0.00	$0.00	$0.00	$0.00	$92.50	$146.52	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$137.31	$137.31	$142.60	$0.00	$38.55	$0.00	$0.00	$0.00	$0.00	$92.50	$146.52	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$59.38	$59.38	$61.66	$0.00	$16.67	$0.00	$0.00	$0.00	$0.00	$40.00	$63.36	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$648.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$601.18	$601.18	$624.35	$0.00	$168.80	$0.00	$0.00	$0.00	$0.00	$405.00	$641.52	$648.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$648.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$601.18	$601.18	$624.35	$0.00	$168.80	$0.00	$0.00	$0.00	$0.00	$405.00	$641.52	$648.00	$0.00	$526.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003005	EAP	Custom 27003005		Filter Set 0.22 Micron	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003006	EAP	Custom 27003006		Tray Foley Preconnected 1	BOTH IP/OP	$56.00 	$41.44	$0.00	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$41.56	$41.56	$43.16	$0.00	$11.67	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003007	EAP	Custom 27003007		Tray Foley Perconnected 1	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003008	EAP	Custom 27003008		Central Line Dressing Tray	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$31.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$194.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$180.35	$180.35	$187.30	$0.00	$50.64	$0.00	$0.00	$0.00	$0.00	$121.50	$192.46	$194.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003045	EAP	Custom 27003045		Foot Plate-prefb	BOTH IP/OP	$577.00 	$426.98	$0.00	$461.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$428.25	$428.25	$444.75	$0.00	$120.25	$0.00	$0.00	$0.00	$0.00	$288.50	$456.98	$461.60	$0.00	$375.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$20.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$33.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003051	EAP	Custom 27003051		Reacher	BOTH IP/OP	$117.00 	$86.58	$0.00	$93.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$86.84	$86.84	$90.18	$0.00	$24.38	$0.00	$0.00	$0.00	$0.00	$58.50	$92.66	$93.60	$0.00	$76.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$323.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$299.85	$299.85	$311.40	$0.00	$84.19	$0.00	$0.00	$0.00	$0.00	$202.00	$319.97	$323.20	$0.00	$262.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$56.55	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003055	EAP	Custom 27003055		Dowel	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$31.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$33.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$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	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003069	EAP	Custom 27003069		Compression Glove	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003070	EAP	Custom 27003070		Dowel	BOTH IP/OP	$46.00 	$34.04	$0.00	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$0.00	$0.00	$0.00	$23.00	$36.43	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003073	EAP	Custom 27003073		Foot Drop Splint	BOTH IP/OP	$233.00 	$172.42	$0.00	$186.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$172.93	$172.93	$179.60	$0.00	$48.56	$0.00	$0.00	$0.00	$0.00	$116.50	$184.54	$186.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003080	EAP	Custom 27003080		Custom Finger Splint	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003084	EAP	Custom 27003084		Compression Glove	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$56.55	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003085	EAP	Custom 27003085		Dowel	BOTH IP/OP	$49.00 	$36.26	$0.00	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$31.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003089	EAP	Custom 27003089		Helsper Button	BOTH IP/OP	$710.00 	$525.40	$0.00	$568.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$526.96	$526.96	$547.27	$0.00	$147.96	$0.00	$0.00	$0.00	$0.00	$355.00	$562.32	$568.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$433.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$687.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$637.55	$637.55	$662.12	$0.00	$179.02	$0.00	$0.00	$0.00	$0.00	$429.50	$680.33	$687.20	$0.00	$558.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$702.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$651.65	$651.65	$676.76	$0.00	$182.98	$0.00	$0.00	$0.00	$0.00	$439.00	$695.38	$702.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003093	EAP	Custom 27003093		Inhealth Low Pressure Prosthesis	BOTH IP/OP	$491.00 	$363.34	$0.00	$392.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$364.42	$364.42	$378.46	$0.00	$102.32	$0.00	$0.00	$0.00	$0.00	$245.50	$388.87	$392.80	$0.00	$319.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$229.34	$229.34	$238.18	$0.00	$64.40	$0.00	$0.00	$0.00	$0.00	$154.50	$244.73	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003095	EAP	Custom 27003095		Provox/atox Prosthesis	BOTH IP/OP	$893.00 	$660.82	$0.00	$714.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$662.78	$662.78	$688.32	$0.00	$186.10	$0.00	$0.00	$0.00	$0.00	$446.50	$707.26	$714.40	$0.00	$580.45	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$690.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$640.52	$640.52	$665.20	$0.00	$179.85	$0.00	$0.00	$0.00	$0.00	$431.50	$683.50	$690.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003097	EAP	Custom 27003097		Plug Insert	BOTH IP/OP	$339.00 	$250.86	$0.00	$271.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$251.61	$251.61	$261.30	$0.00	$70.65	$0.00	$0.00	$0.00	$0.00	$169.50	$268.49	$271.20	$0.00	$220.35	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003098	EAP	Custom 27003098		Catheters	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$0.00	$0.00	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003100	EAP	Custom 27003100		Barton-mayo Button	BOTH IP/OP	$849.00 	$628.26	$0.00	$679.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$630.13	$630.13	$654.41	$0.00	$176.93	$0.00	$0.00	$0.00	$0.00	$424.50	$672.41	$679.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003101	EAP	Custom 27003101		Oral Tubing	BOTH IP/OP	$5.00 	$3.70	$0.00	$4.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$3.71	$3.71	$3.85	$0.00	$1.04	$0.00	$0.00	$0.00	$0.00	$2.50	$3.96	$4.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$339.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$314.69	$314.69	$326.82	$0.00	$88.36	$0.00	$0.00	$0.00	$0.00	$212.00	$335.81	$339.20	$0.00	$275.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$0.00	$0.00	$0.00	$51.00	$80.78	$81.60	$0.00	$66.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$352.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$327.31	$327.31	$339.92	$0.00	$91.90	$0.00	$0.00	$0.00	$0.00	$220.50	$349.27	$352.80	$0.00	$286.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$33.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$13.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$76.45	$76.45	$79.39	$0.00	$21.47	$0.00	$0.00	$0.00	$0.00	$51.50	$81.58	$82.40	$0.00	$66.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$0.00	$0.00	$0.00	$51.00	$80.78	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003119	EAP	Custom 27003119		"Pouch, Active Life"	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$23.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$13.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003127	EAP	Custom 27003127		High Flow Continuous	BOTH IP/OP	$406.00 	$300.44	$0.00	$324.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$301.33	$301.33	$312.94	$0.00	$84.61	$0.00	$0.00	$0.00	$0.00	$203.00	$321.55	$324.80	$0.00	$263.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$324.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$301.33	$301.33	$312.94	$0.00	$84.61	$0.00	$0.00	$0.00	$0.00	$203.00	$321.55	$324.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003130	EAP	Custom 27003130		Mdi Spacer Supply	BOTH IP/OP	$195.00 	$144.30	$0.00	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$144.73	$144.73	$150.31	$0.00	$40.64	$0.00	$0.00	$0.00	$0.00	$97.50	$154.44	$156.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003132	EAP	Custom 27003132		Wrist Brace	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$795.20	$0.00	$0.00	$0.00	$0.00	$0.00	$207.17	$0.00	$0.00	$0.00	$10.69	$12.56	$6.95	$587.95	$587.95	$0.00	$497.00	$787.25	$795.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27003153	EAP	Custom 27003153		Nuva Ring Fp	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,397.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,296.62"	"$1,296.62"	"$1,346.59"	$0.00	$364.07	$0.00	$0.00	$0.00	$0.00	$873.50	"$1,383.62"	"$1,397.60"	$0.00	"$1,135.55"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,223.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,062.57"	"$2,062.57"	"$2,142.05"	$0.00	$579.14	$0.00	$0.00	$0.00	$0.00	"$1,389.50"	"$2,200.97"	"$2,223.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27004327	EAP	Custom 27004327		Medium Wire Cutter 160mm	BOTH IP/OP	"$4,148.00 "	"$3,069.52"	$0.00	"$3,318.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,078.65"	"$3,078.65"	"$3,197.28"	$0.00	$864.44	$0.00	$0.00	$0.00	$0.00	"$2,074.00"	"$3,285.22"	"$3,318.40"	$0.00	"$2,696.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$407.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$377.78	$377.78	$392.34	$0.00	$106.08	$0.00	$0.00	$0.00	$0.00	$254.50	$403.13	$407.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007212	EAP	Custom 27007212		10.0mm Circular Saw 28mm	BOTH IP/OP	$290.00 	$214.60	$0.00	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,366.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,123.18"	"$3,123.18"	"$3,243.53"	$0.00	$876.95	$0.00	$0.00	$0.00	$0.00	"$2,104.00"	"$3,332.74"	"$3,366.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007220	EAP	Custom 27007220		Saw Blade 27mm Width 50mm/0.6m	BOTH IP/OP	$255.00 	$188.70	$0.00	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$215.24	$215.24	$223.53	$0.00	$60.44	$0.00	$0.00	$0.00	$0.00	$145.00	$229.68	$232.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$318.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$295.40	$295.40	$306.78	$0.00	$82.94	$0.00	$0.00	$0.00	$0.00	$199.00	$315.22	$318.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007489	EAP	Custom 27007489		Mini-clip Str 3mm	BOTH IP/OP	"$1,693.00 "	"$1,252.82"	$0.00	"$1,354.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,256.54"	"$1,256.54"	"$1,304.96"	$0.00	$352.82	$0.00	$0.00	$0.00	$0.00	$846.50	"$1,340.86"	"$1,354.40"	$0.00	"$1,100.45"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,014.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$941.11	$941.11	$977.37	$0.00	$264.25	$0.00	$0.00	$0.00	$0.00	$634.00	"$1,004.26"	"$1,014.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007632	EAP	Custom 27007632		Rotary Mixer	BOTH IP/OP	"$8,539.00 "	"$6,318.86"	$0.00	"$6,831.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$6,581.86"	$0.00	"$1,779.53"	$0.00	$0.00	$0.00	$0.00	"$4,269.50"	"$6,762.89"	"$6,831.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007633	EAP	Custom 27007633		Srs? Fast Set Putty 3cc Steril	BOTH IP/OP	"$3,760.00 "	"$2,782.40"	$0.00	"$3,008.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,790.67"	"$2,790.67"	"$2,898.21"	$0.00	$783.58	$0.00	$0.00	$0.00	$0.00	"$1,880.00"	"$2,977.92"	"$3,008.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,081.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,858.95"	"$2,858.95"	"$2,969.12"	$0.00	$802.76	$0.00	$0.00	$0.00	$0.00	"$1,926.00"	"$3,050.78"	"$3,081.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,974.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,792.83"	$0.00	"$1,295.83"	$0.00	$0.00	$0.00	$0.00	"$3,109.00"	"$4,924.66"	"$4,974.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007636	EAP	Custom 27007636		Nor? Srs? Bne Void Fill Ro 5cc	BOTH IP/OP	"$6,310.00 "	"$4,669.40"	$0.00	"$5,048.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,863.75"	$0.00	"$1,315.00"	$0.00	$0.00	$0.00	$0.00	"$3,155.00"	"$4,997.52"	"$5,048.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$9,856.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$9,497.03"	$0.00	"$2,567.70"	$0.00	$0.00	$0.00	$0.00	"$6,160.50"	"$9,758.23"	"$9,856.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007638	EAP	Custom 27007638		Nor? Srs? Bne Vd Fill Ro Mx 10	BOTH IP/OP	"$12,413.00 "	"$9,185.62"	$0.00	"$9,930.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$9,567.94"	$0.00	"$2,586.87"	$0.00	$0.00	$0.00	$0.00	"$6,206.50"	"$9,831.10"	"$9,930.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007639	EAP	Custom 27007639		Srs? Fast Set Putty 15cc Ster	BOTH IP/OP	"$18,167.00 "	"$13,443.58"	$0.00	"$14,533.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,003.12"	$0.00	"$3,786.00"	$0.00	$0.00	$0.00	$0.00	"$9,083.50"	"$14,388.26"	"$14,533.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$723.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$670.95	$670.95	$696.80	$0.00	$188.39	$0.00	$0.00	$0.00	$0.00	$452.00	$715.97	$723.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007719	EAP	Custom 27007719		Univ Lock Troch Stab Pl 131mm	BOTH IP/OP	"$2,620.00 "	"$1,938.80"	$0.00	"$2,096.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,944.56"	"$1,944.56"	"$2,019.50"	$0.00	$546.01	$0.00	$0.00	$0.00	$0.00	"$1,310.00"	"$2,075.04"	"$2,096.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.91	$483.91	$502.56	$0.00	$135.88	$0.00	$0.00	$0.00	$0.00	$326.00	$516.38	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007796	EAP	Custom 27007796		Swans Bur M?2.0m Hd Lgh 6.3mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007797	EAP	Custom 27007797		Swans Bur L?2.0m Hd Lgh 6.3mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007798	EAP	Custom 27007798		Swans Bur S?3.0m Hd Lgh 9.7mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007799	EAP	Custom 27007799		Swans Bur M?3.0m Hd Lgh 9.7mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007800	EAP	Custom 27007800		Swans Bur L?3.0m Hd Lgh 9.7mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007801	EAP	Custom 27007801		Swans Bur S?4.0m Hd Lgh 12.7mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007802	EAP	Custom 27007802		Swans Bur M?4.0m Hd Lgh 12.7mm	BOTH IP/OP	$148.00 	$109.52	$0.00	$118.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$109.85	$109.85	$114.08	$0.00	$30.84	$0.00	$0.00	$0.00	$0.00	$74.00	$117.22	$118.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007803	EAP	Custom 27007803		Swans Bur L?4.0m Hd Lgh 12.7mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007810	EAP	Custom 27007810		Swans Bur S?5.0m Hd Lgh 15.8mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007811	EAP	Custom 27007811		Swans Bur M?5.0m Hd Lgh 15.8mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007812	EAP	Custom 27007812		Swans Bur L?5.0m Hd Lgh 15.8mm	BOTH IP/OP	$366.00 	$270.84	$0.00	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007840	EAP	Custom 27007840		Lindeman Rmer Lgh 45m ?2.3m	BOTH IP/OP	$325.00 	$240.50	$0.00	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$271.65	$271.65	$282.11	$0.00	$76.27	$0.00	$0.00	$0.00	$0.00	$183.00	$289.87	$292.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007864	EAP	Custom 27007864		Tibial Nail-ex Insertion Handl	BOTH IP/OP	"$5,201.00 "	"$3,848.74"	$0.00	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,860.18"	"$3,860.18"	"$4,008.93"	$0.00	"$1,083.89"	$0.00	$0.00	$0.00	$0.00	"$2,600.50"	"$4,119.19"	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007865	EAP	Custom 27007865		Rad Ruler Ti Cannul Fem Nails	BOTH IP/OP	"$1,330.00 "	$984.20	$0.00	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$987.13	$987.13	"$1,025.16"	$0.00	$277.17	$0.00	$0.00	$0.00	$0.00	$665.00	"$1,053.36"	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$987.13	$987.13	"$1,025.16"	$0.00	$277.17	$0.00	$0.00	$0.00	$0.00	$665.00	"$1,053.36"	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$987.13	$987.13	"$1,025.16"	$0.00	$277.17	$0.00	$0.00	$0.00	$0.00	$665.00	"$1,053.36"	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$987.13	$987.13	"$1,025.16"	$0.00	$277.17	$0.00	$0.00	$0.00	$0.00	$665.00	"$1,053.36"	"$1,064.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,700.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,504.93"	"$2,504.93"	"$2,601.45"	$0.00	$703.35	$0.00	$0.00	$0.00	$0.00	"$1,687.50"	"$2,673.00"	"$2,700.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,575.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,461.39"	"$1,461.39"	"$1,517.71"	$0.00	$410.34	$0.00	$0.00	$0.00	$0.00	$984.50	"$1,559.45"	"$1,575.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007872	EAP	Custom 27007872		17.0m Cannul Drl Bit Lg Qc/280	BOTH IP/OP	"$2,461.00 "	"$1,821.14"	$0.00	"$1,968.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,826.55"	"$1,826.55"	"$1,896.94"	$0.00	$512.87	$0.00	$0.00	$0.00	$0.00	"$1,230.50"	"$1,949.11"	"$1,968.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007873	EAP	Custom 27007873		13.0mm Protection Sleeve	BOTH IP/OP	"$1,490.00 "	"$1,102.60"	$0.00	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,105.88"	"$1,105.88"	"$1,148.49"	$0.00	$310.52	$0.00	$0.00	$0.00	$0.00	$745.00	"$1,180.08"	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$472.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$438.64	$438.64	$455.54	$0.00	$123.16	$0.00	$0.00	$0.00	$0.00	$295.50	$468.07	$472.80	$0.00	$384.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,209.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,049.96"	"$2,049.96"	"$2,128.95"	$0.00	$575.60	$0.00	$0.00	$0.00	$0.00	"$1,381.00"	"$2,187.50"	"$2,209.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,145.70"	"$2,145.70"	"$2,228.38"	$0.00	$602.48	$0.00	$0.00	$0.00	$0.00	"$1,445.50"	"$2,289.67"	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007877	EAP	Custom 27007877		12.0mm Protection Sleeve	BOTH IP/OP	"$1,490.00 "	"$1,102.60"	$0.00	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,105.88"	"$1,105.88"	"$1,148.49"	$0.00	$310.52	$0.00	$0.00	$0.00	$0.00	$745.00	"$1,180.08"	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,768.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,641.00"	"$1,641.00"	"$1,704.24"	$0.00	$460.77	$0.00	$0.00	$0.00	$0.00	"$1,105.50"	"$1,751.11"	"$1,768.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007879	EAP	Custom 27007879		10.0mm Protection Sleeve	BOTH IP/OP	"$1,490.00 "	"$1,102.60"	$0.00	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,105.88"	"$1,105.88"	"$1,148.49"	$0.00	$310.52	$0.00	$0.00	$0.00	$0.00	$745.00	"$1,180.08"	"$1,192.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,397.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,296.62"	"$1,296.62"	"$1,346.59"	$0.00	$364.07	$0.00	$0.00	$0.00	$0.00	$873.50	"$1,383.62"	"$1,397.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,422.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,319.63"	"$1,319.63"	"$1,370.48"	$0.00	$370.54	$0.00	$0.00	$0.00	$0.00	$889.00	"$1,408.18"	"$1,422.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007882	EAP	Custom 27007882		14.0mm Cannulated Awl	BOTH IP/OP	"$1,855.00 "	"$1,372.70"	$0.00	"$1,484.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,376.78"	"$1,376.78"	"$1,429.83"	$0.00	$386.58	$0.00	$0.00	$0.00	$0.00	$927.50	"$1,469.16"	"$1,484.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,860.18"	"$3,860.18"	"$4,008.93"	$0.00	"$1,083.89"	$0.00	$0.00	$0.00	$0.00	"$2,600.50"	"$4,119.19"	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007885	EAP	Custom 27007885		Percutaneous Insertion Handle	BOTH IP/OP	"$5,201.00 "	"$3,848.74"	$0.00	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,860.18"	"$3,860.18"	"$4,008.93"	$0.00	"$1,083.89"	$0.00	$0.00	$0.00	$0.00	"$2,600.50"	"$4,119.19"	"$4,160.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007887	EAP	Custom 27007887		Rec Loc Aim Arm Lat Ent Fem Nl	BOTH IP/OP	"$4,071.00 "	"$3,012.54"	$0.00	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,021.50"	"$3,021.50"	"$3,137.93"	$0.00	$848.40	$0.00	$0.00	$0.00	$0.00	"$2,035.50"	"$3,224.23"	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007893	EAP	Custom 27007893		Insert Hdle Ti Cann Hum Nls-ex	BOTH IP/OP	"$4,522.00 "	"$3,346.28"	$0.00	"$3,617.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,356.23"	"$3,356.23"	"$3,485.56"	$0.00	$942.38	$0.00	$0.00	$0.00	$0.00	"$2,261.00"	"$3,581.42"	"$3,617.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,021.50"	"$3,021.50"	"$3,137.93"	$0.00	$848.40	$0.00	$0.00	$0.00	$0.00	"$2,035.50"	"$3,224.23"	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007900	EAP	Custom 27007900		12.0mm/8.0mm Protectn Slve 188	BOTH IP/OP	$928.00 	$686.72	$0.00	$742.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$688.76	$688.76	$715.30	$0.00	$193.40	$0.00	$0.00	$0.00	$0.00	$464.00	$734.98	$742.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007904	EAP	Custom 27007904		11.5/8.5 Protectn Slve Rec Lck	BOTH IP/OP	$635.00 	$469.90	$0.00	$508.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$471.30	$471.30	$489.46	$0.00	$132.33	$0.00	$0.00	$0.00	$0.00	$317.50	$502.92	$508.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,597.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,482.17"	"$1,482.17"	"$1,539.29"	$0.00	$416.17	$0.00	$0.00	$0.00	$0.00	$998.50	"$1,581.62"	"$1,597.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,292.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,199.40"	"$1,199.40"	"$1,245.61"	$0.00	$336.77	$0.00	$0.00	$0.00	$0.00	$808.00	"$1,279.87"	"$1,292.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007911	EAP	Custom 27007911		13.0/3.2 Wre Gde Spir Blde Aim	BOTH IP/OP	"$1,222.00 "	$904.28	$0.00	$977.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$906.97	$906.97	$941.92	$0.00	$254.66	$0.00	$0.00	$0.00	$0.00	$611.00	$967.82	$977.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,448.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,271.87"	"$2,271.87"	"$2,359.42"	$0.00	$637.91	$0.00	$0.00	$0.00	$0.00	"$1,530.50"	"$2,424.31"	"$2,448.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007913	EAP	Custom 27007913		Speclty Lck Meas Dev Ti Fem Nl	BOTH IP/OP	$616.00 	$455.84	$0.00	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$457.20	$457.20	$474.81	$0.00	$128.37	$0.00	$0.00	$0.00	$0.00	$308.00	$487.87	$492.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007914	EAP	Custom 27007914		14.0mm/8.0mm Drill Sleeve 130m	BOTH IP/OP	$679.00 	$502.46	$0.00	$543.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$503.95	$503.95	$523.37	$0.00	$141.50	$0.00	$0.00	$0.00	$0.00	$339.50	$537.77	$543.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007919	EAP	Custom 27007919		Spir Bld Mea Dev Ti Can Hum Nl	BOTH IP/OP	"$2,296.00 "	"$1,699.04"	$0.00	"$1,836.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,704.09"	"$1,704.09"	"$1,769.76"	$0.00	$478.49	$0.00	$0.00	$0.00	$0.00	"$1,148.00"	"$1,818.43"	"$1,836.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007920	EAP	Custom 27007920		Stan Aim Arm Ti Can Hum Nls-ex	BOTH IP/OP	"$4,071.00 "	"$3,012.54"	$0.00	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,021.50"	"$3,021.50"	"$3,137.93"	$0.00	$848.40	$0.00	$0.00	$0.00	$0.00	"$2,035.50"	"$3,224.23"	"$3,256.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007921	EAP	Custom 27007921		Ream Rod Push Rod Wth Ball Hdl	BOTH IP/OP	"$1,484.00 "	"$1,098.16"	$0.00	"$1,187.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,101.42"	"$1,101.42"	"$1,143.87"	$0.00	$309.27	$0.00	$0.00	$0.00	$0.00	$742.00	"$1,175.33"	"$1,187.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007932	EAP	Custom 27007932		Hold Slve W/ Lcking Device	BOTH IP/OP	"$3,354.00 "	"$2,481.96"	$0.00	"$2,683.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,489.34"	"$2,489.34"	"$2,585.26"	$0.00	$698.97	$0.00	$0.00	$0.00	$0.00	"$1,677.00"	"$2,656.37"	"$2,683.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007935	EAP	Custom 27007935		Lrg Hexa Scwdrvr 3.5 Wdth Acrs	BOTH IP/OP	"$1,199.00 "	$887.26	$0.00	$959.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$889.90	$889.90	$924.19	$0.00	$249.87	$0.00	$0.00	$0.00	$0.00	$599.50	$949.61	$959.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007937	EAP	Custom 27007937		Shrt Compres Dev Ti Can Tib Nl	BOTH IP/OP	"$1,799.00 "	"$1,331.26"	$0.00	"$1,439.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,335.22"	"$1,335.22"	"$1,386.67"	$0.00	$374.91	$0.00	$0.00	$0.00	$0.00	$899.50	"$1,424.81"	"$1,439.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007938	EAP	Custom 27007938		Lng Compres Dev Ti Can Tib Nl	BOTH IP/OP	"$1,799.00 "	"$1,331.26"	$0.00	"$1,439.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,335.22"	"$1,335.22"	"$1,386.67"	$0.00	$374.91	$0.00	$0.00	$0.00	$0.00	$899.50	"$1,424.81"	"$1,439.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007941	EAP	Custom 27007941		15.0can Flex Dl Bit Lrg Qc/310	BOTH IP/OP	"$2,711.00 "	"$2,006.14"	$0.00	"$2,168.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,012.10"	"$2,012.10"	"$2,089.64"	$0.00	$564.97	$0.00	$0.00	$0.00	$0.00	"$1,355.50"	"$2,147.11"	"$2,168.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007942	EAP	Custom 27007942		17 Can Flex Drl Bit Lrg Qc/310	BOTH IP/OP	"$2,711.00 "	"$2,006.14"	$0.00	"$2,168.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,012.10"	"$2,012.10"	"$2,089.64"	$0.00	$564.97	$0.00	$0.00	$0.00	$0.00	"$1,355.50"	"$2,147.11"	"$2,168.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007943	EAP	Custom 27007943		11/8 Pro Slve 188mm For Asls	BOTH IP/OP	$889.00 	$657.86	$0.00	$711.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$659.82	$659.82	$685.24	$0.00	$185.27	$0.00	$0.00	$0.00	$0.00	$444.50	$704.09	$711.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007945	EAP	Custom 27007945		Insert Hndl F/4.5 Lcp Prox Tib	BOTH IP/OP	"$5,623.00 "	"$4,161.02"	$0.00	"$4,498.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,173.39"	"$4,173.39"	"$4,334.21"	$0.00	"$1,171.83"	$0.00	$0.00	$0.00	$0.00	"$2,811.50"	"$4,453.42"	"$4,498.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007947	EAP	Custom 27007947		Strt Ball Spike Low Pro Pelvic	BOTH IP/OP	"$1,511.00 "	"$1,118.14"	$0.00	"$1,208.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,121.46"	"$1,121.46"	"$1,164.68"	$0.00	$314.89	$0.00	$0.00	$0.00	$0.00	$755.50	"$1,196.71"	"$1,208.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007948	EAP	Custom 27007948		Strt Ball Spike Low Pro Pelvic	BOTH IP/OP	"$1,608.00 "	"$1,189.92"	$0.00	"$1,286.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,193.46"	"$1,193.46"	"$1,239.45"	$0.00	$335.11	$0.00	$0.00	$0.00	$0.00	$804.00	"$1,273.54"	"$1,286.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007949	EAP	Custom 27007949		Strt Reduc Forceps Low Pro Pel	BOTH IP/OP	"$6,337.00 "	"$4,689.38"	$0.00	"$5,069.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,884.56"	$0.00	"$1,320.63"	$0.00	$0.00	$0.00	$0.00	"$3,168.50"	"$5,018.90"	"$5,069.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$6,791.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$6,543.32"	$0.00	"$1,769.11"	$0.00	$0.00	$0.00	$0.00	"$4,244.50"	"$6,723.29"	"$6,791.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007954	EAP	Custom 27007954		Lo Pro Pel Sys Rd Frcp 3.5 Scw	BOTH IP/OP	"$7,620.00 "	"$5,638.80"	$0.00	"$6,096.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,873.50"	$0.00	"$1,588.01"	$0.00	$0.00	$0.00	$0.00	"$3,810.00"	"$6,035.04"	"$6,096.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,498.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,173.39"	"$4,173.39"	"$4,334.21"	$0.00	"$1,171.83"	$0.00	$0.00	$0.00	$0.00	"$2,811.50"	"$4,453.42"	"$4,498.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007967	EAP	Custom 27007967		Solid 4.0 Hex Scwdrvr Shft 200	BOTH IP/OP	"$1,131.00 "	$836.94	$0.00	$904.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$839.43	$839.43	$871.77	$0.00	$235.70	$0.00	$0.00	$0.00	$0.00	$565.50	$895.75	$904.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007969	EAP	Custom 27007969		Spiked Round Disk	BOTH IP/OP	"$1,247.00 "	$922.78	$0.00	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$925.52	$925.52	$961.19	$0.00	$259.87	$0.00	$0.00	$0.00	$0.00	$623.50	$987.62	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$925.52	$925.52	$961.19	$0.00	$259.87	$0.00	$0.00	$0.00	$0.00	$623.50	$987.62	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,588.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,474.01"	"$1,474.01"	"$1,530.81"	$0.00	$413.88	$0.00	$0.00	$0.00	$0.00	$993.00	"$1,572.91"	"$1,588.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007975	EAP	Custom 27007975		Ped Lcp Hip Pl Gdng Blck 5scw	BOTH IP/OP	"$1,986.00 "	"$1,469.64"	$0.00	"$1,588.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,474.01"	"$1,474.01"	"$1,530.81"	$0.00	$413.88	$0.00	$0.00	$0.00	$0.00	$993.00	"$1,572.91"	"$1,588.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007977	EAP	Custom 27007977		Reduction Sleeve 4.3mm/2.8mm	BOTH IP/OP	$647.00 	$478.78	$0.00	$517.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$480.20	$480.20	$498.71	$0.00	$134.83	$0.00	$0.00	$0.00	$0.00	$323.50	$512.42	$517.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,381.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,281.78"	"$1,281.78"	"$1,331.17"	$0.00	$359.91	$0.00	$0.00	$0.00	$0.00	$863.50	"$1,367.78"	"$1,381.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,381.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,281.78"	"$1,281.78"	"$1,331.17"	$0.00	$359.91	$0.00	$0.00	$0.00	$0.00	$863.50	"$1,367.78"	"$1,381.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$848.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$787.47	$787.47	$817.82	$0.00	$221.11	$0.00	$0.00	$0.00	$0.00	$530.50	$840.31	$848.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007984	EAP	Custom 27007984		Meas Dev 3.0 Hdles Compres Scw	BOTH IP/OP	$722.00 	$534.28	$0.00	$577.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$535.87	$535.87	$556.52	$0.00	$150.46	$0.00	$0.00	$0.00	$0.00	$361.00	$571.82	$577.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$513.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$476.49	$476.49	$494.85	$0.00	$133.79	$0.00	$0.00	$0.00	$0.00	$321.00	$508.46	$513.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,544.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,288.69"	"$3,288.69"	"$3,415.41"	$0.00	$923.42	$0.00	$0.00	$0.00	$0.00	"$2,215.50"	"$3,509.35"	"$3,544.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007992	EAP	Custom 27007992		Lo-pro Wrst Fxtr/schan Scr/200	BOTH IP/OP	"$4,535.00 "	"$3,355.90"	$0.00	"$3,628.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,365.88"	"$3,365.88"	"$3,495.58"	$0.00	$945.09	$0.00	$0.00	$0.00	$0.00	"$2,267.50"	"$3,591.72"	"$3,628.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,628.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,365.88"	"$3,365.88"	"$3,495.58"	$0.00	$945.09	$0.00	$0.00	$0.00	$0.00	"$2,267.50"	"$3,591.72"	"$3,628.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,605.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,437.50"	$0.00	"$1,199.76"	$0.00	$0.00	$0.00	$0.00	"$2,878.50"	"$4,559.54"	"$4,605.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,605.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,437.50"	$0.00	"$1,199.76"	$0.00	$0.00	$0.00	$0.00	"$2,878.50"	"$4,559.54"	"$4,605.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,952.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,480.02"	$0.00	"$3,374.20"	$0.00	$0.00	$0.00	$0.00	"$8,095.50"	"$12,823.27"	"$12,952.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007997	EAP	Custom 27007997		Slotted Socket Wrench 11mm	BOTH IP/OP	"$2,314.00 "	"$1,712.36"	$0.00	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,717.45"	"$1,717.45"	"$1,783.63"	$0.00	$482.24	$0.00	$0.00	$0.00	$0.00	"$1,157.00"	"$1,832.69"	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007998	EAP	Custom 27007998		Patient Wrench 8mm/11mm	BOTH IP/OP	$604.00 	$446.96	$0.00	$483.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$448.29	$448.29	$465.56	$0.00	$125.87	$0.00	$0.00	$0.00	$0.00	$302.00	$478.37	$483.