307-746-4491 dpisciotti@wchs-wy.org

Standard-Charges

WCHS Website Charges Disclaimer

Pricing of medical expenses is dynamic and changes are made periodically.  Actual cost to consumer is dependent on your healthcare coverage from Medicare, Medicaid, Insurance Coverage or other source.  In addition you may receive separate bills for radiology or laboratory services for the service you receive.  If you have any questions on your bill and/or coverage, please contact our business office at (307) 746-4491.

Last Updated January 27, 2022

Px CodeProcedure DescriptionDefault Rev CodeCPT(R)/HCPCS CodeDefault ModFee Schedule NameUnit Price
1,100,000,300.00 ROOM PRIVATE SWINGBED INTERMEDIATE ROOM & BOARD-PRIVATE (ONE BED)-GENERAL [0110] WCH HB DEFAULT FEE SCHEDULE 268.28
1,200,000,200.00 ROOM SEMI PRIVATE SWINGBED SKILLED ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-GENERAL [0120] WCH HB DEFAULT FEE SCHEDULE 1,667.00
1,210,000,100.00 ROOM SEMI PRIVATE W TELE ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-MEDICAL/SURGICAL/GYN [0121] WCH HB DEFAULT FEE SCHEDULE 3,214.00
1,210,000,200.00 ROOM SEMI PRIVATE ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-MEDICAL/SURGICAL/GYN [0121] WCH HB DEFAULT FEE SCHEDULE 2,714.00
1,500,000,100.00 ROOM WARD 5 OR MORE PER ROOM ROOM & BOARD-WARD (FIVE OR MORE-BEDS)-GENERAL [0150] WCH HB DEFAULT FEE SCHEDULE 1,000.00
2,020,000,100.00 ROOM ICU MEDICAL INTENSIVE CARE-MEDICAL [0202] WCH HB DEFAULT FEE SCHEDULE 3,775.00
2,600,023,900.00 IV INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING IV THERAPY-GENERAL [0260] M0239 WCH HB DEFAULT FEE SCHEDULE 370.00
2,609,636,000.00 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR IV THERAPY-GENERAL [0260] 96360 WCH HB DEFAULT FEE SCHEDULE 370.00
2,609,636,100.00 IV INFUSION HYDRATION EACH ADDITIONAL HOUR IV THERAPY-GENERAL [0260] 96361 WCH HB DEFAULT FEE SCHEDULE 124.00
2,609,636,500.00 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR IV THERAPY-GENERAL [0260] 96365 WCH HB DEFAULT FEE SCHEDULE 370.00
2,609,636,600.00 IV INFUSION THERAPY PROPHYLAXIS/DX EA ADDL HOUR IV THERAPY-GENERAL [0260] 96366 WCH HB DEFAULT FEE SCHEDULE 152.00
2,609,636,700.00 IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR IV THERAPY-GENERAL [0260] 96367 WCH HB DEFAULT FEE SCHEDULE 221.00
2,609,636,800.00 IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS IV THERAPY-GENERAL [0260] 96368 WCH HB DEFAULT FEE SCHEDULE 127.00
2,609,637,200.00 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM IV THERAPY-GENERAL [0260] 96372 WCH HB DEFAULT FEE SCHEDULE 80.00
2,609,637,400.00 THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG IV THERAPY-GENERAL [0260] 96374 WCH HB DEFAULT FEE SCHEDULE 252.00
2,609,637,500.00 THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG IV THERAPY-GENERAL [0260] 96375 WCH HB DEFAULT FEE SCHEDULE 179.00
2,609,637,600.00 THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC IV THERAPY-GENERAL [0260] 96376 WCH HB DEFAULT FEE SCHEDULE 158.00
2,705,000,001.00 Hc/hh Wch Supp Mask Aerosal Adult__001206 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] E0601 WCH HB SUPPLY FEE SCHEDULE 2.00
2,705,000,002.00 Hc/hh Wch Supp Thumb Spica Lg.lt__3070 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] L3807 WCH HB SUPPLY FEE SCHEDULE 104.00
2,705,000,003.00 Hc/hh Wch Supp Thumb Spica Lg.rt__3170 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] L3807 WCH HB SUPPLY FEE SCHEDULE 104.00
2,705,000,004.00 Hc/hh Wch Supp Thumb Spica Med Rt__3150 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] L3807 WCH HB SUPPLY FEE SCHEDULE 109.00
2,705,000,005.00 Hc/hh Wch Supp Adult One Step Pads__8900021401 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 168.00
2,705,000,006.00 Hc/hh Wch Supp Airway 90mm Adult M__10-80090 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,007.00 Hc/hh Wch Supp Airway/infant 40mm__8400-12#0 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,008.00 Hc/hh Wch Supp Aloe Vesta Cleansing Foam__325208 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 19.00
2,705,000,009.00 Hc/hh Wch Supp Ankle Brace W/straps__b-212000002 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 76.00
2,705,000,010.00 Hc/hh Wch Supp Ankle Brace W/straps__b-212000003 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 76.00
2,705,000,011.00 Hc/hh Wch Supp Ankle Brace W/straps__b-212000004 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 76.00
2,705,000,012.00 Hc/hh Wch Supp Ankle Stirrup-left__80100 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 82.00
2,705,000,013.00 Hc/hh Wch Supp Ankle Stirrup-right__80101 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 82.00
2,705,000,014.00 Hc/hh Wch Supp Aquacel 4x4__177902 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,015.00 Hc/hh Wch Supp Aquacel Silver 4x4__403765 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,016.00 Hc/hh Wch Supp Arm Sling Adult Universal__8140015 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,017.00 Hc/hh Wch Supp Arm Sling Envelope Style S__0814-0062 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,018.00 Hc/hh Wch Supp Athletic Support L__202636 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 22.00
2,705,000,019.00 Hc/hh Wch Supp Athletic Support M__202549 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 22.00
2,705,000,020.00 Hc/hh Wch Supp Athletic Support-sma__202460 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 31.00
2,705,000,021.00 Hc/hh Wch Supp Bag Resuscitation Man Adult__2k8005 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 84.00
2,705,000,022.00 Hc/hh Wch Supp Bag Resuscitation Man Infant__2k8038 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 80.00
2,705,000,023.00 Hc/hh Wch Supp Bag Resuscitation Man Ped__2k8008 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 80.00
2,705,000,024.00 Hc/hh Wch Supp Bite Blocks Disp__1140 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 12.00
2,705,000,025.00 Hc/hh Wch Supp Blanket Bair Hugger Upper Body__52200 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 145.00
2,705,000,026.00 Hc/hh Wch Supp Blanket Bair Hugger__11101 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 145.00
2,705,000,027.00 Hc/hh Wch Supp Bndg Coban Lf 2x5__2082 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 9.00
2,705,000,028.00 Hc/hh Wch Supp Bndg Coban Tan 2x5__1582 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 9.00
2,705,000,029.00 Hc/hh Wch Supp Bndg Compression Lf 4in__23594-040 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 12.00
2,705,000,030.00 Hc/hh Wch Supp Bndg Compression Lf 6in__23594-060 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 30.00
2,705,000,031.00 Hc/hh Wch Supp Bndg Elastic Nst 2in__23593-02lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,032.00 Hc/hh Wch Supp Bndg Elastic Nst 3in__23593-03lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,033.00 Hc/hh Wch Supp Bndg Elastic Nst 4in__23593-04lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 10.00
2,705,000,034.00 Hc/hh Wch Supp Bndg Elastic Nst 6in__23593-06lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,035.00 Hc/hh Wch Supp Bndg Kerlix 4in__8074 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 68.00
2,705,000,036.00 Hc/hh Wch Supp Bndg Plaster 4x5__7374 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 9.00
2,705,000,037.00 Hc/hh Wch Supp Bndg Plaster 6x5__7376 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 12.00
2,705,000,038.00 Hc/hh Wch Supp Bndg Roll Nst 4in__6021 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,039.00 Hc/hh Wch Supp Bndge Setopress 4in__3505 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 41.00
2,705,000,040.00 Hc/hh Wch Supp Brace Clavicle Velcro Strap Xs__0814-1231 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,041.00 Hc/hh Wch Supp Brace Clavicle Xl__1179556 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 30.00
2,705,000,042.00 Hc/hh Wch Supp Cannister Suction Ortho 1500cc__65651-515 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 13.00
2,705,000,043.00 Hc/hh Wch Supp Cannula O2 Nasal Ped__1101 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,044.00 Hc/hh Wch Supp Cap Shampoo__7909 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,045.00 Hc/hh Wch Supp Cast Air Walker L__aw0800 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 148.00
2,705,000,046.00 Hc/hh Wch Supp Cast Air Walker M__aw0600 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 148.00
2,705,000,047.00 Hc/hh Wch Supp Cast Padding 2″ Cott__1418 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,048.00 Hc/hh Wch Supp Cath Foley16fr 10cc__dynd11502 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,049.00 Hc/hh Wch Supp Cath Tray Urethral__772416 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 14.00
2,705,000,050.00 Hc/hh Wch Supp Cloth Tape 1 Inch__7138c MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,051.00 Hc/hh Wch Supp Cloth Tape 2 Inch__7139c MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 8.00
2,705,000,052.00 Hc/hh Wch Supp Collar Cerv Lo Univ 3″__08140380 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 30.00
2,705,000,053.00 Hc/hh Wch Supp Collar Cervical 3.5 L Uni__0814-0381 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,054.00 Hc/hh Wch Supp Collar Cervical 3.5 Reg S__0814-9702 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,055.00 Hc/hh Wch Supp Collar Cervical Rd Lg 4.5x22__0814-9704 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,056.00 Hc/hh Wch Supp Collection Unit Specipan__4014 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,057.00 Hc/hh Wch Supp Compression Sleeve Thigh Hi__kdl5345h MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 220.00
2,705,000,058.00 Hc/hh Wch Supp Cotton Roll #1__2287 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,059.00 Hc/hh Wch Supp Cover Probe Ultrasound__38-01 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,060.00 Hc/hh Wch Supp Detector Co2 Easy Cap Ii__easycap Ii 6 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,061.00 Hc/hh Wch Supp Drssng Duoderm Extra Thin Spot__187932 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 3.00
2,705,000,062.00 Hc/hh Wch Supp Drssng Net Surgilast #6__gl707 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,063.00 Hc/hh Wch Supp Drssng Net Surgilast #8__gl709 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 6.00
2,705,000,064.00 Hc/hh Wch Supp Drssng Tegaderm 6x8__1628 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,065.00 Hc/hh Wch Supp Eye Protector Pad Med__g 7013-1276 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,066.00 Hc/hh Wch Supp Fetal Monitor Belt__40000008 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 25.00
2,705,000,067.00 Hc/hh Wch Supp Finger Cot-lrg 3″__71907 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 6.00
2,705,000,068.00 Hc/hh Wch Supp Finger Cot-med 2.25″__71905 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 6.00
2,705,000,069.00 Hc/hh Wch Supp Finger Cot-sml 1.5″*__71903 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,070.00 Hc/hh Wch Supp Finger Cot-xsm 1″__71902 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,071.00 Hc/hh Wch Supp Finger/thumb Splint__510719 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,072.00 Hc/hh Wch Supp Fingersplint/abducti__510718 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,073.00 Hc/hh Wch Supp Fingher/thumb Splint__510717 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,074.00 Hc/hh Wch Supp Gel Ankle Brace-left__e8020l MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 86.00
2,705,000,075.00 Hc/hh Wch Supp Gel Ankle Brace-pony__e200pr MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 47.00
2,705,000,076.00 Hc/hh Wch Supp Gel Ankle Brace-righ__e8020r MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 86.00
2,705,000,077.00 Hc/hh Wch Supp Gown Isolation__nonth150 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 6.00
2,705,000,078.00 Hc/hh Wch Supp Holder Endotrach Tube__pm 1110 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 15.00
2,705,000,079.00 Hc/hh Wch Supp Immobilizer Shdlr L__08144504 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,080.00 Hc/hh Wch Supp Irrigation System__0210-100-000 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 209.00
2,705,000,081.00 Hc/hh Wch Supp Iv Ns 0.9 Viaflex 1000ml__2b1324x MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 121.00
2,705,000,082.00 Hc/hh Wch Supp Kit Combitube 37fr__5-18537 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 173.00
2,705,000,083.00 Hc/hh Wch Supp Knee Immobilizer 16″__200016 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 113.00
2,705,000,084.00 Hc/hh Wch Supp Knee Immobilizer 20in__8142744 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 114.00
2,705,000,085.00 Hc/hh Wch Supp Knee Immobilizer 24″__200030 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 113.00
2,705,000,086.00 Hc/hh Wch Supp Lifeband__8700-0706-01 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 246.00
2,705,000,087.00 Hc/hh Wch Supp Lotion Aloe 4oz__324804 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,088.00 Hc/hh Wch Supp Lube Gel Foil Pack 3__0281-0205-43 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,089.00 Hc/hh Wch Supp Mac 3 Blade Adult, Disposable__48033 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,090.00 Hc/hh Wch Supp Mask Cpap Comfortfull Ii Large__1004950 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 235.00
2,705,000,091.00 Hc/hh Wch Supp Mask Cpap Comfortfull Ii Med__1004872 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 235.00
2,705,000,092.00 Hc/hh Wch Supp Mask Cpap Comfortfull Ii Small__1004880 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 253.00
2,705,000,093.00 Hc/hh Wch Supp Mask Multi-vent Adult__1088 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,094.00 Hc/hh Wch Supp Mask Oxygen Peds No Valve__001267 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 6.00
2,705,000,095.00 Hc/hh Wch Supp Mask Oxygen Val Peds__001268 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,096.00 Hc/hh Wch Supp Mepilex Border 3x3__295200 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 17.00
2,705,000,097.00 Hc/hh Wch Supp Mepilex Ag 4x4__287100 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,098.00 Hc/hh Wch Supp Mepilex With Border 4x4__295300 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 15.00
2,705,000,099.00 Hc/hh Wch Supp Mepilex With Safetac__294199 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,100.00 Hc/hh Wch Supp Mepitel Safetac 10x18cm Silicn__291099 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 42.00
2,705,000,101.00 Hc/hh Wch Supp Mesh Underwear Xl__msc86400 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 25.00
2,705,000,102.00 Hc/hh Wch Supp Mesh Underwear Xxl__msc86500 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,103.00 Hc/hh Wch Supp Meter Peak Flow Access Fl Rng__hs710-012 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 46.00
2,705,000,104.00 Hc/hh Wch Supp Moisturizer Mouth__6083 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,105.00 Hc/hh Wch Supp Nasal Cannula__1600 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,106.00 Hc/hh Wch Supp Nebulizer Sidestream__002174 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 8.00
2,705,000,107.00 Hc/hh Wch Supp Ointment Barrier Sensicare 4oz__325614 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,108.00 Hc/hh Wch Supp Ointment/antifungal__325102 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 19.00
2,705,000,109.00 Hc/hh Wch Supp Packing For Setopress__650948 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,110.00 Hc/hh Wch Supp Padding Cast Synthetic 2x4__cmw02 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,111.00 Hc/hh Wch Supp Padding Cast Synthetic 3x4__cmw03 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,112.00 Hc/hh Wch Supp Padding Cast Synthetic 4x4__cmw04 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 8.00
2,705,000,113.00 Hc/hh Wch Supp Paddng Undrcst Webril 3inx4yds__2059 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,114.00 Hc/hh Wch Supp Paddng Undrcst Webril 4x4__3175 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,115.00 Hc/hh Wch Supp Paddng Undrcst Webril 6x4__3489 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 19.00
2,705,000,116.00 Hc/hh Wch Supp Pathodx Disposable S__r62070 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 138.00
2,705,000,117.00 Hc/hh Wch Supp Plaster Bandage 2__7372 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,118.00 Hc/hh Wch Supp Porous Tape 1 Inch__5104 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,119.00 Hc/hh Wch Supp Porous Tape 2 Inch__5106 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 10.00
2,705,000,120.00 Hc/hh Wch Supp Porous Tape 3 Inch__5108 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 12.00
2,705,000,121.00 Hc/hh Wch Supp Pump Set Kangaroo Flh__8884773600 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 16.00
2,705,000,122.00 Hc/hh Wch Supp Quickvue One-step Hcg Combo__00178 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 2.00
2,705,000,123.00 Hc/hh Wch Supp Razor Nonsterile__kend139083 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,124.00 Hc/hh Wch Supp Rhino Rocket Large__11s-s0800-08as MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 46.00
2,705,000,125.00 Hc/hh Wch Supp Rhino Rocket Med__11s-s0500-08as MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,126.00 Hc/hh Wch Supp Rhino Rocket Small__11s-s0300-08as MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 40.00
2,705,000,127.00 Hc/hh Wch Supp Rib Belt 6″ Female L__0814-1389 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 22.00
2,705,000,128.00 Hc/hh Wch Supp Rib Belt 6″ Female M__13780400 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 44.00
2,705,000,129.00 Hc/hh Wch Supp Rib Belt Male Sm__0814-1388 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 21.00
2,705,000,130.00 Hc/hh Wch Supp Rib Belt X Lrg__89068 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 31.00
2,705,000,131.00 Hc/hh Wch Supp Sam Sling L__sl55662 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 72.00
2,705,000,132.00 Hc/hh Wch Supp Sam Sling M__sl556652 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 100.00
2,705,000,133.00 Hc/hh Wch Supp Shoe/post-op/large__18017 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 33.00
2,705,000,134.00 Hc/hh Wch Supp Shoe/post-op/medium__18015 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 30.00
2,705,000,135.00 Hc/hh Wch Supp Shoe/post-op/pediatr__117pedb MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 30.00
2,705,000,136.00 Hc/hh Wch Supp Shoe/post-op/small__18013 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,137.00 Hc/hh Wch Supp Shoe/post-op/x.large__18018 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 36.00
2,705,000,138.00 Hc/hh Wch Supp Shoulder Immob Med__8144503 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,139.00 Hc/hh Wch Supp Shoulder Immob Sm__8144502 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 25.00
2,705,000,140.00 Hc/hh Wch Supp Sling Arm Adult Small__8140062 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,141.00 Hc/hh Wch Supp Sling Arm Adult Xl__8140065 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,142.00 Hc/hh Wch Supp Sling Arm Peds Xs__0814-0061 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,143.00 Hc/hh Wch Supp Sling Arm Universal Envelope__0814-0015 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 27.00
2,705,000,144.00 Hc/hh Wch Supp Sling Arm W/foam Large__8141064 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,145.00 Hc/hh Wch Supp Sling Arm W/foam Med Adult__08141063 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,146.00 Hc/hh Wch Supp Slippers Medium__80103 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,147.00 Hc/hh Wch Supp Sm Air Walker__aw0400 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 148.00
2,705,000,148.00 Hc/hh Wch Supp Sol Cleanser Perineal 8oz__324509 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,149.00 Hc/hh Wch Supp Sol Cleanser Wound Shur Clens__121253 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 13.00
2,705,000,150.00 Hc/hh Wch Supp Specimen Trap__8884724500 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,151.00 Hc/hh Wch Supp Spirometer Incentive__001902a MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 24.00
2,705,000,152.00 Hc/hh Wch Supp Splint Clavicle/sml__0814-1232 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,153.00 Hc/hh Wch Supp Splint Cockup Univ Lt__1769-03 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 34.00
2,705,000,154.00 Hc/hh Wch Supp Splint Cockup Univ Rt__1769-02 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 38.00
2,705,000,155.00 Hc/hh Wch Supp Splint Ortho Glass 3x35__og-335pc MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 46.00
2,705,000,156.00 Hc/hh Wch Supp Splint Ortho-glass 2x12__og-2pc MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,157.00 Hc/hh Wch Supp Splint Ortho-glass 4x30__og-430pc MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 42.00
2,705,000,158.00 Hc/hh Wch Supp Splint Ortho-glass 6x30__og-6pc MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 86.00
2,705,000,159.00 Hc/hh Wch Supp Spray No Sting Barrier__3346 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 52.00
2,705,000,160.00 Hc/hh Wch Supp Stax Finger Splint #5.5__72246 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 15.00
2,705,000,161.00 Hc/hh Wch Supp Stockinette Bias 3in__730 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 43.00
2,705,000,162.00 Hc/hh Wch Supp Stockinette Bias 4in__740 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,163.00 Hc/hh Wch Supp Stockinette Bias 6in__760 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,164.00 Hc/hh Wch Supp Stockinette Synth 2__ms02 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,165.00 Hc/hh Wch Supp Stockinette Synth 3__ms03 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,166.00 Hc/hh Wch Supp Stockinette Synth 4__ms04 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,167.00 Hc/hh Wch Supp Strap Arm Padded L__0814-1314 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 50.00
2,705,000,168.00 Hc/hh Wch Supp Strap Arm Padded M__0814-1313 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 46.00
2,705,000,169.00 Hc/hh Wch Supp Strap Arm Padded S__8141312 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 15.00
2,705,000,170.00 Hc/hh Wch Supp Strap Arm Padded Xl__0814-1315 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,171.00 Hc/hh Wch Supp Strap Montgomery__1583702 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,172.00 Hc/hh Wch Supp Support Lumbosacral S__a818030 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,173.00 Hc/hh Wch Supp Syringe Ecc Tip 10cc__305482 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,174.00 Hc/hh Wch Supp Tape Casting 2″ Wht__82002 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,175.00 Hc/hh Wch Supp Tape Casting 3″ Wht__82003 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 23.00
2,705,000,176.00 Hc/hh Wch Supp Tape Casting 4″ Wht__82004 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 29.00
2,705,000,177.00 Hc/hh Wch Supp Tape Casting 5″ Wht__82005 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 17.00
2,705,000,178.00 Hc/hh Wch Supp Tape Cloth Medipore 2x10__2962 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 19.00
2,705,000,179.00 Hc/hh Wch Supp Tape Paper Micropore .5inx10__1530-0 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 14.00
2,705,000,180.00 Hc/hh Wch Supp Tape Paper Micropore 2inx10__1530-2 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 14.00
2,705,000,181.00 Hc/hh Wch Supp Tape Plastic Transpore 1x10__1527-1 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 5.00
2,705,000,182.00 Hc/hh Wch Supp Tape Plastic Transpore 2x10__1527-2 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 11.00
2,705,000,183.00 Hc/hh Wch Supp Teds Knee Hi Lg/reg__7203 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,184.00 Hc/hh Wch Supp Teds Knee Hi Med/reg__7115 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,185.00 Hc/hh Wch Supp Teds Knee Hi Sm/reg__7071 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,186.00 Hc/hh Wch Supp Teds Thigh High Lg/reg__3728lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,187.00 Hc/hh Wch Supp Teds Thigh High Lg/short__3634lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,188.00 Hc/hh Wch Supp Teds Thigh High Lrg/long__3856lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,189.00 Hc/hh Wch Supp Teds Thigh High Med/long__3549lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,190.00 Hc/hh Wch Supp Teds Thigh High Med/reg__3416lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,191.00 Hc/hh Wch Supp Teds Thigh High Med/short__3310lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,192.00 Hc/hh Wch Supp Teds Thigh High Sm/long__3222lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,193.00 Hc/hh Wch Supp Teds Thigh High Sm/reg__3130lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 37.00
2,705,000,194.00 Hc/hh Wch Supp Teds Thigh High Sm/short__3071lf MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 34.00
2,705,000,195.00 Hc/hh Wch Supp Tena Pull-ups Xlarge__72412 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 17.00
2,705,000,196.00 Hc/hh Wch Supp Tena Underpad 23×24 Blue Chux__354 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 8.00
2,705,000,204.00 Hc/hh Wch Supp Tube Connector O2__1420 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 2.00
2,705,000,205.00 Hc/hh Wch Supp Tubigrip Bandage Sz D__1437 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 79.00
2,705,000,206.00 Hc/hh Wch Supp Tubigrip Bandage Sz E__1434 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 90.00
2,705,000,207.00 Hc/hh Wch Supp Tubing Bair Hugger Fluid__24110 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 28.00
2,705,000,208.00 Hc/hh Wch Supp Tubular Bandage Size__mttg319 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,209.00 Hc/hh Wch Supp Tubular Bandage Sz 2__c15510220 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,210.00 Hc/hh Wch Supp Tubular Dressing Sz 10__gl711 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 94.00
2,705,000,211.00 Hc/hh Wch Supp Tubular Dressing Sz 1__gl701 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,212.00 Hc/hh Wch Supp Tubular Dressing Sz 3__gl703 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,213.00 Hc/hh Wch Supp Tubular Dressing Sz 4__gl704 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,214.00 Hc/hh Wch Supp Univ Extri Collar Ad__0814-9428 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 9.00
2,705,000,215.00 Hc/hh Wch Supp Univ-extri Collar Peds__0814-9427 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 9.00
2,705,000,216.00 Hc/hh Wch Supp Valve Clearlink Luer Activated__2n8399 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 7.00
2,705,000,217.00 Hc/hh Wch Supp Ventilation Circuit__l599-010 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 41.00
2,705,000,218.00 Hc/hh Wch Supp Warmer Heel Infant 4x4__11460-010t MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 4.00
2,705,000,219.00 Hc/hh Wch Supp Washcloth Pre-moistened__6599n MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 18.00
2,705,000,220.00 Hc/hh Wch Supp Wchs Med/supply Pickup MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 26.00
2,705,000,239.00 Hc/hh Wch Supp Xlg Air Walker__aw1000blk MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 148.00
2,705,000,240.00 Hc/hh Wch Supp Xsm Air Walker__aw0200 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 148.00
2,705,000,241.00 Hc/hh Wch Supp Yankauer Suction Tip__cfk82 MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] WCH HB SUPPLY FEE SCHEDULE 12.00
2,705,000,242.00 Hc/hh Wch Supp Coban 2 Layer Lite MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] A6442 WCH HB SUPPLY FEE SCHEDULE 42.00
2,715,000,001.00 Hc/hh Wch Supp Green Chux__msc282030lb MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271] WCH HB SUPPLY FEE SCHEDULE 8.00
2,715,000,002.00 Hc/hh Wch Supp Knee Immobilizer 12__8142662 MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271] WCH HB SUPPLY FEE SCHEDULE 55.00
2,715,000,003.00 Hc/hh Wch Supp Pathodx Strep B Grp 60 Test__r62031 MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271] WCH HB SUPPLY FEE SCHEDULE 73.00
2,725,000,001.00 Hc/hh Wch Supp Safe-t-centesis Tray__pig1260t MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] A4550 WCH HB SUPPLY FEE SCHEDULE 128.00
2,725,000,002.00 Hc/hh Wch Supp Suture Remover Kit__723 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] A4649 WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,003.00 Hc/hh Wch Supp Gauze Sterile 4×4 Tray (12ply)__6939 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] A6402 WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,004.00 Hc/hh Wch Supp Sponge Sterile 4×4 2pk__3033 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] A6402 WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,005.00 Hc/hh Wch Supp Bndg Cnfrm Stretch St 2x75__2231 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] A6442 WCH HB SUPPLY FEE SCHEDULE 3.00
2,725,000,006.00 Hc/hh Wch Supp Cath Kit Central Venous__m3720hkic MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] C1751 WCH HB SUPPLY FEE SCHEDULE 130.00
2,725,000,007.00 Hc/hh Wch Supp 3m Surgical Clipper Blade__9660 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,008.00 Hc/hh Wch Supp Add A Foley Tray__896300 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 89.00
2,725,000,009.00 Hc/hh Wch Supp Adhesive Mastisol Vial__0523-48 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,010.00 Hc/hh Wch Supp Airway Nasoph 26fr__8888247023 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 27.00
2,725,000,011.00 Hc/hh Wch Supp Airway Nasoph 28fr__8888247031 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 27.00
2,725,000,012.00 Hc/hh Wch Supp Airway Nasoph 30fr__8888247049 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 29.00
2,725,000,013.00 Hc/hh Wch Supp Airway Nasoph 32fr__8888247056 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 30.00
2,725,000,014.00 Hc/hh Wch Supp Airway Nasoph 34fr__8888247064 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 27.00
2,725,000,015.00 Hc/hh Wch Supp Aspirator Meconium__n0101 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 18.00
2,725,000,016.00 Hc/hh Wch Supp Bag Urine Leg Drain M__9645 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 49.00
2,725,000,017.00 Hc/hh Wch Supp Bndg Cnfrm Stretch St 6x82__2238 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,018.00 Hc/hh Wch Supp Bndg Coban 2 Layer__2094 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 42.00
2,725,000,019.00 Hc/hh Wch Supp Bndg Non Adh 3x8__6115 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,020.00 Hc/hh Wch Supp Bndg Plaster 3x3__7373 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,021.00 Hc/hh Wch Supp Cath Foley 14 Fr 5cc__265714 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 39.00
2,725,000,022.00 Hc/hh Wch Supp Cath Foley 16fr 30cc__266716 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 19.00
2,725,000,023.00 Hc/hh Wch Supp Cath Foley 3way 30cc 22fr__0167v22s MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 14.00
2,725,000,024.00 Hc/hh Wch Supp Cath Foley Sil Lx 5cc 12 Fr__265712 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 20.00
2,725,000,025.00 Hc/hh Wch Supp Cath Foley Sil Ped 10fr__165810 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,026.00 Hc/hh Wch Supp Cath Foley14 Fr 30cc__266714 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 15.00
2,725,000,027.00 Hc/hh Wch Supp Cath Foley16 Fr 5cc__265716 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,028.00 Hc/hh Wch Supp Cath Foley8 Fr.3cc__165808 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,029.00 Hc/hh Wch Supp Cath Suction 10fr__31000 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,030.00 Hc/hh Wch Supp Cath Suction 14f Straight__31400 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,031.00 Hc/hh Wch Supp Cath-foley 24fr 30cc__0166l 24 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 54.00
2,725,000,032.00 Hc/hh Wch Supp Catheter Delee 8fr Mucus Trap__8888257378 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,033.00 Hc/hh Wch Supp Catheter Thoracic 12fr__8888570507 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 34.00
2,725,000,034.00 Hc/hh Wch Supp Catheter Thoracic 32fr__8888570556 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 35.00
2,725,000,035.00 Hc/hh Wch Supp Catheter Thoracic 36fr__8888570564 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 35.00
2,725,000,036.00 Hc/hh Wch Supp Cathfoley-suprapubic__dynd11782 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 34.00
2,725,000,037.00 Hc/hh Wch Supp Cotton Balls Unsteri__p159025 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,038.00 Hc/hh Wch Supp Drain Penrose .25x12__20414-025 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,039.00 Hc/hh Wch Supp Drain Penrose .5x12__20414-050 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,040.00 Hc/hh Wch Supp Drain Penrose .75x12__20414-075 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,041.00 Hc/hh Wch Supp Drape Sheet 44×57 Half__9358 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,042.00 Hc/hh Wch Supp Dressing Non Adhesive 3x16__6114 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,043.00 Hc/hh Wch Supp Drssing Adptc St Non-adh 3x3__2012 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,044.00 Hc/hh Wch Supp Drssing Tegaderm 2.38×2.75__1624w MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,045.00 Hc/hh Wch Supp Drssing Tegaderm 4×4.75__1626w MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,046.00 Hc/hh Wch Supp Drssng Combiderm Acd 5x5__187725 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 18.00
2,725,000,047.00 Hc/hh Wch Supp Drssng Combiderm Acd 6x7__651027 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 18.00
2,725,000,048.00 Hc/hh Wch Supp Drssng Combiderm Acd 4x 4__651031 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,049.00 Hc/hh Wch Supp Drssng Duoderm 5.5 Sq__403327 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 25.00
2,725,000,050.00 Hc/hh Wch Supp Drssng Tegaderm Film 4x4__90021 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,051.00 Hc/hh Wch Supp Drssng Telfa St 3x4__2132 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 2.00
2,725,000,052.00 Hc/hh Wch Supp Ez-io 25mm Needle__9001 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 230.00
2,725,000,053.00 Hc/hh Wch Supp Ez-io 45mm Needle__9079 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 233.00
2,725,000,054.00 Hc/hh Wch Supp Ez-io Stabilizer__9066 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 19.00
2,725,000,055.00 Hc/hh Wch Supp Foley Cath Tray 16 F__899616 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 54.00
2,725,000,056.00 Hc/hh Wch Supp Gauze Packing Iodoform 0.5in__7832 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,057.00 Hc/hh Wch Supp Gauze Packing Iodoform 1in__7833 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 24.00
2,725,000,058.00 Hc/hh Wch Supp Gauze Packing Plain 0.5in__7632 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 19.00
2,725,000,059.00 Hc/hh Wch Supp Gauze Packing Plain 1/4″__7631 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,060.00 Hc/hh Wch Supp Gauze Packing Plain 1in__7633 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,061.00 Hc/hh Wch Supp Gauze Packing Plain 2in__7634 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 36.00
2,725,000,062.00 Hc/hh Wch Supp Gauze Sponge Sterile 2x2__1806 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,063.00 Hc/hh Wch Supp Gown Surg St Xl__9545 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 14.00