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27007999	EAP	Custom 27007999		Ratchet Wrench 11mm	BOTH IP/OP	"$2,891.00 "	"$2,139.34"	$0.00	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,145.70"	"$2,145.70"	"$2,228.38"	$0.00	$602.48	$0.00	$0.00	$0.00	$0.00	"$1,445.50"	"$2,289.67"	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008000	EAP	Custom 27008000		Split Tissue Protect Slve 2.5m	BOTH IP/OP	"$2,314.00 "	"$1,712.36"	$0.00	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,717.45"	"$1,717.45"	"$1,783.63"	$0.00	$482.24	$0.00	$0.00	$0.00	$0.00	"$1,157.00"	"$1,832.69"	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008001	EAP	Custom 27008001		Split Tissue Protect Slve 5mm	BOTH IP/OP	"$2,314.00 "	"$1,712.36"	$0.00	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,717.45"	"$1,717.45"	"$1,783.63"	$0.00	$482.24	$0.00	$0.00	$0.00	$0.00	"$1,157.00"	"$1,832.69"	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008004	EAP	Custom 27008004		Schanz Screw Bolt Mr Safe	BOTH IP/OP	$906.00 	$670.44	$0.00	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$672.43	$672.43	$698.34	$0.00	$188.81	$0.00	$0.00	$0.00	$0.00	$453.00	$717.55	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008005	EAP	Custom 27008005		Pivot Schanz Screw Clamp Mr Sa	BOTH IP/OP	"$1,830.00 "	"$1,354.20"	$0.00	"$1,464.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,358.23"	"$1,358.23"	"$1,410.56"	$0.00	$381.37	$0.00	$0.00	$0.00	$0.00	$915.00	"$1,449.36"	"$1,464.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$672.43	$672.43	$698.34	$0.00	$188.81	$0.00	$0.00	$0.00	$0.00	$453.00	$717.55	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008007	EAP	Custom 27008007		Schanz Screw Bolt Post Mount M	BOTH IP/OP	"$1,045.00 "	$773.30	$0.00	$836.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$775.60	$775.60	$805.49	$0.00	$217.78	$0.00	$0.00	$0.00	$0.00	$522.50	$827.64	$836.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008009	EAP	Custom 27008009		Smth Wire/1.8mm Diameter 400m	BOTH IP/OP	$308.00 	$227.92	$0.00	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008010	EAP	Custom 27008010		Smth Wire/2.0mm Diameter 400m	BOTH IP/OP	$308.00 	$227.92	$0.00	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008011	EAP	Custom 27008011		Smth Wire 1.5m Dia Hlf Pnt Tip	BOTH IP/OP	$308.00 	$227.92	$0.00	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008012	EAP	Custom 27008012		Smth Wire 1.8m Dia Hlf Pnt Tip	BOTH IP/OP	$308.00 	$227.92	$0.00	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008013	EAP	Custom 27008013		Smth Wire 2.0m Dia Hlf Pnt Tip	BOTH IP/OP	$308.00 	$227.92	$0.00	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$228.60	$228.60	$237.41	$0.00	$64.19	$0.00	$0.00	$0.00	$0.00	$154.00	$243.94	$246.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008014	EAP	Custom 27008014		Reductn Wre/1.5mm Diam 400m	BOTH IP/OP	$962.00 	$711.88	$0.00	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.00	$714.00	$741.51	$0.00	$200.48	$0.00	$0.00	$0.00	$0.00	$481.00	$761.90	$769.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$146.21	$146.21	$151.85	$0.00	$41.05	$0.00	$0.00	$0.00	$0.00	$98.50	$156.02	$157.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$146.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$135.82	$135.82	$141.06	$0.00	$38.14	$0.00	$0.00	$0.00	$0.00	$91.50	$144.94	$146.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008024	EAP	Custom 27008024		Schanz Scrw Bolt Can Rng Mnt	BOTH IP/OP	$906.00 	$670.44	$0.00	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$672.43	$672.43	$698.34	$0.00	$188.81	$0.00	$0.00	$0.00	$0.00	$453.00	$717.55	$724.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008025	EAP	Custom 27008025		Schanz Scrw Bolt Can Post Mnt	BOTH IP/OP	"$1,045.00 "	$773.30	$0.00	$836.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$775.60	$775.60	$805.49	$0.00	$217.78	$0.00	$0.00	$0.00	$0.00	$522.50	$827.64	$836.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$269.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$250.12	$250.12	$259.76	$0.00	$70.23	$0.00	$0.00	$0.00	$0.00	$168.50	$266.90	$269.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008028	EAP	Custom 27008028		Nut 10 Pack Mr Safe	BOTH IP/OP	$154.00 	$113.96	$0.00	$123.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$114.30	$114.30	$118.70	$0.00	$32.09	$0.00	$0.00	$0.00	$0.00	$77.00	$121.97	$123.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008029	EAP	Custom 27008029		Speed Nut Mr Safe	BOTH IP/OP	$652.00 	$482.48	$0.00	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.91	$483.91	$502.56	$0.00	$135.88	$0.00	$0.00	$0.00	$0.00	$326.00	$516.38	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$742.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$688.76	$688.76	$715.30	$0.00	$193.40	$0.00	$0.00	$0.00	$0.00	$464.00	$734.98	$742.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008032	EAP	Custom 27008032		Spacing Washer 1mm Mr Safe	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008033	EAP	Custom 27008033		Spacing Washer 2mm Mr Safe	BOTH IP/OP	$21.00 	$15.54	$0.00	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$0.00	$0.00	$0.00	$10.50	$16.63	$16.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008034	EAP	Custom 27008034		Spacing Washer 4mm Mr Safe	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008035	EAP	Custom 27008035		Spherical Washer Couple Mr Saf	BOTH IP/OP	$145.00 	$107.30	$0.00	$116.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$107.62	$107.62	$111.77	$0.00	$30.22	$0.00	$0.00	$0.00	$0.00	$72.50	$114.84	$116.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,717.45"	"$1,717.45"	"$1,783.63"	$0.00	$482.24	$0.00	$0.00	$0.00	$0.00	"$1,157.00"	"$1,832.69"	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008038	EAP	Custom 27008038		Thread Rod 80 Lng/slot Mr Safe	BOTH IP/OP	$280.00 	$207.20	$0.00	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$207.82	$207.82	$215.82	$0.00	$58.35	$0.00	$0.00	$0.00	$0.00	$140.00	$221.76	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$207.82	$207.82	$215.82	$0.00	$58.35	$0.00	$0.00	$0.00	$0.00	$140.00	$221.76	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$207.82	$207.82	$215.82	$0.00	$58.35	$0.00	$0.00	$0.00	$0.00	$140.00	$221.76	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$207.82	$207.82	$215.82	$0.00	$58.35	$0.00	$0.00	$0.00	$0.00	$140.00	$221.76	$224.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$223.40	$223.40	$232.01	$0.00	$62.73	$0.00	$0.00	$0.00	$0.00	$150.50	$238.39	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008043	EAP	Custom 27008043		Threaded Rod 250mm Lng Mr Safe	BOTH IP/OP	$301.00 	$222.74	$0.00	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$223.40	$223.40	$232.01	$0.00	$62.73	$0.00	$0.00	$0.00	$0.00	$150.50	$238.39	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008044	EAP	Custom 27008044		Threaded Rod 300mm Lng Mr Safe	BOTH IP/OP	$347.00 	$256.78	$0.00	$277.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$257.54	$257.54	$267.47	$0.00	$72.31	$0.00	$0.00	$0.00	$0.00	$173.50	$274.82	$277.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$277.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$257.54	$257.54	$267.47	$0.00	$72.31	$0.00	$0.00	$0.00	$0.00	$173.50	$274.82	$277.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$352.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$327.31	$327.31	$339.92	$0.00	$91.90	$0.00	$0.00	$0.00	$0.00	$220.50	$349.27	$352.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008051	EAP	Custom 27008051		Standoff 20mm Long Mr Safe	BOTH IP/OP	$185.00 	$136.90	$0.00	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$137.31	$137.31	$142.60	$0.00	$38.55	$0.00	$0.00	$0.00	$0.00	$92.50	$146.52	$148.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$166.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$154.38	$154.38	$160.33	$0.00	$43.35	$0.00	$0.00	$0.00	$0.00	$104.00	$164.74	$166.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008053	EAP	Custom 27008053		Standoff 40mm Long Mr Safe	BOTH IP/OP	$234.00 	$173.16	$0.00	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$173.67	$173.67	$180.37	$0.00	$48.77	$0.00	$0.00	$0.00	$0.00	$117.00	$185.33	$187.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008054	EAP	Custom 27008054		Standoff 50mm Long Mr Safe	BOTH IP/OP	$301.00 	$222.74	$0.00	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$223.40	$223.40	$232.01	$0.00	$62.73	$0.00	$0.00	$0.00	$0.00	$150.50	$238.39	$240.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008055	EAP	Custom 27008055		Ti Half Ring/80m Diam Mr Safe	BOTH IP/OP	"$1,505.00 "	"$1,113.70"	$0.00	"$1,204.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,117.01"	"$1,117.01"	"$1,160.05"	$0.00	$313.64	$0.00	$0.00	$0.00	$0.00	$752.50	"$1,191.96"	"$1,204.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,299.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,205.33"	"$1,205.33"	"$1,251.78"	$0.00	$338.44	$0.00	$0.00	$0.00	$0.00	$812.00	"$1,286.21"	"$1,299.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008057	EAP	Custom 27008057		Ti Half Ring/110m Diam Mr Safe	BOTH IP/OP	"$1,667.00 "	"$1,233.58"	$0.00	"$1,333.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,237.25"	"$1,237.25"	"$1,284.92"	$0.00	$347.40	$0.00	$0.00	$0.00	$0.00	$833.50	"$1,320.26"	"$1,333.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,388.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,287.72"	"$1,287.72"	"$1,337.34"	$0.00	$361.57	$0.00	$0.00	$0.00	$0.00	$867.50	"$1,374.12"	"$1,388.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,426.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,323.34"	"$1,323.34"	"$1,374.34"	$0.00	$371.58	$0.00	$0.00	$0.00	$0.00	$891.50	"$1,412.14"	"$1,426.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008060	EAP	Custom 27008060		Ti Half Ring/140m Diam Mr Safe	BOTH IP/OP	"$1,850.00 "	"$1,369.00"	$0.00	"$1,480.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,373.07"	"$1,373.07"	"$1,425.98"	$0.00	$385.54	$0.00	$0.00	$0.00	$0.00	$925.00	"$1,465.20"	"$1,480.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,575.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,461.39"	"$1,461.39"	"$1,517.71"	$0.00	$410.34	$0.00	$0.00	$0.00	$0.00	$984.50	"$1,559.45"	"$1,575.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008062	EAP	Custom 27008062		Ti Half Ring/160m Diam Mr Safe	BOTH IP/OP	"$2,153.00 "	"$1,593.22"	$0.00	"$1,722.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,597.96"	"$1,597.96"	"$1,659.53"	$0.00	$448.69	$0.00	$0.00	$0.00	$0.00	"$1,076.50"	"$1,705.18"	"$1,722.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008063	EAP	Custom 27008063		Ti Half Ring/180m Diam Mr Safe	BOTH IP/OP	"$2,314.00 "	"$1,712.36"	$0.00	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,717.45"	"$1,717.45"	"$1,783.63"	$0.00	$482.24	$0.00	$0.00	$0.00	$0.00	"$1,157.00"	"$1,832.69"	"$1,851.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008064	EAP	Custom 27008064		Ti Half Ring/200m Diam Mr Safe	BOTH IP/OP	"$2,498.00 "	"$1,848.52"	$0.00	"$1,998.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,854.02"	"$1,854.02"	"$1,925.46"	$0.00	$520.58	$0.00	$0.00	$0.00	$0.00	"$1,249.00"	"$1,978.42"	"$1,998.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008065	EAP	Custom 27008065		Ti Half Ring/220m Diam Mr Safe	BOTH IP/OP	"$2,663.00 "	"$1,970.62"	$0.00	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,976.48"	"$1,976.48"	"$2,052.64"	$0.00	$554.97	$0.00	$0.00	$0.00	$0.00	"$1,331.50"	"$2,109.10"	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008066	EAP	Custom 27008066		Ti Half Ring/240m Diam Mr Safe	BOTH IP/OP	"$2,779.00 "	"$2,056.46"	$0.00	"$2,223.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,062.57"	"$2,062.57"	"$2,142.05"	$0.00	$579.14	$0.00	$0.00	$0.00	$0.00	"$1,389.50"	"$2,200.97"	"$2,223.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008067	EAP	Custom 27008067		Ti Full Ring/140m Diam Mr Safe	BOTH IP/OP	"$3,704.00 "	"$2,740.96"	$0.00	"$2,963.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,749.11"	"$2,749.11"	"$2,855.04"	$0.00	$771.91	$0.00	$0.00	$0.00	$0.00	"$1,852.00"	"$2,933.57"	"$2,963.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008068	EAP	Custom 27008068		Ti Full Ring/160m Diam Mr Safe	BOTH IP/OP	"$4,303.00 "	"$3,184.22"	$0.00	"$3,442.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,193.69"	"$3,193.69"	"$3,316.75"	$0.00	$896.75	$0.00	$0.00	$0.00	$0.00	"$2,151.50"	"$3,407.98"	"$3,442.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008069	EAP	Custom 27008069		Ti Full Ring/180m Diam Mr Safe	BOTH IP/OP	"$4,627.00 "	"$3,423.98"	$0.00	"$3,701.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,434.16"	"$3,434.16"	"$3,566.49"	$0.00	$964.27	$0.00	$0.00	$0.00	$0.00	"$2,313.50"	"$3,664.58"	"$3,701.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,017.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,727.33"	"$3,727.33"	"$3,870.96"	$0.00	"$1,046.58"	$0.00	$0.00	$0.00	$0.00	"$2,511.00"	"$3,977.42"	"$4,017.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,944.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,803.55"	"$1,803.55"	"$1,873.04"	$0.00	$506.41	$0.00	$0.00	$0.00	$0.00	"$1,215.00"	"$1,924.56"	"$1,944.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,976.48"	"$1,976.48"	"$2,052.64"	$0.00	$554.97	$0.00	$0.00	$0.00	$0.00	"$1,331.50"	"$2,109.10"	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008073	EAP	Custom 27008073		Ti 5/8 Ring/160mm Diam Mr Safe	BOTH IP/OP	"$2,891.00 "	"$2,139.34"	$0.00	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,145.70"	"$2,145.70"	"$2,228.38"	$0.00	$602.48	$0.00	$0.00	$0.00	$0.00	"$1,445.50"	"$2,289.67"	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008074	EAP	Custom 27008074		Ti 5/8 Ring/180mm Diam Mr Safe	BOTH IP/OP	"$3,358.00 "	"$2,484.92"	$0.00	"$2,686.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,492.31"	"$2,492.31"	"$2,588.35"	$0.00	$699.81	$0.00	$0.00	$0.00	$0.00	"$1,679.00"	"$2,659.54"	"$2,686.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008075	EAP	Custom 27008075		Ti 5/8 Ring/200mm Diam Mr Safe	BOTH IP/OP	"$3,470.00 "	"$2,567.80"	$0.00	"$2,776.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,575.43"	"$2,575.43"	"$2,674.68"	$0.00	$723.15	$0.00	$0.00	$0.00	$0.00	"$1,735.00"	"$2,748.24"	"$2,776.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,332.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,091.26"	"$3,091.26"	"$3,210.38"	$0.00	$867.99	$0.00	$0.00	$0.00	$0.00	"$2,082.50"	"$3,298.68"	"$3,332.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,424.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,177.36"	"$3,177.36"	"$3,299.79"	$0.00	$892.16	$0.00	$0.00	$0.00	$0.00	"$2,140.50"	"$3,390.55"	"$3,424.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008078	EAP	Custom 27008078		Ti Fem Arch Pl 240 Dia/90 Degr	BOTH IP/OP	"$4,515.00 "	"$3,341.10"	$0.00	"$3,612.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,351.03"	"$3,351.03"	"$3,480.16"	$0.00	$940.93	$0.00	$0.00	$0.00	$0.00	"$2,257.50"	"$3,575.88"	"$3,612.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,701.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,434.16"	"$3,434.16"	"$3,566.49"	$0.00	$964.27	$0.00	$0.00	$0.00	$0.00	"$2,313.50"	"$3,664.58"	"$3,701.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,976.48"	"$1,976.48"	"$2,052.64"	$0.00	$554.97	$0.00	$0.00	$0.00	$0.00	"$1,331.50"	"$2,109.10"	"$2,130.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008081	EAP	Custom 27008081		Linear Distrac 120lng 85mm Tra	BOTH IP/OP	"$2,891.00 "	"$2,139.34"	$0.00	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,145.70"	"$2,145.70"	"$2,228.38"	$0.00	$602.48	$0.00	$0.00	$0.00	$0.00	"$1,445.50"	"$2,289.67"	"$2,312.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008082	EAP	Custom 27008082		Linear Distrac 180 Lng 145 Tra	BOTH IP/OP	"$3,241.00 "	"$2,398.34"	$0.00	"$2,592.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,405.47"	"$2,405.47"	"$2,498.16"	$0.00	$675.42	$0.00	$0.00	$0.00	$0.00	"$1,620.50"	"$2,566.87"	"$2,592.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008083	EAP	Custom 27008083		Linear Distrac 250 Lng 215 Tra	BOTH IP/OP	"$3,934.00 "	"$2,911.16"	$0.00	"$3,147.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,919.81"	"$2,919.81"	"$3,032.33"	$0.00	$819.85	$0.00	$0.00	$0.00	$0.00	"$1,967.00"	"$3,115.73"	"$3,147.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008118	EAP	Custom 27008118		Sft Tissue Sprder Trocar 35mm	BOTH IP/OP	"$1,247.00 "	$922.78	$0.00	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$925.52	$925.52	$961.19	$0.00	$259.87	$0.00	$0.00	$0.00	$0.00	$623.50	$987.62	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$925.52	$925.52	$961.19	$0.00	$259.87	$0.00	$0.00	$0.00	$0.00	$623.50	$987.62	$997.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$480.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$445.32	$445.32	$462.48	$0.00	$125.04	$0.00	$0.00	$0.00	$0.00	$300.00	$475.20	$480.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,416.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,313.69"	"$1,313.69"	"$1,364.32"	$0.00	$368.87	$0.00	$0.00	$0.00	$0.00	$885.00	"$1,401.84"	"$1,416.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,698.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,575.69"	"$1,575.69"	"$1,636.41"	$0.00	$442.43	$0.00	$0.00	$0.00	$0.00	"$1,061.50"	"$1,681.42"	"$1,698.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008126	EAP	Custom 27008126		Ti End Cap T25 Strdr 0mext Hu	BOTH IP/OP	$631.00 	$466.94	$0.00	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$468.33	$468.33	$486.37	$0.00	$131.50	$0.00	$0.00	$0.00	$0.00	$315.50	$499.75	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008127	EAP	Custom 27008127		Ti End Cap T25 Strdrv 0mm Ext	BOTH IP/OP	$759.00 	$561.66	$0.00	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$563.33	$563.33	$585.04	$0.00	$158.18	$0.00	$0.00	$0.00	$0.00	$379.50	$601.13	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008128	EAP	Custom 27008128		Ti End Cap T25 Strdrv 5mm Ext	BOTH IP/OP	$631.00 	$466.94	$0.00	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$468.33	$468.33	$486.37	$0.00	$131.50	$0.00	$0.00	$0.00	$0.00	$315.50	$499.75	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008129	EAP	Custom 27008129		Ti End Cap T25 Strdrv 5mm Ext	BOTH IP/OP	$759.00 	$561.66	$0.00	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$563.33	$563.33	$585.04	$0.00	$158.18	$0.00	$0.00	$0.00	$0.00	$379.50	$601.13	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008130	EAP	Custom 27008130		Ti End Cap T25 Strdrv 10mm Ex	BOTH IP/OP	$631.00 	$466.94	$0.00	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$468.33	$468.33	$486.37	$0.00	$131.50	$0.00	$0.00	$0.00	$0.00	$315.50	$499.75	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008131	EAP	Custom 27008131		Ti End Cap T25 Strdrv 10mm Ex	BOTH IP/OP	$759.00 	$561.66	$0.00	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$563.33	$563.33	$585.04	$0.00	$158.18	$0.00	$0.00	$0.00	$0.00	$379.50	$601.13	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008132	EAP	Custom 27008132		Ti End Cap T25 Strdrv 15mm Ext	BOTH IP/OP	$631.00 	$466.94	$0.00	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$468.33	$468.33	$486.37	$0.00	$131.50	$0.00	$0.00	$0.00	$0.00	$315.50	$499.75	$504.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008133	EAP	Custom 27008133		Ti End Cap T25 Strdrv 15mm Ex	BOTH IP/OP	$759.00 	$561.66	$0.00	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$563.33	$563.33	$585.04	$0.00	$158.18	$0.00	$0.00	$0.00	$0.00	$379.50	$601.13	$607.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008138	EAP	Custom 27008138		11m Ti Can Prox Hum Nl-ex/150m	BOTH IP/OP	"$7,722.00 "	"$5,714.28"	$0.00	"$6,177.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,952.12"	$0.00	"$1,609.26"	$0.00	$0.00	$0.00	$0.00	"$3,861.00"	"$6,115.82"	"$6,177.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$6,177.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,952.12"	$0.00	"$1,609.26"	$0.00	$0.00	$0.00	$0.00	"$3,861.00"	"$6,115.82"	"$6,177.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008186	EAP	Custom 27008186		11ti Lat En Fem Nl-ex/300m-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008187	EAP	Custom 27008187		11ti Lat En Fem Nl-ex/300m-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008188	EAP	Custom 27008188		12 Ti Lat En Fem Nl-ex/300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008189	EAP	Custom 27008189		12 Ti Lat En Fem Nl-ex/300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008190	EAP	Custom 27008190		13ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008191	EAP	Custom 27008191		13ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008192	EAP	Custom 27008192		14ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008193	EAP	Custom 27008193		14ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008194	EAP	Custom 27008194		15ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008195	EAP	Custom 27008195		15ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008196	EAP	Custom 27008196		16ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008197	EAP	Custom 27008197		16ti Lat Ent Fem Nl-ex/300m480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008198	EAP	Custom 27008198		Ti En Cp W/t40 Sdr 0m Ext F/t	BOTH IP/OP	$682.00 	$504.68	$0.00	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$602.67	$602.67	$625.89	$0.00	$169.22	$0.00	$0.00	$0.00	$0.00	$406.00	$643.10	$649.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$654.62	$654.62	$679.85	$0.00	$183.81	$0.00	$0.00	$0.00	$0.00	$441.00	$698.54	$705.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$0.00	$0.00	$0.00	$505.00	$799.92	$808.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,888.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,709.59"	$0.00	"$1,273.32"	$0.00	$0.00	$0.00	$0.00	"$3,055.00"	"$4,839.12"	"$4,888.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$4,888.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,709.59"	$0.00	"$1,273.32"	$0.00	$0.00	$0.00	$0.00	"$3,055.00"	"$4,839.12"	"$4,888.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$569.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$528.45	$528.45	$548.81	$0.00	$148.38	$0.00	$0.00	$0.00	$0.00	$356.00	$563.90	$569.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$673.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$624.93	$624.93	$649.01	$0.00	$175.47	$0.00	$0.00	$0.00	$0.00	$421.00	$666.86	$673.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$569.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$528.45	$528.45	$548.81	$0.00	$148.38	$0.00	$0.00	$0.00	$0.00	$356.00	$563.90	$569.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$673.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$624.93	$624.93	$649.01	$0.00	$175.47	$0.00	$0.00	$0.00	$0.00	$421.00	$666.86	$673.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,162.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$4,973.97"	$0.00	"$1,344.81"	$0.00	$0.00	$0.00	$0.00	"$3,226.50"	"$5,110.78"	"$5,162.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008224	EAP	Custom 27008224		Ti En Cap T40 Sdr 0m Ext Retr	BOTH IP/OP	$682.00 	$504.68	$0.00	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.18	$506.18	$525.69	$0.00	$142.13	$0.00	$0.00	$0.00	$0.00	$341.00	$540.14	$545.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008226	EAP	Custom 27008226		Ti Spir Bld 50m Ti Retr Fem Nl	BOTH IP/OP	"$2,318.00 "	"$1,715.32"	$0.00	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008227	EAP	Custom 27008227		Ti Spir Bld 50m-ster F/ti Retr	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008229	EAP	Custom 27008229		Ti Spir Bld 55m-ster F/ti Retr	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008231	EAP	Custom 27008231		Ti Spir Bld 65f/ti Ret Fem Nls	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008233	EAP	Custom 27008233		Ti Spir Bld 70m F/ti Retr Fem	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008235	EAP	Custom 27008235		Ti Spir Bld 75 F/ti Ret Fem Nl	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008237	EAP	Custom 27008237		Ti Spir Bld 80 F/ti Ret Fem Nl	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008239	EAP	Custom 27008239		Ti Spir Bld 85m F/ti Retr Fem	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008241	EAP	Custom 27008241		Ti Spir Bld 90m F/ti Retr Fem	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008243	EAP	Custom 27008243		Ti Spir Bld 100m Ti Retr Fem	BOTH IP/OP	"$2,318.00 "	"$1,715.32"	$0.00	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,720.42"	"$1,720.42"	"$1,786.71"	$0.00	$483.07	$0.00	$0.00	$0.00	$0.00	"$1,159.00"	"$1,835.86"	"$1,854.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008244	EAP	Custom 27008244		Ti Spir Bld 100m-st F/ti Ret	BOTH IP/OP	"$2,447.00 "	"$1,810.78"	$0.00	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,816.16"	"$1,816.16"	"$1,886.15"	$0.00	$509.95	$0.00	$0.00	$0.00	$0.00	"$1,223.50"	"$1,938.02"	"$1,957.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,316.21"	$0.00	"$1,437.33"	$0.00	$0.00	$0.00	$0.00	"$3,448.50"	"$5,462.42"	"$5,517.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008259	EAP	Custom 27008259		10ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008260	EAP	Custom 27008260		11ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008261	EAP	Custom 27008261		12ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008262	EAP	Custom 27008262		12ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008263	EAP	Custom 27008263		13ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008264	EAP	Custom 27008264		13ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008265	EAP	Custom 27008265		14ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008266	EAP	Custom 27008266		14ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008267	EAP	Custom 27008267		15ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008268	EAP	Custom 27008268		15ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008269	EAP	Custom 27008269		16ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008270	EAP	Custom 27008270		16ti Can Lat Ent Fem Nl300-480	BOTH IP/OP	"$6,829.00 "	"$5,053.46"	$0.00	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,263.79"	$0.00	"$1,423.16"	$0.00	$0.00	$0.00	$0.00	"$3,414.50"	"$5,408.57"	"$5,463.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008275	EAP	Custom 27008275		T15/2.5m Hex Ti Cerclage Buttn	BOTH IP/OP	$652.00 	$482.48	$0.00	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.91	$483.91	$502.56	$0.00	$135.88	$0.00	$0.00	$0.00	$0.00	$326.00	$516.38	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.91	$483.91	$502.56	$0.00	$135.88	$0.00	$0.00	$0.00	$0.00	$326.00	$516.38	$521.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008282	EAP	Custom 27008282		Saw Bld 95x19 1.19m Cut Thknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008283	EAP	Custom 27008283		Saw Bld 95x19 1.27m Cut Thknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008284	EAP	Custom 27008284		Saw Bld 95x19 1.37m Cut Thknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008285	EAP	Custom 27008285		Saw Bld 95x 19 1.47 Cut Thknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008286	EAP	Custom 27008286		Saw Bld 80x19 0.89 Cut Thkness	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008287	EAP	Custom 27008287		Saw Bld 95x19 1.00 Cut Thkness	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008288	EAP	Custom 27008288		Saw Bld 95 X 19 1.07cut Thknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008289	EAP	Custom 27008289		Saw Bld 95x25 0.89 Cut Thkness	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008290	EAP	Custom 27008290		Saw Bld 95x25 1.19 Cut Thcknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008291	EAP	Custom 27008291		Saw Bld 95x25 1.27 Cut Thcknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008292	EAP	Custom 27008292		Saw Bld 95x25 1.37 Cut Thcknes	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008293	EAP	Custom 27008293		Saw Bld 95x25 1.47cut Thckness	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008294	EAP	Custom 27008294		Saw Blade 95mm X 25mm 1.00mm	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008295	EAP	Custom 27008295		Saw Blade 95mm X 25mm 1.07mm	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008296	EAP	Custom 27008296		Saw Blade 90mm X 12.5mm 0.89m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008297	EAP	Custom 27008297		Saw Blade 90mm X 12.5mm 1.19m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008298	EAP	Custom 27008298		Saw Blade 90mm X 12.5mm 1.27m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008299	EAP	Custom 27008299		Saw Blade 90mm X 12.5mm 1.37m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008300	EAP	Custom 27008300		Saw Blade 90mm X 12.5mm 1.47m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008301	EAP	Custom 27008301		Saw Blade 90m X 19-12.5m 0.89m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008302	EAP	Custom 27008302		Saw Blade 90m X19-12.5mm 1.19m	BOTH IP/OP	$328.00 	$242.72	$0.00	$262.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$243.44	$243.44	$252.82	$0.00	$68.36	$0.00	$0.00	$0.00	$0.00	$164.00	$259.78	$262.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008303	EAP	Custom 27008303		Saw Blade 90mx19-12.5mm 1.27m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008304	EAP	Custom 27008304		Saw Blade 90m X19-12.5m 1.37m	BOTH IP/OP	$310.00 	$229.40	$0.00	$248.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$230.08	$230.08	$238.95	$0.00	$64.60	$0.00	$0.00	$0.00	$0.00	$155.00	$245.52	$248.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008306	EAP	Custom 27008306		Saw Blade 90mx19-12.5mm 1.00m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008307	EAP	Custom 27008307		Saw Blade 90mm X 12.5mm 1.00m	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008308	EAP	Custom 27008308		Saw Blade 60mm X 25mm 0.89mm	BOTH IP/OP	$329.00 	$243.46	$0.00	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008309	EAP	Custom 27008309		Plan&reduct Tech In Fx Surgery	BOTH IP/OP	$781.00 	$577.94	$0.00	$624.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$579.66	$579.66	$601.99	$0.00	$162.76	$0.00	$0.00	$0.00	$0.00	$390.50	$618.55	$624.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008312	EAP	Custom 27008312		The Rational Operative Fx Care	BOTH IP/OP	$781.00 	$577.94	$0.00	$624.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$579.66	$579.66	$601.99	$0.00	$162.76	$0.00	$0.00	$0.00	$0.00	$390.50	$618.55	$624.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008316	EAP	Custom 27008316		Minimax Fracture Fixation	BOTH IP/OP	$630.00 	$466.20	$0.00	$504.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$467.59	$467.59	$485.60	$0.00	$131.29	$0.00	$0.00	$0.00	$0.00	$315.00	$498.96	$504.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$430.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$399.30	$399.30	$414.69	$0.00	$112.12	$0.00	$0.00	$0.00	$0.00	$269.00	$426.10	$430.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008321	EAP	Custom 27008321		Oper Approach Orth Surg&trauma	BOTH IP/OP	$635.00 	$469.90	$0.00	$508.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$471.30	$471.30	$489.46	$0.00	$132.33	$0.00	$0.00	$0.00	$0.00	$317.50	$502.92	$508.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$61.60	$61.60	$63.98	$0.00	$17.30	$0.00	$0.00	$0.00	$0.00	$41.50	$65.74	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008325	EAP	Custom 27008325		1.0cor Scw Self-tapg 6-14mm	BOTH IP/OP	$340.00 	$251.60	$0.00	$272.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$252.35	$252.35	$262.07	$0.00	$70.86	$0.00	$0.00	$0.00	$0.00	$170.00	$269.28	$272.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$244.18	$244.18	$253.59	$0.00	$68.56	$0.00	$0.00	$0.00	$0.00	$164.50	$260.57	$263.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008327	EAP	Custom 27008327		1.5mm Cort Scw Slf-tapg 6-24	BOTH IP/OP	$97.00 	$71.78	$0.00	$77.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$71.99	$71.99	$74.77	$0.00	$20.21	$0.00	$0.00	$0.00	$0.00	$48.50	$76.82	$77.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$136.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$126.17	$126.17	$131.04	$0.00	$35.43	$0.00	$0.00	$0.00	$0.00	$85.00	$134.64	$136.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$831.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$771.15	$771.15	$800.86	$0.00	$216.53	$0.00	$0.00	$0.00	$0.00	$519.50	$822.89	$831.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008368	EAP	Custom 27008368		Schuhli Assembly- 3.5 Cor Scw	BOTH IP/OP	"$1,039.00 "	$768.86	$0.00	$831.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$771.15	$771.15	$800.86	$0.00	$216.53	$0.00	$0.00	$0.00	$0.00	$519.50	$822.89	$831.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008369	EAP	Custom 27008369		Thrded Wash 3.0 Cannul Scw	BOTH IP/OP	$560.00 	$414.40	$0.00	$448.