2,725,000,064.00 Hc/hh Wch Supp Gauze Vaseline 1×8 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,065.00 Hc/hh Wch Supp Huber Inf Set Y 19×1 12/bx__pmi191ys MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,066.00 Hc/hh Wch Supp Inf Set Huber 19×3/4__pmi193s MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 18.00
2,725,000,067.00 Hc/hh Wch Supp Iodoform Packing 1/4__7831amd MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 20.00
2,725,000,068.00 Hc/hh Wch Supp Iv Catheter Extension__2n8378 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,069.00 Hc/hh Wch Supp King Airway Lt-d Size 3.0__kltd203 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 106.00
2,725,000,070.00 Hc/hh Wch Supp Needle Biopsy 14gx6__2n2704x MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 53.00
2,725,000,071.00 Hc/hh Wch Supp Needle Bone Marrow 15gx3__din1515x MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 43.00
2,725,000,072.00 Hc/hh Wch Supp Needle Spinal Quincke 22gx3.5__405181 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,073.00 Hc/hh Wch Supp Needle Spinal Quincke 26gx3.5__405164 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,074.00 Hc/hh Wch Supp Pad Abdominal 8x10__7198d MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,075.00 Hc/hh Wch Supp Poole Suction Instru__0035040 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,076.00 Hc/hh Wch Supp Povidone-iodine Swabstick__s41125 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,077.00 Hc/hh Wch Supp Quicktrach 4.0__120900040 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 317.00
2,725,000,078.00 Hc/hh Wch Supp Razor Nst__139004 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,079.00 Hc/hh Wch Supp Remover Staple Skin__espsx MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,080.00 Hc/hh Wch Supp Salem Sump Tube/18fr__8888264986 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 75.00
2,725,000,081.00 Hc/hh Wch Supp Scalpel Protected Blade #12__372612 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,082.00 Hc/hh Wch Supp Scalpel Protected Blade #15__372615 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,083.00 Hc/hh Wch Supp Scalpel Protected Disp #10__372610 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,084.00 Hc/hh Wch Supp Scalpel Protected Disp #11__372611 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,085.00 Hc/hh Wch Supp Skin Stapler__espmw35 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 21.00
2,725,000,086.00 Hc/hh Wch Supp Sol Irrigation Ns 0.9 1000ml__2f7124 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,087.00 Hc/hh Wch Supp Sol Irrigation Ns 0.9 250ml__2f7122 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,088.00 Hc/hh Wch Supp Sol Irrigation Water St 250ml__2f7112 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,089.00 Hc/hh Wch Supp Sol Surg Scrub Prevail__4vail MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 14.00
2,725,000,090.00 Hc/hh Wch Supp Stat Padz__8900-4004 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 102.00
2,725,000,091.00 Hc/hh Wch Supp Stop Cock 3 Way__2c6246 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,092.00 Hc/hh Wch Supp Stylet Intubating 14fr__85865 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 20.00
2,725,000,093.00 Hc/hh Wch Supp Stylet Intubating 6fr__85863 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 20.00
2,725,000,094.00 Hc/hh Wch Supp Suction Cath Peds 8__30888 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,095.00 Hc/hh Wch Supp Suction Tubing__cfn510 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 11.00
2,725,000,096.00 Hc/hh Wch Supp Surgifoam__et1972 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 30.00
2,725,000,097.00 Hc/hh Wch Supp Suture Chromic 4-0__g121h MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,098.00 Hc/hh Wch Supp Suture Prolene 2-0__et8423h MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 6.00
2,725,000,099.00 Hc/hh Wch Supp Suture Prolene 3-0__et8684g MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 17.00
2,725,000,100.00 Hc/hh Wch Supp Suture Prolene 4-0__et8683g MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 17.00
2,725,000,101.00 Hc/hh Wch Supp Suture Prolene 5-0__et8661g MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 17.00
2,725,000,102.00 Hc/hh Wch Supp Suture Prolene 6-0__et8680g MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 37.00
2,725,000,103.00 Hc/hh Wch Supp Syringe Ear/ulcer__4173 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,104.00 Hc/hh Wch Supp Syringe Luer Lok 10ml__309604 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,105.00 Hc/hh Wch Supp Syringe Luer Lok 20ml__309661 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 4.00
2,725,000,106.00 Hc/hh Wch Supp Tape Steristrip .25x3__r1541 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 5.00
2,725,000,107.00 Hc/hh Wch Supp Tape Steristrip .5x4__r1547 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,108.00 Hc/hh Wch Supp Thorac.cath.24fr.16″__8888561050 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 59.00
2,725,000,109.00 Hc/hh Wch Supp Trach Tube Cuffed 3.5 Mrphy__5-10107 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,110.00 Hc/hh Wch Supp Trach Tube Cuffed 4.5 Mrphy__5-10109 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,111.00 Hc/hh Wch Supp Trach Tube Cuffed 7 Mrphy__5-10314 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,112.00 Hc/hh Wch Supp Trach Tube Cuffed 7.5__5-10315 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 30.00
2,725,000,113.00 Hc/hh Wch Supp Trach Tube Cuffed 8.0__5-10316 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,114.00 Hc/hh Wch Supp Tray Cath Irrigation 70cc__750301 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 7.00
2,725,000,115.00 Hc/hh Wch Supp Tray Lumbar Saf-t-lp Adult__4301csp MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 57.00
2,725,000,116.00 Hc/hh Wch Supp Tray Lumbar Safe-t-lp Peds__4302cs MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 45.00
2,725,000,117.00 Hc/hh Wch Supp Tube Salem Sump Sent 16fr 48__8888264960 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 13.00
2,725,000,118.00 Hc/hh Wch Supp Tube Trach Hi Lo 6.5 Mrphy Tip__86110 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,119.00 Hc/hh Wch Supp Tube Trach Lo-pro 3mm__86043 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 31.00
2,725,000,120.00 Hc/hh Wch Supp Tube Trach Lo-pro 4mm__86045 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,121.00 Hc/hh Wch Supp Tube Trach Lo-pro 5.5mm__86048 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,122.00 Hc/hh Wch Supp Tube Trach Lo-pro 5mm__86047 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,123.00 Hc/hh Wch Supp Tube Trach Lo-pro 6mm__86049 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,124.00 Hc/hh Wch Supp Tube Trach Lo-pro 8.5mm__86054 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,125.00 Hc/hh Wch Supp Tube Trach Lo-pro 9mm__86055 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 28.00
2,725,000,126.00 Hc/hh Wch Supp Tube Trach Uncuffed 2.5__86222 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 8.00
2,725,000,127.00 Hc/hh Wch Supp Tube Trach Uncuffed 3.0__86223 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 10.00
2,725,000,128.00 Hc/hh Wch Supp Tube Trach Uncuffed 3.5__86224 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,129.00 Hc/hh Wch Supp Tube Trach Uncuffed 4.0__86464 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,130.00 Hc/hh Wch Supp Tube Trach Uncuffed 5.0__86466 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 10.00
2,725,000,131.00 Hc/hh Wch Supp Urine Drain Bag 2000__154102 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 29.00
2,725,000,132.00 Hc/hh Wch Supp Vicryl 4-0__etj496g MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 12.00
2,725,000,133.00 Hc/hh Wch Supp Wound Closure Tray__756 MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272] WCH HB SUPPLY FEE SCHEDULE 31.00
2,745,000,001.00 Hc/hh Wch Supp Knee Immobilizer 14″__e200010 MEDICAL/SURGICAL SUPPLIES AND DEVICES-PROSTHETIC/ORTHOTIC DEVICES [0274] WCH HB SUPPLY FEE SCHEDULE 106.00
2,745,000,002.00 Hc/hh Wch Supp Padding Cast St 6in__23626-560 MEDICAL/SURGICAL SUPPLIES AND DEVICES-PROSTHETIC/ORTHOTIC DEVICES [0274] WCH HB SUPPLY FEE SCHEDULE 18.00
3,000,029,000.00 REF FOCUSED PHARMACOGENOMICS PANEL LABORATORY-GENERAL [0300] 0029U WCH HB PB LAB FEE SCHEDULE 448.00
3,000,980,300.00 HOSPITAL OUTPATIENT CLINIC VISIT SPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS-COV-2 CORONAVIRUS DISEASE COVID-19, ANY SPECIMEN SOURCE) LABORATORY-GENERAL [0300] C9803 WCH HB DEFAULT FEE SCHEDULE 50.00
3,003,044,000.00 MOST RECENT HEMOGLOBIN A1C LEVEL < 7.0% LABORATORY-GENERAL [0300] 3044F WCH HB PB LAB FEE SCHEDULE 0.01
3,003,045,000.00 HC MOST RECENT HEMOGLOBIN A1C LEVEL 7.0-9.0% LABORATORY-GENERAL [0300] 3045F WCH HB PB LAB FEE SCHEDULE 0.01
3,003,046,000.00 MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% LABORATORY-GENERAL [0300] 3046F WCH HB PB LAB FEE SCHEDULE 0.01
3,003,641,500.00 COLLECTION VENOUS BLOOD VENIPUNCTURE LABORATORY-GENERAL [0300] 36415 WCH HB PB LAB FEE SCHEDULE 37.00
3,003,641,600.00 COLLECTION CAPILLARY BLOOD SPECIMEN LABORATORY-GENERAL [0300] 36416 WCH HB PB LAB FEE SCHEDULE 26.00
3,008,666,300.00 REF EBV EA LABORATORY-GENERAL [0300] 86663 WCH HB PB LAB FEE SCHEDULE 175.00
3,009,900,000.00 HANDLING OF SPECIMEN LABORATORY-GENERAL [0300] 99000 WCH HB PB LAB FEE SCHEDULE 66.00
3,009,900,001.00 WORKPLACE URINE DRUG SCREEN COLLECTION ONLY LABORATORY-GENERAL [0300] 99000 WCH HB PB LAB FEE SCHEDULE 40.00
3,009,900,002.00 LEGAL BLOOD DRAW LABORATORY-GENERAL [0300] 99000 WCH HB DEFAULT FEE SCHEDULE 25.00
3,009,900,100.00 HANDLING OR CONVEYANCE SPEC LABORATORY-GENERAL [0300] 99001 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,004,800.00 BMP W TOTAL CALCIUM PANEL LABORATORY-CHEMISTRY [0301] 80048 WCH HB DEFAULT FEE SCHEDULE 138.00
3,018,004,800.00 BMP W TOTAL CALCIUM PANEL LABORATORY-CHEMISTRY [0301] 80048 WCH HB PB LAB FEE SCHEDULE 138.00
3,018,005,100.00 ELECTROLYTE PANEL LABORATORY-CHEMISTRY [0301] 80051 WCH HB PB LAB FEE SCHEDULE 87.00
3,018,005,300.00 CMP COMPREHENSIVE METABOLIC LABORATORY-CHEMISTRY [0301] 80053 WCH HB PB LAB FEE SCHEDULE 164.00
3,018,005,300.00 CMP COMPREHENSIVE METABOLIC LABORATORY-CHEMISTRY [0301] 80053 WCH WELLNESS WEDNESDAY FSC 9.00
3,018,005,500.00 OB PANEL LABORATORY-CHEMISTRY [0301] 80055 WCH HB PB LAB FEE SCHEDULE 345.00
3,018,006,100.00 LIPID PANEL CHOL TGL LDL HDL LABORATORY-CHEMISTRY [0301] 80061 WCH HB PB LAB FEE SCHEDULE 138.00
3,018,006,100.00 LIPID PANEL CHOL TGL LDL HDL LABORATORY-CHEMISTRY [0301] 80061 WCH WELLNESS WEDNESDAY FSC 20.00
3,018,006,900.00 RENAL FUNCTION PANEL LABORATORY-CHEMISTRY [0301] 80069 WCH HB PB LAB FEE SCHEDULE 131.00
3,018,007,400.00 HEPATITIS ACUTE PANEL LABORATORY-CHEMISTRY [0301] 80074 WCH HB PB LAB FEE SCHEDULE 388.00
3,018,007,600.00 HEPATIC FUNCTION PANEL LABORATORY-CHEMISTRY [0301] 80076 WCH HB PB LAB FEE SCHEDULE 121.00
3,018,014,300.00 DRUG ASSAY ACETAMINOPHEN LABORATORY-CHEMISTRY [0301] 80143 WCH HB PB LAB FEE SCHEDULE 212.00
3,018,015,600.00 CARBAMAZEPINE LABORATORY-CHEMISTRY [0301] 80156 WCH HB PB LAB FEE SCHEDULE 132.00
3,018,015,800.00 CYCLOSPORINE LABORATORY-CHEMISTRY [0301] 80158 WCH HB PB LAB FEE SCHEDULE 146.00
3,018,016,200.00 DIGOXIN TOTAL LABORATORY-CHEMISTRY [0301] 80162 WCH HB PB LAB FEE SCHEDULE 133.00
3,018,016,400.00 VALPROIC ACID TOTAL LABORATORY-CHEMISTRY [0301] 80164 WCH HB PB LAB FEE SCHEDULE 158.00
3,018,016,800.00 REF ETHOSUXIMIDE LABORATORY-CHEMISTRY [0301] 80168 WCH HB PB LAB FEE SCHEDULE 155.00
3,018,017,000.00 GENTAMICIN LABORATORY-CHEMISTRY [0301] 80170 WCH HB PB LAB FEE SCHEDULE 156.00
3,018,017,100.00 REF DRUG SCREEN QUANTITATIVE GABOP LABORATORY-CHEMISTRY [0301] 80171 WCH HB PB LAB FEE SCHEDULE 191.00
3,018,017,500.00 LAMOTRIGINE LAMICTAL LABORATORY-CHEMISTRY [0301] 80175 WCH HB PB LAB FEE SCHEDULE 160.00
3,018,017,700.00 LEVETIRACETAM KEPPRA LABORATORY-CHEMISTRY [0301] 80177 WCH HB PB LAB FEE SCHEDULE 171.00
3,018,017,800.00 LITHIUM LABORATORY-CHEMISTRY [0301] 80178 WCH HB PB LAB FEE SCHEDULE 112.00
3,018,017,900.00 DRUG ASSAY SALICYLATE LABORATORY-CHEMISTRY [0301] 80179 WCH HB PB LAB FEE SCHEDULE 212.00
3,018,018,300.00 REF OXCARBAZEPINE METABOLITE (MHC) LABORATORY-CHEMISTRY [0301] 80183 WCH HB PB LAB FEE SCHEDULE 164.00
3,018,018,301.00 REF OXCARBAZEPINE METABOLITE MHC LABORATORY-CHEMISTRY [0301] 80183 WCH HB PB LAB FEE SCHEDULE 148.00
3,018,018,400.00 PHENOBARB LABORATORY-CHEMISTRY [0301] 80184 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,018,500.00 PHENYTOIN LABORATORY-CHEMISTRY [0301] 80185 WCH HB PB LAB FEE SCHEDULE 128.00
3,018,018,501.00 REF PHENYTOIN TOTAL LABORATORY-CHEMISTRY [0301] 80185 WCH HB PB LAB FEE SCHEDULE 117.00
3,018,018,600.00 REF PHENYTOIN DILANTIN FREE LABORATORY-CHEMISTRY [0301] 80186 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,018,601.00 REF PHENYTOIN FREE LABORATORY-CHEMISTRY [0301] 80186 WCH HB PB LAB FEE SCHEDULE 130.00
3,018,018,800.00 REF ASSAY OF PRIMIDONE LABORATORY-CHEMISTRY [0301] 80188 WCH HB PB LAB FEE SCHEDULE 158.00
3,018,019,400.00 REF QUINIDINE LABORATORY-CHEMISTRY [0301] 80194 WCH HB PB LAB FEE SCHEDULE 145.00
3,018,019,500.00 REF SIROLIMUS RAPAMUNE LABORATORY-CHEMISTRY [0301] 80195 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,019,700.00 Hc Ref Tacrolimus Fk506 LABORATORY-CHEMISTRY [0301] 80197 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,019,701.00 REF TACROLIMUS FK506 LABORATORY-CHEMISTRY [0301] 80197 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,019,800.00 THEOPHYLLINE LABORATORY-CHEMISTRY [0301] 80198 WCH HB PB LAB FEE SCHEDULE 134.00
3,018,020,000.00 TOBRAMYCIN LABORATORY-CHEMISTRY [0301] 80200 WCH HB PB LAB FEE SCHEDULE 142.00
3,018,020,100.00 Hc Ref Topiramate LABORATORY-CHEMISTRY [0301] 80201 WCH HB PB LAB FEE SCHEDULE 120.00
3,018,020,101.00 REF TOPIRAMATE LABORATORY-CHEMISTRY [0301] 80201 WCH HB PB LAB FEE SCHEDULE 120.00
3,018,020,200.00 VANCOMYCIN LABORATORY-CHEMISTRY [0301] 80202 WCH HB PB LAB FEE SCHEDULE 128.00
3,018,020,300.00 REF ZONISAMIDE LABORATORY-CHEMISTRY [0301] 80203 WCH HB PB LAB FEE SCHEDULE 75.00
3,018,023,500.00 REF LACOSAMIDE(MAYO) LABORATORY-CHEMISTRY [0301] 80235 WCH HB PB LAB FEE SCHEDULE 162.00
3,018,029,900.00 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB DEFAULT FEE SCHEDULE 167.00
3,018,029,900.00 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,901.00 REF AMIODARONE P S LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,902.00 REF CARBAMAZEPINE 10 11 EPOXIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,903.00 REF MEXILETINE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,904.00 REF WARFARIN COUMADIN LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,905.00 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,906.00 REF INFLIXIMAB LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,907.00 REF METHOTREXATE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,911.00 REF FELBAMATE LEVEL LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,925.00 REF ADALIMUMAB AND AB LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,926.00 REF LACOSAMIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,029,927.00 REF ADALIMUMAB QUANTITATION WITH REFLEX TO ANTIBODY LABORATORY-CHEMISTRY [0301] 80299 WCH HB PB LAB FEE SCHEDULE 462.00
3,018,030,600.00 URINE DRUG SCREEN LABORATORY-CHEMISTRY [0301] 80306 WCH HB PB LAB FEE SCHEDULE 248.00
3,018,030,700.00 REF HYPOGLYCEMIC AGENT SCRN LABORATORY-CHEMISTRY [0301] 80307 WCH HB PB LAB FEE SCHEDULE 212.00
3,018,030,707.00 REF BUPRENORPHINE SCREEN AND CONFIRMATION, URINE LABORATORY-CHEMISTRY [0301] 80307 WCH HB PB LAB FEE SCHEDULE 445.00
3,018,032,000.00 ALCOHOL LABORATORY-CHEMISTRY [0301] 80320 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,032,003.00 REF ETHYLENE GLYCOL LABORATORY-CHEMISTRY [0301] 82693 WCH HB PB LAB FEE SCHEDULE 193.00
3,018,032,300.00 REF NICOTINE AND METABOLITES LABORATORY-CHEMISTRY [0301] 80323 WCH HB PB LAB FEE SCHEDULE 223.00
3,018,032,900.00 SALICYLATES LABORATORY-CHEMISTRY [0301] 80329 WCH HB PB LAB FEE SCHEDULE 212.00
3,018,032,901.00 ACETAMINOPHEN LABORATORY-CHEMISTRY [0301] 80329 WCH HB PB LAB FEE SCHEDULE 212.00
3,018,033,800.00 REF ANTIDPRESSNT NOT SPEC PM URINE LABORATORY-CHEMISTRY [0301] 80338 WCH HB PB LAB FEE SCHEDULE 110.00
3,018,034,600.00 REF BENZODIAZEPINE CONF URINE LABORATORY-CHEMISTRY [0301] 80346 WCH HB PB LAB FEE SCHEDULE 309.00
3,018,034,900.00 REF CANNABINOIDS NATURAL CONF LABORATORY-CHEMISTRY [0301] 80349 WCH HB PB LAB FEE SCHEDULE 168.00
3,018,035,600.00 REF HEROINE METABOLITE CONF LABORATORY-CHEMISTRY [0301] 80356 WCH HB PB LAB FEE SCHEDULE 112.00
3,018,036,100.00 REF OPIATES 1 OR MORE LABORATORY-CHEMISTRY [0301] 80361 WCH HB PB LAB FEE SCHEDULE 144.00
3,018,036,500.00 REF OXYCODONE CONF LABORATORY-CHEMISTRY [0301] 80365 WCH HB PB LAB FEE SCHEDULE 83.00
3,018,037,501.00 REF DIGITOXIN SERUM PLASMA LABORATORY-CHEMISTRY [0301] 80375 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,037,700.00 REF DRUG SUBS NOT SPEC 7 MORE PM U LABORATORY-CHEMISTRY [0301] 80377 WCH HB PB LAB FEE SCHEDULE 151.00
3,018,201,000.00 KETONE LABORATORY-CHEMISTRY [0301] 82010 WCH HB PB LAB FEE SCHEDULE 110.00
3,018,202,400.00 ACTH LABORATORY-CHEMISTRY [0301] 82024 WCH HB PB LAB FEE SCHEDULE 272.00
3,018,202,401.00 REF ACTH LABORATORY-CHEMISTRY [0301] 82024 WCH HB PB LAB FEE SCHEDULE 272.00
3,018,204,000.00 ALBUMIN SERUM PLASMA WH BLOOD LABORATORY-CHEMISTRY [0301] 82040 WCH HB PB LAB FEE SCHEDULE 42.00
3,018,204,200.00 ALBUMIN BODY FLUID LABORATORY-CHEMISTRY [0301] 82042 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,204,300.00 URINE MICROALBUMIN QUANTITATIV LABORATORY-CHEMISTRY [0301] 82043 WCH HB PB LAB FEE SCHEDULE 108.00
3,018,204,400.00 MICROALBUMIN QUAL LABORATORY-CHEMISTRY [0301] 82044 WCH HB PB LAB FEE SCHEDULE 35.00
3,018,207,500.00 ASSAY OF BREATH ETHANOL LABORATORY-CHEMISTRY [0301] 82075 WCH HB PB LAB FEE SCHEDULE 67.00
3,018,207,700.00 ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR&BREATH IA LABORATORY-CHEMISTRY [0301] 82077 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,208,500.00 REF ALDOLASE LABORATORY-CHEMISTRY [0301] 82085 WCH HB PB LAB FEE SCHEDULE 90.00
3,018,208,501.00 REF ALDOLASE LABORATORY-CHEMISTRY [0301] 82085 WCH HB PB LAB FEE SCHEDULE 84.00
3,018,208,800.00 HC REF ALDOSTERONE SERUM LABORATORY-CHEMISTRY [0301] 82088 WCH HB PB LAB FEE SCHEDULE 306.00
3,018,208,801.00 REF ALDOSTERONE URINE LABORATORY-CHEMISTRY [0301] 82088 WCH HB PB LAB FEE SCHEDULE 200.00
3,018,208,802.00 REF ALDOSTERONE SERUM LABORATORY-CHEMISTRY [0301] 82088 WCH HB PB LAB FEE SCHEDULE 306.00
3,018,210,300.00 REF ALPHA 1 ANTITRYPSIN LABORATORY-CHEMISTRY [0301] 82103 WCH HB PB LAB FEE SCHEDULE 1,307.00
3,018,210,400.00 REF A1AT PHENOTYPE LABORATORY-CHEMISTRY [0301] 82104 WCH HB PB LAB FEE SCHEDULE 177.00
3,018,210,500.00 REF ALPHA-FETOPROTEIN: SERUM LABORATORY-CHEMISTRY [0301] 82105 WCH HB PB LAB FEE SCHEDULE 136.00
3,018,210,502.00 AFP TUMOR MARKER LABORATORY-CHEMISTRY [0301] 82105 WCH HB PB LAB FEE SCHEDULE 136.00
3,018,213,500.00 REF AMINOLEVULINIC ACID ALA U LABORATORY-CHEMISTRY [0301] 82135 WCH HB PB LAB FEE SCHEDULE 132.00
3,018,214,000.00 AMMONIA LABORATORY-CHEMISTRY [0301] 82140 WCH HB PB LAB FEE SCHEDULE 106.00
3,018,215,000.00 AMYLASE SERUM LABORATORY-CHEMISTRY [0301] 82150 WCH HB PB LAB FEE SCHEDULE 100.00
3,018,215,700.00 REF ANDROSTENEDIONE S LABORATORY-CHEMISTRY [0301] 82157 WCH HB PB LAB FEE SCHEDULE 189.00
3,018,216,400.00 REF ANGIOTENSIN I-CONVERTING ENZYME CSF LABORATORY-CHEMISTRY [0301] 82164 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,216,401.00 REF ANGIOTENSIN CONV ENZYME LABORATORY-CHEMISTRY [0301] 82164 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,217,200.00 REF APOLIPOPROTEIN A1 LABORATORY-CHEMISTRY [0301] 82172 WCH HB PB LAB FEE SCHEDULE 100.00
3,018,217,204.00 REF APOLIPOPROTEIN B FOR APOAB LABORATORY-CHEMISTRY [0301] 82172 WCH HB PB LAB FEE SCHEDULE 84.00
3,018,217,500.00 REF HEAVY METAL SCREEN ARSENIC, 24 HOUR LABORATORY-CHEMISTRY [0301] 82175 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,217,501.00 REF ARSENIC, 24 HOUR, URINE LABORATORY-CHEMISTRY [0301] 82175 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,218,000.00 REF VITAMIN C LABORATORY-CHEMISTRY [0301] 82180 WCH HB PB LAB FEE SCHEDULE 276.00
3,018,223,200.00 REF BETA 2 MICROGLOBULIN URINE LABORATORY-CHEMISTRY [0301] 82232 WCH HB PB LAB FEE SCHEDULE 205.00
3,018,223,201.00 REF BETA 2 MICROGLOBULIN, SERUM LABORATORY-CHEMISTRY [0301] 82232 WCH HB PB LAB FEE SCHEDULE 163.00
3,018,224,700.00 BILIRUBIN TOTAL LABORATORY-CHEMISTRY [0301] 82247 WCH HB PB LAB FEE SCHEDULE 55.00
3,018,224,800.00 CONJUGATED BILIRUBIN LABORATORY-CHEMISTRY [0301] 82248 WCH HB PB LAB FEE SCHEDULE 42.00
3,018,226,100.00 REF BIOTINIDASE DEFICIENCY SCREEN LABORATORY-CHEMISTRY [0301] 82261 WCH HB PB LAB FEE SCHEDULE 29.00
3,018,227,000.00 FECAL OCCULT BLOOD NONMEDICARE LABORATORY-CHEMISTRY [0301] 82270 WCH HB PB LAB FEE SCHEDULE 33.00
3,018,227,200.00 OCCULT BLOOD FECES WAIVED LABORATORY-CHEMISTRY [0301] 82272 WCH HB PB LAB FEE SCHEDULE 58.00
3,018,227,400.00 FECAL OCC BL TEST IFOB DIAG LABORATORY-CHEMISTRY [0301] 82274 WCH HB PB LAB FEE SCHEDULE 107.00
3,018,227,401.00 FECAL OCCULT BL TEST IFOB SCRN LABORATORY-CHEMISTRY [0301] 82274 WCH HB PB LAB FEE SCHEDULE 110.00
3,018,230,000.00 REF HEAVY METALS SCRN UR CADMIUM LABORATORY-CHEMISTRY [0301] 82300 WCH HB PB LAB FEE SCHEDULE 175.00
3,018,230,001.00 REF HEAVY METALS SCRN UR CADMIUM LABORATORY-CHEMISTRY [0301] 82300 WCH HB PB LAB FEE SCHEDULE 130.00
3,018,230,600.00 VIT D 25 HYDROXY W FRACTIONS LABORATORY-CHEMISTRY [0301] 82306 WCH HB PB LAB FEE SCHEDULE 318.00
3,018,230,600.00 VIT D 25 HYDROXY W FRACTIONS LABORATORY-CHEMISTRY [0301] 82306 WCH WELLNESS WEDNESDAY FSC 40.00
3,018,230,601.00 REF VIT D 25 HYDROXY W FRACTIONS LABORATORY-CHEMISTRY [0301] 82306 WCH HB PB LAB FEE SCHEDULE 318.00
3,018,230,800.00 REF CALCITONIN LABORATORY-CHEMISTRY [0301] 82308 WCH HB PB LAB FEE SCHEDULE 289.00
3,018,231,000.00 CALCIUM TOTAL SERUM LABORATORY-CHEMISTRY [0301] 82310 WCH HB PB LAB FEE SCHEDULE 61.00
3,018,233,000.00 CALCIUM IONIZED ASSAY LABORATORY-CHEMISTRY [0301] 82330 WCH HB PB LAB FEE SCHEDULE 139.00
3,018,233,001.00 REF CALCUIM IONIZED SERUM LABORATORY-CHEMISTRY [0301] 82330 WCH HB PB LAB FEE SCHEDULE 139.00
3,018,234,000.00 REF 24 HR URINE CALCIUM LABORATORY-CHEMISTRY [0301] 82340 WCH HB PB LAB FEE SCHEDULE 68.00
3,018,236,501.00 REF CALCULUS QUAL ANAL INFRD SPECT LABORATORY-CHEMISTRY [0301] 82365 WCH HB PB LAB FEE SCHEDULE 127.00
3,018,237,400.00 CARBON DIOXIDE BICARB LABORATORY-CHEMISTRY [0301] 82374 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,237,501.00 CARBOXYHEMOGLOBIN QUANT LABORATORY-CHEMISTRY [0301] 82375 WCH HB PB LAB FEE SCHEDULE 129.00
3,018,237,800.00 CARCINOEMBRYONIC ANTIGEN LABORATORY-CHEMISTRY [0301] 82378 WCH HB PB LAB FEE SCHEDULE 215.00
3,018,237,900.00 REF CARNITINE P S LABORATORY-CHEMISTRY [0301] 82379 WCH HB PB LAB FEE SCHEDULE 94.00
3,018,238,400.00 ASSAY, THREE CATECHOLAMINES LABORATORY-CHEMISTRY [0301] 82384 WCH HB PB LAB FEE SCHEDULE 289.00
3,018,238,402.00 REF CATECHOLAMINE FRACT FREE URINE LABORATORY-CHEMISTRY [0301] 82384 WCH HB PB LAB FEE SCHEDULE 297.00
3,018,239,000.00 REF CERULOPLASMIN LABORATORY-CHEMISTRY [0301] 82390 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,239,700.00 REF PTH RELATED PEPTIDE LABORATORY-CHEMISTRY [0301] 82397 WCH HB PB LAB FEE SCHEDULE 190.00
3,018,239,702.00 REF INFLIXIMAB AB LABORATORY-CHEMISTRY [0301] 82397 WCH HB PB LAB FEE SCHEDULE 152.00
3,018,243,500.00 CHLORIDE, SERUM LABORATORY-CHEMISTRY [0301] 82435 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,243,600.00 CHLORIDE URINE LABORATORY-CHEMISTRY [0301] 82436 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,243,800.00 CHLORIDE CSF BODY FLUID URINE LABORATORY-CHEMISTRY [0301] 82438 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,246,500.00 CHOLESTEROL LABORATORY-CHEMISTRY [0301] 82465 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,249,500.00 REF CHROMIUM LABORATORY-CHEMISTRY [0301] 82495 WCH HB PB LAB FEE SCHEDULE 244.00
3,018,250,700.00 REF CITRATE EXCRETION (SAT 24) LABORATORY-CHEMISTRY [0301] 82507 WCH HB PB LAB FEE SCHEDULE 295.00
3,018,250,701.00 REF CITRATE EXCRETION LABORATORY-CHEMISTRY [0301] 82507 WCH HB PB LAB FEE SCHEDULE 303.00
3,018,252,300.00 REF NTX TELOPEPTIDE U LABORATORY-CHEMISTRY [0301] 82523 WCH HB PB LAB FEE SCHEDULE 182.00
3,018,252,301.00 REF NTX TELOPEPTIDE U LABORATORY-CHEMISTRY [0301] 82523 WCH HB PB LAB FEE SCHEDULE 182.00
3,018,252,302.00 REF NTX SERUM LABORATORY-CHEMISTRY [0301] 82523 WCH HB PB LAB FEE SCHEDULE 229.00
3,018,252,500.00 REF COPPER URINE LABORATORY-CHEMISTRY [0301] 82525 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,252,501.00 REF COPPER SERUM LABORATORY-CHEMISTRY [0301] 82525 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,253,000.00 CORTISOL, FREE, URINE LABORATORY-CHEMISTRY [0301] 82530 WCH HB PB LAB FEE SCHEDULE 210.00
3,018,253,002.00 REF CORTISOL FREE URINE LABORATORY-CHEMISTRY [0301] 82530 WCH HB PB LAB FEE SCHEDULE 210.00
3,018,253,005.00 REF CORTISOL, FREE LABORATORY-CHEMISTRY [0301] 82530 WCH HB PB LAB FEE SCHEDULE 195.60
3,018,253,300.00 CORTISOL SINGLE LABORATORY-CHEMISTRY [0301] 82533 WCH HB PB LAB FEE SCHEDULE 180.00
3,018,253,301.00 REF CORTISOL SALIVA LABORATORY-CHEMISTRY [0301] 82533 WCH HB PB LAB FEE SCHEDULE 162.00
3,018,254,200.00 REF CORTISOL URINE LC-MS/MS LABORATORY-CHEMISTRY [0301] 82542 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,254,217.00 REF PYRIDOXIC ACID LABORATORY-CHEMISTRY [0301] 82542 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,255,000.00 CPK TOTAL LABORATORY-CHEMISTRY [0301] 82550 WCH HB PB LAB FEE SCHEDULE 177.00
3,018,255,300.00 MB FRACTION LABORATORY-CHEMISTRY [0301] 82553 WCH HB PB LAB FEE SCHEDULE 87.00
3,018,256,500.00 CREATININE SERUM LABORATORY-CHEMISTRY [0301] 82565 WCH HB PB LAB FEE SCHEDULE 85.00
3,018,257,000.00 CREATININE BODY FLUID LABORATORY-CHEMISTRY [0301] 82570 WCH HB PB LAB FEE SCHEDULE 92.00
3,018,257,001.00 REF CREATININE OTHER SOURCE LABORATORY-CHEMISTRY [0301] 82570 WCH HB PB LAB FEE SCHEDULE 92.00
3,018,257,003.00 REF CREATINE (RPTU) URINE LABORATORY-CHEMISTRY [0301] 82570 WCH HB PB LAB FEE SCHEDULE 70.00
3,018,257,500.00 CREAT CLEARANCE LABORATORY-CHEMISTRY [0301] 82575 WCH HB PB LAB FEE SCHEDULE 120.00
3,018,258,500.00 REF CRYOG CRYOFIBRENGOGEN LABORATORY-CHEMISTRY [0301] 82585 WCH HB PB LAB FEE SCHEDULE 86.00
3,018,259,500.00 REF CRYO PANEL, SERUM AND PLASMA(MAYO) LABORATORY-CHEMISTRY [0301] 82595 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,260,700.00 VIT B12 SERUM LABORATORY-CHEMISTRY [0301] 82607 WCH HB PB LAB FEE SCHEDULE 162.00
3,018,260,700.00 VIT B12 SERUM LABORATORY-CHEMISTRY [0301] 82607 WCH WELLNESS WEDNESDAY FSC 25.00
3,018,262,600.00 REF DHEA LABORATORY-CHEMISTRY [0301] 82626 WCH HB PB LAB FEE SCHEDULE 272.00
3,018,262,601.00 REF DHEA LABORATORY-CHEMISTRY [0301] 82626 WCH HB PB LAB FEE SCHEDULE 255.60
3,018,262,700.00 REF DHEA SULFATE LABORATORY-CHEMISTRY [0301] 82627 WCH HB PB LAB FEE SCHEDULE 240.00
3,018,265,200.00 REF VIT D1 25 DIHYDROXY W FRAC LABORATORY-CHEMISTRY [0301] 82652 WCH HB PB LAB FEE SCHEDULE 338.00
3,018,265,201.00 REF VIT D1 25 DIHYDROXY W FRAC LABORATORY-CHEMISTRY [0301] 82652 WCH HB PB LAB FEE SCHEDULE 338.00
3,018,265,601.00 REF PANCREATIC ELASTASE FECAL LABORATORY-CHEMISTRY [0301] 82656 WCH HB PB LAB FEE SCHEDULE 340.00
3,018,265,701.00 REF TPMT ACTIVITY, RBC LABORATORY-CHEMISTRY [0301] 82657 WCH HB PB LAB FEE SCHEDULE 453.00
3,018,266,800.00 REF ERYTHROPOIETIN LABORATORY-CHEMISTRY [0301] 82668 WCH HB PB LAB FEE SCHEDULE 260.00
3,018,267,000.00 ESTRADIOL LABORATORY-CHEMISTRY [0301] 82670 WCH HB PB LAB FEE SCHEDULE 187.00
3,018,267,100.00 REF ESTROGENS, FRACTIONATED LABORATORY-CHEMISTRY [0301] 82671 WCH HB PB LAB FEE SCHEDULE 258.60
3,018,267,700.00 REF QUAD SCRN ESTRIOL LABORATORY-CHEMISTRY [0301] 82677 WCH HB PB LAB FEE SCHEDULE 174.00
3,018,267,900.00 REF ASSAY OF ESTRONE LABORATORY-CHEMISTRY [0301] 82679 WCH HB PB LAB FEE SCHEDULE 240.00
3,018,271,000.00 REF FECAL FAT QUANT LABORATORY-CHEMISTRY [0301] 82710 WCH HB PB LAB FEE SCHEDULE 195.00
3,018,272,800.00 FERRITIN LABORATORY-CHEMISTRY [0301] 82728 WCH HB PB LAB FEE SCHEDULE 149.00
3,018,272,800.00 FERRITIN LABORATORY-CHEMISTRY [0301] 82728 WCH WELLNESS WEDNESDAY FSC 8.50
3,018,272,801.00 REF FERRITIN SERUM LABORATORY-CHEMISTRY [0301] 82728 WCH HB PB LAB FEE SCHEDULE 285.60
3,018,274,600.00 FOLATE SERUM LABORATORY-CHEMISTRY [0301] 82746 WCH HB PB LAB FEE SCHEDULE 164.00
3,018,277,600.00 REF GALACTOSEMIA SCREEN LABORATORY-CHEMISTRY [0301] 82776 WCH HB PB LAB FEE SCHEDULE 29.00
3,018,278,400.00 REF CELIAC DIS SERLGY CASCADE IGA LABORATORY-CHEMISTRY [0301] 82784 WCH HB PB LAB FEE SCHEDULE 111.00
3,018,278,402.00 REF GAMMAGLOB IMMUNGLOB IGG TOTAL LABORATORY-CHEMISTRY [0301] 82784 WCH HB PB LAB FEE SCHEDULE 73.20
3,018,278,404.00 REF CELIAC DIS SERLGY CASCADE IGA LABORATORY-CHEMISTRY [0301] 82784 WCH HB PB LAB FEE SCHEDULE 111.00
3,018,278,406.00 GAMMAGLOB IMMUNOGLOBULIN EACH LABORATORY-CHEMISTRY [0301] 82784 WCH HB PB LAB FEE SCHEDULE 111.00
3,018,278,500.00 REF IMMUGLOBULIN E LABORATORY-CHEMISTRY [0301] 82785 WCH HB PB LAB FEE SCHEDULE 112.00
3,018,278,700.00 REF IGG SUBCLASSES EACH LABORATORY-CHEMISTRY [0301] 82787 WCH HB PB LAB FEE SCHEDULE 300.00
3,018,280,300.00 BL GAS W O2 SAT CALCULATED LAB LABORATORY-CHEMISTRY [0301] 82803 WCH HB PB LAB FEE SCHEDULE 233.00
3,018,280,500.00 BL GAS W 02 SAT MEASURE RT LABORATORY-CHEMISTRY [0301] 82805 WCH HB PB LAB FEE SCHEDULE 233.00
3,018,294,100.00 REF GASTRIN LABORATORY-CHEMISTRY [0301] 82941 WCH HB PB LAB FEE SCHEDULE 160.00
3,018,294,500.00 GLUCOSE CSF OR BODY FLUID LABORATORY-CHEMISTRY [0301] 82945 WCH HB PB LAB FEE SCHEDULE 147.00
3,018,294,700.00 GLUCOSE LABORATORY-CHEMISTRY [0301] 82947 WCH HB PB LAB FEE SCHEDULE 77.00
3,018,295,000.00 GLUCOSE TOLERANCE OB LABORATORY-CHEMISTRY [0301] 82950 WCH HB PB LAB FEE SCHEDULE 58.00
3,018,295,100.00 GTT 3 3HR GLUCOSE TOLERANCE LABORATORY-CHEMISTRY [0301] 82951 WCH HB PB LAB FEE SCHEDULE 128.00
3,018,295,200.00 GLUC TOLERANCE ADDL >3 SPEC LABORATORY-CHEMISTRY [0301] 82952 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,295,500.00 REF G 6 PD QN RC LABORATORY-CHEMISTRY [0301] 82955 WCH HB PB LAB FEE SCHEDULE 131.00
3,018,297,700.00 GAMMA GT (GTT) LABORATORY-CHEMISTRY [0301] 82977 WCH HB PB LAB FEE SCHEDULE 102.50
3,018,298,500.00 REF FRUCTOSAMINE LABORATORY-CHEMISTRY [0301] 82985 WCH HB PB LAB FEE SCHEDULE 68.00
3,018,300,100.00 FSH LABORATORY-CHEMISTRY [0301] 83001 WCH HB PB LAB FEE SCHEDULE 166.00
3,018,300,200.00 REF LUTEINZINE HORMONE (LH) LABORATORY-CHEMISTRY [0301] 83002 WCH HB PB LAB FEE SCHEDULE 171.00
3,018,300,201.00 LUTEINIZING HORMONE LABORATORY-CHEMISTRY [0301] 83002 WCH HB PB LAB FEE SCHEDULE 171.00
3,018,300,300.00 REF GROWTH HORMONE LABORATORY-CHEMISTRY [0301] 83003 WCH HB PB LAB FEE SCHEDULE 163.00
3,018,301,000.00 REF HAPTOGLOBIN LABORATORY-CHEMISTRY [0301] 83010 WCH HB PB LAB FEE SCHEDULE 131.00
3,018,301,002.00 Hc Haptoglobin LABORATORY-CHEMISTRY [0301] 83010 WCH HB PB LAB FEE SCHEDULE 110.00
3,018,301,800.00 QUANTITATIVE SCREEN, METALS LABORATORY-CHEMISTRY [0301] 83018 WCH HB PB LAB FEE SCHEDULE 206.00
3,018,302,000.00 REF HEMOGLOBIN ELECTROPHORESIS (HGB E) LABORATORY-CHEMISTRY [0301] 83020 WCH HB PB LAB FEE SCHEDULE 132.00
3,018,302,001.00 REF HEMOGLOBIN ELP B LABORATORY-CHEMISTRY [0301] 83020 WCH HB PB LAB FEE SCHEDULE 750.00
3,018,302,002.00 REF HEMOGLOBIN ELP B – THALASSEMIA & HEMO EVAL LABORATORY-CHEMISTRY [0301] 83020 WCH HB PB LAB FEE SCHEDULE 750.00
3,018,302,101.00 REF HEMOGLOBIN A2 & F LABORATORY-CHEMISTRY [0301] 83021 WCH HB PB LAB FEE SCHEDULE 173.00
3,018,302,102.00 REF HEMOGLOBIN A2 & F – THALASSEMIA & HEMO EVAL LABORATORY-CHEMISTRY [0301] 83021 WCH HB PB LAB FEE SCHEDULE 379.20
3,018,303,600.00 HEMOGLOBIN A1C LABORATORY-CHEMISTRY [0301] 83036 WCH HB PB LAB FEE SCHEDULE 96.00
3,018,303,600.00 HEMOGLOBIN A1C LABORATORY-CHEMISTRY [0301] 83036 WCH WELLNESS WEDNESDAY FSC 25.00
3,018,307,000.00 REF HEMOSIDERIN U LABORATORY-CHEMISTRY [0301] 83070 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,309,000.00 HC ASSAY, HOMOCYSTINE LABORATORY-CHEMISTRY [0301] 83090 WCH HB PB LAB FEE SCHEDULE 216.00
3,018,309,003.00 REF HOMOCYSTEINE TOTAL SERUM LABORATORY-CHEMISTRY [0301] 83090 WCH HB PB LAB FEE SCHEDULE 216.00
3,018,349,700.00 REF QUANT 5HIAA LABORATORY-CHEMISTRY [0301] 83497 WCH HB PB LAB FEE SCHEDULE 177.00
3,018,349,800.00 REF 18 HYDROXYPROGESTERONE LABORATORY-CHEMISTRY [0301] 83498 WCH HB PB LAB FEE SCHEDULE 243.00
3,018,349,801.00 REF 17 HYDROXYPROGESTERONE LABORATORY-CHEMISTRY [0301] 83498 WCH HB PB LAB FEE SCHEDULE 243.00
3,018,349,802.00 REF CAH LABORATORY-CHEMISTRY [0301] 83498 WCH HB PB LAB FEE SCHEDULE 243.00
3,018,351,600.00 REF GLIADIN AB OR IGG OR IGM LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,351,601.00 REF CYSTIC FIBROSIS LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 139.00
3,018,351,602.00 REF PR3 LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 134.00
3,018,351,603.00 REF MPO LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 134.00
3,018,351,604.00 REF GLIADIN DEAMINATED IGG OR IGA LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 163.00
3,018,351,605.00 REF MITOCHONDIRAL AB M2 LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 135.00
3,018,351,607.00 REF PARIETAL CELL AB IGG LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 150.00
3,018,351,609.00 REF TISSUE TRANSGLUTAMINASE AB IGG OR IGA LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 134.00
3,018,351,617.00 REF ANTI GLOMERULAR BASEMENT MEMBR(MAYO) LABORATORY-CHEMISTRY [0301] 83516 WCH HB PB LAB FEE SCHEDULE 150.00
3,018,351,900.00 REF PARANEOPLASTIC (V-G) K+ CHNL LABORATORY-CHEMISTRY [0301] 83519 WCH HB PB LAB FEE SCHEDULE 202.00
3,018,351,904.00 REF ACH RECEPTOR MUSCLE BINDING LABORATORY-CHEMISTRY [0301] 83519 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,351,909.00 REF PARANEOPLASTIC ACH GANGLIONIC LABORATORY-CHEMISTRY [0301] 83519 WCH HB PB LAB FEE SCHEDULE 317.00
3,018,351,914.00 REF MUSK AUTOANITBODY LABORATORY-CHEMISTRY [0301] 83519 WCH HB PB LAB FEE SCHEDULE 858.00
3,018,352,000.00 REF GLOMERULAR BASEMNT MEMBRANE AB LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,352,003.00 REF IBD SACCHAROMYCES IGG OR IGA LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 152.00
3,018,352,009.00 REF TRYPTASE LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,352,010.00 REF ANTIMULLERIAN HORMONE SERUM LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 178.00
3,018,352,011.00 REF THYROTROPIN RECEPTOR AB LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 167.00
3,018,352,013.00 PARANEOPLASTIC STRIATIONAL AB LABORATORY-CHEMISTRY [0301] 83520 WCH HB PB LAB FEE SCHEDULE 152.00
3,018,352,500.00 REF INSULIN LABORATORY-CHEMISTRY [0301] 83525 WCH HB PB LAB FEE SCHEDULE 171.00
3,018,354,000.00 IRON SERUM LABORATORY-CHEMISTRY [0301] 83540 WCH HB PB LAB FEE SCHEDULE 59.00
3,018,354,000.00 IRON SERUM LABORATORY-CHEMISTRY [0301] 83540 WCH WELLNESS WEDNESDAY FSC 7.00
3,018,355,000.00 IRON BIND SERUM LABORATORY-CHEMISTRY [0301] 83550 WCH HB PB LAB FEE SCHEDULE 76.00
3,018,355,000.00 IRON BIND SERUM LABORATORY-CHEMISTRY [0301] 83550 WCH WELLNESS WEDNESDAY FSC 7.00
3,018,360,500.00 LACTIC ACID LABORATORY-CHEMISTRY [0301] 83605 WCH HB PB LAB FEE SCHEDULE 134.00
3,018,361,500.00 LDH LABORATORY-CHEMISTRY [0301] 83615 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,361,501.00 REF LDH TOTAL LABORATORY-CHEMISTRY [0301] 83615 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,362,500.00 HC REF LDH ISOENZYMES S LABORATORY-CHEMISTRY [0301] 83625 WCH HB PB LAB FEE SCHEDULE 166.00
3,018,362,501.00 REF LDH ISOENZYMES S LABORATORY-CHEMISTRY [0301] 83625 WCH HB PB LAB FEE SCHEDULE 129.00
3,018,365,500.00 HEAVY METAL LEAD WB LABORATORY-CHEMISTRY [0301] 83655 WCH HB PB LAB FEE SCHEDULE 112.00
3,018,365,502.00 REF HEAVY METALS SCRN UR LEAD LABORATORY-CHEMISTRY [0301] 83655 WCH HB PB LAB FEE SCHEDULE 109.00
3,018,369,000.00 LIPASE LABORATORY-CHEMISTRY [0301] 83690 WCH HB PB LAB FEE SCHEDULE 101.00
3,018,369,500.00 REF LIPOPROTEIN A SERUM LABORATORY-CHEMISTRY [0301] 83695 WCH HB PB LAB FEE SCHEDULE 200.00
3,018,370,001.00 REF LP(A) CHOLESTEROL SERUM LABORATORY-CHEMISTRY [0301] 83700 WCH HB PB LAB FEE SCHEDULE 212.40
3,018,371,800.00 HDL HIGH DENS LIPOPROTEIN LABORATORY-CHEMISTRY [0301] 83718 WCH HB PB LAB FEE SCHEDULE 86.00
3,018,372,100.00 DIRECT LDL CHOLESTEROL LABORATORY-CHEMISTRY [0301] 83721 WCH HB PB LAB FEE SCHEDULE 89.00
3,018,373,500.00 MAGNESIUM LABORATORY-CHEMISTRY [0301] 83735 WCH HB PB LAB FEE SCHEDULE 70.00
3,018,378,901.00 REF AMINO ACID ACYLCARNITINE SCRN LABORATORY-CHEMISTRY [0301] 83789 WCH HB PB LAB FEE SCHEDULE 143.00
3,018,382,500.00 REF MERCURY, 24 HOUR, URINE LABORATORY-CHEMISTRY [0301] 83825 WCH HB PB LAB FEE SCHEDULE 179.00
3,018,383,500.00 REF METANEPRINES LABORATORY-CHEMISTRY [0301] 83835 WCH HB PB LAB FEE SCHEDULE 271.00
3,018,383,501.00 REF METANEPHRINES LABORATORY-CHEMISTRY [0301] 83835 WCH HB PB LAB FEE SCHEDULE 292.00
3,018,383,502.00 REF METANEPHRINES FRACTION 24 HR LABORATORY-CHEMISTRY [0301] 83835 WCH HB PB LAB FEE SCHEDULE 271.00
3,018,387,400.00 MYOGLOBIN LABORATORY-CHEMISTRY [0301] 83874 WCH HB PB LAB FEE SCHEDULE 158.00
3,018,388,000.00 BNP B-TYPE NATRIUETIC PEPTIDE LABORATORY-CHEMISTRY [0301] 83880 WCH HB PB LAB FEE SCHEDULE 322.00
3,018,388,301.00 REF IMMUNOGLOBULIN LIGHT CH LABORATORY-CHEMISTRY [0301] 83883 WCH HB PB LAB FEE SCHEDULE 153.00
3,018,388,302.00 REF IGG TOTAL LIGHT CHAINS U LABORATORY-CHEMISTRY [0301] 83883 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,392,100.00 REF METHYLMALONIC ACID SERUM LABORATORY-CHEMISTRY [0301] 83921 WCH HB PB LAB FEE SCHEDULE 166.00
3,018,393,000.00 OSMOLARITY SERUM LABORATORY-CHEMISTRY [0301] 83930 WCH HB PB LAB FEE SCHEDULE 69.00
3,018,393,500.00 OSMOLARITY URINE LABORATORY-CHEMISTRY [0301] 83935 WCH HB PB LAB FEE SCHEDULE 90.00
3,018,394,500.00 REF OXALATE URINE (SAT 24) LABORATORY-CHEMISTRY [0301] 83945 WCH HB PB LAB FEE SCHEDULE 121.00
3,018,394,501.00 REF OXALATE URINE LABORATORY-CHEMISTRY [0301] 83945 WCH HB PB LAB FEE SCHEDULE 125.00
3,018,397,000.00 ASSAY, PARATHORMONE LABORATORY-CHEMISTRY [0301] 83970 WCH HB PB LAB FEE SCHEDULE 330.00
3,018,398,600.00 PH-BODY FLUID (P-METRIC) LABORATORY-CHEMISTRY [0301] 83986 WCH HB PB LAB FEE SCHEDULE 65.00
3,018,399,300.00 ASSAY FOR CALPROTECTIN FECAL LABORATORY-CHEMISTRY [0301] 83993 WCH HB PB LAB FEE SCHEDULE 316.00
3,018,399,301.00 REF CALPROTECTIN, F LABORATORY-CHEMISTRY [0301] 83993 WCH HB PB LAB FEE SCHEDULE 250.00
3,018,403,000.00 REF PHENYLALANINE, P (MAYO) LABORATORY-CHEMISTRY [0301] 84030 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,407,500.00 ALK PHOSPHOTASE LABORATORY-CHEMISTRY [0301] 84075 WCH HB PB LAB FEE SCHEDULE 44.00
3,018,407,501.00 REF ALK PTASE TOTAL LABORATORY-CHEMISTRY [0301] 84075 WCH HB PB LAB FEE SCHEDULE 50.00
3,018,408,000.00 REF ALK PHOSPHATASE ISOENZYME LABORATORY-CHEMISTRY [0301] 84080 WCH HB PB LAB FEE SCHEDULE 156.00
3,018,410,000.00 PHOSPHORUS LABORATORY-CHEMISTRY [0301] 84100 WCH HB PB LAB FEE SCHEDULE 52.00
3,018,410,000.00 PHOSPHORUS LABORATORY-CHEMISTRY [0301] 84100 WCH WELLNESS WEDNESDAY FSC 7.00
3,018,410,500.00 PHOS URINE LABORATORY-CHEMISTRY [0301] 84105 WCH HB PB LAB FEE SCHEDULE 58.00
3,018,411,000.00 ASSAY OF PORPHOBLINOGEN LABORATORY-CHEMISTRY [0301] 84110 WCH HB PB LAB FEE SCHEDULE 106.00
3,018,412,001.00 REF PORPHYRINS QN U LABORATORY-CHEMISTRY [0301] 84120 WCH HB PB LAB FEE SCHEDULE 180.00
3,018,413,200.00 POTASSIUM SERUM PLASMA WB LABORATORY-CHEMISTRY [0301] 84132 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,413,300.00 POTASSIUM URINE LABORATORY-CHEMISTRY [0301] 84133 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,413,400.00 PREALBUMIN LABORATORY-CHEMISTRY [0301] 84134 WCH HB PB LAB FEE SCHEDULE 129.00
3,018,414,000.00 REF PREGNENOLONE LABORATORY-CHEMISTRY [0301] 84140 WCH HB PB LAB FEE SCHEDULE 155.00
3,018,414,400.00 PROGESTERONE LABORATORY-CHEMISTRY [0301] 84144 WCH HB PB LAB FEE SCHEDULE 227.00
3,018,414,500.00 PROCALCITONIN LABORATORY-CHEMISTRY [0301] 84145 WCH HB PB LAB FEE SCHEDULE 259.00
3,018,414,600.00 PROLACTIN LABORATORY-CHEMISTRY [0301] 84146 WCH HB PB LAB FEE SCHEDULE 182.00
3,018,415,300.00 PSA DIAGNOSTIC LABORATORY-CHEMISTRY [0301] 84153 WCH HB DEFAULT FEE SCHEDULE 175.00
3,018,415,300.00 PSA DIAGNOSTIC LABORATORY-CHEMISTRY [0301] 84153 WCH HB PB LAB FEE SCHEDULE 175.00
3,018,415,301.00 REF PSA TOTAL LABORATORY-CHEMISTRY [0301] 84153 WCH HB PB LAB FEE SCHEDULE 175.00
3,018,415,303.00 PSA SCREENING LABORATORY-CHEMISTRY [0301] 84153 WCH HB PB LAB FEE SCHEDULE 175.00
3,018,415,303.00 PSA SCREENING LABORATORY-CHEMISTRY [0301] 84153 WCH WELLNESS WEDNESDAY FSC 27.50
3,018,415,400.00 REF PROSTATE SPECIFIC ANTIGEN (PSA-FREE) LABORATORY-CHEMISTRY [0301] 84154 WCH HB PB LAB FEE SCHEDULE 145.00
3,018,415,401.00 REF PSA FREE LABORATORY-CHEMISTRY [0301] 84154 WCH HB PB LAB FEE SCHEDULE 145.00
3,018,415,500.00 TOTAL PROTEIN SERUM PLASMA WB LABORATORY-CHEMISTRY [0301] 84155 WCH HB PB LAB FEE SCHEDULE 129.00
3,018,415,501.00 REF MONOCLONAL PROTEIN STUDY TP LABORATORY-CHEMISTRY [0301] 84155 WCH HB PB LAB FEE SCHEDULE 27.20
3,018,415,502.00 REF PROTEIN STUDY, SERUM TP MAYO LABORATORY-CHEMISTRY [0301] 84155 WCH HB PB LAB FEE SCHEDULE 129.00
3,018,415,600.00 PROTEIN-QUANT URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB PB LAB FEE SCHEDULE 72.00
3,018,415,601.00 REF PROTEIN, TOTAL, URINE MONOCLONAL LABORATORY-CHEMISTRY [0301] 84156 WCH HB PB LAB FEE SCHEDULE 50.00
3,018,415,602.00 REF PROTEIN, TOTAL, URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB PB LAB FEE SCHEDULE 72.00
3,018,415,603.00 REF PROTEIN (RPTU) URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB PB LAB FEE SCHEDULE 54.00
3,018,415,700.00 ASSAY, PROTEIN, OTHER SOURCE, TOTAL LABORATORY-CHEMISTRY [0301] 84157 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,416,500.00 E-PHORESIS-PROTEIN LABORATORY-CHEMISTRY [0301] 84165 WCH HB PB LAB FEE SCHEDULE 131.00
3,018,416,501.00 REF MONOCLONAL PROTEIN STUDY ELP LABORATORY-CHEMISTRY [0301] 84165 WCH HB PB LAB FEE SCHEDULE 84.00
3,018,416,502.00 REF PROTEIN STUDY, SERUM ELP MAYO LABORATORY-CHEMISTRY [0301] 84165 WCH HB PB LAB FEE SCHEDULE 131.00
3,018,416,600.00 ELP-UA LABORATORY-CHEMISTRY [0301] 84166 WCH HB PB LAB FEE SCHEDULE 138.00
3,018,416,601.00 REF PROTEIN ELECTRPHORSIS URINE MONOCLONAL LABORATORY-CHEMISTRY [0301] 84166 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,416,602.00 REF PROTEIN ELECTRPHORSIS URINE LABORATORY-CHEMISTRY [0301] 84166 WCH HB PB LAB FEE SCHEDULE 138.00
3,018,420,700.00 REF VITAMIN B6 PLASMA LABORATORY-CHEMISTRY [0301] 84207 WCH HB PB LAB FEE SCHEDULE 272.00
3,018,424,400.00 REF RENIN ACTIVITY LABORATORY-CHEMISTRY [0301] 84244 WCH HB PB LAB FEE SCHEDULE 250.00
3,018,424,401.00 REF RENIN ACTIVITY LABORATORY-CHEMISTRY [0301] 84244 WCH HB PB LAB FEE SCHEDULE 250.00
3,018,425,500.00 REF SELENIUM LABORATORY-CHEMISTRY [0301] 84255 WCH HB PB LAB FEE SCHEDULE 177.00
3,018,427,000.00 REF SEX HORMONE BINDING GLOBULIN LABORATORY-CHEMISTRY [0301] 84270 WCH HB PB LAB FEE SCHEDULE 210.00
3,018,429,500.00 SODIUM SERUM PLASMA WB LABORATORY-CHEMISTRY [0301] 84295 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,430,000.00 SODIUM URINE LABORATORY-CHEMISTRY [0301] 84300 WCH HB PB LAB FEE SCHEDULE 52.00
3,018,430,200.00 SODIUM OTHER SOURCE LABORATORY-CHEMISTRY [0301] 84302 WCH HB PB LAB FEE SCHEDULE 53.00
3,018,430,500.00 REF ASSAY OF SOMATOMEDIN LABORATORY-CHEMISTRY [0301] 84305 WCH HB PB LAB FEE SCHEDULE 317.00
3,018,431,500.00 SPECIFIC GRAVITY EXCEPT URINE LABORATORY-CHEMISTRY [0301] 84315 WCH HB PB LAB FEE SCHEDULE 33.00
3,018,440,200.00 REF TESTOSTERONE, FREE FOR MAYO TOTAL AND FREE LABORATORY-CHEMISTRY [0301] 84402 WCH HB PB LAB FEE SCHEDULE 243.00
3,018,440,202.00 REF TESTOSTERONE FREE FOR MAYO TOTAL, BIO, FREE LABORATORY-CHEMISTRY [0301] 84402 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,440,300.00 TESTOSTERONE TOTAL LABORATORY-CHEMISTRY [0301] 84403 WCH HB PB LAB FEE SCHEDULE 195.00
3,018,440,301.00 REF TESTOSTERONE TOTAL, FOR MAYO TOTAL AND FREE LABORATORY-CHEMISTRY [0301] 84403 WCH HB PB LAB FEE SCHEDULE 195.00
3,018,440,302.00 REF TESTOSTERONE, TOTAL FOR MAYO TOTAL, BIO, AND FREE LABORATORY-CHEMISTRY [0301] 84403 WCH HB PB LAB FEE SCHEDULE 187.58
3,018,441,000.00 REF TESTOSTERONE BIOAVAILABLE FOR MAYO TOTAL, BIO, FREE LABORATORY-CHEMISTRY [0301] 84410 WCH HB PB LAB FEE SCHEDULE 243.00
3,018,442,500.00 REF THIAMINE LABORATORY-CHEMISTRY [0301] 84425 WCH HB PB LAB FEE SCHEDULE 222.00
3,018,442,501.00 REF THIAMINE LABORATORY-CHEMISTRY [0301] 84425 WCH HB PB LAB FEE SCHEDULE 222.00
3,018,443,200.00 REF THYROGLOBULIN TUMOR MARKER LABORATORY-CHEMISTRY [0301] 84432 WCH HB PB LAB FEE SCHEDULE 200.00
3,018,443,201.00 REF THYROGLOBULIN TUMOR MARKER LABORATORY-CHEMISTRY [0301] 84432 WCH HB PB LAB FEE SCHEDULE 200.00
3,018,443,600.00 ASSAY, TRUE THYROXINE LABORATORY-CHEMISTRY [0301] 84436 WCH HB PB LAB FEE SCHEDULE 70.00
3,018,443,900.00 FREE T 4 LABORATORY-CHEMISTRY [0301] 84439 WCH HB PB LAB FEE SCHEDULE 122.00
3,018,443,900.00 FREE T 4 LABORATORY-CHEMISTRY [0301] 84439 WCH WELLNESS WEDNESDAY FSC 30.00
3,018,444,300.00 TSH LABORATORY-CHEMISTRY [0301] 84443 WCH HB DEFAULT FEE SCHEDULE 175.00
3,018,444,300.00 TSH LABORATORY-CHEMISTRY [0301] 84443 WCH WELLNESS WEDNESDAY FSC 17.50
3,018,444,301.00 REF TSH LABORATORY-CHEMISTRY [0301] 84443 WCH HB PB LAB FEE SCHEDULE 180.00
3,018,444,500.00 REF THYROID STIMULATING IMMUNE GLOBULINS LABORATORY-CHEMISTRY [0301] 84445 WCH HB PB LAB FEE SCHEDULE 529.00
3,018,444,501.00 REF THYROID STIMULATING IMMUNOGLOB LABORATORY-CHEMISTRY [0301] 84445 WCH HB PB LAB FEE SCHEDULE 529.00
3,018,444,600.00 REF VITAMIN E (TODOPHEROL ALPHA) LABORATORY-CHEMISTRY [0301] 84446 WCH HB PB LAB FEE SCHEDULE 139.00
3,018,444,601.00 REF VITAMIN E LABORATORY-CHEMISTRY [0301] 84446 WCH HB PB LAB FEE SCHEDULE 139.00
3,018,445,000.00 SGOT AST LABORATORY-CHEMISTRY [0301] 84450 WCH HB PB LAB FEE SCHEDULE 67.00
3,018,446,000.00 SGPT ALT LABORATORY-CHEMISTRY [0301] 84460 WCH HB PB LAB FEE SCHEDULE 2.00
3,018,446,600.00 REF TRANSFERRIN LABORATORY-CHEMISTRY [0301] 84466 WCH HB PB LAB FEE SCHEDULE 165.00
3,018,446,601.00 REF TRANSFERRIN LABORATORY-CHEMISTRY [0301] 84466 WCH HB PB LAB FEE SCHEDULE 155.00
3,018,447,800.00 VAP CHOLESTEROL TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB DEFAULT FEE SCHEDULE 51.00
3,018,447,800.00 VAP CHOLESTEROL TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,447,803.00 TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB PB LAB FEE SCHEDULE 51.00
3,018,447,900.00 T3 UPTAKE LABORATORY-CHEMISTRY [0301] 84479 WCH HB PB LAB FEE SCHEDULE 79.00
3,018,448,000.00 REF T-3 TRIIODOTHYRONINE TOTAL LABORATORY-CHEMISTRY [0301] 84480 WCH HB PB LAB FEE SCHEDULE 216.00
3,018,448,001.00 REF T-3 TRIIODOTHYRONINE TOTAL LABORATORY-CHEMISTRY [0301] 84480 WCH HB PB LAB FEE SCHEDULE 216.00
3,018,448,100.00 T3 TRIIODOTHYRONINE FREE LABORATORY-CHEMISTRY [0301] 84481 WCH HB PB LAB FEE SCHEDULE 230.00
3,018,448,200.00 REF T3 TEIODOTHYRONINE REVERSE LABORATORY-CHEMISTRY [0301] 84482 WCH HB PB LAB FEE SCHEDULE 217.00
3,018,448,201.00 REF T3 TRIIODOTHYRONINE REVERSE LABORATORY-CHEMISTRY [0301] 84482 WCH HB PB LAB FEE SCHEDULE 303.00
3,018,448,400.00 TROPONIN I LABORATORY-CHEMISTRY [0301] 84484 WCH HB PB LAB FEE SCHEDULE 112.00
3,018,451,000.00 REF TYROSINE, P (MAYO) LABORATORY-CHEMISTRY [0301] 84510 WCH HB PB LAB FEE SCHEDULE 182.00
3,018,452,000.00 BUN LABORATORY-CHEMISTRY [0301] 84520 WCH HB PB LAB FEE SCHEDULE 74.00
3,018,454,000.00 UREA N URINE LABORATORY-CHEMISTRY [0301] 84540 WCH HB PB LAB FEE SCHEDULE 76.00
3,018,455,000.00 URIC ACID BLOOD LABORATORY-CHEMISTRY [0301] 84550 WCH HB PB LAB FEE SCHEDULE 81.00
3,018,455,000.00 URIC ACID BLOOD LABORATORY-CHEMISTRY [0301] 84550 WCH WELLNESS WEDNESDAY FSC 9.00
3,018,456,000.00 ASSAY OF URINE/URIC ACID LABORATORY-CHEMISTRY [0301] 84560 WCH HB PB LAB FEE SCHEDULE 74.00
3,018,458,500.00 REF VANILLYMANDELIC AC LABORATORY-CHEMISTRY [0301] 84585 WCH HB PB LAB FEE SCHEDULE 208.00
3,018,458,800.00 REF ARGININE VASOPRESSIN LABORATORY-CHEMISTRY [0301] 84588 WCH HB PB LAB FEE SCHEDULE 386.00
3,018,459,000.00 REF VITAMIN A SERUM LABORATORY-CHEMISTRY [0301] 84590 WCH HB PB LAB FEE SCHEDULE 208.00
3,018,459,701.00 REF VITAMIN K1 LABORATORY-CHEMISTRY [0301] 84597 WCH HB PB LAB FEE SCHEDULE 255.00
3,018,463,000.00 HC ASSAY OF ZINC LABORATORY-CHEMISTRY [0301] 84630 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,463,001.00 REF ZINC SERUM LABORATORY-CHEMISTRY [0301] 84630 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,468,100.00 REF C PEPTIDE LABORATORY-CHEMISTRY [0301] 84681 WCH HB PB LAB FEE SCHEDULE 262.00
3,018,468,101.00 REF C PEPTIDE LABORATORY-CHEMISTRY [0301] 84681 WCH HB PB LAB FEE SCHEDULE 207.00
3,018,470,200.00 HCG QUANT PREG TEST LABORATORY-CHEMISTRY [0301] 84702 WCH HB PB LAB FEE SCHEDULE 176.00
3,018,470,201.00 REF BHCG CSF LABORATORY-CHEMISTRY [0301] 84702 WCH HB PB LAB FEE SCHEDULE 143.00
3,018,470,300.00 HCG QUAL PREG TEST LABORATORY-CHEMISTRY [0301] 84703 WCH HB PB LAB FEE SCHEDULE 107.00
3,018,499,900.00 REF OSMOLALITY STOOL LABORATORY-CHEMISTRY [0301] 84999 WCH HB PB LAB FEE SCHEDULE 41.00
3,018,614,703.00 REF PHOSPHOLIPID AB IGA LABORATORY-IMMUNOLOGY [0302] 86147 WCH HB PB LAB FEE SCHEDULE 272.00
3,018,763,400.00 RSV, MOLECULAR DETECTION LABORATORY-CHEMISTRY [0301] 87634 WCH HB PB LAB FEE SCHEDULE 151.00
3,018,905,100.00 CELL COUNT MISC BDYFLUID W DIF LABORATORY-CHEMISTRY [0301] 89051 WCH HB PB LAB FEE SCHEDULE 81.00
3,018,905,500.00 FECAL LEUKOCYTE ASSESSMENT LABORATORY-GENERAL [0300] 89055 WCH HB DEFAULT FEE SCHEDULE 67.00
3,018,905,500.00 FECAL LEUKOCYTE ASSESSMENT LABORATORY-GENERAL [0300] 89055 WCH HB PB LAB FEE SCHEDULE 67.00
3,018,905,501.00 FECAL LEUKOCYTE ASSESS QUAL LABORATORY-GENERAL [0300] 89055 WCH HB PB LAB FEE SCHEDULE 67.00
3,018,906,000.00 CRYSTAL STUDY TECHNICAL LABORATORY-CHEMISTRY [0301] 89060 WCH HB PB LAB FEE SCHEDULE 85.00
3,018,912,500.00 FAT STAIN FECES URINE RESP LABORATORY-GENERAL [0300] 89125 WCH HB PB LAB FEE SCHEDULE 81.00
3,018,932,100.00 SEMEN ANALYSIS, PRESENCE AND OR MOTI LABORATORY-CHEMISTRY [0301] 89321 WCH HB PB LAB FEE SCHEDULE 89.00
3,028,600,300.00 REF FOOD PANEL LABORATORY-IMMUNOLOGY [0302] 86003 WCH HB PB LAB FEE SCHEDULE 43.00
3,028,600,301.00 REF ALLERGEN SPECIFIC IGE LABORATORY-IMMUNOLOGY [0302] 86003 WCH HB PB LAB FEE SCHEDULE 43.00
3,028,603,800.00 ANTI NUCLEAR AB LABORATORY-IMMUNOLOGY [0302] 86038 WCH HB PB LAB FEE SCHEDULE 134.00
3,028,603,900.00 FANA TITER LABORATORY-IMMUNOLOGY [0302] 86039 WCH HB PB LAB FEE SCHEDULE 134.00
3,028,606,000.00 STREPZT LABORATORY-IMMUNOLOGY [0302] 86060 WCH HB PB LAB FEE SCHEDULE 92.00
3,028,606,300.00 ANTISTREPTOLYSIN O SCREEN LABORATORY-IMMUNOLOGY [0302] 86063 WCH HB PB LAB FEE SCHEDULE 87.00
3,028,614,000.00 C-RACTIVE PROTEIN QUANT LABORATORY-IMMUNOLOGY [0302] 86140 WCH HB PB LAB FEE SCHEDULE 87.00
3,028,614,000.00 C-RACTIVE PROTEIN QUANT LABORATORY-IMMUNOLOGY [0302] 86140 WCH WELLNESS WEDNESDAY FSC 22.50
3,028,614,100.00 CRPQ C REATIVE PROTEIN LABORATORY-IMMUNOLOGY [0302] 86141 WCH HB PB LAB FEE SCHEDULE 109.00
3,028,614,100.00 CRPQ C REATIVE PROTEIN LABORATORY-IMMUNOLOGY [0302] 86141 WCH WELLNESS WEDNESDAY FSC 22.50
3,028,614,600.00 GLYCOPROTEIN ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86146 WCH HB PB LAB FEE SCHEDULE 272.00
3,028,614,701.00 REF PHOSPHOLIPID AB IGM LABORATORY-IMMUNOLOGY [0302] 86147 WCH HB PB LAB FEE SCHEDULE 251.00
3,028,614,702.00 REF PHOSPHOLIPID AB IGG LABORATORY-IMMUNOLOGY [0302] 86147 WCH HB PB LAB FEE SCHEDULE 251.00
3,028,615,700.00 REF COLD AGGLUTININS TITER LABORATORY-IMMUNOLOGY [0302] 86157 WCH HB PB LAB FEE SCHEDULE 168.00
3,028,616,000.00 COMPLEMENT 3 ANTIGEN LABORATORY-IMMUNOLOGY [0302] 86160 WCH HB PB LAB FEE SCHEDULE 171.00
3,028,616,004.00 COMPLEMENT 4 ANTIGEN LABORATORY-IMMUNOLOGY [0302] 86160 WCH HB PB LAB FEE SCHEDULE 168.00
3,028,616,101.00 REF C1Q COMPLEMENT FUNCTIONAL LABORATORY-IMMUNOLOGY [0302] 86161 WCH HB PB LAB FEE SCHEDULE 168.00
3,028,616,200.00 REF CH 50 COMPLEMENT LABORATORY-IMMUNOLOGY [0302] 86162 WCH HB PB LAB FEE SCHEDULE 260.00
3,028,620,000.00 REF CYCLIC CITRULLINATED PEPTIDE (CCP) LABORATORY-IMMUNOLOGY [0302] 86200 WCH HB PB LAB FEE SCHEDULE 177.00
3,028,620,002.00 CCP ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86200 WCH HB PB LAB FEE SCHEDULE 177.00
3,028,621,500.00 REF DEOXYRIBONUCLEASE ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86215 WCH HB PB LAB FEE SCHEDULE 182.00
3,028,621,501.00 REF DNASE ANTI DNASE B LABORATORY-IMMUNOLOGY [0302] 86215 WCH HB PB LAB FEE SCHEDULE 182.00
3,028,622,500.00 REF DNA ANTIBODY, NATIVE/DOUBLE STRAND LABORATORY-IMMUNOLOGY [0302] 86225 WCH HB PB LAB FEE SCHEDULE 180.00
3,028,623,500.00 REF EXTRACTABLE NUCLEAR AG EACH AB LABORATORY-IMMUNOLOGY [0302] 86235 WCH HB PB LAB FEE SCHEDULE 160.00
3,028,623,502.00 EXTRACTABLE NUCLEAR AG EACH AB LABORATORY-IMMUNOLOGY [0302] 86235 WCH HB PB LAB FEE SCHEDULE 160.00
3,028,625,500.00 REF CYTOPLASMIC NEUTROPHIL AB LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB PB LAB FEE SCHEDULE 147.00
3,028,625,502.00 REF INFLAMMATORY BOWEL DIS PANEL LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB PB LAB FEE SCHEDULE 130.00
3,028,625,503.00 REF ANTI SMOOTH MUSCLE AB LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB PB LAB FEE SCHEDULE 146.00
3,028,625,512.00 REF PARANEOPLASTIC ANTI-NEURONAL NUCLEAR, TYPE 1 LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB PB LAB FEE SCHEDULE 516.00
3,028,625,600.00 REF FLORESCENT ANTIBODY TITER; EACH LABORATORY-IMMUNOLOGY [0302] 86256 WCH HB PB LAB FEE SCHEDULE 138.00
3,028,630,000.00 IMMUNOASSAY, TUMOR, CA 15-4 LABORATORY-IMMUNOLOGY [0302] 86300 WCH HB PB LAB FEE SCHEDULE 218.00
3,028,630,001.00 REF CA 27.29 LABORATORY-IMMUNOLOGY [0302] 86300 WCH HB PB LAB FEE SCHEDULE 218.00
3,028,630,002.00 REF CANCER ANTIGEN 15-3 LABORATORY-IMMUNOLOGY [0302] 86300 WCH HB PB LAB FEE SCHEDULE 218.00
3,028,630,100.00 REF IMMUNOASSAY, TUMOR, CA 19-9 LABORATORY-IMMUNOLOGY [0302] 86301 WCH HB PB LAB FEE SCHEDULE 210.00
3,028,630,400.00 CANCER ANTIGEN 125 LABORATORY-IMMUNOLOGY [0302] 86304 WCH HB PB LAB FEE SCHEDULE 218.00
3,028,630,800.00 MONO HETEROPHILE SCR LABORATORY-IMMUNOLOGY [0302] 86308 WCH HB PB LAB FEE SCHEDULE 79.00
3,028,631,600.00 REF CHROMOGRANIN A LABORATORY-IMMUNOLOGY [0302] 86316 WCH HB PB LAB FEE SCHEDULE 276.00
3,028,631,701.00 REF RABIES ANTIBODY ELISA LABORATORY-IMMUNOLOGY [0302] 86317 WCH HB PB LAB FEE SCHEDULE 106.00
3,028,631,702.00 REF S PNEUMONIAE IGG EA SEROTYPE LABORATORY-IMMUNOLOGY [0302] 86317 WCH HB PB LAB FEE SCHEDULE 49.00
3,028,633,400.00 REF IMMUNOFIXATION ELECTROPHORESIS LABORATORY-IMMUNOLOGY [0302] 86334 WCH HB PB LAB FEE SCHEDULE 238.00
3,028,633,401.00 REF MONOCLONAL PROTEIN STUDY IF LABORATORY-IMMUNOLOGY [0302] 86334 WCH HB PB LAB FEE SCHEDULE 214.00
3,028,633,404.00 REF IMMUNOFIXATION SERUM ONLY MAYO LABORATORY-IMMUNOLOGY [0302] 86334 WCH HB PB LAB FEE SCHEDULE 235.00
3,028,633,500.00 REF IMMUNOFIXATION, URINE LABORATORY-IMMUNOLOGY [0302] 86335 WCH HB PB LAB FEE SCHEDULE 238.00
3,028,633,503.00 REF IMMUNOFIXATION, URINE MONOCLONAL LABORATORY-IMMUNOLOGY [0302] 86335 WCH HB PB LAB FEE SCHEDULE 286.00
3,028,633,700.00 REF INSULIN ANTIBODIES LABORATORY-IMMUNOLOGY [0302] 86337 WCH HB PB LAB FEE SCHEDULE 277.00
3,028,634,000.00 REF INTRINSIC FACTOR BLOCKING AB LABORATORY-IMMUNOLOGY [0302] 86340 WCH HB PB LAB FEE SCHEDULE 162.00
3,028,634,100.00 REF ISLET CELL ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86341 WCH HB PB LAB FEE SCHEDULE 132.00
3,028,634,102.00 REF GAD65 AB ASSAY LABORATORY-IMMUNOLOGY [0302] 86341 WCH HB PB LAB FEE SCHEDULE 215.00
3,028,635,500.00 REF B-CELLS TOTAL COUNT FOR T-B LYMPHOCYTE PROFILE LABORATORY-IMMUNOLOGY [0302] 86355 WCH HB PB LAB FEE SCHEDULE 238.00
3,028,635,700.00 REF NATURAL KILLER CELLS FOR T-B LYMPHOCYTE PROFILE LABORATORY-IMMUNOLOGY [0302] 86357 WCH HB PB LAB FEE SCHEDULE 263.00
3,028,635,900.00 T CELLS TOTAL COUNT LABORATORY-IMMUNOLOGY [0302] 86359 WCH HB PB LAB FEE SCHEDULE 218.00
3,028,635,901.00 REF T CELLS TOTAL COUNT FOR CD4-CD3 PROFILE LABORATORY-IMMUNOLOGY [0302] 86359 WCH HB PB LAB FEE SCHEDULE 188.00
3,028,636,000.00 REF ABSOLUTE CD4/CD8 COUNT FOR CD4-CD3 PROFILE LABORATORY-IMMUNOLOGY [0302] 86360 WCH HB PB LAB FEE SCHEDULE 276.00
3,028,637,600.00 THYROID ANTIBODIES LABORATORY-IMMUNOLOGY [0302] 86376 WCH HB PB LAB FEE SCHEDULE 153.00
3,028,637,601.00 REF LIVER KIDNEY MICROSOMAL ANTIBO LABORATORY-IMMUNOLOGY [0302] 86376 WCH HB PB LAB FEE SCHEDULE 165.60
3,028,643,000.00 RA QUAL LABORATORY-IMMUNOLOGY [0302] 86430 WCH HB PB LAB FEE SCHEDULE 73.00
3,028,643,100.00 RA QUAN LABORATORY-IMMUNOLOGY [0302] 86431 WCH HB PB LAB FEE SCHEDULE 76.00
3,028,648,000.00 TB GOLD LABORATORY-IMMUNOLOGY [0302] 86480 WCH HB PB LAB FEE SCHEDULE 243.00
3,028,648,100.00 TB GOLD LABORATORY-IMMUNOLOGY [0302] 86481 WCH HB PB LAB FEE SCHEDULE 139.00
3,028,659,200.00 RPR LABORATORY-IMMUNOLOGY [0302] 86592 WCH HB PB LAB FEE SCHEDULE 54.00
3,028,661,800.00 REF LYME CNS INEFECTION IGG WITH ANTIBODY INDEX REFLEX LABORATORY-IMMUNOLOGY [0302] 86618 WCH HB PB LAB FEE SCHEDULE 187.00
3,028,661,801.00 REF LYME DISEASE SEROLOGY LABORATORY-IMMUNOLOGY [0302] 86618 WCH HB PB LAB FEE SCHEDULE 187.00
3,028,662,200.00 REF BRUCELLA AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86622 WCH HB PB LAB FEE SCHEDULE 113.00
3,028,663,100.00 CHLAMYDIA ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86631 WCH HB PB LAB FEE SCHEDULE 117.00
3,028,663,200.00 REF CHLAMYDIA IGG EACH SPECIES LABORATORY-IMMUNOLOGY [0302] 86632 WCH HB PB LAB FEE SCHEDULE 147.00
3,028,663,500.00 REF COCCIDIOIDES AB SCREEN WITH REFLEX LABORATORY-IMMUNOLOGY [0302] 86635 WCH HB PB LAB FEE SCHEDULE 168.00
3,028,663,501.00 REF COCCIDIODES IGG IGM CF OR ID LABORATORY-IMMUNOLOGY [0302] 86635 WCH HB PB LAB FEE SCHEDULE 90.00
3,028,663,800.00 REF Q FEVER AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86638 WCH HB PB LAB FEE SCHEDULE 171.00
3,028,664,400.00 REF CYTOMEGALOVIRUS (CMV) LABORATORY-IMMUNOLOGY [0302] 86644 WCH HB PB LAB FEE SCHEDULE 175.00
3,028,664,404.00 REF CYTOMEGALOVIRUS QUAL LABORATORY-IMMUNOLOGY [0302] 86644 WCH HB PB LAB FEE SCHEDULE 129.40
3,028,664,500.00 REF CMV (CYTOMEGALOVIRIS) IGM LABORATORY-IMMUNOLOGY [0302] 86645 WCH HB PB LAB FEE SCHEDULE 193.00
3,028,664,501.00 REF CYTOMEGALOVIRUS AB IGM LABORATORY-IMMUNOLOGY [0302] 86645 WCH HB PB LAB FEE SCHEDULE 139.00
3,028,665,800.00 REF ECHOVIRUS SEROTYPES EACH LABORATORY-IMMUNOLOGY [0302] 86658 WCH HB PB LAB FEE SCHEDULE 367.00
3,028,666,400.00 HC REF EBSTEIN-BARR VIRUS:NUCLEAR ANTIGEN LABORATORY-IMMUNOLOGY [0302] 86664 WCH HB PB LAB FEE SCHEDULE 175.00
3,028,666,401.00 REF EPSTEIN BARR ANTI EBNA LABORATORY-IMMUNOLOGY [0302] 86664 WCH HB PB LAB FEE SCHEDULE 175.00
3,028,666,501.00 REF EBV AB BCA IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86665 WCH HB PB LAB FEE SCHEDULE 195.00
3,028,666,800.00 REF F. TULARENSIS AB, IGM/IGG ELISA, S(MAYO) LABORATORY-IMMUNOLOGY [0302] 86668 WCH HB PB LAB FEE SCHEDULE 100.80
3,028,667,700.00 HELIOBACTER PYLORI AB LABORATORY-IMMUNOLOGY [0302] 86677 WCH HB PB LAB FEE SCHEDULE 194.00
3,028,669,401.00 REF HSV AB IGM S BY EIA LABORATORY-IMMUNOLOGY [0302] 86694 WCH HB PB LAB FEE SCHEDULE 165.00
3,028,669,500.00 REF HERPES SIMPLEX TYPE 1 LABORATORY-IMMUNOLOGY [0302] 86695 WCH HB PB LAB FEE SCHEDULE 166.00
3,028,669,504.00 HSV TYPE 1 AB IGG LABORATORY-IMMUNOLOGY [0302] 86695 WCH HB PB LAB FEE SCHEDULE 116.00
3,028,669,600.00 HERPES SIMPLEX TYPE 3 LABORATORY-IMMUNOLOGY [0302] 86696 WCH HB PB LAB FEE SCHEDULE 165.00
3,028,669,604.00 HSV TYPE 2 AB IGG LABORATORY-IMMUNOLOGY [0302] 86696 WCH HB PB LAB FEE SCHEDULE 149.00
3,028,670,100.00 REF HIV 1 ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86701 WCH HB PB LAB FEE SCHEDULE 143.00
3,028,670,104.00 HIV1 AB LABORATORY-IMMUNOLOGY [0302] 86701 WCH HB PB LAB FEE SCHEDULE 123.80
3,028,670,200.00 REF HIV 2 ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86702 WCH HB PB LAB FEE SCHEDULE 174.00
3,028,670,202.00 HIV2 AB LABORATORY-IMMUNOLOGY [0302] 86702 WCH HB PB LAB FEE SCHEDULE 188.30
3,028,670,300.00 HIV I & II LABORATORY-IMMUNOLOGY [0302] 86703 WCH HB PB LAB FEE SCHEDULE 152.00
3,028,670,400.00 REF HBC TOTAL AB LABORATORY-IMMUNOLOGY [0302] 86704 WCH HB PB LAB FEE SCHEDULE 139.00
3,028,670,500.00 HEPATITIS B CORE ANTI-BODY IGM LABORATORY-IMMUNOLOGY [0302] 86705 WCH HB PB LAB FEE SCHEDULE 143.00
3,028,670,600.00 HBS AB LABORATORY-IMMUNOLOGY [0302] 86706 WCH HB PB LAB FEE SCHEDULE 117.00
3,028,670,601.00 REF HEP B SURFACE ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86706 WCH HB PB LAB FEE SCHEDULE 117.00
3,028,670,700.00 REF HEPATITIS BE ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86707 WCH HB PB LAB FEE SCHEDULE 130.00
3,028,670,800.00 REF HEP A ANTIBODY IGG LABORATORY-IMMUNOLOGY [0302] 86708 WCH HB PB LAB FEE SCHEDULE 139.00
3,028,670,900.00 HAV IGM LABORATORY-IMMUNOLOGY [0302] 86709 WCH HB PB LAB FEE SCHEDULE 134.00
3,028,671,300.00 REF LEGIONELLA TITER LABORATORY-IMMUNOLOGY [0302] 86713 WCH HB PB LAB FEE SCHEDULE 182.00
3,028,672,000.00 REF LEPTOSPIRA ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86720 WCH HB PB LAB FEE SCHEDULE 152.00
3,028,673,500.00 MUMPS LABORATORY-IMMUNOLOGY [0302] 86735 WCH HB PB LAB FEE SCHEDULE 152.00
3,028,673,500.00 MUMPS LABORATORY-IMMUNOLOGY [0302] 86735 WCH WELLNESS WEDNESDAY FSC 16.50
3,028,673,801.00 REF MYCOPLASMA PNEUMO IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86738 WCH HB DEFAULT FEE SCHEDULE 152.00
3,028,673,801.00 REF MYCOPLASMA PNEUMO IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86738 WCH HB PB LAB FEE SCHEDULE 152.00
3,028,674,701.00 REF PARVOVIRUS B19 AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86747 WCH HB PB LAB FEE SCHEDULE 178.00
3,028,675,701.00 REF TYPHUS ANTIBODY IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86757 WCH HB PB LAB FEE SCHEDULE 152.00
3,028,676,200.00 RUBELLA LABORATORY-IMMUNOLOGY [0302] 86762 WCH HB PB LAB FEE SCHEDULE 90.00
3,028,676,200.00 RUBELLA LABORATORY-IMMUNOLOGY [0302] 86762 WCH WELLNESS WEDNESDAY FSC 17.00
3,028,676,500.00 RUBEOLA LABORATORY-IMMUNOLOGY [0302] 86765 WCH HB PB LAB FEE SCHEDULE 180.00
3,028,676,501.00 REF RUBEOLA MEASLES AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86765 WCH WELLNESS WEDNESDAY FSC 16.50
3,028,676,900.00 REF SARS CORONAVIRUS 2 IGG AB, S (MAYO) LABORATORY-IMMUNOLOGY [0302] 86769 WCH HB PB LAB FEE SCHEDULE 100.00
3,028,676,901.00 ANTIBODY: SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SAR-COV-2) COVID-19 LABORATORY-IMMUNOLOGY [0302] 86769 WCH HB PB LAB FEE SCHEDULE 100.00
3,028,677,700.00 REF TORCH PROFILE IGG TOXOPLASMA LABORATORY-IMMUNOLOGY [0302] 86777 WCH HB PB LAB FEE SCHEDULE 143.00
3,028,677,701.00 REF TOXOPLASMOSIS AB IGG LABORATORY-IMMUNOLOGY [0302] 86777 WCH HB PB LAB FEE SCHEDULE 143.00
3,028,677,801.00 REF TOXOPLASMOSIS IGM ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86778 WCH HB PB LAB FEE SCHEDULE 154.00
3,028,678,000.00 SYPHILIS T PALLIDUM AB LABORATORY-IMMUNOLOGY [0302] 86780 WCH HB PB LAB FEE SCHEDULE 101.00
3,028,678,700.00 VARICELLA ZOSTER AB IGM LABORATORY-IMMUNOLOGY [0302] 86787 WCH HB PB LAB FEE SCHEDULE 155.00
3,028,678,704.00 Hc Wch Varicella Zoster Igg LABORATORY-IMMUNOLOGY [0302] 86787 WCH HB PB LAB FEE SCHEDULE 58.00
3,028,678,800.00 WEST NILE VIRUS IGM LABORATORY-IMMUNOLOGY [0302] 86788 WCH HB PB LAB FEE SCHEDULE 162.00
3,028,678,801.00 REF WEST NILE VIRUS IGM LABORATORY-IMMUNOLOGY [0302] 86788 WCH HB PB LAB FEE SCHEDULE 162.00
3,028,678,900.00 REF WEST NILE VIRUS IGG LABORATORY-IMMUNOLOGY [0302] 86789 WCH HB PB LAB FEE SCHEDULE 163.00
3,028,679,000.00 REF DENGUE FEVER AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86790 WCH HB PB LAB FEE SCHEDULE 171.00
3,028,679,003.00 REF HANTAVIRUS AB IGG LABORATORY-IMMUNOLOGY [0302] 86790 WCH HB PB LAB FEE SCHEDULE 180.00
3,028,679,005.00 REF HUMAN T-CELL LYMPHOTROPIC VIRUS TYPES I AND II (HTLV-II) ANTIBODY SCREEN WITH CONFIRM LABORATORY-IMMUNOLOGY [0302] 86790 WCH HB PB LAB FEE SCHEDULE 226.80
3,028,680,000.00 REF THYROGLOBULIN AB SCRN LABORATORY-IMMUNOLOGY [0302] 86800 WCH HB PB LAB FEE SCHEDULE 162.00
3,028,680,001.00 REF THYROGLOBULIN AB SCRN LABORATORY-IMMUNOLOGY [0302] 86800 WCH HB PB LAB FEE SCHEDULE 162.00
3,028,680,002.00 THYROGLOBULIN ANTIBODY SCRN LABORATORY-IMMUNOLOGY [0302] 86800 WCH HB PB LAB FEE SCHEDULE 134.00
3,028,680,300.00 HCV AB LABORATORY-IMMUNOLOGY [0302] 86803 WCH HB PB LAB FEE SCHEDULE 185.00
3,028,680,300.00 HCV AB LABORATORY-IMMUNOLOGY [0302] 86803 WCH WELLNESS WEDNESDAY FSC 40.00
3,028,681,200.00 REF HLA B27 RL LABORATORY-IMMUNOLOGY [0302] 86812 WCH HB PB LAB FEE SCHEDULE 209.00
3,058,500,400.00 AUTOMATED DIFFERENTIAL WBC CNT LABORATORY-HEMATOLOGY [0305] 85004 WCH HB PB LAB FEE SCHEDULE 25.00
3,058,500,700.00 BL COUNT W MANUAL DIFF WBC CT LABORATORY-HEMATOLOGY [0305] 85007 WCH HB PB LAB FEE SCHEDULE 45.00
3,058,501,400.00 HEMATOCRIT LABORATORY-HEMATOLOGY [0305] 85014 WCH HB PB LAB FEE SCHEDULE 41.00
3,058,501,800.00 HEMOGLOBIN LABORATORY-HEMATOLOGY [0305] 85018 WCH HB PB LAB FEE SCHEDULE 41.00
3,058,502,500.00 COMPLETE BL COUNT W DIFF AUTO LABORATORY-HEMATOLOGY [0305] 85025 WCH HB PB LAB FEE SCHEDULE 112.00
3,058,502,500.00 COMPLETE BL COUNT W DIFF AUTO LABORATORY-HEMATOLOGY [0305] 85025 WCH WELLNESS WEDNESDAY FSC 20.00
3,058,502,700.00 COMPLETE BL COUNT AUTOMATED LABORATORY-HEMATOLOGY [0305] 85027 WCH HB PB LAB FEE SCHEDULE 83.00
3,058,504,500.00 RETICULOCYTE COUNT LABORATORY-HEMATOLOGY [0305] 85045 WCH HB PB LAB FEE SCHEDULE 55.00
3,058,504,800.00 WBC WHITE BLOOD COUNT LABORATORY-HEMATOLOGY [0305] 85048 WCH HB PB LAB FEE SCHEDULE 43.00
3,058,504,900.00 PLATELET CT LABORATORY-HEMATOLOGY [0305] 85049 WCH HB PB LAB FEE SCHEDULE 43.00
3,058,524,000.00 REF CLOTTING: FACTOR VIII (AHG) ONE STAG LABORATORY-HEMATOLOGY [0305] 85240 WCH HB PB LAB FEE SCHEDULE 240.00
3,058,526,000.00 REF COAG FACTOR X ASSAY, P (MAYO) LABORATORY-HEMATOLOGY [0305] 85260 WCH HB PB LAB FEE SCHEDULE 257.00
3,058,530,000.00 REF ANTITHROMBIN III LABORATORY-HEMATOLOGY [0305] 85300 WCH HB PB LAB FEE SCHEDULE 210.00
3,058,530,001.00 REF ANTITHROMBIN III ACTIVITY LABORATORY-HEMATOLOGY [0305] 85300 WCH HB PB LAB FEE SCHEDULE 274.00
3,058,530,002.00 REF THROMBO AT ACTIVITY LABORATORY-HEMATOLOGY [0305] 85300 WCH HB PB LAB FEE SCHEDULE 273.00
3,058,530,300.00 REF PROTEIN C FUNCTIONAL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB PB LAB FEE SCHEDULE 245.00
3,058,530,301.00 REF PROTEIN C FUNCTIONAL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB PB LAB FEE SCHEDULE 257.00
3,058,530,302.00 REF PROTEIN C ACTIVITY,P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB PB LAB FEE SCHEDULE 257.00
3,058,530,304.00 REF PROTEIN C ACTIVITY,P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB PB LAB FEE SCHEDULE 235.00
3,058,530,500.00 REF PROTEIN S TOTAL LABORATORY-HEMATOLOGY [0305] 85305 WCH HB PB LAB FEE SCHEDULE 250.00
3,058,530,600.00 REF PROTEIN S ACTIVITY PLASMA LABORATORY-HEMATOLOGY [0305] 85306 WCH HB PB LAB FEE SCHEDULE 257.00
3,058,530,601.00 REF PROTEIN S ACTIVITY, P (MAYO) LABORATORY-HEMATOLOGY [0305] 85306 WCH HB PB LAB FEE SCHEDULE 283.00
3,058,530,603.00 REF PROTEIN S AG, FREE, P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85306 WCH HB PB LAB FEE SCHEDULE 284.00
3,058,530,605.00 REF PROTEIN S AG, FREE, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85306 WCH HB PB LAB FEE SCHEDULE 259.00
3,058,530,700.00 REF ASSAY ACTIVIATED PROTEIN C LABORATORY-HEMATOLOGY [0305] 85307 WCH HB PB LAB FEE SCHEDULE 226.00
3,058,530,702.00 REFACTIVATED PROTEIN RESISTANCE V, P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85307 WCH HB PB LAB FEE SCHEDULE 187.00
3,058,530,703.00 REF ACTIVATED PROTEIN RESISTANCE V, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85307 WCH HB PB LAB FEE SCHEDULE 174.00
3,058,536,600.00 REF SOLUBLE FIBRIN MONOMER- THROMBO PANEL LABORATORY-HEMATOLOGY [0305] 85366 WCH HB PB LAB FEE SCHEDULE 119.00
3,058,536,602.00 REF SOLUBLE FIBRIN MONOMER (MAYO) LABORATORY-HEMATOLOGY [0305] 85366 WCH HB PB LAB FEE SCHEDULE 312.00
3,058,537,900.00 D DIMER LABORATORY-HEMATOLOGY [0305] 85379 WCH HB PB LAB FEE SCHEDULE 178.00
3,058,537,902.00 REF D-DIMER,P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85379 WCH HB PB LAB FEE SCHEDULE 162.00
3,058,537,904.00 REF D-DIMER, P-APROL LABORATORY-HEMATOLOGY [0305] 85379 WCH HB PB LAB FEE SCHEDULE 147.00
3,058,538,400.00 FIBRINOGEN LABORATORY-HEMATOLOGY [0305] 85384 WCH HB PB LAB FEE SCHEDULE 112.00
3,058,538,402.00 REF FIBRINOGEN,P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85384 WCH HB PB LAB FEE SCHEDULE 102.00
3,058,538,404.00 REF FIBRINOGEN,P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85384 WCH HB PB LAB FEE SCHEDULE 94.00
3,058,539,001.00 REF FIBRINOLYSINS,OR COAGULOPATHY SCREEN,INTERP AND REPORT (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85390 WCH HB PB LAB FEE SCHEDULE 116.00
3,058,539,002.00 REF SPECIAL COAGULATION INTERPRETATION (MAYO) LUPPR PANEL LABORATORY-HEMATOLOGY [0305] 85390 WCH HB PB LAB FEE SCHEDULE 235.00
3,058,539,005.00 REF FIBRINOLYSINS,OR COAGULOPATHY SCREEN,INTERP AND REPORT (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85390 WCH HB PB LAB FEE SCHEDULE 104.00
3,058,539,701.00 REF VON WILLEBRAND FACTOR ACTIVITY,P (MAYO) VWPR PANEL LABORATORY-HEMATOLOGY [0305] 85397 WCH HB PB LAB FEE SCHEDULE 352.00
3,058,541,500.00 REF PLASMINOGEN ACTIVATOR INH1 ACT LABORATORY-HEMATOLOGY [0305] 85415 WCH HB PB LAB FEE SCHEDULE 637.00
3,058,542,000.00 REF PLASMINOGEN ACTIVITY LABORATORY-HEMATOLOGY [0305] 85420 WCH HB PB LAB FEE SCHEDULE 179.00
3,058,546,100.00 FETAL SCREEN LABORATORY-HEMATOLOGY [0305] 85461 WCH HB PB LAB FEE SCHEDULE 96.00
3,058,552,000.00 HEPARIN ANTI XA LABORATORY-HEMATOLOGY [0305] 85520 WCH HB PB LAB FEE SCHEDULE 183.00
3,058,554,900.00 MURAMIDASE LABORATORY-HEMATOLOGY [0305] 85549 WCH HB PB LAB FEE SCHEDULE 179.00
3,058,557,601.00 PLAT FUNC LABORATORY-HEMATOLOGY [0305] 85576 WCH HB PB LAB FEE SCHEDULE 144.00
3,058,561,000.00 REF PROTHROMBIN TIME (PT),P (MAYO) PROCT PANEL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB PB LAB FEE SCHEDULE 69.00
3,058,561,001.00 REF PROTHROMBIN TIME (PT),P (MAYO) LUPPR PANEL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB PB LAB FEE SCHEDULE 74.00
3,058,561,003.00 REF PROTHROMBIN TIME (PT),P MAYO THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB PB LAB FEE SCHEDULE 46.00
3,058,561,005.00 PROTIME LABORATORY-HEMATOLOGY [0305] 85610 WCH HB DEFAULT FEE SCHEDULE 74.00
3,058,561,007.00 REF PROTHROMBIN TIME (PT), P-APROL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB PB LAB FEE SCHEDULE 48.00
3,058,561,008.00 REF PROTHROMBIN TIME (PT),P MAYO AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB PB LAB FEE SCHEDULE 45.00
3,058,561,300.00 REF RUSSELL VIPER VENOM, DILUTED LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 162.00
3,058,561,301.00 REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) LUPPR PANEL LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 178.00
3,058,561,302.00 REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 143.00
3,058,561,305.00 REF DRVVT MIX LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 154.00
3,058,561,306.00 REF DRVVT CONFIRMATION LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 161.00
3,058,561,309.00 REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 130.00
3,058,561,310.00 REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) ALUPP PANEL LABORATORY-HEMATOLOGY [0305] 85613 WCH HB PB LAB FEE SCHEDULE 162.00
3,058,565,200.00 WESTERGREN ESR LABORATORY-HEMATOLOGY [0305] 85652 WCH HB PB LAB FEE SCHEDULE 59.00
3,058,566,000.00 REF SICKLE CELL TEST LABORATORY-HEMATOLOGY [0305] 85660 WCH HB PB LAB FEE SCHEDULE 62.00
3,058,567,000.00 THROMBIN TIME, PLASMA LABORATORY-HEMATOLOGY [0305] 85670 WCH HB PB LAB FEE SCHEDULE 84.00
3,058,567,001.00 REF THROMBIN TIME BOVINE LABORATORY-HEMATOLOGY [0305] 85670 WCH HB PB LAB FEE SCHEDULE 79.00
3,058,567,003.00 REF THROMBIN TIME, PLASMA (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85670 WCH HB PB LAB FEE SCHEDULE 97.00