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$415.63	$415.63	$431.65	$0.00	$116.70	$0.00	$0.00	$0.00	$0.00	$280.00	$443.52	$448.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$397.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$368.87	$368.87	$383.09	$0.00	$103.57	$0.00	$0.00	$0.00	$0.00	$248.50	$393.62	$397.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$0.00	$0.00	$0.00	$250.50	$396.79	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008372	EAP	Custom 27008372		Spiked Washer 13.5mm/5.5mm	BOTH IP/OP	$492.00 	$364.08	$0.00	$393.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$365.16	$365.16	$379.23	$0.00	$102.53	$0.00	$0.00	$0.00	$0.00	$246.00	$389.66	$393.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$486.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$451.26	$451.26	$468.65	$0.00	$126.71	$0.00	$0.00	$0.00	$0.00	$304.00	$481.54	$486.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008374	EAP	Custom 27008374		Spher Washer/lrg Rnd 6.5/7.3	BOTH IP/OP	$608.00 	$449.92	$0.00	$486.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$451.26	$451.26	$468.65	$0.00	$126.71	$0.00	$0.00	$0.00	$0.00	$304.00	$481.54	$486.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008375	EAP	Custom 27008375		Nut For 4.5mm Cortex Screws	BOTH IP/OP	$120.00 	$88.80	$0.00	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$89.06	$89.06	$92.50	$0.00	$25.01	$0.00	$0.00	$0.00	$0.00	$60.00	$95.04	$96.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$0.00	$0.00	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008377	EAP	Custom 27008377		1.3mm Straight Plate 6 Holes	BOTH IP/OP	$789.00 	$583.86	$0.00	$631.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$585.60	$585.60	$608.16	$0.00	$164.43	$0.00	$0.00	$0.00	$0.00	$394.50	$624.89	$631.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008378	EAP	Custom 27008378		1.3mm Straight Plate 12 Holes	BOTH IP/OP	$996.00 	$737.04	$0.00	$796.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$739.23	$739.23	$767.72	$0.00	$207.57	$0.00	$0.00	$0.00	$0.00	$498.00	$788.83	$796.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008379	EAP	Custom 27008379		1.3mm Extended H-plate/right	BOTH IP/OP	$954.00 	$705.96	$0.00	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$708.06	$708.06	$735.34	$0.00	$198.81	$0.00	$0.00	$0.00	$0.00	$477.00	$755.57	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008380	EAP	Custom 27008380		1.3mm Extended H-plate/left	BOTH IP/OP	$954.00 	$705.96	$0.00	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$708.06	$708.06	$735.34	$0.00	$198.81	$0.00	$0.00	$0.00	$0.00	$477.00	$755.57	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008381	EAP	Custom 27008381		1.3mm T-plte 3 Hles Hd/ 8hles	BOTH IP/OP	$913.00 	$675.62	$0.00	$730.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$677.63	$677.63	$703.74	$0.00	$190.27	$0.00	$0.00	$0.00	$0.00	$456.50	$723.10	$730.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008382	EAP	Custom 27008382		1.3mm T-plte 4hles Head/8hles	BOTH IP/OP	$954.00 	$705.96	$0.00	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$708.06	$708.06	$735.34	$0.00	$198.81	$0.00	$0.00	$0.00	$0.00	$477.00	$755.57	$763.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008383	EAP	Custom 27008383		1.3mm Y-plte 3 Hles Head/8hle	BOTH IP/OP	$913.00 	$675.62	$0.00	$730.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$677.63	$677.63	$703.74	$0.00	$190.27	$0.00	$0.00	$0.00	$0.00	$456.50	$723.10	$730.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008384	EAP	Custom 27008384		Semi-tubul Plate 2 Holes 39m	BOTH IP/OP	$228.00 	$168.72	$0.00	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$169.22	$169.22	$175.74	$0.00	$47.52	$0.00	$0.00	$0.00	$0.00	$114.00	$180.58	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008385	EAP	Custom 27008385		Semi-tubul Plate 3 Holes 55m	BOTH IP/OP	$235.00 	$173.90	$0.00	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$174.42	$174.42	$181.14	$0.00	$48.97	$0.00	$0.00	$0.00	$0.00	$117.50	$186.12	$188.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$189.26	$189.26	$196.55	$0.00	$53.14	$0.00	$0.00	$0.00	$0.00	$127.50	$201.96	$204.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$198.17	$198.17	$205.80	$0.00	$55.64	$0.00	$0.00	$0.00	$0.00	$133.50	$211.46	$213.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$226.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$210.04	$210.04	$218.14	$0.00	$58.98	$0.00	$0.00	$0.00	$0.00	$141.50	$224.14	$226.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008389	EAP	Custom 27008389		Semi-tubul Plate 7 Holes 119m	BOTH IP/OP	$307.00 	$227.18	$0.00	$245.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$227.86	$227.86	$236.64	$0.00	$63.98	$0.00	$0.00	$0.00	$0.00	$153.50	$243.14	$245.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.22	$241.22	$250.51	$0.00	$67.73	$0.00	$0.00	$0.00	$0.00	$162.50	$257.40	$260.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$269.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$250.12	$250.12	$259.76	$0.00	$70.23	$0.00	$0.00	$0.00	$0.00	$168.50	$266.90	$269.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$276.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$256.06	$256.06	$265.93	$0.00	$71.90	$0.00	$0.00	$0.00	$0.00	$172.50	$273.24	$276.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$284.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$264.22	$264.22	$274.40	$0.00	$74.19	$0.00	$0.00	$0.00	$0.00	$178.00	$281.95	$284.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008394	EAP	Custom 27008394		Semi-tubular Plate 12 Hles/199	BOTH IP/OP	$375.00 	$277.50	$0.00	$300.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$278.33	$278.33	$289.05	$0.00	$78.15	$0.00	$0.00	$0.00	$0.00	$187.50	$297.00	$300.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,549.71"	"$1,549.71"	"$1,609.43"	$0.00	$435.14	$0.00	$0.00	$0.00	$0.00	"$1,044.00"	"$1,653.70"	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008663	EAP	Custom 27008663		100deg Adoles Osteo Plt 50/10	BOTH IP/OP	"$2,219.00 "	"$1,642.06"	$0.00	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,646.94"	"$1,646.94"	"$1,710.41"	$0.00	$462.44	$0.00	$0.00	$0.00	$0.00	"$1,109.50"	"$1,757.45"	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008666	EAP	Custom 27008666		100deg Adoles Osteo Plt 40/10	BOTH IP/OP	"$2,088.00 "	"$1,545.12"	$0.00	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,549.71"	"$1,549.71"	"$1,609.43"	$0.00	$435.14	$0.00	$0.00	$0.00	$0.00	"$1,044.00"	"$1,653.70"	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008667	EAP	Custom 27008667		100deg Adoles Osteo Plt 40/10	BOTH IP/OP	"$2,219.00 "	"$1,642.06"	$0.00	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,646.94"	"$1,646.94"	"$1,710.41"	$0.00	$462.44	$0.00	$0.00	$0.00	$0.00	"$1,109.50"	"$1,757.45"	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008670	EAP	Custom 27008670		100deg Adoles Osteo Plt 50/15	BOTH IP/OP	"$2,088.00 "	"$1,545.12"	$0.00	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,549.71"	"$1,549.71"	"$1,609.43"	$0.00	$435.14	$0.00	$0.00	$0.00	$0.00	"$1,044.00"	"$1,653.70"	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008671	EAP	Custom 27008671		100deg Adoles Osteo Plt 50/15	BOTH IP/OP	"$2,219.00 "	"$1,642.06"	$0.00	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,646.94"	"$1,646.94"	"$1,710.41"	$0.00	$462.44	$0.00	$0.00	$0.00	$0.00	"$1,109.50"	"$1,757.45"	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008674	EAP	Custom 27008674		100deg Adoles Osteo Plt 60/15	BOTH IP/OP	"$2,088.00 "	"$1,545.12"	$0.00	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,549.71"	"$1,549.71"	"$1,609.43"	$0.00	$435.14	$0.00	$0.00	$0.00	$0.00	"$1,044.00"	"$1,653.70"	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008675	EAP	Custom 27008675		100deg Adoles Osteo Plt 60/15	BOTH IP/OP	"$2,219.00 "	"$1,642.06"	$0.00	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,646.94"	"$1,646.94"	"$1,710.41"	$0.00	$462.44	$0.00	$0.00	$0.00	$0.00	"$1,109.50"	"$1,757.45"	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008678	EAP	Custom 27008678		100deg Adoles Osteo Plt 40/15	BOTH IP/OP	"$2,088.00 "	"$1,545.12"	$0.00	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,549.71"	"$1,549.71"	"$1,609.43"	$0.00	$435.14	$0.00	$0.00	$0.00	$0.00	"$1,044.00"	"$1,653.70"	"$1,670.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008679	EAP	Custom 27008679		100deg Adoles Osteo Plt 40/15	BOTH IP/OP	"$2,219.00 "	"$1,642.06"	$0.00	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,646.94"	"$1,646.94"	"$1,710.41"	$0.00	$462.44	$0.00	$0.00	$0.00	$0.00	"$1,109.50"	"$1,757.45"	"$1,775.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008680	EAP	Custom 27008680		115 Deg Bifurcatd Plte 30/5	BOTH IP/OP	"$1,187.00 "	$878.38	$0.00	$949.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$880.99	$880.99	$914.94	$0.00	$247.37	$0.00	$0.00	$0.00	$0.00	$593.50	$940.10	$949.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,054.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$978.22	$978.22	"$1,015.91"	$0.00	$274.67	$0.00	$0.00	$0.00	$0.00	$659.00	"$1,043.86"	"$1,054.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27008682	EAP	Custom 27008682		115 Deg Bifurcatd Plte 35/5	BOTH IP/OP	"$1,187.00 "	$878.38	$0.00	$949.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$880.99	$880.99	$914.94	$0.00	$247.37	$0.00	$0.00	$0.00	$0.00	$593.50	$940.10	$949.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,054.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$978.22	$978.22	"$1,015.91"	$0.00	$274.67	$0.00	$0.00	$0.00	$0.00	$659.00	"$1,043.86"	"$1,054.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27010225	EAP	Custom 27010225		0.8mm Guide Wire 100mm	BOTH IP/OP	$611.00 	$452.14	$0.00	$488.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$453.48	$453.48	$470.96	$0.00	$127.33	$0.00	$0.00	$0.00	$0.00	$305.50	$483.91	$488.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27010807	EAP	Custom 27010807		"Bipolar Cord,disposable"	BOTH IP/OP	$683.00 	$505.42	$0.00	$546.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$506.92	$506.92	$526.46	$0.00	$142.34	$0.00	$0.00	$0.00	$0.00	$341.50	$540.94	$546.40	$0.00	$443.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$599.20	$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	$374.50	$593.21	$599.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27010880	EAP	Custom 27010880		Colostomy Bag & Supplies	BOTH IP/OP	$509.00 	$376.66	$0.00	$407.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$377.78	$377.78	$392.34	$0.00	$106.08	$0.00	$0.00	$0.00	$0.00	$254.50	$403.13	$407.20	$0.00	$330.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$118.75	$118.75	$123.33	$0.00	$33.34	$0.00	$0.00	$0.00	$0.00	$80.00	$126.72	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$158.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$146.96	$146.96	$152.62	$0.00	$41.26	$0.00	$0.00	$0.00	$0.00	$99.00	$156.82	$158.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27010987	EAP	Custom 27010987		3.2mm Guide Wire 290mm	BOTH IP/OP	$501.00 	$370.74	$0.00	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$0.00	$0.00	$0.00	$250.50	$396.79	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27010993	EAP	Custom 27010993		Humeral Fracture Brace	BOTH IP/OP	$196.00 	$145.04	$0.00	$156.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$145.47	$145.47	$151.08	$0.00	$40.85	$0.00	$0.00	$0.00	$0.00	$98.00	$155.23	$156.80	$0.00	$127.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$247.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$229.34	$229.34	$238.18	$0.00	$64.40	$0.00	$0.00	$0.00	$0.00	$154.50	$244.73	$247.20	$0.00	$200.85	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$524.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$486.88	$486.88	$505.64	$0.00	$136.71	$0.00	$0.00	$0.00	$0.00	$328.00	$519.55	$524.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011002	EAP	Custom 27011002		4fr Catheter Cobra 2	BOTH IP/OP	$166.00 	$122.84	$0.00	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.21	$123.21	$127.95	$0.00	$34.59	$0.00	$0.00	$0.00	$0.00	$83.00	$131.47	$132.80	$0.00	$107.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,723.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,454.20"	"$3,454.20"	"$3,587.30"	$0.00	$969.89	$0.00	$0.00	$0.00	$0.00	"$2,327.00"	"$3,685.97"	"$3,723.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011010	EAP	Custom 27011010		5x135x40cm Unifuse Kit	BOTH IP/OP	$550.00 	$407.00	$0.00	$440.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$408.21	$408.21	$423.94	$0.00	$114.62	$0.00	$0.00	$0.00	$0.00	$275.00	$435.60	$440.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$440.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$408.21	$408.21	$423.94	$0.00	$114.62	$0.00	$0.00	$0.00	$0.00	$275.00	$435.60	$440.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011015	EAP	Custom 27011015		6fr Ar1 Catheter	BOTH IP/OP	$31.00 	$22.94	$0.00	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011028	EAP	Custom 27011028		7.1 Fr 100cm Pigtail Cath	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$188.52	$188.52	$195.78	$0.00	$52.93	$0.00	$0.00	$0.00	$0.00	$127.00	$201.17	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011032	EAP	Custom 27011032		Air Guard Valved Introducer	BOTH IP/OP	$335.00 	$247.90	$0.00	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$248.64	$248.64	$258.22	$0.00	$69.81	$0.00	$0.00	$0.00	$0.00	$167.50	$265.32	$268.00	$0.00	$217.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$76.45	$76.45	$79.39	$0.00	$21.47	$0.00	$0.00	$0.00	$0.00	$51.50	$81.58	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011037	EAP	Custom 27011037		Balloon Dial Cath Xxl 12mmx4cm	BOTH IP/OP	$856.00 	$633.44	$0.00	$684.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$635.32	$635.32	$659.80	$0.00	$178.39	$0.00	$0.00	$0.00	$0.00	$428.00	$677.95	$684.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011039	EAP	Custom 27011039		Balloon Polar Cath 4x60x120	BOTH IP/OP	"$2,002.00 "	"$1,481.48"	$0.00	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,485.88"	"$1,485.88"	"$1,543.14"	$0.00	$417.22	$0.00	$0.00	$0.00	$0.00	"$1,001.00"	"$1,585.58"	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,485.88"	"$1,485.88"	"$1,543.14"	$0.00	$417.22	$0.00	$0.00	$0.00	$0.00	"$1,001.00"	"$1,585.58"	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,485.88"	"$1,485.88"	"$1,543.14"	$0.00	$417.22	$0.00	$0.00	$0.00	$0.00	"$1,001.00"	"$1,585.58"	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$770.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$714.74	$714.74	$742.28	$0.00	$200.69	$0.00	$0.00	$0.00	$0.00	$481.50	$762.70	$770.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011052	EAP	Custom 27011052		Bead Block 100-300	BOTH IP/OP	$667.00 	$493.58	$0.00	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$433.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$433.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$0.00	$0.00	$0.00	$333.50	$528.26	$533.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.98	$25.98	$26.98	$0.00	$7.29	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$22.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.80	$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	$30.50	$48.31	$48.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011063	EAP	Custom 27011063		Cath 5fr 100cm Sim3	BOTH IP/OP	$35.00 	$25.90	$0.00	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$26.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$26.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.98	$25.98	$26.98	$0.00	$7.29	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$22.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.98	$25.98	$26.98	$0.00	$7.29	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$22.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$26.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.98	$25.98	$26.98	$0.00	$7.29	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$22.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$132.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.21	$123.21	$127.95	$0.00	$34.59	$0.00	$0.00	$0.00	$0.00	$83.00	$131.47	$132.80	$0.00	$107.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.98	$25.98	$26.98	$0.00	$7.29	$0.00	$0.00	$0.00	$0.00	$17.50	$27.72	$28.00	$0.00	$22.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,868.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,167.50"	"$1,849.32"	"$1,868.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,001.00"	"$1,585.58"	"$1,601.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$330.40	$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	$206.50	$327.10	$330.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011084	EAP	Custom 27011084		Catheter Repair Kit	BOTH IP/OP	$349.00 	$258.26	$0.00	$279.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$259.03	$259.03	$269.01	$0.00	$72.73	$0.00	$0.00	$0.00	$0.00	$174.50	$276.41	$279.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011086	EAP	Custom 27011086		Chest Unit Drainage Pleur	BOTH IP/OP	$469.00 	$347.06	$0.00	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$348.09	$348.09	$361.51	$0.00	$97.74	$0.00	$0.00	$0.00	$0.00	$234.50	$371.45	$375.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011088	EAP	Custom 27011088		Coil 15-250 Micron (2vl/bx)	BOTH IP/OP	$477.00 	$352.98	$0.00	$381.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$354.03	$354.03	$367.67	$0.00	$99.41	$0.00	$0.00	$0.00	$0.00	$238.50	$377.78	$381.60	$0.00	$310.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$370.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$343.64	$343.64	$356.88	$0.00	$96.49	$0.00	$0.00	$0.00	$0.00	$231.50	$366.70	$370.40	$0.00	$300.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$307.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$285.00	$285.00	$295.99	$0.00	$80.03	$0.00	$0.00	$0.00	$0.00	$192.00	$304.13	$307.20	$0.00	$249.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$381.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$238.50	$377.78	$381.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$381.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$238.50	$377.78	$381.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$435.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$403.76	$403.76	$419.32	$0.00	$113.37	$0.00	$0.00	$0.00	$0.00	$272.00	$430.85	$435.20	$0.00	$353.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$982.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$911.42	$911.42	$946.54	$0.00	$255.92	$0.00	$0.00	$0.00	$0.00	$614.00	$972.58	$982.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011095	EAP	Custom 27011095		Connector Ureteral Catheter	BOTH IP/OP	$15.00 	$11.10	$0.00	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$58.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$159.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$0.00	$0.00	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$159.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$0.00	$0.00	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011106	EAP	Custom 27011106		Embolization 38-8-15	BOTH IP/OP	$194.00 	$143.56	$0.00	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011107	EAP	Custom 27011107		Embolization Coil 38-5-5	BOTH IP/OP	$194.00 	$143.56	$0.00	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011108	EAP	Custom 27011108		Embolization Coils 38-2-3	BOTH IP/OP	$194.00 	$143.56	$0.00	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011109	EAP	Custom 27011109		Embolization Coils 38-4-2	BOTH IP/OP	$194.00 	$143.56	$0.00	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011110	EAP	Custom 27011110		Embolization Coils 38-5-10	BOTH IP/OP	$194.00 	$143.56	$0.00	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.99	$143.99	$149.54	$0.00	$40.43	$0.00	$0.00	$0.00	$0.00	$97.00	$153.65	$155.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011111	EAP	Custom 27011111		Face Shields	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011112	EAP	Custom 27011112		Filling Station Plus (neuro)	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011113	EAP	Custom 27011113		Filter Jugular G-2	BOTH IP/OP	"$4,337.00 "	"$3,209.38"	$0.00	"$3,469.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$3,218.92"	"$3,218.92"	"$3,342.96"	$0.00	$903.83	$0.00	$0.00	$0.00	$0.00	"$2,168.50"	"$3,434.90"	"$3,469.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$304.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$282.04	$282.04	$292.90	$0.00	$79.19	$0.00	$0.00	$0.00	$0.00	$190.00	$300.96	$304.00	$0.00	$247.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$0.00	$0.00	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$0.00	$0.00	$0.00	$250.50	$396.79	$400.80	$0.00	$325.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$118.75	$118.75	$123.33	$0.00	$33.34	$0.00	$0.00	$0.00	$0.00	$80.00	$126.72	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,204.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,972.51"	"$2,972.51"	"$3,087.05"	$0.00	$834.64	$0.00	$0.00	$0.00	$0.00	"$2,002.50"	"$3,171.96"	"$3,204.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,628.80"	$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	"$2,268.00"	"$3,592.51"	"$3,628.80"	$0.00	$0.00	$0.00	$709.88	$0.00	$0.00	$722.13	$0.00	$0.00	$0.00	$0.00	$0.00
27011126	EAP	Custom 27011126		Inflation Device Monarch-25	BOTH IP/OP	$184.00 	$136.16	$0.00	$147.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.35	$0.00	$0.00	$0.00	$0.00	$92.00	$145.73	$147.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011127	EAP	Custom 27011127		Introducer Mpis-401	BOTH IP/OP	$94.00 	$69.56	$0.00	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$69.77	$69.77	$72.46	$0.00	$19.59	$0.00	$0.00	$0.00	$0.00	$47.00	$74.45	$75.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011128	EAP	Custom 27011128		Introducer Pinnacle 5fr 10cm	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$0.00	$0.00	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011131	EAP	Custom 27011131		Jcd 14.0-38-20	BOTH IP/OP	$51.00 	$37.74	$0.00	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$33.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$33.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$23.01	$23.01	$23.89	$0.00	$6.46	$0.00	$0.00	$0.00	$0.00	$15.50	$24.55	$24.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011134	EAP	Custom 27011134		Jcd 5.0-38-20	BOTH IP/OP	$17.00 	$12.58	$0.00	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$12.62	$12.62	$13.10	$0.00	$3.54	$0.00	$0.00	$0.00	$0.00	$8.50	$13.46	$13.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$23.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$33.40	$33.40	$34.69	$0.00	$9.38	$0.00	$0.00	$0.00	$0.00	$22.50	$35.64	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$33.40	$33.40	$34.69	$0.00	$9.38	$0.00	$0.00	$0.00	$0.00	$22.50	$35.64	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$40.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$37.85	$37.85	$39.31	$0.00	$10.63	$0.00	$0.00	$0.00	$0.00	$25.50	$40.39	$40.80	$0.00	$33.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$153.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$142.50	$142.50	$147.99	$0.00	$40.01	$0.00	$0.00	$0.00	$0.00	$96.00	$152.06	$153.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$132.11	$132.11	$137.20	$0.00	$37.10	$0.00	$0.00	$0.00	$0.00	$89.00	$140.98	$142.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011149	EAP	Custom 27011149		Kit Fallopian Tube	BOTH IP/OP	$349.00 	$258.26	$0.00	$279.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$259.03	$259.03	$269.01	$0.00	$72.73	$0.00	$0.00	$0.00	$0.00	$174.50	$276.41	$279.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011150	EAP	Custom 27011150		Kit Gastrostomy 18fr	BOTH IP/OP	$541.00 	$400.34	$0.00	$432.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$401.53	$401.53	$417.00	$0.00	$112.74	$0.00	$0.00	$0.00	$0.00	$270.50	$428.47	$432.80	$0.00	$351.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$0.00	$0.00	$0.00	$150.00	$237.60	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$56.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$52.70	$52.70	$54.73	$0.00	$14.80	$0.00	$0.00	$0.00	$0.00	$35.50	$56.23	$56.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011153	EAP	Custom 27011153		Kit Pressure Monitoring T	BOTH IP/OP	$163.00 	$120.62	$0.00	$130.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$120.98	$120.98	$125.64	$0.00	$33.97	$0.00	$0.00	$0.00	$0.00	$81.50	$129.10	$130.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011154	EAP	Custom 27011154		Kit Triple Lumen Catheter	BOTH IP/OP	$726.00 	$537.24	$0.00	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$538.84	$538.84	$559.60	$0.00	$151.30	$0.00	$0.00	$0.00	$0.00	$363.00	$574.99	$580.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011156	EAP	Custom 27011156		Lancet  Grady Orange	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011158	EAP	Custom 27011158		Line Connecting 48 Hp	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011160	EAP	Custom 27011160		Mask Sub-micron Small	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011162	EAP	Custom 27011162		Microsphere Embogold 500-700	BOTH IP/OP	$734.00 	$543.16	$0.00	$587.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$544.77	$544.77	$565.77	$0.00	$152.97	$0.00	$0.00	$0.00	$0.00	$367.00	$581.33	$587.20	$0.00	$477.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$587.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$544.77	$544.77	$565.77	$0.00	$152.97	$0.00	$0.00	$0.00	$0.00	$367.00	$581.33	$587.20	$0.00	$477.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,935.20"	$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	"$1,834.50"	"$2,905.85"	"$2,935.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011165	EAP	Custom 27011165		Needle Chiba 22ga X 15cm	BOTH IP/OP	$82.00 	$60.68	$0.00	$65.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$60.86	$60.86	$63.21	$0.00	$17.09	$0.00	$0.00	$0.00	$0.00	$41.00	$64.94	$65.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011169	EAP	Custom 27011169		Needle Port-cath 20ga X 1	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011172	EAP	Custom 27011172		Olcott Torque Device	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$42.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$863.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$800.83	$800.83	$831.69	$0.00	$224.86	$0.00	$0.00	$0.00	$0.00	$539.50	$854.57	$863.20	$0.00	$701.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$6,329.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$6,098.57"	$0.00	"$1,648.86"	$0.00	$0.00	$0.00	$0.00	"$3,956.00"	"$6,266.30"	"$6,329.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$856.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$794.15	$794.15	$824.76	$0.00	$222.99	$0.00	$0.00	$0.00	$0.00	$535.00	$847.44	$856.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$444.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$411.92	$411.92	$427.79	$0.00	$115.66	$0.00	$0.00	$0.00	$0.00	$277.50	$439.56	$444.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$104.80	$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	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011182	EAP	Custom 27011182		Recovery Cone Removal System	BOTH IP/OP	"$1,985.00 "	"$1,468.90"	$0.00	"$1,588.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,473.27"	"$1,473.27"	"$1,530.04"	$0.00	$413.67	$0.00	$0.00	$0.00	$0.00	$992.50	"$1,572.12"	"$1,588.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011184	EAP	Custom 27011184		Retention Device 12fr	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011185	EAP	Custom 27011185		Retention Device 8fr	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,123.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,042.05"	"$1,042.05"	"$1,082.20"	$0.00	$292.59	$0.00	$0.00	$0.00	$0.00	$702.00	"$1,111.97"	"$1,123.20"	$0.00	$912.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$101.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$94.26	$94.26	$97.89	$0.00	$26.47	$0.00	$0.00	$0.00	$0.00	$63.50	$100.58	$101.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,197.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,111.07"	"$1,111.07"	"$1,153.89"	$0.00	$311.97	$0.00	$0.00	$0.00	$0.00	$748.50	"$1,185.62"	"$1,197.60"	$0.00	$973.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011197	EAP	Custom 27011197		Set Blood Administration	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011198	EAP	Custom 27011198		Set Blood Adminstration	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$0.00	$0.00	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011199	EAP	Custom 27011199		Set Blood Adminstration	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,127.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,045.76"	"$1,045.76"	"$1,086.06"	$0.00	$293.64	$0.00	$0.00	$0.00	$0.00	$704.50	"$1,115.93"	"$1,127.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011201	EAP	Custom 27011201		Set Mediport Infusion W/i	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$0.00	$0.00	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011202	EAP	Custom 27011202		Set Neff Perc Access	BOTH IP/OP	$244.00 	$180.56	$0.00	$195.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$181.10	$181.10	$188.08	$0.00	$50.85	$0.00	$0.00	$0.00	$0.00	$122.00	$193.25	$195.20	$0.00	$158.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.66	$32.66	$33.92	$0.00	$9.17	$0.00	$0.00	$0.00	$0.00	$22.00	$34.85	$35.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011204	EAP	Custom 27011204		Set Scalp  Vein Infusion 21 G	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,884.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,675.63"	"$2,675.63"	"$2,778.73"	$0.00	$751.28	$0.00	$0.00	$0.00	$0.00	"$1,802.50"	"$2,855.16"	"$2,884.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,468.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,289.69"	"$2,289.69"	"$2,377.92"	$0.00	$642.91	$0.00	$0.00	$0.00	$0.00	"$1,542.50"	"$2,443.32"	"$2,468.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$188.52	$188.52	$195.78	$0.00	$52.93	$0.00	$0.00	$0.00	$0.00	$127.00	$201.17	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011215	EAP	HCPCS C1729		Skater Nephro Cath 8fr X 35cm	BOTH IP/OP	$288.00 	$213.12	$0.00	$230.40	$156.38	$156.38	$0.00	$0.00	$0.00	$60.03	$213.75	$213.75	$221.99	$0.00	$60.02	$0.00	$170.35	$170.35	$0.00	$144.00	$228.10	$230.40	$0.00	$187.20	$0.00	$45.07	$0.00	$0.00	$45.85	$0.00	$0.00	$0.00	$0.00	$0.00
27011216	EAP	Custom 27011216		Snare Amplatz 10mm	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$0.00	$0.00	$0.00	$458.00	$725.47	$732.80	$0.00	$595.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$732.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$0.00	$0.00	$0.00	$458.00	$725.47	$732.80	$0.00	$595.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$63.09	$63.09	$65.52	$0.00	$17.71	$0.00	$0.00	$0.00	$0.00	$42.50	$67.32	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$5,400.00"	"$3,037.50"	"$3,037.50"	$0.00	$0.00	$0.00	"$1,406.87"	"$4,181.12"	"$4,181.12"	"$5,202.90"	$0.00	"$1,406.70"	$0.00	"$3,327.75"	"$3,327.75"	$0.00	"$3,375.00"	"$5,346.00"	"$5,400.00"	$0.00	$0.00	$0.00	"$1,056.38"	$0.00	$0.00	"$1,074.60"	$0.00	$0.00	$0.00	$0.00	$0.00