3,058,567,005.00 REF THROMBIN TIME, PLASMA (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85670 WCH HB PB LAB FEE SCHEDULE 88.00
3,058,573,000.00 PTT LABORATORY-HEMATOLOGY [0305] 85730 WCH HB PB LAB FEE SCHEDULE 85.00
3,058,573,001.00 REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) LUPPR PANEL LABORATORY-HEMATOLOGY [0305] 85730 WCH HB PB LAB FEE SCHEDULE 119.00
3,058,573,003.00 REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) THRMP PANEL LABORATORY-HEMATOLOGY [0305] 85730 WCH HB PB LAB FEE SCHEDULE 61.00
3,058,573,006.00 REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85730 WCH HB PB LAB FEE SCHEDULE 63.00
3,058,573,007.00 REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) ALUPP PANEL LABORATORY-HEMATOLOGY [0305] 85730 WCH HB PB LAB FEE SCHEDULE 102.00
3,058,614,601.00 REF BETA 2 GP1 IGG IGM OR IGA LABORATORY-IMMUNOLOGY [0302] 86146 WCH HB PB LAB FEE SCHEDULE 134.00
3,060,000,100.00 REF NOVEL CORONAVIRUS REAL TIME RT-PCR DIAGNOSTIC TEST PANEL LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] U0001 WCH HB PB LAB FEE SCHEDULE 0.01
3,068,701,500.00 REF CYCLOSPORA SPECIES DETECT CONC LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87015 WCH HB PB LAB FEE SCHEDULE 69.00
3,068,704,000.00 CULTURE BACT BLD AER ANAER LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87040 WCH HB DEFAULT FEE SCHEDULE 210.00
3,068,704,000.00 CULTURE BACT BLD AER ANAER LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87040 WCH HB PB LAB FEE SCHEDULE 210.00
3,068,704,500.00 FECAL CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87045 WCH HB DEFAULT FEE SCHEDULE 132.00
3,068,704,500.00 FECAL CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87045 WCH HB PB LAB FEE SCHEDULE 132.00
3,068,704,501.00 REF ENTERIC PATHOGEN STOOL CULTURE (NOT BY PCR) (STOOL WITH ISOLATION) LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87045 WCH HB PB LAB FEE SCHEDULE 88.00
3,068,704,600.00 CAMPYLOBACTER LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87046 WCH HB PB LAB FEE SCHEDULE 89.00
3,068,704,602.00 REF ENTERIC PATHOGEN STOOL CULTURE (NOT BY PCR) (STOOL ADDITIONAL PATHOGENS) LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87046 WCH HB PB LAB FEE SCHEDULE 88.00
3,068,707,000.00 CULTURE AEROBIC ANY SOURCE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87070 WCH HB DEFAULT FEE SCHEDULE 107.00
3,068,707,000.00 CULTURE AEROBIC ANY SOURCE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87070 WCH HB PB LAB FEE SCHEDULE 107.00
3,068,707,500.00 CULTURE ANAEROBIC ANY SOURCE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87075 WCH HB PB LAB FEE SCHEDULE 143.00
3,068,707,600.00 ANAEROBE ID LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87076 WCH HB PB LAB FEE SCHEDULE 100.00
3,068,707,700.00 BACTERIAL ID LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87077 WCH HB DEFAULT FEE SCHEDULE 105.00
3,068,707,700.00 BACTERIAL ID LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87077 WCH HB PB LAB FEE SCHEDULE 105.00
3,068,707,701.00 REF ORGANISM REFER FOR ID AEROBIC LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87077 WCH HB PB LAB FEE SCHEDULE 278.00
3,068,708,100.00 CULTURE SCREENING LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87081 WCH HB PB LAB FEE SCHEDULE 140.00
3,068,708,600.00 REF URINE CULTURE QUANT CC LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87086 WCH HB PB LAB FEE SCHEDULE 89.00
3,068,708,800.00 URINE CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87088 WCH HB PB LAB FEE SCHEDULE 89.00
3,068,710,100.00 FNG DERMAT CULTURE FUNGI LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87101 WCH HB PB LAB FEE SCHEDULE 84.00
3,068,710,200.00 FUNGAL CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87102 WCH HB PB LAB FEE SCHEDULE 87.00
3,068,710,600.00 YEAST ID LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87106 WCH HB PB LAB FEE SCHEDULE 90.00
3,068,711,600.00 REF ACID FAST CULTURE AFBX LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87116 WCH HB PB LAB FEE SCHEDULE 108.00
3,068,714,700.00 SEROTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87147 WCH HB PB LAB FEE SCHEDULE 59.00
3,068,716,900.00 MACRO WORM MACROSCOPIC PARASIT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87169 WCH HB PB LAB FEE SCHEDULE 59.00
3,068,717,200.00 PINWORM PREP LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87172 WCH HB PB LAB FEE SCHEDULE 59.00
3,068,717,700.00 REF OVA & PARASITE EXAMINATION LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87177 WCH HB PB LAB FEE SCHEDULE 107.00
3,068,718,400.00 D TEST CLINDAMYCIN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87184 WCH HB PB LAB FEE SCHEDULE 79.00
3,068,718,600.00 SUSCEPTABILITY AEROBIC MIC LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87186 WCH HB PB LAB FEE SCHEDULE 114.00
3,068,718,603.00 REF AEROBIC SUSCEPTIBILITY PER ORG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87186 WCH HB PB LAB FEE SCHEDULE 118.00
3,068,720,500.00 DIRECT SMEAR ONLY LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87205 WCH HB PB LAB FEE SCHEDULE 59.00
3,068,720,600.00 STAIN FLORESCENT ACID FAST LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87206 WCH HB PB LAB FEE SCHEDULE 70.00
3,068,720,900.00 REF PARASITIC EXAMINATION SMEAR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87209 WCH HB PB LAB FEE SCHEDULE 228.00
3,068,721,000.00 WET MOUNT CERVICAL OR SKIN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87210 WCH HB PB LAB FEE SCHEDULE 52.00
3,068,722,000.00 KOH FUNGAL WET MOUNT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87220 WCH HB PB LAB FEE SCHEDULE 44.00
3,068,725,200.00 VIRAL CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87252 WCH HB PB LAB FEE SCHEDULE 198.00
3,068,726,000.00 ADENOVIRUS DFA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87260 WCH HB PB LAB FEE SCHEDULE 91.00
3,068,727,500.00 INFLUENZA B DFA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87275 WCH HB PB LAB FEE SCHEDULE 91.00
3,068,727,600.00 INFLUENZA A DFA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87276 WCH HB PB LAB FEE SCHEDULE 91.00
3,068,727,900.00 PARAINFLUENZA VIRUS ANY TYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87279 WCH HB PB LAB FEE SCHEDULE 91.00
3,068,728,000.00 RSV DFA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87280 WCH HB PB LAB FEE SCHEDULE 91.00
3,068,730,501.00 REF ASPERGILLUS GALACTOMANNAN AG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87305 WCH HB PB LAB FEE SCHEDULE 229.00
3,068,732,400.00 C DIFFICILE TOXIN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87324 WCH HB PB LAB FEE SCHEDULE 132.00
3,068,732,401.00 C DIFFICILE TOXIN A/B LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87324 WCH HB PB LAB FEE SCHEDULE 146.00
3,068,732,800.00 CRYPTOSPORIDIUM CRSP EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87328 WCH HB PB LAB FEE SCHEDULE 70.00
3,068,732,900.00 GIARDIA EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87329 WCH HB PB LAB FEE SCHEDULE 144.00
3,068,733,800.00 REF STL FOR H PYLORI LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87338 WCH HB PB LAB FEE SCHEDULE 235.00
3,068,733,801.00 REF STL FOR H PYLORI LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87338 WCH HB PB LAB FEE SCHEDULE 235.00
3,068,734,000.00 REF HBS AG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87340 WCH HB PB LAB FEE SCHEDULE 73.00
3,068,734,001.00 HEP B SURFACE AG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87340 WCH HB PB LAB FEE SCHEDULE 73.00
3,068,735,000.00 HEPATITIS BE AG, EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87350 WCH HB PB LAB FEE SCHEDULE 77.00
3,068,738,500.00 REF HISTOPLASMA CAPSUL AG, EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87385 WCH HB PB LAB FEE SCHEDULE 166.00
3,068,738,900.00 HIV 1 AND 2 AG & AB SCREEN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87389 WCH HB PB LAB FEE SCHEDULE 209.00
3,068,739,000.00 HIV-1 P24 ANTIGEN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87390 WCH HB PB LAB FEE SCHEDULE 212.00
3,068,742,000.00 RSV RESP SYNCTIAL VIRUS LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87420 WCH HB PB LAB FEE SCHEDULE 119.00
3,068,742,500.00 ROTAVIR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87425 WCH HB PB LAB FEE SCHEDULE 152.00
3,068,742,600.00 RAPID DETECTION OF SARS-COV-2 LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87426 WCH HB PB LAB FEE SCHEDULE 0.01
3,068,744,900.00 STREP PNEUMO ANTIGEN URINE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87449 WCH HB PB LAB FEE SCHEDULE 86.00
3,068,744,904.00 LEGIONELLA ANTIGEN URINE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87449 WCH HB PB LAB FEE SCHEDULE 113.00
3,068,748,600.00 C PNEUMONIAE BY PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87486 WCH HB PB LAB FEE SCHEDULE 106.00
3,068,749,100.00 REF CHLAMYDIA TRACHOMATIS-AMPLIFIED PROB LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87491 WCH HB PB LAB FEE SCHEDULE 184.00
3,068,749,103.00 C TRACHOMATIS APMLIFIED PROBE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87491 WCH HB PB LAB FEE SCHEDULE 184.00
3,068,749,300.00 C DIFF AMPLIFIED PROBE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87493 WCH HB PB LAB FEE SCHEDULE 183.00
3,068,749,700.00 REF CYTOMEG, DNA, QUANT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87497 WCH HB PB LAB FEE SCHEDULE 473.00
3,068,749,701.00 REF CMV DNA QUAN BY RAPID PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87497 WCH HB PB LAB FEE SCHEDULE 487.00
3,068,749,800.00 ENTEROVIRUS PCR CSF LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87498 WCH HB PB LAB FEE SCHEDULE 425.00
3,068,750,200.00 INFLUENZA A/B, MOLECULAR DETECTION LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87502 WCH HB PB LAB FEE SCHEDULE 280.00
3,068,750,700.00 GI PCR PANEL 12-25 TARGETS LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87507 WCH HB PB LAB FEE SCHEDULE 1,222.00
3,068,751,700.00 REF HEPATITIS B, DNA, QUANT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87517 WCH HB PB LAB FEE SCHEDULE 277.00
3,068,752,200.00 REF HCV VIRAL LOAD LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87522 WCH HB PB LAB FEE SCHEDULE 538.00
3,068,752,201.00 REF HCV VIRAL LOAD LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87522 WCH HB PB LAB FEE SCHEDULE 538.00
3,068,752,900.00 HC REF HSV BY RAPID PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87529 WCH HB PB LAB FEE SCHEDULE 206.00
3,068,753,600.00 REF HIV 1 RNA BY ULTRA SENS PCR Q LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87536 WCH HB PB LAB FEE SCHEDULE 774.00
3,068,753,601.00 REF HIV 1 RNA BY ULTRA SENS PCR Q LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87536 WCH HB PB LAB FEE SCHEDULE 543.00
3,068,758,100.00 M PNEUMONIAE BY PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87581 WCH HB PB LAB FEE SCHEDULE 132.00
3,068,759,100.00 REF NEISSERIA GONORRHOEAE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87591 WCH HB PB LAB FEE SCHEDULE 186.00
3,068,759,102.00 N GONORRHOEAE AMPLIFIED PROBE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87591 WCH HB PB LAB FEE SCHEDULE 186.00
3,068,763,300.00 RESP PANEL VIRUS BY PCR 12-25 LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87633 WCH HB PB LAB FEE SCHEDULE 787.00
3,068,763,500.00 REF CORONAVIRUS WITH COV-2 RNA, QUALITATIVE REAL-TIME RT-PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB PB LAB FEE SCHEDULE 185.00
3,068,763,501.00 COVID-19 PCR, HIGH THROUGHPUT TECHNOLOGIES LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB PB LAB FEE SCHEDULE 185.00
3,068,763,502.00 COVID-19 PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB PB LAB FEE SCHEDULE 185.00
3,068,764,100.00 MRSA PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87641 WCH HB PB LAB FEE SCHEDULE 150.00
3,068,779,800.00 B PERTUSSIS BY PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87798 WCH HB PB LAB FEE SCHEDULE 344.00
3,068,779,900.00 REF DETECT AGENT NOS, DNA, QUANT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87799 WCH HB PB LAB FEE SCHEDULE 223.00
3,068,779,903.00 REF EPSTEIN BARR VIRUS DNA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87799 WCH HB PB LAB FEE SCHEDULE 223.00
3,068,780,200.00 GRP B VAGINAL LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87802 WCH HB PB LAB FEE SCHEDULE 96.00
3,068,780,400.00 INFLUENZA A&B WAIVED LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87804 WCH HB PB LAB FEE SCHEDULE 89.00
3,068,788,000.00 STREP SCREEN GROUP A WAIVED LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87880 WCH HB PB LAB FEE SCHEDULE 96.00
3,068,789,900.00 INFECT AGENT BY IA DIRECT OBS LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87899 WCH HB PB LAB FEE SCHEDULE 89.00
3,068,790,100.00 REF HIV 1 GENOTYPIC DRUG RESIST LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87901 WCH HB PB LAB FEE SCHEDULE 931.00
3,068,790,200.00 REF HCV GENOTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87902 WCH HB PB LAB FEE SCHEDULE 1,005.00
3,068,790,201.00 REF HCV GENOTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87902 WCH HB PB LAB FEE SCHEDULE 770.00
3,078,030,602.00 WORKPLACE URINE NON-DOT DRUG SCREEN (WITH MRO) LABORATORY-UROLOGY [0307] 80306 WCH HB PB LAB FEE SCHEDULE 40.00
3,078,030,603.00 WORKPLACE URINE DOT DRUG SCREEN (WITH MRO) LABORATORY-UROLOGY [0307] 80306 WCH HB PB LAB FEE SCHEDULE 40.00
3,078,100,000.00 URINE DIP W MICRO08012012 LABORATORY-UROLOGY [0307] 81000 WCH HB PB LAB FEE SCHEDULE 67.00
3,078,100,100.00 URINE AUTO WITH MICRO LABORATORY-UROLOGY [0307] 81001 WCH HB PB LAB FEE SCHEDULE 67.00
3,078,100,200.00 URINE DIP POC LABORATORY-UROLOGY [0307] 81002 WCH HB PB LAB FEE SCHEDULE 30.00
3,078,100,300.00 URINE AUTO WO MICRO WAIVED LABORATORY-UROLOGY [0307] 81003 WCH HB DEFAULT FEE SCHEDULE 30.00
3,078,100,300.00 URINE AUTO WO MICRO WAIVED LABORATORY-UROLOGY [0307] 81003 WCH HB PB LAB FEE SCHEDULE 30.00
3,078,100,301.00 URINE AUTO WO MICRO LABORATORY-UROLOGY [0307] 81003 WCH HB PB LAB FEE SCHEDULE 30.00
3,078,101,500.00 URINE MICROSCOPIC ONLY LABORATORY-UROLOGY [0307] 81015 WCH HB PB LAB FEE SCHEDULE 30.00
3,078,102,500.00 HCG URINE WAIVED LABORATORY-UROLOGY [0307] 81025 WCH HB DEFAULT FEE SCHEDULE 88.00
3,078,102,500.00 HCG URINE WAIVED LABORATORY-UROLOGY [0307] 81025 WCH HB PB LAB FEE SCHEDULE 88.00
3,078,102,501.00 HCG URINE LABORATORY-UROLOGY [0307] 81025 WCH HB PB LAB FEE SCHEDULE 88.00
3,078,109,900.00 DRUG SCREEN COLLECTION ONLY LABORATORY-UROLOGY [0307] 81099 WCH HB PB LAB FEE SCHEDULE 46.00
3,078,207,501.00 WORKPLACE BREATH ALCOHOL TEST (BAT) LABORATORY-UROLOGY [0307] 82075 WCH HB PB LAB FEE SCHEDULE 58.00
3,098,687,000.00 ANTIBODY ID LABORATORY-OTHER LABORATORY [0309] 86870 WCH HB PB LAB FEE SCHEDULE 179.00
3,098,688,000.00 DIRECT COOMBS POLY LABORATORY-OTHER LABORATORY [0309] 86880 WCH HB PB LAB FEE SCHEDULE 77.00
3,098,688,002.00 DIRECT COOMBS GAMMA LABORATORY-OTHER LABORATORY [0309] 86880 WCH HB PB LAB FEE SCHEDULE 48.00
3,098,688,501.00 AHG INDIRECT QUAL REAGENT RBC*2 LABORATORY-OTHER LABORATORY [0309] 86885 WCH HB PB LAB FEE SCHEDULE 101.00
3,098,688,600.00 AB TITER INDIRECT LABORATORY-OTHER LABORATORY [0309] 86886 WCH HB PB LAB FEE SCHEDULE 174.00
3,098,690,000.00 ABO TYPE SEROLOGIC-OB GROUP LABORATORY-OTHER LABORATORY [0309] 86900 WCH HB PB LAB FEE SCHEDULE 61.00
3,098,690,001.00 ABO TYPE SEROLOGIC LABORATORY-OTHER LABORATORY [0309] 86900 WCH HB PB LAB FEE SCHEDULE 61.00
3,098,690,001.00 ABO TYPE SEROLOGIC LABORATORY-OTHER LABORATORY [0309] 86900 WCH WELLNESS WEDNESDAY FSC 12.50
3,098,690,101.00 RH BLOOD TYPING LABORATORY-OTHER LABORATORY [0309] 86901 WCH HB PB LAB FEE SCHEDULE 61.00
3,098,690,101.00 RH BLOOD TYPING LABORATORY-OTHER LABORATORY [0309] 86901 WCH WELLNESS WEDNESDAY FSC 12.50
3,098,690,200.00 ANTIGEN TEST DONOR BLD EA UNIT LABORATORY-OTHER LABORATORY [0309] 86902 WCH HB PB LAB FEE SCHEDULE 316.00
3,098,690,500.00 CAGP LABORATORY-OTHER LABORATORY [0309] 86905 WCH HB PB LAB FEE SCHEDULE 199.00
3,098,690,600.00 REF REF RBC ANTIGEN TYPING, RH LABORATORY-OTHER LABORATORY [0309] 86906 WCH HB PB LAB FEE SCHEDULE 108.00
3,098,692,000.00 IMMEDIATE SPIN CROSSMATCH LABORATORY-OTHER LABORATORY [0309] 86920 WCH HB PB LAB FEE SCHEDULE 146.00
3,098,692,200.00 X MATCH AHG LABORATORY-OTHER LABORATORY [0309] 86922 WCH HB PB LAB FEE SCHEDULE 146.00
3,098,715,001.00 ID BY NUCLEIC ACID EA ORG PROB LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87150 WCH HB PB LAB FEE SCHEDULE 180.00
3,100,027,000.00 REF JAK2 EXON 12 AND OTHER NON-V617F MUTATION DETECTION, BLOOD LABORATORY PATHOLOGY-GENERAL [0310] 0027U WCH HB PB LAB FEE SCHEDULE 508.00
3,100,034,000.00 REF TPMT AND NUDT15 GENOTYPE LABORATORY PATHOLOGY-GENERAL [0310] 0034U WCH HB PB LAB FEE SCHEDULE 593.00
3,108,116,200.00 REF BRCA1/BRCA2 FULL GENE ANALYSIS LABORATORY PATHOLOGY-GENERAL [0310] 81162 WCH HB PB LAB FEE SCHEDULE 4,444.00
3,108,120,601.00 REF BCR ABL1 MAJOR BRKPT QUAL QUAN LABORATORY PATHOLOGY-GENERAL [0310] 81206 WCH HB PB LAB FEE SCHEDULE 1,650.00
3,108,121,900.00 REF MPN, CALR GENE MUTATION LABORATORY PATHOLOGY-GENERAL [0310] 81219 WCH HB PB LAB FEE SCHEDULE 729.00
3,108,124,000.00 REF PROTHROMBIN G20210A MUTATION,B LABORATORY PATHOLOGY-GENERAL [0310] 81240 WCH HB PB LAB FEE SCHEDULE 616.00
3,108,124,001.00 REF PROTHROMBIN G20210A MUTATION,B THRMP PANEL LABORATORY PATHOLOGY-GENERAL [0310] 81240 WCH HB PB LAB FEE SCHEDULE 321.00
3,108,124,002.00 REF PROTHROMBIN G20210A MUTATION,B AATHR PANEL LABORATORY PATHOLOGY-GENERAL [0310] 81240 WCH HB PB LAB FEE SCHEDULE 292.00
3,108,124,100.00 REF F5 GENE ANALYSIS, LEIDEN VARIANT LABORATORY PATHOLOGY-GENERAL [0310] 81241 WCH HB PB LAB FEE SCHEDULE 216.00
3,108,124,101.00 REF FACTOR V LEIDEN (R506Q) MUTATION, B (MAYO) LABORATORY PATHOLOGY-GENERAL [0310] 81241 WCH HB PB LAB FEE SCHEDULE 378.00
3,108,125,600.00 REF HFE GENE ANALYSIS COMMON VRNTS LABORATORY PATHOLOGY-GENERAL [0310] 81256 WCH HB PB LAB FEE SCHEDULE 535.00
3,108,127,000.00 REF JAK2 GENE ANAL P.VAL617PHE VRN LABORATORY PATHOLOGY-GENERAL [0310] 81270 WCH HB PB LAB FEE SCHEDULE 767.00
3,108,133,200.00 REF SERPINA1 A1AT DEF GENE ANALYSI LABORATORY PATHOLOGY-GENERAL [0310] 81332 WCH HB PB LAB FEE SCHEDULE 79.00
3,108,137,501.00 REF HLA DR-DQ DISASSOC TYPING LOWRES(MAYO) LABORATORY PATHOLOGY-GENERAL [0310] 81376 WCH HB PB LAB FEE SCHEDULE 436.00
3,108,137,601.00 REF CDCOMP HLA-DQ TYPING LABORATORY PATHOLOGY-GENERAL [0310] 81376 WCH HB PB LAB FEE SCHEDULE 436.00
3,108,137,602.00 REF CELIAC DISEASE GLUTEN-FREE CASCADE LABORATORY PATHOLOGY-GENERAL [0310] 81376 WCH HB PB LAB FEE SCHEDULE 436.00
3,108,140,100.00 TPMT GENOTYPE LABORATORY PATHOLOGY-GENERAL [0310] 81401 WCH HB PB LAB FEE SCHEDULE 700.00
3,108,140,300.00 REF MOLECULAR PATH PROC LEVEL 4 LABORATORY PATHOLOGY-GENERAL [0310] 81403 WCH HB PB LAB FEE SCHEDULE 1,012.00
3,108,147,900.00 REF SEVERE COMBINE IMMUNODEF LABORATORY PATHOLOGY-GENERAL [0310] 81479 WCH HB PB LAB FEE SCHEDULE 682.00
3,108,151,100.00 HC REF FETAL CONG ABN ASSAY 4 ANALYTE LABORATORY PATHOLOGY-GENERAL [0310] 81511 WCH HB PB LAB FEE SCHEDULE 322.00
3,108,159,600.00 FIBROTEST-ACTITEST, S(MAYO) LABORATORY PATHOLOGY-GENERAL [0310] 81596 WCH HB PB LAB FEE SCHEDULE 427.20
3,118,818,400.00 FIRST MARKER LABORATORY PATHOLOGY-CYTOLOGY [0311] 88184 WCH HB PB LAB FEE SCHEDULE 361.00
3,118,818,404.00 REF LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING BY FLOW CYTOMETRY 1ST LABORATORY PATHOLOGY-CYTOLOGY [0311] 88184 WCH HB PB LAB FEE SCHEDULE 361.00
3,118,818,500.00 ADDITIONAL MARKER LABORATORY PATHOLOGY-CYTOLOGY [0311] 88185 WCH HB PB LAB FEE SCHEDULE 273.00
3,118,818,502.00 REF LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING BY FLOW CYTOMETRY ADD ON LABORATORY PATHOLOGY-CYTOLOGY [0311] 88185 WCH HB PB LAB FEE SCHEDULE 158.00
3,118,818,900.00 REF FLOWCYTOMETRY/READ, 16 & > MARKERS LABORATORY PATHOLOGY-CYTOLOGY [0311] 88189 WCH HB PB LAB FEE SCHEDULE 437.00
3,118,823,002.00 REF CHROMOSOME ANALYSIS, CONGENITAL DISORDERS, BLOOD LABORATORY PATHOLOGY-CYTOLOGY [0311] 88230 WCH HB PB LAB FEE SCHEDULE 482.00
3,118,823,702.00 REF CHROMOSOMES, HEMATOLOGIC BLOOD LABORATORY PATHOLOGY-CYTOLOGY [0311] 88237 WCH HB PB LAB FEE SCHEDULE 659.00
3,118,826,200.00 REF CHROMOSOMES CONGENITAL BLOOD LABORATORY PATHOLOGY-CYTOLOGY [0311] 88262 WCH HB PB LAB FEE SCHEDULE 673.00
3,118,827,102.00 REF CLL FISH LABORATORY PATHOLOGY-CYTOLOGY [0311] 88271 WCH HB PB LAB FEE SCHEDULE 127.00
3,118,829,105.00 REF CHROMHEM INTERP & REPORT LABORATORY PATHOLOGY-CYTOLOGY [0311] 88291 WCH HB PB LAB FEE SCHEDULE 179.00
3,118,829,106.00 REF CLL FISH INTERP & REPORT LABORATORY PATHOLOGY-CYTOLOGY [0311] 88291 WCH HB PB LAB FEE SCHEDULE 171.00
3,128,832,100.00 CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE LABORATORY PATHOLOGY-HISTOLOGY [0312] 88321 WCH HB PB LAB FEE SCHEDULE 504.00
3,207,010,000.00 RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70100 WCH HB DEFAULT FEE SCHEDULE 151.00
3,207,011,000.00 RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70110 WCH HB DEFAULT FEE SCHEDULE 422.00
3,207,013,000.00 RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70130 WCH HB DEFAULT FEE SCHEDULE 273.00
3,207,014,000.00 RADEX FACIAL BONES < 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70140 WCH HB DEFAULT FEE SCHEDULE 200.00
3,207,015,000.00 RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70150 WCH HB DEFAULT FEE SCHEDULE 455.00
3,207,016,000.00 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70160 WCH HB DEFAULT FEE SCHEDULE 147.00
3,207,019,000.00 RADEX OPTIC FORAMINA RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70190 WCH HB DEFAULT FEE SCHEDULE 140.00
3,207,020,000.00 RADEX ORBITS COMPLETE MINIMUM 4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70200 WCH HB DEFAULT FEE SCHEDULE 227.00
3,207,021,000.00 RADEX SINUSES PARANASAL <3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70210 WCH HB DEFAULT FEE SCHEDULE 166.00
3,207,022,000.00 RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70220 WCH HB DEFAULT FEE SCHEDULE 284.00
3,207,024,000.00 RADIOLOGIC EXAMINATION SELLA TURCICA RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70240 WCH HB DEFAULT FEE SCHEDULE 143.00
3,207,025,000.00 RADIOLOGIC EXAMINATION SKULL <4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70250 WCH HB DEFAULT FEE SCHEDULE 200.00
3,207,026,000.00 RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70260 WCH HB DEFAULT FEE SCHEDULE 284.00
3,207,032,800.00 RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70328 WCH HB DEFAULT FEE SCHEDULE 208.00
3,207,033,000.00 RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70330 WCH HB DEFAULT FEE SCHEDULE 299.00
3,207,036,000.00 RADIOLOGIC EXAMINATION NECK SOFT TISSUE RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70360 WCH HB DEFAULT FEE SCHEDULE 166.00
3,207,110,000.00 RADEX RIBS UNILATERAL 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71100 WCH HB DEFAULT FEE SCHEDULE 199.00
3,207,110,100.00 RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71101 WCH HB DEFAULT FEE SCHEDULE 414.00
3,207,111,000.00 RADEX RIBS BILATERAL 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71110 WCH HB DEFAULT FEE SCHEDULE 261.00
3,207,111,100.00 RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71111 WCH HB DEFAULT FEE SCHEDULE 299.00
3,207,112,000.00 RADEX STERNUM MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71120 WCH HB DEFAULT FEE SCHEDULE 205.00
3,207,113,000.00 RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71130 WCH HB DEFAULT FEE SCHEDULE 227.00
3,207,202,000.00 RADEX SPINE 1 VIEW SPECIFY LEVEL RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72020 WCH HB DEFAULT FEE SCHEDULE 139.00
3,207,204,000.00 RADEX SPINE CERVICAL 2 OR 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72040 WCH HB DEFAULT FEE SCHEDULE 364.00
3,207,205,000.00 RADEX SPINE CERVICAL 4 OR 5 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72050 WCH HB DEFAULT FEE SCHEDULE 516.00
3,207,205,200.00 RADEX SPINE CERVICAL 6 OR MORE VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72052 WCH HB DEFAULT FEE SCHEDULE 722.00
3,207,207,000.00 RADEX SPINE THORACIC 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72070 WCH HB DEFAULT FEE SCHEDULE 382.00
3,207,207,200.00 RADEX SPINE THORACIC 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72072 WCH HB DEFAULT FEE SCHEDULE 465.00
3,207,208,000.00 RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72080 WCH HB DEFAULT FEE SCHEDULE 212.00
3,207,208,100.00 RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72081 WCH HB DEFAULT FEE SCHEDULE 237.00
3,207,208,200.00 RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72082 WCH HB DEFAULT FEE SCHEDULE 378.00
3,207,210,000.00 RADEX SPINE LUMBOSACRAL 2/3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72100 WCH HB DEFAULT FEE SCHEDULE 476.00
3,207,211,000.00 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72110 WCH HB DEFAULT FEE SCHEDULE 518.00
3,207,211,400.00 RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6 RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72114 WCH HB DEFAULT FEE SCHEDULE 354.00
3,207,212,000.00 RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72120 WCH HB DEFAULT FEE SCHEDULE 260.00
3,207,217,000.00 RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72170 WCH HB DEFAULT FEE SCHEDULE 308.00
3,207,219,000.00 RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72190 WCH HB DEFAULT FEE SCHEDULE 253.00
3,207,220,000.00 RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72200 WCH HB DEFAULT FEE SCHEDULE 135.00
3,207,220,200.00 RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72202 WCH HB DEFAULT FEE SCHEDULE 250.00
3,207,222,000.00 RADEX SACRUM & COCCYX MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72220 WCH HB DEFAULT FEE SCHEDULE 215.00
3,207,300,000.00 RADEX CLAVICLE COMPLETE RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73000 WCH HB DEFAULT FEE SCHEDULE 304.00
3,207,301,000.00 RADEX SCAPULA COMPLETE RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73010 WCH HB DEFAULT FEE SCHEDULE 403.00
3,207,302,000.00 RADEX SHOULDER 1 VIEW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73020 WCH HB DEFAULT FEE SCHEDULE 156.00
3,207,303,000.00 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73030 WCH HB DEFAULT FEE SCHEDULE 393.00
3,207,305,000.00 RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73050 WCH HB DEFAULT FEE SCHEDULE 209.00
3,207,306,000.00 RADEX HUMERUS MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73060 WCH HB DEFAULT FEE SCHEDULE 185.00
3,207,307,000.00 RADEX ELBOW 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73070 WCH HB DEFAULT FEE SCHEDULE 155.00
3,207,308,000.00 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73080 WCH HB DEFAULT FEE SCHEDULE 179.00
3,207,309,000.00 RADEX FOREARM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73090 WCH HB DEFAULT FEE SCHEDULE 158.00
3,207,309,200.00 RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73092 WCH HB DEFAULT FEE SCHEDULE 152.00
3,207,310,000.00 RADEX WRIST 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73100 WCH HB DEFAULT FEE SCHEDULE 238.00
3,207,311,000.00 RADEX WRIST COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73110 WCH HB DEFAULT FEE SCHEDULE 351.00
3,207,312,000.00 RADEX HAND 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73120 WCH HB DEFAULT FEE SCHEDULE 145.00
3,207,313,000.00 RADEX HAND MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73130 WCH HB DEFAULT FEE SCHEDULE 167.00
3,207,314,000.00 RADEX FINGR MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73140 WCH HB DEFAULT FEE SCHEDULE 124.00
3,207,350,100.00 RADIOLOGIC EXAM, HIP W PELVIS WHEN PERFORMED, UNILATERAL, 1 VIEW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73501 WCH HB DEFAULT FEE SCHEDULE 153.00
3,207,350,200.00 RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73502 WCH HB DEFAULT FEE SCHEDULE 210.00
3,207,352,100.00 RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73521 WCH HB DEFAULT FEE SCHEDULE 210.00
3,207,352,200.00 RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73522 WCH HB DEFAULT FEE SCHEDULE 248.00
3,207,355,100.00 RADIOLOGIC EXAMINATION FEMUR 1 VIEW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73551 WCH HB DEFAULT FEE SCHEDULE 170.00
3,207,355,200.00 RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73552 WCH HB DEFAULT FEE SCHEDULE 359.00
3,207,356,000.00 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73560 WCH HB DEFAULT FEE SCHEDULE 352.00
3,207,356,200.00 RADIOLOGIC EXAMINATION KNEE 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73562 WCH HB DEFAULT FEE SCHEDULE 425.00
3,207,356,400.00 RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73564 WCH HB DEFAULT FEE SCHEDULE 210.00
3,207,356,500.00 RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73565 WCH HB DEFAULT FEE SCHEDULE 233.00
3,207,359,000.00 RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73590 WCH HB DEFAULT FEE SCHEDULE 323.00
3,207,359,200.00 RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73592 WCH HB DEFAULT FEE SCHEDULE 162.00
3,207,360,000.00 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73600 WCH HB DEFAULT FEE SCHEDULE 146.00
3,207,361,000.00 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73610 WCH HB DEFAULT FEE SCHEDULE 341.00
3,207,362,000.00 RADIOLOGIC EXAMINATION FOOT 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73620 WCH HB DEFAULT FEE SCHEDULE 152.00
3,207,363,000.00 RADEX FOOT COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73630 WCH HB DEFAULT FEE SCHEDULE 365.00
3,207,365,000.00 RADEX CALCANEUS MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73650 WCH HB DEFAULT FEE SCHEDULE 140.00
3,207,366,000.00 RADEX TOE MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73660 WCH HB DEFAULT FEE SCHEDULE 132.00
3,207,401,800.00 RADIOLOGIC EXAM ABDOMEN 1 VIEW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74018 WCH HB DEFAULT FEE SCHEDULE 295.00
3,207,401,900.00 RADIOLOGIC EXAM ABDOMEN 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74019 WCH HB DEFAULT FEE SCHEDULE 435.00
3,207,402,200.00 RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74022 WCH HB DEFAULT FEE SCHEDULE 549.00
3,207,430,000.00 CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74300 WCH HB DEFAULT FEE SCHEDULE 376.00
3,207,440,000.00 UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74400 WCH HB DEFAULT FEE SCHEDULE 798.00
3,207,445,500.00 URETHROCYSTOGRAPHY VOIDING RS&I RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74455 WCH HB DEFAULT FEE SCHEDULE 737.00
3,207,601,000.00 RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 76010 WCH HB DEFAULT FEE SCHEDULE 139.00
3,207,707,200.00 BONE AGE STUDIES RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77072 WCH HB DEFAULT FEE SCHEDULE 233.00
3,207,707,300.00 BONE LENGTH STUDIES RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77073 WCH HB DEFAULT FEE SCHEDULE 233.00
3,207,707,400.00 RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77074 WCH HB DEFAULT FEE SCHEDULE 383.00
3,207,707,500.00 RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77075 WCH HB DEFAULT FEE SCHEDULE 384.00
3,207,707,600.00 RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77076 WCH HB DEFAULT FEE SCHEDULE 243.00
3,207,708,000.00 DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77080 WCH HB DEFAULT FEE SCHEDULE 583.00
3,247,104,500.00 RADIOLOGIC EXAM CHEST SINGLE VIEW RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324] 71045 WCH HB DEFAULT FEE SCHEDULE 274.00
3,247,104,600.00 RADIOLOGIC EXAM CHEST 2 VIEWS RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324] 71046 WCH HB DEFAULT FEE SCHEDULE 352.00
3,247,104,700.00 RADIOLOGIC EXAM CHEST 3 VIEWS RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324] 71047 WCH HB DEFAULT FEE SCHEDULE 246.00
3,319,640,200.00 CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-INJECTED [0331] 96402 WCH HB DEFAULT FEE SCHEDULE 149.00
3,359,641,300.00 CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-IV [0335] 96413 WCH HB DEFAULT FEE SCHEDULE 619.00
3,359,641,500.00 CHEMOTHERAPY ADMN IV INFUSION TQ EA HR RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-IV [0335] 96415 WCH HB DEFAULT FEE SCHEDULE 166.00
3,417,858,000.00 PULMONARY PERFUSION IMAGING PARTICULATE NUCLEAR MEDICINE-DIAGNOSTIC [0341] 78580 WCH HB DEFAULT FEE SCHEDULE 1,299.00
3,507,563,500.00 CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP CT SCAN-GENERAL [0350] 75635 WCH HB DEFAULT FEE SCHEDULE 3,644.00
3,507,638,000.00 CT LIMITED/LOCALIZED FOLLOW UP STUDY CT SCAN-GENERAL [0350] 76380 WCH HB DEFAULT FEE SCHEDULE 660.00
3,517,045,000.00 CT HEAD/BRAIN W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70450 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,517,046,000.00 CT HEAD/BRAIN W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70460 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,517,047,000.00 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70470 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,517,048,000.00 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL CT SCAN-HEAD SCAN [0351] 70480 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,517,048,100.00 CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL CT SCAN-HEAD SCAN [0351] 70481 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,517,048,200.00 CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR CT SCAN-HEAD SCAN [0351] 70482 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,517,048,600.00 CT MAXILLOFACIAL W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70486 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,517,048,700.00 CT MAXILLOFACIAL W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70487 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,517,048,800.00 CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70488 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,517,049,000.00 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70490 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,517,049,100.00 CT SOFT TISSUE NECK W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70491 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,517,049,200.00 CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70492 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,517,049,600.00 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST CT SCAN-HEAD SCAN [0351] 70496 WCH HB DEFAULT FEE SCHEDULE 2,585.00
3,517,049,800.00 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST CT SCAN-HEAD SCAN [0351] 70498 WCH HB DEFAULT FEE SCHEDULE 2,585.00
3,520,029,700.00 LOW DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING CT SCAN-BODY SCAN [0352] G0297 WCH HB DEFAULT FEE SCHEDULE 327.00
3,527,125,000.00 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST CT SCAN-BODY SCAN [0352] 71250 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,126,000.00 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST CT SCAN-BODY SCAN [0352] 71260 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,127,000.00 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ CT SCAN-BODY SCAN [0352] 71270 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,527,127,100.00 COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- CT SCAN-BODY SCAN [0352] 71271 WCH HB DEFAULT FEE SCHEDULE 327.00
3,527,127,500.00 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 71275 WCH HB DEFAULT FEE SCHEDULE 2,365.00
3,527,212,500.00 CT CERVICAL SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72125 WCH HB DEFAULT FEE SCHEDULE 2,090.00
3,527,212,600.00 CT CERVICAL SPINE W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72126 WCH HB DEFAULT FEE SCHEDULE 1,293.00
3,527,212,700.00 CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72127 WCH HB DEFAULT FEE SCHEDULE 2,090.00
3,527,212,800.00 CT THORACIC SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72128 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,212,900.00 CT THORACIC SPINE W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72129 WCH HB DEFAULT FEE SCHEDULE 139.00