27011228	EAP	Custom 27011228		Stent Luminex 12x60	BOTH IP/OP	"$3,986.00 "	"$2,949.64"	$0.00	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,958.41"	"$2,958.41"	"$3,072.41"	$0.00	$830.68	$0.00	$0.00	$0.00	$0.00	"$1,993.00"	"$3,156.91"	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011229	EAP	Custom 27011229		Stent Luminexx 7x30	BOTH IP/OP	"$3,986.00 "	"$2,949.64"	$0.00	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,958.41"	"$2,958.41"	"$3,072.41"	$0.00	$830.68	$0.00	$0.00	$0.00	$0.00	"$1,993.00"	"$3,156.91"	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011230	EAP	Custom 27011230		Stent Luminexx 7x40	BOTH IP/OP	"$3,986.00 "	"$2,949.64"	$0.00	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,958.41"	"$2,958.41"	"$3,072.41"	$0.00	$830.68	$0.00	$0.00	$0.00	$0.00	"$1,993.00"	"$3,156.91"	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011231	EAP	Custom 27011231		Stent Luminexx 8x40	BOTH IP/OP	"$3,986.00 "	"$2,949.64"	$0.00	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,958.41"	"$2,958.41"	"$3,072.41"	$0.00	$830.68	$0.00	$0.00	$0.00	$0.00	"$1,993.00"	"$3,156.91"	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011232	EAP	Custom 27011232		Stent Luminexx Stent 8x30	BOTH IP/OP	"$3,986.00 "	"$2,949.64"	$0.00	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,958.41"	"$2,958.41"	"$3,072.41"	$0.00	$830.68	$0.00	$0.00	$0.00	$0.00	"$1,993.00"	"$3,156.91"	"$3,188.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011233	EAP	Custom 27011233		Stiff Micropunture 5fr	BOTH IP/OP	$153.00 	$113.22	$0.00	$122.40	$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	$76.50	$121.18	$122.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011234	EAP	Custom 27011234		Stopcock 1-way Hp	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011236	EAP	Custom 27011236		Stopcock 3-way Hp	BOTH IP/OP	$20.00 	$14.80	$0.00	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.84	$14.84	$15.42	$0.00	$4.17	$0.00	$0.00	$0.00	$0.00	$10.00	$15.84	$16.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.99	$48.99	$50.87	$0.00	$13.75	$0.00	$0.00	$0.00	$0.00	$33.00	$52.27	$52.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011241	EAP	Custom 27011241		Threapulse Ii	BOTH IP/OP	$581.00 	$429.94	$0.00	$464.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$431.22	$431.22	$447.83	$0.00	$121.08	$0.00	$0.00	$0.00	$0.00	$290.50	$460.15	$464.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011242	EAP	Custom 27011242		Tray Catheter Urethral 14	BOTH IP/OP	$16.00 	$11.84	$0.00	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.88	$11.88	$12.33	$0.00	$3.33	$0.00	$0.00	$0.00	$0.00	$8.00	$12.67	$12.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011243	EAP	Custom 27011243		Tray Foley Perconnected 1	BOTH IP/OP	$52.00 	$38.48	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$38.59	$38.59	$40.08	$0.00	$10.84	$0.00	$0.00	$0.00	$0.00	$26.00	$41.18	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$200.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$0.00	$0.00	$0.00	$125.00	$198.00	$200.00	$0.00	$162.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$0.00	$0.00	$0.00	$34.00	$53.86	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011254	EAP	Custom 27011254		Tube Feeding Ng 8fr 36in Entr	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011255	EAP	Custom 27011255		Tube Gastrostomy 18fr	BOTH IP/OP	$80.00 	$59.20	$0.00	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$59.38	$59.38	$61.66	$0.00	$16.67	$0.00	$0.00	$0.00	$0.00	$40.00	$63.36	$64.00	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$60.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$0.00	$0.00	$0.00	$38.00	$60.19	$60.80	$0.00	$49.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$240.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$0.00	$0.00	$0.00	$150.00	$237.60	$240.00	$0.00	$195.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$0.00	$0.00	$0.00	$250.50	$396.79	$400.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011259	EAP	Custom 27011259		Tube Salem Silicone Size	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011260	EAP	Custom 27011260		Tube Salem Sump 48 Lengt	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011261	EAP	Custom 27011261		Tube Tj Feeding 18 Fr 45cm End	BOTH IP/OP	$651.00 	$481.74	$0.00	$520.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.17	$483.17	$501.79	$0.00	$135.67	$0.00	$0.00	$0.00	$0.00	$325.50	$515.59	$520.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011262	EAP	Custom 27011262		Tube Tj Feeding 22 Fr 45cm End	BOTH IP/OP	$651.00 	$481.74	$0.00	$520.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$483.17	$483.17	$501.79	$0.00	$135.67	$0.00	$0.00	$0.00	$0.00	$325.50	$515.59	$520.80	$0.00	$423.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$11.13	$11.13	$11.56	$0.00	$3.13	$0.00	$0.00	$0.00	$0.00	$7.50	$11.88	$12.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011267	EAP	Custom 27011267		Ultrasound Probe Covers	BOTH IP/OP	$46.00 	$34.04	$0.00	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$0.00	$0.00	$0.00	$23.00	$36.43	$36.80	$0.00	$29.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$975.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$904.74	$904.74	$939.61	$0.00	$254.04	$0.00	$0.00	$0.00	$0.00	$609.50	$965.45	$975.20	$0.00	$792.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$198.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$184.07	$184.07	$191.16	$0.00	$51.68	$0.00	$0.00	$0.00	$0.00	$124.00	$196.42	$198.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011302	EAP	Custom 27011302		Drsg Anti Sft Sil 8x20 20x50cm	BOTH IP/OP	$248.00 	$183.52	$0.00	$198.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$184.07	$184.07	$191.16	$0.00	$51.68	$0.00	$0.00	$0.00	$0.00	$124.00	$196.42	$198.40	$0.00	$161.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$88.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$82.38	$82.38	$85.56	$0.00	$23.13	$0.00	$0.00	$0.00	$0.00	$55.50	$87.91	$88.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011305	EAP	Custom 27011305		Drsng Anti Sft Sil 6x6 15x15cm	BOTH IP/OP	$63.00 	$46.62	$0.00	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011306	EAP	Custom 27011306		Drsng Anti Sft Sil 6x6 15x15cm	BOTH IP/OP	$63.00 	$46.62	$0.00	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011308	EAP	Custom 27011308		Drsng Anti Sft Sil 4x4 10x10cm	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011309	EAP	Custom 27011309		Drsng Anti Sft Sil 4x4 10x10cm	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$20.78	$20.78	$21.58	$0.00	$5.84	$0.00	$0.00	$0.00	$0.00	$14.00	$22.18	$22.40	$0.00	$18.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,935.20"	"$1,992.27"	"$1,992.27"	$0.00	$0.00	$0.00	$764.71	"$2,723.13"	"$2,723.13"	"$2,828.07"	$0.00	$764.62	$0.00	"$2,170.21"	"$2,170.21"	$0.00	"$1,834.50"	"$2,905.85"	"$2,935.20"	$0.00	$0.00	$0.00	$574.20	$0.00	$0.00	$584.10	$0.00	$0.00	$0.00	$0.00	$0.00
27011320	EAP	Custom 27011320		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011323	EAP	Custom 27011323		Jcd 9.0-38-20	BOTH IP/OP	$42.00 	$31.08	$0.00	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$133.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$83.50	$132.26	$133.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011326	EAP	Custom 27011326		Tubes Salem Sump 48 Leng	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011327	EAP	Custom 27011327		Jcd 9.0-38-20	BOTH IP/OP	$42.00 	$31.08	$0.00	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$200.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$186.29	$186.29	$193.47	$0.00	$52.31	$0.00	$0.00	$0.00	$0.00	$125.50	$198.79	$200.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011410	EAP	Custom 27011410		Tube Trach #8 Dct	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011411	EAP	Custom 27011411		Tube Trache 8-dcfs	BOTH IP/OP	$126.00 	$93.24	$0.00	$100.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$93.52	$93.52	$97.12	$0.00	$26.26	$0.00	$0.00	$0.00	$0.00	$63.00	$99.79	$100.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011413	EAP	Custom 27011413		Bag Resusitator Adult	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$0.00	$0.00	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27011421	EAP	Custom 27011421		Blade On Titanium Lopro S3	BOTH IP/OP	$95.00 	$70.30	$0.00	$76.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$70.51	$70.51	$73.23	$0.00	$19.80	$0.00	$0.00	$0.00	$0.00	$47.50	$75.24	$76.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$76.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$70.51	$70.51	$73.23	$0.00	$19.80	$0.00	$0.00	$0.00	$0.00	$47.50	$75.24	$76.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,500.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,391.63"	"$1,391.63"	"$1,445.25"	$0.00	$390.75	$0.00	$0.00	$0.00	$0.00	$937.50	"$1,485.00"	"$1,500.00"	$0.00	"$1,218.75"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$400.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.10	$371.10	$385.40	$0.00	$104.20	$0.00	$0.00	$0.00	$0.00	$250.00	$396.00	$400.00	$0.00	$325.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$179.20	$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	$112.00	$177.41	$179.20	$0.00	$0.00	$0.00	$35.06	$0.00	$0.00	$35.66	$0.00	$0.00	$0.00	$0.00	$0.00
27011427	EAP	HCPCS A4649		Medihoney Dressing 1.5oz Tube	BOTH IP/OP	$28.00 	$20.72	$0.00	$22.40	$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	$14.00	$22.18	$22.40	$0.00	$0.00	$0.00	$4.38	$0.00	$0.00	$4.46	$0.00	$0.00	$0.00	$0.00	$0.00
27011428	EAP			Tube Gstrm 12fr 10cm 5-7ml Entuit Bln Rtnt	BOTH IP/OP	$90.00 	$66.60	$0.00	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$58.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$58.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$58.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,004.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$931.46	$931.46	$967.35	$0.00	$261.54	$0.00	$0.00	$0.00	$0.00	$627.50	$993.96	"$1,004.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$560.80	$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	$350.50	$555.19	$560.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
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	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$46.76	$46.76	$48.56	$0.00	$13.13	$0.00	$0.00	$0.00	$0.00	$31.50	$49.90	$50.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27100021	EAP	Custom 27100021		Pad Gel Hypo-hyperthermia Large	BOTH IP/OP	"$2,481.00 "	"$1,835.94"	$0.00	"$1,984.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,841.40"	"$1,841.40"	"$1,912.35"	$0.00	$517.04	$0.00	$0.00	$0.00	$0.00	"$1,240.50"	"$1,964.95"	"$1,984.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27100022	EAP	HCPCS A4467		POSTERIOR ELBOW SPLINT	BOTH IP/OP	$112.00 	$82.88	$0.00	$89.60	$60.82	$60.82	$0.00	$0.00	$0.00	$0.00	$83.13	$83.13	$86.33	$0.00	$23.34	$0.00	$0.00	$0.00	$0.00	$56.00	$88.70	$89.60	$0.00	$72.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27100023	EAP	Custom 27100023		Mölnlycke Z-flo Fluidized Positioner Pad	BOTH IP/OP	$122.00 	$90.28	$0.00	$97.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$90.55	$90.55	$94.04	$0.00	$25.42	$0.00	$0.00	$0.00	$0.00	$61.00	$96.62	$97.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$21.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.50	$21.38	$21.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$430.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$399.30	$399.30	$414.69	$0.00	$112.12	$0.00	$0.00	$0.00	$0.00	$269.00	$426.10	$430.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200003	EAP	Custom 27200003		Chest Unit Drainage Pleur	BOTH IP/OP	$76.00 	$56.24	$0.00	$60.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$0.00	$0.00	$0.00	$38.00	$60.19	$60.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200008	EAP	HCPCS C1769		.014 Nitrex Guidewire	BOTH IP/OP	"$1,295.00 "	$958.30	$0.00	"$1,036.00"	$703.19	$703.19	$0.00	$0.00	$0.00	$269.91	$961.15	$961.15	$998.19	$0.00	$269.88	$0.00	$765.99	$765.99	$0.00	$647.50	"$1,025.64"	"$1,036.00"	$0.00	$0.00	$0.00	$202.67	$0.00	$0.00	$206.16	$0.00	$0.00	$0.00	$0.00	$0.00
27200011	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$11.70	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27200019	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$3.26	$3.26	$0.00	$0.00	$0.00	$1.25	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$3.55	$3.55	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.94	$0.00	$0.00	$0.96	$0.00	$0.00	$0.00	$0.00	$0.00
27200021	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$36.00 	$26.64	$0.00	$28.80	$19.55	$19.55	$0.00	$0.00	$0.00	$7.50	$26.72	$26.72	$27.75	$0.00	$7.50	$0.00	$21.29	$21.29	$0.00	$18.00	$28.51	$28.80	$0.00	$0.00	$0.00	$5.63	$0.00	$0.00	$5.73	$0.00	$0.00	$0.00	$0.00	$0.00
27200024	EAP	HCPCS C1729		Catheter Foley 3cc 10 Fr	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200025	EAP	HCPCS C1729		Catheter Foley 5cc 12fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27200026	EAP	Custom 27200026		Dress Sofsorb Absorb Buttoc Sm	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200027	EAP	Custom 27200027		Dress Sofsorb Absorb Butto Lg	BOTH IP/OP	$97.00 	$71.78	$0.00	$77.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$71.99	$71.99	$74.77	$0.00	$20.21	$0.00	$0.00	$0.00	$0.00	$48.50	$76.82	$77.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$30.43	$30.43	$31.60	$0.00	$8.54	$0.00	$0.00	$0.00	$0.00	$20.50	$32.47	$32.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200029	EAP	Custom 27200029		Dress Sofsorb Absors Chest Ilg	BOTH IP/OP	$41.00 	$30.34	$0.00	$32.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$30.43	$30.43	$31.60	$0.00	$8.54	$0.00	$0.00	$0.00	$0.00	$20.50	$32.47	$32.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200030	EAP	Custom 27200030		Dress Sofsorb Absorb Xl Chest	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$0.00	$0.00	$0.00	$20.00	$31.68	$32.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$127.20	$86.34	$86.34	$0.00	$0.00	$0.00	$33.14	$118.01	$118.01	$122.56	$0.00	$33.14	$0.00	$94.05	$94.05	$0.00	$79.50	$125.93	$127.20	$0.00	$0.00	$0.00	$24.88	$0.00	$0.00	$25.31	$0.00	$0.00	$0.00	$0.00	$0.00
27200035	EAP	HCPCS C1751		Femoral Arterial Line Cath Kit	BOTH IP/OP	$873.00 	$646.02	$0.00	$698.40	$474.04	$474.04	$0.00	$0.00	$0.00	$181.96	$647.94	$647.94	$672.91	$0.00	$181.93	$0.00	$516.38	$516.38	$0.00	$436.50	$691.42	$698.40	$0.00	$0.00	$0.00	$136.62	$0.00	$0.00	$138.98	$0.00	$0.00	$0.00	$0.00	$0.00
27200040	EAP	Custom 27200040		Kit Transducer Monitoring	BOTH IP/OP	$145.00 	$107.30	$0.00	$116.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$107.62	$107.62	$111.77	$0.00	$30.22	$0.00	$0.00	$0.00	$0.00	$72.50	$114.84	$116.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.16	$80.16	$83.25	$0.00	$22.51	$0.00	$0.00	$0.00	$0.00	$54.00	$85.54	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200043	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$3.26	$3.26	$0.00	$0.00	$0.00	$1.25	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$3.55	$3.55	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.94	$0.00	$0.00	$0.96	$0.00	$0.00	$0.00	$0.00	$0.00
27200045	EAP	Custom 27200045		Paracentesis Tray	BOTH IP/OP	$214.00 	$158.36	$0.00	$171.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$158.83	$158.83	$164.95	$0.00	$44.60	$0.00	$0.00	$0.00	$0.00	$107.00	$169.49	$171.20	$0.00	$139.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$872.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$809.74	$809.74	$840.94	$0.00	$227.36	$0.00	$0.00	$0.00	$0.00	$545.50	$864.07	$872.80	$0.00	$709.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,844.80"	"$1,930.91"	"$1,930.91"	$0.00	$0.00	$0.00	$741.16	"$2,639.26"	"$2,639.26"	"$2,740.96"	$0.00	$741.07	$0.00	"$2,103.37"	"$2,103.37"	$0.00	"$1,778.00"	"$2,816.35"	"$2,844.80"	$0.00	$0.00	$0.00	$556.51	$0.00	$0.00	$566.12	$0.00	$0.00	$0.00	$0.00	$0.00
27200049	EAP	HCPCS C1769		Jagtomes Rx Cannulating Sphinc	BOTH IP/OP	"$1,255.00 "	$928.70	$0.00	"$1,004.00"	$681.47	$681.47	$0.00	$0.00	$0.00	$261.57	$931.46	$931.46	$967.35	$0.00	$261.54	$0.00	$742.33	$742.33	$0.00	$627.50	$993.96	"$1,004.00"	$0.00	$815.75	$0.00	$196.41	$0.00	$0.00	$199.80	$0.00	$0.00	$0.00	$0.00	$0.00
27200050	EAP	Custom 27200050		Extractor Balloon	BOTH IP/OP	"$1,388.00 "	"$1,027.12"	$0.00	"$1,110.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,030.17"	"$1,030.17"	"$1,069.87"	$0.00	$289.26	$0.00	$0.00	$0.00	$0.00	$694.00	"$1,099.30"	"$1,110.40"	$0.00	$902.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,810.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,679.60"	"$1,679.60"	"$1,744.32"	$0.00	$471.61	$0.00	$0.00	$0.00	$0.00	"$1,131.50"	"$1,792.30"	"$1,810.40"	$0.00	"$1,470.95"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$7,754.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$7,471.36"	$0.00	"$2,020.02"	$0.00	$0.00	$0.00	$0.00	"$4,846.50"	"$7,676.86"	"$7,754.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200053	EAP	Custom 27200053		Esophageal Stent	BOTH IP/OP	"$11,672.00 "	"$8,637.28"	$0.00	"$9,337.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$8,996.78"	$0.00	"$2,432.44"	$0.00	$0.00	$0.00	$0.00	"$5,836.00"	"$9,244.22"	"$9,337.60"	$0.00	"$7,586.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,943.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,470.77"	$0.00	"$3,371.70"	$0.00	$0.00	$0.00	$0.00	"$8,089.50"	"$12,813.77"	"$12,943.20"	$0.00	"$10,516.35"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,218.40"	$826.99	$826.99	$0.00	$0.00	$0.00	$317.43	"$1,130.37"	"$1,130.37"	"$1,173.93"	$0.00	$317.39	$0.00	$900.85	$900.85	$0.00	$761.50	"$1,206.22"	"$1,218.40"	$0.00	$989.95	$0.00	$238.35	$0.00	$0.00	$242.46	$0.00	$0.00	$0.00	$0.00	$0.00
27200056	EAP	Custom 27200056		Esophageal/pyloric Balloon Dil	BOTH IP/OP	"$1,750.00 "	"$1,295.00"	$0.00	"$1,400.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,298.85"	"$1,298.85"	"$1,348.90"	$0.00	$364.70	$0.00	$0.00	$0.00	$0.00	$875.00	"$1,386.00"	"$1,400.00"	$0.00	"$1,137.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,400.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,298.85"	"$1,298.85"	"$1,348.90"	$0.00	$364.70	$0.00	$0.00	$0.00	$0.00	$875.00	"$1,386.00"	"$1,400.00"	$0.00	"$1,137.50"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$0.00	$0.00	$0.00	$29.50	$46.73	$47.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200060	EAP	Custom 27200060		Venous Port - Maintenance	BOTH IP/OP	$184.00 	$136.16	$0.00	$147.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$136.56	$136.56	$141.83	$0.00	$38.35	$0.00	$0.00	$0.00	$0.00	$92.00	$145.73	$147.20	$0.00	$119.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200061	EAP	Custom 27200061		Dressing	BOTH IP/OP	$42.00 	$31.08	$0.00	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$164.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$152.89	$152.89	$158.78	$0.00	$42.93	$0.00	$0.00	$0.00	$0.00	$103.00	$163.15	$164.80	$0.00	$133.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$169.22	$169.22	$175.74	$0.00	$47.52	$0.00	$0.00	$0.00	$0.00	$114.00	$180.58	$182.40	$0.00	$148.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$154.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$143.24	$143.24	$148.76	$0.00	$40.22	$0.00	$0.00	$0.00	$0.00	$96.50	$152.86	$154.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200065	EAP	Custom 27200065		Splint Supply	BOTH IP/OP	$64.00 	$47.36	$0.00	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200066	EAP	Custom 27200066		Nephrostomy Bag	BOTH IP/OP	$299.00 	$221.26	$0.00	$239.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$221.92	$221.92	$230.47	$0.00	$62.31	$0.00	$0.00	$0.00	$0.00	$149.50	$236.81	$239.20	$0.00	$194.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200069	EAP	Custom 27200069		Leg Bag	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$0.00	$0.00	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$252.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$233.79	$233.79	$242.80	$0.00	$65.65	$0.00	$0.00	$0.00	$0.00	$157.50	$249.48	$252.00	$0.00	$204.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$12.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$177.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$164.77	$164.77	$171.12	$0.00	$46.26	$0.00	$0.00	$0.00	$0.00	$111.00	$175.82	$177.60	$0.00	$144.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$311.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$288.72	$288.72	$299.84	$0.00	$81.07	$0.00	$0.00	$0.00	$0.00	$194.50	$308.09	$311.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200080	EAP	Custom 27200080		"Injection, Iv, Antibiotic"	BOTH IP/OP	$214.00 	$158.36	$0.00	$171.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$158.83	$158.83	$164.95	$0.00	$44.60	$0.00	$0.00	$0.00	$0.00	$107.00	$169.49	$171.20	$0.00	$139.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$153.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$142.50	$142.50	$147.99	$0.00	$40.01	$0.00	$0.00	$0.00	$0.00	$96.00	$152.06	$153.60	$0.00	$124.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.52	$0.00	$0.00	$0.00	$0.00	$114.00	$180.58	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200084	EAP	Custom 27200084		Emerg Infus Catheter	BOTH IP/OP	$264.00 	$195.36	$0.00	$211.20	$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	$132.00	$209.09	$211.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200085	EAP	Custom 27200085		"Ett, Laser"	BOTH IP/OP	$897.00 	$663.78	$0.00	$717.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$665.75	$665.75	$691.41	$0.00	$186.93	$0.00	$0.00	$0.00	$0.00	$448.50	$710.42	$717.60	$0.00	$583.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$94.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$87.58	$87.58	$90.95	$0.00	$24.59	$0.00	$0.00	$0.00	$0.00	$59.00	$93.46	$94.40	$0.00	$76.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$289.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$268.68	$268.68	$279.03	$0.00	$75.44	$0.00	$0.00	$0.00	$0.00	$181.00	$286.70	$289.60	$0.00	$235.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$110.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$102.42	$102.42	$106.37	$0.00	$28.76	$0.00	$0.00	$0.00	$0.00	$69.00	$109.30	$110.40	$0.00	$89.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.64	$176.64	$183.45	$0.00	$49.60	$0.00	$0.00	$0.00	$0.00	$119.00	$188.50	$190.40	$0.00	$154.70	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$532.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$494.31	$494.31	$513.35	$0.00	$138.79	$0.00	$0.00	$0.00	$0.00	$333.00	$527.47	$532.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200092	EAP	HCPCS C1751		Cvp Kit Triple Lumen	BOTH IP/OP	$569.00 	$421.06	$0.00	$455.20	$308.97	$308.97	$0.00	$0.00	$0.00	$118.59	$422.31	$422.31	$438.59	$0.00	$118.58	$0.00	$336.56	$336.56	$0.00	$284.50	$450.65	$455.20	$0.00	$369.85	$0.00	$89.05	$0.00	$0.00	$90.58	$0.00	$0.00	$0.00	$0.00	$0.00
27200093	EAP	HCPCS C1756		Swan Ganz Cath-bipolar Pacing	BOTH IP/OP	"$1,225.00 "	$906.50	$0.00	$980.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$909.20	$909.20	$944.23	$0.00	$255.29	$0.00	$0.00	$0.00	$0.00	$612.50	$970.20	$980.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,927.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,787.96"	"$1,787.96"	"$1,856.86"	$0.00	$502.04	$0.00	$0.00	$0.00	$0.00	"$1,204.50"	"$1,907.93"	"$1,927.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200096	EAP	Custom 27200096		Adult Iv Set-up	BOTH IP/OP	$26.00 	$19.24	$0.00	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$19.30	$19.30	$20.04	$0.00	$5.42	$0.00	$0.00	$0.00	$0.00	$13.00	$20.59	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200097	EAP	Custom 27200097		"Ett, Endotrol/mlt"	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.64	$176.64	$183.45	$0.00	$49.60	$0.00	$0.00	$0.00	$0.00	$119.00	$188.50	$190.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200099	EAP	HCPCS C1756		Swan Paceport Cath	BOTH IP/OP	$634.00 	$469.16	$0.00	$507.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$470.55	$470.55	$488.69	$0.00	$132.13	$0.00	$0.00	$0.00	$0.00	$317.00	$502.13	$507.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200100	EAP	Custom 27200100		Cvp Kit Triple Lumen	BOTH IP/OP	$141.00 	$104.34	$0.00	$112.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$104.65	$104.65	$108.68	$0.00	$29.38	$0.00	$0.00	$0.00	$0.00	$70.50	$111.67	$112.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200101	EAP	HCPCS C1756		Swan Bipolar	BOTH IP/OP	"$1,225.00 "	$906.50	$0.00	$980.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$909.20	$909.20	$944.23	$0.00	$255.29	$0.00	$0.00	$0.00	$0.00	$612.50	$970.20	$980.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,927.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,787.96"	"$1,787.96"	"$1,856.86"	$0.00	$502.04	$0.00	$0.00	$0.00	$0.00	"$1,204.50"	"$1,907.93"	"$1,927.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200104	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$20.09	$20.09	$0.00	$0.00	$0.00	$7.71	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$21.89	$21.89	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$5.79	$0.00	$0.00	$5.89	$0.00	$0.00	$0.00	$0.00	$0.00
27200107	EAP	HCPCS L8680		Implt Neurostim Elctr Each	BOTH IP/OP	"$1,605.00 "	"$1,187.70"	$0.00	"$1,284.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,191.23"	"$1,191.23"	"$1,237.13"	$0.00	$334.48	$0.00	$0.00	$0.00	$0.00	$802.50	"$1,271.16"	"$1,284.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$65.31	$65.31	$67.83	$0.00	$18.34	$0.00	$0.00	$0.00	$0.00	$44.00	$69.70	$70.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200109	EAP	Custom 27200109		Epidural Tray	BOTH IP/OP	$160.00 	$118.40	$0.00	$128.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$118.75	$118.75	$123.33	$0.00	$33.34	$0.00	$0.00	$0.00	$0.00	$80.00	$126.72	$128.00	$0.00	$104.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$0.00	$0.00	$0.00	$23.00	$36.43	$36.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200111	EAP	Custom 27200111		O2 Therapy-ea 8 Hrs	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$0.00	$0.00	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$389.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$361.45	$361.45	$375.38	$0.00	$101.49	$0.00	$0.00	$0.00	$0.00	$243.50	$385.70	$389.60	$0.00	$316.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$352.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$326.57	$326.57	$339.15	$0.00	$91.70	$0.00	$0.00	$0.00	$0.00	$220.00	$348.48	$352.00	$0.00	$286.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$339.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$314.69	$314.69	$326.82	$0.00	$88.36	$0.00	$0.00	$0.00	$0.00	$212.00	$335.81	$339.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200116	EAP	Custom 27200116		Mdi Spacer	BOTH IP/OP	$192.00 	$142.08	$0.00	$153.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$142.50	$142.50	$147.99	$0.00	$40.01	$0.00	$0.00	$0.00	$0.00	$96.00	$152.06	$153.60	$0.00	$124.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$255.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$236.76	$236.76	$245.89	$0.00	$66.48	$0.00	$0.00	$0.00	$0.00	$159.50	$252.65	$255.20	$0.00	$207.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$107.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$99.45	$99.45	$103.29	$0.00	$27.93	$0.00	$0.00	$0.00	$0.00	$67.00	$106.13	$107.20	$0.00	$87.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$20.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$19.30	$19.30	$20.04	$0.00	$5.42	$0.00	$0.00	$0.00	$0.00	$13.00	$20.59	$20.80	$0.00	$16.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$400.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$371.10	$371.10	$385.40	$0.00	$104.20	$0.00	$0.00	$0.00	$0.00	$250.00	$396.00	$400.00	$0.00	$325.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$36.37	$36.37	$37.77	$0.00	$10.21	$0.00	$0.00	$0.00	$0.00	$24.50	$38.81	$39.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200125	EAP	Custom 27200125		Sleep Apnea Supply Kit	BOTH IP/OP	"$1,443.00 "	"$1,067.82"	$0.00	"$1,154.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,070.99"	"$1,070.99"	"$1,112.26"	$0.00	$300.72	$0.00	$0.00	$0.00	$0.00	$721.50	"$1,142.86"	"$1,154.40"	$0.00	$937.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$67.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$62.34	$62.34	$64.75	$0.00	$17.51	$0.00	$0.00	$0.00	$0.00	$42.00	$66.53	$67.20	$0.00	$54.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$301.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$279.81	$279.81	$290.59	$0.00	$78.57	$0.00	$0.00	$0.00	$0.00	$188.50	$298.58	$301.60	$0.00	$245.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$301.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$279.81	$279.81	$290.59	$0.00	$78.57	$0.00	$0.00	$0.00	$0.00	$188.50	$298.58	$301.60	$0.00	$245.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$268.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$248.64	$248.64	$258.22	$0.00	$69.81	$0.00	$0.00	$0.00	$0.00	$167.50	$265.32	$268.00	$0.00	$217.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$273.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$253.83	$253.83	$263.61	$0.00	$71.27	$0.00	$0.00	$0.00	$0.00	$171.00	$270.86	$273.60	$0.00	$222.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$260.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$241.96	$241.96	$251.28	$0.00	$67.94	$0.00	$0.00	$0.00	$0.00	$163.00	$258.19	$260.80	$0.00	$211.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$692.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$642.75	$642.75	$667.51	$0.00	$180.47	$0.00	$0.00	$0.00	$0.00	$433.00	$685.87	$692.80	$0.00	$562.90	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$757.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$702.86	$702.86	$729.95	$0.00	$197.35	$0.00	$0.00	$0.00	$0.00	$473.50	$750.02	$757.60	$0.00	$615.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$443.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$411.18	$411.18	$427.02	$0.00	$115.45	$0.00	$0.00	$0.00	$0.00	$277.00	$438.77	$443.20	$0.00	$360.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,236.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,146.70"	"$1,146.70"	"$1,190.89"	$0.00	$321.98	$0.00	$0.00	$0.00	$0.00	$772.50	"$1,223.64"	"$1,236.00"	$0.00	"$1,004.25"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$233.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$216.72	$216.72	$225.07	$0.00	$60.85	$0.00	$0.00	$0.00	$0.00	$146.00	$231.26	$233.60	$0.00	$189.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$338.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$313.95	$313.95	$326.05	$0.00	$88.15	$0.00	$0.00	$0.00	$0.00	$211.50	$335.02	$338.40	$0.00	$274.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$792.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$734.78	$734.78	$763.09	$0.00	$206.32	$0.00	$0.00	$0.00	$0.00	$495.00	$784.08	$792.00	$0.00	$643.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$89.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$83.13	$83.13	$86.33	$0.00	$23.34	$0.00	$0.00	$0.00	$0.00	$56.00	$88.70	$89.60	$0.00	$72.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$43.20	$29.32	$29.32	$0.00	$0.00	$0.00	$11.25	$40.08	$40.08	$41.62	$0.00	$11.25	$0.00	$31.94	$31.94	$0.00	$27.00	$42.77	$43.20	$0.00	$35.10	$0.00	$8.45	$0.00	$0.00	$8.60	$0.00	$0.00	$0.00	$0.00	$0.00
27200145	EAP	Custom 27200145		Air Vest-disposable	BOTH IP/OP	$675.00 	$499.50	$0.00	$540.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$500.99	$500.99	$520.29	$0.00	$140.67	$0.00	$0.00	$0.00	$0.00	$337.50	$534.60	$540.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,008.80"	"$1,363.47"	"$1,363.47"	$0.00	$0.00	$0.00	$523.36	"$1,863.66"	"$1,863.66"	"$1,935.48"	$0.00	$523.29	$0.00	"$1,485.26"	"$1,485.26"	$0.00	"$1,255.50"	"$1,988.71"	"$2,008.80"	$0.00	$0.00	$0.00	$392.97	$0.00	$0.00	$399.75	$0.00	$0.00	$0.00	$0.00	$0.00
27200150	EAP	Custom 27200150		Pericardiocentesis Kit	BOTH IP/OP	$591.00 	$437.34	$0.00	$472.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$438.64	$438.64	$455.54	$0.00	$123.16	$0.00	$0.00	$0.00	$0.00	$295.50	$468.07	$472.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200151	EAP	HCPCS C1769		Choice Pt X-support Guidewire	BOTH IP/OP	$605.00 	$447.70	$0.00	$484.00	$328.52	$328.52	$0.00	$0.00	$0.00	$126.10	$449.03	$449.03	$466.33	$0.00	$126.08	$0.00	$357.86	$357.86	$0.00	$302.50	$479.16	$484.00	$0.00	$393.25	$0.00	$94.68	$0.00	$0.00	$96.32	$0.00	$0.00	$0.00	$0.00	$0.00
27200152	EAP	HCPCS C1769		Choice Pt Guidewire	BOTH IP/OP	$605.00 	$447.70	$0.00	$484.00	$328.52	$328.52	$0.00	$0.00	$0.00	$126.10	$449.03	$449.03	$466.33	$0.00	$126.08	$0.00	$357.86	$357.86	$0.00	$302.50	$479.16	$484.00	$0.00	$393.25	$0.00	$94.68	$0.00	$0.00	$96.32	$0.00	$0.00	$0.00	$0.00	$0.00
27200153	EAP	HCPCS C1769		Glidewire .035 150cm  Angled	BOTH IP/OP	$118.00 	$87.32	$0.00	$94.40	$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	$59.00	$93.46	$94.40	$0.00	$0.00	$0.00	$18.47	$0.00	$0.00	$18.79	$0.00	$0.00	$0.00	$0.00	$0.00
27200154	EAP	HCPCS C1892		Custom Left Heart Kit W/transd	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$37.47	$37.47	$0.00	$0.00	$0.00	$14.38	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$40.81	$40.81	$0.00	$34.50	$54.65	$55.20	$0.00	$44.85	$0.00	$10.80	$0.00	$0.00	$10.98	$0.00	$0.00	$0.00	$0.00	$0.00
27200155	EAP	HCPCS C1892		Custom Right Heart Kit W/trans	BOTH IP/OP	$47.00 	$34.78	$0.00	$37.60	$25.52	$25.52	$0.00	$0.00	$0.00	$9.80	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$27.80	$27.80	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$7.36	$0.00	$0.00	$7.48	$0.00	$0.00	$0.00	$0.00	$0.00
27200156	EAP	HCPCS C2629		Micropuncture Set	BOTH IP/OP	$102.00 	$75.48	$0.00	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$21.26	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$60.33	$60.33	$0.00	$51.00	$80.78	$81.60	$0.00	$66.30	$0.00	$15.96	$0.00	$0.00	$16.24	$0.00	$0.00	$0.00	$0.00	$0.00
27200157	EAP	HCPCS C1769		.025 X 260CM 7CM EMERALD GUIDEWIRE	BOTH IP/OP	$21.00 	$15.54	$0.00	$16.80	$11.40	$11.40	$0.00	$0.00	$0.00	$4.38	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$12.42	$12.42	$0.00	$10.50	$16.63	$16.80	$0.00	$13.65	$0.00	$3.29	$0.00	$0.00	$3.34	$0.00	$0.00	$0.00	$0.00	$0.00
27200158	EAP	HCPCS C1887		6fr Al 1 St Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200159	EAP	HCPCS C1887		6fr Ar 2 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200160	EAP	HCPCS C1894		6fr - 10cm  Avanti + Sheath In	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200161	EAP	HCPCS C1887		6fr Jl4 St Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200162	EAP	HCPCS C1887		6fr Mpa-1 Guiding Cath	BOTH IP/OP	$189.00 	$139.86	$0.00	$151.20	$102.63	$102.63	$0.00	$0.00	$0.00	$39.39	$140.28	$140.28	$145.68	$0.00	$39.39	$0.00	$111.79	$111.79	$0.00	$94.50	$149.69	$151.20	$0.00	$122.85	$0.00	$29.58	$0.00	$0.00	$30.09	$0.00	$0.00	$0.00	$0.00	$0.00
27200163	EAP	HCPCS C1887		6ft Jr 4 St Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200164	EAP	HCPCS C1887		7fr Ar 1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200165	EAP	HCPCS C1887		7fr Jr 3.5 Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200166	EAP	HCPCS C1887		7fr H-stick Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200167	EAP	HCPCS C1887		7fr Jl5 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200168	EAP	HCPCS C1887		7fr Jr 4 St Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200169	EAP	HCPCS C1887		7fr Jr 5 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200170	EAP	HCPCS C1887		7fr Mpa-1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200171	EAP	HCPCS C1887		7fr Xb 3.5 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200172	EAP	HCPCS C1887		7fr Xb 3.0 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200173	EAP	HCPCS C1887		7fr Al 1 St Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200174	EAP	HCPCS C1887		7fr Al 2 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200175	EAP	HCPCS C1887		7fr Jr 4 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200176	EAP	HCPCS C1887		7fr Im Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$117.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200177	EAP	HCPCS C1887		6fr Ar 1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200178	EAP	HCPCS C1887		6fr Jl4 Sh Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200179	EAP	HCPCS C1887		6fr Jr 4 Sh Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200180	EAP	HCPCS C1769		.035 X 260CM 3CM  EMERALD GUIDEWIRE	BOTH IP/OP	$22.00 	$16.28	$0.00	$17.60	$11.95	$11.95	$0.00	$0.00	$0.00	$4.59	$16.33	$16.33	$16.96	$0.00	$4.58	$0.00	$13.01	$13.01	$0.00	$11.00	$17.42	$17.60	$0.00	$14.30	$0.00	$3.44	$0.00	$0.00	$3.50	$0.00	$0.00	$0.00	$0.00	$0.00
27200181	EAP	HCPCS C1887		6fr Xb 3 Sh Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200182	EAP	HCPCS C1887		7fr Xb 3.5 Sh Guilding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200183	EAP	HCPCS C1887		6fr Xb 3.5 Sh Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200184	EAP	HCPCS C1769		.035 X 150CM 3CM EMERALD GUIDEWIRE	BOTH IP/OP	$22.00 	$16.28	$0.00	$17.60	$11.95	$11.95	$0.00	$0.00	$0.00	$4.59	$16.33	$16.33	$16.96	$0.00	$4.58	$0.00	$13.01	$13.01	$0.00	$11.00	$17.42	$17.60	$0.00	$14.30	$0.00	$3.44	$0.00	$0.00	$3.50	$0.00	$0.00	$0.00	$0.00	$0.00
27200185	EAP	HCPCS C1887		7fr Jl4 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200186	EAP	HCPCS C1887		7fr Jl4 Sh Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200187	EAP	HCPCS C1887		7fr Xb 4.0 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200188	EAP	HCPCS C1887		7fr Jr 4 Sh Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200189	EAP	HCPCS C1887		7fr Ar 1 Sh Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200190	EAP	HCPCS C1887		6fr Al 1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200191	EAP	HCPCS C1887		6fr Xb 4.0 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200192	EAP	HCPCS C1887		7fr Al 1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200193	EAP	HCPCS C1887		6fr Jl4 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$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	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200194	EAP	HCPCS C1887		6fr Jr 4 Guiding Cath	BOTH IP/OP	$189.00 	$139.86	$0.00	$151.20	$102.63	$102.63	$0.00	$0.00	$0.00	$39.39	$140.28	$140.28	$145.68	$0.00	$39.39	$0.00	$111.79	$111.79	$0.00	$94.50	$149.69	$151.20	$0.00	$122.85	$0.00	$29.58	$0.00	$0.00	$30.09	$0.00	$0.00	$0.00	$0.00	$0.00
27200195	EAP	HCPCS C1887		6fr Xb 3 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200196	EAP	HCPCS C1887		6fr Xb 3.5 Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200197	EAP	HCPCS C1887		6fr H-stick Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200198	EAP	HCPCS C1887		6fr Jl3.5 Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$117.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200199	EAP	HCPCS C1887		6fr Jr 3.5 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200200	EAP	HCPCS C1887		6fr Al .75 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200201	EAP	HCPCS C1887		7fr Al .75 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200202	EAP	HCPCS C1894		7fr - 10cm Avanti + Sheath Int	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200203	EAP	HCPCS C1894		8fr - 10cm Avanti + Sheath Int	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200204	EAP	HCPCS C1769		.025 X 150cm Emerald Guidewire	BOTH IP/OP	$21.00 	$15.54	$0.00	$16.80	$11.40	$11.40	$0.00	$0.00	$0.00	$4.38	$15.59	$15.59	$16.19	$0.00	$4.38	$0.00	$12.42	$12.42	$0.00	$10.50	$16.63	$16.80	$0.00	$13.65	$0.00	$3.29	$0.00	$0.00	$3.34	$0.00	$0.00	$0.00	$0.00	$0.00
27200205	EAP	HCPCS C1769		300cm Balanced Middleweight (b	BOTH IP/OP	$288.00 	$213.12	$0.00	$230.40	$156.38	$156.38	$0.00	$0.00	$0.00	$60.03	$213.75	$213.75	$221.99	$0.00	$60.02	$0.00	$170.35	$170.35	$0.00	$144.00	$228.10	$230.40	$0.00	$0.00	$0.00	$45.07	$0.00	$0.00	$45.85	$0.00	$0.00	$0.00	$0.00	$0.00
27200206	EAP	HCPCS C1769		Amplatz Guidewire Super Stiff	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$47.24	$47.24	$0.00	$0.00	$0.00	$18.13	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$51.46	$51.46	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$13.62	$0.00	$0.00	$13.85	$0.00	$0.00	$0.00	$0.00	$0.00
27200207	EAP	HCPCS C1751		7fr-100cm Swan-ganz Td Cathete	BOTH IP/OP	$189.00 	$139.86	$0.00	$151.20	$102.63	$102.63	$0.00	$0.00	$0.00	$39.39	$140.28	$140.28	$145.68	$0.00	$39.39	$0.00	$111.79	$111.79	$0.00	$94.50	$149.69	$151.20	$0.00	$122.85	$0.00	$29.58	$0.00	$0.00	$30.09	$0.00	$0.00	$0.00	$0.00	$0.00
27200208	EAP	HCPCS C1894		5fr - 10cm Avanti+sheath Intro	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$18.46	$18.46	$0.00	$0.00	$0.00	$7.09	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$20.11	$20.11	$0.00	$17.00	$26.93	$27.20	$0.00	$0.00	$0.00	$5.32	$0.00	$0.00	$5.41	$0.00	$0.00	$0.00	$0.00	$0.00
27200209	EAP	HCPCS C1887		7fr Jl4 St Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200214	EAP	HCPCS C1884		Filter Wire Ex-300cm	BOTH IP/OP	"$5,361.00 "	"$3,967.14"	$0.00	"$4,288.80"	"$2,911.02"	"$2,911.02"	$0.00	$0.00	$0.00	"$1,117.37"	"$3,978.93"	"$3,978.93"	"$4,132.26"	$0.00	"$1,117.23"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$2,680.50"	"$4,245.91"	"$4,288.80"	$0.00	"$3,484.65"	$0.00	$839.00	$0.00	$0.00	$853.47	$0.00	$0.00	$0.00	$0.00	$0.00
27200215	EAP	HCPCS C1727		2.50 X 15mm Cutting Balloon	BOTH IP/OP	"$2,869.00 "	"$2,123.06"	$0.00	"$2,295.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,129.37"	"$2,129.37"	"$2,211.43"	$0.00	$597.90	$0.00	$0.00	$0.00	$0.00	"$1,434.50"	"$2,272.25"	"$2,295.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200216	EAP	HCPCS C1727		2.50 X 10cm Cutting Balloon	BOTH IP/OP	"$2,869.00 "	"$2,123.06"	$0.00	"$2,295.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,129.37"	"$2,129.37"	"$2,211.43"	$0.00	$597.90	$0.00	$0.00	$0.00	$0.00	"$1,434.50"	"$2,272.25"	"$2,295.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200218	EAP	HCPCS C1757		.014-145cm Export Catheter	BOTH IP/OP	"$1,865.00 "	"$1,380.10"	$0.00	"$1,492.00"	"$1,012.70"	"$1,012.70"	$0.00	$0.00	$0.00	$388.71	"$1,384.20"	"$1,384.20"	"$1,437.54"	$0.00	$388.67	$0.00	"$1,103.15"	"$1,103.15"	$0.00	$932.50	"$1,477.08"	"$1,492.00"	$0.00	"$1,212.25"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$472.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$438.64	$438.64	$455.54	$0.00	$123.16	$0.00	$0.00	$0.00	$0.00	$295.50	$468.07	$472.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200220	EAP	HCPCS C1727		"Balloon Cutting Ultra Tube, 2."	BOTH IP/OP	"$2,574.00 "	"$1,904.76"	$0.00	"$2,059.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,910.42"	"$1,910.42"	"$1,984.04"	$0.00	$536.42	$0.00	$0.00	$0.00	$0.00	"$1,287.00"	"$2,038.61"	"$2,059.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200226	EAP	HCPCS C1725		4.00 X 15mm Voyager Rx Balloon	BOTH IP/OP	$699.00 	$517.26	$0.00	$559.20	$379.56	$379.56	$0.00	$0.00	$0.00	$145.69	$518.80	$518.80	$538.79	$0.00	$145.67	$0.00	$413.46	$413.46	$0.00	$349.50	$553.61	$559.20	$0.00	$0.00	$0.00	$109.39	$0.00	$0.00	$111.28	$0.00	$0.00	$0.00	$0.00	$0.00
27200227	EAP	HCPCS C1769		190cm All-star Guidewire	BOTH IP/OP	$288.00 	$213.12	$0.00	$230.40	$156.38	$156.38	$0.00	$0.00	$0.00	$60.03	$213.75	$213.75	$221.99	$0.00	$60.02	$0.00	$170.35	$170.35	$0.00	$144.00	$228.10	$230.40	$0.00	$0.00	$0.00	$45.07	$0.00	$0.00	$45.85	$0.00	$0.00	$0.00	$0.00	$0.00
27200228	EAP	HCPCS C1769		Choice X-support Guidewire	BOTH IP/OP	$605.00 	$447.70	$0.00	$484.00	$328.52	$328.52	$0.00	$0.00	$0.00	$126.10	$449.03	$449.03	$466.33	$0.00	$126.08	$0.00	$357.86	$357.86	$0.00	$302.50	$479.16	$484.00	$0.00	$0.00	$0.00	$94.68	$0.00	$0.00	$96.32	$0.00	$0.00	$0.00	$0.00	$0.00
27200229	EAP	HCPCS C1769		Choice Standard Guidewire	BOTH IP/OP	$605.00 	$447.70	$0.00	$484.00	$328.52	$328.52	$0.00	$0.00	$0.00	$126.10	$449.03	$449.03	$466.33	$0.00	$126.08	$0.00	$357.86	$357.86	$0.00	$302.50	$479.16	$484.00	$0.00	$0.00	$0.00	$94.68	$0.00	$0.00	$96.32	$0.00	$0.00	$0.00	$0.00	$0.00
27200230	EAP	HCPCS C1887		7fr Xb 3.0 Sh Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$0.00	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200231	EAP	HCPCS C1887		6fr Al 2 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200238	EAP	HCPCS C1887		7fr Ar 2 Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200239	EAP	HCPCS C1887		7fr Jl3.5 Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200247	EAP	HCPCS C1887		7fr Lcb Guiding Cath	BOTH IP/OP	$199.00 	$147.26	$0.00	$159.20	$108.06	$108.06	$0.00	$0.00	$0.00	$41.48	$147.70	$147.70	$153.39	$0.00	$41.47	$0.00	$117.71	$117.71	$0.00	$99.50	$157.61	$159.20	$0.00	$129.35	$0.00	$31.14	$0.00	$0.00	$31.68	$0.00	$0.00	$0.00	$0.00	$0.00
27200248	EAP	HCPCS C1887		7fr Jr 4 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200249	EAP	HCPCS C1887		7fr Ar 1 Guiding Cath	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200250	EAP	HCPCS C1769		"Glide Wire,.035 Straight"	BOTH IP/OP	$112.00 	$82.88	$0.00	$89.60	$60.82	$60.82	$0.00	$0.00	$0.00	$23.34	$83.13	$83.13	$86.33	$0.00	$23.34	$0.00	$66.25	$66.25	$0.00	$56.00	$88.70	$89.60	$0.00	$72.80	$0.00	$17.53	$0.00	$0.00	$17.83	$0.00	$0.00	$0.00	$0.00	$0.00
27200251	EAP	HCPCS C1887		6fr Mpa- 1 Guiding Cath	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200252	EAP	HCPCS C1769		190cm J Tip Bmw Guidewire	BOTH IP/OP	$348.00 	$257.52	$0.00	$278.40	$188.96	$188.96	$0.00	$0.00	$0.00	$72.53	$258.29	$258.29	$268.24	$0.00	$72.52	$0.00	$205.84	$205.84	$0.00	$174.00	$275.62	$278.40	$0.00	$226.20	$0.00	$54.46	$0.00	$0.00	$55.40	$0.00	$0.00	$0.00	$0.00	$0.00
27200253	EAP	HCPCS C1726		12frx28mmx70cm Inoue Balloon	BOTH IP/OP	"$19,725.00 "	"$14,596.50"	$0.00	"$15,780.00"	"$10,710.68"	"$10,710.68"	$0.00	$0.00	$0.00	"$4,111.18"	"$4,181.12"	"$4,181.12"	"$15,204.03"	$0.00	"$4,110.69"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$9,862.50"	"$15,622.20"	"$15,780.00"	$0.00	$0.00	$0.00	"$3,086.96"	$0.00	$0.00	"$3,140.22"	$0.00	$0.00	$0.00	$0.00	$0.00
27200254	EAP	HCPCS C1887		6fr H Stick Sh Guiding Cathete	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200255	EAP	HCPCS C1887		6fr Al 1 Sh Guiding Catheter	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200256	EAP	HCPCS C1887		6fr Al 2 Sh Guiding Catheter	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$0.00	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200257	EAP	HCPCS C1725		2.0 X 9mm Maverick Monorail	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$0.00	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27200258	EAP	HCPCS C1725		2.5 X 9mm Maverick Monorail	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$0.00	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27200259	EAP	HCPCS C1725		3.0 X 9mm Maverick Monorail	BOTH IP/OP	$872.00 	$645.28	$0.00	$697.60	$473.50	$473.50	$0.00	$0.00	$0.00	$181.75	$647.20	$647.20	$672.14	$0.00	$181.72	$0.00	$515.79	$515.79	$0.00	$436.00	$690.62	$697.60	$0.00	$0.00	$0.00	$136.47	$0.00	$0.00	$138.82	$0.00	$0.00	$0.00	$0.00	$0.00
27200283	EAP	HCPCS C1769		Hi-torque Pilot 50 Guide Wire	BOTH IP/OP	$302.00 	$223.48	$0.00	$241.60	$163.99	$163.99	$0.00	$0.00	$0.00	$62.94	$224.14	$224.14	$232.78	$0.00	$62.94	$0.00	$178.63	$178.63	$0.00	$151.00	$239.18	$241.60	$0.00	$196.30	$0.00	$47.26	$0.00	$0.00	$48.08	$0.00	$0.00	$0.00	$0.00	$0.00
27200285	EAP	HCPCS C1769		Doc Guide Wire Extension	BOTH IP/OP	$324.00 	$239.76	$0.00	$259.20	$175.93	$175.93	$0.00	$0.00	$0.00	$67.53	$240.47	$240.47	$249.74	$0.00	$67.52	$0.00	$191.65	$191.65	$0.00	$162.00	$256.61	$259.20	$0.00	$210.60	$0.00	$50.71	$0.00	$0.00	$51.58	$0.00	$0.00	$0.00	$0.00	$0.00
27200292	EAP	HCPCS C1725		1.5 X 6 Sprinter Balloon	BOTH IP/OP	$853.00 	$631.22	$0.00	$682.40	$463.18	$463.18	$0.00	$0.00	$0.00	$177.79	$633.10	$633.10	$657.49	$0.00	$177.77	$0.00	$504.55	$504.55	$0.00	$426.50	$675.58	$682.40	$0.00	$0.00	$0.00	$133.49	$0.00	$0.00	$135.80	$0.00	$0.00	$0.00	$0.00	$0.00
27200294	EAP	HCPCS C1751		7fr Wedge Pressure Cath	BOTH IP/OP	$153.00 	$113.22	$0.00	$122.40	$83.08	$83.08	$0.00	$0.00	$0.00	$31.89	$113.56	$113.56	$117.93	$0.00	$31.89	$0.00	$90.50	$90.50	$0.00	$76.50	$121.18	$122.40	$0.00	$99.45	$0.00	$23.94	$0.00	$0.00	$24.36	$0.00	$0.00	$0.00	$0.00	$0.00
27200295	EAP	Custom 27200295		Cardiac Cath Pack	BOTH IP/OP	$190.00 	$140.60	$0.00	$152.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$141.02	$141.02	$146.45	$0.00	$39.60	$0.00	$0.00	$0.00	$0.00	$95.00	$150.48	$152.00	$0.00	$123.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$5.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$5.20	$5.20	$5.40	$0.00	$1.46	$0.00	$0.00	$0.00	$0.00	$3.50	$5.54	$5.60	$0.00	$4.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$169.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$106.00	$167.90	$169.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$30.40	$20.63	$20.63	$0.00	$0.00	$0.00	$7.92	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$22.48	$22.48	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$5.95	$0.00	$0.00	$6.05	$0.00	$0.00	$0.00	$0.00	$0.00
27200299	EAP	HCPCS C1893		6fr - 10cm Pinnacle Introducer	BOTH IP/OP	$40.00 	$29.60	$0.00	$32.00	$21.72	$21.72	$0.00	$0.00	$0.00	$8.34	$29.69	$29.69	$30.83	$0.00	$8.34	$0.00	$23.66	$23.66	$0.00	$20.00	$31.68	$32.00	$0.00	$26.00	$0.00	$6.26	$0.00	$0.00	$6.37	$0.00	$0.00	$0.00	$0.00	$0.00
27200300	EAP	HCPCS C1893		7fr - 10cm Pinnacle Introducer	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$20.63	$20.63	$0.00	$0.00	$0.00	$7.92	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$22.48	$22.48	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$5.95	$0.00	$0.00	$6.05	$0.00	$0.00	$0.00	$0.00	$0.00
27200301	EAP	HCPCS C1893		8fr - 10cm Pinnacle Introducer	BOTH IP/OP	$38.00 	$28.12	$0.00	$30.40	$20.63	$20.63	$0.00	$0.00	$0.00	$7.92	$28.20	$28.20	$29.29	$0.00	$7.92	$0.00	$22.48	$22.48	$0.00	$19.00	$30.10	$30.40	$0.00	$0.00	$0.00	$5.95	$0.00	$0.00	$6.05	$0.00	$0.00	$0.00	$0.00	$0.00
27200302	EAP	HCPCS C1893		6fr - 25cm Pinnacle Introducer	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$37.47	$37.47	$0.00	$0.00	$0.00	$14.38	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$40.81	$40.81	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$10.80	$0.00	$0.00	$10.98	$0.00	$0.00	$0.00	$0.00	$0.00
27200303	EAP	HCPCS C1893		7fr - 25cm Pinnacle Introducer	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$37.47	$37.47	$0.00	$0.00	$0.00	$14.38	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$40.81	$40.81	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$10.80	$0.00	$0.00	$10.98	$0.00	$0.00	$0.00	$0.00	$0.00
27200304	EAP	HCPCS C1893		8fr - 25cm Pinnacle Introducer	BOTH IP/OP	$69.00 	$51.06	$0.00	$55.20	$37.47	$37.47	$0.00	$0.00	$0.00	$14.38	$51.21	$51.21	$53.19	$0.00	$14.38	$0.00	$40.81	$40.81	$0.00	$34.50	$54.65	$55.20	$0.00	$0.00	$0.00	$10.80	$0.00	$0.00	$10.98	$0.00	$0.00	$0.00	$0.00	$0.00
27200305	EAP	HCPCS C1887		6fr Ebu 3.0 Guiding Catheter	BOTH IP/OP	$189.00 	$139.86	$0.00	$151.20	$102.63	$102.63	$0.00	$0.00	$0.00	$39.39	$140.28	$140.28	$145.68	$0.00	$39.39	$0.00	$111.79	$111.79	$0.00	$94.50	$149.69	$151.20	$0.00	$122.85	$0.00	$29.58	$0.00	$0.00	$30.09	$0.00	$0.00	$0.00	$0.00	$0.00
27200306	EAP	HCPCS C1887		6fr Ebu 3.5 Guiding Catheter	BOTH IP/OP	$169.00 	$125.06	$0.00	$135.20	$91.77	$91.77	$0.00	$0.00	$0.00	$35.22	$125.43	$125.43	$130.27	$0.00	$35.22	$0.00	$99.96	$99.96	$0.00	$84.50	$133.85	$135.20	$0.00	$109.85	$0.00	$26.45	$0.00	$0.00	$26.90	$0.00	$0.00	$0.00	$0.00	$0.00
27200307	EAP	HCPCS C1887		6fr Ebu 4.0 Guiding Catheter	BOTH IP/OP	$169.00 	$125.06	$0.00	$135.20	$91.77	$91.77	$0.00	$0.00	$0.00	$35.22	$125.43	$125.43	$130.27	$0.00	$35.22	$0.00	$99.96	$99.96	$0.00	$84.50	$133.85	$135.20	$0.00	$109.85	$0.00	$26.45	$0.00	$0.00	$26.90	$0.00	$0.00	$0.00	$0.00	$0.00
27200308	EAP	HCPCS C1887		7fr Ebu 3.0 Guiding Catheter	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200309	EAP	HCPCS C1887		7fr Ebu 3.5 Guiding Catheter	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200310	EAP	HCPCS C1887		7fr Ebu 4.0 Guiding Catheter	BOTH IP/OP	$161.00 	$119.14	$0.00	$128.80	$87.42	$87.42	$0.00	$0.00	$0.00	$33.56	$119.49	$119.49	$124.10	$0.00	$33.55	$0.00	$95.23	$95.23	$0.00	$80.50	$127.51	$128.80	$0.00	$104.65	$0.00	$25.20	$0.00	$0.00	$25.63	$0.00	$0.00	$0.00	$0.00	$0.00
27200311	EAP	HCPCS C1887		8fr Ebu 3.5 Guiding Catheter	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200312	EAP	HCPCS C1887		8fr Ebu 4.0 Guiding Catheter	BOTH IP/OP	$180.00 	$133.20	$0.00	$144.00	$97.74	$97.74	$0.00	$0.00	$0.00	$37.52	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$106.47	$106.47	$0.00	$90.00	$142.56	$144.00	$0.00	$0.00	$0.00	$28.17	$0.00	$0.00	$28.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200313	EAP	HCPCS C1727		3.0 X 10cm Cutting Balloon Otw	BOTH IP/OP	$986.00 	$729.64	$0.00	$788.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$731.81	$731.81	$760.01	$0.00	$205.48	$0.00	$0.00	$0.00	$0.00	$493.00	$780.91	$788.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200314	EAP	HCPCS C1757		7fr Export Xt Catheter	BOTH IP/OP	"$2,850.00 "	"$2,109.00"	$0.00	"$2,280.00"	"$1,547.55"	"$1,547.55"	$0.00	$0.00	$0.00	$594.01	"$2,115.27"	"$2,115.27"	"$2,196.78"	$0.00	$593.94	$0.00	"$1,685.78"	"$1,685.78"	$0.00	"$1,425.00"	"$2,257.20"	"$2,280.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$552.80	$375.21	$375.21	$0.00	$0.00	$0.00	$144.02	$512.86	$512.86	$532.62	$0.00	$144.00	$0.00	$408.73	$408.73	$0.00	$345.50	$547.27	$552.80	$0.00	$449.15	$0.00	$108.14	$0.00	$0.00	$110.01	$0.00	$0.00	$0.00	$0.00	$0.00
27200316	EAP	HCPCS C1769		.014 - 300cm Asahi Soft Wire	BOTH IP/OP	$268.00 	$198.32	$0.00	$214.40	$145.52	$145.52	$0.00	$0.00	$0.00	$55.86	$198.91	$198.91	$206.57	$0.00	$55.85	$0.00	$158.52	$158.52	$0.00	$134.00	$212.26	$214.40	$0.00	$0.00	$0.00	$41.94	$0.00	$0.00	$42.67	$0.00	$0.00	$0.00	$0.00	$0.00
27200317	EAP	HCPCS C1769		.014 - 300cm Whisper Ms	BOTH IP/OP	$331.00 	$244.94	$0.00	$264.80	$179.73	$179.73	$0.00	$0.00	$0.00	$68.99	$245.67	$245.67	$255.13	$0.00	$68.98	$0.00	$195.79	$195.79	$0.00	$165.50	$262.15	$264.80	$0.00	$0.00	$0.00	$51.80	$0.00	$0.00	$52.70	$0.00	$0.00	$0.00	$0.00	$0.00
27200318	EAP	HCPCS C1769		.014 - 300cm All-star Wire	BOTH IP/OP	$307.00 	$227.18	$0.00	$245.60	$166.70	$166.70	$0.00	$0.00	$0.00	$63.99	$227.86	$227.86	$236.64	$0.00	$63.98	$0.00	$181.59	$181.59	$0.00	$153.50	$243.14	$245.60	$0.00	$199.55	$0.00	$48.05	$0.00	$0.00	$48.87	$0.00	$0.00	$0.00	$0.00	$0.00
27200319	EAP	HCPCS C1753		Eagle Eye Coronary Imaging Cat	BOTH IP/OP	"$2,449.00 "	"$1,812.26"	$0.00	"$1,959.20"	"$1,329.81"	"$1,329.81"	$0.00	$0.00	$0.00	$510.43	"$1,817.65"	"$1,817.65"	"$1,887.69"	$0.00	$510.37	$0.00	"$1,448.58"	"$1,448.58"	$0.00	"$1,224.50"	"$1,939.61"	"$1,959.20"	$0.00	"$1,591.85"	$0.00	$383.27	$0.00	$0.00	$389.88	$0.00	$0.00	$0.00	$0.00	$0.00
27200320	EAP	Custom 27200320		Primewire	BOTH IP/OP	"$2,332.00 "	"$1,725.68"	$0.00	"$1,865.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,730.81"	"$1,730.81"	"$1,797.51"	$0.00	$485.99	$0.00	$0.00	$0.00	$0.00	"$1,166.00"	"$1,846.94"	"$1,865.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$199.20	$135.21	$135.21	$0.00	$0.00	$0.00	$51.90	$184.81	$184.81	$191.93	$0.00	$51.89	$0.00	$147.28	$147.28	$0.00	$124.50	$197.21	$199.20	$0.00	$0.00	$0.00	$38.97	$0.00	$0.00	$39.64	$0.00	$0.00	$0.00	$0.00	$0.00
27200322	EAP	Custom 27200322		Platinum Plus St .018 Guidewir	BOTH IP/OP	$288.00 	$213.12	$0.00	$230.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$213.75	$213.75	$221.99	$0.00	$60.02	$0.00	$0.00	$0.00	$0.00	$144.00	$228.10	$230.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200323	EAP	Custom 27200323		Platinum Plus St .014 Guidewir	BOTH IP/OP	$288.00 	$213.12	$0.00	$230.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$213.75	$213.75	$221.99	$0.00	$60.02	$0.00	$0.00	$0.00	$0.00	$144.00	$228.10	$230.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200324	EAP	Custom 27200324		V-18 Control Wire	BOTH IP/OP	$340.00 	$251.60	$0.00	$272.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$252.35	$252.35	$262.07	$0.00	$70.86	$0.00	$0.00	$0.00	$0.00	$170.00	$269.28	$272.00	$0.00	$221.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200329	EAP	Custom 27200329		14fr Sheath Introducer	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$507.20	$344.26	$344.26	$0.00	$0.00	$0.00	$132.14	$470.55	$470.55	$488.69	$0.00	$132.13	$0.00	$375.01	$375.01	$0.00	$317.00	$502.13	$507.20	$0.00	$412.10	$0.00	$99.22	$0.00	$0.00	$100.93	$0.00	$0.00	$0.00	$0.00	$0.00
27200373	EAP	HCPCS C1726		Catheter Baldilat 12 Atm 1.5mm 142cm 12mm Rapex	BOTH IP/OP	$413.00 	$305.62	$0.00	$330.40	$224.26	$224.26	$0.00	$0.00	$0.00	$86.08	$306.53	$306.53	$318.34	$0.00	$86.07	$0.00	$244.29	$244.29	$0.00	$206.50	$327.10	$330.40	$0.00	$268.45	$0.00	$64.63	$0.00	$0.00	$65.75	$0.00	$0.00	$0.00	$0.00	$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	$330.40	$224.26	$224.26	$0.00	$0.00	$0.00	$86.08	$306.53	$306.53	$318.34	$0.00	$86.07	$0.00	$244.29	$244.29	$0.00	$206.50	$327.10	$330.40	$0.00	$268.45	$0.00	$64.63	$0.00	$0.00	$65.75	$0.00	$0.00	$0.00	$0.00	$0.00
27200382	EAP	HCPCS C1726		Sprinter Legend Balloon Rx 3.0	BOTH IP/OP	$569.00 	$421.06	$0.00	$455.20	$308.97	$308.97	$0.00	$0.00	$0.00	$118.59	$422.31	$422.31	$438.59	$0.00	$118.58	$0.00	$336.56	$336.56	$0.00	$284.50	$450.65	$455.20	$0.00	$0.00	$0.00	$89.05	$0.00	$0.00	$90.58	$0.00	$0.00	$0.00	$0.00	$0.00
27200406	EAP	HCPCS C1726		Sprinter Nc Balloon Rx 3.50x06	BOTH IP/OP	$627.00 	$463.98	$0.00	$501.60	$340.46	$340.46	$0.00	$0.00	$0.00	$130.68	$465.36	$465.36	$483.29	$0.00	$130.67	$0.00	$370.87	$370.87	$0.00	$313.50	$496.58	$501.60	$0.00	$0.00	$0.00	$98.13	$0.00	$0.00	$99.82	$0.00	$0.00	$0.00	$0.00	$0.00
27200408	EAP	HCPCS C1726		Sprinter Nc Balloon Rx 3.50x12	BOTH IP/OP	$627.00 	$463.98	$0.00	$501.60	$340.46	$340.46	$0.00	$0.00	$0.00	$130.68	$465.36	$465.36	$483.29	$0.00	$130.67	$0.00	$370.87	$370.87	$0.00	$313.50	$496.58	$501.60	$0.00	$0.00	$0.00	$98.13	$0.00	$0.00	$99.82	$0.00	$0.00	$0.00	$0.00	$0.00
27200417	EAP	HCPCS C1726		Sprinter Nc Balloon Rx 4.00x15	BOTH IP/OP	$627.00 	$463.98	$0.00	$501.60	$340.46	$340.46	$0.00	$0.00	$0.00	$130.68	$465.36	$465.36	$483.29	$0.00	$130.67	$0.00	$370.87	$370.87	$0.00	$313.50	$496.58	$501.60	$0.00	$0.00	$0.00	$98.13	$0.00	$0.00	$99.82	$0.00	$0.00	$0.00	$0.00	$0.00
27200422	EAP	Custom 27200422		Spacer (mdi)	BOTH IP/OP	$215.00 	$159.10	$0.00	$172.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$159.57	$159.57	$165.72	$0.00	$44.81	$0.00	$0.00	$0.00	$0.00	$107.50	$170.28	$172.00	$0.00	$139.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$194.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$180.35	$180.35	$187.30	$0.00	$50.64	$0.00	$0.00	$0.00	$0.00	$121.50	$192.46	$194.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200425	EAP	Custom 27200425		"Catheterization Kit, Straight"	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$0.00	$0.00	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$2.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$2.23	$2.23	$2.31	$0.00	$0.63	$0.00	$0.00	$0.00	$0.00	$1.50	$2.38	$2.40	$0.00	$1.95	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$73.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$68.28	$68.28	$70.91	$0.00	$19.17	$0.00	$0.00	$0.00	$0.00	$46.00	$72.86	$73.60	$0.00	$59.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$125.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$116.53	$116.53	$121.02	$0.00	$32.72	$0.00	$0.00	$0.00	$0.00	$78.50	$124.34	$125.60	$0.00	$102.05	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$41.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$144.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$133.60	$133.60	$138.74	$0.00	$37.51	$0.00	$0.00	$0.00	$0.00	$90.00	$142.56	$144.00	$0.00	$117.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200433	EAP	Custom 27200433		Karmen Cannula	BOTH IP/OP	"$1,131.00 "	$836.94	$0.00	$904.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$839.43	$839.43	$871.77	$0.00	$235.70	$0.00	$0.00	$0.00	$0.00	$565.50	$895.75	$904.80	$0.00	$735.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$86.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$80.16	$80.16	$83.25	$0.00	$22.51	$0.00	$0.00	$0.00	$0.00	$54.00	$85.54	$86.40	$0.00	$70.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$0.00	$0.00	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200436	EAP	Custom 27200436		"Pouch, Urostomy Opaque"	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$33.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$31.17	$31.17	$32.37	$0.00	$8.75	$0.00	$0.00	$0.00	$0.00	$21.00	$33.26	$33.60	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$160.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$149.18	$149.18	$154.93	$0.00	$41.89	$0.00	$0.00	$0.00	$0.00	$100.50	$159.19	$160.80	$0.00	$130.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$165.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$153.64	$153.64	$159.56	$0.00	$43.14	$0.00	$0.00	$0.00	$0.00	$103.50	$163.94	$165.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$41.56	$41.56	$43.16	$0.00	$11.67	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$36.40	$0.00	$8.76	$0.00	$0.00	$8.92	$0.00	$0.00	$0.00	$0.00	$0.00
27200441	EAP	Custom 27200441		Mini Pouch	BOTH IP/OP	$56.00 	$41.44	$0.00	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$41.56	$41.56	$43.16	$0.00	$11.67	$0.00	$0.00	$0.00	$0.00	$28.00	$44.35	$44.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200442	EAP	Custom 27200442		Wound Pouch Med.	BOTH IP/OP	$68.00 	$50.32	$0.00	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$0.00	$0.00	$0.00	$34.00	$53.86	$54.40	$0.00	$44.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$54.40	$36.92	$36.92	$0.00	$0.00	$0.00	$14.17	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$40.22	$40.22	$0.00	$34.00	$53.86	$54.40	$0.00	$44.20	$0.00	$10.64	$0.00	$0.00	$10.83	$0.00	$0.00	$0.00	$0.00	$0.00
27200444	EAP	Custom 27200444		Drain Tube Attachment	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$0.00	$0.00	$0.00	$5.00	$7.92	$8.00	$0.00	$6.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$60.80	$41.27	$41.27	$0.00	$0.00	$0.00	$15.84	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$44.95	$44.95	$0.00	$38.00	$60.19	$60.80	$0.00	$0.00	$0.00	$11.89	$0.00	$0.00	$12.10	$0.00	$0.00	$0.00	$0.00	$0.00
27200447	EAP	HCPCS A4455		"Uni-solve Wipes,adhes. Remover"	BOTH IP/OP	$103.00 	$76.22	$0.00	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$76.45	$76.45	$79.39	$0.00	$21.47	$0.00	$0.00	$0.00	$0.00	$51.50	$81.58	$82.40	$0.00	$66.95	$0.00	$16.12	$0.00	$0.00	$16.40	$0.00	$0.00	$0.00	$0.00	$0.00
27200448	EAP	HCPCS A6197		Alginate Dressing>16<= 48 Sq In	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$0.00	$0.00	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200449	EAP	Custom 27200449		Ace Wrap Supply	BOTH IP/OP	$34.00 	$25.16	$0.00	$27.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$25.23	$25.23	$26.21	$0.00	$7.09	$0.00	$0.00	$0.00	$0.00	$17.00	$26.93	$27.20	$0.00	$22.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$8,443.20"	"$5,730.82"	"$5,730.82"	$0.00	$0.00	$0.00	"$2,199.72"	"$4,181.12"	"$4,181.12"	"$8,135.02"	$0.00	"$2,199.45"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$5,277.00"	"$8,358.77"	"$8,443.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200452	EAP	HCPCS C1757		Catheter 6fr X 65 Cm 9mm Cleaner Sterile	BOTH IP/OP	"$1,756.00 "	"$1,299.44"	$0.00	"$1,404.80"	$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	$878.00	"$1,390.75"	"$1,404.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200453	EAP	HCPCS C1757		Catheter 6fr X 135 Cm 9mm Cleaner Sterile	BOTH IP/OP	"$2,351.00 "	"$1,739.74"	$0.00	"$1,880.80"	$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	"$1,175.50"	"$1,861.99"	"$1,880.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200454	EAP	HCPCS C1757		Catheter 7 Fr X 65 Cm 9mm Cleaner Sterile	BOTH IP/OP	"$2,143.00 "	"$1,585.82"	$0.00	"$1,714.40"	$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	"$1,071.50"	"$1,697.26"	"$1,714.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200455	EAP	HCPCS C1757		Catheter 7fr X 135 Cm 9mm Cleaner Sterile	BOTH IP/OP	"$2,660.00 "	"$1,968.40"	$0.00	"$2,128.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,330.00"	"$2,106.72"	"$2,128.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$468.00	$0.00	$0.00	$0.00	$0.00	$0.00	$121.93	$434.19	$434.19	$450.92	$0.00	$121.91	$0.00	$346.03	$346.03	$0.00	$292.50	$463.32	$468.00	$0.00	$380.25	$0.00	$91.55	$0.00	$0.00	$93.13	$0.00	$0.00	$0.00	$0.00	$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	$199.20	$135.21	$135.21	$0.00	$0.00	$0.00	$51.90	$184.81	$184.81	$191.93	$0.00	$51.89	$0.00	$147.28	$147.28	$0.00	$124.50	$197.21	$199.20	$0.00	$161.85	$0.00	$38.97	$0.00	$0.00	$39.64	$0.00	$0.00	$0.00	$0.00	$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	$208.00	$141.18	$141.18	$0.00	$0.00	$0.00	$54.19	$192.97	$192.97	$200.41	$0.00	$54.18	$0.00	$153.79	$153.79	$0.00	$130.00	$205.92	$208.00	$0.00	$169.00	$0.00	$40.69	$0.00	$0.00	$41.39	$0.00	$0.00	$0.00	$0.00	$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	$208.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$130.00	$205.92	$208.00	$0.00	$0.00	$0.00	$40.69	$0.00	$0.00	$41.39	$0.00	$0.00	$0.00	$0.00	$0.00
27200460	EAP	HCPCS C1894		Micro Microintruducer 7cm 5.0fr Flecura Guidewire	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$21.18	$21.18	$0.00	$0.00	$0.00	$8.13	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$23.07	$23.07	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$6.10	$0.00	$0.00	$6.21	$0.00	$0.00	$0.00	$0.00	$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	$256.00	$173.76	$173.76	$0.00	$0.00	$0.00	$66.70	$237.50	$237.50	$246.66	$0.00	$66.69	$0.00	$189.28	$189.28	$0.00	$160.00	$253.44	$256.00	$0.00	$0.00	$0.00	$50.08	$0.00	$0.00	$50.94	$0.00	$0.00	$0.00	$0.00	$0.00
27200462	EAP	HCPCS C1887		Sheath Guid 65cm 6fr Pn Dstn .038in Str Hydphi	BOTH IP/OP	$224.00 	$165.76	$0.00	$179.20	$121.63	$121.63	$0.00	$0.00	$0.00	$46.69	$166.25	$166.25	$172.66	$0.00	$46.68	$0.00	$132.50	$132.50	$0.00	$112.00	$177.41	$179.20	$0.00	$145.60	$0.00	$35.06	$0.00	$0.00	$35.66	$0.00	$0.00	$0.00	$0.00	$0.00
27200467	EAP	HCPCS C1769		Guidewire Vascular Angle Standard .035in 180cm 3cm	BOTH IP/OP	$103.00 	$76.22	$0.00	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$21.47	$0.00	$0.00	$0.00	$0.00	$21.47	$0.00	$60.92	$60.92	$0.00	$51.50	$81.58	$82.40	$0.00	$0.00	$0.00	$16.12	$0.00	$0.00	$16.40	$0.00	$0.00	$0.00	$0.00	$0.00