3,527,213,100.00 CT LUMBAR SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72131 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,213,200.00 CT LUMBAR SPINE W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72132 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,219,100.00 CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 72191 WCH HB DEFAULT FEE SCHEDULE 2,365.00
3,527,219,200.00 CT PELVIS W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72192 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,219,300.00 CT PELVIS W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72193 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,219,400.00 CT PELVIS W/O & W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72194 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,527,320,000.00 CT UPPER EXTREMITY W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73200 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,320,100.00 CT UPPER EXTREMITY W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73201 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,320,600.00 CT ANGIOGRAPHY UPPER EXTREMITY CT SCAN-BODY SCAN [0352] 73206 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,527,370,000.00 CT LOWER EXTREMITY W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73700 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,370,100.00 CT LOWER EXTREMITY W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73701 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,370,600.00 CT ANGIOGRAPHY LOWER EXTREMITY CT SCAN-BODY SCAN [0352] 73706 WCH HB DEFAULT FEE SCHEDULE 2,365.00
3,527,415,000.00 CT ABDOMEN W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74150 WCH HB DEFAULT FEE SCHEDULE 1,375.00
3,527,416,000.00 CT ABDOMEN W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74160 WCH HB DEFAULT FEE SCHEDULE 1,925.00
3,527,417,000.00 CT ABDOMEN W/O & W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74170 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,527,417,400.00 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG CT SCAN-BODY SCAN [0352] 74174 WCH HB DEFAULT FEE SCHEDULE 3,795.00
3,527,417,500.00 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 74175 WCH HB DEFAULT FEE SCHEDULE 2,365.00
3,527,417,600.00 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74176 WCH HB DEFAULT FEE SCHEDULE 2,728.00
3,527,417,700.00 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74177 WCH HB DEFAULT FEE SCHEDULE 3,960.00
3,527,417,800.00 CT ABDOMEN & PELVIS W/O CONTRST FOLLOWED BY W CONTRST 1/> BODY RE CT SCAN-BODY SCAN [0352] 74178 WCH HB DEFAULT FEE SCHEDULE 4,235.00
3,601,006,000.00 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE OPERATING ROOM SERVICES-GENERAL [0360] 10060 WCH HB DEFAULT FEE SCHEDULE 389.00
3,601,008,000.00 INCISION & DRAINAGE PILONIDAL CYST SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 10080 WCH HB DEFAULT FEE SCHEDULE 686.00
3,601,012,000.00 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 10120 WCH HB DEFAULT FEE SCHEDULE 504.00
3,601,174,000.00 EVACUATION SUBUNGUAL HEMATOMA OPERATING ROOM SERVICES-GENERAL [0360] 11740 WCH HB DEFAULT FEE SCHEDULE 180.00
3,601,200,100.00 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12001 WCH HB DEFAULT FEE SCHEDULE 629.00
3,601,200,200.00 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM OPERATING ROOM SERVICES-GENERAL [0360] 12002 WCH HB DEFAULT FEE SCHEDULE 761.00
3,601,200,400.00 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM OPERATING ROOM SERVICES-GENERAL [0360] 12004 WCH HB DEFAULT FEE SCHEDULE 943.00
3,601,200,700.00 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM OPERATING ROOM SERVICES-GENERAL [0360] 12007 WCH HB DEFAULT FEE SCHEDULE 1,196.00
3,601,201,100.00 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12011 WCH HB DEFAULT FEE SCHEDULE 761.00
3,601,201,300.00 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM OPERATING ROOM SERVICES-GENERAL [0360] 12013 WCH HB DEFAULT FEE SCHEDULE 762.00
3,601,203,100.00 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12031 WCH HB DEFAULT FEE SCHEDULE 562.00
3,601,203,200.00 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM OPERATING ROOM SERVICES-GENERAL [0360] 12032 WCH HB DEFAULT FEE SCHEDULE 923.00
3,601,203,400.00 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM OPERATING ROOM SERVICES-GENERAL [0360] 12034 WCH HB DEFAULT FEE SCHEDULE 894.00
3,601,203,500.00 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM OPERATING ROOM SERVICES-GENERAL [0360] 12035 WCH HB DEFAULT FEE SCHEDULE 1,542.00
3,601,204,200.00 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM OPERATING ROOM SERVICES-GENERAL [0360] 12042 WCH HB DEFAULT FEE SCHEDULE 1,014.00
3,601,205,100.00 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12051 WCH HB DEFAULT FEE SCHEDULE 1,013.00
3,602,056,000.00 NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES OPERATING ROOM SERVICES-GENERAL [0360] 20560 WCH HB DEFAULT FEE SCHEDULE 46.00
3,602,056,100.00 NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES OPERATING ROOM SERVICES-GENERAL [0360] 20561 WCH HB DEFAULT FEE SCHEDULE 56.00
3,602,060,500.00 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US OPERATING ROOM SERVICES-GENERAL [0360] 20605 WCH HB DEFAULT FEE SCHEDULE 288.00
3,602,061,000.00 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US OPERATING ROOM SERVICES-GENERAL [0360] 20610 WCH HB DEFAULT FEE SCHEDULE 343.00
3,602,148,000.00 CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ OPERATING ROOM SERVICES-GENERAL [0360] 21480 WCH HB DEFAULT FEE SCHEDULE 535.00
3,602,365,000.00 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 23650 WCH HB DEFAULT FEE SCHEDULE 1,340.00
3,602,556,500.00 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ OPERATING ROOM SERVICES-GENERAL [0360] 25565 WCH HB DEFAULT FEE SCHEDULE 2,603.00
3,602,560,500.00 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF OPERATING ROOM SERVICES-GENERAL [0360] 25605 WCH HB DEFAULT FEE SCHEDULE 2,744.00
3,602,674,200.00 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ OPERATING ROOM SERVICES-GENERAL [0360] 26742 WCH HB DEFAULT FEE SCHEDULE 1,796.00
3,602,677,000.00 CLTX IPHAL JT DISLC W/MANJ W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 26770 WCH HB DEFAULT FEE SCHEDULE 1,178.00
3,602,755,000.00 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA OPERATING ROOM SERVICES-GENERAL [0360] 27550 WCH HB DEFAULT FEE SCHEDULE 2,200.00
3,602,784,000.00 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA OPERATING ROOM SERVICES-GENERAL [0360] 27840 WCH HB DEFAULT FEE SCHEDULE 1,684.00
3,602,910,500.00 APPLICATION LONG ARM SPLINT SHOULDER HAND OPERATING ROOM SERVICES-GENERAL [0360] 29105 WCH HB DEFAULT FEE SCHEDULE 418.00
3,602,912,500.00 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC OPERATING ROOM SERVICES-GENERAL [0360] 29125 WCH HB DEFAULT FEE SCHEDULE 293.00
3,602,940,500.00 APPLICATION SHORT LEG CAST BELOW KNEE-TOE OPERATING ROOM SERVICES-GENERAL [0360] 29405 WCH HB DEFAULT FEE SCHEDULE 452.00
3,602,950,500.00 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES OPERATING ROOM SERVICES-GENERAL [0360] 29505 WCH HB DEFAULT FEE SCHEDULE 406.00
3,602,951,500.00 APPLICATION SHORT LEG SPLINT CALF FOOT OPERATING ROOM SERVICES-GENERAL [0360] 29515 WCH HB DEFAULT FEE SCHEDULE 238.00
3,602,958,000.00 STRAPPING UNNA BOOT OPERATING ROOM SERVICES-GENERAL [0360] 29580 WCH HB DEFAULT FEE SCHEDULE 190.00
3,602,958,100.00 APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT OPERATING ROOM SERVICES-GENERAL [0360] 29581 WCH HB DEFAULT FEE SCHEDULE 319.00
3,603,090,100.00 CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 30901 WCH HB DEFAULT FEE SCHEDULE 408.00
3,603,255,100.00 TUBE THORACOSTOMY INCLUDES WATER SEAL OPERATING ROOM SERVICES-GENERAL [0360] 32551 WCH HB DEFAULT FEE SCHEDULE 1,075.00
3,603,659,200.00 COLLECT BLOOD FROM CATHETER VENOUS NOS OPERATING ROOM SERVICES-GENERAL [0360] 36592 WCH HB DEFAULT FEE SCHEDULE 120.00
3,603,660,000.00 ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX OPERATING ROOM SERVICES-GENERAL [0360] 36600 WCH HB DEFAULT FEE SCHEDULE 281.00
3,603,660,000.00 ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX OPERATING ROOM SERVICES-GENERAL [0360] 36600 WCH HB PB LAB FEE SCHEDULE 257.00
3,603,668,000.00 PLACEMENT NEEDLE INTRAOSSEOUS INFUSION OPERATING ROOM SERVICES-GENERAL [0360] 36680 WCH HB DEFAULT FEE SCHEDULE 746.00
3,604,908,200.00 ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE OPERATING ROOM SERVICES-GENERAL [0360] 49082 WCH HB DEFAULT FEE SCHEDULE 769.00
3,604,908,300.00 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE OPERATING ROOM SERVICES-GENERAL [0360] 49083 WCH HB DEFAULT FEE SCHEDULE 700.00
3,605,170,000.00 BLDR IRRIGATION SMPL LAVAGE &/INSTLJ OPERATING ROOM SERVICES-GENERAL [0360] 51700 WCH HB DEFAULT FEE SCHEDULE 248.00
3,605,170,100.00 INSJ NON-NDWELLG BLADDER CATHETER OPERATING ROOM SERVICES-GENERAL [0360] 51701 WCH HB DEFAULT FEE SCHEDULE 503.00
3,605,170,200.00 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 51702 WCH HB DEFAULT FEE SCHEDULE 590.00
3,605,170,500.00 CHANGE CYSTOSTOMY TUBE SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 51705 WCH HB DEFAULT FEE SCHEDULE 638.00
3,605,642,000.00 I&D BARTHOLIN’S GLAND ABSCESS OPERATING ROOM SERVICES-GENERAL [0360] 56420 WCH HB DEFAULT FEE SCHEDULE 548.00
3,606,445,000.00 INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH OPERATING ROOM SERVICES-GENERAL [0360] 64450 WCH HB DEFAULT FEE SCHEDULE 460.00
3,606,520,500.00 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL OPERATING ROOM SERVICES-GENERAL [0360] 65205 WCH HB DEFAULT FEE SCHEDULE 214.00
3,606,522,000.00 RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP OPERATING ROOM SERVICES-GENERAL [0360] 65220 WCH HB DEFAULT FEE SCHEDULE 360.00
3,606,920,000.00 RMVL FB XTRNL AUDITORY CANAL W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 69200 WCH HB DEFAULT FEE SCHEDULE 462.00
3,709,915,200.00 MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS ANESTHESIA-GENERAL [0370] 99152 WCH HB DEFAULT FEE SCHEDULE 163.00
3,900,901,600.00 RBC LEUKO REDUCED ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390] P9016 WCH HB PB LAB FEE SCHEDULE 821.00
3,900,901,700.00 FRESH FROZEN PLASMA ONE DONOR ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390] P9017 WCH HB PB LAB FEE SCHEDULE 250.00
3,900,905,900.00 FRESH FROZEN PLASMA 24 HRS ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390] P9059 WCH HB PB LAB FEE SCHEDULE 250.00
3,908,685,000.00 ANTIBODY SCREEN ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390] 86850 WCH HB PB LAB FEE SCHEDULE 101.00
3,913,643,000.00 TRANSFUSION, BLOOD OR BLOOD COMPONENTS ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-ADMINISTRATION (E.G., TRANSFUS [0391] 36430 WCH HB PB LAB FEE SCHEDULE 321.00
4,027,653,600.00 US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM OTHER IMAGING SERVICES-ULTRASOUND [0402] 76536 WCH HB DEFAULT FEE SCHEDULE 460.00
4,027,660,400.00 US CHEST REAL TIME W/IMAGE DOCUMENTATION OTHER IMAGING SERVICES-ULTRASOUND [0402] 76604 WCH HB DEFAULT FEE SCHEDULE 448.00
4,027,670,000.00 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION OTHER IMAGING SERVICES-ULTRASOUND [0402] 76700 WCH HB DEFAULT FEE SCHEDULE 868.00
4,027,670,500.00 US ABDOMINAL REAL TIME W/IMAGE LIMITED OTHER IMAGING SERVICES-ULTRASOUND [0402] 76705 WCH HB DEFAULT FEE SCHEDULE 679.00
4,027,670,600.00 US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA OTHER IMAGING SERVICES-ULTRASOUND [0402] 76706 WCH HB DEFAULT FEE SCHEDULE 347.00
4,027,677,000.00 US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE OTHER IMAGING SERVICES-ULTRASOUND [0402] 76770 WCH HB DEFAULT FEE SCHEDULE 816.00
4,027,677,500.00 US RETROPERITONEAL REAL TIME W/IMAGE LIMITED OTHER IMAGING SERVICES-ULTRASOUND [0402] 76775 WCH HB DEFAULT FEE SCHEDULE 463.00
4,027,680,100.00 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT OTHER IMAGING SERVICES-ULTRASOUND [0402] 76801 WCH HB DEFAULT FEE SCHEDULE 634.00
4,027,680,500.00 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION OTHER IMAGING SERVICES-ULTRASOUND [0402] 76805 WCH HB DEFAULT FEE SCHEDULE 634.00
4,027,681,000.00 US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO OTHER IMAGING SERVICES-ULTRASOUND [0402] 76810 WCH HB DEFAULT FEE SCHEDULE 361.00
4,027,681,500.00 US PREGNANT UTERUS LIMITED 1/> FETUSES OTHER IMAGING SERVICES-ULTRASOUND [0402] 76815 WCH HB DEFAULT FEE SCHEDULE 463.00
4,027,681,600.00 US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS OTHER IMAGING SERVICES-ULTRASOUND [0402] 76816 WCH HB DEFAULT FEE SCHEDULE 414.00
4,027,681,700.00 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG OTHER IMAGING SERVICES-ULTRASOUND [0402] 76817 WCH HB DEFAULT FEE SCHEDULE 538.00
4,027,681,800.00 FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING OTHER IMAGING SERVICES-ULTRASOUND [0402] 76818 WCH HB DEFAULT FEE SCHEDULE 628.00
4,027,681,900.00 FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING OTHER IMAGING SERVICES-ULTRASOUND [0402] 76819 WCH HB DEFAULT FEE SCHEDULE 609.00
4,027,683,000.00 US TRANSVAGINAL OTHER IMAGING SERVICES-ULTRASOUND [0402] 76830 WCH HB DEFAULT FEE SCHEDULE 708.00
4,027,685,600.00 US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE OTHER IMAGING SERVICES-ULTRASOUND [0402] 76856 WCH HB DEFAULT FEE SCHEDULE 917.00
4,027,685,700.00 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U OTHER IMAGING SERVICES-ULTRASOUND [0402] 76857 WCH HB DEFAULT FEE SCHEDULE 455.00
4,027,687,000.00 US SCROTUM & CONTENTS OTHER IMAGING SERVICES-ULTRASOUND [0402] 76870 WCH HB DEFAULT FEE SCHEDULE 695.00
4,027,688,100.00 US XTR NON-VASC COMPLETE OTHER IMAGING SERVICES-ULTRASOUND [0402] 76881 WCH HB DEFAULT FEE SCHEDULE 667.00
4,027,688,200.00 US EXTREMITY NON-VASC REAL-TIME IMG LMTD OTHER IMAGING SERVICES-ULTRASOUND [0402] 76882 WCH HB DEFAULT FEE SCHEDULE 190.00
4,027,694,200.00 US GUIDANCE NEEDLE PLACEMENT IMG S&I OTHER IMAGING SERVICES-ULTRASOUND [0402] 76942 WCH HB DEFAULT FEE SCHEDULE 1,047.00
4,037,706,300.00 SCREENING DIGITAL BREAST TOMOSYNTHESIS BI OTHER IMAGING SERVICES-SCREENING MAMMOGRAPHY [0403] 77063 WCH HB DEFAULT FEE SCHEDULE 200.00
4,037,706,700.00 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD OTHER IMAGING SERVICES-SCREENING MAMMOGRAPHY [0403] 77067 WCH HB DEFAULT FEE SCHEDULE 546.00
4,100,023,900.00 OTHER RESP PROC TO IMPROVE FUNCTION OR STRENGTH, GROUP RESPIRATORY SERVICES-GENERAL [0410] G0239 WCH HB DEFAULT FEE SCHEDULE 30.00
4,103,150,000.00 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE RESPIRATORY SERVICES-GENERAL [0410] 31500 WCH HB DEFAULT FEE SCHEDULE 916.00
4,109,400,200.00 VENTILATION ASSIST & MGMT INPATIENT 1ST DAY RESPIRATORY SERVICES-GENERAL [0410] 94002 WCH HB DEFAULT FEE SCHEDULE 450.00
4,109,464,000.00 PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT RESPIRATORY SERVICES-GENERAL [0410] 94640 WCH HB DEFAULT FEE SCHEDULE 186.00
4,109,464,000.00 PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT RESPIRATORY SERVICES-GENERAL [0410] 94640 WCH HB PB LAB FEE SCHEDULE 154.00
4,109,466,000.00 CPAP VENTILATION CPAP INITIATION&MGMT RESPIRATORY SERVICES-GENERAL [0410] 94660 WCH HB DEFAULT FEE SCHEDULE 266.00
4,109,466,400.00 DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP RESPIRATORY SERVICES-GENERAL [0410] 94664 WCH HB DEFAULT FEE SCHEDULE 150.00
4,109,466,700.00 MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL RESPIRATORY SERVICES-GENERAL [0410] 94667 WCH HB DEFAULT FEE SCHEDULE 209.00
4,109,466,800.00 MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ RESPIRATORY SERVICES-GENERAL [0410] 94668 WCH HB DEFAULT FEE SCHEDULE 84.00
4,200,000,200.00 BHSS PER 15 MIN PHYSICAL THERAPY-GENERAL [0420] WCH HB DEFAULT FEE SCHEDULE 455.00
4,200,000,300.00 Hc Wch Pt Maintenance PHYSICAL THERAPY-GENERAL [0420] WCH HB DEFAULT FEE SCHEDULE 7.00
4,200,897,800.00 HC MOBILITY CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8978 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,897,900.00 HC MOBILITY GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8979 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,000.00 HC MOBILITY D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8980 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,100.00 HC BODY POS CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8981 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,200.00 HC BODY POS GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8982 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,300.00 HC BODY POS D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8983 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,400.00 HC CARRY CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8984 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,500.00 HC CARRY GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8985 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,600.00 HC CARRY D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8986 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,700.00 HC SELF CARE CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8987 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,800.00 HC SELF CARE GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8988 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,898,900.00 HC SELF CARE D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8989 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,000.00 HC OTHER PT/OT CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8990 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,100.00 HC OTHER PT/OT GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8991 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,200.00 HC OTHER PT/OT D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8992 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,300.00 HC SUB PT/OT CURRENT STATUS PHYSICAL THERAPY-GENERAL [0420] G8993 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,400.00 HC SUB PT/OT GOAL STATUS PHYSICAL THERAPY-GENERAL [0420] G8994 WCH HB DEFAULT FEE SCHEDULE 0.01
4,200,899,500.00 HC SUB PT/OT D/C STATUS PHYSICAL THERAPY-GENERAL [0420] G8995 WCH HB DEFAULT FEE SCHEDULE 0.01
4,209,701,200.00 APPL MODALITY 1/> AREAS TRACTION MECHANICAL PHYSICAL THERAPY-GENERAL [0420] 97012 WCH HB DEFAULT FEE SCHEDULE 54.00
4,209,701,400.00 APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED PHYSICAL THERAPY-GENERAL [0420] 97014 WCH HB DEFAULT FEE SCHEDULE 50.00
4,209,701,800.00 APPL MODALITY 1/> AREAS PARAFFIN BATH PHYSICAL THERAPY-GENERAL [0420] 97018 WCH HB DEFAULT FEE SCHEDULE 54.00
4,209,702,600.00 APPLICATION MODALITY 1/> AREAS INFRARED PHYSICAL THERAPY-GENERAL [0420] 97026 WCH HB DEFAULT FEE SCHEDULE 51.00
4,209,703,200.00 APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97032 WCH HB DEFAULT FEE SCHEDULE 61.00
4,209,703,300.00 APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97033 WCH HB DEFAULT FEE SCHEDULE 87.00
4,209,703,500.00 APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97035 WCH HB DEFAULT FEE SCHEDULE 73.00
4,209,711,600.00 PT GAIT TRAINING BIRTH TO 3 PHYSICAL THERAPY-GENERAL [0420] 97116 WCH HB DEFAULT FEE SCHEDULE 92.00
4,209,712,400.00 THER PX 1/> AREAS EACH 15 MINUTES MASSAGE PHYSICAL THERAPY-GENERAL [0420] 97124 WCH HB DEFAULT FEE SCHEDULE 54.00
4,209,714,000.00 MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES PHYSICAL THERAPY-GENERAL [0420] 97140 WCH HB DEFAULT FEE SCHEDULE 107.00
4,209,753,000.00 THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97530 WCH HB DEFAULT FEE SCHEDULE 87.00
4,209,753,500.00 SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES PHYSICAL THERAPY-GENERAL [0420] 97535 WCH HB DEFAULT FEE SCHEDULE 90.00
4,209,754,200.00 WHEELCHAIR MGMT EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97542 WCH HB DEFAULT FEE SCHEDULE 55.00
4,209,775,000.00 PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97750 WCH HB DEFAULT FEE SCHEDULE 89.00
4,209,776,000.00 ORTHOTIC MGMT&TRAINJ UXTR LXTR&/TRNK EA 15 PHYSICAL THERAPY-GENERAL [0420] 97760 WCH HB DEFAULT FEE SCHEDULE 163.00
4,209,776,100.00 PROSTHETIC TRAINING UPPR&/LOWER EXTREM EA 15 M PHYSICAL THERAPY-GENERAL [0420] 97761 WCH HB DEFAULT FEE SCHEDULE 151.00
4,219,599,200.00 CANALITH REPOSITIONING PROCEDURE PHYSICAL THERAPY-VISIT CHARGE [0421] 95992 WCH HB DEFAULT FEE SCHEDULE 122.00
4,219,711,000.00 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES PHYSICAL THERAPY-VISIT CHARGE [0421] 97110 WCH HB DEFAULT FEE SCHEDULE 105.00
4,219,711,200.00 THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA PHYSICAL THERAPY-VISIT CHARGE [0421] 97112 WCH HB DEFAULT FEE SCHEDULE 101.00
4,219,711,300.00 THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS PHYSICAL THERAPY-VISIT CHARGE [0421] 97113 WCH HB DEFAULT FEE SCHEDULE 116.00
4,219,711,600.00 THER PX 1/> AREAS EA 15 MIN GAIT TRAINJ W/STAIR PHYSICAL THERAPY-VISIT CHARGE [0421] 97116 WCH HB DEFAULT FEE SCHEDULE 92.00
4,239,715,000.00 THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS PHYSICAL THERAPY-GROUP RATE [0423] 97150 WCH HB DEFAULT FEE SCHEDULE 105.00
4,249,716,100.00 PT EVAL VISIT LOW COMPLEXITY PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424] 97161 WCH HB DEFAULT FEE SCHEDULE 212.00
4,249,716,200.00 PT EVAL VISIT MODERATE COMPLEX PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424] 97162 WCH HB DEFAULT FEE SCHEDULE 239.00
4,249,716,300.00 PT EVAL VISIT HIGH COMPLEXITY PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424] 97163 WCH HB DEFAULT FEE SCHEDULE 264.00
4,249,716,400.00 PT REEVAL PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424] 97164 WCH HB DEFAULT FEE SCHEDULE 120.00
4,300,897,800.00 HC MOBILITY CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8978 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,897,900.00 HC MOBILITY GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8979 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,000.00 HC MOBILITY D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8980 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,100.00 HC BODY POS CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8981 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,200.00 HC BODY POS GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8982 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,300.00 HC BODY POS D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8983 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,400.00 HC CARRY CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8984 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,500.00 HC CARRY GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8985 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,600.00 HC CARRY D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8986 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,700.00 HC SELF CARE CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8987 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,800.00 HC SELF CARE GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8988 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,898,900.00 HC SELF CARE D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8989 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,000.00 HC OTHER PT/OT CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8990 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,100.00 HC OTHER PT/OT GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8991 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,200.00 HC OTHER PT/OT D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8992 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,300.00 HC SUB PT/OT CURRENT STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8993 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,400.00 HC SUB PT/OT GOAL STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8994 WCH HB DEFAULT FEE SCHEDULE 0.01
4,300,899,500.00 HC SUB PT/OT D/C STATUS OCCUPATIONAL THERAPY-GENERAL [0430] G8995 WCH HB DEFAULT FEE SCHEDULE 0.01
4,309,701,400.00 APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED OCCUPATIONAL THERAPY-GENERAL [0430] 97014 WCH HB DEFAULT FEE SCHEDULE 46.00
4,309,701,800.00 APPL MODALITY 1/> AREAS PARAFFIN BATH OCCUPATIONAL THERAPY-GENERAL [0430] 97018 WCH HB DEFAULT FEE SCHEDULE 54.00
4,309,703,200.00 APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97032 WCH HB DEFAULT FEE SCHEDULE 61.00
4,309,703,300.00 APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97033 WCH HB DEFAULT FEE SCHEDULE 87.00
4,309,703,500.00 APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97035 WCH HB DEFAULT FEE SCHEDULE 73.00
4,309,712,700.00 HC THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION OCCUPATIONAL THERAPY-GENERAL [0430] 97127 WCH HB DEFAULT FEE SCHEDULE 79.00
4,309,712,900.00 THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES OCCUPATIONAL THERAPY-GENERAL [0430] 97129 WCH HB DEFAULT FEE SCHEDULE 115.00
4,309,714,000.00 MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES OCCUPATIONAL THERAPY-GENERAL [0430] 97140 WCH HB DEFAULT FEE SCHEDULE 107.00
4,309,753,000.00 THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97530 WCH HB DEFAULT FEE SCHEDULE 87.00
4,309,753,200.00 DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES OCCUPATIONAL THERAPY-GENERAL [0430] 97532 WCH HB DEFAULT FEE SCHEDULE 79.00
4,309,753,300.00 SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES OCCUPATIONAL THERAPY-GENERAL [0430] 97533 WCH HB DEFAULT FEE SCHEDULE 87.00
4,309,753,500.00 SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES OCCUPATIONAL THERAPY-GENERAL [0430] 97535 WCH HB DEFAULT FEE SCHEDULE 90.00
4,309,754,200.00 WHEELCHAIR MGMT EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97542 WCH HB DEFAULT FEE SCHEDULE 55.00
4,309,775,000.00 PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97750 WCH HB DEFAULT FEE SCHEDULE 89.00
4,309,776,000.00 ORTHOTIC MGMT&TRAINJ UXTR LXTR&/TRNK EA 15 OCCUPATIONAL THERAPY-GENERAL [0430] 97760 WCH HB DEFAULT FEE SCHEDULE 163.00
4,309,776,100.00 PROSTHETIC TRAINING UPPR&/LOWER EXTREM EA 15 M OCCUPATIONAL THERAPY-GENERAL [0430] 97761 WCH HB DEFAULT FEE SCHEDULE 151.00
4,309,776,300.00 ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97763 WCH HB DEFAULT FEE SCHEDULE 138.00
4,319,711,000.00 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES OCCUPATIONAL THERAPY-VISIT CHARGE [0431] 97110 WCH HB DEFAULT FEE SCHEDULE 105.00
4,319,711,200.00 THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA OCCUPATIONAL THERAPY-VISIT CHARGE [0431] 97112 WCH HB DEFAULT FEE SCHEDULE 101.00
4,319,711,300.00 THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS OCCUPATIONAL THERAPY-VISIT CHARGE [0431] 97113 WCH HB DEFAULT FEE SCHEDULE 116.00
4,339,715,000.00 THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS OCCUPATIONAL THERAPY-GROUP RATE [0433] 97150 WCH HB DEFAULT FEE SCHEDULE 105.00
4,349,716,500.00 OT EVAL LOW COMPLEXITY OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434] 97165 WCH HB DEFAULT FEE SCHEDULE 212.00
4,349,716,600.00 OT EVAL MODERATE COMPLEXITY OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434] 97166 WCH HB DEFAULT FEE SCHEDULE 239.00
4,349,716,700.00 OT EVAL HIGH COMPLEXITY OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434] 97167 WCH HB DEFAULT FEE SCHEDULE 264.00
4,349,716,800.00 OT REEVAL OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434] 97168 WCH HB DEFAULT FEE SCHEDULE 120.00
4,400,899,600.00 HC SWALLOW CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G8996 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,899,700.00 HC SWALLOW GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G8997 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,899,800.00 HC SWALLOW D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G8998 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,899,900.00 HC MOTOR SPEECH CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G8999 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,915,800.00 HC MOTOR SPEECH D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9158 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,915,900.00 HC LANG COMP CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9159 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,000.00 HC LANG COMP GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9160 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,100.00 HC LANG COMP D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9161 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,200.00 HC LANG EXPRESS CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9162 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,300.00 HC LANG EXPRESS GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9163 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,400.00 HC LANG EXPRESS D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9164 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,500.00 HC ATTEN CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9165 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,600.00 HC ATTEN GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9166 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,700.00 HC ATTEN D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9167 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,800.00 HC MEMORY CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9168 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,916,900.00 HC MEMORY GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9169 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,000.00 HC MEMORY D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9170 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,100.00 HC VOICE CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9171 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,200.00 HC VOICE GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9172 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,300.00 HC VOICE D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9173 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,500.00 SPEECH LANG GOAL STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9175 WCH HB DEFAULT FEE SCHEDULE 0.01
4,400,917,600.00 SPEECH LANG D/C STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9176 WCH HB DEFAULT FEE SCHEDULE 0.01
4,409,250,700.00 TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] 92507 WCH HB DEFAULT FEE SCHEDULE 194.00
4,409,252,600.00 TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] 92526 WCH HB DEFAULT FEE SCHEDULE 270.00
4,409,260,900.00 THER SP-GENRATJ DEV PRGRMG&MODIFICAJ SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] 92609 WCH HB DEFAULT FEE SCHEDULE 264.00
4,409,712,700.00 HC THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] 97127 WCH HB DEFAULT FEE SCHEDULE 79.00
4,419,252,400.00 BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE SPEECH THERAPY-LANGUAGE PATHOLOGY-VISIT CHARGE [0441] 92524 WCH HB DEFAULT FEE SCHEDULE 372.00
4,449,252,100.00 EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER) SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 92521 WCH HB DEFAULT FEE SCHEDULE 440.00
4,449,252,200.00 EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 92522 WCH HB DEFAULT FEE SCHEDULE 356.00
4,449,252,300.00 EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 92523 WCH HB DEFAULT FEE SCHEDULE 741.00
4,449,260,700.00 RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 92607 WCH HB DEFAULT FEE SCHEDULE 512.00
4,449,261,000.00 EVAL ORAL&PHARYNGEAL SWLNG FUNCJ SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 92610 WCH HB DEFAULT FEE SCHEDULE 581.00
4,449,610,500.00 ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 96105 WCH HB DEFAULT FEE SCHEDULE 294.00
4,449,612,500.00 STANDARDIZED COGNITIVE PERFORMANCE TESTING SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444] 96125 WCH HB DEFAULT FEE SCHEDULE 416.00
4,505,000,001.00 Hc/hh Wch Supp Needle Aspiration 16ga__8881245164 EMERGENCY ROOM-GENERAL [0450] WCH HB SUPPLY FEE SCHEDULE 18.00
4,505,000,002.00 Hc/hh Wch Supp Iv Cath 22ga__4252519-02 EMERGENCY ROOM-GENERAL [0450] WCH HB SUPPLY FEE SCHEDULE 11.00
4,509,928,100.00 EMERGENCY DEPARTMENT VISIT LEVEL 1 LIMITED/MINOR PROB EMERGENCY ROOM-GENERAL [0450] 99281 WCH HB DEFAULT FEE SCHEDULE 338.00
4,509,928,200.00 EMERGENCY DEPARTMENT VISIT LEVEL 2 LOW/MODER SEVERITY EMERGENCY ROOM-GENERAL [0450] 99282 WCH HB DEFAULT FEE SCHEDULE 457.00
4,509,928,300.00 EMERGENCY DEPARTMENT VISIT LEVEL 3 MODERATE SEVERITY EMERGENCY ROOM-GENERAL [0450] 99283 WCH HB DEFAULT FEE SCHEDULE 688.00
4,509,928,400.00 EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY EMERGENCY ROOM-GENERAL [0450] 99284 WCH HB DEFAULT FEE SCHEDULE 1,027.00
4,509,928,500.00 EMERGENCY DEPT VISIT LEVEL 5 HIGH SEVERITY&THREAT FUNCJ EMERGENCY ROOM-GENERAL [0450] 99285 WCH HB DEFAULT FEE SCHEDULE 1,531.00
4,509,929,100.00 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN EMERGENCY ROOM-GENERAL [0450] 99291 WCH HB DEFAULT FEE SCHEDULE 2,000.00
4,609,401,000.00 SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ PULMONARY FUNCTION-GENERAL [0460] 94010 WCH HB DEFAULT FEE SCHEDULE 134.00
4,609,476,000.00 NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER PULMONARY FUNCTION-GENERAL [0460] 94760 WCH HB DEFAULT FEE SCHEDULE 55.00
4,609,476,200.00 NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR PULMONARY FUNCTION-GENERAL [0460] 94762 WCH HB DEFAULT FEE SCHEDULE 428.00
4,809,295,000.00 CARDIOPULMONARY RESUSCITATION CARDIOLOGY-GENERAL [0480] 92950 WCH HB DEFAULT FEE SCHEDULE 286.00
4,809,295,001.00 CARDIOPULMONARY RESUSCITATION 1-10 MINUTES CARDIOLOGY-GENERAL [0480] 92950 WCH HB DEFAULT FEE SCHEDULE 1,535.00
4,829,301,700.00 CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY CARDIOLOGY-STRESS TEST [0482] 93017 WCH HB DEFAULT FEE SCHEDULE 477.00
4,839,330,600.00 ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D CARDIOLOGY-ECHOCARDIOLOGY [0483] 93306 WCH HB DEFAULT FEE SCHEDULE 2,478.00
4,839,330,800.00 ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD CARDIOLOGY-ECHOCARDIOLOGY [0483] 93308 WCH HB DEFAULT FEE SCHEDULE 666.00
4,839,332,000.00 DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY CARDIOLOGY-ECHOCARDIOLOGY [0483] 93320 WCH HB DEFAULT FEE SCHEDULE 584.00
4,839,332,100.00 DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD CARDIOLOGY-ECHOCARDIOLOGY [0483] 93321 WCH HB DEFAULT FEE SCHEDULE 369.00
4,839,332,500.00 DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING CARDIOLOGY-ECHOCARDIOLOGY [0483] 93325 WCH HB DEFAULT FEE SCHEDULE 649.00
5,109,420,000.00 LUNG FUNCTION TEST (MBC/MVV) CLINIC-GENERAL CLASSIFICATION [0510] 94200 WCH HB DEFAULT FEE SCHEDULE 88.00
5,109,759,700.00 DEBRIDEMENT OPEN WOUND 20 SQ CM/< OPERATING ROOM SERVICES-GENERAL [0360] 97597 WCH HB DEFAULT FEE SCHEDULE 234.00
5,109,759,800.00 DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM OPERATING ROOM SERVICES-GENERAL [0360] 97598 WCH HB DEFAULT FEE SCHEDULE 295.00
5,109,760,200.00 RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS OPERATING ROOM SERVICES-GENERAL [0360] 97602 WCH HB DEFAULT FEE SCHEDULE 153.00
5,109,760,500.00 NEGATIVE PRESSURE WOUND THERAPY DME OPERATING ROOM SERVICES-GENERAL [0360] 97605 WCH HB DEFAULT FEE SCHEDULE 161.00
5,109,760,600.00 NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM OPERATING ROOM SERVICES-GENERAL [0360] 97606 WCH HB DEFAULT FEE SCHEDULE 278.00
5,109,920,100.00 LEVEL 1 OFFICE OUTPATIENT NEW 10 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99201 WCH HB DEFAULT FEE SCHEDULE 104.00
5,109,920,200.00 LEVEL 2 OFFICE OUTPATIENT NEW 20 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99202 WCH HB DEFAULT FEE SCHEDULE 182.00
5,109,921,100.00 OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP CLINIC-GENERAL CLASSIFICATION [0510] 99211 WCH HB DEFAULT FEE SCHEDULE 98.00
5,109,921,200.00 LEVEL 2 OFFICE OUTPATIENT ESTABLISHED VISIT 10 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99212 WCH HB DEFAULT FEE SCHEDULE 140.00