27200470	EAP	HCPCS C1884		Embosphere Pre-filled Syringe 300-500 Microns/2ml	BOTH IP/OP	$625.00 	$462.50	$0.00	$500.00	$339.38	$339.38	$0.00	$0.00	$0.00	$130.27	$463.88	$463.88	$481.75	$0.00	$130.25	$0.00	$369.69	$369.69	$0.00	$312.50	$495.00	$500.00	$0.00	$406.25	$0.00	$97.81	$0.00	$0.00	$99.50	$0.00	$0.00	$0.00	$0.00	$0.00
27200471	EAP	HCPCS C1894		Introducer Sheath 7fr .1in 80cm Tuohy Borst Sidearm Radiopq	BOTH IP/OP	$250.00 	$185.00	$0.00	$200.00	$135.75	$135.75	$0.00	$0.00	$0.00	$52.11	$185.55	$185.55	$192.70	$0.00	$52.10	$0.00	$147.88	$147.88	$0.00	$125.00	$198.00	$200.00	$0.00	$162.50	$0.00	$39.13	$0.00	$0.00	$39.80	$0.00	$0.00	$0.00	$0.00	$0.00
27200472	EAP	HCPCS C1769		Guidewire Vascular 45d .016in 180cm 2mm Angled Flexible Tip	BOTH IP/OP	$725.00 	$536.50	$0.00	$580.00	$393.68	$393.68	$0.00	$0.00	$0.00	$151.11	$538.10	$538.10	$558.83	$0.00	$151.09	$0.00	$428.84	$428.84	$0.00	$362.50	$574.20	$580.00	$0.00	$0.00	$0.00	$113.46	$0.00	$0.00	$115.42	$0.00	$0.00	$0.00	$0.00	$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	$714.40	$484.90	$484.90	$0.00	$0.00	$0.00	$186.12	$662.78	$662.78	$688.32	$0.00	$186.10	$0.00	$528.21	$528.21	$0.00	$446.50	$707.26	$714.40	$0.00	$580.45	$0.00	$139.75	$0.00	$0.00	$142.17	$0.00	$0.00	$0.00	$0.00	$0.00
27200474	EAP	HCPCS C1725		Catheter Angiographic Motarjeme Curve 5fr .046in 100cm Braid	BOTH IP/OP	$310.00 	$229.40	$0.00	$238.95	$168.33	$168.33	$0.00	$0.00	$0.00	$64.61	$230.08	$230.08	$238.95	$0.00	$64.60	$0.00	$183.37	$183.37	$0.00	$15.50	$24.55	$24.80	$0.00	$201.50	$0.00	$4.85	$0.00	$0.00	$4.94	$0.00	$0.00	$0.00	$0.00	$0.00
27200475	EAP	HCPCS C1725		Catheter Angiographic .035in Pigtail 5fr .052in 90cm Ultra	BOTH IP/OP	$305.00 	$225.70	$0.00	$244.00	$165.62	$165.62	$0.00	$0.00	$0.00	$63.57	$226.37	$226.37	$235.09	$0.00	$63.56	$0.00	$180.41	$180.41	$0.00	$152.50	$241.56	$244.00	$0.00	$198.25	$0.00	$47.73	$0.00	$0.00	$48.56	$0.00	$0.00	$0.00	$0.00	$0.00
27200476	EAP	HCPCS C1769		Guidewire Vascular Str .018in 180cm 25cm Shapeable Shaft	BOTH IP/OP	$398.00 	$294.52	$0.00	$318.40	$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	$199.00	$315.22	$318.40	$0.00	$0.00	$0.00	$62.29	$0.00	$0.00	$63.36	$0.00	$0.00	$0.00	$0.00	$0.00
27200477	EAP	HCPCS C1769		Guidewire Vascular .014in 300cm 20cm Exchange Radiopq Distal	BOTH IP/OP	$896.00 	$663.04	$0.00	$716.80	$486.53	$486.53	$0.00	$0.00	$0.00	$186.75	$665.01	$665.01	$690.64	$0.00	$186.73	$0.00	$529.98	$529.98	$0.00	$448.00	$709.63	$716.80	$0.00	$582.40	$0.00	$140.22	$0.00	$0.00	$142.64	$0.00	$0.00	$0.00	$0.00	$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	"$1,418.40"	$962.74	$962.74	$0.00	$0.00	$0.00	$369.54	"$1,315.92"	"$1,315.92"	"$1,366.63"	$0.00	$369.49	$0.00	"$1,048.73"	"$1,048.73"	$0.00	$886.50	"$1,404.22"	"$1,418.40"	$0.00	$0.00	$0.00	$277.47	$0.00	$0.00	$282.26	$0.00	$0.00	$0.00	$0.00	$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	"$1,350.40"	$916.58	$916.58	$0.00	$0.00	$0.00	$351.82	"$1,252.83"	"$1,252.83"	"$1,301.11"	$0.00	$351.78	$0.00	$998.45	$998.45	$0.00	$844.00	"$1,336.90"	"$1,350.40"	$0.00	"$1,097.20"	$0.00	$264.17	$0.00	$0.00	$268.73	$0.00	$0.00	$0.00	$0.00	$0.00
27200481	EAP	Custom 27200481		Catheter Vascular Occlusion 1028 Flocontrol Tn	BOTH IP/OP	"$6,988.00 "	"$5,171.12"	$0.00	"$5,590.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,386.35"	$0.00	"$1,456.30"	$0.00	$0.00	$0.00	$0.00	"$3,494.00"	"$5,534.50"	"$5,590.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27200482	EAP	HCPCS C1757		Catheter Reperfusion 4max	BOTH IP/OP	"$3,225.00 "	"$2,386.50"	$0.00	"$2,580.00"	"$1,751.18"	"$1,751.18"	$0.00	$0.00	$0.00	$672.17	"$2,393.60"	"$2,393.60"	"$2,485.83"	$0.00	$672.09	$0.00	"$1,907.59"	"$1,907.59"	$0.00	"$1,612.50"	"$2,554.20"	"$2,580.00"	$0.00	"$2,096.25"	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$33.40	$33.40	$34.69	$0.00	$9.38	$0.00	$0.00	$0.00	$0.00	$22.50	$35.64	$36.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,500.00"	"$1,018.13"	"$1,018.13"	$0.00	$0.00	$0.00	$390.80	"$1,391.63"	"$1,391.63"	"$1,445.25"	$0.00	$390.75	$0.00	"$1,109.06"	"$1,109.06"	$0.00	$937.50	"$1,485.00"	"$1,500.00"	$0.00	$0.00	$0.00	$293.44	$0.00	$0.00	$298.50	$0.00	$0.00	$0.00	$0.00	$0.00
27200496	EAP	HCPCS C1894		Introducer Sheath .035in 7fr .1in 70cm Anl1 Curve	BOTH IP/OP	$163.00 	$120.62	$0.00	$130.40	$88.51	$88.51	$0.00	$0.00	$0.00	$33.97	$120.98	$120.98	$125.64	$0.00	$33.97	$0.00	$96.41	$96.41	$0.00	$81.50	$129.10	$130.40	$0.00	$105.95	$0.00	$25.51	$0.00	$0.00	$25.95	$0.00	$0.00	$0.00	$0.00	$0.00
27200714	EAP	Custom 27200714		Compression Hose Lg/xlg Knee	BOTH IP/OP	$131.00 	$96.94	$0.00	$104.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$97.23	$97.23	$100.97	$0.00	$27.30	$0.00	$0.00	$0.00	$0.00	$65.50	$103.75	$104.80	$0.00	$85.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$595.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$552.20	$552.20	$573.48	$0.00	$155.05	$0.00	$0.00	$0.00	$0.00	$372.00	$589.25	$595.20	$0.00	$483.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$566.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$525.48	$525.48	$545.73	$0.00	$147.55	$0.00	$0.00	$0.00	$0.00	$354.00	$560.74	$566.40	$0.00	$460.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$564.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$523.25	$523.25	$543.41	$0.00	$146.92	$0.00	$0.00	$0.00	$0.00	$352.50	$558.36	$564.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$342.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$317.66	$317.66	$329.90	$0.00	$89.20	$0.00	$0.00	$0.00	$0.00	$214.00	$338.98	$342.40	$0.00	$278.20	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$458.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$425.28	$425.28	$441.67	$0.00	$119.41	$0.00	$0.00	$0.00	$0.00	$286.50	$453.82	$458.40	$0.00	$372.45	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$108.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$100.94	$100.94	$104.83	$0.00	$28.34	$0.00	$0.00	$0.00	$0.00	$68.00	$107.71	$108.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201077	EAP	HCPCS C1769		"Guide Wire, 292.653"	BOTH IP/OP	$183.00 	$135.42	$0.00	$146.40	$99.37	$99.37	$0.00	$0.00	$0.00	$38.14	$135.82	$135.82	$141.06	$0.00	$38.14	$0.00	$108.24	$108.24	$0.00	$91.50	$144.94	$146.40	$0.00	$0.00	$0.00	$28.64	$0.00	$0.00	$29.13	$0.00	$0.00	$0.00	$0.00	$0.00
27201301	EAP	Custom 27201301		"Drill Bit, 357.047"	BOTH IP/OP	"$1,952.00 "	"$1,444.48"	$0.00	"$1,561.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,448.77"	"$1,448.77"	"$1,504.60"	$0.00	$406.80	$0.00	$0.00	$0.00	$0.00	$976.00	"$1,545.98"	"$1,561.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$781.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$725.13	$725.13	$753.07	$0.00	$203.61	$0.00	$0.00	$0.00	$0.00	$488.50	$773.78	$781.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$874.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$811.22	$811.22	$842.48	$0.00	$227.78	$0.00	$0.00	$0.00	$0.00	$546.50	$865.66	$874.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201399	EAP	Custom 27201399		Bipolar Bovie	BOTH IP/OP	$14.00 	$10.36	$0.00	$11.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$10.39	$10.39	$10.79	$0.00	$2.92	$0.00	$0.00	$0.00	$0.00	$7.00	$11.09	$11.20	$0.00	$9.10	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$25.35	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201407	EAP	Custom 27201407		Dermabond	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$0.00	$0.00	$0.00	$43.50	$68.90	$69.60	$0.00	$56.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$595.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$552.20	$552.20	$573.48	$0.00	$155.05	$0.00	$0.00	$0.00	$0.00	$372.00	$589.25	$595.20	$0.00	$483.60	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$564.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$523.25	$523.25	$543.41	$0.00	$146.92	$0.00	$0.00	$0.00	$0.00	$352.50	$558.36	$564.00	$0.00	$458.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$565.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$524.74	$524.74	$544.96	$0.00	$147.34	$0.00	$0.00	$0.00	$0.00	$353.50	$559.94	$565.60	$0.00	$459.55	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$171.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$158.83	$158.83	$164.95	$0.00	$44.60	$0.00	$0.00	$0.00	$0.00	$107.00	$169.49	$171.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201492	EAP	Custom 27201492		Jp Drain (hemaduct)	BOTH IP/OP	$90.00 	$66.60	$0.00	$72.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$66.80	$66.80	$69.37	$0.00	$18.76	$0.00	$0.00	$0.00	$0.00	$45.00	$71.28	$72.00	$0.00	$58.50	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$80.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$0.00	$0.00	$0.00	$50.50	$79.99	$80.80	$0.00	$65.65	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$3,772.80"	$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	"$2,358.00"	"$3,735.07"	"$3,772.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201630	EAP	Custom 27201630		"Cath,chest Tube Rt. Angled"	BOTH IP/OP	$135.00 	$99.90	$0.00	$108.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$100.20	$100.20	$104.06	$0.00	$28.13	$0.00	$0.00	$0.00	$0.00	$67.50	$106.92	$108.00	$0.00	$87.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$132.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$34.39	$0.00	$0.00	$0.00	$0.00	$82.50	$130.68	$132.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$122.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$113.56	$113.56	$117.93	$0.00	$31.89	$0.00	$0.00	$0.00	$0.00	$76.50	$121.18	$122.40	$0.00	$99.45	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$61.60	$61.60	$63.98	$0.00	$17.30	$0.00	$0.00	$0.00	$0.00	$41.50	$65.74	$66.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201701	EAP	Custom 27201701		Plat Filter Unit	BOTH IP/OP	$215.00 	$159.10	$0.00	$172.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$159.57	$159.57	$165.72	$0.00	$44.81	$0.00	$0.00	$0.00	$0.00	$107.50	$170.28	$172.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$0.00	$0.00	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201800	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$3.26	$3.26	$0.00	$0.00	$0.00	$1.25	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$3.55	$3.55	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.94	$0.00	$0.00	$0.96	$0.00	$0.00	$0.00	$0.00	$0.00
27201801	EAP	HCPCS C1769		Guidewire .35x150cm Bentson	BOTH IP/OP	$76.00 	$56.24	$0.00	$60.80	$41.27	$41.27	$0.00	$0.00	$0.00	$15.84	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$44.95	$44.95	$0.00	$38.00	$60.19	$60.80	$0.00	$49.40	$0.00	$11.89	$0.00	$0.00	$12.10	$0.00	$0.00	$0.00	$0.00	$0.00
27201802	EAP	HCPCS C1750		24cm Duraflow Catheter	BOTH IP/OP	"$2,096.00 "	"$1,551.04"	$0.00	"$1,676.80"	"$1,138.13"	"$1,138.13"	$0.00	$0.00	$0.00	$436.86	"$1,555.65"	"$1,555.65"	"$1,615.60"	$0.00	$436.81	$0.00	"$1,239.78"	"$1,239.78"	$0.00	"$1,048.00"	"$1,660.03"	"$1,676.80"	$0.00	$0.00	$0.00	$328.02	$0.00	$0.00	$333.68	$0.00	$0.00	$0.00	$0.00	$0.00
27201803	EAP	HCPCS C1750		28cm Duraflow Catheter	BOTH IP/OP	"$1,720.00 "	"$1,272.80"	$0.00	"$1,376.00"	$933.96	$933.96	$0.00	$0.00	$0.00	$358.49	"$1,276.58"	"$1,276.58"	"$1,325.78"	$0.00	$358.45	$0.00	"$1,017.38"	"$1,017.38"	$0.00	$860.00	"$1,362.24"	"$1,376.00"	$0.00	$0.00	$0.00	$269.18	$0.00	$0.00	$273.82	$0.00	$0.00	$0.00	$0.00	$0.00
27201804	EAP	HCPCS C1752		24cm Schon Xl Temp Cath	BOTH IP/OP	$315.00 	$233.10	$0.00	$252.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$233.79	$233.79	$242.80	$0.00	$65.65	$0.00	$0.00	$0.00	$0.00	$157.50	$249.48	$252.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$440.00	$298.65	$298.65	$0.00	$0.00	$0.00	$114.63	$408.21	$408.21	$423.94	$0.00	$114.62	$0.00	$325.33	$325.33	$0.00	$275.00	$435.60	$440.00	$0.00	$357.50	$0.00	$86.08	$0.00	$0.00	$87.56	$0.00	$0.00	$0.00	$0.00	$0.00
27201806	EAP	HCPCS C1751		5x135x10cm Unifuse Kit	BOTH IP/OP	$550.00 	$407.00	$0.00	$440.00	$298.65	$298.65	$0.00	$0.00	$0.00	$114.63	$408.21	$408.21	$423.94	$0.00	$114.62	$0.00	$325.33	$325.33	$0.00	$275.00	$435.60	$440.00	$0.00	$357.50	$0.00	$86.08	$0.00	$0.00	$87.56	$0.00	$0.00	$0.00	$0.00	$0.00
27201807	EAP	HCPCS C1725		8-4/5/75 Workhorse Pta	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201808	EAP	HCPCS C1752		Temporary Dialysis Cath	BOTH IP/OP	$315.00 	$233.10	$0.00	$252.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$233.79	$233.79	$242.80	$0.00	$65.65	$0.00	$0.00	$0.00	$0.00	$157.50	$249.48	$252.00	$0.00	$204.75	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$592.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$549.23	$549.23	$570.39	$0.00	$154.22	$0.00	$0.00	$0.00	$0.00	$370.00	$586.08	$592.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201811	EAP	HCPCS C1725		Workhorse Pta Balloon	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201812	EAP	HCPCS C1725		Wrkhorse Balloon 5-2/5/75	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201813	EAP	HCPCS C1725		Wrkhrse Balloon 10-4/5/75	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201814	EAP	HCPCS C1725		Wrkhrse Balloon 5-2/5/100	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201815	EAP	HCPCS C1725		Wrkhrse Balloon 6-2/5/75	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201816	EAP	HCPCS C1751		5fr Dual Lumen Picc Line	BOTH IP/OP	$533.00 	$394.42	$0.00	$426.40	$289.42	$289.42	$0.00	$0.00	$0.00	$111.09	$395.59	$395.59	$410.84	$0.00	$111.08	$0.00	$315.27	$315.27	$0.00	$266.50	$422.14	$426.40	$0.00	$0.00	$0.00	$83.41	$0.00	$0.00	$84.85	$0.00	$0.00	$0.00	$0.00	$0.00
27201817	EAP	HCPCS C1751		5fr Sgle Lumen Pic Line	BOTH IP/OP	$419.00 	$310.06	$0.00	$335.20	$227.52	$227.52	$0.00	$0.00	$0.00	$87.33	$310.98	$310.98	$322.97	$0.00	$87.32	$0.00	$247.84	$247.84	$0.00	$209.50	$331.85	$335.20	$0.00	$0.00	$0.00	$65.57	$0.00	$0.00	$66.70	$0.00	$0.00	$0.00	$0.00	$0.00
27201818	EAP	HCPCS C1757		Thrombex Device	BOTH IP/OP	"$5,955.00 "	"$4,406.70"	$0.00	"$4,764.00"	"$3,233.57"	"$3,233.57"	$0.00	$0.00	$0.00	"$1,241.17"	"$4,181.12"	"$4,181.12"	"$4,590.11"	$0.00	"$1,241.02"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$2,977.50"	"$4,716.36"	"$4,764.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$119.20	$80.91	$80.91	$0.00	$0.00	$0.00	$31.06	$110.59	$110.59	$114.85	$0.00	$31.05	$0.00	$88.13	$88.13	$0.00	$74.50	$118.01	$119.20	$0.00	$96.85	$0.00	$23.32	$0.00	$0.00	$23.72	$0.00	$0.00	$0.00	$0.00	$0.00
27201820	EAP	HCPCS C1769		Guidewire .035-150cm Angled Stiff	BOTH IP/OP	$167.00 	$123.58	$0.00	$133.60	$90.68	$90.68	$0.00	$0.00	$0.00	$34.81	$123.95	$123.95	$128.72	$0.00	$34.80	$0.00	$98.78	$98.78	$0.00	$83.50	$132.26	$133.60	$0.00	$108.55	$0.00	$26.14	$0.00	$0.00	$26.59	$0.00	$0.00	$0.00	$0.00	$0.00
27201821	EAP	HCPCS C1751		12cm Katzen Infusion Cath	BOTH IP/OP	"$1,506.00 "	"$1,114.44"	$0.00	"$1,204.80"	$817.76	$817.76	$0.00	$0.00	$0.00	$313.89	"$1,117.75"	"$1,117.75"	"$1,160.82"	$0.00	$313.85	$0.00	$890.80	$890.80	$0.00	$753.00	"$1,192.75"	"$1,204.80"	$0.00	$0.00	$0.00	$235.69	$0.00	$0.00	$239.76	$0.00	$0.00	$0.00	$0.00	$0.00
27201822	EAP	HCPCS C1751		150/20 Tracker-18 Infusio	BOTH IP/OP	"$3,033.00 "	"$2,244.42"	$0.00	"$2,426.40"	"$1,646.92"	"$1,646.92"	$0.00	$0.00	$0.00	$632.15	"$2,251.09"	"$2,251.09"	"$2,337.84"	$0.00	$632.08	$0.00	"$1,794.02"	"$1,794.02"	$0.00	"$1,516.50"	"$2,402.14"	"$2,426.40"	$0.00	$0.00	$0.00	$474.66	$0.00	$0.00	$482.85	$0.00	$0.00	$0.00	$0.00	$0.00
27201823	EAP	HCPCS C1769		32-150 Angled Guidewire	BOTH IP/OP	$287.00 	$212.38	$0.00	$229.60	$155.84	$155.84	$0.00	$0.00	$0.00	$59.82	$213.01	$213.01	$221.22	$0.00	$59.81	$0.00	$169.76	$169.76	$0.00	$143.50	$227.30	$229.60	$0.00	$0.00	$0.00	$44.92	$0.00	$0.00	$45.69	$0.00	$0.00	$0.00	$0.00	$0.00
27201824	EAP	HCPCS C1894		5fr Pinnacle Introducer	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27201825	EAP	HCPCS C1887		5fr-100cm At Catheter	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$20.09	$20.09	$0.00	$0.00	$0.00	$7.71	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$21.89	$21.89	$0.00	$18.50	$29.30	$29.60	$0.00	$24.05	$0.00	$5.79	$0.00	$0.00	$5.89	$0.00	$0.00	$0.00	$0.00	$0.00
27201826	EAP	HCPCS C1751		A50/20 Fastracker-18 Infu	BOTH IP/OP	"$1,590.00 "	"$1,176.60"	$0.00	"$1,272.00"	$863.37	$863.37	$0.00	$0.00	$0.00	$331.40	"$1,180.10"	"$1,180.10"	"$1,225.57"	$0.00	$331.36	$0.00	$940.49	$940.49	$0.00	$795.00	"$1,259.28"	"$1,272.00"	$0.00	$0.00	$0.00	$248.84	$0.00	$0.00	$253.13	$0.00	$0.00	$0.00	$0.00	$0.00
27201827	EAP	HCPCS C1769		Amplatz Guidewire 260cm	BOTH IP/OP	$129.00 	$95.46	$0.00	$103.20	$70.05	$70.05	$0.00	$0.00	$0.00	$26.89	$95.74	$95.74	$99.43	$0.00	$26.88	$0.00	$76.30	$76.30	$0.00	$64.50	$102.17	$103.20	$0.00	$83.85	$0.00	$20.19	$0.00	$0.00	$20.54	$0.00	$0.00	$0.00	$0.00	$0.00
27201828	EAP	HCPCS C1725		Catheter  Balloon 6-10/5	BOTH IP/OP	$681.00 	$503.94	$0.00	$544.80	$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	$340.50	$539.35	$544.80	$0.00	$0.00	$0.00	$106.58	$0.00	$0.00	$108.42	$0.00	$0.00	$0.00	$0.00	$0.00
27201829	EAP	HCPCS C1887		Glidecath C2 Hydeophilic	BOTH IP/OP	$175.00 	$129.50	$0.00	$140.00	$95.03	$95.03	$0.00	$0.00	$0.00	$36.47	$129.89	$129.89	$134.89	$0.00	$36.47	$0.00	$103.51	$103.51	$0.00	$87.50	$138.60	$140.00	$0.00	$113.75	$0.00	$27.39	$0.00	$0.00	$27.86	$0.00	$0.00	$0.00	$0.00	$0.00
27201830	EAP	HCPCS C1769		Glidewire .035 150cm  Angled	BOTH IP/OP	$101.00 	$74.74	$0.00	$80.80	$54.84	$54.84	$0.00	$0.00	$0.00	$21.05	$74.96	$74.96	$77.85	$0.00	$21.05	$0.00	$59.74	$59.74	$0.00	$50.50	$79.99	$80.80	$0.00	$0.00	$0.00	$15.81	$0.00	$0.00	$16.08	$0.00	$0.00	$0.00	$0.00	$0.00
27201831	EAP	HCPCS C1769		Guidewire  Amplatz Super	BOTH IP/OP	$425.00 	$314.50	$0.00	$340.00	$230.78	$230.78	$0.00	$0.00	$0.00	$88.58	$315.44	$315.44	$327.59	$0.00	$88.57	$0.00	$251.39	$251.39	$0.00	$212.50	$336.60	$340.00	$0.00	$276.25	$0.00	$66.51	$0.00	$0.00	$67.66	$0.00	$0.00	$0.00	$0.00	$0.00
27201832	EAP	HCPCS C1769		Guidewire-long Taper	BOTH IP/OP	$313.00 	$231.62	$0.00	$250.40	$169.96	$169.96	$0.00	$0.00	$0.00	$65.24	$232.31	$232.31	$241.26	$0.00	$65.23	$0.00	$185.14	$185.14	$0.00	$156.50	$247.90	$250.40	$0.00	$0.00	$0.00	$48.98	$0.00	$0.00	$49.83	$0.00	$0.00	$0.00	$0.00	$0.00
27201833	EAP	HCPCS C1769		Transcend Steerable	BOTH IP/OP	$546.00 	$404.04	$0.00	$533.60	$296.48	$296.48	$0.00	$0.00	$0.00	$113.80	$405.24	$405.24	$420.86	$0.00	$113.79	$0.00	$322.96	$322.96	$0.00	$333.50	$528.26	$533.60	$0.00	$354.90	$0.00	$104.39	$0.00	$0.00	$106.19	$0.00	$0.00	$0.00	$0.00	$0.00
27201834	EAP	HCPCS C1725		Xxl 14-4/5.8/120	BOTH IP/OP	$856.00 	$633.44	$0.00	$684.80	$464.81	$464.81	$0.00	$0.00	$0.00	$178.41	$635.32	$635.32	$659.80	$0.00	$178.39	$0.00	$506.32	$506.32	$0.00	$428.00	$677.95	$684.80	$0.00	$0.00	$0.00	$133.96	$0.00	$0.00	$136.28	$0.00	$0.00	$0.00	$0.00	$0.00
27201835	EAP	HCPCS C1725		Xxl/12-5/5.8/120 Balloon	BOTH IP/OP	$856.00 	$633.44	$0.00	$684.80	$464.81	$464.81	$0.00	$0.00	$0.00	$178.41	$635.32	$635.32	$659.80	$0.00	$178.39	$0.00	$506.32	$506.32	$0.00	$428.00	$677.95	$684.80	$0.00	$0.00	$0.00	$133.96	$0.00	$0.00	$136.28	$0.00	$0.00	$0.00	$0.00	$0.00
27201836	EAP	HCPCS C1769		Guidewire .035-260cm Bentson E	BOTH IP/OP	$88.00 	$65.12	$0.00	$70.40	$47.78	$47.78	$0.00	$0.00	$0.00	$18.34	$65.31	$65.31	$67.83	$0.00	$18.34	$0.00	$52.05	$52.05	$0.00	$44.00	$69.70	$70.40	$0.00	$57.20	$0.00	$13.77	$0.00	$0.00	$14.01	$0.00	$0.00	$0.00	$0.00	$0.00
27201837	EAP	HCPCS C1729		10.2fr Mp Drain Catheter	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$160.73	$160.73	$0.00	$0.00	$0.00	$61.69	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$175.08	$175.08	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$46.32	$0.00	$0.00	$47.12	$0.00	$0.00	$0.00	$0.00	$0.00
27201838	EAP	HCPCS C1894		11fr-70cm Introducer Set	BOTH IP/OP	$233.00 	$172.42	$0.00	$186.40	$126.52	$126.52	$0.00	$0.00	$0.00	$48.56	$172.93	$172.93	$179.60	$0.00	$48.56	$0.00	$137.82	$137.82	$0.00	$116.50	$184.54	$186.40	$0.00	$151.45	$0.00	$36.46	$0.00	$0.00	$37.09	$0.00	$0.00	$0.00	$0.00	$0.00
27201839	EAP	HCPCS C1729		14.0fr Mp Drain Catheter	BOTH IP/OP	$289.00 	$213.86	$0.00	$231.20	$156.93	$156.93	$0.00	$0.00	$0.00	$60.23	$214.50	$214.50	$222.76	$0.00	$60.23	$0.00	$170.94	$170.94	$0.00	$144.50	$228.89	$231.20	$0.00	$0.00	$0.00	$45.23	$0.00	$0.00	$46.01	$0.00	$0.00	$0.00	$0.00	$0.00
27201840	EAP	Custom 27201840		35-3-5 Embolization Coil	BOTH IP/OP	$172.00 	$127.28	$0.00	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$0.00	$0.00	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$223.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$207.07	$207.07	$215.05	$0.00	$58.14	$0.00	$0.00	$0.00	$0.00	$139.50	$220.97	$223.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201842	EAP	Custom 27201842		35-5-3 Embolization Coil	BOTH IP/OP	$228.00 	$168.72	$0.00	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$169.22	$169.22	$175.74	$0.00	$47.52	$0.00	$0.00	$0.00	$0.00	$114.00	$180.58	$182.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201843	EAP	Custom 27201843		35-5-8 Embolization Coil	BOTH IP/OP	$167.00 	$123.58	$0.00	$133.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$123.95	$123.95	$128.72	$0.00	$34.80	$0.00	$0.00	$0.00	$0.00	$83.50	$132.26	$133.60	$0.00	$75.15	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$96.00	$65.16	$65.16	$0.00	$0.00	$0.00	$25.01	$89.06	$89.06	$92.50	$0.00	$25.01	$0.00	$70.98	$70.98	$0.00	$60.00	$95.04	$96.00	$0.00	$0.00	$0.00	$18.78	$0.00	$0.00	$19.10	$0.00	$0.00	$0.00	$0.00	$0.00
27201845	EAP	HCPCS C1894		6fr Balkan Introducer Set	BOTH IP/OP	$60.00 	$44.40	$0.00	$48.00	$32.58	$32.58	$0.00	$0.00	$0.00	$12.51	$44.53	$44.53	$46.25	$0.00	$12.50	$0.00	$35.49	$35.49	$0.00	$30.00	$47.52	$48.00	$0.00	$39.00	$0.00	$9.39	$0.00	$0.00	$9.55	$0.00	$0.00	$0.00	$0.00	$0.00
27201846	EAP	HCPCS C1894		7fr Balkan Introducer Set	BOTH IP/OP	$170.00 	$125.80	$0.00	$136.00	$92.31	$92.31	$0.00	$0.00	$0.00	$35.43	$126.17	$126.17	$131.04	$0.00	$35.43	$0.00	$100.56	$100.56	$0.00	$85.00	$134.64	$136.00	$0.00	$0.00	$0.00	$26.61	$0.00	$0.00	$27.06	$0.00	$0.00	$0.00	$0.00	$0.00
27201847	EAP	HCPCS C1729		8.5fr Mp Drain Catheter	BOTH IP/OP	$311.00 	$230.14	$0.00	$248.80	$168.87	$168.87	$0.00	$0.00	$0.00	$64.82	$230.82	$230.82	$239.72	$0.00	$64.81	$0.00	$183.96	$183.96	$0.00	$155.50	$246.31	$248.80	$0.00	$202.15	$0.00	$48.67	$0.00	$0.00	$49.51	$0.00	$0.00	$0.00	$0.00	$0.00
27201848	EAP	HCPCS C1729		9.5fr Biliary Drain Cath.	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$160.73	$160.73	$0.00	$0.00	$0.00	$61.69	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$175.08	$175.08	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$46.32	$0.00	$0.00	$47.12	$0.00	$0.00	$0.00	$0.00	$0.00
27201849	EAP	HCPCS C1757		Coil  Embolization 35-4-3	BOTH IP/OP	$172.00 	$127.28	$0.00	$137.60	$93.40	$93.40	$0.00	$0.00	$0.00	$35.85	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$101.74	$101.74	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$416.00	$282.36	$282.36	$0.00	$0.00	$0.00	$108.38	$385.94	$385.94	$400.82	$0.00	$108.37	$0.00	$307.58	$307.58	$0.00	$260.00	$411.84	$416.00	$0.00	$0.00	$0.00	$81.38	$0.00	$0.00	$82.78	$0.00	$0.00	$0.00	$0.00	$0.00
27201851	EAP	HCPCS C1773		Filter Retrieval Set	BOTH IP/OP	$886.00 	$655.64	$0.00	$708.80	$481.10	$481.10	$0.00	$0.00	$0.00	$184.66	$657.59	$657.59	$682.93	$0.00	$184.64	$0.00	$524.07	$524.07	$0.00	$443.00	$701.71	$708.80	$0.00	$575.90	$0.00	$138.66	$0.00	$0.00	$141.05	$0.00	$0.00	$0.00	$0.00	$0.00
27201852	EAP	HCPCS C1769		Guidewire  Cope Mandril	BOTH IP/OP	$116.00 	$85.84	$0.00	$92.80	$62.99	$62.99	$0.00	$0.00	$0.00	$24.18	$86.10	$86.10	$89.41	$0.00	$24.17	$0.00	$68.61	$68.61	$0.00	$58.00	$91.87	$92.80	$0.00	$75.40	$0.00	$18.15	$0.00	$0.00	$18.47	$0.00	$0.00	$0.00	$0.00	$0.00
27201853	EAP	HCPCS C1769		Lewis Micropunture Set	BOTH IP/OP	$130.00 	$96.20	$0.00	$104.00	$70.59	$70.59	$0.00	$0.00	$0.00	$27.10	$96.49	$96.49	$100.20	$0.00	$27.09	$0.00	$76.90	$76.90	$0.00	$65.00	$102.96	$104.00	$0.00	$84.50	$0.00	$20.35	$0.00	$0.00	$20.70	$0.00	$0.00	$0.00	$0.00	$0.00
27201854	EAP	HCPCS C2629		Micropuncture Set	BOTH IP/OP	$102.00 	$75.48	$0.00	$81.60	$0.00	$0.00	$0.00	$0.00	$0.00	$21.26	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$60.33	$60.33	$0.00	$51.00	$80.78	$81.60	$0.00	$66.30	$0.00	$15.96	$0.00	$0.00	$16.24	$0.00	$0.00	$0.00	$0.00	$0.00
27201855	EAP	HCPCS C1894		8fr-23cmavanti-introducer	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$5.43	$5.43	$0.00	$0.00	$0.00	$2.08	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$5.92	$5.92	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$1.57	$0.00	$0.00	$1.59	$0.00	$0.00	$0.00	$0.00	$0.00
27201856	EAP	HCPCS C1894		9fr-23cm Avanti Introduce	BOTH IP/OP	$10.00 	$7.40	$0.00	$8.00	$5.43	$5.43	$0.00	$0.00	$0.00	$2.08	$7.42	$7.42	$7.71	$0.00	$2.08	$0.00	$5.92	$5.92	$0.00	$5.00	$7.92	$8.00	$0.00	$0.00	$0.00	$1.57	$0.00	$0.00	$1.59	$0.00	$0.00	$0.00	$0.00	$0.00
27201857	EAP	HCPCS C1773		12-20mmx120cm Std Snare	BOTH IP/OP	"$1,119.00 "	$828.06	$0.00	$895.20	$607.62	$607.62	$0.00	$0.00	$0.00	$233.23	$830.52	$830.52	$862.53	$0.00	$233.20	$0.00	$661.89	$661.89	$0.00	$559.50	$886.25	$895.20	$0.00	$727.35	$0.00	$175.12	$0.00	$0.00	$178.14	$0.00	$0.00	$0.00	$0.00	$0.00
27201858	EAP	HCPCS C1773		9-15mmx120cm Std Snare	BOTH IP/OP	"$1,119.00 "	$828.06	$0.00	$895.20	$607.62	$607.62	$0.00	$0.00	$0.00	$233.23	$830.52	$830.52	$862.53	$0.00	$233.20	$0.00	$661.89	$661.89	$0.00	$559.50	$886.25	$895.20	$0.00	$727.35	$0.00	$175.12	$0.00	$0.00	$178.14	$0.00	$0.00	$0.00	$0.00	$0.00
27201859	EAP	HCPCS C1725		Wrkhorse Balloon 10-4/5/100	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201860	EAP	HCPCS C1894		Pinnacle Introducer 5fr 10cm	BOTH IP/OP	$80.00 	$59.20	$0.00	$64.00	$43.44	$43.44	$0.00	$0.00	$0.00	$16.67	$59.38	$59.38	$61.66	$0.00	$16.67	$0.00	$47.32	$47.32	$0.00	$40.00	$63.36	$64.00	$0.00	$52.00	$0.00	$12.52	$0.00	$0.00	$12.74	$0.00	$0.00	$0.00	$0.00	$0.00
27201861	EAP	HCPCS C1725		Conquest Pta Balloon Dilatatio	BOTH IP/OP	$753.00 	$557.22	$0.00	$602.40	$408.88	$408.88	$0.00	$0.00	$0.00	$156.94	$558.88	$558.88	$580.41	$0.00	$156.93	$0.00	$445.40	$445.40	$0.00	$376.50	$596.38	$602.40	$0.00	$489.45	$0.00	$117.84	$0.00	$0.00	$119.88	$0.00	$0.00	$0.00	$0.00	$0.00
27201862	EAP	HCPCS C1725		Opti-plast  Balloon Dilatation	BOTH IP/OP	$501.00 	$370.74	$0.00	$400.80	$272.04	$272.04	$0.00	$0.00	$0.00	$104.42	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$296.34	$296.34	$0.00	$250.50	$396.79	$400.80	$0.00	$0.00	$0.00	$78.41	$0.00	$0.00	$79.76	$0.00	$0.00	$0.00	$0.00	$0.00
27201863	EAP	HCPCS C1725		Workhorse Pta Workhorse Balloo	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27201864	EAP	HCPCS C1769		Guidewire Straight Fixed Core	BOTH IP/OP	$86.00 	$63.64	$0.00	$68.80	$46.70	$46.70	$0.00	$0.00	$0.00	$17.92	$63.83	$63.83	$66.29	$0.00	$17.92	$0.00	$50.87	$50.87	$0.00	$43.00	$68.11	$68.80	$0.00	$0.00	$0.00	$13.46	$0.00	$0.00	$13.69	$0.00	$0.00	$0.00	$0.00	$0.00
27201865	EAP	HCPCS C1769		Guidewire 3mm J Fixed Core .03	BOTH IP/OP	$46.00 	$34.04	$0.00	$36.80	$24.98	$24.98	$0.00	$0.00	$0.00	$9.59	$34.14	$34.14	$35.46	$0.00	$9.59	$0.00	$27.21	$27.21	$0.00	$23.00	$36.43	$36.80	$0.00	$29.90	$0.00	$7.20	$0.00	$0.00	$7.32	$0.00	$0.00	$0.00	$0.00	$0.00
27201866	EAP	HCPCS C1894		Pinnacle Introducer 6fr 10cm	BOTH IP/OP	$76.00 	$56.24	$0.00	$60.80	$41.27	$41.27	$0.00	$0.00	$0.00	$15.84	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$44.95	$44.95	$0.00	$38.00	$60.19	$60.80	$0.00	$0.00	$0.00	$11.89	$0.00	$0.00	$12.10	$0.00	$0.00	$0.00	$0.00	$0.00
27201867	EAP	HCPCS C1894		8fr 10cm Pinnacle Introducer	BOTH IP/OP	$72.00 	$53.28	$0.00	$57.60	$39.10	$39.10	$0.00	$0.00	$0.00	$15.01	$53.44	$53.44	$55.50	$0.00	$15.00	$0.00	$42.59	$42.59	$0.00	$36.00	$57.02	$57.60	$0.00	$46.80	$0.00	$11.27	$0.00	$0.00	$11.46	$0.00	$0.00	$0.00	$0.00	$0.00
27201868	EAP	HCPCS C1894		Pinnacle Introducer 8fr 10cm	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27201869	EAP	HCPCS C1894		Pinnacle Introducer 9fr 10cm	BOTH IP/OP	$80.00 	$59.20	$0.00	$64.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$40.00	$63.36	$64.00	$0.00	$0.00	$0.00	$12.52	$0.00	$0.00	$12.74	$0.00	$0.00	$0.00	$0.00	$0.00
27201870	EAP	HCPCS C1757		Fogarty 5.5-40cm	BOTH IP/OP	$352.00 	$260.48	$0.00	$281.60	$191.14	$191.14	$0.00	$0.00	$0.00	$73.37	$261.25	$261.25	$271.32	$0.00	$73.36	$0.00	$208.21	$208.21	$0.00	$176.00	$278.78	$281.60	$0.00	$228.80	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$281.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$176.00	$278.78	$281.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,444.00"	$980.12	$980.12	$0.00	$0.00	$0.00	$376.21	"$1,339.67"	"$1,339.67"	"$1,391.29"	$0.00	$376.16	$0.00	"$1,067.66"	"$1,067.66"	$0.00	$902.50	"$1,429.56"	"$1,444.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$969.60	$658.12	$658.12	$0.00	$0.00	$0.00	$252.61	$899.55	$899.55	$934.21	$0.00	$252.58	$0.00	$716.90	$716.90	$0.00	$606.00	$959.90	$969.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$484.00	$328.52	$328.52	$0.00	$0.00	$0.00	$126.10	$449.03	$449.03	$466.33	$0.00	$126.08	$0.00	$357.86	$357.86	$0.00	$302.50	$479.16	$484.00	$0.00	$0.00	$0.00	$94.68	$0.00	$0.00	$96.32	$0.00	$0.00	$0.00	$0.00	$0.00
27201875	EAP	HCPCS C1887		Lima Guiding Catheter 7fr-55cm	BOTH IP/OP	$417.00 	$308.58	$0.00	$333.60	$226.43	$226.43	$0.00	$0.00	$0.00	$86.91	$309.50	$309.50	$321.42	$0.00	$86.90	$0.00	$246.66	$246.66	$0.00	$208.50	$330.26	$333.60	$0.00	$0.00	$0.00	$65.26	$0.00	$0.00	$66.39	$0.00	$0.00	$0.00	$0.00	$0.00
27201876	EAP	HCPCS C1892		Meditech Accustick Ii Introduc	BOTH IP/OP	$209.00 	$154.66	$0.00	$167.20	$113.49	$113.49	$0.00	$0.00	$0.00	$43.56	$155.12	$155.12	$161.10	$0.00	$43.56	$0.00	$123.62	$123.62	$0.00	$104.50	$165.53	$167.20	$0.00	$135.85	$0.00	$32.71	$0.00	$0.00	$33.27	$0.00	$0.00	$0.00	$0.00	$0.00
27201877	EAP	HCPCS C1769		22g X 10cm Chiba Needle	BOTH IP/OP	$27.00 	$19.98	$0.00	$56.00	$14.66	$14.66	$0.00	$0.00	$0.00	$5.63	$20.04	$20.04	$20.81	$0.00	$5.63	$0.00	$15.97	$15.97	$0.00	$35.00	$55.44	$56.00	$0.00	$0.00	$0.00	$10.96	$0.00	$0.00	$11.14	$0.00	$0.00	$0.00	$0.00	$0.00
27201878	EAP	HCPCS C1769		.038-145 Amplatz Extra Stiff	BOTH IP/OP	$76.00 	$56.24	$0.00	$60.80	$41.27	$41.27	$0.00	$0.00	$0.00	$15.84	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$44.95	$44.95	$0.00	$38.00	$60.19	$60.80	$0.00	$49.40	$0.00	$11.89	$0.00	$0.00	$12.10	$0.00	$0.00	$0.00	$0.00	$0.00
27201879	EAP	HCPCS C1751		9fr Single Lumen Hickman	BOTH IP/OP	$241.00 	$178.34	$0.00	$192.80	$130.86	$130.86	$0.00	$0.00	$0.00	$50.23	$178.87	$178.87	$185.76	$0.00	$50.22	$0.00	$142.55	$142.55	$0.00	$120.50	$190.87	$192.80	$0.00	$156.65	$0.00	$37.72	$0.00	$0.00	$38.37	$0.00	$0.00	$0.00	$0.00	$0.00
27201880	EAP	HCPCS C1751		9fr Dual Lumen Hickman	BOTH IP/OP	$528.00 	$390.72	$0.00	$422.40	$286.70	$286.70	$0.00	$0.00	$0.00	$110.05	$391.88	$391.88	$406.98	$0.00	$110.04	$0.00	$312.31	$312.31	$0.00	$264.00	$418.18	$422.40	$0.00	$0.00	$0.00	$82.63	$0.00	$0.00	$84.06	$0.00	$0.00	$0.00	$0.00	$0.00
27201881	EAP	HCPCS C1769		.035-150cm 3mm J Guidewire	BOTH IP/OP	$68.00 	$50.32	$0.00	$54.40	$36.92	$36.92	$0.00	$0.00	$0.00	$14.17	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$40.22	$40.22	$0.00	$34.00	$53.86	$54.40	$0.00	$44.20	$0.00	$10.64	$0.00	$0.00	$10.83	$0.00	$0.00	$0.00	$0.00	$0.00
27201882	EAP	HCPCS C1769		.035-150cm Rosen Guidewire	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$0.00	$0.00	$10.17	$0.00	$0.00	$10.35	$0.00	$0.00	$0.00	$0.00	$0.00
27201883	EAP	HCPCS C1752		"12cm Niagra, Temp Dialysis Cat"	BOTH IP/OP	$150.00 	$111.00	$0.00	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$111.33	$111.33	$115.62	$0.00	$31.26	$0.00	$0.00	$0.00	$0.00	$75.00	$118.80	$120.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$47.50	$47.50	$49.33	$0.00	$13.34	$0.00	$0.00	$0.00	$0.00	$32.00	$50.69	$51.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27201885	EAP	HCPCS C1725		8-2/5/100 Workhorse Balloon	BOTH IP/OP	$427.00 	$315.98	$0.00	$341.60	$231.86	$231.86	$0.00	$0.00	$0.00	$89.00	$316.92	$316.92	$329.13	$0.00	$88.99	$0.00	$252.57	$252.57	$0.00	$213.50	$338.18	$341.60	$0.00	$0.00	$0.00	$66.83	$0.00	$0.00	$67.98	$0.00	$0.00	$0.00	$0.00	$0.00
27201886	EAP	HCPCS C1725		4-2/5/75 Opti-plast Balloon	BOTH IP/OP	$501.00 	$370.74	$0.00	$400.80	$272.04	$272.04	$0.00	$0.00	$0.00	$104.42	$371.84	$371.84	$386.17	$0.00	$104.41	$0.00	$296.34	$296.34	$0.00	$250.50	$396.79	$400.80	$0.00	$0.00	$0.00	$78.41	$0.00	$0.00	$79.76	$0.00	$0.00	$0.00	$0.00	$0.00
27201887	EAP	HCPCS C1725		3-way Hp Stopcock	BOTH IP/OP	$934.00 	$691.16	$0.00	$747.20	$507.16	$507.16	$0.00	$0.00	$0.00	$194.67	$693.21	$693.21	$719.93	$0.00	$194.65	$0.00	$552.46	$552.46	$0.00	$467.00	$739.73	$747.20	$0.00	$0.00	$0.00	$146.17	$0.00	$0.00	$148.69	$0.00	$0.00	$0.00	$0.00	$0.00
27201888	EAP	HCPCS C1894		7fr 10cm Pinnacle Introducer	BOTH IP/OP	$71.00 	$52.54	$0.00	$56.80	$38.55	$38.55	$0.00	$0.00	$0.00	$14.80	$52.70	$52.70	$54.73	$0.00	$14.80	$0.00	$42.00	$42.00	$0.00	$35.50	$56.23	$56.80	$0.00	$46.15	$0.00	$11.11	$0.00	$0.00	$11.30	$0.00	$0.00	$0.00	$0.00	$0.00
27201889	EAP	HCPCS C1894		7fr 10cm Pinnacle Introducer	BOTH IP/OP	$135.00 	$99.90	$0.00	$108.00	$73.31	$73.31	$0.00	$0.00	$0.00	$28.14	$100.20	$100.20	$104.06	$0.00	$28.13	$0.00	$79.85	$79.85	$0.00	$67.50	$106.92	$108.00	$0.00	$0.00	$0.00	$21.13	$0.00	$0.00	$21.49	$0.00	$0.00	$0.00	$0.00	$0.00
27201890	EAP	HCPCS C1725		12-2/5.8/75 Udt Dilatation Bal	BOTH IP/OP	$889.00 	$657.86	$0.00	$711.20	$482.73	$482.73	$0.00	$0.00	$0.00	$185.29	$659.82	$659.82	$685.24	$0.00	$185.27	$0.00	$525.84	$525.84	$0.00	$444.50	$704.09	$711.20	$0.00	$0.00	$0.00	$139.13	$0.00	$0.00	$141.53	$0.00	$0.00	$0.00	$0.00	$0.00
27201891	EAP	HCPCS C1729		8fr Flexima Biliary Catheter	BOTH IP/OP	$271.00 	$200.54	$0.00	$216.80	$147.15	$147.15	$0.00	$0.00	$0.00	$56.48	$201.14	$201.14	$208.89	$0.00	$56.48	$0.00	$160.30	$160.30	$0.00	$135.50	$214.63	$216.80	$0.00	$176.15	$0.00	$42.41	$0.00	$0.00	$43.14	$0.00	$0.00	$0.00	$0.00	$0.00
27201892	EAP	HCPCS C1729		Cx 18.0-38-40-p-32s-bcl	BOTH IP/OP	$300.00 	$222.00	$0.00	$240.00	$162.90	$162.90	$0.00	$0.00	$0.00	$62.53	$222.66	$222.66	$231.24	$0.00	$62.52	$0.00	$177.45	$177.45	$0.00	$150.00	$237.60	$240.00	$0.00	$0.00	$0.00	$46.95	$0.00	$0.00	$47.76	$0.00	$0.00	$0.00	$0.00	$0.00
27201893	EAP	Custom 27201893		Tibia Fracture Brace	BOTH IP/OP	$485.00 	$358.90	$0.00	$388.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$359.97	$359.97	$373.84	$0.00	$101.07	$0.00	$0.00	$0.00	$0.00	$242.50	$384.12	$388.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$94.40	$0.00	$0.00	$0.00	$0.00	$0.00	$24.59	$87.58	$87.58	$90.95	$0.00	$24.59	$0.00	$69.80	$69.80	$0.00	$59.00	$93.46	$94.40	$0.00	$76.70	$0.00	$18.47	$0.00	$0.00	$18.79	$0.00	$0.00	$0.00	$0.00	$0.00
27201914	EAP	Custom 27201914		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27201931	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$11.70	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27201932	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202362	EAP	Custom 27202362		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202376	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202377	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202384	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$21.18	$21.18	$0.00	$0.00	$0.00	$8.13	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$23.07	$23.07	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$6.10	$0.00	$0.00	$6.21	$0.00	$0.00	$0.00	$0.00	$0.00
27202388	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$12.35	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202389	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27202390	EAP	HCPCS C1729		Catheter Coude Size 16fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27202395	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27202396	EAP	HCPCS C1729		Catheter Coude 30cc 24fr	BOTH IP/OP	$82.00 	$60.68	$0.00	$65.60	$44.53	$44.53	$0.00	$0.00	$0.00	$17.09	$60.86	$60.86	$63.21	$0.00	$17.09	$0.00	$48.50	$48.50	$0.00	$41.00	$64.94	$65.60	$0.00	$0.00	$0.00	$12.83	$0.00	$0.00	$13.05	$0.00	$0.00	$0.00	$0.00	$0.00
27202397	EAP	Custom 27202397		Scapel Surg W/handle Atta	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$37.60	$25.52	$25.52	$0.00	$0.00	$0.00	$9.80	$34.88	$34.88	$36.23	$0.00	$9.79	$0.00	$27.80	$27.80	$0.00	$23.50	$37.22	$37.60	$0.00	$0.00	$0.00	$7.36	$0.00	$0.00	$7.48	$0.00	$0.00	$0.00	$0.00	$0.00
27202407	EAP	HCPCS C1729		Catheter Coude 30cc 24fr	BOTH IP/OP	$87.00 	$64.38	$0.00	$69.60	$47.24	$47.24	$0.00	$0.00	$0.00	$18.13	$64.57	$64.57	$67.06	$0.00	$18.13	$0.00	$51.46	$51.46	$0.00	$43.50	$68.90	$69.60	$0.00	$0.00	$0.00	$13.62	$0.00	$0.00	$13.85	$0.00	$0.00	$0.00	$0.00	$0.00
27202418	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202419	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$11.70	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202420	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202421	EAP	HCPCS C1729		Catheter Foley 3-way 30cc	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$20.09	$20.09	$0.00	$0.00	$0.00	$7.71	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$21.89	$21.89	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$5.79	$0.00	$0.00	$5.89	$0.00	$0.00	$0.00	$0.00	$0.00
27202432	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$0.00	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202433	EAP	HCPCS C1729		Catheter Coude Size 14fr	BOTH IP/OP	$109.00 	$80.66	$0.00	$87.20	$59.19	$59.19	$0.00	$0.00	$0.00	$22.72	$80.90	$80.90	$84.02	$0.00	$22.72	$0.00	$64.47	$64.47	$0.00	$54.50	$86.33	$87.20	$0.00	$0.00	$0.00	$17.06	$0.00	$0.00	$17.35	$0.00	$0.00	$0.00	$0.00	$0.00
27202434	EAP	HCPCS C1729		Catheter Coude Size 16fr	BOTH IP/OP	$102.00 	$75.48	$0.00	$81.60	$55.39	$55.39	$0.00	$0.00	$0.00	$21.26	$75.70	$75.70	$78.62	$0.00	$21.26	$0.00	$60.33	$60.33	$0.00	$51.00	$80.78	$81.60	$0.00	$0.00	$0.00	$15.96	$0.00	$0.00	$16.24	$0.00	$0.00	$0.00	$0.00	$0.00
27202435	EAP	Custom 27202435		Scapel Surg W/handle Attached	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$0.00	$0.00	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202447	EAP	HCPCS C1729		Catheter Foley 16fr	BOTH IP/OP	$18.00 	$13.32	$0.00	$14.40	$9.77	$9.77	$0.00	$0.00	$0.00	$3.75	$13.36	$13.36	$13.87	$0.00	$3.75	$0.00	$10.65	$10.65	$0.00	$9.00	$14.26	$14.40	$0.00	$11.70	$0.00	$2.82	$0.00	$0.00	$2.87	$0.00	$0.00	$0.00	$0.00	$0.00
27202448	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202449	EAP	HCPCS C1729		Catheter Foley 30cc 28fr	BOTH IP/OP	$39.00 	$28.86	$0.00	$31.20	$21.18	$21.18	$0.00	$0.00	$0.00	$8.13	$28.95	$28.95	$30.06	$0.00	$8.13	$0.00	$23.07	$23.07	$0.00	$19.50	$30.89	$31.20	$0.00	$0.00	$0.00	$6.10	$0.00	$0.00	$6.21	$0.00	$0.00	$0.00	$0.00	$0.00
27202462	EAP	HCPCS C1729		Catheter Foley 5cc 14fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202463	EAP	HCPCS C1729		Catheter Foley 5cc 18fr	BOTH IP/OP	$19.00 	$14.06	$0.00	$15.20	$10.32	$10.32	$0.00	$0.00	$0.00	$3.96	$14.10	$14.10	$14.65	$0.00	$3.96	$0.00	$11.24	$11.24	$0.00	$9.50	$15.05	$15.20	$0.00	$0.00	$0.00	$2.97	$0.00	$0.00	$3.02	$0.00	$0.00	$0.00	$0.00	$0.00
27202470	EAP	HCPCS C1751		Cragg-mcnamara 5-65-5 Infusion	BOTH IP/OP	$740.00 	$547.60	$0.00	$592.00	$401.82	$401.82	$0.00	$0.00	$0.00	$154.23	$549.23	$549.23	$570.39	$0.00	$154.22	$0.00	$437.71	$437.71	$0.00	$370.00	$586.08	$592.00	$0.00	$0.00	$0.00	$115.81	$0.00	$0.00	$117.81	$0.00	$0.00	$0.00	$0.00	$0.00
27202471	EAP	HCPCS C1751		Cragg-mcnamara 5-40-20 Infusio	BOTH IP/OP	$315.00 	$233.10	$0.00	$252.00	$171.05	$171.05	$0.00	$0.00	$0.00	$65.65	$233.79	$233.79	$242.80	$0.00	$65.65	$0.00	$186.32	$186.32	$0.00	$157.50	$249.48	$252.00	$0.00	$204.75	$0.00	$49.30	$0.00	$0.00	$50.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202472	EAP	HCPCS C1751		Cragg-mcnamara 5-100-10 Infusi	BOTH IP/OP	$315.00 	$233.10	$0.00	$252.00	$171.05	$171.05	$0.00	$0.00	$0.00	$65.65	$233.79	$233.79	$242.80	$0.00	$65.65	$0.00	$186.32	$186.32	$0.00	$157.50	$249.48	$252.00	$0.00	$0.00	$0.00	$49.30	$0.00	$0.00	$50.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202473	EAP	HCPCS C1773		15mm Amplatz Snare	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$595.40	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202474	EAP	HCPCS C1773		25mm Amplatz Snare	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$595.40	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202475	EAP	HCPCS C1729		10fr X 35cm Skater Nephrostomy	BOTH IP/OP	$254.00 	$187.96	$0.00	$203.20	$137.92	$137.92	$0.00	$0.00	$0.00	$52.94	$188.52	$188.52	$195.78	$0.00	$52.93	$0.00	$150.24	$150.24	$0.00	$127.00	$201.17	$203.20	$0.00	$165.10	$0.00	$39.75	$0.00	$0.00	$40.44	$0.00	$0.00	$0.00	$0.00	$0.00
27202476	EAP	HCPCS C1750		Chron Carbothane Cath 14.5f X 19cm	BOTH IP/OP	"$1,054.00 "	$779.96	$0.00	$843.20	$572.32	$572.32	$0.00	$0.00	$0.00	$219.68	$782.28	$782.28	$812.42	$0.00	$219.65	$0.00	$623.44	$623.44	$0.00	$527.00	$834.77	$843.20	$0.00	$685.10	$0.00	$164.95	$0.00	$0.00	$167.80	$0.00	$0.00	$0.00	$0.00	$0.00
27202477	EAP	HCPCS C1750		23cm Sport Pack Perm Dialysis	BOTH IP/OP	$921.00 	$681.54	$0.00	$736.80	$500.10	$500.10	$0.00	$0.00	$0.00	$191.96	$683.57	$683.57	$709.91	$0.00	$191.94	$0.00	$544.77	$544.77	$0.00	$460.50	$729.43	$736.80	$0.00	$598.65	$0.00	$144.14	$0.00	$0.00	$146.62	$0.00	$0.00	$0.00	$0.00	$0.00
27202478	EAP	HCPCS C1750		28cm Sport Pack Perm Dialysis	BOTH IP/OP	"$2,263.00 "	"$1,674.62"	$0.00	"$1,810.40"	"$1,228.81"	"$1,228.81"	$0.00	$0.00	$0.00	$471.67	"$1,679.60"	"$1,679.60"	"$1,744.32"	$0.00	$471.61	$0.00	"$1,338.56"	"$1,338.56"	$0.00	"$1,131.50"	"$1,792.30"	"$1,810.40"	$0.00	$0.00	$0.00	$354.16	$0.00	$0.00	$360.27	$0.00	$0.00	$0.00	$0.00	$0.00
27202479	EAP	HCPCS C1752		19cm Q-plus Temp Dialysis Kit	BOTH IP/OP	$254.00 	$187.96	$0.00	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$188.52	$188.52	$195.78	$0.00	$52.93	$0.00	$0.00	$0.00	$0.00	$127.00	$201.17	$203.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202480	EAP	HCPCS C1894		Sheath Flex 6fr 11cm	BOTH IP/OP	$138.00 	$102.12	$0.00	$110.40	$74.93	$74.93	$0.00	$0.00	$0.00	$28.76	$102.42	$102.42	$106.37	$0.00	$28.76	$0.00	$81.63	$81.63	$0.00	$69.00	$109.30	$110.40	$0.00	$0.00	$0.00	$21.60	$0.00	$0.00	$21.97	$0.00	$0.00	$0.00	$0.00	$0.00
27202481	EAP	HCPCS C1751		Hickman 10.0 French Triple Lum	BOTH IP/OP	"$1,357.00 "	"$1,004.18"	$0.00	"$1,085.60"	$736.85	$736.85	$0.00	$0.00	$0.00	$282.83	"$1,007.17"	"$1,007.17"	"$1,045.98"	$0.00	$282.80	$0.00	$802.67	$802.67	$0.00	$678.50	"$1,074.74"	"$1,085.60"	$0.00	$0.00	$0.00	$212.37	$0.00	$0.00	$216.03	$0.00	$0.00	$0.00	$0.00	$0.00
27202482	EAP	HCPCS C1725		Balloon Udt 4-2/5/120	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202483	EAP	HCPCS C1725		Conquest Dialation Balloon 5mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202484	EAP	HCPCS C1725		Conquest Dialation Balloon 5mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202485	EAP	HCPCS C1725		Conquest Dialation Balloon 6mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202486	EAP	HCPCS C1725		Conquest Dialation Balloon 6mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$0.00	$0.00	$0.00	$0.00	$0.00	$149.44	$0.00	$0.00	$0.00	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202487	EAP	HCPCS C1725		Conquest Dialation Balloon 7mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202488	EAP	HCPCS C1725		Conquest Dialation Balloon 7mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202489	EAP	HCPCS C1725		Conquest Dialation Balloon 8mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202490	EAP	HCPCS C1725		Conquest Dialation Balloon 8mm	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202491	EAP	HCPCS C1725		Conquest Dialation Balloon 10m	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202492	EAP	HCPCS C1725		Conquest Dialation Balloon 10m	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202493	EAP	HCPCS C1725		Conquest Dialation Balloon 12m	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$466.05	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202494	EAP	HCPCS C1725		Balloon Dial Cath 4mmx10cmx120	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202495	EAP	HCPCS C1751		Vaxcel Central Venous Cath	BOTH IP/OP	$6.00 	$4.44	$0.00	$4.80	$3.26	$3.26	$0.00	$0.00	$0.00	$1.25	$4.45	$4.45	$4.62	$0.00	$1.25	$0.00	$3.55	$3.55	$0.00	$3.00	$4.75	$4.80	$0.00	$0.00	$0.00	$0.94	$0.00	$0.00	$0.96	$0.00	$0.00	$0.00	$0.00	$0.00
27202496	EAP	HCPCS C1725		4mmx2cmx90xm Monorail Balloon	BOTH IP/OP	"$1,407.00 "	"$1,041.18"	$0.00	"$1,125.60"	$764.00	$764.00	$0.00	$0.00	$0.00	$293.25	"$1,044.28"	"$1,044.28"	"$1,084.52"	$0.00	$293.22	$0.00	$832.24	$832.24	$0.00	$703.50	"$1,114.34"	"$1,125.60"	$0.00	$0.00	$0.00	$220.20	$0.00	$0.00	$223.99	$0.00	$0.00	$0.00	$0.00	$0.00
27202497	EAP	HCPCS C1725		5mmx2cmx90cm Monorail Balloon	BOTH IP/OP	"$1,407.00 "	"$1,041.18"	$0.00	"$1,125.60"	$764.00	$764.00	$0.00	$0.00	$0.00	$293.25	"$1,044.28"	"$1,044.28"	"$1,084.52"	$0.00	$293.22	$0.00	$832.24	$832.24	$0.00	$703.50	"$1,114.34"	"$1,125.60"	$0.00	$0.00	$0.00	$220.20	$0.00	$0.00	$223.99	$0.00	$0.00	$0.00	$0.00	$0.00
27202498	EAP	HCPCS C1725		5mmx15cmx90xcm Monorail Biliar	BOTH IP/OP	"$4,654.00 "	"$3,443.96"	$0.00	"$3,723.20"	"$2,527.12"	"$2,527.12"	$0.00	$0.00	$0.00	$970.01	"$3,454.20"	"$3,454.20"	"$3,587.30"	$0.00	$969.89	$0.00	"$2,752.84"	"$2,752.84"	$0.00	"$2,327.00"	"$3,685.97"	"$3,723.20"	$0.00	$0.00	$0.00	$728.35	$0.00	$0.00	$740.92	$0.00	$0.00	$0.00	$0.00	$0.00
27202499	EAP	HCPCS C1725		6mmx14cmx90cm Monorail Biliary	BOTH IP/OP	"$4,654.00 "	"$3,443.96"	$0.00	"$3,723.20"	"$2,527.12"	"$2,527.12"	$0.00	$0.00	$0.00	$970.01	"$3,454.20"	"$3,454.20"	"$3,587.30"	$0.00	$969.89	$0.00	"$2,752.84"	"$2,752.84"	$0.00	"$2,327.00"	"$3,685.97"	"$3,723.20"	$0.00	$0.00	$0.00	$728.35	$0.00	$0.00	$740.92	$0.00	$0.00	$0.00	$0.00	$0.00
27202500	EAP	HCPCS C1725		6mmx18cmx90cm Monorail Bilary	BOTH IP/OP	"$4,654.00 "	"$3,443.96"	$0.00	"$3,723.20"	"$2,527.12"	"$2,527.12"	$0.00	$0.00	$0.00	$970.01	"$3,454.20"	"$3,454.20"	"$3,587.30"	$0.00	$969.89	$0.00	"$2,752.84"	"$2,752.84"	$0.00	"$2,327.00"	"$3,685.97"	"$3,723.20"	$0.00	$0.00	$0.00	$728.35	$0.00	$0.00	$740.92	$0.00	$0.00	$0.00	$0.00	$0.00
27202501	EAP	HCPCS C1769		.018x190cm Thruway Guidewire	BOTH IP/OP	$291.00 	$215.34	$0.00	$232.80	$158.01	$158.01	$0.00	$0.00	$0.00	$60.65	$215.98	$215.98	$224.30	$0.00	$60.64	$0.00	$172.13	$172.13	$0.00	$145.50	$230.47	$232.80	$0.00	$0.00	$0.00	$45.54	$0.00	$0.00	$46.33	$0.00	$0.00	$0.00	$0.00	$0.00
27202502	EAP	HCPCS C1893		6frx45cm Renal Guiding Sheath	BOTH IP/OP	$260.00 	$192.40	$0.00	$208.00	$141.18	$141.18	$0.00	$0.00	$0.00	$54.19	$192.97	$192.97	$200.41	$0.00	$54.18	$0.00	$153.79	$153.79	$0.00	$130.00	$205.92	$208.00	$0.00	$169.00	$0.00	$40.69	$0.00	$0.00	$41.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202503	EAP	HCPCS C1725		6x40x80 Polar Cath Balloon	BOTH IP/OP	"$4,496.00 "	"$3,327.04"	$0.00	"$3,596.80"	"$2,441.33"	"$2,441.33"	$0.00	$0.00	$0.00	$937.08	"$3,336.93"	"$3,336.93"	"$3,465.52"	$0.00	$936.97	$0.00	"$2,659.38"	"$2,659.38"	$0.00	"$2,248.00"	"$3,560.83"	"$3,596.80"	$0.00	$0.00	$0.00	$703.62	$0.00	$0.00	$715.76	$0.00	$0.00	$0.00	$0.00	$0.00
27202504	EAP	HCPCS C1725		7x60x80 Polar Cath Balloon	BOTH IP/OP	"$4,496.00 "	"$3,327.04"	$0.00	"$3,596.80"	"$2,441.33"	"$2,441.33"	$0.00	$0.00	$0.00	$937.08	"$3,336.93"	"$3,336.93"	"$3,465.52"	$0.00	$936.97	$0.00	"$2,659.38"	"$2,659.38"	$0.00	"$2,248.00"	"$3,560.83"	"$3,596.80"	$0.00	$0.00	$0.00	$703.62	$0.00	$0.00	$715.76	$0.00	$0.00	$0.00	$0.00	$0.00
27202505	EAP	HCPCS C2629		Banana Peel Sheath	BOTH IP/OP	$151.00 	$111.74	$0.00	$120.80	$0.00	$0.00	$0.00	$0.00	$0.00	$31.47	$112.07	$112.07	$116.39	$0.00	$31.47	$0.00	$89.32	$89.32	$0.00	$75.50	$119.59	$120.80	$0.00	$0.00	$0.00	$23.63	$0.00	$0.00	$24.04	$0.00	$0.00	$0.00	$0.00	$0.00
27202506	EAP	HCPCS C1769		Guidewite .014x180 Segway Gt	BOTH IP/OP	$417.00 	$308.58	$0.00	$333.60	$226.43	$226.43	$0.00	$0.00	$0.00	$86.91	$309.50	$309.50	$321.42	$0.00	$86.90	$0.00	$246.66	$246.66	$0.00	$208.50	$330.26	$333.60	$0.00	$0.00	$0.00	$65.26	$0.00	$0.00	$66.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202507	EAP	HCPCS C1769		Guidewire .018x180cm Segway Gt	BOTH IP/OP	$417.00 	$308.58	$0.00	$333.60	$226.43	$226.43	$0.00	$0.00	$0.00	$86.91	$309.50	$309.50	$321.42	$0.00	$86.90	$0.00	$246.66	$246.66	$0.00	$208.50	$330.26	$333.60	$0.00	$271.05	$0.00	$65.26	$0.00	$0.00	$66.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202508	EAP	HCPCS C1769		Str Guidewire .014x180 Segway	BOTH IP/OP	$417.00 	$308.58	$0.00	$333.60	$226.43	$226.43	$0.00	$0.00	$0.00	$86.91	$309.50	$309.50	$321.42	$0.00	$86.90	$0.00	$246.66	$246.66	$0.00	$208.50	$330.26	$333.60	$0.00	$0.00	$0.00	$65.26	$0.00	$0.00	$66.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202509	EAP	HCPCS C1751		Infusion Embo Cath Segway	BOTH IP/OP	$835.00 	$617.90	$0.00	$668.00	$453.41	$453.41	$0.00	$0.00	$0.00	$174.03	$619.74	$619.74	$643.62	$0.00	$174.01	$0.00	$493.90	$493.90	$0.00	$417.50	$661.32	$668.00	$0.00	$0.00	$0.00	$130.68	$0.00	$0.00	$132.93	$0.00	$0.00	$0.00	$0.00	$0.00
27202510	EAP	HCPCS C1757		Complex Helical Coil	BOTH IP/OP	$239.00 	$176.86	$0.00	$191.20	$129.78	$129.78	$0.00	$0.00	$0.00	$49.81	$177.39	$177.39	$184.22	$0.00	$49.81	$0.00	$141.37	$141.37	$0.00	$119.50	$189.29	$191.20	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202511	EAP	HCPCS C1894		6fr Dial Ease Introducer Sheat	BOTH IP/OP	$43.00 	$31.82	$0.00	$34.40	$23.35	$23.35	$0.00	$0.00	$0.00	$8.96	$31.91	$31.91	$33.14	$0.00	$8.96	$0.00	$25.43	$25.43	$0.00	$21.50	$34.06	$34.40	$0.00	$27.95	$0.00	$6.73	$0.00	$0.00	$6.85	$0.00	$0.00	$0.00	$0.00	$0.00
27202512	EAP	HCPCS C1725		7-2/7/75 Workhorse Balloon	BOTH IP/OP	$438.00 	$324.12	$0.00	$350.40	$237.83	$237.83	$0.00	$0.00	$0.00	$91.29	$325.08	$325.08	$337.61	$0.00	$91.28	$0.00	$259.08	$259.08	$0.00	$219.00	$346.90	$350.40	$0.00	$0.00	$0.00	$68.55	$0.00	$0.00	$69.73	$0.00	$0.00	$0.00	$0.00	$0.00
27202513	EAP	HCPCS C1725		7-4/5/75 Workhorse Balloon	BOTH IP/OP	$427.00 	$315.98	$0.00	$341.60	$231.86	$231.86	$0.00	$0.00	$0.00	$89.00	$316.92	$316.92	$329.13	$0.00	$88.99	$0.00	$252.57	$252.57	$0.00	$213.50	$338.18	$341.60	$0.00	$0.00	$0.00	$66.83	$0.00	$0.00	$67.98	$0.00	$0.00	$0.00	$0.00	$0.00
27202514	EAP	HCPCS C1894		10fr 25cm Pinnacle Sheath Intr	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$43.55	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27202515	EAP	HCPCS C1894		5fr 25cm Pinnacle Introducer S	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$32.04	$32.04	$0.00	$0.00	$0.00	$12.30	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$34.90	$34.90	$0.00	$29.50	$46.73	$47.20	$0.00	$38.35	$0.00	$9.23	$0.00	$0.00	$9.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202516	EAP	HCPCS C1894		9fr 25cm Pinnacle Introducer S	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27202517	EAP	HCPCS C1894		6fr 25cm Pinnacle Introducer S	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27202518	EAP	HCPCS C1894		7fr 25cm Pinnacle Introducer S	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$32.04	$32.04	$0.00	$0.00	$0.00	$12.30	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$34.90	$34.90	$0.00	$29.50	$46.73	$47.20	$0.00	$38.35	$0.00	$9.23	$0.00	$0.00	$9.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202519	EAP	HCPCS C1750		23cm Hemoglide Perm Cath	BOTH IP/OP	"$2,140.00 "	"$1,583.60"	$0.00	"$1,712.00"	"$1,162.02"	"$1,162.02"	$0.00	$0.00	$0.00	$446.03	"$1,588.31"	"$1,588.31"	"$1,649.51"	$0.00	$445.98	$0.00	"$1,265.81"	"$1,265.81"	$0.00	"$1,070.00"	"$1,694.88"	"$1,712.00"	$0.00	$0.00	$0.00	$334.91	$0.00	$0.00	$340.69	$0.00	$0.00	$0.00	$0.00	$0.00
27202520	EAP	HCPCS C1750		19cm Hemoglide Perm Cath	BOTH IP/OP	$916.00 	$677.84	$0.00	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$0.00	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202521	EAP	HCPCS C1769		Nitrex Guidewire	BOTH IP/OP	$728.00 	$538.72	$0.00	$582.40	$395.30	$395.30	$0.00	$0.00	$0.00	$151.73	$540.32	$540.32	$561.14	$0.00	$151.72	$0.00	$430.61	$430.61	$0.00	$364.00	$576.58	$582.40	$0.00	$0.00	$0.00	$113.93	$0.00	$0.00	$115.90	$0.00	$0.00	$0.00	$0.00	$0.00
27202522	EAP	HCPCS C1769		Disposable Tip Deflecting Wire	BOTH IP/OP	$567.00 	$419.58	$0.00	$453.60	$307.88	$307.88	$0.00	$0.00	$0.00	$118.18	$420.83	$420.83	$437.04	$0.00	$118.16	$0.00	$335.38	$335.38	$0.00	$283.50	$449.06	$453.60	$0.00	$368.55	$0.00	$88.74	$0.00	$0.00	$90.27	$0.00	$0.00	$0.00	$0.00	$0.00
27202523	EAP	HCPCS C1894		10fr Pinnacle Introducer	BOTH IP/OP	$76.00 	$56.24	$0.00	$60.80	$41.27	$41.27	$0.00	$0.00	$0.00	$15.84	$56.41	$56.41	$58.58	$0.00	$15.84	$0.00	$44.95	$44.95	$0.00	$38.00	$60.19	$60.80	$0.00	$49.40	$0.00	$11.89	$0.00	$0.00	$12.10	$0.00	$0.00	$0.00	$0.00	$0.00
27202524	EAP	HCPCS C1752		Niagra Dialysis Catheter	BOTH IP/OP	$203.00 	$150.22	$0.00	$162.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$150.67	$150.67	$156.47	$0.00	$42.31	$0.00	$0.00	$0.00	$0.00	$101.50	$160.78	$162.40	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202525	EAP	HCPCS C2629		5fr Tear-away Introducer	BOTH IP/OP	$81.00 	$59.94	$0.00	$64.80	$0.00	$0.00	$0.00	$0.00	$0.00	$16.88	$60.12	$60.12	$62.43	$0.00	$16.88	$0.00	$47.91	$47.91	$0.00	$40.50	$64.15	$64.80	$0.00	$52.65	$0.00	$12.68	$0.00	$0.00	$12.90	$0.00	$0.00	$0.00	$0.00	$0.00
27202526	EAP	HCPCS C2629		6fr Tear-away Introducer	BOTH IP/OP	$856.00 	$633.44	$0.00	$684.80	$0.00	$0.00	$0.00	$0.00	$0.00	$178.41	$635.32	$635.32	$659.80	$0.00	$178.39	$0.00	$506.32	$506.32	$0.00	$428.00	$677.95	$684.80	$0.00	$556.40	$0.00	$133.96	$0.00	$0.00	$136.28	$0.00	$0.00	$0.00	$0.00	$0.00
27202527	EAP	HCPCS C2629		8 Fr Tear Away Introducer	BOTH IP/OP	$397.00 	$293.78	$0.00	$317.60	$0.00	$0.00	$0.00	$0.00	$0.00	$82.74	$294.65	$294.65	$306.01	$0.00	$82.73	$0.00	$234.83	$234.83	$0.00	$198.50	$314.42	$317.60	$0.00	$0.00	$0.00	$62.13	$0.00	$0.00	$63.20	$0.00	$0.00	$0.00	$0.00	$0.00
27202528	EAP	HCPCS C2629		9fr Tear-away Introducer	BOTH IP/OP	$81.00 	$59.94	$0.00	$64.80	$0.00	$0.00	$0.00	$0.00	$0.00	$16.88	$60.12	$60.12	$62.43	$0.00	$16.88	$0.00	$47.91	$47.91	$0.00	$40.50	$64.15	$64.80	$0.00	$52.65	$0.00	$12.68	$0.00	$0.00	$12.90	$0.00	$0.00	$0.00	$0.00	$0.00
27202529	EAP	HCPCS C2629		10fr-16cm Introducer	BOTH IP/OP	$85.00 	$62.90	$0.00	$68.00	$0.00	$0.00	$0.00	$0.00	$0.00	$17.72	$63.09	$63.09	$65.52	$0.00	$17.71	$0.00	$50.28	$50.28	$0.00	$42.50	$67.32	$68.00	$0.00	$0.00	$0.00	$13.30	$0.00	$0.00	$13.53	$0.00	$0.00	$0.00	$0.00	$0.00
27202530	EAP	Custom 27202530		18 Ga Needle  Sterile  Guide	BOTH IP/OP	$65.00 	$48.10	$0.00	$52.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$48.24	$48.24	$50.10	$0.00	$13.55	$0.00	$0.00	$0.00	$0.00	$32.50	$51.48	$52.00	$0.00	$42.25	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$232.80	$158.01	$158.01	$0.00	$0.00	$0.00	$60.65	$215.98	$215.98	$224.30	$0.00	$60.64	$0.00	$172.13	$172.13	$0.00	$145.50	$230.47	$232.80	$0.00	$0.00	$0.00	$45.54	$0.00	$0.00	$46.33	$0.00	$0.00	$0.00	$0.00	$0.00
27202532	EAP	HCPCS C1757		2mmx20mm Complex Helical	BOTH IP/OP	$257.00 	$190.18	$0.00	$205.60	$139.55	$139.55	$0.00	$0.00	$0.00	$53.57	$190.75	$190.75	$198.10	$0.00	$53.56	$0.00	$152.02	$152.02	$0.00	$128.50	$203.54	$205.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$544.80	$369.78	$369.78	$0.00	$0.00	$0.00	$141.94	$505.44	$505.44	$524.91	$0.00	$141.92	$0.00	$402.81	$402.81	$0.00	$340.50	$539.35	$544.80	$0.00	$0.00	$0.00	$106.58	$0.00	$0.00	$108.42	$0.00	$0.00	$0.00	$0.00	$0.00
27202534	EAP	HCPCS C1769		46fr-65cm C2 Glidecath	BOTH IP/OP	$167.00 	$123.58	$0.00	$133.60	$90.68	$90.68	$0.00	$0.00	$0.00	$34.81	$123.95	$123.95	$128.72	$0.00	$34.80	$0.00	$98.78	$98.78	$0.00	$83.50	$132.26	$133.60	$0.00	$0.00	$0.00	$26.14	$0.00	$0.00	$26.59	$0.00	$0.00	$0.00	$0.00	$0.00
27202535	EAP	HCPCS C1757		4mmx30mm Complex Helical	BOTH IP/OP	$265.00 	$196.10	$0.00	$212.00	$143.90	$143.90	$0.00	$0.00	$0.00	$55.23	$196.68	$196.68	$204.26	$0.00	$55.23	$0.00	$156.75	$156.75	$0.00	$132.50	$209.88	$212.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$732.80	$497.39	$497.39	$0.00	$0.00	$0.00	$190.92	$679.86	$679.86	$706.05	$0.00	$190.89	$0.00	$541.81	$541.81	$0.00	$458.00	$725.47	$732.80	$0.00	$0.00	$0.00	$143.35	$0.00	$0.00	$145.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202537	EAP	HCPCS C1725		Bmx14-4/7/100 Ballon Gath	BOTH IP/OP	"$1,008.00 "	$745.92	$0.00	$806.40	$547.34	$547.34	$0.00	$0.00	$0.00	$210.09	$748.14	$748.14	$776.97	$0.00	$210.07	$0.00	$596.23	$596.23	$0.00	$504.00	$798.34	$806.40	$0.00	$0.00	$0.00	$157.75	$0.00	$0.00	$160.47	$0.00	$0.00	$0.00	$0.00	$0.00
27202538	EAP	HCPCS C1729		Catheter  10fr Flexima	BOTH IP/OP	$291.00 	$215.34	$0.00	$232.80	$158.01	$158.01	$0.00	$0.00	$0.00	$60.65	$215.98	$215.98	$224.30	$0.00	$60.64	$0.00	$172.13	$172.13	$0.00	$145.50	$230.47	$232.80	$0.00	$189.15	$0.00	$45.54	$0.00	$0.00	$46.33	$0.00	$0.00	$0.00	$0.00	$0.00
27202539	EAP	HCPCS C1729		Catheter  14fr Flexima	BOTH IP/OP	$282.00 	$208.68	$0.00	$225.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$141.00	$223.34	$225.60	$0.00	$0.00	$0.00	$44.13	$0.00	$0.00	$44.89	$0.00	$0.00	$0.00	$0.00	$0.00
27202540	EAP	HCPCS C1751		Catheter  9cm Katzen	BOTH IP/OP	"$1,506.00 "	"$1,114.44"	$0.00	"$1,204.80"	$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	$753.00	"$1,192.75"	"$1,204.80"	$0.00	$0.00	$0.00	$235.69	$0.00	$0.00	$239.76	$0.00	$0.00	$0.00	$0.00	$0.00
27202541	EAP	HCPCS C1725		Catheter  Balloon  Dc/20	BOTH IP/OP	"$2,062.00 "	"$1,525.88"	$0.00	"$1,649.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,031.00"	"$1,633.10"	"$1,649.60"	$0.00	$0.00	$0.00	$322.70	$0.00	$0.00	$328.27	$0.00	$0.00	$0.00	$0.00	$0.00
27202542	EAP	HCPCS C1725		Catheter  Balloon Ultra-	BOTH IP/OP	$718.00 	$531.32	$0.00	$574.40	$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	$359.00	$568.66	$574.40	$0.00	$0.00	$0.00	$112.37	$0.00	$0.00	$114.31	$0.00	$0.00	$0.00	$0.00	$0.00
27202543	EAP	HCPCS C1887		Glidecath: 100cm Straight	BOTH IP/OP	$838.00 	$620.12	$0.00	$670.40	$455.03	$455.03	$0.00	$0.00	$0.00	$174.66	$621.96	$621.96	$645.93	$0.00	$174.64	$0.00	$495.68	$495.68	$0.00	$419.00	$663.70	$670.40	$0.00	$544.70	$0.00	$131.15	$0.00	$0.00	$133.41	$0.00	$0.00	$0.00	$0.00	$0.00
27202544	EAP	HCPCS C1887		Guidecath  5fr-100cm	BOTH IP/OP	$175.00 	$129.50	$0.00	$140.00	$95.03	$95.03	$0.00	$0.00	$0.00	$36.47	$129.89	$129.89	$134.89	$0.00	$36.47	$0.00	$103.51	$103.51	$0.00	$87.50	$138.60	$140.00	$0.00	$113.75	$0.00	$27.39	$0.00	$0.00	$27.86	$0.00	$0.00	$0.00	$0.00	$0.00
27202545	EAP	HCPCS C1769		Guidewire .035/150cm	BOTH IP/OP	"$1,424.00 "	"$1,053.76"	$0.00	"$1,139.20"	$773.23	$773.23	$0.00	$0.00	$0.00	$296.80	"$1,056.89"	"$1,056.89"	"$1,097.62"	$0.00	$296.76	$0.00	$842.30	$842.30	$0.00	$712.00	"$1,127.81"	"$1,139.20"	$0.00	$925.60	$0.00	$222.86	$0.00	$0.00	$226.70	$0.00	$0.00	$0.00	$0.00	$0.00
27202546	EAP	HCPCS C1769		Transcend -ex Guidewire	BOTH IP/OP	"$1,759.00 "	"$1,301.66"	$0.00	"$1,407.20"	$955.14	$955.14	$0.00	$0.00	$0.00	$366.62	"$1,305.53"	"$1,305.53"	"$1,355.84"	$0.00	$366.58	$0.00	"$1,040.45"	"$1,040.45"	$0.00	$879.50	"$1,393.13"	"$1,407.20"	$0.00	$0.00	$0.00	$275.28	$0.00	$0.00	$280.03	$0.00	$0.00	$0.00	$0.00	$0.00
27202547	EAP	HCPCS C1725		Udt6-10/5/120 Ballon Cath	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202548	EAP	HCPCS C1769		V-18 Control Guidewires	BOTH IP/OP	$313.00 	$231.62	$0.00	$250.40	$169.96	$169.96	$0.00	$0.00	$0.00	$65.24	$232.31	$232.31	$241.26	$0.00	$65.23	$0.00	$185.14	$185.14	$0.00	$156.50	$247.90	$250.40	$0.00	$0.00	$0.00	$48.98	$0.00	$0.00	$49.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202549	EAP	HCPCS C1725		Xxl 18-4/5.8/120e Ball Ga	BOTH IP/OP	$934.00 	$691.16	$0.00	$747.20	$507.16	$507.16	$0.00	$0.00	$0.00	$194.67	$693.21	$693.21	$719.93	$0.00	$194.65	$0.00	$552.46	$552.46	$0.00	$467.00	$739.73	$747.20	$0.00	$0.00	$0.00	$146.17	$0.00	$0.00	$148.69	$0.00	$0.00	$0.00	$0.00	$0.00
27202550	EAP	HCPCS C1769		Guidewire .035-260cm Rosen	BOTH IP/OP	$68.00 	$50.32	$0.00	$54.40	$36.92	$36.92	$0.00	$0.00	$0.00	$14.17	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$40.22	$40.22	$0.00	$34.00	$53.86	$54.40	$0.00	$44.20	$0.00	$10.64	$0.00	$0.00	$10.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202551	EAP	HCPCS C1729		10.2fr Biliary Drain Cath	BOTH IP/OP	$289.00 	$213.86	$0.00	$231.20	$156.93	$156.93	$0.00	$0.00	$0.00	$60.23	$214.50	$214.50	$222.76	$0.00	$60.23	$0.00	$170.94	$170.94	$0.00	$144.50	$228.89	$231.20	$0.00	$187.85	$0.00	$45.23	$0.00	$0.00	$46.01	$0.00	$0.00	$0.00	$0.00	$0.00
27202552	EAP	HCPCS C1729		12.0fr Biliary Drain Cath	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$160.73	$160.73	$0.00	$0.00	$0.00	$61.69	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$175.08	$175.08	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$46.32	$0.00	$0.00	$47.12	$0.00	$0.00	$0.00	$0.00	$0.00
27202553	EAP	HCPCS C1729		12.0fr Mp Drain Catheter	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$160.73	$160.73	$0.00	$0.00	$0.00	$61.69	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$175.08	$175.08	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$46.32	$0.00	$0.00	$47.12	$0.00	$0.00	$0.00	$0.00	$0.00
27202554	EAP	HCPCS C1729		14.0fr Biliary Drain	BOTH IP/OP	$296.00 	$219.04	$0.00	$236.80	$160.73	$160.73	$0.00	$0.00	$0.00	$61.69	$219.69	$219.69	$228.16	$0.00	$61.69	$0.00	$175.08	$175.08	$0.00	$148.00	$234.43	$236.80	$0.00	$192.40	$0.00	$46.32	$0.00	$0.00	$47.12	$0.00	$0.00	$0.00	$0.00	$0.00
27202555	EAP	HCPCS C1769		35-180 Coons Wire	BOTH IP/OP	$192.00 	$142.08	$0.00	$153.60	$104.26	$104.26	$0.00	$0.00	$0.00	$40.02	$142.50	$142.50	$147.99	$0.00	$40.01	$0.00	$113.57	$113.57	$0.00	$96.00	$152.06	$153.60	$0.00	$0.00	$0.00	$30.05	$0.00	$0.00	$30.57	$0.00	$0.00	$0.00	$0.00	$0.00
27202556	EAP	HCPCS C1757		35-2-3 Embolization Coil	BOTH IP/OP	$172.00 	$127.28	$0.00	$137.60	$93.40	$93.40	$0.00	$0.00	$0.00	$35.85	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$101.74	$101.74	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$43.20	$29.32	$29.32	$0.00	$0.00	$0.00	$11.25	$40.08	$40.08	$41.62	$0.00	$11.25	$0.00	$31.94	$31.94	$0.00	$27.00	$42.77	$43.20	$0.00	$35.10	$0.00	$8.45	$0.00	$0.00	$8.60	$0.00	$0.00	$0.00	$0.00	$0.00
27202558	EAP	HCPCS C1894		8fr Balkanintroducer	BOTH IP/OP	$170.00 	$125.80	$0.00	$136.00	$92.31	$92.31	$0.00	$0.00	$0.00	$35.43	$126.17	$126.17	$131.04	$0.00	$35.43	$0.00	$100.56	$100.56	$0.00	$85.00	$134.64	$136.00	$0.00	$0.00	$0.00	$26.61	$0.00	$0.00	$27.06	$0.00	$0.00	$0.00	$0.00	$0.00
27202559	EAP	HCPCS C1894		9fr Flexor Introducer	BOTH IP/OP	$159.00 	$117.66	$0.00	$127.20	$86.34	$86.34	$0.00	$0.00	$0.00	$33.14	$118.01	$118.01	$122.56	$0.00	$33.14	$0.00	$94.05	$94.05	$0.00	$79.50	$125.93	$127.20	$0.00	$0.00	$0.00	$24.88	$0.00	$0.00	$25.31	$0.00	$0.00	$0.00	$0.00	$0.00
27202560	EAP	HCPCS C1757		Coil  Embolization 35-5-5	BOTH IP/OP	$172.00 	$127.28	$0.00	$137.60	$93.40	$93.40	$0.00	$0.00	$0.00	$35.85	$127.66	$127.66	$132.58	$0.00	$35.84	$0.00	$101.74	$101.74	$0.00	$86.00	$136.22	$137.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$2,368.00"	"$1,607.28"	"$1,607.28"	$0.00	$0.00	$0.00	$616.94	"$2,196.91"	"$2,196.91"	"$2,281.57"	$0.00	$616.86	$0.00	"$1,750.84"	"$1,750.84"	$0.00	"$1,480.00"	"$2,344.32"	"$2,368.00"	$0.00	$0.00	$0.00	$463.24	$0.00	$0.00	$471.23	$0.00	$0.00	$0.00	$0.00	$0.00
27202562	EAP	HCPCS C1894		Introducer Pinnacle 7fr 10cm	BOTH IP/OP	$67.00 	$49.58	$0.00	$53.60	$36.38	$36.38	$0.00	$0.00	$0.00	$13.96	$49.73	$49.73	$51.64	$0.00	$13.96	$0.00	$39.63	$39.63	$0.00	$33.50	$53.06	$53.60	$0.00	$0.00	$0.00	$10.49	$0.00	$0.00	$10.67	$0.00	$0.00	$0.00	$0.00	$0.00
27202563	EAP	HCPCS C1725		Balloon Udt 4-4/5/120	BOTH IP/OP	$717.00 	$530.58	$0.00	$573.60	$389.33	$389.33	$0.00	$0.00	$0.00	$149.44	$532.16	$532.16	$552.66	$0.00	$149.42	$0.00	$424.11	$424.11	$0.00	$358.50	$567.86	$573.60	$0.00	$0.00	$0.00	$112.21	$0.00	$0.00	$114.15	$0.00	$0.00	$0.00	$0.00	$0.00
27202564	EAP	HCPCS C1887		5fr.100cmhinck Headhunter	BOTH IP/OP	$167.00 	$123.58	$0.00	$133.60	$90.68	$90.68	$0.00	$0.00	$0.00	$34.81	$123.95	$123.95	$128.72	$0.00	$34.80	$0.00	$98.78	$98.78	$0.00	$83.50	$132.26	$133.60	$0.00	$108.55	$0.00	$26.14	$0.00	$0.00	$26.59	$0.00	$0.00	$0.00	$0.00	$0.00
27202565	EAP	HCPCS C1894		8fr 25cm Pinnacle Introducer S	BOTH IP/OP	$59.00 	$43.66	$0.00	$47.20	$32.04	$32.04	$0.00	$0.00	$0.00	$12.30	$43.79	$43.79	$45.48	$0.00	$12.30	$0.00	$34.90	$34.90	$0.00	$29.50	$46.73	$47.20	$0.00	$38.35	$0.00	$9.23	$0.00	$0.00	$9.39	$0.00	$0.00	$0.00	$0.00	$0.00
27202566	EAP	HCPCS C1887		5f-90cm Ruc Catheter	BOTH IP/OP	$129.00 	$95.46	$0.00	$103.20	$70.05	$70.05	$0.00	$0.00	$0.00	$26.89	$95.74	$95.74	$99.43	$0.00	$26.88	$0.00	$76.30	$76.30	$0.00	$64.50	$102.17	$103.20	$0.00	$0.00	$0.00	$20.19	$0.00	$0.00	$20.54	$0.00	$0.00	$0.00	$0.00	$0.00
27202567	EAP	HCPCS C2629		Introducer Tear Away 120fx30cm	BOTH IP/OP	$142.00 	$105.08	$0.00	$113.60	$0.00	$0.00	$0.00	$0.00	$0.00	$29.60	$105.39	$105.39	$109.45	$0.00	$29.59	$0.00	$83.99	$83.99	$0.00	$71.00	$112.46	$113.60	$0.00	$0.00	$0.00	$22.22	$0.00	$0.00	$22.61	$0.00	$0.00	$0.00	$0.00	$0.00
27202568	EAP	HCPCS C2629		Introducer Tear Away 16f X15cm	BOTH IP/OP	$68.00 	$50.32	$0.00	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$14.17	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$40.22	$40.22	$0.00	$34.00	$53.86	$54.40	$0.00	$0.00	$0.00	$10.64	$0.00	$0.00	$10.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202569	EAP	HCPCS C2629		Introducer Tear Away 14f X15cm	BOTH IP/OP	$68.00 	$50.32	$0.00	$54.40	$0.00	$0.00	$0.00	$0.00	$0.00	$14.17	$50.47	$50.47	$52.41	$0.00	$14.17	$0.00	$40.22	$40.22	$0.00	$34.00	$53.86	$54.40	$0.00	$0.00	$0.00	$10.64	$0.00	$0.00	$10.83	$0.00	$0.00	$0.00	$0.00	$0.00