5,109,921,300.00 LEVEL 3 OFFICE OUTPATIENT ESTABLISHED VISIT 15 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99213 WCH HB DEFAULT FEE SCHEDULE 180.00
5,109,921,400.00 LEVEL 4 OFFICE OUTPATIENT ESTABLISHED VISIT 25 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99214 WCH HB DEFAULT FEE SCHEDULE 258.00
5,109,921,500.00 LEVEL 5 OFFICE OUTPATIENT ESTABLISHED VISIT 40 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99215 WCH HB DEFAULT FEE SCHEDULE 414.00
5,109,940,600.00 TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99406 WCH HB DEFAULT FEE SCHEDULE 59.00
5,109,940,700.00 TOBACCO USE CESSATION INTENSIVE >10 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99407 WCH HB DEFAULT FEE SCHEDULE 117.00
6,107,155,000.00 MRI CHEST W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 71550 WCH HB DEFAULT FEE SCHEDULE 2,519.00
6,107,155,200.00 MRI CHEST W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 71552 WCH HB DEFAULT FEE SCHEDULE 3,850.00
6,107,322,000.00 MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73220 WCH HB DEFAULT FEE SCHEDULE 3,465.00
6,107,322,100.00 MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73221 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,107,371,800.00 MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73718 WCH HB DEFAULT FEE SCHEDULE 2,255.00
6,107,372,000.00 MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73720 WCH HB DEFAULT FEE SCHEDULE 3,465.00
6,107,372,100.00 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73721 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,107,372,300.00 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73723 WCH HB DEFAULT FEE SCHEDULE 3,300.00
6,107,418,100.00 MRI ABDOMEN W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74181 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,107,418,200.00 MRI ABDOMEN W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74182 WCH HB DEFAULT FEE SCHEDULE 2,750.00
6,107,418,300.00 MRI ABDOMEN W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74183 WCH HB DEFAULT FEE SCHEDULE 3,520.00
6,117,054,000.00 MRI ORBIT FACE &/NECK W/O CONTRAST MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70540 WCH HB DEFAULT FEE SCHEDULE 2,310.00
6,117,054,300.00 MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70543 WCH HB DEFAULT FEE SCHEDULE 3,410.00
6,117,055,100.00 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70551 WCH HB DEFAULT FEE SCHEDULE 2,310.00
6,117,055,200.00 MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70552 WCH HB DEFAULT FEE SCHEDULE 2,310.00
6,117,055,300.00 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70553 WCH HB DEFAULT FEE SCHEDULE 3,300.00
6,127,214,100.00 MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72141 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,127,214,200.00 MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72142 WCH HB DEFAULT FEE SCHEDULE 2,750.00
6,127,214,600.00 MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72146 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,127,214,700.00 MRI SPINAL CANAL THORACIC W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72147 WCH HB DEFAULT FEE SCHEDULE 2,750.00
6,127,214,800.00 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72148 WCH HB DEFAULT FEE SCHEDULE 2,200.00
6,127,214,900.00 MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72149 WCH HB DEFAULT FEE SCHEDULE 2,530.00
6,127,215,600.00 MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72156 WCH HB DEFAULT FEE SCHEDULE 3,300.00
6,127,215,700.00 MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72157 WCH HB DEFAULT FEE SCHEDULE 3,190.00
6,127,215,800.00 MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72158 WCH HB DEFAULT FEE SCHEDULE 3,300.00
6,147,219,500.00 MRI PELVIS W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72195 WCH HB DEFAULT FEE SCHEDULE 2,310.00
6,147,219,600.00 MRI PELVIS W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72196 WCH HB DEFAULT FEE SCHEDULE 2,750.00
6,147,219,700.00 MRI PELVIS W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72197 WCH HB DEFAULT FEE SCHEDULE 3,520.00
6,157,054,400.00 MRA HEAD W/O CONTRST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70544 WCH HB DEFAULT FEE SCHEDULE 2,530.00
6,157,054,500.00 MRA HEAD W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70545 WCH HB DEFAULT FEE SCHEDULE 3,630.00
6,157,054,600.00 MRA HEAD W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70546 WCH HB DEFAULT FEE SCHEDULE 3,630.00
6,157,054,700.00 MRA NECK W/O CONTRST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70547 WCH HB DEFAULT FEE SCHEDULE 2,530.00
6,157,054,800.00 MRA NECK W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70548 WCH HB DEFAULT FEE SCHEDULE 2,530.00
6,157,054,900.00 MRA NECK W/O &W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70549 WCH HB DEFAULT FEE SCHEDULE 3,630.00
6,167,372,500.00 MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-LOWER EXTREMITIES [0616] 73725 WCH HB DEFAULT FEE SCHEDULE 2,640.00
6,187,155,500.00 MRA CHEST W/ CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 71555 WCH HB DEFAULT FEE SCHEDULE 3,300.00
6,187,219,800.00 MRA PELVIS W/ CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 72198 WCH HB DEFAULT FEE SCHEDULE 3,190.00
6,187,418,500.00 MRA ABDOMEN W CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 74185 WCH HB DEFAULT FEE SCHEDULE 3,190.00
6,840,039,000.00 TRAUMA RESP W ACTIVATION SPRH TRAUMA RESPONSE-LEVEL IV [0684] G0390 WCH HB DEFAULT FEE SCHEDULE 1,644.00
7,205,902,500.00 FETAL NONSTRESS TEST LABOR ROOM/DELIVERY-GENERAL [0720] 59025 WCH HB DEFAULT FEE SCHEDULE 295.00
7,309,300,500.00 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R EKG/ECG (ELECTROCARDIOGRAM)-GENERAL [0730] 93005 WCH HB DEFAULT FEE SCHEDULE 131.00
7,319,322,500.00 ECG MONIT/REPRT UP TO 48 HRS EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731] 93225 WCH HB DEFAULT FEE SCHEDULE 387.00
7,319,322,600.00 EXTERNAL ECG SCANNING ANALYSIS REPORT EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731] 93226 WCH HB DEFAULT FEE SCHEDULE 350.00
7,319,327,000.00 XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731] 93270 WCH HB DEFAULT FEE SCHEDULE 210.00
7,504,450,000.00 INTRODUCTION OF LONG GASTROINTESTINAL TUBE GASTROINTESTINAL (GI) SERVICES-GENERAL [0750] 44500 WCH HB DEFAULT FEE SCHEDULE 237.00
7,620,000,100.00 SSO PER HOUR SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 113.10
7,620,000,200.00 SSO INCREASED ACUITY PER HOUR SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 133.92
7,620,000,300.00 SSO CARVE OUT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 113.10
7,620,000,400.00 SSO INCREASED ACUITY CARVE OUT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 133.92
7,620,000,500.00 SSO DIRECT ADMIT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0379 WCH HB DEFAULT FEE SCHEDULE 420.00
7,719,047,100.00 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90471 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,101.00 ADMINISTRATION OF INFLUENZA VIRUS VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90471 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,102.00 ADMINISTRATION OF PNEUMOCOCCAL VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90471 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,103.00 ADMINISTRATION OF HEPATITIS B VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90471 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,200.00 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90472 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,201.00 SUBSEQUENT ADMINISTRATION OF INFLUENZA VIRUS VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90472 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,202.00 SUBSEQUENT ADMINISTRATION OF PNEUMOCOCCAL VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90472 WCH HB DEFAULT FEE SCHEDULE 63.00
7,719,047,203.00 SUBSEQUENT ADMINISTRATION OF HEPATITIS B VACCINE PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771] 90472 WCH HB DEFAULT FEE SCHEDULE 63.00
9,209,580,500.00 MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95805 WCH HB DEFAULT FEE SCHEDULE 2,997.00
9,209,581,000.00 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95810 WCH HB DEFAULT FEE SCHEDULE 3,354.00
9,209,581,100.00 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95811 WCH HB DEFAULT FEE SCHEDULE 3,787.00
9,219,388,000.00 DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93880 WCH HB DEFAULT FEE SCHEDULE 1,404.00
9,219,388,200.00 DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93882 WCH HB DEFAULT FEE SCHEDULE 450.00
9,219,392,200.00 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93922 WCH HB DEFAULT FEE SCHEDULE 300.00
9,219,392,500.00 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93925 WCH HB DEFAULT FEE SCHEDULE 1,188.00
9,219,392,600.00 DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93926 WCH HB DEFAULT FEE SCHEDULE 723.00
9,219,393,000.00 DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93930 WCH HB DEFAULT FEE SCHEDULE 1,038.00
9,219,393,100.00 DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93931 WCH HB DEFAULT FEE SCHEDULE 627.00
9,219,397,000.00 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93970 WCH HB DEFAULT FEE SCHEDULE 1,392.00
9,219,397,100.00 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93971 WCH HB DEFAULT FEE SCHEDULE 1,022.00
9,219,397,500.00 DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93975 WCH HB DEFAULT FEE SCHEDULE 1,714.00
9,219,397,600.00 DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93976 WCH HB DEFAULT FEE SCHEDULE 1,029.00
9,219,397,800.00 DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93978 WCH HB DEFAULT FEE SCHEDULE 1,096.00
9,409,652,300.00 IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-GENERAL [0940] 96523 WCH HB DEFAULT FEE SCHEDULE 135.00
9,409,919,500.00 PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-GENERAL [0940] 99195 WCH HB PB LAB FEE SCHEDULE 171.00
9,429,896,000.00 EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-EDUCATION/TRAINING [0942] 98960 WCH HB DEFAULT FEE SCHEDULE 97.00
9,430,000,100.00 Hc Wch Cardiac Wellness Maintenance OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943] WCH HB DEFAULT FEE SCHEDULE 7.00
9,439,379,700.00 OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943] 93797 WCH HB DEFAULT FEE SCHEDULE 238.00
9,439,379,800.00 OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943] 93798 WCH HB DEFAULT FEE SCHEDULE 238.00
9,831,200,100.00 PRO SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12001 WCH HB DEFAULT FEE SCHEDULE 629.00
9,831,200,200.00 PRO SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12002 WCH HB DEFAULT FEE SCHEDULE 761.00
9,831,200,400.00 PRO SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12004 WCH HB DEFAULT FEE SCHEDULE 857.00
9,831,201,100.00 PRO SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12011 WCH HB DEFAULT FEE SCHEDULE 761.00
9,831,201,500.00 PRO SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12015 WCH HB DEFAULT FEE SCHEDULE 923.00
9,831,203,100.00 PRO REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12031 WCH HB DEFAULT FEE SCHEDULE 562.00
9,831,203,200.00 PRO REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12032 WCH HB DEFAULT FEE SCHEDULE 824.00
9,831,204,200.00 PRO REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12042 WCH HB DEFAULT FEE SCHEDULE 741.00
9,831,312,100.00 PRO REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 13121 WCH HB DEFAULT FEE SCHEDULE 1,906.00
9,832,060,000.00 PRO ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 20600 WCH HB DEFAULT FEE SCHEDULE 165.00
9,832,061,000.00 PRO ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 20610 WCH HB DEFAULT FEE SCHEDULE 255.00
9,832,365,000.00 PRO CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 23650 WCH HB DEFAULT FEE SCHEDULE 1,836.00
9,832,556,500.00 PRO CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 25565 WCH HB DEFAULT FEE SCHEDULE 2,603.00
9,832,560,000.00 PRO CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 25600 WCH HB DEFAULT FEE SCHEDULE 1,489.00
9,832,677,000.00 PRO CLTX IPHAL JT DISLC W/MANJ W/O ANES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 26770 WCH HB DEFAULT FEE SCHEDULE 1,521.00
9,832,910,500.00 PRO APPLICATION LONG ARM SPLINT SHOULDER HAND PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 29105 WCH HB DEFAULT FEE SCHEDULE 341.00
9,832,912,500.00 PRO APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 29125 WCH HB DEFAULT FEE SCHEDULE 293.00
9,832,958,100.00 PRO APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 29581 WCH HB DEFAULT FEE SCHEDULE 319.00
9,833,090,100.00 PRO CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 30901 WCH HB DEFAULT FEE SCHEDULE 408.00
9,833,150,000.00 PRO INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 31500 WCH HB DEFAULT FEE SCHEDULE 916.00
9,833,255,100.00 PRO TUBE THORACOSTOMY INCLUDES WATER SEAL PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 32551 WCH HB DEFAULT FEE SCHEDULE 1,075.00
9,833,600,000.00 PRO INTRODUCTION NEEDLE/INTRACATHETER VEIN PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 36000 WCH HB DEFAULT FEE SCHEDULE 391.00
9,834,908,200.00 PRO ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 49082 WCH HB DEFAULT FEE SCHEDULE 650.00
9,836,920,000.00 PRO RMVL FB XTRNL AUDITORY CANAL W/O ANES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 69200 WCH HB DEFAULT FEE SCHEDULE 462.00
9,839,296,000.00 PRO CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 92960 WCH HB DEFAULT FEE SCHEDULE 840.00
9,839,301,000.00 PRO ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 93010 WCH HB DEFAULT FEE SCHEDULE 51.00
9,839,322,500.00 PRO ECG MONIT/REPRT UP TO 48 HRS PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 93225 WCH HB DEFAULT FEE SCHEDULE 387.00
9,839,332,500.00 PRO DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 93325 WCH HB DEFAULT FEE SCHEDULE 590.00
9,839,905,000.00 PRO SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99050 WCH HB PB LAB FEE SCHEDULE 180.00
9,839,921,700.00 PRO OBSERVATION CARE DISCHARGE MANAGEMENT PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99217 WCH HB DEFAULT FEE SCHEDULE 244.00
9,839,921,800.00 PRO INITIAL OBSERVATION CARE/DAY 30 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99218 WCH HB DEFAULT FEE SCHEDULE 303.00
9,839,921,900.00 PRO INITIAL OBSERVATION CARE/DAY 50 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99219 WCH HB DEFAULT FEE SCHEDULE 419.00
9,839,922,000.00 PRO INITIAL OBSERVATION CARE/DAY 70 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99220 WCH HB DEFAULT FEE SCHEDULE 518.00
9,839,922,500.00 PRO SBSQ OBSERVATION CARE/DAY 25 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99225 WCH HB DEFAULT FEE SCHEDULE 193.00
9,839,923,200.00 PRO SBSQ HOSPITAL CARE/DAY 25 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99232 WCH HB DEFAULT FEE SCHEDULE 224.00
9,839,923,300.00 PRO SBSQ HOSPITAL CARE/DAY 35 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99233 WCH HB DEFAULT FEE SCHEDULE 306.00
9,839,923,400.00 PRO OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99234 WCH HB DEFAULT FEE SCHEDULE 421.00
9,839,923,600.00 PRO OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99236 WCH HB DEFAULT FEE SCHEDULE 2,234.00
9,839,923,800.00 PRO HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/< PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99238 WCH HB DEFAULT FEE SCHEDULE 253.00
9,839,923,900.00 PRO HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99239 WCH HB DEFAULT FEE SCHEDULE 316.00
9,839,928,100.00 PRO EMERGENCY DEPARTMENT VISIT LEVEL 1 LIMITED/MINOR PROB PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99281 WCH HB DEFAULT FEE SCHEDULE 338.00
9,839,928,200.00 PRO EMERGENCY DEPARTMENT VISIT LEVEL 2 LOW/MODER SEVERITY PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99282 WCH HB DEFAULT FEE SCHEDULE 457.00
9,839,928,300.00 PRO EMERGENCY DEPARTMENT VISIT LEVEL 3 MODERATE SEVERITY PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99283 WCH HB DEFAULT FEE SCHEDULE 688.00
9,839,928,400.00 PRO EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99284 WCH HB DEFAULT FEE SCHEDULE 1,027.00
9,839,928,500.00 PRO EMERGENCY DEPT VISIT LEVEL 5 HIGH SEVERITY&THREAT FUNCJ PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99285 WCH HB DEFAULT FEE SCHEDULE 1,531.00
9,839,929,100.00 PRO CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99291 WCH HB DEFAULT FEE SCHEDULE 2,000.00
9,839,929,200.00 PRO CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99292 WCH HB DEFAULT FEE SCHEDULE 736.00


Px CodeGeneric NameCPT(R)/HCPCS CodeNDCUnit PriceOverride Bill CodeOverride Price
2,500,000,200.00 lidocaine 1 %-epinephrine 1:100,000 injection solution 63,323,048,226.00 7.52
2,500,000,200.00 bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution 409,904,501.00 8.00
2,500,000,200.00 bupivacaine (PF) 0.5 % (5 mg/mL) injection solution 63,323,046,631.00 29.41
2,500,000,200.00 bupivacaine (PF) 0.5 % (5 mg/mL) injection solution 409,116,219.00 7.45
2,500,000,200.00 balanced salt solution non-surgical no.3 eye wash 65,053,001.00 107.34
2,500,000,200.00 sodium chloride 0.9 % irrigation solution 264,220,100.00 61.30
2,500,000,200.00 sodium chloride 0.9 % irrigation solution 338,004,802.00 84.00
2,500,000,200.00 tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution 23,155,052,431.00 58.84
2,500,000,200.00 water for injection, sterile injection solution 409,488,750.00 60.65
2,500,000,200.00 water for injection, sterile injection solution 409,488,723.00 59.60
2,500,000,200.00 zidovudine 100 mg capsule 65,862,010,701.00 7.14
2,500,000,200.00 lidocaine HCL 2 % mucosal solution 50,383,077,515.00 6.52
2,500,000,200.00 lidocaine HCL 2 % mucosal solution 50,383,077,504.00 7.27
2,500,000,200.00 bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution 55,150,016,710.00 7.70
2,500,000,200.00 bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution 55,150,016,830.00 7.75
2,500,000,200.00 dexmedeTOMIDine 100 mcg/mL intravenous solution J1555 44,567,060,104.00 395.23
2,500,000,200.00 dextrose 50 % in water (D50W) intravenous syringe 409,751,716.00 73.70
2,500,000,200.00 dextrose 50 % in water (D50W) intravenous syringe 76,329,330,101.00 83.25
2,500,000,200.00 niCARdipine 25 mg/10 mL intravenous solution 143,968,910.00 148.02
2,500,000,200.00 norepinephrine bitartrate 1 mg/mL intravenous solution 409,337,504.00 108.73
2,500,000,200.00 norepinephrine bitartrate 1 mg/mL intravenous solution 703,115,303.00 106.52
2,500,000,200.00 norepinephrine bitartrate 1 mg/mL intravenous solution 70,121,157,607.00 106.52
2,500,000,200.00 lidocaine 2 % mucosal jelly in applicator 76,329,301,305.00 61.51
2,500,000,200.00 mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution 54,643,786,201.00 81.03
2,500,000,200.00 sodium hypochlorite 0.25 % solution 39,328,006,325.00 5.65
2,500,000,200.00 sarilumab 200 mg/1.14 mL subcutaneous syringe 24,591,001.00 4,278.46
2,500,000,200.00 mvi,adult no.4,vit K,comp(vial 1 of 2) 3,300 unit-150 mcg/5 mL IV soln 54,643,786,208.00 70.02
2,500,000,200.00 mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln 54,643,786,209.00 70.02
2,500,000,200.00 sodium nitroprusside 25 mg/mL intravenous solution 187,430,202.00 775.00
2,500,000,200.00 sodium nitroprusside 25 mg/mL intravenous solution 67,457,083,902.00 392.00
2,500,000,200.00 benzocaine 20 % mucosal aerosol spray 283,067,902.00 111.86
2,500,000,200.00 cinacalcet 60 mg tablet 55,513,007,430.00 109.39 J0604
2,500,000,200.00 diphenhydrAMINE 25 mg capsule,diphenhydrAMINE 25 mg tablet 904,555,159.00 5.64
2,500,000,200.00 cocaine 4 % topical solution,cocaine 4 % nasal solution 527,196,174.00 195.13
2,500,000,200.00 9,999,999,021.00 15.59
2,500,000,200.00 9,999,999,027.00 14.94
2,500,000,200.00 sodium chloride 0.9 % injection solution 63,323,018,620.00 59.76
2,500,000,200.00 ketamine 10 mg/mL injection solution 42,023,011,310.00 108.28
2,500,000,200.00 ketamine 10 mg/mL injection solution 67,457,018,100.00 107.80
2,500,000,200.00 ketamine 50 mg/mL injection solution 143,950,801.00 70.33
2,500,000,200.00 lidocaine HCL 10 mg/mL (1 %) injection solution 63,323,048,526.00 7.22
2,500,000,200.00 nafcillin 2 gram solution for injection S0032 63,323,032,820.00 171.67
2,500,000,200.00 phenylephrine 2.5 % eye drops 17,478,020,115.00 321.50
2,500,000,200.00 prochlorperazine maleate 5 mg tablet 378,510,501.00 5.94
2,500,000,200.00 promethazine 25 mg tablet 65,162,052,110.00 5.67
2,500,000,200.00 sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe 409,663,734.00 80.85
2,500,000,200.00 sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe 76,329,335,201.00 83.50
2,500,000,200.00 sodium chloride 0.9 % (flush) injection syringe 63,807,010,001.00 5.70
2,500,000,200.00 sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution 60,267,070,550.00 369.00
2,500,000,200.00 water for irrigation, sterile solution 338,000,402.00 72.00
2,500,000,200.00 water for irrigation, sterile solution 338,000,404.00 59.80
2,500,000,200.00 verapamiL 2.5 mg/mL intravenous solution 409,114,401.00 59.72
2,500,000,200.00 verapamiL 2.5 mg/mL intravenous solution 409,401,101.00 68.67
2,500,000,200.00 verapamiL 2.5 mg/mL intravenous solution 409,114,402.00 72.84
2,500,000,200.00 rocuronium 10 mg/mL intravenous solution 409,955,810.00 71.59
2,500,000,200.00 dronabinoL 2.5 mg capsule 49,884,086,702.00 23.41
2,500,000,200.00 dronabinoL 2.5 mg capsule 67,877,056,860.00 7.31
6,360,000,200.00 heparin (porcine) 10,000 unit/mL injection solution J1644 25,021,040,366.00 60.13
6,360,000,200.00 heparin (porcine) 10,000 unit/mL injection solution J1644 67,457,060,202.00 69.10
6,360,000,200.00 heparin (porcine) 10,000 unit/mL injection solution J1644 71,288,040,402.00 61.55
6,360,000,200.00 heparin (porcine) 5,000 unit/mL injection solution J1644 71,288,040,301.00 60.20
6,360,000,200.00 labetaloL 5 mg/mL intravenous solution J3490 17,478,042,020.00 147.50
6,360,000,200.00 labetaloL 5 mg/mL intravenous solution J3490 409,226,754.00 72.30
6,360,000,200.00 labetaloL 5 mg/mL intravenous solution J3490 409,226,720.00 61.86
6,360,000,200.00 pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe 90670 5,197,105.00 617.74
6,360,000,200.00 lidocaine (PF) 10 mg/mL (1 %) injection solution J2001 409,471,302.00 7.16
6,360,000,200.00 lidocaine (PF) 10 mg/mL (1 %) injection solution J2001 63,323,049,257.00 15.39
6,360,000,200.00 lidocaine (PF) 20 mg/mL (2 %) injection solution J2001 63,323,049,507.00 15.12
6,360,000,200.00 lidocaine (PF) 20 mg/mL (2 %) injection solution J2001 409,206,610.00 8.08
6,360,000,200.00 measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut 90707 6,468,100.00 347.06
6,360,000,200.00 mepivacaine (PF) 15 mg/mL (1.5 %) injection solution J0670 409,104,130.00 70.08
6,360,000,200.00 denosumab 60 mg/mL subcutaneous syringe J0897 55,513,071,001.00 2,579.24
6,360,000,200.00 methylergonovine 0.2 mg/mL (1 mL) injection solution J2210 51,991,014,499.00 108.26
6,360,000,200.00 enoxaparin 30 mg/0.3 mL subcutaneous syringe J1650 955,100,310.00 70.91
6,360,000,200.00 enoxaparin 40 mg/0.4 mL subcutaneous syringe J1650 955,100,410.00 73.04
6,360,000,200.00 enoxaparin 40 mg/0.4 mL subcutaneous syringe J1650 75,801,410.00 73.04
6,360,000,200.00 enoxaparin 60 mg/0.6 mL subcutaneous syringe J1650 955,100,610.00 82.82
6,360,000,200.00 enoxaparin 60 mg/0.6 mL subcutaneous syringe J1650 75,062,160.00 231.67
6,360,000,200.00 enoxaparin 100 mg/mL subcutaneous syringe J1650 955,101,010.00 109.87
6,360,000,200.00 diazePAM 5 mg/mL injection syringe J3360 409,127,332.00 150.04
6,360,000,200.00 ondansetron HCl (PF) 4 mg/2 mL injection solution J2405 641,607,825.00 60.80
6,360,000,200.00 ondansetron HCl (PF) 4 mg/2 mL injection solution J2405 23,155,054,842.00 60.80
6,360,000,200.00 ondansetron HCl (PF) 4 mg/2 mL injection solution J2405 23,155,054,831.00 60.80
6,360,000,200.00 ondansetron HCL 2 mg/mL intravenous solution J2405 23,155,055,031.00 58.55
6,360,000,200.00 immune glob G 20 gram/200 mL(10%)-gly-IgA ave 46 mcg/mL injection soln J1561 13,533,080,025.00 5,052.40
6,360,000,200.00 acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution J0131 43,825,010,201.00 229.40
6,360,000,200.00 penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe J0561 60,793,070,102.00 522.16
6,360,000,200.00 filgrastim 480 mcg/1.6 mL injection solution J1442 55,513,054,601.00 1,151.33
6,360,000,200.00 levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback J1956 25,021,013,267.00 70.50
6,360,000,200.00 levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback J1956 25,021,013,268.00 250.05
6,360,000,200.00 ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback J0744 36,000,000,924.00 61.90
6,360,000,200.00 phytonadione (vitamin K1) 10 mg/mL injection solution J3430 409,915,801.00 74.20
6,360,000,200.00 phytonadione (vitamin K1) 10 mg/mL injection solution J3430 43,598,040,511.00 73.05
6,360,000,200.00 phytonadione (vitamin K1) 10 mg/mL injection solution J3430 43,598,040,516.00 73.05
6,360,000,200.00 ibandronate 3 mg/3 mL intravenous syringe J1740 60,505,609,700.00 640.00
6,360,000,200.00 pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution 90732 6,494,301.00 379.08
6,360,000,200.00 potassium chloride 10 mEq/100mL in sterile water intravenous piggyback J3480 338,070,948.00 61.90
6,360,000,200.00 propofoL 10 mg/mL intravenous emulsion J2704 25,021,060,850.00 84.60
6,360,000,200.00 propofoL 10 mg/mL intravenous emulsion J2704 409,469,954.00 109.90
6,360,000,200.00 propofoL 10 mg/mL intravenous emulsion J2704 43,598,054,910.00 150.50
6,360,000,200.00 ceFAZolin 2 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback J0690 264,310,511.00 82.77
6,360,000,200.00 terbutaline 1 mg/mL subcutaneous solution J3105 143,974,610.00 68.50
6,360,000,200.00 vecuronium bromide 10 mg intravenous solution J3490 67,457,043,810.00 80.63
6,360,000,200.00 vecuronium bromide 10 mg intravenous solution J3490 55,150,023,501.00 68.90
6,360,000,200.00 vecuronium bromide 20 mg intravenous solution J3490 67,457,047,520.00 80.00
6,360,000,200.00 digoxin 250 mcg/mL (0.25 mg/mL) injection solution J1160 641,141,035.00 70.00
6,360,000,200.00 hydrocortisone sodium succinate 100 mg solution for injection J1720 9,082,501.00 81.41
6,360,000,200.00 golimumab 12.5 mg/mL intravenous solution J1602 57,894,035,001.00 4,449.19
6,360,000,200.00 ferric carboxymaltose 50 mg iron/mL intravenous solution J1439 517,065,001.00 2,434.08
6,360,000,200.00 ferric carboxymaltose 50 mg iron/mL intravenous solution J1439 517,065,002.00 2,267.97
6,360,000,200.00 acetylcysteine 200 mg/mL (20 %) solution J7608 63,323,069,030.00 6.30
6,360,000,200.00 adenosine 3 mg/mL intravenous syringe J0153 25,021,030,167.00 104.50
6,360,000,200.00 pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection syringe 90732 6,483,701.00 364.11
6,360,000,200.00 famotidine (PF) 20 mg/2 mL intravenous solution J3490 63,323,073,916.00 59.03 S0028
6,360,000,200.00 EPINEPHrine 0.1 mg/mL injection syringe J0171 409,492,120.00 69.74
6,360,000,200.00 heparin, porcine (PF) 100 unit/mL intravenous syringe J1642 63,807,060,005.00 59.30
6,360,000,200.00 heparin, porcine (PF) 100 unit/mL intravenous syringe J1642 64,253,033,335.00 58.88
6,360,000,200.00 vedolizumab 300 mg intravenous solution J3380 64,764,030,020.00 11,026.63
6,360,000,200.00 testosterone cypionate 200 mg/mL intramuscular oil J1071 9,052,001.00 69.50
6,360,000,200.00 hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular syringe 90747 58,160,082,152.00 253.11
6,360,000,200.00 hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe 90740 58,160,082,052.00 147.10
6,360,000,200.00 immune glob G 40 gram/400 mL(10%)-gly-IgA ave 46 mcg/mL injection soln J1561 13,533,080,040.00 8,954.80
6,360,000,200.00 vasopressin 20 unit/mL intravenous solution J3490 42,023,016,401.00 612.38
6,360,000,200.00 rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe J2791 44,206,030,001.00 510.38
6,360,000,200.00 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe 90714 49,281,021,588.00 173.42
6,360,000,200.00 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp 90714 49,281,021,510.00 173.42
6,360,000,200.00 diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe 90715 49,281,040,015.00 201.99
6,360,000,200.00 diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe 90715 49,281,040,020.00 230.23
6,360,000,200.00 diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe 90715 49,281,040,089.00 230.23
6,360,000,200.00 dimethyl sulfoxide 50 % intravesical solution J1212 67,457,017,750.00 1,518.60
6,360,000,200.00 methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection J2930 9,004,722.00 74.24
6,360,000,200.00 methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection J2930 9,004,704.00 80.17
6,360,000,200.00 methylPREDNISolone sod succ (PF) 500 mg/4 mL intravenous solution J2930 9,000,302.00 201.00
6,360,000,200.00 methylPREDNISolone sod succ (PF) 1,000 mg/8 mL intravenous solution J2930 9,001,820.00 251.64
6,360,000,200.00 filgrastim-sndz 300 mcg/0.5 mL injection syringe Q5101 61,314,031,801.00 674.36
6,360,000,200.00 filgrastim-sndz 480 mcg/0.8 mL injection syringe Q5101 61,314,032,601.00 1,088.98
6,360,000,200.00 pegfilgrastim 6 mg/0.6 mL subcutaneous syringe J2505 55,513,019,001.00 10,167.99
6,360,000,200.00 chlorproMAZINE 25 mg/mL injection solution J3230 641,139,835.00 170.10
6,360,000,200.00 filgrastim 300 mcg/0.5 mL injection syringe J1442 55,513,092,491.00 808.70
6,360,000,200.00 darbepoetin alfa 25 mcg/0.42 mL in polysorbate injection syringe J0882 55,513,005,704.00 543.50 J0882
6,360,000,200.00 calcium chloride 100 mg/mL (10 %) intravenous syringe J3490 409,163,110.00 71.62
6,360,000,200.00 leuprolide 7.5 mg intramuscular syringe kit J9217 74,364,203.00 4,217.45
6,360,000,200.00 zoledronic acid 4 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 70,860,021,051.00 229.50
6,360,000,200.00 calcium gluconate 100 mg/mL (10 %) intravenous solution J0610 63,323,036,001.00 69.51
6,360,000,200.00 hum prothrombin cplx (PCC) 4factor 500 unit (400-620 unit) IV solution J7168 63,833,038,602.00 4,150.00
6,360,000,200.00 hum prothrombin cplx(PCC)4fact 1,000 unit (800-1,240 unit) IV solution J7168 63,833,038,702.00 4,150.00
6,360,000,200.00 morphine 8 mg/mL intravenous syringe J2270 409,189,210.00 60.52
6,360,000,200.00 sugammadex 100 mg/mL intravenous solution J3490 6,542,312.00 371.94
6,360,000,200.00 mepolizumab 100 mg subcutaneous solution J2182 173,088,101.00 5,616.99
6,360,000,200.00 ceFAZolin 1 gram solution for injection J0690 44,567,070,725.00 59.95
6,360,000,200.00 ceFAZolin 1 gram solution for injection J0690 25,021,010,167.00 59.22
6,360,000,200.00 ceFAZolin 1 gram solution for injection J0690 60,505,614,205.00 59.73
6,360,000,200.00 epoetin alfa 20,000 unit/mL injection solution Q4081 55,513,047,810.00 806.60 J0885
6,360,000,200.00 DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln J1265 338,100,902.00 106.75
6,360,000,200.00 lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution J2001 264,959,420.00 70.25
6,360,000,200.00 heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV J1644 264,957,710.00 85.00
6,360,000,200.00 heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV J1644 63,323,052,201.00 73.50
6,360,000,200.00 morphine (PF) 1 mg/mL injection solution J2274 641,601,910.00 151.46
6,360,000,200.00 cefepime 1 gram solution for injection J0692 25,021,012,166.00 61.44
6,360,000,200.00 cefepime 2 gram solution for injection J0692 25,021,012,267.00 70.20
6,360,000,200.00 ocrelizumab 30 mg/mL intravenous solution J2350 50,242,015,001.00 25,155.41
6,360,000,200.00 varicella-zoster glycoE vacc-AS01B adj(PF) 50 mcg/0.5 mL IM susp, kit 90750 58,160,082,311.00 512.01
6,360,000,200.00 tenecteplase 50 mg intravenous solution J3101 50,242,012,047.00 10,248.71
6,360,000,200.00 meropenem 1 gram intravenous solution J2185 63,323,050,825.00 81.00
6,360,000,200.00 antivenin Crotalidae (equine) solution for injection J0841 66,621,079,002.00 2,445.00
6,360,000,200.00 vancomycin 1 gram/200 mL in water for injection(PEG,NADA) IV piggyback J3370 70,594,004,201.00 104.50
6,360,000,200.00 pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe Q5111 70,114,010,101.00 6,625.00
6,360,000,200.00 romosozumab-aqqg 210 mg/2.34 mL(105 mg/1.17 mL x2)subcutaneous syringe J3111 55,513,088,002.00 4,382.68
6,360,000,200.00 vancomycin 2 gram/400 mL in water for injection(PEG,NADA) IV piggyback J3370 70,594,004,401.00 150.50
6,360,000,200.00 vancomycin 2 gram/400 mL in water for injection(PEG,NADA) IV piggyback J3370 70,594,004,402.00 150.50
6,360,000,200.00 pegfilgrastim-bmez 6 mg/0.6 mL subcutaneous syringe Q5120 61,314,086,601.00 6,375.53
6,360,000,200.00 remdesivir 100 mg intravenous powder for solution C9399 61,958,290,101.00 2,265.00
6,360,000,200.00 remdesivir 100 mg intravenous powder for solution C9399 61,958,290,102.00 2,265.00
6,360,000,200.00 bamlanivimab 700 mg/20 mL (35 mg/mL) intravenous soln (1 of 2) (EUA) Q0239 2,791,001.00 0.01
6,360,000,200.00 piperacillin-tazobactam 4.5 gram intravenous solution J2543 63,323,032,056.00 72.10
6,360,000,200.00 piperacillin-tazobactam 4.5 gram intravenous solution J2543 64,679,001,201.00 84.60
6,360,000,200.00 piperacillin-tazobactam 3.375 gram intravenous solution J2543 63,323,030,036.00 70.20
6,360,000,200.00 piperacillin-tazobactam 3.375 gram intravenous solution J2543 64,679,005,601.00 81.53
6,360,000,200.00 piperacillin-tazobactam 3.375 gram intravenous solution J2543 63,323,098,353.00 61.30
6,360,000,200.00 DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV J1250 409,234,732.00 82.50
6,360,000,200.00 sotrovimab 500 mg/8 mL (62.5 mg/mL) intravenous solution (EUA) Q0247 173,090,186.00 0.01
6,360,000,200.00 flu vaccine qs 2021-22(6mos up)(PF) 60 mcg(15 mcgx4)/0.5 mL IM syringe 90686 19,515,081,852.00 105.88
6,360,000,200.00 casirivimab 60 mg-imdevimab 60 mg/mL intravenous solution (EUA) 6360000200 61,755,003,900.00 0.01
6,360,000,200.00 cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution J3420 63,323,004,400.00 58.99
6,360,000,200.00 cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution J3420 63,323,004,401.00 58.99
6,360,000,200.00 etomidate 2 mg/mL intravenous solution J3490 409,669,502.00 70.92
6,360,000,200.00 etomidate 2 mg/mL intravenous solution J3490 55,150,022,220.00 70.86
6,360,000,200.00 leuprolide 22.5 mg (3 month) intramuscular syringe kit J9217 74,334,603.00 9,052.34
6,360,000,200.00 azithromycin 500 mg intravenous solution J0456 63,323,039,814.00 71.70
6,360,000,200.00 amphotericin B liposome 50 mg intravenous suspension J0289 469,305,130.00 667.29
6,360,000,200.00 rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp 90675 58,160,096,412.00 835.99
6,360,000,200.00 ketorolac 30 mg/mL (1 mL) injection solution J1885 63,323,016,216.00 59.23
6,360,000,200.00 ketorolac 30 mg/mL (1 mL) injection solution J1885 72,611,072,201.00 59.42
6,360,000,200.00 eptifibatide 0.75 mg/mL intravenous solution J1327 70,121,100,301.00 775.00
6,360,000,200.00 eptifibatide 0.75 mg/mL intravenous solution J1327 85,113,601.00 1,194.10
6,360,000,200.00 dexAMETHasone 4 mg tablet J8540 54,418,425.00 5.74
6,360,000,200.00 dexAMETHasone sodium phosphate 10 mg/mL injection solution J1100 641,036,721.00 59.73
6,360,000,200.00 dexAMETHasone sodium phosphate 4 mg/mL injection solution J1100 63,323,016,516.00 59.16
6,360,000,200.00 inFLIXimab 100 mg intravenous solution J1745 57,894,003,001.00 2,392.82
6,360,000,200.00 diazePAM 5 mg/mL injection solution J3360 409,321,312.00 200.11
6,360,000,200.00 dicyclomine 10 mg/mL intramuscular solution J0500 31,722,096,332.00 106.00
6,360,000,200.00 dicyclomine 10 mg/mL intramuscular solution J0500 31,722,096,331.00 106.00
6,360,000,200.00 heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV J1644 409,779,352.00 74.00
6,360,000,200.00 heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV J1644 63,323,052,374.00 72.75
6,360,000,200.00 sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous J2916 24,279,410.00 154.30
6,360,000,200.00 diphenhydrAMINE 50 mg/mL injection solution J1200 63,323,066,416.00 59.12
6,360,000,200.00 diphenhydrAMINE 50 mg/mL injection solution J1200 63,323,066,401.00 61.05
6,360,000,200.00 pantoprazole 40 mg intravenous solution C9113 8,400,101.00 69.53
6,360,000,200.00 pantoprazole 40 mg intravenous solution C9113 55,150,020,200.00 69.50
6,360,000,200.00 pantoprazole 40 mg intravenous solution C9113 781,323,294.00 69.40
6,360,000,200.00 droperidoL 2.5 mg/mL injection solution J1790 517,970,201.00 60.35
6,360,000,200.00 morphine 10 mg/mL intravenous solution J2270 641,612,725.00 60.62
6,360,000,200.00 EPINEPHrine 1 mg/mL (1 mL) injection solution J0171 42,023,015,925.00 84.96
6,360,000,200.00 iron sucrose 100 mg iron/5 mL intravenous solution J1756 517,234,099.00 247.00
6,360,000,200.00 prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution J7510 121,075,908.00 139.82
6,360,000,200.00 propranoloL 1 mg/mL intravenous solution J1800 143,987,201.00 72.50
6,360,000,200.00 alteplase 2 mg intra-catheter solution J2997 50,242,004,164.00 503.06
6,360,000,200.00 ertapenem 1 gram solution for injection J1335 6,384,371.00 390.66
6,360,000,200.00 ertapenem 1 gram solution for injection J1335 42,023,022,110.00 379.07
6,360,000,200.00 folic acid 5 mg/mL injection solution J3490 63,323,018,410.00 59.28
6,360,000,200.00 pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution J2430 67,457,043,010.00 149.50
6,360,000,200.00 furosemide 10 mg/mL injection solution J1940 63,323,028,026.00 58.80
6,360,000,200.00 ziprasidone 20 mg/mL (final concentration) intramuscular solution J3486 49,392,020.00 149.83
6,360,000,200.00 leuprolide 22.5 mg (3 month) subcutaneous syringe J9217 62,935,022,305.00 2,580.07
6,360,000,200.00 gentamicin 40 mg/mL injection solution J1580 63,323,001,094.00 59.14
6,360,000,200.00 zoledronic acid 4 mg/5 mL intravenous solution J3489 25,021,080,166.00 530.00
6,360,000,200.00 haloperidol lactate 5 mg/mL injection solution J1630 143,950,101.00 58.94
6,360,000,200.00 haloperidol lactate 5 mg/mL injection solution J1630 143,950,125.00 58.94
6,360,000,200.00 haloperidol lactate 5 mg/mL injection solution J1630 63,323,047,401.00 60.70
6,360,000,200.00 palonosetron 0.25 mg/5 mL intravenous solution J2469 62,856,079,701.00 600.00
6,360,000,200.00 hydrALAZINE 20 mg/mL injection solution J0360 63,323,061,401.00 334.60
6,360,000,200.00 DAPTOmycin 500 mg intravenous solution J0878 67,919,001,202.00 1,095.49
6,360,000,200.00 hydrOXYzine HCL 50 mg/mL intramuscular solution J3410 517,560,125.00 145.95
6,360,000,200.00 acetylcysteine 200 mg/mL (20 %) intravenous solution J0132 55,150,025,930.00 107.25
6,360,000,200.00 acetylcysteine 200 mg/mL (20 %) intravenous solution J0132 63,323,096,321.00 107.30
6,360,000,200.00 adenosine 3 mg/mL intravenous solution J0153 63,323,065,102.00 80.95
6,360,000,200.00 flumazeniL 0.1 mg/mL intravenous solution J3490 63,323,042,405.00 71.28
6,360,000,200.00 natalizumab 300 mg/15 mL intravenous solution J2323 64,406,000,801.00 11,213.99
6,360,000,200.00 aminophylline 250 mg/10 mL intravenous solution J0280 409,592,101.00 82.50
6,360,000,200.00 LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe J2060 409,198,530.00 61.24
6,360,000,200.00 LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe J2060 641,604,425.00 59.48
6,360,000,200.00 hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection J1720 9,082,501.00 81.41
6,360,000,200.00 fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe,fentaNYL (PF) 50 mcg/mL injection solution J3010 409,909,332.00 59.76
6,360,000,200.00 fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe,fentaNYL (PF) 50 mcg/mL injection solution J3010 409,909,425.00 60.19
6,360,000,200.00 midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution J2250 409,230,517.00 59.27
6,360,000,200.00 calcium chloride 100 mg/mL (10 %) intravenous solution,calcium chloride 100 mg/mL (10 %) intravenous syringe J3490 409,163,110.00 60.08
6,360,000,200.00 amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe J0282 63,323,061,609.00 68.88
6,360,000,200.00 amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe J0282 143,987,501.00 60.30
6,360,000,200.00 amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe J0282 143,987,525.00 60.30
6,360,000,200.00 cefTRIAXone 1 gram solution for injection J0696 409,733,201.00 106.00
6,360,000,200.00 metoprolol tartrate 5 mg/5 mL intravenous solution,metoprolol tartrate 5 mg/5 mL intravenous syringe J3490 143,987,325.00 61.00
6,360,000,200.00 morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous cartridge,morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection solution,morphine 4 mg/mL intravenous syringe J2270 641,612,525.00 60.57
6,360,000,200.00 hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular susp,hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular syringe 90746 58,160,082,152.00 253.11
6,360,000,200.00 HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe J1170 409,336,511.00 59.87
6,360,000,200.00 midazolam (PF) 5 mg/mL injection solution,midazolam 5 mg/mL injection solution J2250 409,230,801.00 59.35
6,360,000,200.00 J7512 9,999,999,026.00 15.85
6,360,000,200.00 J7510 9,999,999,025.00 16.48
6,360,000,200.00 diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe 90715 58,160,084,252.00 201.31
6,360,000,200.00 glucagon 1 mg/mL solution for injection J1610 597,026,010.00 521.60
6,360,000,200.00 lidocaine (PF) 40 mg/mL (4 %) injection solution J2001 409,428,325.00 68.85
6,360,000,200.00 lidocaine (PF) 50 mg/5 mL (1 %) intravenous syringe 6360000200 409,913,705.00 71.49
6,360,000,200.00 lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe J2001 409,132,305.00 61.69
6,360,000,200.00 ampicillin 2 gram solution for injection J0290 781,927,395.00 83.40
6,360,000,200.00 magnesium sulfate 4 mEq/mL (50 %) injection solution J3475 63,323,006,403.00 60.03
6,360,000,200.00 mannitoL 20 % intravenous solution J2150 338,035,703.00 61.99
6,360,000,200.00 methylPREDNISolone 4 mg tablet J7509 59,746,000,106.00 5.78
6,360,000,200.00 methylPREDNISolone acetate 80 mg/mL suspension for injection J1040 9,347,501.00 106.93
6,360,000,200.00 metoclopramide 5 mg/mL injection solution J2765 23,155,024,041.00 59.40
6,360,000,200.00 metoclopramide 5 mg/mL injection solution J2765 703,450,281.00 58.75
6,360,000,200.00 nalbuphine 10 mg/mL injection solution J2300 409,146,301.00 61.94
6,360,000,200.00 nalbuphine 10 mg/mL injection solution J2300 409,146,401.00 172.31
6,360,000,200.00 naloxone 1 mg/mL injection syringe J2310 76,329,346,901.00 170.00
6,360,000,200.00 orphenadrine citrate 30 mg/mL injection solution J2360 17,478,053,802.00 85.86
6,360,000,200.00 orphenadrine citrate 30 mg/mL injection solution J2360 641,618,201.00 85.60
6,360,000,200.00 orphenadrine citrate 30 mg/mL injection solution J2360 641,618,210.00 85.60
6,360,000,200.00 oxytocin 10 unit/mL injection solution J2590 42,023,011,625.00 59.38
6,360,000,200.00 phenylephrine 10 mg/mL injection solution J2370 641,614,225.00 68.50
6,360,000,200.00 phenylephrine 10 mg/mL injection solution J2370 76,014,000,433.00 203.25
6,360,000,200.00 phenytoin sodium 50 mg/mL intravenous solution J1165 641,255,545.00 60.30
6,360,000,200.00 potassium chloride 2 mEq/mL intravenous solution J3480 409,665,305.00 69.04
6,360,000,200.00 predniSONE 1 mg tablet J7512 603,533,521.00 5.82
6,360,000,200.00 predniSONE 10 mg tablet J7512 143,973,901.00 5.64
6,360,000,200.00 predniSONE 20 mg tablet J7512 54,001,825.00 5.63
6,360,000,200.00 predniSONE 5 mg tablet J7512 54,472,825.00 5.66
6,360,000,200.00 prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution J0780 23,155,052,341.00 69.13
6,360,000,200.00 promethazine 25 mg/mL injection solution J2550 641,092,825.00 60.15
6,360,000,200.00 promethazine 50 mg/mL injection solution J2550 641,149,631.00 60.89
6,360,000,200.00 protamine 10 mg/mL intravenous solution J2720 63,323,022,930.00 173.85
6,360,000,200.00 atropine 0.1 mg/mL injection syringe J0461 409,163,010.00 70.30
6,360,000,200.00 succinylcholine chloride 20 mg/mL injection solution J0330 409,662,902.00 107.68
6,360,000,200.00 succinylcholine chloride 20 mg/mL injection solution J0330 70,710,137,702.00 107.68
6,360,000,200.00 levETIRAcetam 500 mg/5 mL intravenous solution J1953 63,323,040,005.00 72.39
6,360,000,200.00 thiamine HCl (vitamin B1) 100 mg/mL injection solution J3411 63,323,001,302.00 60.79
6,360,000,200.00 triamcinolone acetonide 40 mg/mL suspension for injection J3301 70,121,116,801.00 73.17
6,360,000,200.00 triamcinolone acetonide 40 mg/mL suspension for injection J3301 70,121,165,701.00 73.00
6,360,000,200.00 zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 78,043,561.00 2,308.80
6,360,000,200.00 zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 55,111,068,852.00 775.00
6,360,000,200.00 zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 70,860,080,282.00 370.80
6,360,000,200.00 clindamycin 150 mg/mL injection solution J3490 25,021,011,502.00 70.44 S0077
6,360,000,200.00 clindamycin 150 mg/mL injection solution J3490 9,030,225.00 69.42 S0077
6,360,000,200.00 clindamycin 150 mg/mL injection solution J3490 9,090,125.00 61.12 S0077
6,360,000,200.00 clindamycin 150 mg/mL injection solution J3490 67,457,081,402.00 68.73 S0077
6,360,000,200.00 clindamycin 150 mg/mL injection solution J3490 72,611,063,425.00 69.42 S0077
6,360,000,200.00 vancomycin 1,000 mg intravenous injection J3370 67,457,034,001.00 71.44
6,360,000,200.00 vancomycin 1,000 mg intravenous injection J3370 63,323,028,426.00 71.44
6,360,000,200.00 vancomycin 1,000 mg intravenous injection J3370 63,323,028,441.00 68.80
6,360,000,200.00 fosphenytoin 100 mg PE/2 mL injection solution Q2009 67,457,051,625.00 85.00
6,360,000,200.00 fosphenytoin 100 mg PE/2 mL injection solution Q2009 70,121,138,105.00 85.00
6,360,000,200.00 albumin, human 25 % intravenous solution P9047 68,982,064,301.00 249.40
6,360,000,200.00 albumin, human 25 % intravenous solution P9047 76,125,079,210.00 358.00
6,360,000,200.00 albumin, human 25 % intravenous solution P9047 76,125,079,211.00 358.00
6,360,000,200.00 alteplase 100 mg intravenous solution J2997 50,242,008,525.00 14,050.36
6,360,000,200.00 alteplase 100 mg intravenous solution J2997 50,242,008,527.00 14,050.36
6,360,000,200.00 ampicillin-sulbactam 1.5 gram solution for injection J0295 49,001,381.00 72.14
6,360,000,200.00 ampicillin-sulbactam 3 gram solution for injection J0295 67,457,034,903.00 62.26
6,360,000,200.00 ampicillin-sulbactam 3 gram solution for injection J0295 67,457,034,910.00 62.26
6,360,000,200.00 ampicillin-sulbactam 3 gram solution for injection J0295 71,288,000,630.00 72.67
6,360,000,200.00 ketorolac 60 mg/2 mL intramuscular solution J1885 63,323,016,202.00 70.75
6,360,000,200.00 azaTHIOprine 50 mg tablet J7500 378,100,501.00 5.85
6,360,000,200.00 aztreonam 1 gram solution for injection J3490 63,323,040,120.00 173.08 S0073
6,360,000,200.00 betamethasone acetate and sodium phos 6 mg/mL suspension for injection J0702 517,072,001.00 234.41
6,360,000,200.00 bumetanide 0.25 mg/mL injection solution J3490 641,600,810.00 61.05 S0171
6,360,000,200.00 romiPLOStim 250 mcg subcutaneous solution J2796 55,513,022,101.00 4,514.68
6,360,000,200.00 romiPLOStim 500 mcg subcutaneous solution J2796 55,513,022,201.00 6,579.36
6,360,000,200.00 cefOXitin 1 gram intravenous solution J0694 25,021,010,910.00 81.23
6,360,000,200.00 cefOXitin 1 gram intravenous solution J0694 63,323,034,125.00 81.23
6,360,000,200.00 cefTAZidime 1 gram solution for injection J0713 409,508,216.00 68.72
6,360,000,200.00 cefTAZidime 1 gram solution for injection J0713 25,021,012,720.00 69.70
6,360,000,200.00 cefTAZidime 2 gram solution for injection J0713 25,021,012,867.00 108.47
6,360,000,200.00 cefTRIAXone 2 gram solution for injection J0696 409,733,503.00 153.75
6,360,000,200.00 cefTRIAXone 1 gram/50 mL in dextrose (iso-osmot) intravenous piggyback J0696 264,315,311.00 105.53
6,360,000,200.00 cefTRIAXone 2 gram/50 mL in dextrose (iso-osm) intravenous piggyback J0696 264,315,511.00 146.84
6,360,000,200.00 imipenem-cilastatin 500 mg intravenous solution J0743 63,323,032,294.00 82.50
6,360,000,200.00 dilTIAZem 5 mg/mL intravenous solution J3490 17,478,093,710.00 61.22
6,360,000,200.00 dilTIAZem 5 mg/mL intravenous solution J3490 17,478,081,705.00 61.11
6,360,000,200.00 dilTIAZem 5 mg/mL intravenous solution J3490 17,478,081,725.00 80.93
6,360,000,200.00 dilTIAZem 5 mg/mL intravenous solution J3490 17,478,093,726.00 80.00
6,360,000,200.00 EPINEPHrine 1 mg/mL injection solution J0171 42,023,016,801.00 650.56
6,360,000,200.00 enalaprilat 1.25 mg/mL intravenous solution J3490 143,978,610.00 73.13
6,360,000,200.00 epoetin alfa 10,000 unit/mL injection solution Q4081 59,676,031,001.00 667.25 J0885
6,360,000,200.00 epoetin alfa 4,000 unit/mL injection solution Q4081 55,513,014,801.00 328.32 J0885
6,360,000,200.00 epoetin alfa 4,000 unit/mL injection solution Q4081 55,513,014,810.00 328.32 J0885
6,370,000,100.00 famotidine 20 mg tablet 172,572,860.00 5.69
6,370,000,100.00 finasteride 5 mg tablet 16,729,009,015.00 5.80
6,370,000,100.00 finasteride 5 mg tablet 50,268,031,415.00 6.79
6,370,000,100.00 flavoxATE 100 mg tablet 51,224,015,450.00 6.42
6,370,000,100.00 fluconazole 200 mg tablet 67,405,060,403.00 5.95
6,370,000,100.00 fludrocortisone 0.1 mg tablet 115,703,301.00 5.92
6,370,000,100.00 diclofenac 1 % topical gel 65,162,083,366.00 190.40
6,370,000,100.00 diclofenac 1 % topical gel 76,282,066,339.00 15.50
6,370,000,100.00 FLUoxetine 10 mg capsule 50,111,064,701.00 5.68
6,370,000,100.00 FLUoxetine 20 mg capsule 50,111,064,801.00 5.65
6,370,000,100.00 Lactobacil rhamnosus GG 10 billion cell-inulin 200 mg sprinkle capsule 49,100,040,009.00 6.10
6,370,000,100.00 estradioL 10 mcg vaginal tablet 65,162,022,623.00 67.40
6,370,000,100.00 glipiZIDE 5 mg tablet 781,145,201.00 5.66
6,370,000,100.00 glycopyrrolate 1 mg tablet 23,155,060,601.00 5.74
6,370,000,100.00 hydrocortisone 5 mg tablet 59,762,007,301.00 5.79
6,370,000,100.00 hydrOXYchloroQUINE 200 mg tablet 781,599,401.00 6.47
6,370,000,100.00 insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension 2,831,501.00 410.70
6,370,000,100.00 insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp 2,871,517.00 204.61
6,370,000,100.00 insulin U-100 regular human 100 unit/mL injection solution 2,821,517.00 204.61
6,370,000,100.00 hydrocortisone 1 %-iodoquinoL 1 % topical cream 58,980,081,110.00 15.02
6,370,000,100.00 ketoconazole 2 % topical cream 51,672,129,802.00 6.89
6,370,000,100.00 ketoconazole 2 % topical cream 51,672,129,803.00 6.57
6,370,000,100.00 ketorolac 10 mg tablet 93,031,401.00 6.70
6,370,000,100.00 labetaloL 100 mg tablet 185,001,001.00 6.03
6,370,000,100.00 labetaloL 100 mg tablet 68,382,079,801.00 5.91
6,370,000,100.00 ammonium lactate 12 % lotion 45,802,052,526.00 54.60
6,370,000,100.00 tamsulosin 0.4 mg capsule 781,207,601.00 6.12
6,370,000,100.00 tamsulosin 0.4 mg capsule 65,862,059,801.00 5.75
6,370,000,100.00 levothyroxine 88 mcg tablet 527,134,401.00 5.75
6,370,000,100.00 levothyroxine 112 mcg tablet 781,518,592.00 5.74
6,370,000,100.00 levothyroxine 175 mcg tablet 74,707,090.00 5.81
6,370,000,100.00 lidocaine-prilocaine 2.5 %-2.5 % topical cream 168,035,705.00 7.27
6,370,000,100.00 methyl salicylate-menthol topical ointment 54,162,055,501.00 6.99
6,370,000,100.00 lisinopriL 10 mg tablet 68,180,098,001.00 5.63
6,370,000,100.00 lisinopriL 40 mg tablet 68,180,051,701.00 5.63
6,370,000,100.00 lisinopriL 5 mg tablet 68,180,051,303.00 5.64
6,370,000,100.00 fluticasone 100 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation 173,069,504.00 46.44
6,370,000,100.00 fluticasone 250 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation 173,069,600.00 28.57
6,370,000,100.00 fluticasone 250 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation 173,069,604.00 46.44
6,370,000,100.00 fluticasone 500 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation 173,069,704.00 65.66
6,370,000,100.00 bethanechol chloride 50 mg tablet 51,293,064,801.00 5.70
6,370,000,100.00 loratadine 10 mg tablet 45,802,065,078.00 5.77
6,370,000,100.00 magnesium oxide 400 mg (241.3 mg magnesium) tablet 904,660,961.00 5.69
6,370,000,100.00 magnesium oxide 400 mg (241.3 mg magnesium) tablet 63,739,035,401.00 5.69
6,370,000,100.00 metFORMIN 500 mg tablet 23,155,010,201.00 5.66
6,370,000,100.00 methIMAzole 5 mg tablet 23,155,007,001.00 5.77
6,370,000,100.00 metOLazone 2.5 mg tablet 378,617,201.00 7.42
6,370,000,100.00 metroNIDAZOLE 0.75 % vaginal gel 781,707,787.00 7.37
6,370,000,100.00 midodrine 5 mg tablet 245,021,211.00 5.99
6,370,000,100.00 midodrine 5 mg tablet 60,505,132,101.00 5.99
6,370,000,100.00 neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint 574,416,035.00 51.63
6,370,000,100.00 miSOPROStoL 200 mcg tablet 43,386,016,106.00 5.74
6,370,000,100.00 HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr 27,808,008,601.00 6.85
6,370,000,100.00 HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr 99,999,015,501.00 6.88
6,370,000,100.00 dabigatran etexilate 75 mg capsule 597,035,556.00 33.45
6,370,000,100.00 mupirocin 2 % topical ointment 51,672,131,200.00 6.53
6,370,000,100.00 mupirocin 2 % topical ointment 45,802,011,222.00 37.40
6,370,000,100.00 nitrofurantoin monohydrate/macrocrystals 100 mg capsule 378,342,201.00 8.18
6,370,000,100.00 nitrofurantoin monohydrate/macrocrystals 100 mg capsule 185,012,201.00 7.18
6,370,000,100.00 omega-3 fatty acids-fish oil 300 mg-1,000 mg capsule 30,768,003,304.00 5.66
6,370,000,100.00 electrolytes-dextrose oral solution 70,074,080,365.00 6.22
6,370,000,100.00 oxyCODONE 5 mg tablet 10,702,001,801.00 5.71
6,370,000,100.00 oxyCODONE 5 mg tablet 42,858,000,101.00 5.69
6,370,000,100.00 oxyCODONE 5 mg tablet 42,806,000,501.00 5.80
6,370,000,100.00 peg 3350-electrolytes 236 gram-22.74 gram-6.74 gram-5.86 gram solution 43,386,009,019.00 64.00
6,370,000,100.00 PARoxetine 20 mg tablet 60,505,008,302.00 5.69
6,370,000,100.00 PARoxetine 20 mg tablet 904,567,761.00 5.75
6,370,000,100.00 PARoxetine 30 mg tablet 378,700,393.00 5.68
6,370,000,100.00 linaGLIPtin 5 mg tablet 597,014,030.00 64.18
6,370,000,100.00 rivaroxaban 10 mg tablet 50,458,058,030.00 64.42
6,370,000,100.00 calcium polycarbophiL 625 mg tablet 536,430,605.00 5.67
6,370,000,100.00 oseltamivir 6 mg/mL oral suspension 4,082,205.00 33.94
6,370,000,100.00 pravastatin 10 mg tablet 68,462,019,590.00 5.98
6,370,000,100.00 pravastatin 20 mg tablet 68,462,019,690.00 5.80
6,370,000,100.00 pravastatin 20 mg tablet 68,382,007,116.00 5.87
6,370,000,100.00 pravastatin 40 mg tablet 60,505,017,009.00 5.72
6,370,000,100.00 pravastatin 40 mg tablet 68,462,019,790.00 5.75
6,370,000,100.00 pravastatin 40 mg tablet 42,291,066,890.00 5.63
6,370,000,100.00 ferrous gluconate 324 mg (37.5 mg iron) tablet 904,213,761.00 5.65
6,370,000,100.00 primidone 50 mg tablet 10,135,054,001.00 5.72
6,370,000,100.00 prochlorperazine 25 mg rectal suppository 713,013,512.00 37.11
6,370,000,100.00 promethazine 12.5 mg rectal suppository 713,053,612.00 38.15
6,370,000,100.00 promethazine 25 mg rectal suppository 713,052,612.00 23.57
6,370,000,100.00 quinapriL 20 mg tablet 69,097,084,205.00 5.66
6,370,000,100.00 ramipriL 1.25 mg capsule 16,729,015,201.00 5.81
6,370,000,100.00 ramipriL 10 mg capsule 65,862,047,701.00 5.65
6,370,000,100.00 ramipriL 2.5 mg capsule 65,862,047,501.00 5.72
6,370,000,100.00 rivaroxaban 15 mg tablet 50,458,057,830.00 46.54
6,370,000,100.00 rivaroxaban 20 mg tablet 50,458,057,990.00 33.71
6,370,000,100.00 acetaZOLAMIDE 250 mg tablet 23,155,028,801.00 5.97
6,370,000,100.00 racepinephrine 2.25 % solution for nebulization 487,278,401.00 6.45
6,370,000,100.00 sertraline 100 mg tablet 68,180,035,302.00 5.67
6,370,000,100.00 sertraline 50 mg tablet 68,180,035,202.00 5.71
6,370,000,100.00 simvastatin 10 mg tablet 16,729,000,415.00 5.66
6,370,000,100.00 simvastatin 20 mg tablet 68,180,047,902.00 5.64
6,370,000,100.00 simvastatin 40 mg tablet 16,729,000,615.00 5.63
6,370,000,100.00 sodium phosphates 19 gram-7 gram/118 mL enema 132,020,140.00 6.55
6,370,000,100.00 sotaloL 80 mg tablet 60,505,008,000.00 5.90
6,370,000,100.00 spironolactone 50 mg tablet 60,687,047,601.00 5.85
6,370,000,100.00 sucralfate 1 gram tablet 93,221,005.00 5.86
6,370,000,100.00 magnesium 64 mg (magnesium chloride) tablet,delayed release 68,585,000,575.00 5.70
6,370,000,100.00 tamoxifen 20 mg tablet 378,027,493.00 6.00
6,370,000,100.00 timoloL maleate 0.25 % eye drops 64,980,051,301.00 52.96
6,370,000,100.00 timoloL maleate 0.5 % eye drops 61,314,022,705.00 38.05
6,370,000,100.00 tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension 24,208,029,505.00 332.90
6,370,000,100.00 sulfamethoxazole 800 mg-trimethoprim 160 mg tablet 53,746,027,201.00 5.82
6,370,000,100.00 sulfamethoxazole 800 mg-trimethoprim 160 mg tablet 65,862,042,001.00 5.68
6,370,000,100.00 vancomycin 125 mg capsule 68,180,016,613.00 23.70
6,370,000,100.00 vancomycin 125 mg capsule 68,180,016,611.00 23.70
6,370,000,100.00 warfarin 1 mg tablet 832,121,101.00 5.99
6,370,000,100.00 warfarin 1 mg tablet 93,171,201.00 5.84
6,370,000,100.00 warfarin 1 mg tablet 56,016,975.00 7.68
6,370,000,100.00 ipratropium 20 mcg-albuteroL 100 mcg/actuation mist for inhalation 597,002,402.00 1,078.51
6,370,000,100.00 mirabegron ER 25 mg tablet,extended release 24 hr 469,260,190.00 52.91
6,370,000,100.00 zolpidem 5 mg tablet 378,530,501.00 7.94
6,370,000,100.00 morphine ER 30 mg tablet,extended release 42,858,080,201.00 5.93
6,370,000,100.00 morphine ER 30 mg tablet,extended release 904,655,861.00 6.25
6,370,000,100.00 diclofenac 50 mg-misoprostoL 200 mcg tablet,immed.and delayed release 59,762,002,802.00 14.68
6,370,000,100.00 apixaban 2.5 mg tablet 3,089,321.00 33.82
6,370,000,100.00 tofacitinib 5 mg tablet 69,100,101.00 313.68
6,370,000,100.00 morphine ER 15 mg tablet,extended release 42,858,080,101.00 5.94
6,370,000,100.00 morphine ER 15 mg tablet,extended release 228,427,011.00 6.29
6,370,000,100.00 morphine ER 15 mg tablet,extended release 904,655,761.00 6.76
6,370,000,100.00 morphine ER 60 mg tablet,extended release 42,858,080,301.00 5.91
6,370,000,100.00 morphine ER 100 mg tablet,extended release 42,858,080,401.00 5.88
6,370,000,100.00 apixaban 5 mg tablet 3,089,421.00 19.06
6,370,000,100.00 memantine 14 mg capsule sprinkle,extended release 24hr 456,341,490.00 33.25
6,370,000,100.00 doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release 55,494,010,010.00 46.48
6,370,000,100.00 canagliflozin 100 mg tablet 50,458,014,030.00 66.11
6,370,000,100.00 magnesium hydroxide 400 mg/5 mL oral suspension 121,043,130.00 7.57
6,370,000,100.00 venlafaxine 100 mg tablet 57,664,039,688.00 5.72
6,370,000,100.00 venlafaxine 75 mg tablet 52,817,013,310.00 5.67
6,370,000,100.00 venlafaxine 37.5 mg tablet 57,664,039,388.00 5.84
6,370,000,100.00 oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr 59,011,041,010.00 19.34
6,370,000,100.00 oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr 59,011,041,020.00 19.46
6,370,000,100.00 oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr 59,011,042,010.00 19.04
6,370,000,100.00 cholestyramine-aspartame 4 gram oral powder for susp in a packet 49,884,046,663.00 7.67
6,370,000,100.00 fluocinonide-emollient 0.05 % topical cream 93,026,330.00 8.19
6,370,000,100.00 activated charcoal-sorbitoL 25 gram/120 mL oral suspension 574,012,074.00 52.32
6,370,000,100.00 activated charcoaL 50 gram/240 mL oral suspension 574,052,176.00 37.88
6,370,000,100.00 activated charcoaL 25 gram/120 mL oral suspension 574,012,104.00 52.32
6,370,000,100.00 insulin aspart (U-100) 100 unit/mL (3 mL) subcutaneous pen 169,633,910.00 125.00
6,370,000,100.00 insulin glargine (U-100) 100 unit/mL (3 mL) subcutaneous pen 88,221,905.00 125.00
6,370,000,100.00 insulin glargine (U-100) 100 unit/mL (3 mL) subcutaneous pen 2,771,559.00 125.00
6,370,000,100.00 insulin lispro (U-100) 100 unit/mL subcutaneous pen 2,879,959.00 125.00
6,370,000,100.00 insulin detemir (U-100) 100 unit/mL (3 mL) subcutaneous pen 169,643,810.00 125.00
6,370,000,100.00 insulin aspar prot-insulin aspart 100 unit/mL (70-30) subcutaneous pen 169,369,619.00 125.00
6,370,000,100.00 liraglutide 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector 169,406,013.00 81.29
6,370,000,100.00 estradioL 0.5 mg tablet 555,089,902.00 5.89
6,370,000,100.00 sodium chloride-aloe vera nasal gel 225,052,547.00 5.80
6,370,000,100.00 aspirin-sod bicarb-citric acid 325 mg-1,916 mg-1,000 mg efferves tab 16,500,004,012.00 5.73
6,370,000,100.00 ipratropium bromide 0.02 % solution for inhalation 487,980,101.00 5.83
6,370,000,100.00 ipratropium bromide 0.02 % solution for inhalation 487,980,160.00 5.81
6,370,000,100.00 trolamine salicylate-aloe vera 10 % topical cream 41,167,005,703.00 5.67
6,370,000,100.00 carbidopa ER 25 mg-levodopa 100 mg tablet,extended release 378,008,801.00 6.31
6,370,000,100.00 Lactobac no.2-Bifidobac no.1-S. thermo 112.5 billion cell capsule 69,355,041,203.00 6.29
6,370,000,100.00 terbinafine HCL 250 mg tablet 51,991,052,633.00 5.69
6,370,000,100.00 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597,010,061.00 1,113.00
6,370,000,100.00 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597,010,031.00 625.57
6,370,000,100.00 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597,010,051.00 306.50
6,370,000,100.00 umeclidinium 62.5 mcg/actuation blister powder for inhalation 173,087,310.00 6.01
6,370,000,100.00 naloxegoL 25 mg tablet 310,197,030.00 47.45
6,370,000,100.00 white petrolatum-mineral oiL 83 %-15 % eye ointment 904,648,838.00 6.80
6,370,000,100.00 white petrolatum-mineral oiL 83 %-15 % eye ointment 536,108,691.00 6.41
6,370,000,100.00 scopolamine 1 mg over 3 days transdermal patch 66,758,020,854.00 66.73
6,370,000,100.00 pentosan polysulfate sodium 100 mg capsule 50,458,009,801.00 37.98
6,370,000,100.00 thyroid (pork) 30 mg tablet 456,045,801.00 6.04
6,370,000,100.00 thyroid (pork) 180 mg tablet 456,046,201.00 6.89
6,370,000,100.00 tiotropium 2.5 mcg-olodateroL 2.5 mcg/actuation mist for inhalation 597,015,570.00 306.50
6,370,000,100.00 sacubitriL 24 mg-valsartan 26 mg tablet 78,065,920.00 38.12
6,370,000,100.00 sacubitriL 97 mg-valsartan 103 mg tablet 78,069,620.00 38.12
6,370,000,100.00 calcium carbonate 500 mg calcium (1,250 mg) tablet 904,188,372.00 5.63
6,370,000,100.00 thiamine mononitrate (vitamin B1) 100 mg tablet 50,268,085,111.00 5.81
6,370,000,100.00 verapamiL ER (SR) 240 mg tablet,extended release 68,462,026,001.00 5.78
6,370,000,100.00 lisinopriL 2.5 mg tablet 68,180,051,201.00 5.65
6,370,000,100.00 lactulose 10 gram/15 mL (15 mL) oral solution 121,457,715.00 6.21
6,370,000,100.00 methylnaltrexone 12 mg/0.6 mL subcutaneous syringe 65,649,055,107.00 396.52
6,370,000,100.00 valACYclovir 1 gram tablet 378,427,693.00 6.27
6,370,000,100.00 valACYclovir 500 mg tablet 51,079,009,301.00 15.05
6,370,000,100.00 naproxen sodium 220 mg tablet 10,939,063,544.00 5.70
6,370,000,100.00 naproxen sodium 220 mg tablet 536,109,401.00 5.68
6,370,000,100.00 phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg/5 mL (5 mL) elixir 66,689,006,301.00 137.80
6,370,000,100.00 verapamiL ER (SR) 120 mg tablet,extended release 51,079,089,401.00 7.55
6,370,000,100.00 acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution 50,383,007,906.00 6.86
6,370,000,100.00 honey 100 % topical paste 9,958,003,361.00 53.43
6,370,000,100.00 honey 100 % topical paste 9,958,003,360.00 53.43
6,370,000,100.00 methyl salicylate 15 %-menthol 1 % topical cream 178,032,005.00 5.65
6,370,000,100.00 SUMAtriptan 100 mg tablet 55,111,029,309.00 6.06
6,370,000,100.00 patiromer calcium sorbitex 8.4 gram oral powder packet 53,436,008,401.00 113.91
6,370,000,100.00 acidophilus 25 million cell-pectin, citrus 100 mg tablet 536,718,001.00 5.65
6,370,000,100.00 carBAMazepine 100 mg chewable tablet 51,672,404,101.00 6.02
6,370,000,100.00 carBAMazepine 200 mg tablet 13,668,026,801.00 6.90
6,370,000,100.00 fluconazole 150 mg tablet 57,237,000,511.00 6.09
6,370,000,100.00 potassium chloride ER 10 mEq capsule,extended release 53,746,054,205.00 5.87
6,370,000,100.00 bacitracin zinc 500 unit/gram topical ointment 472,110,556.00 23.66
6,370,000,100.00 bacitracin zinc 500 unit/gram topical ointment 67,777,022,007.00 65.00
6,370,000,100.00 carisoprodoL 350 mg tablet 64,980,017,401.00 5.72
6,370,000,100.00 carisoprodoL 350 mg tablet 603,258,221.00 5.72
6,370,000,100.00 lamoTRIgine 25 mg tablet 51,672,413,001.00 5.68
6,370,000,100.00 lamoTRIgine 100 mg tablet 51,672,413,101.00 5.64
6,370,000,100.00 acetaminophen 300 mg-codeine 30 mg tablet 406,048,401.00 5.77
6,370,000,100.00 acetaminophen 300 mg-codeine 30 mg tablet 93,015,001.00 5.80
6,370,000,100.00 dilTIAZem ER 60 mg capsule,extended release 12 hr 378,606,001.00 8.16
6,370,000,100.00 terazosin 1 mg capsule 59,746,038,306.00 5.80
6,370,000,100.00 terazosin 2 mg capsule 59,746,038,406.00 5.71
6,370,000,100.00 terazosin 5 mg capsule 59,746,038,506.00 5.66
6,370,000,100.00 traMADoL 50 mg tablet 63,739,067,110.00 5.66
6,370,000,100.00 traMADoL 50 mg tablet 57,664,037,718.00 5.64
6,370,000,100.00 metFORMIN 850 mg tablet 23,155,010,301.00 5.66
6,370,000,100.00 tiZANidine 2 mg tablet 57,664,050,289.00 5.73
6,370,000,100.00 tiZANidine 4 mg tablet 904,641,861.00 5.88
6,370,000,100.00 losartan 25 mg tablet 65,862,020,190.00 5.70
6,370,000,100.00 losartan 50 mg tablet 65,862,020,290.00 5.67
6,370,000,100.00 fosfomycin tromethamine 3 gram oral packet 456,430,001.00 322.77
6,370,000,100.00 SUMAtriptan 50 mg tablet 55,111,029,236.00 6.51
6,370,000,100.00 diclofenac sodium 75 mg tablet,delayed release 61,442,010,301.00 5.71
6,370,000,100.00 calcitonin (salmon) 200 unit/actuation nasal spray 49,884,016,111.00 14.89
6,370,000,100.00 carvediloL 6.25 mg tablet 68,382,009,301.00 5.65
6,370,000,100.00 carvediloL 25 mg tablet 68,382,009,501.00 5.63
6,370,000,100.00 carvediloL 25 mg tablet 68,462,016,501.00 5.63
6,370,000,100.00 carvediloL 12.5 mg tablet 68,382,009,401.00 5.63
6,370,000,100.00 azithromycin 200 mg/5 mL oral suspension 93,202,623.00 108.66
6,370,000,100.00 azithromycin 200 mg/5 mL oral suspension 93,202,631.00 108.66
6,370,000,100.00 azithromycin 200 mg/5 mL oral suspension 42,806,014,932.00 52.01
6,370,000,100.00 azithromycin 200 mg/5 mL oral suspension 70,710,145,802.00 82.56
6,370,000,100.00 ipratropium bromide 21 mcg (0.03 %) nasal spray 54,004,544.00 118.50
6,370,000,100.00 chlordiazePOXIDE 10 mg capsule 555,003,302.00 5.69
6,370,000,100.00 chlordiazePOXIDE 25 mg capsule 555,015,902.00 5.65
6,370,000,100.00 chlordiazePOXIDE 5 mg capsule 51,079,037,401.00 6.26
6,370,000,100.00 glimepiride 1 mg tablet 16,729,000,101.00 5.80
6,370,000,100.00 glimepiride 2 mg tablet 68,084,032,611.00 6.16
6,370,000,100.00 glimepiride 4 mg tablet 16,729,000,301.00 5.76
6,370,000,100.00 ferrous sulfate 220 mg (44 mg iron)/5 mL oral elixir 904,146,516.00 5.65
6,370,000,100.00 ferrous sulfate 220 mg (44 mg iron)/5 mL oral elixir 50,383,077,816.00 5.70
6,370,000,100.00 chlorthalidone 25 mg tablet 57,664,064,888.00 5.74
6,370,000,100.00 chlorthalidone 25 mg tablet 60,687,031,725.00 6.58
6,370,000,100.00 chlorthalidone 25 mg tablet 51,079,005,801.00 6.58
6,370,000,100.00 PARoxetine 10 mg tablet 378,700,193.00 5.73
6,370,000,100.00 PARoxetine 40 mg tablet 378,700,493.00 5.67
6,370,000,100.00 lidocaine 4 % topical patch 41,167,005,840.00 6.96
6,370,000,100.00 lidocaine 4 % topical patch 45,611,000,938.00 6.95
6,370,000,100.00 lidocaine 4 % topical patch 46,581,083,006.00 6.79
6,370,000,100.00 lidocaine 4 % topical patch 70,000,055,701.00 7.29
6,370,000,100.00 theophylline ER 400 mg tablet,extended release 24 hr 42,858,070,101.00 6.66
6,370,000,100.00 sodium polystyrene sulfonate 15 gram-sorbitoL 20 gram/60 mL oral susp 46,287,000,660.00 67.14
6,370,000,100.00 magnesium 70 mg (magnesium chloride) tablet,delayed release 904,791,152.00 5.70
6,370,000,100.00 melatonin 3 mg tablet 904,518,252.00 5.65
6,370,000,100.00 clindamycin HCL 150 mg capsule 63,304,069,201.00 5.69
6,370,000,100.00 insulin lispro (U-100) 100 unit/mL subcutaneous solution 2,751,001.00 518.48
6,370,000,100.00 insulin lispro (U-100) 100 unit/mL subcutaneous solution 2,751,017.00 344.41
6,370,000,100.00 melatonin 5 mg tablet 30,768,015,745.00 5.67
6,370,000,100.00 melatonin 5 mg tablet 96,295,012,828.00 5.70
6,370,000,100.00 pimavanserin 34 mg capsule 63,090,034,030.00 572.67
6,370,000,100.00 busPIRone 15 mg tablet 68,382,018,201.00 5.65
6,370,000,100.00 mirtazapine 30 mg tablet 93,720,756.00 5.71
6,370,000,100.00 mirtazapine 15 mg tablet 93,720,656.00 5.77
6,370,000,100.00 balsam peru-castor oiL topical ointment 58,980,078,021.00 6.15
6,370,000,100.00 cloNIDine HCL 0.1 mg tablet 228,212,710.00 5.66
6,370,000,100.00 cloNIDine HCL 0.1 mg tablet 29,300,013,501.00 5.67
6,370,000,100.00 revefenacin 175 mcg/3 mL solution for nebulization J7677 49,502,080,632.00 138.64
6,370,000,100.00 clotrimazole 1 % topical cream 904,782,231.00 5.68
6,370,000,100.00 albuterol sulfate HFA 90 mcg/actuation aerosol inhaler 173,068,220.00 195.37
6,370,000,100.00 albuterol sulfate HFA 90 mcg/actuation aerosol inhaler 173,068,224.00 83.56
6,370,000,100.00 albuterol sulfate HFA 90 mcg/actuation aerosol inhaler 59,310,057,922.00 250.83
6,370,000,100.00 brimonidine 0.2 % eye drops 24,208,041,110.00 109.75
6,370,000,100.00 brimonidine 0.2 % eye drops 61,314,014,310.00 47.60
6,370,000,100.00 OLANZapine 5 mg tablet 43,598,016,430.00 5.85
6,370,000,100.00 OLANZapine 10 mg tablet 43,598,016,630.00 5.79
6,370,000,100.00 colchicine 0.6 mg tablet 64,764,011,907.00 29.19
6,370,000,100.00 peg-electrolyte solution 420 gram oral solution 52,268,040,001.00 110.50
6,370,000,100.00 bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet 29,300,018,913.00 6.23
6,370,000,100.00 torsemide 20 mg tablet 31,722,053,101.00 5.73
6,370,000,100.00 gabapentin 400 mg capsule 67,877,022,405.00 5.64
6,370,000,100.00 gabapentin 300 mg capsule 67,877,022,305.00 5.64
6,370,000,100.00 gabapentin 100 mg capsule 67,877,022,201.00 5.66
6,370,000,100.00 gabapentin 100 mg capsule 67,877,022,205.00 5.66
6,370,000,100.00 buPROPion HCL SR 100 mg tablet,12 hr sustained-release 185,041,001.00 6.07
6,370,000,100.00 buPROPion HCL SR 150 mg tablet,12 hr sustained-release 185,041,501.00 5.92
6,370,000,100.00 carvediloL 3.125 mg tablet 378,363,101.00 5.70
6,370,000,100.00 carvediloL 3.125 mg tablet 68,462,016,201.00 5.68
6,370,000,100.00 latanoprost 0.005 % eye drops 61,314,054,701.00 5.83
6,370,000,100.00 donepeziL 10 mg tablet 43,547,027,609.00 5.70
6,370,000,100.00 levoFLOXacin 500 mg tablet 55,111,028,050.00 5.81
6,370,000,100.00 topiramate 25 mg tablet 68,382,013,814.00 5.69
6,370,000,100.00 hydroCHLOROthiazide 12.5 mg capsule 29,300,013,001.00 5.72
6,370,000,100.00 hydroCHLOROthiazide 12.5 mg capsule 591,034,701.00 5.70
6,370,000,100.00 atorvastatin 10 mg tablet 378,395,077.00 5.83
6,370,000,100.00 atorvastatin 40 mg tablet 378,395,277.00 5.70
6,370,000,100.00 atorvastatin 20 mg tablet 93,505,998.00 5.71
6,370,000,100.00 warfarin 3 mg tablet 93,171,501.00 5.70
6,370,000,100.00 warfarin 3 mg tablet 56,018,875.00 6.36
6,370,000,100.00 calcium carbonate 500 mg-vitamin D3 5 mcg (200 unit) tablet 37,864,000,032.00 5.64
6,370,000,100.00 clindamycin 1 % lotion 168,020,360.00 7.54
6,370,000,100.00 metroNIDAZOLE 0.75 % topical gel 115,147,446.00 34.00
6,370,000,100.00 ofloxacin 0.3 % eye drops 64,980,051,505.00 54.00
6,370,000,100.00 ofloxacin 0.3 % eye drops 60,505,056,001.00 114.80
6,370,000,100.00 sertraline 25 mg tablet 68,180,035,109.00 5.80
6,370,000,100.00 cyanocobalamin (vit B-12) 100 mcg tablet 536,354,201.00 5.63
6,370,000,100.00 cyanocobalamin (vit B-12) 500 mcg tablet 904,320,713.00 5.62
6,370,000,100.00 cyanocobalamin (vit B-12) 500 mcg tablet 96,295,012,778.00 5.63
6,370,000,100.00 cyclobenzaprine 10 mg tablet 591,565,801.00 5.66
6,370,000,100.00 cyclopentolate 1 % eye drops 17,478,010,002.00 47.42
6,370,000,100.00 cyclopentolate 1 % eye drops 24,208,073,501.00 47.70
6,370,000,100.00 imiquimod 5 % topical cream packet 45,802,036,862.00 7.70
6,370,000,100.00 azithromycin 250 mg tablet 50,111,078,751.00 8.12
6,370,000,100.00 azithromycin 250 mg tablet 68,180,016,011.00 7.03
6,370,000,100.00 azithromycin 250 mg tablet 781,808,931.00 7.79
6,370,000,100.00 OLANZapine 2.5 mg tablet 55,111,016,330.00 5.82