27202570	EAP	HCPCS C2629		Introducer Tear Away12.5fx15cm	BOTH IP/OP	$103.00 	$76.22	$0.00	$82.40	$0.00	$0.00	$0.00	$0.00	$0.00	$21.47	$76.45	$76.45	$79.39	$0.00	$21.47	$0.00	$60.92	$60.92	$0.00	$51.50	$81.58	$82.40	$0.00	$0.00	$0.00	$16.12	$0.00	$0.00	$16.40	$0.00	$0.00	$0.00	$0.00	$0.00
27202571	EAP	HCPCS C2629		Introducer Tear Away 6f X 10cm	BOTH IP/OP	$159.00 	$117.66	$0.00	$127.20	$0.00	$0.00	$0.00	$0.00	$0.00	$33.14	$118.01	$118.01	$122.56	$0.00	$33.14	$0.00	$94.05	$94.05	$0.00	$79.50	$125.93	$127.20	$0.00	$0.00	$0.00	$24.88	$0.00	$0.00	$25.31	$0.00	$0.00	$0.00	$0.00	$0.00
27202572	EAP	HCPCS C1769		"Amplatz Sup Guidewire,035/75gw"	BOTH IP/OP	$331.00 	$244.94	$0.00	$255.13	$179.73	$179.73	$0.00	$0.00	$0.00	$68.99	$245.67	$245.67	$255.13	$0.00	$68.98	$0.00	$195.79	$195.79	$0.00	$33.00	$52.27	$52.80	$0.00	$215.15	$0.00	$10.33	$0.00	$0.00	$10.51	$0.00	$0.00	$0.00	$0.00	$0.00
27202573	EAP	HCPCS C1726		Merci Balloon Guide Catheter	BOTH IP/OP	"$2,251.00 "	"$1,665.74"	$0.00	"$1,800.80"	"$1,222.29"	"$1,222.29"	$0.00	$0.00	$0.00	$469.16	"$1,670.69"	"$1,670.69"	"$1,735.07"	$0.00	$469.11	$0.00	"$1,331.47"	"$1,331.47"	$0.00	"$1,125.50"	"$1,782.79"	"$1,800.80"	$0.00	$0.00	$0.00	$352.28	$0.00	$0.00	$358.36	$0.00	$0.00	$0.00	$0.00	$0.00
27202574	EAP	HCPCS C1751		Merci Microcatheter	BOTH IP/OP	"$1,641.00 "	"$1,214.34"	$0.00	"$1,312.80"	$891.06	$891.06	$0.00	$0.00	$0.00	$342.03	"$1,217.95"	"$1,217.95"	"$1,264.88"	$0.00	$341.98	$0.00	$970.65	$970.65	$0.00	$820.50	"$1,299.67"	"$1,312.80"	$0.00	$0.00	$0.00	$256.82	$0.00	$0.00	$261.25	$0.00	$0.00	$0.00	$0.00	$0.00
27202575	EAP	HCPCS C1757		Meri V-series Retrieval V2.0	BOTH IP/OP	"$10,341.00 "	"$7,652.34"	$0.00	"$8,272.80"	"$5,615.16"	"$5,615.16"	$0.00	$0.00	$0.00	"$2,155.32"	"$4,181.12"	"$4,181.12"	"$7,970.84"	$0.00	"$2,155.06"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$5,170.50"	"$8,190.07"	"$8,272.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202576	EAP	HCPCS C1757		Meri V-series Retrieval V2.5	BOTH IP/OP	"$10,708.00 "	"$7,923.92"	$0.00	"$8,566.40"	"$5,814.44"	"$5,814.44"	$0.00	$0.00	$0.00	"$2,231.81"	"$4,181.12"	"$4,181.12"	"$8,253.73"	$0.00	"$2,231.55"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$5,354.00"	"$8,480.74"	"$8,566.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202577	EAP	HCPCS C1757		Meri V-series Retrieval V3.0	BOTH IP/OP	"$10,708.00 "	"$7,923.92"	$0.00	"$8,566.40"	"$5,814.44"	"$5,814.44"	$0.00	$0.00	$0.00	"$2,231.81"	"$4,181.12"	"$4,181.12"	"$8,253.73"	$0.00	"$2,231.55"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$5,354.00"	"$8,480.74"	"$8,566.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202578	EAP	HCPCS C1757		Meri V-series Retrieval V2.5	BOTH IP/OP	"$10,341.00 "	"$7,652.34"	$0.00	"$8,272.80"	"$5,615.16"	"$5,615.16"	$0.00	$0.00	$0.00	"$2,155.32"	"$4,181.12"	"$4,181.12"	"$7,970.84"	$0.00	"$2,155.06"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$5,170.50"	"$8,190.07"	"$8,272.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202579	EAP	HCPCS C1751		Catheter Reperfusion 026	BOTH IP/OP	"$3,767.00 "	"$2,787.58"	$0.00	"$3,013.60"	"$2,045.48"	"$2,045.48"	$0.00	$0.00	$0.00	$785.14	"$2,795.87"	"$2,795.87"	"$2,903.60"	$0.00	$785.04	$0.00	"$2,228.18"	"$2,228.18"	$0.00	"$1,883.50"	"$2,983.46"	"$3,013.60"	$0.00	$0.00	$0.00	$589.54	$0.00	$0.00	$599.71	$0.00	$0.00	$0.00	$0.00	$0.00
27202580	EAP	HCPCS C1751		Catheter Reperfusion 032	BOTH IP/OP	"$3,635.00 "	"$2,689.90"	$0.00	"$2,908.00"	"$1,973.81"	"$1,973.81"	$0.00	$0.00	$0.00	$757.62	"$2,697.90"	"$2,697.90"	"$2,801.86"	$0.00	$757.53	$0.00	"$2,150.10"	"$2,150.10"	$0.00	"$1,817.50"	"$2,878.92"	"$2,908.00"	$0.00	$0.00	$0.00	$568.88	$0.00	$0.00	$578.69	$0.00	$0.00	$0.00	$0.00	$0.00
27202581	EAP	HCPCS C1751		Catheter Reperfusion 041	BOTH IP/OP	"$3,635.00 "	"$2,689.90"	$0.00	"$2,908.00"	"$1,973.81"	"$1,973.81"	$0.00	$0.00	$0.00	$757.62	"$2,697.90"	"$2,697.90"	"$2,801.86"	$0.00	$757.53	$0.00	"$2,150.10"	"$2,150.10"	$0.00	"$1,817.50"	"$2,878.92"	"$2,908.00"	$0.00	$0.00	$0.00	$568.88	$0.00	$0.00	$578.69	$0.00	$0.00	$0.00	$0.00	$0.00
27202582	EAP	Custom 27202582		Separator 026	BOTH IP/OP	"$7,910.00 "	"$5,853.40"	$0.00	"$6,328.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$6,097.03"	$0.00	"$1,648.44"	$0.00	$0.00	$0.00	$0.00	"$3,955.00"	"$6,264.72"	"$6,328.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$6,111.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,888.14"	$0.00	"$1,591.97"	$0.00	$0.00	$0.00	$0.00	"$3,819.50"	"$6,050.09"	"$6,111.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202584	EAP	Custom 27202584		Separator 041	BOTH IP/OP	"$7,639.00 "	"$5,652.86"	$0.00	"$6,111.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$5,888.14"	$0.00	"$1,591.97"	$0.00	$0.00	$0.00	$0.00	"$3,819.50"	"$6,050.09"	"$6,111.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202585	EAP	Custom 27202585		"Tubing, Aspiration"	BOTH IP/OP	"$1,279.00 "	$946.46	$0.00	"$1,023.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$949.27	$949.27	$985.85	$0.00	$266.54	$0.00	$0.00	$0.00	$0.00	$639.50	"$1,012.97"	"$1,023.20"	$0.00	$831.35	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$6,672.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$6,428.47"	$0.00	"$1,738.06"	$0.00	$0.00	$0.00	$0.00	"$4,170.00"	"$6,605.28"	"$6,672.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,882.40"	"$1,277.68"	"$1,277.68"	$0.00	$0.00	$0.00	$490.42	"$1,746.40"	"$1,746.40"	"$1,813.69"	$0.00	$490.37	$0.00	"$1,391.80"	"$1,391.80"	$0.00	"$1,176.50"	"$1,863.58"	"$1,882.40"	$0.00	$0.00	$0.00	$368.24	$0.00	$0.00	$374.60	$0.00	$0.00	$0.00	$0.00	$0.00
27202588	EAP	Custom 27202588		"Controller, V-grip Detachment"	BOTH IP/OP	$560.00 	$414.40	$0.00	$448.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$415.63	$415.63	$431.65	$0.00	$116.70	$0.00	$0.00	$0.00	$0.00	$280.00	$443.52	$448.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$1,657.60"	"$1,125.10"	"$1,125.10"	$0.00	$0.00	$0.00	$431.86	"$1,537.84"	"$1,537.84"	"$1,597.10"	$0.00	$431.80	$0.00	"$1,225.59"	"$1,225.59"	$0.00	"$1,036.00"	"$1,641.02"	"$1,657.60"	$0.00	$0.00	$0.00	$324.27	$0.00	$0.00	$329.86	$0.00	$0.00	$0.00	$0.00	$0.00
27202590	EAP	HCPCS C1726		"Balloon, Hyperform 4mm X 7mm"	BOTH IP/OP	"$4,005.00 "	"$2,963.70"	$0.00	"$3,204.00"	"$2,174.72"	"$2,174.72"	$0.00	$0.00	$0.00	$834.74	"$2,972.51"	"$2,972.51"	"$3,087.05"	$0.00	$834.64	$0.00	"$2,368.96"	"$2,368.96"	$0.00	"$2,002.50"	"$3,171.96"	"$3,204.00"	$0.00	$0.00	$0.00	$626.78	$0.00	$0.00	$637.60	$0.00	$0.00	$0.00	$0.00	$0.00
27202591	EAP	HCPCS C1726		"Balloon, Hyperform 7mm X 7mm"	BOTH IP/OP	"$4,005.00 "	"$2,963.70"	$0.00	"$3,204.00"	"$2,174.72"	"$2,174.72"	$0.00	$0.00	$0.00	$834.74	"$2,972.51"	"$2,972.51"	"$3,087.05"	$0.00	$834.64	$0.00	"$2,368.96"	"$2,368.96"	$0.00	"$2,002.50"	"$3,171.96"	"$3,204.00"	$0.00	"$2,603.25"	$0.00	$626.78	$0.00	$0.00	$637.60	$0.00	$0.00	$0.00	$0.00	$0.00
27202592	EAP	HCPCS C1726		"Balloon, Hyperglide 4mm X 15mm"	BOTH IP/OP	"$3,336.00 "	"$2,468.64"	$0.00	"$2,668.80"	"$1,811.45"	"$1,811.45"	$0.00	$0.00	$0.00	$695.31	"$2,475.98"	"$2,475.98"	"$2,571.39"	$0.00	$695.22	$0.00	"$1,973.24"	"$1,973.24"	$0.00	"$1,668.00"	"$2,642.11"	"$2,668.80"	$0.00	$0.00	$0.00	$522.08	$0.00	$0.00	$531.09	$0.00	$0.00	$0.00	$0.00	$0.00
27202593	EAP	HCPCS C1887		"Catheter, Envoy 6f Guiding"	BOTH IP/OP	$884.00 	$654.16	$0.00	$707.20	$480.01	$480.01	$0.00	$0.00	$0.00	$184.25	$656.10	$656.10	$681.39	$0.00	$184.23	$0.00	$522.89	$522.89	$0.00	$442.00	$700.13	$707.20	$0.00	$574.60	$0.00	$138.35	$0.00	$0.00	$140.73	$0.00	$0.00	$0.00	$0.00	$0.00
27202594	EAP	HCPCS C1751		"Microcatheter, Rapidtransit"	BOTH IP/OP	"$2,002.00 "	"$1,481.48"	$0.00	"$1,601.60"	"$1,087.09"	"$1,087.09"	$0.00	$0.00	$0.00	$417.27	"$1,485.88"	"$1,485.88"	"$1,543.14"	$0.00	$417.22	$0.00	"$1,184.18"	"$1,184.18"	$0.00	"$1,001.00"	"$1,585.58"	"$1,601.60"	$0.00	$0.00	$0.00	$313.31	$0.00	$0.00	$318.72	$0.00	$0.00	$0.00	$0.00	$0.00
27202595	EAP	Custom 27202595		"System,trufill N-bca Liquid Em"	BOTH IP/OP	$281.00 	$207.94	$0.00	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$208.56	$208.56	$216.59	$0.00	$58.56	$0.00	$0.00	$0.00	$0.00	$140.50	$222.55	$224.80	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202596	EAP	HCPCS C1887		"Catheter, Envoy Xb Guiding"	BOTH IP/OP	$988.00 	$731.12	$0.00	$790.40	$536.48	$536.48	$0.00	$0.00	$0.00	$205.92	$733.29	$733.29	$761.55	$0.00	$205.90	$0.00	$584.40	$584.40	$0.00	$494.00	$782.50	$790.40	$0.00	$0.00	$0.00	$154.62	$0.00	$0.00	$157.29	$0.00	$0.00	$0.00	$0.00	$0.00
27202597	EAP	HCPCS C1751		"Microcatheter, Prowler"	BOTH IP/OP	"$2,169.00 "	"$1,605.06"	$0.00	"$1,735.20"	"$1,177.77"	"$1,177.77"	$0.00	$0.00	$0.00	$452.07	"$1,609.83"	"$1,609.83"	"$1,671.87"	$0.00	$452.02	$0.00	"$1,282.96"	"$1,282.96"	$0.00	"$1,084.50"	"$1,717.85"	"$1,735.20"	$0.00	$0.00	$0.00	$339.45	$0.00	$0.00	$345.30	$0.00	$0.00	$0.00	$0.00	$0.00
27202598	EAP	HCPCS C1751		"Microcatheter, Prowler"	BOTH IP/OP	"$2,277.00 "	"$1,684.98"	$0.00	"$1,821.60"	"$1,236.41"	"$1,236.41"	$0.00	$0.00	$0.00	$474.58	"$1,689.99"	"$1,689.99"	"$1,755.11"	$0.00	$474.53	$0.00	"$1,346.85"	"$1,346.85"	$0.00	"$1,138.50"	"$1,803.38"	"$1,821.60"	$0.00	$0.00	$0.00	$356.35	$0.00	$0.00	$362.50	$0.00	$0.00	$0.00	$0.00	$0.00
27202599	EAP	HCPCS C1769		Guidewire Bentson .038 260 Exc	BOTH IP/OP	$88.00 	$65.12	$0.00	$70.40	$47.78	$47.78	$0.00	$0.00	$0.00	$18.34	$65.31	$65.31	$67.83	$0.00	$18.34	$0.00	$52.05	$52.05	$0.00	$44.00	$69.70	$70.40	$0.00	$0.00	$0.00	$13.77	$0.00	$0.00	$14.01	$0.00	$0.00	$0.00	$0.00	$0.00
27202600	EAP	HCPCS C1769		Guidwire Glide .038 150 Angle	BOTH IP/OP	$154.00 	$113.96	$0.00	$123.20	$83.62	$83.62	$0.00	$0.00	$0.00	$32.10	$114.30	$114.30	$118.70	$0.00	$32.09	$0.00	$91.09	$91.09	$0.00	$77.00	$121.97	$123.20	$0.00	$100.10	$0.00	$24.10	$0.00	$0.00	$24.52	$0.00	$0.00	$0.00	$0.00	$0.00
27202601	EAP	HCPCS C1769		Guidwire Glide .038 180 Angle	BOTH IP/OP	$37.00 	$27.38	$0.00	$29.60	$20.09	$20.09	$0.00	$0.00	$0.00	$7.71	$27.46	$27.46	$28.52	$0.00	$7.71	$0.00	$21.89	$21.89	$0.00	$18.50	$29.30	$29.60	$0.00	$0.00	$0.00	$5.79	$0.00	$0.00	$5.89	$0.00	$0.00	$0.00	$0.00	$0.00
27202602	EAP	HCPCS C1769		Guidewire Transend Ex .014	BOTH IP/OP	"$1,036.00 "	$766.64	$0.00	$828.80	$562.55	$562.55	$0.00	$0.00	$0.00	$215.93	$768.92	$768.92	$798.55	$0.00	$215.90	$0.00	$612.79	$612.79	$0.00	$518.00	$820.51	$828.80	$0.00	$0.00	$0.00	$162.13	$0.00	$0.00	$164.93	$0.00	$0.00	$0.00	$0.00	$0.00
27202603	EAP	HCPCS C1769		Guidewire Transend Ex .014st	BOTH IP/OP	"$1,036.00 "	$766.64	$0.00	$828.80	$562.55	$562.55	$0.00	$0.00	$0.00	$215.93	$768.92	$768.92	$798.55	$0.00	$215.90	$0.00	$612.79	$612.79	$0.00	$518.00	$820.51	$828.80	$0.00	$673.40	$0.00	$162.13	$0.00	$0.00	$164.93	$0.00	$0.00	$0.00	$0.00	$0.00
27202604	EAP	HCPCS C1769		Guidewire Transend Es 300cm	BOTH IP/OP	"$1,320.00 "	$976.80	$0.00	"$1,056.00"	$716.76	$716.76	$0.00	$0.00	$0.00	$275.12	$979.70	$979.70	"$1,017.46"	$0.00	$275.09	$0.00	$780.78	$780.78	$0.00	$660.00	"$1,045.44"	"$1,056.00"	$0.00	$0.00	$0.00	$206.58	$0.00	$0.00	$210.14	$0.00	$0.00	$0.00	$0.00	$0.00
27202605	EAP	HCPCS C1887		"Catheter, 7fr Guider Softip"	BOTH IP/OP	$667.00 	$493.58	$0.00	$533.60	$362.18	$362.18	$0.00	$0.00	$0.00	$139.02	$495.05	$495.05	$514.12	$0.00	$139.00	$0.00	$394.53	$394.53	$0.00	$333.50	$528.26	$533.60	$0.00	$0.00	$0.00	$104.39	$0.00	$0.00	$106.19	$0.00	$0.00	$0.00	$0.00	$0.00
27202606	EAP	HCPCS C1751		"Catheter, Renegade Micro"	BOTH IP/OP	"$1,202.00 "	$889.48	$0.00	$961.60	$652.69	$652.69	$0.00	$0.00	$0.00	$250.53	$892.12	$892.12	$926.50	$0.00	$250.50	$0.00	$710.98	$710.98	$0.00	$601.00	$951.98	$961.60	$0.00	$0.00	$0.00	$188.11	$0.00	$0.00	$191.36	$0.00	$0.00	$0.00	$0.00	$0.00
27202607	EAP	HCPCS C1751		"Microcatheter, Excelsior 1018"	BOTH IP/OP	"$2,169.00 "	"$1,605.06"	$0.00	"$1,735.20"	"$1,177.77"	"$1,177.77"	$0.00	$0.00	$0.00	$452.07	"$1,609.83"	"$1,609.83"	"$1,671.87"	$0.00	$452.02	$0.00	"$1,282.96"	"$1,282.96"	$0.00	"$1,084.50"	"$1,717.85"	"$1,735.20"	$0.00	$0.00	$0.00	$339.45	$0.00	$0.00	$345.30	$0.00	$0.00	$0.00	$0.00	$0.00
27202608	EAP	HCPCS C1769		"Guidewire, Synchro2"	BOTH IP/OP	"$1,251.00 "	$925.74	$0.00	"$1,000.80"	$679.29	$679.29	$0.00	$0.00	$0.00	$260.74	$928.49	$928.49	$964.27	$0.00	$260.71	$0.00	$739.97	$739.97	$0.00	$625.50	$990.79	"$1,000.80"	$0.00	$813.15	$0.00	$195.78	$0.00	$0.00	$199.16	$0.00	$0.00	$0.00	$0.00	$0.00
27202609	EAP	Custom 27202609		26x12x12cm Aaa Endoprosthesis	BOTH IP/OP	"$23,752.00 "	"$17,576.48"	$0.00	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,273.13"	$0.00	"$4,399.74"	$0.00	$0.00	$0.00	$0.00	"$10,556.00"	"$16,720.70"	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,159.78"	$0.00	"$5,180.20"	$0.00	$0.00	$0.00	$0.00	"$12,428.50"	"$19,686.74"	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$808.00	$548.43	$548.43	$0.00	$0.00	$0.00	$210.51	$749.62	$749.62	$778.51	$0.00	$210.48	$0.00	$597.42	$597.42	$0.00	$505.00	$799.92	$808.00	$0.00	$656.50	$0.00	$158.07	$0.00	$0.00	$160.79	$0.00	$0.00	$0.00	$0.00	$0.00
27202614	EAP	Custom 27202614		"Cather, Balloon, Ultra-thin Di"	BOTH IP/OP	"$1,580.00 "	"$1,169.20"	$0.00	"$1,264.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$790.00	"$1,251.36"	"$1,264.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$20,464.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,717.83"	$0.00	"$5,331.08"	$0.00	$0.00	$0.00	$0.00	"$12,790.50"	"$20,260.15"	"$20,464.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202631	EAP	Custom 27202631		28.5x12x12cm Aaa Endoprosthesi	BOTH IP/OP	"$23,752.00 "	"$17,576.48"	$0.00	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,308.04"	$0.00	"$4,949.92"	$0.00	$0.00	$0.00	$0.00	"$11,876.00"	"$18,811.58"	"$19,001.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,682.15"	$0.00	"$4,780.70"	$0.00	$0.00	$0.00	$0.00	"$11,470.00"	"$18,168.48"	"$18,352.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,039.35"	$0.00	"$3,795.80"	$0.00	$0.00	$0.00	$0.00	"$9,107.00"	"$14,425.49"	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202655	EAP	Custom 27202655		13x13x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,214.00 "	"$13,478.36"	$0.00	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,039.35"	$0.00	"$3,795.80"	$0.00	$0.00	$0.00	$0.00	"$9,107.00"	"$14,425.49"	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202656	EAP	Custom 27202656		14x14x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,214.00 "	"$13,478.36"	$0.00	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,039.35"	$0.00	"$3,795.80"	$0.00	$0.00	$0.00	$0.00	"$9,107.00"	"$14,425.49"	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202657	EAP	Custom 27202657		15x15x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,214.00 "	"$13,478.36"	$0.00	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,039.35"	$0.00	"$3,795.80"	$0.00	$0.00	$0.00	$0.00	"$9,107.00"	"$14,425.49"	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202658	EAP	Custom 27202658		16x16x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,214.00 "	"$13,478.36"	$0.00	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,039.35"	$0.00	"$3,795.80"	$0.00	$0.00	$0.00	$0.00	"$9,107.00"	"$14,425.49"	"$14,571.20"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202659	EAP	Custom 27202659		18x18x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,898.00 "	"$13,984.52"	$0.00	"$15,118.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,566.58"	$0.00	"$3,938.34"	$0.00	$0.00	$0.00	$0.00	"$9,449.00"	"$14,967.22"	"$15,118.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202660	EAP	Custom 27202660		20x20x8.5cm Iliac Limb Aaa Ste	BOTH IP/OP	"$18,898.00 "	"$13,984.52"	$0.00	"$15,118.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,566.58"	$0.00	"$3,938.34"	$0.00	$0.00	$0.00	$0.00	"$9,449.00"	"$14,967.22"	"$15,118.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202661	EAP	Custom 27202661		12x12x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,236.00 "	"$14,234.64"	$0.00	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,827.11"	$0.00	"$4,008.78"	$0.00	$0.00	$0.00	$0.00	"$9,618.00"	"$15,234.91"	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202662	EAP	Custom 27202662		13x13x11.5cmm Iliac Limb Aaa S	BOTH IP/OP	"$19,236.00 "	"$14,234.64"	$0.00	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,827.11"	$0.00	"$4,008.78"	$0.00	$0.00	$0.00	$0.00	"$9,618.00"	"$15,234.91"	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202663	EAP	Custom 27202663		14x14x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,236.00 "	"$14,234.64"	$0.00	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,827.11"	$0.00	"$4,008.78"	$0.00	$0.00	$0.00	$0.00	"$9,618.00"	"$15,234.91"	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202664	EAP	Custom 27202664		15x15x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,236.00 "	"$14,234.64"	$0.00	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,827.11"	$0.00	"$4,008.78"	$0.00	$0.00	$0.00	$0.00	"$9,618.00"	"$15,234.91"	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202665	EAP	Custom 27202665		16x16x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,236.00 "	"$14,234.64"	$0.00	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$14,827.11"	$0.00	"$4,008.78"	$0.00	$0.00	$0.00	$0.00	"$9,618.00"	"$15,234.91"	"$15,388.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202666	EAP	Custom 27202666		18x18x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,916.00 "	"$14,737.84"	$0.00	"$15,932.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$15,351.25"	$0.00	"$4,150.49"	$0.00	$0.00	$0.00	$0.00	"$9,958.00"	"$15,773.47"	"$15,932.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202667	EAP	Custom 27202667		20x20x11.5cm Iliac Limb Aaa St	BOTH IP/OP	"$19,916.00 "	"$14,737.84"	$0.00	"$15,932.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$15,351.25"	$0.00	"$4,150.49"	$0.00	$0.00	$0.00	$0.00	"$9,958.00"	"$15,773.47"	"$15,932.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202668	EAP	Custom 27202668		13x13x13.5cm Iliac Limb Aaa St	BOTH IP/OP	"$21,112.00 "	"$15,622.88"	$0.00	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,273.13"	$0.00	"$4,399.74"	$0.00	$0.00	$0.00	$0.00	"$10,556.00"	"$16,720.70"	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,273.13"	$0.00	"$4,399.74"	$0.00	$0.00	$0.00	$0.00	"$10,556.00"	"$16,720.70"	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,273.13"	$0.00	"$4,399.74"	$0.00	$0.00	$0.00	$0.00	"$10,556.00"	"$16,720.70"	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,273.13"	$0.00	"$4,399.74"	$0.00	$0.00	$0.00	$0.00	"$10,556.00"	"$16,720.70"	"$16,889.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$17,432.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,795.73"	$0.00	"$4,541.04"	$0.00	$0.00	$0.00	$0.00	"$10,895.00"	"$17,257.68"	"$17,432.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$17,432.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$16,795.73"	$0.00	"$4,541.04"	$0.00	$0.00	$0.00	$0.00	"$10,895.00"	"$17,257.68"	"$17,432.00"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,107.63"	$0.00	"$4,895.73"	$0.00	$0.00	$0.00	$0.00	"$11,746.00"	"$18,605.66"	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,107.63"	$0.00	"$4,895.73"	$0.00	$0.00	$0.00	$0.00	"$11,746.00"	"$18,605.66"	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$18,107.63"	$0.00	"$4,895.73"	$0.00	$0.00	$0.00	$0.00	"$11,746.00"	"$18,605.66"	"$18,793.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,159.78"	$0.00	"$5,180.20"	$0.00	$0.00	$0.00	$0.00	"$12,428.50"	"$19,686.74"	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,159.78"	$0.00	"$5,180.20"	$0.00	$0.00	$0.00	$0.00	"$12,428.50"	"$19,686.74"	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,159.78"	$0.00	"$5,180.20"	$0.00	$0.00	$0.00	$0.00	"$12,428.50"	"$19,686.74"	"$19,885.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202681	EAP	Custom 27202681		13x13x5.5cm Ilaic Cuff Aaa Ste	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202682	EAP	Custom 27202682		14x14x5.5cm Iliac Cuff Aaa Ste	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202683	EAP	Custom 27202683		15x15x5.5cm Iliac Cuff Aaa Ste	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202684	EAP	Custom 27202684		16x15x5.5cm Iliac Cuff Aaa Ste	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202685	EAP	Custom 27202685		18x18x5.5cm Iliac Cuff Aaa Ste	BOTH IP/OP	"$15,832.00 "	"$11,715.68"	$0.00	"$12,665.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,203.31"	$0.00	"$3,299.39"	$0.00	$0.00	$0.00	$0.00	"$7,916.00"	"$12,538.94"	"$12,665.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,665.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,203.31"	$0.00	"$3,299.39"	$0.00	$0.00	$0.00	$0.00	"$7,916.00"	"$12,538.94"	"$12,665.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	$0.00	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202688	EAP	HCPCS C1769		6mmx10cmx110cm 0.035 Guidewire	BOTH IP/OP	"$18,251.00 "	"$13,505.74"	$0.00	"$14,600.80"	"$9,910.29"	"$9,910.29"	$0.00	$0.00	$0.00	"$3,803.96"	"$4,181.12"	"$4,181.12"	"$14,067.87"	$0.00	"$3,803.51"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$9,125.50"	"$14,454.79"	"$14,600.80"	$0.00	$0.00	$0.00	"$2,856.28"	$0.00	$0.00	"$2,905.56"	$0.00	$0.00	$0.00	$0.00	$0.00
27202689	EAP	HCPCS C1769		6mmx15cmx110cm 0.035 Guidewire	BOTH IP/OP	"$21,246.00 "	"$15,722.04"	$0.00	"$16,996.80"	"$11,536.58"	"$11,536.58"	$0.00	$0.00	$0.00	"$4,428.20"	"$4,181.12"	"$4,181.12"	"$16,376.42"	$0.00	"$4,427.67"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$10,623.00"	"$16,826.83"	"$16,996.80"	$0.00	$0.00	$0.00	"$3,325.00"	$0.00	$0.00	"$3,382.36"	$0.00	$0.00	$0.00	$0.00	$0.00
27202690	EAP	HCPCS C1769		7mmx5cmx110cm 0.035 Guidewire	BOTH IP/OP	"$15,219.00 "	"$11,262.06"	$0.00	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	$0.00	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202691	EAP	HCPCS C1769		7mmx10cmx110cm 0.035 Guidewire	BOTH IP/OP	"$18,251.00 "	"$13,505.74"	$0.00	"$14,600.80"	"$9,910.29"	"$9,910.29"	$0.00	$0.00	$0.00	"$3,803.96"	"$4,181.12"	"$4,181.12"	"$14,067.87"	$0.00	"$3,803.51"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$9,125.50"	"$14,454.79"	"$14,600.80"	$0.00	$0.00	$0.00	"$2,856.28"	$0.00	$0.00	"$2,905.56"	$0.00	$0.00	$0.00	$0.00	$0.00
27202692	EAP	HCPCS C1769		7mmx15cmx110cm 0.035 Guidewire	BOTH IP/OP	"$21,246.00 "	"$15,722.04"	$0.00	"$16,996.80"	"$11,536.58"	"$11,536.58"	$0.00	$0.00	$0.00	"$4,428.20"	"$4,181.12"	"$4,181.12"	"$16,376.42"	$0.00	"$4,427.67"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$10,623.00"	"$16,826.83"	"$16,996.80"	$0.00	$0.00	$0.00	"$3,325.00"	$0.00	$0.00	"$3,382.36"	$0.00	$0.00	$0.00	$0.00	$0.00
27202693	EAP	HCPCS C1769		8mmx5cmx110cm 0.035 Guidewire	BOTH IP/OP	"$15,219.00 "	"$11,262.06"	$0.00	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	$0.00	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202694	EAP	HCPCS C1769		8mmx10cmx110cm 0.035 Guidewire	BOTH IP/OP	"$18,251.00 "	"$13,505.74"	$0.00	"$14,600.80"	"$9,910.29"	"$9,910.29"	$0.00	$0.00	$0.00	"$3,803.96"	"$4,181.12"	"$4,181.12"	"$14,067.87"	$0.00	"$3,803.51"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$9,125.50"	"$14,454.79"	"$14,600.80"	$0.00	$0.00	$0.00	"$2,856.28"	$0.00	$0.00	"$2,905.56"	$0.00	$0.00	$0.00	$0.00	$0.00
27202695	EAP	HCPCS C1769		8mmx15cmx110cm 0.035 Guidewire	BOTH IP/OP	"$21,246.00 "	"$15,722.04"	$0.00	"$16,996.80"	"$11,536.58"	"$11,536.58"	$0.00	$0.00	$0.00	"$4,428.20"	"$4,181.12"	"$4,181.12"	"$16,376.42"	$0.00	"$4,427.67"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$10,623.00"	"$16,826.83"	"$16,996.80"	$0.00	$0.00	$0.00	"$3,325.00"	$0.00	$0.00	"$3,382.36"	$0.00	$0.00	$0.00	$0.00	$0.00
27202696	EAP	HCPCS C1769		10mmx5cmx110cm 0.025 Guidewire	BOTH IP/OP	"$15,219.00 "	"$11,262.06"	$0.00	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	"$9,892.35"	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202697	EAP	HCPCS C1769		10mmx10cmx110cm 0.025 Guidewir	BOTH IP/OP	"$18,251.00 "	"$13,505.74"	$0.00	"$14,600.80"	"$9,910.29"	"$9,910.29"	$0.00	$0.00	$0.00	"$3,803.96"	"$4,181.12"	"$4,181.12"	"$14,067.87"	$0.00	"$3,803.51"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$9,125.50"	"$14,454.79"	"$14,600.80"	$0.00	"$11,863.15"	$0.00	"$2,856.28"	$0.00	$0.00	"$2,905.56"	$0.00	$0.00	$0.00	$0.00	$0.00
27202698	EAP	HCPCS C1769		13mmx5cmx110cm 0.025 Guidewire	BOTH IP/OP	"$15,219.00 "	"$11,262.06"	$0.00	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	"$9,892.35"	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202699	EAP	HCPCS C1769		13mmx2.5cmx110cm 0.025 Guidewi	BOTH IP/OP	"$15,219.00 "	"$11,262.06"	$0.00	"$12,175.20"	"$8,263.92"	"$8,263.92"	$0.00	$0.00	$0.00	"$3,172.02"	"$4,181.12"	"$4,181.12"	"$11,730.81"	$0.00	"$3,171.64"	$0.00	"$3,094.73"	"$3,094.73"	$0.00	"$7,609.50"	"$12,053.45"	"$12,175.20"	$0.00	$0.00	$0.00	"$2,381.77"	$0.00	$0.00	"$2,422.86"	$0.00	$0.00	$0.00	$0.00	$0.00
27202700	EAP	Custom 27202700		16mmx20mmx8.5cm Aaa Stent Graf	BOTH IP/OP	"$22,131.00 "	"$16,376.94"	$0.00	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,058.57"	$0.00	"$4,612.10"	$0.00	$0.00	$0.00	$0.00	"$11,065.50"	"$17,527.75"	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202701	EAP	Custom 27202701		18mmx22mmx8.5cm Aaa Stent Graf	BOTH IP/OP	"$22,131.00 "	"$16,376.94"	$0.00	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,058.57"	$0.00	"$4,612.10"	$0.00	$0.00	$0.00	$0.00	"$11,065.50"	"$17,527.75"	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202702	EAP	Custom 27202702		18mmx24mmx8.5cm Aaa Stent Graf	BOTH IP/OP	"$22,131.00 "	"$16,376.94"	$0.00	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,058.57"	$0.00	"$4,612.10"	$0.00	$0.00	$0.00	$0.00	"$11,065.50"	"$17,527.75"	"$17,704.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202703	EAP	Custom 27202703		20mmx4.0cm Aaa Stent Graft	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202704	EAP	Custom 27202704		22mmx4.0cm Aaa Stent Graft	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202705	EAP	Custom 27202705		24mmx4.0cm Aaa Stent Graft	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202706	EAP	Custom 27202706		26mmx4.0cm Aaa Stent Graft	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202707	EAP	Custom 27202707		28mmx4.0cm Aaa Stent Graft	BOTH IP/OP	"$15,151.00 "	"$11,211.74"	$0.00	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$11,678.39"	$0.00	"$3,157.47"	$0.00	$0.00	$0.00	$0.00	"$7,575.50"	"$11,999.59"	"$12,120.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202708	EAP	Custom 27202708		23x3.3cm Aaa Endoprosthesis	BOTH IP/OP	"$17,322.00 "	"$12,818.28"	$0.00	"$13,857.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$13,351.80"	$0.00	"$3,609.90"	$0.00	$0.00	$0.00	$0.00	"$8,661.00"	"$13,719.02"	"$13,857.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$13,857.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$13,351.80"	$0.00	"$3,609.90"	$0.00	$0.00	$0.00	$0.00	"$8,661.00"	"$13,719.02"	"$13,857.60"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,396.78"	$0.00	"$3,351.70"	$0.00	$0.00	$0.00	$0.00	"$8,041.50"	"$12,737.74"	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202711	EAP	Custom 27202711		10x7cm Aaa Endoprosthesis	BOTH IP/OP	"$16,083.00 "	"$11,901.42"	$0.00	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,396.78"	$0.00	"$3,351.70"	$0.00	$0.00	$0.00	$0.00	"$8,041.50"	"$12,737.74"	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202712	EAP	Custom 27202712		12x7cm Aaa Endoprosthesis	BOTH IP/OP	"$16,083.00 "	"$11,901.42"	$0.00	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,396.78"	$0.00	"$3,351.70"	$0.00	$0.00	$0.00	$0.00	"$8,041.50"	"$12,737.74"	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202713	EAP	Custom 27202713		14.5x7cm Aaa Endoprosthesis	BOTH IP/OP	"$16,083.00 "	"$11,901.42"	$0.00	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$12,396.78"	$0.00	"$3,351.70"	$0.00	$0.00	$0.00	$0.00	"$8,041.50"	"$12,737.74"	"$12,866.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202714	EAP	Custom 27202714		12frx30cm Introducer Sheath	BOTH IP/OP	$525.00 	$388.50	$0.00	$420.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$389.66	$389.66	$404.67	$0.00	$109.41	$0.00	$0.00	$0.00	$0.00	$262.50	$415.80	$420.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	$721.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$669.46	$669.46	$695.26	$0.00	$187.98	$0.00	$0.00	$0.00	$0.00	$451.00	$714.38	$721.60	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$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	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202717	EAP	Custom 27202717		28x10cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202718	EAP	Custom 27202718		28x15cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202719	EAP	Custom 27202719		31x10cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202720	EAP	Custom 27202720		31x15cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202721	EAP	Custom 27202721		34x10cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202722	EAP	Custom 27202722		34x15cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202723	EAP	Custom 27202723		34x20cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202724	EAP	Custom 27202724		37x10cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202725	EAP	Custom 27202725		37x15cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202726	EAP	Custom 27202726		37x20cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202727	EAP	Custom 27202727		40x10cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202728	EAP	Custom 27202728		40x15cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202729	EAP	Custom 27202729		40x20cm Thoracic Endoprosthesi	BOTH IP/OP	"$23,023.00 "	"$17,037.02"	$0.00	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$17,746.13"	$0.00	"$4,797.99"	$0.00	$0.00	$0.00	$0.00	"$11,511.50"	"$18,234.22"	"$18,418.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202730	EAP	Custom 27202730		20frx30cm Introducer Sheath	BOTH IP/OP	"$2,043.00 "	"$1,511.82"	$0.00	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,516.31"	"$1,516.31"	"$1,574.74"	$0.00	$425.76	$0.00	$0.00	$0.00	$0.00	"$1,021.50"	"$1,618.06"	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202731	EAP	Custom 27202731		22frx30cm Introducer Sheath	BOTH IP/OP	"$2,043.00 "	"$1,511.82"	$0.00	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,516.31"	"$1,516.31"	"$1,574.74"	$0.00	$425.76	$0.00	$0.00	$0.00	$0.00	"$1,021.50"	"$1,618.06"	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202732	EAP	Custom 27202732		24frx30cm Introducer Sheath	BOTH IP/OP	"$2,043.00 "	"$1,511.82"	$0.00	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$1,516.31"	"$1,516.31"	"$1,574.74"	$0.00	$425.76	$0.00	$0.00	$0.00	$0.00	"$1,021.50"	"$1,618.06"	"$1,634.40"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202733	EAP	Custom 27202733		Gore Tri-lobe Ballon Catheter	BOTH IP/OP	"$3,391.00 "	"$2,509.34"	$0.00	"$2,712.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$2,516.80"	"$2,516.80"	"$2,613.78"	$0.00	$706.68	$0.00	$0.00	$0.00	$0.00	"$1,695.50"	"$2,685.67"	"$2,712.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202734	EAP	Custom 27202734		20x12x135mm Aaa Stent Graft	BOTH IP/OP	"$25,471.00 "	"$18,848.54"	$0.00	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,633.05"	$0.00	"$5,308.16"	$0.00	$0.00	$0.00	$0.00	"$12,735.50"	"$20,173.03"	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202735	EAP	Custom 27202735		22x13x135mm Aaa Stent Graft	BOTH IP/OP	"$25,471.00 "	"$18,848.54"	$0.00	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,633.05"	$0.00	"$5,308.16"	$0.00	$0.00	$0.00	$0.00	"$12,735.50"	"$20,173.03"	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202736	EAP	Custom 27202736		24x14x135mm Aaa Stent Graft	BOTH IP/OP	"$25,471.00 "	"$18,848.54"	$0.00	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,633.05"	$0.00	"$5,308.16"	$0.00	$0.00	$0.00	$0.00	"$12,735.50"	"$20,173.03"	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202737	EAP	Custom 27202737		26x15x135mm Aaa Stent Graft	BOTH IP/OP	"$25,471.00 "	"$18,848.54"	$0.00	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,633.05"	$0.00	"$5,308.16"	$0.00	$0.00	$0.00	$0.00	"$12,735.50"	"$20,173.03"	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
27202738	EAP	Custom 27202738		28x16x135mm Aaa Stent Graft	BOTH IP/OP	"$25,471.00 "	"$18,848.54"	$0.00	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00	"$4,181.12"	"$4,181.12"	"$19,633.05"	$0.00	"$5,308.16"	$0.00	$0.00	$0.00	$0.00	"$12,735.50"	"$20,173.03"	"$20,376.80"	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00