6,370,000,100.00 citalopram 20 mg tablet 378,623,201.00 5.66
6,370,000,100.00 pramipexole 0.125 mg tablet 68,462,033,090.00 5.73
6,370,000,100.00 pramipexole 0.25 mg tablet 68,382,019,710.00 5.70
6,370,000,100.00 dapsone 100 mg tablet 49,938,010,130.00 6.32
6,370,000,100.00 warfarin 4 mg tablet 56,016,875.00 6.18
6,370,000,100.00 warfarin 4 mg tablet 51,672,403,101.00 5.70
6,370,000,100.00 letrozole 2.5 mg tablet 51,991,075,933.00 5.92
6,370,000,100.00 rOPINIRole 0.25 mg tablet 378,552,501.00 6.12
6,370,000,100.00 rOPINIRole 1 mg tablet 43,547,027,010.00 5.75
6,370,000,100.00 rOPINIRole 0.5 mg tablet 43,547,026,910.00 5.87
6,370,000,100.00 QUEtiapine 25 mg tablet 67,877,024,201.00 5.66
6,370,000,100.00 QUEtiapine 200 mg tablet 67,877,024,601.00 5.68
6,370,000,100.00 clopidogreL 75 mg tablet 16,729,021,816.00 5.71
6,370,000,100.00 ofloxacin 0.3 % ear drops 60,505,036,301.00 245.00
6,370,000,100.00 cefdinir 300 mg capsule 781,217,660.00 6.45
6,370,000,100.00 montelukast 10 mg tablet 54,025,922.00 5.83
6,370,000,100.00 sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension 65,862,049,647.00 143.04
6,370,000,100.00 losartan 100 mg tablet 65,862,020,390.00 5.66
6,370,000,100.00 losartan 100 mg tablet 43,547,036,209.00 5.68
6,370,000,100.00 ursodioL 250 mg tablet 49,884,041,201.00 7.77
6,370,000,100.00 tolterodine 2 mg tablet 93,001,806.00 6.98
6,370,000,100.00 camphor-menthoL 0.5 %-0.5 % lotion 316,022,975.00 5.65
6,370,000,100.00 simvastatin 80 mg tablet 16,729,000,715.00 5.63
6,370,000,100.00 lidocaine 5 % topical cream 496,089,230.00 6.39
6,370,000,100.00 citalopram 40 mg tablet 378,623,301.00 5.65
6,370,000,100.00 cranberry extract 425 mg capsule 43,292,055,812.00 5.65
6,370,000,100.00 diazePAM 5 mg tablet 172,392,660.00 5.64
6,370,000,100.00 dicloxacillin 250 mg capsule 93,312,301.00 6.25
6,370,000,100.00 dicloxacillin 500 mg capsule 93,312,501.00 6.25
6,370,000,100.00 dicyclomine 20 mg tablet 378,162,001.00 5.72
6,370,000,100.00 isosorbide mononitrate ER 60 mg tablet,extended release 24 hr 62,175,011,937.00 5.73
6,370,000,100.00 digoxin 125 mcg (0.125 mg) tablet 143,124,001.00 6.81
6,370,000,100.00 oxybutynin chloride ER 5 mg tablet,extended release 24 hr 378,660,501.00 7.96
6,370,000,100.00 oxybutynin chloride ER 10 mg tablet,extended release 24 hr 378,661,001.00 6.79
6,370,000,100.00 cilostazoL 50 mg tablet 60,505,252,101.00 5.99
6,370,000,100.00 cilostazoL 100 mg tablet 93,206,406.00 5.80
6,370,000,100.00 celecoxib 100 mg capsule 59,762,151,601.00 6.22
6,370,000,100.00 celecoxib 200 mg capsule 69,097,042,107.00 5.77
6,370,000,100.00 isosorbide mononitrate ER 30 mg tablet,extended release 24 hr 62,175,012,837.00 5.83
6,370,000,100.00 coenzyme Q10 100 mg capsule 96,295,011,765.00 5.90
6,370,000,100.00 coenzyme Q10 100 mg capsule 40,985,027,413.00 5.75
6,370,000,100.00 modafiniL 200 mg tablet 60,505,252,703.00 6.25
6,370,000,100.00 lisinopril 10 mg-hydrochlorothiazide 12.5 mg tablet 68,180,051,801.00 5.72
6,370,000,100.00 dilTIAZem 120 mg tablet 93,032,101.00 5.73
6,370,000,100.00 dilTIAZem 30 mg tablet 93,031,801.00 5.77
6,370,000,100.00 dilTIAZem 60 mg tablet 51,079,074,601.00 5.75
6,370,000,100.00 dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr 63,824,005,640.00 6.09
6,370,000,100.00 dimenhyDRINATE 50 mg tablet 904,205,159.00 5.63
6,370,000,100.00 levalbuteroL 1.25 mg/3 mL solution for nebulization 93,414,864.00 24.06
6,370,000,100.00 levalbuteroL 1.25 mg/3 mL solution for nebulization 76,204,090,001.00 7.22
6,370,000,100.00 albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization 487,950,101.00 6.42
6,370,000,100.00 albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization 487,950,160.00 5.78
6,370,000,100.00 ciprofloxacin 500 mg tablet 143,992,801.00 5.66
6,370,000,100.00 diphenoxylate-atropine 2.5 mg-0.025 mg tablet 378,041,501.00 6.32
6,370,000,100.00 verapamiL ER 120 mg 24 hr capsule,extended release 378,632,001.00 7.08
6,370,000,100.00 amoxicillin 400 mg/5 mL oral suspension 143,988,701.00 28.50
6,370,000,100.00 glucosamine-chondroitin 500 mg-400 mg tablet 43,292,056,003.00 5.73
6,370,000,100.00 polyethylene glycol 3350 17 gram oral powder packet 904,642,286.00 7.01
6,370,000,100.00 risperiDONE 0.25 mg tablet 68,382,011,214.00 5.73
6,370,000,100.00 risperiDONE 0.25 mg tablet 904,635,761.00 5.79
6,370,000,100.00 risperiDONE 0.5 mg tablet 68,382,011,314.00 5.68
6,370,000,100.00 pioglitazone 15 mg tablet 16,729,002,010.00 5.75
6,370,000,100.00 pioglitazone 15 mg tablet 33,342,005,410.00 5.75
6,370,000,100.00 pioglitazone 45 mg tablet 16,729,002,215.00 5.68
6,370,000,100.00 gabapentin 600 mg tablet 68,462,012,601.00 5.82
6,370,000,100.00 doxepin 10 mg capsule 378,104,901.00 6.09
6,370,000,100.00 pantoprazole 40 mg tablet,delayed release 65,862,056,090.00 5.76
6,370,000,100.00 doxycycline hyclate 100 mg capsule 143,314,250.00 6.22
6,370,000,100.00 oseltamivir 75 mg capsule 4,080,085.00 28.08
6,370,000,100.00 oseltamivir 75 mg capsule 70,710,101,002.00 15.20
6,370,000,100.00 levETIRAcetam 500 mg tablet 31,722,053,712.00 5.78
6,370,000,100.00 ciclopirox 8 % topical solution 51,672,530,200.00 34.00
6,370,000,100.00 theophylline ER 200 mg capsule,extended release 24 hr 52,244,020,010.00 18.84
6,370,000,100.00 nitroglycerin 0.1 mg/hr transdermal 24 hour patch 378,910,216.00 6.23
6,370,000,100.00 nitroglycerin 0.2 mg/hr transdermal 24 hour patch 68,382,030,930.00 6.33
6,370,000,100.00 nitroglycerin 0.4 mg/hr transdermal 24 hour patch 904,549,646.00 6.13
6,370,000,100.00 felodipine ER 5 mg tablet,extended release 24 hr 13,668,013,301.00 5.81
6,370,000,100.00 pseudoephedrine-guaifenesin ER 60 mg-600 mg tablet,extend release 12hr 63,824,005,718.00 6.25
6,370,000,100.00 divalproex 125 mg capsule,delayed release sprinkle 68,382,010,601.00 6.18
6,370,000,100.00 NIFEdipine ER 60 mg tablet,extended release 24 hr 68,682,010,910.00 6.55
6,370,000,100.00 lansoprazole 15 mg capsule,delayed release 781,214,731.00 7.62
6,370,000,100.00 lansoprazole 30 mg capsule,delayed release 378,803,093.00 6.62
6,370,000,100.00 omeprazole 20 mg capsule,delayed release 60,505,006,501.00 5.79
6,370,000,100.00 omeprazole 40 mg capsule,delayed release 781,223,401.00 5.65
6,370,000,100.00 omeprazole 40 mg capsule,delayed release 60,505,014,602.00 5.76
6,370,000,100.00 ondansetron 4 mg disintegrating tablet 68,462,015,740.00 6.08
6,370,000,100.00 venlafaxine ER 37.5 mg capsule,extended release 24 hr 65,862,052,790.00 5.89
6,370,000,100.00 venlafaxine ER 75 mg capsule,extended release 24 hr 65,862,052,890.00 5.95
6,370,000,100.00 fentaNYL 25 mcg/hr transdermal patch 60,505,700,600.00 19.47
6,370,000,100.00 fentaNYL 50 mcg/hr transdermal patch 60,505,700,702.00 38.20
6,370,000,100.00 fentaNYL 50 mcg/hr transdermal patch 47,781,042,647.00 51.67
6,370,000,100.00 fentaNYL 75 mcg/hr transdermal patch 60,505,700,802.00 47.97
6,370,000,100.00 fentaNYL 100 mcg/hr transdermal patch 60,505,700,902.00 67.40
6,370,000,100.00 chlorhexidine gluconate 4 % topical liquid 32,551,093,835.00 5.65
6,370,000,100.00 lidocaine 5 % topical patch 591,352,511.00 15.00
6,370,000,100.00 lidocaine 5 % topical patch 603,188,010.00 29.49
6,370,000,100.00 linezolid 600 mg tablet 59,762,130,701.00 29.22
6,370,000,100.00 pentamidine 300 mg solution for inhalation 13,925,052,201.00 584.50
6,370,000,100.00 salmeteroL 50 mcg/dose blister powder for inhalation 173,052,000.00 37.07
6,370,000,100.00 insulin glargine (U-100) 100 unit/mL subcutaneous solution 88,222,033.00 683.56
6,370,000,100.00 HYDROcodone 10 mg-acetaminophen 325 mg tablet 43,386,035,801.00 5.85
6,370,000,100.00 HYDROcodone 10 mg-acetaminophen 325 mg tablet 60,687,041,801.00 6.22
6,370,000,100.00 insulin aspart U-100 100 unit/mL subcutaneous solution 169,750,111.00 151.44
6,370,000,100.00 calcium citrate 315 mg-vitamin D3 5 mcg (200 unit) tablet 80,681,004,500.00 5.68
6,370,000,100.00 ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule 64,380,073,706.00 5.98
6,370,000,100.00 NIFEdipine ER 30 mg tablet,extended release 24 hr 68,682,010,810.00 6.69
6,370,000,100.00 atorvastatin 80 mg tablet 93,505,798.00 5.64
6,370,000,100.00 glyBURIDE 5 mg-metformin 500 mg tablet 65,862,008,201.00 5.71
6,370,000,100.00 budesonide 0.5 mg/2 mL suspension for nebulization 93,681,673.00 37.26
6,370,000,100.00 budesonide 0.5 mg/2 mL suspension for nebulization 781,751,614.00 14.98
6,370,000,100.00 budesonide 0.5 mg/2 mL suspension for nebulization 487,970,101.00 37.70
6,370,000,100.00 hydrocortisone 2.5 % topical cream with perineal applicator 64,980,032,430.00 6.28
6,370,000,100.00 erythromycin 5 mg/gram (0.5 %) eye ointment 24,208,091,055.00 54.20
6,370,000,100.00 metFORMIN ER 500 mg tablet,extended release 24 hr 62,756,014,201.00 5.71
6,370,000,100.00 alendronate 70 mg tablet 69,097,022,416.00 5.68
6,370,000,100.00 QUEtiapine 300 mg tablet 47,335,090,688.00 5.88
6,370,000,100.00 dilTIAZem ER 120 mg capsule,24 hr,extended release 68,682,036,790.00 6.24
6,370,000,100.00 clotrimazole-betamethasone 1 %-0.05 % topical cream 168,025,815.00 6.74
6,370,000,100.00 tolterodine ER 2 mg capsule,extended release 24 hr 378,340,293.00 28.42
6,370,000,100.00 tolterodine ER 4 mg capsule,extended release 24 hr 93,716,498.00 15.21
6,370,000,100.00 sodium chloride 0.65 % nasal spray aerosol 904,386,575.00 5.64
6,370,000,100.00 esomeprazole magnesium 20 mg capsule,delayed release 186,502,054.00 37.58
6,370,000,100.00 esomeprazole magnesium 20 mg capsule,delayed release 93,645,098.00 6.13
6,370,000,100.00 esomeprazole magnesium 40 mg capsule,delayed release 186,504,054.00 19.49
6,370,000,100.00 esomeprazole magnesium 40 mg capsule,delayed release 93,645,198.00 23.72
6,370,000,100.00 metoprolol succinate ER 25 mg tablet,extended release 24 hr 62,037,083,001.00 5.99
6,370,000,100.00 metoprolol succinate ER 50 mg tablet,extended release 24 hr 62,037,083,101.00 5.99
6,370,000,100.00 metoprolol succinate ER 100 mg tablet,extended release 24 hr 68,084,067,311.00 5.97
6,370,000,100.00 valGANciclovir 450 mg tablet 16,714,076,501.00 52.97
6,370,000,100.00 citalopram 10 mg tablet 378,623,101.00 5.69
6,370,000,100.00 ferrous gluconate 324 mg (38 mg iron) tablet 574,050,801.00 5.67
6,370,000,100.00 ferrous sulfate 220 mg (44 mg iron)/5 mL oral solution 5,361,015,516.00 5.67
6,370,000,100.00 ferrous sulfate 325 mg (65 mg iron) tablet 904,759,180.00 5.63
6,370,000,100.00 allopurinoL 100 mg tablet 378,013,701.00 5.90
6,370,000,100.00 allopurinoL 300 mg tablet 603,211,621.00 6.22
6,370,000,100.00 allopurinoL 300 mg tablet 70,710,121,001.00 5.83
6,370,000,100.00 valsartan 80 mg tablet 43,547,036,809.00 5.79
6,370,000,100.00 oxyCODONE-acetaminophen 10 mg-325 mg tablet 406,052,301.00 6.11
6,370,000,100.00 fluorometholone 0.1 % eye drops,suspension 60,758,088,005.00 251.05
6,370,000,100.00 folic acid 1 mg tablet 11,534,016,501.00 5.64
6,370,000,100.00 ALPRAZolam 0.25 mg tablet 67,253,090,010.00 5.64
6,370,000,100.00 ALPRAZolam 0.25 mg tablet 51,079,078,801.00 5.66
6,370,000,100.00 ALPRAZolam 0.5 mg tablet 67,253,090,110.00 5.63
6,370,000,100.00 risedronate 35 mg tablet 430,047,203.00 47.78
6,370,000,100.00 furosemide 10 mg/mL oral solution 54,329,446.00 28.72
6,370,000,100.00 furosemide 20 mg tablet 54,429,731.00 5.64
6,370,000,100.00 furosemide 40 mg tablet 378,021,610.00 5.63
6,370,000,100.00 furosemide 80 mg tablet 378,023,201.00 5.63
6,370,000,100.00 amoxicillin 500 mg-potassium clavulanate 125 mg tablet 66,685,100,200.00 7.03
6,370,000,100.00 amoxicillin 875 mg-potassium clavulanate 125 mg tablet 66,685,100,100.00 23.75
6,370,000,100.00 amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension 65,862,053,401.00 53.60
6,370,000,100.00 escitalopram 10 mg tablet 93,585,101.00 5.73
6,370,000,100.00 escitalopram 20 mg tablet 93,585,201.00 5.68
6,370,000,100.00 valsartan 40 mg tablet 43,547,036,703.00 5.89
6,370,000,100.00 gemfibroziL 600 mg tablet 69,097,082,103.00 5.71
6,370,000,100.00 dutasteride 0.5 mg capsule 173,071,215.00 29.60
6,370,000,100.00 ezetimibe 10 mg tablet 49,884,022,811.00 7.71
6,370,000,100.00 gentian violet 1 % topical solution 395,100,392.00 5.68
6,370,000,100.00 ARIPiprazole 10 mg tablet 60,505,267,403.00 5.92
6,370,000,100.00 HYDROcodone 5 mg-acetaminophen 325 mg tablet 53,746,010,905.00 5.80
6,370,000,100.00 HYDROcodone 5 mg-acetaminophen 325 mg tablet 904,656,761.00 5.96
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg tablet 603,389,128.00 6.04
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg tablet 13,107,002,005.00 6.04
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg tablet 904,642,061.00 6.00
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg tablet 50,268,040,015.00 5.97
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg tablet 65,162,011,550.00 5.74
6,370,000,100.00 guaiFENesin 400 mg tablet 57,896,079,401.00 5.63
6,370,000,100.00 neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution 24,208,063,110.00 315.40
6,370,000,100.00 neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution 61,314,064,610.00 315.40
6,370,000,100.00 glyBURIDE 5 mg tablet 23,155,005,801.00 5.70
6,370,000,100.00 rosuvastatin 20 mg tablet 310,075,290.00 7.92
6,370,000,100.00 rosuvastatin 40 mg tablet 65,862,029,630.00 5.64
6,370,000,100.00 cyclobenzaprine 5 mg tablet 591,325,601.00 5.79
6,370,000,100.00 coenzyme Q10 50 mg capsule 79,854,000,848.00 5.88
6,370,000,100.00 metFORMIN ER 750 mg tablet,extended release 24 hr 70,010,049,201.00 5.67
6,370,000,100.00 metFORMIN ER 750 mg tablet,extended release 24 hr 67,877,041,401.00 5.67
6,370,000,100.00 haloperidoL 1 mg tablet 378,025,701.00 5.99
6,370,000,100.00 haloperidoL 2 mg tablet 781,139,301.00 5.87
6,370,000,100.00 potassium chloride ER 20 mEq tablet,extended release(part/cryst) 781,572,010.00 5.87
6,370,000,100.00 potassium chloride ER 20 mEq tablet,extended release(part/cryst) 66,758,019,006.00 5.89
6,370,000,100.00 menthol 5 % topical patch 41,167,000,843.00 6.60
6,370,000,100.00 amantadine HCL 100 mg capsule 42,543,049,301.00 6.43
6,370,000,100.00 ARIPiprazole 5 mg tablet 13,668,021,730.00 6.21
6,370,000,100.00 ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension 43,598,032,675.00 615.00
6,370,000,100.00 levETIRAcetam 100 mg/mL oral solution 16,714,035,801.00 147.77
6,370,000,100.00 rosuvastatin 5 mg tablet 781,540,092.00 5.90
6,370,000,100.00 buPROPion HCL XL 150 mg 24 hr tablet, extended release 10,370,010,103.00 6.45
6,370,000,100.00 buPROPion HCL XL 150 mg 24 hr tablet, extended release 68,180,031,906.00 5.80
6,370,000,100.00 phenylephrine 0.125 % nasal drops 56,184,012,105.00 5.63
6,370,000,100.00 amiodarone 100 mg tablet 51,862,024,030.00 14.79
6,370,000,100.00 memantine 10 mg tablet 29,300,017,216.00 5.75
6,370,000,100.00 alfuzosin ER 10 mg tablet,extended release 24 hr 60,505,285,001.00 5.97
6,370,000,100.00 hydrALAZINE 25 mg tablet 23,155,000,201.00 5.64
6,370,000,100.00 hydrALAZINE 50 mg tablet 23,155,000,301.00 5.64
6,370,000,100.00 hydroCHLOROthiazide 25 mg tablet 16,729,018,301.00 5.64
6,370,000,100.00 hydrocortisone 1 % topical cream 45,802,043,803.00 7.72
6,370,000,100.00 hydrocortisone 2.5 % topical cream 168,008,031.00 15.30
6,370,000,100.00 hydrocortisone 2.5 % topical cream 45,802,000,403.00 18.71
6,370,000,100.00 hydrocortisone 10 mg tablet 68,084,046,911.00 6.35
6,370,000,100.00 hydrocortisone 20 mg tablet 59,762,007,501.00 5.75
6,370,000,100.00 hydrocortisone acetate 25 mg rectal suppository 713,050,312.00 27.75
6,370,000,100.00 HYDROmorphone 2 mg tablet 42,858,030,101.00 5.67
6,370,000,100.00 escitalopram 5 mg tablet 378,385,577.00 5.80
6,370,000,100.00 metoprolol tartrate 25 mg tablet 378,001,805.00 5.64
6,370,000,100.00 glipiZIDE ER 5 mg tablet, extended release 24 hr 68,084,011,111.00 5.92
6,370,000,100.00 glipiZIDE ER 10 mg tablet, extended release 24 hr 59,762,054,202.00 5.70
6,370,000,100.00 guaiFENesin ER 600 mg tablet, extended release 12 hr 536,116,361.00 6.10
6,370,000,100.00 guaiFENesin ER 600 mg tablet, extended release 12 hr 904,671,839.00 6.51
6,370,000,100.00 guaiFENesin ER 600 mg tablet, extended release 12 hr 63,824,000,840.00 6.05
6,370,000,100.00 hydrOXYzine HCL 25 mg tablet 10,702,001,101.00 5.66
6,370,000,100.00 hydrOXYzine HCL 25 mg tablet 23,155,050,101.00 5.64
6,370,000,100.00 HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution 66,689,002,316.00 147.77
6,370,000,100.00 propranoloL ER 60 mg capsule,24 hr,extended release 51,991,081,701.00 6.71
6,370,000,100.00 lactulose 10 gram/15 mL oral solution 50,383,077,932.00 5.98
6,370,000,100.00 tiotropium bromide 18 mcg capsule with inhalation device 597,007,575.00 66.93
6,370,000,100.00 ibuprofen 400 mg tablet 67,877,031,901.00 5.65
6,370,000,100.00 ibuprofen 600 mg tablet 55,111,068,301.00 5.66
6,370,000,100.00 ibuprofen 800 mg tablet 53,746,046,601.00 5.66
6,370,000,100.00 indomethacin 25 mg capsule 68,462,040,601.00 5.82
6,370,000,100.00 aMILoride 5 mg tablet 574,029,201.00 5.84
6,370,000,100.00 DULoxetine 20 mg capsule,delayed release 57,237,001,760.00 5.92
6,370,000,100.00 DULoxetine 30 mg capsule,delayed release 57,237,001,830.00 5.84
6,370,000,100.00 DULoxetine 60 mg capsule,delayed release 57,237,001,930.00 5.73
6,370,000,100.00 DULoxetine 60 mg capsule,delayed release 57,237,001,999.00 5.72
6,370,000,100.00 mesalamine 1,000 mg rectal suppository 64,980,028,203.00 19.07
6,370,000,100.00 solifenacin 5 mg tablet 51,248,015,003.00 51.85
6,370,000,100.00 darifenacin ER 7.5 mg tablet,extended release 24 hr 69,097,043,102.00 15.28
6,370,000,100.00 isosorbide dinitrate 10 mg tablet 143,177,101.00 5.91
6,370,000,100.00 fluticasone propionate 110 mcg/actuation HFA aerosol inhaler 173,071,920.00 705.85
6,370,000,100.00 fluticasone propionate 220 mcg/actuation HFA aerosol inhaler 173,072,020.00 1,047.94
6,370,000,100.00 cholecalciferol (vitamin D3) 1,000 unit tablet,cholecalciferol (vitamin D3) 1,000 unit capsule 79,854,005,023.00 5.63
6,370,000,100.00 cholecalciferol (vitamin D3) 5,000 unit capsule,cholecalciferol (vitamin D3) 5,000 unit tablet 904,598,660.00 5.62
6,370,000,100.00 cholecalciferol (vitamin D3) 400 unit tablet,cholecalciferol (vitamin D3) 400 unit capsule 904,582,360.00 5.63
6,370,000,100.00 loperamide 2 mg capsule,loperamide 2 mg tablet 378,210,001.00 5.99
6,370,000,100.00 Lactobacillus rhamnosus GG 10 billion cell capsule,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule 49,100,038,164.00 6.13
6,370,000,100.00 9,999,307,701.00 28.90
6,370,000,100.00 9,999,307,801.00 28.35
6,370,000,100.00 9,999,307,901.00 25.87
6,370,000,100.00 9,999,308,001.00 70.22
6,370,000,100.00 9,999,312,901.00 13.93
6,370,000,100.00 9,999,313,001.00 385.41
6,370,000,100.00 9,999,313,601.00 16.48
6,370,000,100.00 9,999,313,701.00 39.91
6,370,000,100.00 dextromethorphan-guaifenesin 10 mg-100 mg/5 mL syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid 70,000,030,101.00 24.25
6,370,000,100.00 dextromethorphan-guaifenesin 10 mg-100 mg/5 mL syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid 96,295,013,210.00 24.25
6,370,000,100.00 morphine concentrate 20 mg/mL oral syringe (FOR ORAL USE ONLY),morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,morphine concentrate 10 mg/0.5 mL oral syringe (FOR ORAL USE ONLY) 406,800,330.00 5.90
6,370,000,100.00 dilTIAZem CD 120 mg capsule,extended release 24 hr,dilTIAZEM ER (XR/XT) 120 mg capsule, extended release 24 hr, controlled 68,382,059,516.00 6.11
6,370,000,100.00 dilTIAZem CD 240 mg capsule,extended release 24 hr,dilTIAZem ER (XR/XT) 240 mg capsule, extended release 24 hr, controlled 10,370,083,109.00 6.28
6,370,000,100.00 9,999,701,000.00 14.82
6,370,000,100.00 51,552,153,601.00 325.50
6,370,000,100.00 potassium chloride ER 10 mEq tablet,extended release,potassium chloride ER 10 mEq tablet,extended release(part/cryst) 66,758,016,005.00 6.07
6,370,000,100.00 9,999,308,401.00 20.25
6,370,000,100.00 9,999,999,000.00 21.19
6,370,000,100.00 9,999,999,007.00 43.05
6,370,000,100.00 9,999,999,001.00 15.55
6,370,000,100.00 9,999,999,014.00 17.15
6,370,000,100.00 9,999,999,002.00 35.17
6,370,000,100.00 9,999,999,003.00 15.34
6,370,000,100.00 9,999,999,004.00 14.44
6,370,000,100.00 9,999,999,005.00 14.95
6,370,000,100.00 9,999,308,301.00 17.21
6,370,000,100.00 9,999,308,101.00 14.31
6,370,000,100.00 9,999,999,006.00 20.13
6,370,000,100.00 9,999,999,008.00 36.75
6,370,000,100.00 9,999,999,009.00 14.54
6,370,000,100.00 9,999,999,010.00 14.59
6,370,000,100.00 9,999,999,013.00 19.21
6,370,000,100.00 9,999,999,011.00 14.29
6,370,000,100.00 9,999,999,015.00 14.01
6,370,000,100.00 9,999,999,016.00 14.19
6,370,000,100.00 9,999,999,019.00 29.13
6,370,000,100.00 9,999,999,020.00 26.80
6,370,000,100.00 9,999,999,022.00 59.31
6,370,000,100.00 9,999,999,024.00 14.96
6,370,000,100.00 9,999,999,029.00 19.99
6,370,000,100.00 9,999,999,031.00 14.55
6,370,000,100.00 9,999,999,030.00 14.20
6,370,000,100.00 9,999,999,012.00 28.95
6,370,000,100.00 9,999,999,017.00 30.40
6,370,000,100.00 9,999,999,018.00 265.45
6,370,000,100.00 9,999,308,501.00 15.45
6,370,000,100.00 9,999,308,201.00 28.75
6,370,000,100.00 glycerin (adult) rectal suppository 132,007,912.00 5.71
6,370,000,100.00 ibandronate 150 mg tablet 55,111,057,511.00 53.17
6,370,000,100.00 fentaNYL 12 mcg/hr transdermal patch 60,505,701,000.00 64.24
6,370,000,100.00 mometasone 220 mcg/actuation(14 doses) breath activated powder inhaler 85,134,106.00 253.96
6,370,000,100.00 pregabalin 25 mg capsule 71,101,268.00 34.09
6,370,000,100.00 pregabalin 50 mg capsule 71,101,368.00 19.19
6,370,000,100.00 pregabalin 75 mg capsule 71,101,468.00 14.86
6,370,000,100.00 pregabalin 100 mg capsule 71,101,568.00 34.09
6,370,000,100.00 pregabalin 300 mg capsule 67,877,046,990.00 5.68
6,370,000,100.00 losartan 100 mg-hydrochlorothiazide 12.5 mg tablet 13,668,011,790.00 5.91
6,370,000,100.00 leucovorin calcium 5 mg tablet 54,449,613.00 6.74
6,370,000,100.00 levothyroxine 25 mcg tablet 527,134,110.00 5.98
6,370,000,100.00 levothyroxine 50 mcg tablet 378,180,377.00 5.83
6,370,000,100.00 levothyroxine 50 mcg tablet 68,180,096,609.00 5.69
6,370,000,100.00 levothyroxine 75 mcg tablet 378,180,577.00 5.77
6,370,000,100.00 levothyroxine 100 mcg tablet 378,180,977.00 5.74
6,370,000,100.00 levothyroxine 125 mcg tablet 378,181,377.00 5.73
6,370,000,100.00 levothyroxine 150 mcg tablet 378,181,577.00 5.71
6,370,000,100.00 amoxicillin 250 mg capsule 781,202,001.00 5.74
6,370,000,100.00 liothyronine 25 mcg tablet 42,794,001,902.00 5.79
6,370,000,100.00 amoxicillin 500 mg capsule 781,261,301.00 5.71
6,370,000,100.00 amoxicillin 250 mg chewable tablet 93,226,801.00 5.77
6,370,000,100.00 lisinopriL 20 mg tablet 378,207,510.00 5.62
6,370,000,100.00 lisinopriL 20 mg tablet 68,180,098,103.00 5.63
6,370,000,100.00 amoxicillin 250 mg/5 mL oral suspension 781,604,146.00 15.60
6,370,000,100.00 amoxicillin 250 mg/5 mL oral suspension 143,988,901.00 15.00
6,370,000,100.00 amoxicillin 250 mg/5 mL oral suspension 143,988,915.00 23.35
6,370,000,100.00 loperamide 2 mg capsule 378,210,001.00 5.99
6,370,000,100.00 loperamide 2 mg capsule 96,295,013,094.00 6.06
6,370,000,100.00 LORazepam 2 mg/mL oral concentrate 54,353,244.00 114.06
6,370,000,100.00 LORazepam 0.5 mg tablet 69,315,090,405.00 5.70
6,370,000,100.00 LORazepam 0.5 mg tablet 904,600,761.00 5.69
6,370,000,100.00 LORazepam 1 mg tablet 69,315,090,501.00 5.66
6,370,000,100.00 LORazepam 1 mg tablet 904,600,861.00 5.66
6,370,000,100.00 magnesium citrate oral solution 904,630,477.00 7.40
6,370,000,100.00 magnesium oxide 500 mg tablet 904,423,960.00 5.64
6,370,000,100.00 medroxyPROGESTERone 2.5 mg tablet 555,087,202.00 5.76
6,370,000,100.00 megestroL 40 mg tablet 904,357,161.00 5.74
6,370,000,100.00 9,999,999,028.00 42.99
6,370,000,100.00 methocarbamoL 500 mg tablet 76,385,012,301.00 5.70
6,370,000,100.00 methocarbamoL 750 mg tablet 31,722,053,401.00 5.72
6,370,000,100.00 methotrexate sodium 2.5 mg tablet 68,382,077,501.00 6.18
6,370,000,100.00 methotrexate sodium 2.5 mg tablet 54,855,025.00 15.05
6,370,000,100.00 methyldopa 250 mg tablet 16,729,003,001.00 5.74
6,370,000,100.00 methylphenidate 10 mg tablet 31,722,017,401.00 5.76
6,370,000,100.00 methylphenidate 5 mg tablet 16,729,047,801.00 5.72
6,370,000,100.00 metoclopramide 10 mg tablet 93,220,301.00 5.66
6,370,000,100.00 metoclopramide 5 mg tablet 93,220,401.00 5.69
6,370,000,100.00 metoprolol tartrate 50 mg tablet 378,003,201.00 5.63
6,370,000,100.00 metroNIDAZOLE 500 mg tablet 29,300,022,701.00 5.88
6,370,000,100.00 miconazole nitrate 2 % topical cream 472,073,556.00 5.71
6,370,000,100.00 morphine 15 mg immediate release tablet 54,023,525.00 6.05
6,370,000,100.00 naproxen 250 mg tablet 68,462,018,801.00 5.71
6,370,000,100.00 naproxen 250 mg tablet 68,462,018,805.00 5.71
6,370,000,100.00 naproxen 250 mg tablet 65,162,018,810.00 5.69
6,370,000,100.00 naproxen 500 mg tablet 49,483,061,801.00 5.66
6,370,000,100.00 niacin 100 mg tablet 79,854,020,130.00 5.65
6,370,000,100.00 niacin 500 mg tablet 904,227,260.00 5.63
6,370,000,100.00 nitroglycerin ER 2.5 mg capsule,extended release 904,064,360.00 5.92
6,370,000,100.00 nitroglycerin ER 6.5 mg capsule,extended release 904,064,460.00 5.75
6,370,000,100.00 nitroglycerin 0.4 mg sublingual tablet 71,041,813.00 6.99
6,370,000,100.00 nitroglycerin 2 % transdermal ointment 281,032,608.00 6.72
6,370,000,100.00 nortriptyline 25 mg capsule 51,672,400,205.00 5.68
6,370,000,100.00 nortriptyline 25 mg capsule 51,672,400,201.00 5.73
6,370,000,100.00 nystatin 100,000 unit/gram topical ointment 168,000,730.00 6.32
6,370,000,100.00 nystatin 100,000 unit/mL oral suspension 68,094,059,959.00 7.00
6,370,000,100.00 nystatin 100,000 unit/mL oral suspension 60,432,053,760.00 51.72
6,370,000,100.00 oxybutynin chloride 5 mg tablet 832,003,800.00 5.68
6,370,000,100.00 oxybutynin chloride 5 mg tablet 50,111,045,601.00 5.84
6,370,000,100.00 oxyCODONE-acetaminophen 5 mg-325 mg tablet 53,746,020,305.00 5.80
6,370,000,100.00 oxyCODONE-acetaminophen 5 mg-325 mg tablet 68,308,040,547.00 6.01
6,370,000,100.00 oxymetazoline 0.05 % nasal spray 904,571,135.00 5.63
6,370,000,100.00 penicillin V potassium 250 mg/5 mL oral solution 93,412,773.00 33.70
6,370,000,100.00 penicillin V potassium 250 mg tablet 16,714,023,401.00 5.82
6,370,000,100.00 phenazopyridine 200 mg tablet 75,826,011,510.00 6.36
6,370,000,100.00 PHENobarbitaL 20 mg/5 mL (4 mg/mL) oral elixir 16,571,033,016.00 311.44
6,370,000,100.00 phenobarb-hyoscy-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg/5 mL elixir 59,212,042,204.00 1,046.96
6,370,000,100.00 phenobarb-hyoscy-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg/5 mL elixir 75,826,012,804.00 706.76
6,370,000,100.00 phenytoin sodium extended 100 mg capsule 904,618,761.00 5.80
6,370,000,100.00 pilocarpine 1 % eye drops 61,314,020,315.00 310.36
6,370,000,100.00 prednisoLONE acetate 1 % eye drops,suspension 61,314,063,705.00 144.25
6,370,000,100.00 ascorbic acid (vitamin C) 250 mg tablet 96,295,012,843.00 5.66
6,370,000,100.00 ascorbic acid (vitamin C) 500 mg tablet 57,896,084,101.00 5.63
6,370,000,100.00 ascorbic acid (vitamin C) 500 mg tablet 904,052,360.00 5.63
6,370,000,100.00 propranoloL 10 mg tablet 115,165,901.00 5.78
6,370,000,100.00 propranoloL 40 mg tablet 115,166,101.00 5.68
6,370,000,100.00 pseudoephedrine 30 mg tablet 904,505,324.00 5.66
6,370,000,100.00 pyridoxine (vitamin B6) 100 mg tablet 96,295,012,780.00 5.64
6,370,000,100.00 pyridoxine (vitamin B6) 50 mg tablet 37,864,090,901.00 5.63
6,370,000,100.00 QUEtiapine 50 mg tablet 54,022,925.00 5.83
6,370,000,100.00 QUEtiapine 50 mg tablet 67,877,024,901.00 5.65
6,370,000,100.00 fluticasone propionate 50 mcg/actuation nasal spray,suspension 60,505,082,901.00 66.00
6,370,000,100.00 atenoloL 100 mg tablet 93,075,301.00 5.63
6,370,000,100.00 atenoloL 25 mg tablet 93,078,701.00 5.64
6,370,000,100.00 atenoloL 25 mg tablet 93,078,710.00 5.64
6,370,000,100.00 atenoloL 50 mg tablet 93,075,201.00 5.63
6,370,000,100.00 silver sulfADIAZINE 1 % topical cream 67,877,012,405.00 5.87
6,370,000,100.00 silver sulfADIAZINE 1 % topical cream 61,570,013,140.00 5.77
6,370,000,100.00 sodium bicarbonate 650 mg tablet 223,172,101.00 5.65
6,370,000,100.00 sodium chloride 0.9 % for nebulization 487,930,103.00 5.72
6,370,000,100.00 sodium chloride 5 % eye ointment 17,478,062,235.00 38.87
6,370,000,100.00 atropine 1 % eye drops 17,478,021,502.00 138.29
6,370,000,100.00 atropine 1 % eye drops 17,478,021,505.00 191.32
6,370,000,100.00 atropine 1 % eye drops 17,478,021,515.00 572.05
6,370,000,100.00 spironolactone 25 mg tablet 63,739,054,410.00 5.85
6,370,000,100.00 spironolactone 25 mg tablet 53,746,051,101.00 5.75
6,370,000,100.00 sulfamethoxazole 400 mg-trimethoprim 80 mg tablet 53,746,027,101.00 5.81
6,370,000,100.00 potassium chloride 20 mEq/15 mL oral liquid 603,154,258.00 624.94
6,370,000,100.00 potassium chloride 20 mEq/15 mL oral liquid 904,706,186.00 29.01
6,370,000,100.00 glycerin (child) rectal suppository 132,008,112.00 5.72
6,370,000,100.00 temazepam 15 mg capsule 378,401,001.00 5.67
6,370,000,100.00 arformoteroL 15 mcg/2 mL solution for nebulization 63,402,091,101.00 66.76
6,370,000,100.00 arformoteroL 15 mcg/2 mL solution for nebulization 63,402,091,104.00 66.76
6,370,000,100.00 SITagliptin 100 mg tablet 6,027,731.00 19.04
6,370,000,100.00 metoclopramide 5 mg/5 mL oral solution 121,057,616.00 111.83
6,370,000,100.00 tetracaine 0.5 % eye drops 69,292,031,715.00 118.50
6,370,000,100.00 tetracaine 0.5 % eye drops 24,208,092,064.00 33.95
6,370,000,100.00 codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid 121,077,504.00 46.34
6,370,000,100.00 thioridazine 25 mg tablet 378,061,401.00 5.89
6,370,000,100.00 thioridazine 50 mg tablet 378,061,601.00 6.04
6,370,000,100.00 traZODone 50 mg tablet 50,111,043,301.00 5.65
6,370,000,100.00 triamcinolone acetonide 0.025 % topical cream 168,000,315.00 34.00
6,370,000,100.00 triamcinolone acetonide 0.1 % topical cream 168,000,480.00 5.71
6,370,000,100.00 triamcinolone acetonide 0.1 % topical cream 67,877,025,145.00 5.67
6,370,000,100.00 triamcinolone acetonide 0.1 % topical cream 45,802,006,435.00 5.84
6,370,000,100.00 triamcinolone acetonide 0.025 % topical ointment 45,802,005,435.00 34.00
6,370,000,100.00 triamcinolone acetonide 0.1 % topical ointment 168,000,615.00 5.93
6,370,000,100.00 triamcinolone acetonide 0.1 % topical ointment 168,000,680.00 5.77
6,370,000,100.00 divalproex ER 500 mg tablet,extended release 24 hr 10,370,051,110.00 6.04
6,370,000,100.00 budesonide-formoteroL HFA 80 mcg-4.5 mcg/actuation aerosol inhaler 186,037,220.00 960.15
6,370,000,100.00 budesonide-formoteroL HFA 160 mcg-4.5 mcg/actuation aerosol inhaler 186,037,020.00 1,006.66
6,370,000,100.00 QUEtiapine ER 200 mg tablet,extended release 24 hr 310,028,260.00 64.23
6,370,000,100.00 melatonin 1 mg tablet 536,111,411.00 5.64
6,370,000,100.00 verapamiL 40 mg tablet 23,155,005,901.00 5.78
6,370,000,100.00 baclofen 10 mg tablet 172,409,680.00 5.77
6,370,000,100.00 warfarin 2 mg tablet 93,171,301.00 5.73
6,370,000,100.00 warfarin 2 mg tablet 56,017,075.00 6.70
6,370,000,100.00 warfarin 2.5 mg tablet 93,171,401.00 5.71
6,370,000,100.00 warfarin 2.5 mg tablet 56,017,675.00 6.51
6,370,000,100.00 warfarin 5 mg tablet 93,172,101.00 5.67
6,370,000,100.00 warfarin 5 mg tablet 56,017,275.00 6.08
6,370,000,100.00 potassium bicarbonate-citric acid 20 mEq effervescent tablet 51,801,001,230.00 6.09
6,370,000,100.00 oseltamivir 30 mg capsule 47,781,046,813.00 37.76
6,370,000,100.00 oseltamivir 30 mg capsule 70,710,100,802.00 29.40
6,370,000,100.00 oseltamivir 30 mg capsule 68,180,067,511.00 18.90
6,370,000,100.00 zinc oxide 20 % topical ointment 168,006,231.00 5.71
6,370,000,100.00 zinc oxide 20 % topical ointment 536,570,098.00 5.64
6,370,000,100.00 cholecalciferol (vitamin D3) 1,250 mcg (50,000 unit) capsule 75,834,002,001.00 5.77
6,370,000,100.00 nebivoloL 5 mg tablet 456,140,530.00 14.63
6,370,000,100.00 acetaZOLAMIDE ER 500 mg capsule,extended release 68,382,026,101.00 15.10
6,370,000,100.00 acetaZOLAMIDE ER 500 mg capsule,extended release 50,742,023,301.00 6.12
6,370,000,100.00 acyclovir 800 mg tablet 60,505,530,701.00 5.92
6,370,000,100.00 amiodarone 200 mg tablet 51,672,402,504.00 5.87
6,370,000,100.00 amLODIPine 10 mg tablet 67,877,019,990.00 5.63
6,370,000,100.00 amLODIPine 2.5 mg tablet 69,097,083,605.00 5.66
6,370,000,100.00 amLODIPine 5 mg tablet 69,097,012,705.00 5.65
6,370,000,100.00 amoxicillin 125 mg-potassium clavulanate 31.25 mg/5 mL oral susp 43,598,001,251.00 1,052.53
6,370,000,100.00 amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 mL oral suspension 43,598,020,453.00 617.75
6,370,000,100.00 difluprednate 0.05 % eye drops 65,924,007.00 647.62
6,370,000,100.00 bumetanide 1 mg tablet 185,012,901.00 5.85
6,370,000,100.00 bumetanide 2 mg tablet 185,013,001.00 5.83
6,370,000,100.00 buPROPion HCL 75 mg tablet 60,505,015,801.00 5.98
6,370,000,100.00 busPIRone 5 mg tablet 378,114,001.00 5.70
6,370,000,100.00 butamben-tetracaine-benzocaine 2 %-2 %-14 % (200 mg/sec) topical spray 10,223,020,103.00 350.50
6,370,000,100.00 calcium carbonate 200 mg calcium (500 mg) chewable tablet 37,864,000,150.00 5.63
6,370,000,100.00 calcium carbonate 200 mg calcium (500 mg) chewable tablet 66,553,000,401.00 5.66
6,370,000,100.00 ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln 487,020,101.00 6.12
6,370,000,100.00 ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln 69,097,017,353.00 5.92
6,370,000,100.00 ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln 69,097,017,364.00 5.92
6,370,000,100.00 ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln 76,204,060,060.00 6.02
6,370,000,100.00 ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln 69,097,017,348.00 5.92
6,370,000,100.00 captopriL 25 mg tablet 143,117,201.00 5.89
6,370,000,100.00 carbidopa 10 mg-levodopa 100 mg tablet 62,756,051,788.00 5.75
6,370,000,100.00 carbidopa 10 mg-levodopa 100 mg tablet 378,007,801.00 5.75
6,370,000,100.00 carbidopa 25 mg-levodopa 100 mg tablet 228,253,950.00 5.74
6,370,000,100.00 carbidopa 25 mg-levodopa 100 mg tablet 62,756,051,813.00 5.76
6,370,000,100.00 cefproziL 250 mg/5 mL oral suspension 68,180,040,201.00 111.80
6,370,000,100.00 cefproziL 250 mg tablet 68,180,040,301.00 6.42
6,370,000,100.00 cefuroxime axetil 250 mg tablet 65,862,069,920.00 6.05
6,370,000,100.00 cephalexin 250 mg capsule 93,314,501.00 5.75
6,370,000,100.00 cephalexin 500 mg capsule 93,314,701.00 5.73
6,370,000,100.00 cephalexin 250 mg/5 mL oral suspension 93,417,773.00 105.50
6,370,000,100.00 cetirizine 10 mg tablet 45,802,091,939.00 5.75
6,370,000,100.00 chlorhexidine gluconate 0.12 % mouthwash 116,200,116.00 14.84
6,370,000,100.00 chlorhexidine gluconate 0.12 % mouthwash 48,878,062,003.00 6.01
6,370,000,100.00 QUEtiapine ER 150 mg tablet,extended release 24 hr 310,028,160.00 23.62
6,370,000,100.00 clobetasoL 0.05 % topical cream 51,672,125,802.00 19.05
6,370,000,100.00 clonazePAM 0.5 mg tablet 16,729,013,600.00 5.64
6,370,000,100.00 clonazePAM 0.5 mg tablet 16,729,013,616.00 5.64
6,370,000,100.00 clotrimazole 10 mg troche 54,414,622.00 7.60
6,370,000,100.00 collagenase clostridium histolyticum 250 unit/gram topical ointment 50,484,001,030.00 37.11
6,370,000,100.00 lamoTRIgine 50 mg disintegrating tablet 49,884,048,511.00 18.70
6,370,000,100.00 lamoTRIgine 100 mg disintegrating tablet 49,884,048,611.00 7.65
6,370,000,100.00 lacosamide 200 mg tablet 131,248,035.00 33.74
6,370,000,100.00 fesoterodine ER 4 mg tablet,extended release 24 hr 69,024,230.00 47.55
6,370,000,100.00 dexlansoprazole 30 mg capsule,biphase delayed release 64,764,017,130.00 38.68
6,370,000,100.00 tolvaptan 15 mg tablet 59,148,002,050.00 1,155.20
6,370,000,100.00 acetaminophen 500 mg capsule 70,000,050,901.00 5.73
6,370,000,100.00 lipase-protease-amylase 12,000-38,000-60,000 unit capsule,delayed rel 32,121,201.00 15.55
6,370,000,100.00 prasugreL 5 mg tablet 60,505,464,203.00 6.45
6,370,000,100.00 benzonatate 100 mg capsule 67,877,057,301.00 5.79
6,370,000,100.00 doxazosin 1 mg tablet 16,729,021,101.00 5.85
6,370,000,100.00 enalapril maleate 10 mg tablet 64,679,092,502.00 5.74
6,370,000,100.00 enalapril maleate 20 mg tablet 51,672,404,001.00 5.80
6,370,000,100.00 enalapril maleate 5 mg tablet 51,672,403,801.00 6.09
6,370,000,100.00 levonorgestreL 1.5 mg tablet 62,756,071,860.00 38.40
6,370,000,100.00 levonorgestreL 1.5 mg tablet 69,536,020,088.00 46.85